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院务公开_医疗服务项目价格公示

医疗服务项目价格公示

序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
1110100001挂号费0.5026111000004021远程会诊(省级主任医)230.00
2110200101一般医师2.0027111200001院内会诊科/次29.00
3110200102主治医师5.002811130000201甲类评估(他评)次/日16.00
4110200103副主任医师9.002911130000203丙类评估(他评)次/日40.00
5110200104主任医师12.0030120100002特级护理小时7.00
61102002001住院诊查费床日13.0031120100003Ⅰ级护理24.00
71102003001急诊诊查费13.0032120100004Ⅱ级护理17.00
81103000011急诊监护费(12h)70.0033120100005Ⅲ级护理11.00
9110400001院前急救费车次64.0034120100006特殊疾病护理60.00
10110500001救护车车次22.0035120100007新生儿护理17.00
1111050000101救护车费附加(每公里加收3元)公里3.0036120100008新生儿特殊护理8.00
12110600001体检费人次8.0037120100010气管切开护理42.00
13110900000医疗废物处置费2.1038120100011吸痰护理7.00
14110900004急诊留观、床位费15.0039120100012造瘘护理14.00
15110900101单人间床日55.0040120100013动静脉置管护理6.00
16110900102双人间床日27.004112010001401一般专项护理项/次8.00
17110900103三人间床日20.0042120100015引流管护理每管路/日8.00
18110900104四人及以上床日16.0043120200001抢救费189.00
19110900105病房加床床日6.40441202000011抢救费(每小时)6.00
20110900402双人间(母婴同室病房)床日32.0045120300001氧气吸入小时2.70
21110900403三人间及以上(母婴同室病房)床日25.00461203000012高流量给氧小时6.00
22110900500重症监护病房床位费床日32.0047120400001皮下、皮内、肌肉注射4.00
23111000001副主任医师(院际会诊)50.0048120400002静脉注射(包括静脉采血)4.80
24111000002主任医师(会诊)100.00491204000021颈或股静脉穿刺加收8.00
25111000004011远程会诊(省级副主任医)180.0050120400004动脉加压注射(包括动脉采血)11.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
51120400005皮下输液4.00771208000012肠内高营养治疗小时2.26
52120400006静脉输液(第一瓶)瓶/袋10.0078120900001胃肠减压22.40
5312040000600静脉输液(每加一瓶)瓶/袋2.0079121000001洗胃40.00
541204000061静脉输血13.0080121100001一般物理降温13.60
5512040000611静脉输液(6周岁及以下儿童第一瓶)瓶/袋13.0081121100002特殊物理降温28.00
561204000062微量泵小时3.0082121300001冷热湿敷2.26
5712040000621微量泵(三小时后按50%收费)小时1.5083121400001持续引流管冲洗30.00
5812040000622静脉输液(6周岁及以下儿童每加一瓶)瓶/袋2.60841214000013置管后注药4.00
591204000063输血反映征动态监测29.0085121400002间断引流管冲洗7.91
60120400008静脉高营养治疗63.2886121400003引流装置置管或更换7.91
61120400010静脉穿刺置管术12.0087121500001灌肠20.00
62120400011中心静脉穿刺置管术68.0088121500002清洁灌肠43.00
63120400012动脉穿刺置管术44.0089121600001一次性导尿12.00
64120400013抗肿瘤化学药物配置27.00901216000010留置导尿第一天14.00
65120400014静脉用药集中配置2.00911216000011留置导尿每加一天7.00
66120500001大清创缝合112.0092121700001肛管排气8.00
67120500002中清创缝合63.0093140100001尸体料理100.00
68120500003小清创缝合38.0094140100006营养状况评估与咨询半小时16.00
69120600001大换药38.009521000000001医学三维影像彩色图片加收30.00
70120600002中换药24.0096210101003床旁透视与术中透视半小时20.00
71120600003小换药14.009721010200002X线摄影附加(床旁摄片加收20元)20.00
72120600004特大换药50.409821010200411×14吋20.00
73120700001雾化吸入5.0099210102008牙片10.00
741207000011压缩雾化吸入5.00100210102010曲面体层摄影(颌全景摄影)40.00
75120800001鼻胃管置管19.00101210102011X线摄影(头颅定位测量摄影)60.00
761208000011鼻饲管注食4.00102210102015数字化摄影(DR)50.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
103210102017非血管介入临床操作数字减影(DSA)引导小时80.0012921030000422X线计算机体层(CT)成像(64层以上)部位704.00
104210103014上消化道造影48.001302103000051临床操作的CT引导每半小时95.00
105210103024T管造影240.0013121030000521临床操作的CT定位(16-40层)352.00
106210103025静脉泌尿系造影48.0013221030000522临床操作的CT定位(64层以上)563.00
107210103031子宫造影60.00133210300008锥体束X线计算机体层(CBCT)扫描168.00
108210103032子宫输卵管碘油造影96.00134220100003眼科A超单侧20.00
1092102000013磁共振平扫(1-3T)419.00135220201007浅表组织器官B超检查每个部位20.00
1102102000014磁共振平扫(3T)445.00136220201009临床操作的B超引导半小时/占机时间50.00
1112102000023磁共振增强扫描497.001372202020031腔内超声全程手术监测112.00
11221020000231磁共振平扫立即增强248.50138220301001彩色多普勒超声常规检查部位80.00
1132102000024磁共振增强扫描(3T)580.001392203010011彩色多普勒超声腹膜后肿物检查加收部位50.00
11421020000241磁共振平扫立即增强(3T)290.00140220301002浅表器官彩色多普勒超声检查每个部位60.00
1152102000033脑功能成象568.00141220301003床旁彩色多普勒超声检查加收28.00
1162102000053磁共振血管成象(MRA)486.00142220302003颈部血管彩色多普勒超声135.38
1172102000054磁共振血管成像(MRA)(3T)576.001432203020031颈部血管彩色多普勒超声(两根以下)67.69
1182102000063磁共振水成象(MRCP,MRM,MRU)486.00144220302004门静脉系彩色多普勒超声60.00
1192102000064磁共振水成象(MRCP,MRM,MRU)(3T)576.00145220302005腹部大血管彩色多普勒超声80.00
12021030000111医学影像光盘刻录25.00146220302006四肢血管彩色多普勒超声单肢108.30
1212103000012X线计算机体层(CT)扫描部位152.00147220302007双肾及肾血管彩色多普勒超声130.00
1222103000013X线计算机体层(CT)扫描部位193.00148220302010脏器声学造影110.00
1232103000023X线计算机体层(CT)增强扫描(64层以上)部位244.00149220302011腔内彩色多普勒超声检查88.00
124210300002301同时做多期增强加收(64层以上)部位71.00150220302012临床操作的彩色多普勒超声引导半小时/占机时间140.00
125210300002302X线计算机体层(CT)扫描(64层以上)(平扫后立即增强)部位122.00151220302013彩色多普勒超声器官弹性实时成像分析70.00
12621030000412X线计算机体层(CT)成像(64层以上)部位828.00152220400001颅内多普勒血流图(TCD)100.00
1272103000041201X线计算机体层(CT)头颈联合扫描成像部位1159.20153220500001脏器灰阶立体成象每个脏器30.00
12821030000421X线计算机体层(CT)成像(16-40)层以上部位441.00154220600004心脏彩色多普勒超声90.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
155220600008右心声学造影45.00180250102021尿妊娠试验4.00
156220600010左心功能测定60.001812501020351尿常规自动分析18.00
157220800002彩色打印照片12.00182250103001粪便常规3.00
158220800006彩色胶片照相12.001832501030021隐血试验6.00
159230200055骨密度测定110.00184250104001胸、腹水常规检查6.00
16023050001414碳呼气试验120.00185250104003脑脊液常规检查(CsF)6.00
161240100004特定计算机治疗计划系统疗程500.00186250104008精子运动轨迹分析21.00
16224010000401逆向调强TPS及优化加收疗程300.00187250104014阴道分泌物检查4.00
163240100006二维剂量验证492.00188250104019各种穿刺液常规检查6.00
164240200001简易定位疗程40.00189250104036精液质量与功能分析68.40
165240200002专用X线机模拟定位疗程90.00190250201001骨髓涂片细胞学检验56.00
166240200003专用X线机复杂模拟定位疗程255.00191250201007骨髓特殊染色及酶组织化学染色检查11.00
167240200004二维实时显像监控164.00192250202016高铁血红蛋白还原实验(MHB-RT)13.00
168240300015适型调强放射治疗(IMRT)670.00193250202022还原型血红蛋白溶解度测定3.00
169240500004面模设计及制作300.001942502020391新生儿溶血症筛查(卡式法)39.00
170240500005体架700.00195250203020血浆凝血酶原时间测定(PT)9.00
171250101001血红蛋白测定(Hb)2.00196250203025活化部分凝血活酶时间测定(APTT)9.00
172250101002红细胞计数(RBC)2.00197250203030血浆纤维蛋白原测定8.00
173250101003红细胞比积测定(HCT)2.00198250203035凝血酶时间测定(TT)9.00
1742501010051网织红细胞计数11.00199250203047血浆抗凝血酶Ⅲ活性测定(AT-ⅢA)17.00
175250101008红细胞沉降率测定(EsR)5.002002502030651纤维蛋白(原)降解产物(FDP)全定量测定42.30
176250101009白细胞计数(WBC)2.002012502030661血浆D-二聚体测定(D-Dimer)49.00
1772501010182血细胞分析或血常规18.00202250301001血清总蛋白测定4.00
178250101024外周血细胞形态及性质分析35.00203250301002血清白蛋白测定4.00
179250102006尿蛋白定量4.00204250301010脑脊液总蛋白测定4.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
205250302001葡萄糖测定6.00230250305008血清天门冬氨酸氨基转移酶测定4.00
2062503020080全血乳酸测定18.00231250305009血清γ-谷氨酰基转移酶测定6.00
207250303001血清总胆固醇测定4.00232250305011血清碱性磷酸酶测定6.00
208250303002血清甘油三酯测定4.00233250305014血清胆碱酯酶测定8.00
209250303004血清高密度脂蛋白胆固醇测定8.00234250305015血清单胺氧化酶测定8.00
210250303005血清低密度脂蛋白胆固醇测定8.00235250305017血清α-L-岩藻糖苷酶测定8.00
211250303007血清载脂蛋白AⅠ测定7.00236250305023腺苷脱氨酶测定7.00
212250303009血清载脂蛋白B测定7.00237250305034肝纤维化四项检测31.00
213250303013血清载脂蛋白α测定41.00238250306001血清肌酸激酶测定6.00
214250303014血清β-羟基丁酸测定9.00239250306002血清肌酸激酶-MB同工酶活性测定9.60
215250304001钾测定5.00240250306005乳酸脱氢酶测定4.00
216250304002钠测定5.00241250306007血清α羟基丁酸脱氢酶测定4.00
217250304003氯测定5.00242250306008血清肌钙蛋白T测定56.00
218250304004钙测定5.00243250306009血清肌钙蛋白Ⅰ测定51.00
219250304005无机磷测定4.00244250306010血清肌红蛋白测定56.00
220250304006镁测定4.00245250306011血同型半胱氨酸测定84.00
221250304007铁测定8.00246250306015B型钠尿肽(BNP)测定126.00
222250304010血清碳酸氢盐(HCO3)测定6.00247250306016B型钠尿肽前体(PRO-BNP)测定126.00
223250304011血一氧化碳分析3.00248250307001尿素测定4.00
224250304013微量元素测定(血清锌测定)7.00249250307002肌酐测定11.00
225250304014血清游离钙测定23.00250250307005血清尿酸测定5.50
226250305001血清总胆红素测定4.002512503070061尿微量白蛋白全定量测定23.00
227250305002血清直接胆红素测定4.00252250307009β2微球蛋白测定(血清)17.00
228250305005血清总胆汁酸测定14.00253250307024尿尿酸测定6.00
229250305007血清丙氨酸氨基转移酶测定4.00254250307028血清胱抑素(Cystatin C)测定17.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
255250307031血、尿、体液晶体渗透量测定14.102802504020031抗sm-D1抗体测定56.00
256250308004淀粉酶测定9.002812504020051抗中性粒细胞胞浆抗体测定25.60
257250308006胰淀粉酶测定20.00282250402006抗双链DNA测定(抗dsDNA)14.00
258250308007血清脂肪酶测定11.002832504020061抗双链DNA抗体定量测定42.30
259250308011化学药物用药指导的基因检测每个位点309.90284250402009抗核糖体抗体测定14.00
260250310008降钙素测定15.00285250402010抗核糖核蛋白抗体测定14.00
2612503100180血浆皮质醇测定25.00286250402016抗心磷脂抗体测定(ACA)14.00
2622503100410血清C肽测定25.00287250402026抗胰岛素抗体测定11.00
2632503100430血清抗谷氨酸脱羧酶抗体测定25.002882504020351类风湿因子(RF)测定(定量)11.20
264250310053激素类及其它42.002892504020352类风湿因子(RF)全定量测定26.60
2652503100541降钙素原检测(PCT)定量检测166.00290250402036抗增殖细胞核抗原抗体测定11.00
266250310071促甲状腺受体抗体(TsHR-Ab)42.00291250402039抗可溶性肝抗原/肝-胰抗原抗体(SLA/LP)测定39.00
267250311006骨钙素N端中分子片段测定(N-MID)68.00292250402040抗肝肾微粒体抗体(LKM)测定33.00
268250311007β-胶原降解产物测定(β-CTX)60.00293250402041抗蛋白酶3(PR3)抗体测定70.00
269250311008总Ⅰ型胶原氨基延长肽测定(P1NP)84.00294250402043抗髓过氧化物酶(MPO)抗体测定46.00
2702504010201单项补体测定(C3)13.00295250402044抗核小体抗体测定(AnuA)39.00
2712504010202单项补体测定(C4)13.00296250402049抗组蛋白抗体(AHA)测定39.00
27225040102301免疫球蛋白定量测定(lgA)17.00297250402060GP210抗体测定33.00
27325040102302免疫球蛋白定量测定(lgG)17.00298250402062sP100抗体测定28.00
27425040102303免疫球蛋白定量测定(lgM)17.00299250402065抗着丝点抗体测定23.00
2752504010252糖化血红蛋白全定量测定21.20300250402068环瓜氨酸多太抗体(Anti-CCP)测定92.00
276250401029淋巴细胞免疫分析31.00301250403001甲型肝炎抗体测定(HAV)11.90
277250402002抗核抗体测定(ANA)25.00302250403004乙型肝炎表面抗原测定(HBsAg)4.00
2782504020021抗核抗体定量测定61.60303250403005乙型肝炎表面抗体测定(Anti-HBs)4.00
279250402003抗核提取物抗体测定(抗ENA抗体)14.00304250403006乙型肝炎e抗原测定(HBeAg)7.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
305250403007乙型肝炎e抗体测定(Anti-HBe)7.00330250403097乙型肝炎五项23.00
306250403009乙型肝炎核心抗体测定(Anti-HBc)7.00331250403098结核分枝杆菌T细胞检测人份403.20
3072504030131丙型肝炎病毒核糖核酸扩增定量检测191.50332250403099人乳头瘤病毒核糖核酸(RNA)非扩增定量检测250.00
308250403014丙型肝炎抗体测定(Anti-HCV)14.00333250403103EV71病毒抗体检测42.30
309250403017戊型肝炎抗体测定(Anti-HEV)20.00334250404012鳞状细胞癌相关抗原测定(SCC)32.00
3102504030190人免疫缺陷病毒抗体测定(Anti-HIV)12.603352504040211肿瘤标志物52.00
3112504030191人免疫缺陷病毒抗体测定(Anti-HIV)22.70336250404030甲胎蛋白AFP测定41.00
312250403020弓形体抗体测定13.00337250405001总IgE测定14.00
313250403021风疹病毒抗体测定13.00338250405002吸入物变应原筛查14.00
314250403022巨细胞病毒抗体测定13.00339250405003食入物变应原筛查15.70
315250403023单纯疱疹病毒抗体测定13.00340250501001一般细菌涂片检查4.00
316250403026呼吸道合胞病毒抗体测定13.00341250501004特殊细菌涂片检查每种细菌7.00
317250403035病毒血清学试验(柯萨奇病毒16型IGM)18.00342250501009一般细菌培养及鉴定35.00
3182504030421幽门螺旋杆菌抗体测定56.00343250501027真菌培养及鉴定35.00
3192504030422结核抗体测定28.00344250501031衣原体检查21.00
3202504030431抗链球菌溶血素O测定(AsO)(定量)11.00345250501033支原体检查22.40
3212504030501肺炎支原体血清学试验36.40346250501035轮状病毒检测18.00
322250403053梅毒螺旋体特异抗体测定15.00347250501039细菌性阴道病唾液酸酶测定9.20
3232504030532梅毒螺旋体特异抗体测定16.0034825050103901细菌性阴道病唾液酸梅测定(过氧化氢测定)9.20
3242504030533梅毒螺旋体特异抗体测定26.0034925050103902细菌性阴道病唾液酸梅测定(白细胞酯酶测定)9.20
325250403055不加热血清反应素试验15.0035025050103903细菌性阴道病唾液酸梅测定(脯氨酸胺肽酶测定)9.20
326250403076肺炎衣原体抗体检测21.2035125050103904细菌性阴道病唾液酸梅测定(氨基葡萄糖苷酶测定)9.20
32725040307913碳尿素呼气试验150.0035225050103905细菌性阴道病唾液酸梅测定(β-葡萄糖醛酸苷酶测定)9.20
328250403087流感病毒抗原检测32.20353250501040真菌D-葡聚糖检测120.00
329250403088抗链球菌溶血素O全定量测定19.60354250501043无菌体液细菌培养+鉴定(血培养与鉴定)106.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
355250501046半乳甘露聚糖检测96.0038027030000501手术标本检查与诊断(每个蜡块加收)10.00
356250502002常规药敏定量试验(MIC)每种药物7.0038127030000502手术标本检查与诊断(使用HE高清恒染加收)每切片30.00
357250503014B族链球菌检测79.50382270300010全器官大切片与诊断216.00
358250601005血液虐原虫检查4.00383270400001冷冻切片病理诊断224.00
359260000002ABO血型鉴定8.003842704000010冰冻切片检查与诊断(特异性感染标本加收)100.00
3602600000020ABO血型鉴定16.00385270500001特殊染色及酶组织化学染色诊断每标本染色35.00
361260000004Rh血型鉴定11.00386270500002免疫组织化学染色诊断每种染色114.00
3622600000040Rh血型鉴定(卡式法)18.0038727050000201快速液盖膜单独温控法加收每种染色96.00
363260000007血型单特异性抗体鉴定28.00388270500003免疫荧光染色诊断每个标本94.40
364260000008血型抗体特异性鉴定(吸收试验)21.00389270700001原位杂交技术78.00
365260000009血型抗体特异性鉴定(放散试验)21.00390270700004脱氧核糖核酸(DNA)测序90.00
366260000018红细胞系统血型抗体致新生儿溶血病检测52.00391270800003膜式病变细胞采集术46.00
367260000024不规则抗体筛查(C.c.E.e)13.00392270800004液基薄层细胞制片术98.00
368260200001全血,各种红细胞,粒细胞,手工分离浓缩血小板配血70.00393270800005病理大体标本摄影每个标本21.00
369260200002血浆,机采血小板,冷沉淀配血24.00394270800006显微摄影术(每个视野)每个视野21.00
3702702000010细胞病理学检查多制涂片加收20.00395270800007疑难病理会诊95.00
3712702000011体液细胞检查与诊断及包埋每例33.60396270800009妇科液基薄层细胞学检查与诊断256.00
372270200003细针穿刺细胞学检查与诊断56.00397310100001脑电图(16导以上)28.00
373270200004脱落细胞学检查与诊断28.00398310100002特殊脑电图64.00
374270300001穿刺组织活检检查与诊断112.00399310100003脑地形图35.20
37527030000101穿刺组织活检检查与诊断(每个蜡块加收)14.00400310100004动态脑电图175.00
376270300002内镜组织活检检查与诊断112.00401310100005脑电图录象监测小时15.82
37727030000202内镜组织活检检查与诊断(使用HE高清恒染加收)每切片40.00402310100010运动诱发电位47.46
378270300003局部切除活检检查与诊断112.00403310100012脑干听觉诱发电位42.00
379270300005手术标本检查与诊断每器官108.00404310100016腰椎穿刺术79.10
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
405310100023肌电图每条肌肉20.34430310300044角膜内皮镜检查45.60
4063101000271神经阻滞治疗18.08431310300045角膜厚度检查20.34
4073101000272神经阻滞治疗167.00432310300049前房深度测量9.60
408310100029神经根射频镇痛术1176.00433310300050前房穿刺术158.20
409310100041三维重建影像融合350.00434310300053裂隙灯检查5.60
410310205008电脑血糖监测每试验项目5.00435310300054裂隙灯下眼底检查9.90
411310205012动态血糖连续监测17.00436310300055裂隙灯下房角镜检查13.70
412310208001胰岛素泵持续皮下注射胰岛素34.004373103000571眼前段数码照相21.00
413310300001普通视力检查1.00438310300058眼底照相15.82
414310300004视网膜视力检查15.824393103000581多幅眼底照相单眼35.00
415310300005视野检查.普通视野检查7.004403103000582无散瞳眼底照相39.00
4163103000050视野检查(电脑视野计、动态(Goldma-nn)视野计)23.73441310300059眼底血管造影237.30
417310300007验光4.52442310300061眼底检查23.73
418310300008镜片检测4.52443310300062扫描激光眼底检查(sLO)142.38
419310300010主导眼检查3.39444310300068超声生物显微镜检查(UBM)94.92
420310300013斜视度测定7.50445310300069光学相干断层成相(OCT)120.00
421310300019双眼视觉检查15.00446310300070视网膜电流图(ERG)79.10
422310300029眼压检查7.91447310300073视诱发电位(VEP)54.40
423310300035上睑下垂检查4.52448310300074眼外肌功能检查7.60
424310300036泪膜破裂时间测定12.43449310300075眼肌力计检查7.91
425310300037泪液分泌功能测定12.43450310300080眼活体组织检查21.00
426310300038泪道冲洗检查7.91451310300085视网膜激光光凝术197.75
427310300041角膜荧光素染色检查7.91452310300090电解倒睫7.91
428310300042角膜曲率测量7.91453310300092睑板腺按摩7.91
429310300043角膜地形图检查63.28454310300093冲洗结膜囊5.70
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
455310300096取结膜结石15.82480310402016鼻咽部活检术56.00
456310300099球结膜下注射6.90481310402018鼻腔粘连分离术63.28
457310300100球后注射15.82482310402019鼻负压置换治疗23.73
458310300103角膜异物剔除术15.82483310402020脱敏治疗13.00
459310300105眼部冷冻治疗276.85484310402022前鼻孔填塞31.64
460310300106泪小点扩张7.91485310402023后鼻孔填塞47.46
461310300109点眼0.40486310402025鼻部特殊治疗37.60
462310300119眼轴测量56.00487310403005计算机言语疾病矫治47.46
463310300120眼轴人工晶状体度数测量-光学法56.00488310403009纤维喉镜检查79.10
464310401002纯音听阈测定24.86489310403011直达喉镜检查79.10
465310401015耳声发射检查79.10490310403012间接喉镜检查7.91
466310401021眼震电图70.00491310403013支撑喉镜检查79.10
467310401022平衡试验28.00492310403016咽部特殊治疗37.60
468310401034耳纤维内窥镜检查79.10493310501001全口牙病系统检查与治疗设计12.43
469310401035硬性耳内窥镜检查63.28494310501002咬合检查8.00
470310401040鼓膜穿刺术40.00495310501003牙合力测量检查10.00
471310401041耵聍冲洗11.30496310501004咀嚼功能检查12.43
472310401047耳神经阻滞23.73497310501005下颌运动检查15.82
473310401048耳廓假性囊肿穿刺压迫治疗47.46498310501007口腔模型制备单颔19.21
474310401049耳部特殊治疗33.40499310501008记存模型制备单颔38.42
475310401050耳石复位治疗158.20500310501009面部模型制备51.20
476310402001鼻内窥镜检查94.92501310502001牙髓活力检查每牙4.52
477310402002前鼻镜检查4.52502310502002根管长度测量每根管6.78
478310402012鼻腔冲洗单侧16.10503310502003口腔X线一次成像(RVG)每牙6.00
479310402015鼻窦冲洗39.55504310503003咬合动度测定6.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
505310503004龈上菌斑检查6.00530310511016根管预备每根管19.21
506310505004带环制备每个22.60531310511017根管充填术每根管19.21
507310505006牙合导板制备每个158.20532310511019髓腔消毒术每根管13.56
508310507002错牙合畸形治疗设计208.00533310512001根尖诱导成形术每根管51.20
509310507003固定矫治器复诊处置51.20534310512002窝沟封闭每牙19.21
510310507004活动矫治器复诊处置25.60535310512009钙化桥打通术每根管56.50
511310510001调牙合每牙3.39536310512011活髓切断术每牙51.20
512310510002氟防龋治疗每牙8.60537310513002龈下刮治每牙7.00
513310510003牙脱敏治疗每牙4.52538310513004去除牙周固定每牙3.39
514310510004口腔局部冲洗上药每牙4.52539310513006牙龈保护剂塞治每牙9.04
515310510005不良修复体拆除每牙5.00540310513008根面平整术每牙13.00
516310510007口腔局部止血每牙6.78541310515001颞下颌关节复位38.42
517310510010牙外伤结扎固定术每牙12.43542310515008口腔颌面部各类冷冻治疗每部位19.21
518310510011拆除固定装置每牙9.04543310517007固定修复计算机辅助设计73.45
519310511001简单充填术每洞39.00544310517008咬合重建95.00
520310511002复杂充填术每洞57.00545310517009粘结每牙9.50
521310511004牙体缺损粘接修复术每牙51.20546310518001活动桥每牙44.30
522310511005充填体抛光术每牙10.17547310518002塑料可摘局部义齿每牙44.30
523310511007树脂嵌体修复术每牙51.20548310518003铸造可摘局部义齿每牙88.70
524310511008橡皮障隔湿法10.17549310518005即刻义齿每牙50.85
525310511011盖髓术每牙31.64550310519001拆冠、桥每牙7.90
5263105110110盖髓术(使用特殊仪器)每牙63.28551310519006调改义齿23.73
527310511012牙髓失活术每牙19.21552310519007取局部牙合关系记录12.43
528310511013开髓引流术每牙15.82553310519008取正中牙合关系记录31.64
529310511015牙髓摘除术每根管15.82554310519009加人工牙每牙20.34
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
555310519013加卡环每卡环16.955803107010011常规心电图检查14.40
556310519014增加铸造基托面积5+516.955813107010012常规心电图检查17.00
557310519015加支托11.30582310701003动态心电图84.00
558310519016加铸面28.25583310701007心电事件记录44.00
559310519018加连接杆30.51584310701008遥测心电监护小时2.00
560310601001肺通气功能检查49.00585310701010心电图踏车负荷试验56.00
5613106010010肺最大通气量检查14.00586310701012心电向量图35.00
562310601002肺弥散功能检查56.00587310701018心率变异性分析56.00
563310601008流速容量曲线(V—V曲线)35.00588310701021动态血压监测105.60
564310601012支气管舒张试验76.00589310701022心电监护小时1.00
565310601014一氧化氮呼气测定264.00590310701025动脉内压力监测小时11.40
566310601015呼出气二氧化碳监测小时1.50591310701029床边心电图加收7.00
567310602005持续呼吸功能检测小时4.52592310701031常规心电图检查(18导联)33.60
568310602006血气分析50.00593310701040窦性心率震荡分析40.00
569310602008气管内湿化3.39594310702001有创性血流动力学监测(床旁)700.00
570310603001呼吸机辅助呼吸小时5.60595310702002有创性心内电生理检查580.00
571310603002无创辅助通气小时4.00596310702015心脏电复律术181.70
572310603004俯卧位通气120.00597310702016心脏电除颤术39.55
573310604001睡眠呼吸监测210.00598310702022持续有创性血压监测小时12.80
574310604005胸腔穿刺术79.10599310800001骨髓穿刺术43.40
575310605002纤维支气管镜检查90.406003109010050电子食管镜下取异物161.10
576310605003经纤支镜治疗225.40601310901006食管腔内支架置入术474.60
577310605004经纤支镜粘膜活检术每个部位18.00602310901008食管狭窄扩张术543.40
578310605006经纤支镜肺泡灌洗诊疗术158.206033109020050电子纤维胃、十二指肠镜检查210.00
579310605007经纤支镜防污染采样刷检查56.006043109020051无痛电子胃镜560.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
605310902006经胃镜特殊治疗280.00630311000025经输尿管镜输尿管扩张术367.25
6063109030050电子纤维结肠镜检查175.00631311000027经膀胱镜输尿管支架置入术220.35
6073109030051无痛电子肠镜630.00632311000028经输尿管镜支架置入术293.80
608310903010经肠镜特殊治疗319.00633311000030膀胱注射15.82
609310903016肠梗阻导管置入术600.00634311000031膀胱灌注15.82
610310904001直肠镜检查31.64635311000033膀胱穿刺造瘘术158.20
611310904003肛门镜检查17.60636311000034膀胱镜尿道镜检查205.90
612310904004肛门指检12.43637311000036尿道狭窄扩张术56.00
613310904007肛门皮下组织美兰注射神经阻滞术49.40638311000040体外冲击波碎石456.00
614310904008便秘及腹泻的生物反馈治疗38.00639311000043家庭腹膜透析治疗指导小时45.20
615310905001腹腔穿刺术47.46640311100002嵌顿包茎手法复位术79.10
6163109050010腹腔穿刺术 .放腹水治疗63.28641311100010阴茎赘生物电灼/冷冻术79.10
617310905007腹腔镜检查349.60642311100014前列腺针吸细胞学活检术39.55
618310905010经皮肝穿胆道引流术(PTCD)924.00643311201002外阴活检术20.60
619310905028经皮体腔热灌注化疗720.006443112010041电子阴道镜检查60.80
620310905030腹腔内压监测40.00645311201005阴道填塞15.82
6213110000011透析导管拔管术101.70646311201006阴道灌洗上药12.43
622311000003腹膜透析换液15.82647311201007后穹窿穿刺术39.55
623311000006血液透析200.00648311201008宫颈活检术48.00
624311000008血液透析滤过360.00649311201009宫颈注射15.82
625311000010血液灌流320.00650311201010宫颈扩张术15.82
6263110000112连续性血液净化小时76.00651311201011宫颈内口探查术7.91
627311000012血透监测12.10652311201015子宫输卵管通液术68.00
628311000020经尿道输尿管镜检查单侧345.00653311201018宫腔粘连分离术63.28
629311000022经皮输尿管内管置入术367.25654311201019宫腔填塞102.60
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
655311201020妇科特殊治疗每个部位20.34680311300003关节腔灌注治疗48.00
6563112010200妇科特殊治疗每个部位38.00681311300008周围神经封闭术31.64
657311201023产前检查7.91682311300010鞘内注射30.50
6583112010260电子胎心监测9.90683311400012醋酸白试验14.00
6593112010261电子胎心监测(连续监测)每胎儿/日60.00684311400016红光治疗每个部位10.00
660311201048宫内节育器放置术44.70685311400019刮疣治疗每个4.52
661311201050刮宫术76.00686311400027皮肤溃疡清创术5平方厘米38.00
662311201051产后刮宫术72.00687311400042YAG激光治疗每个皮损20.34
663311201053人工流产术126.00688311400044液氮冷冻治疗每个皮损15.82
6643112010531畸形子宫等人工流产术加收64.60689311400049烧伤冲洗清创术(大)395.50
665311201055催产素滴注引产术79.10690311400051烧伤冲洗清创术(小)205.66
666311201057乳房按摩7.60691311400052护架烤灯千瓦时1.00
6673112010571乳房积乳疏通术单侧32.00692311400061烧伤换药1%体表单位28.00
668311201072宫腔组织吸引术190.40693311503008行为观察和治疗24.00
669311202002新生儿复苏79.10694311503009冲动行为干预治疗31.00
670311202003新生儿气管插管术39.55695311503014感觉统合治疗55.00
671311202004新生儿人工呼吸(正压通气)15.82696311503017音乐治疗4.52
672311202005新生儿洗胃39.55697320100001经皮选择性静脉造影术864.00
673311202006新生儿监护小时2.26698320100003经皮静脉内滤器置入术2229.80
674311202008新生儿兰光治疗小时1.13699320100008经皮静脉插管药物灌注术924.00
675311202010新生儿经皮胆红素测定5.60700320200002经皮选择性动脉造影术1072.00
676311202011新生儿暖箱小时1.60701320200003经皮超选择性动脉造影术2230.40
677311202012新生儿辐射抢救治疗小时2.26702320200007经皮动脉栓塞术2432.90
678311202015新生儿行为测定7.91703320200009经皮动脉内球囊扩张术2229.80
679311300002关节穿刺术51.00704320200010经皮动脉支架置入术2676.80
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
705320200013经皮动脉插管药物灌注术1329.00730330100012心肺复苏术151.20
706320200014下肢动脉步进血管造影术1639.40731330100013气管插管术72.00
707320200015保护伞下血管内支架置入术2093.00732330100014特殊方法气管插管术(含可视喉镜辅助插管)175.00
708320200016经皮血管腔内血栓抽吸术2478.007333301000141喉罩插管通气术42.00
709320400006心脏射频消融术4435.00734330100016控制性降压120.00
710320500001冠状动脉造影术1736.80735330100018急危病人麻醉76.00
711320500002经皮冠状动脉腔内成形术(PTCA)3186.0073633010001801急危病人麻醉(急诊)76.00
712320500003经皮冠状动脉内支架置入术(STENT)4318.0073733010001802急危病人麻醉(高龄)76.00
713320500007冠脉血管内超声检查术(IVUs)1966.5073833010001803急危病人麻醉(小儿)76.00
714320500011经皮冠状动脉内溶栓术1790.5573933010001804急危病人麻醉(危重)76.00
715320500013冠状动脉内超声溶栓术1966.50740330100024连续无创总血红蛋白监测114.00
716320600001经皮穿刺动脉置管全脑血管造影1739.00741330100026体表加温治疗小时62.00
717320600003经皮穿刺脑血管腔内球囊成形术1438.65742330100027凝血功能和血小板功能动态监测342.00
718320600004经皮穿刺脑血管腔内支架植入术2890.80743330100028麻醉恢复室监护小时40.25
719320600005经皮穿刺脑血管腔内溶栓术2112.50744330100029无插管全麻210.00
720320600008颅内动脉瘤栓塞术2810.80745330100030表面麻醉6.00
721320600012经皮穿刺脑血管腔内血栓取出术2110.00746330201001头皮肿物切除术230.00
722320600013颅内动脉瘤血流导向治疗术2940.00747330201008去颅骨骨瓣减压术1580.00
723321000010脓肿置管引流术664.00748330201013慢性硬膜下血肿钻孔术1197.00
724330100001局部浸润麻醉28.00749330201014颅内多发血肿清除术(外伤同一部位)1598.50
725330100002神经阻滞麻醉344.00750330201015颅内血肿清除术(外伤)1334.00
726330100003椎管内麻醉483.00751330201016开颅内减压术1598.50
727330100005全身麻醉875.00752330201020脑室钻孔伴脑室引流术1610.00
728330100006血液加温治疗小时5.75753330201022幕上浅部病变切除术2731.70
729330100008术后镇痛36.00754330201036小脑半球病变切除术2012.50
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
755330201041颅底肿瘤切除术5544.00780330403004结膜囊成形术596.90
756330201045经颅内镜经鼻蝶垂体肿瘤切除术1644.50781330404004角膜拆线96.80
757330202007颅神经微血管减压术1943.50782330404006角膜深层异物取出术473.80
758330203007颈内动脉内膜剥脱术1702.00783330404007翼状胬肉切除术263.50
759330203012颅外内动脉搭桥术3312.70784330405002虹膜周边切除术402.50
760330203013颞肌颞浅动脉贴敷术2292.20785330405011前房角切开术612.70
761330204001脊髓和神经根粘连松解术2108.00786330405012前房成形术524.80
762330204009髓外硬脊膜下病变切除术1414.50787330405015小梁切开术714.20
763330300004甲状旁腺组织自体移植术1344.00788330406005白内障超声乳化摘除术1499.00
764330300007甲状腺穿刺活检术96.60789330406010白内障超声乳化摘除术+人工晶体植入术2153.00
765330300008甲状腺部分切除术单侧1477.00790330406019非正常晶体手术1205.00
766330300009甲状腺次全切除术1477.00791330407001玻璃体穿刺抽液术402.50
767330300011甲状腺癌根治术单侧2352.00792330407005复杂视网膜脱离修复术966.00
768330300012甲状腺癌扩大根治术单侧2688.00793330407008黄斑前膜术747.50
769330300015甲状舌管瘘切除术805.00794330407014硅油取出术单侧924.00
7703303000211经腹腔镜肾上腺切除术单侧1529.50795330407016经结膜微创玻璃体切除术3150.00
771330401001眼睑肿物切除术194.20796330408001共同性斜视矫正术963.00
772330401002眼睑结膜裂伤缝合术244.10797330408002非共同性斜视矫正术402.50
773330401004上睑下垂矫正术467.30798330408003非常规眼外肌手术402.50
774330401007睑内翻矫正术260.60799330409003球壁异物取出术692.60
775330401019眼睑肿物切除整形术单侧1520.00800330409009眼球摘除+植入术758.20
7763304020070经鼻内镜鼻腔泪囊吻合术1067.00801330409014眶内肿物摘除术1610.00
777330402008鼻泪道再通术346.00802330409021眶膈修补术523.25
778330402009泪道成形术615.00803330501002耳道异物取出术(深部)96.60
779330403002结膜肿物切除术335.508043305010020耳道异物取出术(浅部)48.30
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
805330501006耳前瘘管切除术403.90830330604018阻生智齿龈瓣整形术每牙58.30
806330501009耳前瘘管感染切开引流术120.75831330604022根端囊肿摘除术每牙210.20
807330501022耳廓良性肿物切除术单侧350.00832330604026根尖切除术每牙180.60
808330502001鼓膜置管术144.90833330604027根尖搔刮术每牙112.70
809330502002鼓膜切开术244.80834330604029牙龈翻瓣术每牙94.30
810330502011经耳内镜鼓室探查术644.00835330604031牙龈切除术每牙47.50
811330601001鼻外伤清创缝合术231.10836330604033牙周骨成形手术每牙40.25
812330601002鼻骨骨折整复术352.10837330604037截根术每牙136.80
813330601007鼻腔异物取出术148.80838330605001口腔颌面部小肿物切除术201.25
814330601008下鼻甲部分切除术291.60839330605021口腔颌面颈部异物取出术576.00
815330601009中鼻甲部分切除术306.00840330605025颞部肿物切除术每项抗体663.80
816330601011鼻前庭囊肿切除术504.70841330606001系带成形术112.70
817330601012鼻息肉摘除术358.60842330606006腭咽成形术579.60
818330601014鼻中隔矫正术801.40843330606010唇缺损修复术434.70
819330601030鼻内窥镜下低温消融术368.00844330606043颌面颈部深部肿物切除术1499.20
820330602013经鼻内窥镜鼻窦手术1596.00845330608001口腔颌面软组织清创术(大)362.25
821330604001乳牙拔除术每牙14.00846330608002口腔颌面软组织清创术(中)217.35
822330604002前牙拔除术每牙27.00847330608003口腔颌面软组织清创术(小)112.70
823330604003前磨牙拔除术每牙34.00848330608006颌骨骨折外固定术单颔289.80
824330604004磨牙拔除术每牙50.00849330608019骨内固定植入物取出术单颌259.00
825330604005复杂牙拔除术每牙111.00850330609014种植体植入费(单颗)牙位1440.00
826330604006阻生牙拔除术每牙212.0085133060901401种植体植入费(单颗)(种植体即刻种植加收10%)牙位144.00
827330604007拔牙创面搔刮术每牙26.40852330609016种植牙冠修复置入费(单颗)牙位1107.00
828330604008牙再植术每牙113.00853330609017种植牙冠修复置入费(连续冠桥修复)牙位819.00
829330604010牙槽骨修整术每牙51.80854330609020口腔内植骨费(简单)牙位720.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
855330609021口腔内植骨费(一般)牙位1134.00880330900008髂腹股沟淋巴结清扫术(含区域淋巴结切除)单侧966.00
856330610001扁桃体切除术434.70881331001011食管癌根治术3576.00
857330610002腺样体刮除术400.008823310010110经胸腔镜食管癌根治术3996.00
858330610004扁桃体周围脓肿切开引流术203.80883331001022贲门癌切除术2343.00
859330701003环甲膜穿刺术146.008843310020050经腹腔镜胃癌根治术3384.00
860330701005气管切开术401.60885331002009胃肠造瘘术874.00
861330701022喉良性肿瘤切除术1006.40886331002011胃肠穿孔修补术805.00
862330701038会厌良性肿瘤切除术644.008873310020110经腹腔镜胃肠穿孔修补术1476.00
8633307020020经胸腔镜肺癌根治术2656.50888331003006肠扭转、肠套叠复位术877.00
8643307020040经胸腔镜肺减容手术1932.00889331003007肠切除术1161.50
865330702005肺楔形切除术2016.00890331003008肠粘连松解术966.00
8663307020050经胸腔镜肺楔形切除术2448.00891331003011肠造瘘还纳术772.80
8673307020090经胸腔镜肺大泡切除修补术1495.00892331003017结肠造瘘(Colostomy)术874.00
868330703011胸壁外伤扩创术874.80893331003020结肠癌根治术2730.00
869330703012胸壁肿瘤切除术1046.508943310030200经腹腔镜结肠癌根治术3150.00
870330703017胸腔闭式引流术396.008953310030220经腹腔镜阑尾切除术945.90
871330703022胸膜粘连烙断术1288.00896331003023经电子内镜食管胃十二指肠黏膜切除术(EMR)700.00
8723307030220经胸腔镜胸膜粘连烙断术1929.60897331003025经电子内镜结肠黏膜剥离术(结肠ESD)2268.00
8733307030230经胸腔镜胸膜固定术1684.80898331004001直肠出血缝扎术483.00
8743307030260经胸腔镜纵隔肿瘤切除术3192.00899331004002直肠良性肿物切除术636.00
875330804048肢体动静脉修复术1610.00900331004009直肠肛门周围脓肿切开排脓术299.00
876330804060大隐静脉高位结扎+剥脱术单侧1127.00901331004013直肠癌根治术3360.00
877330804061小动脉吻合术单侧966.00902331004016经肛门直肠脱垂手术935.30
878330900006盆腔淋巴结清扫术1440.00903331004017耻骨直肠肌松解术747.50
879330900007经腹腔镜盆腔淋巴结活检术1046.50904331004020肛周常见疾病手术治疗405.95
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
905331004021低位肛瘘切除术491.80930331202010睾丸固定术每侧778.30
906331004022高位肛瘘切除术684.70931331203001附睾切除术585.40
907331004025肛门内括约肌侧切术570.20932331203006精索静脉曲张高位结扎术单侧653.00
908331005005经腹腔镜肝囊肿切除术1616.40933331204001嵌顿包茎松解术231.10
909331005006肝内病灶清除术1696.00934331204002包皮环切术265.00
9103310060020经腹腔镜胆囊切除术1810.10935331301002卵巢囊肿剔除术单侧673.90
9113310060113经腹腔镜胆总管探查T管引流术+取石冲洗1998.009363313010020经腹腔镜卵巢囊肿剔除术单侧945.90
912331008001腹股沟疝修补术单侧637.109373313010030经腹腔镜卵巢修补术单侧1332.70
9133310080010经腹腔镜腹股沟疝修补术单侧1093.60938331301005卵巢切除术单侧744.80
914331008002嵌顿疝复位修补术单侧875.50939331301008卵巢输卵管切除术单侧1274.00
915331008004脐疝修补术807.80940331302001输卵管结扎术357.80
916331008005腹壁切口疝修补术984.20941331302003输卵管修复整形术1212.50
917331008017腹壁肿瘤切除术.5cm以下864.00942331302004输卵管切除术483.00
918331101006肾周围粘连分解术1161.509433313020040经腹腔镜输卵管切除术913.60
9193311010080经腹腔镜肾切除术1610.00944331302011经腹单侧输卵管系膜囊肿剥除术单侧598.00
9203311010140经腹腔镜肾囊肿去顶术1789.20945331303001宫颈息肉切除术70.60
921331103027经尿道膀胱碎石取石术1164.209463313030011经宫腔镜宫颈息肉切除术502.60
922331104008尿道良性肿物切除术879.00947331303004宫颈锥形切除术720.00
923331104022尿道悬吊延长术803.50948331303005宫颈环形电切术637.20
924331201001前列腺癌根治术3349.00949331303010子宫修补术888.50
9253312010060经尿道前列腺电切术2560.00950331303011经腹子宫肌瘤剔除术1051.20
926331202004阴囊肿物切除术460.809513313030110经腹腔镜子宫肌瘤摘除术1483.20
927331202005高位隐睾下降固定术每侧843.10952331303014腹式全子宫切除术1632.00
928331202006睾丸鞘膜翻转术单侧630.709533313030140经腹腔腹式镜子宫全切术2052.00
929331202007交通性鞘膜积液修补术每侧756.00954331303015全子宫+双附件切除术1757.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
955331303017广泛性子宫切除+盆腹腔淋巴结清除术3881.00980331306009经宫腔镜子宫内膜去除术1462.00
9563313030180经腹腔镜经腹阴道联合子宫切除术2023.00981331400001人工破膜术40.25
957331303022子宫悬吊术979.90982331400002单胎顺产接生735.00
958331303024盆腔巨大肿瘤切除术1381.00983331400005死胎接生504.00
959331303025阔韧带内肿瘤切除术1275.80984331400007难产接生1365.00
960331303030子宫内膜异位病灶切除或烧灼术792.00985331400010手取胎盘术100.00
961331303032经宫腔镜宫腔异物取出术920.00986331400012剖宫产术680.00
962331304001阴道异物取出术161.00987331400015二次剖宫产术888.00
963331304007阴道良性肿物切除术594.70988331400018子宫颈裂伤修补术144.90
964331304010阴道壁血肿切开术433.00989331501032胸腰椎切开复位内固定术每节椎骨2623.00
965331304011阴道前后壁修补术1000.00990331501036椎管扩大减压术每节椎板1900.00
966331305002陈旧性会阴裂伤修补术627.80991331501037椎管扩大成形术每节椎板2111.00
967331305004外阴脓肿切开引流术280.80992331501038腰椎间盘突出摘除术每节间盘1795.00
968331305005外阴良性肿物切除术422.60993331501042腰椎滑脱椎弓根螺钉固定植骨融合术2554.00
969331305012前庭大腺囊肿造口术363.60994331501052脊柱椎间融和器植入植骨融合术3119.00
970331305013前庭大腺囊肿切除术428.40995331501054脊柱内固定物取出术1571.00
971331305014处女膜切开术200.20996331501056经皮穿刺颈腰椎间盘切除术每节间盘2142.00
972331306002盆腔粘连分离术883.00997331501065椎间盘消融术间隙1638.00
973331306003宫腔镜检查405.0099833150106501椎间盘消融术(每增加一间隙加收)间隙491.40
974331306004经宫腔镜取环术449.30999331502005神经吻合术1468.10
9753313060040经宫腔镜取环术449.001000331502008周围神经嵌压松解术1144.80
976331306005经宫腔镜输卵管插管术322.001001331502013下肢神经探查吻合术1251.00
977331306006经宫腔镜粘连分离术677.001002331503020坐骨结节囊肿摘除术1150.00
9783313060060经宫腔镜粘连分离术460.001003331504012扩创术单侧肢体644.00
979331306008经宫腔镜子宫肌瘤切除术1046.501004331505001锁骨骨折切开复位内固定术1293.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
1005331505002肱骨近端骨折切开复位内固定术1689.001030331506014膝关节内外侧副韧带重建术2268.00
1006331505003肱骨干骨折切开复位内固定术1478.0010313315060150经关节镜膝关节单纯游离体摘除术1092.50
1007331505004肱骨骨折切开复位内固定术1689.001032331506016关节滑膜切除术(大)1360.10
1008331505005肱骨内外髁骨折切开复位内固定术1507.001033331506017关节滑膜切除术(中)897.00
1009331505006尺骨鹰嘴骨折切开复位内固定术1307.001034331506020膝关节清理术1296.70
1010331505008桡骨头骨折切开复位内固定术1475.0010353315060200经关节镜膝关节清理术1483.50
1011331505010桡尺骨干骨折切开复位内固定术1478.001036331506021踝关节稳定手术1463.00
1012331505014股骨颈骨折切开复位内固定术2026.0010373315060221腘窝囊肿切除术(单侧)713.00
1013331505016股骨转子间骨折内固定术1991.001038331506023肘关节稳定术2059.00
1014331505017股骨干骨折切开复位内固定术1689.001039331506024关节骨软骨损伤修复术2059.00
1015331505018股骨髁间骨折切开复位内固定术2048.001040331506026半月板修复术单侧1368.00
1016331505019髌骨骨折切开复位内固定术1293.001041331507002人工肱骨头置换术1906.60
1017331505020胫骨髁间骨折切开复位内固定术1929.001042331507003人工肘关节置换术1288.00
1018331505021胫骨干骨折切开复位内固定术1445.001043331507004人工全髋关节置换术3378.00
1019331505022内、外踝骨折切开复位内固定术1267.001044331507005人工股骨头置换术2300.00
1020331505023三踝骨折切开复位内固定术1789.001045331507006人工膝关节表面置换术3076.00
1021331505035跟骨骨折切开复位撬拨术1354.001046331509005髂骨取骨术772.80
1022331505037骨折内固定装置取出术1135.001047331512010股四头肌成形术1689.00
1023331505038足部骨骨折切开复位内固定术1332.001048331512012髌韧带成形术1778.00
1024331505039腓骨骨折切开复位内固定术1365.001049331512015足母外翻矫形术1434.00
1025331506001肩锁关节脱位切开复位内固定术1930.001050331513003残端修整术845.30
1026331506011急性膝关节前、后十字韧带破裂修补术2268.001051331513009截指术440.60
10273315060110经关节镜急性膝关节前、后十字韧带破裂修补术2556.001052331515001手部掌指骨骨折切开复位内固定术1105.00
1028331506012膝关节陈旧性前十字韧带重建术1589.001053331515002手部关节内骨折切开复位内固定术1289.00
10293315060120经关节镜膝关节前十字韧带重建术1877.001054331516001手部关节脱位切开复位内固定术1092.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
1055331517002指间关节融合术1172.001080331522013髂胫束松解术463.45
1056331518001掌指骨软骨瘤刮除植骨术1161.001081331522016跟腱断裂修补术772.80
1057331519008多指切除术576.001082331523001手法牵引复位术128.80
1058331519014带蒂复合组织瓣成形术每个部位1357.001083331523002皮肤牵引术96.60
1059331520001指间或掌指关节侧副韧带、关节囊修补术644.001084331523003骨骼牵引术193.20
1060331521006手外伤推进皮瓣(V—Y)术644.001085331523007石膏固定术(大)322.00
1061331521010肩外展功能重建术839.501086331523008石膏固定术(中)225.40
1062331521013伸指功能重建术966.001087331523009石膏固定术(小)167.90
1063331521016缩窄性腱鞘炎切开术402.501088331523010石膏拆除术24.50
1064331521017腱鞘囊肿切除术454.301089331601002乳腺肿物切除术单侧515.20
1065331521021手部皮肤撕脱伤修复术864.0010903316010022乳腺肿瘤微创旋切术980.00
1066331521022手外伤清创反取皮植皮术987.801091331601003副乳切除术单侧501.10
1067331521029屈伸指或趾肌腱吻合术每跟
肌腱
596.201092331601004单纯乳房切除术每侧743.00
1068331521030屈伸指肌腱游离移植术每根肌腱780.501093331601005乳腺癌根治术单侧2730.00
1069331521036前臂神经探查吻合术1342.801094331602001脓肿切开引流术108.00
1070331521038手腕部神经损伤修复术1270.101095331602002体表异物取出术216.00
1071331521040指蹼成形术每个指(趾)蹼708.401096331602004浅表肿物切除术每个肿物187.20
1072331521041甲床修补术644.001097331602008海绵状血管瘤切除术(小)458.60
1073331521042四肢皮肤撕脱伤修复术单侧肢体690.001098331602010头皮撕脱清创修复术750.40
10743315220011骨骼肌软组织肿瘤切除术1320.001099331603011取皮术1%体表面305.90
10753315220012骨骼肌软组织肿瘤切除术923.001100331603030游离皮片移植术1%体表面772.80
1076331522006肱二头肌腱断裂修补术839.501101331603031皮肤撕脱反取皮回植术1%体表面1508.80
1077331522007岗上肌腱钙化沉淀物取出术772.801102331604016面部外伤清创整形术2cm2487.40
1078331522008肩袖破裂修补术1368.701103331604018指甲成形术每指599.00
1079331522009腕管综合症切开减压术808.601104331604024任意皮瓣形成术每个部位450.80
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
1105331604032带蒂轴型皮瓣切取移植术1610.001130340100025冷疗每部位9.04
11063317000010高频手术设备辅助操作70.001131340100036经颅磁刺激治疗48.00
11073317000022腹腔镜402.501132340100039放射式冲击波疼痛治疗(RSWT)部位78.00
11083317000024关节镜320.001133340100040亚低温治疗小时5.65
11093317000025高倍显微镜161.001134340200001徒手平衡功能检查12.43
11103317000026鼻内镜80.501135340200004等速肌力测定25.60
11113317000027脑内窥镜使用费184.001136340200006疲劳度测定24.86
1112331700003超声刀辅助操作70.001137340200007步态分析检查19.21
1113331700006微动力系统辅助操作70.001138340200008言语能力评定24.86
1114331800001肿瘤热消融治疗1600.001139340200012认知知觉功能检查25.60
1115340100001红外线治疗每个照射区8.601140340200018肺功能康复评定25.60
1116340100002可见光治疗每个照射区10.101141340200020运动疗法45分钟/次31.00
1117340100005激光疗法每个照射区11.301142340200023电动起立床训练12.43
1118340100007电诊疗每块肌肉11.601143340200024平衡功能训练12.43
1119340100009低频脉冲治疗每部位6.8011443402000241仪器平衡功能训练15.82
1120340100010中频脉冲电治疗10.001145340200025手功能训练9.04
1121340100012超短波治疗、短波治疗每个部位6.001146340200029引导式教育训练20.00
1122340100013微波治疗每个部位15.821147340200030等速肌力训练24.86
1123340100014射频电疗21.601148340200031作业疗法19.21
1124340100017超声波治疗每10分钟15.821149340200034言语训练21.00
1125340100018电子生物反馈疗法15.821150340200036构音障碍训练15.82
1126340100019磁疗每20分钟12.431151340200037吞咽功能障碍训练15.82
1127340100021蜡疗(石蜡疗法)每个部位12.001152340200038认知知觉功能障碍训练21.00
1128340100023牵引28.251153340200039康复评定14.69
1129340100024气压治疗每肢体8.001154340200043营养测评15.82
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
1155410000002中药化腐清创术每个创面57.601180430000012耳针单耳20.00
1156410000003中药涂擦治疗10%体表面25.601181430000016电针42.00
1157410000004中药热奄包治疗每个部位15.821182430000020磁热疗法21.00
115841000000501中药封包治疗(特大)每个部位27.121183430000021放血疗法42.00
115941000000503中药封包治疗(中)每个部位16.001184430000022穴位注射36.13
116041000000504中药封包治疗(小)每个部位10.171185430000023穴位贴敷治疗15.82
1161410000006中药熏洗治疗28.001186440000002隔物灸法32.00
1162410000008中药塌渍治疗10%体表面积28.001187440000004拔罐疗法28.00
1163410000009中药熏药治疗25.991188440000016艾箱灸25.00
1164420000001骨折手法整复术910.00118945000000101普通落枕推拿治疗49.00
1165420000005关节脱位手法整复158.20119045000000201普通颈椎病推拿治疗49.00
1166420000006骨折外固定架固定术1050.00119145000000202副主任医师颈椎病推拿治疗64.00
1167420000007骨折夹板外固定术322.00119245000000301普通肩周炎推拿治疗49.00
1168420000008四肢关节错缝术140.00119345000000601普通腰椎间盘突出推拿治疗49.00
1169420000010外固定架使用20.80119445000000701普通膝关节骨性关节炎推拿治疗49.00
1170420000011关节粘连传统松解术73.45119545000000801普通其他推拿治疗42.00
11714200000111大关节粘连传统松解术96.05119645000001201普通脊柱小关节紊乱推拿治疗部位49.00
1172420000013中医定向透药疗法部位20.00119745000001501普通中风后遗症推拿治疗67.00
1173420000015腱鞘囊肿挤压术31.641198460000003内痔硬化剂注射治疗(枯痔治疗)每个痔核210.00
117443000000101普通针刺49.001199460000004高位、复杂肛瘘挂线治疗770.00
117543000000102副主任医师普通针刺64.001200460000007混合痔外剥内扎术490.00
1176430000002温针49.001201460000008肛周脓肿一次性根治术581.00
1177430000005微针针刺49.001202460000013肛周药物注射封闭术56.50
1178430000010火针3个穴位23.731203460000015人工扩肛治疗47.46
1179430000011埋针治疗95.001204460000018肛门直肠周围脓腔搔刮术366.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
1205460000022藏毛窦囊肿切除术640.001230F31050016替牙期牙性安氏II类错 固定矫治器正畸治疗189.80
1206470000004眼结膜囊穴位注射单眼32.771231F31050017替牙期骨性安氏II类错 正畸治疗253.10
1207470000005小针刀治疗196.001232F31050018恒牙早期安氏II类错功能矫治器治疗189.80
1208470000009耳咽中药吹粉治疗16.951233F31050019恒牙期牙性安氏II类错 固定矫治器治疗189.80
1209470000011中药直肠滴入治疗22.601234F31050020恒牙期骨性安氏II类错 固定矫治器拔牙治疗189.80
1210470000012刮痧治疗28.001235F31050022替牙期安氏III类错 正畸治疗126.60
1211480000003中药特殊调配15.821236F31050023恒牙早期安氏III类错功能矫治器治疗253.10
1212480000005煎药机煎药副(2袋/副)1.701237F31050024恒牙期安氏III类错 固定矫治器治疗189.80
1213510100002病历资料复印A40.401238F31050025恒牙期骨性安氏III类错 固定矫治器拔牙治疗189.80
1214520100001手工分红细胞悬液1u210.001239F31050027牙周病伴错 畸形固定矫治器正畸治疗253.10
1215520300001手工分冰冻血浆100ml40.001240F31050028牙合创伤正畸治疗126.60
1216520300002冷沉淀1u150.001241F31050030恒牙期颜面不对称正畸治疗253.10
1217530000001机采血小板治疗量1400.001242F33040001重睑成形术双侧322.00
1218550000001白细胞除滤20.001243LS2504031051新型冠状病毒核酸检测(标本单采)人次14.00
1219550000003病毒灭活100ml40.001244LS2504031052 新型冠状病毒核酸检测(标本混采)人次3.00
1220F31050001前牙美容修复术每牙50.901245LS250403107新型冠状病毒抗原检测人次5.00
1221F31050003牙齿漂白术每牙94.901246s110900001电动气垫床6.00
1222F31050004制戴固定式缺隙保持器126.601247s120100001机械深度排痰14.00
1223F31050005制戴活动式缺隙保持器79.101248s220300002中、晚期妊娠系统胎儿彩超检查每胎儿95.00
1224F31050007洁治每牙1.101249s220400001脑循环微栓子检测130.00
1225F31050008牙面光洁术每牙1.101250s220700001实时三维超声检查162.00
1226F31050010替牙期安氏I类错 活动矫治器正畸治疗126.601251s250203002全血D-二聚体定量测定(D-Dimer)92.70
1227F31050011替牙期安氏I类错 固定矫治器正畸治疗189.801252s250203003人类白细胞抗原B27测定(HLA-B27)104.00
1228F31050012恒牙期安氏I类错 固定矫治器治疗189.801253s250304001全血干式血气及离子分析59.00
1229F31050015替牙期牙性安氏II类错 活动矫治器正畸治189.801254s250310001人胰岛素样生长因子-I测定(IGF-I)39.00
序号项目编码项目名称计价单位单价序号项目编码项目名称计价单位单价
1255s250310007甲状旁腺素(PTH)测定42.001280s320000003经皮静脉栓塞(硬化)术1350.40
1256s250401004C-反应蛋白定量测定(CRP)29.001281s320400003经皮穿刺心室造影术1296.00
1257s250401005淋巴细胞亚群测定172.201282s320700002经皮肺(纵隔)穿刺活检术198.00
1258s250402001抗β2糖蛋白测定65.001283s320700004经皮穿刺置管引流术448.50
1259s250402003抗线粒体抗体分型测定26.001284s320700005经皮穿刺置管注药(硬化)术390.00
1260s250402004抗肝细胞溶质抗原I型抗体测定29.001285S320800001经腔插管消化道造影术336.00
1261s250402005抗平滑肌抗体测定29.001286s320800003经皮肝(脾)穿刺门脉造影术828.00
1262s250402007抗肾小球基底膜抗体测定29.001287s320800006经皮肝穿胆道造影术 576.00
1263s250402008免疫球蛋白E定量(IgE定量)变态反应42.001288s321000002经皮穿刺骨水泥椎体成形术1750.40
1264s250403003乙型肝炎五项定量测定64.401289s3210000031经皮穿刺椎间盘臭氧介入治疗术每节间盘664.00
1265s250700004荧光原位杂交技术106.001290s321000015经皮穿刺深部组织活检术475.20
1266s250700006荧光定量PCR技术117.001291s330201002腰池引流术195.50
1267s270700004人乳头瘤状病毒分型检测192.001292s330201003头皮下血肿抽吸术37.95
1268S310100001痛点阻滞9.041293S330300001经腹腔镜肾上腺囊肿切除术1270.75
1269S310200002抗胰岛细胞抗体测定71.201294s330601002内窥镜下鼻中隔矫正术632.50
1270s310400002耳鼻咽喉部中换药14.691295s330610001扁桃体止血术288.00
1271s310701001同步十二导联动态心电图160.001296s330611002下咽或喉部异物取出术112.70
1272s310701002持续中心静脉压力监测小时7.911297s330701002气管套管拔管术115.00
1273s310701004运动血压检测76.001298s331004001肛门嵌塞清除术57.50
1274s310904001嵌顿疝手法复位56.501299s331008001经腹腔镜腹腔探查术1252.80
1275s310905012嵌顿疝手法复位293.801300s331102002经皮肾微造瘘碎石术1725.00
1276s311101001小儿包茎分离术67.801301s331102003经输尿管镜输尿管结石钬激光治疗术1800.00
1277s311201001妇科检查6.781302s331104001尿道口肉阜(疣)电灼术161.00
1278s311201002小阴唇粘连分离术304.001303s331400001多胎剖宫产术1011.00
1279s311300001颈、腰椎间盘射频热凝术间隙881.401304s331503001骨软骨瘤切除术1065.00
编辑:宝丰县人民医院 发布时间:2024-11-22 11:10:04 打印文章
 
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