BQYTE CONG HOA xA HOI CHi) NGHiA VIET NAM. . .DQc l~p - Tt,r do - Hanh phuc

S6: 14/2019/TT-BYT Ha N9i, ngay 05 thong 7 ndm 2019

THONGTUSua d8i, b8 sung mQt sA di~u ciia Thong tir sA 37/2018/TT-BYT

ngay 30 thang 11 nam 2018 cua BQ trurrng BQY t~ quy djnh mire t6i dakhung gia djch v1}kham b~nh, chua b~nh khoug thuQc pham vi thanh toanciia Quy bao hi~m y t~ trong cac CO' sO'kharn b~nh, chua b~nh cua Nha mnrc

va hurrng din ap dung gia, thanh toan chi phi kham b~nh, chfra b~nhtrong mQt sA truong hop

Can cu Ludt kham benh, chua benh ngay 23 thang 11 ndm 2009;Can cu Ludt gia ngay 20 thong 6 ndm 2012;Can cu Nghi dinh s6 85/2012/ND-CP ngay 15 thang 10 ndm 2012 cua

Chinh phu v~ co chi hoat dong, co chi tai chinh a6i voi cac don vi su' nghiep y dcong ldp va gia dich v~ kham b¢nh, chua b¢nh cua cac co sa kham b¢nh, chu'ab¢nh cong lcjp;

Can cu Nghi ainh s6 16/2015/ND-CP ngay 14 thang 02 nam 2015 cuaChinh phu quy ainh co chi tv chu cua don vi Sl! nghi¢p cong lcjp;

Can cu Nghi ainh s6 149/2016/ND-CP ngay 11 thang 11 nam 2016 cuaChinh phu sua a6i, b6 sung m9t s6ai~u cua Nghi ainh s6 177/2013/ND-CP ngay 14thang 11 nam 2013 cua Chinh phu quy dinh chi tiit va huang ddn thi hanh m9t s6di~u cua Lucjtgia;

Can cu Nghi ainh s6 75/2017/ND-CP ngay 20 thang 6 nam 2017 cuaChinhphu quy ainh chuc nang, nhi¢m v~, quy~n hc;Inva co cdu t6 chuc cua B9 Y d;

Can cu Nghi quyit 70/2018/QHI4 cua Qu6c h9i v~ d~' toan ngan sach nhanuac nam 2019;

Can cu Nghi ainh s6 38 /2019/ND-CP ngay 09 thang 5 nam 2019 cuaChinh phu quy ainh muc luang co sa d6i vai can b9, cong chuc, vien chuc va l~l'cIU(lngvu trang;

Can Clf Thong bao s6 226/TB-VPCP ngay 04 thang 7 nam 2019 cua Vanphong Chinh phu v~ kit lu4n cua PhD Thu tuang Vuong Dinh Hu¢ - Truang BanChi ac;Ioai~u hanh gia tc;IiCU9Ch9P Ban Chi ac;Ioai~u hanh gia ngay 03 thang 7nam 2019;

2

B(J truong B(J Y ti ban hanh Thong tic sua d6i, b6 sung mot s6 di~u cuaThong tu s6 37120181TT-BYT ngay 30 thang 11 nom 2018 cua B(J truong B(J Y tiquy dinh mire t6i da khung gia dich v¥ kham benh, chua benh khong thuoc phamvi thanh toan cua Quy baa hidm y ti trong cac co sa kham benh, chua benh cuaNha marc va huang dan ap dung gia, thanh toan chi phi khdm benh, chua benhtrong mot s6 truong h9'P (sau day goi titt la Thong tu s6 3712018ITT-BYT).

Di~u 1. Sua dBi, bB sung Di~u 2 nhu sau:1. Thay th@cac phu luc ban hanh kern thea Thong tu s6 37/2018/TT-BYT

bang cac phu luc ban hanh kern thea Thong tu nay:a) Mire t6i da khung gia dich V\1kham benh, kiSm tra sue khoe quy dinh

tai Phu luc I ban hanh kern thea Thong tu nay;b) Mire t6i da khung gia dich V\1ngay giuong diSu tri quy dinh tai Phu luc

II ban hanh kern thea Thong tu nay;c) Mire t6i da khung gia dieh V\1ky thu~t, xet nghi~m quy dinh t~i Phl,l ll,le

III ban hanh kern thea Thong tu nay;2. DiSu ehinh ghi ehu eua cae m\1e:m\1e61 vS ph~u thu~t nQi sai sua van hai

la; m\1e62 vS ph§:uthu~t nQi sai thay van hai la; m\1e63 vS ph§:uthu~t nQi sai dong16thong lien nhl va b6 sung ghi ehu mQt s6 dieh V\1 t~i m\1e64, 65, 66 eua Phl,l ll,leIV ban hanh kern thea Thong tu nay.

Di~u 2. Sua dBi di~m a khoan 4 Di~u 3 nhO' sau:"a) TiSn luang ng~eh b~e, ehue V\1, cae khmln ph\1 e~p, cae khaan dong

gop thea eh@dQ da Nha nuae quy dinh d6i vai dan vi sv nghi~p eong l~p vamue luang ea sa quy dinh t~i Nghi dinh s6 38/2019/ND-CP ngay 09 thang 5nam 2019 eua Chinh phu quy dinh mue luang ea sa d6i vai can bQ, eong ehue,vien ehue va lve luqng vii trang;".

Di~u 3. Sua dBi, bB sung Di~u 6 nhO' sau:1. Sua d6i diSm b khaan 5 nhu sau:"b) Truong hQ'Ptrong khaa C~p euu ha~e khaa Gay me h6i sue co mQt s6

giuOng dUQ'esu d\1ng dS diSu tri tieh eve; giuOng b~nh sau h~u ph~u eua caeph§:u thu~t lo~i d~e bi~t va cae giucmg b~nh nay dap ling dUQ'eyeu e~u euagiuOng h6i sue tieh eve quy dinh t~i Quy eh@C~p eUu, H6i sue tieh eve vaCh6ng dQe ban hanh kern thea Quy@tdinh s6 01/200S/QD-BYT ngay 21 thang01 nam 200S eua BQ truang BQY t@.".

2. B6 sung khaan 15 nhu sau:

3

"15. Ngay giuong benh ngoai khoa sau thuc hien "Ph~u thuat due thuytinh thS bing phuong phap Phaco" ap dung mire gia "Ngay giuong benh ngoaikhoa, bong" cua loai 3 tuong img thea hang benh vien tai Phu luc II ban thanhkern thea Thong tir nay." .

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

duoc xep tuong dirong vS quy trinh ky thuat va chi phi da quy dinh tai Quyetdinh s6 140IQD-BYT ngay 15 thang 01 nam 2019 cua B9 tnrong B9 Y tS vSviec ban hanh Danh muc ky thuat nrong duong thuc hien Thong tu 37/20 18/TT­BYT.

2. Trong thai gian cho co quan co tham quyen quyet dinh muc gia khamb~nh, chua b~nh thea quy dinh t~i Thong tu nay, cac cO' sa kham b~nh, chuab~nh dugc tiSp t\lC th\fc hi~n rnuc gia da:dugc quy dinh cho dSn khi cO'quan cothAmquySn quYStdinh muc gia thea quy dinh t~i Thong tu nay.

I)i~u 6. I)i~u khoan tham chi~uTrong truemg hgp cac van b~mquy 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 dVngthea van ban quy ph~m phap lu~t maio

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

Noi nh~n:- Uy ban vS cac v~n dS xii h9i cila Qu6c h9i (dS giam sat);- Van phong Chinh phil (Cong bao; C6ng TTDT Chinh phil);- B9, ca quan ngang b9, ca quan thu9c Chinh phil;- B9 Tu phap (Cvc KiSm tra VBQPPL);- B9 tnrcmg (dS b/c);- Cac Thu tnrang B9 Y tS (dS chi d~o thl,fchi~n);- UBND tinh, thanh ph6 trl,fc thu9c TW;- So' Y tS tinh, thanh ph6 trl,fc thu9c TW;- Dan vi trl,fc thu9c B9;- Cac V1,l,cvc, T6ng cvc, Van phong B9, Thanh tra B9;- C6ng thong tin di~n tu B9 Y tS;- LUll: VT, KHTC(02), PC(02).

BOYTE Ph ...luc I

GIA. TOI DA men VV KHA.M B:¢NH(Ban hanh kern thea Thong tus614120191TT-BYTngay 051712019cua B(j Yti)

D . a~an vi: ang

Ghi tBi da bao

STT CO's6' y t~gam chi phi

Ghi chutrue ti~p vati~n IU'O'ng

1 2 3 4

1 Benh vien hang dac biet 38.700

2 B~nh vien hang I 38.700

3 B~nh vien hang II 34.500

4 B~nh vien hang III 30.500

5 Benh vien hang IV 27.500

6 Tr~m y tS xa 27.500

HQi chan d~ xac dinh ca benh kho (chuyen

7 gia/ca; Chi ap dung d6i voi tnrong hQ"P200.000

moi chuyen gia dan vi khac dSn hQi chantai co so kham, chua benh).

-

8 Kham c<1Pgiay chirng thuong, giarn dinh y160.000

khoa (khong k~ xet nghiem, X-quang)

Kham sue khoe toan dien lao dong, lai xe,9 kham sue khoe dinh ky (khong k~ xet 160.000

nghiem, X-quang)Kham sue khoe toan dien cho nguoi di

10 xuat khau lao dong (khong k~ xet nghiem, 450.000X-quang)

BO Y TE Phl} Jl}CII

GIA TOI DA DJCH VVNGAy GIUONG n:~NH(Ban hanh kern thea Thong tu s6 14120191TT-BYT ngay 051712019 cua Br Y d)

B~nh vi~nB~nh vi~n B~nh vi~n B~nh vi~n Benh v~nsa Tl Cac lo~i djch Vl} hang D~e

bi~thang I hang II hang III hang IV

A B I 2 3 4 5

Ngay dieu tri H6i suc tich qrc1 (ICU)/ghep tang hoac ghep illy hoac 782.000 705.000 602.000

ghep tS bao g6c-~-- _.

2 Ngay giuong benh H6i sire dp cuu 458.000 427.000 325.000 282.000 251.500

3 Ngay giuong b~nh Nqi khoa:

Loai 1: Cac khoa: Truyen nhiem, H6hap, Huyet hoc, Ung thir, Tim mach,

3.1 Tam thAn, ThAn kinh, Lao, Nhi, Tieu242.200 226.500 187.100 171.100 152.700hoa, TMn hoc; NQi tiet; Di ung (d6i

voi benh nhan di irng thuoc nang:Stevens Jonhson hoac Lyell)

Cac khoa tren thuoc B~nh vienchuyen khoa true thuoc BQ Y tS tai 242.200Ha NQi va Thanh ph6 H6 Chi Minh -.-Loai 2: Cac Khoa: CO'-Xuong-Kh6p,Da li~u, Di ung, Tai-Miii-Hong, Mat,Rang Ham Mat, Ngo~i, Ph\} -San

3.2 kh6ng m6; YHDT ho~c PHCN cho 219.700 203.600 160.000 149.100 132.700nhom nguai b~nh t6n thuong tuys6ng, tai biSn m~ch mau nao, ch&nthuong SQ nao.

-

Cac khoa tren thuQc B~nh vi~nchuyen khoa tqrc thuQc BQ Y tS t~i 219.700Ha NQi va Thanh ph6 H6 Chi Minh

3.3 Lo~i 3: Cac khoa: YHDT, Ph\lc h6i185.100 171.400 130.600 121.100 112.000chuc nang

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

4.1 bi~t; Bong dQ 3-4 tren 70% di~n tich 336.700 303.800 256.300cO'th~Cac khoa tren thuQc B~nh vi~nchuyen khoa trvc thuQc BQ Y tS t~i 336.700Ha NQi va Thanh ph6 H6 Chi Minh

-- ---

Lo~i 2: Sau cac phiu thu~t lo~i l',4.2 Bong dQ 3-4 til' 25 -70% di~n tich cO' 300.500 276.500 223.800 198.300 178.300

thS--_

Don vi. a6ng

B~nh vi~nB~nh vi~n B~nh vi~n B~nh vi~n B~nh v~nsa Tl Cac loai djch vI} hang D~c

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

A B I 2 3 4 5

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

Loai 3: Sau cac phiu thuat loai 2;

4.3 Bong d9 2 tren 30% dien tich co th€,260.900 241.700 199.200 175.600 155.300Bong d9 3-4 diroi 25% dien tich co

th€- --

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

Loai 4: Sau cac phiu thuat loai 3;4.4 Bong d9 1, dQ 2 duoi 30% dien tich 234.800 216.500 170.800 148.600 134.700

co th€--_ -~ -~

5 Ngay gnrong tram y t~ xi 56.000

6 Ngay ghrong b~nh ban ngay Duoc tinh bang 0,3 l~n gia ngay giirong cua cac khoa valoai phong nrong (mg.

Ghi chu: Gia ngay gitrong dieu tri n9i tni chua bao g6m chi phi may tho va khi y tS.

2

BQYTE Ph\l luc III

GIA DJCH Vl) KY THU~T vA xET NGHI~M Ap Dl)NG CHO cAc H~NG B~NH VI~N(Ban hanh kern thea Thong tu 14120191TT-BYT ngay 0517 12019 cua B(j Y d)

f) ;t,a~n'{1"an vi: u, ''<;

Ghi t6i da baogAm chi phitrue ti~p vati~n IU'O'ng

STTTT 37 Mil djch vuSTT Ten djch V\I Ghi chu

32 4 5 6

CHAN DOAN BANG HiNH ANHA A

I Sieu amI

I 04Cl.1.3 Sieu am 43.900

Sieu am + do true nhan du2 2 03C4.1.3 76.200

Sieu am dau do am dao, true trang3 3 181.000

Sieu am Doppler mau tim hoac machrnau

4 4 03C4.1.1 222.000

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

Sieu am tim gang sire6 6 03C4.1.5 587.000

Chi ap dung trong tnrong hQ'P457.000 ch~ dinh~ d6 !h\J'c hi~.~ c~c

phau thuat hoac can thiep tunmach,

Sieu am Doppler mau tim 4 D (3DREALTIME)7 7 04Cl.lA

Sieu am Doppler mau tim hoac machmau qua thuc quan

8 8 04Cl.1.5 805.000

Chua bao gom bQ dau do sieuam, bQ dung cu do du trfl' luu

1.998.000 IU'Q'ngdong mach vanh va cacdung cu d6 dua vao longm~ch.

Sieu am trong long mach hoac £)0 dirtrfr hru IO'Q'ngdong mach vanh FFR

9 9 04Cl.1.6

II II Chyp X-Quang thm)'ng

ChvP X-quang phim :S 24x30 cm (1tu th6)

50.200 Ap dVng cho 0 I vi tri10 10

Ch\Jp X-quang phim :S 24x30 cm (2to'th6)

56.200 Ap dvng cho 01 vi tri11 11

Chvp X-quang phim > 24x30 cm (1illth6)

56.200 Ap dVng cho 01 vi tri12 12

Chvp X-quang phim > 24x30 em (2tu th6)

69.200 Ap dVng cho 0I vi tri13 13

Chvp X-quang 6 riing hoi,ic c~n ch6p14 13.100

Chvp SQ mi,it chinh nha thuo'ng(Panorama, Cephalometric, cit l6'pl6i cau)

15 14 03C4.2.2.1 64.200

ChvP Angiography mit16 15 03C4.2.1.7 214.000

Ghi tai da bao

STTSTT

Ma djch vu Ten djch vu gAm chi phiGhi clniTT 37 trl}'c ti~p va

ti~n hrongJ 2 3 4 5 6

17 16 04C 1.2.5.33Chup thirc quan co ucng thu6c elm

10l.000quang

18 17 04C1.2.5.34 ChVP da day-ta trang co uong thuoc116.000can quang

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

156.000quang

20 19 03C4.2.5.IO ChVPmat qua Kehr 240.000 Chua bao gorn thuoc canquang.

21 20 04C1.2.5.30ChVP M tiSt nieu co tiern thuoc can

539.000quang (UN)

21 04C1.2.5.31Chup nieu quan - b~ than ngiroc

529.00022dong (UPR) co tiem thuoc can quang

23 22 03C4.2.5.11Chup bang quang co bom thuoc can

206.000quang

24 23 04C 1.2.6.36Chup nr cung-voi tnrng (bao g6m ca

37l.000thuoc)

25 24 03C4.2.5.12 Chup X - quang vu dinh vi kim day 386.000 Chua bao g6m kim dinh vi.--- ~.-.

26 25 03C4.2.5.13 L6 do can quang 406.000

27 26 03C4.2.5.15 Mammography (1 ben) 94.200

28 27 04CI.2.6.37 Chup tuy song co tiem thuoc 401.000

III III Chup X-quang sa hoa

29 28 04CI.2.6.51 ChVP X-quang s6 hoa 1 phim 65.400 Ap dung cho 01 vi tri30 29 04C 1.2.6.52 Chup X-quang s6 hoa 2 phim 97.200 Ap dung cho 01 vi tri31 30 04C 1.2.6.53 Chup X-quang s6 hoa 3 phim 122.000 Ap dung cho 01 vi tri

32 ChVP Xquang s6 hoa 6 ding hoac18.900can chop1---.

33 31 04CI.2.6.54 Chup tiI cung-voi tnrng bang s6 hoa 411.000- ---

34 32 04C 1.2.6.55Chup he tiSt nieu co tiem thuoc can

609.000quang (urv) s6 hoa

35 33 04CI.2.6.56 Ch\lp ni~u quim - b~ tMn ngugc564.000dong (UPR) s6 h6a

36 34 04C 1.2.6.57 Ch\lp tlwc quim co u6ng thu6c can224.000quang s6 hoa

37 35 04CI.2.6.58Ch~IP d<;lday-ta trang co u6ng thu6c

224.000can quang s6 hoa

38 36 04C 1.2.6.59Ch\lp khung d<;litrang co thu6c cim

264.000quang s6 h6a

2

Gili tBi da bao

STT STTMil djch vu Ten djch V\l

gAm chi phiGhi chuTT 37 true ti~p va

ti~o IU'O'og

1 2 3 4 5 6

39 37 04C1.2.6.60 Chup tuy song co thuoc can quang521.000

s6 hoa

40 38 Chup X-quang s6 hoa cit lo-p tuyen944.000

vu 1 ben (tomosynthesis)

Chup X-quang s6 hoa duong do, cac Chua baa g6m 6ng thong,41 39 tuyen co bam thu6c can quang true 386.000tien

kim choc chuyen dung,

IV IV Chup dt lop vi tinh, chup mach,cqog hurrng til'

42 40 04C1.2.6.41 Chup CT Scanner dSn 32 day khong522.000

co thu6c can quang

43 41 04C1.2.6.42 Chup CT Scanner dSn 32 day co632.000

Chua baa gam thu6c canthuoc can quang quang.

44 42 04C1.2.6.63 Chup CT Scanner 64 day dSn 1281.701.000

Chua baa gam thuoc canday co thuoc can quang quang.

--

45 43 04C1.2.63 Chup CT Scanner 64 day dSn 1281.446.000

day khong co thu6c can quang

46 44 Chup CT Scanner to an than 64 day -3.45l.000

Chua baa gam thuoc can128 day co thuoc can quang quang.

47 45 Chup CT Scanner toan than 64 day -3.128.000

128 day khong co thuoc can quang

48 46 04C1.2.6.64 Chup CT Scanner tir 256 day tro len2.985.000

Chua bao gam thu6c canco thuoc can quang quang.

49 47 Chup CT Scanner tir 256 day tro len2.731.000

khong co thuoc can quang

Chup CT Scanner toan than tll" 2566.673.000

Chua bao gam thuoc can50 48day co thuoc can quang quang.

51 49Chup CT Scanner toan than ttl" 256

6.637.000day khong thuoc can quang

52 50 04C1.2.6.61 Chup PET/CT 19.770.000 Chua bao gam thu6c can[quang

Chup PET/CT rna phong x~ tri 20.539.000Chua baa gam thu6c can

53 51 04C1.2.6.62quang

54 52 04C1.2.6.43 Ch\lp m~ch mau s6 hoa xoa nen5.598.000

(DSA)

55 53 04C1.2.6.44 Ch\lp d(>ng m~ch vanh ho~c thang5.916.000

tim ch\lp bu6ng tim duo-i DSA

3

STT

2 3

56

57

58

59

60

61

STTTT 37 Mil djch vu

54 04C 1.2.6.45

55 04CI.2.6.46

56

57 04C 1.2.6.48

58 04C1.2.6.47

59 04C 1.2.6.50

Ten djch vu

4

Chup va can thiep tim mach (vantim, tim b~m sinh, dong mach vanh)duoi DSA

Chup va can thiep mach chu bunghoac nguc va mach chi duoi DSA

Cht.!P va can thi~p m~ch chu b\lngho~c ngl/c va m~ch chi du6'i C-Arm

Cht.!P, nut di d~ng va can thi~p cacb~nh Iy m~ch thfrn kinh duo'i DSA

Can thi~p ducmg m~ch mau cho cact~ng dll'6'iDSA

Can thi~p van long m~ch trl/c ti~pqua da (d~t c6ng truyen hoa chfrt, d6tgian nnh m~ch, sinh thi~t trong longm~ch) ho~c mo' thong d~ day qua da,d&n luu cac 6 ap xe va t~ng 6 b\lngdll'6'iDSA.

4

Gia tBi da baogAm chi phitrue ti~p vati~n hrong

Ghi chu

5 6

Chua bao gem v~t tir chuyendung dung d~ can thiep: bongnong, stent, cac v~t lieu nutm~ch, cac lo~i ong thonghoac vi 6ng thong, cac loai

6.816.000 day d&nhoac vi day d&n, cacvong xoan kim loai, luoi 19Ctinh mach, dung cu Ifrydi v~t,be:>dung cu Ifryhuyet khoi, be:>dung cu bit (be:>tha du, du cacIoai).

Chua bao g6m v~t tir chuyendung dung d~ can thiep: bongnong, be:>bom ap hrc, stent,

9.066.000 keo nut mach, cac v~t lieu nutmach, cac vi 6ng thong, viday d&n, cac vong xoan kimlo~i, lll'o'i 19CHnh m~ch.

Chua bao g6m v~t tll' chuyend\lng dung d~ can thi~p: bongnong, be:>bom ap ",rc, stent,cac v~t li~u nllt m~ch, cac vi

7.816.000 6ng thong, vi day d&n, cacvong xo~n kim lo~i, d\lng C\llfry di v~t, be:>d\lng C\l Ifryhuy~t kh6i, bong bom ngu9'Cdong de:>ngm~ch chil.Chua bao g6m v~t tu chuyend\lng dung d~ can thi~p: bongnong, be:>bom ap l\fc, stent,

9.666000 keo nut m~ch, c,ac v~t Ii~u nut. m~ch, cac vi ong thong, vi

day d&n, cac vong xo~n kimIo~i, d\lng C\l Ifry di v~t, hUthuy~t kh6i.

Chua bao g6m v~t tu' chuyend\lng dlmg d~ can thi~p: bong

9 .116.000 n~ng, A b? AbO'~ ap II/c, s~ent:cac v~t Iwu nut m~ch, cac VI

6ng thong, vi day d&n, cacvong xo~n kim lo~i.

Chua bao gom kim Ch9C,stent, cac sonde d&n, cac day

2.103.000 d&n, day d6t, 6ng thong,bu6ng truyen hoa chfrt, r9 Ifrys6i.

Gi:i tai da bao

STT STTMil djch v\l Ten dich V\l

gAm chi phi Ghi chuTT37 true ti~p vati~n hrong

1 2 3 4 5 6

62 60 Can thiep khac dtroi huang d~n cua 1.183.000 Chua bao g6m 6ng d~n luu.CT Scanner

D~n hru, nong d~t Stent, l~y di v~tChua bao gam kim choc,bong nong, bQ nong, stent,63 61 04C1.2.6.50 dirong mat hoac d~t sonde II qua da 3.616.000cac sonde d~n, cac day d~n,duoi DSA6ng thong, ro lfrydj vat.

Dbt song cao t~n hoacvi song diSuChua bao g6m d6t song cao64 62 03C2.1.56 tri u gan duoi huang d~n cua CT 1.735.000dn va day d~n tin hieu,

scanner

65 63 03C2.1.57 D6t song cao t~n hoac vi song di6u1.235.000

Chua bao g6m kim d6t songtri u gan duoi huong d~n cua sieu am cao t~n va day d~n tin hieu,

DiSu tri cac t6n thuong xirong, khop,Chua bao gorn vat tu tieu

cQt song va cac tang duoi DSA (d666 64 04Cl.2.6.49xi mang cQt song, diSu tri cac kh6i u

3.116.000 hao: kim choc, xi mang, cacv~t li~u bom, chfrt gay tic.

t~ng va gia u xuong ...)

67 65 03C4.2.5.2 Chvp cQng huang tlr (MRl) co thu6c2.214.000

can quang

68 66 03C4.2.5.1 ChvP cQng hu6ng tlr (MRI) khong1.311.000

co thu6c can quang

69 67 ChVP cQng huang tlr gan v6i ch~t8.665.000

tuong phan d~c hi~u rna

70 68 Ch\lP cQng huang tlr tuai mau - ph6 -3.165.000

chuc nang

V V Mqt sa kY thu~t khac71 69 Do rn~t dQxuang 1 vi tri 82.300 B~ng phuo'ng phap DEXA

72 70 Do rn~t dQxuang 2 vi tri 141.000 B~ng phuang phap DEXA

73 Do rn~t dQxuang 21.400 B~ng plmo'ng phap sieu am

B B cAc THU THU~T vA DJCH Vl)NOI SOl

74 71 Bom rua khoang rnang ph6i 216.000

75 72 03C1.51Bam rua ni~u quan sau tan sai

467.000(ngoai ca thS)

76 73 Bam streptokinase VaGkhoang mang1.016.000

ph6i

77 74 04C2.108 C~p clm nglrng tu~n hoan 479.000Bao g6m ca bong dung nhiSul~n.

78 75 04C3.1.142 Cit chi 32.900Chi ap dl,lI1gv6i ngucri b~nhngo~i trll.

79 76Cham soc da cho nguo'i b~nh di lIng

158.000Ap dVng v6i ngu'o'i b~nh hQi

thu6c n~ng chung Lyell, Steven Johnson.

80 77 04C2.69 ChQc do mang bVng ho~c mang ph6i 137.000

5

STT

2

f)~t catheter Hnh m?ch trung Himnhi~u nong

5 6

88 04C2.122

4

Ghi tBi da baogBm chi phitr1!c ti~p vati~n hrong

Ghi chuSTTTT 37 Mil djch Vl.l Ten djch Vl.l

81

82

3

78 04C2.112Choc thao dich rnang bung hoacmang phdi duoi huong dfrn cua sieuam

176.000

143.0008384

85

79 04C2.71 Choc hut khi rnang ph6i206.000247.000

Ap dung voi tnrong hop dung177.000 bom kim thong thirong de

choc hut.

86

80 04C2.70 Choc nra mang phoi

107.000 Chua bao g6m kim choc do.

87

88

81 03CIA Choc do mang tim

166.000

221.000

89

90

82 03C1.74 Choc do sinh thiet vu duoi sieu am

110.000

152.000

83 03Cl.l Choc do tuy song

Choc hut hach hoac u hoac ap xehoac cac ton thuong khac duoihu6"ng dfrn cua dt l6"pvi tinh

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

91

92

84 Choc hut dich di~u tri u nang giap

732 000 Chua b~o gam thu6c can. quang neu co Slr dl,mg.

110.000

93

94

95

85Choc hut dich di~u tri u nang giapduoi huong dfrn cua sieu am

151.000

530000 Bao g6m, ca ~im choc h6t tuy. dung nhieu Ian.

Chua bao g6m kim choc h6t128.000 tuy. Kim choc hUt tuy tinh

thea thvc tS sl'rd\lng.

96

86 04C2.67 Choc hut hach hoac u

2.360.000

97

87 04C2.121Choc hut hach hoac u hoac ap xehoac cac ton thuong khac duoihuong dfrn cua sieu am

596.000

98

99

89 04C2.68 Choc hut tS bao tuySn giap

678.000

1.199.000

100

101

90 04C2.111 Choc h6t tS bao tuYSn giap du6"ihuong dfrn cua sieu am

546.000

1.367.000

102

91 04C2.115 Choc hut tuy lam tuy d6

92 04C2.114 Choc hut tuy lam tuy d6

93 Choc hlIt tuy lam tuy d6 (Slr d\lngmay khoan dm tay)

94 04C2.98 Dfrn luu mang ph6i t6i thiSu

95 Dfrn luu mang ph6i, 6 ap xe ph6idu6"i hu6"ng dfrn cua sieu am

96Dfrn luu mang ph6i, 6 ap xe ph6idu6"i huo'ng d&n cua chl,lp cit l6"pvitfnh

97 03C1.58 D~t catheter d(>ngm?ch quay

98 03C1.59 D~t catheter d(>ng m?ch thea d5ihuySt ap lien tl,lC

99 03C1.57 D~t catheter Hnh m?ch trung tamm(>tnong

1.126.000103 100 04C2.104

6

653.000

Gi:i tBi da bao

STT STTMi djch vu Ten djch vu g6m chi phi

TT37 true ti~p vaGhi chu

ti~n IITO'ng

I 2 3 4 5 6

104 101 04C2.103 Di~.t ong thong tinh mach b~ngl.l26.000

Chi ap dung voi tnrorig hopcatheter 2 nong IQcmau,

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

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

107 103 D~t sonde d1;1day 90.100

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

109 105 03C1.32 D~t stent thuc quan qua nQi soi 1.144.000 Chua bao gom stent.

Di8u trj rung nhi bang nang IU"Q"ngChua bao gorn bQ dung Cl,ldiSu tri r6i 101;1nnhip tim co

110 106 song t~n s6 radio sir dung h~ thong3.035.000 sir dung h~ thong lap ban d6

I~p ban d6 ba chien giai ph~u - di~nba chi8u giai ph~u - dien hochoc cac buong timcac buong tim.

Di8u tri suy tinh mach bang LaserChua bao g6m bQ dung cu

111 107 2.025.000 mo' mach mau va 6ng thongnQi m1;1chdi8u tri laser.

Di8u tri suy tInh m1;1chb~ng nangChua bao g6m bQ dl,lng Cl,l

112 108IUQngsong t~n s6 radio

l.925.000 mo· m1;1chmau va 6ng thOngdi8u tri RF.

Gay dfnh mang ph6i b~ng thu6cChua bao g6m thu6c ho~c113 109 ho~c hoa ch~t qua 6ng d~n luu mang 196.000hoa ch~t gay dfnh mang ph6i.ph6i

114 110 03C1.56 H~p th\1 phan tll"lien tl,lCdi8u tri suy2.32l.000

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

115 111 Hut d~n luu khoang mang ph6i b~ng185.000

may hut ap Il,I"cam lien tvc

116 112 Hut dich khop 114.000

] 17 113 Hut dich khop duo·i huo-ng d~n cua125.000

sieu am1]8 114 Hut dom 1l.l 00

1] 9 115 04C2.119 L~y soi ni~u quan qua nQi soi 944.000Chua bao gom sonde ni~uquan va day d~n Guide wire.

120 116 04C2.79 LQc mang b\1ng chu ky (CAPD) 562.000

121 117 04C2.78 LQc mang bVng lien t\1C24 gio· b~ng 964.000may (th~m phan phUc m1;1c)

122 118 03C1.71 LQc mau lien t\1C (01 l~n) 2.212.000 Chua bao g6m qua IQC, bQday d~n va dich IQc.Chu·a bao g6m qua IQCtach

123 119 03Cl.72 LQCtach huyst tuang (0] I~n) 1.636.000huySt tuong, bQ day dfrn vahuySt tuang dong l1;1nhho(tcdung dich albumin.

124 120 04C2.99 Mo·khf quan 719.000- -

125 121 04C2.120 M6"thong bang quang (gay te t1;1ich6) 373.000--

7

Ghi tBi da bao

STT STT Mil djch vu Ten djch vu gam chi phiGhi chuTT37 true ti~pva

ti~n luong

1 2 3 4 5 6

126 122 Nghiem phap h6i phuc ph~ qulin voi94.900

thuoc gian phe qulin

127 123 03C1.39 NQi soi long nguc 974.000

128 124 NQi soi mang phoi, gay dinh bang5.010.000 Da bao g6m thucc gay methu6c hoac hoa ch~t

129 125 NQi soi mang pho], sinh thi~t mang5.788.000 Da bao g6m thuoc gay meph<3i

130 126 03CI.45 Ni~u dong 06 59.800

131 127 NQi soi phe qulin duoi gay me col.76l.000

sinh thiet

132 128NQi soi phe qulin diroi gay me khong

1.46l.000sinh thi~t

133 129 NQi soi ph~ qulin diroi gay me l~y di3.261.000

v~t phe qulin

134 130 04C2.96 NQi soi ph~ qulin 6ng m~m gay te 753.000

135 131 04C2.116 NQi soi ph~ qulin 6ng mem gay te co1.133.000sinh thiet

136 132 04C2.117 NQi soi ph~ qulin 6ng mern gay te I~y2.584.000

di v~tNQi soi ph~ qulin 6ng mem: dt 06t

137 133 u, seo nQi ph~ qulin bang dien dong 2.844.000cao tan

138 134 04C2.88 NQi soi thuc qulin, da day, ta trang433.000 Da bao g6m chi phi Test HP6ng mem co sinh thi~t

139 NQi soi da day lam Clo test 294.000

140 135NQi soi thuc quan-da day- ta trang

244.0006ng mem khong sinh thi~t

141 136 04C2.90 NQi soi o?i tr\fc trang 6ng m~m co408.000sinh thi~t

--_.

trang 6ng142 137 04C2.89 NQi SOl o?i tr\lc mem305.000

khong sinh thi~t143 138 04C2.92 NQi soi tr\fc trang co sinh thi~t 29l.000

144 139 04C2.91 NQi soi tq.rc trang 6ng m~m khong189.000

sinh thi~t-

Chua bao g6m thu6c dm mau,145 140 03C1.25 NQi soi d? day can thi~p 728.000 d\mg C\l dm mau (clip, bQ th~t

tInh m<;lchth\lc quan...)

Chua bao g6m d\lng C\l can

146 141 03C4.2.4.2 NQi soi m~t tuy' ngu9'C dong (ERCP) 2.678.000 thi~p: stent, bQ tan soi co'h9C, r9 l~y dj v~t, dao dt,bong keo, bong nong.

147 142 04C2.85 NQi soi <3b\lng 825.000148 143 04C2.86 NQi soi <3b\lng co sinh thi~t 982.000149 144 03CI.36 NQi soi 6ng m~t cM 167.000

8

Gili t6i da bao

STT STT Ma djch vu Ten dich V\1 gam chi phiTT37 tqrc ti~p va

Ghi chu

ti~n 11I'O'Dg1 2 3 4 5 6

150 145 N9i soi sieu am chan doan 1.164.000

N9i soi sieu am can thiep - choc hut151 146 t~ bao khoi u gan, tVY,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 gom sonde II.

[quan154 149 04C2.94 NQi soi bang quang co sinh thi~t 649.000

----

155 150 04C2.93 NQi soi bang quang khong sinh thi~t 525.000

156 151 04C2.118 NQi SOl bang quang diSu trj dai694.000

duong chap

157 152 04C2.95 NQi soi bang quang va g~p di v~t893.000

hoac lay mau cue

158 153 N6i thong dong - tinh mach co dich1.351.000

chuyen mach

159 154 N6i thong dong - tinh mach sir dung1.371.000 Chua bao gorn mach nhan tao.mach nhan tao

---

160 155 N6i thong dong- tinh mach 1.151.000

161 156 04C2.74 Nong nieu dao va d~t thong dai 241.000

162 157 03C1.31 Nong thirc quan qua nQi soi 2.277.000

163 158 04C2.73 Rira bang quang 198.000 Chua bao gorn hoa chit.

164 159 03C1.5 Rira da day 119.000

165 160 03C1.54 Rira da day loai bo chat dQc qua M 589.000th6ng kin

166 161 Rira phoi toan bQ 8.181.000 Da bao g6m thuoc gay me

167 162 03C1.55 Rira ruot non toan bQ loai bo chat831.000

dQc qua dirong tieu hoa

168 163 Rut mau dS diSu tri 236.000-

169 164Rut 6ng d~n luu mang ph6i, 6ng d~n

178.000luu 6 ap xe

170 165 Sieu am can thi~p - £)~t 6ng thong597.000 Chua bao g6m 6ng thong.

d~n luu 6 ap xe--

171 166 Sieu am can thi~p diSu tri ap xe ho~c558.000

u ho~c nang trong 6 b\lllg

Chua bao g6m bQ d\lng C\l172 167 03C1.21 Sinh thi~t co tim l.765.000 thong tim va chvp bu6ng tim,

kim sinh thi~t co tim.

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

174 169 Sinh thi~t gan ho~c th~n duo-i huong1.002.000dlln eua siSu am

9

Ghi t6i da bao

STTSTT

Ma djch v\I Ten djch V\Igam chi phi

Ghi chuTT 37 true ti~pvati~n hrong

I 2 ,.,4 5 6.)

175 170 Sinh thi~t vu hoac t6n thuong khac828.000

diroi huong dan cua sieu am

176 171 Sinh thi~t phdi hoac gan diroi huong1.900.000

dan cua dt lop vi tinhSinh thiet than hoac vu hoac vi tri

177 172 khac duoi huong dan cua dt 16"pvi 1.700.000tinh

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

thi~t179 174 04C2.110 Sinh rnang hoat dich duoi 1.104.000--- - huong dan cua sieu am

180 175 04C2.83 Sinh thi~t mang phoi 431.000

181 176 Sinh thiet m6ng 311.000

182 177 04C2.84 Sinh thi~t ti~n li~t tuyen qua sieu am609.000

-- duong true tranz183 178 04C2.82 Sinh thiet tuy xuong 242.000 Chua bao g6m kim sinh thiet.

184 179 04C2.113 Sinh thiet tuy xuong c6 kim sinh thi~t 1.372.000 Bao g6m kim sinh thi~t dungnhieu I~n.

185 180 Sinh thiet tuy xuong (sir dung may2.677.000

khoan dm tay).

186 181 03C1.20 Sinh thi~t vu 157.000

Sinh thi~t tuyen VLl dtroi huoug dan187 182 cua Xquang c6 h~ thong dinh V! 1.560.000

stereostatic

183 03C1.30 Soi bang quang, chup tMn nguQ'c645.000 Chua bao gorn thuoc can188

dong quang.

189 184 03C1.28 Soi d(:litrang, tiem ho~c k~p dm mau 576.000 Chua bao g6m dl)ng CI) k~pva clip dm mau.

-

190 185 03Cl.22 Soi kh6"pc6 sinh thi~t 498.000

191 186 03Cl.23 Soi mang ph6i 440.000_.

192 187 03C1.67 Soi ph~ quan di~u tri s~c ph6i a b~nh885.000nhan ngQ dQc cfrp

193 188 03C1.27 Soi ruQt non, tiem (ho~c k~p c~m748.000mau) ho~c dt polyp

194 189 03Cl.26 Soi rUQtnon 639.000

195 190 03C1.24 Soi thl,l'Cquan ho~c d(:lday g~p giun 427.000 Chua bao g6m dvng Cl) g~pgmn.

196 191 03C1.29 Soi tn,l'c trang, tiem ho~c th~t tIi 243.000

197 192 03C1.62 T(:lonhjp cfrp clru ngoai l6ng ng\fc 989.000

198 193 03C1.61 Ti;lOnhip cc1pcu·u trong bu6ng tim 500.000

Thiim tach siell 19C mall199 194 04C2.107 (Hemodiafiltration offline: HDF ON 1.504.000 Chua bao g6m catheter.

- LINE)

10

Gia tBi da bao

STT STTMil dich v\l TeDdjch v\l gBm chi phi

Ghi chuTT37 true tiep vati~n hrong

1 2 3 4 5 6

Qua IQcday mau dung 1 I~n;

200 195 04C2.I23 TMn nhan tao dp elm l.541.000da bao g6m catheter 2 nongducc tinh binh quan la 0,25I~n cho 1 I~n chay than,

201 196 04C2.76 Than nhan tao chu ky 556.000 Qua IQeday mau dung 6 I~n.

Thao bOt: cot song hoac lung hoac202 197 04C3.1.149 kh6'p hang hoac xirong dui hoi.ie 63.600

xironz chau - -

Ky thuat ph6i hop than nhan tao va Da bao gorn qua loc hip phu203

hftp phu mau bang qua hftp phu mau3.430.000 va qua loc day mau dung 6

l~n.

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

Ap dl,lng d6i voi b~nhPemphigus hoac Pemphigoidhoac ly thirong bi bong nuoc

205 199 Thay bang e~t loc vSt tlnrong man246.000

bfim sinh hoac vSt loet bantlnh chan do dai thao duong hoac

vSt loet, ho~i ti'l' (J b~nh nhanphong hoi.ie vSt loet, ho~i tll'do ty de.

Chi ap dl,lng v6'i nguo'i b~nh

206 200 04C3.1.I43 Thay bang vSt thuang hoi.iemf>ehi~u57.600

ngo~i tru. D6i v6'i nguo'i b~nhdeli :s 15em noi tru thea quy dinh cua So

Y tS.

207 201 04C3.1.144 Thay bang vSt thuang chiSu dai tren82.40015em dSn 30 em

Chi ap dl,lng v6'i nguo'i b~nh

208 201 04C3.1.145 Thay bang vSt m6 ehi~u dai tren82.400

ngo~i tru. D6i v6'i nguo-i b~nh15cm dSn 30 em noi trll thea quy dinh cua BO

Y tS.

209 202 04C3.1.145 Thay bang vSt thuo'ng hoi.iem6 ehi~u112.000deli tt'r tren 30 em dSn 50 em

Thay bang vSt thuang hoi.icmf>chiSu210 203 04C3.1.I46 deli tt'r tren 15 em dSn 30 cm nhi6m 134.000

trung

211 204 04C3.1.147 Thay bang vSt thuang hoi.icm6 ehi~u179.000deli tu 30 em dSn 50 em nhi6m trung

212 205 04C3.1.148 Thay bang vSt thuong hoi.icmf>chi~u240.000

dai> 50em nhi6m trung~--

213 206 Thay canuyn mc)'khl quim 247.000

214 207 04C2.72 Thay ri'ra h~ th6ng d~n luu mang ph6i 92.900

11

Ghi tBi da bao

STT STTMa djch vu Ten djch V\l gAm chi phi

TT 37 true ti~pva Ghi chu

ti~n IU'O'ngI 2 3 4 5 6

215 208 Thay transfer set 6' benh nhan IQc502.000mang bung lien tuc ngoai tru

216 209 04C2.105 Tho' may (01 ngay di~u tri) 559.000

217 210 04C2.65 Thong dai 90.100

218 211 04C2.66 Thut thao phan hoac Di.lt sonde hau82.100man

Tiem (bap hoac duoi da hoactinh Chi ap dung voi ngiroi benh219 212 11.400 ngoai tru; chua bao gamm;:lch)

thuoc tiem,

220 213 Tiem khop 91.500 Chua bao gem thuoc tiern.

221 214 Tiern khop duoi huong d~n cua sieu132.000 Chua bao g6m thuoc tiem,am

Chi ap dung voi ngiroi benh222 215 Truyen tinh mach 21.400 ngoai tru; chua bao gam

thuoc va dich truyen,

223 216 04C3.1.151 Khau vSt thuong phan mern ton178.000thirong nang chieu dai < 10em

224 217 04C3.1.152 Khau vSt thuong ph&n mem ton237.000thuong nang chien dai 2: 10cm

225 218 04C3.1.153 Khau vSt thuong ph&n mem ton257.000thuong sau chi~u dai < 10cm

226 219 04C3.1.154 Khau vSt thuong ph&n m~m t6n305.000thuo'ng sau chi~u dai 2: 10cm

C C Y HQC DAN TOC - PHVC HOIcmJCNANG

227 220 03ClDY.2 Ban keo 45.800

228 221 04C2.DY139 Bo Farafin 42.400

229 222 Bo thu6c 50.500--

230 223 03ClDY.3 B6n xoay 16.200

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

232 Cham (kim ngiin) 65.300

233 225 03ClDY.8 Ch~n doan di~n 36.200

234 226 03ClDY.29 Ch~n doan di~n th&nkinh CO' 58.500

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

236 228 04C2.DY140 Cuu (Ngai clm, tui chuam) 35.500

237 229 Di.ltthu6c y hQc c6 truy~n 45.400238 230 04C2.DY126 Di~n cham (co kim dai) 74.300239 Di~n cham (kim ngiin) 67.300

240 231 04C2.DY130 Di~n phan 45.400

241 232 04C2.DY138 Di~n til two'ng 38.400

12

STT

258 03ClDY.4

3 4 5

Ghi chu

2

STTTT 37 Mil djch V\l Ten djch V\l

233 03ClDY.20 Di~n vi dong giam dau242

243 234 04C2.DY134 Di~n xung

244 235 03ClDY.25 Giac hoi

245

246 237

236 03CIDY.l Giao thoa

04C2.DY129 H6ng ngoai

247 238 04C2.DY141 Keo nan, keo dan cot song, cac khop

248 239

Gia t6i da baogAm chi phitrlfc ti~p vati~n hrong

28.800

41.400

33.200

28.800

35.200

45.300

335.000

203.000

48.600

6

249 240

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

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

Ky thuat t~p luyen voi dung cu chinhhinh

Ky thuat thong ti~u nglit quang trongphuc h6i chirc nang tuy song

252 243 04C2.DY132 Laser cham

146.000

47.400

34.000

53.600

244 03ClDY.32 Laser chieu ngoai

250 241

253

245 03ClDY.33 Laser nQi mach

105.000

105.000

105.000

49.400~------~------~----------~-------------------------I-----------I--------

N~n, b6 g~y xuong canh tay bangphuong phap y hoc c6 truy~n

1------I-------~--------F---~~~~------~------4_----------I--------------------- -

251 242

Nlin, b6 g~y xuong cang chan bangphuong phap y hoc c6 truyen

Nlin, b6 g~y xuong cang tay bangphuong phap y hoc c6 truyen

Ngam thu6c y hQc c6 truy~n

1.050.000 Chua bao g6m thu6c

33.300

Phong b~ th~n kinh b~ng Phenol d~di~u tri co cung CO'

1------~-----I----------j----------~--------------4_----------t--------------------

Phvc h6i chuc nang xuong cMu cuasan phv sau sinh de

254

255 246

slic thu6c thang (1 thang)Da bao g6m chi phi d6ng g6i

12.500 thubc, chua bao g6m ti~nthu6c.

256 247

262 253 04C2.DY137 Sieu am di~u tri

263

255 03ClDY.35 S6ng xung kfch di~u tri

266 257 03ClDY.6

256 03ClDY.5 T~p do cung kh6'p

T~p do li~t ngoC:i-ibien

13

45.600

34.900

61. 700

45.700

28.500

41.800T~p do li~t th~n kinh trung U'ongL_ __ ~I ~ _J_~ ~ I IL_ _

254 04C2.DY131 S6ng nglin

257 248

258 249

259 250

260 251 03ClDY.17

261 252

264

265

267

Ghi tBi da bao

STT STTMil djch vu Ten djch vu g6m chi phi

TT37 true ti~p va Ghi chu

ti~n hrong

I 2 3 4 5 6

268 259 03ClDY.19 Tap duong sinh 23.800

269 260 Tap giao ti€p (ngon ngir, ky hieu,59.500hinh anh ...)

270 261 03CIDY.11 Tap luyen voi gh€ t~p co bon d&udui 11.200

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

272 263 Tap nuot (co StJ'dung may) 158.000273 264 Tap nuot (khong StJ'dung may) 128.000274 265 Tap sua 16i phat am 106.000-- ~--275 266 04C2.DY136 Tap v~n d(>ngdoan chi 42.300C---------"276 267 04C2.DY135 Tap v~n dong toan than 46.900

277 268 Tap van dong voi cac dung cu tro29.000[giup

278 269 03CIDY.13 Tap voi h~ th6ng rong roc 11.200279 270 03ClDY.12 T~p voi xe dap t~p 11.200280 271 04CLDY127 Thuy cham 66.100 Chua bao g6m thuoc.

281 272 03ClDY.14 Thuy tri lieu 61.400-"

Tiern Botulinum toxine vao co thanh282 273 bang quang c1SdiSu tri bang quang 2.769.000 Chua bao g6m thuoc

tang heat d(>ng-~-

283 274 Tiem Botulinum toxine vao diSm1.157.000 Chua bao g6m thuocv~n dong dS c1iSutri co cirng co

---- ----

284 275 04C2.DY133 Ttl' ngoai 34.200285 276 03ClDY.16 V~t Iy tri li~u chinh hinh 30.100286 277 03CIDY.15 V~t Iy tri li~u ho h~p 30.100

287 278 03ClDY.18 V~t Iy tri li~u phong ngira cac bi€n30.100chu'ng do b~t d(>ng

288 279 03ClDY.30 Xoa bop ap Il,I'choi 30.100289 280 04C2.DY128 Xoa bop b~m huy~t 65.500-

Xoa bop b~ng may290 281 03ClDY.21 28.500291 282 03ClDY.22 Xoa bop C\lC b(>b~ng tay 41.800292 283 03ClDY.23 Xoa bop toan than 50.700293 284 Xong hoi thu6c 42.900

294 285 X6ng khoi thu6c 37.900

295 286 X6ng thu6c b~ng may 42.900Cac thtl thu~t Y hQc c6 truy~nho~c Phyc h6i chti-c nang con I~ikhac

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

D D PHAU THU~T, THU THU~TTHEO CHUYEN KHOA

I I HOI suc cAp cUu vA CHONGDOC

14

Ghi tBi da bao

STT STTMa djch V\I Ten djch V\I g6m chi phi Ghi chuTT37 true ti~p va

ti~n luong

I 2 3 4 5 6

Ph&u thuat d~t h~ thong tim ph6iChua bao gorn bo tim phoi,

299 290 5.202.000 day d&n va canuyn ch1;1ynhan tao (ECMO)ECMO.

Chua bao g6m b9 tim phoi,300 291 Thay day, thay tim phoi (ECMO) 1.496.000 day d&n va canuyn ch~y

ECMO.

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

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

-

302 293 K8t thuc va rut M thong ECMO 2.444.000

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

303 294 Ph&u thuat 10~idac bi~t 3.204.000304 295 Phfru thuat 10~iI 2.167.000305 296 Ph&u thuat loai II 1.290.000306 297 Thu thuat loai d~c biet 1.233.000

- --307 298 Thu thuat loai I 762.000 -~ -~308 299 Thu thuat loai II 459.000309 300 Thu thuat 101;1iIII 317.000II II NQIKHOA

310 301 DV-MDLS Giam m&n cam nhanh voi thu6c 721.392.000

Igio

311 302 DV-MDLS Giam m&n cam vo'i thuoc hoacsua885.000hoac thirc an

- -~

Lieu phap mi~n dich d~c hieu duong

312 303 DV-MDLS duoi hroi voi dj nguyen (Giai dean2.372.000ban dAu - lieu phap trung binh 15

ngay)

Li~u phap mi~n dich d~c hi~u duo'ng313 304 DV-MDLS du6'i lu6'i v6'i di nguyen (Giai d01;1n 5.103.000

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

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

v6'i 6 lo~i di nguyen)

315 306 DV-MDLS Phan ung tieu b~ch du d~c hi~u. 160.000-

Test ap bi (Patch test) d~c hi~u v6'i316 307 DV-MDLS thu6c (D6i v6'i 6 lo~i thu6c) ho~c my 521.000

ph&m.-

317 308 Dlf-MDLS Test h6i phl,lc ph8 quan 172.000

318 309 DV-MDLS Test huySt thanh tv than 668.000-

319 310 DV-MDLS Test kich thich ph8 quan khong d~c878.000

hieu v6'i Methacholine ----

320 311 DV-MDLS Test kich thich v6'i thu6c ho~c sU'a838.000ho~c thfrc an

15

Ghi tBi da bao

STTSTT

Mil djch vu Ten dich V\l gAmchi phiTT 37 true ti~p va Ghi clni

ti~n IU'O'ngI 2 3 4 5 6

Test I~y da (Prick test) d~c hieu voi321 312 DV-MDLS cac di nguyen h6 hap hoac thirc an 334.000

hoac siraTest l~y da (Prick test) d~c hieu voi

322 313 DV-MDLS cac loai thuoc (D6i voi 6 loai thuoc 377.000hoac vacxin hoac huvet thanh)

323 314 DV-MDLS Test nQi bi cham d~c hieu voi thuoc475.000hoac vacxin hoac huyet thanh

---

324 315 DV-MDLS Test nQi bi nhanh d~c hieu voi thu6c389.000hoac vacxin hoac huyet thanh

Cac phftu thuat, thu thu~t con laikhac

325 316 Ph au thuat loai I l.569.000326 317 Phau thuat loai U l.09l.000327 318 Thu thuat loai d~c biet 823.000328 319 Thu thuat loai I 580.000329 320 ThU thuat loai II 319.000330 321 Thu thuat loai III 162.000III III DALIEU331 322 Chup va phan tich da bang may 205.000332 323 D~p mat na diSu tri mot s6 benh da 195.000

DiSu tri mdt s6 b~nh da b~ng Ni to'Gia tinh cho m6i dan vi la 5

333 324 332.000 thuO'llg tbn ho~c 5 cm2 di~nlong, n<;lOthu'ang tbntfch diSu trio

----

DiSu tri cac b~nh ly cua da b~ng334 325 240.000PUVA ho~c UBV toan than

Gia tfnh cho m6i don vi la 5335 326 DiSu tri h<;ltcam b~ng Plasma 358.000 thuong tbn ho~c 5 cm2 di~n

tfch diSu trio

327 DiSu tri mQt s6 b~nh da b~ng1.268.000

Gia tinh cho m6i don vi la 10336Fractional, Intracell cm2 di~n dch diSu trio

337 328 DiSu tri mQt s6 b~nh da b~ng IPL 453.000Gia tinh cho m6i don vi la 10cm2 di~n tich diSu trio

DiSu tri mQt s6 b~nh da b~ng Laser Gia tfnh cho m6i dan vi la 5338 329

C02, Plasma, d6t di~n, ni to' long 333.000 thuO'llg tbn ho~c 5 cm2 di~ntich diSu trio

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

Gia tinh cho m6i dan vi la 10mau cm2 di~n tich diSu trio

340 331 DiSu tri mQt s6 b~nh da b~ng Laserl.230.000

Gia tfnh cho m6i don vi la 10YAG, Laser Ruby cm2 di~n tich diSu trio

341 332 DiSu tri mQt s6 b~nh da b~ng Laser,213.000Anh sang chiSu ngoai

342 333 DiSu tri mQt s6 b~nh da b~ng tiem t<;li285.000

Gia tinh cho m6i dan vi 1a 10ch6, cham thu6c cm2 di~n tfch diSu trio

16

Ghi tBi da bao

STT STT Ma djch vu Ten djch V\lg6m chi phi Ghi chuTT37 true ti~p vati~n IU'O'ng

I 2 3 4 5 6

DiSu tri sui mao ga bang Laser CO2,Gia tinh cho m6i don vi la 5

343 334 682.000 thuong t6n hoac 5 cm2 diendt bo thuong t6ntich dieu trio

344 335 DiSu tri u mach mau b~ng IPL 744.000Gia tinh cho m6i don vi la 10

(Intense Pulsed Light) crn' dien tich diSu trio345 336 DiSu tri viem da co dia bang may l.108.000

346 337 Ph~u thuat chuyen gan diSu tri ho mi 2.192.000

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

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

349 340 Ph~u thuat diSu trj 16 dao khong 546.000viem xuong

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

351 342 Ph~u thuat diSu tri s~p du miii 1.552.000

352 343 Ph~u thuat diSu trj u duoi mong 752.000

353 344 Ph~u thuat giai ap thc1nkinh 2.318.000

354 345 Ph~u thu~t Mohs diSu tri ung thu da 3.337.000Cac ph~u thu~t, thii thu~t con I~ikhac -

355 346 Ph~u thu~t lo~i d?c bi~t 3.256.000356 347 Ph~u thu~t lo~i I 1.826.000357 348 Ph~u thu~t lo~i II 1.056.000358 349 Ph~u thuat lo~i III 795.000359 350 Thii thu~t loai d?c bi~t 760.000360 351 Thii thuat lo~i I 385.000361 352 Thii thu~t loai II 250.000362 353 Thii thu~t loai III 148.000

-

IV IV NOI TIET

363 354 03C2.1.5 D~n luu ap xe tuy~n giap 231.000

364 355 GQt chai chan (gQt n6t chai) tren 258.000nguo-i benh dai thao dUO-llg

365 356 Ph~u thu~t lo~i 1 m6 mo· tUY~llnQi 6.560.000ti~t co dung dao sieu am

366 357 Ph~u thu~t lo~i 1 m6 mo· tuy~n nQi 4.166.000ti~t khong dung dao sieu am

367 358 Ph~u thu~t lo~i 1 m6 llQi soi tuy~n 5.772.000llQi tith co dung dao sieu am

368 359 Ph~u thu~t lo~i 2 m6 rna tUY~llllQi 4.468.000ti6t co dung dao sieu am

-

369 360 Ph~u thu~t lo~i 2 m6 mo· tuySn nQi 3.345.000ti~t khong dung dao sieu am

17

Gia tBi da bao

STT STT Ma djch vu Ten djch vu gam chi phiTT37 true ti~p va Ghi chu

ti~n hrong1 2 3 4 5 6

370 361 Ph~u thuat 101:1i3 m6 rna tuyen nQi4.28l.000ti@tco dung dao sieu am

371 362 Ph~u thuat 101:1i3 m6 me tuyen noi2.772.000ti@tkhong dung dao sieu am

Ph~u thuat 101:1id~c bi~t rna rna372 363 tuyen nQi ti~t khong dung dao sieu 5.485.000

am---- -

373 364 Ph~u thuat 101:1id~c biet tuyen nQi7.76l.000ti@tm6 mo co dung dao sieu am

---- ---

374 365 Ph~u thuat 101:1id~c biet tuyen nQi7.652.000ti@tm6 noi soi dung dao sieu am

Cac thu thu~t con lai khac375 366 Thu thuat 101:1iI 616.000376 367 Thu thuat 101:1iII 392.000

---

377 368 Thu thuat 101:1iIII 212.000V V NGO~IKHOA

Ngoai Th~n kinh

378 369 Ph~u thuat giai ep th11n kinh hoac4.498.000khoan tham do SQ

Ph~u thuat lay mau tu trong SQ hoacChua bao g6m nep, ghim, vit,379 370 ngoai mang cirng hoac duoi mang 5.08l.0006c, mieng va khuyet SQ.cirng hoac trong nao

----

380 371 Ph~u thu~t u h6 m~t 5.529.000 Chua bao gom nep, ghim, 6c,vit, mi@ngva khuy@tSQ

372 Ph~u thu~t ap xe nao 6.843.000 Chua bao g6m bQ d~n luu381kin, mi@ngva khuy@tSQ.

382 373 03C2.1.39 Ph~u thu~t d~n Iuu nao that - mang4.122.000 Chua bao g6m van d~n luu

b1,lng nMn t1:1o.Chua bao gam mi@ng va

383 374 03C2.1.45 Ph~u thu~t nQi soi nao ho~c tuy s6ng 4.948.000 khuy@t SQ, dao sieu am (trongph~u thu~t u nao)

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

Chua bao g6m mang nao385 376 Ph~u thu~t t1:10hlnh mang nao 5.713.000 nMn tl,lO,mi@ngva khuyst SQ,

bQvan d~n Iuu.Chua bao g6m mang nao

386 377 Ph~u thu~t thoat vi nao, mang nao 5.414.000 nMn tl,lO,mi~ng va khuyst SQ,

bQvan d~n luu.Chua bao g6m ml,lch nhan

387 378 Ph~u thu~t vi ph~u lay u tuy 7.245.000 t1:10,kyp ml,lchmau, ghim, 6c,vit, kinh vi ph~u.

388 379 03C2.1.43 Ph~u thu~t vi ph~u u nao duo'ng gifra 7.447.000 Chua bao g6m miSng va nhant1:10,ghim, 6c, vit.

18

STT

388

3 4

Gia t6i da baogBm chi phitrue ti~p vati~n luong

Ghi clniSTTTT 37 Mil djch Vl} TeD djch Vl}

2

389 380 03C2.1Al

390 381 03C2.1A2

Ph~u thuat vi ph~u u nao n~n SQ

Ph~u thuat vi ph~u u nao thfrt

5 6

Chua bao gorn dinh, nep, vit,

6.653.000 v~,t li~u_dm, rnau sinh h?~,mang nao nhan tao, dao sreuam.

Chua bao gorn dung CI,1 diln6 653 000 duong, ghi~n, 6c, vit, dao s~eu. . am, b(l dan luu nao that,

mieng va khuyet SQ.

391 382 Ph~u thuat vi ph~u u nao tuyen yen

Chua bao gam mach nhan7.145.000 tao, miS~lg va .khurSt s~, kep

mach mau, ghim, oc, vit, daosieu am.

392 383 Philu thuat di~u tri viem xuong SQ

hoac ham mat5.389.000 C,hua bao gom nep, ghim, 6c,

Vlt.

Chua bao gam k(fp m?ch6.741.000 mall, miSng va khuyst SQ, van

diln lUll, ghim, 6c, vit.I~---I----I------I---------------I-------- ~

Chua bao gam m?ch nhan7.121.000 t?O, k(fp m?ch mall, ghim, 6c,

393 384

396 387 03C2.1A4

Ph~u thuat ghep khuyet SQ

Ph~u thu~t u xU'O'ngSQ

Philu thu~t vSt thuo'ng SQ nao h6'

Ph~u thu~t vi philu di d?ng m?ch nao

Philu thu~t vi philu n6i m?ch mautrong va ngoai hQp SQ

Chua bao g6m xuong nhantao, v~t lieu tao hinh hop SQ,

4.557.000 dinh, nep, vit, luoi tital,ghim, 6c, rnang nao nhan tao,vat lieu earnmau sinh hQc.

Chua bao g6m dinh, ghim,5.019.000 n(fp, vit, 6c, v~t li~lI t?O hinh

h(lp sQ, mang nao nhan t?o.

Clllra bao g6m dinh, ghim,5.383.000 n(fp, vit, 6c, mang nao nhan

t?O, v~t li~u t?O hinh h(lp SQ.

i-----~----~------i--------------+------i------------vit.

394 385

398 389 03C2.1AO Philu thu~t th~n kinh co diln ducmg 6.447.000

399 390 03C2.1A6 Quang d(lng hQc (PTD) trong di~u tri 6.849.000 Chua bao g6m dl,1ngC~I diln1--__ i 4- I~u~n~a~o~a~'c~t~jn~h~---------I-------Fd~u~·ang~ _

Ngo~i LBng ng,!c - m:;achmau

395 386

397

400 391 03C2.1.31 Cfry ho~c d~t may t?O nhjp ho~c cfrymay t?O nhip pha rung

19

l.625.000 C~lI'a b~o g6m may t?O nhjp,may pha rung.

Gia tBi da bao

STT STTMil dich v\l Tell djch vu gAm chi phi

TT 37 true ti~p va Ghi chu

ti~o hrong

I 2 3 4 5 6

Chua bao g6m bQ tim phoinhan tao va day chay may,vong van, van tim nhan tao,mieng va sieu mong, machmau nhan tao, dong mach chunhan tao, keo sinh hoc dung

401 392 03C2.1.24 Ph~u thuat b~c d.u mach vanh 18.144.000 trong ph~u thuat phinh tachdong mach, qua loc tachhuyet nrong va bQ day d~n,dung dich bao v~ tang, daytruyen dung dich bao v~ tang,dung Cl,1 c6 dinh mach vanh,

Chua bao g6m bQ tim phdinhan tao va day chay may,dQng mach chU nhan tao,

Ph~u thuat cac mach mau Ion (dong mach mau nhan tao, keo sinhhoc dung trong ph~u thuat402 393 03C2.1.25 mach chu ngirc hoac bung hoac canh 14.645.000phinh tach dQng m~ch, quaho~c th~n)lQC tach huySt tuong va bQday d~n, dung dich biw v~t~ng, day truy~n dung dichbao v~ t~ng.

403 394 03C2.1.1S Ph~u thu~t c~t mang tim rQng 14.352.000

Chua bao gam m~ch maunMn t~o, dQng m~ch chu

404 395 03C2.1.15 Ph~u thu~t dt 6ng dQng m~ch 12.821.000 nMn t~o, keo sinh hQc dill1gtrong ph~u thu~t phlnh tachdQng m~ch._.

405 396 03C2.1.17 Ph~u thu~t nong van dQng m~ch chu 7.852.000

Chua bao gam m~ch maunhan t~o, dQng m~ch chu

406 397 03C2.1.16 Phh thu~t t~o hlnh eo dQng m~ch 14.352.000 nhan t~o, keo sinh hQc dilOgtrong ph~u thu~t phlnh tach

I-- dQng m~ch.

407 398 Ph~u thu~t d~t Catheter {) b\lOg d~7.275.000lQcmang b\mg

- --

Ph~u thu~t t~o thong dQng Hnh m~ch Chua bao gom m~ch mau408 399

AVF 3.732.000 nhan t~o, dQng m~ch chunMn t~o.

409 400 Ph~u thu~t thiim do ngoai mang tim3.285.000ho~c thiim do 16ng ng\}'c

20

STTSTTTT 37 Mil djch V\l Ten djch V\l

Ghi t8i da baogAm chi phitrue ti~p vati~n IU'O'ng

Ghi chu

410

411

32 4 5 6

Chua bao gam mach maunhan tao, dong mach chu

12.653.000 nhan tao, keo sinh h9C dungtrong ph~u thuat phinh tachdong mach.

Chua bao g6m b(l tim ph6inhan tao va day chay may,dong mach chu nhan tao, vandong mach chu nhan tao,mach rnau nhan tao, ong van

18.615.000 dong mach, keo sinh h9Cdung trong ph~u thuat phinhtach dong mach, qua 19Ctachhuyet nrong va b(l day d~n,dung dich bao v~ tang, b(lday truyen dung dich li~t tim.

412

401 03C2.1.19 Ph~u thuat thay doan mach nhan tao

Chua bao gom b(l tim phoinhan tao va day chay may,vong van va van tim nhantao, mach rnau nhan tao,dong mach chu nhan tao, 6ng

17 144000 van o(lng m~d~: keo sinh h9C. . dung trong phau thu~t phinh

tach o(lng m~ch, qua 19CtachhuySt tuong va b(l day d~n,miSng va sieu mong, dungdich bao v~ t~ng, day truy~ndung dich bao v~ t~lIlg.

Chua bao gam m~ch mau14.352.000 nhan t~o ho~c o(lng m~ch Chll

nhan tao.~------4------~---------1----------------------------1------------1=~~~--------------Chua bao g6m b(l tim ph6inhan t~o va day ch~y may,m~ch mau nhan t~o, o(lngm~ch chu nhan t~o, keo sinh

16 447 000 h9C dung trong ph~u thu~t. . phinh tach o(lng m~ch, qua

19C tach huySt tlmng va b(lday d~n, dung dich bao v~t~ng, b(l day truy6n dung dichli~t tim, o&u06t.L_ l_ ~ _L i_ L_~~ __

413

414

415

402 03C2.1.21 Ph~u thuat thay dong mach chu

403 03C2.1.20Ph~u thu~t tim cac lo~i (tim b~msinh ho~c sua van tim ho~c thay vantim ... )

404 Ph~u thu~t tim kin khac

405 03C2.1.14 Ph~u thu~t tim lo~i Blalock

Ph~u thu~t tim, m~ch khac co suodl,mg tu&n hoan ngoai co th~

406 03C2.1.26

21

Chu'a bao gam o(lng m~chchu nhan t~o, van o(lng m~ch

13.836.000 chu nhan ~~o,m~ch :nau nhant~o, keo smh h9C dung trongph~u thu~t phinh tach o(lngm~ch.

Ghi tBi da bao

STT STTMil dich vu Ten djch V\l gBm chi phi

TT 37 true ti~p va Ghi chu

ti~n hrong

I 2 3 4 5 6

416 407 Ph~u thuat u mau cac vi tri 3.014.000

Chua bao g6m may cit n6i tv417 408 Ph~u thuat cit phoi 8.641.000 dong, ghim khau may hoac

stapler

418 409 Ph~u thuat cit u trung th~t 10.311.000

419 410 Ph~u thuat d~n hru mang ph6i 1.756.000

Ph~u thuat di@utri benh Iy long ngirc Chua bao g6m cac loai dinh420 411 6.686.000 nep vit, cac loai khung, thanhkhac

nang nguc va dai n~p ngoai,

Chua bao g6m may cit n6i tv421 412 Ph~u thuat nQi soi cit u trung th~t 9.982.000 dong, ghim khau may hoac

stapler, dao sieu am---

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

ch~n thuong 8.288.000 dQng, ghim khau may hoacstapler, dao sieu am.

-

Chua bao g6m cac loai dinh,

423 414 Ph~u thuat phuc h6i thanh nguc (do6.799.000 nep, vit, cac loai khung,

chan thuong hoac v@tthuang) thanh nang ngl,l"cva dai n~pngoai.

Ngo~i Ti~t ni~u

424 415 03C2.1.91 Ghep th~n, ni~u quan tv than c6 Slr6.544.000dl,mg vi ph~u

- -- -

425 416 Ph~u thu~t cit th~n 4.232.000

426 417 Ph&u thu~t cit u thuQng th~n ho~c6.117.000cit nang th~n

427 418 Ph~u thu~t nQi soi I~y soi th~n ho~c4.027.000soi ni~u quan ho~c soi bang quang

428 419 03C2.1.82 Ph~u thu~t nQi soi cit th~n ho~c u4.316.000sau phllC m~c

429 420 03C2.1.83 Ph~u thu~t nQi soi u thuQng th~n4.170.000ho~c nang th~n

430 421 Ph~u thu~t I~y soi tMn ho~c soi ni~u4.098.000qutm ho~c soi bang quang

- - ----

Ph~u thu~t cit ni~u quan ho~c t~o431 422 hinh ni~u quan ho~c t~o hinh bS tMn 5.390.000

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

432 423 03C2.1.85 Ph~u thu~t cit tui sa ni~u quan bAng3.044.000nQi soi

433 424 Ph~u thu~t cit bang quang 5.305.000434 425 Ph~u thu~t cit u bang quang 5.434.000

22

Gia tBi eta bao

STT STTMil djch VI} Ten djch VI}

gam chi phiTT 37 true ti~pva Ghi chu

ti~o IU'O'og

I 2 3 4 5 6

Chua bao gorn kep kh6a

455 446 Ph~u thuat tao hinh thirc quan 7.548.000 mach mau, may c~t n5i tvdong va ghim khau may, daosieu am, Stent.

Chua bao gam may c~t n5i tv456 447 03C2.1.S9 Ph~u thuat n(>isoi tao hinh thirc quan 5.964.000 d(>ng va ghim khau may,

Stent.

Chua bao gam may dt n5i tv457 448 Ph~u thuat dt ban phan da day 4.913.000 dong va ghim khau may, kep

kh6a mach mau, dao sieu am.

Chua bao gam may dt n5i til458 449 Phfru thuat c~t da day 7.266.000 dong va ghim khau may, kep

kh6a mach mau, dao sieu am.

Chua bao gam may dt n5i til459 450 03C2.1.62 Ph~ll thuat noi soi c~t da day 5.090.000 dong va ghim khau may, dao

sieu am, kep kh6a mach mau,

460 451 Phfru thuat noi soi khau thung da dal' 2.896.000

461 452 03C2.1.64 Ph~u thuat n(>i soi dt day thfrn kinh3.241.000 Chua bao gam dao sieu am.X trong diSu tri loet da day

Ph~u thuat benh phinh dai trang bAm Chua bao gam may c~t n5i til462 453 03C2.1.81 2.944.000 d(>ng va ghim khau may dtsinh 1 thl

n5i.-

Chua bao gam may c~t n5i tilPhfru thu~t c~t d~i trang ho~c ph~u463 454thu~t ki~ll Harman

4.470.000 d(>ng va ghim khau may c~tn6i.

464 455 Ph~u thu~t dt day chAng go dinh ru(>t 2.498.000

Chua bao gam may dt n5i til465 456 Phfru thu~t dt n5i ru(>t 4.293.000 d(>ng va ghim khau may dt

n5i.

466 457 03C2.1.63 Ph~u thu~t n(>isoi c~t n5i ru(>t 4.241.000 Chua bao gam may dt n5i tild(>ngva ghim khall trong may.

--

Chua bao gam may dt n5i til467 458 Phfru thu~t c~t ru(>tnon 4.629.000 d(>ng va ghim khau may dt

A'nol.468 459 Ph~u thu~t dt rUQtthua 2.561.000~ -

469 Phfru thu~t nQi soi c~t ruQt thtl"a 2.564.000

Chua bao gam kh6a kvp

470 460 Phfru thu~t cat trlJC trang dUOng6.933.000 m~ch mau, mi6ng dm mau,

bl,mg, tfrng sinh mon may dt n5i w d(>ngva ghimkhau may dt n5i.

471 461 03C2.1.80 Ph&u thu~t di t~t teo h~u mon trlJc4.661.000trang 1 thl

24

Ghi t6i da bao

STT STTMil dich V\I Ten djch V\I

gBm chi phiGhi chuTT37 true ti~p va

ti~n luong

1 2 3 4 5 6

472 462 Phfiu thuat noi soi c6 dinh true trang 4.276.000 Chua bao gom t:im nang truetrang, dao sieu am.

Phfiu thuat noi soi ung thu dai hoacChua bao g6m may dt n6i ttr

473 463 03C2.1.65 3.316.000 dong va ghim khau may, daotrue trangsieu am, kep kh6a mach rnau.

Chua bao gem k~p kh6a

474 464 Phfiu thuat dfin Iuu trong (n6i t~t) 2.664.000 mach mau, mieng dm rnau,hoac dfin luu ngoai may c~t n6i tu dong va ghim

khau may dt n6i.

Phfiu thuat khau 16 thung tieu h6a475 465 hoac l:iy di v~t 6ng tieu h6a hoac d~y 3.579.000

ba thirc an xuong dai trang

Chua bao gorn keo sinh hoc,476 466 Phau thuat dt gan 8.133.000 dllu dao c~t gan sieu am, dao

dt han mach, han mo.

Chua bao g6m dllu dao cat477 467 03C2.1.78 Phfiu thuat noi soi dt gan 5.648.000 gan sieu am, keo sinh hoc,

dao dt him m1.lch,han mo.-

Phau thu~t c~t gan mo' c6 sir d1,lng Chua bao g6m dllu dao c~t478 468 03C2.1.77

thiSt bi ky thu~t cao 6.728.000 gan sieu am, keo sinh hQc,dao c~t han m:;tch,han mo.

Chua bao g6m keo sinh hQc,

479 469 Phfiu thu~t di~u tri b~nh Iy gan ho~c 4.699.000 dllu dao dt gan sieu am, daom~t khac c~t ban m:;tch, han mo, Stent,

chi phi DSA.

Ph au thu~t Hoi soi di~u tri b~nh Iy Chua bao g6m dllu dao dt480 470 03C2.1.79 3.316.000 gan sieu am, keo sinh hQc,gan m~t khac

dao dt han m:;tch,han mo.

481 471 Phfiu thu~t khau vSt thuong gan ho~c 5.273.000 Chua bao g6m v~t li~u dmchen g:;tcdm mau mau.

482 472 Ph&u thu~t dt tui m~t 4.523.000~

483 473 03C2.1.73 Phau thu~t noi soi dt tui m~t 3.093.000

484 474 Phau thu~t I~y soi 6ng m~t chu 4.499.000 Chu'a bao g6m dllu tan soi vadi~n C1,l'Ctan soi.

485 475 Ph&u thu~t I~y soi 6ng m~t phu'c t~p 6.827.000 Chua bao g6m dllu tan soi vadi~n qrc tan soi.

486 476 03C2.1.76 Phau thu~t noi soi dt tui m~t - ma 3.816.000 Chua bao g6m dllu tan soi va6ng m~t chu l:iy soi va n6i m~t - ruot di~n C1,l'Ctan soi.

Phau thu~t noi soi dt nang 6ng m~t--

487 477 03C2.1.67 4.464.000chu

488 478 03C2.1.72 Phau thu~t noi soi l:iy soi m~t hay di 3.316.000 Chua bao g6m dllu tan soi vav~t duong m~t di~n Cl,l'Ctan soi.

25

Gi:i t&i da bao

STT STTMa djch V\I Ten djch V\I gAm chi phi

TT37 true ti~p va Ghi chu

ti~n hrong

I 2 3 4 5 6

489 479 03C2.1.75 Tan soi trong m6 nOi soi duong m~t4.151.000 Chua bao g6m d~u tan sci va

va tan soi qua dirong h~m Kehr dien CI,fC tan soi.

490 480 03C2.1.74 Ph~u thuat citt co Oddi va nong3.456.000 Chua bao gom stent.duong m~t qua ERCP

491 481 Ph~u thuat n6i mat ruot 4.399.000

Chua bao g6m may c~t n6i ttl

492 482 Ph~u thuat citt kh6i ta tuy 10.817.000 dOng, ghim khau may citt noi,kh6a kep mach mau, dao sieuam va doan mach nhan tao.

Phh thuat noi soi c~t kh6i ta tuy c6 Chua bao g6m may c~t n6i tv493 483

Stl" dung may cAt n6i10.110.000 dOng va ghim khau may, dao

sieu am, kep kh6a mach mau.

494 484 Ph~u thuat cAt lach 4.472.000Chua bao g6m kh6a kepmach mau, dao sieu am.

Chua bao g6m may c~t n6i ttl495 485 03C2.1.70 Ph&uthuat nOi soi cit lach 4.390.000 dong va ghim khau may, dao

sieu am, kyp kh6a m~ch mau.

Chua bao g6m may c~t n6i tv

496 486Phh thu~t cAt than t\lY ho~c citt duoi

4.485.000 dOng va ghim khau may cAtt\lY n6i, kh6a kyp m~ch mall, dao

sieu am.

Ph&u thu~t c~t u phuc m~c ho~c u Chua bao g6m may c~t n6i ttl497 487 5.712.000 dOng va ghim khau may c~tsau phuc m~c

n6i, vat lieu cAmmau.

498 488 Ph&uthu~t n~o vet h~ch 3.817.000 Chua bao g6m dao sieu am.--- --

499 489 Ph&uthu~t u trong 6 bl,lng 4.670.000Chua bao g6m kh6a kypm~ch mau, dao sieu am.

Chua bao g6m may c~t n6i W500 490 03C2.1.68 Ph&uthu~t nOi soi c~t u trong 6 bl,lng 3.680.000 dOng va ghim khau may, dao

sieu am, kyp kh6a m~ch mau.

Ph~u thu~t thiim do 6 bl,mg ho~c mo' Chua bao g6m may cit n6i W501 491 thong d~ day ho~c mo' thong h6ng 2.514.000 dOng va ghim khau may citt

trang ho~c lam Mu man nhan t~o n6i.

Ph&u thu~t thoat vi byn ho~c thoat viChua bao gam t~m mang

502 492dui ho~c thoat vi thanh bl,lng

3.258.000 nang, kh6a kyp m~ch mau,v~t li~u dm mau.

503 493 Ph&u thu~t d&n luu ap xe trong 6 2.832.000bung

Ph&u thu~t c~t trTho~c di~u tri nUt ke Chua bao g6m may citt n6i W504 494 h~u man ho~c di~u tri ap xe ro h~u 2.562.000 dOng va ghim khau may citt

n6i, kh6a kyp m~ch mau, v~tmanli~u dmmau.

26

Ghi tBi da bao

STT STTMil djch vu Ten djch vu

gBm chi phiGhi chu

TT 37 true ti~p vati~n luong

1 2 3 4 5 6

505 495 03C2.1.66Ph&u thuat di6u trj tri' ky thuat cao

2.254.000Chua bao g6m may dt n6i tu

(phuong phap Longo) dong va ghim khau trong may.

506 496 03C2.1.50 Cat co Oddi hoac d&n hru m~t qua2.428.000

Chua bao g6m dao c~t, thuocnci soi ta trang can quang, catheter.

507 497 03C2.1,49 Cat niem mac 6ng tieu hoa qua noi3.928.000

Chua bao g6m dao c~t niernsoi di6u trj ung thu sorn mac, kim kep c~m mau,

Cat polyp 6ng tieu hoa (thuc quan508 498 03C2.1.54 hoac da d~y hoac dai trang hoac tnrc 1.038.000

tranz)

509 499 03C2.1.55 D~t stent duong m~t hoac tuy duoi1.885.000

Chua bao gorn stent, dao dt,huong d&ncua sieu am catheter, guidewire.

510 500 03C2.1,48 Lfry di v~t 6ng tieu hoa qua nQi soi 1.696.000

511 501 03C2.1.52 L&y soi hoac giun duong m~t qua nQi3.396.000

soi ta trang

512 502 03C2.1,47 M6' thOng di;lday qua nQi soi 2.697.000

513 503 03C2.1.51 Nong ducmg m~t qua nQi soi ta trang 2.238.000 Chua bao g6m bong nong.

514 504 04C3.1.158 C~t phymosis 237.000

515 505 04C3.1.156 Chich ri;lchnh9t, Apxe nM d&nluu 186.000

516 506 04C3.1.157 Thao 16ng ruQt bing hO'ihay baryte 137.000

517 507 04C3.l.159 Th~t cac bui tr1 h~u mon 277.000-- -~

XU'o'ng, cQt sBng, ham m~t

518 508 03C2.1.1 c6 dinh gay xuO'ng suOn 49.900

N~n co gay me, bo bQt ban cMn

519 509 04C3.1.181 ngva V(fOvao, ban chan b(ft ho~c t~t 714.000g6i cong 15m trong hay 15m ngoai:(bot li6n)N~n co gay me, be) bQt ban chan

520 510 04C3.1.180 ngva V(fOvao, ban chan b(ft ho~c t~t 529.000g6i cong 15m trong hay 15m ngoai(bOt tu can)

521 511 04C3.1.167 N~n tr~t kh6p hang (bQt li6n) 644.000

522 512 04C3.1.166 N~n tr~t kh6p hang (bQt tv can) 274.000- -

523 513 04C3.1.165 N~n tr~t kh6p khuYu chan ho~c kh6p259.000

c6 chan ho~c kh6p g6i (bQt li6n)-

524 514 04C3.1.l64 N~n tr~t kh6p khuYu chan ho~c kh6p 159.000c6 chan ho~c kh6p g6i (bQt tv can)

27

Gia t6i da bao

STT STTMa dich V\I Ten djch V\I g6m chi phi

TT 37 true ti~pva Ghi chu

ti~n luongI 2 3 4 5 6

525 515 04C3.1.161 Nin trat khop khuyu tay hoac khop399.000xuong don hoac khop ham (bot li~n)

Nin trat khop khuyu tay hoac khop526 516 04C3.1.160 xirong don hoac khop ham (bot tv 221.000

- - -can)

527 517 04C3.1.163 Nin trat khop vai (bot lien) 319.000

528 518 04C3.1.162 Nin tr~t khop vai (bot tv can) 164.000

529 519 04C3.1.177 Nin, b6 bot ban chan hoac ban tay234.000

--~- (bot lien)

530 520 04C3.1.176 Nan, b6 b9t ban chan hoac ban tay162.000

- --- (bot tv can)

531 521 04C3.1.175 Nan, b6 bot gay xuong cang tay (bot335.000

------ li~n)

532 522 04C3.1.174 Nan, b6 bot gay xirong cang tay (bdt212.000

tv can)

533 523 04C3.1.179 Nin, bo bot trat khop hang bfrm sinh714.000

--- ---(bot lien)

534 524 04C3.1.178 Nan, bo bot trat khop hang bfrm sinh324.000

------ (bot tu' can)

535 525 04C3.1.171 Nan, b6 bot xuong cang chan (bot335.000lien)

536 526 04C3.l.170 N~n, b6 bot xuong cang chan (bot tv254.000

-- can)

537 527 04C3.1.173 Nan, b6 b9t xuong canh tay (bot lien) 335.000-.,.--~ ----

N~n, bo bot xuong canh tay (bot tv538 528 04C3.1.172 254.000- can)

539 529 04C3.1.169 Nin, b6 bot xirong dui ho?c ch~u624.000

ho?c cot s6ng (bot li~n)

540 530 04C3.1.l68 N~n, b6 bot xlJ"ong dui ho?c cMu344.000

ho?c cot s6ng (bot tv can)541 531 03C2.1.2 N~n, b6 g~y xuong don 118.000

~---

542 532 03C2.1A N~n, b6 g~y xuong g6t 144.000

543 533 03C2.1.3 Nin, b6 vo' xuong banh che khong144.000c6 chi dinh mb

544 534 Ph~u thu~t dt Cl,ltchi 3.741.000

545 535 03C2.1.109 Phh thu~t chuySn gan di~u tri co2.925.000ng6n tay do li~t van dong

Chua bao g6m kh6"p nhan546 536 Ph~u thu~t thay kh6"pvai 6.985.000 t:;10,xi mang sinh h9C ho?c

b6a h9C.

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

547 537 03C2.1.117 Ph&u thu~t chinh ban chan kbeo 2.829.000 kim, n~p, vit, 6c, xu-ong nhant:;10ho?c san pham sinh h9Cthay th~ xlJ"ong.

28

Ghi t6i da bao

STT STT Ma djch V\I Ten djch V\Ig8m chi phi

Ghi chuTT37 tn,rc ti~p va

ti~n lurrng

I 2 3 4 5 6

548 538 03C2.1.110 Ph~u thuat chuyen gan di~u tri ban2.925.000

chan ru do li~t v~n dong

Chua bao g6m phuong tienc6 djnh: khung c6 dinh, dinh,

549 539 03C2.1.119 Ph~u thuat dong cirng khop c6 chan 2.106.000 kim, nep, vit, bc, xirong nhant:;10hoac san pham sinh hocthay th~ xuong,

550 540 03C2.1.118 Ph~u thuat lam v~n dong khop g6i 3.151.000

Ph~u thuat noi soi khop g6i hoacChua bao g6m luo·i bao, luo·icat, bo day bom nuoc, d&u551 541 03C2.1.104 khop hang hoac khop vai hoac c6 3.250.000d6t, tay dao d6t dien, nep, bc,chanvit.

, ,-Chua bao gam nep vit, oc,dao dt sun va lu·o·ibao, bi)

552 542 03C2.1.105 Ph~u thuat ni)i soi tai t:;10day chang 4.242.000 day bom mroc, d&u d6t, taydao di~n, gan sinh hoc, gand6ng 10:;1i.

--

553 543 03C2.1.100 Ph~u thu~t t:;10hinh kh&p hang 3.250.000Chua bao g6m dinh, nep, vit,6c, khoa.

-- - ------

554 544 03C2.1.97 Ph~u thu~t thay kho-p g6i ban ph&n 4.622.000 Chua bao g6m kho-p nhan t:;1o.---

555 545 03C2.1.99 Ph~u thu~t thay kho-p hang ban ph&n 3.750.000 Chua bao g6m kho-pnhan t:;1o.

556 546 03C2.1.96 Ph~u thu~t thay toan bi) kho-p g6i 5.122.000 Chua bao g6m kho-p nhan t:;1o.

557 547 03C2.1.98 Ph~u thu~t thay toan bO kho-p hang 5.122.000 Chua bao g6m kho-p nhan t:;1o.

Ph~u thu~t d~t l:;1ikho-p gam kim c6- -_.-

558 548 3.985.000 Chua bao g6m kim.dinh

559 549 Ph~u thu~t lam cung kho-p 3.649.000Chua bao g6m dinh, n(fp vit,khung c6 dinh ngoai.

-

Chua bao g6m dinh, n(fp, vit,

Ph~u thu~t di~u tri XO'cung gan cogan nhan t:;10,gan sinh hoc,

560 550 3.570.000 khung c6 dinh ngoai, xu-o-ngho~c xo c(rng kho-pnhan t:;10ho?c san ph~m sinhhoc thay th~ xuong.

561 551 Ph~u thu~t go dinh kho-p ho~c lam 2.758.000s:;1chkho'P -

Chua bao g6m XUOllg nhan

562 552 03C2.1.108 Ph~u thu~t ghep chi 6.153.000t:;10ho~c san ph~m sinh hocthay th~ xuo·ng, dinh, n(fp,vit, m:;1chmaLinhan t:;1o.

-

29

Gia t8i da bao

STT STTMil dich VlJ Ten djch VlJ gAm chi phi

TT 37 true ti~p va Ghi chu

ti~n hrong

1 2 3 4 5 6

Chua bao g6m khung c6 dinhngoai, nep, ac, vit, long,

563 553 Phau thuat ghep xirong 4.634.000 xuong nMn tao hoac sanpham sinh hQc thay th~xuong,

Phau thuat thay doan xuong gh6p Chua bao g6m dinh, nep, vit,564 554 03C2.1.!01

bao quan bang ki thuat cao 4.622.000 xuong nhan tao va san phamsinh hoc thay th~ xuong,

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

565 555 03C2.1.115 Phall thuat k60 dai chi 4.672.000 xirong nMn tao hoac sanpham sinh hQc thay th~

---xuong.~

Phau thuat k~t hop xirong b~ng nep Chua bao g6m xuong nhan566 556 03C2.1.! 03 3.750.000 tao hoac san pham sinh hocvit

thay th~ xuong, dinh, nep, vito--,--_- -~~-

Phall thuat k~t hop xuong tren man Chua bao g6m xuong nhan567 557 03C2.1.102 5.122.000 tao hoac san pham sinh hochinh Umg sang

thay th~ xuong, dinh, n(fp, vit.

Chua bao g6m phuong ti~nc6 dinh, phuong tien k~t hQ-P,

568 558 Phau thu~t l~y b6 u xuo'ng 3.746.000 xuong nMn t~o, xuong baoqwin, san ph~m sinh hQc thayth~, xi mang sinh hQc ho~ch6a hQc.

569 559 Phall thu~t n6i gan ho~c k60 dai gan2.963.000 Chua bao g6m gan nhan t~o.(tinh 1 gan)

Chua bao g6m gan nMn t~o,vit, 6c, dAu d6t, bQ day bom

570 560 03C2.1.106 Phau thu~t nQi soi tai t:;togan 4.242.000 nu6'c, tay dao di~n, dao dts\m, luo'i bao, gan sinh hQc,gan d6ng lo~i.

571 561 03C2.1.113 Phau thu~t t~o hinh SQm~t (b~nh ly') 5.589.000 Chua bao g6m n(fp, vit thayth~.

Phau thu~t ung thu biSu rna t~ bao

572 562 03C2.1.l14 day ho~c t~ bao gai vung m~t + t:;to 3.789.000 Chua bao g6m n(fp, vit thayhinh v~t da, d6ng khuy~t da b~ng th~.ohau thuat tao hinh

573 563 03C2.1.l11 Rut dinh ho~c thao phuong ti~n k~t1.731.000

119"0 xuongPhall thu~t c6 dinh cQt s6ng b~ng Chua bao gam DIAM,

574 564 DIAM, SILICON, n~p chfr U, 7.134.000 SILICON, nyp chu' U,---

Aparius Aparius.

30

575

577

3 4

STT STTTT 37 Mil djch V\I Ten dich V\I

Gia tBi da baogam chi phitrue ti~p vati~n luong

Ghi chu

2 6

565 03C2.1.95 Phiu thuat di€u tri cong veo cot song(tinh cho 1 lin phiu thuat )

Chua bao gam xuong baoquan, d6t song nhan tao, san

8.871.000 pham sinh hoc thay thSxuong, mieng ghep cot song,dia dern, nep, vit, 6c, khoa.

5

576 566 03C2.1.93 Phiu thuat nep vit cot song c6

Chua bao gom ctinh, nep, vit,xuong bao quan, ct6t song

5.197.000 nhan t~~, san ph§~;sinh h?cthay the xuong, rmeng ghepcot song, dia dern nhan tao,6c, khoa.

577 567 03C2.1.94

~----+-----1----------r--------------------------+-----------I----------------------

578 568

Phiu thuat nep vit cot song th~t lung

Phiu thuat tao hinh than d6t s6ngbing phuO'ng philp bO'mxi mang

Chua bao gorn dinh, nep, vit,xuorig bao quan, ct6t sang

5.328.000 nhan t~~, san ph§l~; sinh h?cthay the xuong, rmeng ghepcot song, dia dem nhan tao,6c, khoa,

Chua bao g6m kim choc, xirnang sinh hoc hoac hoa hoc,

5.413.000 h~ th6ng bom xi mang, bObom xi mang co bong ho~ckhang bong.

579 569 03C2.1.92 Phiu thu~t thay d6t s6ng

Chua bao g6m dinh, nyp, vit,6c, khoa, xlwng bao guan,

5.613.000 san ph§m sinh hQc thay thSxuO'ng, d6t s6ng nhan t~o, mad~m nhan t~o.

580 570 Phiu thu~t thoat vi ma d~m cot s6ng 5.025.000 Chua bao g6m ma ct~m I1hanili~l~g ~.

~-----I-----~----------r~--~--~--------------.--I-----------Phiu thu~t c~t IQc n~o viem phinm€m ho~c Slra mom C\lt ngon tay,chan ho~c dt C\lt ngon tay, chan(tinh 1 ngon)

581 571

582 572 Phiu thu~t n6i day thin kinh (tinh 1day)

583 573 03C2.1.116 Phiu thu~t t~o hlnh bing cac v~t daco cu6ng m~ch li€n

2.887.000

2.973.000

3.325.000

584 574

585 575

586 576

587

588 578 03C2.1.107

Phiu thu~t va da Ion di~n tich ~ 10cm2

Phiu thu~t va da nM di~n tich < 10cm2

Phiu thu~t vSt thuO'ng phin memho~c rach da diu

Phiu thu~t vSt thUO'l1gphin memphuc t~p

Phiu thu~t vi phiu chuyen v~t da cocu6ng m~ch

4.228.000

2.790.000

2.598.000

4.616.000

4.957.000

31

Gia tBi da bao

STT STTMil djch vu Ten djch vu gAm chi phi

TT37 true ti~p va Ghi chu

ti~n hrong

I 2 3 4 5 6

589 579 Phftu thuat vi phftu n6i mach chi 6.579.000 Chua bao g6m mach nhan tao,

Chua bao g6m Stent, bQ tim

590 580 03C2.1.112 Tao hinh khi-phe quan 12.173.000 phoi nhan tao trong phftuthuat tim (a nguoi benh hepkhi - ph~ quan b§m sinh).

Cac ph~u thuat, thii thu~t con I~ikhac chuven khoa naoai

591 581 Phftu thuat loai d~c biet 4.728.000592 582 Phftu thuat loai I 2.851.000593 583 Phftu thuat loai II 1.965.000

--- -Phftu thuat loai III594 584 1.242.000

595 585 Thu thuat loai d~c biet 979.000596 586 Thu thuat loai I 545.000597 587 Thu thuat loai II 371.000598 588 Thu thuat loai III 180.000VI VI PHusAN599 589 Boc nang tuyen Bartholin 1.274.000

600 590 Boc nhan ung thu nguyen bao nuoi 2.721.000di can am dao

601 591 Boc nhan xo YU 984.000--- _-- 1---

602 592 C~t am hQ + yet hach ben hai ben 3.726.000---

603 593 C~t bo am hQ dan thuan 2.761.000

604 594 C~t chi khau yong c6 tiI cung 117.000

605 595C~t c6 tu' cung tren b~nh nhan dii m6

4.109.000dt tu' cung ban ph~n

C~t c6 tiI cung tren b~nh nhan dii m6606 596 dt tir cung ban ph~n duemg am d~o 5.550.000

k~t hQ'PnQi soi

607 597 C~t u thanh am d~o 2.048.000C~t u tiSu khung thuQc tiI cung,

608 598 bu6ng trung to, dinh, c~m sau trong 6.111.000tiSu khung

609 599 C~t YU thea phuO'ng phap Patey, c~t 4.803.000--------_ kh6i u YU ac tinh + yet hach nach

610 600 Chich ap xe t~ng sinh mon 807.000

611 601 Chich ap xe tuy~n Bartholin 831.000

612 602 04C3.2.192 Chich apxe tuy~n YU 219.000

613 603 Chich r~ch mfmg trinh do u mau kinh 790.000

614 604 ChQc dftn luu dich c6 chuong trong880.000

ung thu' bu6ng trung615 605 ChQc do mang bl,mg sO'sinh 404.000

616 606 ChQc do tUi cung Douglas 280.000

617 607 ChQc nang bu6ng trung duemg am2.192.000d~o duoi sieu am

32

Ghi tBi da bao

STT STT Ma djch V\I TeDdjch V\IgAm chi phi

Ghi chuTT37 trl}'c ti~p va

ti~n hrong

1 2 3 4 5 6

618 608 ChQC6i 722.000

619 609 D~n hIU cung d6 Douglas 835.000

620 610 D~t manh ghep t6ng h9"Pdi~u tri sa6.045.000

tang vung chau- --~

621 611 04C3.2.191 Di~u tri t6n thuong c6 nr cung bang:159.000

d6t dien hoac nhiet hoac laser

622 612 Di~u tri viem dinh ti@ukhung bang294.000

hong ngoai, song ngan

623 613 04C3.2.186 Do·de ngoi nguoc 1.002.000

624 614 04C3.2.185 Do·de thuong ngoi cham 706.000

625 615 04C3.2.187 DO-de nr sinh doi tro len 1.227.000--

626 616 Dong ro tnrc trang - am dao hoac ro4.113.000

ti~t nieu - sinh due

627 617 04C3.2.188 Forceps hoac Giac hut san khoa 952.000

628 618 Gi<'uTIdau trong de bang phuong649.000phap gay te ngoai mang cirng

--

629 619 04C3.2.183 Hut buong ttl"cung do rong kinh rong204.000huyet

---

630 620 Hut thai diroi sieu am 456.000

631 621 Huy thai: c~t thai nhi trong ngoi2.741.000ngang

632 622 Huy thai: choc oc, kep SQ,keo thai 2.407.000

633 623 Khau phuc h6i rach c6 tiI cung, am1.564.000

d~o-

634 624 Khau rach cung d6 am dao 1.898.000--

635 625 Khau ttl' cung do n~o thung 2.782.000636 626 Khau vong c6 tu cung 549.000637 627 Khoet chop ho~c cit C1,ltc6 tu cung 2.747.000

Lam I~i v~t m6 thanh bl,lng (bl,lc, t1,l-

638 628 mau, nhi~m khuAn...) sau ph~u thu~t 2.612.000san Qhu khoa

639 629 Lam thu6c v~t khau t~ng sinh mon85.600nhi~m khuAn

640 630 L~.)'di v~Uim d~o 573.000

641 631 L~y dl,lng Cl,ltu cung, tri~t san nft2.860.000qua du·o·ngr<;lchnha

642 632 L~y kh6i mau tl,l am d~o, tang sinh2.248.000

mon --~

643 633 Mo- bl,lng boc nhan ung thu nguyen3.406.000

bflOnuoi bao t6n tiI cung644 634 N~o hut thai trtrng 772.000

645 635 04C3.2.184 N~o sot thai, n~o sot rau sau sAy, sau 344.000de - -~-

646 636 NQi soi bu6ng tu·cung can thi~p 4.394.000--

33

Ghi t6i da bao

STT STTMil. djch vu TeDdich vu gAm chi phi

TT 37 tr,!c ti~p va Ghi chu

ti~n hrongI 2 3 4 5 6

647 637 N(>isoi buong ttl' cung chan dean 2.828.000648 638 Noi xoay thai 1.406.000

649 639 Nong buong tu cung d~t dung cu580.000chong dinh

650 640 Nong c6 nr cung do bS san djch 281.000~ ~Nong d~t dung cu tu cung chong651 641 03C2.2.11 174.000dinh bu6ng tu cungPha thai bang phuong phap nong va

652 642 g~p nr td.n thir 13 dSn hSt tuan thir 1.152.00018

653 643 Pha thai bang thuoc cho tu6i thai tir302.0007 tuan dSn hth 13 tu~n

654 644 Pha thai dSn hSt 7 tuh bang phuong384.000phap hut chan khong

655 645 04C3.2.197 Pha thai dSn hSt 7 tu~n bang thuoc 183.000

656 646 Pha thai to nr 13 tu~n dSn 22 tu~n1.040.000bang phuong phap d~t tui mroc

657 647 04C3.2.198 Pha thai tir 13 tuan dSn 22 tu~n bang545.000thu6c

Pha thai ttl' tu~n thir 7 dSn hSt 12658 648 tuan bing phuong phap hut chan 396.000

khan!!

659 649 Ph~u thu~t bao t6n tu cung do vo' tu4.838.000

cung

660 650 Ph~u thu~t b6c kh6i l;;tcn(>i m;;tc tu2.677.000

cung a t~ng sinh man, thanh b\lng

661 651 Ph~u thu~t c~t am v~t phi d;;ti 2.619.000_._

Ph~u thu~t dt 19CvSt m6, khau l;;titu662 652 4.585.000cung sau m6 I~y thai

663 653 Ph~u thu~t c~t m(>t ph~n tuYSn vU,2.862.000dt u vu lanh Hnh

664 654 Ph~u thu~t dt polip bu6ng tu cung3.668.000

(duong b\lng, duo'ng am d;;to)665 655 Ph~u thu~t dt polip c6 tu cung 1.935.000666 656 Ph~u thu~t dt tinh hoan l;;tcch6 2.729.000

667 657 Ph~u thu~t dt illcung duang am d~o 3.736.000

668 658 Ph~u thu~t dt tu cung duang am d~o5.910.000c6 S\I h6 tr9' cua n(>isoi

Ph~u thu~t dt ttl' cung tinh tr~ng

669 659 nguo'i b~nh n~ng, viem phuc m~c9.564.000n~ng, kern vo' t~ng trong tiSu khung,

vo' tu' cung phll'Ct~pPh~u thu~t c~t ttl' cung va th~t d(>ng

670 660 m~ch h~ vi do chay mau thu phat sau 7.397.000Iph~u thu~t san khoa

34

Ghi t6i da bao

STT STT Mi djchV1} TeD djch V1}gAm chi phi

Ghi chuTT37 true ti~p vati~n IU'O'ng

I 2 3 4 5 6

Ph~u thuat c~t ung thu- buong tnrng671 661 + ill cung hoan toan + 2 ph~n phu + 6.130.000

mac n6i Ion

672 662 Ph~u thuat dt vach ngan am dao,2.660.000

mo thong am dao

673 663Ph~u thuat ch~n thuong dng sinh

3.710.000man

674 664 Ph~u thuat chua ngoai tu cung th~3.766.000huyet tu thanh nang

675 665 Ph~u thuat chua ngoai tu cung vo' co3.725.000choang

676 666 Ph~u thuat Crossen 4.012.000

Ph~u thuat di~u tri son ti~u (TOT, Chua bao gam tam rnang677 667

TVT) 5.385.000 nang hoac luci cac loai, cacca.

678 668 Ph~u thuat khoi viern dinh ti~u khung 3.322.000

679 669 Ph~u thuat lam lai dng sinh man va2.844.000

co vong do rach phirc tap

Ph~u thuat I~y thai co kern cac ky680 670 thuat c~m mau (th~t dong mach tu 4.202.000

cung, miii khau B-Iynch ... )

681 671 04C3.2.194 Ph~u thuat I~y thai I~n d~u 2.332.000

682 672 04C3.2.195 Ph~u thuat I~y thai IAnth()' 2 trcr len 2.945.000

Ph~u thu~t I~y thai tren nguo'i b~nh683 673 co b~nh truy~n nhi~m (viem gan 5.929.000

n~ng, HIV-AIDS, H5Nl)-

684 674 Ph~u thu~t I~y thai tren nguo·j b~nh4.027.000

co s~o m6 bl,mg cu phuc t~p

Ph~u thu~t I~y thai tren nguo'i b~nh685 675 m~c b~nh toan than ho~c b~nh Iy san 4.307.000

khoa

Ph~u thu~t I~y thai va c~t tu cung.-

686 676 7.919.000trong rau cai rang luO'c

687 677 Ph~u thu~t Lefort ho~c Labhart 2.783.000688 678 Ph~u thu~t Manchester 3.681.000

689 679 Ph~u thu~t mo' bl,mg boc u xu ttl' cung 3.355.000.--

690 680 Ph~u thu~t mo' bl,lng dt goc ttl' cung 3.507.000-

691 681 Ph~u thu~t mo- bl,mgc~t tu cung 3.876.000

692 682 Ph~u thu~t mo-bl,lng dt tu cung hoan6.145.000

tOal1va vet h~ch ch~u

35

Gi:i tBi da bao

STTSTT Ma djch vu TeD dich Vl}.

gAm chi phiTT37 true ti~pva Ghi chu

ti~n hrongI 2 3 4 5 6

693 683 Ph&u thuat mo bung dt u bu6ng2.944.000tnrng hoac dt phfrn phu

694 684 Ph&u thuat me bung tao hinh voi4.750.000tnrng, n6i lai voi tnrng

695 685 Ph&u thuat mo bung tham do, xu tri2.782.000benh Iy phu khoa

---------

Ph&u thuat rna bung xu tri viem phuc696 686 mac tieu khung, viem phfrn phu, ir 4.289.000

mu voi trung

697 687 Ph&u thuat noi soi boc u xo nr cung 6.116.000

Ph&u thuat noi soi buong nr cung c~t698 688 nhan xo; poIip; tach dinh; c~t vach 5.558.000

nzan; IelYdi vat

699 689 Ph&u thuat nQi soi dt phfrn phu 5.071.000

700 690 Ph&u thuat nQi soi c~t tu cung 5.914.000

701 691 Ph&u thuat noi soi dt nr cung hoan7.923.000

toan va vet hach chauPh&u thu~t nQi soi c~t ung thu bu6ng

702 692 tr(rng kern dt tll' cung hoan toan + 2 8.063.000phfrn phl,l+m~c n6i I6"n

703 693Ph&u thu~t nQi soi di~u trj vo sinh

6.023.000(soi bu6ng tlr cung + nQi soi 6 bl,lng)

704 694 Phfru thu~t nQi soi khau 16 thung tu5.089.000

cung

705 695 Ph&u thu~t nQi soi lely dl,lng Cl,ltu5.528.000

cung trong 6 bl,lng

Ph&u thu~t nQi soi 6 bl,lng ch:1n doan706 696 + tiem MTX t~i ch6 di~u tri thai 5.005.000

ngoai tu cung

707 697 Ph&u thu~t nQi soi 6 bl,lng ch:1n doan4.963.000cac b~nh ly phl,lkhoa

708 698 Phfru thu~t nQi soi sa sinh dl,lcnu 9.153.000-- --

709 699 Ph&uthu~t nQi soi treo bu6ng trung 5.546.000

710 700 Ph&u thu~t nQi soi tri~t san nu 4.744.000

711 701 Ph&u thu~t nQi soi vet h~ch tieu6.533.000khung

Ph&u thu~t nQi soi xu' tri viem phuc712 702 m~c tieu khung, viem phfrn phl,l, u 6.575.000

mu voi tru'ng

713 703 Ph&u thu~t Second Look trong ung4.083.000thu bu6ng trung

714 704 Ph&u thu~t t~o hinh am d~o (nQi soi5.976.000k6t h9'P duong dU'6"i)

36

Gia tBi da bao

STT STT Mi djchvu Ten djch vu gam chi phiGhi chuTT37 true ti~p va

ti~n IU'O'ng

I 2 3 4 5 6

715 705 Phftu thuat tao hinh am dao do di3.610.000dang (dirong diroi)

716 706 Phfru thuat tao hlnh nr cung4.660.000(Strassman, Jones)

--

717 707 Phftu thuat thit dong mach ha vi4.867.000trong dp ciru san phu khoa

718 708 Phftu thuat that dong mach til' cung3.342.000trong dp ciru san phu khoa

719 709 Phftu thuat treo bang quang va tnrc4.121.000trang sau m6 sa sinh due

720 710 Phftu thuat treo tir cung 2.859.000

721 711 Phftu thuat Wertheim (cit tu cung6.191.000tan !!6c + vet hach)

722 712 Sinh thiet c6 tu cung, am hQ, am dao 382.000

723 713 Sinh thiet gai rau 1.149.000

724 714 Sinh thiet hach gac (cira) trong ung2.207.000thu vu

---725 715 04C3.2.189 Soi c6 nr cung 61.500

726 716 04C3.2.190 Soi 6i 48.500

727 717 Thu thuat LEEP (cit c6 tir cung bang1.127.000vong nhiet dien)

728 718 Tiern hoa chftt tai ch6 di~u tri chua i}'250.000co tu cung

729 719 Tiern nhan Chorio 238.000

730 720 Vi phftu thuat tao hlnh voi tnrng, n6i6.855.000l~i voi trung

731 721 04C3.2.193 Xoiin hoac cit bo polype am hQ, am388.000dao, c6 tu cung

Cac ph~u thu~t, thii thu~t con I~ikhac

732 722 Phftu thu~t loai d~c bi~t 3.812.000733 723 Phftu thu~t lo~i I 2.345.000734 724 Phftu thu~t lo~i II 1.482.000735 725 Phfru thu~t lo~i III 1.114.000736 726 Thil thu~t lo~i d~c bi~t 874.000737 727 Thil thu~t lo~i I 587.000738 728 ThU thu~t lo~i II 405.000739 729 Thil thu~t lo~i III 188.000VII VII MAT

-- --- -

740 730 Bam rua I~ d~o 36.700

741 731 03C2.3.76 Cit be ap MMC ho~c ap 5FU 1.212.000 Chua bao g6m thu6c MMC;5FU.

742 732 03C2.3.59 Cit bi} tui I~ 840.000

743 733 03C2.3.48 Cit dich kinh dan thu~n ho~c Ifty dj1.234.000 Chua bao g6m d~u cit djch

vat noi nMn kinh, dau laser, dly d~n sang.

37

------- ----------------

Ghi t&i da bao

STTSTT Ma djch VI}. TeD djch vI}.

gAm chi phiTT37 true ti~p va

Ghi chu

ti~n IU'O'ng

I 2 3 4 5 6

744 734 03C2.3.61 C~t mong ap Mytomycin 987.000 Chua bao g6m thuoc MMC.745 735 03C2.3.73 C~t rnong mat chu bien bang Laser 312.000

746 736 03C2.3.87 Cat u bi k~t giac mac co hoac khong1.154.000

ghe(>k€t mac747 737 03C2.3.66 C~t u k€t mac khong va 755.000748 738 04C3.3.208 Chich chap hoac leo 78.400749 739 03C2.3.57 Chich mu h6c m~t 452.000

750 740 03C2.3.75 Choc thao dich duoi h~c mac, bom1.112.000

hoi ti~n phong751 741 03C2.3.9 Chua bong mat do him di~n 29.000752 742 Chup mach ICG 256.000 Chua bao g6m thuoc753 743 03C2.3.8 Danh boomi 37.700754 744 Di~n cham 395.000755 745 03C2.3.11 Dien di di~u trj (l lfin) 20.400756 746 03C2.3.79 Dien dong thS mi 474.000757 747 03C2.3.5 Dien vong mac 94.000--- -

£)i~u h6ng758 748 tri Laser ngoai; T~p 31.700nhuoc thi

Di~u tri mot s6 benh vong mac bang

759 749laser (benh vong mac tiSu dirong,

406.000cao huyet ap, tre de non ... ); LaserdiSlI trj u nguyen bao yang mac

- - ~--

760 750 Do dO day giac mac; £)€m t€ bao nOi133.000

mo giac m<;lc;Chl,lp ban d6 giac m<;lc

Do dO lac; Xac dinh su d6 song thi;761 751 Do bien dO di~u ti€t; Do thi giac 2 63.800

m~t; Do thj giac tuung phan

762 752 £)0 duo·ng kinh giac m<;lc;do dO 16i 54.800- ---

763 753 04C3.3.200 £)0 Javal 36.200

764 754 03C2.3.1 £)0 khuc X<;lmay 9.900

765 755 04C3.3.199 Do nhan ap 25.900- -

766 756 03C2.3.7 £)0 thi I'!c khach quan 73.000--- -

767 757 04C3.3.201 £)0 thj truong, am diSm 28.800

768 758 03C2.3.6 Do tinh cong su~t thuy tinh thS nhan59.100tao

769 759 03C2.3.16 D6t long xieu 47.900

770 760 03C2.3.95 Ghep giac m<;lc(0 1 m~t) 3.324.000 Chua bao g6m giac m<;lc,thuytinh thS nMn tao.

Ghep mang 6i di~u tri dinh mi duChua bao g6m chi phi mang771 761 03C2.3.69 hoi;ic 1061 giac m;:lC 1all liSn hoi;ic l.249.000 ".

thling giac mac 01.

772 762 03C2.3.67 Ghep mang 6i diSu trj loet giac m<;lC 1.040.000 Chua bao g6m chi phi mang;..01.

38