Pricelist

We kindly invite you to check out the complete price list of medical services we provide.
The current price list (effective from 1 April 2022) can be found under the links below:

Ophthalmology Services Price List

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Ophthalmology Services Price List - pediatric ophthalmology clinic

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Nasze placówki nie posiadają kontraktu z NFZ.

Informujemy, iż od 2022 roku w naszych placówkach wprowadziliśmy płatność za recepty (30 zł),
zaświadczenia lekarskie (50 zł) i skierowania (40 zł) wystawione poza wizytą lekarską.
Szczegółowe informacje możecie Państwo otrzymać bezpośrednio
w naszej rejestracji medycznej lub dzwoniąc na nasze call center.

At Retina you can take advantage of MediRaty instalment program to finance your treatment.
For details call +48 22 266 83 70.

Diagnostic tests

Ophthalmic consultation (without pupil dilation, adult patient) 250 zł
Ophthalmic consultation (with pupil dilation, adult patient) 270 zł
Ophthalmic consultation - house call (by prior arrangement) 420 zł
Ophthalmic consultation (referral after optometric consultation, adult and paediatric patients) 80 zł
Visual field test 100 zł
Fundus photography 130 zł
Ocular Ultrasound (both eyes) 210 zł
Ultrasound Biomicroscopy (UBM) (both eyes) 270 zł
Fluorescein Angiography (FA) 400 zł
Optical Coherence Tomography (OCT) (both eyes) 260 zł
Optical Coherence Tomography (OCT) (one eye) 210 zł
Ophthalmic consultation + OTC (both eyes) 400 zł
Angio-OCT (both eyes) 300 zł
Angio-OCT (one eye) 250 zł
Ophthalmic consultation + Angio-OCT (both eyes) 430 zł
Optical Coherence Tomography with GDX (both eyes) 210 zł
Optical Coherence Tomography with GDX (one eye) 180 zł
Ophthalmic consultation + Optical Coherence Tomography with GDX (both eyes) 400 zł
Pachymetry 80 zł
Gonioscopy 80 zł
Ophthalmic consultation + Gonioscopy 280 zł
Corneal topography (both eyes) 160 zł
Corneal topography (one eye) 130 zł
Endothelial cell count 110 zł
Ocular Biometry 120 zł
Assessment of the iridocorneal angle 140 zł
IOP curve 180 zł
IOP measurement 30 zł
Test for demodicosis (mite density test) 150 zł
Conjunctival swab (anaerobes, both eyes) 280 zł
Conjunctival swab (aerobes, both eyes) 120 zł
Conjunctival swab (fungi, both eyes) 160 zł
Histopathology (tissue sample) 150 zł
Application of therapeutic lens 80 zł
Aberrometry (adult patient, one eye) 180 zł
Aberrometry (adult patient, both eyes) 230 zł
Extended glaucoma diagnostics 420 zł
Electroretinography (ERG) (adult patient) 450 zł
Electrooculography (EOG) (adult patient) 480 zł
Pattern ERG (PERG) (adult patient) 450 zł
Visual Evoked Potentials (VEP Flash, VEP Pattern) 350 zł
Electrophysiology Package (VEP+ERG) (adult patient) 700 zł
Electrophysiology Package (VEP+ERG+EOG) (adult patient) 1 150 zł
Ophthalmic consultation with occupational medical examination 260 zł
Schirmer test 60zł

Ophthalmological procedures

Intravitreal injection (medicine off-label) 800 zł
Intravitreal injection (Eylea) 2 100 zł
Intravitreal injection (medicine off-label, 3 injections) 1 800 zł
Intravitreal injection (Eylea, 3 injections) 5 300 zł
Intravitreal injection (Beovu, at individual request) 2 600 zł
Intravitreal injection (Vabysmo, at individual request) 3 000 zł
Steroid injection for chalazion (Dexaven, short-acting steroid) 200 zł
Steroid injection for chalazion (Depo-Medrol, long-acting steroid) 250 zł
Removal of a chalazion, lump, nevus 800 zł
Removal of a cyst 600 zł
Removal of a foreign body from the cornea 300 zł
Eyelash electrolysis 350 - 650 zł
Removal of xanthelasma lumps/yellow tufts (one eye) 1 000 zł
Excision of skin horn, wart, cyst, cystadenoma 650 zł
Botulinum toxin injections (medical indication) 900 zł
Cryoretinopexy 900 zł
Retinal laser therapy (diabetic retinopathy, degenerative diseases, one eye) 450 zł
Retinal laser therapy (with anaesthesia, one eye) 500 zł
Cryotherapy of the ciliary body (glaucoma, one eye) 700 zł
YAG – Capsulotomy (one eye) 450 zł
YAG – Capsulotomy (both eyes) 800 zł
YAG – Iridotomy (one eye) 450 zł
YAG – Iridotomy (both eyes) 800 zł
Selective Laser Trabeculoplasty (SLT, one eye) 500 zł
Selective Laser Trabeculoplasty (SLT, both eyes) 950 zł
Removal of pterygium (one eye) 1 500 zł
Tear duct irrigation (adult patient, one eye) 160 zł
Tear duct irrigation (adult patient, both eyes) 200 zł
Insertion of punctal plugs (dissolvable after 3 years, adult patient) 900 zł
Retrobulbar/subconjunctival injection 100 zł
Platelet-rich plasma (PRP) injection 450 zł
Removal of eyelid or conjunctival lesion 700 zł
Removal of eyelid or conjunctival lesion with suture 900 zł
Suturing of eyelid skin (one eye) 500 zł
Suturing of conjunctiva (one eye) 450 zł
Suturing of conjunctiva (superficial wound without revision of the sclera, one eye) 500 zł
Dry Eye Disease - Rexon-Eye therapy (1 session - 30 minutes) 250 zł
Dry Eye Disease - Rexon-Eye therapy (4 sessions x 30 minutes) 900 zł

Ophthalmological surgeries and pre-operative assessment

Pre-operative assessment for cataract surgery (irrespective of the lens type) 420 zł
Cataract surgery (one eye, with IOL implant, depending on the type of lens used) 3 800 - 10 700 zł
Complicated cataract surgery 4 700 – 5 500 zł
Pre-operative assessment for vitrectomy 420 zł
Vitrectomy (one eye) 7 000 - 12 500 zł
Pre-operative assessment for blepharoplasty (both eyes) 400 zł
Upper eyelid blepharoplasty (both eyes) 4 500 zł
Lower eyelid blepharoplasty of (both eyes) 5 200 zł
Lower eyelid retraction surgery - Ektropion (one eye) 3 000 zł
Upper eyelid retraction surgery - Entropion (one eye) 3 000 zł
Ptosis surgery (one eye) 3 800 zł
Repeated blepharoplasty (one eye) 6 000 zł
Pre-operative assessment for glaucoma surgery 420 zł
Trabeculectomy / Sclerectomy (one eye) 4 500 zł
Surgical Iridotomy (one eye) 2000 zł
Endoscopic cyclophotocoagulation (ECP)(one eye) 4 500 zł
Surgical Capsulotomy (one eye) 1 500 zł
Phaco-vitrectomy (vitrectomy with cataract removal, one eye) 8 300 - 12 500 zł
Phacoemulsification with ECP (one eye) 5 700 zł
Phacoemulsification with iridotomy (one eye) from 4 500 zł
Implantation of macular buckle (one eye) 8 000 zł
Scleral buckling with an explant (one eye) 6 500 zł
Scleral buckling with Cerclage (one eye) 6 800 zł
Scleroplasty (one eye) 6 800 zł
Pneumatic retinopexy - injection of a gas bubble into the eyeball (one eye) 2 200 zł
Removal/replacement of silicone oil (one eye) from 4 500 zł
Pre-operative assessment for strabismus surgery (adult patient) 380 zł
Strabismus surgery (adult and paediatric patients, under general anaesthesia) 8 000 zł
Repeated strabismus surgery (adult and paediatric patients, under general anaesthesia) 8 000 zł
Pre-operative assessment for secondary orbital implant surgery, tumour removal, enucleation, etc. 420 zł
Enucleation and evisceration (with an orbital implant, one eye) 11 000 zł
Secondary orbital implant surgery (one eye) 11 000 zł
Removal of orbital tumors (with biopsy) 3 500 - 5 000 zł
Removal of superficial orbital tumours (deep) 5000 - 7000 zł
Orbital socket reconstruction (with fat graft) 8 500 zł
Eyelid lesion removal with reconstruction (flap rotation, free skin grafts, one eye) from 2 600 zł
Plastic surgery of conjunctival fornices 2 300 zł
Excision of prolapsed/herniated orbital fat (one eye) 3 700 zł
Amniotic membrane graft (one eye) 2 200 zł

Laser refractive surgery

Pre-operative assessment for laser refractive surgery 420 zł
Laser refractive surgery - techniques:
1) Smart Lasek (one eye) 3 999 zł
Smart Lasek (both eyes) 4 950 zł
2) Smart TransPRK (one eye) 6 000 zł
Smart TransPRK (both eyes) 6 300 zł
3) Smart EBK (one eye) 6 200 zł
Smart EBK (both eyes) 6 700 zł
4) Smart PTK (one eye) 6 000 zł
Smart PTK (both eyes) 6 300 zł

Refractive lens exchange

Pre-operative assessment for refractive lens exchange 420 zł
Refractive lens exchange – types of lenses:
1) Multifocal lenses (one eye) from 7 000 – 10 700 zł
2) Monofocal lenses (one eye) from 3 800 - 7 000 zł

Optometry (patients aged 16 and over)

Optometric consultation with contact lens fitting (trial contact lenses) 300 zł
Optometric consultation with spectacles fitting 170 zł
Optometric consultation with occupational medical examination 220 zł
Optometric follow-up consultation after up to 30 days free of charge
Optometric follow-up consultation after 30 days 180 zł
Full optometric examination with biometry (performed at the main location) 270 zł
Full optometric examination without biometry (performed at Cieszkowskiego branch) 250 zł
Full optometric examination + corneal topography + contact lens fitting 350 zł
Specialized lenses for Corneal Refractive Therapy (spherical lenses, one eye) 1 100 zł
Specialized lenses for Corneal Refractive Therapy (spherical lenses, both eyes) 2 200 zł
Specialized lenses for Corneal Refractive Therapy (toric lenses, one eye) 1 250 zł
Specialized lenses for Corneal Refractive Therapy (toric lenses, both eyes) 2 500 zł
Anterior segment therapy (specialized lenses, coloured, one eye) 1 200 zł
Anterior segment therapy (specialized lenses, coloured, both eyes) 2 400 zł

Orthoptics (patients aged 16 and over, services provided only at Cieszkowskiego branch)

Orthoptic consultation (diagnosis, orthoptic examination) 150 zł
Synoptophore test 80 zł
Orthoptic follow-up consultation 90 zł
Orthoptic - pleoptic exercises (vision therapy, 1 session - 30 minutes) 100 zł
Orthoptic - pleoptic exercises package (vision therapy, 5 sessions x 30 minutes ) 450 zł
Orthoptic - pleoptic exercises package (vision therapy, 10 sessions x 30 minutes ) 900 zł
Combined package - orthoptic & optometric consultation (both eyes) 300 zł
Combined package - orthoptic, ophthalmic & optometric consultation (both eyes) 350 zł

Administrative fees

e-prescription (issued without medical consultation) 45 zł
Medical certificate (Social Insurance Institution (ZUS), disabilities) 110 zł
Release of medical records (copy, per A4 size page) 0,45 zł

Preventive eye care

Comprehensive ophthalmological consultation - screening test (adult person) The service comprises: Optometric consultation (refraction test, IOP measurement, visual acuity test) Ophthalmic consultation (slit lamp examination, visual field test, pupil dilation, OTC of the macula, OTC of the optic nerve with evaluation of the results) 750 zł

Pediatric Outpatient Ophthalmology Clinic

DIAGNOSTIC TESTS - PAEDIATRIC OPHTHALMOLOGY
Ophthalmic consultation (without pupil dilation, children up to 16 y/o) 260 zł
Ophthalmic consultation (with pupil dilation, children up to 16 y/o) 280 zł
Ophthalmic consultation for strabismus patients (children, 1st consultation ) 320 zł
Ophthalmic consultation for strabismus patients (children, 2nd consultation) 290 zł
Ophthalmic consultation for strabismus patients (children, 3rd consultation) 290 zł
Ophthalmic follow-up consultation for strabismus patients (children, every 6 months) 290 zł
Ophthalmic consultation following electrophysiology tests 300 zł
Electroretinography (ERG) (children from 6 y/o) 500 zł
Electrooculography (EOG) (children from 6 y/o) 520 zł
Pattern ERG (PERG) (children from 6 y/o) 500 zł
Visual Evoked Potentials (VEP PATTERN, VEP FLASH) (children from 6 y/o) 400 zł
Electrophysiology Packages (children from 6 y/o): 
1) Electrophysiology Package (VEP+ERG) 750 zł
2) Electrophysiology Package (VEP+ERG+EOG) 1 200 zł
Tear duct irrigation (children from 1 y/o) 260 zł
PREVENTIVE EYE CARE
Comprehensive ophthalmological consultation - screening test (children from 7 y/o) The service comprises: Optometric consultation (refraction test, IOP measurement, visual acuity test) Ophthalmic consultation (slit lamp examination, pupil dilation, biometry, stereoscopic vision test - Stereo Fly Test, colour vision test - Ishihara test, evaluation of the results) 850 zł
ORTHOPTICS (CHILDREN FROM 4 TO 16 Y/O, SERVICES PROVIDED ONLY AT CIESZKOWSKIEGO BRANCH)
Orthoptic consultation (diagnosis, orthoptic examination) 150 zł
Synoptophore test 80 zł
Orthoptic follow-up consultation 90 zł
Orthoptic - pleoptic exercises (vision therapy, 1 session - 30 minutes) 100 zł
Orthoptic - pleoptic exercises package (vision therapy, 5 sessions x 30 minutes) 470 zł
Orthoptic - pleoptic exercises package (vision therapy, 10 sessions x 30 minutes ) 900 zł
Combined package - orthoptic & optometric consultation 350 zł
Combined package - orthoptic, ophthalmic & optometric consultation 380 zł
OPTOMETRY (CHILDREN FROM 6 TO 16 Y/O)
Optometric consultation with contact lens fitting (trial contact lenses, after ophthalmic consultation) 300 zł
Optometric consultation with spectacles fitting 170 zł
Optometric follow-up consultation after up to 30 days free of charge
Optometric follow-up consultation after 30 days 130 zł
Full optometric examination with biometry (performed at the main location) 270 zł
Full optometric examination without biometry (performed at Cieszkowskiego branch) 250 zł
Full optometric examination + corneal topography + trial contact lenses fitting 350 zł
Combined package - orthoptic & optometric consultation (orthoptic consultation + spectacles fitting by an optometrist) 350 zł 
TREATMENT OF MYOPIA (LOW-DOSE ATROPINE IN CHILDREN AND ADOLESCENTS)
1) Fist consultation
Optometric evaluation (measurement and assessment of binocular and spatial vision, measurement of refraction before and after cycloplegia, examination of eye alignment, measurement of the axial length of the eyeball, corneal topography, OCT of the optic disc, OCT of the macula) 180 zł
Ophthalmic consultation (ophthalmic examination with evaluation the anterior and posterior segment of the eye, after dilation: visual acuity test, refractive errors, measurement of refraction) 280 zł
2) Follow-up consultation after 1 month
Optometric evaluation (medical history, vision model, measurement of binocular and spatial vision, examination of eye alignment) 180 zł
3) Follow-up consultation after 6 months
Ophthalmic consultation (the same scope as during the first consultation) 280 zł