Tariffs for Healthcare Services

Legal Notice 146 of 2024

Repealed

This Legal Notice was repealed on 2025-02-28 by The Social Heath Insurance Act - Tariffs for Healthcare Services, 2025.

Tariffs for Healthcare Services

Citation

Legal Notice 146 of 2024

Primary work

Social Health Insurance Act

Date

Language

English

Type

Legal Notice

Original enactment

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SOCIAL HEALTH INSURANCE ACT

TARIFFS FOR HEALTHCARE SERVICES

LEGAL NOTICE 146 OF 2024

Published in Kenya Gazette on 20 September 2024
Commenced on 1 October 2024

[Revoked by The Social Heath Insurance Act - Tariffs for Healthcare Services, 2025 (Legal Notice 56 of 2025) on 28 February 2025]

SCHEDULE

PRIMARY HEALTHCARE FUND
OUTPATIENT CARE SERVICES
Scope	Access Point	Tariff	Access Rules
1. Consultation, diagnosis, and treatment	Level 2, 3 and select Level 4 primary healthcare referral facilities as contracted by the Authority to offer primary healthcare services.	KES. 900 per person per annum	1. All registered beneficiaries will be mapped to a Primary Care Network (PCN) at the point of registration, where they can access services in any facility within their Primary Care Network. The global budget capitation shall be allocated based on the population III the Primary Care Network (PCN). Distribution of the Funds shall be done at the end of the month based on patient visits, weighted by disease treated.
2. Prescribed laboratory investigations
3. Basic radiological examinations including X-rays, and ultrasounds.
4. Prescription processing, drug administration and dispensing.
5. Health education and wellness, counselling, and ongoing support as needed.
6. Management of acute and chronic conditions for endemic/ local cases
7. Management of non-communicable diseases (NCDs), enteric infections; neglected tropical diseases (NTDs), sexually transmitted infections (STI's) and HIV/AIDS
8. Mental Health education, counselling and psychosocial support services.
9. Screening for common health conditions.
10. Minor outpatient procedures in the procedure room or under local anaesthesia.
11. Immunization as per the Kenya Expanded Program on Immunization (KEPI) schedule and recommended special vaccines.
12. Reproductive, Maternal (including antenatal and postnatal care services) and Child Health Services as defined by the Ministry of Health guidelines.
SCREENING & MANAGEMENT OF PRE-CANCEROUS LESIONS
Scope	Access Point	Tariff	Access Rules
Screening services shall include—	Level 2-6 with capacity to offer the service	1. Human Papillomavirus (HPV) – KES. 3,600	1. Screening for common health conditions will be financed under outpatient services.
1. Screening for common health conditions.		2. Prostate Specific Antigen (PSA) –KES. 1,500	2. Cancer specific screening will be rolled out subject to budgetary allocation.
2. Targeted screening for cancers and management of precancerous lesions.		3. Stool for occult blood – KES. 400
		4. Cryotherapy –KES. 3,000
		5. Thermal Ablation– KES. 3,000
		6. Loop Electrosurgical Excision Procedure (LEEP) – KES. 2,800

OPTICAL HEALTH SERVICES
Scope	Access Point	Tariff	Access Rules
Services covered include consultation and diagnosis, preventive, restorative, and treatment services as necessary.	Level 2, 3 and select Level 4 primary healthcare referral facilities as empaneled and contracted by the authority to offer primary healthcare services.	1. KES. 950 for dispensing eyeglasses.	1. Limit: KES. 1,000 per household per annum.
1. Eye health education and counselling.		2. Eye health education, consultation and eye tests will be covered under the outpatient services.	2. Treatment for refractive errors is limited to beneficiaries below eighteen(18) years in year one of implementation, and the scope will be increased based on utilization and financing indicators.
2. Eye tests include fundoscopy, visual acuity testing, and visual field analysis.
3. Treatment of refractive errors through eyeglasses.
END OF LIFE SERVICES
Scope	Access Point	Tariff	Access Rules
Preparation and storage of the body in a mortuary	Hospital morgues	1. Embalming – KES. 3,000	This package will be rolled out subject to budgetary allocation.
		2. Storage – KES. 500 per day for 5 days
MEDICAL INPATIENT SERVICES
Scope	Access Point	Tariff	Access Rules
Inpatient services shall include management of disease/condition while admitted.	Level 3	Level 3 - KES. 2,240	Limit: Up to one eighty (180) days per household per annum.
1. Pre-admission evaluation.
2. Hospital accommodation charges, meals and nursing care in a ward bed.
3. Intra-admission consultation and reviews by both general and specialist consultants, basic Laboratory investigations, medical imaging (X-rays and Ultrasound), procedures, and medication.

4. Bedside services including physiotherapy, occupational therapy, oxygen supply, medical consumables, and therapeutic nutritional support.
5. Cross-matching and administration of blood and blood products; derivatives and components, artificial blood products, and biological serum.
6. Post-discharge medication or follow-up within the treatment plan.
SOCIAL HEALTH INSURANCE FUND
OUTPATIENT CARE SERVICES
Scope	Access Point	Tariff	Access Rules
Essential diagnostic laboratory investigations for Diabetes, Cardiovascular diseases, Sickle-cell & Chronic Obstructive Pulmonary Disease (COPD)/Asthma	Level 4-6	1. Diabetes – KES. 4,300	1. Limit: Once per year per person.
		2. Cardiovascular diseases – KES. 2,850	2. SHIF will cover expenses up to the specified tariff.
		3. Sickle cell – KES. 6,800
		4. Chronic Obstructive Pulmonary Disease (COPD)/Asthma –KES. 700
MEDICAL INPATIENT SERVICES
Scope	Access Point	Tariff	Access Rules
Inpatient services shall include management of disease/condition while admitted.	Level 4-6	1. Level 4 – KES. 3,360	Limit: Up to 180 days per household per annum
1. Pre-admission evaluation.		2. Level 5 – KES. 3,920
		3. Level 6 – KES. 4,480

2. Hospital accommodation charges, meals and nursing care in a ward bed.
3. Intra-admission consultation andreviews by both general and specialist consultants, Laboratory investigations, medical imaging, procedures, and medication.
4. Bedside services including physiotherapy, occupational therapy, oxygen supply, medical consumables, and therapeutic nutritional support.
5. Cross-matching and administration of blood and blood products; derivatives and components, artificial blood products, and biological serum.
6. Post-discharge medication or follow-up within the treatment plan.
MATERNITY, NEONATAL AND CHILD HEALTH SERVICES
Scope	Access Point	Tariff	Access Rules
Delivery by ways of normal delivery, assisted delivery and caesarean section as necessitated.	Level 2-6	1. Normal Delivery and Essential Newborn Care– KES. 10,000	1. Antenatal Care (ANC) and Postnatal Care (PNC) services will be covered under outpatient at the primary healthcare Levels 2, 3 and select Level 4 primary healthcare referral facilities as empaneled and contracted by the Authority to offer primary healthcare services.
1. Aftercare for the mother together with the newborn.		2. Caesarean Section and essential newborn care –KES. 30,000	2. Management of complications for the mother and the newborn will be covered within the other benefit packages as needed.
2. Midwifery, including episiotomy care and nursing care.		3. Anti-D Serum – KES. 6,000
3. Operating, recovery, maternity ward and other treatment room charges including meals and special diets.
4. Immunization for the newborn.
5. Intra-admission and post-discharge medication.
6. Diagnostic laboratory tests.
7. Administration of blood and blood products; derivatives and components, artificial blood products, and biological serum.
8. Medical supplies and equipment, including oxygen.
9. Postnatal family planning.
10. Management of postpartum infections and haemorrhage, birth traumas and conditions related to childbirth.
11. Management of neonatal complications child, sepsis, jaundice, prematurity, necrotising, and enterocolitis, among others.
12. Anti-D Serum for Rhesus-negative mothers.
13. All other services as defined by the Ministry of Health (MOH) guidelines

RENAL CARE SERVICES PACKAGE

The management of kidney failure due to chronic disease or acute injuries/diseases through;	Level 3-6 with capacity to offer the service	1. Hemodialysis & Hemodiafiltration KES. 10,650 per session.	1. 2 sessions per week for haemodialysis and hemodiafiltration.
1. Dialysis package:		2. Peritoneal dialysis – KES. 85,200 per month.	2. 12 monthly sessions for peritoneal dialysis. SHIF will cover expenses up to the specified tariff.
(a) Consultation and specialist's review.		3. Pre-transplant recipient evaluation at an annual limit of KES. 150,000 per household.
(b) Cost of the temporary catheter and insertion/removal.		4. Recipient surgery – KES. 700,000.
(c) Nursing care and dialysis services.		5. Donor nephrectomy – KES. 168,000.
(d) Routine laboratory investigations (Urea Electrolytes and Creatinine (UECs), Full Hemogram, and blood glucose)		6. Post-renal replacement therapy at an annual limit of KES. 200,000 per household.
(e) Dispensation of medication and maintenance drug including Erythropoietin injection.
(f) Continuous intermittent dialysis and other dialysis protocols.
2. Renal replacement therapy
(a) Pre-transplant recipient evaluation
(b) Kidney transplant
(c) Post-renal replacement therapy
MENTAL WELLNESS BENEFIT PACKAGE
Scope	Access Point	Tariff	Access Rules
The mental health services cover caters for—	Level 2-6	Outpatient services will be reimbursed within the outpatient services package at Level 2, 3 and select Level 4 primary healthcare referral facilities as empaneled and contracted by the Authority to offer primary healthcare services.	1. Diagnosis and management of behavioral disorders while admitted will be provided for within the inpatient annual limit of 180 days.
1. Mental Health education, counselling and psychosocial support services.		Inpatient Services	2. Social Health Insurance Fund (SHIF) will cover expenses for Drug & Substance Abuse up to the specified tariff.
2. Screening, management and referral for behavioral disorders, neuro-developmental disorders, and affective and psychoactive disorders.		1. Level 4 – KES.3,360
3. Rehabilitation for substance-related addictive disorders.		2. Level 5 – KES.3,920
4. Neurodevelopmental disorders include attention deficit/ hyperactivity disorder (ADHD), autism, learning disabilities, intellectual disability (also known as mental retardation), conduct disorders, cerebral palsy.		3. Level 6 – KES.4,480
5. Neurodegenerative disorders include Parkinson’s disease, Alzheimer’s disease, Huntington’s disease, amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), dementia and motor neuron disease among others.		Rehabilitation for Drug& Substance Abuse
		1. Rehabilitation –KES. 67,200
OVERSEAS TREATMENT PACKAGE
Scope	Access Point	Tariff	Access Rules
Medical and surgical procedures that are not locally available.	Overseas empaneled and contracted healthcare providers.	Limit: KES. 500,000 per person per annum.	As per Regulation 39.
SURGICAL SERVICES PACKAGE
The Surgical Package covers the following surgical and non-surgical procedures-	Level 3-6 with capacity to offer the service	Schedule of tariffs annexed.	1. 3 minor procedures per household per year.

1. Pre-operative admission and care.			2. 2 major procedures per household per year.
2. Minor, major and specialized surgical procedures including organ transplants and implants.			3. 1 specialized procedure per household per year.
3. Administration of blood and blood products; derivatives and components, artificial blood products, and biological serum.
4. Management of intraoperative complications and complications following the surgical procedure.
5. All additional medical or surgical service required during the postoperative period because of complications that do not require additional trips to the operating room.
6. Postoperative visits - follow-up visits during the postoperative period that are related to recovery.
7. Post-procedure pain management.
8. Post-operative ward physiotherapy.
9. Supplies - except for those identified as exclusions.
10. Miscellaneous services - items such as dressing changes; local incisional care; removal of the operative pack; removal of cutaneous sutures and staples, lines, wires, tubes, drains, casts, and splints; insertion, irrigation and removal of urinary catheters, routine peripheral intravenous lines, nasogastric and rectal tubes; and changes and removal of tracheostomy tubes.
11. Critical care services related to the surgical procedure but within the same case definition.
12. Diagnostic tests and procedure, including diagnostic radiological procedures related to the surgery.
13. Immunosuppressive therapy for organ transplants.
MEDICAL IMAGING AND OTHER INVESTIGATIONS PACKAGE
Scope	Access Point	Tariff	Access Rules
Covers prescribed specialized imaging services including—	All facilities with required imaging services.	1. Magnetic Resonance Imaging – KES. 11,000	Limit: Up to 2 of each imaging service per household per annum.
1. Magnetic Resonance Imaging (MRI)		2. Computed Tomography (CT) scans – KES. 6,900
2. Computed Tomography (CT) scans		3. Computed Tomography (CT0 Angio – KES. 8,000
3. Computed Tomography (CT) Angio		4. Fluoroscopy – KES. 4,000
4. Fluoroscopy		5. Mammography – KES. 3,000
5. Mammography		6. Specialized ultrasounds (Dopplers) – KES. 5,000
6. Specialized ultrasounds (Dopplers)		7. Echocardiograms (ECHO) – KES. 3,500
7. Echocardiograms (ECHO)		8. Electroencephalog rams (EEGs) – KES. 5,000 for an adult and KES. 8,000 for a child.
8. Electroencephalograms (EEGs) and
9. Reviewing and interpreting radiological images giving the diagnostic opinion and providing the referring physician with a detailed report of the imaging findings for treatment planning.

HEMATOLOGY & ONCOLOGY SERVICES PACKAGE
Scope	Access Point	Tariff	Access Rules
Oncology services shall entail screening and treatment of cancers.	Level 3-6 with National Cancer Institute certification and capacity to offer the service	Sub-limits for oncology are annexed (Annex 2).	Diagnosis, staging & treatment – Limit: KES. 400,000 per person per annum.
1. Treatment through Chemotherapy, Radion therapy, Hormonal therapy, and Immunotherapy.
2. Consumables, stoma appliances, premeds, and post meds, Chemotherapy pump
3. Routine and specialized laboratory investigations (Total Blood Count (TBC), Urea Electrolytes Creatinine (UECs) and Liver Function Tests (LFTs)).
4. Therapeutic apheresis (Aphaeretic platelets, red cell exchange)
5. Screening, cross-matching, and administration of blood and blood products; derivatives and components, artificial blood products, and biological serum
6. Radiological services as necessary as part of oncological treatment planning and staging.
7. Management through surgical interventions.
8. Management of precancerous lesions.
ORAL HEALTH SERVICES
Scope	Access Point	Tariff	Access Rules
Services covered include consultation and diagnosis, preventive services, and restorative treatment services as necessary.	Where capacity is available, and the dental unit is willing to offer the service at the given tariff.	1. Tooth Extractions– KES. 650	1. Limit: KES. 2,000 per household per annum.
These include—		2. A traumatic Restorative Treatment (ART) with Glass Ionomer Cement (GIC) – KES. 1,000	2. This package will be rolled out subject to availability of resources.
1. Oral health education and counselling.		3. Dry Socket Debridement – KES. 750
2. Screening and consultation.		4. Suturing (Local Anesthesia) procedure – KES. 1,000
3. Tooth Extractions.		5. Screening and consultation – KES. 300
4. Atraumatic Restorative Treatment (ART) with Glass Ionomer Cement (GIC).		6. Gingivitis and Periodontitis by Scaling and Polishing – KES. 1,200
5. Dry Socket Debridement		7. Herpetic Wound Cleaning – KES. 600
6. Suturing (Local Anesthesia) procedure.		8. Management of odontogenic infections primarily of dental caries and periodontal disease – KES. 700
7. Herpetic Wound Cleaning
8. Management of Gingivitis and Periodontitis by Scaling and Polishing.
9. Management of odontogenic infections primarily of dental caries and periodontal disease.
EMERGENCY, CHRONIC AND CRITICAL ILLNESS FUND
AMBULANCE EVACUATION SERVICES
Scope	Access Point	Tariff	Access Rules
Evacuation from the point of the incident to the nearest facility with an Accident and Emergency center and the transfer of patients requiring emergency and further clinical care from the facility.	Management of all transfers/evacuations through National & County Ambulance Call Centres.	1. 25 km Radius (Intra metro) - KES. 4,500	Accessible by all Kenyans irrespective of registration or premium payment status.
		2. > 25 km (Extra metro) - KES. 75 per km
ACCIDENT & EMERGENCY SERVICES
Scope	Access Point	Tariff	Access Rules
This cover includes resuscitation and stabilization due to—	Level 2-6	Fee for Service	1. Accessible by all Kenyan residents irrespective of registration or premium payment status.
1. Cardiac and pulmonary arrest			2. Care for up to a maximum of 24 hours after which the Social Health Insurance Fund (SHIF) benefits are activated for paid-up members.
2. Major trauma (severe burns, head injuries, severe wounds, multiple fractures)
3. Shock states (Haemorrhagic, septic, dehydration)
4. Altered level of consciousness (unconsciousness, confusion) Severe respiratory distress
5. Seizures.
6. Chest pain (Acute Coronary Syndrome/Pulmonary embolism) Acute Cerebrovascular Accidents (Strokes).
7. Anti Snake Venom & Anti Rabies.
CRITICAL ILLNESS PACKAGE
Scope	Access Point	Tariff	Access Rules
This will cater for Critical care admissions in critical care units.	Level 4-6	1. Level 4 – KES. 3,360	1. Limit: Within the inpatient annual limit of 180 days per household per annum.
		2. Level 5 – KES. 3,920	2. SHIF will cover expenses upto the specified tariff.
		3. Level 6 – KES. 4,480
PALLIATIVE CARE SERVICES
Scope	Access Point	Tariff	Access Rules
This benefit aims at enhancing the quality of life for patients with serious chronic or life threatening illnesses which includes symptom management, psycho-social support, caregiver support and end-of-life care.	Level 3-6 with palliative care units	1. Level 4 – KES. 3,360	1. Limit: Within the inpatient annual limit of 180 days per household per annum.
		2. Level 5 – KES. 3,920	2. SHIF will cover expenses up to the specified tariff.
		3. Level 6 – KES. 4,480.
ASSISTIVE DEVICES
Scope	Access Point	Tariff	Access Rules
Provision of assistive devices to support patients with permanent physicaland/or sensory disabilities and progressive chronic conditions such as Parkinson’s Disease and multiple sclerosis.	Level 4-6	1. Hearing aids – KES. 55,000	1. One device per household per year, except for therapeutic footwear, which has a limit of two per household per year.
		2. Wheelchair – KES. 15,000	2. Hearing aids are limited to individuals aged 18 years and below and will only be issued once per lifetime.
		3. Crutches – KES. 900	3. This package will be rolled out subject to budgetary allocation.
		4. Clubfoot brace – KES. 1,000
		5. Walking frames – KES. 500
		6. Therapeutic footwear – KES. 1,000
CHRONIC ILLNESSES
Scope	Access Point	Tariff	Access Rules
Longitudinal management of chronic conditions and diseases beyond the SHIF limit for—	Level 4-6	1. Medical admission cases will be reimbursed as prescribed under the Medical Inpatient Package	1. Must be a paid-up Social Health Insurance Fund (SHIF) member.
1. Medical admission cases.		2. Haemo-dialysis, peritoneal dialysis, pre-transplant evaluation and post-renal therapy will be reimbursed as prescribed under the Renal Care services package in Social Health Insurance Fund (SHIF).	2. Shall be covered comprehensively subject to budgetary allocation.
2. Haemo-dialysis and peritoneal dialysis		3. Mental Health Disorders will be reimbursed at the same inpatient benefit package rates above.
3. Pre-transplant evaluation.
4. Immunosuppressive therapy post-renal transplant.
5. Management of cancers.
6. Inpatient management of mental neurodevelopmental, neurodegenerative, affective, psychoactive disorders and substance addictive disorders and other mental health conditions.
VERTICALLY FINANCED PROGRAMS

Anti-retroviral (ARVs), anti-malarials, anti-Tuberculosis (TBs), and associated tests, family planning commodities, and Kenya Expanded Program on Immunization (KEPI) vaccines will be provided at public facilities and faith-based & private facilities that report to the health information system.

LIST OF EXCLUSIONS: GENERAL AND SPECIFIC
1. Cosmetic procedures or such other procedures that the medical advisor deems cosmetic and any complications arising out of this unless specified in the surgical schedule (Annex 3).
2. Massage (except where certified as a necessary part of treatment following an accident or illness);
3. Treatment by chiropractors, acupuncturists, and herbalists,
4. Assisted fertility treatment by In Vitro Fertilization (IVF) or any other procedure.
5. Vaccines other than those of the Kenya Expanded Program on Immunization (KEPI).
6. Products outside the Kenya Essential Medicine List (EML) and the Kenya Essential Diagnostics List (EDL).
7. Any investigation, injury, disease or illness not specified in the benefits package for the particular Kenya Essential Package for Health (KEPH) level of service.
8. Weight management treatment drugs.
9. Nutritional supplements.
10. Shampoos (except where certified as a necessary part of treatment).
11. Medical costs related to or incurred in a research environment and clinical trials.
12. Travel expenses other than ambulance costs as defined under emergency care and referral services.
13. Stop-smoking aids.
14. Epidemics and pandemics.
15. Hormone replacement therapy (HRT), unless in connection with, and immediately after a pre-authorized surgical procedure or unless otherwise provided for under the terms and conditions of the treatment plan.
16. Admission in a private ward, stay at a sanatorium or old age home, treatment in a spa, sauna, health farm, or similar establishment, stays and/or maintenance or treatment received in nature cure clinics or similar establishment or, convalescent and or rest homes or cures attached to such establishments.
17. Professional fees for medical personnel over and above the prescribed rates.
18. Expenses related to diagnostic equipment including but not limited to such as glucometer or glucose machine.
19. Any other procedure or intervention not listed in the scope of the benefit package.
20. Services that are not directly related to medical treatment such as personal comfort items or luxury services.

ANNEX 1: ESSENTIAL DIAGNOSTIC LABORATORY LISTING FOR SELECT CHRONIC CONDITIONS

	List of Tests for Management and Control of Chronic NCD	Testing Frequencyto consider at minimum per annum	Tariff (KShs.)
A.	Diabetic Patients
1	Haemoglobin A1C (HbA1C) [for monitoring sugar control and adjusting treatment]	Once a year	1,000
2	Microalbumin in urine [for monitoring stage of kidney damage]	Once a year	700
3	Creatinine [for monitoring kidney function]	Once a year	300
4	Cholesterol [for monitoring cardiovascular risk]	Once a year	300
5	B-type Natriuretic Peptide (ProBNP) [for monitoring structural damage pre-heart failure]	Once a year	2,000

B.	Hypertensive & Cardiac Patients
1	Urinalysis [for checking kidney damage]	Once a year	250
2	Creatinine [for monitoring kidney function]	Once a year	300
3	Cholesterol [for monitoring cardiovascular risk]	Once a year	300
4	B-type Natriuretic Peptide (ProBNP) [for monitoring structural damage pre-heart failure]	Once a year	2,000

C	Sickle Cell Anaemia
	Lab Diagnostic work-up for Management of Sickle Cell Anaemia
1	Full Blood Count (FBC) [for checking blood status]	Upon clinical diagnosis	500
2	Haemoglobin electrophoresis [for confirmation of sickle cell anaemia]	Upon clinical diagnosis	2,000
3	Bilirubin total & conjugated [for checking liver function]	Upon clinical diagnosis	600
4	Alanine Transaminase (ALT) [for checking liver function]	Upon clinical diagnosis	300
	Monitoring on Management of Sickle Cell Anaemia
1	Full Blood Count (FBC) [for checking blood status]	Once a year	500
2	Haemoglobin electrophoresis [for confirmation of sickle cell anaemia] Work-up	Once a year	2,000
3	Bilirubin total & conjugated [for checking liver function]	Once a year	600
4	Alanine Transaminase (ALT) [for checking liver function]	Once a year	300

D.	Chronic Obstructive Pulmonary Disease (COPD)/Asthma
	Lab Diagnostic work-up for Chronic Obstructive Pulmonary Disease (COPD)
	All patients clinically diagnosed with COPD should be tested for Alpha-1 antitrypsin (AAT) deficiency	Upon clinical diagnosis	700

ANNEX 2: HEMATOLOGY & ONCOLOGY SERVICES PACKAGE SUB-LIMITS

Procedure/treatment	Amount	Limits/approvals
Chemo administration	KES. 5,500	Limit of KES. 400,000 as per National Cancer Control Program (NCCP) Adult & Child Cancers Differentiated Care Model
Chemo port insertion	KES. 15,000
Routine Lab investigations	1. Full Blood Count – KES. 500
	2. Urea/Electrolytes/Creatinine – KES. 1,000
	3. Liver Function Tests – KES. 1,000
Specialized Lab Tests	1. Histology Small Specimen – KES 2,500
	2. Histology Medium Specimen – KES 3,500
	3. Histology Large Specimen – KES 5,000
	4. Immunoperoxidase studies(Immunohistochemistry) per marker – KES 3,500
	5. Cytology (Gynae Cytology Vaginal or cervical smears, each) – KES 1,500
	6. Cytology Sputum, all body fluids and tumour aspirates: First unit – KES 1,500
	7. Cytology (performance of FNA procedure) – KES 1,500
	8. Flow cytometry (for diagnosis of leukaemia patients) per marker – KES 2,500
	9. Bone Marrow tests (specific test depends on indication)
	a. Bone marrow aspiration cytological examination – KES 2,200
	b. Bone marrow trephine biopsy – KES 3,500
	c. Bone marrow aspiration procedure – KES 1,500
	d. Bone marrow trephine procedure – KES 1,500
	10. PCR analysis (for gene detection for cancer per marker profile) – KES 8,000
	11. Tumour markers (immunoassay /individual antibody test e.g. CA125, CA19-9, CA15-3, PSA, etc.) – KES 1,500
Positron Emission Tomography (PET) scan	KES. 53,500
Prostate-Specific Membrane Antigen (PSMA) Positron Emission Tomography (PET) Scan	KES. 64,200
Computed Tomography (CT) Scans	KES. 6,900
Magnetic Resonance Imaging (MRI)	KES. 11,000
Bone Scan*	KES. 15,000
Radio nucleoid Scan*	KES. 11,000
Radiotherapy	KES. 3,600 per session
Chemotherapy	As per NCCP Adult & child Cancers Differentiated Care Model
Brachytherapy	Up to KES. 40,000
Stereotactic Body Radiotherapy (SBRT)/Stereotactic Radiosurgery (SRS*)	Up to KES. 70,000
Aphaeretic platelets	KES. 20,000
Red cell exchange	KES. 70,000

ANNEX 3: SURGICAL PACKAGE LISTING AND TARIFF

	Specialty	Procedures	Complexity	Tariff (Kshs.)
1	Cardiology	Aortic Valvuloplasty	Specialized	448,000
2	Cardiology	Atrial Septal Defect (ASD) percutaneous device closure	Specialized	414,400
3	Cardiology	Atrial Septostomy	Specialized	201,600
4	Cardiology	Cardiac Resynchronization Therapy Defibrillator (CRT-D) device	Specialized	1,120,000
5	Cardiology	Cardiac ResynchronizationTherapy Pacemaker (CRT-P)	Specialized	537,600
6	Cardiology	Coronary angiography (diagnostic)	Specialized	78,400
7	Cardiology	Coronary Angioplasty (with single or Multiple Stents)	Specialized	537,600
8	Cardiology	Diagnostic catheterization	Specialized	78,400
9	Cardiology	Dual Chamber pacemaker insertion (permanent)	Specialized	280,000
10	Cardiology	Implantable Converter Defibrillator (ICD) Dual chamber insertion	Specialized	952,000
11	Cardiology	Implantable Converter Defibrillator (ICD) Single chamber insertion	Specialized	649,600
12	Cardiology	Intra-Aortic Balloon Pump	Specialized	168,000
13	Cardiology	IVC Filter insertion	Specialized	168,000
14	Cardiology	Loop recorder - reveal link	Specialized	537,600
15	Cardiology	Loop recorder-reveal XT	Specialized	358,400
16	Cardiology	Mitral Valvuloplasty	Specialized	392,000
17	Cardiology	Patent Ductus Arteriosus (PDA) percutaneous device closure	Specialized	414,400

	Specialty	Procedures	Complexity	Tariff (Kshs.)
18	Cardiology	Peripheral Angiography	Specialized	56,000
19	Cardiology	Peripheral Angioplasty	Specialized	280,000
20	Cardiology	Pulmonary artery catheterization	Specialized	78,400
21	Cardiology	Pulmonary Valvuloplasty	Specialized	448,000
22	Cardiology	Renal artery stenting	Specialized	280,000
23	Cardiology	Retrieval of Foreign bodies	Specialized	145,600
24	Cardiology	Right and Left Catheterization	Specialized	145,600
25	Cardiology	Single Chamber pacemaker insertion (permanent)	Specialized	224,000
26	Cardiology	Single pacemaker insertion (temporary)	Specialized	44,800
27	Cardiology	Thoracic endovascular aortic repair (TEVAR)	Specialized	1,120,000
28	Cardiology	Ventricular Septal Defect (VSD) percutaneous device closure	Specialized	414,400
29	Cardiothoracic and Vascular	Achalasia cardia/Diverticulum	Specialized	280,000
30	Cardiothoracic and Vascular	Aneurysm repair with cardiopulmonary bypass/Bentall’s procedure	Specialized	1,008,000
31	Cardiothoracic and Vascular	Aneurysm repair without bypass	Specialized	392,000
32	Cardiothoracic and Vascular	Aorto-femoral and other Arterial bypass	Specialized	392,000
33	Cardiothoracic and Vascular	Arteriovenous fistula take-down	Major	33,600
34	Cardiothoracic and Vascular	Bronchoscopy and removal of foreign body	Major	78,400
35	Cardiothoracic and Vascular	Carotid arteriotomy	Specialized	145,600
36	Cardiothoracic and Vascular	Closed valvotomy	Specialized	168,000
37	Cardiothoracic and Vascular	Coarctation of Aorta repair with graft	Specialized	280,000
38	Cardiothoracic and Vascular	Coarctation of Aorta repair without graft	Specialized	280,000
39	Cardiothoracic and Vascular	Congenital arteriovenous (AV) fistula malinformation resection	Specialized	201,600
40	Cardiothoracic and Vascular	Cox Maze IV Procedure	Specialized	448,000
41	Cardiothoracic and Vascular	Creation of Arteriovenous (AV) fistula	Major	78,400
42	Cardiothoracic and Vascular	Creation of Arteriovenous (AV) fistula with graft	Major	168,000
43	Cardiothoracic and Vascular	Decortication	Specialized	224,000
44	Cardiothoracic and Vascular	Excision of Carotid body tumour	Specialized	246,400
45	Cardiothoracic and Vascular	Excision of Mediastinal Tumour	Major	280,000

	Specialty	Procedures	Complexity	Tariff (Kshs.)
46	Cardiothoracic and Vascular	Feeding gastrostomy /jejunostomy	Major	89,600
47	Cardiothoracic and Vascular	Insertion of MB tube	Major	44,800
48	Cardiothoracic and Vascular	Mediastinoscopy	Major	56,000
49	Cardiothoracic and Vascular	Mitral Valvotomy / Balloon	Specialized	224,000
50	Cardiothoracic and Vascular	Myocardial Biopsy	Major	44,800
51	Cardiothoracic and Vascular	Open Heart Surgery	Specialized	952,000
52	Cardiothoracic and Vascular	Open patent ductus arteriosus (PDA) ligation	Specialized	168,000
53	Cardiothoracic and Vascular	Pacemaker Change of battery	Major	134,400
54	Cardiothoracic and Vascular	Pericardiectomy	Specialized	246,400
55	Cardiothoracic and Vascular	Pericardial Catheterization	Major	89,600
56	Cardiothoracic and Vascular	Pericardial Window	Major	89,600
57	Cardiothoracic and Vascular	Pericardiocentesis	Major	56,000
58	Cardiothoracic and Vascular	Pneumonectomy / Lobectomy	Specialized	280,000
59	Cardiothoracic and Vascular	Primary Open Pacemaker Implantation	Specialized	224,000
60	Cardiothoracic and Vascular	Repair of Ruptured Diaphragm	Major	145,600
61	Cardiothoracic and Vascular	Repair of traumatic arterial transection	Specialized	145,600
62	Cardiothoracic and Vascular	Rib resection	Major	89,600
63	Cardiothoracic and Vascular	Rib resection for Thoracic outlet syndrome	Major	201,600
64	Cardiothoracic and Vascular	Simple Thoracotomy-Retained Haemothrax/Duct ligation/pleurodesis/FB removal	Specialized	201,600
65	Cardiothoracic and Vascular	Simple tracheal/Bronchial fistula repairs	Major	224,000
66	Cardiothoracic and Vascular	Splenorenal shunt	Major	112,000
67	Cardiothoracic and Vascular	Subfascial Deep Venous Thrombosis (DVT) ligation + skin graft	Major	89,600
68	Cardiothoracic and Vascular	Thoracoscopy	Major	44,800

	Specialty	Procedures	Complexity	Tariff (Kshs.)
69	Cardiothoracic and Vascular	Thoracoscopy/Mediastinoscopy with biopsy	Major	89,600
70	Cardiothoracic and Vascular	Thoracotomy -Diaphragmatic Hernia with a mesh	Specialized	224,000
71	Cardiothoracic and Vascular	Thromboembolectomy	Specialized	168,000
72	Cardiothoracic and Vascular	Tracheal/Bronchial Reconstruction	Specialized	358,400
73	Cardiothoracic and Vascular	Vessel bypass Surgery	Specialized	246,400
74	Ear Nose & Throat	Adenoidectomy	Major	72,240
75	Ear Nose & Throat	Adenotonsillectomy (Ts 7 As)	Major	77,840
76	Ear Nose & Throat	Chondroplasty	Major	89,600
77	Ear Nose & Throat	Cochlear Implant	Specialized	358,400
78	Ear Nose & Throat	Cricotracheal reconstruction	Major	89,600
79	Ear Nose & Throat	Direct laryngoscopy and biopsy	Major	50,400
80	Ear Nose & Throat	Examination under anaesthesiaand biopsy of nasopharynx, ears, and nose	Minor	28,000
81	Ear Nose & Throat	Excision and reconstruction of head and neck tumours	Specialized	257,600
82	Ear Nose & Throat	Excision of a deep neck space mass	Major	89,600
83	Ear Nose & Throat	Excision of pharyngeal diverticulum	Specialized	168,000
84	Ear Nose & Throat	Excision of submandibular gland	Major	89,600
85	Ear Nose & Throat	Facial nerve decompression/reanimation	Specialized	358,400
86	Ear Nose & Throat	Frontal sinus trephination	Minor	22,400
87	Ear Nose & Throat	Functional endoscopic sinus surgery (FESS)	Major	123,200
88	Ear Nose & Throat	Intranasal ethmoidectomy	Major	112,000
89	Ear Nose & Throat	Laryngectomy (Partial)	Specialized	201,600
90	Ear Nose & Throat	Laryngectomy (Total)	Specialized	280,000
91	Ear Nose & Throat	Laryngectomy with radical neck dissection	Specialized	336,000
92	Ear Nose & Throat	Lateral Rhinotomy (due to tumour, scars or congenital)	Major	67,200
93	Ear Nose & Throat	Maxillary Artery Ligation	Minor	67,200

	Specialty	Procedures	Complexity	Tariff (Kshs.)
94	Ear Nose & Throat	Maxillectomy	Major	134,400
95	Ear Nose & Throat	Middle ear tumour excision	Specialized	224,000
96	Ear Nose & Throat	Manipulation under Anaesthesia of nose	Minor	33,600
97	Ear Nose & Throat	Microlaryngeal Surgery	Major	112,000
98	Ear Nose & Throat	Myringoplasty	Major	67,200
99	Ear Nose & Throat	Myringotomy	Major	44,800
100	Ear Nose & Throat	Nasal polypectomy	Major	67,200
101	Ear Nose & Throat	Partial glossectomy	Major	89,600
102	Ear Nose & Throat	Removal of foreign body in ear, nose or oesophagus (paediatrics under general anesthesia)	Minor	40,600
103	Ear Nose & Throat	Rhinoplasty: Soft and bony tissue (Tumors, congenital, trauma)	Major	89,600
104	Ear Nose & Throat	Selective neck Dissection	Specialized	224,000
105	Ear Nose & Throat	Septoplasty (Tumors, congenital, trauma)	Major	44,800
106	Ear Nose & Throat	Simple mastoidectomy	Major	44,800
107	Ear Nose & Throat	Submucous resection of nasal septum	Major	44,800
108	Ear Nose & Throat	Superficial Parotidectomy	Major	89,600
109	Ear Nose & Throat	Total Inferior Turbinectomy and Intranasal Antrostomy	Major	100,800
110	Ear Nose & Throat	Total Inferior Turbinectomy and Turbinoplasty	Major	100,800
111	Ear Nose & Throat	Tonsillectomy (adult)	Major	56,000
112	Ear Nose & Throat	Tonsillectomy (paediatric)	Major	56,000
113	Ear Nose & Throat	Total/ Radical parotidectomy	Specialized	168,000
114	Ear Nose & Throat	Tympanomastoidectomy	Major	145,600
115	Ear Nose & Throat	Tympanoplasty	Major	78,400
116	Ear Nose & Throat	Uvulopalatopharyngoplasty	Major	78,400
117	General	Abdominoperineal resection (APR-tumor)	Specialized	134,400
118	General	Anterior Resection of Rectum	Specialized	123,200

	Specialty	Procedures	Complexity	Tariff (Kshs.)
119	General	Appendicectomy	Major	67,200
120	General	Bilateral Adrenalectomy	Specialized	280,000
121	General	Bilateral gynaecomastia correction	Major	67,200
122	General	Bilateral Herniotomy	Major	56,000
123	General	Bilateral Herniotomy + orchidopexy	Major	56,000
124	General	Bilateral inguinal herniorrhaphy	Major	56,000
125	General	Bilateral Orchidopexy	Major	56,000
126	General	Bilateral sympathectomy	Major	56,000
127	General	Bowel resection and anastomosis	Major	112,000
128	General	Cholecystectomy	Major	89,600
129	General	Closure of Colostomy	Major	89,600
130	General	Colostomy	Major	89,600
131	General	Diagnostic Laparoscopy + biopsy	Major	89,600
132	General	Examination under anaesthesia and anorectal stretch	Major	28,000
133	General	Excision of lipoma / lump (> 8cm)	Minor	33,600
134	General	Excision of lipoma (Over 3.5 x 3.5 cm)	Minor	33,600
135	General	Excision of Liver hydatid cyst	Major	134,400
136	General	Excision of pilonidal sinus	Minor	33,600
137	General	Excision of sternomastoid tumour	Major	112,000
138	General	Excision of Thyroglossal cyst	Minor	89,600
139	General	Exploration of retroperitoneal mass	Major	112,000
140	General	Exploratory Laparotomy	Major	67,200
141	General	Exteriorization of caecum	Major	89,600
142	General	Fistulectomy for fistulae in Ano (peer review)	Minor	44,800
143	General	Gastrojejunostomy	Major	134,400
144	General	Haemorrhoidectomy	Major	44,800
145	General	Hemicolectomy	Major	134,400
146	General	Incision & Drainage (Peri anal Abscess)	Minor	14,000
147	General	Intestinal resection + anastomosis	Major	134,400
148	General	Laparoscopic Niessens fundoplication	Specialized	212,800
149	General	Laparotomy for Pyloric stenosis	Major	134,400
150	General	Lateral Sphincterotomy	Major	44,800
151	General	Needle biopsy: liver	Minor	16,800
152	General	Nerve release and decompression	Minor	44,800
153	General	Oesophagoscopy and removal of foreign body	Minor	33,600

	Specialty	Procedures	Complexity	Tariff (Kshs.)
154	General	Orchidectomy	Minor	44,800
155	General	Paediatric (below 6 years) Circumcision only under general anaesthesia (phimosis)	Minor	22,400
156	General	Partial Gastrectomy	Specialized	123,200
157	General	Permanent dialysis catheter	Minor	50,000
158	General	Primary repair of incisional hernia laparoscopic	Major	56,000
159	General	Radical Mastectomy (to include lymph nodes clearance)	Major	134,400
160	General	Release of contractures of major joints	Minor	44,800
161	General	Repair of burst abdomen	Minor	44,800
162	General	Repair of epigastric hernia	Major	56,000
163	General	Repair of hiatus hernia	Major	168,000
164	General	Repair of hydrocele	Minor	44,800
165	General	Repair of incisional hernia (with mesh)	Major	78,400
166	General	Repair of perforated duodenal ulcer	Major	134,400
167	General	Repair of previous incision in abdominal wall	Major	78,400
168	General	Repair of strangulated hernias	Major	89,600
169	General	Repair of umbilical hernia (with mesh)	Major	44,800
170	General	Segmental resection of breast under general anesthesia for oncology cases	Major	89,600
171	General	Simple Mastectomy	Major	89,600
172	General	Skin graft > 10% total body surface area	Major	89,600
173	General	Splenectomy	Major	134,400
174	General	Stripping of bilateral varicoseveins	Major	78,400
175	General	Stripping of unilateral varicose veins	Minor	56,000
176	General	Subdural haematoma Evacuation	Major	134,400
177	General	Surgical Debridement/Escharotomy: (Minor, Medium & Major), traumatic, pressure sores, diabetic and burns (Under general anaesthesia)	Minor	33,600
178	General	Tendon Repair: Achilles tendon	Major	134,400
179	General	Tendon Repair: Multiple	Major	134,400
180	General	Tendon Repair: Single	Major	89,600

	Specialty	Procedures	Complexity	Tariff (Kshs.)
181	General	Tendon transfer	Major	134,400
182	General	Thyroidectomy	Major	134,400
183	General	Total Gastrectomy	Specialized	134,400
184	General	Total Oesophagectomy	Specialized	504,000
185	General	Tracheostomy	Major	44,800
186	General	Transverse Colectomy	Major	134,400
187	General	Unilateral Adrenalectomy	Specialized	168,000
188	General	Unilateral femoral herniorrhaphy	Major	56,000
189	General	Unilateral gynaecomastia correction	Major	56,000
190	General	Unilateral Herniotomy	Major	56,000
191	General	Unilateral Herniotomy + orchidopexy	Major	56,000
192	General	Unilateral Orchidopexy	Major	56,000
193	General	Unilateral sympathectomy	Major	56,000
194	General	Vagotomy + drainage	Major	56,000
195	General	Whipples Procedure	Specialized	201,600
196	Interventional Radiology	4-vessel cereral Angiography /Carotid Angiography (unilateral or bilateral) vertebral angiogram	Specialized	61,600
197	Interventional Radiology	Ballon Angioplasty	Specialized	145,600
198	Interventional Radiology	Bilateral nephrostomy tube insertion	Specialized	72,800
199	Interventional Radiology	Biliary stenting	Specialized	112,000
200	Interventional Radiology	Biliary stenting (no stent available)	Specialized	44,800
201	Interventional Radiology	Flush Aortogram/Renal Artery/Hepatic (with embolization material and microcatheter)	Specialized	246,400
202	Interventional Radiology	Internalization of biliary tube	Specialized	50,400
203	Interventional Radiology	Percutaneous Transhepatic cholangiography (PTC) /Biliary drainage	Specialized	89,600
204	Interventional Radiology	Percutaneous Transhepatic cholangiography (PTC)/Biliary drainage (tubes not available)	Specialized	56,000
205	Interventional Radiology	Percutaneous Transhepatic cholangiography (PTC) /Biliary drainage and stenting (stent available)	Specialized	190,400
206	Interventional Radiology	Percutaneous Transhepatic cholangiography (PTC) /Biliary drainage and stenting (stent not available)	Specialized	112,000

	Specialty	Procedures	Complexity	Tariff (Kshs.)
207	Interventional Radiology	Ultrasound-guided breast/prostate biopsies	Specialized	16,800
208	Interventional Radiology	Ultrasound-guided abdominal and peripheral biopsies	Specialized	22,400
209	Interventional Radiology	Ultrasound-guided ascites drainage/abscess drainage	Specialized	22,400
210	Interventional Radiology	Ultrasound-guided bilateral pleural effusion drainage	Specialized	44,800
211	InterventionalRadiology	Ultrasound-guided unilateral pleural effusion drainage	Specialized	22,400
212	InterventionalRadiology	Unilateral nephrostomy tube insertion	Specialized	47,040
213	Interventional Radiology	Unilateral nephrostomy tube insertion (no drainage tube available)	Specialized	22,400
214	Maxillofacial	Bilateral Open Joint Arthroplasty with condylar add-on	Specialized	392,000
215	Maxillofacial	Bilateral Open Joint Arthroplasty with costochondral graft +/- Temporalis fascia	Specialized	336,000
216	Maxillofacial	Cheiloplasty without Flap closure	Minor	44,800
217	Maxillofacial	Closed reduction # Mandible/Maxilla/MMF	Major	134,400
218	Maxillofacial	Closed Rhinoplasty	Minor	56,000
219	Maxillofacial	Closure Cleft Oronasal Fistula + Bone graft	Major	168,000
220	Maxillofacial	Closure Cleft Oronasal Fistula with no Bone graft	Major	112,000
221	Maxillofacial	Closure Oro-Antral fistula without flap	Minor	44,800
222	Maxillofacial	Complex nerve exploration + microsurgical repair	Specialized	168,000
223	Maxillofacial	Complex Salivary gland Sialoadenectomy/Tumours excision+/-RMND	Specialized	336,000
224	Maxillofacial	Complex Facial STR+Viin/Parotid Duct Repair	Specialized	112,000
225	Maxillofacial	Costochondral graft to Mandible post Tumour resection and implant	Specialized	168,000
226	Maxillofacial	Elevation Zygoma: Open reduction and internal fixation (ORIF)	Major	145,600
227	Maxillofacial	Elevation Zygoma: Closed	Minor	56,000
228	Maxillofacial	Enucleation Mandibular/Maxillary cyst	Major	67,200
229	Maxillofacial	EUA Diagnostic for Oro-facial /Biopsy	Minor	28,000

	Specialty	Procedures	Complexity	Tariff (Kshs.)
230	Maxillofacial	Excision of Complex facial Haemangioma/Lymphangioma	Specialized	201,600
231	Maxillofacial	Excision Of Oral / Facial Odontogenic tumors	Specialized	280,000
232	Maxillofacial	Excision of Oral/ Facial Basal cell carcinoma (BCC)+ Local Flap Reconstruction	Specialized	280,000
233	Maxillofacial	Excision of Scalp lesion +/- Wolfe graft	Specialized	78,400
234	Maxillofacial	Excision of Simple facial Haemangioma/Lymphangioma	Major	89,600
235	Maxillofacial	Excision/ Revision Facial scar	Minor	44,800
236	Maxillofacial	Exploration of Submandibular/Parotid Gland duct with stent	Major	112,000
237	Maxillofacial	Exploration/ removal Cranio-Facial Foreign bodies	Major	145,600
238	Maxillofacial	Exploration/ removal Cranio-Facial Foreign bodies (minor)	Minor	33,600
239	Maxillofacial	Exploration/Graft orbital fracture	Specialized	201,600
240	Maxillofacial	Facial Soft tissue Repair	Minor	44,800
241	Maxillofacial	Fractures of Upper face and cranioplasty	Specialized	336,000
242	Maxillofacial	Full thickness skin graft to oral defect	Major	89,600
243	Maxillofacial	Functional Orthognathic surgeries of the Maxilla/Mandible	Specialized	308,000
244	Maxillofacial	Lip shave and mucosal advancement flap	Minor	112,000
245	Maxillofacial	Mandibular fractures Open reduction and internal fixation (ORIF)	Major	145,600
246	Maxillofacial	Mandibular/Maxillary Autogenous bone graft	Specialized	168,000
247	Maxillofacial	Mandibulectomy plus Reconstruction/Plating	Specialized	224,000
248	Maxillofacial	Mandibulectomy/Maxillectomy plus Microvascular Bone graft	Specialized	224,000
249	Maxillofacial	Maxillectomy + Obturator Prosthesis	Specialized	179,200
250	Maxillofacial	Mid face fracture Repair	Major	145,600
251	Maxillofacial	Oral/ facial/ Cartilage Onlay graft	Specialized	112,000
252	Maxillofacial	Pan facial fracture repair (Open Reduction and Internal Rigid Fixation)	Specialized	392,000
253	Maxillofacial	Post condylar cartilage bilateral graft	Specialized	168,000
254	Maxillofacial	Reduction of Alveolar fracture closed	Minor	33,600

	Specialty	Procedures	Complexity	Tariff (Kshs.)
255	Maxillofacial	Reduction of Alveolar fractureOpen	Minor	145,600
256	Maxillofacial	Removal of bone plates	Major	89,600
257	Maxillofacial	Removal of branchial cyst/sinus/Ranula	Major	89,600
258	Maxillofacial	Revision Cleft Lip/ Nose	Major	89,600
259	Maxillofacial	Revision Palatoplasty -MicroVascular and Donor site graft	Specialized	280,000
260	Maxillofacial	Revision Palatoplasty-Rotational Flap	Major	145,600
261	Maxillofacial	Revision Vestibuloplasty + Skin graft	Major	201,600
262	Maxillofacial	RMND+Mandibulectomy/Maxillectomy with Microvascular Free Flap	Specialized	358,400
263	Maxillofacial	RMND+Pedicled Flap Mandibulectomy/Maxillectomy +/- Implant	Specialized	280,000
264	Maxillofacial	Salivary Duct Redirection (Wilkie procedure	Major	89,600
265	Maxillofacial	Secondary Craniofacial Reconstruction	Specialized	392,000
266	Maxillofacial	Segmental OsteotomyMandible/Maxilla	Specialized	168,000
267	Maxillofacial	Sequestrectomy/ Decortication Mandible Maxilla	Major	67,200
268	Maxillofacial	Simple Nerve exploration + repair	Major	112,000
269	Maxillofacial	Simple Salivary Gland Sialoadenectomy /Sialolithectomy	Major	100,800
270	Maxillofacial	Simple Vestibuloplasty + Skin graft	Major	89,600
271	Maxillofacial	Superficial Parotidectomy	Major	89,600
272	Maxillofacial	Temporalis/ Masseter Myotomy	Major	112,000
273	Maxillofacial	Temporomandibular Joint (TMJ) Arthroscopy	Minor	44,800
274	Maxillofacial	Torticollis / Fibromatosis Colli Correction	Specialized	145,600
275	Neurosurgery	Acrylic Cranioplasty	Major	224,000
276	Neurosurgery	Anterior cervical fusion - AO plating/ posterior decompression	Specialized	448,000
277	Neurosurgery	Application of skull callipers	Major	56,000
278	Neurosurgery	Burr hole(s): subdural hematoma, brain abscess	Major	268,800
279	Neurosurgery	Brain Biopsy procedure	Major	112,000
280	Neurosurgery	Clipping of cerebral artery	Specialized	448,000
281	Neurosurgery	Craniotomy for Aneurysm	Specialized	504,000

	Specialty	Procedures	Complexity	Tariff (Kshs.)
282	Neurosurgery	Craniotomy for Arteriovenous (AV) malformation	Specialized	336,000
283	Neurosurgery	Craniotomy for Intracerebral haematoma	Specialized	336,000
284	Neurosurgery	Craniotomy for Brain Tumour	Specialized	504,000
285	Neurosurgery	Elevation of depressed skull fracture	Major	168,000
286	Neurosurgery	External Ventricular Drains (EVD) Insertion/ Intracranial Pressure (ICP) Monitoring	Specialized	112,000
287	Neurosurgery	Excision of intracranial nerve lesions	Specialized	280,000
288	Neurosurgery	Excision of spinal tumours	Specialized	280,000
289	Neurosurgery	Extradural haematoma	Major	112,000
290	Neurosurgery	Laminectomy for cervical / thoracic / or lumbar spine	Major	145,600
291	Neurosurgery	Microdiscectomy	Specialized	145,600
292	Neurosurgery	Microsurgical nerve graft/ Nerve repair/ exploration/ microsurgical anastomosis	Major	145,600
293	Neurosurgery	Posterior fossa surgery	Specialized	504,000
294	Neurosurgery	Repair of Dura for non-trauma/non cancer related	Major	224,000
295	Neurosurgery	Spina Bifida Surgery/Encephalocele	Major	168,000
296	Neurosurgery	Spinal fusions with implants II level	Specialized	280,000
297	Neurosurgery	Spinal fusions with implants III level	Specialized	313,600
298	Neurosurgery	Spinal fusions with implants IV level	Specialized	313,600
299	Neurosurgery	Surgical Toilet and repair of major scalp wounds under general anaesthesia	Major	67,200
300	Neurosurgery	Surgical Toilet for scalp tumour under general anaesthesia	Major	67,200
301	Neurosurgery	Ventriculoperitoneal (VP) shunting	Major	100,800
302	Obstetrics and gynaecology	Anterior and Posterior (AP) colpoperineorrhaphy	Major	89,600
303	Obstetrics and gynaecology	Cerclage	Minor	22,400
304	Obstetrics and gynaecology	Diagnostic / Dye Laparoscopy	Minor	22,400
305	Obstetrics and gynaecology	Laparotomy: Endometriosis Surgery	Major	134,400
306	Obstetrics and gynaecology	Laparotomy: Exploratory /Adhesiolysis	Major	134,400

	Specialty	Procedures	Complexity	Tariff (Kshs.)
307	Obstetrics and gynaecology	Laparotomy: Hysterectomy (Abdominal)	Major	89,600
308	Obstetrics and gynaecology	Laparotomy: Metroplasty / Uteroplasty	Major	134,400
309	Obstetrics andgynaecology	Laparotomy: Myomectomy	Major	89,600
310	Obstetrics and gynaecology	Laparotomy: Ovarian cystectomy	Major	89,600
311	Obstetrics and gynaecology	Laparotomy: Pelvic Abscess	Major	134,400
312	Obstetrics andgynaecology	Laparotomy: Ruptured ectopic pregnancy	Major	134,400
313	Obstetrics andgynaecology	Laparotomy: Salpingo – Oopherectomy	Major	134,400
314	Obstetrics and gynaecology	Laparotomy: Tuboplasty	Major	89,600
315	Obstetrics and gynaecology	Laparotomy: Vaginal Hysterectomy	Major	89,600
316	Obstetrics and gynaecology	Manchester Repair	Major	134,400
317	Obstetrics and gynaecology	Marsupialisation of Bartholin’s Cyst / Abscess	Minor	16,800
318	Obstetrics and gynaecology	Operative Hysteroscopy: Avulsion of Endometrial Polyps	Minor	22,400
319	Obstetrics and gynaecology	Operative Hysteroscopy: Biopsy	Minor	22,400
320	Obstetrics and gynaecology	Operative Hysteroscopy: Endometrial Ablation	Minor	33,600
321	Obstetrics and gynaecology	Operative Hysteroscopy: Resection of Submucous Fibroid	Minor	22,400
322	Obstetrics and gynaecology	Operative Hysteroscopy: Retrieval of lost/fragmented IUCD	Minor	8,960
323	Obstetrics and gynaecology	Operative Hysteroscopy: Synechiolysis / Septolysis	Minor	33,600
324	Obstetrics and gynaecology	Operative Laparoscopy: Adhesiolysis	Major	134,400
325	Obstetrics and gynaecology	Operative Laparoscopy: Ectopic Pregnancy	Major	134,400
326	Obstetrics and gynaecology	Operative Laparoscopy: Endometriosis Surgery	Major	134,400
327	Obstetrics and gynaecology	Operative Laparoscopy: Hysterectomy	Major	89,600
328	Obstetrics and gynaecology	Operative Laparoscopy: Myomectomy	Major	89,600
329	Obstetrics and gynaecology	Operative Laparoscopy: Ovarian Cystectomy / Drilling	Major	89,600

	Specialty	Procedures	Complexity	Tariff (Kshs.)
330	Obstetrics and gynaecology	Operative Laparoscopy: Tuboplasty	Major	89,600
331	Obstetrics and gynaecology	Ovarian cancer resection (Pelvic clearance)	Specialized	246,400
332	Obstetrics and gynaecology	Radical Vulvectomy	Major	168,000
333	Obstetrics and gynaecology	Repair of rectovaginal fistula	Major	89,600
334	Obstetrics and gynaecology	Repair of ruptured uterus/Caesarean Hysterectomy	Major	134,400
335	Obstetrics and gynaecology	Repair of vesicovaginal	Major	89,600
336	Obstetrics and gynaecology	Resuturing of burst abdomen	Minor	44,800
337	Obstetrics and gynaecology	Simple Vulvectomy	Major	44,800
338	Obstetrics and gynaecology	Wertheim’s Hysterectomy (Oncology only)	Specialized	246,400
339	Ophthalmic	Amniotic Membrane grafting (Large)	Minor	28,000
340	Ophthalmic	Anterior Chamber Tap	Minor	8,960
341	Ophthalmic	Anterior Chamber Washout	Minor	16,800
342	Ophthalmic	Anterior Stromal Puncture with Bandage Contact Lens	Minor	14,560
343	Ophthalmic	Anterior Vitrectomy + Lensectomy	Specialized	112,000
344	Ophthalmic	Bleb revision	Minor	16,800
345	Ophthalmic	Blepharoplasty/Blepharotomy	Major	84,000
346	Ophthalmic	Canthus Procedures (Cantholysis, Canthoplasty, Canthotomy)	Minor	28,000
347	Ophthalmic	Cataract extraction small incision cataract surgery (SICS)	Minor	33,600
348	Ophthalmic	Cataract extraction with implant (phacoemulsification)	Major	33,600
349	Ophthalmic	Conjunctival dacryocystorhinostomy (DCR) plus tube	Major	112,000
350	Ophthalmic	Conjunctival Excision + Major Reconstruction	Major	44,800
351	Ophthalmic	Conjunctival Incision biopsy (including histopathology)	Minor	44,800
352	Ophthalmic	Corneal cross-linking	Minor	44,800
353	Ophthalmic	Corneal transplant + Cataract Extraction + Intraocular lens	Specialized	280,000
354	Ophthalmic	Corneal/Scleral Perforation repair	Specialized	78,400

	Specialty	Procedures	Complexity	Tariff (Kshs.)
355	Ophthalmic	Cyclocryotherapy	Minor	16,800
356	Ophthalmic	Cyclophotocoagulation	Minor	16,800
357	Ophthalmic	Dacryocystorhinostomy (DCR) revision	Major	89,600
358	Ophthalmic	Dacryocystorhinostomy (DCR)/Fistulectomy	Major	145,600
359	Ophthalmic	Ectropion repair minor and major	Minor	39,200
360	Ophthalmic	Entropion repair minor and major	Minor	39,200
361	Ophthalmic	Epiblepharon repair	Minor	39,200
362	Ophthalmic	Evisceration + implant	Major	44,800
363	Ophthalmic	Intraocular lens exchange	Minor	33,600
364	Ophthalmic	Intraocular lens redialling	Minor	11,200
365	Ophthalmic	Intravitreal Antibiotics/Steroid	Minor	7,840
366	Ophthalmic	Intravitreal Antifungal Injection	Minor	11,200
367	Ophthalmic	Intravitreal Bevazicumab	Minor	11,200
368	Ophthalmic	Intravitreal Triamcinolone	Minor	7,840
369	Ophthalmic	Lacrimal Probing and Syringing (adults)	Minor	16,800
370	Ophthalmic	Lacrimal Probing and Syringing (pediatrics)	Minor	33,600
371	Ophthalmic	Lash electrolysis	Minor	11,200
372	Ophthalmic	Lid splitting + cryotherapy	Major	33,600
373	Ophthalmic	Lid tumour Excision + major reconstruction	Major	78,400
374	Ophthalmic	Lid tumour Excision biopsy	Minor	51,520
375	Ophthalmic	Lid tumour Incision biopsy	Minor	51,520
376	Ophthalmic	Macula Hole Surgery	Specialized	224,000
377	Ophthalmic	Ocular prosthesis	Minor	11,200
378	Ophthalmic	Orbital implant removal	Major	22,400
379	Ophthalmic	Orbitotomy (lateral/anterior)	Major	112,000
380	Ophthalmic	Penetrating Keratoplasty (PKP)	Specialized	257,600
381	Ophthalmic	Posterior Vitrectomy - Foreign Body	Specialized	145,600
382	Ophthalmic	Posterior Vitrectomy - Sunk Nucleus	Specialized	145,600
383	Ophthalmic	Posterior Vitrectomy	Specialized	145,600
384	Ophthalmic	Posterior Vitrectomy + band/buckle	Specialized	209,000
385	Ophthalmic	Posterior Vitrectomy + band/buckle + Cataract surgery	Specialized	229,600
386	Ophthalmic	Posterior Vitrectomy + Cataract surgery	Specialized	173,600
387	Ophthalmic	Posterior Vitrectomy + Delamination + Oil	Specialized	206,000
388	Ophthalmic	Pre-Descemet’s Endothelial Keratoplasty (DALK, DSAEK, DMEK)	Specialized	313,600

	Specialty	Procedures	Complexity	Tariff (Kshs.)
389	Ophthalmic	Pterygium excision with conjunctival autograft	Minor	33,600
390	Ophthalmic	Ptosis repair/revision	Major	56,000
391	Ophthalmic	Ptosis Surgery: Anterior levator repair/resection, frontalis sling suspension	Major	78,400
392	Ophthalmic	Punctoplasty/canaliculoplasty	Minor	22,400
393	Ophthalmic	Pupilloplasty	Minor	22,400
394	Ophthalmic	Retinopexy (Silicon Oil/Gas Insertion)	Major	44,800
395	Ophthalmic	Retinopexy (Silicon Oil/Gas Removal)	Major	44,800
396	Ophthalmic	Scleral buckle + Cryotherapy or Laser	Major	100,800
397	Ophthalmic	Scleral buckle removal	Major	56,000
398	Ophthalmic	Socket reconstruction minor	Major	61,600
399	Ophthalmic	Squint Surgeries (all)	Major	134,400
400	Ophthalmic	Tarsorrhaphy temporary	Minor	16,800
401	Ophthalmic	Trabeculectomy + Phacoemulsification cataract surgery	Major	44,800
402	Ophthalmic	Trabeculectomy + Small Incision Cataract surgery	Major	44,800
403	Ophthalmic	Trabeculectomy with Mitomycin C	Major	33,600
404	Ophthalmic	Trabeculotomy/Goniotomy	Major	56,000
405	Orthopaedic	Above elbow Amputation	Major	67,200
406	Orthopaedic	Above knees Amputation	Major	67,200
407	Orthopaedic	Anterior Cruciate Ligament (ACL)/ Posterior Cruciate Ligament (PCL) repair	Major	280,000
408	Orthopaedic	Angle plating fracture neck of femur	Major	168,000
409	Orthopaedic	Arthrodesis Hip, Knee, Ankle or	Major	168,000
410	Orthopaedic	Arthrodesis vertebral joints	Specialized	224,000
411	Orthopaedic	Arthroscopic Synovectomy	Major	168,000
412	Orthopaedic	Arthrotomy	Major	89,600
413	Orthopaedic	Bankart repair	Specialized	280,000
414	Orthopaedic	Below elbow Amputation	Major	67,200
415	Orthopaedic	Below knees Amputation	Major	67,200
416	Orthopaedic	Bone grafting	Minor	89,600
417	Orthopaedic	Carpal tunnel decompression	Major	56,000
418	Orthopaedic	Cervical rib resection	Major	112,000
419	Orthopaedic	Chondroplasty	Major	168,000

	Specialty	Procedures	Complexity	Tariff (Kshs.)
420	Orthopaedic	Contracture release without flaps	Minor	44,800
421	Orthopaedic	Excision head of fibula	Minor	67,200
422	Orthopaedic	Excision head of radius	Minor	67,200
423	Orthopaedic	Excision of intervertebral disc	Major	145,600
424	Orthopaedic	Exploration of Osteomyelitis / sequestrectomy	Minor	67,200
425	Orthopaedic	External clamp application and Debridement	Major	145,600
426	Orthopaedic	External Fixation with pins, plates and screws	Major	145,600
427	Orthopaedic	Extra articular repair of joint ligament and implants	Major	168,000
428	Orthopaedic	Fasciectomy	Minor	44,800
429	Orthopaedic	Femoral epiphysis reduction / fixation Slipped Upper Femoral Epiphysis (SUFE) with implants	Major	168,000
430	Orthopaedic	Illizarov procedure	Major	168,000
431	Orthopaedic	Insertion of Steinmann pin	Minor	22,400
432	Orthopaedic	Intra articular Surgery (medium joints)	Major	145,600
433	Orthopaedic	Intra articular Surgery (small joints)	Major	145,600
434	Orthopaedic	Intra articular Surgery (large joints)	Major	145,600
435	Orthopaedic	Meniscus repair	Major	280,000
436	Orthopaedic	Meniscectomy	Major	67,200
437	Orthopaedic	Mild club foot correction	Minor	56,000
438	Orthopaedic	Moderate / severe club foot correction	Major	56,000
439	Orthopaedic	Open bone biopsy	Minor	44,800
440	Orthopaedic	Open reduction and internal fixation: Patella	Major	89,600
441	Orthopaedic	Open reduction and internal fixation: Tibia/fibula	Major	89,600
442	Orthopaedic	Open reduction and internal fixation: Humerus	Major	145,600
443	Orthopaedic	Open reduction and internal fixation: Radius / Ulna	Major	145,600
444	Orthopaedic	Open reduction and internal fixation: Clavicle	Major	145,600
445	Orthopaedic	Open reduction and internal fixation: Femur	Major	145,600
446	Orthopaedic	Open reduction and internal fixation: Pelvis	Major	224,000
447	Orthopaedic	Open Synovectomy	Major	56,000
448	Orthopaedic	Operative Arthroscopy with implants	Major	80,640
449	Orthopaedic	Osteotomy and implants	Minor	89,600

	Specialty	Procedures	Complexity	Tariff (Kshs.)
450	Orthopaedic	Putti Platt procedure for shoulder dislocation / Weber Osteotomy	Major	89,600
451	Orthopaedic	Removal of hardware (plates & nails)	Major	89,600
452	Orthopaedic	Removal of hardware (wires)	Minor	22,400
453	Orthopaedic	Removal of Steinmann pin	Minor	22,400
454	Orthopaedic	Revision of Total Hip or Knee (Including implants, MUST have a peer review of three doctors, only for paediatrics)	Specialized	280,000
455	Orthopaedic	Rotator cuff repair	Specialized	280,000
456	Orthopaedic	Scoliosis correction	Specialized	291,200
457	Orthopaedic	Subacromial decompression	Specialized	201,600
458	Orthopaedic	Syndactyly / polydactylycorrection	Minor	44,800
459	Orthopaedic	Synovectomy: Small joints	Minor	33,600
460	Orthopaedic	Tendon repair (others)	Major	145,600
461	Orthopaedic	Tendon repair: Achilles tendon/Patella tendons/Quadriceps	Major	145,600
462	Orthopaedic	Tendon transfer	Major	145,600
463	Orthopaedic	Toes and fingers Disarticulation	Minor	33,600
464	Orthopaedic	Total hip replacement (THR) (Including implants, MUST have a peer review of three doctors)	Specialized	336,000
465	Orthopaedic	Total knee replacement (TKR) (Including implants, MUST have a peer review of three doctors)	Specialized	336,000
466	Orthopaedic	Wedge tarsectomy	Specialized	145,600
467	Paediatric	Biliary atresia (Kasai Kimura procedures, Porto – enterostomy)	Specialized	201,600
468	Paediatric	Bladder neck reconstruction	Major	112,000
469	Paediatric	Exstrophy of bladder (repair)	Specialized	201,600
470	Paediatric	Hirschsprung's disease procedure - Laparotomy, biopsy, colostomy	Specialized	134,400
471	Paediatric	Hirschsprung's disease procedure - Abdominoperineal pull through (Soave, Swenson)	Specialized	201,600
472	Paediatric	Hirschsprung's disease procedure - Closure of Colostomy	Specialized	134,400
473	Paediatric	Insertion of Continuous Ambulatory Peritoneal Dialysis (CAPD) catheter	Minor	33,600
474	Paediatric	Insertion of underwater seal drainage (Paediatric under general anesthesia)	Minor	33,600

	Specialty	Procedures	Complexity	Tariff (Kshs.)
475	Paediatric	Laparotomy: Intestinal resection + anastomosis	Major	134,400
476	Paediatric	Laparotomy: Intussusception	Major	134,400
477	Paediatric	Laparotomy: Malrotation & Plication	Major	134,400
478	Paediatric	Laparotomy: Tumours	Major	168,000
479	Paediatric	Laparotomy: Volvulus	Major	134,400
480	Paediatric	Omphalocele/Gastroschisis	Major	134,400
481	Paediatric	Posterior Sagittal Anorectalplasty (PSARP) for anorectal malformation (High ARM)	Specialized	201,600
482	Paediatric	Rectosigmoidectomy	Major	134,400
483	Paediatric	Resection of posterior / anterior urethral valves	Major	89,600
484	Paediatric	Urethroplasty for hypospadias and epispadias	Major	134,400
485	Plastic	Advancement flaps (CANCERS/TRAUMA)	Major	112,000
486	Plastic	Cleft lip and palate repair (Unilateral/Bilateral)	Major	112,000
487	Plastic	Cleft lip repair (Unilateral/Bilateral)	Major	56,000
488	Plastic	Cleft palate repair	Major	89,600
489	Plastic	Insertion of tissue expander	Specialized	168,000
490	Plastic	Lip reconstruction (ONLY for RTA and Tumors)	Minor	89,600
491	Plastic	Posterior Sagittal Anorectalplasty (PSARP) for anorectal malformation (Low ARM)	Specialized	134,400
492	Plastic	Reduction Mammoplasty (bilateral)	Major	168,000
493	Plastic	Removal of tissue expander	Minor	33,600
494	Plastic	Rotation flaps	Major	112,000
495	Plastic	Skin graft <10 % total body surface area (TBSA)	Major	44,800
496	Urological	Bilateral orchidectomy	Minor	44,800
497	Urological	Bilateral re-implantation of ureter into bladder	Specialized	280,000
498	Urological	Bilateral re-implantation of ureter into bowel	Specialized	224,000
499	Urological	Combined abdominal and vaginal operations on bladder	Specialized	336,000
500	Urological	Construction of ileal conduit	Specialized	268,800
501	Urological	Cystoscopy flexible uretero, nephroscopy, laser lithotripsy	Specialized	143,360
502	Urological	Cystoscopy rigid uretero, nephroscopy, laser lithotripsy	Specialized	143,360

	Specialty	Procedures	Complexity	Tariff (Kshs.)
503	Urological	Dilatation for bladder outlet obstruction	Minor	33,600
504	Urological	Direct Visual Internal Urethrotomy (DVIU)	Major	56,000
505	Urological	Emergency laparotomy	Major	67,200
506	Urological	Endoscopic extraction of bladder/or lower ureter calculus	Major	168,000
507	Urological	Endoscopic extraction of higher ureteric or /Kidney calculus	Major	201,600
508	Urological	Endoscopic insertion of JJ Stent	Major	56,000
509	Urological	Excision of segment of ureter	Major	134,400
510	Urological	Excision of Unilateral lower ureter and re-implantation	Specialized	201,600
511	Urological	Ileal or colonic replacement of ureter	Specialized	280,000
512	Urological	Meatoplasty	Major	44,800
513	Urological	Nephro-ureterectomy	Specialized	145,600
514	Urological	Open Prostatectomy	Major	89,600
515	Urological	Open pyeloplasty	Major	145,600
516	Urological	Open removal of calculus from kidney	Specialized	280,000
517	Urological	Operation on varicocele laparoscopic	Major	56,000
518	Urological	Operations for disorders of sexual development (DSD)	Specialized	336,000
519	Urological	Orchidectomy & excision of spermatic cord	Major	44,800
520	Urological	Orchidopexy bilateral	Major	44,800
521	Urological	Pan endoscopy laser urethrotomy	Major	168,000
522	Urological	Penectomy	Major	168,000
523	Urological	Percutaneous Nephro-lithotomy (PCNL)	Specialized	336,000
524	Urological	Percutaneous Nephrostomy	Specialized	143,360
525	Urological	Primary Repair of incisional hernia	Major	56,000
526	Urological	Pyelolithotomy	Major	168,000
527	Urological	Radical nephrectomy for Tumours	Specialized	280,000
528	Urological	Radical Orchidectomy (Testicular cancers)	Specialized	134,400
529	Urological	Radical prostatectomy	Major	280,000
530	Urological	Radical prostatectomy (laparoscopic)	Major	280,000
531	Urological	Reconstruction of penis (Multidisciplinary)	Major	246,400
532	Urological	Removal of JJ Stent	Minor	33,600
533	Urological	Renal Transplant (recipient)	Specialized	700,000

	Specialty	Procedures	Complexity	Tariff (Kshs.)
534	Urological	Repair of bladder	Major	89,600
535	Urological	Repair of injury to penis/Penile fractures	Major	89,600
536	Urological	Repair of kidney wound	Specialized	145,600
537	Urological	Repair of ruptured urethra	Major	112,000
538	Urological	Repair of vesico-colic fistula	Specialized	112,000
539	Urological	Retropubic suspension of bladder neck	Major	89,600
540	Urological	Simple Nephrectomy	Specialized	168,000
541	Urological	Trans Urethral Resection of Bladder Tumour (TURBT)	Major	201,600
542	Urological	Trans Urethral Resection of Prostate (TURP)	Major	168,000
543	Urological	Simple Nephrectomy (donor)	Specialized	168,000
544	Urological	Ureteroscopic extraction of calculus in ureter-rigid	Specialized	145,600
545	Urological	Ureteroscopic extraction of calculus in ureter flexible	Specialized	145,600
546	Urological	Ureteroscopy for Ablation of Lower ureters and Bladder Tumours	Major	168,000
547	Urological	Ureteroscopy for Ablation of Upper ureters /Renal Tumours/ Calyx cysts	Major	201,600
548	Urological	Urethroplasty simple	Major	112,000
549	Urological	Urethroplasty complex with buccal mucosa	Specialized	280,000

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History of this document

28 February 2025

Repealed by The Social Heath Insurance Act - Tariffs for Healthcare Services, 2025

01 October 2024

Commenced

20 September 2024 this version

Published in Kenya Gazette

Tariffs for Healthcare Services

Legal Notice 146 of 2024

Tariffs for Healthcare Services

Related documents

LAWS OF KENYA

SOCIAL HEALTH INSURANCE ACT

TARIFFS FOR HEALTHCARE SERVICES

LEGAL NOTICE 146 OF 2024

SCHEDULE

ANNEX 1: ESSENTIAL DIAGNOSTIC LABORATORY LISTING FOR SELECT CHRONIC CONDITIONS

ANNEX 2: HEMATOLOGY & ONCOLOGY SERVICES PACKAGE SUB-LIMITS

ANNEX 3: SURGICAL PACKAGE LISTING AND TARIFF

History of this document

28 February 2025

01 October 2024

20 September 2024 this version

Tariffs for Healthcare Services

Legal Notice 146 of 2024

Tariffs for Healthcare Services

Related documents

LAWS OF KENYA

SOCIAL HEALTH INSURANCE ACT

TARIFFS FOR HEALTHCARE SERVICES

LEGAL NOTICE 146 OF 2024

SCHEDULE

ANNEX 1: ESSENTIAL DIAGNOSTIC LABORATORY LISTING FOR SELECT CHRONIC CONDITIONS

ANNEX 2: HEMATOLOGY & ONCOLOGY SERVICES PACKAGE SUB-LIMITS

ANNEX 3: SURGICAL PACKAGE LISTING AND TARIFF

History of this document

28 February 2025

01 October 2024

20 September 2024 this version

Related documents

Is repealed by