columbia asia gia dinh hospital basic price list … · 210 lbla2102 alt (sgpt) 101,010 131,313 211...

16
11/27/2018 FROM TO (1) (2) (3) (4) MO CONSULTATION 1 MCFD MO CONSULT - INITIAL - F / DOCTOR 630,000 1,152,900 2 MCFUVND MO CONSULT - FOLLOW UP - VN / DOCTOR 420,000 630,000 3 MCVND MO CONSULT - INITIAL - VN / DOCTOR 525,000 819,000 4 MCCVND MO CONSULT - COMPREHENSIVE INITIAL - VN / DOCTOR 664,650 1,096,673 5 MCCINVVD MO CONSULT - INPATIENT NORMAL VISIT - VN / DOCTOR 787,500 1,000,125 MO PROCEDURES 7 MOOTPCAUT MO PROCE - CAUTERY 533,626 1,109,942 8 MOOTPFNA MO FINE NEEDLE ASPIRATION (FNA) 1,594,500 2,120,685 9 MOWC10 MO PROCE - WART >10 CRY / CAUTERIZATION 1,271,348 1,690,893 10 MOWC310 MO PROCE - WARTS 3-10CRY / CAUTERIZATION 1,017,291 1,352,997 11 MOESFSEP MO PROCE - FLEX SIGMOIDOSCOPY - EXC.PATH 1,545,000 2,317,500 12 MOOTLACERATL05 MO PROCE - LACERATION, SUPERFICIAL, 2CM < L <= 5CM 3,814,044 5,339,662 13 MOOTLACERATL02 MO PROCE - LACERATION, SUPERFICIAL, L <= 2CM 2,542,696 3,559,774 14 MOSSL3 MO SUTURE - SUPERFICIAL < 3 CM 1,271,348 1,779,887 15 MOOTPSR05 MC PROCE - SUTURE REMOVAL, <5CM 330,593 595,067 16 MOSSL5 MO SUTURE - SUPERFICIAL < 5 CM LACERATION 1,398,908 2,392,133 17 MOESC MO PROCE - CYSTOSCOPY 3,300,615 5,941,107 18 MOOTPOE MO PROCE- EGD WITHOUT SEDATION* 1,430,000 2,145,000 19 MOOTHEMOINJ MO PROCE - HEMOSTATIC INJECTION 600,595 786,779 20 MOOTANSC MO PROCE - ANOSCOPY 909,928 1,119,211 21 MOOTBLEV MO PROCE- BAND LIGATION ESSOPHAGEAL VARICES 1,823,045 2,242,345 22 MOOTBLEVE MO PROCE -BAND LIGATION ESSOPHAGEAL VARICES(EMERGENCY 2,736,162 3,365,479 23 MOOTBLIH MO PROCE- BAND LIGATION INTERNAL HEMORRHOID(> OR = 2 PIL 909,928 1,119,211 24 MOOTBLIH1 MO PROCE- BAND LIGATION INTERNAL HEMORRHOID(1 PILE) 546,382 672,050 25 MOOTDBA MO PROCE- DILATION BY BALLOON 4,561,333 5,610,440 26 MOOTENGA MO PROCE - ENDOSCOPY GASTROTOMY 4,561,333 5,610,440 27 MOOTRFB MO PROCE- REMOVAL OF FOREIGN BODY 4,561,333 9,122,666 28 MOESCOLO MO PROCE - COLONOSCOPY 3,900,000 5,850,000 29 MOESFS MO PROCE - SIGMOIDOSCOPY 821,699 1,092,860 30 MOESFSPO MO POLYPECTOMY ( <OR = 1 ) 2,325,000 3,487,500 31 MOESFSPO2 MO POLYPECTOMY ( = OR >2 POYPS ) 3,708,000 5,562,000 SPECIALIST CONSULTATION 32 SCCFUSF SG CONSUL- FOLLOW-UP CONSULTANT FEE ( VN DOCTOR ) 585,750 907,913 33 SCCCSPF SG CONSULTANT - INITIAL CONSULTANT FEE ( VN DOCTOR) 798,750 1,174,163 34 SCCASURGEON1 SC CONSULT - ASSISTANT SURGEON (LEVEL 1) 2,023,500 3,095,955 COLUMBIA ASIA GIA DINH HOSPITAL BASIC PRICE LIST FROM 01.07.2018 No ItemCode Description PRICE EFFECTIVE 01/07/2018 1

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Page 1: COLUMBIA ASIA GIA DINH HOSPITAL BASIC PRICE LIST … · 210 lbla2102 alt (sgpt) 101,010 131,313 211 lbli2151 anti hcv 319,680

11/27/2018

FROM TO

(1) (2) (3) (4)

MO CONSULTATION

1 MCFD MO CONSULT - INITIAL - F / DOCTOR 630,000 1,152,900

2 MCFUVND MO CONSULT - FOLLOW UP - VN / DOCTOR 420,000 630,000

3 MCVND MO CONSULT - INITIAL - VN / DOCTOR 525,000 819,000

4 MCCVND MO CONSULT - COMPREHENSIVE INITIAL - VN / DOCTOR 664,650 1,096,673

5 MCCINVVD MO CONSULT - INPATIENT NORMAL VISIT - VN / DOCTOR 787,500 1,000,125

MO PROCEDURES

7 MOOTPCAUT MO PROCE - CAUTERY 533,626 1,109,942

8 MOOTPFNA MO FINE NEEDLE ASPIRATION (FNA) 1,594,500 2,120,685

9 MOWC10 MO PROCE - WART >10 CRY / CAUTERIZATION 1,271,348 1,690,893

10 MOWC310 MO PROCE - WARTS 3-10CRY / CAUTERIZATION 1,017,291 1,352,997

11 MOESFSEP MO PROCE - FLEX SIGMOIDOSCOPY - EXC.PATH 1,545,000 2,317,500

12 MOOTLACERATL05 MO PROCE - LACERATION, SUPERFICIAL, 2CM < L <= 5CM 3,814,044 5,339,662

13 MOOTLACERATL02 MO PROCE - LACERATION, SUPERFICIAL, L <= 2CM 2,542,696 3,559,774

14 MOSSL3 MO SUTURE - SUPERFICIAL < 3 CM 1,271,348 1,779,887

15 MOOTPSR05 MC PROCE - SUTURE REMOVAL, <5CM 330,593 595,067

16 MOSSL5 MO SUTURE - SUPERFICIAL < 5 CM LACERATION 1,398,908 2,392,133

17 MOESC MO PROCE - CYSTOSCOPY 3,300,615 5,941,107

18 MOOTPOE MO PROCE- EGD WITHOUT SEDATION* 1,430,000 2,145,000

19 MOOTHEMOINJ MO PROCE - HEMOSTATIC INJECTION 600,595 786,779

20 MOOTANSC MO PROCE - ANOSCOPY 909,928 1,119,211

21 MOOTBLEV MO PROCE- BAND LIGATION ESSOPHAGEAL VARICES 1,823,045 2,242,345

22 MOOTBLEVE MO PROCE -BAND LIGATION ESSOPHAGEAL VARICES(EMERGENCY) 2,736,162 3,365,479

23 MOOTBLIH MO PROCE- BAND LIGATION INTERNAL HEMORRHOID(> OR = 2 PILES) 909,928 1,119,211

24 MOOTBLIH1 MO PROCE- BAND LIGATION INTERNAL HEMORRHOID(1 PILE) 546,382 672,050

25 MOOTDBA MO PROCE- DILATION BY BALLOON 4,561,333 5,610,440

26 MOOTENGA MO PROCE - ENDOSCOPY GASTROTOMY 4,561,333 5,610,440

27 MOOTRFB MO PROCE- REMOVAL OF FOREIGN BODY 4,561,333 9,122,666

28 MOESCOLO MO PROCE - COLONOSCOPY 3,900,000 5,850,000

29 MOESFS MO PROCE - SIGMOIDOSCOPY 821,699 1,092,860

30 MOESFSPO MO POLYPECTOMY ( <OR = 1 ) 2,325,000 3,487,500

31 MOESFSPO2 MO POLYPECTOMY ( = OR >2 POYPS ) 3,708,000 5,562,000

SPECIALIST CONSULTATION

32 SCCFUSF SG CONSUL- FOLLOW-UP CONSULTANT FEE ( VN DOCTOR ) 585,750 907,913

33 SCCCSPF SG CONSULTANT - INITIAL CONSULTANT FEE ( VN DOCTOR) 798,750 1,174,163

34 SCCASURGEON1 SC CONSULT - ASSISTANT SURGEON (LEVEL 1) 2,023,500 3,095,955

COLUMBIA ASIA GIA DINH HOSPITAL

BASIC PRICE LIST FROM 01.07.2018

No ItemCode Description

PRICE EFFECTIVE

01/07/2018

1

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PRICE EFFECTIVE

01/07/2018

35 SCCASURGEON2 SC CONSULT - ASSISTANT SURGEON (LEVEL 2) 3,013,950 4,792,181

36 CSCPCP2 CS POST OR DOCTOR CARE (PER HOUR/ INTUBATION SPINAL ) 529,305 529,305

37 SCCINVSVD SC CONSULT - INPATIENT NORMAL VISIT - SPEC VN/ DOCTOR 798,750 1,174,163

38 SCCFPCVN1 SC FOLLOW UP - PEDIATRIC CONSULTATION - VN / DR (PCF) 426,000 639,000

39 SCCPCVN1 SG CONSULT- PEDIATRIC CONSULTATION - VN / DR ( PCF ) 532,500 905,250

40 SCCINVPVN1 SC INPATIENT NORMAL VISIT - PEDIATRIC VN / DR ( PCF ) 511,200 899,712

41 SCCPCP POST OR DOCTOR CARE (PER HOUR) 367,425 367,425

NURSING

42 NSDFEGD NURSING- SEDATION FEE FOR EGD 970,000 1,455,000

43 NIPDCS NURSING - DRESSING CHANGE (SIMPLE)-INPATIENT 434,623 521,547

44 NIPIINV NURSING - IM INJECTION (NO VACCINES)-INPATIENT 132,763 159,315

45 NIPIVM NURSING - IM MED + IV MED 1-2 INJECTIONS-INPATIENT 307,450 368,940

46 NIPPEKG PROCE - EKG-INPATIENT 299,065 358,878

47 NIPIVIINVN NURSING - IV INFUSION-INPATIENT 702,943 843,531

48 NIPUC NURSING - URINARY CATH-INPATIENT 737,880 885,456

49 NIPGSFSFIP NURSING-GLUCOSE STRIP FINGER STICK FOR- IN PATIENT 104,813 125,775

50 NIPOTPH OXYGEN THERAPY PER HOUR-INPATIENT 343,785 412,542

51 NPDCS NURSING - DRESSING CHANGE (SIMPLE) 334,325 514,861

52 NPIINV NURSING - IM INJECTION (NO VACCINES) 102,125 200,165

53 NPIVM NURSING - IM MED + IV MED 1-2 INJECTIONS 236,500 463,540

54 NPIVI NURSING - IV INFUSION(+ SHORT STAY & NURSING CARE) 1,126,600 2,027,880

55 NPGSFSFIP NURSING-GLUCOSE STRIP FINGER STICK FOR OUT PATIENT 80,625 145,125

56 NPPEKG PROCE - EKG 230,050 287,563

57 NPESOTPD NURSING - OXYGEN THERAPY PER DAY 946,000 1,854,160

58 NPPBLT BLOOD TRANSFUSION NURSING CHARGE (1ST UNIT) 4,435,450 6,431,403

59 NPIVIINVN NURSING - IV INFUSION 540,725 973,305

60 NPPRBC2 PACKED RED BLOOD CELL 350 ML 1,283,550 1,925,325

61 NPOTPSR05 NURSING - PROCE - SUTURE REMOVAL, <5CM 334,325 601,785

62 NPOTPSR10 NURSING - SG PROCE - SUTURE REMOVAL, 5CM - 10CM 513,850 960,900

63 NPNSI NURSING - NASAL/ SINUS IRIGATION 236,500 295,625

SURGICAL ANAESTHETIC

67 SACPCP2 CS POST OR DOCTOR CARE (PER HOUR / SPINAL/MASK) 624,000 692,640

68 SACPCP POST OR DOCTOR CARE (PER HOUR) - INTUBATION/ LARYNPHAGEAL MASK 728,000 808,080

68 SACPCP3 CS POST OR DOCTOR CARE (PER HOUR/ INTRAVENOUS/ IV SEDATION ) 468,000 519,480

69 SGANOTPGAI SGAN PROCE - GENERAL ANESTHESIA, INTUBATION 4,850,560 8,391,469

69 SAOTPGAM SGAN PROCE - GENERAL ANESTHESIA, MASK 3,881,280 6,481,738

70 SAOTPSA SGAN PROCE - SPINAL ANESTHESIA 4,203,680 7,020,146

70 SAOTPSPVM SGAN PROCE - SEDATION PIV,VALIUM,MONITORING ( <2HOURS ) 2,736,240 4,104,360

71 SAOTEXANES PR0 - EXTRA ANESTHESIA > 2 HOURS 710,320 873,694

71 SAOTIA SGAN PROCE - INTRAVENOUS ANESTHESIA 3,900,000 4,797,000

SURGICAL FEE

81 SGLAKIDCRS LAPAROSCOPY - KIDNEY CYST REMOVAL SIMPLE 20,000,000 24,000,000

2

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11/27/2018

No ItemCode Description

PRICE EFFECTIVE

01/07/2018

82 SGOTTENDON SG PROCE -TENDON SUTURE OF ACHILLE 29,000,000 52,200,000

83 SGCOLPOS SG PROCE - COLPOSCOPY 1,500,000 2,100,000

84 SGIUDRTD SPECPROC - IUD REMOVAL (T DEVICE) 313,000 544,620

85 SGESFSEP SG PROCE - FLEX SIGMOIDOSCOPY - EXC.PATH 1,545,000 2,317,500

86 SGGROI SG PROCE - GROMMET INSERTION/ DAT ONG THONG NHI 6,900,000 13,800,000

87 SGOTPFNA SG_ FINE NEEDLE ASPIRATION (FNA) 1,594,500 2,120,685

88 SGWC10 SG PROCE - WART >10 CRY / CAUTERIZATION 1,271,348 1,690,893

89 SGWC310 SG PROCE - WARTS 3-10CRY / CAUTERIZATION 1,017,291 1,352,997

90 SGTPFD SG PROCE - TERMINATION OF PREGNANCY 3,400,000 4,760,000

91 SGEGDICT SC PROCE - EGD (ENDOSCOPY) WITH SEDATION 2,400,000 3,600,000

92 SGESC SG PROCE - CYSTOSCOPY 3,105,000 5,589,000

93 SGESDIAG SG PROCE - DIAGNOSTIC ENDOSCOPY OF SINUS (ENT SPEC.) 939,000 1,690,200

94 SGSR SG CAST REMOVAL - SIMPLE 1,247,962 1,460,116

95 SGC50 SG CASTS < 50CM (EXCLUDED PLASTER) 2,298,206 2,688,901

96 SGCL50 SG CASTS LARGE >50 CM (EXCLUDED PLASTER) 3,569,554 4,176,378

97 SGCSH SG CASTS SMALL (HAND) ((EXCLUDED PLASTER) 1,026,858 1,201,424

98 SGSL12 SG PROCE- SPLINT LARGE (12/10CM) 935,440 1,833,462

99 SGSL7 SG PROCE -CAST SPLINT MEDIUM (7/10CM) 701,580 1,375,097

100 SGSL5 SG PROCE - CAST SPLINT SMALL (5/10CM) 467,720 916,731

101 SGOTAPPEND SG PROCE - APPENDECTOMY, OPEN 11,242,000 19,785,920

102 SGOTBIOPSY SG PROCE - BREAST MASS, EXCISIONAL BIOPSY 7,176,000 8,826,480

103 SGOTCBMP SG PROCE - CERVICAL BIOPSY MINOR PROCEDURE 2,631,000 5,472,480

104 SGIADS SG PROCE - ABSCESS OF SOFT TISSUE - SIMPLE 3,588,000 4,772,040

105 SGJAI PROCE - JOINT ASPIRATION / INJECTION 381,617 816,660

106 SGOTPOE SC PROCE- EGD WITHOUT SEDATION 1,430,000 2,145,000

107 SGOTPSR05 SGPROCE - SUTURE REMOVAL, <5CM 330,593 595,067

108 SGOTPSR10 SG PROCE - SUTURE REMOVAL, 5CM - 10CM 508,114 950,173

109 SGOTPTBUL SG PROCE - FNA WITHOUT ULTRASOUND 2,657,500 3,720,500

110 SGSDM5 SUTURE - DEEP > 5 CM LACERATION 2,796,753 4,782,448

111 SGSSL3 SG SUTURE - SUPERFICIAL < 3 CM 1,271,348 1,779,887

112 SGSSL5 SUTURE - SUPERFICIAL < 5 CM LACERATION 1,398,908 2,392,133

113 SGOTUHSURGERY SG PROCE - UMBILICAL HERNIA SURGERY 17,222,000 29,449,620

114 SGOTMYRINGO SG PROCE - MYRINGOPLASTY 14,591,000 20,865,130

115 SGOTTONSI SG PROCE - TONSILECTOMY 11,960,000 16,744,000

116 SGOTABSCESS SG PROCE - PERIANAL ABSCESS 11,960,000 14,710,800

117 SGOTANALPOLYPS SG PROCE - ANAL SKIN TAGS/ANAL POLYPS 11,972,000 17,958,000

118 SGOTCIRCUM SG PROCE - CIRCUMSISION (MALE >10 YRS) 9,568,000 13,395,200

119 SGOTFISTULALOW SG PROCE - ANAL FISTULA, LOWER HALF 13,156,000 18,813,080

120 SGOTGASTROTO SG PROCE - GASTROTOMY, OPEN 7,176,000 13,490,880

121 SGOTHERNIA10 SG PROCE - RECURRENT FEMORAL/INGUINAL HERNIA, WO.MESH 14,352,000 20,092,800

122 SGOTHERNIA11 SG PROCE - RECURRENT FEMORAL/INGUINAL HERNIA, W.MESH 16,744,000 22,102,080

123 SGOTNASALPACK SG NASAL PACKING (EPITAXIX) 1,525,405 2,349,124

124 SGOTPNASE SG PROCE - NASAL SEPTOPLASTY 12,434,000 21,510,820

125 SGSTLFDG SG PROCE - SOFT TISSUE LESION, FACE/DIGIT/GENITALIA 3,050,810 5,705,015

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No ItemCode Description

PRICE EFFECTIVE

01/07/2018

126 SGSTL2CM SG PROCE - SOFT TISSUE LESION, <2 CM 1,955,920 2,738,288

127 SGSTL5CM SG PROCE - SOFT TISSUE LESION, 2 - 5 CM 2,288,639 3,204,095

128 SGOTSOFTISSUEX SG PROCE - SOFT TISSUE LESION, 5 - 10 CM 4,068,101 7,159,858

129 SGOTTHYROGC SG PROCE - THYRO-GLOSSAL CYST (REMOVAL) 7,176,000 13,419,120

130 SGOTVASEC SG PROCE - VASECTOMY 9,568,000 15,308,800

131 SGOTVEINPLACE SG PROCE - CENTRAL VEIN ACCESS PORT, PLACEMENT OF 5,980,000 11,242,400

132 SGOTVEINREMOV SG PROCE - CENTRAL VEIN ACCESS PORT, REMOVAL OF 3,050,810 5,735,523

133 SGOTLACERATD05 SG PROCE - LACERATION, DEEP, 5CM < D < 10CM 3,050,810 4,698,247

134 SGOTLACERATL02 SG PROCE - LACERATION, SUPERFICIAL, L <= 2CM 2,542,696 3,559,774

135 SGOTLACERATL05 SG PROCE - LACERATION, SUPERFICIAL, 2CM < L <= 5CM 3,814,044 5,339,662

136 SGOTLACERATL10 SG PROCE - LACERATION, SUPERFICIAL, 5CM < L <= 10CM 3,814,044 6,369,453

137 SGOTLACERATL15 SG PROCE - LACERATION, SUPERFICIAL, 10CM < L <= 15CM 5,980,000 9,986,600

138 SGOTBLOCK SGNA PROCE - REGIONAL BLOCK 1,525,405 2,028,789

139 SGOTBREAST SG PROCE - FNA WITH ULTRASOUND 3,029,550 4,241,370

140 SGOTDENERVE1 SG DECOMPRESSION OF NERVE (1 SIDE) 13,634,000 19,087,600

141 SGOTDENERVE2 DECOMPRESSION OF NERVE (2 SIDE) 20,889,000 34,049,070

142 SGOTFUENSINUS SG FUNCTIONAL ENDOSCOPY SINUS SURGERY 12,438,000 13,681,800

143 SGOTLIPOME LIPOMECTOMY 7,654,000 10,945,220

144 SGOTNASAL SG NASAL BONE REDUCTION / BONE FRACTURE 14,352,000 19,088,160

145 SGOTREDUCTION REDUCTION & OSTEOSYNTHESIS (SCREW FIXATION & CAST) 28,704,000 55,111,680

146 SGOTSCREW SG SCREW REMOVAL 14,352,000 20,092,800

147 SGOTCIRCUM10 SG PROCE - CIRCUMSISION ( < 10YEARS OLD) 10,511,000 14,715,400

148 SGOTREDUCTION2 SG REDUCTION & OSTEOSYNTHESIS(PINING FIXATION & CAST) 19,136,000 33,488,000

149 SGOTHEMOINJ SG PROCE - HEMOSTATIC INJECTION 600,595 786,779

150 SGOTPIDM SG PROCE - ABSCESS OF SOFT TISSUE - MODERATE 7,176,000 13,419,120

151 SGOTBUPE SG BURRIED PENIS 16,744,000 33,488,000

152 SGOTEARWAX SG EAR CARE - REMOVAL EAR WAX LOCAL MEDICINE 763,234 1,183,013

153 SGOTLAPPENDCO SG APPENDECTOMY, LAPAROSCOPY - (W/PERTONITIS) 22,604,000 31,645,600

154 SGOTPHEMA SG HEMAGIOMA REMOVAL 7,176,000 13,419,120

155 SGOTREFOENT SG REMOVAL FOREIGN BODY (ENT) 1,271,348 2,377,421

156 SGOTSEBSEP SG SUTURE - EXCISION BIOPSY EPIDIDYME 14,352,000 22,245,600

157 SGOTHAEMORR1 SG NEW PROCE - HAEMORRHOIDECTOMY 28,638,000 35,224,740

158 SGOTANSC SG PROCE - ANOSCOPY 909,928 1,119,211

159 SGOTBLEV SC PROCE- BAND LIGATION ESSOPHAGEAL VARICES 1,823,045 2,242,345

160 SGOTBLEVE SG PROCE -BAND LIGATION ESSOPHAGEAL VARICES(EMERGENCY) 2,736,162 3,365,479

161 SGOTBLIH SG PROCE- BAND LIGATION INTERNAL HEMORRHOID(> OR = 2 PILES) 909,928 1,119,211

162 SGOTBLIH1 SG PROCE- BAND LIGATION INTERNAL HEMORRHOID(1 PILE) 546,382 672,050

163 SGOTDBA SG PROCE- DILATION BY BALLOON 4,561,333 5,610,440

164 SGOTENGA SG PROCE - ENDOSCOPY GASTROTOMY 4,561,333 5,610,440

165 SGOTRFB SG PROCE- REMOVAL OF FOREIGN BODY 4,561,333 5,473,600

166 SGOTPSPVM2 SG PROCE - SEDATION PIV,VALIUM,MONITORING ( >2 HOURS) 3,178,370 4,767,555

167 SGOTDOTMF SG DECOMPRESSION OF TENDON MULTIPLE FINGERS 16,505,000 18,155,500

168 SGOTDOTSF SG DECOMPRESSION OF TENDON SINGLE FINGER 10,764,000 11,840,400

169 SGESCOLO SG PROCE - COLONOSCOPY 3,900,000 5,850,000

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PRICE EFFECTIVE

01/07/2018

170 SGESFS SG PROCE - SIGMOIDOSCOPY 821,699 1,092,860

171 SGESFSPO POLYPECTOMY ( <OR = 1 ) 2,325,000 3,487,500

172 SGESFSPO2 POLYPECTOMY ( = OR >2 POYPS ) 3,708,000 5,562,000

173 SCDCS SG DRESSING CHANGE (SIMPLE-DR) 330,593 509,113

174 SGOTSCPIN SG PINNING REMOVAL 8,000,000 11,200,000

175 SGOTSF PROCE - ANAL FISSURE 11,500,000 16,100,000

176 SGOTHD PROCE - HIP DISLOCATION (IN OR) 13,800,000 19,320,000

177 SGOTDF PROCE - DISLOCATION- FINGER (SIMPLE) 4,600,000 6,900,000

178 SGOTDT PROCE - DISLOCATION- TOE (SIMPLE) 6,900,000 10,350,000

179 SGOTDS PROCE - DISLOCATION- SHOULDER (SIMPLE) 9,200,000 12,880,000

180 SGOTLNBS PROCE - LYMPH NODE BIOPSY (SIMPLE) 11,500,000 16,100,000

181 SGOTTRLS PROCE - TENDON RUPTURE FLEXOR (SIMPLE) 11,500,000 16,100,000

182 SGOTTRES PROCE - TENDON RUPTURE EXTENSOR (SIMPLE) 11,500,000 16,100,000

183 SGEW SG PROCE - EAR WASH 332,770 625,608

IMAGING

184 IMUS2048 SOFT TISSUE ULTRASOUND 551,670 993,006

185 IMUS2016 ABDOMINAL ULTRASOUND 551,670 993,006

186 IMXR2005 ANKLE - LEFT / RIGHT - X-RAY 257,520 463,536

187 IMXR2007 ANKLE - LEFT AND RIGHT - X-RAY 515,040 927,072

188 IMXR2023 CHEST LATERAL - X-RAY 257,520 463,536

189 IMXR2094 CHEST PA - X-RAY 257,520 463,536

190 IMXR2027 CLAVICLE - LEFT / RIGHT - X-RAY 257,520 463,536

191 IMXR2019 C-SPINE - X-RAY 737,040 1,289,820

192 IMUS2022 DEEP VENOUS THROMBOSIS 1,157,730 2,083,914

193 IMXR2029 ELBOW - LEFT / RIGHT - X-RAY 257,520 463,536

194 IMXR2095 FINGER - X-RAY 184,260 368,520

195 IMXR2036 FOOT - LEFT / RIGHT - X-RAY 257,520 463,536

196 IMXR2042 HAND - LEFT / RIGHT - X-RAY 257,520 463,536

197 IMXR2096 HEEL - LEFT / RIGHT - X-RAY 257,520 463,536

198 IMXR2046 KNEE - LEFT / RIGHT - X-RAY 257,520 463,536

199 IMXR2053 L-SPINE - X-RAY 490,620 883,116

200 IMXR2064 PELVIC - X-RAY 368,520 663,336

201 IMXR2073 SHOULDER - LEFT / RIGHT - X-RAY 257,520 463,536

202 IMXR2075 SHOULDER - LEFT AND RIGHT - X-RAY 515,040 927,072

203 IMXR2107 SINUSES - X-RAY 368,520 644,910

204 IMUS2037 TESTICULAR ULTRASOUND 668,220 1,202,796

205 IMUS2015 THYROID ULTRASOUND 669,330 1,204,794

206 IMUS2038 TRANSTHORACIC ECHOCARDIOGRAM - ULTRASOUND 1,240,980 2,233,764

207 IMXR2088 WRIST - LEFT / RIGHT - X-RAY 257,520 463,536

208 IMUS2003 BREAST ULTRASOUND 669,330 1,204,794

LABORATORY

209 LBLI2197 FREE T3 205,350 308,025

210 LBLM2065 AFB (SPUTUM OTHERS) 150,960 196,248

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No ItemCode Description

PRICE EFFECTIVE

01/07/2018

210 LBLA2102 ALT (SGPT) 101,010 131,313

211 LBLI2151 ANTI HCV 319,680 383,616

211 LBLI2153 ANTI STREPTOLYSIN O TITRE (ASO) 118,770 154,401

212 LBLA2104 AST (SGOT) 101,010 131,313

212 LBLC2123 BIOPSY 356,310 427,572

213 LBLB2006 BLEEDING TIME (BT) 64,380 83,694

213 LBLB2056 BLOOD GROUP/GROUP SANGUIN 152,070 197,691

214 LBLA2109 BUN 101,010 131,313

214 LBLB2057 CBC 166,500 216,450

215 LBLA2111 CHOLESTEROL - FASTING 101,010 131,313

215 LBLA2113 CHOLESTEROL - RANDOM 101,010 131,313

216 LBLB2060 COAGULATION TIME 64,380 83,694

216 LBLI2036 C-REACTIVE PROTEIN (CRP) 185,370 240,981

217 LBLA2038 CREATININE 101,010 131,313

217 LBLM2067 CULTURE (TB) AND SENSITIVITY 831,390 997,668

218 LBLM2001 CULTURE AND SENSIVITY (URINE) 368,520 442,224

218 LBLA2118 ELECTROLYTE (Na, Ka, Cl) 225,330 292,929

219 LBLA2044 FERRITIN 239,760 287,712

219 LBLA2119 GAMMA GLUTAMYL TRANSPEPTIDASE (GGT) 101,010 131,313

220 LBLA2121 GLUCOSE FASTING 95,460 124,098

220 LBLA2123 GLUCOSE RANDOM 95,460 124,098

221 LBLA2124 GLYCATED HAEMOGLOBIN (HBA1C) 237,540 308,802

221 LBLM2062 GRAM STAIN 207,570 269,841

222 LBLI2165 H.PYLORI 180,930 235,209

222 LBLT2010 H.PYLORI (UREA/ BREATH TEST) 1,068,930 1,165,134

223 LBLT2009 H.PYLORI / STOOL 356,310 427,572

223 LBLI2073 HbeAb 319,680 383,616

224 LBLI2072 HbeAg 319,680 383,616

224 LBLI2171 HBsAb 239,760 287,712

225 LBLI2172 HBsAg 239,760 287,712

225 LBLI2174 HBV DNA (QUALITATIVE) 593,850 712,620

226 LBLI2175 HBV-DNA (COBAS ROCHE) 1,942,500 2,525,250

226 LBLA2129 HDL CHOLESTEROL 108,780 141,414

227 LBLT2003 HEMOCULT (STOOL BLOOD) 150,960 196,248

227 LBLI2180 HIV 202,020 262,626

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No ItemCode Description

PRICE EFFECTIVE

01/07/2018

228 LBLP2091 LIPID PROFILE 429,570 558,441

228 LBLC2017 PAP SMEAR 320,790 577,422

229 LBLB2065 PROTHROMBIN / PT 142,080 184,704

229 LBLI2122 RUBELLA IgG 319,680 383,616

230 LBLT2001 STOOL EXAM (WET MOUNT AND CONCENTRATE) 148,740 193,362

230 LBLT2007 STRONGYLOIDES 207,570 269,841

231 LBLI2187 T3 178,710 232,323

231 LBLI2188 T4 178,710 232,323

232 LBLE2023 THYROID STIMULATING HORMONE (TSH) 255,300 306,360

232 LBLT2008 TOXOCARA 207,570 269,841

233 LBLA2045 TRIGLYCERIDE 101,010 131,313

233 LBLA2138 TROPONIN 1 178,710 232,323

234 LBLU2012 UA - CLINITEX 106,560 138,528

234 LBLA2093 URIC ACID 101,010 131,313

235 LBLU2018 URINE PROTEINURIA / URINE 24 HOURS 246,420 443,556

235 LBLI2170 VDRL 150,960 196,248

236 LBLM2063 WET MOUNT 150,960 196,248

236 LBLI2149 WIDAL 178,710 232,323

237 LBLA2030 LDL CHOLESTEROL 118,770 154,401

237 LBLI2121 RUBELLA IgM 319,680 383,616

238 LBLB2062 ESR 95,460 124,098

238 LBLI2159 DENGUE DUO (IgG- IgM- NS1) 421,800 506,160

239 LBLM2003 CULTURE AND SENSIVITY (STOOL) 368,520 442,224

239 LBLM2007 CULTURE AND SENSIVITY (SPUTUM) 368,520 442,224

240 LBLI2209 H.PYLORI IgM 222,000 288,600

240 LBLI2210 H.PYLORI IgG 222,000 288,600

241 LBLI2217 HBV-DNA (TAQMAN) 693,750 832,500

241 LBLI2218 HCV-RNA (TAQMAN) 1,221,000 1,465,200

REHABILITATION

242 RHPTI45M PHYSIOTHERAPY - 45 MINUTES 600,000 900,000

243 RHPTI90M PHYSIOTHERAPY - 90 MINUTES 1,000,000 1,500,000

244 RHPTI60M PHYSIOTHERAPY - 60 MINUTES 800,000 1,200,000

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No ItemCode Description

PRICE EFFECTIVE

01/07/2018

ROOM CHARGES

245 RCFRMB INPATIENT STAY ( 1 A / B/ C/ D/ E ) 856,000 1,284,000

246 RCFRSR INPATIENT STAY ( 2, 3, 6 ) 1,070,000 1,712,000

247 RCFRVIP INPATIENT STAY ( 4 ) 1,284,000 2,247,000

ADMIN CHARGES

248 ACFTRA TRANSPORTATION - OTHERS 1,735,800 1,735,800

249 ACMFAWFDE AMBULANCE - WITH F / DOCTOR ESCORT 4,590,300 8,262,540

250 ACFAWNE AMBULANCE - WITH NURSING ESCORT 1,434,400 1,678,248

251 ACFAWVDE AMBULANCE - WITH VN / DOCTOR ESCORT 2,295,700 4,132,260

252 ACL1 ADMINISTRASTION FEE level 1 (Medical equipment depreciation, electrical consumption...) 177,100 212,520

253 ACL2 ADMINISTRASTION FEE level 2 (Medical equipment depreciation, electrical consumption...) 379,500 455,400

254 ACRI ADMIN-EMR CHARGE/INITIAL 60,500 60,500

255 ACRF ADMIN-EMR CHARGE/FOLLOW UP 33,000 33,000

Columbia Asia (Viet Nam)

DZUNG QUOC BUI

General Director

" Bảng giá này có hiệu lực từ ngày 01/07/2018 và thay thế tất cả các bảng giá Công ty TNHH Columbia Asia (Việt Nam) đã cung cấp trước đó."

" Bảng giá này bao gồm 10 (mười) trang phải được tuyệt đối bảo mật, chỉ để sử dụng cho việc thanh toán công nợ phát sinh từ Công ty TNHH Columbia Asia (Việt Nam) - Bệnh viện Quốc tế Columbia Asia Gia Định.

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" Bảng giá này có hiệu lực từ ngày 01/07/2018 và thay thế tất cả các bảng giá Công ty TNHH Columbia Asia (Việt Nam) đã cung cấp trước đó."

" Bảng giá này bao gồm 10 (mười) trang phải được tuyệt đối bảo mật, chỉ để sử dụng cho việc thanh toán công nợ phát sinh từ Công ty TNHH Columbia Asia (Việt Nam) - Bệnh viện Quốc tế Columbia Asia Gia Định.

16