Bermuda Hospitals Board (Hospital Fees) Amendment Regulations 1999
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1999
1
BR 11/1999
BERMUDA HOSPITALS BOARD ACT 1970
1970 : 384
THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1999
The Bermuda Hospitals Board, with the approval of the Minister
of Health and Family Services, 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 1999 and shall come into operation on 1
April 1999.
Amends regulation 4 of principal Regulations
2 Regulation 4 of the principal Regulations is amended by deleting
the symbol and figure "$334.00" and substituting the symbol and figure
"$344.00".
Revokes and replaces Schedules 1 and 2
3 Schedules 1 and 2 to the principal Regulations are revoked and
replaced by the following—
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1999
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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 $614 for public ward accommodation, $733 for semi-
private accommodation and $882 for private accommodation.
2 The per diem rate for new-born infants shall be $237.
3 The per diem rate for patients classified as geriatric shall be
$237.
4 The per diem rate for hospice care shall be $320.
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 $1,072
(b) for semi-private accommodation $1,281
(c) for private accommodation $1,544
(d) for nursery $ 416
(e) for patients classified as geriatic $ 416
(f) for St. Brendan’s Hospital $ 606
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 290
bronchogram 154
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dacryocystogram 230
femoral arteriogram - one side 714
femoral arteriogram - bilateral 1,361
fistulagram or venogram 260
myelogram - cervical and / or dorsal 296
myelogram - lumbar 280
needle biopsy of lung 297
salpingogram 243
scanogram 130
sialogram 260
sinogram 308
tomogram 250
tomogram over 15 films , charge per extra film 9
ureterogram 255
portable charge 83
Head and Neck
facial bones 125
internal auditory meatus 155
jaw 125
mastoids 161
nose 125
optic foramen 131
orthopantomogram OPG 124
PNS post nasal space 131
salivary glands 125
sinuses 125
skull 129
teeth, 1 to 16 241
teeth, full set 241
temporomandibular joints 108
Genito-urinary Tract
cystogram voiding or stress 222
pyelogram, intravenous 265
pyelogram, retrograde 265
vasogram 219
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Obstetrical and Gynaecological
erect lateral pelvimetry 160
pelvimetry 206
survey film 121
Chest
standard 112
standard with screening 181
Abdomen
erect and supine 137
plain 121
Gastro-intestinal Tract
barium enema 214
barium enema with air contrast 262
barium meal 182
barium meal with follow through 250
barium swallow 182
cholangiogram 167
cholecystogram 178
small bowel ft only 160
Extremities
ankle 120
elbow 115
femur 127
fingers 1,2 or more 120
foot/heel 120
forearm 121
hand 120
hip 129
humerus 130
knee 126
amk knee 246
shoulder/clavicle 130
sterno-clavicular joints 130
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subtalar views 145
tibia and fibula 129
toes 1,2 or more 120
wrist 120
Spine and Pelvis
acetabular views 172
cervical spine 135
lumbar spine 136
pelvis 134
pelvis and hip 142
ribs 137
sacroiliac joints 135
sacrum and / or coccyx 135
screening with image intensifier up to 5 mins. 163
screening with image intensifier more than 5 mins 218
screening for scoliosis, erect and supine 155
skeletal survey 185
soft tissue neck 130
sternum 135
thoracic spine/ dorsal 137
additional copy of any plate 23
aml series 188
additional views within 24 hours 18
additional charge per patient done outside normal
hours or public holidays
79
Nuclear Medicine Department
an additional $110 for scans done outside
of normal hours and public holidays)
Scanning
blood flow - with static organ imaging 541
bone-flow of extremities 541
bone-whole body survey 570
brain-with flow, time-activity curves 593
brain seizure disorder 612
brain-static only 574
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csf-circulation-ventricles 555
cardiac investigations ;
muga resting 544
muga stress (in addition) 713
myocardial - pyrophosphate, acute infarct, injury 546
gallium - specific site 729
gallium - whole body 770
intestinal bleed - pyrophosphate 546
hepato - biliary 536
I.13 m.ibg scan 801
liver and / or spleen 526
lung - ventilation or perfusion 544
lung - ventilation and perfusion - same day 576
meckels - ectopic gastric mucosa 536
myocardial infarction assessment 550
parathyroid 646
renogram- time - activity curves (function) 549
salivary glands study 536
scintimammography 570
testicular - flow & statics 525
thyroid 525
thyroid uptake scan 730
venography- uni- bilateral - mediastinum - inferior /
superior
536
voiding cystogram 348
Therapy
iodide sodium I - 131 therapy 120
***note: required drugs will be charged at current cost
Special data processing 154
C.T. Scan
c.t. head plain 590
c.t. head special 639
c.t. body 646
c.t.body special 680
c.t. body biopsy 631
c.t.body drainage 634
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c.t. intravenous enhancement 192
c.t. special reconstructions 154
c.t.copy 24
c.t. reproductions of original films 51
additional charge per patient study done outside of normal
hours and public holidays 276
Diagnostic Ultrasound
B Scans
abdomen 207
aorta 207
pre and post bladder 207
breast 207
carotoid doppler study 353
colour doppler 266
doppler as additional study 78
gallbladder 207
head 207
intra cavity 217
intra cavity pelvic 217
liver/spleen 207
obstetrics and gynaecology 207
pancreas 207
pelvis 207
renal 207
thyroid 207
testicles 207
fertility drug serial - the first and every other 207
vascular studies 225
review/repeat scan 104
portable study additional $10 charge
Biopsy and Amniocentesis
(does not include standard b scan charge) 213
additional charge per patient done outside
normal working hours or on public holidays 164
ECG/EEG Department
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electrocardiogram 61
electroencephalogram 207
holter monitor of heart with analysis 224
stress test 230
adult echocardiography - complete study 739
2d & doppler / colour flow
paediatric echocardiography - complete study 888
2d & doppler / colour flow
pacemaker clinic 95
cardiologist attendance fee(echo)-adult 74
-paediatric 132
signal averaged ecg 69
sleep apnea study 350
Pathology Department
Haematology/Coagulation
bleeding time 43
blood draw for send away specimens 24
body fluid count (pleural,ascitic or spinal) 40
bone marrow examination with aspiration 212
coagulation screen 62
complete blood count 34
erythrocyte sedimentation rate 44
factor v111 53
factor 1x 53
fibrinogen 52
f.d.p. 34
f.d.p. titer 50
film examination for parasites 59
foetal haemoglobin 100
haemoglobin a 1 c 54
haemoglobin electrophoresis 69
hepatitis c antibody 68
k.p.t.t. 34
l.e.screen 58
infectious mononucleosis screen 34
prothrombin time 53
reticulocyte count 42
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rheumatoid factor - titration 71
rubella antibodies 42
screening test - r.a. 45
sickle test 29
Blood Transfusion
antibody identification 79
antibody screen 62
antibody titre 84
antigen subtyping - saline per antigen 9
antigen subtyping - ahg per antigen 11
antigen profile 151
beta hcg (total) 73
blood group and antibody screen 79
cold agglutinins 151
coombs direct 42
hiv check 63
htlv 111 antibody screen 79
ige 73
kleihauer 60
pregnancy test 48
rhesus genotype 59
rhogam 146
Microbiology
afb culture (dir.) 3 specimens 181
afb culture (conc.) 3 specimens 199
a.n.a. fluorescent antibody technique 57
blood culture 125
body fluid (csf, joint) micro and culture 88
c.Difficile toxin 51
catheter tip culture 88
chlamydia serology 57
conjunctional swabs - chlamydia by f.a. 57
cryposporidium stain - regular 57
csf culture 124
dark ground microscopy with clinical examination 158
ear swab - routine culture 62
eye swab - routine culture 62
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faecal fat stain 29
fluorescent treponemal antibody 54
fungus culture 76
genital culture 82
gram stain 8
helicobacter pylori AB 38
herpes culture 60
india ink prep 8
knee aspirate crystals 74
legionella , culture and identification (sputum,
bronchial washing, pleurl fluid, trachaelaspirate)
113
mrsa screentest 62
ova and parasites 52
respiratory culture 88
rotavirus latex afflutination 96
rsv (respiratory syncytial virus) dfa 80
semen for culture 75
sperm count 87
sputum or tissue for tb smear only 109
stool(or rectal swab) for culture 82
syphillis serology 55
tissue culture 134
throat swab 62
urine micro and culture 62
vre screening test 63
wound culture 124
Histology/Cytology
cytochemical stain (e.g.pas,diastase,grocott) 59
single tissue specimen for examination 109
two tissue specimen for examination 137
three tissue specimens 164
four tissue specimens 269
five tissue specimens 327
six tissue specimens 382
seven tissue specimens 437
barr body count 44
bone marrow biopsy 222
colposcopy biopsy 109
cytology(pap) 44
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fine needle aspiration (assisted) 222
frozen section and examination 196
hormonal evaluation 44
immuno peroxidase technique (cea,lca,afp,l26) 95
non-gynaecological smear (e.g.sputa, fluids) 85
p.a.p. peroxidase technique 75
resin section 73
tissue section-single 109
tissue section for macro examination 53
additional set of slides requested by doctor 37
estrogen reception assay 365
**where the examination covers more than one organ
each additional organ will be charged at half price
Nuclear Medicine In-vitro Studies
australian antigen 49
b12 57
ca 125 57
cea 57
ck-mb 57
cyclosporine 73
digoxin 62
estradiol 73
ferritin 62
folate 56
free t4 100
fsh 73
hepatitis b antibody 62
hepatitis b core antibody 62
lh 73
progesterone 73
prolactir 73
prostatic specific antigen (psa) 57
testosterone 73
t.s.h. 62
free t3 62
total t4 100
thyroid profile (free t3, free t4, tsh &t4) 223
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Biochemistry
acetominophen 44
acid-base balance ( blood gases) 66
albumin only 32
alcohol (blood or urine) 34
alkaline phosphatase 32
amylase 32
b12 57
bence jones protein screen 42
baby bilirubin 32
bilirubin direct 32
bilirubin total 32
blood sugar (glucose) (fasting, random) 32
blood sugar (glucose) (1-6hour p.c.) 43
body fluid chemistry (amylase, bili, chloride,
creat, glucose)
(sodium, potassium, LDH, phos, BUN, etc.) 34
calcium 32
carbamazepine/tegretol 43
cardiac enzymes (cpk,ast,ldh,ckmb) 69
csf protein only 33
csf sugar only 32
csf chloride only 32
chemistry profile(24 tests) 335
chloride 32
cholesterol 32
clinic profile(u&e,glu,cret,uric) 82
coronary profile (hdl,ldl,vcdl,trdg,chol) 61
creatinine 32
creatinine clearance 66
creatinine phosphokinase (cpk) 32
dilantin/phenytoin 43
drug testing for abuse - separate charge for each
drug tested
43
ed profile(Na,K,Cl,BUN,Glu,creat) 64
electrolytes(Na,K,Cl) 49
gentamicin 43
ggt 32
glucose challenge 49
glucose drink 7
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glutamic- oxalacetic transaminase (sgot) 32
glutamic- pyruvic transaminase 32
high density lipoprotein (hdl) 32
5-hydroxy indoleacetic acid screen (5 hiaa) 42
iron profile (iron, tibc, %sat) 73
ldh 32
lipid profile (chol , trif) 42
lithium 37
liver function test (bilirubin,alt,ast,total
protein albumin, globulin,albumin,alt phos,ggt)
93
low density lipoprotein 32
lytes, glucose, bun (lgb) 49
magnesium 31
phenobarbital 43
phosphorous 32
porphyrins (early morning spec.) 40
potassium 32
post dialysis profile 82
pre dialysis profile 241
protein (body fluid) 33
proteins (includes albumin and globulin) 40
protein electrophoresis 57
salicylate 27
sodium (na) 32
stool/ urine reducing substances 19
tegretol 43
theophylline assay 43
triglycerides 32
urea & electrolytes (Na,K,Cl,BUN) 49
urea nitrogen (bun) 32
uric acid 32
uric acid - urine 34
urine calcium 34
urine for bile pigments 40
urine for bile products (urobilinogen) 40
24hr urine chemistry (creat, glucose, sodium,
potassium,uric acid, BUN,amylase, calcium, etc.) 45
urine for glucose 34
urine for protein 34
urine for prophyrins 34
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valproic acid/ epilim 43
vancomycin 43
xylose test 62
2hr gtt 61
3hr gtt 74
4hr gtt 85
5hr gtt 101
6hr gtt 113
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 $37 for express postal specimens and
$123 for specimens requiring air freight or dry ice or both.
Operating Rooms - General
amputation fingers or toes 419
anal and urethral dilatation 385
anal fistula 385
arteriograms 622
arthroscopy & injection of depomedrol 584
arthroscopy - removal loose body 584
removal plica 584
chrondroplasty 584
meniscectomy 584
arthroplasty - small joint 496
bilateral augmentation mammoplasty 519
biopsy prostate 385
breast needle localization 494
bronchoscopy 519
cardioversion 342
carpal tunnel release/ dequervains 419
catheterization 363
cautery of cervix 363
circumcision 413
colonoscopy 474
closed reduction of fracture - no cast 563
closed reduction of fracture - minor cast 563
closed reduction of fracture - full cast or body jacket 563
cystoscopy 363
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cystoscopy, dormia 473
cystoscopy retrograde pyelogram 473
cystoscopy - t.u.r. (t) 401
cystoscopy -ureteroscopy 606
cystometry 401
debridement 385
declotting a.v. fistula 419
dermoid or bartholin's cyst 363
dilatation and curettage 378
dilatation and curettage, tubal washings/polypectomy 399
dilatation and curettage and cone biopsy 419
dorsal slit penis 363
ear lobe repair/ bat ears 422
electro convulsive therapy 342
ERCPendoscopic retrograde cholangio pancreatography 583
examination under anaesthesia 363
excision - breast lumps 519
excision - deep cyst or ganglion 407
excision - gynaecomastia 427
excision - ingrown toenail 385
excision and biopsy - basal cell carcinoma 385
excision and biopsy - bursa 385
excision and biopsy - digital nerve 385
excision and biopsy - epithelioma 385
excision and biopsy - fibroma 385
excision and biopsy - granulomas 385
excision and biopsy - hair follicles 385
excision and biopsy - keloids 385
excision and biopsy - lesions 385
excision and biopsy - leukoplakia 385
excision and biopsy - melanoma 385
excision and biopsy - moles/warts 385
excision and biopsy - sebaceous cyst 385
excision and biopsy - superficial cyst 385
excision of lumps/ xyphoid bone 385
excision scars 385
excision neuromas 385
failed procedures 339
gastroscopy 443
haemorrhoids 419
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hammer toe / hallux valgus/ chevron osteotomy 385
hernia repair 441
hymenectomy 363
hysteroscopy 385
incision and drainage of abscess or haematoma 385
insertion of intra-uterine contraceptive device/estrogen 363
insertion of PTFE graft 992
insertion or removal quinton central line 401
Implants
insertion of vasoport 1,069
instillation of bladder drugs 385
instillation or injection of chemotherapy drugs 385
intercostal block 385
k wire to fingers or toes 401
laparoscopy 469
laparoscopy- appendectomy 500
laparoscopy - t.l./meth blue inj./adhesions 500
laparoscopy- uterine suspension 543
liposuction 419
lumbar puncture 447
major suturing 441
mallet finger/trigger finger 401
manipulation of joints 363
minor dressing and suture or insertion of catheter 385
multiple superficial cysts 441
nail surgery 399
natural fistula/ aneurysm 441
needle biopsy - joints &injection of joints 385
needle biopsy - liver 385
ochidopexy 413
open reduction 596
orchidectomy 413
perineal reconstruction or revision 459
pessary (removal/insertion) 363
pilionidal sinus 419
repair fallopian tubes 543
removal of - foreign body 544
removal of - jaws wires 401
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removal of - k wires 401
removal of - lipomas 401
removal of - nails or pins 401
removal of - neck glands 401
removal of - nodes 401
removal of - papillomas 401
removal of - screws and plates 544
removal of - ptfe shunt 401
removal of - sutures 401
removal of - orthofixator 401
resection osteochondroma 385
repositioning / reinsertion pacer lead 596
revision of scars 401
rubins test 385
salpingogram code 255
sigmoidoscopy 371
skin graft/ z plasty 401
sphincterotomy 363
sympathetic block / quanethadine block / interplural
block/ganglion block
385
tendon repair 441
termination of pregnancy 390
therapeutic epidural/ blood patch 448
transrectal biopsy 419
varicose veins ties 419
vasectomy 427
warts/condylomata 385
wire guided biopsy 518
wurms procedure/ insertion of shirodkar/ circulage 385
Eye Surgery
capsulectomy/ capsulotomy 614
cataract extraction 823
cataract - insertion of intra-ocular lens 1,201
conjunctival flap 550
conjunctival granuloma / angioma 550
corneal crafts 823
cryosurgery 385
ectropion/ blepharosplasty 571
examination under anaesthesia 515
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injection of retrobulbar alcohol 385
insertion of contact lens extra-ocular 385
intra ocular lens insertion 952
lateral muscle resection 553
meibomian cyst/ chalazia 532
probing tear duct 532
pterygium/ pfosis 532
removal of eye sutures 515
removal of foreign body 529
repositioning intra-ocular lens 532
retinal photocoagulation/cryo 385
strabismus/ squint 588
tarsorrhaphy 588
trebeculectomy/ vitrectomy 614
keratectomy 614
vitrectomy 832
*** 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 419
bilateral antral lavage 363
biopsy oral tumour 532
bronchoscopy and complete endoscopy 385
cautery of expistaxis area 399
cautery inferior turbinates 363
direct laryngoscopy 363
elevation fractured malar 419
ent - smr (nasal) 553
insertion of grommets 553
micro-laryngoscopy 532
modified myringoplasty 419
myringotomy 363
nasal polypectomy 385
oesophagoscopy/ tracheoscopy 385
reduction fractured nose 385
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removal of aural granuloma 532
removal of grommets 515
removal of pack with general anaesthesia 363
rhinoplasty 364
straight oesophageal dilation w/o oesophagoscopy 363
tongue tie release 385
tympanoplasty 606
combination of any two - ear, nose and throat 614
combination of any three - ear, nose and throat 729
Dental Surgery
jaw wiring 414
minimum charge (30 minutes of time) 414
over 30 minutes of time 543
*** 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: 52
evaluation
muscle grading 2-4
hydrotherapy (at pool)
taping
prosthetic review
open wound care
relative instruction
mobilization
frictions/massage/myofascial release
laser
category 2: 44
lung function
electrotherapy
muscle grading - 1 limb
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lumbar traction
cervical traction
therapeutic exercise
gait training
jobst compression
category 3: 33
whirlpool bath
wash bath
hot packs
ice packs
category 4: 70
cybex testing and treating
no show cancellation 44
Occupational Therapy (including outpatient
geriatric rehabilitation)
Individual treatment (per quarter-hour) 44
note: equipment is charged at cost
Speech therapy
Individual treatment (per quarter-hour) 14
Emergency Department
Individual treatment - minor 148
-intermediate 216
- major 266
individual treatment with stay over 6 hours for
observation purposes
350
individual treatment with subsequent admittance 266
recompression chamber 1,021
crutches 70
canes 18
extrication cervical collars 35
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*** 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 34
treatment without ultrasound 41
treatment with ultrasound 145
Ambulance
per trip 119
airport (to and from) 134
Geriatric Care
geriatric day care 47
respite care 81
Orthopaedic Unit
orthopaedic unit - individual treatment 71
no show cancellation 45
Diabetic Counselling
one week diabetic education programme
(12 hours classroom teaching, 3 hours individual) 522
blood glucose testing 11
Healthy Heart Program 416
Dietetic Counselling
individual counselling (per half-hour) 44
group therapy (per half-hour) 25
Renal Dialysis
haemodialysis (non-residents) 707
haemodialysis (residents) 708
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CAPD (per month) 8,059
Chemotherapy
individual treatment - half hour 51
- three to four hours 193
oncology relationship counselling (per half-hour) 20
oncology individual counselling (per half hour) 20
oncology group therapy (per half-hour) 10
day long chemotherapy 441
** note: required drugs will be charged at current cost
Audio-Vestibular Services
Hearing Testing
audiogram - pure tone air and bone 92
audiogram - speech 92
audiogram - conditioned response 92
impedance audiometry - compliance 92
impedance audiometry - stapedial reflex 92
impedance audiometry - eustachian tube patency 92
Vestibular Testing
caloric testing - cold 53
caloric testing - hot and cold 92
postural testing 52
IV Therapy
immunoglobulin monthly therapy 486
iv antibiotic treatment 110
iv flushing 110
pentamidine 125
Maternity Department
external cephalic version 90
foetal monitoring 51
fetal monitoring- 2hr assessment 92
removal of shirodkar suture 122
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Colposcopy 163
Alcoholism Services
initial intake assessment 80
individual counselling 27
relationship counselling 53
group therapy (five sessions per week) 401
educational therapy ( five sessions per week) 401
aftercare counselling ( seventeen sessions) 457
family education (per person / 6 sessions ) 161
oasis adolescent grp.( three sessions) 202
relapse prevention (sixteen sessions) 805
action (motivational grp.- nine sessions) 181
Hospice
day long care with i.v. infusion/ transfusion 95
day long care 51
Psychiatric Outpatient Clinic
initial consult 112
followup visits 83
Mammography
Examinations
initial mammogram 176
follow- up mammogram 105
localization with 1o.r. specimen 281
(does not include laboratory analysis of specimen)
fine needle biopsy 281
(does not include laboratory analysis of specimen)
ductogram 281
x-ray of specimen 105
recall for cone compression or magnification 62
additional views 32
cyst aspiration 281
missed appointment 48
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Psychiatric Counselling
new patient 112
follow-up visits 83
Early Discharge Care
Ulcer/Wound care
dressing 95
with laser 131
Dressing Change
normal 58
with laser 95
with venous devices 87
Stump Care 87
Ostomy 51
TPN Administration 116
TPN Laboratory Charge 168
Medication Administration 51
Stroke Rehabilitation
PT or OT 36
speech therapy 40
Antibiotic IV Therapy 76
basic 76
antibiotics charged at
cost"
Made this 24th day of March, 1999
Chairman
Bermuda Hospitals Board
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 1999
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Approved this 24th day of March, 1999
Minister of Health & Family Services
