Legal rate
The legal rate is the fee that a physician is allowed to charge for specific services. The fees are set by the NIHDI (National Institute for Health and Disability Insurance). They consist of the legally defined personal contribution that you as a patient must pay for yourself (regardless of room selection) and the amount reimbursed by the health insurance fund.
There are also services that are not reimbursed by the health insurance fund and for which the physician is free to determine the fee.
Fee Supplement
In addition to the statutory rate, hospital physicians are allowed to charge fee supplements that the health insurance fund does not reimburse. If you have hospital insurance, these costs are usually borne by the insurance company.
In our hospital, we bill all services in multiple or double rooms at the statutory rate. For a single room or deluxe room (maternity ward) all healthcare providers that provide treatment to you (e.g., an anaesthesiologist, surgeon, physical therapist, etc.) can charge a supplement of respectively 135% or 173% on top of the base rate.
Unconventioned physicians can also charge a supplement for consultations. This can go up to 50%.
In some exceptional situations, the law prohibits charging a fee supplement to the patient.