|
1
|
全面惊厥性癫痫持续状态
|
内科抗癫痫治疗
|
8500
|
70%
|
60%
|
7800
|
80%
|
70%
|
|
|
|
|
|
2
|
急性缺血性脑梗死
|
发病4.5小时内采取静脉溶栓治疗
|
23400
|
70%
|
60%
|
21000
|
80%
|
70%
|
|
|
|
|
|
3
|
慢性硬膜下血肿
|
颅内血肿钻孔引流术
|
18000
|
70%
|
60%
|
14000
|
80%
|
70%
|
|
|
|
|
|
4
|
三叉神经痛(单侧)
|
三叉神经根减压术
|
28000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
|
|
5
|
面肌痉挛
|
面神经微血管显微减压术
|
33000
|
70%
|
60%
|
26400
|
80%
|
70%
|
|
|
|
|
|
6
|
结节性甲状腺肿
|
直视下甲状腺单侧/双侧次全切除术
|
12600
|
70%
|
60%
|
9800
|
80%
|
70%
|
|
|
|
|
|
7
|
结节性甲状腺肿
|
直视下单侧甲状腺腺叶切除术
|
13000
|
70%
|
60%
|
10000
|
80%
|
70%
|
|
|
|
|
|
8
|
结节性甲状腺肿
|
腔镜下单侧甲状腺腺叶切除术
|
13500
|
70%
|
60%
|
10500
|
80%
|
70%
|
|
|
|
|
|
9
|
结节性甲状腺肿
|
直视下全/次全甲状腺切除术
|
16200
|
70%
|
60%
|
12600
|
80%
|
70%
|
|
|
|
|
|
10
|
结节性甲状腺肿
|
腔镜下全/次全甲状腺切除术
|
18000
|
70%
|
60%
|
14000
|
80%
|
70%
|
|
|
|
|
|
11
|
结节性甲状腺肿
|
直视下单侧/双侧甲状腺部分切除术
|
14500
|
70%
|
60%
|
11300
|
80%
|
70%
|
|
|
|
|
|
12
|
结节性甲状腺肿
|
腔镜下单侧/双侧甲状腺部分切除术
|
16200
|
70%
|
60%
|
12600
|
80%
|
70%
|
|
|
|
|
|
13
|
结节性甲状腺肿
|
腔镜下单侧/双侧甲状腺次全切除术
|
16200
|
70%
|
60%
|
12600
|
80%
|
70%
|
|
|
|
|
|
14
|
结节性良性肿瘤
|
直视下甲状腺单侧/双侧次全切除术
|
14850
|
70%
|
60%
|
11550
|
80%
|
70%
|
|
|
|
|
|
15
|
结节性良性肿瘤
|
腔镜下甲状腺单侧/双侧次全切除术
|
16830
|
70%
|
60%
|
13090
|
80%
|
70%
|
|
|
|
|
|
16
|
甲状腺癌
|
直视下全/次甲状腺切除术+中央区淋巴结清扫术
|
16200
|
70%
|
60%
|
12600
|
80%
|
70%
|
|
|
|
|
|
17
|
甲状腺癌
|
直视下单侧甲状腺腺叶切除术+中央区淋巴结清扫术
|
18000
|
70%
|
60%
|
14000
|
80%
|
70%
|
|
|
|
|
|
18
|
甲状腺癌
|
腔镜下甲状腺全/次全甲状腺切除术+中央淋巴结清扫术
|
20000
|
70%
|
60%
|
15500
|
80%
|
70%
|
|
|
|
|
|
19
|
甲状腺癌
|
腔镜下单侧甲状腺腺叶切除术+中央淋巴结清扫术
|
18000
|
70%
|
60%
|
14000
|
80%
|
70%
|
|
|
|
|
|
20
|
甲状腺癌
|
碘131治疗
|
21000
|
70%
|
60%
|
17800
|
80%
|
70%
|
|
|
|
|
|
21
|
原发性急性闭角型青光眼
|
小梁切除术或虹膜周边切除术
|
5850
|
70%
|
60%
|
4600
|
80%
|
70%
|
|
|
|
|
|
22
|
老年性白内障(单眼)
|
白内障超声乳化吸除+人工晶状体I期植入术
|
4200
|
70%
|
60%
|
3500
|
80%
|
70%
|
|
|
|
人工晶体
|
|
23
|
老年性白内障(双眼)
|
白内障超声乳化吸除+人工晶状体I期植入术
|
6750
|
70%
|
60%
|
5250
|
80%
|
70%
|
|
|
|
|
|
24
|
白内障合并房角分离
|
白内障超声乳化吸除+人工晶状体植入术+前房角切开术
|
5000
|
70%
|
60%
|
4500
|
80%
|
70%
|
|
|
|
人工晶体
|
|
25
|
硅油眼(硅油注入术后)
|
硅油乳化取出术
|
5300
|
70%
|
60%
|
4800
|
80%
|
70%
|
|
|
|
|
|
26
|
硅油眼(硅油注入术后)
|
硅油乳化取出术+视网膜激光光凝术
|
6500
|
70%
|
60%
|
5500
|
80%
|
70%
|
|
|
|
|
|
27
|
硅油眼(硅油注入术后)
|
硅油乳化取出术+视网膜激光光凝术+黄斑前膜术
|
8000
|
70%
|
60%
|
6500
|
80%
|
70%
|
|
|
|
|
|
28
|
硅油注入术后+白内障
|
硅油乳化取出术+视网膜激光光凝术+白内障超声乳化吸除+人工晶状体I期植入术
|
10000
|
70%
|
60%
|
8000
|
80%
|
70%
|
|
|
|
人工晶体
|
|
29
|
硅油注入术后+白内障
|
硅油乳化取出术+视网膜激光光凝术+黄斑前膜术+白内障超声乳化吸除+人工晶状体I期植入术
|
11000
|
70%
|
60%
|
8500
|
80%
|
70%
|
|
|
|
人工晶体
|
|
30
|
年龄相关性湿性黄斑变性
|
玻璃体腔内注射血管内皮生长因子(雷珠单抗或康柏西普等)
|
6500
|
70%
|
60%
|
6000
|
80%
|
70%
|
|
|
|
|
|
31
|
糖尿病性黄斑水肿(DME)
|
玻璃体腔内注射血管内皮生长因子(雷珠单抗或康柏西普等)
|
6500
|
70%
|
60%
|
5500
|
80%
|
70%
|
|
|
|
|
|
32
|
脉络膜新生血管(CNV)
|
玻璃体腔内注射血管内皮生长因子(雷珠单抗或康柏西普等)
|
6500
|
70%
|
60%
|
5500
|
80%
|
70%
|
|
|
|
|
|
33
|
单纯性孔源性视网膜脱离
|
单眼巩膜环扎术
|
5700
|
70%
|
60%
|
5400
|
80%
|
70%
|
|
|
|
|
|
34
|
单纯性孔源性视网膜脱离
|
单眼巩膜外加压术
|
5700
|
70%
|
60%
|
5400
|
80%
|
70%
|
|
|
|
|
|
35
|
视网膜脱离
|
玻璃体切割术+视网膜激光光凝术+硅油置入术
|
17500
|
70%
|
60%
|
14500
|
80%
|
70%
|
|
|
|
|
|
36
|
视网膜脱离+白内障
|
玻璃体切割术+视网膜激光光凝术+硅油置入术+重水+白内障超声乳化抽吸术+人工晶体置入术
|
18000
|
70%
|
60%
|
16500
|
80%
|
70%
|
|
|
|
人工晶体
|
|
37
|
视网膜脱离+白内障
|
玻璃体切割术+视网膜激光光凝术+硅油置入术+重水+玻璃体腔注药+白内障超声乳化抽吸术+人工晶体置入术
|
18500
|
70%
|
60%
|
16900
|
80%
|
70%
|
|
|
|
人工晶体
|
|
38
|
复杂视网膜脱离+白内障
|
玻璃体切除术+复杂性视网膜脱离修复+白内障超声乳化摘除人工晶体植入+视网膜激光光凝+玻璃体注液+玻璃体注药术
|
20000
|
70%
|
60%
|
16900
|
80%
|
70%
|
|
|
|
人工晶体
|
|
39
|
糖尿病视网膜病变
|
玻璃体腔注药+视网膜激光光凝术
|
5000
|
70%
|
60%
|
4500
|
80%
|
70%
|
|
|
|
|
|
40
|
玻璃体积(出)血
|
玻璃体切割术+视网膜激光光凝术
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
|
|
|
|
|
41
|
玻璃体(出)血+白内障
|
玻璃体切割术+视网膜激光光凝术+白内障超声乳化抽吸术+人工晶体置入术
|
18000
|
70%
|
60%
|
15000
|
80%
|
70%
|
|
|
|
人工晶体
|
|
42
|
翼状胬肉
|
单眼局麻下翼状胬肉切除组织移植术(干细胞移植)
|
2900
|
70%
|
60%
|
2000
|
80%
|
70%
|
|
|
|
|
|
43
|
翼状胬肉
|
单眼局麻下翼状胬肉切除组织移植术(羊膜移植)
|
4300
|
70%
|
60%
|
3800
|
80%
|
70%
|
|
|
|
|
|
44
|
翼状胬肉
|
双眼局麻下翼状胬肉切除组织移植术(干细胞移植)
|
3800
|
70%
|
60%
|
3200
|
80%
|
70%
|
|
|
|
|
|
45
|
翼状胬肉
|
双眼局麻下翼状胬肉切除组织移植术(羊膜移植)
|
5200
|
70%
|
60%
|
4400
|
80%
|
70%
|
|
|
|
|
|
46
|
上睑下垂
|
额肌筋膜瓣悬吊上睑下垂矫正术
|
5000
|
70%
|
60%
|
4200
|
80%
|
70%
|
|
|
|
|
|
47
|
上睑下垂
|
额肌筋膜瓣悬吊上睑下垂矫正术(双侧)
|
6500
|
70%
|
60%
|
5500
|
80%
|
70%
|
|
|
|
|
|
48
|
上睑下垂
|
上睑提肌缩短上睑下垂矫正术
|
4000
|
70%
|
60%
|
3400
|
80%
|
70%
|
|
|
|
|
|
49
|
上睑下垂
|
上睑提肌缩短上睑下垂矫正术(双侧)
|
5800
|
70%
|
60%
|
5000
|
80%
|
70%
|
|
|
|
|
|
50
|
慢性泪囊炎
|
鼻腔泪囊吻合术
|
4000
|
70%
|
60%
|
3500
|
80%
|
70%
|
|
|
|
|
|
51
|
慢性泪囊炎
|
鼻腔泪囊吻合术+硅胶管植入术
|
4300
|
70%
|
60%
|
3800
|
80%
|
70%
|
|
|
|
|
|
52
|
慢性泪囊炎
|
全麻下鼻腔-泪囊吻合术
|
6500
|
70%
|
60%
|
5000
|
80%
|
70%
|
|
|
|
|
|
53
|
鼻泪道阻塞
|
鼻腔泪囊吻合术+硅胶管植入术
|
4300
|
70%
|
60%
|
3600
|
80%
|
70%
|
|
|
|
|
|
54
|
泪道狭窄
|
泪道成形术+RS管植入术
|
3500
|
70%
|
60%
|
3000
|
80%
|
70%
|
|
|
|
|
|
55
|
分泌性中耳炎
|
全麻下单侧鼓膜置管术
|
6500
|
70%
|
60%
|
5460
|
80%
|
70%
|
4500
|
80%
|
70%
|
|
|
56
|
慢性化脓性中耳炎
|
全麻下经耳内镜I型鼓室成形术
|
10800
|
70%
|
60%
|
8400
|
80%
|
70%
|
6000
|
80%
|
70%
|
|
|
57
|
慢性化脓性中耳炎
|
全麻下经外耳道Ⅱ型鼓室成形术
|
13000
|
70%
|
60%
|
9180
|
80%
|
70%
|
|
|
|
人工听小骨
|
|
58
|
外耳道良性肿物
|
局麻下外耳道良性肿物切除术+外耳道成型术
|
4500
|
70%
|
60%
|
3800
|
80%
|
70%
|
|
|
|
|
|
59
|
耳前瘘管
|
耳前瘘管切除术
|
5000
|
70%
|
60%
|
4000
|
80%
|
70%
|
|
|
|
|
|
60
|
慢性扁桃体炎(双侧)
|
全麻下扁桃体切除术伴或不伴腺样体切除术
|
8800
|
70%
|
60%
|
7500
|
80%
|
70%
|
5000
|
80%
|
70%
|
|
|
61
|
鼻中隔偏曲
|
全麻下经鼻内镜鼻中隔偏曲矫正术
|
7200
|
70%
|
60%
|
6800
|
80%
|
70%
|
4500
|
80%
|
70%
|
|
|
62
|
声带息肉
|
全麻下经支撑喉镜声带肿物切除术(不含显微镜下手术)
|
7200
|
70%
|
60%
|
5600
|
80%
|
70%
|
4500
|
80%
|
70%
|
|
|
63
|
声带息肉
|
局麻下经支撑喉镜声带肿物切除术(不含显微镜下手术)
|
5000
|
70%
|
60%
|
4000
|
80%
|
70%
|
3000
|
80%
|
70%
|
|
|
64
|
声带良性肿瘤
|
全麻下经支撑喉镜声带肿物切除术(不含显微镜下手术)
|
6500
|
70%
|
60%
|
5600
|
80%
|
70%
|
|
|
|
|
|
65
|
喉良性肿瘤
|
全麻下经支撑喉镜声带肿物切除术(不含显微镜下手术)
|
6500
|
70%
|
60%
|
5600
|
80%
|
70%
|
|
|
|
|
|
66
|
声带息肉
|
支撑喉镜显微镜下CO2激光声带肿物切除术
|
9500
|
70%
|
60%
|
7000
|
80%
|
70%
|
|
|
|
|
|
67
|
慢性鼻窦炎
|
全麻下经鼻内镜鼻窦开放术(4个窦及以下)
|
11000
|
70%
|
60%
|
8800
|
80%
|
70%
|
|
|
|
|
|
68
|
上颌窦囊肿
|
全麻下上颌窦囊肿摘除术
|
7200
|
70%
|
60%
|
5600
|
80%
|
70%
|
|
|
|
|
|
69
|
上颌窦囊肿
|
局麻下上颌窦囊肿摘除术
|
5000
|
70%
|
60%
|
4000
|
80%
|
70%
|
|
|
|
|
|
70
|
舌下腺囊肿
|
舌下腺切除术
|
9900
|
70%
|
60%
|
8415
|
80%
|
70%
|
|
|
|
|
|
71
|
喉癌
|
喉全切除术
|
50000
|
70%
|
60%
|
35000
|
80%
|
70%
|
|
|
|
|
|
72
|
喉癌
|
喉次全切除术
|
31500
|
70%
|
60%
|
24500
|
80%
|
70%
|
|
|
|
|
|
73
|
睡眠呼吸暂停综合征(鼾症)
|
全麻下悬雍垂腭咽成形术+扁桃体切除术
|
8000
|
70%
|
60%
|
5600
|
80%
|
70%
|
|
|
|
|
|
74
|
会厌囊肿
|
全麻下会厌囊肿摘除术
|
9000
|
70%
|
60%
|
6300
|
80%
|
70%
|
|
|
|
|
|
75
|
会厌囊肿
|
局麻下会厌囊肿摘除术
|
5000
|
70%
|
60%
|
4000
|
80%
|
70%
|
|
|
|
|
|
76
|
(儿童)唇裂
|
唇皮下裂修复术
|
4750
|
——
|
70%
|
4200
|
——
|
70%
|
|
|
|
|
|
77
|
甲状舌管囊肿
|
甲状舌管囊肿切除术
|
8100
|
70%
|
60%
|
6300
|
80%
|
70%
|
|
|
|
|
|
78
|
腮腺多形性腺瘤
|
腮腺部分切除术
|
14400
|
70%
|
60%
|
12240
|
80%
|
70%
|
|
|
|
|
|
79
|
腮腺多形性腺瘤
|
腮腺浅叶肿物切除术
|
14600
|
70%
|
60%
|
12410
|
80%
|
70%
|
|
|
|
|
|
80
|
鳃源性囊肿
|
鳃裂囊肿切除术
|
14600
|
70%
|
60%
|
12410
|
80%
|
70%
|
|
|
|
|
|
81
|
初治菌阳肺结核
|
结核病定点医院住院治疗
|
9000
|
70%
|
60%
|
7000
|
80%
|
70%
|
|
|
|
|
|
82
|
肺脓肿伴肺炎
|
内科住院治疗
|
14400
|
70%
|
60%
|
11200
|
80%
|
70%
|
8000
|
80%
|
70%
|
|
|
83
|
支气管肺癌
|
经胸腔镜肺叶切除术(含淋巴结清扫)
|
53000
|
70%
|
60%
|
35000
|
80%
|
70%
|
|
|
|
|
|
84
|
肺良性肿瘤
|
经胸腔镜肺肿瘤切除术
|
50000
|
70%
|
60%
|
30000
|
80%
|
70%
|
|
|
|
|
|
85
|
肺良性肿瘤
|
直视下肺肿瘤切除术
|
44400
|
70%
|
60%
|
37740
|
80%
|
70%
|
|
|
|
|
|
86
|
纵膈良性肿瘤(包括纵膈囊肿)
|
胸腔镜下纵膈病损切除术
|
25000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
|
|
87
|
支气管内膜结核
|
冷冻治疗
|
20000
|
70%
|
60%
|
|
|
|
|
|
|
|
|
88
|
支气管扩张
|
直视下肺叶或肺段切除术
|
35000
|
70%
|
60%
|
24500
|
80%
|
70%
|
|
|
|
|
|
89
|
支气管扩张
|
经胸腔镜肺或肺段切除术
|
37000
|
70%
|
60%
|
26000
|
80%
|
70%
|
|
|
|
|
|
90
|
支气管扩张并咯血
|
支气管动脉栓塞术
|
22000
|
70%
|
60%
|
|
|
|
|
|
|
|
|
91
|
自发性气胸
|
胸腔闭式引流
|
10000
|
70%
|
60%
|
8000
|
80%
|
70%
|
3500
|
80%
|
70%
|
|
|
92
|
漏斗胸
|
漏斗胸矫正术
|
11800
|
70%
|
60%
|
10030
|
80%
|
70%
|
|
|
|
钢板矫形系统
|
|
93
|
胸腺肿瘤
|
胸腺肿瘤切除术
|
35000
|
70%
|
60%
|
24500
|
80%
|
70%
|
|
|
|
|
|
94
|
支气管肺癌
|
直视下肺癌切除术
|
55000
|
70%
|
60%
|
38500
|
80%
|
70%
|
|
|
|
|
|
95
|
动脉导管未闭
|
经皮穿刺动脉导管未闭封堵术(含封堵材料)
|
32000
|
——
|
80%
|
28800
|
——
|
80%
|
|
|
|
|
|
96
|
房间隔缺损
|
体外循环下房间隔缺损缝合术
|
45500
|
——
|
80%
|
40950
|
——
|
80%
|
|
|
|
|
|
97
|
房间隔缺损
|
体外循环下房间隔缺损补片修补术(含补片材料)
|
50000
|
——
|
80%
|
45000
|
——
|
80%
|
|
|
|
|
|
98
|
室间隔缺损
|
体外循环下室间隔缺损缝合术
|
50000
|
——
|
80%
|
45000
|
——
|
80%
|
|
|
|
|
|
99
|
室间隔缺损
|
体外循环下室间隔缺损补片修补术(含补片材料)
|
50000
|
——
|
80%
|
45000
|
——
|
80%
|
|
|
|
|
|
100
|
风湿性心脏病二尖瓣病变
|
体外循环下二尖瓣置换术
|
70000
|
70%
|
60%
|
49000
|
80%
|
70%
|
|
|
|
人工瓣膜
|
|
101
|
不稳定性心绞痛
|
冠状动脉造影检查+内科保守治疗
|
10000
|
70%
|
60%
|
8000
|
80%
|
70%
|
|
|
|
|
|
102
|
不稳定性心绞痛
|
冠状动脉造影检查(日间检查)
|
4500
|
70%
|
60%
|
4000
|
80%
|
70%
|
|
|
|
|
|
103
|
主动脉瓣病变
|
体外循环下主动脉瓣置换术
|
70000
|
70%
|
60%
|
49000
|
80%
|
70%
|
|
|
|
人工瓣膜
|
|
104
|
急性ST段抬高心肌梗死
|
经皮冠状动脉支架置入术
|
27000
|
70%
|
60%
|
25000
|
80%
|
70%
|
|
|
|
支架
|
|
105
|
不稳定性心绞痛
|
经皮冠状动脉支架置入术
|
27000
|
70%
|
60%
|
25000
|
80%
|
70%
|
|
|
|
支架
|
|
106
|
稳定性心绞痛
|
经皮冠状动脉支架置入术
|
27000
|
70%
|
60%
|
25000
|
80%
|
70%
|
|
|
|
支架
|
|
107
|
急性非ST段抬高心肌梗死
|
经皮冠状动脉支架置入术
|
27000
|
70%
|
60%
|
25000
|
80%
|
70%
|
|
|
|
支架
|
|
108
|
病态窦房结综合征
|
单腔永久起搏器安置术
|
15000
|
70%
|
60%
|
14000
|
80%
|
70%
|
|
|
|
起搏器
|
|
109
|
病态窦房结综合征
|
双腔永久起搏器安置术
|
20000
|
70%
|
60%
|
18000
|
80%
|
70%
|
|
|
|
起搏器
|
|
110
|
室上性心动过速
|
经血管心脏射频消融术
|
24000
|
70%
|
60%
|
21000
|
80%
|
70%
|
|
|
|
|
|
111
|
室性心动过速
|
经血管心脏射频消融术
|
24000
|
70%
|
60%
|
21000
|
80%
|
70%
|
|
|
|
|
|
112
|
预激综合征
|
经血管心脏射频消融术
|
24000
|
70%
|
60%
|
21000
|
80%
|
70%
|
|
|
|
|
|
113
|
房室结折返性心动过速
|
经血管心脏射频消融术
|
24000
|
70%
|
60%
|
21000
|
80%
|
70%
|
|
|
|
|
|
114
|
非阵发性室性心动过速
|
埋藏式单腔心脏复率除颤器安置术
|
24000
|
70%
|
60%
|
21000
|
80%
|
70%
|
|
|
|
|
|
115
|
儿童急性早幼粒细胞白血病
(APL)-初治患者
|
初治化疗(含化疗药物)
|
36000
|
——
|
70%
|
30000
|
——
|
70%
|
|
|
|
|
|
116
|
儿童急性淋巴细胞白血病
(ALL)-初治患者
|
初治化疗(含化疗药物)
|
35000
|
——
|
70%
|
28000
|
——
|
70%
|
|
|
|
|
|
117
|
胃癌
|
腹腔镜下根治性近端胃大部切除术
|
60000
|
70%
|
60%
|
42000
|
80%
|
70%
|
|
|
|
|
|
118
|
胃癌
|
直视下根治性近端胃大部切除术
|
58000
|
70%
|
60%
|
40000`
|
80%
|
70%
|
|
|
|
|
|
119
|
胃癌
|
直视下根治性远端胃大部切除术
|
58000
|
70%
|
60%
|
40000`
|
80%
|
70%
|
|
|
|
|
|
120
|
胃癌
|
直视下根治性全胃切除术
|
62000
|
70%
|
60%
|
42700
|
80%
|
70%
|
|
|
|
|
|
121
|
胃癌
|
腹腔镜下根治性远端胃大部切除术
|
60000
|
70%
|
60%
|
42000
|
80%
|
70%
|
|
|
|
|
|
122
|
胃癌
|
腹腔镜下根治性全胃切除术
|
64000
|
70%
|
60%
|
45000
|
80%
|
70%
|
|
|
|
|
|
123
|
胃十二指肠溃疡
|
腹腔镜下远端胃大部切除术
|
35000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
|
|
124
|
胃息肉
|
内镜下胃息肉切除术
|
5000
|
70%
|
60%
|
4000
|
80%
|
70%
|
|
|
|
|
|
125
|
急性阑尾炎
|
腹腔镜下阑尾切除术
|
10000
|
70%
|
60%
|
8000
|
80%
|
70%
|
|
|
|
|
|
126
|
直肠息肉或直肠良性肿瘤
|
直肠病损切除
|
4950
|
70%
|
60%
|
3850
|
80%
|
70%
|
3000
|
80%
|
70%
|
|
|
127
|
单侧腹股沟斜疝
|
腹腔镜下腹股沟斜疝修补术
|
7200
|
70%
|
60%
|
6500
|
80%
|
70%
|
|
|
|
人造补片
|
|
128
|
双侧腹股沟斜疝
|
腹腔镜下腹股沟斜疝修补术
|
8200
|
70%
|
60%
|
7500
|
80%
|
70%
|
|
|
|
人造补片
|
|
129
|
单侧腹股沟斜疝
|
直视下腹股沟斜疝修补术
|
5000
|
70%
|
60%
|
4000
|
80%
|
70%
|
3000
|
80%
|
70%
|
人造补片
|
|
130
|
双侧腹股沟斜疝
|
直视下腹股沟斜疝修补术
|
8000
|
70%
|
60%
|
6000
|
80%
|
70%
|
3800
|
80%
|
70%
|
人造补片
|
|
131
|
下肢静脉曲张
|
经皮大隐静脉腔内激光闭合术(单侧)
|
8000
|
70%
|
60%
|
7200
|
80%
|
70%
|
|
|
|
|
|
132
|
下肢静脉曲张
|
经皮大隐静脉腔内激光闭合术(双侧)
|
9500
|
70%
|
60%
|
8000
|
80%
|
70%
|
|
|
|
|
|
133
|
下肢静脉曲张
|
单侧大隐静脉高位结扎+剥脱术
|
7500
|
70%
|
60%
|
6000
|
80%
|
70%
|
3500
|
80%
|
70%
|
|
|
134
|
下肢静脉曲张
|
双侧大隐静脉高位结扎+剥脱术
|
8500
|
70%
|
60%
|
7000
|
80%
|
70%
|
4000
|
80%
|
70%
|
|
|
135
|
原发性甲状腺功能亢进
|
直视下单/双侧甲状腺次全切除术
|
13500
|
70%
|
60%
|
10500
|
80%
|
70%
|
7500
|
80%
|
70%
|
|
|
136
|
胆囊息肉
|
腹腔镜(胆道镜)下胆囊切除术
|
11000
|
70%
|
60%
|
7500
|
80%
|
70%
|
5500
|
80%
|
70%
|
|
|
137
|
胆囊结石伴急性胆囊炎(无胆管炎)
|
直视下胆囊切除术
|
8500
|
70%
|
60%
|
6500
|
80%
|
70%
|
4500
|
80%
|
70%
|
|
|
138
|
胆囊结石伴急性胆囊炎(无胆管炎)
|
腹腔镜下胆囊切除术
|
12000
|
70%
|
60%
|
8000
|
80%
|
70%
|
5500
|
80%
|
70%
|
|
|
139
|
胆管结石伴胆囊炎(无胆管炎)
|
直视下胆总管切开取石+胆囊切除
|
16800
|
70%
|
60%
|
14700
|
80%
|
70%
|
8500
|
80%
|
70%
|
|
|
140
|
胆管结石伴胆管炎(无胆囊炎)
|
腹腔镜下胆总管切开取石术
|
25000
|
70%
|
60%
|
22000
|
80%
|
70%
|
|
|
|
|
|
141
|
胆管结石伴胆管炎(无胆囊炎)
|
经十二指肠镜奥狄氏括约肌切开取石术(ERCP)
|
26500
|
70%
|
60%
|
24000
|
80%
|
70%
|
|
|
|
|
|
142
|
胆管结石合并胆总管结石
|
经十二指肠镜奥狄氏括约肌切开取石术(ERCP)+腹腔镜胆囊切除术(LC)
|
38000
|
70%
|
60%
|
27000
|
80%
|
70%
|
|
|
|
|
|
143
|
胆总管结石并胆管炎
|
内镜下胆管支架置入术/胆总管内镜下取石术/内镜下胆管取石术
|
20000
|
70%
|
60%
|
16000
|
80%
|
70%
|
|
|
|
|
|
144
|
胆管结石
|
胆管探查术+胆管切开取石术+胆管引流术
|
20000
|
70%
|
60%
|
16000
|
80%
|
70%
|
|
|
|
|
|
145
|
血栓性外痔
|
局麻下血栓性外痔切除术
|
3000
|
70%
|
60%
|
2600
|
80%
|
70%
|
2200
|
80%
|
70%
|
|
|
146
|
内痔
|
内痔套扎术(含套扎器)
|
6000
|
70%
|
60%
|
5000
|
80%
|
70%
|
3000
|
80%
|
70%
|
|
|
147
|
内痔
|
吻合器痔上粘膜切除术(含吻合器)
|
7500
|
70%
|
60%
|
6000
|
80%
|
70%
|
4500
|
80%
|
70%
|
|
|
148
|
混合痔
|
混合痔外剥内扎术
|
5500
|
70%
|
60%
|
3800
|
80%
|
70%
|
2000
|
80%
|
70%
|
|
|
149
|
混合痔
|
吻合器痔上粘膜切除术+外痔切除术(含吻合器)
|
10000
|
70%
|
60%
|
7000
|
80%
|
70%
|
5000
|
80%
|
70%
|
|
|
150
|
肛瘘
|
肛瘘切除术或肛瘘切开挂线术
|
7000
|
70%
|
60%
|
5600
|
80%
|
70%
|
3500
|
80%
|
70%
|
|
|
151
|
肛瘘(复杂)
|
高位复杂肛瘘挂线治疗
|
9000
|
70%
|
60%
|
7000
|
80%
|
70%
|
6000
|
80%
|
70%
|
|
|
152
|
肛周脓肿
|
直肠周围脓肿切开引流术
|
6000
|
70%
|
60%
|
4800
|
80%
|
70%
|
|
|
|
|
|
153
|
肛周脓肿
|
肛周脓肿一次性根治术
|
7000
|
70%
|
60%
|
5600
|
80%
|
70%
|
|
|
|
|
|
154
|
肛裂
|
肛裂切除术+肛门内括约肌切开术
|
6000
|
70%
|
60%
|
5000
|
80%
|
70%
|
|
|
|
|
|
155
|
直肠脱垂
|
直肠粘膜下注射或直肠周围注射
|
8000
|
70%
|
60%
|
6400
|
80%
|
70%
|
|
|
|
|
|
156
|
直肠脱垂
|
经肛门直肠脱垂三联手术 (直肠黏膜柱状缝扎术、消痔灵注射术、肛门环缩术)
|
4500
|
70%
|
60%
|
4000
|
80%
|
70%
|
|
|
|
|
|
157
|
胆囊结石伴慢性胆囊炎
|
腹腔镜下胆囊切除术
|
12000
|
70%
|
60%
|
8500
|
80%
|
70%
|
|
|
|
|
|
158
|
贲门失弛缓症
|
经腔镜食管下段贲门肌层切开术(非腹腔镜)
|
10000
|
70%
|
60%
|
7000
|
80%
|
70%
|
|
|
|
|
|
159
|
结肠癌
|
直视下半结肠切除术(含淋巴结清扫)
|
53000
|
70%
|
60%
|
33000
|
80%
|
70%
|
|
|
|
|
|
160
|
结肠癌
|
腹腔镜下半结肠切除术(含淋巴结清扫)
|
55000
|
70%
|
60%
|
34500
|
80%
|
70%
|
|
|
|
|
|
161
|
直肠癌
|
直视下会阴直肠癌根治术(Miles手术)(含淋巴结清扫)
|
53000
|
70%
|
60%
|
33000
|
80%
|
70%
|
|
|
|
|
|
162
|
直肠癌
|
腹腔镜下会阴直肠癌根治术(Miles手术)(含淋巴结清扫)
|
55000
|
70%
|
60%
|
34500
|
80%
|
70%
|
|
|
|
|
|
163
|
直肠癌
|
直视下会阴直肠癌根治术(Dixon手术)(含淋巴结清扫)
|
57000
|
70%
|
60%
|
35000
|
80%
|
70%
|
|
|
|
|
|
164
|
直肠癌
|
腹腔镜下会阴直肠癌根治术(Dixon手术)(含淋巴结清扫)
|
59000
|
70%
|
60%
|
36500
|
80%
|
70%
|
|
|
|
|
|
165
|
急性肠套叠
|
经肛门肠套叠复位
|
13500
|
70%
|
60%
|
10500
|
80%
|
70%
|
|
|
|
|
|
166
|
急性化脓性阑尾炎(含阑尾穿孔或阑尾周围脓肿)
|
直视下阑尾切除术
|
11200
|
70%
|
60%
|
9800
|
80%
|
70%
|
7800
|
80%
|
70%
|
|
|
167
|
急性化脓性阑尾炎(未穿孔)
|
腹腔镜下阑尾切除术
|
13100
|
70%
|
60%
|
11135
|
80%
|
70%
|
|
|
|
|
|
168
|
急性坏疽性阑尾炎
|
腹腔镜下阑尾切除术
|
14700
|
70%
|
60%
|
12495
|
80%
|
70%
|
|
|
|
|
|
169
|
结肠息肉或结肠良性肿瘤
|
内镜下结肠病损或息肉切除术(结肠息肉大小≤1厘米)
|
4500
|
70%
|
60%
|
3500
|
80%
|
70%
|
2800
|
80%
|
70%
|
|
|
170
|
大肠息肉或大肠良性肿瘤
|
内镜下肠息肉氩离子凝固术(APC)
|
4000
|
70%
|
60%
|
3000
|
80%
|
70%
|
|
|
|
|
|
171
|
大肠息肉或大肠良性肿瘤
|
内镜下粘膜切除术EMR
|
5600
|
70%
|
60%
|
4500
|
80%
|
70%
|
3800
|
80%
|
70%
|
|
|
172
|
大肠息肉或大肠良性肿瘤
|
内镜下粘膜剥离术ESD
|
6000
|
70%
|
60%
|
5000
|
80%
|
70%
|
4000
|
80%
|
70%
|
|
|
173
|
肾癌
|
腹腔镜下根治性肾切除术(含淋巴结清扫)
|
25000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
|
|
174
|
肾癌
|
腹腔镜下肾部分切除术(含淋巴结清扫)
|
25000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
|
|
175
|
肾癌
|
单侧根治性肾切除术(含淋巴结清扫)
|
25000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
|
|
176
|
终末期肾病(尿毒症)
|
深静脉长期透析导管植入(含长期留置导管费用)
|
9000
|
70%
|
60%
|
8000
|
80%
|
70%
|
|
|
|
|
|
177
|
终末期肾病(尿毒症)
|
动静脉造瘘术(为肾透析)/为肾透析的动静脉内瘘术/A-V内瘘术
|
8000
|
70%
|
60%
|
7000
|
80%
|
70%
|
|
|
|
|
|
178
|
终末期肾病(尿毒症)
|
腹膜透析管植入术
|
11000
|
70%
|
60%
|
10000
|
80%
|
70%
|
|
|
|
|
|
179
|
无功能肾(肾萎缩、肾结石、肾积水、肾积脓等)
|
后腹腔镜肾切除术
|
20000
|
70%
|
60%
|
15000
|
80%
|
70%
|
|
|
|
|
|
180
|
肾囊肿
|
肾囊肿经后腹腔镜肾囊肿去顶减压术
|
9000
|
70%
|
60%
|
7000
|
80%
|
|
|
|
|
|
|
181
|
膀胱癌
|
腹腔镜下根治性膀胱全切术+盆腔淋巴结清扫术
|
30000
|
70%
|
60%
|
24000
|
80%
|
70%
|
|
|
|
|
|
182
|
膀胱肿瘤
|
膀胱镜下经尿道肿瘤电切治疗
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
|
|
|
|
|
183
|
单侧肾盂输尿管结石伴或不伴肾积水
|
经尿道输尿管镜激光碎石取石术
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
|
|
|
|
|
184
|
单侧肾盂输尿管结石伴或不伴肾积水
|
单侧输尿管软镜激光碎石取石术
|
21000
|
70%
|
60%
|
17850
|
80%
|
70%
|
|
|
|
|
|
185
|
单侧肾盂输尿管结石伴或不伴肾积水
|
经尿道输尿管硬镜激光碎石取石术
|
15000
|
70%
|
60%
|
13000
|
80%
|
70%
|
|
|
|
|
|
186
|
输尿管结石
|
经尿道输尿管镜气压弹道碎石取石术
|
8000
|
70%
|
60%
|
7000
|
80%
|
70%
|
|
|
|
|
|
187
|
膀胱结石
|
膀胱切开取石术
|
8000
|
70%
|
60%
|
6500
|
80%
|
70%
|
5000
|
80%
|
70%
|
|
|
188
|
膀胱结石
|
经尿道膀胱镜机械碎石术
|
7000
|
70%
|
60%
|
5600
|
80%
|
70%
|
4500
|
80%
|
70%
|
|
|
189
|
输尿管囊肿
|
经尿道输尿管囊肿开窗术
|
7000
|
70%
|
60%
|
5600
|
80%
|
70%
|
4500
|
80%
|
70%
|
|
|
190
|
良性前列腺增生
|
经尿道前列腺电切术或经尿道前列腺等离子切除术(剜除术)
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
|
|
|
|
|
191
|
良性前列腺增生
|
经尿道前列腺激光切除术(剜除术)
|
16000
|
70%
|
60%
|
12800
|
80%
|
70%
|
|
|
|
|
|
192
|
良性前列腺增生
|
经尿道前列腺绿激光气化切除术(剜除术)
|
24000
|
70%
|
60%
|
20400
|
80%
|
70%
|
|
|
|
|
|
193
|
肾结石伴或不伴肾积水
|
经皮肾镜激光碎石取石术
|
21000
|
70%
|
60%
|
15000
|
80%
|
70%
|
|
|
|
|
|
194
|
肾结石
|
经皮肾镜超声碎石取石术
|
22100
|
70%
|
60%
|
18785
|
80%
|
70%
|
|
|
|
|
|
195
|
肾上腺良性肿瘤、肾上腺肿物
|
腹腔镜下肾上腺病损切除术
|
20000
|
70%
|
60%
|
15000
|
80%
|
70%
|
|
|
|
|
|
196
|
精索静脉曲张(单侧)
|
直视下精索静脉曲张高位结扎术
|
4500
|
70%
|
60%
|
4000
|
80%
|
70%
|
3000
|
80%
|
70%
|
|
|
197
|
精索静脉曲张(双侧)
|
直视下双侧精索静脉曲张高位结扎术
|
5000
|
70%
|
60%
|
4500
|
80%
|
70%
|
3800
|
80%
|
70%
|
|
|
198
|
精索静脉曲张(单侧)
|
显微镜下精索静脉低位结扎术
|
7000
|
70%
|
60%
|
6500
|
80%
|
70%
|
|
|
|
|
|
199
|
精索静脉曲张(双侧)
|
显微镜下精索静脉低位结扎术
|
8500
|
70%
|
60%
|
8200
|
80%
|
70%
|
|
|
|
|
|
200
|
精索静脉曲张
|
腹腔镜下精索静脉曲张高位结扎术(单侧)
|
12000
|
70%
|
60%
|
9600
|
80%
|
70%
|
|
|
|
|
|
201
|
精索静脉曲张
|
腹腔镜下精索静脉曲张高位结扎术(双侧)
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
|
|
|
|
|
202
|
睾丸鞘膜积液
|
直视下睾丸鞘膜翻转术或睾丸鞘膜切除术
|
6250
|
70%
|
60%
|
5000
|
80%
|
70%
|
3000
|
80%
|
70%
|
|
|
203
|
隐睾(睾丸可触及)
|
单侧隐睾下降固定术
|
8000
|
70%
|
60%
|
6400
|
80%
|
70%
|
|
|
|
|
|
204
|
隐睾(睾丸可触及)
|
经腹腔镜隐睾下降固定术
|
9500
|
70%
|
60%
|
7600
|
80%
|
70%
|
|
|
|
|
|
205
|
慢性附睾炎/附睾淤积症
|
附睾切除术
|
6000
|
70%
|
60%
|
5000
|
80%
|
70%
|
|
|
|
|
|
206
|
前列腺癌
|
经尿道前列腺切除术
|
27000
|
70%
|
60%
|
21000
|
80%
|
70%
|
|
|
|
|
|
207
|
子宫肌腺症
|
腹腔镜下经腹子宫次全/全部切除术
|
13500
|
70%
|
60%
|
10000
|
80%
|
70%
|
|
|
|
|
|
208
|
子宫腺肌病
|
经腹子宫腺肌病灶切除术
|
10750
|
70%
|
60%
|
8600
|
80%
|
70%
|
|
|
|
|
|
209
|
子宫腺肌病
|
经腹腔镜子宫腺肌病灶切除术
|
12000
|
70%
|
60%
|
9600
|
80%
|
70%
|
|
|
|
|
|
210
|
子宫腺肌病
|
经腹子宫次全/全部切除术
|
12750
|
70%
|
60%
|
10000
|
80%
|
70%
|
|
|
|
|
|
211
|
子宫颈息肉
|
宫腔镜下子宫颈息肉切除术
|
4500
|
70%
|
60%
|
4000
|
80%
|
70%
|
|
|
|
|
|
212
|
子宫内膜息肉
|
宫腔镜下子宫内膜息肉切除术
|
5000
|
70%
|
60%
|
4500
|
80%
|
70%
|
|
|
|
|
|
213
|
卵巢囊肿
|
腹腔镜下卵巢囊肿剥除术/单侧卵巢切除
|
13000
|
70%
|
60%
|
10500
|
80%
|
70%
|
6500
|
80%
|
70%
|
|
|
214
|
卵巢良性肿瘤
|
腹腔镜下卵巢肿瘤切除术
|
13000
|
70%
|
60%
|
10500
|
80%
|
70%
|
6500
|
80%
|
70%
|
|
|
215
|
卵巢良性肿瘤
|
直视下卵巢肿瘤切除术
|
10000
|
70%
|
60%
|
7500
|
80%
|
70%
|
5000
|
80%
|
70%
|
|
|
216
|
卵巢黄体破裂
|
直视下卵巢修补术
|
10000
|
70%
|
60%
|
8000
|
80%
|
70%
|
|
|
|
|
|
217
|
卵巢黄体破裂
|
腹腔镜下卵巢修补术
|
12000
|
70%
|
60%
|
9600
|
80%
|
70%
|
|
|
|
|
|
218
|
输卵管妊娠
|
直视下单侧输卵管切除术
|
8000
|
70%
|
60%
|
6800
|
80%
|
70%
|
5000
|
80%
|
70%
|
|
|
219
|
输卵管妊娠
|
腹腔镜下单侧输卵管切除术
|
9600
|
70%
|
60%
|
7500
|
80%
|
70%
|
6500
|
80%
|
70%
|
|
|
220
|
输卵管妊娠
|
腹腔镜下单侧输卵管开窗术
|
9600
|
70%
|
60%
|
7500
|
80%
|
70%
|
6000
|
80%
|
70%
|
|
|
221
|
输卵管妊娠
|
直视下单侧输卵管开窗术
|
8000
|
70%
|
60%
|
6800
|
80%
|
70%
|
5000
|
80%
|
70%
|
|
|
222
|
子宫平滑肌瘤
|
直视下全麻下全子宫切除术
|
12750
|
70%
|
60%
|
10500
|
80%
|
70%
|
7000
|
80%
|
70%
|
|
|
223
|
子宫平滑肌瘤
|
直视下局麻下全子宫切除术
|
10750
|
70%
|
60%
|
8500
|
80%
|
70%
|
5000
|
80%
|
70%
|
|
|
224
|
子宫平滑肌瘤
|
腹腔镜下子宫肌瘤切除术
|
12000
|
70%
|
60%
|
8400
|
80%
|
70%
|
5900
|
80%
|
70%
|
|
|
225
|
子宫平滑肌瘤
|
腹腔镜下子宫肌瘤切除术(多发或合并子宫腺肌病灶切除术)
|
16000
|
70%
|
60%
|
11200
|
80%
|
70%
|
8000
|
80%
|
70%
|
|
|
226
|
子宫平滑肌瘤
|
经阴道全子宫切除术
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
7000
|
80%
|
70%
|
|
|
227
|
子宫平滑肌瘤
|
腹腔镜下全子宫切除术
|
16000
|
70%
|
60%
|
11200
|
80%
|
70%
|
7500
|
80%
|
70%
|
|
|
228
|
子宫平滑肌瘤
|
直视下子宫肌瘤切除术
|
12000
|
70%
|
60%
|
9600
|
80%
|
70%
|
5000
|
80%
|
70%
|
|
|
229
|
子宫粘膜下平滑肌瘤
|
宫腔镜下子宫肌瘤切除术
|
7500
|
70%
|
60%
|
5600
|
80%
|
70%
|
5000
|
80%
|
70%
|
|
|
230
|
异常子宫出血-子宫内膜息肉
|
宫腔镜检查+分段诊刮+子宫内膜息肉切除术
|
7000
|
70%
|
60%
|
5000
|
80%
|
70%
|
4500
|
80%
|
70%
|
|
|
231
|
子宫脱垂
|
经阴道全子宫切除术
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
7000
|
80%
|
70%
|
|
|
232
|
宫颈癌
|
腹腔镜下全子宫广泛性切除术+双附件切除
|
28500
|
70%
|
60%
|
18500
|
80%
|
70%
|
|
|
|
|
|
233
|
宫颈癌
|
直视下全子宫广泛性切除术+双附件切除
|
25000
|
70%
|
60%
|
18000
|
80%
|
70%
|
|
|
|
|
|
234
|
宫颈癌
|
腹腔镜全子宫切除术或子宫广泛性切除术
|
20000
|
70%
|
60%
|
16000
|
80%
|
70%
|
|
|
|
|
|
235
|
胎膜早破(足月)行阴道分娩
|
单胎顺产接生(非无痛)
|
按现行生育政策支付
|
|
236
|
腰椎间盘突出症
|
椎间盘(孔)镜下腰椎髓核摘除术
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
|
|
|
|
|
237
|
椎间盘突出症
|
椎间盘微创消融术
|
6000
|
70%
|
60%
|
5200
|
80%
|
70%
|
3500
|
80%
|
70%
|
|
|
238
|
创伤性半月板损伤
|
关节镜下半月板成形术/关节镜下半月板切除术(含人工材料)
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
|
|
|
|
|
239
|
膝关节十字(交叉)韧带损伤
|
关节镜下韧带损伤修复与重建术
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
|
|
|
|
|
240
|
膝关节半月板损伤
|
膝关节镜下半月板部分切除术
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
|
|
|
|
|
241
|
膝关节半月板损伤
|
膝关节镜下半月板修整成形术
|
15000
|
70%
|
60%
|
12000
|
80%
|
70%
|
|
|
|
|
|
242
|
膝关节滑膜炎
|
膝关节镜下滑膜清理术或膝关节镜下滑膜切除术
|
10000
|
70%
|
60%
|
8000
|
80%
|
70%
|
|
|
|
|
|
243
|
膝关节游离体
|
膝关节镜下游离体取出术
|
10000
|
70%
|
60%
|
8000
|
80%
|
70%
|
|
|
|
|
|
244
|
股骨颈骨折
|
全髋人工关节置换术
|
25000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
人工关节
|
|
245
|
股骨颈骨折
|
人工股骨头置换术
|
25000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
人工关节
|
|
246
|
髋关节骨关节炎
|
全髋人工关节置换术
|
25000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
人工关节
|
|
247
|
重度膝关节骨关节炎
|
全膝人工关节置换术
|
25000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
人工关节
|
|
248
|
膝关节骨关节炎
|
关节镜下膝关节清理术
|
13000
|
70%
|
60%
|
10000
|
80%
|
70%
|
|
|
|
|
|
249
|
膝关节退行性变
|
膝关节镜清理术
|
13000
|
70%
|
60%
|
10000
|
80%
|
70%
|
|
|
|
|
|
250
|
复发性肩关节脱位
|
关节镜下肩关节脱位修复术(含人工材料)
|
35000
|
70%
|
60%
|
28000
|
80%
|
70%
|
|
|
|
|
|
251
|
尺骨鹰嘴骨折
|
尺骨鹰嘴骨折切开复位内固定术 (含人工材料)
|
18000
|
70%
|
60%
|
15000
|
80%
|
70%
|
|
|
|
|
|
252
|
尺骨鹰嘴骨折
|
尺骨鹰嘴骨折闭合复位内固定术(含固定材料)
|
18000
|
70%
|
60%
|
16000
|
80%
|
70%
|
|
|
|
|
|
253
|
股骨干骨折
|
直视下股骨干骨折切开复位内固定术 (含固定材料)
|
33000
|
70%
|
60%
|
28000
|
80%
|
70%
|
|
|
|
|
|
254
|
股骨干骨折
|
股骨干骨折闭合复位髓内针内固定术(含固定材料)
|
16000
|
70%
|
60%
|
12800
|
80%
|
70%
|
|
|
|
|
|
255
|
股骨干骨折
|
股骨干骨折闭合复位外固定架固定术(含固定材料)
|
6000
|
70%
|
60%
|
4500
|
80%
|
70%
|
|
|
|
|
|
256
|
股骨干骨折
|
股骨干骨折切开复位外固定架固定术(含固定材料)
|
6000
|
70%
|
60%
|
4500
|
80%
|
70%
|
|
|
|
|
|
257
|
股骨粗隆间骨折
|
股骨转子间骨折切开复位内固定术 (含固定材料)
|
20000
|
70%
|
60%
|
18000
|
80%
|
70%
|
|
|
|
|
|
258
|
无菌性股骨头坏死
|
直视下全髋人工关节置换术
|
25000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
人工关节
|
|
259
|
锁骨骨折
|
锁骨骨折切开复位术内固定术 (含固定材料)
|
18000
|
70%
|
60%
|
16000
|
80%
|
70%
|
|
|
|
|
|
260
|
肱骨骨折
|
肱骨骨折切开复位内固定术 (含固定材料)
|
18000
|
70%
|
60%
|
16000
|
80%
|
70%
|
|
|
|
|
|
261
|
桡骨头骨折
|
桡骨头骨折切开复位内固定术 (含固定材料)
|
18000
|
70%
|
60%
|
16000
|
80%
|
70%
|
|
|
|
|
|
262
|
桡骨干骨折
|
桡骨干骨折切开复位内固定术 (含固定材料)
|
15000
|
70%
|
60%
|
13000
|
80%
|
70%
|
|
|
|
|
|
263
|
尺桡骨骨折
|
尺桡骨骨折切开复位内固定术 (含固定材料)
|
18000
|
70%
|
60%
|
16000
|
80%
|
70%
|
|
|
|
|
|
264
|
尺桡骨干骨折
|
尺骨干骨折闭合复位内固定术 (含固定材料)
|
12000
|
70%
|
60%
|
9000
|
80%
|
70%
|
|
|
|
|
|
265
|
胫骨平台骨折
|
胫骨平台骨折切开复位内固定术 (含固定材料)
|
15000
|
70%
|
60%
|
13000
|
80%
|
70%
|
|
|
|
|
|
266
|
胫骨平台骨折
|
胫骨平台骨折闭合复位内固定术 (含固定材料)
|
12000
|
70%
|
60%
|
9000
|
80%
|
70%
|
|
|
|
|
|
267
|
胫腓骨骨折
|
胫腓骨骨折切开复位内固定术 (含固定材料)
|
18000
|
70%
|
60%
|
16000
|
80%
|
70%
|
|
|
|
|
|
268
|
胫腓骨干骨折
|
胫骨骨折闭合复位髓内钉内固定术 (含固定材料)
|
12000
|
70%
|
60%
|
9000
|
80%
|
70%
|
|
|
|
|
|
269
|
胫腓骨干骨折
|
腓骨骨折闭合复位内固定术 (含固定材料)
|
12000
|
70%
|
60%
|
9000
|
80%
|
70%
|
|
|
|
|
|
270
|
踝骨骨折
|
踝骨骨折切开复位内固定术 (含固定材料)
|
15000
|
70%
|
60%
|
13000
|
80%
|
70%
|
|
|
|
|
|
271
|
髌骨骨折
|
髌骨骨折切开复位内固定术 (含固定材料)
|
10000
|
70%
|
60%
|
8000
|
80%
|
70%
|
|
|
|
|
|
272
|
髌骨闭合性骨折
|
骨折切开复位克氏针张力带固定术(含固定材料)
|
9000
|
70%
|
60%
|
8000
|
80%
|
70%
|
|
|
|
|
|
273
|
指骨骨折
|
指骨骨折切开复位内固定术 (含固定材料)
|
8000
|
70%
|
60%
|
7500
|
80%
|
70%
|
|
|
|
|
|
274
|
手舟骨骨折
|
手舟骨骨折切开复位内固定术 (含固定材料)
|
8500
|
70%
|
60%
|
8000
|
80%
|
70%
|
|
|
|
|
|
275
|
掌骨骨折
|
掌骨骨折切开复位内固定术 (含固定材料)
|
8000
|
70%
|
60%
|
7500
|
80%
|
70%
|
|
|
|
|
|
276
|
髋臼骨折
|
髋臼骨折切开复位内固定术 (含固定材料)
|
20000
|
70%
|
60%
|
18000
|
80%
|
70%
|
|
|
|
|
|
277
|
跟腱断裂
|
跟腱断裂修补术
|
8000
|
70%
|
60%
|
7000
|
80%
|
70%
|
|
|
|
|
|
278
|
椎体压缩性骨折
|
经皮椎体成形术(PVP)
|
16000
|
70%
|
60%
|
15000
|
80%
|
70%
|
|
|
|
|
|
279
|
椎体压缩性骨折
|
球囊扩张椎体后凸成形术(PKP)
|
21000
|
70%
|
60%
|
20000
|
80%
|
70%
|
|
|
|
|
|
280
|
上肢骨折术后内固定取出术
|
骨折内固定装置取出术
|
4000
|
70%
|
60%
|
3500
|
80%
|
70%
|
3000
|
80%
|
70%
|
|
|
281
|
下肢骨折术后内固定取出术
|
骨折内固定装置取出术
|
5000
|
70%
|
60%
|
4500
|
80%
|
70%
|
4000
|
80%
|
70%
|
|
|
282
|
胫腓骨骨折术后内固定装置取出术
|
胫腓骨内固定装置取出术
|
6500
|
70%
|
60%
|
5500
|
80%
|
70%
|
|
|
|
|
|
283
|
脊柱骨折术后内固定取出术
|
骨折内固定装置取出术
|
7500
|
70%
|
60%
|
6500
|
80%
|
70%
|
|
|
|
|
|
284
|
腱鞘炎
|
狭窄腱鞘切除术或腱鞘切开屈指肌腱松解术
|
3800
|
70%
|
60%
|
3000
|
80%
|
70%
|
2500
|
80%
|
70%
|
|
|
285
|
腱鞘囊肿
|
腱鞘囊肿切除术或腱鞘病损切除术
|
3800
|
70%
|
60%
|
3000
|
80%
|
70%
|
2500
|
80%
|
70%
|
|
|
286
|
腘窝囊肿
|
腘窝囊肿切除术
|
7000
|
70%
|
60%
|
5600
|
80%
|
70%
|
4000
|
80%
|
70%
|
|
|
287
|
腕管综合征
|
腕管切开正中神经探查、松解术
|
6000
|
70%
|
60%
|
5000
|
80%
|
70%
|
|
|
|
|
|
288
|
肘管综合征
|
肘管综合征行肘部切开尺神经探查、松解前置术
|
6000
|
70%
|
60%
|
5000
|
80%
|
70%
|
|
|
|
|
|
289
|
乳腺癌
|
直视下乳腺癌改良根治术(非乳房再造)
|
18000
|
70%
|
60%
|
14000
|
80%
|
70%
|
|
|
|
|
|
290
|
乳腺良性肿瘤
|
乳腺肿物切除术(单侧)
|
4000
|
70%
|
60%
|
2800
|
80%
|
70%
|
2100
|
80%
|
70%
|
|
|
291
|
乳腺良性肿瘤
|
乳腺肿物切除术(双侧)
|
4500
|
70%
|
60%
|
3600
|
80%
|
70%
|
2600
|
80%
|
70%
|
|
|
292
|
乳腺良性肿瘤
|
乳腺象限切除术(单侧)
|
4200
|
70%
|
60%
|
3000
|
80%
|
70%
|
|
|
|
|
|
293
|
乳腺良性肿瘤
|
乳腺象限切除术(双侧)
|
4700
|
70%
|
60%
|
3800
|
80%
|
70%
|
|
|
|
|
|
294
|
急性乳腺炎
|
乳房浅表脓肿切开引流术
|
5000
|
70%
|
60%
|
4250
|
80%
|
70%
|
|
|
|
|
|
295
|
轻度烧伤
|
烧伤综合治疗(限市烧伤整形医院)
|
|
|
|
7000
|
60%
|
|
|
|
|
|
|
296
|
中度烧伤
|
烧伤综合治疗(限市烧伤整形医院)
|
|
|
|
10000
|
60%
|
|
|
|
|
|
|
297
|
重度烧伤
|
烧伤综合治疗(限市烧伤整形医院)
|
|
|
|
20000
|
60%
|
|
|
|
|
|
|
298
|
特重度烧伤
|
烧伤综合治疗(限市烧伤整形医院)
|
|
|
|
40000
|
60%
|
|
|
|
|
|
|
299
|
脑卒中(脑出血、脑梗塞)
|
康复治疗
|
16000
|
70%
|
60%
|
11000
|
70%
|
60%
|
|
|
|
|
|
300
|
颅脑损伤
|
康复治疗
|
14000
|
70%
|
60%
|
9500
|
70%
|
60%
|
|
|
|
|
|
301
|
脑肿瘤术后
|
康复治疗
|
14000
|
70%
|
60%
|
9500
|
70%
|
60%
|
|
|
|
|
|
302
|
脊柱(脊髓)损伤
|
康复治疗
|
14000
|
70%
|
60%
|
9500
|
70%
|
60%
|
|
|
|
|
|
303
|
人工髋/膝关节置换术后
|
康复治疗
|
14000
|
70%
|
60%
|
9500
|
70%
|
60%
|
|
|
|
|
|
304
|
肿瘤放疗
|
陀螺刀(门诊)
|
|
|
|
15000
|
80%
|
|
|
|
|
|
|
305
|
肿瘤放疗
|
陀螺刀(住院)
|
|
|
|
23000
|
80%
|
|
|
|
|
|
|
306
|
肿瘤放疗
|
超级伽马刀(门诊)
|
|
|
|
15000
|
80%
|
|
|
|
|
|
|
307
|
肿瘤放疗
|
超级伽马刀(住院)
|
|
|
|
23000
|
80%
|
|
|
|
|
|
|
308
|
肿瘤放疗
|
碘125粒子植入
|
|
|
|
26000
|
80%
|
|
|
|
|
|
|
309
|
恶性肿瘤适形调强放疗
|
头颈部根治性放疗
|
75000
|
80%
|
——
|
60000
|
80%
|
——
|
|
|
|
|
|
310
|
恶性肿瘤适形调强放疗+同步化疗
|
头颈部根治性放疗+同步化疗
|
80000
|
80%
|
——
|
65000
|
80%
|
——
|
|
|
|
|
|
311
|
恶性肿瘤适形调强放疗
|
其他部位根治性放疗
|
50000
|
80%
|
——
|
45000
|
80%
|
——
|
|
|
|
|
|
312
|
恶性肿瘤适形调强放疗+同步化疗
|
其他部位根治性放疗+同步化疗
|
65000
|
80%
|
——
|
50000
|
80%
|
——
|
|
|
|
|
|
313
|
肺癌
|
肺癌化疗
|
12000
|
80%
|
——
|
8000
|
80%
|
——
|
|
|
|
|
|
314
|
食道癌化疗
|
肿瘤化疗
|
9000
|
80%
|
——
|
7000
|
80%
|
——
|
|
|
|
|
|
315
|
乳腺癌
|
乳腺癌化疗
|
9000
|
80%
|
——
|
7000
|
80%
|
——
|
|
|
|
|
|
316
|
胃癌
|
胃癌化疗
|
10000
|
80%
|
——
|
8000
|
80%
|
——
|
|
|
|
|
|
317
|
直、结肠癌化疗
|
直、结肠癌化疗
|
10000
|
80%
|
——
|
7500
|
80%
|
——
|
|
|
|
|
|
318
|
宫颈癌
|
宫颈癌化疗
|
11000
|
80%
|
——
|
7800
|
80%
|
——
|
|
|
|
|
|
319
|
鼻咽癌
|
鼻咽癌化疗
|
12000
|
80%
|
——
|
8000
|
80%
|
——
|
|
|
|
|
|
320
|
血吸虫病
|
内科一般护肝、杀虫治疗(限市五医院)
|
|
|
|
2300
|
80%
|
——
|
|
|
|
|
|
321
|
血吸虫病
|
慢性血吸虫病内科治疗(限市五医院)
|
|
|
|
3000
|
80%
|
——
|
|
|
|
|
|
322
|
血吸虫病
|
肝纤维化内科治疗(限市五医院)
|
|
|
|
3000
|
80%
|
——
|
|
|
|
|
|
323
|
血吸虫病
|
晚期血吸虫病内科治疗(限市五医院)
|
|
|
|
5800
|
80%
|
——
|
|
|
|
|
|
324
|
精神分裂症、持久的妄想性障碍、分裂情感性障碍
|
60天以内(限精神类专科医院)
|
|
|
|
180元
/天
|
80%
|
80%
|
140元
/天
|
80%
|
80%
|
|
|
325
|
精神分裂症、持久的妄想性障碍、分裂情感性障碍
|
60天以上至180天(限精神类专科医院)
|
|
|
|
120元
/天
|
80%
|
80%
|
100元
/天
|
80%
|
80%
|
|
|
326
|
精神分裂症、持久的妄想性障碍、分裂情感性障碍
|
全年托管(365天)(限精神类专科医院)
|
|
|
|
120元
/天
|
80%
|
80%
|
100元
/天
|
80%
|
80%
|
|
|
327
|
焦虑症、抑郁症
|
30天以上(含)(限精神类专科医院)
|
|
|
|
10000
|
80%
|
80%
|
|
|
|
|
|
328
|
终末期肾病(已确诊)
|
血液透析(含血液滤过)的月总费用包括血液透析费和常用的药品费(普通肝素钠注射液、低分子肝素注射液、铁剂、生理盐水、促红素注射液等)、血液透析所需材料费(透析管道、透析针、透析器、透析液等)、血液监测及相关常规检查检验费。
|
每月4167
|
90%
|
90%
|
每月4000
|
90%
|
90%
|
|
|
|
|
|
329
|
带状疱疹
|
中医辩证诊治、针灸、中药外治法
|
6000
|
70%
|
60%
|
5000
|
80%
|
70%
|
|
|
|
|
|
330
|
肺癌
|
中医治疗
|
8000
|
75%
|
65%
|
|
|
|
|
|
|
|
|
331
|
锁骨骨折(中医治疗)
|
闭合复位外固定术
|
5600
|
75%
|
65%
|
|
|
|
|
|
|
|
|
332
|
桡骨骨折(中医治疗)
|
闭合复位外固定术
|
9000
|
75%
|
65%
|
|
|
|
|
|
|
|
|
333
|
胫腓骨干骨折(中医治疗)
|
闭合复位外固定术
|
10000
|
75%
|
65%
|
|
|
|
|
|
|
|
|
334
|
踝关节骨折(中医治疗)
|
闭合复位外固定术
|
10000
|
75%
|
65%
|
|
|
|
|
|
|
|
|
335
|
股骨干骨折(中医治疗)
|
闭合复位外固定术
|
15000
|
75%
|
65%
|
|
|
|
|
|
|
|
|
336
|
股骨髁上骨折(中医治疗)
|
闭合复位外固定术
|
10000
|
75%
|
65%
|
|
|
|
|
|
|
|