What are the items in a routine physical examination and how much does it cost

General basic items for routine physical examinations generally include three major routines: blood routine, urine routine, and stool routine; basic blood tests such as liver and kidney function, blood lipids, and blood sugar; basic palpation and consultation in medicine and surgery, otolaryngology, and ophthalmology; plus basic imaging items such as chest X-ray/low-dose CT, and abdominal ultrasound. The price range is very wide. Most basic models in public institutions are in the 300-600 yuan range. After adding items based on age and basic medical history, the price usually rises to 800-2,000 yuan.

To be honest, there is no absolutely unified "standard" for routine physical examinations. What we often call "routine" refers more to general items that cover the basic health risks of most people. Last week, I accompanied my cousin, who had just graduated, to go to the community health service center near my home for the routine physical examination required for employment. The items were the most basic ones, without any additional items. The total cost was 298. I got the report the next day. There was nothing wrong except a slight anemia. If you go to a tertiary hospital for a basic physical examination with the same configuration, it will generally be about 150 yuan more expensive, mainly because the examination and imaging charging standards of the tertiary hospitals are higher and the equipment accuracy will be better.

Nowadays, many young people want to save trouble and choose the basic package of chain physical examination institutions. The same item is about 20% cheaper than the top three. There is no need to grab a number to make an appointment. There is also free breakfast in the waiting area. The experience is indeed good, but there are also many people who believe in the results of public hospitals. After all, it is necessary For problems such as nodules and abnormal indicators found during physical examination, when you go to the hospital for treatment, most of the physical examination reports from public hospitals are directly accepted. The results from the physical examination institution often need to be re-examined, which is more troublesome and more expensive. Both sides have their own advantages. It all depends on your own needs.

If you are over 30 years old, or have a family history or bad living habits, routine physical examinations will generally recommend targeted items. For example, people who smoke often will switch their chest X-ray to a low-dose spiral CT, which alone will cost more than 300 yuan. For those with a family history of gastric cancer, a Helicobacter pylori C14 breath test will cost more than 100 yuan. Women usually add breast, gynecological ultrasound and TCT screening. With these items added, the whole package will basically cost thousands. My mother had a routine physical examination last year, which included thyroid ultrasound, TCT and low-dose CT. The total cost was more than 1,100, and a 3 mm thyroid nodule was found. The doctor said that regular re-examination is enough, which is considered safe.

Don’t think that the more expensive the package, the more items the better. I met a 22-year-old young man in the hospital when I was helping a friend get a report. He chose a high-end package worth more than 3,000 yuan and even had a PET-CT. In fact, he had neither a family history of cancer nor bad habits. There was absolutely no need for such a high-priced item with radiation. It was a waste of money. The regular basic package was enough to cover his health risks. Oh, by the way, trade unions and communities in many cities now provide free basic routine physical examination quotas to residents. If you meet the requirements, you can go to the community and ask, which can save a lot of money.