Client fees
Fees charged from clients are determined according to the Act and Decree on Client Charges in Healthcare and Social Welfare.
The fees charged from clients by HUS for appointments, remote appointments, treatment periods and medical certificates are determined in accordance with the Act and the Decree on Client Charges in Healthcare and Social Welfare. If you do not have a municipality of residence in Finland, see instructions below.
We also charge a fee for not attending a specialist medical care appointment, remote appointments, and diagnostic examination appointments. The fee will not be charged if there is an acceptable reason for not attending. Appointment cancellations must be made by noon on the previous day. You can find instructions on how to cancel an appointment in the instructions on how to arrive in the unit.
We will send you an invoice afterwards, about two weeks after your treatment or appointment. We can send you the invoice by post, e-invoice or direct payment, depending on your choice. You can receive e-invoices, i.e. electronic invoices, by entering into an e-invoice agreement through your online banking service. The sender of the client fee invoice is HUS Group, treatment invoices (HUS-yhtymä, hoitolasku).
You can start using direct payments by making a direct payment authorization at your local bank or through their customer service. Direct payment means that you authorize your bank to pay the invoice from your bank account on your behalf. An advance notice of the invoice will be mailed to you and your bank will debit the payment from your account on the due date.
Invoices are generally given a payment period of 3 weeks. If you do not pay your invoice by the due date, you will receive a reminder 2 weeks after the due date. If you do not pay your invoice by the due date, we will charge penalty interest according to the Interest Act as of the due date.
Act on Client Charges in Healthcare and Social Welfare
Decree on Client Charges in Healthcare and Social Welfare
Contact our client fee customer service if you need advice or more information or if there is something unclear about the invoice.
HUS client invoicing customer service
Telephone: 09 4717 8550; open on weekdays from 9 a.m. to noon
Email address: asiakaslaskutus@hus.fi
Postal address: HUS Financial Services, Asiakaslaskutus, P.O. Box 680, FI-00029 HUS.
For efficient service, please include your full name, date of birth, and current address when contacting us.
We record all phone calls for quality assurance and training purposes.
Reminders for old client invoices
HUS has experienced delays in sending out payment reminders. We are now sending out payment reminders regarding patient invoices from 2021 and 2022 for which no payment reminder has been sent in the past. If the invoice is not paid by the due date, the matter will be given to a debt collection agency.
For more information on invoices and reminders, please contact the customer service for invoices. You can contact our customer service by emailing asiakaslaskutus@hus.fi , and our phone line is open weekdays from 9:00 a.m.–12:00 noon, tel. 09 471 78550.
Client invoices can be paid in HUS restaurants
You can now pay your HUS client invoices at the restaurant counters in our hospitals. Below is a list of the restaurants where you can pay client invoices.
To pay an invoice, you will need to have the paper invoice you’ve received. We cannot accept your payment without the invoice. Cashiers at the restaurants are not able to provide advice in matters related to invoicing. If you need advice, please call our patient invoicing customer service, open Mon–Fri 09:00–12:00, tel. 09 471 78550 or contact us by email at asiakaslaskutus@hus.fi
Restaurants:
Biomedicum, Haartmaninkatu 8
Espoo Hospital, restaurant Suolaheinä, Karvasmäentie 6
Hyvinkää Hospital cafeteria, Sairaalankatu 1
Skin and Allergy Hospital, Meilahdentie 2
Jorvi Hospital, Karvasmäentie 8
Lohja Hospital, Sairaalantie 8
Meilahti administrative building’s restaurant; Stenbäckinkatu 9, Building 5
Meilahti Bridge Hospital, Haartmaninkatu 4, Helsinki
Ohkola Hospital, Ohkolantie 10
Peijas Hospital, Sairaalakatu 1 Vantaa
Porvoo Hospital, Sairaalantie 1
Raseborg Hospital, Östra strandsgatan 9
Surgical Hospital, Kasarminkatu 11-13, Helsinki
Tullinpuomi, Topeliuksenkatu 32
Joint Emergency Department fees are levied on people aged 18 and over.
Fees for joint emergency services are not charged in psychiatric outpatient units. There are also no charges for front-line veterans. If a patient is admitted immediately to the hospital for treatment after an examination at an outpatient clinic, a short-term institutional care fee is charged instead of an outpatient fee.
Health center appointment at a joint emergency department
2023: EUR 20.90
2024: EUR 23.00
This fee will be charged from patients aged 18 or above at the joint emergency department on weekdays between 8:00 a.m. and 8:00 p.m.
2023: EUR 41.80
2024: EUR 46.00
This fee will be charged at joint emergency departments on weekdays between 8:00 p.m. and 8:00 a.m. and on Saturdays, Sundays, and public holidays.
Health center nurse appointment at a joint emergency department
2023: EUR 20.90
2024: EUR 23.00
This fee will be charged from patients aged 18 or above at the joint emergency department on weekdays between 8:00 a.m. and 8:00 p.m.
2023: EUR 41.80
2024: EUR 46.00
This fee will be charged at joint emergency departments on weekdays between 8:00 p.m. and 8:00 a.m. and on Saturdays, Sundays, and public holidays.
Emergency dental care health center appointment at a joint emergency department
2023: EUR 41.80
2024: EUR 46.00
This fee will be charged in emergency dental care at joint emergency departments of health centers on weekdays between 4:00 and 9:00 p.m., and on weekends and public holidays between 9:00 a.m. and 9:00 p.m.
Appointment with a specialist physician in joint emergency services
2023: EUR 41.80
2024: EUR 46.00
Short-term inpatient care
2023: EUR 49.60
2024: EUR 54.60
Charged from patients on the days of admission, inpatient care, and discharge. No fee will be charged for the day of discharge if the treatment continues at another institution on the same day.
Daily hospital fee after the payment cap has been exceeded
2023: EUR 22.80
2024: EUR 25.10
Daily hospital fee in short-term psychiatric inpatient care
no fee will be charged
Specialist medical care provided at home
2023: EUR 12.20 per house call
2024: EUR 13.40 per house call
Temporary home service provided by a physician, a dentist, or a nurse.
Day care or night care fee
2023: EUR 22.80
2024: EUR 25.10
This fee is charged if a patient is in care only for the day or only for the night. This fee is not to be collected in the psychiatric outpatient unit, nor for children under the age of 18, in so far as more than seven treatment days have been accumulated in the calendar year.
The outpatient clinic fee is charged from people aged 18 or older. No fee is levied for front-line veterans, patients in psychiatric outpatient units, or for examinations, treatment and follow-up in maternity clinics of pregnant women taking intoxicants. If the patient is admitted to the hospital immediately after a visit to the outpatient clinic, no outpatient clinic fee will be charged.
Physician
2023: EUR 41.80
2024: EUR 46.00
Nurse or special worker
2023: EUR 41.80
2024: EUR 46.00
No fee is levied for front-line veterans, patients in the psychiatric outpatient unit, or for examinations, treatment and follow-up in maternity clinics of pregnant women taking intoxicants.
Physician
2023: EUR 41.80
2024: EUR 46.00
Nurse or special worker
2023: EUR 41.80
2024: EUR 46.00
Group appointment
2023: EUR 11.60
2024: EUR 12.80
Serial treatment appointment
2023: EUR 11,60
2024: EUR 12.80
Joint emergency services, general medical practice
8:00 a.m.–8:00 p.m.
2023: EUR 20.90
2024: EUR 23.00
8:00 p.m.–8:00 a.m.
2023: EUR 41.80
2024: EUR 46.00
Joint emergency services, specialized medical care
2023: EUR 41.80
2024: EUR 46.00
2023: EUR 136.90
2024: EUR 150.80
This fee is charged instead of an outpatient clinic fee for any procedure performed in an operating room and requiring general anesthesia, extensive local anesthesia, or intravenously administered medication.
If a patient undergoing ambulatory surgery must remain at the treatment unit until the following day due to a complication or similar reason, the patient may be charged a daily hospital fee of EUR 49.60 (2024: EUR 54.60) in addition to the fee of EUR 136.90 (2024: EUR 150.80).
2023: EUR 11.60 per appointment
2024: EUR 12.80 per appointment
This fee is charged for a maximum of 45 appointments per calendar year.
For group appointments, a fee equal to the serial treatment fee will be charged.
The serial treatment fee is charged from people aged 18 or older. (The same applies to group appointments.)
Serial specialised medical care provided at home (home dialysis)
2023: EUR 11.60 per appointment
2024: EUR 12.80 per appointment
This fee is defined as 85% of the net monthly income of the patient being treated.
If a patient in inpatient care has a spouse who earns less than the patient, the fee is defined as 42.5% of the combined net income of the spouses. However, the patient must always retain at least 15% of their net income, or at least EUR 112 per month. A patient entitled to a front-veteran’s supplement may retain that benefit.
From the commencement of 24-hour institutional care, a person whose institutional care is estimated to last or whose institutional care has actually lasted at least three months shall be considered to be in long-term institutional care.
The outpatient clinic fees are charged from people aged 18 or older. There are no charges for Finnish war veterans. If several procedures of different degrees of difficulty are performed during the same appointment, the invoice will be for one procedure of the highest degree of difficulty.
Procedure appointment, degree of difficulty 0–2
2023: EUR 18.80
2024: EUR 20.70
Procedure appointment, degree of difficulty 3–4
2023: EUR 29.50
2024: EUR 32.40
Procedure appointment, degree of difficulty 5–7
2023: EUR 48.30
2024: EUR 53.10
Procedure appointment, degree of difficulty 8–10
2023: EUR 65.90
2024: EUR 72.50
Procedure appointment, degree of difficulty 11–15
2023: EUR 88.30
2024: EUR 97.20
Prosthetic appointment 1
2023: EUR 196.30
2024: EUR 216.10
Prosthetic appointment 2
EUR 236.00
If a patient has accumulated more than seven treatment days during a calendar year, no further daily hospital fees, night care fees, or day care fees will be charged. However, there is a fee for ambulatory surgery. A report on the treatment days must be presented to the hospital.
Treatment at the outpatient clinic will be free of charge from 1 July 2021, as will remote appointments and serial treatment.
Medical certificates and statements related to the patient’s treatment are free of charge. Other certificates and statements are subject to a fee (e.g. health certificates requested by the patient for tax authorities, an insurance institution, or the acquisition of a benefit). The actual fee depends on the type of certificate or statement.
Medical certificate and statement
2023: EUR 51.50 at maximum
2024: EUR 56.70 at maximum
Medical certificate on the right to drive
2023: EUR 61.80 at maximum
2023: EUR 68.10 at maximum
This fee is charged for a medical certificate required for the patient to be granted or to retain the right to drive.
2023: EUR 13.60 per day
2024: EUR 18.80 per day
This fee applies to inpatient care of a disabled patient.
The medical appliances required for treatment, along with their fitting, replacement as necessary, and maintenance are free of charge, except if said need is caused by an injury or occupational disease eligible for compensation under the Accident Insurance Acts, Military Injury Act, Motor Liability Insurance Act, or Patient Injury Act.
Appointment cancellations must be made by noon on the previous day.
2023: EUR 51.50
2024: EUR 56.70
This fee is charged from patients aged 18 or more for not attending a specialist medical care outpatient appointment, a remote appointment, or a diagnostic examination appointment. The fee will not be charged if there is an acceptable reason for not attending (e.g. acute illness or other acceptable reason).
Day hospital fee
no fee will be charged
Housing service fee
no fee will be charged
No customer fees are charged from organ donors.
Patients who do not have a municipality of residence in Finland or are not treated as residents of the municipality shall be charged a fee corresponding to the actual costs of treatment, unless otherwise stipulated by an international agreement binding Finland or European Union legislation. This fee will also be charged for the treatment of patients under the age of 18.
Compensation payable to a respiratory paralysis patient for maintenance not received is EUR 49.60 per day (2024: EUR 54.60).
The fee charged from the birth partner of a mother giving birth is EUR 49.60 per day (2024: EUR 54.60 per day) if accommodated in a family room. At the Family Nest Hotel, the fee is EUR 41.80 per day (2024: EUR 46.00). We only charge this fee from the patient, and on the patient’s invoice.
There is a payment cap on client fees for municipal health care. The invoice indicates whether the fee accrues the payment cap. If the total amount of your fees accumulating the payment cap exceeds EUR 692 (2024: EUR 762) any given calendar year, the municipal healthcare services will primarily be covered by the payment cap and be free of charge for you until the end of that calendar year. Even after the payment cap has been exceeded, we will continue to charge a reduced fee per treatment day for short-term inpatient care. The payment accrual monitoring period is a calendar year and you must monitor the accrual of the payment cap yourself. Fees payable for patients under 18 years of age can be included in the payment cap for either of their guardians. Upon request, you will receive a certificate stating that your payment cap has been exceeded after the cap has been reached. Keep the original receipts of your paid treatment fees, as they can be requested when applying for a certificate. More information available from the HUS patient invoicing customer service.
For more information on the payment cap, visit the Ministry of Social Affairs and Health website.
If you are in long-term institutional care in HUS (estimated or actual duration 3 months or more), you will be charged a fee, the amount of which will be determined on the basis of the patient’s ability to pay pursuant to the Act on Client Charges in Healthcare and Social Welfare.
The long-term institutional care fee will be reduced or waived, if the charging of the fee endangers the conditions for your or your family’s livelihood or the fulfilment of your legal maintenance obligation (Section 11(1) of the Act on Client Charges in Healthcare and Social Welfare). In such situations, you need to contact patient invoicing or the HUS unit that confirmed your original long-term inpatient care fee. The reduction and non-collection of the fee is primary in relation to the income support provided for in the Act on Social Assistance.
Reduction can be granted for flat-rate fees if the patient receives guarantee pension or if the patient has been granted debt adjustment by a district court. However, no reduction is granted for fees for missed and not cancelled appointments, nor is it granted for patients who do not have a home municipality in Finland and who are responsible for the full cost of their treatment. Requests for reduced fees should be addressed to the HUS patient invoicing customer service.
You may apply for an extended payment period for your HUS invoices and agree on a payment plan. If you have outstanding patient fees that have not yet been sent to collection, please contact the invoicing customer service as soon as possible to agree on a payment plan.
If your invoice has already been sent to collection, please contact the collection agency and agree with them how to deal with your invoice.
For more information on patient invoicing in HUS hospitals, please call 09 4717 8550 or email asiakaslaskutus@hus.fi
We are open on weekdays from 9 a.m. to noon. The service is closed on weekends and public holidays.
The mailing address for patient invoicing is HUS Financial Services, Asiakaslaskutus, P.O. Box 680, FI-00029 HUS.
Collection office: Lowell, customer service, tel. 02 2700 300. Online service and chat: lowell.fi/oma
This guideline for making a claim for a revised decision does not apply to an invoice associated with a payment decision for long-term institutional care determined by your ability to pay.
If you are dissatisfied with the invoice regarding the HUS customer fees for an invoice other than the payment decision for long-term inpatient care, you can appeal by submitting a claim for rectification to the HUS Group. You can appeal the invoice if the invoice is addressed to you or the invoice has an immediate impact on your rights, obligations, or benefits.
Make a written claim for rectification at the latest within 30 days of having received the invoice. We consider that you have received the invoice at least on the seventh day from its sending date, unless there is evidence of anything else. The day of arrival of the invoice shall not be included in the claim period. If the last day of the claim period is a religious holiday, Independence Day, First of May, Christmas Eve, Midsummer Eve, or a normal Saturday, the claim for a rectification may be filed on the following working day.
In the claim for rectification, please indicate your name, personal identity code, contact details, invoice number of the invoice to be corrected, the change you are requesting, and your reasons for the claim. Include any documents you are invoking if you haven't already provided them before. If your mandate to speak is being exercised by your legal representative or agent, or if the claim for rectification is drawn up by another person, also provide their name and contact information.
The claim for rectification is addressed to the Board of Directors of the HUS Group. Send the claim for rectification to HUS Group’s Registry, P.O. Box 200, FI-00029 HUS or by email to kirjaamo@hus.fi.
The processing of the claim for rectification is free of charge for you. The invoice cannot be appealed to the courts.
The service voucher complements the in-house clinical services at HUS. We can issue service vouchers to patients on the waiting list in situations where our own capacity is not enough for providing treatment in compliance with the Care Guarantee Act. You cannot yourself request or opt for a service voucher.
Our purpose in this is to guarantee you high-quality treatment and to improve access to treatment flexibly, thereby shortening waiting times.
Service voucher value and how to use it
Your deductible will be no more than the fee charged by HUS for the same service. Treatment that you obtain using a service voucher will cost you no more than the same treatment at HUS. By law, you have the right to refuse a service voucher if offered and choose to stay in the HUS queue instead.
If you do accept a service voucher, you may choose where to go for your treatment from a list of service providers approved as HUS partners. Once you have received a service voucher through the “palse” system, you may book an appointment for a procedure with the service provider of your choice and agree on the time and other details with them. You may also purchase additional services to pay yourself from that service provider beyond what the service voucher covers.
A service voucher is issued to you personally. It cannot be exchanged for cash, and you may not use it for any other purpose than that specified in the issuing decision. You cannot claim a tax credit for household expenses for a service obtained using a service voucher.
You will retain all the rights of a patient provided for in the Act on the Status and Rights of Patients, as with all public healthcare services. The Consumer Protection Act also applies with respect to any service provider that you go to. If you are unhappy with the service you obtain using a service voucher, you may file a complaint with HUS and the service provider.