Report Analitico "RICAVI" per Prestazioni Intermedie 2014

Transcript

1 LAB. ANALISI TARQUINIA Servizio Richiedente ASSISTENZA SANITARIA AMBULATORIALE DISTR. 2 codice descrizione prestazione quantità tariffa* importo ALANINA AMINOTRANSFERASI (ALT) (GPT) [S/U 1,0 2,88 2, ASPARTATO AMINOTRANSFERASI (AST) (GOT) [S 1,0 2,88 2, COLESTEROLO HDL 1,0 1,86 1, COLESTEROLO TOTALE 1,0 2,28 2, CREATININA [S/U/dU/La] 1,0 2,56 2, GAMMA GLUTAMIL TRANSPEPTIDASI (gamma GT) 1,0 2,56 2, GLUCOSIO [S/P/U/dU/La] 1,0 1,70 1, PROTEINE (ELETTROFORESI DELLE) [S] Inclus 1,0 5,96 5, TRIGLICERIDI 1,0 5,17 5, URINE ESAME CHIMICO FISICO E MICROSCOPICO 1,0 1,14 1, ANTIGENE CARBOIDRATICO 19.9 (CA 19.9) 1, EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 3,0 3,31 9, GRUPPO SANGUIGNO ABO e Rh (D) 1,0 7,75 7, TROPONINA I 1,0 16,37 16, TOXOPLASMA ANTICORPI (E.I.A.) 2,0 7,75 15, VIRUS CITOMEGALOVIRUS ANTICORPI (E.I.A.) 1,0 7,75 7, VIRUS CITOMEGALOVIRUS ANTICORPI IgM (E.I. 1,0 8,78 8,78 Pagina 1

2 Riepilogo per 'Servizio Richiedente = ASSISTENZA SANITARIA AMBULATORIALE DISTR. 2 (17 record di dettaglio) Somma 20,0 114,18 Servizio Richiedente CHIRURGIA TARQUINIA codice descrizione prestazione quantità tariffa* importo ALANINA AMINOTRANSFERASI (ALT) (GPT) [S/U 168,0 2,88 483, ALANINA AMINOTRANSFERASI (ALT) (GPT) [S/U 547,0 2, , ALBUMINA [S/U/dU] 2,0 2,58 5, ALFA 1 FETOPROTEINA [S/La/Alb] 1, ALFA 1 GLICOPROTEINA ACIDA [S] 4,0 7,59 30, ALFA AMILASI [S/U] 205,0 2,56 524, AMMONIO [P] 4,0 2,14 8, ASPARTATO AMINOTRANSFERASI (AST) (GOT) [S 168,0 2,88 483, ASPARTATO AMINOTRANSFERASI (AST) (GOT) [S 547,0 2, , BILIRUBINA TOTALE 9,0 1,70 15, BILIRUBINA TOTALE 580,0 1,70 986, BILIRUBINA TOTALE E FRAZIONATA 9,0 3,40 30, BILIRUBINA TOTALE E FRAZIONATA 576,0 3, , CALCIO TOTALE [S/U/dU] 188,0 2,78 522, CLORURO [S/U/dU] 9,0 2,78 25, CLORURO [S/U/dU] 541,0 2, , COBALAMINA (VIT. B12) [S] 3,0 57,33 Pagina 2

3 COLESTEROLO HDL 4,0 1,86 7, COLESTEROLO LDL 1,0 0,67 0, COLESTEROLO TOTALE 1,0 2,28 2, COLESTEROLO TOTALE 5,0 2,28 11, COLINESTERASI (PSEUDO-CHE) 168,0 1,55 260, COLINESTERASI (PSEUDO-CHE) 494,0 1,55 765, CREATINCHINASI (CPK o CK) 168,0 1,96 329, CREATINCHINASI (CPK o CK) 495,0 1,96 970, CREATINCHINASI ISOENZIMA MB (CK-MB) 2,0 38, CREATININA [S/U/dU/La] 169,0 2,56 432, CREATININA [S/U/dU/La] 757,0 2, , DEIDROEPIANDROSTERONE SOLFATO (DEA-S) 1, FERRITINA [P/(Sg)Er] 1, FERRITINA [P/(Sg)Er] 4,0 76, FERRO [S] 9,0 2,56 23, FERRO [S] 402,0 2, , FOLATO [S/(Sg)Er] 3,0 57, FOSFATASI ALCALINA 9,0 2,56 23, FOSFATASI ALCALINA 468,0 2, , FOSFORO 16,0 0,98 15, GAMMA GLUTAMIL TRANSPEPTIDASI (gamma GT) 9,0 2,56 23, GAMMA GLUTAMIL TRANSPEPTIDASI (gamma GT) 513,0 2, , GLUCOSIO [S/P/U/dU/La] 169,0 1,70 287,30 Pagina 3

4 GLUCOSIO [S/P/U/dU/La] 734,0 1, , GONADOTROPINA CORIONICA (Subunità beta, m 4,0 19,01 76, Hb - EMOGLOBINA GLICATA 4,0 10,59 42, IMMUNOGLOBULINE: CATENE KAPPA E LAMBDA [S 8,0 9,30 74, IMMUNOGLOBULINE: CATENE KAPPA E LAMBDA [S 314,0 9, , LATTATO DEIDROGENASI (LDH) [S/F] 4,0 2,56 10, LIPASI [S] 205,0 3,20 656, MAGNESIO TOTALE [S/U/dU/(Sg)Er] 73,0 1,70 124, MIOGLOBINA [S/U] 15,0 7,59 113, POTASSIO [S/U/dU/(Sg)Er] 168,0 2,78 467, POTASSIO [S/U/dU/(Sg)Er] 755,0 2, , PROGESTERONE [S] 1, PROLATTINA (PRL) [S] 1, PROTEINE (ELETTROFORESI DELLE) [S] Inclus 50,0 5,96 298, PROTEINE (ELETTROFORESI DELLE) [S] Inclus 386,0 5, , PROTEINE [S/U/dU/La] 8,0 1,88 15, PROTEINE [S/U/dU/La] 8,0 1,88 15, SODIO [S/U/dU/(Sg)Er] 168,0 2,78 467, SODIO [S/U/dU/(Sg)Er] 751,0 2, , TESTOSTERONE [P/U] 1, TIREOTROPINA (TSH) 1, TIREOTROPINA (TSH) 7,0 133, TIROXINA LIBERA (FT4) 1,0 Pagina 4

5 TIROXINA LIBERA (FT4) 6,0 114, TRANSFERRINA [S] 3,0 5,16 15, TRIGLICERIDI 1,0 5,17 5, TRIGLICERIDI 4,0 5,17 20, TRIODOTIRONINA LIBERA (FT3) 1, TRIODOTIRONINA LIBERA (FT3) 5,0 95, URATO [S/U/dU] 5,0 1,70 8, UREA [S/P/U/dU] 168,0 1,70 285, UREA [S/P/U/dU] 771,0 1, , URINE ESAME CHIMICO FISICO E MICROSCOPICO 166,0 1,14 189, URINE ESAME CHIMICO FISICO E MICROSCOPICO 401,0 1,14 457, ANTICORPI ANTI MICROSOMI (AbTMS) O ANTI T 2,0 38, ANTICORPI ANTI TIREOGLOBULINA (AbTg) 2,0 38, ANTIGENE CARBOIDRATICO 125 (CA 125) 10,0 191, ANTIGENE CARBOIDRATICO 15.3 (CA 15.3) 8,0 152, ANTIGENE CARBOIDRATICO 19.9 (CA 19.9) 74, , ANTIGENE CARCINO EMBRIONARIO (CEA) 40,0 764, ANTIGENE CARCINO EMBRIONARIO (CEA) 99, , ANTIGENE PROSTATICO SPECIFICO (PSA) 15,0 286, ANTITROMBINA III FUNZIONALE 5,0 2,79 13, AUTOANTICORPI ANTI ERITROCITI [Test di Co 1,0 3,19 3, D-DIMERO (EIA) 3,0 8,52 25, EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 169,0 3,31 559,39 Pagina 5

6 EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 1.110,0 3, , FIBRINOGENO FUNZIONALE 166,0 2,56 424, FIBRINOGENO FUNZIONALE 488,0 2, , GRUPPO SANGUIGNO ABO e Rh (D) 48,0 7,75 372, GRUPPO SANGUIGNO ABO e Rh (D) 379,0 7, , PROTEINA C REATTIVA (Quantitativa) 24,0 4,75 114, RETICOLOCITI (Conteggio) [(Sg)] 1,0 1,28 1, TEMPO DI PROTROMBINA (PT) 173,0 2,87 496, TEMPO DI PROTROMBINA (PT) 579,0 2, , TEMPO DI TROMBOPLASTINA PARZIALE (PTT) 173,0 2,53 437, TEMPO DI TROMBOPLASTINA PARZIALE (PTT) 579,0 2, , TROPONINA I 16,0 16,37 261, VELOCITA' DI SEDIMENTAZIONE DELLE EMAZIE 17,0 1,28 21, ESAME COLTURALE CAMPIONI BIOLOGICI DIVERS 2,0 6,47 12, ESAME COLTURALE DELL' URINA [URINOCOLTURA 1,0 6,47 6, ESAME COLTURALE DELL' URINA [URINOCOLTURA 5,0 6,47 32, ESAME COLTURALE DELLE FECI [COPROCOLTURA] 5,0 6,47 32, TOXOPLASMA ANTICORPI (E.I.A.) 2,0 7,75 15, VIRUS EPATITE A [HAV] ANTICORPI 1, VIRUS EPATITE B [HBV] ACIDI NUCLEICI IBRI 1,0 63,42 63, VIRUS EPATITE B [HBV] ANTICORPI HBcAg 2,0 38, VIRUS EPATITE B [HBV] ANTICORPI HBcAg IgM 2,0 38, VIRUS EPATITE B [HBV] ANTIGENE HBsAg 168,0 19, ,68 Pagina 6

7 VIRUS EPATITE B [HBV] ANTIGENE HBsAg 416,0 19, , VIRUS EPATITE C [HCV] ANALISI QUANTITATIV 1,0 77,47 77, VIRUS EPATITE C [HCV] ANTICORPI 168, , VIRUS EPATITE C [HCV] ANTICORPI 414, , VIRUS EPATITE C [HCV] TIPIZZAZIONE GENOMI 1,0 77,47 77, VIRUS EPSTEIN BARR [EBV] ANTICORPI (EA o 2,0 13,48 26,96 Riepilogo per 'Servizio Richiedente = CHIRURGIA TARQUINIA (115 record di dettaglio) Somma , ,20 Servizio Richiedente DIR. SAN. TARQUINIA codice descrizione prestazione quantità tariffa* importo ALANINA AMINOTRANSFERASI (ALT) (GPT) [S/U 1,0 2,88 2, ASPARTATO AMINOTRANSFERASI (AST) (GOT) [S 1,0 2,88 2, BILIRUBINA TOTALE 1,0 1,70 1, BILIRUBINA TOTALE E FRAZIONATA 1,0 3,40 3, CREATININA [S/U/dU/La] 1,0 2,56 2, GAMMA GLUTAMIL TRANSPEPTIDASI (gamma GT) 1,0 2,56 2, GLUCOSIO [S/P/U/dU/La] 1,0 1,70 1, PROTEINE (ELETTROFORESI DELLE) [S] Inclus 1,0 5,96 5, TIREOTROPINA (TSH) 1, TIROXINA LIBERA (FT4) 1, TRIODOTIRONINA LIBERA (FT3) 1,0 Pagina 7

8 URINE ESAME CHIMICO FISICO E MICROSCOPICO 1,0 1,14 1, EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 1,0 3,31 3, FIBRINOGENO FUNZIONALE 1,0 2,56 2, TEMPO DI PROTROMBINA (PT) 1,0 2,87 2, TEMPO DI TROMBOPLASTINA PARZIALE (PTT) 1,0 2,53 2, VELOCITA' DI SEDIMENTAZIONE DELLE EMAZIE 1,0 1,28 1, ESAME COLTURALE CAMPIONI BIOLOGICI DIVERS 18,0 6,47 116, VIRUS EPATITE B [HBV] ANTICORPI HBsAg 1, VIRUS EPATITE C [HCV] ANTICORPI 1,0 Riepilogo per 'Servizio Richiedente = DIR. SAN. TARQUINIA (20 record di dettaglio) Somma 37,0 249,34 Servizio Richiedente MEDICINA TARQUINIA codice descrizione prestazione quantità tariffa* importo ALANINA AMINOTRANSFERASI (ALT) (GPT) [S/U 1.118,0 2, , ALBUMINA [S/U/dU] 13,0 2,58 33, ALFA 1 FETOPROTEINA [S/La/Alb] 85, , ALFA AMILASI [S/U] 76,0 2,56 194, AMINOACIDI DOSAGGIO SINGOLO [S/U/Sg/P] 6,0 3,46 20, AMMONIO [P] 47,0 2,14 100, APTOGLOBINA 1,0 4,65 4, ASPARTATO AMINOTRANSFERASI (AST) (GOT) [S 1.120,0 2, ,60 Pagina 8

9 BARBITURICI 1,0 8,01 8, BENZODIAZEPINE 1,0 8,83 8, BETA2 MICROGLOBULINA [S/U] 1,0 10,79 10, BILIRUBINA TOTALE 1.076,0 1, , BILIRUBINA TOTALE E FRAZIONATA 1.075,0 3, , C PEPTIDE 2,0 38, CALCIO TOTALE [S/U/dU] 1,0 2,78 2, CALCIO TOTALE [S/U/dU] 212,0 2,78 589, CLORURO [S/U/dU] 24,0 2,78 66, COBALAMINA (VIT. B12) [S] 9,0 171, COLESTEROLO HDL 336,0 1,86 624, COLESTEROLO LDL 270,0 0,67 180, COLESTEROLO TOTALE 326,0 2,28 743, COLINESTERASI (PSEUDO-CHE) 7,0 1,55 10, CREATINCHINASI (CPK o CK) 286,0 1,96 560, CREATINCHINASI ISOENZIMA MB (CK-MB) 271, , CREATININA [S/U/dU/La] 1,0 2,56 2, CREATININA [S/U/dU/La] 1.746,0 2, , DROGHE D'ABUSO Amfetamina, Caffeina, Cann 4,0 5,99 23, ENOLASI NEURONESPECIFICA (NSE) 1, FARMACI DIGITALICI 2,0 19,01 38, FECI SANGUE OCCULTO 1,0 0,79 0, FECI SANGUE OCCULTO 43,0 0,79 33,97 Pagina 9

10 FERRITINA [P/(Sg)Er] 1, FERRITINA [P/(Sg)Er] 160, , FERRO [S] 1,0 2,56 2, FERRO [S] 154,0 2,56 394, FOLATO [S/(Sg)Er] 10,0 191, FOSFATASI ALCALINA 1.086,0 2, , FOSFORO 116,0 0,98 113, GAMMA GLUTAMIL TRANSPEPTIDASI (gamma GT) 1.100,0 2, , GLUCOSIO [S/P/U/dU/La] 1.114,0 1, , Hb - EMOGLOBINA GLICATA 103,0 10, , IMMUNOGLOBULINE: CATENE KAPPA E LAMBDA [S 14,0 9,30 130, LATTATO DEIDROGENASI (LDH) [S/F] 289,0 2,56 739, LIPASI [S] 66,0 3,20 211, MAGNESIO TOTALE [S/U/dU/(Sg)Er] 91,0 1,70 154, MICROALBUMINURIA 4,0 4,65 18, MIOGLOBINA [S/U] 156,0 7, , ORMONE SOMATOTROPO (GH) [P/U] 1,0 19,01 19, PARATORMONE (PTH) [S] 1, POTASSIO [S/U/dU/(Sg)Er] 1.769,0 2, , PROTEINE (ELETTROFORESI DELLE) [S] Inclus 1.024,0 5, , PROTEINE [S/U/dU/La] 9,0 1,88 16, SODIO [S/U/dU/(Sg)Er] 1.766,0 2, , TIREOGLOBULINA (Tg) 3,0 57,33 Pagina 10

11 TIREOTROPINA (TSH) 112, , TIROXINA LIBERA (FT4) 56, , TRANSFERRINA [S] 1,0 5,16 5, TRANSFERRINA [S] 130,0 5,16 670, TRIGLICERIDI 333,0 5, , TRIODOTIRONINA LIBERA (FT3) 45,0 859, URATO [S/U/dU] 329,0 1,70 559, UREA [S/P/U/dU] 1.720,0 1, , URINE ESAME CHIMICO FISICO E MICROSCOPICO 747,0 1,14 851, ANTICOAGULANTE LUPUS-LIKE (LAC) 2,0 4,65 9, ANTICORPI ANTI ANTIGENI NUCLEARI ESTRAIBI 5,0 13,32 66, ANTICORPI ANTI CARDIOLIPINA (IgG, IgA, Ig 4,0 12,55 50, ANTICORPI ANTI DNA NATIVO 2,0 11,88 23, ANTICORPI ANTI ERITROCITI [Test di Coombs 1,0 3,19 3, ANTICORPI ANTI GLIADINA (IgG, IgA) 4,0 11,41 45, ANTICORPI ANTI INSULINA (AIAA) 1, ANTICORPI ANTI MICROSOMI (AbTMS) O ANTI T 9,0 171, ANTICORPI ANTI MITOCONDRI (AMA) 4,0 9,45 37, ANTICORPI ANTI MUSCOLO LISCIO (ASMA) 1,0 7,44 7, ANTICORPI ANTI NUCLEO (ANA) 11,0 9,66 106, ANTICORPI ANTI ORGANO 12,0 14,51 174, ANTICORPI ANTI RECETTORI DEL TSH 1,0 25,31 25, ANTICORPI ANTI TIREOGLOBULINA (AbTg) 6,0 114,66 Pagina 11

12 ANTIGENE CARBOIDRATICO 125 (CA 125) 97, , ANTIGENE CARBOIDRATICO 15.3 (CA 15.3) 88, , ANTIGENE CARBOIDRATICO 19.9 (CA 19.9) 108, , ANTIGENE CARCINO EMBRIONARIO (CEA) 107, , ANTIGENE POLIPEPTIDICO TISSUTALE (TPA) 7,0 133, ANTIGENE PROSTATICO SPECIFICO (PSA) 95, , ANTITROMBINA III FUNZIONALE 9,0 2,79 25, COMPLEMENTO: C1Q, C3, C3 ATT., C4 (Ciascu 2,0 6,61 13, D-DIMERO (EIA) 18,0 8,52 153, EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 15,0 3,31 49, EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 1.864,0 3, , FATTORE REUMATOIDE 8,0 2,14 17, FIBRINOGENO FUNZIONALE 25,0 2,56 64, GRUPPO SANGUIGNO ABO e Rh (D) 6,0 7,75 46, Hb - EMOGLOBINA A2 2,0 9,61 19, Hb - EMOGLOBINA FETALE (Dosaggio) 1,0 3,98 3, Hb - EMOGLOBINE ANOMALE (HbS, HbD, HbH, e 1,0 14,36 14, IMMUNOFISSAZIONE 3,0 29,70 89, IMMUNOGLOBULINE IgA, IgG o IgM (Ciascuna) 16,0 5,84 93, PROTEINA C ANTICOAGULANTE FUNZIONALE [P] 5,0 9,09 45, PROTEINA C REATTIVA (Quantitativa) 31,0 4,75 147, PROTEINA S LIBERA [P] 4,0 9,81 39, PROTEINA S TOTALE [P] 1,0 9,81 9,81 Pagina 12

13 REAZIONE DI WAALER ROSE 7,0 2,14 14, RETICOLOCITI (Conteggio) [(Sg)] 18,0 1,28 23, TEMPO DI PROTROMBINA (PT) 1.464,0 2, , TEMPO DI TROMBOPLASTINA PARZIALE (PTT) 1.453,0 2, , TROPONINA I 197,0 16, , VELOCITA' DI SEDIMENTAZIONE DELLE EMAZIE 1.055,0 1, , BATTERI ANAEROBI IN MATERIALI BIOLOGICI E 83,0 11,41 947, BRUCELLE ANTICORPI (Titolazione mediante 1,0 1,47 1, CAMPYLOBACTER ESAME COLTURALE 1,0 4,85 4, CLOSTRIDIUM DIFFICILE ESAME COLTURALE 3,0 11,41 34, CLOSTRIDIUM DIFFICILE TOSSINA NELLE FECI 1,0 5,84 5, ESAME COLTURALE CAMPIONI BIOLOGICI DIVERS 139,0 6,47 899, ESAME COLTURALE CAMPIONI CAVITA' ORO-FARI 2,0 6,47 12, ESAME COLTURALE DEL SANGUE [EMOCOLTURA] R 83,0 6,47 537, ESAME COLTURALE DELL' URINA [URINOCOLTURA 113,0 6,47 731, ESAME COLTURALE DELLE FECI [COPROCOLTURA] 19,0 6,47 122, MICETI IN CAMPIONI BIOLOGICI DIVERSI ESAM 8,0 3,31 26, MICOBATTERI DA COLTURA IDENTIFICAZIONE ME 5,0 37,49 187, MICOBATTERI IN CAMPIONI BIOLOGICI ESAME C 4,0 8,62 34, PARASSITI INTESTINALI RICERCA MICROSCOPIC 2,0 1,53 3, RICKETTSIE ANTICORPI [ANTI PROTEUS SPP.] 4,0 8,21 32, SALMONELLE ANTICORPI (Titolazione mediant 5,0 1,95 9, STREPTOCOCCO ANTICORPI ANTI ANTISTREPTOLI 2,0 3,18 6,36 Pagina 13

14 TOXOPLASMA ANTICORPI (E.I.A.) 16,0 7,75 124, TREPONEMA PALLIDUM ANTICORPI (Ricerca qua 1,0 5,78 5, VIRUS CITOMEGALOVIRUS ANTICORPI (E.I.A.) 10,0 7,75 77, VIRUS CITOMEGALOVIRUS ANTICORPI IgM (E.I. 10,0 8,78 87, VIRUS EPATITE A [HAV] ANTICORPI 1, VIRUS EPATITE A [HAV] ANTICORPI IgM 3,0 57, VIRUS EPATITE B [HBV] ACIDI NUCLEICI IBRI 1,0 63,42 63, VIRUS EPATITE B [HBV] ANTICORPI HBsAg 1, VIRUS EPATITE B [HBV] ANTIGENE HBsAg 1,0 19,01 19, VIRUS EPATITE B [HBV] ANTIGENE HBsAg 30,0 19,01 570, VIRUS EPATITE C [HCV] ANALISI QUANTITATIV 2,0 77,47 154, VIRUS EPATITE C [HCV] ANTICORPI 30,0 573, VIRUS EPATITE C [HCV] TIPIZZAZIONE GENOMI 1,0 77,47 77, VIRUS EPSTEIN BARR [EBV] ANTICORPI (EA o 23,0 13,48 310, VIRUS EPSTEIN BARR [EBV] ANTICORPI ETEROF 1,0 7,64 7, VIRUS HERPES SIMPLEX (TIPO 1 o 2) ANTICOR 2,0 7,75 15, VIRUS IMMUNODEF. ACQUISITA [HIV 1-2] ANTI 5,0 8,78 43,90 Riepilogo per 'Servizio Richiedente = MEDICINA TARQUINIA (140 record di dettaglio) Somma , ,14 Servizio Richiedente ORTOPEDIA TARQUINIA codice descrizione prestazione quantità tariffa* importo Pagina 14

15 ALANINA AMINOTRANSFERASI (ALT) (GPT) [S/U 478,0 2, , ALANINA AMINOTRANSFERASI (ALT) (GPT) [S/U 605,0 2, , ALFA AMILASI [S/U] 2,0 2,56 5, ALFA AMILASI [S/U] 3,0 2,56 7, APTOGLOBINA 2,0 4,65 9, ASPARTATO AMINOTRANSFERASI (AST) (GOT) [S 478,0 2, , ASPARTATO AMINOTRANSFERASI (AST) (GOT) [S 606,0 2, , BILIRUBINA TOTALE 3,0 1,70 5, BILIRUBINA TOTALE 391,0 1,70 664, BILIRUBINA TOTALE E FRAZIONATA 3,0 3,40 10, BILIRUBINA TOTALE E FRAZIONATA 391,0 3, , CALCIO TOTALE [S/U/dU] 151,0 2,78 419, CLORURO [S/U/dU] 3,0 2,78 8, CLORURO [S/U/dU] 794,0 2, , COLESTEROLO HDL 2,0 1,86 3, COLESTEROLO LDL 1,0 0,67 0, COLESTEROLO TOTALE 3,0 2,28 6, COLINESTERASI (PSEUDO-CHE) 479,0 1,55 742, COLINESTERASI (PSEUDO-CHE) 661,0 1, , CREATINCHINASI (CPK o CK) 478,0 1,96 936, CREATINCHINASI (CPK o CK) 661,0 1, , CREATINCHINASI ISOENZIMA MB (CK-MB) 1, CREATININA [S/U/dU/La] 479,0 2, ,24 Pagina 15

16 CREATININA [S/U/dU/La] 1.125,0 2, , FECI SANGUE OCCULTO 1,0 0,79 0, FERRITINA [P/(Sg)Er] 161, , FERRO [S] 2,0 2,56 5, FERRO [S] 623,0 2, , FOSFATASI ALCALINA 4,0 2,56 10, FOSFATASI ALCALINA 385,0 2,56 985, FOSFORO 3,0 0,98 2, GAMMA GLUTAMIL TRANSPEPTIDASI (gamma GT) 2,0 2,56 5, GAMMA GLUTAMIL TRANSPEPTIDASI (gamma GT) 390,0 2,56 998, GLUCOSIO [S/P/U/dU/La] 480,0 1,70 816, GLUCOSIO [S/P/U/dU/La] 1.100,0 1, , Hb - EMOGLOBINA GLICATA 1,0 10,59 10, Hb - EMOGLOBINA GLICATA 6,0 10,59 63, IMMUNOGLOBULINE: CATENE KAPPA E LAMBDA [S 2,0 9,30 18, IMMUNOGLOBULINE: CATENE KAPPA E LAMBDA [S 315,0 9, , LATTATO DEIDROGENASI (LDH) [S/F] 3,0 2,56 7, LIPASI [S] 2,0 3,20 6, LIPASI [S] 2,0 3,20 6, MAGNESIO TOTALE [S/U/dU/(Sg)Er] 63,0 1,70 107, MIOGLOBINA [S/U] 26,0 7,59 197, POTASSIO [S/U/dU/(Sg)Er] 479,0 2, , POTASSIO [S/U/dU/(Sg)Er] 1.108,0 2, ,24 Pagina 16

17 PROTEINE (ELETTROFORESI DELLE) [S] Inclus 2,0 5,96 11, PROTEINE (ELETTROFORESI DELLE) [S] Inclus 375,0 5, , PROTEINE [S/U/dU/La] 2,0 1,88 3, SODIO [S/U/dU/(Sg)Er] 478,0 2, , SODIO [S/U/dU/(Sg)Er] 1.108,0 2, , TIREOTROPINA (TSH) 1, TIREOTROPINA (TSH) 2,0 38, TIROXINA LIBERA (FT4) 1, TIROXINA LIBERA (FT4) 1, TRANSFERRINA [S] 1,0 5,16 5, TRIGLICERIDI 3,0 5,17 15, TRIODOTIRONINA LIBERA (FT3) 1, URATO [S/U/dU] 10,0 1,70 17, UREA [S/P/U/dU] 479,0 1,70 814, UREA [S/P/U/dU] 1.137,0 1, , URINE ESAME CHIMICO FISICO E MICROSCOPICO 454,0 1,14 517, URINE ESAME CHIMICO FISICO E MICROSCOPICO 550,0 1,14 627, ANTICORPI ANTI ERITROCITI [Test di Coombs 1,0 3,19 3, ANTIGENE CARCINO EMBRIONARIO (CEA) 3,0 57, ANTIGENE PROSTATICO SPECIFICO (PSA) 2,0 38, ANTITROMBINA III FUNZIONALE 3,0 2,79 8, AUTOANTICORPI ANTI ERITROCITI [Test di Co 1,0 3,19 3, D-DIMERO (EIA) 4,0 8,52 34,08 Pagina 17

18 EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 479,0 3, , EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 1.688,0 3, , FATTORI DELLA COAGULAZIONE (II, V, VII, V 1,0 14,31 14, FIBRINOGENO FUNZIONALE 480,0 2, , FIBRINOGENO FUNZIONALE 685,0 2, , GRUPPO SANGUIGNO ABO e Rh (D) 2,0 7,75 15, GRUPPO SANGUIGNO ABO e Rh (D) 375,0 7, , Hb - EMOGLOBINA A2 1,0 9,61 9, PROTEINA C REATTIVA (Quantitativa) 7,0 4,75 33, RETICOLOCITI (Conteggio) [(Sg)] 1,0 1,28 1, TEMPO DI PROTROMBINA (PT) 480,0 2, , TEMPO DI PROTROMBINA (PT) 995,0 2, , TEMPO DI TROMBOPLASTINA PARZIALE (PTT) 480,0 2, , TEMPO DI TROMBOPLASTINA PARZIALE (PTT) 995,0 2, , TROPONINA I 27,0 16,37 441, VELOCITA' DI SEDIMENTAZIONE DELLE EMAZIE 9,0 1,28 11, ESAME COLTURALE CAMPIONI BIOLOGICI DIVERS 11,0 6,47 71, ESAME COLTURALE DELL' URINA [URINOCOLTURA 2,0 6,47 12, VIRUS EPATITE B [HBV] ANTIGENE HBsAg 479,0 19, , VIRUS EPATITE B [HBV] ANTIGENE HBsAg 590,0 19, , VIRUS EPATITE C [HCV] ANTICORPI 478, , VIRUS EPATITE C [HCV] ANTICORPI 590, ,90 Pagina 18

19 Riepilogo per 'Servizio Richiedente = ORTOPEDIA TARQUINIA (91 record di dettaglio) Somma , ,12 Servizio Richiedente OSTETRICIA/GINECOLOGIA TARQUINIA codice descrizione prestazione quantità tariffa* importo ALANINA AMINOTRANSFERASI (ALT) (GPT) [S/U 166,0 2,88 478, ALANINA AMINOTRANSFERASI (ALT) (GPT) [S/U 185,0 2,88 532, ALDOSTERONE [S/U] 1, ALFA 1 FETOPROTEINA [S/La/Alb] 8,0 152, ALFA 1 GLICOPROTEINA ACIDA [S] 1,0 7,59 7, ALFA AMILASI [S/U] 10,0 2,56 25, ASPARTATO AMINOTRANSFERASI (AST) (GOT) [S 166,0 2,88 478, ASPARTATO AMINOTRANSFERASI (AST) (GOT) [S 185,0 2,88 532, BILIRUBINA TOTALE 536,0 1,70 911, BILIRUBINA TOTALE E FRAZIONATA 532,0 3, , CALCIO TOTALE [S/U/dU] 190,0 2,78 528, CLORURO [S/U/dU] 303,0 2,78 842, COLESTEROLO HDL 6,0 1,86 11, COLESTEROLO LDL 5,0 0,67 3, COLESTEROLO TOTALE 6,0 2,28 13, COLINESTERASI (PSEUDO-CHE) 166,0 1,55 257, COLINESTERASI (PSEUDO-CHE) 292,0 1,55 452,60 Pagina 19

20 CORTICOTROPINA (ACTH) [P] 1, CORTISOLO [S/U] 3,0 57, CREATINCHINASI (CPK o CK) 166,0 1,96 325, CREATINCHINASI (CPK o CK) 297,0 1,96 582, CREATINCHINASI ISOENZIMA MB (CK-MB) 15,0 286, CREATININA [S/U/dU/La] 166,0 2,56 424, CREATININA [S/U/dU/La] 318,0 2,56 814, CREATININA CLEARANCE 1,0 1,76 1, DEIDROEPIANDROSTERONE SOLFATO (DEA-S) 1, ESTRADIOLO (E2) [S/U] 1, ESTRADIOLO (E2) [S/U] 1, FECI SANGUE OCCULTO 1,0 0,79 0, FERRITINA [P/(Sg)Er] 6,0 114, FERRO [S] 131,0 2,56 335, FOLLITROPINA (FSH) [S/U] 1, FOLLITROPINA (FSH) [S/U] 1, FOSFATASI ALCALINA 140,0 2,56 358, FOSFORO 23,0 0,98 22, GAMMA GLUTAMIL TRANSPEPTIDASI (gamma GT) 163,0 2,56 417, GLUCOSIO (Curva da carico 6 determinazion 1,0 5,96 5, GLUCOSIO [S/P/U/dU/La] 166,0 1,70 282, GLUCOSIO [S/P/U/dU/La] 322,0 1,70 547, GONADOTROPINA CORIONICA (Subunità beta, m 55,0 19, ,55 Pagina 20

21 GONADOTROPINA CORIONICA (Subunità beta, m 57,0 19, , Hb - EMOGLOBINA GLICATA 2,0 10,59 21, IMMUNOGLOBULINE: CATENE KAPPA E LAMBDA [S 107,0 9,30 995, LATTATO DEIDROGENASI (LDH) [S/F] 13,0 2,56 33, LIPASI [S] 9,0 3,20 28, LUTEOTROPINA (LH) [S/U] 1, LUTEOTROPINA (LH) [S/U] 1, MAGNESIO TOTALE [S/U/dU/(Sg)Er] 182,0 1,70 309, MIOGLOBINA [S/U] 3,0 7,59 22, POTASSIO [S/U/dU/(Sg)Er] 166,0 2,78 461, POTASSIO [S/U/dU/(Sg)Er] 355,0 2,78 986, PROGESTERONE [S] 1, PROGESTERONE [S] 2,0 38, PROLATTINA (PRL) [S] 1, PROTEINE (ELETTROFORESI DELLE) [S] Inclus 162,0 5,96 965, PROTEINE [S/U/dU/La] 23,0 1,88 43, SODIO [S/U/dU/(Sg)Er] 166,0 2,78 461, SODIO [S/U/dU/(Sg)Er] 354,0 2,78 984, TESTOSTERONE [P/U] 1, TIREOTROPINA (TSH) 10,0 191, TIROXINA LIBERA (FT4) 10,0 191, TRANSFERRINA [S] 2,0 5,16 10, TRIGLICERIDI 6,0 5,17 31,02 Pagina 21

22 TRIODOTIRONINA LIBERA (FT3) 10,0 191, URATO [S/U/dU] 41,0 1,70 69, UREA [S/P/U/dU] 166,0 1,70 282, UREA [S/P/U/dU] 317,0 1,70 538, URINE ESAME CHIMICO FISICO E MICROSCOPICO 161,0 1,14 183, URINE ESAME CHIMICO FISICO E MICROSCOPICO 191,0 1,14 217, ANTICORPI ANTI ERITROCITI [Test di Coombs 31,0 3,19 98, ANTICORPI ANTI RECETTORI DEL TSH 1,0 25,31 25, ANTIGENE CARBOIDRATICO 125 (CA 125) 18,0 343, ANTIGENE CARBOIDRATICO 15.3 (CA 15.3) 6,0 114, ANTIGENE CARBOIDRATICO 19.9 (CA 19.9) 13,0 248, ANTIGENE CARCINO EMBRIONARIO (CEA) 7,0 133, ANTIGENE POLIPEPTIDICO TISSUTALE (TPA) 3,0 57, ANTITROMBINA III FUNZIONALE 34,0 2,79 94, AUTOANTICORPI ANTI ERITROCITI [Test di Co 344,0 3, , D-DIMERO (EIA) 10,0 8,52 85, EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 167,0 3,31 552, EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 630,0 3, , FATTORI DELLA COAGULAZIONE (II, V, VII, V 1,0 14,31 14, FIBRINOGENO FUNZIONALE 168,0 2,56 430, FIBRINOGENO FUNZIONALE 186,0 2,56 476, GRUPPO SANGUIGNO ABO e Rh (D) 19,0 7,75 147, GRUPPO SANGUIGNO ABO e Rh (D) 525,0 7, ,75 Pagina 22

23 Hb - EMOGLOBINA A2 4,0 9,61 38, Hb - EMOGLOBINA FETALE (Dosaggio) 2,0 3,98 7, Hb - EMOGLOBINE ANOMALE (HbS, HbD, HbH, e 2,0 14,36 28, IMMUNOFISSAZIONE 2,0 29,70 59, PROTEINA C REATTIVA (Quantitativa) 77,0 4,75 365, RESISTENZE OSMOTICO GLOBULARI (Curva) 1,0 1,14 1, TEMPO DI PROTROMBINA (PT) 168,0 2,87 482, TEMPO DI PROTROMBINA (PT) 336,0 2,87 964, TEMPO DI TROMBOPLASTINA PARZIALE (PTT) 168,0 2,53 425, TEMPO DI TROMBOPLASTINA PARZIALE (PTT) 336,0 2,53 850, TROPONINA I 4,0 16,37 65, VELOCITA' DI SEDIMENTAZIONE DELLE EMAZIE 15,0 1,28 19, BATTERI ANAEROBI IN MATERIALI BIOLOGICI E 5,0 11,41 57, BATTERI ANTIBIOGRAMMA DA COLTURA (Kirby B 1,0 8,41 8, BATTERI IN CAMPIONI BIOLOGICI DIVERSI RIC 18,0 1,88 33, CHLAMYDIE ANTICORPI (E.I.A.) 4,0 11,57 46, CHLAMYDIE RICERCA DIRETTA (E.I.A.) 11,0 7,75 85, ESAME COLTURALE CAMPIONI BIOLOGICI DIVERS 75,0 6,47 485, ESAME COLTURALE CAMPIONI CAVITA' ORO-FARI 5,0 6,47 32, ESAME COLTURALE DEL SANGUE [EMOCOLTURA] R 8,0 6,47 51, ESAME COLTURALE DELL' URINA [URINOCOLTURA 26,0 6,47 168, ESAME COLTURALE DELLE FECI [COPROCOLTURA] 3,0 6,47 19, MICETI IN CAMPIONI BIOLOGICI DIVERSI ESAM 15,0 3,31 49,65 Pagina 23

24 MICOPLASMA PNEUMONIAE DA COLTURA IDENTIFI 19,0 8,16 155, PARASSITI INTESTINALI RICERCA MICROSCOPIC 1,0 1,53 1, TOXOPLASMA ANTICORPI (E.I.A.) 76,0 7,75 589, TREPONEMA PALLIDUM ANTICORPI (Ricerca qua 2,0 3,46 6, TREPONEMA PALLIDUM ANTICORPI (Ricerca qua 1,0 5,78 5, TREPONEMA PALLIDUM ANTICORPI ANTI CARDIOL 22,0 3,36 73, VIRUS CITOMEGALOVIRUS ANTICORPI (E.I.A.) 30,0 7,75 232, VIRUS CITOMEGALOVIRUS ANTICORPI IgM (E.I. 29,0 8,78 254, VIRUS CITOMEGALOVIRUS NEL SANGUE ACIDI NU 1,0 36,15 36, VIRUS EPATITE A [HAV] ANTICORPI 1, VIRUS EPATITE A [HAV] ANTICORPI IgM 1, VIRUS EPATITE B [HBV] ANTICORPI HBcAg 5,0 95, VIRUS EPATITE B [HBV] ANTICORPI HBcAg IgM 3,0 57, VIRUS EPATITE B [HBV] ANTICORPI HBeAg 4,0 76, VIRUS EPATITE B [HBV] ANTICORPI HBsAg 5,0 95, VIRUS EPATITE B [HBV] ANTIGENE HBeAg 3,0 57, VIRUS EPATITE B [HBV] ANTIGENE HBsAg 166,0 19, , VIRUS EPATITE B [HBV] ANTIGENE HBsAg 176,0 19, , VIRUS EPATITE C [HCV] ANTICORPI 166, , VIRUS EPATITE C [HCV] ANTICORPI 177, , VIRUS EPSTEIN BARR [EBV] ANTICORPI (EA o 3,0 13,48 40, VIRUS EPSTEIN BARR [EBV] ANTICORPI ETEROF 1,0 7,64 7, VIRUS IMMUNODEF. ACQUISITA [HIV 1-2] ANTI 6,0 8,78 52,68 Pagina 24

25 VIRUS ROSOLIA ANTICORPI 36,0 7,75 279, VIRUS VARICELLA ZOSTER ANTICORPI (E.I.A.) 2,0 7,75 15,50 Riepilogo per 'Servizio Richiedente = OSTETRICIA/GINECOLOGIA TARQUINIA (134 record di dettaglio) Somma , ,82 Servizio Richiedente P.S. TARQUINIA codice descrizione prestazione quantità tariffa* importo ALANINA AMINOTRANSFERASI (ALT) (GPT) [S/U 2.452,0 2, , ALBUMINA [S/U/dU] 6,0 2,58 15, ALFA 1 FETOPROTEINA [S/La/Alb] 2,0 38, ALFA 1 GLICOPROTEINA ACIDA [S] 2,0 7,59 15, ALFA AMILASI [S/U] 1.822,0 2, , AMMONIO [P] 23,0 2,14 49, ASPARTATO AMINOTRANSFERASI (AST) (GOT) [S 2.234,0 2, , BETA2 MICROGLOBULINA [S/U] 1,0 10,79 10, BILIRUBINA TOTALE 1.599,0 1, , BILIRUBINA TOTALE E FRAZIONATA 1.589,0 3, , CALCIO TOTALE [S/U/dU] 527,0 2, , CARBAMAZEPINA 1,0 13,38 13, CLORURO [S/U/dU] 557,0 2, , COLESTEROLO HDL 76,0 1,86 141, COLESTEROLO LDL 1,0 0,67 0,67 Pagina 25

26 COLESTEROLO TOTALE 73,0 2,28 166, COLINESTERASI (PSEUDO-CHE) 258,0 1,55 399, CREATINCHINASI (CPK o CK) 357,0 1,96 699, CREATINCHINASI ISOENZIMA MB (CK-MB) 377, , CREATININA [S/U/dU/La] 3.934,0 2, , CREATININA CLEARANCE 2,0 1,76 3, DROGHE D'ABUSO Amfetamina, Caffeina, Cann 6,0 5,99 35, ETANOLO 1,0 5,78 5, FECI SANGUE OCCULTO 1,0 0,79 0, FERRITINA [P/(Sg)Er] 3,0 57, FERRO [S] 63,0 2,56 161, FOSFATASI ALCALINA 182,0 2,56 465, FOSFORO 8,0 0,98 7, GAMMA GLUTAMIL TRANSPEPTIDASI (gamma GT) 321,0 2,56 821, GLUCOSIO [S/P/U/dU/La] 2.121,0 1, , GONADOTROPINA CORIONICA (Subunità beta, m 141,0 19, , Hb - EMOGLOBINA GLICATA 3,0 10,59 31, IMMUNOGLOBULINE: CATENE KAPPA E LAMBDA [S 14,0 9,30 130, LATTATO DEIDROGENASI (LDH) [S/F] 658,0 2, , LIPASI [S] 1.700,0 3, , LITIO [P] 1,0 4,13 4, MAGNESIO TOTALE [S/U/dU/(Sg)Er] 94,0 1,70 159, MIOGLOBINA [S/U] 1.402,0 7, ,18 Pagina 26

27 POTASSIO [S/U/dU/(Sg)Er] 3.792,0 2, , PROTEINE (ELETTROFORESI DELLE) [S] Inclus 49,0 5,96 292, PROTEINE [S/U/dU/La] 58,0 1,88 109, SODIO [S/U/dU/(Sg)Er] 3.750,0 2, , TIREOTROPINA (TSH) 10,0 191, TIROXINA LIBERA (FT4) 12,0 229, TRANSFERRINA [S] 2,0 5,16 10, TRIGLICERIDI 75,0 5,17 387, TRIODOTIRONINA LIBERA (FT3) 12,0 229, URATO [S/U/dU] 50,0 1,70 85, UREA [S/P/U/dU] 3.775,0 1, , URINE ESAME CHIMICO FISICO E MICROSCOPICO 90,0 1,14 102, ANTIGENE CARBOIDRATICO 125 (CA 125) 1, ANTIGENE CARBOIDRATICO 19.9 (CA 19.9) 1, ANTIGENE CARCINO EMBRIONARIO (CEA) 1, ANTIGENE PROSTATICO SPECIFICO (PSA) 5,0 95, ANTITROMBINA III FUNZIONALE 5,0 2,79 13, D-DIMERO (EIA) 145,0 8, , EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 4.791,0 3, , FIBRINOGENO FUNZIONALE 52,0 2,56 133, GRUPPO SANGUIGNO ABO e Rh (D) 4,0 7,75 31, Hb - EMOGLOBINA A2 1,0 9,61 9, Hb - EMOGLOBINA FETALE (Dosaggio) 1,0 3,98 3,98 Pagina 27

28 Hb - EMOGLOBINE ANOMALE (HbS, HbD, HbH, e 1,0 14,36 14, Hb - RICERCA MUTAZIONI DELLE CATENE GLOBI 2,0 12,86 25, PROTEINA C REATTIVA (Quantitativa) 66,0 4,75 313, TEMPO DI PROTROMBINA (PT) 1.627,0 2, , TEMPO DI TROMBOPLASTINA PARZIALE (PTT) 1.625,0 2, , TROPONINA I 2.412,0 16, , VELOCITA' DI SEDIMENTAZIONE DELLE EMAZIE 17,0 1,28 21, BATTERI ANAEROBI IN MATERIALI BIOLOGICI E 2,0 11,41 22, BATTERI ANTIBIOGRAMMA DA COLTURA (Kirby B 1,0 8,41 8, ESAME COLTURALE CAMPIONI BIOLOGICI DIVERS 3,0 6,47 19, ESAME COLTURALE CAMPIONI CAVITA' ORO-FARI 1,0 6,47 6, ESAME COLTURALE DEL SANGUE [EMOCOLTURA] R 2,0 6,47 12, ESAME COLTURALE DELL' URINA [URINOCOLTURA 8,0 6,47 51, ESAME COLTURALE DELLE FECI [COPROCOLTURA] 1,0 6,47 6, VIRUS EPATITE B [HBV] ANTIGENE HBsAg 4,0 19,01 76, VIRUS EPATITE C [HCV] ANTICORPI 4,0 76, VIRUS EPSTEIN BARR [EBV] ANTICORPI (EA o 3,0 13,48 40,44 Riepilogo per 'Servizio Richiedente = P.S. TARQUINIA (78 record di dettaglio) Somma , ,74 Riepilogo per 'Reparto' = LAB. ANALISI TARQUINIA (595 record di dettaglio) TOTALE REPARTO , ,54 Pagina 28