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Bermuda Hospitals Board (Hospital Fees) Amendment Regulations 2004

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Bermuda Hospitals Board (Hospital Fees) Amendment Regulations 2004
BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

1

BR 17/2004

BERMUDA HOSPITALS BOARD ACT 1970

1970 : 384

THE BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

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 (1) These Regulations, which amend the Bermuda Hospitals
Board (Hospital Fees) Regulations 1980 (the "principal Regulations"),
may be cited as the Bermuda Hospitals Board (Hospital Fees)
Amendment Regulations 2004.

(2) These Regulations shall come into operation on 1 April
2004.

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

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

2

"SCHEDULE 1

IN-PATIENT TREATMENT
PART A Residents' Rates

1 The general per diem rate for patients, other than new-born
infants and patients classified as geriatric, shall be $768 for public ward
accommodation, $917 for semi-private accommodation and $1,101 for
private accommodation.

2 The per diem rate for patients classified as geriatric shall be
$295.

3 The per diem rate for newborn infants shall be $329.

4 The per diem rate for hospice care shall be $399.

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 $1,152

(b) for semi-private accommodation $1,376

(c) for private accommodation $1,652

(d) for nursery $ 494

(e) for patients classified as geriatic $ 443

(f) for St. Brendan’s Hospital $ 746

SCHEDULE 2

OUT-PATIENT TREATMENT

Radiology Department
$

(extra views done within 24 hours $21 per view)
(after 24 hours will be charged as per part being x-rayed)

Catherization for x-ray 59

Special Procedures

Angiography 433
Angioplasty 928

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

3

Arterial Stenting 2,582
PTC 278
Biliary drain 960
Biliary Stent 2,514
IVC filter 1,432
Renal Angioplasty 1,168
Renal Stent 2,270
Nephrostomy 600
Antegrade Stent 772
Varicocele embolisation 1,332
arthrogram - double contrast 362
bronchogram 193
dacryocystogram 288
femoral arteriogram - one side 891
femoral arteriogram - bilateral 1,700
fistulagram or venogram 326
myelogram - cervical and / or dorsal 371
myelogram - lumbar 350
needle biopsy of lung 372
salpingogram 305
scanogram 163
sialogram 326
sinogram 383
tomogram 312
tomogram over 15 films , charge per extra film 12
translumber 1,653
ureterogram 318
portable charge 104
magnetic resonance imaging (MRI) 1,103
stereotactic breast biopsy 827

Head and Neck

facial bones 156
internal auditory meatus 194
jaw 156
mastoids 202
nose 156
optic foramen 164
orthopantomogram OPG 156

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

4

PNS post nasal space 164
salivary glands 156
sinuses 156
skull 162
teeth, 1 to 16 300
teeth, full set 300
temporomandibular joints 134

Genito-urinary Tract

cystogram voiding or stress 278
pyelogram, intravenous 332
pyelogram, retrograde 332
vasogram 273

Obstetrical and Gynaecological

erect lateral pelvimetry 201
pelvimetry 257
survey film 151

Chest

standard 140
standard with screening 226

Abdomen

erect and supine 171
plain 151

Gastro-intestinal Tract

barium enema 267
barium enema with air contrast 328
barium meal 227
barium meal with follow through 312
barium swallow 227
cholangiogram 208
cholecystogram 223
small bowel ft only 201

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

5

Extremities

ankle 150
elbow 144
femur 160
fingers 1,2 or more 150
foot/heel 151
forearm 150
hand 150
hip 162
humerus 163
knee 159
amk knee 308
shoulder/clavicle 163
sterno-clavicular joints 163
subtalar views 181
tibia and fibula 162
toes 1,2 or more 150
wrist 150

Spine and Pelvis

acetabular views 214
cervical spine 169
lumbar spine 170
pelvis 168
pelvis and hip 177
ribs 171
sacroiliac joints 169
sacrum and / or coccyx 169
screening with image intensifier up to 5 mins. 208
screening with image intensifier more than 5 mins 271
screening for scoliosis, erect and supine 194
skeletal survey 230
soft tissue neck 163
sternum 169
thoracic spine/ dorsal 171
additional copy of any plate 28
aml series 235
additional views within 24 hours 23
additional charge per patient done outside normal
hours or public holidays

98

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

6

Nuclear Medicine Department

an additional $138 for scans done outside
of normal hours and public holidays) 138

Scanning

bone scan- static 676
bone scan- 3 phase 676
bone-whole body survey 712
brain-with flow, time-activity curves 742
cardiac investigations;
cardic stress/rest 765
white cell labelling 717
strontium 89 inject. 692
cardic muga 680
cardic stress 88
cardic rest 683
gallium - specific site 911
gallium - whole body 963
G.I. bleed 683
hepato - biliary 669
I.13 m.ibg 1,001
liver and / or spleen 635
lung - perfusion only 680
lung - ventilation and perfusion - same day 720
meckels - ectopic gastric mucosa 669
myocardial infarction assessment 687
parathyroid 807
renogram 686
salivary glands study 669
scintimammography 712
testicular - flow & statics 657
thyroid uptake scan 912
thyroid 657
gastric emptying 669
v. cug 435
DMSA renal 642
DTDA lung clearance 636
Diuretic renogram 642

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

7

1-131 whole body 180
radioisotope iodine 131 3m Ci 96
radioisotope iodine 131 10m Ci 108
radioisotope iodine 131 15m Ci 123
radioisotope iodine 131 20m Ci 140
radioisotope iodine 131 25m Ci 152
radioisotope iodine 131 30m Ci 163
radioisotope gallium 67 3m Ci 250
radioisotope gallium 67 5m Ci 379
radioisotope strontium 89 4m Ci 2,066
radioisotope thallium 201 2m Ci 197
radioisotope thallium 201 3m Ci 244
radioisotope 131 MIGB 0.5 mCi 278
radioisotope sesta MIBI 5 units 1,602
spec. - single pos. emission cts 306
captopril renogram 642

C.T. Scan

c.t. head plain 623
c.t. head special 798
c.t. body 807
c.t.body special 851
c.t. body biopsy 790
c.t.body drainage 793
c.t. intravenous enhancement 240
c.t. special reconstructions 193
c.t.copy 29
c.t. reproductions of original films 64
additional charge per patient study done outside of normal
hours and public holidays

345

Diagnostic Ultrasound

B Scans

abdomen 258
aorta 258
pre and post bladder 258
breast 258
carotoid doppler study 440
colour doppler 333

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

8

doppler as additional study 97
gallbladder 258
head 258
intra cavity 270
intra cavity pelvic 270
liver/spleen 258
obstetrics and gynaecology 258
pancreas 258
pelvis 258
renal 258
thyroid 258
testicles 258
fertility drug serial - the first and every other 258
infant hips 258
tendons 258
shoulders 258
soft tissue 258
leg veins 258
drainage 266
arm veins 266
leg arteries 282
sonohysterograms 266
vascular studies 282
review/repeat scan 130
portable study charge/additional 13

Biopsy and Amniocentesis

(does not include standard b scan charge) 266
additional charge per patient done outside
normal working hours or on public holidays

205

ECG/EEG Department

electrocardiogram 78
electroencephalogram 258
holter monitor of heart with analysis 280
stress test 288
adult echocardiography - complete study 923

2d & doppler / colour flow
paediatric echocardiography - complete study 1,109

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

9

2d & doppler / colour flow
pacemaker clinic 119
cardiologist attendance fee(echo)-adult 91

-paediatric 166
signal averaged ecg 86
sleep apnea study 437
sedation for pediatric clients - echo 59

Pathology Department

Haematology/Coagulation

bleeding time 54
blood draw for send away specimens 29
body fluid count (pleural,ascitic or spinal) 49
bone marrow examination with aspiration 265
cbc, esr, sickling 104
coagulation screen 79
complete blood count 42
erythrocyte sedimentation rate 56
factor v111 66
factor 1x 66
fibrinogen 65
f.d.p. 42
f.d.p. titir 62
film examination for parasites 75
foetal haemoglobin 125
haemoglobin a 1 c 67
haemoglobin electrophoresis 86
hepatitis c antibody 85
k.p.t.t. 42
l.e.screen 72
infectious mononucleosis screen 42
prothrombin time 66
reticulocyte count 53
rheumatoid factor - titration 88
rubella antibodies 53
screening test - r.a. 57
sickle test 37
sperm count 110

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

10

sweat chloride test 176
children for I.M. injections 36

Blood Transfusion

antibody identification 98
antibody screen 79
antibody titre 105
antigen subtyping - saline per antigen 12
antigen subtyping - ahg per antigen 14
antigen profile 189
beta hcg (total) 90
blood group and antibody screen 98
cold agglutinins 189
coombs direct 53
hiv check 80
htlv 111 antibody screen 98
ige 90
kleihauer 76
pregnancy test 60
rhesus genotype 75
rhogam 182

Microbiology

afb culture (dir.) 3 specimens 226
afb culture (conc.) 3 specimens 249
a.n.a. fluorescent antibody technique 70
blood culture 156
body fluid (csf, joint) micro and culture 110
c.difficile toxin 64
catheter tip culture 110
chlamydia serology 70
conjunctional swabs - chlamydia by f.a. 70
cryposporidium stain - regular 70
csf culture 154
dark ground microscopy with clinical examination 197
ear swab - routine culture 79
eye swab - routine culture 79
faecal fat stain 37

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

11

fluorescent treponemal antibody 67
fungus culture 95
genital culture 103
gram stain 8
helicobacter pylori AB 47
herpes culture 76
india ink prep 8
knee aspirate crystals 91
legionella , culture and identification (sputum,
bronchial washing, pleurl fluid, trachaelaspirate)

141

mrsa screentest 79
ova and parasites 65
respiratory culture 110
rotavirus latex afflutination 120
rsv (respiratory syncytial virus) dfa 100
semen for culture 93
sperm count 109
sputum or tissue for tb smear only 137
stool(or rectal swab) for culture 103
syphillis serology 68
tissue culture 168
throat swab 79
urine micro and culture 79
vre screening test 80
wound culture 154

Histology/Cytology

cytochemical stain (e.g.pas,diastase,grocott) 75
single tissue specimen for examination 137
two tissue specimen for examination 171
three tissue specimens 205
four tissue specimens 336
five tissue specimens 402
six tissue specimens 478
seven tissue specimens 546
barr body count 56
bone marrow biopsy 278
colposcopy biopsy 137
cytology(pap) 56
fine needle aspiration (assisted) 278

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

12

frozen section and examination 246
hormonal evaluation 56
immuno peroxidase technique (cea,lca,afp,l26) 119
non-gynaecological smear (e.g.sputa, fluids) 107
p.a.p. peroxidase technique 93
resin section 90
thin prep. 63
tissue section-single 137
tissue section for macro examination 66
additional set of slides requested by doctor 46
estrogen reception assay 457
**where the examination covers more than one organ
each additional organ will be charged at half price

Nuclear Medicine In-vitro Studies

free PSA 90
troponin 90
homocystine 90
acid phosphatase (pap) 59
australian antigen 61
b12 70
ca 125 70
cea 70
ck-mb 70
cyclosporine 90
digoxin 79
estradiol 90
ferritin 79
folate 69
free t4 125
fsh 90
hepatitis b antibody 79
hepatitis b core antibody 79
lh 90
progesterone 90
prolactir 90
prostatic specific antigen (psa) 70
schilling test 361
testosterone 90
t.s.h. 79

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

13

free t3 79
total t4 125
thyroid profile (free t3, free t4, tsh &t4) 279

Biochemistry

acetominophen 56
acid-base balance ( blood gases) 83
albumin only 40
alcohol (blood or urine) 42
alkaline phosphatase 40
amylase 40
b12 70
bence jones protein screen 54
baby bilirubin 40
bilirubin direct 40
bilirubin total 40
blood sugar (glucose) (fasting, random) 40
blood sugar (glucose) (1-6hour p.c.) 54
body fluid chemistry (amylase, bili, chloride,
creat, glucose, sodium, potassium, LDH, phos, BUN, etc.)

42

calcium 40
carbamazepine/tegretol 54
cardiac enzymes (sgot & ldh) 86
csf protein only 41
csf sugar only 40
csf chloride only 40
chemistry profile 424
chloride 40
cholesterol 40
clinic profile(u&e,glu,cret,uric) 103
coronary profile (hdl,ldl,vcdl,trdg,chol) 78
creatinine 40
creatinine clearance 83
creatinine phosphokinase (cpk) 40
dilantin/phenytoin 56
drug testing for abuse - separate charge for each

drug tested
56

ed profile 81
electrolytes 61
ethosuximide 50

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

14

gentamicin 54
ggt 40
glucose challenge 61
glucose drink 8
glutamic- oxalacetic transaminase (sgot) 40
glutamic- pyruvic transaminase 40
high density lipoprotein (hdl) 40
5-hydroxy indoleacetic acid screen (5 hiaa) 53
iron profile (iron, tibc, %sat) 90
ldh 40
lipid profile (chol , trif) 53
lithium 46
liver function test (bilirubin,sgpt,total protein,
albumin, globulin)

116

low density lipoprotein 40
lytes, glucose, bun (lgb) 61
magnesium 39
phenobarbital 54
phosphorous 40
porphyrins (early morning spec.) 49
potassium 40
post dialysis profile 103
pre dialysis profile 300
primidone 50
protein (body fluid) 41
proteins (includes albumin and globulin) 49
protein electrophoresis 70
quinidine 50
salicylate 35
sodium (na) 40
stool/ urine reducing substances 24
tegretol 54
theophylline assay 54
triglycerides 40
urea & electrolytes (Na,K,Cl,BUN) 61
urea nitrogen (bun) 40
uric acid 40
uric acid - urine 42
urine calcium 42
urine for bile pigments 49

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

15

urine for bile products (urobilinogen) 49
24hr urine chemistry (creat, glucose, sodium,
potassium,uric acid, BUN,amylase, calcium, etc.)

57

urine for glucose 42
urine for protein 42
urine for prophyrins 42
valproic acid/ epilim 54
vancomycin 54
xylose test 79
2hr gtt 78
3hr gtt 91
4hr gtt 107
5hr gtt 126
6hr gtt 141
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 $43 for express postal specimens and
$144 for specimens requiring air freight and/or dry ice.

Operating Rooms - General

amputation fingers or toes 523
anal and urethral dilatation 481
anal fistula 481
arteriograms 776
arthroscopy & injection of depomedral 729
arthroscopy - removal loose body 729

removal plica 729
chrondroplasty 729
meniscectomy 729

arthroplasty - small joints 621
bilateral augmentation mammoplasty 648
biopsy prostate 481
breast needle localization 618
bronchoscopy 648
cardioversion 427
carpal tunnel release/ dequervains 523
catheterization 455
cautery of cervix 516
circumcision 592

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

16

colonoscopy 705
closed reduction of fracture - no cast 705
closed reduction of fracture - minor cast 705
closed reduction of fracture - full cast or body jacket 705
cystoscopy 455
cystoscopy - t.u.r. (t) 501
cystoscopy, dormia 591
cystoscopy retrograde pyelogram 591
cystoscopy -ureteroscopy 756
cystometry 501
debridement 481
declotting a.v. fistula 523
dermoid or bartholin's cyst 455
dilatation and curettage 471
dilatation and curettage, tubal washings/polypectomy 499
dilatation and curettage and cone biopsy 523
dorsal slit penis 455
ear lobe repair/ bat ears 527
electro convulsive therapy 550
ERCPendoscopic retrograde cholangio pancreatography 728
examination under anaesthesia 455
excision - breast lumps 648
excision - deep cyst or ganglion 508
excision - gynaecomastia 534
excision - ingrown toenail 481
excision and biopsy - basal cell carcinoma 481
excision and biopsy - bursa 481
excision and biopsy - digital nerve 481
excision and biopsy - epithelioma 481
excision and biopsy - extradiets 481
excision and biopsy - fibroma 481
excision and biopsy - granulomas 481
excision and biopsy - hair follicles 481
excision and biopsy - keloids 481
excision and biopsy - lesions 481
excision and biopsy - leukoplakia 481
excision and biopsy - liver 481
excision and biopsy - melanoma 481
excision and biopsy - moles/warts 481
excision and biopsy - sebaceous cyst 481

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

17

excision and biopsy - superficial cyst 481
excision of lumps/ xyphoid bone 481
excision scars 481
excision of mass 481
excision neuromas 481
failed procedures 423
gastroscopy 553
haemorrhoids 523
hammer toe / hallux valgus/ chevron osteotomy 481
hernia repair 550
hymenectomy 455
hysteroscopy 481
incision and drainage of abscess or haematoma 481
insertion of PTFE graft 1,239
insertion of intra-uterine contraceptive device/estrogen 455
insertion or removal quinton central line 501

Implants

insertion of vasoport 1,337
instillation of bladder drugs 481
instillation or injection of chemotherapy drugs 481
intercostal block 481
k wire to fingers or toes 501
laparoscopy 586
laparoscopy- appendectomy 625
laparoscopy - t.l./meth blue inj./adhesions 625
laparoscopy- uterine suspension 679
liposuction 523
lumbar puncture 558
major suturing 550
mallet finger/trigger finger 501
manipulation of joints 455
minor dressing and suture or insertion of catheter 481
multiple superficial cysts 550
nail surgery 499
natural fistula/ aneurysm 550
needle biopsy - joints & injection of joints 481
needle biopsy - liver 481
needle mammogram 481

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

18

ochidopexy 516
open reduction 746
orchidectomy 516
perineal reconstruction or revision 574
pessary (removal/insertion) 455
pilionidal sinus 523
repair fallopian tubes 679
removal of - foreign body 680
removal of - jaws wires 501
removal of - k wires 501
removal of - lipomas 501
removal of - nails or pins 501
removal of - neck glands 501
removal of - nodes 501
removal of - papillomas 501
removal of - screws and plates 680
removal of - ptfe shunt 501
removal of - sutures 501
removal of - orthofixator 501
resection osteochondroma 481
repositioning / reinsertion pacer lead 746
revision of scars 501
rubins test 481
salpingogram code 318
sigmoidoscopy 463
skin graft/ z plasty 501
sphincterotomy 455
sympathetic block / quanethadine block / interplural
block/ganglion block

481

tendon repair 550
termination of pregnancy 487
therapeutic epidural/ blood patch 560
transrectal biopsy 523
varicose veins ties 523
vasectomy 534
warts/condylomata 481
wire guided biopsy 647
wurms procedure/ insertion of shirodkar/ circulage 481

Eye Surgery

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

19

capsulectomy/ capsulotomy 768
cataract extraction 1,028
cataract - insertion of intra-ocular lens 1,500
conjunctival flap 687
conjunctival granuloma / angioma 687
corneal crafts 1,028
cryosurgery 481
ectropion/ blepharosplasty 713
examination under anaesthesia 643
injection of retrobulbar alcohol 481
insertion of contact lens extra-ocular 481
intra ocular lens insertion 1,189
lateral muscle resection 690
meibomian cyst/ chalazia 665
probing tear duct 665
pterygium/ pfosis 665
removal of eye sutures 643
removal of foreign body 662
repositioning intra-ocular lens 665
retinal photocoagulation/cryo 481
strabismus/ squint 734
tarsorrhaphy 734
trebeculectomy/ vitrectomy 768
vitrectomy 1,040
keratectomy 768
*** 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
Ear, Nose and Throat Surgery

atticotomy 523
bilateral antral lavage 455
biopsy oral tumour 665
bronchoscopy and complete endoscopy 481
cautery of expistaxis area 499
cautery inferior turbinates 455
direct laryngoscopy 455
elevation fractured malar 523

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

20

ent - smr (nasal) 690
insertion of grommets 690
micro-laryngoscopy 665
modified myringoplasty 523
myringotomy 455
nasal polypectomy 481
oesophagoscopy/ tracheoscopy 481
reduction fractured nose 481
removal of aural granuloma 665
removal of grommets 643
removal of pack with general anaesthesia 455
rhinoplasty 456
straight oesophageal dilation w/o oesophagoscopy 455
tongue tie release 481
tympanoplasty 756
combination of any two - ear, nose and throat 768
combination of any three - ear, nose and throat 911

Dental Surgery

jaw wiring 517
minimum charge (30 minutes of time) 517
over 30 minutes of time 679
*** 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: 65
evaluation
muscle grading 2-4
hydrotherapy (at pool)
taping
prosthetic review
open wound care

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

21

relative instruction
mobilization
frictions/massage/myofascial release
laser
assessment fee 100

category 2: 56
lung function
electrotherapy
muscle grading - 1 limb
lumbar traction
cervical traction
therapeutic exercise
gait training
jobst compression

category 3: 41
whirlpool bath
wash bath
hot packs
ice packs

category 4: 87
cybex testing and treating

missed appointment 57

Occupational Therapy (including outpatient

geriatric rehabilitation)

Individual treatment (per quarter-hour) 56
note: equipment is charged at cost

Speech therapy

Individual treatment (per quarter-hour) 19

Emergency Department

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

22

Individual treatment - minor 184
-intermediate 269
- major 333

individual treatment with stay over 6 hours for
observation purposes

437

individual treatment with subsequent admittance 333
recompression chamber 1,275
crutches 122
canes 32
extrication cervical collars 44
nurse escort 263
*** 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 42
treatment without ultrasound 50
treatment with ultrasound 181

Ambulance *

per trip 149
airport (to and from) 168

Geriatric Care

geriatric day care 59
respite care 102
Orthopaedic Unit

orthopaedic unit - individual treatment 88
missed appointment 57

Diabetic Counselling

one week diabetic education programme

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

23

(12 hours classroom teaching, 3 hours individual) 652
follow-up ¼ hr. 16
instruction ½ hr. 16
dietary counselling ½ hr. sessions 49
dipstick analysis 16
blood glucose testing 16

Healthy Heart Programme 551

Dietetic Counselling

individual counselling (per half-hour) 56
group therapy (per half-hour) 32

Renal Dialysis

haemodialysis (non-residents) 884
haemodialysis (residents) 884
CAPD (per month) 9,419

Chemotherapy**

individual treatment - half hour 64
- three to four hours 242

oncology relationship counselling (per half-hour) 25
oncology individual counselling (per half hour) 25
oncology group therapy (per half-hour) 13
oncology blood transfusion 64
oncology iv flushing 138
day long chemotherapy 550
** note: required drugs will be charged at current cost

Audio-Vestibular Services

Hearing Testing

audiogram - pure tone air and bone 116
audiogram - speech 116
audiogram - conditioned response 116
impedance audiometry - compliance 116
impedance audiometry - stapedial reflex 116
impedance audiometry - eustachian tube patency 116

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

24

Vestibular Testing

caloric testing - cold 66
caloric testing - hot and cold 116
postural testing 65

IV Therapy

immunoglobulin monthly therapy 607
venous access device/lab work 83
iv flushing 138
iv antibiotic treatment 138
iv education & counselling 56
venous access device dressing change 83
pentamidine 156

Maternity Department

external cephalic version 112
foetal monitoring 64
removal of shirodkar suture 152
foetal monitoring- 2hr assessment 116

Colposcopy 204

Alcoholism Services

initial intake assessment 100
individual counselling 35
relationship counselling 66
group therapy (five sessions per week) 501
educational therapy ( five sessions per week) 501
aftercare counselling ( seventeen sessions) 571
family education (per person / 6 sessions ) 202
anger management (twelve sessions) 501
outpatient detox 184

Hospice

day long care with i.v. infusion/ transfusion (6hrs.) 177
day long care 64

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

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Psychiatric Outpatient Clinic

initial consult with a psychiatrist 140
followup visits 104
Iinitial consult with a psychologist 117

Mammography

Examinations

initial mammogram 221
follow- up mammogram 131
localization with 1o.r. specimen 351
(does not include laboratory analysis of specimen)
fine needle biopsy 351
(does not include laboratory analysis of specimen)
ductogram 351
x-ray of specimen 131
recall for cone compression or magnification 79
additional views 40
cyst aspiration 351
missed appointment 57

Psychiatric Counselling

new patient 140
follow-up visits 104

Child & Adolescent -SBH

visit to cons psychologist 140
visit to psychologist 117
medication administration/management - initial 54
follow-up 36

Home Health Care

medication administration/management - initial visit 54
follow up visit 36
ulcer/wound care - simple/complex 112
dressing 173
laser 150

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

26

dressing charge including burns- normal 68
with laser 112
with venous devices 103
stump care 117
ostomy care 84
stroke rehabilitation nursing/physio/occup 54
speech therapy 59
tpn lab 198
tpn administration 164

Asthma Management

initial visit 107
reassessment & follow-up (limit 2 visits) 36

Bone Densitometry 172

Hyperbaric & Wound Care (without oxygen) 132

Hyperbaric & Wound Care (with oxygen) 192

Breastfeeding Classes 45

Prenatal Classes (six sessions) 176

Wound Management Center

wound manage- standard 87
wound manage- complex 153
wound manage- debridement 202

Made this 30th day of March, 2004

Chairman
Bermuda Hospitals Board

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)
AMENDMENT REGULATIONS 2004

27

Approved this 30th day of March, 2004

Minister of Health & Family Services