普通外科收费标准.doc

普通外科收费标准:项目收费单位收费标准(元)卫生材料(元)收费单位收费标准(元)卫生材料(元)一级医院收费标准(元)二级医院收费标准(元)三级医院收费标准(元)说明头皮裂伤清创缝合术例6.00 例6.007.009.009.00头皮锯子材料费另收。基本手术费及一、二、三级医院收费标准范围分别为6-40、7-48、9-58、9-62元。皮肤裂伤清创缝合术例6.00 例6.007.009.009.00手部浅表单纯裂伤、口腔外伤缝合术按此收费。基本手术费及一、二、三级医院收费标准范围分别为6-40、7-48、9-58、9-62元。开放损伤清创术（小）例76.00 例76.0091.00109.00119.00有肌腱缝合和血管探查的手外皮肤损伤清创缝合术按此收费.开放损伤清创术（中）例150.00 例150.00180.00216.00234.00有肌腱缝合和血管探查的手外皮肤损伤清创缝合术按此收费。开放损伤清创术（大）例230.00 例230.00276.00331.00359.00有肌腱缝合和血管探查的手外皮肤损伤清创缝合术按此收费。开放损伤清创术（特大）例290.00 例290.00348.00418.00452.00套状撕脱鸡眼切除术例35.00 例35.0042.0050.0055.00 拔甲术例24.00 例24.0029.0035.0038.00 切开引流术（浅表）例24.00 例24.0029.0035.0038.00基本手术费及一、二、三级医院收费标准范围分别为24-50、29-60、35-72、38-78元。静脉切开插管术例47.00 例47.0056.0068.0073.00 各种活检术（浅表）例35.00 例35.0042.0050.0055.00基本手术费及一、二、三级医院收费标准范围分别为35-50、42-60、50-72、55-78元。纤维瘤切除术（体表）例35.00 例35.0042.0050.0055.00基本手术费及一、二、三级医院收费标准范围分别为35-50、42-60、50-72、55-78元。皮脂腺囊肿切除术（体表）例35.00 例35.0042.0050.0055.00基本手术费及一、二、三级医院收费标准范围分别为35-50、42-60、50-72、55-78元。浅表肿物切除术例35.00 例35.0042.0050.0055.00基本手术费及一、二、三级医院收费标准范围分别为35-50、42-60、50-72、55-78元。腹膜后肿瘤切除术（小）例350.00 例350.00420.00504.00546.00 取异物（浅表）例35.00 例35.0042.0050.0055.00基本手术费及一、二、三级医院收费标准范围分别为35-50、42-60、50-72、55-78元。脂肪瘤切除术（皮下）例35.00 例35.0042.0050.0055.00基本手术费及一、二、三级医院收费标准范围分别为35-50、42-60、50-72、55-78元。单纯切口疝修补术例280.00 例280.00336.00403.00437.00 痔瘘挂线术例35.00 例35.0042.0050.0055.00基本手术费及一、二、三级医院收费标准范围分别为35-50、42-60、50-72、55-78元。腋臭切除术（双侧）例120.00 例120.00144.00173.00187.00 乳腺脓肿切开引流例120.00 例120.00144.00173.00187.00 痈切开引流术例140.00 例140.00168.00202.00218.00 环痔切除术例180.00 例180.00216.00259.00281.00 腹壁结核搔爬术例180.00 例180.00216.00259.00281.00 阑尾切除术例150.00 例150.00180.00216.00234.00 疝修补术例180.00 例180.00216.00259.00281.00 直肠息肉经肛门切除术例180.00 例180.00216.00259.00281.00 甲状腺瘤摘除术例180.00 例180.00216.00259.00281.00 甲状舌骨囊肿切除术例180.00 例180.00216.00259.00281.00 单纯乳腺切除术例180.00 例180.00216.00259.00281.00 胃肠造瘘术例180.00 例180.00216.00259.00281.00 单纯腹壁窦道切除术例180.00 例180.00216.00259.00281.00 大隐静脉结扎剥脱术（单侧）例180.00 例180.00216.00259.00281.00 腹腔脓肿切开引流术例280.00 例280.00336.00403.00437.00 胃切开缝合术例280.00 例280.00336.00403.00437.00 胃十二指肠溃疡穿孔单纯修补术例280.00 例280.00336.00403.00437.00 肠穿孔缝合术例280.00 例280.00336.00403.00437.00 疝成形术例280.00 例280.00336.00403.00437.00 胆囊造瘘术例280.00 例280.00336.00403.00437.00 肠套叠复位术例280.00 例280.00336.00403.00437.00 结肠造瘘术例280.00 例280.00336.00403.00437.00 肠粘连松解术例280.00 例280.00336.00403.00437.00基本手术费及一、二、三级医院收费标准范围分别为280-600、336-720、403-864、437-936元。开腹探查术例280.00 例280.00336.00403.00437.00 单纯甲状腺次全切除术（单侧）例280.00 例280.00336.00403.00437.00 肝脓肿切开引流术例280.00 例280.00336.00403.00437.00 肝动脉插管术例310.00 例310.00372.00446.00484.00 直肠粘膜环切肛门缩窄术例350.00 例350.00420.00504.00546.00 单纯性甲状腺全切除术（单侧）例350.00 例350.00420.00504.00546.00 胆囊十二脂肠吻合术例350.00 例350.00420.00504.00546.00 肠憩室切除术例350.00 例350.00420.00504.00546.00 肝左叶切除术例710.00 例710.00852.001022.001108.00 脾切除术例350.00 例350.00420.00504.00540.00基本手术费及一、二、三级医院收费标准范围分别为350-500、420-600、504-720、546-780元。胆囊切除术总胆管探查例350.00 例350.00420.00504.00546.00基本手术费及一、二、三级医院收费标准范围分别为350-500、420-600、504-720、546-780元。直肠悬吊术例350.00 例350.00420.00504.00546.00 腰交感神经节切除术例350.00 例350.00420.00504.00546.00 肝楔形切除术例350.00 例350.00420.00504.00546.00 结肠造瘘还术例240.00 例240.00288.00346.00374.00 幽门成形术例280.00 例280.00336.00403.00437.00 胆囊空肠吻合术例470.00 例470.00564.00677.00733.00 乙状结肠切除术例470.00 例470.00564.00677.00733.00 单纯胃大部切除术例400.00 例400.00480.00576.00624.00 右半结肠切除术例590.00 例590.00708.00850.00920.00 左半结肠切除术例590.00 例590.00708.00850.00920.00 肠粘连松解排列术例590.00 例590.00708.00850.00920.00 高选择性迷走神经切断术例710.00 例710.00852.001022.001108.00 近端胃大部切除术（开腹做）例820.00 例820.00984.001181.001279.00 甲状腺癌根治术例590.00 例590.00708.00850.00920.00基本手术费及一、二、三级医院收费标准范围分别为590-750、708-900、850-1080、920-1170元。乳癌根治术例590.00 例590.00708.00850.00920.00 胃癌根治术例600.00 例600.00720.00864.00936.00 胆囊癌根治术例710.00 例710.00852.001022.001108.00 胰体尾切除、脾切除术例820.00 例820.00984.001181.001279.00 脾肾分流术例940.00 例940.001128.001354.001466.00肠腔及选择性分流等。门腔分流术例940.00 例940.001128.001354.001466.00肠腔及选择性分流等。门奇断流术例710.00 例710.00852.001022.001108.00贲门周边，食道下段，胃周血管离断术。门奇断流术例820.00 例820.00984.001181.001279.00如再加食道或贲门部切段缝合。胃底喷门周边血管离断术按此收费。肝右叶切除术例940.00 例940.001128.001354.001466.00 直肠癌根治术例710.00 例710.00852.001022.001108.00 全胃切除术（开胸做）例1060.00 例1060.001272.001526.001654.00 全胃切除术（开腹做）例940.00 例940.001128.001354.001466.00 胰十二脂肠切除术例1180.00 例1180.001416.001699.001841.00 腹膜后肿瘤切除术（中）例490.00 例490.00588.00706.00764.00 全胰切除例1180.00 例1180.001416.001699.001841.00 双侧甲状腺次全切除术例590.00 例590.00708.00850.00920.00甲亢。基本手术费及一、二、三级医院收费标准范围分别为590-750、708-900、850-1080、920-1170元。肝包囊虫切除术例470.00 例470.00564.00677.00733.00 胰腺囊肿内引流术例590.00 例590.00708.00850.00920.00 胰岛素瘤摘除术例940.00 例940.001128.001354.001466.00胰头内及胰多发性肿瘤，胰头部。胰岛素瘤摘除术例590.00 例590.00708.00850.00920.00胰头内及胰多发性肿瘤，胰尾部。高位胆管癌根治术例1180.00 例1180.001416.001699.001841.00含肝方叶切除肝内胆管成形与空肠吻合。胰头癌区域性切除术例1410.00 例1410.001692.002030.002200.00含胆囊，胆总管，胰头钩门静脉切除，下腔静脉清扫淋巴结，十二指肠部分空吻切除。肝动脉永久植入泵术例260.00 例260.00312.00374.00406.00 肝门胆管癌根治术例1030.00 例1030.001236.001483.001607.00 联合肝叶切除例770.00 例770.00924.001109.001201.00 门-腔静脉侧口吻合例550.00 例550.00660.00792.00858.00 甲状旁腺探查、甲状旁腺切除术（原发甲亢）例770.00 例770.00924.001109.001201.00 胆总管囊肿切除术例640.00 例640.00768.00922.00998.00 腹股沟淋巴结清扫术例190.00 例190.00228.00274.00296.00 锁骨上淋巴结切除术例220.00 例220.00264.00317.00343.00 局部或肝段切除例510.00 例510.00612.00734.00796.00 肝门部胆管扩大成形，修复术例1030.00 例1030.001236.001483.001607.00含高位胆肠吻合或胆管修复重建等。肝切除术+门静脉_ 例640.00 例640.00768.00922.00998.00 门静脉插管化疗术例190.00 例190.00228.00274.00296.00 乳腺区段切除术例190.00 例190.00228.00274.00296.00 腹积极脉旁淋巴结清扫例260.00 例260.00312.00374.00406.00 肝瘤微波固化+肝_ 例640.00 例640.00768.00922.00998.00 甲状旁腺切除、自体移植术例900.00 例900.001080.001296.001404.00 先天性胆总管囊肿空肠间置术例1030.00 例1030.001236.001483.001607.00 腋下淋巴结清扫术例190.00 例190.00228.00274.00296.00 先天性巨结肠根治术例1030.00 例1030.001236.001483.001607.00 半肝或三叶切除例1030.00 例1030.001236.001483.001607.00 乳腺导管瘤切除术例190.00 例190.00228.00274.00296.00 肝叶切除例770.00 例770.00924.001109.001201.00 脾动脉冠状静脉结扎术例320.00 例320.00384.00461.00499.00 颏下皮样囊肿切除术例180.00 例180.00216.00259.00281.00 颈部窦道切除术例280.00 例280.00336.00403.00437.00 颈部淋巴结核清除术例280.00 例280.00336.00403.00437.00 颈部异物取出术例280.00 例280.00336.00403.00437.00 颈部淋巴结廓清术（双侧）例710.00 例710.00852.001022.001108.00 颈部开放性损伤探查术例500.00 例500.00600.00720.00780.00 颈部囊肿淋巴管瘤切除术例280.00 例280.00336.00403.00437.00 胃底折叠术例350.00 例350.00420.00504.00546.00 胃底喷门周边血管离断术例820.00 例820.00984.001181.001279.00 十二指肠肿瘤局部切除术例350.00 例350.00420.00504.00546.00 壶腹部肿瘤局部切除术例820.00 例820.00984.001181.001279.00 单纯胆囊切除术例320.00 例320.00384.00461.00499.00 胆道探查术例350.00 例350.00420.00504.00546.00 胆总管十二指肠吻合术例350.00 例350.00420.00504.00546.00即总胆管十二指肠侧侧吻合术。腹膜后肿瘤切除术（大）例760.00 例760.00912.001094.001186.00 腹壁肿瘤（肉瘤）切除术（大）例640.00 例640.00768.00922.00998.00 腹壁肿瘤（肉瘤）切除术（中）例470.00 例470.00564.00677.00733.00 腹壁肿瘤（肉瘤）切除术（小）例280.00 例280.00336.00403.00437.00 肠瘘切除术例590.00 例590.00708.00850.00920.00 直肠肿物局部切除术例350.00 例350.00420.00504.00546.00即经肛门直肠肿瘤局部切除术。股疝修补术例180.00 例180.00216.00259.00281.00 嵌顿疝修补肠切除术例280.00 例280.00336.00403.00437.00 十二指肠乳头旁憩室切除术例600.00 例600.00720.00864.00936.00 全结肠切除术例820.00 例820.00984.001181.001279.00 骶尾部畸胎瘤切除术例820.00 例820.00984.001181.001279.00 骶尾部窦道切除术例280.00 例280.00336.00403.00437.00 坏死性胰腺炎清创引流术例820.00 例820.00984.001181.001279.00 肝静脉损伤修复术例940.00 例940.001128.001354.001466.00 肝囊肿切开引流术例350.00 例350.00420.00504.00546.00 肝门部肿瘤支架管外引流术例820.00 例820.00984.001181.001279.00 胆总管空肠吻合术例590.00 例590.00708.00850.00920.00即胆管空肠Roux-Y吻合术（胆囊空肠端侧吻合加空肠空肠端侧吻合术）胆囊空肠侧侧吻合加空肠侧侧吻合术例470.00 例470.00564.00677.00733.00 胃空肠吻合术例350.00 例350.00420.00504.00546.00 胰管空肠吻合术例710.00 例710.00852.001022.001108.00 脾修补术例350.00 例350.00420.00504.00546.00 脾段切除术例350.00 例350.00420.00504.00546.00 小肠肿瘤切除术例470.00 例470.00564.00677.00733.00即小肠部分切除术腹腔异物取出术例710.00 例710.00852.001022.001108.00 肝内异物取出术例710.00 例710.00852.001022.001108.00 回盲部切除术例470.00 例470.00564.00677.00733.00 横结肠切除术例590.00 例590.00708.00850.00920.00 肝裸区（七段或八段）癌疝除术例940.00 例940.001128.001354.001466.00 经腹低盆腔巨大肿瘤切除术例710.00 例710.00852.001022.001108.00 乳腺癌根治术+内_ 例770.00 例770.00924.001109.001201.00 腹部软组织肿瘤根治性切除+组织修复 例750.00 例750.00900.001080.001170.00 肠系膜肿瘤切除术例470.00 例470.00564.00677.00733.00即大网膜、肠系膜肿瘤（囊肿）切除术。肝外伤探查修复清创术例710.00 例710.00852.001022.001108.00 ODDIS（奥迪氏_） 例770.00 例770.00924.001109.001201.00