Although financial data are sketchy, an estimate from a construction company indicates that adding bed capacity would cost about $100,000.00 per bed .In addition, the rate charged for the hernia surgery varies between about $900 and $2,000 (US dollars), with an average rate of $1,300 per operation. The surgeons are paid a flat $600 per operation. Due to the uncertainties in government health care legislation. Shouldice Hospital would like to justify an expansion from 90 beds to 135 beds within a five-year time period