Page 1
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 10 خدمات الكشف CONSULTATION Service
بيان المجموعة 1010 خدمات الكشف Specialist Service
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
133 DENTAL CONSULTATION DENTAL CONSULTATION 50 12 50 11
203 فحص العمالة مع التطعيم فحص العمالة مع التطعيم 120 120 0
1000 CONSULTATION CONSULTATION 50 50
1001 CONSULTANT FEE CONSULTANT FEE 100 100
1002 SPECIALIST FEE SPECIALIST FEE 50 50
1003 ER DOCTOR FEE ER DOCTOR FEE 50 50
1004 GP DOCTOR FEE GP DOCTOR FEE 50 50
1005 OUTSIDE EXPERT CONSULTANT FEE OUTSIDE EXPERT CONSULTANT FEE 1000 1000
1009 HOME VISIT, CONSULTANT HOME VISIT, CONSULTANT 1000 1000
1010 HOME VISIT, SPECIALIST HOME VISIT, SPECIALIST 500 500 30
1011 Deff Consultant Deff Consultant 0 0 0
1012 AMBULANCE INSIDE AMBULANCE INSIDE 500 500 30
1013 AMBULANCE OUT 50 KM AMBULANCE OUT 50 KM 700 700 30
1014 AMBULANCE TO AMBULANCE TO 3000 3000 30
1015 AMBULANCE TO JEDDAH AMBULANCE TO JEDDAH 5000 5000 30
3881 INR INR
4704 فحص العمالة الوافدة فحص العمالة الوافدة 150 150 30
4707 فحص خاص برخصة المرور فحص خاص برخصة المرور 100 100 30
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
100 pregnacy test pregnancy test(Pregnancy) 100 70
101 phosphorus (serum) phosphorus (serum) 200 60
102 STOOL CULTURE STOOL CULTURE 150 120
103 VAGINAL SWAB CULTURE VAGINAL SWAB CULTURE 150 180 19
104 نفخ شفايف SKIN SCRAPING ( KOH) 180 100 20
105 SPUTUM FOR ZN STAIN SPUTUM FOR ZN STAIN 100 60
106 HIV 1 - 2 (ELISA) HIV 1 - 2 (ELISA) 160 165
107 BLOOD GROUP (RH) BLOOD GROUP (RH) 30 40
108 WIDAL TEST WIDAL TEST 70 70
109 TROPONIN T TROPONIN T 200 190
110 HBS AG HBS AG 160 165
111 HCV HCV 160 150
112 RUBELLA IGG RUBELLA IGG 150 200
113 RUBELLA IGM RUBELLA IGM 150 220
114 ANTI - CCP TEST ANTI - CCP TEST 220 380
115 CRP (C- REACTIVE PROTEIN) CRP (C- REACTIVE PROTEIN) 100 125
116 RHEMATOID FACTOR (RF) RHEMATOID FACTOR (RF) 70 120
117 H.PYLORI IN BLOOD H.PYLORI IN BLOOD 150 200
119 TSH TSH 150 200
120 CORTISOL AM CORTISOL AM 185 185
121 CORTISOL PM CORTISOL PM 185 185
122 CA125 (OVARIAN CANCER) CA125 (OVARIAN CANCER) 270 0
123 CA15 (BREAST CANCER) CA15 (BREAST CANCER) 350 0
Page 2
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
124 CA19 - 9 (PANCREATIC CANCER) CA19 - 9 (PANCREATIC CANCER) 350 0
125 TESTOSTERONE (TOTAL) TESTOSTERONE (TOTAL) 150 165
126 TESTOSTERON (FREE) TESTOSTERON (FREE) 150 165
127 URETHRAL SWAB CULTURE URETHRAL SWAB CULTURE 150 180
128 (PPBS) POST PRANDIAL BLOOD SUGAR (PPBS) POST PRANDIAL BLOOD SUGAR
 40 50
129 (LH) LEUTENIZIING HORMON (LH) LEUTENIZIING HORMON 150 185
130 PSA (TOTAL) PSA (TOTAL) 150 150
131 PSA (FREE) PSA (FREE) 180 200
132 FSH (FOLLICULR STIMULATING HORMON) FSH (FOLLICULR STIMULATING HORMON)
 150 180
134 PTH (PARA THYROID HORMON) PTH (PARA THYROID HORMON) 315 315
135 PAP SMEAR PAP SMEAR 230 230
136 ANTI PHOSPHOLIPID ABS ANTI PHOSPHOLIPID ABS 300 300
137 ANTI LUPUS Abs ANTI LUPUS Abs 200 0
138 ANTI CARDIOLIPIN Abs IGG ANTI CARDIOLIPIN Abs IGG 310 310
139 ANTI CARDIOLIPIN IGM ANTI CARDIOLIPIN IGM 310 310
140 GROWTH HORMON GROWTH HORMON 200 250
141 INDIRECT AND DIRECT COMBS TEST INDIRECT AND DIRECT COMBS TEST 120 200
142 (G6PD) GLUCOSE 6 PHOSPHATE DEHYDROGENES
 (G6PD) GLUCOSE 6 PHOSPHATE DEHYDROGENES
 150 180
143 FREE CALCIUM FREE CALCIUM 0
144 (HSV) HERPS SIMPLEX VIRUS IGG (HSV) HERPS SIMPLEX VIRUS IGG 235 235
145 (HSV) HERPS SIMPLEX VIRUS IGM (HSV) HERPS SIMPLEX VIRUS IGM 235 235
146 فحص الزهري shphylis 150 75
265 VIT B12 (OFFER ) VIT B12 (OFFER ) 150 150 0
270 CBC FREE CBC Free 120 0
274 thyroid hormones thyroid hormones 280 280 0
344 فحص شامل check 1 1020 510 50
473 check up 2 check up 2 480 480 0
485 1 Hours After Glucose dose 1 Hours After Glucose dose 0
651 semen analysis semen analysis 70 100
1304 تحليل المدارس العام تحليل المدارس العام 700
1481 NEWBORN SCREENING PROFILE NEWBORN SCREENING PROFILE 1500 1900
1482 WESTREN BLOT WESTREN BLOT 1350 1350
1483 HTLV I AND II HTLV I AND II 2000 2000
1484 LIPID PROFILE LIPID PROFILE 400 210
1485 OXALATE OXALATE 250 250
1486 PSA FREE PSA FREE 250 400
1487 MEASLES ABS IGG & IGM MEASLES ABS IGG & IGM 250 750
1488 HISTOPLASMOSIS HISTOPLASMOSIS 1100 1100
1489 LAMOTRIGIN LAMOTRIGIN 680 680
1490 ALCAT TEST ALCAT TEST 6000 6000
1491 CERULOPLASMIN CERULOPLASMIN 260 260
1492 ZINC (S) @ ZINC (S) @ 350 560
1493 COPPER (S) @ COPPER (S) @ 350 670
1494 GASTRIN (S) @ GASTRIN (S) @ 500 730
Page 3
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1495 NIESSERIA AGGLUTINO TEST (S) NIESSERIA AGGLUTINO TEST (S) 320 320
1496 H1N1 MEDIA TRANSFER H1N1 MEDIA TRANSFER 210 210
1497 CHRONIC PROSTATIC ASSESSMENT PROTOCOL
 CHRONIC PROSTATIC ASSESSMENT PROTOCOL
 830 830
1498 LEGIONELA PNEUMOPHILA LEGIONELA PNEUMOPHILA 1200 1200
1499 90 FOODS ALLERGY TEST (S) 90 FOODS ALLERGY TEST (S) 1600 1600
1500 HBDH (S) HBDH (S) 210 210
1501 ADH ADH 1600 1600
1502 LACTIC DEHYDROGENASE (LLDH) LACTIC DEHYDROGENASE (LLDH) 250 250
1503 OSMITIC FRAGILITY OSMITIC FRAGILITY 350 350
1504 FRUCTOSE (SEMEN) FRUCTOSE (SEMEN) 500 620
1505 FACTOR V MUTATION GENE FACTOR V MUTATION GENE 2400 2400
1506 COXSACKIE ECHO - VIRUS (ENTRO VIRUS) COXSACKIE ECHO - VIRUS (ENTRO VIRUS)
 600 600
1507 LEGIONELLA ABS LEGIONELLA ABS 1200 1200
1508 LEPTOSPIRA ABS LEPTOSPIRA ABS 1250 1250
1509 CAROTENE (S) @ CAROTENE (S) @ 1100 1100
1510 LIPOPROTEIN ELECTROPHORESIS (S) @ LIPOPROTEIN ELECTROPHORESIS (S) @
 450 450
1511 CANNABINOIDS AND AMPHETAMINE SCREEN
 CANNABINOIDS AND AMPHETAMINE SCREEN
 400 400
1512 UREA CLEARANCE UREA CLEARANCE 250 250
1513 ANTI PLATELATE ANTI PLATELATE 1100 1100
1514 PERTUSSIS PERTUSSIS 580 580
1515 BARVOVIRUS PCR BARVOVIRUS PCR 900 900
1516 TANDEM ICON STREP A (S) TANDEM ICON STREP A (S) 125 125
1517 ENA/EXTRACTABLE NUCLEAR ABS ENA/EXTRACTABLE NUCLEAR ABS 870 870
1518 HER2 TEST HER2 TEST 1450 1450
1519 ANTI CCP ANTI CCP 350 830
1520 SMOOTH MUSCLE.AB SMOOTH MUSCLE.AB 415 415
1521 ANCA ANCA 620 620
1522 HEMATOCRIT (B) HEMATOCRIT (B) 50 90
1523 COLLAGEN ABS PROFILE COLLAGEN ABS PROFILE 950 950
1524 BETA 2-MICROGLOBULIN (S) BETA 2-MICROGLOBULIN (S) 570 570
1525 R.B.C. COUNT (B) R.B.C. COUNT (B) 90 90
1526 W.B.C. COUNT (B) W.B.C. COUNT (B) 90 90
1527 DIFFERENTIAL COUNT (B) DIFFERENTIAL COUNT (B) 90 90
1528 HIV P24 HIV P24 400 400
1529 GLIADINE ABS GLIADINE ABS 1100 1100
1530 IGF1 @ IGF1 @ 1350 1350
1531 PLATELET COUNT (B) PLATELET COUNT (B) 70 100
1532 IGFBP-3 @ IGFBP-3 @ 1100 1100
1533 ENDOMYSIUM IGA ABS @ ENDOMYSIUM IGA ABS @ 580 580
1534 RETICULIN IGA & IGG ABS @ RETICULIN IGA & IGG ABS @ 620 620
1535 ANGIOTENSIN-1-CONVERTING ENZYME(ACE)S
 ANGIOTENSIN-1-CONVERTING ENZYME(ACE)S
 730 730
1536 THROMBIN TIME THROMBIN TIME 170 170
1537 BLOOD FILM FOR FILARIA (B) BLOOD FILM FOR FILARIA (B) 150 150
1538 ANCA-C & ANCA-P ANCA-C & ANCA-P 970 970
Page 4
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1539 HEMOGLOBIN ELECTROPHOR.QUANT. (B) HEMOGLOBIN ELECTROPHOR.QUANT. (B)
 450 450
1540 G.6.P.D. QUALITATIVE ESTIMATIN (B) (new born)
 G.6.P.D. QUALITATIVE ESTIMATIN (B) (new born)
 280 280
1541 PRE-OPERATIVE PROFILE # (S) PRE-OPERATIVE PROFILE # (S) 1000 1350
1542 GLUCOMETER GLUCOSE GLUCOMETER GLUCOSE 100 100
1544 NAP SCORE NAP SCORE 320 320
1545 NAP SCORE NAP SCORE 210 210
1546 BENCE JONES PROTEIN (U) BENCE JONES PROTEIN (U) 450 450
1547 BILE SALTS (U) BILE SALTS (U) 60 60
1548 URINE ROUTINE AND CULTURE URINE ROUTINE AND CULTURE 250 250
1549 UROBILINOGEN (U) UROBILINOGEN (U) 40 100
1550 CHOLINESTERASE (PSEUDOCHOLINESTERASE)
 CHOLINESTERASE (PSEUDOCHOLINESTERASE)
 870 870
1551 UROBILIN (U) UROBILIN (U) 100 100
1552 CATECHOLOMINE (U) @ CATECHOLOMINE (U) @ 1370 1370
1553 RENAL BIOPSY ELECTRON MICROSCOPY RENAL BIOPSY ELECTRON MICROSCOPY
 7040 7040
1554 BIOTIN LEVEL BIOTIN LEVEL 910 910
1555 GLUCOSE, QUANTITATIVE (U)/CSF GLUCOSE, QUANTITATIVE (U)/CSF 100 100
1556 TOTAL COMPLEMENT (CH100/CH50) TOTAL COMPLEMENT (CH100/CH50) 450 450
1557 PROTEIN RANDOM URINE QUANT PROTEIN RANDOM URINE QUANT 150 150
1558 C.S.F. EXAMINATION C.S.F. EXAMINATION 830 830
1559 EFFUSIONS AND OTHER FLUIDS EFFUSIONS AND OTHER FLUIDS 210 210
1560 DENGUE VIRAL CULTURE DENGUE VIRAL CULTURE 750 750
1561 INFLUENZA REAL TIME PCR SWINE- SEASONAL
 INFLUENZA REAL TIME PCR SWINE- SEASONAL
 1250 1250
1562 CLOSTRIDIUM DIFFICILE TOXIN CLOSTRIDIUM DIFFICILE TOXIN 540 540
1563 C-REACTIVE PROTEIN (QUALT) C-REACTIVE PROTEIN (QUALT) 300 300
1564 PROTEIN S (TOTAL,FREE AND ACTIVITY) PROTEIN S (TOTAL,FREE AND ACTIVITY)
 450 450
1565 PROTEIN C ACTIVITY PROTEIN C ACTIVITY 450 450
1566 L.E. LATEX L.E. LATEX 210 210
1567 BONE MARROW TREPHINE (BIOPSY) BONE MARROW TREPHINE (BIOPSY) 2700 2700
1568 SUDAN BLOCK STAIN FOR B.M.FILM SUDAN BLOCK STAIN FOR B.M.FILM 525 525
1569 PAS STAIN FOR B.M. FILMS PAS STAIN FOR B.M. FILMS 320 320
1570 CSF EXAM FOR BLAST CELLS CSF EXAM FOR BLAST CELLS 320 320
1571 LACTATE SERUM LACTATE SERUM 225 225
1572 IGG - (CSF) IGG - (CSF) 450 450
1573 LACTATE - (CSF) LACTATE - (CSF) 225 225
1574 SPECIFIC GRAVITY - (CSF) SPECIFIC GRAVITY - (CSF) 125 125
1575 C S F - C/S C S F - C/S 180 250
1576 CERVICAL C/S CERVICAL C/S 180 250
1577 EAR SWAB C/S EAR SWAB C/S 180 250
1578 EYE SWAB C/S EYE SWAB C/S 180 250
1579 GENITAL SWAB C/S GENITAL SWAB C/S 180 250
1580 HVS SWAB C/S HVS SWAB C/S 180 250
1581 NASAL SWAB C/S NASAL SWAB C/S 180 250
1582 PERITONEAL FLUID C/S PERITONEAL FLUID C/S 180 250
Page 5
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1583 PLEURAL FLUID C/S PLEURAL FLUID C/S 180 250
1584 PROSTATIC SECRECTION C/S PROSTATIC SECRECTION C/S 180 250
1585 PUS / WOUND SWAB C/S PUS / WOUND SWAB C/S 180 250
1586 COLD AUTO ABS/AGGLUTINING COLD AUTO ABS/AGGLUTINING 300 350
1587 SEMEN C/S SEMEN C/S 250 250
1588 SPUTUM C/S SPUTUM C/S 250 250
1589 STOOL / RECTAL SWAB C/S STOOL / RECTAL SWAB C/S 250 250
1590 SYNOVIAL FLUID C/S SYNOVIAL FLUID C/S 250 250
1591 THROAT SWAB C/S THROAT SWAB C/S 250 250
1592 URETHAL SWAB C/S URETHAL SWAB C/S 250 250
1593 URINE C/S URINE C/S 150 250
1594 HCV ABS (S) HCV ABS (S) 350 350
1595 HIV (PCR) - QUALITATIVE HIV (PCR) - QUALITATIVE 1700 1700
1596 HIV 1 & 2 (PCR) HIV 1 & 2 (PCR) 1700 1700
1597 HIV (DNA) - QUANTITATIVE HIV (DNA) - QUANTITATIVE 1700 1700
1598 HIV CONFIRM (WB) HIV CONFIRM (WB) 1700 1700
1599 HCV PCR HCV PCR 1700 1700
1600 TOXO IGG, IGM (CSF) TOXO IGG, IGM (CSF) 720 720
1601 TOXOPLASMA PCR TOXOPLASMA PCR 1800 2900
1602 BRUCELLA CSF ABS BRUCELLA CSF ABS 395 395
1603 TRIPONIN QUALITATIVE (S) TRIPONIN QUALITATIVE (S) 480 480
1604 TB PCR TB PCR 2900 2900
1605 HLA CLASS(1) & CLASS(2) HLA CLASS(1) & CLASS(2) 3110 3110
1606 UA/HBSAG/HCV/HIV/HAVAB UA/HBSAG/HCV/HIV/HAVAB 1200 1200
1607 CANDIDA IN HVS CANDIDA IN HVS 250 250
1608 P.C.T. (POST COITAL TEST) - LAB P.C.T. (POST COITAL TEST) - LAB 350 350
1609 ENTRO VIRUS (COXSACKIE) ENTRO VIRUS (COXSACKIE) 560 560
1610 BACTERIAL CULTURE W/O SENSITIVITY BACTERIAL CULTURE W/O SENSITIVITY 250 250
1611 BACTERIAL ANTIGEN CFF BACTERIAL ANTIGEN CFF 250 250
1612 TB CULTURE & SENSITIVITY TB CULTURE & SENSITIVITY 730 730
1613 B-HEMOLYTIC STREP A B-HEMOLYTIC STREP A 210 210
1614 BACTERIAL COUNT BACTERIAL COUNT 130 130
1615 SKIN ALLERGY TEST SKIN ALLERGY TEST 1000 1000
1616 MUCOPO LYSECCHARIDES, SCREEN @ MUCOPO LYSECCHARIDES, SCREEN @ 410 410
1617 AMINO ACID SCREEN IN URINE @ AMINO ACID SCREEN IN URINE @ 320 320
1618 CHLAMYDIA CHLAMYDIA 350 665
1619 LABORATORY OUT SIDE SERV LABORATORY OUT SIDE SERV 1650 1650
1620 TB-GOLD TB-GOLD 1650 1650
1621 CYTOMEGALO VIRUS IGG & IGM CYTOMEGALO VIRUS IGG & IGM 670 670
1622 HERPES SIMPLEX VIRUS TYPE I @ HERPES SIMPLEX VIRUS TYPE I @ 170 170
1623 HERPES SIMPLEX IG-G 1&2 HERPES SIMPLEX IG-G 1&2 750 750
1624 CYTO TOXIC ABS CYTO TOXIC ABS 1450 1450
1625 AMIKACIN AMIKACIN 520 520
1626 HIV AG/AB COMBO HIV AG/AB COMBO 750 750
1627 VIRAL SCREENING VIRAL SCREENING 1100 1100
1628 ANTO-TPO (ANTI-THYROID PEROXIDASE) ANTO-TPO (ANTI-THYROID 350 350
Page 6
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
PEROXIDASE)
1629 CBC WITH DIFFERNTIAL CBC WITH DIFFERNTIAL 100 100
1630 GALACTOSAEMIA SCREEN GALACTOSAEMIA SCREEN 250 250
1631 T3-UPTAKE @ T3-UPTAKE @ 300 300
1632 SERUM CROSSLAPS @ SERUM CROSSLAPS @ 1240 1240
1633 CLONAZEPAM (RIVOTRIL) CLONAZEPAM (RIVOTRIL) 730 730
1634 PROTHROMBIN MUTATION PROTHROMBIN MUTATION 990 990
1635 ALPHA-1-ANTITRYPSIN PHENOTYPINS ALPHA-1-ANTITRYPSIN PHENOTYPINS 620 620
1636 VIRAL ISOLATION (R.V.F) VIRAL ISOLATION (R.V.F) 830 830
1637 SEROLOGY IGG & IGM (R.V.F) SEROLOGY IGG & IGM (R.V.F) 415 415
1638 CORTISOL (24 H URINE) CORTISOL (24 H URINE) 300 300
1639 FOOD PANEL FOOD PANEL 1000 1000
1640 FREE TESTOSTERONE FREE TESTOSTERONE 250 300
1641 ESTRIOL (S,U) ESTRIOL (S,U) 250 300
1642 DIPHENYLHYDANTOIN (EAPNOT) LEVL @ DIPHENYLHYDANTOIN (EAPNOT) LEVL @
 500 500
1643 HPL (HUMAN PLACENTA LACTOGEN) (S)@ HPL (HUMAN PLACENTA LACTOGEN) (S)@
 430 430
1644 DENGUE FEVER VIRAL ISOLATION DENGUE FEVER VIRAL ISOLATION 750 750
1645 DENGUE FEVER IGG DENGUE FEVER IGG 750 750
1646 DENGUE FEVER IGM DENGUE FEVER IGM 750 750
1647 B-HCG (S) # B-HCG (S) # 180 300
1648 CORTISOL AM/PM CORTISOL AM/PM 200 300
1649 HGH (S) HGH (S) 300 300
1650 PRO INSULIN PRO INSULIN 300 300
1651 INSULIN ANTIBODIES (IGG) & (IGM) (S) @ INSULIN ANTIBODIES (IGG) & (IGM) (S) @
 850 850
1652 IVF HORMONAL ASSAY PROFILE IVF HORMONAL ASSAY PROFILE 1600 1600
1653 HEPATITIS DELTA ABS HEPATITIS DELTA ABS 450 450
1654 LEGIONELLA ABS LEGIONELLA ABS 1950 1950
1655 PROFILE 4 (OVARIAN INSUF. SEC) PROFILE 4 (OVARIAN INSUF. SEC) 1300 1300
1656 GONOCOCCAL ANTIBODIES (S) @ GONOCOCCAL ANTIBODIES (S) @ 430 430
1657 CML CML 4800 4800
1658 TREPONEMAL ABS (S) @ TREPONEMAL ABS (S) @ 460 460
1659 ALDOSTERONE (P,U) @ ALDOSTERONE (P,U) @ 890 890
1660 GLUTAMINE - (CSF) GLUTAMINE - (CSF) 320 320
1661 IMMUNOFIXATION (S,U,CSF) @ IMMUNOFIXATION (S,U,CSF) @ 890 890
1662 V.M.A. (U) @ V.M.A. (U) @ 450 450
1663 5-HIAA (U) 5-HIAA (U) 450 450
1664 17 KETOSTEROIDS (U) @ 17 KETOSTEROIDS (U) @ 980 980
1665 THYREOGLOBULIN ABS @ (S) THYREOGLOBULIN ABS @ (S) 290 290
1666 IG. -M QUANT (S.CSF) IG. -M QUANT (S.CSF) 250 250
1667 IG.-A QUANT (S.CSF) IG.-A QUANT (S.CSF) 250 250
1668 IG. -D QUANT (S. CSF) @ IG. -D QUANT (S. CSF) @ 225 225
1669 IG.-E QUALITATIVE (S) IG.-E QUALITATIVE (S) 415 415
1670 IG. -G QUANT (S.CSF) IG. -G QUANT (S.CSF) 415 415
1671 HERPES VIRUS IGM SPC. ABS HERPES VIRUS IGM SPC. ABS 750 750
Page 7
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1672 MAST TEST MAST TEST 2800 2800
1673 GALACTOSE (S) @ GALACTOSE (S) @ 745 745
1674 RENIN (S) @ RENIN (S) @ 730 730
1675 BARBITURATES (S) BARBITURATES (S) 500 500
1676 HEROIN (U) HEROIN (U) 400 400
1677 HEROIN (S) HEROIN (S) 400 400
1678 OPIATES (U) OPIATES (U) 400 400
1679 BENZODIAZIPINES (U) BENZODIAZIPINES (U) 400 400
1680 17-HYDROXY PROGESTERONE (S) @ 17-HYDROXY PROGESTERONE (S) @ 700 700
1681 PKU SCREENING (Microbiological) PKU SCREENING (Microbiological) 205 205
1682 PRE-OP I <18Y:CBC,FBS,HEP B/C,HIV PRE-OP I <18Y:CBC,FBS,HEP B/C,HIV 1080 1080
1683 PRE-OP<35Y:CBC,FBS,HEP B/C,HIV,S.CREA,SGPT
 PRE-OP<35Y:CBC,FBS,HEP B/C,HIV,S.CREA,SGPT
 1080 1080
1684 PRE- OP:CBC,FBS,HEP,HIV,S.CREA,SGPT,ECG,CX
 PRE- OP:CBC,FBS,HEP,HIV,S.CREA,SGPT,EC G,CX
 1080 1080
1685 CHROMOSOME ANALYSIS (A.F.) CHROMOSOME ANALYSIS (A.F.) 4800 4800
1686 DENGUE NSI AG DENGUE NSI AG 450 450
1687 CHICKUNGUNYA - IGM CHICKUNGUNYA - IGM 420 420
1688 ANTICARDIOLIPIN IGM ABS@ ANTICARDIOLIPIN IGM ABS@ 1000 1000
1689 CRYOGLOBULINS CRYOGLOBULINS 210 210
1690 HAPTOGLOBIN (S) @ HAPTOGLOBIN (S) @ 350 350
1691 TRANSFEERIN (S) TRANSFEERIN (S) 640 640
1692 ALDOLASE (S) ALDOLASE (S) 320 320
1693 MYOGLOBIN QUANT. (S) @ MYOGLOBIN QUANT. (S) @ 520 520
1694 MYOGLOBIN (U) MYOGLOBIN (U) 560 560
1695 CALCITONIN (S) CALCITONIN (S) 300 300
1696 CATECHOLAMINES (P/S) @ CATECHOLAMINES (P/S) @ 1650 1650
1697 11-DEOXYCORTISOL (S) @ 11-DEOXYCORTISOL (S) @ 750 750
1698 17-OH-PROGESTERONE (S) @ 17-OH-PROGESTERONE (S) @ 750 750
1699 17-HYDROXYCORTICOSTEROIDS (S) @ 17-HYDROXYCORTICOSTEROIDS (S) @ 480 480
1700 17-KETOSTERIODS FRACTIONATION @ 17-KETOSTERIODS FRACTIONATION @ 1450 1450
1701 17-KETOSTERIODS (U) @ 17-KETOSTERIODS (U) @ 475 475
1702 5-NUCLEOTIDASE (S) @ 5-NUCLEOTIDASE (S) @ 415 415
1703 ACETYLCHOLINE RECEPTOR ABS (S) @ ACETYLCHOLINE RECEPTOR ABS (S) @ 1650 1650
1704 ACETYLCHOL INSETERASE (S) @ ACETYLCHOL INSETERASE (S) @ 270 270
1705 ADENO VIRUS ABS (S, CSF) @ ADENO VIRUS ABS (S, CSF) @ 210 210
1706 ADENOSINE 3,5, MONOPHOSPHATE (S) @ ADENOSINE 3,5, MONOPHOSPHATE (S) @
 430 430
1707 ADRENAL CORTEX ABS @ ADRENAL CORTEX ABS @ 520 520
1708 ALKALINE (LENCOCYTE) PHOSPHATASE ALKALINE (LENCOCYTE) PHOSPHATASE
 580 580
1709 ALKALINE PHOSPHATASE ISOENZYM (S) @ ALKALINE PHOSPHATASE ISOENZYM (S) @
 1550 1550
1710 ALPHA-1-ANTI-TRYPSIN (S) @ ALPHA-1-ANTI-TRYPSIN (S) @ 220 290
1711 ALPHA-1-GLYCOPROTEIN (S) @ ALPHA-1-GLYCOPROTEIN (S) @ 150 190
1712 ALPHA-2-MACROGLOBULIN (S) @ ALPHA-2-MACROGLOBULIN (S) @ 160 190
1713 ALUMINUM (S) @ ALUMINUM (S) @ 560 560
1714 AMINO ACID QUANT(P,U) @ AMINO ACID QUANT(P,U) @ 1650 1650
Page 8
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1715 AMINO ACID SCREEN QUAL (P,U) @ AMINO ACID SCREEN QUAL (P,U) @ 370 370
1716 AMITRYPTALINE @ AMITRYPTALINE @ 750 750
1717 AMOEBIC ABS IHA @ AMOEBIC ABS IHA @ 250 250
1718 ANCA-C AND ANCA-P @ ANCA-C AND ANCA-P @ 960 960
1719 ANDROSTENEDIONE (S) @ ANDROSTENEDIONE (S) @ 830 830
1720 ANGIOTENSION-1-CONVERTING (S) @ ANGIOTENSION-1-CONVERTING (S) @ 700 700
1721 ANTIBODY SCREEN ANTIBODY SCREEN 1045 200
1722 ANTISTREPTOKINASE @ ANTISTREPTOKINASE @ 270 270
1723 ANTITHROMBIN III @ ANTITHROMBIN III @ 520 520
1724 ANTI-ENA ABS (INCL. ANTI RNP) @ ANTI-ENA ABS (INCL. ANTI RNP) @ 845 845
1725 ANTI-HAV SCREEN @ ANTI-HAV SCREEN @ 350 350
1726 ANTI-HYALURONIDASE (STREPTOCO) @ ANTI-HYALURONIDASE (STREPTOCO) @
 185 185
1727 ANTI RNA ABS @ ANTI RNA ABS @ 280 280
1728 ANTI-STAPHYLOLYSIN ANTI-STAPHYLOLYSIN 190 190
1729 APOLIPOPROTEIN AI (S) @ APOLIPOPROTEIN AI (S) @ 350 350
1730 APOLIPOPROTEIN AII (S) @ APOLIPOPROTEIN AII (S) @ 650 650
1731 ARSENIC @ (S) ARSENIC @ (S) 830 830
1732 BASAL MEMBRANE ABS/BASEMENT @ BASAL MEMBRANE ABS/BASEMENT @ 620 620
1733 BETA 2-MICROGLOBULIN (S,U) @ BETA 2-MICROGLOBULIN (S,U) @ 560 560
1734 BILE DUCT ABS (CANAL) @ BILE DUCT ABS (CANAL) @ 410 410
1735 BILE DUCT ABS (EPITHELIA) @ BILE DUCT ABS (EPITHELIA) @ 410 410
1736 BILHARZIA (SCHISTOSOMA) ABS BILHARZIA (SCHISTOSOMA) ABS 410 410
1737 BISMUTH @ BISMUTH @ 1620 1620
1738 BORDATELLA PETUSSIS (WHOOPING @ BORDATELLA PETUSSIS (WHOOPING @ 810 810
1739 BRUCELLA (IGG + IGM) @ BRUCELLA (IGG + IGM) @ 600 600
1740 BRUCELLA ABS @ BRUCELLA ABS @ 600 600
1741 CI-ESTERASE DECAY @ CI-ESTERASE DECAY @ 660 660
1742 CI-ESTERASE INHIBITOR @ CI-ESTERASE INHIBITOR @ 660 660
1743 CA 12-5 (TUMOUR MARKER) (S) CA 12-5 (TUMOUR MARKER) (S) 350 700
1744 CARBOXY-HAEMOGLOBIN @ (B) CARBOXY-HAEMOGLOBIN @ (B) 210 210
1745 BRUCELLA IGM BRUCELLA IGM 600 600
1746 EPSTEIN BARR VIRUS (PCR)@ EPSTEIN BARR VIRUS (PCR)@ 1700 1700
1747 CERULOPLASMIN (S) @ CERULOPLASMIN (S) @ 225 225
1748 C 100 COMPLEMENT @ C 100 COMPLEMENT @ 450 450
1749 CHLAMYDIA PLT (PSITTACOSIS) @ CHLAMYDIA PLT (PSITTACOSIS) @ 235 235
1750 CHROMOSOME ANALYSIS (B) @ CHROMOSOME ANALYSIS (B) @ 3350 3350
1751 CHROMOSOME ANALYSIS (B.M.) @ CHROMOSOME ANALYSIS (B.M.) @ 4770 4770
1752 COMPLEMENT-C3 COMPONENT COMPLEMENT-C3 COMPONENT 450 450
1753 COMPLEMENT-C4 COMPONENT COMPLEMENT-C4 COMPONENT 450 450
1754 CYSTICERCOSIS ABS(TAENIA ABS) @ CYSTICERCOSIS ABS(TAENIA ABS) @ 750 750
1755 DELTA AMINOLAEVULINIC @ DELTA AMINOLAEVULINIC @ 370 370
1756 ECHINOCOCCUS ABS CF + IHA @ ECHINOCOCCUS ABS CF + IHA @ 700 700
1757 FACTOR II-IMUTATION (PROTROMBIN) FACTOR II-IMUTATION (PROTROMBIN) 1970 1970
1758 ENTEROVIRUS @ ENTEROVIRUS @ 335 335
1759 EPSTEIN BARR VIRUS ABS (IGM + @ EPSTEIN BARR VIRUS ABS (IGM + @ 700 700
Page 9
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1760 ESTROGEN/PROGESTERON RECEPTOR @ ESTROGEN/PROGESTERON RECEPTOR @
 1700 1700
1761 FACTOR 2 @ FACTOR 2 @ 450 450
1762 FACTOR 5 @ FACTOR 5 @ 450 450
1763 FACTOR 7 FACTOR 7 450 450
1764 FACTOR 8 ASSAY FACTOR 8 ASSAY 450 450
1765 FACTOR 8 ASSCIATED AG @ FACTOR 8 ASSCIATED AG @ 450 450
1766 FACTOR 8 INHIBITOR @ FACTOR 8 INHIBITOR @ 450 450
1767 FACTOR 8 RISTOCETIN COFACTOR @ FACTOR 8 RISTOCETIN COFACTOR @ 450 450
1768 FACTOR 9 ASSAY FACTOR 9 ASSAY 450 450
1769 FACTOR 10 FACTOR 10 450 450
1770 FACTOR 11 @ FACTOR 11 @ 450 450
1771 FACTOR 12 @ FACTOR 12 @ 450 450
1772 FACTOR 13 @ FACTOR 13 @ 450 450
1773 PROTINE - C PROTINE - C 450 450
1774 FILARIASIS ABS IFT @ FILARIASIS ABS IFT @ 150 150
1775 PROTINE - S PROTINE - S 450 450
1776 FUNGUS SEROLOGY @ FUNGUS SEROLOGY @ 350 350
1777 FRUCTOSAMINE @ FRUCTOSAMINE @ 810 810
1778 GASTRIC ABS @ GASTRIC ABS @ 560 560
1779 HBV DNA (PCR) @ HBV DNA (PCR) @ 1700 1700
1780 HEMOLYSIN @ HEMOLYSIN @ 415 415
1781 HEMOSIDERIN @ HEMOSIDERIN @ 290 290
1782 HEPATITIS A ANTIGEN ANTI-HAV @ HEPATITIS A ANTIGEN ANTI-HAV @ 350 350
1783 HERPES CULTURE @ HERPES CULTURE @ 450 450
1784 HERPES PROFILE (INC. I/II IGG) @ HERPES PROFILE (INC. I/II IGG) @ 720 720
1785 HLA ABS@ HLA ABS@ 1450 1450
1786 HLA B27 @ HLA B27 @ 1950 1950
1787 HLA FULL TYPING (A,B+C) @ HLA FULL TYPING (A,B+C) @ 5600 5600
1788 HLA FULL TYPING (A,B,C+DR) @ HLA FULL TYPING (A,B,C+DR) @ 8500 8500
1789 INFLUENZA A @ INFLUENZA A @ 190 190
1790 INFLUENZA B @ INFLUENZA B @ 190 190
1791 INTRINSIC ABS FACTOR @ INTRINSIC ABS FACTOR @ 640 640
1792 ISLET CELL ABS @ ISLET CELL ABS @ 500 500
1793 IGM (CSF) @ IGM (CSF) @ 250 250
1794 LEISHMANIA IF & IHA @ LEISHMANIA IF & IHA @ 1225 1225
1795 I.U.I LAB I.U.I LAB 415 415
1796 LEPTOSPIRA ABS @ LEPTOSPIRA ABS @ 1180 1180
1797 LEUCOCYTE / ABS @ LEUCOCYTE / ABS @ 1560 1560
1798 LIPOPROTEIN X @ LIPOPROTEIN X @ 320 320
1799 LISTERIA ABS @ LISTERIA ABS @ 640 640
1800 LIVER MEMBRANCE ABS @ LIVER MEMBRANCE ABS @ 670 670
1801 ATOBY PANEL 20 ATOBY PANEL 20 1600 1600
1802 LYSOZYME (S,U) @ LYSOZYME (S,U) @ 225 225
1803 MALARIA ABS @ MALARIA ABS @ 150 150
1804 MANGANESE @ MANGANESE @ 830 830
Page 10
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1805 MEASLES ABS TITRE @ MEASLES ABS TITRE @ 750 750
1806 MELANIN SCREEN @ MELANIN SCREEN @ 210 210
1807 METHAEMOGLOBIN @ METHAEMOGLOBIN @ 560 560
1808 MITOCHONDRIAL ABS+ANTI-SMOOTH @ MITOCHONDRIAL ABS+ANTI-SMOOTH @ 830 830
1809 MONONUCLEOSIS ABS(EPSTEIN BR) @ MONONUCLEOSIS ABS(EPSTEIN BR) @ 2700 2700
1810 MUMPS VIRUS ABS (IGG + IGM) @ MUMPS VIRUS ABS (IGG + IGM) @ 670 670
1811 MYCOPLASMA PNEUMONIAE ABS @ MYCOPLASMA PNEUMONIAE ABS @ 270 270
1812 NSE (NEURONE SPECIFIC ENOLASE) NSE (NEURONE SPECIFIC ENOLASE) 960 960
1813 PARAINFLUENZA 9 TYPE 1,2,3 @ PARAINFLUENZA 9 TYPE 1,2,3 @ 850 850
1814 PARIETAL CELL ABS @ PARIETAL CELL ABS @ 350 350
1815 PORPHYRINS IN ERTHROCYTES @ PORPHYRINS IN ERTHROCYTES @ 480 480
1816 PORPHYRINS IN URINE @ PORPHYRINS IN URINE @ 2070 2070
1817 LIVER KIDNEY MICROSOMAL ABS @ LIVER KIDNEY MICROSOMAL ABS @ 960 960
1818 PTH-C (44-68) PARATHORMONE (S) @ PTH-C (44-68) PARATHORMONE (S) @ 1350 1350
1819 SEROTONIN (S) @ SEROTONIN (S) @ 525 525
1820 SMOOTH MUSCLE ABS (INC. MITO) - @ SMOOTH MUSCLE ABS (INC. MITO) - @ 415 415
1821 SOMATOSTATIN-C (S) @ SOMATOSTATIN-C (S) @ 1640 1640
1822 STRIATED MUSCLE ABS @ STRIATED MUSCLE ABS @ 415 415
1823 THYROGLOBULIN (S) @ THYROGLOBULIN (S) @ 670 670
1824 TOTAL COMPLEMENT/C-50 TOTAL COMPLEMENT/C-50 450 450
1825 TOXOCARA ABS IGG TOXOCARA ABS IGG 475 475
1826 VARICELLA ZOSTER (CF + IGG+IGM) @ VARICELLA ZOSTER (CF + IGG+IGM) @ 750 750
1827 VITAMIN A (RETINOL) @ VITAMIN A (RETINOL) @ 700 700
1828 VITAMIN D VITAMIN D 300 700
1829 VITAMIN C (ASCORBIC ACID) @ VITAMIN C (ASCORBIC ACID) @ 300 700
1830 CALCITRIOL CALCITRIOL 300 700
1831 CALCIDIOL @ CALCIDIOL @ 700 700
1832 VITAMIN E (ALPHA TOCOPHEROL) @ VITAMIN E (ALPHA TOCOPHEROL) @ 300 700
1833 FREE PROSTATE SPECIFIC ANTIGEN (S) FREE PROSTATE SPECIFIC ANTIGEN (S) 350 350
1834 PROGESTERONE RECEPTORS (INC.) @ PROGESTERONE RECEPTORS (INC.) @ 1700 1700
1835 PRENATAL PROFILE PRENATAL PROFILE 1600 1600
1836 PROFILE TORCH PROFILE TORCH 1000 1100
1837 CHEMISTRY FOR DIABETES CHEMISTRY FOR DIABETES 255 255
1838 ADENOSIME DEAMINASE ADENOSIME DEAMINASE 1970 1970
1839 HVA HOMOVANILLIC HVA HOMOVANILLIC 355 355
1840 NEURON SPECIFIC ENOLASE NEURON SPECIFIC ENOLASE 975 975
1841 IMMUNOGLOBIN PROFILE IMMUNOGLOBIN PROFILE 1900 1900
1842 CYCLOSPORINE C.2. LEVEL CYCLOSPORINE C.2. LEVEL 2250 2250
1843 VAGINAL PANEL VAGINAL PANEL 350 350
1844 BONE PROFILE BONE PROFILE 1110 1110
1845 FOOD ALLERGY PROFILE FOOD ALLERGY PROFILE 1000 1000
1846 TOBRAMYCIN (S) TOBRAMYCIN (S) 750 750
1847 NEONATAL PROFILE NEONATAL PROFILE 620 620
1848 AMIKACIN (S) AMIKACIN (S) 520 520
1849 CA 549 CA 549 500 700
1850 CYFRA 21-1 CYFRA 21-1 700 700
Page 11
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1851 NSE NSE 450 450
1852 SCC SCC 890 890
1853 OSTEOCALCIN OSTEOCALCIN 1900 1900
1854 FUNGUL STAINING FUNGUL STAINING 250 250
1855 FINE NEEDLE ASPIRATION CYTOLGY FINE NEEDLE ASPIRATION CYTOLGY 900 1100
1856 TWO DIFFERENT SPECIMENS TWO DIFFERENT SPECIMENS 1700 1700
1857 PHILADELPHIA CHROMOSOME PHILADELPHIA CHROMOSOME 6210 6210
1858 TINY SPECIMEN TINY SPECIMEN 520 520
1859 CYTOLOGY NON GYNE CYTOLOGY NON GYNE 700 700
1860 CYTOLOGY GYNE CYTOLOGY GYNE 700 700
1861 HISTOPATHOLOGY BIOPSY (SMALL) HISTOPATHOLOGY BIOPSY (SMALL) 1200 1200
1862 HISTOPATHOLOGY BIOPSY (LARGE) HISTOPATHOLOGY BIOPSY (LARGE) 2000 2000
1863 SMALL SPECIMEN SMALL SPECIMEN 1200 1200
1864 HISTOPATHOLOGY BIOPSY FROZEN SECTION
 HISTOPATHOLOGY BIOPSY FROZEN SECTION
 1200 1200
1865 IMMUNO-HISTOCHIMESTRY STUDY IMMUNO-HISTOCHIMESTRY STUDY 1100 1100
1866 BONE MARROW ASPIRATE BONE MARROW ASPIRATE 2070 2070
1867 IMUGARD III (LUCOCYTE REMOVAL FILTER) IMUGARD III (LUCOCYTE REMOVAL FILTER)
 370 370
1868 UNIT DONOR SCREEN UNIT DONOR SCREEN 320 320
1869 فحص فصيلة الدم فحص فصيلة الدم 40 100
1870 TINY SPECIMEN TINY SPECIMEN 525 525
1871 PLATELET CONCENTRATE W/O DONOR PLATELET CONCENTRATE W/O DONOR 2500 2500
1872 BLOOD CROSS MATCHING BLOOD CROSS MATCHING 280 350
1873 PLATELET CONCENTRATE W/ DONOR PLATELET CONCENTRATE W/ DONOR 3500 3500
1874 PLATELET APHRESIS WITH DONOR PLATELET APHRESIS WITH DONOR 3500 3500
1875 PLASMA PER UNIT PLASMA PER UNIT 2000 2000
1876 BLOOD ALL POSITIVE GROUPS/UNIT BLOOD ALL POSITIVE GROUPS/UNIT 2000 2000
1877 THERAPEUTIC APHERESIS THERAPEUTIC APHERESIS 6500 6500
1878 BLOOD O-VE PER UNIT BLOOD O-VE PER UNIT 2000 2000
1879 BLOOD WITHOUT DONOR BLOOD WITHOUT DONOR 2000 2000
1880 BLOOD DONOR SCREENING BLOOD DONOR SCREENING 1600 1600
1881 CRYO PRECIPITATE UNIT CRYO PRECIPITATE UNIT 1600 1600
1882 THERAPUTIC PLASMA EXCHANGE THERAPUTIC PLASMA EXCHANGE 10350 10350
1883 AUTALOGOUS BLOOD TRANSFUSION AUTALOGOUS BLOOD TRANSFUSION 1100 1100
1884 THERAPUTIC PLASMA EXCHANGE (ICU) THERAPUTIC PLASMA EXCHANGE (ICU) 6500 6500
1885 FRESH FROZEN PLASMA W/DONOR FRESH FROZEN PLASMA W/DONOR 2000 2000
1886 PLATELET CONCENTRATE PLATELET CONCENTRATE 2000 2000
1887 FRESH FROZEN PLASMA W/O DONOR FRESH FROZEN PLASMA W/O DONOR 2000 2000
1888 GLUCOSE, FASTING (S) FBS GLUCOSE, FASTING (S) FBS 40 100
1889 BLOOD GLUCOSE, 2 H.P.P. BLOOD GLUCOSE, 2 H.P.P. 80 100
1890 GLUCOSE - RANDOM (S) RBS GLUCOSE - RANDOM (S) RBS 40 100
1891 GLUCOSE TOLERANCE TEST(GTT) GLUCOSE TOLERANCE TEST(GTT) 250 350
1892 H.D.L. CHOLESTEROL (S) H.D.L. CHOLESTEROL (S) 100 150
1893 L.D.L. CHOLESTEROL (S) L.D.L. CHOLESTEROL (S) 100 150
1894 CHOLESTEROL (TOTAL) (S) CHOLESTEROL (TOTAL) (S) 65 100
1895 GAMMA GT. (S) GAMMA GT. (S) 130 130
Page 12
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1896 TRIGLYCERIDES (S) TRIGLYCERIDES (S) 70 100
1897 LDH (S) LDH (S) 160 180
1898 CPK (S) CPK (S) 200 200
1899 UREA (S) UREA (S) 50 130
1900 GLOBULINS (S) GLOBULINS (S) 130 130
1901 URIC ACID (S) URIC ACID (S) 50 130
1902 CREATININE (S) CREATININE (S) 50 100
1903 SODIUM (S) SODIUM (S) 50 100
1904 POTASSIUM (S) POTASSIUM (S) 50 100
1905 CHLORIDE (S) CHLORIDE (S) 50 100
1906 CARBON DIOXIDE (S) CARBON DIOXIDE (S) 255 255
1907 ACID PHOSPHATASE (S) ACID PHOSPHATASE (S) 190 190
1908 IONIZED CALCIUM (S) IONIZED CALCIUM (S) 350 350
1909 CALCIUM SERUM CALCIUM SERUM 50 100
1910 INORGANIC PHOSPHATE (S) INORGANIC PHOSPHATE (S) 130 130
1911 IRON (S) IRON (S) 60 150
1912 IRON-BINDING CAPACITY (S) IRON-BINDING CAPACITY (S) 180 180
1913 MAGNESIUM (S) MAGNESIUM (S) 100 150
1914 BILIRUBIN DIRECT (B) BILIRUBIN DIRECT (B) 65 130
1915 BILIRUBIN TOTAL (B) BILIRUBIN TOTAL (B) 65 130
1916 TOTAL PROTEINS (S) TOTAL PROTEINS (S) 65 130
1917 ALBUMIN (S) ALBUMIN (S) 60 130
1918 ALKALINE PHOSPHATASE (S) ALKALINE PHOSPHATASE (S) 80 130
1919 ALKALINE PHOSPHATASE (S) ALKALINE PHOSPHATASE (S) 55 130
1920 S.G.O.T (AST) (S) S.G.O.T (AST) (S) 50 150
1921 S.G.P.T. (ALT) (S) S.G.P.T. (ALT) (S) 50 150
1922 AMYLASE (S) AMYLASE (S) 90 150
1923 LIPASE (S) LIPASE (S) 90 150
1924 OSMOLALITY (S) OSMOLALITY (S) 350 350
1925 PROTEIN ELECTROPHORESIS (S) PROTEIN ELECTROPHORESIS (S) 450 450
1926 AMMONIA (P) AMMONIA (P) 335 335
1927 HEMOGLOBIN ELECTROPHOR. QUALIT (B) HEMOGLOBIN ELECTROPHOR. QUALIT (B)
 450 450
1928 HBA1C (B) HBA1C (B) 120 250
1929 RENAL STONE ANALYSIS RENAL STONE ANALYSIS 350 350
1930 BLOOD GASES (B) BLOOD GASES (B) 400 400
1931 C-REACTIVE PROTEIN (QUANT) C-REACTIVE PROTEIN (QUANT) 300 300
1932 LACTATE LACTATE 415 415
1933 MICROALBUMIN / CREATININE IN URINE MICROALBUMIN / CREATININE IN URINE 250 250
1934 MICRO-ALBUMINURIA (U) MICRO-ALBUMINURIA (U) 250 250
1935 50G-GLUCOSE CHALLENGETEST # # 50G-GLUCOSE CHALLENGETEST # # 100 100
1936 GLUCOSE POST PRANDIAL (50 mg) GLUCOSE POST PRANDIAL (50 mg) 100 100
1937 GLUCOSE POST PRANDIAL (+75 GRAMS) GLUCOSE POST PRANDIAL (+75 GRAMS)
 100 100
1938 RENAL PROFILE RENAL PROFILE 960 960
1939 CKMB (S) CKMB (S) 150 200
1940 FERRITIN (S) FERRITIN (S) 160 525
Page 13
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1941 HOMOCYSTEINE (S) HOMOCYSTEINE (S) 750 750
1942 D-DIMER D-DIMER 300 700
1943 R.P.R. QUANTITATIVE (S) R.P.R. QUANTITATIVE (S) 100 120
1944 TROPONIN-I TROPONIN-I 220 420
1945 ANTI-TG (ANTI-THYROGLOBIN) ANTI-TG (ANTI-THYROGLOBIN) 420 420
1946 C A 125 (S) C A 125 (S) 350 700
1947 CA 19-9 (S) CA 19-9 (S) 350 700
1948 CEA (S) CEA (S) 350 700
1949 BLOOD SUGAR BY ONE TOUCH BLOOD SUGAR BY ONE TOUCH 100 100
1950 C-PEPTIDE (S) C-PEPTIDE (S) 300 450
1951 FOLIC ACID (FOLATE) (S/B) @ FOLIC ACID (FOLATE) (S/B) @ 200 250
1952 VITAMIN B12 (B/S) @ VITAMIN B12 (B/S) @ 300 700 0
1953 FREE - T4 FREE - T4 150 300
1954 T4-FREE (S) T4-FREE (S) 200 300
1955 T3 - TOTAL (S) T3 - TOTAL (S) 200 300
1956 T3 - FREE (S) (FT3) T3 - FREE (S) (FT3) 150 300
1957 FT4 FT4 200 300
1958 T.S.H. (S) T.S.H. (S) 180 300
1959 PROLACTIN (S) PROLACTIN (S) 170 300
1960 F.S.H. (S) F.S.H. (S) 200 300
1961 L.H. (S) L.H. (S) 200 300
1962 PROGESTERONE (S) PROGESTERONE (S) 150 300
1963 ESTRADIOL (E2) ESTRADIOL (E2) 150 300
1964 TESTOSTERONE (S) TESTOSTERONE (S) 200 300
1965 TOTAL AND FREE TESTOSTERONE TOTAL AND FREE TESTOSTERONE 200 300
1966 B-HCG QUANTITATIVE (S) # B-HCG QUANTITATIVE (S) # 220 300
1967 B-HCG QUALITATIVE (S) # B-HCG QUALITATIVE (S) # 220 300
1968 A.C.T.H., INTACT (S) A.C.T.H., INTACT (S) 200 300
1969 CORTISOL AM (S) CORTISOL AM (S) 200 300
1970 CORTISOL PM (S) CORTISOL PM (S) 200 300
1971 INSULIN (S) @ INSULIN (S) @ 450 450
1972 THYROID MICROSOMAL ABS THYROID MICROSOMAL ABS 225 225
1973 DHEA-S (S) @ DHEA-S (S) @ 2000 2000
1974 PTH INTACT (S) @ PTH INTACT (S) @ 1450 1450
1976 HEMOGLOBIN % (B) HEMOGLOBIN % (B) 90 90
1977 RETICULOCYTE COUNT (B) RETICULOCYTE COUNT (B) 100 100
1978 E.S.R. (B) (ESR) E.S.R. (B) (ESR) 50 70
1979 BLEEDING TIME (B) BLEEDING TIME (B) 50 70
1980 CLOTTING TIME (B) CLOTTING TIME (B) 50 70
1981 PROTHROMBIN TIME (B) PROTHROMBIN TIME (B) 120 170
1982 PARTIAL THROMBOPLAST.TIME(PTT) (B) PARTIAL THROMBOPLAST.TIME(PTT) (B) 120 170
1983 BLOOD FILM FOR MALARIA BLOOD FILM FOR MALARIA 150 150
1984 BLOOD FILM FOR MORPHOLOGY (B) BLOOD FILM FOR MORPHOLOGY (B) 145 145
1985 L.E. CELLS (B) L.E. CELLS (B) 150 150
1986 SICKLING SCREEN TEST SICKLING SCREEN TEST 100 150
1987 G.6.P.D. QUANTITATIVE ESTIMATN (B) G.6.P.D. QUANTITATIVE ESTIMATN (B) 280 280
Page 14
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1988 FIBRINOGEN (B) FIBRINOGEN (B) 250 350
1989 V.D.R.L. (S) V.D.R.L. (S) 100 130
1990 V.D.R.L. QUANTITATIVE (S) V.D.R.L. QUANTITATIVE (S) 70 130
1991 SALMOMELLA, ANTIB AGGLUTIN. TEST SALMOMELLA, ANTIB AGGLUTIN. TEST 500 500
1992 A.S.O. A.S.O. 250 250
1993 COOMB'S TEST (DIRECT) COOMB'S TEST (DIRECT) 140 140
1994 COOMB'S TEST (INDIRECT) COOMB'S TEST (INDIRECT) 100 140
1995 Rh Antibody Titer Rh Antibody Titer 100 100
1996 ABO RH GROUPING ABO RH GROUPING 60 100
1997 PARVOVIRUS B-19 ABS PARVOVIRUS B-19 ABS 450 450
1998 COAGULATION STUDY COAGULATION STUDY 1090 1090
1999 TOTAL AND FREE PSA TOTAL AND FREE PSA 350 350
2000 FOOD IgG ANTIBODY TEST FOOD IgG ANTIBODY TEST 1600 1601
2002 H. PYLORI IGG (S) H. PYLORI IGG (S) 300 450
2003 RSV-RESPIRATORY SYNCYTIAL VIRS (S) RSV-RESPIRATORY SYNCYTIAL VIRS (S) 320 320
2004 BILIRUBIN (U) BILIRUBIN (U) 90 90
2005 DENGUE ABS (IGG & IGM) DENGUE ABS (IGG & IGM) 750 750
2006 SYPHILIS CONFIRM TEST (VDRL) SYPHILIS CONFIRM TEST (VDRL) 170 170
2007 MONOTEST, LATEX (S) MONOTEST, LATEX (S) 140 140
2008 BRUCELLA, LATEX (S) BRUCELLA, LATEX (S) 150 260
2009 RHEUMATOID, LATEX RHEUMATOID, LATEX 200 200
2010 CMV IGG (S) CMV IGG (S) 400 400
2011 CMV IGM (S) CMV IGM (S) 400 400
2012 HEV ABS (S) HEV ABS (S) 450 450
2013 TOXOPLASMA-IGG (S) TOXOPLASMA-IGG (S) 130 260
2014 TOXOPLASMA - IGM (S) TOXOPLASMA - IGM (S) 130 460
2015 HIV Ag / Ab HIV Ag / Ab 280 350
2016 RUBELLA SCREEN IG-G RUBELLA SCREEN IG-G 180 260
2017 RUBELLA SCREEN IG-M RUBELLA SCREEN IG-M 180 300
2018 HEPATITIS BS ANTIGENS (S) # HEPATITIS BS ANTIGENS (S) # 180 260
2019 HEPATITIS BS ANTIBODY (S) # HEPATITIS BS ANTIBODY (S) # 180 260
2020 HEPATITIS BE ANTIGEN (S) HEPATITIS BE ANTIGEN (S) 180 260
2021 HEPATITIS BE ANTIBODY (S) HEPATITIS BE ANTIBODY (S) 180 260
2022 HEPATITIS BC IGM (S) HEPATITIS BC IGM (S) 450 450
2023 HEPATITIS BC ANTIBODY (S) # HEPATITIS BC ANTIBODY (S) # 260 260
2024 HEPATITIS A IGM ANTIBODY HEPATITIS A IGM ANTIBODY 450 450
2025 HEPATITIS C ANTIBODIES (S) HEPATITIS C ANTIBODIES (S) 450 450
2026 PROTEIN-C PROTEIN-C 450 450
2027 PROTEIN-S PROTEIN-S 450 450
2028 KARYOTYPING KARYOTYPING 2700 2700
2029 CELIAG Abs CELIAG Abs 2500 2500
2030 ENDOMYCIUM Abs ENDOMYCIUM Abs 2300 2300
2031 CLIADINE Ab CLIADINE Ab 1100 1100
2032 IMMUNOPHENOTYPING (CLL) IMMUNOPHENOTYPING (CLL) 10350 10350
2033 HERPES PCR HERPES PCR 1700 1700
2034 TB PCR TB PCR 6250 6250
Page 15
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2035 RENAL BIOPSY RENAL BIOPSY 7250 7250
2036 ANTICENTROMENE ANTICENTROMENE 620 620
2037 CRYTOCOCCUS Ag CRYTOCOCCUS Ag 730 730
2038 A N A (S) @ A N A (S) @ 480 480
2039 ANTICARDIOLIPIN ABS IGG@ ANTICARDIOLIPIN ABS IGG@ 1010 1010
2040 ANTI-DS-DNA ABS ANTI-DS-DNA ABS 620 620
2041 CHLAMYDIA ABS (IGG, IGM) (S) @ CHLAMYDIA ABS (IGG, IGM) (S) @ 2250 2250
2042 EBV - IGM EBV - IGM 700 700
2043 HEPATITIS B VIRUS DNA/PCR QT @ HEPATITIS B VIRUS DNA/PCR QT @ 1700 1700
2044 HEPATITIS C VIRUS (RNA) QUALIT @ HEPATITIS C VIRUS (RNA) QUALIT @ 1700 1700
2045 HERPES PROFILE HERPES PROFILE 1700 1700
2046 IGE, QUANT (S,CSF) IGE, QUANT (S,CSF) 420 420
2047 LUPUS TYPE ANTICOAGULANT @ LUPUS TYPE ANTICOAGULANT @ 1350 1350
2048 HEPATITIS B VIRUS DNA/PCR (QL) @ HEPATITIS B VIRUS DNA/PCR (QL) @ 1700 1700
2049 HEPATITIS C VIRUS RNA(QUANT)@ HEPATITIS C VIRUS RNA(QUANT)@ 1700 1700
2050 ANTI DNASE ANTI DNASE 620 620
2051 PHILADELPHIA CHROMOSOME QUALI PHILADELPHIA CHROMOSOME QUALI 6210 6210
2052 PHILADELPHIA CHROMOSOME QUANTI PHILADELPHIA CHROMOSOME QUANTI 10800 10800
2053 FACTOR II - MUTATION FACTOR II - MUTATION 2500 2500
2054 FACTOR V - LEIDEN FACTOR V - LEIDEN 3100 3100
2055 JAK 2 GENE JAK 2 GENE 10350 10350
2056 MTHFR - GENE MTHFR - GENE 5175 5175
2057 HEPATITIS C GENOTYPING HEPATITIS C GENOTYPING 4140 4140
2058 FACTOR VIII (VWF) FACTOR VIII (VWF) 700 700
2059 PROCALCITONIN PROCALCITONIN 1600 1600
2060 ANTIBODY IDENTIFICATION ANTIBODY IDENTIFICATION 950 950
2061 ALPHA - FETOPROTEIN (S) ALPHA - FETOPROTEIN (S) 350 700
2062 C A 19-9 (S) C A 19-9 (S) 350 700
2063 CA 15-3 (S) CA 15-3 (S) 350 700
2064 PROSTATE SPECIFIC ANTIGEN (S) PROSTATE SPECIFIC ANTIGEN (S) 350 350
2065 OSMOLALITY (U) OSMOLALITY (U) 350 350
2066 CREATININE CLEARANCE CREATININE CLEARANCE 250 250
2068 KETONE BODIES (U) KETONE BODIES (U) 70 70
2069 SODIUM (U) SODIUM (U) 100 150
2070 POTASSIUM (U) POTASSIUM (U) 100 150
2071 CHLORIDE (U)/CSF CHLORIDE (U)/CSF 100 150
2072 UREA (U) UREA (U) 70 150
2073 CALCIUM URINE/DAY CALCIUM URINE/DAY 100 130
2074 URINE PHOSPHATE (24H) URINE PHOSPHATE (24H) 100 150
2075 CREATININE (U) CREATININE (U) 80 130
2076 PROTEIN, 24 HOURS (U)/CSF PROTEIN, 24 HOURS (U)/CSF 150 150
2077 GLUGOSE, QUALITATIVE (U) GLUGOSE, QUALITATIVE (U) 100 100
2078 PREGNANCY TEST (U) PREGNANCY TEST (U) 100 300
2079 ALBUMIN QUALITATIVE (U) ALBUMIN QUALITATIVE (U) 130 130
2080 OSTEOPOROSIS SCREEN @ OSTEOPOROSIS SCREEN @ 2270 2270
2081 LFT PROFILE LFT PROFILE 1320 1320
Page 16
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2083 BLOOD BANK (RECIPIENT) PANEL BLOOD BANK (RECIPIENT) PANEL 1350 1350
2084 D.U.A. (4 ITEMS) D.U.A. (4 ITEMS) 400 400
2085 D.U.A. TEST D.U.A. TEST 400 400
2086 UREA BREATH TEST UREA BREATH TEST 250 550
2087 REDUCING SUBSTANCES (S) REDUCING SUBSTANCES (S) 210 210
2089 OCCULT BLOOD IN STOOL OCCULT BLOOD IN STOOL 80 140
2090 ROTA VIRUS (STOOL) ROTA VIRUS (STOOL) 350 350
2091 SEMEN ANALYSIS (SPERMOGRAM) SEMEN ANALYSIS (SPERMOGRAM) 150 150
2092 B HEMOLYTIC STREP A QUICK TEST B HEMOLYTIC STREP A QUICK TEST 210 210
2093 BLOOD C/S BLOOD C/S 300 300
2094 KOH FOR FUNGUS MICROSCOPY KOH FOR FUNGUS MICROSCOPY 250 250
2095 DIRECT SMEAR (GRAM STAIN) DIRECT SMEAR (GRAM STAIN) 350 350
2096 DIRECT SMEAR - ACIDFAST BACILLI DIRECT SMEAR - ACIDFAST BACILLI 350 350
2097 BACTERIAL C/S BACTERIAL C/S 300 300
2098 ENDOTOXIN ENDOTOXIN 620 620
2099 COCAINE COCAINE 400 400
2100 LITHIUM (S) LITHIUM (S) 400 400
2101 PHENYTOIN (S) PHENYTOIN (S) 400 400
2102 CARBAMAZEPINE (S) CARBAMAZEPINE (S) 400 400
2103 PARACETAMOL (S) PARACETAMOL (S) 400 400
2104 VALPORIC ACID (S) VALPORIC ACID (S) 400 400
2105 CANNABINOIDS (S) CANNABINOIDS (S) 400 400
2106 THEOPHILINE (AMINOPHYLINE) (S) THEOPHILINE (AMINOPHYLINE) (S) 400 400
2107 ALCOHOL (S) ALCOHOL (S) 400 400
2108 DIGOXIN (S) DIGOXIN (S) 400 400
2109 PHENOBARBITAL (S) PHENOBARBITAL (S) 400 400
2110 D.A.U OPIATE ASSAY (U) D.A.U OPIATE ASSAY (U) 400 400
2111 BARBITURATE (URINE) BARBITURATE (URINE) 400 400
2112 AMPHETAMINE (URINE) AMPHETAMINE (URINE) 400 400
2113 BENZODIAZAPINE, QUANT BENZODIAZAPINE, QUANT 400 400
2114 CHLORIDE CSF CHLORIDE CSF 150 150
2115 GLUCOSE CSF GLUCOSE CSF 125 125
2116 PROTEIN CSF PROTEIN CSF 125 125
2117 GRAM STAIN AND C/S - (CSF) GRAM STAIN AND C/S - (CSF) 350 350
2118 MICROSCOPY - (CSF) MICROSCOPY - (CSF) 220 220
2119 2 Hours After Glucose dose 2 Hours After Glucose dose 0
2476 BAND ADJUSTMENT SPECIAL BAND ADJUSTMENT SPECIAL 1100 1100
2477 GASTRIC BANDAGE ADJUSTMENT UNDER IMAGE
 GASTRIC BANDAGE ADJUSTMENT UNDER IMAGE
 1100 1100
2478 U/S 4D U/S 4D 1450 1450
2479 MD CT CEREBRAL ANGIOGRAPHY MD CT CEREBRAL ANGIOGRAPHY 3150 3150
2480 X-RAY READING AND REPORT X-RAY READING AND REPORT 80 80
2481 X-RAY MOBILE UNIT X-RAY MOBILE UNIT 110 110
2482 MRI - FISTULOGRAM MRI - FISTULOGRAM 3150 3150
2483 BARIUM CUP OR BARIUM ENEMA BAG BARIUM CUP OR BARIUM ENEMA BAG 110 110
2484 UROGRAFIN 76% (100 ML) UROGRAFIN 76% (100 ML) 110 110
Page 17
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 1111 Laboratory Test Laboratory
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2485 ULTRAVIST 300 MG (50 ML) ULTRAVIST 300 MG (50 ML) 270 270
2487 CONTRAST MEDIA FOR CT/MRI CONTRAST MEDIA FOR CT/MRI 650 650
2488 CONTRAST MEDIA FOR CT/MRI CONTRAST MEDIA FOR CT/MRI 650 650
2489 IMAGING CD BURNER IMAGING CD BURNER 110 110
4411 vit d vit d 300 300
4412 H-PYLORI, BREATH TEST (OFFER 2) H-PYLORI, BREATH TEST (OFFER 2) 300 300 0
4413 VIRAL CHECK-UP, ANEMIA HEREDITARY DISEASE (OFFER 3)
 VIRAL CHECK-UP, ANEMIA HEREDITARY DISEASE (OFFER 3)
 300 300 0
4576 LIVER TUMOR, ALPHA FETO PROTEIN (AFP) (OFFER 6)
 LIVER TUMOR, ALPHA FETO PROTEIN (AFP) (OFFER 6)
 300 300 0
4577 COLON TUMOR, CEA (OFFER 6) COLON TUMOR, CEA (OFFER 6) 300 300 0
4578 PANCREAS TUMOR, CA19-9 (OFFER 6) PANCREAS TUMOR, CA19-9 (OFFER 6) 300 300 0
4579 BREAST TUMOR, CA15-3 (OFFER 6) BREAST TUMOR, CA15-3 (OFFER 6) 300 300 0
4581 Antenatal (Frist Vist) Antenatal (Frist Vist) 0 0
4582 Antenatal care (2nd Visit) Antenatal care (2nd Visit) 0 0
4612 تحليل التهاب اللوزتين ASO 120
4666 3 Hours After Glucose dose 3 Hours After Glucose dose 0
4667 hepatitis A IGg hepatitis A IGg 100 100
4668 hepatitis A IGM hepatitis A IGM 180 180
4669 virus check up virus check up 240 240 0
4697 fertility hormones fertility hormones 339 339 0
4702 immunoglobuline A(IGA) immunoglobuline A(IGA) 200 200
4711 VIT D+H.PYLORI VIT D+H.PYLORI 250 250 0
4712 antiliver kidney microsomal antibody(LKM) antiliver kidney microsomal antibody(LKM) 300 300
4713 igg igg 100 100
4714 antinuclearantibody(ana) antinuclearantibody 300 300
5000 blood film for leishmania blood film for leishmania 100
5001 food allergy food allergy 400 400
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 4648 hema hema
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
118 H.PYLORI STOOL ANTIGEN TEST H.PYLORI STOOL ANTIGEN TEST 80 150
1543 CBC WITHOUT DIFFERNTIAL CBC WITHOUT DIFFERNTIAL 70 100
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 4650 hormon hormon
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2088 STOOL ANALYSIS STOOL ANALYSIS 40 28
بيان نوع الخدمة 11 خدمات قسم المختبر Laboratory
بيان المجموعة 4651 micr micr
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2067 URINE ANALYSIS URINE ANALYSIS 30 40
Page 18
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 12 خدمات قسم الأشعة Radiology
بيان المجموعة 1212 خدمات قسم الأشعة Radiology
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
147 ABDOMINAL ULTRASOUND ABDOMINAL ULTRASOUND 250 250
2120 PERIAPICAL X-RAY (Post) Per Tooth PERIAPICAL X-RAY (Post) Per Tooth 60 60
2122 TMJ X2 TMJ X2 300 350
2123 TMJ X4 TMJ X4 400 450
2124 SINUS POSITION SINUS POSITION 350 350
2125 LUMBOSACRAL SPINE OBLIQUES LUMBOSACRAL SPINE OBLIQUES 350 350
2126 X-RAY SELLA TURCICA X-RAY SELLA TURCICA 250 250
2127 ABDOMEN SUPINE (1 FILM) ABDOMEN SUPINE (1 FILM) 250 250
2128 CHEST - 1 VIEW CHEST - 1 VIEW 100 100
2129 CHEST I VIEW PORTABLE CHEST I VIEW PORTABLE 250 250
2130 CLAVICLE - 1 VIEW CLAVICLE - 1 VIEW 120 350
2131 STERNOCLAVICULAR JOINTS STERNOCLAVICULAR JOINTS 350 350
2132 STERNUM - 2 VIEWS STERNUM - 2 VIEWS 150 350
2133 ABDOMEN/KUB - 1 VIEW ABDOMEN/KUB - 1 VIEW 200 250
2134 HUMERUS UPPER ARM - 2 VIEWS HUMERUS UPPER ARM - 2 VIEWS 180 180
2135 ULNA RADIUS (FOREARM) - 2 VIEWS ULNA RADIUS (FOREARM) - 2 VIEWS 250 350
2136 LEG - 2 VIEWS LEG - 2 VIEWS 250 350
2137 LEG - 2 VIEWS INFANT LEG - 2 VIEWS INFANT 250 350
2138 ANKLE - 2 VIEWS ANKLE - 2 VIEWS 250 350
2139 ANKLE - 3 VIEWS ANKLE - 3 VIEWS 300 430
2140 NASAL BONES 2 POSITIONS NASAL BONES 2 POSITIONS 300 350
2141 PELVIS - 1 VIEW PELVIS - 1 VIEW 200 350
2142 HIP - 1 VIEW HIP - 1 VIEW 200 350
2143 SINUSES 1 POSITION SINUSES 1 POSITION 200 350
2144 SINUSES 2 POSITION SINUSES 2 POSITION 250 350
2145 KNEE - 3 VIEWS KNEE - 3 VIEWS 300 450
2146 KNEE - 2 VIEWS KNEE - 2 VIEWS 200 350
2147 HIP - 2 VIEW HIP - 2 VIEW 200 350
2148 HAND - 3 VIEWS HAND - 3 VIEWS 250 450
2149 ELBOW - 2 VIEWS ELBOW - 2 VIEWS 200 350
2150 SHOULDER - 2 VIEWS SHOULDER - 2 VIEWS 200 350
2151 ACROMIO CLAVICULAR JOINT BILATERAL ACROMIO CLAVICULAR JOINT BILATERAL
 250 350
2152 WRIST - 2 VIEWS WRIST - 2 VIEWS 200 350
2153 WRIST - 3 VIEWS WRIST - 3 VIEWS 300 430
2154 CLAVICLE - 3 VIEWS CLAVICLE - 3 VIEWS 300 350
2155 ELBOW - 3 VIEWS ELBOW - 3 VIEWS 300 350
2156 JOINT STRESS VIEWS JOINT STRESS VIEWS 250 350
2157 KNEE - 4 VIEWS KNEE - 4 VIEWS 350 520
2158 KNEES BILATERAL KNEES BILATERAL 350 630
2159 BONE AGE (WRIST& ELBOW AP) BONE AGE (WRIST& ELBOW AP) 350 350
2160 ORBITS 2 POSITIONS ORBITS 2 POSITIONS 300 350
2161 WRIST A.P. FOR RICKETS WRIST A.P. FOR RICKETS 300 350
2162 CERVICAL SPINE - 2 VIEWS CERVICAL SPINE - 2 VIEWS 200 350
2163 SCOLIOSIS STUDY SCOLIOSIS STUDY 900 1150
2164 CERVICAL SPINE-3 VIEWS(AP,LAT,OPEN MOUTH
 CERVICAL SPINE-3 VIEWS(AP,LAT,OPEN MOUTH
 250 350
Page 19
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 12 خدمات قسم الأشعة Radiology
بيان المجموعة 1212 خدمات قسم الأشعة Radiology
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2165 FEMUR/THIGH - 2 VIEWS FEMUR/THIGH - 2 VIEWS 200 350
2166 SKELETAL SURVEY SKELETAL SURVEY 900 1070
2167 CHEST - 2 VIEWS AP/LAT CHEST - 2 VIEWS AP/LAT 200 220
2168 CHEST - 4 VIEWS CHEST - 4 VIEWS 300 600
2169 CHEST 4 VIEWS WITH FLUROSCOPY CHEST 4 VIEWS WITH FLUROSCOPY 450 700
2170 SKULL 2 POSITIONS SKULL 2 POSITIONS 300 350
2171 ABDOMEN ERECT AND SUPINE ABDOMEN ERECT AND SUPINE 400 450
2172 MASTOIDS - 2 VIEWS MASTOIDS - 2 VIEWS 200 350
2173 NASAL BONES/SINUSES - 2 VIEWS, ADENOIDS
 NASAL BONES/SINUSES - 2 VIEWS, ADENOIDS
 200 350
2174 IAM (INTERNAL AUDITORY MEATUS) IAM (INTERNAL AUDITORY MEATUS) 300 350
2175 DORSAL SPINE - 2 VIEWS DORSAL SPINE - 2 VIEWS 200 350
2176 THORACIC SPINE COMPLETE - 4 VIEWS THORACIC SPINE COMPLETE - 4 VIEWS 300 450
2177 DORSOLUMBAR SPINE -2 VIEWS DORSOLUMBAR SPINE -2 VIEWS 200 350
2178 LUMBO SACRAL SPINE - 2 VIEWS LUMBO SACRAL SPINE - 2 VIEWS 200 350
2179 X-RAY LATERAL L.S.(flexion&extension) X-RAY LATERAL L.S.(flexion&extension) 200 350
2180 SACRUM & COCCYX - 2 VIEWS SACRUM & COCCYX - 2 VIEWS 200 350
2181 NECK - SOFT TISSUE NECK - SOFT TISSUE 250 350
2182 NASOPHARYNX (ADENOID) LATERAL NASOPHARYNX (ADENOID) LATERAL 250 350
2183 BARIUM SWALLOW BARIUM SWALLOW 550 800
2184 BAND NARROWING BAND NARROWING 600 720
2185 BARIUM MEAL/UPPER G.I. SERIES BARIUM MEAL/UPPER G.I. SERIES 900 1400
2186 BARIUM MEAL DOUBLE CONTRAST BARIUM MEAL DOUBLE CONTRAST 1800 2400
2187 MANDIBLE/JAW - 2 VIEW MANDIBLE/JAW - 2 VIEW 200 350
2188 MANDIBLE/JAW - 4 VIEWS MANDIBLE/JAW - 4 VIEWS 300 830
2189 SALIVARY GLANDS SALIVARY GLANDS 200 350
2190 SACRO ILIAC JOINT - 2 VIEWS SACRO ILIAC JOINT - 2 VIEWS 200 350
2191 MASTOIDS - 3 VIEWS MASTOIDS - 3 VIEWS 300 540
2192 FACIAL BONES(p.n.s) pns FACIAL BONES(p.n.s) pns 250 350
2193 ORBIT - 3 VIEWS OPTIC FORAMINA ORBIT - 3 VIEWS OPTIC FORAMINA 250 540
2194 SKULL - 3 VIEWS SKULL - 3 VIEWS 250 430
2195 TM JOINT - BILATERAL TM JOINT - BILATERAL 500 830
2196 PELVIS - 3 VIEWS PELVIS - 3 VIEWS 250 350
2197 TM JOINT - ONE SIDE TM JOINT - ONE SIDE 250 350
2198 SKULL - 4 VIEWS SKULL - 4 VIEWS 250 350
2199 ORBIT - 4 VIEWS ORBIT - 4 VIEWS 250 540
2200 P.T.C(PERCUTANEOUS TRANSHEPATIC CHOLANG)
 P.T.C(PERCUTANEOUS TRANSHEPATIC CHOLANG)
 1800 2275
2201 ASCENDING URETHROGRAM ASCENDING URETHROGRAM 550 700
2202 VOIDING CYSTOURETHROGRAPHY (CYCLIC)
 VOIDING CYSTOURETHROGRAPHY (CYCLIC)
 550 700
2203 PANORAMIC X-RAY FOR TEETH 260 300
2204 CYSTOGRAPHY CYSTOGRAPHY 550 700
2205 VOIDING URETHRO CYSTOGRAPHY VOIDING URETHRO CYSTOGRAPHY 550 700
2206 LYMPHANGIOGRAPHY LYMPHANGIOGRAPHY 4500 6000
2207 GASTRIC BANDAGE ADJUSTMENT U/FLUOROSCOPY
 GASTRIC BANDAGE ADJUSTMENT U/FLUOROSCOPY
 650 830
2208 RETROGRADE PYELOGRAPHY UNILATERAL RETROGRADE PYELOGRAPHY UNILATERAL
 550 900
Page 20
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 12 خدمات قسم الأشعة Radiology
بيان المجموعة 1212 خدمات قسم الأشعة Radiology
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2209 IVP (INTRAVENOUS PYELOGRAM)+PLAIN IVP (INTRAVENOUS PYELOGRAM)+PLAIN
 550 900
2210 I.V. UROGRAM I.V. UROGRAM 1200 1600
2211 BARIUM ENEMA-SINGLE CONTRAST BARIUM ENEMA-SINGLE CONTRAST 900 900
2212 BARIUM ENEMA DOUBLE CONTRAST BARIUM ENEMA DOUBLE CONTRAST 1400 1400
2213 IVP W/TOMO IVP W/TOMO 1500 2000
2214 I.V.P. DRIP INFUSION OR H.D.U I.V.P. DRIP INFUSION OR H.D.U 650 900
2215 MYELOGRAPHY - CERVICAL MYELOGRAPHY - CERVICAL 4500 4500
2216 MYELOGRAPHY - ENTIRE SPINE MYELOGRAPHY - ENTIRE SPINE 4800 4800
2217 MYELOGRAPHY - THORACIC MYELOGRAPHY - THORACIC 2300 2300
2218 MYELOGRAPHY - LUMBAR MYELOGRAPHY - LUMBAR 2300 2300
2219 BARIUM MEAL SMALL BOWEL/FOLLOW THROUGH
 BARIUM MEAL SMALL BOWEL/FOLLOW THROUGH
 1400 1400
2220 SHOULDER (4 VIEWS) SHOULDER (4 VIEWS) 350 560
2221 VENOGRAPHY - EXTREMITY UNILATERAL VENOGRAPHY - EXTREMITY UNILATERAL
 2400 2400
2222 VENOGRAPHY - EXTREMITY BILATERAL VENOGRAPHY - EXTREMITY BILATERAL 2700 2700
2223 CHOLANGIOGRAM OPERATIVE CHOLANGIOGRAM OPERATIVE 1200 1200
2224 CHOLANGIOGRAM - T/TUBE CHOLANGIOGRAM - T/TUBE 1200 1200
2225 NASAL BONES - 3 VIEWS, ADENOIDS NASAL BONES - 3 VIEWS, ADENOIDS 250 560
2226 NASAL/SINUSES - 3 VIEWS NASAL/SINUSES - 3 VIEWS 250 350
2227 ELBOW ARTHROGRAPHY ELBOW ARTHROGRAPHY 2300 2300
2228 TM JOINT - ARTHROGRAPHY TM JOINT - ARTHROGRAPHY 1100 1100
2229 SHOULDER ARTHROGRAPHY SHOULDER ARTHROGRAPHY 2300 2300
2230 HIP ARTHROGRAPHY HIP ARTHROGRAPHY 2275 2275
2231 KNEE ARTHROGRAPHY KNEE ARTHROGRAPHY 2050 2050
2232 ANKLE ARTHROGRAPHY ANKLE ARTHROGRAPHY 1900 1900
2233 CERVICAL SPINE - 4 VIEWS CERVICAL SPINE - 4 VIEWS 300 750
2234 LUMBO SACRAL SPINE - 3 VIEWS LUMBO SACRAL SPINE - 3 VIEWS 250 200
2235 LUMBO SACRAL SPINE - 4 VIEWS LUMBO SACRAL SPINE - 4 VIEWS 300 620
2236 RIBS - (AP & OBLIQUES) RIBS - (AP & OBLIQUES) 300 350
2237 PELVIMETRY E.L.P. PELVIMETRY E.L.P. 350 350
2238 PELVIMETRY - 2 VIEWS PELVIMETRY - 2 VIEWS 200 350
2239 CT BONE DENSITY STUDY CT BONE DENSITY STUDY 350 350
2240 FINGER/THUMB - 2 VIEWS FINGER/THUMB - 2 VIEWS 200 200
2241 BOTH HANDS OR FEET (TWO VIEWS) BOTH HANDS OR FEET (TWO VIEWS) 200 350
2242 HAND - 4 VIEWS HAND - 4 VIEWS 300 540
2243 JOINT FOUR VIEWS JOINT FOUR VIEWS 350 540
2244 SCAPULA COMPLETE SCAPULA COMPLETE 250 350
2245 OSCALCIS 2 -VIEWS OSCALCIS 2 -VIEWS 200 350
2246 FOOT 3 VIEWS FOOT 3 VIEWS 250 450
2247 HEEL - 2 VIEWS HEEL - 2 VIEWS 200 350
2248 TOES - 2 VIEWS TOES - 2 VIEWS 200 350
2249 FOOT -2 VIEWS FOOT -2 VIEWS 200 350
2250 HANDS -2 VIEWS HANDS -2 VIEWS 200 350
2251 THALIUM EXERCISE TEST (HEART) THALIUM EXERCISE TEST (HEART) 5200 5200
2252 VENTILATION PERFUSION SCAN VENTILATION PERFUSION SCAN 4150 4150
Page 21
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 12 خدمات قسم الأشعة Radiology
بيان المجموعة 1212 خدمات قسم الأشعة Radiology
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2253 RENAL ISOTOP SCAN RENAL ISOTOP SCAN 2700 2700
2254 SPINE (OBLIQUE VIEWS) SPINE (OBLIQUE VIEWS) 250 350
2255 STERNOCLAVICULAR JOINT STERNOCLAVICULAR JOINT 250 350
2256 STROKE PROTOCOL (CT AND MRI) STROKE PROTOCOL (CT AND MRI) 5175 5175
2257 ANGIOGRAPHY - EXTREMITY UNILATERAL ANGIOGRAPHY - EXTREMITY UNILATERAL
 4600 4600
2258 ANGIOGRAPHY - EXTREMITY BILATERAL ANGIOGRAPHY - EXTREMITY BILATERAL
 7250 7250
2259 PULMONARY ANGIOGRAPHY PULMONARY ANGIOGRAPHY 5250 5250
2260 VISCERAL ANGIOGRAPHY (1 REGION) VISCERAL ANGIOGRAPHY (1 REGION) 4600 4600
2261 VISCERAL ANG. (MULTIPLE ORGANS) VISCERAL ANG. (MULTIPLE ORGANS) 5250 5250
2262 AORTOGRAM - THORACIC PERCUTANEOUS AORTOGRAM - THORACIC PERCUTANEOUS
 3120 3120
2263 AORTOGRAM - ABDOMINAL & RUNOFF AORTOGRAM - ABDOMINAL & RUNOFF 4600 4600
2264 ANGIOGRAPHY - CAROTID CERVICAL ANGIOGRAPHY - CAROTID CERVICAL 4600 4600
2265 VERTEBRAL ANGIOGRAPHY VERTEBRAL ANGIOGRAPHY 4600 4600
2266 ANGIOGRAPHY - CAROTID VERTEBRAL/CEREBRAL
 ANGIOGRAPHY - CAROTID VERTEBRAL/CEREBRAL
 6625 6625
2267 VENACAVOGRAM VENACAVOGRAM 4140 4140
2268 IVC FILTER INSERTION IVC FILTER INSERTION 35500 35500
2269 HEPATIC CHEMO-EMBOLIZATION HEPATIC CHEMO-EMBOLIZATION 6250 6250
2270 PERIPHERAL ANGIOGRAPHY PERIPHERAL ANGIOGRAPHY 6500 6500
2271 CAROTID ANGIOGRAPHY CAROTID ANGIOGRAPHY 7100 7100
2272 VISCERAL ANGIOGRAPHY VISCERAL ANGIOGRAPHY 6250 6250
2273 AORTOGRAPHY (THORACIC OR ABDOMINAL)
 AORTOGRAPHY (THORACIC OR ABDOMINAL)
 6250 6250
2274 CHEMOTHERAPY+EMBOLISATION (2 SESSIONS)
 CHEMOTHERAPY+EMBOLISATION (2 SESSIONS)
 16560 16560
2275 EMBOLISATION (AVM/BLEEDER/TUMOUR) EMBOLISATION (AVM/BLEEDER/TUMOUR)
 13500 13500
2276 VENOGRAPHY (IVC OR SVC) VENOGRAPHY (IVC OR SVC) 5250 5250
2277 VENOGRAPHY (PERIPHERAL) VENOGRAPHY (PERIPHERAL) 3350 3350
2278 GONADAL VENOGRAPHY+EMBOLISATION GONADAL VENOGRAPHY+EMBOLISATION
 12500 12500
2279 GONADAL VENOGRAPHY W/OUT EMBOLISATION
 GONADAL VENOGRAPHY W/OUT EMBOLISATION
 6210 6210
2280 PORTOGRAPHY PORTOGRAPHY 7250 7250
2281 ANGIOPLASTY OF KIDNEY TRANSPLANT ANGIOPLASTY OF KIDNEY TRANSPLANT
 15000 15000
2282 ANGIOPLASTY (OTHER VESSELS)+STENT ANGIOPLASTY (OTHER VESSELS)+STENT
 15000 15000
2283 ANGIOPLASTY W/OUT STENT ANGIOPLASTY W/OUT STENT 12500 12500
2284 I.V. CAVA FILTER I.V. CAVA FILTER 20700 20700
2285 PERC. ABLATION OF LIVER CYST/SMALL TUMOR
 PERC. ABLATION OF LIVER CYST/SMALL TUMOR
 4250 4250
2286 PERC. TRANSHEP CHOLANGIOGRAM(PTC) PERC. TRANSHEP CHOLANGIOGRAM(PTC)
 6250 6250
2287 PERC. BILIARY DRAINAGE (EXTERNAL) PERC. BILIARY DRAINAGE (EXTERNAL) 8500 8500
2288 PERC. BILIARY DRAINAGE (INTERNAL) PERC. BILIARY DRAINAGE (INTERNAL) 10350 10350
2289 BILIARY STRICTURE DILATATION BILIARY STRICTURE DILATATION 13500 13500
2290 INTERNAL BILIARY STENTING INTERNAL BILIARY STENTING 15700 15700
2291 PERC. RENAL CYST ABLATION PERC. RENAL CYST ABLATION 6250 6250
2292 NEPHROSTOMY NEPHROSTOMY 6250 6250
2293 NEPHROSTOMY & STRICTURE DILATATION NEPHROSTOMY & STRICTURE 11500 11500
Page 22
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 12 خدمات قسم الأشعة Radiology
بيان المجموعة 1212 خدمات قسم الأشعة Radiology
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
DILATATION
2294 PERC. DRAINAGE OF ABSCESS OR COLLECTION
 PERC. DRAINAGE OF ABSCESS OR COLLECTION
 6250 6250
2295 BIOPSIES(ANY AREA EXCEPT BRAIN) BIOPSIES(ANY AREA EXCEPT BRAIN) 4500 4500
2296 BREAST MASS LOCAIZATION(PRE-OP) BREAST MASS LOCAIZATION(PRE-OP) 3100 3100
2297 PLEURAL EFFUSION TAPING FOR CYTOLOGY
 PLEURAL EFFUSION TAPING FOR CYTOLOGY
 1100 1100
2298 X-RAY IMAGE INTENSIFIER/30 MIN X-RAY IMAGE INTENSIFIER/30 MIN 250 250
2299 EXTERNAL BILIARY DRAINAGE EXTERNAL BILIARY DRAINAGE 4600 4600
2300 ABSCESS DRAINAGE ABSCESS DRAINAGE 3500 3500
2301 DRAINAGE TUBE REPOSITION DRAINAGE TUBE REPOSITION 1100 1100
2302 INJECTION OF ALCOHOL INJECTION OF ALCOHOL 2100 2100
2303 SCLEROTHERAPY OF VARICOCELE SCLEROTHERAPY OF VARICOCELE 4500 4500
2304 PERIPHERAL TRANS. ANGIOPLASTY PERIPHERAL TRANS. ANGIOPLASTY 9600 9600
2305 PERCUTANEOUS SYMPATHETIC BLOCK PERCUTANEOUS SYMPATHETIC BLOCK 2500 2500
2306 FILM DUPLICATES (MRI, CT, ANGIO) FILM DUPLICATES (MRI, CT, ANGIO) 75 75
2486 X-RAY DUPLICATE (EACH FILM) X-RAY DUPLICATE (EACH FILM) 70 70
4580 breast ultrasound breast ultrasound 600 600
بيان نوع الخدمة 12 خدمات قسم الأشعة Radiology
بيان المجموعة 1213 خدمات الموجات فوق صوتيه والدوبلر
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2307 ULTRASOUND EXAMINATION ULTRASOUND EXAMINATION 210 210
2308 BED SIDE ABD. OR PELVIS U.S. BED SIDE ABD. OR PELVIS U.S. 750 750
2309 BED SIDE PELVI - ABDOMINAL U.S. BED SIDE PELVI - ABDOMINAL U.S. 750 750
2310 EXTRA CHARGE FOR PORTABLE ULTRASOUND
 EXTRA CHARGE FOR PORTABLE ULTRASOUND
 415 415
2311 U/S - KUB+KIDNEY AND URINARY BLADDER U/S - KUB+KIDNEY AND URINARY BLADDER
 750 750
2312 TRANS-RECTAL U/S BIOPSY TRANS-RECTAL U/S BIOPSY 4600 4600
2313 U/S BRAIN (TRANSFONTANELLER) U/S BRAIN (TRANSFONTANELLER) 450 450
2314 BREAST LOCALIZATION BREAST LOCALIZATION 450 450
2315 ULTRASOUND GUIDED ASPIRATION ULTRASOUND GUIDED ASPIRATION 3500 3500
2316 ULTRASOUND - GUIDED NEEDLE BIOPSY ULTRASOUND - GUIDED NEEDLE BIOPSY
 3500 3500
2317 ULTRASOUND - GUIDED ASPIRATION CYST ULTRASOUND - GUIDED ASPIRATION CYST
 3500 3500
2318 US GUIDED BIOPSY BREAST-RENAL- OTHERS
 US GUIDED BIOPSY BREAST-RENAL- OTHERS
 3500 3500
2319 US GUIDED ASPIRATION (PLEURAL/OTHERS)
 US GUIDED ASPIRATION (PLEURAL/OTHERS)
 3500 3500
2320 ULTRA SOUND GUIDED BIOPSY (TRUE CUT) ULTRA SOUND GUIDED BIOPSY (TRUE CUT)
 3500 3500
2321 EMERGENCY ULTRASONOGRAPHY- 1 REGION
 EMERGENCY ULTRASONOGRAPHY- 1 REGION
 750 750
2322 ULTRASOUND, UPPER ABDOMEN ULTRASOUND, UPPER ABDOMEN 750 750
2323 ULTRASOUND - RETROPERITONEAL ULTRASOUND - RETROPERITONEAL 900 900
2324 ULTRASOUND - PELVIS ULTRASOUND - PELVIS 400 400
2325 ULTRASOUND - ANTENATAL ULTRASOUND - ANTENATAL 450 450
2326 SONOGRAM, UPPER & LOWER ABDOMEN SONOGRAM, UPPER & LOWER ABDOMEN
 750 750
2327 ULTRASOUND - TRANSVAGINAL ULTRASOUND - TRANSVAGINAL 900 900
Page 23
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 12 خدمات قسم الأشعة Radiology
بيان المجموعة 1213 خدمات الموجات فوق صوتيه والدوبلر
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2328 ULTRASOUND - THYROID - NECK ULTRASOUND - THYROID - NECK 450 450
2329 ULTRASOUND - CHEST ULTRASOUND - CHEST 450 450
2330 SONOGRAM, KIDNEYS AND OTHERS SONOGRAM, KIDNEYS AND OTHERS 750 750
2331 ULTRASOUND - BREAST ULTRASOUND - BREAST 450 450
2332 ULTRASOUND - SCROTUM AND CONTENT ULTRASOUND - SCROTUM AND CONTENT
 450 450
2333 ULTRASOUND - TRANSRECTAL ULTRASOUND - TRANSRECTAL 900 900
2334 ULTRASOUND REPEAT ULTRASOUND REPEAT 450 450
2335 ULTRASOUND REPEAT ULTRASOUND REPEAT 450 450
2336 ULTRASOUND JOINTS,MUSCULOSKELETAL ULTRASOUND JOINTS,MUSCULOSKELETAL
 450 450
2337 U/S EMERGENCY UPPER AND LOWER ABDOMEN
 U/S EMERGENCY UPPER AND LOWER ABDOMEN
 750 750
2338 U/S EMERGENCY UPPER ABDOMEN U/S EMERGENCY UPPER ABDOMEN 750 750
2339 U/S EMERGENCY LOWER ABDOMEN U/S EMERGENCY LOWER ABDOMEN 750 750
2340 U/S EMERGENCY ANTENATAL U/S EMERGENCY ANTENATAL 450 450
2341 U/S EMERGENCY PREGNANCY U/S EMERGENCY PREGNANCY 750 750
2342 FOLLICULOMETRY FOLLICULOMETRY 650 650
2343 U/S DOPLER KIDNEYS & RENAL VESSELS U/S DOPLER KIDNEYS & RENAL VESSELS
 750 750
2344 U/S DOPPLER CAROTID BILATERAL U/S DOPPLER CAROTID BILATERAL 1200 1200
2345 U/S DOPPLER CAROTID UNILATERAL U/S DOPPLER CAROTID UNILATERAL 900 900
2346 FOLLICULOMETRY ENDOVAGINAL FOLLICULOMETRY ENDOVAGINAL 1100 1100
2347 U/S DOPPLER ART LWR EXTREMITY UNILATERAL
 U/S DOPPLER ART LWR EXTREMITY UNILATERAL
 900 900
2348 U/S DOPPLER VEIN EXTREMITY UNILATERAL
 U/S DOPPLER VEIN EXTREMITY UNILATERAL
 900 900
2349 U/S DOPPLER ART UP EXTREMITY UNILATERAL
 U/S DOPPLER ART UP EXTREMITY UNILATERAL
 900 900
2350 U/S DOPPLER ART LWR EXTREMITY BILATERAL
 U/S DOPPLER ART LWR EXTREMITY BILATERAL
 1200 1200
2351 U/S DOPPLER VEIN EXTREMITY BILATERAL U/S DOPPLER VEIN EXTREMITY BILATERAL
 1200 1200
2352 U/S DOPPLER ART UP EXTREMITY BILATERAL
 U/S DOPPLER ART UP EXTREMITY BILATERAL
 1200 1200
2353 U/S DOPPLER MAJOR VSLS COMPL U/S DOPPLER MAJOR VSLS COMPL 900 900
2354 U/S DOPPLER MAJOR VSLS LTD U/S DOPPLER MAJOR VSLS LTD 900 900
2355 U/S DOPPLER HEMODIALYSIS ACCESS U/S DOPPLER HEMODIALYSIS ACCESS 900 900
2356 DOPPLER UTERINE BIOPHYSICAL PROFILE DOPPLER UTERINE BIOPHYSICAL PROFILE
 900 900
2357 DOPPLER SCROTUM DOPPLER SCROTUM 900 900
2358 U/S DOPPLER PENILE VSLS COMPL U/S DOPPLER PENILE VSLS COMPL 1200 1200
2359 U/S DOPPLER PENILE VSLS LTD U/S DOPPLER PENILE VSLS LTD 1200 1200
2360 DOPPLER RENAL GRAFT DOPPLER RENAL GRAFT 900 900
2361 TRANSRECTAL SEM. VESICULOGRAPHY TRANSRECTAL SEM. VESICULOGRAPHY
 2100 2100
2362 3D ULTRASOUND (EARLY) 3D ULTRASOUND (EARLY) 750 750
2363 3D ULTRASOUND (LATE) 3D ULTRASOUND (LATE) 1100 1100
2364 CT READING CT READING 450 450
بيان نوع الخدمة 13 خدمات الجراحة SURGERY SERVICE
بيان المجموعة 1313 خدمات الجراحة SURGERY SERVICE
Page 24
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 13 خدمات الجراحة SURGERY SERVICE
بيان المجموعة 1313 خدمات الجراحة SURGERY SERVICE
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1168 DOPLAR EXAMINATION FOR VEINS DOPLAR EXAMINATION FOR VEINS 900 900 13
1169 HEMORRHOIDS INJECTION / 1 SESS HEMORRHOIDS INJECTION / 1 SESS 1100 1100
1170 HEMORRHOIDS INJECTION / 2 SESS HEMORRHOIDS INJECTION / 2 SESS 1860 1860
1171 HEMORRHOIDS INJECTION / 3 SESS HEMORRHOIDS INJECTION / 3 SESS 5000 5000
1172 DRAINAGE OF SMALL ABSCESS L/A DRAINAGE OF SMALL ABSCESS L/A 1200 1200
1173 POST HEMORRHIOD. DILATATION POST HEMORRHIOD. DILATATION 60 60
1174 VARICOSE VEIN INJECTION VARICOSE VEIN INJECTION 1320 1320
1175 PARACENTESIS ABDOMINAL PARACENTESIS ABDOMINAL 620 620
1176 I&D SUPERFICIAL ABCESS I&D SUPERFICIAL ABCESS 500 500
1177 NAIL REMOVAL FIXED NAIL REMOVAL FIXED 1200 1200
1178 TOE NAIL REMOVAL TOE NAIL REMOVAL 1200 1200
1179 NAIL PUNCTURE NAIL PUNCTURE 125 125
1180 SUTURING SUPERF WOUND W/ANEST/STITCH
 SUTURING SUPERF WOUND W/ANEST/STITCH
 60 60
1181 SUTURE SUPERFICIAL LACERATION SUTURE SUPERFICIAL LACERATION 500 500
1182 FORIGN BODY REMOVAL, SUPERFIC FORIGN BODY REMOVAL, SUPERFIC 2000 2000
1183 NAIL REMOVAL, LOOSE + DRESSING NAIL REMOVAL, LOOSE + DRESSING 1200 1200
1184 HEMATOMA SUBLINGUAL DRAINAGE HEMATOMA SUBLINGUAL DRAINAGE 500 500
1185 HEAMATOMA EVACUATION SMALL HEAMATOMA EVACUATION SMALL 320 320
1186 DRESSING BURN SMALL DRESSING BURN SMALL 300 300
1187 DRESSING BURN MEDIUM DRESSING BURN MEDIUM 400 400
1188 DRESSING BURN LARGE/SITE DRESSING BURN LARGE/SITE 800 800
1189 SMALL DRESSING SMALL DRESSING 50 125
1190 DRESSING MEDIUM DRESSING MEDIUM 75 100
1191 DRESSING LARGE DRESSING LARGE 120 200
1192 STITCHES REMOVAL STITCHES REMOVAL 50 50
2643 ANAL/RECTAL POLYPS ANAL/RECTAL POLYPS 3000 3000
2644 MASS EXCISION MASS EXCISION 3100 3100
2645 REPOSITIONING OF RESERVOIR REPOSITIONING OF RESERVOIR 6250 6250
2646 VASCULAR ANEURISM SMALL EXCISION VASCULAR ANEURISM SMALL EXCISION 2100 2100
2647 THROMBECTOMY + VENOUS PATCH GRAFT THROMBECTOMY + VENOUS PATCH GRAFT
 7250 7250
2648 BREAST BIOPSY BREAST BIOPSY 2500 2500
2649 REVISION OF CIRCUMCISION REVISION OF CIRCUMCISION 4500 4500
2650 DISTAL SPLENO - RENAL SHUNT DISTAL SPLENO - RENAL SHUNT 14500 14500
2651 DECORTICATION/PLE/BEL/LAPAROSCOPIC DECORTICATION/PLE/BEL/LAPAROSCO PIC
 10350 10350
2652 DECORTICATION/PLEURECTOMY/BLTMY OPEN
 DECORTICATION/PLEURECTOMY/BLTM Y OPEN
 8300 8300
2653 AXILLARY SINUS EXCISION AXILLARY SINUS EXCISION 3800 3800
2654 AXILLARY LUMP EXCISION AXILLARY LUMP EXCISION 3100 3100
2655 VARICOSE VEIN LIGATION VARICOSE VEIN LIGATION 5500 5500
2656 MICRODOCHECTOMY (BREAST CYST) MICRODOCHECTOMY (BREAST CYST) 7500 7500
2657 PANCREATICO DUODENECTOMY PANCREATICO DUODENECTOMY 20700 20700
2658 EXCISION OF OLECRANON / SYNOVIUM BURSA
 EXCISION OF OLECRANON / SYNOVIUM BURSA
 8000 8000
2659 NAIL REMOVAL, LOOSE + DRESSING NAIL REMOVAL, LOOSE + DRESSING 1200 1200
2660 HEMATOMA SUBLINGUAL DRAINAGE HEMATOMA SUBLINGUAL DRAINAGE 420 420
2661 HEAMATOMA EVACUATION, SMALL HEAMATOMA EVACUATION, SMALL 250 250
Page 25
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 13 خدمات الجراحة SURGERY SERVICE
بيان المجموعة 1313 خدمات الجراحة SURGERY SERVICE
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2662 HEAMATOMA EVACUATION , LARGE HEAMATOMA EVACUATION , LARGE 1100 1100
2663 DEBRIDEMENT SMALL WOUND DEBRIDEMENT SMALL WOUND 1100 1100
2664 EXCISION OF CLITORIAL CYST EXCISION OF CLITORIAL CYST 1600 1600
2665 ABDOMINAL TAPPING ABDOMINAL TAPPING 420 420
2666 FORIEGN BODY REMOVAL, SUPERFICIAL FORIEGN BODY REMOVAL, SUPERFICIAL
 1100 1100
2667 MEATAL DILATATION MEATAL DILATATION 1100 1100
2668 I&D SUPERFICIAL ABCESS I&D SUPERFICIAL ABCESS 900 900
2669 PERI ANAL HEMATOMA (EXCSN PER EVACUATN)
 PERI ANAL HEMATOMA (EXCSN PER EVACUATN)
 4000 4000
2670 FOREIGN BODY REMOVAL, DEEP FOREIGN BODY REMOVAL, DEEP 2000 2000
2671 AXILLARY BREAST SECONDARY AXILLARY BREAST SECONDARY 1100 1100
2672 TONGUE TIE RELEASE TONGUE TIE RELEASE 1100 1100
2673 DRESSING CHANGE IN O.R./SITE (AREA) DRESSING CHANGE IN O.R./SITE (AREA)
 830 830
2674 SUTURE SUPERFICIAL LACERATION SUTURE SUPERFICIAL LACERATION 1200 1200
2675 SUTURE SUPERFICIAL LACERATION G.A. SUTURE SUPERFICIAL LACERATION G.A.
 2300 2300
2676 CHEST TAPPING CHEST TAPPING 620 620
2677 CIRCUMCISION LESS THAN 1 YEAR CIRCUMCISION LESS THAN 1 YEAR 800 800
2678 EXCISION HEMANGIOMA EXCISION HEMANGIOMA 2100 2100
2679 EXCISION OF HEMANGIOMA LARGE EXCISION OF HEMANGIOMA LARGE 4200 4200
2680 RELEASE OF UNDESCENDED TESTES RELEASE OF UNDESCENDED TESTES 3350 3350
2681 CENTRAL LINE PLACEMENT PER CUTANEOUS
 CENTRAL LINE PLACEMENT PER CUTANEOUS
 1000 1000
2682 FORIGN BODY REMOVAL, INTERNAL ORGAN
 FORIGN BODY REMOVAL, INTERNAL ORGAN
 4150 4150
2683 RECTAL MASS EXCISION THRU ANUS RECTAL MASS EXCISION THRU ANUS 4150 4150
2684 LYMPH NODE EXCISION LYMPH NODE EXCISION 2000 2000
2685 SUEGERY EXAMINATION (G.A) SUEGERY EXAMINATION (G.A) 1100 1100
2686 OESPHAGEAL STRUCTURE REPAIR OESPHAGEAL STRUCTURE REPAIR 12500 12500
2687 SINUS NOSE BRIDGE EXCISION SINUS NOSE BRIDGE EXCISION 2900 2900
2688 SEBACEOUS CYST SEBACEOUS CYST 1500 1500
2689 ANAL IMPERFORATE LOW ANAL IMPERFORATE LOW 7500 7500
2690 INTERCOSTAL TUBE INSERTION UNDER LA INTERCOSTAL TUBE INSERTION UNDER LA
 2500 2500
2691 THROMBECTOMY THROMBECTOMY 10350 10350
2692 SPINCTEROTOMY SPINCTEROTOMY 2500 2500
2693 JEJUNOSTOMY FEEDING TUBE INSERTION JEJUNOSTOMY FEEDING TUBE INSERTION
 2100 2100
2694 EXCISION OF ULCER EXCISION OF ULCER 2100 2100
2695 HERNIOTOMY HERNIOTOMY 6000 6000
2696 AXILLARY BREAST EXCISION UNILATERAL AXILLARY BREAST EXCISION UNILATERAL
 4800 4800
2697 FECAL IMPACTED STOOL EVACUATION FECAL IMPACTED STOOL EVACUATION 2100 2100
2698 BIOPSY INTERAL ORGANS BIOPSY INTERAL ORGANS 2500 2500
2699 TUMOR EXISION SIMPLE TUMOR EXISION SIMPLE 2100 2100
2700 LIPOMA EXCISION LIPOMA EXCISION 2000 2000
2701 LIPOMA EXCISION SMALL LIPOMA EXCISION SMALL 2000 2000
2702 LIPOMA MORE THAN 3 LIPOMA MORE THAN 3 5000 5000
2703 MASTECTOMY PARTIAL MASTECTOMY PARTIAL 10000 10000
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 13 خدمات الجراحة SURGERY SERVICE
بيان المجموعة 1313 خدمات الجراحة SURGERY SERVICE
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2704 MASTECTOMY (MALE) MASTECTOMY (MALE) 12000 12000
2705 ANAL FISTULA BRANCHING ANAL FISTULA BRANCHING 9000 9000
2706 SKIN GRAFT FINGER (SMALL AREA) SKIN GRAFT FINGER (SMALL AREA) 6000 6000
2707 A.V. FISTULA CREATION A.V. FISTULA CREATION 3100 3100
2708 DEBRIDEMENT LARGE WOUND DEBRIDEMENT LARGE WOUND 3100 3100
2709 SCAR CORRECTION, SMALL SCAR CORRECTION, SMALL 2700 2700
2710 SCAR CORRECTION, LARGE SCAR CORRECTION, LARGE 5200 5200
2711 CORRECTION OF HALLUX VALGUS (BUNION)
 CORRECTION OF HALLUX VALGUS (BUNION)
 7100 7100
2712 COLOSTOMY CLOSURE COLOSTOMY CLOSURE 12000 12000
2713 PERCUTANEOUS WIRING PERCUTANEOUS WIRING 2100 2100
2714 TENDON SUPRASPINATUS CALCIFIED TENDON SUPRASPINATUS CALCIFIED 7000 7000
2715 FASIOTOMY FASIOTOMY 5000 5000
2716 PERTUCATENOUS GASTROSTOMY PERTUCATENOUS GASTROSTOMY 8000 8000
2717 SUTURE DEEP LACERATIONS SUTURE DEEP LACERATIONS 4800 4800
2718 REMOVAL OF PLASTIC SUTURES G/A REMOVAL OF PLASTIC SUTURES G/A 1100 1100
2719 EOSOPHAGEALJEJUNOFTOMY RECONSTRUCTION
 EOSOPHAGEALJEJUNOFTOMY RECONSTRUCTION
 12500 12500
2720 TOTAL GASTRECTOMY TOTAL GASTRECTOMY 25000 25000
2721 COLONOSCOPY W/WO BIOPSY COLONOSCOPY W/WO BIOPSY 3500 3500
2722 TENDON RELEASE FINGER/WRIST /DEQUERVAN
 TENDON RELEASE FINGER/WRIST /DEQUERVAN
 6000 6000
2723 GASTROSTOMY, COLOSTOMY GASTROSTOMY, COLOSTOMY 8000 8000
2724 AMPUTATION FINGER OR TOE AMPUTATION FINGER OR TOE 3000 3000
2725 FIBRO ADENOMA EXCISION FIBRO ADENOMA EXCISION 4800 4800
2726 VARICOSE VEINS (ONE SIDE) VARICOSE VEINS (ONE SIDE) 6500 6500
2727 SINUS PILONIDAL EXCISION-CLOSED/OPEN SINUS PILONIDAL EXCISION- CLOSED/OPEN
 6000 6000
2728 LAPAROTOMY - MINI LAPAROTOMY - MINI 10000 10000
2729 EXPLORATION OF WOUND LARGE EXPLORATION OF WOUND LARGE 3100 3100
2730 EXPLORATION OF SMALL WOUND EXPLORATION OF SMALL WOUND 1100 1100
2731 RECTAL BIOPSY RECTAL BIOPSY 2500 2500
2732 COLNOSCOPY WITH POLYPECTOMY COLNOSCOPY WITH POLYPECTOMY 3500 3500
2733 PAROTID DRAINAGE PAROTID DRAINAGE 3100 3100
2734 SIMPLE EXCISION SIMPLE EXCISION 1100 1100
2735 I&D ABCESS WITH GA / LA I&D ABCESS WITH GA / LA 1900 1900
2736 PILONIDAL ABSCESS WITH GENERAL ANAESTH
 PILONIDAL ABSCESS WITH GENERAL ANAESTH
 6000 6000
2737 TOE NAIL REMOVAL & SUTURING TOE NAIL REMOVAL & SUTURING 1200 1200
2738 GASTROSCOPY WITH PROCEDURE GASTROSCOPY WITH PROCEDURE 3100 3100
2739 REMOVAL OF EXCESS FINGER REMOVAL OF EXCESS FINGER 1100 1100
2740 RELEASE OF NECK MUSCLE RELEASE OF NECK MUSCLE 2100 2100
2741 TRIMMING OF FINGER TRIMMING OF FINGER 2100 2100
2742 REFASIONING OF AMPUTATED STUMP REFASIONING OF AMPUTATED STUMP 4200 4200
2743 BIOPSY SUPERFICIAL BIOPSY SUPERFICIAL 1200 1200
2744 INTERCOSTAL TUBE INSERTION L.A. INTERCOSTAL TUBE INSERTION L.A. 2500 2500
2745 INTERCOSTAL TUBE INSERTION G.A. INTERCOSTAL TUBE INSERTION G.A. 2500 2500
2746 SALIVARY STONE SUBMAND REMOVED SALIVARY STONE SUBMAND REMOVED 4500 4500
2747 THROMBOSED PILE REMOVED THROMBOSED PILE REMOVED 5000 5000
Page 27
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 13 خدمات الجراحة SURGERY SERVICE
بيان المجموعة 1313 خدمات الجراحة SURGERY SERVICE
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2748 PERIANAL ABSCESS PERIANAL ABSCESS 6000 6000
2749 PERIANAL SINUS PERIANAL SINUS 6000 6000
2750 CYST/TUMOUR EXCISION SUPER CYST/TUMOUR EXCISION SUPER 1100 1100
2751 PARTIAL RECTAL PROLAP PARTIAL RECTAL PROLAP 9000 9000
2752 CAUTERY OF THE SCROTUM CAUTERY OF THE SCROTUM 2500 2500
2753 ANAL DILATATION ANAL DILATATION 4000 4000
2754 STERNAL PUNCTURE STERNAL PUNCTURE 1100 1100
2755 EXCISION/REPAIR OF CIRCUMSION EXCISION/REPAIR OF CIRCUMSION 4500 4500
2756 HEMORRIHOIDECTOMY HEMORRIHOIDECTOMY 7500 7500
2757 HEMORRIHOIDECTOMY + SIGMOIDOSCOPY HEMORRIHOIDECTOMY + SIGMOIDOSCOPY
 5200 5200
2758 ANAL FISSURECTOMY ANAL FISSURECTOMY 6000 6000
2759 ANAL FISTULA LOW SIMPLE ANAL FISTULA LOW SIMPLE 4500 4500
2760 HIGH ANAL FISTULA - ONE STAGE HIGH ANAL FISTULA - ONE STAGE 9000 9000
2761 VARICOCELES UNILATERAL VARICOCELES UNILATERAL 4500 4500
2762 SPERMATOCELE SPERMATOCELE 6000 6000
2763 HEMATOCELE HEMATOCELE 6000 6000
2764 INFRA RED COAGULATION OF PILES INFRA RED COAGULATION OF PILES 5000 5000
2765 CIRCUMCISION MORE THAN 1 YEAR CIRCUMCISION MORE THAN 1 YEAR 4500 4500
2766 SECONDARY SUTURES SECONDARY SUTURES 1100 1100
2767 CYSTOR TUMOUR LARGE & DEEP CYSTOR TUMOUR LARGE & DEEP 2100 2100
2768 LUMP EXCISION OF THE NECK/BREAST LUMP EXCISION OF THE NECK/BREAST 7500 7500
2769 LAPAROSCOPY DIAGNOSTIC LAPAROSCOPY DIAGNOSTIC 4500 4500
2770 TUMOR EXCISION COMPLEX TUMOR EXCISION COMPLEX 5200 5200
2771 MASTECTOMY (SIMPLE) MASTECTOMY (SIMPLE) 10000 10000
2772 SCAR MULTIPLE CORRECTION SCAR MULTIPLE CORRECTION 6250 6250
2773 GYNAECOMASTIA IN MALES/ONE SIDE GYNAECOMASTIA IN MALES/ONE SIDE 5600 5600
2774 HERNIA INGUINAL/UMBILICAL/FEMO HERNIA INGUINAL/UMBILICAL/FEMO 7500 7500
2775 HERNIA STRANGULATED W/O R.A. HERNIA STRANGULATED W/O R.A. 7500 7500
2776 HERNIA REPAIR+HERNIOPLASTY SMALL HERNIA REPAIR+HERNIOPLASTY SMALL
 7500 7500
2777 HERNIA REPAIR+HERNIOPLASTY LARGE HERNIA REPAIR+HERNIOPLASTY LARGE
 7500 7500
2778 HERNIA RECURRENT REPAIR HERNIA RECURRENT REPAIR 10000 10000
2779 TESTES UNDESCESCENDED INGUINAL TESTES UNDESCESCENDED INGUINAL 4200 4200
2780 EXPLARATION OF COMMON BILE DUCT EXPLARATION OF COMMON BILE DUCT 4200 4200
2781 APPENDECTOMY APPENDECTOMY 8500 8500
2782 MECKELS DIVERTICULECTOMY MECKELS DIVERTICULECTOMY 9500 9500
2783 AMPUTATION IN CASE OF GANGRENE AMPUTATION IN CASE OF GANGRENE 20000 20000
2784 BONE SWELLING EXCISION BONE SWELLING EXCISION 4600 4600
2785 HERNIA INCISE SMALL NO H/PLASTY REPAIR
 HERNIA INCISE SMALL NO H/PLASTY REPAIR
 6000 6000
2786 VARICOSE VEINS BILATERAL VARICOSE VEINS BILATERAL 9000 9000
2787 RECONSTRUCTION OF ANUS RECONSTRUCTION OF ANUS 7500 7500
2788 REMOVAL & RE-INSERTION OF PERMCATH REMOVAL & RE-INSERTION OF PERMCATH
 4200 4200
2789 THYROIDECTOMY PARTIAL THYROIDECTOMY PARTIAL 14000 14000
2790 THYROGLOSSAL CYST OR FISTULA THYROGLOSSAL CYST OR FISTULA 12000 12000
2791 SUBMANDIBULAR GLAND EXISION SUBMANDIBULAR GLAND EXISION 7000 7000
Page 28
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 13 خدمات الجراحة SURGERY SERVICE
بيان المجموعة 1313 خدمات الجراحة SURGERY SERVICE
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2792 TREPHINE TREPHINE 4200 4200
2793 SKIN GRAFT LARGE AREA SKIN GRAFT LARGE AREA 10000 10000
2794 CARPAL TUNNEL SYNDROME SURGERY CARPAL TUNNEL SYNDROME SURGERY 5000 5000
2795 DIVERCATION OF RECTI MUSCULAR REPAIR
 DIVERCATION OF RECTI MUSCULAR REPAIR
 8250 8250
2796 HERNIA DIAPHRAGMATIC REPAIR HERNIA DIAPHRAGMATIC REPAIR 9000 9000
2797 BOWEL ANASTOMOSIS RESECTION BOWEL ANASTOMOSIS RESECTION 21000 21000
2798 GASTRIC/INTESTINAL PERFORATION REPAIR
 GASTRIC/INTESTINAL PERFORATION REPAIR
 21000 21000
2799 BOWEL REPAIR BOWEL REPAIR 21000 21000
2800 FAECAL FISTULA REPAIR FAECAL FISTULA REPAIR 25000 25000
2801 PYLORIC STENOSIS CONGENITAL REPAIR PYLORIC STENOSIS CONGENITAL REPAIR
 5200 5200
2802 SPHINCTEROPLASTY SPHINCTEROPLASTY 5200 5200
2803 LAPAROSCOPIC VARICOCELECTOMY LAPAROSCOPIC VARICOCELECTOMY 4500 4500
2804 EMBOLECTOMY EMBOLECTOMY 13250 13250
2805 VARICOCELES BILATERAL VARICOCELES BILATERAL 6000 6000
2806 ORCHIOPEXY ORCHIOPEXY 5200 5200
2807 APPENDECTOMY LAPAROSCOPIC APPENDECTOMY LAPAROSCOPIC 8500 8500
2808 APPENDICECTOMY & MECKELS DIVER APPENDICECTOMY & MECKELS DIVER 8500 8500
2809 NERVE REPAIR NERVE REPAIR 18000 18000
2810 ARTERY REPAIR ARTERY REPAIR 9600 9600
2811 PARA THYROID EXCISION PARA THYROID EXCISION 14000 14000
2812 VASCULAR GRAFT ARTERY / VEIN VASCULAR GRAFT ARTERY / VEIN 7500 7500
2813 PSEUDO ANIORISM RESECTION PSEUDO ANIORISM RESECTION 6250 6250
2814 HEMICOLECTOMY HEMICOLECTOMY 10700 10700
2815 THORACOSCOPY PROCEED TO THORACOTOMY
 THORACOSCOPY PROCEED TO THORACOTOMY
 14500 14500
2816 PER. GASTROSTOMY GUIDED BY GASTROSCOPY
 PER. GASTROSTOMY GUIDED BY GASTROSCOPY
 8000 8000
2817 HI LIG OF SAPHENOFEMORAL JN & PERFORATOR
 HI LIG OF SAPHENOFEMORAL JN & PERFORATOR
 8300 8300
2818 OMETECTOMY OMETECTOMY 2100 2100
2819 INTERNAL SKIN TRANSPLANTATN INTERNAL SKIN TRANSPLANTATN 6700 6700
2820 SECONDARY SUTURING POST ABDOMINOPLASTY
 SECONDARY SUTURING POST ABDOMINOPLASTY
 4200 4200
2821 SLING OPERATION SLING OPERATION 9000 9000
2822 SEPERATION OF EMBEDDED PENIS FRM SCROTUM
 SEPERATION OF EMBEDDED PENIS FRM SCROTUM
 4200 4200
2823 EXCISION BIOPSY EXCISION BIOPSY 1100 1100
2824 LAPAROSCOPIC REMOVAL OF FOREIGN BODY
 LAPAROSCOPIC REMOVAL OF FOREIGN BODY
 6250 6250
2825 PROCTOSCOPY PROCTOSCOPY 1100 1100
2826 DILATATION OF PAROTID DUCT DILATATION OF PAROTID DUCT 3100 3100
2827 HERNIA STRANG BOWEL ANASTOMOS HERNIA STRANG BOWEL ANASTOMOS 9000 9000
2828 TOE NAIL REMOVER TOE NAIL REMOVER 1200 1200
2829 PERIPHERIAL ANEURYSM REPAIR PERIPHERIAL ANEURYSM REPAIR 11800 11800
2830 PERIPHERIAL ANEURYSM PERIPHERIAL ANEURYSM 19000 19000
2831 HERNIA INCISIONAL W/HERNIOPLAS HERNIA INCISIONAL W/HERNIOPLAS 7500 7500
2832 HERNIA LAPAROSCOPIC HERNIA LAPAROSCOPIC 10000 10000
2833 OESOPH.STRICTURE RELEASE OESOPH.STRICTURE RELEASE 6250 6250
Page 29
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 13 خدمات الجراحة SURGERY SERVICE
بيان المجموعة 1313 خدمات الجراحة SURGERY SERVICE
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2834 LAPAROTOMY LAPAROTOMY 10000 10000
2835 LAPAROTOMY W/ PROCEDURE LAPAROTOMY W/ PROCEDURE 10000 10000
2836 LAPAROSCOPY W/PROCEDURE LAPAROSCOPY W/PROCEDURE 21000 21000
2837 VAGOTOMY W/ OR W/O GASTROENTRO VAGOTOMY W/ OR W/O GASTROENTRO 8300 8300
2838 SYMPATHECTOMY ONE SIDE SYMPATHECTOMY ONE SIDE 8400 8400
2839 PERITONITIS ACUTE PERITONITIS ACUTE 10000 10000
2840 INTESTINAL VOLVULOUS INTESTINAL VOLVULOUS 25000 25000
2841 GASTRECTORY PARTIAL GASTRECTORY PARTIAL 25000 25000
2842 INTESTINAL STRICTURES CONGENITAL INTESTINAL STRICTURES CONGENITAL 6250 6250
2843 CHOLECYSTECTOMY CHOLECYSTECTOMY 18000 18000
2844 LAPOROSCOPY EXPLORATION LAPOROSCOPY EXPLORATION 10000 10000
2845 CHOLECYSTO-ENTROSTOMY CHOLECYSTO-ENTROSTOMY 18000 18000
2846 TRANS DUODENAL SPHINT. PLASTY TRANS DUODENAL SPHINT. PLASTY 6250 6250
2847 HEPATIC CYST EXCISION HEPATIC CYST EXCISION 18000 18000
2848 LIVER ABSCESS LIVER ABSCESS 18000 18000
2849 SPLENECTOMY SPLENECTOMY 18000 18000
2850 LAPAROSCOPIC SPLENECTOMY LAPAROSCOPIC SPLENECTOMY 18000 18000
2851 RECTAL PROLAPSE COMPLETE REPAIR RECTAL PROLAPSE COMPLETE REPAIR 18000 18000
2852 REDUCTION OF RECTAL PROLAPSE REDUCTION OF RECTAL PROLAPSE 1100 1100
2853 MASTECTOMY RADICAL MASTECTOMY RADICAL 10000 10000
2854 THYROIDECTOMY RADICAL THYROIDECTOMY RADICAL 20000 20000
2855 THYROIDECTOMY TOTAL THYROIDECTOMY TOTAL 20000 20000
2856 REVISION OF GORTEX GRAFT REVISION OF GORTEX GRAFT 3100 3100
2857 EXCISION OF EXTRA FINGER OR TOE EXCISION OF EXTRA FINGER OR TOE 2100 2100
2858 SURVICAL LYMPH NODE BIOPSY SURVICAL LYMPH NODE BIOPSY 5000 5000
2859 INTESTINAL CANCER SURGERY INTESTINAL CANCER SURGERY 7500 7500
2860 PANCREATECTOMY PARTIAL /TOTAL PANCREATECTOMY PARTIAL /TOTAL 12500 12500
2861 PELVIC EXCENTRATION TOTAL PELVIC EXCENTRATION TOTAL 11500 11500
2862 PAROTIDECTOMY PAROTIDECTOMY 18000 18000
2863 LAPAROSCOPIC ADHESIOLYSIS LAPAROSCOPIC ADHESIOLYSIS 7500 7500
2864 LAPAROSCOPIC ORCHIOPEXY LAPAROSCOPIC ORCHIOPEXY 6250 6250
2865 STOMACH STAPLING STOMACH STAPLING 8500 8500
2866 INTESTINAL FISTULA REPAIR INTESTINAL FISTULA REPAIR 25000 25000
2867 INTESTINAL ATRESIA REPAIR INTESTINAL ATRESIA REPAIR 8500 8500
2868 FEMORO POPLETEAL BY-PASS FEMORO POPLETEAL BY-PASS 11500 11500
2869 ANTERIOR RESECTION+INTESTINAL ANASTOMOSI
 ANTERIOR RESECTION+INTESTINAL ANASTOMOSI
 8500 8500
2870 FEMORO POSTERIOR TIBIAL FEMORO POSTERIOR TIBIAL 8500 8500
2871 FEMORO PERONEAL FEMORO PERONEAL 8500 8500
2872 AORTO BI-FEMORAL AORTO BI-FEMORAL 27000 27000
2873 AORTIC ANEURYSM AORTIC ANEURYSM 27000 27000
2874 TOTAL RADICAL GASTRECTOMY TOTAL RADICAL GASTRECTOMY 25000 25000
2875 BY-PASS ARTERIAL GRAFTING BY-PASS ARTERIAL GRAFTING 12000 12000
2876 CHOLECYSTECTOMY LAPAROSCOPIC CHOLECYSTECTOMY LAPAROSCOPIC 18000 18000
2877 ORAL CANCER SURGERY RADICAL ORAL CANCER SURGERY RADICAL 11500 11500
2878 SIGMOIDOSCOPY SIGMOIDOSCOPY 2100 2100
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 13 خدمات الجراحة SURGERY SERVICE
بيان المجموعة 1313 خدمات الجراحة SURGERY SERVICE
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2879 VERTICAL BANDING GASTROPLASTY VERTICAL BANDING GASTROPLASTY 11500 11500
2880 PLEURODESIS PLEURODESIS 8500 8500
2881 AMPUTATION LONG BONES AMPUTATION LONG BONES 20000 20000
2882 LAPAROSCOPIC HIGH SEL. VAGOTOMY LAPAROSCOPIC HIGH SEL. VAGOTOMY 12500 12500
2883 LAP . BOWEL TUMOR EX. & ANASTOM LAP . BOWEL TUMOR EX. & ANASTOM 21000 21000
2884 SINUS SKIN EXCISION SINUS SKIN EXCISION 3000 3000
2885 LAPAROSCOPIC NISSEN'S FUNDOPL LAPAROSCOPIC NISSEN'S FUNDOPL 12500 12500
2886 LAPAROSCOPIC GASTRIC BANDING LAPAROSCOPIC GASTRIC BANDING 14500 14500
2887 OPEN GASTRIC BANDING OPEN GASTRIC BANDING 12500 12500
2888 LAPAR. GASTRIC BANDING REMOVAL LAPAR. GASTRIC BANDING REMOVAL 7500 7500
2889 THYROIDECTOMY RECURENT, COMPL. THYROIDECTOMY RECURENT, COMPL. 14000 14000
2890 CHEST TUBE INSERTION(L.A.) CHEST TUBE INSERTION(L.A.) 1200 1200
2891 DIVISION OF ARTERIOVENOUS FISTULA DIVISION OF ARTERIOVENOUS FISTULA 10350 10350
2892 CHEST TUBE INSERTION (G.A) CHEST TUBE INSERTION (G.A) 2500 2500
2893 SINUS EXCISION OF THE PERINEUM SINUS EXCISION OF THE PERINEUM 6000 6000
2894 DRAINAGE DEEP ABSCESS W/ANESTH DRAINAGE DEEP ABSCESS W/ANESTH 3500 3500
2895 HAEMORRHOIDECTOMY HAEMORRHOIDECTOMY 7500 7500
2896 HEMORRIHODES BANDING HEMORRIHODES BANDING 3000 3000
4439 Breast Vacum Suction Breast Vacum Suction 100 100
بيان نوع الخدمة 14 العلاج الطبيعى Physiotherapy
بيان المجموعة 1414 العلاج الطبيعى Physiotherapy
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
486 MASSAGE FOR RELAXATION FOR THE SKIN MASSAGE FOR RELAXATION FOR THE SKIN
 50 50
487 MASSAGE WITH STONE INSTRUMENT MASSAGE WITH STONE INSTRUMENT 250 250
488 MASSAGE WITH OIL PERFUME MASSAGE WITH OIL PERFUME 200 200
489 MASSAGE FOR OILY SKIN MASSAGE FOR OILY SKIN 200 200
490 MASSAGE FOR SCALP MASSAGE FOR SCALP 50 50
491 MEDICAL MASSAGE FOR 3RD DEGREE BURN
 MEDICAL MASSAGE FOR 3RD DEGREE BURN
492 EFFLEURAGE MASSAGE EFFLEURAGE MASSAGE 200 200
493 MASSAGE TAPPING MASSAGE TAPPING 200 200
494 MASSAGE FOR VARICOSE VEIN MASSAGE FOR VARICOSE VEIN 80 80
495 SHIATSU MASSAGE SHIATSU MASSAGE 200 200
1397 NEURO-MUSCULAR REHABILITATION NEURO-MUSCULAR REHABILITATION 125 125
1398 EMG COMPUTERIZED EMG COMPUTERIZED 1250 1250
1399 PHYSIOTHERAPY PHYSIOTHERAPY 1250 1250
1400 POSTNATAL EXERCISES/DAY POSTNATAL EXERCISES/DAY 125 125
1401 HOME VISIT , PHYSICAL THERAPY HOME VISIT , PHYSICAL THERAPY 1000 1000
1402 SHORTWAVE DIATHERMY SHORTWAVE DIATHERMY 150 150
1403 P.T. SESSION FOR INPATIENT /DAY P.T. SESSION FOR INPATIENT /DAY 250 250
1404 LASER THERAPY LASER THERAPY 250 250
1405 INFRARED IRRADIATION INFRARED IRRADIATION 150 150
1406 FARADIC STIMULATION FARADIC STIMULATION 150 150
1407 MUD THERAPY MUD THERAPY 125 125
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 14 العلاج الطبيعى Physiotherapy
بيان المجموعة 1414 العلاج الطبيعى Physiotherapy
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1408 GALVANIC ELECTRIC STIMULATION GALVANIC ELECTRIC STIMULATION 150 150
1409 PARAFIN WAX BATH PARAFIN WAX BATH 150 150
1410 MASSAGE MASSAGE 250 250
1411 AQUA MASSAGE AQUA MASSAGE 250 250
1412 MEDICAL MASSAGE, WHOLE BODDY MEDICAL MASSAGE, WHOLE BODDY 250 250
1413 U/S BMD U/S BMD 370 370
1414 ULTRAVIOLET RADIATION ULTRAVIOLET RADIATION 150 150
1415 ULTRASOUND PHYSICAL THERAPY ULTRASOUND PHYSICAL THERAPY 150 150
1416 TRACTION CERVICAL TRACTION CERVICAL 150 150
1417 WHIRLPOOL WHIRLPOOL 150 150
1418 HYDRO THERAPY HYDRO THERAPY 250 250
1419 HOT MOIST PACK HOT MOIST PACK 150 150
1420 ICE THERAPY ICE THERAPY 150 150
1421 EXERCISE ROUTINE - MINOR EXERCISE ROUTINE - MINOR 150 150
1422 EXERCISE ROUTINE - MAJOR EXERCISE ROUTINE - MAJOR 200 200
1423 C.P.M. C.P.M. 200 200
1424 GAIT TRAINING GAIT TRAINING 200 200
1425 BREATHING EXERCISES BREATHING EXERCISES 150 150
1426 CHEST THERAPY CHEST THERAPY 150 150
1427 ACUPUNCTURE SESSION ACUPUNCTURE SESSION 250 250
1428 ACUPUNCTURE ADD SESSION ACUPUNCTURE ADD SESSION 370 370
1429 MAGNET THERAPY MAGNET THERAPY 125 125
1430 DIDYNAMIC CURRENT DIDYNAMIC CURRENT 125 125
1431 TENS TENS 150 150
1432 INTERFERENTIAL CURRENT INTERFERENTIAL CURRENT 125 125
1433 CERVICAL ADJUSTMENT MANIPULATN CERVICAL ADJUSTMENT MANIPULATN 190 190
1434 THERACIC ADJUSTMENT/MANIPULATN THERACIC ADJUSTMENT/MANIPULATN 190 190
1435 LUMBOSACRAL ADJUST/MANIPULATN LUMBOSACRAL ADJUST/MANIPULATN 190 190
1436 UPPER EXAMITY ADJUST/MANIPUL UPPER EXAMITY ADJUST/MANIPUL 190 190
1437 LOWER EXTREMITY ADJUST/MANIPUL LOWER EXTREMITY ADJUST/MANIPUL 190 190
1438 ACTIVATOR ACTIVATOR 190 190
1439 TRIGGER POINT THERAPY/MANIPUL TRIGGER POINT THERAPY/MANIPUL 190 190
1440 FLEXION/DISTRUCTION (COX TEC) FLEXION/DISTRUCTION (COX TEC) 190 190
1441 NEURO- MUSCULAR EDUCATION NEURO- MUSCULAR EDUCATION 125 125
1442 INTERSEGMENTAL TRACTION CERVCL INTERSEGMENTAL TRACTION CERVCL 125 125
1443 INTERSEGMENTAL TRACTION LUMBAR INTERSEGMENTAL TRACTION LUMBAR 125 125
1444 FLEXIONTRACTION MANUAL FLEXIONTRACTION MANUAL 125 125
1445 ROM - CERVICAL SPINE ROM - CERVICAL SPINE 125 125
1446 ROM - LUMBAR SPINE ROM - LUMBAR SPINE 125 125
1447 ROM - EXTREMITIES ROM - EXTREMITIES 125 125
1448 ACTIVITY OF DAILY LIVING (ADL) ACTIVITY OF DAILY LIVING (ADL) 125 125
1449 KINETIC STRENGTH ACTIVITY KINETIC STRENGTH ACTIVITY 125 125
1450 EXTERNAL U/S ONE SESSION EXTERNAL U/S ONE SESSION 415 415
4595 EFLORAGE MASSAGE EFLORAGE MASSAGE 300 300 0
4596 THIRD DEGREE BURNS MASSAGE THIRD DEGREE BURNS MASSAGE
4597 SHIATSU MASSAGE SHIATSU MASSAGE 300 300 0
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 14 العلاج الطبيعى Physiotherapy
بيان المجموعة 1414 العلاج الطبيعى Physiotherapy
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4598 مساج الحجر البركاني + حمام مغربي VOLCANIC STONE MASSAGE + MOROCCAN BATH
 500 500 0
4599 TAPING MASSAGE TAPING MASSAGE 300 300 0
4600 VARICOSE VEINS MASSAGE VARICOSE VEINS MASSAGE 150 150 0
4601 مساج البودرة البشره الدهنية + حمام مغربي OILY SKIN POWDER MASSAGE + MOROCCAN BATH
 500 500 0
4602 مساج الزيوت العطرية + حمام مغربي AROMATIC OILS MASSAGE + MOROCCAN BATH
 500 500 0
بيان نوع الخدمة 15 الصيدلية والادوية Pharmacy
بيان المجموعة 1515 الصيدلية والادوية Pharmacy
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
343 اصناف الصيدليه اصناف الصيدليه
بيان نوع الخدمة 17 خدمات قسم الأسنان DENTAL
بيان المجموعة 1717 خدمات قسم الأسنان DENTAL
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
148 PFM PFM 550 550 0
151 PERIAPICAL X-RAY PERIAPICAL X-RAY 30 30 0
152 COMPOSITE 1 SURFACE) COMPOSITE 1 SURFACE) 180 180 0
153 COMPOSITE 2 SURFACE) COMPOSITE 2 SURFACE) 220 220 0
154 composite filling 3 surfaces and more composite filling 3surfaces and more 350 350 0
155 composite build up COMPOSITE BUILD UP 420 420 0
156 SCREW POST SCREW POST 250 250 0
157 FIBER POST FIBER POST 300 300 0
158 RCT For (ANT) By Rotarry With Filling RCT For (ANT) By Rotarry With Filling 350 350 0
159 RCT Rttt For (ANT) By Rotarry Or Manual Per Tooth With Filling
 RCT Rttt For (ANT) By Rotarry Or Manual Per Tooth With Filling
 350 350 0
160 RCT For (Post) (Two Canal) By Rotarry Or Manual Per Tooth With Filling
 RCT For (Post) (Two Canal) By Rotarry Or Manual Per Tooth With Filling
 400 400 0
161 RCT Manual Post W/O Filling Per Canal RCT Manual Post W/O Filling Per Canal 550 550 0
162 RCT REttt. Manual Post. W/O Filling Per Canal RCT REttt. Manual Post. W/O Filling Per Canal
 550 550 0
163 بوب ليسيوم PULPUTOMY 190 190 0
164 SCALING And Polishing (GRADE1) SCALING And Polishing (GRADE1) 150 160 0
165 SCALING AND POLISHING (GRADE 2) SCALING AND POLISHING (GRADE 2) 180 180 0
166 SCALING AND POLISHING (GRADE 3) SCALING AND POLISHING (GRADE 3) 230 230 0
167 FISSURE SEALANT (PER TOOTH) FISSURE SEALANT (PER TOOTH) 250 250 0
168 BLEACHING of Theeth BLEACHING of Theeth 900 900 0
171 dental implant (discountable) dental implant (discountable) 4800 4800 0
172 GLASS INOMER FILLING GLASS INOMER FILLING 180 180 0
173 panoramic and cepj=halometric panoramic and cepj=halometric 150 150 0
174 AMALGAM FILLING SIMPLE AMALGAM FILLING SIMPLE 120 120
175 NORMAL EXTRACTION (PEDO) NORMAL EXTRACTION of (PEDO) tooth (ANT,POST) PER TOOTH
 90 90 0
176 FLOURIDE TREATMENT FLOURIDE TREATMENT 220 220 0
177 STAINLESS STEEL CROWN STAINLESS STEEL CROWN 400 400 0
178 SPACE MAINTAINER SPACE MAINTAINER 650 650 0
179 THUMB SUCKING Appliance THUMB SUCKING Appliance 1800 1800 0
Page 33
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 17 خدمات قسم الأسنان DENTAL
بيان المجموعة 1717 خدمات قسم الأسنان DENTAL
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
180 NORMAL EXTRACTION ) NORMAL EXTRACTION 130 130 0
181 NORMAL EXTRACTION (Posterior Adult) NORMAL EXTRACTION (Posterior Adult) 200 200 0
182 IMPRESS INCERAM impress inceram 1200 1200 0
183 LUMINATE VENEER LUMINATE VENEER 1200 1200 0
184 ZIRCON Zircon CRWON per tooth ZIRCON Zircon CRWON per tooth 950 950 0
185 GUM SMILE (PER TOOTH) GUMSMILE (PER TOOTH) 2500 2500 0
186 ACRYLIC PARTIAL DENTURE (one arch) ACRYLIC PARTIAL DENTURE 850 850 0
187 COMPLETE DENTURE (ONE ARCH) COMPLETE DENTURE (ONE ARCH) 1500 1500 0
188 COMPLETE DENTURE chrome cobalt (two arch)
 COMPLETE DENTURE chrome cobalt (two arch)
 4200 4200 0
189 PARTIAL CHROME COBALT Denture (ONE ARCH)
 PARTIAL CHROME COBALT Denture (ONE ARCH)
 1800 1800 0
190 PARTIAL CHROME COBALT Denture (UPPER AND LOWER) arch
 PARTIAL CHROME COBALT Denture (UPPER AND LOWER) arch
 3200 3200 0
191 TEMPORARY CROWN (ACRYLIC) TEMPORARY CROWN (ACRYLIC) 200 200 0
192 DENTURE REPAIR DENTURE REPAIR 180 180 0
193 DENTURE RELINING OR REBASING DENTURE RELINING OR REBASING 700 700 0
194 TOOTH ADDITION TO THE DENTURE (EACH TOOTH)
 TOOTH ADDITION TO THE DENTURE (EACH TOOTH)
 180 180 0
195 LUMINEERS(PER TOOTH) LUMINEERS(PER TOOTH) 1200 1200 0
196 NIGHT GUARD NIGHT GUARD 280 280 0
197 CROWN LENGTHING Per Tooth CROWN LENGTHING Per Tooth 500 500 0
198 TREATMENT OF TEETH SENSITIVITY (Pedo,Adult)
 TREATMENT OF TEETH SENSITIVITY (Pedo,Adult)
 150 150 0
199 METAL CROWN Per Tooth METAL CROWN Per Tooth 450 450 0
200 METAL CROWN WITH (ACRYLIC FACING) Per Tooth
 METAL CROWN WITH (ACRYLIC FACING) Per Tooth
 480 480 0
201 METAL CROWN WITH (CERAMIC FACING) Per Tooth
 METAL CROWN WITH (CERAMIC FACING) Per Tooth
 550 550 0
202 EXTRACTION REMAINING ROOT (ANT.OR POST.(
 EXTRACTION REMAINING ROOT (ANT.OR POST.(
 150 150 0
204 RCT ant. with filling RCT ant. with filling
205 AMALGAM FILLING COMPLEX AMALGAM FILLING COMPLEX 250 260 0
206 RCT REMOVAL BROKEN Inst. U/S Per Tooth RCT REMOVAL BROKEN Inst. U/S Per Tooth
 800 800 0
207 APEXIFICATION (ANT) Per Tooth APEXIFICATION (ANT) Per Tooth 1500 1500 0
208 APEXIFICATION (POST) Per Tooth APEXIFICATION (POST) Per Tooth 2500 2500 0
209 CRYSTAL CEMENTATION CRYSTAL CEMENTATION 180 180 0
210 CERAMIC INLAY Per Tooth CERAMIC INLAY Per Tooth 850 850 0
211 MTA REAPIR SIMPLE Per tooth MTA REAPIR SIMPLE Per tooth 750 750 0
212 MTA REAPIR COMPLEX PER TOOTH MTA REAPIR COMPLEX PER TOOTH 1200 1200 0
213 PULPECTOMY PULPECTOMY (palp ampotation) 300 300 0
214 EXTRACTION R>R SURGICAL EXTRACTION R>R SURGICAL 250 250 0
215 RCT PREMOLAR WITH FILLING RCT PREMOLAR WITH FILLING
216 ADULT EXTRACTION ANT. (SURGICAL) ADULT EXTRACTION ANT. (SURGICAL) 300 300 0
217 ADULT EXTRACTIONPOST. (SURGICAL) ADULT EXTRACTIONPOST. (SURGICAL) 400 400 0
218 APICEECTOMY ANTERIOR APICEECTOMY ANTERIOR 1600 1600 0
219 APICEECTOMY POSTERIOR APICEECTOMY POSTERIOR 1800 1800 0
220 EXTRACTION LOOSE TOOTH EXTRACTION LOOSE TOOTH 80 80 0
221 EXTRACTION IMPACTED WISDOME (SOFT TISSUE)
 EXTRACTION IMPACTED WISDOME (SOFT TISSUE)
 1400 1400 0
222 EXTRACTION IMPACTED WISDOME (BONY) EXTRACTION IMPACTED WISDOME 1400 1500 0
Page 34
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 17 خدمات قسم الأسنان DENTAL
بيان المجموعة 1717 خدمات قسم الأسنان DENTAL
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
(BONY)
223 CROWN REMOVAL CROWN REMOVAL 50 50 0
224 CROWN CEMENTATION /TOOTH CROWN CEMENTATION /TOOTH 100 120 0
225 oral stich of wound ORAL STITCHS OF WOUND 120 150 0
226 INCISION AND DRAINAGE OF ABCESS INCISION AND DRAINAGE OF ABCESS 150 150 0
227 RCT EMERGENCY Per Tooth RCT EMERGENCY Per Tooth 200 200 0
228 REMOVAL GUM ON WISDOM REMOVAL GUM ON WISDOM 200 200 0
229 DRY SOCKET IRRIGATION Adult DRY SOCKET IRRIGATION Adult 180 180 0
230 AVULSED TOOTH REIMPLANTATION AVULSED TOOTH REIMPLANTATION 420 420 0
231 RECEMENTATION JACKET BRIDGE RECEMENTATION JACKET BRIDGE 200 200 0
232 RCT MOLAR WITH FILLING RCT MOLAR WITH FILLING
233 CYST REMOVAL CYST REMOVAL
234 DENTAL IMPLANT Per Tooth DENTAL IMPLANT Per Tooth 5500 5500 0
235 GINGIVAL DEPIGMENTATION Per Tooth GINGIVAL DEPIGMENTATION Per Tooth 900 900 0
236 GINGIVOPLASTY(Arch) GINGIVOPLASTY(Arch) 900 900 0
237 GINGIVECTOMY PER TOOTH GINGIVECTOMY PER TOOTH 300 300 0
238 FRENECTOMY Per frenum FRENECTOMY Per frenum 480 480 0
239 OPERCULECTOMY Per Tooth OPERCULECTOMY Per Tooth 480 480 0
240 SINUS LIFTING SINUS LIFTING 4200 4200 0
241 BONE GRAFT PER 0.5 cc BONE GRAFT PER 0.5cc 1800 1800 0
242 COLLAGEN MEMBRANE COLLAGEN MEMBRANE 580 580 0
243 OPEN FLAP DEBRIDENT PER QUADRANT OPEN FLAP DEBRIDENT PER QUADRANT
 580 580 0
244 FULL MOUTH ROOT PLANNING FULL MOUTH ROOT PLANNING 580 580 0
245 CASTED POST CASTED POST 550 550 0
246 IMPLANT RETAINED OVER DENTURE IMPLANT RETAINED OVER DENTURE 2900 2900 0
247 SURGICAL EXPOSURE TEETH SURGICAL EXPOSURE TEETH 950 950 0
248 ROOT CANAL 1 ROOT INFECTED RCT ROOT CANAL 1 ROOT INFECTED RCT
249 ROOT CANAL 2 ROOTS RCT INFECTED ROOT CANAL 2 ROOTS RCT INFECTED
250 RE ROOT CANAL TTT RCT RE ROOT CANAL TTT RCT
251 EXTRACTION OF IMPACTED REMAINING ROOTS
 EXTRACTION OF IMPACTED REMAINING ROOTS
252 OCCUSAL INTRA ORAL FILM OCCUSAL INTRA ORAL FILM
253 ROOT CANAL 1 ROOT RCT ROOT CANAL 1 ROOT RCT
254 ROOT CANAL 2 ROOTS RCT ROOT CANAL 2 ROOTS RCT
255 ROOT CANAL 3 ROOTS RCT ROOT CANAL 3 ROOTS RCT
256 ROOT CANAL RETENTION SCREW RCT ROOT CANAL RETENTION SCREW RCT
257 PANORAMIC AND CEPHALOMETRIC PANORAMIC AND CEPHALOMETRIC
258 ACRYLIC Partial Denture (one arch ) MORE THAN 3 theeth
 ACRYLIC Partial Denture (one arch ) MORE THAN 3 theeth
 650 650 0
259 ACRYLIC Partial Denture (one arch) LESS THAN 3 Teeth
 ACRYLIC Partial Denture (one arch) LESS THAN 3 Teeth
 650 650 0
260 APICAL SURGERY (rct not included ) APICAL SURGERY (rct not included )
261 BITEWING 2 VIEWS BITEWING 2 VIEWS
262 HALF IMPACTED WOSDOM TOOTH HALF IMPACTED WOSDOM TOOTH 650 650 0
263 occlusal x-ray film occlusal x-ray film
264 denture( fast service) denture( fast service) 2500 2500 0
266 VENEER OR LOMENEIR VENEER OR LOMENEIR 950 950 0
Page 35
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 17 خدمات قسم الأسنان DENTAL
بيان المجموعة 1717 خدمات قسم الأسنان DENTAL
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
267 INCERAM ONE TOOTH INCERAM ONE TOOTH 950 950 0
268 IMPRESS ONE TOOTH IMPRESS ONE TOOTH 950 950 0
269 IMPRESSION IMPRESSION 150 150 0
271 PANORAMIC X-RAY PANORAMIC X- RAY 150 150 0
1313 INCISION OF INTRA ORAL ABSCESS INCISION OF INTRA ORAL ABSCESS 200 200 0
1314 IRRIGATE ABSCESS/SEPTIC SOCKET IRRIGATE ABSCESS/SEPTIC SOCKET 100 100 0
1315 TEETH SCALING AND POLISHING TEETH SCALING AND POLISHING 150 150 0
1317 CURETTAGE & GENGIVAL TREAT/JAW (NON SUR)
 CURETTAGE & GENGIVAL TREAT/JAW (NON SUR)
 200 200 0
1320 FILLING 1 SURFACE FILLING 1 SURFACE 150 300 0
1321 FILLING 2 SURFACE FILLING 2 SURFACE 200 200 0
1322 FILLING BUILD UP FILLING BUILD UP 300 300 0
1325 FILLING COMPOSITE / POST TEETH FILLING COMPOSITE / POST TEETH 300 300 0
1326 SINUS IRRIGATION SINUS IRRIGATION 800 800 0
1327 TEMPORARY FILLING / Conservative TEMPORARY FILLING / Conservative 100 100 0
1328 PERIODONTAL ADD. SESSION PERIODONTAL ADD. SESSION 450 450 0
1335 BIOPSY SUPERFICIAL BIOPSY SUPERFICIAL 900 900 0
1336 GINGIVECTOMY GINGIVECTOMY 900 900 0
1337 GUM FLAP OPERATION 1/2 JAW GUM FLAP OPERATION 1/2 JAW 900 900 0
1338 SINUS MAXILIARY LIFTING SINUS MAXILIARY LIFTING 1800 1800 0
1339 SURGICAL SUTURE 1/2 JAW, G.A. SURGICAL SUTURE 1/2 JAW, G.A. 800 800 0
1340 SUTURING OF LARGE WOUND SUTURING OF LARGE WOUND 800 800 0
1341 SURG. CYST DENT. SMAL/FORGN BODY SURG. CYST DENT. SMAL/FORGN BODY 800 800 0
1342 CYST DENTAL LARGE TREATMENT CYST DENTAL LARGE TREATMENT 1100 1100 0
1343 STITCHES, EACH (DEEP WOUND) STITCHES, EACH (DEEP WOUND) 700 700 0
1344 STITCHES REMOVAL, EACH STITCHES REMOVAL, EACH 50 50 0
1345 CYST DENTAL LARGE TREATMENT / HOUR CYST DENTAL LARGE TREATMENT / HOUR
 1200 1200 0
1346 EPISECTOMY ANTERIOR TEETH WO RCT EPISECTOMY ANTERIOR TEETH WO RCT
 1800 1800 0
1347 SOFT ACRYLIC (DEFLEX) UPPER OR LOWER
 SOFT ACRYLIC (DEFLEX) UPPER OR LOWER
 4800 4800 0
1348 CYSTOR TUMOUR LARGE & DEEP CYSTOR TUMOUR LARGE & DEEP 800 800 0
1349 MOUTH GAURD MOUTH GAURD 800 800 0
1350 CROWN REMOVAL OR CEMENTING CROWN REMOVAL OR CEMENTING 100 100 0
1352 PIT AND FISSURE SEALANT PER TOOTH PIT AND FISSURE SEALANT PER TOOTH 200 200 0
1353 FIXATION OF LOOSE TOOTH, EACH FIXATION OF LOOSE TOOTH, EACH 250 250 0
1354 Night Guard (Pedo,adult) Night Guard (Pedo,adult) 1200 1200 0
1355 OPTURATOR FOR HARD AND SOFT PALAT OPTURATOR FOR HARD AND SOFT PALAT
 12500 12500 0
1356 ATTACHEMENT FOR VITALIUM EACH ATTACHEMENT FOR VITALIUM EACH 12500 12500 0
1357 INLAY CORE + ACRYLIC CROWN INLAY CORE + ACRYLIC CROWN 950 950 0
1358 POST WITH CORE POST WITH CORE 800 800 0
1365 OPTURATOR FOR HARD PALAT OPTURATOR FOR HARD PALAT 5500 5500 0
1382 DOWEL CROWN PORCELAIN DOWEL CROWN PORCELAIN 2200 2200 0
1383 BRIDGES VENER CROWN W/O GOLD EACH BRIDGES VENER CROWN W/O GOLD EACH
 1200 1200 0
1394 O.R & I.F. OF MANDABLE SUBCOND O.R & I.F. OF MANDABLE SUBCOND 8500 8500 0
4585 AMALGAM 1 SURFACE AMALGAM 1 SURFACE 150 150 0
Page 36
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 17 خدمات قسم الأسنان DENTAL
بيان المجموعة 1717 خدمات قسم الأسنان DENTAL
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4586 AMALGAM 2 SURFACE AMALGAM 2 SURFACE 200 200 0
4587 AMALGAM 3 SURFACE AMALGAM 3 SURFACE 300 300 0
4588 COMPOSITE 3 SURFACE) COMPOSITE 3 SURFACE) 300 300 0
4591 panaoramic x ray with orthostudy cast panaoramic x ray with orthostudy cast 450 450 0
4593 EXTRACTION NORMAL teeth / Simple extraction for permanant
 EXTRACTION NORMAL teeth / Simple extraction for permanant
 100 100 0
4594 SCALING $ POLISHING / CLEANING SCALING $ POLISHING / CLEANING 150 150 0
4613 GUM TRAETMENT FOR QUARDRANT GUM TRAETMENT FOR QUARDRANT 150 150 0
4614 FLOURIDE APPLICATION FLOURIDE APPLICATION 200 200 0
4619 Complicated deciduous teeth ext Complicated deciduous teeth ext 150 150 0
4620 deciduous Tooth Extraction(child) milky deciduous Tooth Extraction(child) milky 70 70 0
4622 PULPECTOMY +TEMPORARY FILLING PULPECTOMY +TEMPORARY FILLING 200 200 0
4623 TEMPORARY PLASTIC CROWN TEMPORARY PLASTIC CROWN 100 100 0
4624 GINGIVAL CURRETAGE /QUADRANT GINGIVAL CURRETAGE /QUADRANT 200 200 0
4625 BITEWING X-RAY FILM BITEWING X-RAY FILM 30 30 0
4627 AMALGAM 4 SURFACE AMALGAM 4 SURFACE 300 300 0
4628 AMALGAM BUILD-UP +RETENTION PIN AMALGAM BUILD-UP +RETENTION PIN 300 300 0
4629 COMPOSITE 4 SURFACE OR MORE COMPOSITE 4 SURFACE OR MORE 300 300 0
4630 PRIAPICAL CRYST REMOVAL PRIAPICAL CRYST REMOVAL 280 280 0
4634 ROOT CANAL (3 ROOT) INFECTED RCT ROOT CANAL (3 ROOT) INFECTED RCT 700 800 0
4635 ROOT CANAL (4 ROOT) INFECTED RCT ROOT CANAL (4 ROOT) INFECTED RCT 800 900 0
4636 TEMPORARY METAL CROWN TEMPORARY METAL CROWN 150 100 0
4637 FISSURE SEALANT (ONE TEETH) FISSURE SEALANT (ONE TEETH) 100 100 0
4640 CHILD ANTERIOR(RCT) CHILD ANTERIOR(RCT) 300 300 0
4641 CHILD POSTERIOR CHILD POSTERIOR(RCT) 300 300 0
4646 CBCT FOR IMPLKANTS PT. CBCT FOR IMPLKANTS PT. 400 400 0
4647 FIXED lingual splinting FIXED lingual splinting 700 700 0
4648 gingivectomy gingivectomy 1400 1400 0
4657 Surgical Extraction of (ANT) per tooth Adult Surgical Extraction of (ANT) per tooth Adult 400 400 0
4658 Surgical Extraction of (POST) per tooth Adult Surgical Extraction of (POST) per tooth Adult
 800 800 0
4659 Surgical Extraction of Impacted tooth under (soft tissue) (adult)
 Surgical Extraction of Impacted tooth under (soft tissue) (adult)
 1400 1400 0
4660 Surgical Extraction of Impacted tooth under (bony Tissue) (adult)
 Surgical Extraction of Impacted tooth under (bony Tissue) (adult)
 1800 1800 0
4661 Sinus Lifting Surgical procedure (adult) Sinus Lifting Surgical procedure (adult) 3800 3800 0
4662 Surgical Exposure of canine (adult) Surgical Exposure of canine (adult) 1200 1200 0
4663 Insicion and Drainage of Abscess (Child,Adult) Insicion and Drainage of Abscess (Child,Adult)
 150 150 0
4664 Avulsed Toth Reimplantation (child,adult) Avulsed Toth Reimplantation (child,adult) 700 700 0
4665 Ortho Panoramic Graph (OPG) Ortho Panoramic Graph (OPG) 250 250 0
4672 Fiber Post Fiber Post 400 400 0
4673 Porcelain Fused to Metal Crown Tooth Porcelain Fused to Metal Crown Tooth 550 550 0
4675 Veneer Per Tooth Veneer Per Tooth 1200 1200 0
4676 Remove Crown from tooth Remove Crown from tooth 80 80 0
4677 Recement of Crown to tooth per tooth Recement of Crown to tooth per tooth 80 80 0
4678 Recement of Bridge Recement of Bridge 200 200 0
4679 Recemnt of Veneer Per Tooth Recemnt of Veneer Per Tooth 180 180 0
4680 Partial Denture Repair Partial Denture Repair 200 200 0
Page 37
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 17 خدمات قسم الأسنان DENTAL
بيان المجموعة 1717 خدمات قسم الأسنان DENTAL
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4683 Complet Denture Repair Complet Denture Repair 300 300 0
4684 Impression of one tooth Impression of one tooth 200 200 0
4685 RCT Removal Complex Post Per Tooth RCT Removal Complex Post Per Tooth 700 800 0
4686 APICEOTOMY (ANT) PER TOOTH APICEOTOMY (ANT) PER TOOTH 2200 2200 0
4688 Pulpoctomy Pulpoctomy 400 400 0
4690 Open flap Currtage Per Quadrant Open flap Currtage Per Quadrant 550 550 0
4691 Fluoride Treatment Fluoride Treatment 220 220 0
4692 StanSteel Crown (Pedo) StanSteel Crown (Pedo) 400 400 0
4693 Lip & Cheek Sucking Appliance Lip & Cheek Sucking Appliance 1200 1200 0
4694 Tongue Thrusting Appliance Tongue Thrusting Appliance 1200 1200 0
4695 RCT For (Post) (Three Canal) By Rotarry Or Manual Per Tooth With Filling
 RCT For (Post) (Three Canal) By Rotarry Or Manual Per Tooth With Filling
 0 0 0
4696 RCT Rttt For (Post) (Three Canal) By Rotarry Or Manual Per Tooth With Filling
 RCT Rttt For (Post) (Three Canal) By Rotarry Or Manual Per Tooth With Filling
 0 0 0
4698 OROANTRAL FISTULA PLUG OROANTRAL FISTULA PLUG 0 0 0
بيان نوع الخدمة 18 خدمات قسم النساء والولادة OBG&OBSTET.
بيان المجموعة 1818 خدمات قسم النساء والولادة OBG
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
522 antenatalcare program antenatalcarprogram 1700 1700
1477 MANUAL EVACUATION MANUAL EVACUATION 125 125
1478 RING REMOVAL RING REMOVAL 80 80
1479 CTG MONITOR CTG MONITOR 450 450
1480 I.U.C.D. APPLICATION/REMOVAL I.U.C.D. APPLICATION/REMOVAL 450 450
2531 CERVICAL CAUTERY CERVICAL CAUTERY 600 600
2532 REMOVAL OF NOR IMPLANT REMOVAL OF NOR IMPLANT 400 400
2533 EVACUATION OF VULVAL PER VAGINA HEAMATO
 EVACUATION OF VULVAL PER VAGINA HEAMATO
 3500 3500
2534 EXCISION OF CLITORIAL CYST EXCISION OF CLITORIAL CYST 3500 3500
2535 VULVAL CYST/ABCESS ASPIRATION VULVAL CYST/ABCESS ASPIRATION 3500 3500
2536 CAUTERIZATION OF VULVAL WARTS MULTIPLE
 CAUTERIZATION OF VULVAL WARTS MULTIPLE
 2500 2500
2537 COLPOSCOPY COLPOSCOPY 3000 3000
2538 CIRCULAGE REMOVAL CIRCULAGE REMOVAL 525 525
2539 HYSTROSCOPY DIVISION OF UT. ADHESIONS
 HYSTROSCOPY DIVISION OF UT. ADHESIONS
 4500 4500
2540 IUD REMOVAL UNDER G.A. IUD REMOVAL UNDER G.A. 4500 4500
2541 IUFD EXPULSION IN DR BEFORE 28 WKS IUFD EXPULSION IN DR BEFORE 28 WKS
 4500 4500
2542 CRYO CAUTERY G.A CRYO CAUTERY G.A 3500 3500
2543 CERVICAL POLYPS AVULSION CERVICAL POLYPS AVULSION 2690 2690
2544 OBSTETRIC EXAM GENERAL ANESTH OBSTETRIC EXAM GENERAL ANESTH 2100 2100
2545 OPEN OOPHRECTOMY UNILATERAL OPEN OOPHRECTOMY UNILATERAL 6000 6000
2546 EXCISION OF CERVICAL POLYPS EXCISION OF CERVICAL POLYPS 3000 3000
2547 OBSTETRIC EVACUATION SURGICAL OBSTETRIC EVACUATION SURGICAL 4500 4500
2548 CAUTERIZATION OF VAGINAL SKIN /G.A. CAUTERIZATION OF VAGINAL SKIN /G.A. 2500 2500
2549 D & C D & C 4500 4500
2550 HYSTEROSCOPY + BIOPSY HYSTEROSCOPY + BIOPSY 3500 3500
2551 HYMEN IMPERFORATE INCISION HYMEN IMPERFORATE INCISION 1100 1100
Page 38
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 18 خدمات قسم النساء والولادة OBG&OBSTET.
بيان المجموعة 1818 خدمات قسم النساء والولادة OBG
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2552 ENDOMETRIAL BIOPSY ENDOMETRIAL BIOPSY 2100 2100
2553 POLYPECTOMY FRACT, CURREITAGE POLYPECTOMY FRACT, CURREITAGE 3500 3500
2554 HYSCROSCOPY DIVISION UT. SEPTUM HYSCROSCOPY DIVISION UT. SEPTUM 3500 3500
2555 CONE BIOPSY CONE BIOPSY 3100 3100
2556 HYSTEROSCOPY + POLYPECTOMY HYSTEROSCOPY + POLYPECTOMY 7000 7000
2557 DIAGNOSTIC HYSTOROSCOPY W/BIOPSY DIAGNOSTIC HYSTOROSCOPY W/BIOPSY
 3500 3500
2558 UNILATERAL SALPHYNGO-OOPHRECTOMY UNILATERAL SALPHYNGO- OOPHRECTOMY
 6000 6000
2559 HYSTEROSCOPY+REMOVAL OF IUCD HYSTEROSCOPY+REMOVAL OF IUCD 4500 4500
2560 HYSTEROSCOPY W/ENDOMETRIAL RESECTION
 HYSTEROSCOPY W/ENDOMETRIAL RESECTION
 4500 4500
2561 DOUGLAS' POUCH ABSCESS DRAINAG DOUGLAS' POUCH ABSCESS DRAINAG 5000 5000
2562 D & INSUFLATION D & INSUFLATION 4500 4500
2563 VAGINAL POLYPECTOMY VAGINAL POLYPECTOMY 3000 3000
2564 BARTHOLIN'S CYST EXCISION BARTHOLIN'S CYST EXCISION 3500 3500
2565 HYMENECTOMY HYMENECTOMY 1100 1100
2566 COLPOPERINEORRHAPHY POSTERIOR COLPOPERINEORRHAPHY POSTERIOR 7000 7000
2567 COLPOPERINEORRHAPHY ANTERIOR COLPOPERINEORRHAPHY ANTERIOR 6000 6000
2568 CERVIX AMPUTATION CERVIX AMPUTATION 7000 7000
2569 CERVICAL CERCLAGE CERVICAL CERCLAGE 6000 6000
2570 DELIVERY NORMAL W/ EPISIOTOMY DELIVERY NORMAL W/ EPISIOTOMY 6000 6000
2571 DELIVERY NORMAL DELIVERY NORMAL 6000 6000
2572 DELIVERY FORCEPS/VENTOUS + EPISI DELIVERY FORCEPS/VENTOUS + EPISI 6000 6000
2573 DELIVERY BREECH W/ EPISIOTOMY DELIVERY BREECH W/ EPISIOTOMY 6000 6000
2574 LAPAROSCOPY DIAGNOSTIC LAPAROSCOPY DIAGNOSTIC 4500 4500
2575 TUBAL LIGATION TUBAL LIGATION 5200 5200
2576 CRAINIOTOMY W/ VAG DELIVERY CRAINIOTOMY W/ VAG DELIVERY 2070 2070
2577 REMOVAL / FALLOPIAN TUBE REMOVAL / FALLOPIAN TUBE 6000 6000
2578 HYSTROSCOPY - DIAGNOSTIC HYSTROSCOPY - DIAGNOSTIC 3500 3500
2579 CIRCULAGE (SHIRODKAR'S OP) CIRCULAGE (SHIRODKAR'S OP) 2500 2500
2580 VENTRO SUSPENSION VENTRO SUSPENSION 9000 9000
2581 INTERNAL PODALLIC VERSION INTERNAL PODALLIC VERSION 2500 2500
2582 ANTERIOR CERVICAL MEDIATINASCOPY ANTERIOR CERVICAL MEDIATINASCOPY
 3100 3100
2583 CYST ASPIRATION CYST ASPIRATION 1600 1600
2584 AMNIOCENTESIS (DIAGNOSTIC) AMNIOCENTESIS (DIAGNOSTIC) 2300 2300
2585 CERVICAL BIOPSY CERVICAL BIOPSY 2100 2100
2586 LAPAROTOMY W/ PROCEDURE LAPAROTOMY W/ PROCEDURE 10000 10000
2587 LAPAROTOMY - MINI LAPAROTOMY - MINI 3500 3500
2588 REPAIR OF WOUND SECONDARY SUTURING
 REPAIR OF WOUND SECONDARY SUTURING
 3500 3500
2589 EXCISION/REPAIR OF EPISIOTOMY EXCISION/REPAIR OF EPISIOTOMY 4000 4000
2590 EXCISION HEMANGIOMA EXCISION HEMANGIOMA 3100 3100
2591 MARSUPIALISATION MARSUPIALISATION 3100 3100
2592 METROPLASTY METROPLASTY 4600 4600
2593 VAGINAL/PERINEAL REPAIR VAGINAL/PERINEAL REPAIR 5000 5000
2594 CERVICAL REPAIR CERVICAL REPAIR 5000 5000
2595 DELIVERY TWINS DELIVERY TWINS 6000 6000
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 18 خدمات قسم النساء والولادة OBG&OBSTET.
بيان المجموعة 1818 خدمات قسم النساء والولادة OBG
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2596 OPEN OOPHRECTOMY BILATERAL OPEN OOPHRECTOMY BILATERAL 10000 10000
2597 LAP. SALPINGO-OOPHORECTOMY LAP. SALPINGO-OOPHORECTOMY 10000 10000
2598 LAPAROSCOPY WITH D & C LAPAROSCOPY WITH D & C 4500 4500
2599 LAPAROSCOPIC TUBAL LIGATION LAPAROSCOPIC TUBAL LIGATION 10000 10000
2600 OVARIAN CYSTECTOMY OVARIAN CYSTECTOMY 8000 8000
2601 LAP. OVARIAN CYSTECTOMY LAP. OVARIAN CYSTECTOMY 8000 8000
2602 SALPINGO-OOPHORECTOMY SALPINGO-OOPHORECTOMY 10000 10000
2603 MYOMECTOMY MYOMECTOMY 10000 10000
2604 MYOMECTOMY VAGINAL MYOMECTOMY VAGINAL 10000 10000
2605 HYSTROSCOPY RESECTION OF MYOMA HYSTROSCOPY RESECTION OF MYOMA
 10000 10000
2606 EXCISION OF VAGINA CYST EXCISION OF VAGINA CYST 3500 3500
2607 TUBAL ABCESS DRAINAGE TUBAL ABCESS DRAINAGE 10000 10000
2608 VULVECTOMY SIMPLE VULVECTOMY SIMPLE 6000 6000
2609 FOTHERGILL'S OPERATION FOTHERGILL'S OPERATION 9000 9000
2610 CLASSICAL REPAIR CLASSICAL REPAIR 10000 10000
2611 VAGINAL HYSTERECTOMY VAGINAL HYSTERECTOMY 12000 12000
2612 00PHRECTOMY 00PHRECTOMY 10000 10000
2613 TUBAL PREGNANCY EXCISION TUBAL PREGNANCY EXCISION 10000 10000
2614 HYSTERECTOMY PARTIAL HYSTERECTOMY PARTIAL 12000 12000
2615 CERVICAL DILATATION GA CERVICAL DILATATION GA 4500 4500
2616 INCISION OF VAILVAL ABSESS INCISION OF VAILVAL ABSESS 3500 3500
2617 REMOVAL OF PLACENTA REMOVAL OF PLACENTA 1100 1100
2618 SUTURING OF PERINEAL LACERATION SUTURING OF PERINEAL LACERATION 5000 5000
2619 REMOVL/PLACENTA & SUTRNG/PERINEAL LACERT
 REMOVL/PLACENTA & SUTRNG/PERINEAL LACERT
 5000 5000
2620 LAPAROSCOPIC OVARIAN ELEC/CAUT LAPAROSCOPIC OVARIAN ELEC/CAUT 8000 8000
2621 CAESARIAN SECTION FOR TWIN CAESARIAN SECTION FOR TWIN 12000 12000
2622 LAPAROSCOPY ASSISTED VAGINAL HISTERECTMY
 LAPAROSCOPY ASSISTED VAGINAL HISTERECTMY
 12000 12000
2623 LAPARATOMY W/PROCEDURE LAPARATOMY W/PROCEDURE 10000 10000
2624 LAPAROSCOPIC ECTOPIC PREGNANCY LAPAROSCOPIC ECTOPIC PREGNANCY 10000 10000
2625 LAPAROSCOPIC REMOVAL OF FOREIGN BODY
 LAPAROSCOPIC REMOVAL OF FOREIGN BODY
 4500 4500
2626 LAPAROSCOPIC MYOMECTOMY LAPAROSCOPIC MYOMECTOMY 10000 10000
2627 MYOMECTOMY RECURRENT MYOMECTOMY RECURRENT 10000 10000
2628 CAESARIAN SECTION CAESARIAN SECTION 10000 10000
2629 CAESARIAN SECTION, REPEATED CAESARIAN SECTION, REPEATED 12000 12000
2630 RECURRENT OVARIAN TUMOUR RECURRENT OVARIAN TUMOUR 8000 8000
2631 CAESARIAN SECTION ABD HYSTCTMY CAESARIAN SECTION ABD HYSTCTMY 16000 16000
2632 LAPAROSCOPIC/TUBOPLASTY LAPAROSCOPIC/TUBOPLASTY 10000 10000
2633 HYSTERECTOMY HYSTERECTOMY 16000 16000
2634 RECTO-VAGINAL FISTULA REPAIR RECTO-VAGINAL FISTULA REPAIR 10000 10000
2635 VESICO-VAGINAL FISTULA REPAIR VESICO-VAGINAL FISTULA REPAIR 10000 10000
2636 LAPAROSCOPIC ADHESIOLYSIS LAPAROSCOPIC ADHESIOLYSIS 10000 10000
2637 LAPAROSCOPIC HYSTECTOMY LAPAROSCOPIC HYSTECTOMY 16000 16000
2638 VULVECTOMY RADICAL VULVECTOMY RADICAL 14000 14000
2639 ABDOMINAL PANHYSTERECTOMY ABDOMINAL PANHYSTERECTOMY 16000 16000
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 18 خدمات قسم النساء والولادة OBG&OBSTET.
بيان المجموعة 1818 خدمات قسم النساء والولادة OBG
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2640 HYSTEROTOMY HYSTEROTOMY 12000 12000
2641 HYSTERECTOMY RADICAL HYSTERECTOMY RADICAL 16000 16000
2642 COLPOSCOPY + CERVICAL BIOPSY COLPOSCOPY + CERVICAL BIOPSY 6000 6000
4583 Antenatal care (3rd Visit) Antenatal care (3rd Visit) 0 0 0
4705 ANC 3 MONTHES ANC 3 MONTHES 1200 1200 0
4706 ANC 4 MONTHES ANC 4 MONTHES 1000 1000 0
بيان نوع الخدمة 19 تنويم ADMISSION
بيان المجموعة 1919 تنويم
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2490 INPATIENT CONSULTATION FEES / DAY INPATIENT CONSULTATION FEES / DAY 300 300
2491 SPECIAL NURSING CARE SPECIAL NURSING CARE 500 500
2492 ROOM FIRST CLASS PER DAY ROOM FIRST CLASS PER DAY 1200 1200
2493 ROOM SECOND CLASS PER DAY ROOM SECOND CLASS PER DAY 600 600
2494 ROOM ROYAL SUITE PER DAY ROOM ROYAL SUITE PER DAY 5000 5000
2495 ROOM ISOLATION SPECIAL CARE ROOM ISOLATION SPECIAL CARE 3000 3000
2496 ROOM INTENSIVE CARE PER DAY ROOM INTENSIVE CARE PER DAY 2000 2000
2497 POST ICU COVALESCENCE POST ICU COVALESCENCE 1250 1250
2498 PATIENT COMPANION ACCOMODATION PATIENT COMPANION ACCOMODATION 200 200
2499 ROOM DELUXE SUITE PER DAY ROOM DELUXE SUITE PER DAY 3000 3000
2500 NURSING SERVICE FEE NURSING SERVICE FEE 150 150
2501 OXYGEN PER HOUR OXYGEN PER HOUR 100 100
2502 OXYGEN PER DAY OXYGEN PER DAY 1000 1000
2503 OXYGEN HALF DAY OXYGEN HALF DAY 500 500
2504 INCUBATOR PER DAY INCUBATOR PER DAY 1200 1200
2505 INCUBATOR PORTABLE PER HOUR INCUBATOR PORTABLE PER HOUR 170 170
2506 PHOTOTHERAPY PER DAY PHOTOTHERAPY PER DAY 550 550
2507 VENTILATOR PER DAY VENTILATOR PER DAY 1000 1000
2508 RESPIRATOR PER DAY RESPIRATOR PER DAY 1000 1000
2509 LUMBAR PUNCTURE LUMBAR PUNCTURE 625 625
2510 PHOTOTHERAPY / DAY PHOTOTHERAPY / DAY 500 500
2511 PEDIATRIC EXAMINATION GA PEDIATRIC EXAMINATION GA 1100 1100
2512 PEDIATRIC MANIPULATION GA PEDIATRIC MANIPULATION GA 4000 4000
2513 CHEST PHYSIOTHERAPY 9NEONATE0 CHEST PHYSIOTHERAPY 9NEONATE0 60 60
2514 CATH. SUBCLAVIAN MAHUKAR INSERTION CATH. SUBCLAVIAN MAHUKAR INSERTION
 550 550
2515 CODE BLUE CODE BLUE 2700 2700
2516 BLADDER WASHOUT BLADDER WASHOUT 750 750
2517 COLD COMPRESS COLD COMPRESS 10 10
2518 STEAM INHALATION STEAM INHALATION 65 65
2519 RESPIRATOR / HOUR RESPIRATOR / HOUR 65 65
2520 ENEMA FLEET ENEMA FLEET 150 150
2521 TRACHEOSTOMY COLLAR PHILADELPHIA XL
 TRACHEOSTOMY COLLAR PHILADELPHIA XL
 260 260
2522 ATERIAL LINE INSERTION ATERIAL LINE INSERTION 370 370
2523 CATHETERIZATION FEMORAL CATHETERIZATION FEMORAL 370 370
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 19 تنويم ADMISSION
بيان المجموعة 1919 تنويم
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2524 VENOUS CUTDOWN VENOUS CUTDOWN 620 620
2525 CVP INSERTION / CARE CVP INSERTION / CARE 1000 1000
2526 NGT INSERTION NGT INSERTION 320 320
2527 ARTERIAL LINE INSERTION ARTERIAL LINE INSERTION 370 370
2528 I.V. PUMP / DAY I.V. PUMP / DAY 150 150
2529 EPIDURAL INFILTARATION EPIDURAL INFILTARATION 1250 1250
2530 ANESTHESIA FOR CT OR MRI ANESTHESIA FOR CT OR MRI 750 750
بيان نوع الخدمة 20 خدمات المراجعة FOLLOW UP
بيان المجموعة 2020 خدمات المراجعة RE- Specialist
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
99 follow up Review 0
بيان نوع الخدمة 21 فحص العماله IQAMA CENTER
بيان المجموعة 2121 فحص العماله
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
276 company iqama test company iqama test 140 140
1006 فحص الاقامة IQAMA TEST 280 280
1007 تجديد الاقامة IQAMA RENEWAL 280 280
1008 فحص الموظفين PRE-EMPLOYMENT MEDICAL EXAM 1000 1000
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2201 الابر والمحاليل
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
345 INJ. ADERNALINE INJ. ADERNALINE 30
346 INJ. ATROPHINE INJ. ATROPHINE 20
347 INJ. ALLERFIN INJ. ALLERFIN 25
348 INJ. BUSCOPAN INJ. BUSCOPAN 30
349 INJ. CALCIUM GLUCONATE INJ. CALCIUM GLUCONATE 45
350 INJ . CORDARONE INJ . CORDARONE 60 10.5
351 INJ. DEXAMETHASONE INJ. DEXAMETHASONE 20
352 INJ. DICYNONE INJ. DICYNONE 25
353 INJ. DOPAMINE INJ. DOPAMINE 70
354 INJ. DOBUTAMINE INJ. DOBUTAMINE 110
355 INJ. DIGOXINE INJ. DIGOXINE 70
356 INJ. ISOPTIN INJ. ISOPTIN 130
357 INJ. EUPHYLLINE INJ. EUPHYLLINE 30
358 INJ. LASIX INJ. LASIX 25
359 INJ. SOLU-CORTEF INJ. SOLU-CORTEF 25
360 INJ. VOLTAREN INJ. VOLTAREN 25
361 INJ. ZANTAC INJ. ZANTAC 20
362 INJ. PRIMPERAN INJ. PRIMPERAN 25
363 TYENOL SUPPOSITORX TYENOL SUPPOSITORX 20
365 INJ. SODIUM BICARBONATE INJ. SODIUM BICARBONATE 25
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2201 الابر والمحاليل
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
366 INJ. METROGYL INJ. METROGYL 55
367 INJ. SYNTOCINON INJ. SYNTOCINON 20
368 INJ. TOWAGYL INJ. TOWAGYL 20
369 INJ. DORMICUM INJ. DORMICUM 20
370 INJ. NOOTROPHIL INJ. NOOTROPHIL 25
371 INJ. PHENYTOIN INJ. PHENYTOIN 75
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2202 التطعيمات
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1118 PREVINAR VACCINE PREVINAR VACCINE 730 730
1119 VAXIGRIP VACCINE VAXIGRIP VACCINE 150 150
1120 VARICELLA VACCINE VARICELLA VACCINE 450 450
1121 VACCINATION, HEPATITIS VACCINATION, HEPATITIS 230 230
1122 VACCINATION, POLIO AND DPT VACCINATION, POLIO AND DPT 110 110
1123 VACCINATION, POLIO VACCINATION, POLIO 60 60
1124 VACCINATION, DPT VACCINATION, DPT 230 230
1125 HIBERIX VACCINE HIBERIX VACCINE 130 130
1126 VACCINATION, POLIO AND DT VACCINATION, POLIO AND DT 120 120
1127 VACCINATION, DT VACCINATION, DT 60 60
1128 VACCINATION, MEASLES VACCINATION, MEASLES 70 70
1129 TWINRIX ADULTS VACCINE TWINRIX ADULTS VACCINE 320 320
1130 VACCINATION, MMR VACCINATION, MMR 180 180
1131 VACCINATION, BCG VACCINATION, BCG 120 120
1132 SYNFLORIX VACCINE SYNFLORIX VACCINE 350 350
1133 PEDIACEL VACCINE PEDIACEL VACCINE 320 320
1134 ROTARIX VACCIN ROTARIX VACCIN 550 550
1135 INFANRIX HEXA AMP INFANRIX HEXA AMP 450 450
1136 HAVRIX 1ML (CHILD DOSE)VIAL HAVRIX 1ML (CHILD DOSE)VIAL 230 230
1137 AVAXIM (HEP.A VACCINE)PEDATRIC AVAXIM (HEP.A VACCINE)PEDATRIC 270 270
1138 HIBTITER IM 0.5ML VIAL HIBTITER IM 0.5ML VIAL 220 220
1139 TETAVAX SYRING 0.5ML TETAVAX SYRING 0.5ML 60 60
1140 ACTACEL VACCIN ACTACEL VACCIN 300 300
1141 BCG VACCINE VIAL/10 DOSES BCG VACCINE VIAL/10 DOSES 420 420
1142 INFANRIX IPV HIB INFANRIX IPV HIB 320 320
1143 TUBERCULIN TEST(PPD) SC 1ML=20 DOSES TUBERCULIN TEST(PPD) SC 1ML=20 DOSES
 210 210
1144 ACT-HIB VACCINE 10 MICROGRAM / VIAL ACT-HIB VACCINE 10 MICROGRAM / VIAL
 210 210
1145 RABIES VACCINE RABIES VACCINE 190 190
1146 PNEUMO 23 0.5ML SYRINGE PNEUMO 23 0.5ML SYRINGE 150 150
1147 MENINGOCOCCAL ACWY VACCINE MENINGOCOCCAL ACWY VACCINE 160 160
1148 MENACTRA VACCINE MENACTRA VACCINE 750 750
1149 MENINGOCOCCAL A/C/W/Y (STAFF/FAMILY) MENINGOCOCCAL A/C/W/Y (STAFF/FAMILY)
 160 160
1150 TETRA ACT-HIB 0.5ML SC IM VIALS TETRA ACT-HIB 0.5ML SC IM VIALS 210 210
1151 PNEUMOCOCCAL VACCINE PNEUMOCOCCAL VACCINE 210 210
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2202 التطعيمات
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1152 TRIPACELL 0.5ML IM SC AMPOULES TRIPACELL 0.5ML IM SC AMPOULES 160 160
1153 TYPHOID VACCINE 20 DOSES IN 10ML VIAL TYPHOID VACCINE 20 DOSES IN 10ML VIAL
 130 130
1154 TYPHOID VACCINE 1 DOSE VIAL TYPHOID VACCINE 1 DOSE VIAL 130 130
1155 TRITANIREX HIB VACCINE TRITANIREX HIB VACCINE 225 225
1156 TETRAIMMUNE VACCIN TETRAIMMUNE VACCIN 165 165
1157 INFANRIX VACCINE INFANRIX VACCINE 165 165
1158 INFANRIX HIB VACCINE INFANRIX HIB VACCINE 270 270
1159 ENGERIX B10 HEPATITIS B VACCINE PED ENGERIX B10 HEPATITIS B VACCINE PED
 250 250
1160 ENGERIX B 20 HEPATITIS B VACCIN ADULT ENGERIX B 20 HEPATITIS B VACCIN ADULT
 250 250
1161 INFLUVAC 0.5ML IM SC SYRINGES INFLUVAC 0.5ML IM SC SYRINGES 250 250
1162 ARAMEN MENINGOCOCCAL CONJUGATE ARAMEN MENINGOCOCCAL CONJUGATE
 450 450
1163 MENCEVAX (MENINGICOCL VACCINE) MENCEVAX (MENINGICOCL VACCINE) 450 450
1164 BOOSTRIX VACCINE BOOSTRIX VACCINE 100 100
1165 VACCINATION, MENINGITIS VACCINATION, MENINGITIS 450 450
1166 VACCINATION, CHOLERA VACCINATION, CHOLERA 60 60
1167 PRIORIX TETRA VACCINE PRIORIX TETRA VACCINE 440 440
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
364 multiparine injection2500 multiparine injection2500 22 22
372 NITRODERM PATCH 5MG NITRODERM PATCH 5MG 25
373 NITRODERM PATCH 10MG NITRODERM PATCH 10MG 25
374 ANTI-MENINGITIS ANTI-MENINGITIS 350
375 PANADOL TAB PANADOL TAB 2
376 INJ. TETANUS TOXOID INJ. TETANUS TOXOID 30
377 ANTI-TYPHOID VACCINE ANTI-TYPHOID VACCINE 70
378 INJ. PETHIDINE INJ. PETHIDINE 35
379 INJ. XEFO INJ. XEFO 50
380 INJ. MANNITOL INJ. MANNITOL 75
381 INJ. VALIUM INJ. VALIUM 50
382 INJ. TRAMAL INJ. TRAMAL 30
383 INJ. MORPHINE INJ. MORPHINE 30
384 INJ.INDERAL INJ.INDERAL 100
385 INJ. POTASSIUM CHLORIDE INJ. POTASSIUM CHLORIDE 25
386 INJ. MAGNESIUM SULPHATE INJ. MAGNESIUM SULPHATE 25
387 INJ. LIVOPHED INJ. LIVOPHED 20
388 INJ. METHERGIN INJ. METHERGIN 50
389 INJ. HEPARIN INJ. HEPARIN 250
390 INJ. HUMILIN R INJ. HUMILIN R 120
391 INJ. STREPTOKINASE INJ. STREPTOKINASE 1000
392 INJ. AMINOPHYLLIN INJ. AMINOPHYLLIN 30
393 INJ. AUGMENTIN 1.2MG INJ. AUGMENTIN 1.2MG 60
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
394 INJ. SAMIXON 500MG INJ. SAMIXON 500MG 60
395 INJ.TRIAXONE 1MG INJ.TRIAXONE 1MG 100
396 INJ. ZITHROMAX 500MG INJ. ZITHROMAX 500MG 50
397 INJ. SAMIXONE 1000 MG INJ. SAMIXONE 1000 MG 100
398 INJ.ANTI-TETANUS INJ.ANTI-TETANUS 140
399 INJ. ROCEPHINE 1 GM INJ. ROCEPHINE 1 GM 120
400 INJ.KENACORT OR DIPROFOS INJ.KENACORT OR DIPROFOS 40
401 RISEK VIAL RISEK VIAL 65
402 INJ. NEGACEF 1G INJ. NEGACEF 1G 70
403 INJ. ENOXIRT 1G INJ. ENOXIRT 1G 95
404 INJ. ENOXIRT 500MG INJ. ENOXIRT 500MG 55
405 INJ. ATROVENT INJ. ATROVENT 20
406 INJ. PULMICORT INJ. PULMICORT 25
407 INJ. EPICOCILLIN 1G INJ. EPICOCILLIN 1G 25
408 INJ. EPICOCILLIN 500MG INJ. EPICOCILLIN 500MG 18
409 INJ. DEPOVIT B12 INJ. DEPOVIT B12 20
410 INJ. NEUROBINE INJ. NEUROBINE 25
411 INJ. MIACIN INJ. MIACIN 30
412 INJ. JULMENTINE INJ. JULMENTINE 60
413 INJ. FEROSAC AMP INJ. FEROSAC AMP 90
414 INJ.ZINACEF 1.5 GM INJ.ZINACEF 1.5 GM 70
415 INJ. VANCOLON 500 INJ. VANCOLON 500 80
416 INJ.KONAKION INJ.KONAKION 60
417 INJ. KAPRARTI AMP INJ. KAPRARTI AMP 70
418 INJECTION OUTSIDE INJECTION OUTSIDE 10
419 PERFALGAN INJ PERFALGAN INJ 60
420 NORMAL SALINE NORMAL SALINE 50
421 RINGE SOLUTION RINGE SOLUTION 60
422 RINGE LACTAT SOLUTION RINGE LACTAT SOLUTION 70
423 DEXTROSE 5% DEXTROSE 5% 60
424 DEXTROSE 10% DEXTROSE 10% 70
425 DEXTROSE 25% DEXTROSE 25% 80
426 DEXTROSE 5% NORMAL SALINE DEXTROSE 5% NORMAL SALINE 60
427 1/2 DEXTROSE NORMAL SALINE 1/2 DEXTROSE NORMAL SALINE 70
428 1/4 DEXTROSE NORMAL SALINE 1/4 DEXTROSE NORMAL SALINE 70
429 SUPP. FEVADOL 200mg SUPP. FEVADOL 200mg 15
430 SUPP. FEVADOL 100mg SUPP. FEVADOL 100mg 15
431 SUP. FEVADOL 125mg SUP. FEVADOL 125mg 15
432 SUPP. FEVADOL 250mg SUPP. FEVADOL 250mg 15
433 SUPP. DICLOFENAC 25mg SUPP. DICLOFENAC 25mg 15
434 SUPP. DICLOFENAC 12.5 SUPP. DICLOFENAC 12.5 15
435 FUSIBACT OINTMENT (cream) FUSIBACT OINTMENT (cream) 20
436 MEBO (CREAM) MEBO (CREAM) 20
437 LIDOCAIN (GEL) LIDOCAIN (GEL) 20
438 INJ. AMIKACIN INJ. AMIKACIN 50
439 INJ. CA-GLUCONATE INJ. CA-GLUCONATE 50
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
440 INJ. AMPICILLIN INJ. AMPICILLIN 40
441 INJ. OPRAZOLE INJ. OPRAZOLE 70
442 INJ. CEFTRIAXONE INJ. CEFTRIAXONE 100
443 INJ 2% LIDOCAIN INJ 2% LIDOCAIN 20
444 INJ. LEVOFLOXACIN INJ. LEVOFLOXACIN 100
445 LIDOCAIN SPRAY LIDOCAIN SPRAY 20
446 INJ. 3 NaHCo INJ. 3 NaHCo 40
447 INJ. 4 Mgso INJ. 4 Mgso 40
448 INJ. Dexa INJ. Dexa 30
449 INJ. TETAVAX INJ. TETAVAX 70
450 INJ. SNAKE ANTIVENO INJ. SNAKE ANTIVENO 50
451 INJ. SCORPION ANTIVENOM INJ. SCORPION ANTIVENOM 50
452 INJ. ATROPIN INJ. ATROPIN 30
453 INJ. CIOROFLOXACIN INJ. CIOROFLOXACIN 70
454 INJ. METRONIDAZOLE INJ. METRONIDAZOLE 70
455 INJ. HYDROCORTISONE 250mg INJ. HYDROCORTISONE 250mg 50
456 INJ. HYDROCORTISONE 100mg INJ. HYDROCORTISONE 100mg 40
457 INJ. PANTOPRAZOLE INJ. PANTOPRAZOLE 80
458 INJ. CEFUROXIME INJ. CEFUROXIME 90
459 INJ. CEFTRIAXONE IV 500mg INJ. CEFTRIAXONE IV 500mg 75
460 INJ. DICLOFENAC INJ. DICLOFENAC 30
461 INJ. NEURORUBINE INJ. NEURORUBINE 30
462 INJ. SCOPINAL INJ. SCOPINAL 30
463 INJ. CHLOROHISTOL INJ. CHLOROHISTOL 40
464 INJ. PREMOSAN INJ. PREMOSAN 25
465 INJ. RANITIDINE INJ. RANITIDINE 70
466 SALBUTAMOL SALBUTAMOL 50
467 ATROVENT ATROVENT 50
468 PULMICORT PULMICORT 50
469 TAB. AMLODIPINE TAB. AMLODIPINE 20
470 TAB. CONCORE 5mg TAB. CONCORE 5mg 20
471 TAB. CONCORE 10mg TAB. CONCORE 10mg 20
472 TAB. ASPIRIN TAB. ASPIRIN 20
498 Large Abscess Drainage ( or deep / big ) any area LA
 Large Abscess Drainage ( or deep / big ) any area LA
 300 300
499 Anterior Nasal Pack Anterior Nasal Pack 120 120
500 Tympanometry / AUDIOGRAM&TYMPANOGRAM / PTA ( PURE TONE AUDIOMETRY ) for each one
 Tympanometry / AUDIOGRAM&TYMPANOGRAM / PTA ( PURE TONE AUDIOMETRY ) for each one
 100 100
501 OXYGEN ( O2 ) INHALATION / HOUR OXYGEN ( O2 ) INHALATION / HOUR 20 20
502 CAST REMOVAL CAST REMOVAL 50 50
503 SUTURE (Stitch) REMOVAL SUTURE (Stitch) REMOVAL 10 10
504 EAR PIERCING & Ring ( Earing / Earring ) EAR PIERCING & Ring ( Earing / Earring ) 70 70
505 Dressing, small ( minor ) Dressing, small ( minor ) 20 20
506 MEDIUM DRESSING MEDIUM DRESSING 30 30
507 BIG DRESSING ( MAJOR , Large ) BIG DRESSING ( MAJOR , Large ) 50 50
508 Drainage of a small abscess / superficial any area LA
 Drainage of a small abscess / superficial any area LA
 100 100
Page 46
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
509 Excision Sebaceous cyst Excision Sebaceous cyst 200 200
510 Excision of Small Lipoma Under Local Anesthesia LA
 Excision of Small Lipoma Under Local Anesthesia LA
 200 200
511 Major Dressing burn ( big , Large ) Major Dressing burn ( big , Large ) 100 100
512 Medium Dress Burn Medium Dress Burn 70 70
513 Minor DressBurn ( small ) Minor DressBurn ( small ) 50 50
514 Fleet Enema Fleet Enema 60 60
515 IV CANNULA + Insertion IV CANNULA + Insertion 30 30
516 Skin sensitivity testing Skin sensitivity testing 10 10
517 ( Electro - Cryo - Chemical ) Cautery for every 1 Wart
 ( Electro - Cryo - Chemical ) Cautery for every 1 Wart
 50 50
518 Circumcision (6 - 12 yrs) with Local Anaethesia Circumcision (6 - 12 yrs) with Local Anaethesia
 500 500
519 Unilateral Ear Wash Unilateral Ear Wash 50 50
520 Bilateral Ear Wash Bilateral Ear Wash 80 80
521 Nasogastric ( NG ) Tube Fixation & Gastric Lavage / stomach wash NGT
 Nasogastric ( NG ) Tube Fixation & Gastric Lavage / stomach wash NGT
 100 100
523 IV Fluid Infusion ( IVF ) IV Fluid Infusion ( IVF ) 100 100
524 JOINT TAPING / ASPIRATION SMALL JOINT JOINT TAPING / ASPIRATION SMALL JOINT
 50 50
525 Foreign Body Extraction from nose or ear or throat
 Foreign Body Extraction from nose or ear or throat
 100 100
526 IV injection ( intra venous ) IV injection ( intra venous ) 14 14
527 INJECTION/SC W/O MEDICINE INJECTION/SC W/O MEDICINE 10 10
528 Removal ( excision ) OF BARTHolin CYST Removal ( excision ) OF BARTHolin CYST 200 200
529 CALLUS EXCISION / callous CALLUS EXCISION / callous 200 200
530 LOCAL INJECTION TO (JOINT OR TENDON / INTRA LESIONAL / Subconjunctival / Intra-C
 LOCAL INJECTION TO (JOINT OR TENDON / INTRA LESIONAL / Subconjunctival / Intra-C
 100 100
531 Ant + Post Nasal Packs one side Ant + Post Nasal Packs one side 200 200
532 Cautery cervical errosion ( chelical or electrical or thermal )
 Cautery cervical errosion ( chelical or electrical or thermal )
 600 600
533 Removal of Subcutaneous Foreign Body LA Removal of Subcutaneous Foreign Body LA 200 200
534 Removal of Cervical polyp & cautery Removal of Cervical polyp & cautery 300 300
535 Steam + drug by NEBULIZER or with Oxygen / nebulization set
 Steam + drug by NEBULIZER or with Oxygen / nebulization set
 40 40
536 Dressing For Diabetic Foot ( 1 foot ) Dressing For Diabetic Foot ( 1 foot ) 200 200
537 LACRIMAL PASSAGE SYRINGING & WASH LACRIMAL PASSAGE SYRINGING & WASH
 150 150
538 HOLTER MONITORING / DAY HOLTER MONITORING / DAY 300 300
539 Posterior nasal pack Posterior nasal pack 120 120
540 POP CAST BELOW ELBOW / KNEE FOR CHILD (GYPSONA) / short leg or arm
 POP CAST BELOW ELBOW / KNEE FOR CHILD (GYPSONA) / short leg or arm
 250 250
541 POP CAST BELOW ELBOW / KNEE FOR CHILD (SCOTCH) / short leg or arm
 POP CAST BELOW ELBOW / KNEE FOR CHILD (SCOTCH) / short leg or arm
 300 300
542 POP CAST ABOVE ELBOW / KNEE FOR CHILD (GYPSONA) / long leg or arm
 POP CAST ABOVE ELBOW / KNEE FOR CHILD (GYPSONA) / long leg or arm
 300 300
543 POP CAST ABOVE ELBOW / KNEE FOR CHILD (SCOTCH) / long leg or arm
 POP CAST ABOVE ELBOW / KNEE FOR CHILD (SCOTCH) / long leg or arm
 350 350
544 POP CAST BELOW ELBOW / KNEE FOR ADULT (GYPSONA) / short leg or arm
 POP CAST BELOW ELBOW / KNEE FOR ADULT (GYPSONA) / short leg or arm
 300 300
545 POP CAST BELOW ELBOW / KNEE FOR ADULT (SCOTCH) /short leg or arm
 POP CAST BELOW ELBOW / KNEE FOR ADULT (SCOTCH) /short leg or arm
 350 350
546 POP CAST ABOVE ELBOW / KNEE FOR ADULT (GYPSONA) / long leg or arm
 POP CAST ABOVE ELBOW / KNEE FOR ADULT (GYPSONA) / long leg or arm
 350 350
547 POP CAST ABOVE ELBOW / KNEE FOR ADULT (SCOTCH) / long leg or arm
 POP CAST ABOVE ELBOW / KNEE FOR ADULT (SCOTCH) / long leg or arm
 400 400
Page 47
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
548 ECG WITH REPORT ECG WITH REPORT 100 100
549 UNILATERAL EAR SUCTION ( one ear ) UNILATERAL EAR SUCTION ( one ear ) 40 40
550 REMOVAL OF URETHERAL / URINE CATHETER
 REMOVAL OF URETHERAL / URINE CATHETER
 25 25
551 CTG (CARDIO TOPGRAPHY) (FETAL HEART)
 CTG (CARDIO TOPGRAPHY) (FETAL HEART)
 120 120
552 FB REMOVAL eye FB REMOVAL eye 100 100
553 CHALAZION EXCISION LA CHALAZION EXCISION LA 200 200
554 1% W-V LIDOCAINE HCL INJECTION USP 1% W-V LIDOCAINE HCL INJECTION USP
 22 22
555 15% W-V POTASSIUM CHLORIDE FOR INJ. USP
 15% W-V POTASSIUM CHLORIDE FOR INJ. USP
 15 15
556 2% W-V LIDOCAINE HCL INJECTION USP 2% W-V LIDOCAINE HCL INJECTION USP
 18 18
557 ACLASTA 5MG-100ML SOLUTION FOR Infusion
 ACLASTA 5MG-100ML SOLUTION FOR Infusion
 4077 4077
558 ACTACEL VACCINE ACTACEL VACCINE 299 299
559 ACTILYSE SET(2VLS+2SOLV&INFSET) ACTILYSE SET(2VLS+2SOLV&INFSET) 6471 6471
560 ACTRAPID ACTRAPID 140 140
561 ADENOCOR 6MG-2ML VIAL ADENOCOR 6MG-2ML VIAL 67 67
562 ADENOHARDT 30MG/10ML SOLUTION FOR INFUSION
 ADENOHARDT 30MG/10ML SOLUTION FOR INFUSION
 140 140
563 ADENOHARDT 6MG/2ML SOLUTION FOR INFUSION
 ADENOHARDT 6MG/2ML SOLUTION FOR INFUSION
 62 62
564 ADRIBLASTINA 10MG VIAL & SOLV ADRIBLASTINA 10MG VIAL & SOLV 67 67
565 ADRIBLASTINA 50MG VIAL & SOLV ADRIBLASTINA 50MG VIAL & SOLV 244 244
566 AGGRASTAT 0.25MG/ML I.V. VIAL AGGRASTAT 0.25MG/ML I.V. VIAL 2460 2460
567 AIMAFIX 500I.U. POW. FOR SOLU. FOR INFU AIMAFIX 500I.U. POW. FOR SOLU. FOR INFU
 1119 1119
568 ALBUMINATIVE 20% I.V. ALBUMINATIVE 20% I.V. 441 441
569 ALBUTEIN 20% SOLN. FOR INJ ALBUTEIN 20% SOLN. FOR INJ 352 352
570 ALEXAN 20MG-1ML VIAL ALEXAN 20MG-1ML VIAL 42 42
571 ALEXAN 50MG-ML VIAL ALEXAN 50MG-ML VIAL 159 159
572 ALIMTA 500MG POWDER FOR SOLUTION FOR INFUSION
 ALIMTA 500MG POWDER FOR SOLUTION FOR INFUSION
 11654 11654
573 ALPHANATE 250 IU VIAL+5ML DILUENT ALPHANATE 250 IU VIAL+5ML DILUENT 852 852
574 AMBISOME 50 MG VIAL AMBISOME 50 MG VIAL 899 899
575 AMOCLAN 1.2 GM VIAL AMOCLAN 1.2 GM VIAL 39 39
576 AMOCLAN 600MG VIAL AMOCLAN 600MG VIAL 27 27
577 AMOXIL VIALS 500 MG AMOXIL VIALS 500 MG 24 24
578 AMOXIPLUS 1.2GM POWDER FOR INJECTION
 AMOXIPLUS 1.2GM POWDER FOR INJECTION
 22 22
579 AMPICILLIN 1GM POWDER FOR IV AND IM INJECTION
 AMPICILLIN 1GM POWDER FOR IV AND IM INJECTION
 18 18
580 AMPICILLIN 500MG POWDER FOR IV AND IM INJECTION
 AMPICILLIN 500MG POWDER FOR IV AND IM INJECTION
 16 16
581 AMPIPLUS 1.5GM POWDER FOR INJECTION AMPIPLUS 1.5GM POWDER FOR INJECTION
 40 40
582 ANZATAX 6MG-ML VIAL ANZATAX 6MG-ML VIAL 1165 1165
583 APIDRA 100 U- ML Injection APIDRA 100 U- ML Injection 69 69
584 ARAMEN POWDER SOLUTION FOR INJECTION (VIAL+VIAL)
 ARAMEN POWDER SOLUTION FOR INJECTION (VIAL+VIAL)
 503 503
585 ARAPENTA Injection ARAPENTA Injection 172 172
586 ATROVENT 250MCG-2ML UDV (SOLUTION FOR INHALATION)
 ATROVENT 250MCG-2ML UDV (SOLUTION FOR INHALATION)
 13 13
587 ATROVENT 500MCG-2ML UDV (SOLUTION ATROVENT 500MCG-2ML UDV 15 15
Page 48
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
FOR INHALATION) (SOLUTION FOR INHALATION)
588 AUGMENTIN 1.2GM VIAL AUGMENTIN 1.2GM VIAL 51 51 0
589 AUGMENTIN 600MG VIAL AUGMENTIN 600MG VIAL 30 30
590 AVONEX 30MCG LYOPHILIZED POWDER FOR INJ
 AVONEX 30MCG LYOPHILIZED POWDER FOR INJ
 2369 2369
591 BCG VACCINE SSI 0.75MG-VIAL BCG VACCINE SSI 0.75MG-VIAL 137 137
592 BENEFIX 1000 I.U. POWDER FOR SOLUTION FOR INJECTION
 BENEFIX 1000 I.U. POWDER FOR SOLUTION FOR INJECTION
 7618 7618
593 BENEFIX 2000 I.U. POWDER FOR SOLUTION FOR INJECTION
 BENEFIX 2000 I.U. POWDER FOR SOLUTION FOR INJECTION
 15227 15227
594 BENEFIX 250 I.U. POWDER FOR SOLUTION FOR INJECTION
 BENEFIX 250 I.U. POWDER FOR SOLUTION FOR INJECTION
 1912 1912
595 BENEFIX 500 I.U. POWDER FOR SOLUTION FOR INJECTION
 BENEFIX 500 I.U. POWDER FOR SOLUTION FOR INJECTION
 3814 3814
596 BENLYSTA 120MG POWDER FOR SOLUTION FOR INFUSION
 BENLYSTA 120MG POWDER FOR SOLUTION FOR INFUSION
 915 915
597 BENLYSTA 400MG POWDER FOR SOLUTION FOR INFUSION
 BENLYSTA 400MG POWDER FOR SOLUTION FOR INFUSION
 3028 3028
598 BETAFERON 8MIU\ML VIAL BETAFERON 8MIU\ML VIAL 688 688
599 BLEOCIN 15MG VIAL BLEOCIN 15MG VIAL 204 204
600 BOOSTRIX 0.5 ML SUSPENSION FOR INJECTION VACCINE
 BOOSTRIX 0.5 ML SUSPENSION FOR INJECTION VACCINE
 136 136
601 BOTOX 100UNITS BOTOX 100UNITS 1886 1886
602 BRAVELLE 75IU POWDER FOR SOLU. FOR INJ
 BRAVELLE 75IU POWDER FOR SOLU. FOR INJ
 116 116
603 BRIETAL SODIUM 500MG - 50ML VIAL BRIETAL SODIUM 500MG - 50ML VIAL 41 41
604 BUCAINE 0.25% VIAL BUCAINE 0.25% VIAL 43 43
605 BUCAINE 0.5% VIAL BUCAINE 0.5% VIAL 44 44
606 BUMINATE 25% BOTTLE FOR I.V ADMINISTERAT
 BUMINATE 25% BOTTLE FOR I.V ADMINISTERAT
 152 152
607 CALCIUM FOLINATE (EBEWE) 10MG-ML VIAL
 CALCIUM FOLINATE (EBEWE) 10MG-ML VIAL
 377 377
608 CALCIUM FOLINATE 50MG-5ML VIAL CALCIUM FOLINATE 50MG-5ML VIAL 174 174
609 CAMPTO 100MG-5ML VIAL FOR I.V INFUSION
 CAMPTO 100MG-5ML VIAL FOR I.V INFUSION
 1762 1762
610 CANCIDAS 50 MG VIAL CANCIDAS 50 MG VIAL 5107 5107
611 CANCIDAS 70 MG VIAL CANCIDAS 70 MG VIAL 6493 6493
612 CARBOPLATIN "EBEWE" 50MG-5ML CARBOPLATIN "EBEWE" 50MG-5ML 356 356
613 CARBOPLATIN 10MG-ML VIAL CARBOPLATIN 10MG-ML VIAL 903 903
614 CAVERJECT 20MCG VIAL CAVERJECT 20MCG VIAL 156 156
615 CEFAXON 1GM I.M+5 ML LIDOCAINE VIAL CEFAXON 1GM I.M+5 ML LIDOCAINE VIAL
 106 106
616 CEFAXON 1GM I.V VIAL CEFAXON 1GM I.V VIAL 106 106
617 CEFAXON 500 MG I.M+5 ML LIDOCAINE VIAL CEFAXON 500 MG I.M+5 ML LIDOCAINE VIAL
 69 69
618 CEFAXON 500 MG I.V VIAL CEFAXON 500 MG I.V VIAL 69 69
619 CEFAZOLIN 0.5GM VIAL CEFAZOLIN 0.5GM VIAL 23 23
620 CEFAZOLIN 1GM VIAL CEFAZOLIN 1GM VIAL 32 32
621 CEFIZOX 1000 VIAL I-V CEFIZOX 1000 VIAL I-V 71 71
622 CEFIZOX 1000MG I-M VIAL+SOLV 0.5%LIDOCAI
 CEFIZOX 1000MG I-M VIAL+SOLV 0.5%LIDOCAI
 71 71
623 CEFIZOX 2000 VIAL CEFIZOX 2000 VIAL 122 122
624 CEFIZOX 500 VIAL I-V CEFIZOX 500 VIAL I-V 48 48
625 CEFIZOX 500MG I-M VIAL+SOLV 0.5%LIDOCAIN
 CEFIZOX 500MG I-M VIAL+SOLV 0.5%LIDOCAIN
 48 48
626 CEFOBID 1GM VIAL I-M & I-V CEFOBID 1GM VIAL I-M & I-V 51 51
Page 49
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
627 CEFOBID 2GM VIAL I-M & I-V CEFOBID 2GM VIAL I-M & I-V 81 81
628 CEFOFIX 1.5 GM VIAL CEFOFIX 1.5 GM VIAL 50 50
629 CEFOFIX 750 MG VIALS CEFOFIX 750 MG VIALS 32 32
630 CEFROM 1GM VIAL+10ML WATER FOR INFUSION
 CEFROM 1GM VIAL+10ML WATER FOR INFUSION
 171 171
631 CEFROM 2GM VIAL+20ML WATER FOR INFUSION
 CEFROM 2GM VIAL+20ML WATER FOR INFUSION
 297 297
632 CEFROM 500MG VIAL+5ML WATER FOR INFUSION
 CEFROM 500MG VIAL+5ML WATER FOR INFUSION
 109 109
633 CEFTAX 1000MG VIAL+SOLVENT CEFTAX 1000MG VIAL+SOLVENT 85 85
634 CEFTAX 500MG VIAL+SOLVENT CEFTAX 500MG VIAL+SOLVENT 57 57
635 CEFUZIME 750 MG INJECTION,I.M - I.V VIAL CEFUZIME 750 MG INJECTION,I.M - I.V VIAL
 30 30
636 CEPHRADINE -TABUK 1GM VIAL(I.V-I.M) CEPHRADINE -TABUK 1GM VIAL(I.V-I.M) 22 22
637 CEPHRADINE -TABUK 500MG VIAL (I.V-I.M) CEPHRADINE -TABUK 500MG VIAL (I.V- I.M)
 17 17
638 CEPROTIN 1000 IU POWDER FOR SOLUTION FOR INJECTION OR INFUSION
 CEPROTIN 1000 IU POWDER FOR SOLUTION FOR INJECTION OR INFUSION
 19203 19203
639 CEPROTIN 500 IU POWDER FOR SOLUTION FOR INJECTION OR INFUSION
 CEPROTIN 500 IU POWDER FOR SOLUTION FOR INJECTION OR INFUSION
 9607 9607
640 CERNEVIT INJECTION CERNEVIT INJECTION 60 60
641 CERVARIX VACCINE CERVARIX VACCINE 543 543
642 CETROTIDE 0.25MG POW. FOR SOLU. FOR INJ.
 CETROTIDE 0.25MG POW. FOR SOLU. FOR INJ.
 323 323
643 CETROTIDE 3MG POW. FOR SOLU. FOR INJ. CETROTIDE 3MG POW. FOR SOLU. FOR INJ.
 1887 1887
644 CHORIOMON 1000 I.U VIAL+AMP OF SOLVENT
 CHORIOMON 1000 I.U VIAL+AMP OF SOLVENT
 20 20
645 CHORIOMON 5000 I.U VIAL+AMP OF SOLVENT
 CHORIOMON 5000 I.U VIAL+AMP OF SOLVENT
 105 105
646 CIFLOX 200MG-100ML I.V. INFUSION CIFLOX 200MG-100ML I.V. INFUSION 137 137
647 CIPROBAY 200 VIAL CIPROBAY 200 VIAL 237 237
648 CISPLATIN 0.5MG-ML INJ. CISPLATIN 0.5MG-ML INJ. 59 59
649 CISPLATIN 1MG-1ML VIAL CISPLATIN 1MG-1ML VIAL 119 119
650 CISPLATYL 10MG VIAL CISPLATYL 10MG VIAL 67 67
652 CISPLATYL 25MG VIAL CISPLATYL 25MG VIAL 125 125
653 CISPLATYL 50MG VIAL CISPLATYL 50MG VIAL 143 143
654 CLAFO 0.5GM POWDER FOR INJ. I.M I.V VIAL
 CLAFO 0.5GM POWDER FOR INJ. I.M I.V VIAL
 19 19
655 CLAFO 1GM POWDER FOR INJ. I.M I.V VIAL CLAFO 1GM POWDER FOR INJ. I.M I.V VIAL
 26 26
656 CLAFORAN 1 GM I.V. VIAL CLAFORAN 1 GM I.V. VIAL 100 100
657 CLAFORAN 1 GM (LIDOCAINE) IM VIAL CLAFORAN 1 GM (LIDOCAINE) IM VIAL 100 100
658 CLAFORAN 500 MG I.M.-I.V.VIALS CLAFORAN 500 MG I.M.-I.V.VIALS 66 66
659 CLAFOTAX 1GM I.M VIAL CLAFOTAX 1GM I.M VIAL 69 69
660 CLAFOTAX 1GM I.V VIAL CLAFOTAX 1GM I.V VIAL 69 69
661 CLAFOTAX 500MG I.V VIAL CLAFOTAX 500MG I.V VIAL 47 47
662 CLINDAMYCIN PHOSPHATE 150MG-ML INJ CLINDAMYCIN PHOSPHATE 150MG-ML INJ
 52 52
663 CLOXA 1000MG VIAL CLOXA 1000MG VIAL 15 15
664 CLOXA 500MG VIAL CLOXA 500MG VIAL 14 14
665 CONFORTID INJ I.V 50MG CONFORTID INJ I.V 50MG 77 77
666 CURAM 1.2GM POW. FOR SOLN. FOR INJECTION- INFUSION
 CURAM 1.2GM POW. FOR SOLN. FOR INJECTION- INFUSION
 23 23
Page 50
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
667 CURAM 2.2GM POW. FOR SOLN. FOR INJECTION- INFUSION
 CURAM 2.2GM POW. FOR SOLN. FOR INJECTION- INFUSION
 32 32
668 CURAM 600MG POW. FOR SOLN. FOR INJECTION- INFUSION
 CURAM 600MG POW. FOR SOLN. FOR INJECTION- INFUSION
 18 18
669 CYCLOPHOSPHAMIDE 1000MG VIAL CYCLOPHOSPHAMIDE 1000MG VIAL 47 47
670 CYCLOPHOSPHAMIDE 100MG VIAL CYCLOPHOSPHAMIDE 100MG VIAL 17 17
671 CYCLOPHOSPHAMIDE 200MG VIAL CYCLOPHOSPHAMIDE 200MG VIAL 19 19
672 CYTARABINE 100MG-1ML VIAL CYTARABINE 100MG-1ML VIAL 131 131
673 CYTOSAR 1GM VIAL I.V CYTOSAR 1GM VIAL I.V 309 309
674 CYTOSAR VIAL 100 MG CYTOSAR VIAL 100 MG 52 52
675 CYTOSAR VIAL 500MG CYTOSAR VIAL 500MG 175 175
676 D.T.Coq VACCINE D.T.Coq VACCINE 32 32
677 DAUNOBLASTINA 20MG VIAL+SOLV DAUNOBLASTINA 20MG VIAL+SOLV 46 46
678 DBL ACYCLOVIR 250MG-10ML VIAL DBL ACYCLOVIR 250MG-10ML VIAL 95 95
679 DBL ACYCLOVIR I,V 500MG-20ML VIAL DBL ACYCLOVIR I,V 500MG-20ML VIAL 177 177
680 DECAPEPTYL DEPOT NOVUM 3.75MG VIAL+SOLVT
 DECAPEPTYL DEPOT NOVUM 3.75MG VIAL+SOLVT
 1409 1409
681 DEPAKINE 400MG-4ML POWDER FOR INJECTION
 DEPAKINE 400MG-4ML POWDER FOR INJECTION
 132 132
682 DEPO MEDROL VIAL 40MG-ML SAS DEPO MEDROL VIAL 40MG-ML SAS 72 72
683 DEPO-PROVERA VIAL I-M 150MG-ML DEPO-PROVERA VIAL I-M 150MG-ML 130 130
684 DESFERAL VIAL 500MG DESFERAL VIAL 500MG 59 59
685 DETICENE 100MG I.V VIAL+SOLV 10ML AMP DETICENE 100MG I.V VIAL+SOLV 10ML AMP
 37 37
686 DETICENE 200MG I.V VIAL DETICENE 200MG I.V VIAL 66 66
687 D-GAM 250IU VIAL D-GAM 250IU VIAL 324 324
688 D-GAM 500IU VIAL D-GAM 500IU VIAL 513 513
689 D-GAM 1500 IU VAIL D-GAM 1500 IU VAIL 827 827
690 D-GAM 2500IU VIAL D-GAM 2500IU VIAL 1692 1692
691 DIAMOX VIALS 500 MG DIAMOX VIALS 500 MG 43 43
692 DIBEKACIN MEIJI DIBEKACIN MEIJI 61 61
693 DIPRIVAN VIAL 10MG-ML DIPRIVAN VIAL 10MG-ML 147 147
694 DOBUTAMINE HCL 250MG-20ML VIAL DOBUTAMINE HCL 250MG-20ML VIAL 73 73
695 DOBUTREX 250 MG VIAL DOBUTREX 250 MG VIAL 74 74
696 DOCETAXEL HOSPIRA DOCETAXEL HOSPIRA 1173 1173
697 DOPAMIN HCL 40MG-ML INJ VIAL DOPAMIN HCL 40MG-ML INJ VIAL 77 77
698 DORAL S.F 1000MG VIAL DORAL S.F 1000MG VIAL 24 24
699 DORAL S.F 500MG VIAL DORAL S.F 500MG VIAL 18 18
700 DORIBAX 500MG/VIAL POWDER FOR INFUSION
 DORIBAX 500MG/VIAL POWDER FOR INFUSION
 204 204
701 DOTAREM 0.5MOL-L GLASS BOTTLE W- STOPPER
 DOTAREM 0.5MOL-L GLASS BOTTLE W- STOPPER
 505 505
702 DOXORUBICIN 2MG-MLVIAL DOXORUBICIN 2MG-MLVIAL 61 61
703 DRIED FACTOR VIII TYPE 8Y 25IU-ML VIAL DRIED FACTOR VIII TYPE 8Y 25IU-ML VIAL
 2860 2860
704 DUMOCYCLIN 1.M.VIAL DUMOCYCLIN 1.M.VIAL 21 21
705 DUMOCYCLINE 500MG INJ DUMOCYCLINE 500MG INJ 23 23
706 EBETAXEL 6MG-ML SOLU. FOR I.V. INFUSION
 EBETAXEL 6MG-ML SOLU. FOR I.V. INFUSION
 581 581
707 ECALTA 100MG POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION
 ECALTA 100MG POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION
 1644 1644
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To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
708 ELDISINE 5MG VIAL+SOLVENT 5ML ELDISINE 5MG VIAL+SOLVENT 5ML 641 641
709 ELOXATIN 100MG VIAL ELOXATIN 100MG VIAL 4815 4815
710 ELOXATIN 50MG VIAL ELOXATIN 50MG VIAL 2804 2804
711 ENDOXAN. VIAL 500 MG ENDOXAN. VIAL 500 MG 69 69
712 ENDOXAN. VIAL 1 GM. ENDOXAN. VIAL 1 GM. 86 86
713 ENDOXAN. VIAL 200 MG ENDOXAN. VIAL 200 MG 32 32
714 ENGERIX B 20MCG ENGERIX B 20MCG 99 99
715 ENGERIX-B 10MCG ENGERIX-B 10MCG 82 82
716 ENOXIRT 0.25GM I.M. VIAL + SOLVENT ENOXIRT 0.25GM I.M. VIAL + SOLVENT 47 47
717 ENOXIRT 0.25GM I.M. VIAL + SOLVENT + SYRINGE
 ENOXIRT 0.25GM I.M. VIAL + SOLVENT + SYRINGE
 47 47
718 ENOXIRT 0.25GM I.V. VIAL + SOLVENT ENOXIRT 0.25GM I.V. VIAL + SOLVENT 47 47
719 ENOXIRT 0.25GM I.V. VIAL + SOLVENT + SYRINGE
 ENOXIRT 0.25GM I.V. VIAL + SOLVENT + SYRINGE
 47 47
720 ENOXIRT 1GM I.M. VIAL + SOLVENT ENOXIRT 1GM I.M. VIAL + SOLVENT 117 117
721 ENOXIRT 1GM I.M. VIAL + SOLVENT + SYRINGE
 ENOXIRT 1GM I.M. VIAL + SOLVENT + SYRINGE
 117 117
722 ENOXIRT 1GM I.V. VIAL + SOLVENT ENOXIRT 1GM I.V. VIAL + SOLVENT 117 117
723 ENOXIRT 1GM I.V. VIAL + SOLVENT + SYRINGE
 ENOXIRT 1GM I.V. VIAL + SOLVENT + SYRINGE
 117 117
724 ENOXIRT 500MG I.M. VIAL + SOLVENT ENOXIRT 500MG I.M. VIAL + SOLVENT 75 75
725 ENOXIRT 500MG I.M. VIAL + SOLVENT + SYRINGE
 ENOXIRT 500MG I.M. VIAL + SOLVENT + SYRINGE
 75 75
726 ENOXIRT 500MG I.V. VIAL + SOLVENT ENOXIRT 500MG I.V. VIAL + SOLVENT 75 75
727 ENOXIRT 500MG I.V. VIAL + SOLVENT + SYRINGE
 ENOXIRT 500MG I.V. VIAL + SOLVENT + SYRINGE
 75 75
728 EPENTAL 0.5G VIAL EPENTAL 0.5G VIAL 18 18
729 EPENTAL 1G VIAL EPENTAL 1G VIAL 20 20
730 EPICOCILLIN VIAL 1G EPICOCILLIN VIAL 1G 19 19
731 EPICOCILLIN VIAL 500MG EPICOCILLIN VIAL 500MG 17 17
732 EPIRUBICIN HCL2MG-MLI.V&INTRAVESICAL INF
 EPIRUBICIN HCL2MG- MLI.V&INTRAVESICAL INF
 100 100
733 EPISTIGMIN 2.5MG/ML VIAL EPISTIGMIN 2.5MG/ML VIAL 26 26
734 EPIZOLONE DEPOT 40MG/ML VIAL EPIZOLONE DEPOT 40MG/ML VIAL 26 26
735 EPREX 40000IU\ML EPREX 40000IU\ML 2974 2974
736 EPREX NEW STABILIZER 4000IU-ML VIAL EPREX NEW STABILIZER 4000IU-ML VIAL
 404 404
737 ERYTHROCIN I.V. 1G VIAL ERYTHROCIN I.V. 1G VIAL 93 93
738 ERYTHROCIN I.V. 500MG VIAL ERYTHROCIN I.V. 500MG VIAL 56 56
739 ERYTHROMYCIN LACTOBIONATE 1G IV VIAL
 ERYTHROMYCIN LACTOBIONATE 1G IV VIAL
 82 82
740 ESMERON 10MG\ML VIAL ESMERON 10MG\ML VIAL 62 62
741 ETOPOSID "EBEWE" 200MG VIAL ETOPOSID "EBEWE" 200MG VIAL 167 167
742 ETOPOSID "EBEWE" 20MG-ML VIAL ETOPOSID "EBEWE" 20MG-ML VIAL 116 116
743 ETOPOSID "EBEWE" 50 MG VIAL ETOPOSID "EBEWE" 50 MG VIAL 67 67
744 FARMARUBICIN 10MG VIAL FARMARUBICIN 10MG VIAL 114 114
745 FARMORUBICIN 50MG VIAL FARMORUBICIN 50MG VIAL 455 455
746 FEROMAX 20MG/ML Injection FEROMAX 20MG/ML Injection 40 40
747 FIRMAGON 120 MG POWDER FOR SOLUTION FOR INJECTION
 FIRMAGON 120 MG POWDER FOR SOLUTION FOR INJECTION
 1591 1591
748 FIRMAGON 80MG POWDER FOR SOLUTION FOR INJECTION
 FIRMAGON 80MG POWDER FOR SOLUTION FOR INJECTION
 1637 1637
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
749 FLEBOGAMMA 5% SOLU. FOR I.V. INJECTION
 FLEBOGAMMA 5% SOLU. FOR I.V. INJECTION
 318 318
750 FLOXAPEN VIAL 250MG FLOXAPEN VIAL 250MG 21 21
751 FLUCAND 200MG-100ML INFUSION VIAL FLUCAND 200MG-100ML INFUSION VIAL 164 164
752 FLUCO-SOL 2MG/ML SOLUTION FOR I.V. INFUSION
 FLUCO-SOL 2MG/ML SOLUTION FOR I.V. INFUSION
 126 126
753 FLUDARABINE EBEWE 25 MG/ML CONCENTRATE FOR SOLUTION FOR INFUSION
 FLUDARABINE EBEWE 25 MG/ML CONCENTRATE FOR SOLUTION FOR INFUSION
 1012 1012
754 FLUKAS 100 VIAL FLUKAS 100 VIAL 52 52
755 FLUKAS 200 VIAL FLUKAS 200 VIAL 69 69
756 FLUOROURACIL 250MG-10ML VIAL FLUOROURACIL 250MG-10ML VIAL 26 26
757 FLUOROURACIL 500MG-10ML VIAL FLUOROURACIL 500MG-10ML VIAL 35 35
758 FLUOROURACIL EBEWE VIAL 50MG-ML FLUOROURACIL EBEWE VIAL 50MG-ML 207 207
759 FORTUM FORTUM 106 106
760 FOSTIMON HP 150 IU VIAL IM(WOMEN URIN)
 FOSTIMON HP 150 IU VIAL IM(WOMEN URIN)
 287 287
761 FOSTIMON HP 75 IU VIAL (IM) USE FOSTIMON HP 75 IU VIAL (IM) USE 158 158
762 FOXIME 1GM VIAL+5ML SOLVENT LIDOCAINE IM
 FOXIME 1GM VIAL+5ML SOLVENT LIDOCAINE IM
 83 83
763 FOXIME 1GM VIAL+5ML WATER FOR INJ IV USE
 FOXIME 1GM VIAL+5ML WATER FOR INJ IV USE
 83 83
764 FOXIME 500MG VIAL+AMP OF WATER IM-IV USE
 FOXIME 500MG VIAL+AMP OF WATER IM-IV USE
 55 55
765 FOXITIN 1GM VIAL I.V OR I.M ADMINISTRATI FOXITIN 1GM VIAL I.V OR I.M ADMINISTRATI
 70 70
766 GAMMAGARD S-D 0.5GM\10ML VIAL GAMMAGARD S-D 0.5GM\10ML VIAL 1945 1945
767 GARDASIL RECOMBINANT VACCINE GARDASIL RECOMBINANT VACCINE 1202 1202
768 GEMCITABIN EBEWE 1000MG-100ML VAIL GEMCITABIN EBEWE 1000MG-100ML VAIL
 1210 1210
769 GEMCITABIN EBEWE 200MG-20ML VAIL GEMCITABIN EBEWE 200MG-20ML VAIL 261 261
770 GEMCITABIN EBEWE 500MG-50ML VAIL GEMCITABIN EBEWE 500MG-50ML VAIL 610 610
771 GEMZAR 200MG LYPH.VIAL 5ML GEMZAR 200MG LYPH.VIAL 5ML 390 390
772 GENOTROPIN 4IU INJECTION GENOTROPIN 4IU INJECTION 200 200
773 GLUCAGEN 1MG HYPOKIT FILLED WITH WATER
 GLUCAGEN 1MG HYPOKIT FILLED WITH WATER
 137 137
774 GLUCAGEN 1MG VIAL+WATER FOR INJ. GLUCAGEN 1MG VIAL+WATER FOR INJ. 125 125
775 GLUCAGON 10MG VIAL+SOLVENT GLUCAGON 10MG VIAL+SOLVENT 632 632
776 GLYPRESSIN 1MG POWDER FOR I.V. Injection
 GLYPRESSIN 1MG POWDER FOR I.V. Injection
 346 346
777 HAVRIX ADULT MONO DOSE VIAL HAVRIX ADULT MONO DOSE VIAL 317 317
778 HEMOFIL M 1000 IU VIAL+10ML STERIL WATER
 HEMOFIL M 1000 IU VIAL+10ML STERIL WATER
 3434 3434
779 HEMOFIL M 250 IU VIAL+10ML STERIL WATER
 HEMOFIL M 250 IU VIAL+10ML STERIL WATER
 866 866
780 HEMOFIL M 500 IU VIAL HEMOFIL M 500 IU VIAL 1722 1722
781 HERCEPTIN 150MG VIAL HERCEPTIN 150MG VIAL 7521 7521
782 HIBERIX 10MCG-DOSE VACCINE HIBERIX 10MCG-DOSE VACCINE 145 145
783 HOLOXAN 1GM I.V. VIAL HOLOXAN 1GM I.V. VIAL 293 293
784 HOLOXAN 2GM IV. VIAL HOLOXAN 2GM IV. VIAL 502 502
785 HOLOXAN 500MG VIAL IV HOLOXAN 500MG VIAL IV 168 168
786 HUMALOG 100 I.U VIALS HUMALOG 100 I.U VIALS 198 198
787 HUMAN ALBUMIN 20% HUMAN ALBUMIN 20% 453 453
788 HUMAN ALBUMIN 20% +INFUSION SET HUMAN ALBUMIN 20% +INFUSION SET 478 478
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
789 HUMAN ALBUMIN 200G-I BAXTER 50ML HUMAN ALBUMIN 200G-I BAXTER 50ML 494 494
790 HUMAN ALBUMIN 5% HUMAN ALBUMIN 5% 137 137
791 HUMAN ALBUMIN GRIFOLS 20% I.V. INJECTION
 HUMAN ALBUMIN GRIFOLS 20% I.V. INJECTION
 695 695
792 HUMATROPE 4 IU VIAL I-M OR S-C HUMATROPE 4 IU VIAL I-M OR S-C 270 270
793 HUMULIN 70-30 100U-ML HUMULIN 70-30 100U-ML 117 117
794 HUMULIN U ULTRALENTE VIAL HUMULIN U ULTRALENTE VIAL 117 117
795 HUMULIN-L LENTE 100 U-ML HUMULIN-L LENTE 100 U-ML 117 117
796 HUMULIN-N-NPH 100 U-ML HUMULIN-N-NPH 100 U-ML 117 117
797 HUMULIN-R-REGULAR 100 U-ML HUMULIN-R-REGULAR 100 U-ML 117 117
798 HYCAMTIN 4MG I.V. VI HYCAMTIN 4MG I.V. VI 1811 1811
799 HYDROCORTISONE 100M VIAL+SOLVENT 2ML AMP
 HYDROCORTISONE 100M VIAL+SOLVENT 2ML AMP
 26 26
800 IMMUNATE S-D 1000 I.U. POWDER FOR INJ IMMUNATE S-D 1000 I.U. POWDER FOR INJ
 4226 4226
801 IMMUNATE S-D 250 I.U. POWDER FOR INJ IMMUNATE S-D 250 I.U. POWDER FOR INJ
 1239 1239
802 IMMUNATE S-D 500 I.U. POWDER FOR INJ IMMUNATE S-D 500 I.U. POWDER FOR INJ
 2468 2468
803 IMMUNINE 1200I.U. LOY. POW. FOR I.V. INJ IMMUNINE 1200I.U. LOY. POW. FOR I.V. INJ
 2968 2968
804 IMMUNINE 200I.U. LOY. POW. FOR I.V. INJ IMMUNINE 200I.U. LOY. POW. FOR I.V. INJ
 627 627
805 IMMUNINE 600I.U. LOY. POW. FOR I.V. INJ IMMUNINE 600I.U. LOY. POW. FOR I.V. INJ
 1489 1489
806 IMOVAX POLIO SUSPENSION FOR IM OR SC Injection
 IMOVAX POLIO SUSPENSION FOR IM OR SC Injection
 94 94
807 IMUKIN 100MCG-0.5ML VIAL IMUKIN 100MCG-0.5ML VIAL 948 948
808 IMURAN 50MG VIAL IMURAN 50MG VIAL 120 120
809 INNOHEP 10000 ANTI-XA IU-ML VIAL INNOHEP 10000 ANTI-XA IU-ML VIAL 143 143
810 INNOHEP 20000 ANTI-XA IU-ML VIAL INNOHEP 20000 ANTI-XA IU-ML VIAL 238 238
811 INSULATARD INSULATARD 140 140
812 INTRAGLOBIN 2.5G +50ML DILUENT INTRAGLOBIN 2.5G +50ML DILUENT 1394 1394
813 INTRAGLOBIN 250MG INTRAGLOBIN 250MG 169 169
814 INTRAGLOBIN 500MG+DILUENT INTRAGLOBIN 500MG+DILUENT 328 328
815 INTRATECT 50MG-ML SOLUTION FOR INJECTION
 INTRATECT 50MG-ML SOLUTION FOR INJECTION
 423 423
816 INTRON-A 10MN IU.VIAL INTRON-A 10MN IU.VIAL 756 756
817 IOPAMIRO 150 INJ IOPAMIRO 150 INJ 77 77
818 IOPAMIRO 300 INJ. IOPAMIRO 300 INJ. 131 131
820 IOPAMIRO 370 INJ IOPAMIRO 370 INJ 139 139
821 IPPROTON 4OMG POWDER FOR I.V. INJECTION
 IPPROTON 4OMG POWDER FOR I.V. INJECTION
 64 64
822 JULMENTIN 1.2GM INJ. JULMENTIN 1.2GM INJ. 44 44
823 JULMENTIN 600MG INJ. JULMENTIN 600MG INJ. 24 24
824 JULPHACEF 1GM I.M.-I.V. INJECTION JULPHACEF 1GM I.M.-I.V. INJECTION 21 21
825 KABIKINASE 600000 IU VIAL KABIKINASE 600000 IU VIAL 202 202
826 KABIKINASE VIAL 100000 IU KABIKINASE VIAL 100000 IU 129 129
827 KEFADIM INJ 1G VIAL KEFADIM INJ 1G VIAL 96 96
828 KEFADIM INJ 2G VIAL KEFADIM INJ 2G VIAL 182 182
829 KEFLIN N 2 GM VIAL KEFLIN N 2 GM VIAL 60 60
830 KEFZOL 1 GM.-10 ML. VIAL KEFZOL 1 GM.-10 ML. VIAL 53 53
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
831 KEFZOL 250MG.-10ML. VIAL KEFZOL 250MG.-10ML. VIAL 25 25
832 KEFZOL 500MG.-10 ML. VIAL KEFZOL 500MG.-10 ML. VIAL 38 38
833 KENACORT-A 40MG\ML INJ KENACORT-A 40MG\ML INJ 44 44
834 KIDROLASE 10000 U-2.5ML VIAL KIDROLASE 10000 U-2.5ML VIAL 241 241
835 KIOVIG 100MG/ML SOLUTION FOR INFUSION
 KIOVIG 100MG/ML SOLUTION FOR INFUSION
 558 558
836 KOATE DVI 1000 IU VIAL KOATE DVI 1000 IU VIAL 2460 2460
837 KOATE DVI 250 IU VIAL KOATE DVI 250 IU VIAL 623 623
838 KOATE DVI 500 IU VIAL KOATE DVI 500 IU VIAL 1235 1235
839 KOGENATE FS KOGENATE FS 1389 1389
840 LANTUS 100 I.U - ML VIAL LANTUS 100 I.U - ML VIAL 450 450
841 LEUCOVORIN CALCIUM 15MG-2ML VIAL LEUCOVORIN CALCIUM 15MG-2ML VIAL 52 52
842 LEVONIC 500MG-100ML SOLUTION FOR I.V. INFUSION
 LEVONIC 500MG-100ML SOLUTION FOR I.V. INFUSION
 186 186
843 LOSEC 40MG-10ML I-V VIAL LOSEC 40MG-10ML I-V VIAL 99 99
844 LOVRAK 250MG POWDER FOR I.V. INFUSION
 LOVRAK 250MG POWDER FOR I.V. INFUSION
 75 75
845 LUCENTIS 10MG-ML INTRAVITREAL Injection LUCENTIS 10MG-ML INTRAVITREAL Injection
 14107 14107
846 LUPRON DEPOT 3.75MG-VIAL LUPRON DEPOT 3.75MG-VIAL 858 858
847 LUPRON DEPOT 7.5MG -VIAL LUPRON DEPOT 7.5MG -VIAL 1447 1447
848 LUVERIS 75 I.U. POWDER FOR SOLU. FOR INJ
 LUVERIS 75 I.U. POWDER FOR SOLU. FOR INJ
 302 302
849 M.M.R II 0.5ML VACCINE+ 0.7ML DILUENT M.M.R II 0.5ML VACCINE+ 0.7ML DILUENT
 114 114
850 MABTHERA 10MG-1ML CONC. FOR I.V INFUSION
 MABTHERA 10MG-1ML CONC. FOR I.V INFUSION
 14224 14224
851 MAGNESIUM SULFATE 50% I.V. Injection MAGNESIUM SULFATE 50% I.V. Injection 24 24
852 MAGNESIUM SULPHATE 10% Injection MAGNESIUM SULPHATE 10% Injection 11 11
853 MAXIL 1500 VIAL MAXIL 1500 VIAL 54 54
854 MAXIL 750 VIAL MAXIL 750 VIAL 34 34
855 MEGION 0.25GM I.V - I.M INJECTION MEGION 0.25GM I.V - I.M INJECTION 39 39
856 MEGION 0.5GM I.V INJECTION MEGION 0.5GM I.V INJECTION 58 58
857 MEGION 1GM I.V - I.M INJECTION MEGION 1GM I.V - I.M INJECTION 92 92
858 MEGION 2GM POW. FOR SOLU. FOR INJ OR INF
 MEGION 2GM POW. FOR SOLU. FOR INJ OR INF
 140 140
859 MENACTRA 4 MCG SOLUTION FOR INJECTION
 MENACTRA 4 MCG SOLUTION FOR INJECTION
 503 503
860 MENCEVAX ACWY 50MCG\0.5ML VIAL MENCEVAX ACWY 50MCG\0.5ML VIAL 139 139
861 MENINGOCOCCAL VACCINE A&C VIAL MENINGOCOCCAL VACCINE A&C VIAL 82 82
862 MENVEO POWDER SOLUTION FOR INJECTION
 MENVEO POWDER SOLUTION FOR INJECTION
 503 503
863 MERIONAL-HP 150 IU VIAL MERIONAL-HP 150 IU VIAL 215 215
864 MERIONAL-HP 75 IU VIAL MERIONAL-HP 75 IU VIAL 112 112
865 MERONEM 1GM VIAL I-V MERONEM 1GM VIAL I-V 313 313
866 MERONEM 500MG VIAL I-V MERONEM 500MG VIAL I-V 171 171
867 MESPORIN 1000 I.M. MESPORIN 1000 I.M. 104 104
868 MESPORIN 1000 I.V. MESPORIN 1000 I.V. 104 104
869 MESPORIN 2000 I.V. MESPORIN 2000 I.V. 155 155
870 MESPORIN 250 I.M. MESPORIN 250 I.M. 42 42
871 MESPORIN 250 I.V. MESPORIN 250 I.V. 42 42
872 MESPORIN 500 I.M. MESPORIN 500 I.M. 64 64
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
873 MESPORIN 500 I.V. MESPORIN 500 I.V. 64 64
874 METALYSE 10000 U I.V VIAL METALYSE 10000 U I.V VIAL 10091 10091
875 METHOTREXATE "EBEWE" 100MG-ML VIAL METHOTREXATE "EBEWE" 100MG-ML VIAL
 1158 1158
876 METHOTREXATE "EBEWE" 10MG-ML VIAL METHOTREXATE "EBEWE" 10MG-ML VIAL
 53 53
877 METHOTREXATE 1G-10ML INJ.FOR I.V OR I.M
 METHOTREXATE 1G-10ML INJ.FOR I.V OR I.M
 256 256
878 METHOTREXATE 25MG-1ML VIAL METHOTREXATE 25MG-1ML VIAL 46 46
879 METHOTREXATE ROGER BELLON 500MG VIAL
 METHOTREXATE ROGER BELLON 500MG VIAL
 164 164
880 METHOTREXATE ROGER BELLON 50MG V. METHOTREXATE ROGER BELLON 50MG V.
 51 51
881 METHOTREXATE ROGER BELLON 5MG V. METHOTREXATE ROGER BELLON 5MG V.
 26 26
882 MIRCERA 100MCG-0.3ML SOLN. FOR INJ MIRCERA 100MCG-0.3ML SOLN. FOR INJ 1790 1790
883 MIRCERA 150MCG-0.3ML SOLN. FOR INJ MIRCERA 150MCG-0.3ML SOLN. FOR INJ 2680 2680
884 MIRCERA 200MCG-0.3ML SOLN. FOR INJ MIRCERA 200MCG-0.3ML SOLN. FOR INJ 3570 3570
885 MIRCERA 50MCG-0.3ML SOLN. FOR INJ MIRCERA 50MCG-0.3ML SOLN. FOR INJ 900 900
886 MIRCERA 75MCG-0.3ML SOLN. FOR INJ MIRCERA 75MCG-0.3ML SOLN. FOR INJ 1345 1345
887 MITOXANTRON EBEWE 2MG-1ML SOL. FOR INFU
 MITOXANTRON EBEWE 2MG-1ML SOL. FOR INFU
 1065 1065
888 MIXTARD 30 MIXTARD 30 140 140
889 MULTIPARIN 1000 UNITS-ML INJ MULTIPARIN 1000 UNITS-ML INJ 18 18
890 MULTIPARIN 25000 UNITS-ML INJ MULTIPARIN 25000 UNITS-ML INJ 106 106
891 MULTIPARIN 5000 UNITS-ML INJ MULTIPARIN 5000 UNITS-ML INJ 34 34
892 MYCAMINE 50-10ML VIAL MYCAMINE 50-10ML VIAL 1030 1030
893 NAVELBINE 10MG-ML I-V VIAL NAVELBINE 10MG-ML I-V VIAL 248 248
894 NEBCIN 20MG-2ML VIAL NEBCIN 20MG-2ML VIAL 29 29
895 NEBCIN 80MG-2ML VIAL NEBCIN 80MG-2ML VIAL 48 48
896 NEGACEF 0.5MG INJ. NEGACEF 0.5MG INJ. 59 59
897 NEGACEF 1GM VIAL NEGACEF 1GM VIAL 97 97
898 NEGACEF 2GM Injection NEGACEF 2GM Injection 150 150
899 NEUPOGEN 30 MU NEUPOGEN 30 MU 999 999
900 NEUPOGEN 48 MU NEUPOGEN 48 MU 1592 1592
901 NEXIUM 40MG VIAL POWDER FOR IV. INFUSION
 NEXIUM 40MG VIAL POWDER FOR IV. INFUSION
 76 76
902 NIMBEX 5MG\ML INJ NIMBEX 5MG\ML INJ 497 497
903 NITROGLYCERINE INJ F.T.V.5 ML 25 MG NITROGLYCERINE INJ F.T.V.5 ML 25 MG 84 84
904 NITROGLYCERINE INJ F.T.V.50MG-10 ML NITROGLYCERINE INJ F.T.V.50MG-10 ML 111 111
905 NOOTROPIL 12GM-60ML INFUSION SOLU NOOTROPIL 12GM-60ML INFUSION SOLU
 67 67
906 NORCURON 10MG VIAL NORCURON 10MG VIAL 50 50
907 NOVO SEVEN 1.2MG-VIAL NOVO SEVEN 1.2MG-VIAL 8034 8034
908 NOVO SEVEN 2.4MG-VIAL NOVO SEVEN 2.4MG-VIAL 16052 16052
909 NOVO SEVEN 4.8MG-VIAL NOVO SEVEN 4.8MG-VIAL 32101 32101
910 NOVOSEVEN 1MG POWDER FOR SOLUTION FOR INJECTION
 NOVOSEVEN 1MG POWDER FOR SOLUTION FOR INJECTION
 7388 7388
911 NOVOSEVEN 2MG POWDER FOR SOLUTION FOR INJECTION
 NOVOSEVEN 2MG POWDER FOR SOLUTION FOR INJECTION
 14766 14766
912 NOVOSEVEN 5MG POWDER FOR SOLUTION FOR INJECTION
 NOVOSEVEN 5MG POWDER FOR SOLUTION FOR INJECTION
 36899 36899
913 OCTAGAM 1GM-20ML I.V OCTAGAM 1GM-20ML I.V 2073 2073
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
914 OCTANATE 250IU VIAL OCTANATE 250IU VIAL 1328 1328
915 OCTANATE 1000 I.U - ML OCTANATE 1000 I.U - ML 4226 4226
916 OCTANATE 500IU VIAL OCTANATE 500IU VIAL 2645 2645
917 OCTANINE F 250IU VIAL OCTANINE F 250IU VIAL 867 867
918 OCTANINE F 1000 I.U\10ML VIAL OCTANINE F 1000 I.U\10ML VIAL 3439 3439
919 OCTANINE F 500 IU OCTANINE F 500 IU 1725 1725
920 OGMANT 1200 MG POWDER FOR INJECTION VIAL
 OGMANT 1200 MG POWDER FOR INJECTION VIAL
 25 25
921 OGMANT 600 MG POWDER FOR INJECTION VIAL
 OGMANT 600 MG POWDER FOR INJECTION VIAL
 19 19
922 OMNIPAQUE OMNIPAQUE 49 49
923 OMNISCAN OMNISCAN 290 290
924 ONCOVIN 1MG VIAL+SOLVENT 10ML ONCOVIN 1MG VIAL+SOLVENT 10ML 105 105
925 OPRAZOLE 40MG- VIAL I.VI INFUSION OPRAZOLE 40MG- VIAL I.VI INFUSION 59 59
926 OPTIMARK 0.5MMOL-ML SOLUTION For I.V. Injection
 OPTIMARK 0.5MMOL-ML SOLUTION For I.V. Injection
 1213 1213
927 OPTIRAY 160MG-ML SOLUTION FOR IV. Injection
 OPTIRAY 160MG-ML SOLUTION FOR IV. Injection
 95 95
928 OPTIRAY 240MG-ML SOLUTION FOR IV. Injection
 OPTIRAY 240MG-ML SOLUTION FOR IV. Injection
 328 328
929 OPTIRAY 300MG-ML SOLUTION FOR IV. Injection
 OPTIRAY 300MG-ML SOLUTION FOR IV. Injection
 408 408
930 OPTIRAY 320MG-ML SOLUTION FOR IV. Injection
 OPTIRAY 320MG-ML SOLUTION FOR IV. Injection
 180 180
931 OPTIRAY 350MG-ML SOLUTION FOR IV. Injection
 OPTIRAY 350MG-ML SOLUTION FOR IV. Injection
 381 381
932 OPVERO OPVERO 35 35
933 ORBENIN 500MG VIAL ORBENIN 500MG VIAL 45 45
934 ORENCIA 250MG POWDER FOR SOLUTION FOR INFUSION
 ORENCIA 250MG POWDER FOR SOLUTION FOR INFUSION
 3431 3431
935 OVITRELLE 250MCG POWDER & SOLVENT FOR INJ
 OVITRELLE 250MCG POWDER & SOLVENT FOR INJ
 295 295
936 OXALIPLATIN 5 MG-ML VIAL OXALIPLATIN 5 MG-ML VIAL 1965 1965
937 OXALIPLATIN HOSPIRA 5MG/ML CONCENTRATE FOR SOLUTION FOR INFUSION
 OXALIPLATIN HOSPIRA 5MG/ML CONCENTRATE FOR SOLUTION FOR INFUSION
 504 504
938 OXALIPLATIN HOSPIRA 5MG/ML POWDER FOR SOLUTION FOR INFUSION
 OXALIPLATIN HOSPIRA 5MG/ML POWDER FOR SOLUTION FOR INFUSION
 879 879
939 OXALIPLATIN MEDAC 100MG POWDER OXALIPLATIN MEDAC 100MG POWDER 2819 2819
940 OXALIPLATIN MEDAC 150MG POWDER OXALIPLATIN MEDAC 150MG POWDER 3895 3895
941 OXALIPLATIN MEDAC 50MG POWDER OXALIPLATIN MEDAC 50MG POWDER 1415 1415
942 PANTOZOL 40MG I.V POWDER FOR Injection PANTOZOL 40MG I.V POWDER FOR Injection
 93 93
943 PARACETAMOL 1% INJECTION PARACETAMOL 1% INJECTION 37 37
944 PARZIDIME 1 GM POWDER FOR SOLUTION FOR Injection
 PARZIDIME 1 GM POWDER FOR SOLUTION FOR Injection
 46 46
945 PEDIACEL VACCINE PEDIACEL VACCINE 285 285
946 PEG-INTRON 100MCG\0.5ML VIAL PEG-INTRON 100MCG\0.5ML VIAL 2020 2020
947 PEG-INTRON 120MCG\0.5ML VIAL PEG-INTRON 120MCG\0.5ML VIAL 2422 2422
948 PEG-INTRON 150MCG\0.5ML VIAL PEG-INTRON 150MCG\0.5ML VIAL 3025 3025
949 PEG-INTRON 50MCG\0.5MLVIAL PEG-INTRON 50MCG\0.5MLVIAL 1015 1015
950 PEG-INTRON 80MCG\0.5ML VIAL PEG-INTRON 80MCG\0.5ML VIAL 1618 1618
951 PENBRITIN VIAL 250 MG PENBRITIN VIAL 250 MG 17 17
952 PENICILLIN G INJ 1 MILLION IU PENICILLIN G INJ 1 MILLION IU 14 14
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
953 PENICILLIN-G SOD 500000 IU VIAL PENICILLIN-G SOD 500000 IU VIAL 14 14
954 PENTOSTAM PENTOSTAM 31 31
955 PERFALGAN 10 MG - ML INJECTION VIAL PERFALGAN 10 MG - ML INJECTION VIAL
 41 41
956 PIPERACILLIN - TAZOPACTAM SANDOZ 2.25GM VIAL
 PIPERACILLIN - TAZOPACTAM SANDOZ 2.25GM VIAL
 74 74
957 PIPERACILLIN - TAZOPACTAM SANDOZ 4.5GM VIAL
 PIPERACILLIN - TAZOPACTAM SANDOZ 4.5GM VIAL
 138 138
958 PLASBUMIN 20% SOLUTION FOR I.V. INJECTION
 PLASBUMIN 20% SOLUTION FOR I.V. INJECTION
 504 504
959 PLASMA PROTEIN FRACTION 5% VIAL PLASMA PROTEIN FRACTION 5% VIAL 506 506
960 POLIOSABIN ORAL VACCINE POLIOSABIN ORAL VACCINE 40 40
961 POTASSIUM ACETATE INJ F.T.V. 40MEQ POTASSIUM ACETATE INJ F.T.V. 40MEQ 22 22
962 POTASSIUM CHLORIDE 10mEqFTV ADDITIVE INJ
 POTASSIUM CHLORIDE 10mEqFTV ADDITIVE INJ
 28 28
963 POTASSIUM CHLORIDE 20mEq FTV. ADDITIVE
 POTASSIUM CHLORIDE 20mEq FTV. ADDITIVE
 19 19
964 PRECEDEX 100 MCG -ML IV. VIAL PRECEDEX 100 MCG -ML IV. VIAL 266 266
965 PRIMOCEF 0.5 GM I.M- I.V VIALc PRIMOCEF 0.5 GM I.M- I.V VIAL 51 51
966 PRIMOCEF 1 GM I.M VIAL PRIMOCEF 1 GM I.M VIAL 76 76
967 PRIMOCEF 1 GM I.V VIAL PRIMOCEF 1 GM I.V VIAL 76 76
968 PRIORIX 0.5ML VIAL PRIORIX 0.5ML VIAL 100 100
969 PRIORIX-TETRA VACCINE PRIORIX-TETRA VACCINE 434 434
970 PRIZMA 2GM/0.25GM POWDER FOR I.V. INFUSION
 PRIZMA 2GM/0.25GM POWDER FOR I.V. INFUSION
 81 81
971 PRIZMA 4GM-0.5GM POWDER FOR I.V INFUSION
 PRIZMA 4GM-0.5GM POWDER FOR I.V INFUSION
 153 153
972 PROFENID 100MG I.M VIAL+SOLV. PROFENID 100MG I.M VIAL+SOLV. 21 21
973 PROTEC 1 GM Injection PROTEC 1 GM Injection 91 91
974 PROTEC 2 GM Injection PROTEC 2 GM Injection 138 138
975 PUREGON 100 I.U AMP + SOLV PUREGON 100 I.U AMP + SOLV 421 421
976 PUREGON 100IU VIAL PUREGON 100IU VIAL 439 439
977 PUREGON 50 I.U AMP +SOLVENT PUREGON 50 I.U AMP +SOLVENT 215 215
978 PUREGON 50IU VIAL PUREGON 50IU VIAL 225 225
979 QUINVAXEM Injection QUINVAXEM Injection 172 172
980 RECOFOL 10MG-ML INJECTION RECOFOL 10MG-ML INJECTION 132 132
981 RECOFOL 20MG-ML I.V. EMULSION FOR INFU
 RECOFOL 20MG-ML I.V. EMULSION FOR INFU
 170 170
982 RECOMBINATE 1000IU VIAL RECOMBINATE 1000IU VIAL 5019 5019
983 RECOMBINATE 250IU VIAL RECOMBINATE 250IU VIAL 1553 1553
984 RECOMBINATE 500IU VIAL RECOMBINATE 500IU VIAL 3096 3096
985 RECOMBIVAX HB RECOMBIVAX HB 103 103
986 RECORMON 1000 I.U -ML VIAL RECORMON 1000 I.U -ML VIAL 126 126
987 RECORMON 2000 I.U+1ML WATER FOR INJ VIAL
 RECORMON 2000 I.U+1ML WATER FOR INJ VIAL
 303 303
988 RECORMON 5000 I.U -ML VIAL RECORMON 5000 I.U -ML VIAL 577 577
989 RECORMON 5000 I.U+1ML WATER FOR INJ VIAL
 RECORMON 5000 I.U+1ML WATER FOR INJ VIAL
 726 726
990 REMEFLIN 8 MG-VIAL 3ML. REMEFLIN 8 MG-VIAL 3ML. 12 12
991 REMICADE 100MG VIAL FOR INJ REMICADE 100MG VIAL FOR INJ 5593 5593
992 REPARIL AMP 5MG REPARIL AMP 5MG 29 29
993 REPLENINE-VF 500IU+10ML STERILISED WATER
 REPLENINE-VF 500IU+10ML STERILISED WATER
 1379 1379
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
994 RETARPEN 1.2MEGA U.WITH SOLVENT RETARPEN 1.2MEGA U.WITH SOLVENT 23 23
995 RETARPEN 2.4MEGA U. VIAL+SOLVENT RETARPEN 2.4MEGA U. VIAL+SOLVENT 33 33
996 RETARPEN 600000U+ SOLVENT VIAL RETARPEN 600000U+ SOLVENT VIAL 17 17
997 RISEK 40MG INJ RISEK 40MG INJ 70 70
998 ROCEPHIN 1GM i.m. + 3.5 ML SOLVENT ROCEPHIN 1GM i.m. + 3.5 ML SOLVENT 129 129
999 ROCEPHIN 1GM i.v. + 10 ML SOLVENT ROCEPHIN 1GM i.v. + 10 ML SOLVENT 129 129
1461 I.M. INJECTION I.M. INJECTION 25 25
1462 I.V. INJECTION I.V. INJECTION 50 50
1463 I.V.INFUSION I.V.INFUSION 150 150
1464 I.V. INSERTION I.V. INSERTION 150 150
1465 SUBCUTANEOUS INJECTION SUBCUTANEOUS INJECTION 25 25
1466 NEBULIZATION INHALATION NEBULIZATION INHALATION 150 150
1467 SKIN SENSITIVITY TEST SKIN SENSITIVITY TEST 20 20
1468 STOMACH WASH, ADULT STOMACH WASH, ADULT 400 400
1469 STOMACH WASH, BABY STOMACH WASH, BABY 400 400
1470 SUCTION SUCTION 150 150
1471 INTUBATION ENDOTRACHEAL INTUBATION ENDOTRACHEAL 250 250
1472 LOCAL INJECTION LOCAL INJECTION 300 300
1975 ROCEPHIN 250MG i.m. + 2 ML SOLVENT ROCEPHIN 250MG i.m. + 2 ML SOLVENT 59 59
2001 ROCEPHIN 250MG i.v. + 5 ML SOLVENT ROCEPHIN 250MG i.v. + 5 ML SOLVENT 59 59
3882 ROCEPHIN 250MG VIAL + 2ML SOLVENT ROCEPHIN 250MG VIAL + 2ML SOLVENT 55 55
3883 ROCEPHIN 250MG VIAL + 5 ML SOLVENT ROCEPHIN 250MG VIAL + 5 ML SOLVENT 55 55
3884 ROCEPHIN 500MG i.m. + 2 ML SOLVENT ROCEPHIN 500MG i.m. + 2 ML SOLVENT 99 99
3885 ROCEPHIN 500MG i.v. + 5 ML SOLVENT ROCEPHIN 500MG i.v. + 5 ML SOLVENT 99 99
3886 ROCEPHIN 500MG VIAL + 2 ML SOLVENT ROCEPHIN 500MG VIAL + 2 ML SOLVENT 91 91
3887 ROCEPHIN 500MG VIAL + 5 ML SOLVENT ROCEPHIN 500MG VIAL + 5 ML SOLVENT 91 91
3888 ROFERON-A 18MN.IU VIAL ROFERON-A 18MN.IU VIAL 1388 1388
3889 ROFERON-A 3MIU-0.5 ML ROFERON-A 3MIU-0.5 ML 213 213
3890 ROFERON-A 4.5MIU-0.5ML ROFERON-A 4.5MIU-0.5ML 269 269
3891 ROFERON-A 9MIU-0.5ML ROFERON-A 9MIU-0.5ML 810 810
3892 ROTARIX ORAL SUSPENSION VACCINE ROTARIX ORAL SUSPENSION VACCINE 375 375
3893 ROTARIX ORAL VACCINE ROTARIX ORAL VACCINE 375 375
3894 ROTATEQ ORAL VACCINE ROTATEQ ORAL VACCINE 432 432
3895 ROUVAX LYOPHOLIZED 10 DOSE VIAL + DILUENT SYRINGE
 ROUVAX LYOPHOLIZED 10 DOSE VIAL + DILUENT SYRINGE
 37 37
3896 ROUVAX LYOPHOLIZED SINGLE DOSE VIAL + DILUENT SYRINGE
 ROUVAX LYOPHOLIZED SINGLE DOSE VIAL + DILUENT SYRINGE
 56 56
3897 ROXCEF 1GM I.M INJECTION ROXCEF 1GM I.M INJECTION 103 103
3898 ROXCEF 1GM I.V INJECTION ROXCEF 1GM I.V INJECTION 102 102
3899 ROXCEF 250MG I.M INJECTION ROXCEF 250MG I.M INJECTION 45 45
3900 ROXCEF 250MG I.V INJECTION ROXCEF 250MG I.V INJECTION 45 45
3901 ROXCEF 500MG I.M INJECTION ROXCEF 500MG I.M INJECTION 71 71
3902 ROXCEF 500MG I.V INJECTION ROXCEF 500MG I.V INJECTION 71 71
3903 SAIZEN 1.33MG VIAL SAIZEN 1.33MG VIAL 213 213
3904 SAIZEN 8MG CLICK EASY SAIZEN 8MG CLICK EASY 1676 1676
3905 SAMIXON 1GM VIAL SAMIXON 1GM VIAL 114 114
3906 SAMIXON 1GM VIAL + SOLVENT SAMIXON 1GM VIAL + SOLVENT 114 114
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3907 SAMIXON 500MG VIAL SAMIXON 500MG VIAL 77 77
3908 SAMIXON 500MG VIAL + SOLVENT SAMIXON 500MG VIAL + SOLVENT 77 77
3909 SANDIMMUN CONC.FOR INFUSIN 250MG- 5ML
 SANDIMMUN CONC.FOR INFUSIN 250MG-5ML
 128 128
3910 SANDOSTATIN LAR 20MG VIAL SANDOSTATIN LAR 20MG VIAL 10663 10663
3911 SANDOSTATIN LAR 30MG VIAL SANDOSTATIN LAR 30MG VIAL 13951 13951
3912 SIMULECT 20 MG I.V VIAL SIMULECT 20 MG I.V VIAL 12820 12820
3913 SOD. CHLORIDE 14.61% SOLU. FOR INJECTION
 SOD. CHLORIDE 14.61% SOLU. FOR INJECTION
 31 31
3914 SOD. CHLORIDE 20% SOLUTION SOD. CHLORIDE 20% SOLUTION 31 31
3915 SOD. CHLORIDE 23.4% SOLUTION SOD. CHLORIDE 23.4% SOLUTION 31 31
3916 SOD. CHLORIDE 30% SOLUTION SOD. CHLORIDE 30% SOLUTION 31 31
3917 SODIUM ACETATE F.T.V.40mEq SODIUM ACETATE F.T.V.40mEq 26 26
3918 SODIUM BICARBONATE 7.5% EMG.SYRINGE SODIUM BICARBONATE 7.5% EMG.SYRINGE
 79 79
3919 SODIUM BICARBONATE 8.4% INJ. VIAL SODIUM BICARBONATE 8.4% INJ. VIAL 26 26
3920 SODIUM PHOSPHATE 45mM VIAL SODIUM PHOSPHATE 45mM VIAL 27 27
3921 SOLU CORTEF MOV 100 MG SOLU CORTEF MOV 100 MG 34 34
3922 SOLU CORTEF MOV 250 MG VIAL SOLU CORTEF MOV 250 MG VIAL 51 51
3923 SOLU-MEDROL INJ. 500 MG. SOLU-MEDROL INJ. 500 MG. 215 215
3924 SOLU-MEDROL MOV 40 MG INJ. SOLU-MEDROL MOV 40 MG INJ. 55 55
3925 SOLU-MEDROL. INJ. 1000 MG. SOLU-MEDROL. INJ. 1000 MG. 476 476
3926 SOLU-MEDROL-INJ. 125 MG SOLU-MEDROL-INJ. 125 MG 123 123
3927 SOMATOSTATINE-UCB 3MG LYOP.VIAL+SOLVENT
 SOMATOSTATINE-UCB 3MG LYOP.VIAL+SOLVENT
 1007 1007
3928 SOMATOSTATIN-UCB250MCG LYOP.VIAL+SOLVENT
 SOMATOSTATIN-UCB250MCG LYOP.VIAL+SOLVENT
 137 137
3929 SOPALAMIN 3B VIAL SOPALAMIN 3B VIAL 22 22
3930 STALORAL ANIMAL ORIGIN INITIAL STALORAL ANIMAL ORIGIN INITIAL 459 459
3931 STALORAL ANIMAL ORIGIN MAINTENANCE STALORAL ANIMAL ORIGIN MAINTENANCE
 750 750
3932 STALORAL MITES INITIAL STALORAL MITES INITIAL 504 504
3933 STALORAL MITES MAINTENANCE STALORAL MITES MAINTENANCE 684 684
3934 STALORAL MOULDS INITIAL STALORAL MOULDS INITIAL 504 504
3935 STALORAL MOULDS MAINTENANCE STALORAL MOULDS MAINTENANCE 684 684
3936 STALORAL POLLENS INITIAL STALORAL POLLENS INITIAL 504 504
3937 STALORAL POLLENS MAINTENANCE STALORAL POLLENS MAINTENANCE 684 684
3938 STANDACILLIN 1G VIAL WITH SOLVENT STANDACILLIN 1G VIAL WITH SOLVENT 39 39
3939 STANDACILLIN 500MG INJ WITH SOLVENT STANDACILLIN 500MG INJ WITH SOLVENT
 26 26
3940 STREPTAS 250000I.U VIAL STREPTAS 250000I.U VIAL 337 337
3941 STREPTAS 750000I.U VIAL STREPTAS 750000I.U VIAL 509 509
3942 SUCCINYL SICCUM 500MG VIAL SUCCINYL SICCUM 500MG VIAL 26 26
3943 SURVANTA INTRATRACHEAL SUSP.VIAL 8ML SURVANTA INTRATRACHEAL SUSP.VIAL 8ML
 3685 3685
3944 SYNAGIS 100MG\ML I.M VIAL SYNAGIS 100MG\ML I.M VIAL 7370 7370
3945 SYNFLORIX VACCINE SYNFLORIX VACCINE 341 341
3946 TARGOCID 200MG VIAL+DILUENT TARGOCID 200MG VIAL+DILUENT 221 221
3947 TARIVID I.V2MG-MLSOLUTION FOR INFUSION
 TARIVID I.V2MG-MLSOLUTION FOR INFUSION
 18 18
3948 TAVANIC 5 MG -1 ML SOLUTION I.V INFUSION
 TAVANIC 5 MG -1 ML SOLUTION I.V INFUSION
 13 13
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To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3949 TAXOTERE 20MG VIAL +SOLVENT TAXOTERE 20MG VIAL +SOLVENT 1442 1442
3950 TAXOTERE 80MG VIAL +SOLVENT TAXOTERE 80MG VIAL +SOLVENT 4305 4305
3951 TAZOCIN 2.25G VIAL TAZOCIN 2.25G VIAL 125 125
3952 TAZOCIN 4.5GM VIAL + EDTA TAZOCIN 4.5GM VIAL + EDTA 214 214
3953 TAZOLINE 0.5GM VIAL IV+10MLWATER FOR INJ
 TAZOLINE 0.5GM VIAL IV+10MLWATER FOR INJ
 29 29
3954 TAZOLINE 1GM VIAL I.M+5MLSOLV.LIDOCAINE
 TAZOLINE 1GM VIAL I.M+5MLSOLV.LIDOCAINE
 49 49
3955 TAZOLINE 1GM VIAL IV+10ML WATER FOR INJ.
 TAZOLINE 1GM VIAL IV+10ML WATER FOR INJ.
 49 49
3956 TAZOLINE0.5GM VIAL I.M+5MLSOLV.LIDOCAINE
 TAZOLINE0.5GM VIAL I.M+5MLSOLV.LIDOCAINE
 29 29
3957 TAZORAX 2.25 GM POWDER FOR INJECTION
 TAZORAX 2.25 GM POWDER FOR INJECTION
 74 74
3958 TAZORAX 4.5 GM POWDER FOR INJECTION TAZORAX 4.5 GM POWDER FOR INJECTION
 138 138
3959 TEKAM 10MG-ML 10ML VIAL TEKAM 10MG-ML 10ML VIAL 23 23
3960 TEKAM 50MG-ML 10ML VIAL TEKAM 50MG-ML 10ML VIAL 63 63
3961 TELEBRIX 12 SODIUM 120MG-ML INFUSION TELEBRIX 12 SODIUM 120MG-ML INFUSION
 104 104
3962 TESLASCAN 0.01 MMOL-ML I.V Infusion TESLASCAN 0.01 MMOL-ML I.V Infusion 1265 1265
3963 TETAVAX 40 I.U INJ. TETAVAX 40 I.U INJ. 41 41
3964 THIOPENTAL 0.5G INJ THIOPENTAL 0.5G INJ 21 21
3965 THIOPENTAL 1G VIAL THIOPENTAL 1G VIAL 24 24
3966 THIOPHENICOL INJ 750MG VIAL+5ML SOLVENT
 THIOPHENICOL INJ 750MG VIAL+5ML SOLVENT
 24 24
3967 TIENAM 500 MG VIAL I.V. TIENAM 500 MG VIAL I.V. 151 151
3968 TORISEL 25MG/ML CONC. FOR IV INFUSION TORISEL 25MG/ML CONC. FOR IV INFUSION
 8986 8986
3969 TOTAM 1GM IV\IM INJECTION TOTAM 1GM IV\IM INJECTION 69 69
3970 TOTAM 500MG IV\IM INJECTION TOTAM 500MG IV\IM INJECTION 47 47
3971 TPN ELECTROLYTES VIAL TPN ELECTROLYTES VIAL 40 40
3972 TRACTOCIL 7.5MG-ML VIAL TRACTOCIL 7.5MG-ML VIAL 244 244
3973 TRIAXONE 0.5G I.M VIAL+5ML SOLV.LIDOCAIN
 TRIAXONE 0.5G I.M VIAL+5ML SOLV.LIDOCAIN
 83 83
3974 TRIAXONE 1GM VIAL I.M+5ML SOLV.LIDOCAINE
 TRIAXONE 1GM VIAL I.M+5ML SOLV.LIDOCAINE
 129 129
3975 TRIAXONE 500MG VIAL I.V+5MLWATER FOR INJ
 TRIAXONE 500MG VIAL I.V+5MLWATER FOR INJ
 83 83
3976 TRIAXONE1GM VIAL I.V +10ML WATER FOR INJ
 TRIAXONE1GM VIAL I.V +10ML WATER FOR INJ
 129 129
3977 TRIPACEL VACCINE TRIPACEL VACCINE 149 149
3978 TRITANRIX HB+ HIBRIX 1 DOSE VIAL TRITANRIX HB+ HIBRIX 1 DOSE VIAL 172 172
3979 TRITANRIX-HB 10ug-ML 0.5ML VIAL TRITANRIX-HB 10ug-ML 0.5ML VIAL 95 95
3980 TYGACIL 50MG LYOP. POW. FOR I.V.INFUSION
 TYGACIL 50MG LYOP. POW. FOR I.V.INFUSION
 440 440
3981 ULTIVA 1MG VIAL(LYOPHILIZED) ULTIVA 1MG VIAL(LYOPHILIZED) 57 57
3982 ULTIVA 2MG VIAL(LYOPHILIZED) ULTIVA 2MG VIAL(LYOPHILIZED) 102 102
3983 ULTIVA 5MG VIAL(LYOPHILIZED) ULTIVA 5MG VIAL(LYOPHILIZED) 199 199
3984 ULTRAVIST300 ULTRAVIST300 235 235
3985 UMAN ALBUMIN 20% SOLUTION FOR INFUSION
 UMAN ALBUMIN 20% SOLUTION FOR INFUSION
 340 340
3986 UNASYN 1000:500MG VIAL UNASYN 1000:500MG VIAL 36 36
3987 UNASYN 2000:1000MG VIAL UNASYN 2000:1000MG VIAL 37 37
3988 UNASYN 500:250MG VIAL UNASYN 500:250MG VIAL 28 28
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3989 VANCOCIN-CP 500MG-10 ML. VIAL VANCOCIN-CP 500MG-10 ML. VIAL 114 114
3990 VANCOLON 0.5GM-VIAL I.V. VANCOLON 0.5GM-VIAL I.V. 103 103
3991 VANCOLON 1GM POWDER FOR I.V. INFUSION
 VANCOLON 1GM POWDER FOR I.V. INFUSION
 139 139
3992 VANCOMYCIN ALPHARMA 1GM VIAL VANCOMYCIN ALPHARMA 1GM VIAL 164 164
3993 VANCOMYCIN ALPHARMA 500MG VIAL VANCOMYCIN ALPHARMA 500MG VIAL 100 100
3994 VANCOMYCIN HCL 1 G VIAL FOR INFUSION VANCOMYCIN HCL 1 G VIAL FOR INFUSION
 184 184
3995 VANCOMYCIN HCL 500MG VIAL FOR INFUSION
 VANCOMYCIN HCL 500MG VIAL FOR INFUSION
 111 111
3996 VAQTA VACCINE 50 U VIAL VAQTA VACCINE 50 U VIAL 238 238
3997 VARILRIX 2000 PFU -0.5ML VIAL VARILRIX 2000 PFU -0.5ML VIAL 343 343
3998 VELBE 10MG VIAL+SOLVENT 10ML VELBE 10MG VIAL+SOLVENT 10ML 108 108
3999 VELCADE 3.5MG POWDER FOR I.V. INJECTION
 VELCADE 3.5MG POWDER FOR I.V. INJECTION
 12509 12509
4000 VELOSEF 1GM VIAL VELOSEF 1GM VIAL 11 11
4001 VFEND 200MG POWDER FOR SOLU.FOR INFUSION
 VFEND 200MG POWDER FOR SOLU.FOR INFUSION
 1186 1186
4002 VINBLASTINE SULPHATE 10MG-10ML VIAL VINBLASTINE SULPHATE 10MG-10ML VIAL
 100 100
4003 VINCRISTIN SULPH. 1MG-ML VIAL VINCRISTIN SULPH. 1MG-ML VIAL 74 74
4004 VINCRISTINE ROGER BELLON 1MG-VIAL VINCRISTINE ROGER BELLON 1MG-VIAL 89 89
4005 VINORELBINE ACTAVIS 50MG/5ML CONCENTRATION SOLUTION FOR INFUSION
 VINORELBINE ACTAVIS 50MG/5ML CONCENTRATION SOLUTION FOR INFUSION
 936 936
4006 VIRAZOLE 20MG-MLUPON RECONSTITUTON INHAL
 VIRAZOLE 20MG-MLUPON RECONSTITUTON INHAL
 1238 1238
4007 VISIPAQUE VISIPAQUE 95 95
4008 VISUDYNE 15MG POWDER FOR INFUSION VISUDYNE 15MG POWDER FOR INFUSION
 13321 13321
4009 XEFO 8MG POWDER FOR Injection XEFO 8MG POWDER FOR Injection 42 42
4010 XENETIX 300MG IODINE-ML SOLN FOR INJ. XENETIX 300MG IODINE-ML SOLN FOR INJ.
 368 368
4011 XENETIX 350MG IODINE-ML SOLN.FOR INJ XENETIX 350MG IODINE-ML SOLN.FOR INJ
 254 254
4012 XOLAIR 150MG POWDER FOR INJECTION XOLAIR 150MG POWDER FOR INJECTION
 4239 4239
4013 XORIM 1500MG POW. FOR SOLU. FOR I.V. INJ
 XORIM 1500MG POW. FOR SOLU. FOR I.V. INJ
 44 44
4014 XORIM 250MG POW. FOR SOLU. FOR I.V. INJ XORIM 250MG POW. FOR SOLU. FOR I.V. INJ
 16 16
4015 XORIM 750MG POW. FOR SOLU. FOR I.V. INJ XORIM 750MG POW. FOR SOLU. FOR I.V. INJ
 27 27
4016 XYLOCAINE 0.5% INJ XYLOCAINE 0.5% INJ 25 25
4017 XYLOCAINE 0.5% W-ADREN. 5MCG-ML INJ XYLOCAINE 0.5% W-ADREN. 5MCG-ML INJ
 27 27
4018 XYLOCAINE 5% HEAVY INJ XYLOCAINE 5% HEAVY INJ 21 21
4019 XYNTHA 1000 I.U. POWDER FOR SOLUTION FOR INJECTION
 XYNTHA 1000 I.U. POWDER FOR SOLUTION FOR INJECTION
 5019 5019
4020 XYNTHA 2000 I.U. POWDER FOR SOLUTION FOR INJECTION
 XYNTHA 2000 I.U. POWDER FOR SOLUTION FOR INJECTION
 10029 10029
4021 XYNTHA 250 I.U. POWDER FOR SOLUTION FOR INJECTION
 XYNTHA 250 I.U. POWDER FOR SOLUTION FOR INJECTION
 1553 1553
4022 XYNTHA 500 I.U. POWDER FOR SOLUTION FOR INJECTION
 XYNTHA 500 I.U. POWDER FOR SOLUTION FOR INJECTION
 3096 3096
4023 ZAVEDOS 10MG VIAL ZAVEDOS 10MG VIAL 1127 1127
4024 ZAVEDOS 5MG VIAL ZAVEDOS 5MG VIAL 667 667
4025 ZIDACEF 1000 MG VIAL I.M - I.V Injection ZIDACEF 1000 MG VIAL I.M - I.V Injection 50 50
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To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4026 ZIDACEF 500 MG VIAL I.M - I.V Injection ZIDACEF 500 MG VIAL I.M - I.V Injection 31 31
4027 ZIDIME 1GM GLASS VIAL IV-IM ZIDIME 1GM GLASS VIAL IV-IM 113 113
4028 ZIDIME 2GM I.V INJ ZIDIME 2GM I.V INJ 201 201
4029 ZINACEF ZINACEF 59 59
4030 ZINOXIME 1.5GM VIAL FOR I.V ZINOXIME 1.5GM VIAL FOR I.V 54 54
4031 ZINOXIME 750MG VIAL FOR I.V- I.M ZINOXIME 750MG VIAL FOR I.V- I.M 35 35
4032 ZITHROMAX 500 MG POWDER FOR IV INFUSION
 ZITHROMAX 500 MG POWDER FOR IV INFUSION
 131 131
4033 ZOLECIN 1GM VIAL I.V ZOLECIN 1GM VIAL I.V 27 27
4034 ZOLECIN 250MG INJ IM-IV ZOLECIN 250MG INJ IM-IV 17 17
4035 ZOLECIN 500MG INJ IM-IV ZOLECIN 500MG INJ IM-IV 20 20
4036 ZOMETA 4MG VIAL\5ML ZOMETA 4MG VIAL\5ML 2988 2988
4037 ZOVIRAX 250MG IV INFUSION ZOVIRAX 250MG IV INFUSION 103 103
4038 ZYPADHERA 210MG POWDER FOR SOLUTION FOR I.M. INJECTION
 ZYPADHERA 210MG POWDER FOR SOLUTION FOR I.M. INJECTION
 1794 1794
4039 ZYPADHERA 300MG POWDER FOR SOLUTION FOR I.M. INJECTION
 ZYPADHERA 300MG POWDER FOR SOLUTION FOR I.M. INJECTION
 2558 2558
4040 ZYPADHERA 405MG POWDER FOR SOLUTION FOR I.M. INJECTION
 ZYPADHERA 405MG POWDER FOR SOLUTION FOR I.M. INJECTION
 3450 3450
4041 ZYPREXA 10MG POWDER FOR INJECTION ZYPREXA 10MG POWDER FOR INJECTION
 54 54
4042 ZYVOX 2 MG/ML SOLUTION FOR INFUSION ZYVOX 2 MG/ML SOLUTION FOR INFUSION
 613 613
4043 3V AMPOULES 3V AMPOULES 16 16
4044 ADDAMEL AMP. ADDAMEL AMP. 22 22
4045 ADRENALINE 1:1000 INJ ADRENALINE 1:1000 INJ 12 12
4046 ADRENALINE HCL 1MG-ML AMP ADRENALINE HCL 1MG-ML AMP 10 10
4047 AGLUMIN AMPULES 250 MG AGLUMIN AMPULES 250 MG 18 18
4048 ALLERFIN AMP 10MG-ML ALLERFIN AMP 10MG-ML 12 12
4049 ALPAX AMP. 2MG-ML ALPAX AMP. 2MG-ML 14 14
4050 AMIKIN AMP 100MG-2ML AMIKIN AMP 100MG-2ML 50 50
4051 AMIKIN AMP 500MG-2ML AMIKIN AMP 500MG-2ML 77 77
4052 AMINOPHYLLINE 250 Mg Injection AMINOPHYLLINE 250 Mg Injection 13 13
4053 AMINOPHYLLINE INJ 250MG AMINOPHYLLINE INJ 250MG 18 18
4054 ANEXATE 0.5MG AMP 5ML ANEXATE 0.5MG AMP 5ML 145 145
4055 APRESOLINE 20MG-ML INJ APRESOLINE 20MG-ML INJ 27 27
4056 ATACURE 10MG-ML INJ. ATACURE 10MG-ML INJ. 29 29
4057 ATRACURIUM BESYLATE 10MG-ML AMP ATRACURIUM BESYLATE 10MG-ML AMP 28 28
4058 ATRACURIUM- HAMELN 10MG-ML SOLU. FOR INJ
 ATRACURIUM- HAMELN 10MG-ML SOLU. FOR INJ
 44 44
4059 ATROPINE ATROPINE 12 12
4060 ATROPINE SULF. E.S 50MCG-ML ATROPINE SULF. E.S 50MCG-ML 36 36
4061 ATROPINE SULF.E.S 100MCG-ML ATROPINE SULF.E.S 100MCG-ML 40 40
4062 ATROPINE SULPHATE 0.5MG\ML AMPOULE ATROPINE SULPHATE 0.5MG\ML AMPOULE
 12 12
4063 ATROPINE SULPHATE 0.6MG\ML AMPOULE ATROPINE SULPHATE 0.6MG\ML AMPOULE
 12 12
4064 ATROPINE SULPHATE INJ 1MG-1 ML ATROPINE SULPHATE INJ 1MG-1 ML 11 11
4065 ATROPULM 500MCG-2ML SOLUTION FOR INHALATION
 ATROPULM 500MCG-2ML SOLUTION FOR INHALATION
 14 14
4066 BACTRIM AMP 5ML I.V BACTRIM AMP 5ML I.V 25 25
4067 BALANCED SALT SOLUTION AMPOULE BALANCED SALT SOLUTION AMPOULE 16 16
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To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4068 BETACORT 4MG-ML AMP BETACORT 4MG-ML AMP 20 20
4069 BETOLVEX INJ 1MG BETOLVEX INJ 1MG 43 43
4070 BIOVIT 12 DEPOT AMPOULES BIOVIT 12 DEPOT AMPOULES 14 14
4071 BONDRONAT 2MG-2ML AMPOULE BONDRONAT 2MG-2ML AMPOULE 964 964
4072 BONEFOS 60MG-ML CONC.FOR PARE.INFUSION
 BONEFOS 60MG-ML CONC.FOR PARE.INFUSION
 167 167
4073 BRICANYL AMP. BRICANYL AMP. 14 14
4074 BRICANYL 2.5MG-ML SOLN.FOR NEBULISATION
 BRICANYL 2.5MG-ML SOLN.FOR NEBULISATION
 12 12
4075 BUPIVACAINE 0.25% STERILE PACK AMP. BUPIVACAINE 0.25% STERILE PACK AMP.
 47 47
4076 BUPIVACAINE 0.5% STERILE PACK AMP. BUPIVACAINE 0.5% STERILE PACK AMP. 48 48
4077 CALCIJEX 1MCG-ML I.V. AMP CALCIJEX 1MCG-ML I.V. AMP 55 55
4078 CALCIJEX 2MCG-ML AMP CALCIJEX 2MCG-ML AMP 83 83
4079 CALCIUM CHLORIDE 10% EMERGENCY SYRINGE
 CALCIUM CHLORIDE 10% EMERGENCY SYRINGE
 50 50
4080 CALCIUM CHLORIDE 10% INJECTION CALCIUM CHLORIDE 10% INJECTION 11 11
4081 CALCIUM CHLORIDE 7.35% INJECTION CALCIUM CHLORIDE 7.35% INJECTION 11 11
4082 CALCIUM FOLINATE(EBEWE) 10MG-ML AMP. CALCIUM FOLINATE(EBEWE) 10MG-ML AMP.
 92 92
4083 CALCIUM FOLINATE(EBEWE)3MG-ML AMP. CALCIUM FOLINATE(EBEWE)3MG-ML AMP.
 20 20
4084 CALCIUM GLUCONATE 10% AMP CALCIUM GLUCONATE 10% AMP 12 12
4085 CALCIUM GLUCONATE 10% W-V INJECTION CALCIUM GLUCONATE 10% W-V INJECTION
 18 18
4086 CHLOROHISTOL 10MG-ML Injection CHLOROHISTOL 10MG-ML Injection 13 13
4087 CINOKORT 40 MG - 2 ML AMPOULE CINOKORT 40 MG - 2 ML AMPOULE 14 14
4088 CLOFEN 75MG INJECTION CLOFEN 75MG INJECTION 20 20
4089 CLOPIXOL DEPOT INJ 200MG-ML CLOPIXOL DEPOT INJ 200MG-ML 54 54
4090 CLOPIXOL DEPOT INJ 500MG-ML OILY AMP CLOPIXOL DEPOT INJ 500MG-ML OILY AMP
 106 106
4091 CLOPIXOL INJ 10MG-ML CLOPIXOL INJ 10MG-ML 17 17
4092 CLOPIXOL-ACUPHASE 50MG-ML OILY AMP CLOPIXOL-ACUPHASE 50MG-ML OILY AMP
 57 57
4093 COBRA ANTIVENOM (EQUINE) AMP COBRA ANTIVENOM (EQUINE) AMP 300 300
4094 CORDARONE 150MG-3ML AMP. CORDARONE 150MG-3ML AMP. 19 19
4095 COSMOFER 625MG-2ML AMPOULES COSMOFER 625MG-2ML AMPOULES 46 46
4096 CYKLOKAPRON INJ 100MG-ML INJECTION CYKLOKAPRON INJ 100MG-ML INJECTION
 25 25
4097 CYNOVIT 1MG-1ML I.M. Injection CYNOVIT 1MG-1ML I.M. Injection 13 13
4098 DALACIN-C VIAL 150 MG - ML DALACIN-C VIAL 150 MG - ML 45 45
4099 DANSETRON 2MG\ML AMP. FOR I.V INJECTION
 DANSETRON 2MG\ML AMP. FOR I.V INJECTION
 81 81
4100 DECADURABOLIN ORGAJECT 25MG-ML DECADURABOLIN ORGAJECT 25MG-ML 48 48
4101 DECADURABOLIN ORGAJECT 50MG-ML DECADURABOLIN ORGAJECT 50MG-ML 83 83
4102 DEPOVIT B12 1000 AMP 1ML DEPOVIT B12 1000 AMP 1ML 17 17
4103 DEXAMETHASONE SOD.PHOSPHATE 8MG- 2ML AMP
 DEXAMETHASONE SOD.PHOSPHATE 8MG-2ML AMP
 14 14
4104 DICLOGESIC 75MG-3ML AMP DICLOGESIC 75MG-3ML AMP 17 17
4105 DICLORISM 75MG-3ML AMP DICLORISM 75MG-3ML AMP 12 12
4106 DICYNONE 2ML-AMP 250MG DICYNONE 2ML-AMP 250MG 19 19
4107 DIPROFOS INJ. 2ML DIPROFOS INJ. 2ML 44 44
4108 DISPERCAM 20MG-ML AMP.FOR I-M USE DISPERCAM 20MG-ML AMP.FOR I-M USE 12 12
Page 64
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4109 DIUSEMIDE 20MG-2ML AMP DIUSEMIDE 20MG-2ML AMP 12 12
4110 DOBUJECT 50MG-ML(250MG-5ML) AMPOULE
 DOBUJECT 50MG-ML(250MG-5ML) AMPOULE
 61 61
4111 DOGMATIL AMP 100MG DOGMATIL AMP 100MG 14 14
4112 DORMICUM 15MG-3ML AMP. DORMICUM 15MG-3ML AMP. 32 32
4113 DORMICUM 5MG-1ML AMP. DORMICUM 5MG-1ML AMP. 19 19
4114 DORMICUM 5MG-5ML AMP. DORMICUM 5MG-5ML AMP. 19 19
4115 EPIFASI 5000 IU LYOPHILIZED POWDER FOR I.M. Injection
 EPIFASI 5000 IU LYOPHILIZED POWDER FOR I.M. Injection
 42 42
4116 EPIFENAC 75MG/3ML SOLUTION FOR INJECTION
 EPIFENAC 75MG/3ML SOLUTION FOR INJECTION
 12 12
4117 EPIGONAL 75 I.U. LYOPHILIZED POWDER FOR I.M. Injection
 EPIGONAL 75 I.U. LYOPHILIZED POWDER FOR I.M. Injection
 61 61
4118 EPINEPHRINE INJ 1:10000 ABBOJECT GLASS SYRINGE (18 G x 3 1/2")
 EPINEPHRINE INJ 1:10000 ABBOJECT GLASS SYRINGE (18 G x 3 1/2")
 66 66
4119 EPINEPHRINE INJ 1:10000 ABBOJECT GLASS SYRINGE (20 G x 1 1/2")
 EPINEPHRINE INJ 1:10000 ABBOJECT GLASS SYRINGE (20 G x 1 1/2")
 65 65
4120 EPSIKAPRON AMP 4G+WATER FOR INJ 10ML
 EPSIKAPRON AMP 4G+WATER FOR INJ 10ML
 24 24
4121 FELDENE 20MG-ML AMP. FELDENE 20MG-ML AMP. 22 22
4122 FENTANYL CITRATE 50MCG-ML VIAL FENTANYL CITRATE 50MCG-ML VIAL 23 23
4123 FENTANYL-JANSSEN 0.05MG-ML AMPOULES
 FENTANYL-JANSSEN 0.05MG-ML AMPOULES
 14 14
4124 FEROSAC INJ 20MG-ML AMP FEROSAC INJ 20MG-ML AMP 48 48
4125 FEROTON 20MG-ML SOLU. FOR I.V. INJECTION
 FEROTON 20MG-ML SOLU. FOR I.V. INJECTION
 44 44
4126 FLIXOTIDE 0.5MG-2ML NEBULE FLIXOTIDE 0.5MG-2ML NEBULE 23 23
4127 FLIXOTIDE 2MG-2ML NEBULE FLIXOTIDE 2MG-2ML NEBULE 39 39
4128 FLUANXOL DEPOT 100MG-ML I.M AMP FLUANXOL DEPOT 100MG-ML I.M AMP 113 113
4129 FLUANXOL DEPOT INJ 20MG-ML FLUANXOL DEPOT INJ 20MG-ML 48 48
4130 FLUOROURACIL EBEWE AMP 50MG-ML FLUOROURACIL EBEWE AMP 50MG-ML 26 26
4131 FLUPHENAZINE DECANOATE 25MG-ML Injection
 FLUPHENAZINE DECANOATE 25MG-ML Injection
 36 36
4132 FORTEO 20MCG-80MCL SOLU. FOR Injection FORTEO 20MCG-80MCL SOLU. FOR Injection
 170 170
4133 GAMMA GLOBULIN 16% INJ GAMMA GLOBULIN 16% INJ 25 25
4134 GENTA 20MG-2ML AMPOULE GENTA 20MG-2ML AMPOULE 12 12
4135 GENTA 40MG-2ML AMPOULE GENTA 40MG-2ML AMPOULE 12 12
4136 GENTA 80MG-2ML AMPOULE GENTA 80MG-2ML AMPOULE 13 13
4137 GENTAM 20MG-2ML AMP GENTAM 20MG-2ML AMP 20 20
4138 GENTAM 80MG-2ML AMP GENTAM 80MG-2ML AMP 37 37
4139 GLYCERYL TRINITRATE 50MG-10ML I-V AMP GLYCERYL TRINITRATE 50MG-10ML I-V AMP
 62 62
4140 GONAL-F 150 IU AMPOULE GONAL-F 150 IU AMPOULE 497 497
4141 GONAL-F 75 IU AMPOULE GONAL-F 75 IU AMPOULE 321 321
4142 GRANITRON 1MG-ML SOLUTION FOR Injection
 GRANITRON 1MG-ML SOLUTION FOR Injection
 72 72
4143 GRANITRON 3MG-3ML SOLUTION FOR Injection
 GRANITRON 3MG-3ML SOLUTION FOR Injection
 141 141
4144 GUTRON Injection GUTRON Injection 15 15
4145 HALDOL 5MG-ML AMP HALDOL 5MG-ML AMP 19 19
4146 HALDOL DECANOAS INJ 100MG-ML HALDOL DECANOAS INJ 100MG-ML 93 93
4147 HALDOL DECANOAS INJ 50MG HALDOL DECANOAS INJ 50MG 54 54
4148 HEPA - MERZ INFUSION HEPA - MERZ INFUSION 43 43
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To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4149 HEPATECT AMP HEPATECT AMP 774 774
4150 HEPATECT AMP HEPATECT AMP 15 15
4151 HIKMA MIDAZOLAM 5MG-1ML AMPOULES HIKMA MIDAZOLAM 5MG-1ML AMPOULES
 15 15
4152 HISTARHINE SYRUP HISTARHINE SYRUP 17 17
4153 HONVAN AMPOULE 300MG-5 ML HONVAN AMPOULE 300MG-5 ML 28 28
4154 IMPUGAN 10MG-ML INJ 2ML AMP IMPUGAN 10MG-ML INJ 2ML AMP 12 12
4155 INDERAL AMPULES 1MG-ML INDERAL AMPULES 1MG-ML 13 13
4156 INFLA-BAN 75MG-3ML AMP INFLA-BAN 75MG-3ML AMP 13 13
4157 INSTENON AMP INSTENON AMP 15 15
4158 INTAL NEBULISER SOLN 1% 2ML AMP INTAL NEBULISER SOLN 1% 2ML AMP 13 13
4159 IOPAMIRO 200 INJ IOPAMIRO 200 INJ 48 48
4160 IPRADOL AMPULES 5MCG-2 ML IPRADOL AMPULES 5MCG-2 ML 13 13
4161 ISOKET 0.1% AMPOULE ISOKET 0.1% AMPOULE 24 24
4162 ISOPTIN AMP 2.5MG-ML ISOPTIN AMP 2.5MG-ML 17 17
4163 JECTOFER AMP. 100 MG JECTOFER AMP. 100 MG 18 18
4164 KEMADRIN INJ 10MG-2ML KEMADRIN INJ 10MG-2ML 25 25
4165 KONAKION AMP 10MG-ML KONAKION AMP 10MG-ML 15 15
4166 KONAKION AMP 1MG-0.5ML KONAKION AMP 1MG-0.5ML 14 14
4167 KONAKION MM 10MG-ML AMP I.V. KONAKION MM 10MG-ML AMP I.V. 18 18
4168 KONAKION MM PAED 2MG-0.2ML AMP KONAKION MM PAED 2MG-0.2ML AMP 17 17
4169 KYTRIL 1MG-ML AMP KYTRIL 1MG-ML AMP 98 98
4170 KYTRIL 3MG-3ML AMP KYTRIL 3MG-3ML AMP 197 197
4171 LANIBOS 0.25MG-2ML INJ. LANIBOS 0.25MG-2ML INJ. 13 13
4172 LANITOP AMP 0.1MG-ML LANITOP AMP 0.1MG-ML 13 13
4173 LANOXIN 0.25MG/ML INJ LANOXIN 0.25MG/ML INJ 15 15
4174 LASIX AMP 20MG-2ML LASIX AMP 20MG-2ML 16 16
4175 LASIX INFUSION SOLN 250 MG. LASIX INFUSION SOLN 250 MG. 61 61
4176 LASTET 100MG AMP FOR INFUSION LASTET 100MG AMP FOR INFUSION 69 69
4177 LEUCOMAX 300 MICROGRAM VIAL+SOLVENT AMP
 LEUCOMAX 300 MICROGRAM VIAL+SOLVENT AMP
 762 762
4178 LEUCOMAX 400 MICROGRAM VIAL+SOLVENT AMP
 LEUCOMAX 400 MICROGRAM VIAL+SOLVENT AMP
 1013 1013
4179 LEVOPHED 4MG-4ML AMP(I.V) LEVOPHED 4MG-4ML AMP(I.V) 203 203
4180 LIDOCAINE HCL 1% AMPOULE LIDOCAINE HCL 1% AMPOULE 16 16
4181 LIDOCAINE HCL 2% INJ 20ML LIDOCAINE HCL 2% INJ 20ML 13 13
4182 LIGNOCAINE 1%W-V AMP LIGNOCAINE 1%W-V AMP 12 12
4183 LIGNOCAINE 2%W-V AMP LIGNOCAINE 2%W-V AMP 13 13
4184 LYSTHENON SICCUM VIAL LYSTHENON SICCUM VIAL 35 35
4185 MADECASSOL Injection MADECASSOL Injection 12 12
4186 MAGNESIUM SULFATE 50% AMPOULE MAGNESIUM SULFATE 50% AMPOULE 13 13
4187 MAGNEVIST INJ. MAGNEVIST INJ. 866 866
4188 MARCAINE INJ 0.5% MARCAINE INJ 0.5% 41 41
4189 MARCAINE INJ. 0.25% MARCAINE INJ. 0.25% 40 40
4190 MENOGON 75 I.U FSH & 75 I.U LH AMPOULES
 MENOGON 75 I.U FSH & 75 I.U LH AMPOULES
 83 83
4191 METHERGINE 0.2MG-ML AMPULES METHERGINE 0.2MG-ML AMPULES 30 30
4192 METHOTREXATE "EBEWE 10MG-ML AMP. METHOTREXATE "EBEWE 10MG-ML AMP.
 41 41
Page 66
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4193 METHYCOBAL 500 MCG AMPOULES METHYCOBAL 500 MCG AMPOULES 22 22
4194 MIACALCIC 100 IU-ML AMP MIACALCIC 100 IU-ML AMP 69 69
4195 MIACALCIC AMP 50 IU-ML MIACALCIC AMP 50 IU-ML 49 49
4196 MIACIN 100MG-2ML AMP MIACIN 100MG-2ML AMP 24 24
4197 MIACIN 500MG-2ML AMP MIACIN 500MG-2ML AMP 60 60
4198 MIDARINE 100 MG - 2 ML AMP MIDARINE 100 MG - 2 ML AMP 16 16
4199 MIDAZOLAM- HAMELN 1MG-ML SOLU. FOR INJ
 MIDAZOLAM- HAMELN 1MG-ML SOLU. FOR INJ
 15 15
4200 MIDAZOLAM- HAMELN 5MG-ML SOLU. FOR INJ
 MIDAZOLAM- HAMELN 5MG-ML SOLU. FOR INJ
 15 15
4201 MIKACIN 100MG-2ML INJ. MIKACIN 100MG-2ML INJ. 37 37
4202 MIKACIN 500MG-2 ML AMP MIKACIN 500MG-2 ML AMP 54 54
4203 MIVACRON 2MG\ML INJ MIVACRON 2MG\ML INJ 46 46
4204 MONOPARIN 1000 U-ML INJ MONOPARIN 1000 U-ML INJ 13 13
4205 MONOPARIN 25000 U-ML INJ MONOPARIN 25000 U-ML INJ 33 33
4206 MONOPARIN 5000 U-MLINJ MONOPARIN 5000 U-MLINJ 16 16
4207 NALOXONE HCL 400MCG-ML AMP NALOXONE HCL 400MCG-ML AMP 40 40
4208 NAROPIN 10MG-ML AMP NAROPIN 10MG-ML AMP 48 48
4209 NAROPIN 2MG-ML PLASTIC AMP NAROPIN 2MG-ML PLASTIC AMP 27 27
4210 NAROPIN 7.5MG-ML AMP NAROPIN 7.5MG-ML AMP 59 59
4211 NAVOBAN 5MG-5ML AMP NAVOBAN 5MG-5ML AMP 193 193
4212 NAXONE 0.02MG-ML INJ 2ML NAXONE 0.02MG-ML INJ 2ML 37 37
4213 NAXONE 0.4MG-ML INJ NAXONE 0.4MG-ML INJ 41 41
4214 NEBIDO 1000 MG- 4 ML SOLUTION FOR INJ NEBIDO 1000 MG- 4 ML SOLUTION FOR INJ
 1130 1130
4215 NEOSTIGMINE 2.5MG-ML AMP NEOSTIGMINE 2.5MG-ML AMP 13 13
4216 NEOSTIGMINE METHYLSULFATE 0.5 MG/ML AMPOULE
 NEOSTIGMINE METHYLSULFATE 0.5 MG/ML AMPOULE
 14 14
4217 NEUROBION NEUROBION 19 19
4218 NEUROCOMB I.M INJECTION NEUROCOMB I.M INJECTION 17 17
4219 NEURORUBINE SOLUTION NEURORUBINE SOLUTION 15 15
4220 NEUROVIT AMPOULES NEUROVIT AMPOULES 15 15
4221 NIMBEX 2MG\ML SOLUTION FOR INJ NIMBEX 2MG\ML SOLUTION FOR INJ 29 29
4222 NIPRIDE DOUBLE 50 MG AMP. NIPRIDE DOUBLE 50 MG AMP. 62 62
4223 NON PYROGENIC ACETATE F6(3-006-010) I.V
 NON PYROGENIC ACETATE F6(3-006- 010) I.V
 92 92
4224 NON PYROGENIC ACID CONC (12-110- 005)I.V
 NON PYROGENIC ACID CONC (12-110- 005)I.V
 74 74
4225 NON PYROGENIC ACID CONC (12-123- 005)I.V
 NON PYROGENIC ACID CONC (12-123- 005)I.V
 74 74
4226 NON PYROGENIC ACID CONC (3-017-005)I.V NON PYROGENIC ACID CONC (3-017- 005)I.V
 74 74
4227 NON PYROGENIC ACID CONC (3-023-005)I.V NON PYROGENIC ACID CONC (3-023- 005)I.V
 74 74
4228 NON PYROGENIC ACID CONC(12-111-005)I.V NON PYROGENIC ACID CONC(12-111- 005)I.V
 74 74
4229 NON PYROGNIC ACETATE F1(3-001-010)I.V NON PYROGNIC ACETATE F1(3-001- 010)I.V
 92 92
4230 NOOTROPIL AMP 1GM-5ML NOOTROPIL AMP 1GM-5ML 15 15
4231 OLFEN-75 OLFEN-75 19 19
4232 ONE-ALPHA 2MCG-ML AMP. ONE-ALPHA 2MCG-ML AMP. 32 32
4233 ORADEXON AMPULES 5 MG.-ML. ORADEXON AMPULES 5 MG.-ML. 38 38
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To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4234 PAINSTOP 20MG-ML AMPOULE PAINSTOP 20MG-ML AMPOULE 13 13
4235 PAVULON 2MG-ML INJ 2ML PAVULON 2MG-ML INJ 2ML 22 22
4236 PED-EL 20ML VIAL PED-EL 20ML VIAL 35 35
4237 PENTAGLOBIN AMP I.V PENTAGLOBIN AMP I.V 3866 3866
4238 PHENTOLEP 50MG-ML AMPOULE PHENTOLEP 50MG-ML AMPOULE 39 39
4239 PHENYTOIN 250MG-5ML AMP PHENYTOIN 250MG-5ML AMP 42 42
4240 PLASMA PROTEIN FRACTION 5% SOLUTION PLASMA PROTEIN FRACTION 5% SOLUTION
 248 248
4241 PLASMANATE 5% SOLUTION FOR I.V. INJECTION
 PLASMANATE 5% SOLUTION FOR I.V. INJECTION
 328 328
4242 POLYVALENT SNAKE ANTIVENUM(EQUINE) AMP
 POLYVALENT SNAKE ANTIVENUM(EQUINE) AMP
 590 590
4243 POTASSIUM CHLORIDE 7.5% AMP POTASSIUM CHLORIDE 7.5% AMP 13 13
4244 PREGNYL +SOLVENT PREGNYL +SOLVENT 38 38
4245 PREGNYL 5000 IU AMP+SOLVENT PREGNYL 5000 IU AMP+SOLVENT 105 105
4246 PREMOSAN 10MG Injection PREMOSAN 10MG Injection 11 11
4247 PRIMPERAN 5MG-ML 2ML-AMP. PRIMPERAN 5MG-ML 2ML-AMP. 12 12
4248 PROLUTON DEPOT AMP 250MG-ML(500mg- 2ML)
 PROLUTON DEPOT AMP 250MG- ML(500mg-2ML)
 51 51
4249 PROPOFOL 1% I.V INJ OR INFUSION PROPOFOL 1% I.V INJ OR INFUSION 51 51
4250 PROPOFOL-LIPURO1% INJ OR INF AMPOULE
 PROPOFOL-LIPURO1% INJ OR INF AMPOULE
 38 38
4251 PROSTIN E2 0.5ML I.V.AMP PROSTIN E2 0.5ML I.V.AMP 235 235
4252 PROSTIN E2 0.75ML AMP PROSTIN E2 0.75ML AMP 112 112
4253 PROSTIN VR AMP PROSTIN VR AMP 699 699
4254 PROSULF 10MG/ML SOLUTION FOR INJECTION
 PROSULF 10MG/ML SOLUTION FOR INJECTION
 16 16
4255 PROTAMINE SULPHATE INJ 1% PROTAMINE SULPHATE INJ 1% 11 11
4256 PROVISC 10MG-ML SYRINGE FOR I-O USE PROVISC 10MG-ML SYRINGE FOR I-O USE
 419 419
4257 PULMICORT 0.5MG-ML (S.DOSE FOR NUB) SUSP
 PULMICORT 0.5MG-ML (S.DOSE FOR NUB) SUSP
 341 341
4258 PULMICORT0.25MG-ML SINGLE DOSE PLASTIC U
 PULMICORT0.25MG-ML SINGLE DOSE PLASTIC U
 19 19
4259 RANTAG 50MG AMP. RANTAG 50MG AMP. 18 18
4260 RAPIFEN 500MCG-ML AMP RAPIFEN 500MCG-ML AMP 18 18
4261 REGITINE AMP REGITINE AMP 42 42
4262 RHEUMARENE 75MG-3ML SOLU. FOR INJECTION
 RHEUMARENE 75MG-3ML SOLU. FOR INJECTION
 12 12
4263 RIVOTRIL AMP 1MG+SOLV 1ML RIVOTRIL AMP 1MG+SOLV 1ML 17 17
4264 ROFENAC 75MG AMP ROFENAC 75MG AMP 23 23
4265 ROLAN 50MG\2ML AMP ROLAN 50MG\2ML AMP 17 17
4266 SALURIN 20MG-2ML AMPOULES SALURIN 20MG-2ML AMPOULES 14 14
4267 SANDIMMUN 50MG-ML AMPULE SANDIMMUN 50MG-ML AMPULE 334 334
4268 SANDOSTATIN 0.05MG-ML AMP SANDOSTATIN 0.05MG-ML AMP 53 53
4269 SANDOSTATIN 0.1MG-ML AMP SANDOSTATIN 0.1MG-ML AMP 91 91
4270 SANDOSTATIN 0.2MG-ML 5ML AMP SANDOSTATIN 0.2MG-ML 5ML AMP 300 300
4271 SCOPINAL 20MG AMPOULE SCOPINAL 20MG AMPOULE 13 13
4272 SCORPION ANTIVENOM (EQUINE) AMP SCORPION ANTIVENOM (EQUINE) AMP 113 113
4273 SEDACORON 150 MG- 3ML AMPOULES SEDACORON 150 MG- 3ML AMPOULES 17 17
4274 SEPTRIN I.M INJ 3ML SEPTRIN I.M INJ 3ML 32 32
4275 SEPTRIN INJECTION SEPTRIN INJECTION 32 32
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4276 SHIFA PIROXICAM 20 MG-ML I.M AMP SHIFA PIROXICAM 20 MG-ML I.M AMP 12 12
4277 SHIFA RANITIDINE50MG\2ML AMPOULE SHIFA RANITIDINE50MG\2ML AMPOULE 12 12
4278 SOD. CHLORIDE 3% I.V INJECTION AMP SOD. CHLORIDE 3% I.V INJECTION AMP 11 11
4279 SOD.CHLORIDE 0.9% SOD.CHLORIDE 0.9% 11 11
4280 SODIUM CHLORIDE 5.85% AMP SODIUM CHLORIDE 5.85% AMP 12 12
4281 SOLUPARAXIN 1G VIAL+SOLVENT SOLUPARAXIN 1G VIAL+SOLVENT 26 26
4282 SPASMOPAN 20MG AMP. SPASMOPAN 20MG AMP. 12 12
4283 STESOLID INJ 10 MG-2 ML STESOLID INJ 10 MG-2 ML 14 14
4284 SUFENTA AMP 5MCG-ML SUFENTA AMP 5MCG-ML 18 18
4285 SUFENTA FORTE AMP 50MCG-ML SUFENTA FORTE AMP 50MCG-ML 87 87
4286 SUFUNTANIL- HAMELN 5MCG-ML SOLU. FOR INJ
 SUFUNTANIL- HAMELN 5MCG-ML SOLU. FOR INJ
 31 31
4287 SULPHADIAZINE INJ 27.2%W-V 4ML AMP SULPHADIAZINE INJ 27.2%W-V 4ML AMP
 18 18
4288 SUSTANON 100 AMP SUSTANON 100 AMP 38 38
4289 SUSTANON 250 AMP SUSTANON 250 AMP 57 57
4290 SYLADOR INJ 5MG-ML SYLADOR INJ 5MG-ML 16 16
4291 SYNACTHEN DEPOT SYNACTHEN DEPOT 56 56
4292 SYNTOCINON AMP 5 IU-ML SYNTOCINON AMP 5 IU-ML 15 15
4293 TENORMIN INJ 500MCG-ML TENORMIN INJ 500MCG-ML 25 25
4294 TESTOVIRON DEPOT 250MG-1ML AMP TESTOVIRON DEPOT 250MG-1ML AMP 63 63
4295 TIAPRIDAL AMP TIAPRIDAL AMP 13 13
4296 TILCOTIL 20MG VIAL TILCOTIL 20MG VIAL 23 23
4297 TOBRAMYCIN 20MG-2ML VIAL TOBRAMYCIN 20MG-2ML VIAL 26 26
4298 TRABILIN 100MG AMPOULES TRABILIN 100MG AMPOULES 17 17 0
4299 TRACRIUM 10MG\ML TRACRIUM 10MG\ML 33 33 0
4300 TRACUTIL SOLUSION FOR INFUSION AMPOULE
 TRACUTIL SOLUSION FOR INFUSION AMPOULE
 19 19 0
4301 TRAMADOL AWD 100MG-2ML AMPOULE TRAMADOL AWD 100MG-2ML AMPOULE 18 18 0
4302 TRAMADONE 50MG-ML(100MG-2ML) AMPOULE
 TRAMADONE 50MG-ML(100MG-2ML) AMPOULE
 18 18 0
4303 TRAMAL 50 MG-1 ML AMPOULE TRAMAL 50 MG-1 ML AMPOULE 17 17 0
4304 TRANDATE INJ. 100 MG.-AMP.20ML TRANDATE INJ. 100 MG.-AMP.20ML 45 45 0
4305 UBRETID 0.5MG AMP UBRETID 0.5MG AMP 12 12 0
4306 UROMITEXAN 400MG-4ML AMP UROMITEXAN 400MG-4ML AMP 21 21 0
4307 VALIUM AMP 10MG-2ML VALIUM AMP 10MG-2ML 15 15 0
4308 VENTOLIN 0.5MG\ML INJ VENTOLIN 0.5MG\ML INJ 17 17 0
4309 VOLTAREN 75 MG AMP VOLTAREN 75 MG AMP 28 28 0
4310 VOLTIC 75 MG-3ML AMPOULES VOLTIC 75 MG-3ML AMPOULES 19 19
4311 VOTREX 75MG-3ML AMP VOTREX 75MG-3ML AMP 17 17
4312 WATER FOR INJ AMP WATER FOR INJ AMP 11 11
4313 WATER FOR INJ. AMP WATER FOR INJ. AMP 11 11
4314 XYLOCAINE 1% WITH ADRENALINE INJ XYLOCAINE 1% WITH ADRENALINE INJ 38 38
4315 XYLOCAINE 2% WITH ADRENALINE INJ SOLN
 XYLOCAINE 2% WITH ADRENALINE INJ SOLN
 39 39
4316 XYLOCAINE, INJ, SOLN 2% XYLOCAINE, INJ, SOLN 2% 22 22
4317 XYLOCAINE,INJ SOLN 1% XYLOCAINE,INJ SOLN 1% 21 21
4318 ZANTAC ZANTAC 20 20
4319 ZENOS AMP 4MG-ML ZENOS AMP 4MG-ML 21 21
Page 69
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4320 ZOFRAN 2MG\ML INJECTION ZOFRAN 2MG\ML INJECTION 106 106
4321 ZYDAC 50MG-2 ML SOLUTION FOR IV . IM ZYDAC 50MG-2 ML SOLUTION FOR IV . IM
 17 17
4322 LUMBAR-PUNCTURE LUMBAR-PUNCTURE 500 500
4323 CPR WITH OR W/O DIFIBRILATION CPR WITH OR W/O DIFIBRILATION 500 500
4324 OXYGEN INHALATION / DAY OXYGEN INHALATION / DAY 400 400
4325 REDUCTION OF PULLED ELBOW REDUCTION OF PULLED ELBOW 100 100
4326 Prostatic massage (ONE SESSION) Prostatic massage (ONE SESSION) 60 60
4327 Tongue tie release Tongue tie release 200 200
4328 Excision benign tumor LA Excision benign tumor LA 200 200
4329 ECHOCARDIOGRAPHY / ECHOCARDIOGRAM
 ECHOCARDIOGRAPHY / ECHOCARDIOGRAM
 500 500
4330 Thumb Spica Cast pop Thumb Spica Cast pop 150 150
4331 Above Elbow Pack-Slab Above Elbow Pack-Slab 276 276
4332 Knee Brace Knee Brace 40 40
4333 Ankle Brace ( banadage ) Ankle Brace ( banadage ) 40 40
4334 Above Knee Pack-Slab Above Knee Pack-Slab 300 300
4335 HOT AND Cold fomentation HOT AND Cold fomentation 10 10
4336 Inhalation Therapy (Atrovent & Flixotide) Inhalation Therapy (Atrovent & Flixotide) 40 40
4337 Excision of Large Lipoma Under Local Anesthesia LA
 Excision of Large Lipoma Under Local Anesthesia LA
 300 300
4338 Epidermoid Cyst Excision Epidermoid Cyst Excision 200 200
4339 Multiple Papilloma Excision Under Local Anesthesia
 Multiple Papilloma Excision Under Local Anesthesia
 200 200
4340 Nasal Turbinate Cauterization Nasal Turbinate Cauterization 100 100
4341 Posterior Wrist Slab / FIXATION SPRAIN WRIST
 Posterior Wrist Slab / FIXATION SPRAIN WRIST
 200 200
4342 Closed Reduction & Splintage of Finger Joint Dislocation
 Closed Reduction & Splintage of Finger Joint Dislocation
 300 300
4343 Urinary Nelaton Catheterization Urinary Nelaton Catheterization 50 50
4344 Endotracheal Intubation Endotracheal Intubation 150 150
4345 Nasogastric ( NG ) Tube Fixation NGT Nasogastric ( NG ) Tube Fixation NGT 50 50
4346 ABDOMINAL TAPPING ABDOMINAL TAPPING 100 100
4347 HAEMATOMA INCISION HAEMATOMA INCISION 150 150
4348 SPIRAL PHOTOTHERAPY SPIRAL PHOTOTHERAPY 300 300
4349 INVASIVE PRESSURE MONITORING INVASIVE PRESSURE MONITORING 400 400
4350 BP Blood pressure MONITORING 1 DAY BP Blood pressure MONITORING 1 DAY 50 50
4351 CARDIAC MONITORING / Day CARDIAC MONITORING / Day 250 250
4352 CVP - MONITORING / DAY CVP - MONITORING / DAY 150 150
4353 PULSE Oximeter / DAY PULSE Oximeter / DAY 100 100
4354 ASCETIC FLUID PUNCTURE ASCETIC FLUID PUNCTURE 500 500
4355 REMOVAL OF CERCVICAL Stitch ( suture ) / REMOVAL OF SHIRODKAR SUTURE
 REMOVAL OF CERCVICAL Stitch ( suture ) / REMOVAL OF SHIRODKAR SUTURE
 100 100
4356 UMBILical VENous or ARTErial CANNULATION UMBILical VENous or ARTErial CANNULATION
 200 200
4357 ( Electro - Cryo - Chemical ) Cautery for 10 or MORE WARTS
 ( Electro - Cryo - Chemical ) Cautery for 10 or MORE WARTS
 500 500
4358 Retrobulbar - Injection FOR ONE EYE Retrobulbar - Injection FOR ONE EYE 100 100
4359 EVERTED PUNCTUM CAUTERY EVERTED PUNCTUM CAUTERY 200 200
4360 JOINT TAPING / ASPIRATION MEDIUM JOINT JOINT TAPING / ASPIRATION MEDIUM JOINT
 100 100
4361 JOINT TAPING / ASPIRATION LARGE JOINT JOINT TAPING / ASPIRATION LARGE 150 150
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To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
JOINT
4362 POP SLAB BELOW ELBOW / KNEE POP SLAB BELOW ELBOW / KNEE 200 200
4363 CAST MENERVA CAST MENERVA 500 500
4364 ANTERIOR OR POSTERIOR NASAL PACKAGE (BOTH SIDES)
 ANTERIOR OR POSTERIOR NASAL PACKAGE (BOTH SIDES)
 200 200
4365 EPIDURAL LOCAL INJECTION EPIDURAL LOCAL INJECTION 250 250
4366 CLAVICLE BRACE CLAVICLE BRACE 100 100
4367 EVACUATION OF NAIL HEMATOMA EVACUATION OF NAIL HEMATOMA 70 70
4368 Hearing Test (Screening) Hearing Test (Screening) 250 250
4369 ( AURAL ) EAR PACK (FOR EACH EAR) Unilateral
 ( AURAL ) EAR PACK (FOR EACH EAR) Unilateral
 30 30
4370 Nasal / NOSE suction / sputum suction / suction per mouth
 Nasal / NOSE suction / sputum suction / suction per mouth
 30 30
4371 PEAK FLOW METER (PFM) PEAK FLOW METER (PFM) 50 50
4372 IOP MEASUREMENT (intra occular pressure) IOP MEASUREMENT (intra occular pressure)
 30 30
4373 INCISION OF LACRIMAL CYST INCISION OF LACRIMAL CYST 200 200
4374 VENTOLIN NEBULISER + o2 OXYGEN / Inhalation Therapy (Oxygen & Adrenaline)
 VENTOLIN NEBULISER + o2 OXYGEN / Inhalation Therapy (Oxygen & Adrenaline)
 30 30
4375 foreign body removal from both eyes foreign body removal from both eyes 140 140
4376 unilateral wash for lacrimal gland unilateral wash for lacrimal gland 60 60
4377 bilateral wash for lacrimal gland bilateral wash for lacrimal gland 100 100
4378 casts for fingers pop casts for fingers pop 100 100
4379 Stitch ( suture ) per each / TENDON SUTURE- EACH SUTURE
 Stitch ( suture ) per each / TENDON SUTURE-EACH SUTURE
 20 20
4380 MUSCuLAR Stitch ( suture ) MUSCuLAR Stitch ( suture ) 20 20
4381 EXCISION OF GANGLION EXCISION OF GANGLION 200 200
4382 eye lid suture per one eye lid suture per one 40 40
4383 oxytocin inj. oxytocin inj. 50
4384 conjuntival suture per one conjuntival suture per one 50 50
4385 Cold Compressed Cold Compressed 14 14
4386 UVA (SESSION) UVA (SESSION) 30 30
4387 Skin Traction - Pediatric / day Skin Traction - Pediatric / day 150 150
4388 Skin Traction -Adult / day Skin Traction -Adult / day 200 200
4389 Scaphoid Cast POP Scaphoid Cast POP 150 150
4390 Scaphoid Cast Dynacost Scaphoid Cast Dynacost 250 250
4391 Leishmanic Cautery Leishmanic Cautery 50 50
4392 Leishmanic Cautery Multiple Leishmanic Cautery Multiple 150 150
4393 Cautery Of Lashes Cautery Of Lashes 100 100
4394 Epistaxis> Laser Cauterisation Epistaxis> Laser Cauterisation 250 250
4395 Cold sponging / TEPID SPONGE BATH Cold sponging / TEPID SPONGE BATH 30 30
4396 Puva therapy for 1 setting Puva therapy for 1 setting 50 50
4397 Removal of milia by sterile needle ( EACH) Removal of milia by sterile needle ( EACH) 40 40
4398 Epilation of eye lash ( ABERRANT / rubbing ) Removal
 Epilation of eye lash ( ABERRANT / rubbing ) Removal
 50 50
4399 SYRINGE PUMP PER DAY SYRINGE PUMP PER DAY 100 100
4400 Eye tension mesuring / APPLANATION TONOMETRY FOR BOTH EYES
 Eye tension mesuring / APPLANATION TONOMETRY FOR BOTH EYES
 50 50
4401 USE OF INTERMIT SUC PUMP/DAY USE OF INTERMIT SUC PUMP/DAY 120 120
4402 FEMORAL CAST BRACE HINGES FEMORAL CAST BRACE HINGES 1200 1200
4403 Repair of old perineal tear Repair of old perineal tear 1000 1000
Page 71
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4404 Eye wash & eye drops / EYE IRRIGATION Eye wash & eye drops / EYE IRRIGATION 50 50
4405 TIBIAL CAST BRACE TIBIAL CAST BRACE 600 600
4406 Removal of loose nail Removal of loose nail 50 50
4407 Short wave sitting for prostate Short wave sitting for prostate 50 50
4408 Fetal Monitoring / DAY Fetal Monitoring / DAY 200 200
4409 Field of Vision – Peripheral Field of Vision – Peripheral 60 60
4410 Field of Vision – Central Field of Vision – Central 100 100
4418 Cautery procedure for ulcer cornea Cautery procedure for ulcer cornea 100 100
4419 Dressing For Diabetic 1 Toe Dressing For Diabetic 1 Toe 80 80
4420 Dressing For Diabetic (each Toe more) Dressing For Diabetic (each Toe more) 40 40
4421 Sternal puncture Sternal puncture 400 400
4422 Probing of the lacrimal canal / duct LA Probing of the lacrimal canal / duct LA 100 100
4423 REMOVAL OF SLAB REMOVAL OF SLAB 50 50
4424 AUDIOMETRY WITH MASKING AUDIOMETRY WITH MASKING 250 250
4425 METAL SLAB OF FINGER METAL SLAB OF FINGER 80 80
4426 CUT DOWN INFUSION LINE CUT DOWN INFUSION LINE 200 200
4427 WATER STEAM INHALATION WATER STEAM INHALATION 24 24
4428 LARYNGOSCOPY/DIAGNOSTIC + BIOSPY / FILM
 LARYNGOSCOPY/DIAGNOSTIC + BIOSPY / FILM
 700 700
4429 LACRIMAL PASSAGE SYRINGING & WASH / bilateral
 LACRIMAL PASSAGE SYRINGING & WASH / bilateral
 250 250
4430 PEAK FLOW METER (PFM) PRE & POST PEAK FLOW METER (PFM) PRE & POST 100 100
4431 REMOVAL OF PTDS (ONE EYE) REMOVAL OF PTDS (ONE EYE) 100 100
4432 Electrolysis of rubbing eyelash simple ( one eye )
 Electrolysis of rubbing eyelash simple ( one eye )
 100 100
4433 FOREIGN BODY REMOVAL FROM LARYNX / BRONCHI
 FOREIGN BODY REMOVAL FROM LARYNX / BRONCHI
 300 300
4434 ELASTIC BANDAGE WRIST ELASTIC BANDAGE WRIST 50 50
4435 COLOUR VISION TEST EXAM COLOUR VISION TEST EXAM 50 50
4436 EXCISION OF KELOID BY CAUTERY EXCISION OF KELOID BY CAUTERY 200 200
4437 AUDIOGRAM WITH READING AUDIOGRAM WITH READING 100 100
4438 INTERCOSTAL CHEST TUBE INTERCOSTAL CHEST TUBE 700 700
4440 BONE MARROW ASPIRATION-PROCEDURE + BIOPSY
 BONE MARROW ASPIRATION- PROCEDURE + BIOPSY
 500 500
4441 INCISION OF ANT URETHRA INCISION OF ANT URETHRA 500 500
4442 Secondary closure of contamenated / INFECTED wound ( suture )
 Secondary closure of contamenated / INFECTED wound ( suture )
 250 250
4443 BOUGIENAGE OF URETHRA BOUGIENAGE OF URETHRA 500 500
4444 single PHOTOTHERAPY PER DAY (PE) single PHOTOTHERAPY PER DAY (PE) 150 150
4445 TRIPLE PHOTO THERAPY W/O BLOOD PER DAY(PE)
 TRIPLE PHOTO THERAPY W/O BLOOD PER DAY(PE)
 300 300
4446 Double Phototherapy per day Double Phototherapy per day 200 200
4447 Liver Biopsy w/o Histopath Liver Biopsy w/o Histopath 300 300
4448 PERIPHERAL ARTERIAL CANNULATION PERIPHERAL ARTERIAL CANNULATION 150 150
4449 ECHO 2 DIMENSION + M MODE ECHO 2 DIMENSION + M MODE 350 350
4450 COPY ECHO-VID CASS W/REPT COPY ECHO-VID CASS W/REPT 40 40
4451 DOBUTAMINE STRESS ECHO / EXERCISE ECHOCARDIOGRAM
 DOBUTAMINE STRESS ECHO / EXERCISE ECHOCARDIOGRAM
 1000 1000
4452 ECHO-PAEDIA-2D+DOPLR+COL DPLR ECHO-PAEDIA-2D+DOPLR+COL DPLR 700 700
4453 ECHO-MMODE+2D ECHO +DOPLR ECHO-MMODE+2D ECHO +DOPLR 700 700
4454 EEG PTVIDEO MONITORING/DAY EEG PTVIDEO MONITORING/DAY 600 600
Page 72
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4455 EVOKED RESPONSE AUDIOMETRY EVOKED RESPONSE AUDIOMETRY 600 600
4456 TRANSESOPHAGEAL ECHOCARDIO TRANSESOPHAGEAL ECHOCARDIO 1000 1000
4457 INFUSION /SYRINGE PUMP/DAY INFUSION /SYRINGE PUMP/DAY 70 70
4458 EXTRACTION OF SUBMANDIBULAR STONE EXTRACTION OF SUBMANDIBULAR STONE
 750 750
4459 TOTAL EXC Ingrowing TOE NAIL W/BED LA TOTAL EXC Ingrowing TOE NAIL W/BED LA
 300 300
4460 all CAUTERY EPISTAXIS bilateral all CAUTERY EPISTAXIS bilateral 150 150
4461 all CAUTERY EPISTAXIS unilateral all CAUTERY EPISTAXIS unilateral 100 100
4462 BILATERAL EAR SUCTION BILATERAL EAR SUCTION 70 70
4463 PTD's PICKING (2 EYES) PTD's PICKING (2 EYES) 150 150
4464 Large TUMOR ON EYE-LID / CONJUNCTIVA LA / Excision of Conjunctival nevus / BIOPS
 Large TUMOR ON EYE-LID / CONJUNCTIVA LA / Excision of Conjunctival nevus / BIOPS
 400 400
4465 PENILE INJECT FOR ERECTION PENILE INJECT FOR ERECTION 250 250
4466 o2 OXYGEN + No2 / 30 MINS o2 OXYGEN + No2 / 30 MINS 40 40
4467 URETHERAL DILATATION / UROFLOWMETRY
 URETHERAL DILATATION / UROFLOWMETRY
 300 300
4468 LATERAL CERVICAL PUNCTURE LATERAL CERVICAL PUNCTURE 800 800
4469 CISTERNAL PUNCTURE CISTERNAL PUNCTURE 800 800
4470 VENTRICULAR PUNCTURE VENTRICULAR PUNCTURE 800 800
4471 SLIPPER CAST SYNTHETIC / foot cast SLIPPER CAST SYNTHETIC / foot cast 250 250
4472 PED-SLIPPER CAST PLASTER / foot cast pop PED-SLIPPER CAST PLASTER / foot cast pop
 180 180
4473 PED-SLIPPER CAST (SYNTHETIC) / foot cast PED-SLIPPER CAST (SYNTHETIC) / foot cast
 200 200
4474 Urethral stone extraction ULA Urethral stone extraction ULA 500 500
4475 URETHRAL DILATATION UNDER LOCAL A URETHRAL DILATATION UNDER LOCAL A
 600 600
4476 PROSTATIC U/S GUIDED BIOPSY PROSTATIC U/S GUIDED BIOPSY 900 900
4477 Small TUMOR 1LID CONJUNCTIVA LA Small TUMOR 1LID CONJUNCTIVA LA 200 200
4478 CATHERIZATION URETHRAL AND URINE BAG
 CATHERIZATION URETHRAL AND URINE BAG
 100 100
4479 GROMMET TUBE REMOVAL (OPD) GROMMET TUBE REMOVAL (OPD) 100 100
4481 URETHRAL IRRIGATION URETHRAL IRRIGATION 150 150
4482 APNEA MONITOR APNEA MONITOR 100 100
4483 HEMODYNAMIC MONITOR PER DAY HEMODYNAMIC MONITOR PER DAY 100 100
4484 ( OXYGEN & VENTOLIN & PULMECORT & ATROVET) INHELATION
 ( OXYGEN & VENTOLIN & PULMECORT & ATROVET) INHELATION
 70 70
4485 CIRCUMCISION OF NEW BORN (1M UP TO 6 MONTHS)
 CIRCUMCISION OF NEW BORN (1M UP TO 6 MONTHS)
 250 250
4486 CIRCUMCISION (ABOVE 12 YEARS) CIRCUMCISION (ABOVE 12 YEARS) 600 600
4487 Intra-Articular Injection W/ US Intra-Articular Injection W/ US 300 300
4488 PROSTATIC NEEDLE ASPIRATION PROSTATIC NEEDLE ASPIRATION 400 400
4489 EYE / CONJUNTIVAL / Lacrimal CYST EXCISION LA
 EYE / CONJUNTIVAL / Lacrimal CYST EXCISION LA
 400 400
4490 EAR GRANULATION TISSUE CHEMICAL CAUTERY
 EAR GRANULATION TISSUE CHEMICAL CAUTERY
 200 200
4491 REMOVAL OF INTUBATION FROM DCR REMOVAL OF INTUBATION FROM DCR 100 100
4492 SLIPPER CAST plaster / foot cast pop SLIPPER CAST plaster / foot cast pop 200 200
4493 Thumb Spica Cast synthetic Thumb Spica Cast synthetic 250 250
4494 EXCISION PILONIDAL SINUS ULA EXCISION PILONIDAL SINUS ULA 500 500
4495 SLIT LAMP EXAMINATION / SLIT LAMP WITH FLORESCENT LAMP
 SLIT LAMP EXAMINATION / SLIT LAMP WITH FLORESCENT LAMP
 50 50
Page 73
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4496 EXOPHTHALMOMETRY EXOPHTHALMOMETRY 50 50
4497 CORNEAL SCRAPING (STAINING / CULTURE)
 CORNEAL SCRAPING (STAINING / CULTURE)
 100 100
4498 FB REMOVAL CORNEA / CONJUNCTIVA / eye
 FB REMOVAL CORNEA / CONJUNCTIVA / eye
 100 100
4499 CHALAZION EXCISION LA ( Small / Infected / LARGE )
 CHALAZION EXCISION LA ( Small / Infected / LARGE )
 200 200
4500 Picking of trachomatous pleps Picking of trachomatous pleps 150 150
4501 GONIOSCOPY GONIOSCOPY 50 50
4502 KERATOSCOPY KERATOSCOPY 50 50
4503 RETINOMETRY RETINOMETRY 50 50
4504 Splint / Plaster Removal Splint / Plaster Removal 50 50
4505 Removal / CURTTAGE / Excision of Molluscum Removal / CURTTAGE / Excision of Molluscum
 200 200
4506 WOOD'S LIGHT EXAM WOOD'S LIGHT EXAM 50 50
4507 DEFIBRILLATOR DEFIBRILLATOR 100 100
4508 NERVE BLOCKADE NERVE BLOCKADE 150 150
4509 CVP set + insertion CVP set + insertion 350 350
4510 NERVE CONDUCTION VELOCITY - 1 NERVE NERVE CONDUCTION VELOCITY - 1 NERVE
 150 150
4511 NERVE CONDUCTION VELOCITY - 2 NERVES
 NERVE CONDUCTION VELOCITY - 2 NERVES
 250 250
4512 NERVE CONDUCTION VELOCITY - 3 NERVES OR MORE
 NERVE CONDUCTION VELOCITY - 3 NERVES OR MORE
 400 400
4513 Nasal Polypectomy (LA) (UNILATERAL) Nasal Polypectomy (LA) (UNILATERAL) 350 350
4514 NASAL POLYPECTOMY LA (BILATERAL) NASAL POLYPECTOMY LA (BILATERAL) 500 500
4515 REPAIR OF EAR LOBULE / Pinna REPAIR OF EAR LOBULE / Pinna 150 150
4516 Repair Post Partum Tear ( new ) Repair Post Partum Tear ( new ) 500 500
4517 SUTURING OF CERV / VAG TEAR SUTURING OF CERV / VAG TEAR 300 300
4518 Figure of 8 Bandage For Fracture Clavicle Figure of 8 Bandage For Fracture Clavicle 150 150
4519 INSERT FEEDING TUBE(TUBE INCL) INSERT FEEDING TUBE(TUBE INCL) 50 50
4520 NASAL CRUST REMOVAL(UNILATERAL) NASAL CRUST REMOVAL(UNILATERAL) 50 50
4521 NASAL CRUST REMOVAL(BILATERAL) NASAL CRUST REMOVAL(BILATERAL) 100 100
4522 Fundoscopy with Direct / Indirect / 3 Mirror fundus Lenses
 Fundoscopy with Direct / Indirect / 3 Mirror fundus Lenses
 50 50
4523 SYNOPTOPHORE EXAM SYNOPTOPHORE EXAM 50 50
4524 C-ARM MACHINE / HR C-ARM MACHINE / HR 300 300
4525 TRICHIASIS ELECTROLYSIS / Electrolysis of rubbing eyelash complicated ( one eye
 TRICHIASIS ELECTROLYSIS / Electrolysis of rubbing eyelash complicated ( one eye
 500 500
4526 ANAL DILATION FOR ANAL STENOSIS / ( LA ) ANAL DILATION FOR ANAL STENOSIS / ( LA )
 120 120
4527 CLO TEST CLO TEST 100 100
4528 Incision of Imperforate Hymen / Hymenectomy ( LA )
 Incision of Imperforate Hymen / Hymenectomy ( LA )
 500 500
4529 APNOEA ALARM / DAY APNOEA ALARM / DAY 80 80
4530 NEW BORN BAY WARMER NEW BORN BAY WARMER 100 100
4531 KERATOMETRY KERATOMETRY 100 100
4532 Meatotomy / urethral dilatation Meatotomy / urethral dilatation 350 350
4533 SUPRAPUBIC TAP / URINE ASPIRATION / PUNCTURE
 SUPRAPUBIC TAP / URINE ASPIRATION / PUNCTURE
 150 150
4534 Suprapubic Catheter Suprapubic Catheter 300 300
4535 UPPER GIT ENDOSCOPY WITHOUT BIOPSY UPPER GIT ENDOSCOPY WITHOUT BIOPSY
 500 500
4536 UPPER GIT ENDOSCOPY WITH BIOPSY UPPER GIT ENDOSCOPY WITH BIOPSY 800 800
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 22 الضماد والطوارئ Emergency
بيان المجموعة 2222 الضماد والطوارئ Emergency
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4537 RACEMIC PULMICORT & ADRENALINE inhalation
 RACEMIC PULMICORT & ADRENALINE inhalation
 50 50
4538 CYCLOPLEGIC TEST CYCLOPLEGIC TEST 50 50
4539 RING BLOCK ANAESTHESIA RING BLOCK ANAESTHESIA 40 40
4540 LOCAL ANAESTHESIA SMALL AREA LOCAL ANAESTHESIA SMALL AREA 40 40
4541 LOCAL ANAESTHESIA LARGE AREA LOCAL ANAESTHESIA LARGE AREA 100 100
4542 REMOVAL OF K-WIRE - SUPERFICIAL W/O Anesthesia
 REMOVAL OF K-WIRE - SUPERFICIAL W/O Anesthesia
 200 200
4543 Vaginal Exam Under Anesthesia Vaginal Exam Under Anesthesia 100 100
4544 BUCCAL SMEAR BUCCAL SMEAR 50 50
4545 Refraction Refraction 50 50
4546 POP REMOVAL POP REMOVAL 50 50
4547 CHILD POP FULL L.L. OR U.L. CHILD POP FULL L.L. OR U.L. 400 400
4548 REDUCTION OF PILES REDUCTION OF PILES 100 100
4549 MIDDLE EAR FLUID ASPIRATION UNDER LA MIDDLE EAR FLUID ASPIRATION UNDER LA
 250 250
4550 EAR MOPPING EAR MOPPING 20 20
4551 INCISION OF EAR FURUNCLE INCISION OF EAR FURUNCLE 50 50
4552 Cranioscopy Cranioscopy 50 50
4553 TOE SUPPORT (METALLIC) TOE SUPPORT (METALLIC) 50 50
4554 METALLIC CAST FOREARM METALLIC CAST FOREARM 80 80
4555 Aspiration of bursa Aspiration of bursa 80 80
4556 ALUMINIUM SPLINT LARGE ALUMINIUM SPLINT LARGE 80 80
4557 Ultraviolet Radiation session ( UVR ) Ultraviolet Radiation session ( UVR ) 50 50
4558 Sensitivity Test In Eye Sensitivity Test In Eye 20 20
4559 MAN-REPOSTION OF INVER UTERUS (LA) MAN-REPOSTION OF INVER UTERUS (LA)
 400 400
4560 Ventilation Tube (Gromet S) LA Ventilation Tube (Gromet S) LA 500 500
4561 Insulflation of fallopian tubes & uterus Insulflation of fallopian tubes & uterus 500 500
4562 ORCHIDOMETER ORCHIDOMETER 50 50
4563 Aspiration of Cyst Aspiration of Cyst 250 250
4564 Excision more than one sebaceous Cyst Excision more than one sebaceous Cyst 500 500
4565 Excision more than one lipoma or cysts LA Excision more than one lipoma or cysts LA 500 500
4566 LASER CAPSULOTOMY (YAG) LASER CAPSULOTOMY (YAG) 1000 1000
4567 LASER PHOTOCOAGULATION /ONE EYE/ 1ST SETTING
 LASER PHOTOCOAGULATION /ONE EYE/ 1ST SETTING
 1200 1200
4568 LASER PHOTOCOAGULATION /ONE EYE/ 2ND SETTING
 LASER PHOTOCOAGULATION /ONE EYE/ 2ND SETTING
 600 600
4569 E C G with Excersise ( Stress )TREADMILL E C G with Excersise ( Stress )TREADMILL 300 300
4570 LA DEBRIDEMENT OF SMALL WOUND LA DEBRIDEMENT OF SMALL WOUND 200 200
4571 Debridement Of Diabetic Foot Under (LA) Debridement Of Diabetic Foot Under (LA) 800 800
4572 EXCISION SUBCUTANEOUS SWELLING LA EXCISION SUBCUTANEOUS SWELLING LA
 200 200
4573 PED-HIP/SHOULDER SPICA(PLASTER) PED-HIP/SHOULDER SPICA(PLASTER) 400 400
4574 ADU-HIP/SHOULDER SPICA (PLASTER) ADU-HIP/SHOULDER SPICA (PLASTER) 500 500
4575 PED-HIP/SHOULDER SPICA(SYNTHETIC) PED-HIP/SHOULDER SPICA(SYNTHETIC)
 500 500
بيان نوع الخدمة 24 الباكظيجات ---------
بيان المجموعة 2424 الباكيجات --------------
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 24 الباكظيجات ---------
بيان المجموعة 2424 الباكيجات --------------
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1303 تحليل المدارس dddddddddddddddddddd 600
بيان نوع الخدمة 27 الامراض النفسبة والعصبية NEUROLOGY
بيان المجموعة 2727 الامراض النفسبة والعصبية Other Services
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1101 E.E.G. (AWAKE) E.E.G. (AWAKE) 1500 1500
1102 E.E.G. (ASLEEP) E.E.G. (ASLEEP) 1500 1500
1103 ECHOENCEPHALOGRAPHY ECHOENCEPHALOGRAPHY 370 370
1104 EEG UNDER SEDATION + MEDICINES EEG UNDER SEDATION + MEDICINES 2000 2000
1105 PERSONALITY TESTING PERSONALITY TESTING 370 370
1106 CEREBRAL STIMULATION CEREBRAL STIMULATION 500 500
1107 PSYCHOTHERAPY - I/P. O/P PSYCHOTHERAPY - I/P. O/P 370 370
1108 SOMATO-SENSORY EVOKED RESPONSE SOMATO-SENSORY EVOKED RESPONSE
 2000 2000
1109 NERVE CONDUCTION STUDIES NERVE CONDUCTION STUDIES 750 750
1110 BEHAVIOR THERAPY BEHAVIOR THERAPY 370 370
1111 RELAXATION THERAPY RELAXATION THERAPY 370 370
1112 A.T. BECK DEPRESSION A.T. BECK DEPRESSION 370 370
1113 SELF CONFIDENCE SELF CONFIDENCE 370 370
1114 I.Q. TEST I.Q. TEST 620 620
1115 ELECTRO CONVULSIVE THERAPY SINGLE SEIZUR (E.C.T)
 ELECTRO CONVULSIVE THERAPY SINGLE SEIZUR (E.C.T)
 1500 1500
1116 ELECTRO CONVULSIVE THERAPY MULTIPLE SZUR (E.C.T)
 ELECTRO CONVULSIVE THERAPY MULTIPLE SZUR (E.C.T)
 1500 1500
بيان نوع الخدمة 28 خدمات مركز التجميل والعناية بالبشرة DERMATOLOGY AND BEAUTY CENTER
بيان المجموعة 2828 خدمات مركز التجميل والعناية بالبشرة DERMATOLOGY AND BEAUTY CENTER
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
149 FULL BODY LASER FULL BODY LASER 1000 1000
272 جلسة تجميل (1) جلسة تجميل (1)
273 جلسة تجميل (2( جلسة تجميل (2(
275 جلسة تجميل (3( جلسة تجميل (3(
277 Face Hair Removal Face Hair Removal 200 200
278 Moustach Hair Removal Moustach Hair Removal 100 100
279 Chin Beard Hair Removal Chin Beard Hair Removal 200 200
280 Beard Determination For Men Beard Determination For Men 300 300
281 Axilla Hair Removal Axilla Hair Removal 300 300
282 Bikini Hair Removal Bikini Hair Removal 300 250
283 Axilla & Bikini Hair Removal Axilla & Bikini Hair Removal 850 850
284 Arms Hair Removal Arms Hair Removal 200 200
285 Lower Leg Hair Removal Lower Leg Hair Removal 300 300
286 Thigh Hair Removal Thigh Hair Removal 300 300
287 Lower Leg & Thigh Hair Removal Lower Leg & Thigh Hair Removal 1000 1000
288 Carbon Peel For Rejuvenation Carbon Peel For Rejuvenation 600 600
289 Carbon Peel For ACNE Carbon Peel For ACNE 200 200
290 Carbon Peel For Wide Pores Carbon Peel For Wide Pores 200 200
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 28 خدمات مركز التجميل والعناية بالبشرة DERMATOLOGY AND BEAUTY CENTER
بيان المجموعة 2828 خدمات مركز التجميل والعناية بالبشرة DERMATOLOGY AND BEAUTY CENTER
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
291 Carbon Peel For melasma Carbon Peel For Helasma 200 200
292 Lip Tint By Spectra Lip Tint By Spectra 300 300
293 Lip Tint By Fractional Lip Tint By Fractional 300 300
294 Removal Of Freckles Small No. Removal Of Freckles Small No. 300 300
295 Removal Of Freckles Large No. Removal Of Freckles Large No. 600 600
296 Removal Of Hyper Pigmented Spot (Small Lesion)
 Removal Of Hyper Pigmented Spot (Small Lesion)
 300 300
297 Removal Of Hyper Pigmented Spot (Large Lesion)
 Removal Of Hyper Pigmented Spot (Large Lesion)
 600 600
298 Removal Of Tatto (Small) Removal Of Tatto (Small) 300 300
299 Removal Of Tatto (Large) Removal Of Tatto (Large) 600 600
300 Hair Bleaching (Small Are) Hair Bleaching (Small Are) 300 300
301 Hair Bleaching (Large Area) Hair Bleaching (Large Area) 600 600
302 Fine Hair Removal (Small Area) Fine Hair Removal (Small Area) 300 300
303 Fine Hair Removal (Large Area) Fine Hair Removal (Large Area) 600 600
304 Eye Brow Bleaching Eye Brow Bleaching 300 300
305 Treatment Of Nail One Session Treatment Of Nail One Session 500 500
306 Ultra Former Number Of Shot 50 Ultra Former Number Of Shot 50 250 250
307 Ultra Former Number Of Shot 100 Ultra Former Number Of Shot 100 500 500
308 Ultra Former Number Of Shot 200 Ultra Former Number Of Shot 200 1000 1000
309 Ultra Former Number Of Shot 400 Ultra Former Number Of Shot 400 2000 2000
310 Vaginal Tighting (One Session) Vaginal Tighting (One Session) 1500 1500
311 III Of Urinary Incontinence (One Session) III Of Urinary Incontinence (One Session) 1500 1500
312 Fractional For Face Fractional For Face 1200 1200
313 Ultra Former Number Of Shot 300 Ultra Former Number Of Shot 300 1500 1500
314 BOTOX UPPER FACE BOTOX UPPER FACE 1500 1500
315 BOTOX ONE SITE BOTOX ONE SITE 500 500
316 BOTOX AXILLARY HYPER hydrosis BOTOX AXILLARY HYPER HYDENSIS 2000 2000
317 BOTOX PALMER BOTOX PALMER 2000 2000
318 BOTOX PLANTER BOTOX PLANTER 2500 2500
319 FILLER 1ML FILLER 1ML 1500 1500
320 FILLER 2 ML FILLER 2 ML 2800 2800
321 FILLER 3ML FILLER 3ML 4000 4000
322 PLASMA NORMAL TUBES PLASMA NORMAL TUBES 800 800
323 PLASMA (PRP) KITS PLASMA (PRP) KITS 1600 1600
324 MESO THARAPY FOR REJUVENATION MESO THARAPY FOR REJUVENATION 300 300
325 MESO THARAPY FOR WHITING MESO THARAPY FOR WHITING 300 300
326 MESO THARAPY FOR HAIR (ONE SESSION) MESO THARAPY FOR HAIR (ONE SESSION)
 300 300
327 REMOVAL OF WART SINGLE LESION REMOVAL OF WART SINGLE LESION 100 100
328 REMOVAL OF SKIN TAGS SINGLE LESION REMOVAL OF SKIN TAGS SINGLE LESION
 100 100
329 MESO LIBOLYSIS ONE SITE MESO LIBOLYSIS ONE SITE 500 500
330 PEELING AND WHITING MASK PLUS Complte Tharapy
 PEELING AND WHITING MASK PLUS Complte Tharapy
 2500 2500
331 PEELING AND WHITING MASK PEELING AND WHITING MASK 1800 1800
332 PEELING SENSITIVE AREA PEELING SENSITIVE AREA 1000 1000
333 CHEMICAL PEELING ( ONE SESSION ) CHEMICAL PEELING ( ONE SESSION ) 300 300
334 REJUVENATION MASK REJUVENATION MASK 400 400
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 28 خدمات مركز التجميل والعناية بالبشرة DERMATOLOGY AND BEAUTY CENTER
بيان المجموعة 2828 خدمات مركز التجميل والعناية بالبشرة DERMATOLOGY AND BEAUTY CENTER
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
335 FULL BODY HAIR REMOVAL FULL BODY HAIR REMOVAL 1000 1000
336 HAIR REMOVAL FACE HAIR REMOVAL FACE 200 200
337 BEARD HAIR REMOVAL MAN BEARD HAIR REMOVAL MAN 150 150
338 AXILLA HAIR REMOVER AXILLA HAIR REMOVER 100 100
339 ARMS HAIR REMOVAL ARMS HAIR REMOVAL 150 150
340 LEGS HAIR REMOVAL LEGS HAIR REMOVAL 150 150
341 AXILLA BIKINI HAIR REMOVAL AXILLA BIKINI HAIR REMOVAL 300 300
342 TOTAL BODY TOTAL BODY 600 600
474 MASSAGE OILS PERFIUMS MASSAGE OILS PERFIUMS 200
475 SKINE CLEANING HYDRAVICHL SKINE CLEANING HYDRAVICHL 550 550 0
476 SUPPLY LIPS SUPPLY LIPS 200
477 CHALK LASER EXEBROES CHALK LASER EXEBROES 200
478 BATHROOM MOROCCAN BATHROOM MOROCCAN 300 300
479 MASK COLLAGON MASK COLLAGON 200
480 PACKAGE ASMAA ALNEKHAFY PACKAGE ASMAA ALNEKHAFY 500
481 SKINE CLEANING HYDRAVICHL+CHALK LASER
 SKINE CLEANING HYDRAVICHL+CHALK LASER
 800 800 30
482 PEEL WHOLE BODY 2 SEASONS+LASER EXEBROWS
 PEEL WHOLE BODY 2 SEASONS+LASER EXEBROWS
 1200
483 MESOTHERPY + LASER EXEBROWS MESOTHERPY + LASER EXEBROWS 1200
484 FEILER LIPS AND FRESHNES+LASER EXEB FEILER LIPS AND FRESHNES+LASER EXEB
 1500
496 جلسة تجميل (4( جلسة تجميل (4(
497 جلسة تجميل (5( جلسة تجميل (5(
819 mesolipolysis mesolipolysis 550 550
1055 DERMABRASION DERMABRASION 3750 3750
1056 DERMABRASION MINOR PROCEDURE DERMABRASION MINOR PROCEDURE 2500 2500
1057 DERMABRASION MODERATE PROCEDUR DERMABRASION MODERATE PROCEDUR
 5000 5000
1058 DERMABRASION MAJOR PROCEDURE DERMABRASION MAJOR PROCEDURE 7450 7450
1059 MESOTHERAPY-MESOHAIR SINGLE MESOTHERAPY-MESOHAIR SINGLE 990 990
1060 MESOTHERAPY-MESOHAIR 3 SESSIONS MESOTHERAPY-MESOHAIR 3 SESSIONS
 2750 2750
1061 MESOTHERAPY-MESOHAIR 5 SESSIONS MESOTHERAPY-MESOHAIR 5 SESSIONS
 4500 4500
1062 MESOTHERAPY-MESOGLOW SINGLE MESOTHERAPY-MESOGLOW SINGLE 1860 1860
1063 MESOTHERAPY-MESOGLOW 6 SESSIONS I MESOTHERAPY-MESOGLOW 6 SESSIONS I
 9680 9680
1064 MESOTHERAPY-MESOGLOW 6 SESSIONS II MESOTHERAPY-MESOGLOW 6 SESSIONS II
 11200 11200
1065 MESOTHERAPY-MESOGLOW MESOHYAL I MESOTHERAPY-MESOGLOW MESOHYAL I
 1900 1900
1066 MESOTHERAPY-MESOGLOW MESOHYAL II MESOTHERAPY-MESOGLOW MESOHYAL II
 2120 2120
1067 FILLERS-FINE WRINKLES FILLERS-FINE WRINKLES 2440 2440
1068 FILLERS-DEEP LINES FILLERS-DEEP LINES 2980 2980
1069 FILLERS-LIP AUGMENTATION(FILLER) FILLERS-LIP AUGMENTATION(FILLER) 4470 4470
1070 FILLERS-FINE/DEEP FILLER FILLERS-FINE/DEEP FILLER 4470 4470
1071 BOTOX-UPPER FACE BOTOX INJECTION BOTOX-UPPER FACE BOTOX INJECTION 4470 4470
1072 LASER-HAIR REMOVAL I LASER-HAIR REMOVAL I 630 630
1073 LASER-HAIR REMOVAL II LASER-HAIR REMOVAL II 1250 1250
1074 LASER-HAIR REMOVAL III LASER-HAIR REMOVAL III 1900 1900
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 28 خدمات مركز التجميل والعناية بالبشرة DERMATOLOGY AND BEAUTY CENTER
بيان المجموعة 2828 خدمات مركز التجميل والعناية بالبشرة DERMATOLOGY AND BEAUTY CENTER
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1075 LASER-HAIR REMOVAL IV LASER-HAIR REMOVAL IV 2500 2500
1076 LASER-HAIR REMOVAL V LASER-HAIR REMOVAL V 3150 3150
1077 MICRO DERMA ABRASION-SINGLE SESSION I
 MICRO DERMA ABRASION-SINGLE SESSION I
 1250 1250
1078 MICRO DERMA ABRASION-SINGLE SESSION II
 MICRO DERMA ABRASION-SINGLE SESSION II
 1400 1400
1079 MICRO DERMA ABRASION-SINGLE SESSION III
 MICRO DERMA ABRASION-SINGLE SESSION III
 1650 1650
1080 MICRO DERMA ABRASION-SINGLE FACE/BACK
 MICRO DERMA ABRASION-SINGLE FACE/BACK
 2230 2230
1081 MICRO DERMA ABRASION-5 SESSIONS I MICRO DERMA ABRASION-5 SESSIONS I 5000 5000
1082 MICRO DERMA ABRASION-5 SESSIONS II MICRO DERMA ABRASION-5 SESSIONS II
 6250 6250
1083 MICRO DERMA ABRASION-5 SESSIONS III MICRO DERMA ABRASION-5 SESSIONS III
 7450 7450
1084 MICRO DERMA ABRASION-5 SESSION FACE/BACK
 MICRO DERMA ABRASION-5 SESSION FACE/BACK
 11200 11200
1085 MESO LIPO ONE SESSION MESO LIPO ONE SESSION 2100 2100
1086 MESO HAIR & FACE-6 SESSIONS MESO HAIR & FACE-6 SESSIONS 10350 10350
1087 MESO HAIR,FACE & LIPO- 6 SESSIONS MESO HAIR,FACE & LIPO- 6 SESSIONS 15530 15530
1088 FOLLOWUP MESO HAIR- 6 SESSIONS FOLLOWUP MESO HAIR- 6 SESSIONS 4000 4000
1089 FOLLOWUP MESO FACE - 6 SESSIONS FOLLOWUP MESO FACE - 6 SESSIONS 6500 6500
1090 FOLLOWUP MESOLIPO - 4 SESSIONS FOLLOWUP MESOLIPO - 4 SESSIONS 5800 5800
1091 LASER HAIR REMOVAL FACE LASER HAIR REMOVAL FACE 850 850
1092 LASER FOR PIGMENTATION LASER FOR PIGMENTATION 1100 1100
1093 MESOTHERAPY FOR PIGMENTATION MESOTHERAPY FOR PIGMENTATION 850 850
1094 UV CABIN - 3 SESSIONS UV CABIN - 3 SESSIONS 650 650
1095 UV. CABIN - 6 SESSIONS UV. CABIN - 6 SESSIONS 1250 1250
1096 UV. CABIN - 12 SESSIONS UV. CABIN - 12 SESSIONS 2500 2500
1097 COSMETIC-PEEL /SESSION COSMETIC-PEEL /SESSION 750 750
1098 COSMETIC - PEEL / 5 SESSIONS COSMETIC - PEEL / 5 SESSIONS 3200 3200
1099 COMEDO EXTRACTION COMEDO EXTRACTION 80 80
1100 PUVA THERAPY PUVA THERAPY 130 130
2082 العودة للمدارس (1) العودة للمدارس (1) 500 500 0
4603 TWO SESSIONS SKIN PLASMA TWO SESSIONS SKIN PLASMA 1000 1000 0
4604 TWO SESSIONS BODY PEELING TWO SESSIONS BODY PEELING 1200 1200 0
4605 العودة للمدارس(2) العودة للمدارس (2) 1000 1000 0
4606 LIP FILLER + SKIN SESSION LIP FILLER + SKIN SESSION 1500 1500 0
4607 3 SESSIONS MESOTHERAPHY 3 SESSIONS MESOTHERAPHY 1200 1200 0
4608 FRACTIONAL LASER PEELING FACE FRACTIONAL LASER PEELING FACE 400 400 0
4609 ACIDS PEELING FACE ACIDS PEELING FACE 300 300 0
4610 ULTRAFORMER FACE TIGHTEN ULTRAFORMER FACE TIGHTEN 2000 2000 0
4611 FOUR SESSIONS LASER SKIN FOUR SESSIONS LASER SKIN 1200 1200 0
4643 Full Body Cleaning Full Body Cleaning 500 700
4644 Bride Bridegroom VIP Bride Bridegroom VIP 1500 1500
4645 خدمات قسم الجلدية DERMATOLOGY SERVICES
4699 تشقير الحواب بالليزر، تنظيف البشرہ يخار الاءوزون ومواد عظويہ
 Lactation of the human is the cleaning of human beings and the aromatic substanc
 300 300
4700 حمام مغربي ملکي تنطيف بشررہ ببخار اللءوزون والمواد العضويہ تشقير حواجب بالليزر
 Morocan bath for the body of a full body 500 500
4701 حمام مغربي تنظيف جسم کامل فل بدي بالمواد العضويہ تشقير حواجب بالليزر
 Morocan Bath 500 500
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 28 خدمات مركز التجميل والعناية بالبشرة DERMATOLOGY AND BEAUTY CENTER
بيان المجموعة 2828 خدمات مركز التجميل والعناية بالبشرة DERMATOLOGY AND BEAUTY CENTER
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4703 تنظيف البشرة بالبخار تنظيف البشرة بالبخار 250 250
4708 full body hair removal (offer) full body hair removal (offer) 650 650 0
4709 ultraformer(offer) ultraformer(offer) 1000 1000 0
4710 narrow band narrow band 70 70 0
بيان نوع الخدمة 29 خدمات عيادة الانف والاذن والحنجرة E.N.T
بيان المجموعة 2929 خدمات عيادة الانف والاذن والحنجرة E.N.T
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1260 EXTERNAL NASAL SPLINT SMALL EXTERNAL NASAL SPLINT SMALL 620 620
1261 NASAL SPLINT INSERTION NASAL SPLINT INSERTION 1100 1100
1262 OTOENDOSCOPY OTOENDOSCOPY 415 415
1263 EAR WASH EAR WASH 150 150
1264 NASAL ENDOSCOPY (OPD) NASAL ENDOSCOPY (OPD) 4200 4200
1265 RHINOMANOMETRY RHINOMANOMETRY 4200 4200
1266 FLEXIBLE NASOPHARYNGEAL LARYNGOSCOPE
 FLEXIBLE NASOPHARYNGEAL LARYNGOSCOPE
 4200 4200
1267 FOREIGN BODY EAR & THROAT (OPD) FOREIGN BODY EAR & THROAT (OPD) 350 350
1268 NASAL PACK ANTERIOR NASAL PACK ANTERIOR 400 400
1269 ACOUSTIC RHINOMETRY ACOUSTIC RHINOMETRY 320 320
1270 NASAL CAUTERY (OPD) NASAL CAUTERY (OPD) 350 350
1271 NASAL PACK ANTERIOR REMOVED NASAL PACK ANTERIOR REMOVED 210 210
1272 DRAINAGE OF FURUCLE DRAINAGE OF FURUCLE 900 900
1273 SECONDARY SUTURES SECONDARY SUTURES 900 900
1274 DEBRIDEMENT SMALL WOUND DEBRIDEMENT SMALL WOUND 900 900
1275 DRAINAGE OF ABSCESS IN NECK DRAINAGE OF ABSCESS IN NECK 3500 3500
1276 GROMMET TUBE REMOVAL (OPD) GROMMET TUBE REMOVAL (OPD) 110 110
1277 EAR SUCTION EAR SUCTION 150 150
1278 NOSE SUCTION NOSE SUCTION 150 150
1279 SINUS WASHOUT L.A.(ONE SIDE) SINUS WASHOUT L.A.(ONE SIDE) 320 320
1280 WICK DRESSING WICK DRESSING 110 110
1281 OPD ENDOSCOPIC GUIDED REMOVAL/POLYPOSIS
 OPD ENDOSCOPIC GUIDED REMOVAL/POLYPOSIS
 520 520
1282 ELECTRICAL CAUTERY (ONE SIDE) ELECTRICAL CAUTERY (ONE SIDE) 350 350
1283 ELECTRICAL CAUTERY (BOTH SIDES) ELECTRICAL CAUTERY (BOTH SIDES) 700 700
1284 ELECTRO CAUTERIZATION OF SEPTUM ELECTRO CAUTERIZATION OF SEPTUM 1100 1100
1285 CHEMICAL CAUTERY (ONE SIDE) CHEMICAL CAUTERY (ONE SIDE) 350 350
1286 CHEMICAL CAUTERY (BOTH SIDES) CHEMICAL CAUTERY (BOTH SIDES) 700 700
1287 EXTERNAL NASAL SPLINT MED EXTERNAL NASAL SPLINT MED 850 850
1288 BASIC AUDIOLOGICAL EVALUATION BASIC AUDIOLOGICAL EVALUATION 1250 1250
1289 TYMPANOMETRY TYMPANOMETRY 350 350
1290 MULTIPLE FREQUENCY TEST MULTIPLE FREQUENCY TEST 500 500
1291 DIZZINESS ASSESMENT DIZZINESS ASSESMENT 3730 3730
1292 TINNITIUS ASSESMENT TINNITIUS ASSESMENT 2500 2500
1293 ACOUSTIC REFLEXES THRESHOLD ACOUSTIC REFLEXES THRESHOLD 500 500
1294 PURE TONE AUDIOGRAM (PTA) PURE TONE AUDIOGRAM (PTA) 700 700
1295 TONE DECAY TEST (TD) TONE DECAY TEST (TD) 500 500
Page 80
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 29 خدمات عيادة الانف والاذن والحنجرة E.N.T
بيان المجموعة 2929 خدمات عيادة الانف والاذن والحنجرة E.N.T
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1296 FREE FIELD TESTING (PTA) FREE FIELD TESTING (PTA) 500 500
1297 PLAY AUDIOMETRY PLAY AUDIOMETRY 450 450
1298 ACOUSTIC REFLEX TEST BATTERY ACOUSTIC REFLEX TEST BATTERY 1250 1250
1299 POSITIONAL TESTING POSITIONAL TESTING 500 500
1300 SPEECH AUDIOMETRY SPEECH AUDIOMETRY 450 450
1301 NASAL PACK ANTERIOR REMOVED NASAL PACK ANTERIOR REMOVED 250 250
1302 FREE FIELD TESTING (SPEECH) FREE FIELD TESTING (SPEECH) 450 450
3664 EAR EXTERNAL ABSCESS DRAINAGE EAR EXTERNAL ABSCESS DRAINAGE 1000 1000
3665 NASO PHARYNGOSCOPY WITHOUT BIOPSY
 NASO PHARYNGOSCOPY WITHOUT BIOPSY
 3500 3500
3666 DRAINAGE OF ABSCESS DRAINAGE OF ABSCESS 900 900
3667 DRAINAGE OF QUINCY DRAINAGE OF QUINCY 3500 3500
3668 NASAL POLYPAECTOMY NASAL POLYPAECTOMY 3500 3500
3669 TRAUMATIC DRUM INJURY REPAIR TRAUMATIC DRUM INJURY REPAIR 2070 2070
3670 ANTROSCOPY ANTROSCOPY 2070 2070
3671 SUTURE DEEP LACERATIONS SUTURE DEEP LACERATIONS 2500 2500
3672 NASAL EXTERNAL FIXATION ADJUSTMENT NASAL EXTERNAL FIXATION ADJUSTMENT
 6000 6000
3673 NASAL ENDOSCOPY (OR) NASAL ENDOSCOPY (OR) 3500 3500
3674 CRICOTHYRIOD APPROXIMATION CRICOTHYRIOD APPROXIMATION 3105 3105
3675 OESOPHAGEAL DILATATION OESOPHAGEAL DILATATION 3105 3105
3676 FOREIGN BODY IN THE NOSE(G.A.) FOREIGN BODY IN THE NOSE(G.A.) 5500 5500
3677 FOREIGN BODY IN THE EAR (G.A.) FOREIGN BODY IN THE EAR (G.A.) 5500 5500
3678 TRACHEOSTOMY / DIRECT TRACHEOSTOMY / DIRECT 4760 4760
3679 EXPLORATORY TYMPANOTOMY EXPLORATORY TYMPANOTOMY 5175 5175
3680 LYMTH NODE EXE - SIMPLE BIOPSY LYMTH NODE EXE - SIMPLE BIOPSY 5000 5000
3681 ANTRECTOMY ENDOSCOPIC ANTRECTOMY ENDOSCOPIC 3500 3500
3682 PAROTID DRAINAGE PAROTID DRAINAGE 3105 3105
3683 PALATE SUTURE - SIMPLE PALATE SUTURE - SIMPLE 1100 1100
3684 PALATE SUTURE-MAJOR PALATE SUTURE-MAJOR 2070 2070
3685 ENDOSCOPIC CAUTERY ENDOSCOPIC CAUTERY 2500 2500
3686 GROMMET TUBE REMOVAL -(GA) GROMMET TUBE REMOVAL -(GA) 1100 1100
3687 ENDOSCOPIC - INFUNDULOTOMY ENDOSCOPIC - INFUNDULOTOMY 1100 1100
3688 ENDOSCOPIC - MIDDLE MEATOTOMY ENDOSCOPIC - MIDDLE MEATOTOMY 1100 1100
3689 NASAL MANIPULATION NASAL MANIPULATION 1100 1100
3690 NASOPHARYNGOSCOPY AND BIOPSY NASOPHARYNGOSCOPY AND BIOPSY 3725 3725
3691 HAEMATOMA AURICULAR, REPAIR HAEMATOMA AURICULAR, REPAIR 3105 3105
3692 CANALOPLASTY CANALOPLASTY 2070 2070
3693 CAUTERY LITTLE'S AREA (G.A.) CAUTERY LITTLE'S AREA (G.A.) 2500 2500
3694 LARYNGOSCOPY DIRECT W/WO BIOPSY LARYNGOSCOPY DIRECT W/WO BIOPSY
 3500 3500
3695 LARYNGOSSCOPY DIRECT LOCAL ANES LARYNGOSSCOPY DIRECT LOCAL ANES
 3500 3500
3696 MYRINGOTOMY MYRINGOTOMY 5000 5000
3697 ENT EXAMINATION,(G.A.) ENT EXAMINATION,(G.A.) 1100 1100
3698 NASAL PACK POSTERIOR NASAL PACK POSTERIOR 1200 1200
3699 ANTRAL WASHOUT, INPATIENT/OUTPATIENT
 ANTRAL WASHOUT, INPATIENT/OUTPATIENT
 2500 2500
3700 ADENOIDECTOMY ADENOIDECTOMY 3000 3000
Page 81
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 29 خدمات عيادة الانف والاذن والحنجرة E.N.T
بيان المجموعة 2929 خدمات عيادة الانف والاذن والحنجرة E.N.T
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3701 ADENOIDECTOMY REC. / ADULT ADENOIDECTOMY REC. / ADULT 3000 3000
3702 UVULA EXCISION UVULA EXCISION 1100 1100
3703 S.M.D. SUBMUCUS DIATHERMY S.M.D. SUBMUCUS DIATHERMY 4000 4000
3704 EXCISION OF NASAL CYST EXCISION OF NASAL CYST 2070 2070
3705 EXCISION OF LUMP NECK/HEAD EXCISION OF LUMP NECK/HEAD 2070 2070
3706 PARTIAL MAXILLECTOMY SIMPLE PARTIAL MAXILLECTOMY SIMPLE 8485 8485
3707 EXCISION BIOPSY EXCISION BIOPSY 1200 1200
3708 TONSILLECTOMY - CHILD TONSILLECTOMY - CHILD 3500 3500
3709 TONSILLECTOMY - ADULT TONSILLECTOMY - ADULT 3500 3500
3710 TONSILLECTOMY + ADENOIDECTOMY TONSILLECTOMY + ADENOIDECTOMY 6000 6000
3711 EXCISION OF MANDIBULAR MASS EXCISION OF MANDIBULAR MASS 7000 7000
3712 EXCISION HEMANGIOMA EXCISION HEMANGIOMA 2070 2070
3713 DIATHERMY LINGUAL TONSILS DIATHERMY LINGUAL TONSILS 3725 3725
3714 HEAMATOMA EVACUATION , LARGE HEAMATOMA EVACUATION , LARGE 415 415
3715 I&D DEEP NECK MASS I&D DEEP NECK MASS 3500 3500
3716 JAW COMPLEX FRACTURE JAW COMPLEX FRACTURE 7245 7245
3717 REMOVAL OF EAR WAX REMOVAL OF EAR WAX 150 150
3718 NASAL BONE FRACTURE REDUCTION NASAL BONE FRACTURE REDUCTION 3500 3500
3719 REMOVAL OF NASAL SPLINT REMOVAL OF NASAL SPLINT 250 250
3720 PALATAL NODULE EXCISION PALATAL NODULE EXCISION 1100 1100
3721 THYROGLOSSAL CYST OR FISTULA THYROGLOSSAL CYST OR FISTULA 12000 12000
3722 TONSILLECTOMY W/AVULSION OF STYLOID PRCS
 TONSILLECTOMY W/AVULSION OF STYLOID PRCS
 3500 3500
3723 PUNC. OF UNI. MEMBRANOUS CHOANAL ATRESIA
 PUNC. OF UNI. MEMBRANOUS CHOANAL ATRESIA
 2070 2070
3724 EXCISION AURICULAR REGION EXCISION AURICULAR REGION 3105 3105
3725 UVCLECTOMY UVCLECTOMY 2070 2070
3726 TRACHEOSTOMY CLOSURE - SIMPLE TRACHEOSTOMY CLOSURE - SIMPLE 1100 1100
3727 S.M.R. S.M.R. 5000 5000
3728 PREAURICULAR FISTULA EXCISION PREAURICULAR FISTULA EXCISION 4140 4140
3729 S.M.R. MINI S.M.R. MINI 4000 4000
3730 PREAURICULAR SINUS EXCISION PREAURICULAR SINUS EXCISION 2070 2070
3731 PREAURICULAR SINUS EXCIS./REC PREAURICULAR SINUS EXCIS./REC 3105 3105
3732 FOREIGN BODY OESOPHAGUS FOREIGN BODY OESOPHAGUS 3105 3105
3733 CYST/TUMOUR EXCISION SUPER CYST/TUMOUR EXCISION SUPER 1100 1100
3734 OESOPHAGOSCOPY OESOPHAGOSCOPY 2070 2070
3735 I&D NASAL ABCESS UNDER G.A. I&D NASAL ABCESS UNDER G.A. 2500 2500
3736 MYRINGOTOMY + GROMET TUBE INSERT MYRINGOTOMY + GROMET TUBE INSERT
 5000 5000
3737 SYNECTOMY SYNECTOMY 2070 2070
3738 AURAL POLYPECTOMY AURAL POLYPECTOMY 5000 5000
3739 SEPTAL PLICATION SEPTAL PLICATION 2070 2070
3740 OSSICULAR RECONSTRUCTION + TROP OSSICULAR RECONSTRUCTION + TROP 2070 2070
3741 FACIAL NERVE DISSECTION FACIAL NERVE DISSECTION 4140 4140
3742 LINGUAL TONSILLECTOMY LINGUAL TONSILLECTOMY 3500 3500
3743 ENDOSCOPIC - ETHMOIDECTOMY ENDOSCOPIC - ETHMOIDECTOMY 3500 3500
3744 SUBMANDIBULAR DUCT STONE REMOVAL SUBMANDIBULAR DUCT STONE REMOVAL
 7000 7000
Page 82
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 29 خدمات عيادة الانف والاذن والحنجرة E.N.T
بيان المجموعة 2929 خدمات عيادة الانف والاذن والحنجرة E.N.T
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3745 I & D DEEP NECK ABCESS I & D DEEP NECK ABCESS 3500 3500
3746 TURBINECTOMY - SM TURBINECTOMY - SM 5500 5500
3747 TURBINECTOMY TURBINECTOMY 5500 5500
3748 NASAL VALVOPLASTY NASAL VALVOPLASTY 6000 6000
3749 NASAL OSTEOTOMIES NASAL OSTEOTOMIES 6000 6000
3750 MYRINGO PLASTY MYRINGO PLASTY 5000 5000
3751 SPHENOPALATINE CAUTERIZATION SPHENOPALATINE CAUTERIZATION 3500 3500
3752 TONSILLECTOMY, QUINZY TONSILLECTOMY, QUINZY 3500 3500
3753 ATTICOTOMY ATTICOTOMY 4140 4140
3754 VESTIBULAPLASTY VESTIBULAPLASTY 4140 4140
3755 CORDAL NODULE B-TUMOUR V-CORD CORDAL NODULE B-TUMOUR V-CORD 5175 5175
3756 FOREIGN BODY MAXILLARY SINUS FOREIGN BODY MAXILLARY SINUS 5175 5175
3757 MASTOIDECTOMY-SIMPLE MASTOIDECTOMY-SIMPLE 4000 4000
3758 TRIGEMINAL BLOCK TRIGEMINAL BLOCK 5175 5175
3759 INTRA NASAL ANTROSTOMY INTRA NASAL ANTROSTOMY 3500 3500
3760 ETHMOIDECTOMY INTRANASAL ETHMOIDECTOMY INTRANASAL 3500 3500
3761 SNELLENS OPERATIM SNELLENS OPERATIM 5175 5175
3762 SUBMANDIBULAR SIALADENECTOMY SUBMANDIBULAR SIALADENECTOMY 7000 7000
3763 SPERFICIAL PARATIDECTOMY SPERFICIAL PARATIDECTOMY 5175 5175
3764 THYROIDECTOMY PARTIAL THYROIDECTOMY PARTIAL 14000 14000
3765 MICRO-LARYNGO SURGERY MICRO-LARYNGO SURGERY 3500 3500
3766 ETHMOID OPERATION-EXTERNAL ETHMOID OPERATION-EXTERNAL 7245 7245
3767 ETHMOID ARTERY LIGATION ETHMOID ARTERY LIGATION 6210 6210
3768 VOCAL CORD OPERATION VOCAL CORD OPERATION 7245 7245
3769 ARYTENOIDECTOMY ARYTENOIDECTOMY 7245 7245
3770 STYLOHYOID LIGAMENT EXCISION STYLOHYOID LIGAMENT EXCISION 7245 7245
3771 PHONOSURGERY PHONOSURGERY 7245 7245
3772 STAPES MOBILIZATION STAPES MOBILIZATION 6210 6210
3773 LYMPH NODE EXCISION-BOCCA TYPE LYMPH NODE EXCISION-BOCCA TYPE 5000 5000
3774 TYMPANIC NEURECTOMY TYMPANIC NEURECTOMY 7245 7245
3775 TRACHEOSTOMY CLOSURE - FLAPS TRACHEOSTOMY CLOSURE - FLAPS 6210 6210
3776 EXTERNAL RHINOPLASTY APPROACH EXTERNAL RHINOPLASTY APPROACH 6000 6000
3777 TIP PLASTY TIP PLASTY 6000 6000
3778 JAW COMPLEX FRACTURE JAW COMPLEX FRACTURE 6000 6000
3779 FESS(FUNCTION.ENDOS.SINUS)SURG GRADE 3
 FESS(FUNCTION.ENDOS.SINUS)SURG GRADE 3
 3500 3500
3780 FESS(FUNCTION.ENDOS.SINUS) SURG GRADE 1
 FESS(FUNCTION.ENDOS.SINUS) SURG GRADE 1
 3500 3500
3781 FESS(FUNCTION.ENDOS.SINUS)SURG GRADE 2
 FESS(FUNCTION.ENDOS.SINUS)SURG GRADE 2
 3500 3500
3782 ATTICOANTROTOMY ATTICOANTROTOMY 6210 6210
3783 REVISION OSSICULAR RECONTRUCT. REVISION OSSICULAR RECONTRUCT. 7245 7245
3784 FOREIGN BODY TRACHEA & BRONCHI FOREIGN BODY TRACHEA & BRONCHI 6210 6210
3785 NASAL RECONSTRUCTION NASAL RECONSTRUCTION 6000 6000
3786 CORONAL OFTEOPLASTIC FLAP CORONAL OFTEOPLASTIC FLAP 6210 6210
3787 CRICOPHARYNGEAL MYOTOMY CRICOPHARYNGEAL MYOTOMY 7245 7245
3788 SEPTOPLASTY SEPTOPLASTY 6000 6000
Page 83
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 29 خدمات عيادة الانف والاذن والحنجرة E.N.T
بيان المجموعة 2929 خدمات عيادة الانف والاذن والحنجرة E.N.T
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3789 MASTOIDECTOMY RADICAL MASTOIDECTOMY RADICAL 7500 7500
3790 CORDOPEXY CORDOPEXY 7245 7245
3791 LARYNGECTOMY PARTIAL + TRACHEOST LARYNGECTOMY PARTIAL + TRACHEOST
 7245 7245
3792 CULDWEL-LUC OPERATION CULDWEL-LUC OPERATION 8000 8000
3793 ORO-ANTRAL FISTULA REPAIR ORO-ANTRAL FISTULA REPAIR 6210 6210
3794 MASTOIDECTOMY MODIFIED RADICAL MASTOIDECTOMY MODIFIED RADICAL 7500 7500
3795 EXCISION OF MAXILLARY PALATAL CYST EXCISION OF MAXILLARY PALATAL CYST
 6210 6210
3796 MEATOPLASTY MEATOPLASTY 9000 9000
3797 TYMPANOPLASTY TYMPANOPLASTY 9000 9000
3798 RHINOPLASTY RHINOPLASTY 6000 6000
3799 SIMPLE RHINOPLASTY W/LOCAL SIMPLE RHINOPLASTY W/LOCAL 3000 3000
3800 EXTERNAL FRONTAL OPERATION EXTERNAL FRONTAL OPERATION 8000 8000
3801 STAPEDECTOMY STAPEDECTOMY 12000 12000
3802 TRACHEO-PLASTY END/END ANASTOM TRACHEO-PLASTY END/END ANASTOM 9350 9350
3803 TRACHEO-PLASTY WITH GRAFT TRACHEO-PLASTY WITH GRAFT 9350 9350
3804 ZYGOMATIC FRACT. REPOS/INT.FIX ZYGOMATIC FRACT. REPOS/INT.FIX 8280 8280
3805 PAROTID DUCT TRANSLOCATION PAROTID DUCT TRANSLOCATION 8280 8280
3806 SPHENOIBECPOMY SPHENOIBECPOMY 8280 8280
3807 SUB PETROUS DRAINAGE SUB PETROUS DRAINAGE 8280 8280
3808 SEPTOPLASTY, REVISION SEPTOPLASTY, REVISION 6000 6000
3809 PANENDOSCOPY TRIPLE PANENDOSCOPY TRIPLE 8280 8280
3810 LYMTH NODE EXE - RADICAL NECK LYMTH NODE EXE - RADICAL NECK 8280 8280
3811 PALATE REPAIR - FLAPS PALATE REPAIR - FLAPS 8280 8280
3812 MEDICAL MAXILLOETHMOIDECTOMY MEDICAL MAXILLOETHMOIDECTOMY 8280 8280
3813 VIDIAN NEURECTOMY VIDIAN NEURECTOMY 8280 8280
3814 SEPTAL PERPORATION REPAIR SEPTAL PERPORATION REPAIR 6000 6000
3815 UVELO PALATO PHARYNGOPLASTY UVELO PALATO PHARYNGOPLASTY 6000 6000
3816 MASTOIDECTOMY I.C.W. (I.CANAL) MASTOIDECTOMY I.C.W. (I.CANAL) 4000 4000
3817 MASTOIDECTOMY REVISION MASTOIDECTOMY REVISION 7500 7500
3818 MASTOIDECTOMY RADICAL + TYMPANOP MASTOIDECTOMY RADICAL + TYMPANOP
 7500 7500
3819 MAXILLARY ARTERY LIGATION MAXILLARY ARTERY LIGATION 8180 8180
3820 EAR/NOSE/THROAT CANCER SURGERY EAR/NOSE/THROAT CANCER SURGERY 8180 8180
3821 OTOPLASTY OTOPLASTY 9000 9000
3822 POST CHOANAL ATRESIA POST CHOANAL ATRESIA 8280 8280
3823 TRANSNASAL HYPOPHYSECTOMY TRANSNASAL HYPOPHYSECTOMY 12500 12500
3824 CONTROL OF BLEEDING POST TONSILLECTOMY
 CONTROL OF BLEEDING POST TONSILLECTOMY
 2070 2070
3825 RECURRENT ADENOIDECTOMY CHILD RECURRENT ADENOIDECTOMY CHILD 3000 3000
3826 FUNCTIONAL RHINOPLASTY FUNCTIONAL RHINOPLASTY 6000 6000
3827 SEBACEOUS CYST SEBACEOUS CYST 1500 1500
3828 SUTURE SUPERFICIAL LACERATION SUTURE SUPERFICIAL LACERATION 900 900
3829 REMOVAL OF PLASTIC SUTURES G/A REMOVAL OF PLASTIC SUTURES G/A 2500 2500
3830 TRACHEOSTOMY TUBE REPLACEMENT TRACHEOSTOMY TUBE REPLACEMENT 1100 1100
3831 EAR RECONSTRUCTION EAR RECONSTRUCTION 10350 10350
3832 TOTAL LARYNGECTOMY+PARTIAL PHARYNGECTOMY
 TOTAL LARYNGECTOMY+PARTIAL PHARYNGECTOMY
 14490 14490
Page 84
To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 29 خدمات عيادة الانف والاذن والحنجرة E.N.T
بيان المجموعة 2929 خدمات عيادة الانف والاذن والحنجرة E.N.T
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4480 SPEECH AUDIOMETRY SPEECH AUDIOMETRY 250 250
بيان نوع الخدمة 30 خدمات عيادة الأطفال Pediatric
بيان المجموعة 3030 خدمات عيادة الأطفال Pediatric
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1117 EAR PIERCING EAR PIERCING 150 150
بيان نوع الخدمة 31 خدمات الجلدية والتناسلية Dermatology
بيان المجموعة 3131 خدمات الجلدية والتناسلية Dermatology
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1025 ANGIO KERATOMA ELECTROCAUTERY ANGIO KERATOMA ELECTROCAUTERY 3750 3750
1026 SKIN POLYP SKIN POLYP 1250 1250
1027 INCISION & CURETTAGE INCISION & CURETTAGE 1250 1250
1028 EXCISION ACCESSORY AURICLE EXCISION ACCESSORY AURICLE 1250 1250
1029 BOWN'S DISEASE EXCISION BOWN'S DISEASE EXCISION 3750 3750
1030 CALLOSITIES CALLOSITIES 1250 1250
1031 BASAL CELL CARCINOMA BASAL CELL CARCINOMA 5000 5000
1032 ELECTROCAUTERY/PLANTER WARTS G.A GRADE2
 ELECTROCAUTERY/PLANTER WARTS G.A GRADE2
 1500 1500
1033 ELECTROCAUTERY/PLANTER WARTS G.A GRADE3
 ELECTROCAUTERY/PLANTER WARTS G.A GRADE3
 2500 2500
1034 CAUTERY-ELECTRIC,(EACH) CAUTERY-ELECTRIC,(EACH) 350 350
1035 ELECTROCAUTERY/PLANTER WARTS G.A GRADE1
 ELECTROCAUTERY/PLANTER WARTS G.A GRADE1
 1500 1500
1036 ELECROCAUTERY OF SKIN TAGS ELECROCAUTERY OF SKIN TAGS 1500 1500
1037 CAUTERIZATION OF VENEREAL WART / LESION
 CAUTERIZATION OF VENEREAL WART / LESION
 1500 1500
1038 CAUTERIZATION OF VENEREAL WART(MULTIPLE)
 CAUTERIZATION OF VENEREAL WART(MULTIPLE)
 2500 2500
1039 CAUTERIZATION OF WART L.A. CAUTERIZATION OF WART L.A. 1200 1200
1040 CAUTERIZATION OF MULTIPLE WARTS G.A. CAUTERIZATION OF MULTIPLE WARTS G.A.
 3500 3500
1041 CRYOTHERAPY CRYOTHERAPY 320 320
1042 CRYO SURGERY-CRYO THERAPY CRYO SURGERY-CRYO THERAPY 500 500
1043 CRYO SURGERY-CRYO (PLANTER WART) I CRYO SURGERY-CRYO (PLANTER WART) I
 1500 1500
1044 CRYO SURGERY-CRYO (PLANTER WART) II CRYO SURGERY-CRYO (PLANTER WART) II
 1500 1500
1045 CRYO SURGERY-CRYO (PLANTER WART) III CRYO SURGERY-CRYO (PLANTER WART) III
 1500 1500
1046 CRYO SURGERY-CRYO (PLANTER WART) IV CRYO SURGERY-CRYO (PLANTER WART) IV
 1500 1500
1047 CAUTERY CHEMICAL CAUTERY CHEMICAL 350 350
1048 SIMPLE EXCISION SIMPLE EXCISION 1250 1250
1049 PLANTAR WART PLANTAR WART 1200 1200
1050 SKIN BIOPSY SKIN BIOPSY 1200 1200
1051 SKIN TAG EXCISION,(EACH) SKIN TAG EXCISION,(EACH) 300 300
1052 MILIA EXTRACTION,(EACH) MILIA EXTRACTION,(EACH) 250 250
1053 DIPROFOS INJECTION DIPROFOS INJECTION 110 110
1054 DIATHERMY CURTAGE DIATHERMY CURTAGE 370 370
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 32 خدمات عيادة العظام Ortho
بيان المجموعة 3232 خدمات عيادة العظام Ortho
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1193 PLASTER PANTALOON PLASTER PANTALOON 1500 1500
1194 SPLINT FOR FACTURE SPLINT FOR FACTURE 550 550
1195 SKULL CALIPER TRACTION FRACTRE SKULL CALIPER TRACTION FRACTRE 3725 3725
1196 SPINE PLASTER BED TB/SCOLIOSIS SPINE PLASTER BED TB/SCOLIOSIS 4550 4550
1197 SKELETAL TRACTION SKELETAL TRACTION 2000 2000
1198 OSSATRON SOFT TISSUE THERAPY/PT OSSATRON SOFT TISSUE THERAPY/PT 2700 2700
1199 INTRA ARTICULAR INJECTION INTRA ARTICULAR INJECTION 350 350
1200 JOIN ASPIRATION, COMPLETE JOIN ASPIRATION, COMPLETE 800 800
1201 FOREIGN BODY REMOVAL, SUPERFICIAL FOREIGN BODY REMOVAL, SUPERFICIAL
 1250 1250
1202 SLAB ABOVE KNEE SLAB ABOVE KNEE 350 350
1203 SLAB BELOW KNEE SLAB BELOW KNEE 1250 1250
1204 SLAB ABOVE ELBOW SLAB ABOVE ELBOW 500 500
1205 SLAB BELOW ELBOW SLAB BELOW ELBOW 500 500
1206 P.O.P. ABOVE THE ELBOW P.O.P. ABOVE THE ELBOW 750 750
1207 P.O.P. BELOW THE ELBOW P.O.P. BELOW THE ELBOW 500 500
1208 P.O.P. ABOVE KNEE P.O.P. ABOVE KNEE 750 750
1209 P.O.P. BELOW KNEE P.O.P. BELOW KNEE 500 500
1210 PLASTER GYPS LARGE PLASTER GYPS LARGE 1500 1500
1211 PLASTER DELTALITE LARGE PLASTER DELTALITE LARGE 1500 1500
1212 PLASTER GYPS SMALL PLASTER GYPS SMALL 500 500
1213 PLASTER DELTALITE SMALL PLASTER DELTALITE SMALL 1500 1500
1214 PLASTER CAST ARM PLASTER CAST ARM 500 500
1215 PLASTER STRAPPING (TOE/FINGER) PLASTER STRAPPING (TOE/FINGER) 110 110
1216 PLASTER CAST BELOW THE ELBOW PLASTER CAST BELOW THE ELBOW 500 500
1217 CYST EXCISION CYST EXCISION 1200 1200
1218 PLASTER REMOVAL ADULT PLASTER REMOVAL ADULT 300 300
1219 PLASTER REMOVAL, CHILD PLASTER REMOVAL, CHILD 300 300
1220 TRACTION SKIN W/THOMAS SPLINT TRACTION SKIN W/THOMAS SPLINT 850 850
1221 SKIN TRACTION SKIN TRACTION 750 750
1222 CERVICAL TRACTION, CONTINEOUS CERVICAL TRACTION, CONTINEOUS 500 500
1223 PELVIC TRACTION IN BED PELVIC TRACTION IN BED 1500 1500
1224 FINGER SLAB FINGER SLAB 30 30
1225 TENSOPLAST STRAPPING TENSOPLAST STRAPPING 350 350
1226 CREPE BANDAGE CREPE BANDAGE 10 10
1227 THUMB WRIST SPLINT THUMB WRIST SPLINT 90 90
بيان نوع الخدمة 33 خدمات عيادة المسالك البولية UROLOGY
بيان المجموعة 3333 خدمات عيادة المسالك البولية UROLOGY
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1228 CATHETERIZATION - INTRAVESICAL THERAPY
 CATHETERIZATION - INTRAVESICAL THERAPY
 1080 1080
1229 CATHETARIZATION URETHRAL CATHETARIZATION URETHRAL 350 350
1230 URETHERAL CALIBRATION URETHERAL CALIBRATION 1860 1860
1231 UROFLOMETRY UROFLOMETRY 415 415
1232 CATHETERIZATION SUPRAPUPIC CATHETERIZATION SUPRAPUPIC 1100 1100
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 33 خدمات عيادة المسالك البولية UROLOGY
بيان المجموعة 3333 خدمات عيادة المسالك البولية UROLOGY
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1233 CYSTOMETRY CYSTOMETRY 1100 1100
1234 PROSTATIC MASSAGE PROSTATIC MASSAGE 200 200
1235 URETHRAL IRRIGATION URETHRAL IRRIGATION 210 210
1236 URETHERAL DILATATION EXTERNAL URETHERAL DILATATION EXTERNAL 1240 1240
3421 OPEN CYSTOSTOMY OPEN CYSTOSTOMY 2070 2070
3422 URETHRAL STENT INSERTION URETHRAL STENT INSERTION 3725 3725
3423 TRANS URETHRAL VAPORIZATION /PROSTHESIS
 TRANS URETHRAL VAPORIZATION /PROSTHESIS
 5175 5175
3424 ESWL PLUS STENT ESWL PLUS STENT 9935 9935
3425 DOUBLE J INSERTION DOUBLE J INSERTION 3725 3725
3426 URODYNAMIC STUDY URODYNAMIC STUDY 3725 3725
3427 CYSTOSCOPY + BIOPSY CYSTOSCOPY + BIOPSY 3725 3725
3428 LITHOLAPAXY LITHOLAPAXY 7500 7500
3429 PROSTATIC BIOPSY PROSTATIC BIOPSY 4500 4500
3430 CYSTOSCOPY PLUS STENT CYSTOSCOPY PLUS STENT 3725 3725
3431 VASECTOMY LOCAL ANESTHESIA VASECTOMY LOCAL ANESTHESIA 1100 1100
3432 VASECTOMY VASECTOMY 4970 4970
3433 CYSTOSCOPY PLUS REMOVAL OF STONE CYSTOSCOPY PLUS REMOVAL OF STONE
 4760 4760
3434 TRANSURETHERAL INCISION OF PROSTATE
 TRANSURETHERAL INCISION OF PROSTATE
 14000 14000
3435 URETEROSCOPY + STENT INSERTION URETEROSCOPY + STENT INSERTION 5175 5175
3436 PELVI URETEROLYSIS PELVI URETEROLYSIS 5175 5175
3437 URETHRAL CORRECTION URETHRAL CORRECTION 14000 14000
3438 REVISION OF SUPRAPUBIC CYSTOSTOMY REVISION OF SUPRAPUBIC CYSTOSTOMY
 11000 11000
3439 REMOVAL OF IMPLANTS REMOVAL OF IMPLANTS 3000 3000
3440 VARICOCELES UNILATERAL VARICOCELES UNILATERAL 4500 4500
3441 VARICOCELES BILATERAL VARICOCELES BILATERAL 6000 6000
3442 URS+REMOV STONE+JJ/URE.CATH.INSERT URS+REMOV STONE+JJ/URE.CATH.INSERT
 7245 7245
3443 URS+REMOV STONE+JJ/URE.CATH.INSERT+RETRO
 URS+REMOV STONE+JJ/URE.CATH.INSERT+RETRO
 8280 8280
3444 MEATOTOMY TRANS-URETHRAL (INTERNAL)
 MEATOTOMY TRANS-URETHRAL (INTERNAL)
 3725 3725
3445 URETHRO-LITHOTOMY ANTERIOR URETHRO-LITHOTOMY ANTERIOR 6500 6500
3446 VIU/OPTICAL URETHROTOMY VIU/OPTICAL URETHROTOMY 6500 6500
3447 SINGLE CYST DEROOFING OF THE KIDNEY SINGLE CYST DEROOFING OF THE KIDNEY
 3105 3105
3448 REMOVAL OF STENT REMOVAL OF STENT 2070 2070
3449 CYSTOSCOPY + URETERAL CATHETER CYSTOSCOPY + URETERAL CATHETER 3726 3726
3450 CYSTOSCOPY, EXAMINATION CYSTOSCOPY, EXAMINATION 2070 2070
3451 CYSTOSCOPY BIOPSY CYSTOSCOPY BIOPSY 3725 3725
3452 PROSTATIC ABSCESS DRAINAGE PROSTATIC ABSCESS DRAINAGE 5500 5500
3453 OPTICAL LITHOTHREPSY OPTICAL LITHOTHREPSY 3725 3725
3454 BLADDER EVACUATION BLADDER EVACUATION 1100 1100
3455 CYSTOSCOPY THERAPEUTIC CYSTOSCOPY THERAPEUTIC 4140 4140
3456 URETERAL DILATATION URETERAL DILATATION 6500 6500
3457 ORCHIDECTOMY ORCHIDECTOMY 6000 6000
3458 EXCISION OF CYST EPIDID/SPERAMA EXCISION OF CYST EPIDID/SPERAMA 3725 3725
3459 EPIDIDYMECTOMY EPIDIDYMECTOMY 3725 3725
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To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 33 خدمات عيادة المسالك البولية UROLOGY
بيان المجموعة 3333 خدمات عيادة المسالك البولية UROLOGY
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3460 MEATOPLASTY MEATOPLASTY 2275 2275
3461 VESICOLITHOTOMY (OPEN) VESICOLITHOTOMY (OPEN) 10000 10000
3462 CYSTOLITHOTOMY CYSTOLITHOTOMY 10000 10000
3463 NEPHROSTOMY NEPHROSTOMY 6620 6620
3464 RESECTION OF BLADDER NECK OBSTRACTION
 RESECTION OF BLADDER NECK OBSTRACTION
 17000 17000
3465 RENAL CYST PUNCTURE (OPEN) RENAL CYST PUNCTURE (OPEN) 3105 3105
3466 CYSTOURETHROSCPY + TURP CYSTOURETHROSCPY + TURP 6500 6500
3467 URETHROLITHOTOMY POSTERIOR URETHROLITHOTOMY POSTERIOR 6500 6500
3468 C.A.V.H. (PARTIAL) C.A.V.H. (PARTIAL) 2070 2070
3469 A.V. SHUNT A.V. SHUNT 2070 2070
3470 AV FISTULA / SHUNT CLOSURE AV FISTULA / SHUNT CLOSURE 2485 2485
3471 LITHO-TRIPSY, ADDED SESSION LITHO-TRIPSY, ADDED SESSION 1240 1240
3472 TESTICULAR BIOPSY TESTICULAR BIOPSY 3500 3500
3473 HYDROCELE HYDROCELE 3725 3725
3474 STENT ADJUSTMENT FOR URETER STENT ADJUSTMENT FOR URETER 1100 1100
3475 MEATOTOMY EXTERNAL, GEN. ANES MEATOTOMY EXTERNAL, GEN. ANES 2070 2070
3476 URETEROSCOPY URETEROSCOPY 6500 6500
3477 DILATATION OF BLADDER NECK DILATATION OF BLADDER NECK 6500 6500
3478 URETHROSCOPY URETHROSCOPY 6500 6500
3479 URETHRA DILATE STRIC FILI DIL URETHRA DILATE STRIC FILI DIL 3725 3725
3480 URETHRA DILATE STRIC METAL DIL URETHRA DILATE STRIC METAL DIL 3725 3725
3481 MULTIPLE CYST DEROOFING OF THE KIDNEY
 MULTIPLE CYST DEROOFING OF THE KIDNEY
 5175 5175
3482 ORCHIOPEXY ORCHIOPEXY 5175 5175
3483 PERI-NEPHRIC ABSCESS PERI-NEPHRIC ABSCESS 14000 14000
3484 RENAL BIOPSY RENAL BIOPSY 5795 5795
3485 PARTIAL AMPUTATION OF PENIS PARTIAL AMPUTATION OF PENIS 2070 2070
3486 C.A.V.H. (COMPLETE) C.A.V.H. (COMPLETE) 4140 4140
3487 FRACTURE PENIS REPAIR FRACTURE PENIS REPAIR 4140 4140
3488 PERCUTANOUS NEPHROLITHOTOMY PERCUTANOUS NEPHROLITHOTOMY 8280 8280
3489 NEPHROLITHOTOMY NEPHROLITHOTOMY 7450 7450
3490 TOTAL AMPUTATION OF PENIS TOTAL AMPUTATION OF PENIS 6210 6210
3491 PERCUTANEOUS CYST ASPIRATION PERCUTANEOUS CYST ASPIRATION 2070 2070
3492 URETEROSCOPY + STONE FRAGMENTATION
 URETEROSCOPY + STONE FRAGMENTATION
 6000 6000
3493 STENT INSERTION STENT INSERTION 2070 2070
3494 URETHRAL RUPTURE REPAIR URETHRAL RUPTURE REPAIR 14000 14000
3495 BLADDER TUR (TUMORS) BLADDER TUR (TUMORS) 8690 8690
3496 BLADDER DIVERTICULUM EXCISION BLADDER DIVERTICULUM EXCISION 11000 11000
3497 BLADDER EXCISION PARTIAL BLADDER EXCISION PARTIAL 6210 6210
3498 PROSTATECTOMY SUPRAPUBIC PROSTATECTOMY SUPRAPUBIC 14000 14000
3499 NEPHRECTOMY PARTIAL NEPHRECTOMY PARTIAL 16000 16000
3500 NEPHROPAXY NEPHROPAXY 16000 16000
3501 URETERO-LITHOTOMY URETERO-LITHOTOMY 12000 12000
3502 PYELOLITHOTOMY PYELOLITHOTOMY 12000 12000
3503 PYELOPLASTY (G.U.) PYELOPLASTY (G.U.) 10350 10350
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 33 خدمات عيادة المسالك البولية UROLOGY
بيان المجموعة 3333 خدمات عيادة المسالك البولية UROLOGY
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3504 URETERAL STRICTURE RECURRENT URETERAL STRICTURE RECURRENT 6210 6210
3505 URETER RESECT & ANASTOM/REIMPLNT URETER RESECT & ANASTOM/REIMPLNT
 17000 17000
3506 URETEROCOLIC ANASTOMOSIS URETEROCOLIC ANASTOMOSIS 17000 17000
3507 URETHRAL FISTULA 2 STAGES URETHRAL FISTULA 2 STAGES 7245 7245
3508 CYSTECTOMY TOTAL CYSTECTOMY TOTAL 16000 16000
3509 URETERS REIMPLANTATION URETERS REIMPLANTATION 17000 17000
3510 EPISPADIUS EPISPADIUS 8280 8280
3511 HYPOSPADIUS HYPOSPADIUS 7000 7000
3512 REPAIR OF HYPOSPADIAS - 2 STAGES REPAIR OF HYPOSPADIAS - 2 STAGES 10000 10000
3513 URETHRA/PENIS PLASTIC OPERATN URETHRA/PENIS PLASTIC OPERATN 14000 14000
3514 CYSTOSCOPY WITH RETROGRADE STUDY CYSTOSCOPY WITH RETROGRADE STUDY
 3725 3725
3515 NEPHROSCOPY NEPHROSCOPY 5175 5175
3516 RETROGRADE STUDY RETROGRADE STUDY 2070 2070
3517 PERITONEAL CATHETER FIXATION PERITONEAL CATHETER FIXATION 2070 2070
3518 CYSTOSCOPY + BLADDER INFLATION CYSTOSCOPY + BLADDER INFLATION 5175 5175
3519 URS +STONE FRAGMENTATION + JJ INSERTION
 URS +STONE FRAGMENTATION + JJ INSERTION
 5175 5175
3520 URS + STENT + DILATATION + JJ INSERTION URS + STENT + DILATATION + JJ INSERTION
 6500 6500
3521 REMOVAL OF STONE REMOVAL OF STONE 2070 2070
3522 NEPHRECTOMY RADICAL NEPHRECTOMY RADICAL 24000 24000
3523 NEPHRECTOMY SIMPLE NEPHRECTOMY SIMPLE 16000 16000
3524 EPIDIDYMO-VASOSTOMY EPIDIDYMO-VASOSTOMY 7245 7245
3525 URETEROSCOPY + REMOVAL OF STONE URETEROSCOPY + REMOVAL OF STONE
 6500 6500
3526 URETERO RNEO CYSTOSTOMY URETERO RNEO CYSTOSTOMY 17000 17000
3527 HEMOPERFUSION HEMOPERFUSION 8280 8280
3528 KIDNEY CANCER SURGERY KIDNEY CANCER SURGERY 11385 11385
3529 CYSTECTOMY RADICAL CYSTECTOMY RADICAL 22000 22000
3530 PENILE PROSTHESIS IMPLANTATION PENILE PROSTHESIS IMPLANTATION 8280 8280
3531 SCROTAL EXPLORATION SCROTAL EXPLORATION 8280 8280
3532 PERCUTANEOUS NEPHRO LITHOTREPSY PERCUTANEOUS NEPHRO LITHOTREPSY
 20700 20700
3533 KIDNEY TRANSPLANT (RECIPIENT) KIDNEY TRANSPLANT (RECIPIENT) 47610 47610
3534 LITHO-TRIPSY, FIRST SESSION LITHO-TRIPSY, FIRST SESSION 8280 8280
3535 A.V. FISTULA CREATION A.V. FISTULA CREATION 3105 3105
3536 CYSTOSCOPY & URET. CATH. BILAT. CYSTOSCOPY & URET. CATH. BILAT. 5500 5500
3537 BLADDER CONDITION RECURRENT BLADDER CONDITION RECURRENT 4140 4140
3538 DEBRIBMENT OF CARTILAGE DEBRIBMENT OF CARTILAGE 2070 2070
بيان نوع الخدمة 34 خدمات القلب CARDIOLOGY CENTER
بيان المجموعة 3434 خدمات العيون
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1016 TREADMILL STRESS TEST TREADMILL STRESS TEST 1000 1000
1017 ECHOCARDIOGRAPHY ECHOCARDIOGRAPHY 700 700
1018 ECHO DOPPLER ECHO DOPPLER 1200 1200
1019 PEDIATRIC ECHOCARDIOGRAM PEDIATRIC ECHOCARDIOGRAM 1700 1700
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 34 خدمات القلب CARDIOLOGY CENTER
بيان المجموعة 3434 خدمات العيون
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1020 E.C.G. E.C.G. 100 100
1021 CARDIAC MONITORING CARDIAC MONITORING 350 350
1022 E.C.G. MONITOR PER DAY E.C.G. MONITOR PER DAY 350 350
1023 DEFIBRILLATOR DEFIBRILLATOR 370 370
1024 HOLTER MONITOR(PER DAY) HOLTER MONITOR(PER DAY) 2000 2000
1237 O.C.T SCAN IMAGING O.C.T SCAN IMAGING 450 450
1238 FUNDUS EXAMINATION FUNDUS EXAMINATION 150 150
1239 KERATOMERTY KERATOMERTY 600 600
1240 TENSION TENSION 150 150
1241 LENS POWER-ULTRASONIC BIOMETRY LENS POWER-ULTRASONIC BIOMETRY 600 600
1242 SLIT LAMP SLIT LAMP 150 150
1243 DRESSING (EYE) DRESSING (EYE) 100 100
1244 DRESSING + STITCH REMOVAL(EYE) DRESSING + STITCH REMOVAL(EYE) 900 900
1245 STITCH REMOVAL (EYE) STITCH REMOVAL (EYE) 900 900
1246 EYE FLOURESENT ANGIOGRAPHY EYE FLOURESENT ANGIOGRAPHY 1660 1660
1247 EYE GLASSES TRIAL DIOPTROM EYE GLASSES TRIAL DIOPTROM 150 150
1248 ORTHOSTATIC TRANING EXERC-EYE ORTHOSTATIC TRANING EXERC-EYE 210 210
1249 SUBCONJUNCTIVAL INJECTION SUBCONJUNCTIVAL INJECTION 900 900
1250 PUNCTAL OCCLUSION (TEMPORARY) PUNCTAL OCCLUSION (TEMPORARY) 415 415
1251 PUNCTAL OCCLUSION (PERMANENT) PUNCTAL OCCLUSION (PERMANENT) 830 830
1252 FUNDUS PHOTOGRAPHY FUNDUS PHOTOGRAPHY 830 830
1253 GONIOSCOPY GONIOSCOPY 800 800
1254 EYE ULTRASONOGRAPH PRELIMINARY EYE ULTRASONOGRAPH PRELIMINARY 1500 1500
1255 DIAGNOSTIC ULTRASONOGRAPHY DIAGNOSTIC ULTRASONOGRAPHY 1500 1500
1256 FUNDUS BIOMICROSCOPY FUNDUS BIOMICROSCOPY 620 620
1257 USE OF O.R. MICROSCOPE (CLINIC USE OF O.R. MICROSCOPE (CLINIC 210 210
1258 PERIMETERY COMPUTERISED PERIMETERY COMPUTERISED 1100 1100
1259 INTRAOCCULAR LENS CALCULATION INTRAOCCULAR LENS CALCULATION 350 350
3556 I&D ABCESS WITH GA / LA I&D ABCESS WITH GA / LA 1100 1100
3557 XANTHELASMA EXCISION XANTHELASMA EXCISION 2070 2070
3558 CYST / TUMOR EXCISION SUPER CYST / TUMOR EXCISION SUPER 1100 1100
3559 STYE EXCISION, ONE EYE STYE EXCISION, ONE EYE 500 500
3560 SCLERAL SUTURING SCLERAL SUTURING 2000 2000
3561 CORNEAL ULCER CAUTERY/SCRAPING CORNEAL ULCER CAUTERY/SCRAPING 520 520
3562 LACRIMAL PLUG IMPLANTATION LACRIMAL PLUG IMPLANTATION 1100 1100
3563 CONJUCTIVA FOREIGN BODY CONJUCTIVA FOREIGN BODY 500 500
3564 CAT. SURG. W/ PHAECOEMOULFICATION W/IOL
 CAT. SURG. W/ PHAECOEMOULFICATION W/IOL
 12000 12000
3565 OPHTALMOLOGY EXAMINATION (G.A) OPHTALMOLOGY EXAMINATION (G.A) 1100 1100
3566 POSTERIOR CAPSULOTOMY POSTERIOR CAPSULOTOMY 7000 7000
3567 IRIS REPOSITION IRIS REPOSITION 1100 1100
3568 RETROBULBAR INJ. OF ALCOHOL RETROBULBAR INJ. OF ALCOHOL 1200 1200
3569 CHALAZION INFECTED INCISION CHALAZION INFECTED INCISION 700 700
3570 EYELID ELECTROLYSIS SINGLE EYELID ELECTROLYSIS SINGLE 1000 1000
3571 CORNEAL FOREIGN BODY SUPERFICL CORNEAL FOREIGN BODY SUPERFICL 500 500
3572 LACMIRAL PROBE LOCAL ANESTHES LACMIRAL PROBE LOCAL ANESTHES 2000 2000
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 34 خدمات القلب CARDIOLOGY CENTER
بيان المجموعة 3434 خدمات العيون
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3573 EYELID ELECTROLYSIS BOTH EYELID ELECTROLYSIS BOTH 1000 1000
3574 CHALAZION SMALL ONE EYE EXCISION CHALAZION SMALL ONE EYE EXCISION 700 700
3575 CHALAZION SMALL ONE EYE EXCISION CHALAZION SMALL ONE EYE EXCISION 700 700
3576 PICKING PTD'S & SCRAPING/ONE EYE PICKING PTD'S & SCRAPING/ONE EYE 500 500
3577 CONJUCTIVA SMALL SWELLING CONJUCTIVA SMALL SWELLING 2500 2500
3578 EYELID SMALL SWELLING EYELID SMALL SWELLING 2500 2500
3579 CONJUCTIVA PAPILAE S.C. REMOVE CONJUCTIVA PAPILAE S.C. REMOVE 620 620
3580 LASER TREATMENT RETINA/SESSION LASER TREATMENT RETINA/SESSION 9000 9000
3581 LASER IRIDECTOMY / EYE LASER IRIDECTOMY / EYE 8000 8000
3582 LASER TRABECULOPLASTY / EYE LASER TRABECULOPLASTY / EYE 6000 6000
3583 RETINAL CRYOPEXY RETINAL CRYOPEXY 3350 3350
3584 INTRAVITRIAL DRUG INJECTION INTRAVITRIAL DRUG INJECTION 4500 4500
3585 REVISION OF STITCHES REVISION OF STITCHES 320 320
3586 STITCHES REMOVAL EYE G.A. STITCHES REMOVAL EYE G.A. 1100 1100
3587 EYELID LACERATION REPAIR (MINOR) EYELID LACERATION REPAIR (MINOR) 2000 2000
3588 EYE 3 SNIB OPERATION EYE 3 SNIB OPERATION 1100 1100
3589 PICKING POST-TRACHOMETOUS CONR PICKING POST-TRACHOMETOUS CONR 500 500
3590 CONJUCTIVA LACERATION MILD REPAIR CONJUCTIVA LACERATION MILD REPAIR 1500 1500
3591 CORNEAL SUB FOREIGN BODY MULTI CORNEAL SUB FOREIGN BODY MULTI 4000 4000
3592 CORNEAL SUB F. B. NEGLECTED CORNEAL SUB F. B. NEGLECTED 500 500
3593 CHALAZION LARGE ONE EYE EXCISION CHALAZION LARGE ONE EYE EXCISION 3000 3000
3594 CONJUCTIVA BIG SWELLING CONJUCTIVA BIG SWELLING 2500 2500
3595 CHALAZION MULTIPLE ONE EYE/SMALL CHALAZION MULTIPLE ONE EYE/SMALL 3000 3000
3596 CHALAZION MULTIPLE ONE EYE/LARGE CHALAZION MULTIPLE ONE EYE/LARGE 3000 3000
3597 BILATERAL MULTIPLE CHALAZION BILATERAL MULTIPLE CHALAZION 4500 4500
3598 ECTROPION ECTROPION 3000 3000
3599 LARGE PINGNECULA EXCISION LARGE PINGNECULA EXCISION 2484 2484
3600 ENTROPION ENTROPION 3000 3000
3601 EYELID TUMOR BIOPSY EYELID TUMOR BIOPSY 2070 2070
3602 CORNEAL GRAFT SUTURE REMOVAL CORNEAL GRAFT SUTURE REMOVAL 2300 2300
3603 CYCLO CRYO THERAPY CYCLO CRYO THERAPY 3725 3725
3604 TARSORRAPHY TARSORRAPHY 2500 2500
3605 EYELID LACERATION REPAIR MAJOR EYELID LACERATION REPAIR MAJOR 2000 2000
3606 LACRIMAL GLAND BIOPSY LACRIMAL GLAND BIOPSY 2485 2485
3607 DACRO CYSTECTOMY DACRO CYSTECTOMY 6000 6000
3608 CILLARY BOBY CAUTERIZATION CILLARY BOBY CAUTERIZATION 3725 3725
3609 LACRIMAL PROBE GENERAL ANESTH LACRIMAL PROBE GENERAL ANESTH 3500 3500
3610 EVISCERATION EVISCERATION 3320 3320
3611 ENUCLEATION ENUCLEATION 3320 3320
3612 PTERYGIUM EXCISION PTERYGIUM EXCISION 2400 2400
3613 CAPUSLOTOMY CAPUSLOTOMY 6000 6000
3614 HYPHEMA EVACUATION HYPHEMA EVACUATION 3725 3725
3615 GLAUCOMA OPERATION GLAUCOMA OPERATION 10000 10000
3616 I.O.L. IMPLANT, SECONDARY I.O.L. IMPLANT, SECONDARY 6000 6000
3617 REMOVAL OF DISLOCATED LENS REMOVAL OF DISLOCATED LENS 10000 10000
3618 CORNEAL TELESCOPE CORNEAL TELESCOPE 4140 4140
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 34 خدمات القلب CARDIOLOGY CENTER
بيان المجموعة 3434 خدمات العيون
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3619 PTERYGIUM+MITOMYCIN TREATMENT PTERYGIUM+MITOMYCIN TREATMENT 3500 3500
3620 PTERYGIUM W/GRAFTING RECURRENT PTERYGIUM W/GRAFTING RECURRENT 4600 4600
3621 CYCLODIALYSIS CYCLODIALYSIS 7500 7500
3622 IRIDECTOMY IRIDECTOMY 8000 8000
3623 ORBITAL TUMOR BIOPSY ORBITAL TUMOR BIOPSY 5175 5175
3624 MUCUS MEM. GRAFTING/TRICHIASI MUCUS MEM. GRAFTING/TRICHIASI 4765 4765
3625 COREAL DERMOID EXCISION COREAL DERMOID EXCISION 4140 4140
3626 CORNEAL & SCLERA LACERATION CORNEAL & SCLERA LACERATION 7000 7000
3627 CORNEAL FOREIGN BODY DEEP CORNEAL FOREIGN BODY DEEP 2000 2000
3628 ENUCLEATION WITH IMPLANTS ENUCLEATION WITH IMPLANTS 8180 8180
3629 SQUINT REPAIR UNILATERAL SQUINT REPAIR UNILATERAL 5000 5000
3630 SQUINT REPAIR BILATERAL SQUINT REPAIR BILATERAL 7000 7000
3631 GONITOMY GONITOMY 5175 5175
3632 CATARACT EXTRACTION CATARACT EXTRACTION 10000 10000
3633 EYELID RECONSTRUCTION EYELID RECONSTRUCTION 5175 5175
3634 DACRYO CYSTORHINOSTOMY DACRYO CYSTORHINOSTOMY 7500 7500
3635 LACRIMAL CANALLICULUM RECONST LACRIMAL CANALLICULUM RECONST 6000 6000
3636 VITRECTOMY ANTERIOR VITRECTOMY ANTERIOR 6000 6000
3637 INTRAOCULAR FOREIGN BODY REMOV INTRAOCULAR FOREIGN BODY REMOV 10000 10000
3638 RETINAL PRIMARY DETACHMENT RETINAL PRIMARY DETACHMENT 9000 9000
3639 SCLERAL BUCKLE RE-OPERATION SCLERAL BUCKLE RE-OPERATION 7245 7245
3640 ORBIT EXPLO. & RECONSTRUCTION ORBIT EXPLO. & RECONSTRUCTION 6210 6210
3641 EXCISION BIOPSY EXCISION BIOPSY 1200 1200
3642 KERATOTOMY RADIAL KERATOTOMY RADIAL 6000 6000
3643 RUPTURE GLOBE RUPTURE GLOBE 7040 7040
3644 PTOSIS REPAIR PTOSIS REPAIR 4500 4500
3645 TRABECULECTOMY TRABECULECTOMY 6000 6000
3646 ORBITAL TUMOR EXPLO/EXCISION ORBITAL TUMOR EXPLO/EXCISION 8900 8900
3647 ORBITAL FLOOR FRACTURE\DECOMPRESSION
 ORBITAL FLOOR FRACTURE\DECOMPRESSION
 8900 8900
3648 PTOSIS RECURRENT PTOSIS RECURRENT 10000 10000
3649 CATARACT EXTRACT. W/TRABECULEC CATARACT EXTRACT. W/TRABECULEC 10000 10000
3650 CATARACT COMPL OR DISLOCATED CATARACT COMPL OR DISLOCATED 10000 10000
3651 PHACO CATARACT SURGERY AND I.O.L. PHACO CATARACT SURGERY AND I.O.L. 12000 12000
3652 CORNEAL GRAFT (P. KERATOPLASTY CORNEAL GRAFT (P. KERATOPLASTY 15000 15000
3653 KERATOPLASTY LAMELLAR KERATOPLASTY LAMELLAR 15000 15000
3654 DACRO CYSTORHINOSTOMY W/TUBE DACRO CYSTORHINOSTOMY W/TUBE 7500 7500
3655 CORNEAL GRAFT W/ CATARACT EXTR CORNEAL GRAFT W/ CATARACT EXTR 15000 15000
3656 KERATOPROSTHESIS KERATOPROSTHESIS 15000 15000
3657 SCLERAL BUCKLE WITH VITRECTOMY SCLERAL BUCKLE WITH VITRECTOMY 6000 6000
3658 VITRECTOMY POSTERIOR VITRECTOMY POSTERIOR 6000 6000
3659 EXT. I.O.F.B. W/VITRECTOMY EXT. I.O.F.B. W/VITRECTOMY 6000 6000
3660 CATARACT EXTRA. I.O.L. IMPLANT CATARACT EXTRA. I.O.L. IMPLANT 12000 12000
3661 LASER TREATMENT 1 SESSION LASER TREATMENT 1 SESSION 1500 1500
3662 LASER 1 EYE COMPLETE TREATMENT LASER 1 EYE COMPLETE TREATMENT 7000 7000
3663 Y.A.G. LASER CAPSULATOMY - ONE EYE Y.A.G. LASER CAPSULATOMY - ONE EYE
 7000 7000
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 35 المناظير ENDOSCOPY UNIT
بيان المجموعة 3535 المناظير
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1451 ENDOSCOPY WITH BAND LIGATION ENDOSCOPY WITH BAND LIGATION 3750 3750
1452 LIMITTED COLONOSCOPY LIMITTED COLONOSCOPY 3500 3500
1453 E.R.C.P. E.R.C.P. 8000 8000
1454 ERCP+SPHENCTROTOMY+STENT ERCP+SPHENCTROTOMY+STENT 13700 13700
1455 UGIT ENDOSCOPY WITH BIOPSY UGIT ENDOSCOPY WITH BIOPSY 2300 2300
1456 UGIT ENDOSCOPY W/WO BIOPSY UGIT ENDOSCOPY W/WO BIOPSY 2300 2300
1457 BAND LIGATION BAND LIGATION 1000 1000
1458 UGIT ENDOSCOPY W/ FEEDING TUBE INSERTION
 UGIT ENDOSCOPY W/ FEEDING TUBE INSERTION
 3725 3725
1459 SIGMOIDOSCOPY, RIGID (OUTPAT.) SIGMOIDOSCOPY, RIGID (OUTPAT.) 3100 3100
1460 SIGMOIDOFIBERSCOPY W/WT BIOPSY SIGMOIDOFIBERSCOPY W/WT BIOPSY 2300 2300
بيان نوع الخدمة 36 الامراض الصدرية CHEST
بيان المجموعة 3636 الامراض الصدرية
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
1473 RESPIRATORY THERAPIST RESPIRATORY THERAPIST 500 500
1474 INTRA-BRONCHIAL LAVAGE INTRA-BRONCHIAL LAVAGE 1100 1100
1475 BRONCHOSCOPY BRONCHOSCOPY 2700 2700
1476 PULMONARY FUNCTION TEST PULMONARY FUNCTION TEST 450 450
بيان نوع الخدمة 38 الاشعه المقطعية C T SCAN
بيان المجموعة 3838 الاشعه المقطعية
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2365 UPPER JAW COMPLETE 3D UPPER JAW COMPLETE 3D 1500 1500
2366 UPPER JAW COMPLETE 3D UPPER JAW COMPLETE 3D 1500 1500
2367 LOWER JAW COMPLETE 3D LOWER JAW COMPLETE 3D 1500 1500
2368 UPPER JAW (POST) - 3D UPPER JAW (POST) - 3D 1500 1500
2369 UPPER JAW (ANT) - 3D UPPER JAW (ANT) - 3D 1500 1500
2370 LOWER JAW (POST) - 3D LOWER JAW (POST) - 3D 1500 1500
2371 LOWER JAW (ANT) - 3D LOWER JAW (ANT) - 3D 1500 1500
2372 C.T. EXAMINATION C.T. EXAMINATION 750 750
2373 CT SERVICES CT SERVICES 90 90
2374 VIRTUAL CT COLONOSCOPY VIRTUAL CT COLONOSCOPY 3350 3350
2375 CT HELICAL NON-CONTRAST (RENAL) CT HELICAL NON-CONTRAST (RENAL) 1500 1500
2376 CT SCAN KNEE LOWER EXT WITH CONTRAST
 CT SCAN KNEE LOWER EXT WITH CONTRAST
 1500 1500
2377 CT MEASURING EXTREMITIES CT MEASURING EXTREMITIES 1500 1500
2378 EMERGENCY CT SCAN - 1 REGION EMERGENCY CT SCAN - 1 REGION 1500 1500
2379 CT HEAD/BRAIN CT HEAD/BRAIN 1500 1500
2380 CT 3D (EXTRA CHARGE) CT 3D (EXTRA CHARGE) 1500 1500
2381 CT SCAN ONE REGION CT SCAN ONE REGION 1500 1500
2382 CT EMERGENCY- BRAIN W/O CONTRAST CT EMERGENCY- BRAIN W/O CONTRAST
 1500 1500
2383 CT HEAD WITH CONTRAST CT HEAD WITH CONTRAST 2500 2500
2384 CT TEMPORAL BONES OR SELLA CT TEMPORAL BONES OR SELLA 1500 1500
2385 CT LIMITED CT LIMITED 1500 1500
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 38 الاشعه المقطعية C T SCAN
بيان المجموعة 3838 الاشعه المقطعية
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2386 CT SPINES WITHOUT CONTRAST CT SPINES WITHOUT CONTRAST 1500 1500
2387 CT SPINES WITH CONTRAST CT SPINES WITH CONTRAST 2500 2500
2388 CT SPINE W/CONTRAST & MYELOGRAM CT SPINE W/CONTRAST & MYELOGRAM 2500 2500
2389 CT GUIDED ASPIRATION )PLEURAL/OTHERS)
 CT GUIDED ASPIRATION )PLEURAL/OTHERS)
 4555 4555
2390 CT THORAX WITHOUT CONTRAST CT THORAX WITHOUT CONTRAST 2500 2500
2391 CT THORAX WITH CONTRAST CT THORAX WITH CONTRAST 2500 2500
2392 CT ABDOMEN & PELVIS W/ CONTRAST CT ABDOMEN & PELVIS W/ CONTRAST 3000 3000
2393 CT SCAN ABDOMEN CT SCAN ABDOMEN 2000 2000
2394 CT PELVIS CT PELVIS 2500 2500
2395 CT GUIDED BIOPSY (TRUE CUT) CT GUIDED BIOPSY (TRUE CUT) 3300 3300
2396 CT L-SPINE CT L-SPINE 1500 1500
2397 CT C-SPINE CT C-SPINE 1500 1500
2398 CT PELVIMETRY (AP & LATERAL) CT PELVIMETRY (AP & LATERAL) 2500 2500
2399 CT NECK/PH/LX CT NECK/PH/LX 1500 1500
2400 CT ORBIT CT ORBIT 1500 1500
2401 CT T-SPINE CT T-SPINE 1500 1500
2402 CT SINUSES ONE AXIS CT SINUSES ONE AXIS 1500 1500
2403 CT FACE/SINUS CT FACE/SINUS 1500 1500
2404 MD CT CEREBRAL & CAROTID ANGIOGRAPHY
 MD CT CEREBRAL & CAROTID ANGIOGRAPHY
 4500 4500
2405 MD CT PULMONARY ANGIOGRAPHY MD CT PULMONARY ANGIOGRAPHY 3150 3150
2406 MD CT AORTOGRAPHY MD CT AORTOGRAPHY 4150 4150
2407 MD CT CARDIA & CORONARY ANGIOGRAPHY
 MD CT CARDIA & CORONARY ANGIOGRAPHY
 7250 7250
2408 MD CT CARDIAC IMAGING MD CT CARDIAC IMAGING 5250 5250
2409 MD CT CORONARY ANGIOGRAPHY MD CT CORONARY ANGIOGRAPHY 4250 4250
2410 MD CT RENAL ANGIOGRAPHY MD CT RENAL ANGIOGRAPHY 3150 3150
2411 MD CT MESENTRIC ANGIOGRAPHY MD CT MESENTRIC ANGIOGRAPHY 3150 3150
2412 MD CT PERIPHERAL ANGIOGRAPHY(UL) MD CT PERIPHERAL ANGIOGRAPHY(UL) 4250 4250
2413 MD CT PERIPHERAL ANGIOGRAPHY(LL) MD CT PERIPHERAL ANGIOGRAPHY(LL) 5175 5175
2414 MD CT UROGRAPHY MD CT UROGRAPHY 2300 2300
2415 CT ANGIOHRAPHY CT ANGIOHRAPHY 5000 5000
2416 CT BONE DENSITY STUDY CT BONE DENSITY STUDY 1180 1180
2417 CT DENTAL CT DENTAL 1000 1000
2418 CT GUIDED CHEST TUBE INSERTION CT GUIDED CHEST TUBE INSERTION 2500 2500
2419 C.T. GUIDED BIOPSY LIVER,LUNG,OTHERS C.T. GUIDED BIOPSY LIVER,LUNG,OTHERS
 3500 3500
2420 CT NEEDLE BIOPSY / DRAINAGE CT NEEDLE BIOPSY / DRAINAGE 3500 3500
2421 CT GUIDED ASPIRATION CT GUIDED ASPIRATION 3000 3000
2422 CT UP EXT CT UP EXT 1500 1500
2423 CT LO EXT WITHOUT CONTRAST CT LO EXT WITHOUT CONTRAST 1500 1500
2424 CT GUIDED INJECTION CT GUIDED INJECTION 1800 1800
2425 CT GUIDED BONE BIOPSY CT GUIDED BONE BIOPSY 4600 4600
بيان نوع الخدمة 39 الرنين المغناطيسي MRI
بيان المجموعة 3939 الرنين المغناطيسي
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 39 الرنين المغناطيسي MRI
بيان المجموعة 3939 الرنين المغناطيسي
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2426 MRI - BRAIN WITHOUT CONTRAST MRI - BRAIN WITHOUT CONTRAST 2700 2700
2427 MRI - FACE/NECK/ORBIT MRI - FACE/NECK/ORBIT 2700 2700
2428 MRI - BRAIN WITH CONTRAST MRI - BRAIN WITH CONTRAST 3060 3060
2429 MRI-FACE/NECK/ORBIT WITH CONTRAST MRI-FACE/NECK/ORBIT WITH CONTRAST
 3060 3060
2430 MRI-FACE/NECK/ORBIT WITH CONTRAST MRI-FACE/NECK/ORBIT WITH CONTRAST
 3060 3060
2431 MRI ONE REGION MRI ONE REGION 2700 2700
2432 MRI EXAMINATION MRI EXAMINATION 2700 2700
2433 MRI - C-SPINE WITHOUT CONTRAST MRI - C-SPINE WITHOUT CONTRAST 2700 2700
2434 MRI - C-SPINE WITH CONTRAST MRI - C-SPINE WITH CONTRAST 3060 3060
2435 MRI - T-SPINE WITHOUT CONTRAST MRI - T-SPINE WITHOUT CONTRAST 3060 3060
2436 MRI - T-SPINE WITH CONTRAST MRI - T-SPINE WITH CONTRAST 3060 3060
2437 MRI - L-SPINE WITHOUT CONTRAST MRI - L-SPINE WITHOUT CONTRAST 2700 2700
2438 MRI - L-SPINE WITH CONTRAST MRI - L-SPINE WITH CONTRAST 3060 3060
2439 MRI - CHEST MRI - CHEST 2700 2700
2440 MRI - PELVIS MRI - PELVIS 2700 2700
2441 MRI - ADBDOMEN MRI - ADBDOMEN 2700 2700
2442 MRI - TM JOINT MRI - TM JOINT 2700 2700
2443 MRI -SHOULDER/ELBOW/WRIST MRI -SHOULDER/ELBOW/WRIST 2700 2700
2444 MRI - KNEE/ANKLE/HIP MRI - KNEE/ANKLE/HIP 2700 2700
2445 MRI SELLA TURCICA WITH CONTRAST MRI SELLA TURCICA WITH CONTRAST 3060 3060
2446 MRI OTHERS,SOFT TISSUE,THYROID W/CONTRST
 MRI OTHERS,SOFT TISSUE,THYROID W/CONTRST
 3060 3060
2447 MRI - ANGIOGRAPHY PELVIS MRI - ANGIOGRAPHY PELVIS 4600 4600
2448 MRI -ANGIOGRAPHY SPINAL CERVICAL MRI -ANGIOGRAPHY SPINAL CERVICAL 4600 4600
2449 MRI - ANGIOGRAPHY UPPER EXTREMITY MRI - ANGIOGRAPHY UPPER EXTREMITY
 5800 5800
2450 MRI - ANGIOGRAPHY CHEST MRI - ANGIOGRAPHY CHEST 4600 4600
2451 MRI-ANGIOGRAPHY LOWER EXTREMITY MRI-ANGIOGRAPHY LOWER EXTREMITY
 5800 5800
2452 MR - ANGIOGRAPHY ABDOMEN MR - ANGIOGRAPHY ABDOMEN 4600 4600
2453 MRI - SPECTROSCOPY (ANY ORGAN) MRI - SPECTROSCOPY (ANY ORGAN) 5175 5175
2454 MRI - DIFFUSION (ANY ORGAN) MRI - DIFFUSION (ANY ORGAN) 3100 3100
2455 MRI - PERFUSION (ANY ORGAN) MRI - PERFUSION (ANY ORGAN) 5175 5175
2456 MRI - MAMMOGRAPHY MRI - MAMMOGRAPHY 3100 3100
2457 MRI - MRCP MRI - MRCP 3100 3100
2458 MRI - UROGRAPHY MRI - UROGRAPHY 3100 3100
2459 MRI - CARDIAC IMAGING MRI - CARDIAC IMAGING 6250 6250
2460 MRI LIMITED MRI LIMITED 2700 2700
2461 MRI - ANGIO NECK & HEAD MRI - ANGIO NECK & HEAD 5800 5800
2462 MR - ANGIOGRAPHY BRAIN MR - ANGIOGRAPHY BRAIN 4600 4600
2463 EMERGENCY MRI - 1 REGION EMERGENCY MRI - 1 REGION 2700 2700
2464 MRI TMJ (1 SIDE) MRI TMJ (1 SIDE) 2700 2700
2465 MRI READING MRI READING 415 415
بيان نوع الخدمة 40 جراحة اطفال PEDIATRIC SURGERY
بيان المجموعة 4040 جراحة اطفال
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 40 جراحة اطفال PEDIATRIC SURGERY
بيان المجموعة 4040 جراحة اطفال
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2897 PED.BURN DEBRIDEMENT-SMALL AREA- ONE SITE
 PED.BURN DEBRIDEMENT-SMALL AREA-ONE SITE
 300 300
2898 PED.BURN DEBRIDEMENT-SMAL AREA- MULTIPLE
 PED.BURN DEBRIDEMENT-SMAL AREA- MULTIPLE
 800 800
2899 PED. DISTAL SPLENO RENAL SHUNT PED. DISTAL SPLENO RENAL SHUNT 16700 16700
2900 PED.BURN DEBRIDEMENT-MEDIUM AREA- ONE SIT
 PED.BURN DEBRIDEMENT-MEDIUM AREA-ONE SIT
 800 800
2901 PED.BURN DEBRIDEMENT-MEDIUM AREA- MULTIPL
 PED.BURN DEBRIDEMENT-MEDIUM AREA-MULTIPL
 1500 1500
2902 PED.BURN DEBRIDEMENT-MAJOR AREA- ONE SIT
 PED.BURN DEBRIDEMENT-MAJOR AREA-ONE SIT
 1500 1500
2903 PED.BURN DEBRIDEMENT-MAJOR AREA- MULTIPLE
 PED.BURN DEBRIDEMENT-MAJOR AREA-MULTIPLE
 1500 1500
2904 PED.SKIN GRAFTING FOR BURN-SMALL ONE SIT
 PED.SKIN GRAFTING FOR BURN-SMALL ONE SIT
 9000 9000
2905 PED.SKING GRAFTING FOR BURN-SMALL MULTIP
 PED.SKING GRAFTING FOR BURN- SMALL MULTIP
 12000 12000
2906 PED.SKIN GRAFTING FOR BUR-MEDIUM ONE SIT
 PED.SKIN GRAFTING FOR BUR-MEDIUM ONE SIT
 14000 14000
2907 PED.SKING GRAFTING FOR BURN-MEDIUM MULTI
 PED.SKING GRAFTING FOR BURN- MEDIUM MULTI
 14000 14000
2908 PED.SKIN GRAFTING FOR BURN-MAJOR ONE SIT
 PED.SKIN GRAFTING FOR BURN-MAJOR ONE SIT
 15000 15000
2909 PED.SKING GRAFTING FOR BURN-MAJOR MULTIP
 PED.SKING GRAFTING FOR BURN- MAJOR MULTIP
 15000 15000
2910 PED.COMPLEX WOUND CLOSURE PED.COMPLEX WOUND CLOSURE 1500 1500
2911 PED.SUBCUTANEOUS MASTECTOMY PED.SUBCUTANEOUS MASTECTOMY 10000 10000
2912 PED.MAJOR EXCISION OF SOFT TISSUE TUMOR
 PED.MAJOR EXCISION OF SOFT TISSUE TUMOR
 8500 8500
2913 PED.MAJOR SOFT TISSUE REPAIR FOR TRAUMA
 PED.MAJOR SOFT TISSUE REPAIR FOR TRAUMA
 6500 6500
2914 PED.CLEFT LIP/PALATE REPAIR PED.CLEFT LIP/PALATE REPAIR 5400 5400
2915 PED.THYROIDECTOMY PED.THYROIDECTOMY 14000 14000
2916 PED.PARATHYROIDECTOMY PED.PARATHYROIDECTOMY 14000 14000
2917 PED.BRANCHIAL CYST/SINUS PED.BRANCHIAL CYST/SINUS 5250 5250
2918 PED.THYROGLOSSAL DUCT CYST/SINUS PED.THYROGLOSSAL DUCT CYST/SINUS
 12000 12000
2919 PED.DERMOID/OTHER CYST EXCISION PED.DERMOID/OTHER CYST EXCISION 1600 1600
2920 PED.TRACHEOSTOMY LESS THAN ONE YEAR
 PED.TRACHEOSTOMY LESS THAN ONE YEAR
 4500 4500
2921 PED.TRACHEOSTOMY MORE THAN ONE YEAR
 PED.TRACHEOSTOMY MORE THAN ONE YEAR
 3100 3100
2922 PED.REPAIR OF CHEST WALL DEFORMITY PED.REPAIR OF CHEST WALL DEFORMITY
 12500 12500
2923 PED.RESECTION OF CHEST WALL TUMOR- SIMPLE
 PED.RESECTION OF CHEST WALL TUMOR-SIMPLE
 8250 8250
2924 PED.RESECTION OF CHEST WALL TUMOR - COMPL
 PED.RESECTION OF CHEST WALL TUMOR -COMPL
 14500 14500
2925 PED.EXCISION OF MEDIASTINAL TUMOR OPEN
 PED.EXCISION OF MEDIASTINAL TUMOR OPEN
 14500 14500
2926 PED.EXCISION OF MEDIASTINAL TUMOR LAPARO
 PED.EXCISION OF MEDIASTINAL TUMOR LAPARO
 16600 16600
2927 PED.EXCISION OF MEDIASTINAL CYST OPEN
 PED.EXCISION OF MEDIASTINAL CYST OPEN
 10350 10350
2928 PED.EXCISION OF MEDIASTINAL CYST LAPAROS
 PED.EXCISION OF MEDIASTINAL CYST LAPAROS
 12500 12500
2929 PED.PULMONARY RESECTION TUMOR.CONG MALFO
 PED.PULMONARY RESECTION TUMOR.CONG MALFO
 16700 16700
2930 PED.THORACOTOMY FOR TRAUMA PED.THORACOTOMY FOR TRAUMA 12500 12500
2931 PED.LUNG BIOPSY OPEN PED.LUNG BIOPSY OPEN 6250 6250
2932 PED.LUNG BIOPSY LAPAROSCOPIC PED.LUNG BIOPSY LAPAROSCOPIC 8500 8500
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 40 جراحة اطفال PEDIATRIC SURGERY
بيان المجموعة 4040 جراحة اطفال
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2933 PED.DECORTICATION/PLEURECTOMY/BLTM Y OPEN
 PED.DECORTICATION/PLEURECTOMY/B LTMY OPEN
 10350 10350
2934 PED.DECORTICATION/PLE/BEL/LAPAROSC OPIC
 PED.DECORTICATION/PLE/BEL/LAPARO SCOPIC
 12500 12500
2935 PED.OESPHAGEAL RESECTION MINOR PED.OESPHAGEAL RESECTION MINOR 12500 12500
2936 PED.OESPHAGEAL RESECTION MAJOR OR RPLMNT
 PED.OESPHAGEAL RESECTION MAJOR OR RPLMNT
 16700 16700
2937 PED.OESPHAGOGOTOMY OPEN PED.OESPHAGOGOTOMY OPEN 10350 10350
2938 PED.OESPHAGOGOTOMY LAPAROSCOPIC PED.OESPHAGOGOTOMY LAPAROSCOPIC
 12500 12500
2939 PED.REPAIR OF OESOPHAGEAL ATRASIA OR TRA
 PED.REPAIR OF OESOPHAGEAL ATRASIA OR TRA
 14500 14500
2940 PED.REPAIR OF DIAPHRAGMATIC HERNIA OPEN
 PED.REPAIR OF DIAPHRAGMATIC HERNIA OPEN
 20000 20000
2941 PED.PLICATION OF DIAPHRAGM OPEN PED.PLICATION OF DIAPHRAGM OPEN 12500 12500
2942 PED.PLICATION OF DIAPHRAGM LAPAROSCOPIC
 PED.PLICATION OF DIAPHRAGM LAPAROSCOPIC
 14500 14500
2943 PED.THORACIC&/OR RETROPERITONEAL EXPOSUR
 PED.THORACIC&/OR RETROPERITONEAL EXPOSUR
 14500 14500
2944 PED.PATENT DUCTUS ARTERIOSIS PED.PATENT DUCTUS ARTERIOSIS 12500 12500
2945 PED.VASCULAR RING PED.VASCULAR RING 12500 12500
2946 PED.AORTOPEXY PED.AORTOPEXY 12500 12500
2947 PED.RENAL ARTERY RECONSTRUCTION PED.RENAL ARTERY RECONSTRUCTION
 12500 12500
2948 PED.PERIPHERAL ARTERY RECONSTRUCTION
 PED.PERIPHERAL ARTERY RECONSTRUCTION
 10350 10350
2949 PED.CONSTRUCTION OR TAKE DOWN AV FISTULA
 PED.CONSTRUCTION OR TAKE DOWN AV FISTULA
 6250 6250
2950 RELEASE OF PENILE ADHESION RELEASE OF PENILE ADHESION 1100 1100
2951 PED.DIALYSIS ACCESS INSERTION PED.DIALYSIS ACCESS INSERTION 6250 6250
2952 PED.DIALYSIS ACCESS REMOVAL PED.DIALYSIS ACCESS REMOVAL 2250 2250
2953 PED.MAJOR VESSEL RECONSTRUCTION PED.MAJOR VESSEL RECONSTRUCTION
 12500 12500
2954 PED.ANTIREFLUX PROCEDURE OPEN PED.ANTIREFLUX PROCEDURE OPEN 12500 12500
2955 PED.ANTIREFLUX PROCEDURE LAPAROSCOPIC
 PED.ANTIREFLUX PROCEDURE LAPAROSCOPIC
 14500 14500
2956 PED.PYLOROPLASTY/GASTRIC RESECTION W/O V
 PED.PYLOROPLASTY/GASTRIC RESECTION W/O V
 25000 25000
2957 PED. GASTROSTOMY/JEJUNOSTOMY OPEN PED. GASTROSTOMY/JEJUNOSTOMY OPEN
 8000 8000
2958 PED.GASTROSTOMY/JEJUNOSTOMY LAPAROSCOPIC
 PED.GASTROSTOMY/JEJUNOSTOMY LAPAROSCOPIC
 8000 8000
2959 PED.PYLOROMYOTOMY PED.PYLOROMYOTOMY 8000 8000
2960 PED.OPERATION FOR MALROTATION PED.OPERATION FOR MALROTATION 14500 14500
2961 PED.REPAIR OF INTESTINAL ATRASIA STENOSI
 PED.REPAIR OF INTESTINAL ATRASIA STENOSI
 16700 16700
2962 PED.INTESTINAL RESECTION PED.INTESTINAL RESECTION 12500 12500
2963 PED.OSTOMY FOR ANORECTAL MALFORMATIONP
 PED.OSTOMY FOR ANORECTAL MALFORMATIONP
 6500 6500
2964 PEDIATRIC CLOSURE/REVESION ANY OSTOMY
 PEDIATRIC CLOSURE/REVESION ANY OSTOMY
 6500 6500
2965 PED.APPENDECTOMY OPEN PED.APPENDECTOMY OPEN 8500 8500
2966 PED.APPENDECTOMY LAPAROSCOPIC PED.APPENDECTOMY LAPAROSCOPIC 8500 8500
2967 PED.PERINEALPROCEDURE FOR IMPERFRTE.ANUS
 PED.PERINEALPROCEDURE FOR IMPERFRTE.ANUS
 7500 7500
2968 PED.PULL THROUGH FOR IMPERFORATE /HURCHB
 PED.PULL THROUGH FOR IMPERFORATE /HURCHB
 7500 7500
2969 PED.PULL THROUGH FOR HURSCHBRUG'S LAPARO
 PED.PULL THROUGH FOR HURSCHBRUG'S LAPARO
 14500 14500
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 40 جراحة اطفال PEDIATRIC SURGERY
بيان المجموعة 4040 جراحة اطفال
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
2970 PED.EXPLORATORY LAPAROTOMY W/O BIOSPY
 PED.EXPLORATORY LAPAROTOMY W/O BIOSPY
 10000 10000
2971 PED.EXCISION OF OMENTAL/MESENTRIC CYST
 PED.EXCISION OF OMENTAL/MESENTRIC CYST
 8500 8500
2972 PED.OMPHALOCELE(ANY SURGICAL REPAIR)
 PED.OMPHALOCELE(ANY SURGICAL REPAIR)
 12500 12500
2973 PED.GASTROSCHISIS(ANY SURGICAL REPAIR)
 PED.GASTROSCHISIS(ANY SURGICAL REPAIR)
 12500 12500
2974 PED.RESECTION URACHAL REMENANT PED.RESECTION URACHAL REMENANT 17000 17000
2975 PED.OMPHALOMESENTRIC DUCT.CYST PED.OMPHALOMESENTRIC DUCT.CYST 8500 8500
2976 PED.EXCISION NEURO.ADRE.RETR.PERIO.TUMOR
 PED.EXCISION NEURO.ADRE.RETR.PERIO.TUMOR
 16700 16700
2977 PED.EXCISION SACROCOCCYGEAL TERATOMA
 PED.EXCISION SACROCOCCYGEAL TERATOMA
 14500 14500
2978 PED.REPAIR OF INGL.HERNIA.UNI.LESS 1YEAR
 PED.REPAIR OF INGL.HERNIA.UNI.LESS 1YEAR
 6000 6000
2979 PED.REPAIR OF INGL.HERNIA.BIL.LESS.1YEAR
 PED.REPAIR OF INGL.HERNIA.BIL.LESS.1YEAR
 9000 9000
2980 PED.REPAIR OF INGL.HERNIA.UNI.MORE 1YEAR
 PED.REPAIR OF INGL.HERNIA.UNI.MORE 1YEAR
 7500 7500
2981 PED.REPAIR OF INGU.HERNIA.BILT.MORE1YEAR
 PED.REPAIR OF INGU.HERNIA.BILT.MORE1YEAR
 7500 7500
2982 PED.REPAIR OF UMBLICAL/PARA UMBLICAL HER
 PED.REPAIR OF UMBLICAL/PARA UMBLICAL HER
 7500 7500
2983 PED.REPAIR OF VENTRAL HERNIA PED.REPAIR OF VENTRAL HERNIA 7500 7500
2984 PED.MAJOR HEPATIC RESECTIN/REPAIR TUMOR
 PED.MAJOR HEPATIC RESECTIN/REPAIR TUMOR
 14500 14500
2985 PED.LIVER BIOSPY OPEN PED.LIVER BIOSPY OPEN 6250 6250
2986 PED.LIVER BIOSPY LAPAROSCOPIC PED.LIVER BIOSPY LAPAROSCOPIC 7500 7500
2987 PED.CHLTMY.W/O COMMON BILE DUCT EXP.OPEN
 PED.CHLTMY.W/O COMMON BILE DUCT EXP.OPEN
 15000 15000
2988 PED. CHOLECYSTECTOMY W/O C.B.D. EXP.LAP
 PED. CHOLECYSTECTOMY W/O C.B.D. EXP.LAP
 18000 18000
2989 PED.PANCREATIC RESECTION FOR TRAUMA/HYP
 PED.PANCREATIC RESECTION FOR TRAUMA/HYP
 14500 14500
2990 PED.OPERATION FOR PSEUDOCYST OPEN PED.OPERATION FOR PSEUDOCYST OPEN
 7500 7500
2991 PED.OPERATION FOR PSEUDOCYST LAPAROSCOP
 PED.OPERATION FOR PSEUDOCYST LAPAROSCOP
 9350 9350
2992 PED.SPLENECTOMY OPEN PED.SPLENECTOMY OPEN 18000 18000
2993 PED.SPLENECTOMY LAPAROSCOPIC PED.SPLENECTOMY LAPAROSCOPIC 18000 18000
2994 PED.PARTIAL NEPHRECTOMY PED.PARTIAL NEPHRECTOMY 8500 8500
2995 PED.TOTAL NEPHRECTOMY SIMPLE PED.TOTAL NEPHRECTOMY SIMPLE 16000 16000
2996 PED.TOTAL NEPHRECTOMY-RADICAL PED.TOTAL NEPHRECTOMY-RADICAL 24000 24000
2997 PED.RENAL TRANSPLANT PED.RENAL TRANSPLANT 16700 16700
2998 PED.RENAL BIOSPY OPEN PED.RENAL BIOSPY OPEN 6250 6250
2999 PED.PARTIAL CYSTECTOMY PED.PARTIAL CYSTECTOMY 16000 16000
3000 PED.TOTAL CYSTECTOMY PED.TOTAL CYSTECTOMY 22000 22000
3001 PED.NEPHROSTOMY PERCUTANOUS PED.NEPHROSTOMY PERCUTANOUS 2250 2250
3002 PED.NEPHROSTOMY OPEN PED.NEPHROSTOMY OPEN 6250 6250
3003 PED.OPERATION FOR NEPHRO- URETEROLITHIAS
 PED.OPERATION FOR NEPHRO- URETEROLITHIAS
 8500 8500
3004 PED.BLADDER.REPAIR PED.BLADDER.REPAIR 8500 8500
3005 PED.BLADDER AUGMENTATION PED.BLADDER AUGMENTATION 14500 14500
3006 PED.URINARY DIVERSION PED.URINARY DIVERSION 12500 12500
3007 PED.PYELOPLASTY/UPJ RECOSTRUCTION PED.PYELOPLASTY/UPJ RECOSTRUCTION
 10350 10350
3008 PED.URETERAL PED.URETERAL 17000 17000
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 40 جراحة اطفال PEDIATRIC SURGERY
بيان المجموعة 4040 جراحة اطفال
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
RECONSTRUCTION/REIMPLANTATI RECONSTRUCTION/REIMPLANTATI
3009 PED.HYPOSPADIUS/EPISPADIUS MINOR PED.HYPOSPADIUS/EPISPADIUS MINOR 7000 7000
3010 PED.HYPOSPADIUS/EPISPADIUS MAJOR PED.HYPOSPADIUS/EPISPADIUS MAJOR
 10000 10000
3011 PED.CIRCUMCISION LESS THAN TWO MONTH
 PED.CIRCUMCISION LESS THAN TWO MONTH
 800 800
3012 PED.CIRCUMCISION MORE THAN TWO MONTH
 PED.CIRCUMCISION MORE THAN TWO MONTH
 800 800
3013 PED.REVISION OF CIRCUMCISION PED.REVISION OF CIRCUMCISION 800 800
3014 PED.ORCHIDOPEXY OPEN UNILATERAL PED.ORCHIDOPEXY OPEN UNILATERAL 6000 6000
3015 REVISION OF CIRCUMCISION OF SCAR REVISION OF CIRCUMCISION OF SCAR 4500 4500
3016 PED.ORCHIDOPEXY OPEN BILATERAL PED.ORCHIDOPEXY OPEN BILATERAL 9000 9000
3017 PED.ORCHIDOPEXY LAPAROSCOPIC PED.ORCHIDOPEXY LAPAROSCOPIC 6000 6000
3018 PED.ORCHIDECTOMY PED.ORCHIDECTOMY 6000 6000
3019 PED.OPTN.FOR TORSION TESTIS OR APPENDAGE
 PED.OPTN.FOR TORSION TESTIS OR APPENDAGE
 6000 6000
3020 PED.UNDESCENDED TESTIS PED.UNDESCENDED TESTIS 6000 6000
3021 PED.HYDROCELECTOMY/HEMATOCELETO MY
 PED.HYDROCELECTOMY/HEMATOCELE TOMY
 6000 6000
3022 PED.VARICOCELECTOMY OPEN(UNILATERAL)
 PED.VARICOCELECTOMY OPEN(UNILATERAL)
 4500 4500
3023 PED.VARICOCELECTOMY OPEN(BILATERAL)
 PED.VARICOCELECTOMY OPEN(BILATERAL)
 6000 6000
3024 PED.VARICOCELECTOMY LAPAROSCOPIC (UNILAT
 PED.VARICOCELECTOMY LAPAROSCOPIC (UNILAT
 4500 4500
3025 PED.VARICOCELECTOMY LAPAROSCOPIC BILATER
 PED.VARICOCELECTOMY LAPAROSCOPIC BILATER
 6000 6000
3026 PED.URETHERAL RUPTURE REPAIR PED.URETHERAL RUPTURE REPAIR 7500 7500
3027 PED.VAGINAL RECONSTRUCTION PED.VAGINAL RECONSTRUCTION 12500 12500
3028 PED.CLITROPLASTY PED.CLITROPLASTY 5250 5250
3029 PED.PARTIAL OOPHERECTOMY OPEN PED.PARTIAL OOPHERECTOMY OPEN 6250 6250
3030 PED.PARTIAL OOPHERECTOMY LAPAROSCOPIC
 PED.PARTIAL OOPHERECTOMY LAPAROSCOPIC
 7500 7500
3031 PED.TOTAL OOPHERECTOMY OPEN PED.TOTAL OOPHERECTOMY OPEN 8500 8500
3032 PED.TOTAL OOPHERECTOMY LAPAROSCOPIC
 PED.TOTAL OOPHERECTOMY LAPAROSCOPIC
 9350 9350
3033 PED.HYSTERECTOMY OPEN PED.HYSTERECTOMY OPEN 12000 12000
3034 PED.SALPINGECTOMY OPEN PED.SALPINGECTOMY OPEN 7500 7500
3035 PED.HYSTERECTOMY LAPAROSCOPIC PED.HYSTERECTOMY LAPAROSCOPIC 12000 12000
3036 PED.SALPINGECTOMY LAPAROSCOPIC PED.SALPINGECTOMY LAPAROSCOPIC 9500 9500
3037 PED.REPAIR COMPLEX LACERATION VAGINAL/PE
 PED.REPAIR COMPLEX LACERATION VAGINAL/PE
 8500 8500
3038 PED.DIAGNOSTIC THORACOSCOPY PED.DIAGNOSTIC THORACOSCOPY 7500 7500
3039 PED.DIAGNOSTIC LAPAROSCOPY PED.DIAGNOSTIC LAPAROSCOPY 4500 4500
3040 PED.CYSTOSCOPY PED.CYSTOSCOPY 5500 5500
3041 PED.BRONCHOSCOPY PED.BRONCHOSCOPY 3100 3100
3042 PED.OESOPHAGOSCOPY PED.OESOPHAGOSCOPY 4250 4250
3043 PED.REMOVAL OF F.B.OESOPHAGUS OR TRACHEA
 PED.REMOVAL OF F.B.OESOPHAGUS OR TRACHEA
 5250 5250
3044 PED.OESOPHAGEAL DILATATION PED.OESOPHAGEAL DILATATION 7500 7500
3045 PED.COLONOSCOPY PED.COLONOSCOPY 3500 3500
3046 PED.SIGMOIDOSCOPY PED.SIGMOIDOSCOPY 2500 2500
3047 PED.LARYNGOSCOPY PED.LARYNGOSCOPY 3500 3500
3048 PED.TOTAL ABDOMINAL HYSTRECTOMY PED.TOTAL ABDOMINAL HYSTRECTOMY 10350 10350
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 40 جراحة اطفال PEDIATRIC SURGERY
بيان المجموعة 4040 جراحة اطفال
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3049 PED.BILATERAL SALPINGO OOPHRECTOMY PED.BILATERAL SALPINGO OOPHRECTOMY
 12500 12500
3050 PED.FLEXIBLE OESPHAGO GASTRO DUODOSCOPY
 PED.FLEXIBLE OESPHAGO GASTRO DUODOSCOPY
 6250 6250
3051 EXCISION LARGE NECK CYSTIC HYGROMA EXCISION LARGE NECK CYSTIC HYGROMA
 8500 8500
3052 PED. VESICOSTOMY PED. VESICOSTOMY 10000 10000
3053 PED I&D ABSCESS UNDER G.A. PED I&D ABSCESS UNDER G.A. 3500 3500
3054 PED I&D ABSCESS MINOR L.A. PED I&D ABSCESS MINOR L.A. 1200 1200
3055 PED CLOSURE MAJOR WOUND/LACERATION
 PED CLOSURE MAJOR WOUND/LACERATION
 12500 12500
3056 PED CLOSURE MINOR WOUND/LACERATION
 PED CLOSURE MINOR WOUND/LACERATION
 830 830
3057 PED. CYSTOSCOPY THERAPEUTIC PED. CYSTOSCOPY THERAPEUTIC 4000 4000
3058 PED. FULL THICKNESS RECTAL BIOPSY PED. FULL THICKNESS RECTAL BIOPSY 2500 2500
3059 NEC,MECONIUM,ILEUS,ATRESA NEONATAL(EXPL)
 NEC,MECONIUM,ILEUS,ATRESA NEONATAL(EXPL)
 12500 12500
3060 PED GASTROSTOMY OPEN PED GASTROSTOMY OPEN 8000 8000
3061 PED GEN SURGERY EXAMINATION MINOR PED GEN SURGERY EXAMINATION MINOR
 1100 1100
3062 PED GEN SURGERY EXAMINATION INTERMEDIATE
 PED GEN SURGERY EXAMINATION INTERMEDIATE
 1600 1600
3063 PED GEN SURGERY EXAMINATION MAJOR PED GEN SURGERY EXAMINATION MAJOR
 2250 2250
3064 PED EXPLOR LAPAR W/REDUCT INTUSSUCEPTION
 PED EXPLOR LAPAR W/REDUCT INTUSSUCEPTION
 10350 10350
3065 EXPLOR LAPAR+MECKELS DIVERT+APPENDECTOMY
 EXPLOR LAPAR+MECKELS DIVERT+APPENDECTOMY
 8500 8500
3066 PED.EXPLORATORY LAPAROTOMY W/O BIOSPY
 PED.EXPLORATORY LAPAROTOMY W/O BIOSPY
 10000 10000
3067 BIOPSY SUBCU.NOD.FINE NEEDLE W/THRU CUT
 BIOPSY SUBCU.NOD.FINE NEEDLE W/THRU CUT
 1600 1600
3068 OPEN BIOPSY SMALL SUBCUTANEOUS LESSION
 OPEN BIOPSY SMALL SUBCUTANEOUS LESSION
 3100 3100
3069 RECTAL BIOPSY FOR NEW BORN RECTAL BIOPSY FOR NEW BORN 1100 1100
3070 RELEASE OF PENILE ADHESSION RELEASE OF PENILE ADHESSION 110 110
3071 PED.DERMOID/OTHER CYST EXCISION (2) PED.DERMOID/OTHER CYST EXCISION (2)
 2250 2250
3072 EXCHANGE TRANSFUSION FEE/UNIT EXCHANGE TRANSFUSION FEE/UNIT 2250 2250
3073 COLONIC WASH COLONIC WASH 1100 1100
3074 EXTERNAL JUGULAR CANNULATION EXTERNAL JUGULAR CANNULATION 1100 1100
3075 CATHETERIZATION UMBILICAL CATHETERIZATION UMBILICAL 1100 1100
3076 PED. MEATOTOMY PED. MEATOTOMY 2250 2250
3077 PEDIA STOMA REVISION PEDIA STOMA REVISION 3100 3100
3078 RIGID ESOPHAGOSCOPE RIGID ESOPHAGOSCOPE 3100 3100
3079 PED. PYELOLITHOTOMY PED. PYELOLITHOTOMY 12000 12000
3080 REPAIR OF DUODENAL ATRESIA / STENOSIS
 REPAIR OF DUODENAL ATRESIA / STENOSIS
 12500 12500
3081 POLYDACTYLY EXCISION POLYDACTYLY EXCISION 2100 2100
3082 PYELOPLASTY &RETROGRADE STUDY+CYSTOSCOPY
 PYELOPLASTY &RETROGRADE STUDY+CYSTOSCOPY
 12500 12500
3083 PED. CYSTOSCOPY DIAGNOSTIC PED. CYSTOSCOPY DIAGNOSTIC 3100 3100
3084 COLOST/ILEOSTOMY CLSR W/BOWEL REANAST >1
 COLOST/ILEOSTOMY CLSR W/BOWEL REANAST >1
 21000 21000
3085 COLOST/ILEOSTOMY CLSR W/BOWEL REANAST <1
 COLOST/ILEOSTOMY CLSR W/BOWEL REANAST <1
 21000 21000
3086 FISTULA, TRACHEO-ESOPHAGEAL, CONGENITAL
 FISTULA, TRACHEO-ESOPHAGEAL, CONGENITAL
 41000 41000
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 41 جراحة تجميل PLASTIC SURGERY
بيان المجموعة 4141 جراحة تجميل
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3087 FAT TRANSPLANT LIPS FAT TRANSPLANT LIPS 1250 1250
3088 FAT TRANSPLANT CHEEKS/ CHIN/LABIA MAJORA
 FAT TRANSPLANT CHEEKS/ CHIN/LABIA MAJORA
 1250 1250
3089 FAT TRANSPLANT ARM FAT TRANSPLANT ARM 1250 1250
3090 FAT TRANSPLANT THIGH FAT TRANSPLANT THIGH 2500 2500
3091 FAT TRANSPLANT BUTTLOCKS FAT TRANSPLANT BUTTLOCKS 2500 2500
3092 FAT TRANSPLANT ARMS FAT TRANSPLANT ARMS 1250 1250
3093 CHIN REDUCTION CHIN REDUCTION 6250 6250
3094 FULL SICKNESS GRAFT LARGE FULL SICKNESS GRAFT LARGE 5000 5000
3095 ALAR CARTRIDGE WEDGING ALAR CARTRIDGE WEDGING 2500 2500
3096 LAPOSUCTION BACK LAPOSUCTION BACK 6500 6500
3097 ARM LIFTING ARM LIFTING 3750 3750
3098 BURN CONTRACTURES, MINOR P.REP. BURN CONTRACTURES, MINOR P.REP. 3750 3750
3099 SCALP REDUCTION SCALP REDUCTION 5000 5000
3100 SCARS REVISION, SMALL SCARS REVISION, SMALL 2500 2500
3101 MOLE EXCISION MOLE EXCISION 2500 2500
3102 SEQUESTRATION OF DERMOID CYST SEQUESTRATION OF DERMOID CYST 7000 7000
3103 SKIN LESION REMOV. SMALL + CLOSUR SKIN LESION REMOV. SMALL + CLOSUR 3800 3800
3104 CORRECTION OF DEFORMED TOO CORRECTION OF DEFORMED TOO 2500 2500
3105 SPLIT EAR LOBULE CLOSURE 1 SID SPLIT EAR LOBULE CLOSURE 1 SID 5000 5000
3106 TATTOOS EXCISION, SMALL + CLOSURE TATTOOS EXCISION, SMALL + CLOSURE 3800 3800
3107 SEPARATION OF PALMAR FLAP SEPARATION OF PALMAR FLAP 2480 2480
3108 PREAURICULAR SINUS EXCISION PREAURICULAR SINUS EXCISION 2500 2500
3109 PROMINENT EARS CORRECTION PROMINENT EARS CORRECTION 5000 5000
3110 PROMINENT EAR CORRECTION PROMINENT EAR CORRECTION 2500 2500
3111 CORONAL & GLANDULR HYPOSPADIUM CORONAL & GLANDULR HYPOSPADIUM 7000 7000
3112 SYNDACTYLY BETWEEN FINGERS SYNDACTYLY BETWEEN FINGERS 6250 6250
3113 EAR RECONSTRUCTION 1ST STAGE EAR RECONSTRUCTION 1ST STAGE 4250 4250
3114 BLEPHAROPLASTY, UPPER EYE LIDS BLEPHAROPLASTY, UPPER EYE LIDS 5000 5000
3115 BLEPHAROPLASTY, LOWER EYE LIDS BLEPHAROPLASTY, LOWER EYE LIDS 3000 3000
3116 REMOVAL OF TISSUE EXPANDER REMOVAL OF TISSUE EXPANDER 3000 3000
3117 SCARS, MAJOR REVISION SCARS, MAJOR REVISION 5000 5000
3118 BUTTOCKS LIFTING BUTTOCKS LIFTING 5000 5000
3119 UMBILICOPLASTY UMBILICOPLASTY 3100 3100
3120 TATOOS EXCISION & SKIN GRAFT TATOOS EXCISION & SKIN GRAFT 9000 9000
3121 HEMECORNAL FLAP EXTENDED PREAUCULAR
 HEMECORNAL FLAP EXTENDED PREAUCULAR
 5000 5000
3122 TIP RHINOPLASTY TIP RHINOPLASTY 6250 6250
3123 LIPOSUCTION BOTH FLANKS LIPOSUCTION BOTH FLANKS 6250 6250
3124 LIPOSUCTION ABDOMEN LIPOSUCTION ABDOMEN 6250 6250
3125 REMOVAL OF SCAR & UMBILICAL HERNIA REPR
 REMOVAL OF SCAR & UMBILICAL HERNIA REPR
 7450 7450
3126 LIPOSUCTION BOTH ARMS LIPOSUCTION BOTH ARMS 6250 6250
3127 LIPOSUCTION BOTH LOWER LEG LIPOSUCTION BOTH LOWER LEG 6250 6250
3128 LIPOSUCTION BOTH THIGHS LIPOSUCTION BOTH THIGHS 6250 6250
3129 LIPOSUCTION OF ADIPOST TISSUE MAJOR LIPOSUCTION OF ADIPOST TISSUE MAJOR
 3800 3800
3130 LIPOSUCTION BOTH BUTTOCKS LIPOSUCTION BOTH BUTTOCKS 6250 6250
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 41 جراحة تجميل PLASTIC SURGERY
بيان المجموعة 4141 جراحة تجميل
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3131 LIPOSUCTION OF ADIPOST MINOR LIPOSUCTION OF ADIPOST MINOR 1300 1300
3132 LIPOSUCTION CHIN LIPOSUCTION CHIN 2500 2500
3133 REMOVAL OF PERMICATH REMOVAL OF PERMICATH 3100 3100
3134 TISSUE EXPANDER INSERTION TISSUE EXPANDER INSERTION 6250 6250
3135 EXCISION OF PREMAXILLA EXCISION OF PREMAXILLA 5000 5000
3136 FACE LIFT FACE LIFT 9000 9000
3137 BREAST AUGMENTATION / ONE SIDE BREAST AUGMENTATION / ONE SIDE 5000 5000
3138 BREAST AUGMENTATION /TWO SIDES BREAST AUGMENTATION /TWO SIDES 9000 9000
3139 PENILE HYPOSPADIUM PENILE HYPOSPADIUM 7000 7000
3140 CA. HEAD/NECK W/O DISSECTION CA. HEAD/NECK W/O DISSECTION 9000 9000
3141 PHARYNGOPLASTY PHARYNGOPLASTY 9000 9000
3142 VOLKMAN'S ISCHAEMIC CONTRACTUR VOLKMAN'S ISCHAEMIC CONTRACTUR 9000 9000
3143 CLEFT LIP INCOMPLETE (MAJOR) CLEFT LIP INCOMPLETE (MAJOR) 7500 7500
3144 CLEFT LIP INCOMPLETE (MINOR) CLEFT LIP INCOMPLETE (MINOR) 38000 38000
3145 CLEFT PALATE INCOMPLETE CLEFT PALATE INCOMPLETE 7450 7450
3146 CLEFT LIP/PALATE REVISION CLEFT LIP/PALATE REVISION 7450 7450
3147 TRAUMATIC OR ISCHEMIC EAR DISFIG CORRECT
 TRAUMATIC OR ISCHEMIC EAR DISFIG CORRECT
 5000 5000
3148 RECONSTRUCTION OF TERMINAL PHALANGES
 RECONSTRUCTION OF TERMINAL PHALANGES
 2485 2485
3149 MICRO VASCULAR REPAIR OF DIGITAL NERVE
 MICRO VASCULAR REPAIR OF DIGITAL NERVE
 5175 5175
3150 TORTICOLLIS CORRECTION TORTICOLLIS CORRECTION 7455 7455
3151 LOCAL ROTATIONAL FLAP LOCAL ROTATIONAL FLAP 3725 3725
3152 DUPUYTREN'S CONTRACTURE DUPUYTREN'S CONTRACTURE 7455 7455
3153 EXCISION OF NEUROMA EXCISION OF NEUROMA 3726 3726
3154 Z-PLASTY ONE SIDE Z-PLASTY ONE SIDE 1240 1240
3155 BILATERAL BREAST LIFTING BILATERAL BREAST LIFTING 8690 8690
3156 DIMPLE ON CHIN DIMPLE ON CHIN 1240 1240
3157 CORRECTION OF NASAL DEFORMITY CORRECTION OF NASAL DEFORMITY 3725 3725
3158 REMOVE IMPLANTS/SMALL BONES REMOVE IMPLANTS/SMALL BONES 3725 3725
3159 SKIN REDUCTION / NECK LIFTING SKIN REDUCTION / NECK LIFTING 3725 3725
3160 SKIN REDUCTION LARGE SKIN REDUCTION LARGE 6210 6210
3161 LIPOSUCTION BOTH CALF LIPOSUCTION BOTH CALF 2485 2485
3162 HEAMATOMA EVACUATION , LARGE HEAMATOMA EVACUATION , LARGE 2485 2485
3163 EXCISION OF FIBROUS TISSUE EXCISION OF FIBROUS TISSUE 4970 4970
3164 LIP REDUCTION LIP REDUCTION 1240 1240
3165 HAEMATOMA EVACUATION, SMALL HAEMATOMA EVACUATION, SMALL 1240 1240
3166 LIMITED ABDOMINOPLASTY LIMITED ABDOMINOPLASTY 7450 7450
3167 EYEBROW LIFTING BILATERAL EYEBROW LIFTING BILATERAL 2485 2485
3168 CORRECTION OF PENILE SKIN CORRECTION OF PENILE SKIN 3730 3730
3169 BACK LIFTING BACK LIFTING 7450 7450
3170 LAPOSUCTION BOTH LEGS LAPOSUCTION BOTH LEGS 6210 6210
3171 BRACHIO PLASTY - BILATERAL BRACHIO PLASTY - BILATERAL 7450 7450
3172 THIGH PLASTY - BILATERAL THIGH PLASTY - BILATERAL 7450 7450
3173 DRAINAGE APPENDICULAR ABSCESS DRAINAGE APPENDICULAR ABSCESS 8500 8500
3174 MANIPULATION OF BREAST PROSTHESIS MANIPULATION OF BREAST PROSTHESIS
 1240 1240
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 41 جراحة تجميل PLASTIC SURGERY
بيان المجموعة 4141 جراحة تجميل
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3175 LIMITED ABDOMINOPLASTY LIMITED ABDOMINOPLASTY 7450 7450
3176 CLEFT LIP & PALATE COMPLETE CLEFT LIP & PALATE COMPLETE 11180 11180
3177 HAIR TRANSPLANTATION HAIR TRANSPLANTATION 9935 9935
3178 FACIAL MOVEMENTS RECONSTRUCTN. FACIAL MOVEMENTS RECONSTRUCTN. 11175 11175
3179 CLEFT LIP + PALATE BILAT. INCOMPL CLEFT LIP + PALATE BILAT. INCOMPL 9935 9935
3180 CLEFT WIDE SECONDARY PALATE CLEFT WIDE SECONDARY PALATE 9935 9935
3181 ABDOMINOPLASTY ABDOMINOPLASTY 9935 9935
3182 EAR LOBE CORRECTION ONE SIDE EAR LOBE CORRECTION ONE SIDE 1245 1245
3183 BREASTS PTOSIS CORRECTION BREASTS PTOSIS CORRECTION 9930 9930
3184 CA. TUMORS, HEAD/NECK+DISSECTION CA. TUMORS, HEAD/NECK+DISSECTION 12500 12500
3185 BREAST REDUCTION, BOTH SIDES BREAST REDUCTION, BOTH SIDES 12500 12500
3186 BREAST REDUCTION ONE SIDE BREAST REDUCTION ONE SIDE 6210 6210
3187 BREAST RECONSTR + MASTECTOMY BREAST RECONSTR + MASTECTOMY 12500 12500
3188 T.M.J. ANKYLOSIS REL + RIB GRAFT T.M.J. ANKYLOSIS REL + RIB GRAFT 12500 12500
3189 FAT FILLING HAND FAT FILLING HAND 1250 1250
بيان نوع الخدمة 42 جراحة عظام ORTHOPEDICS
بيان المجموعة 4242 جراحة عظام
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3190 RECONSTRUCTION&REPAIR OF TENDOR ACHILLES
 RECONSTRUCTION&REPAIR OF TENDOR ACHILLES
 7000 7000
3191 RECONST. & REPAIR OF QUADRICIP MUSCLE
 RECONST. & REPAIR OF QUADRICIP MUSCLE
 7000 7000
3192 IM NAILING HUMERUS IM NAILING HUMERUS 9350 9350
3193 DRESSING UNDER GA DRESSING UNDER GA 1100 1100
3194 CLOSED REDUCTION FINGER W/K-WIRE FIXATN
 CLOSED REDUCTION FINGER W/K- WIRE FIXATN
 7500 7500
3195 DRAINAGE SMALL ABCESS LOC. ANST. DRAINAGE SMALL ABCESS LOC. ANST. 1100 1100
3196 REMOVAL OF K-WIRE REMOVAL OF K-WIRE 750 750
3197 READJUSTMENT OF K-WIRE READJUSTMENT OF K-WIRE 750 750
3198 BONE BIOPSY THRU THE NEEDLE BONE BIOPSY THRU THE NEEDLE 3000 3000
3199 I&D ABCESS WITH GA / LA I&D ABCESS WITH GA / LA 1240 1240
3200 RECNSTRCT AMMPUT FINGER NOGRAFT RECNSTRCT AMMPUT FINGER NOGRAFT
 2480 2480
3201 MANIPULATE SMALL JOINT G.A. MANIPULATE SMALL JOINT G.A. 4000 4000
3202 REMOVE IMPLANTS/SMALL BONES REMOVE IMPLANTS/SMALL BONES 3720 3720
3203 REMOVAL OF EXTERNAL FIXATOR REMOVAL OF EXTERNAL FIXATOR 3720 3720
3204 PERICHONRITIS INCISION/DRAIN PERICHONRITIS INCISION/DRAIN 1240 1240
3205 REMOVAL OF FOREIGN BODY, DEEP REMOVAL OF FOREIGN BODY, DEEP 2485 2485
3206 DEBRIDEMENT LARGE WOUND DEBRIDEMENT LARGE WOUND 3725 3725
3207 DEBRIDEMENT SMALL WOUND DEBRIDEMENT SMALL WOUND 1240 1240
3208 ARTHROSCOPY (DIAGNOSTIC) SHOULDER ARTHROSCOPY (DIAGNOSTIC) SHOULDER
 10000 10000
3209 C-REDUCT SIMPLE FRACTURE C-REDUCT SIMPLE FRACTURE 3000 3000
3210 PERCUTANEOUS WIRING PERCUTANEOUS WIRING 3000 3000
3211 REMOVAL OF K-WIRE REMOVAL OF K-WIRE 1800 1800
3212 PERCUTANEOUS WIRING + P.O.P PERCUTANEOUS WIRING + P.O.P 3000 3000
3213 C-REDUCT OF SHOULDER C-REDUCT OF SHOULDER 3500 3500
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 42 جراحة عظام ORTHOPEDICS
بيان المجموعة 4242 جراحة عظام
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3214 C-REDUCT DISLOCATED PHALANGES C-REDUCT DISLOCATED PHALANGES 1240 1240
3215 EXTERNAL FIXATION OF SHORT BONES EXTERNAL FIXATION OF SHORT BONES 2485 2485
3216 RE-ADJUSTMENT OF SPINAL ROD RE-ADJUSTMENT OF SPINAL ROD 2485 2485
3217 HALLUX VLAUS CORRECTION HALLUX VLAUS CORRECTION 2485 2485
3218 ARTHRODESIS TOE ARTHRODESIS TOE 5000 5000
3219 GANGLION EXCISION GANGLION EXCISION 5000 5000
3220 REDUCT DISLOCATION & PLASTER REDUCT DISLOCATION & PLASTER 2485 2485
3221 SKIN GRAFT LOC. FLAP. FINGER TIP SKIN GRAFT LOC. FLAP. FINGER TIP 6000 6000
3222 TRIGGER FINGER TRIGGER FINGER 6000 6000
3223 TENDON RELEASE FINGERS/WRIST/DEQUERVAN
 TENDON RELEASE FINGERS/WRIST/DEQUERVAN
 7000 7000
3224 TENDON RELEASE SHOULDER TENDON RELEASE SHOULDER 7000 7000
3225 ADDUCTORTENOTOMY ADDUCTORTENOTOMY 3725 3725
3226 EXCISION OF OLECRANON BURSA EXCISION OF OLECRANON BURSA 8000 8000
3227 REMOVAL OF IMPLANTS/BIG BONES REMOVAL OF IMPLANTS/BIG BONES 3000 3000
3228 REMOVAL OF SCREW REMOVAL OF SCREW 1240 1240
3229 GRACILLES TENDOM LENGTHENING GRACILLES TENDOM LENGTHENING 3725 3725
3230 EXTERNAL FIXATION ADJUSTMENT EXTERNAL FIXATION ADJUSTMENT 3725 3725
3231 ARTHROSCOPY FOR THE ANKLE ARTHROSCOPY FOR THE ANKLE 10000 10000
3232 EXCISION OF LOOSE BODY (ELBOW) EXCISION OF LOOSE BODY (ELBOW) 3725 3725
3233 AMPUTATION FINGER OR TOE AMPUTATION FINGER OR TOE 3000 3000
3234 EXCISION OF LOOSE BODY (TIBIA) EXCISION OF LOOSE BODY (TIBIA) 3726 3726
3235 PRE-TIBIAL BURSA EXCISION PRE-TIBIAL BURSA EXCISION 8000 8000
3236 EXCISION OF LOOSE BODY (SMALL BONE) EXCISION OF LOOSE BODY (SMALL BONE)
 3725 3725
3237 SKIN GRAFTING SMALL AREA SKIN GRAFTING SMALL AREA 6000 6000
3238 O-REDUCT/INTERFIX FINGR/TOE O-REDUCT/INTERFIX FINGR/TOE 5000 5000
3239 O-REDUCT/INTERFIX RADIUS O-REDUCT/INTERFIX RADIUS 5000 5000
3240 C-REDUCT FRACTURE/DISLOCATION C-REDUCT FRACTURE/DISLOCATION 3000 3000
3241 O/R - I/F SMALL BONES HAND/FOOT O/R - I/F SMALL BONES HAND/FOOT 7000 7000
3242 C-REDUCT PLASTER CALC/TAL/META C-REDUCT PLASTER CALC/TAL/META 3000 3000
3243 ARTHROTOMY INFECTIVE ARTHRITIES ARTHROTOMY INFECTIVE ARTHRITIES 4555 4555
3244 ADJUSTMENT OF ILLIZAROVE ADJUSTMENT OF ILLIZAROVE 3725 3725
3245 PLANTAR FASCIA RELEASE PLANTAR FASCIA RELEASE 6000 6000
3246 CORRECT DEFORMED TENDON CORRECT DEFORMED TENDON 7000 7000
3247 EXPLORATION OF WOUND LARGE EXPLORATION OF WOUND LARGE 3726 3726
3248 EXPLORATION OF SMALL WOUND EXPLORATION OF SMALL WOUND 1245 1245
3249 SUTURING OF SMALL WOUND SUTURING OF SMALL WOUND 1245 1245
3250 SUTURING OF LARGE WOUND SUTURING OF LARGE WOUND 2485 2485
3251 DRAINAGE DEEP ABCESS W/ANESTH DRAINAGE DEEP ABCESS W/ANESTH 3720 3720
3252 DRAINAGE COLD ABSCESS/TB JOINT DRAINAGE COLD ABSCESS/TB JOINT 3500 3500
3253 SINUS SKIN EXCISION SINUS SKIN EXCISION 6000 6000
3254 DRAINAGE OF HAND INFECTIONS DRAINAGE OF HAND INFECTIONS 3720 3720
3255 LIGAMENTS RUPTURED JOINT LIGAMENTS RUPTURED JOINT 7000 7000
3256 EXCISION OF BURSA IN THE KNEE EXCISION OF BURSA IN THE KNEE 8000 8000
3257 ILLIZAROV FIXATION ILLIZAROV FIXATION 9940 9940
3258 FEMUR HEAD CORE DECOMPRESSION FEMUR HEAD CORE DECOMPRESSION 6000 6000
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 42 جراحة عظام ORTHOPEDICS
بيان المجموعة 4242 جراحة عظام
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3259 ARTHROSCOPY RT ANKLE WITH SYNOVECTOMY
 ARTHROSCOPY RT ANKLE WITH SYNOVECTOMY
 10000 10000
3260 BONE GRAFTING BONE GRAFTING 8000 8000
3261 PERCUTANEOUS CANNULATED SCREW FIXATION
 PERCUTANEOUS CANNULATED SCREW FIXATION
 3720 3720
3262 LATERAL COLLATERAL LIGAMENT REPAIR LATERAL COLLATERAL LIGAMENT REPAIR
 7000 7000
3263 REMOVAL OF STAPLE REMOVAL OF STAPLE 1240 1240
3264 HEAMATOMA EVACUATION, LARGE HEAMATOMA EVACUATION, LARGE 2485 2485
3265 RESECTION OF OSTEOMYELITIS RESECTION OF OSTEOMYELITIS 3725 3725
3266 REFASIONING OF AMPUTATED STUMP REFASIONING OF AMPUTATED STUMP 4970 4970
3267 REMOVAL OF CERCLAGE WIRE REMOVAL OF CERCLAGE WIRE 3000 3000
3268 LNGTHNING OSTEOTOMY W/ILIZROF TIBIA/FOOT
 LNGTHNING OSTEOTOMY W/ILIZROF TIBIA/FOOT
 74520 74520
3269 MUSCLE REPAIR MUSCLE REPAIR 7000 7000
3270 POSTERIOR CRUSIATE LIGAMENT REPAIR POSTERIOR CRUSIATE LIGAMENT REPAIR
 7000 7000
3271 CYST/TUMOR EXCISION SUPER CYST/TUMOR EXCISION SUPER 1240 1240
3272 FIBULAR OSTEOTOMY FIBULAR OSTEOTOMY 2485 2485
3273 REMOVAL OF STITCHES UNDER G.A. REMOVAL OF STITCHES UNDER G.A. 1240 1240
3274 APPLICATION OF POP ABOVE KNEE/CHILD APPLICATION OF POP ABOVE KNEE/CHILD
 1240 1240
3275 SPINAL FACET LOCAL INJECTION SPINAL FACET LOCAL INJECTION 1240 1240
3276 K-WIRE FIXATION K-WIRE FIXATION 3000 3000
3277 REDUCTION UNDER I.I+K-WIRE PER PENING
 REDUCTION UNDER I.I+K-WIRE PER PENING
 7000 7000
3278 SECONDARY SUTURES SECONDARY SUTURES 1240 1240
3279 EXTENSOR TENDON REPAIR EXTENSOR TENDON REPAIR 7000 7000
3280 FASCIA RELEIF FASCIA RELEIF 6000 6000
3281 REMOVAL OF POP UNDER G.A. REMOVAL OF POP UNDER G.A. 850 850
3282 CYST OR TUMOR LARGE & DEEP CYST OR TUMOR LARGE & DEEP 2484 2484
3283 ARTHROSCOPY (DIAGNOSTIC) ARTHROSCOPY (DIAGNOSTIC) 10000 10000
3284 ARTHROSCOPY WRIST ARTHROSCOPY WRIST 10000 10000
3285 PATELLECTOMY PATELLECTOMY 4968 4968
3286 TENNIS ELBOW TENNIS ELBOW 6210 6210
3287 MANIPULATE FROZEN JOINT(G.A.) MANIPULATE FROZEN JOINT(G.A.) 2980 2980
3288 BONE SWELLING BIOPSY BONE SWELLING BIOPSY 5380 5380
3289 SKIN GRAFTING LARGE AREA SKIN GRAFTING LARGE AREA 15000 15000
3290 TUMOR EXCISION COMPLEX TUMOR EXCISION COMPLEX 6210 6210
3291 O-REDUCTION/INTERFIX CLAV O-REDUCTION/INTERFIX CLAV 12000 12000
3292 CARPAL TUNNEL SYNDROME SURGERY CARPAL TUNNEL SYNDROME SURGERY 5000 5000
3293 TARSAL TUNNEL SYNDROME SURGERY TARSAL TUNNEL SYNDROME SURGERY 5000 5000
3294 SYNOVECTOMY JOINTS WRST/ELB/KN SYNOVECTOMY JOINTS WRST/ELB/KN 8000 8000
3295 RADIUS HEAD EXCISION RADIUS HEAD EXCISION 6000 6000
3296 ULNA EXCISION LOWER END ULNA EXCISION LOWER END 6210 6210
3297 ARTHRODESIS WRIST ARTHRODESIS WRIST 12000 12000
3298 TENDON TO BONE REPAIR AVULSAD TEND TENDON TO BONE REPAIR AVULSAD TEND
 7000 7000
3299 EXCISION SIMPLE TUMOR NO GRAFT (BONE)
 EXCISION SIMPLE TUMOR NO GRAFT (BONE)
 6210 6210
3300 BONE TUMOR EXCISION BONE TUMOR EXCISION 3105 3105
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 42 جراحة عظام ORTHOPEDICS
بيان المجموعة 4242 جراحة عظام
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3301 TENDON SUPRASPINATUS CALCIFIED TENDON SUPRASPINATUS CALCIFIED 7000 7000
3302 ACROMION EXCISION ACROMION EXCISION 6210 6210
3303 TENDON REPAIR TENDON REPAIR 7000 7000
3304 ULNAR COLLAT.LIGAMENT REPAIR ULNAR COLLAT.LIGAMENT REPAIR 7000 7000
3305 ULNAR NERVE TRANSFER ULNAR NERVE TRANSFER 18000 18000
3306 FLEXOR TENDON REPAIR FINGER WRIST FLEXOR TENDON REPAIR FINGER WRIST
 7000 7000
3307 STERMNOMASTOID TUMOR EXCISION STERMNOMASTOID TUMOR EXCISION 7040 7040
3308 SYNOVECTOMY LOOSE BODIES KNEE SYNOVECTOMY LOOSE BODIES KNEE 8000 8000
3309 RELEASE OF T.E.V. DEFORMITY RELEASE OF T.E.V. DEFORMITY 6210 6210
3310 O-REDUCTION M/C - M/T BONE O-REDUCTION M/C - M/T BONE 7000 7000
3311 OPEN REDUCTION FIBULA OPEN REDUCTION FIBULA 12000 12000
3312 OPEN REDUCTION ELBOW OPEN REDUCTION ELBOW 12000 12000
3313 ASPIRATION/REINJECTION B/MAROW ASPIRATION/REINJECTION B/MAROW 4970 4970
3314 ARTHROSCOPIC TX/OSTEO CHONDRITIS DIFFCNS
 ARTHROSCOPIC TX/OSTEO CHONDRITIS DIFFCNS
 10000 10000
3315 ARTHROSCOPY WITH MENISECTOMY ARTHROSCOPY WITH MENISECTOMY 15000 15000
3316 ARTHROSCOPY WITH MENISCAL REPAIR ARTHROSCOPY WITH MENISCAL REPAIR
 15000 15000
3317 DRILLING DRILLING 1100 1100
3318 PATELLOPLASTY PATELLOPLASTY 8690 8690
3319 SURGICAL ARTHROSCOPY SURGICAL ARTHROSCOPY 10000 10000
3320 TENDON GRAFT TENDON GRAFT 7000 7000
3321 Z-PLASTY ONE SIDE Z-PLASTY ONE SIDE 1240 1240
3322 EXCISION OF BAKER'S CYST EXCISION OF BAKER'S CYST 3725 3725
3323 O-REDUCT/INTERFIX ULNA/OLECRAN O-REDUCT/INTERFIX ULNA/OLECRAN 7000 7000
3324 C-REDUCT & PLASTER BED SPINE C-REDUCT & PLASTER BED SPINE 7000 7000
3325 EXC.LOSE BODY(KNEE, HIP,ANKLE) EXC.LOSE BODY(KNEE, HIP,ANKLE) 4000 4000
3326 SOFT TISSUE RELEASE, JOINT SOFT TISSUE RELEASE, JOINT 7450 7450
3327 CORRECT FOOT DEFORMITIES CORRECT FOOT DEFORMITIES 9440 9440
3328 ARTHODESIS ELBOW OR ANKLE ARTHODESIS ELBOW OR ANKLE 7000 7000
3329 OSTEOTOMY FINGER OSTEOTOMY FINGER 4965 4965
3330 ACHILLES TENDON LENGTHENING ACHILLES TENDON LENGTHENING 7000 7000
3331 SEQUESTRECTOMY SHORT BONES SEQUESTRECTOMY SHORT BONES 7000 7000
3332 NERVE EXPLORATION & SUTURING NERVE EXPLORATION & SUTURING 18000 18000
3333 NERVE EXPLORATION NERVE EXPLORATION 18000 18000
3334 EXPLORATION TENDOM ACHILLES EXPLORATION TENDOM ACHILLES 6500 6500
3335 ARTHROSCOPY (SURGICAL) ARTHROSCOPY (SURGICAL) 10000 10000
3336 ARTHROSCOPIC SYNOVECTOMY ARTHROSCOPIC SYNOVECTOMY 10000 10000
3337 O-REDUCT/INTERFIX PATTELLA O-REDUCT/INTERFIX PATTELLA 7000 7000
3338 ARTHROPLASTY SMALL HAND JOINT ARTHROPLASTY SMALL HAND JOINT 7450 7450
3339 OSTEOTOMY TIBIA W/O INTERNAL OSTEOTOMY TIBIA W/O INTERNAL 4970 4970
3340 OSSATRON SOFT TISSUE THERAPY OSSATRON SOFT TISSUE THERAPY 4970 4970
3341 OSTATRON BONEY TISSUE THERAPY OSTATRON BONEY TISSUE THERAPY 6955 6955
3342 MEDIAL COLLATERAL LEGAMENT MEDIAL COLLATERAL LEGAMENT 4965 4965
3343 OSTEOTOMY FIBULA W/O INTERNAL FIXATION
 OSTEOTOMY FIBULA W/O INTERNAL FIXATION
 4965 4965
3344 LAMINECTOMY LAMINECTOMY 9935 9935
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To Excle
بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 42 جراحة عظام ORTHOPEDICS
بيان المجموعة 4242 جراحة عظام
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3345 OSTEOTOMY SPINAL OSTEOTOMY SPINAL 9935 9935
3346 ARTHROSCOPIC A.C.L KNEE ARTHROSCOPIC A.C.L KNEE 10000 10000
3347 ARTHROSCOPIC ACL REPAIR WITH MENISECTOMY
 ARTHROSCOPIC ACL REPAIR WITH MENISECTOMY
 15000 15000
3348 LAMINECTOMY LAMINECTOMY 9935 9935
3349 ARTHROSCOPIC BANKART REPAIR ARTHROSCOPIC BANKART REPAIR 9935 9935
3350 UNREANED FEMORAL NAILING UNREANED FEMORAL NAILING 12000 12000
3351 SUBTALAR IMPLANT SUBTALAR IMPLANT 31050 31050
3352 MENISCECTOMY OR CYST OF KNEE (OPEN)
 MENISCECTOMY OR CYST OF KNEE (OPEN)
 9935 9935
3353 O.R. INTERNAL FIXATION OF HUMEROUS O.R. INTERNAL FIXATION OF HUMEROUS
 7000 7000
3354 O-REDUCT/INTERFIX SHOULDER O-REDUCT/INTERFIX SHOULDER 16000 16000
3355 SEQUESTRECTOMY LONG BONES SEQUESTRECTOMY LONG BONES 12000 12000
3356 O-REDUCT/INTERFIX NEGLECTED FRAC O-REDUCT/INTERFIX NEGLECTED FRAC 12000 12000
3357 O-REDUCT/INTERFIX MALUNITED FRAC O-REDUCT/INTERFIX MALUNITED FRAC 12000 12000
3358 SPINE FUSION FRACTURE/DISLOCAT SPINE FUSION FRACTURE/DISLOCAT 12000 12000
3359 O-REDUCT/INTERFIX SPINE O-REDUCT/INTERFIX SPINE 11175 11175
3360 O-REDUCT/INTER,FIX. FEMUR O-REDUCT/INTER,FIX. FEMUR 12000 12000
3361 O-REDUCT/INTER.FIX. TIBIA O-REDUCT/INTER.FIX. TIBIA 12000 12000
3362 TIBIAL NAILING TIBIAL NAILING 12000 12000
3363 O-REDUCT/INTERFIX PELVIS O-REDUCT/INTERFIX PELVIS 12000 12000
3364 O - REDUCT/INTFIX FEMUR NECK O - REDUCT/INTFIX FEMUR NECK 12000 12000
3365 OSTEOTOMY/INTFIX FEMUR NECK OSTEOTOMY/INTFIX FEMUR NECK 20000 20000
3366 O-REDUCT/INTERFIX CAL/TALUS/ANKL O-REDUCT/INTERFIX CAL/TALUS/ANKL 12000 12000
3367 CORRECT DEFORMED LIMB CORRECT DEFORMED LIMB 9935 9935
3368 TRIPLE FUSION DEFORMITY TRIPLE FUSION DEFORMITY 12000 12000
3369 TENDON TRANSFER TENDON TRANSFER 7000 7000
3370 O-REDUCT INTERFIX MAJOR JOINTS O-REDUCT INTERFIX MAJOR JOINTS 12000 12000
3371 ARTHRODESIS (WS.KN.SHOUL. T.B.) ARTHRODESIS (WS.KN.SHOUL. T.B.) 15000 15000
3372 OSTEOTOMY SUPRACONDYLAR OSTEOTOMY SUPRACONDYLAR 9940 9940
3373 O-REDUCT/INTERFIX MULTP. FIX HAND O-REDUCT/INTERFIX MULTP. FIX HAND 7000 7000
3374 ROTATOR CUFF COMPLETE RUPTURE ROTATOR CUFF COMPLETE RUPTURE 9935 9935
3375 SOFT TISSUE RELEASE + TENDON LENGTHENING
 SOFT TISSUE RELEASE + TENDON LENGTHENING
 7000 7000
3376 ACHILLIS TENDOM REPAIR W/TENDONERAPHY
 ACHILLIS TENDOM REPAIR W/TENDONERAPHY
 7000 7000
3377 ARTHRODESIS HIP ARTHRODESIS HIP 20000 20000
3378 OSTEOTOMY HIP DEFORMITIES OSTEOTOMY HIP DEFORMITIES 10000 10000
3379 AMPUTATION LONG BONES AMPUTATION LONG BONES 20000 20000
3380 EXTERNAL FIXATION EXTERNAL FIXATION 12000 12000
3381 O-REDUCT/HIP DISLOCATION O-REDUCT/HIP DISLOCATION 12000 12000
3382 CORRECT KNEE DEFORMAITY CORRECT KNEE DEFORMAITY 10000 10000
3383 OSTEOTOMY SHORT BONES OSTEOTOMY SHORT BONES 7450 7450
3384 ARTHRODESIS SHOULDER/KNEE ARTHRODESIS SHOULDER/KNEE 20000 20000
3385 SURGERY-RECURRENT SHOULDER DISLOCATION
 SURGERY-RECURRENT SHOULDER DISLOCATION
 16000 16000
3386 EXCISION LARGE TUMOR BONE EXCISION LARGE TUMOR BONE 10000 10000
3387 PUTTI PLAT SURGERY PUTTI PLAT SURGERY 10000 10000
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 42 جراحة عظام ORTHOPEDICS
بيان المجموعة 4242 جراحة عظام
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3388 SHOULDER ARTHROSCOPY W/ ACROMIOPLASTY
 SHOULDER ARTHROSCOPY W/ ACROMIOPLASTY
 10000 10000
3389 KNEE ATHROSCOPY W/ PLICA EXCISION KNEE ATHROSCOPY W/ PLICA EXCISION
 10000 10000
3390 REPAIR OF TENDON SUPRA SPINATOS REPAIR OF TENDON SUPRA SPINATOS 7000 7000
3391 AUSTIN MOORE HIP PROSTHESIS INSERTION
 AUSTIN MOORE HIP PROSTHESIS INSERTION
 7450 7450
3392 OSTEOTOMY OR EXCISION SCAPULA OSTEOTOMY OR EXCISION SCAPULA 9935 9935
3393 CALCANIUM/KNEE BURSA EXCISION CALCANIUM/KNEE BURSA EXCISION 8000 8000
3394 CERVICAL RIB EXCISION CERVICAL RIB EXCISION 9935 9935
3395 MAJOR JOINTS DISARTICULATION MAJOR JOINTS DISARTICULATION 9935 9935
3396 INTFIX UPPER FEMORAL EPIPHYSIS INTFIX UPPER FEMORAL EPIPHYSIS 9935 9935
3397 OSTEOTOMY TIBIA WITH INTERNAL FIXATION
 OSTEOTOMY TIBIA WITH INTERNAL FIXATION
 9935 9935
3398 ARTHROPLASTY PARTIAL ARTHROPLASTY PARTIAL 9935 9935
3399 KNEE CRUCIATE LIGAMENT REPAIR KNEE CRUCIATE LIGAMENT REPAIR 7000 7000
3400 A.C.L REPAIR (TRAVERA BAND) A.C.L REPAIR (TRAVERA BAND) 11175 11175
3401 A.C.L REPAIR (GORE-TAX BAND) A.C.L REPAIR (GORE-TAX BAND) 11175 11175
3402 PARTIAL KNEE REPLACEMENT PARTIAL KNEE REPLACEMENT 9935 9935
3403 CAVUS FOOT CORRECTION CAVUS FOOT CORRECTION 9935 9935
3404 AMPUTATION HAND/FORE QUARTER AMPUTATION HAND/FORE QUARTER 20000 20000
3405 HAND FINGER DEFORMITY CORRECT HAND FINGER DEFORMITY CORRECT 9935 9935
3406 MICRO DISCECTOMY MICRO DISCECTOMY 12500 12500
3407 RE. INSERTION OF HIP PROSTHESIS RE. INSERTION OF HIP PROSTHESIS 14900 14900
3408 TOTAL KNEE REPLACEMENT TOTAL KNEE REPLACEMENT 12500 12500
3409 TOTAL KNEE REVISION TOTAL KNEE REVISION 12500 12500
3410 HIP REPACEMENT TOTAL HIP REPACEMENT TOTAL 12500 12500
3411 BONE MARROW - ASPIRATION BONE MARROW - ASPIRATION 2895 2895
3412 SPINAL FUSION FOR SCOLIOSIS SPINAL FUSION FOR SCOLIOSIS 12500 12500
3413 ARTHROPLASTY SHOULDER/ELBOW/KNEE ARTHROPLASTY SHOULDER/ELBOW/KNEE
 16000 16000
3414 TENDON RELEASE OF LOWER EXTREMITY TENDON RELEASE OF LOWER EXTREMITY
 6000 6000
3415 ACL REVISION WITH MENISECTOMY ACL REVISION WITH MENISECTOMY 15000 15000
3416 BONE LENGTHEN OR SHORTEN BONE LENGTHEN OR SHORTEN 12500 12500
3417 EXCISION HETEROTROPIC OSSIFICATION EXCISION HETEROTROPIC OSSIFICATION
 8500 8500
3418 CERVICAL MANIPULATION CERVICAL MANIPULATION 2500 2500
3419 CHIPS (4-10MM) 30CC TUTOPLAST CANCELLOUS
 CHIPS (4-10MM) 30CC TUTOPLAST CANCELLOUS
 11000 11000
3420 POSTERIOR CRUSIATE LIGAMENT REPAIR POSTERIOR CRUSIATE LIGAMENT REPAIR
 15000 15000
بيان نوع الخدمة 43 امراض الكلى NEPHRELOGY
بيان المجموعة 4343 امراض الكلى
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3539 KIDNEY PERITONEAL DIALYSIS DX KIDNEY PERITONEAL DIALYSIS DX 3725 3725
3540 RENAL DIALYSIS PER SESSION RENAL DIALYSIS PER SESSION 1240 1240
3541 EXPOSURE OF INTERNAL JUGULAR EXPOSURE OF INTERNAL JUGULAR 2480 2480
3542 HAEMODIALYSIS SESSEION ACUTE W/POST OBS
 HAEMODIALYSIS SESSEION ACUTE W/POST OBS
 1985 1985
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 43 امراض الكلى NEPHRELOGY
بيان المجموعة 4343 امراض الكلى
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3543 REGIONAL HEPARINIZATION REGIONAL HEPARINIZATION 365 365
3544 TENCKOFF CATHETER INSERTION TENCKOFF CATHETER INSERTION 3725 3725
3545 A.V. SHUNT INSERTION A.V. SHUNT INSERTION 4965 4965
3546 PERCUTANEOUS CENTRAL LINE INSERTION
 PERCUTANEOUS CENTRAL LINE INSERTION
 1240 1240
3547 INSERTION CENTRAL LINE CUT DOWN INSERTION CENTRAL LINE CUT DOWN 2480 2480
3548 EMBOLECTOMY FOR POST GORTEX GRAFT/HAND
 EMBOLECTOMY FOR POST GORTEX GRAFT/HAND
 5175 5175
3549 GORETEX GRAFT REMOVAL GORETEX GRAFT REMOVAL 7450 7450
3550 STRIPPING PLUS LIGATION STRIPPING PLUS LIGATION 6500 6500
3551 AV FISTULA AV FISTULA 9000 9000
3552 GORETEX GRAFT INSERTION GORETEX GRAFT INSERTION 7450 7450
3553 PERM - CATH. INSERTION PERM - CATH. INSERTION 3725 3725
3554 PERM - CATH. REMOVAL PERM - CATH. REMOVAL 1245 1245
3555 INSERTION OF DIALYSIS CATH.-MAHURKAR INSERTION OF DIALYSIS CATH.- MAHURKAR
 520 520
بيان نوع الخدمة 44 جراحة الاعصاب NEUROSURGERY
بيان المجموعة 4444 جراحة الاعصاب
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3833 EXTRA LEVEL DISCECTOMY EXTRA LEVEL DISCECTOMY 8000 8000
3834 ELEVATION OF DEPRESSD SKULL FR ELEVATION OF DEPRESSD SKULL FR 4965 4965
3835 REMOVAL OF BRAIN ABSCESS REMOVAL OF BRAIN ABSCESS 5175 5175
3836 LATERAL CUTANEOUS DECOMPRESSION LATERAL CUTANEOUS DECOMPRESSION
 4970 4970
3837 VENTRICULAR EXTERNAL DRAINAGE VENTRICULAR EXTERNAL DRAINAGE 3725 3725
3838 BURR HOLE + SUBDURAL HEMATOMA EVAC BURR HOLE + SUBDURAL HEMATOMA EVAC
 4140 4140
3839 PEDICULAR SCREW FIXATION PEDICULAR SCREW FIXATION 13665 13665
3840 TRANSPEDICULAR FIXATION TRANSPEDICULAR FIXATION 20700 20700
3841 CERVICAL CAGE & PLATE FIXATION CERVICAL CAGE & PLATE FIXATION 13665 13665
3842 KYPO PLASTY KYPO PLASTY 10350 10350
3843 NEUROLYSIS OF NERVE NEUROLYSIS OF NERVE 4965 4965
3844 SPINE FUSION FRACTURE/DISLOCATION SPINE FUSION FRACTURE/DISLOCATION
 11175 11175
3845 EXPLORATION OF WOUND LARGE EXPLORATION OF WOUND LARGE 3725 3725
3846 EXPLORATION OF SMALL WOUND EXPLORATION OF SMALL WOUND 1245 1245
3847 SURAL NERVE BIOPSY SURAL NERVE BIOPSY 4970 4970
3848 EXCISION OF INTRA MEDULLARY CYST EXCISION OF INTRA MEDULLARY CYST 7000 7000
3849 INSERTION OF CYSTOSUBARACHNOID SHUNT
 INSERTION OF CYSTOSUBARACHNOID SHUNT
 18000 18000
3850 EPIDURAL INJECTION EPIDURAL INJECTION 5000 5000
3851 CARPAL TUNNEL SYNDROME CARPAL TUNNEL SYNDROME 5000 5000
3852 ULNAR NERVE TRANSPOSITION ULNAR NERVE TRANSPOSITION 18000 18000
3853 DURAL REPAIR, GRAFT DURAL REPAIR, GRAFT 6210 6210
3854 EVACUATION OF INTRACRANIAL HGE EVACUATION OF INTRACRANIAL HGE 7450 7450
3855 VENTRICULO-PERITONEAL SHUNT VENTRICULO-PERITONEAL SHUNT 9940 9940
3856 VENTRICULO-VENUS SHUNT VENTRICULO-VENUS SHUNT 9940 9940
3857 LUMBO PERITONEAL SHUNT LUMBO PERITONEAL SHUNT 8280 8280
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 44 جراحة الاعصاب NEUROSURGERY
بيان المجموعة 4444 جراحة الاعصاب
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
3858 REPAIR OF MENINGOCELE REPAIR OF MENINGOCELE 8280 8280
3859 SKULL TONGS SKULL TONGS 3725 3725
3860 BILAT. EVACUATION OF SUBDURAL HEMAT. BILAT. EVACUATION OF SUBDURAL HEMAT.
 6210 6210
3861 NERVE REPAIR NERVE REPAIR 875 875
3862 CRANIOTOMY, REMOVAL OF F.B. CRANIOTOMY, REMOVAL OF F.B. 9935 9935
3863 CRANIOPLASTY CRANIOPLASTY 9935 9935
3864 FORAMENOTOMY FORAMENOTOMY 8280 8280
3865 LAMINECTOMY LAMINECTOMY 9935 9935
3866 LAMINECTOMY & DISCECTOMY LAMINECTOMY & DISCECTOMY 11385 11385
3867 INTERNAL FIXATION OF CERVICAL SPINE INTERNAL FIXATION OF CERVICAL SPINE
 11175 11175
3868 O-REDUCT/INTERFIX SPINE O-REDUCT/INTERFIX SPINE 11175 11175
3869 SURGERY FOR ANEURYSM IN BRAIN SURGERY FOR ANEURYSM IN BRAIN 11385 11385
3870 FENEFTRATION + DISCECTOMY FENEFTRATION + DISCECTOMY 11385 11385
3871 REMOVAL OF BRAIN TUMOR REMOVAL OF BRAIN TUMOR 11385 11385
3872 RECURRENT LUMBAR DISC RECURRENT LUMBAR DISC 13665 13665
3873 CERVICAL DISC CLOWARD OP. 1 LVL CERVICAL DISC CLOWARD OP. 1 LVL 11385 11385
3874 REMOVAL OF SPINAL TUMOR REMOVAL OF SPINAL TUMOR 11385 11385
3875 CORPECTOMY CORPECTOMY 12500 12500
3876 BRACHIAL PLEXUS EXPLORATION BRACHIAL PLEXUS EXPLORATION 12500 12500
3877 EXPLORATION OF SCIATIC NERVE EXPLORATION OF SCIATIC NERVE 12500 12500
3878 SUPRASELLAR HYPOPHYSECTOMY SUPRASELLAR HYPOPHYSECTOMY 11385 11385
3879 TRANSNASAL HYPOPHYSECTOMY TRANSNASAL HYPOPHYSECTOMY 13665 13665
3880 MICRO DISCECTOMY MICRO DISCECTOMY 11385 11385
بيان نوع الخدمة 45 فحوصات خاصه SPECIAL INVESTIGATION
بيان المجموعة 4545 فحوصات خاصة
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
150 medicals medicals 1000 1000 0
2466 SIALOGRAPHY SIALOGRAPHY 700 700
2467 FISTULOGRAM/SINOGRAM FISTULOGRAM/SINOGRAM 700 700
2468 HSG (HYSTEROSALPINGIOGRAPHY) HSG (HYSTEROSALPINGIOGRAPHY) 1000 1000
2469 TOMOGRAPHY TOMOGRAPHY 800 800
2470 MAMMOGRAM (2 BREAST) MAMMOGRAM (2 BREAST) 800 800
2471 MAMMOGRAPHY (1 BREAST) MAMMOGRAPHY (1 BREAST) 450 450
2472 MAMMOGRAM + U.S. BREAST MAMMOGRAM + U.S. BREAST 1780 1780
2473 DEXA (DENSITOMETRY) 1-REGION DEXA (DENSITOMETRY) 1-REGION 1700 1700
2474 DEXA (DENSITOMETRY) 2-REGION DEXA (DENSITOMETRY) 2-REGION 1700 1700
2475 TOTAL BODY COMPOSITION TOTAL BODY COMPOSITION 935 935
بيان نوع الخدمة 47 فتح ملف و التشخيص OPEN FILE AND DIGNOSIS
بيان المجموعة 4647 خدمات تجميلية make up
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
4650 فتح ملف و التشخيص OPEN FILE AND DIGNOSIS
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بيان عن الخدمات الطبية المعتمدة لدى المنشأة واسعارها المبدئية
بيان نوع الخدمة 48 الاستخراج الجراحي والخدمہ الجراحيہ الاخر SURGICAL EXTRACTION AND OTHER SURGICAL S
بيان المجموعة 0 غير معرف غير معرف
كود الخدمة الاسم العربى الاسم اللاتيني السعر للنقدى سعر الادوية سعر شركات تخفيض %
169 تحسس الاطعمه تحسس الاطعمه 400
170
4529
العدد للخدمات