Procedures - TOSP codes
SH834P - Prostate Gland, Various Lesions, Trans-Rectal Ultrasound (TRUS) Guided Biopsy
Body parts
Prostate
Rectum
Prostate Gland, Various Lesions, Trans-Rectal Ultrasound (TRUS) guided biopsy
TOSP Code: SH834P / TOSP Table: 1B
Hospital Bill (Overall)
Based on transacted bills from 1 January 2023 to 31 December 2023. The amount shown covers all cost components inclusive of GST.
Day Surgery
Day Surgery: Refers to operations done in the hospital, with a stay of less than 24 hours.
Setting | Ward Type | Typical Bill | Typical Bill Range | Typical Bill Items | ||
|---|---|---|---|---|---|---|
Operation Fee | Implant Fee1 | Other Fee2 | ||||
Public Hospitals | Day Surgery (Subsidised) | $458 | $310 - $740 | $143 | Not Available | $308 |
Private Hospitals | Day Surgery | $4,511 | $4,285 - $5,252 | $2,878 | Not Available | $1,670 |
1 Fee for the medical device(s)/ implants placed inside the body. Applicable only if your procedure requires an implant. 2 Includes ward charges, doctor's daily attendance and consultation fee, consumables, medication, tests, accident & emergency charges etc., where applicable. Note: Figures shown are based on the median fee, i.e., what 50% of patients are charged below. They provide an estimate and may not add up. | ||||||
Inpatient
Inpatient: Refers to operations done in the hospital, with a stay of more than 24 hours.
Setting | Ward Type | Typical Bill | Typical Bill Range | Typical Bill Items | ||
|---|---|---|---|---|---|---|
Operation Fee | Implant Fee1 | Other Fee2 | ||||
Public Hospitals | Ward C | $4,665 | $1,889 - $5,398 | $143 | Not Available | $4,308 |
1 Fee for the medical device(s)/ implants placed inside the body. Applicable only if your procedure requires an implant. 2 Includes ward charges, doctor's daily attendance and consultation fee, consumables, medication, tests, accident & emergency charges etc., where applicable. Note: Figures shown are based on the median fee, i.e., what 50% of patients are charged below. They provide an estimate and may not add up. | ||||||
Hospital Bill (by Hospital)
Based on transacted bills from 1 January 2023 to 31 December 2023. The amount shown covers all cost components inclusive of GST. Only hospitals / wards with sufficient cases are shown. The amount shown covers all cost component inclusive of GST.
Day Surgery
Day Surgery: Refers to operations done in the hospital, with a stay of less than 24 hours.
Hospital | Setting | Ward Type | Average Period of Stay | Typical Bill | Typical Bill Range |
|---|---|---|---|---|---|
Changi General Hospital | Public Hospitals/ Centres (Subsidised) | Day Surgery (Subsidised) | 1.0 | $635 | $406 - $920 |
Khoo Teck Puat Hospital | Public Hospitals/ Centres (Subsidised) | Day Surgery (Subsidised) | 1.0 | $393 | $310 - $740 |
Ng Teng Fong General Hospital | Public Hospitals/ Centres (Subsidised) | Day Surgery (Subsidised) | 1.0 | $400 | $290 - $720 |
Raffles Hospital | Private Hospitals | Day Surgery | 1.0 | $4,337 | $4,285 - $4,715 |
Singapore General Hospital | Public Hospitals/ Centres (Subsidised) | Day Surgery (Subsidised) | 1.0 | $474 | $382 - $847 |
Sengkang General Hospital | Public Hospitals/ Centres (Subsidised) | Day Surgery (Subsidised) | 1.0 | $488 | $267 - $684 |
Note: Figures shown are based on the median fee, i.e., what 50% of patients are charged below. They provide an estimate and may not add up. | |||||
Inpatient
Inpatient: Refers to operations done in the hospital, with a stay of more than 24 hours.
Hospital | Setting | Ward Type | Average Period of Stay | Typical Bill | Typical Bill Range |
|---|---|---|---|---|---|
Ng Teng Fong General Hospital | Public Hospitals/ Centres (Subsidised) | Ward C | 14.9 | $3,408 | $1,880 - $5,398 |
Note: Figures shown are based on the median fee, i.e., what 50% of patients are charged below. They provide an estimate and may not add up. | |||||
MOH Recommended Fees
Fee Benchmarks (for private hospitals & clinics only)
For this procedure/ condition, MOH recommends that a reasonable fee range for a routine and typical case is:
Breakdown of Fees
Type of Fees | Fee Range | |
|---|---|---|
Doctor Fees | ||
Surgeon Fee1 | $1,308 - $1,853 w/GST | |
Anaesthetist Fee | $599.50 - $872 w/GST | |
Doctors’ Inpatient Attendance Fee2 | $230 - $450 w/GST per day | |
Hospital Fees | Hospital Fees | Not Available |
1 Higher end of surgeon fees may be associated with more complex cases. 2 Fee range is for office hours only and does not include the costs of medications, injections, operations, special procedures, investigations (e.g., radiological and laboratory tests). | ||
Talk to your insurer to find out what your insurance covers and how much you have to pay out-of-pocket. Contact your healthcare provider if you have questions on your hospital bill.
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Note:
‘-’ denotes data is not available. ‘n/a’ denotes data with less than 10 cases. To ensure that there are adequate cases for meaningful comparisons, bill amounts for setting with less than 10 cases will not be shown.
The typical bill items shown for public and private hospitals differ due to their different cost structures.
Some components of the hospital fees may be charged by the doctor. E.g., implants, consumables and medication.
Bill amounts are inclusive of GST and are before insurance (e.g., MediShield Life, Integrated Shield Plans) and MediSave payouts. Bill amounts for public hospitals are after Government subsidies, if applicable.
Bill amounts are based on actual transacted fees for Singapore Citizens. The typical bill refers to the median bill, where 50% of the patients are charged below the stated amount. The typical range refers to the 25th to 75th percentile bill, where 25% to 75% of patients are charged below the stated amount. The range of days refer to the 25th to 75th percentile of the length of stay.
Claims Rules
Last updated February 2024
Setting - Inpatient or Day Surgery
Clinical Indications
This procedure includes both the transperineal or transrectal route of biopsy, as both types of biopsies are usually guided by transrectal ultrasound.
For the evaluation and/or diagnosis when there is a suspicion of prostate malignancy according to patient symptoms or risk of cancer, based on clinician’s judgement, and either;
Abnormal serum prostate-specific antigen (PSA) according to international guidelines or local age-specific reference ranges (if available) suggesting an increased risk of cancer
Abnormal digital rectal examination (DRE) e.g., presence of nodules, induration, or asymmetry
Imaging showing suspicious features for prostate cancer, e.g., multiparametric MRI prostate, PSMA PET CT scans NB: The use of blood and urine biomarkers independent of abnormal serum PSA remains controversial
Repeat TRUS biopsies are indicated for the following:
Equivocal and inconclusive initial biopsy
Atypical findings on initial biopsy
Continued high clinical suspicion for prostate cancer after initial negative biopsy e.g., rising or persistently elevated serum PSA levels, imaging showing suspicious features for prostate cancer, e.g., multiparametric MRI prostate, PSMA PET CT scans
As part of the protocol for follow-up of patients with low-risk, clinically localized prostate malignancy managed with active surveillance
As part of the follow-up protocol of patients or suspected recurrence after non-extirpative therapy for prostate cancer e.g., radiation therapy, energy ablative therapy
Inappropriate Pairs
Inappropriate combinations of TOSP codes with SH834P for a single surgical/ procedural episode
TOSP Code | TOSP Description (Table No.) |
SH833P | Prostate Gland, Various Lesions, Trans-Rectal Ultrasound (TRUS) (1A) |
SH835P | Prostate Gland, Various Lesions, Saturation Prostate Biopsy Or MRI-US Guided Fusion Biopsy (2A) |