CIGNET HEALTH PLAN

20 Garrick St.

London WC 2E9AX

Tel: 44 207-331-4346

Fax: 44 207-331-4504

 

PROVIDER SERVICES PRICE LIST – UNITED KINGDOM

 

ITEM#

OFFICE SERVICE/

PROCEDURES

 

CIGNET CPT

CODE

AVERAGE PROVIDER HEALTH COST

CIGNET DISCOUNTED PRICES

1

OFFICE CONSULT

99245

£210.00

£105

2

FOLLOWUP CONSULT

99244

£130.00

£65

3

NEW OFFICE VISIT

99205

£255.00

£85

4

FOLLOWUP VISIT

99215

£100.00

£50

5

NON DOCTOR FOLLOW UP

99212

£100.00

£50

6

NEW HOSPITAL VISIT

99223

£255.00

£85

7

FOLLOW UP HOSPITAL VISIT

99233

£100.00

£50

8

NEW HOSPITAL CONSULT

99255

£190.00

£95

9

FOLLOW UP HOSPITAL CONSULT

99254

£165.00

£55

10

COLPOSCOPY

57454

£400.00

£200

11

2DECHO

93320

£600.00

£300

12

EKG

93000

£135.00

£45

13

STRESS TEST

93015

£170.00

£85

14

OB MONITORING

59020

£70.00

£35

15

VAGINAL DELIVERY

59409

£2,250.00

£750

16

C-SECTION

59510

£1,950.00

£975

17

CXR

71020

£170.00

£85

18

URINALYSIS

81000

£45.00

£15

19

PREGNANCY TEST

84702

£60.00

£30

20

INJECTIION, IV, IM VENIPUNCTURES

36410

£30.00

£15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CIGNET HEALTH PLAN

20 Garrick St.

London WC 2E9AX

Tel: 44 207-331-4346

Fax: 44 207-331-4504

 

UK SPECIAL PRICING LAB FEES FROM

QUEST DIAGNOSTICS

 

ITEM#

OFFICE SERVICE/

PROCEDURES

 

UNIT COST

1

ALPHA FETO PROTEIN

£27.00

2

ANA ANTO NUCLEAR ANTIBODY

£20.48

3

BETA-HEMOLYTIC STREP

£

4

CALCIUM (SERUM)

£15.00

5

CBC

£12.35

6

CHLAMYDIA BY PCR(ENDOCERVICAL)

£27.30

7

CHLAMYDIA BY PCR(URETHRAL)

£23.72

8

GONORRHOEAE

£17.00

9

CHEM7, CHEM14, CHEM25

£12.29

10

SHORT BIOCHEMISTRY INCLUDES

GLUCOSE, UREA, CREATINE, CALCIUM, PHOSPHATE, TOTAL PROTEIN, ALBUMIN, GLOBULIN, TOTAL BILIRUBIN, ALKALINE PHOSPHATASE, GAMMA GT, AST, ALT, CK, URIC ACID, CHOLESTEROL, TRIGLYCERIDES

£12.29

11

SHORT BIOCHEMISTRY PLUS HAEMATOLOGY INCLUDES GLUCOSE, UREA, CREATININE, CALCIUM, PHOSPHATE, TOTAL PROTEIN, ALBUMIN, GLOBULIN, TOTAL BILIRUBIN, ALKALINE PHOSPHATASE, GAMMA GT, AST, ALT, CK, URIC ACID, CHOLESTEROL, TRIGLYCERIDES, FULL BLOOD COUNT, PLATELETS AND ERYTHROCYTE SEDIMENTATION RATE

£15.70

12

FULL BIOCHEMISTRY PLUS HAEMATOLOGY INCLUDES SODIUM, POTASSIUM, CHLORIDE, CARBON DIOXIDE, GLUCOSE, UREA, CREATININE, CALCIUM, PHOSPHATE, TOTAL PROTEIN, ALBUMIN, GLOBULIN, TOTAL BILIRUBIN, ALKALINE PHOSPHATASE, GAMMA GT, AST, ALT, CK, URIC ACID, CHOLESTEROL, TRIGLYCERIDES, FULL BLOOD COUNT, PLATELETS AND ERTHROCYTE SEDIMENTATION RATE, HDL CHOLESTEROL AND LDL CHOLESTEROL

£20.48

13

FREE CORTOSOL

£20.80

14

TOTAL CORTISOL

£14.30

15

FERRITIN

£10.00

16

FSH, LH

£19.18

17

CULTURE, VAGINAL

£15.60

18

CULTURE, URINE

£17.23

19

CULTURE, THROAT

£14.30

20

HPYLORI IGM, IGG, IgA-I (QUALITATIVE)

£26.50

21

BetaHCG, QUAN/QUAL

£30.00

22

HbgA1c

£10.00

23

HEPATITIS B PROFILE

(PUBLIC HEALTH LAB CONFIRMATION CHARGE- £18.78)

£12.35

 

24

HEPATITIS C PROFILE

(PUBLIC HEALTH LAB CONFIRMATION CHARGE- £46.31)

£12.35

25

HIV SCREEN

(PHL CONFIRMATION CHARGE £36.00)

£14.30

26

LIPID PANEL COMPRISING CHOLESTEROL AND TRIGLYCERIDES, HDL CHOLESTEROL AND LDL CHOLESTEROL

£10.00

27

PAP SMEAR - TRADITIONAL SLIDE

£16.58

28

PAP SMEAR – LIQUID BASED CYTOLOGY

£22.10

29

THIN PREP

£54.60

30

PROLACTIN

£16.25

31

PT, PTT

£18.20

32

RPR

£13.00

33

URINALYSIS, MICROBIOLOGY

£17.23

34

URINALYSIS , MACROSCOPIC

£13.00

35

SED RATE-ESR

£6.50

36

PROFILE 1 - FT-4, TSH

£18.43

37

PROFILE 2  - FT-3, FT-4 AND TSH

£25.25

38

RUBELLA – IgG

£17.31

39

RUBELLA – IgM

£21.07

40

TOTAL CHOLESTEROL

£6.80

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RADIOLOGY SPECIAL PRICING FEES

LONDON IMAGING

PROCEDURE

NAME

 

PRICE

CT

ONE AREA

£400

 

TWO AREA

£500

 

THREE AREA

£600

 

I.V. CONTRAST

£75

MRI

ONE AREA

£400

 

TWO AREA

£500

 

THREE AREA

£600

 

I.V. CONTRAST

£75

US

ONE AREA

£150

 

TWO AREA

£225

 

THREE AREA

£300

GENERAL X-RAY

BAND A  - PER AREA

£75

 

BAND B   - PER AREA

£95

 

OPG/ LAT CEPH

£75

 

MAMMOGRAM (SINGLE)

£70

 

MAMMOGRAM(BILATERAL)

£100

 

IVU

£200

SCREENING

BA. ENAMA

£260

 

BA. SWALLOW

£220

 

BA. MEAL

£240

 

BA. MEAL & FT

£250

 

VENOGRAM

£250

 

SIALOGRAM

£200

NM

BONE SCAN

£265

 

BONE SPECT

£350

 

BONE & LIVER

£410

 

LIVER

£230

 

THYROID INC. UPTAKE

£194

 

PARATHYROID (MIBI)

£650

 

DTPA RENOGRAM

£260

 

DTPA & CAPROPRIL

£320

 

DMSA RENAL SCAN

£240

 

MAG 3 RENOGRAM

£300

 

GASTRIC EMPTYING

£350

 

GI BLEED

£450

 

LYMPHOSCINITIGRAPHY

£300

 

LACRIMAL DRAINAGE/DACRO SCINTIGRAPHY

£250

 

PERFUSION LUNG SCAN

£210

 

VQ LUNG SCAN

£350

 

MECKEL’S

£230

 

HIDA

£260

 

WHITE CELL STUDY

£650