ENT: Reference Price List 2008
HealthMan has calculated the HRPL based on the contents and requirements of Council for Medical Schemes Circular 69 of 2005. Costs were thoroughly researched and the methodologies to determine tariffs are in terms of Circular 69 of 2005. The HRPL is not a set of tariffs that must be applied by medical schemes and/or healthcare providers. Its objective is to serve as a baseline/benchmark against which medical schemes can individually set benefits and that can be used by healthcare providers to determine individually the fees they charge to patients. Healthcare providers should assess their individual practice costs and patient demographics in determining their fees.
 

RCF Consultations: R 21.22
RCF Procedures: R 14.85
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  HEALTHMAN REFERENCE PRICE LIST  FOR SERVICES BY ENTs, EFFECTIVE FROM 1 JANUARY 2008  Version Units Value (VAT incl.)
         
  Consultations:      
0107 Newborn Attendance -Visit in Ward 2008.01      33.00 R 700.26
0109 Hospital follow-up visit 2008.01      15.00 R 318.30
0113 Newborn Attendance - Emergency at all hours 2008.01      45.00 R 954.90
0129 Prolonged first/follow-up consultation : 15 min 2008.01      15.00 R 318.30
0132 Repeat Script 2008.01        5.00 R 106.10
0145 Consultation : Away from doctor's room 2008.01        6.00 R 127.32
0146 Unscheduled consultation: Emergency (cons.room) 2008.01        8.00 R 169.76
0147 Unscheduled consultation:Emergency(not cons.room) 2008.01      14.00 R 297.08
0148 Elective after-hours services(+50%) 2008.01   R 0.00
0149 Emergency after-hours services(+25%) 2008.01   R 0.00
0173 Hospital Consultation:10-20 min. 2008.01      15.00 R 318.30
0174 Hospital Consultation:20-35 min. 2008.01      30.00 R 636.60
0175 Hospital Consultation:30-45 min. 2008.01      45.00 R 954.90
0190 Consultation :10-20 min. 2008.01      15.00 R 318.30
0191 Consultation :20-35 min. 2008.01      30.00 R 636.60
0192 Consultation :30-45 min. 2008.01      45.00 R 954.90
0199 Chronic Medicine Forms 2008.01      21.43 R 454.74
         
  Procedures      
0220 Allergy: Skin-prick tests: Immediate hypersensitivity testing (Type 1 reaction): Per antigen: Inhalant and food allergens 2008.01        1.90 R 28.22
0308 Each additional small procedure done at the same time 2008.01      14.00 R 207.96
1018 Flexible nasopharyngolaryngoscope examination 2008.01      51.94 R 771.52
1019 ENT endoscopy in rooms with rigid endoscope 2008.01      12.00 R 178.25
1022 Functional reconstruction of nasal septum 2008.01     121.20 R 1,800.30
1025 Intranasal antrostomy 2008.01      64.60 R 959.57
1027 Dacrocystorhinostomy 2008.01     210.00 R 3,119.34
1029 Turbinectomy 2008.01      62.60 R 929.86
1030 Endoscopic turbinectomy: Laser or microdebrider 2008.01      90.00 R 1,336.86
1033 Removal of multiple polyps in hospital under general anaesthetic 2008.01      81.80 R 1,215.06
1035 Functional endoscopic sinus surgery: Unilateral 2008.01     140.00 R 2,079.56
1036 Functional endoscopic sinus surgery: Bilateral 2008.01     245.00 R 3,639.23
1039 Diathermy to nose or pharynx, uni- or bilateral 2008.01      35.00 R 519.89
1043*** Control severe epistaxis req. hospitalisation: Anterior and posterior 2008.01      60.00 R 891.24
1052 Instrumental examination of the nasopharynx including biopsy 2008.01      50.00 R 742.70
1053 Frontal sinus drainage, trephine operation 2008.01      93.10 R 1,382.91
1069 Proof puncture, uni- or bilateral under general anaesthetic 2008.01      35.00 R 519.89
1087 Sub-total reconstruction consisting of any two 2008.01     210.00 R 3,119.34
1101 Toncillectomy (dissection of the tonsils) 2008.01      75.00 R 1,114.05
1105 Removal of adenoids 2008.01      40.00 R 594.16
1125 Operative laryngoscopy-excision of tumour and/or vocal cords 2008.01      81.10 R 1,204.66
1130 Direct laryngoscopy 2008.01      41.40 R 614.96
1132 Bronchoscopy: Diagnostic bronchoscopy 2008.01      65.00 R 965.51
3206 Microscopic examination of tympanic membrane incl. Microsuction 2008.01        8.00 R 118.83
3209 Myringotomy: Bilateral 2008.01      46.00 R 683.28
3211 Unilateral myringotomy with insertion of ventilation tube 2008.01      38.00 R 564.45
3213 Bilateral myringotomy with insertion of bilateral ventilation tube 2008.01      65.00 R 965.51
3215 Meatus atresia: Repair of stenosis of cartilaginous portion 2008.01     164.00 R 2,436.06
3221 Meatus atresia: Removal of osteoma from meatus: Multiple 2008.01     215.00 R 3,193.61
3237 Exploratory tympanotomy 2008.01     158.90 R 2,360.30
3245 Functional reconstruction of tympanic membrane 2008.01     277.00 R 4,114.56
3249 Stapedotomy and stapedectomy 2008.01     277.00 R 4,114.56
3264 Tympanomastoidectomy 2008.01     375.00 R 5,570.25
3275 Impedance audiometry (tympanometry) 2008.01        6.50 R 96.55
3276 Impedance audiometry (stapedial reflex) 2008.01        6.50 R 96.55
3277 Speech audiometry: Inclusive fee 2008.01      10.00 R 148.54


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