Government sets charges for new Mulago women’s hospital

The new Mulago specialised Women and Neonatal hospital

What you need to know:

  • The facility will decongest Mulago National Specialised hospital
  • It will enable women with complicated reproductive health problems to be treated and reduce referrals abroad.

Kampala. Ugandans seeking medical attention from the new Mulago specialised Women and Neonatal hospital will part with Shs50,000 per visit in consultation fee and Shs13m for specialised treatment, the Health minister has said.

Dr Ruth Aceng in her statement to Parliament yesterday said the charges were arrived at after examining the costs of similar services within the country and where possible, a comparison with similar services abroad.
Dr Aceng said women seeking in-vitro fertilisation will pay Shs13m when the facility roles out its programme next month.
In-vitro fertilisation (IVF) is a medical procedure where an egg is fertilised by sperm in a test tube outside the body.

Classifications
“Services will be classified as standard, VIP and VVIP; clinical services offered to all patients at all levels irrespective of pay,” Dr Aceng said.
The difference, she said, will be in accommodation, patient welfare and other non-clinical support services.
She said the hospital requires a total of Shs41 billion to operationalise it.


The minister, however, emphasised that the hospital will offer free services from September 17 to October 9 as an independence gift to Ugandans. She said access will be limited to referral cases in all its operations.

“Patients accessing the services should be referred patients from our referral facilities except for those that are exclusively offered at Mulago Specialised women and neonatal hospital such as IVF, laparoscopic surgery,” Dr Aceng added. The facility is expected to reduce maternal mortalities which the ministry confessed remains high at 336/100,000 compared to the global rate of 216/100,000 live births.
Dr Aceng said the facility will decongest Mulago National Specialised hospital, enable women with complicated reproductive health problems to be treated and reduce referrals abroad.

The hospital, whose construction commenced in June 2015, has been completed at a cost of Shs95 billion.
It will offer specialised services such as reproductive medicine, advanced neonatal medical and surgical service, among others.


COSTING OF SERVICES AT MULAGO SPECIALISED WOMEN AND NEONATAL HOSPITAL

LOCAL RATES

 

 

SERVICE

STANDARD (UGX)

AVERAGE MARKET RATES (UGX)

 

CONSULTATIONS

 

 

 

A

OPD




 

 

Consultation Fee- Per visit

                      50,000

                100,000

 

 

Antenatal Package- (Max 8 Visits)-(includes (490,000) baseline lab tests,                                                                      1 3D/4D & 2 Ordinary ultra sounds, essential drugs for antenatal, immunisation, )

                    890,000

             1,000,000



 

 

Neonatal followup Per Visit/immunisation

                      70,000

                140,000

 

INPATIENTS




 

 

Accomodation per day(also includes Food, Utilities, Linen)

                      80,000

                220,000

 

 

 Nurses/Doctors Care

                    100,000

                105,000

 

 




B

SURGERIES/PROCEDURES




 

 

Pre anaesthetic review/assessment

                      50,000

                  60,000

 

URO GYNAECOLOGY




 


MINOR PROCEDURES



 


Band Incisions

                    800,000

             1,050,000

 


Examination Under Anaesthesia

                    800,000

             1,050,000

 


INTERMEDIATE PROCEDURES



 


Colporraphy

                    900,000

             1,050,000

 


Perineoraphy

                    900,000

             1,050,000

 


MAJOR PROCEDURES



 


 Hsyterectomy(Hysterectomy , VVF Repair, TOT/TVT, Slinges, Uteropexis)

                 2,500,000

             5,000,000

 


Complicated (Complete Fistula, Laparoscopy Implantation, Reconstruction, Augmentation, Diversion

                 2,500,000

             5,200,000

 



 \


 

GYN ONCOLOGY




 

 

MINOR PROCEDURES



 


Genetic Counselling

                    150,000

 Not available

 

 

Cauterisation

                    150,000

                800,000

 

 

Examination /Biopsy /Staging/Sampling

                    150,000

             1,050,000

 

 

PAP Smear

                    150,000

                250,000

 

 

Colposcopy

                    150,000

                450,000

 

 

Cryotherapy

                    150,000

                450,000

 

 

LEEP

                    150,000

                450,000

 

 




 

 

INTERMEDIATE PROCEDURES



 


Diagnostic laparoscopy

                 1,000,000

             2,500,000

 

 

Min lap diagnostic

                 1,000,000

             1,050,000

 

 

Simple vulvectomy/cauterisation of warts

                 1,500,000

             4,200,000

 

 

Total abdominal hysterectomy

                 1,500,000

             4,200,000

 

 

Cold knife conization

                 1,000,000

             1,000,000

 

 




 

 

MAJOR PROCEDURES



 


Therapeutic laparoscopy

                 2,500,000

             4,200,000

 

 

Cyto-reduction

                 2,500,000

             4,200,000

 

 

Colostomy/urinary diversion

                 2,500,000

             5,000,000

 

 

Radical hysterectomy/LN dissection

                 2,500,000

             5,200,000

 

 

Pelvic exenteration

                 2,500,000

             5,200,000

 

 

Radical vulvectomy/LN dissection

                 2,500,000

             5,000,000

 

 

Vaginectomy

                 2,500,000

             5,200,000

 

 

Laser ablation

                 2,500,000

             5,000,000

 

 




 

BENIGN GYNAECOLOGY




 


MINOR PROCEDURES



 

 

Dilatation & Currettage

                    250,000

             1,000,000

 

 

Evacuation

                    250,000

                630,000

 

 

Marsupilisation

                    250,000

                840,000

 

 

Perineal/vaginal procedures

                    250,000

             1,000,000

 

 

 



 

 

INTERMEDIATE PROCEDURES



 

 

Laparotomies

                 1,500,000

             2,500,000

 

 

Secondary  closures

                    500,000

             2,500,000

 

 

Hysteroscopy

                 1,500,000

             2,500,000

 

 

Laparoscopy

                 1,500,000

             2,500,000

 

 




 

 

MAJOR PROCEDURES



 

 

Abdominal surgery

                 2,500,000

             4,200,000

 

 

Total abdominal hysterectomy

                 2,500,000

             4,200,000

 





 

MATERNAL FETAL MEDICINE




 


SVD (Normal Delivery)

                    800,000

             1,890,000

 


Caesarean Section(Tubal ligation Additional 200,000/=)

                 2,000,000

             2,300,000

 


Cervical Cerclage

                    250,000

             1,050,000

 


Labour with Analgesia

                 1,600,000

             1,680,000

 





C

NEONATAL SERVICES




 

Neonatal Intensive Care Unit (Ventilation (per day), Continuous Positive Airway Pressure ventilation (per day), Free flow oxygen (per day), Warmth for Preterm baby, Incubator (per day), Radiant Warmer (per day), Monitoring of baby, Phototherapy, Infusions, Syringe pump, Infusion pump and Procedures, Total Parenteral Nutrition) depending on the level of care




 

 

Level 1 (Free flow air)

                    300,000


 

 

Level 2 (C-PAP)

                    700,000

                930,000

 

 

Level 3 (Ventilation)

                 1,000,000

             2,000,000

 

 




 

Neonatal Surgery




 

 

Intestinal Atresia

                 3,500,000


 

 

Malrotation

                 4,000,000


 

 

Colostomy

                 2,000,000


 

 

Gastroschisis repair

                 3,500,000


 

 

Tracheo-Oesophageal Fistula Repair

                 4,500,000


 

 

Congenital Diaphragmatic Hernia

                 4,500,000


 

 

Sacro-Coccygeal Teratoma excision

                 3,000,000


 

 

Neonatal Herniotomy Bilateral

                 2,000,000


 

 

Neonatal Herniotomy Unilateral

                 1,500,000


D

Adult Critical Care (Excludes drugs, diagonistics and dialysis)

Level 1 (HDU)

                    500,000

                540,000

 

 

Level 2 (ICU)

                 1,000,000

             1,500,000

E

REPRODUCTIVE MEDICINE




 

 

ART Counseling

                      40,000

                  50,000

 

 

In-vitro fertilization

               13,000,000

           22,000,000

 

 

Intrauterine Insemination (IUI)

                 2,190,000

             3,700,000

 

 

Intra-cytoplasmic sperm Injection (ICSI)

               14,600,000

           25,000,000

 

 

Testicular Sperm Extraction (TESE)

                 3,650,000

             5,000,000

 

 

Percutaneous Epididymal Sperm Extraction (PESA)

                 3,650,000

             5,000,000

 

 

Cryo-preservation (Annual fee)

                 3,000,000

             3,700,000

 

 

Psychotherapy

                      50,000

                  50,000

 

 

Laparoscopy



 

 

Diagnostic

                 3,000,000

             3,255,000

 

 

Therapeutic



 

 

Level 1

                 7,000,000

             7,300,000

 

 

Level 2

                 9,125,000

           12,000,000

 

 

Level 3

               12,775,000

           14,000,000

 

 

Hysteroscopy



 

 

Diagnostic

                 3,650,000

             4,200,000

 

 

Therapeutic

                 5,000,000

             7,300,000

 

 

Permanent Methods



 

 

laparoscopic tubal occlusion

                 3,650,000

             4,200,000

 





F

PHYSIOTHERAPY




 

 

Physical pain relief per session of 30 minutes

                    100,000

                200,000

 

 

Muscle and nerve stimulation session 30min

                    100,000

                200,000

 

 

Ultrasound therapy session 30min

                    100,000

                200,000

 

 

Infra-red rays

                    100,000

                200,000

 

 

Mobilization session 60min

                    200,000

                300,000

 

 

Short Wave Diathermy session 30min

                    100,000

                200,000

 

 

Muscle strengthening session 60min

                    200,000

                300,000

 

 




G

LABORATORY/IMAGING




 

 





HAEMATOLOGY LABORATORY





 

Test parameters




 

APTT

                      50,000

                  51,000


 

B-HCG

                      40,000

                  50,500


 

Blood culture

                      80,000

                  82,500


 

Blood slide (B/S)

                      20,000

                  20,500


 

Brucella screening test/titre

                      25,000

                  25,500


 

CA2+

                      25,000

                  26,500


 

Cadiac enzymes

                    100,000

                105,000


 

Cancer markers(each)

                      40,000

                  60,500


 

CBC

                      30,000

                  32,000


 

CD4

                      50,000

                  54,000


CHEMISTRY LABORATORY




 

Congo red

                      35,000

                  35,000


 

Consumption index (PTI)

                    200,000

                200,000


 

D- dimer

                      80,000

                  80,500


 

DNA paternity test

                    500,000

                560,000


 

Electroyletes(each)

                      20,000

                  20,000


 

ESR

                      20,000

                  20,000


 

Estrogen (E2)

                      50,000

                  50,000


 

Ferretin

                      50,000

                  50,000


 

Film comment

                      50,000

                  50,000


 

Fasting blood sugar (blood glucose)/RBS

                      20,000

                  20,000


 

Fasting lipid profile

                    100,000

                100,000


 

Folate

                      50,000

                  50,000


 

FSH

                      50,000

                  50,000


 

HB-electrophoresis

                    100,000

                120,000


 

Hepatitis B surface antigen/HCV(each)

                      25,000

                  26,500


 

HIV screening

                      25,000

                  25,000


 

HIV DNA-PCR

                    200,000

                212,500


 

HVS anaylysis

                      25,000

                  25,000


 

PT/INR

                      60,000

                  62,500


 

LFTS

                      80,000

                  92,000


 

LH

                      50,000

                  50,000


 

Malaria RDT

                      20,000

                  20,000


 

Coomb's test (Direct & Indirect)

                      70,000

                  75,500


 

MG2+

                      25,000

                  26,500


 

Blood group + Cross Match

                      30,000

                  32,500


 

PM cortisol/AM cortisol(each)

                      50,000

                  52,000


 

Progestrone

                      50,000

                  50,000


 

Prolactin

                      50,000

                  50,000


 

OGTT

                      80,000

                100,000


 

RFTS

                      80,000

                  90,000


 

Rhemomatoid factor

                      40,000

                  40,000


 

T3

                      50,000

                  50,000


 

T4

                      50,000

                  60,000


 

Thrombin time

                      70,000

                  70,000


 

TSH

                      50,000

                  50,000


 

Neutrophil alkaline phosphatase

                      35,000

                  35,000


 

Phosphates

                      25,000

                  25,000


 

Plasma fibrinogen

                    100,000

                102,500


 





MICROBIOLOGY LABORATORY





 

Pleural fluid analysis+C/S

                      70,000

                  80,000


 

Sputum analysis/ZN/gram(each)

                      30,000

                  35,000


 

Stool analysis/microscopy/modified ZN(each)

                      20,000

                  22,000


 

TPHA

                      20,000

                  20,000


 

Uric acid

                      20,000

                  20,000


 

Urinalysis

                      20,000

                  20,000


 

Urine HCG

                      20,000

                  25,000


 

VDRL

                      20,000

                  20,000


 

HBSAg viral load

                    200,000

                200,000


 

HIV viral load

                    150,000

                150,000


 

VIT B12

                      40,000

                  40,000


 

Culture  & sensivitivty for all

                      50,000

                  50,000


 

Semen analysis

                    100,000

                100,000


 

Toxo(IGM/IGG)

                      80,000

                  85,000


 

CMV

                    100,000

                110,000


 

Anti phospho lipid

                    100,000

                100,000


 

Anti glycopeptide

                    100,000

                100,000


 

Executive Checkup (CBC+ESR+Lipid Profile+ RFT+ LFT+ Uric Acid+TPHA+ Blood Sugar+ Stool Analysis+Urine Analysis+ Pancreatic Profile+)+PSA (50,000) & PAP Smear (100,000)

                    350,000

                360,000


 

 




PATHOLOGY





 

Aspiration cytology FNA

                    100,000



 

Autopsy (post mortem)

                    150,000



 

Basic histology H&E small sample one to 3slides

                      80,000



 

basic histology H&E medium sample 4 to7 slides

                    120,000



 

Large specimen or complex  of 8 and above slides

                    200,000



 

Body storage

                      10,000



 

Cleaning and dressing

                      20,000



 

Embalmment Adult

                    150,000



 

Embalmment Neonatal

                      70,000



 

Exfoliative cytology

                      80,000



 

Frozen section

                    120,000



 

Immunofluorescence

                    120,000



 

Immunogenetic HLA Typing

                 2,000,000



 

Immunohistochemistry

                    120,000



 

Molecular genotyping (cancer)

                 1,800,000



 

Punch biopsy

                    100,000



RADIOLOGY





 

Plain x-ray

                      30,000



 

Special x-ray examinations

                    100,000



 

Ultrasound

                      30,000



 

Special ultrasound

                    100,000



 

CT scan

                    180,000



 

Mammography

                      90,000



 

Interventional radiology

                    100,000



 

MRI

                    350,000



 

3D Scan

                    150,000



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