This form covers newly launched medical services and market-adjusted price items carried out in our hospital.
In accordance with the following official documents:
Circular Forwarded by Shenzhen Municipal Healthcare Security Bureau: Notice of Guangdong Provincial Healthcare Security Bureau on Publishing Revised Medical Service Price Items Including Heart Transplantation (Shen Yi Bao Fa〔2021〕21)
Notice of Guangdong Provincial Healthcare Security Bureau on Publishing Partial Medical Service Price Items (Yue Yi Bao Gui〔2020〕6)
Notice of Guangdong Provincial Healthcare Security Bureau on Publishing Newly Added and Revised Medical Service Items Including Iris Repositioning (Yue Yi Bao Fa〔2020〕43)
All items listed below are self-pay services not covered by medical insurance reimbursement.
For enquiries, please contact the Medical Insurance Department of our hospital at 29627797; Shenzhen municipal price complaint hotline: 12358.
Medical Insurance Department
June 19, 2024
| No. | Item Code | Item Name | Billing Unit | Hospital Filed Price (CNY) |
|---|
| 1 | 250403092N | Norovirus Antigen Test | Item | 80 |
| 2 | 310517001F/4 | Crown Restoration (3M Preformed Metal Crown for Permanent Teeth) | Per Tooth | 600 |
| 3 | 310517001F/5 | Crown Restoration (3M Preformed Metal Crown for Primary Teeth) | Per Tooth | 650 |
| 4 | 310517001F/6 | Crown Restoration (3M Transparent Preformed Crown for Primary Teeth) | Per Tooth | 600 |
| 5 | 310517001F/7 | Crown Restoration (Kids Preformed Metal Crown for Permanent Teeth) | Per Tooth | 550 |
| 6 | 310517001F/8 | Crown Restoration (Kids Preformed Metal Crown for Primary Teeth) | Per Tooth | 500 |
| 7 | 310800033F/1 | Platelet-Rich Plasma Therapy (PRP, Dental Use Only) | Session | 900 |
| 8 | 300000000F-3/1 | Customized 3D Surgical Guide Fabrication (Dental Use Only) | Session | 1550 |
| 9 | 310522031F | Temporary Anchorage Device Placement | Per Mini-Screw | 1050 |
| 10 | 310522033F | Skeletal Maxillary Expansion | Single Jaw | 4955 |
| 11 | 310518008F | Design and Fabrication of Jaw Cyst Plug | Piece | 1500 |
| 12 | 310517010F | Interproximal Reduction | Per Tooth | 200 |
| 13 | 310522034F | Impacted Tooth Traction Treatment | Per Tooth | 4500 |
| 14 | 310522032F | Molar Intrusion Treatment | Per Tooth | 4486 |
| 15 | 310522030F | Digital Dentition Reconstruction | Session | 3000 |
| 16 | 330609014F/1 | Alveolar Ridge Socket Preservation (Including 0.25g Bone Graft Material) | Per Tooth | 2500 |
| 17 | 340100030F/1 | Vaginal/Pelvic Floor Muscle Stimulation Therapy (Perineal Massage) | Session | 190 |
| 18 | 340100030F/2 | Vaginal/Pelvic Floor Muscle Stimulation Therapy (Radiofrequency – Initial Session) | Session | 1000 |
| 19 | 340100030F/3 | Vaginal/Pelvic Floor Muscle Stimulation Therapy (Radiofrequency – Subsequent Session) | Session | 280 |
| 20 | 331500000F-1/1 | Additional Charge for Orthopedic Surgical Navigation Assistance (Dental Use Only) | Session | 3000 |
