此前被举报“出厂价3万多医院收28万”，西安交大一附院通报

Core Viewpoint - The article discusses the case of a patient, Mr. Li, who underwent a heart valve replacement surgery at Xi'an Jiaotong University First Affiliated Hospital, highlighting the hospital's response to public concerns regarding the treatment and associated costs [3][4]. Summary by Sections Basic Situation - Mr. Li, a 70-year-old male, was admitted for multiple severe health issues and underwent a transcatheter aortic valve replacement (TAVR) on November 21, 2020. Post-surgery complications led to his transfer to another hospital, where he later passed away on January 4, 2021. The family has raised concerns and filed a lawsuit against the hospital, which is currently under review [4]. Investigation of Public Concerns - Medical Costs and Valve Details: The total medical expenses during Mr. Li's hospitalization amounted to 613,200 yuan, with 293,200 yuan covered by insurance and 320,000 yuan paid out-of-pocket. The cost of the artificial heart valve was 280,000 yuan, constituting 87.5% of the out-of-pocket expenses [5]. - Compliance of Valve Procurement and Charges: The heart valve and related equipment were procured through a public bidding process, with the hospital adhering to the "zero markup" policy for medical consumables. The family was informed of the costs and risks prior to surgery, and a consent form was signed [6]. - Surgical Material Usage and Charges: During the TAVR procedure, a second valve was required due to the first one being misplaced, and the hospital charged for each valve without double billing [6]. - Absorbable Hemostatic Materials: The reported "6,000 yuan gauze" was actually absorbable hemostatic gauze, essential for controlling bleeding during surgery. Two packages were used at a cost of 5,960 yuan, and an additional hemostatic glue was used at a cost of 5,700 yuan, all in compliance with pricing regulations [7]. Medical Insurance Fund Usage - A comprehensive review by the Xi'an Medical Insurance Fund Management Center identified 26 issues related to improper use of the insurance fund during Mr. Li's hospitalization, amounting to 75,060.4 yuan in violations. This included charges for materials not properly documented and medications that exceeded insurance coverage limits [8]. Rectification Measures - In response to the identified issues, the hospital has initiated a self-inspection process to address management gaps and ensure compliance with medical quality and insurance fund usage. They have implemented a smart monitoring system for insurance charges and expressed a commitment to cooperate with investigations and uphold accountability [9].