Fees and Charges
New fees and charges of public hospital services provided by Hospital Authority are effective as of 18 June 2017.
People who have financial difficulties in paying medical expenses at the public sector may apply for medical fee waiver. Please refer to webpage on Mechanism of Waiving of Medical Charges for details.(A) Categories of Fees & Charges
Medical services provided by HA hospitals/clinics are charged as per the Gazette. There are 3 categories of charges:
See (B) for Definitions of Eligible Persons and Non-eligible Persons.
1. Public Charges – Eligible Persons
| Service | Fee / HK Dollar |
|---|---|
| Accident & Emergency | $180 per attendance |
| Inpatient (acute general beds) | $75 admission fee, $120 per day N1,N2 |
| Inpatient (convalescent / rehabilitation, infirmary & psychiatric beds) | $100 per day N1,N2 |
| Specialist outpatient (including allied health clinic) | $135 for the 1st attendance, $80 per subsequent attendance, $15 per drug item N5 |
| General outpatient | $50 per attendance |
| Dressing or injection | $19 per attendance |
| Psychiatric day hospital | $60 per attendance |
| Geriatric day hospital | $60 per attendance |
| Rehabilitation day hospital | $55 per attendance |
| Day procedure and treatment at Clinical Oncology Clinic or Renal Clinic | $96 per attendance |
| Day procedure and treatment in ambulatory facility | $195 per attendance |
| Community nursing service (general) | $80 per visit |
| Community nursing service (psychiatric) | Free |
| Community allied health service | $80 per visit |
For details, please refer to the Gazette – Public Charges – Eligible Persons.
According to the Gazette, if EPs are suffering from or suspected to be suffering from diseases specified under the prevailing International Health Regulations (IHR), no charge will be made for attendance at an A&E Department or admission into a public ward. Please refer to the specified list of diseases under IHR of the World Health Organization, which will be updated from time to time.
2. Public Charges – Non-eligible Persons
| Service | Fee / HK Dollar |
|---|---|
| Accident & Emergency | $1,230 per attendance |
| Inpatient (general hospitals) | $5,100 per day N1 |
| Inpatient (psychiatric hospitals) | $2,340 per day N1 |
| Intensive care ward/unit | $24,400 per day N1 |
| High dependency ward/unit | $13,650 per day N1 |
| Nursery | $1,340 per day N1 |
| Obstetrics package charge For booked cases, includes • one antenatal checkup; • delivery / delivery care service; and • three days (two nights) hospitalization in a public general ward related to the delivery / delivery care service | $39,000 N6 |
| Obstetrics package charge For non-booked cases or patients who have not undergone any antenatal checkup provided by HA during the pregnancy concerned, includes • delivery / delivery care service; and • three days (two nights) of hospitalization in a public general ward related to the delivery / delivery care service | $90,000 N6 |
| Specialist outpatient (including allied health clinic) | $1,190 per attendance |
| General outpatient | $445 per attendance |
| Dressing or injection | $100 per attendance |
| Day procedure and treatment for Haemodialysis at a Renal Clinic/Centre or other ambulatory facility | $3,000 per attendance (Chronic), $6,000 per attendance (Acute) |
| Day procedure and treatment at Clinical Oncology Clinic | $895 per attendance |
| Day procedure and treatment at Ophthalmic Clinic | $725 per attendance |
| Day procedure and treatment in ambulatory facility | $5,100 per attendance |
| Psychiatric day hospital | $1,260 per attendance |
| Geriatric day hospital | $1,960 per attendance |
| Rehabilitation day hospital | $1,320 per attendance |
| Community nursing service (general) | $535 per visit |
| Community nursing service (psychiatric) | $1,550 per visit |
| Community allied health service | $1,730 per visit |
For details, please refer to the Gazette – Public Charges – Non-eligible Persons.
According to the Gazette, if NEPs are suffering from or suspected to be suffering from diseases specified under the prevailing International Health Regulations (IHR), no charge will be made for attendance at an A&E Department or admission into a public ward. Please refer to the specified list of diseases under IHR of the World Health Organization, which will be updated from time to time.
If COVID-19 antiviral drugs (e.g. Paxlovid and Molnupiravir) are prescribed in the treatment process of COVID-19, patients are required to pay for the relevant drugs.
3. Private Charges
| Service | Fee / HK Dollar |
|---|---|
| Inpatient (acute hospitals) N3 | $6,650 per day (1st class), $4,430 per day (2nd class) N1 |
| Inpatient (other hospitals) N3 | $6,120 per day (1st class), $4,080 per day (2nd class) N1 |
| Intensive care ward/unit N3 | $15,350 per day N1 |
| High dependency ward/unit N3 | $9,500 per day N1 |
| Nursery N3 | $1,190 per day N1 |
| Inpatient medical attendance / consultation (per specialty) | $680 - $2,780 per visit |
| Outpatient consultation N4 | $790 - $2,210 per attendance (initial consultation), $640 - $1,990 per attendance (subsequent follow up consultation) |
| Minor nursing procedures (such as dressing or injection) | $360 per attendance |
Others (e.g. pathology services, diagnostic procedures)
Details can be found in the link below:
| N1 | Maintenance fee will be levied on daily basis from day of admission with cut-off time set at 12:00 midnight. If a patient is discharged within same date of admission, one day maintenance fee will be levied on the first day. |
| N2 | Children under twelve years of age and babies who cannot be discharged at the same time as their mothers are charged half the maintenance fees appropriate to the type of bed occupied. All other fees are the same as those for adults. |
| N3 | Private inpatient maintenance fee covers general nursing, core pathology investigations, catering and domestic services. Doctor fees, medication, prostheses and other services will be separately charged. |
| N4 | Private outpatient consultation fee does not include the supply of medicines, prostheses, diagnostic services or therapeutic treatments referred to Sections 3 to 7 under List of Private Charges of the Gazette (Gazette No. 24/2017). Medication and prostheses will be separately charged at cost. Alternatively, patients may purchase the medication and prostheses privately. |
| N5 | Each chargeable unit covers a duration of up to a 16-week supply of a drug item. Prescriptions are charged in multiples of chargeable unit at $15 per unit for each drug (except self-financed drugs). |
| N6 | Further details are explained in the section "Minimum Obstetric Package Charge for Non-eligible Persons". |
(B) Definitions of Eligible Persons and Non-eligible Persons
Medical services provided by HA hospitals/clinics are charged as per the Gazette. There are 3 categories of charges:
- Public charges – Eligible Persons
- Public charges – Non-eligible Persons
- Private charges
Only patients falling into the following categories are eligible for the rates of charges applicable to "Eligible Persons":
- holders of Hong Kong Identity Card issued under the Registration of Persons Ordinance (Chapter 177), except those who obtained their Hong Kong Identity Card by virtue of a previous permission to land or remain in Hong Kong granted to them and such permission has expired or ceased to be valid;
- children who are Hong Kong residents and under 11 years of age; or
- other persons approved by the Chief Executive of the Hospital Authority.
Persons who are not Eligible Persons are classified as Non-eligible Persons.
(C) Minimum Obstetric Package Charge for Non-eligible Persons
The minimum obstetric package charge for "Non-eligible Persons" was introduced to ensure the service priority for "Eligible Persons" expectant mothers and discourage undesirable behaviour of "Non-eligible Persons" of delivering babies in HA hospitals with no antenatal care. The minimum obstetric package charge is $39,000 for those who have made a confirmed booking for their delivery and have undergone the antenatal checkup provided by HA hospitals during the pregnancy concerned (i.e. booked cases). This minimum charge is non-refundable except in those circumstances set out below where a full refund may be considered upon application subject to deduction of those charges for the hospital services which the patient has received for the concerned pregnancy:-
- in cases involving miscarriage, termination of pregnancy or stillbirth or
- in cases involving a change in the patient's status from a Non-eligible Person to Eligible Person after payment of the minimum charge but before the delivery.
For patients who have not made a confirmed booking and/or have not undergone the antenatal checkup provided by HA hospitals during the pregnancy concerned (i.e. non-booked cases), a minimum obstetric package charge of $90,000 will be charged.
For details, please refer to the Gazette on Obstetric Package Charge for Non-eligible Persons.
(D) Privately Purchased Medical Items
Hospital maintenance fees or out-patient consultation fees in public hospitals/clinics are heavily subsidized by the Government and cover a wide range of medical services, procedures and consultations. However, patients are required to purchase certain medical items which are not covered by the standard fees and charges of the HA. These privately purchased medical items include Percutaneous Transluminal Coronary Angioplasty (PTCA) and other consumables for interventional cardiology, prostheses, items purchased by patients for home use, such as wheelchairs and home use ventilators.For details, please refer to the Gazette – Privately purchased medical items.
(E) Administrative Charges on Late Payments
To discourage late or non-payment of medical fees, an administrative charge is imposed on late payments of medical fees and charges for medical services provided on or after 1 July 2007.
Administrative charge is applicable to all outstanding medical fees and charges, including Self-financed Items (SFI), drug charges, drug handling charges and Privately Purchased Medical Items (PPMI).
1st Administrative Charge
5% of the outstanding fees overdue for 60 days from issuance of the bills, subject to a cap of $1,000 for each bill
2nd Administrative Charge
An additional 10% on the outstanding fees if the bills remain outstanding 90 days from issuance of the bills, subject to a cap of $10,000 for each bill (excluding unpaid 1st administrative charge)
The maximum total amount of 1st and 2nd administrative charges would be 15% of the outstanding fees, subject to a cap of $11,000.
For details, please refer to the Gazette – Administrative Charges.
(F) How to read your bill / outstanding statement
1. Bill – A bill details fees and charges for services rendered to patient in a given period of time. Samples of two types of bills are:
i. Bill - Public Charges
ii. Bill - Private Charges
2. Outstanding Statement – An outstanding statement shows the total amount of bill(s) not yet settled at specified date(s). Here is a sample of Outstanding Statement.