BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 1

BR 20/2002

BERMUDA HOSPITALS BOARD ACT 1970

1970 : 384

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

The Bermuda Hospitals Board, with the approval of the Ministerof Health and Family Services, in exercise of the power conferred upon itby section 13 of the Bermuda Hospitals Board Act 1970 makes thefollowing Regulations:

Citation and commencement1 These Regulations which amend the Bermuda Hospitals Board(Hospital Fees) Regulations 1980 (hereinafter referred to as "the principalRegulations") may be cited as the Bermuda Hospitals Board (HospitalFees) Amendment Regulations 2002 and shall come into operation on 1April 2002.

Amends regulation 4 of principal Regulations2 Regulation 4 of the principal Regulations is amended by deleting"$375.00" and substituting "$390.00".

Revokes and replaces Schedules 1 and 23 Schedules 1 and 2 to the principal Regulations are revoked andreplaced by the following—

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

2 1989 Revision

"SCHEDULE 1

IN-PATIENT TREATMENTPART A Residents' Rates

1 The general per diem rate for patients, other than new-borninfants and patients classified as geriatric, shall be $696 for public wardaccommodation, $831 for semi-private accommodation and $999 forprivate accommodation.

2 The per diem rate for patients classified as geriatric shall be$268.

3 The per diem rate for newborn infants shall be $268.

4 The per diem rate for hospice care shall be $390.

PART B Non-Residents' Rates

The general per diem rate for patients who are non-residents shall be asfollows—

(a) for public ward accommodation $1,216

(b) for semi-private accommodation $1,452

(c) for private accommodation $1,751

(d) for nursery $ 471

(e) for patients classified as geriatic $ 471

(f) for St. Brendan’s Hospital $ 686

SCHEDULE 2

OUT-PATIENT TREATMENT

Radiology Department$

(extra views done within 24 hours $20 per view)(after 24 hours will be charged as per part being x-rayed)

Catherization for x-ray 53

Special Procedures

Angiography 392Angioplasty 842

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 3

Arterial Stenting 2,342PTC 252Biliary drain 870Biliary Stent 2,280IVC filter 1,299Renal Angioplasty 1,059Renal Stent 2,059Nephrostomy 544Antegrade Stent 700Varicocele embolisation 1,209arthrogram - double contrast 329bronchogram 175dacryocystogram 261femoral arteriogram - one side 809femoral arteriogram - bilateral 1,542fistulagram or venogram 295myelogram - cervical and / or dorsal 336myelogram - lumbar 317needle biopsy of lung 337salpingogram 276scanogram 148sialogram 295sinogram 348tomogram 283tomogram over 15 films , charge per extra film 10translumber 1,499ureterogram 289portable charge 94magnetic resonance imaging (MRI) 1,000stereotactic breast biopsy 750

Head and Neck

facial bones 142internal auditory meatus 176jaw 142mastoids 183nose 142optic foramen 149orthopantomogram OPG 142

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

4 1989 Revision

PNS post nasal space 149salivary glands 142sinuses 142skull 147teeth, 1 to 16 272teeth, full set 272temporomandibular joints 122

Genito-urinary Tract

cystogram voiding or stress 252pyelogram, intravenous 301pyelogram, retrograde 301vasogram 248

Obstetrical and Gynaecological

erect lateral pelvimetry 182pelvimetry 233survey film 137

Chest

standard 127standard with screening 205

Abdomen

erect and supine 155plain 137

Gastro-intestinal Tract

barium enema 242barium enema with air contrast 297barium meal 206barium meal with follow through 283barium swallow 206cholangiogram 189cholecystogram 202small bowel ft only 182

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 5

Extremities

ankle 136elbow 130femur 145fingers 1,2 or more 136foot/heel 137forearm 136hand 136hip 147humerus 148knee 144amk knee 279shoulder/clavicle 148sterno-clavicular joints 148subtalar views 164tibia and fibula 147toes 1,2 or more 136wrist 136

Spine and Pelvis

acetabular views 194cervical spine 153lumbar spine 154pelvis 152pelvis and hip 161ribs 155sacroiliac joints 153sacrum and / or coccyx 153screening with image intensifier up to 5 mins. 189screening with image intensifier more than 5 mins 246screening for scoliosis, erect and supine 176skeletal survey 209soft tissue neck 148sternum 153thoracic spine/ dorsal 155additional copy of any plate 26aml series 213additional views within 24 hours 21additional charge per patient done outside normalhours or public holidays

89

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

6 1989 Revision

Nuclear Medicine Department

an additional $125 for scans done outsideof normal hours and public holidays)

Scanning

bone scan- static 613bone scan- 3 phase 613bone-whole body survey 646brain-with flow, time-activity curves 673cardiac investigations;cardic stress/rest 694white cell labelling 650strontium 89 inject. 628cardic muga 617cardic stress 80cardic rest 619gallium - specific site 827gallium - whole body 873G.I. bleed 619hepato - biliary 607I.13 m.ibg 908liver and / or spleen 576lung - perfusion only 617lung - ventilation and perfusion - same day 653meckels - ectopic gastric mucosa 607myocardial infarction assessment 623parathyroid 732renogram 622salivary glands study 607scintimammography 646testicular - flow & statics 596thyroid uptake scan 828thyroid 596gastric emptying 607v. cug 394DMSA renal 582DTDA lung clearance 577Diuretic renogram 582

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 7

1-131 whole body 163radioisotope iodine 131 3m Ci 87radioisotope iodine 131 10m Ci 98radioisotope iodine 131 15m Ci 111radioisotope iodine 131 20m Ci 127radioisotope iodine 131 25m Ci 138radioisotope iodine 131 30m Ci 148radioisotope gallium 67 3m Ci 227radioisotope gallium 67 5m Ci 344radioisotope strontium 89 4m Ci 1,874radioisotope thallium 201 2m Ci 179radioisotope thallium 201 3m Ci 221radioisotope 131 MIGB 0.5 mCi 252radioisotope sesta MIBI 5 units 1,453spec. - single pos. emission cts 277captopril renogram 582

C.T. Scan

c.t. head plain 565c.t. head special 724c.t. body 732c.t.body special 771c.t. body biopsy 716c.t.body drainage 719c.t. intravenous enhancement 218c.t. special reconstructions 175c.t.copy 27c.t. reproductions of original films 58additional charge per patient study done outside of normalhours and public holidays

313

Diagnostic Ultrasound

B Scans

abdomen 234aorta 234pre and post bladder 234breast 234carotoid doppler study 399colour doppler 302

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

8 1989 Revision

doppler as additional study 88gallbladder 234head 234intra cavity 245intra cavity pelvic 245liver/spleen 234obstetrics and gynaecology 234pancreas 234pelvis 234renal 234thyroid 234testicles 234fertility drug serial - the first and every other 234infant hips 234tendons 234shoulders 234soft tissue 234leg veins 234drainage 241arm veins 241leg arteries 256sonohysterograms 241vascular studies 256review/repeat scan 118portable study charge/additional 11

Biopsy and Amniocentesis

(does not include standard b scan charge) 241additional charge per patient done outsidenormal working hours or on public holidays

186

ECG/EEG Department

electrocardiogram 70electroencephalogram 234holter monitor of heart with analysis 254stress test 261adult echocardiography - complete study 837

2d & doppler / colour flowpaediatric echocardiography - complete study 1,006

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 9

2d & doppler / colour flowpacemaker clinic 108cardiologist attendance fee(echo)-adult 83

-paediatric 150signal averaged ecg 78sleep apnea study 396sedation for pediatric clients - echo 53

Pathology Department

Haematology/Coagulation

bleeding time 49blood draw for send away specimens 27body fluid count (pleural,ascitic or spinal) 45bone marrow examination with aspiration 240cbc, esr, sickling 94coagulation screen 71complete blood count 38erythrocyte sedimentation rate 50factor v111 60factor 1x 60fibrinogen 59f.d.p. 38f.d.p. titir 56film examination for parasites 68foetal haemoglobin 113haemoglobin a 1 c 61haemoglobin electrophoresis 78hepatitis c antibody 77k.p.t.t. 38l.e.screen 66infectious mononucleosis screen 38prothrombin time 60reticulocyte count 48rheumatoid factor - titration 80rubella antibodies 48screening test - r.a. 51sickle test 33sperm count 100

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

10 1989 Revision

sweat chloride test 160children for I.M. injections 32

Blood Transfusion

antibody identification 89antibody screen 71antibody titre 95antigen subtyping - saline per antigen 10antigen subtyping - ahg per antigen 12antigen profile 171beta hcg (total) 82blood group and antibody screen 89cold agglutinins 171coombs direct 48hiv check 72htlv 111 antibody screen 89ige 82kleihauer 69pregnancy test 54rhesus genotype 68rhogam 165

Microbiology

afb culture (dir.) 3 specimens 205afb culture (conc.) 3 specimens 226a.n.a. fluorescent antibody technique 64blood culture 142body fluid (csf, joint) micro and culture 100c.difficile toxin 58catheter tip culture 100chlamydia serology 64conjunctional swabs - chlamydia by f.a. 64cryposporidium stain - regular 64csf culture 140dark ground microscopy with clinical examination 179ear swab - routine culture 71eye swab - routine culture 71faecal fat stain 33

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 11

fluorescent treponemal antibody 61fungus culture 86genital culture 93gram stain 8helicobacter pylori AB 43herpes culture 69india ink prep 8knee aspirate crystals 83legionella , culture and identification (sputum,bronchial washing, pleurl fluid, trachaelaspirate)

128

mrsa screentest 71ova and parasites 59respiratory culture 100rotavirus latex afflutination 109rsv (respiratory syncytial virus) dfa 90semen for culture 85sperm count 99sputum or tissue for tb smear only 124stool(or rectal swab) for culture 93syphillis serology 62tissue culture 152throat swab 71urine micro and culture 71vre screening test 72wound culture 140

Histology/Cytology

cytochemical stain (e.g.pas,diastase,grocott) 68single tissue specimen for examination 124two tissue specimen for examination 155three tissue specimens 186four tissue specimens 305five tissue specimens 365six tissue specimens 433seven tissue specimens 495barr body count 50bone marrow biopsy 252colposcopy biopsy 124cytology(pap) 50fine needle aspiration (assisted) 252

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

12 1989 Revision

frozen section and examination 223hormonal evaluation 50immuno peroxidase technique (cea,lca,afp,l26) 108non-gynaecological smear (e.g.sputa, fluids) 97p.a.p. peroxidase technique 85resin section 82tissue section-single 124tissue section for macro examination 60additional set of slides requested by doctor 42estrogen reception assay 414**where the examination covers more than one organeach additional organ will be charged at half price

Nuclear Medicine In-vitro Studies

free PSA 82troponin 82homocystine 82acid phosphatase (pap) 53australian antigen 55b12 64ca 125 64cea 64ck-mb 64cyclosporine 82digoxin 71estradiol 82ferritin 71folate 63free t4 113fsh 82hepatitis b antibody 71hepatitis b core antibody 71lh 82progesterone 82prolactir 82prostatic specific antigen (psa) 64schilling test 328testosterone 82t.s.h. 71free t3 71

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 13

total t4 113thyroid profile (free t3, free t4, tsh &t4) 253

Biochemistry

acetominophen 50acid-base balance ( blood gases) 75albumin only 36alcohol (blood or urine) 38alkaline phosphatase 36amylase 36b12 64bence jones protein screen 49baby bilirubin 36bilirubin direct 36bilirubin total 36blood sugar (glucose) (fasting, random) 36blood sugar (glucose) (1-6hour p.c.) 49body fluid chemistry (amylase, bili, chloride,creat, glucose, sodium, potassium, LDH, phos, BUN, etc.) 38calcium 36carbamazepine/tegretol 49cardiac enzymes (sgot & ldh) 78csf protein only 37csf sugar only 36csf chloride only 36chemistry profile 385chloride 36cholesterol 36clinic profile(u&e,glu,cret,uric) 93coronary profile (hdl,ldl,vcdl,trdg,chol) 70creatinine 36creatinine clearance 75creatinine phosphokinase (cpk) 36dilantin/phenytoin 50drug testing for abuse - separate charge for each

drug tested50

ed profile 73electrolytes 55ethosuximide 46gentamicin 49

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

14 1989 Revision

ggt 36glucose challenge 55glucose drink 7glutamic- oxalacetic transaminase (sgot) 36glutamic- pyruvic transaminase 36high density lipoprotein (hdl) 365-hydroxy indoleacetic acid screen (5 hiaa) 48iron profile (iron, tibc, %sat) 82ldh 36lipid profile (chol , trif) 48lithium 42liver function test (bilirubin,sgpt,total protein,albumin, globulin)

105

low density lipoprotein 36lytes, glucose, bun (lgb) 55magnesium 35phenobarbital 49phosphorous 36porphyrins (early morning spec.) 45potassium 36post dialysis profile 93pre dialysis profile 272primidone 46protein (body fluid) 37proteins (includes albumin and globulin) 45protein electrophoresis 64quinidine 46salicylate 31sodium (na) 36stool/ urine reducing substances 22tegretol 49theophylline assay 49triglycerides 36urea & electrolytes (Na,K,Cl,BUN) 55urea nitrogen (bun) 36uric acid 36uric acid - urine 38urine calcium 38urine for bile pigments 45urine for bile products (urobilinogen) 45

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 15

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

51

urine for glucose 38urine for protein 38urine for prophyrins 38valproic acid/ epilim 49vancomycin 49xylose test 712hr gtt 703hr gtt 834hr gtt 975hr gtt 1146hr gtt 128note: any test sent to a commercial or referencelaboratory will be charged according to current chargesof that commercial or reference laboratory plus a hand-ling charge of $39 for express postal specimens and$130 for specimens requiring air freight and/or dry ice.

Operating Rooms - General

amputation fingers or toes 474anal and urethral dilatation 436anal fistula 436arteriograms 704arthroscopy & injection of depomedral 661arthroscopy - removal loose body 661

removal plica 661chrondroplasty 661meniscectomy 661

arthroplasty - small joints 563bilateral augmentation mammoplasty 588biopsy prostate 436breast needle localization 561bronchoscopy 588cardioversion 388carpal tunnel release/ dequervains 474catheterization 412cautery of cervix 412circumcision 468colonoscopy 537

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

16 1989 Revision

closed reduction of fracture - no cast 639closed reduction of fracture - minor cast 639closed reduction of fracture - full cast or body jacket 639cystoscopy 412cystoscopy - t.u.r. (t) 454cystoscopy, dormia 536cystoscopy retrograde pyelogram 536cystoscopy -ureteroscopy 686cystometry 454debridement 436declotting a.v. fistula 474dermoid or bartholin's cyst 412dilatation and curettage 428dilatation and curettage, tubal washings/polypectomy 452dilatation and curettage and cone biopsy 474dorsal slit penis 412ear lobe repair/ bat ears 478electro convulsive therapy 388ERCPendoscopic retrograde cholangio pancreatography 660examination under anaesthesia 412excision - breast lumps 588excision - deep cyst or ganglion 461excision - gynaecomastia 485excision - ingrown toenail 436excision and biopsy - basal cell carcinoma 436excision and biopsy - bursa 436excision and biopsy - digital nerve 436excision and biopsy - epithelioma 436excision and biopsy - extradiets 436excision and biopsy - fibroma 436excision and biopsy - granulomas 436excision and biopsy - hair follicles 436excision and biopsy - keloids 436excision and biopsy - lesions 436excision and biopsy - leukoplakia 436excision and biopsy - liver 436excision and biopsy - melanoma 436excision and biopsy - moles/warts 436excision and biopsy - sebaceous cyst 436excision and biopsy - superficial cyst 436

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 17

excision of lumps/ xyphoid bone 436excision scars 436excision of mass 436excision neuromas 436failed procedures 384gastroscopy 502haemorrhoids 474hammer toe / hallux valgus/ chevron osteotomy 436hernia repair 499hymenectomy 412hysteroscopy 436incision and drainage of abscess or haematoma 436insertion of PTFE graft 1,124insertion of intra-uterine contraceptive device/estrogen 412insertion or removal quinton central line 454

Implants

insertion of vasoport 1,212instillation of bladder drugs 436instillation or injection of chemotherapy drugs 436intercostal block 436k wire to fingers or toes 454laparoscopy 531laparoscopy- appendectomy 567laparoscopy - t.l./meth blue inj./adhesions 567laparoscopy- uterine suspension 616liposuction 474lumbar puncture 506major suturing 499mallet finger/trigger finger 454manipulation of joints 412minor dressing and suture or insertion of catheter 436multiple superficial cysts 499nail surgery 452natural fistula/ aneurysm 499needle biopsy - joints & injection of joints 436needle biopsy - liver 436needle mammogram 436ochidopexy 468

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

18 1989 Revision

open reduction 676orchidectomy 468perineal reconstruction or revision 521pessary (removal/insertion) 412pilionidal sinus 474repair fallopian tubes 616removal of - foreign body 617removal of - jaws wires 454removal of - k wires 454removal of - lipomas 454removal of - nails or pins 454removal of - neck glands 454removal of - nodes 454removal of - papillomas 454removal of - screws and plates 617removal of - ptfe shunt 454removal of - sutures 454removal of - orthofixator 454resection osteochondroma 436repositioning / reinsertion pacer lead 676revision of scars 454rubins test 436salpingogram code 289sigmoidoscopy 420skin graft/ z plasty 454sphincterotomy 412sympathetic block / quanethadine block / interpluralblock/ganglion block

436

tendon repair 499termination of pregnancy 442therapeutic epidural/ blood patch 508transrectal biopsy 474varicose veins ties 474vasectomy 485warts/condylomata 436wire guided biopsy 587wurms procedure/ insertion of shirodkar/ circulage 436

Eye Surgery

capsulectomy/ capsulotomy 696

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 19

cataract extraction 932cataract - insertion of intra-ocular lens 1,361conjunctival flap 623conjunctival granuloma / angioma 623corneal crafts 932cryosurgery 436ectropion/ blepharosplasty 647examination under anaesthesia 583injection of retrobulbar alcohol 436insertion of contact lens extra-ocular 436intra ocular lens insertion 1,078lateral muscle resection 626meibomian cyst/ chalazia 603probing tear duct 603pterygium/ pfosis 603removal of eye sutures 583removal of foreign body 600repositioning intra-ocular lens 603retinal photocoagulation/cryo 436strabismus/ squint 666tarsorrhaphy 666trebeculectomy/ vitrectomy 696vitrectomy 943keratectomy 696*** detention time over six hours will result in anadditional charge of 20% of the rate for the procedure

note: where there is more than one procedure, therewill be a charge of 100% of the rate for the mostexpensive procedure and 50% of the rate for any otherproceduresEar, Nose and Throat Surgery

atticotomy 474bilateral antral lavage 412biopsy oral tumour 603bronchoscopy and complete endoscopy 436cautery of expistaxis area 452cautery inferior turbinates 412direct laryngoscopy 412elevation fractured malar 474ent - smr (nasal) 626

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

20 1989 Revision

insertion of grommets 626micro-laryngoscopy 603modified myringoplasty 474myringotomy 412nasal polypectomy 436oesophagoscopy/ tracheoscopy 436reduction fractured nose 436removal of aural granuloma 603removal of grommets 583removal of pack with general anaesthesia 412rhinoplasty 413straight oesophageal dilation w/o oesophagoscopy 412tongue tie release 436tympanoplasty 686combination of any two - ear, nose and throat 696combination of any three - ear, nose and throat 827

Dental Surgery

jaw wiring 469minimum charge (30 minutes of time) 469over 30 minutes of time 616*** detention time over six hours will result in anadditional charge of 20% of the rate for the prodedure

note: where there is more than one procedure, therewill be a charge of 100% of the rate for the mostexpensive procedure and 50% of the rate for any otherprocedures

Physiotherapy Department

individual treatmentcategory 1: 59evaluationmuscle grading 2-4hydrotherapy (at pool)tapingprosthetic reviewopen wound carerelative instruction

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 21

mobilizationfrictions/massage/myofascial releaselaserassessment fee 90

category 2: 50lung functionelectrotherapymuscle grading - 1 limblumbar tractioncervical tractiontherapeutic exercisegait trainingjobst compression

category 3: 37whirlpool bathwash bathhot packsice packs

category 4: 79cybex testing and treating

missed appointment 51

Occupational Therapy (including outpatient

geriatric rehabilitation)

Individual treatment (per quarter-hour) 50note: equipment is charged at cost

Speech therapy

Individual treatment (per quarter-hour) 16

Emergency Department

Individual treatment - minor 167

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

22 1989 Revision

-intermediate 244- major 302

individual treatment with stay over 6 hours forobservation purposes

396

individual treatment with subsequent admittance 302recompression chamber 1,156crutches 110canes 29extrication cervical collars 40nurse escort 250*** note: patients subsequently admitted from the emergencydepartment will be charged for an emergency visit in additionto the inpatient room charge. This will be charged out as amajor treatment.

Vein clinic

initial visit 38treatment without ultrasound 46treatment with ultrasound 164

Ambulance *

per trip 135airport (to and from) 152

Geriatric Care

geriatric day care 53respite care 92Orthopaedic Unit

orthopaedic unit - individual treatment 80missed appointment 51

Diabetic Counselling

one week diabetic education programme(12 hours classroom teaching, 3 hours individual) 591

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 23

follow-up # hr. 14instruction ! hr. 14dietary counselling ! ½hr. sessions 45dipstick analysis 14blood glucose testing 14

Healthy Heart Programme 479

Dietetic Counselling

individual counselling (per half-hour) 50group therapy (per half-hour) 29

Renal Dialysis

haemodialysis (non-residents) 802haemodialysis (residents) 802CAPD (per month) 8,885

Chemotherapy**

individual treatment - half hour 58- three to four hours 219

oncology relationship counselling (per half-hour) 23oncology individual counselling (per half hour) 23oncology group therapy (per half-hour) 11oncology blood transfusion 58oncology iv flushing 125day long chemotherapy 499** note: required drugs will be charged at current cost

Audio-Vestibular Services

Hearing Testing

audiogram - pure tone air and bone 105audiogram - speech 105audiogram - conditioned response 105impedance audiometry - compliance 105impedance audiometry - stapedial reflex 105impedance audiometry - eustachian tube patency 105

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

24 1989 Revision

Vestibular Testing

caloric testing - cold 60caloric testing - hot and cold 105postural testing 59

IV Therapy

immunoglobulin monthly therapy 550venous access device/lab work 75iv flushing 125iv antibiotic treatment 125iv education & counselling 50venous access device dressing change 75pentamidine 142

Maternity Department

external cephalic version 102foetal monitoring 58removal of shirodkar suture 138foetal monitoring- 2hr assessment 105

Colposcopy 185

Alcoholism Services

initial intake assessment 90individual counselling 31relationship counselling 60group therapy (five sessions per week) 454educational therapy ( five sessions per week) 454aftercare counselling ( seventeen sessions) 518family education (per person / 6 sessions ) 183anger management (twelve sessions) 454outpatient detox 167

Hospice

day long care with i.v. infusion/ transfusion (6hrs.) 161day long care 58

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 25

Psychiatric Outpatient Clinic

initial consult 127followup visits 94

Mammography

Examinations

initial mammogram 200follow- up mammogram 119localization with 1o.r. specimen 318(does not include laboratory analysis of specimen)fine needle biopsy 318(does not include laboratory analysis of specimen)ductogram 318x-ray of specimen 119recall for cone compression or magnification 71additional views 36cyst aspiration 318missed appointment 51

Psychiatric Counselling

new patient 127follow-up visits 94

Child & Adolescent -SBH

visit to cons psychologist 127visit to psychologist 106medication administration/management - initial 49follow-up 32

HomeHealth Care

medication administration/management - initial visit 49follow up visit 32ulcer/wound care - simple/complex 102dressing 157laser 136dressing charge including burns- normal 62

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 1998

26 1989 Revision

with laser 102with venous devices 93stump care 106ostomy care 76stroke rehabilitation nursing/physio/occup 49speech therapy 53tpn lab 180tpn administration 149

Asthma Management

initial visit 97reassessment & follow-up (limit 2 visits) 32

Bone Densitometry 156

Hyperbaric & Wound Care (without oxygen) 120

Hyperbaric & Wound Care (with oxygen) 174

Breastfeeding Classes 41

Prenatal Classes (six sessions) 160

Wound Management Center

wound manage- standard 48wound manage- complex 76wound manage- debridgment 81

Made this 25 day of March 2002

ChairmanBermuda Hospitals Board

BERMUDA HOSPITALS BOARD (HOSPITAL FEES)AMENDMENT REGULATIONS 2002

1989 Revision 27

Approved this 25 day of March 2002

Minister of Health & Family Services