Part of transparent and open medical care is an up-front discussion of costs and expected fees.

For consultations I work close to the old 'medical rate' whenever possible because I do many rooms-based procedures, and these amount to a figure I consider fair return for my services. For prolonged consultations or complicated issues, i.e. longer than 20 minutes I will apply code 0191. Most medical aids do not remunerate code 0191.

For operations I base my fees on 'private rates' which may be signi...
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