Yuan Rung Hospital Self-funded Items Announcement

Yuan Rung Hospital Self-Paid Items Fee Schedule Prostate Water Vapor Thermal Therapy Volume Reduction Surgery (Prostate water vapor therapy): Fee cap NT$40,000 / session, for surgery fee, includes basic consumable costs, excludes ablation system delivery device medical material costs, anesthesia fees, hospitalization, follow-up visits, etc. HIFU Prostate Cancer Minimally Invasive Targeted Therapy, fee cap NT$28,000 / session, includes general surgical consumables such as gloves, excludes high-intensity focused ultrasound treatment system consumable kit Fee for Autologous Immune Cell Therapy for Stage IV Solid Tumors Cell Therapy Technology "Small Needle Knife Therapy" Self-Paid Item, fee NT$1,200 / session (includes material costs) Hydrogen and Methane Breath Test (Hydrogen Breath Test), fee cap NT$3,000 / session, includes collection materials, test reagents and consumables, excludes follow-up physician's report explanation. Self-Paid Medical Procedures Fee Items Cardiac Catheterization Center Partial Co-payment Self-Paid Items (1) Microsurgical Vasovasostomy (Unilateral): Fee cap NT$30,000 / session (includes surgical consumables). (2) Microsurgical Vasovasostomy (Bilateral): Fee cap NT$45,000 / session (includes surgical consumables). (3) Penile Cavernosometry: Fee cap NT$8,000 / session. (4) Penile Shape Plastic Surgery - Tunica Albuginea Venous Repair: Fee cap NT$150,000 / session (includes surgical consumables). (5) Penile Shape Plastic Surgery - Tunica Albuginea Surgery: Fee cap NT$100,000 / session (includes surgical consumables). (6) Penile Morphology Modification: Fee cap NT$350,000 / session (includes surgical consumables). (7) Penile implantation-inflatable: Fee cap NT$100,000 / session (includes surgical consumables). (8) Penile augmentation: Fee cap NT$150,000 / session (includes surgical consumables).

Yuan Rung Hospital Fee Schedule

Fee Schedule Registration Type Amount Outpatient NT$150 Traditional Chinese Medicine NT$150 Dentistry NT$150 Emergency NT$250 NHI Co-payment Item Amount Remarks Outpatient Co-payment NT$80 For those with a referral form, disability handbook, or one follow-up visit within 30 days of hospital discharge or outpatient surgery, the outpatient co-payment is NT$50 TCM Co-payment NT$50 Emergency Co-payment NT$150 Medication Co-payment NT$20~NT$200 Rehabilitation Physical Therapy 2nd to 6th visit / per visit NT$50 Persons with Disabilities NT$50 For those seeking medical treatment with a disability handbook Veterans, low-income households, prenatal check-ups, occupational injuries, catastrophic illnesses, centenarians, alternative service draftees, children under 3 years old, and tuberculosis cases approved by the competent authority are exempt from co-payment NHI Inpatient Co-payment Acute Ward Days 1~30 Days 31~60 Days 61 Days Co-payment Ratio 10 %20 %30% Yuan Rung Ward Self-paid Difference Acute Ward Level NHI Difference Single Suite / Day NT$2,300~NT$3,000 Double Room / Day NT$1,500 Yuan Sheng Ward Self-paid Difference Acute Ward Level NHI Difference Prestige Ward / Day NT$5,600 - NT$6500 Deluxe Double Room / Day NT$3,800 Self-paid Items Announcement Item No. Self-paid Item Details Copies Fee (Amount) 1 Labor Insurance Disability Diagnosis Certificate 1 500 2 Farmers' Health Insurance Disability Diagnosis Certificate 1 500 3 Civil Servant Insurance (Disability Certificate) 1 500 4 Injury/Illness Diagnosis Certificate 1 200 5 Type A Diagnosis Certificate 1 1000 6 Type B Diagnosis Certificate (Non-litigation use) 1 100 7 Copy of Type B Diagnosis Certificate (from second copy onwards) 1 50 8 Catastrophic Illness Certificate 1 100 9 Catastrophic Illness Certificate (Respiratory Care) 1 200 10 Death Certificate 1 40 (Free for up to three copies, NT$40 for each additional copy) 11 Comprehensive Work Assessment for Physical and Mental Disability (Type A Assessment) 1 500 12 Disability Assessment Certificate – Re-examination Single Item (Type A Assessment) 1 200 13 Disability Assessment Certificate – Re-examination Multiple Items (Type A Assessment) 1 400 14 COPY - Trauma Photos 1 10 15 COPY - X-ray (one copy) 1 200 16 Medical Record Copying Fee (within 10 pages per book) Over 10 pages, NT$5 for each additional page 1 200 (within 10 pages per book) 17 Chinese Medical Record Summary (same department / per copy) 1 650 18 Reissuance of Receipt or Itemized Bill Handling Fee 1 10 19 English Certificate 1 200 20 Disability Aid Assistance Assessment Fee 1 100 21 Disability Diagnosis Certificate for Family Application to Employ Caregiver 1 1000