Price list for services not covered by public insurance

Service provided                                                                          Price in CZK            

Annual fee for above-standard availability: 1,100 CZK

LBC cytology 700,-

Disposable plastic mirror 50,-

Disposable sterile cytobrush 40,-

Injections, applications 150,-

Use of anesthetic gel before insertion of an IUD (intrauterine device) 300,-

Mirena hormonal intrauterine device (including insertion) 6500 CZK

Levosert hormonal intrauterine device (including insertion) 5500,-

Levosert hormonal intrauterine device (including insertion) 5500,-

Jaydess hormonal intrauterine device (including insertion) 6500,-

Intrauterine device with silver and copper Pregna Silverline Cu 380 Ag (including insertion) 2500,-

Intrauterine device with gold and copper EUROGINE Gold T Cu375 (including insertion) 3000,-

Intrauterine device removal 200,-

Pudendal nerve block 1200,-

Use of laughing gas (N2O, Entonox) 500,-

HPV vaccination: Gardasil – 9 (single dose) 4,500 CZK

Extract from documentation upon request 500 CZK

Copy of a previously issued request for examination 200,-

Prescription for menstrual delay (e.g., norethisterone) 200 CZK

Drafting of an application to the UPT, including USG 1200,-

Examinations during pregnancy beyond the scope of services covered by health insurance: 500 CZK

(fetal visualization, image, cardiotocography)

Ultrasound examination during pregnancy beyond the scope of services covered by health insurance: 500 CZK

(gender determination)

 Comprehensive gynecological examination for uninsured patients: 1400 CZK +

(+ cytology surcharge)

Standard cytology for uninsured patients 300,-

Ultrasound examination for uninsured patients: 500 CZK

Above-standard perioperative care (24 hours) 1500 CZK

Above-standard perioperative care (the day before surgery – 7 days after surgery) 3000 CZK

Comprehensive above-standard one-month perioperative care 5000,-

Comprehensive urogynecological examination for uninsured patients: 1,500 CZK

Expert urogynecological ultrasound examination for uninsured patients: 1000 CZK

Ring pessary (including insertion) 400,-  

Cube pessary (including instruction + insertion) 1600 CZK

Contrelle sports activity pessary (3-size trial pack) 300 CZK

Contrelle sports bra (sizes 1, 2, or 3, 5 pieces total) 1250 CZK

Postpartum special pessary Restifem 1800,-

Consultations not covered by health insurance (per 15 min) 900 CZK

Consultation in a foreign language (English, Russian, Arabic) 1500 CZK

Services not covered by health insurance

Perineoplasty / vaginoplasty / labiaplasty under local anesthesia 25,000 CZK

Reduction/adjustment of large labia 25,000

General anesthesia (not covered by health insurance) $5000

Analgesic sedation (not covered by health insurance) 3000 CZK

Special tests not covered by health insurance, self-payers

High-risk HPV for cervical screening 1400,-

HPV genotyping 2000,-

STI (sexually transmitted infections) complex 1800,-

Chlamydia, Neisseria, Mycoplasma, Ureaplasma, Trichomonas

Chlamydia + Neisseria 1000,-

Trichomoniasis 1000,-

Ureaplasma 1000,-

Sampling from a genital ulcer 1800,-

(HSV 1+2, CMV, varicella-zoster virus, Haemophilus, lymphogranuloma venereum, Treponema)

Celiac disease 1400,-

Lactose intolerance – genetic predisposition 1600 CZK

TORCH (toxoplasma, rubella, CMV, HSV-1, HSV-2) – IgG and IgM antibodies 1800,-

Intestinal/vaginal/urinary microbiome 6500,-

 

  

Prices include VAT.