2022年山東省醫(yī)療服務(wù)價格表

二、醫(yī)技診療類,,,,,,,,

編碼,項(xiàng)目名稱,項(xiàng)目內(nèi)涵,除外內(nèi)容,計(jì)價單位,說明,價格(元),,

,,,,,,三級,二級,一級

21,(一)醫(yī)學(xué)影像,,,,,,,

2101,1．X線檢查,,,,,,,

210101,X線透視檢查,,,,追加攝片另計(jì)價,,,

210101001,普通透視,包括胸、腹、盆腔、四肢等,,每個部位,,,,

210101001a,普通型,包括胸、腹、盆腔、四肢等,,每個部位,,5,5,5

210101001b,搖控型,包括胸、腹、盆腔、四肢等,,每個部位,數(shù)字型加收5元,15,15,15

210101002,食管鋇餐透視,含胃異物、心臟透視檢查,,次,,,,

210101002a,普通型,含胃異物、心臟透視檢查,,次,,10,10,10

210101002b,搖控型,含胃異物、心臟透視檢查,,次,數(shù)字型加收20元,40,40,40

210101003,床旁透視與術(shù)中透視,包括透視下定位,,次,,200,200,200

210101004,C型臂術(shù)中透視,包括透視下定位,,人次,,100,100,100

210102,X線攝影,含曝光、沖洗、診斷和膠片等,,,1、一張膠片多次曝光加收10元；2、床旁攝片加收20元,,,

210102001,5×7吋,,,片數(shù),,10,10,10

210102002,8×10吋,,,片數(shù),,15,15,15

210102003,10×12吋,包括7×17吋,,片數(shù),,18,18,18

210102004,11×14吋,,,片數(shù),,22,22,22

210102005,12×15吋,,,片數(shù),,25,25,25

210102006,14×14吋,,,片數(shù),,26,26,26

210102007,14×17吋,,,片數(shù),,30,30,30

210102008,牙片,,,片數(shù),數(shù)字化加收14元,6,6,6

210102009,咬合片,,,片數(shù),,12,12,12

210102010,曲面體層攝影(頜全景攝影),,,片數(shù),數(shù)字型加收20元,40,40,40

210102011,頭顱定位測量攝影,,,片數(shù),數(shù)字型加收20元,50,50,50

210102012,眼球異物定位攝影,不含眼科放置定位器操作,,片數(shù),,30,30,30

210102013,乳腺鉬靶攝片8×10吋,,,片數(shù),數(shù)字型加收20元,60,60,60

210102014,乳腺鉬靶攝片18×24吋,,,片數(shù),,待定,,

210102015,數(shù)字化攝影(DR),含數(shù)據(jù)采集、存貯、圖象顯示、膠片,,曝光次數(shù),第三次曝光始，每次減半。,55,55,55

210102016,計(jì)算機(jī)X射線攝影（ComputedRadiography，CR）,含圖象增強(qiáng)、數(shù)據(jù)采集、存貯、圖象顯示、ip版、合及專用膠片。,,曝光次數(shù),第三次曝光始，每次減半。,50,50,50

210102017,非血管介入臨床操作數(shù)字減影（DSA）引導(dǎo),,,次,,240,240,240

210102018,多功能大平板數(shù)字化攝影系統(tǒng),,,部位,,150,150,150

210103,X線造影,含臨床操作及造影劑過敏試驗(yàn),造影劑、膠管、一次性插管,,1.使用數(shù)字化X線機(jī)加收60元；2.使用大平板多功能數(shù)字化X線機(jī)加收150元,,,

210103001,氣腦造影,,,次,,60,60,60

210103002,腦室碘水造影,,,次,,60,60,60

210103003,脊髓(椎管)造影,,,次,,70,70,70

210103004,椎間盤造影,,,次,,70,70,70

210103005,淚道造影,,,單側(cè),,40,40,40

210103006,副鼻竇造影,,,單側(cè),,40,40,40

210103007,顳下頜關(guān)節(jié)造影,,,單側(cè),,40,40,40

210103008,支氣管造影,,,單側(cè),,40,40,40

210103009,乳腺導(dǎo)管造影,,,單側(cè),,40,40,40

210103010,唾液腺造影,,,單側(cè),,40,40,40

210103011,下咽造影,,,次,,40,40,40

210103012,食管造影,,,次,,,,

210103012a,普通型,,,次,,15,15,15

210103012b,搖控型,,,次,,40,40,40

210103013,上消化道造影,含食管、胃、十二指腸造影,,次,,,,

210103013a,普通型,含食管、胃、十二指腸造影,,次,,40,40,40

210103013b,搖控型,含食管、胃、十二指腸造影,,次,,60,60,60

210103014,胃腸排空試驗(yàn),指鋇餐透視法,,次,,85,85,85

210103015,小腸插管造影,,,次,,85,85,85

210103016,口服法小腸造影(全消),含各組小腸及回盲部造影,,次,,,,

210103016a,普通型,含各組小腸及回盲部造影,,次,,20,20,20

210103016b,搖控型,含各組小腸及回盲部造影,,次,,80,80,80

210103017,鋇灌腸大腸造影,含氣鋇雙重造影,,次,,,,

210103017a,普通型,含氣鋇雙重造影,,次,,20,20,20

210103017b,搖控型,含氣鋇雙重造影,,次,,80,80,80

210103018,腹膜后充氣造影,,,次,,50,50,50

210103019,口服法膽道造影,,,次,,30,30,30

210103020,靜脈膽道造影,,,次,,30,30,30

210103021,經(jīng)內(nèi)鏡逆行胰膽管造影(ERCP),,,次,,220,220,220

210103022,經(jīng)皮經(jīng)肝膽道造影(PTC),,,次,,160,160,160

210103023,T管造影,,,次,,43,43,43

210103024,靜脈泌尿系造影,,,次,,100,100,100

210103025,逆行泌尿系造影,,,次,,59,59,59

210103026,腎盂穿刺造影,,,單側(cè),,68,68,68

210103027,膀胱造影,,,次,,59,59,59

210103028,陰莖海綿體造影,,,次,,30,30,30

210103029,輸精管造影,,,單側(cè),,30,30,30

210103030,子宮造影,,,次,,43,43,43

210103031,子宮輸卵管碘油造影,,,次,,50,50,50

210103032,四肢淋巴管造影,,,單肢,,50,50,50

210103033,竇道及瘺管造影,,,次,,43,43,43

210103034,四肢關(guān)節(jié)造影,,,每個關(guān)節(jié),,45,45,45

210103035,四肢血管造影,,,單肢,,,,

210103035a,四肢血管造影（靜脈）,,,單肢,同時檢查雙肢加收150元,270,270,270

210103035b,四肢血管造影（動脈）,,,單肢,同時檢查雙肢加收260元,500,500,500

2102,2．磁共振掃描(MRI),含膠片及沖洗、數(shù)據(jù)存儲介質(zhì),造影劑、麻醉及其藥物,,"1．計(jì)價部位分為顱腦、眼眶、垂體、中耳、頸部、胸部、心臟、上腹部、頸椎、胸椎、腰椎、雙髖關(guān)節(jié)、膝關(guān)節(jié)、顳頜關(guān)節(jié)、其他；2．增強(qiáng)掃描加收50%，動態(tài)增強(qiáng)成像加收100%；3．用高壓注射器單筒加收100元,雙筒加收150元;4.刻錄光盤每張30元;5.平掃后重新加掃,每增加一個特殊方位或特殊序列加收150元，超過2個按2個計(jì)價。膠片費(fèi)另收；6、心電或呼吸門控設(shè)備每次50元",,,

210200001,磁共振平掃,,,每部位,,,,

210200001a,1T以下磁共振平掃,,,每部位,,300,300,300

210200001b,1-2T磁共振平掃,,,每部位,,550,550,550

210200001c,3T及以上磁共振平掃,,,每部位,,650,650,650

210200003,腦功能成像,,,次,平掃費(fèi)另收,480,480,480

210200004,磁共振心臟功能檢查,,,次,平掃費(fèi)另收,450,450,450

210200005,強(qiáng)化磁共振血管成像,,,每部位,平掃費(fèi)另收,400,400,400

210200006,磁共振水成像(MRCP，MRM，MRU),,,每部位,平掃費(fèi)另收,100,100,100

210200007,磁共振波譜分析(MRS),,,每部位,平掃費(fèi)另收,400,400,400

210200008,磁共振波譜成像（MRSI),,,次,,400,400,400

210200009,臨床操作的磁共振引導(dǎo),,,每半小時,,待定,,

ECCZX002,單臟器灌注磁共振成像,,,次,平掃費(fèi)另收,400,400,400

ECCZX003,磁共振單臟器彌散加權(quán)成像,,,次,平掃費(fèi)另收,100,100,100

ECCZX004,磁共振單臟器磁敏感加權(quán)成像,包括化學(xué)位移成像,,次,平掃費(fèi)另收,130,130,130

ECCZZ001,磁共振三維導(dǎo)航定位,含材料,,次,平掃費(fèi)另收,800,800,800

2103,3．X線計(jì)算機(jī)體層(CT)掃描,含膠片及沖洗、數(shù)據(jù)存儲介質(zhì),造影劑、麻醉及其藥物,,1．計(jì)價部位分為顱腦、眼眶、視神經(jīng)管、顳骨、鞍區(qū)、副鼻竇、鼻骨、頸部、胸部、心臟、上腹部、下腹部、盆腔、椎體(每三個椎體)、雙髖關(guān)節(jié)、膝關(guān)節(jié)、肢體、其他；2．用高壓注射器單筒加收100元，雙筒加收150元；3.增強(qiáng)掃描加收50%，4.刻錄光盤每張30元；5、心電或呼吸門控設(shè)備每次50元,,,

210300001,X線計(jì)算機(jī)體層(CT)平掃,,,每個部位,,,,

210300001a,普通CT,,,每個部位,,50,50,50

210300001b,單、雙層螺旋CT掃描,,,每個部位,,100,100,100

210300001c,4、8排層螺旋CT掃描,,,每個部位,,170,170,170

210300001d,16、32排層螺旋CT掃描,,,每個部位,,200,200,200

210300001e,64排螺旋CT掃描,,,每個部位,,230,230,230

210300001f,雙源螺旋CT掃描,,,每個部位,,500,500,500

210300001g,revolutionCT掃描,,,每個部位,,620,620,620

210300003,腦池X線計(jì)算機(jī)體層(CT)含氣造影,含臨床操作,,每個部位,,待定,,

210300004,X線計(jì)算機(jī)體層(CT)成象,指用于血管、膽囊、CTVE、骨三維成象等,,每個部位,,300,300,300

210300005,臨床操作的CT引導(dǎo),,,半小時,,260,260,260

210300006,冠狀動脈成象,每個部位,,,平掃費(fèi)另收,400,400,400

210300007,灌注成像,每個部位,,,平掃費(fèi)另收,300,300,300

2104,4．院外影像學(xué)會診,包括X線片、MRI片、CT片、超聲等會診,,,,,,

210400001,副主任醫(yī)師,,,次,,80,80,80

210400002,主任醫(yī)師,,,次,,100,100,100

210400003,知名專家,,,次,,醫(yī)療機(jī)構(gòu)自主定價,,

2105,5．其他,,,,,,,

210500001,紅外熱象檢查,包括遠(yuǎn)紅外熱斷層檢查,,每個部位,,90,90,90

210500002,紅外線乳腺檢查,,,單側(cè),,26,26,26

210500003,計(jì)算機(jī)斷層掃描激光乳腺成像,,,單側(cè),雙側(cè)加收,待定,,

210500004,三維醫(yī)學(xué)影像手術(shù)計(jì)劃,,,次,,待定,,

210500005,乳腺血氧功能影像檢查,,,單側(cè),,60,60,60

22,(二)超聲檢查,,,,,,,

2201,1．A超,,圖象記錄,,,,,

220100001,A型超聲檢查,,,每個部位,,待定,,

220100002,臨床操作的A超引導(dǎo),,,半小時,,待定,,

220100003,眼部A超,,,單側(cè),,10,10,10

2202,2．B超,,圖象記錄,,,,,

220201,各部位一般B超檢查,,,,,,,

220201001,單臟器B超檢查,,,每個臟器,雙腎、雙肺按一個臟器收取,6,6,6

220201002,B超常規(guī)檢查,包括胸部(含肺、胸腔、縱隔)、腹部(含肝、膽、胰、脾、雙腎)、胃腸道、泌尿系(含雙腎、輸尿管、膀胱、前列腺)、婦科(含子宮、附件、膀胱及周圍組織)、產(chǎn)科(含胎兒及宮腔),,次,,待定,,

220201003,胸腹水B超檢查及穿刺定位,不含活檢,,次,,26,26,26

220201004,胃腸充盈造影B超檢查,含胃、小腸及其附屬結(jié)構(gòu),,次,,30,30,30

220201005,大腸灌腸造影B超檢查,含大腸及其附屬結(jié)構(gòu),,次,,30,30,30

220201006,輸卵管超聲造影,含臨床操作，含宮腔、雙輸卵管,,次,,50,50,50

220201007,淺表組織器官B超檢查,,,每個部位,計(jì)價部位分為1．雙眼及附屬器；2．雙涎腺及頸部淋巴結(jié)；3．甲狀腺及頸部淋巴結(jié)；4．乳腺及其引流區(qū)淋巴結(jié)；5．四肢軟組織；6．陰囊、雙側(cè)睪丸、附睪；7．小兒顱腔；8．膝關(guān)節(jié)；9．體表腫物,25,25,25

220201008,床旁B超檢查,包括彩色多普勒超聲檢查、術(shù)中B超檢查,,半小時,,43,43,43

220201009,臨床操作的B超引導(dǎo),,,半小時,,48,48,48

220202,腔內(nèi)B超檢查,,,,,,,

220202001,經(jīng)陰道B超檢查,含子宮及雙附件,,次,,48,48,48

220202002,經(jīng)直腸B超檢查,含前列腺、精囊、尿道、直腸,,次,,48,48,48

220202003,臨床操作的腔內(nèi)B超引導(dǎo),,,半小時,,59,59,59

220203,B超臟器功能評估,,,,,,,

220203001,胃充盈及排空功能檢查,指造影法,,次,,34,34,34

220203002,小腸充盈及排空功能檢查,指造影法,,次,,34,34,34

220203003,膽囊和膽道收縮功能檢查,指造影法,,次,,34,34,34

220203004,胎兒生物物理相評分,含呼吸運(yùn)動、肌張力、胎動、羊水量、無刺激試驗(yàn),,次,,34,34,34

220203005,膀胱殘余尿量測定,,,次,,20,20,20

2203,3．彩色多普勒超聲檢查,,圖象記錄,,,,,

220301,普通彩色多普勒超聲檢查,,,,,,,

220301001,彩色多普勒超聲常規(guī)檢查,,,每個臟器,腹膜后或腹腔檢查收60元。雙腎、雙肺按一個臟器收取。,27,27,27

220301001a,泌尿系(含雙腎、輸尿管、膀胱、前列腺),,,次,,90,90,90

220301001b,婦科(含子宮、附件、膀胱及周圍組織),,,次,,60,60,60

220301001c,產(chǎn)科(含胎兒及宮腔),指中期妊娠至足月妊娠（12周以后）,,次,雙胎、多胎每增加一胎加收40元；三維/四維胎兒彩超加收100元（不論胎兒多少）。,80,80,80

220301002,淺表器官彩色多普勒超聲檢查,,,項(xiàng),計(jì)價部位分為1．雙眼及附屬器；2．雙涎腺及頸部淋巴結(jié)；3．甲狀腺及頸部淋巴結(jié)；4．乳腺及其引流區(qū)淋巴結(jié)；5．上肢或下肢軟組織；6．陰囊、雙側(cè)睪丸、附睪；7．顱腔；8．體表包塊；9．關(guān)節(jié)；10．其他,90,90,90

220302,彩色多普勒超聲特殊檢查,,,,,,,

220302001,顱內(nèi)段血管彩色多普勒超聲,,,次,,110,110,110

220302002,球后全部血管彩色多普勒超聲,,,次,,100,100,100

220302003,頸部血管彩色多普勒超聲,包括頸動脈、頸靜脈及椎動脈,,二根血管,每增加兩根加收20元,100,100,100

220302004,門靜脈系彩色多普勒超聲,,,次,,85,85,85

220302005,腹部大血管彩色多普勒超聲,,,次,,100,100,100

220302006,四肢血管彩色多普勒超聲,,,二根血管,每增加兩根加收50元，最高不超過180元。,100,100,100

220302007,雙腎及腎血管彩色多普勒超聲,,,次,,110,110,110

220302008,左腎靜脈“胡桃夾”綜合征檢查,,,次,,60,60,60

220302009,藥物血管功能試驗(yàn),指用于陽痿測定等,藥物,次,,120,120,120

220302010,臟器聲學(xué)造影,包括腫瘤聲學(xué)造影,,次,,120,120,120

220302011,腔內(nèi)彩色多普勒超聲檢查,,,次,,,,

220302011a,經(jīng)陰道檢查,含子宮及雙附件,,次,與常規(guī)檢查同時進(jìn)行減半收取，經(jīng)陰道監(jiān)測卵泡60元/次,120,120,120

220302011b,經(jīng)直腸檢查,含前列腺、精囊、尿道、直腸,,次,與常規(guī)檢查同時進(jìn)行減半收取,120,120,120

220302012,臨床操作的彩色多普勒超聲引導(dǎo),,,半小時,超聲介入按此標(biāo)準(zhǔn)執(zhí)行,170,170,170

220302013,超聲造影,,,次,,180,180,180

2204,4．多普勒檢查,指單純偽彩頻譜多普勒檢查，不具備二維圖象和真彩色多普勒功能,圖象記錄,,,,,

220400001,顱內(nèi)多普勒血流圖(TCD),,,次,經(jīng)顱多普勒栓子監(jiān)測加收45元,90,90,90

220400002,四肢多普勒血流圖,,,單肢,,50,50,50

220400003,多普勒小兒血壓檢測,,,次,,8,8,8

220400004,胎兒多普勒聽診（DPL）,,,次,,4,4,4

2205,5．三維超聲檢查,,,,,,,

220500001,臟器灰階立體成象,,,每個臟器,,待定,,

220500001a,乳腺觸診成像,,,次,,90,90,90

220500002,能量圖血流立體成象,,,每個部位,,85,85,85

2206,6．心臟超聲檢查,,圖象記錄,,,,,

220600001,普通心臟M型超聲檢查,指黑白超聲儀檢查；含常規(guī)基本波群,,次,,20,20,20

220600002,普通二維超聲心動圖,指黑白超聲儀檢查；含心房、心室、心瓣膜、大動脈等超聲檢查,,次,,30,30,30

220600003,床旁超聲心動圖,指黑白超聲儀檢查；含心房、心室、心瓣膜、大動脈等超聲檢查,,半小時,,60,60,60

220600004,心臟彩色多普勒超聲,含各心腔及大血管血流顯象,,次,胎兒心臟檢查每胎加收80元,140,140,140

220600005,常規(guī)經(jīng)食管超聲心動圖,含心房、心室、心瓣膜、大動脈等結(jié)構(gòu)及血流顯象,,次,,240,240,240

220600006,術(shù)中經(jīng)食管超聲心動圖,含術(shù)前檢查或術(shù)后療效觀察,,半小時,,150,150,150

220600007,介入治療的超聲心動圖監(jiān)視,,,半小時,,150,150,150

220600008,右心聲學(xué)造影,指普通二維心臟超聲檢查；含心腔充盈狀態(tài)、分流方向、分流量與返流量等檢查,,次,,70,70,70

220600009,負(fù)荷超聲心動圖,指普通心臟超聲檢查；包括藥物注射或運(yùn)動試驗(yàn)；不含心電與血壓監(jiān)測,藥物,次,,139,139,139

220600010,左心功能測定,指普通心臟超聲檢查或彩色多普勒超聲檢查；含心室舒張容量(EDV)、射血分?jǐn)?shù)(EF)、短軸縮短率(FS)、每搏輸出量(SV)、每分輸出量(CO)、心臟指數(shù)(CI)等,,次,,26,26,26

2207,7．其他心臟超聲診療技術(shù),,,,,,,

220700001,計(jì)算機(jī)三維重建技術(shù)(3DE),,,單幅圖片,,90,90,90

220700002,聲學(xué)定量(AQ),,,次,,32,32,32

220700003,彩色室壁動力(CK),,,次,,32,32,32

220700004,組織多普勒顯象(TDI),,,次,,32,32,32

220700005,心內(nèi)膜自動邊緣檢測,,,次,,32,32,32

220700006,室壁運(yùn)動分析,,,次,,32,32,32

220700007,心肌灌注超聲檢測,含心肌顯象,,次,,80,80,80

2208,8．圖象記錄附加收費(fèi)項(xiàng)目,,,,,,,

220800001,黑白熱敏打印照片,,,片,,10,10,10

220800002,彩色打印照片,,,片,,18,18,18

220800003,黑白一次成象(波拉)照片,,,片,,6,6,6

220800004,彩色一次成象(波拉)照片,,,片,,13,13,13

220800005,超聲多幅照相,,,片,,13,13,13

220800006,彩色膠片照相,,,片,,13,13,13

220800007,超聲檢查實(shí)時錄象,含錄象帶,,次,,20,20,20

220800008,超聲計(jì)算機(jī)圖文報告,含計(jì)算機(jī)圖文處理、儲存及圖文報告；包括超聲計(jì)算機(jī)彩色圖文報告,,次,需要用超聲醫(yī)用膠片打印彩色照片并附有超聲診斷文字描述的，按18元收。,10,10,10

23,(三)核醫(yī)學(xué),含核素藥物制備和注射、臨床穿刺插管和介入性操作；不含必要時使用的心電監(jiān)護(hù)和搶救,藥物、X光片、彩色膠片、數(shù)據(jù)存貯介質(zhì),,放射免疫分析見檢驗(yàn)科項(xiàng)目,,,

2301,1．核素掃描,含彩色打印,,,,,,

230100001,臟器動態(tài)掃描,指一個體位三次顯象,,三次顯象,超過三次顯象后每增加一次加收20元,110,110,110

230100002,臟器靜態(tài)掃描,,,每個體位,超過一個體位加收20元,100,100,100

2302,2．伽瑪照相,指為平面臟器動態(tài)、靜態(tài)顯象及全身顯象；含各種圖象記錄過程,,,使用SPECT設(shè)備的伽瑪照相按同一標(biāo)準(zhǔn)計(jì)價;圖像融合加收20元。,,,

230200001,腦血管顯象,,,次,,200,200,200

230200002,腦顯象,,,四個體位,每增加一個體位加收30元,200,200,200

230200003,腦池顯象,,,次,,180,180,180

230200004,腦室引流顯象,,,次,,200,200,200

230200005,淚管顯象,,,次,,150,150,150

230200006,甲狀腺靜態(tài)顯象,,,每個體位,,150,150,150

230200007,甲狀腺血流顯象,,,次,,150,150,150

230200008,甲狀腺有效半衰期測定,,,次,,90,90,90

230200009,甲狀腺激素抑制顯象,,,次,,100,100,100

230200010,促甲狀腺激素興奮顯象,,,二個時相,,90,90,90

230200011,甲狀旁腺顯象,,,次,,180,180,180

230200012,靜息心肌灌注顯象,,,三個體位,,200,200,200

230200013,負(fù)荷心肌灌注顯象,含運(yùn)動試驗(yàn)或藥物注射；不含心電監(jiān)護(hù),,三個體位,,200,200,200

230200014,靜息門控心肌灌注顯象,,,三個體位,,260,260,260

230200015,負(fù)荷門控心肌灌注顯象,含運(yùn)動試驗(yàn)或藥物注射；不含心電監(jiān)護(hù),,三個體位,,260,260,260

230200016,首次通過法心血管顯象,含心室功能測定,,次,,200,200,200

230200017,平衡法門控心室顯象,,,三個體位,,180,180,180

230200018,平衡法負(fù)荷門控心室顯象,含運(yùn)動試驗(yàn)或藥物注射；不含心電監(jiān)護(hù),,三個體位,,200,200,200

230200019,急性心肌梗塞灶顯象,,,三個體位,,180,180,180

230200020,動脈顯象,,,次,,180,180,180

230200021,門脈血流測定顯象,,,次,,180,180,180

230200022,門體分流顯象,,,次,,180,180,180

230200023,下肢深靜脈顯象,,,次,,180,180,180

230200024,局部淋巴顯象,,,一個體位,每增加一個體位加收40元,187,187,187

230200025,肺灌注顯象,,,六個體位,每增加一個體位加收40元,220,220,220

230200026,肺通氣顯象,含氣溶膠霧化吸入裝置及氣體,,六個體位,每增加一個體位加收40元,240,240,240

230200027,唾液腺靜態(tài)顯象,,,三個體位,,180,180,180

230200028,唾液腺動態(tài)顯象,,,次,,200,200,200

230200029,食管通過顯象,,,次,,198,198,198

230200030,胃食管返流顯象,,,次,,200,200,200

230200031,十二指腸胃返流顯象,,,次,,200,200,200

230200032,胃排空試驗(yàn),,,次,固體胃排空加收20元,235,235,235

230200033,異位胃粘膜顯象,,,次,,220,220,220

230200034,消化道出血顯象,,,小時,1小時后延遲顯象加收50元,240,240,240

230200035,肝膠體顯象,,,三個體位,,200,200,200

230200036,肝血流顯象,,,次,,200,200,200

230200037,肝血池顯象,,,二個時相,,200,200,200

230200038,肝膽動態(tài)顯象,,,小時,,235,235,235

230200039,脾顯象,,,次,,170,170,170

230200040,胰腺顯象,,,次,,170,170,170

230200041,小腸功能顯象,,,次,,170,170,170

230200042,腸道蛋白丟失顯象,,,次,,170,170,170

230200043,腎上腺皮質(zhì)顯象,含局部后位顯象,,72小時,每增加一個體位加收40元,270,270,270

230200044,地塞米松抑制試驗(yàn)?zāi)I上腺皮質(zhì)顯象,含局部后位顯象,,72小時,每增加一個體位加收40元,300,300,300

230200045,腎動態(tài)顯象,含腎血流顯象,,次,延遲顯象加收50元,220,220,220

230200046,腎動態(tài)顯象＋腎小球?yàn)V過率(GFR)測定,,,次,,260,260,260

230200047,腎動態(tài)顯象＋腎有效血漿流量(ERPF)測定,,,次,,230,230,230

230200048,介入腎動態(tài)顯象,,,次,,235,235,235

230200049,腎靜態(tài)顯象,,,二個體位,每增加一個體位加收40元,200,200,200

230200050,膀胱輸尿管返流顯象,包括直接法或間接法,,次,,220,220,220

230200051,陰道尿道瘺顯象,,,次,,190,190,190

230200052,陰囊顯象,,,次,,220,220,220

230200053,局部骨顯象,,,二個體位,每增加一個體位加收40元,180,180,180

230200054,骨三相顯象,含血流、血質(zhì)、靜態(tài)顯象,,次,,260,260,260

230200055,骨密度測定,,,每個部位,,100,100,100

230200056,紅細(xì)胞破壞部位測定,,,次,,99,99,99

230200057,炎癥局部顯象,,,二個體位一個時相,每增加一個體位時加收40元,150,150,150

230200058,親腫瘤局部顯象,,,每個體位,每增加一個體位時加收40元,200,200,200

230200059,放射免疫顯象,,,次,,270,270,270

230200060,放射受體顯象,,,次,,255,255,255

2303,3．單光子發(fā)射計(jì)算機(jī)斷層顯象(SPECT),指斷層顯象、全身顯象和符合探測顯象，含各種圖象記錄過程,,,1．采用多探頭加收50元；2．符合探測顯象加收40元；3．透射顯像衰減校正加收30元,,,

230300001,臟器斷層顯像,包括臟器、臟器血流、臟器血池、靜息灌注等顯象,,次,增加時相加收20元,240,240,240

230300002,全身顯像,,,次,,300,300,300

230300003,18氟－脫氧葡萄糖斷層顯象,包括腦、心肌代謝、腫瘤等顯象,,次,,300,300,300

230300004,腎上腺髓質(zhì)斷層顯象,,,次,,255,255,255

230300005,負(fù)荷心肌灌注斷層顯象,含運(yùn)動試驗(yàn)或藥物注射；不含心電監(jiān)護(hù),,次,增加門控加收50元,240,240,240

2304,4．正電子發(fā)射計(jì)算機(jī)斷層顯象(PET),指使用PET和加速器的斷層顯象；含各種圖象記錄過程,,,1．透射顯象衰減校正酌情加收；2．圖象融合酌情加收,,,

230400001,腦血流斷層顯象,,,次,,待定,,

230400002,腦代謝斷層顯象,,,次,,待定,,

230400003,靜息心肌灌注斷層顯象,,,次,,待定,,

230400004,負(fù)荷心肌灌注斷層顯象,含運(yùn)動試驗(yàn)或藥物注射；不含心電監(jiān)護(hù),,次,,待定,,

230400005,心肌代謝斷層顯象,,,次,,待定,,

230400006,心臟神經(jīng)受體斷層顯象,,,次,,待定,,

230400007,腫瘤全身斷層顯象,,,次,增加局部顯象酌情加收,待定,,

230400008,腫瘤局部斷層顯象,,,次,,待定,,

230400009,神經(jīng)受體顯象,,,次,,待定,,

230400010,正電子發(fā)射計(jì)算機(jī)斷層—X線計(jì)算機(jī)體層綜合顯像（PET/CT）,,核素藥物,每個部位,全身顯像、延遲顯像可酌情加收。未獲得衛(wèi)生部配置規(guī)劃許可的，不得收費(fèi)。,待定,,

2305,5．核素功能檢查,,,每個部位,,,,

230500001,腦血流測定,指腦血流儀法,,次,,待定,,

230500002,甲狀腺攝131碘試驗(yàn),,,二次,增加測定次數(shù)酌情加收,待定,,

230500003,甲狀腺激素抑制試驗(yàn),,,二次,增加測定次數(shù)酌情加收,待定,,

230500004,過氯酸鉀釋放試驗(yàn),,,二次,增加測定次數(shù)酌情加收,待定,,

230500005,心功能測定,指心功能儀法,,次,,待定,,

230500006,血容量測定,指井型伽瑪計(jì)數(shù)器法；含紅細(xì)胞容量及血漿容量測定,,次,,待定,,

230500007,紅細(xì)胞壽命測定,指井型伽瑪計(jì)數(shù)器法,,次,,待定,,

230500008,腎圖,指微機(jī)腎圖,,次,無計(jì)算機(jī)設(shè)備的計(jì)費(fèi)酌減,待定,,

230500009,介入腎圖,指微機(jī)腎圖；含介入操作,,次,無計(jì)算機(jī)設(shè)備的計(jì)費(fèi)酌減,待定,,

230500010,腎圖＋腎小球?yàn)V過率測定,,,次,,待定,,

230500011,腎圖＋腎有效血漿流量測定,,,次,,待定,,

230500012,24小時尿131碘排泄試驗(yàn),,,次,,待定,,

230500013,消化道動力測定,,,次,,待定,,

230500014,14碳呼氣試驗(yàn),包括各類呼氣試驗(yàn),,次,,108,108,108

2306,6．核素內(nèi)照射治療,指開放性核素內(nèi)照射治療；含臨床和介入性操作、放射性核素制備與活度的標(biāo)定、放射性廢物(包括病人排泄物)處理及稀釋儲存、防護(hù)裝置的使用；不含特殊防護(hù)病房住院費(fèi),核素治療藥物,,,,,

230600001,131碘-甲亢治療,,,毫居里,,300,300,300

230600002,131碘-功能自主性甲狀腺瘤治療,,,毫居里,,255,255,255

230600003,131碘-甲狀腺癌轉(zhuǎn)移灶治療,含藥物,,毫居里,,110,110,110

230600004,131碘-腫瘤抗體放免治療,,,毫居里,,300,300,300

230600005,32磷-膠體腔內(nèi)治療,,,次,,270,270,270

230600006,32磷-血液病治療,,,次,,220,220,220

230600007,32磷-微球介入治療,,,次,,400,400,400

230600008,90釔-微球介入治療,,,次,,400,400,400

230600009,89鍶-骨轉(zhuǎn)移瘤治療,,,次,,280,280,280

230600010,153釤-EDTMP骨轉(zhuǎn)移瘤治療,,,次,,240,240,240

230600011,188錸-HEDP骨轉(zhuǎn)移瘤治療,,,次,,240,240,240

230600012,131碘-MIBG惡性腫瘤治療,,,次,,180,180,180

230600013,核素組織間介入治療,,,次,,320,320,320

230600014,核素血管內(nèi)介入治療,,,次,,356,356,356

230600015,99锝(云克)治療,,,次,,20,20,20

230600016,90鍶貼敷治療,,,次,,54,54,54

230600017,組織間粒子植入術(shù),包括放射性粒子植入術(shù)、化療藥物粒子植入術(shù),放射性粒子、藥物粒子,次,,5200,5200,5200

24,(四)放射治療,,,,除特定說明的項(xiàng)目外，均按治療計(jì)劃、模擬定位、治療、模具等項(xiàng)分別計(jì)價,,,

2401,1．放射治療計(jì)劃及劑量計(jì)算,,,,,,,

240100001,人工制定治療計(jì)劃(簡單),含劑量計(jì)算,,療程,修改前一療程收20元,36,36,36

240100002,人工制定治療計(jì)劃(復(fù)雜),含治療計(jì)劃與劑量計(jì)算,,療程,修改前一療程收30元,85,85,85

240100003,計(jì)算機(jī)治療計(jì)劃系統(tǒng)(TPS),指二維TPS,,療程,修改前一療程收50元,235,235,235

240100004,特定計(jì)算機(jī)治療計(jì)劃系統(tǒng),包括加速器適型、伽瑪?shù)丁刀之TPS,,療程,修改前一療程收160元,380,380,380

240100004a,特定計(jì)算機(jī)治療計(jì)劃系統(tǒng),包括逆向調(diào)強(qiáng)TPS及優(yōu)化,,療程,修改前一療程收400元,1200,1200,1200

240100005,放射治療的適時監(jiān)控,,,次,,40,40,40

240100006,二維劑量驗(yàn)證,使用陣列等面測量儀器，或者基于先進(jìn)劑量模型的獨(dú)立核對程序，采用實(shí)驗(yàn)測量或者獨(dú)立計(jì)算的方法，驗(yàn)證一個計(jì)劃中的一個特征面的劑量分布,,次,,1350,1350,1350

240100007,三維劑量驗(yàn)證,使用三維劑量測量儀器，或者基于先進(jìn)劑量模型的獨(dú)立核對程序，采用實(shí)驗(yàn)測量或者獨(dú)立計(jì)算的方法，驗(yàn)證一個計(jì)劃中的一個特征面的劑量分布,,次,,1350,1350,1350

240100008,圖像引導(dǎo)實(shí)時驗(yàn)證,,,次,,660,660,660

2402,2．模擬定位,含拍片,,,,,,

240200001,簡易定位,指使用非專用定位機(jī)之定位；包括X線機(jī)、B超或CT等,,療程,,20,20,20

240200002,專用X線機(jī)模擬定位,,,療程,,99,99,99

240200003,專用X線機(jī)復(fù)雜模擬定位,指非共面4野以上之定位；包括CT機(jī)等模擬定位,,療程,,238,238,238

2403,3．外照射治療,,,,,,,

240300001,深部X線照射,,,每照射野,,待定,,

240300002,60鈷外照射(固定照射),,,每照射野,,30,30,30

240300003,60鈷外照射(特殊照射),包括旋轉(zhuǎn)、弧形、楔形濾板等方法,,每照射野,,40,40,40

240300004,直線加速器放療(固定照射),,,每照射野,,63,63,63

240300005,直線加速器放療(特殊照射),包括旋轉(zhuǎn)、門控、弧形、楔形濾板等方法,,每照射野,,90,90,90

240300006,直線加速器適型治療,指非共面4野以上之放療,,每照射野,,130,130,130

240300007,X刀治療,,,次,,1800,1800,1800

240300008,伽瑪?shù)吨委?指顱內(nèi)良性、惡性腫瘤和血管疾病的治療,,次,未獲得衛(wèi)生部配置規(guī)劃許可的，不得收費(fèi),待定,,

240300009,不規(guī)則野大面積照射,,,每照射野,,150,150,150

240300010,半身照射,,,每照射野,,待定,,

240300011,全身60鈷照射,,,每照射野,,待定,,

240300012,全身X線照射,指用于骨髓移植,,每照射野,,待定,,

240300013,全身電子線照射,指用于皮膚惡性淋巴瘤治療,,每照射野,,待定,,

240300014,術(shù)中放療,,,次,,待定,,

240300015,適型調(diào)強(qiáng)放射治療(IMRT),,,次,,1300,1300,1300

240300016,快中子外照射,,,次,,待定,,

240300017,斷層放射治療,,,次,,待定,,

240300018,容積調(diào)強(qiáng)放射治療,,,次,,2450,2450,2450

2404,4．后裝治療,不含手術(shù)、麻醉,核素治療藥物,,,,,

240400001,淺表部位后裝治療,,,次,,305,305,305

240400002,腔內(nèi)后裝放療,,,次,,335,335,335

240400003,組織間插置放療,,,次,,405,405,405

240400004,手術(shù)置管放療,,,次,,405,405,405

240400005,皮膚貼敷后裝放療,,,次,,69,69,69

240400006,血管內(nèi)后裝放療,,,次,,待定,,

240400007,快中子后裝治療(中子刀),,,次,,待定,,

2405,5．模具設(shè)計(jì)及制作,包括斗篷野、倒Y野,,,,,,

240500001,合金模具設(shè)計(jì)及制作,包括電子束制模、適型制模,,次,,198,198,198

240500002,填充模具設(shè)計(jì)及制作,,,次,,160,160,160

240500003,補(bǔ)償物設(shè)計(jì)及制作,,,次,,128,128,128

240500004,面模設(shè)計(jì)及制作,,,療程,,200,200,200

240500005,體架,包括頭架,,療程,,396,396,396

2406,6．其他輔助操作,,,,,,,

240600001,低氧放療耐力測定,,,次,,待定,,

2407,7．其他,,,,,,,

240700001,深部熱療,包括超聲或電磁波等熱療,,次,,198,198,198

240700002,高強(qiáng)度超聲聚焦刀治療,包括各種實(shí)體性惡性腫瘤治療,,療程（不超過2次）,,8000,8000,8000

240700002a,海扶刀,,,部位/次,,,,

,直徑3CM及以下,,,,,7000,7000,7000

,3-5CM（含5CM）,,,,,8000,8000,8000

,5-8CM（含8CM）,,,,,9000,9000,9000

,8-9CM（含9CM）,,,,,9500,9500,9500

,9CM以上,,,,,10000,10000,10000

240700003,腫瘤全身熱療,,,次,,待定,,

240700004,氬氦刀腫瘤冷凍治療術(shù),,氬氣、氦氣,部位,,待定,,

240700007,冷循環(huán)射頻腫瘤治療,,,次,,待定,,

240700008,電輻射深部熱療（射頻熱療）,包括超聲或電磁波等熱療,,次,,500,500,500

25,(五)檢驗(yàn),,,,,,,

2501,1．臨床檢驗(yàn),,,,,,,

250101,血液一般檢查,,,,,,,

250101001,血紅蛋白測定(Hb),,,項(xiàng),,2,2,2

250101002,紅細(xì)胞計(jì)數(shù)(RBC),,,項(xiàng),,2,2,2

250101003,紅細(xì)胞比積測定(HCT),,,項(xiàng),,2,2,2

250101004,紅細(xì)胞參數(shù)平均值測定,含平均紅細(xì)胞體積(MCV)、平均紅細(xì)胞血紅蛋白量(MCH)、平均紅細(xì)胞血紅蛋白濃度(MCHC),,次,,3,3,3

250101005,網(wǎng)織紅細(xì)胞計(jì)數(shù)(Ret),,,項(xiàng),,,,

250101005a,鏡檢法,,,項(xiàng),,5,5,5

250101005b,流式細(xì)胞儀法,,,項(xiàng),,25,25,25

250101006,嗜堿性點(diǎn)彩紅細(xì)胞計(jì)數(shù),,,項(xiàng),,2,2,2

250101007,異常紅細(xì)胞形態(tài)檢查,,,項(xiàng),,2,2,2

250101008,紅細(xì)胞沉降率測定(ESR),,,項(xiàng),,,,

250101008a,手工法,,,項(xiàng),,4,4,4

250101008b,儀器法,,,項(xiàng),,9,9,9

250101009,白細(xì)胞計(jì)數(shù)(WBC),,,項(xiàng),,3,3,3

250101010,白細(xì)胞分類計(jì)數(shù)(DC),,,項(xiàng),,3,3,3

250101011,嗜酸性粒細(xì)胞直接計(jì)數(shù),包括嗜堿性粒細(xì)胞直接計(jì)數(shù)、淋巴細(xì)胞直接計(jì)數(shù)、單核細(xì)胞直接計(jì)數(shù),,項(xiàng),,2,2,2

250101011c,淋巴細(xì)胞亞群相對計(jì)數(shù),,,項(xiàng),,待定,,

250101012,異常白細(xì)胞形態(tài)檢查,,,項(xiàng),,10,10,10

250101013,濃縮血惡性組織細(xì)胞檢查,,,項(xiàng),,10,10,10

250101014,血小板計(jì)數(shù),,,項(xiàng),,2,2,2

250101015,血細(xì)胞分析,,,項(xiàng),,,,

250101015a,全血細(xì)胞計(jì)數(shù)+二分類,,,項(xiàng),,10,10,10

250101015b,全血細(xì)胞計(jì)數(shù)+三分類,,,項(xiàng),,15,15,15

250101015c,全血細(xì)胞計(jì)數(shù)+五分類,,,項(xiàng),,20,20,20

250101016,出血時間測定(BT),,,項(xiàng),,待定,,

250101017,出血時間測定,指測定器法,,項(xiàng),,20,20,20

,,,,,,,,,

250101018,凝血時間測定(CT),,,項(xiàng),,待定,,

250101019,紅斑狼瘡細(xì)胞檢查(LEC),,,項(xiàng),,10,10,10

250101020,血漿滲量試驗(yàn),,,項(xiàng),,10,10,10

250101021,有核紅細(xì)胞計(jì)數(shù),,,項(xiàng),,27,27,27

250101022,異常血小板形態(tài)檢查,,,項(xiàng),,27,27,27

250102,尿液一般檢查,,,,,,,

250102001,尿常規(guī)檢查,指手工操作；含外觀、酸堿度、蛋白定性、鏡檢,,次,,4,4,4

250102002,尿酸堿度測定,,,項(xiàng),,1,1,1

250102003,尿比重測定,,,項(xiàng),,1,1,1

250102004,滲透壓檢查,包括尿或血清滲透壓檢查,,項(xiàng),,20,20,20

250102005,尿蛋白定性,,,項(xiàng),,2,2,2

250102006,尿蛋白定量,,,項(xiàng),,,,

250102006a,手工比色法,,,項(xiàng),,3,3,3

250102006b,各種化學(xué)方法,,,項(xiàng),,5,5,5

250102006c,免疫比濁法,,,項(xiàng),,7,7,7

250102007,尿本-周氏蛋白定性檢查,,,項(xiàng),,,,

250102007a,熱沉淀法,,,項(xiàng),,4,4,4

250102007b,免疫電泳法,,,項(xiàng),,30,30,30

250102008,尿肌紅蛋白定性檢查,,,項(xiàng),,10,10,10

250102009,尿血紅蛋白定性檢查,,,項(xiàng),,3,3,3

250102010,尿糖定性試驗(yàn),,,項(xiàng),,2,2,2

250102011,尿糖定量測定,,,項(xiàng),,5,5,5

250102012,尿酮體定性試驗(yàn),,,項(xiàng),,2,2,2

250102013,尿三膽檢查,包括尿二膽檢查,,項(xiàng),,2,2,2

250102014,尿含鐵血黃素定性試驗(yàn),,,項(xiàng),,5,5,5

250102015,尿三氯化鐵試驗(yàn),,,項(xiàng),,4,4,4

250102016,尿乳糜定性檢查,,,項(xiàng),,3,3,3

250102017,尿卟啉定性試驗(yàn),,,項(xiàng),,6,6,6

250102018,尿黑色素測定,,,項(xiàng),,4,4,4

250102019,尿濃縮稀釋試驗(yàn),,,項(xiàng),,4,4,4

250102020,尿酚紅排泄試驗(yàn)(PSP),,,項(xiàng),,4,4,4

250102021,尿妊娠試驗(yàn)（酶免法或金標(biāo)法）,,,項(xiàng),,10,10,10

250102022,卵泡刺激素(LH)排卵預(yù)測,,,項(xiàng),,13,13,13

250102023,尿沉渣鏡檢,,,項(xiàng),,4,4,4

250102024,尿沉渣定量,,,項(xiàng),,,,

250102024a,手工法,,,項(xiàng),,10,10,10

250102024b,儀器法,,,項(xiàng),,20,20,20

250102025,尿液愛迪氏計(jì)數(shù)(Addis),,,項(xiàng),,5,5,5

250102026,尿三杯試驗(yàn),,,項(xiàng),,10,10,10

250102027,一小時尿沉渣計(jì)數(shù),,,項(xiàng),,4,4,4

250102028,一小時尿細(xì)胞排泄率,,,項(xiàng),,5,5,5

250102029,尿沉渣白細(xì)胞分類,,,項(xiàng),,5,5,5

250102030,尿十二小時E/C值測定,,,項(xiàng),,15,15,15

250102031,尿中病毒感染細(xì)胞檢查,,,項(xiàng),,10,10,10

250102032,尿中包涵體檢查,,,項(xiàng),,2,2,2

250102033,尿酸化功能測定,,,項(xiàng),,10,10,10

250102034,尿紅細(xì)胞位相,,,項(xiàng),①人工法②圖象分析儀法,待定,,

250102035,尿液分析,指儀器法，8－11項(xiàng),,次,,8,8,8

250102036,24小時尿胱氨酸測定,,,項(xiàng),,待定,,

250102037,尿卟啉定量測定,,,項(xiàng),,待定,,

250102038,尿胰蛋白酶原－2檢測,,,次,,待定,,

250102039,前列腺小體外泄蛋白（PSEP）測定,,,次,,待定,,

250103,糞便檢查,,,,,,,

250103001,糞便常規(guī),指手工操作；含外觀、鏡檢,,次,糞便沉渣分析加收13元,2,2,2

250103002,糞便隱血試驗(yàn)(OB),包括糞便、嘔吐物、痰液、分泌物、腦脊液、胸腹水等體液,,項(xiàng),,,,

250103002a,化學(xué)法,,,項(xiàng),,1,1,1

250103002b,免疫法,,,項(xiàng),,8,8,8

250103003,糞膽素檢查,,,項(xiàng),,3,3,3

250103004,糞便乳糖不耐受測定,,,項(xiàng),,待定,,

250103005,糞蘇丹III染色檢查,,,項(xiàng),,5,5,5

250103006,糞便脂肪定量,,,項(xiàng),,待定,,

250103007,幽門螺旋桿菌糞便抗原多肽檢查,,,項(xiàng),,40,40,40

250103008,糞便隱血定量檢測,,,次,,待定,,

250104,體液與分泌物檢查,,,,,,,

250104001,胸腹水常規(guī)檢查,含外觀、比重、粘蛋白定性、細(xì)胞計(jì)數(shù)、細(xì)胞分類,,次,,10,10,10

250104002,胸腹水特殊檢查,,,次,,,,

250104002a,細(xì)胞學(xué),,,次,,20,20,20

250104002b,染色體,,,次,,250,250,250

250104002c,AgNOR檢查,,,次,,20,20,20

250104003,腦脊液常規(guī)檢查(CSF),含外觀、蛋白定性、細(xì)胞總數(shù)和分類,,次,,10,10,10

250104004,精液常規(guī)檢查,含外觀、量、液化程度、精子存活率、活動力、計(jì)數(shù)和形態(tài),,次,,,,

250104004a,手工法,含外觀、量、液化程度、精子存活率、活動力、計(jì)數(shù)和形態(tài),,次,,8,8,8

250104004b,儀器法,含外觀、量、液化程度、精子存活率、活動力、計(jì)數(shù)和形態(tài),,次,,30,30,30

250104005,精液酸性磷酸酶測定,,,項(xiàng),,8,8,8

250104006,精液果糖測定,,,項(xiàng),定量100元,8,8,8

250104007,精液α－葡萄糖苷酶測定,,,項(xiàng),,10,10,10

250104008,精子運(yùn)動軌跡分析,,,項(xiàng),,64,64,64

250104009,精子頂體完整率檢查,包括精子碎片檢查,,項(xiàng),,70,70,70

250104010,精子受精能力測定,,,項(xiàng),,待定,,

250104011,精子結(jié)合抗體測定,,,項(xiàng),,待定,,

250104012,精子畸形率測定,,,項(xiàng),染色體分析加收50元,10,10,10

250104013,前列腺液常規(guī)檢查,含外觀和鏡檢,,項(xiàng),,9,9,9

250104014,陰道分泌物檢查,含清潔度、滴蟲、霉菌檢查；包括乙酰氨基酶、譜氨酸基肽酶。,,次,加測“陰道分泌物唾液苷酶”“白細(xì)泡酯酶”“過氧化氫濃度”每項(xiàng)加收8元。,6,6,6

250104015,羊水結(jié)晶檢查,,,項(xiàng),,5,5,5

250104016,胃液常規(guī)檢查,含酸堿度、基礎(chǔ)胃酸分泌量、最大胃酸分泌量測定,,次,,10,10,10

250104017,十二指腸引流液及膽汁檢查,含一般性狀和鏡檢,,次,,9,9,9

250104018,痰液常規(guī)檢查,含一般性狀檢查、鏡檢和嗜酸性粒細(xì)胞檢查,,次,,4,4,4

250104019,各種穿刺液常規(guī)檢查,含一般性狀檢查和鏡檢,,次,,10,10,10

250104020,精子低滲腫脹試驗(yàn),,,項(xiàng),,50,50,50

250104021,精子凝集試驗(yàn),,,項(xiàng),,待定,,

250104022,精液卵磷脂測定,,,項(xiàng),,待定,,

250104023,精液滲透壓測定,,,項(xiàng),,待定,,

250104024,精子速度激光測定,,,項(xiàng),,待定,,

250104025,精子爬高試驗(yàn),,,項(xiàng),,待定,,

250104026,精子頂體酶活性定量測定,,,項(xiàng),,200,200,200

250104027,精漿彈性硬蛋白酶定量測定,,,項(xiàng),,80,80,80

250104028,精漿（全精）乳酸脫氫酶X同工酶定量測定,,,項(xiàng),,待定,,

250104029,精漿中性α-葡萄糖苷酶活性測定,,,項(xiàng),,180,180,180

250104030,精液白細(xì)胞過氧化物酶染色檢查,,,項(xiàng),,100,100,100

250104031,精漿鋅測定,,,項(xiàng),,80,80,80

250104032,精漿檸檬酸測定,,,項(xiàng),,160,160,160

250104033,精子膜表面抗體免疫珠試驗(yàn),包括IgG、IgA、IgN,,項(xiàng),,待定,,

250104034,精子膜凝集素受體定量檢測,,,項(xiàng),,待定,,

250104035,抗精子抗體混合凝集試驗(yàn),,,項(xiàng),,150,150,150

250104036,精子DNA完整性檢測,,,項(xiàng),,270,270,270

250104037,精子核蛋白組型轉(zhuǎn)換半定量檢測,,,項(xiàng),,75,75,75

2502,2．臨床血液學(xué)檢查,,,,,,,

250201,骨髓檢查及常用染色技術(shù),,,,,,,

250201001,骨髓涂片細(xì)胞學(xué)檢驗(yàn),含骨髓增生程度判斷、有核細(xì)胞分類計(jì)數(shù)、細(xì)胞形態(tài)學(xué)檢驗(yàn)、特殊細(xì)胞、寄生蟲檢查,,次,,170,170,170

250201002,骨髓有核細(xì)胞計(jì)數(shù),,,項(xiàng),,10,10,10

250201003,骨髓巨核細(xì)胞計(jì)數(shù),,,項(xiàng),,10,10,10

250201004,造血干細(xì)胞計(jì)數(shù),,,項(xiàng),①熒光顯微鏡法②流式細(xì)胞儀法,待定,,

250201005,骨髓造血祖細(xì)胞培養(yǎng),包括粒－單系、紅細(xì)胞系,,項(xiàng),,待定,,

250201006,白血病免疫分型,,,項(xiàng),,,,

250201006a,酶免法,,,項(xiàng),,35,35,35

250201006b,流式細(xì)胞儀法,,,項(xiàng),,80,80,80

250201007,骨髓特殊染色及酶組織化學(xué)染色檢查,,,項(xiàng),每種特殊染色計(jì)為一項(xiàng),26,26,26

250201008,白血病抗原檢測,,,項(xiàng),,80,80,80

250201009,白血病殘留病灶檢測,,,項(xiàng),,待定,,

250201010,粒細(xì)胞集落刺激因子測定,,,項(xiàng),,待定,,

250202,溶血檢查,,,,,,,

250202001,紅細(xì)胞包涵體檢查,,,項(xiàng),,8,8,8

250202002,血漿游離血紅蛋白測定,,,項(xiàng),,待定,,

250202003,血清結(jié)合珠蛋白測定(HP),,,項(xiàng),,,,

250202003a,手工法,,,,,5,5,5

250202003b,光度法或免疫法,,,,,18,18,18

250202004,高鐵血紅素白蛋白過篩試驗(yàn),,,項(xiàng),,6,6,6

250202005,紅細(xì)胞自身溶血過篩試驗(yàn),,,項(xiàng),,20,20,20

250202006,紅細(xì)胞自身溶血及糾正試驗(yàn),,,項(xiàng),,18,18,18

250202007,紅細(xì)胞滲透脆性試驗(yàn),,,項(xiàng),,18,18,18

250202008,紅細(xì)胞孵育滲透脆性試驗(yàn),,,項(xiàng),,20,20,20

250202009,熱溶血試驗(yàn),,,項(xiàng),,10,10,10

250202010,冷溶血試驗(yàn),,,項(xiàng),,10,10,10

250202011,蔗糖溶血試驗(yàn),,,項(xiàng),,10,10,10

250202012,血清酸化溶血試驗(yàn)(Ham),,,項(xiàng),,20,20,20

250202013,酸化甘油溶血試驗(yàn),,,項(xiàng),,8,8,8

250202014,微量補(bǔ)體溶血敏感試驗(yàn),,,項(xiàng),,20,20,20

250202015,蛇毒因子溶血試驗(yàn),,,項(xiàng),,20,20,20

250202016,高鐵血紅蛋白還原試驗(yàn)(MHB—RT),,,項(xiàng),,10,10,10

250202017,葡萄糖6—磷酸脫氫酶熒光斑點(diǎn)試驗(yàn),,,項(xiàng),,15,15,15

250202018,葡萄糖6－磷酸脫氫酶活性檢測,,,項(xiàng),,15,15,15

250202019,變性珠蛋白小體檢測(Heinz小體),,,項(xiàng),,8,8,8

250202020,紅細(xì)胞谷胱甘肽(GSH)含量及其穩(wěn)定性檢測,,,項(xiàng),,20,20,20

250202021,紅細(xì)胞丙酮酸激酶測定(PK),,,項(xiàng),,25,25,25

250202022,還原型血紅蛋白溶解度測定,,,項(xiàng),,15,15,15

250202023,熱鹽水試驗(yàn),,,項(xiàng),,5,5,5

250202024,紅細(xì)胞滾動試驗(yàn),,,項(xiàng),,5,5,5

250202025,紅細(xì)胞鐮變試驗(yàn),,,項(xiàng),,5,5,5

250202026,血紅蛋白電泳,,,項(xiàng),,45,45,45

250202027,血紅蛋白A2測定(HbA2),,,項(xiàng),,8,8,8

250202028,抗堿血紅蛋白測定(HbF),,,項(xiàng),,8,8,8

250202029,胎兒血紅蛋白(HbF)酸洗脫試驗(yàn),,,項(xiàng),,4,4,4

250202030,血紅蛋白H包涵體檢測,,,項(xiàng),,8,8,8

250202031,不穩(wěn)定血紅蛋白測定,包括熱不穩(wěn)定試驗(yàn)、異丙醇試驗(yàn)、變性珠蛋白小體檢測,,項(xiàng),每項(xiàng)檢測計(jì)費(fèi)一次,8,8,8

250202032,血紅蛋白C試驗(yàn),,,項(xiàng),,8,8,8

250202033,血紅蛋白S溶解度試驗(yàn),,,項(xiàng),,8,8,8

250202034,直接抗人球蛋白試驗(yàn)(Coombs'),包括IgG、IgA、IgM、C3等不同球蛋白、補(bǔ)體成分,,項(xiàng),每項(xiàng)檢測計(jì)費(fèi)一次,25,25,25

250202035,間接抗人球蛋白試驗(yàn),,,項(xiàng),,25,25,25

250202036,紅細(xì)胞電泳測定,,,項(xiàng),,36,36,36

250202037,紅細(xì)胞膜蛋白電泳測定,,,項(xiàng),,36,36,36

250202038,肽鏈裂解試驗(yàn),,,項(xiàng),,待定,,

250202039,新生兒溶血癥篩查,,,組,,43,43,43

250202040,紅細(xì)胞九分圖分析,,,項(xiàng),,12,12,12

250202041,紅細(xì)胞游離原卟啉測定,,,項(xiàng),,26,26,26

250202042,磷酸葡萄糖異構(gòu)酶（GPI）測定,,,項(xiàng),,待定,,

250202043,磷酸葡萄糖變位酶（PGM）測定,,,項(xiàng),,待定,,

250203,凝血檢查,,,,,,,

250203001,血小板相關(guān)免疫球蛋白(PAIg)測定,包括PAIgG、IgA、IgM等,,項(xiàng),,,,

250203001a,酶免法,,,項(xiàng),,27,27,27

250203001b,流式細(xì)胞儀法,,,項(xiàng),,80,80,80

250203002,血小板相關(guān)補(bǔ)體C3測定(PAC3),,,項(xiàng),,,,

250203002a,酶免法,,,項(xiàng),,27,27,27

250203002b,流式細(xì)胞儀法,,,項(xiàng),,70,70,70

250203003,抗血小板膜糖蛋白自身抗體測定,包括Ⅱb/Ⅲa、Ⅰb/IX,,項(xiàng),,,,

250203003a,酶免法,,,項(xiàng),,27,27,27

250203003b,流式細(xì)胞儀法,,,項(xiàng),,70,70,70

250203004,血小板纖維蛋白原受體檢測(FIBR),,,項(xiàng),,70,70,70

250203005,血小板膜α顆粒膜蛋白140測定(GMP－140),,,項(xiàng),,,,

250203005a,放免法或酶免法,,,項(xiàng),,27,27,27

250203005b,流式細(xì)胞儀法,,,項(xiàng),,80,80,80

250203006,毛細(xì)血管脆性試驗(yàn),,,項(xiàng),,5,5,5

250203007,阿斯匹林耐量試驗(yàn)(ATT),,,項(xiàng),,2,2,2

250203008,血管性假性血友病因子(VWF)抗原測定,,,項(xiàng),,40,40,40

250203009,血漿內(nèi)皮素測定(ET),,,項(xiàng),,,,

250203009a,酶免法,,,項(xiàng),,25,25,25

250203009b,流式細(xì)胞儀法,,,項(xiàng),,70,70,70

250203010,血小板粘附功能測定(PAdT),,,項(xiàng),,,,

250203010a,酶免法,,,項(xiàng),,10,10,10

250203010b,流式細(xì)胞儀法,,,項(xiàng),,60,60,60

250203011,血小板聚集功能測定(PAgT),,,項(xiàng),,,,

250203011a,酶免法,,,項(xiàng),,20,20,20

250203011b,流式細(xì)胞儀法,,,項(xiàng),,60,60,60

250203012,瑞斯托霉素誘導(dǎo)血小板聚集測定,,,項(xiàng),,待定,,

250203013,血小板第3因子有效性測定(PF3),,,項(xiàng),,,,

250203013a,放免法或酶免法,,,項(xiàng),,27,27,27

250203013b,流式細(xì)胞儀法,,,項(xiàng),,80,80,80

250203014,血小板第4因子測定(PF4),,,項(xiàng),,60,60,60

250203015,血小板壽命測定,,,項(xiàng),,60,60,60

250203016,血小板鈣流測定,,,項(xiàng),,60,60,60

250203017,血漿β—血小板球蛋白測定,,,項(xiàng),,60,60,60

250203018,血塊收縮試驗(yàn),,,項(xiàng),,5,5,5

250203019,血漿血栓烷B2測定(TXB2),,,項(xiàng),,,,

250203019a,放免法或酶免法,,,項(xiàng),,27,27,27

250203019b,流式細(xì)胞儀法,,,項(xiàng),,80,80,80

250203020,血漿凝血酶原時間測定(PT),,,項(xiàng),,,,

250203020a,手工法,,,項(xiàng),,8,8,8

250203020b,儀器法,,,項(xiàng),,15,15,15

250203021,復(fù)鈣時間測定及其糾正試驗(yàn),,,項(xiàng),,,,

250203021a,手工法,,,項(xiàng),,8,8,8

250203021b,儀器法,,,項(xiàng),,10,10,10

250203022,凝血酶原時間糾正試驗(yàn),,,項(xiàng),,,,

250203022a,手工法,,,項(xiàng),,18,18,18

250203022b,儀器法,,,項(xiàng),,25,25,25

250203023,凝血酶原消耗及糾正試驗(yàn),,,項(xiàng),,,,

250203023a,手工法,,,項(xiàng),,15,15,15

250203023b,儀器法,,,項(xiàng),,20,20,20

250203024,白陶土部分凝血活酶時間測定(KPTT),,,項(xiàng),,,,

250203024a,手工法,,,項(xiàng),,5,5,5

250203024b,儀器法,,,項(xiàng),,15,15,15

250203025,活化部分凝血活酶時間測定(APTT),,,項(xiàng),,,,

250203025a,手工法,,,項(xiàng),,10,10,10

250203025b,儀器法,,,項(xiàng),,15,15,15

250203026,活化凝血時間測定(ACT),,,項(xiàng),,15,15,15

250203027,簡易凝血活酶生成試驗(yàn),,,項(xiàng),,,,

250203027a,手工法,,,項(xiàng),,13,13,13

250203027b,儀器法,,,項(xiàng),,20,20,20

250203028,血漿蝰蛇毒時間測定,,,項(xiàng),,10,10,10

250203029,血漿蝰蛇毒磷脂時間測定,,,項(xiàng),,22,22,22

250203030,血漿纖維蛋白原測定,,,項(xiàng),,,,

250203030a,手工法,,,項(xiàng),,10,10,10

250203030b,儀器法,,,項(xiàng),,15,15,15

250203031,血漿凝血因子活性測定,包括因子Ⅱ、Ⅴ、Ⅶ、Ⅷ、Ⅸ、Ⅹ、Ⅺ、Ⅻ、ⅩⅢ,,項(xiàng),每種因子檢測計(jì)費(fèi)一次,,,

250203031a,手工法,,,項(xiàng),,30,30,30

250203031b,儀器法,,,項(xiàng),,120,120,120

250203032,血漿因子Ⅷ抑制物定性測定,,,項(xiàng),,,,

250203032a,手工法,,,項(xiàng),,30,30,30

250203032b,儀器法,,,項(xiàng),,120,120,120

250203033,血漿因子Ⅷ抑制物定量測定,,,項(xiàng),,,,

250203033a,手工法,,,項(xiàng),,30,30,30

250203033b,儀器法,,,項(xiàng),,120,120,120

250203034,血漿因子XIII缺乏篩選試驗(yàn),,,項(xiàng),,,,

250203034a,手工法,,,項(xiàng),,36,36,36

250203034b,儀器法,,,項(xiàng),,120,120,120

250203035,凝血酶時間測定(TT),,,項(xiàng),,,,

250203035a,手工法,,,項(xiàng),,10,10,10

250203035b,儀器法,,,項(xiàng),,15,15,15

250203036,甲苯胺藍(lán)糾正試驗(yàn),,,項(xiàng),,10,10,10

250203037,復(fù)鈣交叉時間測定,,,項(xiàng),,15,15,15

250203038,瑞斯托霉素輔因子測定(VWF：ROOF),,,項(xiàng),,20,20,20

250203039,優(yōu)球蛋白溶解時間測定(ELT),,,項(xiàng),,8,8,8

250203040,血漿魚精蛋白副凝試驗(yàn)(3P),,,項(xiàng),,10,10,10

250203041,連續(xù)血漿魚精蛋白稀釋試驗(yàn),,,項(xiàng),,10,10,10

250203042,乙醇膠試驗(yàn),,,項(xiàng),,10,10,10

250203043,血漿纖溶酶原活性測定(PLGA),,,項(xiàng),,,,

250203043a,手工法,,,項(xiàng),,15,15,15

250203043b,儀器法,,,項(xiàng),,23,23,23

250203044,血漿纖溶酶原抗原測定(PLGAg),,,項(xiàng),,,,

250203044a,手工法,,,項(xiàng),,15,15,15

250203044b,儀器法,,,項(xiàng),,23,23,23

250203045,血漿α2纖溶酶抑制物活性測定(α2—PIA),,,項(xiàng),,,,

250203045a,手工法,,,項(xiàng),,15,15,15

250203045b,儀器法,,,項(xiàng),,23,23,23

250203046,血漿α2纖溶酶抑制物抗原測定(α2—PIAg),,,項(xiàng),,,,

250203046a,手工法,,,項(xiàng),,15,15,15

250203046b,儀器法,,,項(xiàng),,23,23,23

250203047,血漿抗凝血酶Ⅲ活性測定(AT—ⅢA),,,項(xiàng),,,,

250203047a,手工法,,,項(xiàng),,15,15,15

250203047b,儀器法,,,項(xiàng),,23,23,23

250203048,血漿抗凝血酶Ⅲ抗原測定(AT—ⅢAg),,,項(xiàng),,,,

250203048a,手工法,,,項(xiàng),,15,15,15

250203048b,儀器法,,,項(xiàng),,30,30,30

250203049,凝血酶抗凝血酶Ⅲ復(fù)合物測定(TAT),,,項(xiàng),,59,59,59

250203050,血