Hospitalization charges = insured medical costs + extra charges (room charges) + meal charges + miscellaneous charges (charges for medical certificates and the like)
Note: Charges are calculated based on the number of days in hospital from the day of admission through the day of discharge, inclusive.
The Center calculates hospitalization fees using
the bundled billing (flat-rate) system recommended by the Ministry of Health, Labor and Welfare.
Bundled Billing
Fees are calculated based on a flat daily rate assessed according to the length of stay and the type of treatment prescribed for the patient’s condition.
While basic hospitalization fees and such services as testing, medication, injections, and medical imaging are included when calculating the flat daily rate, surgery, transfusions, and rehabilitation are not. (Following the previous system, costs for these treatments are billed separately.)
Note: The fees charged may vary due to changes in the flat daily rate necessitated by changes in the patient’s condition or treatment.
Insured Medical Costs (Hospitalization Fees)
Co-payment rate
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Insurance type
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Personal liability cap
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10%
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10% Medical insurance for the elderly (75+)
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¥57,600/month
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National health insurance recipient card for seniors (70–74)
Note: The co-payment rate for patients who turned 70 on or after April 2, 2014, is 20% with a personal liability cap of ¥44,400/month.
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¥57,600/month
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20%
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Children aged six or younger before the end of March (children below the age for compulsory education)
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30%
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Medical insurance for the elderly (75+)
Note: Seniors with an active income
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III ¥252,600 − (medical costs − ¥842,000) ×1%/month
II ¥167,400 − (medical costs − ¥558,000) ×1%/month
I ¥80,100 − (medical costs − ¥267,000) ×1%/month
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National health insurance recipient card for seniors (70–74)
Note: Seniors with an active income
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National Health Insurance (age 69 or under)
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Note: On presentation at the payment wicket, bearers of a proof of eligibility for a personal liability cap will be charged according to their income bracket.
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Social insurance (age 69 or under)
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Note: A separate designated fee is charged on admission to the ICU, EICU, emergency ward, NICU, GCU, MFICU, or SCU.
Note: A comprehensive assessment (flat-rate fee) may not apply depending on the type of the illness or treatment. In this event, you will be assessed separate basic hospitalization and treatment fees for each type of treatment.
Extra Charges for Hospital Rooms
• For amounts, see “
Hospital Rooms”.
• In accord with the Health Insurance Act, “
the day begins at midnight” for purposes of calculating extra charges.
Patients will therefore be charged for a day’s stay on the day of admission and again on the day of discharge.
Example: Patient admitted at 8:00 pm on April 1 and discharged at 10 am on April 10
Extra charge = daily extra charge × 10 days
Meal Charges
Per meal: ¥460
Note: Patients will be charged for meals they order but decide not eat.
Childbirth Fees
Estimated Amount per Delivery
Vaginal Delivery
First birth (patient discharged 7 days after giving birth): ¥760,000 and up
Second or later birth (patient discharged 6 days after giving birth): ¥720,000 and up
Cesarean Delivery
All births (patient discharged 8 days after giving birth): ¥760,000 and up
The fees for high-risk pregnancies are as follows:
Vaginal Delivery
First birth (patient discharged 7 days after giving birth): ¥830,000 and up
Second or later birth (patient discharged 6 days after giving birth): ¥780,000 and up
Cesarean Delivery
All births (patient discharged 8 days after giving birth): ¥840,000 and up
The Ministry of Health, Labor and Welfare defines high-risk pregnancies as follows:
A: Premature birth (22 to 32 weeks gestation)
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J: Heart disease for which the patient is receiving treatment
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B: Patient 40 years or older pregnant with their first child
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K: Diabetes for which the patient is receiving treatment
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C: Patient with a pre-parturient BMI of 35 or higher pregnant with their first child
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L: Idiopathic thrombocytopenic purpura for which the patient is receiving treatment
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D: Severe pregnancy-induced hypertension
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M: Leukemia for which the patient is receiving treatment
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E: Premature placental abruption
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N: Hemophilia for which the patient is receiving treatment
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F: Placenta previa after 28 weeks accompanied by symptoms such as bleeding
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O: Hemorrhagic diathesis for which the patient is receiving treatment
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G: Twin-to-twin transfusion syndrome
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P: HIV positive
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H: Multiple birth
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Q: Abdominal surgery (other than cesarean section) or laparoscopy planned or performed during pregnancy
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I: Intrauterine growth restriction
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R: Psychiatric condition for which the patient is receiving treatment
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Note: Estimates are calculated based on the average length of stay. Extra charges for hospital rooms are not included. Fees and length of stay vary with the condition of the expectant mother and any complications she may have.
Note: In accord with the provisions of the Health Insurance Act, extra charges apply to vacuum extractions, forceps deliveries, and emergency cesarean sections performed after hours or on holidays.
Note: The estimates for multiple births are calculated by adding ¥270,000 to the amount for high-risk pregnancies. All charges for newborns are multiplied by the number of births.
Note: Patients requesting underwater deliveries will be charged an extra ¥30,000.
Note: An extra ¥30,000 will be charged for vaginal deliveries following a cesarean section or uterine myomectomy.
Note: Patients requesting epidural anesthesia will be charged an extra ¥150,000(First birth) or ¥100,000(Second or later birth).
Note: Injections of pethidine hydrochloride or levallorphan tartrate anesthetics are available for an extra ¥10,000 per day.
Medical Fees for Foreigners
Medical fees for foreigners are as follows:
Fee Calculation
• An additional ¥30 * is applied to each health-care fee charged.
* Pre-tax amount.
• Other fees, such as extra charges for hospital rooms, are charged at the Center’s standard rates.
Applies To
Foreign residents or the like not enrolled in a Japanese public health insurance program.
Foreigners in the following categories are exempt:
• Employees of foreign embassies in Japan or other government offices and members of their families.
• Foreigners requiring treatment as the result emergencies or other unpreventable circumstances.
Inquires can be directed to the Medical Affairs Division.