N.B.: The Invoice for blood services must be accompanied by blood requisition form reflecting clinical indications, number of units required and haemoglobin level.

Tariff Codes

Code

Code Description

RAND

10345

Bioplasma FDP - 50ml

464.30

10349

Bioplasma FDP - 200ml

1 311.96

10351

Haemosolvate Factor VIII 300 IU - 10ml

1 334.89

10352

Haemosolvate Factor VIII 500 IU - 10ml

2 160.24

10341

Haemosolvate Factor VIII 500 IU: 1000 IU - 2 X 10ml

4 199.83

10390

Haemosolvex Factor IX (500 IU) - 10ml

2 597.00

10300

Albusol 4 % - 200ml

503.87

10311

Ibusol 20 % - 50ml

566.42

10310

Albusol 20 % - 100ml

972.52

10347

Polygam 1g - 50ml

780.85

10343

Polygam 3g - 100ml

1 973.23

10332

Polygam 6g - 200ml

3 396.48

10338

Polygam 12g - 400ml

5 910.83

10321

Intragam 2ml

168.47

10320

Intragam 5ml

326.17

10337

Tetagam IM 500 IU - 1 ml

454.21

10335

Tetagam IM 250 IU - 2ml

207.63

10340

Hebagam IM - 2ml

874.39

10346

Rabigam IM - 2ml

878.85

10348

Vazigam IM - 2ml

796.22

10330

Rhesugam IM - 2ml

836.88

Red Cells

78040

Red Cell Concentrate

2 840.46

78051

Red Cell Conc. Leucocyte Depleted

4 641.28

78043

Red Cell Conc. Paed. Leucodepleted

2 627.11

Platelets

78124

Platelet Conc. Single Donor Apherisis

14 842.27

78125

Platelet Conc. Leucocyte Depleted, Pooled

13 236.13

78127

Platelet Concentrate (Paediatric)

3 613.27

78122

Platelet Concentrate Pooled

11 967.49

780041

Compatibility Testing QC

298.40

Whole Blood

78001

Whole Blood

3 145.76

78059

Whole Blood Leucocyte Depleted

4 946.49

78011

Whole Blood Paediatric

2 626.20

Plasma

78103

Cryoprecipitate (Fibrinogen Rich)

1 605.47

78174

Frozen Plasma - Cryo Poor Donor

1 833.44

78176

Fresh Frozen Plasma - Donor Retested

2 206.32

78686

Fresh Frozen Plasma

2 121.46

Diagnostic

78450

Anti-A Monoclonal 5ml

116.64

78452

Anti-B Monoclonal 5ml

116.64

78454

Anti-A, B Monoclonal 5ml

116.64

78461

Anti-D saline tube & slide monoclonal 5ml

185.96

78467

Anti-D IgM + IgG blend Monoclonal 5ml

194.91

78471

Anti-Human Globulin Polyspecific 5ml

157.54

78478

AB serum 5ml

117.96

78479

Human Complement 2ml

101.82

78482

Lyoph. Bromelin tube & microwell 5ml

95.85

78484

Antibody positive control serum 5ml

102.71

78487

AB serum 20ml

421.15

78488

Group A1 5ml

97.12

78490

Group A2 5ml

97.12

Pathology Services

78137

Bone Marrow Typing (Serology)

509.02

4763

Blood DNA Extraction

631.17

4428

HLA High res. Class I/II DNA allele

1 089.01

4427

HLA low res. Class II PCR/DNA Locus DQB/DRB1

1 391.81

78492

Group B 5ml

97.12

78494

Group O R1R2 5ml

106.41

78496

Group O r 5ml

106.41

78502

Sensitized cells 5ml

130.31

78508

Screen cell set (1 & 2) - 2 X 5ml

256.55

78510

Pooled screen cells - 5ml 60.42

128.66

78516

Panel cell set 9 x 2ml

678.38

78517

Panel cell set 9 x 1 ml

339.02

78015

Anti-Human Globulin Polyspecific 15ml

422.21

78018

Group A1 15ml

249.46

78019

Group A2 15ml

249.46

78020

Group B 15ml

249.46

78519

Group O Rh Positive (R1 R2) 15 ml

277.35

78521

Group O r 15ml

277.35

78529

Anti-A Monoclonal 15ml

313.31

78530

Anti-B Monoclonal 15ml

313.31

78531

Anti A,B Monoclonal 15ml

313.31

78536

Screening Cells Pooled

314.10

78522

Group O Screen 1 Cells 15ml

351.42

78523

Group O Screen 2 Cells 15ml

351.42

78524

Panel cell set 9 x 15ml

2 435.58

78525

Sensitized cells 15ml

349.21

78518

Panel cell set 9 x 5 ml

1 715.15

10580

Packaging

106.81

78004

Whole Blood Reagent

1 227.76

78012

Buffy Coats

613.88

78940

CD 34 Testing

638.20

78550

HLA Class 1 and 2 Antibody Screen

3 988.30

78551

HLA Single Antigen Class 1

3 748.50

78552

HLA single Antigen Class 2

2 802.20

Blood and Administration

78199

Blood Filters : 1 Units

1 336.03

78200

Blood Filters : 2 Units

2 561.38

78197

Platelet Filter 3 - 6 Unit PL2VAE

2 473.17

78201

Set, Blood and plasma Recipient Set

51.62

78202

Set, Platelet Recipient

102.87

Additional Services and Surcharges

78050

Irradiation Fee

591.63

10210

Transfusion Crossmatch

1 263.94

10333

Type and Screen

549.44

78400

Routine Collection Fee

250.22

78401

Routine Delivery Fee

250.18

78402

Emergency Round Trip

1 702.93

78403

Emergency One Way Fee

1 192.06

78989

Telephone Consultation 18-0130

351.62

78177

FFP Autologous/Directed Fee

249.23

78049

Directed Donation

304.25

78404

<5 Day Rcc

335.22

78405

<5 Day Whole Blood

239.47

78406

After Hours

638.62

78408

Autologous/Directed WB

314.60

78407

Autologous/Directed RCC

284.01

78409

Blood Return Basis

253.05

78410

Emergency Cross-Match

192.67

78411

Foreign

1 024.27

78412

HLA Match

1 855.35

78413

Rare Donation

2 180.58

78415

Washed RCC/WB

1 817.08

78414

Offsite Charge

2 560.68

78417

Emergency Blood Surcharge

284.05

Transplant Services

78078

HLA low res.Classl DNA/Locus A/B/C

2 014.76

4424

HLA Specific Allele DNA -PCR

593.90

4603

HLA Specific locus/Antigen

369.89

4604

HLA Class I

712.31

78024

Panel Typing Antibody Class I

2 728.95

78046

T & B Cell Crossmatch

1 746.67

78213

Tissue Rapid HBsAg Screen

420.12

78231

Bone Marrow Engraftment Monitoring

1 849.82

78214

Tissue Rapid HIV Screen

574.02

Laboratory Services

4425

CHE Test

172.70

4757

Additional analysis, Mosaicism/Staining Procedure

981.90

4522

Alpha Feto Protein(AFP): Amnio Fluid

170.14

4755

Karyotyping, amniotic Fluid/Chorionic villus sample/prod of conception

3 787.03

3932

Anti - HIV

193.14

3712

Antibody Identification

115.85

78013

Antibody identification QC

92.36

3709

Antibody Screen/Antiglobulin Test (DAT & IAT)

50.05

3710

Antibody Titration

98.59

4531

HBsAg/Anti -HCV

198.46

4750

Cell Culture, blood/cord blood

253.41

4751

Cell Culture, Products of conception/Amniotic Fluid

631.17

3729

Cold Agglutinins

49.40

3739

Erythrocyte count

30.89

3764

Grouping : A B O Antigen

49.40

3765

Grouping : Rh antigen

49.40

3791

Haematocrit

24.70

3762

Haemoglobin

24.70

3953

Haemolysin/Test Tube Agglutination

56.86

4430

HIV p24 antigen

342.42

78921

Human Platelet AG Genotyping

2 585.96

78014

Aneuploidy Detection

2 369.57

4754

Karyotyping, Blood/Cord Blood

1 893.50

3785

Leucocyte Count

24.70

4117

Protein : Total

46.85

78922

Rapid CMV Screen

256.39

3834

Red Cell Rh Phenotype

135.65

78230

Human Platelet Antibody Screen

3 737.79

Clinical Services

78003

Additional Disposal Kit

5 916.90

78054

Autologous Serum Eye Drops

5 519.03

78030

Designated Serum Eye Drops

5 519.03

78005

Chronic wound treatment kit

2 161.58

78007

Platelet growth Factor macular hole repair

2 145.92

78008

Platelet growth factor wound treatment

952.70

78006

Topical Haemostatic Agent

2 573.90

78090

Medical Examination & Consultation 18-0141

446.35

78204

Red Cell Exchange

9 983.15

78923

Re-Infusion Of Cryo Preserve Stem Cells

1 032.85

78926

Stem Cell Collection/Leucopherisis

16 852.88

78928

Stem Cell Cryopreservation

13 573.85

78106

Therapeutic Plasma Exchange

10 457.96

78129

Theurapeutic Venesection

108.72

78416

Theurapeutic Exchange (DALI)

18 589.66

78211

Thrombocytapherisis

10 082.94

Miscellaneous

10298

Stabilised Human Serum 5% 250ml

966.00

10299

Stabilised Human Serum 5% 50ml

185.56

78100

Paternity Investigation - 1 Client

1 997.75

78950

Paternity Investigation - 3 Client

5 993.39

78535

Blood Pack For therapeutic Venesection

342.92

78203

Blood Pack with Anticoagulant

150.59

78206

Blood Pack, No Anticoagulant

206.26