u liq 1., 01,8 DICH VU KHAM BENH , \ , (Ban hanh ketnihO ' e W t4o e .. /2019/NQ-HDND ngay4 /12/2019 ,.. .1 . ctta D tinh Vinh Pluic) s wIF0'7' Dan dein STT Co' ser y to . Gia bao Om chi phi trtrc A A ttep va tien ltrcrng Ghi chti 1 2 3 4 1 Benh vien hang ac biet 38.700 2 Benh vien hang I 38.700 3 Benh vien hang II 34.500 4 Benh vien hang III 30.500 5 Benh vien hang IV 27.500 6 Tram y to xa 27.500 7 H9i chan d6 xac dinh ca benh khO (chuyen gia/ca; Chi ap dung doi vai twang h9p II - led chuyen gia don vi khac den hOi chan tai co soy kham, chila benh). 200.000 8160.000 Kham cap giay chimg thuong, giam dinh y khoa (khong ke xet nghiem, X-quang) 9 Kham site khoe toan dien lao &Ong, lai xe, kham site khoe dinh kST (khong k6 xet nghiem, X-quang) 160.000 10 Kham sire khoe toan dien cho nguiyi di xuat khau lao dOng (khong ke xet nghiem, X-quang) 450.000 Page 1 of 1
101
Embed
· u liq 1., 01,8 DICH VU KHAM BENH , \ , (Ban hanh ketnihO W ' et4o e .. /2019/NQ-HDND ngay4 /12/2019 ,.. .1 . ctta D tinh Vinh Pluic) swIF0'7' Dan dein STT Co' ser y to . Gia bao
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
u liq 1., 01,8 DICH VU KHAM BENH , \ ,
(Ban hanh ketnihO ' eW t4o e .. /2019/NQ-HDND ngay4 /12/2019 ,.. .1
. ctta D tinh Vinh Pluic) swIF0'7'
Dan dein
STT Co' ser y to .
Gia bao Om chi phi trtrc
A A ttep va tien ltrcrng
Ghi chti
1 2 3 4
1 Benh vien hang ac biet 38.700
2 Benh vien hang I 38.700
3 Benh vien hang II 34.500
4 Benh vien hang III 30.500
5 Benh vien hang IV 27.500
6 Tram y to xa 27.500
7
H9i chan d6 xac dinh ca benh khO (chuyen gia/ca; Chi ap dung doi vai twang h9p II-led chuyen gia don vi khac den hOi chan tai co soy kham, chila benh).
200.000
8160.000 Kham cap giay chimg thuong, giam dinh y khoa (khong ke xet nghiem, X-quang)
9 Kham site khoe toan dien lao &Ong, lai xe, kham site khoe dinh kST (khong k6 xet nghiem, X-quang)
160.000
10 Kham sire khoe toan dien cho nguiyi di xuat khau lao dOng (khong ke xet nghiem, X-quang)
450.000
Page 1 of 1
(Ban han
DICH VU NGAY Gllf6NG BENH
kernkem' i?o~ &i gay& so 9d_/2019/NQ-HDND ngay41 /12/2019 .c4a OND tinh Vinh Phtic)
Dan cio'ng
SO TT
',.:-,' -• ' , ' :',7
- - "-- c.• 4 Cac loai ' }
'
lir h - en viCn
hane D- • - c bit
Iqnh vin h#ng I
130h AO kang II
13?nh vin 'wig III
130h ve.n hang IV
A B 1 2 3 4 5
1 Ngay dieu tri Hai sirc tich cgc (ICU)/ghep tang hoac ghep tit), hoac ghep to bao gac
782.000 705.000 602.000
2 Ngay gitrong benh Hai sire cap ciru 458.000 427.000 325.000 282.000 251.500
3 Ngay ghrerng b;enh NOi khoa:
3.1
Lowl 1: Cac khoa: Truyen nhi6m, HO hap, Huyet h9c, Ung thu, Tim mach, Tam than, Than kinh, Lao, Nhi'
1 Tieu
hod, Than h9c; Nai .661; Di Ung (doi vai benh nhan di iing thulic nang: Stevens Jonhson hoac Lyell)
242.200 226.500 187.100 171.100 152.700
3.2
Lo0 2: Cac Khoa: Co-Xtrang-Khop, Da Well, Di irng, Tai-Miii-Hong, Mat, Rang Ham Mat, Ngoai, Phu -San khang ma; YHDT hoac PHCN cho nhom ngtroi benh tan thuang tiny song, tai bien mach mau nao, chan thuong s9 nao.
219.700 203.600 160.000 149.100 132.700
3.3 Loai 3: Cac khoa: YHDT, Plmc poi chirc rang
185.100 171.400 130.600 121.100 112.000
4 Ngay ghrerng benh ngo#i khoa, bong:
4.1 Lo0 1: Sau cac ph'aU thuat loai dac biet; Bang do 3-4 tren 70% dien tich co the
336.700 303.800 256.300
4.2 Lo#11 2: Sau cac phdu thuat loai 1; Bong do 3-4 tir 25 -70% dien tich co the
300.500 276.500 223.800 198.300 178.300
4.3
Lo0 3: Sau cac phau thuat loai 2; BOng do 2 tren 30% dien tich co the, Bong do 3-4 &I'M 25% dien tich co the
260.900 241.700 199.200 175.600 155.300
4.4 Lo#i 4: Sau cac Oh thuat loai 3; Bong do 1, do 2 duai 30% dien tich co the
234.800 216.500 170.800 148.600 134.700
5 Ngay giu'o'ng train y to xa 56.000
6 Ngay giuirng b?nh ban inky Dugc tinh bang 0,3 lan gia ngay gitrong cila cac khoa va
loai phong prang tang.
Ghi chti: Gia ngay gitrong diL tri not trit chua bao Om chi phi may tha va khi y t6.
Page 1 of 1
phy.* 3..GIA MICH VV ICY THUAT VA VET NGHIEM
• AP DO1G CHO CAC HANG BtNH VICN
(Ban ha ;kein theo Nghi quyelt /2019/NQ-HDND ngay, A/12/2019 cua HDND tinh Vinh Phitc)
Dan vi: clan
STT STT
TT 37 Ma dick vu Ten dick vu
Gia bao gam chi phi trtyc tiep va tien
Wong
Ghi chi"'
1 2 3 4 5 6
A A CHAN DOAN BANG HiNH ANH
I I Sieu am
1 1 04C1.1.3 Sieu am 43.900
2 2 03C4.1.3 Sieu dm + do trac nhan cdu 76.200
3 3 Sieu am ddu do am dao, trirc trang 181.000
4 4 03C4.1.1 Sieu am Doppler mau tim hoac mach mau
222.000
5 5 03C4.1.6 Slat am Doppler mau tim + can am 257.000
6 6 03C4.1.5 Sieu dm tim gang sire 587.000
7 7 04C1.1.4 Sieu am Doppler mau tim 4 D (3D REAL TIME)
457.000
Chi ap dung trong twang hop chi dinh de thgc hien cac
- phau thuat hodc can thiep tim mach.
8 8 04C1.1.5 Sieu am Doppler mau tim hodc mach man qua thgc quan
805.000
9 9 04C1.1.6 Sieu am trong long mach hoac Do dg till luu lacing Ong mach vanh FFR
1.998.000
Chua bao Om bQ ddu do sieu am, bo dung cg do dg tril luu luting dOng mach vanh va cac dung cg a dua vao long mach.
II II Chup X-quang thuang
10 10 Chup X-quang phim 24x30 cm (1 tu the)
50.200 Ap dung cho 01 vi tri
11 11 Chgp X-quang phim 24x30 cm (2 tu the)
56.200 Ap citing cho 01 vi tri
12 12 Chup X-quang phim > 24x30 cm (1 to the)
56.200 Ap dung cho 01 vi tri
13 13 Chup X-quang phim > 24x30 cm (2 tu the)_
69.200 Ap dung cho 01 vi tri
14 Chop X-quang 6 rang hoac can chop 13.100
15 14 03C4.2.2.1 Chip so mat chinh nha thuang (Panorama, Cephalometric, cal lop 16i cau)
64.200
16 15 03C4.2.1.7 Chup Angiography mat 214.000
Page 1 of 91
STU ' 1
TT'37 -
. _ . ,.
IVIA):116ovu
- ; • i -41 •?
• '''', r • tiep Ten dich vu
Gia bao Om chi phi tryc
va ti'en Incrng
Ghi chu
1 ., 2 • 31, 4 5 6
17 "115,,
, 04cf,.y.-5.33 ;'; , Chup thkrc quan co uong thuoc can
quang 101.000
18 17 040.2.5.34 Chup da day-td trang có uOng thu6c can quang
116.000
19 18 040.2.5.35 Chip khung dai trang có thuoc can quang
156.000
20 19 03C4.2.5.10 Chup mat qua Kehr 240.000 Chua bao Om thuoc can
quang.
21 20 04C1.2.5.30 Chip he tiet nieu có tiem thu6c can quang (UIV)
539.000
22 21 04C1.2.5.31 Chup nieu quail - be than ngtrot
• dOng (UPR) co hem thuoc can quang
529.000
23 22 03C4.2.5.11 Chu') bang quang có born thu6c can quang
206.000
24 23 04C1.2.6.36 Chu') tir cung-voi trting (bao Om ca thuoc)
371.000
25 24 03C4.2.5.12 Chup X - quang vá dinh vi kim day 386.000 Chtra bao Om kim dinh vi.
26 25 03C4.2.5.13 CO do can quang 406.000
27 26 03C4.2.5.15 Mammography (1 ben) 94.200
28 27 04C1.2.6.37 A A Chup UV song co hem thuoc 401.000
III III Chup X-quang so boa
29 28 04C1.2.6.51 Churl X-quang so hoa 1 phim 65.400 Ap dung cho 01 vi tri
30 29 04C1.2.6.52 Chup X-quang so boa 2 phim 97.200 Ap dung cho 01 vi tri
31 30 04C1.2.6.53 Chu') X-quang so hoa 3 phim 122.000 Ap dung cho 01 vi tri
32 Chip Xquang so boa 6 rang hoc can chop
18.900
33 31 04C1.2.6.54 Chup tir cung-vOi trirng bang so hoa 411.000
34 32 04C1.2.6.55 Chup he tiet met' co tiem thuoc can
, quang (UIV) so boa
609.000
35 33 04C1.2.6.56 Chu]) nieu quan - be than ngtxpc
, dong (UPR) so boa
564.000
36 34 04C1.2.6.57 Chup thkrc quart 6) Wong thuoc can quang so hoa
224.000
37 35 04C1.2.6.58 Chup da day-ta trang có u6ng thu6c can quang so hoa
224.000
Page 2 of 91
STT .
Tr 31 i 'I'al;rvi
. ,. --
, ,.-, Ten dich vu
A Gia bao gom chi phi trtyc tie') va tien
lucrng
Ghi chit
1 2 ..;
' '/ / /
4 5 6
38
•s- - , - - — - - ( ''' /
04C1.2- 9 Chvp khung dai trang có thuoc can quang so boa
264.000
39 37 04C1.2.6.60 Chtip thy song co thuk can quang so hOa
521.000
40 38 Chip X-quang so hoa cat lop tuyen vu 1 ben (tomosynthesis)
944.000
41 39 Chip X-quang so Inia throng do, CAC tuyen có born thuOc can quang truc tien
386.000 Chun bao Om Ong thong, kim choc chuyen dung.
IV IV Chyp cat 114 vi tinh, chyp mach, Ong huieng tir
42 40 04C1.2.6.41 Chvp CT Scanner den 32 day khong có thuoc can quang
522.000
43 41 04C1.2.6.42 Chvp CT Scanner den 32 day có thu6c can quang
632.000 Chun bao Om thuoc can quang.
44 42 04C1.2.6.63 Chip CT Scanner 64 day den 128 day có thuoc can quang
1.701.000 Chun bao Om thuoccan quang.
45 43 04C1.2.63 Chvp CT Scanner 64 day den 128 day khong c6 thuoc can quang
1.446.000
46 44 Chvp CT Scanner toan than 64 day - 128 day có thuoc can
can quang
Chua bao Om thuoc can
quang.
47 45 Chvp CT Scanner toan than 64 day - 128 day khong có thuoc can quang
3.128.000
48 46 04C1.2.6.64 Chvp CT Scanner tir 256 day trO len có thuoc can quang
2.985.000 Chua bao Om thuoc can quang.
49 47 Chvp CT Scanner tir 256 day tro• len khong co thuoc can quang
2.731.000
50 48 Chip CT Scanner toan than tir 256 day co thuoc can quang
6.673.000 Chua bao Om thuoc can quang.
51 49 Chip CT Scanner toan than tir 256 day khong thuoc can quang
6.637.000
52 50 04C1.2.6.61 Chip PET/CT 19.770.000 Chua bao gOm tint& can
quang
53 51 04C1.2.6.62 Chvp PET/CT mo phOng xa tri 20.539.000 Chua bao Om thuoc can
quang
54 52 04C1.2.6.43 Chvp mach mau so hoa xala nen (DSA)
5.598.000
55 53 04C1.2.6.44
tim Chip &Ong ,mach vanh hoac thong
chop bung tim cluoi DSA 5.916.000
iA
Page 3 of 91
. STS
• STE': ,./ TT 37.
..,,. ; ••••,
" ,•- , - ‘ .1‘41AidiAru
- 'I 4
‘;,, • • • tiep Ten dich vu
Gia bao Om chi phi tryc
va tien 'yang
Ghi chu
1 s,
.2. TA 1 4 5 6
56
--..- ?~.'
Chnp va can thief) tim mach (van tim, tim barn sinh, dOng mach vanh) &I'M DSA
6.816.000
Chua bao Om vat to chuyen dung clang a can thiep: bong nong, stent, cac vat lieu flat mach, cac loai ong thong hoac vi ong thong, cac loai day an hoac vi day an, cac yang xoan kim loai, Itrai 19c tinh mach, dung cu lay di vat, be, dung cu lay buy& khOi, bO dung cu bit (bO tha du, da cac loai).
54 04C1.2.6.45
57 55 04C1.2.6.46 Chip va can thiep mach chit bung hoAc nguc va mach chi dtrai DSA
9.066.000
Chua bao g6m vat tu chuyen dung dung de can thiep: b6ng nong, 13.6 bom ap ltrc, stent, keo nut mach, cac vat lieu nut mach, cac vi ong thOng, vi day dan, cac \Long xoan kim loai, Itrai I9c tinh mach.
58 56
1
Chup va can thiep mach chit bung hoac ngtrc va mach chi dual C-Arm
7.816.000
1
Chua bao Om vat fir chuyen dung clUng de can thiep: bong nong, 1)0 born ap luc, stent, cac vat lieu flint mach, cac vi ong thong, vi day dan, cac vong xoan kim loai, dung cu lay di vat, bO dung cu lay huyet khoi, bong born ngtrac dong dOng mach chit.
59 57 04C1.2.6.48 Chup, nut di clang va can thiep cac benh ly mach than kinh dual DSA
9.666.000
Chua bao Om vat tu chuyen dung dimg a can thiep: bong nong, 1)0 barn ap Jut, stent, keo nut mach, cac vat lieu nut mach, cac vi Ong thong, vi day dan, cac \Tong xoan kim loai,, dung cu lay di vat, but huyet khoi.
60 58 04C1.2.6.47 Can thiep throng mach mau cho cac tang dtrai DSA
9.116.000
Chin. bao Om vat tu chuyen dung cliing a can thiep: bong nong, 13.0 bam ap Itrc, stent, cac vat lieu nut mach, cac vi ong thong, vi day dan, cac yang xoan kim loai.
61 59 04C1.2.6.50
Can thiep tido long mach trtrc tiep qua da Oat cong truyen hoa chat, dOt gian tinh mach, sinh thiet trong long mach) hoAc mo• thong da day qua da, dan Itru cac o ap xe va tang o bung dtrai DSA.
2.103.000
Chua bao Om kim choc,
stent, cac sonde dan, cac day dart, day d6t, ong thong, buong truyen hoa chat, r9 lay sOi.
Page 4 of 91
ST.T. STT
- TT 37
Ma dish vu Ten dich vn A
Gia bao Om chi phi triyc
, • A tiep va hen prang
Ghi chii
% 2 I
31 4 5 6
62 60 .._,...00,./ Can thiep khac clued Wong dAn dm CT Scanner
1.183.000 Chua bao Om 'Ong clan luu.
63 61 04C1.2.6.50 DAn Itru, nong dat Stent, lay di vat &rang mat hoac dat sonde JJ qua da dtrai DSA
3.616.000
Chua bao gOm kim ch9c, bong nong, bO nong, stent, cac sonde dan, cac day dAn, ong thong, r9 lay di vat.
64 62 03C2.1.56 DOt song cao tan hoacvi song dieu tri u gan duOi huong dAn cua CT scanner
1.735.000 Chua bao gom dot song cao
• tan va day dan tin hieu.
65 63 03C2.1.57 Dot song cao fan hoac vi song dieu
7. tri u gan dtrai htrang dan cda sieu am 1.235.000
Chua bao Om kim dOt song •
cao tan va day dAn tin hieu.
66 64 04C1.2.6.49
Dieu tri cac ton thuang xuang, khap, cot song va cac tang dtrai DSA (do
, , xi mang cot song, dieu tri cac khoi u tang va gia u xuang...)
3.116.000 Chua bao gOm vat to tieu hao: kim choc, xi mang, cac vat lieu bam, chat gdy tac.
67 65 03C4.2.5.2 Churl cong Wong tit. (MRI.) c6 thuOc can quang
2.214.000
68 66 03C4.2.5.1 Chup cong huang tir (MR1) khong co thuOc can quang
1.311.000
69 67 Chup cong huang tir gan vai chat twang phan dac hieu mo
8.665.000
70 68 Chup cong huOng totuai man - phO - eh& nang
3.165.000
V V MOt so k5, thulat khic
71 69 Do mat de xtrang 1 vi tri 82.300 Bang phuang phap DEXA
72 70 Do mat do; xuang 2 vi tri 141.000 Bang phuang phap DEXA
73 Do mat de xuong 21.400 Bang phuang phap sieu am
B B CAC THiJ THU.8T VA INCH VU
NW SOI
74 71 Barn rira khoang mang phOi 216.000
75 72 03C1.51 Barn !I:1.a nieu quan sau tan soi (ngoai ca the)
467.000
76 73 Barn streptokinase vao khoang mang phOi
1.016.000
77 74 04C2.108 Cap dm ngang M hoan 479.000 Bao Om ca b6ng dung nhieu
an • Fan.
78 75 04C3.1.142 Cat chi 32.900 Chi ap dung vai ngtrai b'enh
ngoai tru.
79 76 Cham soc da cho nguai benh di irng thuOc Ong
158.000 Ap dung voi ngtrai benh hOi chimg Lyell, Steven Johnson.
Page 5 of 91
STT; STT TT 37
— , ' -
':' Ma dickyy
, '
Ten dich vu
Gia bao Om chi phi trirc tiep va hen
Inceng
Ghi chti
1 2 4 5 6
80 '\(
- 1 44.69 Choc do mang bung hoAc mang phi 137.000
81 78 04C2.112 Choc thao dich mang bung hoAc
mang phi dual htrOng dAn oh sieu am
176.000
82 79 04C2.71 Choc hut khi mang phoi 143.000 83 80 04C2.70 Ch9c rim mang pi-16i 206.000 84 81 03C1.4 Choc do mang tim 247.000
85 82 03C1.74 Ch9c do sinh thiet vii duai sieu am 177.000 Ap dung voi trtrerng hop dung bon kim thong thtriyng de choc hut.
86 83 03C1.1 Choc d6 tuy song 107.000 Chtra bao gOm kim choc do.
87 84 Choc hat dich dieu tri u nang giap 166.000
88 85 Choc but dich dieu tri u nang giap dtroi huong dAn cua sieu am
221.000
89 86 04C2.67 Choc hitt hach hoAc u 110.000
90 87 04C2.121 ch9c but hach hoac u hoac ap xe hoAc cac ton thtrang khac dual huong cran dm sieu am
152.000
91 88 04C2.122 Choc hint hach hoac u hi* ap xe hoAc cac ton thuong khac dtroi fluxing dAn cua cat lop vi tinh
732.000 Chua bao Om thuOc can quang neu co sir dung.
92 89 04C2.68 Choc hitt to bao tuyen giap 110.000
93 90 04C2.111 Choc hut to bao tuyen giap dtroi huong dan cua sieu am
151.000
94 91 04C2.115 Choc hut tay lam UV do 530.000 Bao Om ca kim choc but thy dung nhieu lAn.
95 92 04C2.114 Choc hiit lily lam thy dO 128.000 Chtra bao Om kim choc hitt thy. Kim choc hitt tit)/ tinh theo tlurc to sir citing.
96 93 Choc but it:1y lam tily d6 (sir citing may khoan cam tay)
2.360.000
97 94 04C2.98 [An km mang phi t6i thieu 596.000
98 95 678.000 DAn luu mang phoi, 6 ap xe ph6i &raj huong dAn cua sieu am
99 96 DAn ltru mang ph6i, 6 ap xe phi duai huong dan dm chup cat lop vi tinh
1.199.000
100 97 03C1.58 Dat catheter &Ong mach quay 546.000
101 98 03C1.59 Dat catheter dOng mach theo cliii huy6t ap lien ttic
1.367.000
Page 6 of 91
STT i
.
„. STT TT 37
-
,. Ma dich vu
' Ten dich vu
Gia bao Om chi phi trirc
A ,. tiep va tien ltrang
Ghi chi'
1 2 3 r 4 5 6
102 -+-46-;
- -' ti3C1,.5 Y
Dat catheter tinh mach trung tarn met nong
653.000
103 100 04C2.104 Dat catheter tinh mach trung tam
. A nineu nong 1.126.000
104 101
—
04C2.103 DOI 'Ong thong tinh mach bang catheter 2 nong
1.126.000 Chi ap dung vii truing hop 19c mau.
105 102 Dat catheter hai nong do cuff, tao &rang ham aloe mau
6.811.000
106 101 04C2.106 Dat not kill quan 568.000
107 103 Vat sonde da day 90.100
108 104 03C1.52 Dat sonde JJ nieu quart 917.000 Chua bao gem Sonde JJ.
109 105 03C1.32 Dat stent thuc quan qua not soi 1.144.000 Chua bao gem stent.
110 106
Dieu tri rung nhi bang nang luting song tan se radio sir dung he thong lap ban de ba chieu giai ph-du - dien hoc cac bueng tim
3.035.000
Chua bao gem be dung cu
dieu tri rei loan nhip tim co sir dung he thOng lap ban de ba chieu giai ph'au - dien hoc cac buong tim.
111 107 Dieu tri suy tinh mach bang Laser not mach
2.025.000 Chua bao gem be dung cu , me mach mau va Ong thong diet' tri laser.
112 108 Dieu tri suy tinh mach bang nang luting song tan so radio
1.925.000 Chua bao gem bo dung cu me mach mau va Ong thong dieu tri RF.
113 109 Gay dinh mang phi bang thuec ho4c hoa chat qua 'Ong dan luu mang phei
196.000 Chua bao gem thuec hoac hoa chat gay dinh mang phei.
159 154 N6i thong Ong - tinh mach sir dung mach nhan tao
1.371.000 Chua bao g6m mach nhan W.°.
160 155 N6i thong clOng- tinh mach 1.151.000
161 156 04C2.74 Nong nieu dao va °tat thong ddi 241.000
162 157 03C1.31 Nong 11-lye quan qua not soi 2.277.000
163 158 04C2.73 Rira bang quang 198.000 Chua bao g6m Ma chat.
164 159 03C1.5 Rira da day 119.000
165 160 03C1.54 Rira da day loai bo chat dOc qua he thong kin
589.000
166 161 Rira phi toan b0 8.181.000 Da bao g6m thu6c gay me
167 162 03C1.55 Rira runt non toan b0 loai bo chat dOc qua dtrOng tieu hod
831.000
168 163 Ria mau de dieu tri 236.000
169 164 Rat 6ng dan luu mang ph6i, 6ng dan luu o ap xe
178.000
170 165 597.000 Sieu am can thiep - Bat 6ng thOng dan luu o ap xe
Chua bao g6m o'ng thong.
Page 9 of 91
STT STT
MA dick vu TT 37
— chi
Ten dick vu
Gia bao Om phi truc
tip va tin lin:mg
Ghi chti
1 `-' ' 3 4 5 6
171 Nt.,„ '
1-6n"--"-- „:;•-' Sieu am can thiep dieu tri dp xe ho5c
u ho5c nang trong o bung 558.000
172 167 03C1.21 Sinh thiet co tim 1.765.000 Chua bao Om bci dung cu thong tim va chip bung tim, kim sinh thiet co tim.
173 168 04C2.80 Sinh thiet da ho5c niem mac 126.000
174 169 Sinh thiet gan ho5c than clued huong clan cilia sieu am
1.002.000
175 170 Sinh thiet vu hoac ton thtrang khac thr
828.000 oi htthing clan cua sieu am
171 Sinh thiet phi hoac gan dual huong
176 dAn dm cat lop vi tinh
1.900.000
177 172 Sinh thie't than hoac vii hoac vi tri khac clued huong clan cna cat lop vi tinh
1.700.000
178 173 04C2.81 Sinh thiet hack ho5c u 262.000
179 174 04C2.110 Sinh duet mang hoat dich dual huong can dia sieu am
1.104.000
180 175 04C2.83 Sinh thid mang phAi 431.000
181 176 Sinh thiet mong 311.000
182 177 04C2.84 Sinh thiet tin l* tuyen qua sieu am throng trtrc trans
609.000
183 178 04C2.82 Sinh thiet tay xuong 242.000 Chua bao Om kim sinh thik
184 179 04C2.113 Sinh thiet toy xu'ong co kim sinh thiet 1.372.000 Bao Om kim sinh thief dung
nhiL lAn.
185 180 Sinh thiAt My 'along (sir dung may khoan cam tay).
2.677.000
186 181 03C1.20 Sinh thiet va 157.000
187 182 Sinh thiet tuyen vii duoi huerng °an cfia Xquang co he thOng dinh vi stereostatic
1.560.000
188 183 03C1.30 Son bang quang, chup than ngiroc
g 645.000
Chua bao gOm thuo'c can qua g•
189 184 03C1.28 Soi dal trans, tiem ho5c kepi cam mail 576.000 Chua bao Om dung cu kep
, va clip cam mau.
190 185 03C1.22 Soi khop co sinh thiet 498.000
191 186 03C1.23 Soi mang ph6i 440.000
192 187 03C1,67 Soi ph6 quail dieu tri sac phi o. benh nhan ngO dOc cap
885.000
193 188 03C1.27 Soi runt non, tiem (ho5c kep cam mau) hoac cat polyp
748.000
194 189 03C1.26 Soi runt non 639.000
Page 10 of 91
STT STV.
• , TT 37
„-,.-
t•' . ,
- .— ..,' IVMdia:u”
- ..•_,,-- '•,N A
. • A, Ten ditch vu
4 • •
' 1
Gia bao pm chi phi trtyc tiep Ira tien
bran
Ghi chu
1 2• - ''.44. ,..:it_
; 4 5 6
195 190 wil.3c1.24 . ) / .
Sol thuc quan ho5c da day gAp giun 427.000 Chua bao Om dung cu gAp giun.
196 191 03C1.29 Soi truc tring, tiem hoac that tri 243 .000
197 192 03C1.62 Tao nhip Cap dm ngoai lOng nguc 989.000
198 193 03C1.61 Tao nhip cap chu trong bung tim 500.000
199 194 04C2.107 ThAm tach sieu loc mau (Hemodiafiltration offline: HDF ON - LINE)
1.504.000 Chua bao gem catheter.
200 195 04C2.123 Than nhan tao cap chu 1.541.000
Qua 19c day mau dung 1 ran; da bao Om catheter 2 nong dugc tinh binh quan la 0,25 lan cho 1 Ian chay than.
201 196 04C2.76 Than nhan tao chu kY 556.000 Qua 19c day mau dung 6 lan.
202 197 04C3.1.149 Thao bet: cot song ho5c lung ho5c khop hang ho5c xuang din ho5c won chau
63.600
203 Ky thuat phoi hop than nhan tao va hap phy mau bang qua hap phu mau
3.430.000 Da bao gem qua 19c hap phu
va qua loc day mau dung 6 Ian.
204 198 04C3.1.150 Thao bOt khac 52.900 Chi dp dung voi nguai bOnh
ngoai til.
205 199 Thay bang cat loc vet thuong man tinh
246.000
Ap dung deii voi benh Pemphigus ho5c Pemphigoid hoac ly thugng bit bong nu& bam sinh ho5c vet loet ban chan do dai thao duang ho5c vet boa, hoai tir a benh nhan phong ho5c vet boa, hoai tir do 1-Si de.
206 200 04C3.1.143 Thay bang vet thuang ho5c me chieu dai < 15cm
57.600
Chi ap clang vai nguai benh ngoai WI. Doi vai nguai benhnei trU theo quy dinh am. BO Y te.
207 201 04C3.1.144 Thay bang vet thuang chieu dai tren 15cm den 30 cm
82.400
208 201 04C3.1.145 Thay bang vet mo chieu dai tren 15cm den 30 cm
82.400
Chi dp clang voi nguai benh ngoai til. DOi voi nguai benh nei tru theo quy dinh ctia BO Y t6.
209 202 04C3.1.145 Thay bang vet thuang hoac mO chieu
4 dai to tren 30 cm den 50 cm 112.000
Page 11 of 91
i STT
• TT 37 Ma
vu dich •
STTtiep
Ten dich vu
Gia bao Om chi phi truc
va an lining
Ghi chii
1 2 3 4 5 6 i, '-,
210 ''''. 203 - 04C3.1.146 Thay bang vet thuong hoac in6 chieu dai tir tren 15 cm den 30 cm nhiem trimg
134.000
211 204 04C3.1.147 Thay bang vet thuong hoac mo chieu dai tir 30 cm den 50 cm nhie-m trimg
179.000
212 205 04C3.1.148 Thay bang vet thuong hoac m6 chieu dai > 50cm nhiem trimg
240.000
213 206 Thay canuyn ma khi quail 247.000
214 207 04C2.72 Thay rim he th6ng clan Jun mang phOi 92.900
215 208 Thay transfer set a benh nhan lac mang bung lien tuc ngoai tru
502.000
216 209 04C2.105 Theo. may (01 ngay dieu tri) 559.000
217 210 04C2.65 Thong dai 90.100
218 211 04C2.66 Thut than phan hoac Dat sonde hau mon
82.100
219 212 Tiem (bAp hoac duai da hoactinh mach)
11.400 Chi ap dung vai ngtrai benh ngoai till; chua bao Om thu6c tiem.
220 213 Tiem khop 91.500 Chtra bao Om thu6c tiem.
221 214 Tian kherp duai huang an cua sieu am
132.000 Chua bao Om thu6c tiem.
222 215 Truyen tinh mach 21.400 Chi ap dung lied ngtrai benh ngoai till; chua bao Om thtiOc va dich truyen.
223 216 04C3.1.151 Khau vet thuong phan mem ton thuong nong chieu dai <10 cm
178.000
224 217 04C3.1.152 Khau vet thuong phanm6m ton thuong nong chieu dai >10 cm
237.000
225 218 04C3.1.153 Khau vet thuong phan mem ton thuong sau chieu dai < 10 cm
257.000
226 219 04C3.1.154 Khdu vet thuong phdn mem ton thuong sau chieu dal ? 10 cm
305.000
C C Y HOC DAN TQC - PHUC HOI CHI:JC NANG
227 220 03C1DY.2 Ban keo 45.800
228 221 04C2.DY139 136 Farafin 42.400
229 222 B6 thu6c 50.500
230 223 03C1DY.3 B6n xoay 16.200
231 224 04C2.DY125 Cham (co kim dai) 72.300
Page 12 of 91
STT i ' TT 37 T
t
a 1114adichwu ' '& •
Ten dich vu
Gia bao Om chi phi trtyc tiep Ala tiers
hron g
Ghi chu
1 2 .
34 5 6
232 Cham (kirn ngan) 65.300
233 2234-tlt Chin doan dien 36.200 1DY.8
234 226 03C1DY.29 Chan dodn dien than kinh ca 58.500
235 227 04C2.DY124 Chon chi (cay chi) 143.000
236 228 04C2.DY140 Um (Ngai ciru, tui chu6m) 35.500
270 261 03C1DY.11 Tap luyen vqi glie tap co b6n dau diii 11.200
271 262 Tap manh co day chju (co san chju, Pelvis floor)
302.000
272 263 Tjp nuot (co sir dung may) 158.000 273 264 Tjp nut (khong sir dung may) 128.000 274 265 Tjp sira lOi phat am 106.000 275 266 04C2.DY136 Tap van deng doan chi 42.300 276 267 04C2.DY135 Tjp van deng town than 46.900
277 268 Tap Van &Ong voi cac dung Cu trq gill])
29.000
278 269 03C1DY.13 Tjp voi he thong rang roc 11.200 279 270 03C1DY.12 Tjp voi xe dap tap 11.200
280 271 04C2.DY127 Thuy chain 66.100 Chtra bao Om thu6c.
281 272 03C1DY.14 Thuy tri lieu 61.400
282 273 Tiem Botulinum toxine vao ca thanh bang quang de (lieu tri bang quang tang hoat deng
2.769.000 Chtra bao Om thu9c
283 274 Tiem Botulinum toxine vao diem van dOng de dieu tri co cirng co
1.157.000 Chtra bao gem thu6c
284 275 04C2.DY133 Tir ngoai 34.200 285 276 03CIDY.16 Vat 1Y, tri lieu chinh hinh 30.100 286 277 03CIDY.15 Vjt 1Y tri lieu ho hap 30.100
287 278 03C1DY.18 Vat ly tri lieu phong ngira cac bien
, chirng do bat dOng
30.100
288 279 03C1DY.30 Xoa bop ap Itrc hai 30.100 289 280 04C2.DY128 Xoa bop bam huye't 65.500 290 281 03C1DY.21 Xoa bop bang may 28.500
Page 14 of 91 _44
STT,1_
.. S:1 A> VT 3 '7
. i
' a ` •
.. _
.':, v
! , i
,Gia
' tie') Ten dich vu
- I -
bao Om chi phi troy
va &en Itrang
Ghi chu
1 2- - )„ 4 5 6
291 282 03C.IDY-. Xoa bcip cue be, bang tay 41.800 292 283 . 3 Xoa bop toan than 50.700
293 284 Xong hui thueic 42.900
294 285 )(kg khei thu6e 37.900
295 286 Ming thu& bang may 42.900
Cac thii thulat Y hoc co truyn ho4c Phve hiA chuc nang con 10 khac
296 287 Thu thuat loai I 132.000
297 288 Thu thuat loai II 69.900
298 289 Thit thuat loai III 40.600
D D PHAU THU8T, THiJ THI.Ii.a THEO CHUYEN KHOA
I I HO! S!1C CAP CIAJ VA CHONG DOC
299 290 Phau thuat dat he th6ng tim phoi nhan tao (ECMO)
5.202.000 Chua bao Om 1300 tim ph6i,
day an ya canuyn chay ECMO.
300 291 Thay day, thay tim phi (ECMO) 1.496.000 Chua bao Om tx5 tim ph6i, day an ya canuyn chay ECMO.
301 292 Theo dOi, chay tim phi nhan tao (ECMO) m6I 8 gib.
1.293.000 Ap dung thanh toan cho m6i
8 gib. Jure hien.
302 293 ICet thlic \TA rut he theing ECMO 2.444.000
316 307 DU-MDLS Test ap bi (Patch test) 'lac hi4 veri thuoc (Doi voi 6 loai thuoc) hoac my pharn
521.000
317 308 DU-MDLS Test hei phiic phe quail 172.000
318 309 DU-MDLS Test huyet thanh to than 668.000
319 310 Dtf-MDLS Test kich thick phe guar' khong dac hieu voi Methacholine
878.000
320 311 DU-MDLS Test kich thich voi thuoc hoac sib. hoac thdc an
838.000
321 312 DU-MDLS Test IA)/ da (Prick test) dac hieu veri cac di nguyen ho hap hoac thirc an hoac sfra
334.000
322 313 DU-MDLS Test fay da (Prick test) dac hieu voi cac loai thee (Doi voi 6 loai thuoc hodc vacxin hodc huyet thanh)
377.000
323 314 DU-MDLS Test not bi chain dac hieu voi thuoc hoac vacxin hoac huyet thanh
475.000
324 315 DU.-MDLS Test not bi nhanh (lac hieu voi thuoc hoac vacxin hoac huyet thanh
389.000
Cac phan thulat, thii thu;at con lui khac
325 316 PhL thuat loai I 1.569.000 326 317 Phau thuat loai II 1.091.000 327 318 TIM thuat 14 dac biet 823.000 328 319 Thu thuat loai I 580.000 329 320 Thil thuat loai II 319.000 330 321 The thuat loai III 162.000 III III DA LIEU 331 322 Chup va phan tich da bang may 205.000 332 323 D'ap mat 14 dieu tri met so bOnh da 195.000
333 324 Dieu tri met so benh da bang Ni to' long, nao throng ton
332.000
Gia tInh cho mOi dan vi la 5
thirang ton hoac 5 cm2 dien tich dieu tri.
334 325 Dieu tri cac Nnli lji ciia da bang PUVA hoac UBV town than
240.000
.7 (
Page 16 of 91
STL , STT '
, TT.37
t
Ma (Lich vu
i
Ten dich vu A
Gia bao Om chi phi true
.; tiep va hen Wong
Ghi chi"'
1 -
'. : ),, il
3.-') • • /
4 5 6
335 326
,.,-
Dieu tri hat cam bang Plasma 358.000
Gia tinh cho m8i don vi la 5
thucmg ton hoac 5 cm2 dien tich dieu tri.
36 327 Dieu tri mot s6 benh da bang Fractional, Intracell
1.268.000 7 i Gia tinh cho mo don vi la 10
cm2 Men tich dial tri.
337 328 Dieu tri mat se") benh da bang IPL 453.000 Gia tinh cho m6i dun vi la 10
cm dien tich dieu tri.
338 329 Dieu tri rriOt so benh da bang Laser CO2, Plasma, el& dien, ni to long
333.000
Gia tinh cho m8i don vi la 5
thuong ton hoac 5 cm2 dien tich dieu tri.
339 330 ), Dieu tri in'cit s6 benh da bang Laser mau
1.049.000 Gia tinh cho m8i don vi la 10
2 . cm dien tich (lieu tri.
340 331 Dieu tri mot s6 benh da bang Laser YAG, Laser Ruby
1.230.000 7 Gia tinh cho moi don vi la 10 . ,
cm2 dien tich diet' tit
341 332 Dieu tri mot se) benh da bang Laser, Anh sang chieu ngoai
213.000
342 333 Dieu tri mot sa' benh da bang tient tai chO, chain thu6c
285.000 Gia tinh cho me)i don vi la 10
cm2 dien tich dial tri.
343 334 Dieu tri sal. mao ga bang Laser CO2, cat bo thuong ton
682.000 Gia tinh cho m8i don vi la 5
thuo'ng ton Ix* 5 cm2 dien tich dieu tri.
344 335 DiL tri u mach mau bang IPL (Intense Pulsed Light)
744.000 X. Gia tinh cho moi don vi la 10
.. cm2 dien tich theu tri.
345 336 Dieu tri viem da co dia bang may 1.108.000
346 337 Phau thuat chuyen gan dieu tri ho• mi 2.192.000
347 338 Phau thuat dieu tri hp h6 khau cai 2.468.000
348 339 Phau thuat dieu tri 16 dao co viem xuang
628.000
349 340 Phau thuat dieu tri 18 dao khong viem xtroug
546.000
350 341 Phau thuat dieu tri sa tr6 mi duai 1.912.000
351 342 Phau thuat dieu tri sap cAu miii 1.552.000
352 343 Phau thuat dieu tri u duai mong 752.000
353 344 Phau thuat giai dp than kinh 2.318.000
354 345 Phau thuat Mohs dieu tri ung thu da 3.337.000
Cac phAu thu4t, thit thulat con 10 khic
355 346 Phau thOt 104i dac biet 3.256.000 356 347 Phau thuat loai I 1.826.000 357 348 Pilau thuat loci II 1.056.000
Page 17 of 91
STT STT
TT 37 MA dfch IT
,
: • Ten dick vu - Ghi
Gia bao gam chi phi truc tip Al tin
lu.ang
chti
-e; 2 v 3
../ 4 5 6
3581/444,,349„-- .-' Phau thuat loai III 795.000 359 350 Thu thuat loai ddc biet 760.000 360 351 Thit thudt loai I 385.000 361 352 ThU thuat loai II 250.000 362 353 Thil thudt loai III 148.000
IV IV NOI TIET
363 354 03C2.1.5 Dan Itru ap xe tuyen giap 231.000
364 355 Got chai chin (got not chai) tr'en ngtrai benh dai thao duang
258.000
365 356 Pilau thuat 14 1 me) ma tuyen not tilt có dUng dao sieu am
6.560.000
366 357 4.166.000 Phau thuat loai 1 mO ma tuyen n9i ti 'et khong &mg dao sieu am
367 358 Phau thudt loai 1 m9 not soi tuyen n9i tilt có dung dao sieu am
5.772.000
368 359 4.468.000 Phau thuat loai 2 me) ma tuyen not tilt có dOng dao sieu am
369 360 Phau thuat loai 2 ma ma tuyen not tilt khOng &mg dao sieu am
3.345.000
370 361 4.281.000 Phau thuat 14 3 me ma tuyen not tilt có ding dao sieu am
371 362 2.772.000 Phau thudt loai 3 mO ma tuyen not tilt khong dUng dao sieu am
372 363 Phau thuat loai ddc biet me ma tuyen n'ai tilt khong dUng dao sieu am
5.485.000
373 364 Phau thudt 14 ddc biet tuyen not fiat mO ma có dimg dao sieu am
7.761.000
374 365 7.652.000 Pilau thudt 14 ddc biet tuyen not tilt mO n9i soi &mg dao sieu am
Cac thit thuat con lai khac 375 366 Thil thuat loai 1 616.000 376 367 ThP thuat loai II 392.000 377 368 Thu thudt loai III 212.000 V V NGOAI KHOA
Ngoai Than kinh
378 369 Phau thuat giai ep than kinh hodc khoan tham do so
4.498.000
379 370 Phau thuat lay matt to trong SO hodc ngoai mang d rug hodc duai mang drug hodc trong rid()
5.081.000 Chua bao gam nep, ghim, vit, • • • oc, mieng va khuyet SQ.
380 371 Phau thudt u h9 mat 5.529.000 Chin bao gam nep, ghim, oc, vit, mieng va khuyet SO
Page 18 of 91
STT °;-$TT
'T 37 Ma dick vu Ten dick vu tie
Gia bao gom chi phi trvc
Ap va . h Ae n luo'ng
Ghi chi!
i V ' e
2 3 4 5 6
381 372 . Phauthuat ap xe nao 6.843.000 Chu bao Om be, dAn luu
kin, mieng va khuyet s9.
382 373 03C2.1.39 Phauthuat dan km nao that -mang bung
4.122.000 Chua bao Om van an luu nhan tao.
383 374 03C2.1.45 Phau thuat nei soi nao hoac tuy song 4.948.000 Chua bao Om mieng vd khuyet s9, dao sieu am (trong phk thuat u nao)
384 375 03C2.1.38 Phau thuat nei soi u tuyen yen 5.455.000 Chua bao Om mieng va. khuyet s9, dao sieu am.
385 376 Phk thuat tao hinh mang nao 5.713.000 Chua bao Om mang nao nhan tao, mieng \id khuyet SO,
be, van an luu.
386 377 Phau thuat thoat vi nao, mang no 5.414.000 Chua bao Om mang nao nhan tao, mieng vd khuyet sp, b'e van dan luu.
387 378 Phk thuat vi phk lay u thy 7.245.000 Chua bao Om mach nhan tao, kep mach mau, ghim, 6c, vit, kinh vi phk.
388 379 03C2.1.43 Phau thuat vi phau u nao dtromg gifra 7.447.000 Chua bao Om mieng va. nhan tao, ghim, oc, vit.
389 380 03C2.1.41 Phauthujt vi phau u nao nen so 6.653.000
Chua bao Om dinh, nep, vit, vat lieu cam mau sinh hoc, mang nao nhan tao, dao sieu am.
390 381 03C2.1.42 Plitt thujt vi phauu nao thjt 6.653.000
Chua bao g'Jgn dung cu dan dtreyng, ghim, oc, vit, dao sieu am, be dan km nao that, mieng va khuyet so.
391 382 Ph thuat vi phau nao tuyen yen 7.145.000
Chua bao Om mach nhan tao, mieng va khuyet so, kr) mach mau, ghim, oc, vit, dao sieu am.
392 383 Phauthujt dieu tri viem xuong se, hoac ham mat
5.389.000 Chua bao Om nep, ghim, oc, vit.
393 384 Phau thuat ghep khuyet so 4.557.000
Chua bao Om xtrung nhan tao, vat lieu tao hinh hOp so, dinh, nep, vit, luoi tital, ghim, oc, mang nao nhan tao, vat lieu cam mau sinh hoc.
394 385 Phk thuat u xtrang so 5.019.000 Chua bao g6m dinh, ghim, nep, vit, 6c, vat lieu tao hinh hOp so, mang nao nhan tao.
Page 19 of 91
STT i .
TT 37 STT
Ma dichvu i
'
,
Ten dich vu
Gia bao Om chi phi truc tiep va tien
Itrung
Ghi chu
I ::..':,-; 'I. ' • 3/ 4 5 6
395
•Ak%„, ---..-_,.--- 386
-•
Phau thuat vet thuong so nao hO 5.383.000 Chua bao Om dinh, ghim, ncp, vit, 6c, mang nao nhan tao, vat lieu tao hinh hOp so.
396 387 03C2.1.44 Phau thuat vi phau di dang mach nao 6.741.000 Chua bao Om kw mach mau, mieng va khuyet s9, van clan Itru, ghim, 6c, vit.
397 388 Phau thuat vi phau not mach mau trong va ngoai hOp so
7.121.000 Chua bao Om mach nhan
tao, kep mach mau, ghim, 6c, vit.
398 389 03C2.1.40 Phau thuat thAn kinh c6 dan &Ong 6.447.000
399 390 03C2.1.46 Quang dOng hoc (PTD) trong dieu tri u nao ac tinh
6.849.000 Chua bao Om dung cu clan throng
Ngoui ang nguc - mach matt
400 391 03C2.1.31 CAy hoAc dAt may tao nhip hoAc cay may tao nhip pha rung
Chua bao Om 1)0 tim ph6i nhan tao va day chay may, \tong van, van tim nhan tao, mieng va sieu mOng, mach mau nhan tao, &Ong mach chi nhan tao, keo sinh hoc diing trong phau thuat phinh tach dOng mach, qua loc tach huyet tuung va 1)0 day dan, dung dich bao ve tang, day truyen dung dich bao ve tang, dung cu co dinh mach vanh.
402 393 03C2.1.25 Phau thuat cac mach mau Ion (dOng mach ch6 floe hoac bung hoAc canh hoac than)
14.645.000
Chua bao Om b(15 tim phi nhan tap va day chay may, dOng mach chi' nhan tao, mach mau nhan tao, keo sinh
hoc dung trong phau thuat phinh tach dOng mach, qua loc tach huyet Wong va bO day dan, dung dich bao ye tang, day truyen dung dich ban ve tang.
403 394 03C2.1.18 Phau thuat cat mang tim rung 14.352.000
404 395 03C2.1.15 Phau thuat eat Ong &Ong mach 12.821.000
Chua bao g6m mach mail nhan tao, dOng mach chili nhan tao, keo sinh hoc &mg trong phau thuat phinh tach dOng mach.
405 396 03C2.1.17 Phau thuat nong van dOng mach chi 7.852.000
C Page 20 of 91
STT
i
STT TT 37
•
Ma dich vu Ten dich vu . Ghi chu
,
Gia bao Om chi phi trtyc
A nep va ti Itrang
1 2 3 4 5 6
406 397 - -. /
-t3t21.16 Phu thuP tao hinh eo d'cing mach 14.352.000
Chua bao Om mach ma..0 nhan tao, Ong mach chil nhan tao, keo sinh hpc &mg trong phdu thulat phinh tach d'Qng mach.
407 398 Phu thOt dat Catheter 6 bung de' loc mang bung
7.275.000
408 399 Phu thulat tao thong Ong finh mach AVF
3.732.000 Chua bao Om mach matt nhan tao, dOng mach chit nhan tao.
409 400 Phu thuOt tham do ngodi mang tim hoc tha'm do 16ng nue
3.285.000
410 401 03C2.1.19 Phu th0.'t thay doan mach nhan tao 12.653.000
Chua bao gQm mach mau nhan tao, dOng mach chu nhan tao, keo sinh hoc dung trong phdu thulat phinh tach Ong mach.
411 402 03C2.1.21 Phu thuiat thay dOng mach chit 18.615.000
Chua bao gQm bQ tim phi nhan tao NIA day chay may, Ong mach chi] nhan tao, van Ong mach chit nhan tao, mach matt nhan tao, Ong van Ong mach, keo sinh hpc dUng trong phdu thuat phinh tach,cliong mach, qua 19c tach huyet Wong va bo day ddn, dung dich bao ve tang, bQ day truyQn dung dich liet tim.
412 403 03C2.1.20 Phdu thulat tim cac loai (tim bam sinh ho4c sU.a van tim ho4c thay van tim...)
17.144.000
Chua bao gQm bo tim phi nhan tao va day chay may, \Tong van va van tim nhan tao, mach matt nhan tao, dOng mach chu nhan tao, Ong van Ong mach, keo sinh hpc dung trong phdu thulat phinh tacit, Ong mach, qua loc tach huyet twang va bC;) day ddn, mieng va sieu mong, dung dich bao Ve tang, day truyen dung dich bao q tang.
Page 21 of 91
STT STT TT 37
',. Mil dicii vu
. , , Ten dich vu
Gia ban gom chi phi trip tiep va tien
hro'ng
Ghi chti
413
y
Phau thu5t tim kin khac 13.836.000
Chin bao gom gong mach chu nhan tao, van dOng mach chit nhan tao, mach mau nhan
tao, keo sinh hoc dung trong phau thuat phinh tach Ong mach.
404
414 405 03C2.1.14 Phau thuat tim loai Blalock 14.352.000 Chua bao gOm mach mau nhan tao hoac Ong mach chi' nhan tao.
415 406 03C2.1.26 Phau thuat tim, mach khac có sir dung tuan hoan ngoai co the
16.447.000
Chua bao Om 1)0 tim phi nhan tao va day chay may, mach mau nhan tao, dOng mach chi' nhan tao, keo sinh hoc dimg trong phau thuat phinh tach dOng mach, qua loc tach huy6t Wang va 1)0 day clan, dung dich bao ve tang, b0 day truyen dung dich liet tim, dau dot.
416 407 Phau thuat u mau cac vi tri 3.014.000
417 408 Phau thuat cat ph9i 8.641.000 Chua bao Om may cat not tu dOng, ghim khau may hoac stapler
418 409 Phau thuat cat u trung that 10.311.000
419 410 Phan thuat dan luu mang phOi 1.756.000
420 411 Phau thuat dieu tri benh 1).7 king ngtrc khac
6.686.000 Chua bao Om cac loai dinh nep vit, cac loai khung, thanh nang ngtrc va dai nep ngoai.
421 412 Phau thuat not soi cat u trung that 9.982.000 Chua bao g'9m may cat not hi' dOng, ghim khan may hoac stapler, dao sieu am
422 413 Phau thuat not soi nguc benh 1)i hoac chart thtrang
8.288.000 Chua bao Om may cat not to
dOng, ghim khau may ho5c stapler, dao sieu am.
423 414 Phau thuat OK hOi thanh nguc (do chan thuorng hoac vet thuang)
6.799.000
Chua bao g'9m cac loai dinh, rip, vit, cac loai khung, thanh nang ngtrc va dai nep ngoai.
Ngo0 Tiet nieu
424 415 03C2.1.91 Ghep than, nieu quart to than có sir dung vi phau
6.544.000
425 416 Phau thu5t cat than 4.232.000
Page 22 of 91
STT STT
TE 37 •' Ma dich vu "
Ten dich vu
Gia bao giim chi phi trip tip va tin
Itrceng
Ghi chti
I 't 3 4 • 4.
5 6
426
-=., 17,
417
. ../
z.,----- -_, ,/Phau that cat u thuvng than hoac
cat nang than 6.117.000
427 418 Phau thuat not soi liy soi than hoac soi nie;uquan hoac soi bang quang
4.027.000
428 419 03C2.1.82 Phau that not soi cat than hoac u sau pink mac
4.316.000
429 420 03C2.1.83 Phau thuat not soi u thuong than hoac nang than
4.170.000
430 421 Phau thuat liy soi than hoac soi ni0 quan hoac sal bang quang
4.098.000
431 422 Phau thuat cat ni;eu guar' hoac tao hinh ni0 quan ho4c tao hinh be than (do benh Vt hoac chin thuang)
5.390.000
432 423 03C2.1.85 Phau thuat cat tai sa ni0 quan bang not soi
3.044.000
433 424 Phh thuat cat bang quang 5.305.000
434 425 Phau that cat u bang quang 5.434.000
435 426 Phau thuat ni:ii soi cat u bang quang 4.565.000
436 427 03C2.1.84 Phau that not soi cat bang quang, tao hinh bang quang
5.818.000
437 428 Phau thuat not soi cat c6 bang quang 4.565.000
438 429 Phdu thuat dOng de bang quang 4.415.000
439 430 03C2.1.87 Di &1 tri u xo tin lit tuy6n bang laser
2.694.000 Chua bao Om day cap quang.
440 431 03C2.1.88 1\10i soi cat dot u lanh tuyen tin 1* qua dueng ni@J dao (TORP)
2.694.000
441 432 Phau that b6c u xo tin li ''t tuyen 4.947.000
433 03C2.1.86 Phau that cat tuy6n tin li"e't qua not
442 soi
3.950.000
443 434 Pilau thuat die'u tri cac be:nh li hoac chin thircmg nieu dao khac
4.151.000
444 435 Phauthuat ha tinh hoan in, tinh hoan lac cho- hoac cat bO tinh hail
2.321.000
445 436 Phau thuat not soi d4t Sonde JJ 1.751.000 Chua bao Om sonde JJ.
446 437 Phau thug tao hinh throng vat 4.235.000
447 438 03C2.1.89 Oat prothese co dinh san chau vac) mom nho xtrong cut
3.562.000
448 439 03C2.1.12 Tan soi ngoai co the bang song xung (thity din ltrc)
2.388.000
Page 23 of 91
STT
(-Z,1
T'T -'
11:',1 37 Ma dich vu
' Ten dich vu Ghi chi
;
Gia bao Om chi phi trim tierp va tien
Itrung
1 ',:' 2 " 3 /, 4 5 6
449 444.4122N2-1' ,/
13 Tan soi qua n9i_ soi, (sot than hoAc sot nicu quan hoac sot bang quang)
1.279.000 Chia. bao Om sonde JJ, r9
, lay sot.
Tieu boa
450 441 PhAu thudt cAt cac u lank thuc quan 5.441.000
Chia bao Om kw khoa mach mau, may cat not to
dOng va ghim khau may, dao sieu am, Stent.
451 442 Phu thudt cAt thuc quan 7.283.000
Chia bao Om kep khoa mach mau, may cat nOi to d9ng va ghim khau may, dao sieu am, Stent.
452 443 03C2.1.61 Phu thudt cat thuc quart qua n9i soi nue va bang
5.814.000 Chua bao Om may cAt 116' i to Ong va ghim khau may.
453 444 Phu thuat dAt Stent flux quan 5.168.000
Chua bao Om kep khoa mach mau, may cat not to
Ong va ghim khau may, dao sieu am, Stent.
454 445 03C2.1.60 5.964.000 PhAu thuat nOi soi diet' tri frac) ngu9c thuc quart, da day
455 446 Phu thuat tao hinh -Ow quart 7.548.000
Chua bao Om Imo khoa mach mau, may cat not to dOng va ghim khau may, dao sieu am, Stent.
456 447 03C2.1.59 Phu thuat nOi soi tao hinh thuc quan 5.964.000 Chua bao gOm may cAt nOi ti &Ong va ghim khau may, Stent.
457 448 Phu thudt cat ban phan da day 4.913.000 Chua bao Om may cAt n6i tir dOng va ghim khau may, kep khoa mach mau, dao sieu am.
458 449 PhAu thuat cat da day 7.266.000 Chua bao Om may cAt n9i to &Ong va ghim khau may, kep khoa mach mau, dao sieu am.
459 450 03C2.1.62 PhAu thudt n9i soi cat da day 5.090.000 Chua bao Om may cAt nOi ttr d9ng va ghim khau may, dao sieu am, kep khoa mach mail.
460 451 Phu thudt n9i soi khau thing da day 2.896.000
461 452 03C2.1.64 Phu thuat n9i soi cat day than kink X trong dieu tri boa da day
889 879 04C3.4.229 Chich rach apxe thanh sau hong (gay te)
263.000
890 880 03C2.4.11 Chich rach vanh tai 62.600
891 881 Chinh hinh tai glib có tai tao chu6i xtiong con
5.916.000
892 882 03C2.4.10 Choc hilt dich vanh tai 52.600
893 883 03C2.4.56 Oat stent lieu tri seo hep thanh khi quan
7.148.000 Chua bao Om stent.
894 884 03C2.4.47 Do ABR (1 ran) 178.000 --
Page 43 of 91
STT STT TT 37
--...., ,
`\ IVIA4cli,vu
1-)
. - ) Ten (Lich vu
A Gia bao gom chi phi trnrc tip va tien
prong
Ghi chi'
1 , 2 , / ,
4 5 6
895 '''.85, 03C .44 Do nhi lacing 27.400 896 886 03C2.4.46 Do OAE (1 lan) 54.800 897 887 03C2.4.43 Do phan xa co ban dap 27.400 898 888 03C2.4.39 Do sire can dm mai 94.400 899 889 03C2.4.42 Do sec nghe leyi 54.400 900 890 03C2.4.40 Do thinh lac don am 42.400 901 891 03C2.4.41 Do tren nguang 59.800 902 892 03C2.4.30 Dot Amidan ap lanh 193.000
903 893 03C2.4.4 Dot h9ng bang khi CO2 (Bang at) lanh)
130.000
904 894 03C2.4.3 Dot h9ng bang khi Nito long 148.000
905 895 03C2.4.22 DiSt h9ng hat 79.100
906 896 03C2.4.54 Ghep thanh khi (Nan dat stent 5.952.000 Chtra bao Om stent.
907 897 03C2.4.13 Hut xoang dtrai ap Itrc 57.600
908 898 03C2.4.15 Khi dung 20.400 Chtxa bao Om thuoc khi
dung.
909 899 03C2.4.1 Lam thuec thanh quan hoactai 20.500 Chua bao Om thu'Oc.
910 900 03C2.4.2 Lay di vat h9ng 40.800
911 901 04C3.4.233 Lay di vat tai ngoai don gian 62.900
912 902 04C3.4.252 Lay di vat tai ngoai clueri kink hien vi (gay me)
514.000
913 903 04C3.4.234 Lay di vat tai ngoai dtrai kinh hien vi (gay te)
155.000
914 904 04C3.4.246 Lay di vat thanh quan gay me Ong cirng
703.000
915 905 04C3.4.239 Lay di vat thanh quail gay to Ong cirng
362.000
916 906 04C3.4.236 Lay di vat trong min có gay me 673.000
917 907 04C3.4.235 Lay di vat trong mai khong gay me 194.000
918 908 03C2.4.12 Lay nut Hen bi 6ng tai 62.900
909 04C3.4.254 MO cat be u ba au yang au mat co919 gay me
1.334.000
920 910 04C3.4.242 MO cat be u ba dau veng dau mat co gay to
834.000
921 911 MO sao bao - thugng nhi 3.720.000 Da bao Om chi phi mai
khoan
922 912 Nang xuang chinh mai sau chan thtrang gay me
2.672.000
923 913 thtrong Nang xtrang chinh mei sau chan
gay to 1.277.000
924 914 04C3.4.243 Nao VA gay me 790.000
Page 44 of 91
STT
t
STT TT 37
. ' '''
Ma dich,vu ,
Ten dick vu
A Gia bao pm chi phi trtrc tiep va teen
liming
Ghi chit
1 \ 2 3., 4 5 6
9,15.e , ,n- co925 Nao vet hach o chon loc 4.615.000 Chtra bao gOm dao sieu am.
926 916 03C2.4.20 Nhet meche hoacbac milli , 116.000
927 917 03C2.4.55 Noi khi quan tan-tan trong lieu tri seo hep
7.944.000 Ultra bao g6m stent.
928 918 04C3.4.247 NO soi cat polype mi.ii gay me 663.000
929 919 04C3.4.241 NOi soi cat polype mili gay te 457.000
930 920 04C3.4.231 Ni soi ch9c rim xoang ham (gay te) 278.000
1007 996 04C3.4.249 Trich rach apxe thanh sau hong (gay me)
729.000
1008 997 Va. nhi den thuan 3.720.000 Da bao gem chi phi mai khoan
1009 998 PhAu thuat nei soi (long 18 re xoang le bang laser hoAc nhiet
3.053.000
Cac phau thuat, thii thuat con lai khac
1010 999 PhAu thuat loai d;ac biet 3.424.000 1011 1000 PhAu thuat loaf I 2.012.000 1012 1001 PhAu thuat loaf II 1.415.000 1013 1002 PhAu thuat loaf III 954.000 1014 1003 Thu thOt 14 cl4c bie't 865.000 1015 1004 Thu thuat loci I 508.000 1016 1005 TIM thuat loai II 290.000 1017 1006 Thu thuat !oat III 140.000 IX IX RANG - HAM - MAT
Cac ky thuat ye ring, miOg
1018 1007 03C2.5.1.3 cAt lei trim 158.000 1019 1008 03C2.5.2.6 Chup MO lam sail 292.000
1020 1009 03C2.5.1.6 CO dinh tarn thei gay )(gang ham
• , (buoc chi the!), bang co dinh)
363.000
Dieu tri ring
Page 48 of 91
STT A
(
r STT . TT.37
Ma dick, vu •
\
Ten dich vu
Gia bao Om chi phi tryc tiep va teen
limn
Ghi chii
2 . 3 - ,, 4 5 6
1021 010. ` '''f2,,
03C3,5.-2...i Dieu tri rang sib viem tuy c6 hei OK
334.000
1022 1011 03C2.5.2.13 Dieu tri tuj/ lai 954.000
1023 1012 03C2.5.2.10 Dieu tri tq rang so 4, 5 565.000
1024 1013 03C2.5.2.11 Dieu tri tuY rang s6 6,7 ham &red 795.000
1025 1014 03C2.5.2.9 Dieu tri tuY rang so 1, 2, 3 422.000
1026 1015 03C2.5.2.12 Dieu tri tuY rang se 6,7 ham troll 925.000
1027 1016 03C2.5.2.4 Dieu tri tug' rang sila mot chan 271.000
1028 1_
1017 03C2.5.2.5 Dieu tri tug' rang sira nhieu chan 382.000
1029 1018 03C2.5.2.14 Han composite co rang 337.000
1030 1019 03C2.5.2.1 Han rang M.-1'a sau nga 97.000
1031 1020 04C3.5.1.260 Lay cao rang va danh bong hai ham 134.000
1032 1021 04C3.5.1.259 Lay cao rang va dinh bong mot vfing hoAc mot ham
77.000
1033 1022 03C2.5.1.11 NAn trit Ithop thai cluing ham 103.000
1034 1023 03C2.5.1.10 Nao tai lqi 1 sextant 74.000
1035 1024 03C2.5.1.7 MO chan rang 190.000
1036 1025 03C2.5.1.1 Nh6 rang don gian 102.000
1037 1026 03C2.5.1.2 Nile rang khO 207.000
1038 1027 04C3.5.1.257 Nh6 rang se 8 binh thtrimg 215.000
1039 1028 04C3.5.1.258 Nho rang so 8 có Wen chi:mg khit ham
342.000
1040 1029 04C3.5.1.256 NhO rang sib hoAcchan rang sib 37.300 1041 1030 03C2.5.2.16 Phuc Woi than rang co chOt 500.000
1042 1031 03C2.5.2.7 Rang sau nga 247.000
1043 1032 03C2.5.2.8 Rang viem tuY hei phuc 265.000
1044 1033 04C3.5.1.261 Rim chain thu6c dieu tri viem loet niem mac (1 Ian)
32.300
1045 1034 03C2.5.6.2 Sira ham 200.000
1046 1035 03C2.5.2.2 Tram bit hO ranh 212.000
Cie phlu thu4t ham mat
1047 1036 03C2.5.1.16 PhAu thuat nhO rang lac ch6 337.000
Page 49 of 91
STT STT TT 37
Ma (Itch vu , •
;j
Ten Bich vu
Gia bao gom chi phi trirc .; .; nep va nen
luom g
Ghi chii
1 .' i ..... _ . 4 5 6
1048
y..,
---.-. - 1037 03C2.5.1.24
--- Pha tr u thuat ghep xang va mang tai tao mo a htrong din
1.049.000
Chua bao Om mang tai tao mo va wing nhan tao hoc san phAm sinh hoc thay the
wan 2.
1049 1038 03C2.5.1.22 Pha tr u thuat lat vat, nao xung 6 rang 1 yang
820.000
1050 1039 03C2.5.1.23 Cat u 16.i doing kinh tir 2cm tra len 455.000
1051 1040 03C2.5.1.18 CAt u loi, lgi xo a lam ham gia 415.000
1052 1041 03C2.5.1.19 Cat, tao kinh phanh moi, phanh ma hoc ltrai (khong gay me)
1055 1044 03C2.5.1.12 Cat u da dau lanh, throng kinh dtr6i 5 cm
705.000
1056 1045 03C2.5.1.13 Cat u da dau lanh, duOng kinh tir 5 cm tro. len
1.126.000
1057 1046 03C2.5.7.44 Cat 1)6 nang san mieng 2.777.000
1058 1047 03C2.5.7.35 Cat nang xtrong ham tir 2-5cm 2.927.000
1059 1048 03C2.5.7.33 Cat u nang giap mong 2.133.000
1060 1049 03C2.5.7.48 Cat u nh6 lanh tinh phan mem vimg ham mat (gay me nOi khi quan)
2.627.000
1061 1050 Dieu tri dOng cueng rang 460.000
1062 1051 Dieu tri sau rang som bAng Fluor 545.000
1063 1052 03C2.5.7.39 Ghep da roi mi3i chieu tren 5cm 2.841.000
1064 1053 03C2.5.7.50 ,: Nan sai khOp thai throng ham den
muon 1.662.000
1065 1054 03C2.5.7.46 PhAu thuat cat day than kinh V ngoai bien
2.859.000
1066 1055 03C2.5.7.3 PhAu thuat cat doan xuang ham duoi do benh lji va tai tao bang nep vit (1 ben)
2.493.000 Chua bao gOm nep, vit thay the.
1067 1056 03C2.5.7.4
Phan thuat cat doan xtrung ham duoi do benh 15i va tai tao bang xtrong, sun hr than (1 ben) va co dinh bAng nep vit
4.066.000 Chua bao Om nu, vit thay
.; the.
1068 1057 03C2.5.7.6 titan,
PhAu thuat cat doan ?along ham tree do benh ljf va tai tao bang ham dac
sir, composite cao cap 5.166.000
the. Chua bao gem nep, vit thay
1069 1058 03C2.5.7.12 ton Phan thuat Cat tuyen mang tai bao
day than kinh VII có sir dung may do thAn kinh
4.128.000 Chua bao Om may do than kinh.
Page 50 of 91
STS' . STT TT 37
Mi-djch vu Ten dick vn Ghi
Gia bao Om chi phi tryc tie'p va titn
twang
chti
1 r ; 3 4 5 6
1070 1% ... 032-.5.7.16 • Phau thuat cat u bach mach lan vimg ham mat
• ' • 3.093.000
1071 1060 03C2.5.7.26 h thu6t cat u lanh tinh tuyen dual
ham 3.144.000
Chua bao Om may do than kinh.
1072 1061 03C2.5.7.15 Phau thuat cat u mau Ion vOng ham • mat
2.993.000
1073 1062 03C2.5.7.37 Phan thuat cat ung thu xtrang ham dtrai, nao vet hach
3.243.000
1074 1063 03C2.5.7.36 Phau thuat cat ung thu xtrong ham ten, nao vet hach
3.243.000
1075 1064 03C2.5.7.2 Phau tht4t cat xtrang ham teen hoacham croi, dieu tri lech khop can va kit hap xuang bang nep vit
3.527.000 Chua bao Om nep, vit thay
, the.
1076 1065 03C2.5.7.17 Phau thuat da chan thuang \Jung ham mat
4.140.000 Chtra bao gem nep, vit.
1077 1066 03C2.5.7.24 Phau that dieu tri gay go ma cung tiep 2 ben
2.944.000 Chua bao Om nep, vit.
1078 1067 03C2.5.7.23 Phau thuat dieu tri gay 1Oi cau 2.744.000 Chua bao Om nep, vit.
1079 1068 03C2.5.7.22 Phau thuat thou tri gay xuang ham duai
2.644.000 Chua bao gem nep, vit.
1080 1069 03C2.5.7.25 Phau thuat dieu tri gay xtrang ham tren
3.044.000 Chua bao gem nep, vit.
1081 1070 03C2.5.7.41 Phan thuat dieu tri viem nhiem toa Ian, ap xe vOng ham mat
2.167.000
1082 1082 1071 03C2.5.7.10 Phau thuat dinh khop thai duong ham 1 ben va tai tao bang khop chic titan
3.806.000 • . cau bao Om nep c6 181 cau
ba • ng titan va vit thay the.
1083 1072 03C2.5.7.8 Phau thuat dinh khop thai duang ham 1 ben va tai tao bang sun, xuong hi' than
3.806.000 Chua bao Om nep, vit thay
, the.
1084 1073 03C2.5.7.11 Phau thuat dinh khop thai duang ham 2 ben va tai tao bang khop duc titan
4.028.000 Chua bao Om nep c6 loi cau
• bang titan va vit.
1085 1074 03C2.5.7.9 Phau thuat dinh khOp thai duang ham 2 ben va tai tao bang sun, xtrang to than
3.978.000 Chua bao Om nep, vit thay th6.
1086 1075 03C2.5.7.19 Phan thuat ghep xuang O rang tren benh nhan khe ha moi, vont ming
3.132.000 Chua bao gem xuong.
1087 1076 03C2.5.7.42 Phau thuat khau phut hei vet thuong phan mini vimg ham mat, có ton thtrang tuyen, mach, than kinh.
2.998.000
1088 1077 03C2.5.7.13 Phau thuat khuyet hOng Ion yang ham mat bang vat da co
4.068.000 Chua bao gOm nep, vit.
gor Page 51 of 91
STT
4
STT, Tr 37.•
..-- \ IN4Viiiieli vu
. . , ,
.
Ten dich vu
Gia bao Om chi phi try.c tiep va tien
hro'ng
Ghi chu
I i 4 5 6
1089 *
1 --, -
.5.7.14 Phau thuat kbuyet hling lan viing ham mat bang vi Oh thuat
4.153.000
1090 1079 PhAu thuat lAy di vat yang ham mat 2.461.000
1091 1080 03C2.5.7.52 Phau thuat lay rang ng Am trong xuong
2.351.000
1092 1081 03C2.5.7.45 Pilau thuat ma xoang lay rang ngam 2.777.000
1093 1082 03C2.5.7.18 Phau thuat mo• 'arcing, lieu tri tech lac xuong ham, khan can
4.340.000 Chtra bao g6m nep, vit.
1094 1083 03C2.5.7.38 Phau that tao hinh khe ha cheo mat 3.540.000
1095 1084 03C2.5.7.30 Phau thuat tao hinh khe ha \Tom mieng
2.493.000
1096 1085 03C2.5.7.31 Phau thuat tao hinh khe ha \Tom mieng tao vat thanh hAu
2.493.000
1097 1086 03C2.5.7.29 Pilau thuat tao hinh moi hai ben 2.593.000
1098 1087 03C2.5.7.28 Phau thuat tao hinh moi mot ben 2.493.000
1099 1088 03C2.5.7.47 Phau thuat tao hinh phanh moi hoac phanh ma hoac phanh ltr&i barn thAp (gay me not khi quan)
1.785.000
1100 1089 PhAu thuat aide, nep vit sau ket hop xtrang hai ben
2.822.000
1101 1090 PhAu thuat did() nep vit sau ket hop xtrang 16i cau
2.759.000
1102 1091 PhAu thuat thao nep vit sau ket hop xuong mot ben
2.686.000
1103 1092 03C2.5.7.1 trong phpc Sir dung rip c6 16,i eau t
. hoi sau cat doan 'arcing ham dtrai
3.127.000 A Chtra bao gom nep c6 16i eau
va vit thay the.
1104 1093 03C2.5.7.49 • A Tian xa dieu tri u mau phan mem va
xuong vung ham mat 844.000
Cac pi& thuat, thti thuat con !ail khac
1105 1094 PhAu thuat loaf dac biet 3.507.000 1106 1095 Phau thuat loai I 2.241.000 1107 1096 Phu thuat loai II 1.388.000 1108 1097 PhAu thuat loaf III 906.000 1109 1098 ThO thuat loai dac biet 781.000 1110 1099 Thu thuat loci I 480.000 1111 1100 Thu thuat loai II 274.000 1112 1101 Thii di* loci III 140.000
X X BONG
1113 1102
Cat bei hoai tit tier) tuyen, bong sau dtrai 5% dien tich co the a ngtrai lan, dtrai 3% dien tich co the a tre em
2.269.000
1114 1103 Cat 1)6 hoai tir tiep tuy6n bong sau tren 10% dien tich co the a ngtroi lon
3.818.000
Page 52 of 91
STT •
-.. STT
•- - TT 37
,
- , ... , 1V15-Oich vu
- • Ten ditch vu
Gia bao Om chi phi trtrc tiep 14 tien
hro'ng
Ghi chti
Z ' 3Y 4 5 6
1115 . .'"'cirl.14,..,--
Cat be hoai tir tiep tuyen b6ng sau tir 3% - 5% dien tich ca the e tre em
2.886.000
1116 1105 Cat be hoai tir tiep tuyen bong sau ter 5% - 10% dien tich ca the O. ngtrai len, tren 5% dien tich ca the o. tre em
3.268.000
1117 1106
sau Cat be hoai ter toan lop the duai 3% dien tich ca the 6( nguai
len, duai 1% dien tich CO' the O. tre em
2.298.000
1118 1107 Cat be hoai tir toan lap bong sau tren 5% dien tich co the a ngtrai len
3.755.000
1119 1108 Cat b6 hoai tO. toan lop bong sau tir 1% - 3% dien tich co the o tre em
2.920.000
1120 1109
Cat be hoai tir toan lop bong sau tir 3% - 5% dien tich co. the a ngtrei lan, ten 3% dien tich co the a tre em
3.285.000
1121 1110 Cat hoai tit toan lop — khau kin > 3% dien tich ca the o. ngtrai len, > 1% dien tich co the O. tre em
4.010.000
1122 1111 Cat hoai tir toan lop — khau kin duai 3% dien tich co the a ngtrai len, duai 1% dien tich ca the a tre em
3.274.000
1123 1112 Cat loc me hoai tir vet thtrang man tinh bang dao dilly ltrc (chtra tinh vat to dao)
3.750.000
1124 1113 Cat seo ghep da manh trung binh 3.609.000
1125 1114 Cat sco khau kin 3.288.000
1126 1115 03C2.6.11 Chan doan de sau bong bang may sieu am doppler
293.000
1127 1116 03C2.6.15 Dieu tri bang Oxy cao ap 233.000
1128 1117 03C2.6.14 Dieu tri vet thtrang ()Ong bang mang nuoi cay nguyen ban seri (hoac to bao sirng)
540.000
1129 1118 Ghep da dOng loai > 10% dien tich ca the (chtra gom manh da ghep)
2.647.000
1130 1119 Ghep da deng loai dual 10% dien tich ca the (chtra gom manh da ghep)
1.824.000
1131 1120 Ghep da ttr than manh len dual 5% dien tich co the a ngirei Ion, duai 3% dien tich ca the a tre em
2.818.000
Page 53 of 91
ST.T., i'
SIT ,
TT 37, .
Ma di vu - '" •
• , ..
Ten dick vu
Gia bao gtom chi phi trtyc tip va tien
brung
Ghi chti
\ 2 - :
, i i 4 5 6
1132 .11244, , ... Ghep da tn. than manh lan tren 10%
dien tich co the 6. ngtrai lan 4.267.000
1133 1122 Ghep da ttr than manh lop tir 3% - 5% dien tich co the 6 tre em
3.506.000
1134 1123 Ghep da ttr than manh lan tir 5% - 10% dien tich co. the 6 nguai lon, tren 5% dien tich co the a tre em
3.982.000
1135 1124
Ghep da ttr than manh sieu nho (micro skin graft) > 10% dien tich ca the 6 ngtrai 16n, > 5% dien tich ca the & tre em
6.385.000
1136 1125
Ghep da ttr than manh sieu nh6 (micro skin graft) dtrai 10% dien tich co the a ngtrai lon, &raj 5% dien tich ca the 6. tre em
3.700.000
1137 1126 Ghep da to than mat luai (mesh graft)
4.907.000
1138 1127 Ghep da to than phoi hgp kieu hai lap (sandwich)
6.481.000
1139 1128 Ghep da thr than tem thu (post stam graft) > 10% dien tich ca the O. ngtrai lan
4.321.000
1140 1129
Ghep da ttr than tern thu (post stam graft) dual 10% dien tich co the a ngtroi lan, > 5% dien tich ca the 6 tre em
3.907.000
1141 1130 Ghep da ttr than tem thu (post stam graft) dual 5% dien tich ca the a tre em
3.344.000
1142 1131 Ghep da ttr than xen ke (molem-jackson) > 10% dien tich ca the 6 ngtrai lan
7.062.000
1143 1132 Ghep da to than xen ke (molem-jackson) a tre em, duai 10% dien tich ca the 6• ngtrai lon
5.463.000
1144 1133 03C2.6.10 ,.
i ,:
Ghep mang to bao nuo cay trong dieu tri bang
517.000 Chua bao Om mang nuoi; mang nuai se tinh theo chi phi thuc te.
1145 1134 icy thuat gliep khOi m6 ttr than diet]
,: , tri vt thuong man tinh 3.980.000
1146 1135 ICy thuat gia'n da (expander) dieu tri se°
3.895.000
1147 1136 KS', thuat tao vat da c6 cu'cing mach lien dieu tri vet thuong, sec)
4.770.000
Page 54 of 91
... STT
- STT TT 37
Ma dich vu Ten dich vu
Gia bao Om chi phi trtrc tiep va tien
Itrang
Ghi chti
1 3 ,, - 2 3 • 4 5 6
1148 I. -3 Ky thuat tao vat da tai ch8 dieu tri vet thumg, vet b6ng va di chirng
3.601.000
1149 1138 Ky thuat tiem huyet Wong giau tieu cau dieu tri vet thtrang man tinh (chua tinh huyet tuang)
3.790.000
1150 1139 Ky thu4t vi phau ne)i bach mach- tinh mach dieu tri pha do tac bach mach
13.644.000
1151 1140 Lay 1)6 sun viem hoai tir trong bong vanh tai
2.708.000
1152 1141 Phu thu4 chuyen vat da phirc tap co not mach vi phau dieu tri vet timing, vet bong va seo
17.842.000
1153 1142 Phan thuat ghep da day tir than kieu wolf- krause > diet' tri bong sau, dieu tri sco
4.288.000
1154 1143 Phu thuat khoan duc xuang, 14 boo xuang chet trong dieu tri bOng sau
3.661.000
1155 1144 Phan thuat loaf 1)6 hoai tir 6 bp& vet thuong man tinh
2.477.000
1156 1145 03C2.6.3 Sir dung giuimg khi h6a long dieu tri bong nang (01 ngay)
278.000
1157 Tam dieu tri benh nhari bong (gay te) 220.000
1158 1146 Tam dieu tri benh nhan h6i sire, cap cuu bong (gay me)
886.000
1159 1147 03C2.6.12 Tam dieu tri tit khuan bang TRA gamma
195.000
1160 Thay bang cat 19c vet bong dien tich duoi 5% dien tich ca the
115.000
1161 1148 Thay bang cat 19c Vet bong dien tich duo'i 10% dien tich co the
242.000
1162 1149 Thay bang cat 19c vet bOng dien tich tir 10% den 19% dien tich co the
410.000
1163 1150 Thay bang cat 19c vet bOng dien tich tir 20% den 39% dien tich co the
547.000
1164 1151 Thay bang cat 19c vet bong dien tich tir 40% den 60% dien tich ca the
870.000
Page 55 of 91
STT.
,
-STr -
• .
TT 37 . ,
-
' , • Ma .pich vu Ten dich vu
Gil bao gem chi phi try.c tiep va tien
'yang
Ghi chl
I :'2- 4 5 6
1165 1152 `4"..,-,:-...-.::::;--. Thay bang cat 19c vet bong dien tich
tren 60% dien tich ca the 1.388.000
Cac phL thu4t, thil thu4t con 1#i khac
1166 1153 Phan thuat dac hiet 4.010.000
1167 1154 Phau thuat loai I 2.295.000 Chua bao Om manh da ghep
&mg loai.
1168 1155 Phau thuat loai II 1.538.000 Chua bao Om manh da ghep
dOng loai.
1169 1156 Phan thuat loai III 1.120.000 Chua bao Om vat to ghep
tren benh nhan.
1170 1157 Thu thuat loai dac biet 1.129.000
1171 1158 Thti thuat loai I 558.000
Chua kern mang nuoi cay, hZin dich, tam lot hUt VAC (Om mi6ng x6p, au n6i, day dan dich, bang dan co dinh), thuOc can quang.
1172 1159 Thil thuat loai II 333.000
Chua bao gOm thuOc vo cam, vat lieu thay the da, the pham sinh hoc, tam lot hUt VAC (Om mi6ng x43"p, dau nOi, day dan dich, bang dan co dinh), dung dich va thuOc rira lien tpc vet thtrang.
1173 1160 Thit thuat loai III 182.000 Chua bao Om thuOc vo cam, san pham nuoi cay, quail do, tat ap luc, thuOc thong seo.
XI XI UNG BUVU
1174 1161 Bom boa chat bang quang dieu tri ung thu bang quang (Van)
385.000 Chua bao Om hod chat.
1175 1162 03C2.1.11 Dat 'radium (lan) 472.000
1176 1163 04C2.97 Dieu tri tia )0. Cobalt/ Rx 105.000 MOt tan, nhung khOng thu qua 30 tan trong met do diet' tri.
1177 1164 DO khuon chi trong xa tri 1.079.000
1178 1165 floa tri lien tuc (12-24 gie) bAng may 405.000
1179 1166 Lam mat na co dinh dau 1.079.000
1180 1167 Mo phong va lap ke hoach cho xa tri ap sat
385.000
1181 1169 Truyen hoa chat tinh mach 155.000 Chua bao Om hod chit. Ap
dung voi benh nhan ngoai tru
Page 56 of 91
STT , y.
STT TT 37
MA dick vu Ten dick vu
Gia bao gilm chi phi tru.c tip va tin
twang
Ghi chti
1 2- '.3? I
4 5 6
1182 110' Truyen boa chat firth mach 127.000 Chua bao gem hod chat. Ap
dung vai benh nhan not till
1183 1170 Truyen Ha chat deng mach (1 ngay) 350.000 Chua bao gem hod chit.
1184 1171 Truyen hoa chat khoang mang bung (1 ngay)
207.000 Chua bao gem hod chat.
1185 1172 Truyen Ha chat nei tUy (1 ngay) 395.000 Chua bao Om hoa chat.
1186 1173 Xa phiu bang Cyber Knife 20.689.000
1187 1174 03C5.5 Xa pilau bang Gamma Knife 28.790.000
1188 1175 03C5.4 Xa tri bang X Knife 28.689.000
1189 1176 Xa tri bang may gia t6c có dieu bin lieu (1 ngay)
1.592.000
1190 1177 03C5.3 Xa tri bang may gia tee tuyen tinh (01 ngay )(a tri)
506.000
1191 1178
Xa tri ap sat lieu cao tai Om miii hung, xoang mat, khoang mieng, thirc quan, khi pile quan (01 ran dieu
tri)
5.196.000 Chua bao gem be dung cu dung trong xa tri ap sat.
1192 1179 Xa tri ap sat lieu cao tai cac vi tri khae (01 Ian dieu tri)
3.321.000 Chua bao gem be dung cu dung trong xa tri ap sat.
1180 Xa tri ap sat lieu thap (01 lin dieu
1193 tri)
1.392.000
1194 1181 Cat ung thu viing ham mat có nao vet hach duai ham, hach co va tao hinh bang vat tir xa hodc tai che
7.629.000
1195 1182 Cat ung thu luoi - san mieng, nao vet hach va tao hinh bang vat tit xa
8.529.000
1196 1183 Cat u mdu, u bach huyet trong long ngirc dtremg kinh troll 10 cm
8.329.000
1197 1184 Cat to3 tang trey len trong dieu tri ung tint tieu hod
9.029.000
1198 1185 Thao kite]) xuong ba vai do ung thu 6.829.000
1199 1186 Phau that cat xtrung ba vai va Odin mem
8.229.000
1200 1187 Bat buOng tiem truy6n dtroi da 1.300.000 Chua bao gem buong tiem
truyen. Cac phiu thu4t, thii thu4t con 1#i khac
1201 1188 Phan thuat loai cl4c biet 4.666.000 1202 1189 Phdu thudt loai I 2.754.000 1203 1190 Phdu thuat 14 II 1.784.000 1204 1191 Phdu thuat loci III 1.206.000 1205 1192 Thu thuit loai die biet 874.000
Page 57 of 91
STT,
•
STT TT 37
Ma dich vu Ten dich vti Ghi
Gia bao gem chi phi try.c tiep va tien
lifung
chu
1 2 3 //1 4 5 6
1206 • -
"1.193 ___$ c. • ' Thu thuat Ioai I 505.000
1207 `144.4 k ,_._,?'-/ Thil thuat loai II 363.000 1208 1195 Thii thuat Ioai III 207.000
XII XII NOI SOI CHAN DOAN, CAN THIEP
1209 1196 PhAtt thuat 14 I 2.167.000
1210 1197 PhAu thuat loai II 1.456.000
1211 1198 Pilau that loai III 981.000
1212 1199 Thu thuat loai dac biet 960.000
1213 1200 Thu thuat loai I 575.000
1214 1201 Thtl thuat loai II 332.000
1215 1202 Thil thuat loai III 195.000
XIII XIII VI PHAU
1216 1203 Phau thuat loai dac biet 5.692.000
1217 1204 Ph'Itt thuat loai I 3.230.000
XIV XIV PHAU THUAT NOI SOI
1218 1205 Phau thuat not soi Robot dieu tri cac benh ly gan mat
85.158.000
1219 1206 Phau thuat not soi Robot dieu tri cac berth ly 1(.5ng ngtrc
91.025.000
1220 1207 Phau thuat not soi Robot dieu tri cac benh ly tiet nieu
79.327.000
1221 1208 Phau thuat not soi Robot dieu tri cac benh IY tieu hoa, o bung
96.612.000
Cac phAu thu4t, thti thOt con Jai khic
1222 1209 PI& thuat loai dac biet 3.718.000 1223 1210 Phh thuat loai I 2.448.000 1224 1211 Phau thuat loai II 1.658.000 1225 1212 PlZu thuat loai III 987.000
XV XV GAY ME
1213 Gay me thay bang bong
1226 Gay me thay bang bong dien tich tren 60% dien tich ca the ho4c có bong ho hap
1.075.000
1227 Gay me thay bang bong dien tich -Ur 40% - 60% dien tich co. the
764.000
1228 Gay me thay bang bong dien tich tir 10% - 39% dien tich co. the
570.000
1229 Gay me thay bang b6ng dien tich duai 10% dien tich ca the
387.000
1230 1214 Gay me khac 699.000
Page 58 of 91
STT
t
STT TT 37
MA dick vu "
Ten dick vu Ghi
Gia bao Om chi phi trtrc tiep va den
hnYng
chti
1-.• 3 4 5 6
E . '-----;---- -04 ,
-1.C.' .0, XET NGHIEM
I Huyet h9c
1231 1215
ANA 17 profile test (sang 19c va dinh dank dong thoi 17 loci khang the khang nhan bang thanh sac ky mien dick)
1.008.000
1232 1216 03C3.1.HH116 Bilan dong cam mau - huyet khei 1.564.000
1233 1218 Chip anh mau to bao qua kinh hien vi
20.400
1234 1219 04C5.1.296 Co ctic mall dong 14.900
1235 1220 04C5.1.331 Cong thirc nhiJm sac the (Karyotype) ,
689.000 .
Bao Om ca moi trugng nuoi cay tuy mrang.
1236 1221 COng thirc nhiJin sic the (NST) -al' te bao of
1.193.000
1237 1222 04C5.1.298 Dan h'ei co cpc mau (TEG: ThromboElastoGraph)
415.000 Bao gem ca pin va cup, kaolin.
1238 1223 Danh gia ty lesongdm to bao bang ky thot nhu(5m xanh trypan
18.700
1239 1224 DCIP test (Dichlorophenol- Indolphenol- test dung sang lQc buy& sac to E)
61.100
1240 1225 03C3.1.HH51 ,: De
D8rn so lugng CD3 hoac CD4 hoac
C 395.000
1241 1226 04C5.1.354 Dien di có tinh thanh phan huyet sac
, to (dinh tinh)
188.000
1242 1227 04C5.1.355 Di61 di huyet sac to (dinh lugng) 358.000
1243 1228 04C5.1.352 Dien di mien dich buy& thanh 1.016.000
1244 1229 04C5.1.353 Dien di protein huyet thanh 371.000
1245 1230 03C3.1.HH111 Dieu the va luu till to bao gec M.
, , mau cuong roil hoac M. tuY xuong
16.388.000
1246 1231 03C3.1.HH110 Dieu the va luu tar to bao goc al. mau ngoai vi
16.388.000
1247 1232 Dinh danh khang the Anti-HLA bang ky thuat luminex
3.708.000
1248 1233 03C3.1.HH103 Dinh danh khang the bat thuong 1.164.000
1249 1234 Dinh danh khang the khang HLA bang ky thot ELISA
4.377.000
1250 1235 03C3.1.HH41 Dinh lugng anti Thrombin III 138.000
Page 59 of 91
STT
.
• Str. . ' TT 3'7
-' Ma iliel(t vu
' -, ,
• .. • , ,r, ,
4-.1
Ten dich vu
A Gia bao gom chi phi trip tiep va tien
Incrng
Ghi chu
I 3 3' / z 4 5 6
1251 \ ; ,
1S6..._ -.:T.,..- * — Dinh lugng CD25 (IL-2R) hoa tan trong huyet thank
2.227.000
1252 1237 03C3.1.HH43 Dinh lugng chdt ire the Cl 207.000
1253 1238 516.000 Dinh Itromg D - Dimer bang ky thuat mien dich hod phat quang
1254 1239 03C3.1.HH30 Dinh lugng D- Dimer 253.000
1255 1240 03C3.1.HH34 Dinh lugng ding yeti CO Ristocetin 207.000
1256 1241 03C3.1.HH47 Dinh lugng FDP 138.000
1257 1242 04C5.1.300 Dinh lugng Fibrinogen (Yen to I) ,
bang phueng phap true tiep 102.000
1258 1243 Dinh lugng gen benh mau de tinh 4.129.000
1259 1244 03C3.1.HH57 Dinh lugng men G6PD 80.800
1260 1245 03C3.1.HH58 Dinh lugng men Pyruvat kinase 173.000
1262 1247 03C3.1.HH32 Dinh lacing Protein C 231.000
1263 1248 03C3.1.HH31 Dinh lugng Protein S 231.000
1264 1249 03C3.1.HH40 Dinh lugng t- PA 207.000
1265 1250 • Dinh lugng to bao ngueri cho 6. ngueri nhan sau gild!) to bao goc tao mau
5.394.000
1266 1251 Dinh lugng trc the yen to IX 262.000 1267 1252 Dinh lugng ire cite yeti to VIII 149.000
1268 1253 03C3.1.HH44 Dinh Itigng yeu to Heparin 207.000
1269 1254 04C5.1.299 Dinh luting yeu to I (fibrinogen) 56.500
1270 1255 04C5.1.327 Dinh lugng yeti to II hoacXII ho4cVonWillebrand (khang nguyen) hoacVonWillebrand (boat tinh)
458.000 Gia cho na6i y'L to.
1271 1256 03C3.1.HH45 Dinh lugng yeu to khang Xa 253.000
1272 1257 03C3.1.HH33 Dinh luting yeu to Thrombomodulin 207.000
1273 1258 04C5.1.325
Dinh lugng yeti to V hoac yeti to VII hoac yeti to X (Dinh luting hoat tinh yeti to Viyeu to VII/yeu CO X ) (Dinh lugng y61.1 to V; yeu to VII, y6u to X, yeu to XI)
318.000 Gia cho m8i y6u to.
Page 60 of 91
, STT
STT TT 37
Ma dich vu •
Ten dich vu
Gia bao Om chi phi trtyc titp va titn
lircrng
Ghi chii
1 2 3 4 5 6
1274 *.l: k z
1259 -'''04C5.1.326 ,."..,' V Dinh lugng yell to VIII/yeu to IX;
dinh having hoot tinh yeu to IX 231.000 Gia cho mei yeti 6'.
1275 1260 04C5.1.324
Dinh lugng yeti to VIIIc hoc yeti to XI (yeu to VIII hoc yeu t6 XI; Dinh lacing hoot tinh yeti to VIII hoc yeti to XI
288.000 Gia cho mei yeu to.
1276 1262 04C5.1.328 Dinh lugng yeti to XIII (hoac yeu t6 , On dinh sqi huyet)
1.054.000
1277 1263 03C3.1.HH36 Dinh lugng yen to: PAI-1/PAI-2 207.000
1461 1449 DU-MDLS Dinh luvng khang the khang tinh triing
1.016.000
1462 1450 DIf-MDLS Dinh luvng khang the khang Wong bao bach ceu da nhan trung tinh (ANCA)
492.000
1463 1451 D1J-MDLS
Dinh lucrng khang the khang ty lap the (AMA-M2) /khang the khang tuong bao gan typel (LC1) / khang the khang tieu vi the gan then type 1 (LKM1) / khang the khang thp the GLYCOPROTE1N tren mang to bao gan nguifi chau A (ASGPR)
1519 1507 Do boat do Cholinesterase (ChE) 26.900 1520 1508 Do boat de P-Amylase , 64.600 1521 1509 Do kha nang gan sat toan the 75.400 1522 1510 04C5.1.346 Dueng mau mao mach 15.200
1523 1511 E3 }<hong lien hop (Unconjugated Estriol)
1758 1742 Xet nghiem lai tai cite; bac hai mau (Dual-SISH)
4.714.000
1759 1743 Xet nghiem lai tai chO gin mau (CISH)
5.414.000
1760 1744 Cell Bloc (khOi to bao) 234.000
1761 1745 Thin-PAS 564.000
1762 1746 04C5.4.410
Xet nghiem va chin down hod mo mien dich cho mot dill in (Marker) chtra bao Om khang the 2 va hoa chat bOc lO khang nguyen
436.000
1763 1747 04C5.4.411 Xet nghiem va chin dodn mien dich huynh quang cho bO 6 khdng the de chin dodn mo benh hoc
1.246.000
1764 1748 04C5.4.404 Xet nghiem va chin dodn mo benh hoc bang phtrang phdp nhuOm Do COng go
297.000
1765 1749 04C5.4.408 Xet nghiem va chin dodn mo benh h9c bang phtrang phdp nhuOm Giem sa
282.000
1766 1750 04C5.4.413 Xet nghiem va chin dodn mo benh hoc bAng phuong phdp nhuOrn Gomori
366.000
1767 1751 04C5.4.401 Xet nghiem va chin down mo benh hoc bAng phtrang phdp nhuOm Heintoxylin Eosin
328.000
1768 1752 04C5.4.403 Xet nghiem va chin dodn mo benh hoc bang phuong phap nhuOm Mucicarmin
411.000
1769 1753 04C5.4.402 Xet nghiem va chin down mo benh hoc bAng phuong phdp nhuOm PAS (Periodic Acide - Siff)
388.000
1770 1754 04C5.4.405 Xet nghiem va chin down mo benh hoc bang phuong phap nhuOm Sudan III
404.000
Page 81 of 91
STT STT TT 37
Ma dich vu Ten dich vu
Gia bao gem chi phi trip tiep va tien
luong
Ghi cha
' 2 N.--
3 4 5 6
1771 .
1 ? 5 5 - 04C5.4.406 Xet nghiem va chan doan me benh hoc bang phuong phap nhuem Van Gie'son
381.000
1772 1756 04C5.4.407 Xet nghiem va chan doan mo benh hoc bang phuong phap nhuem Xanh Alcial
434.000
1773 1757 04C5.4.412 Xet nghiem va chan doan me benh hoc tire thi bang phuong phi) cat lanh
533.000
1774 1758 04C5.4.415 Xet nghiem va chan doan to bao hoc qua chgc hot to bao bang kim nho (FNA)
258.000
Cac thii thuat con lai khic 1775 1759 Thu thuat loaf I 439.000 1776 1760 Thu thuat loai II 245.000 1777 1761 Thu thuat loaf III 120.000 VI VI XET NGHIEM DOC CHAT
1778 1762 04C5.4.425 Dinh luting cap NH3 trong man , 258.000
1779 1763 03C3.6.7 Dinh tinh porphyrin trong nu& tieu chan doan tieu co van
53.100
1780 1764 03C3.6.4 Dinh tinh thuoc gay nge dec (1 chi tieu)
113.000
1781 1765 03C3.6.5 Dinh tinh thuOc til' sau (1 chi tieu) 113.000
1782 1766 04C5.4.424 Do Ai) hrc tham thau dich sinh hoc tren 01 chi tieu
94.100
1783 1767 04C5.4.418 Xet nghiem dinh tinh met chi tieu ma tuY trong tnroc tieu bang may Express pluss
197.000
1784 1768 04C5.4.419 Xet nghiem sang loc va dinh tinh 5 loai ma tuY
683.000
1785 1769 04C5.4.422 Xet nghiem xac dinh thanh phan hoa chat bao ve time vat bang sac 14 khi khei phO
1.234.000
1786 1770 04C5.4.417 Xet nghiem dinh luong met chi tieu kim loci rang trong mail bang may AAS
364.000
1787 1771 04C5.4.421 Xet nghiem dinh luting met chi tieu thuOc trong mau bang may sac kY long khei phO
1.259.000
1788 1772 04C5.4.423 Xet nghiem dinh tinh met chi tieu dec chit bang phuong phap sac ky lop mong
141.000
1789 1773 04C5.4.420 Xet nghiem dinh tinh PBG trong
tieu tieu 72.800
1790 1790 1773 04C5.4.416 Mr IY mau xet nghiem dec chat 197.000
E E THAM DO CHtrC NANG
Page 82 of 91
STT STT TT 37
Ma (itch vu ' , •
Ten dich vu
Gia bao giim chi phi tryv Op va den
!wow
Ghi chii
2 3 4 5 6
\.
1791 4,477,1„,0ec3.1.182 Dat ya tham do huyet dOng 4.547.000 Bao Om ea catheter Swan granz, b0 phan nhan cam ap
hre. 1792 1775 03C3.7.3.8 Dien co (EMG) 128.000 1793 1776 03C3.7.3.9 Dien ca tang sinh mon 141.000 1794 1777 04C6.427 Dien nao dO 64.300 1795 1778 04C6.426 Dien tam di 32.800 1796 1779 03C3.7.3.6 Dien tam di gang sire 201.000 1797 1780 03C1.42 Do ap luc d6 bang quang 126.000 1798 1781 03C1.43 Do ap luc dO cat doe nieu dao 136.000
1799 1782 Do ap luc tham thau nieu 29.900
1800 1783 Do ap lure bang quang bang Ott nuarc 514.000
1801 1784 Do ap Ivy bang quang bang may nieu deng hoc
1.991.000
1802 1785 Do ap luc bang quang o'ngithi benh nhi
1.937.000
1803 1786 Do ap hue hau mon true trang 948.000
1804 1787 DII-MDLS Do bin d6i the tich toan than - Body Plethysmography
855.000
1805 1788 03C2.1.90 Do cac chi so nieu dOng hoc 2.357.000
1806 1789 D1J-MDLS Do cac the tich ph6i - Lung Volumes 2.809.000
1807 1790 Do chi se:. ABI (Chi s6 d) chan/canh tay)
73.000
1808 1791 04C6.429 Do chdc nang ho hap 126.000
1809 1792 Do da kY giac nga 2.311.000
1810 1794 D1f-MDLS Do FeN0 398.000
1811 1795 DU-MDLS Do khuech tan phoi - Diffusion Capacity
1.344.000
1812 1796 D15-MDLS
Do pile dung ke - Spirometry (FVC, SVC, TLC)/dung tich song gang sire - FVC/dung tich song cham - SVC/
thong Ichi to nguyen t6; da -
MVV/ap suat t6; da hit yao/th& ra - MIP / MEP
778.000
1813 1797 Do van toe Ian truyen song mach 73.000
1814 1798 03C3.7.3.7 Holter dien tam dO/ huyet ap 198.000
1815 1799 04C6.428 Luu huyet nao 43.400
1816 1800 Nghiem phap dung nap glucose cho benh nhan thu*ng
130.000
1817 1801 Nghi'em phap dung nap glucose cho nguai benh thai nghen
160.000
Page 83 of 91
STT STT
TT 37 Ma dick vu Ten dick vu
Gia bao Om chi phi trip tiep Ira tien
1 irolig
Ghi chti
1 2 3 4 5 6
18t8 : 1,802 Nghiem phap kick Synacthen 416.000
1819 1803 Nghiem phap nhin uo'ng 612.000
1820 1804 Nghiem phap Ix the bang Dexamethason lieu cao
422.000
1821 1805 Nghiem phap ire the bang Dexamethason lieu thap
262.000
1822 1806 04C6.434 Test dung nap Glucagon 38.100
1823 1807 Test Glucagon gian tiep (Dinh ltrong C - Peptid thoi diem 0' va 6' sau tiem)
206.000 Chua bao Om thu6c.
1824 1808 03C3.7.3.1 Test Raven/ Gille 24.900
1825 1809 03C3.7.3.3 Test tam ly BECK/ ZUNG 19.900
1826 1810 03C3.7.3.2 Test tam ly MMPI/ WAIS/ WICS 29.900
1827 1811 04C6.432 Test thanh thai Creatinine 59.900
1828 1812 04C6.433 Test thanh thai Ure 59.900
1829 1813 03C3.7.3.5 Test trac nghiem tam lY 29.900
1830 1814 03C3.7.3.4 Test WAIS/ WICS 34.900
1831 1815 04C6.435 Tham do cac dung tich phi 259.000
1832 1816 03C2.1.37 Tham do dien sinh 1Y trong buong tim 1.950.000 Chua bao Om be clang ca
1868 1852 04C7.444 Xa hinh phong xa mien dich (2 thei diem)
584.000
1869 1853 03C3.7.1.6 Xa hinh than voi Tc-99m DMSA (DTPA)
389.000
1870 1854 03C3.7.1.33 Xa hinh thong khi ph6i 439.000
1871 1855 03C3.7.1.16 Xa hinh tinh mach voi Tc-99m MAA 439.000
1872 1856 03C3.7.1.18 Xa hinh town than voi 1-131 439.000
1873 1857 03C3.7.1.32 Xa hinh Mai mau ph"Oi 409.000
1874 1858 03C3.7.1.14 Xa hinh ttrai mau tinh hoan vii Tc-99m
309.000
1875 1859 04C7.439 Xa hinh my 548.000
1876 1860 03C3.7.1.21 Xa hinh tuy xtrang voi Tc-99m Sulfur Colloid hoac BMHP Sulfur Colloid hoac BMHP
459.000
1877 1861 04C7.438 Xa hinh tuyen can giap: voi Tc-99m MIBI hoac voi Tc-99m - V- DMSA hoac voi dmg vi kep
548.000
1878 1862 03C3.7.1.12 Xa hinh tuyen giap 289.000
1879 1863 03C3.7.1.15 X? hinh tuyen nu.o.c hot voi Tc-99m 339.000
1880 1864 03C3.7.1.7 Xa hinh tuyen thuong then vari 1-131 MIBG
439.000
1881 1865 03C3.7.1.34 Xa hinh tuyen vii 409.000
1882 1866 03C3.7.1.22 Xa hinh xtrang 409.000
C
Page 86 of 91 4-0
Sp'
. .,.. ,, . 'grr
. TT 31-
,
- 1114 dich vu
• Ten dich va
Gia bao Om chi phi trqc tiep va tien
hrcrng
Ghi chu
t2 3 4 5 6
\ 1883 "*.44t 2.C3.7.1.35
Xa hinh xtrang 3 ha voi Tc-99m m•DP
439.000
1884 1868 03C3.7.1.26 Xac dinh dal song h6ng cAu, not phan ht.15/ hOng cau voi hOng cAu danh dAu Cr-51
409.000
1885 1869 03C3.7.1.25 Mc dinh the tich hong cau vai hong cau danh (IL Cr-51
309.000
II II
Ditu tri bang chat pilling xa (gia china bao gtm dirge chat phong xa, hay chat danh dau, vat tir phOng xa va cac thuoc ba trq khac, neu có sficlung)
1886 1870 03C3.7.2.36 Dieu tri Basedow/ btrati tuyen giap don thuAn/ nhan dOc tuyen giap bang 1-131
767.000
1887 1871 03C3.7.2.38 Dieu tri ung thu tuyen giap bang I-131
920.000
1888 1872 03C3.7.2.44
Dieu tri benh da hOng cAu nguyen ghat/ bnh Leucose kinh/ giarn dau do ung thu di can vao xuong bang P-32
566.000
1889 1873 03C3.7.2.46 Dieu tri giam dau bang Sammarium 153 (1 dcrt dieu tri 10 ngay)
782.000
1890 1874 03C3.7.2.40 Dieu tri sco 16i/ Eczema/ u malt 'tong
• bang P-32 (tinh cho 1 ngay dieu tri)
208.000
1891 1875 03C3.7.2.43 Dieu tri tran dich mang bung/ mang
, phoi do ung thu bang keo ph6ng xa
1.798.000
1892 1876 03C3.7.2.52 Dieu tri u tuyen thuang thin va u to bao than kinh bang 1-131 MIBG
587.000
1893 1877 03C3.7.2.49 Dieu tri ung thu gan bang keo Silicon P-32
814.000
1894 1878 03C3.7.2.47 Dieu tri ung thu gan nguyen Oat
• bang 1-131 Lipiodol
678.000
1895 1879 03C3.7.2.48 Dieu tri ung thu gan nguyen Oat
• bang Renium188
664.000
1896 1880 03C3.7.2.51 Dieu tri ung thu tien liet tuyen bang hat phong xa 1-125
15.346.000
Page 87 of 91
STT SIT TT r
Ma dich vu Ten dich lin.
Gia bao Om chi phi truc
A net) va ti Incrng
Ghi chti
1 2 3 4 5 6
• .--, 1897 18131
'4,„..,.._,,_ -;:.f xa 03C3.7.2.50
Dieu tri ung thu vu bang hat phong I-125
15.346.000
1898 1882 03C3.7.2.42 Dieu tri viem bao boat dich bang keo phong xa
470.000
1899 1883 Dieu tri ung thu gan bang hat vi cau phong xa "Y
15.065.000
Chtra bao Om chi phi day clan trong twang hop tiem hat vi call vao kheii u gan thd 2 trer len.
1900 1884
PET/CT bang birc xa ham O. benh nhan ung thu gan, ung thu duOng mat trong gall, ung thu ,di can gan sau dieu tri bang hat vi cau phong xa 90y
3.865.000
Cac thii thuat con lai khic 1901 1885 Thii thuat loaf dac biet 500.000 1902 1886 TIM thuat loci I 305.000 1903 1887 ThO that loai II 197.000
G G CAC INCH VU ICHAC
1904 Theo clOi tim thai va con co dr cung bang monitoring
55.000
1905 Gay me trong phiti thuat mat 500.000 1906 Gay me trong thin thuat mat 250.000 1907 03C5.1 Telemedicine 1.694.000
1908 Dieu tri Nnh rung tOc hoac benh hoi hoac ran da sir dung phuong phdp vi kim dan thuOc va tai tao collagen
246.000
Gid tinh cho moi don vi la 10 2' cm dien tich diet] tri, khong
bao Om thuOc va kim dan thuo'c.
1909 Dieu tri benh da sir dung phuong phdp vi kim dan thu6c va tai tao collagen
308.000
Gid tinh cho tai don vi la 10 2 cm dien tich dieu tri, khong
bao Om thuoc va kim clan thu6c.
1910 Dieu tri cdc benh ve da sir dung cong nghe ionphoresis
523.000
Gid tinh cho moi don vi la 10
cm2 dien tich dieu tri, khong bao Om thu6c va kim dan thueic.
1911 Ph'au thuat cay king may 1.785.000
1912 Xod xam bang cdc kyf thuat Laser Ruby
751.000 Gid tinh cho moi don vi la 10
cm2
dien tich dieu tri.
1913 Xod nep nhan bang Laser Fractional, Intracell
1 . 000 018 . Gid tinh cho moi don vi la 10
• cm2 dien tich dieu tri.
1914 Tre hod da bang cdc kji thuat Laser Fractional
1.018.000 Gia tinh cho moi don vi IA 10
cm2 dien tich dieu tri.
Page 88 of 91
STT i ' STri
- - TT 37
: - i L u
\
,
Ten dich vu A
Gia bao Om chi phi trikrc
.x tiep va hen
ltrong
Ghi chu
1 2 ' 3 . / 4 5 6
1915 • „ —, 0iTre hoa da bang Radiofrequency
(RF) 546.000
7. Gia tinh cho mo don vi. la 10 2
cm dien tich dieu tri.
1916 Dieu tri benh da bang Icy/ thuat ly trich huyet tuong giau tieu cau (PRP)
4.351.000
Gia tinh cho m6i don vi la 10
cm2 dien tich dieu tri, khong bao g8m thu6c.
1917 Dieu tri lab boa da sir dung kim din thu8c
543.000
Gia tinh cho miii don vi li 10
cm2 di0 tich dieu tri, khong bao g6m thu6c.
1918 Dieu tri mtm trimg ca, rung toc bang may Mesoderm
209.000
Gia tinh cho miSi don vi la 10
cm2 dien tich diet' tri, khong bao Om thuoc va kim din thuOc.
1919 Dieu tri benh da bang chieu den LED 189.000
1920 Barn tinh tang vao buong tir cung
(NI) 1.014.000
1921 Cay - thao thuoc tranh thai 214.000 1922 Choc but noan 7.094.000
1923 Choc hut tinh hoin mao tinh hoan thy tinh trung hoac sinh thiet tinh hoan, mao tinh hoin
2.553.000
1924 Chuyen ph8i hoac chuyen phoi giao tir vao voi Ur cung
3.876.000
1925 Dat vi thao dung cu tir cung 222.000
1926 Dieu tri tic tia sira bang may hilt hoac song ngan hoac hong ngoai
62.900
1927 Guam thieu phoi (Guam thieu thai) 2.139.000 1928 IAN rira tinh triing 938.000 1929 Ra dong phoi, noin 3.526.000 1930 RA dong tinh triing 201.000
1931
Sinh thiet phi:5i chin doan (Sinh thiet phoi bao cho chin doan di truyen tin lam to (Biopsy-PGS)/cho 1 ngtred benh)
8.833.000
1932 Tiem tinh trimg vao bao Wang dm noan (ICSI)
6.218.000
1933 Tr* sin nam (bang dao hoac khong bang dao)
1.274.000
1934 03C2.3.93 Phau thuat diet' tri tat khUc xa bang Laser Excimer (01 mat)
4.154.000
1935 03C2.3.21 Rath gide mac nan hoa (1 mat) 590.000 1936 03C2.3.22 Rach giac mac nan hoa (2 mat) 713.000
Page 89 of 91
SIT
V .
,
S,TT - - , TT 37
-
. - t. iNtenigh vu - -- ,N '
,'-f '"----; , r
Ten dich vu
x Gia bao gom chi phi trip tiep va tin
Itnyng
Ghi chti
,.6. '' , 4 5 6
1937, .
.,...„
,
2.5.7.40 *1.645.000 Ming laser, song cao tan trong dieu tri seo >2cm
Ghi chin:
1. Gia cUa cac dich vu ky a* da bao gem tin thu6c, vat to tieu hao, Vat to thay the de thgc hien dich vu trir met so truang hop dac biet da c6 ghi chin cu the. Benh vien khong dugc thu them cila nguai benh cac chi phi da ket cau trong gia cua cac dich vg.
2. Chi phi gay me: + Gia cua cac phau thuat da- bao gem chi phi gay me hoac gay te Ord chuyen khoa Mat); Truang hop khi th?c hien phau thuat chuyen khoa mat gay me thi chi phi gay me dugc thanh toan theo gia cua dich vu so 1905 dm Phu line nay. + Gia cua cac thin thuat da bao gem chi phi thuec gay te, an than tin me, china bao gem chi phi gay me Ord met se twang hop da ghi cu the da bao gem chi phi gay me).
Truang hop khi thi.rc hien thin thuat can phai gay me thi chi phi gay me dm thin thuat chuyen khoa mat dirge thanh toan theo gia cita dich vu se1906; chi phi gay me dna cac thin thuat con lai khac duce thanh toan theo gia cua dich vu se 1230 oh Phu 1pc nay.
3. Dich vu dinh nhOm mau ABO trong truyen mau d6i vai cac xet nghiem se 1281, 1282, 1283 quy dinh tai Phu 1pc nay: a) Dinh nh6m mau he ABO tai khoa xet nghiem khi phat mau toan phan va cac the pham khei hong cau, khei bach cau, khi tieu cau, buy& tucmg: - Dinh nhom mau cho nguai bnh: thanh toan 1 lan theo gia dich vu s8 thin to 1283 (do mire gia &la dich vu 1283 da tinh chi phi ciia,2 lan dinh nhom mau ABO tren ding met mau mau hoac 2 mau mau dna ding met nguai benh bang 2 phuong phap huyet thanh mau va hong cau man); - Dinh nhom mau he ABO dm dan vi tUi mau, don vi the pham mau: thanh toan 01 Ian theo gia dich vu se thin to 1281; - Truang hop nguai benh duoc phat nhieu dan vi mau hoac the pham" mau tai ding met thai diem thi bat dau tin don vi mau hoac dan vi the pham thin 2 tra di, dr phat them met don vi thi se duct thanh toan them 01 lan dinh nhom mau he ABO dm dan vi tin mau theo gia dich vu cc') so thin ttr 1281. Truang hop nay khOng phai xac dinh nh6m mau he ABO cua nguai benh do nguai benh da dtroc xac dinh nhom mau he ABO khi phat dan vi mau hoac dan vi the pham thin nhat. b) Xet nghiem dinh nhOm man he ABO tai gitrang benh:
- Dinh nhom mau he ABO tai gitrang benh khi nguai benh duce truyen mau toan phan hoac khai hong cau hoac khoi bach cau: thanh toan 01 lan theo gia dich vu c6 so thin tir 1281;
- Dinh nhOm mau he ABO tai &Ong benh khi nguai benh dugc truyen the pham huyet tuang, khei tieu cau: thanh toan 01 lan theo gia dich vu c6 se thin to 1282; - Truang hop tai ding met thai diem nguai benh dugc truyen nhieu don vi mau hoac the pham mau thi bat dau tin dan vi mau hoac dan vi the pham thin 2 tra di thanh toan them 01 Ian dinh nhOm mau tai gitrang benh theo mire gia dich vu c6 se thin td 1281; S6 Fan dinh nhom mau ABO tai givang, thine hien theo quy Binh dna Be Y te. - Mire gia cua cac dich vu dinh nhOm matt ABO tin se thin to 1281, 1282, 1283 throe quy dinh chung cho cac phucmg phap 6ng nghiem, phien da hoac tren giay.
a.
Page 90 of 91
STT STT-- TT 37
'0 -
' dich vu • 1 •
"'"
Ten dich vu
Gia bao gom chi phi tare
A A tiep va tien Itrceng
Ghi chii
1 . 2 3 4 5 6
4..Doi cac dich vu thu6c chuyen nganh da lieu c6 ghi chit Gia tinh cho mOi don vi la 5 thuong
tonligac 5cm2 hoac 10cm2 di@ri tich diL tri (don vi chuAn) thi thanh toan nhu sau: Trugng hop 1 lan diL tri < moi don vi chuan thi thanh toan m6t Fan gia theo mirc dugc cap c6 thAm quyL phe duy6t. Truerng hop 1 lAn diL tri c6 s6 thuong ton hoac din tich dieu tri lon hcrn don vi chuan thi
thanh toan theo rtSr 16. Vi du gia quy dinh la 5 cm2 din tich ma din tich diL tri la 8 cm2 thi tinh la 1,6 lan gia dugc quy dinh. Necu gia quy dinh cho 5 thuong ton ma mOt ran di6u tri cho 7 thuong ton thi tinh 1h 1.4 lAn gia cniv clinh.
_0(
Page 91 of 91
Att,ity 4. BO SUNG GHI CHU CUA MOT SO DICH VU KY THUita Y TE (4nitanh kein th0 Nghi quye't so 91/2019/NQ-HDND ngay A/12/2019 cita HDND tinh Vinh Phzic)
N.
STT
.
thee .....,.' TT50
.,-,Ten theo Thong tir 50/2014/TT-BYT
Ten theo thong tu 14/2019/TT-BYT
Ghi chi'
1 1.209 - „
Dan km nao that cap dm < 8 gib' Dat catheter firth mach trung tam mot n6ng
Chua bao Om bO dan ltru nao thAt va do ap luc not so. Thanh town theo so lin time hien ky tin* det clan km, khong thanh town theo gi6.
2 1.231 Dat 6ng thong Blakemore vao thuc quan cam mau
Thu thuet loai I (HSCC - CD)
Chua bao Om b16 Ong thong Blakemore
3 2.127
Triet dOt thin kinh giao cam Ong mach then bang nang luang song tan so radio qua duang Ong thong trong dieu tri tang huyet dp khang tri
Chip va can thiep tim mach (van tim, tim
, bam sinh, Ong mach vanh) duoi DSA
Chua bao Om catheter dOt va cap not
4 2.219 NO soi bum rira bang quang, barn hod chat
NOi soi bang quang khong sinh thiet
Chua bao Om h6a chat
5 2.461 Dieu tri rOi loan nhip tim bang song cao tan thOng thu6ng
Dieu tri suy tinh mach bang Laser not mach
Chua bao Om 130 dyng cu dieu tri roi loan nhip tim bang RR
6 10.51 Phau thuet u re than kinh ngoai mang tny kern tai tao dot song, bang du6ng vao phia sau
-
hoac tuST song Phau thuet not soi nao
•
Chua bao Om xuang nhan tao hoac san pham sinh hoc thay the xuang, dot song nhan tao.
Phau thuet u trong va ngoai Ong song, kern tai tao dot song, bang du6ng vao truck hoac truck- ngoai
Phau thuet not soi nao hoac tuj,' song
Chua bao Om xuang nhan tao
xucmg, dot song nhan tao.
8 10.167 Phau thuet dieu tri Vet thuong -
• chan thuong mach mau chi
Phh thuet loai I (Ngoai khoa)
Chua bao Om doan mach nhan tao.
9 10.175 Phau thuet Hybrid trong cap ciru mach mau (phau thuet mach + can thiep mach)
- Phau thuet dee biet (Ngoai khoa)
Chua bao gOm: mach nhan tao, keo sinh hoc, bOng nong, stent, cac vet lieu flirt mach, cac loai 'Ong thong hoac vi Ong thong, cac loai day dd-n hoac vi day dan, cac Ong xoan kim loai, dyng cu lay di vet, 130 dung cu lAy huyet khOi.
10 10.249 Phau thuet bac ciu dieu tri thieu mau man tinh chi
Phan thuat loai I (Ngoai khoa)
Chua bao Om doan mach nhan tao.
11 10.250 Phau thuet dieu tri tac dOng mach chi cap tinh do huyet khOi, manh sin, di vet
- Phau thuet loai I (Ngoai khoa)
Chua bao Om doan mach nhan tao.
12 10.251 PhAu thuet dieu tri tac dOng mach chi ban cap tinh
Phau thuet loai I (Ngoai khoa)
Chua bao Om clop mach nhan tao.
Page 1 of 6
STT. Ma
Theo. TT50
Ten theo Thong fir 50/2014/TT-BYT
Ten theo thong ttr 14/2019/TT-BYT
Ghi cho
• 13's1.(1x.258
-,.
,
'Cr,, - - PhAu thuat bac call Ong mach
• .ndch„- Bong mach NI
Pau thuat loai I (Ngoai khoa)
Chua bao Om doan mach nhan tao.
14 10.270 Phau thuat Hybrid dieu tri benh mach mau (Oh thuat mach + can thiep mach)
- Phau thuat dac biet (Ngoai khoa)
Chua bao g6m: mach nhan tao, keo sinh hoc, bong nong, stent, cdc vat lieu nut mach, cdc loai 6ng thong hoac vi 6ng thong, cdc loai day clan hoac vi day dan, cdc yang xoan kim loai, dung cu lay di vat, bi) dung cu lay huye't kh6i.
15 10.312 Chgc hilt va barn thuoc vao nang than
Choc but hach hoac u hoac ap xe hoac cdc ton thtrang khdc dtrai htrang dan ciia sieu am
Chua bao g6m thu6c can quang.
16 10.312 Ch9c hilt va barn thuoc vao nang than
Choc hut hach hoac u hoac dp xe hoac cac ,
ton thuong khdc &raj htrang dan dm cat lap vi tinh
Chua bao Om thuoc can quang.
17 10.313 Dan luu dai be than qua da Dat sonde JJ nieu quan Chua bao g6m sonde.
18 10.318 Dan Itru than qua da thrai huang -
dan cua sieu am Dat sonde JJ nieu quan Chua bao g6m sonde.
19 10.383 Dat Ong Stent china bi ddi do phi
• dai tien het tuyen
Phau thuat not soi dat Sonde JJ
Chua bao Om stent.
20 10.603 Lay huyel kh6i tinh mach cfra
Phau thuat khau 18 thimg tieu hoa hoac lay di vat long tieu hoa hoac day ba thCre an xu6ng dai trang
Chua bao g6m doan mach nhan tao.
21 10.604 Cdc loai phau thuat phan luu cira chil
Phau thuat khau 18 thimg tieu hoa hoac lang tieu h6a ,y di vat 'O
,
hoac day ba thirc an xtiong dai trang
Chua bao Om clop mach nhan tao.
22 10.618
, Tham do ket hgp voi tiem con bung , hoac dot song cao tan hoac dp lanh
Phau thuat tharn de 6 hoac ma th6ng
da day hoac ma thong hong trang hoac lam hau mon nhan tao
Chua bao g6m kim d6t song cao •
tan.
23 10.823 Phau thuat va dieu tri trat khop quay try duai
Phau thuat loai I (Ngoai khoa)
Chua bao Om kim gam, rip vit.
„or
Page 2 of 6
STT Ma .•
TT50
-,Ten theo Thong tir 50/2014/TT-BYT
theo • Ghi Ten theo thong tir 14/2019/TT-BYT
Chu
24 • . .10,829 ,;-.-:-Ithap
Phan Jilt* phtrang phap SuOtelKapandji va dieu tri viem
quay tru du6i
Phau thuat lo4i I (Ngoai khoa)
Chua bao Om kim gam, nep vit.
25 15.2 Phauthuat cAy may to thinh duong xuong (BAHA)
Pith thuat loai I (Tai Miii Hong)
Chtra bao gem may try thinh dung xtrang.
26 18.580 Dot song cao tan dieu tri cac
• • khoi u so h6a xoa nen
Dieu tri cac ten thuang xuong, khop, cot song va cac tang dtroi DSA (do
, xi
mang cot s6 dieu tri cac khei u tang va gia u xtrang...)
a,ng,
h C ua bao gem be kim dot va day
d n tin hieu.
27 27.65 Phauthuat not soi lay nhan dem cot song thAt lung qua 18 lien hop
Phau thuat not soi •
khop goi hoac khop hang hoac khop vai hoac co chan
Chtra bao gem be kit dung trong .• „ „ Mu tri thoat vi dia dem cot song,
' mui khoan (mai), mieng gild') dia. dem, nep, vit.
28 27.66 • t giai ep trong hep ong song tha lung
Phauthuat not soi cat ban song
, Phau thuat not soi khop goi hoac khOp hang hoac khop vai hoac co chan
Chin. bao gem be kit dUng trong dieu tri thoat vi dia dem cot song, mui khoan (mai), mieng ghep dia dem, nep, vit.
29 27.68 Phau thuat not soi lay dia dem cot song noc duerng truoc trong veo cot song
Phau thuat nei soi •
khop g6i hoac khop hang hoac khOp vai hoac co chan
Chin bao gem he thong be kit dimg trong dieu tri thoat vi dia dem
• cot song, mui khoan (mai), mieng ghep dia dem, nep, vit, xuang nhan tao hoac san pham thay the xuong.
30 27.69 thuat not soi chinh veo cot Phau cot
song nue •
Phau thuat net soi kh6p goi hoac khop hang hoac khop vai hoac co chan
song, mui khoan (mai), mieng
C. hua bao gem he thong be kit dung trong dieu tri thoat vi dia dem
ghep dia dem, nep, vit, xuong nhan tao hoac san phAm thay the xtrang.
31 27.70 Phau thuat not soi lAy thoat vi dia dem cot song co throng sau
PhAu thuat not soi kh6p goi hoac khop hang hoac khop vai hoac co chan
Chtra bao gem mui khoan (mai).
32 27.74 Phau thuat net soi lay dia dem cot sang nguc
Pilau thuat not soi khan g6i hoac khop hang hoac khop vai hoac c6 chan
Chtra bao gom min khoan (mai), mieng ghep dia dem, nep
33 27.82 Pfau thuat not soi cat - khau ken khi phoi
Nei soi mang phoi, sinh thiet mang phoi
Chin. bao gem: may cat not to deng, ghim khau may; hoac Stapler.
34 27.90 Phau thuat not soi eat u trung that nhO (< 5 cm)
Nei soi mang phot, sinh thiet mang phoi
Chin bao gom: may cat not to deng, ghim khau may; hoac Stapler.
Page 3 of 6
STT Ma
. theo TT50
Ten theo Thong tir 50/2014/TT-BYT
Ten theo thong tit' 14/2019/TT-BYT
Ghi chti
' -C„, ',
Nz /-;-..,---`' ,\ sc- , ,
`• ,
27:91— 4.„,
' ' -Phs'AVthu4st , .
not soi cat u trung i
t lan (> 5 cm) Phau thuet not soi cat u trung that
Chua bao Om: may cat n6i toi
Ong, ghim khau may; hoac Stapler.
36 27.94 ,
Pilau thuet not soi cat mot phan thity ph6i, ken - nang ph6i
nggc benh V/ hoac Phau thuet not soi
chan thuang
Chua bao Om: may cat not to
Ong, ghim khau may; hoac Stapler.
37 27.95 Phau
Pau thuet not soi cat mot thiiy
phoi
thuet not soi
ngtrc benh 1)”, hoac chan thtrung
Chua bao Om: may cat n6i to Ong, ghim khau may; hoac Stapler.
38 27.96 Pilau thuet not soi cat mot thiiy phoi kern nao vet hack
Phau thuet not soi ngtrc benh 1)% hoac chAn thtrung
Chua bao Om: may cat not tn. dOng, ghim khau may; hoac Stapler.
39 27.97 Phau thuet not soi cat mot phoi PhAu thuet not soi nggc benh 17 hoac chAn thuong
Chua bao Om: may cat not to
dung' ghim khau may; hoac Stapler.
40 27.98 Phau thuat not soi cat mot ph6i kern nao vet hack
Phau thuet not soi nggc benh 1Si hoac chAn thuong
Chua bao Om: may cat n6i to Ong, ghim khau may; hoac Stapler.
41 27.99 Phau thuet not soi cat -noi phe quan
Phau thuet not soi nue benh 1)% hoac chan thtrong
Chua bao Om: may cat not to dOng, ghim khau may; hoac Stapler.
42 27.135 Pilau thuet mg Co thtrc quail not soi nggc phai lieu tri benh co that thtrc quan Ian toa
- Phau thuet dac biet (Phau thuet NOi soi)
Chua bao Om dao han mach, han mo.
43 27.313 Phau thuet not soi dat tam luOi nhan tao dueng vao hoan toan trtrac pik mac (TEP)
Phau thuet loai I (NOi soi)
Chua bao Om tam Itrai nhan tao.
44 27.314 Phau thuet not soi dat tam ltrai nhan tao fru& ph& mac dtrOng vao qua 6 bung (TAPP)
Phau thuet loai I (NOi soi)
Chua bao Om tam ltrgi nhan tao.
45 27.315 Phau thuet not soi dat Itrai nhan tao trong 8 bung
Phau thuet loai I (NO soi)
Chua bao Om tam lugi nhan tao.
46 27.354 Tan soi than qua da Phau thujt loai I
(NOiChtra soi)
bao Om sonde JJ.
47 27.355 Ni soi nieu quan ngugc dong bang ong soi mem tan soi then bang laser
- Phau thuet loai I (NO soi) soi.
Chua bao Om sonde JJ va r9 lay
48 27.445 Phan thuet not soi dinh lai diem barn gan nhi dAu
-h. . Phau thuet not soi ta tao day chAng
Ch ua bao Om led bao (mai), 13.0 day bum nuov, dau dot die'n, tay dao clot dien, oc, vit.
Page 4 of 6
' , ,. , SIT
,
Ma. theo TT50
Ten theo Thong ttr • 50/2014/TT-BYT
Ten theo thong tu. 14/2019/TT-BYT
Ghi chti
4 27.448 ---..- '
: . . Phau thuat not soi khan chop xoay
Phau thuat n6i soi khap g6i hoAc khap hang hoAc khop vai hoAc c6 chan
Chua bao Om luti bao (mai), b6 • •
day barn mrac, dau dot dien, tay dao dot dien, 6c, vit.
50 27.451 PhAu thuat not soi cat hog mac viem khOp khuku
Pilau thuat 14 I (N6i soi)
Chua bao Om luti bao (mai), b6 day barn mak, dau dot dien, tay dao at dien, 6c, vit.
51 27.454 PhAu thuat n6i soi dieu tri viem mom tren 16i cau ngoai
Phau thuat loai I (Nei soi)
Chua bao gem luti bao (mai), b6
day barn nuac, dau dot dien, tay dao dot dien, 6c, vit.
52 14.49 , dinh IOL thi hai + Phau thuat co
• cat dich kinh
Cat dich kinh dan •
thuan hoAc lay di vat not nhan
Chua bao gem: they tinh the nhan tao, dau cat dich kinh, dAu laser, day an sang.
53 14.42 Lay the thily tinh sa, lech trong bao phi hap cat dich kinh c6 hoac khong c6 dinh IOL
- Phau thuat cat they tinh the the nhan tao.
Chua bao gem dau cat, they tinh
54 14.43 Cat the they tinh, dich kinh co hoac khong c6 dinh IOL
Phau thuat cat they tinh the
Chua bao gem dau cat, they tinh the nhan tao.
55 01.0023 Tham de huyet dicing theo phtrang phap PiCCO
DAt catheter d6ng mach quay
Chua bao gem 1)0 theo WI cung
lien tuc tim PiCCO (catheter Ong mach dui có dau nhan cam bi6n)
56 01.0247 Ha than nhiet chi huy L9c mau lien tuc (01 Ian)
Chua bao g6m: b6 bay khi va he • • •
thong ket not (b0 day truyen dich ICY hoAc chan ha nhiet)
57 01.0322
Khai thong dOng mach vanh bang sir dung thuoc tieu sgi
• huyet trong dieu tri nhoi mau ca tim cap
DAt catheter d6ng mach quay
Chua bao g6m thu6c tieu sgi huy6t
58 01.0346 Khai thong mach nao bang diL tri thuoc tieu sgi huyet trong nh6i mau nao cep
mach quay
Oat catheter d6ng Chua bao Om thuoc tieu sgi huyet
59 01.0386
Khai thong d6ng mach phi bang sir dung thuoc tieu sgi
• huyet trong dieu tri tac mach ph6i cap
WA catheter d6ng mach quay
Chua bao Om thuoc tieu sgi huyet
60 01.0191 L9c mau hap Phu bang qua 19c resin
Then nhan tao cap ciru Chua bao Om qua 19c Resin
Page 5 of6
STT/;i40, a p
, - ,
.37T502:,
- n theo Thong ttr
.4;7.7- ' /2014/TT-BYT Ten theo thong ttr 14/2019/TT-BYT
Ghi chu
61
_,•:,,.:
i,-
44.4%,„.._1
27101
i
PhAu thuldt not soi sira van hai Id
PhAu thuat tim cac loai (tim bam sinh ho4c sira van tim ho4c thay van tim...)
Chua bao g6m 1)0 tim pho' i nhan tao va day chay may, vOng van va van tim nhan tao, mach mau nhan tao, Ong mach chit nhan tao, keo sinh hoc dung trong pilau thudt phinh tach d6ng mach, qua 19c tach huye't tuong va b0 day dan, mie'ng ya sieu m6ng, dung dich bao ve tang, day truy6'n dung dich bao ve tang.
62 27.102 Phau thuat not soi thay van hai la
Phau thud't ,tim cac loai (tim bam sinh ho4c sira van tim ho4c thay van tim...)
Chua bao Om b6 tim phi nhan tao va day chay may, yang van va van tim nhan tao, mach mau nhan tao, d6ng mach chit nhan tao, keo sinh hoc dung trong phau thulat phinh tach d6ng mach, qua loc tach huy6t tuong va b6 day din, mi6ng va sieu m6ng, dung dich bao ve tang, day truyen dung dich bao ve tang.
63 27.103 PhAu thuast not soi (long 18 thong lien nhi
PhAu thulk tim cac loai (tim b'dm sinh ho4c sira van tim hoac thay van tim...)
Chua bao Om blo tim phi nhan tao va day chay may, vOng van va van tim nhan tao, mach mau nhan tao, d6ng mach chit nhan tao, keo sinh hoc clang trong phau thulat phial tach dOng mach, qua 19c tach huyet tuong va b0 day dan, mieng va sieu mOng, dung dich bao ve tang, day truyen dung dich bao ve tang;
64 2.266 N6i soi
, can thiep - Nong thuc
quan bang bong Nong thuc quan qua not soi
Chua bao Om bOng nong thuc quan
65 2.321 Sieu am can thiep - Da:t clan Itru throng mat, at stent durOng mat qua da
11304 stent duOng mat ho4c tuy dtrai htrong dan cita sieu am
Chua bao Om stent, dao cat, catheter, guidewire, b6 clan luu throng mat
66 2277 N6i soi can thiep - mopthong da day
MO thong da day qua not soi
Chua bao Om b6 mO• thong da day qua da
Page 6 of 6
Phu lyc 5. BANG GIA MOT SO DICH VU KHAM BtNH, CHU'A BVNH KHONG CO TEN TRONG THONG S6 14/2019/TT-BYT
''Ban hanh kern theo Nght quye't so /2019/NQ-HDND ngay ,t_d /12/2019
3 Tu van tam li cho ngtthi Nnh ya gia dinh (Ap dung cho diSi tugng Nnh nhi, diL tri cac Nith Ktam than)
97.000
4 Dinh luvng hTSH 108.000
5 Dinh luvng 17-0HP (17-Hydroxyprogesterones) mau
119.000
6 Dinh luvng phenylalanine trong mau (Sang 19c berth Phenylketonuria (PKU))
114.000
7 Dinh luvng galactose-l-phosphate uridyl transferase (GALT) trong mau
118.000
8 HIV Ab ngung ke't hat 107.000 9 Vi khudn nuoi cdy dinh luvng 572.000
10 Ky thudt giam dau bang morphin tinh mach theo kieu PCA
1.310.000
Da bao Om thu6c; Thai gian thgc hie'n lien tuc trong 48 gia sau mo.
11 KS, thudt giMn dau sau pal thudt bang gay to Ngoai mang cimg
2.030.000
Da bao g9'm thuOc; Thai gian thirc hi0 lien tuc trong 48 giO sau mo.
12 Sieu am tam soat di tat thai nhi 160.000 Tong 12 dich vu
Page 1 of 1
Phi lye 6. BANG 6-1A DicH DIED TRI NGHIEN CAC CHAT DANG THUOC
PHIEN BANG THUOC THAY THE
(Ban hanh kern theo Nghi quyit s /2019/NQ-HDND ngay ,f4/12/2019 cua HDND tinh Vinh Phtic)
Dan vi: DO'ng
STT Ten dich vu ky thulat Don vi tinh
Mtk gia
thtyc hi0
Ghi chti
I x , Kham (khong bao gom xet
nghiem va thmie)
1 Kham ban dAu d'ong/lAn Icharningtroi 30.000 TOi da kh6ng qua 01 lAningirei/qua trinh dieu tri T6i da khong qua 01 laningtroi/qua trinh dieu tri 01 lan/01 thang ho:ac kharn theo yeti cat'
2 Kham kheri lieu dieu tri dismg/lan. kham/nguari 20.000
3 Kham dinh ky d6rig/lAn Icharninguoi 15.000
IICAp Oat thuOc (killing bao i A gom thuoc)
4 Tai co sO dieu tri thay the dong/lan/ngtreYi/ngay 10.000
5 Tai co so' cap phat thuoc dieu tri thay the
d6ng/lAningtrai/ngdy 10.000
III Tu. van (killing bao gom thuo'c va xet nghiem)
6 Tu van ca nhan d6ng/lAningtrai 10.000
Nam &Au diet' tri: khong qua 14 Ian/nam; Tit nam diL tri thir hai: khong qua 04 lan/nam; Tu van khac theo you eau dia bOnh nhan.
7 Tu van Whom d6rig/lAninguei 5.000
Nam dau dial.' tit khong qua 06 tan/nam; Er nam dieu tri dia. hai: khong qua 04 lan/nam.