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so Y TE TPHCMvrtN TIM TPHCMMii. dan vi: 79443
Hieu hre: 20/8/2019
KHUNG GIA VI.¢N PHi Ap DVNG T~I VI.¢N TIM NAM 2019rip dung cho tat cd ngll'u;hfnh (ki cd hfnh nhlin cd thi BHYT) di2u tri npi tT" va ngo{litT"
(Th(l'chi?n theo Thong til'1312019nT-BYT ngay 0510712019)
Gili Vi~n GiliBHYT Chenh l~chGhlchuMiibao Ten djch V\l kY thu,t (BQ Y Tim ThOng Til 13 VI~nTim PhilnPhilnSTT CODE cao T@) Ten djch v\I kY thu,t (VI~n Tim) (0110112019) (hi~u h,rc mO'ivO'igia lo~i
BHYT lo~i20/8/2019) BHYTmO'i ThiJ
(I) (2) (3) 2 (4) (5) (6) (7) - (5)-(6) (8) (9)
KHAMBENH KHAMBENHI KCBOI 2.i~ KhamNoi Kham tim 150,000 38,700 111,3002 BSVOI 2.1896 KhamNoi Kham tim theo yeu cAu 300,000 38,700 261,300
---KCBNTO Kham Noi Kharn c~p ciru
3 01 2.1896 270,000 38,700 231,300 ----1----KCBNTO Kham dp ciru (ngoai tru)Kham Noi
42 2.1896 270,000 38,700 231,3005 TK-SM Kharn HOi ChAn Ngo\li Kham Hoi ChAn Ngoai 150,000 150,000KCBNTO t---- Kham hOi chAn ngoai khoa Kham hoi chAn ngoai khoa
6 I 150,000 150,000------ ------
Kham hOi chAn noi khoa Kharn hoi chAn noi khoa 150,000 150,0007 J:-~-~~8
1---Kham ki~m tra may tao nhip Kham kiem tra may tao nhip 150,000 150,000U26 -----
9 KDT-NT Kham noi tru Kham noi tru 150,000 150,000 ------ ---- -----Sang loc cham soc y te tai phong dp eiru (illKCBNTO
104 I den 6 gia) 180,000 180,000 ---KCBNgt Kham ph6ng e~p eiru Kham ph6ng dp ciru
11001 270,000 270,000 I~ --c----TTr2503 Chi phi kham va c~n Him Chi phi kham va e~n Himsang (lfu tien)
12 n sang (lfu tien) 250,000 250,000c---- t=:_----- ------- 1---
TTr2502 Kham va tu v~n Ph\le h6i Kham va tu v~n Ph\le h6i ehire nang13n ~hire ~_I1g__ ________ 200,000 200,000
------- ------- ---- --- .. -- -----Hoi chan ea b~nh kho ehuyen Hoi chan de xae dinh ea b~nh kho (Bae si
14 KNTOI 2.19 n_g!_nhNoi ehuyen gialea) 200,000 200,000--- ----!---- --- --_----- f------
Hoi chAn ea b~nh kho ehuyen Hoi chAn d~ xae dinh ea b~nh kho (Giao su,15 KNT04 2.19 nganh NOi Pho Giao sulea) 500,000 500,000 --------- ------ -- _'_--- --- ,_1------
HOi chAn ea b~nh kho ehuyen Hoi chAn d~ xae dinh ea b~nh kho (Ti~n si va16 KNT03 2.19 nganh NOi BS mai dieh danhlea) 300,000 300,000 --- --r--------- c------- -- ,-
- ---- _------- ----
TIENGIlfONG _!I~N ~::;nrONG - ----- ---- - ~
---GiuCrngNOi khoa 10\li 1 H\lng Ghe Cap eiru
17 USIC56 K04.191O I - Khoa NOi tim m\leh 120,000 113,250 6,750 50%---- ----- ----
GiuCrngH6i sire tich C\re GiuCrngchAng s6e----_.
18 USIC57 K48.1902 H\lng 1- Khoa H6i sire tieh 1,560,000 427,000 1-_ __!_,_!3_},g_O_(l_ -.----1--------- _--_---- --- ----GiuCrngH6i sire tieh C\re Ngay di€u tri h6i sire tieh qre (USIC) (coH\lng I - Khoa H6i sire tieh monitoring) chua bao g6m chi phi may tho
19 US-550 K48.1902 el,l'e n~u co (nga}') 1,560,000 705,000 855,000----- ------ ._--
GiuCrng H6i sire e~p eiru Ngay di€u tri h6i sire tieh el,l'e(USIC) (co--- ---
H\lng I - Khoa H6i sire dp monitoring) chua bao g6m chi phi may tho20 US-20.19 K02.1905 eiru neu~_{lJ!!.g~ 1,560,000 427,000 ~33,000-_ .._._- ------- ---
GiuCrngH6i sire dp eiru Ngay di€u tri h6i sire tieh el,l'e(USIC) (khong--- ---_._-
H\lng 1- Khoa H6i sire dp monitoring) chua bao g6m chi phi may tho21 US-500 K02.1905 eiru n~u co (ngay) 950,000 427,000 523,000--- 1----- -- ----,_ -----
GiuCrngH6i sire e~p eiru Ngay giuCrngb~nh Khoa e~p eiru (ngay)22 CC-360 K02.1905 H\lng 1- Khoa Ji6i sire cap t------200,000 427,000 73,_()QQ_1--'--------- ------- -----
GiuCrngNOi khoa 10\li I H\lng (GiuCrngNOiKhoa) Ngay giuCrngb~nh Khoa
r----~ CCI910 K04.191O 1- Khoa NOi tim m\lch dp eiru(nga}') 400,000 226,500 _ 173,50Q__1------ r----GiuCrngH6i sire e~p eiru REA - Ngay di€u tri h6i sire tieh el,l'engo\li
_._-- _-----
24 REA-OI K02.1905 H\lng I - Khoa H6i sire cap ._Jch_0_li(khang tho rna}') (nga}') 780,000 427,000 353,000-------- ----------- --- ..- ---._- I~ -----GiuCrngH6i sire tieh el,l'e REA - Ngay di€u tri h6i sire tieh el,l'engo\liH\lng I - Khoa H6i sire tieh khoa (chua bao g6m chi phi may tho n~u co)
25 REA-200 K48.1902 el,l'e ___ , _______ _{t1ga_yL_ 1,560,000 1----705,000 855,000---- 1----- 1--- --_.-
GiuCrngHoi sire tieh C\re REA - Ngay di€u tri h6i sire tieh el,l'engo\liREA- H\lng 1- Khoa H6i sire tich khoa (chua bao g6m chi phi may tho n~u co)
26 TTI5 K48.1902 el,l'e -~y) 1,560,000 705,000 855,000NTM- GiuCrngNOi khoa 10\li 1 H\lng GiuCrngx~p (= giuCrngNOi Khoa 12)
--Gia
27 XEP K04.1910 I - Khoa NOi tim m\leh 150,000 113,250 36,750 50%1----- ----1910.TTr Ngay giuCrngNOi Khoa sau Ngay giuCrngNOiKhoa sau phAu thu~t-PT
c---28 PTTC K21.1931 phftu thu~t-PT 10\li 1 10\li I 400,000 303,800 96,200-----1910TTr Ngay giuCrngNOi Khoa sau Ngay giuCrngNQi Khoa sau phAuthu~t-PT
---
29 =I'__TTC_K21.1937 I'hftu thu~t-PT 10\li2_____ lo\li_2____________ 400,000 276,500 123,500---- ---
--- --- --._- ----- -_.- - - --
TrangJ /26
Ten djch V\I kY thu,t (Vi~n Tim)
Ghi VI~nTim
(0110112019)
Chenh I~chVi~nTim PhanmOivOighiBHYT mOi lo~.i~....~._.~ .___ Th_iL __ ~~__
, ..- ---- ..----....~~--------- .---~-.I--- ..---::---.----.- ---.~.---~.-__--.- f-----KA - Tien giuong nguoi len KA - Tien ghrong nguei Ion (phong dich vu
30 KA-850 I (phona dich v\!Jl{&ft ch~ l)igift ch6) 1,500,000 1,500,000f--_::_::·F·:::.:_:=-=--+-----P:'G"'iu:'::'6'n=g-=N.!::{l:::i·ckh~oaIO(lilHlIDg-KA --T~~gi~~·~guOi l(m (phong d~h~ ----- ------ - .--- ..-.- .~- ..-r-----ll. A-~~~04.191 0 !_:15-l!~.N{litim m(lch I) (nga':L_~ ~ r------l2QQ,OOO__ ~~,5()0 __ I ,273_,_5(j()___ .__~ _
KA - Tien giuong nguci Ion KA - Tien giuong nguei Ion (phong dich vu__ 3_2~-450 f---~ ~~!!.s_<!ic.!t~V\l2)JgjS!_ch6J_ ~Jgift ~h6L---.----------1--8-()O_,(j00 .. ~ ~,OOO l-r- __ ~
Giirong N{likhoa loai I Hang KA - Tien giuong nguoi lon (phong dich V\I --. -.-
r-l~A-4~O_ !<-04.1910 !_:Khoa,N{litim Il!\lch 2) (nga~-.- ..--- ....----.--- ~O,OOO 226,500 573,?(j0KA - Tien giuong nguoi Ion KA - Tien giuong nguoi lon (phong thong
. 34 !<A-220 r-~---- ~hong thong thu~_{&i!__~6'ng) ,<gii!ch6)__ __ .~ .__ . ~OO.OOO_ __~O,OO_O_r--Giuong N{likhoa loai I Hang KA - Tien giuong nguoi Ion (phong thong
35 A-220 K04.1910.!_:_ Khoa N.2!_tim_'!l(lcL thl!_<!!!g~('!g~)_.---.---~------ ..__ 590,OQQ. __ ~26,500 ~13,_SO_()___ _ _ ._Giuong NQikhoa loai I H\lng KA - Tien giu6'ng sau PT IO(liI (phong dich
.__ l§.~!106__ K04.1910 !_:Khoa NQitim m\lclt_ V\lJli!lMt_~~!lL~ 1,_~0,000 ___1~§_,5Q()___ __l,27~2.()()_Giuang Ngo\li khoa IO\li2 KA - Ti~n giu6'ngsau PT IO\liI (phong djch ~ .. - -.~-
____ 3711103 K21.1931 H(lngI-KhoaN~~_~1!!.~~ _ 1,500,000 303,800 1,196,200-- l .. .-----.- ----.-.--.-- ....~...-.-- -._ ....---Giu6'ngN{likhoa IO(liI H(lng KA - Tien giu6'ng sau PT IO(liI (phong dich
__ ~ !J~_ K04.1~.~.l-Khoa Ngi tim_1Il~ __ V\I ~~a_y_tllfrlD ~.~ . 899,000 ~__ 216,soo .__ .273_,_5QQ___ ~ _Giu6'ngNgo(likhoa IO(li2 KA - Tien giu6'ng sau PT IO(liI (phong dich
__ 32 !.II 02__ K21.1931 H\lng I - J9:l~l'!g~i 16ng __ ~~i~yL .~ . __ ~()Q'()()()__19},80Q. i~~,~Q() _~ ._. _~.__Giuang NQikhoa IO(liI H(lng KA - Tien giu6'ngsau PT IO(liI (phong
__ 4_() 1_!_!_Q±__ IS04.1910 !_:~KhoaNQit~_I!!.~!!_ !l!9_~t_!l,uang2(N~hu II)____~ __ .. ~ ?9.(),.QQ_Q_..___12_6_,5001-_22~?Q()_ ~ _Giuang Ngo(likhoa IO(li2 KA - Tien giu6'ng sau PT IO(liI (phong
K21.1931 H(lng I - ~oa Ngo(li16ng thong thut!r!8li!!g~ 500,000 303,800 196,200Giu6'ngN{likhoa IO\liI H\lng KA - Tien giu6'ng sau PT IO\li2 (phong dich --.-- .. ----.--- --~-.-~-- . -- -.--
42 IIIIS K04.1910 1- Khoa NQitim m\lch V\I 1) (n~ay thu IIL ____!200,000 .~2QQ_ __ J,27~,500~--- .... Giu6'ngN{likhoa IO\liI H\lng KA - Tien giu6'ng sau PT IO\li2 (phong dich -- - .....-~-
_.. ~ I_!~~~__ I9L!23_1._ L-:_!9t_9aJ>/_Qitim_!l1(1c!! ~ V\I I) (n~ayL---.------.-- __ ~__!,?O_O-,()()O ~1§-,~()0_ .. _!,_2.~3~S()Q_ ~__ I~.~~~_Giu6'ngNQikhoa IO\liI H\lng KA - Tien giu6'ng sau PT IO\li2 (phong dich
___~_.~~ D_I!~ __. K04.1910 ~l_~!<hoa!'1.«2L!!mm_\~cL_ V\I ~~y~.tllfr_!JL~_. . 8()~Q,000_ 226,S_(J(l___ S7_3_,S()()_Giuang NQikhoa IO\liI H(lng KA - Tien giu6'ng sau PT IO\li2 (phOngdich
___is _!!!_l_l_ K2!_:!_937_1- Khoa NQitim m\lch V\l2)~L_ .~_~__ ~__+__ 8::.::0~0'-=,0.::.00=-1-____E6,500 __ 523,_?QQ _ ~ _ ... __Giu6'ngNQikhoa IO\liI H\lng KA - Ti~n giu6'ng sau PT IO\li2 (phOng
_ ___!~_!~!_l_!~_K04.1910 1- Khoa N{litim m\lch tho~~6'ng) (Ngay tM II)Giu6'ngN{likhoa IO\liI H\lng KA - Tien giu6'ng sau PT IO\li2 (phong
._.__ 47_!L~!Q_ !9_1~J_9l2_!_:Khoa1':!2!..tim m\lc.ll___ ~_ thO!lgth,u6'n&i'!S~}'L ... ~ ...~ 1()Q,_()()9~ __ ~2~!500 _.__~l.~,S()()__ ... _ _ ___Giuang N{likhoa IO\liI H\lng KA - Tien giu6'ngsau PT IO\lid(icbiet
____!8 :illV1_ _~4J 910 !::Khoa Ngi tim m\lch ...__ ~~.$£Il~'v'yJ2J!!g_ay thuJ.!) ~__ ~__ 1200,000 __ 226,SOO_ . _l2]_3!S()(}_...~.. __ .~.~__Giu6'ngNgo\li khoa IO\liI KA - Tien giu6'ng sau PT IO\lid(icbiet
_~__i2 ~.0-8S0 K21.1927 H\lng 1- Khoa NgO\li16ng (phong~j~l!_V\lI) (n~._~ .__ I.s:OO,OOO__ ~03,800 ~_I_,12~,~(}Q~.~ ~ _Giu6'ngN{likhoa IO\liI H\lng KA - Tien giu6'ng sau PT IO\lid(icbiet
1__ 5::_:0+AD:c:.V2 K04.1910 I - Khoa N{li!im m\lch ~dich V\I 2) (ngay thu 11l___ ~_~~(),OO()_ ~6_2Q()_ _ ~____223_,?0_()__ ___Giuang Ngo(likhoa IO(liI KA - Ti~n giu6'ng sau PT IO\lid(icbiet
~__ 5_l ~O-4S0 K21.1927 H\lng I - Khoa Ngo\li 16ng (phong djch V\I 2) (ngay)Giu6'ngN{likhoa IO\liI H\lng KA - Ti~n giu6'ng sau PT IO\lid(icbiet
__ ~_S~ ~B K04.1910 1- Khoa N<}iti!l!.!l!.\lch .{j>Il_O_ll_g~ho,!g_~hu6'ng2(Ngay thu 111_~~_._ ~()O,OOQ_ _~_ 22~ ~,?()_Q_ ~ _Giu6'ngNgo\li khoa IO\liI KA - Tien giu6'ng sau PT IO\lid(icbiet
~ ~1~~20 _ _IQI.12E_ H\lng_!-KllOaNg9_~16ng __ iP.Il~_g_t!t~'!S~thu~g)(ng~ .. __ SOO,_()()Q~_}Q3,_~QQ I9~~2_O_O_.~._~ _- -=:--=_ --=- 1--_ ~ __lQio~,B===~--lilio~A.B-==--====--===~~=-=~=:=-~~-··==-=~=~==~~=--~~--==.=_~~=
KB - Tien giu6'ng nguOi l(m KB - Tien giu6'ngnguOi l(m (phong dich V\I~~__ Si .~008 {p_llongdj£h V\I I) (gift ch~_lL(gift ~~L ____!2Q0,00Q_ f-.~------~._.!~(}_O,_()_()Q_ ~_
Giuang N{likhoa IO\liI H\lng KB - Tien giu6'ngnguai l(m (phOngdjch V\I___ 2.? CO_~ K04.:.!2_!()_1- Khoa N{litim m\lch ~__ ~l __.. .~.._. __!_2_90,00Q_____12i,_5Q()_ _ _!J_7~,50().. .~.__ ---~
KB - Tien giu6'ng nguOi l(m KB - Ti~n giu6'ngnguOi l(m (phong dich V\I__ 56 f_()_l1_ __ ,---~_ (J:lhOl!gdjch V\l2)igift ch6) 2) (gift ~h~L--~---~------ 800,000 ~_~___!QO,OOO_... ~~ _
Giu6'ngNQikhoa IO\liI H(lng KB - Tien giu6'ngnguOi l(m (phong dich V\I.__ S1 C024 ~-9~~IJ_lQ_!-ElOa, N{litim m\lch 2) (nga>:l. __ ~~_. .. .__ ~__8_OO,OQQ___ ~~~,SOO 573,_59Q_ _~_~._ ----
KB - Tien giu6'ng nguOi l(m KB ~Tien giu6'ngnguOi l(m (phong thong.~QlOI (I>_hongthong thuang2_{gift thuang),(gift ch6L ._.~. ?QO,OOQ ._~_~ __ 2O_O,00()_ _
Giu6'ngN{likhoa IO\liI H\lng KB - Tien giu6'ngnguOi l(m (phong thongS9 C022 K04.1910 1- Khoa N~i tim m\lch thu6'ng) (!!S_hl__ __ . ___2(l(l,_O_QQ___ ~~_,__5QQ_ _E3_,5_(J(l_----
--.-- --~- -=-. Giu6'ngN{likhoa IO\liI H(lng KB - Ti~n giu6'ngsau PT IO\liI (phong dich__ §_Q COl2 __ K04.1910 1- Khoa N{litim m\lch v\l1l{Il~YJhu IlL________ _ 1,500,000 226,500 ~~273,500 _
Giu6'ngNgo\li khoa IO\li2 KB - Ti~n giu6'ng sau PT IO\liI (phong dich___ 6_!~1_l_~_ !9_l.193!_ H\lng I - Khoa Ngo(li16ng___ 'v'YJ)~L-~--------. _c---1500,000 276,SQQ_I--__J,?_~-,5_()()_.·------ji----I
Giu6'ngN{likhoa IO\liI H\lng KB - Tien giu6'ng sau PT IO(liI (phong dlCh62 COl9 K04.1910 1- Khoa N{litim m\lch . ~_ 'v'1I~ (ng~_t.i1~ir_t!L .._... ~.__ ._~O_9,OOO l~,50()_ _. ?_n5_Q()_ .~---
Giu6'ngNgo\likhoa IO\li2 KB - Ti~n giu6'ngsau PT IO\liI (phong dichK21.1931 ~ I:!~ng1- Kho~g<>_~iJ~ V\I 2) (n_g_~l ._.__ ._.~ ._ ~__ ~L___.~_~OO,o_()()___ ~7_§,SOO~.~ -___g~~ -----
__ SOO,O()Q___ _E_6,500 .___1Z_3,.SQ().... ~__ ._..~_
GiaBHYTThOng Til 13(hl~uh,rc20/8/2019)
·--r--·--·-j----+KH--O·~-A-A-----~--~·~--KHOAA--~--·~----~---·---·.--.~-.-- -------
MibaodoBHYT
Ten dlch V\I kY thu,t (Be)YT@)STT CODE
41 11101
63 COl8
GhiehO
Phan
Trang 2/26
Ghi Vi~n GhiBHYT Chenh I~chGhi
Miihao chU
STT CODE clioTen djch vy Icy thu~t (B(IY Ten djch vy Icy thu~t (Vi~n Tim)
Tim Thong Til 13 Vi~n Tim PhinPhlin
T~) (01101/2019) (hi~u l\I'c mciiv6i gla 101,l1BHYT 20/812019) BHYTmcii
lo,iThii
---Giuong N{likhoa loai I Hang KB - Ti6n giuong sau PT loai I (phong thong
64 C005 K04.19JO I - Khoa N{litim mach thuong) (Ngay thu II) 500,000 226,500 273,500Giuong Ngoai khoa loai 2 KB - Ti6n giuong sau PT loai I (phong thong
65 C004 K21.1931 Hang I - Khoa Ngoai 16ng thuong) (ngay) 500,000 276,500 223,500Giirong N{likhoa loai I Hang KB - Ti6n giuong sau PT loai 2 (phong dich
66 COl4 K04.1910 I - Khoa N{litim mach V1,II)(ngay thir II) 1,500,000 226,500 1,273,500Giuong N{likhoa loai I Hang KB - Ti6n giirong sau PT loai 2 (phong dich
67 COl3 K21.1937 I - Khoa N{litim mach V1,II) (ngay) 1,500,000 241,700 1,258,300Giirong N¢i khoa loai I Hang KB - Ti6n giuong sau PT loai 2 (phong dich
68 C021 K04.1910 I : Khoa N{litim mach V1,I2) (ngAythu II) 800,000 226,500 573,500Giuong N{likhoa loai I Hang KB - Ti6n giuong sau PT loai 2 (phong djch
r--~ 69 C020 K21.1937 I - Khoa N¢i tim mach V1,I2)(ngaYl_ 800,000 241,700 558,300GiuOngN{likhoa IO\liI H\lng KB - Ti6n giirong sau PT IO\li2 (phong thong
70 C007 K04.1910 I - Khoa N¢i tim m\lch thuOng) (Ngay thlr_l!L 500,000 226,500 273,500 I~-GiuOngN{likhoa IO\liI H\lng KB - Ti~n giuOngsau PT IO\li2 (phong thong
c---71 C006 K21.1937 I - Khoa N{litim m\lch thuOnj()(ngay) 500,000 241,700 258,300
GiuOngN{likhoa IO\liI H\lng KB - Ti6n giuOngsau PT IO\lid!icbiet72 COlO K04.1910 1- Khoa N{litim m\lch (phong dich V1,II) (ngay thu II) 1,500,000 226,500 1,273,500
GiuOngNgo\li khoa IO\liI KB - Ti6n giuOngsau PT IO\lid!icbi~t73 C009 K21.1927 H\lng I - Khoa Ngo\li 16ng (phong dich V1,Il} (ngay) 1,500,000 303,800 1,196,200
GiuOngN{likhoa IO\liI H\lng KB - Ti6n giuOngsau PT IO\lid!icbi~t74 COl7 K04.1910 I - Khoa N{litim m\lch (phong dich V1,I2)(ngay thu II) 800,000 226,500 573,500 --
GiuOngNgo\li khoa IO\liI KB - Ti6n giuOngsau PT IO\lid~c bi~t75 COl6 £!J_227 H\lng I - Khoa Ngo\li 16ng (phong dich V1,I2)(ngay) 800,000 303,800 496,200 -----
GiuOngN{likhoa IO\liI H\lng KB - Ti~n giuOngsau PT IO\lid!icbi~t76 C003 K04.1910 I - Khoa N{litim m\lch (phong thong thuOng) (Ngay thu II) 500,000 226,500 273,500 ---
GiuOngNgo\li khoa IO\liI KB - Ti6n giuOngsau PT IO\lid~c bi~t77 C002 K21.1927 H\lng I - Khoa Ngo\li 16ng I(phong thong thuOng) (ngay) 500,000 303,800 196,200
KHOA B- TRE EM KHOA B- TRE EM - -KB - Ti~n giuOngTE sau ph~u thu~t IO\liI
----
GiuOngNgO\likhoa IO\li278 11107 K21.193 I H\lng I - Khoa Ngo\li 16ng \(ngay) 316,000 276,500 39,50Q_ --- --
GiuOngNgo\li khoa IO\li2 KB - Ti6n giuOngTE sau ph~u thu~t IO\li279 11116 K21.1937 H\lng I - Khoa Ngo\li 16ng \(~--~- 316,000 241,700 74,300
-- ~--- --- --GiuOngNgo\li khoa IO\liI KB - Ti6n giuOngTE sau ph~u thu~t IO\lid~c
80 BOTE-50 K21.1927 H\lng 1- Khoa Ng~\li 16ng bi~t \(ngay) 316,000 303,800 12,200------- --.-~.-- ---- --
GiuOngN{likhoa IO\liI H\lng KB - Ti6n giuOngTE sau PT - IO\lid!ic81 11112__ K04.19!.Q_1:_Khoa N{litim m\lch bi~t(nga)' thu II) 316,000 226,500 89,500
GiuOngN¢i khoa IO\liI H\lng KB - Tien giuOngTE sau PT IO\li1 (ngay thu82 _J_l_J~ K04.1910 I - Khoa N{litim m\lch II) 316,000 226,500 89,500
----- ---KB - Tien giuOngtre em (ngay)GiuOngN¢i khoa IO\liI H\lng
83 BITE-50 K18.1910 l:._Khoa 1'oIhi 316,000 226,500 89,500---- ------ --~-~- ---
1------ --- - - - -~-~~---KHOA NO! TIM~_~I{_
~-- - - ---_.
---
~TM-KHOA NQI TIM MACH __ -~ --
GiuOngN{likhoa IO\liI H\lng NTM - LO\liphong djch V1,II (ngay)84 850 K04.1910 ~- Khoa N{litim m\lch 1,200,000 226,500 973,500------- ----- --- ---
NTM - Lo\li phong dich V1,II NTM - LO\liphong djch V1,II (ngay) giuOng85 NTMI (ngay) giuOnggift ch6 llift ch6 1,200,000 1,200,000
--- f--~-- -- ----NTM- GiuOngN¢i khoa IO\li1H\lng NTM - LOlliphong djch V1,I2 (ngay)
86 430 K04.1910 I - Khoa N¢i tim milch 500,000 226,500 273,500NTM - Lolli phong djch V1,I2 NTM -.LOlliphong djch V\l 2 (ngay) giuOng
87 NTM2 ngay) giuOnggift ch6 Igift cho 500,000 500,000-~ ~----~NTM- GiuOngN¢i khoa IOlliI Hllng NTM - LOlliphong thong thuOng(ngay)
88 !§_Q- K04.1910 I - Khoa NQ_itim milch 300,000 226,500 73,500----NTM- GiuOngN{likhoa IOliiI Hllng Phong 1GiuOng(P3.8)
89 308 K04.1910 l-_Khoa N~i tim milch 1,000,000 226,500 773,500~--.- ..-- ------
-~~- ---- .•.--- ---_--_ Khoa ThOn2 Tim Can Thien Khoa ThOn!!Tim Can ThienGiuOngN{likhoa IOlii1 Hllng Ngay giuOngkhoa TTCT-Io\li Phong dich
90 C26 K04.1910 I - Khoa N{litim milch V1,IIgiuOng 2,000,000 226,500 1,773,500GiuOngN{likhoa IOlii1Hllng Ngay giuOngkhoa TTCT-Io\li Phong dich
91 C27 K04.1910 I - Khoa N¢i tim milch V1,I4giuOng 700,000 226,500 473,500I----~-- --- -~GiuOngN{likhoa IOlliI Hllng Ngay giuOngkhoa TTCT- tAngtr~t
92 C25 K04.1910 I - Khoa N¢i tim milch 400,000 226,500 173,500--~~------TTCT- GiuOngN{likhoa IOliiI Hllng PhongthongthuOng
93 TT K04.1910 I - Khoa N¢i tim milch 286,000 226,500 59,500~-- --~-
THAM rio CHtrC NANG---- -- THAM DO CHUC NANG02.0085.1 Di~n tim thuOng Di~n tam d6
94 VIO 778 50,000 32,800 17,20002.0109.1 Nghi~m phap g~ng suc di~n Diin tam dfg~ng s~-~--
95 VII 779 tamd6 400,000 201,000 199,000 T2--- ~-------------.
Trang 3! 26
GhiMii bao Gia Vi~n Gia BHYT Chenh I~ch •
Ten dlch vy IcY thu$t (BO Y Tim TMng Til 13 Vi~n Tim pChha.UnCODE clio • Ten dlch vy IcY thu$t (Vi~n Tim)Te) (0110112019) (hi~u l\I'c mlii viii gia ,
_____t------ :YT , , ~ ~~~8/201~~-- _ BHYT_IJI~ __ ~~~ __02 ..0.095.1 Holter di~n tim do Holter di~n tam do 24 gi<'r
96 U.o9 1~ __ I--. ; ~.Q_Q_Q 1-_!~'.o.oO 2_5l_._(J~()_ _.02..0.096.1 Holter huyet ap Holter huyet ap 24 gio
__ .22 y.o8__ 7~ _l95,Q_(){)_ I.2~_.O.o.o I~_~.Q_QQ _____ 98 U3.o ~st Att"_o{>i!l_ ~~t Atropin 3~~,~()_ _3_5~•.o.o.o _r--___22 _lJ22 Test Flecainide ~e~_t_flec!!i_ll_i4~ ~.o_Q~Q_O()_ 1--_2.o.o,.o().o _
Test tham do clnrc nang nut Test tham do chirc nang nut xoang qua thuc~~ng qua th1,lcquan Iqu~n 550,.000 5_5_Q_.~0 _Trac nghiem ban nghieng Trac nghiem ban nghieng (Tilt test)Tilt test) .lQ!J_.()()Q ~--3-Q(),OO()-
STT
T3
T2
~__;:I_:_O.o-'-ITDX66
101 U21r---------- --- ------ ----.------.----,---.-------.-----;-----.. --- ..------------- ---------1----------
CHAN l>OAN HINH ANH CHAN l>OAN HINH ANHr--- --------- 18.0119 ..0 Chup Xquang nggc thAng - Ch-~p Xqua-;;:g-~gv~thAng ----- --- ----- -- -- ----- - -
__ 1.02 XQOOI__ ()~_8 __25_,_Q0_()_1-- _(i5,4_.o.o1- 9,6.0.018..0127..0 Chup Xquang tai giirong Chup Xquang tai giuong
1.03 US!C51 ()~ . _!_~~.o_Q()_ ~~()()_I__---l9,60002.0314 ..0 Sieu am 0 bung Sieu am bung
I-- 104 1:,!14__ _OOI _. 50,.o_Q~1-________ _ 5.o,00_Q __ _ _.01..0239.0 Sieu am 0 bung tai giueng Sieu am bung tai giuong
_____!_~~AOOO __Q()_!____ ~~~ ~~~.o.o_o ~94,()_(l0_ T202.0112.0 Sieu am Doppler mach mau Sieu am Doppler mau mach mau I DM canh-
_ _l_Q6 tJ_Ii__ ~_O_4 ~2!_sAng - du(ri don - h~ d(lng_~~h__~_1L ~_Q_O_'_O()()___ }22,(jQO Z~,OOO.02.0112.0 Sieu am Doppler mach mau Sieu am Doppler mau mach mau I DM canh
r---I .07 _I,D~__ .004__ _ __ ~_<!1:®'_g_Q~n} _l().o,O_O_Q 222,O(j()_ 7_8_'_O_OO_02.0112 ..0 Sieu am Doppler m~ch mau Sieu am Doppler mau m(lch mau / DM ch~u
~ _ll_17_ _004__ o---:- _ dill va h~ d2!1£.!!!\lch 2.~ch~i.~du~(ri:~· 3.oO,O_Q()_ _122,00(j_ '78,(j(jQ+- _'!'3__.02..0112.0 Sieu am Dopplerm(lch mau Sieu am Dopplermau m~ch mau IDM th~n
--~r!!~ .0.04 G~~ 1--3.oO_,_Q(jQ__ }22,()_Q()_ 78,O(j()_ T3.02.0112.0 Sieu am Doppler m~ch mau Sieu am Doppler mau m~ch mau / TM chu
_ __!_!Q y'!_3__ .004__ f--- du(ri - ch~u dui 2 ben va h~ tinh m~ch chi02 ..0112.0 Sieu am Doppler m~ch mau Sieu am Doppler mau m~ch mau t~i giu<'rng
____ .!.!! §A()()!_ .0.04 @r!l_g_Jll1!.n)_______________________ 3.oO,O.o_()___ 222,0(j_()_ 78,00002.0113.0 Sieu am Doppler tim Sieu am Doppler mau tim
__ _!_G uOI ~4 30.o,QQ()___ 222,00_Q __ 78,.o.oQ_18.0050.0 Sieu am tim, mang tim qua Sieu am Doppler mau tim qua th1,lcquan
r-_!_I-~ \l~_ ~_8 =- th1,lC_quan _:9__c.o.:.'O,'::_O.o-=--'.o'-+ c- 9_QO,.o.o_Q02.0113.0 Sieu am Doppler tim Sieu am Doppler mau tim t(li giu<'rng
__ ~ §~.o.o~ .0.04 _ _ ~QO_()_ __ 222,()(j_O 1_78,OO(j___ 1_12_Il~ Sieu am DOI!fller mau tim thai Sieu am D.$'~ mau tim thai _ ___ ,- __iQ(},.o.o.o f-__~()_O,_<!()O
SA_KTD Sieu am kiem tra dich (mang tim, mang phoi)f----I ~~ ~__l'___ _ i-=c---------- --.- , 5~Q_()_0 --f---- _5_().()_0_()_- ----
.02.0457.0 Sieu am Doppler mau tim Sieu am tim gang suc bang Dobutamine__ !_l1 u04 __ 006 ~~uc v&iDobutami!l~ ~---___ 750,.00.0 _ 587,{)()Q 1_63,000_ T2
Chl)p CLVT SQnao khOng Chl)p CLVT SQnao khong tiem thuoc can118 CTOI tiem thu6c can quang _-,,--- quang 1~I06!.<!()()_f-------I--_!_.! 06,O()()__ _
Chl)p CLVT SQnao c6 tiem _ ._ "119 CT.o2 thuAc can quang Ch\lp CLVT SQnao c6 hem thuoc can quang 2,6.04,000 2,604,000 TT2
------ r---=-- ----F=---- ------------ ----- -------1-----------1----------- -- ------ ----18..0167,0 C,hl)p ~L~ h~ ~(lng m(lchcanh co tlem thuoc can quang Ch~p C~VT h~ d(lng m~ch cimh c6 tiem
__ Y_(l CT03 __ .04::..- (tiI 64-128 day) thuoc can quang ____12~6_._()_(){)_1_--- 2_.596.Q_(j0___ ____gl 0_Q_4_ IChl)p fN:J mtilMmu n_ii~ Ch\lp C,LVT m(lch m~u nao _ 2,752_.()(){)_ __ __~,'752,O.oQ_rcnw- _ ~ , ng, Ch\lp cat lap vi tinh long ng\fc khong tiem
122 CT.oS nggc khongtlemthuoc can thuAccan uan 1,218,0.00 1,218,000• , , ~!8._ __ • , 1-__________ - - ------Chl)p cat lap vi tinh long Ch\lp cat lap vi tinh long ngl,lc c6 tiem thuoc
I--_!~~~!QL_ nggc c6 tiem thl!~ can~_!!_g_ ca~ang 2,75~QQ()_ __ ___~~?5l,O_(l()18..02.05..0 Chl)p edt lap vi tinh d(lng Ch < I' ., h d- h h l.
t-_124 ~"I'_OJ_O_~_ m(lch p~bi 5tir~:128_<§1_ \IP cat ap__~ __ Qng_~~ _ _I'_~ 2_!~~.Q_()()____ I,7.oI,().o_Q I_._O~_I,OO()
18.02.06.0 Chl)p cat lap VI tmh dQng Ch\lp cAt lap vi tinh d(lng mach chu ng1,lC___B5 ~:r__()!__~~ __ ~~u nggc (ru64- !_~ ._________ _ _ 2,75~_!Q()_()___ pO I ,OOO_ !,051 ,.o.o(j
18.0207 ..0 Chl)p cat lap vi tinh d(lng Ch\lp dt lap vi tinh d(lng m(lch vanh, tim____!_2_~ CT~_ O_Q__ __ ~v~nh, til!!_{tir_64- I~ __b9J_bOOO 170 I ,()()()_ !Jl!_.()()Q
C.~I)Pc~~I~ vi tinhh~nhh( , Chl)p cAt lap vi tinh tinh di~m voi h6a m(lch18.02.08 ..0 diem VOlhoa m~c v"n til' vanh.043 64- 128 day) +__I:.!:,2::_:!_i,_O_()Q_ _l_,~!4,OO() _
Chl)p edt lap vi tinh tAng tren Chl)p cAt lap vi tinh tAng tren b bl)ng thu<'rngb bl)ng thu<'rng quy (gbm: > ' • .• -, , " _ quy (gom: chl)p Cat lap VItmh gan-m(lt, tl)y,chl)p Cat lap VItmh gan-m~t, la h d da -t' tra )
128 CTiI tl)y,lach, d~ day-ta trang.v.v.) _~~~~~~---------- _~I_~,.oO.o 1- _l_,218,OQ()-__._':'~i-=-=-+-----+C-,-hl)p dt lap vi tinh bl)ng- Chl)p edt lap vi tinh bl)ng-tieu khung thm.'mg
__:c_12:::..:9..L:_C_T_I_2 ~~ khung_thu<'rng <)lly _q\lY__ I~~~,_()()()_ !_,?18,OOO c_T!L
T3
T3
T3
T3
T3-----
T2
T3------
------
T2--------c-TT2
TT2
T2
T2+-----
127 CTl.o
TT2
rrang.J .'26
Gili Vitn GiaBHYT Chenh I~ehGhi
Miibao ehuTen djeh vy kY thu,t (Be)Y Tim Thong Tul3 VitnTlm Phiin
STT CODE cao Ten djch v\I kY thu,t (Vitn Tim) Phiin
BHYTT@) (0110112019) (hitu h,e mOivOigia 10\li
101,1120/8/2019) BHYTmOi Thii
Chup dt lap vi tinh tAngtren Chup c~t lap vi tinh tAngtren 6 bung co khao6 bung co khao sat milch cac sat milch cac tang (bao gam milch: gan, tuy,tang (bao gam milch: gan, lach va milch kh6i u)
130 CTl3 tuy, lach va mach kh6i u) 1,911,000 1,911,000 TI2~- -- ~-
18.0242.0 Chup dt lap vi tinh di;lng Chup dt lap vi tinh di;lngmilch chu-chau131 CTl4 042 mach chu-chau {tiI64-128 2,752,000 1,701,000 1,051,000 T2
----Chup c~t lap vi tinh milch
132 CTl5 mau chi trenChup dt lap vi tinh milch mau chi tren 2,752,000 2,752,000 TI2
Chup dt lap vi tinh mach Chup dt lap vi tinh milch mau chi dum133 CTl6 mau chi dum 2,752,000 2,752,000 TI2
TH6NG TIM CAN THItp TH6NG TIM CAN THItpBoc tach di;lngmach dui (H6 Boc tach dOngmach dui (H6 tro ca d~t Stent
134 I.7E+07 tro ca d~t Stent Graft) Graft) 6,000,000 6,000,000-~~ ~-~
KTC- 03.2300.0 B~t stent dOngmilch canh B~t stent dOngmach canh135 MIA 054 27,300,000 6,816,000 20,484,000 TOB
03.2294.0 Nong di;lngm(lch canh Nong dOngm(lchcanh136 KTCOl3 055 27,300,000 9,066,000 18,234,000 TOB
Chl,lpdi;lngm(lch canh Chl,lpdOngm(lchcanhKTC.MO
137 I 8,400,000 . 8,400,000
18.0543.0 Chl,lp,nong va d~t Stent dOng Chl,lp,nong va d~t Stent dOngm(lch th~n s6138 TIPT50 058 milch th~n s6 hoa xoa nen hoa xoa nen 35,700,000 9,116,000 26,584,000 TOB
---~ -
KTC.MO 02.0442.0 Nong va d~t stent di;lngmilch Nong va d~t stent di;lngmilch th~n1392 055 th~n 27,300,000 9,066,000 18,234,000 TI
---- ----
02.0101.0 Nong va d~t stent dOngmilch Nong va d~t stent di;lngmilch vanh140 KTC004 054 vanh 25,200,000 6,816,000 18,384,000 TOB
18.0670.0 B~t may tllo nhjp pha rung Cay / d~t may t(lOnhjp pha rung (chua bao141 KTC025 391 Igam may pha rung) 9,000,000 1,625,000 7,375,000 TOB
18.0669.0 B~t may t(lOnhjp cay/ d~t may t(lOnhjp I /2 buang (chua bao142 KTC023 391 Igammay t(lOnhjp) 5,000,000 1,625,000 3,375,000 TOB---
f-----cay may t(lOnhjp vinh vi~n cay/ d~t may t(lOnhjp 3 buang (chua bao02.0454.0
143 KTC024 391 10(li3 buang Igammay tllo nhjp) 9,000,000 1,625,000 7,375,000 TOB-~-~ -~-
02.0077.0 B~t may t(lOnhjp t(lmthai cay/ d~t may t(lOnhjp tllm thm trong tim144 TI05 391 voi dien qrc trong buang tim 2,400,000 1,625,000 775,000 T1
----~ ---
145 0001 Chi phi gay me Chi phi gay me 2,000,000 -- __ 2,000,000 ---_-_.------
02.0126.0 Thong tim va chl,lpbuang tim Thong tim va chl,lpbuang tim can quang146 CHUPOI 053 can (luang 8,400,000 5,916,000 2,484,000 TOB
--~---- ~--Chl,lpdi;lngm(lchvanh Chl,lpd<)ngm(lchvanh (thl,lchien chung vcri
KTC.MO 02.0437.0 Bieu tIi hut huy~t kh6i/ B6t vach lien that1473 053 bAngcan) 8,400,000 5,916,000 T1
---- --- ---02.0437.0 Chl,lpdi;lngm(lch vanh Chl,lpd<)ngm(lchvanh
148 CHUP02 053 9,660,000 5,916,000 3,744,000 Tl----- I-----~ ----- 1-- f----- --- ----
KTCM- 02.0437.0 Chl,lpdOngm(lch vanh Ch\lp d<)ngmilch vanh -80%149 02A 053 9,660,000 4,732,800 4,927,?QQ_
--~--.-- --- - ---_.--- ------ ----Ch\lp di;lngm(lchvanh ducri Chl,lpd<)ngm(lchvanh ducriOSA (lam kern 2
150 f_i1_up06 OSA (lam kern 2 thil thu~t) thil thu~t) 4,200,000 4,200,000 ---02.0437.0 Chl,lpdOngm(lch vanh Chl,lpdOngm(lchvanh dum OSA (thl,lChi~n
__ 1_5_l_ _<:_I:l_U~~053 __ chung vcridong dul 5,916,000 5,916,000 - T1Chl,lpdOngm(lchcac 10(li Chl,lpd<)ngm(lchcac 10(lich(,lckim tT1,lC ti~p
18.0515.0 ch(,lckim tTJ,rcti~p s6 hoa xoa s6 hoa xoa nen OSA (Bo khang Il,lcdi;lng152 CHUP03 052 nen (OSA) m(lchph6i) 8,400,000 5,598,000 2,802,000 T1
----- -~-Chl,lpdOngm(lch cac 10lli Chl,lpdi;lngm(lchcac 10(lich(,lckim tT1,lC ti~p18.0515.0 ch(,lckim tT1,lC ti~p s6 hoa xoa
153 CHUP04 052 nen (OSA)s6 hoa xoa nen (OSA) 8,400,000 5,598,000 2,802,000 T1
Chl,lp,nong va d~t Stent di;lng Chl,lp,nong va d~t Stent dOngm(lchchi (tren,18.0519.0 m(lchchi (tren, ducri)s6 hoa ducri)s6 hoa xoa nen
154 KTC003 055 xoa nen 33,600,000 9,066,000 24,534,000 TOB---- _.
KTC.MO 18.0517.0 Chl,lpva can thiep m(lchchil Chl,lpva can thiep m(lchchil bl,lngs6 hoa xoa
1554 055 bl,lngs6 hoa xoa nen nen 33,600,000 9,066,000--~ f---PI
18.0659.0 Chl,lp,nong va d~t stent di;lng Chl,lp,nong m(lchvanh va d~t I stent dum156 KTCOOO054 m(lchvanh ______ OSA 33,600,000 6,816,000 26,784,000 TOB
18.0659.0 Chl,lp,nong va d~t stent d<)ng Chl,lp,nong m(lchvanh va d~t 2 stent dum--
157 KTCOOI 054 m(lchvanh OSA 37,800,000 6,816,000 30,984,000 TOB--- .-18.0659.0 Chl,lp,nong va d~t stent d<)ng Ch\lp, nong m(lchvanh va d~t 3 stent dum
158 KTC002 054 m(lch vanh OSA 42,000,000 6,816,000 35,184,000 TOB-~-- --_ -----
18.0659.0 Chl,lp,nong va d~t stent di;lng Chl,lp,nong m(lchvanh va d~t 4 stent ducri159 CN4 Q?'!-- m(lchv~I1_(1______________ ~L_~ ____ ~_ 46,200,000 6,816,000 39,384,000 TOB-----
18.0659.0 Chl,lp,nong va d~t stent d<)ng Chl,lp,nong m(lchvanh va d~t 5 stent dum160 CN5 054 mach vanh OSA 50,400,000 6,816,000 43,584,000 TOB-------------_._---"-',. --~
Trang5/26
GhiGill Vi~n Gill BHYT Chenh I~ch
Mi bllo chuca'o Ten dlch V\I Icy thu,t (Bi)Y Tim ThOng Til' 13 Vi~n Tim Phan• Ten djch v\I Icy thu,t (Vi~n Tim)
BHYT Te) (0110112019) (hi~u Ivc moovOOgill
I--.----t~---If=_::_::c=_=__::_t:=___-.-_:.-------~.__ ~__. ~_.__ ._. .. ..__~__.__~0/8/20_~ _fJH_YTm~ ~:~_03.2301.0 D~t stent dQngmach ngoai D~t stent dQngmach ngoai bien
161 KTCOII 055 lJien 27,300,000 9,066,000 18,234,000_ .._.._- - ._----- ----:--:-::--::-- --,._._.,-_ .._ .. _ .._-- -- ..- -.-.- -..- -.-.-.---- -----~ ..-..-~ ---.----~- ------ --_ __ -_.02.0440.0 Hut huyet khoi trong dQng . < s . , ,
r----~2 !702003 054 ._!1!~chvan_!! ,_~. ~~,t h\lY~t,~~~~~~~_d:ng m\\c~va:_~ __l5,200,00.9_._ 6,81~000 e-18,384,()_OQ.. _..... ____!_1__Dieu tri rdi loan nhip bang Dieu tri roi loan nhip bang song cao tansong cao tan (TRONG (TRONG THONGTIM)n~ONG TIMl_ ~,~~ __ , __ . , _. ~_ ~:.V,:-C,::-C=H:..:I==___+-------
02.0088.0 Dieu trj suy tinh mach bang Dieu tri suy tinh mach bang Laser nQimach -.__ 164 ]\o1!L._ .!Q~7_~_ ~er nl)i m\\ch , ~!I~inh 1lI~~.chiSI~6i <I c_l1!I1}___ . e-!~~807 ,(j()()_ ____1()~~000 17,ZgQOQ
02.0088.0 Dieu trj suy tinh mach bang Dieu trj suy tinh mach bang Laser nQimach -___ __!~~ 1\01!_4_._~(}_7_~__ Laser l!2.i.!!l\\c!!.._~ ..__~ ~'!y.t!Il_!!.llI_~£I1_c~i_~!l.6i(~.£_h~_nl . .._23,189,0_Q_(}_~ll_(}_()_ f----~-I.,!~~!-O_QQ.
DVNTK Dinh phi Chup mach vanh Dinh phi Chup mach vanhI-_~~ Q? . ._ .. _. .. . ~_~ .1,200,0_Q_(}__I-- f__--3_,200,OQ(}_
Dinh phi Thong Tim Can Dinh phi Thong Tim Can Thiep (Nong/_ __!_6_Z~Q) -t--r-: I!l~£.Q-!ongl Dong_d~ f.)~<!~L_~._. ~,()()Q,OOQ ~ _§,OO(),(jQ.().
02.0439.0 Do phan suAtdl,ltrii luu Do ap luc mau FFR trong m\\ch vanh/may_~ _I<.TC027009 !u<;mgvanh ~FFR) __ Radi ~!!.alyzer . . 20,000,000 20,000,00.0. .. __IL.
Do philn suat dl,ltrii lun Do ap Il,lcmau FFR trong m\\ch vanh/may02.0439.0 lucmgvanh (FFR) Radi Analyzer kem them 1 thit thu~t khac
_~~!_g>~ 009 -:.--:-. ~ . .(c_!l_\lPMY!_n_(mgMV1 . ~1,o::3,_._,5.:__00'",,=00__0-c_I-- l____.13,500,000. ..-!!'__102.0092.0 Dong cac 10ro dQngm\\ch, Dong cac 10ro dQngm\\ch, tinh m\\ch
__ J10' ~20200_l___0.5.±.__ ~i!!!!m\\c!!.__ . __ ~ .._.~ . ~_ ~_3.~(j00,00_(}_____6_,_S!_~,OOO_2§.J84,00003.2283.0 Dong 16ro dQngm\\ch vlinh Dong 16ro dQngm\\chvanh
____lI_! _(}_2_:I.UJ_I_0_5~ .__ .~ .----,- ~ 3.~~00,000 _~&!.~!_O_O_O_e-_?6-,7~~!_O.Q_Q_KTC022 IS.0667.0 Bit ong dQngm\\ch [du6i Bit ong dQngm\\ch (thl,lchi~n chung Nong Gia
__ __I_~~_ .. _~ 054 DSA] m\\ch vanll) .__ ~ __ __!4_,Z89,000 3,408,000 11,381,000 50% TDB18.0667.0 Bit dngdQng m\\ch [dum Bit dng dQngm\\ch (sir d\lng dit PDA) .----.-- -~-- --.-
~._}}~ ~TC_Q~2_.o~~4_~_ !?_~A)~-----.-.---~. _.~. ~_._~ .. 5.!L~Q()!(}_()_o__ ____§,!1_6,0_Q(}__~4_,?84,O.oOKTC022 18.0667.0 Bit ong dQngm\\ch [dum Bit ong dQngm\\ch (sir d\lng dit ASD)
____fl_4 f..:._--_~ 0~4_ DSA] _.~ .._~ ~ . 2~,QQO_,_oO.(}_ ___i,_8_l(j_,_0_(J(}__f----~9,184,00(}_KTC020 IS.0665.0 Bit thong lien nhi [dum DSA] Bit thOnglien nhi (Thl,lchi~n chung Nong Gia
__ ~ f..:. Q?~-------c- .. ~ __ m\\chy~!!_Il)___. .__ ._..__ ~ !6,_(J~_5_,_000__.......1L408,000__l2,647,00Q 50%18.0665.0 Bit thong lien nhi [dum DSA] Bit thong lien nhi
___ ~(j_~!~Q2_(J__Q5~__ .. ,_~~ __._. --, _18.0666.0 Bit thOnglien that [dum Bit thong lien that
.._fl2 ~:rCO~ Q54 DSA] , , . ~. _ __,-----.-.---~--~--26,000,Q()()- __i,.B~,()()(}__f--_~~~~O_()Q.02.0466.0 Bit thong lien that bang d\lng Bit thOnglien that bang d\lng C\l(Sir d\lng dit
____~ QDO_~_ O~~__ ~.,CJ!Ill~_.--,._~, __ ~I_!.!t{i_!lg dQ~g~Qng~~~hl__., 5!_,500!Q_QQ__ ~I_§~_Q_(}____44,68i.O_0_(J_ TDBDot vach lien that bang con Dot vach lien that bang can (Chua bao gom
__ ___!_?2 1_7_Q~_0~ ~ __ (Chua b.aogam bO!!8OTW) bong__Q!~ ~______ __ ?_5,20Q,00(j.I--- .. _2~_.200,OOO03.2295.0 d' h . b" Nong dQngm\\ch ngo\\i bien
__ I~Q_~1'~()_I_Q _O~5__ ~~g Qngm\\c ngO\\1 len . .2_7J_00,0001---~!Q_~6_,o_QO_.__I8!?34,OOO ~ __ __ID~_02.0101.0 Nong va d~t stent dQngm\\ch Nong va d~t stent dQngm\\ch vanh I stent
lSI KTC005 054 vanh .__.. .__ 25,200,000 ~816,00_(J__ _I_§J_8_4!()().0 .. _!QI!_----- - ---- 02:010i-:()·Nong vi d~t stent dQngm\\ch Nong va d~t stent dQngm\\ch vanh 2 stent___~?_~TC006 O~_vanh . ~ . . .?2,400,00_Q__.:__6,""S..:_16o::!,=00:.-0"--l-.__~22..,,5_.8.._.,4,OOO__ ..... __rOB
02.0 I01.0 Nong va d~t stent dQngm\\ch Nong va d~t stent dQngm\\ch vanh 3 stent183 KTC007 054 vanh 33,600,000 6_,_8!611.9_Q____26,7.84,_Q00. TDB---- .-~-'-'-- _ ...__._-_ ..-~------------. --- ..-.-.-.--.---~---------~ .. -----. _ .._..._--
02.0101.0 Nong va d~t stent dQngm\\ch Nong va d~t stent dQngm\\ch vanh 4 sten!__ J~4_ ~IC:.(}_o!! .O~~ van_!! ~_ ..__ ~ _... ._. __ ~. __ ._. ___3]_,~_(JQ,0Q_()__~ 6,8_1.6,000 _ ~Q,9_84,()()0.
02.0 I01.0 Nong va d~t stent dQngm\\ch Nong va d~t stent dQngm\\ch vanh 5 stent185 KTC009 054 vanh 42,000,000 6,816,000 35,184,000..--- 1--.- ..-1=:-- ---~~.------ ----------------.--- --- ..-----. -.-~--~. -....--..--
02.0105.0 Nong h~p eo dQngm\\ch chit Nong h~p eo dQngm\\ch chit186 KTCOl5 054 25,200,000 6,816,000 18,384,000---- ----- ------ ---~---~--~- .._-_ ..__ ._._--_._-_ ...._-_. -.--- ..-- ..--~-- ... -..-------- ..-- -----.
NVDMC 02.0104.0 Nong van dQngm\\ch chi! Nong van dQngm\\ch chit (co gay me)1872 054 C-.-~------~.---~ ~_ ..1,!_,000,000 ~,OOO ..__I7!184,O_OO
-.----.- NVDMC 02.0 I04.0 Nong van dQngm\\ch chit Nong van dQngm\\ch chit (khong gay me)188 I 054 23,000,000 6,816,000 16,184,000__.~ .-.--I--~---. .----f----------~---.-.- ..- ------ ------ -.--~- ...
02.0104.0 Nong van dQngm\\ch chit Nong van dQngm\\ch chit (khong gay me)___ ~~ KTCOI!_ 054 . .,._ .. _.~ __~~_._~_._ •.._.__ . ~3,000,QOO_~(j!000 _!~84,000 _
02.0106.0 Nong van dQngm\\ch phoi Nong van dQngm\\ch phoi190 TTPT35 +--0~54__ _23,000,000 . ~~~_§Y.()()(}_ _I~~Q_O_(J .
18.0662.0 Nong van hai la [dum DSA] Nong van hai la__ .....:.:19~I+TT:...:_cP....:T::...34__'___1_0:::5:....:4--+:_-,----.-_:_--_:_~;-:----;--~. .__ . ,!,',OOO,QQO. ~_~!~,OOO.. 1~,184,00_()_1- __ . TDB
Soi van C(J hQCdum man Soi van C(J hQcdu6i man hinh DSA192 U07 hinh DSA .. ~~~ f--.--.220,_(}_OQ__ .. __ ~ __ ... .BO,o.o.O_-- - -
---- ---- 03.2275.0 " "... _ Ph! vach lien nhi (bAng bong Rashkind)193 KTC026 054 Pha vach hen nhl _~ ..__ . ._ ..__._~f__}-~(}-()(),OOQ_.~1(j_,000 __ I})~4_,OQO__ ...
---1---- --~- -------.----~--------:--.------- -+-----.- ---- -- -- ._--_._- -- -_._-- ------ -- ._- -- - ---
..---- .---~-o--- PHA.UTHUAT ...!'!!!!l._THl!!'r __. .. __ ._.. . . _.__~_ _ _~94 "NT3 ------ Chi phi thay ~ . Qi_P'J:l.~ van__ . __ .... .__ . . __..2JOO,O_QQ. ~_~ __.. ~,30_()'QQO_ - - ---.-
STT CODE
163 TT06 #VALUE!
76,000,000 _6&!.6,(jQQ. e-~~ I84,00()_
Phaolo~i
TDB
TDB._----
TDB
TDB
PDB
TDB
TDB
PI
PI
PI
TDB
TDB
TDB
TDB
TDB
TDB
TDB
TDB
Trang 6/ 26
Gill Vi~n Gill BHYT Chenh I~chGhl
Miibllo Ten djch v\I kY thu,t (BQY Tim Thong Tul3 VI~nTlmchu Phin
STT CODE cao T~)Ten dlch V\I ky thu,t (VI~nTim) (0110112019) (hi~u lI,c mooviii gill
Phin10\11
BHYT 10\1120/8/2019) BHYTmlii Thu
---~-- ----------
Bi~u tri r6i loan nhip tim--
Bi6u tri r6i loan nhip bAngsong cao tiin Gia02.0086.0195 PTTOI 106 bAngsong tiin s6 radio 3,500,000 1,517,500 1,982,500 50% TOB
02.0086.0 Bi6u tri r6i loan nhip tim Bi~u tri r6i loan nhip bAngsong cao tlin RF196 PT07__ 106 bAngsong tlin s6 radio 3,500,000 3,035,000 465,000 TOB
OVNTK Dinh phi phiu thu~t tim kin Djnh phi phiu thuat tim kin197 03 7,000,000 7,000,000
OVNTK Dinh phi phiu thuat tim kin Djnh phi phiu thuet tim kin (nhan vien)198 04 (nhan vien) 5,500,000 5,500,000
OVNTK Dinh phi tim ho Dinh phi tim ha199 01 21,000,000 21,000,000
-- - --OVNTK Dinh phi tim ha (Nhan vien) Djnh phi tim ha (Nhan vien)
200 02 15,000,000 15,000,000- 201 ----
-----Ekip m6 bAtcon (5 nguoi) Ekip m6 bit con {5ngum} 2,500,00002.11.02 2,500,000
202 2.1103 Ekin m6 bilt con (6 nguoi) Ekip m6 bilt con (6 ngiroi) 3,000,000 3,000,000--- ---
Khau lai viem xuong irc sau Khau lai viern xU011guc sau khi nao nra203 KTCI50 khi n~o rira xU011girc XU011girc THVCCHI Th\lc chi --
10.0155.0 Phiu thu~t di~u tri v~t thU011gKhau v~t thU011gtim, do dam hay do manh204 KTCI16 404 tim d~n 59,829,000 13,836,000 45,993,000 POB
r---~------_-Phiu thu~t bilc ciiu d(lng Phdu thu~t bAccliu d(lngm~ch chli - d(lngm~ch chli - d(lng m~ch ph6i m~ch ph6i ph6i trong b~nh tim bAmsinh co
10.0181.0 ph6i trong b~nh tim bAmsinh h~pduang ra th.1tphai205 KTC073 405 co h~~duang ra th.1tphai 86,552,000 14,352,000 72,200,000 POB
Phdu thu~t bAccliu d(lng Phdu thu~t bilc ciiu d(lngm~ch chli - d(lng10.0213.0 m~ch chli - d(lng m~ch vanh m~ch vanh co dung may tim ph6i nhan t~o
206 KTCI23 392 co dung may tim ~h6i nhan 86,552,000 18,144,000 68,408,000 POB-- ..---
Phdu thu~t bilc ciiu d(lng Ph~u thu~t bAccliud(lngm~ch chli - d(lngm~ch chu - d(lngm~ch vanh m~ch vanh k~t hqp can thi~p khac tren tim
10.0215.0 k~t hQ"Pcan thi~p khac tren (thay van, cilt kh6i ph6ng th.1ttrai ... )207 KTCI25 392 tim (thay van, cAtkh6i ph6ng 99,663,000 18,144,000 81,519,009_ POB
1----Phiu thu~t bic ciiu d(lng Phiu thu~t bilc ciiu d(lngm~ch chli - d(lng
f---- ~--
10.0214.0 m~ch chli - d(lng m~ch vanh m~ch vanh khong dung may tim ph6i nhan208 KTCI24 395 khong dung may tim ph6i t~o 86,552,000 12,821,000 73,731,000 POB
--- ...-- -----Phdu thu~t bic cliu d(lng Phdu thu~t bic cAum~ch vanh (chua bao
---
10.0213.0 m~ch chu - d(lng m~ch vanh. .
gom may tim phoi)209 KTCI22 392 co dun_!l_!!laytim ph6i nhan __ 86,552,000 18,144,000 68,408,0QQ__ POB
-~ - --------'-- ----- -- ~~--~ --- ~---
Phdu thu~t Band d(lng m~ch phdu thu~t Band d(lngm~ch ph6i t~m thmph6i t~m thai trong di~u tri trong di€u tri cac truang hqp tang luc;mgmau
03.3121.0 cac truang hqp tang luc;mg len ph6i210 31.1 403 mau len ph6i 32,471,000 17,144,000 15,327,000 PI
-~-~ _ . ------ ,-_-- -.-._-- ---03.3155.0 Phau thu~t b~nh Ebstein Phau thu~t b~nh Ebstein
211 KTC066 403 66,641,000 17,144,000 49,497,000 POB~-.--
Phdu thu~t b~nh.lY6n~ d(lng Phdu thu~t b~nh iy6ng d(lngm~ch a tre em---
03.3124.0 m~ch a tre em bang mo rna bAngm6 tim ha (Chua bao g6m b(l tim ph6i212 KTC061 395 ~~n ti!0) . . 64,392,000 12,821,000 51,571,000 f--~PI-I~~ _._-- _ -,----
03.3132.0 Phau thu~t b~nh tim bam Phau thu~t b~nh tim bam sinh ba buong nhi.213 !9'cg~ 403 sinh ba bu6ng nhi. 60,571,000 17,144,000 43,427,000 ~~
~- .10.0205.0 Phiu thu~t b~nh tim bAm Phiiu thu~t b~nh tim bam sinh co dung may
214 KTC096 406 sinh co dung may tim ph6i tim ph6i nhan t~o 62,109,000 16,447,000 45,662,000 POB--- ----
Phiu thu~t b~nh tim bAm Phdu thu~t b~nh tim bAmsinh dao nguQ'ccac--_.
03.3131.0 sinh dao nguQ'ccac m~ch m~ch mau Ian, ba bu6ng nhi.215 KTC062 403 mau Ian, ba bu6ng_!!.~-_I._ 72,874,000 17,144,000 55,730,000 POB
--~-03.3091.0 Phdu thu~t b~nh tim bAm Phdu thu~t b~nh tim bam sinh thOnglien nhi
216 KTC039 403 sinh thong lien nhi 61,608,000 17,144,000 44,464,000 POB-----
03.3092.0 Phdu thu~t b~nh tim bAm Phdu thu~t b~nh tim bAmsinh thong lien th.1t217 TKC040 403 sinh thong lien th.1t 61,463,000 17,144,000 44,319,000 POB
~- - ----z-----03.3093.0 Phdu thu~t b~nh-tim bAm Phau thu~t b~nh tim bAmsinh tir chUngFallot
~-
218 KTC041 403 sin~ tir chUngFallot _~__ 67,029,000 17,144,000 49,885,000 POB-~--
Phdu thu~t b~nhti-mbAmsinh vo xoang03.3094.0 Phau thu~t b~nh tim bamf--_lI_2 KTC042 ~3 sinh vo xoang Valsava Valsava 63,150,000 17,144,000 46,006,000 POB
----10.0240.0 Phdu thu~t b~nh tim milc Phdu thu~t b~nh tim milc pMi co dung may
220 KTCI47 406 iphai co dung may tim ph6i tim ph6i nhan t~o 61,256,000 16,447,000 44,809,000 POB10.0166.0 Phdu thu~t c.1pciru 16ngng\lc Phdu th~~t c.1pciru 16ngngvc co dung may Gia
221 31.1001 393 co dung may tim ph6i nhan tim ph6i nhan t~o 49,387,000 7,322,500 42,064,500 50% POB--- ----
10.0166.0 Phdu thu~t c.1pciru 16ngng\lc Phdu thu~t c.1pciru 16ngngvc co dung may--
222 31.10.02 393 co dung may tim ph6i nhan !iE1ph6i nhan_!~o_ 49,387,000 14,645,000 34,742,000 POB_.-_-_ --- _. ,~-10.0236.0 Phau thu~t cat mang tim dieu Phdu thu~t ciit mimg tim di~u tri viem mang
223 KTCI46 394 tri viem mang ngoai tim__(:SJ_ngoai tim co thit 52,315,000 14,352,000 37,963,000 POB--- ----,---03.3133.0 Philu thu~t ciit mang tim r(lng Phdu thu~t elit mang tim r(lng
224 KTC033 394 59,563,000 14,352,000 45,211,000 PI-- --Phdu thu~t b~nh Iy 6ng d(lng03.3124.0 Philu thu~t ciit 6ng d(lngm~ch
~
225 KTC031 395 m~ch a tre em bAngm6 rna 64,392,000 12,821,000 51,571,000 PI~-
Trang 7/26
STT CODE cao Ten djch V\I kY thutt (BO YT~) Ten djch vy kY thu,t (Vi~n Tim)
Gia Vi~nTim
(01101/2019)
PI
PI
GhiGia BHYT Chenh I~chchuThOng Til 13 VI~nTim PhinPhin(hi~u Ivc mlii viii gia 10,1
20/812019) BHYT mlii 10,1~--- ~------t-~_c--------,-.-----~~-~---~-----.~-~.--__ - ~ ~ ~ ~~ ~1'1111 _ ~ _
Phsu thuat cllt ong dQng Phau thu~t cat ong dQng mach a nguoi benhmach a ngiroi b~nh Iren 15 tren 15 tu6i hay a ngiroi benh co ap hrc ph6itu6i hay a ngiroi benh co ap b~ng hay cao hem 2 phAn 3 ap luc d<lituAn
03.3165.0. luc ph6i b~ng hay cao hem 2 hoan (chua bao g6m bQ tim ph6i nhdn tao). 2~6~c:;o.6_?__ 395 phAn 3__!!'_~cd<li II!~'! h0l!'! . 64,340.,00.0. 12,821,0.0.0. 51,519,0.0.0.
10..0.234.0. Ph&u thu~t dt u CCI tim Ph&u thu~t c~t u CCI tim ---------- -------- ------ ------------ -- -.~~--- --- -
____~Z!9:CI21 i_q_L -'- ._______ __ . 63,216,0.0.0.. 16,447,0.0.0.. 46,769,0.0.0. ~~Q~10.0233.0. Philu thu~t dt u nhay nhi trai Philu thu~t cM~-;hay-~hltrai ------------ ----------. ------~-- --~.~-----.--~----
228 KTCI2o. 40.6 64,0.71,0.0.0. 16,447,0.0.0. 47,624,0.0.0. PDB-------. -"--- 03.314 f:O- PhI~th~~tchfra ~m thbi-tir-- phh~tb;~t~fr~-·~~th~i-ni-~h~g·F~Ik;t-·-------~---------_------------.--~---.-:...-~- --- ....-----.--___ 229 ~_'!:c::o.65_~0_5 ~~1t_(rllJ~£l!l_lQt______ ~~.~__ _42,~~_l_,_O_QQ___1_~,3_go.o.()__28,?29,o.o._o.
0.3.3181.0. Ph&u thu~t chuyen vj d!li Ph&u th~~t-~h~y~~~j (i~XdQng~i~h------~Q ~!~o.68 40.3 !!2,!~<lch _ _ ~_6_&~?_,_O_O.9g~~,QQQ___49,678,o.o.o. r PDI!._
0.3.310.8.0. Ph&u thu~t d<lng DKS trong Ph&u thu~t d<IDgDKS trong cac b~nh 15'mQt -- --- ~-- ----.___ 2~! !!Co.?~ 40.3 ca~ b~nh 15'mQt tam thAt __ t!~th~ __ ~~ ,--------- __2~,2o._~Qo.o.___!'7_,_144,QQ()__j.1o.62,_o.o.o. ~
Phau thu~t d<lng Fontan trong Phau thu~t d<lng Fontan trong dieu trj cac0.3.310.4.0. dieu trj cac b~nh 1:5'tim mQt b~nh 1:5'tim mQt tam thAt
232 KTCo.51 .:t()~__ ~m t~t________ _ ~ ~ 74,46i,o.o.()_ _17,li4,o.o.()_ _57}__2o.~Qo.QPh&u thu~t d<lng Gleen ho~c Ph&u thu~t d<lng Gleen ho~c BCPS trong
0.3.310.3.0. BCPS trong dieu trj cac b~nh dieu trj cac b~nh 1:5'tim mQt tam that (co__~1 !<_!c::q_5_Q_±Q~__-::_=-=- I)' timmQt t!l!1 thAt (;!t~)'_!i!!l.~~_llhan til~L________________ ~ _62,97?_,_o._()_()__J2,,!~~,_()_Q()__ 45,828,o.o._()_
10..0.178.0. Ph&u thu~t dieu trj b~nh con Ph&u thu~t dieu trj b~nh con 6ng dQng m<lch .~_ ___234$fCo.70_ ~1___ ~<!9_!1_~ch a tre ll~ a tr~ nh~ , , _ 30.,65_7,0.0.0._ _12,821,Qo._()__ I?_,~j,o.o.o. PI
Phau thu~t dieu trj b~nh con Ph&u thu~t dieu trj b~nh con ang dQng m<lch -- - -- r- --10..0.179.0 6ng dQng m<lch a Ire Ian va a tre nM va ngum Ian (co bQ tim ph6i nhan
~__ 2)~ ~TCo.7!_ A~~ l_1gum_!an t~.<>L . __55,8!~_,O_()Q_I_~&~QQ()_ f-i2,997,Qo.Q __10..0.20.0..0 Ph&u thu~t dieu tri do dQng - Phh thu~t dieu tri do dQng - tinh m<lch ph6i
___ __2}_6 I(Ig:>~_!_4_o.~ !!'!~ mJlE_iuJ!t~ . -----~___,~-----------.----_,---,- _ 67,449,o.OO_ _ ._?~~41,Q_o.Q_58,8_()~,-Oo._()_0.3.3182.0. Phau thu~t dieu tri ghep dQng Phau thu~t dieu tri ghep dQng m<lch bang ong
___~~2.IS!c::_1~ ±~ l!1_~E_~l!_g_~~g~hep nhan~ g'$>E!t!n t~g ; ~________~,988,o.o.o. _I.~~~3,o._o.Q_ _ 6~,315,OQ_Q_Phau thu~t dieu trj h~p duang Phau thu~t dieu trj h~p duang ra that phaira thAt phai dem thuAn (h~p dem thuAn (h~p ph~u that phai, van di.\ng
10..0.193.0. ph~u that phai, van dQng m<lch ph6i ... )_____?38 g_C::_()_!l~±91_-:-:-:- !D<I:hph6i ...:) 1-- , __ 6Q,_1_!l_8_,_o.o.o..____!Z! I44,QQ_Q__ _'I~~o.44,Qo._o._
10..0.20.3.0 Phau thu~t dieu trj h~p eo Ph&u thu~t dieu tri h~p eo dQng m<lch chu a___ 231 ~_T_c::o._9'!.~~Z_~__ ~l!1_~ch c!!u a tre Ian \'I\_~o!!_\'I\-ll-g-uS!i-!~-------- __l_l~?~~()_o.Q__!i,~52,o._()() 3?,6o.9,o.o._o._
10..020.2.0 Philu thu~t dieu trj h~p eo Ph&u thu~t dieu tri h~p eo dQng m<lch chu a. ~~() ~TCo.91_ ~L_. <!Qngm\l£h c!tu a tre nho _~renho ~_'!2, 151 ,0.9.9__ 1_~~~2_'()Q_Q___3'!..?99,Qo._o_.u _ n _ ~~Q~_
0.3.3138.0. Phdu thu~t dieu tri kenh nhi Phdu thu~t dieu tri kenh nhi that ban phAn____ ~4_1~TCo.6_4 ~()3--:-=--::-:-that ban phAn.- __ ._~~__ f____=-------, ._._, ,
0.3.30.95.0. Ph&u thu~t dieu trj kenh nhi Ph&u thu~t dieu tri kenh nhi that toan phan___ 242 KTCo.43 40.3 that toan p~~___ ___ 62,5_7_1_,_Q_()i>__ _I_7-,!44,o.o._O_I-~5,427,o.Q()_
10.0.229.0. Ph&u thu~t dieu trj 16c dQng Phfiu thu~t dieu trj loc dQng m<lch chu type A__ ?j}.!T~!_~~~_--:c_ m<lchcMtypeA •__ ~ . 80.,60.0.,0.0.0. 18,61'?_,QQ_()___~I,~_ll?,o.i>()_ PDl!__
10..0.20.1.0. Ph&u thu~t dieu trj teo, dj Phdu thu~t dieu tri teo, di d<lng quai dQngr-_?_±± ~!_co.92 393 _~ ~<I~quai dQ~g m(lc~ chu !D<lchchu _, __ -, 63,715,o.QI_) _!i.645,o.o.o. __ _'I9,o.7o.,_()o.Q ~~_!lD~_
10..0.155.0. Phau thu~t dieu trj vet thuemg Ph&u thu~t dieu trj vet thuemg tim___ 245 ~TC 118__40.4 tim , ,~ , _ 7o.,55_I,o.q_()__ 13!836,o.QQ_f-_56, 715,0.0.0._ _ _l'QI3_
10..0.156.0. Ph&u thu~t dieu trj vii tim do Phau thu~t dieu tri vii tim do chan thuemg__~~6 !9:<::_1_!2__ 40.4 chan thuemg --f-.------------- 65,_935,o.o.o. 13,836,o._q_()__~2,o.92,()()()_ _!'Dl!__
0.3.3150..0. Ph&u thu~t do dQng m<lch Ph&u thu~t do dQng m<lch vanh vao nhi phai,247 KTC 133 40.3 vanh vao nhi phai, dQng dQng m<lch phfu. c- ~ I__6o.--'-,419,o.o.o.~?,144,q_Q_()_ _43,215_..Q_o.2_ PDB
0.3.3150..0. Ph&u thu~t do dQng m<lch Ph&u thu~t do dQng m<lch vanh vao nhi phai,__ 1_4! I<.TC152 40.3_~ van~ vao nhi ph~L dQng __ dQng m<lc1t_p_~i-Tim Kin _
10..0.198.0. Phfiu thu~t dong do dQng Phdu thu~t d6ng do dQng m<lch vanh vao cac__ ~ I'!~_22L __ m<l:~~anh vao ca~_~6n_~ ~~~tim (tim hal ~____ 60.,?2_!_,Q9.9_ __I_~,645,o.()Q_ __i~?~o._o._O_ ~_~. I'.P~
10..0.198.0. Phau thu~t d6ng do dQng Phau thu~t dong do dQng m<lch vanh vao cacr- 21Q KTC082._ 393 m<lch vanh vao cac bu6n.z til!!..&I!~Etim_(!irn_kinL . __23!()(jo.,o.o.()____!~!645,()_()()___ ~ ~~5_5..9_O_Q _!'_DB .
Ph&u thu~t d6ng ducrng ro Phau thu~t dong duang ro trong b~nh 1:5'0.3.3123.0. trong b~nh 1:5'ducrng hAm ducrng hAm dQng m<lch cM-th~t trai
251 KTCo.6o. 40.3 dQng m<lch chu-that trai ~,o.04,o.o.o._ _JJ_,_144,Q_QO_ 48,86o.,o.o._()__ __ _ __ PD~10..0.184.0. Ph&u thu~t d6ng thong lien Ph&u thu~t dong thOng lien nhi
252 KTCo.75 _40._3__ .::_nh:::ic___ .__ _ _ . ~ f-._?l,(j-~,o.o.o. _ _!2,_!_44,o.o.()__<1_~~~,()()Q PDl!__0.3.3180..0. Ph&u thu~t Fontan phau thu~t Fontan -Ngo<li Khoa
253 15110.1 i?3 +~------------------- 62_,?_'I~,_()_OQ____1_?_,_14_4,_()QQ___ 4_5,_39~,_()_()_o._ .~._.~~ c-l'I2I3---- ----- 0.3.3180.0. Ph&u thu~t Fontan phdu thu~t Fontan -Nhi Khoa
254 15.11 40.3I-----=~I'-'-'-"-- 0.3.3169.0. PhA~ thu~t h~p eo -dQ;g-~<lch- Phau-th~~th~p~~d<fng~-<l-;;hchii
255 KTCI4o. 397 cM ~~ ~___ 57,751,0.0.0. _ 14,352"'()()()_1--43,~_~~,-o._QQ_:___=2-:5_6~.L:_1_:_7o.:.:2:.:o.c::o._:_4_L__---~Uthu~t hUt huyet ~h6i__ ,J'_hiluthu1!_I!ut h\ly_!t kh6i __. _!_(}_y_()QQ,o.o.()_t_ L_ _!o.,o.Oo.,QQi>_
Miibao
BHYT
PDB_..-.--~-
PDB
PDB
PDB
PDB
PDB
PDB
PDB
61,0.64,0.0.0. ____!Z, I44,_o.o._Q__43,920,(jo.o. PDB
PDB---'-
23,0.0.0.,0.0.0. __!2,144,o.Q_Q___ ~~~,Qo.o. ~ _ PDB
PDB----
Trang 8 /26
Gli VI~n GliBHYT Ch@nh I~chGhlchuMibio Ten djch vy Icy thu,t (B9 Y Tim Thong Til 13 VI~nTim Phan
STT CODE cao T@)Ten djch vy Icy thutt (VI~nTim) (0110112019) (hi~u IY'c mOivOigli
Ph an 10,1BHYT 10I,1i
20/8/2019) BHYTmOi Thu---- ----- ---
Phdu thu~t lfiythai tren nguoi Phdu thu~t lfiythai tren nguoi benh m~c benhbenh m~c benh toan than roan than (tim, than, gan, huyet hoc, nl)i
257 TTPTOI (tim, th~n, gan, hu}'~thoc, ~- "10,000,000 10,000,000
Phdu thu~t n6i t~t tinh mach Phau thu~t noi tiit tlnh mach chu - dl)ng10.0182.0 chu - dl)ngmach ph6i di6u tri mach ph6i di6u trj benh tim b~m sinh phirc
258 KTC074 393 __ benh tim b~m sinh Jlhuc t(lJl tap 70,086,000 14,645,000 55,441,000 PDB_ .03.3153.0 Phdu thu~t phong dl)ngmach Phdu thu~t phong dl)ngmach ph6i, do dl)ng
259 KTCl36 393 ph6i, do dl)ng tinh mach ph6i tinh mach ph6i 62,065,000 14,645,000 47,420,000 PDB--
Phdu thu~t sua chua bfit Phdu thu~t sua chua bfit thuong hoan toan03.3152.0 thuang hoan toan toan hili toan hili lllUtinh m(lchph6i
260 KTCI35 403 lllUtinh m(lch Jlh6i 73,126,000 17,144,000 55,982,000 PDB
Phdu thu~t sua chua bfit Phdu thu~t sua chua bfit thuang xufitphat03.3112,0 thuang xufitphat cua ml)t cua ml)t dl)ngm(lchph6i tiI dl)ngm(lch chu
261 KTCI30 403 d(lng m(lchph6i tild(lng 61,185,000 17,144,000 44,041,000 PDBf----.
03.3116.0 Phdu thu~t sua chua benh Iy Phdu thu~t siIa chua benh Iy h~p cac tinh262 KTC058 403 h~p cac tinh m(lchph6i m(lchph6i 64,013,000 17,144,000 46,869,000 PDB
Phdu thu~t sua chua cac bfit Phdu thu~t sua chua cac bfit thuang cua tinh03.3117.0 thuang cua tinh m(lchhe m(lchhe th6ng tra v6
263 KTC059 403 th6ng tra v6 64,179,000 17,144,000 47,035,000 PDB
Phdu thu~t sua chua cac b~t Phdu thu~t sua chua cac bfit thuang xufit03.3113.0 thuang xufit phat cua dl)ng pMt cua dl)ng m(lchvanh
264 KTCI31 403 m(lch vanh 65,160,000 17,144,000 48,016,000 PDB-- ----
Phdu thu~t sua chua di d(lng Phdu thu~t sua chua di d(lngquai dl)ng m(lch265 KTCl38 quai dl)ng m(lchchu chu 74,956,000 74,956,000 PTi
---- ---Phdu thu~t di6u tri h~pduang Phdu thu~t sua chua h~pduang ra thfit pMira thfit phai dan thuh (h~p dan thuin
10.0193.0 ph~u thfit phai, van d(lng266 KTC047 403 m(lchJlh6i ... ) 63,945,000 17,144,000 46,801,000 PDB
1--- ..Phdu thu~t sua chua kinh Phdu thu~t sua chua kinh diSn cua benh Iy
03.3114.0 diSn cua benh Iy chuySn g6c chuySn g6c dl)ngm(lchco sua chua267 KTCI32 ~QL_dl)ng m(lchco sua chua 74,873,000 17,144,000 57,729,000 PDB
--- --- --
Phdu th~t sua chua sinh Iy Phdu thu~t sua chua sinh Iy cua benh Iy03.3115.0 cua benh Iy chuySn g6c dl)ng chuySng6c dl)ngm(lchco sua chua (Double
268 KTC057 403 m(lchco sua chua Discordance) 73,054,000 17,144,000 55,910,000 PDB--03.3111.0 Phdu thu~t sua chua toan bl) Phdu thu~t sua chua toan bl)benh Iy cua s6
269 KTCI29 403 benh I~cua s6 chu-Jlh6i chu-ph6i 64,675,000 17,144,000 47,531,000 PDB--- ----'-----
Phdu thu~t sua chua trong Ph~u thu~t sua chua trong b~nh Iy h~p duang03.3101.0 benh Iy h~pduang ra thfit trai ra thfit trai 10(liKonno ho(icRoss-Konno
270 KTC049 403 10(liKonno ho(ic Ross-Konno 74,159,000 17,144,000 57,015,000 PDB--- -----
Phdu thu~t sua chua Phau thu~t sua chua vascularring---
271 KTCl37 vascularring 65,310,000 65,310,000 PTif--- -- -- - . --- -----
10.0199.0 Phdu thu~t sua toan b(l ~ 2 Phau thu~t sua toan bl) ~ 2 benh tim bam272 KTC090 403 benh tim b~m sinh Jlh6ihQ1l sinh ph6i hoo 69,490,000 17,144,000 52,346,000 PDB
--10.0190.0 Phdu thu~t sua toan bl) b~nh Phdu thu~t sua toan bl) benh dao nguQ'ccac
273 KTC081 403 dao nguQ'ccac m(lchmau Ian m(lchmau Ian 73,724,000 17,144,000 56,580,000 PDB_- .._----- -03.3110.0 Phdu thu~t sua toan bl) benh Phdu thu~t sua toan bl) benh Iy than chung
274 KTCI28 403 Iy than chung dl)ng m\lch ~Qtlg_m(lch 73,657,000 17,144,000 56,513,000 PDB1----- ---
10.0192.0 Phdu thu~t sua toan bl) benh Ph&uthu~t sua toan bl) benh nhi 3 bu6ng275 KTC083 403 nhi 3 builng 63,496,000 17,144,000 46,352,000 PDB-,
Phau thu~t;;~a toa; bl) b~~h thfitphai hai10.0189.0 Phdu thu~t sua toan b(l benh276 KTC080 _i<lL_ thfit Jlhai hai duang ra du~ra 65,386,000 17,144,000 48,242,000 PDB
Ph&uthu~t sua toan bl) benh Ph&uthu~t sua toan bl) benh tinh m(lchph6i10.0194.0 tinh m(lchph6i d6 l(lcch6 d6 l\lcch6 ban phin
277 KTC085 393 ban Jlhin 67,367,000 14,645,000 52,722,000 PDBPhdu thu~t sua toan bl) benh Phau thu~t sua toan bl) benh tinh m(lchph6i
10.0195.0 tinh mIlchph6i d6 l\lc ch6 d6 l\lcch6 hoan toan278 KTC086 403 hoan toan 68,739,000 17,144,000 51,595,000 PDB
10.0187.0 Phau thu~t sua toan b(l kenh Phdu thu~t sua toan bl) kenh san nhi - thfit279 KTC078 403 san nhi - thfit ban Jlhin ban phin 60,037,000 17,144,000 42,893,000 PDB
--- -10.0188.0 Phdu thu~t sua toan bl) kenh Phdu thu~t sua toan bl) kenh san nhi - thfit
280 KTC079 403 _ san nhi - thfit toan bl) ~pbl) 62,572,000 17,144,000 45,428,000 PDBPhdu thu~t sua toan bl) tTOng Phdu thu~t sua toan bl) trong benh Iy h~p
03.3096.0 benh Iy h~pph6i va vach lien ph6i va vach lien thfit kin281 KTC045 403 thfitkin 62,006,000 17,144,000 44,862,000 PDB-- --_ .._--
Phdu th~~t sua toan bl) trong benh Iy khongPhdu thu~t sua toan b(l trongbenh Iy khOngco van dl)ng co van dl)ng m(lchph6i bfim sinh kern theo
03.3100.0 m(lchph6i b~m sinh kern thuang t6n tTOngtim282 KTC048 .iQ3 theo thuang t6n trong tim 81,688,000 17,144,000 64,544,000 PDB----
Phfruthu~t sua toan bl) tTOng Phfruthu~t su~ toan bl) tTOngbenh Iy teo vanbenh Iy teo van vatho(ic than- vatho(ic than-nMnh dl)ngm(lchph6i va vach
03.3098.0 nhanh dl)ngm(lch ph6i va lien thfit ha283 KTC046 403 vach lien thfit ha 77,561,000 17,144,000 60,417,000 PDB
Trang9126
Gia Vi~n GiaBHYT Chenh I~ch GhiMibao chu
STT CODE cao Ten djch v\l kY thu,t (BO YTen dich v\l kY thu,t (VI~n Tim) Tim ThOng Tui3 Vi~nTlm Phin
T~) (0110112019) (hi~u h.rc mOi vOi gia Philn10\liBHYT loal20/8/2019) BHYTmOi
------------~ --------~ ----__ ._----_ -------- -_--_-------- Th_ii__Ph&u thu~t sua roan b(l trong Ph&~thu~t sU:atoan b(l trong m(lt thi c~a
-------
m(lt thi cua benh 15'gian doan benh Iy gian doan quai d(lng mach chu kern03.3109.0 quai d(lng mach chu kern theo theo cac thirong tBn trong tim
1--284 KTC056 ~--- theo theo cac thuong tBn_~ __ __60,9_l1,OOO 17,144,000 ~<I11§_8,_o_()_o__ POBPh&u thu~t sua toan b(l trong Ph&;:;thu~t sira toan b~ tr~;;-i~~tthi c~;--
_________ c..:_--- --------
mot thi cua benh Iy hep eo benh Iy hep eo d(lng mach chu kern theo cac03.3105.0 d(lng mach chu kern theo cac thuong tBn trong tim -P I
285 KTC052 403 !!_ll!~_g tBn_!r~ll£_ti_Il!__ ~ 60,462,000 17,144,000 _i3,_3I_~-,O_()_0 PI10.0186.0 Ph&uthu~t sua toan b(l tu Phfuth;;it-~fra to~;-b~ tir~hirngF;;[i~t----
------- ---------- -_--- -- -----
286 KTC077~---:-:-:-
chirn_g_Fallot _____ 67,029,000 _ _!1_._1_i4, O_OQ_ __~2!_~85,O()() POBc----- ---Ph&uthuiit sira toan b(l vcr PhI;;th~t~~t~~-b(l vaph;;;-h~~;'-g -- --
------- -- ---------
10.0191.0287 KTC082 403 ~inh xo~I!&.Y~~~ __~_ Valsalva 63,149,000 _ _1__?,144,OQQ___ 4~_O_O_~,o00 POB------
Ph&u thu~t sua va 1(\0 hinh Phdu th;;ii-;ua ~a t(\~ hinh ~an d~-;;-g;:;;(\ch------------ ---- --
03.3107.0 van d(lng mIlch chu trong chiJ trong b~nh Iy van d(lng m\lch chii bAm288 KTC054 403 b~nl!_lt~~_Il_~.2t!g_!I1\1chchii,_ sinh _76,]72,OO()_ __!'7,_l__4~~90__ 59,228,000 POB-------- -----
Ph&~-th;;it~a van ba Iii dTh~t~ b~nh Eb-;tei~----- -- - -- -
10.0196.0 Phdu thu~t sira van ba Is di~u289 KTC087 403 tri benh Ebstein _ 66,6_'!_l_!O_O_O___~1.~~i_,OO_(l_ _ 4~491,o()O_ POB------ ---- ------- --'--c;~-----------------
Phf;thu~t ;il~~~-hai I~ti;:;;-b~ sinh---- -- --- ----
03.3106.0 Phdu thu~t sira van hai Iii tim290 KTC053 403 bAm sinh 74,306,000 _17,14~~Q_Q 57,162,000 POB
10.0216.0 Phdu thu~t tlich h~p van hai - Phdu th~~t tli~h-h~-~;~t;;i-'~ti;;--ki;- IA; dA~---------- ---~--- ---- -- -------_
291 KTC097 404 Iii tim kin IAndAu 70,560,000 __!_~~836_.Q9_()_ _J~_~~!_O_OO PI----- ._-----Phdu thu~t t(\ohi~h-;;o d"¢;;g--- Ph&ut~itt\l~hinh eo d(lng m\l~--------
----------------- - --_-_--- ------03.3196.0
292 KTCI44 397 mIlch 60,543,000 __!~,352,OOQ__ 46,l_9_!,0_()_9_ PI--~ _ .._----Phdu thu~t t\lOhinh eo d(lng - Phdu thuit-t\lo hinh eo d~~gm~~h co-h;----
-------- ---- ---03.3197.0
293 KTCI45 397 !I1_1_~_lI_co h\l huy~t sp chi ~_ hu~~_p_£l!i_!1_lI):'_~ ______________ _ ~,699,_0()()_ 14,352,000 52,347,000 POB--- ______c_ -.------- ------- -------~-- ---'--- -----
10.0225.0 Phdu thu~t t\lOhlnh ho~c thay Ph&uthu~t t\lOhinh ho~c thay van ba Iii don294 KTCI06 403 van ba Iii don thuAn thuh 63,215,000 ~±,OOO_ 46,071,000 POB_._---_. --- ---
Phdu thu~t t\lOhinh ho~c thay Phdu th~t-t;o hinh ho~c thay van ba Iii k~t- ----------- - ----_. --- ----.-_- --."---- .._
van ba Iii k~t hgp can thi~p hqp can thi~p khlic tren tim (thay, t\lOhlnh10.0226.0 khSc tren tim (thay, t\lOhinh ... clic van tim kMc)
295 KTCI07 403 _... csc van tim kMc) 61,088,000 ~4,OOO_ 43,944,000 POB--------Ph&uthu~tt~~-hl~hvan d(lng m\lcl;~htl---
----_:_~ 1--- -- -- - -- ---- --_ ....._-.10.0223.0 Ph&u thu~t t(\Ohinh van d(lng
296 KTCI04 403 mIlch chiJ 65,684,000 17,144,000 +__~,540,_()(J0_ POB------ ---.~Phdu thu~t t\l~hlnh ~an -hai-'A-bih;-pdo thrp-
-- -- --10.0218.0 Phdu thu~t t(\Ohlnh van hai Iii
297 KTC099 403 _hih~p do thAp_ __§_!Jl!,QQQ.. 17,144,000 44,187,000 POB---------_ ._--------- ---.---_--.-----------.-~- 1----- t------------ -_._- ----
10.0219.0 Phdu thu~t t\lOhinh van hai Iii Phdu thu~t t\lo hinh van hai Iiia b~nh van hai298 KTCIOO 403 a benh van hai Is khong do __ !!!hol_1g_~oth_Ap________ ~ ____~ ___ . 61,613,000 __1_Z._I44,QOO__~~,4§~ ,000. POB------ ---,- ----~ ----_._-- ~--
KTCIOO. 10.0219.0 Phdu thu~t t(\Ohinh van hai Iii Ph&uthu~t t(\Ohlnh van hai Iiia benh van hai Gili299 M 403 a benh van hai Is khOng do Iii khol1g_do thAp __J!,572,OO_O___ ~~72,OOO - 50% POB
----- _-_---Phdu thu~t teo hai quai d(lng Phdu thu~t teo hai quai d(lng m\lch chiJ (di
-- c----"..- ..__ ._--- .._--_.__ .- _. __._---
03.3168.0 m\lch chiJ (di d\lng quai d(lng d\lng quai d(lng m\lch)300 ~TCI32_ 402 1l131..£~L_ 72,921,000 _ _l__8_.(i15_._0_QQ____5~,3o.6.Q0O_ POB----- --_----------_._--------------,------_. ------------ -- --- - ------
03.3085.0 Phdu thu~t thAt I bu6ng (NBi Hnh m\lch chii301 PT03 406 Ph&u thu~t thAt I bu6ng d(lI_1'&_I11\1chphBQ khOng co b(l tim [l!1~_i__l_1h!1!_60,640,000 16,447,000 44,193,000 POB
1-::-::----- ------------- .__. ._--_ . ----,_03.3085.0 PhA-;;thuit!hAt Tbu6ng-~ Phdu thu~t thAt I bu6ng (Tam thAt d(lc nhAt)
302 KTC035 406 £(l_ sir d\lDgJl2_ti_'!1J'hBin_ll~_t\lo _____ __28,206,OOQ___ 16,447,()_0_(l_ 61,759,000 POB------ ----
Ph~u thu~t th~t h~p dQng Ph&u thu~t th~t h~p d(lng m\lch phBi trong---------------- ._-- _---_._ ..
m\lch phBi trong b~nh tim benh tim bAm sinh co tang lip h.rcd(lng m\lch10.0180.0 bAm sinh co tang sp h.rcd(lng phBin~ng
303 KTC072 581 mIlch phdi n~ ____ _"7_._~8,OO_O__4,72~0_()_O_ __ ,,;_.§§_O!_OO_o. POB1>h&uthuit-thAt phlii 2 duemg ra (ph&u thu~t
-- ------ .._ .._----03.3089.0 Ph~u thu~t thAt pMi 2 duemg
304 KTC038 403 ra ~~ chua tim_~Amsi~_pIlir£l!PL __________ _~,387,OOO 17,144,_000 _,,~,243,OO_O_ POB----- ------ -,;--~-----~----- ..._.-.- ------
10.0230.0 Phiiu thu~t thay dO\ln d(lng Phiiu thu~t thay dO\lnd(lng mIlch chi! len305 KTCI12 402 mIlch chiJ len 80,150,000 18,615,000 __(iI,235_._o_0()_ POB
-~~Ph~u thu~t di~u tIi ghep d~ng Ph~u- thuitihay-d~~~-;;;\lch ~hiin t;~-(~-hll;--
------ -----03.3182.0
306 KTCI49 ±Q_l_c-:-::- 1l1\1~hbAng dng ~_pnhiin t3l.Q. ba~6m dO\lnm\lch nhiin ~ _8_I_!988,OOO___ 1_b~?~O_()() _~,3_35_.(l0()_ POB~---- Phdu thu~t thay d(lng m\lch ch~---------
--_ ..------" - -_.-,,-,_--._-
03.3143.0 Phiiu thu~t thay d(lng m\lch307 KTCIII 402 chiJ _ 75,89~~O_O___l_!!,§__~!O_()_Q__ _~7,283_.(l(}() POB
f---- -- ---;--------- -------- ---------10.0231.0 Phdu thu~t thay d(lng m\lch Phiiu thu~t thay d(lng m\lch chiJ len va quai
308 KTCI13 402 chiJ len va ~ d(lng_m\lc_!I__ ~~ch chii ______ ~ ____________ _8_0_._1--"~_,Q2_(l_~~~OOO _ __i!,528R0_(). POB--_ .. _- -- -------Ph~u thu~t thay d(lng m\lch Phiiu thu~t thay d(lng m\lch chii len, quai
10.0232.0 chiJ len, quai d(lng m\lch chiJ dQng m\lch chii va d(lng m\lch cM xudng309 KTCI14 402 ~2ng m\l_chchiJ xuBng___ _~2,369_'O_Q()_ 18,615,000 . _()3,754_.(l0_()_ POB
-.;-----------~------------ r-------~ -_. __._.- -------Phiiu thu~t thay ho~c t\lOhinh Phiiu thu~t thay ho~c t\lOhinh van hai Iii ket
10.0224.0 van hai Iii k~t hgp thay ho~c hqp thay ho~c t\lOhlnh van d(lng m\lch chiJ310 KTCI05 403 t(\Ohinh van d(lng m\lch chii _ 84,O~'!_,OOO 17,144,000 __§§ ,<>_i5_.OO_<J__ ....._--- .1'_013_
-'----'--- i)h~u thu~t th~y I\li 1 ~n tim -----------f------'------
10.0227.0 Ph~u thu~t thay I\li 1 van tim311 KTCI08 403 __66,4! 6,000 17,144,000 _4_9,272,()_0_() POB
- ----------- -------- .-----_._---_ ----t------
10.0228.0 Ph&u thu~t thay I\li 2 van tim Phdu thu~t thay I\li 2 van tim312 KTCI09 403 __62,48~000 17,144,000 ._--"5!~2,OO_()_ POB
--_--- - ------------ -------- -- -- - ._--- ---_.---10.0197.0 Ph~u thu~t thay van ba Is Phdu thu~t thay van ba Iii di~u tei b~nh
,____3_ll ~TCO_~'!O_~ ____ ~~ tei b~nh Ebstein ____ ll~tein _____________________ __()_()~4_7_z,_000 ___l1.!±4,OO()_ _4~33]!OO_Q_. POB-- -- ----
Trang 10 /26
Gili VI~n GhiBHYT Chenh I~ehGhlehu
MaMo Ten dleh V\I kY thu~t (BQY Tim ThOng Til 13 Vi~nTim PhinSTT CODE Clio T@)
Ten dich v\I kY thu,t (Vlfn Tim) (0110112019) (hl~u h,re mOivOigillPhin 10,1
BHYT 10,120/8/2019) BHYTmOi Thii
10.0221.0 Phdu thuat thay van d(lng Phdu thu~t thay van d(lngmach chi!314 KTCI02 403 milch chu 62,191,000 17,144,000 45,047,000 PDB
1----10.0221.0 Phdu thu~t thay van d(lng Phdu thu~t thay van d(lngmilch chi! (chua
315 PT06 ~3 mach chu bao g6m van d(lngmilch chu, may tim ph6i 62,191,000 17,144,000 45,047,000 PDB1------ f-----
10.0222.0 Phdu thu~t thay van d(lng Phdu thu~t thay van d(lngmach chi! va d(lng316 KTCI03 403 mach chu va d(lng mach chu mach chu len 84,352,000 17,144,000 67,208,000 PDB
10.0220.0 Phdu thu~t thay van hai la Phdu thu~t thay van hai la317 KTCIOI 403 61,101,000 17,144,000 43,957,000 PDB
03.3122.0 Phdu thu~t thay van tim do Phdu thuat thay van tim do benh Iy van tim318 KTC069 403 b~nh Iy van tim bAmsinh bAmsinh 60,397,000 17,144,000 43,253,000 PDB
03.3087.0 Phdu thu~t tim loai Blalock Phdu thuat tim loai Blalock - Phdu thu~t loai319 TTPT30 405 I 23,000,000 14,352,000 8,648,000 ___R_!_
03.3087.0 Phdu thu~t tim loai Blalock Phdu thu~t tim loai Blalock (Chua bao g6m320 KTC036 405 b(l tim ph6i, vong, van va van tim nhan tao) 60,438,000 14,352,000 46,086,000 PI
03.3151.0 Phdu thu~t HnhmIlchph6i Phdu thu~t HnhmIlchph6i bAtthuemg321 KTCI34 403_~ ~\thuemg 62,591,000 17,144,000 45,447,000 PDB
1------Phdu thu~t sua toan b(l trong Phdu thu~t trong b~nh Iy teo ph6i va vach
03.3097.0 b~nh Iy teo ph6i va vach lien lien thAtkin ( co bao g6m b(l tim ph6i nhan322 PT02 403 thAtkin t(lo) 69,292,000 17,144,000 52,148,000 PDB
Phdu thu~t sua toan b(l trong Phdu thu~t trong b~nh Iy teo ph6i va vach03.3097.0 b~nh Iy teo ph6i va vach lien lien thAtkin (khong co b(l tim ph6i nhan t(lo)
323 PTOI 403 thAtkin 23,000,000 17,144,000 5,856,000 PDB
10.0155.0 Phdu thu~t di~u tIi v~t thuang Phdu thu~t u tim! v~t thuang tim ... (chua324 KTC115 404 tim bao g6m may tim ph6i) 70,551,000 13,836,000 56,715,000 PDB
10.0185.0 Phdu thu~t va thong lien thAt Phdu thu~t va thong lien that325 KTC076 403 61,464,000 17,144,000 44,320,000 PDB
03.3136.0 Phdu thu~t vo tim do chAn Phdu thu~t vo tim do chan thuang ng\lc kin326 KTCI17 404 thuang n!Wckin 61,163,000 13,836,000 47,327,000 PDB
03.3134.0 Cat mang ngoai tim trong C~tmang ngoai tim trong viem mang ngoai327 PTM01 394 viem mang ngoai tim co mu timcomu 58,126,000 14,352,000 43,774,000 P2--
328 PTM02 dtunhAytim dtunhAytim 57,736,000 57,736,000 PTDB--
329 PTM03 C~t u trung that C~t u trung that 60,244,000 60,244,000 PTDB---
Ddn luu mang tim qua------ --~
330 PTM04 duemg dt S\ID suem5 Dan luu mang tim qua duemgc~t S\ID suem5 43,387,000 43,387,000 PTi-----
Ddn luu mang tim qua--
331 PTM05 _ duemgMarfan Dan luu mang tim qua duemgMarfan 27,740,000 27,740,000 PT2--~Ky thu~t ch\lYmay tim ph6i Ky thu~t ch\lYmay tim phoi nhan t\lOa ngum
332 PTM06 -I-- nhan t(lOa ngum IOn IOn 57,147,000 57,147,000 PTDB
Ky thu~t chllYmay tim ph6inhan t(lOtrong b~nh tim a tre Ky thu~t ch(lYmay tim ph6i nhan t\lOtrong
333 PTM07 1-- em b~nh tim a tre em 54,061,000 54,061,000 PTDB
di~u trj 6 clin, day dinh mang Phau thu~t boc mang ph6i dieu tri 6 clin, day--
10.0281.0334 PTM08 411 ph6i ~~_ mang p_h6i 54,401,000 6,686,000 47,715,000 PDB-- --
03.3163.0 Phau thu~t dt h~p eo d(lng
397 mIlch chu, ghep d(lng mIlch Phau thu~t dt h~p eo d(lngmIlch chu, ghepchu b~ng Prosthesis, boc n(li d(lngmIlchchu b~ng Prosthesis, boc n(li m\lC
335 m(lCd(lngmIlch dnh d(lngmIlchcanh 80,214,000 14,352,000 65,862,000 PTDB-~--
10.0235.0 Phdu thu~t c~t t6i ph6ng that336 PTM10 403 trai Phau thu~t dt tili ph6ng thAttrai 60,947,000 17,144,000 43,803,000 PDB
Phdu thu~t co dung may tim,--
337 PTM11 ph6i nhan t\lO Ph§u thu~t co dung may tim, ph6i nhan t\lo 57,787,000 57,787,000 PTDB10.0238.0 Phdu thu~t dan luu dich
338 PTM12 400 khoang mang tim Ph§u thu~t dan luu djch khoang mang tim 9,771,000 3,285,000 6,486,000 P210.0152.0 Phdu thu~t ddn luu t6i thi~u Phdu thu~t ddn luu toi thieu khoang mang
I---
339 PTM13 410 khoang mang ph6i ph6i 24,589,000 1,756,000 22,833,000 P203.3119.0 Phdu thu~t dlit may t(lOnhip
340 PTM14 391 tim Phau thu~t d(j.tmay t\lOnhjp tim 15,953,000 1,625,000 14,328,000 r---!'!-Phdu thu~t di~u tri cac b~nh
03.3127.0 Iyvong th~t d(lng mIlchva Phau thu~t di~u tri cac b~nh Iy vong th~t341 PTMI5 403 kim d(lng m(lchb~ng m6 rna d(lngmIlchva kim d(lngmIlchb~ngm6 rna 62,411,000 17,144,000 45,267,000 PDB
03.3118.0 Phdu thu~t di~u tIi cac roi342 PTMI6 406 10(lnnhip tim Phau thu~t di~u tIi cac r6i 10\lnnhip tim 57,755,000 16,447,000 41,308,000 PI~~
10.0291.0 Phdu thu~t di~u trj mau dong343 .!'.!M17 411 mangph6i Ph§Uthu~t di~u tri mau dong mang ph6i 45,905,000 6,686,000 39,219,000 PI1----------
10.0288.0 Phdu thu~t dieu trj nhiem344 PTMI8 583 trung vet m6 ng\!'c _Phdu thu~t di~u tri nhiem trung vet m6 ngvc 40,088,000 1,965,000 38,123,000 P2
---- -- --10.0239.0 Phau thu~t di~u tIi viem Phau thu~t dieu tIi viem xuang irc sau m6
345 PTMI9 581 xuang irc sau m6 tim ha timha 45,154,000 4,728,000 40,426,000 PDB10.0165.0 Phdu thu~t di~u trj vo eo
~ll_~120 _ 393 __ ~m\lch chu Phdu thu~t di~u tIi vo eo d(lngmIlchchu 61,513,000 14,645,000 46,868,000 PDB
TrangII 126
GhiChenh l~ch chuVi~n Tim Ph an Phanm6i vOi gill loai 100~iBHYT" 0\11mm Tho
----- ------+----+P-h-~-u-th-u-~-t -H-yb--n-'d-t-ro--n-g--cAp-------------------------I------t------ ----------- ----- ----
10.0175.0 cjru mach mau (Ph~u thuat Ph~u thuat Hybrid trong cAp cuu mach mau347 PTM21 581 mach + can thi~p mach) (Ph~u thu~t mach + can thi~p m\lch) 68,729,000 4,728,000 64,001,000 POB-__:--'--j----t-------+P::c:h-';;~~u-th=-u-:~-t -m-::a---'h.!...~--,v-'-an----'c:-dQ-·n-g--\-'!:..:C::.:.cc..=c=--:=c-=-- -- ----- ------'----'----11- -- ---- -------1----
10.0207.0 mach ph6i bAng ngimg tuAn Ph~u thu~t rna hep van dQng mach ph6i bAng348 PTM22 196 __ hoan t\lm thm ngimg tuAn hoan tarn thai 61,220,000 7,852,000 53,368,000 POB
-- 03.3142.0 Ph~u thu~t nong van dQng -----'----'-'------------- -----'----- ------ --------- -- ---
__ 3_,!!}_!'_TM_23_396 m\l:h chu ,------r----- P_h_~_u_th_u_~_tn=_::o_=_ng"'__'__va=n::_d"_'Qc::nS!_g_:::m:.:.'\lc.:ccch_=_ch=_u=_·__ ----j~-:5c:-9-'--,4:---4:c::-3!.:.,0-::-c::-00_~2,00_()_ ~,591,_QO_()__ _Phau thu~t phong goc dQng
03.3156.0 mach chu bao tAn van dQng Ph~u thust phong g6c dQng mach chu bao350 PTM24 402 mach cho tAn van dQng mach chu 82,037,000 18,615,000 63,422,000 POB
Ph~u thu~t sua chua di dang - Ph~u thu~t sua chua dj d\lng quai dQng mach --------- ----- ----=-~1 ~TC138 quai dQng m\lch cho chli 74,956,000 74,956,000 _ __ _ _I'_1'l_
-- --c-- -- 03.3099.0 Ph~u thu~t sua chua hep Ph~u thu~t sua chua hC;pducrng ra that phai ------f-------- -------------
352 PTM26 403 ducrng ra thAt phai dan thuAn dan thuAn 63,945,000 17,144,000 46,801,000 POB1---- 03.3202.0 ---------- ------------------ -------- -------- ------ c------------ ---- -------
353 PTM27 395 ThatongdQngm\lch ThatongdQngm\lch 43,747,000 12,821,000 30,926,000 PI---- - -------- ------- ------ --------- -- --- - ---------354 PTM28 Rut chi theL__ ,__ _M_t chi tML , ~400,0Q<J__ ~!_4Q_0_,Q0_Q_ _ _ _
_ 355 PTM29 Rut chi th~theQ_j'eu cfuI}_ Rut chi th9J_ithep~u c~_Il)____ __ _}__,220'00~ ~7Q_(),000 _Ph~u thu~t It xam l~n (chua Ph~u thu~t It xam IAn(chua bao gAm d\mg - ---
356 PTM30 pao gAm_~ C\l) C\l) ~Q,_()O_()_f__------I__--i,500,00()-- _ _ ___ 3-~ ~M3_l__ _ Gay me khac G~e kh~ Ji!~O_O()_+----- 6_?8,OOO__ __
03.3202.0 Th~t 6ng dQng m\lch That ong dQng m\lch358 KTC151 125___ _ __l3,()Q_Q,_~00__ _g,_~_l__,QoQ_ ___1_(),1,]9,_QOQ___ __ PI__
PTMI9.0 03.3173.0 Phiiu thu~t b~c cAud(ingm\lch Philu thu~t b~c cAu d(ingm\lchduai don - d(ing____]~2_ 2_____ 393 duai don - d(ingm\lch canh m\lchcanh +_3__3~_46_,_00_0_f__-~,64=.:-000_f-_l2,30 1,QOQ _ __ __J'J)B _
STT CODEMiibaocaoBHYT
Ten djch v\l kY thu,t (Bq YTi) Ten djch V\I kY thu,t (VI~n Tim)
Gia VI~nTim
(0110112019)
GiaBHYTThong Til 13
(hi~u l\!,c20/8/2019)
POB1------
--- ----- -----l---.-------:----------i---.--- -,------------- -------I------t--------- ------- --------THU THUAT THU THUAT----t---ic-=--:-c:-:-c-::-+==-"--' --,.~--__t_=_=-='----=-'==',------------------ ------f------ -------- -- - - ----
10.0241.0 Ky thu~t d~t bong d6i xung Bam bong dQng m\lch cho thi tam thu360 11_14__ ~3 __ dQng m\lch chu. (contre pulsation)_.::_P_:_I ~2,c5_0_0_c'_0__0_0_i--I~,9-6-5~,0--0-0__j--535-,Q0-()- __I>~
10.0241.0 Ky thu~t d~t bong doi xung Bam bong dQng m\lch chu thi tam thu Gia361 ~ __ ~_I1g_1Il\lchchli (contre pulsatiqnC'-')'-'Pccl,___ 2,500,000-+- 9_8_2-'--,5_0_0+1,~1_7_,50()__50_o/c_o ~_
01.0065.0 Bop bong Ambu qua m~t n\l Bop bong Ambu qua m~t n\l362 USIC39 07_1__ -----, ,-- ,-- --,-- 3_76,00()__1-----..1.16,0001__--~O,()O_(l __'fl__
01.0158.0 Cap Clm ngimg tuAn hoan ho Cap Clm ngimg tuan hoan 1 t\lOnhjp cap Clm363 U_!_L_ 074 hAp co ban ngoai lAng Ilg\l'LCc,-__ --;- ~2,'___4_31__',0_0_0-l--__ 4_7_9'--,0__0_0 f---__I_,952_,_()()() --i--__T-'._l-'--'--j
01.0032.0 S6c di~n ngoai lAng ng\l'Ccap S6c di~n ngoai lAng ng\l'c cApClm__ 3_6_±!:1_~IC25 299 Clm I_~I ,,_2_0_2_._,0,-0_0+-__ 4_59__,-,_00_0 2i~-,-()_O_() _
C~t chi (ap d\lng B~nh nhlin C~t chi (ap d\lng B~nh nhan Ngo(li tm)365 CCOI Ngo\li tm) 73,000 73,000 _366 ~~T __ f---__ -__ dt IQcv~t thuang C~t IQcv~t thuang_ 50,000 ~_O__'Q()() _
___ 362 USr_c::_2l_f__- Cham sOCcatheter dQng m\lch Cham soc catheter dQng m~ ~()()()__ __!§Q,_O()()__368 USIC20 Cham soc catheter Hnh m\lch Cham soc c~theter Hnh m(lch _ 725,000 __ B5,0_()_0 _
____l_?~US1C34 Cham sOC16.mo khi quan Cham soc 10,rna khl quan 95,000 f------- .. _2~LOQ()__c---Cham soc mat 0 nguai b~nh Cham soc mat 0 ngum b~nh hon me
T2--
hon me --:-:--:-:------c---tc:-:-----:--,-----------~---. ~4,0_()_q__ ..1.'!.0_Q_(l lTI___Cham soc 6ng nQi khl quan Cham soc 6ng nQi khl quan (mQt IAn)
371 USICI6 (mQt IAn) I55,OO_Q_ ___ _lJ5,OQO _--- - 01.0041.0 ChQc do mang ngoai tim cAp
372 TTPTIOO~_I .=_:Clm=-=-- -,-------__ i-,-----:------:-.-:-------------2-,000,OO_()-- __ 247!_00_0 I_,_'7_5:3_,O()() T1_f---- --- 02.0009.0 ChQc do djch mang ph6i ChQc do mang ph6i
373 TTPT05 077 i29,0_()_(l__. _ ____::_::13-,-7-,-,-,0_:_00'--l~?l,()_()_O___ 'Q___----=-~~~-1~~~- ----~---------f--------- -- -01.0040.0 ChQc hut dich mang ngoai ChQc do mang tim
374 TTPTlI 081 tim dum sieu am 891,000 247000 644,000 Tl---- --- OI:0202.0 ChQc djeh tuy s6:_n-g----fC---h-Q-c-d-o-tu-y--s·6-ng----------- __ :c:....::.''-'-'=---=-I __ --=--'-'-''-''--'--=- ---------f__---- ---
370 USIC30
ChQc dich mang ngoai tim
375 TTPT08 083_- 02.0011.0 ChQc hut khl mang ph6i
.----- ---=2:::._50'-',:::._00::_:0'-+-_ ___::_c10'-'-7-'-',0'-'-0--'-0--t1__4__3;__'_,0_()_()__+ I~_ChQc hut khi mang ph6i
376 TTPTIOI 079 977,000 143,000 834,000 ~~-jri USIC42 ChQc tbao dich mang pl!6i__ ChQc thao dich mang 2~____ 488,000 ~88,00()__ TT3-- 3780VK2 Cong chich thu6c Cong chich thu6c 10,00Q I-- 1_(l,_()0_()_ _ __
379 nVKI- --- Cong truyen dich ~ong truy~n djch 20,000 _~ __ __2(),00()__ _ _-380 DYK3 - Cong truyen mau 1 I dv mau Cong truyen ~_II__/_ I dv ma~ _, _3_~,00()__ ___ __30,()()0_ 1---- __---- ----- 03.0079.0 ChQc hutld~n luu djch mang O~n luu khi, dich mang phoi bang sonde cae
381 TTPTl02 077 ph6i IO\li 1,400,000 _ __!l'7,()9_()_ _ 1,263,QQ_Q I!._03.0033.0 :E>~tcatheter dQng milch :E>~tcatheter dc)ngm\lch
~2 USIC21 097 :E>~tc-a-th-e-te-r-d-Qn-g-m-(lc-h-t-'-h-eo--jf-c:E>-~-t-ca-th=-e-te-r-'-d:C:Q-n-g-m-\l--:ch-t-=-h-eo-CdO-'i-Ch-u-ye'<t--:a-p---+--=-I.!'c8:.=2,7,'..:,0-,-0--,--0__ 5_46,00()____ 12~!_000_ - - --- - II__383 TTPT}l_ __ doi hu~t ap Iien~ __ lien t\lC __!!~54,0Q<J__.________ _ L~~_4,()O()__- --- --
:E>~tcatheter Hnh m\lch ngo\li :E>~tcatheter Hnh m\lch ngo\li bien1_ _:!_3~84+U~SI~C~0::_5+:-::-::---:::-::-c=-=-_f-::b~ie"'-n_.__:____=_--;--;_:_--- 1_8_6,()_00 _I~,OO_() 1_'1'3_
03.0035.0 :E>~tcatheter tinh m\lch trung :E>~tcatheter Hnh m\lch trung tam385 USICI8 j______0""9c::_9_ _Lt=am:=-- 1,"--98c_c5-'-,0'--'-0_0-'65_3_,~0_0_0__ !2~,OOOL_ ~
TrangJ2/26
Glli Vi~n GlliBHYT Chenh I~chGhi
Mi baochu
Ten djch vy kY thu~t (Bq Y Tim ThOng Til 13 Vi~nTim Ph inSTT CODE clio T~)
Ten djch vy kY thu~t (Vi~n Tim) (0110112019) (hi~u Ivc mO'ivO'igiaPh in 1001-i
BHYT 10,,1120/8/2019) BHYTmO'i Thu
03.0035.0 B(i,tcatheter tlnh mach trung B(i,tcatheter tlnh mach trung tam nhieu nong386 MOl 099 tam nhieu nong 2,307,000 653,000 1,654,000 TI
B;it catheter tinh mach trung tam theo doi ap387 TTPTl4 hrc tinh mach lien tuc 2,107,000 2,107,000
01.0317.0 B;it catheter TMTT ba nong B;it catheter TMTT ba nong diroi huang dAn388 M02 099 duoi huang d~n cua sieu am cua sieu am 2,307,000 653,000 1,654,000 T2
01.0317.0 B;it catheter TMTT hai nong B;it catheter TMTT hai nong diroi huang dAn
_~_9 M~'!_______ 099 duoi huang ddn cua sieu am cua sieu am 2,307,000 653,000 1,654,000 T2
01.0317.0 B;it catheter TMTT mot nong B;it catheter TMTT mot nong duoi huang390 M04 099 duoi huang d~n cua sieu am dAncua sieu am 2,307,000 653,000 1,654,000 T2
01.0066.1 B;it 6ng noi khi quan B;it noi khi quan391 TTPTl8 888 1,751,000 568,000 1,183,000 TI
01.0216.0 B;it 6ng thong da day B;it 6ng thong da day392 USICI2 103 363,000 90,100 272,900 T3
01.0160.0 B(i,t6ng thong d~n hru bang B(i,t6ng thong d~n hru bang quang393 USICI4 210 Iqual!& 241,000 90,100 150,900 T3
B;it 6ng thong tjnh m\ich b~ng catheter 2394 TMOI nong (bao gAmca catheter) 1,943,000 1,943,000
01.0317.0 B;it catheter tjnh m\ich trung B(i,t6ng thOngtjnh m\ich b~ng catheter 3395 TM02 099 tam 03 nong nong (bao gAmca catheter) 2,307,000 653,000 1,654,000 T2
02.0188.0 B;it sonde bang quang B(i,tsonde bang quang (bao gAmsonde)396 TTPT70 210 277,000 90,100 186,900 T3
---B(i,t6ng thong d\i day B(i,tsonde d(lday Inguai Ian (bao gAmsonde)03.0167.0
397 TTPTl07 103 363,000 90,100 272,900 T3._-
B;it 6ng thong d(lday B;it sonde d(lday Itre em (bao gAmsonde)03.0167.0398 TTPTl9 103 363,000 90,100 272,900 T3
-__
03.0178.0 B;it Sonde h~u mon B;it Sonde h~umon399 M05 211 173,000 82,100 90,900 T3
Tham do huy€t dong b~ng B;it va tham do huy€t dong b~ng Swan Granz21.0005.1 Swan Ganz (bao gAmca catheter Swan granz, bo ph~n
400 TTPTl03 774 nh~n cam ap (\lc) 4,665,000 4,547,000 118,000 TDB1----.--
--_-
B;it, theo doi may t\iOnhip B(i,t,theo doi may t\iOnhip t\im thm401 M06 t\im thai 212,000 212,000 .---
TTl--~--
USIC47 01.0284.1 Binh nhom mau t\ii giuang Binh nhom mau t\ii giuang402 A 269 58,000 39,100 18,900 ---- 1----
Bo ap l\lc cua bong chen a Bo ap l\lc cua bong chen a b~nhnhan d(i,tnoib~nh nhan d;it noi khi quan khi quan ho;ic rna khi quan
403 USICI5 ho;ic rna khi guan 40,000 40,000
f---- 404 USICI9 Bo ap Ivc tjnh m(lch trung Bo a~_l\lCtjnh m(lch trung tiim 529,000 529,000 TT3
01.0287.1 Bo lactat trong mau Bo lactat trong mau
f---405 USIC03 532 381,000 96,900 284,100
406 USIC48 Bo Im;mgnuac tieu 24 gia Bo Im;mgnuac tieu 24 gia 57,000 57,000----
407 TTPT59 Bo SP02 I I I~n Bo SP02 I I I~n 7,000 7,000
01.0002.1 Ghi di~n tim cap Clrut\ii Ghi di~n tim d.p Clrut\ii giuang--1----
408 USICOO 778 giuang _, ________ 80,000 32,800 47,200 T3
02.0150.0 Hut dam hau hQng Hut dam h~u hQng409 USIC37 114 73,000 11,100 61,900 T3
02.0150.0 Hut dam h~u hQng Hut dam h~u hQng410 USIC37 114 73,000 11,100 61,900 T3
03.0092.0 Hut dam qua 6ng noi khi Hut dam qua 6ng noi khi quan b~ng catheter411 USIC35 ~ guan b~ng catheter kin kin 481,000 459,000 22,000 ~
----
Hut dam qua 6ng noi khi Hut dam qua 6ng noi khi quan/canuyn rnaquan/canuyn rna khi quan khi quan b~ng 6ng thong mot I~na ngumb~ng 6ng thong mot I~na b~nh khong tha may (mot I~nhut)
01.0054.0 nguai benh khong tha may412 USIC36 114 (mot I~nhut) 96,000 11,100 84,900 T3413 USIC33 Khi dung thu6c tha mav Khi dung thu6c tha may 62,000
_._62,000 TT2
03.0022.0 Kich thich tim vo; t~n s6 cao Kich thich tim vai t~n s6 cao414 M07 192 4,878,000 989,000 3,889,000 TIUy b~nh phAmdich ph€ Uy b~nh phAmdich ph€ quan qua 6ng noiquan qua 6ng noi khi quan, k~i quan, rna khi quan b~ng 6ng hUtthuangrna khi quan b~ng 6ng hut de xet nghi~m a b~nhnhan tha may
415 USIC04 thuang de xet nghi~m 6 b~nh 227,000 227,000 TT3--Uy mau cac dQngm\ich khac L~ymau cac dong m\ich khac xet nghiem
416 USICOI xet nghi~m 101,000 101,000 TT3--Uy mau dong m\ich quay L~ymau dQngm\ich quay lam xet nghiem
c------±!-7_ USIC02 lam xet nghi~m khi mau khi mau 100,000 100,000Uy mau tjnh m\ich, tiem Uy mau tjnh m\ich, tiem thu6c tjnh m(lchthu6c Hnhm\ich (mot I~n (mot I~nchQckim qua da)
418 USIC09 chQckim qua da) 27,00001.0188.0 LQcmang b\mg cap Clrulien
_. 27,000
419 TTPT07 116 t\lC _____ l~_!I1angb\lng cap Clrulien tl,IC 3,855,000 562,000 3,293,000._-----=-- Tl
TrangJ3/26
Mi baoSTT CODE cao
BHYT
Gia Vi~n GiaBHYT Chenh lechGhichu
nn djch v\I kY thu,t (Vi~n Tim) Tim Thong Til 13 Vi~nTim PMn Phan(0110112019) (hi~u h/C mOivOigia 10\li
20/8/2019) BHYTmOi 10\lif------- ---------._--"- _1'l1!L -_ .._-
nn djch V\I kY thu't (BOYT~)
01.0176.0 LQcmau lien tuc cap ciru__ 4~Q _l_~_ (CVVH), LQcmau lien tl,lc(O::._I:_::la='nCJ_) "__ __i,ll~,0(){)__ 2,212,000 2,643,000r--~~l~_DTC ~ M_ayda thu~ MaY..<iathu cdp .; ..__ ___3_47,0001------- __ _3i?!QQQ
03.0078.0 Mcrkhi quan Mcrkhi quan (bao gam ca canuyn)422 ITPTlO 120 .-:-.-:---:-,,--:--,. 1--~9_4_5_,0_00 7.!2)~_Q<l 3_,2~§!Q"0_0 _
1---- !-- 01.0096.0 Mcrmang ph5i t5i thiSu b~ng- Mcr~i~gph5i t5i thiSub~ng troca094 troca __ ". , ~.-_:_7"9:.',-'-00:..c0_+_----=-5.::..96c?:,0QQ--8_3~Q9_() T__l__
Nuoi duang nguoi b~nh qua Nuoi duong nguoi b~nh qua ong thong da5ng thong da day b~ng bom day b~g bom tay (mQtIAn)tay_(mQtI~!!l___ _ 72,000 72,000 IT3, --~ -----"----, -------""--,-------_._- "-----~ ------ --._----- --------Pha rung cap ctru ngoai Pha rung cap ciru ngoai buong tim
425 IT!,T~~ __ ~ ~~ng tim ., " " , " , I, 12~,OQQ "__ _!,_I~~Q0_() ___ __ _ __Pha rung cap cuu trong Pha rung cap ciru trong buong tim
__ ~ lI!'I!~_ ___ =-1?.u~'!!Ltim r-r-rr " " -t-_ __300,QQQ.."_____ _ 3()0,0()_0"_. _01.0086.0 Khi dung thuoc cap cim (m(it Phun khi dung
427 DVK4 898 IAn) 62,000 20,400----:-:---,----,------i-c--:--:-----------------02.0313.0 Rua da day cdp ciru Rira dI;I day
""__ 4_2~lI!,TlL _15"_9__ _t-------,------,-----1-----------------I---=-34-'-'0=-'-,0::.:0'-0---4 __ _::1_:_19:.2.:,QQQ__.__ 221!Q()_O_ T3Rut catheter tinh m\lch trung Rut catheter Hnhml;lchtrung tim
t-~2 U_1IC23 tam +__ _ ~~O()Q_ _5_§,_OQQ _430 DVK6 Ru.!_~i~ncl,lc_ _ ~~i~n q!_C J_8,00Q " " 8~9_Q9_431 USIC17 Rut ong nQikhi quan Rut ong_pQikhi_guan 128,000 128,000 IT3
01."0019.0 Sieu am Doppler m\lch cdp sieu a~ O-;;-ppIerm\lch cApciru t\li gi~~g -- f-------'- ----"- --------.-
432 US_~52 ~Qi____ ciru t\li gi,uang , 3l_l_,_Q()_0__ ?22,000 89,OQQ.. TI02.0314.0 Sieu am 0 b\lng Sieu am 0 b\lng
__ ~33 UISC53 00 I __ 224,0_Q()_ J9~(){)O_ _ _01.0018.0 Sieu am tim cApciru t\li Sieu am tim cdp ciru t\li giuang
434 USIC54 004 [giuan_g____, -,- 35_2,000 _ ___E~QQQ_ __ ll~QQQ_ _ _ __ Tl__ ~~MOI S~idaymat _ S~i~mat 22!QQQ_ 22,Q()()__ _ __ __i36 USIC28 Tam cho ng!,!Oib~njlJ~i___" Jam ch()_~~i b~II..~_!~LgilI~lL J_Q8,00()_ !.08,00()__ IT3
ITPTl34 03.0023.0 Kich thich tim t\lm thOivm T\lo nhip cdp ciru ngoai budng tim4372 192_--:-::-- d~n CI,lC_~~ Idng~E_ __ 1,70~09_0 2.89,00()___ ~O_,O_()Q !1___
02.0459.0 TI;IOnhip tim cdp ciru v6'i TI;IOnhip cdp ciru trong budng tim__Q8 T'J'PTl05 391 di~n qlc trong bud'!&_tim~i _4!,_8_78--',_00_0-t-__ ~1,'_6_25'__',"0'_0c..0:__3,253,000 TI
---- -- 03.0119.0 Thdm phan phUcm\lClien tV~Thdm phan phucml;lc lien t\lCthOngthuang -------"--"-- ..-~2 M09 116 thOngthuang, , _l,_8-'-5'-'5,_:_00cc0_t--...:5--'6~2,'C-0-'-00:--1---:3:_o:,2::.c9.cc3"Q9_()_.Il_
Thay bang I vet thuang Thay bang I vet thuang khong nhi~m trung____~_()moo ~_g_!!hi~m t~ng (dum ~_~:--., =_,-- -+--__ 72=,0001 -+__ 72,009_ __ ~
Thay bang I vet thuang Thay bang I vet thuang nhiem trung (du6'inhi6m tning (dum 15cm)Ap 15cm)Ap d\lng NQiTru neu vet thucrngco:d\lng N(iiTru neu vet thuang nhi6m trung; thdm dich mau, ... )
f-- 441_T~38~ ~nhi6m t~ng; thdm dich "___________________ 95,000 95,000I- 442 MIO Th~.!!Igcatchi_, ~bangcatchi , --73~~=-======n::QQO:=---"- -----
01.0267.0 Thay bang cho cac vet Thay bang cho cac vet thuang hO\litU rQng443 USIC32 203 thuangJ!o\li 11! rQng(mQtIAn) I(m(itlA!!l__ , , ~OOO ~,OO_()_ __ _1_I200_()()__ __'Il_
r------ Thay bang vet thuang (tu Thay bang vet thuang (tu 15cmden 30cm)15cm den 30cm) __ ~!QQ()__ 80,000 _Thay bang vSt thuang (tU Thay bang vet thucrng(tU 30cm dSn 50cm)
445 TB02 ~!!I den 50~m) -, t_--1-0~9,~00-0-t_------"I-------l"0-9~,-0-0"".-0 ~I-----~-- Thay bang vet thuang c6 Thay bang vet thucrngc6 nhi6m trung (du6'i
nhiem trung (dum 30cm) 3~ _Thay bang vet thuang co Thay bang vet thuang co nhi6m trung (tunhi6m trun~ (tu 30cm den 30cm den 5?~ ,-,-- __ 17_4~9_()__ _Theo doi (bang Monitoring) Theo doi (bang Monitoring) di~n tam do liendi~n tam d5lien tl,lc24h tl,lc24h" . f--_4'-=0..:0-",0..:0.cc0--l ~00,()-QQ- ----t---Theo doi (b~ngMonitoring) Theo doi (b~ngMonitoring) di~n tam dd liendi~n tam dd lien t\lC24h (co t\lC24h (c6 in gidy)
449 ""T_D=:_:Oc2:__-t- +i=n->L..giidxL... " " _---- Theo doi di~n tim lien t\lCt\li Theo doi dien tim lien t1,lCtl;ligiuang
450 USIC08 giuang 129,000 129,00Q_ 'f'Il_r-~1 Mil Theo dO-i-E-T-C--O--2----+T=h:-e--o-=d"C:o·i=-:E=T=C==O:::2-:..____________302,0001-==-=- 3_()~,(l0_Q _
-"--.f---~--- Theo doi SP02 lien tl,lct\li Theo doi SP02 lien tl,lct\li giuang452 USIC24 giuang ----:--:-c--:----,---i--------------"----- __ ±~,OOO __~Q,OOO --- ---
ThcrCIPAP 1Thcroxy cao ap ThcrCIPAP 1Thcroxy cao ap (ngay)[Cngay) , , __ .__ 1_0~0,'__00_0_t------+.-- _IOO,QQQ _H6 trq h6 hdp xam nh~p qua Thcrmay (01 ngay dieu tri) (Ho hap ap Il,lc
03.0083.0 nQikhi qulin duang lien t\lC(CPAP) khOngxam nh~p crtre454 ITPTl7 209 sa sinh (!!iQCPAP qua f!!@ _B4,00()_ __ 55_~_()()____ 26~~00 _ _ I!___
----- ---- -63.0082.0 Thcrmay khong xiimnh~p Thcrmay khong xiimnh~p (thOCPAP, Thcr455 USIC41 209 ithcrCPAPl ThcrBIP~J )3_IP~_" " ~67,~ __ 559,000. 108,000 Tl456 ITPT60 Thcroxy 1 I ngay « 2 lit 1 Thcroxy 1 I ~_~ 2 lit 1 phut) _" 50,000 m--50~6D_"<[ ~--- ===
~7 TTPT62 Thcroxy 1 I ngay (> 3 lit 1 Thcroxyll..~?:lJit 1""~ ~~009 __10,0QO_ ----- ---
~23M08
424 USIC47
444 TBOI1------
446 TB03-""--'----
447 TB04
448 TDOI_.
453 TTPT63----r----
41,600 ---t-!]-
131,000 131,000
500,00:_:0-+- --+_--=5_0:.:c0,Q(){)_ -- __ ------
P2
TDB-"--- ----~
TrongJ-I/26
Gili Vi~n GiliBHYT Chenh I~chGhi
Mibao Ten dlch v\I ky thu,t (BC)Y Tim Thling Til 13 Vi~nTimcM Phin
STT CODE cao T~)Ten djch v\I kY thu,t (Vi~n Tim) (0110112019) (hi_~uh,c mOivOigia
Phin IO\liBHYT 20/8/2019) BHYTmOi
IO\liTho
1------ThO'oxy / I ngay (til'2 lit den ThO'oxy / I ngay (til'2 lit den 3 lit / phut)
458 TTPT61 3 lit / phut) 50,000 50,000
459 USIC06 ThO'oxy gong kinh ThO'oxy gQngkinh 116,000 116,000 TT3
ThO'oxy qua m~t na co tui ThO'oxy qua m~t na co tui khong hit lai (tuikhong hit lai (tui co van) (£ 8 co van) (£ 8 gia)
460 USIC07 [gio) 174,000 174,000 TT2
03.0133.0 Thong tieu Thong tieu461 USICI3 210 181,000 90,100 90,900 T3
Thu thu~t choc tuy xU011gtai Thu thuat choc my xU011gtai giuong - Moi462 TTPT02 igiuang - Moi ngoai ngoai 300,000 300,000
463 TTLl Thu thu~t loai I Thu thu~t loai I 513,000 513,000
464 TTL2 Thu thu~t loai 2 Thu thu~t loai 2 345,000 345,000
465 TTL3 Thu thu~t loai 3 Thu thu~t loai 3 168,000 168,000
466 TTDB Thu thu~t loai d~t bi~t Thu thu~t loai d~t biet 932,000 932,000 I----
Thu thuat rna khi quan - Moi Thu thu~t rna khi quan - Moi ngoai467 TTPT03 ngoai 500,000 500,000
02.0339.0 Thut thao phan Th\lt thao phan468 TTPT04 211 291,000 82,100 208,900 T3
02.0339.0 Th\lt thao phan Th\lt thao phan469 USIC40 211 291,000 82,100 208,900 T3
470 Ml2 Tiem bAp TiembAp 50,000 50,000
471 USICIO Tiem tinh m\ich Tiem tinh m(lch 27,000 27,000 TT3
472 DVK5 Trich maul I IAn Trich maul I IAn 50,000 50,000
Truyen mau va cac che phAm Truyen mau va cac che phAmmau473 USIC27 mau 250,000 250,000
474 USICII Truyen tinh mach Truven tinh m(lch 27,000 27,000 TT3
V~ sinh rang mi~ng d~c bi~t Ve sinh rang mieng d~c biet (mQtIAn)475 USIC31 I(mQtIAn) 64,000 64,000 TT3
01.0285.1 Xet nghi~m dong mau nhanh Xet nghiem dong mau nhanh t~i giuang476 USIC49 349 t~i giuang 164,000 12,600 151,400
Xet nghi~m duang mau mao Xet nghiem duang mau mao m(lch t~i giuang477 USIC50 m\ich t~i giuang (mQtIAn) !cmQtIAn) 46,000 46,000
478 USIC29 Xoa bop pMng chAngloet Xoa bop [lh6ng chAngloet 37,000 37,000
1---- I------
---- xET NGHI$M MAu xET NGHIEM MAu ----
23.0018.1 Djnh lUQIlgAFP (Alpha AFP (Alpha FP)479 365AFP 457 __ ~_proteine) [Mau] 97,000 91,600 -___2,iQQ___ --
1---- -- 1------23.0007.1 Djnh lUQIlgAlbumin [Mau] Albumine / mau
480 126A1b 494 32,000 21,500 10,500- - -- -- --
23.0009.1 Do hO(ltdQALP (Alkalin Alkaline Phosphatase (ALP)481 ~~Ik-P 493 Phosphatase) [Maul 97,000 21,500 75,500
~-23.0010.1 Do hO(ltdQAmylase [Mau] Amylase / mau
482 127Amy 494 75,000 21,500 53,500305HBs 24.0123.1 HBsAb djnh IUQIlg Anti-HBs (Elisa)
483 Ab 620 185,000 185,00024.0146.1 HCV Ab mien djch t\l dQng Anti-HCV (Elisa)
1---
484 306HCV 622 162,000 119,000 43,000485 329HIVE Anti-HIV (Elisa) Anti-HIV (Elisa) 126,000 126,000
24.0172.1 HIV Ab mien djch t\l'dQng Anti-HIV (Elisa) (BHYT duqc tinh khi th\l'c486 0706TTr 617 hien trong bQXN Tien Phiu) 126,000 106,000 20,000487 30lASO ASLO ASLO 72,000 72,000----
23.0003.1 Djnh IUQIlgAcid Uric [Mau] Axit uric / mau488 117AU 494 42,000 21,500 20,500
23.0027.1 Djnh IUQIlgBilirubin toan Bilirubine toan phAn489 II0Bil-T 493 [lhAn[Mau] 68,000 21,500 46,500---
23.0025.1 Djnh IUQIlgBilirubin tf\l'c Bilirubine tf\l'ctiep490 IIIBil-D 493 tiep IMau] 68,000 21,500 46,500f-----
23.0028.1 Djnh IUQIlgBNP (B- Type BNP (B- Type Natriuretic Peptide)491 250BNP 466 Natriuretic Peptide) [Maul 584,000 581,000 3,000
23.0030.1 Ca mau (Ca Total) (dien giai) Ca mau (Ca Total) (dien giai)492 I 15CAG 472 68,000 16,100 51,900493 80lCM c.ly mau t(liVien Tim Qy mau t~i Vien Tim 100,000 100,000
23.0039.1 Djnh IUQIlgCEA (Carcino CEA494 505CEA 476 Embryonic Antigen) [Ma~ 124,000 86,200 37,800
23.0041.1 Djnh IUQIlgCholesterol toan Cholesterol totale495 10lCHO 506 IphAn(mau) 30,000 26,900
125CKM 23.0044.13,100
Djnh lUQIlgCK-MB mass CKMB496 B 478 IrMau] 73,000 37,700
XNMl38 Clo/mau35,300
Clo/mau4972 20,000
23.0042.1 Do hO(ltdQCK (Creatine CPK20,000
_ 498 ~4C~_ 482 kinase) [Maul 74,000 26,900 47,100-
Trang 15/26
CODEMibaocaoBHYT
STT
GiaBHYTThOng Tul3(hi~u hie20/8/2019)
GhiChenh I~ch chuVi~n Tim Phin PUnmlii viii gia . 10~1iBHYT .. 10\11
mot Thu--------- ---- -~-- - -----
Gia Vi~nTim
(0110112019)Ten djch vy Icy thu,t (Bq Y
T@) Ten djch vy Icy thu,t (Vi~n Tim)
------+----I-c-:--:-c----c---j----------------- ------------------------------ ----------j---------23.0051.1 Dinh hrong Creatinin (mau) Creatinine 1mau
t--_4c:..9.:._9f-Ol_::_08:::._C::.:r_::_e-J-4.:..c9_:4__ -+___________________ ___ _ _ 27!QQQ__f- 2_1~0Q__t- _ _2,5_0Q__ _Phan img hoa hop c6 sir dung Cross-Matchkhang globulin nguoi (Ky
22.0276.1 thu~t ScangellGelcard tren____!i00 033CRM 327 _.:-::-:--:-may ~ dQn&._______ _ 13~,000 r- t--__I_c3_6._,'-'-00c_.:..0
23.9000.1 CRP dinh luc;mg [Gia phan CRP dinh luc;mg [Gia phan ung CRP]__ 2Pl Dr4302 ~ imgC~ 75,000 2~,()()Q_ _
Djnh hrong CRP hs (C- CRP hs23.0050.1 Reactive Protein high
__ _5_Q.?__1_1~_c::~_!':,_!!.i. :_ sesitivMlM~ 72~()()_Q 53,80()__ _2_1d_0_() _23.0052.1 Dinh luong Cyfra 21- I [Mau] Cyfra 21-1
___ ~1 ~5Cy~ 4~_6 , ,___________________ 120,000 9~~Q()_ ~.!.I_()()XNMI41 23.0058.1 Di~n giai do (Na, K, CI) Di~n giai do (Na+, K+) -- --- ----
__ _?Q~;J__--- 487 [Mau] , ,_____ _ 62,000 r___l9,OOO t- ~,O()() _ __ __XNMI41 23.0058.1 Di~n giai do (Na, K,CI) Di~n giai do (Na+, K+, Ca+)
_ _591~ __ ±_~ __ [Mau] __ , -----,--------------c--:--:----------- __ 62,000 __ 29,000 +__ 33,0QQ__112IonC 23.0058.1 Di~n giai do (Na, K,CI) Di~n giai do (Na+, K+, Ca+, CI-)
506 a :'8_7__ -:- [M!1!L_-.- -r- 2Q~()() ~~()() 41,0Q_0_ _ _ _ ___23.0058.1 Di~n giai do (Na, K, CI) Di~n giai do (Na+, K+, CI-)
507 11210n i~? [M!!!l__________ _ __i2~Q9 ~,Q_QQ 3}_,_()O_Q__ __ _ _Dinh hrong BNP (B-Type Dinh luong BNP (B-Type Natriuretic
23.0121.1 Natriuretic Peptide)[ Nguoi Peptide)[ Ngiroi benh khOng suy th~n]r--- 508 !Tr430'!_ ~~ __ ~~nh kho.!!8._~}'l!Jil!L r_-------------------------- _:_:82==2:.',_4:.::2_8-_+-_--'-40:..:8:",0:.::_0_Q_r_-_±~~~?§_ _
23.0046.1 Djnh luqng Cortisol (mau) Djnh luqng Cortisol mauf--19i 462COR 4_80 ---1- -=------:-__--:-c__-t---1-00~,-00-0_t_- __ 9_1",-60_0 8,400 _
Dinh luqng CRP hs (C- Dinh luqng CRP hs (C-Reactive Protein high23.0050.1 Reactive Protein high sesitivity)[Gia phan imgCRP]
510 ~r_4303_ ?j~ ~esitivi!illQi!phan ir!_JgCRP] r----2?,000 ____25~0_Q_ __ _ _ __23.0054.1 Dinh luqng D-Dimer [Mau] Dinh luqng D-Dimer
__ 5_1_'-Q~_!? ~2_:~ f-- 255,000 ?53,000 ~0Q9_ -- _ 1- _23.0056.1 Djnh luqng Digoxin [Mau] Djnh luqng Digoxin
512445DIG j_88_______ _ __::_:12::..::82C,0c...:.0.::_0+-8::_:6:.!C,2:cO() jIJ_QO _Dinh luqng Fibrinogen (Ten Djnh luc;mgFibrinogenkhk Djnh luqng y6u t6 I),phuang phap Clauss- phuang
22.0013.1 phap t1'\lc ti6p, bdng may tv_ 513 ()_:3_I£~__ 242 dQng_ -jc-- :1.::_07'-',0.::_0~0_f_---.:.-:10:.::22C'0:.::_O-Q--5_,0_o0 _
XNMI42 23.0098.1 Dinh luqng Insulin [Mau] Dinh luc;mgInsulin___ _5!_45 ~_2_ , gooo ~(),8_()_0__ ___ _I_,_2_O_O _
23.011 8.1 Djnh luc;mgMg [Mau] Dinh luc;mgMg ++ huy6t thanhSIS ~26 _ 5_~ 1 ~---.:..62='-,0.:.-0:...:.0-t_-----.::.32,300__ ~~2_()()_ _
23.0121.1 Djnh luc;mgproBNP (NT- Djnh luqng NT-ProBNP516251PRO 548 IproBNP) [Mau] +__ 4.::_clc...:.6.,_e0_.:..00.:_40~_QQ__ ~,Q_OQ__ _
XNMI42 22.0094.1 Djnh luc;mgPeptid - C Djnh luc;mgPeptide-C1--_~_17 _8---~c--- . __ 1-:::-:-____ ___ 203,_()OO__ 171,000 _32,0()_Q__ _
23.0130.1 Djnh luc;mgPro-calcitonin Djnh luqng Pro-calcitonin [Gia dinh luqng518 ;rr_r_419_1__!8_3 [Qi!Ej_nh_lu_~_g-C-R-P-/C-RPhs] <2_RP_/C_RPh.sl.--:_--,-. --:---:- 4 !1.9_QQ_ ~ 4_l2.!_Q_0Q_ _
23.0143.1 Djnh luqng Sat [Mau] Dinh luc;mgSat huyet thanh519 1429 503 36,000 32,300 3,700---f----- ------ ---------------r_--------- ------- ----------- ---------- ---
23.0161.1 Djnh luqng Troponin I [Mau] Djnh luc;mgTroponin I520 252TroI ::...56:..:9 -t- ------:-~:-
--- 253TroT 23.0160.1 Dinh luqngTroponin Ths-- Djnh luqngTroponin Ths -521 hs 569 ~~ _!_2__1,00Q___ 75,400_1-- _ __j~600
Djnh nh6m m{1Uhe ABO, Dinh Nh6m mau ABO + Rh (Gelcard)Rh(D) (Ky thu~t
22.0290.1 ScangellGelcard tren may_~?.?_QQ0_9S m----- ~~tv <!9_!1g)_______ _ , _I_2_2,00Q___ _ _122,QQ_Q
r-- ,- Djnh nh6m mau h~ ABO, Dinh Nh6m mau ABO + Rh (Gelcard) + TheRh(D) (Ky thu~t nh6m mau+ rui mau
00 lAGS 22,0290.1 ScangellGelcard tren may
--~52'::3~~T~N~M~-~~2~75::----f~='~~·~-:-':r"-n:;::~~;:::::J2L~~-;-a-U-;-hc:::-.-;-A-;:;B-;::;O~,--- D-i-nh-n-h6~mau h"e"As-o--(T-\I-i-a-iuOng-)-tr-e-n-r---..:..12=:2::.!.,0::_:0:...::0-+-----+ 1_2_2_-',_00_0__--- - --- -----
Rh(D) (Ky thu~t the dinh nh6m mau (di c6 sAnhuy6t thanh22,0290.1 ScangellGelcard tren may m~u) d6 truy€n ch6 phAm ti€u cftu ho~c huy6t
524 VTI520 c:27._5:__ -tb:_acn--:--,tv-:d~Q_n=g),---:-_-:--::-:-:=-::::-tuang- Congviin 7117IBYT-KH-TC ng~ 1~2,000 1.?_2,00()_ _Djnh nh6m mau h~ ABO, Djnh nh6m mau he ABO (T\li GiuOng) trenRh(D) (Ky thu~t the djnh nh6m mau (da c6 sAn huy6t thanhScangellGelcard tren may m~u) de truy€n mau toan phAn, kh6i h6ng
22.0290.1 ban t1,l'dQng) cAu, b\lch cAu- Cong van 7117/BYT-KH-TCL_______:::52=-5~_VT.:_:_:I_::_5.:..:19,---,-,2:.::.7~5L- !lgay 27t'QJ_I~_1§ 122,00_Q_~ 1_?2_,()()()_------ ---
Trang /6 '26
Gili VI~n GiliBHYT Chenh I~chGhlchli
Miibao Ten djch V\I kY thuit (BQY Tim ThOng TU'13 Vi~nTlm PhilnPhilnSTT CODE clio T~)
Ten djch v\I kY thuit (VI~nTim) (0110112019) (hl~u h,C mOivOigla 100,tiBHYT 20/8/2019) BHYTmOi
10,1Tho
--- -- Djnh nh6m mau h~ABO (Truyen mau-TaiDinh nh6m mau h~ ABO(Truyen mau-Tai khoa XN- khoa Xet Nghiem- Nguoi Benh) b~ngNguoi Benh) b~ng phuong phuong phap 6ng nghiem; tren phien da,
22.0283.1 phap 6ng nghiem; tren phien ho~c tren giay CV7117IBYT-KH-TC ngay526 VTl517 269 da, hoac tren giay CV7117 27/0912016 122,000 122,000
Dinh nh6m mau h~ABO, Dinh nh6m mau h~ABO (Truyen mau-TaiRh(D) (Ky thuat khoa XN-Tui mau) b~ng phucng phap 6ng
22.0290.1 Scangel/Gelcard tren may nghiem; tren phien da, hoac tren giay527 VTl518 275 __ ban tl,IdQn,g) CV7117/BYT-KH-TC ngay 27/0912016 122,000 122,000
01.0286.1 Do cac chat khi trong mau Do cac chat khi trong mau528 TTr4601 531 381,000 381,000
22.0116.1 Dinh IUQ1lgFerritin Ferritine (Fe)529 321Fer 514 108,000 80,800 27,200
23.0068.1 Djnh IUQ1lgFT3 (Free FT3530 262FT3 561 Triiodothvronine) [Mau] 90,000 64,600 25,400
23.0069.1 Dinh IUQ1lgFT4 (Free FT4531 261FT4 561 Th)'!:oxine}[Mau] 90,000 64,600 25,400
23.0077.1 Do hoat dQGGT (Gama GamaGT532 121GGT 518 Glutamyl Transferase) [MIilJL 76,000 19,200 56,800
23.0075.1 Djnh IUQ1lgGlucose [Mau] Glucose (duang huy6t khi d6i)533 105GLU 494 26,000 21,500 4,500
_-105GLU 23.0075.1 Djnh IUQ1lgGlucose [Mau] Glucose (duang huy6t sau an 2h)
534 I 494 26,000 21,500 4,500
535 500HP H.Il:tlori{IgG+IgM) H.pylori (lgG+IgM) 120,000 120,000
536 Quel Haemoglucotest 20.800 Haemoglucotest 20.800 30,000 30,000
I28HbA 23.0083.1 Djnh IUQ1lgHbAlc [Mau] HbAIC537 Ic 523 150,000 101,000 49,000
304BHs 24.0119.1 HBsAg mi6n djch t\( dQng HBs_Ag (djnh tinh)538 AgQ 649 77,000 74,700 2,300 --
Djnh IUQ1lgHDL-C (High HDL_Cholesterol23.0084.1 density lipoprotein
~_39 102HDL 506 Cholesterol) [Mau] 42,000 26,900 15,100 _--22.0160.1 The tich kh6i h6ng diu Hematocrit (The tich kh6i h6ng diu)
540 1399 345 hematocrit) b~ng may Iy tam 25,000 17,300 7,700__ --.
HGT - Accucheck(Q~e thu) 12,000 12,000541 que6 HGT - Accucheck (gue thu}542 que7 HGT - Medisafe (gue thu} HGT - Medisafe (Quethu) 12,000 12,000
543 331HIV HIV (test nhanh) HIV (test nhanh) 70,000 70,000 ~XNMI40 Kali 1mau Kali/mau
5444 25,000 25,00023.0103.1 Xet nghiem Khi mau [Mau] Khi mau (Gaz du sang 1GDS)
545 136GAZ 531 215,000 215,000 - ~------~ -_-
23.0104.1 Djnh IUQ1lgLactat (Acid Lactate546 I52LAT 532 Lactic} [Mau] 97,300 96,900 400
----- --~---23.0111.1 Do hO(ltdQLDH (Lactat LDH
547 I23LDH 534 dehydrogenase) [Mau] 70,000 26,900 43,100548 103LDL LDL Cholesterol LDL Cholesterol 54,000 54,000
---5"49 033KST Malaria(Fal + Viyax) Malaria (Fal + Viyax} 60,000 60,000--- -_.
550 465MY Myo!!lobulin M:toglobulin 90,000 90,000---- XNMl4T f----- Natri 1mau Natri Imau
551 I 25,000 25,000--
22.0135.1 Xet nghi~m h6ng cAulucri NhuQmh6ng diu lucritren may t\( dQng552 021HCL 313 (b~ngmay dem laser) 79,000 40,400 38,600c----.
23.9000.1 CRP djnh IUQ1lg[Gia phan Phan irng CRP hs553 119CRP 544 irngCRPl 75,000 75,000-_-554 pmnb Phet mlm ngo(li bien Phet mau ngo(li bien 41,000 41,000
23.0130.1 Djnh IUQ1lgPro-calcitonin Procalcitonin555 259PRO 549 [Maul 417,000 398,000 19,000-.---
23.0133.1 Djnh IUQ1lgProtein toan phan Protein toan phAn556 109Pro 494 Mau] 47,000 21,500 25,500
Djnh IUQ1lgPSA toan phAn PSATotal+---
23.0139.1 (Total prostate-Specific557 502PSA 553 Antigen) [Mau] 122,000 91,600 30,400558 que2 Oue thu D-Dimer (I te~Q Que thu D-Dimer (I test) 240,000 240,000
1--.-
559 que5 Q~e thu INR (I test} Que thu INR (I test} 90,000 90,000- -Que thu NT - pro BNP 10 (I Que thu NT - pro BNP 10 (I test)
560 que3 test} 400,000 400,000561 que4 _ ~_ thu Trollonin T 10U_ __
_,----
_-- ----- Que thu Trollonin T 10 (I test) 200,000 200,00023.0142.1 Djnh IUQ1lgRF (Reumatoid RF (Rheumatoid Factor)
---_.
__ 562 302RF 557 Factor) [Mau] 85,000 37,700 47,30022.0136.1 Tim manh YO h6ng diu Schizocytes 1Tim manh ya h6ng diu (b~ng
______5§_ 039SCHI 363 may) 41,000 17,300 23,700
Trang17126
L
cu Vien GiliBHYT Chenh lech GhichuTim ThOng TuB Vien TimPhlin Phiin
(0110112019) (hieu Iyc mOivOigili10lli
1011120/8/2019) BHYTmOi
. -----._._-- --------- ~---, -_ .._--- .. _ThiL
MibaoSTT CODE clio
BHYT
Ten djch v\I kY thu,t (BQYT~) Ten djch v\I kY thu,t (Vifn Tim)
----I--~-__l----~-- ----------~------ -----------------------------~---_23.0020.1 Do hoat dOAST (GOT) [Mau] SGOT
564 119AST 493 ,---------------11------------------------- __~1z,QQQ__f___--=2c:1-'-=-,5-QQ--5,5QO__ _ _23.0019.1 Do hoat dOALT (GPT) [Mau] SGPT
565 120ALT 493 27,000 21,500 5500___ 566 c2..!7PI,-!'__~_ S61~ ti~u cAu(b~ng m~Yf S61ullDgti~u cA~(~ng may)-===--~= ~5,000 f---- _:__i5:0QO_ =====-_-
Thoi gian thromboplastin TCK (aPTT) - -mot phAnheat hoa (APTT:Activated Partial
22.0005.1 Thromboplastin Time), (Ten__ ~6J.9}Q!'c;!__~ __ khac: TCK) b~_I!!.L~a2'_3rdong I---~ 64,00_Q__
Nghiem phap Coombs true Test de Coombs22.0302.1 tiSp (Ky thu~t
_~~ 0}_8CDC~06 __ ~cangeVQelclll'dtrin_!!I~'y___ _ •_~ __ IJ3,{)_QQ_ JlO,~_(l{)__ ~~2_Q()_ _Xet nghiern PFA (Platelet Test PFA-ADP (danh gia dOngung t~p tieuFuntion Analyzer) b~ng cAudo cac y6u t6 khac ngoai Aspirin)Collagen!ADP tren may tv
22.0061.1 dong (Ten khac: PFA b~ng569999PFA 410 CoVADP) 870000---- ----- ------~-7-----~--- ---------~-----~--------,~-- f-----..!----- -
Xet nghiem PFA (Platelet Test PFA-EPI (danh gia dOngirng t~p tieuFuntion Analyzer) b~ng cAudo Aspirin ho~c cac yeu t6 khac)Collagen/Epinephrine tren
051PFA 22.0060.1 mayt\ldOng(Tenkhac:PFA570 E 411 b~njt~o~iL_____ _ 870,000 866,000 4,000-- ---------,--- ---------- ---------- -------------- ------ ------
Test PFA-P2Y (danh gia dO Test PFA-P2Y (danh gia dOngimg t~p tieungung t~p ti~u cAuvcri cAuvei Clopidogrel)
____521_052PF~I'_f--_~_ c:toj>_i<l_ogre____!L ~ ~ ~~ ~ __ 60011_(l{)__ ~ __ ~Q,{)_{)_Q___ __ _ __XNI603 The nh6m mau The nh6m mau
__ 57_2~502 ~ ~ _22.0019.1 ThCrigian mau chay phuong ThCrigian mau chay (TS)
573 1451 348 phap Duke 20,000- - --~ --------- ----- -----~-ThCrigian mau dong ThCrigian mau dong (Milian/Lee - White)
__~2~ 0_29T.f {Mi!i~EfLee- Whi~{!,9_ (I9__ ~._--------------- _I_25,000 _1_2§,()00 _ _ _ _Tim ky sinh trung sot ret Tim KST sot ret trong mau
22.0138.1 trong mau (b~ng phuong__?'!~1'_~1'J'!U~l_ £!!.~_ thi!~~ ~ _______i!,QQ_Q _li.~_Q_ 4._10_(J_
22.0121.1 T6ng phan tich tSbao mau T6ng phan tich t6 bao mau bAngmay d6m_ _}7_6OOICTM 369 ~i vi (b~ngmay dem I~~ ~~!!,TTB~_l NGFL1 §7,000 ~-'200 ___2_Q.§00 _
ThCrigian prothrombin (PT: TP - INRProthrombin Time), (Cac ten
22.0001.1 khac: TQ; T:Y I~Prothrombin)__ '[l_}Q~4TP 352 b~ng_!IIaytv t!.~___ _:-__ --:--:- ~ __§5,g_Q()__ .§1,500 I,_50"O _
322TRA 22.0089.1 Dinh luqng Transferin Transferin! dObao hoa tranfeinr-----E~~ ~_~_ _ ~ ~_29_'Q_(l{)__f_-----§i&-0Q- ~_'l~4()0 _
319VDR Treponema pallidum RPR Treponema pallidum RPR djnh tinh (VDRL):---__5J.2!:_ -,----:-djnh ti~ (VDR1:l__ ~~ ~ 1~0_0_Q_ ~~OQQ _
23.0158.1 Dinh luqng Triglycerid (mau) Triglyceride__ ____5_~ _!Q'!_~_~6____ [Mau] __ ,-- 3Q_,D_QQ_ ~~_D_Q_ __ 3,IQO _
23.0162.1 Dinh luqng TSH (Thyroid TSH_~! ~6QTSH ~ Stilnulating hormone) [MauL ~7,00Q___~~_(l{)__ __ ~ 37,8(j()_ _
XNI603 Tui d\lDgmau Tui d\lDgmau_~8_2_ 2~()!_ _ __ ~ ~ ~_ 140,Q_Q_Q_ ~ _ _!io_._0QQ _
23.0166.1 Djnh luqng Ure mau [Mau] Ure 1mau__ _5§3_}Q6URE _'l2±____ _ ~__ ~ _ _35,QQ_()_ _ __B,~QQ__ J_3!?QQ_ __
22.0088.1 Djnh luqng vitamin B12 Vitamin B12584 468VITB 571 100,000 100,000r-c-- ---~-~--------~-----------~- f---------------~- ----- - --- ------- - - --- --
------- ----- 22.0143.1 Mau Idng(b~ngmay t\l dong) VS 1Mau Idng(b~ngmay (\f dong)585 020VS 303
_~c-'-'-- ----- f------ XET NGHI~M NU(jC-~ XET NGHI~M~NU'(jC TIlfu----- ---------- --1-5--4--AL-B---+-----~F~'--'I=~u'-'~'--I-:--·n-e-:-/-nu-CJ-':-c-t-:-i~'u----- -A-lb-um-I-'ne~1nuac ti~~--------- ------- --~~-- ------ -=-- f_-----
586 N I------j--------:--c---:-:--:-- ~__.--------------- 3~_,D_Q{)__ .BR()()..--- -------153AMY 23.0175.1 Djnh luqng Amylase (ni~u) Amylase 1nuac tieu
587 N 576 ,----- 72._g_(l{)__I-__ 37_'?_00~r_-J7,1°-()-23.0176.1 Dinh luqng Axit Uric (ni~u) Axit uric 1nuac tieu
588 226UAN 598------
40,400 ~ ~~,60()_ _
866,000 4,000---------- --- ---- -----
~_~Q.000 f___--_:_:50,()()()__ _ ~_
12,600 __ ~J-,±QQ _ T3
___--=3_5:-',~00:....:0__t_-~.:.3--4,'-'-60-'--0~ ~4~0~01------
_42,000 _ ~O_() 25,99_DC~;Addi-;t~ucrcti6u----- -- - ----Xet nghiem tSbao c~n nucrc
22.0149.1 ti~u (bing phuong phap thi!589234CAD 594 c~L ~ ~,0_QQ_ 43,~_()Q__ I§,2QQ ---- ---590206UNIT -Ceton1n~~--- C_e!~;-In_l!_~:R~u 40,00{)__ 4Q._Q_()Q_ _ _
f------~-~ ---. ., f-C- • 1 J. ., 90000 90000591 464COR Cortisol 1nucrctleu __Cortlso!__!l_I!\}(;__!leu ' -------~,---- --- --- -----197CRE 23.0184.1 Dinh luqng Creatinin (ni~u) Creatininel nucrctieu
592 N __ 598 ~ __~ ~ 27,000 __ J_6,_J_DQ__~__ lQ,20()_ -- - ------
TranI! 18,' 26
Ghi Vi~n GiaBHYT Chenh I~chGhichuMabao Ten djch vy Icy thu,t (Bq Y Tim Thong Til 13 VI~n Tim Phsn
STT CODE cao T~)Ten djch vy Icy thu,t (Vi~n Tim) (0110112019) (hi~u h/C mm vm gla
Phsn 10'.1IBHYT lo,i
20/8/2019) BHYTmm Tho23.0172.1 Bi~n giai (Na, K, CI) (nieu) Bi~n giai db (Na+, K+, CI-) 1nuoc tieu
593 228ionU 580 62,000 29,000 33,000
228ionU 23.0172.1 Bi~n giai (Na, K, CI) (nieu) Bi~n giai db (Na+, K+, CI-, Ca+) 1mroc ti~u594 Ca 580 70,000 29,000 41,000
XNNTl4 23.0187.1 Dinh hrong Glucose (nieu) Glucose 1nuoc tieu595 71 593 26,000 13,900 12,100
23.0180.1 Dinh luong Canxi (nieu) Ion Ca nieu (di~n giai )596 230CAU 577 68,000 24,600 43,400
230MGN Ion Mg nieu (di~n giai) IonMg nieu (di~n giai)597 T 62,000 62,000
I96MAL 23.0189.1 Bjnh luong MAU (Micro Micro Albumin 1mroc tieu598 N 587 Albumin Arine) [nieu] _~ _. . 146,000 43,100 102,900
~---23.0201.1 Dinh IUQ"ngProtein (nieu) Protein 1mroc tieu
599 939P 593 47,000 13,900 33,100 --
200PTN 23.0206.1 T6ng phan tich mroc tieu T6ng phan tich mnrc tieu600 T 596 (BAngmay tv d(lng) 48,000 27,400 20,600
23.0205.1 Bjnh IUQ"ngUre (nieu) Ure 1mroc tieu601 225UN 598 35,000 16,100 18,900
xsr NGHI~M cAc xer NGHI~M cAc CHAT DICH KHAcCHAT DICH KHAc CVA CVACO THE (djch nao toy, dlch msngCO THE (djch nao my, ph6i, djch mang tim •..)dlch mang ph6i, djch mang - -
I66ALB Albumin 1djch Albumin 1dich602 D 32,000 32,000
23.0214.1 Djnh IUQ"ngBilirubin toan Bilirubine toan phan 1dich603 148BITD 493 phAnfdjchl 68,000 21,500 46,500_
Bilirubine tf\ICtiep 1dich Bilirubine tf\ICti~p 1dich 68,000 68,000604 149BID146CHO 23.0215.1 Bjnh luqng Cholesterol toan Cholesterol totale 1dich
605 D 506 ~hAn(djch chQcdo} 30,000 26,900 3,100
Xet nghi~m t~ bao trong nuoc B~m t~ba~, phiin IO!li(cac chfitdjch)dich chAndoan t~bao hQc(niio tily, mang tim, mangph6i, mang b\lng, djch kh&p,
22.0152.1 rna ph~ quan ... ) bAng606 1488 609 l'~<mg phap thi! cong 90,100 56,000 34,100~..--- ~~.~
Xet nghi~m t~ bao trong nuoc Dich d!lday (d~mt~bao 1phiin IO!li)dich chan doim t~bao hQc(niiomy, mang tim, mangph6i, mang b\lng, djch kh&p,
22.0152.1 rna ph~ quan ... ) bAng607 139DDD 609 _- .l'!!~<mgphap thil cong 90,100 56,000 34,100 _-
Xet nghi~m t~bao trong nuoc Dich DP (d~mt~bao 1phiin IO!li)~--~-
dich chAndoan t~ bao hQc(niio tily, mang tim, mangph6i, mang b\lng, dich kh&p,
22.0152.1 rna ph~ quan ... ) bAng608 139DDP 609 phu<mgpha!! thil cong 90,100 56,000 34,100
Xet nghi~ t~ bao trong nuoc Dich mang b\lng (d~m t~bao 1phiin IO!li)dich chAndoim t~bao hQc(niio tily, mang tim, mangph6i, mang b\lng, dich kh&p,
22.0152.1 rna ph~ quan ... ) bAng609 I39DMB 609 phu<mgphap thil cong 90,100 56,000 34,100
~---~ ---~
Xet nghi~m t~bao trong nuoc Dich mang ph6i (d~mt~bao 1phiin IO!li)dich chAndoan t~bao hQc(niio my, mang tim, mangph6i, mang b\lng, djch khap,
22.0152.1 rna ph~ quan ... ) bAng610 I39DMP 609 phu<mgphap thil cong 90,100 56,000 34,100
Xet nghi~m t~ bao trong nuoc Dich nao tily (d~m t~bao 1phiin IO!li)-------
djch chAndoan t~ bao hQc(niio tily, mang tim, mangph6i, mang b\lng, dich khap,
22.0152.1 rna ph~ qUlin... ) bAng611 139DNT 609 phu<mgphap thil cong 90,100 56,000 34,100
Xet nghi~m t~ bao trong nuoc Djch trung thfit (d~mt~bao 1phiin IO(li)djch chAndoan t~ bao hQc(niiomy, mang tim, mangph6i, mang b\lng, dich khap,
22.0152.1 rna ph~ quan ... ) bAng612 I39DTT 609 phu<mgphap thil cong 90,100 56,000 34,100 --l~ Trang 19126
STT CODEMibaocaoBHYT
Ten dlch vy Icy thu,t (B9 YT@) Ten djch vy ky thu,t (Vifn Tim)
Gia VifnTim
(0110112019)
Chenh IfCh GhichuVlfnTlm Phlin Phlin
mOivOigialo\,i 10\,1
BHYTmOi------- ~---- - _TlIlL
T3
I~~----j--··~
GiaBHYTThong Tu13(hifU I"c20/8/2019)
------ "145GLU 23.0217.1 Dinh hrong Glucose (dich Glucose / di~-h---~~-~--------------- f------------
6 I3 D 605 ch",Qcc_d=o:L)~~__ ~~~-l_~~~ __ ~ ~ __ ~_26,000 l2,9001------ -149LAC Lactate 1dich Lactate 1dich__ ~~ p __ ~ ~ __ ~__ _~ _~_~ ~~~~~~ c7_0"-',-=-00::._:0'-+-~~ ZQ,_OOO _
145LDH LDH 1djch LDH 1djchI---~!~.P----:-~-----'-I----- ------ -------------------- __ ~ZQ,O()()_I____----~- ~ 2°._0QQ__ ---- I--~
144PRO 23.0210.1 Djnh luong Protein (dich nao Protein 1djch616 D _ 607 tuy) __ ~ ~ ~~~ 47,000 10,700 36,300 _ __ _ __~
1---_~2 _146~ID _~ ~-~glyceride I djch • !!!~~i~LdjcL.--------~ __ 30,00Q__f----~--- lO,OQ__O_I---~t_--~- __ ---=~ ~T N~HltM ~HAN ~ XET ~g!l1t_l\:f__!l1~ ~_~ ~ ~ __- _
24.0263.1 Hong diu, bach cau trong Soi nroi tim HC+BC -_~_~l~ ~N1491 ~2._~ ~soi t!!_qi__ ~~ ~ _____i9,og_9 ~_38,200 I~~O_ _ _
Soi tum tim KSTDR trong Soi nroi tim KSTDR trong phan (ky sinhKSTDR_ phan (ky sinh trung/ vi nAm trung/ vi nAm soi tuoi)
_~~9 _I __ ~ ~oi tu<!il___ ~. ~ ~ _4_I__,Q__()()~ ~ il~_O()_O_ __ _ _ ___ 620 ~2_71'"_Q_~I--_~~ ~~l!_~.!! trong philn ~ )f_acdjnh __l11~lI_!t:QI!S__2_ll_iln J_4,OOQ__ ~ _2i,__0_Q()_ _ _ _ _-~-t------- f-- -~------- ---.-~.---------------~-~----~--~- ~---- ----- ------- -~.-- ------- ---------- -------
PhOne PHCN&VLTL PhOng PHCN&VLTLKy thuat t~p chu6i d6ng va Ky thu~~p~hu~Td(;~g va chu6i ma---- -------- --~-~- ----~---------- ----~
621 TTr2123 chu6i rna 107 000 107 000------I------~--I----- ---------.-----------------------~~-'----I_________---- --- ' -.. ----____j12 IT!212~__ Ky thu~t v~ rung 16ng ng\lC !_<.ythu~t v~ rungl_Qll&__11ID!_c ~ i_-----!07,OOO ~~ ~_01QQ_O=, =- _===_~
17.0073.0 T~p cac kieu tho Hp cac kieu tho___~~_I!~_~l_ ~7_]__~ . ~ ~ __ ~___ ~ I_Q?_,QOO ~~O, I00 _~ 7(\,~()__ JL
17.0046.0 Hp di tren may tham T~p di tren may tham lan(Treadmill)___ 614. !!r21 o!_ ~--:c---c- lan(TreadmJ!!.L~~ __~ _~ __~ ~~ _IQ_2,_o_QQ__ 29,OQ()___ ___ 7§,QOO. ___T1_
17.0042.0 T~p di vai khung t~p di T~p di vai khung t~p di__ ~?2_Tfr?103 _ ____1_6_8 ~~ ~~ ~_~~ __ ~ _!_Q_2,_()()_(l__ 29,000 _~J8,()0()_ _
17.0041.0 T~p di vai thanh song song Hp di vm thanh song song________g6TTr2102 __ ~ , _~~ __ ~ _, ~~ ~_~__ _ 107,00Q__ 2~()_()_()___ I~O_OO
TTr2115 17.0090.0 Hp dieu hQ1>v~n d(ing t\li Hp dieu hQ1>v~n d(ing t\li Giuang~_ 627 ~_ 267 Giuang ._~ ----'--'17_::8,,0:~00_=_+~--4-:--:62:,9-::0-=-0+__ _Ill,!O_O
17.0090.0 T~p di~u hQ1>v~n d(ing t\li T~p di~u hgp v~~ d(lng t\li phong-YL TL_~~ TTr~_1_~ 267 _~ p_l!_o_!l_g_Y!:-_T!-__ ~ ~~ __ __!_610'_=0_0::.+_~----'-'46:-o,-9::.-:0=0__ _1Ii,!()()
17.0075.0 Hp ho c6 trQ'giup T~p ho c6 trQ'giup__ 6_29 !!:!_~I_!i_ __J..JL ~___ 107,000 30,100 _26,900 '!_3_
630 TTr2120 ._~_ Hpkeodan _--. nl'k~dan. . __ ___1_()2,0_Q_()__~~ 107,Q__qQ__ _____ 6i[fr_r~1-i6 I~lan tra,khi ~am T~I' Ian tra,khi n,am ____I_(l_Z,_()__o_()__ f.---------- _~ _10J,OOO . 1- ____ _:_6_::_3.2+--TT_r2_1_0_5_1-,- ~n, xU_Q.'!S__ca?thang___ TI.1'len ~u§_I!S_£a?th~___ 107,OO__O_I--- 1------_ __1_07,000 _~_ 1-__
17.0037.0 Hp ngoi thang bang tinh va T~p ng6i thang bang Hnh va d(ing__ 633 _!T__r_2!()_1___J§J_ d(ill_g_ ,_~_,----, , __ ,--~-, __ ~~,----- ~~I0'7,_(l__o__O i6_.90Q ._~60,lQQ
Hp thay doi tu the til' nam T~p thay doi tu the tir nam sang ngoi____ 634 !T_r_~~ sangng6i 1------------------------ __ _I_()7,000 ~ __1Q__7,Q()_0
T~p thay d6i tu the til' ng6i Hp thay d6i tu the til' ng6i sang dUng___ ~1_5 !!__r_~_1~ san~q____ ~_~ . _!__O_2,_(l__oO 1()_1,_(l()_0__ 63_§__TTr2119 T~p v~n d(ing chu ~_2_J1g__~ n~I!it2!!!lE!t!_Q9_!1_g_ lQ?_,_OOO1-- _107,OQO_~ ~ __
17.0056.0 T~p v~ d(ing c6 khang tra Hp v~n d(ing co kMng tra637 TTr21.::_08_=_+---,2::.::6:_:_7-- ~~_~~ __ ~ ~~ __ ~~~ _
17.0053.0 Hp v~n d(ing c6 trQ'giup Hp v~n d(lng c6 trQ'giup__ ~~___r_2IO_?__t--:-_267 _I__-----------I-------.------~----------- _!()_2RQQ __4~.200 _~_~q,_1QO IL
17.0052.0 T~p v~n d(ing th\l d(ing T~p v~n d(ing th\l d(ing639 TTr2i06 267 !0_7,00_0 46,~()__0 ~O~l_(l__o T3_
17.0065.0 T~p vm rong rQc T~p vai rong rQc___ 6~_()IT!_~!()_~c)___ I--- ._______________ _ _!()'7_,_()_()_()__ ~QQ__ 2_5,8_Q0_ --~ ---
17.0071.0 Hp vai xe d\lp t~p Hp vai xe d\lp t~p~_~'!! !!!:?_!_g_1_-=2,_.7_-:_0_+-- ~ ~ ~__107,O__OQ ~~_11,200 __ J5,§Q()_ ~_
- - -- ---- _._-
__ ____'_'I0::-~7_.,~0~_:0:_-:0+_------'-'46::-"9:--'0'-=0'__1--~--6....0",,.10-....0- __ __ _ __T_3
Trang 20,/ 26
Gili Vi~n GiaBHYT Chenh I~chGhicMMi bao Ten djch vy Icy thu,t (Bq Y Tim ThOng Til 13 Vi~nTlm Phin
PhinSTT CODE cao T~)
Ten djch vy Icy thu,t (Vi~n Tim) (0110112019) (hi~u Ivc mOi vOi gia lo~liBHYT 20/8/2019) BHYTmOi
10'11ThiJ
_.Cham soc y ts CaD3 (tir I gio dSn 24 gio) 140,000 140,000
657 CSI7658 CSI8 Cham soc v tS tai cap ciru(Iir I gio dSn 6 gio) 180,000 180,000
659 CSI9 Cham soc y tS tai dD ciru (tir I gio dSn 12 200,000 200,000
660 CS20 Cham soc v t€ tai dp ciru (tir I gio dSn 18 250,000 250,000_.
661 CS21 Cham soc v tS tai dD ciru (tir I gio dSn 24 300,000 300,000
662 USIC43 Dieu dUOng cham soc 100,000 100,000
663 USIC44 Dieu dUOng cham soc d~c bi~t(REA) 300,000 300,000 ~664 USIC45 Dieu dUOng cham soc (Phong 3, 4 giuong) 70,000 70,000
665 USIC46 Dieu dufmg cham soc d~c bi~t(USIC) 300,000 300,000
cAc KHOAN KHAc
666 Bao Bao giay nylon 2,000 2,000
667 DVKI6 caP pho ban giay ra Yi~n 1 cmme thuong 30,000 30,000
cap tom t~t benh an tiSng Anh/Phap theo
668 DVKI8__ Iyeu cau 160,000 160,000
669 DVKI7 cap tom t~t benh an ti€ng Vi~t theo yeu cAu 80,000 80,000
cap y chirng 1Giay CN sirc khoe tiSng Vi~t
670 DVKI9 theo yeu cau 40,000 40,000 I~
Cap y chimg/Giay CN sire khoe ti€ng
671 DVK20 Anh/Phap theo veu cAu 160,000 160,000
672 KOI Photo k€t qua c~n Him sang 30,000 30,000
673 K02 Sao ch\lQ I Qhim 70,000 70,000
674 CDOO CD Marcell 15,000 15,000
675 DVKI2 Chao d~c bi~t (d/suat) 15,000 15,000 ~676 DCR Dao C\lOrau (Rasoir) 12,000 12,000
677 DVK22 .QiaCD 15,000 15,000
DVPTB Dich Y\I ph\l thu BN nuac ngoai 30%
678 NNQ - -DV Ph\l thu BN nuac ngoai 10% (ap d\lng
679 PTBKTC vai bill KTC) - - .-I-.~~
--
DVNT88 Nuac cam
680 4 15,000 15,000--~
sil Bao Hi~m Y T~ 2,000 2,000681 DVK24682 DVK23 SilKham B~nh 7,000 7,000 I~
-----683 DVKJ3 Soupe (d/suat) 15,000 15,000
~~- ----Soupe di;icbi~t (d/suat) 20,000 20,000684 DVKI4
~ 685 TD-4 Sua u6ng 15,000 15,000---
Tit dan nguoi Ian 15,000 15,000686 TT26-1687 TD26-2 Tit dan tre em 5,000 5,000
688 DVK21 BQdBQ)::jama 220,000 220,000
689 TD-3 BQ dB tre em Pyjama 100,000 100,000 --
690 DVKIO Chao thU(J'ng (d/suat) 25,000 25,000~691
.::_._._- ---- -._~_--~------ --
DVK9 Cam di;ic bi~t (d/suat) 30,000 30,000 I~692 DVK8 ~\lt (d/suat) 25,000 25,000 I-------- _.
--_ ..Mau ch~ phim mau TT33 Mau ch~ Qhim mau TT33ChS phAm tlia I\lnh th~ tich ChS phAm ttia I\lnh th6 tich 50ml (Tir50ml (tir 1.000 ml mau toan J.OOOmlmau toan phAn)
693 TM24 7.2 phAn) 359,000 359,000
Chi phi dieu chS kh6i ti6u Chi phi dieu chS kh6i ti6u cAu g(ln tach250_310 cAu g(ln tach (Chua bao gBm (Chua bao gBm bQ d\lng C\l g(ln tach)
6947 9.4 bQ d\lng CIIg\ln tach) 1,151,000 1,151,000
Chi phi dieu chS kh6i ti~u Chi phi dieu ch€ kh6i ti6u cAu g\ln tach120_310 cAu g\ln tach (Chua bao gBm (Chua bao gBm bQ dllng C\l g\ln tach)
6957 9.5 bQ d\lng CIIg\ln tach) 628,000 628,000696 TT33003 4.4 Huy€t tuong dong I\lnh 150ml Huv€t tuong tucri dQng I\lnh th6 tich 150ML 177,000 177,000697 TT33004 4.5 HuvSt tuong dong I(lnh 200ml HuySt tuong tucri dQng I\lnh th6 tich 200ML 280,000 280,000
----- ---Kh6i hAng cAu tir 350ml mau Kh6i hAng cAu tir 350ML mau toan phAn
698 TT33001 2.7 toan phAn 975,000 748,000 227,000---
Kh6i hAng cAu tir 450ml mau Kh6i hBng cAu tir 400ML mau toan phAn699 TT33002 2.8 toan phAn 1,065,000 1,065,000
__ DICH v"! KHAc700 TX05 V~n chuven Taxi DHYD 59,000 59,000701 TX07 V~n chuy6n Taxi PNT 59,000
I------ --59,000
702 TX04 V~n chuy~n Taxi Blnh Dan 58,000._-
58,000703 TXOI V~n chuy~n Taxi Chq Ray 53,000
I~ _-_.53,000
704 TXI3 V~n chuy~n Taxi CTCH 71,000 71,000705 TXI4 V~n chuy~n Taxi Da Lieu 69,000 69,000706 TX31 V~n_chuJ'~n Taxi Dieu DuOng 08 104,000 104,000707 TX23 V~n chuy~n Taxi Gia Djnh 129,000 129,000708 TX24
-709V~n chu)'~n Taxi Hoan M,£ 117,000 117,000
TXIO V~n chuy~n Taxi Hung Vuong 59,000 59,000--_._-
Trang21126
GhiGhi BHYT Chenh I~ch chitThOng Til' 13 Vi~n Tim Phsn Phan
(0110112019) (hi~u l"c moo v01 ghi • 10\1120/8/2019) BHYT m01 lo,~
I--::-:-:+=.,:-:-:-::---t------I---.----------- -------.--------.---------- ------- ----1------------ _JjJ_!l__ 1----710 T=,X,:.I_::-5__ I --I ---I-'VC-"~"_'n_"chuyenTaxi Mat _. 68,000 68,000
1--_--_7_TI~~- ~~n cl!!!Y~Il_~_xi_Medic __ 44,00O_ --==-~~i4~OO- ---I---i+}~~:; V~n c~~n Taxi ND!_ }6,000_1-- 1__-16,Q_~= =~~~_=~_______ ._____ . V~n_£_Il!l~n_TaxiB~£.-------------105,000 1-- J_Q~_()(}_O_ _ _~~ ~:~ y~_11_£_Il~Il-L~i-!'!~n Tr~ _§,OOO_ I-- _ _(i3_,_OQO _l--------'i161')(oS- ----- - -~ Y_~ll£h'!!~_11_I!_xil'!8l!Yen Tri Phuang _(il,0(j9 6_~!0~~ _
_____________ ~n c~n Taxi Nhiet Doi 8~,QQQ_1__------ S6,000 _ __ _ _7.1;-:7:i=TX=IS:----+ -t- ~~-11-E!!!!y,etl--Iaxi-RHM _5~()_0Q 1--__ 56,_(JQ~ _
_ ----'7,,-'-1_8:ETX=-==2-=-1_+-- +-- IV_:_"'~n:'_.:::ch::::u~-nTaxi Tam_!)u~ . 167,000 1--_ _!_67 ,OOO_ ___ 7_19T_X_2_0 ~_-I- Yin c~~n ~E__!~lJ!-IllilQ, ~ S~!(jQQ_I- S2_,Q(j9_1-- _~-if~~~~ ----- ~n chuyc:Il_I~~_Ih_§_llg__r_l~_t__ ~6,0_00 6t_0()_0 + _______------f------ 1-- I~VCO~"n_,'_c,:.::hu:~nTaxi TMB .. _. . 101,000 _ 101,000__ 7~2 12SQ§--r--- y!~_s:huy~n ia_!i_TM_!!I!=-_-~_~_==_==-== ~~=s2JlOO--------- __ _52.OQO~= _- =1==
V~n chuyen Taxi Trung tam dinh dirong (Le__ ;;~ ~~{ ~I!_§I Q--!'-h~Nhu~ J>6,00_D 9(,,00()_ _ ______ 1- Yful_J:h!!~Il_Taxi_I1'llIlgVu~g_ _2~,00_(}__ I--_l(,_,O_0Q _
V~n chuyen Taxi IT Phuc Hoi Chirc Nang725 TX27 __ ~ __ ~Au _Quang Un Q8) I04,000 1O~~9_()_(}__u _
__ 7~~ TX09 V~n chuy~n Taxi Til Dii . 59,000 ~D_9()_ _727 TX03 V~n C~E T;;-i-U~~~ __-===-=---= ·--129,000 1---_!_~2!()(}_O___ _ _
_ 72~ TX2s _~- ~_n chuy~ __!_axi_Y_!~nYJiDL __!07!Q_(J_() 1-- I_()J~O_O_O _ ____ ??:_2.12S29 V~n chuyc:n Ta~! Vi~!1'_!1_~~ _,_--._- _I_§~()_OQ_ I-- l~~!()9_(l_ _ __ 7?() I~?_2___ r--: . Y_~nchuyen Laxi Y H2_c_Dan_T«)cCO_I'!!!yen ~6,0_(}_0 8_§,O_Q()_ _ _ _ ___ 2.31 IX:_32___ f------ fhi th~_gian _I:!t_ota_~iJ~ ~2,Q_QQ_e-- 1?:_,(j_(}_0 _1----:7:::-3_2:1TX32 _ Phi thoi gian cho taxi 30' . 23,000 . .. 23,000
733 TX33 Phi tho~;;-~h~~i6<Y-------- --- ----45MQ- -------- ----4-5))00----- -----
_Z.3i TX34 -t- +'P_"h"-"ithoi gian cho taxL20_' I-- ~1h000_1--- ~I___--6~}~9]= =-_~~-.---~~-----f-----.--- -- vAN~HiJYENCAPCUlJ------------ ---- = -=--===== .~.~~.-===
___ 735 VC_Q(- __ Cuoc xe c~p cUu_C__Il_q_g&yc6 I!_acsL I--__ _I_~S,()_Q_Q ~ __ _!5S~Q_0()_ _ __736 VC02 Cuoc xe c~p cUu TMH c6 Bac sI ?lQ,QQQ . }~O!()OQ.-737 vc63--- ----r-- C' ., U B' 273 000____ C:-_---- uac xe C~jl-I:lI'U--IIg-J-l!~_c!)_~~-sl-----, _}2~,00_() .. _
_____7}~_\"~O_±__ . __ ~oc xe c~~ clni_»inh J)_!I!.s_~Bac__sL e-___!_(,_5_!9_00 I6_5,QQQ .____ ?~_2y<:;05 . ~__ . !::_u"cxe ~_))__£fiu Dl!YD c6 Bac sL~ _!!i_S,OO()_ 16~.Q_(}_0_ _ _+___ 740 ~<::06 CuOc xe $'_.c!Iu_TM!:IlLc6 Bac sL I---__!_!i_S,O()_9 ~6_8,()_0_0._ ~ _ _ __
741 VC07 Cuoc xe cap cUu PNT c6 Bac sI 16S,000 168,000=--_ -7~ ~08 !::_l!{Icxe cAp cUu Nhiet D6i c6 Bac sI 208,000 ~ =-- 2~:,QQQ~-:-_~____ ________?,.~ ~~ __ Cuoc xe c~~ cUu Tit Dii c6 Bac sI _ _I68,0(j_(}_ . I_6_~!.()_O_O ___~± YC_I_(J__ I- Cuoc xe~ cUu Hi_ng Vuang c6 Bac sI __ I-_I_~,OO_O_ ~ 16_S,(j()() _~-__1_'!5 Yf_I_l__ _ ___ ~_!foc_~_~-])-(:uu ND I c6 Bac sI l~~O_Q__O _I43,()00 _ _~_ _ __ 2,!6 ~C 12 Cuoc xe C~j>_~1luND2 c6 Bac sI ~ 1___1.38,gOO 2~8,_()OQ .. _____2'!?Y_<::Il_ ~!!{!c x_!:c~j>_cUuC!~~ c_6Bac_sL___ __1_85,000 __!~.Q_O_Q_ + _
74S VC14 <:;uocx_(:_~ cUu D~_1d~1l_J:6Bac sL 183,000 IS3,9Q_0 ___li2 YC15 Cuoc__x~$cUu¥~! ~6BacsI IS0,0_(lQ !!O,Q()Q_ ~ __
750 VC16 Cuoc xe c~p cUu Nguy~n :rrai c6 B~_s!___ ~__ !73,000 __ 173.Q()_9 _Cuoc xe cap cUu Nguyen Tri Phuang_c6 Bac
751 VC17 sI __ 170,000 _~ I?_Q,_9_O__O~ _I- 752 VCIS I- <::uoc~~~~_cUuRHM c6Bli_c~ _!_63,000 ~ _l_li}_,Q()_0_~ _
753 ~_I2_ __ ----I--- !::_llocxe_~l!_~Uu T!l!'lg_Y_uang_cp_!J~E_si I43,Q()()_ ~__ ~!_41_Q()Q~ _1--754 VC20 ~ ~oc xe cAj>_~lrt!_TamThAn c6 Bac si 213,000 ?g_(}_o_o__ _ __~55tyc2i- ----- Cuoc xedp CUuTam Duc c6 Bac sI 330,0001-- __3_lQ,_QQO __ 7~6 y_<::~ ~_I-_ Cuoc xe c~Uu Medic c6 Bac s_I___~______ _~_5_!()()_()_I--- I-- 1_42.O_Q_0 _
1__-7_5_2 VC~1_1- ~ ~I!_~ xe c~P CUuGia Dinh c6 Bac sI 1--__1_'Q,000 1--______ ___ ??~.Q_(l0__ _ _ _ _1--_]~8 VC24 1----- ~~ xe c~~Uu Ho~n MY~ Bac_~ 255,000 1-- ~~_(}_O_ ---1------~~ ~~. __~£--x-(: cap cUu Thong Nbat_~_~~ __~ _!_?~_.Q_(l_(}__I__------ __ 178,0()(}_1-- _
Cuoc xe cAp cUu Trung tam dinh dUOng(QJ'_~u Nh,u~n) c6 Bac sI , •__ ~23,000 1-- 2~~00 _Cuoc xe cap CUuIT ph\1c hoi chuc nang (Au
761 VC_:c2:::_:7_-t- i P_ll'_O'I!g_L!ll__Q8)c6 !_J_!I:_s_I_ ~31,()_2_Q 1----.--- __ ?_3_5,_Q()_9_--- - -- --~--762 VC28 __ Cuoc xe cA~ cUu Vi~n YHDT c6 Bac sI 240,000 240,000763 VC29 --f---- Cuoc xC:c~~ ct'r!!_Vii!1'hli~ -c6 ~~__sI .-= ::_--:-3:3}~_Q()()_ _-_=-]_33~OQI_-::_::_ _
Cuoc xe cAp cUu Y HQc Dan T«)cC6764 VC30 Truy~n c6 Bac sI . __~I__ 20S,000 e--- 208,Q()_()_ ---- f-----
----765 VC3t- - Cuoc xe c~~ cUu Dieu DuOng Q8 c6 Bac sI 235,000 ?~,(}_O_()_ _766 VC32 ~_ $_Iloc xe c~p cUu Chq R&y khong_c6 BacL ~ 138,000 e-__ _l_3~'0~.<!-t-- _
~76i VC33 Cuoc xec~~ CUuTMH khongc6 Bac sI 210,OQ()_I__----------~!Q,000- ----- 1----1--- 776698VVCC3345-- Cuoc xe cap cUu Ung BuOu khOng c6 Bac sI 253,000 2_?_1(}_?.<!- ~---
Cuoc x_~4~.f!u Binh D~_khOng c_Q_BacsI 145,000 !~,()_O(}__ ~ _-~-!-7~7·~0-Ic:'V':'C~3~6:-+----I-------------t;:;C;=u~oc'-'-xe cap cUu DHYD khOng c6 Bac sI _ ____!±_8,000_1-_~ 148,002_ _ _I--_ mVC37 _ __ .______________ Droc xe c~j>_cUuTMHH khongE6 Ba~~!____ I__---I-i!!,Q()()- .-----~-- --__!-'!~!Oo-Oo-(lo------- -
772 VC38 _ Cuoc xe C~I' ct'r!!__l'BLkhong c6l!~E~!__ f--__ 148,00(}__ ~ _I_48,__ - -- -- - ------773 tvC39 Cuoc xe c~~ CUuNhiet D6i khong c6 Bac sI _ _l8S'000_L_______ _ ~~,QOQ_ ___ - ~---L_ ~ _L ___
Mibao Ten djch vy Icy thu,t (By YT~) Ten djch vy Icy thu,t (Vi~n Tim)
Gia Vi~nTimSTT CODE cao
BHYT
760 VC26
1--
Trang 22, ]6
· GhiGia Vi~n GiaBHYT Chenh IfCh chuMibao nn djch V\I ky thuit (BC)Y Tim ThOng Tu13 Vi~nTim Phan
nn djch vy kY thuit (Vi~n Tim) PhanSTT CODE cao T@) (0110112019) (hl~u Ivc mOivOigia lo~dBHYT lo~d
20/8/2019) BHYTmOi ThiJ774 VC40 Circe xe cap ciru Til Dii khong co Bac si 148,000 148,000
Cuoc xe clip ciru Hung Virongkhong co775 VC41 Bac si 148,000 148,000776 VC42 Circe xe clip cjru NIH khong co Bac si 123,000 123,000777 VC43 Ciroc xe cap ctru ND2 khona co Bac si 218,000 218,000778 VC44 Circe xe cap ciru CTCH khona co Bac si 165,000 165,000779 VC45 Cuoc xe cap ciru Da Lieu khonl! co Bac si 163,000 163,000780 VC46 Circe xe clip ciru Milt khong co Bac si 160,000 160,000
t--781 VC47 Circe xe cap ctru Nl!llyenTrai khona co Bac 153,000 153,000Circe xe cap ciru Nguyen Tri PhuO'11g_khong
782 VC48 co Bac si 150,000 150,000783 VC49 Cuoc xe clip ciru RHM khong co Bac si 143,000 143,000
Circe xe cap ciru Trung VUO'11g_khongco784 VC50 Bac si 123,000 123,000785 VC51 Circe xe cap ciru Tam ThAn khong co Bac si 193,000 193,000786 VC52 Cuoc xe cap ciru Tam Duc khonz co Bac si 310,000 310,000787 VC53 Circe xe cap ciru Medic khong co Bac si 125,000 125,000788 VC54 Circe xe clip ciru Gia Dinh khong co Bac si 253,000 253,000789 VC55 Cucrcxe clip Clru Hoan My khong co Bac si 235,000 235,000
____15}0VC56 Cucrcxe clip Clru Th6ng Nhat khong co Bac 158,000 158,000Cucrcxe cap Clru Trung tam dinh du5ng
791 VC57 i(Q.Phu Nhu~n) khong co Bac si 203,000 203,000 r-----Cucrcxe clip Clru TT ph\lc h6i chuc niing (Au
792 VC58 DUO'11gUn Q8) khong co Bac si 215,000 215,000793 VC59 Cucrcxe cap Clru Vien YHDT khonl! co Bac 220,000 220,000794 VC60 Cucrcxe cap Clru Viet Pbap khonl! co Bac s1 313,000 313,000
Cucrcxe cap Clru Y HQcDan T(lc C6795 VC61 TruY6n khong co Bac si 188,000 188,000
Cucrcxe clip Clru Di6u Du5ng Q8_khOngco796 VC62 Bac si 215,000 215,000 --- t-----
Cucrcxe clip Clru thong d\lng n(li tinh (ngmnb~nh 6n dinh xuat vien co yeu cAudi6u
797 VC63 du5ng dua v6) 2km dAutien: 100.000 100,000 100,000--- ---~- c--
Cucrcxe clip Clru thong d\lng n(li tinh (ngumbenh an dinh xuat vien co yeu cAudi6u
798 VC64 du5ng dua v6) km ti~p thee: 30.000 30,000 30,000---- --- -----
Cucrcxe clip Clru thong d\lng cac tinh (ngumbenh an dinh xuat vien co yeu cAudieu
799 VC65 du5ng dua v6) : 40.000 40,000 40,000-_ - --- ---
--~--GIA PHONG KHAM 2 / GIA PHONG KHAM DULICH Y TE
---_-_ ..- ---- nn ti@ngVi~t nn ti@ngAnh1 Cham Clru Cham Clru 1,450,000 1,450,0002 Cham Clru - dO'11gian Cham Clru - dO'11gian 1,100,000 1,100,0003 Ph\lc h6i tAngsinh mon Ph\lc h6i tAnl!sinh mon 800,000 800,000
Ph\lc h6i tAngsinh mon - clip Ph\lc h6i tAngsinh mon - clip Clrut-----
4 Clru 1,200,000 1,200,000Tu van nuoi con b~ng sua me; Tu van nuoi con b~ng sua me;: Tat tuy~n sua: Tat tuy~n sua, viem tuySn , viem tuySn sua , v~t thuO'11gdAung\l'C
5 sua , v~t thuO'11gdAung1,l'c 1,200,000 1,200,0006 Huang dAnlap ti6n san H;anl! d~n lao ti6n san
--1,200,000 1,200,000
Huang d~n lap ti6n san - clip Huang dAnlap tien san - clip Clrut-----
7 Clru 1,800,000 1,800,000--- ----8 KiSmtra suc kh6e tang quat KiSmtra suc kh6e tang Quat 2,150,000 2,150,000
Kham benh - danh gia tang Kham benh - danh gia tang quat9 Iquat 2,300,000 2,300,000
Kham benh chuyen khoa - Kham b~nh chuyen khoa - danh gia ban dAut---lQ 1--- danh gia ban dAu 3,250,000 3,250,000
11 Kham benh clip Clru Kham benh dp Clru 2,300,000 2,300,000Kham benh cap Clru - phuc Kham benh cap Clru - phuc t(lP
12 t(lP 2,500,000 2,500,000Kham benh clip Clru chuyen Kham benh clip Clru chuyen khoa - phuc t(lP
13 khoa - phirc t(lP 3,300,000 3,300,00014 Kham benh chuyen khoa Kham benh chu:yenkhoa 1,650,000 1,650,000
Kham benh chuyen khoa - Kham benh chuyen khoa - benh nhan Vien r--15 benh nhan Vien Tim Tim 300,000 300,000
Kham benh chuyen khoa - Kham benh chuyen khoa - dO'11gian -16 dO'11gian 1,450,000 1,450,000
Kham benh chuyen khoa - Kham benh chuyen khoa - phirc t(lP17 phirc t(lP 1,800,000 1,800,000
Kham benh chuyen khoa - tai Kham benh chuyen khoa - tai kham18 kbam 1,150,000-_. 1,150,000
Trang 23126
GhiGill BHYT Chenh '~ehThOng Til 13 VI~nTim clni Phfln(hi~u '\Ie mlii viii glB Phlin lo;.ti20/8/2019) BHYTmoi 10,1
Kham benh chuyen khoa va Kham b~nh chuy~n khoa va sieu am phu khoa ------ -- --- -------- _IhiL -- -1--_--'l~91_---+---__+':'si~eu~~am--£J!-1L~hoa ~ ;-------------------h150,00-Q- 3,150,0001- _ _=2:.::0~ -I _!9!ambe'!h_!~ngquat __ !<hall1_~_!I_ht~llg__q_uat I,450,00Q_ -C_~IQ,Q_Oo-=-~--
Kham benh tong quat - Benh Kharn benh tong quat - Benh nhan vang laif--_-=2_:I_l + -£nh~a:::n:_:vc::a::ongOL::la:;i__ ,-------,-__ _1 I,550,000 --j~--I~,::-55~O:o:,0~0':'0:-t_--__ _ _
Kham benh tdng quat - phirc Kham benh tdng quat - phirc tap1--_=22=+ -+ -+='t(l:t:_p__ ~-------- ~~ ~ +__-:2=',-=-00=-:0'-'-,0=-:0:-:0-_I_----_I_~2,~0~00~-,-,O::-O~O_
Kham benh tdng quat - phirc Kham benh tdng quat - phirc tap - Benh nhan____ 23'+__ -l --I-t:'!"(Ipl:'_-B~nh nhan vang lai __ f-Cv_::;_an:=<lgOLI:=a_:__i_--,-_____ __ 2,250,0~()__1- l--_2.."...2,:,50,000 _ __
Kham benh tdng quat - tai Kharn benh tdng quat - tai kh---:--cam-------_---'2::4_+ -l +k~h~acm.~ ,~----- ,_:--:-_:-:- t---c-c9:-:5_Oo'-,0_-:00 950,000 _ _ __ ______=25=+__ -I -+Kh'-"-'"a=m=b'<"'-n_:::h:_v"'a""o-=c=hl,·_;f.::.u_.,th._,u=bay_!QlamE~nh vao chi~u thu bay 1,900,00-0---- --- --1,900,000- --
Khambenh vao chieu thu Kham benh vao chieu thu bay - Benh-nhan___ -+~ -Benh nhan vang lai vang lai ___b!OO,Q~ c--------- _~J.QQ~_Q()__ _ _
Kham chuyen khoa nhi va Kham chuyen khoa nhi va bao cao benh an___ =27+__ -I -lbao cao benh an_hai ng2!!_!!gi!_hai !Jgonngfr __ 2,I00,000 2,I00,000 _
Kham chuyen khoa nhi va KMm chuyen khoa nhi va bao cao benh anbao cao benh an ti~n~ PhaL_ t~_ Ph~. 1_,_80~()_~ I,80~9Q9_ _ _ _Kham chuyen khoa ve chOng Kham chuyen khoa ve chong m~t
___ ~2:.::9~---I-----+m ...a~~t-----.-------- 2,000,000 2,000,000Dien tam db - benh nhan f>ie~tamdb - benh nha~ien Tim ---- ---- --- --- --- ---- - - - - -- ----
___l(l___ Vien Tim __ I • ~ _!()()!OOO ~ _10~000 _____ _g_ _ Dien tam db Dien tam db _ _!i_00,0~ ~Q,_D_O_()__ ___ _l_2 Dien tam db g~ng~ __ :men t~db g!_ng~-- 2,500,000 ~_5_()O,OO()__ _ _ ___ ~l Do thlnh h,IC Do thlnh h,IC 500,000 500,000 __ _li Sieu am - b~nh nhan Vi~n Sieu am - b~nh nhan Vi~nTim 500,000 500,000 _
35 f-- Sieu am . Sieu am , _ 1,400,000 ___I_,±OQ,D_()Q_ +- _36 Sieu am khan Sieu am khan 1,650,000 1,650,000
__ __l1 Siel!_am1'_hVkhoa Sieu am phv khoa __ --2,300,000 __ =-_ 2,30_Q,Q(}1[38 Thti thu~t Thti thu~t ~O,OOO ~ __ 25Q,QQ()__ _
Holter dien tim - b~nh nhan Holter dien tim - benh nhan Vi~nTim39 V~~i~...n~T=im"__ I---------------- 200,0_00 7_0_0,_()_0Q_ _
---___iQ_r----- Holter dien tim , Holter dien tim 1,600,000 J_&O_()_,-O_~O__XQ Xoang 2 til the XQ Xoang 2 til th~ (Blondeau- Hirtz)
___ 41 (Blondeau- Hirtz) _, __ ,.-_1 ~.--.-------- __ 500,000XQ Ban chan 2 til th~ (Thing XQ Ban chan 2 tu th~ (Thing - nghieng)
_ ~ _ - nghie!JgL_-:<.-~::_T-_-_I::c:_=_:~---,---:-,-~._:---:-:-:-----+--754:-:c0,000 5i_0_!Q_()Q_ _- 43 XQ Ban tay Itil t~h~ch XQ Ban ~l tu th~(Ch~ch%) 290,000 _2_()_O~()_OQ_ __
XQ Ban tay 2 tu th~ (Th~ng - XQ Ban tay 2 til th~ (Thing - nghieng)44 _!1&l!i_~) , 1 -.- __ ,-- 500,00Q_~ ~ __ _J_()_()~_Q_O_ ------1----1
XQ BVng(KUB) I tu the XQ Bvng (KUB) I til th~ (Thing ho~ct--~ 1-___ Thing ho~c nghieng) nghieng)
---- XQ dng chan 2 til th8 XQ dng chan 2 til th~ (ThAng- nghieng)46 +- f_(LTh~An~ch~ie~ng~)-'-.__ ~_t-_-. ~-.------ _
f---- XQ dng tay 2 tu th~ (Thing XQ CAngtay 2 tu th8 (ThAng- nghieng)
47 f-----II----I- nghieng)XQ Canh tay 2 tu th~ (ThAng XQ Canh tay 2 tu th~ (Thing - nghieng)
____j~I------l-----I-- ~ieng) , , ~ --=-_, ' 1--_~40,000 1-- f--_5~0~()9_()__- -- ----XQ Cd chan 2 til the (Thang XQ Cd chan 2 til th8 (Thang - nghieng)_ nghiengl_ ~_:_;_---lI--~---~-~----------I---__:5:-'4_::0-'-'-,0QQ-~-- 54()~()9 _ __XQ Cd tay 2 tu th~ (Thing - XQ Cd tay 2 tu th~ (ThAng- nghieng)
1--__ _::5~01---+_---lcn<:r:ghieng) .------. -,-_-t- ~-~--~-.._-----I---5'-'0:_:c0,000 1-- ____2()Q!()OO - ---- ---XQ CQtsang cd 2 til th~ XQ CQtsang cd 2 til th~ (thAng- nghieng)
___?_!_j + +,(",-tth""in::llg~~--=tng""h:::ie:::n;<,g)~--'-'---I=-=-=--:~!_-----.__ ~-~-----:-:--+---=-50=--'0:_>_,0-:-,0:_:_0XQ CQtsang cd 2 til th~ XQ CQtsang cd 2 til th8 (Ch8ch % 2 ben)
52 (Ch~ch % 2 ben) -.- .--:-, ~----:-j---5-00,000--=I-----I----+X~Q:=C=Q=-t sang ngvc 2 tu the XQ CQtsang ngl,Ic2 tu th8 (ThAng- nghieng)
'(ThAng- n~'f'g'L) --,---tc-::-:::--=-:-----,----:----:---,::---:- ,--,-. -1 =_:55:.:02-',0:.:0_:_0_1 ~~O,OQ_Q_ ----- --XQ CQtsdng th~t IllDg2 tu XQ CQtsang th~t lllDg2 tu th8 (thing -
1--_.::_5~4l + ---j~th~~~:-.\:(-=lth~in::l~g~-~ng~lhTie";:n,.,g:)~::__-E:nghiengL_~----~-~---~80~_()()_f-- 580~O_O_Q_-------XQ CQtsdng th~t IllDg2 tu XQ CQtsang th~t IllDg2 til th~ (Chech % 2
55 th~ (Ch~ch% 2 ben) I~b",en~),-- ~-.------- __ 5_80,_o_()()_ 2!!2!O_()()_------ ,-1---_::'_o'_-I----+----E.X;::Q:-'G;:;o~·t=-=c~h-;;-an~2-=tU-=;th'r8-;;(Th:;;:-Al~n-g:-XQ Got chan 2 til th~ (Thing - nghieng)1--_:_56-=-1_~_--i -+-~ng."lh=ie,..-n:<>Lg)~=----=-<=:;-;:---lI:::----~--_._-,__------ _:_5_:_40:2,"-00=-0:'-1 1-~(),_000 ---f----
XQ Khap gai 2 til th~ (Thing XQ Khap gai 2 til the (ThAng- nghieng)57 - nghieng) _~,~-;,:------- __ 540,000 . 240,D_Q()_------
I---_:__:_-J-----I----- XQ Khap hang 2 til the XQ Khap hang 2 til the (Thang - nghieng)58 (ThAng- nghien_g)_________ ,
~~=I---j------ XQ Khap thai ducmgham I XQ Khap thai duang ham I til thetil thS
360,00:_:0_1- .3_6_0,()00 1-__
Ten djeh V\IkY thu,t (Vi~n Tim)
Gia VI~nTim
(01/0112019)
MibaoCODE cao
BHYT
Ten dlch v\I kY thu,t (BI) YT@)STT
26--------
500,000
_ _.5~8":0.":,0_::00:::+----+---::58::::0:~,O()Q_ _
500,000---------- - --- ----
49
500,0()Q ---+------1
531---- -~-
_--=5-=-5"'0,"-00=_:0'-1 . 550,O()()__. __
350,000 _______ _l5_(),000 ~ _
-----
59XQ Khap vai 2 til th~ (Thing XQ Kbap vai 2 tu th~ (Th~ng- nghieng)
__ -'6~0~l___ _L _L-_.n,o<lg>::lh=ie=~g=) '- -------_ _::5:-5_:0::!:,0::_:0":O_L__jc_____:5_::_5-:-O",O::_0'-C_0-~ _
TrangU/26
Ghi Vi~n GlaBHYT Chenh I~chGhl
Miibao cho
STT CODE caoTen djch vy Icy thu~t (BQY Ten djch vy Icy thu,t (VI~nTim)
Tim ThOng Til 13 VI~nTim Phan PhanT~) (0110112019) (hi~u Ivc mOivOigia 10:.11
BHYT 20/8/2019) BHYTmOi10,1Tho
---XO khon vai I nr the ( Lamy) XO khon vai I nr the ( Lamv) 350,00061 350,000
-~XQ Khung chau I nr the XQ Khung ch~u I nr the (thang)
62 th~ng} 380,000 380,000XQ Khuyu tay 2 nr the XQ Khuyu tay 2 nr the (Th~ng - nghieng)
63 (Thang - nghieng) 500,000 500,000 ---XO Ph6i I tu the (Th~ng) XO Ph6i I nr the (Th~ng) 280,00064 280,000
65 XQPh6! (Th~ng - nghieng) XQ Ph6i (Th~ng - nzhiena) 500,000 500,000 -XQ SQ2 nr the (Th~ng - XQ SQ2 nr the (Thang - nghieng)
66 nghieng) 450,000 450,000---- --
XQ XUOIlgchinh miii I nr the (Nghieng)XQ XUOIlgchinh miii I tu67 the (Nghieng) 280,000 280,000
XQ XUOIlgcung cut 2 tir the XQ XUOIlgcung cut 2 nr the (Thang -68 I(Th~ng - nghieng) nghieng) 500,000 500,000
XQ XUOIlgdon I nr the XQ XUOIlgdon I tu the (Th~ng)69 Th~ng) 360,000 360,000 f---
XQ XUOIlgdui 2 tu the XQ XUOIlgdili 2 nr the (Thang - nghieng)70 Th~ng - nghieng) 580,000 580,000
-- 71 XQXUOIlgUc I nr the XQ XUOIlguc I nr the (thang) 380,000 380,000Sao chep phim thea yeu cau Sao chep phim thea yeu cau khach hang
72 khach hang 100,000 100,000
XQ Xoang 2 nr the XQ Xoang 2 nr the (Blondeau- Hirtz) - benh73 (Blondeau- Hirtz} - benh nhan Vien Tim 167,000 167,000
XQ Ban chan 2 tu the (Th~ng XQ Ban chan 2 tir the (Thang - nghieng) -- nghieng) - b~nh nhan Vi~n b~nh nhiin Vi~nTim
74 Tim 180,000 180,000---- ---
XQ Ban tay I tu the (Chech XQ Ban tay I tu the (Chech v.) - b~nh nhan75 v.) - b~nh nhan Vi~n Tim Vi~nTim 97,000 97,000 I---
XQ Ban tay 2 tu th{ (Th~ng - XQ Ban tay 2 tu the (Th~ng- nghieng) -76 nghieng) - b~nh nhan Vi~n benh nhan Vi~nTim 167,000 167,000
XQ B\lng (KUB) I tu the XQ B\lng (KUB) I tu the (Th~ng ho(ic(Th~ng ho(icnghieng) - b~nh nghieng) - b~nh nhiin Vi~nTim
77 nhan Vi~nTim 120,000 120,000XQ dng chan 2 tu the XQ C~ng chan 2 tu the (Thhg - nghieng) -
78 (Th~ng - nghieng) - b~nh b~nh nhan vi~n tim 194,000 194,000XQ dng tay 2 tu the (Th~ng XQ C~ng tay 2 tu the (Th~ng - nghieng) -
---
79 _- nghieng}__-__b~nhnhan vi~n b~nh nhan vi~n tim 167,000 167,000XQ Canh tay 2 tu the (Th~ng XQ Canh tay 2 tu the (Th~ng- nghieng) -
80 - nghi~ng) - b~nh nhan vi~n b~nh nhan vi~n tim 180,000 180,000-~- -----
XQ C6 chan 2 tu the (Th~ng XQ C6 chan 2 tu the (Th~ng - nghieng) -81 :=_I!g_hieng)- b~nh nhan vi~n b~nh nhan vi~n tim 180,000 180,000
XQ C6 tay 2 tu the (Th~ng - XQ C6 tay 2 tu the (Th~ng - nghieng) - b~nh
-- 82 !!8!!ieng)- b~nh nhan vi~n tim nhan vien tim 167,000 167,000XQ CQts6ng c6 2 tu the XQ CQts6ng c6 2 tu the (th~ng - nghieng) -(th~ng - nghieng) - benh b~nh nhiin vien tim
i-~--~~------.-- nhan vien tim 167,000 167,000 1---XQ CQtsAngc6 2 tu the XQ CQts6ng c6 2 tu the (Chech v. 2 ben) -
----
(Chech v. 2 ben) - benh nhan benh nhan vien tim84 vi~n tim 167,000 167,000
XQ CQtsAngnggc 2 tu the XQ CQtsAngnggc 2 tu the (Th~ng --
(Th~ng - nghieng) - b~nh nghieng) - b~nh nhan vien tim85 nhan vien tim 184,000 184,000
" --XQ CQtsAngth~t lung 2 tu the (th~ng -XQ CQtsong that lung 2 tu
the (th~ng - nghieng) - b~nh nghieng) - b~nh nhan vien tim86 nhiin vien tim 194,000 194,000
XQ CQtsAngth~t lung 2 tu XQ CQtsAngth~t lung 2 tu the (Chech v. 2the (Chech v. 2 ben) - b~nh ben) - benh nhan vi~n tim
87 nhan vi~n tim 194,000 194,000XQ Got chan 2 tu the (Th~ng XQ Got chan 2 tu the (Th~ng - nghieng) -
88 - nghieng} - b~nh nhan vi~n b~nh nhan vi~n tim 180,000 180,000XQ Kh6p gAi2 tu the (Th~ng XQ Kh&pg6i 2 tu the (Th~ng - nghieng) -
89 - nghieng) - benh nhan vi~n b~nh nhan vi~n tim 180,000 180,000XQ Kh6p hang 2 tu the XQ Kh&pbang 2 tu the (Th~ng - nghieng) -
--
(Th~ng - nghieng) - b~nh b~nh nhan vi~n tim-- 90 nhan vi~n tim 184,000 184,000--.---- -.,-.--~.---~
XQ Kh6p thai dUOllgham I XQ Kh6p thai duang ham I tu the - b~nh91 tu the - b~nh nhan vi~n tim nhan vi~n tim 117,000 117,000
XQ Kh6p vai 2 tu the (Th~ng XQ Kh&pvai 2 tu the (Th~ng- nghieng) --~
92 - nghieng) - b~nh nhan vi~n b~nh nhan vi~n tim 184,000 184,000XQ kh6p vai I tu the ( Lamy) XQ kh6p vai I tu the ( Lamy) - b~nh nhan
_ _9l_ -- - b~nh nhan vi~n tim vi~n tim 117,000 117,000XQ Khung eMu I tu the XQ Khung eh~u I tu the (th~ng) - b~nh nhan
94 itl!~ng) - b~nh nhan vien tim _~~n til11___________ 127,000 127,000-----
Trang 25; 26
STT CODE cao nn djch vy Icy thu,t (Vifn Tim)
GiliBHYT I •GhiChenh IfCh chuTim ThOng Til 13 Vifn Tim Phiin Phfln
(01l01/2019) (hifU h,rc mOi vOi giB I' loai20/8/2019) BHYT Oi O~lI •
1---- ---- ------ X-Q-Kh-u-yu-t-ay-2U; thS-- X-Q-Kh-uyu-ta-y-2-tu-t-he-'(-Th-A-n-g---n-gh-iSn-g-)-_-- I-- +--m__
TM__I- _
__ 95 --l- -l(ThAng_.- nghie,!,&- ~enh __ ~enh n~lin vie~it!I . 167,000_f- ~7-,-0_()_Q _XQ Phoi I tu the (Thang) - XQ Phoi I tu the (Thang) - benh nhan vien
_____ :9_6=-1-__ --l --jbenh n~lin vi?n tim __ .!i'!!_____ --._____________ _ _ _24,000 1--___ 94,000XQ Phoi (Thang - nghieng) - XQ Phdi (Thang - nghieng) - benh nhan vien - -- - ---- -- - -benh nhlin vien tim tim 167,000XQ SQ2 tu th~ (Thang - XQ-SQ2 tu the (ThAng - nghieng) _benh-- __ ::..=-'-'-c=-=_j-- _
_ ______2_8_ nghieng) - benh nhlin vien tim nhlin vien tim 150,000 150,000I-----+'X"'Q"'-'Xucmg chinh mfii I tu XQ Xucmg chinh miii I tu -ihr(Nghii~)=-- ------ ------ -------------- ----- -------
__ ...22 f- -I +t:::h~(Nghieng) - benh nhlin .__ benh nhlin vien tim .. 1--_ 94,000 2,,"0_()() _XQ Xucmg cung CVt2 tu the XQ Xucmg cung cut 2 tu the (Thang -(ThAng - nghieng) - benh nghieng) - benh nhan vien tim
___ I_()_Q nhlin vien tim , _~1c:6_7'_"ccO_0_'_0'_+------ I_ll?_,(l_OO _XQ Xucmg don I tu the XQ Xucmg don I nr the (Thang) - benh nhan -
___ IO! I ----1.IThAng)_-henh nhlin vien tim vien tim --II---___:I:_::2c0:.'-=,0_:_0.::_0 _!_~0,99()_ _XQ Xucmg dui 2 tu th~ XQ Xucmg dui 2 nr the (Thang - nghieng) -
___ _l_Q_Z_ ~Ang - ng~ieng) - h~nh __ ~~nh nhlin v~en tim , . _ _l_9_i,_()_Q0'4 !2_4_,(l_0_(J_ _XQ Xucmg O'c I tu the XQ Xucmg O'c I tu the (thang) - benh nhlin
__ !Ql (thAng) - henh nhlin vi~n ~_l1l__ vien tim f-- 127,000 I~Z,()_Q()_ _Sao chep phim thea yeu du Sao chep phim thea yeu du khach hang -
___ 1_Q4 khach ha_llg_:_henhnhli~ vien ~enh nhli!! vi~~-' I-- 3""()()_()_l--- 34,000 _105 Phi thea doi henh 1 I tieng Phi thea doi benh 1 I tieng 260,_()()()_ __2__llO,()Q()_ _ __ _ _ _
____!Q§ 1- erhi Y~ cham soc __ Phi Y ta cham_soc __ ~OO,OOQ_ ~Q,()()()_ _--____!_QJI------ Phun khi dung Phun khi du~g_ ~~Q,Q()O_I___------- }~Q,QO() _I- ____!_Q~ 1- _Ih_!Y_"!Il!l_ Thay hang 550,000 520,_O()O ___-!Q2.t--------I----- IJ:l~ hang tai _ Thay ha~glll:i 300,OO()_ ___3_()O,()QO1_ _ _
I- __ l_!0 TI!u t~_ujt.y khoa phlrc t~p__ Thu thu~ khoa phlrc t\lP __ 1---1,000,000 _!_,O_()O,()OO __ J_!! Tiem thuoc Tiem thuoc __ ____!2(J,9_Q()_ 120_,(l_0_()___ _ _ _ ______ I_~2_ TIem_J.!!,:,dc- henh nhlin vi~1_!__Tiem thudc -benh nhlin vien tim 50,OO()_ 2Q_,()()()_ _____ !_l:3_ _ TIem t~~c (cudi tuAn) _~ Tiem thudc (cudi tuAn) 380,()()()_ 38(),_()()Q_ ______l_11___ _ Iieu ~u Ti~u phAu 800,0_Q()_ ~_O,Q()o ___ __ll_~ 1_ruy~ndjch Truy~n djch 276,000 ~Z!l,_09Q_ _
D~t duemg truy~n - henh D~t dmmg truy€n - henh nhlin vien tim --- -___ _l_I§ ~ vien tim 50,O_Q()_ 5__0_,()_O_O ____ __ I_l'7_ fu_inh t~ Vesinh tai _ 260,()()_()_ 260,00Q_ _
118 2fit-Natispr~y ~tNllJ-~t:!ly---- 30,()_()()_ _l0,000 ___.. !_l_9_ _ _ __ _ _ __ _ _ ~!_Il~lI__rnau ~y mliu mau _ 190,000 l20,OOO_ _ __ I~Q c--- ~~-.Y-!-ai--------~~i _ ___150,00()_ 550,000 _____!~l n __ 1-- Mieng thAm hut djch Mi~_g_thlim hu_t_djch 400,00_()_ ~~(),OQO ______!1~ Nl)i soi mlii Nl)i soi mlii 550,000 __ ~(),_OQ_O_ _ ___ !.?l__ I-_ Nl)i soi tai _~ Nl)i soi tai 550,000 _5JQ,{)()Q __ I~,i Tha oXY__ Tha oxy __ 100,000 _!()Q,()()Q _
_ _!_~ ~-d\ll1g henh an Bia d_\lI1ghenh an ~()O ~09_126 Ho sa henh an Hd sa henh an 4,000 4,000
Mibao nn djch vy Icy thu,t (BII YTi)
Gili Vifn
97-------1--- ____ 1f7_,000 _
BHYT
Ghichu:1/ Gia thu md tim! Thong tim can thiep la gia tinh cho phAn chi phi trong Phong md/Thong tim can thiep·PhAn vien phi truac m61 Thong tim can thiep va sau ma/ Thong tim can thiep ( K~ca trong Phong hdi Slrc)se duQ'c thu rieng.2/ Th\lc chi: dnh th\lc te thudc, VTYT tieu hao sir d\mg trong ca md, thong tim can thiep3/ Bang gia danh cho henh nhlin Viet Nam va ap d1,l11gcho den khi co thOng bao maio4/ Benh nhlin la nguOi nuac ngoai:_Gia ph~u thu~t, thOng tim can thiep( k~ ca stent, hallon, van tim, vong van, may t\lOnhjp, amplatzer ... )se ap d\lng theo gia nguOi Viet Nam nhung co ph\l thu them 10% chi phi d~ giup cho benh nhlin ngheo md tim._Cac dich vv y te khac ( gia phong, gia thudc, y dVng cv sir dVng, chAn doan hinh anh, xet nghi~m, ..)se ap d\mg thea gia nguOi Viet Nam nhung co phv thu them 30% chi phi d~ giup cho benh nhlin ngheo md tim.
51 Gia ke khai cac djch V\I ky thu~t duQ'c th\lc hien trong phong md (Bloc) chua bao gdm: Qua IQcmau, bl)tim phdi nhlin t\lO,hI) dliy ch\lYmay, vong, van, m\lch mau nhlin t\lO
-'lit.! -~
----- Ngay 16 thang 08 nam 2019GIAMD6C
Jc=~
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![Full page fax print...7.2 6.8 6.6 60Þ Figure l. Contour plot of the 1 H/ I'C heteronuclear relayed coherence transfer (RELAY) two-dimensional nmr spec- trum of phenanthro[4,3-a]dibenzothiophene](https://img.pdfslide.us/doc/110x75/5e51d637d420e233d426d1dd/full-page-fax-print-72-68-66-60-figure-l-contour-plot-of-the-1-h-ic.jpg)
