charge sheet - page

54
Charge Sheet - Page: 1 COAST PROVINCIAL GENERAL HOSPITAL Charges(Item/Service Rate) : Printed On : 2018-07-18 Index Code Item/Service Normal Rate - E.A. (KSH) Special Rate - PRIVATE (KSH) NON E.A. (KSH) Gl Account ADMISSION FEES 1 ADM0001 Admission Fees 0.00 0.00 0.00 80-81041-003-9000 ADULT PHARMACY 1 PH010117 Bone Marrow Trephine Needle 11g/150mm(Neo-Oxus) + Sterile Pack 3,500.00 3,500.00 0.00 80-81-344 2 PH010118 Bone Marrow Trephine Needle 13g/70mm(Neo-Oxus) + Sterile Pack 3,500.00 3,500.00 0.00 80-81-344 AMENITY 1 AMENTI21 Accommodation And Meals For A Non-Kenyan 3,400.00 3,400.00 5.00 80-81-520 2 RAM1010 Accomodation 300.00 300.00 300.00 80-81-520 3 AMENTI07 Accomodations And Meals 2,000.00 2,000.00 5.00 80-81-520 4 AMENTI04 Admission Deposit For Kenyan 5,000.00 5,000.00 5.00 80-81-520 5 AMENTI03 Admission Deposit For Non-Kenyan 10,000.00 10,000.00 5.00 80-81-520 6 AMENTI18 Admission Fee For A Non-Kenyan 200.00 200.00 5.00 80-81-520 7 AMENTI15 Admission File 150.00 150.00 5.00 80-81-520 8 amen79 Admisson 300.00 300.00 5.00 80-81-520 9 AMENIT001 Bed Fee 2,000.00 2,000.00 5.00 80-81-520 10 AMEN115 Bone Marrow 100.00 100.00 100.00 80-81-520 11 AMEN116 Bone Marrow Nk 200.00 200.00 200.00 80-81-520 12 AMENIT003 branula 50.00 50.00 50.00 80-81-520 13 AMENIT006 Catheter 200.00 200.00 200.00 80-81-520 14 AMEN155 Catheter Change 50.00 50.00 50.00 80-81-520 15 AMEN156 Catheter Change Nk 100.00 100.00 100.00 80-81-520 16 AMEN163 Catheterization 100.00 100.00 100.00 80-81-520 17 AMEN164 Cathetirization Nk 200.00 200.00 200.00 80-81-520 18 AMEN118 Chest Aspiration 100.00 100.00 100.00 80-81-520 19 AMEN119 Chest Aspiration Nk 200.00 200.00 200.00 80-81-520 20 AMENIT008 Clerking Fee 500.00 200.00 200.00 80-81-520 21 RAM 1011 Consumables 300.00 300.00 300.00 80-81-520 22 AMEN135 Decontamination 50.00 50.00 50.00 80-81-520 23 AMEN136 Decontamination Nk 100.00 100.00 100.00 80-81-520 24 AMENTI16 Dressing For A Non-Kenyan 200.00 200.00 5.00 80-81-520 25 AMENTI13 Dressing For Kenyan 100.00 100.00 5.00 80-81-520 26 AMEN120 Drug Admn. 50.00 50.00 50.00 80-81-520 27 AMEN157 Enema 100.00 100.00 100.00 80-81-520 28 AMEN158 Enema Nk 200.00 200.00 200.00 80-81-520 29 AMEN137 Eye Swabing 50.00 50.00 50.00 80-81-520 30 AMEN138 Eye Swabing Nk 100.00 100.00 100.00 80-81-520 31 AMEN 125 Flatus Tube 50.00 50.00 50.00 80-81-520 32 AMEN126 Flatus Tube Nk 100.00 100.00 100.00 80-81-520 33 amen78 FUNSOFT CONTROL 0.00 500.00 5.00 80-81-520 34 AMENIT004 Giving set 50.00 50.00 50.00 80-81-520 35 AMEN121 Identification Band 50.00 50.00 50.00 80-81-520 36 AMEN122 Identification Band Nk 100.00 100.00 100.00 80-81-520 37 AMENTI12 Investigation - Ultrasound 1,000.00 1,000.00 5.00 80-81-520 38 AMENTI11 Investigation - X-Ray 600.00 600.00 5.00 80-81-520 39 AMENIT002 I.V Fluids 60.00 60.00 60.00 80-81-520 40 AMENT109 Last Office 400.00 400.00 400.00 80-81-520 41 AMEN139 Local App. Medicine 50.00 50.00 50.00 80-81-520 42 AMEN140 Local App. Medicine Nk 100.00 100.00 100.00 80-81-520 43 AMEN 141 Lumbar Functure 100.00 100.00 100.00 80-81-520 44 AMEN142 Lumbar Functure Nk 200.00 200.00 200.00 80-81-520 45 AMENTI02 Medical fees for kenyan 200.00 200.00 5.00 80-81-520 46 AMENIT01 Medical fees for non- kenyan 400.00 400.00 5.00 80-81-520 47 AMEN113 Mortury Sheet 800.00 800.00 800.00 80-81-520 48 AMEN159 Ng Tube 100.00 100.00 100.00 80-81-520 49 AMEN160 Ng Tube Nk 200.00 200.00 200.00 80-81-520 50 AMENTI05 Nursing Fee 300.00 300.00 5.00 80-81-520 51 AMENTI22 Nursing Fee For A Non- Kenyan 400.00 400.00 5.00 80-81-520 52 AMENTI08 Occupatiional Therapy 200.00 200.00 5.00 80-81-520 53 AMENTI20 Occupational Theraphy For A Non-Kenyan 400.00 400.00 5.00 80-81-520 54 AMEN161 Oral Toilet 50.00 50.00 50.00 80-81-520 55 AMEN162 Oral Toilet Nk 100.00 100.00 100.00 80-81-520 56 AMEN 123 Oxygen Catheter 100.00 100.00 100.00 80-81-520 57 AMEN124 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-520 58 AM1002 Oxygen Cylinder (Big) 6,000.00 6,000.00 6,000.00 80-81-520 59 AM1001 Oxygen Cylinder (Small) 4,000.00 4,000.00 4,000.00 80-81-520 60 AMEN 154 Oxygen Flowmeter 15,000.00 15,000.00 15,000.00 80-81-520 61 AMEN112 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-520 62 AMEN111 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-520

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Charge Sheet - Page: 1

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

ADMISSION FEES

1 ADM0001 Admission Fees 0.00 0.00 0.00 80-81041-003-9000

ADULT PHARMACY

1 PH010117 Bone Marrow Trephine Needle 11g/150mm(Neo-Oxus) +Sterile Pack

3,500.00 3,500.00 0.00 80-81-344

2 PH010118 Bone Marrow Trephine Needle 13g/70mm(Neo-Oxus) +Sterile Pack

3,500.00 3,500.00 0.00 80-81-344

AMENITY

1 AMENTI21 Accommodation And Meals For A Non-Kenyan 3,400.00 3,400.00 5.00 80-81-520

2 RAM1010 Accomodation 300.00 300.00 300.00 80-81-520

3 AMENTI07 Accomodations And Meals 2,000.00 2,000.00 5.00 80-81-520

4 AMENTI04 Admission Deposit For Kenyan 5,000.00 5,000.00 5.00 80-81-520

5 AMENTI03 Admission Deposit For Non-Kenyan 10,000.00 10,000.00 5.00 80-81-520

6 AMENTI18 Admission Fee For A Non-Kenyan 200.00 200.00 5.00 80-81-520

7 AMENTI15 Admission File 150.00 150.00 5.00 80-81-520

8 amen79 Admisson 300.00 300.00 5.00 80-81-520

9 AMENIT001 Bed Fee 2,000.00 2,000.00 5.00 80-81-520

10 AMEN115 Bone Marrow 100.00 100.00 100.00 80-81-520

11 AMEN116 Bone Marrow Nk 200.00 200.00 200.00 80-81-520

12 AMENIT003 branula 50.00 50.00 50.00 80-81-520

13 AMENIT006 Catheter 200.00 200.00 200.00 80-81-520

14 AMEN155 Catheter Change 50.00 50.00 50.00 80-81-520

15 AMEN156 Catheter Change Nk 100.00 100.00 100.00 80-81-520

16 AMEN163 Catheterization 100.00 100.00 100.00 80-81-520

17 AMEN164 Cathetirization Nk 200.00 200.00 200.00 80-81-520

18 AMEN118 Chest Aspiration 100.00 100.00 100.00 80-81-520

19 AMEN119 Chest Aspiration Nk 200.00 200.00 200.00 80-81-520

20 AMENIT008 Clerking Fee 500.00 200.00 200.00 80-81-520

21 RAM 1011 Consumables 300.00 300.00 300.00 80-81-520

22 AMEN135 Decontamination 50.00 50.00 50.00 80-81-520

23 AMEN136 Decontamination Nk 100.00 100.00 100.00 80-81-520

24 AMENTI16 Dressing For A Non-Kenyan 200.00 200.00 5.00 80-81-520

25 AMENTI13 Dressing For Kenyan 100.00 100.00 5.00 80-81-520

26 AMEN120 Drug Admn. 50.00 50.00 50.00 80-81-520

27 AMEN157 Enema 100.00 100.00 100.00 80-81-520

28 AMEN158 Enema Nk 200.00 200.00 200.00 80-81-520

29 AMEN137 Eye Swabing 50.00 50.00 50.00 80-81-520

30 AMEN138 Eye Swabing Nk 100.00 100.00 100.00 80-81-520

31 AMEN 125 Flatus Tube 50.00 50.00 50.00 80-81-520

32 AMEN126 Flatus Tube Nk 100.00 100.00 100.00 80-81-520

33 amen78 FUNSOFT CONTROL 0.00 500.00 5.00 80-81-520

34 AMENIT004 Giving set 50.00 50.00 50.00 80-81-520

35 AMEN121 Identification Band 50.00 50.00 50.00 80-81-520

36 AMEN122 Identification Band Nk 100.00 100.00 100.00 80-81-520

37 AMENTI12 Investigation - Ultrasound 1,000.00 1,000.00 5.00 80-81-520

38 AMENTI11 Investigation - X-Ray 600.00 600.00 5.00 80-81-520

39 AMENIT002 I.V Fluids 60.00 60.00 60.00 80-81-520

40 AMENT109 Last Office 400.00 400.00 400.00 80-81-520

41 AMEN139 Local App. Medicine 50.00 50.00 50.00 80-81-520

42 AMEN140 Local App. Medicine Nk 100.00 100.00 100.00 80-81-520

43 AMEN 141 Lumbar Functure 100.00 100.00 100.00 80-81-520

44 AMEN142 Lumbar Functure Nk 200.00 200.00 200.00 80-81-520

45 AMENTI02 Medical fees for kenyan 200.00 200.00 5.00 80-81-520

46 AMENIT01 Medical fees for non- kenyan 400.00 400.00 5.00 80-81-520

47 AMEN113 Mortury Sheet 800.00 800.00 800.00 80-81-520

48 AMEN159 Ng Tube 100.00 100.00 100.00 80-81-520

49 AMEN160 Ng Tube Nk 200.00 200.00 200.00 80-81-520

50 AMENTI05 Nursing Fee 300.00 300.00 5.00 80-81-520

51 AMENTI22 Nursing Fee For A Non- Kenyan 400.00 400.00 5.00 80-81-520

52 AMENTI08 Occupatiional Therapy 200.00 200.00 5.00 80-81-520

53 AMENTI20 Occupational Theraphy For A Non-Kenyan 400.00 400.00 5.00 80-81-520

54 AMEN161 Oral Toilet 50.00 50.00 50.00 80-81-520

55 AMEN162 Oral Toilet Nk 100.00 100.00 100.00 80-81-520

56 AMEN 123 Oxygen Catheter 100.00 100.00 100.00 80-81-520

57 AMEN124 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-520

58 AM1002 Oxygen Cylinder (Big) 6,000.00 6,000.00 6,000.00 80-81-520

59 AM1001 Oxygen Cylinder (Small) 4,000.00 4,000.00 4,000.00 80-81-520

60 AMEN 154 Oxygen Flowmeter 15,000.00 15,000.00 15,000.00 80-81-520

61 AMEN112 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-520

62 AMEN111 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-520

Charge Sheet - Page: 2

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

63 AMEN111 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-520

64 AMEN111 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-520

65 AMEN111 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-520

66 AMEN111 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-520

67 AMENTI09 Physiotherapy For A Kenyan 250.00 250.00 5.00 80-81-520

68 AMENTI19 Physiotherapy For A Non-Kenyan 500.00 500.00 5.00 80-81-520

69 AMEN 155 Plastic Chair 1,000.00 1,000.00 1,000.00 80-81-520

70 AMEN127 Ros 50.00 50.00 50.00 80-81-520

71 AMEN128 Ros Nk 100.00 100.00 100.00 80-81-520

72 AMEN131 Saline Bath 100.00 100.00 100.00 80-81-520

73 AMEN132 Saline Bath Nk 200.00 200.00 200.00 80-81-520

74 AMEN129 Shaving 50.00 50.00 50.00 80-81-520

75 AMEN130 Shaving Nk 100.00 100.00 100.00 80-81-520

76 AMEN133 Skin Care 50.00 50.00 50.00 80-81-520

77 AMEN134 Skin Care Nk 100.00 100.00 100.00 80-81-520

78 AMEN143 Steam Inhalation 100.00 100.00 100.00 80-81-520

79 AMEN144 Steam Inhalation Nk 200.00 200.00 200.00 80-81-520

80 AMENTI14 Stitch Removal 100.00 100.00 5.00 80-81-520

81 AMENTI17 Stitch Removal For A Non-Kenyan 200.00 200.00 5.00 80-81-520

82 AMEN145 Stomach Washout 50.00 50.00 50.00 80-81-520

83 AMEN146 Stomach Washout Nk 100.00 100.00 100.00 80-81-520

84 AMEN147 Suction 50.00 50.00 50.00 80-81-520

85 AMEN148 Suction Nk 100.00 100.00 100.00 80-81-520

86 AMEN150 Suction Tracheo. Nk 100.00 100.00 100.00 80-81-520

87 AMEN149 Suction Tracheostomy 50.00 50.00 50.00 80-81-520

88 AMEN151 Suprapubic Punture 500.00 500.00 500.00 80-81-520

89 AMEN152 Suprapubic Punture Nk 1,000.00 1,000.00 1,000.00 80-81-520

90 AMENIT005 Transfussion Set 50.00 50.00 50.00 80-81-520

91 AMENIT007 Urine Bag 50.00 50.00 50.00 80-81-520

92 AMEN153 Urine Testing 50.00 50.00 50.00 80-81-520

93 AMEN153 Urine Testing 50.00 50.00 50.00 80-81-520

94 AMEN154 Urine Testing Nk 100.00 100.00 100.00 80-81-520

95 AMEN165 Vulva Toilet 100.00 100.00 100.00 80-81-520

96 AMEN166 Vulva Toilet Nk 200.00 200.00 200.00 80-81-520

ANTENATAL WARD

1 ANW07 Abdominal Scan 500.00 500.00 5.00 80-81-706

2 ANT775 Accomondation Fee 300.00 300.00 300.00 80-81-706

3 ANW03 Antibiotics Treatment 120.00 120.00 5.00 80-81-706

4 ANT18 B.B.A 500.00 500.00 10.00 80-81-706

5 ANW01 Bed Charges(Accomodation) 200.00 200.00 5.00 80-81-706

6 ANT01 Bed Fee 300.00 300.00 5.00 80-81-706

7 ANW08 Blood Transfusion 500.00 500.00 5.00 80-81-706

8 ANT024 Bone Marrow 100.00 100.00 100.00 80-81-706

9 ANT025 Bone Marrow Nk 200.00 200.00 200.00 80-81-706

10 ANW10 branula 50.00 50.00 5.00 80-81-706

11 ANT06 Catheter 200.00 200.00 5.00 80-81-706

12 ANT064 Catheter Change 50.00 50.00 50.00 80-81-706

13 ANT065 Catheter Change Nk 100.00 100.00 100.00 80-81-706

14 ANT073 Catheterization 200.00 200.00 200.00 80-81-706

15 ANT072 Catheterization 100.00 100.00 100.00 80-81-706

16 ANT80 Chest Aspiration 100.00 100.00 100.00 80-81-706

17 ANT028 Chest Aspiration Nk 200.00 200.00 200.00 80-81-706

18 ANT02 Consumables 300.00 300.00 5.00 80-81-706

19 ANT02 Consumables 300.00 300.00 5.00 80-81-706

20 ANT003 Consumables Antenatal 300.00 300.00 300.00 80-81-706

21 ANT003 Consumables Antenatal 300.00 300.00 300.00 80-81-706

22 ANT002 Consumables Lw 300.00 300.00 5.00 80-81-706

23 ANT16 C/S 5,000.00 5,000.00 10.00 80-81-706

24 ANT46 Decontamination 50.00 50.00 50.00 80-81-706

25 ANT47 Decontamination Nk 100.00 100.00 100.00 80-81-706

26 ANT17 Delivery (Sud) 2,000.00 1,800.00 15.00 80-81-706

27 ANT03 Dressing 50.00 50.00 5.00 80-81-706

28 ANT076 Dressing Nk 100.00 100.00 100.00 80-81-706

29 ANT029 Drug Administration 50.00 50.00 50.00 80-81-706

30 ANT066 Enema 100.00 100.00 100.00 80-81-706

31 ANT067 Enema Nk 200.00 200.00 200.00 80-81-706

32 ANT19 E.U.A 3,000.00 3,000.00 10.00 80-81-706

33 ANT046 Eye Swabing 50.00 50.00 50.00 80-81-706

34 ANT047 Eye Swabing Nk 100.00 100.00 100.00 80-81-706

Charge Sheet - Page: 3

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

35 ANT034 Flatus Tube 50.00 50.00 50.00 80-81-706

36 ANT035 Flatus Tube Nk 100.00 100.00 100.00 80-81-706

37 ANW04 General Drugs 60.00 60.00 5.00 80-81-706

38 ANW11 Giving set 50.00 50.00 5.00 80-81-706

39 ANT13 Gxn0 250.00 250.00 5.00 80-81-706

40 ANT14 Hb 100.00 100.00 5.00 80-81-706

41 ANT030 Identification Band 50.00 50.00 50.00 80-81-706

42 ANT031 Identificationband Nk 100.00 100.00 100.00 80-81-706

43 ANT005 Ivf Fixing 60.00 60.00 60.00 80-81-706

44 ANT006 IVF FIXING NK 100.00 100.00 100.00 80-81-706

45 ANT10 I.V Fluids 60.00 60.00 5.00 80-81-706

46 ANT79 Last Office 300.00 300.00 300.00 80-81-706

47 ANT048 Local Appl. Med. 50.00 50.00 50.00 80-81-706

48 ANT049 Local Appl. Med. Nk 100.00 100.00 100.00 80-81-706

49 ANT051 Lubar Functure Nk 200.00 200.00 200.00 80-81-706

50 ANT050 Lumbar Functure 100.00 100.00 100.00 80-81-706

51 ANT15 Macdonald Stitch 3,000.00 3,000.00 10.00 80-81-706

52 ANT022 Mortuary Sheet 400.00 400.00 400.00 80-81-706

53 ANT068 Ng Tube 100.00 100.00 100.00 80-81-706

54 ANT069 Ng Tube Nk 200.00 200.00 200.00 80-81-706

55 AW1001 Nursing Fee 100.00 100.00 5.00 80-81-706

56 ANT070 Oral Toilet 50.00 50.00 50.00 80-81-706

57 ANT071 Oral Toilet Nk 100.00 100.00 100.00 80-81-706

58 ANT032 Oxygen Catheter 100.00 100.00 100.00 80-81-706

59 ANT033 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-706

60 ANT077 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-706

61 ANT078 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-706

62 ANT026 Oxyge Therapy NK 500.00 500.00 500.00 80-81-706

63 ANT020 Oygen Therapy 250.00 250.00 250.00 80-81-706

64 ANT12 Pail 70.00 70.00 5.00 80-81-706

65 ANT05 Removal Of Stitches 50.00 50.00 5.00 80-81-706

66 ANT036 Ros 50.00 50.00 50.00 80-81-706

67 ANT81 Ros Nk 100.00 100.00 100.00 80-81-706

68 ANT42 Saline Bath 100.00 100.00 100.00 80-81-706

69 ANT43 Saline Bath Nk 200.00 200.00 200.00 80-81-706

70 ANT40 Shaving 50.00 50.00 50.00 80-81-706

71 ANT41 Shaving Nk 100.00 100.00 100.00 80-81-706

72 ANT44 Skin Care 50.00 50.00 50.00 80-81-706

73 ANT45 Skin Care Nk 100.00 100.00 100.00 80-81-706

74 ANT052 Steam Inhalation 100.00 100.00 100.00 80-81-706

75 ANT053 Steam Inhalation Nk 200.00 200.00 200.00 80-81-706

76 ANT054 Stomack Washout 50.00 50.00 50.00 80-81-706

77 ANT055 Stomack Washout Nk 100.00 100.00 100.00 80-81-706

78 ANT056 Suction 50.00 50.00 50.00 80-81-706

79 ANT057 Suction Nk 100.00 100.00 100.00 80-81-706

80 ANT058 Suction Tracheostomy 50.00 50.00 50.00 80-81-706

81 ANT059 Suction Trach. Nk 100.00 100.00 100.00 80-81-706

82 ANT060 Suprapubic Puncture 500.00 500.00 500.00 80-81-706

83 ANT061 Suprapubic Pun. Nk 1,000.00 100.00 100.00 80-81-706

84 ANT061 Suprapubic Pun. Nk 1,000.00 100.00 100.00 80-81-706

85 ANT09 Transfusion Set 50.00 50.00 5.00 80-81-706

86 AW1002 Under Bed Cover Sheet (Protector) 170.00 170.00 170.00 80-81-706

87 ANT07 Urine Bag 200.00 200.00 5.00 80-81-706

88 ANT062 Urine Testing 50.00 100.00 100.00 80-81-706

89 ANT062 Urine Testing 50.00 100.00 100.00 80-81-706

90 ANT063 Urine Testing Nk 100.00 100.00 100.00 80-81-706

91 ANT074 Vulva Toilet 100.00 100.00 100.00 80-81-706

92 ANT075 Vulva Toilet NK 200.00 200.00 200.00 80-81-706

CASUALTY

1 CAS100 Accommodation 400.00 400.00 400.00 80-81-700

2 AC012 Anema 100.00 100.00 5.00 80-81-700

3 CAS20 Bandaging/Splinting 0.00 50.00 5.00 80-81-700

4 CAS04 Bids Admission 2,500.00 2,500.00 5.00 80-81-700

5 CAS31 Bilateral Tubaligation 200.00 200.00 5.00 80-81-700

6 CAS18 BIOPSY 1,500.00 50.00 5.00 80-81-700

7 CAS32 Biopsy And Excission 1,500.00 1,500.00 5.00 80-81-700

8 CAS22 Blood Transfusion 0.00 500.00 5.00 80-81-700

9 CAS047 Bone Marrow 100.00 100.00 100.00 80-81-700

10 CAS048 Bone Marrow Nk 200.00 200.00 200.00 80-81-700

Charge Sheet - Page: 4

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

11 AC010 branula 50.00 50.00 5.00 80-81-700

12 CAS16 BTL 200.00 50.00 5.00 80-81-700

13 CAS087 Catheter Change 50.00 50.00 50.00 80-81-700

14 CAS088 Catheter Change Nk 100.00 100.00 100.00 80-81-700

15 CAS095 Catheterization 100.00 100.00 100.00 80-81-700

16 CAS096 Catheterization Nk 200.00 200.00 200.00 80-81-700

17 CAS049 Chest Aspiration 100.00 100.00 100.00 80-81-700

18 CAS050 Chest Aspiration Nk 200.00 200.00 200.00 80-81-700

19 AC001 Consultation Adult 150.00 150.00 150.00 80-81-700

20 AC002 Consultation Children Above 5 Years 150.00 150.00 5.00 80-81-700

21 CAS101 Consumables 400.00 400.00 400.00 80-81-700

22 CAS29 Crepe Bandaging 200.00 200.00 5.00 80-81-700

23 AC013 Cut Down 500.00 500.00 5.00 80-81-700

24 CAS30 CYSTOSTOMY 1,500.00 50.00 5.00 80-81-700

25 CAS34 Debridement 1,500.00 1,500.00 5.00 80-81-700

26 CAS066 Decontamination 50.00 50.00 50.00 80-81-700

27 CAS067 Decontamination Nk 100.00 100.00 100.00 80-81-700

28 CAS35 Disorticulation 1,500.00 150.00 5.00 80-81-700

29 CAS06 Dressing 50.00 50.00 5.00 80-81-700

30 CAS040 Dressing Nk 100.00 100.00 100.00 80-81-700

31 CAS051 Drug Administration 50.00 50.00 50.00 80-81-700

32 CAS090 Enam Nk 200.00 200.00 200.00 80-81-700

33 CAS089 Enema 100.00 100.00 100.00 80-81-700

34 CAS068 Eye Swabing 50.00 50.00 50.00 80-81-700

35 CAS069 Eye Swabing Nk 100.00 100.00 100.00 80-81-700

36 CAS056 Flatus Tube 50.00 50.00 50.00 80-81-700

37 CAS057 Flatus Tube Nk 100.00 100.00 100.00 80-81-700

38 AC007 FUNSOFT CONTROL 0.00 100.00 5.00 80-81-700

39 AC011 Gastric Lavage 200.00 200.00 5.00 80-81-700

40 CAS09 Giving set 60.00 60.00 5.00 80-81-700

41 AC018 H.V.S Sample 100.00 100.00 5.00 80-81-700

42 CAS28 HYDROTUBATION 1,500.00 200.00 5.00 80-81-700

43 CAS053 Identificat. Band Nk 100.00 100.00 100.00 80-81-700

44 CAS052 Identification Band 50.00 50.00 50.00 80-81-700

45 CAS33 INCISION &Drainage 200.00 1,000.00 5.00 80-81-700

46 AC020 Injection 60.00 60.00 5.00 80-81-700

47 CAS37 Intubation-Adult 0.00 200.00 5.00 80-81-700

48 AC022 Ivf Fixing 60.00 60.00 60.00 80-81-700

49 AC023 Ivf Fixing Nk 100.00 100.00 100.00 80-81-700

50 AC008 I.V Fluids 60.00 50.00 5.00 80-81-700

51 CAS046 Last Office 200.00 200.00 200.00 80-81-700

52 CASS070 Local Appl. Medicine 100.00 100.00 100.00 80-81-700

53 CAS071 Local Appl. Med. Nk 200.00 200.00 200.00 80-81-700

54 CAS072 Lumbar Functure 100.00 100.00 100.00 80-81-700

55 CAS073 Lumbar Functure Nk 200.00 200.00 200.00 80-81-700

56 CAS01 MALSAPURISATION 1,500.00 100.00 5.00 80-81-700

57 CAS21 Manual Vacuum Aspiration 0.00 1,500.00 5.00 80-81-700

58 CAS045 Mortury Sheet 400.00 400.00 400.00 80-81-700

59 CAS13 Nasogastric Tube Insertion 0.00 100.00 5.00 80-81-700

60 CAS17 Nebulisation Adults 200.00 200.00 5.00 80-81-700

61 CAS091 Ng Tube 100.00 100.00 100.00 80-81-700

62 CAS092 Ng Tube Nk 200.00 200.00 200.00 80-81-700

63 CAS102 Nursing Fees 200.00 200.00 200.00 80-81-700

64 CAS099 Nursing Fees 100.00 100.00 100.00 80-81-700

65 CAS093 Oral Toilet 50.00 50.00 50.00 80-81-700

66 CAS094 Oral Toilet Nk 100.00 100.00 100.00 80-81-700

67 CAS054 Oxygen Catheter 100.00 100.00 100.00 80-81-700

68 CAS055 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-700

69 CAS041 Oxygen Therapy 250.00 250.00 250.00 80-81-700

70 CAS043 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-700

71 CAS044 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-700

72 CAS042 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-700

73 CAS08 Patient Bathing 50.00 50.00 5.00 80-81-700

74 CAS10 Rectal Suppositories Adults 50.00 50.00 5.00 80-81-700

75 CAS36 Removal Of Ingrowing Nails 1,500.00 150.00 5.00 80-81-700

76 CAS05 Removal Of Stitches 50.00 50.00 5.00 80-81-700

77 CAS058 Ros 50.00 50.00 50.00 80-81-700

78 CAS059 Ros Nk 100.00 100.00 100.00 80-81-700

79 CAS062 Saline Bath 100.00 100.00 100.00 80-81-700

Charge Sheet - Page: 5

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

80 CAS063 Saline Bath Nk 200.00 200.00 200.00 80-81-700

81 CAS103 Sanitary And Disinfection 200.00 200.00 200.00 80-81-700

82 AC016 Sauline Bath 200.00 200.00 5.00 80-81-700

83 CAS060 Shaving 50.00 50.00 50.00 80-81-700

84 CAS061 Shaving Nk 100.00 100.00 100.00 80-81-700

85 CAS064 Skin Care 50.00 50.00 50.00 80-81-700

86 CAS065 Skin Care Nk 100.00 100.00 100.00 80-81-700

87 CAS074 Steam Inhalation 100.00 100.00 100.00 80-81-700

88 CAS075 Steam Inhalation Nk 200.00 200.00 200.00 80-81-700

89 AC004 Stiching Monor Theatre 1,000.00 1,000.00 5.00 80-81-700

90 AC003 Stitching Minor Wound 500.00 500.00 5.00 80-81-700

91 CAS076 Stomach Washout 50.00 50.00 50.00 80-81-700

92 CAS077 Stomack Washout Nk 100.00 100.00 100.00 80-81-700

93 CAS078 Suction 50.00 50.00 50.00 80-81-700

94 CAS079 Suction Nk 100.00 100.00 100.00 80-81-700

95 CAS081 Suction Tracheost. 50.00 50.00 50.00 80-81-700

96 CAS082 Suction Tracheost. Nk 100.00 100.00 100.00 80-81-700

97 CAS083 Suprapubic Puct. 500.00 500.00 500.00 80-81-700

98 CAS084 Suprapubic Puct. Nk 1,000.00 1,000.00 1,000.00 80-81-700

99 CAS23 SURGICAL TOILET 1,500.00 50.00 5.00 80-81-700

100 CAS085 Urine Testing 50.00 50.00 50.00 80-81-700

101 CAS086 Urine Testing Nk 100.00 100.00 100.00 80-81-700

102 AC017 Vaginal Examination 100.00 100.00 5.00 80-81-700

103 CAS097 Vulva Toilet 100.00 100.00 100.00 80-81-700

104 CAS098 Vulva Toilet Nk 200.00 200.00 200.00 80-81-700

105 CAS07 Wound Stitching 1,000.00 1,000.00 5.00 80-81-700

CCC PHARMACY

1 ccc10107 Bone Marrow Trephine Needle 11g/150mm(Neo-Oxus) +Sterile Pack

3,500.00 3,500.00 0.00 80-81-343

2 ccc10108 Bone Marrow Trephine Needle 13g/70mm(Neo-Oxus) +Sterile Pack

3,500.00 3,500.00 0.00 80-81-343

CLINICS

1 CLN1001 Consultation 150.00 150.00 150.00 80-81-046

2 CL01 Consultation Fee 0.00 0.00 100.00 80-81-046

3 MOR014 FUNSOFT CONTROL 50.00 50.00 5.00 80-81-046

DEBTORS ACCOUNT

1 - Debtors payments 1,000.00 0.00 0.00 20-23-132

DENTAL

1 DENT 4030 3way Stop Cock 100.00 100.00 100.00 80-81-561

2 D026 Acrylic REPAIR 200.00 3,800.00 3,800.00 80-81-561

3 ACR-SPL-NK ACTIVATION OF APPLIANCE FROM OUTSIDE 200.00 1,500.00 5.00 80-81-561

4 DEN029 Age Assesment 600.00 600.00 600.00 80-81-561

5 DENT012 Amalgam Filling 700.00 700.00 700.00 80-81-561

6 ACR-SPL-K APEXIFICATION 0.00 700.00 5.00 80-81-561

7 API(UNDER L.A) APISECTOMY PER TOOTH 1,000.00 1,500.00 5.00 80-81-561

8 ACR-SPL-P APPLIANCE RE-ACTIVATION 200.00 200.00 200.00 80-81-561

9 BIO(EX/INCI)(UN L.A) Biopsy 1,500.00 1,500.00 1,500.00 80-81-561

10 C-DRESS-P Change Of Dressing 100.00 100.00 5.00 80-81-561

11 DENT003 Closed Disinpaction 400.00 400.00 5.00 80-81-561

12 DENT 4032 Closed Wound Suction Unit 1,500.00 1,500.00 1,500.00 80-81-561

13 DENT019 Complete Denture 8,000.00 8,000.00 5.00 80-81-561

14 DENT 233 Complete Denture 6,000.00 6,000.00 6,000.00 80-81-561

15 DENT 231 Complete Denture Repair 2,500.00 2,500.00 2,500.00 80-81-561

16 DENT023 Complete Denture Repair 1,000.00 1,000.00 1,000.00 80-81-561

17 DENT014 Composite Filling 1,000.00 1,000.00 5.00 80-81-561

18 COMP RESINE-NK CONSULTATION 200.00 200.00 5.00 80-81-561

19 RED-IMK-NK CROWN RECEMENTATION/TOOTH 500.00 3,000.00 5.00 80-81-561

20 PHY012 Cryotherapy 50.00 50.00 5.00 80-81-561

21 DENT400 Dental Maxillofacial 300.00 300.00 300.00 80-81-561

22 D.REPAIR-P Denture Repair 700.00 700.00 700.00 80-81-561

23 D.R.REPR-K DIAGNOSIS 100.00 400.00 5.00 80-81-561

24 D.R.REPR-P DISIMPACTION -CLOSED 1,000.00 1,000.00 1,000.00 80-81-561

25 D.R.REPR-NK DISIMPACTION -OPEN 1,500.00 1,500.00 1,500.00 80-81-561

26 DENT005 Dry Socket 400.00 300.00 5.00 80-81-561

27 DENT 4033 Epidural Set 2,000.00 2,000.00 2,000.00 80-81-561

28 DEN028 ERIC FILLING 800.00 800.00 800.00 80-81-561

29 DENT002 Extraction 400.00 400.00 400.00 80-81-561

30 EXTRACT-P Extraction CCC 300.00 300.00 300.00 80-81-561

31 DENT 229 Facial Cuts Reconstruction(Under L.A) 3,000.00 3,000.00 3,000.00 80-81-561

32 FAC-PROTH-K FLUORIDE APPLICATION/TOOTH 500.00 2,000.00 5.00 80-81-561

Charge Sheet - Page: 6

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

33 REP-APP-K FUNSOFT CONTROL 0.00 1,500.00 5.00 80-81-561

34 DENT006 Incision & Drainage (Ied) 500.00 500.00 5.00 80-81-561

35 MARY-BRID-K Maryland Bridge-K 6,000.00 4,500.00 5.00 80-81-561

36 D029 Medical Report 1,500.00 400.00 400.00 80-81-561

37 MULT.RT-K MINOR GINGIVAL SURGERIES 1,000.00 1,000.00 1,000.00 80-81-561

38 DENT009 Mmf 4,000.00 4,000.00 4,000.00 80-81-561

39 MOU-GUA-NK Mouth Guards/OCCLUSAL SPLINT 1,500.00 1,500.00 5.00 80-81-561

40 OBT-MINOR-R OBTMATOR 4,000.00 300.00 5.00 80-81-561

41 DENT 223 Orthodontic 60,000.00 60,000.00 5.00 80-81-561

42 OBT-MAJOR-P OVERDENTURE PER ARCH 5,000.00 2,000.00 5.00 80-81-561

43 DENT 235 Partial Denture (Additional Tooth) 400.00 400.00 400.00 80-81-561

44 DENT017 Partial Denture (Firt Tooth) 1,500.00 1,500.00 5.00 80-81-561

45 DENT 234 Partial Denture (Initial Tooth) 1,000.00 1,000.00 1,000.00 80-81-561

46 DENT 237 Partial Denture (One Tooth) 1,000.00 1,000.00 1,000.00 80-81-561

47 PHY002 PD -ADDITIONAL TOOTH 500.00 500.00 5.00 80-81-561

48 DENT 4031 Perfusor Line 150cm 1,200.00 1,200.00 1,200.00 80-81-561

49 DENT 224 Pfm Crowns Per Unit 3,500.00 3,500.00 0.00 80-81-561

50 PITS-FISSURE-NK Pits & Fissure SEALANTS 600.00 400.00 5.00 80-81-561

51 DENT018 POLYCARBONATE CROWN 800.00 400.00 5.00 80-81-561

52 P/E/H.MAN-NK Post Extraction Hoemorrage Managment-Nk 400.00 400.00 5.00 80-81-561

53 PIN-RESTORT-P PROPHYLAXIS 500.00 200.00 5.00 80-81-561

54 DENT015 PULPOTOMY 400.00 1,000.00 5.00 80-81-561

55 DENT022 Rebassing Per Arch 1,000.00 1,000.00 5.00 80-81-561

56 DENT 225 Removable Appliance 5,000.00 5,000.00 5,000.00 80-81-561

57 DENT 225 Removable Appliance 5,000.00 5,000.00 5,000.00 80-81-561

58 DENT 227 Removable Appliance With Ex 6,500.00 6,500.00 6,500.00 80-81-561

59 DENT 236 Removable Orthodontic Appliance 6,000.00 6,000.00 6,000.00 80-81-561

60 P-PLACE-K ROOT CANALS -MOLARS 3,500.00 3,500.00 5.00 80-81-561

61 P-PLACE-K ROOT CANALS -MOLARS 3,500.00 3,500.00 5.00 80-81-561

62 P-PLACE-P ROOT CANALS -PREMOLARS 2,500.00 2,500.00 5.00 80-81-561

63 DENT222 Scalling and Polishing 1,500.00 1,500.00 1,500.00 80-81-561

64 DENT 230 Simple Facial Cuts 1,000.00 1,000.00 1,000.00 80-81-561

65 DENT008 Splinting 1,000.00 1,000.00 5.00 80-81-561

66 DENT010 Stitching 200.00 200.00 5.00 80-81-561

67 DENT025 Study Model 500.00 200.00 5.00 80-81-561

68 SURG.DIS-K SUTURING 500.00 500.00 5.00 80-81-561

69 DENT013 Temporary Filling 500.00 500.00 5.00 80-81-561

70 TRISMUS-P Tmj DEDUCTION 800.00 600.00 5.00 80-81-561

71 TRISMUS-K Tmj Exercise 500.00 400.00 5.00 80-81-561

72 DENT228 Tmj Reduction 800.00 800.00 800.00 80-81-561

73 FRA-MAX-UND-LA-NK Under L.A 3,000.00 3,000.00 5.00 80-81-561

74 FRA-MAX-UND-LA-P Under L.A 1,500.00 1,500.00 5.00 80-81-561

75 D027 Upper Complete Denture 2,700.00 2,700.00 2,700.00 80-81-561

76 PHY004 Utrasound Therapy 50.00 50.00 5.00 80-81-561

77 PHY006 Wax Bath Therapy 50.00 50.00 5.00 80-81-561

78 DENT 232 Wiring 1,000.00 1,000.00 1,000.00 80-81-561

DEPOSIT

1 d001 Deposit 0.00 0.00 0.00 80-81-901

DIABETIC CLINIC

1 DIAB03 Blood Sugar And Consultation 300.00 300.00 300.00 80-81-001

2 DIAB04 Brunular 50.00 50.00 5.00 80-81-001

3 DIAB04 Diabetic 300.00 300.00 300.00 80-81-001

4 DIAB01 Dressing 50.00 0.00 5.00 80-81-001

5 DIAB06 FUNSOFT CONTROL 0.00 0.00 5.00 80-81-001

6 DIAB05 Giving set 50.00 50.00 5.00 80-81-001

7 DIAB05 Giving set 50.00 50.00 5.00 80-81-001

8 DIAB02 Injection 80.00 80.00 80.00 80-81-001

E.N.T

1 EN0113 Anterior Nasal Packing 0.00 0.00 5.00 80-81-320

2 ANT.N.PACK-K Anterior Nasal Packing-K 500.00 200.00 5.00 80-81-320

3 ANT.N.PACK-NK Anterior Nasal Packing-Nk 1,000.00 400.00 5.00 80-81-320

4 ANT.N.PACK-P Anterior Nasal Packing-P 1,000.00 400.00 5.00 80-81-320

5 EN0111 Aural Toilet 0.00 0.00 5.00 80-81-320

6 AURAL TOIL-K Aural Toilet-K 0.00 0.00 5.00 80-81-320

7 AURAL TOIL-NK Aural Toilet-Nk 0.00 0.00 5.00 80-81-320

8 AURAL TOIL-P Aural Toilet-P 0.00 0.00 5.00 80-81-320

9 B.A.W.C-K Bilateral Antral Washout-K 500.00 500.00 5.00 80-81-320

10 B.A.W.C-NK Bilateral Antral Washout-Nk 1,000.00 1,000.00 5.00 80-81-320

11 B.A.W.C-P Bilateral Antral Washout-P 1,000.00 1,000.00 5.00 80-81-320

Charge Sheet - Page: 7

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

12 EN0116 Bilaterial Antral Washout 500.00 500.00 5.00 80-81-320

13 EN0135 Consultation 150.00 150.00 5.00 80-81-320

14 DIATHERMY-K Cutery Of Bleeding-K 500.00 500.00 5.00 80-81-320

15 DIATHERMY-NK Cutery Of Bleeding-Nk 1,000.00 1,000.00 5.00 80-81-320

16 DIATHERMY-P Cutery Of Bleeding-P 1,000.00 1,000.00 5.00 80-81-320

17 EN0115 Cuttery Of Bleeding 0.00 0.00 5.00 80-81-320

18 ENT01 Dressing 50.00 0.00 5.00 80-81-320

19 ENT02 Ear Syringing 100.00 0.00 5.00 80-81-320

20 EN0119 Excision Of Superficial Benign Swelling 1,000.00 1,000.00 5.00 80-81-320

21 EXCN BIOPSY-K Excision Of Superficial Benyn Swellings-K 1,000.00 1,000.00 5.00 80-81-320

22 EXCN BIOPSY-NK Excision Of Superficial Benyn Swellings-Nk 2,000.00 2,000.00 5.00 80-81-320

23 EXCN BIOPSY-P Excision Of Superficial Benyn Swellings-P 2,000.00 2,000.00 5.00 80-81-320

24 EN0123 FUNSOFT CONTROL 0.00 0.00 5.00 80-81-320

25 H.A.C-NK Hearin Assessment In Children-Nk 200.00 200.00 5.00 80-81-320

26 EN0127 Hearing Assessment In Children 0.00 0.00 5.00 80-81-320

27 H.A.C-K Hearing Assessment In Children-K 0.00 0.00 5.00 80-81-320

28 H.A.C-P Hearing Assessment In Children-P 0.00 0.00 5.00 80-81-320

29 EN0104 Idirect Lanygoscopy 0.00 0.00 5.00 80-81-320

30 I/L Idirect Lanygoscopy-K 0.00 0.00 5.00 80-81-320

31 I/L Idirect Lanygoscopy-Nk 0.00 0.00 5.00 80-81-320

32 EN0120 Incision & Drainage Of Abcess Under L.A 200.00 200.00 5.00 80-81-320

33 I&D-K Incision & Drainage Of Abcess Under L.A-K 200.00 200.00 5.00 80-81-320

34 I&D-NK Incision & Drainage Of Abcess Under L.A-Nk 400.00 400.00 5.00 80-81-320

35 I&D-P Incision & Drainage Of Abcess Under L.A-P 400.00 400.00 5.00 80-81-320

36 ENO108 Injection I/M 50.00 0.00 5.00 80-81-320

37 INJNI/M-K Injection/I/M-K 50.00 0.00 5.00 80-81-320

38 INJN-NK Injection/I/M-Nk 100.00 0.00 5.00 80-81-320

39 INJN-P Injection/I/M-P 100.00 0.00 5.00 80-81-320

40 EN0124 Injection I/V 50.00 0.00 5.00 80-81-320

41 INJN I/V-K Injection I/V-K 50.00 0.00 5.00 80-81-320

42 INJNI/V-NK Injection I/V-Nk 100.00 0.00 5.00 80-81-320

43 INJN I/V-P Injection I/V-P 100.00 0.00 5.00 80-81-320

44 EN0106 Oral Examination 0.00 0.00 5.00 80-81-320

45 O.E-K Oral Examination-K 0.00 0.00 5.00 80-81-320

46 O.E-NK Oral Examination-Nk 0.00 0.00 5.00 80-81-320

47 O.E-P Oral Examination-P 0.00 0.00 5.00 80-81-320

48 EN0105 Posterior Rhinoscopy 0.00 0.00 5.00 80-81-320

49 POST RHINOSCY-K Posterior Rhinoscopy-K 0.00 0.00 5.00 80-81-320

50 POST RHINOSCY-NK Posterior Rhinoscopy-Nk 0.00 0.00 5.00 80-81-320

51 POST RHINOSCY-P Posterior Rhinoscopy-P 0.00 0.00 5.00 80-81-320

52 EN0118 Punch Biopsy 1,000.00 1,000.00 5.00 80-81-320

53 PUNCH BIOPSY-K Punch Biopsy-K 1,000.00 500.00 5.00 80-81-320

54 PUNCH BIOPSY-NK Punch Biopsy-Nk 2,000.00 1,000.00 5.00 80-81-320

55 PUNCH BIOPSY-P Punch Biopsy-P 2,000.00 1,000.00 5.00 80-81-320

56 EN0131 Puretone Audiogram 0.00 0.00 5.00 80-81-320

57 PURE AUDION-K Puretone Audiogram-K 400.00 0.00 5.00 80-81-320

58 PURE AUDION-NK Puretone Audiogram-Nk 800.00 0.00 5.00 80-81-320

59 PURE AUDION-P Puretone Audiogram-P 800.00 0.00 5.00 80-81-320

60 EN0121 Release Of Tongue 100.00 100.00 5.00 80-81-320

61 R.O.T-K Release Of Tongue-K 100.00 100.00 5.00 80-81-320

62 R.O.T-NK Release Of Tongue-Nk 200.00 200.00 5.00 80-81-320

63 R.O.T-P Release Of Tongue-P 200.00 200.00 5.00 80-81-320

64 EN0117 Removal Of Ear Dressing 0.00 0.00 5.00 80-81-320

65 R.E.D-K Removal Of Ear Dressing-K 100.00 100.00 5.00 80-81-320

66 R.E.D-NK Removal Of Ear Dressing-Nk 200.00 200.00 5.00 80-81-320

67 R.E.D-P Removal Of Ear Dressing-P 200.00 200.00 5.00 80-81-320

68 EN0112 Removal Of Fb Ear In Op 100.00 100.00 5.00 80-81-320

69 REMOVAL FBE-K Removal Of Fb Ear In Op-K 100.00 0.00 5.00 80-81-320

70 REMOVAL FBE-NK Removal Of Fb Ear In Op-Nk 200.00 0.00 5.00 80-81-320

71 REMOVAL FBE-P Removal Of Fb Ear In Op-P 200.00 0.00 5.00 80-81-320

72 EN0114 Removal Of F.B Nose 0.00 0.00 5.00 80-81-320

73 REMOVAL FBN-K Removal Of F.B Nose-K 100.00 100.00 5.00 80-81-320

74 REMOVAL FBN-NK Removal Of F.B Nose-Nk 200.00 200.00 5.00 80-81-320

75 REMOVAL FBN-P Removal Of F.B Nose-P 200.00 200.00 5.00 80-81-320

76 R.N.P-K Removal Of Nasal Pacts-K 100.00 0.00 5.00 80-81-320

77 R.N.P-NK Removal Of Nasal Pacts-Nk 200.00 0.00 5.00 80-81-320

78 R.N.P-P Removal Of Nasal Pacts-P 200.00 0.00 5.00 80-81-320

79 EN0109 Removal Of Stiches 50.00 50.00 5.00 80-81-320

80 R.O.S-K Removal Of Stitches-K 50.00 50.00 5.00 80-81-320

Charge Sheet - Page: 8

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

81 R.O.S-NK Removal Of Stitches-Nk 100.00 100.00 5.00 80-81-320

82 R.O.S-P Removal Of Stitches-P 100.00 100.00 5.00 80-81-320

83 ENT03 Ros 50.00 0.00 5.00 80-81-320

84 STITUN L/A-K Stitching Under L/A-K 1,000.00 100.00 5.00 80-81-320

85 STITUN L/A-NK Stitching Under L/A-Nk 2,000.00 200.00 5.00 80-81-320

86 STITUN L/A-P Stitching Under L/A-P 2,000.00 200.00 5.00 80-81-320

87 EN0107 Syringing 100.00 100.00 5.00 80-81-320

88 SYRINGING-K Syringing-K 100.00 100.00 5.00 80-81-320

89 SYRINGING-NK Syringing-Nk 200.00 200.00 5.00 80-81-320

90 SYRINGING-P Syringing-P 200.00 200.00 5.00 80-81-320

91 EN0129 Tracheostomy Tube 0.00 0.00 5.00 80-81-320

92 EN0126 Tracheostomy Tube Care 0.00 0.00 5.00 80-81-320

93 TRACH. T/CARE-K Tracheostomy Tube Care-K 200.00 0.00 5.00 80-81-320

94 TRACH. T/CARE-NK Tracheostomy Tube Care-Nk 400.00 0.00 5.00 80-81-320

95 TRACH. T/CARE-P Tracheostomy Tube Care-P 400.00 0.00 5.00 80-81-320

96 TRACH. TUBE-K Tracheostomy Tube-K 0.00 0.00 5.00 80-81-320

97 TRACH. TUBE-NK Tracheostomy Tube-Nk 0.00 0.00 5.00 80-81-320

98 TRACH. TUBE-P Tracheostomy Tube-P 0.00 0.00 5.00 80-81-320

99 EN0130 Tracheostomy Under G.A 0.00 0.00 5.00 80-81-320

100 TRACH.G.A-K Tracheostomy Under G.A-K 0.00 0.00 5.00 80-81-320

101 TRACH.G.A-NK Tracheostomy Under G.A-Nk 0.00 0.00 5.00 80-81-320

102 TRACH.G.A-P Tracheostomy Under G.A-P 0.00 0.00 5.00 80-81-320

103 EN0125 Tracheostomy Under L.A 0.00 0.00 5.00 80-81-320

104 TRACHEOTOMY-K Tracheostomy Under L.A-K 0.00 0.00 5.00 80-81-320

105 TRACHEOTOMY-NK Tracheostomy Under L.A-Nk 0.00 0.00 5.00 80-81-320

106 TRACHEOTOMY-P Tracheostomy Under L.A-P 0.00 0.00 5.00 80-81-320

107 EN0134 Ward Dressing 100.00 100.00 5.00 80-81-320

108 W/D-K Ward Dressing-K 50.00 50.00 5.00 80-81-320

109 W/D-NK Ward Dressing-Nk 100.00 100.00 5.00 80-81-320

110 W/D-P Ward Dressing-P 100.00 100.00 5.00 80-81-320

111 EN0110 Wound Dressing 100.00 100.00 5.00 80-81-320

112 WOUND DRESS.-K Wound Dressing-K 100.00 100.00 5.00 80-81-320

113 WOUND DRESS.-NK Wound Dressing-Nk 200.00 200.00 5.00 80-81-320

114 WOUND DRESS.-P Wound Dressing-P 200.00 200.00 5.00 80-81-320

EXEMPTIONS

1 EX01 Exemptions 0.00 0.00 0.00 80-81002-004-528

EYE CLINIC

1 EYE010 Abscess Incision & Drainage 700.00 700.00 700.00 80-81-556

2 EYE20 Cataract Surgery 2,000.00 2,000.00 2,000.00 80-81-556

3 EYE19 Chalazion Incision 300.00 300.00 300.00 80-81-556

4 EYE15 Cone Shield 70.00 70.00 70.00 80-81-556

5 EYE15 Cone Shield 70.00 70.00 70.00 80-81-556

6 EYE1001 Consultation 150.00 150.00 100.00 80-81-556

7 EYE014 Consultation 150.00 150.00 150.00 80-81-556

8 EYE015 Dressing 100.00 0.00 5.00 80-81-556

9 EYE008 Entropion Correction 700.00 700.00 5.00 80-81-556

10 EYE21 Eua 1,000.00 1,000.00 1,000.00 80-81-556

11 EYE 16 Eviseration 500.00 500.00 500.00 80-81-556

12 EYE012 Eye Irrigation (Chemical Burns) 200.00 200.00 5.00 80-81-556

13 EYE005 Eye Rounding Of Conjuctiva Sac 100.00 100.00 5.00 80-81-556

14 EYE007 FUNSOFT CONTROL 0.00 300.00 5.00 80-81-556

15 EYE17 Gonioscopy 200.00 200.00 200.00 80-81-556

16 EYE016 Irrigation(Eye) 250.00 250.00 250.00 80-81-556

17 EYE016 Irrigation(Eye) 250.00 250.00 250.00 80-81-556

18 EYE009 Plerygium Excersion 500.00 500.00 5.00 80-81-556

19 EYE003 Probing & Syringing 3,000.00 3,000.00 5.00 80-81-556

20 EYE18 Refraction 200.00 200.00 200.00 80-81-556

21 EYE002 Removal Of Corneal Foreign Box 300.00 500.00 5.00 80-81-556

22 EYE 25 Retinalyze 500.00 500.00 500.00 80-81-556

23 EYE004 Retrobulbal & Alcohol Injection 200.00 200.00 5.00 80-81-556

24 EYE017 R.O.S 300.00 300.00 5.00 80-81-556

25 EYE16 Stitching under L/A 3,000.00 3,000.00 3,000.00 80-81-556

26 EYE16 Stitching under L/A 3,000.00 3,000.00 3,000.00 80-81-556

27 EYE006 Sub-Conjuctival Injection 200.00 200.00 200.00 80-81-556

28 EYE006 Sub-Conjuctival Injection 200.00 200.00 200.00 80-81-556

29 EYE013 Ud Laceration 500.00 500.00 5.00 80-81-556

EYE WARD

1 EYE1003 Accomodation Fee 200.00 200.00 200.00 80-81-701

2 EY115 Accomondation Fee 300.00 300.00 300.00 80-81-701

Charge Sheet - Page: 9

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

3 EYE WD001 Bed Fee 300.00 300.00 5.00 80-81-701

4 EY 011 Biopsy Adults 3,000.00 3,000.00 3,000.00 80-81-701

5 EYE004 Branula 50.00 50.00 50.00 80-81-701

6 EYE1001 Care Taker 200.00 200.00 200.00 80-81-701

7 EY 002 Cateract Extraction & I.O.L Adult L.A 2,000.00 2,000.00 2,000.00 80-81-701

8 EY 001 Cateract Extraction &I.O.L Adults G.A 7,500.00 7,500.00 7,500.00 80-81-701

9 EY 009 Conjuctival Growth/Cyst Excision 5,000.00 5,000.00 5,000.00 80-81-701

10 EYE1002 Consumables 200.00 200.00 200.00 80-81-701

11 EYE003 Consumables 300.00 300.00 200.00 80-81-701

12 EY 007 Corneal Repair 5,000.00 5,000.00 5,000.00 80-81-701

13 EYE1004 Dressing 50.00 50.00 50.00 80-81-701

14 EY 003 E.U.A 1,500.00 1,500.00 1,500.00 80-81-701

15 EYEWD03 Eye Cane 50.00 50.00 5.00 80-81-701

16 EYEWD08 Eye Cleaning And Instillation Of Drugs- 50 Per Drs 50.00 50.00 5.00 80-81-701

17 EYEWD13 Eye Examination 50.00 50.00 5.00 80-81-701

18 EYEWD04 FUNSOFT CONTROL 0.00 500.00 5.00 80-81-701

19 EYE1005 Giving Set 50.00 50.00 50.00 80-81-701

20 EY 006 Glaucoma Surgery 5,000.00 5,000.00 5,000.00 80-81-701

21 EYEWD11 Gonioscopy 200.00 200.00 5.00 80-81-701

22 EYE WD003 Ivf Fixing 60.00 60.00 60.00 80-81-701

23 EYE WD004 Ivf Fixing Nk 100.00 100.00 100.00 80-81-701

24 EYEWD14 Last Office 300.00 300.00 5.00 80-81-701

25 EYE WD002 Last Office 300.00 300.00 200.00 80-81-701

26 EY 008 Lid Repair 5,000.00 5,000.00 5,000.00 80-81-701

27 EY014 Nursing Fees 100.00 100.00 100.00 80-81-701

28 EY013 Nursing Fees 100.00 100.00 100.00 80-81-701

29 EY 010 Orbital Tumours 5,000.00 5,000.00 5,000.00 80-81-701

30 EYEWD09 Oxygen Adminstraton 250.00 250.00 5.00 80-81-701

31 EY 005 Plastic Surgery 5,000.00 5,000.00 5,000.00 80-81-701

32 EYEWD07 Refraction 200.00 200.00 5.00 80-81-701

33 EYEWD05 Removal Of Fb(Eye) 500.00 500.00 5.00 80-81-701

34 EY 012 Ros (Children) 2,000.00 2,000.00 2,000.00 80-81-701

35 EYEWD10 Sight And Guide Navigation 100.00 100.00 5.00 80-81-701

36 EY 004 Strabismus 5,000.00 5,000.00 5,000.00 80-81-701

37 EYEWD12 Tonometry 200.00 200.00 5.00 80-81-701

38 EYEWD02 Torsorrhaphy 150.00 150.00 5.00 80-81-701

39 EYE1006 Under Bed Cover Sheet Protector 170.00 170.00 170.00 80-81-701

40 EYEWD06 Visual Acquity 100.00 100.00 5.00 80-81-701

FILTER CLINIC

1 FLT01 Funsoft Control 0.00 0.00 0.00 80-81-330

GYNAE CLINIC

1 GYNC005 Colposcopy 600.00 600.00 600.00 80-81-021

2 GYNC03 Consultation For Gynoe 200.00 200.00 5.00 80-81-021

3 GYNC04 Consultation For Obs 200.00 200.00 5.00 80-81-021

4 GYNC01 Dtc 0.00 0.00 5.00 80-81-021

5 GYNCC03 Hirc 300.00 300.00 300.00 80-81-021

6 GYNC006 Leep 1,000.00 1,000.00 1,000.00 80-81-021

7 GYNCO1 Pap Smear 200.00 200.00 5.00 80-81-021

HEALTH RECORDS

1 HR022 Board Room Fee 0.00 0.00 0.00 80-81-516

2 HR015 Booking Fee( Consultant clinic visits) 200.00 200.00 200.00 80-81-516

3 HR011 FUNSOFT CONTROL 0.00 1,000.00 5.00 80-81-516

4 HR021 Hiv Test Certificate 1,000.00 1,000.00 1,000.00 80-81-516

5 HR001 In-Patient Stationery Fee 300.00 300.00 300.00 80-81-516

6 HR010 Insurance Report 2,000.00 2,000.00 2,000.00 80-81-516

7 HR 024 Late Birth Notification 700.00 700.00 700.00 80-81-516

8 HR 020 Late Death Notification 700.00 700.00 700.00 80-81-516

9 HR 020 Late Death Notification 700.00 700.00 700.00 80-81-516

10 HR012 Medical Board 2,000.00 2,000.00 5.00 80-81-516

11 HR020 Medical Certificate (Others) 1,500.00 1,500.00 1,500.00 80-81-516

12 HRO15 MEDICAL CORRESPONDENCE/REPORTS 2,000.00 2,000.00 5.00 80-81-516

13 HR007 Medical Examination Employment(GP69) form 2,000.00 2,000.00 2,000.00 80-81-516

14 HR008 Medical Examination P3 1,500.00 1,500.00 1,500.00 80-81-516

15 HR014 Medical Exam Schooll 1,000.00 1,000.00 1,000.00 80-81-516

16 HR023 Medical Records 400.00 400.00 400.00 80-81-516

17 HR023 Medical Records 400.00 400.00 400.00 80-81-516

18 HR013 Out-Patient Books 100.00 100.00 100.00 80-81-516

19 HR016 P3 form Private 2,000.00 2,000.00 2,000.00 80-81-516

20 HR 021 P3 Form Private 2,000.00 2,000.00 2,000.00 80-81-516

Charge Sheet - Page: 10

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

21 HR 021 P3 Form Private 2,000.00 2,000.00 2,000.00 80-81-516

22 HR017 STATIONERY NEW( General) 300.00 300.00 4.00 80-81-516

23 HR019 Stationery New (Maternity) 500.00 500.00 500.00 80-81-516

24 HR018 Workmens Compensation Insurance 2,000.00 2,000.00 2,000.00 80-81-516

I.C.U

1 ICU1006 Accomodation Fee 700.00 700.00 50.00 80-81-705

2 ICU1012 Angiography 108,000.00 108,000.00 108,000.00 80-81-705

3 ICU 1730 Arterial Blood Gases 1,500.00 1,500.00 1,500.00 80-81-705

4 ICU23 Bone Marrow 150.00 150.00 150.00 80-81-705

5 ICU24 Bone Marrow Nk 250.00 250.00 250.00 80-81-705

6 ICU01 Branula 100.00 100.00 100.00 80-81-705

7 ICU01 Branula 100.00 100.00 100.00 80-81-705

8 post ohs icu-1 Catheter 150.00 150.00 150.00 80-81-705

9 ICU61 Catheter Change 100.00 100.00 100.00 80-81-705

10 ICU62 Catheter Change Nk 150.00 150.00 150.00 80-81-705

11 ICU69 Catheterization 200.00 200.00 100.00 80-81-705

12 ICU70 Catheterization Nk 300.00 200.00 200.00 80-81-705

13 ICU 1005 Central Line Adult 6,000.00 6,000.00 6,000.00 80-81-705

14 ICU 1006 Central Line Child 7,800.00 7,800.00 7,800.00 80-81-705

15 ICU25 Chest Aspiration 150.00 150.00 150.00 80-81-705

16 ICU26 Chest Aspiration Nk 300.00 300.00 300.00 80-81-705

17 CONSU-K Consumables-K 400.00 400.00 400.00 80-81-705

18 CONSU-NK Consumables-Nk 400.00 400.00 400.00 80-81-705

19 CONSU-P Consumables-P 400.00 400.00 400.00 80-81-705

20 ICU010 C.V.P Line 300.00 300.00 300.00 80-81-705

21 D.BED-C-K Daily Ventilator Therapy 700.00 700.00 700.00 80-81-705

22 D.BED-C-NK Daily Ventilator Therapy-Nk 1,300.00 1,300.00 1,300.00 80-81-705

23 D.BED-C-P Daily Ventilator Therapy-P 700.00 700.00 700.00 80-81-705

24 ICU001 Daily Ward Charges(Bed) 700.00 700.00 700.00 80-81-705

25 ICU42 Decontamination 70.00 70.00 70.00 80-81-705

26 ICU043 Decontamination Nk 100.00 100.00 100.00 80-81-705

27 ICU1009 Drainage Tube 1,500.00 1,500.00 1,500.00 80-81-705

28 ICU15 Dressing 70.00 70.00 70.00 80-81-705

29 ICU16 Dressing Nk 150.00 150.00 150.00 80-81-705

30 ICU27 Drug Administration 70.00 70.00 70.00 80-81-705

31 ECHO-K Echocardiagram-K 2,000.00 2,000.00 2,000.00 80-81-705

32 ECHO-NK Ecocardiagram-Nk 2,500.00 2,500.00 2,500.00 80-81-705

33 ECG-NK Electrocardiagram-Nk 400.00 400.00 400.00 80-81-705

34 ECG-P Electrocardiagram-P 300.00 300.00 300.00 80-81-705

35 ECG-K Electrocardiogram-K -12 LEAD ECG 300.00 300.00 300.00 80-81-705

36 ICU63 Enema 150.00 150.00 150.00 80-81-705

37 ICU64 Enema Nk 250.00 250.00 250.00 80-81-705

38 ICU43 Eye Swabing 100.00 100.00 100.00 80-81-705

39 ICU44 Eye Swabing Nk 150.00 150.00 150.00 80-81-705

40 ICU32 Flatus Tube 100.00 100.00 100.00 80-81-705

41 ICU33 Flatus Tube Nk 150.00 150.00 150.00 80-81-705

42 OXY-NK FUNSOFT CONTROL 500.00 500.00 5.00 80-81-705

43 ICU02 Giving Set 100.00 100.00 100.00 80-81-705

44 ICU02 Giving Set 100.00 100.00 100.00 80-81-705

45 ICU28 Identification Band 100.00 100.00 100.00 80-81-705

46 ICU29 Identification Band Nk 150.00 150.00 150.00 80-81-705

47 ICU002 Infusion Pump 300.00 300.00 300.00 80-81-705

48 ICU1001 Intubation 200.00 200.00 200.00 80-81-705

49 ICU 010 Ivf Fixing 100.00 100.00 100.00 80-81-705

50 ICU 011 Ivf Fixing Nk 150.00 150.00 150.00 80-81-705

51 ICU22 Last Office 300.00 300.00 300.00 80-81-705

52 ICU45 Local Appl. Medicine 70.00 70.00 70.00 80-81-705

53 ICU46 Local Appl. Medicine Nk 150.00 150.00 150.00 80-81-705

54 ICU47 Lumbar Functure 200.00 200.00 200.00 80-81-705

55 ICU48 Lumbar Funture Nk 300.00 300.00 300.00 80-81-705

56 ICU21 Mortury Sheet 500.00 500.00 500.00 80-81-705

57 ICU 65 Ng Tube 200.00 200.00 200.00 80-81-705

58 ICU66 Ng Tube Nk 300.00 300.00 300.00 80-81-705

59 ICU 1010 Nursing Fee 200.00 200.00 200.00 80-81-705

60 ICU67 Oral Toilet 100.00 100.00 100.00 80-81-705

61 ICU68 Oral Toilet Nk 150.00 150.00 150.00 80-81-705

62 ICU30 Oxygen Catheter 200.00 200.00 200.00 80-81-705

63 ICU31 Oxygen Catheter Nk 300.00 300.00 300.00 80-81-705

64 ICU17 Oxygen Therapy 300.00 300.00 300.00 80-81-705

Charge Sheet - Page: 11

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

65 ICU19 Oxygen Therapy Icu 700.00 700.00 700.00 80-81-705

66 ICU20 Oxygen Therapy Icu Nk 700.00 700.00 700.00 80-81-705

67 ICU18 Oxygen Therapy Nk 700.00 700.00 700.00 80-81-705

68 ICU003 Patient Monitor 300.00 300.00 300.00 80-81-705

69 PM-K Patients Monitor-K 250.00 500.00 250.00 80-81-705

70 ICU 1007 Patients Monitor-K 300.00 500.00 300.00 80-81-705

71 PM-NK Patients Monitor-Nk 250.00 250.00 250.00 80-81-705

72 ICU 1008 Patients Monitor-Nk 300.00 300.00 300.00 80-81-705

73 PM-P Patients Monitor-P 250.00 250.00 250.00 80-81-705

74 ICU 1009 Patients Monitor-P 300.00 300.00 300.00 80-81-705

75 ICU1007 Perfusion Line 70.00 70.00 5.00 80-81-705

76 POST OHS ICU-K Post Operative Icu Care(O.H.S)Per Day-K 0.00 0.00 5.00 80-81-705

77 POST OHS ICU-NK Post Operative Icu Care(O.H.S) Per Day-Nk 0.00 0.00 5.00 80-81-705

78 POST OHS ICU-P Post Operative Icu Care(O.H.S) Per Day-P 0.00 0.00 5.00 80-81-705

79 ICU34 Ros 100.00 100.00 100.00 80-81-705

80 ICU34 Ros 100.00 100.00 100.00 80-81-705

81 ICU35 Ros Nk 100.00 100.00 100.00 80-81-705

82 ICU39 Saline Bath Nk 300.00 300.00 300.00 80-81-705

83 ICU39 Saline Bath Nk 300.00 300.00 300.00 80-81-705

84 ICU1004 Sanitary And Disinfection Fee 200.00 200.00 200.00 80-81-705

85 ICU36 Shaving 100.00 100.00 100.00 80-81-705

86 ICU36 Shaving 100.00 100.00 100.00 80-81-705

87 ICU37 Shaving Nk 150.00 150.00 150.00 80-81-705

88 ICU37 Shaving Nk 150.00 150.00 150.00 80-81-705

89 ICU40 Skin Care 100.00 100.00 100.00 80-81-705

90 ICU41 Skin Care Nk 150.00 150.00 150.00 80-81-705

91 ICU1008 Staples 1,300.00 1,300.00 1,300.00 80-81-705

92 ICU49 Steam Inhalation 200.00 200.00 200.00 80-81-705

93 ICU50 Steam Inhalation Nk 300.00 300.00 300.00 80-81-705

94 ICU51 Stomach Washout 100.00 100.00 100.00 80-81-705

95 ICU52 Stomack Washout Nk 150.00 150.00 150.00 80-81-705

96 ICU53 Suction 100.00 100.00 100.00 80-81-705

97 ICU54 Suction Nk 150.00 150.00 150.00 80-81-705

98 ICU55 Suction Tracheostomy 100.00 100.00 100.00 80-81-705

99 ICU56 Suction Tracheostomy Nk 150.00 150.00 150.00 80-81-705

100 ICU57 Suprapubic Pucture 700.00 700.00 700.00 80-81-705

101 ICU58 Suprapubic Pucture Nk 1,300.00 1,300.00 1,300.00 80-81-705

102 ECHO-P SYRINGE PUMP 300.00 1,500.00 300.00 80-81-705

103 ICU1010 Tracheostomy 300.00 300.00 300.00 80-81-705

104 ICU2031 Trephine Biopsy With Needle 5,000.00 5,000.00 5,000.00 80-81-705

105 ICU 2033 Trephine Biopsy Without Needle 1,000.00 1,000.00 1,000.00 80-81-705

106 ICU2034 Uitrasound Guided Liver Renal Biopsy Without Needle 3,000.00 3,000.00 3,000.00 80-81-705

107 ICU 1731 Ultrasound Guided Liver Renal Biopsy With Needle 5,000.00 5,000.00 5,000.00 80-81-705

108 ICU1011 Under Bed Cover Sheet (Protector) 170.00 170.00 170.00 80-81-705

109 ICU1002 Urine Bag 100.00 100.00 100.00 80-81-705

110 ICU59 Urine Testing 100.00 100.00 100.00 80-81-705

111 ICU60 Urine Testing Nk 150.00 150.00 150.00 80-81-705

112 ICU38 Ventilator 3,200.00 3,200.00 3,200.00 80-81-705

113 ICU004 Ventilator 200.00 200.00 200.00 80-81-705

114 ICU38 Ventilator 3,200.00 3,200.00 3,200.00 80-81-705

115 ICU71 Vulva Toilet 150.00 150.00 150.00 80-81-705

116 ICU72 Vulva Toilet Nk 300.00 300.00 300.00 80-81-705

INPATIENT PHARMACY

1 PND435 Endotracheal Tubes Plain 7.0 273.00 273.00 273.00 80-81-346

INPATIENT WARD

1 IP001 Admission Fee 0.00 0.00 200.00 80-81-317

2 IP001 Under Bed Cover Sheet (Protector) 170.00 170.00 170.00 80-81-317

3 IP001 Ward Charges 0.00 0.00 200.00 80-81-317

LABORATORY GENERAL

1 LAB003 A/K Phosphate 200.00 200.00 5.00 80-81-319

2 LAB004 Albumin 200.00 200.00 5.00 80-81-319

3 203 Alpha Feto Protein 1,200.00 0.00 1,200.00 80-81-319

4 LAB007 Alt 300.00 300.00 300.00 80-81-319

5 LAB1010 Amylase 300.00 300.00 5.00 80-81-319

6 LAB013 Ascitic Fluid 250.00 250.00 250.00 80-81-319

7 LAB014 Asot 300.00 300.00 300.00 80-81-319

8 LAB021 A.S.T 300.00 300.00 300.00 80-81-319

9 lab 185 Bga 1,500.00 1,500.00 1,500.00 80-81-319

10 LAB1014 Biopsy 1,500.00 1,500.00 1,500.00 80-81-319

Charge Sheet - Page: 12

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

11 LAB024 Blood Culture And Sensitivity 700.00 700.00 5.00 80-81-319

12 LAB026 Blood Group 150.00 150.00 5.00 80-81-319

13 LAB028 Blood Slide For Mps 100.00 100.00 5.00 80-81-319

14 LAB034 Bone Marrow 1,500.00 1,500.00 1,500.00 80-81-319

15 LAB1009 Ca125 1,500.00 1,500.00 1,500.00 80-81-319

16 204 Ca 125 1,500.00 0.00 1,500.00 80-81-319

17 Lab 500 Ca 19-9 1,500.00 1,500.00 1,500.00 80-81-319

18 205 Cae 1,500.00 0.00 1,500.00 80-81-319

19 LAB039 Calcium 300.00 300.00 300.00 80-81-319

20 LAB2020 Cardiac Enzymes 2,400.00 2,400.00 2,400.00 80-81-319

21 LAB1008 Cea 1,500.00 1,500.00 1,500.00 80-81-319

22 LAB218001 Ceram Grag 600.00 600.00 0.00 80-81-319

23 LAB 1045 Chloride 300.00 300.00 300.00 80-81-319

24 LAB042 Cholestral 150.00 150.00 5.00 80-81-319

25 LAB10025 Ck-Mb 1,200.00 1,200.00 1,200.00 80-81-319

26 Lab 505 Crag Test 1,000.00 1,000.00 1,000.00 80-81-319

27 LAB048 Creatinine 300.00 300.00 300.00 80-81-319

28 LAB052 Cross Matching 500.00 500.00 5.00 80-81-319

29 207 Crp Reagent 500.00 500.00 500.00 80-81-319

30 LAB199 Csf For Biochemistry/Microbiology 450.00 450.00 5.00 80-81-319

31 LAB 1047 Csf Protein 700.00 700.00 700.00 80-81-319

32 LAB055 Csf/Sorons Fluid Culture 400.00 400.00 5.00 80-81-319

33 LAB 1046 Csf Sugar 200.00 200.00 200.00 80-81-319

34 LAB1012 Cytology 500.00 500.00 500.00 80-81-319

35 LAB10001 Dengue Fever Test 500.00 500.00 500.00 80-81-319

36 LAB056 Differential And Film Reports 300.00 50.00 5.00 80-81-319

37 LAB060 Direct Bilirubin 300.00 300.00 300.00 80-81-319

38 LAB 1032 Du Test 150.00 150.00 150.00 80-81-319

39 LAB1013 Electrolyte 300.00 300.00 300.00 80-81-319

40 LAB063 Electrolytes-Sodium/potassium/chloride 350.00 300.00 5.00 80-81-319

41 LAB064 Erythrocyte Sedimentation Rate (ESR) 50.00 50.00 5.00 80-81-319

42 LAB 1031 Esr 100.00 100.00 100.00 80-81-319

43 LAB10027 Estradiol Ii 800.00 800.00 800.00 80-81-319

44 LAB069 Fecal Occult Blood(Fob)Test 350.00 350.00 350.00 80-81-319

45 LAB188 Feto Protein 1,312.00 1,312.00 1,312.00 80-81-319

46 LAB070 Fhg/Esr 350.00 350.00 5.00 80-81-319

47 LAB071 Fine Needle Spirate (FNA) 500.00 500.00 500.00 80-81-319

48 LAB203 Fluid Aspirate/cultures 400.00 400.00 400.00 80-81-319

49 LAB 2022 Fsh 800.00 800.00 800.00 80-81-319

50 LAB1003 Ft3 800.00 800.00 800.00 80-81-319

51 LAB1004 Ft4 700.00 700.00 700.00 80-81-319

52 LAB075 Full Haemogram 400.00 400.00 5.00 80-81-319

53 LAB077 Gamma Gt 300.00 300.00 300.00 80-81-319

54 LAB 1040 Gtt 500.00 500.00 500.00 80-81-319

55 LAB082 Gxm 500.00 50.00 5.00 80-81-319

56 LAB1002 Gxm 50.00 50.00 5.00 80-81-319

57 LAB1001 Gxm 800.00 800.00 5.00 80-81-319

58 LAB089 Haemoglobin 150.00 150.00 5.00 80-81-319

59 LAB084 Hba1c 1,000.00 1,000.00 5.00 80-81-319

60 LAB085 Hb Hapatitis B 350.00 350.00 350.00 80-81-319

61 LAB 1050 Hbv 400.00 400.00 400.00 80-81-319

62 LAB10028 Hcg-Beta 800.00 800.00 800.00 80-81-319

63 LAB088 Hcv/ Hep-C Test 500.00 500.00 350.00 80-81-319

64 LAB 1038 Hdl 300.00 300.00 300.00 80-81-319

65 LAB 1048 Helicobacter Pylory 600.00 600.00 600.00 80-81-319

66 LAB090 Histology 1,500.00 1,500.00 1,500.00 80-81-319

67 lab184 Hiv/Dtc/Pitc/Htc 0.00 0.00 0.00 80-81-319

68 LAB093 H.I.V Elisa 400.00 400.00 5.00 80-81-319

69 LAB097 H-Pylori Stool 600.00 600.00 600.00 80-81-319

70 LAB099 H.V.S Culture &Sensitivity 400.00 400.00 5.00 80-81-319

71 LAB103 Ict 100.00 100.00 5.00 80-81-319

72 LAB 2021 Inr (Thromboplastin) 450.00 450.00 450.00 80-81-319

73 LAB10029 Insulin 1,200.00 1,200.00 1,200.00 80-81-319

74 LAB 1039 Ldl 200.00 200.00 200.00 80-81-319

75 LAB107 L.E Cells 250.00 250.00 5.00 80-81-319

76 LAB108 Lft 1,600.00 1,600.00 5.00 80-81-319

77 LAB1039 Lh 800.00 800.00 800.00 80-81-319

78 LAB10006 LH 800.00 800.00 5.00 80-81-319

79 Lab 503 Lipase 500.00 500.00 500.00 80-81-319

Charge Sheet - Page: 13

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

80 LAB109 Lipid Profile/Cholesterol/Hdl+Ldl 800.00 800.00 800.00 80-81-319

81 LAB110 Lipid Profile/Cholesterol/Hdl+Ldl 800.00 800.00 800.00 80-81-319

82 Lab 504 Magnesium 500.00 500.00 500.00 80-81-319

83 LAB113 O.G.T.T 300.00 300.00 5.00 80-81-319

84 LAB114 Oral Glucose Tolerance Test Ogtt 300.00 300.00 300.00 80-81-319

85 LAB115 Pab Smears,Body Fluids,Sputum &Csf 500.00 500.00 500.00 80-81-319

86 LAB 10008 Pancreatic Enzyme 400.00 400.00 400.00 80-81-319

87 LAB1015 Pbf 300.00 300.00 300.00 80-81-319

88 LAB1016 Pbf 100.00 100.00 100.00 80-81-319

89 LAB1016 Pbf 100.00 100.00 100.00 80-81-319

90 LAB1015 Pbf 300.00 300.00 300.00 80-81-319

91 LAB1015 Pbf 300.00 300.00 300.00 80-81-319

92 LAB1016 Pbf 100.00 100.00 100.00 80-81-319

93 LAB3050 PCT 4,000.00 4,000.00 4,000.00 80-81-319

94 Lab 502 Phosphorus 300.00 300.00 300.00 80-81-319

95 LAB 1044 Potassium 300.00 300.00 300.00 80-81-319

96 LAB118 Pregnancy Test 150.00 150.00 150.00 80-81-319

97 LAB10030 Progesterone Ii 700.00 700.00 700.00 80-81-319

98 LAB 1024 Prolactin 700.00 700.00 700.00 80-81-319

99 LAB10031 Prolactin 700.00 700.00 700.00 80-81-319

100 LAB202 Pus Swab 400.00 400.00 400.00 80-81-319

101 LAB123 Pus Swab &Wound Swab 250.00 250.00 5.00 80-81-319

102 LAB127 Rbs/Fbs 150.00 150.00 5.00 80-81-319

103 LAB128 Reticulocyte Count 50.00 50.00 5.00 80-81-319

104 LAB130 Rhematoid 300.00 300.00 5.00 80-81-319

105 LAB 1049 Rh Factor 300.00 300.00 300.00 80-81-319

106 LAB132 Rpr/Vdrl Syphilis 250.00 250.00 250.00 80-81-319

107 LAB1018 Salmonella Antigen (Stool) 350.00 350.00 350.00 80-81-319

108 LAB1018 Salmonella Antigen (Stool) 350.00 350.00 350.00 80-81-319

109 LAB136 S Creatinine 150.00 50.00 5.00 80-81-319

110 LAB137 Semenalysis 500.00 500.00 5.00 80-81-319

111 LAB 1042 Serum Albumin 300.00 300.00 300.00 80-81-319

112 LAB 1035 Serum Prolactin 700.00 700.00 700.00 80-81-319

113 LAB 1035 Serum Prolactin 700.00 700.00 700.00 80-81-319

114 LAB 1035 Serum Prolactin 700.00 700.00 700.00 80-81-319

115 LAB 1035 Serum Prolactin 700.00 700.00 700.00 80-81-319

116 LAB 1041 Serum Ptoteins 300.00 300.00 300.00 80-81-319

117 LAB138 Sgot Single Unit 150.00 150.00 150.00 80-81-319

118 LAB139 Sickling Test 100.00 100.00 5.00 80-81-319

119 LAB1043 Sodium 300.00 300.00 300.00 80-81-319

120 LAB201 Sputum Afb 250.00 250.00 250.00 80-81-319

121 LAB200 Sputum Culture (Non Afb) 400.00 400.00 400.00 80-81-319

122 LAB140 Sputum / Tracheal Aspirate/Ear Swab 250.00 250.00 5.00 80-81-319

123 LAB145 Stool Culture And Sensitivity 400.00 400.00 5.00 80-81-319

124 LAB148 Stool-Oua&Cyst 150.00 150.00 5.00 80-81-319

125 LAB10032 Testosterone 1,000.00 1,000.00 1,000.00 80-81-319

126 LAB 1030 Testosterone 1,000.00 1,000.00 1,000.00 80-81-319

127 LAB10007 Thyroid Fuction Test 2,200.00 2,200.00 2,200.00 80-81-319

128 lab 185 Thyroid Function Test (Tft) 2,200.00 2,200.00 2,200.00 80-81-319

129 LAB187 Thyroid Profile 39.00 39.00 39.00 80-81-319

130 LAB151 Total Bilirubin 300.00 300.00 300.00 80-81-319

131 LAB 1036 Total Cholestrol 200.00 200.00 200.00 80-81-319

132 LAB 1036 Total Cholestrol 200.00 200.00 200.00 80-81-319

133 LAB 1036 Total Cholestrol 200.00 200.00 200.00 80-81-319

134 LAB154 Total Protein 150.00 150.00 5.00 80-81-319

135 206 Total Psa 1,500.00 0.00 1,500.00 80-81-319

136 LAB158 Training Polytechnique 4,800.00 4,800.00 4,800.00 80-81-319

137 LAB162 Training University 7,000.00 7,000.00 7,000.00 80-81-319

138 LAB 1037 Triglyceride 300.00 300.00 300.00 80-81-319

139 LAB 1037 Triglyceride 300.00 300.00 300.00 80-81-319

140 LAB10026 Troponin 1,200.00 1,200.00 1,200.00 80-81-319

141 LAB1005 Tsh 700.00 700.00 700.00 80-81-319

142 LAB164 Uecs 1,000.00 1,000.00 1,000.00 80-81-319

143 LAB165 Urea 300.00 300.00 300.00 80-81-319

144 LAB166 Urethral Swab 400.00 400.00 5.00 80-81-319

145 LAB169 Uric Acid 300.00 300.00 300.00 80-81-319

146 LAB172 Urinalysis 150.00 150.00 5.00 80-81-319

147 LAB177 Urine Culture & Sensitivity 400.00 400.00 5.00 80-81-319

148 LAB183 Vdrl 250.00 250.00 250.00 80-81-319

Charge Sheet - Page: 14

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

149 LAB1017 Zinc Staining 250.00 250.00 250.00 80-81-319

LABOUR WARD

1 LBWYT Accomondation Fee 300.00 300.00 300.00 80-81-534

2 LBW018 Amnioceutises 200.00 200.00 10.00 80-81-534

3 LBW047 Anc - A 0.00 0.00 10.00 80-81-534

4 LBW010 Anc Follow Up (Per Visit) 150.00 150.00 5.00 80-81-534

5 LBW046 Anc - G 150.00 150.00 10.00 80-81-534

6 lb56 Bba 500.00 500.00 6.00 80-81-534

7 LBW83 Bone Marrow 100.00 100.00 100.00 80-81-534

8 LBW84 Bone Marrow Nk 200.00 200.00 200.00 80-81-534

9 LOBW25 branula 50.00 50.00 3.00 80-81-534

10 LBW029 Btl 7,000.00 7,000.00 15.00 80-81-534

11 LBW019 Caesarean Section 5,000.00 5,000.00 10.00 80-81-534

12 LBW061 Caeserean Section - A 10,000.00 10,000.00 20.00 80-81-534

13 LBW060 Caeserean Section - G 5,000.00 5,000.00 20.00 80-81-534

14 LOB46 Catheter 200.00 200.00 6.00 80-81-534

15 LB122 Catheter Change 50.00 50.00 50.00 80-81-534

16 LB123 Catheter Change Nk 100.00 100.00 100.00 80-81-534

17 LB130 Catheterization 100.00 100.00 100.00 80-81-534

18 LB131 Catheterization Nk 200.00 200.00 200.00 80-81-534

19 LBW85 Chest Aspiration 100.00 100.00 100.00 80-81-534

20 LBW86 Chest Aspiration Nk 200.00 200.00 200.00 80-81-534

21 LB0002 Consumable 400.00 400.00 100.00 80-81-534

22 LB102 Decontamination 50.00 50.00 50.00 80-81-534

23 LB103 Decontamination Nk 100.00 100.00 100.00 80-81-534

24 LBW039 Die/Laparatomy - A 5,000.00 5,000.00 10.00 80-81-534

25 LBW038 Die/Laparatomy - G 4,000.00 4,000.00 10.00 80-81-534

26 LBW75 Dressing 50.00 50.00 50.00 80-81-534

27 LBW76 Dressing Nk 100.00 100.00 100.00 80-81-534

28 LBW87 Drug Administration 50.00 50.00 50.00 80-81-534

29 LBW006 Dye/Lapcirocscopy 4,000.00 4,000.00 5.00 80-81-534

30 LB124 Enema 100.00 100.00 100.00 80-81-534

31 LB125 Enema Nk 200.00 200.00 200.00 80-81-534

32 LW1001 Episiotomy 1,000.00 1,000.00 5.00 80-81-534

33 LBW001 E.U.A / Biopsy 3,000.00 3,000.00 5.00 80-81-534

34 LBW031 Eua/Biopsy - A 3,000.00 3,000.00 10.00 80-81-534

35 LBW030 Eua/Biopsy - G 2,000.00 2,000.00 10.00 80-81-534

36 LBW002 E.U.A (In Ward 4) 0.00 0.00 5.00 80-81-534

37 LBW037 Evacuation / Mva - A 3,000.00 3,000.00 10.00 80-81-534

38 LBW036 Evacuation / Mva - G 1,500.00 1,500.00 10.00 80-81-534

39 LB105 Eye Swabing 50.00 50.00 50.00 80-81-534

40 LB106 Eye Swabing Nk 100.00 100.00 100.00 80-81-534

41 LBW92 Flatus Tube 50.00 50.00 50.00 80-81-534

42 LBW93 Flatus Tube Nk 100.00 100.00 100.00 80-81-534

43 LBW013 Fractional Curatage 0.00 0.00 0.00 80-81-534

44 LOBW225 Giving set 50.00 50.00 5.00 80-81-534

45 LBW009 Gynaecological Follow Up (Per Visit) 150.00 150.00 5.00 80-81-534

46 LBW045 Gyn Follow Up (Per Visit) - A 0.00 0.00 15.00 80-81-534

47 LBW044 Gyn Follow Up (Per Visit) - G 150.00 150.00 15.00 80-81-534

48 LBW067 Hesterectomy - A 14,000.00 14,000.00 20.00 80-81-534

49 LBW066 Hesterectomy - G 7,000.00 7,000.00 20.00 80-81-534

50 LBW027 Icu 90.00 90.00 0.00 80-81-534

51 LBW079 Icu - A 4,000.00 4,000.00 1.00 80-81-534

52 LBW078 Icu - G 2,500.00 2,500.00 1.00 80-81-534

53 LBW88 Identification Band 50.00 50.00 50.00 80-81-534

54 LBW89 Identification Band Nk 100.00 100.00 100.00 80-81-534

55 LBW057 Incision & Drainage - A 4,000.00 4,000.00 10.00 80-81-534

56 LBW056 Incision & Drainage - G 2,500.00 2,500.00 10.00 80-81-534

57 LBW016 Incision & Drainage Of Prineain Abscess 1,500.00 1,500.00 10.00 80-81-534

58 LBW025 Inpatient Daily Bed 150.00 150.00 0.00 80-81-534

59 LBW073 In-Patient Daily Bed - A 150.00 150.00 0.00 80-81-534

60 LBW072 In-Patient Daily Bed - G 100.00 100.00 0.00 80-81-534

61 LBW012 Insertion Of Iud 150.00 150.00 10.00 80-81-534

62 LBW051 Insertion Of Iud - A 0.00 0.00 15.00 80-81-534

63 LBW050 Insertion Of Iud - G 150.00 150.00 15.00 80-81-534

64 LB008 I.V Fluids 60.00 60.00 5.00 80-81-534

65 LBW098 Labor 1,000.00 1,000.00 5.00 80-81-534

66 LBW065 Laparatomy - A 8,000.00 8,000.00 15.00 80-81-534

67 LBW064 Laparatomy - G 5,000.00 5,000.00 15.00 80-81-534

Charge Sheet - Page: 15

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

68 LBW022 Laporatomy (Cold Wards) 5,000.00 5,000.00 15.00 80-81-534

69 LBW021 Laporatomy (Ward 6) 5,000.00 5,000.00 15.00 80-81-534

70 LBW82 Last Office 200.00 200.00 200.00 80-81-534

71 LB107 Local Appl. Medicine 50.00 50.00 50.00 80-81-534

72 LB108 Local Appl. Medicine Nk 100.00 100.00 100.00 80-81-534

73 LB109 Lumbar Functure 100.00 100.00 100.00 80-81-534

74 LB110 Lumbar Functure Nk 200.00 200.00 200.00 80-81-534

75 LBW033 Macdonald Stitch - A 3,000.00 3,000.00 15.00 80-81-534

76 LBW032 Macdonald Stitch - G 2,000.00 2,000.00 15.00 80-81-534

77 LBW003 Macdonald Stitch Insertion 2,000.00 2,000.00 10.00 80-81-534

78 LBW049 Mch - A 0.00 0.00 10.00 80-81-534

79 LBW011 Mch/Fp Follow Up (Per Visit) 150.00 150.00 5.00 80-81-534

80 LBW048 Mch - G 150.00 150.00 10.00 80-81-534

81 LBW024 Minor Surgery 1,000.00 1,000.00 10.00 80-81-534

82 LBW071 Minor Surgery - A 1,500.00 1,500.00 10.00 80-81-534

83 LBW070 Minor Surgery -G 1,000.00 1,000.00 10.00 80-81-534

84 LBW81 Mortury Sheet 400.00 400.00 400.00 80-81-534

85 LB126 Ng Tube 100.00 100.00 100.00 80-81-534

86 LB127 Ng Tube Nk 200.00 200.00 200.00 80-81-534

87 LBW008 Normal Delivery 1,800.00 1,500.00 10.00 80-81-534

88 LBW043 Normal Delivery - A 3,000.00 3,000.00 10.00 80-81-534

89 LBW042 Normal Delivery - G 1,500.00 1,500.00 10.00 80-81-534

90 LBW81 Nursing Fees 100.00 100.00 100.00 80-81-534

91 LBW80 Obs/Gyn 100.00 100.00 100.00 80-81-534

92 LB128 Oral Toilet 50.00 50.00 50.00 80-81-534

93 LB129 Oral Toilet Nk 100.00 100.00 100.00 80-81-534

94 LBW90 Oxygen Catheter 100.00 100.00 100.00 80-81-534

95 LBW91 Oxygen Catheter NK 200.00 200.00 200.00 80-81-534

96 LBW77 Oxygen Therapy 250.00 250.00 250.00 80-81-534

97 LBW79 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-534

98 LBW80 Oxygen Therapy Icu Nk 500.00 500.00 30.00 80-81-534

99 LBW80 Oxygen Therapy Icu Nk 500.00 500.00 100.00 80-81-534

100 LBW80 Oxygen Therapy Icu Nk 500.00 500.00 100.00 80-81-534

101 LBW80 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-534

102 LBW78 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-534

103 LOB26 Pads 70.00 70.00 4.00 80-81-534

104 LBW055 Perineactear & Removal Of Foreign Body - A 4,000.00 4,000.00 15.00 80-81-534

105 LBW054 Perineactear & Removal Of Foreign Body - G 2,500.00 2,500.00 15.00 80-81-534

106 LBW015 Perineal Tears,Repairs & Removal Of Foreign Body 2,500.00 2,500.00 10.00 80-81-534

107 LBW014 Removal Of Iud 1,500.00 1,500.00 10.00 80-81-534

108 LBW053 Removal Of Iud In Theatre - A 2,500.00 2,500.00 20.00 80-81-534

109 LBW052 Removal Of Iud In Theatre - G 1,500.00 1,500.00 20.00 80-81-534

110 LBW017 Removal Of Macdonald Stitch 500.00 500.00 10.00 80-81-534

111 LBW059 Removal Of Macdonald Stitch - A 700.00 700.00 10.00 80-81-534

112 LBW058 Removal Of Macdonald Stitch - G 500.00 500.00 10.00 80-81-534

113 LBW004 Removal Of Retained Placenta 2,000.00 2,000.00 10.00 80-81-534

114 LBW035 Retained Placenta - A 3,000.00 3,000.00 10.00 80-81-534

115 LBW034 Retained Placenta - G 2,000.00 2,000.00 10.00 80-81-534

116 LBW94 Ros 50.00 50.00 50.00 80-81-534

117 LB98 Saline Bath 100.00 100.00 100.00 80-81-534

118 LB99 Saline Bath Nk 200.00 200.00 200.00 80-81-534

119 LB96 Shaving 50.00 50.00 50.00 80-81-534

120 LB97 Shaving Nk 100.00 100.00 100.00 80-81-534

121 LB100 Skin Care 50.00 50.00 50.00 80-81-534

122 LB101 Skin Care Nk 100.00 100.00 100.00 80-81-534

123 LBW075 Social Worker - A 150.00 150.00 5.00 80-81-534

124 LBW074 Social Worker - G 100.00 100.00 5.00 80-81-534

125 LBW026 Social Worker (Per Visit) 150.00 150.00 15.00 80-81-534

126 LB111 Steam Inhalation 100.00 100.00 100.00 80-81-534

127 LB112 Steam Inhalation Nk 200.00 200.00 200.00 80-81-534

128 LB114 Stomach Washout Nk 100.00 100.00 100.00 80-81-534

129 LB113 Stomack Washout 50.00 50.00 50.00 80-81-534

130 LB115 Suction 50.00 50.00 50.00 80-81-534

131 LB116 Suction Nk 100.00 100.00 100.00 80-81-534

132 LB117 Suction Tracheostomy 50.00 50.00 50.00 80-81-534

133 LB118 Suction Tracheostomy Nk 100.00 100.00 100.00 80-81-534

134 LB119 Suprapubic Punture 500.00 500.00 500.00 80-81-534

135 LB120 Suprapubic Punture Nk 1,000.00 1,000.00 1,000.00 80-81-534

136 LW1002 Svd 2,000.00 2,000.00 5.00 80-81-534

Charge Sheet - Page: 16

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

137 LBW069 Tuboplasty/ Myomectomy - A 9,000.00 9,000.00 15.00 80-81-534

138 LBW068 Tuboplasty/Myomectomy - G 7,000.00 7,000.00 15.00 80-81-534

139 LOB56 Urine Bag 50.00 50.00 5.00 80-81-534

140 LB121 Urine Testing 50.00 50.00 50.00 80-81-534

141 LB140 Urine Testing Nk 100.00 100.00 100.00 80-81-534

142 LBW020 Vacuum Extraction 2,000.00 2,000.00 10.00 80-81-534

143 LBW063 Vacuum Extraction - A 5,000.00 5,000.00 10.00 80-81-534

144 LBW062 Vacuum Extraction - G 2,000.00 2,000.00 10.00 80-81-534

145 LBW028 Vaginal Hysterectomy 4,000.00 4,000.00 20.00 80-81-534

146 LBW081 Vaginal Hysteretomy - A 10,000.00 10,000.00 15.00 80-81-534

147 LBW080 Vaginal Hysteretomy - G 7,000.00 7,000.00 15.00 80-81-534

148 LBW077 Visits - A 90.00 90.00 5.00 80-81-534

149 LBW076 Visits - G 60.00 60.00 5.00 80-81-534

150 LB132 Vulva Toilet 100.00 100.00 100.00 80-81-534

151 LB133 Vulva Toilet Nk 200.00 200.00 200.00 80-81-534

152 LBW041 V.V.F Repair - A 11,000.00 11,000.00 15.00 80-81-534

153 LBW040 V.V.F Repair - G 6,000.00 6,000.00 15.00 80-81-534

154 LBW007 Vvf (Vaginal Repair) 6,000.00 6,000.00 10.00 80-81-534

155 LBW023 Weithiens Hyterectomy 7,000.00 7,000.00 20.00 80-81-534

MCH/FP SERVICES

1 MCH014 Anc Consultation 200.00 200.00 200.00 80-81-525

2 MCH006 Bilateral Thbal Ligation 200.00 200.00 5.00 80-81-525

3 MCH006 Bilateral Thbal Ligation 200.00 200.00 5.00 80-81-525

4 MCH006 Bilateral Thbal Ligation 200.00 200.00 5.00 80-81-525

5 BLT Bilateral Tubal Ligation (Btl) 200.00 200.00 5.00 80-81-525

6 OR0010 Consultation 5-12YRS 150.00 150.00 5.00 80-81-525

7 MCH001 Family Planning Per Visit 100.00 200.00 5.00 80-81-525

8 MCH001 Family Planning Per Visit 100.00 200.00 5.00 80-81-525

9 MCH010 FUNSOFT CONTROL 200.00 200.00 5.00 80-81-525

10 OR006 Gae 100.00 100.00 5.00 80-81-525

11 OR0006 Hirc Clinic 150.00 150.00 10.00 80-81-525

12 MCH003 Implant 150.00 200.00 200.00 80-81-525

13 MCH011 Iucd Insertion 200.00 200.00 200.00 80-81-525

14 MCH002 Iucd Insertion/Removal 200.00 200.00 200.00 80-81-525

15 MCH002 Iucd Insertion/Removal 200.00 200.00 200.00 80-81-525

16 MCH002 Iucd Insertion/Removal 200.00 200.00 200.00 80-81-525

17 MCH002 Iucd Insertion/Removal 200.00 200.00 200.00 80-81-525

18 ORTH001 Lower Limb 200.00 200.00 200.00 80-81-525

19 MCH007 Norplant 200.00 200.00 200.00 80-81-525

20 MCH013 Oral Pills 50.00 50.00 50.00 80-81-525

21 MCH008 Pap Smear 500.00 500.00 500.00 80-81-525

22 MCH008 Pap Smear 500.00 500.00 500.00 80-81-525

23 MCH008 Pap Smear 500.00 500.00 500.00 80-81-525

24 ORTH006 Post-Natal Clinic 100.00 100.00 100.00 80-81-525

25 BLT001 Postnatal Services 100.00 100.00 100.00 80-81-525

26 MCH004 Sick Child UNDER 5 Years 0.00 100.00 250.00 80-81-525

27 MCH004 Sick Child UNDER 5 Years 0.00 100.00 250.00 80-81-525

MCH/FP SERVICES

1 MCH010 FUNSOFT CONTROL 200.00 200.00 5.00 80-81-525

2 MCH002 Iucd Insertion/Removal 200.00 200.00 200.00 80-81-525

3 MCH005 Oval Mycrogynon 50.00 50.00 5.00 80-81-525

4 MCH004 Sick Child UNDER 5 Years 0.00 100.00 250.00 80-81-525

5 ORTH002 Upper Limb 500.00 500.00 5.00 80-81-525

6 MCH009 Vasctomy 0.00 0.00 5.00 80-81-525

MOP CLINIC

1 MOP01 Consultation 200.00 200.00 200.00 80-81-714

2 MOP02 Funsoft Control 0.00 0.00 0.00 80-81-714

MORTUARY

1 MOR001 Admission Fee 2,500.00 2,500.00 3,200.00 80-81-524

2 MOR013 Bid 2,500.00 2,500.00 5.00 80-81-524

3 MOR007 Complete Embalment-K 5,000.00 5,000.00 5.00 80-81-524

4 MOR008 Complete Embalment-P 7,000.00 7,000.00 5.00 80-81-524

5 MOR0020 Daily Body Charges 0.00 300.00 5.00 80-81-524

6 MOR004 Daily Charges 500.00 500.00 500.00 80-81-524

7 MOR003 Embalment Fee 3,000.00 3,000.00 3,000.00 80-81-524

8 MOR002 FUNSOFT CONTROL 5,000.00 5,000.00 5.00 80-81-524

9 mor014 Mortuary Sheet 500.00 500.00 500.00 80-81-524

10 MOR006 Morturt Fee 3,700.00 3,700.00 5.00 80-81-524

11 MOR011 Postmortem-K 6,000.00 6,000.00 5.00 80-81-524

Charge Sheet - Page: 17

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

12 MOR012 Postmortem-P 8,000.00 8,000.00 5.00 80-81-524

13 MOR109 Refrigeration 3,000.00 3,000.00 3,200.00 80-81-524

14 MOR009 Superficial Embalment-K 2,500.00 2,500.00 5.00 80-81-524

15 MOR010 Superficial Embalment-P 3,500.00 3,500.00 5.00 80-81-524

NHIF Debts

1 N001 Nhif Payments 1,000.00 800.00 0.00 20-23-131

NHIF PAYMENT

1 NHIF00029 Anus ( Excision Of Anal Polyps ) 25,000.00 25,000.00 0.00 80-81-329

2 NHIF00030 Anus ( Fissurectomy ) 25,000.00 25,000.00 0.00 80-81-329

3 NHIF00031 Anus ( Fistulectomy, Subcutaneous ) 20,000.00 20,000.00 0.00 80-81-329

4 NHIF00032 Anus ( Incision & Drainage Of Ischiorectal And/OrPerirectal Abscess)

10,000.00 10,000.00 0.00 80-81-329

5 NHIF00020 Bladder ( Bladder Neck Resection ) 15,000.00 15,000.00 0.00 80-81-329

6 NHIF00021 Bladder ( Hydrocoelectomy) 10,000.00 10,000.00 0.00 80-81-329

7 NHIF00022 Bladder ( Orchidectomy) 7,000.00 7,000.00 0.00 80-81-329

8 NHIF00023 Bladder ( Supra Pubic Cystostomy) 10,000.00 10,000.00 0.00 80-81-329

9 NHIF00024 Bladder ( Testicular Biopsy) 4,500.00 4,500.00 0.00 80-81-329

10 NHIF00025 Bladder ( Testicular Torsion Repair) 50,000.00 50,000.00 0.00 80-81-329

11 NHIF00026 Bladder ( Urethral Dilation) 10,000.00 10,000.00 0.00 80-81-329

12 NHIF00027 Bladder ( Vasectomy ) 6,000.00 6,000.00 0.00 80-81-329

13 NHIF00028 Bladder ( Visual Chemothrotomy) 35,000.00 35,000.00 0.00 80-81-329

14 NHIF0008 Cardiovascular System - Arteries & Veins (AbdominalAortic Aneurysm With Or Without Ileo-Femorsl )

30,000.00 30,000.00 0.00 80-81-329

15 NHIF0009 Cardiovascular System - Arteries & Veins ( Femora-Femorl Bypass/Vein Graft )

150,000.00 150,000.00 0.00 80-81-329

16 NHIF00010 Cardiovascular System - Arteries & Veins ( Femora-Popliteal Bypass/Vein Graft )

150,000.00 150,000.00 0.00 80-81-329

17 NHIF00011 Cardiovascular System - Arteries & Veins- ( Spleno-Renal Shun )

150,000.00 150,000.00 0.00 80-81-329

18 NHIF0001 Cardiovascular System - Heart & Pericardium ( ClosureOf Patent Ductus Arterious Plication Of Inferior VenaCava)

150,000.00 150,000.00 0.00 80-81-329

19 NHIF0002 Cardiovascular System - Heart & Pericardium ( CreationOf Pericardial Window)

150,000.00 150,000.00 0.00 80-81-329

20 NHIF0003 Cardiovascular System - Heart & Pericardium ( ExcisionMediastinal Tumour)

60,000.00 60,000.00 0.00 80-81-329

21 NHIF0004 Cardiovascular System - Heart & Pericardium ( MitralValvoplasty)

150,000.00 150,000.00 0.00 80-81-329

22 NHIF0005 Cardiovascular System - Heart & Pericardium ( MitralValvotomy)

150,000.00 150,000.00 0.00 80-81-329

23 NHIF0006 Cardiovascular System - Heart & Pericardium ( RibResection For Thoracic Outlet Syndrome)

20,000.00 20,000.00 0.00 80-81-329

24 NHIF0007 Cardiovascular System - Heart & Pericardium (ThoracicAortic Aneurysm-Transverse Archgraft )

150,000.00 150,000.00 0.00 80-81-329

25 NHIF00013 Genital System (Female) - Cauterisation Of Cervix 4,000.00 4,000.00 0.00 80-81-329

26 NHIF00014 Genital System (Female) - Cervical Cathetarisation/DAnd C

4,000.00 4,000.00 0.00 80-81-329

27 NHIF00015 Genital System (Female)- Cone Biopsy Of Cervix 4,000.00 4,000.00 0.00 80-81-329

28 NHIF00016 Genital System (Female)- Cryotherapy 2,500.00 2,500.00 0.00 80-81-329

29 NHIF00017 Genital System (Female) - Laparascopy With D & C 4,000.00 4,000.00 0.00 80-81-329

30 NHIF00018 Genital System (Female)- Macdonald/Shiridkar`S Stitch 10,000.00 10,000.00 0.00 80-81-329

31 NHIF00019 Genital System (Female) -Ovarian Resection 7,000.00 7,000.00 0.00 80-81-329

32 NHIF00011 Genital System (Male) - Exploratory For UndescendedTestis, Unilateral

3,000.00 3,000.00 0.00 80-81-329

33 NHIF00012 Genital System (Male) - Orchiectomy , Simple, Unilateral 50,000.00 50,000.00 0.00 80-81-329

34 NHIF002 Nhif Co-Payment 100.00 100.00 100.00 80-81-329

35 NHIF001 Nhif Payments 800.00 800.00 10.00 80-81-329

NUTRITION

1 VISITS-NK 1st And Subsequent Visits-Nk 350.00 350.00 5.00 80-81-707

2 VISITS-P 1st Andsubsequent Visits-P 250.00 250.00 5.00 80-81-707

3 INF.FORM-K 500gm Infant Formular-K 50.00 50.00 5.00 80-81-707

4 INF.FORM-P 500gm Infant Formular -P 100.00 100.00 5.00 80-81-707

5 LAC-F-MILK-K 500gm Lactose Free Milk-K 150.00 150.00 5.00 80-81-707

6 LACK-F-MILK-NK 500gm Lactose Free Milk-Nk 250.00 250.00 5.00 80-81-707

7 LAC-F-MILK-P 500gm Lactose Free Milk-P 200.00 200.00 5.00 80-81-707

8 INF.FORM-NK 500gms Infant Formular-Nk 100.00 100.00 5.00 80-81-707

9 H.FH.C.F-K 500mls High Protein High Colorie (Fresuloin)-K 300.00 300.00 5.00 80-81-707

10 H.P.H.C.F-P 500mls High Protein High Colorie(Fresuloin)-P 300.00 300.00 5.00 80-81-707

11 H.P.H.C.NK 500mls High Protein High Colories(Fresuloin)-Nk 350.00 350.00 5.00 80-81-707

12 FOLLOW -UP-K Follow Ups -K 100.00 100.00 5.00 80-81-707

13 FOLLOW-UP-NK Follow Ups-Nk 100.00 100.00 5.00 80-81-707

14 FOLLOW-UP-P Follow Ups-P 100.00 100.00 5.00 80-81-707

15 P.FEEDS-P funsoft control 0.00 250.00 5.00 80-81-707

16 VISITS-K Ist &Subsequent Visits-K 150.00 150.00 5.00 80-81-707

17 P.FEEDS-K Parental Feeds-K 200.00 200.00 5.00 80-81-707

Charge Sheet - Page: 18

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

18 P.FEEDS-NK Parental Feeds-Nk 300.00 300.00 5.00 80-81-707

OCCUPATIONAL THERAPY

1 AERO-AL-K Aeroplane Alluminium -K 500.00 500.00 5.00 80-81-517

2 AERO-AL-NK Aeroplane Alluminium-Nk 1,000.00 100.00 5.00 80-81-517

3 ASP.O.P-K Aeroplane Splint P.O.P-K 600.00 600.00 5.00 80-81-517

4 ASP.O.P-NK Aeroplane Splint P.O.P-Nk 1,200.00 1,200.00 5.00 80-81-517

5 ASP.O.P-P Aeroplane Splint P.O.P-P 1,000.00 1,000.00 5.00 80-81-517

6 AERO-SP-OTHO-K Aeroplaro Splint Orthoplast-K 1,500.00 1,500.00 5.00 80-81-517

7 AERO-SP-OTHO-NK Aeroplaro Splint Orthoplast-Nk 3,000.00 3,000.00 5.00 80-81-517

8 AERO-SP-OTHO-P Aeroplaro Splint Orthoplast-P 2,000.00 2,000.00 5.00 80-81-517

9 AIRING-K Airing (1/2 Metre Cloth)-K 50.00 50.00 5.00 80-81-517

10 AIRING-NK Airing (1/2 Metre Cloth)-Nk 200.00 200.00 5.00 80-81-517

11 AIRING-P Airing (1/2 Metre Cloth)-P 100.00 100.00 5.00 80-81-517

12 AL COMP-NK Aluminiium Splint (Complicated)-Nk 1,200.00 1,200.00 5.00 80-81-517

13 OCT011 Aluminium Splint 2,000.00 2,000.00 5.00 80-81-517

14 AL COMP-K Aluminium Splint Complicated)-K 600.00 600.00 5.00 80-81-517

15 AL COMP-P Aluminium Splint (Complicated)-P 1,000.00 1,000.00 5.00 80-81-517

16 A.S-K Aluminium Splint (Simple)-K 300.00 300.00 5.00 80-81-517

17 A.S.NK Aluminium Splint (Simple)-Nk 600.00 600.00 5.00 80-81-517

18 A.S-P Aluminium Splint (Simple)-P 500.00 500.00 5.00 80-81-517

19 ARMS-K Armsling (1/2 Metre Cloth)K 50.00 50.00 5.00 80-81-517

20 ARMS-P Armsling (1/2 Metre Cloth)-P 100.00 100.00 5.00 80-81-517

21 ARMS-NK Armsling (1/2 Metre Clth)-Nk 200.00 200.00 5.00 80-81-517

22 OCT012 Back Slabs 1,500.00 1,500.00 5.00 80-81-517

23 BAK-SL-ALL-K Back Slabs.Alluminium-K 300.00 300.00 5.00 80-81-517

24 BAK-SL-ALL-NK Back Slabs Alluminium-Nk 600.00 600.00 5.00 80-81-517

25 BAK-SL-ALL-P Back Slabs Alluminium-P 450.00 450.00 5.00 80-81-517

26 BAK-SL-LTH-K Back Slabs Leather -K 500.00 500.00 5.00 80-81-517

27 BAK-SL-LTH-NK Back Slabs Leather -Nk 1,000.00 1,000.00 5.00 80-81-517

28 BAK-SL-LTH-P Back Slabs Leather -P 800.00 800.00 5.00 80-81-517

29 BACK.SL.POP-K Back Slabs.P.O.P-K 400.00 400.00 5.00 80-81-517

30 BACK.SL.POP-NK Back Slabs.P.O.P-Nk 800.00 800.00 5.00 80-81-517

31 BACK.SL.POP-P Back Slabs.P.O.P-P 600.00 600.00 5.00 80-81-517

32 OCT006 Casting 300.00 300.00 5.00 80-81-517

33 OCT008 Consultation /Desgn For Applicants 300.00 300.00 5.00 80-81-517

34 C.B -K Creppe Bandage (O.T)-K 100.00 100.00 5.00 80-81-517

35 C.B-NK Creppe Bandage(O.T)-Nk 200.00 100.00 5.00 80-81-517

36 C.B-P Creppe Bandge (O.T) -P 150.00 150.00 5.00 80-81-517

37 ELB.CON.POP-K Elbow Comformer .Orthoplast-K 1,000.00 1,000.00 1,000.00 80-81-517

38 ELB.CON.POP-NK Elbow Comformer.Orthoplast-Nk 2,000.00 2,000.00 2,000.00 80-81-517

39 ELB.CON.POP-P Elbow Comformer.Orthoplast-P 1,500.00 1,500.00 1,500.00 80-81-517

40 ELB.CON.POP-K Elbow Comformer .Pop.-K 600.00 600.00 5.00 80-81-517

41 ELB.CON.POP-K Elbow Comformer .Pop.-K 600.00 600.00 5.00 80-81-517

42 ELB.CON.POP-NK Elbow Comformer.Pop.Nk 1,200.00 1,200.00 5.00 80-81-517

43 ELB.CON.POP-NK Elbow Comformer.Pop.Nk 1,200.00 1,200.00 5.00 80-81-517

44 ELB.CON.POP-P Elbow Comformer.Pop.-P 1,000.00 1,000.00 5.00 80-81-517

45 ELB.CON.POP-P Elbow Comformer.Pop.-P 1,000.00 1,000.00 5.00 80-81-517

46 ELB-CON-AL-K Elbow Conformer Alluminium-K 300.00 300.00 5.00 80-81-517

47 ELB-CON-AL-NK Elbow Conformer Alluminium-Nk 600.00 600.00 5.00 80-81-517

48 ELB-CON-AL-P Elbow Conformer Alluminium-P 450.00 450.00 5.00 80-81-517

49 ELB-CON-LTH-K Elbow Conformer Leather -K 400.00 400.00 5.00 80-81-517

50 ELB-CON-LTH-NK Elbow Conformer Leather-Nk 800.00 800.00 5.00 80-81-517

51 ELB-CON-LTH-P Elbow Conformer Leather -P 600.00 600.00 5.00 80-81-517

52 EXT-SP-AL-K Extension Splinter Alluminium -K 150.00 150.00 5.00 80-81-517

53 EXT-SP-AL-NK Extension Splinter Alluminium-Nk 300.00 300.00 300.00 80-81-517

54 EXT-SP-AL-P Extension Splinter Alluminium-P 200.00 200.00 200.00 80-81-517

55 EXT-SP-AL-P Extension Splinter Leater-P 450.00 450.00 5.00 80-81-517

56 EXT-SP-AL-P Extension Splinter Leater-P 450.00 450.00 5.00 80-81-517

57 EXT-SP-LTH-K Extension Splinter Leather-K 300.00 300.00 5.00 80-81-517

58 EXT-SP-AL-NK Extension Splinter Leather -Nk 600.00 600.00 5.00 80-81-517

59 EXT-SP-AL-NK Extension Splinter Leather -Nk 600.00 600.00 5.00 80-81-517

60 EXT-SP-OTH-K Extension Splint .Orthor-K 1,000.00 1,000.00 5.00 80-81-517

61 EXT-SP-OTH-NK Extension Splint.Orthor-Nk 2,000.00 2,000.00 5.00 80-81-517

62 EXT-SP-OTH-P Extension Splint.Orthor-P 1,500.00 1,500.00 5.00 80-81-517

63 EXT-SP-POP-K Extension Splint P.O.P-K 700.00 700.00 5.00 80-81-517

64 EXT-SP-POP-NK Extension Splint P.O.P-Nk 1,500.00 1,500.00 5.00 80-81-517

65 EXT-SP-POP-P Extension Splint P.O.P-P 1,000.00 1,000.00 5.00 80-81-517

66 FT-DEVSP-NEC-K Food Drop & Eversion Splint.Neck C-K 1,300.00 1,300.00 5.00 80-81-517

67 FT-DEVSP-NEC-NK Food Drop & Eversion Splint.Neck C-Nk 2,600.00 2,600.00 5.00 80-81-517

Charge Sheet - Page: 19

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

68 FT-DEVSP-NEC-P Food Drop & Eversion Splint.Neck C-P 2,000.00 2,000.00 5.00 80-81-517

69 FT-DEVSP-OTHO-K Food Drop & Eversion Splint Orthoplast-K 1,500.00 1,500.00 5.00 80-81-517

70 FT-DEVSP-OTHO-NK Food Drop & Eversion Splint Orthoplast-Nk 3,000.00 3,000.00 5.00 80-81-517

71 FT-DEVSP-OTHO-P Food Drop & Eversion Splint Orthoplast-P 2,000.00 2,000.00 5.00 80-81-517

72 FT-DEVSP-POP-K Food Drop & Eversion Splint.Pop-K 900.00 900.00 5.00 80-81-517

73 FT-DEVSPPOP-NK Food Drop & Eversion Splint.Pop-Nk 1,800.00 1,800.00 5.00 80-81-517

74 FT-DEVSP-POP-P Food Drop & Eversion Splint.Pop-P 1,500.00 1,500.00 5.00 80-81-517

75 FT-DEV-ALL-K Food Drop & Evertion Splint.All-K 300.00 300.00 5.00 80-81-517

76 FT-DEV-LTH-NK Food Drop & Evertion Splint.All-Nk 800.00 800.00 5.00 80-81-517

77 FT-DEV-ALL-NK Food Drop & Evertion Splint.All-Nk 600.00 600.00 5.00 80-81-517

78 FT-DEV-LTH-P Food Drop & Evertion Splint.All-P 600.00 600.00 5.00 80-81-517

79 FT-DEV-ALL-P Food Drop & Evertion Splint.All-P 450.00 450.00 5.00 80-81-517

80 FT-DEVSP-AL-K Foot Drop & Eversion Splint. All-K 300.00 300.00 5.00 80-81-517

81 FT-DEVSP-AL-NK Foot Drop & Eversion Splint.All-Nk 600.00 600.00 5.00 80-81-517

82 FT-DEVSP-AL-P Foot Drop & Eversion Splint.All-P 500.00 500.00 5.00 80-81-517

83 FTDEVSP -L-K Foot Drop &Eversion Splint Leather-K 400.00 400.00 5.00 80-81-517

84 FTDEVSP-L-NK Foot Drop & Eversion Splint Leather-Nk 800.00 800.00 5.00 80-81-517

85 FTDEVSP -L-P Foot Drop & Eversion Splint Leather -P 600.00 600.00 5.00 80-81-517

86 FT-DEV-LTH-K Foot Drop & Evertion Splint.All-K 400.00 400.00 5.00 80-81-517

87 FRW-K Foot Raiser (Wood)-K 100.00 100.00 5.00 80-81-517

88 FRW-NK Foot Raiser(Wood)-Nk 200.00 200.00 5.00 80-81-517

89 FRW-P Foot Raiser (Wood)-P 150.00 150.00 5.00 80-81-517

90 FRA -K Foot Rest (Aluminium)-K 350.00 350.00 5.00 80-81-517

91 FRA -NK Foot Rest (Aluminium)-Nk 700.00 700.00 5.00 80-81-517

92 FRA -P Foot Rest (Aluminium)-P 500.00 500.00 5.00 80-81-517

93 OP-SP-AL-P FUNSOFT CONTROL 150.00 150.00 5.00 80-81-517

94 H.V-P Home Visit (O.T)-P 400.00 400.00 5.00 80-81-517

95 H.V-K Home Visits-K 250.00 250.00 5.00 80-81-517

96 H.V-NK Home Visits-Nk 500.00 500.00 5.00 80-81-517

97 H.V.-P Home Visits-P 400.00 400.00 5.00 80-81-517

98 IN.B-K Incrined Board-K 800.00 800.00 5.00 80-81-517

99 IN.B-NK Incrined Board-Nk 1,600.00 1,600.00 5.00 80-81-517

100 IN.B-P Incrined Board-P 1,200.00 1,200.00 5.00 80-81-517

101 OCT007 Initial Occ. Theraphy Assessment 100.00 100.00 5.00 80-81-517

102 INI OT ASS-K Initial O.T Assessment-K 100.00 100.00 5.00 80-81-517

103 INI OT ASS-NK Initial O.T Assessment -Nk 300.00 300.00 5.00 80-81-517

104 INI OT ASS-P Initial O.T Assessment -P 150.00 150.00 5.00 80-81-517

105 OCT004 In-Patient-Adult 200.00 200.00 5.00 80-81-517

106 OCT003 In-Patient-Child 100.00 100.00 5.00 80-81-517

107 SKEINS-K Lamb Shade +Raffia (2 Skeins)-K 600.00 600.00 5.00 80-81-517

108 SKEINS-NK Lambshade +Raffia (2 Skeins)-Nk 1,200.00 1,200.00 5.00 80-81-517

109 SKEINS-P Lambshade +Raffia (2 Skeins)-P 1,000.00 1,000.00 5.00 80-81-517

110 MRF-K Monthly Registration Fee-K 200.00 200.00 5.00 80-81-517

111 MRF-NK Monthly Registration Fee-Nk 200.00 200.00 5.00 80-81-517

112 MRF-P Monthly Registration Fee-P 200.00 200.00 5.00 80-81-517

113 OCT009 Occ. Therapy Special Assessment 250.00 250.00 5.00 80-81-517

114 OCT002 Occ-Therapy Treatment Per Session - Adults 100.00 100.00 5.00 80-81-517

115 AERO-AL-P OCCUPATIONAL THERAPY 200.00 800.00 5.00 80-81-517

116 OCT001 Occupational Therapy Treatment- Child 50.00 50.00 5.00 80-81-517

117 OCC TH T P SE-K Occupational Therapy Treatment Per Session-K 50.00 50.00 5.00 80-81-517

118 OCC TH T P SE-NK Occupational Therapy Treatment Per Session -Nk 150.00 150.00 5.00 80-81-517

119 OCC TH T P SE-P Occupational Therapy Treatment Per Session -P 100.00 100.00 5.00 80-81-517

120 OP-SP-AL-K Oppenas Splint.Alluminium-K 100.00 100.00 5.00 80-81-517

121 OP-SP-AL-NK Oppenas Splint.Alluminium-Nk 200.00 200.00 5.00 80-81-517

122 OPP-SP-OTHO-K Oppenas Splint.Orthoplast-K 100.00 100.00 5.00 80-81-517

123 OPP-SP-OTHO-NK Oppenas Splint.Orthoplast-Nk 200.00 200.00 5.00 80-81-517

124 OPP-SP-OTHO-P Oppenas Splint.Orthoplast-P 150.00 150.00 5.00 80-81-517

125 OCT010 Orthplast Splint 3,000.00 3,000.00 5.00 80-81-517

126 O.T.A.C-K O.T.Aid (Complicated)-K 1,500.00 1,500.00 5.00 80-81-517

127 O.T.A.C-NK O.T.Aid (Complicated )-Nk 3,000.00 3,000.00 5.00 80-81-517

128 O.T.A.C-P O.T.Aid (Complicated)-P 2,000.00 2,000.00 5.00 80-81-517

129 O.T AID-K O.T. Aid (Simple)-K 750.00 750.00 5.00 80-81-517

130 O.T AID-NK O.T Aid (Simple)-Nk 1,500.00 1,500.00 5.00 80-81-517

131 O.T AID-P O.T.Aid (Simple)-P 1,000.00 1,000.00 5.00 80-81-517

132 O.T COMPLI-K O.T Orthoplast Splint(Complicated)-K 1,000.00 1,000.00 5.00 80-81-517

133 O.T COMPLI-NK O.T Orthoplast Splint(Complicated)-Nk 2,000.00 2,000.00 5.00 80-81-517

134 O.T COMPLI-P O.T Orthoplast Splint (Complicated)-P 1,500.00 1,500.00 5.00 80-81-517

135 O.T O S-K O.T Orthoplast Splint (Simple) -K 500.00 500.00 5.00 80-81-517

136 O.T.O S-NK O.T Orthoplast Splint (Simple)-Nk 1,000.00 1,000.00 5.00 80-81-517

Charge Sheet - Page: 20

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

137 O.T.O.S-P O.T Orthoplast Splint (Simple)-P 800.00 800.00 5.00 80-81-517

138 OT.S.A-K O.T Special Assessment-K 250.00 250.00 5.00 80-81-517

139 OT.S.A-NK O.T Special Assessment-Nk 500.00 500.00 5.00 80-81-517

140 OT.S.A-P O.T Special Assessment-P 400.00 400.00 5.00 80-81-517

141 P.SPLINT-K P.O.P Slint (Simple)-K 300.00 300.00 5.00 80-81-517

142 P.SPLINT C-K P.O.P Splint ( Complicated)-K 500.00 500.00 5.00 80-81-517

143 P.SPLINTC-P P.O.P Splint ( Complicated)-P 800.00 800.00 5.00 80-81-517

144 P.SPLINT C-NK P.O.P Splint (Complicted )-Nk 1,000.00 1,000.00 5.00 80-81-517

145 P.SPLINT-NK P.O.P Splint (Simple)-Nk 600.00 600.00 5.00 80-81-517

146 P.SPLINT-P P.O.P Splint (Simple )- P 500.00 500.00 5.00 80-81-517

147 P.C-K Push Cart-K 900.00 900.00 5.00 80-81-517

148 P.C-NK Push Cart-Nk 1,800.00 1,800.00 5.00 80-81-517

149 P.C-P Push Cart-P 1,500.00 1,500.00 5.00 80-81-517

150 RD.B-K Reading Board-K 500.00 500.00 5.00 80-81-517

151 RD.B-P Reading Board-Nk 1,000.00 1,000.00 1,000.00 80-81-517

152 RD.B-P Reading Board-P 800.00 800.00 5.00 80-81-517

153 RD.B-P Reading Board-P 800.00 800.00 5.00 80-81-517

154 PR-K Roller-K 900.00 900.00 5.00 80-81-517

155 PR-NK Roller-Nk 1,800.00 1,800.00 5.00 80-81-517

156 PR-P Roller-P 1,500.00 1,500.00 5.00 80-81-517

157 S.B-K Scooler Board-K 1,000.00 1,000.00 5.00 80-81-517

158 S.B-NK Scooler Board-Nk 2,000.00 2,000.00 5.00 80-81-517

159 S.B-P Scooler Board-P 1,500.00 1,500.00 5.00 80-81-517

160 ST.A-K Sitting Aid-K 1,200.00 1,200.00 5.00 80-81-517

161 ST.A.NK Sitting Aid-Nk 2,400.00 2,400.00 5.00 80-81-517

162 ST.A.P Sitting Aid-P 2,000.00 2,000.00 5.00 80-81-517

163 S.C.C-K Small Child Cardigan 6-K 250.00 250.00 5.00 80-81-517

164 S.C.C-NK Small Child Cardigan 6-Nk 500.00 500.00 5.00 80-81-517

165 S.C.S-P Small Child Cardigan 6-P 400.00 400.00 5.00 80-81-517

166 SP.A-K Special Assessment-K 250.00 250.00 5.00 80-81-517

167 SP.A-NK Special Assessment-Nk 500.00 500.00 5.00 80-81-517

168 SP.A-P Special Assessment-P 400.00 400.00 5.00 80-81-517

169 OCT005 Splinter Services 300.00 300.00 5.00 80-81-517

170 S.O.T-K Spliting O.T-K 100.00 100.00 5.00 80-81-517

171 S.O.T-NK Spliting O.T-Nk 200.00 200.00 5.00 80-81-517

172 S.O.T-P Spliting O.T-P 150.00 150.00 5.00 80-81-517

173 STA.A-K Standing Aid-K 1,500.00 1,500.00 5.00 80-81-517

174 STA.A-NK Standing Aid-Nk 3,000.00 3,000.00 5.00 80-81-517

175 STA.A-P Standing Aid-P 2,000.00 2,000.00 5.00 80-81-517

176 STOOL.M-K Stool + Manika (4 Ball)-K 300.00 300.00 5.00 80-81-517

177 STOOL.M-NK Stool + Manika (4 Balls)-Nk 600.00 600.00 5.00 80-81-517

178 STOOL.M-P Stool +Manika (4 Balls)-P 500.00 500.00 5.00 80-81-517

179 MATTS-K Table Mats-10 Per Set-K 600.00 600.00 5.00 80-81-517

180 MATTS-NK Table Mats-10 Per Set-Nk 1,200.00 1,200.00 5.00 80-81-517

181 MATTS-P Table Mats-10 Per Set-P 1,000.00 1,000.00 5.00 80-81-517

182 OTS-K Treatment Per Session-K 50.00 50.00 5.00 80-81-517

183 OTS-NK Treatment Per Session-Nk 200.00 200.00 5.00 80-81-517

184 OTS-P Treatment Per Session-P 100.00 100.00 5.00 80-81-517

185 ULN-D-OTHO-K Ulner Diviation Splint. Orthoplast-K 500.00 500.00 5.00 80-81-517

186 ULN-D-OTHONK Ulner Diviation Splint Orthoplast-Nk 1,000.00 1,000.00 5.00 80-81-517

187 ULN-D-OTHO-P Ulner Diviation Splint.Orthoplast-P 800.00 800.00 5.00 80-81-517

188 ULN-D-POP-K Ulner Diviation Splint.P.O.P -K 400.00 400.00 5.00 80-81-517

189 ULN-D-POP-NK Ulner Diviation Splint.P.O.P-Nk 800.00 800.00 5.00 80-81-517

190 ULN-D-POP-P Ulner Diviation Splint.P.O.P-P 600.00 600.00 5.00 80-81-517

191 WRST CKUP OTHO-K Wrist Cock Up Orthoplast-K 750.00 750.00 5.00 80-81-517

192 WRST CKUP OTHO-NK Wrist Cock Up Orthoplast-Nk 1,500.00 1,500.00 55.00 80-81-517

193 WRST CKUP OTHO-P Wrist Cock Up Orthoplast-P 1,000.00 1,000.00 5.00 80-81-517

194 WRST CKUP POP-K Wrist Cock Up.P.O.P.2 Pieces-K 600.00 600.00 5.00 80-81-517

195 WRST CKUP POP-NK Wrist Cock Up.Po.P.2 Pieces-Nk 1,200.00 1,200.00 5.00 80-81-517

196 WRST CKUP POP-P Wrist Cock Up.P.O.P.2 Pieces-P 800.00 800.00 5.00 80-81-517

ONCOLOGY PHARMACY

1 onco0002 Hydroxyurea 500mg 60.00 60.00 60.00 80-81-752

2 ONCO0001 Oxaliplatin 100mg 2,270.00 2,270.00 2,270.00 80-81-752

ORTHOPAEDIC CLINIC

1 ORT01 Consultation 200.00 200.00 200.00 80-81-713

2 ORT02 Funsoft Control 0.00 0.00 0.00 80-81-713

ORTHOPAEDIC PLASTER

1 CONCELLOUS10-30MM-K 0.4 Cbsstsize10-30mm-K 600.00 600.00 5.00 80-81-326

Charge Sheet - Page: 21

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

2 CONCELLOUS10-30MM-NK

0.4cbsstsize10-30mm-Nk 1,200.00 1,200.00 5.00 80-81-326

3 CONCELLOUS10-30MM-P 0.4 Cbsstsize10-30mm-P 750.00 750.00 5.00 80-81-326

4 ORTH.S03-NK 4.0 Cel.Bone.Scre.S.Fi;; Size 35-60mm-Nk 1,800.00 1,800.00 5.00 80-81-326

5 ORTH.S02-P 4.0 Cel.Bone.Scre.S.Full Size 35-60mm-P 1,450.00 1,450.00 5.00 80-81-326

6 ORTH.S01-K 4.0 Cel.Bone.Screw.S.Fullsize-35-60mm-K 945.00 945.00 5.00 80-81-326

7 POP-BOOT-K Above Ankle-K 800.00 400.00 5.00 80-81-326

8 POP-BOOT-NK Above Ankle-Nk 700.00 700.00 5.00 80-81-326

9 POP-BOOT-P Above Ankle-P 700.00 700.00 5.00 80-81-326

10 POP-A-ELBOW-K Above Elbow-K 700.00 700.00 5.00 80-81-326

11 POP-A-ELBOW-NK Above Elbow -Nk 1,000.00 1,000.00 5.00 80-81-326

12 POP-A-ELBOW-P Above Elbow-P 1,000.00 1,000.00 5.00 80-81-326

13 AKF-CONT-K Above Knee Front Control-K 300.00 300.00 5.00 80-81-326

14 AKF-CONT-NK Above Knee Front Control-Nk 600.00 600.00 5.00 80-81-326

15 AKF-CONT-P Above Knee Front Control-P 600.00 600.00 5.00 80-81-326

16 POP-A-KNEE-K Above Knee-K 1,200.00 1,200.00 5.00 80-81-326

17 POP-A-KNEE-NK Above Knee-Nk 1,800.00 1,800.00 5.00 80-81-326

18 POP-A-KNEE-P Above Knee-P 1,800.00 1,800.00 5.00 80-81-326

19 AKP-LEG-K Above Knee Peg Leg-K 11,000.00 11,000.00 5.00 80-81-326

20 AKP-LEG-NK Above Knee Peg Leg-Nk 12,000.00 12,000.00 5.00 80-81-326

21 AKP-LEG-P Above Knee Peg Leg-P 12,000.00 12,000.00 5.00 80-81-326

22 AK-PYLON-K Above Knee Pylon-K 11,000.00 11,000.00 5.00 80-81-326

23 AK-PYLON-NK Above Knee Pylon-Nk 12,000.00 12,000.00 5.00 80-81-326

24 AK-PYLON-P Above Knee Pylon -P 12,000.00 12,000.00 5.00 80-81-326

25 AK-WO-SOCK-K Above Knee Wooden Socket-K 4,000.00 4,000.00 5.00 80-81-326

26 AK-WOO-SOCK-NK Above Knee Wooden Socket-Nk 8,000.00 22,000.00 5.00 80-81-326

27 AK-WOO-SOC-P Above Knee Wooden Socket -P 8,000.00 8,000.00 5.00 80-81-326

28 AKP-K Above The Knee Prostheses-K 52,500.00 52,500.00 5.00 80-81-326

29 AKP-NK Above The Knee Prostheses-Nk 67,500.00 67,500.00 5.00 80-81-326

30 AKP-P Above Th E Knee Prostheses-P 67,500.00 67,500.00 5.00 80-81-326

31 AKA-REP-P A/K Art Repaiinting-P 150.00 150.00 5.00 80-81-326

32 AKA-REP-K A/K Art Repainting-K 100.00 100.00 5.00 80-81-326

33 AKA-REP-NK A/K Art Repainting-Nk 150.00 150.00 5.00 80-81-326

34 BKF-STRAP-K A/K Folk Strap-K 200.00 200.00 5.00 80-81-326

35 BKF-STRAP-NK A/K Folk Strap -Nk 400.00 400.00 5.00 80-81-326

36 BKF-STRAP-P A/K Folk Strap -P 400.00 400.00 5.00 80-81-326

37 AKK-BOLT-K A/K/Knee Bolt-K 1,000.00 1,000.00 5.00 80-81-326

38 AKK-BOLT-NK A/K/Knee Bolt-Nk 2,000.00 2,000.00 5.00 80-81-326

39 AKK-BOLT-P A/K/Knee Bolt-P 2,000.00 2,000.00 5.00 80-81-326

40 PLK-LOCK-K A/K Peg Latch Knee Lock K 1,000.00 1,000.00 5.00 80-81-326

41 PLK-LOCK-NK A/K Peg Latch Knee Lock-Nk 2,000.00 2,000.00 5.00 80-81-326

42 PLK-LOCK-P Ak/Peg Latch Knee Lock -P 2,000.00 2,000.00 5.00 80-81-326

43 AKP-POST-K A/K Peg Post-K 500.00 500.00 5.00 80-81-326

44 AKP-POST-NK A/K Peg Post-Nk 1,000.00 1,000.00 5.00 80-81-326

45 AKP-POST-P A/Kpeg Post- P 1,000.00 1,000.00 5.00 80-81-326

46 AK-PL/SOC-K A/Kplastic Socket-K 10,000.00 10,000.00 5.00 80-81-326

47 AK-PL/SOC-NK A/K Plastic Socket-Nk 20,000.00 20,000.00 5.00 80-81-326

48 AK-PL/SOC-P A/K Plastic Socket-P 20,000.00 20,000.00 5.00 80-81-326

49 A.K-PC-KL-K A.K.P Pelvic Control And Knee Lock-K 54,740.00 54,740.00 5.00 80-81-326

50 A.K-PC-KL-NK A.K P. Pelvic Control And Knee Lock-Nk 70,750.00 70,750.00 5.00 80-81-326

51 AKP-LOCK-K A.K Protheses With Knee Lock-K 53,500.00 53,500.00 5.00 80-81-326

52 AKP-LOCK-NK A.K Protheses With Knee Lock-Nk 55,000.00 55,000.00 5.00 80-81-326

53 AKP-LOCK-P A.K Protheses With Knee Lock -P 55,000.00 55,000.00 5.00 80-81-326

54 AKSFL-LIN-K A/K Socket Felt/Leather Lining-K 245.00 245.00 5.00 80-81-326

55 AKSFL-LIN-NK A/K Socket Felt/Leather Lining-Nk 350.00 350.00 5.00 80-81-326

56 AKSFL-LIN-P A/K Socket Felt/Leather Lining-P 350.00 350.00 5.00 80-81-326

57 AL-GAIT-K Aluminium Gaiters-K 200.00 200.00 5.00 80-81-326

58 AL-GAIT-NK Aluminium Gaiters-Nk 300.00 300.00 5.00 80-81-326

59 AL-GAIT-P Aluminium Gaiters-P 300.00 300.00 5.00 80-81-326

60 ANTI-RV-K Antirabies Vaccine Per Visit-K 0.00 0.00 5.00 80-81-326

61 ANTI-RV-NK Antirabies Vaccine Per Visit-Nk 0.00 0.00 5.00 80-81-326

62 ANTI-RV-P Antirabies Vaccine Per Visit-P 0.00 0.00 5.00 80-81-326

63 ARCH-SUP-K Arch Supports Each-K 175.00 175.00 5.00 80-81-326

64 ARCH-SUP-NK Arch Supports Each-Nk 250.00 250.00 5.00 80-81-326

65 ARCH-SUP-P Arch Supports Each-P 250.00 250.00 5.00 80-81-326

66 ARM-AB-SP-K Arm Abduction Splint-K 1,000.00 1,000.00 5.00 80-81-326

67 ARM-AB-SP-P Arm Abduction Splint-P 2,000.00 2,000.00 5.00 80-81-326

68 ARM-AB-SP-NK Arm Adbuction Splint-Nk 2,000.00 2,000.00 5.00 80-81-326

69 ARM SLING-K Arm Sling-K 50.00 50.00 5.00 80-81-326

Charge Sheet - Page: 22

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

70 ARM SLING-NK Arm Sling-Nk 150.00 150.00 5.00 80-81-326

71 ARM SLING-P Arm Sling-P 100.00 100.00 5.00 80-81-326

72 A.M.H.P.1 5/8-P Austine Moore H Prosthesis Sizes 1 5/8 40,000.00 40,000.00 5.00 80-81-326

73 A.M.H.P. 15/8-K Austine Moore H Prosthesis Sizes 1 5/8 36,000.00 36,000.00 5.00 80-81-326

74 A.M.H.P.1 5/8-NK Austine Moore H. Prosthesis Sizes 1 5/8 40,000.00 40,000.00 5.00 80-81-326

75 A.M.H.P.1 3/4-P Austine Moore Prothesis Size 1 3/4 40,000.00 40,000.00 5.00 80-81-326

76 A.M.H.P.1 3/4-NK Austine Moore Prothesis Size 1 3/4 40,000.00 40,000.00 5.00 80-81-326

77 A.M.H.P.1 3/4-K Austine Moore Prothesis Size 1 3/4 36,000.00 36,000.00 5.00 80-81-326

78 A.M.H.P.1 7/8-P Austine Moore Prothesis Size 1 7/8 40,000.00 40,000.00 5.00 80-81-326

79 A.M.H.P.1.7/8-K Austine Moore Prothesis Size 17/8 36,000.00 36,000.00 5.00 80-81-326

80 A MOORES 1 3/4-K Austine Moores 1 3/4 36,000.00 36,000.00 5.00 80-81-326

81 A MOORES 1 3/4-P Austine Moores 1 3/4 40,000.00 40,000.00 5.00 80-81-326

82 A MOORES 1 3/4 -NK Austine Moores 1 3/4 40,000.00 40,000.00 5.00 80-81-326

83 A MOORES 1 3/8-K Austine Moores 1 3/8 36,000.00 36,000.00 5.00 80-81-326

84 A MOORES 1 3/8-P Austine Moores 1 3/8 40,000.00 40,000.00 5.00 80-81-326

85 A MOORES 1 3/8-NK Austine Moores 1 3/8 40,000.00 40,000.00 5.00 80-81-326

86 A.MOORES 15/8-NK Austine Moores 1 5/8 40,000.00 40,000.00 5.00 80-81-326

87 A.MOORES 1 5/8-P Austine Moores 15/8 40,000.00 40,000.00 5.00 80-81-326

88 A.MOORES 1 5/8-K Austine Moores1 5/8 36,000.00 36,000.00 5.00 80-81-326

89 A MOORES1 7/8 Austine Moores 1 7/8 40,000.00 40,000.00 5.00 80-81-326

90 A MOORES 1 7/8 Austine Moores 1 7/8 36,000.00 36,000.00 5.00 80-81-326

91 A MOORES 1 7/8 Austine Moores 1 7/8 36,000.00 36,000.00 5.00 80-81-326

92 A MOORES 1 7/8 Austine Moores 1 7/8 36,000.00 36,000.00 5.00 80-81-326

93 A.M.H.P. 1 7/8-NK Austine Moores Prothesis Size 1 7/8 40,000.00 40,000.00 5.00 80-81-326

94 BC-LIG-K Back Check Ligament A/K-K 1,000.00 1,000.00 5.00 80-81-326

95 BC-LIG-NK Back Check Ligament A/K-Nk 2,000.00 2,000.00 5.00 80-81-326

96 BC-LIG-P Back Check Ligament A/K-P 2,000.00 2,000.00 5.00 80-81-326

97 B-LIFT-K Back Lift-K 100.00 100.00 5.00 80-81-326

98 B-LIFT-NK Back Lift-Nk 200.00 200.00 5.00 80-81-326

99 B-LIFT-P Back Lift-P 200.00 200.00 5.00 80-81-326

100 BPR-WAS-K Barrel Plate Rubber Washer-Ksurbt-Ad-P 140.00 140.00 5.00 80-81-326

101 BPR-WAS-NK Barrel Plate Rubber Washer-Nk 200.00 200.00 5.00 80-81-326

102 BPR-WAS-P Barrel Plate Rubber Washer-Psurbt-Child 200.00 200.00 5.00 80-81-326

103 BK-JOINT-K Below Knee Joint-K 3,000.00 3,000.00 5.00 80-81-326

104 BK-JOINT-NK Below Knee Joints-Nk 6,000.00 6,000.00 5.00 80-81-326

105 BK-JOINT-P Below Knee Joints-P 6,000.00 6,000.00 5.00 80-81-326

106 BKPLJ-NK Below Knee Peg Leg With Joints-Nk 11,650.00 11,650.00 5.00 80-81-326

107 BKPLJ-P Below Knee Peg Leg With Joints-P 11,650.00 11,650.00 5.00 80-81-326

108 BKPJ-K Below Knee Protheses With Joints-K 15,000.00 15,000.00 5.00 80-81-326

109 BKPJ-NK Below Knee Protheses With Joints-Nk 19,000.00 19,000.00 5.00 80-81-326

110 PKPJ-P Below Knee Protheses With Joints-P 19,000.00 19,000.00 5.00 80-81-326

111 BKBCP-TAB-NK B/K/Back Check Forging With Tab -Nk 700.00 700.00 5.00 80-81-326

112 BKBCF-TAB-P B/K Back Check Forging With Tab-P 700.00 700.00 5.00 80-81-326

113 BKBC-STRAP-INK B/K Back Check Strap-Nk 400.00 400.00 5.00 80-81-326

114 BKBC-STRAP-P B/K Back Check Strap -P 400.00 400.00 5.00 80-81-326

115 BKBCF-TAB-K B/K Back Forging With Tab-K 350.00 350.00 5.00 80-81-326

116 BKJ-COV-K B/K Joint Covers-K 35.00 35.00 5.00 80-81-326

117 BKJ-COV-NK B/K Joint Covers-Nk 50.00 50.00 5.00 80-81-326

118 BKJ-COV-P B/K Joint Covers-P 50.00 50.00 5.00 80-81-326

119 BK-NEW SOC-P Bk/K New Socket -P 15,000.00 15,000.00 5.00 80-81-326

120 BK-NEW SOC-K B/K New Socket-K 7,500.00 7,500.00 5.00 80-81-326

121 BK-NEW-SOC-NK B/K New Socket-Nk 15,000.00 15,000.00 5.00 80-81-326

122 BKSIB-AD-K B/K Single Iron For Adults-K 560.00 560.00 5.00 80-81-326

123 BKSIB-AD-NK B/K Single Iron For Adults-Nk 790.00 790.00 5.00 80-81-326

124 BKSIB-AD-P B/K Single Iron For Adults-P 790.00 790.00 5.00 80-81-326

125 BKSIB-CHILD-NK B/K Single Iron For Children-Nk 395.00 395.00 5.00 80-81-326

126 BKSIB-CHILD-P B/K Single Iron For Children-P 395.00 395.00 5.00 80-81-326

127 BKSIB-CHILD-K B/K Sngle Iron For Children-K 280.00 280.00 5.00 80-81-326

128 BKSF-LIN-K B/K Socket Felt/Leather Lining-K 245.00 245.00 5.00 80-81-326

129 BKSF-LIN-NK B/K Socket Felt/Leather Lining-Nk 350.00 350.00 5.00 80-81-326

130 BKSF-LIN-P B/K Socket Felt/Leather Lining-P 350.00 350.00 5.00 80-81-326

131 BKPLJ-K Bolow Knee Peg Leg With Joints-K 9,000.00 9,000.00 5.00 80-81-326

132 B.C.D MIXES-K Bone Cement Double Mixes 10,000.00 10,000.00 5.00 80-81-326

133 B.C.D MIXES-P Bone Cement Double Mixes 14,000.00 14,000.00 5.00 80-81-326

134 B.C.B MIXES-NK Bone Cement Double Mixes 14,000.00 14,000.00 5.00 80-81-326

135 CALEXS-K Caliper Extension Slide-K 70.00 70.00 5.00 80-81-326

136 CALEXS-NK Caliper Extension Slide-Nk 100.00 100.00 5.00 80-81-326

137 CALEXS-P Caliper Extension Slide-P 100.00 100.00 5.00 80-81-326

138 CL-LOCKS-K Caliper Joints With Locks(Pair)-K 350.00 350.00 5.00 80-81-326

Charge Sheet - Page: 23

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

139 CL-LOCKS-NK Caliper Joints With Locks(Pair)-Nk 500.00 500.00 5.00 80-81-326

140 CL-LOCKS-P Caliper Joints With Locks(Pair)-P 500.00 500.00 5.00 80-81-326

141 CS30-120MM-K Cellular Screw Size16mm-30-120mm-K 900.00 900.00 5.00 80-81-326

142 CS30-120MM-NK Cellular Screw Size 16mm 30-120mm-Nk 1,800.00 1,800.00 5.00 80-81-326

143 CS30-120MM-P Cellular Screw Size 16mm 30-120mm-P 1,300.00 1,300.00 5.00 80-81-326

144 CER-COLLAR-K Cervical Collar-K 700.00 700.00 5.00 80-81-326

145 CER-COLLAR-NK Cervical Collar-Nk 1,000.00 1,000.00 5.00 80-81-326

146 CER-COLLAR-P Cervical Collar-P 1,000.00 1,000.00 5.00 80-81-326

147 OTH09 Collar,Cossets Application 1,000.00 1,000.00 1,000.00 80-81-326

148 C-S-K Concellous Bone Screws, Stainless Steel Full Th-K 620.00 620.00 5.00 80-81-326

149 C-S-P Concellous Bone Screws , Stainless Steel Full Th-P 945.00 945.00 5.00 80-81-326

150 SHORT-C-K Concellous Short Thread 35-60mm-K 750.00 750.00 5.00 80-81-326

151 SHORT-C-NK Concellousshort Thread 35-60mm-Nk 1,500.00 1,500.00 5.00 80-81-326

152 SHORT-C-P Concellous Short Thread 35-60mm-P 950.00 950.00 5.00 80-81-326

153 CORK-R.2.5-K Cork Raising Per 2.5 Cm-K 200.00 200.00 5.00 80-81-326

154 CORK-R.2.5-NK Cork Raising Per 2.5 Cm-Nk 300.00 300.00 5.00 80-81-326

155 CORK-R.2.5-P Cork Raising Per 2.5 Cm-P 300.00 300.00 5.00 80-81-326

156 CO-U-SP-AD-K Cork- Up Splint For Adult-K 350.00 350.00 5.00 80-81-326

157 CO-U-SP-AD-NK Cork -Up Splint For Adult-Nk 700.00 700.00 5.00 80-81-326

158 CO-U-SP-AD-P Cork-Up Splint For Adult-P 700.00 700.00 5.00 80-81-326

159 CO-U-SP-CHILD-P Cork -Up Splint For Chidren -P 600.00 600.00 5.00 80-81-326

160 CO-U-SP-CHILD-K Cork-Up Splint For Children-K 300.00 300.00 5.00 80-81-326

161 CO-U-SP-CHILD-NK Cork-Up Splint For Children-Nk 600.00 600.00 5.00 80-81-326

162 C-S-S-S-P Cortex Screws Stainless Steel Sizes 10-40mm-P 900.00 900.00 5.00 80-81-326

163 C-S-S-S-K Cortexscrews Tainless Steel Sizes10-40mm-K 580.00 580.00 5.00 80-81-326

164 C-S-S-S-NK Cortex Screw Stainless Steel Sizes 10-40mm-Nk 1,000.00 1,000.00 5.00 80-81-326

165 CBSS14-50-NK Cortical Bone Scre Size 14-50mm-Nk 1,200.00 1,200.00 5.00 80-81-326

166 CBSS14-50MM-K Cortical Bone Screw Size 14-50mm-K 600.00 600.00 5.00 80-81-326

167 CBSS14-50MM-P Cortical Bone Screw Size 14-50mm-P 850.00 850.00 5.00 80-81-326

168 CBSS52-70MM-K Cortical Bone Size 52-70mm-K 750.00 750.00 5.00 80-81-326

169 CBSS52-70MM-NK Cortical Bone Size 52-70 Mm-Nk 1,500.00 1,500.00 5.00 80-81-326

170 CBSS52-70MM-P Cortical Bone Size 52-70mm-P 1,000.00 1,000.00 5.00 80-81-326

171 CBS70-100MM-K Cortical Bone Size 70-100mm-K 1,400.00 1,400.00 5.00 80-81-326

172 CBS70-100MM-NK Cortical Bone Size 70-100mm-Nk 2,800.00 2,800.00 5.00 80-81-326

173 CBS70-100MM-P Cprtical Bone Size 70-100mm-P 1,900.00 1,900.00 5.00 80-81-326

174 OTHO04 Creap Bandage Per Roll 200.00 200.00 200.00 80-81-326

175 OTH02 Crep Bandage Application 200.00 200.00 200.00 80-81-326

176 CRT-K Crutches-K 450.00 450.00 5.00 80-81-326

177 CRT-NK Crutches-Nk 900.00 900.00 5.00 80-81-326

178 CRT-P Crutches-P 900.00 900.00 5.00 80-81-326

179 CED-HEEL-K Cushion Raising Per 2.5 Cm-K 175.00 175.00 5.00 80-81-326

180 CED-HEEL-NK Cushion Raising Per 2.5 Cm-Nk 250.00 250.00 5.00 80-81-326

181 CED-HEEL-P Cushion Raising Per 2.5 Cm-P 250.00 250.00 5.00 80-81-326

182 DEBS-K Dennis Brown Splint-K 225.00 225.00 5.00 80-81-326

183 DEBS-NK Dennis Brown Splint-Nk 350.00 350.00 5.00 80-81-326

184 DEBS-P Dennis Brown Splint-P 350.00 350.00 5.00 80-81-326

185 DBK-AD-K Double B/K Iron For Adult-K 800.00 800.00 5.00 80-81-326

186 DBK-AD-NK Double B/K Iron For Adult-Nk 1,030.00 1,030.00 5.00 80-81-326

187 DBK-AD-P Double B/K Iron For Adult-P 1,030.00 1,030.00 5.00 80-81-326

188 DBK-CHILD-K Double B/K Iron For Children-K 0.00 0.00 5.00 80-81-326

189 DBK-CHLID-NK Double B/K Iron For Children-Nk 0.00 0.00 5.00 80-81-326

190 DBK-CHILD-P Double B/K Iron For Children-P 0.00 0.00 5.00 80-81-326

191 DEB-FOOT-A-K Double E.D Appliance-K 350.00 350.00 5.00 80-81-326

192 DEB-FOOT-A-NK Double E.D Appliance-Nk 500.00 500.00 5.00 80-81-326

193 DEB-FOOT-A-P Double E.D Appliance-P 500.00 500.00 5.00 80-81-326

194 ED-FOOT-A-K Elastic Drop Foot Appliance-K 200.00 200.00 5.00 80-81-326

195 ED-FOOT-A-NK Elastic Drop Foot Appliance-Nk 300.00 300.00 5.00 80-81-326

196 ED-FOOT-A-P Elastic Drop Foot Appliance-P 300.00 300.00 5.00 80-81-326

197 A.K.PC-KL-P FUNSOFT CONTROL 0.00 70,750.00 5.00 80-81-326

198 HA-SO-CH-K Half Sole Children-K 100.00 100.00 5.00 80-81-326

199 HA-SO-CH-NK Half Sole Children-Nk 150.00 150.00 5.00 80-81-326

200 HA-SO-CH-P Half Sole Children-P 150.00 150.00 5.00 80-81-326

201 HEAL RUB-NK Heal Rubber-Nk 400.00 400.00 5.00 80-81-326

202 HEAL RUB-K Heel Rubber-K 200.00 200.00 5.00 80-81-326

203 HEAL RUB-P Heel Rubber-P 400.00 400.00 5.00 80-81-326

204 HSW-STOP-K Heel Socket With Slops-K 70.00 70.00 5.00 80-81-326

205 HSW-STOP-NK Heel Socket With Slops-Nk 100.00 100.00 5.00 80-81-326

206 HSW-STOP-P Heel Socket With Slops-P 100.00 100.00 5.00 80-81-326

207 HEB-BRACE-K Hyper Extension Back Brace-K 1,000.00 1,000.00 5.00 80-81-326

Charge Sheet - Page: 24

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

208 HEB-BRACE-NK Hyper Extension Back Brace-Nk 2,000.00 2,000.00 5.00 80-81-326

209 HEB-BRACE-P Hyper Extension Back Brace-P 1,500.00 1,500.00 5.00 80-81-326

210 INS-RUB-K Instep Rubber-K 200.00 200.00 5.00 80-81-326

211 INSU-RUB-NK Instep Rubber-Nk 400.00 400.00 5.00 80-81-326

212 INS-RUB-P Instep Rubber-P 400.00 400.00 5.00 80-81-326

213 JCSP-BRA-NK Jones Brace-Nk 4,500.00 4,500.00 5.00 80-81-326

214 JCSP-BRA-K Jones Spinal Brace-K 3,150.00 3,150.00 5.00 80-81-326

215 JCSP-BRA-P Jones Spinal Brace-P 4,500.00 4,500.00 5.00 80-81-326

216 CALOCS-K Knee Cage With Locks Single-K 840.00 840.00 5.00 80-81-326

217 CALOCS-P Knee Cage With Locks Single-P 1,250.00 1,250.00 5.00 80-81-326

218 CALOCS-NK Knee Cage With Locks Sngle-Nk 1,250.00 1,250.00 5.00 80-81-326

219 KNEEL-P-REP-K Kneeling Peg Repainting-K 40.00 40.00 5.00 80-81-326

220 KNEEL-P-REP-NK Kneeling Peg Repainting-Nk 60.00 60.00 5.00 80-81-326

221 KNEEL-P-REP-P Kneeling Peg Repainting-P 60.00 60.00 5.00 80-81-326

222 K-SHINE-K Knee Shin-K 500.00 500.00 5.00 80-81-326

223 K-SHINE-NK Knee Shin-Nk 1,000.00 1,000.00 5.00 80-81-326

224 K-SHINE-P Knee Shin-P 1,000.00 1,000.00 5.00 80-81-326

225 KK-CAP-K Knock Knee Cap-K 100.00 100.00 5.00 80-81-326

226 KK-CAP-NK Knock Knee Cap-Nk 150.00 150.00 5.00 80-81-326

227 KK-CAP-P Knock Knee Cap-P 150.00 150.00 5.00 80-81-326

228 K-WIRE 1.8MM-P K-Wire-1.8mm 1,590.00 1,590.00 5.00 80-81-326

229 KWIRE 1.8MM-NK K-Wire.1.8mm 1,590.00 1,590.00 5.00 80-81-326

230 K-WIRE 1.8MM-K K-Wire 1.8 Mm 1,590.00 1,590.00 5.00 80-81-326

231 K-WIRE 2.0MM-P K-Wire 2.0mm 1,590.00 1,590.00 5.00 80-81-326

232 K-WIRE 2.0MM-K K-Wire 2.0mm 1,590.00 1,590.00 5.00 80-81-326

233 K-WIRE 2.0MM-NK K-Wire 2.0mm 1,590.00 1,590.00 5.00 80-81-326

234 LRHJW-BRACE-K Left Or Right Hip Joint W. Brace-K 1,400.00 1,400.00 5.00 80-81-326

235 LRHJW-BRACE-NK Left Or Right Hip Joint W. Brace-Nk 2,000.00 2,000.00 5.00 80-81-326

236 LRHJW-BRACE-P Left Or Right Hip Joint W. Brace-P 2,000.00 2,000.00 5.00 80-81-326

237 LRPE-BRACE-K Left Or Right Pattern Ended Brace-K 1,400.00 1,400.00 5.00 80-81-326

238 LRPE-BRACE-NK Left Or Right Pattern Ended Brace-Nk 2,000.00 2,000.00 5.00 80-81-326

239 LRPE-BRACE-P Left Or Right Pattern Ended Brace-P 2,000.00 2,000.00 5.00 80-81-326

240 LRW-BRACE-K Left Or Right Walking Brace-K 1,050.00 1,050.00 5.00 80-81-326

241 LRW-BRACE-NK Left Or Right Walking Brace-Nk 1,500.00 1,500.00 5.00 80-81-326

242 LRW-BRACE-P Left Or Right Walking Brace-P 1,500.00 1,500.00 5.00 80-81-326

243 LW-HA-SP-K Live Wire Hand Splint-K 350.00 350.00 5.00 80-81-326

244 LW-HA-SP-P Live Wire Hand Splint-P 700.00 700.00 5.00 80-81-326

245 POP-F-LEG-NK Long Leg-Nk 2,000.00 2,000.00 5.00 80-81-326

246 POP-F-LEG-P Long Leg-P 2,000.00 2,000.00 5.00 80-81-326

247 L.LHARNES-K Lower Lib Harnes-K 500.00 500.00 5.00 80-81-326

248 L.L-HARNES-NK Lower Lib Harnes-Nk 1,000.00 1,000.00 5.00 80-81-326

249 L.L-HARNES-P Lower Lib Harnes-P 1,000.00 1,000.00 5.00 80-81-326

250 ROP-LOWER-K Lower Limb-K 100.00 100.00 5.00 80-81-326

251 ROP -LOWER-NK Lower Limb-Nk 200.00 200.00 5.00 80-81-326

252 ROP-LOWER-P Lower Limb-P 200.00 200.00 5.00 80-81-326

253 LUMBO-SLC-K Lumbo Sacral Leather Corset-K 500.00 500.00 5.00 80-81-326

254 LUMBO-SLC-NK Lumbo Sacral Leather Corset-Nk 1,000.00 1,000.00 5.00 80-81-326

255 LUMBO-SLC-P Lumbo Sacral Leather Corset-P 800.00 800.00 5.00 80-81-326

256 MSS25-70MM-K Mallolar Screw Size25-70mm-K 900.00 90.00 5.00 80-81-326

257 MSS25-70MM-NK Mallolar Screwsize 25-70mm-Nk 1,800.00 1,800.00 5.00 80-81-326

258 MSS25-70MM-P Mallolar Screw Size 25-70mm-P 1,220.00 1,220.00 5.00 80-81-326

259 MA-SPLINT-K Marmaid Splint-K 225.00 225.00 5.00 80-81-326

260 MA-SPLINT-NK Marmaid Splint-Nk 350.00 350.00 5.00 80-81-326

261 MA-SPLINT-P Marmaid Splint-P 350.00 350.00 5.00 80-81-326

262 METAL-R.2.5-K Metal Raising Per 2.5 Cm-K 100.00 100.00 5.00 80-81-326

263 METAL-R.2.5-NK Metal Raising Per 2.5 Cm-Nk 150.00 150.00 5.00 80-81-326

264 METAL-R.2.5-P Metal Raising Per 2.5 Cm-P 150.00 150.00 5.00 80-81-326

265 METAPADS-K Metatarsal Pads Pair-K 175.00 175.00 5.00 80-81-326

266 METAPADS-NK Metatarsal Pads Pair-Nk 250.00 250.00 5.00 80-81-326

267 METAPADS-P Metatarsal Pads Pair-P 250.00 250.00 5.00 80-81-326

268 MIL-BRA-AD-K Milwankee Brace For Adult-K 5,000.00 5,000.00 5.00 80-81-326

269 MIL-BRA-AD-NK Milwankee Brace For Adult-Nk 7,000.00 7,000.00 5.00 80-81-326

270 MIL-BRA-AD-P Milwankee Brace For Adult-P 7,000.00 7,000.00 5.00 80-81-326

271 MIL-BRA-CHILD-K Milwankee Brace For Children-K 2,500.00 2,500.00 5.00 80-81-326

272 MIL-BRA-CHILD-NK Milwankee Brace For Children-Nk 5,000.00 5,000.00 5.00 80-81-326

273 MIL-BRA-CHILD-P Milwankee Brace For Children-P 3,500.00 3,500.00 5.00 80-81-326

274 MIN-JACKS-K Minewa Jackets-K 2,000.00 2,000.00 5.00 80-81-326

275 MIN-JACKS-NK Minewa Jackets-Nk 2,800.00 2,800.00 5.00 80-81-326

276 MIN-JACKS-P Minewa Jackets-P 2,800.00 2,800.00 5.00 80-81-326

Charge Sheet - Page: 25

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

277 MOUL-L-CORSET-K Moulding Leather Corset-K 2,500.00 2,500.00 5.00 80-81-326

278 MOUL-L-CORSET-NK Moulding Leather Corset-Nk 5,000.00 5,000.00 5.00 80-81-326

279 MOUL-L-CORSET-P Moulding Leather Corset-P 3,500.00 3,500.00 5.00 80-81-326

280 NAK-SETUP-K New Above Knee Setup-K 28,000.00 28,000.00 5.00 80-81-326

281 NAK-SETUP-NK New Above Knee Set-Up-Nk 36,000.00 36,000.00 5.00 80-81-326

282 NAK-SETUP-P New Above Knee Set Up-P 36,000.00 36,000.00 5.00 80-81-326

283 NBK-CORSET-K New B/K Corset-K 210.00 210.00 5.00 80-81-326

284 NBK-CORSET-NK New B/K Corset-Nk 300.00 300.00 5.00 80-81-326

285 NBK-CORSET-P New B/K Corset-P 300.00 300.00 5.00 80-81-326

286 NHB-PAD-K New Hip Band With Padding-K 140.00 140.00 5.00 80-81-326

287 NHB-PAD-NK New Hip Band With Padding-Nk 200.00 200.00 5.00 80-81-326

288 NHB-PAD-P New Hip Band With Padding-P 200.00 200.00 5.00 80-81-326

289 PELITE-INSERT-K New Pelite Ptb Insert-K 500.00 500.00 5.00 80-81-326

290 PELITE-INSERT-NK New Pelite Ptb Insert-Nk 750.00 750.00 5.00 80-81-326

291 PELITE-INSERT-P New Pelite Ptb Insert-P 750.00 750.00 5.00 80-81-326

292 NS-TOOT-K New Sach Foot-K 6,000.00 6,000.00 5.00 80-81-326

293 NS-FOOT-NK New Sach Foot-Nk 12,000.00 12,000.00 5.00 80-81-326

294 NS-FOOT-P New Sach Foot-P 12,000.00 12,000.00 5.00 80-81-326

295 NSW-FOOT-K New Sach Wooden Foot-K 1,000.00 1,000.00 5.00 80-81-326

296 NSW-FOOT-NK New Sach Wooden Foot-Nk 2,000.00 2,000.00 5.00 80-81-326

297 NSW-FOOT-P New Sach Wooden Foot-P 2,000.00 200.00 5.00 80-81-326

298 NTB-PAD-K New Thigh Band With Padding-K 140.00 140.00 5.00 80-81-326

299 NTB-PAD-NK New Thigh Band With Padding-Nk 200.00 200.00 5.00 80-81-326

300 NTB-PAD-P New Thigh Band With Padding-P 200.00 200.00 5.00 80-81-326

301 BKBC-STRAP-K N/K Back Check Strap-K 200.00 200.00 5.00 80-81-326

302 OS-SOCK-K One Stamp Sock-K 1,500.00 1,500.00 5.00 80-81-326

303 OS-SOCK-NK One Stamp Sock-Nk 3,000.00 3,000.00 5.00 80-81-326

304 PS-SOCK-P One Stamp Sock-P 3,000.00 3,000.00 5.00 80-81-326

305 PEG-RUB-K Peg Rubber -K 70.00 70.00 5.00 80-81-326

306 PEG-RUB-NK Peg Rubber-Nk 100.00 100.00 5.00 80-81-326

307 PEG-RUB-P Peg Rubber-P 100.00 100.00 5.00 80-81-326

308 P-SYME-FOOT-K Plastic Syme With Foot-K 1,800.00 1,800.00 5.00 80-81-326

309 P-SYME-FOOT-NK Plastic Syme With Foot-Nk 22,000.00 22,000.00 5.00 80-81-326

310 P-SYME-FOOT-P Plastic Syme With Foot-P 22,000.00 22,000.00 5.00 80-81-326

311 POLY-CORSET-K Polypropylene Corset-K 4,500.00 4,500.00 5.00 80-81-326

312 POLY-CORSET-NK Polypropylene Corset-Nk 9,000.00 9,000.00 5.00 80-81-326

313 POLY-CORSET-P Polypropylene Corset-P 6,500.00 6,500.00 5.00 80-81-326

314 OTH03 P.O.P Application Per Roll 400.00 400.00 400.00 80-81-326

315 PTB/PTS-PP-KPTB/PTS-PP-K

P.T.B/P.T.S Peg Prothesis-K 10,000.00 10,000.00 5.00 80-81-326

316 PTB/PTS-PP-NK P.T.B/P.T.S Peg Prothesis-Nk 12,000.00 12,000.00 5.00 80-81-326

317 PTB/PTS-PP-PPTB/PTS-PP-P

P.T.B/P.T.S Peg Prothesis-P 12,000.00 12,000.00 5.00 80-81-326

318 PTB/PTS-PF-K P.T.B./P.T.S. Protheses With Foot-K 16,500.00 16,500.00 5.00 80-81-326

319 PTB/PTS-PF-NK P.T.B/P.T.S. Protheses With Foot-Nk 20,000.00 20,000.00 5.00 80-81-326

320 PTB/PTS-PF-P P.T.B./P.T.S. Protheses With Foot-P 20,000.00 20,000.00 5.00 80-81-326

321 M-EXAMS-K Reintroduction Of Medical Exam -K 0.00 0.00 5.00 80-81-326

322 M-EXAMS-NK Reintroduction Of Medical Exam -Nk 0.00 0.00 5.00 80-81-326

323 M-EXAMS-P Reintroduction Of Medical Exam -P 0.00 0.00 5.00 80-81-326

324 OTH01 Removal Of P.O.P 200.00 200.00 200.00 80-81-326

325 ST.KIT-NK Skin Traction Kit (Adult)-Nk 2,000.00 2,000.00 5.00 80-81-326

326 ST-KIT-P Skin Traction Kit (Adult)-P 2,000.00 2,000.00 5.00 80-81-326

327 SKULL-CP-K Skull Calipher-K 1,000.00 1,000.00 5.00 80-81-326

328 SKULL-CP-NK Skull Calipher -Nk 1,500.00 1,500.00 5.00 80-81-326

329 SKULL-CP-P Skull Calipher-P 1,500.00 1,500.00 5.00 80-81-326

330 OTH05 Softban Per Roll 150.00 150.00 150.00 80-81-326

331 OTH08 Splintage 200.00 200.00 200.00 80-81-326

332 SK-CAP-K Square Knee Cap-K 100.00 100.00 5.00 80-81-326

333 SK-CAP-NK Square Knee Cap-Nk 150.00 150.00 5.00 80-81-326

334 SK-CAP-P Square Knee Cap-P 150.00 150.00 5.00 80-81-326

335 STEIN-PIN-1-K Steinman'S Pin Insertion-K 1,000.00 1,000.00 5.00 80-81-326

336 STEIN-PIN-NK Steinman'S Pin Insertion-Nk 2,000.00 2,000.00 5.00 80-81-326

337 STEIN-PIN-1-P Steinman'S Pin Insertion-P 2,000.00 2,000.00 5.00 80-81-326

338 S-T-P-K Stirrup-K 100.00 100.00 5.00 80-81-326

339 S-T-P-NK Stirrup-Nk 150.00 150.00 5.00 80-81-326

340 S-T-P-P Stirrup-P 150.00 150.00 5.00 80-81-326

341 SURBT-AD-K Surgical Boot For Adults-K 1,750.00 1,750.00 5.00 80-81-326

342 SURBT-AD-NK Surgical Boot For Adults-Nk 2,500.00 2,500.00 5.00 80-81-326

343 SURBT-AD-P Surgical Boot For Adults-P 2,500.00 2,500.00 5.00 80-81-326

344 SURBT-CHILD-K Surgical Boot For Children-K 650.00 650.00 5.00 80-81-326

Charge Sheet - Page: 26

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

345 SURBT-CHILD-NK Surgical Boot For Children-Nk 750.00 750.00 5.00 80-81-326

346 SURBT-CHILD-P Surgical Boot For Children-P 750.00 750.00 5.00 80-81-326

347 SURG-COR-K Surgical Corset-K 2,000.00 2,000.00 5.00 80-81-326

348 SURG-COR-NK Surgical Corset-Nk 4,000.00 4,000.00 5.00 80-81-326

349 SURG-COR-P Surgical Corset-P 3,000.00 3,000.00 5.00 80-81-326

350 BB-TAYLOR-K Taylor'S Back Brace-K 1,000.00 1,000.00 5.00 80-81-326

351 BB-TAYLOR-NK Taylor'S Back Brace-Nk 2,000.00 2,000.00 5.00 80-81-326

352 BB-TAYLOR-P Taylor'S Back Brace-P 1,500.00 1,500.00 5.00 80-81-326

353 TTI-K Tetanus Toxide Injection -K 0.00 0.00 5.00 80-81-326

354 TTI-NK Tetanus Toxide Injection -Nk 0.00 0.00 5.00 80-81-326

355 TTI-P Tetanus Toxide Injection -P 0.00 0.00 5.00 80-81-326

356 HIP-DIS-K Thro' Hip Disarticulation With Knee Lock-K 56,000.00 56,000.00 5.00 80-81-326

357 HIP-DIS-NK Thro' Hip Disarticulation With Knee Lock -Nk 72,450.00 72,450.00 5.00 80-81-326

358 HIP-DIS-P Thro' Hip Disarticulation With Knee Lock-P 72,450.00 72,450.00 5.00 80-81-326

359 TKPL-K Through Knee Peg Leg-K 11,000.00 11,000.00 5.00 80-81-326

360 TKPL-NK Through Knee Peg Leg-Nk 12,000.00 12,000.00 5.00 80-81-326

361 TKPL-P Through Knee Peg Leg-P 12,000.00 12,000.00 5.00 80-81-326

362 TK-PL-SOC-K Through Knee Plastic Socket-K 10,000.00 10,000.00 5.00 80-81-326

363 TK-PL-SOC-NK Through Knee Plastic Socket-Nk 20,000.00 20,000.00 5.00 80-81-326

364 TK-PL-SOC-P Through Knee Plastic Socket-P 20,000.00 20,000.00 5.00 80-81-326

365 T.K.PROTH-K Through Knee Prothesis-K 52,500.00 52,500.00 5.00 80-81-326

366 T.K.PROTH-NK Through Knee Prothesis-Nk 67,500.00 67,500.00 5.00 80-81-326

367 T.K.PROTH-P Through Knee Prothesis-P 67,500.00 67,500.00 5.00 80-81-326

368 TOE RUB-K Toe Rubber-K 200.00 200.00 5.00 80-81-326

369 TOE RUB-P Toe Rubber-P 400.00 400.00 5.00 80-81-326

370 TOE RUB-NK Toe Ruber-Nk 400.00 400.00 5.00 80-81-326

371 OTH07 Traction Application 2,000.00 2,000.00 2,000.00 80-81-326

372 TWDEP-K Trauma Ward Deposite-K 0.00 0.00 5.00 80-81-326

373 TWDEP-NK Trauma Ward Deposite -Nk 0.00 0.00 5.00 80-81-326

374 TWDEP-P Trauma Ward Deposite-P 0.00 0.00 5.00 80-81-326

375 OTH10 Triangular Bandage 60.00 60.00 60.00 80-81-326

376 T-STRA-K T/Strap-K 35.00 35.00 5.00 80-81-326

377 T-STRA-NK T/Strap-Nk 50.00 50.00 5.00 80-81-326

378 T-STRA-P T/Strap-P 50.00 50.00 5.00 80-81-326

379 UPPER LIMB-K Upper Limb-K 250.00 250.00 5.00 80-81-326

380 UPPER LIMB-NK Upper Limb-Nk 300.00 300.00 5.00 80-81-326

381 UPPER LIMB-P Upper Limb-P 300.00 300.00 5.00 80-81-326

382 U/SLAB U/Slab 8,000.00 500.00 5.00 80-81-326

383 POP-U-SLAB-K U-Slab-K 800.00 500.00 5.00 80-81-326

384 WALK-CANE-NK Waking Cane-Nk 400.00 400.00 5.00 80-81-326

385 WALK-CANE-P Waking Cane-P 400.00 400.00 5.00 80-81-326

386 WALK- CANE-K Walking Cane -K 200.00 200.00 5.00 80-81-326

387 WALK-FRAM-K Walking Frame-K 500.00 500.00 5.00 80-81-326

388 WALK-FRAME -NK Walking Frame-Nk 1,000.00 1,000.00 5.00 80-81-326

389 WALK-FRAME-P Walking Frame-P 1,000.00 1,000.00 5.00 80-81-326

390 WEDGE-ADULT-K Wedges For Adults-K 140.00 140.00 5.00 80-81-326

391 WEDGE-ADULT-NK Wedges For Adults-Nk 200.00 200.00 5.00 80-81-326

392 WEDGE-ADULT-P Wedges For Adults-P 200.00 200.00 5.00 80-81-326

393 WEDGE-CHILD-K Wedges For Children-K 100.00 100.00 5.00 80-81-326

394 WEDGE-CHILD-NK Wedges For Children-Nk 155.00 155.00 5.00 80-81-326

395 WEDGE-CHILD-P Wedges For Children-P 155.00 155.00 5.00 80-81-326

396 WB-CALIPER-K Weight Bearing Caliper-K 1,050.00 1,050.00 5.00 80-81-326

397 WB-CALIPER-NK Weight Bearing Caliper-Nk 1,500.00 1,500.00 5.00 80-81-326

398 WB-CALIPER-P Weight Bearing Caliper-P 1,500.00 1,500.00 5.00 80-81-326

399 WOOD-FL-K Wooden Foot Lining-K 70.00 70.00 5.00 80-81-326

400 WOOD-FL-NK Wooden Foot Lining-Nk 100.00 100.00 5.00 80-81-326

401 WOOD-FL-P Wooden Foot Lining-P 100.00 100.00 5.00 80-81-326

402 WOOD-R.2.5-K Wood Raising Per 2.5 Cm-K 100.00 100.00 5.00 80-81-326

403 WOOD-R.2.5-NK Wood Raising Per 2.5 Cm-Nk 150.00 150.00 5.00 80-81-326

404 WOOD-R.2.5-P Wood Raising Per 2.5 Cm-P 150.00 150.00 5.00 80-81-326

ORTHOPAEDIC TECHNOLOGY

1 OT093 Above Elbow Prosthesis With Cosmetic Hand-K 70,000.00 80,000.00 80,000.00 80-81002-009-80-81002-80-81-336

2 OT094 Above Elbow Prosthesis With Functional Hand-K 80,000.00 95,000.00 95,000.00 80-81002-009-80-81002-80-81-336

3 OT095 Above Knee Brace For Adults 4,500.00 9,000.00 9,000.00 80-81002-009-80-81002-80-81-336

4 OT096 Above Knee Brace For Children 3,500.00 7,000.00 7,000.00 80-81002-009-80-81002-80-81-336

5 OT085 Above Knee Plastic Socket-K 10,000.00 15,000.00 15,000.00 80-81002-009-80-81002-80-81-336

Charge Sheet - Page: 27

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

6 OT081 Above Knee Prosthesis-K 70,000.00 75,000.00 70,000.00 80-81002-009-80-81002-80-81-336

7 OT134 Afo Adults 4,000.00 4,000.00 4,000.00 80-81002-009-80-81002-80-81-336

8 OT135 Afo Child 2,000.00 2,000.00 2,000.00 80-81002-009-80-81002-80-81-336

9 OT185 Angle Plate 95*Blade Length 60mm Side Plate 11 Hole 7,000.00 7,000.00 7,000.00 80-81002-009-80-81002-80-81-336

10 OT183 Angle Plate 95*Blade Length 60mm Side Plate 12 Hole 7,000.00 7,000.00 7,000.00 80-81002-009-80-81002-80-81-336

11 OT184 Angle Plate 95*Blade Length 60mm Side Plate 13 Hole 8,000.00 8,000.00 8,000.00 80-81002-009-80-81002-80-81-336

12 OT140 Arch Support (Pp) Adult 1,000.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

13 OT141 Arch Support (Pp) Child 600.00 600.00 600.00 80-81002-009-80-81002-80-81-336

14 OT032 Arch.Supports Each(Adults)-K As-Adult-K 500.00 500.00 500.00 80-81002-009-80-81002-80-81-336

15 OT034 Arch.Supports Each(Adults)-Nk As-Adult-Nk 1,000.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

16 OT033 Arch.Supports Each(Adults)-P As Adult-P 1,000.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

17 OT104 Arch Supports For Children 400.00 800.00 800.00 80-81002-009-80-81002-80-81-336

18 OT109 Arm Abduction Splint 2,000.00 4,000.00 4,000.00 80-81002-009-80-81002-80-81-336

19 OT144 Austine Moore 45" 8,000.00 8,000.00 8,000.00 80-81002-009-80-81002-80-81-336

20 OT145 Austine Moore 47 " 8,000.00 8,000.00 8,000.00 80-81002-009-80-81002-80-81-336

21 0T146 Austine Moore 49" 8,000.00 8,000.00 8,000.00 80-81002-009-80-81002-80-81-336

22 OT199 Austin Moore 51" 8,000.00 8,000.00 8,000.00 80-81002-009-80-81002-80-81-336

23 OT051 Axila Crutchees(Wooden)-P 1,000.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

24 OT112 Axilla Crutches(Alluminium) 2,500.00 3,500.00 3,500.00 80-81002-009-80-81002-80-81-336

25 OT002 Axilla Crutches(Alluminium)-K 2,500.00 2,500.00 2,500.00 80-81002-009-80-81002-80-81-336

26 OT054 Axilla Crutches(Alluminium)-Nk 4,500.00 4,500.00 4,500.00 80-81002-009-80-81002-80-81-336

27 OT053 Axilla Crutches(Alluminium)-P 4,500.00 4,500.00 4,500.00 80-81002-009-80-81002-80-81-336

28 OT050 Axilla Crutches(Wooden)-K 800.00 800.00 800.00 80-81002-009-80-81002-80-81-336

29 OT052 Axilla Crutches(Wooden)-Nk 1,000.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

30 OT091 Below Elbow Prosthesis With Cosmetic Hand-K 45,000.00 55,000.00 55,000.00 80-81002-009-80-81002-80-81-336

31 OT092 Below Elbow Prosthesis With Functional Hand 60,000.00 70,000.00 70,000.00 80-81002-009-80-81002-80-81-336

32 OT191 Broad Dcp Plate 10 Hole 4,000.00 4,000.00 4,000.00 80-81002-009-80-81002-80-81-336

33 OT192 Broad Dcp Plate 12 Hole 4,000.00 4,000.00 4,000.00 80-81002-009-80-81002-80-81-336

34 OT193 Broad Dcp Plate 14 Hole 4,500.00 4,500.00 4,500.00 80-81002-009-80-81002-80-81-336

35 OT194 Broad Dcp Plate 16 Hole 5,000.00 5,000.00 5,000.00 80-81002-009-80-81002-80-81-336

36 OT190 Broad Dcp Plate 8 Hole 4,000.00 4,000.00 4,000.00 80-81002-009-80-81002-80-81-336

37 OT158 Cancellous Screw 4.5mm,5.5mm 24 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

38 OT159 Cancellous Screw 4.5mm,5.5mm 26 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

39 OT160 Cancellous Screw 4.5mm,5.5mm 28 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

40 OT161 Cancellous Screw 4.5mm,5.5mm 30 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

41 OT162 Cancellous Screw 4.5mm,6.5mm 32 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

42 OT163 Cancellous Screw 4.5mm,6.5mm 36 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

43 OT164 Cancellous Screw 4.5mm,6.5mm 42 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

44 OT165 Cancellous Screw 4.5mm,6.5mm 46 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

45 OT166 Cancellous Screw 4.5mm,6.5mm 48 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

46 OT167 Cancellous Screw 4.5mm,6.5mm 50 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

47 OT168 Cancellous Screw 4.5mm,6.5mm 52 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

48 OT169 Cancellous Screw 4.5mm,6.5mm 54 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

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COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

49 OT170 Cancellous Screw 4.5mm,6.5mm 56 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

50 OT 203 Ceres Anterior Cervical Plates 33n 48,000.00 48,000.00 48,000.00 80-81002-009-80-81002-80-81-336

51 OT204 Ceres Screws Self Tapping 4.5*2r 6,300.00 6,300.00 6,300.00 80-81002-009-80-81002-80-81-336

52 OT202 Cervical Cages 1/F 14*7mm 38,300.00 38,300.00 38,300.00 80-81002-009-80-81002-80-81-336

53 OT200 Cervical Collar 4,500.00 4,500.00 4,500.00 80-81002-009-80-81002-80-81-336

54 OT124 Collar/Corset Application Fee 100.00 200.00 200.00 80-81002-009-80-81002-80-81-336

55 OT070 Collar/Corset Application Fee 200.00 200.00 200.00 80-81002-009-80-81002-80-81-336

56 OT041 Cork Raising Per 2.5cm-K 350.00 350.00 350.00 80-81002-009-80-81002-80-81-336

57 OT043 Cork Raising Per 2.5cm -Nk 700.00 700.00 700.00 80-81002-009-80-81002-80-81-336

58 OT042 Cork Raising Per 2.5cm-P 700.00 700.00 700.00 80-81002-009-80-81002-80-81-336

59 OT105 Cork Raising Per Inch 400.00 800.00 800.00 80-81002-009-80-81002-80-81-336

60 OT111 Cork-Up Splint For Adults 850.00 1,600.00 1,600.00 80-81002-009-80-81002-80-81-336

61 OT110 Cork -Up Splint For Children 400.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

62 OT148 Cortex Screws 4.5,5.5mm 24 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

63 OT149 Cortex Screws 4.5,5.5mm 26 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

64 OT150 Cortex Screws 4.5,5.5mm 28 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

65 OT151 Cortex Screws 4.5,5.5mm 30 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

66 OT152 Cortex Screws 4.5,5.5mm 32 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

67 OT153 Cortex Screws 4.5,5.5mm 36 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

68 OT154 Cortex Screws 4.5,5.5mm 42 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

69 OT155 Cortex Screws 4.5,5.5mm 44 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

70 OT156 Cortex Screws 4.5,5.5mm 46 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

71 OT157 Cortex Screws 4.5,5.5mm 48 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

72 OT072 Crepe Bandage Application Fee 100.00 200.00 200.00 80-81002-009-80-81002-80-81-336

73 OTO71 Crepe Bandage(Per Roll) 200.00 200.00 200.00 80-81002-009-80-81002-80-81-336

74 OT126 Creppe Bandage Application 100.00 200.00 200.00 80-81002-009-80-81002-80-81-336

75 OT125 Creppe Bandage (Per Roll) 200.00 400.00 400.00 80-81002-009-80-81002-80-81-336

76 OT008 Denis Browne Splint-K Debs-K 500.00 500.00 500.00 80-81002-009-80-81002-80-81-336

77 OT010 Denis Browne Splint-Nk Debs-Nk 1,500.00 1,500.00 1,500.00 80-81002-009-80-81002-80-81-336

78 OT009 Denis Browne Splint-P Debs-P 1,500.00 1,500.00 1,500.00 80-81002-009-80-81002-80-81-336

79 OT097 Dennis Brown Splint For Adults 2,000.00 3,500.00 3,500.00 80-81002-009-80-81002-80-81-336

80 OT098 Dennis Brown Splint For Children 1,000.00 2,000.00 2,000.00 80-81002-009-80-81002-80-81-336

81 OT005 Double B/K Iron L Or R For Adults-K Dbk-A-K 3,000.00 3,000.00 3,000.00 80-81002-009-80-81002-80-81-336

82 OT007 Double B/K Iron L Or R For Adults-Nk Dbk-A-Nk 6,000.00 6,000.00 6,000.00 80-81002-009-80-81002-80-81-336

83 OT006 Double B/K Iron L Or R For Adults-P Dbk-A-P 6,000.00 6,000.00 6,000.00 80-81002-009-80-81002-80-81-336

84 OT001 Double B/K Iron L Or R For Children-K 2,500.00 2,500.00 2,500.00 80-81002-009-80-81002-80-81-336

85 OT004 Double B/K Iron L Or R For Children-Nk Dbk-Child-Nk 5,000.00 5,000.00 5,000.00 80-81002-009-80-81002-80-81-336

86 OT003 Double B/K Iron L Or R For Children-P Dbk-Child-P 5,000.00 5,000.00 5,000.00 80-81002-009-80-81002-80-81-336

87 OT189 Dynacast 3" 1,000.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

88 OT188 Dynacast 5" 1,200.00 1,200.00 1,200.00 80-81002-009-80-81002-80-81-336

89 OT114 Elbow Crutches(Alluminium) 2,000.00 3,000.00 3,000.00 80-81002-009-80-81002-80-81-336

90 OT055 Elbow Crutches-K 2,000.00 2,000.00 2,000.00 80-81002-009-80-81002-80-81-336

91 OT113 Elbow Crutches, Local Assembly 1,500.00 2,500.00 2,500.00 80-81002-009-80-81002-80-81-336

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COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

92 OT079 Elbow Crutches,Local Assembly-Per Pair 1,500.00 1,500.00 1,500.00 80-81002-009-80-81002-80-81-336

93 OT057 Elbow Crutches-Nk 3,000.00 3,000.00 3,500.00 80-81002-009-80-81002-80-81-336

94 OT056 Elbow Crutches-P 3,000.00 3,000.00 3,000.00 80-81002-009-80-81002-80-81-336

95 OT181 External Fixators Clamps Rods Shunt 10 10,000.00 10,000.00 13,000.00 80-81002-009-80-81002-80-81-336

96 OT182 External Fixators Clamps Rods Shunt 30 13,000.00 13,000.00 13,000.00 80-81002-009-80-81002-80-81-336

97 OT038 Half Sole Children-K Ha-So-Ch-K 450.00 450.00 450.00 80-81002-009-80-81002-80-81-336

98 OT040 Half Sole Children-Nk Ha-So-Ch-Nk 800.00 800.00 800.00 80-81002-009-80-81002-80-81-336

99 OT039 Half Sole Children-P Ha-So-Ch-P 800.00 800.00 800.00 80-81002-009-80-81002-80-81-336

100 OT086 Hip Disarticulation Plastic Socket-K 15,000.00 20,000.00 20,000.00 80-81002-009-80-81002-80-81-336

101 OT082 Hip Disarticulation With Hip/Knee Joint 85,000.00 95,000.00 85,000.00 80-81002-009-80-81002-80-81-336

102 OT138 Hkafo Adult 14,000.00 14,000.00 14,000.00 80-81002-009-80-81002-80-81-336

103 OT139 Hkafo Child 8,000.00 8,000.00 8,000.00 80-81002-009-80-81002-80-81-336

104 OT179 Interlocking Naiks9*38 11,000.00 11,000.00 11,000.00 80-81002-009-80-81002-80-81-336

105 OT180 Interlocking Nails 10*34 11,000.00 11,000.00 11,000.00 80-81002-009-80-81002-80-81-336

106 OT177 Interlocking Nails 9*34 11,000.00 11,000.00 11,000.00 80-81002-009-80-81002-80-81-336

107 OT178 Interlocking Nails 9*36 11,000.00 11,000.00 11,000.00 80-81002-009-80-81002-80-81-336

108 OT147 Interlocking Nails Set 220,000.00 220,000.00 220,000.00 80-81002-009-80-81002-80-81-336

109 OT136 Kafo Adult 8,000.00 8,000.00 8,000.00 80-81002-009-80-81002-80-81-336

110 OT137 Kafo Child 4,000.00 4,000.00 4,000.00 80-81002-009-80-81002-80-81-336

111 OT174 K Nails 10*28 2,000.00 2,000.00 2,000.00 80-81002-009-80-81002-80-81-336

112 OT176 K Nails 10*34 2,000.00 2,000.00 2,000.00 80-81002-009-80-81002-80-81-336

113 OT175 K Nails 10*36 2,000.00 2,000.00 2,000.00 80-81002-009-80-81002-80-81-336

114 OT011 Knock Knee Cap-K Kk-Cap-K 200.00 200.00 200.00 80-81002-009-80-81002-80-81-336

115 OT013 Knock Knee Cap-Nk Kk-Cap-Nk 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

116 OT012 Knock Knee Cap-P Kk-Cap-P 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

117 OT171 K Wires 1.5mm 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

118 OT173 K Wires 2.5mm 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

119 OT172 K Wires 2mm 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

120 OT201 Lumber Corset 16,300.00 16,300.00 16,300.00 80-81002-009-80-81002-80-81-336

121 OT029 Metalarsal Pads Pair-K Metapads-K 500.00 500.00 500.00 80-81002-009-80-81002-80-81-336

122 OT031 Metalarsal Pads Pair-Nk Metapads Nk 1,000.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

123 OT030 Metalarsal Pads Pair -P Metapads-P 1,000.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

124 OT197 Narrow Dcp Plate 10 Hole 3,000.00 3,000.00 3,000.00 80-81002-009-80-81002-80-81-336

125 OT198 Narrow Dcp Plate 14 Hole 3,000.00 3,000.00 3,000.00 80-81002-009-80-81002-80-81-336

126 OT195 Narrow Dcp Plate 4 Hole 3,000.00 3,000.00 3,000.00 80-81002-009-80-81002-80-81-336

127 OT196 Narrow Dcp Plate 6 Hole 3,000.00 3,000.00 3,000.00 80-81002-009-80-81002-80-81-336

128 OT100 New Band With Padding -K 300.00 600.00 600.00 80-81002-009-80-81002-80-81-336

129 OT020 New Hip Band With Padding-K Nhb-Pad-K 200.00 200.00 200.00 80-81002-009-80-81002-80-81-336

130 OT022 New Hip Band With Padding -Nk Nhb-Pad-Nk 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

131 OT021 New Hip Band With Padding-P Nhb-Pad-P 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

132 OT099 New Knee Cap-K 200.00 500.00 500.00 80-81002-009-80-81002-80-81-336

133 OT090 New Pelite Insert 3,000.00 5,000.00 5,000.00 80-81002-009-80-81002-80-81-336

134 OT089 New Rubber Foot -K 9,000.00 12,000.00 12,000.00 80-81002-009-80-81002-80-81-336

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COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

135 OT101 New Stirrup 300.00 500.00 500.00 80-81002-009-80-81002-80-81-336

136 OT017 New Thigh Band With Padding-K Ntb-Pad-K 200.00 200.00 200.00 80-81002-009-80-81002-80-81-336

137 OT019 New Thigh Band With Padding-Nk Ntb-Pad-Nk 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

138 OT018 New Thigh Band With Padding-P Ntb-Pad-P 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

139 OT133 Philadephia Colar 3,500.00 3,500.00 3,500.00 80-81002-009-80-81002-80-81-336

140 OT107 Plastic Cervical Collar 2,000.00 4,000.00 4,000.00 80-81002-009-80-81002-80-81-336

141 OT047 Plastic Cervical Collar-K 2,000.00 2,000.00 2,000.00 80-81002-009-80-81002-80-81-336

142 OT049 Plastic Cervical Collar-Nk 4,000.00 4,000.00 4,000.00 80-81002-009-80-81002-80-81-336

143 OT048 Plastic Cervical Collar-P 4,000.00 4,000.00 4,000.00 80-81002-009-80-81002-80-81-336

144 OT108 Polypropelene Cervical Collar 3,500.00 7,000.00 7,000.00 80-81002-009-80-81002-80-81-336

145 OT068 Pop Backslab Application Fee 200.00 200.00 200.00 80-81002-009-80-81002-80-81-336

146 OT065 Pop Cast Application-Below Elbow 200.00 200.00 200.00 80-81002-009-80-81002-80-81-336

147 OT120 Pop Cast Application Fee Above Elbow 300.00 500.00 500.00 80-81002-009-80-81002-80-81-336

148 OT066 Pop Cast Application Fee-Above Elbow 300.00 300.00 300.00 80-81002-009-80-81002-80-81-336

149 OT117 Pop Cast Application Fee Above Knee 400.00 800.00 800.00 80-81002-009-80-81002-80-81-336

150 OT122 Pop Cast Application Fee, Back Slab 200.00 400.00 400.00 80-81002-009-80-81002-80-81-336

151 OT119 Pop Cast Application Fee Bellow Elbow 200.00 400.00 400.00 80-81002-009-80-81002-80-81-336

152 OT118 Pop Cast Application Fee Bellow Knee 300.00 500.00 500.00 80-81002-009-80-81002-80-81-336

153 OT121 Pop Cast Application Fee U Slab 200.00 400.00 400.00 80-81002-009-80-81002-80-81-336

154 OT067 Pop U-Slab Application Fee 200.00 200.00 200.00 80-81002-009-80-81002-80-81-336

155 OT080 Ptb B/K Prosthesis Non K 65,000.00 65,000.00 65,000.00 80-81002-009-80-81002-80-81-336

156 OT088 Ptb/Plastic Socket -K 8,000.00 12,000.00 12,000.00 80-81002-009-80-81002-80-81-336

157 OT084 Ptb/Pts Prosthesis With Foot-K 50,000.00 65,000.00 65,000.00 80-81002-009-80-81002-80-81-336

158 OTO78 Reduction Of Elbow Joint, Non-Operative 500.00 500.00 500.00 80-81002-009-80-81002-80-81-336

159 OT132 Reduction Of Elbow Joint,Non Operative 500.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

160 OT075 Reduction Of Hip Joint,Non Operative 1,500.00 1,500.00 1,500.00 80-81002-009-80-81002-80-81-336

161 OT129 Reduction Of Hip Joint,Non Operative 1,500.00 3,000.00 3,000.00 80-81002-009-80-81002-80-81-336

162 OT076 Reduction Of Knee Joint, Non-Operative 1,500.00 1,500.00 1,500.00 80-81002-009-80-81002-80-81-336

163 OT130 Reduction Of Knee Joint,Non Operative 1,500.00 3,000.00 3,000.00 80-81002-009-80-81002-80-81-336

164 OT131 Reduction Of Shoulder Joint,Non Operative 1,500.00 3,000.00 3,000.00 80-81002-009-80-81002-80-81-336

165 OT077 Reduction Of Shoulder Joint,Non-Operative 1,500.00 1,500.00 1,500.00 80-81002-009-80-81002-80-81-336

166 OT123 Removal Of Pop 200.00 400.00 400.00 80-81002-009-80-81002-80-81-336

167 OT069 Removal Of Pop 200.00 200.00 200.00 80-81002-009-80-81002-80-81-336

168 OT128 Skeletal Traction Fixation Fee 1,000.00 2,000.00 2,000.00 80-81002-009-80-81002-80-81-336

169 OT074 Skeletal Traction Fixation Fee 1,000.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

170 OT127 Skin Traction Application Fee 100.00 200.00 200.00 80-81002-009-80-81002-80-81-336

171 OT073 Skin Traction Application Fee 100.00 100.00 100.00 80-81002-009-80-81002-80-81-336

172 OT186 Skin Traction (Bsn) Adults 1,500.00 1,500.00 1,500.00 80-81002-009-80-81002-80-81-336

173 OT187 Skin Traction (Bsn) Peadiatric 1,200.00 1,200.00 1,200.00 80-81002-009-80-81002-80-81-336

174 OT143 Skin Traction Kit Adult 1,200.00 1,200.00 1,200.00 80-81002-009-80-81002-80-81-336

175 OT142 Skin Traction Kit Child 1,100.00 1,100.00 1,100.00 80-81002-009-80-81002-80-81-336

176 OT106 Soft Cervical Collar 1,200.00 2,400.00 2,400.00 80-81002-009-80-81002-80-81-336

177 OT046 Soft Cervical Collar 2,400.00 2,400.00 2,400.00 80-81002-009-80-81002-80-81-336

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COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

178 OT044 Soft Cervical Collar-K 1,200.00 1,200.00 1,200.00 80-81002-009-80-81002-80-81-336

179 OT045 Soft Cervical Collar-P 2,400.00 2,400.00 2,400.00 80-81002-009-80-81002-80-81-336

180 OT014 Square Knee Cap-K Sk-Cao-K 200.00 200.00 200.00 80-81002-009-80-81002-80-81-336

181 OT016 Square Knee Cap-Nk Sk-Cap-Nk 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

182 OT015 Square Kneecap-P Sk-Cap-P 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

183 OT087 Through Knee Plastic Socket-K 10,000.00 12,000.00 12,000.00 80-81002-009-80-81002-80-81-336

184 OT083 Through Knee Prosthesis-K 60,000.00 65,000.00 65,000.00 80-81002-009-80-81002-80-81-336

185 OT035 Valgus Pad Stuck In Shoes-K Valpad-K 450.00 450.00 450.00 80-81002-009-80-81002-80-81-336

186 OT037 Valgus Pad Stuck In Shoes-NkR 800.00 800.00 800.00 80-81002-009-80-81002-80-81-336

187 OT036 Valgus Pad Stuck In Shoes -P Valpad -P 800.00 800.00 800.00 80-81002-009-80-81002-80-81-336

188 OT115 Walking Cane 800.00 1,500.00 1,500.00 80-81002-009-80-81002-80-81-336

189 OT058 Walking Cane-K 800.00 800.00 400.00 80-81002-009-80-81002-80-81-336

190 OT060 Walking Cane-Nk 1,500.00 1,500.00 400.00 80-81002-009-80-81002-80-81-336

191 OT060 Walking Cane-Nk 1,500.00 1,500.00 400.00 80-81002-009-80-81002-80-81-336

192 OT059 Walking Cane-P 1,500.00 1,500.00 800.00 80-81002-009-80-81002-80-81-336

193 OT116 Walking Frame 2,000.00 3,500.00 3,500.00 80-81002-009-80-81002-80-81-336

194 OT061 Walking Frame-K 2,000.00 2,000.00 2,000.00 80-81002-009-80-81002-80-81-336

195 OT061 Walking Frame-K 2,000.00 2,000.00 2,000.00 80-81002-009-80-81002-80-81-336

196 OT063 Walking Frame--Nk 3,500.00 3,500.00 3,500.00 80-81002-009-80-81002-80-81-336

197 OT062 Walking Frame-P 3,500.00 3,500.00 3,500.00 80-81002-009-80-81002-80-81-336

198 OT103 Wedges For Adults - K 500.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

199 OT026 Wedges For Adults-K Wedge Adult-K 500.00 500.00 500.00 80-81002-009-80-81002-80-81-336

200 OT028 Wedges For Adults-Nk Wedge-Adult-Nk 1,000.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

201 OT027 Wedges For Adults-P Wedge-Adult-P 1,000.00 1,000.00 1,000.00 80-81002-009-80-81002-80-81-336

202 OT102 Wedges For Children-K 400.00 800.00 800.00 80-81002-009-80-81002-80-81-336

203 OT023 Wedges For Children-K Wedge-Child-K 400.00 400.00 400.00 80-81002-009-80-81002-80-81-336

204 OT025 Wedges For Children-Nk Wedge-Child-Nk 800.00 800.00 800.00 80-81002-009-80-81002-80-81-336

205 OT024 Wedges For Children-P Wedge-Child-P 800.00 800.00 800.00 80-81002-009-80-81002-80-81-336

OTHER DEBTORS

1 01 debtors 2,000.00 2,000.00 0.00 20-23-133

2 DEBTORS04 Kiosk 1 2,600.00 2,600.00 1,000.00 20-23-133

3 DEBTORS05 Kiosk 2 2,600.00 2,600.00 1,050.00 20-23-133

4 DEBTORS06 Kiosk 3 2,600.00 2,600.00 1,050.00 20-23-133

5 DEBTORS07 Kiosk 4 2,600.00 2,600.00 1,932.00 20-23-133

6 DEBTORS02 Main Canteen 23,000.00 23,000.00 15,000.00 20-23-133

7 DEBTORS03 Maternity Canteen 18,000.00 18,000.00 12,000.00 20-23-133

8 DEBTORS11 Pitching Tents 1 Week 1,000.00 1,000.00 1,000.00 20-23-133

9 DEBTORS10 Posta Kenya 5,000.00 5,000.00 5,000.00 20-23-133

10 DEBTORS08 University Of New York 0.00 0.00 0.00 20-23-133

11 02 University Of Washington 11,081.50 11,081.50 11,081.50 20-23-133

12 DEBTORS09 University Of Washingtone 45,000.00 45,000.00 45,000.00 20-23-133

OUT PATIENT

1 outp04 Ante-Natal Clinic 100.00 100.00 5.00 80-81-322

2 OUTP04 Colposcopy 600.00 600.00 600.00 80-81-322

3 OUTP01 Consultation 150.00 150.00 150.00 80-81-322

4 OUTP02 Dressing 50.00 50.00 5.00 80-81-322

5 OUTP03 FUNSOFT CONTROL 0.00 50.00 5.00 80-81-322

6 OUT19 Injection 60.00 60.00 3.00 80-81-322

7 OUTP05 Leep 1,000.00 1,000.00 1,000.00 80-81-322

8 outp05 Post-Natal Clinic 100.00 100.00 5.00 80-81-322

9 out001 Romoval Of Stitches 50.00 50.00 6.00 80-81-322

PAEDIATRIC CLINIC

Charge Sheet - Page: 32

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

1 PAE01 Consultation 200.00 200.00 200.00 80-81-710

2 PAE02 Funsoft Control 0.00 0.00 0.00 80-81-710

PHARMACY 24HR -DRUGS

1 ph20120 Bone Marrow Trephine Needle 11g/150mm(Neo-Oxus) +Sterile Pack

3,500.00 3,500.00 0.00 80-81-330

2 ph20121 Bone Marrow Trephine Needle 11g/150mm(Neo-Oxus) +Sterile Pack

3,500.00 3,500.00 0.00 80-81-330

3 PND76 Drug 1.00 1.00 1.00 80-81-330

PHARMACY24 HR NON DRUGS

1 PND79 Blood Giving Sets 65.00 65.00 65.00 80-81002-002-80-81-335

2 PND01 Blood Giving Sets 55.00 55.00 55.00 80-81002-002-80-81-335

3 PNW79 Blood Giving Sets 65.00 65.00 65.00 80-81002-002-80-81-335

4 ph12121 Bone Marrow Trephine Needle 11g/150mm(Neo-Oxus) +Sterile Pack

3,500.00 3,500.00 0.00 80-81002-002-80-81-335

5 ph21212 Bone Marrow Trephine Needle 13g/70mm(Neo-Oxus) +Sterile Pack

3,500.00 3,500.00 0.00 80-81002-002-80-81-335

6 PND02 Branulars Size 18 (Mediflon) 46.00 46.00 46.00 80-81002-002-80-81-335

7 PND80 Branulars Size 18(Mediflon) 46.00 46.00 46.00 80-81002-002-80-81-335

8 PND81 Branulars Size 20 46.00 46.00 46.00 80-81002-002-80-81-335

9 PND03 Branulars Size 20 46.00 46.00 46.00 80-81002-002-80-81-335

10 PND04 Branulars Size 22 52.00 52.00 52.00 80-81002-002-80-81-335

11 PND82 Branulars Size 22 52.00 52.00 52.00 80-81002-002-80-81-335

12 PND05 Branulars Size 24 52.00 52.00 52.00 80-81002-002-80-81-335

13 PND83 Branulars Size 24 52.00 52.00 52.00 80-81002-002-80-81-335

14 PND84 Chest Tubes+Underwater Seal Drainage Bottle 7,800.00 7,800.00 7,800.00 80-81002-002-80-81-335

15 PND78 Colostomy Bags 130.00 130.00 130.00 80-81002-002-80-81-335

16 PNW78 Colostomy Bags 130.00 130.00 130.00 80-81002-002-80-81-335

17 PND06 Crepe Bandages 3`` Roll 111.00 111.00 111.00 80-81002-002-80-81-335

18 PND07 Crepe Bandages 4`` Roll 190.00 190.00 189.00 80-81002-002-80-81-335

19 PND08 Crepe Bandages 6`` 286.00 286.00 286.00 80-81002-002-80-81-335

20 PND60 Elastro Gel 10cmx10 30.00 30.00 30.00 80-81002-002-80-81-335

21 PND59 Elastro Gel 15cmx20cm 125.00 125.00 125.00 80-81002-002-80-81-335

22 PND44 Endotracheal Tubes(Nasal)#5.0 611.00 611.00 611.00 80-81002-002-80-81-335

23 PND45 Endotracheal Tubes(Nasal)#6.0 624.00 624.00 624.00 80-81002-002-80-81-335

24 PND47 Endotracheal Tubes(Nasal)#6.5 624.00 624.00 624.00 80-81002-002-80-81-335

25 PND46 Endotracheal Tubes(Nasal)#7.0 624.00 624.00 624.00 80-81002-002-80-81-335

26 PND48 Endotracheal Tubes (Nasal)#8.0 5,428.00 5,428.00 5,428.00 80-81002-002-80-81-335

27 PND40 Endotracheal Tubes Plain 5.0 273.00 273.00 273.00 80-81002-002-80-81-335

28 PND41 Endotracheal Tubes Plain 5.5 273.00 273.00 273.00 80-81002-002-80-81-335

29 PND42 Endotracheal Tubes Plain 6.5 273.00 273.00 273.00 80-81002-002-80-81-335

30 PND43 Endotracheal Tubes Plain 7.0 273.00 273.00 273.00 80-81002-002-80-81-335

31 PND49 Foley Catheters Size 6 138.00 138.00 138.00 80-81002-002-80-81-335

32 PND50 Foleys 3-Way Catheters G21 234.00 234.00 234.00 80-81002-002-80-81-335

33 PND51 Foleys 3 Way Catheters G22 234.00 234.00 234.00 80-81002-002-80-81-335

34 PND52 Foleys 3 Way Catheters G24 195.00 195.00 195.00 80-81002-002-80-81-335

35 PND53 Foleys 3 Way Catheters G26 182.00 182.00 182.00 80-81002-002-80-81-335

36 PND54 Foleys Catheters G10 98.00 98.00 98.00 80-81002-002-80-81-335

37 PND55 Foleys Catheters G 12 98.00 98.00 98.00 80-81002-002-80-81-335

38 PND56 Foleys Catheters G14 98.00 98.00 98.00 80-81002-002-80-81-335

39 PND57 Foleys Catheters G16 98.00 98.00 98.00 80-81002-002-80-81-335

40 PND58 Foleys Catheters G18 98.00 98.00 98.00 80-81002-002-80-81-335

41 PND59 Foleys Catheters G20 98.00 98.00 98.00 80-81002-002-80-81-335

42 PND60 Foleys Catheters G22 98.00 98.00 98.00 80-81002-002-80-81-335

43 PND35 Foleys Catheters G 24 98.00 98.00 98.00 80-81002-002-80-81-335

44 PND36 Foleys Catheters G 28 98.00 98.00 98.00 80-81002-002-80-81-335

45 PND37 Foleys Catheters G 8 98.00 98.00 98.00 80-81002-002-80-81-335

46 PND38 Foleys Catheters Size 4 130.00 130.00 130.00 80-81002-002-80-81-335

47 PND09 Infusion Sets(Atom) 46.00 46.00 46.00 80-81002-002-80-81-335

48 PND39 Infusion Sets(Atom) 46.00 46.00 46.00 80-81002-002-80-81-335

49 PND62 Name Tags(Pink) 26.00 26.00 26.00 80-81002-002-80-81-335

50 PND61 Name Tags(White) 39.00 39.00 39.00 80-81002-002-80-81-335

51 PND63 Nasogastric Tubes G10 52.00 52.00 52.00 80-81002-002-80-81-335

52 PND64 Nasogastric Tubes G12 52.00 52.00 52.00 80-81002-002-80-81-335

53 PND68 Nasogastric Tubes G14 52.00 52.00 52.00 80-81002-002-80-81-335

54 PND69 Nasogastric Tubes G16 52.00 52.00 52.00 80-81002-002-80-81-335

55 PND70 Nasogastric Tubes G18 52.00 52.00 52.00 80-81002-002-80-81-335

56 PND71 Nasogastric Tubes G20 52.00 52.00 52.00 80-81002-002-80-81-335

57 PND65 Nasogastric Tubes G4 52.00 52.00 52.00 80-81002-002-80-81-335

58 PND66 Nasogastric Tubes G6 52.00 52.00 52.00 80-81002-002-80-81-335

59 PND67 Nasogastric Tubes G8 52.00 52.00 52.00 80-81002-002-80-81-335

Charge Sheet - Page: 33

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

60 PND10 Needles G18 6.00 6.00 6.00 80-81002-002-80-81-335

61 PND11 Needles G21 6.00 6.00 6.00 80-81002-002-80-81-335

62 PND12 Needles G23 6.00 6.00 6.00 80-81002-002-80-81-335

63 PND13 Oxygen Tubes Pcs 215.00 215.00 215.00 80-81002-002-80-81-335

64 PND14 P.O.P Roll 4`` 215.00 215.00 215.00 80-81002-002-80-81-335

65 P24HND001 P.O.P Roll 6`` 260.00 260.00 260.00 80-81002-002-80-81-335

66 PND15 Sanitary Pads Pkt 208.00 208.00 208.00 80-81002-002-80-81-335

67 PND58 Soft Ban" 4" 260.00 260.00 260.00 80-81002-002-80-81-335

68 PND16 Soft Ban "6' 260.00 260.00 165.00 80-81002-002-80-81-335

69 PND18 Solusets 100ml 273.00 273.00 273.00 80-81002-002-80-81-335

70 PND19 Solusets 150ml 273.00 273.00 273.00 80-81002-002-80-81-335

71 PND17 Solusets(Atom) 100mls 260.00 260.00 260.00 80-81002-002-80-81-335

72 PND21 Strapping 4'' Rolls 169.00 169.00 169.00 80-81002-002-80-81-335

73 PND22 Strapping 6'' Rolls 207.00 207.00 195.00 80-81002-002-80-81-335

74 PND20 Strappings 3`` Rolls 143.00 143.00 143.00 80-81002-002-80-81-335

75 PND23 Suction Catheters G10 65.00 65.00 65.00 80-81002-002-80-81-335

76 PND24 Suction Catheters G12 65.00 65.00 65.00 80-81002-002-80-81-335

77 PND25 Suction Catheters G14 65.00 65.00 65.00 80-81002-002-80-81-335

78 PND26 Suction Catheters G16 65.00 65.00 65.00 80-81002-002-80-81-335

79 PND27 Suction Catheters G4 65.00 65.00 65.00 80-81002-002-80-81-335

80 PND29 Suction Catheters G6 65.00 65.00 65.00 80-81002-002-80-81-335

81 PND28 Suction Catheters G8 65.00 65.00 65.00 80-81002-002-80-81-335

82 PND30 Surgical Blades No. 11 9.00 9.00 9.00 80-81002-002-80-81-335

83 PND31 Surgical Blades No.15 9.00 9.00 9.00 80-81002-002-80-81-335

84 PND32 Surgical Blades No. 23 9.00 9.00 9.00 80-81002-002-80-81-335

85 PND33 Surgical Blades No.24 9.00 9.00 9.00 80-81002-002-80-81-335

86 PND72 Surgical Gloves Elbow Size 7.5 130.00 130.00 130.00 80-81002-002-80-81-335

87 PND76 Under Water Seal Drainage Bottles Size 18 1,528.00 1,528.00 1,528.00 80-81002-002-80-81-335

88 PND73 Under Water Seal Drainage Bottles Size 28 1,528.00 1,528.00 1,528.00 80-81002-002-80-81-335

89 PND74 Under Water Seal Drainage Bottles Size 30 1,528.00 1,528.00 1,528.00 80-81002-002-80-81-335

90 PND75 Under Water Seal Drainage Bottles Size 32 1,528.00 1,528.00 1,528.00 80-81002-002-80-81-335

91 PNW77 Urine Bags 267.00 267.00 267.00 80-81002-002-80-81-335

92 PND77 Urine Bags 267.00 267.00 267.00 80-81002-002-80-81-335

PHYSIOTHERAPY

1 PHY012 Chest Physiotherapy 100.00 100.00 5.00 80-81-557

2 PHY021 Cryotherapy 50.00 50.00 5.00 80-81-557

3 PHY0049 Disability Assessment Categorization 1,500.00 1,500.00 1,500.00 80-81-557

4 PHY019 FUNSOFT CONTROL 0.00 50.00 5.00 80-81-557

5 PHY013 Gym Rehabilitation 50.00 50.00 5.00 80-81-557

6 PHY0046 Gym Rehabilitation-P 100.00 100.00 100.00 80-81-557

7 PHY022 Gym Therapetic Excersion 50.00 50.00 5.00 80-81-557

8 PHY0047 Gym Therapetic Exercise-P 100.00 100.00 100.00 80-81-557

9 PHY018 Hot Pack Therapy 50.00 50.00 5.00 80-81-557

10 PHY0034 Hot Pack Therapy-K 50.00 50.00 50.00 80-81-557

11 PHY0035 Hot Pack Therapy-P 100.00 100.00 100.00 80-81-557

12 PHY0036 Infrared Therapy-K 50.00 50.00 50.00 80-81-557

13 PHY0037 Infrared Therapy-P 100.00 100.00 100.00 80-81-557

14 PHY0048 Inpatient Physio Session-P 150.00 150.00 150.00 80-81-557

15 PHY015 In-Patient Physiotherapy 100.00 100.00 5.00 80-81-557

16 PHYS1016 Inpatient Physiotherapy Arw 250.00 250.00 250.00 80-81-557

17 PHYS1015 Inpatient Physiotherapy I.C.U 250.00 250.00 250.00 80-81-557

18 PHY004 Intermitent Electrical Spinal Traction 100.00 100.00 5.00 80-81-557

19 PHY009 Keep Fit 100.00 100.00 5.00 80-81-557

20 PHY0042 Keep Fit-P 200.00 200.00 200.00 80-81-557

21 PHY017 Physiotheraphy Report 200.00 200.00 5.00 80-81-557

22 PHY0023 Physiotherapy 50.00 50.00 4.00 80-81-557

23 PHY0026 Physiotherapy Report-K 200.00 200.00 200.00 80-81-557

24 PHY0027 Physiotherapy Report-P 300.00 300.00 300.00 80-81-557

25 PHY0024 P.O.P 700.00 700.00 5.00 80-81-557

26 PHY0024 Registration-K 100.00 100.00 100.00 80-81-557

27 PHY0025 Registration-P 200.00 200.00 200.00 80-81-557

28 PHY0041 Slintage-P 500.00 500.00 500.00 80-81-557

29 PHYO20 Soft Tissue Manipulations (Stm) 50.00 50.00 5.00 80-81-557

30 PHY0043 Soft Tissue Manipu-P 100.00 100.00 100.00 80-81-557

31 PHY008 Splintage 400.00 400.00 5.00 80-81-557

32 PHY0040 Splintage-K 400.00 400.00 400.00 80-81-557

33 PHYS 1080 Sputum Extraction Bottle 150.00 150.00 150.00 80-81-557

34 PHY0038 Tens Therapy-K 50.00 50.00 50.00 80-81-557

35 PHY0039 Tens Therapy-P 100.00 100.00 100.00 80-81-557

Charge Sheet - Page: 34

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

36 PHY0030 Traction-K 100.00 100.00 100.00 80-81-557

37 PHY0031 Traction-P 200.00 200.00 200.00 80-81-557

38 PHY0028 Ultrasound Therapy-K 50.00 50.00 50.00 80-81-557

39 PHY0029 Ultrasound Therapy-P 150.00 150.00 150.00 80-81-557

40 PHY003 Utrasound Therapy 50.00 50.00 5.00 80-81-557

41 PHY005 Waxbath Therapy 50.00 50.00 5.00 80-81-557

42 PHY0032 Wax Bath Therapy-K 50.00 50.00 50.00 80-81-557

43 PHY0033 Wax Bath Therapy-P 100.00 100.00 100.00 80-81-557

POST-NATAL WARD

1 PNW02 Accomodation 200.00 200.00 5.00 80-81-702

2 PNW091 Accomondation Fee 300.00 300.00 300.00 80-81-702

3 PNW04 Antibiotics Treatment 120.00 120.00 5.00 80-81-702

4 POST17 B.B.A 500.00 500.00 10.00 80-81-702

5 POST01 Bed Fee 300.00 300.00 5.00 80-81-702

6 PNW15 Blood Transfusion 500.00 500.00 5.00 80-81-702

7 PNW33 Bone Marrow 100.00 100.00 100.00 80-81-702

8 PNW34 Bone Marrow Nk 200.00 200.00 200.00 80-81-702

9 PNW07 branula 50.00 50.00 5.00 80-81-702

10 POST05 Catheter 200.00 200.00 5.00 80-81-702

11 PNW69 Catheter Change 50.00 50.00 50.00 80-81-702

12 PNW70 Catheter Change Nk 100.00 100.00 100.00 80-81-702

13 PNW77 Catheterization 100.00 100.00 100.00 80-81-702

14 PNW78 Catheterization NK 200.00 200.00 200.00 80-81-702

15 PNW35 Chest Aspiration 100.00 100.00 100.00 80-81-702

16 PNW036 Chest Aspiration Nk 200.00 200.00 200.00 80-81-702

17 POST02 Consumable 300.00 300.00 5.00 80-81-702

18 POST15 C/S 5,000.00 5,000.00 10.00 80-81-702

19 PNW49 Decontamination 50.00 50.00 50.00 80-81-702

20 PNW50 Decontamination Nk 100.00 100.00 100.00 80-81-702

21 POST16 Delivey (Sud) 2,000.00 2,000.00 10.00 80-81-702

22 POST03 Dressing 50.00 50.00 5.00 80-81-702

23 PNW26 Dressing Nk 100.00 100.00 100.00 80-81-702

24 PNW36 Drug Administration 50.00 50.00 50.00 80-81-702

25 PNW71 Enema 100.00 100.00 100.00 80-81-702

26 PNW72 Enema Nk 200.00 200.00 200.00 80-81-702

27 POST18 E.U.A 3,000.00 3,000.00 10.00 80-81-702

28 PNW51 Eye Swabing 50.00 50.00 50.00 80-81-702

29 PNW52 Eye Swabing Nk 100.00 100.00 100.00 80-81-702

30 PNW41 Flatus Tube 50.00 50.00 50.00 80-81-702

31 POST20 FUNSOFT CONTROL 0.00 50.00 4.00 80-81-702

32 PNW05 General Treatment 60.00 60.00 5.00 80-81-702

33 POST07 Giving set 50.00 50.00 5.00 80-81-702

34 PNW08 G/Set 50.00 50.00 5.00 80-81-702

35 POST12 Gxn0 50.00 50.00 5.00 80-81-702

36 POST13 Hb 100.00 100.00 5.00 80-81-702

37 PNW37 Identification Band 50.00 50.00 50.00 80-81-702

38 PNW38 Identification Band Nk 100.00 100.00 100.00 80-81-702

39 PNW17 Ivf Fixing 60.00 60.00 60.00 80-81-702

40 PNW18 Ivf Fixing Nk 100.00 100.00 100.00 80-81-702

41 POST11 I.V FLUID 50.00 70.00 5.00 80-81-702

42 POST09 I.V Fluids 60.00 60.00 5.00 80-81-702

43 PNW32 Last Office 200.00 200.00 200.00 80-81-702

44 PNW53 Local Application Medicine 50.00 50.00 50.00 80-81-702

45 PNW54 Local Application Medicine Nk 100.00 100.00 100.00 80-81-702

46 PNW55 Lumbar Functure 100.00 100.00 100.00 80-81-702

47 PNW56 Lumbar Functure Nk 200.00 200.00 200.00 80-81-702

48 POST14 Macdonald Stitch 3,000.00 3,000.00 10.00 80-81-702

49 PNW31 Mortury Sheet 400.00 400.00 400.00 80-81-702

50 PNW73 Ng Tube 100.00 100.00 100.00 80-81-702

51 PNW74 Ng Tube Nk 200.00 200.00 200.00 80-81-702

52 PNW10 Normal Delivery 1,800.00 1,800.00 5.00 80-81-702

53 PNW090 Nursing Fees 100.00 100.00 100.00 80-81-702

54 PNW75 Oral Toilet 50.00 50.00 50.00 80-81-702

55 PNW76 Oral Toilet Nk 100.00 100.00 100.00 80-81-702

56 POST10 Oxygen 250.00 250.00 5.00 80-81-702

57 PNW39 Oxygen Catheter 100.00 100.00 100.00 80-81-702

58 PNW40 Oxygen Catheter Nk 200.00 200.00 100.00 80-81-702

59 PNW40 Oxygen Catheter Nk 200.00 200.00 100.00 80-81-702

60 PNW40 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-702

Charge Sheet - Page: 35

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

61 PNW27 Oxygen Therapy 250.00 250.00 250.00 80-81-702

62 PNW29 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-702

63 PNW30 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-702

64 PNW28 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-702

65 PNW09 Pads 70.00 70.00 5.00 80-81-702

66 PNW11 Removal Of Stiches 50.00 50.00 5.00 80-81-702

67 PNW42 Ros Nk 100.00 100.00 100.00 80-81-702

68 PNW45 Saline Bath 100.00 100.00 100.00 80-81-702

69 PNW46 Saline Bath Nk 200.00 200.00 200.00 80-81-702

70 PNW14 Scan(Abd) 500.00 500.00 5.00 80-81-702

71 PNW43 Shaving 50.00 50.00 50.00 80-81-702

72 PNW44 Shaving Nk 100.00 100.00 100.00 80-81-702

73 PNW47 Skin Care 50.00 50.00 50.00 80-81-702

74 PNW48 Skin Care Nk 100.00 100.00 100.00 80-81-702

75 PNW57 Steam Inhalation 100.00 100.00 100.00 80-81-702

76 PNW58 Steam Inhalation Nk 200.00 200.00 200.00 80-81-702

77 PNW59 Stomach Washout 50.00 50.00 50.00 80-81-702

78 PNW60 Stomach Washout Nk 100.00 100.00 100.00 80-81-702

79 PNW61 Suction 50.00 50.00 50.00 80-81-702

80 PNW62 Suction Nk 100.00 100.00 100.00 80-81-702

81 PNW63 Suction Tracheostomy 50.00 50.00 50.00 80-81-702

82 PNW64 Suction Tracheostomy Nk 100.00 100.00 100.00 80-81-702

83 PNW65 Suprapubic Pucture 500.00 500.00 500.00 80-81-702

84 PNW66 Suprapubic Pucture Nk 1,000.00 100.00 100.00 80-81-702

85 POST08 Transfusion Set 50.00 50.00 5.00 80-81-702

86 POST06 Urine Bag 50.00 50.00 5.00 80-81-702

87 PNW67 Urine Testing 50.00 50.00 50.00 80-81-702

88 PNW68 Urine Testing Nk 100.00 100.00 100.00 80-81-702

89 PNW 088 Vulva Toilet 100.00 100.00 100.00 80-81-702

90 PNW089 Vulva Toilet Nk 200.00 200.00 200.00 80-81-702

P.O.W WARD

1 POW1001 Accomodation 300.00 300.00 5.00 80-81-704

2 POW1005 Accomodation 400.00 400.00 400.00 80-81-704

3 POW77 Accomondation Fee 200.00 200.00 200.00 80-81-704

4 POW001 Bed Fee 100.00 200.00 5.00 80-81-704

5 POW17 Bone Marrow 100.00 100.00 100.00 80-81-704

6 POW18 Bone Marrow Nk 200.00 200.00 200.00 80-81-704

7 P.O.W02 branula 50.00 50.00 5.00 80-81-704

8 P.O.W03 Bt Set 50.00 50.00 5.00 80-81-704

9 POW1009 Caretaker 300.00 300.00 300.00 80-81-704

10 POW111 Care Taker 200.00 200.00 5.00 80-81-704

11 POW56 Catheter Change 50.00 50.00 50.00 80-81-704

12 POW57 Catheter Change Nk 100.00 100.00 100.00 80-81-704

13 POW64 Catheterization 100.00 100.00 100.00 80-81-704

14 POW65 Catheterization Nk 200.00 200.00 200.00 80-81-704

15 POW19 Chest Aspiration 100.00 100.00 100.00 80-81-704

16 POW20 Chest Aspiration Nk 200.00 200.00 200.00 80-81-704

17 POW20 Chest Aspiration Nk 200.00 200.00 200.00 80-81-704

18 POW20 Chest Aspiration Nk 200.00 200.00 200.00 80-81-704

19 POW20 Chest Aspiration Nk 200.00 200.00 200.00 80-81-704

20 P.O.W05 Consumables 200.00 300.00 5.00 80-81-704

21 POW1006 Consumables 400.00 400.00 400.00 80-81-704

22 POW88 Consumables 200.00 200.00 200.00 80-81-704

23 POW1002 Consummable 300.00 300.00 5.00 80-81-704

24 POW36 Decontamination 50.00 50.00 50.00 80-81-704

25 POW37 Decontamination Nk 100.00 100.00 100.00 80-81-704

26 P.O.W06 Dressing 50.00 50.00 5.00 80-81-704

27 POW10 Dressing Nk 100.00 100.00 100.00 80-81-704

28 POW21 Drug Administration 50.00 50.00 50.00 80-81-704

29 POW58 Enema 100.00 100.00 100.00 80-81-704

30 POW59 Enema Nk 200.00 200.00 200.00 80-81-704

31 POW38 Eye Swabing 50.00 50.00 50.00 80-81-704

32 POW39 Eye Swabing Nk 100.00 100.00 100.00 80-81-704

33 POW26 Flatus Tube 50.00 50.00 50.00 80-81-704

34 POW27 Flatus Tube Nk 100.00 100.00 100.00 80-81-704

35 P.O.W09 FUNSOFT CONTROL 0.00 250.00 5.00 80-81-704

36 P.O.W07 Giving set 50.00 50.00 5.00 80-81-704

37 POW22 Identification Band 50.00 50.00 50.00 80-81-704

38 POW23 Identification Band Nk 100.00 100.00 100.00 80-81-704

Charge Sheet - Page: 36

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

39 P.OW005 Ivf Fixing 60.00 60.00 60.00 80-81-704

40 P.OW006 Ivf Fixing Nk 100.00 100.00 100.00 80-81-704

41 POW16 Last Office 200.00 200.00 200.00 80-81-704

42 P.O.W04 Last Office 300.00 300.00 200.00 80-81-704

43 P.O.W04 Last Office 300.00 300.00 200.00 80-81-704

44 P.O.W04 Last Office 300.00 300.00 200.00 80-81-704

45 P.O.W04 Last Office 300.00 300.00 200.00 80-81-704

46 P.O.W04 Last Office 300.00 300.00 200.00 80-81-704

47 POW40 Local Appl. Medicine 50.00 50.00 50.00 80-81-704

48 POW41 Local Appl. Medicine Nk 100.00 100.00 100.00 80-81-704

49 POW42 Lumbar Functure 100.00 100.00 100.00 80-81-704

50 POW43 Lumbar Functure Nk 200.00 200.00 200.00 80-81-704

51 POW15 Mortury Sheet 400.00 400.00 400.00 80-81-704

52 POW60 Ng Tube 100.00 100.00 100.00 80-81-704

53 POW61 Ng Tube Nk 200.00 200.00 200.00 80-81-704

54 POW1011 Nitrous And Halogen 500.00 500.00 500.00 80-81-704

55 POW1007 Nursing Fee 200.00 200.00 200.00 80-81-704

56 PWO1004 Nursing Fee 100.00 100.00 5.00 80-81-704

57 POW62 Oral Toilet 50.00 50.00 50.00 80-81-704

58 POW63 Oral Toilet Nk 100.00 100.00 100.00 80-81-704

59 POW1010 Oxygen 350.00 350.00 350.00 80-81-704

60 POW24 Oxygen Catheter 100.00 100.00 100.00 80-81-704

61 POW25 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-704

62 POW11 Oxygen Therapy 250.00 250.00 250.00 80-81-704

63 POW13 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-704

64 POW14 Oxygen Therapy Icu Nk 500.00 500.00 1,000.00 80-81-704

65 POW12 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-704

66 P.O.W10 Pads 70.00 70.00 5.00 80-81-704

67 P.O.W11 Removal Of Stitches 50.00 50.00 5.00 80-81-704

68 POW28 Ros 50.00 50.00 50.00 80-81-704

69 POW29 Ros Nkk 100.00 100.00 100.00 80-81-704

70 POW32 Saline Bath 100.00 100.00 100.00 80-81-704

71 POW33 Saline Bath Nk 200.00 200.00 200.00 80-81-704

72 POW1008 Sanitary And Disinfection 200.00 200.00 200.00 80-81-704

73 POW30 Shaving 50.00 50.00 50.00 80-81-704

74 POW31 Shaving Nk 100.00 100.00 100.00 80-81-704

75 POW34 Skin Care 50.00 50.00 50.00 80-81-704

76 POW35 Skin Care Nk 100.00 100.00 100.00 80-81-704

77 POW44 Steam Inhalation 100.00 100.00 100.00 80-81-704

78 POW45 Steam Inhalation Nk 200.00 200.00 200.00 80-81-704

79 P.O.W13 Stitching 1,000.00 1,000.00 5.00 80-81-704

80 POW46 Stomach Washout 50.00 50.00 50.00 80-81-704

81 POW47 Stomach Washout Nk 100.00 100.00 100.00 80-81-704

82 POW48 Suction 50.00 50.00 50.00 80-81-704

83 POW49 Suction Nk 100.00 100.00 100.00 80-81-704

84 POW50 Suction Tracheostomy 50.00 50.00 50.00 80-81-704

85 POW51 Suction Tracheostomy Nk 100.00 100.00 100.00 80-81-704

86 POW53 Suprapubic Puncture Nk 1,000.00 1,000.00 1,000.00 80-81-704

87 POW52 Suprapubic Punture 500.00 500.00 500.00 80-81-704

88 P.O.W19 Urine Bag 50.00 50.00 5.00 80-81-704

89 POW54 Urine Testing 50.00 50.00 50.00 80-81-704

90 POW55 Urine Testing Nk 100.00 100.00 100.00 80-81-704

91 POW66 Vulva Toilet 100.00 100.00 100.00 80-81-704

PSCHATRIC CLINIC

1 PSC01 Consultation 200.00 200.00 200.00 80-81-711

2 PSC02 Funsoft Control 0.00 0.00 0.00 80-81-711

PUBLIC HEALTH

1 PH002 Food Handlers Certificate 500.00 500.00 500.00 80-81-521

2 PH0001 Rabbies Vaccine 500.00 500.00 500.00 80-81-521

3 PH004 Safety Box Disposal(Inceneration) 200.00 200.00 200.00 80-81-521

4 PH003 Waste Disposal 200.00 200.00 200.00 80-81-521

REHAB

1 REH001 Accomodation Fee 1,000.00 1,000.00 1,000.00 80-81-80-81-902

RENAL UNIT

1 RN001 Admission Fee 0.00 0.00 0.00 80-8102-003-802

2 RN002 Dialysis 1,500.00 1,500.00 1,500.00 80-8102-003-802

3 1010 Dialysis 6,000.00 6,000.00 5.00 80-8102-003-802

4 RN003 Dialysis Kit 4,500.00 4,500.00 4,500.00 80-8102-003-802

5 REN1011 Dialysis Package (Nhif) 9,500.00 9,500.00 9,500.00 80-8102-003-802

Charge Sheet - Page: 37

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

6 REN1012 Dialysis Package Non Nhif 6,000.00 6,000.00 6,000.00 80-8102-003-802

7 RN006 Nhif Dialisys Kit 3,500.00 3,500.00 3,500.00 80-8102-003-802

8 RN006 NHIf Dialisys Kit 2,000.00 2,000.00 2,000.00 80-8102-003-802

9 RN006 NHIf Dialisys Kit 2,000.00 2,000.00 3,500.00 80-8102-003-802

10 RN003 Nurssing Fees 100.00 100.00 4,500.00 80-8102-003-802

11 RN003 Nurssing Fees 100.00 100.00 4,500.00 80-8102-003-802

12 RN003 Nurssing Fees 100.00 100.00 100.00 80-8102-003-802

13 RN 20 Peritoneal Dialysis 1,500.00 1,500.00 1,500.00 80-8102-003-802

14 REN 25 Renal Theatre 25,000.00 25,000.00 25,000.00 80-8102-003-802

15 RN2018002 Still Cardiocentesis Adult 15,000.00 15,000.00 50.00 80-8102-003-802

16 RN2018001 Still Cardiocentesis Child 7,500.00 7,500.00 50.00 80-8102-003-802

17 RN004 Subclavian Catheter 8,000.00 8,000.00 8,000.00 80-8102-003-802

18 RN005 Subclavian Insertion 2,000.00 2,000.00 2,000.00 80-8102-003-802

SOCIAL WELFARE

1 SOWEL03 Adoption Forstering Abondoned Babies 2,000.00 2,000.00 5.00 80-81002-003-708

2 SOWEL05 Group Therapy 100.00 100.00 5.00 80-81002-003-708

3 SOWEL06 Interviewing And Case Management 1,500.00 1,500.00 5.00 80-81002-003-708

4 SOWEL07 Referral And Aid Soliciting 100.00 100.00 5.00 80-81002-003-708

5 SOWEL01 Social Counselling-1st Visit 100.00 100.00 5.00 80-81002-003-708

6 SOWEL02 Social Counselling Sub Visit 60.00 60.00 5.00 80-81002-003-708

7 SOWEL04 Tracing Of Relatives Of Abandoned Patients 1,000.00 1,000.00 5.00 80-81002-003-708

SPECIAL CLINIC PHARMACY

1 PND435 Endotracheal Tubes Plain 7.0 273.00 273.00 273.00 80-81-345

STORE DEPARTMENT

1 STR02 Funsoft Control 0.00 0.00 0.00 80-81-801

2 STR01 Tender 500.00 500.00 500.00 80-81-801

SURGICAL CLINIC

1 SUR01 Consultation 200.00 200.00 200.00 80-81-712

2 SUR02 Funsoft Control 0.00 0.00 0.00 80-81-712

TENDER

1 TEN 01 Sale Of Tender 2,000.00 2,000.00 2,000.00 80-82-562

THEATRE

1 ORTH007 Above Ankle 500.00 500.00 10.00 80-81-526

2 ORTH008 Above Knee 1,200.00 1,200.00 10.00 80-81-526

3 TH100121 Ansell Powder Free Gloves 65.00 65.00 65.00 80-81-526

4 TH100120 Ansell Surgical Gloves A Pair 65.00 65.00 65.00 80-81-526

5 PH004 Ant-Rabies Vaccines 500.00 500.00 5.00 80-81-526

6 ORTH001 Ant-Rabies Vaccines Per Visit 1,000.00 1,000.00 5.00 80-81-526

7 PH003 Certificate For Food Handlers 500.00 500.00 5.00 80-81-526

8 TT100128 Clinical Consultancy 250,000.00 250,000.00 250,000.00 80-81-526

9 ORTH004 Crep Bandage 250.00 250.00 10.00 80-81-526

10 DAILY CHARGE-K Daily Bed In Patien Charge-K 100.00 100.00 5.00 80-81-526

11 DAILY CHARGE-NK Daily Bed In Patient Charge-Nk 200.00 200.00 5.00 80-81-526

12 DAILY CHARGE-P Daily Bed In Patient Charge-P 200.00 200.00 5.00 80-81-526

13 D.VENT.T-K Daily Ventilator Therapy-K 600.00 600.00 5.00 80-81-526

14 D.VENT.T-NK Daily Ventilator Therapy-Nk 1,920.00 1,920.00 5.00 80-81-526

15 D.VENT.T.P Daily Ventilator Therapy-P 1,920.00 1,920.00 5.00 80-81-526

16 TH100103 Diagnistic Laparoscopy 15,000.00 15,000.00 15,000.00 80-81-526

17 TT100127 Diathermy 250.00 250.00 250.00 80-81-526

18 TH100 Disposable Suction Tube With Yanker 1,200.00 1,200.00 1,200.00 80-81-526

19 TH100124 Endo Bag 18,000.00 18,000.00 18,000.00 80-81-526

20 TH100123 Endo Loop 25,000.00 25,000.00 25,000.00 80-81-526

21 THE105 Eua (Gynae) 5,000.00 5,000.00 5,000.00 80-81-526

22 THE108 Eua (Maternity) 5,000.00 5,000.00 5,000.00 80-81-526

23 V.D-K EXTRAS 1.00 400.00 5.00 80-81-526

24 THE102 Eye Surgery 5,000.00 5,000.00 5,000.00 80-81-526

25 ORTH006 FUNSOFT CONTROL 0.00 500.00 10.00 80-81-526

26 TH100113 Harmonic Scapel Charge 10,000.00 10,000.00 10,000.00 80-81-526

27 D.BED-C-K I.C.U Daily Bed Charge-K 2,000.00 2,000.00 5.00 80-81-526

28 D.BED-C-NK I.C.U Daily Bed Charge-Nk 2,000.00 2,000.00 5.00 80-81-526

29 D.BED-C-P I.C.U Daily Bed Charge-P 2,000.00 2,000.00 5.00 80-81-526

30 TH100114 Image Intensifier/Caum Charge 10,000.00 10,000.00 10,000.00 80-81-526

31 TH100116 Infusion Giving Set 10.00 10.00 10.00 80-81-526

32 TH100104 Laparoscopic Adhesolysis 15,000.00 15,000.00 15,000.00 80-81-526

33 TH100105 Laparoscopic Appendicentry 20,000.00 20,000.00 20,000.00 80-81-526

34 TH100107 Laparoscopic Cholecysectomy 25,000.00 25,000.00 25,000.00 80-81-526

35 TH100106 Laparoscopic Cystectry 20,000.00 20,000.00 20,000.00 80-81-526

36 TH100110 Laparoscopichyterectomy 25,000.00 25,000.00 25,000.00 80-81-526

37 TH100108 Laparoscopic Inguinal Hernia Repair 25,000.00 25,000.00 25,000.00 80-81-526

Charge Sheet - Page: 38

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

38 TH100109 Laparoscopic Myomectomy 25,000.00 25,000.00 25,000.00 80-81-526

39 TH100111 Laparoscopic Ventral Hernia Repair Medium WithMesh&Tacks

50,000.00 50,000.00 50,000.00 80-81-526

40 TH100122 Lapascopy Clips Ligor/Clip Applicator 15,000.00 15,000.00 15,000.00 80-81-526

41 the05 Laprotory 6,000.00 6,000.00 6,000.00 80-81-526

42 TH100112 Lararoscopic Ventral Hernia Repair Large WithMesh&Tacks

75,000.00 75,000.00 75,000.00 80-81-526

43 ORTH009 Long Leg 1,200.00 1,200.00 10.00 80-81-526

44 THE107 Macdonald Stitch 4,000.00 4,000.00 4,000.00 80-81-526

45 THE101 Major Surgery 7,500.00 7,500.00 7,500.00 80-81-526

46 ORTH068 Major Surgery 10,000.00 10,000.00 5.00 80-81-526

47 MAJOR SURGERY-K Major Surgery-K 3,000.00 3,000.00 5.00 80-81-526

48 MAJOR SURGERY-NK Major Surgery-Nk 6,000.00 6,000.00 5.00 80-81-526

49 MAJOR SURGERY-P Major Surgery-P 4,000.00 4,000.00 5.00 80-81-526

50 THE106 Marsupulization 4,000.00 4,000.00 4,000.00 80-81-526

51 ORTH012 Minewa Jackets 2,000.00 2,000.00 5.00 80-81-526

52 ORTH012 Minewa Jackets 2,000.00 2,000.00 5.00 80-81-526

53 ORTH067 Minor Surgery 1,500.00 1,500.00 5.00 80-81-526

54 MINOR SURGERY-NK Minor Surgery-Nk 3,000.00 3,000.00 5.00 80-81-526

55 MINOR SURGERY-P Minor Surgery-P 1,500.00 1,500.00 5.00 80-81-526

56 MINOR SURGERY -K Minor Surgery-under GA 3,000.00 3,000.00 5.00 80-81-526

57 TH100125 Orthopaedic Surgical Gloves 150.00 150.00 150.00 80-81-526

58 ORTH003 Out-Patient Surgical Procedure 1,500.00 1,500.00 5.00 80-81-526

59 ORTH003 Out-Patient Surgical Procedure 1,500.00 1,500.00 5.00 80-81-526

60 O.U.T.P.S.P-K Out-Patient Surgical Procedure-K 1,000.00 1,000.00 5.00 80-81-526

61 O.U.T.P.S.P-NK Out-Patient Surgical Procedure-Nk 3,000.00 3,000.00 5.00 80-81-526

62 O.U.T.P.S.P-P Out-Patient Surgical Procedure-P 1,500.00 1,500.00 5.00 80-81-526

63 PH005 permanent catheter 15,000.00 15,000.00 5.00 80-81-526

64 THE109 Removal Of Placenta 4,000.00 4,000.00 4,000.00 80-81-526

65 THE103 Removal Of Stitches (Eye) 2,000.00 2,000.00 2,000.00 80-81-526

66 ORTH014 Satures Long Gases 800.00 800.00 5.00 80-81-526

67 ORTH065 Satures Long Gases55 800.00 800.00 5.00 80-81-526

68 ORTH005 Satures Major Surgery 400.00 400.00 5.00 80-81-526

69 ORTH005 Satures Major Surgery 400.00 400.00 5.00 80-81-526

70 ORTH013 Satures Major Surgical 300.00 300.00 5.00 80-81-526

71 ORTH071 Satures Minor Surgery 200.00 200.00 5.00 80-81-526

72 TH100126 Skin Stapper 1,500.00 1,500.00 1,500.00 80-81-526

73 THT180418 Specialised Theatre 500,000.00 500,000.00 500,000.00 80-81-526

74 THE104 Stitching (Eye) 2,000.00 2,000.00 2,000.00 80-81-526

75 TH100117 Surgicel 1,200.00 1,200.00 1,200.00 80-81-526

76 S.L.C-K Sutures Long Cases-K 800.00 800.00 5.00 80-81-526

77 S.L.C-NK Sutures Long Cases-Nk 1,600.00 1,600.00 5.00 80-81-526

78 S.L.C-P Sutures Long Cases-P 1,400.00 1,400.00 5.00 80-81-526

79 S.M.C-K Sutures Major Cases -K 400.00 400.00 5.00 80-81-526

80 S.M.C-NK Sutures Major Cases-Nk 800.00 800.00 5.00 80-81-526

81 S.M.C-P Sutures Major Cases-P 600.00 600.00 5.00 80-81-526

82 S.M.S-K Sutures Minor Surgery -K 200.00 200.00 5.00 80-81-526

83 S.M.S-NK Sutures Minor Surgery-Nk 400.00 400.00 5.00 80-81-526

84 S.M.S-P Sutures Minor Surgery-P 300.00 300.00 5.00 80-81-526

85 ORTH011 Tetanus Toxic Injection 50.00 50.00 5.00 80-81-526

86 ORTH011 Tetanus Toxic Injection 50.00 50.00 5.00 80-81-526

87 PH002 Tetanus Toxide Injection 50.00 50.00 5.00 80-81-526

88 TH100101 Theatree Fees 5,000.00 5,000.00 50.00 80-81-526

89 the04 Theatre Fee 10,000.00 10,000.00 10,000.00 80-81-526

90 TH100102 Theatre Fees 1,000.00 1,000.00 50.00 80-81-526

91 ORTH010 Trauma Ward Deport 2,000.00 2,000.00 10.00 80-81-526

92 TH100115 Twin Irrigation Giving 4,500.00 4,500.00 4,500.00 80-81-526

93 ORTH069 Under Water Seal Drainage 3,000.00 3,000.00 5.00 80-81-526

94 U.W.S.D-K Under Water Seal Drainage-K 1,500.00 1,500.00 5.00 80-81-526

95 U.W.S.D-NK Under Water Seal Drainage-Nk 3,000.00 3,000.00 5.00 80-81-526

96 U.W.S.D-P Under Water Seal Drainage-P 2,000.00 2,000.00 5.00 80-81-526

97 TT100129 Upper Gi Endoscopy (OPG) 5,000.00 5,000.00 5,000.00 80-81-526

98 ORTH002 Upper Limb 800.00 800.00 10.00 80-81-526

99 ORTHO70 Vacuum Drain 2,000.00 2,000.00 5.00 80-81-526

100 V.D-NK Vacuum Drain-Nk 800.00 800.00 5.00 80-81-526

101 V.D-P Vacuum Drain-P 600.00 600.00 5.00 80-81-526

102 TH100118 V Clock Suture 6,000.00 6,000.00 6,000.00 80-81-526

103 VVF V.V.F Deposits 5,500.00 5,500.00 550,000.00 80-81-526

TRAINING

1 TR02 Attachment Certivicate 1,000.00 1,000.00 1,000.00 80-81-709

Charge Sheet - Page: 39

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

2 TR01 Attachment Diploma 4,000.00 4,000.00 4,000.00 80-81-709

3 TR03 Attachment Univarsity 7,000.00 7,000.00 7,000.00 80-81-709

4 TR05 Elective 10,000.00 10,000.00 10,000.00 80-81-709

5 TR06 Interviews 200.00 200.00 0.00 80-81-709

6 TR06 Interviews 200.00 200.00 200.00 80-81-709

7 TR04 Research & ethics 5,000.00 5,000.00 0.00 80-81-709

WAIVERS

1 W01 Waivers 0.00 0.00 0.00 80-81002-004-650

WARD 1

1 WRD 1 002 Accomodation 400.00 400.00 400.00 80-81-559

2 WAD2189 Accomondation Fee 300.00 300.00 300.00 80-81-559

3 PH000030 Arista Absorbable Hemostatic Particles 8,900.00 8,900.00 8,900.00 80-81-559

4 WD2018 Assisted Bed Bath 100.00 100.00 100.00 80-81-559

5 WD2001 Bed Fee 300.00 300.00 500.00 80-81-559

6 WD2001 Bed Fee 300.00 300.00 500.00 80-81-559

7 WAD2128 Bone Marrow 100.00 100.00 100.00 80-81-559

8 WD2008 Bone Marrow Aspiration 150.00 150.00 150.00 80-81-559

9 WAD2129 Bone Marrow Nk 200.00 200.00 200.00 80-81-559

10 WRD 1009 Branula 50.00 50.00 50.00 80-81-559

11 WRD 1009 Branula 50.00 50.00 50.00 80-81-559

12 WD103 Btset 50.00 50.00 5.00 80-81-559

13 WD103 Btset 50.00 50.00 5.00 80-81-559

14 WRD 1 006 Caretaker 300.00 300.00 300.00 80-81-559

15 WD2006 Catheter 200.00 200.00 200.00 80-81-559

16 WAD2166 Catheter Change 50.00 50.00 50.00 80-81-559

17 WAD2167 Catheter Change Nk 100.00 100.00 100.00 80-81-559

18 WAD2174 Catheterization 100.00 100.00 100.00 80-81-559

19 WAD2175 Catheterization Nk 200.00 200.00 200.00 80-81-559

20 WAD2130 Chest Aspiration 100.00 100.00 100.00 80-81-559

21 WAD2131 Chest Aspiration Nk 200.00 200.00 200.00 80-81-559

22 WD1015 Consumables 300.00 300.00 300.00 80-81-559

23 WRD 1 003 Consumsbles 400.00 400.00 400.00 80-81-559

24 WAD2146 Decontamination 50.00 50.00 50.00 80-81-559

25 WAD2147 Decontamination Nk 100.00 100.00 100.00 80-81-559

26 WD2013 Decoutamination 100.00 100.00 100.00 80-81-559

27 WAD2120 Dressing 50.00 50.00 50.00 80-81-559

28 WD106 Dressing 50.00 50.00 5.00 80-81-559

29 WAD2121 Dressing Nk 100.00 100.00 100.00 80-81-559

30 WAD2132 Drug Administration 50.00 50.00 50.00 80-81-559

31 WD2014 Drug Administration (Injectables) 150.00 150.00 150.00 80-81-559

32 WD2009 Drug Administration (Oral) 50.00 50.00 50.00 80-81-559

33 WAD2168 Enema 100.00 100.00 100.00 80-81-559

34 WAD2169 Enema Nk 200.00 200.00 200.00 80-81-559

35 WD105 Enema PROCEDURE 0.00 50.00 5.00 80-81-559

36 WD105 Enema PROCEDURE 0.00 50.00 5.00 80-81-559

37 WAD2148 Eye Swabing 50.00 50.00 50.00 80-81-559

38 WAD2149 Eye Swabing Nk 100.00 100.00 100.00 80-81-559

39 WAD2137 Flatus Tube 50.00 50.00 50.00 80-81-559

40 WAD2138 Flatus Tube Nk 100.00 100.00 100.00 80-81-559

41 WD101 FUNSOFT CONTROL 200.00 250.00 5.00 80-81-559

42 WD101 FUNSOFT CONTROL 200.00 250.00 5.00 80-81-559

43 WAD2133 Identification Band 50.00 50.00 50.00 80-81-559

44 WAD2134 Identification Band Nk 100.00 100.00 100.00 80-81-559

45 wd2003 Ivf Fixing 60.00 60.00 60.00 80-81-559

46 WD2016 I.V Fluid Fixing 50.00 50.00 50.00 80-81-559

47 WD2002 Last Office 300.00 300.00 60.00 80-81-559

48 WD2002 Last Office 300.00 300.00 60.00 80-81-559

49 WD2010 Last Offices 300.00 300.00 300.00 80-81-559

50 WAD2127 Last Offices 200.00 200.00 200.00 80-81-559

51 WAD2150 Local Appl. Medicine 50.00 50.00 50.00 80-81-559

52 WAD2151 Local Appl. Medicine Nk 100.00 100.00 100.00 80-81-559

53 WAD2152 Lumbar Functure 100.00 100.00 100.00 80-81-559

54 WAD2153 Lumbar Functure Nk 200.00 200.00 200.00 80-81-559

55 WD2011 Lumber Puncture 200.00 200.00 200.00 80-81-559

56 WD2017 Masogastric Tube Feeding 100.00 100.00 100.00 80-81-559

57 WAD2126 Mortury Sheet 400.00 400.00 400.00 80-81-559

58 WD102 Naso Gastric Tube Insertion 100.00 200.00 5.00 80-81-559

59 WD102 Naso Gastric Tube Insertion 100.00 200.00 5.00 80-81-559

60 WAD2170 Ng Tube 100.00 100.00 100.00 80-81-559

Charge Sheet - Page: 40

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

61 WAD2171 Ng Tube Nk 200.00 200.00 200.00 80-81-559

62 WRD 1008 Nitrous And Halogen 500.00 500.00 500.00 80-81-559

63 WAD2178 Nursing Fees 100.00 100.00 100.00 80-81-559

64 WRD 1OO4 Nursing Fees 200.00 200.00 200.00 80-81-559

65 WAD2172 Oral Toilet 50.00 50.00 50.00 80-81-559

66 WAD2173 Oral Toilet Nk 100.00 100.00 100.00 80-81-559

67 WRD 1 007 Oxygen 350.00 350.00 350.00 80-81-559

68 WD107 Oxygen 250.00 500.00 5.00 80-81-559

69 WD107 Oxygen 250.00 500.00 5.00 80-81-559

70 WAD2135 Oxygen Catheter 100.00 100.00 100.00 80-81-559

71 WAD2136 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-559

72 WRD1002 Oxygen Cylinder(Bigl) 3,000.00 3,000.00 5.00 80-81-559

73 WRD1001 Oxygen Cylinder(Small) 2,000.00 2,000.00 5.00 80-81-559

74 WAD2122 Oxygen Therapy 250.00 250.00 250.00 80-81-559

75 WD1010 Oxygen Therapy 250.00 250.00 5.00 80-81-559

76 WAD2124 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-559

77 WAD2125 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-559

78 WAD2123 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-559

79 WD1011 Pads 70.00 70.00 5.00 80-81-559

80 WD104 Patient Grooming 50.00 250.00 5.00 80-81-559

81 WD1012 Removal Of Stiches 50.00 50.00 5.00 80-81-559

82 WAD2139 Ros 50.00 50.00 50.00 80-81-559

83 WAD2140 Ros Nk 100.00 100.00 100.00 80-81-559

84 WAD2143 Saline Bath Nk 200.00 200.00 200.00 80-81-559

85 WAD2143 Saline Bath Nk 200.00 200.00 200.00 80-81-559

86 WRD 1005 Sanitary And Disinfection Fee 200.00 200.00 200.00 80-81-559

87 WAD2141 Shaving 50.00 50.00 50.00 80-81-559

88 WAD2142 Shaving Nk 100.00 100.00 100.00 80-81-559

89 WD2012 Skin Care 100.00 100.00 100.00 80-81-559

90 WAD2144 Skin Care 50.00 50.00 50.00 80-81-559

91 WAD2145 Skin Care Nk 100.00 100.00 100.00 80-81-559

92 WAD2154 Steam Inhalation 100.00 100.00 100.00 80-81-559

93 WAD2155 Steam Inhalation Nk 200.00 200.00 200.00 80-81-559

94 WD1014 Stitching 1,000.00 1,000.00 5.00 80-81-559

95 WAD2156 Stomach Washout 50.00 50.00 50.00 80-81-559

96 WAD2157 Stomach Washout Nk 100.00 100.00 100.00 80-81-559

97 WAD2158 Suction 50.00 50.00 50.00 80-81-559

98 WAD2159 Suction Nk 100.00 100.00 100.00 80-81-559

99 WAD2161 Suction Tracheostomy 100.00 100.00 100.00 80-81-559

100 WAD2160 Suction Tracheostomy 50.00 50.00 50.00 80-81-559

101 WD2015 Sunction Procedure 100.00 100.00 100.00 80-81-559

102 WAD2162 Suprapubic Pucture 500.00 500.00 500.00 80-81-559

103 WAD2163 Suprapubic Pucture Nk 1,000.00 1,000.00 1,000.00 80-81-559

104 WD2005 Transfussion Set 50.00 50.00 100.00 80-81-559

105 WD2005 Transfussion Set 50.00 50.00 100.00 80-81-559

106 wrd12018001 U.B covers 170.00 170.00 170.00 80-81-559

107 WD2019 Under Water Seal Insertion 200.00 200.00 200.00 80-81-559

108 WD2007 Urine Bags 50.00 50.00 50.00 80-81-559

109 WAD2164 Urine Testing 50.00 50.00 50.00 80-81-559

110 WAD2165 Urine Testing Nk 100.00 100.00 100.00 80-81-559

111 WAD2176 Vulva Toilet 100.00 100.00 100.00 80-81-559

112 WAD2177 Vulva Toilet Nk 200.00 200.00 200.00 80-81-559

WARD 10

1 WD1090 Accomondation Fee 200.00 200.00 200.00 80-81-660

2 WRD10015 Acute Dual Lumen Catheter Kit 10fr/Ch(3.3mm)X12cm(Curved Extentions)

9,750.00 9,750.00 9,750.00 80-81-660

3 WRD10002 Acute Dual Lumen Catheter kit10FR/CH(3.3MM)X15CM(STRAIGHT EXTENTIONS)

9,750.00 9,750.00 9,750.00 80-81-660

4 WR100011 Arista Absorbable Hemostatic Particles 8,900.00 8,900.00 8,900.00 80-81-660

5 WD1001 Bed Fee 200.00 200.00 5.00 80-81-660

6 WD1013 branula 50.00 50.00 50.00 80-81-660

7 WD1011 Bt Set 50.00 50.00 5.00 80-81-660

8 WRD10007 Caretaker 300.00 300.00 300.00 80-81-660

9 WD1015 CARE TAKER 200.00 50.00 50.00 80-81-660

10 WD1016 Catheter 200.00 200.00 200.00 80-81-660

11 WD2057 Catheter Change 50.00 50.00 50.00 80-81-660

12 WD2058 Catheter Changer Nk 100.00 100.00 100.00 80-81-660

13 WD2066 Catheteriization Nk 200.00 200.00 200.00 80-81-660

14 WD2065 Catheterization 100.00 100.00 100.00 80-81-660

15 WD2020 Chest Aspiration 100.00 100.00 100.00 80-81-660

Charge Sheet - Page: 41

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

16 WD2021 Chest Aspiration Nk 200.00 200.00 200.00 80-81-660

17 wd1089 Consumables 300.00 300.00 300.00 80-81-660

18 WRD10004 Consumables 400.00 400.00 400.00 80-81-660

19 WD1003 Consumables 200.00 300.00 5.00 80-81-660

20 WD2037 Decontamination 50.00 50.00 50.00 80-81-660

21 WD2038 Decontamination Nk 100.00 100.00 100.00 80-81-660

22 WD1004 Dressing 50.00 50.00 5.00 80-81-660

23 WD2010 Dressing 50.00 50.00 50.00 80-81-660

24 WD2011 Dressing Nk 100.00 100.00 100.00 80-81-660

25 WD2022 Drug Administration 50.00 50.00 50.00 80-81-660

26 WD2059 Enema 100.00 100.00 100.00 80-81-660

27 WD2060 Enema Nk 200.00 200.00 200.00 80-81-660

28 WD2039 Eye Swabing 50.00 50.00 50.00 80-81-660

29 WD2040 Eye Swabing Nk 100.00 100.00 100.00 80-81-660

30 WD2027 Flatus Tube 50.00 50.00 50.00 80-81-660

31 WD2028 Flatus Tube Nk 100.00 100.00 100.00 80-81-660

32 WD1006 FUNSOFT CONTROL 0.00 50.00 5.00 80-81-660

33 WD1007 Giving set 50.00 50.00 5.00 80-81-660

34 WD2023 Identification Band 50.00 50.00 50.00 80-81-660

35 WD2024 Identification Band Nk 100.00 100.00 100.00 80-81-660

36 WD1019 Ivf Fixing Nk 100.00 100.00 100.00 80-81-660

37 WD1012 I.V Fluids 60.00 60.00 60.00 80-81-660

38 WD2017 Last Offices 200.00 200.00 200.00 80-81-660

39 WD2041 Local Appl. Medicine 50.00 50.00 50.00 80-81-660

40 WD2042 Local Appl. Medicine Nk 100.00 100.00 100.00 80-81-660

41 WD2043 Lumbar Functure 100.00 100.00 100.00 80-81-660

42 WD2044 Lumbar Functure Nk 200.00 200.00 200.00 80-81-660

43 WD2016 Mortury Sheet 400.00 400.00 400.00 80-81-660

44 WD2061 Ng Tube 100.00 100.00 100.00 80-81-660

45 WD2062 Ng Tube Nk 200.00 200.00 200.00 80-81-660

46 WRD10009 Nitrous And Halogen 500.00 500.00 500.00 80-81-660

47 WRD10005 Nursing Fees 200.00 200.00 200.00 80-81-660

48 WD1018 Nursing Fes 100.00 100.00 100.00 80-81-660

49 WD1018 Nursing Fes 100.00 100.00 100.00 80-81-660

50 WD2063 Oral Toilet 50.00 50.00 50.00 80-81-660

51 WD2064 Oral Toilet Nk 100.00 100.00 100.00 80-81-660

52 WD1008 Oxygen 250.00 250.00 5.00 80-81-660

53 WD2025 Oxygen Catheter 100.00 100.00 100.00 80-81-660

54 WD2026 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-660

55 WD2012 Oxygen Therapy 250.00 250.00 250.00 80-81-660

56 WD2014 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-660

57 WD2015 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-660

58 WD2013 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-660

59 WRD10003 Pediatric curl cath39cm1 peritoneal cuff X 1(curved) 13,000.00 13,000.00 13,000.00 80-81-660

60 WRD10008 Peritoneal dialysis catheter kit universal tenckhoff,1Peritoneal cuff 46cm (straight)

13,000.00 13,000.00 13,000.00 80-81-660

61 WD2029 Ros 50.00 50.00 50.00 80-81-660

62 WD2030 Ros Nk 100.00 100.00 100.00 80-81-660

63 WD2033 Saline Bath 100.00 100.00 100.00 80-81-660

64 WD2034 Saline Bath Nk 200.00 200.00 200.00 80-81-660

65 WRD10006 Sanitary And Disinfection 200.00 200.00 200.00 80-81-660

66 WD2031 Shaving 50.00 50.00 50.00 80-81-660

67 WD2032 Shaving Nk 100.00 100.00 100.00 80-81-660

68 WD2035 Skin Care 50.00 50.00 50.00 80-81-660

69 WD2036 Skin Care Nk 100.00 100.00 100.00 80-81-660

70 WD2045 Steam Inhalation 100.00 100.00 100.00 80-81-660

71 WD2046 Steam Inhalation Nk 200.00 200.00 200.00 80-81-660

72 WD2047 Stomach Washout 50.00 50.00 50.00 80-81-660

73 WD2048 Stomach Washout Nk 100.00 100.00 100.00 80-81-660

74 WD2049 Suction 50.00 50.00 50.00 80-81-660

75 WD2050 Suction Nk 100.00 100.00 100.00 80-81-660

76 WD2051 Suction Tracheostomy 50.00 50.00 50.00 80-81-660

77 WD2052 Suction Tracheostomy Nk 100.00 100.00 100.00 80-81-660

78 WD2053 Suprapubc Pucture 500.00 500.00 500.00 80-81-660

79 WD2054 Suprapubic Pucture Nk 1,000.00 1,000.00 1,000.00 80-81-660

80 wrd102018001 U.B covers 170.00 170.00 170.00 80-81-660

81 WRD10010 Under Bed Cover ( Sheet Protector) 170.00 170.00 170.00 80-81-660

82 WD1017 Urine Bag 50.00 50.00 300.00 80-81-660

83 WD1017 Urine Bag 50.00 50.00 300.00 80-81-660

Charge Sheet - Page: 42

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

84 WD1017 Urine Bag 50.00 50.00 300.00 80-81-660

85 WD1017 Urine Bag 50.00 50.00 300.00 80-81-660

86 WD1017 Urine Bag 50.00 50.00 300.00 80-81-660

87 WD1017 Urine Bag 50.00 50.00 300.00 80-81-660

88 WD1017 Urine Bag 50.00 50.00 300.00 80-81-660

89 WD2055 Urine Testing 50.00 50.00 50.00 80-81-660

90 WD2056 Urine Testing Nk 100.00 100.00 100.00 80-81-660

91 WD2067 Vulva Toilet 100.00 100.00 100.00 80-81-660

92 WD2068 Vulva Toilet NK 200.00 200.00 100.00 80-81-660

WARD 2

1 WRD 2 O3 Accomodation 400.00 400.00 400.00 80-81-662

2 WD300 Accomondation Fee 300.00 300.00 300.00 80-81-662

3 WD2215 Ascitic Tapping 0.00 150.00 5.00 80-81-662

4 WD227 Assisted Bed Bath 100.00 100.00 100.00 80-81-662

5 WD3001 Bed Fee 300.00 300.00 5.00 80-81-662

6 WD248 Bone Marrow 100.00 100.00 100.00 80-81-662

7 WD218 Bone marrow aspirate 150.00 50.00 50.00 80-81-662

8 WD249 Bone Marrow Nk 200.00 200.00 200.00 80-81-662

9 WD202 Branula 50.00 50.00 5.00 80-81-662

10 WD202 Branula 50.00 50.00 5.00 80-81-662

11 WRD 2 06 Caretaker 300.00 300.00 300.00 80-81-662

12 WD204 Catheter 200.00 200.00 5.00 80-81-662

13 WD287 Catheter Change 50.00 50.00 50.00 80-81-662

14 WD288 Catheter Change Nk 100.00 100.00 100.00 80-81-662

15 WD295 Catheterization 100.00 100.00 100.00 80-81-662

16 WD2213 Catheterization And Change Of Cather 50.00 200.00 5.00 80-81-662

17 WD296 Catheterization Nk 200.00 200.00 200.00 80-81-662

18 WD250 Chest Aspiration 100.00 100.00 100.00 80-81-662

19 WD251 Chest Aspiration Nk 200.00 200.00 200.00 80-81-662

20 WRD 2 10 Chest Tube Removal 200.00 200.00 200.00 80-81-662

21 WD207 Consumables 300.00 300.00 5.00 80-81-662

22 WRD 2 04 Consumables 400.00 400.00 400.00 80-81-662

23 WD267 Decontamination 50.00 50.00 50.00 80-81-662

24 WD268 Decontamination Nk 100.00 100.00 100.00 80-81-662

25 WD206 Dressing 50.00 50.00 5.00 80-81-662

26 WD241 Dressing Nk 100.00 100.00 100.00 80-81-662

27 WD252 Drug Administration 50.00 50.00 50.00 80-81-662

28 WD221 Drug Administration (Injectable) 150.00 150.00 150.00 80-81-662

29 WD220 Drug Administration (Oral) 50.00 50.00 50.00 80-81-662

30 WD2221 Dtc(Diagnosis And Councelling) 0.00 100.00 5.00 80-81-662

31 WD289 Enema 100.00 100.00 100.00 80-81-662

32 WD290 Enema Nk 200.00 200.00 200.00 80-81-662

33 WD2217 Enema PROGDGER 0.00 50.00 5.00 80-81-662

34 WD269 Eye Swabing 50.00 50.00 50.00 80-81-662

35 WD270 Eye Swabing Nk 100.00 100.00 100.00 80-81-662

36 WD257 Flatus Tube 50.00 50.00 50.00 80-81-662

37 WD258 Flatus Tube Nk 100.00 100.00 100.00 80-81-662

38 WD215 Giving set For infussion 50.00 50.00 50.00 80-81-662

39 WD203 Giving set for transfussion 100.00 50.00 5.00 80-81-662

40 WD253 Identification Band 50.00 50.00 50.00 80-81-662

41 WD254 Identification Band Nk 100.00 100.00 100.00 80-81-662

42 WD2218 Infussion And Transfusion 0.00 200.00 5.00 80-81-662

43 WD213 Ivf Fixing 60.00 60.00 60.00 80-81-662

44 WD226 I.V Fluid Fixing 50.00 50.00 50.00 80-81-662

45 WD247 Last Offices 200.00 200.00 200.00 80-81-662

46 WD271 Local Aplic.Medicine 50.00 50.00 50.00 80-81-662

47 WD272 Local Appl. Medicine Nk 100.00 100.00 100.00 80-81-662

48 WD273 Lumbar Functure 100.00 100.00 100.00 80-81-662

49 WD274 Lumbar Functure Nk 200.00 200.00 200.00 80-81-662

50 WD225 Lumbar Puncture 200.00 200.00 200.00 80-81-662

51 WD246 Mortury Sheet 400.00 400.00 400.00 80-81-662

52 WD228 Naso Gastric Tube Feeding 100.00 100.00 100.00 80-81-662

53 WD2214 Naso Gastric Tube Insertion 100.00 200.00 5.00 80-81-662

54 WD291 Ng Tube 100.00 100.00 100.00 80-81-662

55 WD292 Ng Tube Nk 200.00 200.00 200.00 80-81-662

56 WRD 2 08 Nitrous And Halogen 500.00 500.00 500.00 80-81-662

57 WD299 Nursing Fees 100.00 100.00 100.00 80-81-662

58 WRD 2 05 Nursing Fees 200.00 200.00 200.00 80-81-662

59 WD293 Oral Toilet 50.00 50.00 50.00 80-81-662

Charge Sheet - Page: 43

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

60 WD294 Oral Toilet Nk 100.00 100.00 100.00 80-81-662

61 WRD 2 007 Oxygen 350.00 350.00 350.00 80-81-662

62 WD2219 Oxygen 250.00 500.00 5.00 80-81-662

63 WD255 Oxygen Catheter 100.00 100.00 100.00 80-81-662

64 WD256 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-662

65 WRD2002 Oxygen Cylinder(Big) 3,000.00 3,000.00 5.00 80-81-662

66 WRD2001 Oxygen Cylinder(Small) 2,000.00 2,000.00 5.00 80-81-662

67 WD212 Oxygen Therapy 250.00 250.00 5.00 80-81-662

68 WD244 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-662

69 WD245 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-662

70 WD243 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-662

71 WD2216 Patient Grooming 50.00 250.00 5.00 80-81-662

72 WD210 Physiotherapy 50.00 50.00 5.00 80-81-662

73 WD259 Ros 50.00 50.00 50.00 80-81-662

74 WD260 Ros Nk 100.00 100.00 100.00 80-81-662

75 WD263 Saline Bath 100.00 100.00 100.00 80-81-662

76 WD264 Saline Bath Nk 200.00 200.00 200.00 80-81-662

77 WRD 2 09 Sanitary And Disinfection 200.00 200.00 200.00 80-81-662

78 WD261 Shaving 50.00 50.00 50.00 80-81-662

79 WD262 Shaving Nk 100.00 100.00 100.00 80-81-662

80 WD265 Skin Care 50.00 50.00 50.00 80-81-662

81 WD266 Skin Care Nk 100.00 100.00 100.00 80-81-662

82 WD275 Steam Inhalation 100.00 100.00 100.00 80-81-662

83 WD276 Steam Inhalation Nk 200.00 200.00 200.00 80-81-662

84 WD277 Stomach Washout 50.00 50.00 50.00 80-81-662

85 WD278 Stomach Washout Nk 100.00 100.00 100.00 80-81-662

86 WD279 Suction 50.00 50.00 50.00 80-81-662

87 WD280 Suction N Nk 100.00 100.00 100.00 80-81-662

88 WD224 Suction Procedure 100.00 100.00 100.00 80-81-662

89 WD281 Suction Tracheostomy 50.00 50.00 50.00 80-81-662

90 WD282 Suction Tracheostomy Nk 100.00 100.00 100.00 80-81-662

91 WD284 Suprapubic Pucture 1,000.00 1,000.00 1,000.00 80-81-662

92 WD283 Suprapubic Pucture 500.00 500.00 500.00 80-81-662

93 WD216 Transfussion Set 50.00 50.00 50.00 80-81-662

94 wrd22018001 U.B covers 170.00 170.00 170.00 80-81-662

95 WD229 Under Water Sal Insertion 200.00 200.00 200.00 80-81-662

96 WD205 Urine Bag 50.00 50.00 5.00 80-81-662

97 WD285 Urine Testing 50.00 50.00 50.00 80-81-662

98 WD286 Urine Testing Nk 100.00 100.00 100.00 80-81-662

99 WD297 Vulva Toilet 100.00 100.00 100.00 80-81-662

100 WD298 Vulva Toilet Nk 200.00 200.00 200.00 80-81-662

WARD 3

1 wd30006 Accomodation Fee 200.00 200.00 5.00 80-81-663

2 WD144 Accomondation Fee 300.00 300.00 300.00 80-81-663

3 WRD 3 0002 Accomoodation 400.00 400.00 400.00 80-81-663

4 WD71 Ankle Support 700.00 700.00 700.00 80-81-663

5 WD300030 Arista Absorbable Hemostatic Particles 8,900.00 8,900.00 8,900.00 80-81-663

6 WD4001 Bed Fee 1,000.00 1,000.00 5.00 80-81-663

7 WD48 Bone Marrow 100.00 100.00 100.00 80-81-663

8 WD49 Bone Marrow Nk 200.00 200.00 200.00 80-81-663

9 wd30004 Branula 50.00 50.00 5.00 80-81-663

10 wd30005 Caretaker 200.00 200.00 5.00 80-81-663

11 WRD 3 0006 Caretaker 300.00 300.00 300.00 80-81-663

12 WD102 Catgut 500.00 500.00 500.00 80-81-663

13 WD4006 Catheter 200.00 200.00 200.00 80-81-663

14 WD87 Catheter Change 50.00 50.00 50.00 80-81-663

15 WD88 Catheter Change Nk 100.00 100.00 100.00 80-81-663

16 WD95 Catheterization 100.00 100.00 100.00 80-81-663

17 WD96 Catheterization Nk 200.00 200.00 200.00 80-81-663

18 WD106 Ccolostomy 70.00 70.00 70.00 80-81-663

19 WD103 Cervical Collars 1,500.00 1,500.00 1,500.00 80-81-663

20 WD50 Chest Aspiration 100.00 100.00 100.00 80-81-663

21 WD51 Chest Aspiration Nk 200.00 200.00 200.00 80-81-663

22 wd30003 Chest Tube 1,500.00 1,500.00 5.00 80-81-663

23 wd30002 Chest Tube Bottle 1,500.00 1,500.00 5.00 80-81-663

24 WD104 Chest Tubes +Underwater Seal 7,500.00 7,500.00 7,500.00 80-81-663

25 WD105 Chlolecystectomy(T.Tube) 500.00 500.00 500.00 80-81-663

26 wd30007 Consumables 300.00 300.00 5.00 80-81-663

27 WRD3 0003 Consumables 400.00 400.00 400.00 80-81-663

Charge Sheet - Page: 44

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

28 wd30008 Consumables 200.00 200.00 5.00 80-81-663

29 WD107 Cord Clamps 20.00 20.00 20.00 80-81-663

30 WD108 Corks Up Splints 150.00 150.00 150.00 80-81-663

31 WD109 Corrugated Drains 2,000.00 2,000.00 2,000.00 80-81-663

32 WD110 Cotton Bandages 10.00 10.00 10.00 80-81-663

33 WD111 Cotton Twine 200.00 200.00 200.00 80-81-663

34 WD112 Cotton Wool400g 260.00 260.00 260.00 80-81-663

35 WD113 Cut Down Canulars 80.00 80.00 80.00 80-81-663

36 WD101 C.V.P 4,500.00 4,500.00 4,500.00 80-81-663

37 WD114 Cvp Manometers 2,800.00 2,800.00 2,800.00 80-81-663

38 WD115 Cvp Sets 1,900.00 1,900.00 1,900.00 80-81-663

39 WD67 Decontamination 50.00 50.00 7,800.00 80-81-663

40 WD67 Decontamination 50.00 50.00 7,800.00 80-81-663

41 WD116 Dissectineg Swabs 700.00 700.00 700.00 80-81-663

42 WD41 Dressing 50.00 50.00 50.00 80-81-663

43 WD42 Dressing Nk 100.00 100.00 100.00 80-81-663

44 WD52 Drug Administration 50.00 50.00 50.00 80-81-663

45 WD117 Elbow Support 150.00 150.00 150.00 80-81-663

46 WD118 Electrodes Ecgelectrodesi/C Gel 500.00 500.00 500.00 80-81-663

47 WD119 Electrodes For 12leads Ecg 3,000.00 3,000.00 3,000.00 80-81-663

48 WD120 Endotracheal Tubes Cuffed 300.00 300.00 300.00 80-81-663

49 WD121 Endotrachealtubes Plain 300.00 300.00 300.00 80-81-663

50 WD122 Endotracheal Tubs(Nasal) 600.00 600.00 600.00 80-81-663

51 WD89 Enema 100.00 100.00 100.00 80-81-663

52 WD90 Enema Nk 200.00 200.00 200.00 80-81-663

53 WD123 Eshmunch Bandages 3,200.00 3,200.00 3,200.00 80-81-663

54 WD124 Eye Buds 450.00 450.00 450.00 80-81-663

55 WD125 Eye Pads 650.00 650.00 650.00 80-81-663

56 WD69 Eye Swabing 50.00 50.00 150.00 80-81-663

57 WD69 Eye Swabing 50.00 50.00 150.00 80-81-663

58 WD70 Eye Swabing Nk 100.00 100.00 100.00 80-81-663

59 WD70 Eye Swabing Nk 100.00 100.00 100.00 80-81-663

60 WD126 Face Musk 700.00 700.00 700.00 80-81-663

61 WD127 Finger Splints 450.00 450.00 450.00 80-81-663

62 WD57 Flatus Tube 50.00 50.00 50.00 80-81-663

63 WD58 Flatus Tube Nk 100.00 100.00 100.00 80-81-663

64 WD4005 FUNSOFT CONTROL 0.00 50.00 50.00 80-81-663

65 WD4004 Giving set 50.00 50.00 50.00 80-81-663

66 WD128 Gloves Examination 15.00 15.00 15.00 80-81-663

67 WD129 Gloves Heavy Duty 20.00 20.00 20.00 80-81-663

68 WD130 Gloves Surgical 30.00 30.00 30.00 80-81-663

69 WD131 Grabacin 60.00 60.00 60.00 80-81-663

70 WD53 Identification Band 50.00 50.00 50.00 80-81-663

71 WD54 Identification Band Nk 100.00 100.00 100.00 80-81-663

72 WD132 Infusion Sets Atom 50.00 50.00 50.00 80-81-663

73 WD133 Insulin Syringes 50.00 50.00 50.00 80-81-663

74 WD4007 Ivf Fixing 60.00 60.00 60.00 80-81-663

75 WD4008 Ivf Fixing 100.00 100.00 100.00 80-81-663

76 WD4002 I.V Fluids 60.00 60.00 60.00 80-81-663

77 WD47 Last Offices 200.00 200.00 200.00 80-81-663

78 WD71 Local Appl. Med 50.00 50.00 850.00 80-81-663

79 WD71 Local Appl. Med 50.00 50.00 850.00 80-81-663

80 WD72 Local Appl. Med Nk 100.00 100.00 4,500.00 80-81-663

81 WD72 Local Appl. Med Nk 100.00 100.00 4,500.00 80-81-663

82 WD72 Local Appl. Med Nk 100.00 100.00 4,500.00 80-81-663

83 WD73 Lumbar Functure 100.00 100.00 100.00 80-81-663

84 WD73 Lumbar Functure 100.00 100.00 100.00 80-81-663

85 WD74 Lumbar Functure Nk 200.00 200.00 200.00 80-81-663

86 WD74 Lumbar Functure Nk 200.00 200.00 200.00 80-81-663

87 WD134 Monocryl Cutting Needle 500.00 500.00 500.00 80-81-663

88 WD100 Mortury Sheet 400.00 400.00 50.00 80-81-663

89 WD100 Mortury Sheet 400.00 400.00 50.00 80-81-663

90 WD135 Name Tags 30.00 30.00 30.00 80-81-663

91 WD68 Nebulizer 500.00 500.00 500.00 80-81-663

92 WD68 Nebulizer 500.00 500.00 500.00 80-81-663

93 WD136 Needles 10.00 10.00 10.00 80-81-663

94 WD137 Needles Lumber Puncture 100.00 100.00 100.00 80-81-663

95 WD91 Ng Tube 100.00 100.00 100.00 80-81-663

96 WD92 Ng Tube Nk 200.00 200.00 200.00 80-81-663

Charge Sheet - Page: 45

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

97 WRD 30008 Nitrous And Halogen 500.00 500.00 500.00 80-81-663

98 WD141 Nursing Fees 100.00 100.00 100.00 80-81-663

99 WRD 30004 Nursing Fees 200.00 200.00 200.00 80-81-663

100 WD93 Oral Toilet 50.00 50.00 50.00 80-81-663

101 WD94 Oral Toilet Nk 100.00 100.00 100.00 80-81-663

102 WRD3 0007 Oxygen 350.00 350.00 350.00 80-81-663

103 WD55 Oxygen Catheter 100.00 100.00 100.00 80-81-663

104 WD56 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-663

105 WRD3002 Oxygen Cylinder(Bigl) 3,000.00 3,000.00 5.00 80-81-663

106 WRD3001 Oxygen Cylinder(Small) 2,000.00 2,000.00 5.00 80-81-663

107 WD43 Oxygen Therapy 250.00 250.00 250.00 80-81-663

108 WD45 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-663

109 WD99 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-663

110 WD44 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-663

111 WD59 Ros 50.00 50.00 50.00 80-81-663

112 WD60 Ros Nk 100.00 100.00 100.00 80-81-663

113 WD63 Saline Bath 100.00 100.00 100.00 80-81-663

114 WD64 Saline Bath Nk 200.00 200.00 200.00 80-81-663

115 WRD 3 0005 Sanitary And Disinfection Fee 200.00 200.00 200.00 80-81-663

116 WD61 Shaving 50.00 50.00 50.00 80-81-663

117 WD62 Shaving Nk 100.00 100.00 100.00 80-81-663

118 WD65 Skin Care 50.00 50.00 50.00 80-81-663

119 WD66 Skin Care Nk 100.00 100.00 100.00 80-81-663

120 WD75 Steam Inhalation 100.00 100.00 6.00 80-81-663

121 WD75 Steam Inhalation 100.00 100.00 6.00 80-81-663

122 WD76 Steam Inhalation Nk 200.00 200.00 200.00 80-81-663

123 WRD 30009 Stitching 1,000.00 1,000.00 1,000.00 80-81-663

124 WD77 Stomach Washout 50.00 50.00 50.00 80-81-663

125 WD78 Stomach Washout Nk 100.00 100.00 100.00 80-81-663

126 WD79 Suction 50.00 50.00 50.00 80-81-663

127 WD80 Suction Nk 100.00 100.00 100.00 80-81-663

128 WD81 Suction Tracheostomy 50.00 50.00 50.00 80-81-663

129 WD82 Suction Tracheostomy Nk 100.00 100.00 100.00 80-81-663

130 WD84 Suprapubic Pucture 1,000.00 1,000.00 1,000.00 80-81-663

131 WD83 Suprapubic Pucture 500.00 500.00 500.00 80-81-663

132 WD139 Syringes 60ml Disposable 80.00 80.00 80.00 80-81-663

133 WD138 Syringes Upto 5ml Disposable 30.00 30.00 30.00 80-81-663

134 WD140 Traecheostomy Tubes 3,000.00 3,000.00 3,000.00 80-81-663

135 WRD32018002 U.B Covers 170.00 170.00 170.00 80-81-663

136 wd30001 Under Water Seal 1,500.00 1,500.00 5.00 80-81-663

137 WD85 Urine Testing 50.00 50.00 50.00 80-81-663

138 WD86 Urine Testing Nk 100.00 100.00 100.00 80-81-663

139 WD97 Vulva Toilet 100.00 100.00 100.00 80-81-663

140 WD98 Vulva Toilet Nk 200.00 200.00 200.00 80-81-663

WARD 4

1 WD8970 Accomondation Fee 300.00 300.00 300.00 80-81-664

2 WD400030 Arista Absorbable Hemostatic Particles 8,900.00 8,900.00 8,900.00 80-81-664

3 WD4039 Armsling Application 0.00 0.00 5.00 80-81-664

4 WD4037 Back Slab 500.00 500.00 5.00 80-81-664

5 WD4031 Bed Bath 200.00 200.00 5.00 80-81-664

6 WD4001 Bed Fee 300.00 300.00 5.00 80-81-664

7 WD4033 Blood Transusion 150.00 150.00 5.00 80-81-664

8 WD446 Bone Marrow 100.00 100.00 100.00 80-81-664

9 WD447 Bone Marrow Nk 200.00 200.00 200.00 80-81-664

10 WD4002 branula 50.00 50.00 5.00 80-81-664

11 WD4015 branula 50.00 50.00 50.00 80-81-664

12 WD4003 Bt Set 50.00 50.00 5.00 80-81-664

13 WRD4005 Caretaker 300.00 300.00 300.00 80-81-664

14 WD4018 Catheter 200.00 200.00 200.00 80-81-664

15 WD4004 Catheter 200.00 200.00 5.00 80-81-664

16 WD485 Catheter Change 50.00 50.00 50.00 80-81-664

17 WD486 Catheter Change 100.00 100.00 100.00 80-81-664

18 WD493 Catheterization 100.00 100.00 100.00 80-81-664

19 WD494 Catheterization Nk 200.00 200.00 200.00 80-81-664

20 WD448 Chest Aspiration 100.00 100.00 100.00 80-81-664

21 WD449 Chest Aspiration Nk 200.00 200.00 200.00 80-81-664

22 WD417 Chest Bottle 1,500.00 1,500.00 5.00 80-81-664

23 wd434 Chest Tube 1,500.00 1,500.00 5.00 80-81-664

24 WD4021 Closed Dressing For Burns(Ganyee) 500.00 500.00 5.00 80-81-664

Charge Sheet - Page: 46

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

25 WD4005 Consumable 300.00 300.00 5.00 80-81-664

26 WD465 Decontamination 50.00 50.00 50.00 80-81-664

27 WD466 Decontamination Nk 100.00 100.00 100.00 80-81-664

28 WD440 Dressing 50.00 50.00 50.00 80-81-664

29 WD441 Dressing Nk 100.00 100.00 100.00 80-81-664

30 WD450 Drug Administration 50.00 50.00 50.00 80-81-664

31 WD487 Enema 100.00 100.00 100.00 80-81-664

32 WD488 Enema Nk 200.00 200.00 200.00 80-81-664

33 WD467 Eye Swabing 50.00 50.00 50.00 80-81-664

34 WD468 Eye Swabing Nk 100.00 100.00 100.00 80-81-664

35 WD455 Flatus Tube 50.00 50.00 50.00 80-81-664

36 WD456 Flatus Tube Nk 100.00 100.00 100.00 80-81-664

37 WD5001 FUNSOFT CONTROL 500.00 500.00 5.00 80-81-664

38 WD4016 Giving set 50.00 50.00 50.00 80-81-664

39 WD4007 Giving set 50.00 50.00 5.00 80-81-664

40 WD4022 Golostomy Care 200.00 200.00 5.00 80-81-664

41 WD451 Identification Band 50.00 50.00 50.00 80-81-664

42 WD452 Identification Band Nk 100.00 100.00 100.00 80-81-664

43 WD4008 Ivf Fixing 60.00 60.00 60.00 80-81-664

44 WD4012 Ivf Fixing Nk 100.00 100.00 100.00 80-81-664

45 WD4014 I.V Fluids 60.00 60.00 60.00 80-81-664

46 WD4036 I.V Fluids 200.00 200.00 5.00 80-81-664

47 WD445 Last Offices 200.00 200.00 200.00 80-81-664

48 WD469 Local Appl. Medicine 50.00 50.00 50.00 80-81-664

49 WD470 Local Appl. Medicine Nk 100.00 100.00 100.00 80-81-664

50 WD471 Lumbar Functure 100.00 100.00 100.00 80-81-664

51 WD472 Lumbar Functure Nk 200.00 200.00 200.00 80-81-664

52 WD444 Mortury Sheet 400.00 400.00 400.00 80-81-664

53 WD4028 Nasogastric Tube Feeding 50.00 50.00 5.00 80-81-664

54 WD4026 Nasogastric Tube Insertion 200.00 200.00 5.00 80-81-664

55 WD4027 Nasogastric Tube Removal 50.00 50.00 5.00 80-81-664

56 WD489 Ng Tube 100.00 100.00 100.00 80-81-664

57 WD490 Ng Tube Nk 200.00 200.00 200.00 80-81-664

58 WRD4007 Nitrous And Halogen 500.00 500.00 500.00 80-81-664

59 WRD4003 Nursing Fees 200.00 200.00 200.00 80-81-664

60 wWD4024 Nursing Fees 100.00 100.00 100.00 80-81-664

61 WD491 Oral Toilet 50.00 50.00 50.00 80-81-664

62 WD492 Oral Toilet Nk 100.00 100.00 100.00 80-81-664

63 WRD4006 Oxygen 350.00 350.00 350.00 80-81-664

64 WD4032 Oxygen Adminstration 250.00 250.00 5.00 80-81-664

65 WD453 Oxygen Catheter 100.00 100.00 100.00 80-81-664

66 WD454 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-664

67 WRD4002 Oxygen Cylinder(Big) 3,000.00 3,000.00 5.00 80-81-664

68 WRD4002 Oxygen Cylinder(Big) 3,000.00 3,000.00 5.00 80-81-664

69 WRD4001 Oxygen Cylinder(Small) 2,000.00 2,000.00 5.00 80-81-664

70 WRD4001 Oxygen Cylinder(Small) 2,000.00 2,000.00 5.00 80-81-664

71 WD442 Oxygen Therapy Icu 500.00 500.00 250.00 80-81-664

72 WD442 Oxygen Therapy Icu 500.00 500.00 250.00 80-81-664

73 WD497 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-664

74 WD443 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-664

75 WD4010 Pads 70.00 70.00 5.00 80-81-664

76 WD4029 Removal Of Catheter 100.00 100.00 5.00 80-81-664

77 WD4020 Removal Of Drain 100.00 100.00 5.00 80-81-664

78 WD4024 Removal Of Stitches 100.00 100.00 5.00 80-81-664

79 WD4011 Removal Of Stitches 50.00 50.00 5.00 80-81-664

80 WD457 Ros 50.00 50.00 50.00 80-81-664

81 WD458 Ros Nk 100.00 100.00 100.00 80-81-664

82 WD461 Saline Bath 100.00 100.00 100.00 80-81-664

83 WD462 Saline Bath Nk 200.00 200.00 200.00 80-81-664

84 WD4035 Saline Sitz Baths 100.00 100.00 5.00 80-81-664

85 WRD4004 Sanitary And Disinfection Fee 200.00 200.00 200.00 80-81-664

86 WD4034 Seline Enema 300.00 300.00 5.00 80-81-664

87 WD459 Shaving 50.00 50.00 50.00 80-81-664

88 WD460 Shaving Nk 100.00 100.00 100.00 80-81-664

89 WD463 Skin Care 50.00 50.00 50.00 80-81-664

90 WD464 Skin Care Nk 100.00 100.00 100.00 80-81-664

91 WD473 Steam Inhalation 100.00 100.00 100.00 80-81-664

92 WD474 Steam Inhalation Nk 200.00 200.00 200.00 80-81-664

93 WD4013 Stitching 1,000.00 1,000.00 5.00 80-81-664

Charge Sheet - Page: 47

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

94 WD475 Stomach Washout 50.00 50.00 50.00 80-81-664

95 WD476 Stomach Washout Nk 100.00 100.00 100.00 80-81-664

96 WD477 Suction 50.00 50.00 50.00 80-81-664

97 WD4030 Suctioning 300.00 300.00 5.00 80-81-664

98 WD478 Suction Nk 100.00 100.00 100.00 80-81-664

99 WD479 Suction Tracheostomy 50.00 50.00 50.00 80-81-664

100 WD480 Suction Tracheostomy Nk 100.00 100.00 100.00 80-81-664

101 WD481 Suprapubic Pucture 500.00 500.00 500.00 80-81-664

102 WD482 Suprapubic Pucture Nk 1,000.00 1,000.00 1,000.00 80-81-664

103 WD4017 Transfussion Set 50.00 50.00 50.00 80-81-664

104 WRD42018002 U.B covers 170.00 170.00 50.00 80-81-664

105 WRD4 Urine Bag 50.00 50.00 50.00 80-81-664

106 WD483 Urine Testing 50.00 50.00 50.00 80-81-664

107 WD484 Urine Testing Nk 100.00 100.00 100.00 80-81-664

108 WD495 Vulva Toilet 100.00 100.00 100.00 80-81-664

109 WD496 Vulva Toilet Nk 200.00 200.00 200.00 80-81-664

110 WD4023 Wound Dressing 250.00 250.00 5.00 80-81-664

WARD 5

1 WRD5003 Accomodation 400.00 400.00 400.00 80-81-665

2 WRD789 Accomondation Fee 300.00 300.00 300.00 80-81-665

3 WD5 Arista Absorbable Hemostatic Particles 8,900.00 8,900.00 8,900.00 80-81-665

4 WD5022 Ascitic Tapping 0.00 150.00 5.00 80-81-665

5 WD6001 Bed Fee 300.00 300.00 5.00 80-81-665

6 WD36 Bone Marrow 100.00 100.00 100.00 80-81-665

7 WD37 Bone Marrow Nk 200.00 200.00 200.00 80-81-665

8 WD5002 branula 50.00 50.00 5.00 80-81-665

9 WD5003 Bt Set 50.00 50.00 5.00 80-81-665

10 WRD5007 Caretaker 300.00 300.00 300.00 80-81-665

11 WD5004 Catheter 200.00 200.00 5.00 80-81-665

12 WD74 Catheter Change 50.00 50.00 50.00 80-81-665

13 WRD76 Catheter Change Nk 100.00 100.00 100.00 80-81-665

14 WRD83 Catheterization 100.00 100.00 100.00 80-81-665

15 WRD84 Catheterization Nk 200.00 200.00 200.00 80-81-665

16 WD38 Chest Aspiration 100.00 100.00 100.00 80-81-665

17 WD39 Chest Aspiration Nk 200.00 200.00 200.00 80-81-665

18 WRD5004 Consumables 400.00 400.00 400.00 80-81-665

19 WD5005 Consumables 300.00 300.00 5.00 80-81-665

20 WD55 Decontamination 50.00 50.00 50.00 80-81-665

21 WD56 Decontamination Nk 100.00 100.00 100.00 80-81-665

22 WD28 Dressing 50.00 50.00 50.00 80-81-665

23 WD29 Dressing Nk 100.00 100.00 100.00 80-81-665

24 WD40 Drug Administration 50.00 50.00 50.00 80-81-665

25 WD5028 Dtc(Diagnostic Testing And Councelling) 0.00 100.00 5.00 80-81-665

26 WD5024 Enema 0.00 50.00 5.00 80-81-665

27 WRD77 Enema 100.00 100.00 100.00 80-81-665

28 WRD78 Enema Nk 200.00 200.00 200.00 80-81-665

29 WD45 Flatus Tube 50.00 50.00 50.00 80-81-665

30 WD46 Flatus Tube NK 100.00 100.00 100.00 80-81-665

31 WD5001 FUNSOFT CONTROL 250.00 250.00 5.00 80-81-665

32 WD5007 Giving set 50.00 50.00 5.00 80-81-665

33 WRD88 Identification Band Nk 100.00 100.00 100.00 80-81-665

34 WD5027 Ivf Fixing Nk 100.00 100.00 100.00 80-81-665

35 WD35 Last Offices 200.00 200.00 200.00 80-81-665

36 WD61 Lumbar Fucture 100.00 100.00 100.00 80-81-665

37 WD62 Lumbar Fucture Nk 200.00 200.00 200.00 80-81-665

38 WD34 Mortury Sheet 400.00 400.00 400.00 80-81-665

39 WD5021 Naso Gastric Tube Insertion 0.00 200.00 5.00 80-81-665

40 WD5021 Naso Gastric Tube Insertion 0.00 200.00 5.00 80-81-665

41 WD77 Ng Tube 100.00 100.00 100.00 80-81-665

42 WRD79 Ng Tube 100.00 100.00 100.00 80-81-665

43 WRD80 Ng Tube Nk 200.00 200.00 200.00 80-81-665

44 WD78 Ng Tube Nk 200.00 200.00 200.00 80-81-665

45 WRD5009 Nitrous And Halogen 500.00 500.00 500.00 80-81-665

46 WRD5009 Nitrous And Halogen 500.00 500.00 500.00 80-81-665

47 WRD87 Nursing Fees 100.00 100.00 100.00 80-81-665

48 WRD5005 Nursing Fees 200.00 200.00 200.00 80-81-665

49 WRD87 Nursing Fees 100.00 100.00 100.00 80-81-665

50 WRD81 Oral Toilet 50.00 50.00 50.00 80-81-665

51 WRD82 Oral Toilet Nk 100.00 100.00 100.00 80-81-665

Charge Sheet - Page: 48

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

52 WRD5008 Oxygen 350.00 350.00 350.00 80-81-665

53 WD43 Oxygen Catheter 100.00 100.00 100.00 80-81-665

54 WD44 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-665

55 WRD5002 Oxygen Cylinder(Big) 3,000.00 3,000.00 5.00 80-81-665

56 WRD5001 Oxygen Cylinder(Small) 2,000.00 2,000.00 5.00 80-81-665

57 WD30 Oxygen Therapy 250.00 250.00 250.00 80-81-665

58 WD32 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-665

59 WD33 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-665

60 WD31 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-665

61 WD5010 Pads 70.00 70.00 5.00 80-81-665

62 WD5023 Patient Grooming 0.00 250.00 5.00 80-81-665

63 WD5011 Removal Of Stitches 50.00 50.00 5.00 80-81-665

64 WD47 Ros 50.00 50.00 50.00 80-81-665

65 WRD89 Ros Nk 100.00 100.00 100.00 80-81-665

66 WD51 Saline Bath 100.00 100.00 100.00 80-81-665

67 WD52 Saline Bath Nk 200.00 200.00 200.00 80-81-665

68 WRD5006 Sanitary And Disinfection Fee 200.00 200.00 200.00 80-81-665

69 WD49 Shaving 50.00 50.00 50.00 80-81-665

70 WRD90 Shaving Nk 100.00 100.00 100.00 80-81-665

71 WRD 91 Skin Care 50.00 50.00 50.00 80-81-665

72 WRD92 Skin Care Nk 100.00 100.00 100.00 80-81-665

73 WD64 Steam Inhalation Nk 100.00 100.00 100.00 80-81-665

74 WD5013 Stitching 1,000.00 1,000.00 5.00 80-81-665

75 WD67 Suction Nk 100.00 100.00 100.00 80-81-665

76 WD68 Suction Tracheostomy 50.00 50.00 50.00 80-81-665

77 WD69 Suction Tracheostomy Nk 100.00 100.00 100.00 80-81-665

78 WD70 Suprapubic Pucture 500.00 500.00 500.00 80-81-665

79 WD71 Suprapubic Pucture Nk 1,000.00 1,000.00 1,000.00 80-81-665

80 WD5020 Transfussion Set 50.00 50.00 50.00 80-81-665

81 WD5020 Transfussion Set 50.00 50.00 50.00 80-81-665

82 wrd52018001 U.B covers 170.00 170.00 5.00 80-81-665

83 WD5019 Urine Bag 50.00 50.00 5.00 80-81-665

84 WD72 Urine Testing 50.00 50.00 50.00 80-81-665

85 WRD85 Vulva Toilet 100.00 100.00 100.00 80-81-665

86 WRD86 Vulva Toilet Nk 200.00 200.00 200.00 80-81-665

WARD 6

1 WRD6003 Accomodation 400.00 400.00 400.00 80-81-666

2 WRD678 Accomondation Fee 300.00 300.00 300.00 80-81-666

3 WD600030 Arista Absorbable Hemostatic Particles 8,900.00 8,900.00 8,900.00 80-81-666

4 WD7001 Bed Fee 300.00 300.00 5.00 80-81-666

5 WD608 Blood Tranfusion 500.00 500.00 5.00 80-81-666

6 WRD608 Bone Marrow 100.00 100.00 100.00 80-81-666

7 WRD609 Bone Marrow Nk 200.00 200.00 200.00 80-81-666

8 WD611 branula 50.00 50.00 5.00 80-81-666

9 WD609 Bt Set 50.00 50.00 5.00 80-81-666

10 WRD6007 Caretaker 300.00 300.00 300.00 80-81-666

11 WD605 Catheter 200.00 200.00 5.00 80-81-666

12 WRD645 Catheter Change 50.00 50.00 50.00 80-81-666

13 WRD646 Catheter Change Nk 100.00 100.00 100.00 80-81-666

14 WRD653 Catheterization 100.00 100.00 100.00 80-81-666

15 WRD654 Catheterization Nk 200.00 200.00 200.00 80-81-666

16 WRD610 Chest Aspiration 100.00 100.00 100.00 80-81-666

17 WRD611 Chest Aspiration Nk 200.00 200.00 200.00 80-81-666

18 WRD6004 Consumables 400.00 400.00 400.00 80-81-666

19 WD602 Consumables 300.00 300.00 5.00 80-81-666

20 WRD627 Decontamination 50.00 50.00 50.00 80-81-666

21 WRD628 Decontamination Nk 100.00 100.00 100.00 80-81-666

22 WRD600 Dressing 50.00 50.00 50.00 80-81-666

23 WRD601 Dressing Nk 100.00 100.00 100.00 80-81-666

24 WRD612 Drug Administration 50.00 50.00 50.00 80-81-666

25 WD622 Dtc(Diagnostic Testing And Cancelling) 0.00 100.00 5.00 80-81-666

26 WRD647 Enema 100.00 100.00 100.00 80-81-666

27 WRD648 Enema Nk 200.00 200.00 200.00 80-81-666

28 WRD629 Eye Swabing 50.00 50.00 50.00 80-81-666

29 WRD630 Eye Swabing Nk 100.00 100.00 100.00 80-81-666

30 WRD617 Flatus Tube 50.00 50.00 50.00 80-81-666

31 WRD618 Flatus Tube Nk 100.00 100.00 100.00 80-81-666

32 WD603 FUNSOFT CONTROL 200.00 200.00 5.00 80-81-666

33 WD612 Giving set 50.00 50.00 5.00 80-81-666

Charge Sheet - Page: 49

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

34 WRD613 Identification Band 50.00 50.00 50.00 80-81-666

35 WRD614 Identification Band Nk 100.00 100.00 100.00 80-81-666

36 WD619 Infussion & Transfusion 0.00 200.00 5.00 80-81-666

37 WD 617 Ivf Fixing Nk 100.00 100.00 100.00 80-81-666

38 WRD607 Last Offices 200.00 200.00 200.00 80-81-666

39 WRD631 Local Appl. Medicine 50.00 50.00 50.00 80-81-666

40 WRD632 Local Appl. Medicine Nk 100.00 100.00 100.00 80-81-666

41 WRD633 Lumbar Functure 100.00 100.00 100.00 80-81-666

42 WRD658 Lumbar Functure NK 200.00 200.00 200.00 80-81-666

43 WRD606 Mortury Sheet 400.00 400.00 400.00 80-81-666

44 WD615 Naso Gastric Tube Insertion 50.00 200.00 60.00 80-81-666

45 WD615 Naso Gastric Tube Insertion 50.00 200.00 60.00 80-81-666

46 WD615 Naso Gastric Tube Insertion 50.00 200.00 60.00 80-81-666

47 WD615 Naso Gastric Tube Insertion 50.00 200.00 60.00 80-81-666

48 WD615 Naso Gastric Tube Insertion 50.00 200.00 60.00 80-81-666

49 WD615 Naso Gastric Tube Insertion 50.00 200.00 60.00 80-81-666

50 WD615 Naso Gastric Tube Insertion 50.00 200.00 60.00 80-81-666

51 WRD649 Ng Tube 100.00 100.00 100.00 80-81-666

52 WRD650 Ng Tube Nk 200.00 200.00 200.00 80-81-666

53 WRD6009 Nitrous And Halogen 500.00 500.00 500.00 80-81-666

54 WRD657 Nursing Fee 100.00 100.00 5.00 80-81-666

55 WRD6005 Nursing Fees 200.00 200.00 200.00 80-81-666

56 WRD651 Oral Toilet 50.00 50.00 50.00 80-81-666

57 WRD652 Oral Toilet Nk 100.00 100.00 100.00 80-81-666

58 WRD6008 Oxygen 350.00 350.00 350.00 80-81-666

59 WD620 Oxygen 250.00 500.00 5.00 80-81-666

60 WRD615 Oxygen Catheter 100.00 100.00 100.00 80-81-666

61 WRD616 Oxygen Catheter Nk 200.00 200.00 200.00 80-81-666

62 WRD6002 Oxygen Cylinder(Big) 3,000.00 3,000.00 5.00 80-81-666

63 WRD6001 Oxygen Cylinder(Small) 2,000.00 2,000.00 5.00 80-81-666

64 WRD602 Oxygen Therapy 250.00 250.00 250.00 80-81-666

65 WRD604 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-666

66 WRD605 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-666

67 WRD603 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-666

68 WD617 Patient Grooming 50.00 250.00 5.00 80-81-666

69 WD607 Removal Of Stitches 50.00 50.00 5.00 80-81-666

70 WRD619 Ros 50.00 50.00 50.00 80-81-666

71 WRD620 Ros Nk 100.00 100.00 100.00 80-81-666

72 WRD623 Saline Bath 100.00 100.00 100.00 80-81-666

73 WRD624 Saline Bath Nk 200.00 200.00 200.00 80-81-666

74 WRD6006 Sanitary And Disinfection 200.00 200.00 200.00 80-81-666

75 WRD621 Shaving 50.00 50.00 50.00 80-81-666

76 WRD622 Shaving Nk 100.00 100.00 100.00 80-81-666

77 WRD625 Skin Care 50.00 50.00 50.00 80-81-666

78 WRD626 Skin Care Nk 100.00 100.00 100.00 80-81-666

79 WRD634 Steam Inhalation 100.00 100.00 100.00 80-81-666

80 WRD635 Steam Inhalation Nk 200.00 200.00 200.00 80-81-666

81 WRD636 Stomach Washout 50.00 50.00 50.00 80-81-666

82 WRD637 Stomach Washout Nk 100.00 100.00 100.00 80-81-666

83 WRD638 Suction 50.00 50.00 50.00 80-81-666

84 WRD639 Suction Nk 100.00 100.00 100.00 80-81-666

85 WRD640 Suction Tracheostomy 50.00 50.00 50.00 80-81-666

86 WRD659 Suction Tracheostomy Nk 100.00 100.00 100.00 80-81-666

87 WRD641 Suprapubic Pucture 500.00 500.00 500.00 80-81-666

88 WRD642 Suprapubic Pucture Nk 1,000.00 1,000.00 1,000.00 80-81-666

89 WRD62018002 U.B Covers 170.00 170.00 50.00 80-81-666

90 WD606 Urine Bag 50.00 50.00 5.00 80-81-666

91 WRD643 Urine Testing 50.00 50.00 50.00 80-81-666

92 WRD644 Urine Testing Nk 100.00 100.00 100.00 80-81-666

93 WRD655 Vulva Toiilet 100.00 100.00 100.00 80-81-666

94 WRD656 Vulva Toilet Nk 200.00 200.00 200.00 80-81-666

WARD 7

1 WRD7006 Accomodation 400.00 400.00 400.00 80-81-667

2 WD792 Accomodation 200.00 200.00 5.00 80-81-667

3 WD768 Accomondation Fee 300.00 300.00 300.00 80-81-667

4 WD700030 Arista Absorbable Hemostatic Particles 8,900.00 8,900.00 8,900.00 80-81-667

5 WD742 Armsling Application 0.00 0.00 5.00 80-81-667

6 WD744 Back Slab 500.00 500.00 5.00 80-81-667

7 WD737 Bed Bath 200.00 200.00 5.00 80-81-667

Charge Sheet - Page: 50

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

8 WD8001 Bed Fee 300.00 300.00 5.00 80-81-667

9 WD739 Blood Transfusion 150.00 150.00 5.00 80-81-667

10 WD702 branula 50.00 50.00 5.00 80-81-667

11 WD703 Bt Set 50.00 50.00 5.00 80-81-667

12 WRD7010 Caretaker 300.00 300.00 300.00 80-81-667

13 WD781 Care Taker 200.00 200.00 5.00 80-81-667

14 WD735 CARE TAKER 100.00 200.00 5.00 80-81-667

15 WD704 Catheter 200.00 200.00 5.00 80-81-667

16 WD729 Catheterization 200.00 200.00 5.00 80-81-667

17 WD711 Chest Bottle 1,500.00 1,500.00 5.00 80-81-667

18 WRD7004 Chest Tube 1,500.00 1,500.00 1,500.00 80-81-667

19 WD705 Consumabels 300.00 300.00 5.00 80-81-667

20 WRD7007 Consumables 400.00 400.00 400.00 80-81-667

21 WD798 Consumables 200.00 200.00 200.00 80-81-667

22 WD793 Consummables 200.00 200.00 5.00 80-81-667

23 WRD745 Dressing 50.00 50.00 50.00 80-81-667

24 WD725 Dressingfor Burns (Gamyee) 500.00 500.00 5.00 80-81-667

25 WRD746 Dressing Nk 100.00 100.00 100.00 80-81-667

26 WD727 Dressing Open Method Burning 200.00 200.00 5.00 80-81-667

27 WD722 Dressing Open Methods Burn 200.00 200.00 5.00 80-81-667

28 WD734 FUNSOFT CONTROL 0.00 100.00 5.00 80-81-667

29 WD707 Giving set 50.00 50.00 5.00 80-81-667

30 WD724 Golostomy Care 200.00 200.00 5.00 80-81-667

31 WD720 Ivf Fixing 60.00 60.00 60.00 80-81-667

32 WD721 Ivf Fixing 100.00 100.00 100.00 80-81-667

33 wd713 I.V Fluids 60.00 60.00 60.00 80-81-667

34 WRD751 Last Offices 200.00 200.00 200.00 80-81-667

35 WRD750 Mortury Sheet 400.00 400.00 400.00 80-81-667

36 WD732 Nasgastric Tube Removal 50.00 50.00 5.00 80-81-667

37 WD731 Nasogastric Tube Feeding 50.00 50.00 5.00 80-81-667

38 WD730 Nasogastric Tube Insertion 200.00 200.00 5.00 80-81-667

39 WRD7012 Nitrous And Halogen 500.00 500.00 500.00 80-81-667

40 WRD7012 Nitrous And Halogen 500.00 500.00 500.00 80-81-667

41 WRD7005 Nursing Fee 100.00 100.00 100.00 80-81-667

42 WRD7008 Nursing Fees 200.00 200.00 200.00 80-81-667

43 WRD7011 Oxygen 350.00 350.00 350.00 80-81-667

44 WD738 Oxygen Adminstration 250.00 250.00 5.00 80-81-667

45 WRD7002 Oxygen Cylinder(Big) 3,000.00 3,000.00 5.00 80-81-667

46 WRD7001 Oxygen Cylinder(Small) 2,000.00 2,000.00 5.00 80-81-667

47 WD709 Oxygen Therapy 250.00 250.00 5.00 80-81-667

48 WRD748 Oxygen Therapy Icu 500.00 500.00 500.00 80-81-667

49 WRD749 Oxygen Therapy Icu Nk 500.00 500.00 500.00 80-81-667

50 WRD747 Oxygen Therapy Nk 500.00 500.00 500.00 80-81-667

51 WD710 Pads 70.00 70.00 5.00 80-81-667

52 WD710 Pads 70.00 70.00 5.00 80-81-667

53 WD733 Removal Of Catheter 100.00 100.00 5.00 80-81-667

54 WD723 Removal Of Drain 100.00 100.00 5.00 80-81-667

55 WD728 Removal Of Stitches 100.00 100.00 5.00 80-81-667

56 WD740 Saline Enema 300.00 300.00 5.00 80-81-667

57 WD741 Saline Sitz Baths 100.00 100.00 5.00 80-81-667

58 WRD7009 Sanitary And Disinfection 200.00 200.00 200.00 80-81-667

59 WD713 Stitching 1,000.00 1,000.00 5.00 80-81-667

60 WD736 Suctioning 300.00 300.00 5.00 80-81-667

61 wd714 Trransfussion Set 50.00 50.00 50.00 80-81-667

62 WRD72018002 U.B covers 170.00 170.00 50.00 80-81-667

63 WD719 Urine Bag 50.00 50.00 5.00 80-81-667

64 WD726 Wound Dressing 250.00 250.00 5.00 80-81-667

65 WD726 Wound Dressing 250.00 250.00 5.00 80-81-667

WARD 8

1 WD883 Accomodation 200.00 200.00 5.00 80-81-668

2 WRD 1006 Accomodation 400.00 400.00 400.00 80-81-668

3 WRD1005 Accomodation 300.00 300.00 5.00 80-81-668

4 WD800030 Arista Absorbable Hemostatic Particles 8,900.00 8,900.00 8,900.00 80-81-668

5 WD831 Back Slab 500.00 500.00 5.00 80-81-668

6 WD825 Bed Bath 200.00 200.00 5.00 80-81-668

7 WD9001 Bed Fee 300.00 300.00 5.00 80-81-668

8 WD827 Blood Transfusion 150.00 150.00 5.00 80-81-668

9 WD808 branula 50.00 50.00 5.00 80-81-668

10 WRD 1010 Caretaker 300.00 300.00 300.00 80-81-668

Charge Sheet - Page: 51

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

11 WD882 Care Taker 200.00 200.00 5.00 80-81-668

12 WD804 Catheter 200.00 200.00 5.00 80-81-668

13 WD819 Catheterisation 200.00 200.00 5.00 80-81-668

14 WRD 1007 Consumables 400.00 400.00 400.00 80-81-668

15 WD803 Consumables 300.00 300.00 5.00 80-81-668

16 WD884 Consummables 200.00 200.00 5.00 80-81-668

17 WD806 Dressing 50.00 50.00 5.00 80-81-668

18 WD802 FUNSOFT CONTROL 0.00 200.00 5.00 80-81-668

19 WD809 Giving set 50.00 50.00 5.00 80-81-668

20 WD813 Inpatient 100.00 100.00 6.00 80-81-668

21 WD832 Last Office 300.00 300.00 5.00 80-81-668

22 WD832 Last Office 300.00 300.00 5.00 80-81-668

23 WD821 Nasogastric Tube Feeding 50.00 50.00 5.00 80-81-668

24 WD820 Nasogastric Tube Insertion 200.00 200.00 5.00 80-81-668

25 WD822 Nasogastric Tube Removal 50.00 50.00 5.00 80-81-668

26 WRD 1012 Nitrous And Halogen 500.00 500.00 500.00 80-81-668

27 WRD 1008 Nursing Fees 200.00 200.00 200.00 80-81-668

28 WD818 Nursing Fees 100.00 100.00 100.00 80-81-668

29 WD810 Oxygen 250.00 250.00 5.00 80-81-668

30 WRD 1011 Oxygen 350.00 350.00 350.00 80-81-668

31 WD826 Oxygen Adminstration 250.00 250.00 5.00 80-81-668

32 WRD8002 Oxygen Cylinder(Biig) 2,000.00 2,000.00 5.00 80-81-668

33 WRD8001 Oxygen Cylinder(Small) 2,000.00 2,000.00 5.00 80-81-668

34 WD816 P.O.P Application (Full Length) 1,500.00 1,500.00 5.00 80-81-668

35 WD823 Removal Of Catheter 100.00 100.00 5.00 80-81-668

36 WD812 Removal Of Stitches 50.00 50.00 5.00 80-81-668

37 WD812 Removal Of Stitches 50.00 50.00 5.00 80-81-668

38 WD828 Saline Enema 300.00 300.00 5.00 80-81-668

39 WD829 Saline Sitz Baths 100.00 100.00 5.00 80-81-668

40 WRD 1009 Sanitary And Disinfection 200.00 200.00 200.00 80-81-668

41 WD824 Suctioning 300.00 300.00 5.00 80-81-668

42 WD814 Taction 0.00 0.00 60.00 80-81-668

43 WD814 Taction 0.00 0.00 60.00 80-81-668

44 WD814 Taction 0.00 0.00 60.00 80-81-668

45 WD814 Taction 0.00 0.00 60.00 80-81-668

46 WD815 Transfussion Set 50.00 50.00 50.00 80-81-668

47 WD815 Transfussion Set 50.00 50.00 50.00 80-81-668

48 WD815 Transfussion Set 50.00 50.00 50.00 80-81-668

49 WD815 Transfussion Set 50.00 50.00 50.00 80-81-668

50 WRD82018002 U.B covers 170.00 170.00 170.00 80-81-668

51 WD805 Urine Bag 50.00 50.00 5.00 80-81-668

52 WD817 Wound Dressing 250.00 250.00 5.00 80-81-668

WARD 9

1 WD90003 Accomodation 400.00 400.00 400.00 80-81-669

2 WD980 Accomondation Fee 300.00 300.00 300.00 80-81-669

3 WD900030 Arista Absorbable Hemostatic Particles 8,900.00 8,900.00 8,900.00 80-81-669

4 WD940 Armsling Application 0.00 0.00 5.00 80-81-669

5 WD938 Back Slab 500.00 500.00 5.00 80-81-669

6 WD932 Bed Bath 200.00 200.00 5.00 80-81-669

7 WD10001 Bed Fee 300.00 300.00 5.00 80-81-669

8 WD934 Blood Transfusion 150.00 150.00 5.00 80-81-669

9 WD9009 branula 50.00 50.00 5.00 80-81-669

10 WD9011 Bt Set 50.00 50.00 5.00 80-81-669

11 WD90007 Caretaker 300.00 300.00 300.00 80-81-669

12 WD9014 Catheter 200.00 200.00 5.00 80-81-669

13 WD926 Catheterisation 200.00 200.00 5.00 80-81-669

14 WD019 Consumables 300.00 300.00 5.00 80-81-669

15 WD90004 Consumables 400.00 400.00 400.00 80-81-669

16 WD9012 Dressing 50.00 50.00 5.00 80-81-669

17 WD937 FUNSOFT CONTROL 0.00 200.00 5.00 80-81-669

18 WD9010 Giving set 50.00 50.00 5.00 80-81-669

19 WDO22 Ivf Fixing 60.00 60.00 60.00 80-81-669

20 WD023 Ivf Fixing NK 100.00 100.00 100.00 80-81-669

21 WD024 I.V Fluids 60.00 60.00 60.00 80-81-669

22 WD90002 Last Office 200.00 200.00 5.00 80-81-669

23 WD939 Last Office 300.00 300.00 5.00 80-81-669

24 WD90001 Mortuary Sheet 400.00 400.00 5.00 80-81-669

25 WD021 Mva 1,500.00 1,500.00 5.00 80-81-669

26 WD928 Nasogastric Tube Feeding 50.00 50.00 5.00 80-81-669

Charge Sheet - Page: 52

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

27 WD927 Nasogastric Tube Insertion 200.00 200.00 5.00 80-81-669

28 WD929 Nasogastric Tube Removal 50.00 50.00 5.00 80-81-669

29 WD90009 Nitrous And Halogen 500.00 500.00 500.00 80-81-669

30 WD90005 Nursing Fees 200.00 200.00 200.00 80-81-669

31 WD925 Nursing Fees 100.00 100.00 100.00 80-81-669

32 WD90008 Oxygen 350.00 350.00 350.00 80-81-669

33 WD933 Oxygen Administration Daily 250.00 250.00 5.00 80-81-669

34 WRD9002 Oxygen Cylinder(Big) 3,000.00 3,000.00 5.00 80-81-669

35 WRD9001 Oxygen Cylinder(Small) 2,000.00 2,000.00 5.00 80-81-669

36 WD9003 Oxygen Therapy 250.00 250.00 3.00 80-81-669

37 WD9016 Pads 70.00 70.00 5.00 80-81-669

38 WD930 Removal Of Catheter 100.00 100.00 5.00 80-81-669

39 WD9013 Removal Of Stitches 50.00 50.00 5.00 80-81-669

40 WD935 Saline Enema 300.00 300.00 5.00 80-81-669

41 WD936 Saline Sitz Baths 100.00 100.00 5.00 80-81-669

42 WD90006 Sanitary And Disinfection 200.00 200.00 200.00 80-81-669

43 WD9008 Stitching 1,000.00 1,000.00 20.00 80-81-669

44 WD931 Suctioning 300.00 300.00 5.00 80-81-669

45 WD025 Transfussion Set 50.00 50.00 50.00 80-81-669

46 WRD92018002 U.B covers 170.00 170.00 170.00 80-81-669

47 WD9015 Urine Bag 50.00 50.00 5.00 80-81-669

48 WD924 Wound Dressing 250.00 250.00 5.00 80-81-669

XRAY

1 XR0031 0.P.G 300.00 300.00 5.00 80-81-311

2 XR0036 Abdomen Decubitus 500.00 500.00 5.00 80-81-311

3 XR0034 Abdomen Supine 500.00 500.00 5.00 80-81-311

4 xr0021 Abdominal Pelvic Ultra Sound 1,200.00 1,200.00 1,200.00 80-81-311

5 xr0020 Abdominal Ultra Sound 800.00 800.00 800.00 80-81-311

6 XROO25 Ankle Joint 300.00 300.00 5.00 80-81-311

7 xr00112 Ap/Lateral Knee 400.00 400.00 400.00 80-81-311

8 XR0078 Ascending Uretugram 1,200.00 1,200.00 5.00 80-81-311

9 XR0073 Barium Enema 650.00 650.00 5.00 80-81-311

10 XR0070 Barium Meal 1,300.00 1,300.00 5.00 80-81-311

11 XR0069 Barium Swallow 650.00 650.00 5.00 80-81-311

12 XR0071 Be -Meal Follow Through 700.00 700.00 5.00 80-81-311

13 XR0024 Booth Feet 300.00 300.00 5.00 80-81-311

14 XR0049 Booth Knee Joint 400.00 400.00 5.00 80-81-311

15 XR0047 Both Ankles 400.00 400.00 5.00 80-81-311

16 XR0038 Both Claricles 400.00 400.00 5.00 80-81-311

17 XR043 Both Elbow Joints 400.00 400.00 5.00 80-81-311

18 XR042 Both Forearms 400.00 400.00 5.00 80-81-311

19 XR044 Both Humeri 400.00 400.00 5.00 80-81-311

20 XR0051 Both Knee With Sky Line View 400.00 400.00 5.00 80-81-311

21 XR0048 Both Legs 400.00 400.00 5.00 80-81-311

22 XR0045 Both Shoulders 400.00 400.00 5.00 80-81-311

23 XR0068 Cervical 5 Views + Flex & Ext 600.00 600.00 5.00 80-81-311

24 XR0055 Cervical Spine Ap/Cat 500.00 500.00 5.00 80-81-311

25 XR0060 Cervical Spine Ap/Lat, Oblique 500.00 500.00 5.00 80-81-311

26 XRAY1010 Cervical Xray 400.00 400.00 400.00 80-81-311

27 XR0080 Chalongiogram In Theatre 1,200.00 1,200.00 5.00 80-81-311

28 XR0056 Chest Pa/Cat 2 Obliques 500.00 500.00 5.00 80-81-311

29 XR1020 Chest Xray 500.00 500.00 500.00 80-81-311

30 XR0022 Clavicle 400.00 400.00 5.00 80-81-311

31 XR003 Consultation Clinic Fee 200.00 200.00 5.00 80-81-311

32 XR00101 Ct Peripheral Vessels 9,000.00 9,000.00 9,000.00 80-81-311

33 XR00102 Ct Renal Arteriography 9,000.00 9,000.00 9,000.00 80-81-311

34 XR1016 Ct Scan 5,000.00 5,000.00 5,000.00 80-81-311

35 xr00113 Ct Scan Abdomen 6,000.00 6,000.00 6,000.00 80-81-311

36 XR00100 Ct Scan Angiography Pulmonary 9,000.00 9,000.00 9,000.00 80-81-311

37 xr00109 Ct Scan Brain 4,000.00 4,000.00 4,000.00 80-81-311

38 XR00104 Ct Scan Chest 5,000.00 5,000.00 5,000.00 80-81-311

39 xr00110 Ct Scan Head 4,000.00 4,000.00 4,000.00 80-81-311

40 XROO83 Ct Scan Orbits 4,000.00 4,000.00 4,000.00 80-81-311

41 XR0093 Ct Scan Paranasal Sinuses 3,000.00 3,000.00 5.00 80-81-311

42 XR0093 Ct Scan Paranasal Sinuses 3,000.00 3,000.00 5.00 80-81-311

43 XR0093 Ct Scan Paranasal Sinuses 3,000.00 3,000.00 5.00 80-81-311

44 XR200 Ct Scan Pelvic 4,500.00 4,500.00 5.00 80-81-311

45 XR0092 Ct Scan Shoulder 4,000.00 4,000.00 5.00 80-81-311

46 XR0092 Ct Scan Shoulder 4,000.00 4,000.00 5.00 80-81-311

Charge Sheet - Page: 53

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

47 XR1017 Ct Scan With Contrast 6,000.00 6,000.00 6,000.00 80-81-311

48 XR1018 Dental 300.00 300.00 300.00 80-81-311

49 XR10015 Doppler 850.00 850.00 50.00 80-81-311

50 XR00103 Dynamic Organ Studies 9,000.00 9,000.00 9,000.00 80-81-311

51 XR 103001 Ecg 1,000.00 1,000.00 1,000.00 80-81-311

52 XR 103001 Ecg 1,000.00 1,000.00 1,000.00 80-81-311

53 XR1019 E.C.G 1,000.00 1,000.00 0.00 80-81-311

54 XR1019 E.C.G 1,000.00 1,000.00 0.00 80-81-311

55 XR0017 Echo 5,000.00 5,000.00 0.00 80-81-311

56 XR0017 Echo 5,000.00 5,000.00 0.00 80-81-311

57 XR0019 Elbow Joint (In The Knee) 300.00 300.00 5.00 80-81-311

58 XR0058 Facial Bones 500.00 500.00 5.00 80-81-311

59 XR0101 Femoral Art, Unilatenal 2,500.00 2,500.00 5.00 80-81-311

60 XR00115 Femur 400.00 400.00 400.00 80-81-311

61 XR0096 Fistulogram 650.00 650.00 5,000.00 80-81-311

62 XR0096 Fistulogram 650.00 650.00 5,000.00 80-81-311

63 XR0023 Foot & Toes 400.00 400.00 5.00 80-81-311

64 XR0018 Forearm 300.00 300.00 5.00 80-81-311

65 XR0035 FUNSOFT CONTROL 500.00 500.00 5.00 80-81-311

66 XR0072 Gastrogrfin Examination 650.00 650.00 5.00 80-81-311

67 XR0015 Hand,Both Hands,Wrist 300.00 300.00 5.00 80-81-311

68 XR0095 High Dose Ivu 1,200.00 1,200.00 4,500.00 80-81-311

69 XR0095 High Dose Ivu 1,200.00 1,200.00 4,500.00 80-81-311

70 XR00106 Hip-Ap/Lateral 450.00 450.00 450.00 80-81-311

71 XR0020 Humerus 300.00 300.00 5.00 80-81-311

72 XR0089 Hysterosalpingognam 900.00 900.00 6,000.00 80-81-311

73 XR0089 Hysterosalpingognam 900.00 900.00 6,000.00 80-81-311

74 XR0089 Hysterosalpingognam 900.00 900.00 6,000.00 80-81-311

75 XR0075 Infusion 1,200.00 1,200.00 5.00 80-81-311

76 XR0032 Intraoral Dental 100.00 100.00 5.00 80-81-311

77 XR0032 Intraoral Dental 100.00 100.00 5.00 80-81-311

78 XR0074 Intravenous Urogram 1,200.00 1,200.00 5.00 80-81-311

79 xr00114 I Opa Dental 200.00 200.00 200.00 80-81-311

80 XR0087 I.V Fluids 0.00 0.00 5.00 80-81-311

81 XR0087 I.V Fluids 0.00 0.00 5.00 80-81-311

82 XR0087 I.V Fluids 0.00 0.00 5.00 80-81-311

83 XR0102 Kidney Uterus Bladder 0.00 0.00 5.00 80-81-311

84 XR0027 Knee Joint 400.00 400.00 5.00 80-81-311

85 XR0050 Knee With Sky Line View 400.00 400.00 5.00 80-81-311

86 XR0026 Leg/Tb/Fib 400.00 400.00 5.00 80-81-311

87 XR0082 Liver,Gall-Bladder,Spleen,Pancreas 500.00 500.00 4,000.00 80-81-311

88 XR0082 Liver,Gall-Bladder,Spleen,Pancreas 500.00 500.00 4,000.00 80-81-311

89 XR0082 Liver,Gall-Bladder,Spleen,Pancreas 500.00 500.00 4,000.00 80-81-311

90 er00109 Lower Limb 400.00 400.00 400.00 80-81-311

91 80-81-312 Lumba Sacral 5,000.00 5,000.00 5,000.00 80-81-311

92 XR0062 Lumber Spine 500.00 500.00 350.00 80-81-311

93 XR0066 Mammognam 1,000.00 1,000.00 5.00 80-81-311

94 XR0052 Mastoids 500.00 500.00 5.00 80-81-311

95 XR0029 Maxillary Autumn 500.00 500.00 5.00 80-81-311

96 XR0077 Micturating Cytogram 1,200.00 1,200.00 5.00 80-81-311

97 XR 103004 Mri 12,000.00 12,000.00 12,000.00 80-81-311

98 XR0097 Myelogram- Whole Spine 1,375.00 1,375.00 5.00 80-81-311

99 XR0097 Myelogram- Whole Spine 1,375.00 1,375.00 5.00 80-81-311

100 XR0099 Myelogra Reginal 1,375.00 1,375.00 9,000.00 80-81-311

101 XR0099 Myelogra Reginal 1,375.00 1,375.00 9,000.00 80-81-311

102 XR0030 Nasal Bone 300.00 300.00 5.00 80-81-311

103 XR0081 Obstetric ultrasound Scan 800.00 800.00 500.00 80-81-311

104 XR0033 Occlusal Dental 200.00 200.00 5.00 80-81-311

105 XR0033 Occlusal Dental 200.00 200.00 5.00 80-81-311

106 XR1013 Opg 800.00 800.00 5.00 80-81-311

107 XR0059 Optical Foraman 500.00 500.00 5.00 80-81-311

108 XROO54 Orbits 500.00 500.00 5.00 80-81-311

109 XR0053 Paranasal Sinuses 500.00 500.00 5.00 80-81-311

110 XR0084 Pelvic (Gynae &Bladder 650.00 650.00 4,500.00 80-81-311

111 XR0084 Pelvic (Gynae &Bladder 650.00 650.00 4,500.00 80-81-311

112 XR0084 Pelvic (Gynae &Bladder 650.00 650.00 4,500.00 80-81-311

113 xr0019 Pelvic Ultra Sound 800.00 800.00 800.00 80-81-311

114 XR0067 Pelvimetry 500.00 500.00 5.00 80-81-311

115 XR00105 Pelvis 400.00 400.00 400.00 80-81-311

Charge Sheet - Page: 54

COAST PROVINCIAL GENERAL HOSPITAL

Charges(Item/Service Rate) : Printed On : 2018-07-18Index Code Item/Service Normal Rate -

E.A. (KSH)Special Rate -

PRIVATE (KSH)NON E.A. (KSH) Gl Account

116 XR0094 Pine & Platinef -Head 700.00 700.00 4,000.00 80-81-311

117 XR0094 Pine & Platinef -Head 700.00 700.00 4,000.00 80-81-311

118 XR0094 Pine & Platinef -Head 700.00 700.00 4,000.00 80-81-311

119 XR0094 Pine & Platinef -Head 700.00 700.00 4,000.00 80-81-311

120 XROO28 Pituitary Fossa 500.00 500.00 5.00 80-81-311

121 XR0040 Portable 400.00 400.00 5.00 80-81-311

122 XR0085 Prostate 500.00 500.00 5.00 80-81-311

123 XR0085 Prostate 500.00 500.00 5.00 80-81-311

124 XR0085 Prostate 500.00 500.00 5.00 80-81-311

125 XR0086 Renal Biospsy 500.00 500.00 4,500.00 80-81-311

126 XR0086 Renal Biospsy 500.00 500.00 4,500.00 80-81-311

127 XR0086 Renal Biospsy 500.00 500.00 4,500.00 80-81-311

128 XR0083 Renal & Thyroide 500.00 500.00 4,000.00 80-81-311

129 XR0083 Renal & Thyroide 500.00 500.00 4,000.00 80-81-311

130 XR0103 Reporting Ct Films Done Elsewhere 0.00 0.00 5.00 80-81-311

131 XR0041 Reporting Films Done Elsewhere 100.00 100.00 5.00 80-81-311

132 XR0076 Retrograde Pyelography 1,200.00 1,200.00 5.00 80-81-311

133 XR0057 Ribs 2 Obliques 500.00 500.00 5.00 80-81-311

134 XR00107 Sacroiliac Joints 400.00 400.00 400.00 80-81-311

135 XR0065 Sacroiliac Joints +Oblique 500.00 500.00 5.00 80-81-311

136 XR0064 Sacrum +Coccyx 500.00 500.00 5.00 80-81-311

137 XR0046 Scaphoid Views 400.00 400.00 5.00 80-81-311

138 XR0037 Shoulder Ap/Lat 500.00 500.00 5.00 80-81-311

139 XR0021 Shoulder Joint 400.00 400.00 5.00 80-81-311

140 XR0091 Sialognam 720.00 720.00 4,500.00 80-81-311

141 XR0091 Sialognam 720.00 720.00 4,500.00 80-81-311

142 XR0091 Sialognam 720.00 720.00 4,500.00 80-81-311

143 XR0090 Sinognam 900.00 900.00 4,000.00 80-81-311

144 XR0090 Sinognam 900.00 900.00 4,000.00 80-81-311

145 XR0090 Sinognam 900.00 900.00 4,000.00 80-81-311

146 XR0063 Skull X-Ray 500.00 500.00 5.00 80-81-311

147 XR0063 Skull X-Ray 500.00 500.00 5.00 80-81-311

148 XR0088 Spleenoportal Venogram 1,200.00 1,200.00 5,000.00 80-81-311

149 XR0088 Spleenoportal Venogram 1,200.00 1,200.00 5,000.00 80-81-311

150 XR0088 Spleenoportal Venogram 1,200.00 1,200.00 5,000.00 80-81-311

151 HR0132 Stitchin Under L/A 100.00 100.00 5.00 80-81-311

152 XR 103005 Test 10.00 12.00 5.00 80-81-311

153 XR 103005 Test 10.00 12.00 5.00 80-81-311

154 XR 103005 Test 10.00 12.00 5.00 80-81-311

155 xr 00111 Thigh 400.00 400.00 400.00 80-81-311

156 XR0039 Thorasic Inlet 500.00 500.00 5.00 80-81-311

157 XR0061 Thorasic Spine 500.00 500.00 5.00 80-81-311

158 XR0079 T.Tube Cholangiogram 1,200.00 1,200.00 5.00 80-81-311

159 XR1015 Ultrasound 850.00 850.00 850.00 80-81-311

160 xr00108 Upper Limb 400.00 400.00 400.00 80-81-311

161 XR0098 Venogram- Bilateral 1,375.00 1,375.00 9,000.00 80-81-311

162 XR0098 Venogram- Bilateral 1,375.00 1,375.00 9,000.00 80-81-311

163 XR0100 Venogram - Unilateral 1,375.00 1,375.00 5.00 80-81-311

164 XR0016 Wrist Joint-K 400.00 400.00 5.00 80-81-311

165 XR1014 Xray 500.00 500.00 500.00 80-81-311