비급여안내

의료법 제 45조
(비급여 진료비용 등의 고지)에 의거해 비급여 항목에 관한 수가를 게재합니다

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대분류 소분류 수가코드 표준코드 항목 금액
상급병실차액 상급병실차액 A2A6101 VA011 1인실 병실차액 200,000
제증명 제증명 AQ001 - 일반진단서 15,000
AQ002 - 입퇴원확인서 3,000
AQ003 - 통원확인서 3,000
AQ004 - 진료확인서 3,000
AQ005 - 수술확인서 3,000
AQ006 - 소견서(보험회사제출용) 10,000
AQ007 - 상해진단서 3주 미만 100,000
AQ008 - 상해진단서 3주 이상 150,000
AQ009 - 근로능력평가서 10,000
AQ010 - 영문진단서 20,000
AQ011 - 장애정도 심사용 진단서(신체적장애) 15,000
AQ013 - 병사용 진단서 20,000
AQ014 - 국민연금 장애 심사용 진단서(관절운동장애) 15,000
AQ015 - 국민연금 장애 심사용 진단서(척추 및 사지마비) 15,000
AQ016 - 향후치료비 추정서 천만원 미만 50,000
AQ017 - 향후치료비 추정서 천만원 이상 100,000
AQ018 - 후유장애진단서(보험회사제출용) 100,000
AQ019 - 장애인증명서(소득공제) 1,000
AQ020 - 제증명서 사본 1,000
AQ021 - 진료기록 사본(1-5매) 1,000
AQ022 - 진료기록 사본(6매 이상/장당) 100
AQ023 - CD-copy (진료기록 영상 복사) 10,000
AQ024 - 사망진단서 10,000
AQ025 - 채용신체검사서(공무원) 40,000
AQ026 - 채용신체검사서(일반) 30,000
AQ027 - 건강진단서 15,000
MGAS020 - 보호자식(일반식) 5,700
MGAS021 - 공기밥 1,000
약·주사 약·주사 D642703970 642703970 후시딘연고10g 7,610
D643900900 643900900 액티피드정60mg 63
D656003860 656003860 프로즌겔/1tube 19,830
D662800120 662800120 리쥬비넥스크림10g/1개 (PDRN) 38,750
DKEARDROPS - (이비인후과) K-Ear Drops (케이이어드롭스) 10,000
W629700090 629700090 오코빅주20ml 30,120
W642303170 642303170 젠타라민주 250ml [6] 59,850
W644901752 644901752 유바솔주 250ml [3] 29,730
W645202341 645202341 이소나민주 250ml [4] 39,740
W6459059826 6459059826 에티피에스주 30,120
W647601210 647601210 갈로닉주10ml 12,930
W647601230 647601230 플라젠시아주 29,830
W646201701 646201701 징스주 7,530
W649001221 649001221 치옥토신 15,240
W681100261 681100261 히시파겐주20ml 5,744
W667400900 667400900 아미노플라즈마5%E주 250ml 67,350
W681100020 681100020 라이넥주2ml 20,240
W654802040 654802040 하이랙스주1ml(hyaluronidase 1500IU) 97,830
W653102780 653102780 구치온주 31,230
W653102910 653102910 징가주10ml 13,430
W655403601 655403601 에스콜린주 10,130
W665001971 665001971 네프콤주사액2ml 8,740
W665002211 665002211 옴니덱스주2ml 50,230
W667400680 667400680 테트라스판주10% 500ml 80,450
W669904600 669904600 리포라제(hyaluronidase 1500IU) 69,850
W669905890 669905890 염화마그네슘주 10,120
W670602631 670602631 하이코민주 (비타민B) 7,530
W670603640 670603640 피리독신염산염주 7,530
W671705211 671705211 미네블루5주 40,230
W626300010 626300010 글루콜린에스주사액 14,250
W668901281 668901281 히루안주(히알우론산나트륨) 19,850
W679700391 679700391 비타민디(D3) 비코트랫주 40,230
W696601891 696601891 알타질주 7,830
WGPAIN4   통증개선주사 39,850
WGPAIN8   통증개선주사 P 78,930
WGDETOX4   간기능개선 해독주사 39,850
WGDETOX8   간기능개선 해독주사 P 78,930
W643605311 643605311 예방]티디백신프리필드시린지0.5ml[디프테리아, 파상풍] 39,800
W056400041 056400041 예방]스카이조스터주0.5ml [대상포진] 178,900
W655501730 655501730 예방]박타프리필드시린지1ml [A형 간염] 69,830
W668900920 668900920 예방]유박스비주1ml [B형 간염] 29,850
W648902270 648902270 예방]프리베나13주 [폐렴] 121,350
W672900360 672900360 생리식염키트주 250ml 9,760
W672900380 672900380 생리식염키트주 110ml 8,010
W644913140 644913140 페린젝트주 10ml 276,530
W655501751 655501751 브리디온주2ml 232,520
이학요법료 이학요법료 FESWT1 SZ084 체외충격파치료(ESWT) 1 50,000
FESWT2 SZ084 체외충격파치료(ESWT) 부위추가 30,000
FESWT3 SZ084 체외충격파치료(ESWT) 스페셜 80,000
FMX122-1 MX122 도수치료1 25,000
FMX122-2 MX122 도수치료2 50,000
FMX122-3 MX122 도수치료3 75,000
FMX122-4 MX122 도수치료4 100,000
FMX122-5 MX122 도수치료5 (도수치료+보행훈련) 60,000
FMX122-6 MX122 도수치료6 (도수치료+ 그룹운동) 10,000
FMX122-8 MX122 도수치료8 (도수치료+고주파치료+ESWT) 150,000
FMX122-9 MX122 도수치료9  150,000
FMY142 MY142 증식치료(사지관절) 120,000
FMZ007 MZ007 신장 분사 치료 10,000
  검사료 LCZ241 CZ241 수탁) 당알부민(GA) 24,870
LZCZ432 CZ432 수탁) Anti CCP항체[IgG] 44,590
LCZ246 CZ246 IMA (허혈성 변형 알부민 검사) 34,850
LCZ394 CZ394 인플루엔자 A·B 바이러스항원검사 [현장검사] 29,850
LDPRP - PRP (Platelet Rich Plasma) 혈소판풍부혈장 198,750
SEA001-1 - 위내시경 수면관리료 49,980
SEA001-2 - 대장내시경 수면관리료 59,980
SEA001-3 - 대장내시경 수면관리료 89,980
SZ001 - [FM]체질량측정 5,000
REZ776 EZ776 DITI (전신/Pre) 198,500
REZ776-1 EZ776 DITI (전신/Post) 198,500
REZ776A EZ776 DITI (상지/Pre) 99,730
REZ776A-1 EZ776 DITI (상지/Post) 99,730
REZ776B EZ776 DITI (하지/Pre) 99,730
REZ776B-1 EZ776 DITI (하지/Post) 99,730
초음파 RUANE-1 USANE1 US-ANE (대퇴신경) 49,850
RUANE-2 USANE2 US-ANE (상완신경총) 49,850
RUANE-3 USANE3 US-ANE (말초신경) 49,850
RUANE-4 USANE4 US-ANE (척추경막외) 49,850
RUEB432A EB432 US-Echocardiography (경흉부 심초음파-일반) 198,530
RUEB414A EB414 US-Thyroid 79,880
RUEB415A EB415 US-Neck 79,880
RUEB422A EB422 US-Rib 79,880
RUEB441A EB441 US-Upper Abdomen 99,720
RUEB441B EB441 US-Lower Abdomen 99,720
RUEB461A EB461 US-Extremity & Joint-Hand (Rt) 79,880
RUEB461B EB461 US-Extremity & Joint-Hand (Lt) 79,880
RUEB463A EB463 US-Extremity & Joint-Elbow (Rt) 79,880
RUEB463B EB463 US-Extremity & Joint-Elbow (Lt) 79,880
RUEB464A EB464 US-Extremity & Joint-Knee (Rt) 79,880
RUEB464B EB464 US-Extremity & Joint-Knee (Lt) 79,880
RUEB465A EB465 US-Extremity & Joint-Hip (Rt) 79,880
RUEB465B EB465 US-Extremity & Joint-Hip (Lt) 79,880
RUEB466A EB466 US-Extremity & Joint-Shoulder (Rt) 100,000
RUEB466B EB466 US-Extremity & Joint-Shoulder (Lt) 100,000
RUEB467A EB467 US-Extremity & Joint-Wrist (Rt) 79,880
RUEB467B EB467 US-Extremity & Joint-Wrist (Lt) 79,880
RUEB468A EB468 US-Extremity & Joint-Ankle (Rt) 79,880
RUEB468B EB468 US-Extremity & Joint-Ankle (Lt) 79,880
RUEB470A EB470 Other sono  49,850
RUEB482 EB482 US-Carotid Artery 79,880
RUEB484 EB484 Doppler-Upper Extremity-Artery (Rt) 147,850
RUEB484-1 EB484 Doppler-Upper Extremity-Artery (Lt) 147,850
RUEB487 EB487 Doppler-Lower Extremity-Artery (Rt) 147,850
RUEB487-1 EB487 Doppler-Lower Extremity-Artery (Lt) 147,850
RUEB488 EB488 Doppler-Lower Extremity-Vein (Rt) 147,850
RUEB488-1 EB488 Doppler-Lower Extremity-Vein (Lt) 147,850
MRI RMHI101 HI101 Brain MRI 450,000
RMHI101A HI101 Sella MRI 450,000
RMHI136 HI136 Carotid MRA 550,000
RMHI101B HI101 Brain MRI+Diffusion 650,000
RMHI135 HI135 Brain MRA 550,000
RMHI135A HI135 Brain MRI+MRA 750,000
RMHI135B HI135 Brain MRI+MRA+Diffusion 850,000
RMHI135C HI135 Brain MRI+MRA+Carotid MRA+Diffusion 1,050,000
RMHI201 HI201 Brain MRI (Enhance) 550,000
RMHI235A HI235 Brain MRI+MRA (Enhance) 850,000
RMHI235B HI235 Brain MRI+MRA+Diffusion (Enhance) 900,000
RMHI235C HI235 Brain MRI+MRA+Carotid MRA+Diffusion (Enhance) 1,100,000
RMHE109C HE109 C-Spine MRI (Post OP) 300,000
RMHE109D HE109 C-Spine MRI (Flex/Ext) 250,000
RMHE109F HE109 C-Spine MRI (T2) 250,000
RMHE109B HE109 C-Spine MRI 450,000
RMHE109B-1 HE209 C-Spine (Enhance) MRI 550,000
RMHE209-1 HE109 C-Spine Foramen MRI 200,000
RMHE109B-3 HE109 C-Spine MRI (2) 650,000
RMHE109B-2 HE109 C-Spine MRI (3) 700,000
RMHE109B-4 HE109 C-Spine MRI (4) 900,000
RMHE111C HE111 L-Spine MRI (Post OP) 300,000
RMHE111-1 HE111 L-Spine MRI Foramen 200,000
RMHE111D HE111 L-Spine MRI (T2) 250,000
RMHE111B HE111 L-Spine MRI 450,000
RMHE211A HE211 L-Spine (Enhance)MRI 550,000
RMHE111B-2 HE111 L-Spine MRI + Foramen 650,000
RMHE111B-1 HE111 L-Spine + Hip MRI 700,000
RMHE111F HE111 L-Spine MRI (2) 800,000
RMHE111G HE111 L-Spine MRI (3) 1,050,000
RMHE110B-1 HE110 T-Spine MRI (T2) 250,000
RMHE110B-2 HE110 T-Spine Foramen MRI 200,000
RMHE110C HE110 T-Spine MRI (Post OP) 300,000
RMHE110B HE110 T-Spine MRI 450,000
RMHE210 HE210 T-Spine (Enhance) MRI 550,000
RMHE111S HE111 Sacrum MRI 450,000
RMHE112A HE112 Myelogram MRI (척추강) 450,000
RMHE11320 HE113 T-L Spine MRI 450,000
RMHE11320-1 HE113 T-L Spine MRI (T2) 250,000
RMHE11320-2 HE113 T-L Spine MRI (Post OP) 250,000
RMHE118R HE118 Hip MRI 450,000
RMHE218R HE218 Hip (Enhance) MRI 550,000
- HE118 Hip MRI (Post OP) 250,000
RMHE12820 HE128 Pelvis MRI 450,000
RMHE12820A HI128 Pelvis (S-I Joint) MRI 450,000
RMHE22820 HI228 Pelvis (Enhance) MRI 550,000
- - Joint & Extremity MRI 450,000
- - Joint & Extremity (Enhance) MRI  550,000
- - Shoulder & Knee Post OP MRI 250,000
RMHE990 - Whole spine MRI T2 Sagital 250,000
RMHE990A - Whole spine MRI T2 Sagital (Enhance) 350,000
RMHEHALF HE11A Half MRI 200,000
처치 및 수술료 처치및수술료 HSZ634 SZ634 경피적 경막외강 신경성형술 (P.E.N) 953,500
HSZBOTOX MM161 [FM]보톡스치료(외) (보툴리늄 독소주사요법) 100,000
HSZBOTOX1 MM161 [FM]보톡스치료(입) (보툴리늄 독소주사요법) 400,000
치료재료 치료재료 X650800260 650800260 스폰고스탄스탠다드(Spongostan standard 428mg) 37,240
XBM5013CD BM5013CD OPSITE POST-OP [6.5*5cm] 2,750
XBM5013CDA BM5013CD OPSITE POST-OP [9.5*8.5cm] 3,980
XBM5013CDB BM5013CD OPSITE POST-OP [10*12cm] 5,820
XBM5013CDC BM5013CD OPSITE POST-OP [15.5*8.5cm] 7,630
XBM5013CDD BM5013CD OPSITE POST-OP [25*10cm] 8,730
XBM5021AP BM5021AP 포셉키트 [밴드+핀셋+코튼볼] 1,430
XBM5029CU BM5029CU 영운드레싱 실버(IV) [6*7] 1,834
XBM5033CU BM5033CU Adflex-Si [30*72] (지혈밴드) 681
XBM5101BF BM5101BF 드레싱키트 [의료기구용클립, ONE-KY] 1,850
XBM5101GJ BM5101GJ 레노픽스엔부직반창고 [5*10]1cm당 (픽스롤) 11
XBM5101GJA BM5101GJ 레노픽스엔부직반창고 [10*10]1cm당 (픽스롤) 110
XBJ1003BL BJ1003BL 슈퍼픽스IV set 3,985
XBC1203RE BC1203RE Soft Collar (소프트칼라/전규격) 15,640
XBM5103ZN BM5103ZN Dressing Pad 17,830
XBM5117CU BM5117CU GARD N Fix 영운드실버(IV) (가드앤픽스) 19,360
XBK7000GS BK7000GS PLIO (상/하지) 33,560
XBK7001GJA BK7001GJ Comfifast (Blue) [7.5*1M] 7,530
XBK7001GJC BK7001GJ Comfifast (Beige) [17.5*1M] 11,010
XBK7001GJB BK7001GJ Comfifast (Yellow) [10.75*1M] 9,800
XNK7001GJ BK7001GJ Comfifast (Green) [5.0*1M] 7,150
XBK7101EA BK7101EA 3M Coban Self-Adherent Wrap [1"/1개] 2,890
XBM0301CV BM0301CV IV Filter Set (필터세트) 5,530
XBM0301CVA BM0301CV 3way IV Filter Set (필터세트/병동용) 9,980
XBM1303VA BM1303VA Filter Syringe (필터주사기/전규격) 1,760
XBM2000JI BM2000JI Innomed Silicone Tape 16,790
XBM5003OH BM5003OH Dermlin Paste 2g/1개 (덤린) 49,830
XBJ1000LU BJ1000LU F-K1 79,850
XBJ1001JH BJ1001JH GRIP-LOK 12,850
XBJ1004BX BJ1004BX Suction clip (SW) (Suction Tube fix) 5,530
X657401421 657401421 인카인겔11ml (클로르헥시딘/리도카인) 13,250
XBC1203RE BC1203RE Soft Collar (소프트칼라/전규격) 15,640
XBC1000UJ BC1000UJ Knee Immobilizer 151,320
XBC1001UJ BC1001UJ Knee Cage 132,150
XBC1001WF BC1001WF 겔텍스(MCL) 183,450
XBC1001YR BC1001YR 돈조이(ACL,PCL)(밴드포함) 305,650
XBC1002WF BC1002WF Knee Immobilizer (R.O.M) 305,650
XBC1100IT BC1100IT Ankle Boots 271,420
XBC1104VP BC1104VP O.P. Shoes 61,230
XBC1201VP BC1201VP Philadelphia Tracheotomy Collar 105,230
XBC1201WF BC1201WF LSO 305,630
XBC1201XW BC1201XW ROM Air Walker 351,420
XBC1202VP BC1202VP Miami J Collar 183,450
XBC1203WF BC1203WF Back Brace 251,850
XBC1203XY BC1203XY Hip Abduction Brace 403,270
XBC1204WF BC1204WF TLSO 403,270
XBC1204XW BC1204XW Thumb Brace 30,150
XBC1204XY BC1204XY Long Arm Brace 305,630
XBC1206RL BC1206RL Shoulder Support Cover 70,240
XBC1002RL BC1002RL Knee Support Cover 70,240
XBC1212RL BC1212RL Hip Support Cover 70,240
XBC1211VP BC1211VP Air Cast 132,150
XBC1212SI BC1212SI Vista Collar 202,140
XBC1215HT BC1215HT EZ Rap Shoulder 60,000
XBC1215HTA BC1215HT EZ Rap Knee 60,000
XBC1215RE BC1215RE Tennis Elbow 60,120
XBC1220VP BC1220VP Wrist Brace 40,130
XBC1230MB BC1230MB Recotap Knee 109,850
XBC1231MB BC1231MB Recotap Calf 99,860
XBC1232MB BC1232MB Recotap Elbow 99,860
XBF0101AY BF0101AY ADCON-Gel 3g 938,450
XBF0101VT BF0101VT Hibarry 3ml (하이배리) 582,420
XBF0101WC BF0101WC Qblock 3ml (큐블럭) 1,500,000
XBJ7002XF BJ7002XF Surgi Chito [13*13] (치토거즈) 97,530
XBJ7002XFA BJ7002XF Surgi Chito [13*38] (치토거즈) 99,340
XBJ7002XFB BJ7002XF Surgi Chito [13*60] (치토거즈) 118,240
XBJ7002XFC BJ7002XF Surgi Chito [20*20] (치토거즈) 118,240
XBJ7002XFD BJ7002XF Surgi Chito [20*40] (치토거즈) 118,240
XBJ7002XFE BJ7002XF Surgi Chito [20*70] (치토거즈) 118,240
XBJ7005LJ BJ7005LJ Dual patty (En-Chito dual) (치토거즈) 99,340
XBJ7000MS BJ7000MS Woundclot Trauma 8*20 876,830
XBM2601OP BM2601OP Collashield White 1cc 181,240
XBM2601OPA BM2601OP Collashield White 3cc 321,320
XBJ4801DU BJ4801DU C-FLEXIS 984,530
XBTT01032 BTT01032 Tissuegen 1cc 351,240
X646601401 646601401 Floseal Hemostatic Matrix (플로실) 898,530
X697200140 697200140 Novacol Fibrillar 0.5g 789,340
XBC0103BU BC0103BU Rafugen DBM Gel Pro 3cc 1,400,000
XBC0104BU BC0104BU MEDYFUSE [1cc] (DBM) 732,500
XBC0104BUA BC0104BU MEDYFUSE [3cc] (DBM) 1,176,430
XBC0104BUB BC0104BU MEDYFUSE [5cc] (DBM) 1,698,400
XBC0107ED BC0107ED Edenfuse [1cc] (DBM) 578,900
XBC0107EDA BC0107ED Edenfuse [3cc] (DBM) 1,187,600
XBC0103ED BC0103ED Surefuse [5cc] (DBM) 1,698,400
XBM5000SQ BM5000SQ Surgicon (1.2g) 79,560
XBM5000SQA BM5000SQ Surgicon (5g) 97,840
XBC0105AW BC0105AW Grafton DBM Putty 2.5cc 1,436,320
XBC0111AW BC0111AW Grafton DBM Orthoblend 5cc 2,073,200
XBTB01019 BTB01019 Cornerstone L-ASR 2,534,200
XBF0401AW BF0401AW Spire Spinous Process Plate 2,961,300
XBTS01131 BTS01131 Arthro FLEX 2,955,220
XU001 - Cast Shoes (캐스트슈즈-전규격) 6,010
XU012 - Clavicle Band (쇄골밴드) 4,980
XU013   Velpeau Band (벨포밴드) 14,980
XU003 - 환의 [상의] 7,000
XU004 - 환의 [하의] 7,000
XU005 - 환의 [상의+하의] 14,000
XU006 - 시트 18,000
XU007 - 소변기 (남/녀) 2,040
XU008 - Arm Sling (팔걸이) 5,020
XU009 - Diaper [기저귀/팬티형] (대형) 600
XU010 - Diaper [기저귀/일자형] 300
XU011 - 대변기 2,300