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E&OE 2 of 26
Contents
General Notes ................................................................................................................................... 3
Contacts ............................................................................................................................................ 4
Universal Charges ............................................................................................................................ 5
Theatre Charges ............................................................................................................................... 6
Critical Care Charges ....................................................................................................................... 6
Cancer Care ...................................................................................................................................... 7
Radiotherapy ................................................................................................................................... 7
Bone Marrow Tranplants ................................................................................................................. 9
Cardiothoracic Services ................................................................................................................. 10
Neurosciences ................................................................................................................................ 10
General Medicine ............................................................................................................................ 11
Obstetrics & Gynaecology ............................................................................................................. 13
Gynaecology ................................................................................................................................. 13
Gynaecology ................................................................................................................................. 13
Ophthalmology ............................................................................................................................... 14
Major Procedures .......................................................................................................................... 14
Intermediate Procedures ............................................................................................................... 15
Minor Procedures .......................................................................................................................... 15
Other procedures .......................................................................................................................... 15
Diagnostics & Imaging ................................................................................................................... 15
Orthopaedics .................................................................................................................................. 16
Paediatrics ...................................................................................................................................... 17
Pathology ........................................................................................................................................ 18
Laboratory Medicine ....................................................................................................................... 19
Medical Physics .............................................................................................................................. 20
Pharmacy ........................................................................................................................................ 20
Radiology ........................................................................................................................................ 21
Clinical radiology ........................................................................................................................... 21
CT scanning .................................................................................................................................. 21
Nuclear Medicine .......................................................................................................................... 23
Terms & Conditions ........................................................................................................................ 24
1.1 General............................................................................................................................... 24
1.2 Insurance Companies ......................................................................................................... 24
1.3 Insured Patients .................................................................................................................. 25
1.4 Self pay patients ................................................................................................................. 25
1.5 Cancellations ...................................................................................................................... 25
1.6 Late Payments.................................................................................................................... 26
1.7 Drugs and Consumable charges ........................................................................................ 26
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General Notes
• All charges apply to inpatients, outpatients and day cases. Charges shown assume that
consultants’ fees are charged separately unless otherwise indicated.
• Inpatient and day case charges include an accommodation charge and allowance for
drugs up to £25 and consumables up to £125 as specified below. An additional charge
will be made for any specialist high cost drugs, medical/surgical supplies used, and drugs
issued on discharge.
• For all inpatients, High Cost drugs will be charged in excess of £25 per the individual drug,
which excludes drugs that are issued by TTO for the patients discharge, where it will be
the patients responsibility to pay in full.
• All Private patients high cost consumables are those that exceed £125 per item, with the
exception of interventional radiology where a separate price list for these high cost
consumables applies (see page 26).
• Charges for Day Cases are based on the complexity of the surgery being performed as
documented in this Tariff Document 2017-2018.
• A charge will be made for the use of all non-urgent private patient transport, this will be
invoiced separately and in additional from the treatment price.
• A comprehensive list of pathology service tests is available upon request.
• All charges shown are in pounds sterling (£) and are inclusive of VAT.
• Private International patients will be charged 25% in addition to their invoice to cover
medical/professional fees.
Contacts
Name Division Department Job Title Telephone
Debbie Roberts Ian Godfray
Trust HQ General Enquiries/ Cashiers Chief Cashier Deputy Chief Cashiers
02381 20 6058
Charlotte McCaskie Trust HQ Commercial Enquiries Private Patient and Contracts Manager 02381 20 6260
Nathan Burnett Ann Clay
Division A Cancer Care Private Patient Co-ordinator Business Manager
02381 20 6598 02381 20 5437
Hayley Conway Division A Surgery Private Patient Coordinator 02381 20 6875
Sue Denton/ Elvena Prince
Division A Critical Care Private Patient Coordinator Ward Clerk
02381 20 8707 02381 20 6117
Carole Collins Division B ED/ CDU Office Manager 02381 20 6220
Lisa Burt Frost Division B AMU Office Manager 02381 20 8049
Susan Dance Leanne Beck
Division B Pathology Contracts and Information Manager Private Patient Coordinator
02381 20 8443 02381 20 8355
Linda Peart Division B Ophthalmology
Private Patient Coordinator 02381 20 6853
Tina Walsh Division C Women’s & Children’s Private Patient Coordinator 02381 20 5069
Angela Macaulay/ Jayne Christie
Division C Pharmacy High Cost Drugs Technicians 023 8120 8637
Sarah Hall Division D Radiology Office Manager
02381 20 4434
Emma Francis Division D Cardiothoracic, Neuro & Trauma and Orthopaedic
Private Patient Co-ordinator 02381 20 3211
Universal Charges Outpatient consultation Classification of Treatment Notes Tariff
Consultation appointment Charge is for the use of the room only. An additional charge will be made for all diagnostic procedures, all drugs and all medical and surgical devices.
75
Day case - non operative Classification of Treatment Notes Tariff
Hourly rate - capped at four (4) hours
Includes use of bed for observation, drug
monitoring, transfusion, infusion etc.
108
Accommodation charges Classification of Treatment Notes Tariff
Shared accommodation Charge per day or part thereof
343
Single room Charge per day or part thereof and subject to availability
379
Single room - en suite Charge per day or part thereof and subject to availability
414
Amenity bed 101
Clinical support services Classification of Treatment Notes Tariff
Physiotherapy per 15 minutes session 45
Dietetics per 15 minutes session 45
Occupational therapy per 15 minutes session 45
Sports injury clinic per 15 minutes session 45
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Theatre Charges
Theatre and catheter room Day case and Inpatients
Classification of Treatment Max Time (minutes) Tariff
Includes local anaesthetic Minor Up to 30 334
Includes local anaesthetic Intermediate Up to 60 987
Theatre and catheter room Day case and Inpatients
Classification of Treatment Max Time (minutes) Tariff
Includes General Anaesthetic
Minor Up to 30 642
Intermediate Up to 60 1,262
Major Up to 90 1,881
Major Plus Up to 120 2,502
Complex Major – 1 Up to 150 3,119
Complex Major – 2 Up to 180 3,667
Complex Major – 3 Up to 210 4,360
Complex Major – 4/5 Up to 240 4,965
Any Minor or Intermediate procedure that lasts longer than the specified time will incur an additional charge of £300 per 30 minutes in theatre or part thereof.
Any Major or Complex procedure that lasts longer than the specified time will incur an additional charge of £680 per 30 minutes in theatre or part thereof.
The charges above do include:
• General and local Anaesthetic
The charges above do not include:
• High cost consumables (over £125, including Trust handling fee) which will be charged separately
• Cardiac consumables/ pacemakers/ implantable devices, these will be charged separately.
• The Surgeon and Consultant Anaesthetist Fees, which will be billed separately.
Critical Care Charges
Critical care Classification of Treatment Notes Tariff
(per day or part thereof) Non ventilated High Care 1,163
Ventilated High Care 1,676
Intensive Care – Cardiac 2,758
Intensive Care – Neuro 2,758
Intensive Care - Other specialties
2,758
Haemofiltration therapy 1,289
Plasmapheresis therapy 1,586
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Cancer Care Chemotherapy
Hours Notes
Tariff
(per treatment session) Up to 2hrs 278
2 - 4hrs 377
4 - 6hrs 468
6 - 8hrs 561
Rate per Hour (over 8 hours) 164
Chemotherapy Classification of Treatment Notes Tariff
(per treatment session) Scalp cooling 138
Stem cell - white blood set 2-3 likely to be required 724
Stem cell - auto PBSC 2-3 likely to be required 724
Stem cell - red blood set 2-3 likely to be required 643
Stem cell - plasma exchange 2-3 likely to be required 708
Plasma exchange Patient to require every 3 - 4 weeks.
536
Other charges Classification of Treatment Notes Tariff
Blood test 40 Chemotherapy treatment cost
(excludes drugs) Per hour 105
Where a chemotherapy patient is an inpatient, and receives chemotherapy treatment from their bed, the standard bed day rate will apply and no chair cost will be made.
Radiotherapy
Classification of Treatment Fractions included Tariff
Prostate by VMAT 37 21,228
Breast package 1 25 27,361
Breast package 2 15 20,520
Breast Boost 5 5,472
Head and Neck with shell and IMRT 33 20,985
Prostate by VMAT + Day case Single Brachytherapy HDR Treatment 15
21,060
HDR vault insertions as OP for endometrium patients 4 19,473
Cervix followed by 2 HDR full insertions as a daycase 25 40,475
Endometrium followed by 2 HDR vault insertions as an outpatient 25
24,058
Gynecological no HDR 28 17,435
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Radical Lungs package 1 30 18,681
Radical Lungs package 2 20 12,453
Radical Lungs package 3 33 20,548
Radical Lymphoma 15 9,538
Radical Lymphoma 10 6,482
Superficial treatment package 1 10 9,058
Superficial treatment package 2 5 4,529
Prophylactic Cranial Irradiation 10 6,359
Prostate LDR Seeds Brachytherapy (BT212) 1 13,574
HIPEC n/a POA
IOERT n/a POA
Classification of Treatment Fractions Included Tariff
Palliative treatment package 1
Simple 10 5,738
Complex e.g. with shell 10 6,359
Palliative treatment package 2
Simple 5 2,868
Complex e.g. with shell 5 3,179
Palliative treatment package 3
Simple 1 1,367
Complex e.g. with shell 1 2,164
Mould room charges Classification of Treatment Notes Tariff
Full shell 401
Head shell 319
Prone shell 733
Orfit shell 131
Electron shell 437
Conformal wax 171
Compensator 479
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Bone Marrow Tranplants
Peripheral blood stem cell transplant
Classification of Treatment Tariff
Full intensity, sibling allogeneic PBSCT 115,210
Full intensity, sibling allogeneic BMT 107,718
Full intensity, VUD allogeneic PBSCT 100,025
Full intensity, VUD allogeneic BMT 96,663
Reduced intensity, sibling allogeneic PBSCT 101,857
Reduced intensity, sibling allogeneic BMT 97,864
Reduced intensity, VUD allogeneic PBSCT 89,141
Reduced intensity, VUD Allogeneic BMT 90,001
Autologous PBSCT 51,833
Autologous BMT without TBI 52,125
Autologous BMT with TBI conditioning 58,573
PBSC harvest only 16,061
Bone marrow harvest only 12,038
Sibling donor lymphocyte infusion 5,406
Volunteer unrelated donor lymphocyte infusion 4,188
Harvests for Volunteer Unrelated Donors are charged separately. The charges made will vary significantly depending on the country supplying the donation.
These prices are based on a standard procedure with expected drug and blood products. Any additional drugs, blood products or procedures will be charged separately.
All prices include outpatient appointment costs and hospital stay costs.
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Cardiothoracic Services Cardiothoracic diagnostics
Classification of Treatment Notes Tariff
24 hour BP monitor 52
Flow rate U/S study 103
T.O.E 424
Cardiac investigations Classification of Treatment Notes Tariff
ECG Excludes Consultant Fees 69
Stress test Excludes Consultant Fees 224
Echocardiogram with doppler Excludes Consultant Fees 289
Tilt table test Excludes Consultant Fees 242
Automatic function test Excludes Consultant Fees 101
Cardiomemo Excludes Consultant Fees 56
24 hr heart monitor (fit & analysis) Excludes Consultant Fees 137
24 hr heart monitor (analyse only) Excludes Consultant Fees 64
24 hr blood pressure monitor Excludes Consultant Fees 116
7 day event recorder Excludes Consultant Fees 222
Pacemaker check Excludes Consultant Fees 67
ICD check Excludes Consultant Fees 70
Neurosciences Neurosciences Classification of Treatment Notes Tariff
E.M.G 133
E.E.G – routine 163
E.E.G – ambulatory 437
E.E.G. infected patient 180
Evoked potentials 173
Nerve Conduction Studies (NCS) 117
Visual fields 69
Intra operative Spinal/ Brainstem Monitoring
Per hour 151
Videotelemetry First 24 hour period or part thereof
1,704
Each subsequent 24 hour period or part thereof
1,482
All other procedure charges will be based on the theatre and day case rates specified in the Universal Charges section.
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General Medicine General Medicine Classification of Treatment Notes Tariff
High resolution oesophageal manometry
Excludes Consultant Fees 400
24 hour impedance testing
Excludes Consultant Fees 400
24 hour pH testing Excludes Consultant Fees 400 Combined High resolution
oesophageal manometry and 24 hour pH
Includes Consultant Fees 1000
Combined High resolution oesophageal manometry and 24 hour impedance
Includes Consultant Fees 1000
High resolution anorectal manometry (physiology)
Excludes Consultant Fees 605
Endoanal ultrasound Excludes Consultant Fees 264 Nerve conduction studies
(EMG/pudendal nerve) Excludes Consultant Fees 310
Sacral nerve neuromodulation Follow-up
Excludes Consultant Fees 267
Anorectal biofeedback Excludes Consultant Fees 605 Hydrogen/methane breath testing Excludes Consultant Fees 200 Sigmoidoscopy Excludes Consultant Fees 788 Anorectal Physiology Excludes Consultant Fees 202 Gastroscopy Excludes Consultant Fees 788 Bronchoscopy Excludes Consultant Fees 788 Colonoscopy Excludes Consultant Fees 788 Liver biopsy (excluding Pathology
& Radiology procedures) Excludes Consultant Fees 896
Fibroscan (Hepatology) Excludes Consultant Fees 314 ERCP Excludes Consultant Fees 1,199 Sphincterotomy Excludes Consultant Fees 1,199 Stone removal (Lithotripsy) Excludes Consultant Fees 1,199 Naso biliary drainage Excludes Consultant Fees 896 EUS (endoscopic ultrasound) Excludes Consultant Fees 690 Cardio-pulmonary exercise test Excludes Consultant Fees 341 Endobronchial Ultrasound (EBUS) Excludes Consultant Fees 3,996 Respiratory Classification of Treatment Notes Tariff
Pulmonary Function Tests
Aeroallergens 100
Food Allergens 125
Consultation appointment 75
Spirometry 56
Spirometry with Ventolin 80
Spirometry with Ipratopium 110
Spirometry (Ventolin/Ipratopium) 110
Bronchial Challenge 260
Transfer factor 63
Flight assessment (Fit to Fly) 122
Helium-Rebreathing (lung volumes) 62
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Plethysmography 113
Six minute walk 54
Muscle testing 76
Oscillatory 57
Nitric Oxide Measurement 63
Aero Allergens 101
Food Allergens 124
Areo/Food Allergens Combination 150
Cardio Pulmonary exercise testing (CPET)
506
FENO 50
Histamine Challenge 111
BDR Ipratopium 116
BDR Salbutamol 111
Capilliary Blood Gas 78
Other tests available upon request POA
Dermatology Classification of Treatment Notes Tariff
Photo dynamic therapy
Single area (per session)
Multiple lesions (per session)
Excludes Consultant Fee Excludes Consultant Fee
448
601
PUVA (photo chemotherapy)
First Session
Additional sessions
2 hour session
30min session
122.35
50
Light therapy First session (including MED test)
Additional sessions
Excludes Consultant Fee 131
31
Iontophoresis treatment
Excludes Consultant Fee POA
Patch Test Patch test - 3 sessions
Photo patch test (including out-patient consultant fee)
Includes Consultant Fee
Excludes Consultant Fee
487
168
Skin surgery
Minor procedures including simple excision, shave excision, curettage including local anaesthetic (30 min)
Excludes Consultant Fee 316
Intermediate procedures including up 3 excisions, larger excisions for skin cancer trunk/ limbs, multiple mole removal (60 min)
Excludes Consultant Fee 335
Day case procedures incl. skin flaps, skin graft, excisions for skin cancer on the face
Excludes Consultant Fee 987
Nurse Led Consultation
Per session 70
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All prices for treatments and packages include room costs, all procedures, anaesthetic (if required) and consumables. Prices exclude Consultant and Histopathology fees unless stated otherwise.
Any other Dermatology procedures prices are available upon request.
Obstetrics & Gynaecology
Gynaecology
Classification of Treatment
Notes
Tariff
Minor procedure cervix / uterus
Excludes Consultant Fee, High costs drugs will be charged separately. 338
Minor procedure cervix (uterus collagen injection)
Excludes Consultant Fee, High costs drugs will be charged separately. 338
Minor procedure uterus / adnexae
Excludes Consultant Fee, High costs drugs will be charged separately. 701
Hysteroscopy
Excludes Consultant Fee, High costs drugs will be charged separately. 701
Colposcopy
Excludes Consultant Fee, High costs drugs will be charged separately.. 701
Gynaecology
Classification of Treatment
Notes
Tariff
Ultrasound Excludes Consultant Fee 134
Foetal medicine outpatient ultrasound assessment
Excludes Consultant Fee 134
Delivery - normal including 1 night stay
Excludes Consultant Fee 1,480
Any necessary surgical procedures will be charged in accordance with the theatre categories stated in the Universal Charges section.
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Ophthalmology All Major and Minor procedures include the use of ophthalmology theatres, all procedures exclude surgeon and anaesthetic fees.
Major Procedures Classification of Treatment Tariff £’s
Cornea lamella graft (keratoplasty) to cornea 2555 Iris & Anterior Chamber Combined Phacoemulsification, implant and trabeculectomy 1922
Surgical Trabeculectomy 1922
Eyebrow & Lid Correction of ptosis of eyelid (simple, including tarsomullerectomy) 1922
Muscles Surgical correction of squint – horizontal 1 muscle 1922
Surgical correction of squint – horizontal 2 muscle 1922 Vitreous Vitreous biopsy/ pars plana vitrectomy 1922 Pars plana vitrectomy 2555 Pars plana vitrectomy with internal tamponade, scleral buckling
and retinpexy 2555 Pars plana vitrectomy with internal tampondae, scleral buckling
and retinopexy, including dissection of excision of epiretinal membrane/macular surgery 3189
Combined pars plana vitrectromy 3189 Eyebrow & Lid Correction of ptosis of eyelid - simple, including
tarsomullerectomy 2555 Correction of ptosis of eyelid - complex 2555 Correction of ptosis of eyelid with autologous fascia lata 2555 Bilateral upper lid and lower lid blepharoplasty GA 1969 Lid reconstruction 2619 Cataract Choice Inclusive Package price 1,600
Cataract Surgery Consultant Choice 1,900 To note any procedures not mentioned above are available on request.
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Intermediate Procedures Classification of Treatment Tariff
Lens Phaoemulsification of lens with implant – unilateral 997 Eyebrow & Lid Blepharoplasty (Bilateral) 997
Correction of lower lid ectropion without graft/ flap 997 Correction of lower lid ectropion with graft/ flap 997
Correction of entropion - lower lid 997 Correction of entropion - upper lid, including graft/ flap 997
Minor Procedures Classification of Treatment Tariff
Eyebrow & Lid Excision of lesion of eyelid 337
Correction of entropion 337 To note any procedures not mentioned above are available on request. Minor and intermediate charges do not include the cost of a general anaesthetic which will be charged separately if required. This will be charged at £334 for all minor and intermediate procedures.
Other procedures Classification of Treatment Tariff Treatment room procedures Intravitreal triamcinalone injection 337 Intravitreal antibiotic injection 337
Macula Degeneration Intravitreal Injection (excl drug) 337
Miscellaneous YAG Laser Capsulotomy - Unilateral 337 YAG Laser Capsulotomy - bilateral 337 Argon Laser 314
Diagnostics & Imaging
Classification of Treatment
Tariff
Imaging Fundus Flourescein angiography (FFA) 255 Fundus photography 73 Optical Coherance Tomography (OCT) 73 Indocyanine Green Angiography (ICG) 255 Combined Flourescein/IGS 275 Heidelberg Retinal Tomography (HRT) 73 Endothelial cell count 82 Corneal Topography 73 Anterior segment photography 73 Corneal Pachymetry 73 Stereo Disc Photos 73
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Treatment room procedures
Pachymetry 73
Miscellaneous
Biometry Pre-op Assessment
73 73
Orthoptic Assessment Ocuscan
73 73
Ultrasound (B scan ) Refraction
73 73 73
Low vision assessment 73 Contact lens fitting 402 Visual Evoked Response (VEP) and Pattern Electro-Retinogram
(PERG) 355 VEP, PERG and Electro-Retinogram (ERG) 466 VEP, PERG, ERG and Electro-Ocular Gram (EOG) 566 Electrodiagnostic tests for a Child 402 100 Hue test 73 24 Hour phasing 73 12 Hour phasing 73 Visual Fields 73 Colour Photography 73 Punctual Plugs 176 Radio Surgery 289 Botulinum Toxin 289 Glaucoma Screening 161 Visudyne Therapy 2123
Orthopaedics Orthopaedics
Classification of Treatment
Tariff
Xiapex Clinic 1,569
Plaster of paris
Dynocast/Bay Cast:
Below Elbow 102
Above Elbow 169
Below Knee 210
Above Knee 347
Jacket/Hip Cast 1,029
Other procedures available upon request
POA
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Paediatrics Orthopaedics Classification of Treatment Notes Tariff
Tongue Tie Package Price – includes consultant fee
164
Major release of muscle (excluding hamstring - cost per case basis)
Includes high cost consumables, excludes consultant and anaesthetist fees
2,802
Pelvic osteotomy Includes high cost consumables, excludes consultant and anaesthetist fees
11,210
Open reduction - complex Includes high cost consumables, excludes consultant and anaesthetist fees
11,210
Spica to Broomsticks Includes high cost consumables, excludes consultant and anaesthetist fees
1,681
Broomsticks to splints Includes high cost consumables, excludes consultant and anaesthetist fees
1,681
Adductor release and arthogram Includes high cost consumables, excludes consultant and anaesthetist fees
2,129
Femoral osteotomy Includes high cost consumables, excludes consultant and anaesthetist fees
11,210
Guided growth Includes high cost consumables, excludes consultant and anaesthetist fees
5,605
Removal of hip spica and pins (after pelvic osteotomy)
Includes high cost consumables, excludes consultant and anaesthetist fees
2,556
Open reduction and femoral osteotomy combined
Includes high cost consumables, excludes consultant and anaesthetist fees
16,814
All other paediatric orthopaedic cases will be charged on a cost per case basis.
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Pathology
Cellular Pathology Classification of Treatment Notes Tariff
Referred stained slides or blocks-this covers administration costs and report production only.
Excluding medical fees 45
Where technical work is carried out on wax blocks or unstained slides supplied with or produced from a referred case the following additional charges will apply
Special stains 26
Immunohistochemical Tests - first 2 (excluding ER & PR)
Including controls 98
Additional immunohistochemical test – ER
43
Additional immunohistochemical test – PR
43
Immunofluorescence Per case 105
Electron microscopy Per case 311
Renal biopsy Full examination including electron microscopy
629
Liver biopsy - routine case No immunostaining 188
Liver biopsy - complex case Including immunostaining 309
Radical prostatectomy Includes large blocks with levels
238
Bone marrow trephine Includes levels and special stains
200
Acetyl Cholinesterase 137
HER2 IHC 120
SISH 167
HER2 plus SISH 268
EMU 268
Histopathology Classification of Treatment Notes Tariff
(excludes medical fees)
Basic routine case Up to 2 standard blocks with H&Es and levels
84
Each additional standard block With H&Es and levels 22
Large blocks Each with H&Es and levels 45
Frozen sections Per case, initial report 91
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Neuropathology Classification of Treatment Tariff
(excludes medical fees)
Muscle biopsy 620
Nerve biopsy 353
Eye (globe) 166
CSF 103
Non-Gynae Cytology Classification of Treatment Notes Tariff
(includes medical fees but price will be broken down within the invoice)
Cervical smear 84
Body fluids 155
Sputum 155
Brushings 155
Electron Microscopy Classification of Treatment Notes Tariff
(includes medical fees)
Electron Microscopy from fixed tissue including processing, sectioning and photography
365
X-ray analysis including processing, sectioning and Analysis
436
Report sent to pathologist concerned
121-242.50
Brushings 157
Out of Hours Testing per test Between 17:00-08:00hrs Monday – Thursday Friday 17:00 – Monday 08:00hrs including Public Holidays
44
Laboratory Medicine Clinical pathology Classification of Treatment Notes Tariff
(includes medical fees, price will be broken down within the invoice)
Various tests, for example:
Biochemistry ‘Full Profile’
Individual tests from £15.60 each please call lab on 023 81 20 6435 for further details
37
Renal profile 24
Liver profile 24
Bone profile 24
Blood gases 37
INR 13
Phlebotomy 36
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Haematology & blood transfusion
Classification of Treatment Notes Tariff
(includes medical fees, price will be broken down within the invoice)
Various tests for example: Full blood count (FBC) 24
Cross match per unit (excluding cost of blood)
67
Coagulation screen 18
APTR 18
HEP 13
Immunology Classification of Treatment
Tariff
Various tests available; prices upon request
Microbiology Classification of Treatment
Venesection
Classification of Treatment
Tariff
Phlebotomy 36
All Pathology tests requiring 'out of hours' service will levy an additional fee per test.
40
Medical Physics Medical Physics Classification of Treatment Notes Tariff
Sub-Arachnoid haemorrhage monitoring
Per assessment 19
Microvascular assessment 151
Vascular ultrasound Dupple or transcranial 224
Bone densitometry 75
Displacement measurement Neuro otological 300
Displacement measurement Neuro only 194
Pharmacy Pharmacy Classification of Treatment
Tariff
Drugs for TOP UP and Co-Payment Patients;
POA
See 1.7 of the Terms and Conditions for other associated charges
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Radiology This includes interventional radiology procedures and nuclear medicine. All prices under the Radiology section exclude High costs drugs (over £125 per item), General Anaesthetic, Consultant and Consultant Anaesthetist fees unless specified otherwise: Group Classification Notes Tariff
Group A 47 Group B 130
Group C 238 Group D 427 Group E 681
Group F 1,095
These charges will apply in the absence of a specific tariff.
Clinical radiology
Classification of Treatment Notes Tariff
PACS Storage POA Plain X Ray Group A 47
Ultrasound Group B 130
Drainage 867
Biopsy 867
Price excludes Consultant & Consultant Anaesthetist charge.
CT scanning Classification of Treatment Notes Tariff
CT scan 1 area (+/- contrast) Includes consultant fee 471
CT Scan 2 areas (+/- contrast) Includes consultant fee 622
CT scan 3 areas (+/- contrast) Includes consultant fee 889
CT scan brain (+/- contrast) Includes consultant fee 490
MR scanning Classification of Treatment Notes Tariff
1 Area Includes consultant fee 453
2 Related areas Includes consultant fee 629
2 Unrelated areas Includes consultant fee 895 3 Related areas Includes consultant fee 899 3 Unrelated areas Includes consultant fee 1,487 Cardiac scan Includes consultant fee 1,309 Cardiac scan under stress Includes consultant fee 1,765
Gadolinium 150
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Interventional Radiology – Prices exclude Consultant or Consultant Anaesthetist charges.
Tariff
Paediatric Minor 379
Intermediate 566
Major 1,028
Fixed price treatments
Classification of Treatment
Discogram 362
Joint injection 214
Nephrostogram 252
Longline 431
PICC - single lumen 727
PICC - double lumen 776
Chest drain 612
Liver bx 537
Balloon dilatation 1,133
Basic package price - with some additional consumables to be charged on a case by case basis
Nephrostomy 977
Ureteric stent 665
Gastrostomy 685
Transjug liver bx 1,811
Ureteric stent change 665
Tace 1,085
IVC filter 2,542
IVC filter retrieval 1,360
TIPSS 1,299
RFA 2,439
RFA cryo 2,623
Atherectomy 2,314
AAA 3,363
Colonic stent 868
PCNL 3,684
Renal artery stenting 1,355
The lead consultant may be able to give advice on an approximate total cost in advance of the procedure being undertaken, this is because the volumes change on a case by case basis.
Cost per case TIPSS venogram POA
PTC POA
Angiogram POA
Angioplasty POA
Fibroid embolisation POA
Embolisation POA
Complex embolisation POA
Biliary stent POA
SIRT POA
For all embolisation treatments the quantity of embolic agent is unknown until the procedure is underway. Additional consumables will therefore vary from case to case and are not predictable.
Prices for all other procedures will be undertaken on a cost per case basis
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Nuclear Medicine Classification of Treatment Notes Tariff
Bone Bone Whole Body with SPECT CT 435
DXA Scan
Bone mineral density scan for osteoporosis 75
Brain Brain perfusion imaging SPECT 577
Brain dopaminergic system imaging 1,016
Cardiac MPS Tf stress gated 515
MPS Tf rest gated 515
Cardiac ventriculography rest (MUGA) 515
Renal Renal DMSA 434
Renogram with diuretic 538
GFR estimation 3 samples 434 Thyroid Thyroid Scan (Pertechnetate) 309 Iodine 123 (Whole Body + SPECT
CT) 509 Thyroid I131 thyrotoxicosis therapy 672 Parathyroid scan SPECT CT 652 Other Liquid gastric emptying study 595 Lung Perfusion Scan (VQ) 540 Lymphoscintigram 661 Radionuclide SeHCAT bile study 929 White Cell Fab Leukoscan SPECT 1,297 MIBG iodine 123 SPECT CT 2,365 Octreotide scan SPECT CT 2,491 Urea breath test 272 Phosphorus 32 therapy 1,192 Blood Volume 464 Lacrimal Scintidacrocystogram 525 Meckels Scan 435 Iodine 131 no drink 272 Iodine 131 (Whole Body + SPECT
CT) 435 Sentinel Lymph node SPECT CT 544
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Terms & Conditions
1.1 General
1.1.1 Please read these terms and conditions below carefully prior to agreeing to undertake treatment as they set out the terms upon which you will be provided with treatment and replace any previous terms and conditions which you may have received.
1.1.2 The tariff applies to private patient admissions from 1 April 2017 to 31 March 2018.
1.1.3 The prices included within this tariff are in the main hospital charges for private patients and do not include the costs of Consultants and Consultant Anaesthetists who will agree charges and bill you directly unless specified otherwise.
1.1.4 All patients are required to sign an ‘Undertaking to Pay’ agreement before an outpatient, day case or inpatient appointment or treatment can proceed. This applies to self paying and overseas patients as well as those with insurance and will cover any unforeseen costs.
1.1.5 No variations to this tariff will be made unless specifically agreed to in writing by the Trust authorised representative.
1.1.6 Patients should ensure that they understand which Universal Charges will be charged in addition to specified treatment costs prior to undergoing treatment as well as the expected costs for high cost consumables and drugs which will be charged.
1.1.7 The Trust is unable to accept responsibility for any personal property lost, stolen or damaged during a Hospital stay or visit and therefore advises that property brought into the Hospital is done so at the owner’s risk.
1.1.8 No clinical treatment is without risk and therefore patients should ensure that they are fully aware of the risks and potential complications arising from treatments prior to undergoing treatments.
1.2 Insurance Companies
1.2.1 The prices listed in the tariff are those which will be billed to insurers by the Trust from 1st April 2017 to 31st March 2018.
1.2.2 A referral of an insured patient to the Trust after 31 March 2017 by the insurer constitutes acceptance of these terms and conditions.
1.2.3 Any signed agreement / contract made between the Trust and the insurer for the provision of Private Patient Treatment to their insured members is made on the basis of this published tariff and any variation to prices contained therein, as agreed in writing.
1.2.4 In the absence of an alternative agreement in writing between the Trust and insurer made by 31 March 2017, the prices contained within this tariff will always apply between 1st April 2017 and 31 March 2018.
1.2.5 The insurer accepts the incorporation of this published tariff and any supporting price schedules referred to in the tariff (i.e. high value drugs costing over £25), into any standard contract for the provision of Private Patient Treatment services by the Trust. The tariff supersedes any listed procedure prices, treatments, procedures, drugs, consumables or other service inclusions or exclusions which may be included in the insurers standard contract.
1.2.6 Where full payment is not made and this has not been agreed in writing between the insurance company and the Trust the Trust reserves the right to collect the shortfall made against these tariff prices by an insurer from the insured patient. The Trust also reserves the right to charge a fee of £25 to the patient, to cover the cost of additional administrative services.
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1.3 Insured Patients
1.3.1 The Trust is recognised by most UK insurers and charges will be recoverable under standard health insurance policies within the individual subscriber’s agreement.
1.3.2 The medical insurance is a contract between the patient and the insurance company.
1.3.3 It is the responsibility of individual patients to obtain confirmation that any benefits will be sufficient to meet the anticipated cost of the treatment prior to hospital admission. Individuals must ensure that their insurance policy will meet the anticipated cost of the treatment to avoid delays as this confirmation will be required prior to the commencement of treatment.
1.3.4 If subsequent to treatment your insurance company does not recognise your claim then you will be personally responsible for payment. In addition should your insurance company refuse to pay a portion of your bill you will be responsible for payment along with any surcharges for additional costs incurred by the Trust.
1.3.5 Patients should also ensure that exclusions and waiting periods are adhered to prior to arranging for treatment to be undertaken, as defined in their policy (GP referral).
1.4 Self pay patients
1.4.6 Patients will also be charged additional amounts for sundry items such as telephone calls.
1.4.7 If you decide not to complete your treatment plan you will be charged in full up to the date of cancellation of treatment at the rates specified in the private patient tariff. If your consultant decides to amend or cancel your treatment you will be reimbursed for any amounts paid in advance at the rates specified in the private patient tariff.
1.4.8 All outpatients will be required to pay prior to the day of attending the appointment or on the day of the appointment prior to the appointment. Inpatient and day case patients will be required to pay a deposit equivalent to the estimated total cost of treatment 7 days prior to admission. All additional charges incurred above the estimated total cost of treatment must be paid prior to discharge.
1.4.9 Patients are required to inform the Cashiers Office on 02381 206058 of any changes to their contact details.
1.5 Cancellations
1.5.1 The Trust reserves the right to charge for cancellations made by the patient as set out below:
Within 7 days of admission/ consultation 50% Between 2 and 7 days of admission / consultation 75% On day of admission/ consultation 100%
1.5.2 The Trust will reimburse the patient who has pre-paid for a treatment or appointment in advance, that has been cancelled by the Trust for reasons deemed unrelated to the patients health.
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1.6 Late Payments
1.6.1 The Trust reserves the right to charge interest at 5% above the Bank of England base rate for any overdue amounts.
1.7 Drugs and Consumable charges
The standard the trust applies for drugs is BNF plus VAT + 15%. The standard the trust applies for high cost consumables is VAT (if applicable) plus 10%. A dispensing fee of £8.50 will be applied per every oral medication dispensed. An Aseptic fee for chemotherapy drugs will be applied according to the complexity of a product that is made. (The cost of diluents and intravenous fluids is included in the cost of the drug).
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