海南省医疗服务价格项目及价格.doc

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1、海南省医疗服务价格项目及价格项目计算单位一类二类三类四类五类说明挂号费:一般挂号费科/次1.001.001.001.000.50急诊挂号科/次1.501.501.001.001.00诊金:门诊诊金:国家特贴主任医师次10.0010.00含中华医学杂志编委省特贴主任医师次8.008.008.00主任医师次7.007.007.00含省特贴副主任医师副主任医师次5.005.005.005.005.00主治医师次2.502.502.502.502.50一般医师次1.001.001.001.001.00住院诊金:住院诊金天3.002.002.001.001.00出诊费:医务人员出诊费次15.8015.0

2、014.3013.5012.001.不分时间、地段执行同一标准。2.检查、治疗按项目规定标准加受一倍。3.不准另收其它杂费。4救护车费另计。救护车出诊费次20.0020.0020.0020.0020.001.三公里以内不计里程费,从第四公里起,每增加一公里加收二元。2.不准收回程费。担架员随救护车出诊费首层/次10.0010.0010.0010.0010.00二楼以上每增加一层加收二元。1.市县以外会诊途中差旅费由邀请单位负责。2.院内会诊不收费。 会诊费:院外会诊费:主任医师次150.00150.00150.00副主任医师次100.00100.00100.00100.00100.00主治医师

3、次60.0060.0060.0060.0060.00普通病床: 一等病床:甲级床/天45.0042.8040.5038.3036.001.一人房间,使用面积10平方米以上。2.符合说明8之(2)至(6)。3.缺(4)者减收10元,缺(5)减收5元。乙级床/天35.0033.3031.5029.8028.001.一人房间,使用面积10平方米以上。2.符合说明8之(2)至(4)。3.缺(4)者减收10元。二等病床:甲级床/天22.0020.9019.8018.7017.601.二至三人房间,使用面积15平方米以上。2.符合说明8之(2)至(4)。3.缺(4)者减收5元。乙级床/天20.0019.0

4、018.0017.0016.001.二至三人房间,使用面积15平方米以上。2.符合说明8之(2)至(4)。3.缺(4)者减收5元。三等病床:甲级床/天10.009.509.008.508.001.四人以上房间。2.符合说明8之(2)、(3)。乙级床/天8.007.507.007.006.501.四人以上房间。2.符合说明8之(1)。特殊病床:烧伤科病床:重烧伤隔离病床床/天60.0057.0054.0051.0048.001.包括专医专护、不准另收其它护理费。2.包括翻身床(敷料及药物另计),翻身护理、调湿、空调及调温费用在内。复苏室(监护室)国产心电监护病房病人/天80.0076.0072.

5、0068.0064.00进口心电监护病房病人/天160.00152.00144.00136.00128.00婴儿床婴儿床床/天10.009.509.008.508.001.专设婴儿室,开设单人婴儿床方可按此标准收费。2.包括空调及调温设备。其它病区内设加床床/天8.007.507.007.006.50观察床床/天8.007.507.007.006.50陪人床床/天4.004.003.503.503.00家庭病床巡视/天10.009.509.008.508.001.不分地段,不收挂号费。2.医生不上门巡视不计收巡诊费,护理人员执行医嘱按检查治疗项目标准加收一倍 ,病人到医院或家属送标本到医院检查

6、按标准不另加收。3.病人病情较稳定时,医生应根据病情决定上门巡视相隔天数,不必每天巡诊增加病人负担。4.不准另收出诊费。空调电费:单人房床/天8.008.008.008.008.00开空调才收。空调电费:双人房床/天5.005.005.005.005.00空调电费:三人房床/天3.003.003.003.003.00空调电费:四人房床/天2.002.002.002.002.00自带电风扇电费床/天1.001.001.001.001.00开风扇才收。普通护理: 1.要严格按照护理常规进行护理。2.再一天内只能收一种护理费。一级护理:人/天7.006.006.005.005.00二级护理人/天5.

7、004.004.003.003.00三级护理人/天3.002.002.001.001.00特别护理:特别护理:人/小时3.003.003.002.002.00专人护理气管切开护理人/天10.0010.0010.0010.0010.00包括清洗,消毒和使用的卫生材料。尸体料理费具50.0050.0050.0050.0050.00含尸单费。终末消毒费次10.0010.0010.0010.0010.00出院病人不准收费。尿布费人/天5.005.005.005.005.00换尿布才收。洗头后电吹风费次5.005.005.005.005.00体格检查学龄前儿童体格检查次3.003.003.003.003

8、.00透视费、化验费另收。学生体格检查次5.005.005.005.005.00透视费、化验费另收。成人体格检查次10.0010.0010.0010.0010.00透视费、化验费另收。出国体格检查次50.0050.0050.0050.0050.00透视费、化验费另收。婚前检查次30.0030.0030.0030.0030.00透视费、化验费另收。残疾等级鉴定次100.00100.00100.00100.00100.00透视费、化验费另收。注射:一般注射:静脉滴射次6.005.705.405.104.80不准另收床位费。静脉注射次1.501.401.401.301.20静脉输血次3.503.30

9、3.203.002.80输液恒速仪(进口)天22.5021.4020.3019.3017.10输液泵滴数控制器三小时2.202.102.001.901.70输血恒温器人次2.202.102.001.901.70静脉抽血次1.501.401.401.301.20肌肉、皮下注射次1.001.000.900.900.80皮试次1.001.000.900.900.80锁骨上静脉注射次3.403.203.002.902.60特殊注射:心内注射次3.403.203.002.902.60颈动脉灌注及封闭次3.403.203.002.902.60结核菌素试验次1.101.101.001.000.90自家血注射

10、次1.701.601.501.401.30动脉抽血次3.403.203.002.902.60放血次1.101.101.001.000.90封闭治疗:药品另计。封闭治疗(复杂)次3.503.303.203.002.80封闭治疗(简单)次2.502.402.302.102.00换血:部分换血次33.7032.1030.5028.9025.70全部换血次112.00107.00102.0096.0086.00血浆置换:第一循环112.00107.00102.0096.0086.00血浆置换:再次循环33.7032.1030.5028.9025.70血浆置换:血细胞分离每循环112.00107.001

11、02.0096.0086.00后穹窿或皮下输液次22.5021.4020.3019.3017.10后穹窿盆腔内注射次22.5021.4020.3019.3017.10灌肠:清洁灌肠次7.006.706.306.005.60灌二次以上者。保留灌肠次5.004.804.504.304.00人工肛灌肠次11.2010.7010.209.608.60导尿:膀胱灌注次4.504.304.103.903.40导尿(包括取中段尿)次5.505.205.004.704.40各种停留管及消毒瓶天2.001.901.801.701.60尿袋另计。冲洗:膀胱冲洗次3.403.203.002.902.60术后反复膀胱

12、冲洗天11.2010.7010.209.608.60胆道冲洗次5.505.205.004.704.40肾盂冲洗次5.505.205.004.704.40输尿管支架管冲洗次5.605.405.104.904.30腹腔冲洗次5.605.405.104.904.90肝脓肿冲洗次5.605.405.104.904.90关节囊冲洗次5.605.405.104.904.90插胃管:插胃管次7.006.706.306.005.60鼻饲天5.605.405.104.904.30每天更换饲器。包括插胃管费,药物另收。洗胃次11.2010.7010.209.608.60同上机洗胃次16.9016.1015.301

13、4.5012.90同上抽胃液次2.001.901.801.701.60电动胃肠减压次3.403.203.002.902.60引流:十二指肠引流次11.2010.7010.209.608.60负压吸引天3.002.902.702.602.40胸腔闭式引流天3.002.902.702.602.40脑室引流天3.403.203.002.902.60三腔管压迫止血术次16.9016.1015.3014.5012.80管费另计。其它:急救气管插管治疗次22.5021.4020.3019.3017.10更换气管外套次22.5021.4020.3019.3017.10一天最高不得超过超过20元,手术使用电动

14、吸引不得另收费,停留管每天加收0.50元电动吸痰、吸奶次2.001.901.801.701.60肛管排气次2.202.102.001.901.70穿刺:1.注射药物另计。2.在仪器引导下穿刺,仪器按标准另收。中心静脉穿刺测压次11.2010.7010.209.608.60胸腔穿刺次11.2010.7010.209.608.60心包穿刺次11.2010.7010.209.608.60肝穿刺次16.9016.1015.3014.5012.90腹腔穿刺次11.2010.7010.209.608.60肺穿刺次16.9016.1015.3014.5012.90颅内穿刺次16.9016.1015.3014

15、.5012.90侧脑室穿刺次16.9016.1015.3014.5012.90硬脑膜下穿刺次16.9016.1015.3014.5012.90脾脏穿刺次11.2010.7010.209.608.60腰穿刺(脊髓穿刺)次12.0011.4010.8010.209.60小脑延髓池穿刺次16.9016.1015.3014.5012.90骨穿刺次11.2010.7010.209.608.60膀胱穿刺次9.008.608.207.706.90包括冲洗。前列腺穿刺次11.2010.7010.209.608.60淋巴结穿刺次5.605.405.104.904.30乳腺穿刺次5.605.405.104.904

16、.30膝关节穿刺次5.605.405.104.904.30股动、静脉穿刺次3.403.203.002.902.60肾穿刺次16.9016.1015.3014.5012.90肾囊穿刺次5.605.405.104.904.30B超下穿刺(B超费另计)次67.0064.0061.0058.0051.00吸氧费:氧气按实际耗氧量另行计收。普通吸氧:直接氧气筒吸氧小时3.002.902.702.602.40已包括氧气。中心管道吸氧小时4.003.803.603.403.20同上。头面罩给氧小时3.002.902.702.602.40同上。全筒氧气筒按进价加费用实计。袋装氧气袋同上。高压氧舱:普通舱次35

17、.0033.3031.5029.8028.00已包括氧气。单舱次45.0042.8040.5038.3036.00同上。舱外面罩吸氧次15.0014.3013.5012.8012.00同上。大型治疗舱(手术舱)次67.4064.2061.0058.0051.30同上。减压舱(过渡舱)次67.4064.2061.0058.0051.30同上。人工呼吸机:人工呼吸机:电脑小时3.403.203.002.902.60氧气按进价加费用另计收。人工呼吸机:非电脑小时2.202.102.001.901.70超声波雾化吸入次2.202.102.001.901.70药品另计。氧气雾化吸入次2.202.102.

18、001.901.70氧气药品另计。蒸汽雾化吸入次1.101.101.001.000.90药品另计。其它治疗:坐浴(PP)次1.001.000.900.900.80热敷次1.001.000.900.900.80湿热敷次2.001.901.801.701.60冰敷次2.001.901.801.701.60含冰费。酒精抹浴次2.502.502.502.502.50肛查次2.202.102.001.901.70煲中药次1.001.000.900.900.80防褥疮多浪床天3.403.203.002.902.60住院床位费另计。充气防褥疮气垫天3.403.203.002.902.60同上。经肝动脉插管次

19、22.5021.4020.3019.3017.10人工气腹次3.403.203.002.902.60人工气胸次3.403.203.002.902.60拆石膏:大次22.5021.4020.3019.3017.10拆石膏:小次11.2010.7010.209.608.60食道拉网检查人次16.9016.1015.3014.5012.90心肺复苏术次22.5021.4020.3019.3017.10化疗:单联化疗一疗程16.9016.1015.3014.5012.90含观察费用。双联化疗一疗程33.7032.1030.5028.9025.70三联化疗一疗程44.9042.8040.7038.503

20、4.20四联化疗以上一疗程67.4064.2061.0058.0051.30外科清创缝合包扎:清创缝合包扎:缝合11针以上人次25.0023.8022.5021.3020.00清创缝合包扎:缝合6-10针人次18.0017.1016.2015.3014.40清创缝合包扎:缝合1-5针人次12.0011.4010.8010.209.60切开排脓引流:切开排脓引流:表浅脓肿人次9.008.608.207.706.90切开排脓引流:深部大脓肿人次16.9016.1015.3014.5012.90门诊普通换药包扎:门诊普通换药包扎:大人次6.005.705.405.104.80门诊普通换药包扎:中人次

21、5.004.804.504.304.00门诊普通换药包扎:小人次4.003.803.603.403.20烧烫伤换药包扎:烧烫伤换药包扎:1%及以下面积次10.009.509.008.508.00烧烫伤换药包扎:大于1%以上面积每1%3.403.203.002.902.60病房换药包扎: 病房换药包扎:大人次11.2010.7010.209.608.60病房换药包扎:中人次9.008.608.207.706.90病房换药包扎:小人次5.605.405.104.904.30小手术:拨甲个11.2010.7010.209.608.60挖鸡眼个11.2010.7010.209.608.60胼底切削术一

22、个足11.2010.7010.209.608.60皮下囊肿切除个22.5021.4020.3019.3017.10腱鞘囊肿挤破术个5.605.405.104.904.30皮下脂肪瘤切除个22.5021.4020.3019.3017.10皮下粉瘤切除个22.5021.4020.3019.3017.10疣或痣切除个16.9016.1015.3014.5012.90小血管瘤切除个33.7032.1030.5028.9025.70药物血管瘤注射个6.706.406.105.805.10瘘管切除个33.7032.1030.5028.9025.70疤痕松解术次16.9016.1015.3014.5012.

23、90表浅伤口异物剔出术次5.605.405.104.904.30表浅伤口切开探查取异物次16.9016.1015.3014.5012.90副耳屏切除个16.9016.1015.3014.5012.90多发性副耳屏切除:单侧次33.7032.1030.5028.9025.70多发性副耳屏切除:双侧次67.4064.2061.0058.0051.30精索或睾丸鞘膜减压次11.2010.7010.209.608.60包茎包皮外口扩张次5.605.405.104.904.30包皮龟头粘连松解次5.605.405.104.904.30包皮气囊扩张次22.5021.4020.3019.3017.10包皮背

24、侧切开次28.1026.8025.4024.1021.40包皮环套术次56.0054.0051.0048.2042.80包皮环切术次56.0054.0051.0048.2042.80龟头包皮垢感染引流次5.605.405.104.904.30龟头包皮异物清除次5.605.405.104.904.30嵌顿性包茎手法复位次5.605.405.104.904.30嵌顿性包茎紧环切开缝合次33.7032.1030.5028.9025.70脱肛手法复位次5.605.405.104.904.30直肠脱垂注射治疗:直肠脱垂注射治疗:I度次33.7032.1030.5028.9025.70直肠脱垂注射治疗:I

25、I度次56.0054.0051.0048.2042.80内痔注射人次16.9016.1015.3014.5012.90静脉切开术次16.9016.1015.3014.5012.90耳鼻喉科:各种检查:电测听(初)次16.9016.1015.3014.5012.90电测听(复)次11.2010.7010.209.608.60前庭功能检查(冷热)次22.5021.4020.3019.3017.10前庭功能检查(旋转)次5.605.405.104.904.30眼震电图次90.0086.0081.0077.0068.00欧氏管通气单侧1.701.601.501.401.30波氏球通气单侧1.701.6

26、01.501.401.30间接喉镜检查次5.605.405.104.904.30直接喉镜检查次22.5021.4020.3019.3017.10纤维鼻咽喉镜检查次56.0054.0051.0048.2042.80光束纤维多功能鼻咽镜次56.0054.0051.0048.2042.80光束纤维鼻咽镜次33.7032.1030.5028.9025.70光束纤维耳镜次11.2010.7010.209.608.60频闪喉镜次67.4064.2061.0058.0051.30支撑喉镜次33.7032.1030.5028.9025.70喉动态镜次5.605.405.104.904.30纤维鼻喉镜次11.2

27、010.7010.209.608.60鼻、鼻窦显微内窥镜次44.9042.8040.7038.5034.20耳蜗电图次56.0054.0051.0048.2042.80声阻抗测定次22.5021.4020.3019.3017.10脑干电测定次56.0054.0051.0048.2042.80听力筛选检查次11.2010.7010.209.608.60电测听响度平衡试验次16.9016.1015.3014.5012.90鼻粘膜激发试验次5.605.405.104.804.30各种治疗:外耳周围脓肿切开次11.2010.7010.209.608.60耳后脓肿切开排脓次33.7032.1030.50

28、28.9025.70耳瘘管切开排脓次22.5021.4020.3019.3017.10单纯逆行食道扩张次22.5021.4020.3019.3017.10鼓膜切开次5.605.405.104.904.30鼓膜修补术:初次22.5021.4020.3019.3017.10鼓膜修补术:(刺激法)复次11.2010.7010.209.608.60扁桃腺周围脓肿切开次11.2010.7010.209.608.60鼻骨骨折复位次33.7032.1030.5028.9025.70鼻节切开次5.605.405.104.904.30冷冻治疗人次5.605.405.104.904.30上颌窦穿刺侧11.2010

29、.7010.209.608.60药物另计。 鼓膜穿刺侧2.802.702.602.402.10扁桃腺脓肿穿刺次5.605.405.104.904.30鼻甲注射双侧6.706.406.105.805.10环甲膜穿刺次9.008.608.207.706.90耳鼻异物取出次11.2010.7010.209.608.60口咽部异物取出次5.605.405.104.804.30下咽部异物取出次11.2010.7010.209.608.60机洗鼻次5.605.405.104.904.30前鼻孔填塞次5.605.405.104.904.30后鼻孔填塞次11.2010.7010.209.608.60鼻中隔填塞

30、次6.706.406.105.805.10咽部涂药次0.600.500.500.500.40滴耳次0.100.100.100.100.10滴鼻次0.100.100.100.100.10鼓膜烧灼修补次3.403.203.002.902.60取耵聍侧1.701.601.501.401.30喷耳粉侧0.600.500.500.500.40直接喉镜检查肿物切除次44.9042.8040.7038.5034.20纤维鼻咽喉镜检查取活检次79.0075.0071.0067.0060.00纤维鼻咽喉镜检查肿物摘除次112.00107.00102.0096.0086.00耳鸣掩蔽器治疗次2.302.102.001.901.70直接喉镜取气管异物次101.0096.0091.0087.0077.00外耳道冲洗侧0.300.300.300.300.30鼓膜按摩侧4.5

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