비급여 보수표(최신) -2018.08.01
관리자 2017-09-11 15:31:31

<비급여 보수표>    

2018.08.01 업데이트                                        

항목단위 금액 (원) 
1-1 상급병실료 차액
병실차액(1인실)              150,000
병실차액(2인실)               80,000
병실차액(3인실)               50,000
제 2장 검사료
HCV항체검사               45,000
HIV항체[현장검사]               45,000
동맥경화도검사               50,000
항CCP항체[IgG]               45,000
인플루엔자A-B 바이러스항원검사[현장검사]               30,000
D.I.T.I (적외선체열촬영) - 전신              150,000
D.I.T.I (적외선체열촬영) - 하지              105,000
D.I.T.I (적외선체열촬영) - 상지              105,000
D.I.T.I (적외선체열촬영) - 부분별               70,000
spinoscopy(척추기능컴퓨터검사)              100,000
니코틴검사               30,000
BMD(비급여)- 종합검진               50,000
제 2-1장 초음파 검사료
복부초음파 <2018.04.01 삭제>              100,000
갑상선초음파               50,000
유방초음파              100,000
심장초음파              200,000
흉부초음파              100,000
경동맥초음파              100,000
상지도플러초음파(편측)              250,000
상지도플러초음파(BOTH)              400,000
하지도플러초음파(편측)              250,000
하지도플러초음파(BOTH)              400,000
하복부초음파 (Lower Abdomen U/S)              100,000
복부-비뇨기계 초음파-신장·부신              100,000
복부-비뇨기계 초음파-방광              100,000
근골격, 연부-관절 초음파-손가락(편측)              100,000
근골격, 연부-관절 초음파-발가락(편측)              100,000
근골격, 연부-관절 초음파-주관절(편측)              100,000
근골격, 연부-관절 초음파-슬관절(편측)              100,000
근골격, 연부-관절 초음파-고관절(편측)              100,000
근골격, 연부-관절 초음파-견관절(편측)              100,000
근골격, 연부-관절 초음파-손목관절(편측)              100,000
근골격, 연부-관절 초음파-발목관절(편측)              100,000
근골격, 연부-관절 초음파-류마티스 질환에 의한 다발성 관절염              100,000
근골격, 연부-연부조직 초음파-일반              100,000
근골격, 연부-연부조직 초음파-정밀              100,000
Femail Pelvis Sono              100,000
기타초음파              100,000
초음파가이드T(SONO GUIDE)               80,000
초음파가이드 D (SONO GUIDE : 플라센텍)              150,000
초음파가이드(SONO GUIDE) OR              100,000
제 3-2장 자기공명영상진단료(MRI) 
MRI  350,000~800,000 
MRI(contrast)              450,000
POST MRI(C-T-L)              350,000
POST MRI               250,000
MRI - Myelogram  100,000~450,000 
MRI - Coronal view  100,000~200,000 
MRI - CTL Sag view  100,000~200,000 
MRI - L spine obliqual view  100,000~200,000 
조영제(도타렘주) 추가시   100000~200000 
제 3-2장 자기공명영상진단료(MRI) - 별도 명시 
Brain MRI&MRA              550,000
Brain MRI               350,000
Face MRI              350,000
PNS MRI              350,000
Orbit MRI              350,000
Orbit MRI ( CE )              450,000
Temporal bone MRI              350,000
TM joint MRI              350,000
Neck MRI              350,000
C-spine MRI              350,000
C-spine MRI(with foraminal view)              450,000
C-spine MRI(with Myelogram)              450,000
C-spine MRI(with CTL Sag)              450,000
T-spine MRI              350,000
T-spine MRI(with Myelogram)              450,000
T-spine MRI(with CTL Sag)              450,000
L-spine MRI              350,000
L-spine & Hip MRI-Coronal view단독              500,000
L-spine MRI (with coronal view) & Hip MRI              600,000
L-spine MRI(with Coronal view)              450,000
L-spine MRI(with CTL Sag)              450,000
L-spine MRI(with obliqual view)              450,000
L-spine MRI(with coronal & obliqual view)              550,000
L-spine MRI(with Myelogram)              450,000
Myelogram MRI 단독              350,000
RT. Shoulder MRI 편측             350,000
RT. Shoulder MRI(Arthro) 편측             400,000
RT Elbow MRI편측             350,000
RT Wrist MRI편측             350,000
RT Hip MRI편측             350,000
Both Hip MRI              350,000
Sacroiliac   MRI              350,000
RT Knee   MRI편측             350,000
RT Ankle   MRI편측             350,000
Upper extremity MRI  ( RT )편측             350,000
RT Foot   MRI편측             350,000
Heart MRI              350,000
Heart MRI ( CE )              450,000
Chest MRI              350,000
Chest MRI [ CE ]              450,000
Breast MRI              350,000
Breast MRI [ CE ]              450,000
Abdomen   MRI              350,000
Abdomen  MRI [ CE ]              450,000
Pelvis  MRI              350,000
Pelvis  MRI [ CE ]              450,000
Pancreas  MRI              350,000
Pancreas  MRI [ CE ]              450,000
Kindney and Adrenal  MRI              350,000
Kindney and Adrenal  MRI [ CE ]              450,000
Brain MRA              350,000
Brain MRA [ CE ]              450,000
Brain MRI+Diffusion              450,000
B-MRI & MRA & Diffusion              650,000
Neck MRA -혈관              350,000
Neck MRA ( CE ) -혈관               450,000
Chest MRA -혈관               350,000
Chest MRA -혈관 - 혈관               450,000
Brain [ CE ] MRI & B-MRA -혈관               650,000
T-Lumbosacral spine MRI ( CE )              800,000
T-L spine MRI ( CE )              800,000
C-T spine MRI ( CE )              800,000
Myelogram MRI 단독              200,000
외부필름판독료 MRI                20,000
제 7장 이학요법료(물리치료료)
도수치료  50,000~300,000 
P1-prolotherapy(간단+ER)               20,000
prolotherapy(PD)               80,000
prolotherapy(block시)               11,000
prolotherapy(B1)               12,000
prolotherapy(B2)                5,700
Prolotherapy(B3)               11,300
도수치료(manual therapy)11회             100,000
도수치료(manual therapy)21회             100,000
도수치료(manual therapy)2-11회              50,000
도수치료(manual therapy)31회             100,000
도수치료(manual therapy)41회             100,000
도수치료(manual therapy)51회             100,000
도수치료(manual therapy)61회              50,000
도수치료(manual therapy)6C1회             100,000
도수치료(manual therapy)161회             150,000
도수치료(manual therapy)16C1회             200,000
도수치료(manual therapy)361회             150,000
도수치료(manual therapy)1C1회             150,000
도수치료(manual therapy)2C1회             150,000
신장분사치료(Strech and Spray Therapy)21회              30,000
신장분사치료(Strech and Spray Therapy)31회              60,000
신장분사치료(Strech and Spray Therapy)41회             100,000
체외충격파치료(ESWT)1회              50,000
제 9장 처치 및 수술료 등
경막외강내 유착부위 박리시술(with Ballon)            1,400,000
내시경적 경막외강 신경근 성형술            1,400,000
추간판내 고주파 열치료술(요추부)            1,400,000
추간판내 고주파 열치료술(경추부)            1,600,000
경피적 경막외강 신경성형술(경추부)경추부             800,000
경피적 경막외강 신경성형술(요추부)요추부             600,000
자가 골수 줄기세포 치료술            1,500,000
FIMS              150,000
수면내시경환자관리료 수면내시경시              50,000
수면대장내시경환자관리료 수면내시경시              70,000
HEKA FAST (short)6"              12,000
HEKA FAST (long)6"              20,000
HEKA FAST (short)4"               8,000
HEKA FAST (long)4"              16,000
STERI STRIP                4,000
Haftelast                6,000
SUPERPORE6x9cm                 800
SUPERPORE12x9cm               1,000
SUPERPORE15x9cm               1,500
SUPERPORE20x9cm               2,000
SUPERPORE25x9cm               2,000
SUPERPORE35x9cm               2,000
Askina soft clear9X5cm               3,000
Askina soft clear9X15cm               4,900
Askina soft clear9X25cm               7,800
박티그라10x10cm               3,000
시카케어12X15cm             150,000
시카케어12X6cm              85,000
3M부직반창고15X20cm                 750
3M부직반창고10x10cm                 200
ONE-KY                2,000
에버레이드 드레싱세트                4,000
IV FILTER SET 2               10,000
나픽스플러스아이브이                4,000
ACE FILTERO                6,000
Eden Epidual catheter(cervical)              600,000
ST COX-C              600,000
 ABEL EPIDURAL CATHETER               600,000
ST REED PLUS              600,000
Bios rod한시적비급여             200,000
bios screw한시적비급여             550,000
JPBio PLIF PEEK CAGE II한시적비급여             400,000
JPBio CERVICAL PEEK CAGE II한시적비급여           1,000,000
Spiral Fix            3,000,000
DISCOCERV            4,950,000
MOBI-C             4,950,000
 BAGUERA C              4,950,000
PRODISC-C            4,950,000
CLAUDICARE            1,400,000
DIAM            3,039,190
WALLIS SYSTEM            3,039,190
intra SPINE            3,039,190
PD-AN            1,320,000
전기수술기용 전극(KJ400)            1,320,000
 DisCare전기수술기용전극(KJ403)BESS (RF)             1,500,000
ALLOCOVER HAD            2,000,000
SPINAUT-V(EEN cath)            1,550,000
ANYPLUS            1,500,000
DELUXE NIGHT SPLINT(INDICATION)              120,000
ANYPLUS-C            1,500,000
BIOCOLLAGEN MERG            3,000,000
LMA SUPREME              100,000
PENOSS              300,000
ALLOMATRIX INJECTABLE PUTTY1cc             440,000
(DBM)BONGENER 1cc1cc             440,000
XGEN 3cc3cc           1,500,000
XGEN GRAFT 1cc1cc             605,000
(DBM)XGEN GRAFT 3cc3cc           1,452,000
(DBM)DEMIOS1cc             605,000
(DBM)GRAFTON GEL1cc             440,000
(DBM)MEDIFUSE1cc             630,000
(DBM)MEDIFUSE3cc           1,500,000
(DBM)MEDYFUSE 5cc5cc           2,700,000
(DBM)INTERGRO DBM1cc             600,000
(DBM)DBX PUTTY              800,000
(DBM)BIO-PASTE II 3cc3cc           1,452,000
(DBM)RAFUGEN DBM GEL 1cc1cc             605,000
(DBM)ORTHOBLAST ∥ PASTE 3cc3cc           1,452,000
(DBM)ORTHOBLAST ∥ PASTE 1cc1cc             605,000
(DBM)ALLOMATRIX DR BONE PUTTY 3cc3cc           1,815,000
GUARDIAN PREMIUM한시적비급여           1,010,000
ABRO-C(IDET)            1,320,000
ABRO-L(IDET)            1,370,000
PENS II            1,320,000
내시경적 경막외강 신경근성형술(요추부)EEN            1,400,000
Needle View CH-TELA            2,200,000
INNOMED SILICONE TAPE (2*7)2*7              10,000
INNOMED SILICONE TAPE(2.5*30)2.5*30              20,000
DERMA FLEX QS              150,000
NEO DERMAL ACTIVATOR               50,000
RACZ CATHETER(RX COUDE, BLUNT EPIDURAL NEEDLE포함)              500,000
FORA-B(Balloon cath)            1,000,000
ZIP16 SURGICAL SKIN CLOSURE(16cm)              250,000
ZIP8I SURGICAL SKIN CLOSURE(8cm)              200,000
HYALOFAST            1,600,000
DICED MEGACARTILAGE            3,000,000
MEGAFILL               300,000
MEGADERM            1,800,000
K-D CLAMP              240,000
ART-BEND PINS              302,500
HAL.LUX CARE              170,000
GRIP-LOK CO2/O2 Mask               50,000
BLOODSTOP / BLOODSTOP IX              100,000
TOP PROBE               50,000
SURGISEAL TOPICAL SKIN ADHESIVE              150,000
NAVICATH EPIDURAL (PCM)              600,000
INNOTAPE CIRCUIT               50,000
큐블럭(QBLOCK)            1,500,000
LIGANOVE(LVR PL BA, LVR WSH BA)            3,500,000
Invossa-K(인보사케이주)            6,500,000
CATHETER SECUREMENT DEVICE (나픽스대체)                4,000
EPSOL (EEN cath)            1,550,000
EXPEDIO BALLOON CATHETER            1,000,000
MULTI-FIX EASY BAND               60,000
초음파 절삭기류를 이용한 척추골 절제/절개술(경추-관혈적추간판제거술)100~200%             993,704
초음파 절삭기류를 이용한 척추골 절제/절개술(흉추-관혈적추간판제거술)100~200%           1,206,613
초음파 절삭기류를 이용한 척추골 절제/절개술(요추-관혈적추간판제거술)100~200%             810,794
초음파 절삭기류를 이용한 척추골 절제/절개술(경추-후궁절제술)100~200%             846,206
초음파 절삭기류를 이용한 척추골 절제/절개술(흉추-후궁절제술)100~200%             876,361
초음파 절삭기류를 이용한 척추골 절제/절개술(요추-후궁절제술)100~200%             678,226
초음파 절삭기류를 이용한 척추골 절제/절개술(경추전방고정술)100%           1,821,674
초음파 절삭기류를 이용한 척추골 절제/절개술(요추후방고정술cag이용)100%             892,226
SONOPET(Spetzler claw tip 외 11종)1           1,300,000
SONOPET(Ultra sonic cutting tip)1           1,300,000
보조기
Tennis elbow brace               30,000
ANKLE BRACE               20,000
Thera band               17,000
Wrist Brace               15,000
Wrist support               22,000
Wrist splint               30,000
Knee Brace               80,000
Knee Band                8,000
KNEE SUPPORT COVER(ice pack)              100,000
MCL              120,000
ACL/PCL              250,000
Tomas Collar               10,000
COLLAR              160,000
Cast Shoes               10,000
CORSET(요통대)               50,000
목발(1쌍)               20,000
필라델피아              150,000
LSO(요추부보조기)              250,000
케어픽스               80,000
SHOULDER ABDUCTION SYSTEM              350,000
SHOULDER SUPPORT COVER(ice pack)              100,000
팔자붕대               10,000
벨포밴드               25,000
팔걸이(ArmSling)                5,000
SLING              150,000
씨피가드(압박스타킹)               80,000
스카픽스(2.5cm*18cm)               50,000
비급여 약제
유니씨주20ml               30,000
징크에스 5ml               50,000
피엔믹스페리주               80,000
아미닉주               50,000
액티민주10ml               30,000
액티민주(RM0.25)               20,000
액티민주(MT0.25)               20,000
액티민주(GK0.25)               30,000
액티민주(RD0.25)               20,000
액티민주(MD0.25)               20,000
액티민주               40,000
오스테민캅셀(삼진제약)                   78
지타코주               10,000
D3베이스주 100,000 IU (메디포트)               35,000
헤파박스-진티에프주               35,000
헤파뮨주               35,000
비타디본주               30,000
유박스비주               25,000
독감예방접종               35,000
하브릭스주               80,000
프리베나13주(폐구균)              150,000
프리번정(비)                  500
조스타박스              190,000
프리세덱스주               60,000
밥스카케어젤               80,000
노시셉톨겔40ml                8,800
노시셉톨겔 120ml               23,000
카티젤겔               10,000
히아루주사               25,000
프로파인퓨전주               30,000
히루니다제주1500iu               35,000
히루니다제주              100,000
히론트주               25,000
에취라제주1500iu               35,000
I1 (에취라제요법)                5,000
I1 (에취라제요법)-OS용               25,000
메디클로(MEDICLORE) 1ml              250,000
메디클로(MEDICLORE) 3ml              500,000
마그오캡슐500mg(산화마그네슘)                  255
TISSUE AID              200,000
썬터치(SUNTOUCH)              500,000
리쥬비넥스              250,000
REGENCOL              400,000
REGENCOL 1cc1cc             250,000
REGENSEAL 6%  3cc           2,500,000
TENDOREGEN              250,000
플라센텍스주               80,000
Floseal (프로실)              500,000
테트라스판주10% 500ml              100,000
아큐판주사                3,500
타우로린주              100,000
자비론정                   70
큐라스텐액(1box-21포)               50,000
크리콜론정               25,000
마이어스칵테일주사               70,000
둘코락스에스장용정                  300
아락실과립                  800
비타벨라프리필드주사                40,000
삭센다펜주6mg              120,000
뉴젠콜(newgencol) 1.0ml              250,000
기타
보호자식                6,000
공기밥                1,000
잡곡밥                1,000
환의1벌               20,000
환의(상)               10,000
환의(하)               10,000
제증명수수료
일반진단서               10,000
일반진단서 사본                1,000
진료기록부사본(5매까지 1장당)                1,000
진료기록부사본(6장부터 1장당)                  100
소견서(보험사요청시)               50,000
근로능력평가용진단서               10,000
장애진단서(신체적장애)               15,000
장애진단서(정신적장애)               40,000
후유장애진단서(맥브라이드방식)              100,000
후유장애진단서(AMA방식)              100,000
병사용진단서(사진2장필요)               20,000
국민연금장애심사용진단서               15,000
상해진단서(3주미만)              100,000
상해진단서(3주이상)              150,000
상해진단서사본               10,000
사망진단서               10,000
사망진단서 사본                1,000
사체검안서               30,000
사체검안서 사본                1,000
건강진단서(건강검실) -전염병검사 미포함               30,000
건강진단서(건강검실) -전염병검사 포함               70,000
영문진단서               20,000
통원확인서                3,000
진료확인서                3,000
향후진료비추정서(천만원미만)               50,000
향후진료비추정서(천만원이상)              100,000
일반채용검진                40,000
채용신체검사서(공무원)               35,000
채용신체검사서(일반)               30,000
회화지도건강진단서               70,000
방문취업건강진단서               60,000
국제결혼건강진단서진단서               70,000
진료기록영상(CD)               10,000