| Annex No. 1 | ||||
| to Order No.199-ОB dd. 25.10.2022 | ||||
| APPROVED: | ||||
| Chief Medical Officer | ||||
| of Center for Family Health, SBHCF | ||||
| А.R. Zhigalenko | ||||
| «_______»________2022 | ||||
| Maximum prices for paid medical services rendered by the “Regional Center for Family Health and Reproduction”, state budget-financed health care facility of Department of Health of Krasnodar Region in excess of the established government assignment as well as in cases determined by laws within the limits of the established government assignment | ||||
| No. | Code of service | Name of service (work) | Measurement unit | Price, rub. |
| DOCTOR'S APPOINTMENTS FOR ADULTS | ||||
| Anesthesiology - Resuscitation | ||||
| 1 | В01.003.001 | Physical examination (consultation) by anesthesiologists -resuscitator, first | consultation | 533 |
| 2 | В01.003.002 | Physical examination (consultation) by anesthesiologists -resuscitator, repeated | consultation | 533 |
| Obstetrics and Gynecology | ||||
| 3 | В01.001.001 | Appointment (physical examination, consultation) of obstetrician-gynecologist, first | appointment | 858 |
| 4 | В01.001.002 | Appointment (physical examination, consultation) of obstetrician-gynecologist, repeated | appointment | 789 |
| 5 | В01.001.022 | Physical examination (consultation) of obstetrician-gynecologist in vitro fertilization | appointment | 1 559 |
| Genetics | ||||
| 6 | В01.006.001 | Appointment (physical examination, consultation) of geneticists, first | appointment | 787 |
| 7 | В01.006.002 | Appointment (physical examination, consultation) of geneticists, repeated | appointment | 400 |
| Dermatovenereology | ||||
| 8 | В01.008.001 | Appointment (physical examination, consultation) of dermatovenerologist, first | appointment | 567 |
| 9 | В01.008.002 | Appointment (physical examination, consultation) of dermatovenerologist, repeated | appointment | 379 |
| Urology | ||||
| 10 | В01.053.001 | Appointment (physical examination, consultation) of urologist, first | appointment | 806 |
| 11 | В01.053.002 | Appointment (physical examination, consultation) of urologist, repeated | appointment | 758 |
| Endocrinology | ||||
| 12 | В01.058.001 | Appointment (physical examination, consultation) of endocrinologist, first | appointment | 563 |
| 13 | В01.058.002 | Appointment (physical examination, consultation) of endocrinologist, repeated | appointment | 563 |
| Psychology | ||||
| 14 | B01.070.009 | Appointment (testing, consultation) of clinical psychologist, first | appointment | 642 |
| 15 | B01.070.010 | Appointment (testing, consultation) of clinical psychologist, repeated | appointment | 537 |
| PROCEDURES | ||||
| Obstetrics and Gynecology | ||||
| 16 | А11.20.011 | Cervical biopsy* | procedure | 3 981 |
| 17 | A11.30.010 | Embryo biopsy | procedure | 11 942 |
| 18 | A11.30.010 | Embryo biopsy*** | procedure | 28 342 |
| 19 | А11.20.030 | Intrauterine embryo transfer procedure | procedure | 9 484 |
| 20 | А11.20.034 | Intrauterine injection of sperm of husband (partner) | procedure | 7 389 |
| 21 | A11.20.035 | Intrauterine injection of donor's sperm (taking into account the cost of ejaculate) | procedure | 26 013 |
| 22 | A11.20.035 | Intrauterine injection of donor's sperm (excluding the cost of ejaculate) | procedure | 7 278 |
| 23 | А11.20.029 | Assisted hatching (dissection of the zona pellucida of the embryo | procedure | 2 704 |
| 24 | А11.30.012 | Sperm injection into the cytoplasm of the oocyte (ICSI) | procedure | 17 581 |
| 25 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using one donor oocyte) | procedure | 41 024 | |
| 26 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using two donor oocytes) | procedure | 67 663 | |
| 27 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using three donor oocytes) | procedure | 94 297 | |
| 28 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using four donor oocytes) | procedure | 120 928 | |
| 29 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using five donor oocytes) | procedure | 147 558 | |
| 30 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using six donor oocytes) | procedure | 174 188 | |
| 31 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using seven donor oocytes) | procedure | 200 817 | |
| 32 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using eight donor oocytes) | procedure | 227 446 | |
| 33 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using nine donor oocytes) | procedure | 254 074 | |
| 34 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using ten donor oocytes) | procedure | 280 723 | |
| 35 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using donor sperm) | procedure | 35 178 | |
| 36 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using one donor oocyte and donor sperm) | procedure | 59 531 | |
| 37 | Sperm injection into thecytoplasm of the oocyte (ICSI) (using two donor oocytes and donor sperm) | procedure | 86 166 | |
| 38 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using three donor oocytes and donor sperm | procedure | 112 797 | |
| 39 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using four donor oocytes and donor sperm) | procedure | 139 428 | |
| 40 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using five donor oocytes and donor sperm) | procedure | 166 057 | |
| 41 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using six donor oocytes and donor sperm) | procedure | 192 686 | |
| 42 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using seven donor oocytes and donor sperm) | procedure | 219 315 | |
| 43 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using eight donor oocytes and donor sperm) | procedure | 245 944 | |
| 44 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using nine donor oocytes and donor sperm) | procedure | 272 573 | |
| 45 | Sperm injection into the cytoplasm of the oocyte (ICSI) (using ten donor oocytes and donor sperm) | procedure | 299 222 | |
| 46 | A03.20.001 | Colposcopy | procedure | 1 122 |
| 47 | A03.20.003.002 | Hysterosalpingo-contrast-sonography | procedure | 3 475 |
| 48 | A11.20.032.003 | Cryopreservation of gametes (oocytes) | procedure | 33 671 |
| 49 | A12.21.014 | Cryopreservation of ejaculate (manual method) | procedure | 6 505 |
| 50 | A11.20.031 | Cryopreservation of embryos (up to two embryos) | procedure | 6 723 |
| 51 | A11.20.031 | Cryopreservation of embryos (up to four embryos) | procedure | 10 386 |
| 52 | A11.20.031 | Cryopreservation of embryos (up to six embryos) | procedure | 16 281 |
| 53 | A11.20.031 | Cryopreservation of embryos (up to eight embryos) | procedure | 20 916 |
| 54 | A11.20.031 | Cryopreservation of embryos (up to ten embryos) | procedure | 25 968 |
| 55 | A11.20.028 | Embryo cultivation | procedure | 8 019 |
| 56 | B01.001.021 | Medical abortion | procedure | 6 456 |
| 57 | A11.20.032.002 | Oocyte thawing | procedure | 19 974 |
| 58 | A11.20.031.001 | Embryo thawing | procedure | 2 487 |
| 59 | A11.20.032.001 | Ejaculate thawing | procedure | 2 021 |
| 60 | A11.20.003.002 | Papel biopsy** | procedure | 4 942 |
| 61 | A11.20.003.002 | Papel biopsy*** | procedure | 12 511 |
| 62 | A16.20.036.003 | Radiowave therapy of the uterine cervix | procedure | 2 347 |
| 63 | A11.20.019 | Getting the egg cell | procedure | 28 590 |
| 64 | A11.20.027 | Oocyte in vitro fertilization | procedure | 14 148 |
| 65 | A11.20.027.010 | Oocyte in vitro fertilization using the donor sperm | procedure | 31 709 |
| 66 | A11.20.059 | Storage of biological material in liquid nitrogen (oocytes, embryos, semen), 1 month | procedure | 1 497 |
| 67 | Storage of biological material in liquid nitrogen (oocytes, embryos, semen), for 3 months | procedure | 4 490 | |
| 68 | Storage of biological material in liquid nitrogen (oocytes, embryos, semen), for 6 months | procedure | 8 981 | |
| 69 | Storage of biological material in liquid nitrogen (oocytes, embryos, semen), for 9 months | procedure | 13 471 | |
| 70 | Storage of biological material in liquid nitrogen (oocytes, embryos, semen), for 1 year | procedure | 17 961 | |
| Urology | ||||
| 71 | A11.21.002 | Biopsy of testis, epididymis and spermatic cord | procedure | 10 308 |
| Anesthesiology - Resuscitation | ||||
| 72 | B01.003.004.010 | Combined endotracheal anesthesia | procedure | 4 772 |
| 73 | B01.003.004.009 | Total intravenous anesthesia | procedure | 2 442 |
| INSTRUMENTAL METHODS | ||||
| Ultrasonic examination | ||||
| 74 | A04.20.001 | Ultrasonic transabdominal examination of the uterus and appendages | examination | 589 |
| 75 | A04.20.001.001 | Ultrasonic transvaginal examination of the uterus and appendages | examination | 600 |
| 76 | A04.20.001.005 | Ultrasonic examination of the uterus and appendages with color Doppler mapping | examination | 785 |
| 77 | A04.22.004.001 | Ultrasonic examination of the thyroid gland with color Doppler mapping | examination | 598 |
| 78 | A04.20.002.002 | Ultrasonic examination of the mammary glands with color Doppler mapping | examination | 697 |
| 79 | A04.20.003 | Ultrasonic examination of the folliculogenesis | examination | 402 |
| 80 | A04.20.003.001 | Ultrasonic examination of follicular maturity and ovulation | examination | 600 |
| 81 | A04.20.002 | Ultrasonic examination of the mammary glands | examination | 502 |
| 82 | A04.28.002.003 | Ultrasonic examination of the bladder | examination | 403 |
| 83 | A04.21.004 | Ultrasonic examination of the scrotum (testicles, appendages) | examination | 502 |
| 84 | A04.16.001 | Ultrasonic (complex) examination of the abdominal organs | examination | 800 |
| 85 | A04.28.001 | Ultrasonic examination of the kidneys and adrenal glands | examination | 502 |
| 86 | A04.22.001 | Ultrasonic examination of the thyroid and parathyroid glands | examination | 403 |
| LABORATORY METHODS | ||||
| 87 | A12.05.121 | Differential white blood cell count (leukocyte formula) | analysis | 294 |
| 88 | A02.20.003 | Cervical mucus crystallization test | analysis | 256 |
| 89 | A12.05.001 | Erythrocyte sedimentation rate test | analysis | 245 |
| 90 | A08.21.009.010 | Sperm analysis by the strict morphology method (Kruger test) | analysis | 1 519 |
| 91 | A09.20.001 | Microscopic vaginal smears test | analysis | 509 |
| 92 | A12.28.015 | Microscopic examination of urethral discharge | analysis | 392 |
| 93 | A09.21.001 | Sperm microscopic examination | analysis | 3 334 |
| 94 | B03.016.003 | Complete (clinical) blood count test | analysis | 306 |
| 95 | A12.21.015 | Sperm - Map - test (manual method) | analysis | 2 665 |
| 96 | A08.20.017 | Cytological examination of a cervical microslide | analysis | 988 |
| PROCEDURES | ||||
| Injections | ||||
| 97 | A11.12.003 | Intravenous drug injection | procedure | 217 |
| 98 | A11.02.002 | Intramuscular drug injection | procedure | 163 |
| 99 | A11.12.009 | Peripheral vein blood collection | procedure | 259 |
| 100 | A11.20.055 | Superovulation stimulation | procedure | 66 634 |
| Specimens collection | ||||
| 10 | A11.20.025 | Getting a smear of the uterine cervix | procedure | 278 |
| 102 | A11.21.007 | Getting prostatic fluid | procedure | 168 |
| SURGERIES | ||||
| Obstetrics and Gynecology | ||||
| 104 | A03.20.003 | Hysteroscopy* | surgery | 9 817 |
| 103 | A16.20.037 | Artificial abortion | surgery | 4 452 |
| 105 | A16.30.079 | Diagnostic Laparoscopy | surgery | 15 447 |
| 106 | A16.30.079 | Diagnostic Laparoscopy* | surgery | 18 214 |
| 107 | A11.20.008 | Separate diagnostic curettage of the uterus and cervical canal* | surgery | 7 797 |
| COST OF 1 INPATIENT DAY IN THE IN-PATIENT DEPARTMENT | ||||
| Obstetrics and Gynecology | ||||
| 108 | K10402001 | Inpatient day (Department of Gynecology) | Inpatient day | 3 212 |
| * The price of medical services is indicated taking into account the cost of laboratory research - "Lifetime pathologic and anatomical examination of biopsy (surgical) material of the III category of complexity" (contract with GBUZ "DKKB" MZ CC No. 6197-22/168 dated 09.09.22) | ||||
| ** The price of medical services is indicated taking into account the cost of laboratory research - "Lifetime pathologic and anatomical examination of biopsy (surgical) material of the II category of complexity" (contract with GBUZ "DKKB" MZ CC No. 6197-22/168 dated 09.09.22) | ||||
| *** The price of medical services is indicated taking into account the cost of laboratory tests -"Lifetime pathologic-anatomical examination of biopsy (surgical) material of the II category of complexity" +"Pathologic-anatomical examination of biopsy (surgical) material using immunohistochemical methods"×3 (contract with GBUZ "DKKB" MZ KK No. 6197-22/168 dated 09.09.22) | ||||
| **** The price of medical services is indicated taking into account the cost of laboratory tests -"" (contract No.56/22 dated 09/19/12 with JSC GM "Genetiko") | ||||
| Deputy Chief Doctor on economic issues | I.G. Kuznetsova | |||
