Provincial Gazette Free State Province Provinsiale Koerant Provinsie Vrystaat Published by Authority Uitgegee op Gesag No, 145 FRIDAY, 25 March 2011 | No. 145 VRYDAG, 25 Maart 2011 No. Index Page PROVINCIAL NOTICE 260 PUBLICATION OF UNIFORM PATIENT FEE SCHEDULE (UPFS) 2011 2 TARIFFS IN THE FREE STATE PROVINCE,2 Noss PROVINCIAL.GAZA March 2011 PROVINCIAL NOTICE [No. 260 of 2011] PUBLICATION OF UNIFORM PATIENT FEE SCHEDULE (UPFS) 2011 TARIFFS IN THE FREE STATE PROVINCE By virtue of section 15 of the Interpretation Act, 1957 (Act No. 33 of 1957), I, Ms F Ngubentombi, ‘Member of the Executive Council responsible for Health in the Province, hereby publish the Uniform Patient Fee Schedule 2011 Tatiffs, 2s contained in Annexure A, which comes into operation on 1 April 2011,2 health Uniform patient Fee Schedule (Revised January 2011) LUPFS TARIFFS 2017 Annexure A APPROVED UPFS 2011 FEE SCHEDULE FOR FULL PAYING PATIENTS EFFECTIVE 015" APRIL 2011 T Professional ‘conr DESCRIPTION BASIS: Eee. LEVEL 1 LEVEL 2 LEVELS | | R Re{R c/R ec 01 | Anaesthetics OTTT | Anseatates Cat A General madcal practioner Procetve | _ 18200 [or12 | Anaestetes Cat A~ Speci medial pacioner Procedire 121 _| Anaosthotes Cai 8 General medica practioner Proeae (za | Araesihtes Cat = Speci macia practioner ~Prosesire ‘015i _ | Ansostats Cat 6 General maseal practioner Procedure = (0182 _| Anasstioas Gal C~ Specialist medal prattonar Proved 02 Confinement Ee C210 | Notual Sith Faciiy Fee weit 2ari.00| 2614.00 | 327200 0211 | Netura ih General medal action ‘heen | 1825500 2212 | Nawal Bit Speci! meceal practioner treson | 1968000 0213 _ | Naa ith — Nursing practioner trekent | 104600 0220 _| Caesarean Section - Facility Foo Incident perme Seon 0221 | Cacsarean Soston ~ General mesial pracitoner Tredont | 7525000 222 _ | Cacsarean Section ~ Spots moda practioner reson) 1968.00 03 | Dialysis [asi | aemo-Facmyree Day 100000 | vo00.00] 1165.00 Gari | Maemo das Ge — 0812 | Haomo days Speci meen practioner ay 0313 | Haome days Wssing Procioner Day i | 0820 | Penioneal Dialysis Facity Fee Season 15500 | 15500 | 777.00] 821 _ | Peitoneal Diy General metal practioner ‘essen i 322 | Peitona! Dias Spells media raconr Seen i 0229 | Petoneal Diaysls— Nusingpracttonor Seen a 0500 | Phemepheresia-Facity Fee Season Yo0800 | 1009.00 | 7185.00 0851 _| Phemaphorss - General mesa pastor Season | __ 192000 0832 | Phamaphorse - Speco medal practtoner Seesion | 40.00 04 _ | Medical Reports 0610 | medal pon = Fait Fe open 9700] 9700 | 10.00 0411 [Meat Raper = Genera nical practioner Report 762.00 0412 | Medical Report ~ Specasi mecca precise | Reaper | 283.00 1 | Copies of Mada! Ropee,resads X-Ray, compen of 121 | centeates ome = Genera model pachoner Coo nm Appendix A Page 1 of 6Uniform patient Fee Schedule (Revised January 2011) UPFS TARIFFS 2011 Final C00 DESCRIPTION BASIS cama ve [sreamranmesermcarscate’™ [ow [vom 1a cece tama cy | 05 Imaging 0510 _| Radiology, Cat A~ Facility Fee Procedure 51.00 81.00 57.00 (0511 _ | Raciology, Cat A= General meciealprecttioner Procedure 50.00 tify erection [Peas | — [0514 | Radiology, Gat A= Aliod heath practioner Procedure | 49.00 [ Radiology, Cat 8 Faciity Fee Proveaure | 140.00 | 740.00 161.00 Radhology, Cat 8 ~ General medical practitioner Procedure | 13600 EE aciclogy, Cat ~ Special medical practioner Procedure 264.00 : Faciclogy, Cat 8 - Allied heaith practitioner Procedure 131.00 z acne = =| aml ae Radiology, Cat C ~ General medical practitioner Procedure 418.00 | feaig reeset —[ rec | cose tome me ia | a | Radiciogy, Gal D General medical praclvoner Procedure: 1538.00 | Raiciogy, Cai D - Speci mecical practioner Provedure | $210.00 Inpatients patient General ward — Facility Foo Day 816.00 [ 658,00 [1248.00 = a aeons aa |i) io rei oerveckzpemae—| wiea_| — a retinas ee | a a me in| a octane ont acapaae [ama |e Inpatient Intensive Care~ Specialist medical practitioner hous: 119.00 Hy Inpatient Chronic care - Facility Fee Day: Hee ~ 303.00] 303.00 303,00 Inpatient Chronic care ~ General medical practitioner Day: "35.00 e Inpatient Chrono care = Spacaist medical practioner Day ‘0643 | tapatient Chron care Nutsing practioner "Day 21.00 (0650 | Day patient Faciity Fee a Day 430.00, 543.00 795.00 ‘0651 | Day patent - General medical practioner Z Day 107.00 (0652 _| ‘Day patan ~ Specialist medica practioner Day 187.00 (0653 | ‘ay patent — Nursing practioner Day 62.00 0660 _| Inpatient BoarderPatient companion ~ Facility ee Day. 246.00 |" 248.00 / 248.00 votes esos | oy} — a eerie as ws | — | — a (0672 | inpatient General Ward — Specialist medical practioner vahours 93.00 ‘ z ‘Appendix A Page 2 of 6Uniform patient Fee Schedule (Revised January 2011) UPFS TARIFFS 2011 Final Preral ‘0006 DESCRIPTION | BASIS ~ a 3672 __| palo Goward sg pte WOU ‘hone [3500 ced | patent hone care Pao Pw Terews waa0 | SEBO 1628 0681 _| Inpatient Chronic care - General medical practitioner 12 hours. 17.00 0662 | inate Grenier Spl medal pactinar | T2howe | 99.00 [oss | rater vers care= Nusa petra ‘ahows | 1200 07 | Mortuary 0710 _| Mortuary- Facility Fee i ay 131.00, ‘0720 _| Cremation Gerificate - Faciity Fee Cortiticate 131.00, 08 Pharmaceutical Ge10__| Neeson Foo = Fay Foe = 200] 2800 | 28.00 | tt Fee ten | Varies eee cei | Pramnacaibea TO nen | Varies 2817 | Phamacetzal- Cote tent |Vates e818_| Prarmaceacal-Onecony nen _| Vares G19 Paracel — Fore Supeean Dre Tem | Varies a0 | Pramaceuioal Fai Feo—OPD tem | Varies es _| Pramaceuical Fa Feo=P tor | Varies 09 Oral Health e=10 | Oral ar ct A Facly Foo Pree moo] 2800 | 22.00 sit | ra Gare Ct A Gono red ptione Precoure 3400 FA 0512 _| Oral Gare Gata ~ Spelt meal pacions Precedue | 2800 514 | Oral Gre Gat A~ Aled reath practoner Proceaue | 2800 | 0620 | Oral Cae at 8 Facty Foe Proce a0 eat Oral Cr Gat = Gaver mea alot aceaue | 0600 eee 22 | rae Ca - Speci medical pacar Prsedue | 105.00 924 | Ori Gx Gl B Aled eat rctoer Foxes] 5400 ‘560 | Or Car Gt = Fay Foe Proved 36800 | Seaa | —_aFT0 sat | Oral Gare Cat = Gonwal mecca practoner Proceso | 408.00 G52 | ‘Oral Care Ca C= Spalted prctosr Preceove | 608.00 0540 | Oral Care Cat 0 Fact Foe Proedie ‘800 | ~vaaao0 | 1600.00 10941 _ | Oval Gare Cat D General medical practioner cosa | ra Gar Cat - Specs medal actor 0060 | Ora Care Cat —Focy Foo 72500 251 | Oral Gar cal E~ Gorm reo praaioner 052 | Ora Gre Cat Spal ndcal actone 10 Consultations 1010 Oupetet Consuaon = Fly Fee War e100] 1011 | Ovpaet Couto ~ Geral mee pectionr Vr 7100 1012 | Onan Goneatten = Socata medal practioner | Vit 4.00 1019 | Oxpaton Greate = Nursing practioner Vea 4100 1014 | Oueaent Crautaton— Ald eat preter ea 23.00 EmargencyConeulitlon—Facly Fee vr wooo | 1800 | veA00 1020 ‘Appendix A Page 3 of 6Uniform patient Fee Schedule (Revised January 2011) UPFS TARIFFS 2011 Final Profesional e006 DESCRIPTION BASIS ee a 1021 | Emergenoy Gonsvtation~ Goneal medical pectionee Vist 707.00 1022 | Emeonoy Conautaton Spacaat mesial practioner | Vik 246.00 1028 _ | Emergon2y Corton Nursing practioner Vist 62.00 1024 | Emeryency Corsuiaton — Aled hoa precioner Vir 64.00 11 _| Minor Theatre Procedures 1110 | hinor Procedure Cat A—Feclily Fee Prods 308.00 | 30800, 968.00 1111 [Minor Procedure Cat A Genera medial prattanae Procedure _| 105.00 1112 _ | Minor Procedire CatA~ Spectist medial practener | Procedure _| 201.00 1120 | Minor Procedure Cat 6 —Faclty Fee Proce 303.00 | 308.00 | 368.00 1121 _| Mor Piccedive Cat B General medal presiterar Proceeue | 155.00 1122 | Mino Prooedire Gat ~ Specialist medealpraciterer | Procecure | 352.00 1130 | Minor Procedure Gat G- Fecilty Fee Proce 308.00 | 305.00 363.00 1191 _| Minor Procedure Oat ©~ General medal practioner Procedure | __ 248.00 1162 _| Minor Procedure Gat = Speciaisi medeal racitoner | Prooeaixe | 548.00 “140 _[ Miner Procecure Cat D = Faciiy Fo Proce ‘308.00 | 308.00 | 368.00 “141 Minor Procedure Gat O~ Genera medical pesitener Procoaue | 646.00 +142 | Wino: Procedure Cat — Speciale modcalpracttener | Procedure | 1488.00 12_| Major Theatre Procedures 1210 _| Theatro Procedure Cat A Faclity Fee Procedure 960.00] 1436.00 | 1656.00 1211 | Teare Proceare Cat A Gone mada acne’ | Proeare 1212 _ | Theawe Procedure Cat A— Specialist mecical practioner | Procedure 1220 _| Toate Procedure cal 8 Fat Fee a asi00 | 217600 | 250600 1221 | Toabe Frocare Cal 8~ Genera nosoa jeicner | Prose | 1222 _| Theaire Procedure Cal 8~ Specialist medical pracitioner | Procedure | 35200 1250 _ | Theatre Procedure Cat C— Facility Fee Prooedue | 2sa700 | 373800) 4314.00 1231 | Theate Procedure Cal General nedcal practioner | Procedue | 24800 1252 | Theate Procedure Cal Special meiclractoner | Preoediwe | 49.00 1240 | Theatre Procedure Cat D~ Focity Fee Procodre (6539.00 | 9589.00 | 17088.00, 1241 | Theate Procedure Cal D General medical practioner | Procedure | 646.00 1242 _ | Thoate Procedure Cat 0 Specials medical rectioner | Procedure | 1455.00 13__| Treatments 1310 _| Supplementary Health Treatment - Facility Fee Contact 41.00 41.00 49.00 1313 | Ssovumertar Hel Treamon re pacer Contest 3600 a} 1314 | Supplementary Heath Treament— Alfed health pasitoner | Contact 36.00 1820 | Supplementary Heath Group Treatment ~FaciityFee | Contac 3200] 3200] 35.00 seoe_ | Speman Heath Gow Tesinon—Aeseath oe a 14__| Emergency Medical Services 1410 _| Patient transport service - Facility Foe Toker [___27100] 274.00 1420 | Basi te suppor Fait Feo 04m "742.00 | 742.00 1430 _| Intermediate ite support ~Facity Fee 0K 1003.00 | 1003.00 ‘Advanced Ile support Facity Fee: sou, 1667.00 | 1667.00 Appendix A Page 4 of 6Uniform patient Fee Schedule (Revised January 2017) UPFS TARIFFS 2011 Final Protessional cone DESCRIPTION BASIS Fee LEVEL! LEVEL 2. LEVELS. a [a cla clr 1460__| Emergency service stndy—Faciy Fee ‘Geeot 79800 23800 [29800 1451__| Emotgoney seen sandy - Gonorl mee pacioner | Wow 307.00 1452 __ | Emergency sence standby ~Spaciaie meccalprectoner | Hour | 626.00 aes 7459 _ | Emowercy seven standby ~ Nusing practioner Hour 226.00 1484 _ | Emergency sence stancby Emergency care precioner | __ Hour WA 155 ey enice dary Ba le supper prettoner | Hour "2.00 "456 [Enaons save sandy - trea He ert ae aa | ST Error so San — eres spon 336.00 “seo | Rescue Faciy Fee our “461 | Reeve — Gonera mesial practioner [Hex | 9i90 1462 | Rescue — Specie medal pracitner How | 178500 1469 | Rescue ~ Nursing practionor = How | 794.00 See "1404 | Rescue ~ Ses suppor wractor Hour WA _ Err] 1465 | sous ~ Base suppr practioner [four 121.00 “W466 | Resouo rtomodat fe euppor precio Hou 7145.00 seve = Avance We poo retoner [How 330.00 1470 [morgen veneoot a servis fad weg Fijng Howe 720600 | 730600 730600 1460 | Evergrey anspor a services halconter (Sige rane) | Fog Hour ‘3020.00 | 8028.00 | ao28.00 1190 | Emengancy core standby —Fcity Fee Aiton 17300} 178.00| 173.00 15 Assistive Devices & Prosthesis 1510 | Assistive Devioes & Prosthesis -Hom Fee item | Wares 1820 _| Prosthetic Devices- lem Fee a tte Varies: 41890_| Dental items item Fee “Varies { 16 Cosmetic Surgery 1610__| Coomete Surgery Cat A Foity Fe Proce 206200 | _ 2062.00 | 2385500 41611 | Cosmetic Sugary Cat A~ General mecca precilorer | Procedure | 1189.00 112 _| Gosmote Sugary Cat A Speciais mesial pacino’ | Precadxe | 1781.00 A 1620 | Cosmete Surgery Ca 8 Fectity Foo Proceae 263600 | 6900.00 1621 | Coomots Surgery Oat = Ganeral medal pectioner | Poceave | 1408.00 1822__| Coumote Sugory Cal = Spocatet mesa! presttoner | Precedue | 2119.00, 1690 | Cosma Surgery - Cat © — Fact Feo Prod | 748800 2588.00 1651 | Goomeie Super Cal C- Generamesestpactoner | recede | 238100] 1632 _| Cosmetic Surgery Cat O- Speciaist mecicalpracttioner | Procedure 3572.00 1640 | Coomote Surgery Cot D = Feity Fee Prose 72540000 | 640.00 | 1445500 1841 _| Goumaie Sugary Ct = Gono meses! pelioner | Prosedve | 2672.00 1642 | Cosmose Sugary Ca! Specie mela! practioner | Proceawre | 9991.00 17_ | Laboratory Services Z ee 1760 _ | Drawing of ood Contact (25.00 | 25.00 25.00 1710 _| Laboratory Test Varies: l 18 Radiation Oncology (Refer to proposed list) 1800_| Raciason Oncology (NHRPL les VAT) item | Varies Appendix A Page 5 of 6UPFS TARIFFS 2011 Final tascional cone DESCRIPTION Basis | Fe a 19 | Nuclear Medicines 1900 | lersisafor of otopee ten Vain I 1010 _| Nucloar Mesfcine Cat A Facility Fee Procedure 4650046500) 46800 1912 _ | Nuclear Weds Cat A: Soeilist medeal practioner | Procedure | _ 291.00 1020 | Nuclear Medicine Cat 8: Fecilty Fee Proceso 465.00 46800] 46800 1922 | Nuclear bedcino Cat 8 Spoilat medial practtoner | Procosue | 698.00 1960 | Nuclear Medicine Cat C- Fcity Feo Proce 468.00 46500) 463.00 1052 _| Nuclear Medicine Cat C- Speiaet medal aattoner | Procure | 1985.00 [040 | Nuclear Medicine Cat O-Facily Foo Procedure 465.00 463.00 465.00 1842 | Nuclear Mecene CaLD Sposaistmecicl practioner | Procedure | 2078.00 1850 | Posivon Emission Tomography (PET) Cal &- Faciy Foe “49200 | 4492.00 | 4492.00 race | esp iin Tonorachy PET Ca - Sec Sonny 20 __| Ambulatory Procedures 2010 _| Ambulatory Procedure Cat A Facility Fee Procedire, 97.00 ‘97.00 119.00 2011 | Ambulatory Procedue Oat A General mesial pracitoner | Procoaire| 35.00 core | Raa Pens Cat A Speco Pasar. a 72073 _| Ambsaony Procedure Gat A—Norsngpractoner Proecire 21.00 2014 _| Anbualry Procedure Gat A~ Aled Heh Worker Prose 21.00 2020 | Ambulatory Procedure Cat 8 - Facility Fee Procedure 97.00 97.00 119.00 2021 _ | Ableton Procedure Gat 8 - Geveral medical wacioner | recede 30.00 cuca | iy Poswdre Cat B= Specs ose Paasane a 72025 _| Ambulatory Prooedre Cat 8 Nursing Praciioner Prosi 28.00 ‘2004 | Ambulatory Procedure Gat 8- Aled Heath Werker Prosedue 28.00, 21__| Blood and Blood Products 2100.” | Blood and Blood Producie Vas] [22__| Hyperbaric Oxygen Therapy 2200 | Hyperteric Oxygen Therapy- Facility Fee (Flat Fee) Session | 337.00] 337.00[ 337.00 2210 _| Hyperbarie Oxvgen Thorapy- Facility Fee Session To17.00 | 1017.00 | 1077.00 2211 | Hrperbaris Oxygen therapy - General mesial prasiéoner | Session | 429.00 ‘2212 _ | Fiybefbaie Oxyaen therapy ~ Specaist medal practtine | Session | 429.00 2220 | Emergency Hyperbaric Oxygen Therapy—FecityFee | Session | 1025.00 | 1026.00 | 1025.00 222i | Enereey Hip Oper Therapy = Golde | Sesson | B80 Enortoy pearC Oa Tea — Spa Session | 62600 ‘Consumables (Not included in Facility Fee) Buy-outs ‘Consumable ntincluded in the ey foe tem Varies ‘Autopsies 2410 _| Autopey- Feil Fee Per case @s00] 6400 [ 77.00 2411 _ | Autopsy Goneral Prectoner Percase 71.00 2ar2 | Autopsy Speciale Pretioner Percase | 168.00 Appendix A Page 6 of 6PROVINCIAL GAZETTE (Published every Friday) All corespondence, advertisements, ofc. must be addressed to the Officer in charge’ of the Provincial Gazette, P.O. Box 517, Bloemfontein, Tel: (054) 403 3138. Free Voucher copies of the Provincial Gazette o:cutings of advertisements are NOT supple. ‘Subscription Rates (payable in advance) ‘The subscription fee for the Provincial Gazette (Including all Extraordinary Provincial Gazetes) are as folows: SUBSCRIPTION: POST PRICE PER COPY R 1680 HALF-YEARLY Re20.10 YEARLY 84030 SUBSCRIPTION: (OVER THE COUNTER /EMAIL) PRICE PER COPY R 1070 HALF-YEARLY 266.20 YEARLY 53245 ‘Stamps are not accepted Closing time for acceptance of copy ‘AL adverfsements must reach the Offcer in Charge of the Provincial Gazette not later than 16:0, three workings days por tothe pubicaton ofthe Cazetie. Advertsemenis received aftr that time willbe hed over for pubcaion in he issue ofthe flowing week, orf desired bythe advertise, wll be inserted Inthe curetissue as a “Late Advertsement. In such case the advertsoment must be deivered to the Officer in Charge not later then 08:00 on the Tuesday preceding te pueaton ofthe Gazete and double ato wl be charged for that advertisement A “Late Advertisement” wit not be inserted as such without definite instructions from the advertise. Advertisement Rates Notices required by Law to be inserted in the Provincial Gazete: 16.30 per centimeter or portion thereof, single column, ‘Advertisement fees are payable in advance to the Officer in charge of the Provincial Gazette, P.0. Box 517, Bloemfontein, 9200, Tel: (051) 403 3139. PROVINSIALE KOERANT ‘(Werskyn elke Vrydag) ‘Ale Korrespondensie, advertensies, ens. moet aan die Beampte Betas met die Provinsiale Koerant, Posbus 517, Bloemfontein, Tel. No. (051) 403 3139 goadresseer word. 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Printed and published by the Free State Provincial Government NONIMERING VAN PROVINSIALE KOERANT U word tiemee in Kenris geste! dat die nommering van de Provinsiale Koevant J Tender Bulltin en Kenrisgewingnommers vanaf 2010 met de betrokke boekjaar sal oreenstem, Met ander \woorde, die kronologiese nommering beginnende met een, sl op of nat piven elke jaar begin, Gadruk en witgegeo deur die Viystaatse Provinsiale Regering