Provider Details

Provider Name / Group BHASKAR RAJU HOSPITAL

Location RAJAHMUNDRY
State ANDHRA PRADESH
Tariff Effective
Hospital Code (PRN)
Date
Tariff Locking
Discount details 10% on Total Bill 3 Years
Period
Discount wll be applicable on Packages ( SP & MMP ) & Non Packages /
Discount Remarks
Open Billing
Part 1 - Surgical Package Rates
Room Category
Category Sub Category Inclusions Exclusions General Twin Sharing Remarks
Single AC
Ward AC
Caesarean Section / LSCS (with well baby
Obs. and Gynae A,B,C,D - -
care)
Obs. and Gynae Ectopic Pregnancy - LAP A,B,C - Same for Open
Obs. and Gynae Forceps/Vaccum Delivery A,B,C,D - -
Obs. and Gynae Instumental Delivery (with well babay care) A,B,C,D - -
Obs. and Gynae Hysterectomy - Vaginal A,B,C - -
Obs. and Gynae Hysterectomy Abdominal A,B,C - -
Obs. and Gynae Hysterectomy with Salphingoopherectomy A,B,C - -
Inclusive of BSO or TLH (Total
Obs. and Gynae Lap Hystrectomy (Abdominal/Vaginal) A,B,C -
Laproscopic Hystractomy)
Obs. and Gynae Lap. Ovarian Cystectomy A,B,C - -
Obs. and Gynae Laproscopic Assisted Vaginal Hysterectomy A,B,C - -
Obs. and Gynae MTP/ D & C A,B,C - -
Obs. and Gynae Myomectomy - LAP A,B,C - Same for Open
Normal Delivery - with or without episiotomy
Obs. and Gynae A,B,C,D - -
(with well baby care)
Obs. and Gynae Ovarain Cyst / Tumor - Open A,B,C - -
Obs. and Gynae Vaginal Vault Ovarian Drilling A,B,C - -
Obs. and Gynae Laproscopic Ovarian Drilling A,B,C - -

Part 2 - Non Package Based Charges (Applicable only if the procedure is not mentioned in the Part 1 list)
Room Category
Grade of Surgery Particulars Twin
General Ward Single AC
Sharing
Surgeon/Procedure charges
GRADE I

1
 GRADE I
OT charges
Minor Surgery
Anesthesist Charges
Surgeon/Procedure charges
GRADE II OT charges
Intermidiate Surgery
Anesthesist Charges
Surgeon/Procedure charges
GRADE III OT charges
Major Surgery Anesthesist Charges
Anesthesia (medicines) Charges
Surgeon/Procedure charges
Assistant Charges
GRADE IV OT charges
Supra Major Surgery Anesthesist Charges
Anesthesia (medicines) Charges
OT Gases
Surgeon/Procedure charges
Assistant Charges
GRADE V OT charges
Supra Major Plus
Anesthesist Charges
Surgery
Anesthesia (medicines) Charges
OT Gases

Part 3 - General Hospital Charges - For Non package procedure/Non Surgical Cases
Charges
Room Type - AMHI Room Rent + Nursing + RMO + Dietician & Doctor Visit Super
Diet Charges charges Per Specialist
Day Charges /
Daycare
General Ward
Twin Sharing AC
Single AC
ICU/SICU/MICU/
CCU/HDU/NICU/
CTVS
Part 4 - Special Equipment/Investigations
Room / ICU
Charges OT Equipment Charges
Equipment
Ventilator (Upto 12
C-Arm Inclusive in O T Charges
Hrs.)

2
Ventilator (Upto 24
Laproscope Inclusive in O T Charges
Hrs.)
C-PAP Microscope Inclusive in O T Charges
Syringe Pump Ureteroscope Inclusive in O T Charges
Infusion Pump Hysteroscope Inclusive in O T Charges
Any other
Pulse Oxymeter Equipment Inclusive in OT/Dr.Charges
used in OT or
Air Bed
Monitor(ing)

Part 5 - Diagnostics (Special Investigatins)

Category Sub Category Charges
Diagnostic MRI Head with Contrast
Diagnostic MRI Head without Contrast
Diagnostic MRI Neck with Contrast
Diagnostic MRI Neck without Contrast
Diagnostic MRI Chest with Contrast
Diagnostic MRI Chest without Contrast
Diagnostic MRI Abdomen with Contrast
Diagnostic MRI Spine with Contrast
Diagnostic MRI Spine without Contrast
Diagnostic MRI Joints
Diagnostic MRI Pelvis
Diagnostic CT Head with Contrast
Diagnostic CT Head without Contrast
Diagnostic CT Neck with Contrast
Diagnostic CT Neck without Contrast
Diagnostic CT Chest with Contrast
Diagnostic CT Chest without Contrast
Diagnostic CT Abdomen with Contrast
Diagnostic CT Abdomen without Contrast
Diagnostic CT Spine with Contrast
Diagnostic CT Spine without Contrast
Diagnostic CT Pelvis with Contrast
Diagnostic CT Pelvis without Contrast
Diagnostic CT Joints
Diagnostic EEG ( Electro Encephalo graphy )
Diagnostic CSF Culture ( Cerebro Spinal Fluid )

3
Diagnostic Chest Xray AP/PA View
Diagnostic Xray Knee - AP/PA View - Left
Diagnostic Xray Knee - AP/PA View - Right
Diagnostic Bone Mineral Density Test
Diagnostic USG Abdomen
Diagnostic USG Limbs
Diagnostic Pap Smear
Diagnostic PSA ( Prostrate Specific Test )
Diagnostic ECG
Diagnostic Echo
Diagnostic TMT
Diagnostic Trop - T Test
Diagnostic Holter Monitoring
Diagnostic Liver Funtion Test (LFT)
Diagnostic Kidney Funtion Test (KFT)
Diagnostic Blood Glucose Fasting & PP
Diagnostic HbA1c
Diagnostic Lipid Profile
Diagnostic Thyroid Profile
Diagnostic Urine Examination
Diagnostic Urine RE/ME
Diagnostic Urine C/S
Diagnostic Urine for Glucose & Albumin
Diagnostic Complete Blood Count
Diagnostic Haemoglobin (Hb)
Diagnostic Blood Group
Diagnostic Blood Urea
Diagnostic HBsAg
Diagnostic HIV
Diagnostic HCV
ELISA ( Enzyme linked Immunosorbent
Diagnostic
Assay )
Diagnostic Widal Test
Diagnostic Dengue test ( IgM & IgG )
Diagnostic Total Cholestrol
Diagnostic Electrolytes
Diagnostic Thyroid Funtion Test (TFT)

4
 Renal Function Test (Blood urea, Creatinine,
Diagnostic
Uric acid)
Diagnostic Serum Electrolytes (Na, K, Cl)
Diagnostic Serum Calcium and Phosphorus
Vitamin Profile (Vit. D, Vit. B12 and Folic
Diagnostic
acid)
Diagnostic Colonoscopy
Diagnostic Sigmoidoscopy
Diagnostic Platelet Count
Diagnostic ESR
Diagnostic Mammography
Diagnostic Pleural Fluid Culture
Diagnostic PUS Culture
Diagnostic Sputum Culture
Diagnostic NCV ( Nerve Conduction Velocity ) Test
Diagnostic Bronchoscopy

Part 6 - Medical Management Package Rates

Room Category
Category Sub Category Exclusions General Twin Sharing LOS
Single AC
Ward AC
MMP AGE Management 3
MMP LRTI Management 3
MMP Medical Management of acid peptic disease 3
MMP Medical Management of UTI 3
MMP Dengue Fever / Chicungunia 5
MMP Malaria 3
MMP Seizures 3
MMP Typhoid and Paratyphoid ICU / Blood 5
MMP Upper Respiratory Tract Infection Infusions / 3
MMP Viral Fever With AGE Investigations 3
MMP Viral Fever With Diarrhoea 3
MMP Meningitis 5
MMP Septicemia 3
MMP Thrombolysis of Myocardial Infarction 5
MMP Viral Fever 3
AGE with Pancreatitis / Cholelithiasis /
MMP 3
Hepatitis

5
 Day Care Procedures
Operations on the female Reproductive organs
1 Incision of the ovary
2 Insufflation of the Fallopian tubes
3 Other operations on the Fallopian tube
4 Dilatation of the cervical canal+
5 Conisation of the uterine cervix
6 Other operations on the uterine cervix
7 Incision of the uterus (hysterotomy)
8 Therapeutic curettage
9 Culdotomy
10 Incision of the vagina
Local excision and destruction of diseased
11
tissue of the vagina and the pouch of Douglas
12 Incision of the vulva
13 Operations on Bartholin’s glands (cyst)

Index Definitions
Doctor's fee/Visit Charges/cross-consultation charges, OT charges, OT gas charges Anaesthetic Charges,
A Inclusions Medicines, pre-op & post op Investigations, Surgeon charges, Asst Surgeon Charges, Room rents, Nursing
charges, Lap Charges(if applicable), Oxygen Charges, all type of Monitor Charges
B Implants IOL, Pacemaker, Ortho prosthesis, Stents, staplers, mesh, Valve charges, Coil charges
C Others IABP, Cement charges, Catheter charges, Dye charges
D Baby Charges Charges occurred against routine care of baby
NOTE: ALOS (Average Length of stay) and billing rule will be followed as per WHO/MCI/GIPSA guideline.
Other Terms & Conditions
1) If multiple procedures are performed at single session, First will be paid 100%, Second 50% & subsequent 25%.
2) Single A/C Accommodation as the high end (Even if patient opts for above Single A/C Room, hospital will charge as that of Single A/c only). No any difference amount to
3) Above Mentioned Tariff holds good for all TPA bearing Apollo Munich Health Insurance Company Health Card.
4) Hospital will not charge consultation fee of treating doctor for the day of surgery.
5) Hospital will not charge Assistant Surgeon Fee for the day care/ common surgeries (Expect Major/ Super major Surgeries).
6) Hospital will raise bill as per agreed tariff & discount for all cases including cashless rejected cases and reflect the same in final bill issued to the patient.
7) Any special equipment utilized for the procedure will not be charged additionally and will be a part of OT charges.
8) Hospital will charge NME ( Non Medical Expenses ) wherever applicable from the patient and mention the same on hospital bill.