{"id":1348,"date":"2026-05-23T10:00:00","date_gmt":"2026-05-23T13:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1348"},"modified":"2026-05-23T10:00:00","modified_gmt":"2026-05-23T13:00:00","slug":"mito-pgrss-proporcional-volume-rss-pequeno","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/mito-pgrss-proporcional-volume-rss-pequeno\/","title":{"rendered":"Mito: PGRSS \u00e9 proporcional ao volume \u2014 n\u00e3o"},"content":{"rendered":"<h2>O mito<\/h2>\n<p>&#8220;Eu gero s\u00f3 5 kg\/m\u00eas, ent\u00e3o pago 1\/10 de quem gera 50 kg\/m\u00eas \u2014 \u00e9 s\u00f3 fazer regra de 3&#8221; \u2014 gestor pequena cl\u00ednica.<\/p>\n<p><strong>Errado.<\/strong> PGRSS <strong>n\u00e3o \u00e9 proporcional ao volume linear<\/strong> \u2014 \u00e9 proporcional a <strong>complexidade + porte + risco operacional<\/strong>. RDC 222\/2018 art. 4 classifica gerador por <strong>complexidade<\/strong> (microempresa n\u00e3o tem al\u00edquota, hospital terci\u00e1rio tem). Volume pesa pouco; <strong>tipo de res\u00edduo + risco RT + auditoria + capacita\u00e7\u00e3o<\/strong> pesam mais.<\/p>\n<h2>Tabela 5 fatores que afetam custo PGRSS<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fator<\/th>\n<th>Peso no custo<\/th>\n<th>Por qu\u00ea<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Complexidade RSS (Grupos A+B+C+E vs s\u00f3 D)<\/td>\n<td>Alto (40-50%)<\/td>\n<td>Coletora especializada + EPI<\/td>\n<\/tr>\n<tr>\n<td>Porte\/\u00e1rea (m\u00b2) \u2014 RDC 36 + Sanit\u00e1ria local<\/td>\n<td>Alto (20-30%)<\/td>\n<td>Custo fixo abrigo + auditoria<\/td>\n<\/tr>\n<tr>\n<td>Frequ\u00eancia coleta (m\u00ednima 2x\/sem A1)<\/td>\n<td>M\u00e9dio (15-20%)<\/td>\n<td>Caminh\u00e3o dedicado<\/td>\n<\/tr>\n<tr>\n<td>Volume kg\/m\u00eas<\/td>\n<td><strong>Baixo (5-15%)<\/strong><\/td>\n<td>Marginal p\u00f3s custo fixo<\/td>\n<\/tr>\n<tr>\n<td>Localiza\u00e7\u00e3o (interior vs metr\u00f3pole)<\/td>\n<td>M\u00e9dio (10-20%)<\/td>\n<td>Log\u00edstica reversa<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Cap\u00edtulo curva de custo real<\/h2>\n<p>Pequena cl\u00ednica n\u00e3o paga 1\/10 de hospital \u2014 paga <strong>15-30%<\/strong> dependendo do mix:<\/p>\n<ul>\n<li><strong>MEI 1 procedimento\/dia (5 kg\/m\u00eas):<\/strong> R$ 80-180\/m\u00eas (5R kg)<\/li>\n<li><strong>Cl\u00ednica 30 procedimentos\/dia (50 kg\/m\u00eas):<\/strong> R$ 300-600\/m\u00eas (10R kg) \u2014 menor R$\/kg<\/li>\n<li><strong>Hospital 200+ leitos (1.500 kg\/m\u00eas):<\/strong> R$ 6-15k\/m\u00eas (4-10R kg) \u2014 economia escala<\/li>\n<\/ul>\n<p>A cl\u00ednica pequena tem <strong>MAIOR R$\/kg<\/strong> por causa de custo fixo (RT + ART + abrigo + auditoria) dilu\u00eddo em pouco volume.<\/p>\n<h2>3 perfis afetados pelo mito<\/h2>\n<p><strong>Consult\u00f3rio dentista solo:<\/strong> R$ 80-150\/m\u00eas mesmo com 3 kg.<\/p>\n<p><strong>Cl\u00ednica 5 m\u00e9dicos:<\/strong> R$ 200-400\/m\u00eas com 12-25 kg.<\/p>\n<p><strong>Hospital pequeno:<\/strong> R$ 1500-3500\/m\u00eas com 200-400 kg.<\/p>\n<h2>Sinal vermelho<\/h2>\n<ul>\n<li>Cota\u00e7\u00e3o &#8220;R$\/kg fixo&#8221; \u2014 provedor inadequado<\/li>\n<li>Cl\u00ednica pequena sem RT mensal \u2014 economia falsa<\/li>\n<li>Ignorar Grupo B\/E porque &#8220;volume baixo&#8221; \u2014 multa garantida<\/li>\n<\/ul>\n<h2>A verdade<\/h2>\n<p>PGRSS \u00e9 <strong>opera\u00e7\u00e3o fixa + vari\u00e1vel<\/strong>: 70% custo fixo (RT + abrigo + capacita\u00e7\u00e3o) + 30% vari\u00e1vel (kg + complexidade). Pequena cl\u00ednica n\u00e3o paga proporcional \u2014 paga <strong>menor absoluto<\/strong>, <strong>maior R$\/kg<\/strong>.<\/p>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite diagn\u00f3stico PGRSS realista<\/a><\/strong> \u2014 diagn\u00f3stico complexidade + porte + frequ\u00eancia ideal.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mito: cl\u00ednica pequena com pouco RSS paga proporcional. RDC 222 cobra complexidade + porte.<\/p>\n","protected":false},"author":3,"featured_media":1347,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[1834,2273,22,2272],"class_list":["post-1348","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-mito","tag-porte-clinica","tag-rdc-222","tag-volume-rss"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1348","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1348"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1348\/revisions"}],"predecessor-version":[{"id":3915,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1348\/revisions\/3915"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1347"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1348"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1348"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1348"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}