综合医疗服务类

时间:2013.10.30

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综合医疗服务类 


 
 本类说明: 
  1.本类包括一般医疗服务、一般检查治疗、社区卫生及预防保健项目和其它医疗服务项目,共计四类86项。本类编码为100000000。 
  2.有下列情况之一者不另收挂号费和诊查费:①由医生指定在医院内换号诊断;②取化验及各种检查结果;③病人一次门诊医生开多张处方,多种检查,多次治疗单,检查治疗科室不得要求病人另交纳挂号费、诊查费。 
  3.多科室共同使用的医疗服务项目列入本类之中,如护理、抢救、注射、换药等等。 
  4.住院床位费按日计算的,计入不计出(即入院当日按一日计算收费,出院当日不计收费)。 
  5.患者结算时,门诊医药费用清单和住院病人医药费用明细清单不得另外收费。 
  6、门诊拆线不得另收挂号费和诊查费。

       

          

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财务分类

编码

项目名称

项目内涵

除外内容

计价单位

说明

价格()

 

11

()一般医疗服务

 

 

 

 

 

 

1101

1.挂号费

 

 

 

 

 

A

110100001

挂号费

含门诊、急诊及其为患者提供候诊就诊设施条件、诊断书、收费收据.

 

门诊注射、换药、针灸、理疗、推拿、血透、放射治疗按疗程收取一次挂号费;病历手册:16开以上每本1元,其他每本0.5

1

 

1102

2.诊查费             

 

 

 

门诊注射、换药、针灸、理疗、推拿、血透、放射治疗按疗程收取一次诊查费。

 

C

110200001

普通门诊诊查费

指医护人员提供(技术劳务)的诊疗服务

 

 

3

C

110200002

专家门诊诊查费

指高级职称医务人员提供(技术劳务)的诊疗服务

 

 

 

C

1102000021

名专家

指:①享受政府津贴的专家,②省级名老、名中医

 

 

50

C

1102000022

主任医师

 

 

 

8

C

1102000023

副主任医师

 

 

 

6

C

110200003

急诊诊查费

指医护人员提供的24小时急救、急症的诊疗服务

 

 

6

C

110200004

门急诊留观诊查费

含诊查、护理

 

 

11

E

110200005

住院诊查费

指医务人员技术劳务性服务

 

 

3

E

1103

3.急诊监护费

 

 

 

 

 

E

110300001

急诊监护费

含监护、床位、诊查、护理

 

符合监护病房条件和管理标准,超过半日不足24小时按一日计算,不足半日按半日计算

120

 

1104

4.院前急救费

 

 

 

 

 

D

110400001

院前急救费

包括内脏衰竭、外伤、烧伤、中毒、溺水、电击等现场急救。

化验、特殊检查、治疗、药物、血液

除救护车费外,不得收取其他费用

40

 

1105

5.体检费               

 

 

 

 

 

D

110500001

体检费               

含内、外(含皮肤)、五官、妇科(含宫颈刮片)的常规检查,写总检报告。

影像、化验及特殊检查

不另收挂号费及诊查费

25

 

110500001-1

一般健康体检

 

 

 

25

 

110500001-2

学龄前儿童、高校及中小学学生体检

 

 

 

5

 

1106

6.救护车费

 

 

 

 

 

I

110600001

救护车费

指急救范围地段内

院前急救

/

跨越急救范围地段每超一公里加收3元,需要担架员提供抬护服务的加收20

58

 

1107

7.取暖费

 

 

 

 

 

I

110700001

病房取暖费

 

 

/

 

 

I

110700001-1

单人房

 

 

/

 

12

I

110700001-2

双人房

 

 

/

 

10

I

110700001-3

三人以上

 

 

/

 

7

 

1108

8.空调降温费

 

 

 

 

 

I

110800001

病房空调降温费

 

 

/

 

 

I

110800001-1

单人房

 

 

/

 

12

I

110800001-2

双人房

 

 

/

 

10

I

110800001-3

三人以上

 

 

/

 

7

 

1109

9.床位费

1.病房应基本配置的(病床、床头柜、座椅(或木凳)、床垫、棉褥、棉被(或毯)、枕头、床单、病人服装、热水瓶、洗脸盆、废品袋(或篓)、大小便器等)日常生活用品,不准另列项收费。                           2.医院应负责病房环境,配置用品和配备病房使用物品的清洁卫生,消毒工作,不准另列收费。                                                                        3.病人办理出入院手续,住院病历、更衣、被服换洗、测量身高、体重、呼吸、脉搏、血压、出入量记录等,均不准另立项收费。                                             4.病人办理出入院期间医护人员查房、病人转科、护送检查、护送治疗等,均不准另列项收费。                   5.需要严格隔离、消毒损耗大的传染病科、肿瘤科、精神病科(院)、烧伤科,允许同等同级病床的收费标准的基础上每床每日加收2元;爱婴医院母婴同室每床每日加收16元。                                             6.抢救室病床收费按同等同级病房标准收费,不准按监护病房标准收费。                            7.住院床位费以日数计算,一律计入不计出(即入院当日按一日计算收费,出院当日不计算收费)。                    8.病房面积条件要求:一人房间不小于10平方米,二人房间不少于13平方米,三人房间不小于15平方米,四人房间不小于16平方米,五人以上房间人均面积不少于3.5平方米。                        9.病房条件与规定不符的,中央、军队、武警、省属驻穗非营利性医疗

 

 机构床位费价格报省价格、卫生主管部门核准,各地非营利

 性医疗机构床位费价格报各地级以上市价格、卫生主管部门

 核准”。

B

110900001

普通病房床位费

 

 

 

 

 

B

1109000011

A级房间

 

 

配备设施:空调、中央供氧、中央负压、彩电、独立卫生间、热水器等。

 

 

B

1109000011a

单人房

 

 

 

102

 

B

1109000011b

双人房

 

 

 

57

 

B

1109000011c

三人以上

 

 

 

40

 

B

1109000012

B级房间

 

 

配备设施:空调、彩电、独立卫生间、热水器等。

 

 

B

1109000012a

单人房

 

 

 

54

 

B

1109000012b

双人房

 

 

 

40

 

B

1109000012c

三人房

 

 

 

34

 

B

1109000012d

四人以上

 

 

 

30

 

B

1109000013

C级房间

 

 

配备设施:空调、独立卫生间、热水器等。

 

 

B

1109000013a

单人房

 

 

 

44

 

B

1109000013b

双人房

 

 

 

34

 

B

1109000013c

三人房

 

 

 

30

 

B

1109000013d

四人以上

 

 

 

24

 

B

1109000014

D级房间

 

 

符合总说明中第1及第8点要求

 

 

B

1109000014a

单人房

 

 

 

34

 

B

1109000014b

双人房

 

 

 

32

 

B

1109000014c

三人房

 

 

 

24

 

B

1109000014d

四人以上

 

 

 

20

 

B

1109000015

新生儿床位

 

 

使用暖箱者,不另收床位费

8

 

B

110900002

层流洁净病房床位费

 

 

 

不另收取暖费或空调降温费

 

 

 

110900002-1

层流洁净病房

指达到规定洁净级别、有层流装置,风淋通道的层流洁净间,采用全封闭管理,有严格消毒隔离措施及对外通话系统

 

 

270

 

 

110900002-2

层流洁净简易病房

指达到规定洁净级别、有层流装置的层流洁净间,有严格消毒隔离措施

 

 

95

 

B

110900003

监护病房床位费

指配有中心监护台、心电监护仪及其它监护抢救设施,符合ICUCCU标准的单人或多人监护病房,相对封闭管理

 

不另收取暖费或空调降温费

67

 

B

110900004

特殊防护病房床位费

指核素内照射治疗病房等

 

 

67

 

C

110900005

急诊观察床位费

 

 

符合病房条件和管理标准的急诊观察床,按病房有关标准计价;床位费以日计价,不足半日按半日计价

8

 

 

1110

10.会诊费

 

 

 

 

 

 

C

111000001

院际会诊

 

 

会诊专家差旅费由患者支付的,由医患双方协商。

150

 

C

111000002

院内会诊

 

 

 

10

 

C

111000003

远程会诊

 

 

小时

 

500

 

 

12

()一般检查治疗

 

 

 

 

 

 

 

1201

1.护理费

 

药物、特殊仪器使用

 

按日收取的各项护理费计入不计出(即入院当日按一日计算收费,出院当日不计算收费),且不能同时收取。

 

 

F

120100001

重症监护

24小时室内有专业护士监护,监护医生、护士严密观察病情、监护生命体征、随时记录病情、作好重症监护记录及各种管道与一般性生活护理

一次性氧饱和度探头,一次性水枕头,一次性胸带,一次性腹带

小时

含重症监护病房的各种监护和护理

10

 

F

120100002

特级护理

24小时设专人护理,严密观察病情、测量生命体征、记特护记录、进行护理评估、制定护理计划、作好各种管道与一般性生活护理

 

小时

 

7

 

F

120100003

Ⅰ级护理

含需要护士每15-30分钟巡视观察一次,观察病情变化,根据病情测量生命体征,进行护理评估及一般性生活护理、作好卫生宣教及出院指导

 

 

12

 

F

120100004

Ⅱ级护理

含需要护士定时巡视一次,观察病情变化及病人治疗、检查、用药后反应,测量体温、脉搏、呼吸,协助病人生活护理,作好卫生宣教及出院指导

 

 

8

 

F

120100005

Ⅲ级护理

含需要护士每日巡视2-3,观察、了解病人一般情况,测量体温、脉搏、呼吸,作好卫生宣教及出院指导

 

 

3

 

F

120100006

特殊疾病护理

指气性坏疽、破伤风、艾滋病等特殊传染病的护理;含严格消毒隔离及一级护理内容

 

不另收级别护理费

40

 

F

120100007

新生儿护理

含新生儿洗浴、脐部残端处理、口腔、皮肤及会阴护理、喂养材料

 

不另收级别护理费

40

 

F

120100008

新生儿特殊护理

包括新生儿干预、抚触、肛管排气、呼吸道清理、药浴、油浴等

 

 

12

 

F

120100009

精神病护理

 

 

不另收级别护理费

12

 

F

120100010

气管切开护理

含吸痰、药物滴入、定时消毒、更换套管及纱布

一次性引流管,一次性气管套管,一次性吸痰管

不另收级别护理费

60

 

F

120100011

吸痰护理

含叩背、吸痰;不含雾化吸入

一次性吸痰管 

一天收费最高不得超过20

2

 

F

120100012

造瘘护理

包括肠造口护理

一次性造瘘管、造口袋

 

10

 

F

120100013

动静脉置管护理

 

三通管,肝素锁,无针密闭输液接头

 

5

 

F

120100014

一般专项护理

 

 

 

 

 

 

 

120100014-1

口腔护理

 

 

 

2

 

 

120100014-2

会阴冲洗

 

一次性扩阴器、一次性冲洗器

 

6

 

 

120100014-3

床上洗发

 

 

 

6

 

 

120100014-4

擦浴

 

 

 

17

 

 

120100015

机械辅助排痰

指无力自主排痰的机械振动辅助治疗

 

一天收费最高不得超过30

10

 

 

1202

2.抢救费

 

药物及特殊消耗材料;特殊仪器

 

 

 

 

E

120200001

大抢救

1.成立专门抢救班子;2.主管医生不离开现场;3.严密观察病情变化;4.抢救涉及两科以上及时组织院内外会诊;5.专人护理、配合抢救

 

 

80

 

E

120200002

中抢救

1.成立专门抢救小组;2.医生不离开现场;3.严密观察病情变化;4.抢救涉及两科以上及时组织院内会诊;5.专人护理,配合抢救

 

 

40

 

E

120200003

小抢救

1.专门医生现场抢救病人;2.严密观察记录病情变化;3.抢救涉及两科以上及时请院内会诊;4.有专门护士配合

 

 

20

 

 

1203

3.氧气吸入

 

 

 

 

 

 

E

120300001

氧气吸入

包括低流量给氧、中心给氧、氧气创面治疗

一次性鼻导管、鼻塞、面罩

小时

加压给氧每小时加收5

 

 

E

1203000011

低流量给氧

 

 

小时

 

4

 

E

1203000012

中流量给氧

 

 

小时

 

5

 

E

1203000013

高流量给氧

 

 

小时

 

6

 

 

1203000014

氧气创面治疗

 

 

小时

 

6

 

 

1204

4.注射

含用药指导与观察、药物的配置

各类一次性输液器、过滤器、注射器、真空采血器、胰岛素专用注射器、三通管、延长管、留置针、留置导管、肝素帽、化疗泵

 

 

 

 

E

120400001

肌肉注射

包括皮下、皮内注射

 

 

1.5

 

E

120400002

静脉注射

包括静脉采血

 

 

2.5

 

E

120400003

心内注射

 

 

 

8

 

E

120400004

动脉加压注射

包括动脉采血

 

 

10

 

E

120400005

皮下输液

 

 

 

暂不定价

 

E

120400006

静脉输液

包括输血、注药、留置静脉针、持续化学药物治疗

 

①连续输液第二组起每组只收1元,使用微量泵或输液泵每小时加收1元②注药2.5/次;③持续化学药物治疗(指电脑控制多种药物时辰化疗)230/日。

 

 

E

1204000061

住院静脉输液

 

 

 

6

 

E

1204000062

门诊静脉输液

 

 

 

11

 

E

120400007

小儿头皮静脉输液

 

 

连续输液第二组起每组只收1元,使用微量泵或输液泵每小时加收1

10

 

E

120400008

静脉高营养治疗

 

 

 

 

 

E

120400008-1

静脉高营养治疗配置

含配置材料

药物

 

15

 

E

120400008-2

肠内营养液配置

 

 

 

3

 

E

120400009

静脉切开置管术

 

 

 

53

 

E

120400010

静脉穿刺置管术

 

PIU导管

 

32

 

E

120400011

中心静脉穿刺置管术

包括深静脉穿刺置管术

中心静脉套件、测压套件

 

 

 

E

120400011-1

中心静脉穿刺置管术

包括深静脉穿刺置管术

中心静脉套件、测压套件

 

58

 

 

120400011-2

中心静脉测压

 

 

 

6

 

E

120400012

动脉穿刺置管术

 

一次性特殊动脉穿刺针

 

58

 

E

120400013

抗肿瘤化学药物配置

 

 

 

14

 

 

1205

5.清创缝合

 

 

 

含敷料

 

 

E

120500001

大清创缝合

 

 

缝合11针以上

180

 

E

120500002

中清创缝合

 

 

缝合6-10

130

 

E

120500003

小清创缝合

 

 

缝合1-5

80

 

 

1206

6.换药

包括门诊拆线

药物、引流管

 

 

 

 

E

120600001

特大换药

 

 

创面50CM2以上

42

 

E

120600002

大换药

 

 

创面31~50CM2

23

 

E

120600003

中换药

 

 

创面15~30CM2

17

 

E

120600004

小换药

 

 

创面14CM2以下

12

 

 

1207

7.雾化吸入

 

 

 

 

 

 

E

120700001

雾化吸入

包括超声、高压泵、氧气雾化及蒸气雾化吸入

药物、一次性雾化器

氧气雾化吸入加收3

6

 

 

1208

8.鼻饲管置管

 

 

 

 

 

 

E

120800001

鼻饲管置管

 

药物和一次性胃管

 

 

 

E

120800001-1

鼻饲管置管

 

 

 

11

 

E

120800001-2

注食、注药、十二指肠灌注

 

 

 

9

 

 

120800002

肠内高营养治疗

指经腹部造瘘置管、鼻肠管的胃肠营养治疗,含肠营养配置。特指不能进食的病人。

营养泵管

 

35

 

 

1209

9.胃肠减压

 

 

 

 

 

 

E

120900001

胃肠减压

含留置胃管抽胃液及间断减压

一次性胃管

 

9

 

 

1210

10.洗胃

 

 

 

 

 

 

E

121000001

洗胃

含插胃管及冲洗

药物、一次性胃管、一次性胃食道插管导引管

使用洗胃机加收12/

38

 

 

1211

11.物理降温

 

 

 

 

 

 

E

121100001

一般物理降温

包括酒精擦浴及冰袋等方法

 

 

 

 

E

1211000011

酒精擦浴

 

 

 

14

 

E

1211000012

冰袋降温

 

 

冰袋降温一日最高不得超过30

2

 

E

121100002

特殊物理降温

指使用专用降温设备等方法

 

小时

 

6

 

 

1212

12.坐浴

 

 

 

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冰袋降温

 

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小时

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小时

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冰袋降温

 

2.5ground-position: 0% 0%

小时

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medium 54pt; p: 0cm; border-bottom: wittom" width="88">

冰袋降温

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小时

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冰袋降温

 

11ground-position: 0% 0%; border-top: medium none; padding-left: 5.4p 

小时

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冰袋降温

 

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小时

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pa

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冰袋降温

 

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冰袋降温

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