Periódico Oficial del Estado de México de 2018-05-07 - Sección Primera
lunes 7 de mayo de 2018
SECRETARÍA DE SALUD
TABULADOR DE CUOTAS DE RECUPERACIÓN
2018 ESTUDIOS DE LABORATORIO DEL
HOSPITAL REGIONAL DE ALTA ESPECIALIDAD
DE ZUMPANGO.
TABULADOR DE CUOTAS DE RECUPERACIÓN
2018 ESTUDIOS DE IMAGENOLOGÍA DEL
HOSPITAL REGIONAL DE ALTA ESPECIALIDAD
DE ZUMPANGO.
TABULADOR DE CUOTAS DE RECUPERACIÓN
2018 BANCO DE SANGRE DEL HOSPITAL
REGIONAL D E ALTA ESPECIALIDAD DE
ZUMPANGO.
TABULADOR DE CUOTAS DE RECUPERACIÓN
2018 PROCEDIMIENTO, CIRUGÍAS,
CONSULTAS, PATOLOGÍAS Y TERAPIAS DEL
HOSPITAL REGIONAL DE ALTA ESPECIALIDAD
DE ZUMPANGO.
AVISOS JUDICIALES: 724-A1, 1835, 716-A1, 659-A1,
1605, 287 -B1, 1595, 286-B1, 1594, 1734, 715-A1,
1576, 1759, 733-A1, 1746, 328-B1, 1743, 735-A1,
1761, 736-A1, 1826, 1828 y 1830.
AVISOS ADMIN ISTRATIVOS Y GENERALES: 728-A1,
723-A1, 325-B1, 326-B1, 1730, 732-A1, 731-A1,
730-A1, 1707, 721-A1, 717-A1, 719-A1, 740-A1,
741-A1, 347- B1, 348-B1, 777-A1, 779-A1, 346-B1,
343-B1, 344-B1 y 345-B1.
78
SECCIÓN PRIMERA
300
CCV
78
Página 2 7 de mayo de 2018
PODER EJECUTIVO DEL ESTADO
SECRETARÍA DE SALUD
No.
NOMBRE DE LABORATORIO
NIVEL I
NIVEL II
NIVEL III
NIVEL IV
NIVEL V
NIVEL VI
NIVEL VII
1
% SAT DE HIERRO
48.00
104.00
226.00
347.00
462.00
590.00
1,182.00
2
17 ALFA HIDROXIPROGESTERENO (SUERO)
74.00
163.00
353.00
543.00
722.00
924.00
1,849.00
3
17- CETOESTEROIDES EN ORINA
30.00
66.00
141.00
217.00
289.00
371.00
742.00
4
17- CETOESTEROIDES EN SUERO
30.00
66.00
141.00
217.00
289.00
371.00
742.00
5
17- HIDROXICORTICOESTEROIDES EN ORINA
46.00
100.00
215.00
331.00
440.00
563.00
1,126.00
6
17- HIDROXICORTICOESTEROIDES EN SUERO
46.00
100.00
215.00
331.00
440.00
563.00
1,126.00
7
25 HIDROXIVITAMINA D (SUERO)
265.00
583.00
1,259.00
1,940.00
2,579.00
3,302.00
6,603.00
8
A.C. ANTIECEPTOR TSH
127.00
169.00
254.00
367.00
542.00
851.00
1,701.00
9
AC. ANTI ADAMTS-13
60.00
134.00
288.00
444.00
590.00
756.00
1,511.00
10
AC. ANTI ADENOVIRUS
20.00
43.00
94.00
145.00
193.00
247.00
494.00
11
AC. ANTI AMEBA
23.00
51.00
109.00
167.00
223.00
285.00
571.00
12
AC. ANTI B-2-GLUCOPROTEINA 1
23.00
51.00
110.00
170.00
226.00
288.00
577.00
13
AC. ANTI BLASTOMYCES
85.00
188.00
405.00
623.00
829.00
1,060.00
2,121.00
14
AC. ANTI BORDETELLA BURGDORFERI IgG
35.00
77.00
167.00
259.00
343.00
440.00
879.00
15
AC. ANTI BORDETELLA BURGDORFERI IgM
35.00
77.00
167.00
259.00
343.00
440.00
879.00
16
AC. ANTI BORDETELLA PERTUSIS IgG
190.00
419.00
904.00
1,392.00
1,852.00
2,370.00
4,740.00
17
AC. ANTI BORDETELLA PERTUSIS IgM
277.00
608.00
1,313.00
2,024.00
2,690.00
3,444.00
6,888.00
18
AC. ANTI CARDIOLIPINA IgG
23.00
51.00
110.00
170.00
226.00
288.00
577.00
19
AC. ANTI CARDIOLIPINA IgG, IgM
59.00
131.00
283.00
436.00
580.00
742.00
1,483.00
20
AC. ANTI CARDIOLIPINA IgM
23.00
51.00
110.00
170.00
226.00
288.00
577.00
21
AC. ANTI CATEPSINA G
22.00
49.00
105.00
161.00
214.00
275.00
549.00
22
AC. ANTI CENTROMERO
56.00
124.00
267.00
411.00
547.00
701.00
1,401.00
23
AC. ANTI CHLAMYDIA (S. VAGINAL)
52.00
114.00
247.00
379.00
506.00
647.00
1,293.00
24
AC. ANTI CHLAMYDIA PNEUMONIAE
38.00
85.00
183.00
282.00
375.00
480.00
961.00
25
AC. ANTI CHLAMYDIA TRACHOMATIS IgA
12.00
27.00
57.00
89.00
118.00
152.00
302.00
26
AC. ANTI CISTICERCO EN L.C.R.
39.00
87.00
189.00
290.00
386.00
494.00
989.00
27
AC. ANTI CISTICERCO EN SUERO
41.00
91.00
197.00
304.00
404.00
517.00
1,035.00
28
AC. ANTI CITOMEGALOVIRUS IgG
46.00
100.00
215.00
331.00
440.00
563.00
1,126.00
29
AC. ANTI CITOMEGALOVIRUS IgM
39.00
87.00
189.00
290.00
386.00
494.00
989.00
30
AC. ANTI COCCIDIOIDES IMMITIS IgM
23.00
51.00
110.00
170.00
226.00
288.00
577.00
31
AC. ANTI COXSACKIE VIRUS "A"
398.00
875.00
1,890.00
2,910.00
3,870.00
4,954.00
9,909.00
32
AC. ANTI COXSACKIE VIRUS "A" EN L.C.R.
398.00
875.00
1,890.00
2,910.00
3,870.00
4,954.00
9,909.00
33
AC. ANTI CRYPTOCOCCUS NEOFORMANS EN L.C.R.
29.00
63.00
135.00
208.00
277.00
354.00
707.00
34
AC. ANTI CRYPTOCOCCUS NEOFORMANS EN SUERO
29.00
63.00
135.00
208.00
277.00
354.00
707.00
35
AC. ANTI DENGUE IgG
125.00
275.00
593.00
912.00
1,213.00
1,552.00
3,105.00
36
AC. ANTI DENGUE IgM
125.00
275.00
593.00
912.00
1,213.00
1,552.00
3,105.00
37
AC. ANTI DNA
42.00
92.00
199.00
306.00
408.00
522.00
1,044.00
38
AC. ANTI DNA DOBLE CADENA
24.00
53.00
116.00
177.00
236.00
302.00
604.00
39
AC. ANTI ECHO VIRUS
128.00
282.00
611.00
939.00
1,250.00
1,600.00
3,199.00
40
AC. ANTI ECHO VIRUS L.C.R.
171.00
376.00
812.00
1,251.00
1,663.00
2,128.00
4,257.00
41
AC. ANTI ENA
29.00
63.00
136.00
210.00
279.00
357.00
714.00
42
AC. ANTI ENDOMISIALES
23.00
51.00
110.00
170.00
226.00
288.00
577.00
43
AC. ANTI EPSTEIN-BARR IgG
42.00
92.00
199.00
306.00
408.00
522.00
1,044.00
44
AC. ANTI EPSTEIN-BARR IgM
42.00
92.00
199.00
306.00
408.00
522.00
1,044.00
7 de mayo de 2018 Página 3
45
AC. ANTI ESFINGOMIELINA IgG E IgM
35.00
77.00
167.00
259.00
343.00
440.00
879.00
46
AC. ANTI ESPERMATOZOIDES
34.00
75.00
162.00
250.00
333.00
426.00
851.00
47
AC. ANTI FACTOR INTRÍNSECO (CELULAS PARIETALES)
28.00
60.00
131.00
201.00
268.00
343.00
687.00
48
AC. ANTI FOSFATIDILCOLINA IgM E IgE (ELISA)
35.00
77.00
167.00
259.00
343.00
440.00
879.00
49
AC. ANTI FOSFATIDILETANOLAMINA IgG E IgM
35.00
77.00
167.00
259.00
343.00
440.00
879.00
50
AC. ANTI FOSFATIDILINOSITOL IgG IgM
31.00
68.00
146.00
226.00
300.00
385.00
770.00
51
AC. ANTI FOSFATIDILSERINA IgG IgM
35.00
77.00
167.00
259.00
343.00
440.00
879.00
52
AC. ANTI FOSFOLÍPIDOS IgG, IgM
35.00
77.00
167.00
259.00
343.00
440.00
879.00
53
AC. ANTI FOSOLÍPIDOS IgG
16.00
34.00
73.00
113.00
151.00
192.00
385.00
54
AC. ANTI FOSOLÍPIDOS IgM
16.00
34.00
73.00
113.00
151.00
192.00
385.00
55
AC. ANTI GLIADINA
59.00
131.00
283.00
436.00
580.00
742.00
1,483.00
56
AC. ANTI HELICOBACTER PYLORI IgA
37.00
83.00
178.00
275.00
365.00
467.00
934.00
57
AC. ANTI HELICOBACTER PYLORI IgG
37.00
83.00
178.00
275.00
365.00
467.00
934.00
58
AC. ANTI HELICOBACTER PYLORI IgM
37.00
83.00
178.00
275.00
365.00
467.00
934.00
59
AC. ANTI HEPATITIS D
54.00
120.00
258.00
396.00
528.00
676.00
1,352.00
60
AC. ANTI HERPES I IgG
20.00
43.00
94.00
145.00
193.00
247.00
494.00
61
AC. ANTI HERPES I IgM
19.00
41.00
89.00
137.00
182.00
233.00
467.00
62
AC. ANTI HERPES II IgG
21.00
46.00
100.00
154.00
204.00
261.00
522.00
63
AC. ANTI HERPES II IgM
20.00
43.00
94.00
145.00
193.00
247.00
494.00
64
AC. ANTI HETEROFILOS PAUL BUNELL
15.00
32.00
68.00
105.00
140.00
178.00
357.00
65
AC. ANTI HISTONA
53.00
117.00
251.00
387.00
515.00
659.00
1,319.00
66
AC. ANTI HIV 1/HIV 2
32.00
70.00
152.00
234.00
312.00
399.00
796.00
67
AC. ANTI HTLV (1/2)
22.00
49.00
105.00
161.00
214.00
275.00
549.00
68
AC. ANTI HU
39.00
87.00
189.00
290.00
386.00
494.00
989.00
69
AC. ANTI INSULINA
61.00
137.00
295.00
454.00
603.00
772.00
1,544.00
70
AC. ANTI ISLOTES DE LANGERHANS
64.00
139.00
300.00
462.00
615.00
788.00
1,574.00
71
AC. ANTI Jo
17.00
36.00
78.00
121.00
161.00
206.00
412.00
72
AC. ANTI LEGIONELLA PNEUMIPHILLA IgG
230.00
505.00
1,091.00
1,680.00
2,234.00
2,860.00
5,720.00
73
AC. ANTI LKM SUERO
39.00
87.00
189.00
290.00
386.00
494.00
989.00
74
AC. ANTI LYSTERIA MONOCITOGENES
247.00
543.00
1,172.00
1,805.00
2,400.00
3,072.00
6,145.00
75
AC. ANTI MEMBRANA BASAL GLOMERULAR
12.00
27.00
57.00
89.00
118.00
152.00
302.00
76
AC. ANTI MICROSOMALES TOTALES
30.00
66.00
141.00
217.00
289.00
371.00
742.00
77
AC. ANTI MIELINA EN LCR
39.00
87.00
189.00
290.00
386.00
494.00
989.00
78
AC. ANTI MIELINA EN SUERO
35.00
77.00
167.00
259.00
343.00
440.00
879.00
79
AC. ANTI MITOCONDRIA
42.00
92.00
199.00
306.00
408.00
522.00
1,044.00
80
AC. ANTI MÚSCULO ESTRÍADO
88.00
193.00
418.00
643.00
855.00
1,095.00
2,189.00
81
AC. ANTI MÚSCULO LISO
43.00
94.00
205.00
315.00
419.00
535.00
1,072.00
82
AC. ANTI MYCOBACTERUIM TUBERCULOSIS
52.00
114.00
247.00
379.00
506.00
647.00
1,293.00
83
AC. ANTI MYCOPLASMA PNEUMONIAE IgG
52.00
114.00
247.00
379.00
506.00
647.00
1,293.00
84
AC. ANTI MYCOPLASMA PNEUMONIAE IgM
55.00
122.00
264.00
407.00
541.00
692.00
1,384.00
85
AC. ANTI NEUROMIELITIS OPTICA
199.00
438.00
947.00
1,458.00
1,939.00
2,481.00
4,963.00
86
AC. ANTI NUCLEARES POR INMUNOFLORESCENCIA
70.00
153.00
330.00
508.00
676.00
865.00
1,731.00
87
AC. ANTI NUCLEOSOMA
39.00
87.00
189.00
290.00
386.00
494.00
989.00
88
AC. ANTI P RIBOSOMALES
54.00
119.00
257.00
395.00
526.00
673.00
1,346.00
89
AC. ANTI PARAINFLUENZA
135.00
296.00
639.00
985.00
1,309.00
1,676.00
3,352.00
90
AC. ANTI PAROTIDITIS IgG
52.00
114.00
247.00
379.00
506.00
647.00
1,293.00
91
AC. ANTI PAROTIDITIS IgM
55.00
122.00
264.00
407.00
541.00
692.00
1,384.00
92
AC. ANTI PARVOVIRUS 8-19 IgG, IgM
46.00
100.00
215.00
331.00
440.00
563.00
1,126.00
93
AC. ANTI PÉPTIDO CICLÍCO CITRULINADO (CCP)
21.00
46.00
100.00
154.00
204.00
261.00
522.00
94
AC. ANTI PLAQUETAS
37.00
83.00
178.00
275.00
365.00
467.00
934.00
95
AC. ANTI POLIO VIRUS 1
17.00
36.00
78.00
121.00
161.00
206.00
412.00
96
AC. ANTI PROTROMBINA IgG IgM
51.00
111.00
241.00
370.00
492.00
630.00
1,259.00
97
AC. ANTI RICKETTSIAS IgG, IgM
133.00
290.00
629.00
968.00
1,287.00
1,647.00
3,294.00
98
AC. ANTI RNA
52.00
114.00
247.00
379.00
506.00
647.00
1,293.00
99
AC. ANTI RNP (RNP)
42.00
92.00
199.00
306.00
408.00
522.00
1,044.00
100
AC. ANTI ROTAVIRUS
51.00
111.00
241.00
371.00
494.00
632.00
1,264.00
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