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For patients
How to make an appointmentYou can make an appointment at our Centre by all common methods.What to take care about before arrivingOur personnel will inform you what documents you should have at arrival.What to do at arrival to the CentreAt arrival to the centre please print a ticket at the ticket terminal.Payment and servicesPossible payment by leasing, according to the contract, compensation.Accommodation and mealsOur clinic is located about 3 km from the Vilnius city centre.International patientsThis information is for international patients.Confidentiality assuranceWe understand how are important your personal data.How to arrive to the CentreYou can reach our Center by transport.
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Hepatitis tests
Hepatitis is inflammation of the liver that can be caused by different viruses. The viruses differ in the way they spread, the course of disease, laboratory markers, preventive and treatment measures. In many cases people with hepatitis have no symptoms, and their infections are diagnosed totally randomly. Viral hepatitis is an insidious disease, not only because you can have no symptoms for decades, but also because without treatment it does not disappear, and damage to the liver progresses to liver cirrhosis or cancer. Several decades may pass from infection with the virus till the development of liver cirrhosis, therefore those infections have been called “silent” killers.
Infectious hepatitis is caused by viruses A, B, C, D, and E. In Lithuania hepatitis viruses A, B and C are the most common. Blood test markers for hepatitis allow the different viruses and the cause of inflammation to be determined, and is only the test that can help to detect whether you have viral hepatitis.
Viral hepatitis is defined by different laboratory markers that reflect different infection status and disease stages.
Hepatitis tests are recommended in the following cases:
- You have a sexual relationship with a person infected with hepatitis or sexually transmitted infections,
- You have a same-sex relationship,
- You are infected with HIV,
- You travel to countries where there is a higher risk of acquiring hepatitis,
- You had surgeries (C-section included) or invasive procedures before 1993,
- You had a blood transfusion before 1993,
- Abnormal liver (AST, ALT) enzymes indicators,
- You are undergoing dialysis procedures,
- You have blood diseases,
- After organ transplantation, blood transfusion,
- You have used intravenous drugs at least once,
- Manicure, pedicure, tattoo, permanent makeup performed with unsterilized tools,
- Family members have hepatitis,
- You have many sexual partners (> than 1 per year),
- You have been in prison,
- You are pregnant,
- You may have come into contact with infected liquids at your workplace.
No advance registration is necessary, just arrive and go to reception.
Liver tests
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Antibodies IgM against hepatitis E virus (IgM Anti HEV)
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Determination antibodies of surface antigen of Hepatitis B virus (Anti-HBs)
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Determination IgM antibodies of Hepatitis A virus (Anti-HAV IgM)
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Determination of antibodies of antigen e of Hepatitis B virus (Anti-HBe)
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Determination of antibodies of core antigen of Hepatitis B virus (Anti HBc)
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Determination of antibodies of Hepatitis A virus (Anti-H AV)
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Determination of antibodies of Hepatitis C virus ( Anti-HCV)
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Determination of antigen e of Hepatitis B virus (HBe Ag)
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Determination of common antibodies of Hepatitis D virus
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Determination of IgM antibodies of core antigen of Hepatitis B virus (Anti-HBc IgM)*
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Determination of surface antigen of Hepatitis B virus (HBs Ag)
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Estimation of genotype of hepatitis C virus
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Estimation of genotype of hepatitis C virus and RNA by quantity method*
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Hepatitis B virus DNA test for replication of virus*
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Hepatitis E-AK (Anti HEV IgG)**
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Quantitative determination of RNA of Hepatitis C virus
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Tests are usually prescribed by a family, internal disease, infectious disease doctor or a gastroenterologist, but you can decide yourself whether they are necessary.
What factors affect the price?
The prices indicated below apply to citizens of the Republic of Lithuania and the European Union.
If you are coming from another country please check the price by telephoning or sending an email.
Why it is worth
To be examined at our Centre?
- Your tests will be of high quality. This is proven by the laboratory’s accreditation of the ISO 15189 standard.
- Our laboratory test results are assessed by laboratory specialists. This service is provided by only a small number of the country’s laboratories.
- If needed, we can use the same blood sample within 7 days to carry out additional tests for hepatitis. This is relevant for children or patients from other cities!
- There is no danger of harming or confusing test samples due to transportation, which is statistically one of the most common reasons for destroyed blood samples in laboratories.
Good to know
What are the symptoms of viral hepatitis?
Most patients with viral hepatitis do not have any symptoms and feel well, but, even without any clinical symptoms, they can infect others. Viral hepatitis is an insidious disease not only because it may be asymptomatic for decades, but also because it does not disappear without treatment, and the damaged liver progresses to liver cirrhosis or cancer.
Most common symptoms:
- Low-grade fever,
- Persistent fatigue,
- Loss of appetite,
- Abdominal pain,
- Nausea, vomiting,
- Grey stools,
- Jaundice,
- Muscle and joint pain.
What is the incubation period of the hepatitis virus – time from infection till the first symptoms?
- Incubation period of hepatitis A – from 2 weeks to 2 months.
- Incubation period of hepatitis B – from 3 weeks to 3 months.
- Incubation period of hepatitis C – from 4 weeks to 20 weeks.
How to get the test results?
- Test results are usually ready within 1 day. You may get them at the reception or, if requested, get them by email.
- For interpretation of the results, contact the laboratory on tel. (8 5) 247 64 17.
FAQ (frequently asked questions)
As reported by the World Health Organisation (WHO), the scale of the hepatitis outbreak means that anybody may get infected. According to WHO, about 325 million people are infected with chronic hepatitis throughout the world. Infection with hepatitis B is three times greater than with hepatitis C. It is estimated that only 9 per cent of those infected with hepatitis B and only one fifth of those infected with hepatitis C are diagnosed. Most people infected with hepatitis B and C do not know about this and may spread the disease to others. Infectious hepatitis is caused by 5 types of viruses: A, B, C, D, and E. Hepatitis viruses A, B, and C are most common in Lithuania.
Hepatitis A is spread via food and drinks that are contaminated with infected stool. Hepatitis virus A spreads not only via food, but also through faeces between people in close contact, e.g. in children’s education institutions, at home, social care institutions, especially if it is difficult to ensure personal hygiene due to lack of hygiene skills or behaviour. People who travel to countries where Hepatitis A is endemic, such as Egypt, Tunisia, Morocco, India and Thailand face a great risk of becoming infected if they are not vaccinated. This is particularly true if they intend to live in these countries for a long time and have no guarantee of safe drinking water or personal hygiene conditions.
Hepatitis virus B is transmitted via all kinds of sexual relationships (vaginal, oral, anal), blood (by transfusing infected blood or its products, via unsterile needles/syringes, getting tattoos, ear piercing, using an infected person’s toothbrush, shavers, manicure, pedicure tools that may injure the skin or mucous membrane). A mother with hepatitis B may transmit the infection to her child during pregnancy or delivery.
Hepatitis virus C spreads in a similar way to B, but sexual or perinatal (by mother to child) transmission is rare.
Vaccination is the only reliable protection against hepatitis A and B viruses.
There is no vaccination against hepatitis C, but it is very important to diagnose the virus and start treatment. According to the World Health Organisation, 95 percent of people with hepatitis C can be fully cured from the disease within 2-3 months.
Please do not postpone important decisions - take care of yourself now!
Book an appointmentThe price depends on:
- scientific degree of the preferred physician,
- preferred substances and their amounts required for a specific service,
- applied anaesthesia,
- nursing type and number of in-hospital days.
- preferred type of catering,
- availability of referral letter.
The Centre standard price is applied if you have a properly issued referral letter.
The regular price is applied if you do not have a referral letter.
You do not need a referral letter for laboratory tests, the Regular Price is applied.
How soon are the results of laboratory tests available?
2 hours for the most common (routine) blood tests and urinalysis.
3 hours for tests ordered before 9.00 a. m.
If rare tests are ordered for a single sample that require stopping the analyser to change test reagents, the time to have the test done may be prolonged by several additional hours. 10 to 20 working days, if samples are to be sent to Germany, the time required for the test to be done depends on the complexity of the test.
The reports of computed tomography (CT), magnetic resonance tomography (MRT) imaging and other
instrumental examinations are usually ready immediately, i.e within 2-3 hours after the examination.
The report of a test which is carried out on Saturday is available from the healthcare professional carrying
out the test (usually the report is ready within 3 working days).
The reports of echoscopic and other examinations that are carried out in the physicians office are issued
immediately after the examination.
Regular price
This price applies to patients not covered by compulsory health insurance, who do not have a referral letter from their doctor (except radiological examinations, for which a referral letter is mandatory); when the referral letter does not meet the requirements defined by the legal acts; when the disease is not included in the list of reimbursable diseases; when the referral letter has expired (30 days), and in other cases indicated in the Rules for the Provision and Payment of Commercial Personal Healthcare Services approved by Order No. 357 of the Minister of Health dated 30 July 1999 (with subsequent amendments), the patients should pay for such services themselves.
Should the patient chose particular implants or substances or order individual menus, these will incur additional costs.
What does the service price comprise of?
The price of an instrumental examination consists of the price of the examination and the required materials (contrast medium, injections of the contrast medium, anaesthesiological care, imaging, etc.). The prices of the specific service are available at Reception.
The price of blood laboratory tests is comprised of the test price (indicated in the pricelist) and the price for collecting the blood sample. If a swab is required to carry out a test, this may sometimes incur additional costs. The prices of the specific services are available at Reception.
In the case of surgical treatment additional costs for anaesthesia, implants and substances preferred by the patient as well as individually chosen menus are applied.
In the case of dermatology services only the price for the physician's service is indicated. The total price of a dermatology service includes the price of the procedure and all materials required for the procedure. The prices of the specific services are available at Reception and/or during the consultation with the physician.
The price of a basic procedure is the lowest procedure price. The actual price is discussed during the consultation before the procedure considering the extent and complexity of the procedure.
Notes
For the price of services provided at the Centre outside working hours, ugently, at night, while on holidays or without a referral letter, or that require the presence of physicians not continuously employed by the Centre, please enquire in advance.
The Centre may change the price of services without warning, as well as offer new services, change the content of existing services or refuse to provide certain services.
What factors affect the price?
Centre standard price
For consultations and examinations with a referral letter
According to the Law on Healthcare System of the Republic of Lithuania (part 5 of article 49), if patients prefer to receive more expensive services, materials and procedures, they must pay the difference between the factual price of these services, materials and procedures and the price of the services, materials and procedures that are provided free of charge following the rules defined by the Ministry of Health of the Republic of Lithuania. If patients who are entitled to receive personal healthcare services free of charge prefer to receive additional services or procedures, they must pay for these services or procedures themselves.
The prices presented here are developed according to the Centre Standard which is used while providing high quality integrated and coordinated healthcare services, ensuring patient safety and expedition, integrity of service provision, and effective examination using equipment from reliable manufacturers, newest generation products associated with minimal side effects, and providing the best nursing care.
For example, the colonoscopy procedure is carried out with minimal discomfort to the patient as they are “asleep” during the procedure, i.e. anaesthesia is used during the procedure, and the procedure is continuously monitored by a physician endoscopist and physician anaesthesiologist-reanimatologist.
The price for computed and magnetic resonance tomography scans following the rules established by the Ministry of Health are different in all 5 Territorial Departments of the Health Insurance Fund (HIF). The specific prices are available at Reception.
The price for a consultation with a physician depends on the scientific degree of the selected physician.
This price does not apply to Laboratory tests. The same price is applicable for all patients, irrespective of whether they are covered by public health insurance or have a referral letter from their physician. The price of blood laboratory tests is comprised of the test price (indicated in the pricelist) and the price for collecting the blood sample.
Centre standard price
For surgeries and surgical procedures with a referral letter
For patients who are covered by compulsory health insurance, and have a referral letter from their doctor for the procedure or surgery; any services that are reimbursed from the budget of the compulsory health insurance fund are provided free of charge, except for cases indicated in the Rules for the Provision and Payment of Commercial Personal Healthcare Services approved by Order No. 357 of the Minister of Health dated 30 July 1999 (with subsequent amendments), when patients themselves should pay for such services.
This price applies to patients covered by compulsory health insurance, who have a referral letter from their doctor for the procedure or surgery; the price covers the costs of closely related services necessary for therapeutic purposes that are specified in certain specific cases while providing healthcare services.
Should the patient chose particular implants or substances that are not reimbursed by the compulsory health insurance fund, or they want to have more expensive services or substances for which only the basic price is reimbursed, these as well as any price difference or individual catering menus will incur additional costs.
What does the service price comprise of?
The price of the consultation with a physician comprises of:
- Discussion with the patient – listening to the complaints and taking the patient’s’ medical history (patient provides information to the physician about their health).
- Examination and condition assessment.
- Preliminary diagnosis.
- If indicated, development of an examination and consultation plan (necessary examinations are prescribed and the patient is referred for consultations with other specialists).
- Interpretation and assessment of test results.
- Making and confirmation of the diagnosis.
- Development and implementation of the treatment plan, appointment and discussion about the surgery.
- Recommendations for treatment, nursing, work and care in an out-patient setting.
The final price of the surgery is established by summing up the prices of surgery, anaesthesia, implants, care in the ward (from Day 2), catering price according to the menu preferred by the patient and the price of certain substances. The specific extent of the surgery and its price is discussed before the surgery during the consultation with the surgeon, considering the complexity of the surgery, its duration and the patient's health status.
The price of an instrumental examination consists of the price of the examination and the required materials (contrast medium, injections of the contrast medium, anaesthesiological care, imaging, etc.). The prices of the specific services are available at Reception.
The total price of vaccination services consists of the price of the consultation with a physician and the price of the vaccine. The prices of the specific service are available at Reception.
Example: If you come for a Vaxigrip vaccination, the service price will be calculated as follows:
Vaccination (not including vaccine price) – 6.22 (for those covered by insurance) – 8 Eur (for those NOT covered by insurance)
Influenza vaccine – 12.68 Eur.
In total: 6.22+12.68 = 18.90 Eur or 8+12.68 = 20.68 Eur.
There is no need for a consultation with a physician for influenza and tick born encephalitis vaccinations.
In all other cases a consultation with a physician is mandatory and involves additional costs.
However, if you are referred for a vaccination by another physician and have a referral letter, you do not need to have a consultation with one of our physicians. Please note however that the referral letter for vaccination is only valid for 24 hours from the time it is issued. The vaccine required should be indicated in the referral letter.
The above calculation is presented using conditional numbers.
Notes
For the price of services provided at the Centre outside working hours, urgently, at night, while on holidays or without a referral letter, or that require the presence of physicians not continuously employed by the Centre, please enquire in advance.
The Centre may change the price of services without warning, as well as offer new services, change the content of existing services or refuse to provide certain services.
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