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IN exercise of the powers
conferred on the Secretary
responsible for Health by section
11 of the Hospital Fees Act, 1971
(Act 387), and with the approval
of the Provisional National
Defence Council, these Regulations
are made this 19th day of July,
1985.
Regulation 1—Fees Payable
Subject to the provisions of the
Hospital Fees Act, 1971 (Act 387)
and these Regulations, the basic
fees specified in the First
Schedule to these Regulations
shall be payable in respect of
services rendered in a hospital
and specified in relation to those
fees.
Regulation 2—Exemption under
Section 2 of Act 387.
(1) Patients suffering from
Leprosy or Tuberculosis are
exempted from payment of all fees.
(2) No fees other than cost of
prescribed drugs shall be paid in
respect of services rendered in a
hospital to any person suffering
from —
(a) Meningitis
(b) Chicken-pox
(c) Cholera
(d) Diphtheria
(e) Malnutrition (Protein -
Calorie-Malnutrition and Marasmus).
(f) Measles
(g) Onchocerciasis
(h) Poliomyelitis (acute)
(i)
Relapsing fever
(j) Schistosomiasis
(k) Smallpox
(1) Tetanus
(m) Trachoma
(n) Trypanosomiasis
(o) Typhus
(p) Typhoid
(q) Venereal disease
(r) Whooping-cough
(s) Yaws
(t) Yellow fever
(u) Sickle cell disease
(v) Viral Hepatitis
(w) Haemorrhagic fevers
(x) Rabies.
(3) No fees other than hospital
accommodation and catering
services shall be paid in any
Government hospital or clinic in
respect of —
(i)
Ante-natal and Post-natal services
;
(ii) Treatment at Child Welfare
Clinics.
(4) No fees shall be paid for any
immunisation against any diseases
except for vaccination
certificates for international
travel.
Regulation 3—Exemption under
Section 2 (d) of Act 387
No fees (other than fees for
special amenities) shall be paid
in respect of services rendered in
a hospital to any health services
personnel including trainees.
Regulation 4—Storage of Dead
Bodies
(1) The person liable to pay for
the cold storage of a dead body
shall be the person requesting the
service.
(2) No fees shall be paid for the
cold storage of a dead body at the
request of any department of
State.
(3) The Medical Officer concerned
may in his discretion waive the
fees payable for cold storage of a
dead body where there is delay in
releasing the body to relatives
due to post-mortem examination,
the coroner's report or difficulty
in tracing the relatives of the
dead person.
Regulation 5—Revocation of L.I.
1277.
The Hospital Fees Regulations,
1983 (L.I. 1277) are hereby
revoked.
Regulation 6—Commencement
These Regulations shall be deemed
to have come into force on the 1st
day of June, 1985.
SCHEDULES
FIRST SCHEDULE
PART I—OUT-PATIENTS
FEES
Service Adults Children
Non-Ghanaian
A. 1. Teaching
Hospitals:
(a) Specialist Consultation (1st
visit) ¢200.00
¢100.00 ¢400.00
Fellow-up visits ¢
50.00 ¢ 25.00
¢100.00
(b) General Consultation ¢
75.00 ¢ 40.00
¢200.00
2. Regional Hospitals ¢
75.00 ¢ 40.00
¢100.00
3. District Hospitals ¢
50.00 ¢ 30.00
¢ 80.00
4. Urban Health Centres ¢
50.00 ¢ 30.00
¢ 80.00
5. Rural Health Centres and Posts
¢ 30.00 ¢
20.00 ¢ 80.00
Investigations in Hospitals,
Health Centres Fee
B
1. Laboratory
Blood
(a) Parasites, HB, WBC,
Differential count, ESR, Clotting
time, Bleeding time ¢
10.00 each
(b) Sickling, Prothrombin
time ¢ 20.00
(c) Electrophoresis ¢
50.00
C.S.F.
Routine examination for cell
count, protein, sugar, etc. ¢
50.00
Stool:
Parasites ¢20.00
Urine:
(i)
PH, Specific gravity
¢5.00 each
(ii) Protein, Sugar, Urobilin,
Urobilinogen, Ketone
¢10.00 each
(iii) Billirubin,
Deposit ¢20.00 each
Bacteriology
(a) Sputum, Urine, Stool, CFS,
Vaginal Swabs, and Swabs
from wounds for Culture and
Sensitivity ¢100.00
each
(b) Pregnancy test
¢100.00
(c) Sputum test for AFB
Free
(d) Skin Snip for Onchocerciasis
Free
2. Special
Investigations
ECG, EEG ¢ 250.00
3. Radiological
Investigations
(i)
Plain X-rays
Large films, e.g. Chest ¢
200.00
Small films, e.g. wrist joint ¢
100.00
Special
Examination
(ii) Barium meal, angiogram; IVP,
etc. ¢500.00 each
(iii) Salpingogram
¢250.00
PART II—MEDICAL AND SURGICAL
TREATMENT
Service Fee
1. Minor operative procedure as
set out in Part A of the Second
Schedule:
Ghanaian ¢100.00
Non-Ghanaian
¢500.00
2. Minor surgical operation as set
out in Part B of the Second
Schedule:
Ghanaian ¢500.00
Non-Ghanaian
¢1,500.00
3. Major surgical procedure as set
out in Part C of the Second
Schedule:
Ghanaian ¢ 1,000.00
Non-Ghanaian ¢
5,000.00
4. Delivery:
Regional/District
Hospitals
Ghanaian ¢ 100.00
Non-Ghanaian ¢
300.00
Polyclinics/Health Centres, Health
Posts
Ghanaian ¢ 50.00
Non-Ghanaian ¢
200.00
PART III—DENTAL CHARGES
Service Fee
1.
Consultation/Examination
¢ 40.00
Non-Ghanaian ¢
120.00
2. Operative
Procedure:
(a) Dressing ¢ 100.00
Non-Ghanaian ¢
300.00
(b) Extraction ¢ 120.00
Non-Ghanaian ¢
350.00
(c) Filling ¢
150.00
Non-Ghanaian ¢
500.00
(d) Root canal Therapy ¢
200.00
Non-Ghanaian ¢
600.00
3. Dentures ¢ 200.00
Non-Ghanaian ¢ 600.00
plus ¢20.00 & ¢60.00 for
additional tooth.
(a) Denture bearing 1-3 teeth
do.
(b) Denture bearing 4-8
teeth do
(c) Denture bring 14 teeth
do.
4. Minor oral surgery, e.g. cyst
root ¢ 300.00
Non-Ghanaian ¢
750.00
5. Major Oral surgery ¢
400.00
Non-Ghanaian ¢
850.00
6. Gold Filling special Dental
procedure:
Gold (Cap or Filling)
per cost of material
PART IV—MEDICAL EXAMINATIONS
Service Fee
1. For admission to Schools and
Colleges:
Ghanaian ¢ 50.00
Non-Ghanaian ¢
100.00
2. For employment - All
cases ¢ 00.00
3. For insurance and other
claims:
Ghanaian ¢ 500.00
Non-Ghanaian ¢
1,000.00
4. Autopsy report ¢
500.00
5. Police form ¢ 100.00
6. Medical Boards on public
servants by Ministry of Health
Free
7. Medical Board on all other
persons ¢ 200.00
PART V—DRUGS
All drugs will be supplied to
patients at full cost.
PART VI—HOSPLTAL ACCOMMODATION AND
CATERING SERVICES
PART IV—MEDICAL EXAMINATIONS
Service Fee
1. Open ward with catering
service:
Adults ¢ 100.00
Children ¢
50.00
2. Amenity or V.I.P. wards with
catering services
Ghanaian ¢ 250.00
Non-Ghanaian ¢
500.00
3. Side ward with catering
services:
Ghanaian ¢ 150.00
Non-Ghanaian ¢
400.00
4. Hospitals without catering
services
Adults ¢ 40.00
Children ¢
20.00
PART VII—MISCELLANEOUS
Service Fee
1. Cold storage of persons who die
in hospital:
(a) First 2 days Free
(b) Next 5 days ¢150.00
per day
(c) Thereafter up to a maximum of
7 days ¢250.00 per day
(d) Thereafter up to a maximum of
7 days ¢350.00 per day
(e) Thereafter up to a maximum of
7 days ¢5,000.00 per day
2. Cold storage of persons who die
out of hospital will be stored in
hospitals for a maximum of 21
days ¢300.00 per
day
Thereafter up to a maximum of 7
days ¢5,000.00 per day
3. Coroner's Cases:
(a) Until body is identified
Free
(b) First 3 days after
post-mortem ¢150.00 per
day
(c) Thereafter up to a maximum of
11 days ¢300.00 per
day
(d) Thereafter up to a maximum of
7 days ¢5,000.00 per day
4. Unclaimed
Bodies:
All bodies will be kept up to a
maximum of 28 days.
Bodies unclaimed after the 28th
day will be interred by
government.
5. Orthopaedic appliances and
prosthesis At
Cost
6. Physiotherapy ¢100.00 per
course
7.
Ambulance:
(a) A ride within town-city ¢
50.00
(b) A ride outside city
To be based on mileage at
Government rate.
SECOND SCHEDULE
PART A
MINOR OPERATIVE PROCEDURES
OBSTETRIC AND GYNAECOLOGICAL
1. Paracentesis Abdominis
2. Lumbar Puncture
OPHTHALMIC SURGERY
1. Irrigation of Lachrymal
drainage system
2. Fluoresceine angiography
3. Fundus photography
4. Electroretinogram
5. Retrobulbar injections
(alcohol, xylocaine)
6. Visual Fields
7. VER
8. Electro-oculogram
EAR, NOSE AND THROAT
Ear
1. Syringing on account of wax,
pus or foreign body
2. Removing of polyps
3. Caloric Test
4. Audiometric Test
Nose
1. Incision and packing of nasal
septal abscess
2. Nasal Polypectomy
3. Antrum lavage
4. Cauterization with electric-cautery
or silver nitrate for epistaxis.
Throat
A
(3) Removal of F.B. in the pharynx
GENERAL SURGERY
1. Incision and Drainage of
Abscesses
2. Paracentesis
3. Urethral dilatation
4. Gastroscopy
5. Colonoscopy
6. Closed reduction of fractures
7. Aspiration of knee and other
joints
PART B
MINOR SURGICAL OPERATIONS
OBSTETRIC AND GYNAECOLOGICAL
1. Dilatation and Curettage
2. Evacuation of Uterus
3. Excision/Incision
4. Cauterisation of Lower genital
tract
5. Laparoscopy
6. Sterilisation
7. Episiotomy and Repair
8. Forceps Delivery
9. Vacuum Extraction
OPHTHALMIC SURGERY
1. Excision of pterygium
2. Removal of Corneal Foreign
Bodies
3. Removal of intra-Corneal
Foreign Bodies
4. Repair of lid lacerations not
involving puncta
5. Repair of Conjunctival tears
6. I and C of Chalazion
7. Excision of small lesions of
lid such as Warts, Xanthelasma,
moles.
8. Tarsorrhaphy
9. Lacrimal system Probing
10. One-snip, three-snip
operations of Canaliculus
11. Removal Lid Conerations
12. Cauterisation of Corneal
lesion such as Dendritic Ulcer
13. Removal of Band Keratopathy
14. Anterior Chamber washout for
Hyphema
15. Removal of Conjunctival
tumours
16. Conjunctivectomy
17. Conjunctival flaps
EAR, NOSE AND THROAT
Ear
1. Incision of mastoid abscess
2. Meatal Repair
3. Removal of embedded foreign
body
4. Suturing of lacerated pinna
5. Suturing of torn ear lobe
6. Aural polypectomy
7. Excision of Keloids, Cysts,
Lipomata
Nose
1. Treatment of fracture of the
nose
2. Nasal polypectomy
Throat
1. Incision of Peritonsillar
Abscess
2. Elective and emergency
Tracheotomy
3. Removal of Thyroglossal cyst
General Surgery
1. Herniorrhaphy
(a) Inguinal
(b) Femoral
(c) Umbilical
2. Varicose veins operations
3. Haemorrhoidectomy
4. Minor wounds, grafts
5. Hydrocelectomy
6. Circumcision
7. Excision of cutaneous and
subcutaneous lumps
8. Biopsies-Breast
9. Laparoscopy
10. Minor amputations-fingers and
toes
11. Cystostomy
PART C
MAJOR SURGICAL OPERATIONS
OBSTETRIC AND GYNAECOLOGICAL
1. Caesarean Section (Central
Prolapse repair)
2. Hysterectomy
3. Myomectomy
4. Fistula repair
5. Salpingectomy
6. Oophorectomy (Ovariectomy)
7. Tubal Surgery
8. Cancer Surgery
9. Colporrhaphy
OPHTHALMIC SURGERY
1. Repair of Corneal Lacerations
2. Strabismus Surgery of all
kinds
3. Cataract Surgery of all kinds
4. Optical Iridectomy
5. Retinal Detachment
6. Enucleation
7. Evisceration
8. Orbital Surgery (Exploration,
biopsy, excision)
9. Exenteration
10. Plastic repair of Ectropion
and Entropion
11. Dacryocystorrhinostomy
12. Peripheral iridectormy
13. Glaucoma Surgery of all kinds
14. Examination under General
Anaesthesia
15. Lid repairs involving Puncta
16. Corneal Grafting
17. Scleral transplant
18. (Ptosis) Surgery of all kinds
19. Removal of lntroacular
Foreign Body
20. Caldwell-Luc
21. Resection of Lid Tumors
22. Repair of Ruptured Globe
EAR, NOSE AND THROAT
1. Tonsillectomy and
Adenoidectomy
2. Caldwell-Luc
3. Exploration of Frontal Sinus
4. Mastoidectomy-Radical and
Simple
5. Maxillectomy-Total and partial
6. Laryngectomy-Total
7. Repair of cleft palate
8. Repair of cleft lip
9. Endoscopies for removal of
foreign body from bronchus,
oesophagus, larynx
(a) Dilation of stricture of
oesophagus
(b) Biopsies of Larynx, Bronchus,
Oesophagus
10. Submucous resection of Nose
11. Tympanoplasties
12. Excision of Preauricular
Sinus Tracts.
GENERAL SURGERY
Head and Neck
Burr holes for trauma
Craniotomy, for trauma or tamour
Glossectomy
Parotidectomy (or excision of
tumour)
Radical neck dissection
Resection mandible or maxilla
Submandibulectomy
Thyroid, operations on
Breast
Extended simple mastectomy
Radical mastectomy
Simple mastectomy
Thorax
Diaphragmatic hernia, repair of
oesophagectomy, all types
Excision mediastinal tumour
Open cardiotomy
Pneumonectomy and lobectomy
Segmental or wedge excision on
lung
Thoracoplasty, all types
Valvulotomy, closed
Musculo skeletal
Arthrodesis
Arthrosplasty
Fractures, open reduction and
fixation
Abdomen
Abdomino-perineal resection
Adrenalectomy
Appendicectomy cold and
complicated
Cholecystectorny
Cholecystostomy
Common duct, operations on
Colectomy, partial or total
Colostomy
Enterostomy, all types
Exploratory laparotomy
Exploratory and lysis of adhesions
Gastro-enterostomy
Gastrectomy, partial or total
Repair of Incisional Herniae
Repair of para-umbilical herniae
Intussusception, operations for
Pancreas, operations on
Perforations, closure of
Pyloromyotomy
Resection, small intestine.
Splenorenal or P.C. Anastomosis
Splenectomy, for trauma
Splenectomy, for disease
Vagotomy
Omphalocele
Genito-Urinary
Cystectomy, partial or total
Nephrectomy
Pyelotomy
Prostatectomy, transurethral
Prostatectomy, all other types
Urethral dilatation
Extremities and Vascular
Amputations, major
Aneurysmectomy
Embolectomy
Neurorrhaphy
Sympathectomy dorsal
Sympathectomy, lumbar
Tenorrhaphy
Vascular grafts or prosthesis
Musculo skeletal
Arthrodesis
Arthroplasty
Fractures, open reduction and
fixation
Dislocations-open reduction
Laminectomy
Other major reconstructive surgery
Plastic and Skin
Cleft palate or harelip repair
Pedicled and other major graft
Other forms of reconstructive
surgery.
E. G. TANOH
Secretary Responsible for Health
Date of Gazette Notification: 19th
July, 1985.
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