The CaymanIslands Gazette
Extracts from Issue No. 01/2002 publishedMonday, 14 January 2002, and the Extraordinary Issue No. 4/2002,published on Friday, 11 January 2002.
In a continuing effort to keep our readers informed, and to educatethe public while helping them understand statute and other administrativematters within the structure of government, legislative, legaland other developments, Cayman Net News will be publishing a regularreport from each issue of the Cayman Islands Government's OfficialGazette, which is published by Government Information Services.
The Gazette is published fortnightly onMondays except when an extraordinary edition is issued and wewill present to readers that issue in our following editions.
HEALTH SERVICES (FEES AND CHARGES) REGULATIONS,2002
General Fees
Ophthalmology
Consultation:
Orthoptist 40
Consultation-specialist 50
1st Follow up short visit 0
Laser:
Focal argon 260
PRP argon 325
YAG capsulotomy 325
YAG iridotomy 650
Chalazion 195
Entropion 195
Excision/biopsy of lid lesion 195
Pterygium 325
Retropunctal cautery 130
Eye procedure Other 130
Flourescein angiography 80
Hess screen 25
Visual Fields 65
Fluorescein angiography, facility usage 40
Laser:
Focal argon, facility usage 215
YAG, capsulotomy, facility usage 195
YAG, iridotomy, facility usage 260
Visual fields, facility usage 40
Psychology
Tests:
Psychology self reported test 20
Psychology administered test 40
Other Services
Home physician visit 40
Home nursing visit 20
District clinic nursing service 15
PART 2 INCLUSIVE FEES MINORSURGICAL CASES
Notes:
1) The fee for a service specified in this Part covers:
a. The surgeon's fees; and
b. The health care facility fees for up to 6 hours after the operation
2) It does not cover:
a. Biopsy charges unless otherwise stated
b. The cost of any drugs, medicines or any prosthesis or otherimplant; or
c. The health care facility costs after 6 hours after the operationwhich will be charged at the rate of $50 an hour
Adenoidectomy 325
Anal dilatation 260
Application of plaster of paris hand, arm or leg 130
Bartolin's cyst: 1 & D 260
Bartolin's cyst: 1 & D with excision of cyst 325
Bartolin's abscess - marsupialisation 455
Bronchoscopy rigid 520
Bronchoscopy flexible 520
Bladder irritation 325
Bladder fulgaration of tumors 910
Bilateral antral sinus lavage 390
Bunionectomy: unilateral 455
Chalazion excision (meibomian cyst) 325
Circumcision: child 200
Circumcision: adult 400
Closed reduction of fractured wrist,
arm or ankle with plaster of paris 325
Closed reduction of mandible 585
Colonscopy 520
Cystoscopy local 195
Cystoscopy general 455
Closed reduction manipulation of hip 455
Closed reduction manipulation of shoulder 455
Cautery of anal warts 325
Cautery of cervix 520
Cautery of mole 195
Cautery of vulva 520
Cauterisation of warts:other-general anaesthetic 325
Cauterisation of warts: other local anaesthetic 130
Dental extractions Dental Section
Dental restorations: under one hour 260
Dilatation and curettage 455
Dupuytren's contracture release 455
Debridement irrigation of wounds (under one hour) 520
Dermabrasion 325
Epidural: pain therapy 195
Examination under anaesthesia 260
Excision of warts: - with general anaesthetic 325
Excision of warts: - with local anaesthetic 195
Excision lipomas general anaesthetic 390
Excision lipomas local anaesthetic 195
Excision of breast lump 520
Excision pterygium with grafts 325
Excision pterygium otherwise 195
Evacuation of retained products of conception 455
Excision of ganglion 455
Frenulectomy 250
Gastroscopy 585
Hysteroscopy 780
1 & D Ischio rectal/peri anal abscess 520
1 & D abscess arm 260
1 & D abscess leg 260
1 & D abscess tonsil 260
Insertion of "K" wire 260
Insertion of chest tube 260
Insertion of shirodkar suture of cervix 455
Insertion of Grommets tube ear 260
Irrigation of lachrymal ducts 260
Larynogroscopy 520
Manual removal of placenta 455
Meotomy 650
Muscle biopsy local 390
Muscle biopsy general 520
Myringotomy with/without insertion of
Grommet's tube 325
Needle biopsy of breast 455
Needle biopsy of liver 455
Needle biopsy of prostate 455
Needle biopsy of testes 455
Polypectomies(nasal/rectal) 585
Polypectomy cervical or uterine 585
Proctoscopy 390
Oesophagoscopy 455
Release carpal tunnel syndrome 455
Release De'Quervain's wrist 390
Release trigger finger 325
Removal of foreign body 130
Re-suturing (scar revision): under one hour 325
Sclerotherapy EUA 260
Sigmoidoscopy rigid with biopsy 455
Sigmoidoscopy flexible 455
Steinmann's pinning femur/tibia general 260
Steinmann's pinning femur/tibia local 195
Steroids injection joint general 520
Steroids injection joint local 390
Squint repair 780
Supra-pubic cystotomy 390
Tonsillectomy 390
Urethral dilatation 390
Urethrotomy internal 650
Vasectomy general 520
Vasectomy local 390
PART 3 INCLUSIVE FEES INTERMEDIATECASES
Notes:
1) The fee for a service specified in this Part covers:
a) The surgeon's fees; and
b) Use of the operating theatre
2) It does not cover:
a) Hospitalisaton;
b) Biopsy charges;
c) The cost of any drugs, medicines or any prosthesis or otherimplant; or
d) Anaesthesia charges which will be charged at the rate of $260plus $130 for each half hour or part of a half hour after thefirst hour.
3) If a doctor's or surgeon's assistant is provided an additionalfee of $130 for each hour or part of an hour during which he isprovided will be charged.
A/V graft for dialysis 650
A/V fistual for dialysis 650
AV fistula - revision 780
A/V graft - revision 780
Amputation of finger or toe 455
Amputation of foot or hand 585
Amputation of leg below knee 780
Appendectomy 455
Application of external fixators 650
Application of hip spica cast 390
Arthroscopy - diagnostic 520
Arthroscopy - menisectomy 780
Blepharoplasty 910
Bunionectomy: bilateral 780
Caldwell luc 585
Change gastrostomy tube 390
Change of tracheotomy 390
Correction of ectropian 390
Correction of hypospadias 585
Cautery to turbinates 455
Cone biopsy 390
Cyst removal - epididymus 390
Cystoscopy and insertion of ureteric
stents (excluding cost of stents) 520
Debridement of wounds: general per hour 390
Elevation of zygoma 585
Embolectomy of artery 650
ERCP 1170
Excision of keloid/refashioning scar each hour 455
Excision of vaginal septum 585
Extraction of cataract 715
Extraction of cataract including I.O.L. (phaco) 1040
Fasciotomy 815
Fistulectomy 520
Fluoroscopy 260
Haemorrhoidectomy: 455
Herniorraphy- unilateral 390
Herniotomy (paediatric) 390
Hydrocelectomy 455
Incision and drainage and irrigation of knee 520
Insertion of central venous catheter 455
Iridectomy 390
Laparoscopy - diagnostic 1300
Laparoscopic division of adhesions, adhesiolysis 1300
Laparoscopic tubal ligation 1300
Liposuction hips/thighs 1105
Microductectomy of breast 520
Orchidectomy bilateral 845
Orchidectomy unilateral 650
Orchidopexy: bilateral 520
Orchidopexy: unilateral 455
Oesophageal dilation 520
O.R.I.F. metacarpal/tarsal/phalanges 520
O.R.I.F. radius/ulna 520
Plastic repair of tip of finger or toe 390
Percutaneous endoscopic gstrostomy (P.E.G) 390
Release of torsion testes 455
Removal of cyst of the epididymis 455
Removal of foreign body from foot or hand 455
Removal of foreign body from throat or
oesophagus: each hour 520
Removal of hardware leg/arm 390
Repair corneal laceration 780
Re-suturing (scar revision) each hour 325
Septorhinoplasty 780
Septoplasty 520
Sinoscopy 1040
Skin graft: each hour 390
Soft tissue release - contracture 585
Sub-mucous resection 455
Suturing/re-suturing of wound 455
Stripping and ligation of varicose veins - unilateral 390
Stripping and ligation of varicose veins - bilateral 650
Thrombectomy venous 520
Tonsillectomy & adenoidectomy 455
Trabeculectomy 685
Tracheostomy 585
Trans-urethral resection bladder tumor 980
Trans-urethral resection prostrate gland 1075
Tubal ligation post partum 520
Varocelectomy 390
PART 4 INCLUSIVE FEES MAJOR CASES
Notes
1) The fee for a service specified in this Part covers:
a. The surgeon's fees; and
b. Use of the operating theatre
2) It does not cover:
a. Hospitalisation
b. Biopsy charges
c. The cost of any drugs, medicines or any prosthesis or otherimplants; or
d. Anaesthesia charges which will be charged at the rate of $260plus $130 for each half hour or part of a half hour after thefirst hour.
3) If a doctor's or surgeon's assistant is provided, an additionalfee of $100 for each hour or part of an hour during which he isprovided will be charged.
Abdominal perinial resection of rectum 1300
Amputation of arm 780
Amputation of leg above knee 780
Anterior cruciate reconstruction 1820
Arthroscopy with anterior cruciate reconstruction 1560
Application of external fixators 585
Arthoscopy: with shaving 650
Bowel resection 780
Caesarean section including midwife and paediatrician 650
Cholecystectomy exploration of common bile duct 1040
Cholecystectomy - open 780
Cholecystectomy with operative cholangiogram 780
Closure of colostomy 650
Colostomy formation 520
Colporrhapy - anterior 585
Colporrhapy anterior and posterior combined 845
Colporrhapy - posterior 585
Colposuspension 910
Corneal transplant 910
Craniotomy burr holes: 1040
Cystoscopy and removal of bladder calculae 650
Cystoscopy and removal of ureteric stones 910
Dental restoration: 1 hour or over (per hour) 470
Dermolipectomy: each hour thereafter 260
Dermolpectomy: first hour 650
Excision of coccyx 910
Exploration of neck 910
Exploratory laparotomy 910
Faciomaxillary surgery 1950
Femoral osteotomy 1300
Gastrectomy - partial 910
Gastrectomy - total 1300
Hemi-colectomy right/left 1950
Herniorraphy - incisional 1040
Herniorraphy - umbilical 520
Hip Moores hemi arthroplasty 1950
Hip compression canulated screw 1300
Hip compression dynamic screw and plate 1950
Hip total replacement - with cement 5200
Hip total replacement without cement 3900
Hysterectomy abdominal 910
Hysterectomy abdominal and bilateral salpingo-ooperectomy 1170
Hysterectomy vaginal 780
Hysterectomy vaginal laparoscopic assisted video (L.A.V.H.) 2080
Insertion of implant in breast 780
Insertion of implant in breast after previous surgery 1040
Knee hemi-arthroplasty 2600
Knee replacement - cemented 3900
Knee replacement uncemented 3250
Laminectomy and discotomy 2600
Laminectomy inc. fushion (iliac crest bone graft) 3900
Laparoscopic cholecystectomy 1950
Laparoscopic cholecystectomy with operative cholangiogram 2210
Laparoscopic trans abdominal hiatus hernia repair 2600
Laparotomy bilateral oophorectomy 650
Laparotomy division of adhesions 520
Laparotomy oversowing perforated
duodenal ulcer 650
Laparotomy salpingostomy ectopic 650
Laparotomy salpingo - oophorectomy 780
Laparotomy for ectopic salpingectomy 780
Laparotomy for perforated appendix
with bowel resection 780
Laparotomy for perforated appendix
without bowel resection 650
Laparotomy wedge resection of ovaries 520
Laryngectomy 1300
Lithotripsy 1950
Lithotripsy laser 2600
Low anterior resection with endoscopic stapling 3250
Mammary reduction 1300
Mandibular resection 1950
Mastectomy: & axillary dissection 1300
Mastectomy: bilateral 1040
Mastectomy: radical 780
Mastectomy: unilateral 520
Mastoidectomy 1040
Myomectomy 780
Myringoplasty with or without graft 910
Neck dissection 1040
Neers should arthroplasty 2600
Nephrectomy 1950
O.R.I.F. humerus 650
O.R.I.F. mandible 910
O.R.I.F. tibia/fibula 650
O.R.I.F. femur 1040
Ovarian cystectomy 650
Parotidectmy 910
Patellectomy 780
Plastic surgery (unspecified), derma liposuction 2275
Pyelolithotomy 1300
Removal of intraocular lens 650
Repair of abdominal aortic aneurysm 2600
Repair of lacerated liver 2210
Repair of ruptured uterus 1300
Repair of vaginal/urethral fistula 780
Retro public prostatectomy 780
Rotator cuff repair 1040
Salpingo oophrectomy 650
Septo- rhinoplasty 1300
Sigmoidcoletomy 1560
Small bowel resection 1300
Spinal decompression L/S and/or nerve root 1560
Spinal surgery laminectomy/discectomy 1300
Splenectomy 650
Tendon & blood vessel repair 650
Thoraco abdominal oesophago gastrectomy 1950
Thoracotomy 1170
Thoracotomy - lobectomy 1300
Thoracotomy - pneumonectomy 1560
Thyroidectomy 1040
Total cystectomy and ilial conduit 2600
Transverse colon resection 1300
Tuboplasty 1040
Tympano mastiodectomy 1040
Tympanoplasty 685
Ventral suspension of uterus 650
Vulvectomy 1040
Wiring of fractured mandible 650