청라바른정형외과

청라바른정형외과

홈청라바른정형외과 비급여안내

비급여안내

[의료법] 제45조 및 [의료법 시행규칙] 제42조의 2에 따라 비급여 비용을 고지 합니다. 기준일 : 2017.11.30

분류 항목 가격정보(단위:원)
명칭 코드 단위 비용 최저비용 최고비용 치료재료대 포함여부 약제비 포함여부 특이사항
상급병실료차액 1인실 　 1일 50,000 　 　 　 　 　
2인실 　 1일 30,000 　 　 　 　 　
검사료 단순초음파 　 　 　 10,000 30,000 　 　 　
마취초음파 　 　 50,000 　 　 　 　 　
성장판검사 　 1회 30,000 　 　 　 　 　
주사제 유착방지주사 　 　 　 10,000 50,000 　 　 　
플라센텍스 　 1A 100,000 　 　 　 　 　
조스타박스(대상포진백신) 　 　 180,000 　 　 　 　 　
리젠씰 　 1A 150,000 　 　 　 　 　
비타민C 　 　 30,000 　 　
비타민D 　 　 50,000 　 　
태반주사 　 　 30,000 　 　
마늘주사 　 　 30,000 　 　
마늘/비타민C/항산화주사 　 　 70,000 　 　
미네랄/아미노산/피로회복주사 　 　 100,000 　 　
미네랄/아미노산주사 　 　 70,000 　 　
이학요법료(물리치료) 체외충격파(편측,양측)WOLF 　 　 　 60,000 120,000 　 　 　
도수치료 　 1회 80,000 　 　 　
CRY-O 　 1회 20,000 　 　 　 　 부위별
도수근막이완치료 　 1회 60,000 　 　 　 　 부위별
처치 및 수술료 경막외신경성형술 　 　 1,500,000 　 　 　 　 　
경막외풍선확장술 　 　 2,000,000 　 　 　 　 　
식대 보호자식 　 1식 5,000 　 　 　 　 　
공기밥 　 　 1,000 　 　 　 　 　
치료재료대 손목보호대 　 1개 　 15,000 25,000 　 　 　
발목보호대 　 1개 　 15,000 25,000 　 　 　
엄지손보호대 　 1개 25,000 　 　 　 　 　
MCL-Brace(무릎보호대) 　 1개 40,000 　 　 　 　 　
듀오덤 　 　 　 1,000 10,000 　 　 　
픽싱롤 　 　 　 1,000 10,000 　 　 　
메딕스밴드 　 　 　 1,000 10,000 　 　 　
메디폼 　 　 　 1,000 10,000 　 　 　
코반 　 　 　 1,000 3,000 　 　 　
steri-strip 　 　 3,000 　 　 　 　 　
목발(한쌍) 　 　 30,000 　 　 　 　 　
밸포밴드 　 1개 15,000 　 　 　 　 　
석고신발 　 1개 5,000 　 　 　 　 　
8자붕대 　 1개 15,000 　 　 　 　 　
soft collar(목보호대) 　 1개 10,000 　 　 　 　 　
팔걸이 　 1개 5,000 　 　 　 　 　
복대 　 1개 　 8,000 40,000 　 　 　
제증명수수료 영상복사 　 　 5,000 　 　 　 　 　
일반진단서 　 1부 10,000 　 　 　 　 　
일반진단서 재발행 　 1부 1,000 　 　 　 　 　
영문진단서 　 1부 20,000 　 　 　 　 　
병사용진단서 　 1부 20,000 　 　 　 　 　
상해진단서(3주미만) 　 1부 100,000 　 　 　 　 　
상해진단서(3주이상) 　 1부 150,000 　 　 　 　 　
상해진단서 재발행 　 1부 10,000 　 　 　 　 　
근로능력평가용진단서 　 1부 10,000 　 　 　 　 　
소견서 　 1부 5,000 　 　 　 　 　
소견서 재발행 　 1부 1,000 　 　 　 　 　
소견서(보험사양식) 　 1부 100,000 　 　 　 　 　
입퇴원확인서 　 1부 1,000 　 　 　 　 　
통원확인서 　 1부 1,000 　 　 　 　 　
진료확인서 　 1부 1,000 　 　 　 　 　
수술확인서 　 1부 1,000 　 　 　 　 　
초진차트 　 1부 1,000 　 　 　 　 　

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