Portsmouth Anaesthetic Group (PAG) provides consultant delivered care throughout your perioperative journey.

PAG is a legally registered partnership which sets its own fees for anaesthetic care to reflect:

• Skill, training and experience required to deliver safe, quality anaesthesia care
• Complexity and duration of the procedure being performed
• Co-morbidities of the individual patient
• Preoperative visits by anaesthesia consultant
• Assessment of your general medical health (*)
• Discussion of individualised anaesthesia care plan
• Delivery of anaesthesia, monitoring and treatment during the operation
• Ensuring an appropriate plan is enacted post-operatively including take home pain relief
• 24/7 on-call service for our patients whilst in hospital.

We bill our patients according to the Anaesthetic Practice in the Independent Sector 2018

Fixed price or self pay patients

Fees usually form part of a package of care and are incorporated into the total fee quoted to you by a private hospital.

Insured patients

A Private Medical Insurer (PMI) will pay all or part of our fee. In the event that your insurer does not cover the full fee you will be required to pay the difference, or “shortfall”. This is unlikely to exceed £250. Please liaise with your PMI to clarify what they will cover.

Fees

You might already have been given a procedure code (OPCS) for your operation by your surgeon. The surgical secretary may be able to give you the anaesthetic fee at the time she tells you the surgical fee. If you are insured you will need to get approval from your PMI. They will then indicate whether or not they will pay the anaesthesia fee in full or whether you will be liable for a proportion.

Please find below a list of the most common procedural fees and their OPCS codes. If your procedure is not listed then please contact us to receive a quote.

Op. Code	Description	Fee (£)
W3712	Primary total hip replacement +/- cement – see comment re block	560
W4210	Total prosthetic replacement of knee joint	560
W8500	Therapeutic arthroscopic operations on cavity of knee	336
Q0790	Robot assisted laparoscopic total hysterectomy (+/- oophorectomy)	380
Q1800	Hysteroscopy (including biopsy, dilatation, curettage and resection of polyp(s) +/- Mirena coil inse	300
V2560	Decompression for central spinal stenosis (1 or 2 levels)	504
Q3800	Laparoscopy and therapeutic procedures (including laser, diathermy and destruction e.g. endometriosis	300
E0360	Septoplasty of nose	300
E1432	FESS: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polyp	415
F3440	Tonsillectomy – adult (and bilateral)	300
W0330	Fusion of first metatarso-phalangeal joint	300
W7872	Arthroscopic arthrolysis of shoulder contracture	403
W8193	Fluoroscopically guided discectomy (including laser)	448
W7420	Autograft reconstruction of cruciate ligament, including arthroscopic	532
T7910	Open sub acromial decompression and extensive, greater than 2cm tear rotator cuff repair with excisi	470
T7915	Arthroscopic rotator cuff repair greater than 2cm (as sole procedure)	644
W5200	Unicompartmental knee replacement	560
F0910	Surgical removal of impacted/buried tooth/teeth	300
T2002	Laproscopic inguinal hernia mesh repair	300
H5940	Excision of pilonidal sinus and suture/skin graft	300
W8603	Therapeutic arthroscopy of shoulder (as sole procedure)	300
W7910	Metatarsal osteotomy for Hallux valgus	300
P2310	Anterior +/- posterior colporrhaphy (including primary repair of enterocele)	300
V2540	Posterior excision of disc prolapse (including microdiscectomy +/- decompression) (lumbar region)	436

* Formal Preoperative Assessment Service

Some patients require a formal face-to-face preoperative assessment by a consultant anaesthetist in the out patient clinic several weeks before a planned operation. This is usually for procedures or patients that carry a higher risk to ensure a safe plan can be made. We take referrals from surgeons or hospitals directly and further investigations may be required after this appointment. Your insurer may not cover the full cost of this.

Fees for Multiple Procedures

If the operation involves more than one anaesthetic/surgical procedure there will be additional charges for the second and any subsequent procedure.
These charges will be calculated as a percentage of the second and/or subsequent procedure, not as a percentage of the first procedure.

• First procedure – up to 100% of the listed benefit
• 2nd procedure – up to 50% of the listed benefit for that procedure
• 3rd or any subsequent procedure – up to 25% of the listed benefit for that procedure

Please contact us if you have any questions.