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骨科医用耗材：400-0088-010
前列腺治疗仪：400-6655-292
骨科医用耗材：400-0088-010
前列腺治疗仪：400-6655-292
根据湖北省医疗保障局、湖北省卫生健康委员会、湖北省市场监督管理局《关于公立医疗机构取消医用耗材加成调整医疗服务价格的指导意见》要求，结合我市实际制定了《宜昌市取消耗材加成调整医疗服务价格(征求意见稿)》，现向社会公开征求意见。公众可以通过以下途径和方式提出反馈意见：
一、电子邮件：978357153@qq.com；
二、通信地址：宜昌市医疗保障局医药价格和招标采购科（地址：宜昌市沿江大道43号，邮编：443000），请在信封上注明“宜昌市取消耗材加成调整医疗服务价格(征求意见稿)修改意见”字样。
意见反馈截止时间为2019年11月4日。
宜昌市医疗保障局 2019年10月25日
| 拟调整医疗服务价格项目表 | |||||||||||
| 填报单位:宜昌市医保局 | |||||||||||
| 序号 | 项目编码 | 项目名称 | 原价格 | 拟定价格 | 调增（+）调减（-）幅度 | ||||||
| 三级 | 二级 | 一级 | 三级 | 二级 | 一级 | 三级 | 二级 | 一级 | |||
| 一、综合医疗服务类 | |||||||||||
| 1 | 110200001 | 普通门诊诊查费 | 3 | 3 | 0.5 | 4 | 3.6 | 3.2 | 33.33% | 20.00% | 540.00% |
| 2 | 110200002 | 专家门诊诊查费(主任医师诊查费) | 20 | 18 | 5 | 24 | 22 | 19 | 20.00% | 22.22% | 280.00% |
| 3 | 110200002 | 专家门诊诊查费（副主任医师诊查费） | 13 | 12 | 2 | 16 | 14 | 13 | 23.08% | 16.67% | 550.00% |
| 4 | 110200003 | 急诊诊查费 | 1 | 1 | 1 | 2 | 1.8 | 1.6 | 100.00% | 80.00% | 60.00% |
| 5 | 1201 | 护理费（防褥气垫每日加收） | 2 | 2 | 2 | 3 | 2.7 | 2.4 | 50.00% | 35.00% | 20.00% |
| 6 | 120100006 | 特殊疾病护理 | 75 | 68 | 15 | 95 | 85 | 75 | 26.67% | 25.00% | 400.00% |
| 7 | 120100007 | 新生儿护理 | 50 | 45 | 8 | 60 | 54 | 48 | 20.00% | 20.00% | 500.00% |
| 8 | 120100010 | 气管切开护理 | 25 | 23 | 8 | 30 | 27 | 24 | 20.00% | 17.39% | 200.00% |
| 9 | 120100011 | 吸痰护理 | 4 | 4 | 1 | 5 | 4.5 | 4 | 25.00% | 12.50% | 300.00% |
| 10 | 120100012 | 造瘘护理 | 8 | 7 | 1 | 10 | 9 | 8 | 25.00% | 28.57% | 700.00% |
| 11 | 120300001 | 氧气吸入（2升及2升以下） | 5 | 5 | 4 | 6 | 5.4 | 4.8 | 20.00% | 8.00% | 20.00% |
| 12 | 120400001 | 肌肉注射 | 3 | 3 | 1.6 | 4 | 3.6 | 3.2 | 33.33% | 20.00% | 100.00% |
| 13 | 120400002 | 静脉注射 | 4 | 4 | 2.4 | 5 | 4.5 | 4 | 25.00% | 12.50% | 66.67% |
| 14 | 120400011 | 中心静脉穿刺置管术 | 55 | 50 | 40 | 66 | 59 | 53 | 20.00% | 18.00% | 32.50% |
| 15 | 120400012 | 动脉穿刺置管术 | 55 | 50 | 40 | 66 | 59 | 53 | 20.00% | 18.00% | 32.50% |
| 16 | 120700001 | 雾化吸入（高频振动雾化） | 20 | 18 | 16 | 24 | 22 | 19 | 20.00% | 22.22% | 18.75% |
| 17 | 120700001 | 雾化吸入（氧气雾化） | 15 | 13.5 | 12 | 18 | 16 | 14 | 20.00% | 18.52% | 16.67% |
| 18 | 120800001 | 鼻饲管置管 | 10 | 9 | 8 | 20 | 18 | 16 | 100.00% | 100.00% | 100.00% |
| 19 | 120800001 | 鼻饲管置管（注食、注药、十二指肠灌注加收） | 3 | 3 | 3 | 4 | 3.6 | 3.2 | 33.33% | 20.00% | 6.67% |
| 20 | 120900001 | 胃肠减压 | 20 | 18 | 9.6 | 24 | 22 | 19 | 20.00% | 22.22% | 97.92% |
| 21 | 121600001 | 导尿（一次性导尿） | 12 | 11 | 8 | 20 | 18 | 16 | 66.67% | 63.64% | 100.00% |
| 22 | 121600002 | 膀胱冲洗 | 16 | 14 | 13 | 25 | 23 | 20 | 56.25% | 64.29% | 53.85% |
| 二、医技诊疗类 | |||||||||||
| 1 | 210300001 | X线计算机体层（CT）平扫（单次多层CT平扫） | 215 | 165 | -23.26% | ||||||
| 2 | 230200055 | 骨密度测定（单能法） | 50 | 40 | -20.00% | ||||||
| 3 | 240100005 | 放射治疗的适时监控 | 40 | 48 | 20.00% | ||||||
| 4 | 240100005 | 放射治疗的适时监控（疗程中修改计划加收40%） | 16 | 20 | 25.00% | ||||||
| 5 | 240300006 | 直线加速器适型治疗 | 180 | 200 | 11.11% | ||||||
| 6 | 240400002 | 腔内后装放疗 | 350 | 420 | 20.00% | ||||||
| 7 | 250101005 | 网织红细胞计数（Ret）（镜检法） | 3 | 2.7 | -10.00% | ||||||
| 8 | 250102007 | 尿本-周氏蛋白定性检查（热沉淀法） | 9 | 8 | -11.11% | ||||||
| 9 | 250104001 | 胸腹水常规检查 | 9 | 8 | -11.11% | ||||||
| 10 | 250104003 | 脑脊液常规检查（CSF） | 9 | 8 | -11.11% | ||||||
| 11 | 250104004 | 精液常规检查 | 12 | 11 | -8.33% | ||||||
| 12 | 250104013 | 前列腺液常规检查 | 8 | 7 | -12.50% | ||||||
| 13 | 250104019 | 各种穿刺液常规检查 | 8 | 7 | -12.50% | ||||||
| 14 | 250202034 | 直接抗人球蛋白试验（Coombs'）（免疫法） | 13 | 12 | -7.69% | ||||||
| 15 | 250202035 | 间接抗人球蛋白试验（免疫法） | 20 | 18 | -10.00% | ||||||
| 16 | 250203030 | 血浆纤维蛋白原测定（仪器法） | 20 | 18 | -10.00% | ||||||
| 17 | 250203031 | 血浆凝血因子活性测定（手工法） | 20 | 18 | -10.00% | ||||||
| 18 | 250203031 | 血浆凝血因子活性测定（仪器法） | 50 | 45 | -10.00% | ||||||
| 19 | 250203035 | 凝血酶时间测定（TT）（仪器法） | 20 | 18 | -10.00% | ||||||
| 20 | 250303004 | 血清高密度脂蛋白胆固醇测定 | 11 | 10 | -9.09% | ||||||
| 21 | 250304013 | 微量元素测定 | 10 | 9 | -10.00% | ||||||
| 22 | 250305020 | 血清层粘连蛋白测定（放免法） | 40 | 36 | -10.00% | ||||||
| 23 | 250306013 | B型钠尿肽前体（PRO-BNP）测定（荧光法） | 259 | 199 | -23.17% | ||||||
| 24 | 250308004 | 淀粉酶测定（速率法） | 15 | 14 | -6.67% | ||||||
| 25 | 250309003 | 叶酸测定（发光法） | 30 | 27 | -10.00% | ||||||
| 26 | 250309004 | 血清维生素测定（发光法） | 30 | 27 | -10.00% | ||||||
| 27 | 250309005 | 血清药物浓度测定 | 40 | 36 | -10.00% | ||||||
| 28 | 250309005 | 血清药物浓度测定（发光法） | 90 | 81 | -10.00% | ||||||
| 29 | 250310004 | 血清促卵泡刺激素测定（发光法） | 55 | 50 | -9.09% | ||||||
| 30 | 250310005 | 血清促黄体生成素测定（发光法） | 55 | 50 | -9.09% | ||||||
| 31 | 250310036 | 雌二醇测定（发光法） | 50 | 45 | -10.00% | ||||||
| 32 | 250310037 | 孕酮测定（发光法） | 80 | 72 | -10.00% | ||||||
| 33 | 250310041 | 血清C肽测定（放免法） | 27 | 24 | -11.11% | ||||||
| 34 | 250310054 | 降钙素原检测（荧光法） | 240 | 228 | -5.00% | ||||||
| 35 | 250401020 | 单项补体测定（免疫法） | 18 | 16 | -11.11% | ||||||
| 36 | 250401023 | 免疫球蛋白定量测定（免疫法） | 20 | 18 | -10.00% | ||||||
| 37 | 250401028 | 铜蓝蛋白测定（免疫法） | 36 | 32 | -11.11% | ||||||
| 38 | 250402013 | 抗肝细胞特异性脂蛋白抗体测定 | 30 | 27 | -10.00% | ||||||
| 39 | 250402014 | 抗组织细胞抗体测定（抗肝细胞特异性蛋白抗体） | 30 | 27 | -10.00% | ||||||
| 40 | 250402015 | 抗心肌抗体测定（AHA）（免疫学方法） | 30 | 27 | -10.00% | ||||||
| 41 | 250403001 | 甲型肝炎抗体测定（Anti-HAV） | 20 | 18 | -10.00% | ||||||
| 42 | 250403017 | 戊型肝炎抗体测定（Anti-HEV）（免疫法） | 27 | 24 | -11.11% | ||||||
| 43 | 250403020 | 弓形体抗体测定（免疫学法，国产试剂） | 25 | 23 | -8.00% | ||||||
| 44 | 250403021 | 风疹病毒抗体测定（免疫学法，国产试剂） | 30 | 27 | -10.00% | ||||||
| 45 | 250403022 | 巨细胞病毒抗体测定（免疫学法，国产试剂） | 30 | 27 | -10.00% | ||||||
| 46 | 250403038 | 肥达氏反应 | 12 | 11 | -8.33% | ||||||
| 47 | 250403042 | 细菌抗体测定（金标法，进口试剂） | 30 | 27 | -10.00% | ||||||
| 48 | 250403042 | 细菌抗体测定（结核杆菌） | 80 | 72 | -10.00% | ||||||
| 49 | 250404017 | 恶性肿瘤特异生长因子（TSGF）测定 | 55 | 50 | -9.09% | ||||||
| 50 | 250501026 | 真菌涂片检查 | 10 | 9 | -10.00% | ||||||
| 51 | 250601001 | 粪寄生虫镜检 | 5 | 4.5 | -10.00% | ||||||
| 52 | 270200004 | 脱落细胞学检查与诊断 | 40 | 48 | 20.00% | ||||||
| 53 | 270300005 | 手术标本检查与诊断（超过两个蜡块加收） | 40 | 48 | 20.00% | ||||||
| 54 | 270400001 | 冰冻切片检查与诊断 | 200 | 240 | 20.00% | ||||||
| 55 | 270800007 | 疑难病理会诊 | 160 | 192 | 20.00% | ||||||
| 三、临床诊疗类 | |||||||||||
| 1 | 310100008 | 神经电图 | 35 | 32 | 28 | 42 | 38 | 34 | 20.00% | 18.75% | 21.43% |
| 2 | 310100021 | 植物神经功能检查 | 32 | 29 | 18 | 38 | 34 | 30 | 18.75% | 17.24% | 66.67% |
| 3 | 310300001 | 普通视力检查 | 1 | 1 | 1 | 2 | 1.8 | 2 | 100.00% | 80.00% | 60.00% |
| 4 | 310300007 | 验光 | 10 | 9 | 8 | 12 | 11 | 10 | 20.00% | 22.22% | 25.00% |
| 5 | 310300027 | 眼压检查（非接触眼压） | 20 | 18 | 10 | 24 | 14 | 13 | 20.00% | -22.22% | 30.00% |
| 6 | 310300036 | 泪道冲洗 | 9 | 8 | 6 | 11 | 10 | 9 | 22.22% | 25.00% | 50.00% |
| 7 | 310300038 | 角膜荧光素染色检查 | 12 | 11 | 8 | 14 | 13 | 11 | 16.67% | 18.18% | 37.50% |
| 8 | 310300049 | 裂隙灯下眼底检查 | 18 | 16 | 12 | 22 | 20 | 18 | 22.22% | 25.00% | 50.00% |
| 9 | 310300053 | 眼底照相 | 50 | 45 | 40 | 60 | 54 | 48 | 20.00% | 20.00% | 20.00% |
| 10 | 310300064 | 光学相干断层成相（OCT） | 68 | 61 | 54 | 82 | 74 | 66 | 20.59% | 21.31% | 22.22% |
| 11 | 310300088 | 冲洗结膜囊 | 9 | 8 | 6 | 11 | 10 | 9 | 22.22% | 25.00% | 50.00% |
| 12 | 310510004 | 口腔局部冲洗上药 | 10 | 9 | 6 | 12 | 11 | 10 | 20.00% | 22.22% | 66.67% |
| 13 | 310511002 | 复杂充填术 | 60 | 54 | 40 | 72 | 65 | 58 | 20.00% | 20.37% | 45.00% |
| 14 | 310601010 | 支气管激发试验 | 140 | 126 | 96 | 168 | 151 | 134 | 20.00% | 19.84% | 39.58% |
| 15 | 310604005 | 胸腔穿刺术 | 110 | 99 | 72 | 132 | 119 | 106 | 20.00% | 20.20% | 47.22% |
| 16 | 310604006 | 经皮穿刺肺活检术 | 255 | 230 | 200 | 306 | 275 | 245 | 20.00% | 19.57% | 22.50% |
| 17 | 310702022 | 心包穿刺术 | 180 | 162 | 120 | 216 | 194 | 173 | 20.00% | 19.75% | 44.17% |
| 18 | 310902005 | 纤维胃十二指肠镜检查 | 195 | 176 | 64 | 234 | 211 | 187 | 20.00% | 19.89% | 192.19% |
| 19 | 310903005 | 纤维结肠镜检查 | 185 | 167 | 128 | 220 | 198 | 176 | 18.92% | 18.56% | 37.50% |
| 20 | 310903010 | 经肠镜特殊治疗（等离子法） | 450 | 405 | 360 | 660 | 378 | 336 | 46.67% | -6.67% | -6.67% |
| 21 | 310904004 | 肛门指检 | 13 | 12 | 6 | 16 | 14 | 13 | 23.08% | 16.67% | 116.67% |
| 22 | 311201004 | ******镜检查 | 35 | 32 | 24 | 40 | 36 | 32 | 14.29% | 12.50% | 33.33% |
| 23 | 311201005 | ******填塞 | 30 | 27 | 24 | 35 | 32 | 28 | 16.67% | 18.52% | 16.67% |
| 24 | 311201006 | ******灌洗上药 | 12 | 11 | 8 | 14 | 13 | 11 | 16.67% | 18.18% | 37.50% |
| 25 | 311201008 | 宫颈活检术 | 50 | 45 | 32 | 60 | 54 | 48 | 20.00% | 20.00% | 50.00% |
| 26 | 311201008 | 宫颈活检术（宫颈刮片另收） | 15 | 15 | 15 | 17 | 54 | 48 | 13.33% | 260.00% | 220.00% |
| 27 | 311201011 | 宫颈内口探查术 | 30 | 27 | 20 | 35 | 32 | 28 | 16.67% | 18.52% | 40.00% |
| 28 | 311201015 | 子宫输卵管通液术 | 130 | 117 | 80 | 150 | 135 | 120 | 15.38% | 15.38% | 50.00% |
| 29 | 311201023 | 产前检查 | 13 | 12 | 8 | 15 | 14 | 12 | 15.38% | 16.67% | 50.00% |
| 30 | 311201023 | 产前检查（多胎检查加收50%） | 6.5 | 6 | 4 | 7.5 | 14 | 12 | 15.38% | 133.33% | 200.00% |
| 31 | 311201048 | 宫内节育器放置术 | 36 | 32 | 24 | 45 | 41 | 36 | 25.00% | 28.13% | 50.00% |
| 32 | 311201048 | 宫内节育器放置术（取出术） | 15 | 15 | 15 | 95 | 41 | 36 | 533.33% | 173.33% | 140.00% |
| 33 | 311201050 | 刮宫术 | 130 | 117 | 80 | 150 | 135 | 120 | 15.38% | 15.38% | 50.00% |
| 34 | 311201053 | 人工流产术 | 150 | 135 | 80 | 170 | 153 | 136 | 13.33% | 13.33% | 70.00% |
| 35 | 311201066 | ******宫颈取材诊查 | 11 | 10 | 9 | 13 | 12 | 10 | 18.18% | 20.00% | 11.11% |
| 36 | 311202003 | 新生儿复苏 | 95 | 86 | 60 | 110 | 99 | 88 | 15.79% | 15.12% | 46.67% |
| 37 | 311202004 | 新生儿气管插管术 | 70 | 63 | 48 | 80 | 72 | 64 | 14.29% | 14.29% | 33.33% |
| 38 | 311202005 | 新生儿人工呼吸（正压通气） | 40 | 36 | 16 | 45 | 41 | 36 | 12.50% | 13.89% | 125.00% |
| 39 | 311202006 | 新生儿洗胃 | 40 | 36 | 24 | 45 | 41 | 36 | 12.50% | 13.89% | 50.00% |
| 40 | 311202012 | 新生儿辐射抢救治疗 | 7 | 6 | 5 | 8 | 7 | 6 | 14.29% | 16.67% | 20.00% |
| 41 | 311300003 | 关节腔灌注治疗 | 95 | 86 | 64 | 114 | 103 | 91 | 20.00% | 19.77% | 42.19% |
| 42 | 311300007 | 神经根封闭术 | 55 | 50 | 40 | 66 | 59 | 53 | 20.00% | 18.00% | 32.50% |
| 43 | 311300008 | 周围神经封闭术 | 55 | 50 | 36 | 66 | 59 | 53 | 20.00% | 18.00% | 47.22% |
| 44 | 311400001 | 变应原皮内试验 | 24 | 22 | 16 | 29 | 26 | 23 | 20.83% | 18.18% | 43.75% |
| 45 | 311400016 | 红光治疗 | 24 | 22 | 16 | 29 | 26 | 23 | 20.83% | 18.18% | 43.75% |
| 46 | 311400039 | 液氮冷冻治疗 | 20 | 18 | 16 | 24 | 22 | 19 | 20.00% | 22.22% | 18.75% |
| 47 | 311400056 | 烧伤换药 | 45 | 41 | 16 | 54 | 49 | 43 | 20.00% | 19.51% | 168.75% |
| 48 | 311503012 | 脑电治疗（A620） | 30 | 27 | 24 | 36 | 32 | 29 | 20.00% | 18.52% | 20.83% |
| 49 | 311503028 | 行为矫正治疗 | 36 | 32 | 24 | 43 | 39 | 34 | 19.44% | 21.88% | 41.67% |
| 50 | 320100001 | 经皮选择性静脉造影术 | 2200 | 1980 | 1280 | 2860 | 2574 | 2288 | 30.00% | 30.00% | 78.75% |
| 51 | 320100004 | 经皮静脉球囊扩张术 | 2100 | 1890 | 1680 | 2500 | 2250 | 2000 | 19.05% | 19.05% | 19.05% |
| 52 | 320100011 | 经颈静脉长期透析管植入术 | 1600 | 1440 | 1280 | 2080 | 1872 | 1664 | 30.00% | 30.00% | 30.00% |
| 53 | 320200003 | 经皮超选择性动脉造影术 | 2700 | 2430 | 1760 | 3510 | 3159 | 2808 | 30.00% | 30.00% | 59.55% |
| 54 | 320200007 | 经皮动脉栓塞术 | 2800 | 2520 | 2000 | 3640 | 3276 | 2912 | 30.00% | 30.00% | 45.60% |
| 55 | 320200009 | 经皮动脉内球囊扩张术 | 2800 | 2520 | 1840 | 3640 | 3276 | 2912 | 30.00% | 30.00% | 58.26% |
| 56 | 320500001 | 冠状动脉造影术 | 2500 | 2250 | 1600 | 3250 | 2925 | 2600 | 30.00% | 30.00% | 62.50% |
| 57 | 320500003 | 经皮冠状动脉内支架置入术（STENT） | 4000 | 3600 | 2400 | 5200 | 4680 | 4160 | 30.00% | 30.00% | 73.33% |
| 58 | 320600001 | 经股动脉插管全脑动脉造影术 | 2100 | 1890 | 1680 | 2730 | 2457 | 2184 | 30.00% | 30.00% | 30.00% |
| 59 | 320600004 | 经皮穿刺脑血管腔内支架置入术 | 3500 | 3150 | 1840 | 4550 | 4095 | 3640 | 30.00% | 30.00% | 97.83% |
| 60 | 320600008 | 颅内动脉瘤栓塞术 | 3500 | 3150 | 1840 | 4550 | 4095 | 3640 | 30.00% | 30.00% | 97.83% |
| 61 | 330100013 | 气管插管术 | 80 | 72 | 48 | 100 | 90 | 80 | 25.00% | 25.00% | 66.67% |
| 62 | 330100014 | 特殊方法气管插管术 | 300 | 270 | 168 | 260 | 234 | 208 | -13.33% | -13.33% | 23.81% |
| 63 | 330201001 | 头皮肿物切除术 | 650 | 585 | 400 | 845 | 761 | 676 | 30.00% | 30.09% | 69.00% |
| 64 | 330201008 | 去颅骨骨瓣减压术 | 1800 | 1620 | 960 | 2340 | 2106 | 1872 | 30.00% | 30.00% | 95.00% |
| 65 | 330201009 | 颅骨修补术 | 1900 | 1710 | 960 | 2470 | 2223 | 1976 | 30.00% | 30.00% | 105.83% |
| 66 | 330201013 | 慢性硬膜下血肿钻孔术 | 1700 | 1530 | 800 | 2210 | 1989 | 1768 | 30.00% | 30.00% | 121.00% |
| 67 | 330201015 | 颅内血肿清除术 | 2500 | 2250 | 1280 | 3250 | 2925 | 2600 | 30.00% | 30.00% | 103.13% |
| 68 | 330201019 | 侧脑室分流术 | 2200 | 1980 | 1360 | 2860 | 2574 | 2288 | 30.00% | 30.00% | 68.24% |
| 69 | 330201020 | 脑室钻孔伴脑室引流术 | 2400 | 2160 | 1360 | 3120 | 2808 | 2496 | 30.00% | 30.00% | 83.53% |
| 70 | 330202007 | 颅神经微血管减压术 | 3300 | 2970 | 1600 | 4290 | 3861 | 3432 | 30.00% | 30.00% | 114.50% |
| 71 | 330203002 | 颅内动脉瘤夹闭术 | 4600 | 4140 | 2320 | 5980 | 5382 | 4784 | 30.00% | 30.00% | 106.21% |
| 72 | 330204021 | 欧玛亚（Omaya）管置入术 | 1400 | 1260 | 800 | 1820 | 1638 | 1456 | 30.00% | 30.00% | 82.00% |
| 73 | 330300007 | 甲状腺穿刺活检术 | 120 | 108 | 64 | 144 | 130 | 115 | 20.00% | 20.37% | 79.69% |
| 74 | 330300010 | 甲状腺全切术 | 2000 | 1800 | 1040 | 2400 | 2160 | 1920 | 20.00% | 20.00% | 84.62% |
| 75 | 330300012 | 甲状腺癌扩大根治术 | 3200 | 2880 | 1600 | 3840 | 3456 | 3072 | 20.00% | 20.00% | 92.00% |
| 76 | 330401001 | 眼睑肿物切除术 | 350 | 315 | 160 | 420 | 378 | 336 | 20.00% | 20.00% | 110.00% |
| 77 | 330401002 | 眼睑结膜裂伤缝合术 | 400 | 360 | 240 | 480 | 432 | 384 | 20.00% | 20.00% | 60.00% |
| 78 | 330401007 | 睑内翻矫正术 | 350 | 315 | 120 | 420 | 378 | 336 | 20.00% | 20.00% | 180.00% |
| 79 | 330404007 | 翼状胬肉切除术 | 350 | 315 | 200 | 420 | 378 | 336 | 20.00% | 20.00% | 68.00% |
| 80 | 330406010 | 白内障超声乳化摘除术+人工晶体植入术 | 2300 | 2070 | 1040 | 2760 | 2484 | 2208 | 20.00% | 20.00% | 112.31% |
| 81 | 330407001 | 玻璃体穿刺抽液术 | 450 | 405 | 224 | 540 | 486 | 432 | 20.00% | 20.00% | 92.86% |
| 82 | 330502001 | 鼓膜置管术 | 350 | 315 | 240 | 450 | 405 | 360 | 28.57% | 28.57% | 50.00% |
| 83 | 330602013 | 经鼻内镜鼻窦手术 | 1800 | 1620 | 1200 | 2200 | 1980 | 1760 | 22.22% | 22.22% | 46.67% |
| 84 | 330604005 | 复杂牙拔除术 | 100 | 90 | 48 | 120 | 108 | 96 | 20.00% | 20.00% | 100.00% |
| 85 | 330604006 | 阻生牙拔除术 | 150 | 135 | 88 | 180 | 162 | 144 | 20.00% | 20.00% | 63.64% |
| 86 | 330604027 | 根尖搔刮术 | 140 | 126 | 80 | 168 | 151 | 134 | 20.00% | 19.84% | 67.50% |
| 87 | 330604029 | 牙龈翻瓣术 | 150 | 135 | 80 | 180 | 162 | 144 | 20.00% | 20.00% | 80.00% |
| 88 | 330605001 | 口腔颌面部小肿物切除术 | 330 | 297 | 176 | 396 | 356 | 317 | 20.00% | 19.87% | 80.11% |
| 89 | 330608001 | 口腔颌面软组织清创术（大） | 600 | 540 | 360 | 720 | 648 | 576 | 20.00% | 20.00% | 60.00% |
| 90 | 330608002 | 口腔颌面软组织清创术（中） | 450 | 405 | 240 | 540 | 486 | 432 | 20.00% | 20.00% | 80.00% |
| 91 | 330608003 | 口腔颌面软组织清创术（小） | 320 | 288 | 160 | 384 | 346 | 307 | 20.00% | 20.14% | 91.88% |
| 92 | 330610001 | 扁桃体切除术 | 500 | 450 | 288 | 800 | 720 | 640 | 60.00% | 60.00% | 122.22% |
| 93 | 330610002 | 腺样体刮除术 | 500 | 450 | 288 | 800 | 720 | 640 | 60.00% | 60.00% | 122.22% |
| 94 | 330701001 | 经直达喉镜喉肿物摘除术（门诊咽部异物取出） | 30 | 27 | 24 | 50 | 585 | 520 | 66.67% | 2066.67% | 2066.67% |
| 95 | 330701001 | 经直达喉镜喉肿物摘除术（门诊喉部异物取出） | 120 | 108 | 96 | 150 | 585 | 520 | 25.00% | 441.67% | 441.67% |
| 96 | 330701005 | 气管切开术 | 550 | 495 | 320 | 660 | 594 | 528 | 20.00% | 20.00% | 65.00% |
| 97 | 330701022 | 喉良性肿瘤切除术 | 1400 | 1260 | 720 | 1680 | 1512 | 1344 | 20.00% | 20.00% | 86.67% |
| 98 | 330702002 | 肺癌根治术 | 3400 | 3060 | 1760 | 4080 | 3672 | 3264 | 20.00% | 20.00% | 85.45% |
| 99 | 330703017 | 胸腔闭式引流术 | 450 | 405 | 320 | 540 | 486 | 432 | 20.00% | 20.00% | 35.00% |
| 100 | 330801003 | 二尖瓣替换术 | 5000 | 4500 | 2400 | 6500 | 5850 | 5200 | 30.00% | 30.00% | 116.67% |
| 101 | 330801009 | 主动脉瓣置换术 | 5000 | 4500 | 2400 | 6500 | 5850 | 5200 | 30.00% | 30.00% | 116.67% |
| 102 | 330801014 | 双瓣置换术 | 6500 | 5850 | 3200 | 8450 | 7605 | 6760 | 30.00% | 30.00% | 111.25% |
| 103 | 330802003 | 冠状动脉搭桥术 | 5800 | 5220 | 3200 | 7540 | 6786 | 6032 | 30.00% | 30.00% | 88.50% |
| 104 | 330804043 | 肢体动静脉切开取栓术 | 1500 | 1350 | 1200 | 1950 | 1755 | 1560 | 30.00% | 30.00% | 30.00% |
| 105 | 330804043 | 肢体动静脉切开取栓术（需双侧取栓，或多部位取栓，每增加一切口加收50%） | 750 | 675 | 600 | 975 | 1755 | 1560 | 30.00% | 160.00% | 160.00% |
| 106 | 330804044 | 上肢血管探查术 | 1200 | 1080 | 640 | 1560 | 1404 | 1248 | 30.00% | 30.00% | 95.00% |
| 107 | 330804050 | 肢体动静脉修复术 | 2200 | 1980 | 1200 | 2860 | 2574 | 2288 | 30.00% | 30.00% | 90.67% |
| 108 | 330804054 | 动静脉人工内瘘成形术 | 1550 | 1395 | 1240 | 2015 | 1814 | 1612 | 30.00% | 30.04% | 30.00% |
| 109 | 330804062 | 大隐静脉高位结扎＋剥脱术 | 1500 | 1350 | 720 | 1950 | 1755 | 1560 | 30.00% | 30.00% | 116.67% |
| 110 | 330804063 | 小动脉吻合术 | 1600 | 1440 | 1280 | 2080 | 1872 | 1664 | 30.00% | 30.00% | 30.00% |
| 111 | 330900001 | 淋巴结穿刺术 | 80 | 72 | 40 | 96 | 86 | 77 | 20.00% | 19.44% | 92.50% |
| 112 | 330900002 | 体表淋巴结摘除术 | 400 | 360 | 200 | 480 | 432 | 384 | 20.00% | 20.00% | 92.00% |
| 113 | 331003007 | 肠切除术 | 1500 | 1350 | 880 | 1700 | 1530 | 1360 | 13.33% | 13.33% | 54.55% |
| 114 | 331003008 | 肠粘连松解术 | 1400 | 1260 | 720 | 1680 | 1512 | 1344 | 20.00% | 20.00% | 86.67% |
| 115 | 331003022 | 阑尾切除术 | 900 | 810 | 480 | 1080 | 972 | 864 | 20.00% | 20.00% | 80.00% |
| 116 | 331004003 | 经内镜直肠良性肿物切除术 | 1400 | 1260 | 720 | 1680 | 1512 | 1344 | 20.00% | 20.00% | 86.67% |
| 117 | 331004018 | 直肠粘膜环切术 | 1500 | 1350 | 880 | 1800 | 1620 | 1440 | 20.00% | 20.00% | 63.64% |
| 118 | 331004020 | 肛周常见疾病手术治疗 | 650 | 585 | 400 | 780 | 702 | 624 | 20.00% | 20.00% | 56.00% |
| 119 | 331004022 | 高位肛瘘切除术 | 900 | 810 | 480 | 1080 | 972 | 864 | 20.00% | 20.00% | 80.00% |
| 120 | 331006002 | 胆囊切除术 | 1400 | 1260 | 800 | 1680 | 1512 | 1344 | 20.00% | 20.00% | 68.00% |
| 121 | 331006014 | 经十二指肠奥狄氏括约肌切开成形术 | 2350 | 2115 | 1200 | 2820 | 2538 | 2256 | 20.00% | 20.00% | 88.00% |
| 122 | 331008001 | 腹股沟疝修补术 | 950 | 855 | 480 | 1140 | 1026 | 912 | 20.00% | 20.00% | 90.00% |
| 123 | 331008003 | 充填式无张力疝修补术 | 1200 | 1080 | 640 | 1440 | 1296 | 1152 | 20.00% | 20.00% | 80.00% |
| 124 | 331201006 | 经尿道前列腺电切术 | 2300 | 2070 | 1120 | 2760 | 2484 | 2208 | 20.00% | 20.00% | 97.14% |
| 125 | 331204002 | 包皮环切术 | 300 | 270 | 160 | 360 | 324 | 288 | 20.00% | 20.00% | 80.00% |
| 126 | 331301002 | 卵巢囊肿剔除术 | 1600 | 1440 | 640 | 1840 | 1656 | 1472 | 15.00% | 15.00% | 130.00% |
| 127 | 331301008 | 卵巢输卵管切除术 | 1300 | 1170 | 720 | 1495 | 1346 | 1196 | 15.00% | 15.04% | 66.11% |
| 128 | 331302004 | 输卵管切除术 | 1300 | 1170 | 640 | 1495 | 1346 | 1196 | 15.00% | 15.04% | 86.88% |
| 129 | 331303001 | 宫颈息肉切除术 | 260 | 234 | 160 | 299 | 269 | 239 | 15.00% | 14.96% | 49.38% |
| 130 | 331303001 | 宫颈息肉切除术（门诊手术） | 150 | 135 | 120 | 172.5 | 269 | 239 | 15.00% | 99.26% | 99.17% |
| 131 | 331303004 | 宫颈锥形切除术 | 850 | 765 | 400 | 977.5 | 880 | 782 | 15.00% | 15.03% | 95.50% |
| 132 | 331303005 | 宫颈环形电切术 | 800 | 720 | 400 | 920 | 828 | 736 | 15.00% | 15.00% | 84.00% |
| 133 | 331303011 | 经腹子宫肌瘤剔除术 | 1300 | 1170 | 800 | 1495 | 1346 | 1196 | 15.00% | 15.04% | 49.50% |
| 134 | 331303014 | 腹式全子宫切除术 | 1500 | 1350 | 960 | 1725 | 1553 | 1380 | 15.00% | 15.04% | 43.75% |
| 135 | 331303015 | 全子宫+双附件切除术 | 1800 | 1620 | 1040 | 2070 | 1863 | 1656 | 15.00% | 15.00% | 59.23% |
| 136 | 331303018 | 经腹******联合子宫切除术 | 2000 | 1800 | 1040 | 2300 | 2070 | 1840 | 15.00% | 15.00% | 76.92% |
| 137 | 331304002 | ******裂伤缝合术 | 450 | 405 | 240 | 517.5 | 466 | 414 | 15.00% | 15.06% | 72.50% |
| 138 | 331306002 | 经腹腔镜盆腔粘连分离术 | 1500 | 1350 | 800 | 1725 | 1553 | 1380 | 15.00% | 15.04% | 72.50% |
| 139 | 331306003 | 宫腔镜检查 | 500 | 450 | 320 | 575 | 518 | 460 | 15.00% | 15.11% | 43.75% |
| 140 | 331306004 | 经宫腔镜取环术 | 500 | 450 | 320 | 700 | 630 | 560 | 40.00% | 40.00% | 75.00% |
| 141 | 331306006 | 经宫腔镜宫腔粘连分离术 | 800 | 720 | 480 | 920 | 828 | 736 | 15.00% | 15.00% | 53.33% |
| 142 | 331400002 | 单胎顺产接生 | 600 | 540 | 400 | 1000 | 900 | 800 | 66.67% | 66.67% | 100.00% |
| 143 | 331400005 | 死胎接生 | 650 | 585 | 320 | 780 | 702 | 624 | 20.00% | 20.00% | 95.00% |
| 144 | 331400012 | 剖宫产术 | 1200 | 1080 | 800 | 1440 | 1296 | 1152 | 20.00% | 20.00% | 44.00% |
| 145 | 331400015 | 二次剖宫产术 | 1650 | 1485 | 880 | 1980 | 1782 | 1584 | 20.00% | 20.00% | 80.00% |
| 146 | 331501036 | 椎管扩大减压术 | 1500 | 1350 | 800 | 1800 | 1620 | 1440 | 20.00% | 20.00% | 80.00% |
| 147 | 331501058 | 椎间盘微创消融术 | 2500 | 2250 | 2000 | 3000 | 2700 | 2400 | 20.00% | 20.00% | 20.00% |
| 148 | 331501059 | 经皮椎体成形术 | 2400 | 2160 | 1920 | 2880 | 2592 | 2304 | 20.00% | 20.00% | 20.00% |
| 149 | 331505010 | 桡尺骨干骨折切开复位内固定术 | 1650 | 1485 | 880 | 1980 | 1782 | 1584 | 20.00% | 20.00% | 80.00% |
| 150 | 331505011 | 科雷氏骨折切开复位内固定术 | 1500 | 1350 | 800 | 1650 | 1485 | 1320 | 10.00% | 10.00% | 65.00% |
| 151 | 331505037 | 骨折内固定装置取出术 | 1200 | 1080 | 640 | 1440 | 1296 | 1152 | 20.00% | 20.00% | 80.00% |
| 152 | 331506019 | 半月板切除术 | 1250 | 1125 | 640 | 1500 | 1350 | 1200 | 20.00% | 20.00% | 87.50% |
| 153 | 331506020 | 膝关节清理术 | 1550 | 1395 | 800 | 1860 | 1674 | 1488 | 20.00% | 20.00% | 86.00% |
| 154 | 331507005 | 人工全髋关节置换术 | 3000 | 2700 | 1600 | 3600 | 3240 | 2880 | 20.00% | 20.00% | 80.00% |
| 155 | 331521008 | 手外伤清创术 | 260 | 234 | 160 | 312 | 281 | 250 | 20.00% | 20.09% | 56.25% |
| 156 | 331521029 | 屈伸指肌腱吻合术 | 800 | 720 | 480 | 960 | 864 | 768 | 20.00% | 20.00% | 60.00% |
| 157 | 331521041 | 甲床修补术 | 700 | 630 | 400 | 840 | 756 | 672 | 20.00% | 20.00% | 68.00% |
| 158 | 331523001 | 手法牵引复位术 | 190 | 171 | 96 | 228 | 205 | 182 | 20.00% | 19.88% | 89.58% |
| 159 | 331523002 | 皮肤牵引术 | 170 | 153 | 96 | 204 | 184 | 163 | 20.00% | 20.26% | 69.79% |
| 160 | 331523007 | 石膏固定术（大） | 400 | 360 | 224 | 480 | 432 | 384 | 20.00% | 20.00% | 71.43% |
| 161 | 331523008 | 石膏固定术（中） | 270 | 243 | 144 | 324 | 292 | 259 | 20.00% | 20.16% | 79.86% |
| 162 | 331523009 | 石膏固定术（小） | 160 | 144 | 80 | 192 | 173 | 154 | 20.00% | 20.14% | 92.50% |
| 163 | 331523011 | 各部位多头带包扎术 | 70 | 63 | 40 | 84 | 76 | 67 | 20.00% | 20.63% | 67.50% |
| 164 | 331601001 | 乳腺肿物穿刺术 | 110 | 99 | 64 | 132 | 119 | 106 | 20.00% | 20.20% | 65.63% |
| 165 | 331601002 | 乳腺肿物切除术 | 590 | 531 | 320 | 708 | 637 | 566 | 20.00% | 19.96% | 76.88% |
| 166 | 331601005 | 乳腺癌根治术 | 1900 | 1710 | 1040 | 2280 | 2052 | 1824 | 20.00% | 20.00% | 75.38% |
| 167 | 331602004 | 浅表肿物切除术 | 210 | 189 | 96 | 252 | 227 | 202 | 20.00% | 20.11% | 110.42% |
| 168 | 331602014 | 负压封闭引流术 | 1500 | 1350 | 1200 | 1800 | 1620 | 1440 | 20.00% | 20.00% | 20.00% |
| 169 | 331603011 | 取皮术 | 500 | 450 | 240 | 600 | 540 | 480 | 20.00% | 20.00% | 100.00% |
| 170 | 340200026 | 关节松动训练 | 20 | 18 | 16 | 24 | 22 | 19 | 20.00% | 22.22% | 18.75% |
| 171 | 340200030 | 等速肌力训练 | 30 | 27 | 24 | 36 | 32 | 29 | 20.00% | 18.52% | 20.83% |
| 172 | 340200031 | 作业疗法 | 20 | 18 | 16 | 24 | 22 | 19 | 20.00% | 22.22% | 18.75% |
| 173 | 340200040 | 偏瘫肢体综合训练 | 30 | 27 | 24 | 36 | 32 | 29 | 20.00% | 18.52% | 20.83% |
| 四、中医及民族医诊疗类 | |||||||||||
| 1 | 410000001 | 贴敷疗法 | 12 | 11 | 8 | 14 | 13 | 11 | 16.67% | 18.18% | 37.50% |
| 2 | 410000005 | 中药封包治疗（特大） | 33 | 30 | 26 | 40 | 0 | 0 | 21.21% | -100.00% | -100.00% |
| 3 | 410000006 | 中药熏洗治疗（局部） | 25 | 23 | 20 | 30 | 0 | 0 | 20.00% | -100.00% | -100.00% |
| 4 | 410000008 | 中药塌渍治疗 | 33 | 30 | 20 | 40 | 36 | 32 | 21.21% | 20.00% | 60.00% |
| 5 | 410000009 | 中药熏药治疗 | 33 | 30 | 22.4 | 40 | 36 | 32 | 21.21% | 20.00% | 42.86% |
| 6 | 420000001 | 骨折手法整复术 | 247 | 222 | 120 | 400 | 360 | 320 | 61.94% | 62.16% | 166.67% |
| 7 | 420000001 | 骨折手法整复术（陈旧性骨折加收100%） | 247 | 222 | 120 | 400 | 360 | 320 | 61.94% | 62.16% | 166.67% |
| 8 | 420000001 | 骨折手法整复术（骨折合并脱位的加收50%） | 123.5 | 111 | 60 | 200 | 360 | 320 | 61.94% | 224.32% | 433.33% |
| 9 | 420000001 | 骨折手法整复术（掌（跎）、指（趾）骨折按脱位的50%计价） | 123.5 | 111 | 60 | 200 | 360 | 320 | 61.94% | 224.32% | 433.33% |
| 10 | 420000005 | 关节脱位手法整复术 | 228 | 205 | 80 | 400 | 360 | 320 | 75.44% | 75.61% | 300.00% |
| 11 | 420000005 | 关节脱位手法整复术（陈旧性脱位加收100%） | 228 | 205 | 80 | 400 | 360 | 320 | 75.44% | 75.61% | 300.00% |
| 12 | 420000005 | 关节脱位手法整复术（髋关节脱位加收100%） | 228 | 205 | 80 | 400 | 360 | 320 | 75.44% | 75.61% | 300.00% |
| 13 | 420000005 | 关节脱位手法整复术（下颌关节脱位、指（趾）间关节脱位按50%计价） | 114 | 102.5 | 40 | 200 | 360 | 320 | 75.44% | 251.22% | 700.00% |
| 14 | 420000011 | 关节粘连传统松解术 | 190 | 171 | 120 | 300 | 270 | 240 | 57.89% | 57.89% | 100.00% |
| 15 | 420000013 | 中医定向透药疗法 | 35 | 32 | 28 | 50 | 45 | 40 | 42.86% | 40.63% | 42.86% |
| 16 | 430000001 | 普通针刺 | 15 | 14 | 12 | 18 | 16 | 14 | 20.00% | 14.29% | 16.67% |
| 17 | 430000003 | 手指点穴 | 23 | 21 | 16 | 28 | 25 | 22 | 21.74% | 19.05% | 37.50% |
| 18 | 430000005 | 微针针刺 | 24 | 22 | 16 | 29 | 26 | 23 | 20.83% | 18.18% | 43.75% |
| 19 | 430000007 | 头皮针 | 25 | 23 | 20 | 30 | 27 | 24 | 20.00% | 17.39% | 20.00% |
| 20 | 430000008 | 眼针 | 33 | 30 | 24 | 40 | 36 | 32 | 21.21% | 20.00% | 33.33% |
| 21 | 430000012 | 耳针 | 20 | 18 | 16 | 24 | 22 | 19 | 20.00% | 22.22% | 18.75% |
| 22 | 430000014 | 针刺运动疗法 | 38 | 34 | 24 | 46 | 41 | 37 | 21.05% | 20.59% | 54.17% |
| 23 | 430000016 | 电针 | 15 | 14 | 12 | 18 | 16 | 14 | 20.00% | 14.29% | 16.67% |
| 24 | 430000018 | 微波针 | 33 | 30 | 20 | 40 | 36 | 32 | 21.21% | 20.00% | 60.00% |
| 25 | 430000019 | 激光针 | 29 | 26 | 20 | 35 | 32 | 28 | 20.69% | 23.08% | 40.00% |
| 26 | 430000020 | 磁热疗法 | 29 | 26 | 20 | 35 | 32 | 28 | 20.69% | 23.08% | 40.00% |
| 27 | 430000021 | 放血疗法 | 29 | 26 | 20 | 35 | 32 | 28 | 20.69% | 23.08% | 40.00% |
| 28 | 430000022 | 穴位注射 | 23 | 21 | 16 | 28 | 25 | 22 | 21.74% | 19.05% | 37.50% |
| 29 | 440000001 | 灸法 | 20 | 18 | 12 | 24 | 22 | 19 | 20.00% | 22.22% | 58.33% |
| 30 | 440000002 | 隔物灸法 | 28 | 25 | 17.6 | 34 | 31 | 27 | 21.43% | 24.00% | 53.41% |
| 31 | 440000003 | 灯火灸 | 24 | 22 | 17.6 | 29 | 26 | 23 | 20.83% | 18.18% | 30.68% |
| 32 | 440000004 | 拔罐疗法 | 15 | 14 | 8 | 18 | 16 | 14 | 20.00% | 14.29% | 75.00% |
| 33 | 450000002 | 颈椎病推拿治疗 | 48 | 43 | 24 | 58 | 52 | 46 | 20.83% | 20.93% | 91.67% |
| 34 | 450000006 | 腰椎间盘突出推拿治疗 | 57 | 51 | 32 | 68 | 61 | 54 | 19.30% | 19.61% | 68.75% |
| 35 | 450000009 | 其他推拿治疗 | 48 | 43 | 24 | 58 | 52 | 46 | 20.83% | 20.93% | 91.67% |
| 36 | 470000005 | 小针刀治疗 | 68 | 61 | 40 | 82 | 74 | 66 | 20.59% | 21.31% | 65.00% |
| 37 | 470000013 | 烫熨治疗 | 34 | 31 | 16 | 41 | 37 | 33 | 20.59% | 19.35% | 106.25% |
| 38 | 480000001 | 辩证施膳指导 | 19 | 17 | 12 | 23 | 21 | 18 | 21.05% | 23.53% | 50.00% |
| 39 | 480000003 | 中药特殊调配 | 12 | 11 | 8 | 14 | 13 | 11 | 16.67% | 18.18% | 37.50% |
| 40 | 480000005 | 煎药机煎药 | 5 | 5 | 3.2 | 6 | 5.4 | 5 | 20.00% | 8.00% | 50.00% |
注：医保类别按甲类、乙类、自费分别填写；调减幅度按负数填写。
