Top>Inpatient & Visitor Guide>Admission fees & Procedures for discharge

Admission fees & Procedures for discharge

Admission fees

Calculation of medical fees

The hospital is designated by the Ministry of Health Labour and Welfare as a Diagnosis Procedure Combination (DPC) hospital. Using a method established by the Ministry of Health, Labour and Welfare, medical expenses are calculated based on a fixed amount of daily points depending on factors such as the patient’s symptoms and the content of surgical procedures, treatments, tests and so on. In some cases, such as psychiatry and dentistry beds, it may also be calculated on a completed amount basis as before. For more information, refer to the Inpatient Medical Expenses Calculation Method (Diagnosis Procedure Combination) in the Admission and Discharge Center. For further details, ask at the Admission and Discharge Center.

Elective medical care expenses for long-term hospitalization

If you stay in the hospital continuously for more than 180 days with the same illness, 15% of the basic stay points are self-funded treatment.
Even if you change hospitals, the calculation of the 180-day period continues.
For more information, refer to the Elective Medical Expense System for Long-Term Hospitalization in the Admission and Discharge Center.

High medical expenses


  • Calculated as one month of consultation from the first day of the month until the end of the month.
  • Medical and dental are calculated separately, even in the same hospital.
  • Inpatient and outpatient care are calculated separately, even in the same hospital.
  • It only applies to the portion of medical expenses eligible for health insurance.


Periodic billing (hospitalized persons)

Charges for inpatient treatment are calculated at the end of the month for that month. An invoice (inpatient treatment charge notification) is delivered to the ward around the 10th of the next month. Please pay within 20 days.

Billing at the time of discharge (persons leaving hospital)

When you leave the hospital, please visit the Admission and Discharge Support Desk, and when you’ve completed the discharge procedure, we will give you your bill for inpatient treatment. If you need a rough estimate of inpatient treatment charges, consult a nurse in your ward.


To pay, visit the payment point with your inpatient treatment charge notification or patient registration card.

Payment times

Weekdays: 8:30-17:15
Outside weekday hours 17:15-22:00 (except the end of the month)
Saturdays, Sundays and National Holidays 8:30-22:00

Payment points

On weekdays, at automatic checkout machines or the payment desk
Other times, at the reception next to the West Ward entrance (duty room)

Besides cash, you can pay by credit card or debit card.

  • *If you have any questions concerning automatic checkout machines, credit cards or debit cards, ask at the payment desk (weekdays 8:30-17:15).

When the fees for inpatient treatment cannot be calculated
While awaiting approval for medical care or just before an operation or test

  • *After payment of the fees for inpatient treatment, payment requests may arrive late from the ward or laboratory. Please note that we may need to bill you again for these additional amounts.

Procedures for discharge

  • On the day of discharge, please visit Admission and Discharge Support in the Patient-Support and Community-Service Center.
    We will give you an Inpatient Treatment Fee Notification, which can be paid at the automatic checkout machines or the payment desk.
    If your fees cannot be calculated because you are applying for public support, you will be asked to fill in a Payment Certificate in the ward.
  • If you leave hospital on a Saturday, Sunday, or public holiday, please go to the after hours desk.
    Your fees cannot be calculated, so you will be asked to fill in a Payment Certificate at the after hours desk before discharge.
  • When you are discharged, the ward will give you a Discharge Certificate issued by the hospital (free of charge).
    If you stay in another hospital after this one, you may be asked to show the Discharge Certificate, so look after it carefully.

Certificate and medical certificate

Apply at the medical certificate desk for documents such as medical certificates.
Availability: Weekdays: 8:30-17:00 Telephone: 088-633-9003 (Ext. 6065)

  • Please pay document fees when requesting them.
  • In principle, documents will be mailed to the address on the application form when they are ready.
  • If another person applies for you, they must have identification such as a driver’s license, notice of power of attorney, and a letter of consent.
  • Medical certificates such as life insurance cannot be received until one week prior to when the day of discharge is decided.