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MINISTRY OF HEALTH
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THE SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
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No. 02/2017/TT-BYT
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Hanoi, March 15, 2017
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CIRCULAR
ON MAXIMUM PRICE BRACKET FOR MEDICAL EXAMINATION AND
TREATMENT SERVICES NOT COVERED BY HEALTH INSURANCE IN STATE-OWNED HEALTH
FACILITIES AND GUIDANCE ON APPLICATION OF PRICES AND PAYMENT FOR MEDICAL
EXAMINATION AND TREATMENT SERVICES IN SOME CASES
Pursuant to the Law on
medical examination and treatment No. 40/2009/QH12 dated November 23, 2009;
Pursuant to the Law on
prices No. 12/2012/QH13 dated June 20, 2012;
Pursuant to the Law on
organizing the local government No. 77/2015/QH13 dated June 19, 2015;
Pursuant to the
Government’s Decree No. 85/2012/ND-CP dated October 15, 2012 on operational and
financial regulations applicable to public medical providers and prices of
medical examination and treatment services by public health facilities.
Pursuant to the
Government’s Decree No. 16/2015/ND-CP dated February 14, 2015 providing for
autonomy mechanism of public service providers.
Pursuant to the Government’s
Decree No. 63/2012/ND-CP dated August 31, 2012 defining functions, tasks,
powers and organizational structure of the Ministry of Health.
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The Minister of Health
promulgates a Circular on maximum price bracket for medical examination and
treatment services not covered by health insurance in state-owned health
facilities and guidance for application of prices and payment for medical
examination and treatment services in
some cases.
Article
1. Scope and regulated entities
1. Scope
This Circular deals with
maximum price bracket for medical examination and treatment services
(hereinafter referred to as “medical services”) not covered by health insurance
in state-owned health facilities and guidance for application of prices and
payment for medical services in some cases.
2. Regulated entities
State-owned health
facilities; uninsured patients; patients having health insurance card but receiving
medical examination and treatment or using medical services not covered by
health insurance; other relevant organizations and individuals.
3. For insured patients
receiving medical examination and treatment as prescribed in the Law on Health
Insurance, the prices of medical services covered by health insurance shall be
applied as prescribed in the Joint Circular No. 37/2015/TTLT-BYT-BTC dated
October 29, 2015 of the Ministry of Health and Ministry of Finance on unifying
prices of medical services covered by health insurance among hospitals of the
same level across the country.
4. This Circular does not
apply to medical services in the following cases:
a) A public health
service provider contributes and raises capital under joint venture or
association agreements as prescribed in the Government’s Decree No.
85/2012/ND-CP dated October 15, 2012 and applies service prices in a manner
that compensates for expenses and ensures accumulated earnings.
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c) A health facility make
public-private partnership investment as prescribed in the Government’s Decree
No. 15/2015/ND-CP dated February 14, 2015 on investment in the form of
public-private partnership.
Article
2. Maximum price bracket for medical examination and treatment service
1. The maximum price
bracket for medical services includes:
a) The maximum price
bracket for medical examination services, which is provided in Appendix I
enclosed herewith;
b) The maximum price
bracket for in-patient services, which is provided in the Appendix II enclosed
herewith;
c) The maximum price
bracket for technical and testing services, which is provided in the Appendix
III enclosed herewith;
2. The maximum price
bracket prescribed in this Circular includes the following expenses:
a) Direct expenses:
- Expenses for medicines,
perfusion, chemicals, medical consumables and replacements in service of
medical services. Regarding some medicines, perfusion, chemicals, medical
consumables and replacements that are yet to be included in the prices of
medical services provided in Appendix II and Appendix III enclosed herewith,
and blood and blood components, payment shall be made according to the actual
amount used for patients and purchase price in accordance with regulations of
law.
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- Expenses for
maintenance of equipment and purchase of instruments;
b) Salaries expenses:
- Salary under grades,
ranks, titles, allowances and contributions in accordance with the State
regulations applied to public service providers; except for the expenditures
mentioned in Clause 3 of this Article;
- Standing allowances,
surgical and/or medical procedure allowances (hereinafter referred to as
“special allowances”) prescribed in the Government’s Decision No. 73/2011/QD-TTg
dated December 28, 2011.
3. The salaries expenses
prescribed in Clause 1 of this Article shall not include expenditures covered
by state budget as prescribed in the following documents:
a) Government’s Decree
No. 64/2009/ND-CP dated July 30, 2009 on benefits for health officials and
public employees working in extremely disadvantaged areas;
b) Government’s Decree
No. 116/2010/ND-CP dated December 24, 2010 on benefits for on officials, public
employees and paid armed forces’ personnel working in extremely disadvantaged
areas;
c) Government’s Decree
No. 46/2009/QD-TTg dated March 31, 2009 on special allowances for officials and
public employees working in Friendship Hospital, Thong Nhat Hospital, Da Nang C
Hospital affiliated to the Ministry of Health, Central Health Protection
Divisions 1, 2, 2B, 3 and 5, Department A11 of 108 Hospital and Department A11
of Military Institute of Traditional Medicine (herein after referred to as
“Decision No. 46/2009/QD-TTg”) and the Prime Minister’ Decision No. 20/2015/QD-TTg
dated June 18, 2015 on amendments to some articles of the Decision No.
46/2009/QD-TTg;
d) Point a, Clause 8,
Article 6 of Government’s Decree No. 204/2004/ND-CP dated December 14, 2004 on salaries
paid to officials, public employees and armed forces’ personnel and
Government’s Decree No. 76/2009/ND-CP dated September 15, 2009 on amendments to
some articles of the Decree No. 204/2004/ND-CP.
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1. The competent
authorities prescribed in Clauses 2 and 3 of this Article shall decide prices
of medical services applied to health facilities under their management, which
shall not exceed the maximum price bracket for medical services prescribed in
this Circular.
2. The Provincial
People's Council shall decide prices of medical services applied to by health
facilities under the management of local governments and decide or apply prices
of medical services to some cases according to the following principles:
a) Hospitals with patient
beds, provincial health centers licensed to provide medical services; graded
district-level health centers licensed to provide disease prevention and
medical treatment and examination services apply the prices applied to
hospitals of similar level;
b) Ungraded health
facilities apply the prices applied to grade IV hospitals;
c) Family clinics,
medical clinics of entities, organizations and schools apply the prices applied
to health stations of communes.
3. The Minister of Health
shall decide prices of medical services applied to health facilities affiliated
to the Ministry of Health and special grade and grade I hospitals affiliated to
Ministries, ministerial authorities and Governmental authorities. The health
facilities affiliated to the remaining Ministries, ministerial authorities and
Governmental authorities shall apply prices of medical services as follows:
a) Health stations of
entities and organizations, civil-military health stations and civil-military
medical clinics shall apply prices of medical services applied to health
stations of communes.
b) Civil-military medical
infirmaries shall apply prices of medical services applied to local
polyclinics.
c) Grade II, II, IV
hospitals (including civil-military hospitals) shall apply service prices
applied to local health facilities of the same level.
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4. The health facilities affiliated
to Ministries, ministerial authorities and Governmental authorities provide
technical services that are yet to be included in local prices of medical
services, they shall formulate a pricing plan and report it to the Ministry of
Health.
5. New technical services
prescribed in Clauses 1 and 2, Article 69 of the Law on Medical Examination and
Treatment and other remaining technical services for which the maximum price
bracket is yet to be stipulated: (except the services ranked as equivalent in technique
and provision expenses by the Ministry of Health)
a) The health facilities
that set and propose prices to competent authorities prescribed in Article 3 of
this Circular shall temporarily decide prices;
b) Every 6 months (on
June 30 and December 31), entities and local governments shall submit a
consolidated report to the Ministry of Health for consideration and adjustment
of maximum price bracket after the Ministry of Finance’s approval.
c) Procedures and
documentation of pricing plan are mentioned in the Law on Prices.
Article
4. Guidance on application of prices of medical examination
1. Direct expenses
necessary for the determination of prices of medical examination prescribed in
Point a, Clause 2, Article 2 of this Circular include:
a) Expenses for gloves,
caps, masks, clothing, sheets, pillows, mattresses, mats, cloths for medical
staff, patients; stationery such as paper, pens, books, printing ink, stamp pad
ink, pins, specialized prints and other stationery; common medical consumables
such as cotton, bandages, alcohol, gauze, pumps, needles, saltwater and other
medical consumables in service of medical examination;
b) Expenses for
electricity, water, waste treatment; laundry, steam, drying, washing, cloth
sterilization, medical instruments; expenses for hygiene, environmental hygiene
assurance, examination area disinfection and infection control;
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2. Determine the number
of medical visits and prices of medical examination in some specific cases:
a) In case a patient
receives medical examination at a health facility and is then provided with
inpatient treatment for professional requirements, it shall be determined as a
medical visit.
b) On the same medical
visit to the same health facility (possibly on the same day or due to objective
conditions or professional requirements, the patient is yet to fully undergo
the medical examination on the first day, and has to receive medical
examination on the next day), after receiving medical examination at one
speciality, he/she needs further medical examination at another speciality,
from the second medical visit onwards, only 30% of prices of a medical visit
shall be applied and the maximum payment for medical examination must not
double the prices applied to a medical visit.
c) In case the patient
goes to a health facility to receive medical examination and treatment and has
received medical examination and medicines and provided with medicines for home
treatment at home, but he/she then sees abnormal signs, returns to the health
facility for further medical examination right on that day and continues to
receive medical examination, such visit shall be the second visit onwards on a
day. The payment shall be made according to Point b of this Clause;
d) In case the health
facility provides specialized clinics at clinical departments, the patient
registers medical examination services at outpatient department and receives
medical examination at specialized clinic of the clinical department, it shall
be determined as medical examination received at outpatient department. The
determination of expenses and number of medical visits payment shall be made
according to Point b of this Clause;
dd) In case the patient
receives medical examination and treatment at clinical departments and does not
register medical examination services at outpatient department, payment for
medical examination shall not be made.
e) In case the patient
receives medical examination at emergency department, not at outpatient
department, and if the treatment duration is under 4 hours (including hospital
discharge, referral, death), the patient shall only pay for medical
examination, medicines, technical services and shall not pay for inpatient
treatment.
g) Clinics of the Board
for Protection and Care of the Health of provincial-level officials, which are
not affiliated to Provincial General Hospital shall apply prices of medical
examination of grade II hospitals within their province.
Article
5. Guidance for application of prices of inpatient services
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a) Expenses for gloves
for medical examination, gloves for injection, infusion and care, caps, masks,
clothing, blankets, sheets, pillows, mattresses, mosquito-nets, mats, cloths
for medical staff and patients; stationery such as paper, pens, books, printing
ink, stamp pad ink, pins, specialized prints and other stationery; common
medical consumables such as cotton, bandages, alcohol, gauze, pumps, common
needles for single use, less than or equal to 10ml, saltwater and other
consumables in service of daily medical care and treatment;
b) Expenses for
electricity, water, waste treatment; laundry, steam, drying, washing, cloth
sterilization, medical instruments; expenses for hygiene, environmental hygiene
assurance, patient room disinfection and infection control;
c) Expenses for
maintenance and purchase of equipment, instruments and tools, such as air
conditioners, computers, printers, dehumidifiers, fans, automatic check-up
systems, desks, chairs, beds, cabinets, lights, kits and tools in service of
medical care and treatment.
2. The duration of an
inpatient treatment shall be determined as prescribed in the Circular No.
28/2014/TT-BYT dated July 14, 2014. To be specific:
a) Duration of an
inpatient treatment = (date of chischarge - date of admission) + 1
b) In case the patient is
admitted to the hospital the day before and is discharged the next day (from 4
hours to under 24 hours), it shall be determined as 1 day;
c) In case the patient
receives medical examination at two departments on the same day, it shall be
determined as 1/2 day. In case the patient receives medical examination at 3 or
more departments on the same day, prices of inpatient services on that day
shall be determined as an arithmetic mean of payment for inpatient services at
the department where the patient receives treatment in over 4 hours with the
highest price and the department where the patient receives treatment in over 4
hours with the lowest price.
3. Prices of surgical,
burn treatment services shall be applied within 10 days after surgery. From the
11th day onwards after surgery, prices of inpatient services for endocrinology
prescribed in Section 3, Appendix II enclosed herewith and decided by a
competent authority shall be applied.
4. Prices of inpatient
services shall be charged on 01 patient/01 bed. In case of 02 patients/01 bed
or 03 patients or more, only a maximum of 50% or 30% of the prices of the
inpatient service decided by the competent authority shall be collected
respectively.
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a) Special grade hospitals,
grade I or II hospitals have established an intensive care unit, poison control
unit or center, intensive care - poison control unit, and such units and
centers are eligible to be operated as prescribed in the Decision No.
01/2008/QD-BYT dated January 21, 2008.
b) The entity is yet to
establish an intensive care unit, but the emergency department has some
intensive treatment beds and postoperative beds after special or grade I
surgeries and these beds shall satisfy requirements for intensive care beds
prescribed in the abovementioned Decision No. 01/2008/QD-BYT of the Ministry of
Health.
c) When the patient is on
these beds with conditions that require care, treatment and supervision
according to the regulation on emergency treatment, intensive care and poison
control. The remaining cases shall apply the prices of intensive care inpatient
services provided in the service No. 02, Appendix II of this Circular and
decided by the competent authority.
6. Application of
inpatient emergency treatment services:
a) Clinical departments
with intensive care beds therein (for example, pediatric department has
children intensive care beds, neonatal departments, intensive care departments
for preterm newborns) shall apply the prices of intensive care inpatient services
provided in the service No. 02, Appendix II of this Circular and decided by the
competent authority.
b) In case the patient
receiving medical examination at emergency department does not register medical
examination at outpatient department: if the treatment duration is 04 hours or
more, the patient shall only pay for inpatient treatment, medicines and
technical services and shall not pay for medical examination.
7. In case the health facility
adds extra patient beds besides the planned ones, the corresponding prices of
inpatient services decided by the competent authority shall be applied.
8. In case the patient
lies on a stretcher or an extra bed, prices of inpatient services for 02 patients/01
bed according to each speciality decided by the competent authority shall be
applied.
9. In case a hospital is
graded III, IV or ungraded, but is eligible for a special surgery performance
approved by a competent authority, the highest prices of surgical inpatient
services applied to the health facility providing such services shall be
applied.
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10. In case a surgery is
classified as different classes (except pediatric speciality) prescribed in the
Circular No. 50/2014/TT-BYT dated December 26, 2014, prices of surgical or burn
inpatient services shall be applied according to the surgery of the lowest
class.
11. In case surgeries are
classified as equivalent to a surgery prescribed in this Circular but are
classified as different classes according to each speciality prescribed in the
Circular No. 50/2014/TT-BYT, prices of surgical or burn inpatient services
shall be applied according to the classification of that surgery.
12. In case a surgery is
yet to be classified as prescribed in the Circular No. 50/2014/TT-BYT, prices
of inpatient services after the surgery class IV applied to the hospital of
corresponding grade shall be applied.
13. Prices of inpatient
services by departments affiliated to hospitals of traditional medicine and
hospitals of nursing and rehabilitation shall be applied as follows:
a) Intensive care beds:
comply with Clause 5 of this Article;
b) Emergency beds: comply
with Clause 6 of this Article;
c) Beds at cancer or
pediatric department: apply prices of inpatient services for endocrinology
class I applied to the hospital of corresponding grade (specified in Point 3.1
of Appendix II)
d) Endocrinologic beds of
the remaining departments: apply prices of inpatient services for endocrinology
class II (specified in Point 3.2 of Appendix II), for the patients with spinal
cord injury, cerebrovascular accident and traumatic brain injury, apply prices
of inpatient services for endocrinology class III (specified in Point 3.3 of
Appendix II) applied to the hospital of corresponding grade, for the remaining
diseases.
14. In case of
inter-speciality cases: apply prices of the speciality of the lowest level in
the departments corresponding to hospital class.
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1. Prices of technical
services shall include expenses for medicines, chemicals, medical consumables
and replacements for provision of services except some special cases with
specific notes. Hospitals must not charge patients for the expenses that have
been included in prices of services.
2. Prices of surgeries or
medical procedures shall not include expenses for blood or blood components if
used. If used, payment shall be made as prescribed in the Circular No.
33/TT-BYT dated October 27, 2014.
3. Service prices shall
be applied according to the following principles:
a) For specific services
the maximum prices of which are provided in Appendixes enclosed herewith,
prices of each service decided by the competent authority shall be applied.
b) For technical services
the maximum prices of which are yet to be provided in Appendixes enclosed
herewith and ranked as equivalent in technique and provision expenses, prices
of services ranked as equivalent in technique and provision expenses by the
Ministry of Health shall be applied.
c) For surgeries and
medical procedures the maximum prices of which are provided in Appendixes
enclosed herewith and ranked as equivalent in technique and provision expenses,
prices of each surgery and medical procedures in section “other remaining
surgeries and medical procedures” of each speciality provided in Appendix III
enclosed herewith shall be applied.
4. Expenses for anesthesia:
Because some services may require anesthesia or no anesthesia, expenses for
anesthesia of the services enclosed with this Circular are as follows:
a) Maximum prices of
surgeries prescribed by specialities include expenses for anesthesia. Regarding
ophthalmic surgery, expenses for anesthesia are yet to be included.
b) Maximum prices of
medical surgeries shall include expenses for anesthetics and sedative
anesthetics, exclude expenses for anesthesia (except some certain cases with
specific notes);
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5. In case of multiple
interventions during the same surgery, highest prices of the most sophisticated
technical service shall be applied and prices of other technical services
arising during the same surgery shall be:
a) 50% of prices of the
technical services that arise if such technical services are still provided by
a surgical team.
b) 80% of prices of the
technical services that arise if such technical services require another
surgical team to provide;
c) In case the services
that arise are medical procedures, 100% of prices of services that arise shall
be charged.
6. Bandage change service
a) The “Changing bandages
of under 15-cm-long wounds or incisions” service: inpatients shall make payment
in the following cases: infected wounds/incisions; wounds with fluids, blood
from the skin lesions with area of more than 6 cm2; wounds inserted
with gauze; foot wound drainage with lots of fluid flowing; multi
wounds/incisions; or incision after a surgery but two or more incisions must be
created. Prices of bandage change service shall not be applied to the following
cases: aparoscopy, common wound/incision bandage change, neonatal nasal bandage
change.
b) Prices of “Changing
bandages of over 15 to 30-cm-long wounds or incisions” service shall be applied
to inpatients in the following cases:
- Infected incisions,
gastric leakage, bile leakage, urinary leakage;
- Infected post-operative
incisions (peritonitis or osteoarthritis or abscess), incisions after
gastrointestinal or urinary or biliary tract or abdominal surgery.
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- In case of caesarean
section surgery, this price shall be applied, but not exceeding 03 times.
c) The price of “changing
bandages of over 15 to 30-cm-long wounds or incisions” service shall be applied
as prescribed in this Circular.
7. The ABO blood group
determination service in blood transfusion, for the tests No. 1300, 1301 and
1302 prescribed in Appendix III of this Circular:
a) Regarding ABO blood
group determined at medical testing laboratory upon delivery of the whole blood
and components, including erythrocytes, platelets, leukocytes, plasma:
- Regarding determination
of blood group of patients, lump sum payment shall be made according to prices
of the service No. 1203 provided in Appendix III of this Circular (because the
maximum prices of the service No. 1302 include expenses for 2 times of ABO
blood group determination with the same blood or two blood samples of the same
patient using 2 methods: serology test and red blood cells test);
- Regarding determination
of ABO blood group of blood bags and blood components, lump sum payment shall
be made according to prices of the service No. 1300 provided in Appendix III of
this Circular;
- In case the patient
receives many blood units or blood components at the same time, from the second
blood unit or blood component onwards, when delivering 01 blood unit, extra
payment shall be made for determination of ABO blood group of blood bags
according to prices of the service No. 1300 provided in Appendix III of this
Circular; In this case, it is not required to determine the patient’s ABO blood
group since it is determined that he/she belongs to the ABO blood group when
receiving blood units or the first blood component.
b) Determination of ABO
blood group at the patient bed:
- Regarding the ABO blood
group determined at the patient bed when the patient receives whole blood or
erythrocytes or platelets, lump sum time payment shall be made according to
prices of the service No. 1300 provided in Appendix III of this Circular;
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- In case the patient
receives many blood units or blood products at the same time, from the second
blood unit or blood product onwards, when delivering 01 whole blood unit or
erythrocyte or platelet, extra payment shall be made for determination of blood
group at the patient bed according to prices of the service No. 1302 provided
in Appendix III of this Circular In this case, it is not required to determine
the patient’s ABO blood group since it is determined that he/she belongs to ABO
blood group when transfusing blood units or the first blood component.
- Prices of the ABO blood
group determination services No. 1300, 1301, 1302 provided in Appendix III of
this Circular shall be generally applied to in-vitro, stone slab or paper-based
test methods.
8. For the immunological
compatibility test performed at the temperature of 37 ºC and supplemented with
the anti-globulin serum (indirect Coombs test), prices of the “immunological
compatibility test supplemented with the anti-globulin serum” service No. 1358
or 1359 prescribed in Circular shall be applied.
Article
7. Implementation
1. Budget shall ensure funding according to the
current levels of state budget for:
a) Expenditures according
to applicable regulations specified in the documents mentioned Clause 3,
Article 2 of this Circular;
b) In case the entity’s
financial source fails to ensure regular operations, the entity classified by a
competent authority as a public service provider of which part of its recurrent
expenditure is covered itself or that of which recurrent expenditure is funded
by the state budget.
2. Responsibilities of
the Ministry of Health:
a) Assign the Department
of Planning - Finance to act as an authority in charge and cooperate with relevant
entities in implementing, carrying out inspection, preliminary review and final
review of the implementation of this Circular nationwide;
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3. Responsibilities of
the Department of Health:
a) Take charge and
cooperate with relevant entities in implementing, carrying out inspection,
preliminary review and final review of the implementation of this Circular in
the areas under its management;
b) Take charge and
reaching an agreement with the Department of Finance on the service prices, and
submit a report on service prices to the People’s Committee of the province,
which will submit it to the People's Council of the province to consider
deciding on the service prices and date of application according to Clause 2
Article 9 of this Circular, which are applied to health facilities under the
local management.
Article
8. Terms of reference
In the cases where any of
the legislative documents referred to in this Circular is amended or replaced,
the newest one shall apply.
Article
9. Implementation clause
1. This Circular comes
into force from June 01, 2017.
2. The authorities that
have the power to decide the prices as prescribed in Clause 2, Article 3 of
this Article shall decide prices and date of application, which are applied to
health facilities. To be specific:
a) Regarding the health
facilities classified by a competent authority as entities of which their
recurrent expenditure are covered themselves or those of which their recurrent
and investment expenditure are covered itself, the date of application shall be
from June 01, 2017;
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3. The following
documents are null and void from January 01, 2018:
a) The Joint Circular No.
14/TTLB dated September 30, 1995 of the Ministry of Health, Ministry of
Finance, Ministry of Labor, War Invalids and Social Affairs and Government
Pricing Commission on guidelines for collection of partial hospital fee.
b) The Joint Circular No.
03/2006/TTLT-BYT-BTC-BLDTB&XH dated January 26, 12006 of the Ministry of
Health, Ministry of Finance, Ministry of Labor, War Invalids and Social Affairs
amending the Circular No. 14/TTLB dated September 30, 1995 of the Ministry of
Health, Ministry of Finance, Ministry of Labor, War Invalids and Social Affairs
and Government Pricing Commission on guidelines for collection of partial
hospital fee.
c) The Circular No.
04/2012/TTLT-BYT-BTC dated February 29, 2012 of the Ministry of Health,
Ministry of Finance on promulgating the maximum price bracket for medical
services in the state-owned health facilities;
The Government’s Decree
No. 04/2013/TT-BYT dated January 21, 2013 of the Minister of Health on
guidelines for approval and application of prices of medical examination and
treatment services to state-owned health facilities under the management of
ministries.
Article
10. Transitional provisions
For the patient who is
receiving medical treatment at a health facility before the application of the
prices prescribed in this Circular and is released from that health facility or
ends outpatient treatment visit after the application of the prices prescribed
in this Circular, the prices approved by a competent authority before the
application of prices prescribed in this Circular shall be applied until the
patient is released from that health facility or ends outpatient treatment
visit.
Difficulties that arise
during the implementation of this Circular should be promptly reported to the
Ministry of Health.
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PP. MINISTER
DEPUTY MINISTER
Pham Le Tuan
APPENDIX I
MAXIMUM
PRICES FOR MEDICAL TREATMENT SERVICE
(Issued together with Circular No.02/2017/TT-BYT
dated March 15, 2017) of the Ministry of Health)
Unit: Dong
No.
Type
of service
Maximum
price including direct expenses and salaries expenses
A
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C
1
Special grade hospitals
39,000
2
Grade I hospitals
39,000
3
Grade II hospitals
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4
Grade III hospitals
31,000
5
Grade IV hospitals/Local
polyclinics
29,000
6
Health stations of communes
29,000
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Consultation for determining
tough cases (professional/case; only apply to the case in which professionals
from different entities are invited to the consultation in medical examination
and treatment facilities)
200,000
8
Examination for wound
certificate, medical examination (exclusive medical tests and medical
radiography)
120,000
9
Pre-employment examinations,
driver medical examination, periodic medical examination (exclusive medical
test and medical radiography)
120,000
10
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350,000
APPENDIX II
MAXIMUM
PRICE FOR A HOSPITAL BED-DAY
(Issued together with Circular No.02/2017/TT-BYT dated March 15, 2017) of
the Ministry of Health)
Unit:
Dong
No.
Type
of service
Special
grade hospitals
Grade
I hospitals
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Grade
III hospitals
Grade
IV hospitals
Note
A
B
1
2
3
4
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6
1
Intensive Care Unit (ICU)/organ
transplantation/ hematopoietic stem cell transplantation
677,100
632,200
568,900
Exclusive medical
ventilator expense (if any)
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Emergency, Intensive Care Medicine
and Clinical Toxicology
362,800
335,900
279,100
245,700
226,000
Exclusive medical
ventilator expense (if any)
3
For Internal Medicine
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3.1
Type 1: Departments of Infection,
Pulmonology, Hematology, Oncology, Cardiology, Psychiatry, Neurology,
Pediatrics, Gastroenterology, Nephrology, Endocrinology; Allergy (for
patients with serious drug allergy: Steven Johnson/Lyell)
215,300
199,100
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149,800
140,000
The above-mentioned departments
of specialist hospitals affiliated with the Ministry of Health in Hanoi and
Ho Chi Minh City
215,300
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3.2
Type 2: Departments of Musculoskeletal,
Dermatology, Otorhinolaryngology, Ophthalmology, Odontology, Surgery,
Obstetrics and Gynaecology without surgery, Traditional Medicine and
Rehabilitation for groups of people suffering spinal cord injury, stroke,
traumatic brain injury
192,300
178,000
152,500
133,800
122,000
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The above-mentioned departments
of specialist hospitals affiliated with the Ministry of Health in Hanoi and
Ho Chi Minh City
192,300
3.3
Type 3: Traditional
Medicine and Rehabilitation Departments
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146,800
126,600
112,900
108,000
3.4
For hospital beds in local
polyclinics
108,000
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Beds in health stations
of communes
54,000
4
For Surgery
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4.1
Type 1: After special
types of surgery, 3rd-4th degree burns affecting over 70% of the body
306,100
286,400
255,400
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The above-mentioned departments of
specialist hospitals affiliated with the Ministry of Health in Hanoi and Ho
Chi Minh City
306,100
4.2
Type 2: After type 1
surgery, 3rd-4th degree burns affecting from 25% - 70% of the body
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250,200
204,400
180,800
171,000
The above-mentioned departments
of specialist hospitals affiliated with the Ministry of Health in Hanoi and
Ho Chi Minh City
268,200
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4.3
Type 3: After type 2 surgery,
3rd-4th degree burns affecting under 25% of the body
230,300
214,100
188,500
159,800
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230,300
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Type 2: After type 3
surgery, 1st-2th degree burns affecting under 30% of the body
197,300
183,000
152,500
133,800
127,000
5
Daytime beds
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