健保有給付項目依『全民健康保險醫療費用支付標準』規定收費,未給付項目依本院自費醫療收費標準規定收費
(非健保身分之外國籍病友就醫收費標準,自109年4月1日起依本國籍無健保者再加乘1.3倍計算)
- 癌症相關基因檢測醫令適用條件,請參考連結
基因醫學部檢驗醫令項目表 |
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項次 |
醫令碼 |
中文名稱 |
英文名稱 |
價格 |
外加 |
聯絡人 |
單位 |
1 |
000X0102 |
羊膜細胞培養,染色體分析 |
CELL CULTURE&CHROMOSOME ANALYSIS |
6,500 |
- |
彭嬡嫈 271909 |
細胞遺傳 檢驗室 |
2 |
000X0105 |
絨毛膜細胞培養及染色体分析 |
VILLUS CELL CULTURE & CHROMOSOME ANALYSIS |
6,000 |
- |
||
3 |
000X0213 |
血液染色體檢查 |
General chromosome |
5,000 |
- |
||
7 |
000X0226 |
染色體晶片分析 |
Array CGH analysis |
18,000 |
- |
林孟慧 271916 |
分子遺傳檢驗室 |
8 | 000X0016 | 血緣鑑定 | Paternity Test | 8,000 | 2,000 |
黎淑芳 271914 |
產前遺傳暨親緣鑑定檢驗室 |
9 |
000X0201 |
家族遺傳檢查(B) |
Family Genetic Exam (B) |
6,000 |
- |
||
10 |
000X0202 |
手足血緣鑑定 |
SIBLINGSHIP TEST |
13,500 |
- |
||
11 |
000X0203 |
分子基因檢查 |
MOLECULAR GENETIC DIAGNOSIS |
2,000 |
- |
||
12 |
000X0212 |
祖孫血緣鑑定 |
Grandparentage test |
13,500 |
- |
||
13 |
000X0218 |
MSI分子基因檢查 |
Microsatellite instability DNA analysis |
11,000 |
- |
||
14 |
12187C0X |
BMT STR 短片段重覆序列多型性分析-骨髓移植前基因檢測 |
PreBMT-STR |
4,500 |
- |
||
15 |
12187CYX |
BMT STR 短片段重覆序列多型性分析-骨髓移植後基因檢測 |
Post-BMT-STR |
4,500 |
- |
||
16 |
12187CZX |
BMT STR 短片段重覆序列多型性分析-捐髓者基因檢測 |
Donor-BMT-STR |
4,500 |
- |
||
17 |
000X0136 |
脊髓小腦退化性動作協調障礙第 1 、 2 、 3 型檢驗 |
Spinocerebellar Ataxia type Ⅰ,Ⅱ,Ⅲ |
2,000 |
500 |
||
18 |
000X0137 |
脊髓小腦退化性動作協調障礙-齒狀紅核蒼白球肌萎縮症檢驗 |
Dentato-rubro-pallido-luysian atrophy |
1000 |
500 |
||
19 |
000X0138 |
脊髓小腦退化性動作協調障礙第 17 型檢驗 |
Spinocerebellar Ataxia type ⅩⅦ |
1,000 |
500 |
||
20 |
000X0139 |
脊髓小腦退化性動作協調障礙第 6 型檢驗 |
Spinocerebellar Ataxia type Ⅵ |
1000 |
500 |
||
21 |
000X0140 |
亨丁頓氏舞蹈症 |
Huntington Disease |
2,000 |
500 |
||
22 |
000X0147 |
甘迺迪氏症基因檢查 |
Kennedy's Disease Genetic Test |
1,000 |
500 |
||
23 | 000C0426 | X 染色體脆折症基因檢驗 | Genetic test of Fragile X Syndrome | 3,350 | - | ||
24 |
000C0422 |
脊髓性肌肉萎縮症(SMA)基因檢驗 |
Spinal Muscular Atrophy (SMA) genetic test |
3,000 |
- |
楊千慧 271802 271916 |
產前遺傳暨親緣鑑定檢驗室 |
25 |
000X0162 |
甲型海洋性貧血基因檢測 |
α-thalassemia |
3,500 |
- | ||
26 |
000X0200 |
乙型海洋性貧血基因檢測 |
ß-thalassemia |
3,500 |
- |
||
27 |
000X0153 |
嚴重複合型免疫缺乏症新生兒篩檢 |
SCID Newborn Screening |
150 |
- |
胡閔慧 271930 |
新生兒篩檢 中心 |
28 |
000X0157 |
生物素症新生兒篩檢 |
Neonatal Screening of Biotinidase Disease |
100 |
- |
||
29 |
000X0175 |
腎上腺腦白質失養症(ALD)篩檢 |
Screening for Adrenoleukodystrophy |
240 |
- |
||
30 |
000X0181 |
新生兒篩檢─典型法布瑞氏症, 高雪氏症, 黏多醣症 |
Fabry, Gaucher, MPSs disease screening |
800 |
- |
||
31 |
000X0184 |
新生兒裘馨氏肌肉失養症篩檢 |
Newborn Duchenne Muscular Dystrophy screening |
350 |
- |
||
32 |
000X0185 |
半乳糖濃度 |
Galactose concentration |
150 |
- |
||
33 |
000X0214 |
龐貝氏症篩檢 |
Screening for Pompe Disease |
200 |
- |
||
34 |
000X0176 |
晚發型龐貝氏症篩檢(限1歲以上使用) |
Screening for late-onset Pompe disease (>1 years old ) |
800 |
- |
吳慧璿 274259 |
新生兒篩檢 中心 |
35 |
000X0177 |
(限男性)法布瑞氏症篩檢(限7歲以上使用) |
(Male) Screening for Fabry disease (>7 years old) |
800 |
- |
||
36 |
000X0178 |
尿中葡萄糖四醣檢驗 |
Urine Glc4 test |
2,000 |
- |
||
37 |
000X0179 |
Lyso-Gb3檢驗 (法布瑞氏症追蹤和帶因者檢查) |
Lyso-Gb3 test (follow-up and carrier of Fabry disease) |
1,200 |
- |
||
38 |
000X0183 |
高雪氏症及尼曼匹克症A/B型篩檢(限1歲以上使用) |
Screening for Gaucher disease and Niemann-Pick type A/B disease (>1 years old ) |
800 |
- |
||
39 |
000X0186 |
黏多醣第一型篩檢 |
Screening for MPS I disease (>1 years old) |
900 |
- |
||
40 |
000X0187 |
黏多醣第二型篩檢 |
Screening for MPS II disease (>1 years old) |
900 |
- |
||
41 |
000X0188 |
尿液黏多醣分型檢驗 |
Urinary GAG disaccharides test |
2,000 |
- |
||
42 |
000X0215 |
甲基丙二酸 |
Methylmalonic Acid |
400 |
- |
||
43 |
000X0002 |
小兒代謝遺傳疾病檢查 |
Test for inborn errors of metabolism |
2,000 |
- |
吳慧璿 274259 |
生化遺傳檢驗室 / 高通量定序檢驗室 |
44 |
000X0182 |
TPP1酵素檢查 |
Tripeptidyl peptidase 1 (TPP1) enzyme assay |
5,000 |
- |
||
45 |
000X0123 |
基因分析 Level1 |
Genetic Analysis Level 1 |
1,500 |
- |
||
46 |
000X0124 |
基因分析 Level2 |
Genetic Analysis Level 2 |
3,000 |
- |
||
47 |
000X0125 |
基因分析 Level3 |
Genetic Analysis Level 3 |
8,000 |
- |
||
48 |
000X0126 |
基因分析 Level4 |
Genetic Analysis Level 4 |
15,000 |
- |
||
49 |
000X0206 |
基因分析 Level5 |
Genetic Analysis Level 5 |
20,000 |
- |
||
50 |
000X0271 |
核酸製備(送生化遺傳實驗室) |
DNA Extration |
500 |
- |
||
51 |
000X0239 |
次世代定序粒線體DNA基因變異檢測 |
Next Generation Sequencing for Mitochondrial DNA Variation Test |
15,000 |
- |
||
52 |
000X0254 |
全癌基因檢測 (不含融合基因) |
Comprehensive cancer gene test(without fusion genes) |
58,000 |
- |
||
53 |
000X0256 |
目標基因次世代定序變異判讀-遺傳性疾病基礎分析 |
Targeted NGS variant interpretation – basic genetic disease analysis |
3,000 |
- |
||
54 |
000X0257 |
全外顯子次世代定序變異判讀-遺傳性疾病基礎分析 |
Whole exome NGS variant interpretation – basic genetic disease analysis |
5,000 |
- |
||
55 |
000X0258 |
全基因體次世代定序追加判讀-體藥物基因體學、HLA基因型、及多基因危險性分析 |
Whole genome NGS additional interpretation – pharmacogenomics, HLA, polygenic risk analyses |
15,000 |
- |
||
56 |
000X0262 |
次世代定序全外顯子定序檢測-單基因遺傳疾病 【WES】 |
Next Generation Sequencing – Whole exome sequencing |
30,000 |
- |
||
57 |
000X0263 |
次世代定序全基因體定序檢測-遺傳疾病 【WGS】 |
Next Generation Sequencing – Whole genome sequencing |
50,000 |
- |
||
58 |
000X0264 |
次世代定序快速一家三口全外顯子檢測-單基因遺傳疾病 【Rapid Trio WES】 |
Next Generation Sequencing – Rapid Trio whole exome sequencing |
116,500 |
- |
||
59 |
000X0266 |
次世代定序威爾森氏症基因變異檢測 |
Next Generation Sequencing - Wilson disease |
8,260 |
- |
||
60 |
12150B0D |
血漿胺基酸定量檢查 |
Plasma Amino Acid Analysis |
2,600 |
- |
||
61 |
12194B00 |
代謝產物串聯質譜儀檢查(陽性追蹤使用) |
Tandem Mass Analysis of Metabolites |
650 |
- |
||
62 | 000X0272 | 次世代定序全外顯子定序檢測(羊水或其他妊娠組織) | Next Generation Sequencing – Whole exome sequencing (amniotic fluid or other gestational tissue) | 30,000 | - | ||
63 |
09089B0D |
尿液有機酸檢查(每次需加CRE-09015C予校正) |
Urine Organic Acid analysis |
2,340 |
- |
||
64 |
000X0227 |
次世代定序疾病基因突變檢測—大範圍 (須註明檢驗疾病項目)
|
Next-Generation Sequencing Genetic Test - Large Range
|
30,000 |
- |
陳幼玫 范盛之 李昭萱 271910
陳幼玫 范盛之 李昭萱 271910 |
基因分子 診斷實驗室 |
65 |
000X0229 |
次世代定序疾病基因突變檢測-大範圍-結節硬化症 |
NGS genetic test - Large range -Tuberous Sclerosis Complex (TSC) |
30,000 |
- |
||
66 |
000X0238 |
全新設計已知基因變異單一位點檢測 |
Brand New Designed Genetic Testing For An Untested Variant |
2,840 |
- |
||
67 |
000X0244 |
次世代定序疾病基因突變檢測—中範圍 (須註明檢驗疾病項目)
|
Next-Generation Sequencing Genetic Test - Middle Range
|
17,000 |
- |
||
68 |
000X0245 |
次世代定序疾病基因突變檢測—小範圍 (須註明檢驗疾病項目)
|
Next-Generation Sequencing Genetic Test - Small Range
|
8,260 |
- |
||
69 |
000X0250 |
次世代定序遺傳性癌症症候群基因檢驗 [ 次世代定序卵巢癌、攝護腺癌(BRCA與HR)基因檢驗 ] |
NGS for Hereditary Cancer Syndromes associated Gene Variant Test |
30,000 |
- |
||
70 |
000X0252 |
次世代定序疾病基因突變檢測—中範圍 (癲癇專用) |
Next-Generation Sequencing Genetic Test - Middle Range (for Epilepsy) |
12,000 |
- |
||
71 |
000X0253 |
次世代定序癌症藥物基因檢驗 |
Next-generation sequencing for gene test of cancer medication |
38,500 |
- |
||
72 |
000X0267 |
次世代定序遺傳基因全表現子檢測 (MGD實驗室) 【此檢測由陳沛隆醫師及基因分子診斷室進行分析、判讀以及註解】 |
NGS genetic test-Germline WES (Lab of MGD) |
30,000 |
- |
||
73 |
000X0268 |
次世代定序遺傳基因全基因組檢測 (MGD實驗室) 【此檢測由陳沛隆醫師及基因分子診斷室進行分析、判讀以及註解】 |
NGS genetic test-Germline WGS (Lab of MGD) |
50,000 |
- |