What are fee benchmarks?
The fee benchmarks are the Ministry of Health’s (MOH) recommended
charges for doctors and hospital fees in the private sector, for
routine and typical cases. They inform what is a reasonable range of
fees that patients and insurers could expect to pay, and serve as a
reference for doctors and hospitals in setting their fees. Separate
fee benchmarks apply for doctors and hospitals as they are usually
separate entities in the private healthcare sector. The fee
benchmarks do not apply to public hospitals.
What type of fee benchmarks are available?
At the recommendation of an independent Fee Benchmarks Advisory
Committee (FBAC), MOH has introduced the following fee benchmarks:
-
Hospital fee benchmarks for 21 procedures and 8 medical
conditions
-
Surgeon fee benchmarks for 2100 procedures on the Table of
Surgical Procedures
-
Anaesthetist fee benchmarks for 500 procedures on the Table of
Surgical Procedures
- Doctors’ Inpatient Attendance fee benchmarks
Download full list of fee benchmarks:
PDF version or
XLSX version.
How do I use the fee benchmarks?
Before an admission to a private hospital or day surgery centre, you
may wish to ask your doctor and hospital the following questions:
-
What is the Table of Surgical Procedures (TOSP) code or
provisional diagnosis for my admission? What is the treatment or
procedure for, and are there non-surgical interventions that I
could consider?
-
What is the expected range of doctors’ and hospital fees for
admission, and how do they compare to the MOH fee
benchmarks?
-
Are there any components of fees that would be charged by the
doctor but not covered by his professional fees and billed
through the hospital instead?
-
What is the breakdown of fees? Are there any other charges that
I should be aware of?
The fee benchmarks is a range, and actual fees charged by doctors or
hospitals may vary depending on factors like complexity. Less
complex cases may be charged at the lower end of the fee benchmarks
range, while more complex cases could be at the higher end of the
range.
Fees may exceed the fee benchmarks in cases of exceptional
complexity, due to the additional risk, time and effort required for
the procedure. In such rare circumstances, fees charged above the
fee benchmarks may not be unreasonable. Your doctor or hospital
should inform you in advance, where possible, should their fees
exceed the fee benchmarks. If the fees counselled by your doctor or
hospital are above the fee benchmarks, clarify with them to
understand the reasons and detailed charges.
If there is no applicable fee benchmark for your procedure or
condition, you may wish to check with your doctor or hospital if
there are other similar procedures or conditions that could be used
as a reference. Alternatively, you may also refer to past bill sizes
data published here by
using this link.