Bermuda Hospitals Board (Hospital Fees) Amendment Regulations 1998

Link to law: http://www.bermudalaws.bm/Laws/Annual%20Laws/1998/Statutory%20Instruments/Bermuda%20Hospitals%20Board%20%28Hospital%20Fees%29%20Amendment%20Regulations%201998.pdf

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THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1998

1

BR 27/1998

BERMUDA HOSPITALS BOARD ACT 1970

1970 : 384

THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1998

The Bermuda Hospitals Board, with the approval of the Minister
of Labour, Home Affairs and Public Safety, in exercise of the power
conferred upon it by section 13 of the Bermuda Hospitals Board Act
1970 makes the following Regulations:

Citation and commencement
1 These Regulations which amend the Bermuda Hospitals Board
(Hospital Fees) Regulations 1980 (hereinafter referred to as "the principal
Regulations") may be cited as the Bermuda Hospitals Board (Hospital
Fees) Amendment Regulations 1998 and shall come into operation on 1
April 1998.

Amends regulation 4 of principal Regulations
2 Regulation 4 of the principal Regulations is amended by deleting
the symbol and figure "$315.00" and substituting the symbol and figure
"$334.00".

Revokes and replaces Schedules 1 and 2
3 Schedules 1 and 2 to the principal Regulations are revoked and
replaced by the following—

THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
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"SCHEDULE 1

IN-PATIENT TREATMENT
PART A Residents' Rates

1 The general per diem rate for patients, other than new-born
infants, patients classified as geriatric and patients requiring hospice
care, shall be $590 for public ward accommodation, $705 for semi-
private accommodation and $848 for private accommodation.

2 The per diem rate for new-born infants shall be $228.

3 The per diem rate for patients classified as geriatric shall be
$228.

4 The per diem rate for hospice care shall be $308.

PART B Non-Residents' Rates

The general per diem rate for patients who are non-residents shall be as
follows—

(a) for public ward accommodation $1,031

(b) for semi-private accommodation $1,232

(c) for private accommodation $1,485

(d) for nursery $ 400

(e) for patients classified as geriatic $ 400

(f) for the mental hospital $ 583

SCHEDULE 2

OUT-PATIENT TREATMENT

Out patient Treatment

Radiology Department

(extra views done within 24 hours $14 per view)
(after 24 hours will be charged as per part being x-rayed)

Special Procedures

arthrogram - double contrast 279

THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
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bronchogram 148
dacryocystogram 221
femoral arteriogram - one side 687
femoral arteriogram - bilateral 1,309
fistulagram or venogram 250
myelogram - cervical and / or dorsal 285
myelogram - lumbar 269
needle biopsy of lung 286
salpingogram 234
scanogram 125
sialogram 250
sinogram 296
tomogram 240
tomogram over 15 films , charge per extra film 9
ureterogram 245
portable charge 80

Head and Neck

facial bones 120
internal auditory meatus 149
jaw 120
mastoids 155
nose 120
optic foramen 126
orthopantomogram OPG 119
PNS post nasal space 126
salivary glands 120
sinuses 120
skull 124
teeth, 1 to 16 232
teeth, full set 232
temporomandibular joints 104

Genito-urinary Tract

cystogram voiding or stress 213
pyelogram, intravenous 255
pyelogram, retrograde 255
vasogram 211

THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
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Obstetrical and Gynaecological

erect lateral pelvimetry 154
pelvimetry 198
survey film 116

Chest

standard 108
standard with screening 174

Abdomen

erect and supine 132
plain 116

Gastro-intestinal Tract

barium enema 206
barium enema with air contrast 252
barium meal 175
barium meal with follow through 240
barium swallow 175
cholangiogram 161
cholecystogram 171
small bowel ft only 154

Extremities

ankle 115
elbow 111
femur 122
fingers 1,2 or more 115
foot/heel 115
forearm 116
hand 115
hip 124
humerus 125
knee 121
amk knee 237

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shoulder/clavicle 125
sterno-clavicular joints 125
subtalar views 139
tibia and fibula 124
toes 1,2 or more 115
wrist 115

Spine and Pelvis

acetabular views 165
cervical spine 130
lumbar spine 131
pelvis 129
pelvis and hip 137
ribs 132
sacroiliac joints 130
sacrum and / or coccyx 130
screening with image intensifier up to 5 mins. 157
screening with image intensifier more than 5 mins 210
screening for scoliosis, erect and supine 149
skeletal survey 178
soft tissue neck 125
sternum 130
thoracic spine/ dorsal 132
additional copy of any plate 22
aml series 181
additional views within 24 hours 17
additional charge per patient done outside normal
hours or public holidays

76

Nuclear Medicine Department

an additional $106 for scans done outside
of normal hours and public holidays)

Scanning

blood flow - with static organ imaging 520
bone-flow of extremities 520
bone-whole body survey 548
brain-with flow, time-activity curves 570

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brain seizure disorder 588
brain-static only 552
csf-circulation-ventricles 534
cardiac investigations ;

muga resting 523
muga stress (in addition) 686
myocardial - pyrophosphate, acute infarct, injury 525

gallium - specific site 701
gallium - whole body 740
intestinal bleed - pyrophosphate 525
hepato - biliary 515
I.13 m.ibg scan 770
liver and / or spleen 506
lung - ventilation or perfusion 523
lung - ventilation and perfusion - same day 554
meckels - ectopic gastric mucosa 515
myocardial infarction assessment 529
parathyroid 621
renogram- time - activity curves (function) 528
salivary glands study 515
scintimammography 548
testicular - flow & statics 505
thyroid 505
thyroid uptake scan 702
venography- uni- bilateral - mediastinum - inferior /
superior

515

voiding cystogram 335

Therapy

iodide sodium I - 131 therapy 115
***note: required drugs will be charged at current cost

Special data processing 148

C.T. Scan

c.t. head plain 567
c.t. head special 614
c.t. body 621

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c.t.body special 654
c.t. body biopsy 607
c.t.body drainage 610
c.t. intravenous enhancement 185
c.t. special reconstructions 148
c.t.copy 23
c.t. reproductions of original films 49
additional charge per patient study done outside of normal
hours and public holidays 265

Diagnostic Ultrasound

B Scans

abdomen 199
aorta 199
pre and post bladder 199
breast 199
carotoid doppler study 339
colour doppler 256
doppler as additional study 75
gallbladder 199
head 199
intra cavity 209
intra cavity pelvic 209
liver/spleen 199
obstetrics and gynaecology 199
pancreas 199
pelvis 199
renal 199
thyroid 199
testicles 199
fertility drug serial - the first and every other 199
vascular studies 216
review/repeat scan 100
portable study additional $10 charge

Biopsy and Amniocentesis

(does not include standard b scan charge) 205
additional charge per patient done outside
normal working hours or on public holidays 158

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ECG/EEG Department

electrocardiogram 59
electroencephalogram 199
holter monitor of heart with analysis 215
stress test 221
adult echocardiography - complete study 711

2d & doppler / colour flow
paediatric echocardiography - complete study 854

2d & doppler / colour flow
pacemaker clinic 91
cardiologist attendance fee(echo)-adult 71

-paediatric 127
signal averaged ecg 66
sleep apnea study 337

Pathology Department

Haematology/Coagulation

bleeding time 41
blood draw for send away specimens 23
body fluid count (pleural,ascitic or spinal) 38
bone marrow examination with aspiration 204
coagulation screen 60
complete blood count 33
erythrocyte sedimentation rate 42
factor v111 51
factor 1x 51
fibrinogen 50
f.d.p. 33
f.d.p. titer 48
film examination for parasites 57
foetal haemoglobin 96
haemoglobin a 1 c 52
haemoglobin electrophoresis 66
hepatitis c antibody 65
k.p.t.t. 33
l.e.screen 56

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infectious mononucleosis screen 33
prothrombin time 51
reticulocyte count 40
rheumatoid factor - titration 68
rubella antibodies 40
screening test - r.a. 43
sickle test 28

Blood Transfusion

antibody identification 76
antibody screen 60
antibody titre 81
antigen subtyping - saline per antigen 9
antigen subtyping - ahg per antigen 11
antigen profile 145
beta hcg (total) 70
blood group and antibody screen 76
cold agglutinins 145
coombs direct 40
hiv check 61
htlv 111 antibody screen 76
ige 70
kleihauer 58
pregnancy test 46
rhesus genotype 57
rhogam 140

Microbiology

afb culture (dir.) 3 specimens 174
afb culture (conc.) 3 specimens 191
a.n.a. fluorescent antibody technique 55
blood culture 120
body fluid (csf, joint) micro and culture 85
c.Difficile toxin 49
catheter tip culture 85
chlamydia serology 55
conjunctional swabs - chlamydia by f.a. 55
cryposporidium stain - regular 55
csf culture 119

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dark ground microscopy with clinical examination 152
ear swab - routine culture 60
eye swab - routine culture 60
faecal fat stain 28
fluorescent treponemal antibody 52
fungus culture 73
genital culture 79
gram stain 8
helicobacter pylori AB 37
herpes culture 58
india ink prep 8
knee aspirate crystals 71
legionella , culture and identification (sputum,
bronchial washing, pleurl fluid, trachaelaspirate)

109

mrsa screentest 60
ova and parasites 50
respiratory culture 85
rotavirus latex afflutination 92
rsv (respiratory syncytial virus) dfa 77
semen for culture 72
sperm count 84
sputum or tissue for tb smear only 105
stool(or rectal swab) for culture 79
syphillis serology 53
tissue culture 129
throat swab 60
urine micro and culture 60
vre screening test 61
wound culture 119

Histology/Cytology

cytochemical stain (e.g.pas,diastase,grocott) 57
single tissue specimen for examination 105
two tissue specimen for examination 132
three tissue specimens 158
four tissue specimens 259
five tissue specimens 314
six tissue specimens 367
seven tissue specimens 420

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barr body count 42
bone marrow biopsy 213
colposcopy biopsy 105
cytology(pap) 42
fine needle aspiration (assisted) 213
frozen section and examination 188
hormonal evaluation 42
immuno peroxidase technique (cea,lca,afp,l26) 91
non-gynaecological smear (e.g.sputa, fluids) 82
p.a.p. peroxidase technique 72
resin section 70
tissue section-single 105
tissue section for macro examination 51
additional set of slides requested by doctor 36
estrogen reception assay 351
**where the examination covers more than one organ
each additional organ will be charged at half price

Nuclear Medicine In-vitro Studies

australian antigen 47
b12 55
ca 125 55
cea 55
ck-mb 55
cyclosporine 70
digoxin 60
estradiol 70
ferritin 60
folate 54
free t4 96
fsh 70
hepatitis b antibody 60
hepatitis b core antibody 60
lh 70
progesterone 70
prolactir 70
prostatic specific antigen (psa) 55
testosterone 70
t.s.h. 60
free t3 60

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total t4 96
thyroid profile (free t3, free t4, tsh &t4) 214

Biochemistry

acetominophen 42
acid-base balance ( blood gases) 63
albumin only 31
alcohol (blood or urine) 33
alkaline phosphatase 31
amylase 31
b12 55
bence jones protein screen 40
baby bilirubin 31
bilirubin direct 31
bilirubin total 31
blood sugar (glucose) (fasting, random) 31
blood sugar (glucose) (1-6hour p.c.) 41
body fluid chemistry (amylase, bili, chloride,
creat, glucose)
(sodium, potassium, LDH, phos, BUN, etc.) 33
calcium 31
carbamazepine/tegretol 41
cardiac enzymes (cpk,ast,ldh,ckmb) 66
csf protein only 32
csf sugar only 31
csf chloride only 31
chemistry profile(24 tests) 322
chloride 31
cholesterol 31
clinic profile(u&e,glu,cret,uric) 79
coronary profile (hdl,ldl,vcdl,trdg,chol) 59
creatinine 31
creatinine clearance 63
creatinine phosphokinase (cpk) 31
dilantin/phenytoin 41
drug testing for abuse - separate charge for each

drug tested
41

ed profile(Na,K,Cl,BUN,Glu,creat) 62
electrolytes(Na,K,Cl) 47

THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
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gentamicin 41
ggt 31
glucose challenge 47
glucose drink 7
glutamic- oxalacetic transaminase (sgot) 31
glutamic- pyruvic transaminase 31
high density lipoprotein (hdl) 31
5-hydroxy indoleacetic acid screen (5 hiaa) 40
iron profile (iron, tibc, %sat) 70
ldh 31
lipid profile (chol , trif) 40
lithium 36
liver function test (bilirubin,alt,ast,total
protein albumin, globulin,albumin,alt phos,ggt)

89

low density lipoprotein 31
lytes, glucose, bun (lgb) 47
magnesium 30
phenobarbital 41
phosphorous 31
porphyrins (early morning spec.) 38
potassium 31
post dialysis profile 79
pre dialysis profile 232
protein (body fluid) 32
proteins (includes albumin and globulin) 38
protein electrophoresis 55
salicylate 26
sodium (na) 31
stool/ urine reducing substances 18
tegretol 41
theophylline assay 41
triglycerides 31
urea & electrolytes (Na,K,Cl,BUN) 47
urea nitrogen (bun) 31
uric acid 31
uric acid - urine 33
urine calcium 33
urine for bile pigments 38
urine for bile products (urobilinogen) 38

THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
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24hr urine chemistry (creat, glucose, sodium,
potassium,uric acid, BUN,amylase, calcium, etc.) 43
urine for glucose 33
urine for protein 33
urine for prophyrins 33
valproic acid/ epilim 41
vancomycin 41
xylose test 60
2hr gtt 59
3hr gtt 71
4hr gtt 82
5hr gtt 97
6hr gtt 109

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 hand-
ling charge of $36 for express postal specimens and
$118 for specimens requiring air freight or dry ice or both

Operating Rooms - General

amputation fingers or toes 403
anal and urethral dilatation 370
anal fistula 370
arteriograms 598
arthroscopy & injection of depomedrol 562
arthroscopy - removal loose body 562

removal plica 562
chrondroplasty 562
meniscectomy 562

arthroplasty - small joint 477
bilateral augmentation mammoplasty 499
biopsy prostate 370
breast needle localization 475
bronchoscopy 499
cardioversion 329
carpal tunnel release/ dequervains 403
catheterization 349
cautery of cervix 349

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circumcision 397
colonoscopy 456
closed reduction of fracture - no cast 541
closed reduction of fracture - minor cast 541
closed reduction of fracture - full cast or body jacket 541
cystoscopy 349
cystoscopy, dormia 455
cystoscopy retrograde pyelogram 455
cystoscopy - t.u.r. (t) 386
cystoscopy -ureteroscopy 583
cystometry 386
debridement 370
declotting a.v. fistula 403
dermoid or bartholin's cyst 349
dilatation and curettage 363
dilatation and curettage, tubal washings/polypectomy 384
dilatation and curettage and cone biopsy 403
dorsal slit penis 349
ear lobe repair/ bat ears 406
electro convulsive therapy 329
ERCPendoscopic retrograde cholangio pancreatography 561
examination under anaesthesia 349
excision - breast lumps 499
excision - deep cyst or ganglion 391
excision - gynaecomastia 411
excision - ingrown toenail 370
excision and biopsy - basal cell carcinoma 370
excision and biopsy - bursa 370
excision and biopsy - digital nerve 370
excision and biopsy - epithelioma 370
excision and biopsy - fibroma 370
excision and biopsy - granulomas 370
excision and biopsy - hair follicles 370
excision and biopsy - keloids 370
excision and biopsy - lesions 370
excision and biopsy - leukoplakia 370
excision and biopsy - melanoma 370
excision and biopsy - moles/warts 370
excision and biopsy - sebaceous cyst 370
excision and biopsy - superficial cyst 370

THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
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excision of lumps/ xyphoid bone 370
excision scars 370
excision neuromas 370
failed procedures 326
gastroscopy 426
haemorrhoids 403
hammer toe / hallux valgus/ chevron osteotomy 370
hernia repair 424
hymenectomy 349
hysteroscopy 370
incision and drainage of abscess or haematoma 370
insertion of intra-uterine contraceptive device/estrogen 349
insertion of PTFE graft 954
insertion or removal quinton central line 386

Implants

insertion of vasoport 1,028
instillation of bladder drugs 370
instillation or injection of chemotherapy drugs 370
intercostal block 370
k wire to fingers or toes 386
laparoscopy 451
laparoscopy- appendectomy 481
laparoscopy - t.l./meth blue inj./adhesions 481
laparoscopy- uterine suspension 522
liposuction 403
lumbar puncture 430
major suturing 424
mallet finger/trigger finger 386
manipulation of joints 349
minor dressing and suture or insertion of catheter 370
multiple superficial cysts 424
nail surgery 384
natural fistula/ aneurysm 424
needle biopsy - joints &injection of joints 370
needle biopsy - liver 370
ochidopexy 397
open reduction 573

THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
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orchidectomy 397
perineal reconstruction or revision 441
pessary (removal/insertion) 349
pilionidal sinus 403
repair fallopian tubes 522
removal of - foreign body 523
removal of - jaws wires 386
removal of - k wires 386
removal of - lipomas 386
removal of - nails or pins 386
removal of - neck glands 386
removal of - nodes 386
removal of - papillomas 386
removal of - screws and plates 523
removal of - ptfe shunt 386
removal of - sutures 386
removal of - orthofixator 386
resection osteochondroma 370
repositioning / reinsertion pacer lead 573
revision of scars 386
rubins test 370
salpingogram code 245
sigmoidoscopy 357
skin graft/ z plasty 386
sphincterotomy 349
sympathetic block / quanethadine block / interplural
block/ganglion block

370

tendon repair 424
termination of pregnancy 375
therapeutic epidural/ blood patch 431
transrectal biopsy 403
varicose veins ties 403
vasectomy 411
warts/condylomata 370
wire guided biopsy 498
wurms procedure/ insertion of shirodkar/ circulage 370

Eye Surgery

capsulectomy/ capsulotomy 590
cataract extraction 791

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cataract - insertion of intra-ocular lens 1,155
conjunctival flap 529
conjunctival granuloma / angioma 529
corneal crafts 791
cryosurgery 370
ectropion/ blepharosplasty 549
examination under anaesthesia 495
injection of retrobulbar alcohol 370
insertion of contact lens extra-ocular 370
intra ocular lens insertion 915
lateral muscle resection 532
meibomian cyst/ chalazia 512
probing tear duct 512
pterygium/ pfosis 512
removal of eye sutures 495
removal of foreign body 509
repositioning intra-ocular lens 512
retinal photocoagulation/cryo 370
strabismus/ squint 565
tarsorrhaphy 565
trebeculectomy/ vitrectomy 590
keratectomy 590
vitrectomy 800
*** 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 prodedure, there
will be a charge of 10% of the rate for the most
expensive procedure and 50% of the rate for any other
procedures

Ear, Nose and Throat Surgery

atticotomy 403
bilateral antral lavage 349
biopsy oral tumour 512
bronchoscopy and complete endoscopy 370
cautery of expistaxis area 384
cautery inferior turbinates 349
direct laryngoscopy 349
elevation fractured malar 403

THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
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ent - smr (nasal) 532
insertion of grommets 532
micro-laryngoscopy 512
modified myringoplasty 403
myringotomy 349
nasal polypectomy 370
oesophagoscopy/ tracheoscopy 370
reduction fractured nose 370
removal of aural granuloma 512
removal of grommets 495
removal of pack with general anaesthesia 349
rhinoplasty 350
straight oesophageal dilation w/o oesophagoscopy 349
tongue tie release 370
tympanoplasty 583
combination of any two - ear, nose and throat 590
combination of any three - ear, nose and throat 701

Dental Surgery

jaw wiring 398
minimum charge (30 minutes of time) 398
over 30 minutes of time 522
*** detention time over six hours will result in an
additional charge of 20% of the rate for the prodedure

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: 50
evaluation
muscle grading 2-4
hydrotherapy (at pool)
taping
prosthetic review
open wound care
relative instruction

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mobilization
frictions/massage/myofascial release
laser

category 2: 42
lung function
electrotherapy
muscle grading - 1 limb
lumbar traction
cervical traction
therapeutic exercise
gait training
jobst compression

category 3: 32
whirlpool bath
wash bath
hot packs
ice packs

category 4: 67
cybex testing and treating

no show cancellation 42

Occupational Therapy (including outpatient

geriatric rehabilitation)

Individual treatment (per quarter-hour) 42
note: equipment is charged at cost

Speech therapy

Individual treatment (per quarter-hour) 13

Emergency Department

Individual treatment - minor 142

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-intermediate 208
- major 256

individual treatment with stay over 6 hours for
observation purposes

337

individual treatment with subsequent admittance 256
recompression chamber 982
crutches 67
canes 17
extrication cervical collars 34

*** 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.

Vein clinic

initial visit 33
treatment without ultrasound 39
treatment with ultrasound 139

Ambulance

per trip 114
airport (to and from) 129

Geriatric Care

geriatric day care 45
respite care 78

Orthopaedic Unit

orthopaedic unit - individual treatment 68
no show cancellation 43

Diabetic Counselling

one week diabetic education programme
(12 hours classroom teaching, 3 hours individual) 502
blood glucose testing 11

Healthy Heart Program 400

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Dietetic Counselling

individual counselling (per half-hour) 42
group therapy (per half-hour) 24

Renal Dialysis

haemodialysis (non-residents) 680
haemodialysis (residents) 681
CAPD (per month) 7,749

Chemotherapy

individual treatment - half hour 49
- three to four hours 186

oncology relationship counselling (per half-hour) 19
oncology individual counselling (per half hour) 19
oncology group therapy (per half-hour) 10
day long chemotherapy 424
** note: required drugs will be charged at current cost

Audio-Vestibular Services

Hearing Testing

audiogram - pure tone air and bone 88
audiogram - speech 88
audiogram - conditioned response 88
impedance audiometry - compliance 88
impedance audiometry - stapedial reflex 88
impedance audiometry - eustachian tube patency 88

Vestibular Testing

caloric testing - cold 51
caloric testing - hot and cold 88
postural testing 50

IV Therapy

immunoglobulin monthly therapy 467

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iv antibiotic treatment 106
iv flushing 106
pentamidine 120

Maternity Department

external cephalic version 87
foetal monitoring 49
fetal monitoring- 2hr assessment 88
removal of shirodkar suture 117

Colposcopy 157

Alcoholism Services

initial intake assessment 77
individual counselling 26
relationship counselling 51
group therapy (five sessions per week) 386
educational therapy ( five sessions per week) 386
aftercare counselling ( seventeen sessions) 439
family education (per person / 6 sessions ) 155
oasis adolescent grp.( three sessions) 194
relapse prevention (sixteen sessions) 774
action (motivational grp.- nine sessions) 174

Hospice

day long care with i.v. infusion/ transfusion 91
day long care 49

Psychiatric Outpatient Clinic

initial consult 108
followup visits 80

Mammography

Examinations

initial mammogram 169
follow- up mammogram 101

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localization with 1o.r. specimen 270
(does not include laboratory analysis of specimen)
fine needle biopsy 270
(does not include laboratory analysis of specimen)
ductogram 270
x-ray of specimen 101
recall for cone compression or magnification 60
additional views 31
cyst aspiration 270
missed appointment 46

Psychiatric Counselling

new patient 108
follow-up visits 80

Early Discharge Care

Ulcer/Wound care
dressing 91
with laser 126

Dressing Change
normal 56
with laser 91
with venous devices 84

Stump Care 84
Ostomy 49
TPN Administration 112
TPN Laboratory Charge 162
Medication Administration 49

Stroke Rehabilitation
PT or OT 35
speech therapy 38

Antibiotic IV Therapy 73
basic 73

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antibiotics charged at
cost"