Non Eligible Chch Hospital General Fee Table Valid 01 July 2015 to 30 June 2016 OVERSEAS CHARGEABLES FEES FOR CANTERBURY DHB - CHRISTCHURCH CAMPUS: MEDICAL/SURGICAL Prices include GST Emergency Department (Non Accident Related) $ ECG - excluding Exercise Test $ CT Scans - excluding Angiography & guided Chest Drain 420.00 92.35 $ $ 1,198.97 $ $ $ $ 752.68 2,527.09 164.00 330.67 196.82 $ $ $ $ $ 1,995.94 6,786.15 1,368.50 1,598.50 1,995.94 201.25 $ 207.00 $ $ $ 644.00 450.80 235.75 264.50 $ 1,650.00 Length of stay up to 48 hours from time of delivery $ 4,980.00 Complicated Vaginal Delivery Length of stay up to 72 hours from time of delivery $ 7,687.50 MRI - Price Range Pregnancy Ultrasound Ultrasound - excluding Carotids, Guided Biopsy & Guided Misc Procedures Xrays - excluding PICC Insertions & Gallbladder Drainage Range AMAU ICU General Medical Wards General Surgical Wards Specialist Wards Per Night Per Night Per Night Per Night Per Night Outpatient New Patient Appointments (FSA)-Varies Outpatient Follow Up Appointment (FU)-Varies Eye Outpatients - General NP Eye Outpatients - General FU Range Range Lyndhurst Hospital procedure - Termination $ $ Uncomplicated Vaginal Delivery (No medical intervention, no Epidural) - Caesarean Delivery Length of stay up to 96 hours from time of delivery $ 11,438.55 All prices include GST and are subject to change. Additional prices available on request. If you need to be transferred to a different health service they will also have charges for care they provide All Elective Services must be paid in advance. All Acute Services must be paid at the time of discharge. Payment can be made at Accounts Receivable, Ground Floor, Christchurch Hospital. EFTPOS Services are available onsite. Bank Account Details: Reference: Please Use Invoice Number or NHI# if unknown Westpac Bank Canterbury District Health Board 03 1592 0154760 00 Any accounts that remain unpaid after 90 days will be referred to our collection agency without further notice. Eligibility Criteria is available from www.moh.govt.nz or by contacting the Eligibility Team at Christchurch Hospital. stacey.hosking@cdhb.health.nz or antoanette.dupreez@cdhb.health.nz Ph: 3640 957