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비급여 수가안내

비급여 항목안내 게시

의료법 제45조(비급여 항목안내 등의 고지)에 관하여 아래와 같이 속초보광병원의 비급여 항목안내를 게시합니다.

  • 행위인 경우는 직접 시술에 대한 비용으로 입원료, 마취료, 약제, 치료재료 등은 별도로 산정됩니다.

  • 비급여 진료비용은 단일 개별 항목의 1회 비용이므로 처방량에 따라 해당 항목의 비용이 달라질 수 있습니다.

비급여안내로 물품코드, 보험코드, 항목, 금액이 있습니다.
물품코드 보험코드 항목 금액(원)
I-GEL BK4202DC I-Gel Supraglottic Airway Sebs(LMA후두마스크-겔형) 80,080
DST-0 MX122 도수치료(운동치료) 10,000
DST-1 MX122 도수치료20분 30,000
DST-2 MX122 도수치료-40분 60,000
DST-3 MX122 도수치료-60분 90,000
DST-R2 MX122 도수치료20분+로봇치료30분 90,000
DST-R3 MX122 로봇치료-30분 60,000
MY142 MY142 증식치료(사지관절부위) 20,000
MY143 MY143 증식치료(척추부위) 20,000
MZ012 MZ012 비침습적 무통증 신호요법-통증치료-30분 80,000
MZ012-1 MZ012 비침습적 무통증 신호요법30분+도수20분 110,000
MZ012-2 MZ012 비침습적 무통증 신호요법30분+도수20분+로봇30분 170,000
MZ012-3 MZ012 비침습적 무통증 신호요법-통증치료-30분+ 로봇30분 140,000
CO-1 코박사(1ml) 100,000
CO-2 코박사-2 200,000
CO-3 코박사-3 150,000
CO-4 코박사-4 100,000
CO-5 코박사-5 50,000
DNA 프롤로치료, DNA(PDRN,플라센텍스) 주사치료 70,000
LASER05 LASER 0.5 5,000
LASER1 LASER 1 10,000
LASER10 LASER 10 100,000
LASER100 LASER 100 1,000,000
LASER150 LASER 150 1,500,000
LASER200 LASER 200 2,000,000
LASER5 LASER 5 50,000
LASER50 LASER 50 500,000
PROLO PRP(PROLO-PREP) 200,000
PDBS Police drinke blood sample (음주채혈료) 2,000
OZ304 OZ304 레이저정맥폐쇄술〔EVLT〕-하지정맥류 1,000,000
Q2196-1 Q2196 구개인두성형술(uppp)-단순코골이수술 500,000
Q2196-2 Q2196 구개인두성형술(uppp)-단순코골이수술 250,000
CIRCUM 포경수술 Circumcision(비급여)-소아및학생 150,000
ESWP 전립선충격파치료(1회당) 50,000
EXMI 마그네틱췌어(1회당) 20,000
RCIRCUM 포경수술 Circumcision(비급여)-성인 200,000
RNG1 BB 고형물삽입(ring1) 300,000
RNG2 BB 고형물삽입(ring2) 600,000
UR1 BB 비뇨기과수술료(1만원,Total Fee) 10,000
UR2 BB 신경절단술 500,000
UR4 BB 정관절제술 300,000
UR6 음경확대술 2,500,000
UR7 음경의 이물제거술 100,000
UR8 보형물제거술 200,000
URO8 배부신경차단술-조루수술 500,000
ABBD 복대12"(비급여) 2,750
ADF10*12 BM5016CU Adflex Bandage 10*12 1,000
ADF6*7 BM5016CU Adflex Bandage 6*7 500
BJ1002DC BJ1002DC (l-tube)이지락부직반창고 부직포+아크릴공중합체+화스너테이프 6,510
BJ1004RF BJ1004RF Unigrip Hydrocolloid(유니그립-s) 15,400
BK7111DQ BK7111DQ Pehahaft 폐하 하프트 붕대-라텍스프리 0
BM0304B0 BM0305BX Innofuser2-필터iv set만(Non-Dehp-FILTER) Set- 4,290
BM0304B1 BM0305BX Innofuser2(Non-Dehp) Set-iv set+filter+3-way 5,000
BM0304B2 BM0304BX Innofuser2Set-iv set+filter+3-way+dosi 7,150
BM0304B4 BM0306BX Swr-coil tube+filter 5,430
BM1302D5 BM1302DC Iv Filter Line(Pur) 2+EXTENSION75CM 3,430
BM1302D6 BM1302DC Iv Filter Line(Pur) 2+EXTENSION140CM 3,430
BM1303PW BM1303PW Nature (F) 폴리우레탄 등(차광set) 7,000
BM2001LG BM2001LG Innomed Silicone Tape(endotube고정용tape-tape+mas 19,880
BM2001MA BM2001LG Innomed Silicone Tape(endotube고정용tape-tape+mas 9,520
BM5001ED BM5001ED 스카클리닉(12*10) Polydimethylsiloxane 150,000
BM5021AP BM5021AP (dressing kit)대한멸균드레싱밴드(에이,비) 부직포 등 1,500
BM5029CU BM5029CU 영운드레싱-실버(6*7) 은함유폴리에틸렌망이 부착된 부직포 등 1,960
BM5032CU BM5032CU 에드플렉스실버(6*7)에이 폴리우레탄필름, 은함유 폴리에틸렌망 등 3,080
DERMA-B BB3004EE Dermabond 2-(더마본드미니)Octy Cyanoacryla 48,750
FILTER10 NEEDLE,FILTER(10CC)(필터주사기) 800
FILTER3 NEEDLE,FILTER(3CC)(필터주사기) 800
FILTER5 NEEDLE,FILTER(5CC)(필터주사기) 800
GREENFIX BJ1001UP 그린픽스 폴리우레탄점착필름 +벨크로테이프(iv반창고테잎) 0
HISTO-A BB3001BP Histoacryl1050060 2-Cyanoacrylicacidn-Butylest 50,000
INSPIRO INSPIROMETER(DISPOSABLE):폐호흡훈련기 10,000
LAVAGE KIT Lavage (DI Set) 1/2단가 105,000
LAVAGE1 KIT Lavage (DI Set) 1개 단가 210,000
MAL5 sysmex alumi splint(소) 3,670
MAL6 sysmex alumi splint(대) 4,170
MARMS vm061 Arm sling (W/목띠)-팔걸이 5,000
MCRS 20254 L-코르셋 대/중/소 50,000
MCRU 20330 목발 (1쌍) 20,000
MCSTK BK7305TK Compression Stocking 大`中`小(정맥류 스타킹-1쌍) 60,000
MD1 M3010306 Duoderm Cgf Dressing 10*10 1,900
MD2 M3010304 DUODERM EXTRA THIN CGF 10 X 10CM 1,820
MEPI5 BM5003JQ 메피폼 (5*7.5)실리콘점착성 폴리우레탄부직필름 30,000
MET25 Extension Tube 3-way 25cm 0
METW K4041022 Pharmaplast Endotracheal Tube (Reinforced Cuff 13,460
MFIXR2 bm5111hf FIX ROLL 2"(roll-aiderm)-에이덤롤-투명한것 800
MLAVS Lavage Set(DI Set)1/2단가 71,500
MLAVS1 Lavage Set(DI Set) 1개 단가 143,000
MNYT Ethicon Nylon Tape (12개입) 3,435
MPAD DEPEND 1,000
MPLDP 20244 필라델피아(Philadelphia) 50,000
MVELPO VM061 벨포밴드 12,000
NEO20 BM5019HF 네오드레싱 부직포(30s)9*20cm 1개 770
NEO25 BM5019HF 네오드레싱 부직포(30s)9*25cm 1개 920
NEO30 BM5019HF 네오드레싱 부직포(30s)9*30cm 1개 1,090
NEO35 BM5019HF 네오드레싱 부직포(30s)9*35cm 1개 1,380
NEO7 BM5019HF 네오드레싱 부직포(50s)6*7cm 1개 230
NEO9*10 BM5019HF 네오드레싱 부직포(50s)9*10cm 1개 490
NEO9*15 BM5019HF 네오드레싱 부직포(50s)9*15cm 1개 540
NEO9*7 BM5019HF 네오드레싱 부직포(50s)9*7cm 1개 250
REMESCAR BM5001VF Remescar Silicone 70,000
SFTCO 20242 SOFT COLLAR 10,000
SUR10*20 BM5001MV Surgical dressing(10*20) 9,000
SUR5*7.2 BM5001MV Surgical dressing(5*7.2) 3,300
SUR8*10 BM5001MV Surgical dressing(8*10) 5,300
SUR8*15 BM5001MV Surgical dressing(8*15) 7,000
BB3101L1 BB3101LF STAPLER, SKIN 스태플(1~10point) (F-35r) 12,630
BB3101LF BB3101LF STAPLER, 자보용 SKIN 스태플(21~35point) (F-35r) 18,630
BF0201OB bf0201ob 전기수술기용전극(kj400.kj401.kj402.kj403) 2,277,000
BF0202DA BF0202DA Ldisq-C Stainless Steel(os-IDET) 2,277,000
BM2601OP BM2601OP Collashield Type Ι 콜라겐 등-유착방지제 210,000
BM5303BH BM5303BH Regencol 콜라겐,히알루론산나트륨,폴록사머188,식염수 등 277,200
BM5305BH BM5305BH Regenwel 콜라겐,히알루론산나트륨,폴록사머188,식염수 등 0
DEMIOS bc0101kj demios-1cc 575,000
MCTPT 674600020 큐탄플라스트스폰지스페셜 70*50*1mm 3,363
MDMB Dermatome Blade 1ea (1box:10ea) 33,000
NEO-D-A bm5002rq neo-dermal-activator-1g 103,500
ZVARX1 하지정맥류 경화요법 () 1차 시술 150,000
ZVARX2 하지정맥류경화요법() 2차시술부터 100,000
CZ246 CZ246 허혈성 변형 알부민 검사 -IMA(Ischemia modified albumin) 40,000
F6932 F6932 췌장내분비기능검사-경구포도당부하검사 20,000
OGTT F6932 췌장내분비기능검사-경구포도당부하검사 20,000
OGTT1 f6932 췌장내분비기능검사-디아솔50g-경구포도당부하검사 20,000
CZ394 CZ394 Influenza Ag (원내)-H1N1+Type A+B 35,000
CZ492 CZ492 Hcv 항체검사 [간이검사]-OraQuick키트 45,000
CZCHIN 친자확인 2인 500,000
FZ671100 FZ671100 후각기능검사-인지 인지 30,710
FZ671200 FZ671200 후각기능검사-역치 역치 40,940
AVI 동맥경화증 검사 (AVI) 30,000
ENDOS 수면 내시경 관리료 -위-(비급여) 50,000
ENDOS1 수면 내시경 관리료 -대장-(비급여) 80,000
ENDOS2 수면 내시경 관리료 -위+대장-(비급여) 80,000
ZMRICEA HE136 경부혈관-일반 MRA 450,000
PARSL HE142 Arthrogram Left Shoulder:비급여 50,000
PARSR HE142 Arthrogram Right Shoulder:비급여 50,000
8OPTI1 658600880 옵티레이320주사 100ml이연제약 0
8OPTI4 658600880 옵티레이320주사 150ml이연제약 0
8OPTI5 658600880 옵티레이320주사 30ml 이연제약 0
8OPTI6 658600880 옵티레이320주사 50ml 이연제약 0
XMACB 650100331 마크롤액 급여(주)태준제약 0
OBABD 산과 복부초음파 20,000
OBTVS1 부인과 질초음파 60,000
URO-B1 초음파-bladder(만원) 10,000
URO-B2 초음파-bladder(2만원) 20,000
URO-B3 초음파-bladder(3만원) 30,000
USAB 60033 US Upper Abdomen 80,000
USAB-2 60033 US Lower Abdomen(상복부초음파급여시적용되는하복부) 50,000
USAB1 60033 US Lower Abdomen 80,000
USAB2 US Abdomen-복부추적검사(f/u) 20,000
USABA 60033 US Liver-검진용입니다 60,000
USABA-1 US Liver+A-검진용입니다 60,000
USABKD US Abdomen + kidney doppler 120,000
USABPE 60033 US Whole Abdomen 100,000
USANUS US Anus 80,000
USB05 혈관내 초음파0.5 300,000
USBPB US-BPB 마취전 70,000
USBT 60033 US Breast 100,000
USBUED 60072 US Upper Extremity 80,000
USCH 60033 US Chestwall 80,000
USCRD 60072 US Carotid (Doppler)경동맥 100,000
USCT US 경흉부 심초음파(f/u) 80,000
USCTA 60063 경흉부 심초음파 140,000
USCTAF 경흉부 부분심초음파 80,000
USER 60043 응급실 초음파(ER) 40,000
USKDN USG KIDNEY DOPLLER 100,000
USLE US Ext Doppler (Rt) / Artery 100,000
USLEB US Ext Doppler (Lt) / Artery 100,000
USLEBD US Ext Doppler (Both) / Artery 180,000
USLLED 60072 US Ext Doppler / Vein 100,000
USLLEDB US Ext Doppler / Vein / Both 200,000
USMK 60043 USG MARKING 30,000
USNE 60043 US Neck 80,000
USPE 60042 US Pelvis 80,000
USPR 60042 US Prostate (Trans rectal) 80,000
USPRL 60043 US Prostate (Trans abdominal) 50,000
USRE US 잔뇨측정 10,000
USRIB 60033 초음파 RIB 80,000
USSC 60042 US Scrotum 80,000
USST 60043 USG Soft Tissue 80,000
USTCD TCD-뇌혈류검사(전체) 80,000
USTCD1 TCD-뇌혈류검사(부분) 50,000
USTHY US Thyroid 60,000
PCTCAA Cardiac CT(Calcium Score) 120,000
ZMRA HE135 Brain MRA 추가 150,000
ZMRIAB HE127006 Abdomen MRI 450,000
ZMRIAB3 HE527 liver-3phase-MRI(e) 600,000
ZMRIABE HE227 Abdomen MRI(E) 550,000
ZMRIANL HE121 Ankle joint MRI Left 450,000
ZMRIANLE HE221 Ankle joint MRI(E)Left 550,000
ZMRIANR HE121 Ankle joint MRI Right 450,000
ZMRIANRE HE221 Ankle joint MRI(E)Right 550,000
ZMRIBIA HE118 Hip MRI (관절조영) 550,000
ZMRIBR HE101 Brain MRI 450,000
ZMRIBR1 HE135 Brain MRA 500,000
ZMRIBR2 HE135 Brain MRI & MRA(뇌혈관) 600,000
ZMRIBR3 BRAIN MRI & MRA & CAROTID MRI 700,000
ZMRIBR4 Brain MRI & MRA & Carotid & Diffusion 750,000
ZMRIBR5 Brain MRI & MRA & Carotid & Diffusion (E) 850,000
ZMRIBRE HE201 Brain MRI (E) 550,000
ZMRIBRE1 HE201 Brain MRI (E) & MRA 700,000
ZMRIBRE2 HE201 Brain MRI후 enhancement 추가 100,000
ZMRIBRN3 Brain MRI & MRA & Diffusion 700,000
ZMRICE HE109 Cervical MRI 450,000
ZMRICEE HE209 Cervical MRI(E) 550,000
ZMRICL Cervical+Lumbosacral spine MRI (2회촬영) 650,000
ZMRICM HE114 Cervical spine+Myelogram MRI 450,000
ZMRICME HE214 Cervical spine+Myelogram MRI(E) 550,000
ZMRICT Cervical+Thoracic MRI (2회촬영) 650,000
ZMRIDF BRAIN MRI & Diffusion 600,000
ZMRIDFS 특수검사-MRI Diffusion 200,000
ZMRIDYE HF105 Dynamic MRI(Sellar)(E) 550,000
ZMRIELL HE116 Elbow MRI Left 450,000
ZMRIELLE HE216 Elbow MRI(E)Left 550,000
ZMRIELR HE116 Elbow MRI Right 450,000
ZMRIELRE HE216 Elbow MRI(E)Right 550,000
ZMRIFA HE103 Face MRI 450,000
ZMRIFAE HE203 Face MRI(E) 550,000
ZMRIFLE HE222 HAND MRI Left(E) 550,000
ZMRIFO Foot MRI Right 450,000
ZMRIFOL Foot MRI Left 450,000
ZMRIFOLE HE223 FOOT MRI Left(E) 550,000
ZMRIFORE HE223 FOOT MRI Right(E) 550,000
ZMRIFU MRI Diffusion follow up 200,000
ZMRIFX Fracture MRI 150,000
ZMRIH mri(외부의뢰) 390,000
ZMRIHI HE102 Hippocampus MRI 450,000
ZMRIHIE HE202 Hippocampus MRI(E) 550,000
ZMRIHIPL HE118006 Hip MRILeft 450,000
ZMRIHIPR HE118 Hip MRI Right 450,000
ZMRIHLE HE122 HAND MRI Left 450,000
ZMRIHPLE HE218 Hip MRI(E)Left 550,000
ZMRIHPRE HE218 Hip MRI(E)Right 550,000
ZMRIHR HE122 HAND MRI RIGHT 450,000
ZMRIHRE HE222 HAND MRI Right (E) 550,000
ZMRIKNL HE120006 Knee MRI Left 450,000
ZMRIKNLE HE220 Knee MRI(E)Left 550,000
ZMRIKNR HE120 Knee MRI Right 450,000
ZMRIKNRE HE220 Knee MRI(E)Right 550,000
ZMRILM HE114 Lumbosacral spine+Myelogram MRI 450,000
ZMRILME HE114 Lumbosacral spine+Myelogram MRI(E) 550,000
ZMRILOL HE123 Lower extremity(관절외) MRILeft 450,000
ZMRILOLE HE223 Lower extremity(관절외) MRI(E)Left 550,000
ZMRILOR HE123 Lower extremity(관절외) MRIRight 450,000
ZMRILORE HE223 Lower extremity(관절외) MRI(E)Right 550,000
ZMRILU HE111006 Lumbosacral spine MRI 450,000
ZMRILUE HE211 Lumbosacral spine MRI(E) 550,000
ZMRIMY HE112 Myelogram MRI 450,000
ZMRIMYE HE212 Myelogram MRI(E) 550,000
ZMRINE HE108 Neck MRI 450,000
ZMRINEE HE208 Neck MRI(E) 550,000
ZMRIOR HE105 Orbit MRI 450,000
ZMRIORE HE205 Orbit MRI(E) 550,000
ZMRIPE HE128 Pelvis MRI 450,000
ZMRIPEE HE228 Pelvis MRI(E) 550,000
ZMRIPN HE104 PNS MRI 450,000
ZMRIPNE HE204 PNS MRI(E) 550,000
ZMRISA HE119 Sacroiliac MRI 450,000
ZMRISAE HE219 Sacroiliac MRI(E) 550,000
ZMRISHAL HE115 Shoulder MRILeft(관절조영촬영) 500,000
ZMRISHAR HE115 Shoulder MRIRight(관절조영) 500,000
ZMRISHL HE115 Shoulder MRILeft 450,000
ZMRISHLE HE215 Shoulder MRI(E)Left 550,000
ZMRISHR HE115 Shoulder MRIRight 450,000
ZMRISHRE HE215 Shoulder MRI(E)Right 550,000
ZMRITE HE106 Temporal bone MRI 450,000
ZMRITEE HE206 Temporal bone MRI(E) 550,000
ZMRITH HE110 Thoracic MRI 450,000
ZMRITHE HE210 Thoracic MRI(E) 550,000
ZMRITL HE113 Thoracic+Lumbosacral spine MRI(2회촬영) 650,000
ZMRITLE HE213 Thoracic+Lumbosacral spine MRI(E) 800,000
ZMRITLJE HE111 TL junctionspine MRI(E) 550,000
ZMRITLS HE111 TL junctionspine MRI(1회촬영) 450,000
ZMRITM HE107 TM joint MRI 450,000
ZMRITME HE207 TM joint MRI(E) 550,000
ZMRITMY HE114 Thoracic spine+Myelogram MRI 650,000
ZMRITMYE HE114 Thoracic spine+Myelogram MRI(E) 550,000
ZMRIUPL HE122 Upper extremity(관절외) MRILeft 450,000
ZMRIUPLE HE222 Upper extremity(관절외) MRI(E)Left 550,000
ZMRIUPR HE122 Upper extremity(관절외) MRIRight 450,000
ZMRIUPRE HE222 Upper extremity(관절외) MRI(E)Right 550,000
ZMRIWRL HE117 Wrist MRILeft 450,000
ZMRIWRLE HE217 Wrist MRI(E)Left 550,000
ZMRIWRR HE117 Wrist MRI Right 450,000
ZMRIWRRE HE217 Wrist MRI(E)Right 550,000
MEAL0 공기밥추가 1,000
MG 보호자식대 (공기밥) 1,000
J1 일반진단서 1통 10,000
J10 수술확인서 1통 2,000
J11 진료(통원)확인서 1통 3,000
J111 건강진단서 1통 20,000
J12 입퇴원확인서 1통 3,000
J13 채용신체검사서 1통 25,000
J14 후유장애진단서 1통 100,000
J15 챠트복사 1장(1-5매) 1,000
J15-1 챠트복사 1장(6매이상) 100
J16 70097 CD Copy 10,000
J17 장애등급변경 의사 소견서 (비급여) 28,940
J18 진료의뢰서 0
J19 사체검안서 30,000
J2 병사용진단서 1통 20,000
J20 보험회사챠트복사(10장까지) 5,000
J21 보험회사챠트복사(10장이상) 10,000
J22 보험회사소견서 10,000
J23 임신확인서 2,000
J24 동사무소.국민연금장애진단서(신체적장애) 15,000
J24-1 장애진단서(정신적장애) 40,000
J24-2 장애인증명서 1,000
J25 (비급여)진단서복사본 2,000
J26 사망진단서,사체검안서 추가발급(장당) 2,000
J27 보험회사용장애진단서 50,000
J28 근로능력평가용진단서 10,000
J3 영문진단서 1통 20,000
J31 정신과 근로능력 20,000
J32 정신과 장애진단 100,000
J33 등기 송달료 3,000
J34 제증명서 사본 1,000
J35 소견서(보험사확인) 200,000
J4 상해진단서 1통 (3주 미만) 100,000
J5 상해진단서 1통(3주 이상) 150,000
J6 소견서 1통 10,000
J7 사망진단서 최초1통 10,000
J8 확인서(입원,예방접종 공통) 1통 3,000
J9 치료확인서 1통 2,000
JP 추가발급 비용 1,000
JP1 영문진단서 추가발급 비용 10,000
JP2 상해진단서 추가발급 2,000
K1 고객카드재발행 10,000
ORDER000 1형당뇨 소모성 재료처방전 발부 0
T1 향후 진료비추정서(천만원이상) 100,000
T2 향후 진료비추정서(천만원이하) 50,000
B1 상급병실 차액료 (1인실) 70,000
B2 va012 상급병실 차액료 (2인실) 45,000
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BJ4801IF Bs Epidural Catheter Polyethylene 등(신경성형술 CATH 770,000