Government sets charges for new Mulago women’s hospital

Wednesday September 19 2018

The new Mulago specialised Women and Neonatal

The new Mulago specialised Women and Neonatal hospital 

By Moses Kyeyune

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.

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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

 

mkyeyune@ug.nationmedia.com

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