Hospital Rate Schedule

If you have any questions:
Call: 905-863-2550 or toll-free at 1-844-456-3538
Fax: 905-863-2459
Email: accounts.receivable@williamoslerhs.ca

Rates are effective as of January 2020

An important note: Osler does not generally provide elective treatment for uninsured patients.

In addition, Osler must first approve any elective surgical or medical procedure or admission to an inpatient bed for patients who do not have Ontario Health Insurance Plan (OHIP), as well as pay in advance for Osler’s health care treatment and services.

If an uninsured patient needs emergency care due to an immediate threat to life, limb or vital organs, the care will be provided, regardless of their non-insured status. Payment for any health care costs will be required once the patient’s condition is stable.

Health care services in Ontario are publicly funded through money from taxes paid by people who live and work in the Province. Ontario residents also pay an annual premium to OHIP which gives them full access to all insured services available in the health system. As a publicly-funded hospital, Osler must meet the health care needs of Ontario residents who are insured through OHIP.

Please note: The Ministry of Health announced Ontario is waiving the three-month waiting period for OHIP coverage to ensure that anyone in need of care can receive it. The province will also cover the cost of COVID-19 services for uninsured people who do not meet the criteria for OHIP coverage.

	INSURED RESIDENTS	UNINSURED RESIDENTS	NON-RESIDENTS OF CANADA (VISITORS)
Inpatient Daily Charges*	OHIP	UN	OOC
Acute Care Daily Rate - Standard Ward	-	$3,700	$3,700
Acute Care Daily Rate - Newborn	-	$1,500	$1,500
Rehabilitation Daily Rate/Chronic - Standard Ward	-	$3,700	$3,700
Intensive Care Unit / Neo-natal Intensive Care Unit	-	$6,000	$6,000
* DEPOSIT: Pre-payment of patient charges is required when services to be provided by the Hospital to a patient are not insured. The deposit requested will be for three (3) days of inpatient stay.
Preferred Accommodation (daily rates)
Acute or Rehabilitation - Semi-Private	$280	$3,980	$3,980
Acute or Rehabilitation - Private	$310	$4,010	$4,010
Chronic - Semi-Private	$45	$3,980	$3,980
Chronic - Private	$65	$4,010	$4,010
Outpatient Visit Charges
Emergency Room Visit	$0	$1,000	$1,000
Outpatient Clinic Visit	$0	$600	$600
Minor Procedure	$0	$400	$400
Chemotherapy Visit (excludes drug charges)	$0	$600	$600
Chemotherapy Drugs	As per consultation with Chemotherapy clinic.
Chiropody Visit	$20	$600	$600
Dialysis Clinic and Hemodialysis daily rate	$0	$1,400	$1,400
Ambulance (Ministry of Health) - Essential ($195 covered by OHIP)	$45	$240	$240

All ER and Outpatient Visit charges include basic assessment only.

Excluded from the basic cost are high cost diagnostic procedures, consultant fees, physician fees (other than the ER Doctor) and all items separately billed below.

Uninsured/Delisted Procedure Rates

Delisted / Uninsured Services are procedures that are not covered by OHIP. For valid OHIP patients some procedures may be covered based on circumstance and Ministry pre-approval defined by your surgeon. Cost of any uninsured procedure is the responsibility of the patient. Non-Residents and Uninsured Residents are also responsible for any other applicable fees.

Delisted procedures are subject to an additional HST of 13%. Excludes Uninsured Daily Inpatient Room Rate; Excludes Physician Fee and cost of implants.

PROCEDURE	UNINSURED PROCEDURES	Approximate Duration (min)	Primary Rate	Secondary Rate
Circumcision	Circumcisions due to reasons other than remedying health state such as traditional or religious beliefs	45	$950	$475
Decreasing size of abdomen/trunk	Any surgery involving reduction in size of abdomen/trunk for cosmetic purposes	120	$2,880	$1,440
	Breast Augmentation - bilateral	110	$2,100	$1,050
	Breast Augmentation - unilateral		$1,500/ hour or $750 per 30 min	$750/ hour or $375 per 30 min
	Breast Lift - bilateral	110	$2,310	$1,155
	Breast Lift - unilateral		$1,500/ hour or $750 per 30 min	$750/ hour or $375 per 30 min
Face Lift	Reduction of fat from face and neck		$1,500/ hour or $750 per 30 min	$750/ hour or $375 per 30 min
Facial Bones	Chin Reconstruction for Cosmetic Purposes	120	$2,500	$1,250
Facial Bones	Mandibular Reconstruction for Cosmetic Purposes	120	$2,500	$1,250
Ear Procedures	Repair ear	60	$1,620	$810
Eye Procedures	Blepharoplasty	90	$2,050	$1,025
Liposuction	Reduction of fat deposits from arm, neck, thighs/legs		$1,500/ hour or $750 per 30 min	$750/ hour or $375 per 30 min
Rhinoplasty	Rhinoplasty procedure excluding Septoplasty procedure	60	$1,940	$970
Reversal of sterilization	Reattachment Fallopian tubes or vas deferens	60	$3,000	$1,500
Overnight Hospital Stay	Standard Ward OHIP or Other Province Patient		$1,000
Overnight Hospital Stay	Standard Ward Uninsured Patient		$2,000
Initial Hour OR time	Delisted procedures not listed above	Billed in 30 min. blocks	$1,500/ hour or $750 per 30 min	$750/ hour or $375 per 30 min
All Procedures - Additional OR time	All Delisted procedures	Billed in 30 min. blocks	$1,000/ hour or $500 per 30 min	$500/ hour or $250 per 30 min

Procedures exceeding the standard time will be calculated to @$1,000 per hour prorated to the half hour of OR time.

Primary rate is the higher of the two uninsured procedures being performed on the same service date.

Secondary rate applies to uninsured procedures performed together with an OHIP covered procedure. A copy of the OHIP billing to be sent to Finance after procedure completion.

	UNINSURED RESIDENTS	NON-RESIDENTS OF CANADA (VISITORS)
Surgery Procedure Fees (does not include outpatient visit fee)	UN	OOC
General anesthesia (first 60 min. billed in 30 min. blocks)	$1,500	$1,500
General anesthesia subsequent (30 min. blocks)	$500	$500
Local anesthesia (first 30 min.)	$310	$310
Local anesthesia (additional 30 min. blocks)	$110	$110
Local anesthesia with IV sedation (first 30 minutes)	$410	$410
Local anesthesia with IV sedation (additional 30 minute blocks)	$160	$160

Excludes Uninsured Daily Inpatient Room Rate; Excludes Physician Fee and cost of implants.

	UNINSURED RESIDENTS	NON-RESIDENTS OF CANADA (VISITORS)
Diagnostic Test Fees	UN	OOC
X-ray	$100	$100
Each additional X-ray	$50	$50
MRI (Magnetic Resonance Imaging)	$800	$800
MRI (Magnetic Resonance Imaging) with gadolinium	$875	$875
Ultrasound	$175	$175
Each additional Ultrasound	$100	$100
CAT Scan	$550	$550
CAT Scan with contrast	$600	$600
Other	Contact Finance for a quote

Medical Devices & Other Charges

All medical devices are chargeable. Medical devices provided as part of a patient's care are billable whether or not the device is taken home.

All devices are non-refundable. All charges below apply to both inpatient and outpatient services. Prices can vary depending on the individual case and diagnosis. Rates are subject to change without notice.

Description	Amount
Aerochamber with mask	$36	ea
Aerochamber without mask	$21	ea
Antiembolic Stocking - Thigh	$26	pair
Baby CD	$10	ea
Blood Pressure Monitor	$62	ea
Brace - Ankle Air Stirrup	$90	ea
Brace - Humeral Fracture	$125	ea
Brace - Knee 3D - Range of Motion	$235	ea
Bunion Boots	$13	ea
Cast - Below Knee - Adult	$90	ea
Cast - Below Knee - Child	$80	ea
Cast - Foam Walker	$150	ea
Cast - Landmark Air Walker	$140	ea
Cast - Long Arm - Adult	$75	ea
Cast - Long Arm - Child	$65	ea
Cast - Long Leg - Adult	$130	ea
Cast - Long Leg Cylinder - Adult	$110	ea
Cast - Long Leg Cylinder - Child	$95	ea
Cast - Long Leg Walking - Child	$100	ea
Cast - Scaphoid - Adult	$65	ea
Cast - Scaphoid - Child	$60	ea
Cast - Short Arm - Adult	$50	ea
Cast - Short Arm - Child	$40	ea
Cast - Vaco Air	$190	ea
Cast - Waterproof - Long Arm - Adult	$140	ea
Cast - Waterproof - Long Arm - Child	$95	ea
Cast - Waterproof - Short Arm - Adult	$90	ea
Cast - Waterproof - Short Arm - Child	$70	ea
Cast - Waterproof Below Knee Walking - Adult	$200	ea
Cast - Waterproof Below Knee Walking - Child	$120	ea
Cast Boot	$25	ea
Collar - Neck/Cervical - Hard	$35	ea
Collar - Neck/Cervical - Soft	$10	ea
Crutches - Metal	$45	pair
Knee Immobilizer	$85	ea
Orthotics - Custom Foot	$400	pair
Patellar Tendon Bearing Adult (PTB)	$130	ea
Personal use CD copy (Ultrasound/X-ray/CAT Scan/MRI)	$20	ea
Scar Management Products	$30-$60	ea
Shoulder Immobilizer	$21	ea
Sling Velpeau	$25	ea
Splint - Forearm *	$55-$65	ea
Splint - Full arm *	$75	ea
Splint - Hand based *	$40	ea
Splint - Wrist *	$45-$55	ea

*Note for Splints: Does not include any additional devices attached to the splint. Prices for splints can range from $15.00 to $180.00 and will be prescribed at the discretion of the Occupational Therapist. For any other devices or charges not listed above, please contact Finance.

Cataract Lens Rates

Below rates are per lens (each) and does NOT include the Day Surgery Visit fee.

Description	OHIP
AMO Sensar 3 piece core	$75
AMO Sensar-one piece	$85
Bausch & Lomb LI 61 SILICON	$100
Bauch & Lomb Canada/St - US	$110
Alcon Acrysof Aspheric single pc	$145
AMO - Tecnis Aspheric- 1 piece	$150
AMO Tecnis	$150
AMO Sensar 3 piece minus	$225
Calrion Softec HD IOL	$275
Bauch & Lomb Canada/St - TP	$500
Alcon Aspheric IQ Toric IOL	$547.50
AMO Tecnis Aspheric Toric	$575
Biocermic S6-5118,5119,5120	$605
Oval Bioceramic Implant	$665
Artisan Aphakia Lens-20.5 & 21.0	$765
Alcon Acrysof ReSTOR +2.5/+3.0 Add MF	$905.65
Bausch & Lomb AT-50SE & AT-52SE	$920
AMO Tecnis Aspheric MF ZMAOO	$950
AMO Tecnis Aspheric MF 1 Piece	$950
Bausch & Lomb AT-50AO&AT-52AO	$975
Bausch & Lomb HD-500 &HD-520	$1,120
AMO Tecnis Aspheric Toric MF	$1,175
AMO Tecnis Symfony ERV	$1,175
Alcon Acrysof ReSTOR Toric +2.5/+3.0 Add MF	$1,188.75

Specialized Procedure Fees

	UNINSURED RESIDENTS	NON-RESIDENTS OF CANADA (VISITORS)
Cardiac Procedures (does not include outpatient clinic fee)	UN	OOC
Cardiac Angiogram	$2,500	$2,500
Cardiac Catheterization/Angioplasty	$4,800	$4,800
PCI (Percutaneous coronary intervention)	$7,300	$7,300

Any other cardiac procedures and/or tests not listed above, please contact Finance.

	UNINSURED RESIDENTS	NON-RESIDENTS OF CANADA (VISITORS)
Obstetric Procedures (does not include outpatient clinic fee)	UN	OOC
Rhogam Injection (usually 1 per pregnancy)	$150	$150
Cord Blood Collection Fee (Private) is $150 for all patients

Any other obstetric procedures and/or tests not listed above, please contact Finance.

	UNINSURED RESIDENTS	NON-RESIDENTS OF CANADA (VISITORS)
Scope Procedures (does not include outpatient clinic fee)	UN	OOC
Endoscopy - Single - (Gastroscopy/Colonoscopy/Cystoscopy)	$250	$250
Endoscopy - Combination (Gastroscopy & Colonoscopy)	$350	$350

Any other scope procedures and/or tests not listed above, please contact Finance.

Other Charges and Billing Notes

Deposit

Pre-payment of patient charges is required when services to be provided by the Hospital to a patient are not insured. The deposit requested will be for three (3) days of inpatient stay.

Autopsies

Autopsy on deaths, which occur outside the Hospital and are deemed Non-Coroners cases, will be charged a facility fee and Professional fee determined on a case by case basis

Refusing Discharge from Hospital

After a discharge order has been written and a discharge plan established, a $1,000 per day charge will be billed for each day exceeding the established discharge rate.

This charge does not include additional preferred accommodation rates, which are separate, but does include the alternate level of care co-payment charge.

Co-Payment Fees: Applies to Complex Care (CC) patients
Alternate Level of Care (ALC): Medically Complex

A co-payment charge will be levied for:

Complex Care patients receiving medically complex care or end of life care services
Alternate level of care patients waiting for a complex care or long term care bed

The charge is currently a maximum of $59.82 per day to a maximum of $1,819.53 per month (effective July 1, 2017). This charge is set by the Ministry of Health and Long Term Care and updated annually.

Television Services

These services are operated by Hospitality Network. Please click on the links below for rate information at each hospital site:

To request TV service, call 905-494-2120 ext. 56242
Monday to Friday: 1:00 p.m. to 7:30 p.m.
Saturdays/Sundays: 1:00 p.m. to 6:30 p.m. (excluding statutory holidays)

Internet Wi-fi Access

These services are operated by Data Valet. To request access, please dial 1-800-642-3958 / 24 hours
To request access, please dial 1-800-642-3958 / 24 hours.

Hourly Access	$10.00/hour plus HST
Daily Access	$15.00/24 hours plus HST
Weekly Access	$25.00/7 days plus HST

Not Sufficient Funds (NSF) - Cheques

A charge of $20.00 will be levied in regards to NSF cheques.