ANNEXE XII
TARIFS DES FORFAITS ANNUELS ACTIVITES ISOLÉES

I. - Tarifs des forfaits annuels des activités isolées des établissements de santé mentionnés aux a, b et c de l'article L. 162-22 du code de la sécurité sociale :

|Séjours donnant lieu à la facturation du forfait pour la médecine| Forfait | |-----------------------------------------------------------------|----------| | < 100 |754 658,00| | [100,200[ |712 733,00| | [200,300[ |670 808,00| | [300,400[ |628 882,00| | [400,500[ |586 956,00| | [500,600[ |545 032,00| | [600,700[ |503 106,00| | [700,800[ |461 180,00| | [800,900[ |419 255,00| | [900,1000[ |377 331,00| | [1000,1100[ |335 404,00| | [1100,1200[ |293 479,00| | [1200,1300[ |251 552,00| | [1300,1400[ |209 627,00| | [1400,1500[ |167 702,00| | [1500,1600[ |125 776,00| | [1600,1700[ |83 850,00 | | [1700,1800[ |41 927,00 |

|Séjours donnant lieu à la facturation du forfait pour la chirurgie| Forfait | |------------------------------------------------------------------|------------| | < 100 |1 677 020,00| | [100,200[ |1 593 169,00| | [200,300[ |1 509 319,00| | [300,400[ |1 425 467,00| | [400,500[ |1 341 617,00| | [500,600[ |1 257 765,00| | [600,700[ |1 173 914,00| | [700,800[ |1 090 063,00| | [800,900[ |1 006 213,00| | [900,1000[ | 922 361,00 | | [1000,1100[ | 838 511,00 | | [1100,1200[ | 754 658,00 | | [1200,1300[ | 670 808,00 | | [1300,1400[ | 586 956,00 | | [1400,1500[ | 503 106,00 | | [1500,1600[ | 419 255,00 | | [1600,1700[ | 335 404,00 | | [1700,1800[ | 251 552,00 | | [1800,1900[ | 167 702,00 | | [1900,2000[ | 83 850,00 |

|Accouchements donnant lieu à la facturation du forfait pour l'obstétrique|Part de marché en obstétrique| Forfait | |-------------------------------------------------------------------------|-----------------------------|------------| | < 600 | > 80 % |1 149 960,00| | < 600 | [60,80[ | 862 472,00 | | < 600 | < 60 % | 574 976,00 | | [600,700[ | > 80 % |1 006 215,00| | [600,700[ | [60,80[ | 754 663,00 | | [600,700[ | < 60 % | 503 104,00 | | [700,800[ | > 80 % | 862 470,00 | | [700,800[ | [60,80[ | 646 854,00 | | [700,800[ | <60 % | 431 232,00 | | [800,900[ | > 80 % | 718 725,00 | | [800,900[ | [60,80[ | 539 045,00 | | [800,900[ | < 60 % | 359 360,00 | | [900,1000[ | > 80 % | 574 980,00 | | [900,1000[ | [60,80[ | 431 236,00 | | [900,1000[ | < 60 % | 287 488,00 | | [1000,1100[ | > 80 % | 431 235,00 | | [1000,1100[ | [60,80[ | 323 427,00 | | [1000,1100[ | < 60 % | 215 616,00 | | [1100,1200[ | > 80 % | 287 490,00 | | [1100,1200[ | [60,80[ | 215 618,00 | | [1100,1200[ | <60 % | 143 744,00 | | [1200,1300[ | > 80 % | 143 745,00 | | [1200,1300[ | [60,80[ | 107 809,00 | | [1200,1300[ | < 60% | 71 872,00 |

II. - Tarifs des forfaits annuels des activités isolées des établissements de santé mentionnés au d de l'article L. 162-22 du code de la sécurité sociale :

|Séjours donnant lieu à la facturation du forfait pour la médecine| Forfait | |-----------------------------------------------------------------|----------| | < 100 |603 727,00| | [100,200[ |570 188,00| | [200,300[ |536 647,00| | [300,400[ |503 106,00| | [400,500[ |469 566,00| | [500,600[ |436 024,00| | [600,700[ |402 485,00| | [700,800[ |368 945,00| | [800,900[ |335 404,00| | [900,1000[ |301 865,00| | [1000,1100[ |268 323,00| | [1100,1200[ |234 783,00| | [1200,1300[ |201 242,00| | [1300,1400[ |167 702,00| | [1400,1500[ |134 161,00| | [1500,1600[ |100 621,00| | [1600,1700[ |67 081,00 | | [1700,1800[ |33 541,00 |

|Séjours donnant lieu à la facturation du forfait pour la chirurgie| Forfait | |------------------------------------------------------------------|------------| | < 100 |1 341 617,00| | [100,200[ |1 274 536,00| | [200,300[ |1 207 454,00| | [300,400[ |1 140 373,00| | [400,500[ |1 073 294,00| | [500,600[ |1 006 213,00| | [600,700[ | 939 130,00 | | [700,800[ | 872 050,00 | | [800,900[ | 804 970,00 | | [900,1000[ | 737 890,00 | | [1000,1100[ | 670 808,00 | | [1100,1200[ | 603 727,00 | | [1200,1300[ | 536 647,00 | | [1300,1400[ | 469 566,00 | | [1400,1500[ | 402 485,00 | | [1500,1600[ | 335 404,00 | | [1600,1700[ | 268 323,00 | | [1700,1800[ | 201 242,00 | | [1800,1900[ | 134 161,00 | | [1900,2000[ | 67 081,00 |

|Accouchements donnant lieu à la facturation du forfait pour l'obstétrique|Part de marché en obstétrique| Forfait | |-------------------------------------------------------------------------|-----------------------------|----------| | < 600 | > 80 % |919 960,00| | < 600 | [60,80[ |689 976,00| | < 600 | < 60 % |459 976,00| | [600,700[ | > 80 % |804 965,00| | [600,700[ | [60,80[ |603 729,00| | [600,700[ | < 60% |402 479,00| | [700,800[ | > 80% |689 970,00| | [700,800[ | [60,80[ |517 482,00| | [700,800[ | < 60 % |344 982,00| | [800,900[ | > 80 % |574 975,00| | [800,900[ | [60,80[ |431 235,00| | [800,900[ | < 60 % |287 485,00| | [900,1000[ | > 80 % |459 980,00| | [900,1000[ | [60,80[ |344 988,00| | [900,1000[ | < 60 % |229 988,00| | [1000,1100[ | > 80 % |344 985,00| | [1000,1100[ | [60,80[ |258 741,00| | [1000,1100[ | < 60 % |172 491,00| | [1100,1200[ | > 80 % |229 990,00| | [1100,1200[ | [60,80[ |172 494,00| | [1100,1200[ | < 60 % |114 994,00| | [1200,1300[ | > 80 % |114 995,00| | [1200,1300[ | [60,80[ |86 247,00 | | [1200,1300[ | < 60 % |57 497,00 |