더조은병원비급여수가안내 2017.07.14 기준 항목 수가명 금액 MRI Ankle MRI(Lt) 450,000 Ankle MRI(Lt)( 조영제 ) 550,000 Ankle MRI(Lt)(Arthrogram) 600,000 Ankle MRI(Rt) 450,000 Ankle MRI(Rt)( 조영제 ) 550,000 Ankle MRI(Rt)(Arthrogram) 600,000 Brain MRI 450,000 Brain MRI( 조영제 ) 550,000 Brain MRI+MRA 600,000 Brain MRI+MRA( 조영제 ) 700,000 C.T-spine MRI 450,000 C.T-spine MRI( 조영제 ) 550,000 C-spine MRI 450,000 C-spine MRI( 조영제 ) 550,000 C-spine MRI(COR) 150,000 C-spine MRI(F) 150,000 C-spine MRI(R) 250,000 C-spine MRI(S) 350,000 C-spine MRI(S)+ 조영제 450,000 CT-spine MRI(S) 350,000 CT-spine MRI(S)+ 조영제 450,000 Elbow MRI(Lt) 450,000 Elbow MRI(Lt)( 조영제 ) 550,000 Elbow MRI(Lt)(Arthrogram) 600,000 Elbow MRI(Rt) 450,000 Elbow MRI(Rt)( 조영제 ) 550,000 Elbow MRI(Rt)(Arthrogram) 600,000 Femur MRI(Lt) 450,000 Femur MRI(Lt)( 조영제사용 ) 550,000 Femur MRI(Rt) 450,000 Femur MRI(Rt))( 조영제사용 ) 550,000 F-MRI(Lt knee) 150,000 F-MRI(Lt Shoulder) 150,000 F-MRI(Rt knee) 150,000 F-MRI(Rt Shoulder) 150,000 Foot MRI(Lt) 450,000 Foot MRI(Lt)( 조영제 ) 550,000 Foot MRI(Rt) 450,000 Foot MRI(Rt)( 조영제 ) 550,000
Hand MRI(Lt) 450,000 Hand MRI(Rt) 450,000 Hip MRI(Lt) 450,000 Hip MRI(Lt)( 조영제 ) 550,000 Hip MRI(Lt)(Arthrogram)) 600,000 Hip MRI(Rt) 450,000 Hip MRI(Rt)( 조영제 ) 550,000 Hip MRI(Rt)(Arthrogram)) 600,000 Knee MRI(Lt) 450,000 Knee MRI(Lt)( 조영제 ) 550,000 Knee MRI(Lt)(Arthrogram) 600,000 Knee MRI(Rt) 450,000 Knee MRI(Rt)( 조영제 ) 550,000 Knee MRI(Rt)(Arthrogram) 600,000 L-spine MRI 450,000 L-spine MRI Contrast 100,000 L-spine MRI( 조영제 ) 550,000 L-spine MRI(COR) 150,000 L-spine MRI(F) 150,000 L-spine MRI(R) 250,000 L-spine MRI(S) 350,000 L-spine MRI(S)+ 조영제 450,000 MRI-일반 700,000 MRI 조영제추가 100,000 Neck MRI 450,000 Neck MRI ( 조영제사용 ) 550,000 Pelvis MRI 450,000 Pelvis MRI( 조영제사용 ) 550,000 PNS MRI 450,000 PNS MRI( 조영제사용 ) 550,000 RT Humerus MRI( 조영제 ) 550,000 s- knee MRI(Lt) 350,000 s- knee MRI(Rt) 350,000 Sella MRI 450,000 Sella MRI( 조영제 ) 550,000 Shoulder MRI(Lt) 450,000 Shoulder MRI(Lt)( 조영제 ) 585,000 Shoulder MRI(Lt)(Arthrogram)) 600,000 Shoulder MRI(Rt) 450,000 Shoulder MRI(Rt)( 조영제 ) 600,000 Shoulder MRI(Rt)(Arthrogram)) 600,000 SS-MRI Lt(Ankle) 350,000 SS-MRI Lt(Knee) 350,000
SS-MRI Lt(Knee)+ 조영제 450,000 SS-MRI Lt(Shoulder) 350,000 SS-MRI Lt(Shoulder)+ 조영제 450,000 SS-MRI Rt(Ankle) 350,000 SS-MRI Rt(Knee) 350,000 SS-MRI Rt(Knee)+ 조영제 450,000 SS-MRI Rt(Shoulder) 350,000 SS-MRI Rt(Shoulder)+ 조영제 450,000 SS-MRI(C) 350,000 SS-MRI(C)+ 조영제 450,000 SS-MRI(C-T) 350,000 SS-MRI(C-T)+ 조영제 450,000 SS-MRI(Hip) 350,000 SS-MRI(Hip)+ 조영제 450,000 SS-MRI(L) 350,000 SS-MRI(L)+ 조영제 450,000 SS-MRI(Pelvis) 350,000 SS-MRI(Pelvis)+ 조영제 450,000 SS-MRI(T) 350,000 SS-MRI(T)+ 조영제 450,000 SS-MRI(T-L) 350,000 SS-MRI(T-L)+ 조영제 450,000 T.L-spine MRI 450,000 T.L-spine MRI( 조영제 ) 550,000 T.L-spine MRI(F) 150,000 Tibia MRI(Lt) 450,000 Tibia MRI(Lt) + 조영제 550,000 Tibia MRI(Rt) 450,000 Tibia MRI(Rt)+ 조영제 550,000 TL-spine MRI(S) 350,000 TL-spine MRI(S)+ 조영제 450,000 T-M joint MRI 450,000 T-M joint MRI( 조영제사용 ) 550,000 T-spine MRI 450,000 T-spine MRI( 조영제 ) 550,000 T-spine MRI(COR) 150,000 T-spine MRI(F) 150,000 T-spine MRI(S) 350,000 T-spine MRI(S)+ 조영제 450,000 Whole Spine MRI(C) 550,000 Whole Spine MRI(C)+ 조영제 650,000 Whole Spine MRI(C-T) 550,000 Whole Spine MRI(C-T)+ 조영제 650,000
Whole Spine MRI(L) 550,000 Whole Spine MRI(L)+ 조영제 650,000 Whole Spine MRI(TL) 550,000 Whole Spine MRI(TL)+ 조영제 650,000 Wrist MRI(Lt) 450,000 Wrist MRI(Lt)( 조영제 ) 550,000 Wrist MRI(Lt)(Arthrogram)) 600,000 Wrist MRI(Rt) 450,000 Wrist MRI(Rt)( 조영제 ) 550,000 Wrist MRI(Rt)(Arthrogram)) 600,000 (P.O)Ankle MRI(Lt) 250,000 (P.O)Ankle MRI(Rt) 250,000 (P.O)Knee MRI(Lt) 250,000 (P.O)Knee MRI(Rt) 250,000 (P.O)Shoulder MRI(Lt) 250,000 (P.O)Shoulder MRI(Rt) 250,000 (P.O)TL-spine MRI 450,000 (P.O)T-spine MRI 450,000 (P.O)C-spine MRI 450,000 (P.O)L-spine MRI 450,000 SONO Abdomen US 150,000 Carotid Artery doppler US 180,000 Echocardiogram 180,000 Lower extremities doppler US 180,000 Neck US 70,000 Muscular US 70,000 Thyroid US 70,000 (Med)Abdomen US 70,000 (Med)Carotid Artery doppler US 70,000 (Med)Echocardiogram 100,000 (Med)Lower extremities doppler US 70,000 (Med)Thyroid US 50,000 (OS)Muscular US 50,000 Sono guide injection 50,000 처치및수술 목발 22,000 벨포밸트 20,000 캐스터슈즈 15,000 8자붕대 10,000 팔걸이 15,000 AIR CAST 100,000 ALUMI SPLINT - A형 15,000 ALUMI SPLINT - B형 15,000 ankle everstep(m,l) 50,000
ankle Suprt(S,M,L) 15,000 Mallet finger 25,000 SOFT COLLAR 20,000 Wrist splint 33,000 Coban Self Adherent Warp 2"(20cm단위 ) 500 Coban Self Adherent Warp 3"(20cm단위 ) 600 Antiembolism stocking 70,000 BIO EDEN SPINAL FIXATION SYSTEM-SCREW 324,220 BIO EDEN SPINAL FIXATION SYSTEM-ROD 123,720 BIO EDEN PEEK CAGE 459,120 NAFIX PLUS 6,800 Superpore 6*9cm 220 Superpore 9*9cm 310 Suture strip (1/4"*1,1/2") 2,000 Superpore 9*15cm 370 Superpore 9*20cm 760 Superpore 9*25cm 600 메딕스밴드 (6*8) 500 메딕스밴드 (7*10) 800 메딕스밴드 (10*10) 1,200 메딕스밴드 (10*13) 1,500 메딕스밴드 (10*20) 2,000 메딕스밴드 (10*25) 2,500 New Plus Roll 1,000 Hypafix 15cm (1cm단위) 1,500 Hallux valgus brace 150,000 Renosi gel (5*6) 30,000 Renosi gel (6*10) 70,000 StiRing 250,000 ROYAL 5,000 APPOSE SKIN STAPLER 5,000 Rafugen DBM Gel 660,000 ORTHOBLAST II PASTE 337,500 MOBI-C WITH PLUG & FIT 4,620,000 ALLOMATRIX INJECTABLE PUTTY 10CC 2,189,000 ALLOMATRIX INJECTABLE PUTTY 1CC 380,000 ALLOMATRIX INJECTABLE PUTTY 5CC 1,350,000 Bonfuse-Fiber 880,000 Allomatrix DR Peri-anticular Gaft 3cc 1,600,000 Anyplus 1,000,000 Grafton r DBM Putty1.0cc 880,000 Xgen DBM Graft 1cc 660,000 Cortical spacer(amnio) 660,000
Dynagraft II (1cc) 506,000 Cartistem 8,500,000 VACO ped 600,000 ALKANTIS (ICE PACK) 70,000 GENTA Q 5*5 700,000 Discocerv 5,500,000 MEDISHIELD 680,000 Intradiscal Catheter 1,650,000 L DISQ 1,650,000 Disc-Care 1,650,000 Percutaneous Wand 1,650,000 PCM 550,000 EDEN EPIDURAL CATHETER 550,000 ABEL CATHETER 550,000 St. Reed Plus 550,000 RACZ CATHETER 550,000 NT EPIDURAL CATHETER(CERVICAL) 550,000 Neurotherm CATHETER 550,000 ST COX 550,000 쥬베뉴 ( 주 ) 경막외카테터,JVN-EC01 880,000 VIDEO GUIDE CATHETER 1,650,000 SPINE WAND SURGICAL DEVICE SYSTEM 1,650,000 Needle view ch 2,400,000 Interspinous 1,500,000 WALLIS SYSTEM 2,780,000 DIAM 2,762,900 BLOODSTOP IX 500,000 Floseal 700,000 노바콜0.5g 450,000 GUARDIX 700,000 COLLATAMP 5*5 350,000 COLLATAMP 10*10 500,000 GENTA Q 5*5 350,000 GENTA Q 10*10 500,000 HYALOFAST 1,265,000 REGENSEAL 3,200,000 하이아이주 15mg/1ml 150,000 End-ball(I) 5,500,000 입원 KIT(A형 ) 10,000 입원 KIT(B형 ) 13,000 Prolo Therapy-OS 200,000 Mediclore 700,000 경피적경막외강신경성형술 1,100,000
경피적경막외강신경성형술F 1,600,000 추간판내고주파열치료술 1,950,000 추간판내고주파열치료술 (PELAN) 3,350,000 추간판내고주파열치료술 (DELTA) 3,350,000 추간판내고주파열치료술 (bilateral) 3,350,000 추간판내고주파열치료술 (level추가) 1,500,000 내시경적경막외강신경근성형술 2,300,000 내시경적경막외강신경근성형술 (level추가) 2,000,000 Epidural Adheesiolysis with Balloon 1,700,000 연골결손환자에서의자가골수줄기세포치료술 3,300,000 약제및주사 포스테오주 250mg/ml 680,000 조스타박스주 ( 대상포진생바이러스백신 ) 190,000 프리베나13주 ( 폐렴구균백신 ) 150,000 하브릭스주 (A형간염백신) 80,000 스카이셀플루프리필드시린지 30,000 헤파박스진주성인 17,000 헤파박스진주소아 13,000 라쥬비넥스주 250,000 라쥬비넥스주-OS 100,000 삼진타우로린주사2%250ml 90,000 하이랙스주 70,000 에취라제주 50,000 멜스몬주 35,000 훼렉스주 35,000 뉴트리헥스250ml 50,000 뉴트리헥스100ml 30,000 에스알리네이트주사액 20,000 베마케스트주 20,000 치옥토민주 20,000 신델라주 20,000 교미노틴주20ml 20,000 엘디엘주 50,000 메리트씨주사 19,764 리피씨주 ( 대한뉴팜 ( 주 )) 50,000 ABC(3) + a.a 100ml 100,000 ABC(3) + a.a 250ml 130,000 ABC(2) + a.a 100ml 80,000 멀티블루5주 + 뉴트리헥스250ml 110,000 멀티블루5주 + 뉴트리헥스100ml 100,000 활력주사 40,000 ABC+ 뉴트리헥스250ml 100,000 Meyer's 주사 70,000 노랑주사 70,000
파랑주사 60,000 간개선주사 50,000 콤비플렉스 MCT 70,000 비타민D주사 40,000 코푸시럽에스1ml 10 둘코락스에스정 260 멕소롱정 40 동화후시딘크림1g 330 에스파이트골드디엑스정 400 바이코비정 400 트레스탄캅셀 620 큐라스텐액 2,700 BIOEASE K 17,000 이학요법 비침습적무통증신호요법 150,000 체외충격파치료 [ 근골격계질환 ] 100,000 신장분사치료 100,000 검사 Homocysteine 35,000 N-아세틸글루코사미니다제 25,000 항CCP항체 [IgG] 50,600 수면내시경검사관리료 60,000 Pain view 50,000 (Med)D.I.T.I(Whole) 70,000 D.I.T.I(Lower) 150,000 D.I.T.I(Lower)--P.O 150,000 D.I.T.I(Upper) 150,000 D.I.T.I(Upper)-P.O 150,000 D.I.T.I(Lower)-OPD 70,000 D.I.T.I(Upper)-OPD 70,000 D.I.T.I(Whole) 240,000 D.I.T.I(Whole)-P.O 240,000 Dynamic EMG + Algometer 200,000 Dynamic EMG--P.O 150,000 기타 병실료차액 1인실 250,000 병실료차액 2인실 130,000 병실료차액 3인실 50,000 보호자식대 4,000 선택진료료-진찰료 40% 선택진료료-입원료 15% 선택진료료-처치 / 수술 / 마취료 50% CD COPY 10,000 진단서 10,000 입원 / 진료확인서 1,000 제증명사본 1매추가 1,000
의무기록복사 ( 기본5매 ) 3,000 의무기록복사 ( 추가1매당 ) 100 국민연금장애진단서 3,000 병사용진단서 20,000 장애진단의뢰비용 15,000 보험회사소견서 100,000 장해진단서 100,000 후유장애진단서 100,000 상해진단 3주 150,000 상해진단 2주이하 100,000 상해진단서사본 1매추가 10,000 영문진단서 50,000 영문진단서사본 1매추가 2,000 향후치료비추정서 1000만원이상 100,000 향후치료비추정서 1000만원미만 50,000 기타궁금하신사항은심사과로 문의하여주시기바랍니다. 담당자 : 유세라 T. (02) 2056-2118