Surgery for anal fistulas

The 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.

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.

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.