Price list

Price list of services for private individuals

Price list of services for private individuals	Czech Koruna

Consultation	500, –
Pregnancy counseling	500, –
Gynecological examination	600, –
Ultrasound examination	700, –
Smear test including collection of sample	600, –
Liquid Based Cytology test	1.000, –
Virginity test	500, –
Prescription for hormonal contraception	50, –
INJECTION (Depo-provera, Agolutin, Prolutex)	400, –
Copy of medical record at client’s request	200, –
Pregnancy Test	150, –
Plastic disposable vaginal speculum (sterilized mirrors used at client’s request)	60, –
Application for abortion including pre-examination	1.500, –
Photographic image of foetus during ultrasound examination	100, –
1st trimester ultrasound screening	2.800, –
2nd trimester ultrasound screening	2.000, –
3rd trimestral ultrasound screening	2.000, –
DVD of 3D/4D ultrasound screening of foetus	1.800, –
Delay menstrual cycle without medication	250, –
Minor surgery on genitalia	500, –
Intrauterine device (examination and insertion, price of device is not included)	2.000, –
Histology test (Punch Biopsy)	2.000, –
Minor surgery	500, –
Removal of the intrauterine device	500, –
Palpation examination of the breast	200, –
Contraceptive diaphragm (Cap)	300, –
Culture	900, –
Chlamydia – fast test	400, –
Chlamydia trachomatis	1.600, –
Chlamydia serology	2.000, –
Group test: Chlamydia, Mycoplasma, Ureaplasma	1.500, –
HPV HR	1.600, –
HPV Enhanced Detection	2.000, –
Gonorrhea	900, –
TORCH infection	1.700, –
Thrombophilia mutations (Factor V-Leiden, MTHFR, Factor-II-Protrombin testing)	3.000, –
HCG test	350, –
AMH test	1.500, –
Samples for maternity registration (including thyroid hormones)	4.900, –
Blood count with differential	110, –
Blood group test	350, –
HIV test	1.000, –
Toxoplasma test	2.000, –
Syphilis test	1.000, –
GBS Screening – Vaginal Streptococcus	800, –
Anti-D vaccination	2.000, –
Gardasil 9 vaccination	4.500, –
STD (Sexually Transmitted Disease) Screen	2.500, –
Hormone profile test (LH, FSH, E1, PRL, PROGEST, TST, SHBG, ADHD)	2.700, –
Hormone profile test (LH, FSH, PROGEST)	1.200, –
Thyroid test	1.400, –
Ovarian screening (oncomarkers)	1.500, –
Preeclampsia screening	2.000, –
CRP test	350, –
Examination of a patient registered with another gynacologist (excluding emergencies)	1.000, –
Copy of report for personal use	200, –
Panorama Test (Basic)	12.000, –
Panorama Test (Basic with DiGeorge syndrome)	14.000, –
Panorama test (Full)	16.000, –
Translation of medical documents from a foreign language into Czech and vice versa	2.000, – to 3.000, –
MOP (vaginal nicrobiome image)	400, –
CTG	500, –
Surcharge for examination outside the office hours 1.500, – (time as agreed)	1.500, –

EPILIA hair laser removal price list

EPILIA hair laser removal price list	CZK
General Anesthesia (dependant on amount required)	500 – 1 500 CZK
Application of Anesthetic Cream	from 300 CZK

HEAD & FACIAL AREA
Unibrow	590 CZK
Upper Lip	890 CZK
Both sideburns	850 CZK
Lower face	1 950 CZK
Chin	950 CZK
Chin & Under chin	1 350 CZK
Neck (Front & Nape)	1 450 CZK

UPPER BODY AREA
Shoulders	1 950 CZK
Both armpits	1 500 CZK
Upper Arm	1 800 CZK
Forearm	1 850 CZK
Fingers	850 CZK
Whole arm	2 950 CZK
Nipples	1 150 CZK
Chest	2 950 CZK
Stomach	2 250 CZK
Navel (Belly button)	950 CZK
Back	3 950 CZK

LOWER BODY AREA
Thighs	3 950 CZK
Knees	1 450 CZK
Calves	2 950 CZK
Both feet	900 CZK
Toes	850 CZK
Full legs	5 950 CZK
Buttocks	2 350 CZK
Peri-Anal	1 550 CZK
Bikini classic	1 850 CZK
Brazilian bikini	2 480 CZK
Whole body	9 950 CZK