Fees, Charges, and Patient Rooms
Ambulance: $45 – 240.00
Appliances (crutches, casts, etc.): Varies
Per diem surcharge: $1563.00
Semi-private rooms (per day)
- Acute/Rehab care: $255.00
- Chronic care: $255.00
Private rooms (per day)
- Acute/Rehab care: $305.00
- Chronic care: $305.00
Inpatient fees (for staying in the hospital per day)
- Standard ward: $3,058.00
- Newborn: $2,334.00
- Intensive care: $7814.00
- Day Surgery/or Operating Room Cost (i.e. c-section): $3,700.00 + cost of supplies/implants
- MRI: $1,500.00/image
- CT scan: $1,575.00/image
Outpatient fees (per visit)
- Ambulance: $240.00
- Emergency visit: $720.00*
- Outpatient clinic: $430.00
- Dialysis: $992.00
- Lab: $180.00/day
- Diagnostic imaging test clinic: $430.00 + 2 x OHIP rate
Note: Lab and DI tests are subject to additional charges. Prepayment is required for all service.
*Prices are subjected to change at any time
Please note that uninsured and out of country patients are required to place a deposit with the hospital prior to service.
All uninsured and out of country patients will also receive a separate bill for physician’s care.
Estimates are based on the information provided at the time of booking, should this information change or should unforeseen services arise out of the proposed admission, procedure, or service, the actual amount you will be responsible for may vary.
Health Care Coverage
Our patients typically have one or more of these types of health care coverage:
- Patients with an Ontario Health Card (OHIP Card)
- Patients Receiving WSIB Benefits
- Patients with a Health Card from Another Province or Territory
- Patients with No Health Coverage or Private Insurance
- Patients in the Interim Federal Health Program (IFHP)
- For All Patients
- Rate Schedule for Patients
If you have a valid Ontario health card, OHIP will pay for most of the health care services you receive.
The following services are not covered by OHIP, and you will need to pay for these:
- Ambulance services
- Preferred accommodation
- Assistive devices – such as crutches, canes, splints, casts, gel wraps
- Cosmetic surgery
- De-listed procedures – including tattoo removal, repair of benign skin lesions, travel vaccinations, earlobe repair from earrings
- Chronic co-payment
- Certain ophthalmology procedures and implants
- HPV, Vitamin D and certain Lab/Pathology reports are not covered under OHIP.
If you have private insurance, your insurance plan may cover the costs of some of these services.
If you have lost your health card, find out how you can get a new card at https://www.ontario.ca/page/health-cards
If you were injured at work and your treatment at SHN is related to your work injury, you must provide your WSIB claim number when you receive treatment. If you are treated in the Emergency Department for a work-related injury and you have not submitted a claim with WSIB, you must tell your health care team that this was a work-related injury and complete a form. Your employer should complete WSIB Form 7 and you should complete WSIB Form 6.
If you received a letter from SHN regarding WSIB, please fax or email ar@shn.ca or 416-431-8140.
Get more information about WSIB coverage and claims here: https://www.wsib.ca/en
If you have a health card from another province or territory in Canada, most health care services you receive in Ontario will be paid for through a reciprocal agreement between the provinces and territories. When you arrive at SHN, provide your home address, your provincial or territorial health card and the expiry date of the card.
If you have lost your health card, find out how you can replace your card through your provincial or territorial health care office. Visit https://www.canada.ca/en/health-canada/services/health-cards.html
If you do not have Ontario or other Canadian provincial or federal health insurance, you will be required to pay all estimated fees in advance.
We may charge fees for appointments, assessments, diagnostic tests, procedures, treatments, assistive devices, drugs and follow-up appointments – these fees must be paid in advance.
If you have private insurance coverage, you will need to submit payment to the hospital and submit your claim for reimbursement to your insurance. Please note that the hospital will coordinate if you are an Inpatient to submit a claim, but is the patient’s responsibility for all charges if a claim is not paid within 90 days from the date of discharge.
If you are covered under the Interim Federal Health Program, you must tell the registration clerk when you arrive at SHN and provide a copy of your refugee papers.
Ontario Ministry of Health will not pay the hospital or physician for your hospital visit without the correct health card information.
Please follow the steps below within 7 days of receiving this letter to ensure the eligible costs of your visit will be paid by Ontario Ministry of Health.
Important
If you do not provide SHN (Scarborough Health Network) with a valid Health Card Number and Version Code, it will be your responsibility to pay for your hospital visit.
Step 1: Visit Service Ontario in-person to review your Health Card.
Please note, renewing your Health Card online will not backdate your coverage. You must do this in-person.
- Visit your nearest Service Ontario.
- Inform the Service Ontario Representative of the following information:
- The date you visited the hospital to acknowledge when your Health Card information was declined.
- That the hospital bill is currently being billed as self-pay under your name as your responsibility until the changes are made.
- Request to have your Health Card renewal backdated to cover your hospital visit.
Step 2: Notify SHN of your valid Health Card Number and Version Code.
Please call the Finance Department at SHN 416-438-2911 – Ext. 6840 or 416-284-8131 ext. 7245 with your valid Health Card Number and Version Code.
If we do not receive your valid Health Card information within one week of your visit, we will send you an invoice for the amount owing.
For general Health Card related questions, please call Service Ontario at 1-866-532-3161.
For All Patients
Please note: If your insurance or the information you provide is not valid, you will be billed directly for services you received while at SHN. It is the patient responsibility to check with your insurance provider to confirm plan coverage for room type and care classification. Hospital staff cannot advise or validate my insurance coverage.
Uninsured and Out of Country patient – All physician fees will be billed directly by the physician
A bill for services is due upon receipt. Invoices and statement reminders are sent out every 30 days. At 90 days, you will receive a final invoice. If the account remains unpaid 15 days after the final invoice, the account will be sent to our external collection agency without further follow up.