附件一：第三版 150个单病种及收费标准 2021版

165个病种及收费标准,,,,,,,,,,,,

序号,病种名称,手术方式,除外内容,计价单位,实施城市公立医院暨县级公立医院综合改革单位病种定额费用（元）,,,非实施城市公立医院暨县级公立医院综合改革单位病种定额费用（元）,,,乡镇卫生院、一级医院（乡级收费）,备注

,,,,,省级,市级最高限价,县级,省级,市级,区级,,

1,急性单纯性阑尾炎,阑尾切除术/椎管内麻醉+基础麻醉,,次,4620,4200,3990,3234,2940,2793,2290,

2,急性单纯性阑尾炎,阑尾切除术（伴穿孔、破裂）/椎管内麻醉+基础麻醉,,次,6191,5628,4788,4334,3940,3352,2748,

3,急性单纯性阑尾炎,阑尾切除术（伴弥漫性腹膜炎）/椎管内麻醉+基础麻醉,,次,6707,6097,5792,4695,4268,4055,2977,

4,急性单纯性阑尾炎,经腹腔镜阑尾切除术/全麻,,次,5940,5400,5130,4158,3780,3591,3000,

5,急性单纯性阑尾炎（6岁以下儿童）,阑尾切除术/全麻,,次,6710,6100,5795,4697,4270,4057,/,

6,急性单纯性阑尾炎（6岁以下儿童）,经腹腔镜阑尾切除术/全麻,,次,8250,7500,7125,5775,5250,4988,/,

7,胆管结石（无胆管炎或胆囊炎）,胆总管探查“T”管引流术/全麻,,次,9900,9000,8550,6930,6300,5985,2600,

8,胆管结石（无胆管炎或胆囊炎）,胆总管切开取石+空肠Roux-y吻合术/全麻,,次,14300,13000,12350,10010,9100,8645,/,

9,胆管结石（无胆管炎或胆囊炎）,经腹腔镜胆管异物取出术/全麻,,次,11000,10000,9500,7700,7000,6650,3350,

10,胆总管结石并胆管炎,内窥镜十二指肠乳头括约肌切开取石术（EST),,次,18700,17000,16150,13090,11900,11305,/,

11,慢性胆囊炎/胆囊息肉,开腹胆囊切除/全麻,,次,7700,7000,6650,5390,4900,4655,2600,

12,慢性胆囊炎/胆囊息肉,经腹腔镜胆囊切除/全麻,,次,9900,9000,8550,6930,6300,5985,3350,

13,腹股沟斜疝（单侧）,腹股沟疝修补术/椎管内麻醉+基础麻醉,补片,次,4840,4400,4180,3388,3080,2926,/,不含补片，疝气补片实行基金报销最高限价，每只疝气补片最高限价为1600元，如实际价格不高于限价标准的，费用由基金支付。如参保人员自愿选择高于限价标准的，高出部分由患者自行支付

14,腹股沟斜疝（单侧）,经腹腔镜腹股沟疝修补术/全麻,补片,次,6160,5600,5320,4312,3920,3724,/,

15,腹股沟斜疝（双侧）,腹股沟疝修补术/椎管内麻醉+基础麻醉,补片,次,5720,5200,4940,4004,3640,3458,/,

16,腹股沟斜疝（双侧）,经腹腔镜腹股沟疝修补术/全麻,补片,次,7370,6700,6365,5159,4690,4456,/,

17,腹股沟直疝（单侧）,腹股沟疝修补术/椎管内麻醉+基础麻醉,补片,次,4840,4400,4180,3388,3080,2926,/,

18,腹股沟直疝（单侧）,经腹腔镜腹股沟疝修补术/全麻,补片,次,6380,5800,5510,4466,4060,3857,/,

19,腹股沟直疝（双侧）,腹股沟疝修补术/椎管内麻醉+基础麻醉,补片,次,5720,5200,4940,4004,3640,3458,/,

20,腹股沟直疝（双侧）,经腹腔镜腹股沟疝修补术/全麻,补片,次,7370,6700,6365,5159,4690,4456,/,

21,小儿疝气,单侧,,次,4340,3945,3748,3038,2762,2623,2400,

22,翼状胬肉,单侧,,次,1914,1740,1653,1340,1218,1157,/,

23,翼状胬肉,双侧,,次,3828,3480,3306,2680,2436,2314,,

24,老年性白内障（单侧）,白内障超声乳化摘除术/局麻,人工晶体,次,3300,3000,2850,2310,2100,1995,/,不含晶体，晶体实行基金报销最高限价，每只晶体最高限价为600元。注：患者在条件允许下，自愿选择超出600元的晶体，超出费用由患者自行承担。

25,老年性白内障（单侧）,白内障超声乳化吸除+人工晶状体植入术/局麻,人工晶体,次,4400,4000,3800,3080,2800,2660,/,

26,老年性白内障（双侧）,白内障超声乳化摘除术/局麻,人工晶体,次,5500,5000,4750,3850,3500,3325,/,

27,老年性白内障（双侧）,白内障超声乳化吸除+人工晶状体植入术/局麻,人工晶体,次,6600,6000,5700,4620,4200,3990,/,

28,非老年性白内障（单侧）,白内障超声乳化吸除+人工晶状体植入术/局麻,,次,3220,2927,2781,2254,2049,1946,/,

29,非老年性白内障（双侧）,白内障超声乳化吸除+人工晶状体植入术/局麻,,次,6450,5864,5571,4515,4105,3900,/,

30,上睑下垂,上睑提肌缩短上睑下垂矫正术/局麻,,次,3300,3000,2850,2310,2100,1995,/,

31,上睑下垂,额肌筋膜瓣悬吊上睑下垂矫正术/局麻,,次,2750,2500,2375,1925,1750,1663,/,

32,上睑下垂,颞筋膜悬吊上睑下垂矫正术/局麻,,次,2750,2500,2375,1925,1750,1663,/,

33,乳腺良性肿瘤（单侧）,乳腺肿物切除术/局麻,旋切针,次,2970,2700,2565,2079,1890,1796,1570,

34,乳腺良性肿瘤（双侧）,乳腺肿物切除术/局麻,旋切针,次,3410,3100,2945,2387,2170,2062,2140,

35,子宫腺肌病,经腹子宫腺肌病灶切除术,,次,8250,7500,7125,5775,5250,4988,/,

36,子宫腺肌病,经腹腔镜子宫腺肌病灶切除术,,次,10230,9300,8835,7161,6510,6185,/,

37,卵巢良性肿瘤,经腹单侧卵巢囊肿剥除术/椎管内麻醉+基础麻醉,,次,8250,7500,7125,5775,5250,4988,/,

38,卵巢良性肿瘤,经腹腔镜单侧卵巢囊肿剥除术/全麻,,次,10230,9300,8835,7161,6510,6185,/,

39,卵巢良性肿瘤,经腹单侧卵巢切除术/椎管内麻醉+基础麻醉,,次,8250,7500,7125,5775,5250,4988,/,

40,卵巢良性肿瘤,经腹腔镜单侧卵巢切除术/全麻,,次,10230,9300,8835,7161,6510,6185,/,

41,卵巢囊肿,传统手术,,次,5620,5109,4854,3934,3576,3398,2670,

42,卵巢囊肿,腹腔镜,,次,6460,5873,5579,4522,4111,3905,3030,

43,输卵管妊娠,经腹单侧输卵管切除术/椎管内麻醉+基础麻醉,,次,8250,7500,7125,5775,5250,4988,/,

44,输卵管妊娠,经腹腔镜单侧输卵管切除术/全麻,,次,10230,9300,8835,7161,6510,6185,/,

45,输卵管妊娠,经腹单侧输卵管开窗术/椎管内麻醉+基础麻醉,,次,8250,7500,7125,5775,5250,4988,/,

46,输卵管妊娠,经腹腔镜单侧输卵管开窗术/全麻,,次,10230,9300,8835,7161,6510,6185,/,

47,子宫平滑肌瘤,经腹全子宫切除术/椎管内麻醉+基础麻醉,,次,10670,9700,9215,7469,6790,6451,/,

48,子宫平滑肌瘤,经腹腔镜全子宫切除术/全麻,,次,10670,9700,9215,7469,6790,6451,/,

49,子宫平滑肌瘤,经阴道全子宫切除术/椎管内麻醉+基础麻醉,,次,10670,9700,9215,7469,6790,6451,/,

50,子宫平滑肌瘤,经腹子宫次全切除术/椎管内麻醉+基础麻醉,,次,10670,9700,9215,7469,6790,6451,/,

51,子宫平滑肌瘤,腹腔镜联合阴式全子宫切除术全麻,,次,10670,9700,9215,7469,6790,6451,/,

52,子宫平滑肌瘤,经宫腔镜黏膜下肌瘤切除术/全麻,,次,10670,9700,9215,7469,6790,6451,/,

53,子宫颈息肉,宫腔镜下子宫颈息肉切除术,,次,4950,4500,4275,3465,3150,2993,/,

54,子宫内膜息肉,宫腔镜下子宫内膜息肉电切术,,次,5500,5000,4750,3850,3500,3325,/,

55,子宫肌瘤,经腹子宫全切术,,次,8800,8000,7600,6160,5600,5320,/,

56,子宫脱垂,经阴子宫切除术,,次,7150,6500,6175,5005,4550,4323,/,

57,住院分娩,剖宫产（首次）,,次,4595,4177,3968,3216,2924,2778,2600,

58,住院分娩,顺产,,次,3520,3200,3040,2464,2240,2128,1200,

59,肾结石,经皮肾镜超声碎石取石术/全麻,,次,14410,13100,12445,10087,9170,8712,/,

60,泌尿系统结石,腔内碎石,,次,8514,7740,7353,5960,5418,5147,/,

61,混合痔,外剥内扎术,,次,4301,3910,3715,3011,2737,2600,2000,

62,精索静脉曲张,精索静脉曲张高位结扎术/椎管内麻醉+基础麻醉,,次,4510,4100,3895,3157,2870,2727,/,

63,精索静脉曲张,经腹腔镜精索静脉曲张高位结扎术/全麻,,次,6050,5500,5225,4235,3850,3658,/,

64,隐睾（睾丸可触及）（单侧）,隐睾下降固定术/椎管内麻醉+基础麻醉,,次,6710,6100,5795,4697,4270,4057,/,

65,隐睾（睾丸可触及）（单侧）,经腹腔镜隐睾下降固定术/全麻,,次,8140,7400,7030,5698,5180,4921,/,

66,隐睾（睾丸可触及）（双侧）,隐睾下降固定术/椎管内麻醉+基础麻醉,,次,7480,6800,6460,5236,4760,4522,/,

67,隐睾（睾丸可触及）（双侧）,经腹腔镜隐睾下降固定术/全麻,,次,9350,8500,8075,6545,5950,5653,/,

68,睾丸鞘膜积液,传统手术,,次,4774,4340,4123,3342,3038,2886,2400,

69,输尿管结石,经尿道输尿管镜超声碎石取石术/全麻,,次,8470,7700,7315,5929,5390,5121,/,

70,输尿管结石,经尿道输尿管镜激光碎石取石术/全麻,,次,8580,7800,7410,6006,5460,5187,/,

71,输尿管结石,经尿道输尿管镜气压弹道碎石取石术/全麻,,次,8580,7800,7410,6006,5460,5187,/,

72,闭合性髌骨骨折,髌骨骨折闭合复位内固定术/全麻,内固定材料,次,8910,8100,7695,6237,5670,5387,/,

73,闭合性髌骨骨折,髌骨骨折切开复位内固定术/全麻,内固定材料,次,9350,8500,8075,6545,5950,5653,/,

74,闭合性尺骨鹰嘴骨折,尺骨鹰嘴骨折切开复位内固定术/神经阻滞麻醉,内固定材料,次,7590,6900,6555,5313,4830,4589,/,

75,闭合性尺骨鹰嘴骨折,尺骨鹰嘴骨折闭合复位内固定术/神经阻滞麻醉,内固定材料,次,7040,6400,6080,4928,4480,4256,/,

76,闭合性尺桡骨干骨折,尺骨干骨折闭合复位钢板螺丝钉内固定术/神经阻滞麻醉,内固定材料,次,7040,6400,6080,4928,4480,4256,/,

77,闭合性尺桡骨干骨折,桡骨干骨折切开复位钢板螺丝钉内固定术/神经阻滞麻醉,内固定材料,次,7920,7200,6840,5544,5040,4788,/,

78,闭合性尺桡骨干骨折,尺骨干骨折切开复位髓内针内固定术/神经阻滞麻醉,内固定材料,次,7920,7200,6840,5544,5040,4788,/,

79,闭合性尺桡骨干骨折,桡骨干骨折切开复位髓内针内固定术/神经阻滞麻醉,内固定材料,次,7920,7200,6840,5544,5040,4788,/,

80,尺骨干骨折,尺骨骨折切开复位内固定术,,次,13200,12000,11400,9240,8400,7980,/,

81,胫腓骨干骨折,胫骨骨折闭合复位钢板螺丝钉内固定术/全麻,内固定材料,次,8910,8100,7695,6237,5670,5387,/,

82,胫腓骨干骨折,胫骨骨折闭合复位髓内针内固定术/全麻,内固定材料,次,8910,8100,7695,6237,5670,5387,/,

83,胫腓骨干骨折,胫骨骨折切开复位髓内针内固定术/全麻,内固定材料,次,9460,8600,8170,6622,6020,5719,/,

84,胫腓骨干骨折,胫骨骨折切开复位内固定术/全麻,内固定材料,次,9460,8600,8170,6622,6020,5719,/,

85,胫腓骨干骨折,腓骨骨折闭合复位钢板螺丝钉内固定术/全麻,内固定材料,次,8910,8100,7695,6237,5670,5387,/,

86,胫腓骨干骨折,腓骨骨折切开复位髓内针内固定术/全麻,内固定材料,次,9460,8600,8170,6622,6020,5719,/,

87,踝骨骨折,内外踝骨折切开复位内固定术,,次,8800,8000,7600,6160,5600,5320,/,

88,肱骨干骨折,肱骨骨折切开复位内固定术,,次,33000,30000,28500,23100,21000,19950,/,

89,锁骨骨折,锁骨骨折切开复位内固定术,,次,15400,14000,13300,10780,9800,9310,/,

90,支气管扩张,肺叶切除术/支气管内麻醉,,次,31460,28600,27170,22022,20020,19019,/,

91,支气管扩张,右侧双肺叶切除术/支气管内麻醉,,次,31460,28600,27170,22022,20020,19019,/,

92,支气管扩张,胸膜肺叶切除术/支气管内麻醉,,次,31460,28600,27170,22022,20020,19019,/,

93,支气管扩张,经胸腔镜肺叶切除术/支气管内麻醉,,次,32230,29300,27835,22561,20510,19485,/,

94,支气管扩张,肺段切除术/支气管内麻醉,,次,29920,27200,25840,20944,19040,18088,/,

95,支气管扩张,经胸腔镜肺段切除术/支气管内麻醉,,次,30580,27800,26410,21406,19460,18487,/,

96,支气管扩张,全肺切除术/支气管内麻醉,,次,32010,29100,27645,22407,20370,19352,/,

97,自发性气胸,肺大泡切除修补术/支气管内麻醉,,次,27500,25000,23750,19250,17500,16625,/,

98,自发性气胸,经胸腔镜肺大泡切除胸膜固定术/支气管内麻醉,,次,29700,27000,25650,20790,18900,17955,/,

99,自发性气胸,胸膜固定术/支气管内麻醉,,次,22220,20200,19190,15554,14140,13433,/,

100,自发性气胸,经胸腔镜胸膜固定术/支气管内麻醉,,次,23210,21100,20045,16247,14770,14032,/,

101,不稳定性心绞痛,经皮冠状动脉支架置入术/局麻,导管、导丝、支架,次,13310,12100,11495,9317,8470,8047,/,

102,慢性稳定性心绞痛,经皮冠状动脉支架置入术/局麻,导管、导丝、支架,次,13310,12100,11495,9317,8470,8047,/,

103,病态窦房结综合征,单腔永久起搏器安置术/局麻,起搏器、心导管、电极,次,9020,8200,7790,6314,5740,5453,/,

104,病态窦房结综合征,双腔永久起搏器安置术/局麻,起搏器、心导管、电极,次,9350,8500,8075,6545,5950,5653,/,

105,唇裂,单侧唇皮下裂修复术/全麻,,次,5500,5000,4750,3850,3500,3325,/,

106,唇裂,唇正中裂修复术/全麻,,次,5500,5000,4750,3850,3500,3325,/,

107,腭裂,Ⅰ度腭裂修复术/全麻,,次,5940,5400,5130,4158,3780,3591,/,

108,腭裂,Ⅱ度腭裂修复术/全麻,,次,6160,5600,5320,4312,3920,3724,/,

109,慢性扁桃体炎,扁桃体切除术/全麻,,次,6050,5500,5225,4235,3850,3658,/,

110,鼻中隔偏曲,经鼻内镜鼻中隔偏曲矫正术/全麻,,次,6820,6200,5890,4774,4340,4123,/,

111,鼻息肉,鼻息肉切除术（单）,,次,3300,3000,2850,2310,2100,1995,/,

112,声带息肉,经支撑喉镜激光辅助声带肿物切除术/局麻,,次,3850,3500,3325,2695,2450,2328,/,

113,慢性化脓性中耳炎,I型鼓室成形术/全麻,,次,8470,7700,7315,5929,5390,5121,/,

114,慢性化脓性中耳炎,经耳内镜I型鼓室成形术/全麻,,次,8800,8000,7600,6160,5600,5320,/,

115,慢性化脓性中耳炎,Ⅱ型鼓室成形术/全麻,,次,8470,7700,7315,5929,5390,5121,/,

116,慢性化脓性中耳炎,Ⅲ型鼓室成形术/全麻,,次,10670,9700,9215,7469,6790,6451,/,

117,慢性化脓性中耳炎,Ⅳ型鼓室成形术/全麻,,次,10670,9700,9215,7469,6790,6451,/,

118,慢性化脓性中耳炎,Ⅴ型鼓室成形术/全麻,,次,10670,9700,9215,7469,6790,6451,/,

119,慢性化脓性中耳炎,外耳道鼓室成形术/全麻,,次,8470,7700,7315,5929,5390,5121,/,

120,慢性化脓性中耳炎,乳突根治术,,次,10230,9300,8835,7161,6510,6185,/,

121,结节性甲状腺肿,甲状腺全切术/全麻,,次,8800,8000,7600,6160,5600,5320,/,

122,结节性甲状腺肿,甲状腺次全切除术/全麻,,次,8800,8000,7600,6160,5600,5320,/,

123,结节性甲状腺肿,甲状腺部分切除术/全麻,,次,7150,6500,6175,5005,4550,4323,/,

124,肛裂,肛周常见疾病手术治疗/椎管内麻醉,,次,6600,6000,5700,4620,4200,3990,/,

125,肛瘘,复杂肛瘘切除术/椎管内麻醉,,次,7590,6900,6555,5313,4830,4589,/,

126,肛周脓肿,手术治疗,,次,5500,5000,4750,3850,3500,3325,/,

127,慢性泪囊炎,鼻内窥镜下鼻腔泪囊吻合术,,次,4180,3800,3610,2926,2660,2527,/,

128,视网膜脱落,玻璃体切割术,,次,9900,9000,8550,6930,6300,5985,/,

129,肠套叠,肠切除术,,次,19800,18000,17100,13860,12600,11970,/,

130,肠套叠,肠套选复位术,,次,8800,8000,7600,6160,5600,5320,/,

131,大隐静脉曲张,大隐静脉高位结扎剥脱术（单）,,次,6600,6000,5700,4620,4200,3990,/,

132,大隐静脉曲张,大隐静脉高位结扎剥脱术（双）,,次,7700,7000,6650,5390,4900,4655,/,

133,肝囊肿,腹腔镜下肝囊肿切开引流术,,次,8800,8000,7600,6160,5600,5320,/,

134,直肠脓肿,直肠脓肿根治术,,次,6600,6000,5700,4620,4200,3990,/,

135,肝血管瘤,肝血管瘤切除术,,次,15400,14000,13300,10780,9800,9310,/,

136