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["附件"]
["调整部分医疗服务价格项目表1"]
["序号","编码","项目名称","计价单位","指导价格(省)","指导价格(市)","项目内涵","说明"]
[1,"250203011 (CAGT1000)","血小板聚集(PAgT)试验","项",35,32,"样本类型：血液。样本采集，分离血小板，加诱导剂，测定，审核结果，录入实验室信息系统或人工登记，发送报告；按规定处理废弃物；接受临床相关咨询。","每种诱导剂为一个计价单位"]
[2,250302002,"血清果糖胺测定","次",10,9,"指糖化血清蛋白测定"]
[3,250303006,"血清脂蛋白电泳分析","项",25,23,"包括酯质、胆固醇染色"]
[4,250305029,"甘胆酸(CG)检测","项",15,14,"样本类型：血液。样本采集、签收、处理，定标和质控，检测样本，审核结果，录入实验室信息系统或人工登记，发送报告；按规定处理废弃物；接受临床相关咨询。"]
[5,250307027,"超氧化物歧化酶(SOD)测定","项",20,18]
[6,250307028,"血清胱抑素(Cystatin C)测定","项",42,38]
[7,250307031,"中性粒细胞明胶酶相关脂质运载蛋白测定","项",125,113]
[8,250309010,"中枢神经特异蛋白(S100β)测定","项",130,117,"样本类型：血液。样本采集、签收、处理，定标和质控，检测样本，审核结果，录入实验室信息系统或人工登记，发送报告；按规定处理废弃物；接受临床相关咨询。"]
[9,250309013,"红细胞叶酸定量检测","项",150,135]
[10,250401025,"C-反应蛋白测定(CRP)","项"]
[null,"250401025③","免疫比浊法","项",6,5,null,"全血快速定量加收30元（反应时间1分钟）"]
[null,"250401025④","速率散射法","项",35,32]
[11,"250403059\n(CGPX1000)","曲霉菌免疫学试验","次",150,135,"样本类型：血液。样本采集、签收、处理，加免疫试剂，温育，检测，质控，审核结果，录入实验室信息系统或人工登记，发送报告；按规定处理废弃物；接受临床相关咨询。"]
[12,250403071,"丙型肝炎病毒(HCV)基因分型","项",130,117]
[13,250404020,"细菌抗原分析","项",60,54]
[14,250404025,"尿核基质蛋白(NMP22)测定","次",133,120,"样本类型：包括血液或尿液。样本采集、签收、处理，加免疫试剂，温育，检测，质控，审核结果，录入实验室信息系统或人工登记，发送报告；按规定处理废弃物；接受临床相关咨询。"]
[15,250404030,"血管内皮生长因子检测","次",200,180]
[16,250404036,"高尔基体蛋白73(GP73)测定","次",130,117,"样本类型：血液。样本采集、签收、处理，加免疫试剂，温育，检测，质控，审核结果，录入实验室信息系统或人工登记，发送报告；按规定处理废弃物；接受临床相关咨询。"]
[17,250501008,"耐甲氧西林葡萄球菌检测(MRSA、MRS)","项",20,18]
[18,250501034,"支原体培养及药敏","项",80,72]
[19,250503008,"β-内酰胺酶试验","项",20,18]
[20,250503009,"超广谱β-内酰胺酶试验","项",20,18]
[21,250503013,"A族链球菌检测","次",90,81]
[22,250503014,"B族链球菌检测","次",110,99]
[23,310100016,"腰椎穿刺术","次",100,90,"含测压、注药","脑脊液动力学检查加20元；6周岁及以下儿童加收30%"]
[24,310604005,"胸腔穿刺术","次",100,90,"含抽气、抽液、注药","#放胸水治疗加收30元／次；6周岁及以下儿童加收30%"]
[25,310604006,"经皮穿刺肺活检术","每处",117,105,"包括胸膜活检；不含CT、X线、B超引导","#"]
[26,310800001,"骨髓穿刺术","次",60,54,null,"6周岁及以下儿童加收30%"]

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["附件"]
["调整部分医疗服务价格项目表2"]
["序号","项目编码","项目名称","服务产出","价格构成","计价单位","指导价格（省）","指导价格（市）","计价说明"]
[1,"011301000030000","Ⅱ级护理","指病情趋于稳定或未明确诊断前，仍需观察，且自理能力轻度依赖的患者；病情稳定，仍需卧床，且自理能力轻度依赖的患者；病情稳定或处于康复期，且自理能力中度依赖的患者提供的相关护理。","所定价格涵盖观察病情及生命体征、根据医嘱正确实施治疗用药、评估、评定、辅助实施生活护理、书写护理记录，皮肤清洁、心理护理、健康指导等所需的人力资源和基本物质资源消耗。不含专项护理。","日",20,20]
[2,"011303000110000","免陪照护服务","指公立医疗机构提供的服务事项，指在没有家属和护工参与的情况下，完全由护士、护理员承担患者全部生活护理。","所定价格涵盖生活照顾等所需的人力资源和基本物质资源消耗。","日",100,100,"1.指在特级护理、I级护理服务的基础上同时开展免陪照护服务的，可在特级护理、I级护理收费的同时，加收该项目收费；\n2.免陪照护患者家庭根据自身需要自行雇佣护理员，通过市场化解决，不属于医疗服务价格项目管理范畴。\n3.本项目价格为一对三服务每人每日价格；一对二服务每人每日加收40元，一对一服务每人每日加收100元。"]
[null,null,"免陪照护服务-一对二服务（加收）",null,null,"日","40","40"]
[null,null,"免陪照护服务-一对一服务（加收）",null,null,"日","100","100"]
[3,"014100000010000","中药贴敷","由医务人员使用贴敷制品敷贴于体表特定部位或穴位，通过药物或物理作用，以发挥促进气血调和、阴阳平衡等各类作用。","所定价格涵盖确定穴位，局部清洁，贴敷材料准备(含掺药、封包、冷热处理等)，应用药物贴敷，处理用物所需的人力资源和基本物质资源消耗，含设备投入及维护成本。","次",28,25]
[null,"014100000010001","中药贴敷-中药硬膏贴敷（加收）",null,null,"次",3,3]
[null,"014100000010002","中药贴敷-中药贴敷（大）(加收）",null,null,"次",8,7]
[null,"014100000010003","中药贴敷-中药贴敷（特大）（加收）",null,null,"次",14,13]
[null,"014100000010004","中药贴敷-儿童（加收）",null,null,"次",8,7]
[null,"014100000010100","中药贴敷-中药热奄包（扩展）",null,null,"次",28,25]
[null,"014100000010200","中药贴敷-特殊材料贴敷（扩展）",null,null,"次",28,25]
[4,"014100000020000","中药吹粉","由医务人员将中药研粉吹至病变部位，以发挥促进消肿止痛等各类作用。","所定价格涵盖局部清洁，调配药粉，吹粉，处理用物所需的人力资源和基本物质资源消耗，含设备投入及维护成本。","次",15,14]
[null,"014100000020001","中药吹粉-儿童（加收）",null,null,"次",5,5]
[5,"014100000030000","中药烫熨","由医务人员将调配药物加热后置于患者体表特定部位或穴位，进行移动敷熨，以发挥促进散寒止痛、消肿祛瘀等各类作用。","所定价格涵盖局部清洁，药物调配，移动敷熨，处理用物所需的人力资源和基本物质资源消耗，含设备投入及维护成本。","次",20,18]
[null,"014100000030001","中药烫熨-中药烫熨（特大）（加收）",null,null,"次",10,9]
[null,"014100000030002","中药烫熨-儿童（加收）",null,null,"次",6,5]
[6,"014100000070000","中药涂擦","由医务人员将调配药物，制成水剂或膏剂或油剂等剂型的外用药物，直接涂擦于患者体表特定部位或穴位，以发挥促进活血化瘀、消炎止痛等各类作用。","所定价格涵盖局部清洁，药物调配，各类手法涂擦，处理用物所需的人力资源和基本物质资源消耗，含设备投入及维护成本。","次",20,18]
[null,"014100000070001","中药涂擦-中药涂擦（特大）（加收）",null,null,"次",10,9]
[null,"014100000070002","中药涂擦-儿童（加收）",null,null,"次",6,5]
[7,"014100000080000","中医熏洗","由医务人员选用制备好的药卷、药香或其他材料，点燃后直接用烟熏烤或蒸汽的形式，作用在患者身体某特定部位，以发挥疏通经络、促进药物吸收等各类作用。","所定价格涵盖局部清洁，药物调配，熏(蒸)药，处理用物所需的人力资源和基本物质资源消耗，含设备投入及维护成本。","次",26,23,"每日限收费2次"]
[null,"014100000080001","中医熏洗-儿童（加收）",null,null,"次",8,7,"每日限收费2次"]
[8,"014100000100000","中药化腐清疮","由医务人员将化腐药物敷施于疮面，达到去腐生肌，促进疮面愈合的作用。","所定价格涵盖药物调配，局部消毒，皮肤表层创面清理、敷药、包扎，处理用物所需的人力资源和基本物质资源消耗，含设备投入及维护成本。","疮面/次",30,27]
[null,"014100000100001","中药化腐清疮-深层化腐清疮（加收）",null,null,"疮面/次",3,3]
[null,"014100000100002","中药化腐清疮-儿童\n（加收）",null,null,"疮面/次",9,8]
[9,"014100000110000","中医锐性清疮","由医务人员使用包括但不限于刀、剪、刮勺、钳等器械清除创面，发挥去腐生肌、促进疮面愈合的作用。","所定价格涵盖药物调配，局部消毒，皮肤表层创面清理、使用器械清疮、敷药、包扎，处理用物所需的人力资源和基本物质资源消耗，含设备投入及维护成本。","疮面/次",50,45]
[null,"014100000110001","中医锐性清疮-儿童\n（加收）",null,null,"疮面/次",15,14]
[10,"014100000170000","中医刮痧","由医务人员通过刮痧器具和相应的手法，在体表进行反复刮动、摩擦，从发挥促进活血透痧等各类作用。","所定价格涵盖局部消毒，确定部位、刮拭、清洁，处理用物所需的人力资源和基本物质资源消耗，含设备投入及维护成本。","次",40,36]
[null,"014100000170001","中医刮痧-儿童\n（加收）",null,null,"次",12,11]
[11,"014200000020000","特殊针具针法","由主治及以下医师根据病情选穴，通过基本手法和辅助手法，以特殊针具治疗疾病，促进疏通经络，调理脏腑，扶正祛邪。","所定价格涵盖穴位确定、消毒、选针、进针、行针、留针、出针、必要时行仪器辅助操作等过程中所需的人力资源和基本物质资源消耗，含设备投入及维护成本。","次•日",45,41,"同时采用了常规针法、特殊针具针法、特殊手法针法中的两项或者三项，按收费标准最高的服务项目计费，不叠加计费。"]
[null,"014200000020001","特殊针具针法-儿童\n（加收）",null,null,"次•日",14,13]
[null,"014200000020011","特殊针具针法-主任医师（加收）",null,null,"次•日",23,21]
[null,"014200000020012","特殊针具针法-副主任医师（加收）",null,null,"次•日",9,8]
[12,"014200000050000","仪器针法","由医师根据病情，选择适宜的仪器，通过各类仪器产生电、热、冷、磁、振动、光等各类效应替代针具治疗疾病，促进疏通经络，调理脏腑，扶正祛邪。","所定价格涵盖部位确定、消毒、选针、进针、行针、留针、出针等过程中所需的人力资源和基本物质资源消耗，含设备投入及维护成本。","次•日",22,20]
[null,"014200000050001","仪器针法-儿童（加收）",null,null,"次•日",7,6]
[13,"014200000060000","体表针法","由主治及以下医师根据病情选穴，通过非锐性针具施于体表，配合手法治疗各系统疾病，促进疏通经络，调理脏腑，扶正祛邪。","所定价格涵盖部位确定、选针、体表施治等过程中所需的人力资源和基本物质资源消耗，含设备投入及维护成本。","次•日",24,22]
[null,"014200000060001","体表针法-儿童（加收）",null,null,"次•日",7,6]
[null,"014200000060011","体表针法-主任医师\n（加收）",null,null,"次•日",12,11]
[null,"014200000060012","体表针法-副主任医师（加收）",null,null,"次•日",5,5]
[14,"014200000080000","穴位埋入","由医师根据病情选穴，将相关医用耗材埋入体内，促进疏通经络，气血调和，补虚泻实。","所定价格涵盖穴位确定、消毒、埋入，处理创口用物所需的人力资源和基本物质资源消耗。","穴位",20,18]
[null,"014200000080001","穴位埋入-儿童(加收)",null,null,"穴位",6,5]
[15,"014200000090000","穴位注射","由医师根据病情选穴，配合手法，进行穴位注射，促进疏通经络，调理脏腑，扶正祛邪。","所定价格涵盖穴位确定、消毒、注射、取针、局部处理等过程中所需的人力资源和基本物质资源消耗。","穴位",10,9]
[null,"014200000090001","穴位注射-儿童(加收)",null,null,"穴位",3,3]
[null,"014200000090100","穴位注射-中医自血疗法(扩展)",null,null,"穴位",10,9]
[16,"014300000030000","手法整复术（骨伤）","通过正骨手法（或辅助器械）使骨折或韧带损伤复位。","所定价格涵盖摆位、整复、包扎、必要时固定等步骤，以及必要时使用辅助器械所需的人力资源和基本物质资源消耗。","每处骨折",242,218]
[null,"014300000030001","手法整复术（骨伤）-儿童（加收）",null,null,"每处骨折",73,66]
[17,"014300000040000","手法整复术\n（复杂骨伤）","通过正骨手法（或辅助器械）使复杂骨折或韧带损伤复位。","所定价格涵盖摆位、整复、包扎、必要时固定等步骤，以及必要时使用辅助器械所需的人力资源和基本物质资源消耗。","每处骨折",363,327,"“复杂骨伤”指脊柱、骨盆、关节内等骨折以及陈旧性、粉碎性骨折。"]
[null,"014300000040001","手法整复术（复杂骨伤）-儿童（加收）",null,null,"每处骨折",109,98,"“复杂骨伤”指脊柱、骨盆、关节内等骨折以及陈旧性、粉碎性骨折。"]
[18,"014300000060000","小夹板调整术","根据患者复诊情况对小夹板等外固定装置进行调整。","所定价格涵盖观察、调整等步骤所需的人力资源和基本物质资源消耗。","部位",50,45]
[null,"014300000060001","小夹板调整术-儿童\n（加收）",null,null,"部位",15,14]
[19,"014300000070000","中医复位内固定术","使用各种针具、钉具，以内固定方式复位固定骨折部位。","所定价格涵盖摆位、消毒、进针、牵拉复位、撬拨、包扎固定等步骤所需的人力资源和基本物质资源消耗。","每处骨折",492,443]
[null,"014300000070001","中医复位内固定术-儿童（加收）",null,null,"每处骨折",148,133]
[20,"014400000010000","悬空灸","由医务人员将施灸制品与皮肤保持一定距离，通过温和的药力和热力进行治疗，促进疏通经络，调和阴阳，扶正祛邪，达到治疗疾病的目的。","所定价格涵盖施灸制品制备，点燃，穴位确定，固定或调节距离，熏烤，控制温度，处理用物等所需的人力资源和基本物质资源消耗。","次",30,27]
[null,"014400000010001","悬空灸-儿童(加收)",null,null,"次",9,8]
[null,"014400000010100","悬空灸-雷火灸(太乙神针)(扩展)",null,null,"次",30,27]
[21,"014400000020000","直接灸","由医务人员将施灸制品直接作用于皮肤，通过温和的药力和热力进行治疗，促进疏通经络，调和阴阳，扶正祛邪，达到治疗疾病的目的。","所定价格涵盖施灸制品制备，点燃，穴位确定，皮肤消毒，点触、拍打、熨法等方式所需的人力资源和基本物质资源消耗。","次",26,23]
[null,"014400000020001","直接灸-儿童(加收)",null,null,"次",8,7]
[22,"014400000030000","隔物灸","由医务人员将施灸制品通过间隔各类物品实施灸法，通过温和的药力和热力进行治疗，促进疏通经络，调和阴阳，扶正祛 邪，达到治疗疾病的目的。","所定价格涵盖间隔物和施灸制品的制备，摆放，点燃，施灸等所需的人力资源和基本物质资源消耗。","次",27,24]
[null,"014400000030001","隔物灸-儿童(加收)",null,null,"次",8,7]
[23,"014400000040000","铺灸","由医务人员将施灸制品对胸腹部、腰背部等平铺灸饼实施灸法，通过温和的药力和热力进行治疗，促进疏通经络，调和阴 阳，扶正祛邪，达到治疗疾病的目的。","所定价格涵盖灸饼和施灸制品制备，撒药粉，平铺，放置，点燃，施灸等所需的人力资源和基本物质资源消耗时间成本。","次",100,90]
[null,"014400000040001","铺灸-儿童(加收)",null,null,"次",30,27]
[null,"014400000040002","铺灸-督灸（火龙灸）(加收)",null,null,"次",30,27]
[24,"014400000060000","中医走罐","由医务人员以罐为工具，利用各类方式方法使之吸附于体表的固定部位游走滑动进行治疗，促进通经活络。","所定价格可以涵盖清洁，涂抹润滑剂，罐具吸附并反复滑动，处理用物所需的人力资源和基本物质资源消耗。","次",25,23]
[null,"014400000060100","中医走罐-平衡罐(扩展)",null,null,"次",25,23]
[25,"014400000070000","中医闪罐","由医务人员以罐为工具，利用各类方式方法使之吸附于体表的固定部位，通过反复拔、起，使皮肤反复的紧、松进行治疗，促进通经活络。","所定价格可以涵盖清洁，罐具吸附并反复拔、起，处理用物所需的人力资源和基本物质资源消耗。","次",30,27]
[26,"014500000110000","中枢神经系统疾病推拿","由医务人员遵循经络、穴位，通过各类手法和力道治疗中枢神经系统疾病，以起到疏通经络、理筋整复的作用。","所定价格涵盖应用各类推拿手法或辅助器械，完成操作所需的人力资源和基本物质资源消耗。","次",70,63]
[null,"014500000110001","中枢神经系统疾病推拿-儿童(加收)",null,null,"次",21,19]
[27,"014600000030000","中医烙法","通过烙具烙烫病变部位，起到缓解症状或治疗疾病的作用。","所定价格涵盖定位、消毒、烙烫等人力资源和基本物质资源消耗。","次",100,90]
[null,"014600000030001","中医烙法-儿童（加收）",{"$nulls":3},30,27]
[28,"014600000040000","白内障针拨术","通过拨障针摘除晶状体混浊部分。","所定价格涵盖散瞳、消毒、开睑、切口、拨障针拨断晶状体悬韧带、晶体压入玻璃体腔、出针、闭合切口、包扎等人力资源和基本物质资源消耗。","单眼",300,270]