多地放射检查大幅降价：器械市场竞争生变

Core Viewpoint - The National Healthcare Security Administration (NHSA) has initiated a standardization of pricing for radiological examination services, aiming to reduce unreasonable regional disparities in pricing by integrating fee items and unifying pricing across provinces [1][5]. Pricing Adjustments - Since 2025, multiple provinces have adjusted the pricing standards for common imaging examinations such as CT, MRI, and X-ray. For instance, in Shaanxi Province, new regulations have led to significant price reductions for high-cost examinations like PET/CT, with prices dropping from over 4200 yuan to 2450 yuan, a reduction of over 40% [2][3][4]. - The new pricing system categorizes examination items into seven major categories, including X-ray, CT, MRI, and PET/CT, with a total of 233 old items being consolidated into 26 new ones [3][6]. Digital Transformation - The new regulations eliminate the bundling of physical film with examination pricing, allowing patients to access cloud-based imaging conveniently. If public medical institutions do not provide compliant digital imaging services, they will incur a price reduction of 5 yuan per examination [4][7]. Market Dynamics - The price adjustments are closely linked to the centralized procurement of medical equipment and the accelerated domestic substitution of imported devices. The price of CT machines has decreased significantly over the past decade, with prices dropping from 5-8 million yuan in 2015 to 3-5 million yuan today, a reduction of approximately 40% [7][8]. - The domestic market for CT equipment has seen a 50% localization rate, although domestically produced devices account for only 35% of sales revenue due to their lower prices [7]. Financial Implications - The annual costs associated with film and repeated examinations in resource-rich provinces could reach up to 50 billion yuan. If these efficiencies are implemented nationwide, it could free up over 80 billion yuan annually for healthcare funding [8]. Future Outlook - The new pricing rules focus on examination effectiveness rather than equipment parameters, promoting a more rational pricing structure. The guidelines will also support the integration of AI-assisted diagnostics without imposing additional costs on patients [8].