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    序号计算机编码名称单位总院价南院价
    1011010000107门诊病历手册费0.500.50
    2011020000110普通门诊诊查费(住院医师)18.0018.00
    3011020000120普通门诊诊查费(主治医师)28.0025.00
    4011020000130普通门诊诊查费(副主任医师)38.0035.00
    5011020000140普通门诊诊查费(主任医师)48.0045.00
    6011020000300急诊诊查费2.002.00
    7011020000400门急诊留观诊查费20.0020.00
    8011020000500住院诊查费15.0013.00
    9011030000100急诊监护费60.0058.00
    1011030000102急诊监护费(半日)半日30.0029.00
    11011040000101院前急救费(内脏衰竭现场急救)50.0047.00
    12011040000102院前急救费(外伤现场急救)50.0047.00
    13011040000106院前急救费(电击等现场急救)50.0047.00
    14011050000100体检费15.0015.00
    15011060000001救护车费(担架抬送加收)30.0030.00
    16011060000100救护车费车次30.0030.00
    17011060000101救护车费(超过20公里每公里加收)公里3.003.00
    18011090000102普通病房床位费(消毒费加收)床日2.002.00
    19011090000103普通病房床位费(租用临时卧具加收)床日3.003.00
    20011090000201百级层流洁净病房床位费床日150.00150.00
    21011090000300监护病房床位费床日60.0054.00
    22011090000501急诊观察床位费(四人及以上间)床日14.0012.00
    23011100000210院内会诊(主任医师)25.0020.00
    24011100000220院内会诊(副主任医师)20.0018.00
    25012010000001护理费(使用防褥气垫加收)10.0010.00
    26012010000100重症监护小时8.008.00
    27012010000200特级护理小时5.005.00
    28012010000300Ⅰ级护理33.0033.00
    29012010000400Ⅱ级护理23.0023.00
    30012010000500Ⅲ级护理10.0010.00
    31012010000700新生儿护理26.0026.00
    32012010000801新生儿特殊护理(新生儿干预)4.004.00
    33012010000803新生儿特殊护理(呼吸道清理)4.004.00
    34012010000805新生儿特殊护理(油浴)4.004.00
    35012010000806新生儿特殊护理(抚触)15.0015.00
    36012010001401一般专项护理(口腔护理)10.0010.00
    37012010001402一般专项护理(会阴擦洗)10.0010.00
    38012010001404一般专项护理(擦浴)10.0010.00
    39012010001405一般专项护理(阴道冲洗)10.0010.00
    40012020000100大抢救200.00180.00
    41012020000200中抢救100.0090.00
    42012020000300小抢救50.0040.00
    43012030000102氧气吸入(加压给氧加收)小时1.001.00
    44012030000110低流量吸氧小时3.003.00
    45012030000120中心吸氧小时5.005.00
    46012030000130高频吸氧小时5.005.00
    47012040000100肌肉注射2.502.50
    48012040000104小儿肌肉注射2.502.50
    49012040000200静脉注射4.004.00
    50012040000201静脉注射(静脉采血)4.004.00
    51012040000202小儿静脉注射4.004.00
    52012040000400动脉加压注射13.0013.00
    53012040000401动脉加压注射(动脉采血)13.0013.00
    54012040000600静脉输液9.009.00
    55012040000605静脉输液(第二组起)2.002.00
    56012040000606小儿静脉输液12.0012.00
    57012040000700小儿头皮静脉输液15.0015.00
    58012040000701小儿头皮静脉输液(第二组起)2.002.00
    59012040001000静脉穿刺置管术26.0026.00
    60012040001100中心静脉穿刺置管术75.0075.00
    61012040001101深静脉穿刺置管术75.0075.00
    62012040001200动脉穿刺置管术45.0045.00
    63012050000100大清创缝合160.00160.00
    64012050000200中清创缝合117.00117.00
    65012050000300小清创缝合35.0035.00
    66012060000100特大换药30.0030.00
    67012060000101特大换药(创面在60cm2以上的每增加10cm2加收)×10cm25.005.00
    68012060000200大换药25.0025.00
    69012060000300中换药15.0015.00
    70012060000400小换药8.008.00
    71012060000402小儿小换药8.008.00
    72012070000100雾化吸入5.000.00
    73012150000100灌肠11.000.00
    74013070000120出诊费(其他医护人员)20.0015.00
    75013070000121出诊费(其他医护人员、长途出诊)小时20.0020.00
    76021010201500数字化摄影(DR)曝光次数27.0027.00
    77021010201501数字化DR数字化摄影(床旁摄片)曝光次数81.0081.00
    78021020000120场强大于等于1.5T磁共振平扫每部位512.00512.00
    79021020000121场强大于等于1.5T磁共振平扫(平扫后增强扫描)每部位640.00640.00
    80021020000520场强大于等于1.5T磁共振血管成象(MRA)每部位676.00676.00
    81021030000001X线计算机体层(CT)扫描(三维重建加收)每个部位70.0063.00
    82021030000100X线计算机体层(CT)平扫每个部位190.00190.00
    83021030000101X线计算机体层(CT)平扫(平扫后即刻做增强扫描)每部位308.00280.00
    84021030000200X线计算机体层(CT)增强扫描每个部位295.00280.00
    85021030000400X线计算机体层(CT)成象每个部位762.50762.50
    86022030100102腹部彩色多普勒超声常规检查76.0076.00
    87022030100104泌尿系彩色多普勒超声常规检查76.0076.00
    88022030100105妇科彩色多普勒超声常规检查76.0076.00
    89022030100106产科彩色多普勒超声常规检查76.0076.00
    90022030100200浅表器官彩色多普勒超声检查每个部位66.0066.00
    91022030200100颅内段血管彩色多普勒超声88.0088.00
    92022030200300颈部血管彩色多普勒超声167.00167.00
    93022030200400门静脉系彩色多普勒超声59.0059.00
    94022030200500腹部大血管彩色多普勒超声74.0074.00
    95022060000400心脏彩色多普勒超声88.0088.00
    96022060000401心脏彩色多普勒超声(胎儿检查)133.00133.00
    9702305000140113碳呼气试验81.0081.00
    98025010101502血细胞分析(全血细胞计数+五分类)22.0022.00
    99025010202101尿妊娠试验(酶免法或金标法)7.007.00
    100025010202401尿沉渣定量(流式细胞仪法)21.0021.00
    101025010203500尿液分析7.007.00
    102025010300100粪便常规2.002.00
    103025010300202隐血试验(单克隆法)9.009.00
    104025010400100胸腹水常规检查5.005.00
    105025010400400精液常规检查6.006.00
    106025010401400阴道分泌物检查5.005.00
    107027080000400液基薄层细胞制片术98.0098.00
    108031010001400颅内压监测小时3.003.00
    109031020500800电脑血糖监测每试验项8.508.50
    110031020800100胰岛素泵持续皮下注射胰岛素小时5.005.00
    111031030000100普通视力检查1.001.00
    112031030003600泪道冲洗9.009.00
    113031030005200眼前段照相15.0015.00
    114031030005600眼底检查6.506.50
    115031030008800冲洗结膜囊8.008.00
    116031030010200角膜异物剔除术23.0023.00
    117031040102500听力筛选试验25.0025.00
    118031040103600电耳镜检查4.004.00
    119031040104900耳部特殊治疗20.0020.00
    120031040200200前鼻镜检查4.004.00
    121031040201200鼻腔冲洗10.0010.00
    122031040300901纤维喉镜检查(电子镜)149.00149.00
    123031060100100肺通气功能检查59.0059.00
    124031060200500持续呼吸功能检测小时3.003.00
    125031060200600血气分析34.0034.00
    126031060300100呼吸机辅助呼吸小时10.0010.00
    127031060300200无创辅助通气小时10.0010.00
    128031060500200纤维支气管镜检查108.00108.00
    129031060500300经纤支镜治疗130.00117.00
    130031060500600经纤支镜肺泡灌洗诊疗术每个肺段117.00117.00
    131031060500800经纤支镜特殊治疗295.00270.00
    132031060700100高压氧舱治疗70.0070.00
    133031070100100常规心电图检查8.508.50
    134031070100101常规心电图检查(附加导联加收)2.002.00
    135031070100102常规心电图检查(十二通道加收)10.0010.00
    136031070100103常规心电图检查(床边)18.5018.50
    137031070100300动态心电图115.00115.00
    138031070100700心电事件记录10.0010.00
    139031070102100动态血压监测小时8.508.50
    140031070102200心电监测小时5.005.00
    141031070102700指脉氧监测小时5.005.00
    142031070102800血氧饱和度监测小时5.005.00
    143031090000001消化系统(电子镜)100.00100.00
    144031090200500纤维胃十二指肠镜检查90.0090.00
    145031090300500纤维结肠镜检查180.00180.00
    146031090301000经肠镜特殊治疗175.00175.00
    147031090400400肛门指检7.007.00
    148031100000300腹膜透析换液15.0014.00
    149031100000600血液透析330.00330.00
    150031100000800血液透析滤过600.00600.00
    151031100001000血液灌流510.00480.00
    152031100001100连续性血液净化小时86.0082.00
    153031100001200血透监测18.0018.00
    154031100004000体外冲击波碎石540.00540.00
    155031120100500阴道填塞35.0035.00
    156031120100600阴道灌洗上药13.0013.00
    157031120100800宫颈活检术47.0047.00
    158031120100900宫颈注射18.0018.00
    159031120102300产前检查12.0012.00
    160031120102600胎心监测18.0018.00
    161031120102800胎儿脐血流监测23.0023.00
    162031120105000刮宫术175.00175.00
    163031120105300人工流产术175.00175.00
    164033010000100局部浸润麻醉18.0018.00