市医疗保障局明确要求，调整后的价格为全市公立医疗机构的最高政府指导价，各医疗机构不得突 破。各单位应做好价格公示、政策解读和费用清单管理，自觉接受社会监督。 为进一步规范医疗服务价格管理，切实减轻群众看病就医负担，昨日，记者从郑州市医疗保障局获 悉，依据国家医保局及省医保局部署，我市持续推进医疗服务价格规范治理工作，本批次治理聚焦检验 类项目，旨在通过统一标准、明确价格，促进医疗服务价格体系更加科学、透明。 据介绍，临床治疗中，结核分枝杆菌耐药基因检测是通过分析病原体基因突变，快速识别其对特定 抗结核药物耐药性的技术，具有快速、精准的特点，可指导临床制定有效治疗方案，减少耐药结核传播 风险。本次医疗服务价格规范治理对"结核分枝杆菌耐药基因检测"项目的计价单位、价格和计价说明进 行了统一规范。该项目在全市各级公立医疗机构（含市级、区/县、基层）执行统一价格标准，即每检 测一种药物收费130元。同时，为控制患者负担，设立封顶收费机制：同一检测过程中同时检测多种药 物时，总费用最高不超过300元。 ...

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].

Core Points - The National Healthcare Security Administration (NHSA) has released a trial guideline for pricing projects related to urological medical services, consolidating existing pricing items into 108 standardized categories [1][2] - The guideline aims to facilitate medical institutions in charging and pricing, while also guiding them to provide more standardized and convenient treatment services for patients [1] - New pricing items have been introduced to support the clinical entry of innovative products, such as artificial urinary sphincter devices, enhancing patient quality of life [1] Summary by Sections - **Standardization of Pricing Projects** - The NHSA has integrated urological and male reproductive system pricing projects into 108 standardized items [1] - This standardization is expected to improve the convenience of charging and enhance treatment quality for patients [1] - **Introduction of New Pricing Items** - New pricing items include "blood dialysis filtration" to address the current lack of pricing in some provinces, which previously required separate charges for related services [1] - Additional items for artificial urinary sphincter device procedures have been added to support new technologies in clinical settings [1] - **Encouragement of Extended Services** - The guideline includes standardized fees for "peritoneal dialysis operation training" and "extended services," promoting training and follow-up care for patients [2] - The NHSA plans to coordinate with provinces to establish reasonable pricing levels based on local conditions [2]