SHA Obs and Gyn Tariffs: All 46 Procedures & Prices
SHA obs and gyn tariffs cover 46 procedures, from a KES 8,960 hysteroscopic IUCD retrieval to KES 246,400 for ovarian cancer resection or Wertheim’s Hysterectomy. This specialty covers laparotomy, laparoscopy, hysteroscopy, fistula repair, obstetric emergencies, and gynaecological oncology. Below is every tariff, grouped by procedure type.
1. Laparotomy: Open Gynaecological Surgery
11 procedures — open abdominal surgery for the uterus, ovaries, and tubes.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 370 | Laparotomy: Endometriosis Surgery | 134,400 |
| 371 | Laparotomy: Exploratory / Adhesiolysis | 134,400 |
| 372 | Laparotomy: Hysterectomy (Abdominal) | 89,600 |
| 373 | Laparotomy: Metroplasty / Uteroplasty | 134,400 |
| 374 | Laparotomy: Myomectomy | 89,600 |
| 375 | Laparotomy: Ovarian cystectomy | 89,600 |
| 376 | Laparotomy: Pelvic Abscess | 134,400 |
| 377 | Laparotomy: Ruptured ectopic pregnancy | 134,400 |
| 378 | Laparotomy: Salpingo – oopherectomy | 134,400 |
| 379 | Laparotomy: Tuboplasty | 89,600 |
| 380 | Laparotomy: Vaginal Hysterectomy | 89,600 |
2. Obstetric & Emergency Procedures
8 procedures — pregnancy loss management, uterine trauma, and delivery-related emergencies.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 364 | Cerclage | 22,400 |
| 366 | Cornual Wedge resection for Interstitial Ectopic Pregnancy | 134,400 |
| 369 | Dilation and Curettage for incomplete abortion/miscarriage | 66,000 |
| 383 | Manual Vaccum Aspiriation | 11,200 |
| 385 | Obstetric Examination under GA | 33,000 |
| 401 | Removal of retained placenta under GA | 11,200 |
| 403 | Repair of ruptured uterus/Caesarian Hysterectomy | 134,400 |
| 405 | Resuturing of burst abdomen | 44,800 |
3. Operative Laparoscopy
7 procedures — minimally invasive laparoscopic gynaecological surgery.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 392 | Operative Laparoscopy: Adhesiolysis | 134,400 |
| 393 | Operative Laparoscopy: Ectopic Pregnancy | 134,400 |
| 394 | Operative Laparoscopy: Endometriosis Surgery | 134,400 |
| 395 | Operative Laparoscopy: Hysterectomy | 89,600 |
| 396 | Operative Laparoscopy: Myomectomy | 89,600 |
| 397 | Operative Laparoscopy: Ovarian Cystectomy / Drilling | 89,600 |
| 398 | Operative Laparoscopy: Tuboplasty | 89,600 |
4. Operative Hysteroscopy
6 procedures — camera-guided procedures inside the uterine cavity.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 386 | Operative Hysteroscopy: Avulsion of Endometrial Polyps | 22,400 |
| 387 | Operative Hysteroscopy: Biopsy | 22,400 |
| 388 | Operative Hysteroscopy: Endometrial Ablation | 33,600 |
| 389 | Operative Hysteroscopy: Resection of Submucous Fibroid | 22,400 |
| 390 | Operative Hysteroscopy: Retrieval of lost/ fragmented IUCD | 8,960 |
| 391 | Operative Hysteroscopy: Synechiolysis / Septolysis | 33,600 |
5. Gynaecological Oncology & Cervical Surgery
6 procedures — cancer resection and pre-cancerous cervical treatment.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 367 | D & C + Cone biopsy | 28,000 |
| 381 | LLETZ (Loop excision) | 22,400 |
| 399 | Ovarian cancer resection (Pelvic clearance) | 246,400 |
| 400 | Radical Vulvectomy | 168,000 |
| 406 | Simple Vulvectomy | 44,800 |
| 407 | Wertheim’s Hysterectomy (Oncology only) | 246,400 |
6. Pelvic Floor, Fistula & Prolapse Repair
5 procedures — reconstructive repair of the vaginal wall, cervix, and fistulas.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 362 | AP colpoperineorrhaphy | 89,600 |
| 365 | Colposuspension + D&C | 33,600 |
| 382 | Manchester Repair | 134,400 |
| 402 | Repair of rectovaginal fistula | 89,600 |
| 404 | Repair of vesicovaginal fistula | 89,600 |
7. Fertility, Sterilization & Minor Diagnostic Procedures
3 procedures — tubal ligation, diagnostic laparoscopy, and Bartholin’s cyst drainage.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 363 | Bilateral tubal ligation | 28,000 |
| 368 | Diagnostic / Dye Laparoscopy | 22,400 |
| 384 | Marsupialisation of Batholins Cyst / Abscess | 16,800 |
These tariffs fall under the SHIF surgical package, which limits households to 3 minor, 2 major, and 1 specialized procedure per year. Oncology procedures such as Wertheim’s Hysterectomy and ovarian cancer resection are typically classed as specialized and require Level 4–6 facilities with at least two operating theatres.
FAQ: SHA Obs and Gyn Tariffs
How much does SHA pay for a hysterectomy?
Laparotomy: Hysterectomy (Abdominal) and Laparotomy: Vaginal Hysterectomy are each KES 89,600. Operative Laparoscopy: Hysterectomy is also KES 89,600. Repair of ruptured uterus/Caesarian Hysterectomy is KES 134,400, and Wertheim’s Hysterectomy (Oncology only) is KES 246,400.
How much does SHA pay for ectopic pregnancy surgery?
Laparotomy for ruptured ectopic pregnancy and Operative Laparoscopy: Ectopic Pregnancy are each KES 134,400. Cornual Wedge resection for Interstitial Ectopic Pregnancy is also KES 134,400.
How much does SHA pay for fistula repair?
Repair of rectovaginal fistula and repair of vesicovaginal fistula are each KES 89,600.
Does SHA cover ovarian cancer and gynaecological cancer surgery?
Yes. Ovarian cancer resection (Pelvic clearance) is KES 246,400, and Wertheim’s Hysterectomy (Oncology only) is also KES 246,400. Radical Vulvectomy is KES 168,000.
What is the cheapest Obs & Gyn procedure SHA covers?
Operative Hysteroscopy: Retrieval of lost/fragmented IUCD is the lowest tariff at KES 8,960.
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WhatsApp Us NowTariffs reflect the Surgical Package annex to the Social Health Insurance (Benefit Package) Tariffs. Verified July 2026.
