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["说明：本表为方便公众查询而制，如发现遗漏或错误情况，请及时反馈，具体执行以原文件为准。"]
["一、综合医疗服务类（178项）"]
["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。"]
["2.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。"]
["3.床位费、诊查费、护理费、空调费按“计入不计出”原则计收，即入院当天计收一次，出院当天不收（“一般专项护理”除外）。"]
["4.产科新生儿不能收取住院诊查费，婴儿保温箱费和床位费不能同时计收。"]
["5.“不含DEHP成分的输液器（包括不含DEHP成分的精密、避光输液器）”适用于新生儿、青春期前的男性、怀孕期和哺乳期妇女，脂溶性液体和药物的输注。"]
["编     码","项目名称","项目内涵","除外内容","计价单位","县级以上价格（元）",null,null,"基层价格（元）","备注"]
[{"$nulls":5},"三甲","三乙","二级及以下"]
[11,"(一)一般医疗服务"]
[1101,"1．挂号费","含门诊、急诊及其为患者提供候诊就诊设施条件、门诊费用明细清单","计算机预约挂号服务、就诊卡、病历手册",{"$nulls":5},"门诊注射、换药、针灸、理疗、推拿、气功、血透、放射治疗疗程中不再收取挂号费。医院就诊卡或病历手册不超过1元"]
[11010000100,"普通挂号费",null,null,"次","∕","∕","∕","∕"]
[11010000101,"急诊挂号费",null,null,"次","∕","∕","∕","∕"]
[11010000102,"法定假日挂号费",null,null,"次","∕","∕","∕","∕"]
[11010000103,"双休日挂号费",null,null,"次","∕","∕","∕","∕"]
[11010000104,"专家门诊挂号（副高）",null,null,"次","∕","∕","∕","∕"]
[11010000105,"专家门诊挂号（正高）",null,null,"次","∕","∕","∕","∕"]
[11010000106,"国家级名老中医挂号费",null,null,"次","∕","∕","∕","∕"]
[11010000107,"省级名老中医挂号费",null,null,"次","∕","∕","∕","∕"]
[1102,"2．诊查费                           ","指医护人员提供（技术劳务）的诊疗服务。含挂号费、药事服务成本等内容",{"$nulls":6},"门诊注射、换药、针灸、理疗、推拿、气功、血透、放射治疗疗程中不再收取诊查费。县级以上公立医疗机构儿科门诊诊查费加收10元/次、儿科病房住院诊查费加收10元/日，儿科门急诊留观诊查费加收10元/日"]
[11010000100,"方便门诊诊查费",null,null,"次",4,4,4,"/"]
[11020000100,"门诊诊查费",null,null,"次",12,12,12,"/","儿科加收10元/次"]
[11020000111,"门诊诊查费(三级医院)","","","次"]
[11020000102,"门诊诊查费(二级医院)","","","次"]
[11020000103,"门诊诊查费(一级医院)","","","次"]
[11020000104,"专家门诊诊查费   （副高）加收",null,null,"次",8,8,8,5,"每次问诊时间不得少于10分钟"]
[11020000105,"专家门诊诊查费   （正高）加收",null,null,"次",10,10,10,7,"每次问诊时间不得少于10分钟"]
[11020000108,"急诊挂号诊查费加收",null,null,"次",8,8,8,"/"]
[11020000109,"法定假日挂号诊查费加收",null,null,"次",2,2,2,"/"]
[11020000110,"双休日挂号诊查费加收",null,null,"次",2,2,2,"/"]
[null,"门急诊留观诊查费"]
[11020000401,"门急诊留观诊查费",null,null,"日",12,12,12,"/","儿科加收10元/日"]
[11020000402,"门急诊留观诊查费(三级医院)","","","日",{"$nulls":4},"儿科加收10元/日"]
[11020000403,"门急诊留观诊查费(二级医院)","","","日",{"$nulls":4},"儿科加收10元/日"]
[11020000404,"门急诊留观诊查费(一级医院)","","","日",{"$nulls":4},"儿科加收10元/日"]
[null,"住院诊查费",{"$nulls":7},"当日住院当日出院的病人，按一天计收住院诊查费和护理费；产科新生儿不得收此费"]
[11020000501,"住院诊查费",null,null,"日",18,18,18,2]
[11020000502,"住院诊查费(三级医院)","","","日"]
[11020000503,"住院诊查费(二级医院)","","","日"]
[11020000504,"住院诊查费(一级医院)","","","日"]
[11020090100,"营养咨询","具有营养师资格或内分泌科副高以上职称医师，与病人进行面对面设计，提供个体化医学营养治疗方案，指导膳食的种类结构及数量搭配，纠正病人不合理的饮食行为与理念。含营养状况评估与筛查",null,"次",25,25,25,25,"限营养专科门诊，咨询时间不少于30分钟"]
[11020090200,"营养状况评估-营养筛查","调查基本膳食状况、疾病状况、用药史等（含婴儿母乳喂养状况），计算每日膳食能量及营养素摄入量，测定能量消耗，测量人体身高、体重、腰围、臀围、上臂围、上臂肌围等，计算体重指数，进行综合营养评定",null,"次",10,10,10,10,"限营养专科门诊，时间不少于20分钟"]
[1103,"3.一般诊疗费","含药事服务成本以及挂号费（普通挂号费和急诊挂号费）、诊查费（普通门诊诊查费和门急诊留观诊查费）、注射费（肌肉注射、皮下注射、皮内注射、皮试、静脉注射、静脉输液、小儿静脉输液）。不含专家门诊挂号费、名老中医挂号费、专家门诊诊查费、体表瘤注射、心内注射、动脉加压注射、皮下氧注射、动脉采血、静脉采血、输血、静脉高营养治疗、各类动静脉置管术、抗肿瘤化学药物配置等服务","药品、血制品，胰岛素专用注射器（注射针头）、肝素帽、化疗泵、三通管、延长管、留置针、留置导管、密闭输液接头",{"$nulls":5},"使用微量泵输液的在一般诊疗费基础上加收3元。同一诊疗过程内需要多次门诊输液、诊查的，第一次门诊按一般诊疗费收费，第二日起的注射、输液和门急诊留观诊查费按原收费政策规定收费"]
[11030000101,"一般诊疗费（含输液器/社区服务中心和乡镇卫生院）",null,null,"人次",10,10,10,10]
[11030000102,"一般诊疗费（含输液器/村卫生室和卫生服务站、巡回医疗服务点）",null,null,"人次",5,5,5,5]
[11030000103,"使用微量泵或输液泵加收",null,null,"人次",3,3,3,3]
[11030000104,"一般诊疗费（不含输液器/社区服务中心和乡镇卫生院）",null,"不含DEHP成分的输液器","人次",9,9,9,9]
[11030000105,"一般诊疗费（不含输液器/村卫生室和卫生服务站、巡回医疗服务点）",null,"不含DEHP成分的输液器","人次",4,4,4,4]
[1104,"4．院前急救费",null,"氧气面罩、气管插管"]
[11040000100,"院前急救费","指入院前的120急救或现场急救，含诊查、治疗、监护、护理、氧气、材料费等","心肺复苏抢救、大出血抢救","人次",234,234,234,150,"限于危重病人的现场抢救（包括脏器功能衰竭、外伤、烧伤、中毒、窒息休克等），除救护车费外，不得收取其他任何费用"]
[11040000101,"院前急救费（一般急救病人）","指入院前的120急救或现场急救，含诊查、治疗、监护、护理、氧气、材料费等",null,"人次",156,156,156,100,"除救护车费外，不得收取其他任何费用"]
[1105,"5．体检费                              "]
[11050000100,"体检费                              ","含内、外(含皮肤)、妇(含宫颈刮片)、五官等科的常规检查，总检报告","影像、化验及特定检查","次",5,5,5,5,"不另收挂号及诊查费"]
[11050000101,"驾驶员体检费",null,null,"人次","初学驾驶员30元；其他驾驶员15元","初学驾驶员30元；其他驾驶员15元","初学驾驶员30元；其他驾驶员15元","初学驾驶员30元；其他驾驶员15元","浙价医〔2018〕114号新增项目"]
[1106,"6．救护车费"]
[11060000100,"救护车费(3公里以上）","含来回里程；不含120急救费","过路过桥费","公里",2,2,2,2]
[11060000101,"救护车起步价(3公里内）","含来回里程；不含120急救费","过路过桥费","次",10,10,10,10]
[1107,"7．空调费                              "]
[11070000100,"病房空调费","含各类空调、降温、取暖",null,"日",{"$nulls":4},"按市级价格主管部门规定执行：手术室、治疗室、输液室等空调不得收费；每日空调开放时间不少于10小时"]
[11070000101,"急诊留观空调费","含各类空调、降温、取暖",null,"日",{"$nulls":4},"按市级价格主管部门规定执行：手术室、治疗室、输液室等空调不得收费；每日空调开放时间不少于10小时；留观病房空调费与病房空调费不能同日收取"]
[1109,"9．床位费","含病床、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、废品袋(或篓)，含住院费用明细清单；层流洁净病房、中心监护病房、特殊防护病房、急诊观察床床位费中含空调费",{"$nulls":6},"当日住院当日出院的病人，按一天计收床位费；各类床位费不能同日加收"]
[11090000100,"普通病房床位费",null,null,"日",{"$nulls":4},"按市级价格主管部门规定执行"]
[11090000101,"走廊加床",null,null,"日",10,10,10,10]
[11090000102,"婴儿床",null,null,"日",6,6,6,6]
[11090000103,"气垫床加收",null,null,"日",5,5,5,5]
[11090000104,"传染病房加收",null,null,"日",5,5,5,5]
[11090000105,"陪客躺椅费",null,null,"日",2,2,2,2]
[11090000106,"层流床罩加收(空气洁净级别达到100级及以上)",null,null,"日",20,20,20,20]
[11090000107,"母婴同室病房加收",null,null,"日","/","/","/","/","在同类普通病房的基础上加收，不再另收婴儿床位费"]
[11090000200,"层流洁净病房床位费","指有层流装置,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 ",null,"日",90,90,90,50]
[11090000201,"层流洁净病房床位费（空气洁净级别达到100级及以上的）","指有层流装置,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 ",null,"日",390,390,390,150]
[11090000300,"中心监护病房床位费","指配有中心监护台、心电监护仪及其它监护抢救设施,符合ICU、CCU标准的单人或多人监护病房，相对封闭管理",null,"日",40,40,40,40]
[11090000400,"特殊防护病房床位费","指核素内照射治疗专用病房、法定甲类传染病隔离病房、烧伤隔离病房 ",null,"日",55,55,55,55]
[11090000500,"急诊观察床位费",null,null,"日",17,17,17,17]
[11090000501,"留观床",null,null,"日",17,17,17,17]
[111001,"互联网诊疗",{"$nulls":7},"限实体医疗机构第二名称的互联网医院以及依托实体医疗机构独立设置的互联网医院收取。不得用于首诊"]
[11100100101,"互联网复诊","指医疗机构通过远程医疗服务平台，由具有3年以上独立临床工作经验的医师直接向患者提供的常见病、慢性病复诊诊疗服务。在线询问病史，听取患者主诉，查看影像、超声、心电等医疗图文信息，记录病情，提供诊疗建议，如提供治疗方案或开具处方",null,"次",{"$nulls":4},"由不同级别医务人员提供服务，均按线下普通门诊诊查费项目价格收费"]
[111002,"远程会诊","指邀请方医疗机构和受邀方医疗机构在远程会诊中心或会诊科室通过可视、交互、实时、同步的方式在线开展的单学科或多学科会诊诊疗活动。邀请方医疗机构收集并上传患者完整的病历资料（包含病史、实验室检查和影像学检查、治疗经过等）至远程医疗网络系统，预约受邀方医疗机构。受邀方医疗机构依据会诊需求，确定会诊科室及高级职称会诊医师，会诊医师提前审阅病历资料。至约定时间双方登录远程医疗网络信息系统进行联通，在线讨论患者病情，解答邀请方医师的提问。受邀方将诊疗意见告知邀请方，出具由相关医师签名的诊疗意见报告。邀请方根据患者临床资料，参考受邀方的诊疗意见，决定诊断与治疗方案",{"$nulls":6},"邀请方医疗机构根据患者病情和意愿组织远程医疗服务，并向患者说明远程医疗服务内容、费用等情况，征得患者书面同意，签署远程服务知情同意书。受邀请方为省外或境外医院的，由医疗机构自主定价"]
[11100200101,"单学科远程会诊（副主任医师）",null,null,"次",180,180,180,180]
[11100200102,"单学科远程会诊（主任医师）",null,null,"次",200,200,200,200]
[11100200103,"多学科远程会诊",null,null,"科/次",200,200,200,200,"每增加一个学科加收200元，加收最多不超过400元"]
[11100200104,"远程病理会诊","指临床病理非实时会诊。开通远程医疗网络系统，邀请方医疗机构向受邀方医疗机构提供临床病理资料（含病理申请单、取材明细以及术中冰冻病理数字切片等），受邀方会诊专家对患者的病情进行分析，在线出具由其签名的病理诊断报告",null,"例",400,400,400,400]
[11100200105,"同步远程病理会诊","指临床病理实时会诊。邀请方医疗机构向受邀方医疗机构提供术中冰冻病理数字切片等资料，受邀方在规定的时间内快速完成诊断工作，在线出具由专家签名的病理诊断报告。邀请方需提前1天预约",null,"例",600,600,600,600]
[11100200106,"远程影像会诊","开通网络计算机系统，邀请方医疗机构通过网络向受邀方医疗机构提供病患临床及CR、DR、CT、MRI影像资料，由受邀方出具诊断报告",null,"人次",100,100,100,100,"CR、DR50元/次"]
[111003,"远程监测"]
[1111,"11．中心监护病房治疗","含各类监测（护）、“一般检查治疗”及其材料（大类编码12）、“专项护理”及其材料（编码1303），不含重症监护护理、亚低温治疗、高危压疮防范护理、氧气吸入费和体外膜肺氧合（ECMO）运行监测","气切套管、气管插管、鼻胃管、动脉测压导管、深静脉穿刺导管、压力传感器、漂浮导管、胃肠营养输注管路、一次性胸（腹）腔引流装置、不含DEHP成分的输液器和营养袋",{"$nulls":5},"病区内的抢救室、重症室不得按此收费"]
[11110090100,"ICU单元治疗",null,null,"日",496,496,496,260]
[11110090200,"CCU单元治疗",null,null,"日",170,170,170,130]
[12,"(二)一般检查治疗"]
[1201,"1．护理费"," ",{"$nulls":6},"按日收取的各项护理费及特级护理不能同时收取，按次收取的护理费实行每日次数限制。门（急）诊输液病人、门诊人流、内窥镜检查治疗病人不得收取等级护理费"]
[12010001100,"吸痰护理","含叩背、吸痰；不含雾化吸入","一次性吸痰管","人次",28,28,28,12,"6周岁及以下儿童加收30%"]
[12010001500,"医用振动排痰机排痰治疗","评估患者病情，意识状态及呼吸系统情况等，核对患者信息，解释其重要性取得配合，取适当体位，按解剖部位依次震动不同部位，观察患者反应，生命体征变化等，协助患者排痰，评价患者排痰效果及痰液性质，用物处理，记录，做好健康教育和心理护理",null,"人次",15,15,15,15,"限无法自主排痰的病人，每次治疗时间，不少于5分钟；6周岁及以下儿童加收30%"]
[12010090100,"高危压疮防范护理","对卧床、截瘫、便失禁、坐轮椅病人及大手术后、营养不良、病危、病重意识不清等病人进行压疮风险评分评估，根据评估结果采取对应预防措施：（一）使用减压工具；（二）避免局部刺激；（三）促进血液循环；（四）改善机体营养",null,"人次",40,40,40,40,"6周岁及以下儿童加收30%"]
[1202,"2．抢救费",{"$nulls":7},"手术、麻醉过程中不得收此费用"]
[12020000100,"心肺复苏抢救",null,null,"人次",156,156,156,100,"6周岁及以下儿童加收30%"]
[12020000200,"大出血抢救","含抢救材料、仪器","特殊止血材料","人次",78,78,78,50,"6周岁及以下儿童加收30%"]
[12020000201,"危重病人抢救","指因严重外伤、烧伤、中毒、窒息、休克、脏器衰竭等原因而引起呼吸或循环不稳定病人的抢救",null,"人次",85,85,85,50,"6周岁及以下儿童加收30%"]
[12020000300,"多学科创伤团队抢救","创伤团队启动标准：1.TCA需CPR者，GCS≤8分或者SBP＜90mmHg或HR＞120次/min或低体温者；2.创伤后呼吸障碍或需要气管插管者；3.头颈部或躯干贯穿伤者；4.血流动力学不稳定的骨盆骨折、肢体毁损或严重复合伤者","创伤相关操作费用另收（如清创缝合、导尿、检验检查等）","人次",1000,1000,1000,1000,"大于4小时的按1500元/人次计价，编码12020000301；限急诊"]
[1203,"3．氧气吸入","含氧气、湿化用水","一次性鼻导管、鼻塞、面罩、头罩"]
[12030000100,"鼻导管吸氧",null,null,"小时",5,5,5,4,"6周岁及以下儿童加收30%"]
[12030000101,"面罩吸氧",null,null,"小时",5,5,5,4,"6周岁及以下儿童加收30%"]
[12030000102,"氧帐吸氧",null,null,"小时",8,8,8,6,"6周岁及以下儿童加收30%"]
[12030000103,"头罩吸氧",null,null,"小时",8,8,8,6,"6周岁及以下儿童加收30%"]
[12030090100,"高频吸氧","指呼吸机给氧",null,"小时",12,12,12,9,"6周岁及以下儿童加收30%"]
[12030090200,"静脉输氧","含注射、输液、材料、氧气，限于低氧血症患者",null,"人次",79,79,79,30,"6周岁及以下儿童加收30%"]
[1204,"4．注射","含用药指导与观察、药物的配置、接瓶；含棉球、棉签、消毒以及洗必泰、复合碘消毒棉签等费用及医护人员自身的消毒费用；含胶布、敷贴等固定处理","各类一次性输液器、输血器、过滤器、注射器、真空采血器、胰岛素专用注射器(或注射针头)、三通管、延长管、留置针、留置导管、肝素帽、化疗泵、穿刺针、密闭输液接头"]
[12040000100,"肌肉注射",null,null,"次",2.4,2.4,2.4,2.2,"6周岁及以下儿童加收30%"]
[12040000101,"皮下注射",null,null,"次",2.4,2.4,2.4,2.2,"6周岁及以下儿童加收30%"]
[12040000102,"皮内注射",null,null,"次",2.4,2.4,2.4,2.2,"6周岁及以下儿童加收30%"]
[12040000103,"体表瘤注射",null,null,"次",1.5,1.5,1.5,1.4,"6周岁及以下儿童加收30%"]
[12040000104,"皮试","指有专用皮试液的药物皮试，含皮试液",null,"次",4,4,4,3.6,"6周岁及以下儿童加收30%"]
[12040000200,"静脉注射",null,null,"次",4.8,4.8,4.8,4.3,"6周岁及以下儿童加收30%"]
[12040000201,"静脉采血",null,null,"次",4.8,4.8,4.8,4.3,"6周岁及以下儿童加收30%"]
[12040000202,"小儿末梢采血","指6周岁及以下小儿采血。采用一次性末梢采血器快速刺入皮肤并立即拔除，控制血液自然流入末梢采血管，采集血液作临床检测",null,"次",5,5,5,5]
[12040000300,"心内注射",null,null,"次",6.5,6.5,6.5,5,"6周岁及以下儿童加收30%"]
[12040000400,"动脉采血",null,null,"次",7.8,7.8,7.8,5,"6周岁及以下儿童加收30%"]
[12040000401,"动脉加压注射",null,null,"次",6.5,6.5,6.5,5.9,"6周岁及以下儿童加收30%"]
[12040000500,"皮下输液",null,null,"次",3,3,3,3,"6周岁及以下儿童加收30%"]
[12040000501,"皮下氧注射",null,null,"次",3,3,3,3,"6周岁及以下儿童加收30%"]
[12040000600,"静脉输液（门诊/含输液器）","指从核对、化药、穿刺、滴注、中途接瓶（袋）至拔针（留置针分离）结束的服务全过程，含输液器、注射器、过滤器等材料以及观察、操作等劳务",null,"次",9.8,9.8,9.8,6]
[12040000601,"静脉输液（住院/含输液器）","指从核对、化药、穿刺、滴注、中途接瓶（袋）至拔针（留置针分离）结束的服务全过程，含输液器、注射器、过滤器等材料以及观察、操作等劳务",null,"床日",15.6,15.6,15.6,9]
[12040000602,"留置针输液（门诊）","指第二次起",null,"次",7.8,7.8,7.8,5,"6周岁及以下儿童加收30%"]
[12040000603,"微量泵或输液泵加收",null,null,"次",4.8,4.8,4.8,3,"6周岁及以下儿童加收30%"]
[12040000604,"输血（门诊）","指从核对、穿刺、滴注至拔针（留置针分离）结束的服务全过程，含输血器、注射器、过滤器等材料以及观察、操作等劳务",null,"次",10.4,10.4,10.4,6,"6周岁及以下儿童加收30%"]
[12040000605,"输血（住院）","指从核对、穿刺、滴注至拔针（留置针分离）结束的服务全过程，含输血器、注射器、过滤器等材料以及观察、操作等劳务",null,"床日",15.6,15.6,15.6,9,"6周岁及以下儿童加收30%"]
[12040000606,"静脉输液（门诊/不含输液器）","指从核对、化药、穿刺、滴注、中途接瓶（袋）至拔针（留置针分离）结束的服务全过程，含注射器、过滤器等材料以及观察、操作等劳务","不含DEHP成分的输液器、精密输液器、避光输液器","次",8.5,8.5,8.5,5]
[12040000607,"静脉输液（住院/不含输液器）","指从核对、化药、穿刺、滴注、中途接瓶（袋）至拔针（留置针分离）结束的服务全过程，含注射器、过滤器等材料以及观察、操作等劳务","不含DEHP成分的输液器、精密输液器、避光输液器","床日",13.7,13.7,13.7,8]
[12040000700,"小儿静脉输液（门诊/含输液器）","指从核对、化药、穿刺、滴注、中途接瓶（袋）至拔针（留置针分离）结束的服务全过程，含输液器、注射器、过滤器等材料以及观察、操作等劳务",null,"次",14.4,14.4,14.4,6.5,"限6周岁以下儿童输液"]
[12040000701,"小儿静脉输液（住院/含输液器）","指从核对、化药、穿刺、滴注、中途接瓶（袋）至拔针（留置针分离）结束的服务全过程，含输液器、注射器、过滤器等材料以及观察、操作等劳务",null,"床日",23,23,23,9.5,"限6周岁以下儿童输液"]
[12040000702,"小儿静脉输液（门诊/不含输液器）","指从核对、化药、穿刺、滴注、中途接瓶（袋）至拔针（留置针分离）结束的服务全过程，含注射器、过滤器等材料以及观察、操作等劳务","不含DEHP成分的输液器、精密输液器、避光输液器","次",12.2,12.2,12.2,5.5,"限6周岁以下儿童输液"]
[12040000703,"小儿静脉输液（住院/不含输液器）","指从核对、化药、穿刺、滴注、中途接瓶（袋）至拔针（留置针分离）结束的服务全过程，含注射器、过滤器等材料以及观察、操作等劳务","不含DEHP成分的输液器、精密输液器、避光输液器","床日",20,20,20,8.5,"限6周岁以下儿童输液"]
[12040000800,"静脉高营养治疗","指通过静脉途径，供给包括蛋白质、脂肪、碳水化合物等营养元素在内的复合营养液进行的营养治疗，含营养液配置","营养袋","天",31,31,31,20,"医院直接购进已配置的静脉高营养液成品或输注前打开阻隔层即配伍的静脉高营养液输注只能按静脉输液有关规定收费。6周岁及以下儿童加收30%"]
[12040000801,"胃肠高营养治疗","指经胃肠置管、腹部造瘘置管，供给包括蛋白质、脂肪、碳水化合物等营养元素在内的复合营养液进行的营养治疗，含营养液配置","胃肠营养输注管路、营养袋","天",33,33,33,20,"6周岁及以下儿童加收30%"]
[12040000900,"静脉切开置管术",null,null,"次",39,39,39,30,"6周岁及以下儿童加收30%"]
[12040001000,"静脉穿刺置管术",null,null,"次",16.9,16.9,16.9,15.2,"6周岁及以下儿童加收30%"]
[12040001001,"静脉置管冲洗","含注射器及固定用敷贴等材料",null,"天",7,7,7,6.3,"6周岁及以下儿童加收30%"]
[12040001100,"中心静脉穿刺置管术","含麻醉及首次静脉测压",null,"次",78,78,78,50,"6周岁及以下儿童加收30%"]
[12040001101,"深静脉穿刺置管术","含麻醉及首次静脉测压",null,"次",78,78,78,50,"6周岁及以下儿童加收30%"]
[12040001102,"经外周静脉置入中心静脉导管术","取适当体位，选择穿刺部位，皮肤消毒（消毒范围直径＞20cm或整臂消毒），经外周静脉穿刺，测量导管插入长度，检查、预冲并修剪导管，送导管至上腔静脉下1/3与右心房上壁交界连接处（成人置入导管长度为31-49cm，平均长度39±2cm），撤导丝，抽回血并冲管，连接输液接头并正压封管，无菌敷料固定",null,"次",260,260,260,260,"6周岁及以下儿童加收30%"]
[12040001200,"动脉穿刺置管术",null," ","次",62,{"v":62.4,"d":"62"},{"v":62.4,"d":"62"},40,"6周岁及以下儿童加收30%"]
[12040001300,"抗肿瘤化学药物配置","指在专用配置间配置",null,"次",16,{"v":15.6,"d":"16"},{"v":15.6,"d":"16"},10,"6周岁及以下儿童加收30%"]
[12040001301,"抗肿瘤化学药物配置（≥2种）","指在专用配置间配置",null,"次",31,{"v":31.2,"d":"31"},{"v":31.2,"d":"31"},20,"6周岁及以下儿童加收30%"]
[12040001400,"高流量加温加压输液输血治疗","对于严重大出血患者加温加压输液、输血，快速纠正失血性休克并预防低体温的发生，改善患者预后","一次性高流量温液管路及附件","次",300,300,300,300,"需使用专用设备，流速≥0.5升/分钟。6周岁及以下儿童加收30%"]
[12040001500,"植入式给药装置专用针穿刺术","评估植入式给药装置周围皮肤情况，无菌操作下确定并选择穿刺部位，按技术操作标准插入植入式给药装置专用针，抽回血确认植入式给药装置专用针位于静脉通路，脉冲式冲洗导管，垫无菌开口纱布，安全针接肝素帽，敷贴固定","植入式给药装置专用针及敷贴","次",50,50,50,50,"6周岁及以下儿童加收30%"]
[1205,"5．清创(缝合)","含材料","麻醉",{"$nulls":5},"限外伤病人。术后清创、换药不得按此收费"]
[12050000100,"大清创(缝合)","7针及以上,或创面大于50cm2",null,"次",156,156,156,140,"6周岁及以下儿童加收30%"]
[12050000101,"大清创(不缝合)","创面大于50cm2",null,"次",109,109,109,98,"6周岁及以下儿童加收30%"]
[12050000200,"中清创(缝合)","3-6针,或创面在30-50cm2",null,"次",78,78,78,70,"6周岁及以下儿童加收30%"]
[12050000201,"中清创(不缝合)","创面在30-50cm2",null,"次",55,55,55,50,"6周岁及以下儿童加收30%"]
[12050000300,"小清创(缝合)","2针及以下,或创面小于30cm2",null,"次",47,47,47,42,"6周岁及以下儿童加收30%"]
[12050000301,"小清创(不缝合)","创面小于30cm2",null,"次",31,31,31,28,"6周岁及以下儿童加收30%"]
[1206,"6．换药(包括拆线、术后清创换药)","含药物、引流片、碘酒、碘伏、纱布、棉垫、头套、弹力头套、酒精、双氧水、外用生理盐水、换药器械等","绷带、敷贴、烧伤换药",{"$nulls":5},"拆线和换药不能同时计收"]
[12060090100,"换药（空腔状或腔隙内创口）",null,null,"次",60.6,60.6,60.6,54.5,"6周岁及以下儿童加收30%"]
[12060000200,"大换药","创面大于50cm2",null,"次",40,40,40,36,"6周岁及以下儿童加收30%"]
[12060000300,"中换药","创面在30-50cm2",null,"次",24,24,24,22,"6周岁及以下儿童加收30%"]
[12060000400,"小换药","创面小于30cm2",null,"次",10.8,10.8,10.8,9.7,"6周岁及以下儿童加收30%"]
[12060000500,"拆线（大）","含换药，指7针及以上",null,"次",38,38,38,34,"6周岁及以下儿童加收30%"]
[12060000600,"拆线（中）","含换药，指3-6针",null,"次",23,23,23,21,"6周岁及以下儿童加收30%"]
[12060000700,"拆线（小）","含换药，指2针及以下",null,"次",10.4,10.4,10.4,9.4,"6周岁及以下儿童加收30%"]
[1207,"7．雾化吸入"]
[12070000100,"雾化吸入","含注射器、导管、咬嘴、氧气等","一次性面罩","次",6.5,6.5,6.5,5,"6周岁及以下儿童加收30%"]
[12070000101,"超声雾化吸入","含注射器、导管、咬嘴等","一次性面罩","次",6.5,6.5,6.5,5,"6周岁及以下儿童加收30%"]
[12070000102,"高压泵雾化吸入","含注射器、导管、咬嘴等","一次性面罩","次",6.5,6.5,6.5,5,"6周岁及以下儿童加收30%"]
[12070000103,"氧气雾化吸入","含注射器、导管、咬嘴、氧气等","一次性面罩","次",10,10,10,9,"6周岁及以下儿童加收30%"]
[12070000104,"蒸气雾化吸入","含注射器、导管、咬嘴等","一次性面罩","次",6.5,6.5,6.5,5,"6周岁及以下儿童加收30%"]
[1208,"8．鼻饲管置管"]
[12080000100,"鼻饲管置管","含抽胃液及注射器","一次性鼻饲管","次",16.9,16.9,16.9,10,"6周岁及以下儿童加收30%"]
[12080000101,"胃管置管","含抽胃液及注射器","一次性胃管","次",16.9,16.9,16.9,10,"6周岁及以下儿童加收30%"]
[12080000102,"置管后注食","含注射器",null,"日",5.2,5.2,5.2,3,"6周岁及以下儿童加收30%"]
[12080000103,"置管后注药","含注射器",null,"日",5.2,5.2,5.2,3,"6周岁及以下儿童加收30%"]
[12080000104,"置管后十二指肠灌注","含注射器",null,"日",4,4,4,3,"6周岁及以下儿童加收30%"]
[1209,"9．胃肠减压"]
[12090000100,"胃肠置管减压","含插胃管、抽胃液、注射器","一次性胃管、一次性减压装置","次",26,26,26,15,"6周岁及以下儿童加收30%"]
[1210,"10．洗胃"]
[12100000100,"洗胃","含插胃管、抽胃液、冲洗及注射器","一次性胃管","人次",101,101,101,60,"6周岁及以下儿童加收30%"]
[1211,"11．物理降温"," "]
[12110000100,"一般物理降温","含酒精擦浴、冰袋、冰帽等方法。含冰费及降温材料等",null,"次",6,6,6,4,"6周岁及以下儿童加收30%"]
[12110000200,"特殊物理降温","指使用降温仪、电子冰毯等专用降温设备。含材料",null,"小时",4.8,4.8,4.8,3,"6周岁及以下儿童加收30%"]
[12110090100,"亚低温治疗","指冰毯或水毯降温；评估患者病情等，核对患者信息，解释其目的取得配合，准备水毯机或冰毯机等降温设备，取适当体位，将降温设备置于患者合适部位，将温度传感器放于腋下，打开降温设备，设置温度及循环流量，调节降温范围，维持患者中心体温目标值为32℃-34℃。监测降温效果及皮肤情况，观察患者反应及生命体征变化，处理用物，记录",null,"小时",5,5,5,5,"适用于重型颅脑损伤、重症脑卒中和心肺复苏。6周岁及以下儿童加收30%"]
[12110090200,"目标体温管理","指失血性休克复温或防止低体温，预防创伤致死三联征（低体温、酸中毒、凝血功能障碍），从而改善患者体温。适用于急诊室、监护室、手术室","加温毯","小时",15,15,15,15,"6周岁及以下儿童加收30%"]
[1212,"12．坐浴","含材料"]
[12120000100,"坐浴",null,null,"次",3,3,3,2,"6周岁及以下儿童加收30%"]
[1213,"13．冷热湿敷","含材料"]
[12130000100,"冷热湿敷",null,null,"次",4.8,4.8,4.8,3,"6周岁及以下儿童加收30%"]
[1214,"14．引流管冲洗"]
[1215,"15．灌肠",null,"氧气"]
[12150000100,"一般灌肠","含一次性灌肠器具",null,"次",16.9,16.9,16.9,10,"6周岁及以下儿童加收30%"]
[12150000101,"保留灌肠","含一次性灌肠器具",null,"次",16.9,16.9,16.9,10,"6周岁及以下儿童加收30%"]
[12150000102,"三通氧气灌肠","含一次性灌肠器具",null,"次",13,13,13,12,"6周岁及以下儿童加收30%"]
[12150000200,"清洁灌肠","指经肛门清洁灌肠。含一次性灌肠器具",null,"人次",{"v":39.6,"d":"40"},{"v":39.6,"d":"40"},{"v":39.6,"d":"40"},25,"经口全消化道清洁洗肠不得收费;6周岁及以下儿童加收30%"]
[1216,"16．导尿"]
[12160000100,"导尿","指一次性导尿，含石蜡油、注射器、尿管、引流袋等材料；含会阴消毒 ","气囊导尿管","次",18,18,18,15,"6周岁及以下儿童加收30%"]
[1217,"17．肛管排气"]
[12170000100,"肛管排气","含肛管、石蜡油等",null,"人次",7.8,7.8,7.8,5,"6周岁及以下儿童加收30%"]
[12170000101,"局部扩肛","含石蜡油等",null,"人次",6.5,6.5,6.5,5.9,"6周岁及以下儿童加收30%"]
[12170000102,"粪嵌顿手法排除","含石蜡油等",null,"人次",6.5,6.5,6.5,5.9,"6周岁及以下儿童加收30%"]
[13,"(三)社区卫生服务及预防保健项目",null,"化验、检查",{"$nulls":5},"按市级价格主管部门规定执行"]
[1301,"1．婴幼儿健康体检"]
[13010000100,"婴幼儿健康体检",null,null,"次",10,10,10,10]
[1302,"2．儿童龋齿预防保健"]
[13020000100,"儿童龋齿预防保健","含4岁至学龄前儿童按齿科常规检查",null,"次","/","/","/","/"]
[1303,"3．家庭巡诊"]
[13030000100,"家庭巡诊","含了解服务对象健康状况、指导疾病治疗和康复、进行健康咨询",null,"次",40,40,40,40]
[1304,"4．围产保健访视"]
[13040000100,"围产保健访视","含出生至满月访视、对围产期保健进行指导(如母乳喂养、产后保健等)",null,"次","/","/","/","/"]
[1305,"5．传染病访视"]
[13050000100,"传染病访视","含指导家庭预防和疾病治疗、康复",null,"次",50,50,50,50]
[1306,"6．家庭病床"]
[13060000100,"家庭病床建床费","根据患者申请，基层医疗卫生机构开展建床评估，建立病历（电子或纸质）、采集病史、体格检查、作出诊断并制订治疗计划。所定价格涵盖医疗卫生机构完成建床评估建立档案等人力资源和基本物质资源消耗",null,"次",50,50,50,50,"“次”指一次建床周期， 一次建床周期结束后确需继续建床的，需重新评估、建档"]
[1307,"7．出诊费"]
[1308,"8．建立健康档案"]
[13080000100,"建立健康档案",null,null,"次","/","/","/","/"]
[1309,"9．疾病健康教育"]
[13090000100,"健康咨询","指个体健康咨询",null,"次",30,30,30,30]
[13090000200,"疾病健康教育","指群体健康教育",null,"人次","/","/","/","/"]
[14,"(四)其他医疗服务项目"]
[1401,"1．尸体料理"]
[14010000100,"尸体料理","含尸体清洁处理及材料；不含专业性尸体整容",null,"次",90,90,90,90]
[14010000300,"尸体冷藏","指使用冷柜、冷库等专用冷藏设施进行冷藏保管存放",null,"日",30,30,30,30,"不使用冷藏设施不得收费"]
[14010000400,"离体残肢处理",null,null,"次",30,30,30,30]
[14010000401,"死婴处理",null,null,"次",30,30,30,30]
[14010000402,"死胎处理",null,null,"次",30,30,30,30]
[1402,"2.图象记录",{"$nulls":7},"打印照片、一次成像照片、计算机图文报告及胶片不得同时收费"]
[14020090100,"黑白打印照片",null,null,"片",3,3,3,3," "]
[14020090200,"彩色打印照片",null,null,"片",8,8,8,8,"  "]
[14020090300,"黑白一次成象(波拉)照片",null,null,"片",3,3,3,3," "]
[14020090400,"彩色一次成象(波拉)照片",null,null,"片",8,8,8,8," "]
[14020090500,"计算机图文报告","含照片、计算机图文处理、储存及文字报告、计算机三维重建技术",null,"人次",5,5,5,5,"仅限于各类内窥镜检查、各类影像检查、病理检查（限项目编码27）及骨髓检查及常用染色技术（限项目编码250201）项目。用于教学目的或者医院存档目的图文报告，医院不得向患者收取费用。如患者提出申请，需要图文报告的可按规定收费"]
[1403,"3.临床医学鉴定"]
[14030090100,"临床医学鉴定","指受委托方要求出具的工伤、残疾、退养等医学鉴定",null,"次",30,30,30,30]
[14030090101,"保外就医鉴定",null,null,"次",400,400,400,400]
[1404,"4.上门服务费","根据患者需求，医疗机构派出符合规定资质的医务人员，前往患者指定地点为其提供合法合规的医疗服务。所定价格涵盖医疗机构派出的医务人员的交通成本、人力资源消耗",{"$nulls":6},"基层医疗卫生机构按政府指导价管理；县级及以上公立医疗机构按市场调节价管理"]
[14040000001,"上门服务费（基层医疗卫生机构）",null,null,"次·人",60,60,60,60]
[14040000002,"上门服务费（县级及以上公立医疗机构）",null,null,"次·人"]

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[null,"前  言",null,"《浙江省医疗服务价格（暂行）》总  说  明"]
[]
[null,"前  言    \n 《浙江省省级公立医院医疗服务价格手册（2018版）》是依据浙江省物价局、浙江省卫生厅（现为浙江省卫生和计划生育委员）联合制定的《浙江省医疗服务价格手册（暂行）》（浙价费〔2005〕140号），浙江省物价局、浙江省卫生厅联合发布的浙价费〔2005〕290号、浙价费〔2007〕123号、浙价费〔2007〕345号、浙价费〔2009〕171号、浙价费〔2009〕198号以及浙江省物价局、浙江省卫生厅、浙江省人力资源与社会保障厅联合发布的浙价医〔2012〕201号、浙价医〔2014〕63号、浙价医〔2015〕13号、浙价医〔2015〕251 号、浙价医〔2016〕115号、浙价医〔2017〕51号、浙价医〔2017〕57号、浙价医〔2017〕205号文件规定进行修订。《浙江省医疗服务价格手册（2018年修订版）》中的医疗服务项目适用于本省所有的非营利性医疗机构，医疗服务项目价格适用于省级公立医院。本手册仅对上述医疗服务价格文件内容进行整理汇总，如与文件有不同之处，以文件为准。                     ",null,"                                                                                                                                                                                      \n   一、《浙江省医疗服务价格（修订版）》（以下简称《医疗服务价格》）所定医疗服务项目均为基本医疗服务项目，不包括医疗机构开展的特需医疗服务项目、非医疗的经营性服务项目、用于医学科研目的的项目、技术尚不成熟的新技术服务项目和预防保健机构提供的公共卫生服务项目。\n    二、《医疗服务价格》共分“综合医疗服务类”、“医技诊疗类”、“临床诊疗类”和“中医及民族医诊疗类”四个大类，所列服务项目采用五级分类法。\n    三、每项医疗服务价格项目设“项目编码”、“项目名称”、“项目内涵”、“除外内容”、“计价单位”、“价格”和“备注”七个栏目。\n    1、项目编码：以全国统一的9位编码为基础，采用9+2位编码管理，每一个编码对应一个项目。\n    2、项目名称：为中文标准名称，部分项目名称中在括号内列出通用的英文名称或缩写。\n    3、项目内涵：用于规范项目的服务范围、内容、方式和手段。项目内涵中使用的“含”与“不含”表示以下意思：\n   “含”后面所列内容为本服务项目所需提供的服务内容，这些服务内容不得单独分解计价。确因患者病情需要，只提供其中部分服务内容的，可按本项目相应的价格计价。\n   “不含”后面所列的内容不属本服务项目的服务内容，确因患者病情需要，提供了该项服务，可按该服务项目相应的价格另行计价。\n    4、除外内容：指在本项目相应的价格外可另行计价的项目，主要是特殊材料和组织器官移植的供体等。\n除已有明确规定不能另行计价的以外，医疗服务中发生的药品（诊断用试剂、显影剂和核素除外）、自制制剂、血液、氧气以及移植手术中的外供器官、植入性材料（或人工器官）、骨骼内（外）固定材料、经培养的组织工程化组织骨（治疗限于骨不连、骨不愈患者）、提供给患者的胶片（图片）均为除外内容。\n    5、计价单位：指某项医疗服务计价的基本量度单位。其中：\n   “次”：以为达到某医疗项目所要求的目的而进行的整个操作过程为一次。\n   “人次”：以为每人每日提供某项医疗服务为一人次。\n   “疗程”：以为完成某医疗目的而进行的整个医疗过程为一疗程。\n   “日”：以24小时（每日0时至24时）为一日。\n   在诊疗项目服务中，不足一个计价单位的按一个计价单位计算。一个服务项目在同一时间经多次操作完成，也按一次计价。\n    6、价格：指完成某项医疗服务可以计收的费用。《医疗服务价格》规定的价格为最高标准，各医疗机构可适当下浮。\n价格的货币计量单位为人民币元。\n    7、备注：指本项目在计价时需要特别说明的相关事宜。\n   四、关于项目查找：\n   为精简项目数量，《医疗服务价格》对于一些服务性质相同且成本相近的项目进行了适当归并，因此在查找时要注意“项目名称”、“项目内涵”或“备注”的内容。\n   对多科室共同使用的项目，归入“综合医疗服务类”。\n   对于临床诊疗类中“临床各系统诊疗”和“手术治疗”两类不按临床科室列项，而是参照国际疾病分类法，按解剖部位排序，即从上至下，由近端到远端，由浅层到深层。因此，应按相应的解剖系统和部位查找。\n   五、其他有关事项：\n    1、根据《关于公布第一批下放地方管理的医疗服务价格目录的通知》（浙价费[2001]167号）规定，由省、市分级管理价格的“中医及民族医诊疗类”、“康复理疗”等医疗服务项目，《医疗服务价格》所规定的价格仅为省级医疗机构执行的价格，市、县级及以下的医疗机构按市级价格权限部门规定的价格执行。\n    2、提供各项医疗服务必须严格按医嘱要求或护理记录进行，无医嘱要求或护理记录的服务项目不得收费。\n    监护（监测）收费必须提供监护（监测）记录、监护（监测）结论报告等依据。\n    收取各类片费、图文报告费，必须向患者提供胶片（图片）或图文报告，用于教学目的或医院存档目的的胶片（图片）和图文报告不得向患者收费。\n    3、按规定允许另收的材料费用以及胶片等费用，由医疗机构按实际购进价格加最高不超过5%的差率作价，单件材料的加价金额不得超过100元。可以另收费用的一次性材料价格按以下原则收费：单价5元以下的，按“三七作五、二舍八入”的原则保留到5分；5元以上的，按“四舍五入”的原则保留到角；20元以上的，按“四舍五入”保留到元。（2019年12月31日起取消材料及胶片5%加成）\n    医疗机构在使用可吸收缝线、“除外内容”中列明的特殊缝线、植入性材料以及单价在200元以上的材料时，应事先征得患者或家属同意，并将所用产品的条码贴在相关诊疗记录单上备查，未贴条码的视同未使用，不得收费；其中非一次性材料以及规定可以分摊收费的材料，医疗机构可不贴条码。\n    4、已有抗体（或抗原）检验价格的，今后新增同项抗原（或抗体）检验的，按已经制定的抗体（或抗原）检验价格执行。\n    5、因医务人员操作失误而增加的费用不得向患者收取。\n"]
[]
[{"$nulls":3},"根据《浙江省物价局 浙江省卫生计生委 浙江省人力资源和社会保障厅关于调整儿童医疗服务项目价格的通知（浙价医〔2017〕51号）》，除立项指南项目外，6周岁及以下儿童加收政策仅限于县级以上公立医院，基层医疗卫生机构不得加收。"]