예나산부인과(산모방)

본원에서 시행하는 비급여 비용 안내 입니다. 보험급여 기준에 해당되지 않는 경우에 적용하는 비급여  비용입니다. 아래의 내용은 수시로 변경될 수 있음을 알려드립니다.  변경된 내용에 대해서는 바로 고지해 드리겠습니다.    < 예나산부인과 비급여 목록표 ><div class="table-wrap"><table data-ke-type="table" data-ke-align="alignLeft" style="width: 100.248%; height: 1653px;" border="1" data-ke-style="style7"><tbody><tr style="height: 10px;"><td style="width: 13.329%; height: 28px; text-align: center;" rowspan="2">분류</td><td style="width: 34.1272%; height: 10px; text-align: center;" colspan="2">항목</td><td style="width: 13.6532%; height: 10px; text-align: center;">가격정보 (단위:원)</td><td style="width: 26.6076%; height: 28px; text-align: center;" rowspan="2">특이사항</td><td style="width: 14.7433%; height: 28px; text-align: center;" rowspan="2">최종변경일</td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">명칭</td><td style="width: 10.8399%; height: 18px; text-align: center;">코드</td><td style="width: 13.6532%; height: 18px; text-align: center;">비용</td></tr><tr style="height: 10px;"><td style="width: 13.329%; height: 100px; text-align: center;" rowspan="6">영양제 (수액)</td><td style="width: 23.2873%; height: 10px; text-align: center;">써포타민주사</td><td style="width: 10.8399%; height: 10px; text-align: center;"></td><td style="width: 13.6532%; height: 10px; text-align: center;">40,000원</td><td style="width: 26.6076%; height: 10px; text-align: center;"></td><td style="width: 14.7433%; height: 10px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">페리주사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">80,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">마늘주사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">40,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">백옥주사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">40,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">신데렐라주사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">40,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">파라케이주사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">25,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 180px; text-align: center;" rowspan="8">백신주사 (접종)</td><td style="width: 23.2873%; height: 18px; text-align: center;">A형간염주사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">70,000원 (1회당)</td><td style="width: 26.6076%; height: 18px; text-align: center;">6개월간격2회접종(0-6개월)</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">B형간염주사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">30,000원 (1회당)</td><td style="width: 26.6076%; height: 18px; text-align: center;">6개월내3회접종(0-1-6개월)</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">서바릭스4가</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">140,000원 (1회당)</td><td style="width: 26.6076%; height: 18px; text-align: center;">6개월내3회접종(0-1-6개월)</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">가다실4가</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">140,000원 (1회당)</td><td style="width: 26.6076%; height: 18px; text-align: center;">6개월내3회접종(0-2-6개월)</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">가다실9가</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">210,000원 (1회당)</td><td style="width: 26.6076%; height: 18px; text-align: center;">6개월내3회접종(0-2-6개월) 2021년 4월1일 접종부터는 약가인상으로 210,000원으로 변경되었습니다.</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">독감(4가)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">40,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 36px;"><td style="width: 23.2873%; height: 36px; text-align: center;">백일해(부스트릭스)</td><td style="width: 10.8399%; height: 36px; text-align: center;"></td><td style="width: 13.6532%; height: 36px; text-align: center;">50,000원</td><td style="width: 26.6076%; height: 36px; text-align: center;">임산부는 임신27주이후접종, 비임산부는 성인에서 한번접종</td><td style="width: 14.7433%; height: 36px; text-align: center;"></td></tr><tr style="height: 36px;"><td style="width: 23.2873%; height: 36px; text-align: center;">대상포진 (조스타박스)</td><td style="width: 10.8399%; height: 36px; text-align: center;"></td><td style="width: 13.6532%; height: 36px; text-align: center;">160,000원</td><td style="width: 26.6076%; height: 36px; text-align: center;"></td><td style="width: 14.7433%; height: 36px; text-align: center;"></td></tr><tr style="height: 54px;"><td style="width: 13.329%; height: 144px; text-align: center;" rowspan="4">비급여주사 (약제)</td><td style="width: 23.2873%; height: 54px; text-align: center;">비타민D주사 (비타민D3비오엔주 20만IU)</td><td style="width: 10.8399%; height: 54px; text-align: center;"></td><td style="width: 13.6532%; height: 54px; text-align: center;">50,000원</td><td style="width: 26.6076%; height: 54px; text-align: center;">3개월마다 접종</td><td style="width: 14.7433%; height: 54px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">태반주사(2A)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">40,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 36px;"><td style="width: 23.2873%; height: 36px; text-align: center;">유착방지주사제 (메디커튼)</td><td style="width: 10.8399%; height: 36px; text-align: center;"></td><td style="width: 13.6532%; height: 36px; text-align: center;">80,000원</td><td style="width: 26.6076%; height: 36px; text-align: center;"></td><td style="width: 14.7433%; height: 36px; text-align: center;"></td></tr><tr style="height: 36px;"><td style="width: 23.2873%; height: 36px; text-align: center;">철분주사제 (베노훼럼주2A)</td><td style="width: 10.8399%; height: 36px; text-align: center;"></td><td style="width: 13.6532%; height: 36px; text-align: center;">30,000원</td><td style="width: 26.6076%; height: 36px; text-align: center;">실제 투여시는 기본2A 투여합니다.(수액)</td><td style="width: 14.7433%; height: 36px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 90px; text-align: center;" rowspan="5">피임시술</td><td style="width: 23.2873%; height: 18px; text-align: center;">난관절제술</td><td style="width: 10.8399%; height: 18px; text-align: center;">R4341</td><td style="width: 13.6532%; height: 18px; text-align: center;">160,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;">제왕절개와 동시에 시술시 (본인부담100/100)</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">임플라논(피하내)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">350,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;">3년주기 교체</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">루프-노바티(자궁내)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">150,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;">5년주기 교체</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">미레나(자궁내)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">330,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;">5년주기 교체</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">카일리나(자궁내)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">370,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;">5년주기 교체</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 72px; text-align: center;" rowspan="4">부인과성형수술 및 시술</td><td style="width: 23.2873%; height: 18px; text-align: center;">이쁜이수술</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">1,500,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">소음순수술</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">1,300,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">요실금(검사)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">130,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">요실금(수술)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">250,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 55px; text-align: center;" rowspan="2">상급병실료</td><td style="width: 23.2873%; height: 18px; text-align: center;">특실(1박)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">150,000원</td><td style="width: 26.6076%; height: 55px; text-align: center;" rowspan="2">새벽입원00시~06시/야간퇴원시18시~24시의 경우 1일 병실료의 50%가산됩니다.</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 37px;"><td style="width: 23.2873%; height: 37px; text-align: center;">1인실(1박)</td><td style="width: 10.8399%; height: 37px; text-align: center;"></td><td style="width: 13.6532%; height: 37px; text-align: center;">80,000원</td><td style="width: 14.7433%; height: 37px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 18px; text-align: center;">보호자식대</td><td style="width: 23.2873%; height: 18px; text-align: center;">보호자식대(1끼당)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">5,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 36px;"><td style="width: 13.329%; height: 36px; text-align: center;">재료대 (수술)</td><td style="width: 23.2873%; height: 36px; text-align: center;">무통주사 (페인버스터)</td><td style="width: 10.8399%; height: 36px; text-align: center;"></td><td style="width: 13.6532%; height: 36px; text-align: center;">150,000원</td><td style="width: 26.6076%; height: 36px; text-align: center;"></td><td style="width: 14.7433%; height: 36px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 36px; text-align: center;" rowspan="2">배란유도주사제</td><td style="width: 23.2873%; height: 18px; text-align: center;">IVFC5000</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">15,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">폴리트롭150</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">20,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 108px; text-align: center;" rowspan="6">초음파</td><td style="width: 89.1313%; height: 18px; text-align: center;" colspan="5">*보험급여 기준에 해당되지 않는 경우에 적용하는 비급여 초음파 비용입니다.</td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">갑상선초음파</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">20,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">유도초음파</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">85,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;">시술 및 수술중 시행</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">유방초음파</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">50,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">부인과초음파</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">40,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">산과초음파</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">30,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;">산모초음파 보험인정 기준 7회</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 162px; text-align: center;" rowspan="9">부인과검사</td><td style="width: 23.2873%; height: 18px; text-align: center;">액상자궁경부세포검사 (씬프립)</td><td style="width: 10.8399%; height: 18px; text-align: center;">CX541</td><td style="width: 13.6532%; height: 18px; text-align: center;">40,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">인유두종바이러스검사 (HPV)</td><td style="width: 10.8399%; height: 18px; text-align: center;">C6033006</td><td style="width: 13.6532%; height: 18px; text-align: center;">60,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">배란검사(LH)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">15,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">B-hcg검사 (혈액임신호르몬검사)</td><td style="width: 10.8399%; height: 18px; text-align: center;">C3520</td><td style="width: 13.6532%; height: 18px; text-align: center;">18,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">U-hcg검사 (소변임신검사)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">10,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">STD성강염증 PCR12종검사</td><td style="width: 10.8399%; height: 18px; text-align: center;">D6802</td><td style="width: 13.6532%; height: 18px; text-align: center;">90,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;">검사기준에 따라 보험적용</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">난소기능검사(항뮬러관호르몬검사-AMH)</td><td style="width: 10.8399%; height: 18px; text-align: center;">CZ214</td><td style="width: 13.6532%; height: 18px; text-align: center;">70,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">난소암검사(ROMA)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">40,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">골밀도검사(BMD)</td><td style="width: 10.8399%; height: 18px; text-align: center;">HC342</td><td style="width: 13.6532%; height: 18px; text-align: center;">50,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;">검사기준에 따라 보험적용</td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 310px; text-align: center;" rowspan="14">출산전검사</td><td style="width: 23.2873%; height: 18px; text-align: center;">혈청,혈당검사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">1,500원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">비타민D검사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">10,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 36px;"><td style="width: 23.2873%; height: 36px; text-align: center;">TSH (갑상선자극호르몬검사)</td><td style="width: 10.8399%; height: 36px; text-align: center;"></td><td style="width: 13.6532%; height: 36px; text-align: center;">17,000원</td><td style="width: 26.6076%; height: 36px; text-align: center;"></td><td style="width: 14.7433%; height: 36px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">A형간염항체검사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">15,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">B형간염항체검사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">13,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">C형간염항체검사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">16,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 37px;"><td style="width: 23.2873%; height: 37px; text-align: center;">신장기능검사 (요소,질소BUN)</td><td style="width: 10.8399%; height: 37px; text-align: center;"></td><td style="width: 13.6532%; height: 37px; text-align: center;">2,500원</td><td style="width: 26.6076%; height: 37px; text-align: center;"></td><td style="width: 14.7433%; height: 37px; text-align: center;"></td></tr><tr style="height: 36px;"><td style="width: 23.2873%; height: 36px; text-align: center;">신장기능검사 (크레아티닌)</td><td style="width: 10.8399%; height: 36px; text-align: center;"></td><td style="width: 13.6532%; height: 36px; text-align: center;">2,000원</td><td style="width: 26.6076%; height: 36px; text-align: center;"></td><td style="width: 14.7433%; height: 36px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">BT/CT(출혈성검사)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">5,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">1차기형아검사(시퀀셜)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">68,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">취약X증후군검사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">81,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">양수검사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">550,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 21px;"><td style="width: 23.2873%; height: 21px; text-align: center;">지니프트검사(G-NIPT)</td><td style="width: 10.8399%; height: 21px; text-align: center;"></td><td style="width: 13.6532%; height: 21px; text-align: center;">600,000원</td><td style="width: 26.6076%; height: 21px; text-align: center;">비침습적산전기형아검사(혈액)</td><td style="width: 14.7433%; height: 21px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">태동검사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">40,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 108px;"><td style="width: 102.46%; height: 108px; text-align: center;" colspan="6">* 건강보험 심사평가원 고시 임산부 급여 기준 혈액검사 항목 *  <보건복지부 고시 제 2018-135호> 혈액형검사(ABO/Rh), 요검사(UA), 빈혈검사(CBC), B형간염항원검사(HBsAg), 매독반응검사(VDRL), 에이즈검사(AIDS), 풍진항체검사(Rubella IgM, IgG), 기형아2차검사(Quad test), 임신성당뇨검사(50g GTT-임신24주 ~ 28주), 태동검사(임신24주이상 자궁수축이 없는 임산부에게 임신기간 중에 입원, 외래 불문하고 1회만 산정하며, 다태임신의 경우에도 1회만 산정함. 다만, 35세 이상 임부에 한하여 1회를 추가로 인정함. 인정횟수를 초과하여 시행한 경우에는 전액 본인부담토록 함.</td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 18px; text-align: center;">피임약</td><td style="width: 23.2873%; height: 18px; text-align: center;">사후피임약 및 경구피임약</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">15,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 46px; text-align: center;" rowspan="3">신생아검사</td><td style="width: 23.2873%; height: 18px; text-align: center;">윌슨검사</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">40,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 10px;"><td style="width: 23.2873%; height: 10px; text-align: center;">지스캐닝검사 (유전체검사-300여종)</td><td style="width: 10.8399%; height: 10px; text-align: center;"></td><td style="width: 13.6532%; height: 10px; text-align: center;">250,000원</td><td style="width: 26.6076%; height: 10px; text-align: center;"></td><td style="width: 14.7433%; height: 10px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">지스캐닝검사 (유전체검사-1000여종)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">450,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 13.329%; height: 124px; text-align: center;" rowspan="7">제증명 서류발급</td><td style="width: 23.2873%; height: 18px; text-align: center;">진단서, 소견서</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">20,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">진단서, 소견서(영문)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">20,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 16px;"><td style="width: 23.2873%; height: 16px; text-align: center;">입.퇴원확인서</td><td style="width: 10.8399%; height: 16px; text-align: center;"></td><td style="width: 13.6532%; height: 16px; text-align: center;">3,000원</td><td style="width: 26.6076%; height: 16px; text-align: center;"></td><td style="width: 14.7433%; height: 16px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">출생증명서</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">3,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">진료확인서</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">3,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">통원확인서</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">3,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 23.2873%; height: 18px; text-align: center;">의무기록사본(1매~5매)</td><td style="width: 10.8399%; height: 18px; text-align: center;"></td><td style="width: 13.6532%; height: 18px; text-align: center;">1,000원</td><td style="width: 26.6076%; height: 18px; text-align: center;"></td><td style="width: 14.7433%; height: 18px; text-align: center;"></td></tr><tr style="height: 18px;"><td style="width: 102.46%; height: 18px; text-align: center;" colspan="6">* 6매이상 발급시 1매당 100원 추가</td></tr></tbody></table></div>