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China Unifies Lab Test Pricing
The National Medical Insurance Administration of China released a trial guide on laboratory service prices on August 14. The document consolidates previous regional positions into 662 main tariffs, 114 surcharges, and 7 extensions. Provinces must determine a uniform base price level, and municipalities with pricing authority must set actual rates around it.
Previously, in most regions, the same test was paid for at different rates depending on the methodology. The new guide introduces a single price for a measurable indicator, regardless of technology: for example, a blood glucose test now has a single tariff instead of separate rates for different measurement methods. The payment amount now also depends on data preservation. In an official clarification, the agency introduced a rule: clinics are required to preserve and transmit analysis data and results to the system.
If a laboratory does not preserve and upload this information, the insurance payment for each indicator is reduced by 10%, but no more than 5 yuan. When researching multiple indicators in one analysis, the total deduction is also limited to 5 yuan. The regulator introduced this requirement for mutual recognition of analyses between different clinics and regions. To enable another doctor to use an already prepared result, a single number on the form is not enough: a reference interval - a range of normal values - is needed to compare the measurement.
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