PROVIDER TO PROVIDER SERVICES 2015-2016 TARIFF

CONTENTS Pathology Services

Page Number

Clinical Biochemistry……………………………………………………………………

3

Clinical Microbiology……………………………………………………………………

4

Haematology…………………………………………………………………………….

5

Histopathology ………………………………………………………………………….

6

Haematological Malignancy Diagnostic Service…………………………………….

7

Immunology …………………………………………………………………………….

7-8

Neuroimmunology Laboratory ………………………………………………………..

8

Neurometabolic Unit……………………………………………………………………

9-10

Neuropathology ………………………………………………………………………...

10-11

Parasitology …………………………………………………………………………….

11

Virology ………………………………………………………………………………….

12

Other Services Anorectal Physiology…………………………………………………………………...

13

Autonomic Investigation………………………………………………………………..

13-14

Cardiology……………………………………………………………………………….

14-15

Clinical Haematology…………………………………………………………………...

15

Clinical Neurophysiology ………………………………………………………………

16

Fertility & Reproductive Medicine Labs………………………………………………

17

Gastro Intestinal Endoscopic & Associated Procedures……………………………

17-18

Gastro Intestinal Motility and Hydrogen Breath Testing……………………………

18

Haemoglobinopathies………………………………………………………………….

19

Imaging………………………………………………………………………………….

19-20

Medical Physics & Radiation Physics………………………………………………...

21

Neurogenetics ………………………………………………………………………….

22-23

Neuro-ophthalmology & Neurology…………………………………………………...

23

Neuropsychology ………………………………………………………………………

23

Neuroradiology …………………………………………………………………………

24

Nuclear Medicine……………………………………………………………………….

25-27

Urodynamics…………………………………………………………………………….

27

Urodynamics - gynaecology - Women's Health……………………………………..

27

Uro-Neurology…………………………………………………………………………..

28

Vascular………………………………………………………………………………….

28

2

PROVIDER TO PROVIDER PRICES - PATHOLOGY SERVICES Clinical Biochemistry

Price £

Plasma Oxalate ………………………………………………………………………………………………….

POA

Urine - Oxalate………………………………………………………………………………………………………….

POA

- Glycolate

POA

- Citrate

POA

- Stone………………………………………………………………………………………………………….. Primary Hyperoxaluria Diagnosis / Liver Biopsy…………………………………………………………………...

POA POA

Genetic Tests

POA

EQA Schemes Urine stone QC Scheme……………………………………………………………………………………………...

POA

Urine steriod QC Scheme…………………………………………………………………………………………….

POA

Point of care glucose and pregnancy testing

POA

Endocrinology 17-OH Progesterone………………………………………………………………………………………………….

POA

Urine steroid profile (SAS Price)…………………………………………………………………………………….. Renin……………………………………………………………………………………………………………………

POA POA

Aldosterone……………………………………………………………………………………………………………. Parathyroid Hormone INTRA-OPERATIVE

POA POA

25 - OH Vitamin D……………………………………………………………………………………………………..

POA

DHAS…………………………………………………………………………………………………………………… Androstenedione………………………………………………………………………………………………………

POA POA

Growth Hormone……………………………………………………………………………………………………… ACTH……………………………………………………………………………………………………………………

POA POA

IGF-1 NT-pro BNP

POA POA

Macroprolactin Screen Urine free cortisol

POA POA

Plasma metanephrines

POA

Proteins Serum electrophoresis including paraprotein quantitation

POA

Serum immunofixation for paraprotein typing Urine immunofixation for detection of Bence Jones protein

POA POA

Urine electrophoresis including quantitating Bence Jones protein Serum free light chains

POA POA

For further details, please contact: Postal Address: University College Hospital Department of Chemical Pathology 60 Whitfield Street London W1T 4EU

3

For Tariff information please contact Gawlik-Thain ,Agata on 020 344 77115 Clinical Lead: Dr Anne Dawnay Telephone No: Fax No:

020 344 72954 020 344 79584

Email:

[email protected]

Consultant Clinical Scientists: Dr Gill Rumsby / Dr Anne Dawnay Telephone No: 020344 72955/02034472954 Clinical Microbiology

Price £

Anaerobe Identification Service: - Preliminary (Group) ID……………………………………………………………………………………………...

POA

- Full (species) ID……………………………………………………………………………………………………..

POA

Antibiotic Assay: Gentamicin……………………………………………………………………………………………………………..

POA

Amikacin……………………………………………………………………………………………………………….. Vancomycin…………………………………………………………………………………………………………….

POA POA

Other……………………………………………………………………………………………………………………. Chlamydia Culture……………………………………………………………………………………………………..

POA POA

Chlamydia Serology…………………………………………………………………………………………………... Chlamydia PCR………………………………………………………………………………………………………..

POA POA

Diagnostic Microbial Culture…………………………………………………………………………………………. Diagnostic Microbial Serology………………………………………………………………………………………..

POA POA

Diagnostic Mycology Serology………………………………………………………………………………………. Molecular MRSA Screen……………………………………………………………………………………………...

POA POA

For further details, please contact: Postal Address: University College London Hospital Department of Clinical Microbiology 60 Whitfield Street London W1T 4EU For Tariff information please contact Gawlik-Thain ,Agata on 020 344 77115 Laboratory Manager: Mr Malcom Nudd Telephone No: Email:

020 344 79953 [email protected]

Clinical Lead:

Dr. Bruce Macrae

Telephone No:

020 344 78331

4

Haematology

Price £

Cell Surface Markers…………………………………………………………………………………………………. Dual Esterase Stain

POA POA

Neutrophil Alkaline Phophase Myeloperoxidase………………………………………………………………………………………………………

POA POA

Leukaemia Cytogenetics Leukaemia Cytogenetics with FISH if appropriate

POA POA

Leukaemia Cytogenetics - Handling Charge………………………………………………………………………. Oxygen Dissociation (tonometry)…………………………………………………………………………………….

POA POA

Haemoglobinopathy Screen (HPLC) - Includes A2 & F if required……………………………………………… Manual quantitation (electrophoresis & elution)……………………………………………………………………

POA POA

Acid Gel Electrophoresis…………………………………………………………………………………………….. lymphocyte subsets

POA POA

Further abnormal band ID (inc. HB Electrophoresis at alkali and acid ph Globin Chain Analysis)………………………………………………………………………….. Full Globin Chain Synthesis………………………………………………………………………………………….

POA POA

2, 3 DPG Assay……………………………………………………………………………………………………….. Red Cell Osmotic Fagility……………………………………………………………………………………………..

POA POA

HS dye binding assay Methaemoglobin Screen……………………………………………………………………………………………...

POA POA

Unstable Haemoglobin Test…………………………………………………………………………………………. G6PD……………………………………………………………………………………………………………………

POA POA

Vitamin B12……………………………………………………………………………………………………………. Red Cell Folate………………………………………………………………………………………………………...

POA POA

Platelet aggregation…………………………………………………………………………………………………... Coagulation Factor Assay, each Factor…………………………………………………………………………….

POA POA

Bethesda inhibitor assay PK Assay……………………………………………………………………………………………………………….

POA POA

lupus antibody screen Other Enzyme Assay………………………………………………………………………………………………….

POA POA

Other profiles

POA

For further details, please contact: Postal Address: University College Hospital 60 Whitfield Street London W1T 4EU For Tariff information please contact Gawlik-Thain ,Agata on 020 344 77115 Clinical Lead: Telephone No:

Dr Marie Scully 020 344 79884

Fax No:

020 7380 9886

General Managers: Stefan Kunka or Susan Crouch Telephone No:

020 344 79887

5

Histopathology

Price £

Small Biopsy – H&E only……………………………………………………………………………………………..

POA

Histology - Large resection (up to 10 blocks)……………………………………………………………………… Histology - Large resection (up to 20 blocks)………………………………………………………………………

POA POA

Histology - Large resection (greater than 25 blocks)……………………………………………………………… Prostate Biopsy (up to 12 blocks)……………………………………………………………………………………

POA POA

Neck Radical Prostatectomy (up to 15 blocks)……………………………………………………………………. Second opinion Immunocytochemistry

POA POA

per antibody added to above basic prices…………………………………………………………………………..

POA

Cytology Cervical Smear……………………………………………………………………..………………………………….

POA

Fluid…………………………………………………………………………………………………………………….. FNA……………………………………………………………………………………………………………………...

POA POA

Mortuary Perinatal Post Mortem (By arrangement only)

POA

Molecular Biology - PCR……………………………………………………………………………………………...

POA

Haematological Malignancy Diagnostic Service……………………………………………………………………

POA

For further details, please contact: Postal Address: Deaprtment of Pathology UCL Medical School 4th Floor, Rockefeller Building University Street London WC1E 6JJ For Tariff information please contact Gawlik-Thain ,Agata on 020 344 77115 Clinical Head of Service: Telephone No:

Dr Alan Ramsay 020 7679 6041

Fax No: Email:

020 7387 3674 [email protected]

Head Biomedical Scientist: Gary Brown (Histopathology) Telephone No:

020 7679 6043

Fax No:

020 7387 3674

Email:

[email protected]

Head Biomedical Scientist:

John McGloin (Cytology)

Telephone No:

020 7679 6024

Fax No:

020 7387 3674

Email:

[email protected]

Perinatal Post Mortem Telephone No:

020 7679 6013

6

Haematological Malignancy Diagnostic Service

Price £

For further details, please contact: Postal Address: UCL Medical School 4th Floor, Rockefeller Building University Street London WC1E 6JJ For Tariff information please contact Gawlik-Thain ,Agata on 020 344 77115 Clinical Head of Service: Telephone No:

Teresa Marafioti 020 7679 6045

Fax No:

020 7387 3674

Immunology

Price £

General Autoantibody Screen

POA

Rheumatoid Arthritis Agglutination Test Latex………………………………………………………………………………………………

POA

RAPA………………………………………………………………………………………………………………….. Anti CCP……………………………………………………………………………………………………………….

POA POA

Antinuclear antibodies Anti-nuclear antibody screen………………………………………………………………………………………… ENA, Ro,La,Sm,RNP

POA

(antibodies to individual extractable nuclear antigens) …………………………………………………………... Centromere…………………………………………………………………………………………………………….

POA POA

ds DNA Antibody (Crithidia) ……………………………………………………………………………………….... ds DNA (ELISA) …………………………………………………………………………………………………..

POA POA

Anti C1Q………………………………………………………………………………………………………………..

POA

Endocrine Intrinsic factor…………………………………………………………………………………………………………..

POA

Gastric Parietal cell Abs……………………………………………………………………………………………… Adrenal Abs…………………………………………………………………………………………………………….

POA POA

Ovarian Abs……………………………………………………………………………………………………………. Testicular Abs………………………………………………………………………………………………………….

POA POA

Islet cells Abs…………………………………………………………………………………………………………..

POA

Tissue Specific Antibodies Neutrophil cytoplasmic (ANCA) ……………………………………………………………………………………..

POA

Glomerular basement membrane…………………………………………………………………………………… Skin (Pemphigoid/Pemphigus antibodies) …………………………………………………………………………

POA POA

Muscle (Striated/Cardiac) ……………………………………………………………………………………………. Endoymysium… ………………………………………………………………………………………………………..

POA

Ttg (Tissue Transglaltaminase IgA Antibodies) ……………………………………………………………………

POA

7

POA

Reticulin Abs……………………………………………………………………………………………………………

POA

Gliadin…………………………………………………………………………………………………………………..

POA

Non Organ Specific antibodies Liver/Kidney microsomal……………………………………………………………………………………………...

POA

Mitochondrial…………………………………………………………………………………………………………...

POA

Ribosomal………………………………………………………………………………………………………………

POA

Smooth Muscle………………………………………………………………………………………………………...

POA

For further details, please contact: Postal Address: University College London Hospitals NHS Foundation Trust Department of Immunology 60 Whitfield Street London W1T 4EU For Tariff information please contact Gawlik-Thain ,Agata on 020 344 77115 Clinical Lead: Prof David Isenberg/ Dr. Vanya Gant Telephone No: Fax No:

020 344 79230 020 7679 9345

Neuroimmunology Laboratory

Price £

Anti-neuronal antibodies (includes anti-Hu, anti-Ri, anti-Yo, CVT-2, MA1, MA2, amphiphysin, Zic4, TR, gephyrin, PCA-2, ANNA-3) Anti-retinal antibodies, recoverin

40

Anti-basal ganglia antibodies

68

68

Anti-gangliosides GM1, GQ1b, GD1a, GD1b, GT1b 40 Anti-sulphatides only

20

Anti-glutamic acid decarboxylase antibodies

40

Anti-myelin associated antibodies

50

Neutralising antibodies to interferon

90

Transferrin glycoforms

50

Routine CSF exam, cells, glucose, protein, IgG and albumin

59

CSF pigments (xanthochromia) and ferritin

58

CSF total tau and a-beta 1-42

132

CSF & serum oligoclonal bands

45

Asialotransferrin, tau transferrin

50

8

For further details, please contact: Postal Address: The National Hospital for Neurology and Neurosurgery Queen Square London WC1N 3BG Clinical Lead: Telephone No:

Prof Simon Heales 020 344 84768

Fax No:

020 344 84782

Clinical Scientist: Telephone No:

Dr M Lunn 020 344 88020

E-Mail:

[email protected]

Neurometabolic Unit

Price £

Muscle/Liver/Fibroblasts: Mitochondrial Respiratory Chain Enzymes (Muscle) (unless covered by NCG)………………………………..

499

SCO1…………………………………………………………………………………………………………………… SCO2……………………………………………………………………………………………………………………

305 203

SURF1…………………………………………………………………………………………………………………. Fatty Acyl Dehydrogenases………………………………………………………………………………………….

458 520

Fibroblast Respiratory Chain Enzymes…………………………………………………………………………….. Mitochondrial Respiratory Chain Enzymes (Liver) ………………………………………………………………..

191 520

Blue Native Gel Analysis (Unless covered by NCG). …………………………………………………………….. White Cell Ubiquinone………………………………………………………………………………………………...

280 111

Skeletal Muscle Ubiquinone…………………………………………………………………………………………. Muscle CPT Activity…………………………………………………………………………………………………...

111 520

Blood/CSF Metabolites Carnitine (Acyl & Free) ………………………………………………………………………………………………. Lactate……………………………………………………………………………………………………………….

54 9

Pyruvate…………………………………………………………………………………………………………….. Aceto acetate………………………………………………………………………………………………………..

9 9

Beta – hydroxybutyrate……………………………………………………………………………………………. Glycerol………………………………………………………………………………………………………………

9 9

Mono Amine Metabolites HVA/HIAA (CSF) ……………………………………………………………………….. 5 Methyltrahydrofolate (CSF)

135 142

3-Methyldopa (CSF) ………………………………………………………………………………………………….. Methymalonate (Plasma) …………………………………………………………………………………………….

113 28

Phenylalanine:tyrosinne (Blood Spot) ……………………………………………………………………………… Glutathione (blood) ……………………………………………………………………………………………………

15 113

Antioxidant Status…………………………………………………………………………………………………….. Amino Acids (to include sulphur amino acids) blood………………………………………………………………

31 51

Plasma Total Homocysteine

26

CSF Angiotensin Converting Enzyme

16

9

CSF Vitamin B Peridoxial Phosphate

29

Ischaemic Exercise Tests

190

Ammonia

9

Pterins (CSF)

153

Serotonin (Blood)

46

Nitrite/Nitrate

51

Vitamin A

28

Vitamin B1

29

Vitamin B2

29

Vitamin B6

29

Vitamin E

28

For further details, please contact: Postal Address: Neurometabolic Unit Box 105 The National Hospital for Neurology and Neurosurgery Queen Square London WC1N 3BG Clinical Lead: Telephone No:

020 344 84768

Fax No:

020 344 84782

Clinical Scientists: Dr. I. Hargreaves Telephone No:

020 344 83844

Neuropathology

Price £

Single slide IHC including consultant QC

19

Biopsies complexity 1 (Haematomas, disk material, dura etc.)

80

Biopsies complexity 2 (Meningiomas, Schwannomas, etc.) Biopsies complexity 3 (Metastasis, Gliomas, etc, or extensively sampled (10 blocks +) complexity 2 cases)

180 300

Biopsies complexity 4 (Diagnostic brain biopsies, complex surgical pathology material, multiple IHC) Muscle biopsy standard (typically 15 Frozen sections incl IHC)

420 550

Muscle biopsy complex (typically exceeding 20 Frozen sections incl IHC, complex diagnosis) Muscle biopsy paediatric, complex (typically 30 frozen sections)

950 1250

Nerve biopsy standard (Semithin, 10 IHC) Nerve biopsy complex (Semithin, 10 IHC, EM teased fibers )

450 750

Epilepsy lobes Molecular pathology see website https://www.ucl.ac.uk/ion/divisions/neuropathology/diagnostic_services/molecular_tests

450 65-450

High Risk Autopsy , fast –track exclusion/confirmation CJD, Head only (7d TAT)

1600

High Risk Autopsy , fast –track exclusion CJD, Head and subsequent full PM Research services see https://www.ucl.ac.uk/ion/divisions/neuropathology/ion-histology

2500

Image analysis (per hour) Slide scanning (per slide)

35 1.50

10

For further details, please contact: Postal Address: The National Hospital for Neurology and Neurosurgery Queen Square London WC1N 3BG

Clinical Lead: Prof. S. Brandner Telephone No: 020 344 84435 Fax No:

020 344 84486

Head Biomedical Scientist: Telephone No:

Mrs Linda Herbert 020 344 84237

Fax No:

020 344 84486

Parasitology

Price £

Amoebic Serology

POA

Babesia Microscopy Serology

POA

Cysticercosis Serology

POA

EH ELISA (stool)

POA

Fasciola Serology

POA

Filaria Microscopy

POA

Filaria Serology

POA

Giardia Serology

POA

Hydatid Serology

POA

Immunoblotting

POA

Leishmania Culture

POA

Leishmania Serology

POA

Malaria Serology

POA

Other Microscopy

POA

Out of Hours Fee

POA

Parasitology – Malarial Antigen Test

POA

Parasitology PCR Based Assay

POA

Schistosoma Serology

POA

Specimen Identification

POA

Stool Microscopy

POA

Strongyloides Culture

POA

Strongyloides Serology

POA

Toxocara Serology

POA

Trichinella Serology

POA

Trypanosoma Serology

POA

Urine Microscopy

POA

For further details, please contact: Hospital for Tropical Diseases 3rd Floor, Mortimer Market Capper Street London WC1E 6JB

11

Clinical Lead: Telephone No:

Prof. Peter Chiodini 020 344 75419

Fax No:

020 7383 0041

Laboratory Manager: Mr D Manser Telephone No: 020 344 75419

Virology

Price £

Antenatal Booking Serology

POA

Cytomegalovirus Quantitative PCR

POA

Cytomegalovirus Serology

POA

Gastro Virus PCR

POA

Hepatitis A serology

POA

Hepatitis B Confirmatory Serology

POA

Hepatitis B Quantitative PCR

POA

Hepatitis B Resistance Testing

POA

Hepatitis B Surface Antigen Screen

POA

Hepatitis C Genotyping

POA

Hepatitis C Quantitative PCR

POA

Hepatitis C Serology

POA

Herpesvirus PCR (CSF)

POA

Herpesvirus PCR (Swab)

POA

HIV & Syphilis Serology

POA

HIV proviral DNA PCR

POA

HIV Serology

POA

HIV-1 Quantitative PCR (viral load)

POA

HIV-1 Resistance Testing

POA

HIV-2 Quantitative PCR

POA

HTLV Sceening Serology

POA

Human Papilloma Virus DNA

POA

JC Virus PCR

POA

Lyme Disease Screening Serology

POA

Norovirus PCR

POA

Occupational Health Serology Screen

POA

Parvovirus Serology

POA

Respiratory Virus Detection

POA

Rubella Serology

POA

Sample Saved

POA

Stem Cell Tx Quantitative Virus PCR

POA

Syphilis Serology

POA

Varicella Serology

POA

For further details, please contact: Postal Address: University College London Hospitals NHS Foundation Trust Department of Virology 60 Whitfield Street London W1T 4EU

12

Clinical Lead:

Dr Mike Kidd

Telephone No: Fax No:

020 3447 8994 020 3447 9211

General Manager:

Mr David Baker

Telephone No: Fax No:

020 3447 9643 020 3447 9211

PROVIDER TO PROVIDER PRICES - OTHER SERVICES -

Anorectal Physiology

Price £

Anorectal Physiology test

560 per session

Anorectal Physiology test plus sensori-motor testing

599 per session

Bio Feed Back Treatment Session for Faecal Incontinence or Constipation

129 per session

(Usually a maximum of 6) For further details, please contact: Postal Address: GI Physiology Unit Podium, Level 2 University College Hospital University College London Hospitals NHS Foundation Trust 235 Euston Road London, NW1 2BU Clinical Lead:

Anton Emmanuel

Telephone No: 020 344 79313

Autonomic Investigation

Price £

A range of clinical investigations tailored to the autonomic disorder: per test 24 hour ambulatory computerised blood pressure and heart rate profile

368

Atropine test in neutrally medicated syncope

368

Autonomic dysreflexia testing in spinal cord injury

368

Autonomic function screening tests with tilt table test

368

Carotid sinus massage test

368

Cervical movements test

368

Clonidine stimulation test (growth hormone)

368

Clonidine suppression test (catecholamine)

368

Gustatory sweating test

368

13

Liquid food challenge

368

Modified exercise study

368

Modified sudomotor evaluation

368

Prolonged tilt table test

368

Situational syncope test

368

Thermoregulatory sweat test

368

Autonomic Investigation - continued

Price £

Plasma catecholamine: per sample (noradrenaline, adrenaline and dopamine measurements )

75

Two samples lying & standing required to determine the response to postural challenge For further details, please contact: Postal Address: The Department Secretary Autonomic Investigation and Management Unit(Box 87) The National Hospital for Neurology and Neurosurgery Queen Square London WC1N 3BG Acting Head of The Department: Dr V. Iodice Telephone No: Fax No:

020 344 83413 020 7916 1722

Cardiology

Price £

24 Hour Ambulatory ECG Monitor

265

48 Hour Ambulatory ECG Monitor

442

72 Hour Ambulatory ECG Monitor

521

7-Day Ambulatory ECG Monitor

624

Tape Analysis

213

24 Hour Blood Pressure Monitor

265

Echocardiogram with Doppler

442

Exercise Stress Test

265

Metabolic Exercise Test

404

Reveal Interrogation

213

ECG Reported

213

Pacemaker Check

213

ICD Check

213

Tilt Test

521

Arjalamine Test

344

TOE

780

Stress Echo

780

Contrast Echo

780

Biventricular Pacemaker Assessments and Optimisations via Echocardiogram

780

Event Recorder

265

14

Cardiac MR (morphology, volumes, no gadolinium)

519

Cardiac MR (morphology, volumes, with gadolinium)

620

Cardiac MR (+ stress and/or complex patient/emergency in-pt)

722

Cardiac MR (conditional pacemakers)

720

Cardiology - continued

Price £

For further details, please contact: Postal Address: Heart Hospital Cardiology Manager The Heart Hospital 16 – 18 Westmoreland Street London W1M 8PH John Quinn/Karen Aston Telephone No: Fax No:

020 7573 8888 020 7573 8881

Chief Cardiac Physiologist: 020 7573 8888 Ext 3016

Clinical Haematology

Price £

Electronic Cell count

15

Cell Viability% (Trypan Bue)

15

Flow Cytometric CD34+ Cell count

64

14-day Colony Forming Cell assay

118

CD34 Stem Cell Selection (per harvest)

6,451

Autologous BM SPECTRA processing+1yr frozen storage

1,450

Allogeneic BM SPECTRA processing+1yr frozen storage

1,450

Allogenic BM SPECTRA processing test & issue only

1,227

Autologous PBSC (per harvest day) +1yr frozen storage

885

Allogenic PBSC (per harvest day) or BM harvest, test & issue only

312

Issue and delivery of frozen cells (within UCLH)

260

Preparation of donor T-cells +1yr frozen storage

832

Controlled frozen storage (per harvest day) each additional year Issue and delivery of frozen cells to other locations

260 By Arrangement

For further details, please contact: Postal Address: Wolfson Cellular and Gene Therapy Unit 51 Chenies Mews London WC1E 6HX

15

Director Cellular Therapy Laboratory: Telephone No:

Dr Mike Watts 020 344 79709

Fax No: e-mail:

020 344 79709 [email protected]

Clinical Neurophysiology

Price £

Nerve excitability testing (Additional to EMG)

312

Short and long exercise tests (Additional to EMG)

418

EMG

278

SFEMG (Additional to EMG)

231

EEG off site (requires equipment on external site)EEG

462+travel expenses

Ambulatory EEGs (per 24 hours)

732

Single evoked potential (VEP, BSAEP, Upper limb SEP, Lower limb SEP)

231

2 evoked potentials

338

3 evoked potentials

440

4 evoked potentials

543

Central Motor Conduction (CMCT)

256

CMCT both upper and lower limbs

338

Routine EEG

244

Sleep-deprived EEG

488

Thermal Thresholds (TT) (additional to SSR or EMG)

138

SSR (additional to TT or EMG) Cuatneous silent period (additional to TT, SSR or EMG)

73 73

Laser Doppler Imaging (LDI)

231

Intra-epidermal nerve fibre density in up to 2 skin biopsies

437

Movement disorder 1 (multi-channel EMG)

231

Movement disorder 2 (EEG +multi-channel EMG)

461

Other Procedures

POA

For further details, please contact: Postal Address: Clinical Neurophysiology The National Hospital for Neurology and Neurosurgery Queen Square London WC1N 3BG Head of Department: Telephone No:

Professor M Koltzenberg 020 344 84752

Fax No:

020 7713 7743

For EEG (UCLH), please contact: Dr D Holder

16

University College London Hospitals NHS Foundation Trust c/o 250 Euston Road, NW1 2BU Telephone No:

020 7380 9382

Fertility & Reproductive Medicine Labs

Price £

Semen Storage/Oncology Cryopreservation

2,055

For further details, please contact: Postal Address: Dr Gulam Bahadur Fertility & Reproductive Medicine Laboratories Rosenheim Building/PPW – Ground Floor University College London Hospitals 25 Grafton Way London WC1E 6DB Telephone No: 020 344 79436 Fax No:

020 344 79143

URGENT REFERRAL: Fax referral letter and arrange HIV, Hep B/C tests

Gastro Intestinal Endoscopic & Associated Procedures

Price £

Endoscopy Colonoscopy

POA

Gastroscopy

POA

Enteroscopy

POA

PEG (percutaneous endoscopic gastrostomy)

POA

PEJ (percutaneous endoscopic jejunostomy)

POA

Flexible sigmoidoscopy

POA

For further details, please contact: Postal Address: Endoscopy Unit Podium, Level 2 University College Hospital University College London Hospitals NHS Foundation Trust 235 Euston Road London, NW1 2BU

17

Service Manager Telephone No

Loma Gibson 020 344 79749

Clinical Lead: Telephone No:

Dr Matt Banks 020 344 9419

Pancreatobiliary Medicine ERCP -

1,020

ERCP with intervention

1,456

For further details, please contact: Postal Address: University College London Hospitals NHS Foundation Trust University College Hospital 235 Euston Road London NW1 2BU Clinical Lead: Telephone No:

Dr George Webster 020 344 79011

Upper GI Endoscopy Procedures Laser endoscopy (therapeutic)

937

Upper GI dilation

999

Barrett’s surveillance

937

Endoscopic ultrasound

937

Endoscopic ultrasound (with intervention)

1,165

All endoscopic procedures using metal stent

1,397

For further details, please contact: Postal Address: University College London Hospitals NHS Foundation Trust University College Hospital 235 Euston Road London NW1 2BU Clinical Lead:

Dr Laurence Lovat

Telephone No:

020 344 79419

Gastro Intestinal Motility and Hydrogen Breath Testing

Price £

Gastro Intestinal Motility

POA

Oesophageal Manometry test (alone)

POA

Oesophageal Manometry test plus pH test

POA

Oesophageal Manometry and Ambulatory Manometry

POA

Oesophageal pH and Impedance alone

POA

Oesophageal Manometry, pH and Impedance

POA

Hydrogen breath test

125

For further details, please contact:

18

Postal Address: GI Physiology Unit Ground Floor West University College London Hospitals NHS Foundation Trust 250 Euston Road London, NW1 2PG

Clinical Lead: Anton Emmanuel Telephone No: 020 344 79313 Haemoglobinopathies

Price £

Pre-Natal Diagnosis Pre-Natal Diagnosis-Twins

1,353 2,030

Alpha Thalassaemia

285

Beta Thalassaemia

285

Sickle Cell Testing

52

HB Variant Testing

312

Haemochromotosis Testing

175

For further details, please contact: University College London Hospital NHS Foundation Trust Haemoglobinopathy Genetics 307 Euston Road London NW1 3AD Clinical Scientist: Telephone No:

Dr Mary Petrou 020 344 79458

Fax No: Email:

020 344 79864 [email protected] [email protected]

Imaging

Price £

Plain Film Skeletal x-ray including Chest x-ray

31

Spinal x-ray

43

Other Plain Films

POA

Ultrasound General Ultrasound

64

US Guided Injection

91

US Guided Aspiration

124

US Guided Biopsy

127

US Drainage

258

Other Ultrasound Procedure

POA

Fluoroscopy Barium Swallow

84

Gastrografin Swallow

81

19

Barium Enema

154

Gastrografin Enema

146

Barium Follow Through

154

Gastrografin Follow Through

153

VCMG

244

Other Fluorscopy Procedure

POA

CT

150

3D Image for CT (in addition to exam price)

51

CT with Contrast

162

CT Sinogram

185

CT Pneumocolon

190

CT Pneumocolon with Contrast

290

CT Drainage

294

CT Guided Nerve Block

294

CT Aspiration

310

CT Guided Injection

307

CT Chest Biopsy

480

CT RF/Laser Treatment

3290

Other CT Procedure

POA

MRI MRI per Area

238

Contrast*

131 to 155

MRI Ferriscan

254

MRI Small Bowel

354

MRI Defecating Proctogram

410

Other MRI Procedure

POA

* Dependant on dosage of contrast given Interventional Angiogram/Arteriogram

2021

Angioplasty

4199

Subintimal Angioplasty

4976

Laser Angioplasty

5756

Other Interventioanl Procedure

POA

General Anaesthetic General Anaesthetic

1047

For further details, please contact: John Marshall-Childs Imaging Department University College London Hospitals NHS Foundation Trust Telephone No: 020 344 74478

20

Medical Physics & Radiation Physics

Price £

Medical Equipment Management

POA

Mechanical Workshop

POA

Clinical Measurement

POA

Minimally Invasive Devices

POA

Neonatal Intensive Care

POA

Magnetic Resonance Imaging and Spectroscopy

POA

Scientific Computing & Instrumentation

POA

Laser R&D

76.28 per hour

Customised Titanium Implants

POA

Laser Protection Adviser (LPA) time

76.28 per hour

Film Badges

2.51 per film

Replacement film badge holders

8.75 per holder

TLD Monitoring

8.75 per holder

Wipe testing

2.78 per wipe

RPA Time

POA

Annual Laboratory RPA Audit

86 per lab

QA - Radiographic Equipment

216 per tube

QA - Fluoroscopic Equipment

330 per system

QA - Dental Equipment

212 per tube

QA - Mammographic Equipment

212 per tube

QA - CT Equipment

410 per system

QA - CT Equipment

495 per system

Patient Dosimetry Analysis

212 per tube

Dose rate meter performance test and calibration

53 per meters

Dose rate meter repairs

53 per meters

Contamination monitor performance testing

38 per meters

Contamination monitor calibration

38 per meters

Contamination monitor repairs

53 per meters

For further details, please contact: Postal Address: Department of Medical Physics and Bioengineering UCLH Hospital NHS Trust EGA Wing 235 Euston Road London NW1 2BU Contact: Telephone No:

Dr P Marsden 020 3447 2181

Fax No: Email

020 3447 2185 [email protected]

21

Neurogenetics

Price £

DNA Analysis Charges Autosomal Dominant Spinocereballar Ataxia : SCA1,2,3,6,7

140(single SCA)-600

SCA,12,17

225 each

Dentatorubropallidoluysian Atrophy (DRPLA)

230

Friedreich’s Ataxia (FRDA)

320

Charcot-Marie-Tooth Disease, Demyelinating, Type 1A; CMT1 (17p11.2 Dup)

275

Hereditary liability to pressure palsies; HLPP (17p11.2 Del)

275

Hereditary motor & sensory neuropathology (HMSN)

275

Hereditary liability to pressure palsies (HLPP)

275

Huntington’s Disease (HD)

239

Leber’s Hereditary Optic Atrophy (LHON)

250

Mitochondrial Myopathy; MM HYPERKALEMIC PERIODIC PARALYSIS; HYPP (SCN4A)

No Charge-NCG funded No Charge-NCG funded No Charge-NCG funded

HYPOKALEMIC PERIODIC PARALYSIS, TYPE 1; HOKPP1 (CACNA1S)

No Charge-NCG funded

Andersen syndrome (KCNJ2)

No Charge-NCG funded

Myotonia Congenita (CLCN1)

No Charge-NCG funded

Paramyotonia Congenita (SCN4A)

No Charge-NCG funded

Episodic ataxia:- Type I (KCNA1)

550

Episodic ataxia:- Type II (CACNA1A)

POA

Dopa Responsive Dystonia : DRD(GCH1)

600

Familial Hemiplegic Migraine: CACNA1A

POA

Primary Torsion Dystonia(DYT1

150

X-Linked Bulbospinal Neuronopathy (XLBSN)

230

Amyloidosis, Finnish Type; FAF (GSN)

400

Familial Amyloid polyneuropathy; FAP (TTR)

500

Charot-Marie-Tooth Disease, x-Linked Dominant, 1; CMTX1 (GJB1)

200

Distal Hereditary Motor, Type V; HMN5 (BSCL2)

175

Charot-Marie-Tooth Disease, Demyelinating, Type 1B; CMT1B (MPZ) Charcot-Marie-Tooth Disease TYPE 4A; CMT4A and Charcot-Marie-Tooth Disease , AXONAL, TYPE 2K; CMT2K (GDAP1)

370

Charot-Marie-Tooth Disease, Axonal, Type 2A2 (MFN2)

790

Charcot-Marie-Tooth Disease, Demyelinating, Type 1A (PMP22 sequencing)

320

Neuropathy, Hereditary Seneory and Autonomic, Type 1A; HSAN1A (SPTLC1)

175

Chromosome 9- Linked ALS/FTD (c9orf72)

150

Charcot-Marie-Tooth disease type 2F; CMT2F and distal hereditary motor neuropathy; HMN2B (HSP27)

250

Huntington Disease-Like 2; HDL2 (JPH3)

600

300

Sodium Channel, Neuronal Type 1, Alpha Subunit, related epilepsy; (SCN1A)

POA

Parkinson's disease: PARK2 (PARKIN)

950

Parkinson's disease: LRRK2 G2019S

160

Familial British dementia; BRI (ITM2B)

400

For further details, please contact:

22

Postal Address: Room 630 Neurogenetics Laboratory Institute of Neurology Queen Square London WC1N 3BG Telephone No:

020 3448 4250

Fax No: 020 7419 0948 Email: [email protected] Website : www.uclh.nhs.uk/neurogeneticslab

Neuro-ophthalmology & Neurology

Price £

Various

POA

For further details, please contact: Postal Address: The National Hospital for Neurology and Neurosurgery Queen Square London WC1N 3BG Mr James Acheson [email protected] Elizabeth Graham [email protected] Fion Bremner

[email protected]

Neuropsychology

Price £

Neuropsychological Assessment

568

Neuropschological Intervention: Available only for patients who had a neuropschological assessment For further details, please contact: Postal Address: Tprof. Lisa Cipolotti Department of Neuropsychology Box No. 37 The National Hospital for Neurology and Neurosurgery Queen Square London WC1N 3BG Telephone No: 020 344 83295 Fax No: 020 7813 2516

23

416 per session

Neuroradiology

Price £

Korner A

24

Korner B – excluding Ultrasound, see below

54

Korner C – excluding CT, see below

112

Korner D

220

Korner E

POA

Korner F – excluding MRI, see below CT 1 area

POA 359

CT 2 areas

440

CT 3 areas

509

CT contrast

89

CT angiography

404

Review Imaging

81

MR 1 area

451

MR 2 areas

670

MR 3 areas

899

MR contrast

115

MR angiography

444

fMRI 3D reconstruction - CT

601 444

Intravenous DS angiography

317

Ultrasound

112

Doppler Ultrasound

112

For further details, please contact: Ms Susan Wakeling Telephone No: 020 344 83442 Postal Address: Radiology Services Manager Lysholm Department of Neuroradiology The National Hospital for Neurology and Neurosurgery Queen Square London WC1N 3BG

24

Nuclear Medicine The prices below are for individual studies. Volume discount apply. Prices for significant volumes are negotiable but must be agreed in writing in advance. Where a booked patient does not attend or 24 hour notification of cancellation is not given the study will be charged at 100% of the standard price

Price £

DIAGNOSTIC TESTS

Bone Scans Bone scan Bone Scan with Dynamic /Spots Bone scan with SPECT/CT Bone Scan with Dynamic,Sports & Spect/CT

320 375 375 440

Bone Density Bone Density Bone Density + IVA/Whole Body Comp

110 180

Brain Brain Imaging (Thallium) for tumour

650

DATScan (Brain dopamine transporter imagin)

2100

Cardiac MUGA (Radionuclide Ventricular Function Study)

280

Myocardial Perfusion - price per study Cardiac Amyloid-Whole Body

660 1000

CT CT Angiography

550

CT Calcium Score

210

CT Diagnostic with IV contrast

247

Endocrine 123-I Thyroid Uptake and Imaging

812

Parathyroid Imaging

660

Technetium Thyroid Uptake and Imaging

335

Gastro-Intestinal Gastro-Intestinal Bleed (RBC)

485

HIDA (Biliary Tree Imaging )

480

Gastric Emptying

457

Meckels Scan

393

Lymph Lymphoscintigraphy

683

25

SLN Study Breast

POA

SLN Study Melanoma

POA

SLN Study Penile

POA

SLN Study Vulva

POA

Nuclear Medicine-continued

Price £

PET/CT F- PET/CT (Bone)

POA

FDG PET/CT

POA

FDOPA PET/CT

POA

Ga Citrate PET/CT

POA

Ga Octreotide PET/CT

POA

Paediatric F- PET/CT (Bone)

POA

Paediatric FDGPET/CT

POA

PET Choline

POA

PET/MR PET/MR

POA

Full PET/MR

POA

Renal DMSA Renal Study

302

MAG3 Dynamic Renal Scan

332

MAG3 Dynamic Renal Scan + Bladder Emptying

942

MAG3 Dynamic Renal Scan + Captopril

750

Turner MIBG Imaging

1785

Pentavalent DMSA (DMSA(V))

POA

123-Whole body Scans

1389

Whole Body Scan Only-lodine 131

POA

Other Adrenal Imaging

3458

Lacrimal Scan (Dacroscintigraphy)

391

Lung VQ Scan

371

Salivary Gland Imaging

339

SEHCAT

1223

Spleen Imaging (Denatured RBC)

592

White Cell Infection Study(Please speak to department about a possible PET FDG

1118

Scan,this may be preferable LABORATORY TESTS GFR (Chromium-51 EDTA)

172

Red Cell Mass Study

550

Plasma Volume & Red Cell Mass

900

THERAPY TESTS 131-I Thyrotoxicosis Therapy

370

26

Lutetium Therapy

POA

MIBG Therapy

POA

Pain Palliation (Strontium Therapy)

POA

Rhenium Therapy

POA

For further details, please contact: MS Caroline Townsend,Superintendent Radiographer Nuclear Medicine Dept. University College London Hospitals NHS Foundation Trust University College Hospital, 235 Euston Road, NW1 2BU Telephone No: 020 3447 0537 Email : [email protected] Urodynamics

Price £

Urodynamics - Cystometry

411 per referral

Urodynamics - Ambulatory

483

Teaching on intermittent self catheterisation

174

Residual and flow rate

143

Advice about appliances

102

For further details, please contact: University College London Hospitals NHS Foundation Trust 2a Maple House c/o Ground Floor, Rosenheim Wing 25 Grafton Way, London WC1E 6AU Clinical Lead:

Kate Welford, Nurse Specialist

Telephone No:

020 3447 9294 or Bleep 2043

Urodynamics - gynaecology - Women's Health

Price £

Urodynamics - Cystometry

411 per referral

Urodynamics - Ambulatory

483

Teaching on intermittent self catheterisation

174

Residual and flow rate

143

Advice about appliances

102

Rings

POA

For further details, please contact: University College London Hospitals NHS Foundation Trust Elizabeth Garrett Anderson and Obstetric Hospital Huntley Street London WC1E 6DH Clinical Lead: Miss Suzy Elneil, Consultant Gynaecologist Telephone No: 020 344 78791

27

Uro-Neurology

Price £

Sphincter EMG

425

Urethral Pressure Profile

397

Combined EMG & Cystometry

619

Cystometry

418

Peripheral Nerve Evaluation (PNE)

832

Sphincter Ultrasound

356

Sphincter EMG and Flow

499

Teaching Intermittent Catheterisation

174

Uroflowmetry

143

For further details, please contact: Postal Address: The Departmental Secretary Uro-Neurology Department The National Hospital for Neurology and Neurosurgery Queen Square London WC1N 3BG Telephone No: 020 3447 83418 Vascular

Price £

Vascular Laboratory - per Duplex scan

92

For further details, please contact: Postal Address: University College London Hospitals NHS Foundation Trust Postal Address: University College London Hospitals NHS Foundation Trust Ground floor west 250 Euston Road Lodon NW1 2PG General Manager:

Jason Willis

Telephone No:

02034477818

28