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臨床檢驗項目

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

醫令代碼 醫令中文名稱 醫令英文名稱 自費價
000X0002 小兒代謝遺傳疾病檢查 Test for inborn errors of metabolism 2,000
000X0006 新生兒篩檢(門診) Newborn screening 1,030
000X0015 新生兒篩檢11項(住院)-一般個案 Newborn screening(partially-paid) 830
000X0016 血緣鑑定 Paternity test 8,000
000X0034 纖維芽母細胞培養 Fibroblast culture 3,500
000X0036 資料處理及郵寄報告手續費 Mail fee 500
000X0052 新生兒篩檢11項(住院)-無補助 Newborn screening(self-paid) 1,030
000X0053 新生兒篩檢11項(住院)-低收入戶或原住民 Newborn screening(the minority) 480
000X0055 芳香族L-胺基酸脫羧酵素缺乏症基因分析 (Aromatic L-amino Acid Decarboxylase)AADC Deficiency 11,500
000X0102 羊膜細胞培養及染色體分析 Amniotic Fluid Cell Culture & Chromosome Analysis 6,500
000X0103 超音波掃瞄,羊膜穿刺術 Sonagraphy for amniocentensis 3,500
000X0105 絨毛膜細胞培養及染色體分析 Villu cell culture & chromosome analysis 6,000
000X0106 超音波掃瞄及絨毛膜細胞採取 Sonagraphy for C.V.S. 1,200
000X0108 絨毛細胞染色體分析 CVS for chromosome analysis 5,500
000X0109 婦產科家族遺傳檢查 OBS/GYN familial genetic exam. 5,000
000X0111 產前遺傳超音波檢查 Prenatal genetic sonogram 500
000X0112 基因諮詢 Genetic counseling 250
000X0120 螢光原位雜交分析(基因部羊水室) Gene Analysis for Fish 3,000
000X0123 基因分析 Level1 Genetic Analysis Level 1 1,500
000X0124 基因分析 Level2 Genetic Analysis Level 2 3,000
000X0125 基因分析 Level3 Genetic Analysis Level 3 8,000
000X0126 基因分析 Level4 Genetic Analysis Level 4 15,000
000X0130 羊水細胞大量培養 Cell culture 1,500
000X0131 粒線體疾病:點突變1555 Mitochondria nt1555 mutation(Deafness) 560
000X0132 粒線體疾病:點突變3243 Mitochondria nt3243 mutation(MELAS) 560
000X0133 粒線體疾病:點突變8344 Mitochondria nt8344 mutation(MERRF) 560
000X0134 粒線體疾病:點突變8993 Mitochondria nt8993 mutation(Leigh) 560
000X0135 粒線體疾病:點突變11778 Mitochondria nt11778 mutation(LHON) 560
000X0136 脊髓小腦性共濟失調 Spinocerebellar Ataxia type Ⅰ,Ⅱ,Ⅲ 2,000
000X0137 齒狀紅核蒼白球萎縮症 Dentato-rubro-pallido-luysian atrophy 1,000
000X0138 脊髓小腦性共濟失調第17型 Spinocerebellar Ataxia type ⅩⅦ 1,000
000X0139 脊髓小腦性共濟失調第6型 Spinocerebellar Ataxia type Ⅵ 1,000
000X0140 亨丁頓舞蹈症 Huntington Disease 2,000
000X0141 全頻光譜核型分析 Spectral Karyotyping 12,000
000X0145 粒線體疾病:點突變10191 Mitochondria nt10191 mutation(Leigh) 560
000X0146 粒線體疾病:點突變13513 Mitochondria nt13513 mutation(MELAS) 560
000X0147 甘迺迪氏症基因檢查 Kennedy's Disease Genetic Test 1,000
000X0148 粒線體疾病點突變套組 Mitochondria Disease Mutation Hot Spots Panel 3,300
000X0149 粒線體疾病:點突變14484 Mitochondrial nt14484 mutation(LHON) 560
000X0150 粒線體疾病:點突變3460 Mitochondrial nt3460 mutation(LHON) 560
000X0151 粒線體電子傳遞鏈酵素活性分析 Mitochondrial electron transfer chain activity assay 10,000
000X0152 粒線體去氧核醣核酸大片段缺失(4977bp缺失) Mitochondrial DNA large deletion(4977bp deletion) 520
000X0153 嚴重複合型免疫缺乏症新生兒篩檢 SCID Newborn Screening 150
000X0154 遺傳疾病營養諮詢 (國健局補助) Metabolic disease Nutritional consultant(BHP) 250
000X0155 粒線體DNA拷貝數目分析 MtDNA copy number quantification test 2,500
000X0156 粒線體DNA nt3243 A>G定量分析 MtDNA nt3243 A>G quantification test 2,500
000X0157 生物素症新生兒篩檢 Neonatal Screening of Biotinidase Disease 100
000X0159 第一代非侵入性產前胎兒染色體檢測 Non-invasive prenatal testing 18,000
000X0160 第二代非侵入性產前胎兒染色體檢測 Non-invasive prenatal screening 2 30,000
000X0161 胚胎著床前基因診斷(每個胚胎) Preimplantation Genetic Diagnosis,PGD 6,000
000X0162 甲型海洋性貧血基因檢測 x-thalassemia 3,500
000X0163 威爾森氏症基因檢測 Wilson's disease 12,000
000X0164 小胖威利症及天使症候群基因檢測 Prader Willi Syndrome& Angelman Syndrome 6,000
000X0165 雷特氏症候群基因檢測 Rett Syndrome 3,100
000X0166 Miller Dieker症候群LIS1突變點位分析 Miller Dieker Syndrome(LIS1mutation analysis) 5,480
000X0167 色素失調症基因檢測 Incontinentia Pigmenti/ IP,NEMO gene 9,000
000X0168 馬凡氏症候群基因檢測 Marfan's Syndrome 9,000
000X0169 努南氏症基因檢測 Noonan Syndrome 3,060
000X0170 強直性肌肉失養症基因檢測 Myotonic Dystrophy 4,000
000X0171 軟骨發育不全症基因檢測 Achondroplasia 7,600
000X0172 迪喬治症候群基因檢測 Di-George Syndrome 3,260
000X0173 Miller Dieker症候群LIS1基因缺失分析 Miller Dieker Syndrome(LIS1deletion analysis) 2,940
000X0174 威廉氏症基因檢測 Williams Syndrome 3,260
000X0175 腎上腺腦白質失養症(ALD)篩檢 Screening for Adrenoleukodystrophy 240
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
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
000X0178 尿中葡萄糖四醣檢驗 Urine Glc4 test 2,000
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
000X0180 氧化膽固醇檢驗 (尼曼匹克症排除和追蹤) Oxysterol test (R/O and follow-up of Niemann-Pick disease) 2,000
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
000X0182 TPP1酵素檢查 Tripeptidyl peptidase 1 (TPP1) enzyme assay 5,000
000X0183 高雪氏症篩檢(限1歲以上使用) Screening for Gaucher disease (>1 years old ) 800
000X0200 乙型海洋性貧血基因檢測 B-thalassemia 3,500
000X0201 家族遺傳檢查(B) Family genetic exam(B) 6,000
000X0202 手足血緣鑑定 Siblingship test 13,500
000X0203 分子基因檢查 Molecular genetic diagnosis 2,000
000X0206 基因分析 Level5 Genetic Analysis Level 5 20,000
000X0207 核酸製備 DNA extration 500
000X0208 核酸定量分析(1) DNA Q-PCR(1) 500
000X0211 基因掃描分析 Gene Scan 60
000X0212 祖孫血緣鑑定 Grandparentage test 13,500
000X0213 特殊血液染色體檢查 Special chromosome 5,000
000X0214 龐貝氏症篩檢 Screening for Pompe Disease 200
000X0215 甲基丙二酸 Methylmalonic Acid 400
000X0216 兒童神經基因檢測(小) Pediatric neurogenetic analysis(level Ι) 2,000
000X0217 兒童神經基因檢(大) Pediatric neurogenetic analysis(level Ⅱ ) 5,500
000X0218 MSI分子基因檢查 Microsatellite instability DNA analysis 5,000
000X0219 琥珀醯丙酮 Succinylacetone 500
000X0220 腫瘤DNA萃取(研究用) Tumor DNA Extraction(ONLY RESEARCH USE) 500
000X0221 甲狀腺髓質癌基因檢測(有家族史) Medullary Thyroid Cancer (MTC) Genetic Test(family history) 3,500
000X0222 多發性內分泌腫瘤第二型基因檢測 Multiple Endocrine Neoplasia,Type2(MEN2)Genetic Test 3,500
000X0223 偽副甲狀腺功能低下症基因檢測 Pseudohypoparathyroidism(PTH) Genetic Test 7,000
000X0224 單一已知基因變異位點檢測 Genetic Test of single known genetic variant 1,500
000X0226 染色體晶片分析 Array CGH analysis 18,000
000X0227 次世代定序疾病基因突變檢測—大範圍 Next-Generation Sequencing Genetic Test - Large Range 30,000
000X0228 多發性內分泌腫瘤第一型基因檢測 Multiple Endocrine Neoplasia,Type1(MEN1) Genetic Test 7,000
000X0229 次世代定序結節硬化症基因突變檢測 Next Generation Sequencing for Tuberous Sclerosis Complex associated Gene Mutation Test 30,000
000X0230 次世代定序遺傳性乳癌/卵巢癌基因變異檢測 Next Generation Sequencing for Hereditary Breast/Ovarian Cancer Associated Gene Variation Test 30,000
000X0231 次世代定序遺傳性大腸癌基因變異檢測 Next Generation Sequencing for Hereditary Gastrointestinal Cancer Syndromes Associated Gene Variation Test 30,000
000X0232 次世代定序心臟疾病特定基因突變檢測 Next Generation Sequencing for Selected Heart Diseases Associated Genes Mutation Test 30,000
000X0233 次世代定序神經退化性疾病相關基因突變檢測 Next Generation Sequencing for Neurodegenerative Diseases Associated Genes Mutation Test 30,000
000X0234 次世代定序聽損基因突變檢測 Next Generation Sequencing for Deafness Gene Mutation Test 30,000
000X0235 甲狀腺髓質癌基因檢測(無家族史) Medullary Thyroid Cancer (MTC) Genetic Test (no family history) 6,000
000X0236 次世代定序多囊性腎病變相關基因變異檢測 Next Generation Sequencing for PKD Associated Genes Variation Test 30,000
000X0237 次世代定序黃疸相關基因變異檢測 Next Generation Sequencing for Jaundice Associated Genes Variation Test 30,000
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
000X0239 次世代定序粒線體DNA基因變異檢測 Next Generation Sequencing for Mitochondrial DNA Variation Test 25,000
000X0240 全面性次世代定序與Sanger定序161個耳聾相關基因突變檢測 Comprehensive Next Generation Sequencing and Sanger Sequencing for Deafness Associated Genes Mutation Test(161genes) 48,000
000X0241 次世代定序骨骼關節疾病相關基因變異檢測 Next Generation Sequencing – Bone and joint diseases associated genes variation test (OI, EDS, Marfanoid) 30,000
000X0242 次世代定序代謝性疾病相關基因變異檢測 Next Generation Sequencing – Metabolic diseases associated genes variation test (LSD, NCL, channopathy) 30,000
000X0243 次世代定序神經肌肉疾病相關基因變異檢測 Next Generation Sequencing – Neuromuscular diseases associated genes variation test (LGMD, CMT, FAOD) 30,000
000X0244 次世代定序疾病基因突變檢測—中範圍 Next-Generation Sequencing Genetic Test - Middle Range 15,080
000X0245 次世代定序疾病基因突變檢測—小範圍 Next-Generation Sequencing Genetic Test - Small Range 7,060
000X0247 次世代定序兒童心臟疾病相關基因變異檢測​ Next Generation Sequencing - Pediatric Cardiovascular disease (Channopathy, Cardiomyoapthy, Pulmonary hypertension) 30,000
000X0248 次世代定序乳癌/卵巢癌血循腫瘤DNA檢驗 Next Generation Sequencing of Circulating Cell - free DNA in Breast and Ovarian Cancer 12,000
000X0249 次世代定序腸胃道癌症血循腫瘤DNA檢驗​ Next Generation Sequencing of Circulating Cell - free DNA in Gastrointestinal Cancer 12,000
000X0250 次世代定序遺傳性癌症症候群基因檢驗 NGS for Hereditary Cancer Syndromes associated Gene Variant Test 30,000
000X0251 次世代定序腎臟疾病相關基因變異檢測 Next Generation Sequencing - Renal disease (Hypokalemia, RTA) 30,000
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) 10,000