bo y te xa chi; nghia vi~t dqc l~p - tl}'do - h~nh phuc 7

BO Y TE CONG HOA XA HOI CHi; NGHiA VI~T NAMDQc l~p - Tl}'do - H~nh phuc

S6: 13/2019/TT-BYT Ha N(Ji, ngay 05 thang 7 ndm 2019

THONGTUSua d8i, b8 sung mQt sa di~u ciia Thong to' sa 39/2018/TT -BYT

ngay 30 thang 11 nam 2018 cua BQ truirng BQY t~ quy djnh thang nhfit giadjch vl} kham b~nh, chira b~nh bao hi~m y t~ gifra cac b~nh vi~n cimg hang

tren toan quac va hurrng din ap dung gia, thanh toan chi phikham b~nh, chfra b~nh trong mQt sa trufrng hop

Can cu Ludt kham benh, chua benh s6 40120091QH12 ngay 23 thang 11ndm 2009;

Can cu Ludt gia s6 11120121QH13 ngay 20 thang 6 ndm 2012;Can ctr Lut{itbao hidm y d s6 25120081QH12 ngay 14 thong 11 ndm 2008

duoc sua a6i, b6 sung theo Ludt s6 46120141QH13 ngay 13 thang 6 ndm 2014;Can cu Nghi dinh s6 85120121ND-CP ngay 15 thang 10 ndm 2012 cua

Chinh phu v~ co chi hoat dong, co chi tai chinh a6i voi cdc aan vi Sl! nghi¢p yd cong It{ipva gia dich v~ kham b¢nh, chua b¢nh cua cac co se)'kham b¢nh,chua b¢nh cong It{ip;

Can CLfNghi ainh s6 16120151ND-CP ngay 14 thang 02 nam 2015 cuaChinh phu quy ainh co chi tl! chu cua aan vi Sl! nghi¢p cong It{ip;

Can cu' Nghi ainh s6 149120161ND-CPngay 11 thang 11 nam 2016 cuaChinhphu sua a6i, b6 sung m(Jts6 ai~u cua Nght atnh s6 17712013IND-CP ngay 14thang 11 nam 2013 cua Chinh phu quy atnh chi tiit va huang ddn thi hanh m(Jts6ai~u cua Lut{itgia;

Can CLfNght atnh s6 75120171ND-CP ngay 20 thang 6 nam 2017 cuaChinhphu quy atnh ChLfCnang, nhi¢m v~, quy~n hqn va co cdu t6 chu'c cua B(JY ti;

Can CLfNght quyit 70120181QH14cua Qu6c h(Jiv~ dl! toan ngan sach nhanuoc nam 2019;

Can CLfNght atnh s6 38 120191ND-CP ngay 09 thang 5 nam 2019 cuaChinh phu quy atnh muc luang co sa a6i voi can b(J,cong ChLfC,vien ChLfCva Il!Clw;mg vii trang;

Can CLfThong bao s6 226ITB-VPCP ngay 04 thang 7 nam 2019 cua Vanphong Chinh phu v~ kit lut{incua PhD Thu tuang Vuang Dinh Hu¢ - Truemg BanChi aqo ai~u hanh gia tqi cu(Jc h9P Ban Chi aqo ai~u hanh gia ngay 03 thang 7nam 2019;

2

B6 truong B6 y td ban hanh Thong tu sua doi, b6 sung mot s6 didu cuaThong tu s6 39/2018/TT-BYT ngay 30 thang 11ndm 2018 cua B6 truong B6 Y tiquy dinh thong nhdt gid dich v~ kham benh, chiia benh bao hiim y ti giiia cacbenh vien cung hang trong toan quoc va huang ddn ap dung gia, thanh toan chiphi kham benh, chua benh bao hiem y td trong mot s6 truong h9'P (sau day goititt fa Thong tu s6 39/2018/TT-BYT).

I)i~u 1.Sua dBi, bB sung I)i~u 2 nhu sau:1. Thay thS cac phu luc ban hanh kern theo Thong tir s6 39/2018/TT-BYT

bang cac phu luc ban hanh kern theo Thong tu nay:a) Mire gia dich vu kham benh quy dinh tai Phu luc Iban hanh kern theo

Thong tir nay;b) Mire gia dich vu ngay giuong diSu tri quy dinh tai Phu luc II ban hanh

kern theo Thong tir nay;c) Mire gia dich V\l Icy thu~t, xet nghi~rn quy dinh t~i Ph\l l\lc III ban hanh

kern theo Thong tu nay;2. DiSu chinh ghi chu cua cac rn\lc: rn\lc 61 vS ph~u thu~t nQi soi sua van hai

la; rn\lc 62 vS ph~u thu~t nQi soi thay van hai la; rn\lc 63 vS ph~u thu~t nQi soi dong16 thong lien nhI va b6 sung ghi chu rnQts6 dich V\l t~i rn\lc 64, 65, 66 cua Ph\ll\lcIV ban hanh kern theo Thong tu nay.

I)i~u 2. Sua dBi di~m a khmin 4 I)i~u 3 nhU' sau:"a) TiSn luang ng~ch b~c, chuc V\l, cac khoan ph\l c~p, cac khoan dong

gop theo chS dQ do Nha nuoc quy dinh d6i voi dan vi SlJ nghi~p cong l~p varnuc luang ca so quy dinh t~i Nghi dinh s6 38/2019/ND-CP ngay 09 thang 5narn 2019 cua Chinh phu quy dinh rnuc luang ca so d6i voi can bQ, cong chuc,vien chuc va l\!,cIU<)11gvU trang";

I)i~u 3. Sua dBi, bB sung I)i~u 6 nhU' sau:1. Sua d6i diSrn b khoan 5 nhu sau:"b) TruOng hQ'Ptrong khoa C~p cUu ho~c khoa Gay me h6i suc co mQt s6

giuOng duQ'c su d\lng dS diSu tri tich c\!'c; giuOng b~nh sau h~u ph~u cua cacph~u thu~t lo~i d~c bi~t va cac giuOng b~nh nay dap ung duQ'c yeu c~u cuagiuOng h6i suc tich ClJC quy dinh t~i Quy chS C~p cUu, H6i suc ttch c\!'c vaCh6ng dQc ban hanh kern theo QuySt dinh s6 0112008/QD-BYT ngay 21 thang01 nam 2008 cua BQtru6ng BQY tS.".

2. B6 sung khoan 17 nhu sau:

3,.

"17. Ngay giuong benh ngoai khoa sau thuc hien "Ph~u thuat due thuytinh thS bang phuong phap Phaco" ap dung rmrc gia "Ngay giuong benh ngoaikhoa, bong" cua loai 3 tuong ling theo hang benh vien cua Phu luc II ban thanhkern theo Thong tu nay."

Di~u 4. Di~u khoan thi hanhThong tu nay co hieu hrc thi hanh til ngay 20 thang 8 nam 2019.Di~u 5. Di~u khoan chuyen ti~p1. TiSp tuc ap dung danh muc cac dich vu ky thuat kham benh, chua benh

diroc xep nrong dirong vS quy trinh ky thuat va chi phi dii quy dinh tai Quyetdinh s6 7435/QD-BYT ngay 14 thang 12 nam 2018 cua B9 tnrong B9 Y tS vSviec ban hanh Danh muc cac dich vu ky thuat kham benh, chua benh duoc xSptuong duong vS quy trinh ky thuat va chi phi th\Ic hi~n theo Thong tu s639/20 18/TT-BYT.

2. Nguai b~nh dang diSu tri t?i co s6 kham b~nh, chua b~nh truoc thaidiSm th\Ic hi~n muc gia theo quy dinh t?i Thong tu nay va ra vi~n ho~c kSt thucdgt diSu tri ngo?i tru sau thai diSm th\Ic hi~n muc gia quy dinh t?i Thong tu naytiSp tl,lCap dl,lng muc gia dii dugc c~p co thfim quySn dii phS duy~t truoc thaidiSm th\Ic hi~n muc gia theo quy dinh t?i Thong tu nay cho dSn khi ra vi~n ho~ckSt thuc dgt diSu tri ngo?i tru.

Di~u 6. Di~u khoan tham chi~uTrong truemg hgp cac van ban quy ph?m phap lu~t va cac quy dinh dugc

vi~n d~n trong Thong tu nay co thay d6i, b6 sung ho~c dugc thay thS thi ap dl,lngtheo van ban quy ph?m phap lu~t moi.

Trong qua trinh th\Ic hi~n, nSu co kho khan, vuOng m~c dS nghi cac coquan, t6 chuc, ca nhan phan anh vS B9 Y tS dS xem xet, giai quySt.l.

? ~

KT. BO TRUONG'RUONG~

Nui nh~n:- Uy ban vS cac vAndS xl'ihQi cua Qu6c hQi (d~ giam sat);- Van phong Chinh phu (Cong bao; C6ng TTDT Chinh phu);- BQ, cO'quan ngang bQ, cO'quan thuQc Chinh phu;- BQTu phap (Cl,lCKi~m tra VBQPPL);- BQtruang (d~ b/c);- Cac Thu truang BQY t~ (d~ chi dC;tothvc hi~n);- UBND t1nh, thilnh ph6 tf\fCthuQc TW;- Sa Y t~ tinh, thilnh ph6 tf\fc thuQc TW;- Dan vi trvc thuQc BQ;- Cac Vl,l,Cl,lC,T6ng Cl,lC,Van phong BQ,Thanh tra BQ;- C6ng thong tin di~n til BQY t~;- Luu: VT, KHTC(02), PC(02).

BOYTE

GIA. DJCH VV KHAM B~NH(Ban hanh kern thea Thong tu s6 13120191TT-BYT ngay 051 712019 ella B(J Y ti)

an vi: anf.!.

Ghi bao gAm

STT CoosO'y t~ chi phi trtrcGhi chuti~p va ti~n

hrong

1 2 3 4

1 Benh vien hang dac biet 38.700

2 Benh vien hang I 38.700

3 B~nh vien hang II 34.500

4 Benh vien hang III 30.500- - ~ -----

5 B~nh vien hang IV 27.500-

6 Tram y tS xa 27.500

HQi chan dS xac dinh ca benh kho (chuyen

7 gia/ca; Chi ap dung d6i voi tnrong hop200.000moi chuyen gia dan vi khac den hQi ch&n

tai co sa kham, chua benh),

BOYTE

GIA DICH VU NGAy GnfONG BENH.. .(Ban hanh kern thea Thong tu s6 13120191TT-BYT ngay 051712019 cua B9 y d)

d6ng

Ph\l luc II

A B

242.200

B~nh v~nhang IV

s6 Tl Cac loai djch vI} B~nh vi~nhang III

Ngay di~u tri H6i sire tich e\IC1 (ICU)/ghep tang hoac ghep tuy hoac

ghep t~ bao g6c

2 Ngay giuong benh H6i sire dp ciru

2 4

782.000 705.000 602.000

458.000 427.000 325.000 282.000 251.500

Loai 1: Cac khoa: Truyen nhiem, H6h~p, Huyet hoc, Ung thu, Tim mach,Him than, Th~n kinh, Lao, Nhi, Tieu

3.1 " 242.200 226.500hoa, Than hQC,NQi tiet; Di irng (d6ivoi benh nhan di ling thuoc nang:Stevens Jonhson hoac Lyell)

3 Ngay giuong b~nh N(H khoa:

Cac khoa tren thuoc Benh vienchuyen khoa true thuoc BQ Y t~ taiHa NQi va Thanh ph6 H6 Chi Minh

Loai 2: Cac Khoa: Co-Xirong-Khop,Da liSu, Di ling, Tai-Miii-Hong, Mitt,Rang Ham Mat, Ngoai, Phu -San

3.2 kh6ng mo; YHDT hoac PHCN chonh6m nguoi benh t6n thuong tuysong, tai bien m~ch mau nao, ch~nthuO'ngSQnao.

Cac khoa tren thuQc B~nh vi~nchuyen khoa tr\Ic thuQc BQ Y t~ t~iHa NQi va Thanh ph6 H6 Chi Minh

187.100 171.100 152.700

219.700 203.600 160.000 149.100 132.700

219.700

Lo~i 3: Cac khoa: YHDT, Ph\lc h6i3.3 hc trc nang 185.100 171.400 130.600 121.100 112.000

4 Ngay giU'img b~nh ngo~i khoa,bong:Lo~i 1: Sau cac phfiu thu~t lo~i d~c

4.1 bi~t; Bong dQ 3-4 tren 70% di~n tichcO'th~

336.700 303.800 256.300

~-----1r----- - -

Lo~i 2: Sau cac phfiu thu~t lo~i 1;4.2 Bong dQ 3-4 tir 25 -70% di~n tich cO' 300.500 276.500 223.800

th~

Cac khoa tren thuQc B~nh vi~nchuyen khoa trvc thuQc BQ Y t~ t~iHa NQi va Thanh ph6 H6 Chi Minh

336.700

198.300 178.300

B~nh vi~nB~nh vi~n B~nh vi~n B~nh vi~n B~nh v~nSAT1 Cac lo~i djch V\l hgng D~e

bi~thang I h~ng II hang III hang IV

A B 1 2 3 4 5

Cac khoa tren thuoc B~nh vienchuyen khoa tnrc thuoc BQ Y tS tai 300.500Ha NQi va Thanh ph6 H6 Chi Minh

-

Loai 3: Sau cac ph§:u thuat loai 2;

4.3 Bong dQ 2 tren 30% dien tich co th~,260.900 241.700 199.200 175.600 155.300Bong dQ 3-4 duoi 25% dien tich co

thS

Cac khoa tren thuoc B~nh vienchuyen khoa true thuoc BQ Y tS tai 260.900Ha NQi va Thanh ph6 H6 Chi Minh

Loai 4: Sau cac ph§:u thuat loai 3;4.4 Bong dQ 1, dQ 2 duoi 30% dien tich 234.800 216.500 170.800 148.600 134.700

co the

5 Ngay giuong tram y t~ X3 56.000

6 Ngay ghrong b~nh ban ngayDuoc tinh bang 0,3 l§n gia ngay giuong cua cac khoa va

loai phong nrong irng.

Ghi chu: Gia ngay giuong diSu tri nQi tni chua bao g6m chi phi may tho va khi y teo

2

BQYTE Ph\l luc III

GIA DICH Vl) KY THU~T vA XET NGHI~M AP Dl)NG CHO cAc H~NG B~NH VI~N(Ban hann kern thea Thong tu 13120191TT-BYT ngay 051712019 cua B(J Y ti)

an vi: onf(

Gia bao g6mSTT STT

Mil djch V\I Ten djch v\I chi phi tr,!c Ghi chuTT37 ti~p va ti~nlurrng

I 2 3 4 5 6

A A cHAN DoANBANG HINH ANHI I Sieu am1 1 04Cl.1.3 Sieu am 43.900

~-

2 2 03C4.1.3 Sieu am + do true nhan du 76.200-

3 3 Sieu am d~u do am dao, true trang 181.000

4 4 03C4.1.1 Sieu am Doppler mau tim hoac mach222.000mau

5 5 03C4.1.6 Sieu am Doppler mau tim + can am 257.000

6 6 03C4.1.5 Sieu am tim gang sire 587.000

Chi ap dung trong tnrong hop

7 7 04C1.1.4 Sieu am Doppler rnau tim 4 D (3D457.000

chi dinh d6 thuc hien cacREAL TIME) ph~u thuat hoac can thiep tim

mach,-

8 8 04Cl.I.5 Sieu am Doppler mau tim hoac mach805.000

mau qua thuc quan- - -

Chua bao gorn bOd~u do sieu

Sieu am trong long mach hoac Do dtram, bo dung CI,I do du tru' luu

9 9 04C1.1.6 1.998.000 IUQ'ngdong mach vanh va cactrir luu luong dong mach vanh FFR

dl,lng cv d@ dua vao longmach.

II II Chup Xsquang thmrng--------

10 10 ChVP X-quang phim :s 24x30 em (1 50.200 Ap dung cho 01 vi tritu th~

11 11 ChVP X-quang phim < 24x30 ern (2 56.200 Ap dl,lng cho 01 vi tritu the) -

12 12 ChVP X-quang phim > 24x30 cm (1 56.200 Ap dVng cho 01 vi tritu the) --

13 13 Chvp X-quang phim > 24x30 cm (2 69.200 Ap d\1I1gcho 01 vi tritu the) -- - _------- -

14 Chvp X-quang () rang ho(lc c~n ch6p 13.100

Chvp S9 m(lt chinh nha thuo'ng15 14 03C4.2.2.1 (Panorama, Cephalometric, dt l6'p 64.200

l6idu~ - --16 15 03C4.2.1.7 ChVP Angiography m~t 214.000

- -

STT

III

3

Teo djch V\l

Ghi bao gAmchi phi trueti~p va ti~n

hrong

6

STTTT 37 Mii dich vu Ghi chu

2 4 5

17 16 04C1.2.5.33Chup thirc quan co uong thuoc canquang

101.000

18 17 04Cl.2.5.34Chup da day-ta trang co uong thuoccan quang

116.000

19 18 04C1.2.5.35Chup khung dai trang co thuoc canquang

21 20 04C1.2.5.30

156.000

Chup h~ ti~t nieu co tiern thuoc canquang (UIY)

539.000

20 19 240.000 Chua bao gam thuoc can03C4.2.5.10 Chup mat qua Kehr

~ ~ I---------------------------I_----------I~q~ua~n~g~.----------------~

22 21 04C1.2.5.31Chup nieu quan - b@ than nguQ'cdong (UPR) co tiem thuoc can quang

529.000

-----~·----I----------I--------------------------~-----------+---------------------I

23

24

25

22 03C4.2.5.11 Chup bang quang co born thuoc canquang

Chup tu cung-voi tnrng (bao g6m cathuoc)

Chup X - quang vu dinh vi kim day

206.000

371.000

386.000 Chua bao g6m kim dinh vi.-- ---------II--------~---------------------------l----------_+---------------------I

26

27

25 03C4.2.5.13 L6 do can quang

23 04C1.2.6.36

406.000

26 03C4.2.5.15 Mammography (1 ben)

27 04CL2.6.37 Chup tuy song co tiem thuoc

Chup X-quang s6 hoa

28 04CI.2.6.51 Ch1,lpX-quang s6 hoa 1 phim

29 04C1.2.6.52 Chup X-quang s6 hoa 2 phim

31 04C1.2.6.54 Chup tir cung-voi tnrng bang s6 hoa

32 04C1.2.6.55

24 03C4.2.5.12

94.200

28 401.000

III------I------~--------~-------------------------I-----------+---------------------I

29

30

65.400 Ap dung cho 01 vi tri


30 04C1.2.6.53 Chup X-quang s6 hoa 3 phim-------------II----------I-----------.~--~--------r_---------~---------------------I

Chup Xquang s6 hoa 6 rang hoacc~n chop

31

32


18.900

33 411.000- -----------!I--------~--------------------------II-----------I-------------------~I

34Chup h~ ti~t nieu co tiem thu6c canquang (UIY) s6 hoa

609.000

35 33 04C l.2.6.56 Ch1,lp ni~u quan - b~ th~n nguQ'cdong (UPR) s6 hoa

564.000

Chvp thl,l'c quan co u6ng thu6c canquang s6 hoa

----------~I----------I--------------------------l-----------l----------------------ICh\lp dl;lday-ta trang co u6ng thu6ccan quang s6 hoa

36

37

38

34 04C1.2.6.57

C1wp khung Ol;litrang co thu6c canquang s6 hoa

224.000

224.000

264.000

35 04Cl.2.6.58

36 04Cl.2.6.59

2

Gili bao gBm

STT STTMil djch V\I Ten djch v\I chi phi true

TT37 ti~p va ti~n Ghi chu

hrong

I 2 3 4 5 6

39 37 04C 1.2.6.60 ChVP tuy song co thuoc can quang521.000s6 hoa

-

40 38 Chup X-quang s6 hoa c~t I6'p tuyen944.000vu 1 ben (tomosynthesis)

Chup X-quang s6 hoa dtrong do, cacChua bao g6m 6ng thong,41 39 tuyen co bom thuoc can quang tnrc 386.000

tiSokim choc chuyen dung,

IV IV Chup dt loopvi tinh, chup mach,cQnghuong tir

42 40 04C 1.2.6.41ChVP CT Scanner d@n32 day khong

522.000co thuoc can quang-- ----

43 41 04C 1.2.6.42 ChVP CT Scanner dSn 32 day co 632.000 Chua bao gam thu6c canthuoc can quang quang.

44 42 04C 1.2.6.63ChVP CT Scanner 64 day dSn 128

1.701.000 Chua bao gam thuoc canday co thuoc can quang quang.

- --

45 43 04Cl.2.63 Chup CT Scanner 64 day dSn 128 1.446.000day khong co thuoc can quang

46 44 Chup CT Scanner toan than 64 day - 3.451.000 Chua bao gam thuoc can128 day co thuoc can quang quang.

47 45 Chup CT Scanner toan than 64 day - 3.128.000128 day khong co thuoc can quang

48 46 04C1.2.6.64Chup CT Scanner tir 256 day treylen 2.985.000 Chua bao gam thuoc canco thuoc can quang quang.

49 47 ChVP CT Scanner nr 256 day tro len 2.731.000khong co thuoc can quang

50 48 Chup CT Scanner toan than tir 256 6.673.000 Chua bao gam thu6c canday co thuoc can quang quang.

51 49 Chup CT Scanner toan than tir 256 6.637.000day khong thuoc can quang

52 50 04C 1.2.6.61 Chup PET/CT 19.770.000 Chua bao gam thu6c canguang

53 51 04C 1.2.6.62 ChVP PET/CT rno phong X1;ltrj 20.539.000 Chua bao gam thu6c canquang

54 52 04C 1.2.6.43Chup mach mau s6 hoa xoa nen 5.598.000(DSA)

55 53 04C 1.2.6.44Chup dOng m1;lchvimh ho~c thang 5.916.000tim ch\lp bu6ng tim du6'i DSA

3

STT

56

57

58

59

60

61

2

Can thi~p khac du&i huang dfrn cuaCT Scanner 1.183.000 Chua bao g6m 6ng dfrn luu.

STTTT 37 Ma djch V\I Ten djch V\I

3 4

Chup va can thiep tim mach (van54 04C1.2.6.45 tim, tim b~m sinh, d9ng mach vanh)

duoi DSA

55 04CI.2.6.46Chup va can thiep mach chu bunghoac nguc va mach chi duoi DSA

56Ch\1p va can thi~p m~ch chu bl}ngho~c ng\1'cva m~ch chi du&i C-Arm

57 04CI.2.6.48 Chvp, nut di d~ng va can thi~p cacb~nh Iy m~ch thfrn kinh duo-i DSA

58 04CI.2.6.47 Can thi~p duang m~ch mau cho cactl;lngduo-i DSA

59 04C1.2.6.50

Can thi~p vao long m~ch tr~rc tiSpqua da (d~t c6ng truySn hoa ch~t, d6tgian tInh m~ch, sinh thiSt trong longml;lch) ho~c rna thong dl;lday qua da,dfin luu cac 6 ap xe va tl;lng 6 bl,lllgduo-i DSA.

62 60

Gill bao g&mchi phi tr,!eti~pva ti~o

hrong

Ghi chu

5 6

Chua bao g6m v~t tu chuyendung dung d@can thiep: bongnong, stent, cac v~t lieu nutml;lch, cac lo~i 6ng thonghoac vi 6ng thong, cac loai

6.816.000 day dfrn hoac vi day d§'n, cacvong xoan kim loai, luoi 19Ctinh mach, dung cu I~y di vat,b9 dung C\1I~y huyet khci, b9dung cu bit (b9 tha du, du cacloai).

Chua bao g6m v~t nr chuyendung dung d@can thiep: bongnong, b9 bam ap hrc, stent,

9.066.000 keo nut mach, cac v~t li~u nutmach, cac vi 6ng thong, viday dfrn, cac vong xoan kimloai, hroi 19Ctinh mach,

Chua bao g6m v~t tu chuyend\1ng dung dS can thi~p: bongnong, b9 bom ap I~rc, stent,cac v~t li~u nut ml;lch, cac vi

7.816.000 6ng thong, vi day dfin, cacvong xo~n kim IOl;li,d\1ng C\1I~y di v~t, b9 d\1ng C\1 I~yhuySt kh6i, bong bam nguqcdong d9ng ml;lchchu.

Chua bao g6m v~t ttr chuyend~lllg dung dS can thi~p: bongnong, b9 bom ap Ivc, stent,

9666000 keo nut ml;lch,~ac v~t li~u nut. . m~ch, cac vi ong thong, vi

day dfrn, cac vong xo~n kimlo~i, d\1ng C\1I~y di v~t, huthuySt kh6i.

Chua bao g6m v~t tu chuyend\1ng dung d@can thi~p: b6ng

9.116.000 n~ng,~ b~~ba~ ap 1\1'c,s~ent:cac vl;lt It(fU nut ml;lch, cac VI

6ng thong, vi day dfrn, cacvong xo~n kim IOl;li.

Chua bao g6m kim chQc,stent, cac sonde dfrn, cac day

2.103.000 d&n, day d6t, 6ng thong,bu6ng truySn hoa ch~t, rQ I~ys6i.

4

Chi bao g6m

STT STTMa djch vu Ten djch vl}.

chi phi trueTT37 ti~p va ti~n Chi chu

hfO'ngI 2 3 4 5 6

D~n luu, nong d~t Stent, I~y di v~t Chua bao gorn kim choc,

63 61 04C l.2.6.50 dirong m~t hoac d~t sonde JJ qua da 3.616.000 bong nong, bQ nong, stent,cac sonde d&n, cac day d~n,diroi DSA6ng thong, ro I~y di vat,

D6t song cao tAn hoacvi song diSuChua bao g6m d6t song cao64 62 03C2.1.56 tri u gan duoi hirong d~n cua CT 1.735.000tAn va day d&ntin hieu,scanner

65 63 03C2.1.57 D6t song cao tAn hoac vi song diSu1.235.000 Chua bao gom kim d6t song

tri u gan duoi huang d~n cua sieu am cao tAn va day d~n tin hieu,~--

DiSu tri cac t6n thuong xuong, khop,Chua bao gorn v~t tu tieucQt song va cac tang duoi DSA (d666 64 04C1.2.6.49

xi mang cQt song, diSu tri cac kh6i u 3.116.000 hao: kim choc, xi mang, cacvat lieu born, ch~t gay tic.tang va gia u xirong ...)

67 65 03C4.2.5.2 Chup cong huang tlr (MRI) co thu6c2.214.000can quang

68 66 03C4.2.5.1 Chl,lp cQng huong tlr (MRI) khongl.311.000co thu6c can quang

69 67 Chl,lp cQng huo'ng tlr gan v6'i ch~t8.665.000tUO'llgphan d~c hi~u mo

70 68 Chl,lp cQng huo'ng tlr tu6'i mau - ph6 -3.165.000chuc nang

V V MQt s6 ky thu~t khac

71 69 Do m~t dQxuong 1 vi tri 82.300 B~ng phu'O'ngpbap DEXA

72 70 Do m~t dQxuong 2 vi tri 141.000 B~ng phuong phap DEXA

73 Do m~t dQxuong 21.400 B~ng phuong pbap sieu am

B B cAc THU THU~TvA DlCH VT,JNOI SOl

74 71 Bom rua khoang mang ph6i 216.000

72 03C1.51 Bom rU'a ni~u quan sau tan soi467.00075

(ngoai co·thS)- - - ---

76 73 BO'ill streptokinase vao khoang mang1.016.000

ph6i

77 74 04C2.108 C~p cuu ngung tuAn hoan 479.000Bao g6m ca bong dung nhiSuIAn.

----_- _ .. -----

78 75 04C3.1.142 Cit chi 32.900Chi ap dl,lng v6'i nguo'i b~nhngo~i tr6.

-_-

79 76Cham soc da cho nguo'i b¢nh dj (rng

158.000Ap dl,lng v6'i nguo'i b~nh hQi

thu6c n~ng chlrng Lyell, Steven Johnson.

80 77 04C2.69 ChQc do mang bl,lng ho~c mang ph6i 137.000- -

5

STT

3 42

81 03CIA80 04C2.70

83 03Cl.l

84

85

93

95

96

STTTT 37 Ma djch vu

78 04C2.112

79 04C2.71

82 03Cl.74

86 04C2.67

87 04C2.121

88 04C2.122

89 04C2.68

90 04C2.111

91 04C2.115

92 04C2.114

94 04C2.98

97 03C1.58

99 03C1.57

100 04C2.104

Ten djch vl}.

Choc thao dich mang bung hoacmang phdi duoi hirong d~n cua sieuamChoc hut khi mang ph6iChoc nra mang phdiChoc do mang tim

Choc do sinh thiSt vu duoi sieu am

Choc do tuy song

Choc hut dich diSu tri u nang giap

Choc hut dich diSu trj u nang giapduoi huong d~n cua sieu am

Choc hut hach hoac u

Choc hut hach hoac u hoac ap xehoac cac ton thuong khac diroihuang d~n cua sieu am

ChQc hut tS bao tuYSn giap

ChQc hUt tS bao tuySn giap duo'ihu6'ng d~n cua sieu am

ChQc hut tllY lam tllYd6

ChQc hut tllY lam tllY d6

ChQc hut tuy lam tllY d6 (Slr d\lngmay khoan dm tay)

D~n luu mang ph6i t6i thi@u

D~n luu mang ph6i, 6 ap xe ph6idu6'i hu6'ng d~n cua sieu am

D~n luu mang ph6i, 6 ap xe ph6idu6'i hu6'ng d~n cua ch\lp c~t l6'p vitinh

Di;itcatheter dOng m:;tchquay

Di;it catheter Hnh m1;lch trung tamnhiSu nong

81

828384

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

100

102

103

732 000 Chua b~o gorn thuoc can. quang neu co sir d\lng.

530000 Bao g6m, ca ~im chQc hut tuy. dung nhieu Ian.

Chua bao g6m kim chQc hut128.000 tlly. Kim chQc hut tuy tinh

thea thvc tS str d\lng.

Ghi bao gAmchi phi trueti~pva ti~n

hfO'ng

5

176.000

143.000206.000247.000

166.000

221.000

110.000

152.000

110.000

151.000

2.360.000

596.000

678.000

1.199.000

546.000

1.367.000

653.000

1.126.000

Ghi chu

Ap dung voi tnrong hQ'Pdung177.000 bom kim thong thuong d@

choc hut.-----~------~----------~------------------------~----------~~~~-------------I

107.000 Chua bao g6m kim choc do.

Choc hut hach hoac u hoac ap xehoac cac t6n thuong khac diroihu6'ng d~n clla c~t 16'pvi t1nh

------------I----------I---~--------~~----------~--------~----------------------I

101 98 03C1.59 Di;it catheter dOng m1;lch thea d6i1 1 1 h!!_yStap lien t\lC

Di;it catheter Hnh m1;lch trung tammot nong

6

6

Gia bao gAm

STT STTMa djch V\l Ten djch V\l chi phi true

Ghi chuTT37 ti~p va ti~nhrong

1 2 3 4 5 6

104 101 04C2.103 D~t ong thong tinh mach bing1.126.000 Chi ap dung voi truong hQ'P

catheter 2 nong IQcmall.

105 102 D~t catheter hai nong co cuff, tao6.811.000duong hAmd~ IQcmau

106 101 04C2.106 D~t noi khi quan 568.000

107 103 D~t sonde da day 90.100

108 104 03C1.52 D~t sonde JJ nieu quan 917.000 Chua bao gom Sonde JJ.

109 105 03Cl.32 D~t stent thirc quan qua noi soi 1.144.000 Chua bao g6m stent.

DiSu trj rung nhi' bing nang IUQ'ng Chua bao g6m bQ dung cudiSu tri r6i loan nhjp tim co

110 106 song tAn s6 radio str dung h~ thong3.035.000 Slr dung M thong I~p ban d6l~p ban d6 ba chien giai ph~u - di~n

ba chieu giai ph~u - dien hochoc cac buong timcac buong tim.

DiSu trj suy tinh mach bing Laser Chua bao g6m bQ dung ql111 107 2.025.000 me mach mau va 6ng thongnQi mach

diSu trj laser.

DiSu tri suy t1nh m~ch bing nang Chua bao g6m bO dVng C\I112 108 1.925.000 mo' m~ch mau va 6ng thongluqng song tAn s6 radio

diSu tri RF.Gay dinh mang ph6i bing thu6c

Chua bao g6m thu6c ho~c113 109 ho~c hoa chAt qua 6ng d~n luu mang 196.000hoa chAt gay dinh mang ph6i.ph6i ~ ----

114 110 03C1.56 HAp thv phan tlr lien tvc diSu tri suy2.321.000

Chua bao g6m h~ th6ng quagan cap n~ng IQcva dich IQC.

115 III Hut d~n luu khoang mang ph6i bing185.000may hut ap IIfCam lien tvc

116 112 Hut dich kh6'p 114.000

HUt dich kh6p du6i huong d~n clla--- ---

117 113 125.000sieu am

--

118 114 Hutdom 11. 100

119 115 04C2.119 LAy soi ni~u quan qua noi soi 944.000 Chua bao g6m sonde ni~uquan va day d~n Guide wire.

120 116 04C2.79 LQc mang bl)ng chu ky (CAPD) 562.000

121 117 04C2.78 LQc mang bvng lien tvc 24 gia bing964.000

may__CthAmphan phuc mac)

122 118 03C1.71 LQc mau lien tvc (01 IAn) 2.212.000 Chua bao g6m qua IQc, boday d~n va di~hlQC._ -

Chua bao g6m qua IQCtach

123 119 03Cl.72 LQc tach huych tuong (01 IAn) 1.636.000huy~t tuO'ng, bQ day d&n vahuy~t tuO'ng dong I~nh ho~cdung dich albumin.

124 120 04C2.99 M6 khl quan 719.000-

125 121 04C2.120 M6 thong bang quang (gay te t~i ch6) 373.000-

7

Gili bao gAm

STTSTT

Mii djch VI! TeD dich vu chi phi trueGhi clniTT37 ti~p va ti~n

hrong

I 2 3 4 5 6

126 122Nghiern phap h6i phuc ph~ quan voi

94.900thu6c gian phe quan

127 123 03C1.39 N9i soi long ngirc 974.000

128 124 N9i soi mang ph6i, gay dinh bing5.010.000 Da bao g6m thuoc gay methuoc hoac h6a chfrt

129 125 N9i soi mang phoi, sinh thiet mang 5.788.000 D[l bao g6m thuoc gay mephdi_.

130 126 03C1.45 Nieu dong d6 59.800---

N9i soi ph~ quan diroi gay me c6131 127 1.761.000sinh thiet

132 128N9i soi phe quan duoi gay me kh6ng

1.461.000sinh thi~t

133 129N9i soi phe quan duoi gay me Ifrydi

3.261.000v(it phe quan

134 130 04C2.96 N9i soi phe quan 6ng mern gay te 753.000--

135 131 04C2.116 N9i soi phS quan 6ng m~m gay te c61.133.000

sinh thi~t

136 132 04C2.117 N9i soi ph~ quan 6ng mern gay te Ifry2.584.000

di v(itN9i soi phe quan 6ng mem: dt d6t

137 133 u, SyO n9i ph~ quan bing di~n dong 2.844.000

- cao tan

138 134 04C2.88 N9i soi thuc quan, da day, tit trang433.000 D[l bao g6m chi phi Test HP6ng msm c6 sinh thi~t

139 N9i soi d~ day lam Clo test 294.000

140 135 N9i soi th\l'c quan-d~ day- tit trang244.000

6ng m~m kh6ng sinh thi~t

141 136 04C2.90 N9i soi d~i tr\l'c trang 6ng m~m c6408.000

sinh thiSt----

N9i soi d~i tf\J'C trang 6ng142 137 04C2.89 mem 305.000kh6ng sinh thiSt

143 138 04C2.92 N9i soi tqrc trang c6 sinh thi~t 291.000--

N9i soi tn,rc trang 6ng m~m kh6ng144 139 04C2.91 189.000sinh thi~t

Chua bao g6m thu6c dm mau,145 140 03CI.25 N9i soi d~ day can thi~p 728.000 d\mg C\l dm mau (clip, bi;\th~t

tfuh m\lchthlJc quan...)

Chua bao g6m dt,mg Cl,l can

146 141 03C4.2.4.2 N9i soi m(it tuy' ngu9'C dong (ERCP) 2.678.000 thi~p: stent, b9 titn s6i cO'h9C, r9 Ifry di v(it, dao c~t,bong keo, b6ng nong.

147 142 04C2.85 N9i soi 6 bVng 825.000148 143 04C2.86 N9i soi 6 bvng co sinh thi~t 982.000149 144 03C1.36 N9i soi 6ng m(it chu 167.000

8

Ghi bao g6m

STT STTMil djch vl} Ten djch vl} chi phi tr,!c

TT37 ti~p va ti~nGhi chu

hrong

I 2 3 4 5 6

150 145 NQi soi sieu am chan doan l.164.000

NQi soi sieu am can thiep - choc hut151 146 t~ bao kh6i u gan, tuy, u 6 bung bang 2.897.000

kim nho

152 147 03Cl.40 NQi soi ti~t nieu co gay me 849.000

153 148 04C2.101 NQi soi bang quang - NQi soi nieu925.000 Chua bao g6m sonde II.quan

154 149 04C2.94 NQi soi bang quang co sinh thiet 649.000-

155 150 04C2.93 NQi soi bang quang khong sinh thiet 525.000

156 151 04C2.118 NQi SOl bang quang diSu tri dai694.000duong ch~p

157 152 04C2.95 NQi soi bang quang va g~p di v~t893.000hoac l~y mau CI,lC

158 153 N6i thong dong - tinh mach co dichl.351.000chuyen mach

159 154 N6i thong dong - tinh mach su dungl.371.000 Chua bao g6m mach nhan tao.mach nhan tao

~160 155 N6i thong dQng- tinh mach l.151.000

161 156 04C2.74 Nong nieu dao va d~t thong dai 24l.000

] 62 157 03C1.31 Nong thirc quan qua nQi soi 2.277.000

163 158 04C2.73 Rua bang quang 198.000 Chua bao g6m hoa chit.

164 159 03C1.5 Rira da day 119.000

165 160 03C1.54 Rira da day loai bo ch~t dQc qua h~589.000

th6ng kin166 161 Rira phdi to an bQ 8.181.000 Da bao g6m thuoc gay me

167 162 03C1.55 Rira ruot non toan bQ 10:;tib6 ch~t831.000dQc qua ducmg tieu hoa ~

168 163 Rut mau d€ diSu tfi 236.000

169 164 Rut 6ng d~n luu mang ph6i, 6ng d~n178.000luu 6 ap xe

170 165 Sieu am can thi~p - D~t 6ng thong597.000 Chua bao g6m 6ng thong.d~n hru 6 ap xe

--

171 166 Sieu am can thi~p diSu tfi ap xe ho~c558.000u ho~c nang trong 6 b1}ng

-~

Chua bao g6m bQ dl,lng ql172 167 03C1.21 Sinh thiSt co tim 1.765.000 thong tim va chl,lp bu6ng tim,

kim sinh thiSt CO'tim.

173 168 04C2.80 Sinh thi~t da ho~c niem m:;tc 126.000

174 169 Sinh thi~t gan ho~c th~n du6'i hu6'ng1.002.000d~n cua sieu am

--

9

Gili bao gAm

STT STTMa dich V\l Tell djch v\l

chi phi true Ghi chuTT37 ti~p va ti~n

hfO'ng

I 2 3 4 5 6

175 170Sinh thiet vu hoac t6n thuong khac

828.000duoi huong dan cua sieu am_ ..

176 171Sinh thiet phoi hoac gan duoi hirong

1.900.000dan cua cit lop vi tinhSinh thi~t than hoac vu hoac vi tri

177 172 khac duoi huong dan cua cit 16-pvi 1.700.000tinh ------

178 173 04C2.81 Sinh thi~t hach hoac u 262.000----

thi~t179 174 04C2.110 Sinh mang h01;1.tdjch duoi 1.104.000

- huonz dan cua sieu am

180 175 04C2.83 Sinh thiet mang phdi 431.000

181 176 Sinh thiet mong 311.000

182 177 04C2.84 Sinh thiet ti€n liet tuyen qua sieu am 609.000-~-- dironz tnrc tranz

183 178 04C2.82 Sinh thi~t tuy xuong 242.000 Chua bao g6m kim sinh thi~t.

184 179 04C2.113 Sinh thi~t tuy xuong co kim sinh thiet 1.372.000 Bao g6m kim sinh thiet dungnhiSu IAn.

185 180Sinh thi~t tuy xuong (str dung may 2.677.000khoan dm tay).

186 181 03Cl.20 Sinh thi~t vu 157.000-----

Sinh thi~t tuyen vu duoi hirong dan187 182 cua Xquang co M thong dinh v! 1.560.000

stereostatic- -

188 183Soi bang quang, chup than ngiroc

645.000Chua bao gam thuoc can

03C1.30dong quang.

189 184 03C1.28 Soi d1;1.itrang, tiem ho~c k~p dm mau 576.000Chua bao g6m dung C\l k~pva clip dm mall.

190 185 03C1.22 Soi kho-p co sinh thi~t 498.000

191 186 03C1.23 Soi mang ph6i 440.000

192 187 03C1.67 Soi ph~ qwin di€u tri s~c ph6i o· b~nh885.000

nhan ngQ dQc dp

193 188 03C1.27 Soi ruQt non, tiem (ho~c k~p dm748.000

mall) ho~c c~t polyp--

194 189 03Cl.26 Soi ruQt non 639.000-

195 190 03Cl.24 Soi thl,fc quan ho~c d1;1.day g~p giun 427.000 Chua bao g6m dl..Il1gC\l g~pgmn.

196 191 03C1.29 Soi tn,rc trang, tiem ho~c th~t trI 243.000

197 192 03Cl.62 T1;1.onhip Clipcu·u ngoai 16ng ngllc 989.000

198 193 03C1.61 T1;1.onhip Clipcu·u trong bu6ng tim 500.000

Th~m tach sieu IQc mau199 194 04C2.107 (Hemodiafiltration offline: HDF ON 1.504.000 Chua bao g6m catheter.

- LINE)

10

Ghi bao gAm

STT STTMi djch v\I TeD djch v\I

chi phi trueTT 37 ti~p va ti~n

Ghi chu

IU'O'ng1 2 3 4 5 6

Qua loc day mau dung 1 I~n;

200 195 04C2.123 TMn nhan tao e~p ciru 1.541.000dil bao gorn catheter 2 nongduoc tinh binh quan la 0,25I~n eho 1 l~n chay than,

201 196 04C2.76 Than nhan tao ehu ky 556.000 Qua loc day mau dung 6 I~n.

Thao bot: eQt song hoac lung hoac202 197 04C3.1.149 khop hang hoac xuong dui hoac 63.600

xironz chau

Ky thuat phoi h9P than nhan t1;1Ova Dil bao g6m qua loc h~p phu203

h~p phu mau bing qua h~p phu mau 3.430.000 va qua loc day mau dung 6I~n.

204 198 04C3.1.150 Thao bot khac 52.900 Chi ap dung voi nguoi benhngoai tru,

Ap dl,lng d6i voi benhPemphigus hoac Pemphigoidhoac Iy thuong bi bong nuoc

205 199 Thay bang dt loc vSt thuong man246.000

bam sinh hoac v~t loet bantinh chan do dai thao duo'ng ho?e

v~t loet, h01;1itll"0- b~nh nhanphong ho?e vSt loet, h01;1itlrdo 15' de.

Chi ap dVllg v6i llguo'i b~nh

206 200 04C3.1.143 Thay bang v~t thuong ho?e m6 ehiSu57.600

Ilgo1;1itru. D6i v6i llguo-i b~nhdai ::::15em llQi tru thea quy dillh eua BQ

y t~.

207 201 04C3.1.144 Thay bang vSt thuang ehiSu dili tren82.40015em d~n 30 em

Chi ap d~1I1gv6i nguo'i b~nh

208 201 04C3.1.145 Thay bang v~t m6 ehiSu dai tren82.400

Ilgo1;1itru. D6i v6i nguo'i b~nh15em dSn 30 em nQi tru thea quy dinh eua BQ

Yt~.

209 202 04C3.1.145 Thay bang vSt thuong hoi;iem6 ehiSu112.000

dai tt'r tren 30 em aSn 50 em

Thay bang v~t thuong ho?e m6 ehiSu210 203 04C3.1.146 dili tll" tren 15 em dSn 30 em nhi6m 134.000

trung~-

211 204 04C3.1.147 Thay bang v~t thuang ho?e m6 ehiSu179.000

dili tu 30 em dSn 50 em nhi€m trung

212 205 04C3.1.148 Thay bang v~t thuong ho?e m6 ehiSu240.000

dili> 50em nhi€m trung

213 206 Thay eanuyn mo-khf qUilll 247.000- -

214 207 04C2.72 Thay rua h~ th611gd&n1uu milng ph6i 92.900

II

Ghi bao gAm

STTSTT

Ma djch vu TeD djch vl.l chi phi true Ghi chuTT37 ti~pva ti~nhrong

I 2 3 4 5 6

215 208Thay transfer set 0 benh nhan IQc

502.000rnang bung lien tuc ngoai tru

216 209 04C2.105 Tho may (01 ngay diSu tri) 559.000

217 210 04C2.65 Thong dai 90.100

218 211 04C2.66 Thut thao phan hoac D~t sonde h~u 82.100man-

Tiem (blip hoac duoi da ho~ctInhChi ap dung voi nguoi benh

219 212 11.400 ngoai tru; chua bao gammach)thuoc tiem.

-

220 213 Tiem khop 9l.500 Chua bao g6m thuoc tiern.

221 214 Tiem khop duo'i huong d~n cua sieu132.000 Chua bao g6m thuoc tiem,

amChi ap dung voi nguoi benh

222 215 Truyen tinh mach 2l.400 ngoai tru; chua bao gamthu6c va dich truyen.

--

223 216 04C3.1.151 Khau vSt thuong phan mSm ton178.000

thuong nang chieu dai < 10cm

224 217 04C3.1.152 Khau vSt thuong phdn mSm ton237.000

thuong nang chieu dai ~ 10cm

225 218 04C3.1.153 Khau vSt thuong phfin mem t6n257.000

thuong sau chieu dai < 10cm-

226 219 04C3.1.154 Khiiu vSt thuong phfin mSm t6n305.000

thuo'ng sau chiSu dai ~ 10cm

C C Y HQC DAN TQC - PHVC HOICmJCNANG

227 220 03CIDY.2 Ban keo 45.800

228 221 04C2.DY139 B6 Farafin 42.400-

229 222 B6 thu6c 50.500-- -

230 223 03CIDY.3 B6n xoay 16.200

231 224 04C2.DY125 Cham (c6 kim dai) 72.300

232 Cham (kim nglin) 65.300

233 225 03ClDY.8 ChAn doan di~n 36.200--- -

234 226 03CIDY.29 ChAn doan di~n thfin kinh cO' 58.500---- ~ -

235 227 04C2.DY124 Chon chi (dy chi) 143.000

236 228 04C2.DY140 Clru (Ngili Clru, tui chuam) 35.500

237 229 D~t thu6c y hQc c6 truySn 45.400

238 230 04C2.DY126 Di~n cham (c6 kim dai) 74.300

239 Di~n cham (kim nglin) 67.300

240 231 04C2.DY130 Di~n phan 45.400-~

241 232 04C2.DY138 Di~n tll' tnrang 38.400

12

STT STTTT 37 Ma djch v\I Ten djch V\I

Gili bao gamchi phi trueti~p va ti~n

hrong

Ghi chu

242

243

2 3 4

233 03ClDY.20 Dien vi dong giam dau

5

28.800

41.400

6

244

234 04C2.DY134 Di~n xung

235 03ClDY.25 Giac hoi 33.200

245

246 237

236 03ClDY.l Giao thoa

04C2.DY129 H6ng ngoai

28.800

35.200

247

248

249

238

239

240

04C2.DY141 Keo n~n, keo dan cot s6ng, cac khop

Ky thuat can thiep r6i loan dai tienbing phan h6i sinh hoc(Biofeedback)

Ky thuat t~p duong ruot cho nguoibenh t6n thuong tuy song

45.300

335.000

203.000

250 241 Ky thuat t~p luyen voi dung C\J chinhhinh 48.600

251 242

243

Ky thuat thong ti~u ng~t quang trongphuc h6i chirc nang tuy song 146.000

253 244 03CIDY.32 Laser chieu ngoai 34.000~------+------~---------~----------~--------------~-----------I--------------

254 245 03CIDY.33 Laser noi mach 53.600

255

256

257

258

246

247

248

249

N~n, b6 g~y xuong cang chan bingphirong phap y hoc c6 truyen

N~n, b6 g~y xirong cang tay bingphuong phap y hoc c6 truyen

N~n, b6 g~y xirong canh tay bingphirong phap y hoc c6 truyen

Ngam thuoc y hoc c6 truyen

105.000

105.000

105.000

49.400

259

260

250 Phong b~ th&n kinh bing Phenol d~di~u tr! co c(rng CO'

251 03CIDY.17 Phl:lc h6i chuc nling xuong ch~u cuasan phl:l sau sinh de

1.050.000 Chua bao g6m thu6c

33.300

262 253 04C2.DY137 Sieu am di~u tr! 45.600

263 254 04C2.DY131 S6ng ng~n 34.900

264 255 03CIDY.35 S6ng xung kfch di~u tr! 61.700

261 252 S~c thu6c thang (1 thang)Da bao g6m chi phi d6ng g6i

12.500 thu6c, chua bao g6tn ti~nthu6c.

265 256 03ClDY.5 T~p do c(rng khap 45.700

266 257 03ClDY.6 T~p do li~t ngo~i bien 28.500I------I-------I----------~------~-----------------I-----------~------------------

267 258 03CIDY.4 T~p do 1i~tth&o kinh trung lwng 41.800

13

Ghi bao gam

STT STT Mil djch vu TeDdjch v\l chi phi trueTT 37 ti~p va ti~n Ghi chu

hrong

I 2 3 4 5 6

268 259 03ClDY.19 Tap duong sinh 23.800--

T~p giao tiep (ngon ngfr, ky hieu,269 260 59.500hinh anh ... }

270 261 03ClDY.11 Tap luyen voi ghS t~p CO" b6n dAudui 11.200

271 262 Tap manh co day chau (co san chau, 302.000Pelvis floor)

272 263 T~p nu6t (c6 sir dung may) 158.000273 264 Tap nuot (khong su dung may) 128.000-274 265 Tap sua 16i phat am 106.000275 266 04C2.DY136 Tap v~n dong doan chi 42.300~276 267 04C2.DY135 T~p van dQng toan than 46.900

277 268 Tap v~n dong voi cac dung cu tro 29.000giup

278 269 03ClDY.13 Tap voi h~ thong rang roc 11.200~-279 270 03ClDY.12 Tap voi xe dap t~p 11.200----

280 271 04C2.DY127 Thuy cham 66.100 Chua bao g6m thu6c.--

281 272 03ClDY.14 Thuy tri lieu 61.400

Tiern Botulinum toxine vao CO" thanh282 273 bang quang dS di~u tri bang quang 2.769.000 Chua bao g6m thuoc

tang hoat dong

274Tiem Botulinum toxine vao diSm

1.157.000 Chua bao g6m thuoc283v~n dong d~ di~u tri co cirng co

--

284 275 04C2.DY133 Tir ngoai 34.200--- ..~---

285 276 03ClDY.16 V~t Iy trj li~u chinh hlnh 30.100-----286 277 03ClDY.15 V~t Iy trj li~u ho hfrp 30.100

287 278 03ClDY.18 V~t Iy trj li~u phOng ngira cac biSn30.100

chung do bfrt dQng288 279 03CI DY.30 Xoa b6p ap h,rchoi 30.100----289 280 04C2.DY128 Xoa b6p bfrm huy~t 65.500290 281 03ClDY.21 Xoa b6p b~ng may 28.500--291 282 03ClDY.22 Xoa b6p CI,lC bQb~ng tay 41.800_.292 283 03ClDY.23 Xoa b6p toan than 50.700293 284 Xong hoi thu6c 42.900

294 285 Xong kh6i thu6c 37.900

295 286 Xong thu6c b~ng may 42.900--

Cac thii thu~t Y hQc c6 truy~nho~c Phyc hai chrrc nang con I~ikhac

296 287 Thu thu~t lo~i I 132.000297 288 Thu thu~t lo~i II 69.900298 289 Thu thu~t lo~i III 40.600

D D PHAU THU~T, THiJ THU~TTHEO CHUYENKHOA----

HOI suc cAp CUu vA CHONGI IDOC

14

Gia bao gAm

STT STTMil djch vu TeD djch vy.

chi phi trueGhi chuTT37 ti~p va ti~n

lurrng

1 2 3 4 5 6

Ph§.u thuat d~t h~ thong tim phoi Chua bao g6m bQ tim ph6i,299 290 5.202.000 day d§.n va canuyn ch<;tynhan tao (ECMO)

ECMO.

Chua bao g6m bQ tim phoi,300 291 Thay day, thay tim phdi (ECMO) 1.496.000 day d§.n va canuyn chay

ECMO.

301 292 Theo doi, chay tim phoi nhan tao1.293.000

Ap dung thanh toan cho m6i(ECMO) m6i 8 gic 8 gio thuc hien.

302 293 KSt thuc va rut h~ thong ECMO 2.444.000

Cac ph~u thuat, thii thu~t con laikhac

303 294 Ph§.u thuat loai d~c biet 3.204.000304 295 Ph§.u thuat loai I 2.167.000305 296 Ph§.u thuat loai II 1.290.000

- -- ----306 297 Thu thuat loai d~c biet 1.233.000

- ~ --- ---

307 298 Thu thuat loai I 762.000308 299 Thu thuat loai II 459.000309 300 Thu thuat loai III 317.000II II N<)IKHOA

310 301 DU-MDLS Giam m§.n cam nhanh voi thuoc 721.392.000igic)'

311 302 DU'-MDLS Giam man cam voi thuoc hoacstra885.000hoac tlnrc an

Lieu phap mi~n dich d~c hieu duong

312 303 DU'-MDLS diroi luo'i voi di nguyen (Giai doan2.372.000

ban d~u - li~u phap trung binh 15ngay)

Li~u phap mi~n dich d~c hi~u duo'ng313 304 DU'-MDLS du6'i luo'i v6"i di nguyen (Giai do<;tn 5.103.000

duy tri - li~u pilap trung binh 3 thang)

314 305 DU'-MDLS Phan ung phan huy Mastocyte (D6i290.000

v6"i6 lo<;tidi nguyen)

315 306 DV-MDLS Phan ung tieu b<;tchdu d~c hi~u. 160.000

Test ap bi (Patch test) d~c hi~u v6"i316 307 DU'-MDLS thu6c (D6i vO'i6 lo<;tithu6c) ho~c my 521.000

phim

317 308 DU-MDLS Test h6i ph\lc phS quan 172.000

318 309 DU-MDLS Test huySt thanh tt,r than 668.000

319 310 DU'-MDLS Test kich thich phS quim khong d~c 878.000hi~u v6"iMethacholine

320 311 DU'-MDLS Test kfch thich v6"i thu6c ho~c sua838.000

ho~c thuc an

15

Ghi bao gAm

STT STTMil djch VI} Ten djch vu chi phi true

TT37 .J.. .... l. Ghi chutiep va tienluong

I 2 3 4 5 6

Test lfiy da (Prick test) di;ichieu voi321 312 DV-MDLS cac di nguyen h6 h&p hoac thirc an 334.000

hoac suaTest lfiy da (Prick test) di;ichieu voi

322 313 DU'-MDLS cac 101;1ithu6c (D6i voi 6 101;1ithuoc 377.000hoac vacxin hoac huvet thanh)

323 314 DU"-MDLS Test nQi bi cham di;ichieu voi thuoc475.000hoac vacxin hoac huyet thanh

-- -~

324 315 DU'-MDLS Test nQi bi nhanh di;ichieu voi thuoc389.000hoac vacxin hoac huyet thanh

Cac ph~u thu~t, thii thu~t con l~ikhae

325 316 Phftu thuat loai I 1.569.000326 317 Phftu thuat 101;1iII 1.091.000327 318 Thu thuat 101;1idi;icbiet 823.000328 319 Thu thuat 101;1iI 580.000329 320 Thu thuat 101;1iII 319.000330 321 Thu thuat 101;1iIII 162.000~

DALIEUIII III ~Chup va phan tich da b~ng may331 322 205.000

332 323 D~p mat n1;1diSu trj mot s6 benh da 195.000

333 324 DiSu tri mot s6 benh da bang Ni to"332.000

--- - --- long, n1;1Othuonz t6n

334 325 DiSu trj cac benh Iy cua da bang240.000

PUVA hoac UBV toan than335 326 DiSu tri h1;1tcom b~ng Plasma 358.000

--

336 327 DiSu tri mQt s6 b~nh da b~ng1.268.000Fractional, Intracell

337 328 DiSu tri mQt s6 b~nh da b~ng IPL 453.000

338 329 DiSu tri mQt s6 b~nh da b~ng Laser333.000C02, Plasma, d6t di~n, ni to"long

--- --

339 330 DiSu tri mQt s6 b~nh da b~ng Laser1.049.000mau

340 331 DiSu tri m9t s6 b~nh da b~ng Laser1.230.000YAG, Laser Ruby

341 332 DiSu tri m9t s6 b~nh da b~ng Laser,213.000Anh sang chi~u ngoai

342 333 DiSu tri m9t s6 b~nh da b~ng tiem t1;1i285.000ch6, ch&mthu6c

343 334 DiSu tri sui mao ga b~ng Laser CO2,682.000dt bo thlrong t6n

344 335 DiSu tri u m1;1chmau b~ng lPL744.000(Intense Pulsed Light)

345 336 DiSu tri viem da co·dia b~ng may 1.108.000--

346 337 Phftu thu~t chuySn gao diSu tri ho·mi 2.192.000.16

Gi:i bao gam

STT STTMil djch vl} TeD djch vl} chi phi trl!C

Ghi chuTT37 ti~p va ti~nIU'O'ng

I 2 3 4 5 6

347 338 Ph~u thuat diSu tri hep h6 khau cai 2.468.000- -

348 339 Ph~u thuat diSu tri 16 dao c6 viem628.000xuong

-

349 340 Ph~u thuat diSu trj 16 dao khong546.000viem xuonz

350 341 Ph~u thuat diSu trj sa tr~ mi duoi 1.912.000

351 342 Ph~u thuat diSu tri s~p cAumiii 1.552.000--

352 343 Ph~u thuat diSu tri u duoi m6ng 752.000

353 344 Ph~u thuat giai ap thAn kinh 2.318.000

354 345 Ph~u thuat Mohs diSu trj ung thu da 3.337.000Cac ph~u thu~t, tho thu~t con laikh3c

-355 346 Ph~u thuat loai d~c biet 3.256.000356 347 Ph~u thuat loai I 1.826.000357 348 Ph~u thuat loai II 1.056.000358 349 Ph~u thuat loai III 795.00035<J 350 Thu thuat loai d~c biet 760.000360 351 Thu thuat loai I 385.000361 352 Thu thuat loai II 250.000362 353 ThU thuat loai III 148.000 ~--. ~-

IV IV NOI TIET

363 354 03C2.1.5 D~n hru ap xe tuyen giap 231.000

364 355 GQt chai chan (got n6t chai) tren258.000nguai benh dai thao ducmg

365 356 Ph~u thu~t lo~i 1 m6 ma tuy~n nQi6.560.000ti~t c6 dung dao sieu am

366 357 Ph~u thu~t lo~i 1 m6 me)"tuy~n nQi4.166.000ti~t khong dung dao sieu am

367 358 Ph~u thu~t lo~i 1 m6 nQi soi tuy~n5.772.000nQi ti~t c6 dung dao sieu am


369 360 Ph~u thu~t lo~i 2 m6 mo' tuy~n nQi3.345.000ti~t khong dung dao sieu am

--


371 362 Ph~u thu~t lo~i 3 m6 mo' tuy~n nQi2.772.000ti~t khOng dung dao sieu am

-Ph~u thu~t lo~i d~c bi~t m6 rna

372 363 tuy~n nQi ti~t khong dung dao sieu 5.485.000am

--

373 364 Ph~u thu~t lo~i d~c bi~t tuy~n llQi7.761.000ti~t m6 ma c6 dung dao sieu am

17

Ghi bao gAm

STT STTMil djch vu Ten djch vl} chi phi true

Ghi chuTT37 ti~p va ti~nhrong

I 2 3 4 5 6

374 365 Ph~u thuat loai d~c biet tuyen nQi 7.652.000ti~t mb nQi soi dung dao sieu am

Cac tho thu~t con lai khac375 366 Thu thuat loai I 616.000376 367 ThU thuat loai II 392.000377 368 Thu thuat loai III 212.000V V NGO~IKHOA

Ngo~i Th~n kinh

378 369 Ph~u thuat giai ep th:1n kinh hoac 4.498.000khoan tharn do SQ

-~----

Ph~u thuat l~y mau tu trong SQhoacChua bao g6m nep, ghim, vit,379 370 ngoai mang cirng hoac diroi mang 5.081.000 bc, mieng va khuyet SQ.cirng hoac trong nao

380 371 Ph~u thuat u hb mat 5.529.000 Chua bao g6m nep, ghim, bc,vit, mieng va khuyet SQ

_.

381 372 Ph~u thuat ap xe nao 6.843.000 Chua bao g6m bQ d~n Itrukin, mieng va khuyet SQ.

382 373 03C2.1.39Ph~u thuat d~n luu nao th~t - mang 4.122.000 Chua bao g6m van d~n luubvng nhan tao,

Chua bao gam mieng va383 374 03C2.IA5 Ph~u thu~t nQi soi nao ho~c tuy sbng 4.948.000 khuy~t SQ,dao sieu am (trong

ph~u thu~t u nao)- _.

384 375 03C2.1.38 Ph~u thu~t nQi soi u tuy~n yen 5.455.000 Chua bao g6m mi~ng vakhuy~t SQ,dao sieu am.

----~--- _.

Chua bao g6m mang nao385 376 Ph~u thu~t t~o hlnh mang nao 5.713.000 nhan t~o, mi~ng va khuy~t SQ,

bQvan d~n luu.Chua bao g6m mang nao

386 377 Ph~u thu~t tho at vi nao, mang nao 5.414.000 nMn t~o, miSng va khuyst SQ,bQ van d~n luu.

Chua bao g6m m~ch nMn387 378 Ph~u thu~t vi ph~u l~y u tuy 7.245.000 t~o, k(fp m~ch mau, ghim, bc,

vit, kinh vi ph~u.- - _

388 379 03C2.IA3 Ph~u thu~t vi ph~u u nao duong gifra 7.447.000 Chua bao g6m miSng va nhant~o, ghim, bc, vit.Chua bao g6m dinh, n(fp, vit,

389 380 03C2.1AI Ph~u thu~t vi ph~u u nao n~n SQ 6.653.000 v~t li~lI dm mau sinh hQc,mang nao nMn t~o, dao sieuam.

Chua bao g6m dVng Cl,l d~n

390 381 03C2.IA2 Ph~u thu~t vi ph~u u nao th~t 6.653.000 ducmg, ghim, bc, vit, dao sieuam, bQ d~n lUll nao th~t,miSng va khuy~t SQ.

.-

18

Chi bao gAm

STT STTM§ djch v\l Ten djch v\l chi phi trl}'c

Chi chuTT37 ti~p va ti~nIU'O'ng

I 2 3 4 5 6

Chua bao gam mach nhan

391 382 Phfru thuat vi phfru u nao tuyen yen 7.145.000 tao, mieng va khuyet SQ, kepmach rnau, ghim, 6c, vit, daosieu am.

392 383 Phfru thuat di~u tri viern xuong SQ5.389.000 Chua bao g6m nep, ghim, 6c,

hoac ham mat vit.-~---

Chua bao g6m xirong nhant(,10,v~t lieu t(,10hinh hop SQ,

393 384 Phfru thuat ghep khuyet SQ 4.557.000 dinh, nep, vit, IU'6i tital,ghim, 6c, mang nao nhan t(,10,vat li~u earn mau sinh hoc.

Chua bao g6m dinh, ghim,394 385 Ph~u thuat u xuong SQ 5.019.000 nep, vit, 6c, v~t li~u tao hinh

hQP SQ, mang nao nhan tao .. -

Chua bao gem dinh, ghim,395 386 Phfru thuat v~t thuong SQnao ho 5.383.000 nep, vit, 6c, mang nao nhan

t(,10,v~t li~u tao hinh hQP SQ.-

Chua bao gam kep mach396 387 03C2.1A4 Ph~u thu~t vi phfru di d(,1ngm(,1chnao 6.741.000 mau, mieng va khuy~t SQ, van

d~n Iuu, ghim, bc, vit.-- -

Ph~u thu~t vi ph~u n6i m(,1ch mau Chua bao gam m(,1ch nhan397 388 7.121.000 t(,10,k~p m?ch mau, ghim, bc,trong va ngoai hQP SQ

vit.

398 389 03C2.1AO Ph~u thu~t thAn kinh c6 dfrn ducmg 6.447.000

399 390 03C2.1A6 Quang dQng hQc (PTD) trong di~u tri 6.849.000 Chu'a bao g6m dl,mg Cl) d~nu nao ac tinh dm'mg _ _ _ ~~_Ngol.li LAng ngl}'c - ml.lch mau

- -~-

400 391 03C2.1.31 C~y ho~c d~t may t?O nhip ho~c dy 1.625.000 Chua bao g6m may t(,10nhip,may t?O nhip pha rung may pha rung.

Chu'a bao g6m bQ tim ph6inhan t?O va day ch?y may,vang van, van tim nhan t?O,mieng va sieu mong, m?chmau nhan t?O, dQng m?ch chunhan t?O, keo sinh hQc dung

401 392 03C2.1.24 Phfru thu~t b~c du m(,1chvanh 18.144.000 trong phfru thu~t phinh tachdQng m?ch, qua IQC tachhuy~t tuO'ng va bQ day d~n,dung dich bao v~ t?ng, daytruySn dung dich bao v~ t?ng,d~lI1gql cb dinh m?ch vanh.

- - - ~- - -~- -

19

Ghi bao gam

STT STTMa djch V\I Ten djch vu chi phi true

TT 37 ti~p va ti~n Ghi chu

IlfO'ng

I 2 3 4 5 6

Chua bao g6m bQ tim ph6inhan tao va day chay may,dQng mach chu nhan tao,

Phfiu thuat cac mach mau 16'n (dong mach rnau nhan tao, keo sinhhoc dung trong phfiu thuat402 393 03C2.1.25 mach chu nguc hoac bung hoac canh 14.645.000 phinh tach dQng mach, qua

hoac than) IQc tach huyet tirong va bQday d§.n, dung dich bao v~tang, day truyen dung dichbao v~ tang.

403 394 03C2.1.18 Ph§.u thuat dt mang tim rong 14.352.000Chua bao gam mach maunhan tao, dQng mach chu

404 395 03C2.1.15 Ph§.u thuat c~t <sngdong mach 12.821.000 nhan tao, keo sinh hoc dungtrong ph§.u thuat phinh tach

~ dQng mach.

405 396 03C2.1.17 Ph§.u thuat nong van dQngmach chu 7.852.000-- --

Chua bao gam mach milUnMn tao, dQng mach chu

406 397 03C2.1.16 Ph§.u thuat tao hinh eo dong mach 14.352.000 nhan tao, keo sinh hoc dungtrong ph§.u thuat phinh tach

-dong mi;lch.

407 398 Ph§.u thu~t d~t Catheter 6 bVng dS 7.275.000IQcmang bl,mg~

Ph§.u thu~t ti;lothang dQng tInh mi;lch Chua bao gam mi;lch mau408 399

AVF3.732.000 nhan ti;lo, dQng mi;lch chu

nMn t~o.- -

409 400 Ph§.u thu~t thi'im do ngoai mang tim 3.285.000ho~c tham do 16ng ngl,fC~ -

Chua bao gam mi;lch maunhan ti;lo, dQng mi;lch chu

410 401 03C2.1.19 Ph§.u thu~t thay dOi;lnmi;lchnMn ti;lo 12.653.000 nhan ti;lo, keo sinh hQc dungtrong ph§.u thu~t phinh tach

- dQng mi;lch.

Chua bao g6m bQ tim ph6inhan ti;lOva day chi;ly may,dQng mi;lch chu nMn ti;lo,vandQng mi;lch chu nhan ti;lo,mi;lch mau nMn ti;lo, <sngvan

411 402 03C2.1.21 Ph§.u thu~t thay dQng mi;lchchu 18.615.000 dQng mi;lch, keo sinh hQcdung trong ph§.u thu~t phinhtach d9ng m~ch, qua 19Ctachhuyet tuong va bQ day d§.n,dung dich bao v~ ti;lng, bQday truySn dung dich 1* tim.

--

20

STT

2

Ph~u thu~t n(>isoi c~t u trung thftt

Ghi bao gamchi phi tr,!cti~p va ti~n

lurmg

Ghi chu

410

4

~------~-----~---------~---------------------------I------------I-----------------

412

413

414

415

STTTT 37 Mil djch Vl} Ten djch Vl}

5 6

Chua bao g6m b(> tim phoinhan tao va day chay may,vong van va van tim nhantao, mach mau nhan tao,dong mach chu nhan tao, 6ng

17.144.000 v~n dong m?c~, keo ~inh I~QCdung trong phau thuat phinhtach dong mach, qua IQctachhuyet tuong va bQ day d~n,mieng va sieu rnong, dungdich bao v~ tang, day truyendung djch bao v~ tang.

Chua bao gam dong machchu nhan tao, van d0ng mach

13.836.000 chu nhan ~<;IO,mach ~au nhantao, keo sinh hoc dung trongph~u thuat phinh tach dongmach.

Chua bao gam mach rnau14.352.000 nhan tao hoac dong mach chu

nhan t<;lo.

Chua bao g6m b(> tim ph6inhan t;;tOva day ch<;lymay,m;;tch mau nhan t<;lO,d(>ngm;;tch chu nhan t<;lO,keo sinh

16447 000 hQc dung trong ph~u thu~t. . phinh tach a0ng m;;tch, qua

1Qc tach huy~t tuO'ng va bQday d~n, dung dich bao v~t<;lng,bQday truy~n dung dichli~t tim, dALId6t.

416

417

418

3

403 03C2.1.20Ph~u thuat tim cac loai (tim b~msinh hoac sua van tim hoac thay vantim ... )

3.014.000

Chua bao g6m may dt n6i tl/8.641.000 dQng, ghim khau may ho~c

stapler

10.311.000

Ph~u thu~t d~n luu mang ph6iI------~-----I---------~---------------------------I------------~----------------·- -

419

420

421

404 Ph~u thuat tim kin khac

405 03C2.1.14 Ph~u thuat tim loai Blalock

1.756.000

Chua bao g6m cac lo;;tidinh6.686.000 nyp vit, cac 10<;likhung, thanh

nang ng~rcva aai nt(p ngoai.

Chua bao g6m may c~t n6i tv9.982.000 dQng, ghim khau may ho~c

stapler, dao sieu am

406 03C2.1.26 Ph~u thu~t tim, m;;tch khac co suod\mg tuAn hoan ngoai CO' th~

407 Ph~u thu~t u mau cac vi tri

408 Ph~u thu~t c~t ph6i

409 Ph~u thu~t c~t u trung thftt

411 Ph~u thu~t di~u tfi b~nh Iy 16ng nglJckhac

412

21

Gia bao gam

STT STT Mii dich vu Ten djch v1,l chi phi trueGhi chuTT37 ti~p va ti~n

hrong

1 2 3 4 5 6

Ph&u thuat nQi soi nguc benh Iy hoac Chua bao g6m may cit n6i tv422 413

chan thuong 8.288.000 dong, ghim khau may hoacstapler, dao sieu am.

- -

Chua bao gom cac 10<;1idinh,

423 414 Ph&u thuat phuc h6i thanh nguc (do6.799.000 nep, vit, cac 10<;1ikhung,

ch~n thuong hoac v~t thuong) thanh nang nguc va dai nepngoai,

Ngoai Ti~t ni~u

424 415 03C2.1.91 Ghep than, nieu quan W than c6 sir6.544.000dung vi ph&u

425 416 Ph&u thuat c~t than 4.232.000

426 417 Ph&u thuat c~t u thtrong than hoac6.117.000c~t nang than

427 418 Ph&u thuat nQi soi I~y soi than hoac4.027.000

soi nieu quan hoac soi bang quang

--

428 419 03C2.1.82 Phau thuat noi soi c~t than hoac u4.316.000sau phuc mac

429 420 03C2.1.83 Ph&u thuat noi soi u thirong than4.170.000hoac nang than

430 421 Ph&u thuat I~y s6i th~n ho~c s6i ni~u4.098.000quin ho~c s6i bang quang

Ph&u thu~t c~t ni~u quin ho~c t<;10431 422 hinh ni~u quin ho~c t<;10hinh bS tMn 5.390.000

(do b~nh Iy ho~c ch~n thuong)

432 423 03C2.1.85 Ph&u thu~t cit tui sa ni~u quin b&ng3.044.000

nQi soi433 424 Phau thu~t cit bang quang 5.305.000434 425 Ph&u thu~t c~t u bang quang 5.434.000-

435 426 Ph&u thu~t nQi soi c~t u bang quang 4.565.000

436 427 03C2.1.84 Ph&u thu~t nQi soi cit bang quang,5.818.000t<;10hinh bang quang

437 428 Ph&u thu~t nQi soi c~t c6 bang quang 4.565.000

438 429 Ph&uthu~t d6ng do bang quang 4.415.000

439 430 03C2.1.87 DiSu tr! u XO' tiSn li~t tuy~n b~ng2.694.000 Chua bao g6m day cap quang.laser

440 431 03C2.1.88 NQi soi c~t d6t u lanh tuy~n tiSn li~t2.694.000qua ducmg ni~u d<;1o(TORP)

441 432 Ph&u thu~t b6c u XO' tiSn li~t tuy~n 4.947.000

442 433 03C2.1.86 Ph&u thu~t cit tuy~n tiSn li~t qua nQi3.950.000

SOl

22

Ghi bao gAm

STT STTMil djch V\l Ten djch v\l

chi phi trl}'cGhi chuTT37 ti~p va ti~n

IU'O'ng

I 2 3 4 5 6

443 434 Ph~u thuat di8u tri cac benh Iy hoac4.15l.000ch~n thuong nieu dao khac

444 435 Ph~u thuat ha tinh hoan ~n, tinh2.321.000hoan lac ch6 hoac c~t bo tinh hoan

445 436 Ph~u thuat nQi soi d~t Sonde JJ l.751.000 Chua bao g6m sonde JJ.

446 437 Ph~u thuat t<;10hinh duong v~t 4.235.000-

447 438 03C2.1.89 f)~t prothese c6 dinh san chau vao3.562.000mom nho xuong cut

448 439 03C2.1.12 Din soi ngoai CO' th~ bang song xung2.388.000(thuy di~n lire)

449 440 03C2.1.13 Tan soi qua nQi soi (soi than hoac1.279.000 Chua bao g6m sonde JJ, rQ

soi nieu quan hoac sci bang quang) I~y soi.

Tieu hoa

Chua bao gam k~p khoa

450 441 Ph~u thuat c~t cac u lanh thirc quan 5.441.000 mach mau, may dt n6i tudong va ghim khau may, daosieu am, Stent.Chua bao gam k~p kh6a

451 442 Ph~u thuat c~t thuc quan 7.283.000 mach rnau, may c~t n6i ttldong va ghim khau may, daosieu am, Stent.

452 443 03C2.1.61 Ph~u thu~t c~t thv'c quan qua noi soi5.814.000 Chua bao g6m may dt n6i tv

ngl,l'cva bl,lng dong va ghim khau may.

Chua bao g6m k~p khoa

453 444 Ph~u thu~t d~t Stent thl,l'cquan 5.168.000 m<;1chmall, may dt n6i ttldong va ghim khau may, daosieu am, Stent.

Ph~u thu~t noi soi di8u tri trio nguQ'c---

454 445 03C2.1.60 5.964.000thllC quan d<;1day ~

Chua bao gam k~p khoa

455 446 Ph~u thu~t t<;10hinh thlJc quan 7.548.000 m<;1chmall, may dt n6i Wdong va ghim khau may, daosiell am, Stent.

-

Chua bao g6m may dt n6i tv'456 447 03C2.1.59 Ph~u thu~t nQi soi t<;10hinh thvc quan 5.964.000 dong va ghim khau may,

Stent.---

Chua bao g6m may dt n6i tv'457 448 Phau thu~t dt ban phlln d<;1day 4.913.000 d9ng va ghim khau may, k~p

kh6a m?ch mall, dao siell am.-

Chua bao g6m may c~t n6i W458 449 Ph~u thu~t c~t d<;1day 7.266.000 d9ng va ghim khall may, k~p

kh6a m<;1chmau, dao sieu am.

23

Ghi bao gam

STT STT Ma djch vu Ten djch v'_'chi phi true

Ghi chuTT 37 ti~p va ti~nhrong

I 2 3 4 5 6

Chua bao g6m may dtt n6i tu459 450 03C2.1.62 Ph~u thuat nQi soi c~t da day 5.090.000 dong va ghim khau may, dao

sieu am, kep kh6a mach rnau.

460 451 Ph~u thuat nQi soi khau thong da day 2.896.000_.

Ph~u thuat noi soi dtt day th~n kinh461 452 03C2.1.64 3.241.000 Chua bao g6m dao sieu am.X trong dieu tri 1061da d1!Y_

Ph~u thuat benh phinh dai trang bAm Chua bao g6m may dtt n6i til462 453 03C2.1.81 2.944.000 dong va ghim khau may c~tsinh 1 thi

n6i.-Chua bao g6m may dtt n6i WPh~u thuat dtt dai trang hoac ph~u

463 454thuat ki6u Harman

4.470.000 dong va ghim khau may dttn6i.

464 455 Ph~u thuat c~t day chang go' dinh ruot 2.498.000

Chua bao g6m may c~t n6i W465 456 Ph~u thuat dtt n6i ruot 4.293.000 dQng va ghim khau may c~t

n6i.

466 457 03C2.1.63 Ph~u thuat nQi soi c~t n6i ruQt 4.241.000Chua bao g6m may dtt n6i tildQng va ghim khau trong may.

- -- ---- -Chua bao g6m may c~t n6i W

467 458 Ph~u thu~t cit ruQt non 4.629.000 dQng va ghim khau may c~tn6i.

468 459 Ph~u thu~t cit rUQtthira 2.561.000

469 Ph~u thu~t nQi soi dtt ruQt thira 2.564.000

Chua bao gam kh6a kyp

460Ph~u thu~t dtt tn,rc trang duong

6.933.000m:;tch mau, mi~ng c~m mau,

470bl,1ng,t~ng sinh man may c~t n6i w dQng va ghim

khau may dtt n6i.

471 461 03C2.1.80 Ph~u thu~t di * teo Mu man t[\rc 4.661.000trang 1 thl

472 462 Ph~u thu~t nQi soi c6 dinh tn,rc trang 4.276.000 Chua bao g6m t~m nang trl,1'ctrang, dao sieu am.

Ph~u thu~t nQi soi ung thu d:;tiho~c Chua bao g6m may c~t n6i t\]'473 463 03C2.1.65

tqrc trang3.316.000 dQng va ghim khau may, dao

sieu am, kyp kh6a m:;tchmau.

Chua bao g6m kyp kh6a

474 464 Ph~u thu~t d~n luu trong (n6i t~t)2.664.000 m:;tch mau, mi~ng dm mau,

ho~c d~n luu ngoai may cit n6i W dQng va ghimkhau may c~t n6i.

Ph~u thu~t khau 16 thOng tieu h6a475 465 ho~c l~y di v~t 6ng tieu h6a ho~c dAy 3.579.000

b:.'lthuc an xu6ng d:;titrang

24

Gia bao gAm

STT STTMil djch vy. Ten djch vu chi phi trl}'c

Ghi chuTT37 ti~p va ti~Dluong

1 2 3 4 5 6

Chua bao g6m keo sinh hoc,476 466 Ph~u thuat cit gan 8.133.000 d&u dao cit gan sieu am, dao

cit him mach, han mo.

Chua bao g6m d&u dao cit477 467 03C2.1.78 Ph~u thuat noi soi cit gan 5.648.000 gan sieu am, keo sinh hoc,

dao cit han mach, han mo._

Ph~u thuat cit gan rna co sir dung Chua bao g6m d&u dao cit478 468 03C2.1.77

thiet bi kg thuat cao 6.728.000 gan sieu am, keo sinh hoc,dao cit han mach, han mo.

Chua bao g6m keo sinh hoc,

479 469 Ph~u thuat di~u tri benh Iy gan hoac4.699.000 d&u dao cit gan sieu am, dao

m~t khac cit han mach, han mo, Stent,chi phi DSA.

-- --

Ph~u thuat noi soi di~u tri benh ly Chua bao g6m d&u dao cit480 470 03C2.1.79 3.316.000 gan sieu am, keo sinh hoc,gan m~t khac

dao cit han mach, han mo.Ph~u thuat khau v6t thuong gan hoac

-

481 471 5.273.000 Chua bao g6m v~t lieu dmchen gac c&mrnau mau. ---__

482 472 Ph~u thuat cit tui mat 4.523.000--

483 473 03C2.1.73 Ph~u thuat noi soi cit tui m~t 3.093.000

484 474 Ph~u thuat l~y soi 6ng m~t chu 4.499.000 Chua bao gom d&utan sci vadi~n ql"c tan soi.

485 475 Ph~u thu~t l~y soi 6ng m~t phuc t;:tp 6.827.000 Chua bao g6m d&u tan soi vadi~n CI,I"Ctan soi.

----

486 476 03C2.1.76 Ph~u thu~t noi soi cit tui m~t - mo·3.816.000

Clma bao g6m d&u tan soi va6ng m~t chu I~y soi va n6i m~t - ruot di~n qrc tan soi.

Ph~u thu~t noi soi cit nang 6ng m~t-

487 477 03C2.1.67 4.464.000chu

488 478 03C2.1.72 Ph~u thu~t noi soi I~y soi m~t hay di3.316.000 Chu·a bao g6m d&utan soi va

v~t ducrng m~t di~n CI,I"Ctan soi.- _ --- - _ -

489 479 03C2.1.75 Tan soi trong m6 noi soi ducmg m~t4.15l.000

Chua bao g6m d§u tan soi vava tan soi qua ducmg h&mKehr di~n ql"Ctan soi.

---

490 480 03C2.1.74 Ph~u thu~t cit co Oddi va nong3.456.000 Chua bao g6m stent.duang m~t qua ERCP

491 481 Ph~u thu~t n6i m~t ruot 4.399.000-

Chua bao g6m may cit n6i tv492 482 Ph~u thu~t cit kh6i ta tl,ly 10.817.000

dong, ghim khau may cit n6i,kh6a ktfp m;:tchmall, dao siellam va dOc;lnmc;lchnhan tc;lO.

----

25

Gili bao gAm

STTSTT

Mfi djch vu Ten djch vl}. chi phi true Ghi chuTT 37 ti~p va ti~n

hrong

I 2 3 4 5 6

Phfiu thuat nQi soi cit kh6i ta tuy coChua bao g6m may cit n6i tu

493 483Slr dung may cit n6i

10.110.000 dong va ghim khau may, daosieu am, kep khoa mach mau.

--

494 484 Phfiu thuat cit lach 4.472.000Chua bao g6m kh6a kepmach mau, dao sieu am.

Chua bao g6m may cit n6i tv495 485 03C2.1.70 Phfiu thuat nQi soi cit lach 4.390.000 dong va ghim khau may, dao

sieu am, kep khoa mach mall.

Chua bao g6m may cit n6i tv

496 486Phfiu thuat cit than tuy hoac cit duoi 4.485.000 dong va ghim khau may cittuy noi, kh6a kep mach rnau, dao

- -sieu am.

Phfiu thuat cit u phuc mac hoac uChua bao g6m may cit n6i tv

497 487 5.712.000 dQng va ghim khau may citsau phuc mac n6i, vat lieu dim mall.

498 488 Phfiu thuat nao vet hach 3.817.000 Chua bao g6m dao sieu am.--~

499 489 Phfiu thuat u trong 6 bung 4.670.000Chua bao g6m khoa kepmach mau, dao sieu am.

_.

Chua bao g6m may cit n6i tv500 490 03C2.1.68 Phfiu thu~t nQi soi cit 1I trong 6 b\mg 3.680.000 dQng va ghim khall may, dao

sieu am, kt;!pkh6a m~ch mau.

Phfiu thll~t tham do 6 bl,lng ho~c rna Chua bao g6m may cit n6i tv501 491 thong d~ day ho~c mo' thong h6ng 2.514.000 dQng va ghim khall may cit

trang ho~c lam h~lI man nhan t~o n6i.----

Phfill thll~t thoat vi bt;!nho~c thoat viChua bao gam tam mang

502 492 3.258.000 nang, kh6a kt;!p m~ch mall,dui ho~c thoat vi thanh bl,lng v~t li~u dm mall.

503 493Phfiu thu~t dfin lUll ap xe trong 6 2.832.000

...- bung

Phfiu thu~t cit trTho~c di~u tri nUt keChua bao g6m may cit n6i tv

504 494 h~u man ho~c di~u tri ap xe ro h~u 2.562.000dQng va ghim khau may citn6i, kh6a kt;!pm~ch mall, v~t

manli~udm mall.

505 495 03C2.1.66 Phfiu thu~t di~u tri trT ky thu~t cao 2.254.000 Chua bao g6m may cit n6i W(phuo-ng phap Longo) dQng va ghim khau trong may.

506 496 03C2.1.50 Cit co Oddi ho~c dfin luu m~t qua 2.428.000Chua bao g6m dao cit, thu6c

nQi soi ta trang cim quang, catheter.

507 497 03C2.1.49 Cit niem m~c 6ng tiell hoa qua nQi 3.928.000 Chua bao g6m dao dt niemsoi diSu tri ung thu s6m m~c, kim kt;!pdm mau.

Cit polyp 6ng tieu hoa (thl,l'c qUlin508 498 03C2.1.54 ho~c d~ d§.y ho~c d~i trang ho~c trl,l'c 1.038.000

trang)

26

Ghi bao g6m

STT STTMa djch vu TeDdjch v\l chi phi true

Ghi chiiTT37 ti~p va ti~nIU'O'ng

1 2 3 4 5 6

509 499 03C2.1.55 Di;tt stent duong m~t hoac tuy duoi1.885.000 Chua bao gorn stent, dao cat,

huong d~n cua sieu am catheter, guidewire.

510 500 03C2.1.48 L~y dj v~t 6ng tieu hoa qua noi soi 1.696.000

511 501 03C2.1.52 L~y soi hoac giun dirong mat qua noi3.396.000soi ta trang

-512 502 03C2.1.47 Mo thong da day qua noi soi 2.697.000

- -

513 503 03C2.1.51 Nong duong mat qua noi soi ta trang 2.238.000 Chua bao g6m b6ng nong.

514 504 04C3.1.158 CAt phymosis 237.000

515 505 04C3.1.156 Chich rach nhot, Apxe nho d~n hru 186.000

516 506 04C3.1.157 Thao long ruot bang hoi hay baryte 137.000

517 507 04C3.1.159 ThAt cac bui tri' h~u men 277.000

XU'O'ng,cQt s8ng, ham m~t~~

518 508 03C2.1.1 ce dinh gay xuong suon 49.900

NAn co gay me, bo bot ban chan

519 509 04C3.1.181 ngua veo vao, ban chan bet hoac t~t 714.000g6i cong 15m trong hay 15m ngoai(bot liSn}

-

NAn co gay me, bo bot ban chan

520 510 04C3.1.180 ngira veo vao, ban chan bet hoac t~t 529.000g6i cong 15m trong hay 15m ngoaiI(bot ttr can)

521 511 04C3.1.167 NAn tr~t khop hang (bot lien) 644.000

522 512 04C3.1.166 NAn tr~t khop hang (bot tu can) 274.000

523 513 04C3.1.165 NAn tr~t khop khu}'u chan hoi;tckh6p259.000c6 chan hoi;tckh6p g6i (bot liSn)

524 514 04C3.1.164 NAn tr~t kh6p khu}'u chan hoi;tckho'p159.000c6 chan hoi;tckh6p g6i (bot tt;t' can)

~--

525 515 04C3.1.161 NAn tr~t kho'p khu}'u tay hoi;tc kh6p399.000xuang don hoi;tckh6p ham (bot liSn)

--- ~-

NAn tr~t kh6p khu}'u tay hoi;tc kh6p526 516 04C3.1.160 xuang don hoi;tc kh6'p ham (bot tt;t' 221.000

can)

527 517 04C3.1.163 NAn tr~t kh6p vai (bot liSn) 319.000-- -

528 518 04C3.1.162 NAn tr~t kh6p vai (bot tt;t'can) 164.000-- ---~ - -

529 519 04C3.1.177 N~n, bo bot ban chan hoi;tc ban tay234.000I(bot liSn)

27

Ghi bao gAm

STTSTT Mil. djch vu Ten djch v\I

chi phi trueGhi chu

TT 37 ti~pva ti~nhrong

I 2 3 4 5 6

530 520 04C3.1.176N~n, bo bot ban chan hoac ban tay 162.000i(bot nr can)

531 521 04C3.1.175 N~n, bo bot gay xuong dng tay (bot 335.000lien)-_~Nan, bo bot gay xuong cang tay (bot

532 522 04C3.1.174 212.000--~ -~ - tir can)

-Nan, bo bot trat khop hang b~m sinh

533 523 04C3.1.179 714.000(bot lien)-~-N~n, bo bot trat khop hang b~m sinh

534 524 04C3.1.178 324.000(bot tu can)

- ~Nan, bo bot xuong cang chan (bot

535 525 04C3.1.171 335.000liSn)-- -

Nan, bo bot xuong cang chan (bot tIJ536 526 04C3.1.170 254.000

can)-

537 527 04C3.1.173 N~n, bo bot xuong canh tay (bot lien) 335.000

538 528 04C3.1.172N~n, bo bot xuong canh tay (bot tIJ 254.000can)_Nan, bo bot xirong dui hoac chau

539 529 04C3.1.169 624.000hoac cot s6ng (bot lien)-_- -- -_- -

540 530 04C3.1.168Nan, bo bot xuong dui hoac chau 344.000hoac cot s6ng (bot nr can)-~---_--

541 531 03C2.1.2 Nan, bo g~y xuong don 118.000-~

542 532 03C2.1A N~n, bo g~y xuong got 144.000

543 533 03C2.1.3N~n, bo va xirong banh che khong 144.000co chi dinh m6--_ ~-

544 534 Ph~u thuat dt cut chi 3.74l.000-~ -

_Phfill thuat chuy~n gan di€u tri co

545 535 03C2.1.109 2.925.000n!l:6ntav do li~t van dong

Chua bao gam kho-p nhan546 536 Ph~u thu~t thay kh6-pvai 6.985.000 t~o, xi mang sinh h9C ho~c

h6a h9C.-

Chua bao g6m phuO"11gti~nc6 dinh: khung c6 dinh, dinh,

547 537 03C2.1.117 Ph~ll thu~t chinh bim chan kheo 2.829.000 kim, nyp, vit, 6c, xu"O"ngnhant~o ho~c san ph~m sinh h9Cthay th~ XUO"11g.

----

548 538 03C2.1.110Phfiu thu~t chuy~n gan diSu tri ban 2.925.000chan ru do li~t v~n dong

-

Chua bao g6m phuong ti~nc6 dinh: khung c6 dinh, dinh,

549 539 03C2.1.119 Ph~u thu~t d6ng cling kh6"pc6 chan 2.106.000 kim, nyp, vit, 6c, xuong nhant~o ho~c san ph~m sinh h9Cthay th~ xuO"ng.

550 540 03C2.1.118 Ph~u thu~t lam v~n dong kh6"pg6i 3.15l.000----

28

Gia bao gAm

STTSTT

Mii djch vu TeD djch vl} chi phi tn!cGhi chuTT37 ti~p va ti~o

lurrng

I 2 3 4 5 6

Phiu thuat n9i soi khop g6i ho~c Chua bao g6m luc)'i bao, luoicat, bo day born nuoc, d~u551 541 03C2.1.104 khop hang hoac khop vai hoac c6 3.250.000d6t, tay dao d6t dien, nep, 6c,chanvit.

----, -

Chua bao g6~n nep vit, oc,dao cftt sun va IUO'ibao, b9

552 542 03C2.1.105 Phiu thuat n9i soi tai tao day chang 4.242.000 day bom nuoc, d~u d6t, taydao dien, gan sinh hoc, gand6ng 101;1i.

553 543 03C2.l.l00 Phiu thuat tao hlnh khop hang 3.250.000 Chua bao gorn dinh, nep, vit,6c, kh6a.

554 544 03C2.1.97 Phiu thuat thay khop g6i ban phan 4.622.000 Chua bao gom khop nhan tao.-~--

555 545 03C2.1.99 Phiu thuat thay khop hang ban phan 3.750.000 Chua bao g6m khop nhan tao.--

556 546 03C2.1.96 Phiu thuat thay toan b9 khop g6i 5.122.000 Chua bao gorn khop nhan tao.

557 547 03C2.1.98 Phiu thu~t thay toan b9 kh6'p hang 5.122.000 Chua bao g6m khop nhan tao.

Phfru thu~t d~t Il;1ikh6p gam kim c6~~-- - -- -

558 548 3.985.000 Chua bao g6m kim.dinh----- --- -

559 549 Phfru thu~t lam cung kh6p 3.649.000 Chua bao g6m dinh, nyp vit,khung c6 dinh ngoai.

Chua bao g6m dinh, n~p, vit,

Phiu thu~t di~u tri XO·clrng gan CO'gan nhan t1;10,gan sinh hoc,

560 550 3.570.000 khung c6 dinh ngoai, xuO'ngho~c XO'cung kh6'pnhan tl;10ho~c s[m phAm sinhhoc thay th~ xU'o·ng.

--~ ~- -

561 551 Phfru thu~t go dinh kho'P ho~c lam2.758.000sach kh6p

Chu'a bao g6m xU'O'ngnhan

562 552 03C2.1.108 Phfru thu~t ghep chi 6.153.000 tl;10ho~c san phAm sinh hocthay th~ xLl'O'ng, dinh, nyp,vit, I11l;1chmall nhan tl;1o.

- -- - -

Chua bao g6m khung c6 dinhngoai, n~p, oc, vit, 16ng,

563 553 Phiu thu~t ghep xU'O'I1g 4.634.000 xU'O'ng nhan tl;10 ho~c sanphAm sinh hoc thay th~XU'Ol1g.

.~ ---

Phfru thu~t thay dOl;1nxU'O'ngghep Chua bao g6m dinh, nyp, vit,564 554 03C2.1.101 4.622.000 xU'O'ngnhan tl;10va san phAmbao quan b~ng kTthu~t cao

sinh hoc thay th~ xuO'ng.--- -

29

STT

565

5

Ghi chu

568 558

TeD djch vy.

Gia bao gAmchi phi trueti~pva ti~n

luong

xuong._______~-------~----------~---------------------------~--------~----~----------------I

555 03C2.1.115 Ph~u thuat keo dai chi

STTTT 37 Ma djch vy.

2 3

Chua bao g6m khung c6 djnhngoai, dinh, nep, vit, oc,

4.672.000 xuong nhan tao hoac sanpham sinh hoc thay th~

4 6

Ph~u thuat k~t hop xuong b~ng nepvit

Chua bao g6m xuong nhan3.750.000 tao hoac san pham sinh hoc

thay th~ xirong, dinh, nep, vito

Ph~u thuat k~t hop xirong tren manhinh tang sang

Chua bao g6m xuong nhan5.122.000 tao hoac san pham sinh hoc

thay th~ xuong, dinh, nep, vito

Chua bao g6m phuong tienc6 dinh, phuong tien k~t hop,

3.746.000 xu~g ~han ;_t:;to,.xuung baoquan, san pham sinh hoc thaythe, xi mang sinh hoc hoach6a hoc.

2.963.000 Chua bao g6m gan nhan tao.

Ph~u thu~t di~u tri cong v~o cQt s6ng(tinh cho 1 Ifrnph~u thu~t )

3.789.000 ch~ua bao g6m n~p, vit thayt e.

Ph~u thu~t n~p vit cQt s6ng c6

30

Chua bao7.134.000 SILICON,

Aparius.

gam DIAM,n~p chu' U,

566 556 03C2.1.103

--- ~------------I----------------------------I------------I---------------------I

Ph~u thuat n6i gan hoac keo dai gan(tinh 1 gan )----I---~------I'~~~~-------I-----I------------I

Chua bao g6m gan nhan t:;to,vit, 6c, dfru d6t, bQ day bum

4.242.000 nuac, tay dao di~n, dao c~tsvn, luo'i bao, gan sinh hQc,gan d6ng lo:;ti.

- ----I~----~I--~------~I---------------------------+~-----------I---------,,-----------I571 561 03C2.1.113 Ph~uthu~tt:;tohinhsQm~t(b~nhly') 5.589.000 C~ua bao gam n~p, vit thay

_~~_~.----I----------I--=-------------~--------~-----------~I~th~e~.-------------------1Ph~u thu~t ung thu biSu rna tS baoday ho~c t~ bao gai vung m~t + t:;tohinh v:;tt da, d6ng khuy~t da b~ng

_________+ ,~p~h~~~u~thwu~allt~ta~o~hiwnwh~~-I--- 1---------------------Rut dinh ho~c thao phuung ti~n k~thup XUOllg-~---------I---------~~~~~~------------------~~-----------I----------------------IPh~u thu~t c6 djnh cQt s6ng bingDIAM, SILICON, n~p chfr U,Aparius

567 557 03C2.1.102

570 560 03C2.1.106 Ph~u thu~t nQi soi tii t:;togan

Chua bao gam xuung baoquan, d6t s6ng nhan t:;to, san

8.87l.000 ph~m sinh hQc thay th~xuo'ng, mi~ng ghep cQt s6ng,ma d~m, n~p, vit, 6c, kh6a.

569 559

572 562 03C2.1.114

573 563 03C2.1.111

574 564

575 565 03C2.1.95

576 566 03C2.1.93

1.731.000

Chua bao g6m dinh, n~p, vit,xuung bao quan, d6t s6ng

5.197.000 nhan t:;t?, san ph~m,sinh hQcthay the xuung, mieng ghepcQt s6ng, ma d~m nhan t:;to,6c, kh6a.

bo y te xa chi; nghia vi~t dqc l~p - tl}'do - h~nh phuc 7

Documents