Avenue Healthcare REVISED Outpatient Consultation Charges effective 1 st June 2017

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1 The Avenue Group 9 th Floor Orbit Place, Westlands Road P.O. Box Nairobi 00100, Kenya Telephone (254) / 201 admin@avenuehealthcare.com Avenue Healthcare REVISED Outpatient Consultation Charges effective 1 st June 2017 Outpatient Consultation with an Avenue Healthcare Doctor Fee per Visit Avenue Hospital Parklands Outpatient Dept. & AHC Lifestyle Clinic 1, Other AHC Nairobi Clinics Industrial Area, Embakasi, Buruburu, Ngong Road, Garden City, Greenspan, Langata & South C 1, Avenue Hospital Kisumu Outpatient Dept. & AHC Kisumu Clinic 1, AHC Regional Clinics - Ongata Rongai, Thika, Mombasa, Nakuru & Eldoret 1, Special Clinic Charges Avenue Hospital Parklands, Nairobi Ante-Natal Clinic Consultation 1, Well Baby Clinic Consultation (Avenue Hospital - Parklands) Executive Well Baby Clinic Consultation at AHC Lifestyle Clinic only 1, AHC Specialists Consultation - Obs/Gynae, Paediatrician, Orthopedic, Diabetologist, VCTT 2, AHC Specialists Consultation - on non scheduled clinic days 2, Special Clinic Charges Avenue Hospital Kisumu Ante-Natal Clinic Consultation 1, Well Baby Clinic Consultation (Avenue Hospital - Kisumu) AHC Specialists Consultation - Obs/Gynae, Paediatrician, Orthopedic & ENT 2, AHC Specialists Consultation - on non scheduled clinic days 2, Please note that the above prices are subject to change without notice Page 1 of 7

2 Avenue Hospital Parklands Nairobi Rates effective 1 st June 2017 Note: We have maintained our Parklands Hospital charges as below Admission Charges Hospital Admission fee package 1, Admission Deposit - MEDICAL cases 15, Admission Deposit - SURGICAL cases 30, Admission Deposit - CRITICAL CARE (HDU) 50, Bed / Room Charges PER DAY General Ward & Paediatric Ward Bed 7, Rooming Parent in Paediatric Ward (children above 5 years) 3, Private Room 13, Special Room 17, Critical Care - HDU (High Dependency Unit) 16, Note: For Cash Payors we require a daily top up equivalent to the patient s daily running balance Maternity Charges - Please refer to Avenue Hospital Parklands Delivery Packages for other rates Maternity Booking Deposit 5, Normal Delivery Package (Normal delivery, 3 days stay, drugs and dressings) 30, ABC Maternity Package 130, Midwife Delivery Package 40, Maternity Extra days (mother) 5, Maternity Extra days (for baby) 2, Replacement of Birth Notification Form Incubator charges per day 7, Theatre Charges Operating Theatre Charges for the first 1 / 2 hour 13, Operating Theatre Charges for each 15 mins. thereafter 6, Minor Theatre Charges per 1 / 2 hour 7, Image Intensifier Charges for the first 1 / 2 hour 6, Image Intensifier Charges for each 15 mins. thereafter 2, ECT charges per session 8, Recovery Room charges for the first 3 hours 4, Recovery Room charges for each additional hour (max Kshs 7,000) Other Charges Dispensing fees for needles, syringes & other materials (Inpatient) Dispensing fees - outpatient pharmacy fee per prescription Admission under the care of Avenue Doctors - charge per day 4, Admission / Consultation for most specialists - charge per day 5, Physiotherapy - Outpatient (per session) 1, Physiotherapy - Inpatient (per session) 1, Drugs, Dressings, Radiology & Laboratory Services are charged as used Please note that the above prices are subject to change without notice Page 2 of 7

3 Avenue Hospital Kisumu Rates effective 1 st June 2017 Admission Charges Hospital Admission fee package 1, Admission Deposit - MEDICAL cases 15, Admission Deposit - SURGICAL cases 30, Admission Deposit - ICU WARD 50, Note: For Cash Payors we require a daily top up equivalent to the patient s daily running balance Bed / Room Charges PER DAY General Ward & Paediatric Ward Bed 6, Rooming Parent in Paediatric Ward (children above 5 years) 3, Isolation Room 12, Special Room 16, Executive Room 22, Critical Care - ICU (Intensive Care Unit) 19, Maternity Charges - Please refer to Avenue Hospital Kisumu Delivery Packages for other rates Maternity Booking Deposit 5, Normal Delivery Package (Normal delivery, 3 days stay, drugs and dressings) 25, Midwife Delivery 30, Maternity Extra days (mother) 4, Maternity Extra days (for baby) 2, Replacement of Birth Notification Form Incubator charges per day 6, Theatre Charges Operating Theatre Charges for the first 1 / 2 hour 12, Operating Theatre Charges for each 15 mins. thereafter 5, Minor Theatre Charges per 1 / 2 hour 7, Image Intensifier Charges for the first 1 / 2 hour 6, Image Intensifier Charges for each 15 mins. thereafter 2, Recovery Room charges for the first 3 hours 3, Recovery Room charges for each additional hour (max Kshs 6,800) Other Charges Dispensing fees for needles, syringes & other materials (Inpatient) Dispensing fees - outpatient pharmacy fee per prescription Admission under the care of Avenue Doctors - charge per day 3, Admission / Consultation for most specialists - charge per day 4, Physiotherapy - Outpatient (per session) 1, Physiotherapy - Inpatient (per session) 1, Drugs, Dressings, Radiology & Laboratory Services are charged as used Please note that the above prices are subject to change without notice Page 3 of 7

4 Avenue Healthcare Laboratory Charges effective 1st June 2017 Note: We Have maintained our Laboratory charges as below Biochemistry Haematology Albumin APTT Alkaline phosphatase (Total & Prostatic) Bleeding time Amylase 1, Clotting time Bence Jones Proteins - Urine Coagulation screen (as below) 2, Bilirubin, (Total & Direct) (PTI, APTT bleeding & clotting time, platelet count) CA , Erthrocyte Sedimentation Rate (ESR) CA 125 3, Full Haemogram 1, Calcium Haemoglobin PCV CEA 3, Malaria test (Smear and Antigen) Chloride Peripheral Blood Film Cholesterol Platelet count CKMB 2, PTI (INR) CPK Reticulocyte count Creatinine Sickle cell prep Creatinine Clearance 1, WBC/differential D-Dimers 4, ABO Group/Rh factor Electrolytes 1, Coombs direct FT4, FT3, TSH (each) 1, Coombs indirect Gamma glutamyt transerase (GGT) Type & Cross-match 5, Glucose Glycosated HB (HBA1C) 2, Immunology HDL Antinuclear antibody (ANA) screen 3, Ketones 1, ASOT LDH Brucella test Lipase 1, C reactive protein 1, Magnesium H. Pylori Ab test 2, Oral Glucose Tolerance Test (OGTT) 2, H. Pylori Ag test 3, Phosphorus, inorganic HBsAG 2, Potassium Hepatitis A 4, Protein (Total) Hepatitis C 3, Procalcitonine 3, HIV screen 1, SGOT Mantoux SGPT Pregnancy test Sodium Prostate specific antigen screen 3, Troponin 3, Rheumatoid factor Urea Rota / Adeno Virus 1, Urea / Electrolytes 2, Salmonella antigen 1, Uric acid VDRL/RPR Urinary Microalbumin 1, Page 4 of 7

5 Avenue Healthcare Laboratory Charges effective 1st June 2017 Note: We Have maintained our Laboratory charges as below Biochemistry Profiles Cardiac Enzymes (CKMB, CK, LDH, TROPONIN I) Lipid Profile (Total Cholesterol, HDL, LDL, VLDL, TGL) Liver function tests LFTs (Bilirubin, SGOT, SGPT, GGT, ALP) 6, , CSF/Pleural/Pericardial/Peritoneal fluids CSF/Pleural/Pericardial/Peritoneal Routine CSF/Pleural/Pericardial/Peritoneal Including Culture 2, , , India ink prep Thyroid function tests (T3, T4, TSH) 4, Pleural/Ascitic tap 2, Urea/Electrolytes/Creatinine (U/E/C) 2, Aspirate - Cell Count Microbiology Histology / Cytology Acid fast Bacilli stain (ZN) Histology (Minor cm Specimen) 2, Blood culture 2, Histology (Medium cm Specimen) 4, CRAG 2, Histology (Major - Above 10cm Specimen) 8, Culture & sensitivity (All specimens excluding blood) 2, Pap smear for cytology 1, Gram stain Drug Screening KOH skin prep Panel Urine Toxicology Routine urinalysis Semenalysis 1, Drug Screening for Amphetamines, Benzodiazepine, Cannabinoids, Cocaine, Opiate Stool ova and cyst Panel Urine Toxicology Stool-occult blood Wet prep Note: These are charges PER TEST (Drug Screening for Amphetamines, Babiturates, Benzodiazepine, Cannabinoids, Cocaine, Methamphetamine, Methadone, Opiate, Phenycyclidine, Tricyclic) 5, , Page 5 of 7

6 Avenue Hospital Parklands Maternity Packages Effective 1 st June 2017 A new baby can be costly for anyone. Though you may plan for expected costs, the unexpected can, and often does, occur. The most common of these is an emergency caesarian section, which can cost anywhere from Kshs.150,000 to Kshs.250,000 at a private hospital. Avenue Hospital delivery packages offer solutions to reduce the risk when having a baby Note: We have maintained our Parklands Hospital maternity charges as below Maternity Package Options Total Cost in Kshs Booking Deposit Normal Delivery Package 30,000 5,000 Includes delivery room charges, drugs and dressings and maternity ward bed for up to 3 days for mother and baby. Does not include obstetrician or midwife fees, paediatrician charges or drugs used in induction of labour where required Midwife Delivery Package 40,000 5,000 Includes the Normal Delivery Package plus the Avenue midwife charges (for mothers who do not require an obstetrician) Obstetrician Delivery Package 60,000 10,000 Includes the benefits of the Normal Delivery Package plus delivery by the Avenue Hospital Obstetrician and one visit by the resident Paediatrician Caesarian Package (for patients with Private Doctors) 80,000 30,000 baby. Does not include Obstetrician, Anaesthetist & Paediatrician charges Elective Caesarian Package on a scheduled basis 180,000 30,000 baby. Also includes the Avenue Hospital Obstetrician, Anaesthetist and Paediatrician fees up to 5 days Emergency Caesarian Package 195,000 30,000 Includes the Elective Caesarian package but on an unscheduled / emergency basis What is NOT INCLUDED in the Avenue Hospital Delivery Package w Delivery at any facility other than Avenue Hospital, Parklands - Nairobi w Treatment of illness during pregnancy, admission for delivery and baby care w Nutritional Supplements during pregnancy w Other specialists, incubator care, treatment of prematurity, congenital diseases / conditions, respiratory distress, or any other illness in neo-nates w Any charges after three days (for normal delivery) and five days (for Caesarian section delivery) w Illness in babies after discharge w Vaccines not included in the KEPI regime. Page 6 of 7

7 Avenue Hospital Kisumu Maternity Packages Effective 1 st June 2017 A new baby can be costly for anyone. Though you may plan for expected costs, the unexpected can, and often does, occur. The most common of these is an emergency caesarian section, which can cost anywhere from Kshs.150,000 to Kshs.250,000 at a private hospital. Avenue Hospital Kisumu delivery packages offer solutions to reduce the risk when having a baby Maternity Package Options Total Cost in Kshs Booking Deposit Normal Delivery Package 25,000 5,000 Includes delivery room charges, drugs and dressings and maternity ward bed for up to 3 days for mother and baby. Does not include obstetrician or midwife fees, paediatrician charges or drugs used in induction of labour where required Midwife Delivery Package 30,500 5,000 Includes the Normal Delivery Package plus the Avenue midwife charges (for mothers who do not require an obstetrician) Obstetrician Delivery Package 50,000 10,000 Includes the benefits of the Normal Delivery Package plus delivery by the Avenue Hospital Obstetrician and one visit by the resident Paediatrician Caesarian Package (for patients with Private Doctors) 70,000 30,000 baby. Does not include Obstetrician, Anaesthetist & Paediatrician charges Elective Caesarian Package on a scheduled basis 135,000 30,000 baby. Also includes the Avenue Hospital Obstetrician, Anaesthetist and Paediatrician fees up to 5 days Emergency Caesarian Package 145,000 30,000 Includes the Elective Caesarian package but on an unscheduled / emergency basis What is NOT INCLUDED in the Avenue Hospital Delivery Package w Delivery at any facility other than Avenue Hospital, Kisumu - Nairobi w Treatment of illness during pregnancy, admission for delivery and baby care w Nutritional Supplements during pregnancy w Other specialists, incubator care, treatment of prematurity, congenital diseases / conditions, respiratory distress, or any other illness in neo-nates w Any charges after three days (for normal delivery) and five days (for Caesarian section delivery) w Illness in babies after discharge w Vaccines not included in the KEPI regime. Page 7 of 7

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