KanColl Articles
   Excerpts from the 1911 "Physician's Pocket Account Book" of Dr. R. C. McClymonds



Recommended Schedule of
Fees for Medical Services

(Version without Table)


From the PHYSICIAN'S POCKET ACCOUNT BOOK AND PRACTICAL ADVICE FOR PROFESSIONAL SUCCESS, by J. J. Taylor, M.D., Copyright 1909, published by The Medical Council, 4105 Walnut Street, Philadelphia, PA.:

The following will represent a practical and just fee-bill for ordinary services to patients who are in fair circumstances.  This has been made up by a careful study of the average condition of medical practice in thirty-six States of the Union.  In new portions of the country, as the Rocky Mountain and Pacific States, charges are higher than in the older settled States.

Where unusual attention is required or responsibility involved, the charges are to be increased accordingly.  Subsequent visits in surgical cases are to be charged at usual rates.  When medicine is furnished it is to be charged at reasonable rates.  Mileage is to be added at the rate of fifty cents to one dollar per mile, according to the condition of the roads or the customary rates of the locality.  [EDITOR'S NOTE: For those who nostalgically yearn for the "good old days" of low-cost medical treatment, realize that if mileage were charged at this same rate in 1998 dollars, the cost would be a whopping $8.54 to $17.08 per mile!]


OBSTETRICS AND GYNECOLOGY

Office Business

Ordinary prescription or advice, first call

$1 to $2

Ordinary prescription or advice, each subsequent call

.50 to $1

Physical examination

$3 to $5

Physical examination, very close

$5 to $25

Electricity

$1 to $5

Dressing injuries

$2 to $5

Practice

Visits, day

$2 to $3

Night visits

Double fee

Dangerous contagious diseases

Double fee

Consultation

$5 to $10

Certificate as family physician

$5

Written opinion

$2 to $10

Opinion involving legal issues

$10 to $25

Natural delivery, including two visits, mileage extra

$15 to $25

Delivery of placenta alone

$5 to $10

Forceps, or turning

$20 to $35

Craniotomy, or eviscertation

$25 to $50

Repairing cervix or perineum

$50 to $100

Vesico-vaginal fistula

$100 to $350

Removal of ovarian tumors

$150 to $500

Removal of uterine poilypus or fibroids

$50 to $200

Surgery

Adjusting truss

$1 to $5

Administration of anesthetic (except in labor)

$5 to $25

Amputation of finger or toe

$5 to $10

Amputation of breast

$75 to $150

Amputation through meta-carpus, or tarsus

$10 to $20

Amputation through forearm or leg

$50 to $100

Amputation at shoulder, or through arm or thigh

$75 to $150

Reducing dislocation of finger or toe

$5

Reducing dislocation of jaw

$10 to $20

Reducing dislocation of hip

$50 to $100

Reducing disloaction of knee, elbow or shoulder

$15 to $25

Setting simple fracture of finger or toe

$5 to $10

Setting simple fracture of radius (Colles)

$15 to $20

Setting simple fracture of clavicle

$15 to $20

Setting simple fracture of arm

$15 to $25

Setting simple fracture of ankle or leg

$30 to $40

Setting simple fracture of femur

$35 to $50

Setting simple fracture of jaw

$20 to $25

Setting simple fracture of rib

$5 to $10

Setting simple fracture of patella

$25 to $50

Setting compound fracture (antiseptic treatment)

Same as amputation of same part

Excision of tonsils

$10 to $20

Excision of joints or bones

$25 to $100

Removal of nasal polypus

$5 to $15

Laryngotomy or tracheotomy

$30 to $100

Hare lip

$25 to $50

Ligation of small arteries

$10 to $50

Ligation of large arteries

$50 to $200

Trephining

$25 to $150

Plaster jacket

$15 to $30

Plaster of Paris dressing

$5 to $10

Lithotomy or lithotrity

$100 to $350

Tenotomy

$25 to $50

Hernia, reduced by taxis

$10 to $35

Hernia, reduced by operation

$50 to $200

Urethrotomy

$25 to $100

Paracentesis

$25 to $50

Introduction of sound, or catheter

$5 to $10

Injecting hyrocele

$20 to $50

Hemorrhoids, external

$10 to $30

Hemorrhoids, internal

$25 to $100

Gonorrhea, in advance

$25 to $50

Gleet, or syphilis, in advance

$50 to $100


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