Bermuda Consolidated Legislation

Out patient Treatment

$

Radiology Department

(extra views done within 24 hours $14 per view)

(after 24 hours will be charged as per part being x-rayed)

Special Procedures

arthrogram - double contrast

279

bronchogram

148

dacryocystogram

221

femoral arteriogram - one side

687

femoral arteriogram - bilateral

1,309

fistulagram or venogram

250

myelogram - cervical and / or dorsal

285

myelogram - lumbar

269

needle biopsy of lung

286

salpingogram

234

scanogram

125

sialogram

250

sinogram

296

tomogram

240

tomogram over 15 films , charge per extra film

9

ureterogram

245

portable charge

80

Head and Neck

facial bones

120

internal auditory meatus

149

jaw

120

mastoids

155

nose

120

optic foramen

126

orthopantomogram OPG

119

PNS post nasal space

126

salivary glands

120

sinuses

120

skull

124

teeth, 1 to 16

232

teeth, full set

232

temporomandibular joints

104

Genito-urinary Tract

cystogram voiding or stress

213

pyelogram, intravenous

255

pyelogram, retrograde

255

vasogram

211

Obstetrical and Gynaecological

erect lateral pelvimetry

154

pelvimetry

198

survey film

116

Chest

standard

108

standard with screening

174

Abdomen

erect and supine

132

plain

116

Gastro-intestinal Tract

barium enema

206

barium enema with air contrast

252

barium meal

175

barium meal with follow through

240

barium swallow

175

cholangiogram

161

cholecystogram

171

small bowel ft only

154

Extremities

ankle

115

elbow

111

femur

122

fingers 1,2 or more

115

foot/heel

115

forearm

116

hand

115

hip

124

humerus

125

knee

121

amk knee

237

shoulder/clavicle

125

sterno-clavicular joints

125

subtalar views

139

tibia and fibula

124

toes 1,2 or more

115

wrist

115

Spine and Pelvis

acetabular views

165

cervical spine

130

lumbar spine

131

pelvis

129

pelvis and hip

137

ribs

132

sacroiliac joints

130

sacrum and / or coccyx

130

screening with image intensifier up to 5 mins.

157

screening with image intensifier more than 5 mins

210

screening for scoliosis, erect and supine

149

skeletal survey

178

soft tissue neck

125

sternum

130

thoracic spine/ dorsal

132

additional copy of any plate

22

aml series

181

additional views within 24 hours

17

additional charge per patient done outside normal
hours or public holidays

76

Nuclear Medicine Department

an additional $106 for scans done outside

of normal hours and public holidays)

Scanning

blood flow - with static organ imaging

520

bone-flow of extremities

520

bone-whole body survey

548

brain-with flow, time-activity curves

570

brain seizure disorder

588

brain-static only

552

csf-circulation-ventricles

534

cardiac investigations ;

muga resting

523

muga stress (in addition)

686

myocardial - pyrophosphate, acute infarct, injury

525

gallium - specific site

701

gallium - whole body

740

intestinal bleed - pyrophosphate

525

hepato - biliary

515

I.13 m.ibg scan

770

liver and / or spleen

506

lung - ventilation or perfusion

523

lung - ventilation and perfusion - same day

554

meckels - ectopic gastric mucosa

515

myocardial infarction assessment

529

parathyroid

621

renogram- time - activity curves (function)

528

salivary glands study

515

scintimammography

548

testicular - flow & statics

505

thyroid

505

thyroid uptake scan

702

venography-uni-bilateral-mediastinum-inferior/superior

515

voiding cystogram

335

Therapy

iodide sodium I - 131 therapy

115

***note: required drugs will be charged at current cost

Special data processing

148

C.T. Scan

c.t. head plain

567

c.t. head special

614

c.t. body

621

c.t. body special

654

c.t. body biopsy

607

c.t. body drainage

610

c.t. intravenous enhancement

185

c.t. special reconstructions

148

c.t. copy

23

c.t. reproductions of original films

49

additional charge per patient study done outside of normal hours and public holidays

265

Diagnostic Ultrasound

B Scans

abdomen

199

aorta

199

pre and post bladder

199

breast

199

carotoid doppler study

339

colour doppler

256

doppler as additional study

75

gallbladder

199

head

199

intra cavity

209

intra cavity pelvic

209

liver/spleen

199

obstetrics and gynaecology

199

pancreas

199

pelvis

199

renal

199

thyroid

199

testicles

199

fertility drug serial - the first and every other

199

vascular studies

216

review/repeat scan

100

portable study

additional $10 charge

Biopsy and Amniocentesis

(does not include standard b scan charge)

205

additional charge per patient done outside
normal working hours or on public holidays

158

ECG/EEG Department

electrocardiogram

59

electroencephalogram

199

holter monitor of heart with analysis

215

stress test

221

adult echocardiography - complete study

711

2d & doppler / colour flow

paediatric echocardiography - complete study

854

2d & doppler / colour flow

pacemaker clinic

91

cardiologist attendance fee(echo) - adult

71

- paediatric

127

signal averaged ecg

66

sleep apnea study

337

Pathology Department

Haematology/Coagulation

bleeding time

41

blood draw for send away specimens

23

body fluid count (pleural,ascitic or spinal)

38

bone marrow examination with aspiration

204

coagulation screen

60

complete blood count

33

erythrocyte sedimentation rate

42

factor v111

51

factor 1x

51

fibrinogen

50

f.d.p.

33

f.d.p. titer

48

film examination for parasites

57

foetal haemoglobin

96

haemoglobin a 1 c

52

haemoglobin electrophoresis

66

hepatitis c antibody

65

k.p.t.t.

33

l.e.screen

56

infectious mononucleosis screen

33

prothrombin time

51

reticulocyte count

40

rheumatoid factor - titration

68

rubella antibodies

40

screening test - r.a.

43

sickle test

28

Blood Transfusion

antibody identification

76

antibody screen

60

antibody titre

81

antigen subtyping - saline per antigen

9

antigen subtyping - ahg per antigen

11

antigen profile

145

beta hcg (total)

70

blood group and antibody screen

76

cold agglutinins

145

coombs direct

40

hiv check

61

htlv 111 antibody screen

76

ige

70

kleihauer

58

pregnancy test

46

rhesus genotype

57

rhogam

140

Microbiology

afb culture (dir.) 3 specimens

174

afb culture (conc.) 3 specimens

191

a.n.a. fluorescent antibody technique

55

blood culture

120

body fluid (csf, joint) micro and culture

85

c.Difficile toxin

49

catheter tip culture

85

chlamydia serology

55

conjunctional swabs - chlamydia by f.a.

55

cryposporidium stain - regular

55

csf culture

119

dark ground microscopy with clinical examination

152

ear swab - routine culture

60

eye swab - routine culture

60

faecal fat stain

28

fluorescent treponemal antibody

52

fungus culture

73

genital culture

79

gram stain

8

helicobacter pylori AB

37

herpes culture

58

india ink prep

8

knee aspirate crystals

71

legionella , culture and identification (sputum, bronchial washing, pleurl fluid, trachaelaspirate)

109

mrsa screentest

60

ova and parasites

50

respiratory culture

85

rotavirus latex afflutination

92

rsv (respiratory syncytial virus) dfa

77

semen for culture

72

sperm count

84

sputum or tissue for tb smear only

105

stool(or rectal swab) for culture

79

syphillis serology

53

tissue culture

129

throat swab

60

urine micro and culture

60

vre screening test

61

wound culture

119

Histology/Cytology

cytochemical stain (e.g.pas,diastase,grocott)

57

single tissue specimen for examination

105

two tissue specimen for examination

132

three tissue specimens

158

four tissue specimens

259

five tissue specimens

314

six tissue specimens

367

seven tissue specimens

420

barr body count

42

bone marrow biopsy

213

colposcopy biopsy

105

cytology(pap)

42

fine needle aspiration (assisted)

213

frozen section and examination

188

hormonal evaluation

42

immuno peroxidase technique (cea,lca,afp,l26)

91

non-gynaecological smear (e.g.sputa, fluids)

82

p.a.p. peroxidase technique

72

resin section

70

tissue section-single

105

tissue section for macro examination

51

additional set of slides requested by doctor

36

estrogen reception assay

351

**where the examination covers more than one organ each additional organ will be charged at half price

Nuclear Medicine In-vitro Studies

australian antigen

47

b12

55

ca 125

55

cea

55

ck-mb

55

cyclosporine

70

digoxin

60

estradiol

70

ferritin

60

folate

54

free t4

96

fsh

70

hepatitis b antibody

60

hepatitis b core antibody

60

lh

70

progesterone

70

prolactir

70

prostatic specific antigen (psa)

55

testosterone

70

t.s.h.

60

free t3

60

total t4

96

thyroid profile (free t3, free t4, tsh &t4)

214

Biochemistry

acetominophen

42

acid-base balance ( blood gases)

63

albumin only

31

alcohol (blood or urine)

33

alkaline phosphatase

31

amylase

31

b12

55

bence jones protein screen

40

baby bilirubin

31

bilirubin direct

31

bilirubin total

31

blood sugar (glucose) (fasting, random)

31

blood sugar (glucose) (1-6hour p.c.)

41

body fluid chemistry
(amylase, bili, chloride, creat, glucose)
(sodium, potassium, LDH, phos, BUN, etc.)

33

calcium

31

carbamazepine/tegretol

41

cardiac enzymes (cpk,ast,ldh,ckmb)

66

csf protein only

32

csf sugar only

31

csf chloride only

31

chemistry profile (24 tests)

322

chloride

31

cholesterol

31

clinic profile (u&e,glu,cret,uric)

79

coronary profile (hdl,ldl,vcdl,trdg,chol)

59

creatinine

31

creatinine clearance

63

creatinine phosphokinase (cpk)

31

dilantin/phenytoin

41

drug testing for abuse
- separate charge for each drug tested

41

ed profile(Na,K,Cl,BUN,Glu,creat)

62

electrolytes(Na,K,Cl)

47

gentamicin

41

ggt

31

glucose challenge

47

glucose drink

7

glutamic- oxalacetic transaminase (sgot)

31

glutamic- pyruvic transaminase

31

high density lipoprotein (hdl)

31

5-hydroxy indoleacetic acid screen (5 hiaa)

40

iron profile (iron, tibc, %sat)

70

ldh

31

lipid profile (chol , trif)

40

lithium

36

liver function test (bilirubin,alt,ast,total protein albumin, globulin,albumin,alt phos,ggt)

89

low density lipoprotein

31

lytes, glucose, bun (lgb)

47

magnesium

30

phenobarbital

41

phosphorous

31

porphyrins (early morning spec.)

38

potassium

31

post dialysis profile

79

pre dialysis profile

232

protein (body fluid)

32

proteins (includes albumin and globulin)

38

protein electrophoresis

55

salicylate

26

sodium (na)

31

stool/ urine reducing substances

18

tegretol

41

theophylline assay

41

triglycerides

31

urea & electrolytes (Na,K,Cl,BUN)

47

urea nitrogen (bun)

31

uric acid

31

uric acid - urine

33

urine calcium

33

urine for bile pigments

38

urine for bile products (urobilinogen)

38

24hr urine chemistry
(creat, glucose, sodium, potassium,uric acid, BUN,amylase, calcium, etc.)

43

urine for glucose

33

urine for protein

33

urine for prophyrins

33

valproic acid/ epilim

41

vancomycin

41

xylose test

60

2hr gtt

59

3hr gtt

71

4hr gtt

82

5hr gtt

97

6hr gtt

109

note: any test sent to a commercial or reference laboratory will be charged according to current charges of that commercial or reference laboratory plus a handling charge of $36 for express postal specimens and $118 for specimens requiring air freight or dry ice or both

Operating Rooms - General

amputation fingers or toes

403

anal and urethral dilatation

370

anal fistula

370

arteriograms

598

arthroscopy & injection of depomedrol

562

arthroscopy - removal loose body

562

- removal plica

562

- chrondroplasty

562

- meniscectomy

562

arthroplasty - small joint

477

bilateral augmentation mammoplasty

499

biopsy prostate

370

breast needle localization

475

bronchoscopy

499

cardioversion

329

carpal tunnel release / dequervains

403

catheterization

349

cautery of cervix

349

circumcision

397

colonoscopy

456

closed reduction of fracture - no cast

541

closed reduction of fracture - minor cast

541

closed reduction of fracture - full cast or body jacket

541

cystoscopy

349

cystoscopy, dormia

455

cystoscopy retrograde pyelogram

455

cystoscopy - t.u.r. (t)

386

cystoscopy -ureteroscopy

583

cystometry

386

debridement

370

declotting a.v. fistula

403

dermoid or bartholin's cyst

349

dilatation and curettage

363

dilatation and curettage, tubal washings/polypectomy

384

dilatation and curettage and cone biopsy

403

dorsal slit penis

349

ear lobe repair/ bat ears

406

electro convulsive therapy

329

ERCPendoscopic retrograde cholangio pancreatography

561

examination under anaesthesia

349

excision - breast lumps

499

excision - deep cyst or ganglion

391

excision - gynaecomastia

411

excision - ingrown toenail

370

excision and biopsy - basal cell carcinoma

370

excision and biopsy - bursa

370

excision and biopsy - digital nerve

370

excision and biopsy - epithelioma

370

excision and biopsy - fibroma

370

excision and biopsy - granulomas

370

excision and biopsy - hair follicles

370

excision and biopsy - keloids

370

excision and biopsy - lesions

370

excision and biopsy - leukoplakia

370

excision and biopsy - melanoma

370

excision and biopsy - moles/warts

370

excision and biopsy - sebaceous cyst

370

excision and biopsy - superficial cyst

370

excision of lumps/ xyphoid bone

370

excision scars

370

excision neuromas

370

failed procedures

326

gastroscopy

426

haemorrhoids

403

hammer toe / hallux valgus/ chevron osteotomy

370

hernia repair

424

hymenectomy

349

hysteroscopy

370

incision and drainage of abscess or haematoma

370

insertion of intra-uterine contraceptive device/estrogen

349

insertion of PTFE graft

954

insertion or removal quinton central line

386

Implants

insertion of vasoport

1,028

instillation of bladder drugs

370

instillation or injection of chemotherapy drugs

370

intercostal block

370

k wire to fingers or toes

386

laparoscopy

451

laparoscopy- appendectomy

481

laparoscopy - t.l./meth blue inj./adhesions

481

laparoscopy- uterine suspension

522

liposuction

403

lumbar puncture

430

major suturing

424

mallet finger/trigger finger

386

manipulation of joints

349

minor dressing and suture or insertion of catheter

370

multiple superficial cysts

424

nail surgery

384

natural fistula / aneurysm

424

needle biopsy - joints & injection of joints

370

needle biopsy - liver

370

ochidopexy

397

open reduction

573

orchidectomy

397

perineal reconstruction or revision

441

pessary (removal/insertion)

349

pilionidal sinus

403

repair fallopian tubes

522

removal of - foreign body

523

removal of - jaws wires

386

removal of - k wires

386

removal of - lipomas

386

removal of - nails or pins

386

removal of - neck glands

386

removal of - nodes

386

removal of - papillomas

386

removal of - screws and plates

523

removal of - ptfe shunt

386

removal of - sutures

386

removal of - orthofixator

386

resection osteochondroma

370

repositioning / reinsertion pacer lead

573

revision of scars

386

rubins test

370

salpingogram code

245

sigmoidoscopy

357

skin graft/ z plasty

386

sphincterotomy

349

sympathetic block / quanethadine block / interplural block/ganglion block

370

tendon repair

424

termination of pregnancy

375

therapeutic epidural/ blood patch

431

transrectal biopsy

403

varicose veins ties

403

vasectomy

411

warts/condylomata

370

wire guided biopsy

498

wurms procedure/ insertion of shirodkar/ circulage

370

Eye Surgery

capsulectomy / capsulotomy

590

cataract extraction

791

cataract - insertion of intra-ocular lens

1,155

conjunctival flap

529

conjunctival granuloma / angioma

529

corneal crafts

791

cryosurgery

370

ectropion/ blepharosplasty

549

examination under anaesthesia

495

injection of retrobulbar alcohol

370

insertion of contact lens extra-ocular

370

intra ocular lens insertion

915

lateral muscle resection

532

meibomian cyst / chalazia

512

probing tear duct

512

pterygium/ pfosis

512

removal of eye sutures

495

removal of foreign body

509

repositioning intra-ocular lens

512

retinal photocoagulation/cryo

370

strabismus / squint

565

tarsorrhaphy

565

trebeculectomy / vitrectomy

590

keratectomy

590

vitrectomy

800

*** detention time over six hours will result in an additional charge of 20% of the rate for the procedure

note: where there is more than one prodedure, there will be a charge of 10% of the rate for the most expensive procedure and 50% of the rate for any other procedures

Ear, Nose and Throat Surgery

atticotomy

403

bilateral antral lavage

349

biopsy oral tumour

512

bronchoscopy and complete endoscopy

370

cautery of expistaxis area

384

cautery inferior turbinates

349

direct laryngoscopy

349

elevation fractured malar

403

ent - smr (nasal)

532

insertion of grommets

532

micro-laryngoscopy

512

modified myringoplasty

403

myringotomy

349

nasal polypectomy

370

oesophagoscopy / tracheoscopy

370

reduction fractured nose

370

removal of aural granuloma

512

removal of grommets

495

removal of pack with general anaesthesia

349

rhinoplasty

350

straight oesophageal dilation w/o oesophagoscopy

349

tongue tie release

370

tympanoplasty

583

combination of any two - ear, nose and throat

590

combination of any three - ear, nose and throat

701

Dental Surgery

jaw wiring

398

minimum charge (30 minutes of time)

398

over 30 minutes of time

522

*** detention time over six hours will result in an additional charge of 20% of the rate for the prodedure

note: where there is more than one procedure, there will be a charge of 100% of the rate for the most expensive procedure and 50%of the rate for any other procedures

Physiotherapy Department

individual treatment

category 1:

50

evaluation

muscle grading 2-4

hydrotherapy (at pool)

taping

prosthetic review

open wound care

relative instruction

mobilization

frictions/massage/myofascial release

laser

category 2:

42

lung function

electrotherapy

muscle grading - 1 limb

lumbar traction

cervical traction

therapeutic exercise

gait training

jobst compression

category 3:

32

whirlpool bath

wash bath

hot packs

ice packs

category 4:

67

cybex testing and treating

no show cancellation

42

Occupational Therapy
(including outpatient geriatric rehabilitation)

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

42

Speech therapy

Individual treatment (per quarter-hour)

13

Emergency Department

Individual treatment - minor

142

- intermediate

208

- major

256

individual treatment with stay over 6 hours for observation purposes

337

individual treatment with subsequent admittance

256

recompression chamber

982

crutches

67

canes

17

extrication cervical collars

34

***note: patients subsequently admitted from the emergency department will be charged for an emergency visit in addition to the inpatient room charge. This will be charged out as a major treatment.

Vein clinic

initial visit

33

treatment without ultrasound

39

treatment with ultrasound

139

Ambulance

per trip

114

airport (to and from)

129

Geriatric Care

geriatric day care

45

respite care

78

Orthopaedic Unit

orthopaedic unit - individual treatment

68

no show cancellation

43

Diabetic Counselling

one week diabetic education programme
(12 hours classroom teaching, 3 hours individual)

502

blood glucose testing

11

Healthy Heart Program

400

Dietetic Counselling

individual counselling (per half-hour)

42

group therapy (per half-hour)

24

Renal Dialysis

haemodialysis (non-residents)

680

haemodialysis (residents)

681

CAPD (per month)

7,749

Chemotherapy

individual treatment - half hour

49

- three to four hours

186

oncology relationship counselling (per half-hour)

19

oncology individual counselling (per half hour)

19

oncology group therapy (per half-hour)

10

day long chemotherapy

424

** note: required drugs will be charged at current cost

Audio-Vestibular Services

Hearing Testing

audiogram - pure tone air and bone

88

audiogram - speech

88

audiogram - conditioned response

88

impedance audiometry - compliance

88

impedance audiometry - stapedial reflex

88

impedance audiometry - eustachian tube patency

88

Vestibular Testing

caloric testing - cold

51

caloric testing - hot and cold

88

postural testing

50

IV Therapy

immunoglobulin monthly therapy

467

iv antibiotic treatment

106

iv flushing

106

pentamidine

120

Maternity Department

external cephalic version

87

foetal monitoring

49

fetal monitoring- 2hr assessment

88

removal of shirodkar suture

117

Colposcopy

157

Alcoholism Services

initial intake assessment

77

individual counselling

26

relationship counselling

51

group therapy (five sessions per week)

386

educational therapy ( five sessions per week)

386

aftercare counselling ( seventeen sessions)

439

family education (per person / 6 sessions )

155

oasis adolescent grp.( three sessions)

194

relapse prevention (sixteen sessions)

774

action (motivational grp.- nine sessions)

174

Hospice

day long care with i.v. infusion/ transfusion

91

day long care

49

Psychiatric Outpatient Clinic

initial consult

108

followup visits

80

Mammography

Examinations

initial mammogram

169

follow- up mammogram

101

localization with 1o.r. specimen
(does not include laboratory analysis of specimen)

270

fine needle biopsy
(does not include laboratory analysis of specimen)

270

ductogram

270

x-ray of specimen

101

recall for cone compression or magnification

60

additional views

31

cyst aspiration

270

missed appointment

46

Psychiatric Counselling

new patient

108

follow-up visits

80

Early Discharge Care

Ulcer/Wound care

dressing

91

with laser

126

Dressing Change

normal

56

with laser

91

with venous devices

84

Stump Care

84

Ostomy

49

TPN Administration

112

TPN Laboratory Charge

162

Medication Administration

49

Stroke Rehabilitation

PT or OT

35

speech therapy

38

Antibiotic IV Therapy

basic

73

antibiotics

charged
at cost