Bermuda Hospitals Board (Hospital Fees) Amendment Regulations 1993
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
1
BR 17/1993
BERMUDA HOSPITALS BOARD ACT 1970
1987 : 2
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
The Bermuda Hospitals Board, with the approval of the Minister
of Health, Social Services and Housing, in exercise of the powers
conferred upon it by section 13 of the Bermuda Hospitals Board 1970
makes the following Regulations:
Citation and commencement
1 These Regulations which amend the Bermuda Hospitals Board
(Hospital Fees) Regulations 1980 (hereafter referred to as "the principal
Regulations") may be cited as the Bermuda Hospitals Board (Hospital
Fees) Amendment Regulations 1993 and shall come into operation on 1st
April 1993.
Amends regulation 4
2 Regulation 4 of the principal Regulations is amended by deleting
the symbol and figure "$246.00" and by substituting therefor the symbol
and figure "$258.00".
Amends regulation 4A
3 Regulation 4A of the principal Regulations is amended by
deleting the symbol and figure "$169.00" and by substituting therefor the
symbol and figure "$177.00".
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
2
Rescinds and replaces Schedules 1 and 2
4 Schedules 1 and 2 to the principal Regulations are rescinded
and replaced by the following:
"SCHEDULE 1
IN-PATIENT TREATMENT
The general per diem rate for patients shall be as follows:
$. c.
(a) for public ward accommodation 457.00
(b) for semi-private accommodation 519.00
(c) for private accommodation 625.00
(d) for new-born infants 177.00
(e) for patients classified as geriatric 177.00
SCHEDULE 2
OUT-PATIENT TREATMENT
Radiology
(Extra views done within 24 hours $13 per view)
(After 24 hours will be charged as per part being x-rayed)
Special Procedures
arthrogram - double contrast 217.00
bronchogram 115.00
dacryocystogram 172.00
femoral arteriogram - one side 533.00
femoral arteriogram - bilateral 1016.00
fistulagram or venogram 194.00
myelogram - cervical and/or dorsal 221.00
myelogram - lumbar 209.00
needle biopsy of lung 222.00
salpingogram 181.00
scanogram 97.00
sialogram 194.00
sinogram 230.00
tomogram 187.00
tomogram over 15 films, charge per extra film 7.00
ureterogram 190.00
Head and Neck
facial bones 93.00
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
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internal auditory meatus 116.00
jaw 93.00
mastoids 120.00
nose 93.00
optic foramen 98.00
salivary glands 98.00
sinuses 93.00
skull 96.00
teeth, 1 to 16 149.00
teeth, full set 180.00
temporomandibular joints 80.00
Genito-urinary Tract
cinecystogram 165.00
pyelogram, intravenous 198.00
pyelogram, retrograde 198.00
vasogram 164.00
Obstetrical and Gynaecological
erect lateral pelvimetry 154.00
pelvimetry 120.00
survey film 90.00
Chest
standard 84.00
standard with screening 135.00
Abdomen
erect and supine 103.00
plain 90.00
Gastro-intestinal Tract
barium enema 160.00
barium enema with air contrast 195.00
barium meal 136.00
barium meal with follow through 187.00
barium swallow 136.00
cholangiogram 125.00
cholecystogram 133.00
Extremities
ankle 89.00
elbow 86.00
femur 95.00
fingers 1, 2 or more 89.00
foot 89.00
forearm 90.00
hand 89.00
hip 96.00
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humerus 97.00
knee 94.00
amk knee 184.00
sterno-clavicular joints 97.00
subtalar views 108.00
tibia and fibula 96.00
toes 1, 2 or more 89.00
wrist 89.00
Spine and Pelvis
acetabular views 128.00
cervical spine 101.00
lumbar spine 102.00
pelvis 100.00
pelvis and hip 106.00
ribs 103.00
sacroiliac joints 101.00
sacrum and/or coccyx 101.00
screening with image intensifier up to 5 mins. 122.00
screening with image intensifier more than 5 mins. 163.00
screening for scoliosis, erect and supine 116.00
skeletal survey 138.00
sternum 101.00
thoracic spine 103.00
additional copy of any plate 17.00
aml series/amk series 141.00
additional views within 24 hours 13.00
additional charge per patient done
outside normal hours or public holidays 59.00
Nuclear Medicine Department
(an additional $101 for scans done outside of
normal hours and public holidays)
Scanning
blood flow - with static organ imaging 308.00
bone-flow of extremities 308.00
bone-whole body survey 329.00
brain-with flow, time-activity curves 346.00
brain-static only 333.00
csf-circulation-ventricles 319.00
cardiac investigations;
muga resting 310.00
muga stress (in addition) 436.00
myocardial - pyrophosphate, acute infarct, injury 312.00
myocardial delayed - thallium 220.00
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gallium - specific site 449.00
gallium - whole body 478.00
intestinal bleed - pyrophosphate 312.00
hepato - biliary 304.00
I.13 m.ibg scan 502.00
liver and/or spleen 298.00
lung - ventilation or perfusion 310.00
lung - ventilation and perfusion - same day 335.00
meckels - ectopic gastric mucosa 304.00
parathyroid 387.00
renogram time - activity curves (function) 314.00
salivary glands study 304.00
testicular - flow & statistics 297.00
thyroid 297.00
venography - uni-bilateral - mediastinum - inferior/superior 304.00
Therapy
iodide sodium I - 131 therapy 89.00*
*note: required drugs will be charged at current cost
C.T. Scan
c.t. head unenhanced 440.00
c.t. head enhanced 601.00
c.t. head special 620.00
c.t. body unenhanced 468.00
c.t. body enhanced 636.00
c.t. body special 652.00
c.t. body biopsy 471.00
c.t. body drainage 473.00
c.t. copy 113.00
additional charge per patient study done outside
of normal hours or on public holidays 206.00
Diagnostic Ultrasound
B Scans
abdomen 155.00
breast 155.00
pelvis 155.00
gallbladder 155.00
aorta 155.00
liver/spleen 155.00
renal 155.00
pancreas 155.00
thyroid 155.00
testicles 155.00
obstetrics and gynaecology 155.00
fertility drug serial - the first and every other 155.00
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
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scan in the series is charged
intra cavity 162.00
intra cavity pelvic 162.00
vascular studies 168.00
M Mode
echography, pericardial effusion 155.00
Biopsy and Amniocentesis
(does not include standard b scan charge) 159.00
additional charge per patient done outside of normal
hours or on public holidays 123.00
ECG/EEG Department
electrocardiogram 46.00
electroencephalogram 155.00
holter monitor of heart with analysis 167.00
stress test 172.00
adult echocardiography - complete study 552.00
2d & doppler / colour flow
paediatric echocardiography - complete study 663.00
2d & doppler / colour flow
pacemaker clinic 71.00
cardiologist attendance fee 55.00
signal averaged ecg 51.00
Pathology Department
Haematology/Coagulation
body fluid count (pleural, ascitic or spinal) 29.00
bone marrow examination with aspiration 158.00
cbc, esr, sickling 64.00
coagulation screen 47.00
complete blood count 26.00
cytochemical stain (e.g. pas, sudan black or lap) 44.00
erythrocyte sedimentation rate 33.00
fibrinogen 39.00
f.d.p. 26.00
film examination for parasites 44.00
foetal haemoglobin 74.00
haemoglobin a 1 c 41.00
haemoglobin electrophoresis 51.00
k.p.t.t. 26.00
l.e. screen 43.00
infectious mononucleosis screen 26.00
prothrombin time 40.00
reticulocyte count 31.00
rheumatoid factor - titration 53.00
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
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rubella antibodies 31.00
screening test - r.a. 34.00
sickle test 22.00
sperm count 65.00
blood draw for send away specimens 18.00
Blood Transfusion
antibody identification 59.00
antibody screen 47.00
antibody titre 63.00
blood group and antibody screen 59.00
cold agglutinins 112.00
coombs direct 31.00
coombs indirect 47.00
htlv 111 antibody screen 59.00
kleihauler 45.00
pregnancy test 35.00
rhesus genotype 44.00
rhogam 109.00
antigen subtyping - saline per antigen 7.00
antigen subtyping - ahg per antigen 9.00
antigen profile 112.00
Microbiology
a.n.a. fluorescent antibody technique 42.00
blood culture 93.00
body fluid (csf, joint) micro and culture 66.00
chlamydia serology 42.00
conjunctional swabs - chlamydia by f.a. 42.00
cryptosporidium stain - regular 42.00
dark ground microscopy 55.00
dark ground microscopy with clinical examination 118.00
ear swab - routine culture 47.00
eye swab - routine culture 47.00
faeces - micro examination (u.s. visa) 29.00
faecal fat stain 22.00
fluorescent treponemal antibody 41.00
mrsa screentest 47.00
nose swab - routine culture 47.00
rotavirus latex afflutination 72.00
semen for culture 56.00
skin or nail - mycology culture 47.00
skin or nail - mycology culture and microscopy 57.00
sputum or tissue for tb smear only 81.00
sputum bronchial washing or urine for tb culture 149.00
and smear (3 specimens)
sputum for routine culture 66.00
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
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stool (or rectal swab) for culture 61.00
stool culture & microscopy (ocp) 92.00
stool and ocp 39.00
throat swab 47.00
t.p.h.a. (treponemal palladum haemagglutination) 41.00
urethral swab micro examination, gram stain 29.00
urethral swab culture and gram stain/ semen culture 47.00
urine micro and culture 47.00
urine; pre-employment micro and culture 47.00
urine; visa 29.00
vaginal swab micro examination (wet prep) 29.00
vaginal swab micro examination (gram) 32.00
vaginal swab (discharge) culture with wet prep & gram stain 55.00
vaginal swab (e.g. p.i.d. abdominal pain, cervicitis) 61.00
culture with wet prep and gram stain
wounds (simple-superficial skin/lesions) culture 66.00
wounds (dirty - ulcer culture) 93.00
legionella antibody, serum (indirect) 41.00
legionella, culture and identification 85.00
(sputum, bronchial washing pleural fluid,
trachaelaspirate)
Histology/Cytology**
double tissue section and examination** 123.00
triple tissue section and examination** 201.00
cytology (pap) 33.00
frozen section and examination 146.00
immuno peroxidase technique 71.00
non-gynaecological smear (e.g. sputa, fluids) 64.00
p.a.p. peroxidase technique 56.00
resin section 54.00
tissue section-single 81.00
tissue section-one and a half 103.00
additional set of slides requested by doctor 28.00
estrogen reception assay 272.00
** where the examination covers more than one
organ each additional organ will be charged
at half price
Nuclear Medicine In-vitro Studies
acid phosphatase (pap) 36.00
australian antigen 36.00
b12 & folate 42.00
cea 42.00
digoxin 47.00
ferritin 47.00
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
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free t4 74.00
hepatitis b antibody 47.00
hepatitis b core antibody 47.00
schilling test 225.00
t.s.h. 47.00
free t3 47.00
total t4 74.00
thyroid profile (free t3, free t4, tsh &t4) 166.00
prostatic specific antigen (psa) 42.00
ck-mb 42.00
ca 125 42.00
Biochemistry
acetominophen 33.00
acid-base balance (blood gases) 49.00
albumin only 24.00
alcohol (blood or urine) 26.00
alkaline phosphatase 24.00
amylase 24.00
b12 & folate 42.00
bence jones protein screen 31.00
bilirubin direct 24.00
bilirubin total 24.00
blood sugar (glucose) 24.00
blood sugar (glucose) 2 hour p.c. 38.00
blood sugar (glucose) 4 hour p.c. 24.00
blood sugar (glucose) 2 hour p.c. & 4 hour p.c. 32.00
calcium 24.00
carbamazepine/tegretol 32.00
cardiac enzymes (sgot & ldh) 51.00
csf protein only 25.00
csf sugar only 24.00
csf chloride only 24.00
chloride 24.00
cholesterol 24.00
creatinine 24.00
creatinine clearance 49.00
creatinine phosphokinase (cpk) 24.00
dilantin/phenytoin 32.00
electrolytes 36.00
gentamicin 32.00
glucose challenge 36.00
glutamic - oxalacetic transaminase (sgot) 24.00
glutamic - pyruvic transaminase (sgpt) 24.00
high density lipoprotein (hdl) 24.00
5-hydroxy indoleacetic acid screen (5 hiaa) 31.00
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
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ldh 24.00
lipid profile (chol, trif) 31.00
lithium 28.00
liver function test (bilirubin, total protein 69.00
albumin, globulin)
low density lipoprotein 24.00
glucose drink 5.00
phenobarbital 32.00
phosphorous 24.00
porphyrins (early morning spec.) 29.00
potassium 24.00
primidone 32.00
protein (body fluid) 25.00
proteins (includes albumin and globulin) 29.00
protein electrophoresis 42.00
sodium (na) 24.00
theophylline assay 32.00
triglycerides 24.00
urea nitrogen (bun) 24.00
uric acid 24.00
uric acid - urine 26.00
urine calcium 26.00
urine for bile pigments 29.00
urine for bile products (urobilinogen) 29.00
urine for glucose 26.00
urine for protein 26.00
urine for prophyrins 26.00
valproic acid/epilim 32.00
xylose test 47.00
3 hr gtt 55.00
4 hr gtt 64.00
5 hr gtt 75.00
6 hr gtt 85.00
note: any test sent to a commercial or reference
laboratory will be charged according to
current charges of that commercial or
reference laboratory plus a handling charge
of $26 for express postal specimens and
$114 for specimens requiring air freight
and/or dry ice
Operating Rooms - General***
amputation fingers or toes 313.00
anal and urethral dilatation 287.00
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
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anal fistula 287.00
arteriograms 464.00
arthroscopy - removal loose body 436.00
removal plica 436.00
chondroplasty 436.00
meniscectomy 436.00
bilateral augmentation mammoplasty 387.00
bronchoscopy 387.00
cardioversion 256.00
carpal tunnel release/dequernains 313.00
catherization 271.00
cautery of cervix 271.00
circumcision 308.00
colonoscopy 354.00
closed reduction of fracture - no cast 420.00
closed reduction of fracture - minor cast 420.00
closed reduction of fracture - full cast or body jacket 420.00
cystocopy 271.00
cystocopy - t.u.r. (t) 300.00
cystoscopy, dormia 353.00
cystometry 300.00
debridement 287.00
declotting a.v. fistula 313.00
dermoid or bartholin's cyst 271.00
dilatation and curettage 282.00
dilatation and curettage, tubal washings/polypectomy 298.00
dilatation and curettage and cone biopsy 313.00
dorsal slit penis 271.00
ear lobe repair 315.00
electro convulsive therapy 256.00
examination under anaesthesia 271.00
excision - breast lumps 387.00
excision - deep cyst or ganglion 303.00
excision - gynaecomastia 319.00
excision and biopsy - basal cell carcinoma 287.00
excision and biopsy - bursa 287.00
excision and biopsy - digital nerve 287.00
excision and biopsy - epithelioma 287.00
excision and biopsy - fibroma 287.00
excision and biopsy - granulomas 287.00
excision and biopsy - hair follicles 287.00
excision and biopsy - keloids 287.00
excision and biopsy - lesions 287.00
excision and biopsy - leukoplakia 287.00
excision and biopsy - melanoma 287.00
excision and biopsy - moles/warts 287.00
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
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excision and biopsy - sebaceous cyst 287.00
excision and biopsy - superficial cyst 287.00
excision of lumps 287.00
excision scars 287.00
excision neuromas 287.00
failed procedures 253.00
gastroscopy 331.00
haemorrhoids 287.00
hammer toe/hallux valgus/chevron osteotomy 287.00
hernia repair 313.00
hymenectomy 271.00
hysteroscopy 287.00
incision and drainage of abscess or haematoma 287.00
insertion of intra-uterine contraceptive device 271.00
insertion of vasoport 798.00
instillation of bladder drugs 287.00
instillation or injection of chemotherapy drugs 287.00
intercostal block 287.00
k wire to fingers or toes 300.00
laparoscopy 350.00
laparoscopy - t.l./meth blue inj./adhesions 373.00
major suturing 329.00
mallet finger 300.00
manipulation of joints 271.00
minor dressing and suture or insertion of catheter 287.00
multiple superficial cysts 329.00
nail surgery 298.00
natural fistula 329.00
needle biopsy - joints 287.00
open reduction 445.00
orchidectomy 308.00
perineal reconstruction or revision 342.00
pessary (removal/insertion) 271.00
removal of - foreign body 406.00
removal of - jaws wires 300.00
removal of - k wires 300.00
removal of - lipomas 300.00
removal of - nails or pins 300.00
removal of - neck glands 300.00
removal of - nodes 300.00
removal of - papillomas 300.00
removal of - screws and plates 406.00
removal of - ptfe shunt 300.00
removal of - sutures 300.00
removal of - universal day frame 300.00
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
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revision of scars 300.00
rubins test 287.00
sigmoidoscopy 277.00
skin graft/ z plasty 300.00
sphincterotomy 271.00
sympathetic block/quanethadine block/interplural block 287.00
tendon repair 329.00
termination of pregnancy 291.00
insertion or removal quinton central line 300.00
therapeutic epidural 334.00
varicose veins ties 313.00
vasectomy 319.00
warts/condylomara 287.00
wurms procedure/insertion of shirodkar/circulage 287.00
repositioning/reinsertion pacer lead 329.00
Eye Surgery
capsulectomy/capsulotomy 458.00
cataract extraction 614.00
cataract - insertion of intra-ocular lens 897.00
conjunctival flap 410.00
conjunctival granuloma/angioma 410.00
corneal crafts 614.00
cryosurgery 287.00
ectropion 426.00
examination under anaesthesia 384.00
insertion of contact lens extra-ocular 287.00
intra ocular lens insertion 710.00
lateral muscle resection 413.00
meibomian cyst 397.00
probing tear duct 397.00
pterygium 397.00
removal of eye sutures 384.00
removal of foreign body 395.00
repositioning intra-ocular lens 397.00
retinal photocoagulation/cryo 287.00
strabismus 439.00
tarsorrhaphy 439.00
trebeculectomy 458.00
keratectomy 458.00
*** detention time over six hours will result in an additional
charge of 20% of the rate for the procedure
note: where there is more than one procedure,
there will be a charge of 100% of the rate
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
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for the most expensive procedure and 50%
of the rate for any other procedures
Ear, Nose and Throat Surgery
bilateral antral lavage 271.00
bronchoscopy and complete endoscopy 287.00
cautery of expistaxis area 298.00
cautery inferior turbinates 271.00
direct laryngoscopy 271.00
elevation fractured malar 313.00
ent - smr (nasal) 413.00
insertion of grommets 413.00
micro-laryngoscopy 397.00
modified myringoplasty 313.00
myringotomy 271.00
nasal polypectomy 287.00
oesophagoscopy 287.00
reduction fractured nose 287.00
removal of aural granuloma 397.00
removal of grommets 384.00
removal of pack with general anaesthesia 271.00
straight oesophageal dilation w/o oesophagoscopy 271.00
tongue tie release 287.00
combination of any two - ear, nose and throat 458.00
combination of any three - ear, nose and throat 544.00
Dental Surgery
minimum charge (30 minutes of time) 309.00
over 30 minutes of time 405.00
*** detention time over six hours will result in an additional
charge of 20% of the rate for the procedure
note: where there is more than one procedure, there will be a
charge of 100% of the rate for the most expensive
procedure and 50% of the rate for any other procedures
Physiotherapy Department
individual treatment
category 1: 39.00
evaluation
muscle grading 2-4
hydrotherapy (at pool)
taping
prosthetic review
open wound care
relative instruction
mobilization
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
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frictions/massage/myofascial release
laser
category 2: 33.00
lung function test
electrotherapy
muscle grading - 1 limb
lumbar traction
cervical traction
therapeutic exercise
gait training
jobst compression
category 3: 25.00
whirlpool bath
wax bath
hot packs
ice packs
category 4: 52.00
cybex testing and treating
no show cancellation 33.00
Occupational Therapy (including outpatient geriatric rehabilitation)
individual treatment (per quarter-hour) 33.00
Emergency Department ***
individual treatment - minor 102.00
intermediate 153.00
major 190.00
individual treatment with stay over 6 hours 253.00
for observation purposes
individual treatment with subsequent admittance 190.00
recompression chamber 762.00
crutches 53.00
canes 13.00
extrication cervical collars 27.00
***note: patients subsequently admitted from the emergency
department will be charged for an emergency visit in
addition to the inpatient room charge. This will be
charged out as a major treatment.
Ambulance
per trip 88.00
airport (to and from) 100.00
Geriatric Care
geriatric day care 38.00
respite care 177.00
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
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Orthopaedic Unit
orthopaedic unit - individual treatment 53.00
no show cancellation 34.00
Diabetic Counselling
one week diabetic education programme 508.00
(12 hours classroom teaching, 3 hours individual instruction)
blood glucose testing 9.00
Dietetic Counselling
individual counselling (per half-hour) 33.00
group therapy (per half-hour) 19.00
Renal Dialysis
haemodialysis (non-residents) 628.00
haemodialysis (residents) 532.00
capd (per month) 6014.00
Chemotherapy**
individual treatment - half hour 38.00
three to four hours 144.00
oncology relationship counselling (per half-hour) 15.00
oncology individual counselling (per half-hour) 15.00
oncology group therapy (per half-hour) 8.00
day long chemotherapy 329.00
** note: required drugs will be charged at current cost
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
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Audio-Vestibular Services
hearing testing
audiogram - pure tone air and bone 68.00
audiogram - speech 68.00
audiogram - conditioned response 68.00
impedance audiometry - compliance 68.00
impedance audiometry - stapedial reflex 68.00
impedance audiometry - eustachian tube patency 68.00
vestibular testing
caloric testing - cold 40.00
caloric testing - hot and cold 68.00
postural testing 39.00
Sweat Chloride Testing 44.00
Maternity Department
foetal monitoring 38.00
Colposcopy 122.00
Alcoholism Services
individual counselling 63.00
relationship counselling 63.00
group therapy (per hour/person) 40.00
education program (per week/person) 155.00
co-dependency issues (per person/10 sessions) 124.00
family education (per person/6 sessions) 70.00
adult children of alcoholics (per person/10 sessions) 113.00
children's group 65.00
road traffic offences (1 week program) 155.00
Hospice
day long care with blood transfusion 71.00
day long care without blood transfusion 38.00
Mammography
Examinations
initial mammogram 131.00
follow-up mammogram 79.00
localization with 1 o.r. specimen 210.00
(does not include laboratory analysis of specimen)
fine needle biopsy 210.00
(does not include laboratory analysis of specimen)
ductogram 210.00
x-ray of specimen 79.00
recall for cone compression or magnification 47.00
additional views 24.00
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1993
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Psychiatric Out-Patient
visits
new patients (medical staff) 83.92
(psychologists) 62.94
follow up visits (medical staff) 50.00
(psychologists) 41.96
home visits (medical staff) 83.92"
Made this 23rd day of March, 1993.
Robert Tucker
Chairman
Bermuda Hospitals Board
Approved this 24th day of March, 1993.
Minister of Health, Social Services and Housing
Quinton Edness
