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05 - bảng Kê Chi Phí Điều Trị Nội Trú
05 - bảng Kê Chi Phí Điều Trị Nội Trú
Price of
Price
Content Unit Quality Insurance
(VND)
(VND)
Payment sour
Payment rate by
Rate of payment by Rate of payment by Health
Amount (VND) Health Insurance
service (%) service (%) Insurance
(%)
Fund
(6) (7) (8) (9) (10)
9,500,000
9,500,000
100 9,000,000 0 0
100 500,000 0 0
1.935.000 0 0
100 105,000 0 0
100 105,000 0 0
100 225,000 0 0
100 105,000 0 0
100 105,000 0 0
100 105,000 0 0
100 105,000 0 0
100 105,000 0 0
100 105,000 0 0
100 180,000 0 0
100 180,000 0 0
100 150,000 0 0
100 150,000 0 0
100 105,000 0 0
100 105,000 0 0
450,000 0 0
100 255,000 0 0
100 255,000 0 0
180,000 0 0
100 180,000 0 0
10,100,000 0 0
100 10,000,000 0 0
100 100,000 0 0
1,636,556
1,636,556
100 125,240 0 0
100 87,600 0 0
100 3,024 0 0
100 40,800 0 0
100 12,940 0 0
100 28,800 0 0
100 13,230 0 0
100 54,626 0 0
27,313 0 0
100 12,978 0 0
100 6,048 0 0
100 604,800 0 0
100 147 0 0
100 420,330 0 0
100 17,177 0 0
100 2,772,000 0 0
100 33,120 0 0
100 8,689,209 0 0
100 1,890 0 0
100 942 0 0
100 3,212 0 0
100 1,800 0 0
100 8,736 0 0
100 3,450 0 0
100 1,381 0 0
100 2,124 0 0
100 804 0 0
100 6,048 0 0
100 4,284 0 0
100 8,352 0 0
100 1,056 0 0
100 5,130 0 0
100 960,000 0 0
100 4,200,000 0 0
100 3,300,000 0 0
100 180,000 0 0
1,101,609
1,101,609
100 3,150 0 0
100 25,339 0 0
100 8,760 0 0
100 37,440 0 0
100 126,000 0 0
100 6,287 0 0
100 5,040 0 0
100 2,184 0 0
100 690 0 0
100 4,320 0 0
100 1,416 0 0
100 1,210 0 0
100 31,200 0 0
100 31,200 0 0
100 161,783 0 0
100 45,599 0 0
100 18,000 0 0
100 54,000 0 0
100 13,230 0 0
100 6,479 0 0
100 20,321 0 0
100 13,306 0 0
100 14,616 0 0
100 63,000 0 0
100 13,920 0 0
100 16,320 0 0
100 48,960 0 0
100 8,160 0 0
100 15,600 0 0
100 1,026 0 0
100 18,270 0 0
100 1,109 0 0
100 13,608 0 0
100 20,160 0 0
100 174,000 0 0
100 39,060 0 0
100 28,656 0 0
100 8,190 0 0
33592373
Mẫu số 02/BV
Mã số người bệnh: 20072167
số hồ sơ: 20.007802
Nơi chuyển đến từ: Nơi chuyển đi (13) Thông tuyến (14)Trái tuyến
9,500,000
9,000,000
500,000
1,935,000
105,000
105,000
255,000
105,000
105,000
105,000
105,000
105,000
105,000
180,000
180,000
150,000
150,000
105,000
105,000
450,000
225,000
225,000
180,000
180,000
8,100,000
8,000,000
100,000
1,636,556
1,636,556
125,240
87,600
3,024
40,800
12,940
28,800
13,230
54,626
27,313
12,978
6,048
604,800
147
420,330
17,177
2,772,000
33,120
8,689,209
1,890
942
3,212
1,800
8,736
3,450
1,381
2,124
804
6,048
4,284
8,352
1,056
5,130
960,000
4,200,000
3,300,000
180,000
3,150
25,339
8,760
37,440
126,000
6,287
5,040
2,184
690
4,320
1,416
1,210
31,200
31,200
161,783
45,599
18,000
54,000
13,230
6,479
20,321
13,306
14,616
63,000
13,920
16,320
48,960
8,160
15,600
1,026
18,270
1,109
13,608
20,160
174,000
39,060
28,656
8,190
2,000,000 31,592,373
(14)Trái tuyến
đơn vị
Nội dung số lượng đơn giá (đồng) đơn giá BH (đồng)
tính
Tỷ lệ TT theo dịch vụ thành tiền BV (đồng) Tỷ lệ TT theo BHYT (%) Tỷ lệ TT theo dịch vụ
nguồn thanh toán (đồng)
Người khác, người
Quỹ BHYT bệnh cùng miễn bệnh tự
chi trả giảm chi trả