FEE BILL PHILADELPHIA COLLEGE OF PHYSICIANS The following Table of Charges being founded on a just consideration of the professional services which the Fellows of the College are called upon to perform, it will be considered a duty on their part to conform to it, whenever the circumstances of their patients are not such as clearly to forbid it. For a single visit or advice, in a case in which no fur- ther visits are required, .... This is not intended to apply to those cases in which the physician is considered the regular medical attend- ant of the individual or family. For each visit, in a case in which the physician is in regular attendance, or for advice at his office, Every necessary visit on the same day to be charged, whatever may be their number, at the same rate. When detained, for each hour, For a visit at a time appointed by the patient or his friends, during the day time, For written opinion or advice to a patient, . For a visit at night, after ordinary bed-time, . For a first visit as consulting physician, For each subsequent visit as consulting physician, in the same case, ..... For each visit of attending physician, when in con- sultation, ...... For a visit as consulting physician during the night, In all visits to distant patients, one dollar to be charged for every mile beyond two from the resi- dence of the physician, in addition to the ordinary charge, and $2 additional for crossing the river Dela- ware. An extra charge may be discretionally made for traveling at night, or on account of the badness of the roads, or the inclemency of the weather. For an opinion involving a question of law, . For a post-mortem examination, in a case of legal investigation, . For a post-mortem examination made at the request of the family or relatives of a deceased person, . For a certificate of the state of health of an individual, For vaccination, .... For re-vaccination, .... For a case of midwifery, For the application of the forceps, For the operation of turning, For the operation of embryulcia, For any indisposition in the mother or child, after the tenth day from confinement, the charge for at- tendance as in ordinary cases requiring medical'treat- ment. But when any serious ailment occurs in either mother or child within the ten days, a charge is to be made for each visit as in other cases of disease. For reducing fractures, and the first dressing, For reducing recent luxations, For reducing old luxations, . . . . 1100 to 300 50 100 to 200 10 50 to 100 10 to 50 50 to 100 75 to 150 10 to 50 100 to 200 50 to 100 20 to 50 20 to 50 50 to 100 20 to 50 5 to 10 20 to 30 50 to 100 5 to 20 For removal of stone from the bladder, $5 to 10 { For amputation of a leg or arm, . For amputation at the shoulder or hip-joint, For amputation of a finger or toe, . For the extirpation of large tumours, For the extirpation of other tumours, 1 to 2 For trepanning, .... For the operation for cataract, For other operations on the eye and its appendages, For the operation for aneurism, subclavian, carotid, femoral, .... 2 to 5 i For the operation for strangulated hernia, 5 to 20 | For the operation for hare-lip, 5 to 10 5 For the operation for fistula in ano, For fistula in perineo, For the operation for haemorrhoids, For the palliative operation for hydrocele, For the operation for the radical cure of hydrocele, 2 5 For the operation for vesico-vaginal, or recto vaginal 10 i fistula, ...... | For the operation for phymosis and paraphymosis, \ For the introduction of the catheter, in ordinary cases, ..... For the introduction of the catheter, in cases of ob struction, .... For division of stricture of the urethra, For the operation for artificial joint, For the operation of tracheotomy, 10 to 50 For the operation for imperforate anus, vagina, &c For the Ca?sarian operation, 25 to 50 For the reduction of hernia by taxis, For extirpation of the tonsils, 5 to 15 $ For the introduction of the stomach pump, in cases 5 > of poisoning, 5 l For the removal of foreign substances lodged in the 2 to 5 \ pharynx or oesophagus, . 10 to 40 s For the reduction of prolapsus ani, 10 5 For examination per anum or vaginam, 10 to 20 I For the introduction of a pessary, . 20 \ For the introduction of a seton, or forming an issue, For tapping for ascites, .... In all Surgical cases, the charge for subsequent attendance to be in proportion to the time occupied and the trouble incurred. It is recommended that in all cases of gonorrhasa and syphilis, a retaining fee of from $10 to 25 be required in advance, the subsequent charge being graduated by the amount of the after 10 to 20 \ attendance in each case. 10 to 30 ) Physicians should present their account at least annually, or 50 f as much oftener as they may deem proper. 1 to 2 10 to 20 10 to 50 20 to 100 20 to 50 10 to 30 100 10 to 50 10 to 20 10 to 30 10 to 50 5 to 10 5 to 15 5 5 10 to 20