NAVIGATION

Common Service Price List

NO. Service Name Charging Standard Charging Code Price Unit Content Description (Item Connotation & Excluded Content)
Evaluation & Management
Outpatient Service E&M
1 Primary Outpatient Visit 500-1,800 99201B-99205B /time Includes history, examination, medical decision making, counseling, coordination of care, nature of presenting problem.
2 Outpatient Specialist Consultation 840-2,840 99241B-99245B /time
3 Office Visit for Urgent Care 1,450-2,880 9949913-9949915 /time
ER Service E&M
ER Service 1,860-3,920 99283/01-99285/01 /time
Hospital Observation&Same Day Service
Low Severity-High Severity 1,515-2,670 99234-99236 /day
Inpatient Service E&M
1 Inpatient Service 910-2,010 99221-99223 /day
2 Inpatient Specialist Consultation Initial 1,090-3,045 99251-99255 /time
3 Critical Care 4,620-7,035 99291-99292 /day
4 Newborn Care 1,600-1,820 99431-99436 /day
5 Newborn Critical Care (Initial Day) 9,660 99468 /day
6 Newborn Critical Care (Subsequent Day) 5,250 99469 /day
Laboratory
Hematology
1 CBC 285 85025 /item Includes total white blood cell count, automated instrument differentital count for WBC (absolutely count and percentage), red blood cell count, hemoglobin, haemotocrit, erythrocyte mean corpuscular volume, erythrocyte mean corpuscular hemoglobin, erythrocyte mean cell hemoglobin concentration, red blood cell distribution width, platelet count, mean platelet volume and manual differential count for positive screen test item. Excludes manual differential count for negative screen test item.
2 CRP 162 86140 /item Includes C-reaction protein quantitative test.
3 ESR 94 85652 /item Includes erythrocyte sedimentation rate.
4 ABO&RH 370 869002 /item Includes ABO system: testing patient’s RBCs with reagent anti-A and anti-B, and also the reverse grouping added. RH system: testing RBCs with anti-Rh (D). Excluded content: other blood type system.
5 Glucose, Fasting 119 8294701 /item Includes blood glucose quantitative test.
6 Uric Acid 132 84550 /item Includes blood uric acid quantitative test.
7 Cholesterol 94 82465 /item Includes blood cholesterol quantitative test.
8 Triglycerides 132 84478 /item Includes blood triglyceride quantitative test.
Urine
1 Urinalysis 128 81001 /item Includes urine specific gravity, urine PH, urine white blood cell, urine nitrite, urine protein, urine glucose, urine ketone, urine urobilinogen, urine billirubin and urine red blood cell/hemoglobin, qualitative and quantitative test. For screen positive result for urine white blood cell, urine nitrite, urine protein and urine red blood cell/hemoglobin, a free manual microscopy test for urine sediment will be added. Excludes manual differential count for negative screen test item.
Feces
1 Routine 119 89055 /item Includes stool color, appearance, white blood cells, red blood cells and other abnormal findings.
2 Occult Blood 153 8227402 /item Includes stool occult blood qualitative test.
3 Ova&Parasites 200 87177 /item Includes parasitology examination for known species.
Hospital Nursing Service
1 Outpatient Nursing Care 115-440 ONUR1-ONUR4 /day Includes outpatient nursing care.
2 Nursing level I  1,800 INUR50 /12 hours The appropriate level of nursing care and duration will be provided based on the inpatient’s condition.
3 Nursing level II  900 INUR62 /12 hours
4 Injection (Subcutaneous/Intramuscular) 160 96372 /time Includes therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular.
5 Venipuncture by Nurse 160 36415 /time Includes obtaining a sample of blood through venipuncture.
6 IV Infusion Per Hour 745 96365 /hour Includes intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug), excludes medical consumables and pharmacy.
7 Blood Transfusion 1,770 36430 /time Includes transfusion, blood or blood components, excluding medical consumables.
8 Cardiac Monitoring Per Hour 185 9323501 /hour Includes continuous monitoring cardiac’s electrical activity per hour.
9 Temporary Catheter Urethral 1,020 51702 /time Includes insertion of temporary indwelling bladder catheter; simple, excluding medical consumables.
10 Electrocardiograph (ECG) 635 93000 /time Includes routine ECG with at least 12 leads; with interpretation and report.
11 Nebulizer Inhalation Treatment 360 94640 /time Includes nebulizer treatment, which is to add moisture to the respiratory system through nebulization improves clearance of pulmonary secretions.
12 Simple Dressing 230 SDRES2 /time Includes simple dressing.
Room Charge
1 Private Room Charge 6,890 PRIVT /day Includes private room accomodation, meal, etc.
2 Executive Suite 18,890 VIPSCL3+PRIVT /day Includes executive suite room accomodation, meal, etc.
3 NICU 16,895-22,825 NICUR/PICURM /day Includes PICU/NICU accomodation, meal, etc.
Diagnostic Imaging
1 Radiography 600-800 70030-77077 /time Includes X-ray of one body part, data processing, diagnosis reporting, Excludes disposable supplies and pharmacy.
2 Ultrasound 390-3,290 76536-76999 /time Includes exam fee, diagnosis fee and supplies.
3 CT Scan 1,980-3,980 70450-76380 /time Includes CT scanning of one body part, data processing, diagnosis reporting. Excludes disposable supplies and pharmacy.
4 MRI Scan 5,000-6,000 70336-77059 /time Includes MR scanning of one body part, data processing, diagnosis reporting. Excludes disposable supplies and pharmacy.
UFH DTU price system is in accordance with the standard CPT (Current Procedural Terminology) coding system. As a for profit hospital, we file our prices at the Health Bureau. For questions or enquires please contact with patientservices@ufh.com.cn or call 010 5927-7350.
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