MEDISPA.PRO
1.1.4 1.1 · Physicians' consulting and examination rooms (Physicians' rooms)

Room 1.1.4 · ENT consulting room / inhalation 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
55.0 m²
GBA: ~71.5 m²
Treatment stations
2 station
Type: T1
Equipment CapEx
4 463 950 ₽
28 items
CapEx Finishes / MEP
7 700 000 ₽
Class V
Total investment
12 163 950 ₽
Turnkey incl. VAT
Payback period
17.3 mo
Base scenario

🏛 1. Architectural and planning parameters and zoning

Total area: 55.0 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 16.5 m² Physician/nursing workstation, documentation and MIS
Procedure and treatment zone 30.3 m² Procedure and device treatment zone for 2 stations
Preparation and disinfection area 8.2 m² Storage of sterile consumables and disinfectants

⚡ 2. Engineering and technology profile (MEP)

Electrical 27.6 kW · HVAC +3.0/-3.0

Electrical (power supply)

Installed power:
27.6 kW
Design power (Kd=0.72):
19.87 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)

4 463 950 ₽
№ Equipment name Brand / Manufacturer Country Ministry of Health registration certificate Qty Unit price Amount (CapEx)
1 ENT workstation ATMOS C 21 / ATMOS C 31

An ENT treatment unit for equipping an otorhinolaryngologist's consulting room: suction, drug spraying, irrigation, illumination and endoscopic support.

★ HERO HIGH-TECH
ATMOS Germany Registration certificate not stated 1 520 000 ₽ 520 000 ₽
2 "Tonzillor-MM" device (laser-vacuum)

Vacuum-ultrasound therapy device for ENT organs for tonsillar crypt sanitation, local drug delivery and treatment of chronic tonsillitis.

— Russia Registration certificate not stated 1 140 000 ₽ 140 000 ₽
3 Therapeutic ENT laser

A laser physiotherapy device for local action on the ENT mucosa in anti-inflammatory and restorative programmes.

— Russia Registration certificate not stated 1 60 700 ₽ 60 700 ₽
4 Inhalers and aerosol therapy systems

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

— — Registration certificate not stated 4 13 700 ₽ 54 800 ₽
5 UZOL-01 "Ch" Kavitar device

An ultrasonic irrigator for ENT practice that creates a fine aerosol and cavitation for mucosal sanitation and solution delivery.

— Russia Registration certificate not stated 1 171 200 ₽ 171 200 ₽
6 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 ₽
7 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 ₽
8 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 ₽
9 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 ₽
10 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 2 150 000 ₽ 300 000 ₽
11 High-frequency electrosurgical unit

Phyto-bar equipment for preparing native herbal decoctions, adaptogenic teas, singlet oxygen cocktails and detox drinks.

— — FSR 2012/13635 dated 29.06.2012 1 135 000 ₽ 135 000 ₽
12 Head-mounted examination light

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

— — RZN 2017/5939 dated 10.07.2017 1 158 400 ₽ 158 400 ₽
13 Instrument set for diagnostics and surgery in otorhinolaryngology

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 2010/07364 dated 22.06.2022 2 116 000 ₽ 232 000 ₽
14 Binocular magnifier

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 2010/08064 dated 15.10.2010 1 90 000 ₽ 90 000 ₽
15 Otoscope, otorhinoscope

Expert-class ENT treatment unit with vacuum suction, mirror warming, drug insufflation and video-endoscopic visualisation of the nasopharynx and ear canal.

— — RZN 2017/5390 dated 21.09.2020 1 90 000 ₽ 90 000 ₽
16 Ear inflation bulb with spare olive tips

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

— — RZN 2015/3121 dated 15.11.2021 2 4 700 ₽ 9 400 ₽
17 Siegle speculum

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

— — RZN 2015/3121 dated 15.11.2021 2 4 700 ₽ 9 400 ₽
18 Rhinoscope, rhinolaryngofiberscope

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 2007/00563 dated 09.08.2007 1 100 000 ₽ 100 000 ₽
19 Ultrasound scanner for paranasal sinuses (echosinuscope)

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

— — RZN 2016/4504 dated 26.07.2016 1 150 000 ₽ 150 000 ₽
20 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 04.05.2012 1 4 500 ₽ 4 500 ₽
21 Automated audiometer (Russia)

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 2011/11116 dated 05.02.2018 1 150 000 ₽ 150 000 ₽
22 Impedance audiometer, impedance meter

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

★ HERO HIGH-TECH
— — FSZ 2010/7490 dated 28.07.2010 1 650 000 ₽ 650 000 ₽
23 Otoacoustic emission recording device

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

★ HERO HIGH-TECH
— — RZN 2014/2101 dated 23.12.2015 1 1 000 000 ₽ 1 000 000 ₽
24 Set of medical tuning forks

Graduated medical tuning fork for differential assessment of bone and air hearing conduction, as well as pallesthesia (vibratory proprioceptive sensitivity).

— — RZN 2022/18824 dated 18.11.2022 1 28 000 ₽ 28 000 ₽
25 Instrument set for removing foreign bodies from ENT organs

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 2010/07364 dated 22.06.2022 1 29 000 ₽ 29 000 ₽
26 ENT examination instrument set

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 2011/11097 dated 30.05.2018 2 625 ₽ 1 250 ₽
27 Rotating chair (Bárány)

Phyto-bar equipment for preparing native herbal decoctions, adaptogenic teas, singlet oxygen cocktails and detox drinks.

— — RZN 2018/7299 dated 21.06.2018 1 17 500 ₽ 17 500 ₽
28 Tracheotomy kit with tracheostomy tubes

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 2010/07364 dated 22.06.2022 1 36 000 ₽ 36 000 ₽
Equipment specification total: 4 463 950 ₽

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

Medical Class IIa / Russian Ministry of Health registration certificate 520 000 ₽

ENT workstation ATMOS C 21 / ATMOS C 31

ATMOS (Germany) · 1.5 kW

An ENT treatment unit for equipping an otorhinolaryngologist's consulting room: suction, drug spraying, irrigation, illumination and endoscopic support.

Medical Class IIa / Russian Ministry of Health registration certificate 650 000 ₽

Impedance audiometer, impedance meter

Leading manufacturer (Russia / international) · 1.5 kW

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

Medical Class IIa / Russian Ministry of Health registration certificate 1 000 000 ₽

Otoacoustic emission recording device

Leading manufacturer (Russia / international) · 1.5 kW

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

📋 4. Medical services nomenclature and clinical protocols

22 services
Code Unified directory service Market median Facilities Procedure passport
A11.09.007 Inhalation (session) 700 ₽ 8 —
A22.01.005 Laser therapy 900 ₽ 7 —
— Administration of medicines into the nose, ear, larynx 1 000 ₽ 5 —
B01.028.001 Initial otorhinolaryngologist consultation 5 500 ₽ 5 —
A21.25.002 Eardrum massage (pneumomassage) 900 ₽ 5 —
A16.25.012 Eustachian tube inflation 800 ₽ 5 —
A16.08.016 Tonsil lavage (Tonsillor) 1 500 ₽ 5 —
— Nasal / sinus irrigation 2 300 ₽ 5 —
A16.01.017 Removal of a skin lesion (1 lesion) 2 100 ₽ 5 —
A16.25.007 Earwax plug removal 1 200 ₽ 5 —
A20.30.018.001 Halotherapy / salt cave 775 ₽ 4 —
A16.08.011 Foreign body removal (nose, ear, eye, pharynx) 3 075 ₽ 4 —
A12.25.001 Audiometry 4 600 ₽ 3 —
B01.028.002 Follow-up otorhinolaryngologist consultation 4 200 ₽ 3 —
A11.08.004 Paranasal sinus puncture 5 300 ₽ 3 —
— Ultrasound of the paranasal sinuses 1 000 ₽ 3 —
A03.08.001 ENT endoscopy (nose, nasopharynx, larynx, ears) 1 250 ₽ 3 —
A12.25.005 Tympanometry 3 150 ₽ 2 —
A14.25.001 Ear toilet 1 650 ₽ 2 —
— Vestibulometry (Bárány chair) 400 ₽ 1 —
— Tuning fork hearing test 2 500 ₽ 1 —
— Treatment with the "Kavitar" device (ENT) 4 200 ₽ 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.
Verba Mayr Inhalation (session) 500 ₽ 750 ₽ 1 000 ₽ 1 500 ₽ 2 000 ₽ Medical Spa / Premium segment 1 000 ₽

💰 6. Unit economics financial model and payback scenario analysis

Payback 17.3 mo
Model scenario OCC occupancy Visits/year Revenue per year Gross profit (60%) CapEx payback
Conservative 35% 3 687 8 210 949 ₽ 4 926 569 ₽ 29.6 mo
Base (MEDISPA.PRO plan) 60% 6 321 14 076 867 ₽ 8 446 120 ₽ 17.3 mo
Optimistic 75% 7 902 17 597 754 ₽ 10 558 652 ₽ 13.8 mo

Calculated from the room's procedures: average ticket 2 227 ₽ is the mean of the market medians of 22 of 22 profile procedures; average slot 41 min including service time (norm 30 / 60 min, special procedures by duration); capacity 2 station × 10 h × 360 days (300 h per month = 100 % utilisation) = 10 536 sessions per year. Session duration and margin are planning assumptions.

📚 7. International evidence base (PubMed Evidence Base)

2 studies

🔄 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 ENT room / inhalation room?

The planned net usable area for room 1.1.4 (ENT room / inhalation room) is 55.0 sqm (Class V). HVAC ventilation requires 3.0 air exchanges per hour inflow and 3.0 outflow, with an electrical connected load of 27.6 kW.

Q2 What is the CapEx budget and estimated payback for room ENT room / inhalation room?

Equipment CapEx is estimated at 4 463 950 ₽, fitout at 7 700 000 ₽, with an estimated payback of 17.3 mo across 2 treatment station(s).