thong tu 13 2019 tt byt sua doi thong tu 39 2018 tt byt quy dinh thong nhat gia kham chua benh

BO Y TE
S6: 13/2019/TT-BYT

CONG HOA

XA HOI

CHi; NGHiA VI~T NAM

DQc l~p - Tl}'do - H~nh phuc
Ha N(Ji, ngay 05 thang 7 ndm 2019
THONGTU

Sua d8i, b8 sung mQt sa di~u ciia Thong to' sa 39/2018/TT -BYT
ngay 30 thang 11 nam 2018 cua BQ truirng BQ Y t~ quy djnh thang nhfit gia
djch

vl}

kham b~nh, chira b~nh bao hi~m y t~ gifra cac b~nh vi~n cimg hang
tren toan quac va hurrng din ap dung gia, thanh toan chi phi
kham b~nh, chfra b~nh trong mQt sa trufrng hop

Can cu Ludt kham benh, chua benh s6 40120091QH12 ngay 23 thang 11
ndm 2009;
Can cu Ludt gia s6 11120121QH13 ngay 20 thang 6 ndm 2012;
Can ctr Lut{itbao hidm y d s6 25120081QH12 ngay 14 thong 11 ndm 2008
duoc sua a6i, b6 sung theo Ludt s6 46120141QH13 ngay 13 thang 6 ndm 2014;
Can cu Nghi dinh s6 85120121ND-CP ngay 15 thang 10 ndm 2012 cua
Chinh phu v~ co chi hoat dong, co chi tai chinh a6i voi cdc aan vi Sl! nghi¢p y
d cong It{ipva gia dich v~ kham b¢nh, chua b¢nh cua cac co se)'kham b¢nh,

chua b¢nh cong It{ip;
Can CLfNghi ainh s6 16120151ND-CP ngay 14 thang 02 nam 2015 cua
Chinh phu quy ainh co chi tl! chu cua aan vi Sl! nghi¢p cong It{ip;
Can cu' Nghi ainh s6 149120161ND-CP ngay 11 thang 11 nam 2016 cua
Chinh phu sua a6i, b6 sung m(Jts6 ai~u cua Nght atnh s6 17712013IND-CP ngay 14
thang 11 nam 2013 cua Chinh phu quy atnh chi tiit va huang ddn thi hanh m(Jts6
ai~u cua Lut{itgia;
Can CLfNght atnh s6 75120171ND-CP ngay 20 thang 6 nam 2017 cua
Chinh phu quy atnh ChLfCnang, nhi¢m v~, quy~n hqn va co cdu t6 chu'c cua B(JY ti;
Can CLfNght quyit 70120181QH14cua Qu6c h(Ji v~ dl! toan ngan sach nha
nuoc nam 2019;
Can CLfNght atnh s6 38 120191ND-CP ngay 09 thang 5 nam 2019 cua
Chinh phu quy atnh muc luang co sa a6i voi can b(J,cong ChLfC,vien ChLfCva Il!C
lw;mg vii trang;
Can CLfThong bao s6 226ITB-VPCP ngay 04 thang 7 nam 2019 cua Van
phong Chinh phu v~ kit lut{incua PhD Thu tuang Vuang Dinh Hu¢ - Truemg Ban
Chi aqo ai~u hanh gia tqi cu(Jc h9P Ban Chi aqo ai~u hanh gia ngay 03 thang 7
nam 2019;


2

B6 truong B6 y
Thong tu

td

ban hanh Thong tu sua doi, b6 sung mot

s6 39/2018/TT-BYT

s6 didu

cua

ngay 30 thang 11 ndm 2018 cua B6 truong B6 Y ti

quy dinh thong nhdt gid dich v~ kham benh, chiia benh bao hiim y ti giiia cac
benh vien cung hang trong toan quoc va huang ddn ap dung gia, thanh toan chi
phi kham benh, chua benh bao hiem y
titt fa Thong tu s6 39/2018/TT-BYT).

td trong

mot

s6 truong

h9'P (sau day goi

I)i~u 1. Sua dBi, bB sung I)i~u 2 nhu sau:
1. Thay thS cac phu luc ban hanh kern theo Thong tir s6 39/2018/TT-BYT
bang cac phu luc ban hanh kern theo Thong tu nay:
a) Mire gia dich vu kham benh quy dinh tai Phu luc I ban hanh kern theo
Thong tir nay;
b) Mire gia dich vu ngay giuong diSu tri quy dinh tai Phu luc II ban hanh
kern theo Thong tir nay;
c) Mire gia dich V\l Icy thu~t, xet nghi~rn quy dinh t~i Ph\l l\lc III ban hanh
kern theo Thong tu nay;
2. DiSu chinh ghi chu cua cac rn\lc: rn\lc 61 vS ph~u thu~t nQi soi sua van hai

la; rn\lc 62 vS ph~u thu~t nQi soi thay van hai la; rn\lc 63 vS ph~u thu~t nQi soi dong

16 thong lien nhI va b6 sung ghi chu rnQt s6 dich V\l t~i rn\lc 64, 65, 66 cua Ph\ll\lc
IV ban hanh kern theo Thong tu nay.
I)i~u 2. Sua dBi di~m a khmin 4 I)i~u 3 nhU' sau:
"a) TiSn luang ng~ch b~c, chuc V\l, cac khoan ph\l c~p, cac khoan dong
gop theo chS dQ do Nha nuoc quy dinh d6i voi dan vi SlJ nghi~p cong l~p va
rnuc luang ca so quy dinh t~i Nghi dinh s6 38/2019/ND-CP ngay 09 thang 5
narn 2019 cua Chinh phu quy dinh rnuc luang ca so d6i voi can bQ, cong chuc,
vien chuc va l\!,cIU<)11g
vU trang";
I)i~u 3. Sua dBi, bB sung I)i~u 6 nhU' sau:
1. Sua d6i diSrn b khoan 5 nhu sau:
"b) TruOng hQ'Ptrong khoa C~p cUu ho~c khoa Gay me h6i suc co mQt s6
giuOng duQ'c su d\lng dS diSu tri tich c\!'c; giuOng b~nh sau h~u ph~u cua cac
ph~u thu~t lo~i d~c bi~t va cac giuOng b~nh nay dap ung duQ'c yeu c~u cua
giuOng h6i suc tich ClJC quy dinh t~i Quy chS C~p cUu, H6i suc ttch c\!'c va
Ch6ng dQc ban hanh kern theo QuySt dinh s6 0112008/QD-BYT ngay 21 thang
01 nam 2008 cua BQ tru6ng BQ Y tS.".
2. B6 sung khoan 17 nhu sau:


3
,.

"17. Ngay giuong benh ngoai khoa sau thuc hien "Ph~u thuat due thuy
tinh thS bang phuong phap Phaco" ap dung rmrc gia "Ngay giuong benh ngoai
khoa, bong" cua loai 3 tuong ling theo hang benh vien cua Phu luc II ban thanh
kern theo Thong tu nay."
Di~u 4. Di~u khoan thi hanh

Thong tu nay co hieu hrc thi hanh til ngay 20 thang 8 nam 2019.
Di~u 5. Di~u khoan chuyen ti~p
1. TiSp tuc ap dung danh muc cac dich vu ky thuat kham benh, chua benh
diroc xep nrong dirong vS quy trinh ky thuat va chi phi dii quy dinh tai Quyet
dinh s6 7435/QD-BYT

ngay 14 thang 12 nam 2018 cua B9 tnrong B9 Y tS vS

viec ban hanh Danh muc cac dich vu ky thuat kham benh, chua benh duoc xSp
tuong duong vS quy trinh ky thuat va chi phi th\Ic hi~n theo Thong tu s6
39/20 18/TT-BYT.
2. Nguai b~nh dang diSu tri t?i co s6 kham b~nh, chua b~nh truoc thai
diSm th\Ic hi~n muc gia theo quy dinh t?i Thong tu nay va ra vi~n ho~c kSt thuc
dgt diSu tri ngo?i tru sau thai diSm th\Ic hi~n muc gia quy dinh t?i Thong tu nay
tiSp tl,lCap dl,lng muc gia dii dugc c~p co thfim quySn dii phS duy~t truoc thai
diSm th\Ic hi~n muc gia theo quy dinh t?i Thong tu nay cho dSn khi ra vi~n ho~c
kSt thuc dgt diSu tri ngo?i tru.
Di~u 6. Di~u khoan tham chi~u
Trong truemg hgp cac van ban quy 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 dl,lng
theo van ban quy ph?m phap lu~t moi.
Trong qua trinh th\Ic 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.l.
?

Nui nh~n:
- Uy ban vS cac vAn dS xl'ihQi cua Qu6c hQi (d~ giam sat);
- Van phong Chinh phu (Cong bao; C6ng TTDT Chinh phu);
- BQ, cO'quan ngang bQ, cO'quan thuQc Chinh phu;
- BQ Tu phap (Cl,lCKi~m tra VBQPPL);

- BQ truang (d~ b/c);
- Cac Thu truang BQ Y t~ (d~ chi dC;tothvc hi~n);
- UBND t1nh, thilnh ph6 tf\fCthuQc TW;
- Sa Y t~ tinh, thilnh ph6 tf\fc thuQc TW;
- Dan vi trvc thuQc BQ;
- Cac Vl,l, Cl,lC,T6ng Cl,lC,Van phong BQ, Thanh tra BQ;
- C6ng thong tin di~n til BQ Y t~;
- Luu: VT, KHTC(02), PC(02).

KT. BO TRUONG

'RUONG~

~


BOYTE
GIA. DJCH
(Ban hanh kern thea Thong tu

VV KHAM

B~NH

s6 13120191TT-BYT ngay

051 712019 ella B(J Y ti)

an vi: anf.!.

STT

CoosO'y t~

1

2

Ghi bao gAm
chi phi trtrc
ti~p va ti~n
hrong

Ghi chu

3

4

1

Benh vien hang dac biet

38.700

2

Benh vien hang I

38.700

3

B~nh vien hang II

34.500

4

Benh vien hang III

30.500
-

5

B~nh vien hang IV

~

-

27.500
-

6

Tram y tS xa

7

HQi chan dS xac dinh ca benh kho (chuyen
gia/ca; Chi ap dung d6i voi tnrong hop
moi chuyen gia dan vi khac den hQi ch&n
tai co sa kham, chua benh),

27.500

200.000

-----


BOYTE

Ph\l luc II

.

..

GIA DICH VU NGAy GnfONG BENH
(Ban hanh kern thea Thong tu s6 13120191TT-BYT ngay 051712019

cua B9 y d)
d6ng

s6 Tl

Cac loai djch vI}

A

B

B~nh vi~n
hang III
2

B~nh v~n
hang IV

4

1

Ngay di~u tri H6i sire tich e\IC
(ICU)/ghep tang hoac ghep tuy hoac
ghep t~ bao g6c

782.000

705.000

602.000

2

Ngay giuong benh H6i sire dp ciru

458.000

427.000

325.000

282.000

251.500

3

Ngay giuong b~nh N(H khoa:

242.200

226.500

187.100

171.100

152.700

160.000

149.100

132.700

121.100

112.000

Loai 1: Cac khoa: Truyen nhiem, H6
h~p, Huyet hoc, Ung thu, Tim mach,
Him than, Th~n kinh, Lao, Nhi, Tieu
3.1
"
hoa, Than hQC,NQi tiet; Di irng (d6i
voi benh nhan di ling thuoc nang:
Stevens Jonhson hoac Lyell)
Cac khoa tren thuoc Benh vien
chuyen khoa true thuoc BQ Y t~ tai
Ha NQi va Thanh ph6 H6 Chi Minh
Loai 2: Cac Khoa: Co-Xirong-Khop,
Da liSu, Di ling, Tai-Miii-Hong, Mitt,
Rang Ham Mat, Ngoai, Phu -San
3.2 kh6ng mo; YHDT hoac PHCN cho
nh6m nguoi benh t6n thuong tuy
song, tai bien m~ch mau nao, ch~n
thuO'ng SQnao.

242.200

219.700

Cac khoa tren thuQc B~nh vi~n
chuyen khoa tr\Ic thuQc BQ Y t~ t~i
Ha NQi va Thanh ph6 H6 Chi Minh

3.3
4

4.1

Lo~i 3: Cac khoa: YHDT, Ph\lc h6i
h
c trc nang

203.600

219.700
185.100

171.400

130.600

336.700

303.800

256.300

Ngay giU'img b~nh ngo~i khoa,
bong:
Lo~i 1: Sau cac phfiu thu~t lo~i d~c
bi~t; Bong dQ 3-4 tren 70% di~n tich
cO'th~

~-----1r-----

Cac khoa tren thuQc B~nh vi~n
chuyen khoa trvc thuQc BQ Y t~ t~i
Ha NQi va Thanh ph6 H6 Chi Minh
Lo~i 2: Sau cac phfiu thu~t lo~i 1;
4.2 Bong dQ 3-4 tir 25 -70% di~n tich cO'
th~

- -

336.700

300.500

276.500

223.800

198.300

178.300


SAT1

Cac lo~i djch V\l

B~nh vi~n
hgng D~e

bi~t

A

B

1

B~nh vi~n
hang I
2

Cac khoa tren thuoc B~nh vien
chuyen khoa tnrc thuoc BQ Y tS tai
Ha NQi va Thanh ph6 H6 Chi Minh

B~nh vi~n
h~ng II
3

B~nh vi~n
hang III
4

B~nh v~n
hang IV
5

300.500
-

Loai 3: Sau cac ph§:u thuat loai 2;
Bong dQ 2 tren 30% dien tich co th~,
4.3
Bong dQ 3-4 duoi 25% dien tich co
thS

260.900

Cac khoa tren thuoc B~nh vien
chuyen khoa true thuoc BQ Y tS tai
Ha NQi va Thanh ph6 H6 Chi Minh
Loai 4: Sau cac ph§:u thuat loai 3;
4.4 Bong dQ 1, dQ 2 duoi 30% dien tich
co the
5

Ngay giuong tram y t~ X3

6

Ngay ghrong b~nh ban ngay

241.700

199.200

175.600

155.300

170.800

148.600

134.700

260.900

234.800

216.500

56.000
Duoc tinh bang 0,3 l§n gia ngay giuong cua cac khoa va
loai phong nrong irng.

Ghi chu: Gia ngay giuong diSu tri nQi tni chua bao g6m chi phi may tho va khi y teo

2


BQYTE

Ph\l luc III

GIA DICH Vl)

KY THU~T vA

XET NGHI~M

AP Dl)NG

CHO cAc H~NG B~NH VI~N
(Ban hann kern thea Thong tu 13120191TT-BYT ngay 051712019 cua B(J Y ti)
an vi: onf(

STT

STT
Mil djch V\I
TT37

Gia bao g6m
chi phi tr,!c
ti~p va ti~n

Ten djch v\I

Ghi chu

lurrng
I

2

A

A

cHAN DoAN BANG HINH ANH

I

I

Sieu am

1

1

04Cl.1.3

Sieu am

2

2

03C4.1.3

Sieu am

3

4

5

6

43.900
~-

+ do true nhan du

76.200
-

3

3

4

4

03C4.1.1

5

5

03C4.1.6

Sieu am Doppler mau tim

6

6

03C4.1.5

Sieu am tim gang sire

587.000

04C 1.1.4

Sieu am Doppler rnau tim 4 D (3D
REAL TIME)

Chi ap dung trong tnrong hop
chi dinh d6 thuc hien cac
457.000
ph~u thuat hoac can thiep tim
mach,

04Cl.I.5

Sieu am Doppler mau tim hoac mach
mau qua thuc quan

7

7

Sieu am d~u do am dao, true trang

Sieu am Doppler mau tim hoac mach

mau

+ can am

181.000
222.000
257.000

-

8

8

805.000
-

9

9

II

II

10

10

11

11

12
13

04C1.1.6

Sieu am trong long mach hoac Do dtr
trir luu luong dong mach vanh FFR

-

-

Chua bao gorn bO d~u do sieu
am, bo dung CI,I do du tru' luu
1.998.000 IUQ'ngdong mach vanh va cac
dl,lng cv d@ dua vao long
mach.

Chup Xsquang thmrng
ChVP X-quang
tu th~
ChVP X-quang
tu the)
ChVP X-quang
tu the)

Chvp X-quang
tu the)

12
13

14

15

14

03C4.2.2.1

16

15

03C4.2.1.7

phim

:s 24x30

--------

em (1

phim < 24x30 ern (2

50.200 Ap dung cho 01 vi tri
56.200 Ap dl,lng cho 01 vi tri
-

phim > 24x30 cm (1

56.200

Ap dVng cho

01 vi tri
--

phim > 24x30 cm (2

69.200

d\1I1gcho 01 vi tri
-- - _------- -

Chvp X-quang () rang ho(lc c~n ch6p

13.100

Chvp S9 m(lt chinh nha thuo'ng
(Panorama, Cephalometric, dt l6'p
l6idu~

64.200

ChVP Angiography m~t

Ap

-

--

214.000
-

-


STT

STT
TT 37 Mii dich vu
2

Ghi bao gAm
chi phi true
ti~p
ti~n
hrong

Teo djch V\l

4

3

va

Ghi chu

5

6

17

16

04C1.2.5.33

Chup thirc quan co uong thuoc can
quang

101.000

18

17

04Cl.2.5.34

Chup da day-ta trang co uong thuoc
can quang

116.000

19

18

04C1.2.5.35

Chup khung dai trang co thuoc can
quang

156.000

20

19

03C4.2.5.10
~

Chua bao gam thuoc can
240.000
Chup mat qua Kehr
I---------------------------I_----------I~q~ua~n~g~.----------------~

21

20

04C1.2.5.30

Chup h~ ti~t nieu co tiern thuoc can
quang (UIY)

539.000

22

21

04C1.2.5.31

Chup nieu quan - b@ than nguQ'c
dong (UPR) co tiem thuoc can quang

529.000

~

-----~·----I----------I--------------------------~-----------+---------------------I
Chup bang quang co born thuoc can
03C4.2.5.11
206.000
22
23
quang
24

23

04C 1.2.6.36

Chup tu cung-voi tnrng (bao g6m ca
thuoc)

371.000

03C4.2.5.12 Chup X - quang vu dinh vi kim day
24
386.000 Chua bao g6m kim dinh vi.
25
-- ---------II--------~---------------------------l----------_+---------------------I
406.000
25
03C4.2.5.13 L6 do can quang
26
27

26

03C4.2.5.15

Mammography (1 ben)

28

27

04CL2.6.37

Chup tuy song co tiem thuoc

III

III

Chup X-quang

94.200
401.000

s6 hoa

------I------~--------~-------------------------I-----------+---------------------I

29

28

04CI.2.6.51

Ch1,lpX-quang s6 hoa 1 phim

65.400 Ap dung cho 01 vi tri

30

29

04C 1.2.6.52

Chup X-quang s6 hoa 2 phim

97.200 Ap dung cho 01 vi tri

31

30

04C1.2.6.53

Chup X-quang s6 hoa 3 phim

122.000 Ap dung cho 01 vi tri

-------------II----------I-----------.~--~--------r_---------~---------------------I

Chup Xquang s6 hoa
c~n chop

32
33

31

04C1.2.6.54

6

rang hoac

Chup tir cung-voi tnrng bang s6 hoa

18.900
411.000

- -----------!I--------~--------------------------II-----------I-------------------~I

34

32

04C1.2.6.55

Chup h~ ti~t nieu co tiem thu6c can
quang (UIY) s6 hoa

609.000

35

33

04C l.2.6.56

Ch1,lp ni~u quan - b~ th~n nguQ'c
dong (UPR) s6 hoa

564.000

Chvp thl,l'c quan co u6ng thu6c can
34
04C 1.2.6.57
36
224.000
quang s6 hoa
----------~I----------I--------------------------l-----------l----------------------I
Ch\lp dl;lday-ta trang co u6ng thu6c
04Cl.2.6.58
35
37
224.000
can quang s6 hoa
38

36

04Cl.2.6.59

C1wp khung Ol;litrang co thu6c can
quang s6 hoa
2

264.000


Gili bao gBm

STT

STT
Mil djch V\I
TT37

chi phi true
ti~p va ti~n

Ten djch v\I

Ghi chu

hrong
I

2

39

37

3
04C 1.2.6.60

4

5

ChVP tuy song co thuoc can quang
s6 hoa

6

521.000
-

40

38

Chup X-quang s6 hoa c~t I6'p tuyen
vu 1 ben (tomosynthesis)

944.000

41

39

Chup X-quang s6 hoa dtrong do, cac
tuyen co bom thuoc can quang tnrc
tiSo

386.000

IV

IV

Chup dt loopvi tinh, chup mach,
cQng huong tir

42

40

Chua bao g6m 6ng thong,
kim choc chuyen dung,

04C 1.2.6.41

ChVP CT Scanner d@n32 day khong
co thuoc can quang

522.000
Chua bao gam thu6c can
632.000
quang.

--

43

41

04C 1.2.6.42

ChVP CT Scanner dSn 32 day co
thuoc can quang

44

42

04C 1.2.6.63

ChVP CT Scanner 64 day dSn 128
day co thuoc can quang

1.701.000

Chua bao gam thuoc can
quang.
-

Chup CT Scanner 64 day dSn 128
day khong co thuoc can quang

1.446.000

44

Chup CT Scanner toan than 64 day 128 day co thuoc can quang

3.451.000

47

45

Chup CT Scanner toan than 64 day 128 day khong co thuoc can quang

3.128.000

48

46

Chup CT Scanner tir 256 day trey len
co thuoc can quang

2.985.000

49

47

ChVP CT Scanner nr 256 day tro len
khong co thuoc can quang

2.731.000

50

48

51

49

52

50

04C 1.2.6.61

Chup PET/CT

53

51

04C 1.2.6.62

ChVP PET/CT rno phong X1;ltrj

54

52

04C 1.2.6.43

Chup mach mau s6 hoa xoa nen
(DSA)

5.598.000

55

53

04C 1.2.6.44

Chup dOng m1;lch vimh ho~c thang
tim ch\lp bu6ng tim du6'i DSA

5.916.000

45

43

46

04Cl.2.63

04C1.2.6.64

Chup CT Scanner toan than tir 256
day co thuoc can quang
Chup CT Scanner toan than tir 256
day khong thuoc can quang

6.673.000

--

Chua bao gam thuoc can
quang.

Chua bao gam thuoc can

quang.

Chua bao gam thu6c can
quang.

6.637.000
Chua bao gam thu6c can
guang
Chua bao gam thu6c can
20.539.000
quang

19.770.000

3

----


STT

STT
TT 37 Ma djch V\I

Gill bao g&m
chi phi tr,!e
ti~p va ti~o

Ten djch V\I

Ghi chu

hrong
2

56

57

58

54

55

04C 1.2.6.45

04CI.2.6.46

56

5

4

3

6

Chup va can thiep tim mach (van

tim, tim b~m sinh, d9ng mach vanh)
duoi DSA

Chua bao g6m v~t tu chuyen
dung dung d@can thiep: bong
nong, stent, cac v~t lieu nut
ml;lch, cac lo~i 6ng thong
hoac vi 6ng thong, cac loai
6.816.000 day dfrn hoac vi day d§'n, cac
vong xoan kim loai, luoi 19C
tinh mach, dung cu I~y di vat,
b9 dung C\1I~y huyet khci, b9
dung cu bit (b9 tha du, du cac
loai).

Chup va can thiep mach chu bung
hoac nguc va mach chi duoi DSA

Chua bao g6m v~t nr chuyen
dung dung d@can thiep: bong
nong, b9 bam ap hrc, stent,
9.066.000 keo nut mach, cac v~t li~u nut
mach, cac vi 6ng thong, vi
day dfrn, cac vong xoan kim
loai, hroi 19Ctinh mach,

Ch\1p va can thi~p m~ch chu bl}ng
ho~c ng\1'cva m~ch chi du&i C-Arm

Chua bao g6m v~t tu chuyen

d\1ng dung dS can thi~p: bong
nong, b9 bom ap I~rc, stent,
cac v~t li~u nut ml;lch, cac vi
7.816.000 6ng thong, vi day dfin, cac
vong xo~n kim IOl;li,d\1ng C\1
I~y di v~t, b9 d\1ng C\1 I~y
huySt kh6i, bong bam nguqc
dong d9ng ml;lchchu.
Chua bao g6m v~t ttr chuyen
d~lllg dung dS can thi~p: bong
nong, b9 bom ap Ivc, stent,

59

57

04CI.2.6.48

Chvp, nut di d~ng va can thi~p cac
b~nh Iy m~ch thfrn kinh duo-i DSA

9666000
.
.

keo nut ml;lch, ~ac v~t li~u nut
m~ch, cac vi ong thong, vi
day dfrn, cac vong xo~n kim
lo~i, d\1ng C\1I~y di v~t, hut
huySt kh6i.

Chua bao g6m v~t tu chuyen
d\1ng dung d@can thi~p: b6ng

60

58

61

59

62

60

04CI.2.6.47

Can thi~p duang
tl;lngduo-i DSA

m~ch mau cho cac

04C 1.2.6.50

Can thi~p vao long m~ch tr~rc tiSp
qua da (d~t c6ng truySn hoa ch~t, d6t
gian tInh m~ch, sinh thiSt trong long
ml;lch) ho~c rna thong dl;lday qua da,
dfin luu cac 6 ap xe va tl;lng 6 bl,lllg
duo-i DSA.

Chua bao g6m kim chQc,
stent, cac sonde dfrn, cac day
2.103.000 d&n, day d6t, 6ng thong,
bu6ng truySn hoa ch~t, rQ I~y
s6i.

Can thi~p khac du&i huang dfrn cua
CT Scanner

1.183.000 Chua bao g6m 6ng dfrn luu.

4

9.116.000 n~ng,~ b~~ba~ ap 1\1'c,s~ent:
cac vl;lt It(fU nut ml;lch, cac VI
6ng thong, vi day dfrn, cac
vong xo~n kim IOl;li.


STT

STT
Ma djch vu
TT37

Ten djch

Chi bao g6m
chi phi true

ti~p va ti~n

vl}.

Chi chu

hfO'ng
I

2

3

4

5

6

Chua bao gorn kim choc,
bong nong, bQ nong, stent,
3.616.000
cac sonde d&n, cac day d~n,
6ng thong, ro I~y di vat,

63

61

04C l.2.6.50

D~n luu, nong d~t Stent, I~y di v~t
dirong m~t hoac d~t sonde JJ qua da
diroi DSA

64

62

03C2.1.56

D6t song cao tAn hoacvi song diSu
tri u gan duoi hirong d~n cua CT
scanner

1.735.000

Chua bao g6m d6t song cao
tAn va day d&ntin hieu,

65

63

03C2.1.57

D6t song cao tAn hoac vi song diSu
tri u gan duoi huang d~n cua sieu am

1.235.000

Chua bao gom kim d6t song
cao tAn va day d~n tin hieu,

Chua bao gorn v~t tu tieu
3.116.000 hao: kim choc, xi mang, cac
vat lieu born, ch~t gay tic.

~--

66

64

04C1.2.6.49

DiSu tri cac t6n thuong xuong, khop,
cQt song va cac tang duoi DSA (d6
xi mang cQt song, diSu tri cac kh6i u
tang va gia u xirong ...)

67

65

03C4.2.5.2

Chup cong huang tlr (MRI) co thu6c
can quang

2.214.000

68

66

03C4.2.5.1

Chl,lp cQng huong tlr (MRI) khong
co thu6c can quang

l.311.000

69

67

Chl,lp cQng huo'ng tlr gan v6'i ch~t
tUO'llgphan d~c hi~u mo

8.665.000

70

68

Chl,lp cQng huo'ng tlr tu6'i mau - ph6 chuc nang

3.165.000

V

V

MQt

71

69

Do m~t dQ xuong 1 vi tri

82.300 B~ng phu'O'ngpbap DEXA

72

70

Do m~t dQ xuong 2 vi tri

141.000 B~ng phuong phap DEXA

73

s6 ky thu~t

khac

Do m~t dQ xuong

21.400 B~ng phuong pbap sieu am

B

B

cAc THU THU~TvA DlCH VT,J
NOI SOl

74

71

Bom rua khoang mang ph6i

216.000

75

72

Bom rU'a ni~u quan sau tan soi
(ngoai co·thS)

467.000

03C1.51

-

76

73

77

74

BO'ill streptokinase vao khoang mang
ph6i
04C2.108

C~p cuu ngung tuAn hoan

75

04C3.1.142

479.000

Cit chi

-

---

1.016.000
Bao g6m ca bong dung nhiSu
IAn.
----_-

78

-

32.900

_ .. -----

Chi ap dl,lng v6'i nguo'i b~nh
ngo~i tr6.
-_-

79

76

80

77

04C2.69

Cham soc da cho nguo'i b¢nh dj (rng
thu6c n~ng

158.000

ChQc do mang bl,lng ho~c mang ph6i

137.000

Ap dl,lng v6'i nguo'i b~nh hQi
chlrng Lyell, Steven Johnson.

-

5

-


STT
TT 37 Ma djch vu

STT

Ten djch

3

2

81

78

04C2.112

82

79

04C2.71

Ghi bao gAm
chi phi true
ti~p va ti~n
hfO'ng

vl}.

5

4

Choc thao dich mang bung hoac
mang phdi duoi hirong d~n cua sieu
am
Choc hut khi mang ph6i

Ghi chu

6

176.000
143.000

83

80

04C2.70

Choc nra mang phdi

206.000

84

81

03CIA

Choc do mang tim

247.000

Ap dung voi tnrong hQ'Pdung
177.000
bom kim thong thuong d@
85
choc hut.
-----~------~----------~------------------------~----------~~~~-------------I
82

03Cl.74

Choc do sinh thiSt vu duoi sieu am

86

83

03Cl.l

Choc do tuy song

107.000 Chua bao g6m kim choc do.

87

84

Choc hut dich diSu tri u nang giap

166.000

88

85

Choc hut dich diSu trj u nang giap
duoi huong d~n cua sieu am

221.000

89

86

04C2.67

Choc hut hach hoac u

110.000

90

87

04C2.121

Choc hut hach hoac u hoac ap xe
hoac cac ton thuong khac diroi
huang d~n cua sieu am

152.000

Choc hut hach hoac u hoac ap xe
732 000 Chua b~o gorn thuoc can
hoac cac t6n thuong khac diroi
.
quang neu co sir d\lng.
hu6'ng d~n clla c~t 16'pvi t1nh
------------I----------I---~--------~~----------~--------~----------------------I
91

88

04C2.122

92

89

04C2.68

ChQc hut tS bao tuYSn giap

110.000

93

90

04C2.111

ChQc hUt tS bao tuySn giap duo'i
hu6'ng d~n cua sieu am

151.000

94

91

04C2.115

ChQc hut tllY lam tllY d6

530000 Bao g6m, ca ~im chQc hut tuy
.
dung nhieu Ian.

ChQc hut tllY lam tllY d6

Chua bao g6m kim chQc hut
128.000 tlly. Kim chQc hut tuy tinh
thea thvc tS str d\lng.

95

92

96

93

97

94

98

04C2.114

ChQc hut tuy lam tllY d6 (Slr d\lng
may khoan dm tay)
04C2.98

2.360.000

D~n luu mang ph6i t6i thi@u

596.000

95

D~n luu mang ph6i, 6 ap xe ph6i
du6'i hu6'ng d~n cua sieu am

678.000

99

96

D~n luu mang ph6i, 6 ap xe ph6i
du6'i hu6'ng d~n cua ch\lp c~t l6'p vi
tinh

1.199.000

100

97

101
1

98
1

03C1.58

Di;itcatheter dOng m:;tchquay

03C 1.59

Di;it catheter
h!!_yStap lien
Di;it catheter
mot nong
Di;it catheter
nhiSu nong

1

102

99

03C1.57

103

100

04C2.104

dOng m1;lch thea d6i
t\lC
Hnh m1;lch trung tam
Hnh m1;lch trung tam

6

546.000
1.367.000
653.000
1.126.000


Gia bao gAm

STT

STT
Ma djch V\l
TT37

chi phi true
ti~p va ti~n

Ten djch V\l

Ghi chu

hrong

1

2

104

101

105

102

106

101

107

103

108

104

03C1.52

D~t sonde JJ nieu quan

109

105

03Cl.32

D~t stent thirc quan qua noi soi

1.144.000 Chua bao g6m stent.
Chua bao g6m bQ dung cu
diSu tri r6i loan nhjp tim co
3.035.000 Slr dung M thong I~p ban d6
ba chieu giai ph~u - dien hoc
cac buong tim.

3
04C2.103

4

D~t ong thong
catheter 2 nong

5

tinh mach

bing

D~t catheter hai nong co cuff, tao
duong hAm d~ IQcmau
04C2.106

6

1.126.000

Chi ap dung voi truong hQ'P
IQc mall.

6.811.000

D~t noi khi quan

568.000

D~t sonde da day

90.100
917.000 Chua bao gom Sonde JJ.

110

106

DiSu trj rung nhi' bing nang IUQ'ng
song tAn s6 radio str dung h~ thong
l~p ban d6 ba chien giai ph~u - di~n
hoc cac buong tim

11 1

107

DiSu trj suy tinh mach bing Laser
nQi mach

Chua bao g6m bQ dung ql
2.025.000 me mach mau va 6ng thong
diSu trj laser.

112

108

DiSu tri suy t1nh m~ch bing nang
luqng song tAn s6 radio

Chua bao g6m bO dVng C\I
1.925.000 mo' m~ch mau va 6ng thong
diSu tri RF.

113

109

Gay dinh mang ph6i bing thu6c
ho~c hoa chAt qua 6ng d~n luu mang
ph6i

114

110

115

III

Hut d~n luu khoang mang ph6i bing
may hut ap IIfCam lien tvc

185.000

116

112

Hut dich kh6'p

114.000

117

113

118

114

119

115

04C2.119

LAy soi ni~u quan qua noi soi

944.000

120

116

04C2.79

LQc mang bl)ng chu ky (CAPD)

562.000

121

117

04C2.78

LQc mang bvng lien tvc 24 gia bing
may__CthAm
phan phuc mac)

964.000

122

118

03C1.71

LQc mau lien tvc (01 IAn)

123

119

03Cl.72

LQc tach huych tuong (01 IAn)

124

120

04C2.99

M6 khl quan

03C1.56

HAp thv phan tlr lien tvc diSu tri suy
gan cap n~ng

Chua bao g6m thu6c ho~c
hoa chAt gay dinh mang ph6i.

~ ---Chua bao g6m h~ th6ng qua
2.321.000
IQcva dich IQC.
196.000

---

HUt dich kh6p du6i huong d~n clla
sieu am
Hutdom

---

125.000
--

11. 100
Chua bao g6m sonde ni~u
quan va day d~n Guide wire.

Chua bao g6m qua IQc, bo
day d~n va di~hlQC._
Chua bao g6m qua IQCtach
huy~t tuO'ng, bQ day d&n va
1.636.000
huy~t tuO'ng dong I~nh ho~c
dung dich albumin.

2.212.000

719.000
-

125

121

04C2.120

M6 thong bang quang (gay te t~i ch6)

373.000
-

7


STT

STT
TT37

Mii djch VI!

Gili bao gAm
chi phi true

TeD dich vu

ti~p va ti~n

Ghi clni

hrong
3

I

2

126

122

127

123

128

124

129

125

130

126

131

127

132

128

133

129

134

130

04C2.96

N9i soi phe quan 6ng mern gay te

135

131

04C2.116

N9i soi phS quan 6ng m~m gay te c6
sinh thi~t

136

132

04C2.117

137

133

138

134

5

Nghiern phap h6i phuc ph~ quan voi
thu6c gian phe quan
03C1.39

N9i soi long ngirc

03C 1.45

6

94.900
974.000

N9i soi mang ph6i, gay dinh bing
thuoc hoac h6a chfrt

_.

---

4

N9i soi mang phoi, sinh thiet mang
phdi
Nieu dong d6
N9i soi ph~ quan diroi gay me c6
sinh thiet
N9i soi phe quan duoi gay me kh6ng
sinh thi~t
N9i soi phe quan duoi gay me Ifry di
v(it phe quan

5.010.000

Da bao g6m thuoc gay me

5.788.000

D[l bao g6m thuoc gay me

59.800
1.761.000
1.461.000
3.261.000
753.000

--

-

04C2.88

139

N9i soi ph~ quan 6ng mern gay te Ifry
di v(it
N9i soi phe quan 6ng mem: dt d6t
u, SyO n9i ph~ quan bing di~n dong
cao tan

1.133.000
2.584.000

2.844.000

N9i soi thuc quan, da day, tit trang
6ng msm c6 sinh thi~t

433.000 D[l bao g6m chi phi Test HP

N9i soi d~ day lam Clo test

294.000

N9i soi th\l'c quan-d~ day- tit trang

6ng m~m kh6ng sinh thi~t

244.000

140

135

141

136

04C2.90

N9i soi d~i tr\l'c trang 6ng m~m c6
sinh thiSt

408.000

142

137

04C2.89

N9i soi d~i tf\J'C trang 6ng mem
kh6ng sinh thiSt

305.000

143

138

04C2.92

N9i soi tqrc trang c6 sinh thi~t

291.000

144

139

04C2.91

N9i soi tn,rc trang 6ng m~m kh6ng
sinh thi~t

189.000

145

140

03CI.25

N9i soi d~ day can thi~p

Chua bao g6m thu6c dm mau,

728.000 d\mg C\l dm mau (clip, bi;\th~t
tfuh m\lch thlJc quan...)

----

--

Chua bao g6m dt,mg Cl,l can
thi~p: stent, b9 titn s6i cO'
2.678.000
h9C, r9 Ifry di v(it, dao c~t,
bong keo, b6ng nong.

146

141

03C4.2.4.2

N9i soi m(it tuy' ngu9'C dong (ERCP)

147

142

04C2.85

N9i soi 6 bVng

825.000

148

143

04C2.86

N9i soi 6 bvng co sinh thi~t

982.000

149

144

03C1.36

N9i soi 6ng m(it chu

167.000
8


Ghi bao g6m

STT

STT
Mil djch vl}
TT37

chi phi tr,!c
ti~p va ti~n
hrong

Ten djch vl}

Ghi chu

I

2

150

145

NQi soi sieu am chan doan

l.164.000

151

146

NQi soi sieu am can thiep - choc hut
t~ bao kh6i u gan, tuy, u 6 bung bang
kim nho

2.897.000

152

147

03Cl.40

NQi soi ti~t nieu co gay me

849.000

153

148

04C2.101

NQi soi bang quang - NQi soi nieu
quan

925.000 Chua bao g6m sonde II.

154

149

04C2.94

NQi soi bang quang co sinh thiet

649.000

155

150

04C2.93

NQi soi bang quang khong sinh thiet

525.000

156

151

04C2.118

NQi SOl bang quang diSu tri dai
duong ch~p

694.000

157

152

04C2.95

NQi soi bang quang va g~p di v~t

hoac l~y mau CI,lC

893.000

158

153

N6i thong dong - tinh mach co dich
chuyen mach

l.351.000

159

154

N6i thong dong - tinh mach su dung
mach nhan tao

160

155

N6i thong dQng- tinh mach

161

156

04C2.74

Nong nieu dao va d~t thong dai

] 62

157

03C1.31

Nong thirc quan qua nQi soi

163

158

04C2.73

Rua bang quang

198.000 Chua bao g6m hoa chit.

164

159

03C1.5

Rira da day

119.000

165

160

03C1.54

Rira da day loai bo ch~t dQc qua h~
th6ng kin

589.000

166

161

167

162

3

4

5

6

-

l.151.000
24l.000
2.277.000

Rira phdi to an bQ
03C1.55

l.371.000 Chua bao g6m mach nhan tao.
~

8.181.000

Rira ruot non toan bQ 10:;tib6 ch~t
dQc qua ducmg tieu hoa

831.000

Da bao g6m thuoc gay me

~

168

163

Rut mau d€ diSu tfi

236.000

169

164

Rut 6ng d~n luu mang ph6i, 6ng d~n
luu 6 ap xe

178.000

170

165

Sieu am can thi~p - D~t 6ng thong
d~n hru 6 ap xe

597.000 Chua bao g6m 6ng thong.

166

Sieu am can thi~p diSu tfi ap xe ho~c
u ho~c nang trong 6 b1}ng

--

171

558.000
-~

Chua bao g6m bQ dl,lng ql
1.765.000 thong tim va chl,lp bu6ng tim,
kim sinh thiSt CO'tim.

172

167

03C1.21

Sinh thiSt co tim

173

168

04C2.80

Sinh thi~t da ho~c niem m:;tc

174

169

Sinh thi~t gan ho~c th~n du6'i hu6'ng
d~n cua sieu am
--

9

126.000
1.002.000


Gili bao gAm

STT

STT
Ma dich V\l
TT37

chi phi true
ti~p va ti~n
hfO'ng

Tell djch v\l

3

4

5

Ghi chu

6

I

2

175

170

Sinh thiet vu hoac t6n thuong khac
duoi huong dan cua sieu am

828.000

176

171

Sinh thiet phoi hoac gan duoi hirong
dan cua cit lop vi tinh

1.900.000

177

172

Sinh thi~t than hoac vu hoac vi tri
khac duoi huong dan cua cit 16-pvi
tinh

1.700.000

178

173

04C2.81

Sinh thi~t hach hoac u

179

174

04C2.110

Sinh thi~t mang h01;1.tdjch duoi
huonz dan cua sieu am

180

175

04C2.83

Sinh thiet mang phdi

431.000

181

176

Sinh thiet mong

311.000

182

177

04C2.84

Sinh thiet ti€n liet tuyen qua sieu am
dironz tnrc tranz

609.000

183

178

04C2.82

Sinh thi~t tuy xuong

242.000 Chua bao g6m kim sinh thi~t.

184

179

04C2.113

Sinh thi~t tuy xuong co kim sinh thiet

1.372.000

185

180

Sinh thi~t tuy xuong (str dung may
khoan dm tay).

2.677.000

186

181

187

182

_ ..

------

262.000

----

-

-~--

03Cl.20

1.104.000

Bao g6m kim sinh thiet dung
nhiSu IAn.

157.000

Sinh thi~t vu

-----

-

-

Sinh thi~t tuyen vu duoi hirong dan
cua Xquang co M thong dinh v!
stereostatic

1.560.000

188

183

03C1.30

Soi bang quang, chup than ngiroc
dong

645.000

Chua bao gam thuoc can
quang.

189

184

03C1.28

Soi d1;1.i
trang, tiem ho~c k~p dm mau

576.000

Chua bao g6m dung C\l k~p
va clip dm mall.

190

185

03C1.22

Soi kho-p co sinh thi~t

498.000

191

186

03C 1.23

Soi mang ph6i

440.000

192

187

03C1.67

Soi ph~ qwin di€u tri s~c ph6i
nhan ngQ dQc dp

193

188

03C1.27

Soi ruQt non, tiem (ho~c k~p dm
mall) ho~c c~t polyp

748.000

194

189

03Cl.26

Soi ruQt non

639.000

195

190

03Cl.24

Soi thl,fc quan ho~c d1;1.
day g~p giun

427.000

196

191

03C1.29

Soi tn,rc trang, tiem ho~c th~t trI

243.000

197

192

03Cl.62

T1;1.o
nhip Clip cu·u ngoai 16ng ngllc

989.000

198

193

03C 1.61

T1;1.o
nhip Clipcu·u trong bu6ng tim

500.000

04C2.107

Th~m
tach
sieu
IQc mau
(Hemodiafiltration offline: HDF ON
- LINE)

o· b~nh

885.000

--

-

199

194

10

Chua bao g6m dl..Il1g C\l g~p
gmn.

1.504.000 Chua bao g6m catheter.


STT

1

STT
Mi djch v\I
TT 37
2

Ghi bao gAm
chi phi true
ti~p va ti~n
IU'O'ng

TeD djch v\I

3

4

5

Ghi chu

6

Qua loc day mau dung 1 I~n;
dil bao gorn catheter 2 nong
1.541.000
duoc tinh binh quan la 0,25
I~n eho 1 l~n chay than,

200

195

04C2.123

TMn nhan tao e~p ciru

201

196

04C2.76

Than nhan tao ehu ky

202

197

04C3.1.149

Thao bot: eQt song hoac lung hoac
khop hang hoac xuong dui hoac

556.000 Qua loc day mau dung 6 I~n.
63.600

xironz chau

Ky thuat

phoi h9P than nhan t1;1O
va
h~p phu mau bing qua h~p phu mau

203

204

198

04C3.1.150

Thao bot khac

Dil bao g6m qua loc h~p phu
3.430.000 va qua loc day mau dung 6
I~n.
52.900

Ap dl,lng d6i voi benh
Pemphigus hoac Pemphigoid
hoac Iy thuong bi bong nuoc
bam sinh hoac v~t loet ban
246.000
chan do dai thao duo'ng ho?e
v~t loet, h01;1itll" 0- b~nh nhan
phong ho?e vSt loet, h01;1itlr
do 15' de.

199

Thay bang dt
tinh

206

200

04C3.1.143

Thay bang v~t thuong ho?e m6 ehiSu
dai ::::15em

Chi ap dVllg v6i llguo'i b~nh
Ilgo1;1itru. D6i v6i llguo-i b~nh
57.600
llQi tru thea quy dillh eua BQ
y t~.

207

201

04C3.1.144

Thay bang vSt thuang ehiSu dili tren
15em d~n 30 em

82.400
Chi ap d~1I1gv6i nguo'i b~nh
Ilgo1;1itru. D6i v6i nguo'i b~nh
82.400
nQi tru thea quy dinh eua BQ
Yt~.

205

loc vSt thuong man

Chi ap dung voi nguoi benh
ngoai tru,

208

201

04C3.1.145

Thay bang v~t m6 ehiSu dai tren
15em dSn 30 em

209

202

04C3.1.145

Thay bang vSt thuong hoi;ie m6 ehiSu

dai tt'r tren 30 em aSn 50 em

112.000

210

203

04C3.1.146

Thay bang v~t thuong ho?e m6 ehiSu
dili tll" tren 15 em dSn 30 em nhi6m
trung

134.000
~-

211

204

04C3.1.147

Thay bang v~t thuang ho?e m6 ehiSu
dili tu 30 em dSn 50 em nhi€m trung

179.000

212

205

04C3.1.148

Thay bang v~t thuong ho?e m6 ehiSu
dili> 50em nhi€m trung

240.000

213

206

Thay eanuyn mo-khf qUilll

247.000
-

214

207

04C2.72

Thay rua h~ th611gd&n 1uu milng ph6i
II

92.900

-

Ghi bao gAm
STT

STT

TT37

chi phi true
ti~p va ti~n

TeD djch vl.l

Ma djch vu

Ghi chu

hrong
I

2

215

208

216

209

217
218

3

4

5

6

Thay transfer set 0 benh nhan IQc
rnang bung lien tuc ngoai tru

502.000

04C2.105

Tho may (01 ngay diSu tri)

559.000

210

04C2.65

Thong dai

90.100

211

04C2.66

Thut thao phan hoac D~t sonde h~u
man

82.100

-

219

212

Tiem (blip hoac duoi da ho~ctInh
mach)

Chi ap dung voi nguoi benh
11.400 ngoai tru; chua bao gam
thuoc tiem.

220

213

Tiem khop

9l.500 Chua bao g6m thuoc tiern.

221

214

Tiem khop duo'i huong d~n cua sieu
am

222

215

Truyen tinh mach

-

132.000 Chua bao g6m thuoc tiem,
Chi ap dung voi nguoi benh
2l.400 ngoai tru; chua bao gam
thu6c va dich truyen.

--

223

216

04C3.1.151

Khau vSt thuong phan mSm ton

thuong nang chieu dai < 10 cm

178.000

224

217

04C3.1.152

Khau vSt thuong phdn mSm ton
thuong nang chieu dai ~ 10 cm

237.000

225

218

04C3.1.153

Khau vSt thuong phfin mem t6n
thuong sau chieu dai < 10 cm

257.000

226

219

04C3.1.154

Khiiu vSt thuong phfin mSm t6n
thuo'ng sau chiSu dai ~ 10 cm

305.000

C

C

227

220

03CIDY.2

228

221

04C2.DY139 B6 Farafin

-

Y HQC DAN TQC - PHVC HOI
CmJCNANG
Ban keo

45.800

42.400

-

229
--

222

B6 thu6c

50.500

B6n xoay

16.200

-

230

223

03CIDY.3

231

224

04C2.DY125 Cham (c6 kim dai)

232
233
---

234
----

225

Cham (kim nglin)

65.300

03ClDY.8

ChAn doan di~n

36.200

03CIDY.29

ChAn doan di~n thfin kinh cO'

58.500

-

~

226

72.300

-

235

227

04C2.DY124

Chon chi (dy chi)

236

228

04C2.DY140

Clru (Ngili Clru, tui chuam)

35.500

237

229

D~t thu6c y hQc c6 truySn

45.400

238

230

04C2.DY126 Di~n cham (c6 kim dai)

239
240
241

143.000

74.300

Di~n cham (kim nglin)
231
232

-~

67.300

04C2.DY130 Di~n phan

45.400

04C2.DY138 Di~n tll' tnrang

38.400
12


STT

STT
TT 37 Ma djch v\I

Gili bao gam
chi phi true
ti~p va ti~n

Ten djch V\I

Ghi chu

hrong
2

3

4

5

6

242

233

03ClDY.20

243

234

04C2.DY134 Di~n xung

41.400

244

235

03ClDY.25

Giac hoi

33.200

245

236

03ClDY.l

Giao thoa

28.800

246

237

04C2.DY129

H6ng ngoai

35.200

247

238

04C2.DY141

Keo n~n, keo dan cot s6ng, cac khop

45.300

248

239

Ky thuat can thiep r6i loan dai tien
bing
phan
h6i

sinh
hoc
(Biofeedback)

335.000

249

240

Ky thuat t~p duong ruot cho nguoi
benh t6n thuong tuy song

203.000

250

241

251

242

Dien vi dong giam dau

28.800

Ky thuat t~p luyen voi dung C\J chinh

hinh

Ky thuat thong ti~u ng~t quang trong
phuc h6i chirc nang tuy song

48.600
146.000

243
253
244 03CIDY.32
Laser chieu ngoai
34.000
~------+------~---------~----------~--------------~-----------I-------------254
245 03CIDY.33
Laser noi mach
53.600
255

246

N~n, b6 g~y xuong cang chan bing
phirong phap y hoc c6 truyen

105.000

256

247

N~n, b6 g~y xirong cang tay bing
phuong phap y hoc c6 truyen

105.000

257

248

N~n, b6 g~y xirong canh tay bing
phirong phap y hoc c6 truyen

105.000

258

249

Ngam thuoc y hoc c6 truyen

259

250

Phong b~ th&n kinh bing Phenol d~
di~u tr! co c(rng CO'

260

251

261

252

262

253

263

49.400
1.050.000 Chua bao g6m thu6c

Phl:lc h6i chuc nling xuong ch~u cua
san phl:l sau sinh de

33.300

S~c thu6c thang (1 thang)

Da bao g6m chi phi d6ng g6i
12.500 thu6c, chua bao g6tn ti~n
thu6c.

04C2.DY137

Sieu am di~u tr!

45.600

254

04C2.DY131

S6ng ng~n

34.900

264

255

03CIDY.35

S6ng xung kfch di~u tr!

61.700

265

256

03ClDY.5

T~p do c(rng khap

45.700

03CIDY.17

266

257 03ClDY.6
T~p do li~t ngo~i bien
28.500
I------I-------I----------~------~-----------------I-----------~-----------------267
258 03CIDY.4
T~p do 1i~tth&o kinh trung lwng
41.800
13


Ghi bao gam

STT

STT
Mil djch vu
TT 37

chi phi true
ti~p va ti~n

TeD djch v\l

Ghi chu

hrong
3

I

2

268

259

269

260

270

261

271

262

272
273
274
~ 275
276

263
264
265
266
267

277

268

278
279
----

269
270

Tap manh co day chau (co san chau,
Pelvis floor)
T~p nu6t (c6 sir dung may)
Tap nuot (khong su dung may)
Tap sua 16i phat am
04C2.DY136 Tap v~n dong doan chi
04C2.DY135 T~p van dQng toan than
Tap v~n dong voi cac dung cu tro
giup
03ClDY.13
Tap voi h~ thong rang roc
03ClDY.12
Tap voi xe dap t~p

280

271

04C2.DY127 Thuy cham

281

272

03ClDY.14

03ClDY.19

4

5

6

Tap duong sinh

23.800

T~p giao tiep (ngon ngfr, ky hieu,
hinh anh ... }

59.500

Tap luyen voi ghS t~p

11.200

--

~-

03ClDY.11

CO"

b6n dAu dui

302.000
158.000
128.000
106.000
42.300
46.900
29.000
11.200
11.200
66.100 Chua bao g6m thu6c.

--

Thuy tri lieu

61.400

282

273

Tiern Botulinum toxine vao CO" thanh

bang quang dS di~u tri bang quang
tang hoat dong

283

274

Tiem Botulinum toxine vao diSm
v~n dong d~ di~u tri co cirng co

2.769.000

Chua bao g6m thuoc

1.157.000

Chua bao g6m thuoc

--

284
285
----286

275
276
277

04C2.DY133 Tir ngoai
03ClDY.16

V~t Iy trj li~u chinh hlnh
03ClDY.15
V~t Iy trj li~u ho hfrp

287

278

03ClDY.18

288
289
290
291
292

279
280
281
282
283

03CI DY.30 Xoa b6p ap h,rc hoi
04C2.DY128 Xoa b6p bfrm huy~t
03ClDY.21
Xoa b6p b~ng may
03ClDY.22
Xoa b6p CI,lC bQ b~ng tay
03ClDY.23
Xoa b6p toan than

293

284

Xong hoi thu6c

42.900

294

285

Xong kh6i thu6c

37.900

295

286

Xong thu6c b~ng may

42.900

---

..~---

----

--

_.

34.200
30.100
30.100

V~t Iy trj li~u phOng ngira cac biSn
chung do bfrt dQng

30.100
30.100
65.500
28.500
41.800
50.700

--

Cac thii thu~t Y hQc c6 truy~n
ho~c Phyc hai chrrc nang con I~i
khac
296

287

Thu thu~t lo~i I

132.000

297

288

Thu thu~t lo~i II

69.900

298

289

Thu thu~t lo~i III

40.600

D

D

I

I

----

PHAU THU~T, THiJ THU~T
THEO CHUYEN KHOA

HOI suc cAp CUu vA CHONG
DOC
14


STT

STT
Mil djch vu
TT37

Gia bao gAm
chi phi true
ti~p va ti~n

TeD djch vy.

Ghi chu

lurrng
1

2

4

3

5

6

Chua bao g6m bQ tim ph6i,
5.202.000 day d§.n va canuyn ch<;ty
ECMO.

299

290

Ph§.u thuat d~t h~ thong tim phoi
nhan tao (ECMO)

300

291

Thay day, thay tim phdi (ECMO)

Chua bao g6m bQ tim phoi,
1.496.000 day d§.n va canuyn chay
ECMO.

301

292

Theo doi, chay tim phoi nhan tao
(ECMO) m6i 8 gic

1.293.000

302

293

KSt thuc va rut h~ thong ECMO

2.444.000

303
304
305
306
307
308
309

294
295
296
297
298
299
300

Cac ph~u thuat, thii thu~t con lai
khac
Ph§.u thuat loai d~c biet
Ph§.u thuat loai I

Ph§.u thuat loai II
Thu thuat loai d~c biet
Thu thuat loai I
Thu thuat loai II
Thu thuat loai III

3.204.000
2.167.000
1.290.000
1.233.000
762.000
459.000
317.000

II

II

310

301

DU-MDLS

Giam m§.n cam nhanh voi thuoc 72
igic)'

1.392.000

311

302

DU'-MDLS

Giam man cam voi thuoc hoacstra
hoac tlnrc an

885.000

2.372.000

5.103.000

N<)IKHOA

312

303

DU'-MDLS

Lieu phap mi~n dich d~c hieu duong
diroi luo'i voi di nguyen (Giai doan
ban d~u - li~u phap trung binh 15
ngay)

313

304

DU'-MDLS

Li~u phap mi~n dich d~c hi~u duo'ng
du6'i luo'i v6"i di nguyen (Giai do<;tn
duy tri - li~u pilap trung binh 3 thang)

314

305

DU'-MDLS

Phan ung phan huy Mastocyte (D6i
v6"i6 lo<;tidi nguyen)

290.000

315

306

DV-MDLS

Phan ung tieu b<;tchdu d~c hi~u.

160.000

316

307

DU'-MDLS

Test ap bi (Patch test) d~c hi~u v6"i
thu6c (D6i vO'i6 lo<;tithu6c) ho~c my
phim

521.000

317

308

DU-MDLS

Test h6i ph\lc phS quan

172.000

318

309

DU-MDLS

Test huySt thanh tt,r than

668.000

319

310

DU'-MDLS

Test kich thich phS quim khong d~c
hi~u v6"iMethacholine

878.000

320

311

DU'-MDLS

Test kfch thich v6"i thu6c ho~c sua
ho~c thuc an

838.000

15

Ap dung thanh to an cho m6i
8 gio thuc hien.

----

- --

~

---

---


STT

STT
Mil djch
TT37

VI}

Ghi bao gAm
chi phi true
.J..
....
l.
tiep va tien

Ten djch vu

Ghi chu

luong
I

2

321

312

DV-MDLS

Test lfiy da (Prick test) di;ic hieu voi
cac di nguyen h6 h&p hoac thirc an
hoac sua

334.000

322

313

DU'-MDLS

Test lfiy da (Prick test) di;ic hieu voi
cac 101;1i
thu6c (D6i voi 6 101;1i
thuoc
hoac vacxin hoac huvet thanh)

377.000

323

314

DU"-MDLS

Test nQi bi cham di;ichieu voi thuoc
hoac vacxin hoac huyet thanh

475.000

315

DU'-MDLS

Test nQi bi nhanh di;ichieu voi thuoc
hoac vacxin hoac huyet thanh

389.000

3

4

5

-~

--

324

325
326
327
328
329
330
III
331
332

316
317
318
319
320
~ 321
III
322
323
324

333
---

~

-

---

Cac ph~u thu~t, thii thu~t con l~i
khae
Phftu thuat loai I
Phftu thuat 101;1i
II
Thu thuat 101;1i
di;icbiet
Thu thuat 101;1i
I
Thu thuat 101;1i
II
Thu thuat 101;1i
III
DALIEU
Chup va phan tich da b~ng may
D~p mat n1;1diSu trj mot s6 benh da
DiSu tri mot s6 benh da bang Ni to"
long, n1;1O
thuonz t6n
DiSu trj cac benh Iy cua da bang
PUV A hoac UBV to an than

1.569.000
1.091.000
823.000
580.000
319.000
162.000
205.000
195.000

332.000

334

325

335

326

DiSu tri h1;1tcom b~ng Plasma

336

327

DiSu tri mQt s6 b~nh da b~ng
Fractional, Intracell

337

328

DiSu tri mQt s6 b~nh da b~ng IPL

453.000

338

329

DiSu tri mQt s6 b~nh da b~ng Laser
C02, Plasma, d6t di~n, ni to"long

333.000

339

330

DiSu tri mQt s6 b~nh da b~ng Laser
mau

1.049.000

340

331

DiSu tri m9t s6 b~nh da b~ng Laser
YAG, Laser Ruby

1.230.000

341

332

DiSu tri m9t s6 b~nh da b~ng Laser,
Anh sang chi~u ngoai

213.000

342

333

DiSu tri m9t s6 b~nh da b~ng tiem t1;1i
ch6, ch&m thu6c

285.000

343

334

DiSu tri sui mao ga b~ng Laser CO2,
dt bo thlrong t6n

682.000

344

335

345

336

--

---

240.000
358.000
1.268.000

--

DiSu tri u m1;1ch mau b~ng lPL

(Intense Pulsed Light)
--

.

346

337

744.000

DiSu tri viem da co·dia b~ng may

1.108.000

Phftu thu~t chuySn gao diSu tri ho·mi

2.192.000

16

6


STT

STT
Mil djch vl}
TT37

Gi:i bao gam
chi phi trl!C
ti~p
ti~n
IU'O'ng

TeD djch vl}

va

Ghi chu

5

6

I

2

347

338

Ph~u thuat diSu tri hep h6 khau cai

348

339

Ph~u thuat diSu tri 16 dao c6 viem
xuong

349

340

350

341

Ph~u thuat diSu trj sa tr~ mi duoi

1.912.000

351

342

Ph~u thuat diSu tri s~p cAu miii

1.552.000

352

343

Ph~u thuat diSu tri u duoi m6ng

752.000

353

344

Ph~u thuat giai ap thAn kinh

2.318.000

354

345

Ph~u thuat Mohs diSu trj ung thu da

3.337.000

355
356

357
358
35360
361
362

346
347
348
349
350
351
352
353

Cac ph~u thu~t, tho thu~t con lai
kh3c
Ph~u thuat loai d~c biet
Ph~u thuat loai I
Ph~u thuat loai II
Ph~u thuat loai III
Thu thuat loai d~c biet
Thu thuat loai I
Thu thuat loai II
ThU thuat loai III

3.256.000
1.826.000
1.056.000

795.000
760.000
385.000
250.000
148.000

IV

IV

NOI TIET

363

354

364

3

4

2.468.000
-

-

628.000
-

Ph~u thuat diSu trj 16 dao khong

viem xuonz

546.000

--

03C2.1.5

-

D~n hru ap xe tuyen giap

231.000

355

GQt chai chan (got n6t chai) tren
nguai benh dai thao ducmg

258.000

365

356

Ph~u thu~t lo~i 1 m6 ma tuy~n nQi
ti~t c6 dung dao sieu am

6.560.000

366

357

Ph~u thu~t lo~i 1 m6 me)"tuy~n nQi
ti~t khong dung dao sieu am

4.166.000

367

358

Ph~u thu~t lo~i 1 m6 nQi soi tuy~n
nQi ti~t c6 dung dao sieu am

5.772.000

368

359

Ph~u thu~t lo~i 2 m6 ma tuy~n nQi
ti~t c6 dung dao sieu am

4.468.000

369

360

Ph~u thu~t lo~i 2 m6 mo' tuy~n nQi
ti~t khong dung dao sieu am

3.345.000

370

361

Ph~u thu~t lo~i 3 m6 ma tuy~n nQi
ti~t c6 dung dao sieu am

4.281.000

371

362

Ph~u thu~t lo~i 3 m6 mo' tuy~n nQi
ti~t khOng dung dao sieu am

2.772.000

363

Ph~u thu~t lo~i d~c bi~t m6 rna
tuy~n nQi ti~t khong dung dao sieu

am

5.485.000

364

Ph~u thu~t lo~i d~c bi~t tuy~n llQi
ti~t m6 ma c6 dung dao sieu am

7.761.000

~--.

~-

--

372

373

17

-

--


Ghi bao gAm

STT

STT
Mil djch vu
TT37

chi phi true
ti~p va ti~n

Ten djch vl}

Ghi chu

hrong
I

2

374

365

Ph~u thuat loai d~c biet tuyen nQi
ti~t mb nQi soi dung dao sieu am

375
376
377

366

367
368

Thu thuat loai I
ThU thuat loai II
Thu thuat loai III

V

V

378

369

4

3

5

6

7.652.000

Cac tho thu~t con lai khac
616.000
392.000
212.000

NGO~IKHOA
Ngo~i Th~n kinh
Ph~u thuat giai ep th:1n kinh hoac
khoan tharn do SQ

-~----

4.498.000

379

370

Ph~u thuat l~y mau tu trong SQhoac
ngoai mang cirng hoac diroi mang
cirng hoac trong nao

5.081.000

Chua bao g6m nep, ghim, vit,
bc, mieng va khuyet SQ.

380

371

Ph~u thuat u hb mat

5.529.000

Chua bao g6m nep, ghim,
vit, mieng va khuyet SQ

381

372

Ph~u thuat ap xe nao

6.843.000

Chua bao g6m bQ d~n Itru
kin, mieng va khuyet SQ.

382

373

03C2.1.39

Ph~u thuat d~n luu nao th~t - mang
bvng

4.122.000

383

374

03C2.IA5

Ph~u thu~t nQi soi nao ho~c tuy sbng

_.

-

Chua bao g6m van d~n luu

nhan tao,

Chua bao gam mieng va
4.948.000 khuy~t SQ,dao sieu am (trong
ph~u thu~t u nao)

_.

384
----~---

375

03C2.1.38

Chua bao g6m mi~ng va
khuy~t SQ,dao sieu am.

Ph~u thu~t nQi soi u tuy~n yen

5.455.000

Ph~u thu~t t~o hlnh mang nao

5.713.000 nhan t~o, mi~ng va khuy~t SQ,

_.

Chua

385

bc,

376

bao g6m mang nao

bQ van d~n luu.
Chua

386

Ph~u thu~t tho at vi nao, mang nao

377

bao g6m mang nao

5.414.000 nMn t~o, miSng va khuyst SQ,
bQ van d~n luu.

Chua bao g6m m~ch nMn

387
-

-

378

Ph~u thu~t vi ph~u l~y u tuy

7.245.000 t~o, k(fp m~ch mau, ghim,
vit, kinh vi ph~u.

_

388

389

390

bc,

379

380

381

03C2.IA3

03C2.1AI

03C2.IA2

Chua bao g6m miSng va nhan
t~o, ghim, bc, vit.

Ph~u thu~t vi ph~u u nao duong gifra

7.447.000

Ph~u thu~t vi ph~u u nao n~n SQ

Chua bao g6m dinh, n(fp, vit,
v~t li~lI dm mau sinh hQc,
6.653.000
mang nao nMn t~o, dao sieu
am.

Ph~u thu~t vi ph~u u nao th~t

Chua bao g6m dVng Cl,l d~n
ducmg, ghim, bc, vit, dao sieu
6.653.000
am, bQ d~n lUll nao th~t,
miSng va khuy~t SQ.

.-

18


STT

I

STT
M§ djch v\l
TT37
2

3

Chi bao gAm
chi phi trl}'c
ti~p va ti~n
IU'O'ng

Ten djch v\l

4

Chi chu

5

391

382

Phfru thuat vi phfru u nao tuyen yen

392

383

Phfru thuat di~u tri viern xuong
hoac ham mat

6

Chua bao gam mach nhan
tao, mieng va khuyet SQ, kep
7.145.000
mach rnau, ghim, 6c, vit, dao
sieu am.
SQ

5.389.000

Chua bao g6m nep, ghim, 6c,
vit.
-~---

393

384

Phfru thuat ghep khuyet SQ

Chua bao g6m xirong nhan
t(,10,v~t lieu t(,10hinh hop SQ,
4.557.000 dinh, nep, vit, IU'6i tital,
ghim, 6c, mang nao nhan t(,10,
vat li~u earn mau sinh hoc.

394

385

Ph~u thuat u xuong SQ

5.019.000 nep, vit, 6c, v~t li~u tao hinh

Chua

bao g6m dinh, ghim,

hQP SQ, mang nao nhan tao .
.

Chua

395

386

Phfru thuat v~t thuong SQnao ho

-

bao gem dinh, ghim,

5.383.000 nep, vit, 6c, mang nao nhan
t(,10,v~t li~u tao hinh hQP SQ.

396

387

03C2.1A4

Ph~u thu~t vi phfru di d(,1ngm(,1ch nao

Chua bao gam kep mach
6.741.000 mau, mieng va khuy~t SQ, van
d~n Iuu, ghim, bc, vit.

Ph~u thu~t vi ph~u n6i m(,1ch mau
trong va ngoai hQP SQ

Chua bao gam m(,1ch nhan
7.121.000 t(,10,k~p m?ch mau, ghim, bc,
vit.

--

397

388

398

389

03C2.1AO

Ph~u thu~t thAn kinh c6 dfrn ducmg

6.447.000

399

390

03C2.1A6

Quang dQng hQc (PTD) trong di~u tri
u nao ac tinh

6.849.000

-

Chu'a bao g6m dl,mg Cl) d~n
dm'mg
__
_ ~~_

Ngol.li LAng ngl}'c - ml.lch mau
-~-

-

400

401

391

392

03C2.1.31

03C2.1.24

C~y ho~c d~t may t?O nhip ho~c dy
may t?O nhip pha rung

Phfru thu~t b~c du m(,1chvanh

1.625.000

Chua bao g6m may t(,10nhip,
may pha rung.

Chu'a bao g6m bQ tim ph6i
nhan t?O va day ch?y may,

vang van, van tim nhan t?O,
mieng va sieu mong, m?ch
mau nhan t?O, dQng m?ch chu
nhan t?O, keo sinh hQc dung
18.144.000 trong phfru thu~t phinh tach
dQng m?ch, qua IQC tach
huy~t tuO'ng va bQ day d~n,
dung dich bao v~ t?ng, day
truySn dung dich bao v~ t?ng,
d~lI1g ql cb dinh m?ch vanh.
-

19

-

-

~-

- -~-

-