Upon Hospitalization

Hospitalization reservations

  1. Hospitalization reservations are conducted at the outpatient clinic of the department where you are being seen.
    Depending on the disease condition, contact may be made by phone.
  2. Patients with inquiries regarding their date of hospitalization, or who wish to make changes to or cancel their hospitalization should contact the outpatient clinic of the department where you are being seen.

Hospitalization registration

  1. When being hospitalized, please bring the following documents to the “Hospitalization Guidance” counter on the 1st floor of the outpatient wing. Once you have finished registering you will be hospitalized.
  2. Necessary items at registration
    1. Patient Registration Card
    2. Reservation card (cardholders only)
    3. Hospitalization application/Hospitalization Guarantee (3-page carbon copy form)
      *Please read the “Notes on Filling in the Form.”
    4. Hospital Gown Form (3-page carbon copy form)
    5. Insurance card
    6. Benefits card
      (Elderly beneficiary, welfare medical expense beneficiary, disabled children coupon, rehabilitative medicine coupon, out-of-pocket upper limit form, nurturing medical coupon, medical assistance through the public assistance act, medical care for designated illnesses beneficiary, designated pediatric chronic disease beneficiary, proof of upper limit application approval, etc.)
    7. Personal seal (inkan)
    8. Referral (Forms provided by another hospital after hospitalization was decided, etc.)
  3. There are measures that can be taken to apply for benefits for various benefits programs while you are hospitalized. Please inquire within. If there are any changes to your insurance card/benefits cards while you are hospitalized, please register the changes as quickly as possible.
  4. Delays in submitting your insurance/benefits card or any changes while hospitalized may result in being required to pay the entire amount of your medical fees.
  5. Please go to the “hospitalization guidance” counter with any inquires or to make any changes.
  6. In order to receive approval to pay only the upper limit in hospitalization fees, please submit your proof of upper limit application approval issued from your insurer at the hospitalization guidance counter.

What to bring when hospitalized

Please bring the items listed below in addition to whatever the department where you receive treatment requires. Please bring as few items as possible.


  • Personal seal (inkan)
  • Medicine
  • Medicine record book
  • Toiletries
  • Chopsticks
  • Spoon
  • Cup
  • Underwear
  • Towel
  • Bath towel
  • A cover-up (bathrobe, cardigan, etc.)
  • Slippers
  • Headphones
  • Waste basket

These items can be purchased at the convenience store in the hospital.

Regarding medicine

Please bring any medicines you are currently taking
・Please bring all medicines you are currently taking including any you have been prescribed from this hospital and any other hospital.

*Your medicines will be used effectively.

・Please bring any health food products or supplements you are currently taking.

*We will confirm their compatibility with the medicine you are currently taking.

・Patients with a history of allergic reactions or side effects to any medicines or foods should inform us.

※Please fill out the area in your medicine record book that requires your personal information.

Once you are hospitalized a medicine check will be performed at the Division of Pharmacy and the hospital ward. Please pack your medicine so that it may be easily removed from your luggage. Please be ready to present your medicine record book and any medicine pamphlets as well.

Regarding sleepwear

  1. Bedding (bed pad, comforter, blanket, pillow, sheets) will be provided by the hospital. Therefore there is no need to bring any with you.
  2. Hospital gowns will be provided to those patients who request one. In order to prevent the spread of contagious disease and to maintain a hygienic environment we request patients where hospital-provided gowns whenever possible. Hospital gowns can be rented for 72 yen/day.
  3. Hospital gowns are laundered 2 – 3 times/week. Your cooperation is appreciated.
  4. Please refrain from going outside in a hospital gown.

Hospital rooms

  1. Standard hospital rooms are shared by 3 – 4 people. They are equipped with beds, bedside cabinets, and prepaid card-operated TVs. Also, there is a safe (with key) to keep valuables within the bedside cabinet, a backside locker, refrigerator (paid), paid electric outlet (500W). Hair dryers are not permitted.
  2. The electric outlets in the hospital room are for medical equipment and may not be used.
  3. In addition to regular hospital rooms, special rooms that require an additional fee are available for patients who wish to convalesce in a private room.

Wearing wristbands

  1. In order to protect the safety of our patients, as a general rule all patients are required to wear wristbands at this hospital. We appreciate your cooperation in this matter. The items written on the wristband are the patient’s ID number, name, date of birth, wing name, and are used for safety purposes during hospitalization. Once you are hospitalized staff from the wing will affix your wristband.
  2. At this hospital, wristbands with electronic tags, a new technology, are used.. For example, when receiving an injection in the ward, this band will perform a check using wireless technology to confirm the patient and the injection are both correct. We appreciate your understanding and cooperation in this matter. At this hospital, the only personal information on the electronic tag is the patient’s ID number, which is printed on the surface of the wristband.

Identification verification

To protect the safety of our patients, at this hospital we require patients to state their names when undergoing the following processes. Your cooperation is appreciated.

  1. When entering the operating room.
  2. When receiving an injection.
  3. When undergoing anesthesia.
  4. When having blood taken.
  5. When undergoing tests.
  6. When receiving medication.
  7. When receiving medical care.
  8. When receiving a blood transfusion.
  9. Whenever necessary.


  1. While hospitalized, meals are prepared and provided in consideration of the patient’s symptoms.
  2. Breakfast is at 7:30 a.m., lunch is at 12:00 p.m.,. and dinner is at 6:00 p.m.
  3. Regular meals (Regular meals A-D) have a choice of menu. Except during o-bon and year-end/beginning holidays, patients may choose from among two choices for 2 meals (breakfast and lunch) everyday.
  4. A nutritionist is available to consult with regarding nutritional management. If you would like a consultation please speak to your primary physician or the ward staff.


Nurses provide care during a hospital stay. However, depending on the symptoms, family members may attend patients when it is deemed necessary.

Patient Responsibilities


  1. Please follow the instructions you receive from the doctors and nurses.
  2. Due to the circumstances of your medical care, you may be asked to change hospital rooms during your stay. Your cooperation is appreciated.
  3. Please do not leave any unnecessary items in your hospital room, and keep the room clean.
  4. Please do not place items on the windowsill, hang items in the window, or throw items outside.
  5. Please take care to prevent fires. Smoking is not permitted in any hospital buildings or on the grounds.
  6. The electromagnetic waves emitted by cellular phones can cause electronic medical devices to malfunction. Therefore we request you turn your cellular phone off in the hospital room. Please use cellular phones in the ward hall or hallways in locations where no other people or electronic medical devices are in the vicinity, and it will not be an inconvenience to anyone else.
  7. Light is turned off at 9:00 p.m.
  8. The public phone at the ward’s staff station may be used until lights out. After that time, please use a phone in another location (outpatient wing, 1st or 2nd floor halls of each wing). The telephone card vending machine is located in 2nd floor central hall of the First Wing.
  9. The prepaid card-operated TVs in your hospital room are available for your use. The TV card vending machine is located in the 1st floor central hall of the First Wing. As a general rule personal electronic items are not permitted.
  10. We cannot take hold personal items for you. Please take care to prevent the theft of your personal items. Please refrain from bringing valuables with you.
  11. Cash can be withdrawn and deposited at the ATM machine near the hospital main entrance. Akita Bank, Hokuto Bank, and Japan Post Bank cards can be used.
  12. A mailbox is located in the 1st floor elevator hall of the Second Wing. This is subject to change due to construction.
  13. The laundry, washbasins, and shower room are available for use from 6:00 a.m. – 9:00 p.m. Please refrain from using these facilities outside those hours. Please write your name on all clothing you launder, after washing wring out your clothing and use the drying room to dry them. Please remove your clothing as soon as it is dry. Washing machines are 200 yen/cycle, dryers are 100 yen/cycle.
  14. Any physical violence, verbal abuse, sexual harassment, or other disturbances during your hospital stay will result in being discharged from the hospital and possibly reported to the police.
  15. The day room is available for use 24 hours a day, however the TV may only be used between 6:00 a.m. and 9:00 p.m.
  16. As a general rule, you may not be seen at another medical institution while you are hospitalized at this hospital. If medicine you were prescribed at a different medical institution runs out during your stay, please consult your primary physician or a member of the nursing staff.
  17. *If you have any other concerns or problems during your hospital stay, please do not hesitate to consult your primary physician or a member of the nursing staff.

Division of hospital wards

The hospital wards are divided as shown on the“hospital guidance map.」” However, depending on the status of open beds you may be hospitalized in the ward of a different department. We appreciate your understanding in this matter.

Hospitalization fees

  1. Hospitalization fees are priced as follows.                                                                                                                                                                                                                                                                                                                                                                                                                                 
    1. Patients who fall under comprehensive evaluation
      Medical fees are calculated based on a fixed amount of points per day. Points for each category of diagnostically related groups have been determined in accordance with the number of days hospitalized. Included in the comprehensive evaluation are basic hospitalization fees, tests, medication, injections, diagnostic imaging, etc. Surgeries are fee-for-service based. Primary physicians determine whether care is subject to comprehensive evaluation.
    2. Patients who fall under fee-for-service payments
    3. (Per day)

      Basic hospitalization fees

      Category Period of hospitalization
      General ward First day Days 2 – 14 Days 15 -30 Past day 31
      \32,310 \25,060 \18,310 \16,240
      Category Period of hospitalization
      Psychiatric ward
      Additional auxiliary care 2
      First day Days 2 - 14 Days 15 – 30 Days 31 – 90
      \22,950 \15,700 \13,150 \11,900
      Days 91 – 180 Days 181 – 1 year Beyond 1 year
      \10,950 \10,800 \10,650

      *The fist day of hospitalization includes fees for medical records management, clinical training hospital inpatient medical care, medical safety measures, enhanced system for patient support, regional alliances to prevent the spread of infection, and infection prevention measures.

      In addition to hospitalization fees, medicine administration fees, Injection fees, test fees, diagnostic X-ray fees, treatment fees, surgical fees (including blood transfusions), pain relief fees, and documentation fees are added.

  2. Depending on the type of insurance you hold, you may be required to pay 10, 20 or 30 percent of the above costs. However, consumption tax is added to the documentation fee, and other handling costs not covered by insurance.
  3. The amount elderly patients (those insured by the medical insurance system for the elderly aged 75 or older) pay 10% of the above-mentioned general populace and 30% if their income is above a certain level, however the upper limit contribution per month at the same medical institution is 44,400 yen. However, the upper limit per month for those whose households are exempt from city or village taxes is 24,600 yen. Also those whose households are exempt from city or village taxes and receive elderly pension benefits upper limit per month is reduced to 15,000 yen. Please present proof of reduction (exemption) approval if these conditions apply.
  4. Cost of meals during hospitalization
  5. One meal costs 260 yen. However, in cases of 1 or 2 below, the fee is reduced.

    1. For members of a household exempt from city or village taxes who has received a fee reduction (exemption) approval one meal is 210 yen (if you have been hospitalized for more than 90 days over the course of the last year, one meal is 160 yen).
    2. For members of a household exempt from city or village taxes who receive elderly pensions one meal is 100 yen.
  6. A special additional cost is applied to severely ill or injured patients placed in special designated hospital rooms.

Special Rooms (rooms with a price difference)

Special rooms (rooms with a price difference) are available at this hospital as listed below. Those who wish to stay in these rooms should speak to their doctor or the head ward nurse upon entering hospitalization.

The charge for a special room is in addition to hospitalization fees and the price difference is not covered by insurance. When using the rooms for a maternity stay, the rooms are exempt from consumption tax.

Basic Hospitalization Fee
Room name Cost When used for a maternity stay (tax exempt)
Special Room S \23,760 \22,000
Special Room A \21,600 \20,000
Special Room B \18,360 \17,000
Special Room C \7,560 \7,000
Special Room D \5,400 \5,000
Special Room E \4,320 \4,000
Semiprivate \1,620 \1,500

The equipment and facilities found in a special room, in addition to the bed, bedside cabinet, and other items found in a regular hospital room are listed below.

Category Special Room S Special Room A Special Room B Special Room C Special Room D Special Room E Semiprivate
Kitchen unit        
Guest set        
Wooden chest  
Wooden cabinet        
Wooden desk        
Wooden chair  
Wooden bench/storage box      
Unit shower & toilet            
Wash basin  

Paying your hospital fees

  1. This hospital falls under the “comprehensive evaluation of inpatient care at a university hospital.”

    An invoice for your hospital fees through the end of the month will be delivered to you by the 10th of the following month. Please pay the invoice as soon as possible.

    As a general rule, an invoice will be given to you upon your release from the hospital (except on holidays). Please pay the invoice as soon as possible.

  2. For consultations and inquires regarding hospitalization fees, please inquire at the accounting counter before paying your bill.
    Category Counter Available hours
    Inquiry Content of hospitalization fees Hospitalization Guidance Counter
    8:30 a.m. – 5:00 p.m.
    excluding Saturdays, Sundays,
    public holidays, year-end/beginning holidays
    Payment of hospital fees Payment Counter
    Payment of hospital fees Payment Counter
    Automated Payment machines

    *Mornings are extremely crowded. Please make use of the service in the afternoon when it is less crowded.

  3. Credit cards

    Medical fees can be paid with a credit or debit card.

    Available cards The Payment Counter Automated Payment Machine
    Credit Cards VISA・MASTER・JCB・AMEX・UC available available
    Debit cards available unavailable
  4. Please keep your receipt in a secure place as it is required to receive a refund of high medical costs or to be used as a medical expense deduction on your income tax returns. Receipts will not be reissued.
  5. The cost of being seen by the Dentistry and Oral Surgery Department while hospitalized is not included in your hospital fees. Please pay at the Payment Counter or automated payment machines after each consultation.

Issuing medical certificates

  1. Your primary physician will issue a medical certificate regarding your treatment.
  2. Please submit an “application for a medical certificate” at the ward office.
  3. To request a proof of payment of hospital fees, present your receipt at the Payment Counter in the 1st floor outpatient hall and make your request.

Parking lot use

  1. Hospitalized patients may not park their cars in the outpatient parking lot.
  2. Visitors should use the outpatient parking lot. The first hour is free of charge. It costs 100 yen for each hour after (200 yen in the parking structure).
  3. Family members attending hospitalized patients (who have obtained an attending permit) should park in the outpatient parking lot. After completing registration in the ward, please go to the security office to apply for free parking.


  1. Upon hospitalization please confirm the emergency exit locations. If a disaster should occur, please wait for instructions from the hospital.
  2. In an emergency, please follow the instructions given by doctors, nurses, or staff calmly. Please refrain from acting alone, riding the elevators, or returning to the scene.

Discharge procedure

Accounting may send an additional invoice at a later date as a result of documentation circumstances. Your understanding is appreciated.

In-hospital schooling

For children who require long-term hospitalization preventing them from attending school, this hospital offers in-hospital classrooms called “Himawari class (elementary school students)” and “Keyaki class (junior high school students),” where children can study.

These hospital classes conduct studies recognized as traditional school curricula.

Please inquire with a ward nurse upon hospitalization for details.

Non-smoking policy

Please refer to our non-smoking policy here.

Consultation Support Center

 The Consultation Support Center has been established for patients and their family members to seek consultation or lodge complaints. Please feel free to inquire at the “Medical Consultation Reception Desk” with anything you don’t understand or want to ask about.

Patients concerned about their medical fees

High medical care cost policy guidance

  1. High medical care cost system

    A system by which, if the medical costs for one month exceed a certain amount, the amount exceeded will be refunded via health insurance.

  2. High medical care cost benefits in kind system

    High medical care cost benefits in kind system

    A system by which the medical care costs of a person not yet 70 years of age are kept below a base amount. The “upper limit approval certificate” is provided from your insurer and should be presented at the 1st floor hospitalization guidance in the outpatient ward as soon as possible. This system is only applicable for the period of hospitalization and does not apply to outpatient consultations. Those who hold elderly beneficiary certificates or those insured by the medical insurance system for the elderly aged 75 or older need not apply.

  3. Medical cost financing system

    A system by which those who are ineligible for 1. or 2. may still reduce their payment burden as much as possible.

    *Applications must be submitted for each month. When receiving medical treatment that continues into the following month, medical costs and the amount exceeding the prescribed upper limit are calculated per month.

    *The prescribed amount varies depending on age and income. For details please inquire with your health insurance representative.

    *An explanation can also be provided at the Consultation Support Center at this hospital. (Those who desire a consultation should make a request at counter 3 of the 1st floor hospitalization guidance in the outpatient wing.) Or, please inquire with the resources listed below.

    Those with national health insurance
    The insurance counter at your city, town, or village
    Those with insurance from a health insurance association
    The health insurance representative at your place of work or the Health Insurance Association, Akita Branch (Tel: 018-883-1800)  
    Those with union insurance
    The health insurance representative at your place of work or the insurance counter at your union