宝鸡市新农合住院单病种定额付费管理标准（2011.doc

宝鸡市新农合住院单病种定额付费管理标准（2011版）序号病种名称住院医药费用定额标准（元）2011版合疗补助定额（元）备 注乡镇卫生院县区妇保院及二级以下厂矿医院、专科医院、民营医院县区医院、中医院及二级厂矿医院市级医院二级医院三级医院1正常分娩55080085013001700300单胎，限产科建设达标单位2剖宫产220026003500410013503卵巢囊肿21002700350044001750手术治疗（单侧）3000410046001950腔镜治疗（单侧）4宫外孕27003500350042002200手术治疗5稽留流产60070086090011005506子宫肌瘤25003000400045002000手术治疗31003500450047502200腔镜治疗7前庭大腺囊肿800100015001800500手术治疗8单纯性阑尾炎140016001800260032001200手术治疗9腹股沟斜疝130017001800250027001000单侧手术治疗不含补片10胃穿孔25002600410046001900手术治疗11输尿管结石900100015001800550体外碎石12睾丸鞘膜积液8001000120022002600800单侧手术治疗13肛瘘8001000140020002400750手术治疗14慢性结石性胆囊炎26003000370042001900手术治疗（含微创）32003600400048002300腔镜治疗15胆囊息肉26003000370042001900手术治疗（含微创）32003600400048002300腔镜治疗16痔疮9001000120022002600850单纯内痔手术治疗17白内障16001800230030001000单侧囊外+晶体植入（进口晶体）14001600190026001000单侧囊外+晶体植入（国产晶体）18青光眼11001800270031001100手术治疗19单纯性翼状胬肉600900100017501900500手术治疗20扁桃体摘除50065070015001800400手术治疗21房缺修补160008100手术治疗22室缺修补160008100手术治疗23急性肾盂肾炎130015002200280095024急性肾小球肾炎80012001800220080025急性胆囊炎80080012002100240075026细菌性痢疾5006008001300170040027小儿肺炎1200170060028腮腺炎400450600700100035029婴幼儿腹泻40045050060080035030小儿急性扁桃体炎450600750800100040031乳房肿瘤（良性）1200140020002200800单侧手术治疗32锁骨骨折37004300470053002800手术治疗（含材料费）33肱骨干骨折44005000560063003300手术治疗（含材料费）34肱骨内外髁骨折44005100560060003400手术治疗（含材料费）35尺桡骨骨折37004300450048002800手术治疗（含材料费）36股骨干骨折53006100720079004200手术治疗（含材料费）37胫腓骨骨折50005800620065003900手术治疗（含材料费）38髌骨骨折29003300380045002100手术治疗（含材料费）39肱骨骨折、尺桡骨折内固定滞留物取出术14001800220025001000手术治疗40股骨骨折、胫腓骨骨折内固定滞留物取出术21002600260030001600手术治疗41脊柱骨折骨内固定滞留物取出术2800280031001700手术治疗42鼻息肉摘除术60070015002000550手术治疗注：1、乡镇卫生院未确定住院费用定额标准的病种，按照核准的执业范围，允许开展的可参照县区妇保