| Fees of services not covered by health insurance | Price |
| Disposable instruments – speculums | 40 CZK |
| Testing at patient’s request for sexually transmitted diseases (Chlamydia trachomatis, Ureaplasma urealyticum, Ureaplasma parvum, Mycoplasma hominis, Mycoplasma genitalium, Neisseria gonorrhoeae) | 2500 CZK |
| Certificate for insurance company or employer | 300 CZK |
| Diagnostic cytology | 400 CZK |
| LBC (liquid based cytology) | 700 CZK |
| LBC with HPV testing | 1500 CZK |
| CINtec plus | 1250 CZK |
| HPV testing outside screening at ages 35 and 45 | 1100 CZK |
| (prices of the above items include sample collection) | |
| Chlamydia PCR | 1300 CZK |
| HPV vaccination – vaccine price + 200 CZK / per dose | |
| Request for induced abortion including ultrasound | 1000 CZK |
| Postponement of menstruation at patient’s request + consultation + prescription | 100 CZK |
| Administration of depot injectable contraception (Depo-Provera, Sayana) | 100 CZK |
| Intrauterine device – copper, including insertion and ultrasound check | 2500 CZK |
| Intrauterine device – gold, including insertion and ultrasound check | 3500 CZK |
| Hormonal intrauterine device – Mirena, including insertion and ultrasound check | 6700 CZK |
| Hormonal intrauterine device – Jaydess, including insertion and ultrasound check | 6300 CZK |
| Hormonal intrauterine device – Kyleena, including insertion and ultrasound check | 6700 CZK |
| Hormonal intrauterine device – Levosert, including insertion and ultrasound check | 5000 CZK |
| Insertion of patient’s own intrauterine device, including ultrasound check | 2000 CZK |
| Removal of intrauterine device | 200 CZK |
| Fees of services for pregnant women | Price |
| 1st trimester (uninsured patients) | 2074 CZK |
| 2nd trimester (uninsured patients) | 3455 CZK |
| 3rd trimester (uninsured patients) | 4838 CZK |
| Ultrasound 2D photo – small | 50 CZK |
| Ultrasound 2D photo – large | 100 CZK |
| First-trimester ultrasound screening + screening for preeclampsia and IUGR | 1700 CZK |
| First-trimester ultrasound screening – twins | 2800 CZK |
| Detailed ultrasound morphology at 20 weeks | 1700 CZK |
| Detailed fetal ultrasound morphology at 20 weeks – twins | 2800 CZK |
| Ultrasound screening for growth restriction at 36 weeks | 800 CZK |
| Ultrasound at patient’s request outside recommended screening | 800 CZK |
| Ultrasound of twins outside recommended screening | 1000 CZK |
| Ultrasound package – 1st and 2nd trimester | 2700 CZK |
| Ultrasound package – 1st and 2nd trimester, twins | 4500 CZK |
| Ultrasound package – 1st & 2nd trimester and 36-week screening | 3200 CZK |
| Screening for preeclampsia in the 2nd and 3rd trimester | 800 CZK |
