| OPTIMAL SPECIALIST HOSPITALS LIMITED |
|
| PREMIUM BILLING GUIDE EFFECTIVE |
|
|
|
|
| OUT PATIENT SERVICES |
|
|
| REGISTRATION FEE |
1,000.00 |
|
| ANNUAL RENEWAL FEE |
500.00 |
|
| GENERAL CONSULTATION FEE/MONTH |
2,000.00 |
(MINIMUM) |
| EXPRESS SPECIALIST CONSULTATION (IN HOUSE CONSULTANTS) |
30,000.00 |
(MINIMUM) |
| SPECIALIST CONSULTATION/MONTH (Gynae, Paediatrics) |
15,000.00 |
(MINIMUM) |
| ” ” ” (Orthopaedic) |
20,000.00 |
(MINIMUM) |
| ” ” ” (Burns Specialist) |
30,000.00 |
/Visit (MINIMUM) |
| SPECIALIST CONSULTATION/MTH (Neurosurgeon, Cardio, ENT,Gen. Surgery) |
20,000.00 |
(MINIMUM) |
| SUBSEQUENT MONTHS (SAME CASE) |
10,000.00 |
(MINIMUM) |
| EMERGENCY GENERAL CONSULTATION (FROM 10 PM) |
10,000.00 |
(MINIMUM) |
| FAMILY REGISTRATION |
20,000.00 |
|
| ANNUAL RENEWAL |
5,000.00 |
|
| IMMUNISATION (Routine NPI) |
850.00 |
|
| CASUALITY CARD FEE |
1,000.00/Ailment/Attendance |
|
| HOME VISIT BY DOCTOR |
6,000.00 |
/Visit (MINIMUM) |
| HOME VISIT BY NURSE |
3,500.00/ |
VISIT (MINIMUM) |
| USE OF AMBULANCE |
6,000.00 PER HOUR, (MINIMUM FEE 15,000) |
| FERTILITY CLINIC REGISTRATION |
150,000/YR OR 20,000/MONTH (MINIMUM) |
| PHYSIOTHERAPY FEE |
3,000.00 |
(MINIMUM) |
| PHYSIOTHERAPY TREATMENT/SESSION |
5,000.00 |
|
|
|
|
| ANTE-NATAL CARE (ANC) |
|
|
| REGISTRATION |
1,000.00 |
|
|
|
|
|
|
|
|
| (Including routine consulations, |
|
|
| Routine Drugs F/A, Iron, Vit C., |
40,000.00 |
|
| plus 2 Scans, 2 T.T.) |
|
|
|
|
|
|
|
|
| ROUTINE ANC BLOOD & URINE TESTS |
|
|
| Urinalysis, Urine m/c/s, Blood Group, Genotype, VDRL, HEP. B, HIV, RBS ——– |
10,000.00 |
|
|
|
|
| Card + ANC Fees + Routine Lab tests |
51,000.00 |
|
|
|
|
| EXECUTIVE EXPRESS ANTENATAL / DELIVERY FEES INCLUDES |
|
|
| ANC, COMPREHENSIVE ANC TESTS, SIMPLE OUT PATIENT TREATMENTS, AND |
350,000.00 |
|
| NORMAL DELIVERIES. ADMISSIONS, OPERATIVE VAGINAL DELIVERY AND C/S ARE EXCLUSIONS |
|
|
|
|
|
| MEDICAL EXAMINIATION |
|
|
| PRE-EMPLOYMENT |
12,000.00 |
|
| PRE-EMPLOYMENT |
12,000.00 |
|
| INSURANCE 2.5% OF AMOUNT INSURED OR |
12,000.00 |
(MINIMUM) |
| MEDICAL CERTIFICATES |
6,000.00 |
/ONE |
| I & D (Minor) |
9,500.00 |
(MINIMUM) |
| (Medium) |
18,000.00 |
(MINIMUM) |
| (Large) |
35,000.00 |
(MINIMUM) |
| DAILY DRESSING |
600.00 |
/ DAY (MINIMUM) |
| BY DOCTOR |
2,000.00 |
/ DAY (MINIMUM) |
| SUTURING |
600.00PER STITCH |
(MINIMUM) 4,000 |
| SETTING OF IV LINE WITH MEDICUT |
2,000.00 |
(MINIMUM) |
| MEDICAL REPORTS |
6,000.00 |
/ ONE |
|
|
|
| PROCEDURES |
|
|
| LUMBER PUNCTURE |
6,000.00 |
(MINIMUM) |
| N-G TUBE (For stomach decompression or feeding) / Enema Saponis |
4,000.00 |
(MINIMUM) |
| SETTING OF IV LINE WITH MEDICUT |
2,000.00 |
(MINIMUM) |
| SETTING OF IV LINE WITH SCALP VEIN |
600.00 |
(MINIMUM) |
| RE-SETTING OF IV LINE WITH SCALP VEIN |
600.00 |
(MINIMUM) |
| CIRCUMCISION (Classical / Gomko) |
12,000.00 (500 Discount for Optimal Baby) |
| Plastibel |
14,500.00 (500 Discount for Optimal Baby) |
Optimal Baby) |
| EAR PIERCING |
2,500.00 |
(MINIMUM) |
| REMOVAL OF FOREIGN BODY IN THE EAR & NOSE (With Anaesthesia) |
12,000.00 |
(MINIMUM) |
| REMOVAL OF FOREIGN BODY IN THE EAR & NOSE (Without Anaesthesia) |
6,000.00 |
(MINIMUM) |
| INTRAMUSCULAR/SUBCUTE INJECTIONS (To be added to OPD prescription) |
600/INJ |
(MINIMUM) |
| INTRAVENOUS INJECTIONS (To be added to OPD prescriptions) |
2,000.00/INJ |
(MINIMUM) |
| INFRA RED HEAT THERAPY |
600/SESSION |
(MINIMUM) |
|
|
|
| ADMISSION/IN PATIENT DEPOSIT (PRIVATE PATIENTS ONLY) |
|
|
| NON-SURGICAL ADMISSION (SHORT STAY 1-2 DAYS) |
100,000.00 |
|
| (MEDIUM STAY 3-5 DAYS) |
250,000.00 |
(MINIMUM) |
| (LONG STAY – One Week and above) |
500,000.00 |
(MINIMUM) |
| (Patient admited as short or medium stay and is now staying long |
|
|
| is to pay additional deposit of 150,000 per week of continuous stay) |
|
|
| OBSERVATION IN CASUALTY(i.e less than 12hrs) |
25,000.00 |
(MINIMUM) |
| CASUALTY ROOM ADMISSION i.e Over 12 Hours |
45,000.00 |
(MINIMUM) |
| MINOR OPERATIONS |
60,000.00 |
(MINIMUM) |
| MEDIUM OPERATIONS |
170,000.00 |
(MINIMUM) |
| MAJOR OPERATIONS |
300,000.00 |
(MINIMUM) |
| PHYSICIAN’S FEE |
10,000.00/DAY(WEEK1) |
(MINIMUM) |
| PHYSICIAN’S FEE |
5,000.00/DAY(WEEK2) |
MINIMUM) |
| PHYSICIAN’S FEE |
3,000.00/DAY(WEEK3 & |
ABOVE) (MINIMUM) |
|
|
|
| ROOMS |
|
|
| ROOM 102, 204 |
15,000.00 |
PER NIGHT |
| ROOMS 103,105, 107 |
9,500.00 |
PER NIGHT |
| ROOMS 205, 207, |
10,500.00 |
PER NIGHT |
| ROOM 104 |
16,500.00 |
PER NIGHT |
| ROM 202 |
21,000.00 |
PER NIGHT |
| ROOM 100 |
6,000.00 |
PER NIGHT |
| CASUALTY ROOM |
5,000.00 |
PER NIGHT |
| Room discount – 25% after 4 weeks of continous stay |
|
|
| Room discount – 50% after 8 weeks of continous stay |
|
|
|
|
|
| FEEDING |
1,500 PER |
MEAL OR 4000/DAY |
| |
|
|
| N.B: ONLY ROOMS 100,103, 105,107,205 AND 207 ARE FOR HMO PATIENTS. ON NO ACCOUNT SHOULD ANY HMO |
|
| PATIENT BE ADMITTED INTO ANY OTHER ROOM RESERVED FOR PRIVATE PATIENTS EXCEPT IN DIRE EMERGENCY |
| AND WITH THE PERMISSION OF THE MANAGING CONSULTANT. ANY HMO PATIENT WHO DESIRES TO STAY IN ANY |
| ROOM RESERVED FOR PRIVATE PATIENTS SHOULD CONVERT TO PRIVATE |
|
|
|
|
|
| OBSTETRICS SERVICES |
GOLD |
|
| DEPOSIT FOR VAGINAL DELIVERY |
60,000.00 |
(MINIMUM) |
| OBSTERICIAN’S FEES FOR C/S (1ST C/S) |
150,000.00 |
(MINIMUM) |
| OBSTETRICIAN’S FEES FOR C/S (2ND C/S) |
200,000.00 |
(MINIMUM) |
| OBSTETRICIAN’S FEES FOR C/S (3RD & 4TH C/S) |
250,000.00 |
(MINIMUM) |
| OBSTETRICIAN’S FEES FOR C/S (5TH C/S & ABOVE) |
300,000.00 |
(MINIMUM) |
| OBSTETRICIAN’S FEES FOR Normal delivery |
30,000.00 |
(MINIMUM) |
| NORMAL DELIVERY FEES WITHOUT EPISIOTOMY (ALL INCLUSIVE) + 12 HOURS OBSERVATION |
60,000.00 |
(MINIMUM) |
| NORMAL DELIVERY FEES WITHOUT EPISIOTOMY (ALL INCLUSIVE) + 24 HOURS OBSERVATION |
80,000.00 |
(MINIMUM) |
| NORMAL DELIVERY FEES WITHOUT EPISIOTOMY (ALL INCLUSIVE) + 48 HOURS OBSERVATION |
100,000.00 |
(MINIMUM) |
| NORMAL DELIVERY FEES WITHOUT EPISIOTOMY (ALL INCLUSIVE) > 48 HOURS OBSERVATION |
20,000 PER |
EXTRA DAY |
| Operative Vaginal delivery (i.e vacuum /forceps)+ 12 hours observation |
100,000.00 |
(MINIMUM) |
| Operative Vaginal delivery (i.e vacuum /forceps) + extra day stay |
20,000.00 |
/EXTRA DAY |
| CS (MINIMUM DEPOSIT) (1ST C/S) |
300,000.00 |
(MINIMUM) |
| CS (MINIMUM DEPOSIT) (2ND C/S) |
350,000.00 |
(MINIMUM) |
| CS (MINIMUM DEPOSIT) (3RD & 4TH C/S) |
400,000.00 |
(MINIMUM) |
| CS (MINIMUM DEPOSIT) (5TH & ABOVE C/S) |
500,000.00 |
(MINIMUM) |
| FIRST C/S (ALL INCLUSIVE FEES) (NO COMPLICATIONS) |
300,000.00 |
(MINIMUM) |
| INTRAPARTUM B.T.L |
70,000.00 |
(MINIMUM) |
| Cervical Ripening |
5,000.00 |
(MINIMUM) |
| Induction of labour |
10,000.00 |
(MINIMUM) |
| Augmentation of labour |
10,000.00 |
(MINIMUM) |
| Episiotomy and repairs |
20,000.00 |
(MINIMUM) |
| Cervical Laceration Repair |
30,000.00 |
(MINIMUM) |
| Manual removal of placenta under Anaesthesia |
60,000.00 |
(MINIMUM) |
| Evacuation, Dilatation & Curettage |
70,000.00 |
(MINIMUM) |
| Cerclage |
100,000.00 |
(MINIMUM) |
| Use of labour room |
15,000.00 |
(MINIMUM) |
| Removal of Cerclage Suture |
15,000.00 |
(MINIMUM) |
|
|
|
| N.B. NORMAL DELIVERY HMO PATIENT IS TO BE DISCHARGED WITHIN 12 HOURS AND UNCOMPLICATED C/S |
|
| HMO PATIENT IS TO BE DISCHARGED WITHIN 72 HOURS |
|
|
|
|
|
| NEONATAL SERVICES |
|
|
| Deposit for Incubator Care |
250,000.00 |
(MINIMUM) |
| Paediatrician’s fee |
15,000.00 |
/ DAY (MINIMUM) |
| Incubator care + Nursery Room Fee |
10,000.00 |
/NIGHT (MINIMUM) |
| Incubator Care + Nursery fee + Phototherapy |
12,000.00 |
/ NIGHT (MINIMUM) |
| Phototherapy |
6,000.00 |
/ NIGHT (MINIMUM) |
| Phototherapy + Nursery Room Fee |
6,000.00 |
/ NIGHT (MINIMUM) |
| Oxygen / Day via Oxygen Extractor |
4,000.00 |
(MINIMUM) |
| Exchange Blood Transfusion |
30,000.00 per session |
excluding cost of blood |
| Nursery Room Fee |
4,500.00 PER |
DAY (MINIMUM) |
| Neonatal Care |
4,500.00 PER |
DAY (MINIMUM) |
| Use of Soluset |
4,500.00 |
(MINIMUM) |
| Nebulizer / Session |
3,500.00 |
(MINIMUM) |
|
|
|
| SURGICAL SERVICES |
|
|
| Use of theatre-minor cases |
35,000.00 |
(MINIMUM) |
| Use of theatre-medium cases |
70,000.00 |
(MINIMUM) |
| Major cases |
110,000.00 |
(MINIMUM) |
| Surgeon’s fee Major |
90,000.00 |
(MINIMUM) |
| Medium |
60,000.00 |
(MINIMUM) |
| Minor |
30,000.00 |
(MINIMUM) |
| Anaesthetist fee Major |
40,000.00 |
(MINIMUM) |
| Medium |
30,000.00 |
(MINIMUM) |
| Minor |
20,000.00 |
(MINIMUM) |
| Anaesthetist materials Major |
30,000.00 |
(MINIMUM) |
| Medium |
20,000.00 |
(MINIMUM) |
| Minor |
15,000.00 |
(MINIMUM) |
| Professional service charge (Including Nursing Fee) |
15% of to |
tal bill |
|
|
|
| SURGICAL SERVICES (All Inclusive Price Procedures Only) |
|
|
| Herniorrhaphy |
250,000.00 |
Per Site (MINIMUM |
| Appendicitis |
280,000.00 |
(MINIMUM) |
| Orchidopexy |
100,000.00 |
Per Site (MINIMUM |
| Excisional Biopsy (Scrotum, , Penis, Limbs, etc) |
80,000.00 |
Per Site (MINIMUM |
| Prostatectomy |
450,000.00 |
(MINIMUM) |
| Exploratory Laparotomy |
500,000.00 |
(MINIMUM) |
|
|
|
|
|
|
| GYNAE SERVICES (All Inclusive Price for Procedures Only) |
|
|
| D & C |
70,000.00 |
(MINIMUM) |
| Pap’s Smear (Procedure and Cytology) |
25,000.00 |
(MINIMUM) |
| Formal Cervical Dilatation + I.U.Adhesiolysis + Foley’s Catheter Insertion |
100,000.00 |
(MINIMUM) |
| Hydrotubation |
50,000.00 |
(MINIMUM) |
| Sonohysterosalpingogram |
80,000.00 |
(MINIMUM) |
| Excisional biopsy – cx, vagina, vulva, breast,scrotum, penis etc (without histology) |
80,000.00 |
(MINIMUM) |
| Marsurpialization |
100,000.00 |
(MINIMUM) |
| Postpartum B. T. L. |
100,000.00 |
(MINIMUM) |
| Minilaparotomy, B. T. L, cone biopsy |
150,000.00 |
(MINIMUM) |
| Laparotomy |
500,000.00 |
AND ABOVE |
| Vaginal Hysterectomy |
500,000.00 |
(MINIMUM) |
| Perineorrhaphy |
100,000.00 |
(MINIMUM) |
| Colpo-Perineorrhaphy |
|
|
| Anterior |
150,000.00 |
(MINIMUM) |
| Posterior |
150,000.00 |
(MINIMUM) |
| Both |
300,000.00 |
(MINIMUM) |
|
|
|
| Baby Sex Selection Clinic’s Registration fee |
50,000.00 |
(MINIMUM) |
| D&C + Culdocentesis or Colpotomy |
100,000.00 |
(MINIMUM) |
| I.U.I |
450,000.00 |
(MINIMUM) |
|
|
|
| Family Planning |
|
|
| Condoms |
100/FOUR |
|
| I. U.C.D. insertion (preservice Lab test applicable) |
15,000.00 |
(MINIMUM) |
| I.U.C.D. Removal |
10,000.00 |
(MINIMUM) |
| Implanon insertion (preservice Lab test applicable) |
30,000.00 |
(MINIMUM) |
| Implanon Removal |
15,000.00 |
(MINIMUM) |
| Vaginal Foaming tabs |
2,000/ROLL |
|
|
|
|
| N.B THIS BILLING GUIDE IS SUBJECT TO PERIODIC CHANGES / REVIEWS |
|
|
|
|
| OPTIMAL SPECIALIST HOSPITALS LIMITED |
|
|
| COMPREHENSIVE PATHOLOGICAL SERVICES |
|
|
| PRICE LIST EFFECTIVE JULY 7, 2018 |
|
|
|
|
|
| HAEMATOLOGY |
|
|
| FULL BLOOD COUNT (FBC)+ ESR |
6,000.00 |
|
| FULL BLOOD COUNT FBC |
5,000.00 |
|
| HAEMOGLOBIN (HB) |
2,200.00 |
|
| PACKED CELL VOLUME PCV |
2,200.00 |
|
| WHITE CELL COUNT WCC |
2,500.00 |
|
| DIFFERENTIAL COUNT |
2,800.00 |
|
| MEAN CORP. HB CONC. |
2,000.00 |
|
| MEAN CELL VOLUME MCV |
2,000.00 |
|
| MEAN CELL HAEMOGLOBIN |
2,000.00 |
|
| RED CELL COUNT |
2,000.00 |
|
| SICKEL CELL SCREENING |
2,500.00 |
|
| HB GENOTYPE |
3,500.00 |
|
| BLOOD GROUPING (ABO/RH) |
2,000.00 |
|
| ERYTHROCYTE SED. RATE |
2,200.00 |
|
| RETICULOCYTE COUNT |
2,800.00 |
|
| PLATELET COUNT |
2,800.00 |
|
| L.E. CELLS |
2,800.00 |
|
| PROTHROMBIN TIME |
2,800.00 |
|
| BLEEDING TIME |
2,200.00 |
|
| CLOTTING TIME |
2,200.00 |
|
| COOMB’S TEST (DIR/INDIR) |
2,500.00 |
|
| TOTAL EOSINOPHIL COUNT |
2,500.00 |
|
| ANTIBODY TITRATION TEST |
2,200.00 |
|
| OSMOTIC FRAGILITY TEST |
2,200.00 |
|
| KAOLIN-CEPHALIN (CLOTTING TIME) |
2,200.00 |
|
| CLOTTING PROFILE |
9000 |
|
|
|
|
| MICROBIOLOGY/PARASITOLOGY |
|
|
| URINE MICROSCOPY ONLY |
2,200.00 |
|
| URINE M/C/S |
4,000.00 |
|
| STOOL MICROSCOPY ONLY |
2,500.00 |
|
| STOOL M/C/S |
5,000.00 |
|
| STOOL OCC. BLOOD |
3,500.00 |
|
| HVS/URETHRAL SWAB M/C/S |
4,500.00 |
|
| DISPOSABLE STERILE VAGINAL SPECULUM |
600.00 |
|
| SPUTUM ZN FOR AFB M/C/S |
3,500.00 |
|
| 7B. SPUTUM M/C/S |
4,000.00 |
|
| CSF MICRO & CELL COUNT |
4,000.00 |
|
| CSF M/C/S |
3,500.00 |
|
| SKIN SCRAPPING FOR FUNGAL ELEMENTS |
3,500.00 |
|
| HEAF/MANTOUX TEST |
3,000.00 |
|
| SEMEN ANALYSIS ONLY |
4,500.00 |
|
| SEMEN M/C/S |
5,500.00 |
|
| BLOOD MALARIA PARASITE |
2,500.00 |
|
| MICROFILARIA/TRYPANOSOMES |
3,000.00 |
|
| BLOOD CULTURE/SENSITIVITY |
7,500.00 |
|
| WIDAL REACTION |
3,000.00 |
|
| VDRL |
2,500.00 |
|
| RHEUMATOID FATOR |
5,000.00 |
|
| ASO TITRE |
2,500.00 |
|
| AUSATRALIAN (HEP B) ANT |
3,500.00 |
|
| HEPATITIS C ANT |
3,500.00 |
|
| HIV SCREENING |
3,000.00 |
|
| URINE PREGNANCY TEST |
1,000.00 |
|
| BLOOD PREGNANCY TEST |
2,500.00 |
|
| ROUTINE ANTENATAL BLOOD / TESTS |
10,000.00 |
|
|
|
|
| HIV CONFIRMATION |
14,000.00 |
|
| WOUND SWAB M/C/S |
3,000.00 |
|
|
|
|
| CD4 COUNT |
12,000.00 |
|
| FOOD HANDLER’S TESTS |
25,000.00 |
|
| CREATININE CLEARANCE |
10,000.00 |
|
| COMPLETE HEALTH PROFILE (WELLNESS CLINIC) |
170,000.00 |
|
|
|
|
| CORTISOL |
21,000.00 |
|
|
|
|
|
|
|
| HISTOPATHOLOGY |
|
|
| HISTOLOGY |
21,000.00 |
|
| CYTOLOGY (ONLY) |
18,000.00 |
|
| POSTMORTEM (FOETUS) |
45,000.00 |
|
|
|
|
| ENDOCRINOLGY |
|
|
| OVULATION PROFILE |
40,000.00 |
|
| INFERTILITY PROFILE |
40,000.00 |
|
| IMPOTENCY/FRIGIDITY PROFILE |
40,000.00 |
|
| MENSTRUAL DISORDER PRO |
40,000.00 |
|
| THYROID SCREENING (T3, T4) |
15,000.00 |
|
| THYROID SCREENING (T3, T4, T2H) |
20,000.00 |
|
| GYNAECOMASTIA PROFILE |
21,000.00 |
|
| GALACTORRHOEA PROFILE |
22,000.00 |
|
| AMBIGUOUS GENITALIA |
22,000.00 |
|
| MENSTRUAL DISORDER VIRILISM |
22,000.00 |
|
| SHORT STATURE |
22,500.00 |
|
| PITUITARY PROFILE (A) |
22,000.00 |
|
| PITUITARY PROFILE (B) |
22,000.00 |
|
| OBESITY PROFILE |
32,000.00 |
|
| FOLLICLE STIMULATING HORMONE |
8,000.00 |
|
| TSH |
8,000.00 |
|
| TRIIODOTHYRONINE |
8,000.00 |
|
| THYROXINE |
8,000.00 |
|
| LEUT. HORMONE (LH) |
8,000.00 |
|
| PROLACTIN |
8,000.00 |
|
| PROGESTERONE |
8,000.00 |
|
| TESTOSTERONE |
9,000.00 |
|
| MOLAR PREGNANCY TEST |
10,000.00 |
|
| OESTRADIOL (E2) |
10,000.00 |
|
| OESTRADIOL (E3) |
10,000.00 |
|
| INSULIN |
13,500.00 |
|
| GROWTH HORMONE |
13,500.00 |
|
|
|
|
| CLINICAL CHEMISTRY |
|
|
| FULL ELECTROLYTES |
12,000.00 |
|
| SODIUM |
3,500.00 |
|
| POTASSIUM |
3,500.00 |
|
| CHLORIDE |
3,500.00 |
|
| BICARBONATE |
3,500.00 |
|
| UREA |
3,500.00 |
|
| LIVER FUNCTION TESTS I |
12,000.00 |
|
| TOTAL BILIRUBIN |
3,500.00 |
|
| DIRECT BILIRUBIN |
3,500.00 |
|
| ALKALINE PHOSPHATE |
3,500.00 |
|
| S. G .O. T |
3,500.00 |
|
| S. G. P. T |
3,500.00 |
|
| LIVER FUNCTION TESTS II – ( LFT 1 + ALB + TOTAL PROTEIN) |
15,000.00 |
|
| TOTAL PROTEIN |
3,500.00 |
|
| ALBUMIN |
3,500.00 |
|
| GLOBULIN |
3,500.00 |
|
| ACID PHOSPHATASE |
3,500.00 |
|
| FULL LIPID STUDIES |
12,000.00 |
|
| CHOLESTEROL |
3,500.00 |
|
| TRIGLYCERIDES |
3,500.00 |
|
| LDL |
3,500.00 |
|
| HDL |
3,500.00 |
|
| GLUCOSE 6 PHOSPHATE DEHYDROGENASE (G6PD) |
5,000.00 |
|
| FASTING BLOOD SUGAR |
3,000.00 |
|
| RANDOM BLOOD SUGAR |
3,000.00 |
|
| 2HR P- P BLOOD SUGAR |
5,000.00 |
|
| GLUCOSE TOLERANCE |
11,000.00 |
|
| GLUCOSYLATED HAEMOGLOBIN |
7,000.00 |
|
| URIC ACID |
3,500.00 |
|
| CALCIUM |
3,500.00 |
|
| PHOSPHORUS |
4,000.00 |
|
| CREATININE |
3,500.00 |
|
| AMYLASE |
3,000.00 |
|
| CSF CLORIDE |
3,000.00 |
|
| CSF PROTEIN (TOTAL) |
3,000.00 |
|
| CSF SUGAR |
3,200.00 |
|
| COMPLETE URINALYSIS |
4,000.00 |
|
| CORTISOL |
20,000.00 |
|
| DHEA-S |
12,000.00 |
|
| VMA |
11,000.00 |
|
| MOLAR PREG TEST |
10,000.00 |
|
| PROSTATE SPECIFIC ANTIGEN (PSA) (SEMI QUANTITATIVE) |
6,000.00 |
|
| PROSTATE SPECIFIC ANTIGEN (PSA) (ELISA QUANTITATIVE) |
15,000.00 |
|
| BREAST CANCER ANTIGEN (BCA) |
21,000.00 |
|
| SEMINAL FRUCTOSE TEST |
12,000.00 |
|
| ANTI-NUCLEAR ANTIBODIES |
21,000.00 |
|
| ALLERGY TEST (IGE) |
21,000.00 |
|
| SPERM ANTIBODIES |
21,000.00 |
|
| ALPHA FETO PROTEIN |
21,000.00 |
|
| H. PYLORI. ANTIGEN TEST |
6,000.00 |
|
| H. PYLORI. STOOL TEST |
8,000.00 |
|
| CHLAMYDIA SCREEN |
5,000.00 |
|
| CHLAMYDIA (ELISA SCREENING) |
35,000.00 |
|
| HEPATITIS B VIRAL LOAD |
60,000.00 |
|
| HIV 1 VIRAL LOAD |
45,000.00 |
|
| HEPATITIS C VIRAL LOAD |
70,000.00 |
|
|
|
|
| HERPES I & II (ELISA SCREENING) |
35,000.00 |
|
| CMV (ELISA SCREENING) |
35,000.00 |
|
|
|
|
| BLOOD TRANSFUSION |
|
|
| CROSS-MATCHING |
3,000.00 |
|
|
|
|
| 1 PINT OF BLOOD (RH POSITIVE) |
24,000.00 |
|
| (BLOOD TO BE RE-SCREENED IN OPTIMAL LAB) |
|
|
|
|
|
| 1 PINT OF BLOOD (RH NEGATIVE) |
29,000.00 |
|
| (BLOOD TO BE RE-SCREENED IN OPTIMAL LAB) |
|
|
|
|
|
| IF PATIENT BRINGS A DONOR |
12,000.00 |
|
|
|
|
| IF DONOR IS NOT FIT, PATIENT PAYS FOR THE COST OF SCREENING |
8,000.00 |
|
|
|
|
| COST OF TRANSFUSING 1 PINT |
8,000.00 |
|
|
|
|
| N.B. |
|
|
| FOR COMPANY PATIENT ADD 15% TO EACH COST |
|
|
| HMO PATIENTS TO PAY THE DIFFERENCE IN PRICE BETWEEN THE HMO RATE AND OPTIMAL RATE. |
|
|
|
|
| OPTIMAL SPECIALIST HOSPITALS LIMITED X-RAY |
|
|
|
|
|
| 1. SKULL AP & LATERAL |
6,000.00 |
|
| 2. SKULL ALL VIEWS |
9,000.00 |
|
| 3. SINUSES |
9,000.00 |
|
| 4. MASTOIDS |
6,000.00 |
|
| 5. MANDIBLE |
6,000.00 |
|
| 6. TEMPORO MANDIBULAR JOIN |
9,000.00 |
|
| 7. CERVICAL SPINE (AP & LATERAL) |
6,000.00 |
|
| 8. CERVICAL SPINE (ALL VIEWS) including open mouth view |
9,000.00 |
|
| 9. DORSAL SPINE |
9,000.00 |
|
| 10. THORACO LUMBAR SPINE |
6,000.00 |
|
| 11. LUMBOSACRAL SPINE |
6,000.00 |
|
| 12. LUMBOSACRAL SPINE (WITH OBLIQUE) |
9,000.00 |
|
| 13. PELVIS AND HIPS |
6,000.00 |
|
| 14. PELVIS |
6,000.00 |
|
| 15. PELVIS FOR IUCD |
8,000.00 |
|
| 16. LATERAL PELVIMETRY |
6,000.00 |
|
| 17. CHEST (PA & LATERAL) |
8,000.00 |
|
| 18. CHEST (PA ONLY) |
6,000.00 |
|
| 19. ABDOMEN (STRAIGHT) |
5,000.00 |
|
| 20. ABDOMEN (SUPINE & ERECT) |
9,000.00 |
|
| 21. SHOULDER JOINT |
6,000.00 |
|
| 21A.SHOULDER JOINT AND AXILLARY VIEW |
9,000.00 |
|
| 22. UPPER ARM |
4,000.00 |
|
| 23. ELBOW JOINT |
4,000.00 |
|
| 24. FOREARM (RADIUS & ULNA) |
4,000.00 |
|
| 25. WRIST JOINT |
4,000.00 |
|
| 26. HAND |
4,000.00 |
|
| 27. THIGH-FEMUR |
5,000.00 |
|
| 28. KNEE JOINT |
5,000.00 |
|
| 28A. KNEE JOINT AND SKYLINE VIEW |
6,000.00 |
|
| 29. LEG-TIB & FIB |
5,000.00 |
|
| 30. ANKLE JOINT |
4,500.00 |
|
| 31. FOOT |
4,500.00 |
|
| 32. POST NASAL SPACE |
5,000.00 |
|
| 33. ABDOMEN FOR PREGNANCY |
4,500.00 |
|
| 34. THORACIC INLET |
5,000.00 |
|
| 35. OPTIC FORAMINA |
5,000.00 |
|
| 36. PITUITARY FOSSA |
5,000.00 |
|
| 37. SKELETAL SURVEY-ADULT |
40,000.00 |
|
|
|
|
| SPECIAL INVESTIGATIONS |
|
|
| BARIUM SWALLOW |
55,000.00 |
|
| BARIUM SWALLOW/MEAL |
55,000.00 |
|
| BARIUM MEAL |
55,000.00 |
|
| B/MEAN & FOLLOW THRO |
55,000.00 |
|
| BARIUM ENEMA |
55,000.00 |
|
| INTRAVENOUS PYELO-IVU |
55,000.00 |
|
| I.V.U. FOR BPU |
55,000.00 |
|
| CYSTO – URETHROGRAM |
50,000.00 |
|
| MCUG/RCUG – COMBINED |
40,000.00 |
|
| ORAL CHOLECYSTOGRAM |
35,000.00 |
|
| HYSTERO = SALPINGOGRAM |
24,000.00 |
|
| MYELOGRAM – LUMBAR |
55,000.00 |
|
| MYELOGRAM – CERVICAL |
60,500.00 |
|
| FISTOLOGRAM |
45,000.00 |
|
| SIALOGRAM |
40,000.00 |
|
| SINOGRAM |
40,000.00 |
|
| FEMORAL ANGIGRAM -ONE LEG |
60,000.00 |
|
| VENOGRAM-ONE LEG |
80,000.00 |
|
| MAMMOGRAM (R&L) |
20,000.00 |
|
| ARTHROGRAM – ONE LEG |
110,000.00 |
|
| US SCAN WITH FILM |
6,000.00 |
|
| EXTRA FILM |
600.00 |
|
| OVULOMETRY/TV. SCAN |
6,000.00 |
|
|
|
|
| ECG |
|
|
| ECG WITH REPORT (RESTING) |
6,000.00 |
|
| (PRE & POST EXCERCISE) |
10,000.00 |
|
| 24 HOURS HOLTER ECG |
35,000.00 |
|
| ECHO CARDIOGRAPHY (By the Cardiologist) |
35,000.00 |
|
| Spirometry (Lung Function Tests) |
10,000.00 |
|
| 12 Hours Sleep Oximetry |
35,000.00 |
|
|
|
|
|
|
|
| ULTRA SOUND SCAN |
|
|
| OBSTETRIC SCAN |
6,000.00 |
|
| LOWER ABDOMEN SCAN |
6,000.00 |
|
| UPPER ABDOMEN |
12,000.00 |
|
| Pelvic Scan |
6,000.00 |
|
| ABDOMINO-PELVIC SCAN |
18,000.00 |
|
| PROSTRATE SCAN |
9,500.00 |
|
| TESTES SCAN |
9,500.00 |
|
| THYROID SCAN |
9,500.00 |
|
| BREAST SCAN |
9,500.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
