What are the five items of a routine physical examination and how much does it cost?

The five items of routine physical examination that people often ask about usually refer to five categories: blood routine, urine routine, basic liver function, DR chest X-ray, and routine electrocardiogram. The price of a basic set of tests in public primary hospitals is mostly in the range of 150-300 yuan. The same level of items in tertiary hospitals will be 50-100 yuan more expensive. The pricing of private physical examination institutions fluctuates even more, with packages ranging from 200 yuan to thousands of yuan.

Last week, I went with Xiao Zhou, who had just found an Internet operation job near my home, to go to the community health service center to complete the five regular entry requirements. She chose the most basic configuration. The chest X-ray was DR, and the liver function test only tested glutamic acid and aspartate aminotransferases. The final payment was only 162. Two tubes of blood were drawn, a film was taken, and an electrocardiogram was done. It was done in half an hour, and the report was available the next day. It was much more cost-effective than the 399 package of the private physical examination agency she had asked about before.

In fact, many people will wonder why the regular pentathlon they did last time is different from this combination? This is actually normal. There is currently no unified national hard standard for the "five items of routine physical examination". The combination will be adjusted in different scenarios: for example, the entry physical examination in the catering industry often includes stool routine and hepatitis B in half and half. Some companies' basic welfare physical examination Basic liver function will be replaced by internal medicine and surgery, height and weight measurement, and some routine chest X-rays for middle-aged and elderly people will be replaced by low-dose CT. The price will naturally rise accordingly. Low-dose CT alone costs more than 300, and the whole set is even 500.

Think about it, why are blood routine, urine routine, liver function test, chest X-ray, and electrocardiogram the most common combination? In fact, it is very cost-effective and has no unnecessary items: the blood routine is equivalent to the basic "inspection list" of the whole body, which can basically reveal the signs of infection, anemia, and coagulation problems. The urine routine can detect early-stage kidney disease with no symptoms in advance. Many people have nephritis only after physical examination and urine. The remaining three cover the basic screening of the core organs of the liver, lungs, and heart. A few dozen yuan can eliminate many high-risk problems, so it has naturally become the default option.

If you come across a regular five-item package with a particularly high price, don’t be in a hurry to pay. First, check to see if there have been any secret upgrades: for example, whether the ordinary electrocardiogram has been replaced by a 24-hour dynamic electrocardiogram, whether the liver function has been added with more than a dozen indicators such as bilirubin and protein, and whether the chest X-ray has been replaced by a low-dose CT.

By the way, if you are doing the five items for the purpose of getting a job, it is best to ask first if the unit has designated projects or hospitals, so as not to avoid having to rework and do it again if the project you do does not meet the requirements, which is a waste of money.