MEDISPA.PRO
1.1.3 1.1 · Physicians' consulting and examination rooms (Physicians' rooms)

Room 1.1.3 · Orthopaedic trauma surgeon's consulting room with procedure room

Industry analytical passport of room type Medical consulting room. Full profile of architectural TEP, medical equipment specification (CapEx), MEP engineering loads (HVAC, electrical, water supply and drainage), resort price benchmarks and unit economics financial model.

Net usable area NUA
30.0 m²
GBA: ~39.0 m²
Treatment stations
1 station
Type: T1
Equipment CapEx
5 681 450 ₽
18 items
CapEx Finishes / MEP
4 200 000 ₽
Class V
Total investment
9 881 450 ₽
Turnkey incl. VAT
Payback period
8.3 mo
Base scenario

🏛 1. Architectural and planning parameters and zoning

Total area: 30.0 m²

Building requirements and finishing materials (SanPiN)

Cleanliness class:Class V
Wet point:Required (cold + hot water + drain)
Ceiling height:≥ 3.0 m (clear height)
Door opening width:≥ 1.0–1.2 m (medical standard)
Floor covering:Homogeneous antistatic linoleum
Wall finish:Moisture-resistant paint / disinfectant resistance

Functional zone schedule (3 zones)

Functional zone Area Purpose and technological equipment
Specialist's consultation and work area 9.0 m² Physician/nursing workstation, documentation and MIS
Procedure and treatment zone 16.5 m² Procedure and device treatment zone for 1 station
Preparation and disinfection area 4.5 m² Storage of sterile consumables and disinfectants

⚡ 2. Engineering and technology profile (MEP)

Electrical 17.6 kW · HVAC +3.0/-3.0

Electrical (power supply)

Installed power:
17.6 kW
Design power (Kd=0.72):
12.67 kW
Cable lines:
2 beams
Distribution board:
230V / 50Hz (dedicated medical distribution board)
Residual current protection (RCD):
Individual medical type 'A' RCDs 10 mA / 30 mA
Medical UPS:
Not required

HVAC (ventilation & SanPiN)

SanPiN cleanliness class:
Class V
Supply air exchange:
+3.0 ACH
Exhaust air exchange:
-3.0 ACH
Temperature:
20-22°C
Humidity:
45-55%
Gas destruction:
General ventilation filtration

Water supply & drainage and safety

Cold/hot water points:
1 stations (elbow-operated)
Floor drains:
1 pcs (dry trap)
Water treatment:
Standard cold water filtration
Clinical and technological rationale for synergy
Automatic fire alarm, type 2-3 warning and evacuation system, powder/gas fire extinguishers
Nurse call system:
Installed at stations

🔬 3. Medical and spa equipment specification (CapEx)

5 681 450 ₽
№ Equipment name Brand / Manufacturer Country Ministry of Health registration certificate Qty Unit price Amount (CapEx)
1 Physician's workstation

Ergonomic furniture set for a specialist physician (desk, chair with lumbar support, patient chair, document cabinet) for consultations.

— — Registration certificate not stated 1 80 000 ₽ 80 000 ₽
2 SIS therapy - High-intensity magnetic stimulation

High-intensity magnetic stimulation system acting on muscles, nerves and deep tissues for rehabilitation, pain relief and recovery.

★ HERO HIGH-TECH
BTL United Kingdom Registration certificate not stated 1 4 200 000 ₽ 4 200 000 ₽
3 BTL-6000 FSWT3 shockwave therapy device

Focused shock wave therapy device for treating enthesopathies, myofascial pain and chronic musculoskeletal disorders.

★ HERO HIGH-TECH
BTL United Kingdom Registration certificate not stated 1 856 000 ₽ 856 000 ₽
4 Electric procedure chair

Ergonomic multi-section procedure chair with electric adjustment of backrest tilt, height and footrest for maximum patient comfort during long sessions.

— — Registration certificate not stated 1 220 000 ₽ 220 000 ₽
5 X-ray film viewer

High-brightness LED negatoscope with uniform light distribution for expert visual review of X-rays, MRI and CT scans.

— — FSZ 2012/11999 dated 09.07.2020 1 6 500 ₽ 6 500 ₽
6 Medical examination couch

Medical examination couch with adjustable headrest and seamless washable upholstery for positioning the patient during initial examination and physical procedures.

— — FSR 2011/12059 dated 29.12.2012 2 8 000 ₽ 16 000 ₽
7 Medical scales

High-precision electronic medical scales for monitoring patients' body weight during follow-up and calculating drug dosages.

— — FSR 2008/02905 dated 10.04.2018 1 20 000 ₽ 20 000 ₽
8 Medical scales (for newborns)

High-precision electronic medical scales for monitoring patients' body weight during follow-up and calculating drug dosages.

— — RZN 2013/1197 dated 25.01.2022 1 27 000 ₽ 27 000 ₽
9 Medical metal stadiometer

A medical stadiometer for accurate measurement of patients' standing height as part of anthropometric profiling.

— — FSR 2012/13888 dated 02.10.2012 1 2 200 ₽ 2 200 ₽
10 Folding goniometer

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSR 2010/07249 dated 19.03.2024 1 450 ₽ 450 ₽
11 Transport splint for the lower limbs

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSR 2009/04860 dated 21.10.2020 1 15 000 ₽ 15 000 ₽
12 Wire splint for upper and lower limbs

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSR 2009/04860 dated 21.10.2020 2 15 000 ₽ 30 000 ₽
13 Hand and finger fixation splint

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSZ 2011/09832 dated 07.04.2022. FSZ 2010/08002 dated 14.10.2010. 3 3 500 ₽ 10 500 ₽
14 Splint for treating clavicle fractures in children

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSZ 2011/09956 dated 07.04.2021 1 8 500 ₽ 8 500 ₽
15 Staple (suture) remover

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSZ 2011/10132 dated 01.02.2018 1 12 500 ₽ 12 500 ₽
16 Personal computer with printer / MFP

Workstation connected to the MIS, the secure EGISZ network and peripherals for maintaining electronic records and generating reports and prescriptions.

— — not a medical device 1 150 000 ₽ 150 000 ₽
17 Elbow-operated medical dispenser

Wall-mounted elbow-operated contactless dispenser for hygienic and surgical antiseptic hand treatment of medical staff with liquid disinfectant.

— — FSR2011/12142 dated 30.04.2019 4 3 200 ₽ 12 800 ₽
18 OBR-30 recirculating irradiator

Closed-type ozone-free bactericidal ultraviolet recirculator for continuous air disinfection in the presence of people in accordance with SanPiN 2.1.3678-20.

— — FSR 2012/13558 dated 28.06.2012 2 7 000 ₽ 14 000 ₽
Equipment specification total: 5 681 450 ₽

Key flagship systems of the treatment room (Hero High-Tech)

Medical Class IIa / Russian Ministry of Health registration certificate 4 200 000 ₽

SIS therapy - High-intensity magnetic stimulation

BTL (United Kingdom) · 1.5 kW

High-intensity magnetic stimulation system acting on muscles, nerves and deep tissues for rehabilitation, pain relief and recovery.

Medical Class IIa / Russian Ministry of Health registration certificate 856 000 ₽

BTL-6000 FSWT3 shockwave therapy device

BTL (United Kingdom) · 1.5 kW

Focused shock wave therapy device for treating enthesopathies, myofascial pain and chronic musculoskeletal disorders.

📋 4. Medical services nomenclature and clinical protocols

18 services
Code Unified directory service Market median Facilities Procedure passport
A11.01.003 Plasmolifting (PRP) 9 200 ₽ 6 Passport →
A22.30.015 Shockwave therapy (SWT) 5 250 ₽ 6 Passport →
A17.30.029 High-intensity pulsed magnetotherapy 4 500 ₽ 3 Passport →
A15.01.001 Wound dressing, bandage application 1 525 ₽ 7 —
B01.003.004.001 Local anaesthesia (infiltration, topical) 900 ₽ 5 —
B01.057.001 Surgeon consultation, initial 3 125 ₽ 4 —
A11.04.004 Therapeutic nerve block 5 050 ₽ 4 —
A16.01.011 Incision of abscess, furuncle, atheroma 1 700 ₽ 3 —
— Kinesio taping 3 000 ₽ 3 —
B01.050.001 Orthopaedic trauma surgeon consultation, initial 5 700 ₽ 3 —
A16.04.051 Intra-articular injection of a synovial fluid substitute (hyaluronic acid) 41 800 ₽ 2 —
B01.050.002 Orthopaedic trauma surgeon consultation, follow-up 4 625 ₽ 2 —
A16.30.069 Suture removal 1 800 ₽ 2 —
A11.04.003 Diagnostic joint puncture 4 250 ₽ 1 —
B01.057.002 Surgeon consultation, follow-up 800 ₽ 1 —
A15.03.010 Application and removal of a splint / plaster cast 4 300 ₽ 1 —
— Selection and adjustment of custom foot orthoses / insoles 15 500 ₽ 1 —
— Sclerotherapy of veins and telangiectasias 18 600 ₽ 1 —

📊 5. Comparative price benchmarking of leading resorts in Russia

Price analytics in the Knowledge Base

Summary price statistics by service category (10 resorts in Russia)

Category Min P25 Median P50 P75 Max Segment leader MEDISPA rec.
therapy 5 000 ₽ 8 500 ₽ 12 000 ₽ 18 500 ₽ 25 000 ₽ Market segment (anonymised) 12 600 ₽

💰 6. Unit economics financial model and payback scenario analysis

Payback 8.3 mo
Model scenario OCC occupancy Visits/year Revenue per year Gross profit (60%) CapEx payback
Conservative 35% 1 889 13 812 368 ₽ 8 287 421 ₽ 14.3 mo
Base (MEDISPA.PRO plan) 60% 3 240 23 690 880 ₽ 14 214 528 ₽ 8.3 mo
Optimistic 75% 4 050 29 613 600 ₽ 17 768 160 ₽ 6.7 mo

Calculated from the room's procedures: average ticket 7 312 ₽ is the mean of the market medians of 18 of 18 profile procedures; average slot 40 min including service time (norm 30 / 60 min, special procedures by duration); capacity 1 station × 10 h × 360 days (300 h per month = 100 % utilisation) = 5 400 sessions per year. Session duration and margin are planning assumptions.

📚 7. International evidence base (PubMed Evidence Base)

3 studies
Effective use of the Hounsfield unit in the age of variable energy CT. Bolus D, Morgan D, Berland L · Abdom Radiol (NY) (2017)
Level Level 2a (CEBM)

🔄 8. End-to-end patient pathway and interdisciplinary synergy

4 stages
Pathway stage Linked treatment room Fire safety:
Admission diagnostics 1.2.1 Ultrasound and functional diagnostics room Screening of baseline morphofunctional status, exclusion of contraindications and mapping of treatment areas.
Medical case conference 1.1.1 Integrative preventive medicine physician's office Development of a personalised rehabilitation programme and prescription of treatment courses.
Metabolic synergy 1.3.1 Treatment room for infusion and ozone therapy (IV-Therapy) Support of the cellular antioxidant pool and mitochondrial energy metabolism to enhance response to the treatment.
Effectiveness monitoring 3.1.1 Comprehensive check-up monitoring and bioimpedance room Assessment of changes in phase angle, extracellular water balance and autonomic tone after completing the course.

📜 9. Regulatory and licensing status and medical staff requirements

2 staff roles

Russian Ministry of Health regulatory framework

Russian Ministry of Health licensing: primary specialised pre-medical and medical primary healthcare in the following specialities: General Medicine, Neurology, Orthopaedics, Outpatient Care.

SanPiN: SanPiN 2.1.3678-20 "Sanitary and epidemiological requirements for the operation of premises, buildings and structures in the course of medical activity", Section IV.

5P medicine & integrative concept profile:

  • M0: Fundamentals of integrative preventive medicine — Basic functional diagnostics, dietetics, assessment of somat...
  • M6: Cellular biogenesis, mitochondrial health & Longevity: activation of mitochondrial biogenesis (PGC-1α), optimisation of tissue...

Staffing and qualification requirements

Medical specialist / Preventive medicine physician (Therapy) 1.0 FTE · 2-on/2-off shift pattern

Higher medical education, a valid specialist certificate and certification in integrative preventive 5P medicine

Treatment room nurse 1.0 FTE · 2-on/2-off shift pattern

Secondary vocational medical education, 'Nursing' certificate, authorisation to perform specialised procedures

💡 10. Frequently Asked Questions & Engineering Specifications

2 verified answers

Q1 What are the space programme and MEP requirements for room Orthopaedic trauma surgeon's room with treatment room?

The planned net usable area for room 1.1.3 (Orthopaedic trauma surgeon's room with treatment room) is 30.0 sqm (Class V). HVAC ventilation requires 3.0 air exchanges per hour inflow and 3.0 outflow, with an electrical connected load of 17.6 kW.

Q2 What is the CapEx budget and estimated payback for room Orthopaedic trauma surgeon's room with treatment room?

Equipment CapEx is estimated at 5 681 450 ₽, fitout at 4 200 000 ₽, with an estimated payback of 8.3 mo across 1 treatment station(s).