{"kind":"price","country":"JP","itemId":"SLEEVE-GASTRECTOMY","sourceId":"data4-jp-mhlw","sourceTier":"official","sourceUrl":"https://www.mhlw.go.jp/content/12400000/001686842.pdf","retrievedAt":"2026-10-15T04:01:29.261Z","fileSha256":"1b72d3cc1d0006f0e8f91afd2c3a49f21272e3ba376b8d24a6dffda63092e2d6","period":"2026-06-01","payerContext":"public_tariff","comparable":false,"verificationLevel":2,"value":{"amount":400500,"currency":"JPY"},"scope":"procedure","code":"K656-2:1","procedureCode":{"system":"MHLW 医科診療報酬点数表","code":"K656-2:1","description":"腹腔鏡下胃縮小術 / スリーブ状切除によるもの"},"component":"Laparoscopic sleeve gastrectomy without concurrent bypass; operation fee only","comparabilityNote":"National insured-care operation tariff component. Not a complete episode or a self-pay/medical-tourist quote. Anaesthesia, inpatient basic fees, separately billable implants/materials, drugs, tests, supplements and follow-up are not added. Standard K082 replacement is separate from K081 hemiarthroplasty and K082-3 revision. No FX conversion applied.","license":"PDL1.0","licenseUrl":"https://www.digital.go.jp/resources/open_data/public_data_license_v1.0","attribution":"Ministry of Health, Labour and Welfare (Japan), 2026 medical fee schedule. CareFare calculated JPY from published points at the official JPY 10 per point; edited/processed by CareFare. Source: https://www.mhlw.go.jp/content/12400000/001686842.pdf","sourceRule":{"url":"https://www.mhlw.go.jp/content/12400000/001757385.pdf","termsUrl":"https://www.mhlw.go.jp/chosakuken/","publicationUrl":"https://www.mhlw.go.jp/stf/newpage_67729.html"},"evidence":{"locator":"PDF page 332; K656-2 subitem 1; 腹腔鏡下胃縮小術 / スリーブ状切除によるもの","verbatim":"Ｋ６５６－２      腹腔鏡下胃縮小術\n         １         スリーブ状切除によるもの                          40,050点"},"derivation":{"method":"tariff_product","factors":[{"role":"points","value":40050,"sourceUrl":"https://www.mhlw.go.jp/content/12400000/001686842.pdf","fileSha256":"1b72d3cc1d0006f0e8f91afd2c3a49f21272e3ba376b8d24a6dffda63092e2d6","evidence":{"locator":"PDF page 332; K656-2 subitem 1; 腹腔鏡下胃縮小術 / スリーブ状切除によるもの","verbatim":"Ｋ６５６－２      腹腔鏡下胃縮小術\n         １         スリーブ状切除によるもの                          40,050点"}},{"role":"yen_per_point","value":10,"sourceUrl":"https://www.mhlw.go.jp/content/12400000/001757385.pdf","fileSha256":"148e4b6d323e2697af8724bf5bf0bb504b39d1dce4e055195e5dddd79672f697","evidence":{"locator":"PDF page 1; 医科診療報酬点数表に関する事項; 通則 1","verbatim":"１    １人の患者について療養の給付に要する費用は、第１章基本診療料及び第２章特掲診療料又は\n     第３章介護老人保健施設入所者に係る診療料の規定に基づき算定された点数の総計に 10 円を乗じ\n     て得た額とする。"}}]},"id":"ec903709a6aa5c9d23638c7e6cb17d8bcb2a9a10b3522eb8ae3aaf9c1e738e09","providerKey":null,"unit":"JPY","amount":400500,"usd":2535.20505,"fx":{"rateToUsd":0.0063301,"date":"2026-10-15","source":"ECB/Frankfurter"},"excluded":false,"exclusionReason":null}