비에비스 나무병원 |

비급여진료비 안내

* “의료기관의 제증명수수료 항목 및 금액에 관한 기준” 고시 발표에 따라 제증명서 발급을 위한 진찰료는 별도 산정됩니다. (2017년 9월 21일부터 시행)

<table>
		<caption>분류, 명칭, 금액, 최소금액, 최대금액, 비고로 이루어진 표</caption>
		<colgroup>
		</colgroup>
		<thead>
			<tr>
				<th rowspan="2">중분류</th>
				<th rowspan="2">소분류</th>
				<th colspan="2">항목</th>
				<th colspan="6">진료비용등<br/>(단위:원)</th>
				<th rowspan="2">특이사항</th>
				<th rowspan="2">최종변경일</th>
			</tr>
			<tr>
				<th>코드</th>
				<th>명칭</th>
				<th>구분</th>
				<th>비용</th>
				<th>최저비용</th>
				<th>최고비용</th>
				<th>치료재료대포함여부</th>
				<th>약제비포함여부</th>
			</tr>
		</thead>
		<tbody>
 <tr>
     <td rowspan="5" >상담료</td>
     <td rowspan="2" >기타상담료</td>
     <td >TZ006</td>
     <td >영양상담</td>
     <td >영양상담</td>
     <td > 10,000 </td>
     <td >　</td>
     <td >　</td>
     <td >X</td>
     <td >X</td>
     <td >　</td>
     <td >21.01.01</td>
 </tr>
 <tr>
     <td>TZ909</td>
     <td>함몰유두 수술 전 상담료</td>
     <td>함몰유두 수술 전 상담료</td>
     <td> 20,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td rowspan="3">교육상담료</td>
     <td>TZ006AA</td>
     <td>당뇨병교육</td>
     <td>교육.상담-당뇨</td>
     <td> 30,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>TZ006A</td>
     <td>고혈압교육</td>
     <td>교육.상담-고혈압</td>
     <td> 15,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>TZ006B</td>
     <td>고지혈증교육</td>
     <td>교육.상담-이상지질혈증</td>
     <td> 15,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td rowspan="2">상급병실료</td>
     <td rowspan="2">병실료차액</td>
     <td>ABA01A</td>
     <td>특실</td>
     <td>특실 입원료</td>
     <td> 500,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>ABA01</td>
     <td>1인실</td>
     <td>1인실 입원료</td>
     <td> 250,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td rowspan="46">검사료</td>
     <td rowspan="8">내시경</td>
     <td>TE7610</td>
     <td width="260">경비내시경</td>
     <td width="279">경비내시경</td>
     <td> 60,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>22.06.01</td>
 </tr>
 <tr>
<td  >TEA001</td>
<td  >진정내시경환자관리료Ⅰ</td>
<td>진정내시경환자관리료Ⅰ</td>
<td>  13,0000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td>급여 인정기준외 실시한경우 비급여</td>
<td>23.06.01</td>
</tr>
<tr>
<td  >TEA002</td>
<td  >진정내시경환자관리료Ⅱ</td>
<td>진정내시경환자관리료Ⅱ</td>
<td></td>
<td>  100,000 </td>
<td>  240,000 </td>
<td>X</td>
<td>X</td>
<td></td>
<td>23.06.01</td>
</tr>
<tr>
<td  >TEA003</td>
<td  >진정내시경환자관리료Ⅲ</td>
<td>진정내시경환자관리료Ⅲ</td>
<td></td>
<td>  130,000 </td>
<td>  190,000 </td>
<td>X</td>
<td>X</td>
<td></td>
<td>23.06.01</td>
</tr>
 <tr>
     <td>TWA08A</td>
     <td width="260">초음파내시경  상부</td>
     <td width="279">초음파내시경  상부</td>
     <td> 250,000 </td>
     <td>　</td>
     <td>　</td>
     <td>　</td>
     <td>　</td>
     <td rowspan="4">투약료 별도</td>
     <td>23.02.01</td>
 </tr>
 <tr>
     <td>TWA08B</td>
     <td width="260">(수면)초음파내시경  상부</td>
     <td width="279">(수면)초음파내시경  상부</td>
     <td> 350,000 </td>
     <td>　</td>
     <td>　</td>
     <td>　</td>
     <td>　</td>
     <td>23.02.01</td>
 </tr>
 <tr>
     <td>TWA08C</td>
     <td width="260">초음파내시경  하부</td>
     <td width="279">초음파내시경  하부</td>
     <td> 260,000 </td>
     <td>　</td>
     <td>　</td>
     <td>　</td>
     <td>　</td>
     <td>23.02.01</td>
 </tr>
 <tr>
     <td>TWA08E</td>
     <td width="260">(수면)초음파내시경  하부</td>
     <td width="279">(수면)초음파내시경  하부</td>
     <td> 360,000 </td>
     <td>　</td>
     <td>　</td>
     <td>　</td>
     <td>　</td>
     <td>23.02.01</td>
 </tr>
 <tr>
     <td rowspan="16">초음파</td>
     <td>RS02A</td>
     <td>횡파 탄성 초음파</td>
     <td>sono SWE</td>
     <td> 50,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>RS09</td>
     <td>두경부-경부초파-갑상선.부갑상선</td>
     <td>sono Thyroid</td>
     <td> 90,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>RS08</td>
     <td>심장초음파-경흉부심초음파-일반</td>
     <td>sono Echocardiography</td>
     <td> 130,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>RS07</td>
     <td>혈관-두개외 혈관 도플러초음파-경동맥</td>
     <td>Carotid artery</td>
     <td> 80,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>RS34</td>
     <td>수술 중 초음파</td>
     <td>intraop  ultrasonography</td>
     <td> 100,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>RS41</td>
     <td>일반</td>
     <td>일반</td>
     <td> 50,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>RS37</td>
     <td>sono soft tissue mass</td>
     <td>sono soft tissue mass</td>
     <td> 70,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>REZ987A~H</td>
     <td rowspan="4">진공보조 유방 생검시 유도초음파</td>
     <td>진공보조 유방 생검시 유도초음파  A,B,C,D,E,F,G,H</td>
     <td>　</td>
     <td> 300,000 </td>
     <td> 500,000 </td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.07.16</td>
 </tr>
 <tr>
     <td>REZ9871,2</td>
     <td>진공보조 유방 생검시  유도초음파(both)</td>
     <td>　</td>
     <td> 800,000 </td>
     <td> 1,000,000 </td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.07.16</td>
 </tr>
 <tr>
     <td>REZ987,0</td>
     <td>진공보조 유방 생검시  유도초음파(Multi)</td>
     <td>　</td>
     <td> 600,000 </td>
     <td> 800,000 </td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.07.16</td>
 </tr>
 <tr>
     <td>REZ987R</td>
     <td>진공보조 유방 생검시 유도초음파-R</td>
     <td> 800,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.07.16</td>
 </tr>
 <tr>
     <td>TZ919A~H</td>
     <td>초음파유도하 진공보조장치를 이용한 유방 양성병변 절제술</td>
     <td>초음파유도하 진공보조장치를 이용한 유방 양성병변 절제술 A~J</td>
     <td>　</td>
     <td> 200,000 </td>
     <td> 2,300,000 </td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.07.16</td>
 </tr>
 <tr>
     <td>RS14,RS14A</td>
     <td>유방-유도초음파</td>
     <td>sono breast : CNB1,  CNB2</td>
     <td>　</td>
     <td> 70,000 </td>
     <td> 210,000 </td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>RS13,RS31</td>
     <td>갑상선-유도초음파</td>
     <td>sono Thyroid(Guided,  bx 등) : FNA, 양측 FNA</td>
     <td>　</td>
     <td> 170,000 </td>
     <td> 255,000 </td>
     <td>　</td>
     <td>　</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>TWA08A</td>
     <td rowspan="2">내시경초음파</td>
     <td>상부(비수면)</td>
     <td> 250,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>TWA08B</td>
     <td>상부(수면)</td>
     <td> 350,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td rowspan="22">기타 검사료</td>
     <td>TB4156B</td>
     <td>U.B.T(요소호흡검사)</td>
     <td>U.B.T(요소호흡검사)</td>
     <td> 40,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>23.02.07</td>
 </tr>
 <tr>
     <td>CZ202</td>
     <td>성호르몬결합글로불린</td>
     <td>성호르몬결합글로불린</td>
     <td> 50,600 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LCZ394</td>
     <td>인플루엔자A.B 바이러스항원검사</td>
     <td>인플루엔자A.B 바이러스항원검사</td>
     <td> 30,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LCZ214</td>
     <td>항뮬러관호르몬정량검사</td>
     <td>항뮬러관호르몬(불임,폐경)</td>
     <td> 96,860 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LZ105</td>
     <td>알츠하이머병 위험도 혈액검사</td>
     <td>알츠하이머병 위험도 혈액검사</td>
     <td> 150,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>22.08.12</td>
 </tr>
 <tr>
     <td>TZ027</td>
     <td>자궁경부확대촬영검사</td>
     <td>자궁경부확대촬영검사</td>
     <td> 20,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LDCZ241</td>
     <td>당알부민</td>
     <td>당알부민</td>
     <td> 57,200 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>TZ918A</td>
     <td rowspan="2" width="260">당뇨검사</td>
     <td>연속혈당측정검사(초회)</td>
     <td> 50,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>TZ918B</td>
     <td>연속혈당측정검사(2차이후)</td>
     <td> 30,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LZ024</td>
     <td width="260"> 남성호르몬검사</td>
     <td width="279"> 남성호르몬검사</td>
     <td> 50,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LZ031</td>
     <td width="260">니코틴(소변)</td>
     <td width="279">니코틴(소변)</td>
     <td> 34,050 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LZ042</td>
     <td width="260">니코틴(혈액)</td>
     <td width="279">니코틴(혈액)</td>
     <td> 34,050 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LZ109</td>
     <td width="260">혈변검사</td>
     <td width="279">M2-PK</td>
     <td> 55,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>22.11.17</td>
 </tr>
 <tr>
     <td>LC035</td>
     <td width="260">parasite동정(성충  동정)</td>
     <td width="279">parasite동정(성충  동정)</td>
     <td> 28,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>TZ318</td>
     <td width="260">HRV(심박변이도검사)</td>
     <td width="279">HRV(심박변이도검사)</td>
     <td> 30,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LB0260</td>
     <td width="260">요임신반응검사</td>
     <td width="279">요임신반응검사-일반면역검사</td>
     <td> 10,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>23.03.22</td>
 </tr>
 <tr>
     <td>LTZ056</td>
     <td width="260">HPV  genotype</td>
     <td width="279">HPV  genotype</td>
     <td> 82,850 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LTZ055</td>
     <td width="260">THIN  PREP</td>
     <td width="279">THIN  PREP</td>
     <td> 40,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LTZ054</td>
     <td width="260">PAP  smear</td>
     <td width="279">PAP  smear</td>
     <td> 20,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LZ036</td>
     <td width="260">활성산소</td>
     <td width="279">활성산소</td>
     <td> 63,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>14.08.08</td>
 </tr>
 <tr>
     <td>LCZ248</td>
     <td width="260"> 혈청 간섬유화 검사(ELF)</td>
     <td width="279"> 혈청 간섬유화 검사(ELF)</td>
     <td> 150,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>LD6630</td>
     <td width="260">인플루엔자a.d바일스+sars-cov-2항원 동시검사</td>
     <td width="279">인플루엔자a.d바일스+sars-cov-2항원 동시검사</td>
     <td> 40,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>23.04.24</td>
 </tr>
 <tr>
     <td rowspan="5">기타</td>
     <td rowspan="5">시술</td>
     <td rowspan="3">-</td>
     <td rowspan="3">함몰유두성형술</td>
     <td>함몰유두 성형술(한쪽)</td>
     <td>　</td>
     <td> 400,000 </td>
     <td> 500,000 </td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>함몰유두 성형술(양쪽)</td>
     <td>　</td>
     <td> 800,000 </td>
     <td> 1,000,000 </td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>함몰유두재수술</td>
     <td> 35,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>-</td>
     <td>위보톡스</td>
     <td>위보톡스</td>
     <td> 1,000,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>-</td>
     <td>위풍선술</td>
     <td>위풍선술</td>
     <td> 4,500,000 </td>
     <td>　</td>
     <td>　</td>
     <td>X</td>
     <td>X</td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 </tbody>
	</table>

<table>
		<colgroup>
			<col style="width:125px">
			<col>
			<col style="width:200px">
			<col style="width:125px">
	   		<col style="width:125px">
			<col style="width:125px">
			<col style="width:125px">
		</colgroup>
		<thead>
		<tr>
			<th rowspan="2">중분류</th>
			<th colspan="1">항목</th>
			<th colspan="4">진료비용등<br/>(단위:원)</th>
			<th rowspan="2">최종변경일</th>
		</tr>
		<tr>
			<th>명칭</th>
			<th>구분</th>
			<th> 비용 </th>
			<th> 최저비용 </th>
			<th> 최고비용 </th>
		</tr>
		</thead>
		<tbody>
<tr>
<td  >재료대</td>
<td  >S-BAND</td>
<td  >S-BAND</td>
<td  >  38,000 </td>
<td></td>
<td></td>
<td>21.02.16</td>
</tr>
            <tr>

<td>재료대</td>
<td>ROGG LATEXFREE SHORT  STRECH</td>
<td>ROGG LATEXFREE SHORT  STRECH</td>
<td> 38,350 </td>
<td>　</td>
<td>　</td>
<td>21.01.01</td>
</tr>
<tr>
<td>재료대</td>
<td>프리스타일리브레CGM SENSOR</td>
<td>프리스타일리브레CGM SENSOR</td>
<td> 84,000 </td>
<td>　</td>
<td>　</td>
<td>21.01.01</td>
</tr>
<tr>
<td>재료대</td>
<td>INNOMED SILICONE TAPE</td>
<td>INNOMED SILICONE TAPE</td>
<td> 50,000 </td>
<td>　</td>
<td>　</td>
<td>21.01.01</td>
</tr>
<tr>
<td>재료대</td>
<td>INSPIROMETER</td>
<td>INSPIROMETER</td>
<td> 8,800 </td>
<td>　</td>
<td>　</td>
<td>21.01.01</td>
</tr>
<tr>
<td>재료대</td>
<td>좌욕기</td>
<td>좌욕기</td>
<td> 11,000 </td>
<td>　</td>
<td>　</td>
<td>21.01.01</td>
</tr>
<tr>
<td>재료대</td>
<td>씰리메드실리콘롤테이프</td>
<td>씰리메드실리콘롤테이프</td>
<td> 36,000 </td>
<td>　</td>
<td>　</td>
<td>21.10.19</td>
</tr>
<tr>
<td>재료대</td>
<td>엠픽스실리콘반창구</td>
<td>엠픽스실리콘반창구</td>
<td> 56,100 </td>
<td>　</td>
<td>　</td>
<td>22.03.24</td>
</tr>
<tr>
<td>재료대</td>
<td>BED PAN(대변기)</td>
<td>BED PAN(대변기)</td>
<td> 5,280 </td>
<td>　</td>
<td>　</td>
<td>21.01.01</td>
</tr>
<tr>
<td>재료대</td>
<td>대한픽싱롤(화이트)</td>
<td>대한픽싱롤(화이트)</td>
<td> 2,500 </td>
<td>　</td>
<td>　</td>
<td>21.07.01</td>
</tr>
<tr>
<td>재료대</td>
<td>PROSTER SKIN CARE</td>
<td>PROSTER SKIN CARE</td>
<td> 88,000 </td>
<td>　</td>
<td>　</td>
<td>21.01.01</td>
</tr>
<tr>
<td>재료대</td>
<td>PENKO CLIP HEAT</td>
<td>PENKO CLIP HEAT</td>
<td> 110,000 </td>
<td>　</td>
<td>　</td>
<td>21.01.01</td>
</tr>
<tr>
<td>재료대</td>
<td>QFIT(드레싱세트)</td>
<td>QFIT(드레싱세트)</td>
<td> 33,000 </td>
<td>　</td>
<td>　</td>
<td>21.01.01</td>
</tr>
<tr>
<td>재료대</td>
<td>실리칸드레싱(6*7)</td>
<td>실리칸드레싱(6*7)</td>
<td> 3,000 </td>
<td>　</td>
<td>　</td>
<td>21.08.08</td>
</tr>
<tr>
<td>재료대</td>
<td>글레드밴드(위)</td>
<td>글레드밴드(위)</td>
<td> 18,000 </td>
<td>　</td>
<td>　</td>
<td>22.08.16</td>
</tr>
<tr>
<td>재료대</td>
<td>글래드밴드</td>
<td>글래드밴드</td>
<td> 18,000 </td>
<td>　</td>
<td>　</td>
<td>22.08.16</td>
</tr>
<tr>
<td>재료대</td>
<td>글래드밴드(OP)</td>
<td>글래드밴드(OP)</td>
<td> 18,000 </td>
<td>　</td>
<td>　</td>
<td>22.08.16</td>
</tr>
<tr>
<td>재료대</td>
<td>리옥셀피브릴</td>
<td>리옥셀피브릴</td>
<td>  450,000 </td>
<td>　</td>
<td>　</td>
<td>22.10.27</td>
</tr>
<tr>
<td>재료대</td>
<td>BNG fix plus(SUPER FIX)</td>
<td>BNG fix plus(SUPER FIX)</td>
<td> 3,940 </td>
<td>　</td>
<td>　</td>
<td>21.08.19</td>
</tr>
<tr>
<td>재료대</td>
<td>SSFIX</td>
<td>SSFIX</td>
<td> 32,500 </td>
<td>　</td>
<td>　</td>
<td>22.11.09</td>
</tr>
<tr>
<td>재료대</td>
<td>MCK DUF/우레탄필름 등</td>
<td>MCK DUF/우레탄필름 등</td>
<td> 22,000 </td>
<td>　</td>
<td>　</td>
<td>22.04.05</td>
</tr>
<tr>
<td>재료대</td>
<td>실리콘 드레이프</td>
<td>실리콘 드레이프(1.9*150)</td>
<td> 19,800 </td>
<td>　</td>
<td>　</td>
<td>22.11.09</td>
</tr>
<tr>
<td>재료대</td>
<td>STRAP BAND</td>
<td>STRAP BAND</td>
<td> 60,000 </td>
<td>　</td>
<td>　</td>
<td>21.08.19</td>
</tr>
<tr>
<td>재료대</td>
<td>STRAP BAND</td>
<td>STRAP BAND</td>
<td> 90,000 </td>
<td>　</td>
<td>　</td>
<td>21.08.19</td>
</tr>
<tr>
<td>재료대</td>
<td>ANI Sensor V1 Plus</td>
<td>ANI Sensor V1 Plus</td>
<td>  157,000 </td>
<td>　</td>
<td>　</td>
<td>21.10.05</td>
</tr>
<tr>
<td>재료대</td>
<td rowspan="2">수술엔</td>
<td>수술엔 3ml</td>
<td>  660,000 </td>
<td>　</td>
<td>　</td>
<td>21.12.09</td>
</tr>
<tr>
<td>재료대</td>
<td>수술엔 1.5ml</td>
<td>  506,000 </td>
<td>　</td>
<td>　</td>
<td>23.01.30</td>
</tr>
<tr>
<td>재료대</td>
<td>넥스힐크린패드뉴</td>
<td>넥스힐크린패드뉴</td>
<td> 35,200 </td>
<td>　</td>
<td>　</td>
<td>22.04.26</td>
</tr>
<tr>
<td>재료대</td>
<td>스콥워머_포르타픽스롤부직반창고</td>
<td>스콥워머/포르타픽스롤부직반창고/부직포, 아크릴계점착제 등</td>
<td> 70,000 </td>
<td>　</td>
<td>　</td>
<td>22.04.20</td>
</tr>
<tr>
<td>재료대</td>
<td>OXIPROBE SENSOR</td>
<td>OXIPROBE SENSOR</td>
<td> 26,400 </td>
<td>　</td>
<td>　</td>
<td>23.04.06</td>
</tr>
<tr>
<td>재료재</td>
<td>ANI 감시</td>
<td>ANI 감시(전신마취중)</td>
<td> 37,000 </td>
<td>　</td>
<td>　</td>
<td>21.10.05</td>
</tr>
<tr>
<td>재료재</td>
<td>MAMMOTOME REVOLVE  SYSTEM</td>
<td>MAMMOTOME REVOLVE  SYSTEM</td>
<td> 700,000 </td>
<td>　</td>
<td>　</td>
<td>22.05.23</td>
</tr>
<tr>
<td>재료재</td>
<td>폴리클립_포르타픽스롤부직반창고</td>
<td>폴리클립_포르타픽스롤부직반창고</td>
<td> 11,000 </td>
<td>　</td>
<td>　</td>
<td>23.02.23</td>
</tr></tbody>
	</table>

<table>
		<colgroup>
			<col style="width:200px">
			<col>
			<col style="width:200px">
			<col style="width:125px">
			<col style="width:125px">
		</colgroup>
		<thead>
			<tr>
				<th colspan="2">항목</th>
				<th>항목별 가격정보<br/>(단위:원)</th>
				<th rowspan="2">특이사항</th>
				<th rowspan="2">최종변경일</th>
			</tr>
			<tr>
				<th>코드</th>
				<th>명칭</th>
				<th>비용</th>
			</tr>
		</thead>
		<tbody><tr>
    <td>643900250</td>
    <td>리박트과립</td>
    <td> 3,227 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>671805121</td>
    <td>큐라스텐액(포)</td>
    <td> 2,600 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M1721018</td>
    <td>오라팡정</td>
    <td> 25,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3631058</td>
    <td>대상포진(스카이조스터주)</td>
    <td> 160,000 </td>
    <td>　</td>
    <td>22.09.14</td>
</tr>
<tr>
    <td>M3631063</td>
    <td>대상포진(싱그릭스주)</td>
    <td> 250,000 </td>
    <td>　</td>
    <td>23.01.27</td>
</tr>
<tr>
    <td>M3631036</td>
    <td>가다실9</td>
    <td> 230,000 </td>
    <td>　</td>
    <td>22.07.01</td>
</tr>
<tr>
    <td>M3631054</td>
    <td>녹십자티디백신</td>
    <td> 30,000 </td>
    <td>　</td>
    <td>21.08.19</td>
</tr>
<tr>
    <td>M3631025</td>
    <td>아다셀주</td>
    <td> 40,000 </td>
    <td>　</td>
    <td>22.11.11</td>
</tr>
<tr>
    <td>M3631022</td>
    <td>프리베나13주</td>
    <td> 130,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3631031</td>
    <td>아박심</td>
    <td> 80,000 </td>
    <td>　</td>
    <td>22.02.21</td>
</tr>
<tr>
    <td>M3631045</td>
    <td>유박스비주</td>
    <td> 35,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3246001</td>
    <td>네비도주</td>
    <td> 350,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3325040</td>
    <td>유한3챔버폼스페리주362ml</td>
    <td> 100,000 </td>
    <td>　</td>
    <td>21.01.21</td>
</tr>
<tr>
    <td>M3325036</td>
    <td>콤비플렉스엠시티페리주375ml</td>
    <td> 100,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3325022</td>
    <td>닥터라민100ml</td>
    <td> 30,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3325023</td>
    <td>닥터라민250ml</td>
    <td> 50,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3000000</td>
    <td>비에비스</td>
    <td> 80,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3312003</td>
    <td>비비에스</td>
    <td> 30,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3392009</td>
    <td>네오미노화겐주20ml</td>
    <td> 30,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3399007</td>
    <td>루치온주</td>
    <td> 40,000 </td>
    <td>　</td>
    <td>22.09.29</td>
</tr>
<tr>
    <td>M3311001</td>
    <td>비타민D3비오엔주</td>
    <td> 50,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3629008</td>
    <td> 페라미플루주15밀리리터</td>
    <td> 40,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3399016</td>
    <td>삭센다펜주6밀리그램</td>
    <td> 140,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3316006</td>
    <td>경동멀티비타주</td>
    <td> 15,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3325042</td>
    <td>위너프페리주_(1085ml)</td>
    <td> 41,609 </td>
    <td>　</td>
    <td>23.02.07</td>
</tr>
<tr>
    <td>M3391001</td>
    <td>헤파멜즈인퓨전주 10ml</td>
    <td> 1,416 </td>
    <td>　</td>
    <td>22.01.01</td>
</tr>
<tr>
    <td>M3114017</td>
    <td>아세트펜프리믹스주</td>
    <td> 30,000 </td>
    <td>　</td>
    <td>21.01.01</td>
</tr>
<tr>
    <td>M3331025</td>
    <td>(비급여)110ml 대한멸균생리식염수</td>
    <td> 12,000 </td>
    <td>　</td>
    <td>23.04.03</td>
</tr>
<tr>
<td  rowspan="1">M3323018</td>
<td  rowspan="1">(비급여)110ml 5%포도당키트주사</td>
<td  rowspan="1">  12,000 </td>
<td>　</td>
<td>23.04.25</td>
</tr>
<tr>
    <td>M3123007</td>
    <td>슈가덱스주</td>
    <td> 130,000 </td>
    <td>　</td>
    <td>22.07.04</td>
</tr>
<tr>
    <td>M3123008</td>
    <td>뉴로디온주</td>
    <td> 132,000 </td>
    <td>　</td>
    <td>23.02.07</td>
</tr>
<tr>
    <td>M3114018</td>
    <td>에스팜주(네포팜염산염)</td>
    <td> 10,000 </td>
    <td>　</td>
    <td>21.11.30</td>
</tr>
<tr>
    <td>M3821002</td>
    <td>명문구연펜타닐주사</td>
    <td> 2,071 </td>
    <td>　</td>
    <td>16.10.01</td>
</tr>
<tr>
    <td>M3339015</td>
    <td>멀티서플라이5주</td>
    <td> 50,000 </td>
    <td>　</td>
    <td>22.09.05</td>
</tr>
<tr>
    <td>M2261008</td>
    <td>헥시타놀이티2%액</td>
    <td> 18,000 </td>
    <td>　</td>
    <td>23.04.11</td>
</tr>
<tr>
    <td>M2261007</td>
    <td>듀라프렙외용액</td>
    <td> 50,600 </td>
    <td>　</td>
    <td>22.05.26</td>
</tr>
         </tbody>
	</table>

<table>
		<colgroup>
			<col style="width:80px">
			<col style="width:200px">
			<col style="width:200px">
			<col style="width:125px">
	   		<col>
			<col style="width:100px">
		</colgroup>
		<thead>
			<tr>
				<th colspan="2">항목</th>
				<th colspan="2">진료비용등<br/>(단위:원)</th>
				<th rowspan="2">특이사항</th>
				<th rowspan="2">최종변경일</th>
			</tr>
			<tr>
				<th>코드</th>
				<th>명칭</th>
				<th>구분</th>
				<th>비용</th>
			</tr>
		</thead>
		<tbody>
         <tr>
     <td width="55">Z01</td>
     <td width="157">일반진단서</td>
     <td width="154">진단서</td>
     <td width="61"> 10,000 </td>
     <td width="194">　</td>
     <td width="76">21.01.01</td>
 </tr>
         <tr>
     <td>Z30</td>
     <td>근로능력평가용진단서</td>
     <td>근로능력평가용진단서</td>
     <td> 10,000 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>Z03</td>
     <td>사망진단서</td>
     <td>사망진단서</td>
     <td> 10,000 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>Z28</td>
     <td>병무용진단서</td>
     <td>병무용진단서</td>
     <td> 20,000 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>Z02</td>
     <td>영문진단서</td>
     <td>영문진단서</td>
     <td> 20,000 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>Z08</td>
     <td>입퇴원확인서</td>
     <td>입퇴원확인서</td>
     <td> 3,000 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>Z07</td>
     <td>통원확인서</td>
     <td>통원확인서</td>
     <td> 3,000 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>Z20</td>
     <td>장애인증명서</td>
     <td>장애인증명서(소득공제용)</td>
     <td>무료</td>
     <td>소득세법상 장애인공제 대상임을 증명하는  서류</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>Z17</td>
     <td>진료기록사본 1~5매</td>
     <td>chart복사(5장기본)</td>
     <td> 1,000 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>Z18</td>
     <td>진료기록사본 6매이상</td>
     <td>chart복사추가(장당)</td>
     <td> 100 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>RZ01</td>
     <td>진료기록영상</td>
     <td>CD COPY</td>
     <td> 10,000 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>GZ151</td>
     <td>제증명서 사본</td>
     <td>추가 및 재발급(장당)</td>
     <td> 1,000 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>GZ148</td>
     <td>소견서</td>
     <td>소견서</td>
     <td> 10,000 </td>
     <td>보험사제출용 등</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>Z06</td>
     <td>영문소견서</td>
     <td>영문소견서</td>
     <td> 20,000 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr>
 <tr>
     <td>Z09</td>
     <td>수술(시술)확인서</td>
     <td>수술(시술)확인서</td>
     <td> 3,000 </td>
     <td>　</td>
     <td>21.01.01</td>
 </tr></tbody>
	</table>