Price List - LJMC

Pricelist of Commercial Services of A/s Latvian Maritime Medicine Centre

Specialized medical consultation

Service code	Service Description	Service fee, EUR
AK-111	Consultation by a pulmonologist V.Šiliņs, Associate Professor	36,00
AK-111.1	Repeated consultation by a pulmonologist V.Šiliņs, Associate Professor	21,00
AK-112	Consultation by a senior surgeon M.Skrupskis	36,00
AK-112.1	Repeated consultation by a senior surgeon M.Skrupskis	21,00
AK-113	Consultation by a senior surgeon G.Biruks	36,00
AK-113.1	Repeated consultation by a senior surgeon G.Biruks	21,00
AK-20	Consultation by a senior gynaecologist D.Melka	40,00
AK-21	Consultation by a senior orthopaedic traumatologist .D.Guzenko	36,00
AK-21.1	Repeated consultation by a senior orthopaedic traumatologist D.Guzenko	21,00
AK-17	Consultation by an anaesthesiologist emergency physician	36,00
AK-15	Consultation by a gastroenterologist	40,00
AK-15.1	Repeated consultation by a gastroenterologist	36,00
AK-14	Consultation by an endoscopist	19,00
AK-14.1	Repeated consultation by an endoscopist	13,00
AK-16	Consultation by an internal medicine specialist A.Derovs	36,00
AK-24	Patient monitoring under medical supervision and data analysis during capsule endoscopy for up to 8 hours	114,00
AK-3	Consultation by a specialty care provider	26,00
AK-3.1	Repeated consultation by a specialty care provider within one month	20,00
AK-4	Consultation by GP, a specialty care provider to patients, who do not have GP at Vecmīlgrāvis Primary Health Care Centre	35,00
AK-4.1	Repeated consultation by GP, a specialty care provider to patients, who do not have GP at Vecmīlgrāvis Primary Health Care Centre within one month	25,00
AK-38	Consultation by a senior neurologist J.Kalniņa	36,00
AK-94	Consultation by a neurologist	29,00
AK-95	Consultation by a homoeopathist	40,00
AK-95.1	Repeated consultation by a homoeopathist	30,00
AK-36	Consultation by a vascular surgeon	38,00
AK-37	Consultation by a gynaecologist I.Gražule	36,00
AK-96	Consultation by an endocrinologist	36,00
AK-96.1	Repeated consultation by an endocrinologist	21,00
AK-99	Consultation by a gynaecologist G.Dāle	28,00
AK-99.1	Repeated consultation by a gynaecologist G.Dāle	21,00
AK-100	Consultation by a rheumatologist S.Ābelīte	36,00
AK-100.1	Consultation by a rheumatologist S.Ābelīte	26,00
AK-101	Consultation by an ENT specialist Z.Dombrovska	30,00
AK-101	First consultation by an ENT specialist, ophthalmologist (without eyeglass prescription), neurologist at Vecmīlgrāvis Primary Health Care Centre	30,00
AK-101.1	Repeated consultation by an ENT specialist Z.Dombrovska	20,00
AK-101.1	Repeated consultation by an ENT specialist, ophthalmologist (without eyeglass prescription), neurologist at Vecmīlgrāvis Primary Health Care Centre within one month	20,00
AK-11	GP consultation to unregistered children	15,00
AK-11.1	Repeated GP consultation to unregistered children	10,00
AK-104	Consultation by a cardiologist	29,00
AK-104.1	Repeated consultation by a cardiologist	25,00
AK-105	Consultation by a pulmonologist, internal medicine specialist I.Dirveika	36,00
AK-105.1	Repeated consultation by a pulmonologist, internal medicine specialist I.Dirveika	21,00
AK-106	Consultation by a dermatologist V.Jevtuškovs	35,00
AK-106.1	Repeated consultation by a dermatologist V.Jevtuškovs	25,00
AK-107	Consultation by a venereologist V.Jevtuškovs	35,00
AK-107.1	Repeated consultation by a venereologist V.Jevtuškovs	25,00
AK-108	Consultation by a surgeon mammologist	30,00
AK-108.1	Repeated consultation by a surgeon mammologist	21,00
AK-109	Consultation by a cardiologist at Ziemeļu Diagnostic Centre	35,00
AK-110	Consultation by a orthopaedic traumatologist V.Vestermanis	36,00
AK-114	Consultation by a gynaecologist A.Babuškins	36,00
AK-115	First consultation by a proctologist	30,00
AK-115.1	Repeated consultation by a proctologist within one month	21,00

Home visits

Service code	Service Description	Service fee, EUR
MV-1	Home visit by a GP within the service area (except for patients released from payment of patient fees)	25,00
MV-2	Home visit by a specialty care provider (excluding manipulations)	7,00
MV-2.1	Manipulations performed by a specialty care provider’s nurse during a home visit –cleaning of small (up to 3 cm) wounds and ulcers, dressing, suture removal etc.	6,00
MV-2.2	Manipulations performed by a specialty care provider’s nurse during a home visit –cleaning of average (3 to 6 cm) wounds and ulcers, dressing, suture removal etc.	9,00
MV-2.3	Manipulations performed by a specialty care provider’s nurse during a home visit –cleaning of large (from 6 cm) wounds and ulcers, dressing, suture removal etc.	11,00
MV-4	Home visit by a specialty care provider	30,00
MV-8	Injection – in the dermis, subcutaneous, intramuscular (excluding medications to be administered)	3,00
MV-9	Injection –intravenous (excluding medications to be administered)	4,00
MV-12	Home visit by a GP to patients unregistered with GP (irrespective of age) and to registered outside the service area	35,00
MV-13	Home visit by an occupational therapist for children	14,00
MV-14	Home visit by an occupational therapist for adults	17,00
MV-15	Home visit by an occupational therapist for pensioners	14,00

Diagnostic examinations

Service code	Service Description	Service fee, EUR
	Endoscopic examinations
END-2	Fibrogastroscopy	28,00
END-2.1	Fibrogastroscopy in priority	50,00
END-3	Endoscopic treatment of gastric and duodenal ulcer (one session), in priority	21,00
END-4	Haemostasis during urgent upper or lower endoscopy	21,00
END-5	Bronchoscopy	28,00
END-6	Bronchoalveolar lavage	28,00
END-7	Surcharge for disposable injector (for haemostasis)	64,00
END-8	Identification of Helicobacter Pylori during gastroscopy	7,00
END-9	Polypectomy – collection of up to 2 samples of mucosal tissues	28,00
END-10	Polypectomy – collection of more than 2 samples of mucosal tissues	36,00
END-21	Polypectomy loop (surcharge for polypectomy	36,00
END-11	Flexible Sigmoidoscopy	50,00
END-11.1	Flexible Sigmoidoscopy in priority	100,00
END-12	Total video colonoscopy	100,00
END-12.1	Total video colonoscopy in priority	150,00
END-13	Left – side video colonoscopy	80,00
END-13.1	Left – side video colonoscopy in priority	150,00
END-14	Video gastroscopy	76,00
END-14.1	Video gastroscopy in priority	100,00
END-15	Preparation for colonoscopy (using macrogol)	9,00
END-16	Rectoscopy	30,00
KAM-13	Colon cleansing using enema (preparation for endoscopy, irrigoscopy) as an outpatient procedure	4,00
END-18	Capsule endoscopy	612,00
END-22	Surcharge for biopsy during endoscopy	28,00
AK-24	Patient monitoring under medical supervision and data analysis during capsule endoscopy for up to 8 hours	114,00
END-20	Intravenous sedation during endoscopic manipulation	14,00
END-20.1	Surcharge for additional intravenous sedation of the patient for state- budget funded services additionally to state budget – funded sedation	9,19
END-23	Endoscopic treatment of gastric and duodenal ulcer (one session)	10,00
END-24	Enteroscopy oral	139,00
END-25	Enteroscopy anal	206,00
END-26	Surcharge for a balloon	246,00
END-28	UBT for HP detection	36,00
END-29	Monofer sol.inj.100mg/1ml intravenous injection for iron correction in patients with iron deficiency anaemia	21,00
END-30	Patient monitoring under medical supervision during Monofer injection	17,00
END-31	Esophagoscopy	50,00
END-32	Esophagoscopy in priority	75,00
	Functional diagnostics and ultrasound examinations
FD-1	Detection of key indicators of external respiration function	9,00
FD-2	Detection of key indicators of external respiration function by using bronchodilator test	11,00
FD-3	Electrocardiogram -ECG	9,00
FD-3.1	Electrocardiogram -ECG recording	3,00
FD-3.2	Electrocardiogram -ECG description	4,00
FD-4	Electrocardiogram -ECG (at home)	14,00
FD-5	Veloergometry – load test	39,00
FD-9	Echocardiography with all hemodynamic monitoring and Doppler examinations (ECHO- CG)	45,00
FD-11	Segmental Dopplerography for lower extremities	16,00
FD-14	Ankle Brachial Pressure Index Identification	15,00
FD-15	Computed Electroencephalography (EEG)	50,00
FD-16	Brachiocephalic Dopplerography with colour spectral analysis (duplex)	37,00
FD-17	Transcranial Duplex Dopplerography	34,00
FD-18	Holter Monitoring	39,00
FD-19	Blood pressure monitoring	26,00
FD-20	Hand arterial duplex scan	20,00
FD-21	Leg arterial duplex scan	30,00
FD-22	Hand arterial duplex scan and Doppler spectral analysis	25,00
FD-23	Leg arterial duplex scan and Doppler spectral analysis	35,00
FD-30	24 – hour blood pressure monitoring (manual method): first day	9,00
FD-31	24 – hour blood pressure monitoring (manual method): each subsequent day	8,00
FD-36	ECHO-CG additional examination “Strain rate”	21,00
FD-37	Neurography and quantitative electromyography with needle electrodes and computerized data processing	55,00
FD-38	Neurography with computerized data processing	40,00
FD-39	Neurography for carpal tunnels	25,00
FD-40	24 – hour blood pressure monitoring with detection of oxygen saturation	22,00
FD-44	Detection of pulse wave velocity, augmentation index and central blood pressure	22,00
US-3	Abdominal ultrasound	35,00
US-5	Female pelvic ultrasound	35,00
US-6	Obstetric ultrasound examination (pregnancy US)	35,00
US-7	Mammary gland ultrasonography	35,00
US-8	Thyroid ultrasonography	30,00
US-10	Gynaecological and pregnancy sonoscopic examination, also at the expert level	40,00
US-11	Endoscopic sonography (intravaginal, intrarectal)	35,00
US-13	Kidney, urinary tract, urinary balder, prostate (complex) sonography	30,00
US-15	Echohisterosalpingoscopy	102,00
US-17	Ultrasound – guided prostate biopsy	50,00
US-18	Eye ultrasound	6,00
US-18.1	Eye ultrasound for children	3,00
US-19	One joint ultrasound	43,00
US-20	Ultrasound examination of nasal sinuses	6,00
US-21	Musculoskeletal ultrasound examination for both symmetric joints	60,00
US-22	Sonoelastography	35,00
US-23	Abdominal sonography and sonoelastography	55,00
US-24	Testicular ultrasound	30,00
	X-ray examinations
RTG-1	Chest X-ray imaging and roentgenography	14,00
RTG-5	Colon retrograde contrast examination (irrigoscopy)	50,00
RTG-6	Colon passage with contrast medium – X-ray examination	14,00
RTG-8	Skull X-ray (2 projections)	14,00
RTG-9	Nasal sinus X-ray	9,00
RTG-10	X-ray of skull individual bones	9,00
RTG-11	Joint X-ray (1 projection)	9,00
RTG-12	X-ray of skull individual bones (2 projections)	11,00
RTG-13	Chest roentgenography (1 projection)	9,00
RTG-13.1	Chest roentgenography (2 projections)	14,00
RTG-13.2	Hand or leg bone X-ray (1 projection)	9,00
RTG-13.3	Hand or leg bone X-ray ( 2 projections )	14,00
RTG-13.4	Shoulder girdle or pelvic X-ray	9,00
RTG-14	Cervical spine X-ray ( 2 projections )	11,00
RTG-15	Thoracic, lumbar, sacral spine X-ray (2 projections )	14,00
RTG-16	X-ray examination of functional parts of the spine	21,00
RTG-17	Pelvic bone X-ray (1 projection)	10,00
RTG-18	Chest imaging pattern (in one projection)	9,00
RTG-19	Chest imaging pattern (in two projections)	14,00
RTG-21	Abdominal X-ray imaging	9,00
RTG-22	Mammography (for both breasts, in 2 projections each)	25,00
RTG-22.1	Mammography (for one breast (after mastectomy), in 2 projections)	15,00
RTG-24	Contrast examination of urinary tract with iodinated contrast medium and X-ray imaging (i.v.urography)	36,00
RTG-26	Fistulae X-ray examination (fistulogram)	20,00
RTG-27	Stomach X-ray examination	40,00
	Computed Tomography Examinations
CT-2	Head and nasal sinus CT without contrasting	76,00
CT-3	Neck CT without contrasting	76,00
CT-4	Chest CT without contrasting	80,00
CT-5	Abdominal, pelvic CT without contrasting	80,00
CT-6	Abdominal, pelvic CT with per-oral contrast medium (without i/v contrasting)	85,00
CT-9	CT for spine one section (4 vertebrae) without contrasting	78,00
CT-10	Extremities and joint CT without contrasting (for one section)	85,00
CT-13	Non-iodine monomeric contrast medium 300 (50 ml)	33,00
CT-14	Non-iodine monomeric contrast medium 300 (100 ml)	55,00
CT-17	CT with angiography without contrasting	135,00
	Positron Emission Tomography and Computed Tomography
PET-1	PET/CT examination with radiopharmacon FDG*	1 104,00
PET-2	PET/CT examination with radiopharmacon Ga68**	1 908,00
	* – for hematologic, gynaecologic and lung tumour examinations
	** – prostate tumour and neuroendocrine tumour examinations
	Magnetic Resonance Imaging
MR-1	Neck soft tissue MRI without contrasting	120,00
MR-3	Abdominal or small pelvic MRI without contrasting	134,00
MR-4	MRI for biliary excretion system without contrasting	120,00
MR-5	MRI for spine and spinal cord without contrasting (one section)	120,00
MR-6	MRI for bones and joints without contrasting (one section)	120,00
MR-8	Head and brain MRI without contrasting	120,00
MR-16	Surcharge for contrast medium (5 ml)	37,00
MR-13	Surcharge for contrast medium (10 ml)	55,00
MR-14	Surcharge for contrast medium (15 ml)	73,00
MR-15	Surcharge for contrast medium (20 ml)	83,00
	Quantity of contrast media usable depends on the patient weight:
	Children 5 ml
	Patients with body weight up to 70 kg – 10 ml
	Patients with body weight from 70 kg to 90 kg – 15 ml
	Patients with body weight above 90 kg – 20 ml
	Laboratory tests
	Sampling
LAB-237	Blood sampling into a microcontainer	1,20
LAB-238	Blood sampling into a closed system	1,50
	Haematology
LAB-42	A – complete blood count (haemoglobin, red cells, white cells, platelets, WBC differential, ESR, MCV, MCH, MCHC, Ht)	2,70
LAB-43	A – WBC counts manually	1,30
LAB-44	A – erythrocyte sedimentation rate (ERS)	0,80
LAB-45	A – Blood analysis using 3 – part differentiation haematology	1,70
LAB-46	A – Reticulocytes	1,10
LAB-142	S-Iron	1,40
LAB-143	S-Iron binding capacity	2,40
LAB-144	S-Transferrin	3,70
LAB-23	S-Transferrin saturation	5,50
LAB-145	S-Ferritin	5,20
LAB-146	S-Vitamin B12	7,00
LAB-147	S-Folic acid	7,00
	Coagulation
LAB-50	P – Fibrinogen	2,00
LAB-51	P – Activated partial thromboplastin time (APTT)	1,80
LAB-52	P – Prothrombin and INR	1,80
LAB-150	P-Antithrombin III	5,70
LAB-151	P- Protein C resistance test	16,50
LAB-152	P-Willebrand Factor	12,00
LAB-153	P-D-Dimer (measured quantitatively)	7,00
	Immunohematology
LAB-49	S- Incomplete anti-RBC antibody screening using gel-technique	3,00
LAB-154	S- Rh phenotype (CcEe) and the Kell antigen test using gel-technique	9,00
LAB-155	S-Blood individual compatibility tests (ID – card Liss/Coombs)	14,00
LAB-195	Blood group detection within ABO and Rh grouping using gel-technique	4,50
LAB-248	S-Direct Coombs test	2,90
	Glucose regulation
LAB-8	S – Glucose	0,90
LAB-24	A – Glycohemoglobin /HbA1c	4,60
LAB-107	S-Insulin	5,00
LAB-108	S-C-peptide	5,50
LAB-30	U-Microalbumin	3,30
LAB-249	S, A – Glucose tolerance test	3,00
LAB-282	HOMA Index	6,00
	Protein, rheumatism tests
LAB-25	S – Antistreptolysin O	2,20
LAB-31	S – C – reactive protein (measured quantitatively)	2,50
LAB-33	S – Rheumatoid factor (measured quantitatively)	2,60
LAB-110	S-Paraproteins / imunoelektrophorese	16,50
LAB-112	S-Alfa 1-antitripsin	3,70
LAB-113	S-Ceruloplasmin	4,30
LAB-114	S-Ig light chain – kappa, lambda	8,00
LAB-198	S-Anti-CCP Hs / highly sensitive	14,30
LAB-228	S-Procalcitonin	20,00
	Elecrolytes and blood gases
LAB-18	S – Calcium	1,30
LAB-19	S – Phosphorus	1,30
LAB-20	S – Potassium	1,30
LAB-21	S – Sodium	1,30
LAB-22	S – Chlorine	1,30
LAB-148	S-Magnesium	1,30
LAB-207	S – Lead (heparin)	30,00
LAB-209	S – Copper	4,30
	Biochemistry
LAB-1	S – ASAT	1,30
LAB-2	S – ALAT	1,30
LAB-3	S,U – alpha Amylase	2,40
LAB-4	S – Alkaline phosphatase	1,60
LAB-5	S – Gamma – glutamyltransferase	1,50
LAB-6	S – Creatine kinase	1,80
LAB-7	S – Lactate dehydrogenase	1,30
LAB-276	S-carbohydrate deficient transferrin ( CDT)	15,00
LAB-9	S – Total protein	0,90
LAB-10	S – Albumin	0,90
LAB-11	S – Urea	1,30
LAB-12	S,U – Creatinine	1,50
LAB-13	S,U – Uric acid	1,30
LAB-14	S – Bilirubin, fractions	1,20
LAB-15	S – Cholesterol (total)	1,20
LAB-16	S – Triglycerides	1,70
LAB-17	S- ABL cholesterol	2,30
LAB-109	S-Protein fractions	4,50
LAB-131	S-Cholinesterase	2,20
LAB-132	S-Acid phosphatase	2,00
LAB-135	S- Angiotensin convertase	4,20
LAB-229	S-Lipase	2,60
LAB-137	S-Apolipoprotein A1	4,20
LAB-138	S- Apolipoprotein B	4,20
LAB-283	S-Lipoprotein (a)	5,70
LAB-186	S- LDL cholesterol	3,00
	Immunology
LAB-26	S – Immunoglobulin A	2,50
LAB-27	S – Immunoglobulin G	2,60
LAB-28	S – Immunoglobulin M	2,50
LAB-115	S-Total IgE	5,00
LAB-116	S-ECP / Eosinophil cationic protein	14,00
LAB-117	S-Specific IgE (inhalant allergens – panel)	12,00
LAB-118	S-Specific IgE (food allergens – panel)	11,00
LAB-272	S-Specific IgE (pet allergens – panel)	11,00
LAB-273	S-Food panel (spec IgE)	25,00
LAB-274	S-Inhalant panel (spec IgE)	25,00
LAB-119	S-Complement component C3	3,30
LAB-120	S- Complement component C4	3,30
LAB-121	S-Antinuclear antibody /ANA	6,00
LAB-245	P-HLA B27	11,40
LAB-122	S-ENA	6,50
LAB-123	S-Anti- DNA antibodies / double spiral	6,50
LAB-124	S-Anti-gliadin antibodies IgA	7,00
LAB-125	S- Anti-gliadin antibodies Ig G	7,00
LAB-126	S-Transglutaminase antibodies IgA	7,00
LAB-230	S-p ANCA (anti-MPO)	6,40
LAB-231	S-c ANCA (anti-PR-3	6,40
LAB-270	S- Transglutaminase antibodies IgG	7,00
LAB-127	S-Anti – cardiolipin antibodies IgG	7,20
LAB-250	S-Autoantibodies (ANA/ENA IgG)	27,50
	Thyroid hormones
LAB-69	S-Thyroxine /T4	4,00
LAB-70	S- Triiodothyronine / T3	4,00
LAB-71	S- Thyrotropic hormone / TTH	4,30
LAB-72	S-Free Thyroxine / FT4	4,30
LAB-73	S-Free Triiodothyronine /FT3	4,30
LAB-74	S- Thyroglobulin	5,50
LAB-75	S-Av against Thyroglobulin	7,00
LAB-76	S-Av against peroxidase-oxidase	6,40
LAB-251	S-TSH receptor antibodies	14,50
	Sex hormones
LAB-77	S-Prolactin / PRL	4,30
LAB-78	S- Luteinizing hormone /LH	4,20
LAB-79	S- Follicle stimulating hormone / FSH	4,20
LAB-80	S-Estradiol	4,70
LAB-81	S-Progesterone / Pg	4,50
LAB-82	S-Testosterone	4,50
LAB-83	S-Sex hormone binding globulin /SHBG	5,20
LAB-84	S- Dehydroepiandrosterone sulfate /DHEA-S	5,00
LAB-85	S- Androstenedione	4,70
LAB-86	S-17 alpha hydroxyprogesterone	5,00
LAB-102	S- Choriogonadotropin (hCG)	5,40
LAB-103	S-Free estriol	6,20
LAB-196	S-Free androgen index	10,00
	Tumour markers
LAB-95	S-Prostate – Specific Antigen /PSA	5,60
LAB-96	S-Free Prostate – Specific Antigen / FPSA	9,50
LAB-97	S- Carcinoembryonic antigen / CEA	5,60
LAB-98	S-CA 15-3	6,70
LAB-99	S-CA 125 II	6,70
LAB-100	S-CA 19-9	6,70
LAB-101	S-Alpha – Fetoprotein	4,30
LAB-214	Beta 2 Microglobulin	6,00
LAB-220	S-CA 72-4	8,00
LAB-104	S-Free Beta- chorionic gonadotrophin	6,60
LAB-267	S-HE4	11,50
LAB-268	S-Risk of Malignancy Index in Ovarian Tumors / RMI	18,00
LAB-266	S-100	15,00
LAB-265	S-NSE	7,50
	Other hormones
LAB-87	S-Cortisol	3,90
LAB-284	U- Cortisol	7,40
LAB-88	S-Somatotropic hormone	5,70
LAB-89	S-Parathyroid hormone	5,70
LAB-90	P – Adrenocorticotropic hormone (ACTH)	5,00
LAB-269	S-Aldosterone	15,00
	Urine analysis
LAB-34	U –Urine analysis using a test strip (10 parameters)	1,20
LAB-35	U – Protein (measured quantitatively)	1,20
LAB-37	U – Glucose (measured quantitatively)	1,20
LAB-210	U – Urinary protein fractions	6,00
LAB-39	U – Sediment standardized microscopy	1,50
LAB-191	U- Quantitative Analysis of Urine Sediment	1,60
	Cardiac markers
LAB-201	S-troponin T hs (highly sensitive)	6,00
LAB-202	S- CK-MB	4,50
LAB-200	S-NT-pro BNP / S-BNP	17,10
LAB-275	S- Highly sensitive CRO	5,00
	Other laboratory tests
LAB-262	U –Alcohol and drugs identification / 8 tests/ (Seafarers Commission)	32,00
LAB-203	P-Common antioxidants (heparin)	8,50
LAB-204	P- Glutathione peroxidase i – selenium (heparin)	8,50
LAB-212	S-Vitamin D2, D3 (25 OH)	7,00
LAB-221	S-Calcitonin	7,20
LAB-53	CS- Liquor analysis	2,50
LAB-55	Kr –clinical sputum analysis	2,50
LAB-56	Swab for eosinophils	1,50
LAB-57	SD-Clinical analysis of serous cavity fluids	2,50
LAB-60	Clinical analysis of prostatic exprimate	3,30
LAB-62	I-Bacterioscopic analysis of micobacteria	2,50
LAB-94	U- Deoxypyridinoline	14,50
LAB-271	S- Anti – mitochondrial M2 ag / AMA M2IgG	12,00
LAB-129	S-Troponin I	5,90
LAB-134	S- Homocysteine	10,00
LAB-281	Analysis for demodicosis, demodex folliculorum	3,60
LAB-184	I –Bacterioscopic swab for microflora and sexually transmitted diseases (CITO !)	3,08
	Markers for Hepatitis
LAB-139	S-Hepatitis BsAg	3,00
LAB-140	S-Anti-HCV (C hepatitis)	7,30
LAB-141	S-Anti-HAV IgM (A hepatitis)	6,50
LAB-236	S-Anti HB s	10,50
LAB-234	S-Anti HAV	8,00
LAB-235	S-Anti HBc lg M	9,20
LAB-253	S-Anti Hbc	5,70
LAB-254	S-Anti Hbe	7,20
	Diagnostics of infectious mediums
LAB-41	S,P – Syphilis express diagnostics (RPR)	1,50
LAB-241	S,P – Syphilis express diagnostics / TPHA	3,00
LAB-217	S – Treponema pallidum IG M+ IgG	8,00
LAB-156	S-Anti-cytomegalovirus IgG	6,00
LAB-157	S- Anti-cytomegalovirus IgM	7,00
LAB-158	S-Herpes simplex I, II IgG	5,00
LAB-159	S-Herpes simplex I, II IgM	6,50
LAB-160	S-Anti-toxoplasma IgG	5,00
LAB-161	S- Anti-toxoplasma IgM	6,40
LAB-162	S-Anti-Rubella IgG	5,00
LAB-163	S- Anti-Rubella IgG IgM	6,40
LAB-164	S-Anti-Epstein – Barr Virus IgG	5,50
LAB-165	S- Anti-Epstein – Barr Virus IgM	5,50
LAB-240	S-Tick-borne encephalitis av-IgM	5,60
LAB-166	U,I- Chlamydia trachomatis specific DNA detection / PCR	18,00
LAB-286	Sexually transmitted infections panel	41,00
LAB-167	I- Chlamydia detection using direct immunofluorescence staining method – MOMP antigen / IF	5,20
LAB-168	S-Anti Chlamydia trachomatis IgG	4,20
LAB-169	S- Anti Chlamydia trachomatis IgA	5,60
LAB-170	U,I-Swab for ureaplasma	5,00
LAB-171	U,I- Swab for mycoplasma	5,70
LAB-278	U,I- Ureaplasma, mycoplasma detection with medication sensitivity	12,00
LAB-173	U,I – Neisseria gonorrhoeae DNA/PCR	13,00
LAB-174	S-Lyme Borreliose (anti – Borrelia burgdorferi) IgM	6,00
LAB-175	S- Lyme Borreliose (anti – Borrelia burgdorferi) IgG	6,00
LAB-232	S-Anti Varicella zoster lg M	10,00
LAB-233	S-Anti Varicella zoster lg G	10,00
LAB-176	S-Antibodies against Helicobacter pylori (IgA)	8,00
LAB-177	S- Antibodies against Helicobacter pylori (IgG)	8,00
LAB-255	S-Mycoplasma pneumoniae IgM	7,20
LAB-277	S- Mycoplasma pneumoniae IgG	8,00
LAB-257	S-Anti Dipth. Tox. IG G	6,40
LAB-258	S- Tick-borne encephalitis AV Ig M	7,00
LAB-259	S- Tick-borne encephalitis AV Ig G	7,50
LAB-260	S-Toxocara canis Ig G	6,40
LAB-187	S-Anti HIV / HIV AG	4,00
LAB-300	Anti-Treponema pallidum IgM+IgG (ELISA)	4,50
LAB-301	Anti-Treponema pallidum IgM (ELISA)	11,51
LAB-302	Anti-Treponema pallidum IgG (IF abs.)	5,79
LAB-303	Anti-Treponema pallidum IgM (IF abs.)	7,82
LAB-304	Anti-Treponema pallidum IgM (confirming IB)	34,28
LAB-305	Anti-Treponema pallidum IgG (confirming IB)	34,28
LAB-306	Treponema pallidum DNA	21,22
LAB-307	Syphilis -TPHA quantitatively	5,71
LAB-308	Chlamydia trachomatis Ag (TIFR)	6,26
LAB-309	Pathogenic fungi microscopy	4,62
LAB-310	Papillomavirus DNA	31,15
	Microbiology
LAB-223	Swab for fungi	10,50
LAB-224	Swab for fungi + sensitivity	13,00
LAB-225	Swab for dysbacteriosis	26,00
LAB-226	Rectal swab for Campylobacter jejuni micr.	13,00
LAB-227	Rectal swab for Yersinia micr.	6,00
LAB-178	A-Blood swab for microflora	17,10
LAB-179	Determination of antibacterial susceptibility of secreted microorganisms	7,00
LAB-180	Swab from throat and nose for C. diphtheriae	9,30
LAB-181	Sampling of biological material for microflora determination	11,00
LAB-182	Swab from throat for S. aureus	9,00
LAB-183	Rectal swab for pathogenic intestinal enterobacteria	12,80
LAB-261	Rectal swab for Salmonella and Shigella microorganisms	9,30
	Analysis of feces
LAB-188	Coprogram	3,00
LAB-189	Hidden blood	1,50
LAB-190	Parasite eggs	1,50
LAB-280	Giardia lamblia antigen in stool	7,00
	Cytology
LAB-185	Cytological analysis of gynaecological swabs	3,50
LAB-285	Cytological analysis of biological material	5,00
	Express diagnostics
ED-1	Medical advice, patient treatment, and examination process management in priority, rendering of recommendations	57,00
ED-2	Diagnostic examination in priority (Surcharge to each diagnostic and functional diagnostics, ultrasound, X-ray, computed tomography, magnetic resonance imaging, examination price)	7,00

Medicinal and diagnostic manipulations

Service code	Service Description	Service fee, EUR
	Punctures, blockades
KAM-11	Spinal facet joint blockade	40,00
KAM-4	Intra-articular hyaluronic acid injections	60,00
KAM-3	Nerve canal blockade	9,00
KAMv-18	Joint puncture	21,00
KAMc-48	Urinary bladder or hydrocele puncture	25,00
KAMc-61	Medication injection into a joint (excluding medications)	25,00
KAM-12	Surcharge par medication injected into a joint
KAMc-67	Lymph node, salivary gland pouch, bursa, seroma, hygroma, hematoma, boil puncture	12,00
KAMv-68	Blockade (using medications of LJMC)	23,00
KAMv-68.1	Blockade (using patient’s medications)	14,00
	Wound processing and management
KAM-1	Perineal thrombosis incision (under local anaesthesia) (outpatient)	21,00
KAMc-62	Removal of suture, clamps or clips from a wound (outpatient)	14,00
KAMc-65	Superficial tissue incision and nail removal under local anaesthesia outpatient – boils, carbuncles panaritium, abscess, flegmona etc. (Surcharge for another type of anaesthesia as per the pricelist)	36,00
OP-20	Superficial tissue incision with drainage (boils, carbuncles panaritium, abscess, flegmona) (in hospital)*	78,00
KAMc-39	Administration of medication, cavity rinsing in case of abscess and purulent wounds, change of drain (outpatient )	21,00
KAMc-58	Skin grafting without dermatome under local anaesthesia (Surcharge for another type of anaesthesia as per the pricelist)	28,00
KAMc-56	Primary surgical processing of wounds up to 10 cm, including excision of damaged tissues and wound closure under local anaesthesia, outpatient	28,00
KAMc-56.1	Primary surgical processing of wounds above 10 cm, including excision of damaged tissues and wound closure under local anaesthesia, outpatient (Surcharge for another type of anaesthesia as per the pricelist)	43,00
OP-19	Primary surgical processing of wounds up to 10 cm, including excision of damaged tissues and wound closure, necrectomia (in hospital)*	57,00
OP-18	Surgical processing of primary nonhealing wounds above 10 cm and /or necrosis excision (in hospital)*	85,00
KAM-2	Processing of trophic ulcers with laser, under local anaesthesia (outpatient)	28,00
KAM-2.1	Treatment of trophic up to 10 cm – ulcer with laser irradiation (in hospital)*	57,00
KAM-2.2	Treatment of trophic above 10 cm – ulcer with laser irradiation (in hospital)*	85,00
	Injections, dressing
AM-1	Application of plaster bandage at finger and metacarpal fractures	21,00
AM-2	Application of plaster bandage, covering two large joints, also application of a temporary bandage in case of fracture	28,00
AM-3	Application of plaster bandage at radial bone fracture in a typical seat	21,00
AM-4	Application of plaster bandage at ankle fracture (one leg)	21,00
AM-5	Removal of plaster bandage	14,00
AM-7	Dressing of small wound up to 10 cm (outpatient)	7,00
AM-8	Dressing of large wound above 10 cm (outpatient)	9,00
AM-9	Body part fixing bandage (outpatient)	7,00
AM-18	Injection – cutaneous, subcutaneous, muscle (excluding administered medications) (outpatient)	1,00
AM-19	Injection – intravenous (excluding administered medications) ( outpatient )	2,00
AM-19.1	Injection – intravenous (BONVIVA osteoporosis medication)	7,00
AM-20	Infusion intravenous (excluding administered medication price) ( outpatient )	7,00
AM-21	Placement of venous catheter ( outpatient )	3,00
	Services of ENT specialist
KAM-9	Cryotherapy, diatermocoagulation	14,00
AM-12	Audiogram	10,00
AM-28	Nasal packing, processing with electrocoagulation, medications	7,00
AM-30	Puncture of Highmore’s sinus	11,00
AM-15	Removal of foreign bodies from the nose, oral cavity, throat, ear	7,00
AM-32	Peritonsillar abscess opening	7,00
AM-33	Abscess opening in the nasal septum and external ear canal	7,00
AM-34	Earwax removal, also bilateral	7,00
AM-35	Tympanogram	10,00
AM-50	Vacuum nasal irrigation	7,00
AM-51	Medication instillation into external ear canal	6,00
AM-52	Medication instillation into larynx	6,00
	Services of Ophthalmologist
AM-13	Eyeglass prescription (one type)	12,00
AM-36	Tear duct irrigation	13,00
AM-14	Refractometry	4,00
AM-17	Eye computerized projection perimetry	9,00
AM-17.1	Eye computerized projection perimetry (short program)	4,00
AM-31	Removal of foreign bodies from cornea	10,00
AM-46	Foreign body evacuation from conjunctival sharp way	10,00
AM-47	Foreign body evacuation from cornea using a magnet	15,00
AM-48	Sonographic examination of one eye for eyeball tissue diagnostics using A- image and B- image method, including photo documentation, as well as comparative examination of the second eye	10,00
AM-49	Eyelid scission in case of abscess	25,00
AM-53	Examination by an ophthalmologist for receiving a medical certificate (gun license, driving license, educational establishment, work)	10,00
AM-54	Visual acuity correction according to autorefractometry data and eyeglass prescription	9,00
AM-55	Tonometry for both eyes and evaluation of results in correlation with pachymetry data	9,00
AM-56	Pachymetry for both eyes	6,00
AM-57	Sonographic examination of both eyes using B-image method and photo documentation, evaluation of results	15,00
AM-58	Computerized projection perimetry of both eyes	15,00
AM-59	Rust ring removal from cornea	14,00
AM-60	Epilation of eyelash growing incorrectly	8,00
AM-61	Colour vision assessment	5,00
AM-62	Eyelid or conjunctival tumour surgery	30,00
AM-63	Fundus oculi photography without contrast medium (one eye)	11,00
AM-64	Fundus oculi photography without contrast medium (two eyes)	19,00
	Dermatology
D-1	Compresses and moist application procedures for face (chemical peeling using fruit acid)	23,00
D-1.1	Compresses and moist application procedures for face (chemical peeling using fruit acid) for staff members	18,00
D-1.2	Compresses and moist application procedures for face and back (chemical peeling using fruit acid)	27,00
D-2	Removal of warts, papilloma, pigment spots and ceratoma	7,00
D-2.1	Removal of warts, papilloma, pigment spots and ceratoma for staff members	3,00
D-9	Medical Enerpeel peeling	33,00
D-6	Removal of skin scrape, nail cuticle, swabs	5,00
D-7	Skin biopsy (Punch, shaving)	36,00
D-10	Cryodestruction (1 growing)	10,00
D-11	Cryodestruction ( up to 5 growths)	21,00
D-12	Cryodestruction ( above 5 growths for each)	7,00
D-13	Electrocoagulation of one growing, with anaesthesia	10,00
D-14	Electrocoagulation of each next growing, with anaesthesia	7,00
D-15	Liquidation of multiple warts or papillomas during 1 session (1 area)	60,00
D-16	Liquidation of multiple warts or papillomas during 1 session (2 areas)	90,00
D-17	Prostate secretion fluid sampling	7,00
	Podologist’s services
P-37	Medical pedicure	23,00
P-38	Medical pedicure in case of diabetic feet (without referral)	18,00
P-38.1	Medical pedicure (for staff members)	17,00
P-51	Medical pedicure with long lasting gel nail varnish coating	30,00
P-52	Removal of gel nail varnish (price VAT inclusive)	3,00
P-53	Consultation by a podologist	5,00
P-25	Medical nail modelling using gel (one toe)	8,00
P-26	Medical nail modelling using gel (each next toe)	5,00
P-41	Treatment of ingrown nail (dressing)	5,00
P-47	Nail processing	15,00
P-1	Nail coating with medical nail varnish	3,00
P-3	Processing of both feet skin	15,00
P-54	Processing of solidified deformed nails (one anatomic unit)	6,00
P-55	Processing of one corn, wart	8,00
P-56	Processing of each next corn wart	4,00
P-57	Correction and processing of ingrown nail	10,00
P-58	Repeated correction and processing of ingrown nail	7,00
P-59	Medical pedicure and nail varnishing	25,00
	Grammatology and orthopaedics
TM-1	Bone internal fixation (rod, plate, screw) removal from small tubular bones (under local anaesthesia) ( outpatient)	58,00
	Gynaecology
GM-1	IUD insertion (with USG)	28,00
GM-2	IUD removal	14,00
GM-3	Pharmacological therapy of the uterine cervix	14,00
GM-4	Diathermocoagulation of the uterine cervix	7,00
GM-5	Uterine prolapse correction, by inserting a vaginal pessary	7,00
GM-6	Pregnancy first – time care (registration)	21,00
GM-7	Pregnancy care	17,00
GM-8	Pharmacological therapy of the uterine cervix (without medications)	7,00
GM-9	Biopsy sampling for histological examination	21,00
GM-10	Histological examination of material	21,00
GM-11	Sampling of uterine fundus aspiration and examination	30,00
GM-12	Colposcopy (with biopsy sampling and histological examination)	35,00
GM-13	Insertion of a subcutaneous contraceptive implant	45,00
GM-14	Removal of a contraceptive implant	45,00
GM-15	Gynaecological baths	2,00
	Surgery
KM-1	Sclerotherapy	15,00
KM-2	Removal of ticks	4,00
KM-3	Removal of a superficially located foreign body (without skin incision) (outpatient)	14,00
KM-4	Removal of a foreign body located superficially in soft tissues under local anaesthesia (outpatient)	71,00
KM-6	Biopsy of superficial tissues under local anaesthesia ( outpatient )	71,00
KM-7	Operating removal of local benign cutaneous, subcutaneous growths (under local anaesthesia) (outpatient)	71,00
KM-8	USG – guided breast core biopsy	55,00
KM-9	Fine needle aspiration biopsy	35,00
KM-10	Breast core biopsy histological examination	35,00
	Urology
UM-1	Cystoscopy, including ureteroscopy and /or biopsy (premedication, local anaesthesia) (outpatient)	57,00
UM-2	Urine output measurement, including registration. Uroflowmetry	14,00
UM-3	Change of urinary bladder fistula catheter, including irrigation, catheter fixation and bandage (catheter price inclusive)	19,00
UM-4	Catheterization of urinary bladder with irrigation, medication instillation and /or blood clot irrigation (premedication, under local anaesthesia) (outpatient)	15,00
UM-5	Urinary bladder irrigation and /or instillation in case of inserted indwelling catheter	15,00
UM-6	Flexible lower urinary tract uroendoscopy	123,00
UM-7	Flexible lower urinary tract uroendoscopy with stent evacuation	168,00
	Proctology
PM-1	Biopsy during rectoscopy	13,00
PM-2	Ring imposition on haemorrhoidal nodes, first-time procedure	47,00
PM-2	Ring imposition on haemorrhoidal nodes, first-time procedure	68,00
PM-3	Ring imposition on haemorrhoidal nodes, next procedure	26,00
PM-3	Ring imposition on haemorrhoidal nodes, next procedure	48,00
PM-4	Proctoscopy using disposable proctoscope	11,00

Medicinal procedures

Service code	Service Description	Service fee, EUR
	Physical therapy procedures
FT-1	Galvanisation	5,00
FT-2	Electrophoresis	5,00
FT-3	Cavity galvanization and electrophoresis	5,00
FT-4	Dynamic current	5,00
FT-5	Amplipuls therapy	5,00
FT-6	Darsonvalization (1 patch)	6,00
FT-6.1	Darsonvalization (2 patches)	8,00
FT-8	Ultra-Short Wave Therapy	4,00
FT-9	Centimeter Wave Therapy	4,00
FT-10	Magnetotherapy	6,00
FT-11	Ultrasound Therapy (1 patch)	6,00
FT-11.1	Ultrasound Therapy (2 patches)	8,00
FT-12	Electrosleep	5,00
FT-13	Ultraviolet irradiation (outpatient)	4,00
FT-15	Paraffin or Ozokerite Therapy (1 patch)	5,00
FT-15.1	Paraffin or Ozokerite Therapy (2 patches)	7,00
FT-16	Cranial electro-neurostimulation for adults	5,00
FT-16.1	Cranial electro-neurostimulation for children	4,00
FT-21	Physical therapy procedure for children	3,00
FT-34	Laser therapy: 6 to 8 minutes	4,00
FT-35	Laser therapy: 9 to 15 minutes	5,00
FT-36	Laser therapy: longer than 15 minutes	6,00
FT-37	Laser therapy for children	3,00
FT-43	BIOPTRON Therapy	4,00
AM-42	Lipolysis procedure (using EXILIS)	26,00
AM-43	Lymphatic drainage (using Lymphastim)	8,00
D-8	Polyethylene pants for lymphatic drainage	2,50
FT-64	Extracorporeal shock-wave therapy (one – time)	22,00
FT-65	Extracorporeal shock-wave therapy for staff members (one – time)	19,00
FT-66	Extracorporeal shock-wave therapy (two patches)	32,00
	Medical rehabilitation
	Physicians
FT-50	First consultation by a physical and rehabilitation medicine physician	25,00
FT-50.1	Repeated consultation by a physical and rehabilitation medicine physician (within one calendar month)	15,00
FT-25	Consultation by a physical and rehabilitation medicine physician at the patient’s home (the charge is given net of transportation cost)	35,00
FT-26	First consultation by a physical and rehabilitation medicine physician to pensioners, children, disabled	15,00
FT-26.1	Repeated consultation by a physical and rehabilitation medicine physician to pensioners, children, disabled	10,00
FT-17	Examination by a physical medicine physician prior to procedure	7,00
FT-79	Consultation by a physical and rehabilitation medicine physician, preparation of opinion for release from examination of the official language skills	70,00
	Nutrition specialist
AK-34	First consultation by a nutrition specialist	22,00
AK-34.1	Repeated consultation by a nutrition specialist (within two calendar months)	12,00
	Physiotherapists
FT-38	Consultation by a physiotherapist 30 minutes	15,00
FT-38.1	Consultation by a physiotherapist 45 minutes	20,00
FT-38.2	Consultation by a physiotherapist 60 minutes	22,00
FT-52	Compilation of individual programs for physiotherapy sessions, including for using at home	11,00
FT-18	Physiotherapy individual session 15 minutes	6,00
FT-18.1	Physiotherapy individual session 30 minutes	12,00
FT-18.2	Physiotherapy individual session 45 minutes	15,00
FT-18.3	Physiotherapy individual session 60 minutes	20,00
FT-18.4	Physiotherapy individual session, using soft tissue technique, PIR, thermal therapy	10,00
FT-74	Physiotherapy individual session 30 min. (season ticket from 5 sessions)	10,80
FT-75	Physiotherapy individual session 45 min. (season ticket from 5 sessions)	13,50
FT-19	Therapeutic exercises in a group 30 minutes	4,00
FT-19.1	Therapeutic exercises in a group 30 minutes, 10 sessions (service must be used within three months)	36,00
FT-20	Therapeutic exercises in a group 45 minutes	6,00
FT-20.1	Therapeutic exercises in a group 45 minutes, 10 sessions (service must be used within three months)	54,00
FT-22	Therapeutic exercises in a group 60 minutes	7,00
FT-22.1	Therapeutic exercises in a group 60 minutes, 10 sessions (service must be used within three months)	63,00
FT-23	Physiotherapy at the patient‘s home (the charge is given net of transportation cost)	30,00
FT-27	Training of the patient‘s family	8,00
FT-28	Exercises on a velostimulator	5,00
FT-42	Elastic band therapy	12,00
FT-48	Medical taping (cross tape or tape shorter than 50 cm)	5,00
FT-48.1	Medical taping (tape longer than 50 cm)	8,00
FT-57	Cryo-lymphatic drainage	5,00
FT-58	Cryotherapy 1-2 min.	5,00
FT-59	Cryotherapy 3-5 min	8,00
FT-60	Dance Therapy in a group	10,00
FT-61	Individual Dance Therapy	15,00
FT-62	Art Therapy in a group	10,00
FT-63	Individual Art Therapy	15,00
	Occupational Therapists
FT-39	First consultation by an occupational therapist, assessment, compilation of a therapy plan up to 30 minutes	20,00
FT-39.1	First consultation by an occupational therapist, assessment, compilation of a therapy plan up to 45 minutes	25,00
FT-39.2	First consultation by an occupational therapist, assessment, compilation of a therapy plan up to 60 minutes	30,00
FT-39.3	First consultation by an occupational therapist, assessment, compilation of a therapy plan 60 minutes for children, pensioners and disabled	25,00
FT-40	Repeated consultation by an occupational therapist (within one month)	17,00
FT-51	Individual session with an occupational therapist 15 minutes	10,00
FT-51.1	Individual session with an occupational therapist 30 minutes	15,00
FT-51.2	Individual session with an occupational therapist 45 minutes	20,00
FT-51.3	Individual session with an occupational therapist 60 minutes	25,00
FT-76	Individual session with an occupational therapist 30 min.( season ticket from 5 sessions)	9,00
FT-77	Individual session with an occupational therapist 45 min.( season ticket from 5 sessions)	18,00
FT-78	Consultation by an occupational therapist on technical aids and preparation of an opinion	20,00
	Audio Speech Therapist
FT-53	First consultation by a speech therapist	25,00
FT-53.1	Repeated consultation by a speech therapist (within one month)	15,00
FT-54	First consultation by a speech therapist to pensioners, children, disabled	20,00
FT-54.1	Repeated consultation by a speech therapist to pensioners, children, disabled (within one month)	12,00
FT-55	Individual session with a speech therapist 30 minutes	12,00
FT-55.1	Individual session with a speech therapist 45 minutes	15,00
FT-55.2	Individual session with a speech therapist 60 minutes	25,00
FT-56	Compilation of individual program for sessions with a speech therapist, including for using at home	15,00
FT-69	Individual session with a speech therapist 30 min.( season ticket from 5 sessions)	10,80
FT-70	Individual session with a speech therapist 45 min.( season ticket from 5 sessions)	13,50
FT-71	Speech therapy taping	5,00
FT-72	Individual session with a speech therapist 30 min.and taping	15,00
FT-73	Consultation by a speech therapist and assessment report	30,00
	Massage
MAS-1.1	General massage	36,00
MAS-1.4	Wellness instrument-assisted massage (SPA rehabilitation massage)	36,00
MAS-1.5	Visceral massage	28,00
MAS-1.6	PIR (muscle post-isometric relaxation)	28,00
MAS-1.6.1	Application of one PIR massage element in massage	4,00
MAS-1.6.2	Application of two PIR massage element in massage	7,00
MAS-2	Head massage (10 min.)	6,00
MAS-3	Head and neck massage	15,00
MAS-3.1	Neck massage (20 min.)	12,00
MAS-4	Thoracic spine massage (C7 – Th12)	13,00
MAS-5.1	Lumbar, sacral spine massage	13,00
MAS-6	Both hands massage (40 min.)	22,00
MAS-7	Hand massage (including shoulder girdle and scapula area)	12,00
MAS-9	Palm and forearm massage	7,00
MAS-25	Palm and forearm massage (both hands)	13,00
MAS-13.1	Chest massage	15,00
MAS-14	Leg massage	13,00
MAS-26	Feet and lower leg massage	7,00
MAS-27	Feet and lower leg massage (both legs)	13,00
MAS-28	Massage of both legs	16,00
MAS-29	One leg massage with lower back massage (from L1)	18,00
MAS-15	Both legs massage with lower back massage (from L1)	24,00
MAS-20	Back massage (from C7 and including gluteal area)	18,00
MAS-20.1	Back massage (from occipital lower edge and including gluteal area)	22,00
MAS-21	Abdominal massage	9,00
MAS-30	General massage for children aged up to 6 months	9,00
MAS-31	General massage for children aged 6-12 months	11,00
MAS-32	General massage for children aged 1-3 years	12,00
MAS-33	Both legs massage for children aged 1-3 years	8,00
MAS-34	Both hands massage for children aged 1-3 years	6,00
MAS-35	Back massage for children of 1-3 years	6,00
MAS-36	Back and both legs massage for children aged 1-3 years	11,00
MAS-37	General massage for children aged 3-6 years	13,00
MAS-38	Both legs massage for children aged 3-6 years	8,00
MAS-39	Both hands massage for children aged 3-6 years	6,00
MAS-40	Chest massage for children aged 3-6 years	8,00
MAS-41	Back massage for children aged 3-6 years	8,00
MAS-42	Back and both legs massage for children aged 3-6 years	12,00
MAS-43	General massage for children aged 7-11 years	15,00
MAS-44	Both legs massage for children aged 7-11 years	9,00
MAS-45	Both hands massage for children aged 7-11 years	8,00
MAS-46	Chest massage for children aged 7-11 years	8,00
MAS-47	Back massage for children aged 7-11 years	9,00
MAS-48	Neck massage for children aged 7-11 years	8,00
MAS-49	General massage for children aged 12-17 years	19,00
MAS-50	Both legs massage for children aged 12-17 years	11,00
MAS-51	Both hands massage for children aged 12-17 years	9,00
MAS-52	Chest massage for children aged 12-17 years	11,00
MAS-53	Back massage for children aged 12-17 years	12,00
MAS-54	Neck massage for children aged 12-17 years	9,00
MAS-24.1	Anti-cellulite massage, one hours, using cure applications	36,00
P-23	Medical feet massage (30 minutes)	13,00
P-24	Medical feet massage and mask (45 minutes)	23,00
	Hydrotherapy
ZM-1	Underwater massage 20 minutes	18,00
ZM-2	Underwater massage 40 min.	25,00
ZM-3	Underwater massage 20 min. and chromotherapy 20 min.	22,00
ZM-4	Underwater massage for children (7 – 14 years old) 20 min.	10,00
ZM-5	Underwater massage for children (15 – 18 years old) 20 min.	14,00
ZM-6	Chromotherapy for children (7 – 18 years old) 20 min.	8,00
ZM-7	Season ticket for adults – Underwater massage 20 min.from 5 sessions	16,20
ZM-8	Season ticket for adults -Underwater massage 40min. from 5 sessions	22,50
ZM-9	Season ticket for adults -Underwater massage 20 min.and chromotherapy 20 min. from 5 sessions	20,90
ZM-10	Season ticket for children (7-14 years old) -Underwater massage 20 min. from 5 sessions	6,30
ZM-11	Season ticket for children (15-18 years old) -Underwater massage 20 min. from 5 sessions	12,60
ZM-12	Season ticket for children (7-18 years old) -Chromotherapy 20 min. from 5 sessions	7,20
UD-1	Hand bath 15 min.	7,00
UD-2	Foot bath 15 min.	7,00
UD-3	Mud application 15 min.	8,00
UD-4	Mud application 3 sessions	21,00
	Other medical rehabilitation services
FT-67	Acupressure	12,00
FT-68	Acupuncture	15,00

Anaesthesia and acute therapy

Service code	Service Description	Service fee, EUR
AN-3	Spinal anaesthesia (for the first two hours)	100,00
AN-3.1	Spinal anaesthesia (for each subsequent 30 min.)	20,00
AN-4	Spinal anaesthesia together with regional nerve block	134,00
AN-5	Combined spinal – epidural anaesthesia	188,00
AN-6	General anaesthesia (endotracheal method, laryngeal mask) (for the first hour)	131,00
AN-6.1	General anaesthesia (endotracheal method, laryngeal mask) (for each subsequent 30 min.)	20,00
AN-7	Total intravenous anaesthesia (TIVA) (for the first hour)	100,00
AN-7.1	Total intravenous anaesthesia (TIVA) (for each subsequent hour)	40,00
AN-8	Short-term intravenous anaesthesia (up to 30 min.)	45,00
AN-9	Short-term intravenous anaesthesia for endoscopy (up to 30 min.)	55,00
AN-10	Local infiltration anaesthesia	15,00
AN-11	Intravenous regional anaesthesia (Bier block)	60,00
AN-12	Prolonged epidural analgesia with Bupivacaine, with catheter insertion, first day	92,00
AN-13	Prolonged epidural analgesia with Bupivacaine, for each subsequent 12 hours	23,00
AN-14	Plexus blocks	114,00
AN-2	Surcharge for using Airtraq Avant Optics	15,00
AN-15	Epidural Blockade	51,00

Surgery

Service code	Service Description	Service fee, EUR
	Surgery price excludes:
	– anaesthesia and acute therapy services;
	– Charge for bed-day;
	– services indicated in the pricelist section Endoprosthesis, implant and other medical devices
	Orthopaedic surgery
OP-49	Osteotomy on small tubular bones, bone growth desiccation or Z – shape osteotomy on I metatarsal bone (Chevron)	612,00
OP-49.1	Osteotomy on small tubular bones, bone growth desiccation or Z – shape osteotomy on a I metatarsal bone (Chevron) for each next toe	170,00
OP-50	Osteotomy on tiny carpal, foot bones and /or resection at hallux valgus (Schede)	488,00
OP-50.1	Osteotomy on tiny carpal, foot bones and /or resection at hallux valgus (Schede) for each next toe	134,00
OP-64	Removal of bone internal fixation (rod, plate, screw) from large tubular bones (in hospital)	585,00
OP-65	Removal of bone internal fixation (rod, plate, screw) from small tubular bones (in hospital)	300,00
OP-68	Osteosynthesis of small tubular bones, carpal and foot bones, patella (implant cost exclusive)	645,00
OP-69	Carpal, elbow, foot and knee joint arthrodesis	1 063,00
OP-70	Large tubular bone osteotomy	854,00
OP-71	Shoulder stabilization surgery (Bristow, Boytchev etc.)	1 073,00
OP-73	Osteosynthesis of large tubular bone (implant cost exclusive)	1 063,00
OP-38	Carpal or tarsal tunnel syndrome surgery with nerve decompression and other peripheral nerve decompression (in hospital)	387,00
OP-54	Resection of phalanx or toe joint (arthrodesis)	561,00
OP-62	Dupuytren’s contracture surgery	515,00
OP-37	Tendon tenolysis and myolysis	380,00
OP-42	Tendon plastic surgery	766,00
OP-43	Tendon primary suturing	665,00
OP-146	Restoration of damaged ligaments with a transplant in recurrent dislocation of patella	933,00
OP-147	Tibial corrective osteotomy in recurrent dislocation of patella and patellofemoral arthrosis	749,00
OP-154	Bone plastic surgery (Surcharge at basic surgeries – osteotomy, synthesis, revision etc. surgeries)	144,00
	Arthroscopy
OP-30	Arthroscopy (on knee joint)	551,00
OP-30.1	Arthroscopy (knee) on second leg knee joint	249,00
OP-30.2	Suturing of arthroscopic knee joint (price excludes meniscus suture), applied together with OP-30; OP-30.1; OP-32.1 surgeries	100,00
OP-32.1	Reconstruction of arthroscopic knee joint anterior cruciate ligament	1 382,00
OP-32.2	Reconstruction of arthroscopic knee joint posterior cruciate ligament	1 582,00
OP-45	Cruciate ligament revision surgery excluding implant cost	1 650,00
OP-46	Surcharge for each next ligament reconstruction, excluding implant cost	500,00
OP-41	Arthroscopic shoulder joint subacromial decompression L	524,00
OP-48	Arthroscopy (shoulder, elbow, feet)	600,00
OP-58	Arthroscopic knee joint cartilage defect mosaicplasty	726,00
OP-48.1	Surcharge at shoulder joint arthroscopy for each manipulation, in case of biceps tenodesis, rotator cuff suturing, clavicle resection or shoulder joint stabilization, excluding implant cost	500,00
OP-48.2	Surcharge in case of foot both anterior and posterior arthroscopy	249,00
	Endoprosthesis
OP-33	Hybrid hip endoprosthesis	1 218,00
OP-34	Knee joint endoprosthesis	1 218,00
OP-35	Cemented hip endoprosthesis	1 218,00
OP-36	Total hip endoprosthesis with cement – free fixation prosthesis BiCONTACT with ceramic insert	1 218,00
OP-39	Total hip endoprosthesis with cement – free fixation prosthesis BiCONTACT with polyethylene insert	1 218,00
	Spinal Surgery
OP-151.1	Vertebroplasty on one vertebra (service fee includes charge for two bed – days, post-surgical period ensuring in acute therapy ward, payment for surgical materials)	1 155,00
OP-151.2	Vertebroplasty on two vertebrae (service fee includes charge for two bed – days, post-surgical period ensuring in acute therapy ward, payment for surgical materials)	1 282,00
OP-151.3	Vertebroplasty on three vertebrae (service fee includes charge for two bed – days, post-surgical period ensuring in acute therapy ward, payment for surgical materials)	1 410,00
OP-155	Balloon kyphoplasty	1 904,00
OP-156	Coflex surgery (service fee includes charge for one bed-day and payment for surgical materials)	1 869,00
	Gynaecological surgery
OP-1	Posterior vaginal vault puncture	101,00
OP-2	Abrasion of the uterus	122,00
OP-2.1	Legal abortion from 6^th to 10^th pregnancy week (service fee includes charge for one bed-day)	175,00
OP-3	Vaginal or cervical biopsy	91,00
OP-5	Bartholin gland incision	114,00
OP-6	Bartholin gland cyst dissection	205,00
OP-7	Hysteroresectoscopy	400,00
	Price of OP8; OP9; OP10; OP11; OP12 surgeries excludes disposable materials costs according to TRL;G;VD;H3-7 codes
OP-8	Vaginal and perineal plastic surgery	482,00
OP-9	Extirpation of the Uterus (total or subtotal)	546,00
OP-10	Laparoscopic tubal patency test, ovarian catheterization	549,00
OP-11	Laparoscopic surgeries on uterine appendages	734,00
OP-15	Laparoscopy, adhesiolysis of adhesions in small pelvis	539,00
OP-16	Laparoscopy, hysterectomy	1 134,00
OP-12	Vaginal uterus extirpation	562,00
OP-132	Conservative myomectomy	615,00
OP-21	Amputation of the cervix	566,00
OP-31	TVT surgery for incontinence, including the implant system or polypropylene mesh	710,00
OP-13	Sonohysterosalpingography using Exem Foam contrast medium	110,00
OP-17	Cervical conization and /or loop excision	180,00
	Surgery for Kidneys and Urinary Tract
OP-87	Cleaning of urinary bladder tamponade	134,00
OP-89	Circumcision	340,00
OP-90	Hydro- and /or spermatic cord surgery	340,00
OP-92	Varicose surgery with v.spermatica legation (Abdominal incision)	340,00
OP-93	Surgical intervention in urinary bladder, removal of transurethral large foreign bodies and /or resection of large growths and stent removal	400,00
OP-95	Prostatic adenoma surgical resection	470,00
OP-96	Anastomosis of the renal pelvis	576,00
OP-97	Ureteral surgery	354,00
OP-98	Transurethral resection of prostatic adenoma (TUR), incision or bladder neck resection	500,00
OP-99	Uncomplicated nephrectomy	428,00
OP-100	Kidney surgery	428,00
OP-130	Orchiectomy	220,00
OP-135	Meatotomy	200,00
OP-136	Scrotal vasotomy (sterilisation)	340,00
OP-137	Optical urethrotomy	220,00
OP-138	Cystoscopy, including urethroscopy and/or biopsy	132,00
OP-139	Insertion or replacement of indwelling ureter splint	200,00
OP-140	Kidney decapsulation, adhesiolysis of perinephric adhesions	460,00
OP-141	Kidney resection	539,00
OP-142	Ureterorenoscopy with contact lithotripsy (including splint cost)	540,00
OP-143	Ureterorenoscopy with loop lithoextraction (including loop cost)	575,00
OP-144	Ureterorenoscopy with (including splint cost)	340,00
	Operative therapy of large intestine diseases
OP-79	Surgery for proctologic diseases involving perineal approach	514,00
OP-79.1	Surgery for proctologic diseases involving perineal approach, using LONGO circular suture no.1	879,00
OP-72	Hemorrhoid laser procedure	632,00
OP-75	Karydakis surgery for sinus pilonidalis	620,00
	Abdominal conventional surgery
OP-107.1	Conventional hernia plastic surgery	546,00
OP-107.2	Conventional umbilical hernia plastic surgery	502,00
OP-107.3	Conventional inguinal hernia plastic surgery	522,00
OP-119	Post-operative hernia plastic surgery	650,00
	Laparoscopy
OP-108	Diagnostic Laparoscopy	458,00
OP-109	Laparoscopic Cholecystectomy	615,00
OP-120	Laparoscopic Appendectomy	622,00
OP-120.1	Laparoscopic appendectomy, using mechanical suturing	922,00
OP-115	Laparoscopic unilateral inguinal hernia plastic surgery (TAPP,TEPP), using non-absorbent or semi-absorbent material	766,00
OP-117	Laparoscopic bilateral inguinal hernia plastic surgery, using non-absorbent or semi-absorbent material	978,00
OP-148	Laparoscopic umbilical hernia plastic surgery	1 084,00
OP-149	Laparoscopic white line hernia plastic surgery	1 099,00
OP-150	Abdominal anterior wall plastic surgery	1 084,00
OP-133	Laparoscopic post-operative hernia plastic surgery	2 003,00
OP-122	Laparoscopic adhesiolysis of adhesions	583,00
OP-121.1	Laparoscopic fundoplication	831,00
	Vein surgery
OP-127	Superficial vein surgery (up to 90 min)	536,00
OP-127.1	Superficial vein surgery (up to 120 min)	565,00
OP-127.2	Superficial vein surgery (up to 150 min)	593,00
OP-127.3	Superficial vein surgery (up to 180 min)	621,00
OP-127.4	Superficial vein surgery (above 180 min)	650,00
OP-129	Segmental vein extirpation	375,00
OP-60	Vein surgery on one leg (EVLA method), price includes anaesthesia	753,00
OP-61	Vein surgery on both legs (EVLA method), price includes anaesthesia	1 037,00
	Surgical removal of various growths
OP-44	X-ray – guided surgical removal of deep-lying foreign bodies from soft tissues, bones (in hospital)	363,00
OP-22	Puncture biopsy (cutaneous, subcutaneous, one or more bone lymph nodes, muscles) (in hospital)	137,00
OP-25	Excision of thrombosed hemorrhoid (in hospital)	205,00
OP-25.1	Atheroma, lipoma, lymph node excision (in hospital)	116,00
OP-63	Deep-lying growth extirpation in palm and forearm with release of nerve and blood vessels bundles (in hospital)	562,00
OP-24	Ganglion surgery (in hospital)	360,00
OP-23	Bursa extirpation (in hospital)	360,00
OP-152	Resection of epithelial coccygeal passage	216,00
OP-27	Necretomy with laser irradiation – up to 10 cm (in hospital)*	127,00
OP-27.1	Necretomy with laser irradiation – above 10 cm (in hospital)*	155,00
OP-28	Skin grafting using a dermatome above 10 cm (in hospital)*	169,00
OP-28.1	Skin grafting using a dermatome up to 10 cm (in hospital)*	127,00

Charge for bed day

Service code	Service Description	Service fee, EUR
GD-4	Cost per bed-day in commercial hospital for surgery and gynaecology bed profiles	30,00
GD-4.2	Cost per bed-day in commercial hospital for therapy and neurology bed profiles	25,00
GD-18	Charge for overnight accommodation services in commercial hospital (from 4:00 PM to 8:00 AM)	25,00
GD-15	Charge for patient treatment in acute therapy ward in commercial hospital	148,00
GD-15.1	Surcharge for patient treatment in acute therapy ward in commercial hospital (up to 3 hours)	25,00
GD-15.2	Surcharge for patient treatment in acute therapy ward in commercial hospital (up to 12 hours)	70,00
GD-7	Charge for overnight accommodation services for patients of outpatient and day patient department at Vecmīlgrāvis Hospital (from 4:00 PM to 8:00 AM), if at least 10 patients are accommodated	9,00
GD-7.1	Overnight accommodation services for surgery bed profile patients of outpatient and day patient department at Central Hospital	38,00
GD-7.1	Overnight accommodation services for surgery bed profile patients of day patient department at Central Hospital	95,00
GD-7.3	Overnight accommodation services for surgery bed profile patients of outpatient department at Central Hospital	40,00
GD-7.2	Overnight accommodation services for therapy bed profile patients of outpatient and day patient department at Central Hospital	25,00
GD-10	Patient stay in advanced service ward per day (from 8:00 AM to 4:00 PM)	15,00
GD-1	Patient treatment in advanced service one – bed ward (bathroom and WC, telephone, TV-set) (surcharge per day)	14,00
GD-9	Patient treatment in advanced service ward No.8 in Department of Gynaecology (surcharge per day)	28,00
GD-28	Patient treatment in advanced service ward No.1 in Department of Gynaecology (surcharge per day)	15,00
GD-20	Patient treatment in advanced service one-bed ward No. 11 in Department of Surgery (surcharge per day)	28,00
GD-21	Patient treatment in advanced service one-bed ward No. 12 in Department of Surgery (surcharge per day)	43,00
GD-22	Patient treatment in advanced service one-bed ward No. 14 in Department of Surgery (surcharge per day)	21,00
GD-23	Patient treatment in advanced service one-bed ward No. 9 in Department of Surgery (surcharge per day)	36,00
GD-24	Patient treatment in advanced service one-bed ward No. 10 in Department of Surgery (surcharge per day)	36,00
GD-25	Patient treatment in advanced service one-bed ward No. 6 in Department of Gynaecology (surcharge per day)	36,00
GD-26	Patient treatment in advanced service one-bed ward No. 7 in Department of Gynaecology (surcharge per day)	36,00
GD-27	Treatment of bronchoscopy patient in advanced service ward No.1 and No.2 (surcharge per day)	10,00
GD-12	Patient care and treatment in hospital (per each day spent in hospital (medication excluding))	22,00
GD-12.1	Patient care and treatment in hospital (per each day spent in hospital (medication excluding)), if the patient care and treatment within one hospitalization time last 30 and more days	20,00
GD-16	Charge for bed – day in hospital at a weekend (per day), if one patient stays in hospital	78,00
GD-17	Charge for bed – day in hospital at a weekend (per day), if more than one patient stay in hospital	57,00
GD-17.1	Charge for bed – day in hospital at a weekend (per day), if two and more patients stay in hospital	0,00

Medications, endoprosthesis, implants and other medical devices

Service code	Service Description	Service fee, EUR
EN-1	Cementless hip endoprosthesis BiCONTACT with ceramic insert, including:	1 670,00
EN-1.1.	head	372,00
EN-1.2.	stem	479,00
EN-1.3.	cup	177,00
EN-1.4.	insert	642,00
EN-2	Cemented hip endoprosthesis BiCONTACT, including:	406,00
EN-2.1.	head	139,00
EN-2.2.	stem	205,00
EN-2.3.	cup	36,00
EN-2.4.	centralizer	25,00
EN-3	Knee endoprosthesis Columbus, including:	1 217,00
EN-3.1.	Femoral component	541,00
EN-3.2.	Tibial component	313,00
EN-3.3.	insert	363,00
EN-8	Knee endoprosthesis Columbus (femur and anti-allergic coating), including:	1 235,00
EN-8.1	Femoral component	955,00
EN-8.2	Tibial component	255,00
EN-8.3	centralizer	25,00
EN-9	Knee endoprosthesis Columbus, including:	1 631,00
EN-9.1	Femoral component	955,00
EN-9.2.	Tibial component	313,00
EN-9.3.	insert	363,00
EN-10	Tibial extension stem	157,00
K-3	Surcharge for using Cell Saver (disposable blood collection system) in surgical operations	291,00
MED-1	Surcharge for medications and medical materials used for patient health care	0,00
MED-2	Charge for other laboratory analysis performed	0,00
MED-21	Knotless tissue control device (thread)	24,00
MED-22	Histoacryl Glue	14,00
MED-23	Endoscopic pouch	30,00
MED-24	Charge for medical devices used for primary treatment of small wounds (up to 5 cm), dressing in day patient department	6,00
MED-25	Charge for medical devices used for primary treatment of large wounds (above 5 cm), dressing in day patient department	7,00
MED-26	Aesthetic subcutaneous thread	5,30
D-26	Tissue glue	27,00
D-28	Disposable silicone drain	32,00
G-41	Endoscopic pouch	56,00
G-12	Surcharge for gynaecological surgery using morcellator	100,00
G-13	Surgical underwear for abdominal hysterectomy and myomectomy (for patients of day patient department)	17,00
G-14	Surgical underwear for gynaecological laparoscopic surgery (for patients of day patient department)	20,00
G-15	Surgical underwear for vaginal surgery and hysteroresectoscopy (for patients of day patient department)	15,00
G-21	Surcharge for application of universal endoscopic device with HD –high definition medical video camera with documenting possibility and examination in various spectral modes of light, charge for hospital patients	100,00
G-19	Implant system in urinary incontinence (polypropylene mesh)	580,00
G-29	Haemostatic device Surgiflo Haemostatic Matrix Kit	147,00
G-30	Mesh implant PRP soft 3×15 cm	670,00
G-31	Mesh implant PR4 soft 1B	558,00
G-32	Posterior implant	457,00
G-3	Surcharge for using haemostatic patch Tacho Sil (4.8 x 4.8 x 0.5 cm)	205,00
H-5	Surcharge for using haemostatic patch Tacho Sil (2.5 x 3 x 0.5 cm)	63,00
H-8	Surcharge for using haemostatic agent Spongostan	7,00
H-9	Surcharge for using haemostatic agent Spongostan Anal	21,00
K-1	Surgical underwear for laparoscopic surgery (for patients of day patient department)	20,00
K-2	Surgical underwear for abdominal surgery (for patients of day patient department)	17,00
K-5	Laparoscopic disposable scissors	52,00
K-6	Laparoscopic disposable trocars	12,00
TO-4	Interference screws (Titanous)	61,00
TO-5	Fixation implant (Fiber Wiber thread)	21,00
TO-6	Implant BAROUKA screw	45,00
TO-10	Surcharge for cruciate ligament implantation kit (endobutton)	137,00
TO-11	Surcharge for anchor (1 pc)	55,00
TO-12	Shoulder anchors Twinfix TI 3.5mm	148,00
TO-13	Surcharge for Arthroscopico anchor	148,00
TO-14	DS PEEK anchor	240,00
TO-15	Surgicel Na-KNIT hemostatic agent	41,00
TO-16	Surgicel SNOW ABS hemostatic agent	60,00
TO-17	Ortopilot passive marker kit	66,00
TO-18	Chondro Filler gel	1 084,00
TO-19	Cortical anchor	120,00
TO-20	Meniscus suture with four implant	311,00
TO-21	Meniscus suture with seven implant	367,00
TO-22	Surcharge for coagulation system probe	45,00
TO-24	Bone tissue implant OSTEOSET (large kit)	352,00
TO-25	Bone tissue implant OSTEOSET (small kit)	247,00
TO-27	Implant RegJoint	520,00
TO-28	Dressing Mepilex Border Post Op	12,10
TO-29	Disposable cannula	27,60
TO-30	Implant for foot joint arthrodesis X plate	457,00
TO-31	Implant for foot joint arthrodesis MTP plate	649,00
TO-32	Implant for foot joint arthrodesis TMT plate	557,00
TO-33	Implant for foot joint arthrodesis STRAIGHT plate	535,00
TO-34	Surgical skin closure ZIP-8	50,14
TO-35	Surgical skin closure ZIP-24	70,90
TO-39	Disposable tool – meniscal knot pusher (Ultra Fast Fix) 1 pc.	173,00
TO-40	Anchor SwiveLock 4.75 mm (with thread Fiber Tape)	307,00
TO-41	Anchor SwiveLock 4.75 mm (without thread)	272,00
TO-42	Cruciate ligament plastic implant ENDOBUTTON	124,00
TO-43	Tape for meniscus and ligament suturing	88,00
TO-44	Disposable cartilage and bone transplant system (OATS)	456,00
TO-45	Fixation implant (BicepsButton)	106,00
TO-46	Disposable fixation implant inserter (Button inserter)	106,00
TO-47	Fixation implant (BioComposite SwiveLock C)	272,00
TO-48	Fixation agent (FiberTape)	57,00
TO-49	Fixation implant (BioComposite SwiveLock F)	306,00
TO-50	Fixation agent (Ultratape 2mm)	84,00
TO-51	Fixation implant (ACL TightRope RT )	178,00
TO-52	Fixation implant (TightRope ABS Button )	106,00
TO-53	Disposable device (SutureLasso Wire Loop)	36,00
TO-54	Bone void filler HERAFILL 1*20	185,00
TO-55	Bone void filler HERAFILL 1*40	221,00
TO-56	Bone void filler OSFERION	314,00
TO-57	Bone void filler ( Adbone TCP)	209,00
TO-58	Fixation implant (Suture anchor Parcus 5.5mm)	111,00
TO-59	MTP plate with fixation screw	442,00
TO-60	MTP plate with fixation screws and cannulated compression screws	493,00
TO-61	Bone void filler Triha+ granules 10 cc	119,00
TO-62	Subtalar X plate	243,00
TO-63	Compression clamp	209,00
TO-64	PuchLock 2.4 mm anchor	235,00
TO-65	Plantar lapidus plate system	449,00
TO-66	Hallux valgus opening wedge plate with screws	363,00
TO-67	Foot arthrodesis plate	418,00
TO-68	3 mm cortical screw	39,00
TO-69	3 mm blocking screw	39,00
TO-70	Mini Barouka screw	31,00
TO-71	Tenodesis Screw	283,00
TO-1	Cruciate ligament plastic implant ENDOBUTTON CL ULTRA	181,00
TO-2	Cruciate ligament plastic implant FIXATION BUTTON	30,00
TO-3	Absorbable interference screws	171,00
TO-7	PEEK IntraLine anchor 5.5 mm	157,00
TO-8	PEEK TwinLoop anchor 3.5 mm	91,00
TO-9	Wedge anchor 5 mm	133,00
TR-15	Implant for conventional hernia plastic (Lintex hernia net 6 *11cm )	32,00
TR-16	Implant for conventional hernia plastic (Lintex hernia net 8 *12cm )	34,00
TR-17	Implant for conventional hernia plastic (Lintex hernia net 15 *15cm )	43,00
TR-18	Implant for conventional hernia plastic (Ultrapro mech hernia net 10*12 )	91,00
TRL-1	Semi-absorbable lightweight plastic material for hernia surgery (Parietex hernia net)	121,00
TRL-12	Implant for laparoscopic hernia plastic (Proceed hernia net 15*15 cm)	473,00
TRL-35	Disposable laparoscopic hernia plastic tissue fixation tool (Endo Protack)	268,00
TRL-35.1	Disposable laparoscopic hernia plastic tissue fixation tool (ABSTACK)	427,00
TRL-36	Disposable laparoscopic hernia plastic tissue fixation tool (Endo Staplers)	268,00
U-29	Disposable stent in urology	113,00
VD-27	Disposable trocar	112,00
VD-31	Disposable tissue suturing magazines in visceral surgery (laparoscopic surgery),	125,00
VD-32	Disposable tissue suturing magazines in visceral surgery (conventional surgery), GIA 60, TA PREMIUM 55	105,00
VD-33	Disposable tissue suturing magazines in visceral surgery (conventional surgery), Stapler	159,00
VD-37	Disposable tool for coagulation and adhesiolysis of adhesions (Ligasure 5 mm, 37 cm)	471,00
VD-37.1	Disposable tool for coagulation and adhesiolysis of adhesions (Ligasure 10 mm, 37 cm)	482,00
VD-37.2	Disposable tool for coagulation and adhesiolysis of adhesions (Ligasure 10 mm, 20 cm)	464,00
VD-38	Disposable tool – harmonic scalpel	471,00
VD-42	Circular stapler	366,00
MI-12	Transport tubes (CPV)	2,00
MI-10	Patient shaving using disposable blade Med Clip	1,75
MI-13	Disposable surgical underwear for hip endoprosthesis	20,00
MI-14	Disposable surgical underwear for knee endoprosthesis	25,00
MI-15	Disposable surgical underwear for cruciate ligaments plastic	24,00
MI-16	Joint irrigation system for endoprosthesis surgeries	62,00
MI-17	Plaster splint with lining for joint mobilization	9,00
PR-1	Disposable set for deployment of rings on hemorrhoids	21,00
PR-2	LONGO circular stapler No.1	384,00
PR-4	Disposable rectoscope tip with obturator	7,00
L-1	Laser probe for ENT surgeries	86,00
MO-1	Vertebroplasty system with Calcium Sulphate / Hydroxyapatite cement (Cerament Spine Support)	860,00
MO-2	Kyphoplasty System kit with PMMA cement (with contrast media)	1 425,00

Vaccination

Service code	Service Description	Service fee, EUR
PAV-18	Vaccination against tick-borne encephalitis	36,00
PAV-18.1	Vaccination against tick-borne encephalitis for LJMC staff members	33,00
PAV-11	Vaccination against yellow fever	36,00
PAV-11.1	Vaccination against yellow fever for a/s LJMC staff members	34,00

Medical records execution and issue

Service code	Service Description	Service fee, EUR
PAV-12	Issue of yellow fever vaccination card	1,00
PAV-15	Issue of vaccination passport for children	1,00
PAV-16	Issue of vaccination passport for adults	3,00
PAV-16.1	Repeated completion of vaccination passport	3,00

Medical Board

Service code	Service Description	Service fee, EUR
	Medical board for drivers aged up to 55 years:
PAV-1.1.1.	Examination by a therapist	3,40
PAV-1.1.2.	Examination by a neurologist	3,40
PAV-1.1.3.	Examination by an ophthalmologist	3,40
PAV-1.1.4.	Examination by an ENT specialist	3,40
PAV-1.1.5.	Examination by a surgeon or orthopaedist	3,40
PAV-1.1.6.	Examination by a psychiatrist	6,40
PAV-1.1.7.	Preparation of a conclusion by the chairperson of the medical board	3,40
PAV-1.1.8.	Execution of medical records (registrar)	3,00
PAV-1.1.9.	Examination by a narcologist	6,40
	Medical board for drivers aged over 55 years
PAV-1.2.1.	Examination by a therapist	3,10
PAV-1.2.2.	Examination by a neurologist	3,10
PAV-1.2.3.	Examination by an ophthalmologist	3,10
PAV-1.2.4.	Examination by an ENT specialist	3,10
PAV-1.2.5.	Examination by a surgeon or orthopaedist	3,10
PAV-1.2.6.	Examination by a psychiatrist	6,40
PAV-1.2.7.	Preparation of a conclusion by the chairperson of the medical board	3,40
PAV-1.2.8.	Execution of medical records (registrar)	3,00
PAV-1.2.9.	Electrocardiogram -ECG	3,40
PAV-1.2.10.	Examination by a narcologist	6,40
	Medical board for gun license up to 55 years old
PAV-2.1.1.	Examination by a therapist	3,40
PAV-2.1.2.	Examination by a neurologist	3,40
PAV-2.1.3.	Examination by an ophthalmologist	3,40
PAV-2.1.4.	Examination by an ENT specialist	3,40
PAV-2.1.5.	Examination by a surgeon or orthopaedist	3,40
PAV-2.1.9.	Preparation of a conclusion by the chairperson of the medical board	3,40
PAV-2.1.10.	Execution of medical records (registrar)	3,00
	Medical board for gun license for over 55 years old
PAV-2.2.1.	Examination by a therapist	3,10
PAV-2.2.2.	Examination by a neurologist	3,10
PAV-2.2.3.	Examination by an ophthalmologist	3,10
PAV-2.2.4.	Examination by an ENT specialist	3,10
PAV-2.2.5.	Examination by a surgeon or orthopaedist	3,10
PAV-2.2.9.	Preparation of a conclusion by the chairperson of the medical board	3,40
PAV-2.2.10.	Execution of medical records (registrar)	3,00
PAV-2.2.11.	Electrocardiogram -ECG	3,40
	Medical Board for Seafarers, Students of Maritime Academy, naval cadets
PAV-3.1.1.	Examination by a therapist	2,90
PAV-3.1.2.	Examination by a neurologist	2,90
PAV-3.1.3.	Examination by an ophthalmologist	2,90
PAV-3.1.4.	Examination by an ENT specialist	1,40
PAV-3.1.5.	Examination by a surgeon or orthopaedist	1,40
PAV-3.1.6.	Examination by a dentist	1,40
PAV-3.1.7.	Examination by a gynaecologist	2,90
PAV-3.1.8.	Examination by a dermatovenerologist	2,90
PAV-3.1.9.	Electrocardiogram -ECG	4,40
PAV-3.1.10.	Blood analysis	2,70
PAV-3.1.11.	Thoracic organs, lung imaging pattern (one projection)	9,00
PAV-3.1.12.	Audiometry	1,40
PAV-3.1.13.	Testing blood sugar level	1,40
PAV-3.1.14.	Preparation of a conclusion by the chairperson of the medical board	4,00
PAV-3.1.15.	Execution of medical records (registrar)	3,00
PAV-3.1.16.	S-Hepatitis BsAg	2,90
PAV-3.1.18.	SED	1,40
PAV-3.1.19.	A – Erythrocyte Sedimentation Rate	0,70
PAV-3.1.20.	Visual field computerized projection perimetry (short program)	4,00
PAV-3.1.21.	HIV1/2	3,50
PAV-3.1.22.	Urine analysis	1,20
	Medical Board for Seafarers, Students of Maritime Academy, naval cadets with issue of an additional certificate
PAV-3.2.1.	Examination by a therapist	2,90
PAV-3.2.2.	Examination by a neurologist	2,90
PAV-3.2.3.	Examination by an ophthalmologist	2,90
PAV-3.2.4.	Examination by an ENT specialist	1,40
PAV-3.2.5.	Examination by a surgeon or orthopaedist	1,40
PAV-3.2.6.	Examination by a dentist	1,40
PAV-3.2.7.	Examination by a gynaecologist	2,90
PAV-3.2.8.	Examination by a dermatovenerologist	2,90
PAV-3.2.9.	Electrocardiogram -ECG	4,40
PAV-3.2.10.	Blood analysis	2,70
PAV-3.2.11.	Thoracic organs, lung imaging pattern (one projection)	9,00
PAV-3.2.12.	Audiometry	1,40
PAV-3.2.13.	Testing blood sugar level	1,40
PAV-3.2.14.	Preparation of a conclusion by the chairperson of the medical board	4,00
PAV-3.2.15.	Execution of medical records (registrar)	3,00
PAV-3.2.16.	Execution of an additional certificate	4,30
PAV-3.2.17.	S- Hepatitis BsAg	2,90
PAV-3.2.19.	SED	1,40
PAV-3.2.20.	A – Erythrocyte Sedimentation Rate	0,70
PAV-3.2.21.	Visual field computerized projection perimetry (short program)	4,00
PAV-3.2.22.	HIV1/2	3,50
PAV-3.2.23.	Urine analysis	1,20
	Compulsory first-time and periodic health checks for women
PAV-4.1.1.	Examination by GP	3,40
PAV-4.1.2.	Examination by a gynaecologist	3,40
PAV-4.1.4.	SED	1,40
PAV-4.1.5.	Blood analysis	2,70
PAV-4.1.6.	Thoracic organs, lung imaging pattern (one projection)	9,00
PAV-4.1.7.	Preparation of a conclusion of GP	3,40
PAV-4.1.8.	Execution of medical records (registrar)	3,00
PAV-4.1.10.	Urine analysis	1,20
	Compulsory first-time and periodic health checks for men
PAV-4.2.1.	Examination by GP	3,40
PAV-4.2.3.	SED	1,40
PAV-4.2.4.	Blood analysis	2,70
PAV-4.2.5.	Thoracic organs, lung imaging pattern (one projection)	9,00
PAV-4.2.6.	Preparation of a conclusion of GP	3,40
PAV-4.2.7.	Execution of medical records (registrar)	3,00
PAV-4.2.9.	Urine analysis	1,20
	Job-specifics relating compulsory health checks
PAV-6.1.	Examination by an occupational physician	6,40
PAV-6.2.	Examination by a dermatovenerologist	6,40
PAV-6.3.	Examination by a neurologist	6,40
PAV-6.4.	Examination by an ophthalmologist	6,40
PAV-6.5.	Examination by an ENT specialist	6,40
PAV-6.7.	Examination by a surgeon or orthopaedist	6,40
PAV-6.8.	Examination by a psychiatrist	6,40
PAV-6.9.	Examination by a narcologist	6,40
PAV-6.10.	Examination by a gynaecologist	6,40
PAV-6.11.1	Blood analysis	2,70
PAV-6.12.	Thoracic organs, lung imaging pattern (one projection)	9,00
PAV-6.13.	Electrocardiogram -ECG	3,40
PAV-6.14.	Preparation of a conclusion by the chairperson of the medical board	6,40
PAV-6.15.	Execution of medical records (registrar)	3,00
PAV-6.16.	A – Erythrocyte Sedimentation Rate	0,70
PAV-6.17.	Urine analysis	1,20
PAV-6.18.	Determination of key indicators of external respiratory functions by using bronchodilator test	11,00
PAV-7	Re-issue of certificate (within four months after undergoing the medical board) for previous health checks	17,00
	Health check upon entering Maritime Academy or Maritime School
PAV-8.1.	Examination by a therapist	2,70
PAV-8.2.	Examination by an ophthalmologist	3,40
PAV-8.3.	Examination by an ENT specialist	2,00
PAV-8.4.	Electrocardiogram -ECG	3,40
PAV-8.5.	Preparation of a conclusion by the chairperson of the medical board	2,00
PAV-8.6.	Execution of medical records (registrar)	3,00
PAV-8.7.	Urine analysis	1,20
PAV-8.8.	Blood analysis	2,70
PAV-8.9.	Thoracic organs, lung imaging pattern (one projection)	9,00
	Health check upon entering an educational establishment
PAV-10.1.	Examination by a surgeon or orthopaedist	3,40
PAV-10.2.	Examination by a neurologist	3,40
PAV-10.3.	Examination by a gynaecologist	3,40
PAV-10.4.	Examination by an ophthalmologist	3,40
PAV-10.5.	Examination by an ENT specialist	3,40
PAV-10.6.	Electrocardiogram -ECG	3,40
PAV-10.7.	Thoracic organs, lung imaging pattern (one projection)	9,00
PAV-10.8.	Blood analysis	2,70
PAV-10.9.	Preparation of a conclusion of GP	3,40
PAV-10.10.	Execution of medical records (registrar)	3,00
PAV-10.11.	A – Erythrocyte Sedimentation Rate	0,70
PAV-10.12.	Urine analysis	1,20

VAST taxable services (VAT is included in the price)

Service code	Service Description	Service fee, EUR
	Charge for meals
GD-13.1	Breakfast	0,90
GD-13.3	Supper	0,90
GD-23.12	Thin porridge	0,65
GD-23.14	Vegetable broth	0,85
GD-23.18	Set – meal	3,30
GD-23.24	Porridge	0,85
GD-23.30	Salads
GD-23.31	Soup
GD-23.32	Main course
GD-23.33	Side dish
GD-23.34	Dessert
GD-23.35	Drinks
GD-23.36	Bread	0,10
	Miscellaneous
C-1	Preparation of one copy – for medical records	0,15
C-1.2	Preparation of one copy – for non-medical records	0,30
C-2	Laundry washing (1 kg)	1,50
C-3	Recording of examination image on CD disk	3,00
C-4	Storage of patient’s material values (per day)	1,00
C-7	Sending of examination results by registered mail	3,00
C-8	Re-issue of examination results, duplicates	5,00
C-10	Preparation of health certificates	5,00