Healthcare costs

Hospital care costs money. The LUMC likes to make your healthcare costs transparent by explaining everything you have to take into account.

From hospital visit to invoice

Dutch Healthcare Authority (Nederlandse Zorgautoriteit, NZa): "Whoever goes to the LUMC, receives care: from a medical examination by a doctor to an X-ray. But the LUMC does not charge for them separately. They are charged as part of one care package, a so-called DBC care product." 

Healthcare procedure 

At the moment a patient contacts a care provider for care, a healthcare procedure is started. The healthcare procedure is continually updated with information from the care provider about the various relevant diagnosis and/or treatment activities. For instance, in case of a broken leg, often an X-ray is taken and a plaster cast applied, but an operation or a stay in a hospital ward may be necessary too.

The term of a healthcare procedure is stipulated nationally. In 2014 this was a maximum of 1 year, in 2015 a maximum of 120 days. If the treatment ends before that time, the healthcare procedure is terminated earlier too, if the treatment takes longer, a subsequent procedure starts. 

From healthcare procedure to care product 

After a healthcare procedure is terminated, the hospital will send information about the provided care to a central computer. On the basis of fixed rules this computer will generate a 'DBC'. DBC stands for Diagnose Behandeling Combinatie (Diagnosis Treatment Combination). In hospital care a DBC is also referred to as a care product. 

A DBC care product contains the diagnosis and the treatment a patient receives for a certain affliction. Hospitals have to use the DBC code for the invoice to the healthcare insurer. 

Not only DBCs 

There are still several specialisms which do not (only) work with care products (DBCs), being: 

  • Radiology (both care product and procedures)
  • Clinical genetics (both care product and procedures)
  • Oral and jaw surgery 
  • Specialist dentistry
  • Physiotherapy
  • Expensive and orphan drugs and days in intensive care (IC) are invoiced separately from the care products 
For the above specialisms we do not invoice a care product, but the separate procedures, the invoices of which we send directly to the insurer. 

One rate per care product 

Each care product comes at a standard rate. This rate is an average of the treatments of which the care product consists. There are patients who require less care of that particular product, and there are patients who require more care. All those patients of that particular care product are charged the same (average) rate. 

Also when as a patient you have only undergone part of a healthcare procedure, the LUMC has to charge the care product’s fixed rate. 

Treatment period and invoice 

The term of healthcare procedures is stipulated nationally for care products (DBCs). In the event that a treatment is not completed at the end of that term, a subsequent procedure will start. The starting date of a subsequent procedure usually does not correspond with an actual hospital visit. The treatment date on the invoice of the hospital therefore may not be the same as the date of your hospital visit.

Even if you only visited the hospital only once it may be so that the invoice states a treatment period. The end date on the invoice does not have to be the same as the one of your visit. 

Patients with a chronic affliction usually get long-term treatment in which case the invoice may cover various care products. 

Visiting patient rate 

In certain situations healthcare costs are directly charged to the patient: 

  • treatments for which your insurer has not concluded a contract with the LUMC
  • uninsured care
  • treatments of patients without a healthcare insurance

For this care the LUMC charges the so-called visiting patient rate. You as a patient have the responsibility to pay this invoice.


If you have any questions about healthcare costs or an LUMC invoice, contact us on: 

Mon - Fri: from 9:00 AM to 12.00 noon and from 13.00 to 17.00 PM

Telephone: 071 - 526 27 94