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Schedule of Charges
w.e.f. : 01.09.2008

INDEX
S.No.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Anesthesia Ayurvedic Treatment Cardiac Monitoring CCU/ICU / Ped. ICU / Post Op. ICU and Board Colposcopic Procedures C.T. Scan Delivery Fee Dialysis [In Patient] Dialysis [O.P.D.] Diet for Attendant Dressing E.C.G. Echocardiography / Carotid Doppler E.E.G. [Electro Encephalogram] Endoscopic Procedures Exchange Blood Transfusion Holter Monitor Hospital Consultation

CHARGING HEAD

19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44

Hospital Doctor's Fee Incubator Laboratory Laser Procedures NNU - Nursery Nursing Care O.B. Booking Advance O.P.D. Charges Oxygen Photo Therapy Physio-Therapy Room / Bed and Board Special Equipment Surgery Fee : E.N.T. Surgery Fee : General Surgery Surgery Fee : Miscellaneous Surgery Fee : Neuro Surgery Surgery Fee : O.B. & Gyne Surgery Surgery Fee : Ophthalmology Surgery Fee : Orthopedics Surgery Fee : Plastic Surgery Surgery Fee : Pediatric Surgery Surgery Fee : Thoracic Surgery Fee : Urology Surgery Fee : Vascular Operating Room

45 46 47 48 49 50

T.M.T. [Tread Mill Test] Treatment Ultra-Sonography Ventilator Visiting Consultant's Fee X-Ray

General Information:
1. Accommodation Categories:ACCOMMODATION CATEGORIES :PR = Private (Single) Room SPR = Semi Private Room (Two beds in a Room) NSB = Non-Subsidised Bed (Four or five beds in a Room) SB = Subsidised Bed

2.

Room / Bed Charges:(a) Room charges are for full day on the day of admission irrespective of the time of checking in. (b) If a patient is discharged within 24 hrs of admission, room / bed will be charged for one day only irrespective of calender days. (c) 6 hours and above upto 24 hours of admission is counted as one day. (d) For stay less than 6 hours Room/bed will be charged for half a day. (e) Patients admitted in labor room will be charged same as their booked accommodation's room / bed charges irrespective of where they are accommodated in the labor room. (f) Check out time is 11:00AM. (g) Room / Bed charges are inclusive of charges for bed and Diet Services for the patient only. If the patient is NPO, no food will be supplied to the attendant of the patient.

Diet for the attendant will be charged separately as per the Schedule of Charges. 3. Surgical & Doctor's visits fee (Hospital Case):(a) If more than one surgeon performs different procedures at the same time on a particular patient, the surgical fee for each surgery will be charged in full separately. (b) If a surgeon performs more than one surgery (as per categorisation in the schedule of charges) at a single opening or incision. The higher one will be charged in full, Ist lesser one will be charged at 50% and the 2nd lesser or more thereafter will be charged at 25%. (c) If a surgeon performs more than one surgery with different incisions, the surgical fee for each procedure will be charged in full. (d) If a single procedure is performed by more than one surgeon, only the single fee as per schedule of charges will be charged. (e) Surgeon's Post Operative visits will not be charged for next 5 days including day of surgery. (f) In case the patient is shifted from lower to higher category, the charges for surgical procedure/s, doctor/s visits, Nursing Care and any other professional fees will be charged as per the higher category from the date of admission. (g) In normal course, shifting from higher category to lower category is not allowed. (h) Any treating consultant / physician can charge only one visit per day irrespective of the number of visits. Private Patients of Visiting Consultants:The Visits and / or Surgical charges mentioned in this Schedule of Charges and point no. 3 mentioned above will not be applicable to patients admitted by Visiting Consultants as their 'PRIVATE PATIENT'. Visiting Consultants are free to charge a differential fee for their Private Patients, but this will be billed and collected by the hospital on their behalf.
DESCRIPTION Back to top ACCOMMODATION CATEGORY

4.

CODE

ROOM / BED AND BOARD

01:01
001

ROOM / BED AND BOARD

Room / Bed and Board : Per Day

PR 2500.00

SPR 1500.00

NSB 900.00 Back to top

CCU/ICU/PED ICU/POST OP. ICU AND BOARD CHARGES

02:01
001 002 003 Note :-

CCU/ICU/PED ICU/POST OP. ICU AND BOARD CHARGES

ICU / CCU / P.Op. ICU and Board Charges : Per Day Ped. ICU / 305 and Board Charges : Per Day Intensive Nursing Care Unit - 415 3000 1000 1500 3000 1000 1500 3000 1000 1500

ICU / CCU (Intensive / Coronary Care Unit) / Post-op. ICU and Ped. ICU charges include bed and monitoring charges for all vital parameters. All other service charges will be as per the category in which the patient is admitted. Back to top

CARDIAC MONITOR CHARGES

03:01
001

CARDIAC MONITORING PER DAY

Cardiac Monitor : Per Day
WHEN MONITORED IN WARD/ISOLATION.

PR 500

SPR 500

NSB 400 Back to top

HOSPITAL DOCTOR'S FEE

05:01
001 003

MEDICAL CARE : PER DAY

Hospital Doctor's Fee / Medical Care : Per Day Hospital Doctor's Fee (for Baby) upto 5-days stay

PR 500 1500

SPR 400 1200

NSB 300 900

06:01
001

DELIVERY FEE
Normal Delivery

PR 5500

SPR 5000

NSB 4000

002

Forceps Delivery

6000

5500

4500 Back to top

SURGICAL FEE
07:01
039 001 018 021 044 020 002 013 050 057 060 061 055 017 037 062 063 034 048 058 035 051 003 004 005 006

GENERAL SURGERY
Adrenalectomy Appendicectomy Aspiration of Superficial Cold Abscess Axillary Lymph Node Biopsy Block Dissection Neck Cervical Lymph Node Biopsy Cholecystectomy with Duct Exploration Colectomy with Ileostomy Colostomy Colostomy Closure Debridement ( large) Debridement ( small) Diverticulectomy Drainage of Small Abscess Duodenal Diverticulam Excision Biopsy-Superficial Lumps Excision of large superficial soft tissue mass / tumour (trunk / limbs) Excision of Mesenteric Cyst Excision of Pilonidal Sinus Excision of Sebaceous Cyst Excision of Small Intestinal Fistula Excision of Submandibular Gland Exploratory Laparotomy Only Gastrectomy Gastrectomy with Vagotomy Gastrojejnostomy

PR 14500 9000 1500 5000 18000 3500 14000 14500 7500 10000 4000 2500 8500 1500 18000 5000 9000 11000 9000 3000 12000 7000 6000 14000 15000 10000

SPR 11600 7200 1200 4000 14400 2800 11200 11600 6000 8000 3200 2000 6800 1200 14400 4000 7200 8800 7200 2400 9600 5600 4800 11200 12000 8000

NSB 8700 5400 900 3000 10800 2100 8400 8700 4500 6000 2400 1500 5100 900 10800 3000 5400 6600 5400 1800 7200 4200 3600 8400 9000 6000

007 008 033 046 012 064 025 059 024 009 065 054 066 067 068 069 070 071 072 073 074 075 076 077 078 049 011 010 079 041 056

Gastrojejunostomy with Vagotomy Gastrostomy Gland Biopsy Hemi Thyroidectomy Hemicolectomy Highly selective vagotomy Ileotransverse Colostomy Intestinal Obstruction Intestinal Perforation Intestinal Resection with Anastomosis Laparoscopic Appendicectomy Laparoscopic Cholecystectomy Laparoscopic derooting of non-hydatid liver cyst Laparoscopic drainage of intra-abdominal collection Laparoscopic drainage of liver abscess Laparoscopic duodenal perforation closure Laparoscopic gastric perforation closure Laparoscopic gastro - jejunostomy ( GJ) Laparoscopic truncal vagotomy & gastro-jejunostomy Laparotomy & bowel resection for intussusception Laparotomy & closure of intestinal perforation Laparotomy & reduction of intussusception Laparotomy and division of intra-abdominal adhesions / bands Left hepatectomy Left liver lobectomy Ligation of Varicose Veins : Unilateral Lysis of Adhesion with Bowel Resection withAnastomosis Lysis of Intestinal Adhesion Multiple intestinal Resection with Anastomosis Oesophago Gastrectomy Omentectomy

14000 7000 3500 11000 14000 9500 12000 10000 9500 9000 9000 11000 14000 10000 14000 14000 14000 14000 16000 10000 10000 10000 10000 18000 19000 8500 12000 9500 14000 18000 8500

11200 5600 2800 8800 11200 7600 9600 8000 7600 7200 7200 8800 11200 8000 11200 11200 11200 11200 12800 8000 8000 8000 8000 14400 15200 6800 9600 7600 11200 14400 6800

8400 4200 2100 6600 8400 5700 7200 6000 5700 5400 5400 6600 8400 6000 8400 8400 8400 8400 9600 6000 6000 6000 6000 10800 11400 5100 7200 5700 8400 10800 5100

080 040 042 047 043 027 014 015 081 038 030 082 083 053 026 016 084 019 045 031 029 023 085 086

Open Cholecystectomy Operation for Pancreas Pancreatico Duodonectomy Parathyroidectomy Parotidectomy Partial Subtotal Gastrectomy Ca. / Ulcer Pyloromyotomy (Ramstedt's) Pyloroplasty with Vagotomy Radical cholecystectomy ( liver bed excision with bile duct excision + lymph nodal dissection) Recurrent Intestinal Obstruction Repair of Common Bile Duct (C.B.D.) Resuturing of Wounds - Large Resuturing of Wounds - Small Secondary Suturing of Abdominal Wall Sigmoid Diverticulum Splenectomy Sub-total Colectomy Suturing of Small Wounds Thyroidectomy Total Total Colectomy Total Gastrectomy for Ca. Trucut Needle Biopsy Truncal vagotomy & gastro - jejunostomy Truncal vagotomy & pyloroplasty

11000 18000 18000 11000 14500 14000 9500 12000 17500 10000 18000 4000 3000 5000 12000 12000 14000 1500 13000 18000 15000 2000 14000 16000 PR 18000 4000 9000 12000

8800 14400 14400 8800 11600 11200 7600 9600 14000 8000 14400 3200 2400 4000 9600 9600 11200 1200 10400 14400 12000 1600 11200 12800 SPR 14400 3200 7200 9600

6600 10800 10800 6600 8700 8400 5700 7200 10500 6000 10800 2400 1800 3000 7200 7200 8400 900 7800 10800 9000 1200 8400 9600 Back to top NSB 10800 2400 5400 7200

07:02
007 002 008 009

RECTAL SURGERY
Abdominal Perineal Resection for Ca. Rectum Anal Dilatation Anterior Resection Anterior Resection with Total Mesorectal excision (TME)

001 003 004 005 006 010

Fissurectomy Fistulectomy Haemorrhoidectomy I. & D. of Ischio-Rectal Abscess Rectal Polyp Excision Stapled Haemorrhoidectomy (Cost of Stapler extra)

6000 6000 7500 3500 3500 9000 PR 3500 6000 5000 3500 5000 14500 8000 6000 PR 12000 9500 9500 12000 9000 6000 18000 9000 7000 13000 9500 9500

4800 4800 6000 2800 2800 7200 SPR 2800 4800 4000 2800 4000 11600 6400 4800 SPR 9600 7600 7600 9600 7200 4800 14400 7200 5600 10400 7600 7600

3600 3600 4500 2100 2100 5400 Back to top NSB 2100 3600 3000 2100 3000 8700 4800 3600 Back to top NSB 7200 5700 5700 7200 5400 3600 10800 5400 4200 7800 5700 5700

07:03
001 006 002 003 008 005 004 007

BREAST SURGERY
Biopsy of Breast Excision of Mammary Fistula Excision of Small Fibroadenoma I. & D. of Breast Abscess Lumpectomy Mastectomy Radical with Aux. Lymph Nodes Mastectomy Simple Segmental Resection of Breast

07:04
013 008 009 010 014 006 017 018 001 015 012 002

HERNIA SURGERY
Abdominoplasty with Mesh Epigastric Hernia (Thoracic) Femoral Hernia Hiatus Hernia Hydrocelectomy : Bilateral Hydrocelectomy : Unilateral Incisional hernia repair with abdominoplasty Inguinal Hernia : Bilateral Inguinal Hernia : Unilateral Inguinal Hernia with Mesh Repair : Bilateral Inguinal Hernia with Mesh Repair : Unilateral Inguinal Hernia with orchidectomy

019 020 021 022 023 024 025 026 027 028 029 030 031 007 032 003 033 034 011 005 004

Laparoscopic epigastric hernia repair - transabdominal intra-peritoneal on lay mesh Laparoscopic epigastric hernia repair - transabdominal pre-peritoneal inlay mesh Laparoscopic fundoplication (Dor's) & hiatus hernia repair Laparoscopic fundoplication (Nissen) & hiatus hernia repair Laparoscopic Inguinal Herniorrhaphy B/L Laparoscopic Inguinal Herniorrhaphy U/L Laparoscopic Inguinal Herniorrhaphy+Mesh B/L Laparoscopic Inguinal Herniorrhaphy+Mesh U/L Laparoscopic lumbar hernia repair Laparoscopic total extra- peritoneal mesh repair of femoral hernia ( TEP ) - bilateral Laparoscopic total extra - peritoneal mesh repair of femoral hernia ( TEP ) - unilateral Laparoscopic umbilical hernia repair - transabdominal intraperitoneal onlay mesh Nissen fundoplication & hiatus hernia repair Orchidectomy : Unilateral or Bilateral Recurrent Hernia (Incisional) B/L Recurrent Hernia (Incisional) U/L Recurrent Hernia with Mesh B/L Recurrent Hernia with Mesh U/L Strangulated Hernia Umbilical Hernia Ventral Hernia (Incisional)

10000 10000 14000 14000 9500 7500 15000 11000 14000 14000 12000 10000 14000 7000 12000 11000 13000 12000 11500 7000 9500

8000 8000 11200 11200 7600 6000 12000 8800 11200 11200 9600 8000 11200 5600 9600 8800 10400 9600 9200 5600 7600

6000 6000 8400 8400 5700 4500 9000 6600 8400 8400 7200 6000 8400 4200 7200 6600 7800 7200 6900 4200 5700 Back to top

O.B. & GYNAE SURGERY

033 038 Abdominal Hysterectomy Anterior & Posterior Colporrhaphy

PR 14000 7000

SPR 11200 5600

NSB 8400 4200

062 055 029 054 030 028 056 063 027 043 052 064 060 061 025 026 044 041 040 048 058 065 057 037 059 053 005 034 045 046 031

Complete perineal Tear Repair Cryosurgery D. & C. with Cervix Biopsy Diagnostic Laproscopy Dilatation & Curettage (D.& C.) Dilatation & Evacuation (D. & E.) Drainage of Abscess : Bartholins Cyst Drainage of Abscess : Pelvic Abscess E.U.A. (Examination under Aneasthesia) Endoscopic Cyst Aspiration Endoscopic Polypectomy Fothergils Operation for Prolapse Hematoma Drainage Hymenectomy Hysteroscopy Hysteroscopy with D. & C. L.S.C.S. L.S.C.S. with Hysterectomy L.S.C.S. with Tubectomy Labial Cyst Laproscopic Assisted Vaginal Hysterectomy (LAVH) Laproscopic Ectopic Pregnancy Laprotomy for Ectopic Pregnancy / Twisted Ovarian Mac Donald Stitch Manual Removal of Placenta Myomectomy Non Descent Vaginal Hysterectomy Oophrectomy / Salpingectomy Ovarectomy Ovarian Cystectomy Panhysterectomy / TAH with BSO

2000 5000 3500 7000 2500 2500 4000 4000 2000 8000 8000 8000 2500 2500 3000 5000 10000 14500 11000 5000 14500 9000 9000 2500 2500 11000 14000 8000 8000 8000 13000

1600 4000 2800 5600 2000 2000 3200 3200 1600 6400 6400 6400 2000 2000 2400 4000 8000 11600 8800 4000 11600 7200 7200 2000 2000 8800 11200 6400 6400 6400 10400

1200 3000 2100 4200 1500 1500 2400 2400 1200 4800 4800 4800 1500 1500 1800 3000 6000 8700 6600 3000 8700 5400 5400 1500 1500 6600 8400 4800 4800 4800 7800

042 066 067 035 068 032 069 070 071 047

Repair of Vesico-Vaginal Fistula Resuturing of Abdominal Wound Resuturing of Episiotomy Wound Salpingo-Oophrectomy Shirodkar Suture / Cervical Encirclage Procedure Vaginal Hysterectomy with Vaginal and Pelvic Floor Repair Vaginoplasty Vault Prolapse Repair : Abdominal Colpo-suspension Vault Prolapse Repair : Vaginal Route Wedge Resection of Ovary

14500 2000 2000 8000 3500 13000 15000 12000 12000 8000

11600 1600 1600 6400 2800 10400 12000 9600 9600 6400

8700 1200 1200 4800 2100 7800 9000 7200 7200 4800 Back to top

OPHTHALMOLOGY
022 038 039 040 Blepharoplasty, with Grafting, Upper or Lower Lid for Ectropion (Single Eye) 036 027 028 017 007 034 033 016 029 037 041 042 043 Capsulotomy Cataract Extraction / Glaucoma Cataract Extraction with I.O.L.Implantation Conj. Tear Corneal Grafting Cryopexy / Cyclocryo : Bilateral Cryopexy / Cyclocryo : Unilateral Cysts Lid Conj. Dacrocystorhinostomy Endoscopic Dacrocystorhinostomy Enucleation / Evisceration of Eye (without Implant) Enucleation / Evisceration with Implant Epicanthus + Telecanthus Correction AC Wash Blepharoplasty, Upper or Lower Lid for Ectropion (without Grafting) ( Single Eye) Blepharoplasty, Upper or Lower Lid for Entropion (without Grafting) ( Single Eye)

PR 5000 7000 7000 8500 5000 9000 12000 3000 13000 6000 4000 2000 9000 15000 5000 8500 12000

SPR 4000 5600 5600 6800 4000 7200 9600 2400 10400 4800 3200 1600 7200 12000 4000 6800 9600

NSB 3000 4200 4200 5100 3000 5400 7200 1800 7800 3600 2400 1200 5400 9000 3000 5100 7200

044 015 045 001 031 020 019 046 047 010 014 032 012 048 049 035 008 030 011 026 025 050 013 009

Epicanthus Correction Examination Under G.A. Exentration of Orbit + Socket Repair Extraction of Chalazion Intra-Ocular foreign Body Removal Lid Injury Major Lid Injury Minor Lid Tumors Excision & Repair (with Grafting or Flaps) Lid Tumors Excision & Repair (without Grafting or Flaps) Major Reconstructive Surgery Needling & Aspiration Perforating Injury Repair Phacoemulsification with I.O.L. Implantation Pterygium Surgery with Grafting Pterygium Surgery without Grafting Ptosis Retinal Detachment Surgery Retinal Detachment with Vitrectomy Socket Reconstruction Squint Correction: More than 2-Muscles Squint Correction: upto 2-Muscles Tarsorrhaphy Tumor of Iris Vitrectomy

6000 1500 11000 2500 12000 6000 3000 10000 6500 12000 2000 11000 13000 5000 2000 9000 12000 16000 12000 11000 8500 2500 12000 12000

4800 1200 8800 2000 9600 4800 2400 8000 5200 9600 1600 8800 10400 4000 1600 7200 9600 12800 9600 8800 6800 2000 9600 9600

3600 900 6600 1500 7200 3600 1800 6000 3900 7200 1200 6600 7800 3000 1200 5400 7200 9600 7200 6600 5100 1500 7200 7200 Back to top

ORTHOPEDICS SURGERY
UPPER LIMBS 094 093 168 169 Arthrodesis of Major Joints Arthrodesis of Minor Joints Arthroscopic Repair Shoulder for Recurrent Dislocation Arthroscopy Shoulder- Diagnostic

PR 11000 5000 15000 10000

SPR 8800 4000 12000 8000

NSB 6600 3000 9000 6000

091 081 074 003 082 092 090 089 083 086 004 075 076 095 088 078 079 080 084 001 096 077 097 002 087 085

Bone Grafting - Small Carpal Tunnel Decompression Closed Reduction Disarticulation - Shoulder Excision Head of Radius / Lower End Ulna External Fixations / Iliazarov Technique Major Amputations Minor Amputations Minor Procedures-Ganglion / Nail Removal O.R.I.F. with Nailing / Plating with Bone Graft O.R.I.F. with Plating with Bone graft [Both Bone] Open Reduction & K.Wire Fixation Open Reduction with Nailing / Plating Osteotomy and Corrective Surgery Putti Plate Reconstruction of Shoulder Reconstruction of Joints Repair of Tendons - 3 or Less Repair of Tendons -More than 3 Tendons Tendon Transfer & Repair Tendon Transfer Multiple Total Replacement - Elbow / Wrist Joint Total Replacement - Shoulder Trigger Thumb Triple Arthrodesis - Shoulder / Elbow / Wrist Ulnar Nerve Transfer Wound Debridement and Toiletting LOWER LIMBS

7000 7000 5000 12000 6500 10000 9000 4500 4000 12000 14000 7000 10000 11000 12000 10500 8000 13000 10500 12000 17000 20000 5000 12000 10500 5000

5600 5600 4000 9600 5200 8000 7200 3600 3200 9600 11200 5600 8000 8800 9600 8400 6400 10400 8400 9600 13600 16000 4000 9600 8400 4000

4200 4200 3000 7200 3900 6000 5400 2700 2400 7200 8400 4200 6000 6600 7200 6300 4800 7800 6300 7200 10200 12000 3000 7200 6300 3000 Back to top

115 148

Acetabular Reconstruction Amputation Through Femur & Tibia

15000 10000

12000 8000

9000 6000

149 142 143 116 133 134 128 113 112 098 170

Amputation Through Small Bones / Digits Arthrodesis : Ankle Arthrodesis : Knee Arthrodesis of Hip Arthrotomy : Hip / Knee / Shoulder Arthrotomy : Other Small Joints Biopsy : Bones C.D.H. (Open Reduction) C.D.H. (Red. & Spica) Closed Reduction Closed Reduction with Elevation and Cannulated Screw Fixation Tibial / Femoral Condyler Club Foot Release [CTEV] : Bilateral Club Foot Release [CTEV] : Unilateral Condylar Plating / D.C.S. Core Decompression and Fibular Grafting for AVN / Non-union Hip with Fixation Core Decompression and Fibular Grafting for AVN / Non-union Hip without Fixation Diagnostic Arthroscopy Disarticulation - Knee / Ankle Disarticulation Through Hip Drainage : Hip / Knee / Ankle / Spine Excision : Nail & Nail Bed / Ganglion External Fixation - Long Bones & Pelvis Failed Club Foot Fixator Correction Fixation & Plating - Pelvic Hallux Valgus / Varus Hemiarthroplasty with or without Cementing Interlocking Nailing Isolated Grafting : Minor / Core Harvesting

5000 11000 11000 15000 8000 7000 5000 14000 8000 5000 10000 11000 9000 11000 16000 14000 7000 7000 12000 4500 5000 12000 12000 12000 7000 15000 16000 5000

4000 8800 8800 12000 6400 5600 4000 11200 6400 4000 8000 8800 7200 8800 12800 11200 5600 5600 9600 3600 4000 9600 9600 9600 5600 12000 12800 4000

3000 6600 6600 9000 4800 4200 3000 8400 4800 3000 6000 6600 5400 6600 9600 8400 4200 4200 7200 2700 3000 7200 7200 7200 4200 9000 9600 3000

139 138 107 171 172 121 159 117 120 144 106 173 114 161 109 102 174

175 150 132 135 119 145 131 176 177 164 162 101 099 100 122 178 179 147 111 129 166 180 181 163 152 151 160 104

Isolated Grafting : Standard / Major Harvesting Limb Lengthening with Instrumentation Major Reconstruction : Nerve / Tendons (More than 3) Meniscectomy Minor Excision Biopsy of Swelling / Tumor Minor Procedures in Foot Minor Reconstruction : Nerves / Tendons Muscle Pedicle Grafting # Neck of Femur with Fixation O.R.I.F Ankle - Bimalleolar Fixation O.R.I.F. with Plating and Bone grafting [Both Bones] Open / Arthroscopic Ant. C. Ligament Reconstruction Open Reduction with Plating with Bone Grafting Open Reduction & K.Wire Fixations Open Reduction with Plating / DHS / K.Nailing / Flag Nail Operative Arthroscopy / Quadricepsplasty Osteomyelitis : Saucerisation / Sequestrectomy / Decompression of Bone-Long Bones Osteomyelitis : Saucerisation / Sequestrectomy / Decompression of Bone-Small Bones Osteotomy : Mid Foot Osteotomy Around Hip Patellectomy Pelvic Osteotomies Percutaneous Tenotomy (3 or less) Percutaneous Tenotomy (more than 3) Psoas / Para Vertebral Abscess Removal of Implants : Major Removal of Implants : Minor Revision Arthroplasty - Hip / Knee Skin Grafting - Major

9000 15000 13000 8000 4500 4500 10000 16000 10000 16500 14000 16000 7000 11000 11500 10000 6000 10000 12000 7500 12000 5000 7000 6500 5000 3000 25000 9000

7200 12000 10400 6400 3600 3600 8000 12800 8000 13200 11200 12800 5600 8800 9200 8000 4800 8000 9600 6000 9600 4000 5600 5200 4000 2400 20000 7200

5400 9000 7800 4800 2700 2700 6000 9600 6000 9900 8400 9600 4200 6600 6900 6000 3600 6000 7200 4500 7200 3000 4200 3900 3000 1800 15000 5400

105 136 137 153 146 140 127 123 130 124 125 110 126 165 118 103

Skin Grafting - Minor Synovectomy : Hip / Knee / Shoulder Synovectomy : Other Small Joints Targetted Delivery of Steroid Tendon Achilles / Repair & Reconstruction Tendon Transfers : Ankle / Foot Tendon Transfers Around Knee Tension Band Wiring : Isolated Med. Malleolus Tension Band Wiring : Patella Tibial / Femoral Oesteotomies Tibial Plateau Elevation & Fixation Total Hip Replacement Total Knee Replacement Triple Arthrodesis - Foot Tumor Excision & Reconstruction (Major) Wound Debridement & Toiletting SPINE

6000 8000 7000 2000 7500 10000 10000 8000 8000 12000 12000 22000 22000 12500 15500 5000

4800 6400 5600 1600 6000 8000 8000 6400 6400 9600 9600 17600 17600 10000 12400 4000

3600 4800 4200 1200 4500 6000 6000 4800 4800 7200 7200 13200 13200 7500 9300 3000 Back to top

157 158 154 155 156

Anterolateral Decompression Cervical Vertibrectomy Laminectomy (Lumbar / Cervical) Posterior / Anterior Fusion & Instrumentation Posterior / Anterior Fusion Only

15000 22000 18000 20000 16000

12000 17600 14400 16000 12800

9000 13200 10800 12000 9600

THORACIC SURGERY
008 040 024 030 036 Bronchoscopy - F.B.Removal / Biopsy Bullectomy Chest Aspiration Decortication Thoracotomy - Ex.Tumor Decortication with Lobectomy

PR 6000 18000 3000 16000 20000

SPR 4800 14400 2400 12800 16000

NSB 3600 10800 1800 9600 12000

001 014 041 025 028 038 009 032 026 023 027 033 031 034 042 029 015 037 039 043 012 044 035

Exploratory Thoracotomy Hiatus or Diaphragmatic Hernia Hydatid Cyst Intercostal Drainage Lobectomy - Wedge, Segment / Lobe Mediastinal Lymphnode Excision & Biopsy Mediastinal Tumor Excision Mitral Valvotomy Needle Biopsy- Pleura/Lung Oesophagoscopy with F.B.Removal Open Biopsy - Pleura/Lung Pericardectomy Pericardial Aspiration Pericardiostomy Pleurodesis for each sitting Pneumenectomy Reconstruction of Peripheral Vascular Injury Rib Resection and Drainage Scalene Node Biopsy Segmental Resection Surgery for Portal Hypertension Thoracoplasty Thoracotomy with Ligation of PDA

11000 15500 16000 5000 16000 8000 15000 14500 4000 6000 9000 15000 4000 12000 1500 18000 15500 8000 4000 17000 14500 14000 15000

8800 12400 12800 4000 12800 6400 12000 11600 3200 4800 7200 12000 3200 9600 1200 14400 12400 6400 3200 13600 11600 11200 12000

6600 9300 9600 3000 9600 4800 9000 8700 2400 3600 5400 9000 2400 7200 900 10800 9300 4800 2400 10200 8700 8400 9000 Back to top

NEURO SURGERY
048 001 046 013 031 029 Brachial Plexus Surgery Burr Holes for Ch SDH / Abscess Corpectomy Cranioplasty Craniotomy - A.V.Malformation Craniotomy - Abscess / Cysts

PR 25000 20000 25000 20000 30000 25000

SPR 20000 16000 20000 16000 24000 20000

NSB 15000 12000 15000 12000 18000 15000

033 032 034 049 026 022 035 020 025 024 021 023 050 051 040 052 039 042 045 041 053 038 036 037 012 011 054 055 043 047 044

Craniotomy - Acoustic Neuroma Craniotomy - Aneurysm Craniotomy - Brain Stem Tumor Craniotomy - Contusions Craniotomy - Craniopharyngioma Craniotomy - Extradural Hematoma Craniotomy - for CSF Rhinorrhea Craniotomy - Intracerebral Hematoma Craniotomy - Pituitary Tumor Craniotomy - Post. Fossa Tumor Craniotomy - Subdural Hematoma Craniotomy - Vascular Tumor Craniotomy for Depressed Fracture Decompressive Craniotomy Discectomy (Cervical / Dorsal / Micro-II Levels) Endoscopic Surgery Laminectomy (Lumbar) Microdiscectomy - More than II Levels Neuro-Endoscopic Skull Base Surgery Operation for Canal Stenosis (Lumbar / Cervical) Peripheral Nerve Surgery Repair of Encephalocele Repair of Meningocele Repair of Meningomyelocele Revision of Shunt Shunt for Hydro Cephalus Spinal Dysraphism Spinal Instrumentation Spinal Tumor / Hematoma / Abscess Surgery for Craniosynostosis Trans Sphenoidal Pituitary / Sellar Surgery

25000 30000 30000 25000 25000 20000 25000 22000 25000 25000 22000 25000 20000 25000 18000 30000 18000 20000 25000 20000 18000 15000 15000 15000 14000 14000 20000 25000 25000 20000 25000

20000 24000 24000 20000 20000 16000 20000 17600 20000 20000 17600 20000 16000 20000 14400 24000 14400 16000 20000 16000 14400 12000 12000 12000 11200 11200 16000 20000 20000 16000 20000

15000 18000 18000 15000 15000 12000 15000 13200 15000 15000 13200 15000 12000 15000 10800 18000 10800 12000 15000 12000 10800 9000 9000 9000 8400 8400 12000 15000 15000 12000 15000

056 005 057

Ventric Tap Ventriculo Auricular Shunt Vertebroplasty

3000 14000 20000 PR 5500 5000 7000 15000 2000 4000 4000 2500 6000 3500 6000 7000 5000 2500 1000 25000 2000 15000 15000 15000 9500 6000 18000 10000 12000 11000

2400 11200 16000 SPR 4400 4000 5600 12000 1600 3200 3200 2000 4800 2800 4800 5600 4000 2000 800 20000 1600 12000 12000 12000 7600 4800 14400 8000 9600 8800

1800 8400 12000 Back to top NSB 3300 3000 4200 9000 1200 2400 2400 1500 3600 2100 3600 4200 3000 1500 600 15000 1200 9000 9000 9000 5700 3600 10800 6000 7200 6600

OTO-RHINO-LARYNGOLOGY (E.N.T.) SURGERY

022 070 053 073 066 031 074 054 075 064 008 049 048 076 072 077 050 078 079 013 009 035 028 080 081 052 Abscess Tonsillectomy - I. & D. Adenoidectomy Adeno-Tonsillectomy Angiofibroma Removal Ant. Nasal Pack [with Pack Removal] Anterior with Post. Nasal Packing with Removal Antral Polypectomy Antral Wash : Unilateral or Bilateral Arytenoid-Abduction / Adduction Biopsy Cheek or Tongue : Unilateral or Bilateral Bronchoscopy with F.B.Removal with Biopsy Caldwell Luc : Bilateral Caldwell Luc : Unilateral Cautery Patching Ear Change of Tracheostomy Tube Cochlear Implant Diagnostic Nasal Endoscopy Endolymphatic Sac Decompression Endoscopic CSF Rhinorrhea Repair Endoscopic Dacrocystorhinostomy Ethmoidectomy (External) Excision Thyroglossal Cyst Facial Nerve Decompression or Grafting Facial Reanimation Procedure - Lid Loading Facial Reanimation Procedure - Temporalis Transfer FESS : Bilateral

082 051 019 012 025 027 026 061 036 065 067 037 068 063 014 045 032 029 006 046 040 044 042 056 083 039 038 002 007 084 001

FESS : Limited FESS : Unilateral Fibreoptic / Direct Laryngoscopy Foreign Body Removal - Ear / Nose / Throat Fracture Nasal Bones Hematoma Pinna : Bilateral Hematoma Pinna : Unilateral I. & D. of Para Pharyngeal Abscess I. & D. of Thyroglossal Cyst I. & D. Quincy I. & D. Tonsillar Abscess : Unilateral or Bilateral Laryngectomy (Total) Lateral Rhinotomy Lymph Node Biopsy Mastoidectomy (Modified) Mastoidectomy with Tympanoplasty Maxillary Sinus Surgery Micro Laryngeal Surgery with F.O.D.L. with D.L. Micro Laryngoscopy with Biopsy Microscopic Examination (E.U.M.) Myringoplasty Myringotomy with or without Grommet : Bilateral Myringotomy with or without Grommet : Unilateral Nasal Cautery in Epistaxis Nasal Endoscopic Cauterisation for Epistaxis Nasal Polypectomy : Bilateral Nasal Polypectomy : Unilateral Oesophagoscopy with F.Body Removal + Biopsy Ossiculoplasty Otoneurosurgery Posterior Nasal Pack [with Pack Removal]

6000 7000 2500 2000 5000 4500 2500 6000 4000 3500 7000 15000 12000 3500 10000 15000 7000 6500 4000 1000 9500 4500 2500 2500 4000 6000 4000 5000 13000 25000 3000

4800 5600 2000 1600 4000 3600 2000 4800 3200 2800 5600 12000 9600 2800 8000 12000 5600 5200 3200 800 7600 3600 2000 2000 3200 4800 3200 4000 10400 20000 2400

3600 4200 1500 1200 3000 2700 1500 3600 2400 2100 4200 9000 7200 2100 6000 9000 4200 3900 2400 600 5700 2700 1500 1500 2400 3600 2400 3000 7800 15000 1800

060 059 085 018 047 011 069 055 058 057 016 024 023 086 087 005 021 004 003 010 088 062

Pre Auricular Sinus : Bilateral Pre Auricular Sinus : Unilateral Rhinoplasty S.M.R. Septoplasty Septoplasty with S.M.D. Septorhinoplasty SMD Split Ear Lobule : Bilateral Split Ear Lobule : Unilateral Stapedectomy Styloidectomy : Bilateral Styloidectomy : Unilateral Thyroplasty Thyroplasty with Arytenoid-Abduction / Adduction Tonsillectomy Tracheostomy Turbinectomy : Bilateral Turbinectomy : Unilateral Tympanoplasty Vocal Cord Laterlization Young Operation

6000 5000 10000 6000 4500 6000 12000 2500 3000 2000 12000 10000 6000 8000 10000 5000 5500 4500 3000 10000 6000 7000

4800 4000 8000 4800 3600 4800 9600 2000 2400 1600 9600 8000 4800 6400 8000 4000 4400 3600 2400 8000 4800 5600

3600 3000 6000 3600 2700 3600 7200 1500 1800 1200 7200 6000 3600 4800 6000 3000 3300 2700 1800 6000 3600 4200 Back to top

VASCULAR SURGERY
008 019 014 013 012 018 003 A.V.Fistula for Dialysis Abdominal Aneurysm Aorto-Femoral Bypass AV Graft for Vascular Access for Haemodialysis Carotid Endarterectomy Cervical Rib Excision Cervico Thoracic Sympathectomy

PR 7000 20000 18000 15000 18000 12000 12000

SPR 5600 16000 14400 12000 14400 9600 9600

NSB 4200 12000 10800 9000 10800 7200 7200

011 017 020 021 022 010 009 023 015 024 006 025 002 016 005 004 001 026 027

Endarterectomy of Peripheral Vessels Excision of A.V. Malformation Excision of Haemangioma - Major Excision of Haemangioma - Medium Excision of Haemangioma - Minor Femoral Embolectomy : Bilateral Femoral Embolectomy : Unilateral Femoro-Femoral Cross Over Graft Femoro-Popliteal Bypass Femoro-Popliteal. Bypass with Vein / Graft Hepatic Resection (Lobectomy) Iliac Artery Aneurysm Lumbar Sympathectomy : Unilateral Peripheral Aneurysm Repair Permanent Pacing Temporary Pacing Thrombo Endarterectomy Aorta Varicose Veins Venous Reconstruction

18000 12000 14000 10000 6000 18000 14000 20000 18000 20000 14000 20000 8000 15000 9000 5000 17000 11500 11500 PR 8000 12000 16000 7000 8500 19000 4000 7000 15000 18000

14400 9600 11200 8000 4800 14400 11200 16000 14400 16000 11200 16000 6400 12000 7200 4000 13600 9200 9200 SPR 6400 9600 12800 5600 6800 15200 3200 5600 12000 14400

10800 7200 8400 6000 3600 10800 8400 12000 10800 12000 8400 12000 4800 9000 5400 3000 10200 6900 6900 Back to top NSB 4800 7200 9600 4200 5100 11400 2400 4200 9000 10800

UROLOGY SURGERY
035 034 029 054 010 057 079 030 067 008 Amputation of Penis - Partial Amputation of Penis - Total Augmentation Cystoplasty Basketing Bladder Neck Incision Bladder Neck Reconstruction Circumcision Closure of Urethral Fistula Combination of T.U.R.P. + B.N.I. Combination of T.U.R.P. + Stone or Tumor

009 004 080 005 081 068 052 069 070 002 003 012 065 071 072 037 015 073 063 062 061 056 058 064 082 020 018 045 019 023 024

Cystolithotripsy / Cystolithalopexy Cystoscopy (Diagnostic) Cystoscopy with Biopsy / Catheterisation Cystoscopy with Bladder Biospy or R.G.P. Cystostomy (Suprapubic) D.J.Stenting : Bilateral D.J.Stenting : Unilateral Endopyelotomy via PCN or URS Endoscopic (Ureteroscopic) Dilatation of Ureteral Stricture Endoscopic Correction of Reflux : Unilateral or Bilateral Endoscopic Removal of Urethral Stone Endoscopic Ventro-Suspension for Stress / TVT / TOT Epididymal Cyst Epidydmectomy - Bilateral Epidydmectomy - Unilateral Exploratory Scrototomy Extrophy / Epispadias Repair Frenuloplasty Laparoscopic Adrenalectomy Laparoscopic Radical Nephrectomy Laparoscopic Simple Nephrectomy Laparoscopic Ureterolithotomy Meatoplasty Meatotomy Nephrectomy Nephrectomy (Radical) Nephrectomy (Simple or Partial) Nephrectomy Renal Tumor Nephrolithotomy (Anatrophic) Nephrostomy - Open Nephrostomy - Percutaneous [P.C.N.]

7000 3000 4000 4000 5000 7000 5000 14500 11500 8500 8500 13000 6000 8000 6000 7000 21000 6000 16000 16000 14000 13000 3000 2000 14000 18000 14000 16000 13000 9000 7000

5600 2400 3200 3200 4000 5600 4000 11600 9200 6800 6800 10400 4800 6400 4800 5600 16800 4800 12800 12800 11200 10400 2400 1600 11200 14400 11200 12800 10400 7200 5600

4200 1800 2400 2400 3000 4200 3000 8700 6900 5100 5100 7800 3600 4800 3600 4200 12600 3600 9600 9600 8400 7800 1800 1200 8400 10800 8400 9600 7800 5400 4200

021 040 041 046 011 074 017 016 047 027 075 033 087 084 022 028 059 060 076 053 044 043 088 089 085 007 001 006 086 077 026

Nephroureterectomy Operation for Double Ureter Operation for Ectopic Ureter Operation for Injury of Bladder Optical Internal Urethrotomy Orchidectomy : Unilateral or Bilateral Orchiopexy or Orchidopexy : Bilateral Orchiopexy or Orchidopexy : Unilateral P.C.N.L Partial Cystectomy PCNL : Multiple Puncture or with Endopyelotomy Perineal Urethrostomy Prostatic Biopsy Pyelolithotomy Pyeloplasty with or without R.G.P. Radical / Total Cystectomy with Urinary Diverson Radical Cystoprostatectomy Radical Retropubic Prostatectomy Recto-Urethral Fistula - Post. Saggital Repair Removal of D.J.Stent Repair of Urethral Injury Repair of V.V.Fistula Suprapubic Drainage (Closed) Suprapubic Drainage (Open) Suprapubic Prostatectomy T.U.R. - Bladder Tumor T.U.R. - Posterior Urethral Valves T.U.R. - Prostate Testicular Biopsy Trans Urethral Electro Vapourization of Prostate (TUEVP) Trocar Cystostomy

18000 15000 16000 11000 8500 7000 12000 9000 16000 14500 18000 4000 2000 12000 15000 19000 19000 18000 19000 2000 12000 18000 3500 4000 12000 14000 9500 14000 3000 14000 5000

14400 12000 12800 8800 6800 5600 9600 7200 12800 11600 14400 3200 1600 9600 12000 15200 15200 14400 15200 1600 9600 14400 2800 3200 9600 11200 7600 11200 2400 11200 4000

10800 9000 9600 6600 5100 4200 7200 5400 9600 8700 10800 2400 1200 7200 9000 11400 11400 10800 11400 1200 7200 10800 2100 2400 7200 8400 5700 8400 1800 8400 3000

066 025 083 014 013 051 050 078 049 055 031 032 036 039 038 042

Ureteric Catheterisation - Unilateral or Bilateral Ureterointestinal Diverson / Re-Implantation of Ureter Ureterolithotomy Ureteroneocystostomy : Bilateral Ureteroneocystostomy : Unilateral Ureteroscopic Lithotripsy Ureteroscopic Stone Removal Ureteroscopic Ureterotomy Ureteroscopy : Diagnostic Urethral Dilatation Urethroplasty - 1st Stage Urethroplasty - 2nd Stage Varicocelectomy Unilateral or Bilateral Vaso-Epididymal Anastomosis Vasovasal Anastomosis Y.V.Plasty of Bladder Neck

4000 16000 9500 17000 13000 11500 9500 11500 6000 2000 7500 7000 7500 15000 12000 12000 PR 3000 2000 2000 2000 PR 14000 18000 7500 12000 18000 14000 18000

3200 12800 7600 13600 10400 9200 7600 9200 4800 1600 6000 5600 6000 12000 9600 9600 SPR 2400 1600 1600 1600 SPR 11200 14400 6000 9600 14400 11200 14400

2400 9600 5700 10200 7800 6900 5700 6900 3600 1200 4500 4200 4500 9000 7200 7200 Back to top NSB 1800 1200 1200 1200 Back to top NSB 8400 10800 4500 7200 10800 8400 10800

07:14
001 002 003 005

MISCELLANEOUS
Peritoneoscopy - Biopsy Sigmoidscopy / Gastroscopy ECT Epidural Injection

PLASTIC SURGERY
049 029 008 070 034 033 041 Abdominoplasty Abdominoplasty with Liposuction [Cosmetic] Arthrodesis (Minor Joints) Bat Ear Bilateral Blepheroplasty Four Lids Blepheroplasty Two Lids Breast Augmentation (Implant) : Bilateral

040 042 072 071 024 002 001 010 009 005 004 008 006 007 021 088 086 085 106 023 101 058 060 067 066 076 104 103 073 035 037

Breast Augmentation (Implant) : Unilateral Breast Augmentation by Flap Breast Reduction : Bilateral Breast Reduction : Unilateral Chemical Peeling Cleft Lip / Palate : Bilateral Cleft Lip / Palate : Unilateral Cleft Lip Case Rhinoplasty Cleft Lip Nostril Cleft Palate & Lip : Bilateral Cleft Palate & Lip : Unilateral Cleft Palate Fistula with Flap Cleft Palate with Pharyngoplasty Cleft Palate-Fistula Simple Complicated Scar Face / Multiple Scars Contracture Release with Flap & Skingraft Contracture Release with Skin graft More Fingers Contracture Release with Skin graft one Finger Cyst or Ganglion Multiple Dermabrasion Face Detachment of Flap Dressing - Major Dressing - Minor Ear Lobule Keloid : Bilateral Ear Lobule Keloid : Unilateral Ear Reconstruction Excision of Cyst - Multiple Excision of Cyst - Single Extra Digit Excision Eye Lids - Ptosis : Unilateral Eye Lids : Partial Excision & Repair with Skin graft & Flap

12000 20000 18000 12000 15000 15000 12000 16000 14000 17500 14000 14000 14000 8500 14000 18000 17000 12000 8000 10000 8000 3000 1500 6000 5000 18000 6000 3000 7000 8500 13000

9600 16000 14400 9600 12000 12000 9600 12800 11200 14000 11200 11200 11200 6800 11200 14400 13600 9600 6400 8000 6400 2400 1200 4800 4000 14400 4800 2400 5600 6800 10400

7200 12000 10800 7200 9000 9000 7200 9600 8400 10500 8400 8400 8400 5100 8400 10800 10200 7200 4800 6000 4800 1800 900 3600 3000 10800 3600 1800 4200 5100 7800

039 036 038 032 057 050 051 052 055 054 053 026 025 092 082 081 075 074 016 015 017 009 028 027 096 095 094 093 079 080 100

Eye Lids Fold Reconstruction Eye Lids- Ptosis : Bilateral Eye Lids Tumor Excision & Repair with Skin graft & Flap Face Lift with or without Neck Lift [Cosmetic] Face Mole or Cyst Excision - Multiple Fascio Cutaneous Flap Repair - Large Fascio Cutaneous Flap Repair - Medium Fascio Cutaneous Flap Repair - Small Fascio Cutaneous Flap with Skin graft - Large Fascio Cutaneous Flap with Skin graft - Medium Fascio Cutaneous Flap with Skin graft - Small Fat or D.Fat Graft - Large Fat or D.Fat Graft - Small Fracture Floor of Orbit Fracture Mandible + Maxilla + Orbit + Nose Fracture Mandible or Maxilla A.O. Hand - Tendon Repair (Magnification) Multiple Hand - Tendon with Nerve Repair (Magnification) Hypospadias - Chordee Corrections Hypospadias - Meatotomy Hypospadias - Urethra Reconstruction Joint Replacement (Minor) Liposuction - Large Area Liposuction - Small Area Local Flap - Large Local Flap - Medium Local Flap - Minor Local Flap / Cross Finger Flap Malar Fracture - Closed Malar Fracture - Mini Internal Fixation Mandible Wiring

13000 12000 13000 20000 12000 14000 10000 6000 18000 12000 8000 12000 7000 12000 18000 8500 16000 14000 8000 3000 14000 10000 14000 8000 10000 7500 5000 12000 8500 12000 8500

10400 9600 10400 16000 9600 11200 8000 4800 14400 9600 6400 9600 5600 9600 14400 6800 12800 11200 6400 2400 11200 8000 11200 6400 8000 6000 4000 9600 6800 9600 6800

7800 7200 7800 12000 7200 8400 6000 3600 10800 7200 4800 7200 4200 7200 10800 5100 9600 8400 4800 1800 8400 6000 8400 4800 6000 4500 3000 7200 5100 7200 5100

014 077 078 001 004 003 002 013 048 031 030 005 090 091 097 099 098 102 011 003 012 020 018 063 062 061 105 065 064 069 068

Minor Correction on Cleft Lip Nasal Fracture - Closed Nasal Fracture with Compound Wound Nerve Graft (Under Magnification) Nerve Repair (Multiple) Nerve Repair (Single) Nerve Replantation (Under Magnification) Nose Tip Rhinoplasty Pharyngoplasty Preauricular Sinus : Bilateral Preauricular Sinus : Unilateral Radial Club Hand Correction Release of Tongue Tie Release of Tongue Tie - Z Plasty Repair Repair of Fracture Zygoma Repair of More than One Finger Repair of One Finger Repair of Pinna Rhinoplasty [Cosmetic] Secondary Deformity - Cleft Lip / Palate / Nose Septo-Rhinoplasty Simple Scar Face Simple Z Plasty Anywhere Skin grafting - Large / Extensive Skin grafting - Medium Skin grafting - Small Small Naevus - Single Split Ear Lobules : Bilateral Split Ear Lobules : Unilateral Syndactyle Fingers : More than one web Syndactyle Fingers : One web

8000 5000 7500 18000 18000 14000 20000 9000 12000 6000 5000 16000 2500 6000 8500 6000 5000 5000 16000 15000 11000 7000 6000 12000 10000 6000 5000 3500 2500 16000 14000

6400 4000 6000 14400 14400 11200 16000 7200 9600 4800 4000 12800 2000 4800 6800 4800 4000 4000 12800 12000 8800 5600 4800 9600 8000 4800 4000 2800 2000 12800 11200

4800 3000 4500 10800 10800 8400 12000 5400 7200 3600 3000 9600 1500 3600 5100 3600 3000 3000 9600 9000 6600 4200 3600 7200 6000 3600 3000 2100 1500 9600 8400

083 084 007 006 043 056 089 046 045 047 044 019

T.M. Joint Ankylosis / Condylectomy : Unilateral T.M. Joint Ankylosis with Rib Graft Tendon Transfer (Multiple) Tendon Transfer (Single) Tissue Expander (Insertion) Vaginoplasty with Skin graft and Flap Vas Recanalisation (Magnification) Wound Repair - Face / Hand / Limbs - Large Wound Repair - Face / Hand / Limbs - Medium Wound Repair - Face / Hand / Limbs - Multiple Wound Repair - Face / Hand / Limbs - Small Z Plasty - Scar Excision with or without Skingraft

14000 18000 14000 10000 14000 18000 14000 10000 5000 14000 2500 12000 PR 16000 3000 9000 9000 5000 16000 6000 2000 1000 3500 2000 5000 600 5000 7500 14500 15000

11200 14400 11200 8000 11200 14400 11200 8000 4000 11200 2000 9600 SPR 12800 2400 7200 7200 4000 12800 4800 1600 800 2800 1600 4000 480 4000 6000 11600 12000

8400 10800 8400 6000 8400 10800 8400 6000 3000 8400 1500 7200 Back to top NSB 9600 1800 5400 5400 3000 9600 3600 1200 600 2100 1200 3000 360 3000 4500 8700 9000

PEDIATRIC SURGERY
001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017 Abdominoperineal pull through / PSARP Anal dilatation Anorectal myomectomy Appendectomy Axillary lymph node biopsy Biliary atresia / Choledochal cyst Bronchoscopy diagnostic / F,B / Biopsy Catheterisation and MCU Central venous line Cervical lymph node biopsy Chest aspiration Chest tube insertion Chest tube manipulation Closed lung biopsy Colostomy / ileostomy / gastrostomy /jejunostomy Colostomy / Ileostomy closure Complete decortication/open/thoracoscopic

018 019 020 021 022 023 024 025 026 027 028 029 030 031 032 033 034 035 036 037 038 039 040 041 042 043 044 045 046 047 048

Cystic hygroma major Cystic hygroma minor excision/sclerotherapy Cystogastrostomy Diagnostic laproscopy Diaphragmatic hernia / Eventration Drainage of deep/ large abscess Drainage of small abscess Dressing large Esophageal dilatation Esophagoscopy / F.B Excision biopsy sup.lump / Seb.cyst Excision branchial sinus / fistula Excision thyroglossal cyst / fistula Exploratory laprotomy Fundoplication Gastroschisis Hemicolectomy Hydrocoele bilat Hydrocoele unilat Inguinal hernia in neonate bilat Inguinal hernia in neonate unilat Inguinal hernia repair bilat Inguinal hernia repair unilat Intestinal fistula Intestinal obstruction Intussusception & resecton anastmosis Intussuscepton reduction ( X-ray or operative) Laproscopic appendicectomy Liver abscess aspiration Liver abscess aspiration multiple Liver biopsy closed

15000 8000 12000 7000 15000 5000 3500 2000 3000 4000 6000 8000 8000 6000 12000 15000 12000 10000 7000 12000 8000 10000 7000 14000 12000 12000 8000 9000 3000 5000 1500

12000 6400 9600 5600 12000 4000 2800 1600 2400 3200 4800 6400 6400 4800 9600 12000 9600 8000 5600 9600 6400 8000 5600 11200 9600 9600 6400 7200 2400 4000 1200

9000 4800 7200 4200 9000 3000 2100 1200 1800 2400 3600 4800 4800 3600 7200 9000 7200 6000 4200 7200 4800 6000 4200 8400 7200 7200 4800 5400 1800 3000 900

049 050 051 052 053 054 055 056 057 058 059 060 061 062 063 064 065 066 067 068 069 070 071 072 073 074 075 076 077 078 079

Lobectomy Lysis of intestinal adhesions Malrotation intestine Mesenteric cyst / duplication Multiple resection anastmosis Multiple polyps Neonatal diaphragmatic hernia / Eventration Neonatal intestinal obstruction / atresia Obstructed / strangulated hernia Omphalocoele major / gastroschisis Omphalocoele minor Orchidopexy bilat Orchidopexy unilat Partial decortication Perineal anoplasty Peritoneal aspiration Peritoneal drainage Pneumonectomy Pull through for Hirschprung's Pyeloplasty Pyloromyotomy ( Ramstedt's) Radial artery cath Rectal polyp Rectal suction biopsy / open biopsy Recurrent intestinal obstruction Resection and anastmosis intestine Sigmoidoscopy Spleenectomy Suturing multiple wound Suturing of wound Tongue tie excision

15000 10000 12000 12000 18000 8000 15000 15000 12000 15000 10000 13500 9000 10000 8000 1500 2000 15000 16000 16000 10000 2000 5000 4000 12000 12000 2500 12000 3000 2500 2500

12000 8000 9600 9600 14400 6400 12000 12000 9600 12000 8000 10800 7200 8000 6400 1200 1600 12000 12800 12800 8000 1600 4000 3200 9600 9600 2000 9600 2400 2000 2000

9000 6000 7200 7200 10800 4800 9000 9000 7200 9000 6000 8100 5400 6000 4800 900 1200 9000 9600 9600 6000 1200 3000 2400 7200 7200 1500 7200 1800 1500 1500

080 081 082 083 084 085 086 087 088 089

Tracheoesophageal fistula Umbilical / Epigastric hernia Umbilical cath arterial Umbilical cath venous Umbilical granuloma Urachus excision V Y plasty tongue tie Varicocoele Venesection Vitelline duct excision

18000 7000 2000 2000 2000 8000 5000 8000 2000 8000

14400 5600 1600 1600 1600 6400 4000 6400 1600 6400

10800 4200 1200 1200 1200 4800 3000 4800 1200 4800 Back to top

OPERATING ROOM CHARGES

08:01:01 The

charges for 'Operating Room for Delivery cases' will be 30% of the Delivery fee. 09:01:01 The charges for 'Operating Room' will be 30% of the Surgeon's fee.

ANAESTHESIA
10:02
001 002 003 004 General or Regional Anaesthesia Local Anaesthesia with stand by. Local Anaesthesia Anaesthesia outside Operating Room

30% of the Surgeon's Fee 15% of the Surgeon's Fee 10% of the Surgeon's Fee
As per above whichever is applicable Back to top

Other specific type of Anaesthesia Charges

10:01:01 10:03:15 Obst. (Epidural) Anesthesia Upto 1 Hour Anesthesia for Endoscopy - Flat Rate 1500 800 1200 800 800 500

X-RAY CHARGES
11:01 X-RAY CHARGES
006 005 004 003 Fluroscopy / Screening Only (in deptt.) Lumbo Sacral Spine 2 Views Portable X-Ray per Film X-Ray per Film PR/SPR/NSB 150 500 300 200 Back to top

11:06
009 003 004 008 002 006 005 007

GENITO URINARY
Cystogram I.V.P. I.V.P. + M.C.U. M.C.U. Nephrostogram Retrograde Pyelogram Retrograde Urethrogram + M.C.U. Urethrogram

PR/SPR/NSB 1100 1700 2000 1100 1400 1400 1200 1400 Back to top PR/SPR/NSB 2500 1100 1000 Back to top PR/SPR/NSB 2000 2500 2500 1800 1300

11:07
003 002 001

BILIARY
E.R.C.P. P.O.Cholangiography T.Tube Cholangiography

11:08
005 007 006 004 002

GASTRO INTESTINAL
Ba. Enema Ba. Enema (Double Contrast) Ba. Enema (Small Bowel) Ba. Meal Follow Through Ba. Meal U.G.I.T.

010 008 009 001

Cologram with Barium or Gastrograffin Gastrograffin Study Oesophageal Dilation under fluroscopy Oesophagography / Ba. Swallow

1300 1000 1500 800 Back to top PR/SPR/NSB 1200 1200 600 Back to top PR/SPR/NSB 1900

11:09
002 001 003

OBSTERICS/GYNAE
Hysterosalpingography Mammography [Bilateral] Mammography [Unilateral]

11:10

NEUROLOGICAL
Venography / Phlebography (One Side)

001 11:13
004 002

OTHER SPECIAL PROCEDURES

Fistulogram / Sinogram Sialography

PR/SPR/NSB 900 1000 Back to top PR/SPR/NSB

As per Mkt. Price

11:14
010 001 012 011

PORTABLE / O.R.PROCEDURES
Cost of Dye Portable Extra Per Film Screening (Above 15 Mts.) Screening (Upto 15 Mts.)

100 1100 900 Back to top

BONE DENSITOMETRY
11:15
005 006 001 004 002 BMD - Any Single Region BMD - Single Hip BMD - Spine BMD - Spine + Both Hips BMD - Spine + Single Hip PR/SPR/NSB 1100 1100 1100 1700 1500

007 003

BMD - Thesis BMD - Whole Body

750 2800

NOTE:- COST OF DYE / CONTRAST EXTRA WHEREVER APPLICABLE.

Back to top

LABORATORY
CLINICAL CHEMISTRY & HORMONES
CCH019 CCH065 CCH018 CCH006 CCH048 CCH024 CCH031 CCH017 CCH032 CCH002 CCH004 CCH067 CCH011 CCH030 CCH033 CCH039 CCH055 CCH037 CCH038 CCH003 CCH049 CCH062 CCH073

PR/SPR/NSB 225 280 100 160 160 160 100 100 450 80 100 100 150 100 120 120 380 180 270 80 900 60 120

ACID P TASE ADA ALKALINE P TASE-ALP AMYLASE AMYLASE-URINE APTT BICARBONATE (HCO3-) BILIRUBIN ( DIRECT,INDIRECT,TOTAL) BLOOD GAS BLOOD UREA CALCIUM CALCIUM - MICRO METHOD CALCIUM/CREATININE RATIO- URINE FASTING CHLORIDE (CL-) CHOLESTEROL TOTAL - SERUM CHOLESTEROL - FLUID CORTISOL -SERUM (One Specimen) CPK CPK (MB) CREATININE D-DIMER TEST FBS - FASTING BLOOD SUGAR FBS AND PPS

CCH009 CCH061 CCH010 CCH058 CCH050 CCH051 CCH054 CCH053 CCH043 CCH013 CCH007 CCH034 CCH040 CCH044 CCH022 CCH059 CCH042 CCH036 CCH046 CCH072 CCH005 CCH023 CCH028 CCH014 CCH063 CCH068 CCH070 CCH069 CCH057 CCH012 CCH060

FDP (FIBRIN/FIBRINOGEN DEGRADATION PRODUCT) FERRITIN FLUID ALBUMIN FSH FT 3 -FREE T3 FT 4 -FREE T4 FT3 & FT4 (TOGETHER) FT3, FT4 & TSH (TOGETHER) GAMMA GT / GGT/ GGTP GCT - GLUCOSE CHALLENGE TEST GTT-GLUCOSE TOLERANCE TEST HDL CHOLESTROL - DIRECT LDH FLUID LDH-SERUM LFT-LIVER FUNCTION TEST LH LIPASE-SERUM LIPID PROFILE MAGNESIUM -SERUM NEONATAL TSH SCREEN (NEO TSH) PHOSPORUS (INORGANIC PHOS.) PLASMA FIBRINOGEN POTASSIUM (K+) ONLY PPS- AFTER GLUCOSE PPS (POST PRANDIAL SUGAR) PPS AFTER BREAKFAST PPS AFTER DINNER PPS AFTER LUNCH PROLACTIN -SERUM PROTEIN/CREATININE RATIO -URINE FASTING PSA - PROSTATE SPECIFIC ANTIGEN

900 500 60 400 280 280 550 700 180 80 360 160 180 180 420 400 280 400 160 220 100 600 100 80 60 60 60 60 400 120 500

CCH016 CCH001 CCH064 CCH074 CCH041 CCH045 CCH021 CCH020 CCH029 CCH027 CCH047 CCH015 CCH035 CCH025 CCH052 CCH008 CCH071

PT (PRO TIME) RBS - RANDOM BLOOD SUGAR SBR - BILIRUBIN TOTAL (MICRO METHOD) SERUM ALBUMIN SERUM ELECTROLYTES SERUM ELECTROPHORESIS SGOT /AST SGPT/ALT SODIUM & POTASSIUM SODIUM (NA+) ONLY SODIUM-URINE RANDOM SPECIMEN TOTAL/SERUM PROTEIN(TP,ALB,GLOB,A/G) TRIGLYCERIDES TROPONIN T (TROP. T) TSH URIC ACID-SERUM URINE FOR CREATININE CYTOPATHOLOGY

120 60 100 60 250 400 90 90 170 100 100 90 180 750 280 90 80 Back to top PR/SPR/NSB 250 250 480 550 250 Back to top PR/SPR/NSB 500 150 700 60 225

CYT003 CYT002 CYT004 CYT005 CYT001

CSF FOR MALIGNANT CYTOLOGY FLUIDS FOR MALIGNANT CYTOLOGY FNAC FNAC- CT/US GUIDED PAPANICULA SMEAR HEMATOLOGY

HAE027 HAE029 HAE031 HAE022 HAE007

BONE MARROW EXAMINATION BONE MARROW IRON STAINING BONE MARRROW (ASPIRATION AND EXAMINATION)-OPD BT AND CT CBC (COMPLETE BLOOD COUNT)

HAE015 HAE016 HAE021 HAE014 HAE020 HAE010 HAE028 HAE026 HAE017 HAE001 HAE006 HAE030 HAE003 HAE012 HAE013 HAE018 HAE004 HAE024 HAE005 HAE025 HAE009 HAE019 HAE023 HAE008 HAE002

CBC & MP (TOGETHER) CBC & PS (TOGETHER) CLOT RETRACTION DLC EOSINOPHIL COUNT ESR FALCIPARUM & PLASMODIUM VIVAX TEST (F&V) FILARIAL PREP. GASTRIC LAVAGE FOR PMNS HB (HEMOGLOBIN) HEMATOCRIT (HCT/PCV) KALA - AZAR DETECT MALARIAL PARASITES (MP) MCH MCHC MCV PERIPHERAL SMEAR PLATELET COUNT RBC COUNT RBC FRAGILITY RED CELL INDICES RETIC COUNT SICKLE CELL PREP. TLC & DLC TLC (WBC COUNT) SPECIAL HEMATOLOGY

250 250 70 80 130 80 280 200 70 90 90 280 80 80 80 80 120 120 80 250 200 150 80 120 80 Back to top PR/SPR/NSB 125 320 350 350

HAS002 HAS003 HAS005 HAS001

FETAL HB. G6 PD (CONFIRMATORY) G6 PD SCREENING (SCREENING + CONFIRMATORY) GLYCOSYLATED HB/HB 1AC

HAS004 HAS006 HAS007

HB ELECTROPHORESIS SERUM IRON SERUM IRON & TIBC HISTOPATHOLOGY

650 150 250 Back to top PR/SPR/NSB 500 1500 400 50 850 600 500 Back to top PR/SPR/NSB 2000 3000 100 100 100 100 500 500 500 500 500 100 100 100 130 260 650

HIS004 HIS001 HIS003 HIS002 HIS007 HIS006 HIS005

BLOCK FOR HISTOPATHOLOGY FROZEN SECTION WITH BIOPSY SPECIMEN SLIDE FOR HISTOPATHOLOGY TISSUE FOR GROSS/DOCUMENTATION ONLY TISSUE FOR HISTOPATHOLOGY - LARGE TISSUE FOR HISTOPATHOLOGY - MEDIUM TISSUE FOR HISTOPATHOLOGY - SMALL MICROBIOLOGY

MIC030 MIC029 MIC008 MIC022 MIC038 MIC039 MIC027 MIC026 MIC013 MIC024 MIC025 MIC023 MIC040 MIC041 MIC010 MIC001 MIC014

4 DRUGS SENSITIVITY FOR TB. 5 DRUGS SENSITIVITY FOR TB. AFB - SMEAR MISC. SPECIMEN AFB - SPUTUM (SAMPLE I) AFB - SPUTUM (SAMPLE II) AFB - SPUTUM(SAMPLE III ) AFB / MYCOBACTERIUM CULTURE - FLUIDS AFB / MYCOBACTERIUM CULTURE - PUS AFB / MYCOBACTERIUM CULTURE - MISC. AFB / MYCOBACTERIUM CULTURE - SPUTUM AFB / MYCOBACTERIUM CULTURE - URINE AFB - URINE (SAMPLE I) AFB - URINE (SAMPLE II) AFB - URINE (SAMPLE III) CRYPTOCOCUS- SMEAR - CSF CULTURE & SENSITIVITY- BLOOD : ROUTINE CULTURE & SENSITIVITY - BLOOD : RAPID

MIC020 MIC021 MIC018 MIC002 MIC017 MIC037 MIC016 MIC019 MIC012 MIC007 MIC034 MIC011 MIC005 MIC004 MIC032 MIC028 MIC035 MIC009 MIC033 MIC036 MIC003 MIC042 MIC015

CULTURE & SENSITIVITY - CSF CULTURE & SENSITIVITY - EAR SWAB CULTURE & SENSITIVITY - HVS CULTURE & SENSITIVITY - MISC. CULTURE & SENSITIVITY - PUS CULTURE & SENSITIVITY - SPUTUM CULTURE & SENSITIVITY - STOOL CULTURE & SENSITIVITY - THROAT SWAB CULTURE & SENSITIVITY - URINE DIPHTHERIA SMEAR ETHAMBUTOL SENSITIVITY FOR TB. FUNGUS CULTURE FUNGUS PREP. - KOH PREP GRAMS STAIN INH SENSITIVITY FOR TB. MTB / MOTT IDENTIFICATION PZA SENSITIVITY FOR TB. RAPID UREASE TEST RIFAMPIN SENSITIVITY FOR TB. SMEAR FOR FUNGUS STOOL FOR CHOLERA (HANGING DROP) URETHERAL SMEAR G.C. WET SMEAR FOR TROPHOZOITES MISCELLANEOUS LAB INVESTIGATION

260 260 260 260 260 260 260 260 200 100 650 280 80 80 650 700 1500 150 650 80 80 130 50 Back to top PR/SPR/NSB 200 200 200 40 60 50

MIS005 MIS002 MIS001 MIS007 MIS011 MIS006

C.S.F. ROUTINE WITH SMEAR FOR CRYPTOCOCCUS CSF- (SPINAL FLUID) - ROUTINE FLUID - ROUTINE EXAMINATION FLUID FOR CRYSTALS FLUID FOR SUGAR GA FOR OCCULT BLOOD

MIS004 MIS003 MIS008 MIS009

PCT (POST COITAL TEST) SEMEN ANALYSIS STONE ANALYSIS (OTHERS) URINARY CALCULI (STONE FOR CHEMICAL ANALYSIS)

80 300 180 180 Back to top PR/SPR/NSB 40 40 45 45 80 45 Back to top PR/SPR/NSB 480 850 140 270 500 980 300 100 380 380 850 650 680 500 650 380

PARASITOLOGY PAR003 PAR005 PAR002 PAR004 PAR001 PAR006 STOOL FOR PH STOOL FOR WBC/HPF STOOL OCCULT BLOOD STOOL REDUCING SUBSTANCES STOOL ROUTINE EXAMINATION STOOL/PUS AMOEBA SEROLOGY
SER005 SER038 SER004 SER003 SER024 SER030 SER035 SER006 SER015 SER028 SER031 SER023 SER034 SER036 SER018 SER017

ANF/ ANA./DNA ANTI CCP ASO (ASLO) TEST AUSTRALIA ANTIGEN (HBSAG) AUSTRALIA ANTIGEN CONFIRMATORY BACTERIAL ANTIGEN (5 TESTS) CHIKUNGUNYA CRP CYTOMEGALOVIRUS (CMV) (IGM) CYTOMEGALOVIRUS (CMV) (IGG) DENGUE SEROLOGY DS DNA/ANA (DOUBLE STRANDED DNA/ANA) DENGUE ANTIGEN HCG (MATERNAL) HEPATITIS - A (HAV) HEPATITIS - C (HCV)

SER019 SER016 SER029 SER010 SER008 SER037 SER007 SER027 SER014 SER022 SER021 SER020 SER012 SER025 SER013 SER026 SER039 SER001 SER009 SER002

HEPATITIS - E (HEV) HERPES - II (IGM) HERPES - II (IGG) HIV TEST PREGNANCY TEST RA FACTOR QUANTITATIVE RA TEST RUBELLA (IGG) RUBELLA (IGM) TB. ELISA IGA TB. ELISA IGG TB. ELISA IGM TORCH TEST (IGM) TORCH TEST (IGG) TOXOPLASMA (IGM) TOXOPLASMA (IGG) TTG VDRL VDRL IN DILUTION WIDAL URINALYSIS

900 380 380 350 100 300 90 380 380 700 700 700 1100 1100 380 380 800 85 150 160 Back to top PR/SPR/NSB 150 120 120 120 120 120 40 40 100

URI016 URI020 URI023 URI022 URI021 URI019 URI003 URI002 URI015

24 HR. URINARY ALBUMIN (QUANTITATIVE) 24 HR. URINARY CALCIUM 24 HR. URINARY PHOSPHORUS 24 HR. URINARY POTASSIUM 24 HR. URINARY SODIUM 24 HR. URINARY URIC ACID ACETONE ALBUMIN AND SUGAR BENCE JONES PROTEIN

URI013 URI024 URI001 URI008 URI007 URI006 URI010 URI009 URI004 URI005 URI012 URI018 URI011 URI017 URI014

BILE PIGMENT CREATININE CLEARANCE URINE ROUTINE EXAMINATION URINE FOR CHYLE URINE FOR PH URINE FOR SP. GRAVITY URINE FOR ALBUMIN URINE FOR APT TEST URINE FOR HEMOGLOBIN URINE FOR MYOGLOBIN URINE FOR PORPHOBILINOGEN URINE FOR REDUCING SUBSTANCES URINE FOR SUGAR URINE OCCULT BLOOD UROBILINOGEN BLOOD BANK

50 200 80 40 30 30 30 50 30 35 40 40 30 35 50 Back to top PR/SPR/NSB 150 160 160 100 160 1000 700 500 800 -300 -300 100 1300 1300

BLO021 BLO001 BLO014 BLO017 BLO013 BLO007 BLO006 BLO009 BLO008 BLO018 BLO019 BLO002 BLO026 BLO025

COLD AGGLUTININS CROSS MATCHING DIRECT COOMBS DONOR SCREENING CHARGES DU FACTOR FFP - HOSPITAL - PROCESSING FFP - DONATED - PROCESSING FFP - PAEDIATRIC - DONATED - PROCESSING FFP - PEDIATRIC HOSPITAL - PROCESSING FFP REPLACEMENT FFP REPLACEMENT PEDIATRICS GROUPING & TYPING WHOLE BLOOD/ P.C.- RH ( +) :HOSPITAL- PROCESSING WHOLE BLOOD/ P.C.- RH (-) :HOSPITAL- PROCESSING

BLO015 BLO005 BLO024 BLO012 BLO011 BLO010 BLO003 BLO020 BLO016 BLO022 BLO027

INDIRECT COOMBS OTHER BLOOD BANKS : BLOOD ISSUE PLATELET APHERESIS PLATELET CONCEN(RD) HOSPITAL : PROCESSING PLATELET CONCEN.(RD) - DONATED : PROCESSING RAPID DONOR TESTING DONATED WHOLE BLOOD/P.C.: PROCESSING CHARGES REPLACEMENT PLATELET CONCENTRATE RH ANTIBODY TITRE VENESECTION PROCEDURE WB/PC REPLACEMENT

160 200 10000 1300 900 200 900 -400 400 150 -400 Back to top

PHYSIO - THERAPY
RATES OF PHYSICAL THERAPY TREATMENT
052 041 019 018 043 009 008 057 056 001 022 023 027 026 039 Ante-Natal Exercises per sitting Breathing Exercise Cervical Traction Cervical Traction Chest Physio-Therapy Cold Pack Cold Pack Compression Therapy Compression Therapy Consultation Continuous Passive Movement Continuous Passive Movement. Contrast Bath Contrast Bath E.M.G. Bio-Feedback PR/SPR/NSB 150 60 120 100 90 100 70 300 250 200 90 120 120 100 300

[Multiple] [Single] [Multiple] [Single] [Multiple] [Single] [Single] [Multiple] [Multiple] [Single] [Multiple]

038 037 036 046 049 033 032 040 003 002 031 030 021 020 035 034 051 050 029

E.M.G. Bio-Feedback Electrical Muscle Testing Electrical Muscle Testing Extensive Exercise Gait Training Infra Red Laser Infra Red Laser Infra Red Sauna Infra Red Therapy Infra Red Therapy Interferential Therapy Interferential Therapy Lumbar Traction Lumbar Traction Manual Muscle Testing Manual Muscle Testing Mobilization Exercise Neuro-Developmental Therapy Neuro-Muscular Stimulation

[Single] [Multiple] [Single]

[Multiple] [Single] [Multiple] [Single] [Multiple] [Single] [Multiple] [Single] [Multiple] [Single]

[Multiple]

250 250 200 150 150 300 250 300 100 60 150 120 120 100 200 150 150 150 150 Back to top PR/SPR/NSB 120 100 80 350 250 60 150 120 120 100

RATES OF PHYSICAL THERAPY TREATMENT

028 007 006 055 054 042 025 024 015 014 Neuro-Muscular Stimulation Paraffin Wax Bath Paraffin Wax Bath Post Natal Exercises [All Sessions] Post Natal Exercises [All Sessions] Post Op. Chest Physio-Therapy Pulsed S.W.D. Pulsed S.W.D. Short Wave Diathermy Short Wave Diathermy [Single] [Multiple] [Single] [Multiple] [Single] [Multiple] [Single] [Multiple] [Single]

044 045 005 004 047 013 012 048 017 016 011 010

Simple Exercise Special Exercise Steam Packs Steam Packs Suspension Therapy T.E.N.S. T.E.N.S. Tilt Table Therapy Ultra Sound Ultra Sound Ultra Violet Therapy Ultra Violet Therapy

[Multiple] [Single] [Multiple] [Single] [Multipel] [Single] [Multiple] [Single]

100 120 100 50 120 90 70 120 120 90 100 90 Back to top

ENDOSCOPIC PROCEDURES
16:01
004 005 008 009 002 011 003 007 010 012 006 001

ENDOSCOPIC PROCEDURES (FLAT RATES)

Colonoscopy - I Colonoscopy - II Dilatation E.R.C.P. Endoscopic Sclerotherapy [E S T] Endoscopic Varices Ligation [E V L] Foreign Body Removal Oesophageal Achalasia Papillotomy with Stone Extraction Percutaneous Endoscopic Gastrotomy [P E G] Polypectomy Upper G.I.Endoscopy

PR 2600 4000 6000 5200 5600 5600 6000 3300 10000 7200 10000 2600

SPR 2300 3500 5200 4600 4800 4800 5200 2800 8500 6300 8500 2300

NSB 1900 2800 4200 3800 3800 3800 4200 2300 7000 5200 7000 1900 Back to top

NOTE :- ANESTHESIA CHARGES WILL BE EXTRA, IF ADMINISTERED.

EXCHANGE BLOOD TRANSFUSION

18:01
001

EXCHANGE BLOOD TRANSFUSION (FLAT RATE)

Exchange Transfusion (Flat Rate) Each Time

PR 3000

SPR 2400

NSB 1800

DRESSING
19:01
001 002 003

DRESSING
Wound Dressing Tracheostomy Dressing Colostomy Dressing

PR 65 65 75

SPR 65 65 75

NSB 50 50 65 Back to top

TREATMENT
20:01
029 013 023 025 027 026 002 011 005 004 031 007 075 071

TREATMENT
Anal Dilatation Ascitic Fluid Aspiration / Paracentesis Biopsy of Bone Biopsy of Liver Biopsy of Muscle Biopsy of Skin Bone Marrow Aspiration / Sternal Puncture Cavafix Introduction Central Venous Pressure Line [Cetrofix] Insertion Cut Down / Venesection Endometrial Biopsy Endotracheal Intubation Femoral Catheterisation Incidental Abortion in Ward

PR 1125 750 1125 1125 1125 1125 750 750 750 750 1875 750 1125 1875

SPR 1125 750 1125 1125 1125 1125 750 750 750 750 1875 750 1125 1875

NSB 875 625 875 875 875 875 625 625 625 625 1250 625 875 1250

006 022 024 001 010 008 074 079 078 076 012 077 073 028

Incision & Drainage of Abscess Inter Costal (Tube) Drainage Kidney Biopsy Lumbar Puncture Minor Surgical Procedure In Ward Minor Suturing Nasal Packing + Pack Removal Non Stress Monitoring [Per Two Hours] Non Stress Test [NST] Peritoneal Dialysis Pleural Fluid Aspiration / Thoracentesis Subclavian Cannulation Temporary Pacing in Ward Uretheral Dilatation

750 1125 2500 750 750 750 1500 200 375 2250 750 2250 3750 1125 PR 20 30 15 15 PR 30 PR 30 PR 1250 500 750

750 1125 2500 750 750 750 1500 200 375 2250 750 2250 3750 1125 SPR 20 30 15 15 SPR 30 SPR 30 SPR 1250 500 750

625 875 1750 625 625 625 1125 200 375 1500 625 1500 3125 875 Back to top NSB 15 30 15 15 Back to top NSB 20 Back to top NSB 30 Back to top NSB 875 375 500

20:02
072 010 012 011

TREATMENT (SPOT INVESTIGATIONS)

Montoux Test RBS Done with Glucometer Urine for Acetone Urine for Sugar / Albumin

20:03
008

SPECIAL NURSING PROCEDURE

Nebulization

20:04
001

SPECIAL NURSING PROCEDURE

Lactodex Milk per day

20:05
004 001 003

PLASTERING
Plastering : Body Cast Plastering : Foot / Arm / Hand Plastering : Hip

002

Plastering : Leg NOTE : MATERIAL COST WILL BE EXTRA

625

625

450 Back to top

20:06
001

SPECIAL NURSING PROCEDURES

Skin / Pelvic Traction Application

PR 325 PR 300 650 500 400

SPR 325 SPR 300 650 500 400

NSB 200 Back to top NSB 300 500 500 300 Back to top

20:07
001 004 002 003

SPECIAL INVESTIGATIONS
Audiometry P.F.T. (Pulmonary Function Test) Tympanometry Uro-Flowmetry

DIALYSIS (IN PATIENT)

20:08
001

HAEMODIALYSIS
Haemodialysis [Professional Charges]

PR 950

SPR 850

NSB 750

NOTE :- HAEMODIALYSIS CHARGES INCLUDE PROFESSIONAL FEE OF NEPHROLOGIST FOR HAEMODIALYSIS. HOWEVER, IT DOES NOT INCLUDE CHARGES FOR ANY CONSUMABLES, VASCULAR ACCESS AND INVESTIGATIONS. Back to top

20:09
006 008 007 011 005 009 002 001

SPEECH & HEARING TEST

AC BERA ASSR BC BERA Cochlear Implant Counseling Diagnostic OAE-TEOAE/DPOAE Ecoch G Impedance PTA/BOA/FFT

PR 1500 1900 1500 750 800 2500 400 250

SPR 1500 1900 1500 750 800 2500 400 250

NSB 1500 1900 1500 750 800 2500 400 250

004 003 010

Screening OAE Special Tests ABLB/SISI/TD Speech Therapy (consultation-each session)

500 300 200

500 300 200

500 300 200 Back to top

OXYGEN
23:01
001 002 003

OXYGEN
By Hood/Mask (Per Day) By Nasal Catheter (Per Day) By Hood/Mask (Less than 6 Hours)

PR 300 200 150

SPR 300 200 150

NSB 300 200 150 Back to top

ELECTRO CARDIOGRAM (ECG)

25:01
001

ECG
Electro Cardiogram (Each)

PR 150

SPR 150

NSB 150

ULTRA- SONOGRAPHY
26:01
001 004 003 008 002 005 009 007 006

OBSTETRICS
Obstetrics [O.B.Ultrasound] Each Obstetrics + B.P.P. Obstetrics + B.P.P. + Doppler Obstetrics + Doppler Obstetrics + T.V.S. [7Weeks] Obstetrics Level-II Obstetrics Thesis Whole Abdomen + Obstetrics [Above 10 Weeks] Whole Abdomen + Obstetrics [Upto 10 Weeks]

PR/SPR/NSB 600 800 1400 1200 700 1000 350 1200 1000 Back to top

26:02
001 010 002 003 004 011 005

ABDOMINAL (SINGLE ORGAN)

Abdominal - Single organ Chest Gall Bladder Kidneys Liver Pelvis [Male / Female] Spleen

PR/SPR/NSB 500 500 500 500 500 600 500 Back to top PR/SPR/NSB 700 700 700 700 1200 1300 700 1000 1500 1600 1200 Back to top PR/SPR/NSB 600 600 600 600 600 600 600 Back to top

26:03
005 002 006 001 007 008 004 003 010 011 009

ABDOMINAL (MULTI-ORGAN)
K.U.B. Lower Abdomen Pelvis + T.V.S. Upper Abdomen Upper Abdomen + Doppler Upper Abdomen + BPP + Doppler Upper Abdomen + Pleural Space Whole Abdomen Whole Abdomen + Doppler Whole Abdomen + BPP + Doppler Whole Abdomen + T.V.S.

26:06
005 006 009 003 004 001 007

OTHER SPECIFIC PARTS

Breast Eyes Neonatal Head Soft Part Sonography : Mus. Skeletal Areas Testis Thyroid Transrectal

26:07
004 003 001 005 006 002

MISCELLANEOUS STUDIES
3D/4D Ultra-sound Doppler - Misc. Follicular Studies (Full) Renal Doppler Scrotal Doppler Sono Salpingography

PR/SPR/NSB 1400 1200 1000 1200 1200 1000 Back to top PR/SPR/NSB 800 1000 800 1200 1400 Back to top

26:08 ULTRASOUND GUIDED BIOPSY AND ASPIRATIONS.

001 003 002 004 005 Ultrasound Guided Aspiration Ultrasound Guided Aspiration in O.T. Ultrasound Guided Biopsy Ultrasound Guided Multi Organ Aspiration Ultrasound Guided Multi Organ Aspiration in O.T.

26:09
001 002

ULTRASOUND CHARGES : MISC.

Portable Charges Emergency (On Call) Charge [**] **Emergency Charge is extra for scans done between 5.00 pm to 8.00 am or on holidays.

PR/SPR/NSB 200 300

Back to top

C.T. SCAN
28:01
003 002 004

C.T. SCAN - HEAD [BRAIN]

Head - Direct Contrast Head - Plain Head - Plain + Contrast

PR/SPR/NSB 1600 1600 2200 PR/SPR/NSB 4600

28:02
001

C.T. SCAN - ABDOMEN

Full Abdomen

003 002

Lower Abdomen Upper Abdomen

3500 3500

28:03
002 001 003

C.T. SCAN - SPINE

4 Vertebrae [C-4 To C-7] 4 Vertebrae [L-3 To S-1] Every Additional Vertebra

PR/SPR/NSB 2600 2600 500 PR/SPR/NSB 3400 3400 1400 2400 2400 PR/SPR/NSB 2400 PR/SPR/NSB 1800 2400 PR/SPR/NSB 2200 PR/SPR/NSB 900 2700 1600

28:04
001 005 004 003 002

C.T. SCAN - THORAX

Full Thorax HRCT - Thorax Full HRCT - Thorax Limited Lower Thorax Upper Thorax

28:05
001

C.T. SCAN - ORBIT

Orbit

28:06
002 001

C.T. SCAN - TEMPORAL BONE

Limited C.T. Scan of Temporal Bone Temporal Bone [Iam]

28:07
001

C.T. SCAN - PITUITARY GLAND

Pituitary Gland

28:08
003 002 001

C.T. SCAN - P.N.S.

Limited CT Scan of P.N.S. P.N.S. : Axial + Coronal Presinoscopy [P.N.S.]

28:09
002 001

C.T. SCAN - NECK & LARYNX

Larynx Neck

PR/SPR/NSB 2400 2500 PR/SPR/NSB 1800 PR/SPR/NSB 3600 PR/SPR/NSB 2200 2200 2800 PR/SPR/NSB 2400 3000 1600
DEPEND UP

28:10
001

C.T. SCAN - EXTREMITIES

Extremities

28:12
001

C.T. SCAN
3D

28:13
002 001 003

C.T. SCAN - GUIDED PROCEDURES

C.T. Guided Aspiration C.T. Guided Biopsy C.T. Guided F.N.A.C.

28:14
003 004 001 002

C.T. SCAN - MISCELLANEOUS PARTS

Face Head & Face Miscellaneous [Ankle / Hip / Wrist Etc.] Miscellaneous [Others]

28:15
004 002 005 006 007 003 001

C.T. SCAN
Angio-Abdominal Angio-Cerebral Angio-Renal Angio-Upper Abdomen (Dual Phase Liver) Angio-Whole Abdomen (Dual Phase Liver) Pulmonary Angiography Virtual Colonoscopy / Endoscopy

PR/SPR/NSB 6500 4500 4000 5000 5500 4000 6000

28:16
001 003 002

C.T. SCAN - MISCELLANEOUS

Contrast Extra for Emergency Cases [**] Extra for M.L.C. Cases Contrast charges are extra i.e.to be added to above mentioned C.T. SCAN Charges. ** Emergency charge is extra for scans done between 5.00 pm to 8.00 am or on holidays.

PR/SPR/NSB
DEPEND UPON THE MARKET PRICE AT ACTUALS

300 300

Back to top

VENTILATOR
29:01
002 003 001

VENTILATOR
Bi-pap / C pap Infant Ventilator Ventilator Per Day

PR/SPR/NSB 1000 1300 1500 Back to top

T.M.T. (TREAD MILL TEST)

31:01
001

TREAD MILL TEST

Tread Mill Test (Each)

PR/SPR/NSB 1200 Back to top

NNU - NURSERY
35:01
001

NNU - NURSERY (206)

NNU - Nursery : Per Day

PR 500

SPR 400

NSB 300 Back to top

36:02
002 001

PHOTO THERAPY
Photo Therapy : Double - Per day Photo Therapy : Single - Per day

PR 500 400

SPR 400 300

NSB 300 200

Back to top

37:02
001 002 003

INCUBATOR / OPEN CARE

Incubator : Per Day Open Care : Per Day Warmer Care

PR 500 500 300

SPR 400 400 250

NSB 300 300 200 Back to top

39:01
001

NURSING CARE
Nursing Care : Per day

PR 300

SPR 300

NSB 175

Note :- Nursing care is professional charges for routine nursing care provided by the nurses to all admitted patients. Back to top

HOLTER MONITOR
40:01
001

HOLTER MONITOR
Holter Monitoring

PR 1350

SPR 1350

NSB 1350

E.E.G. (ELECTRO ENCEPHALOGRAMS)

43:01
001

ELECTRO ENCEPHALOGRAM
Electro Encephalography

PR 900 PR 25 75 50 100 300 25

SPR 900 SPR 25 75 50 100 300 25

NSB 900 NSB 25 75 50 100 250 25

44:02
007 002 006 004 001 008

DIET FOR ATTENDANT

Aerated Cold Drinks : 500 ml. bottle Breakfast Only Coffee Tray : Each Dinner Only Full Meals for Attendant : Per Day Juice : Per Glass

003 009 005

Lunch Only Milk : Per Glass Tea with Snacks

100 15 50 PR 500

100 15 50 SPR 400

100 15 50 NSB 300 Back to top

45:01
001

HOSPITAL CONSULTATION
Hospital Consultation (Each)

ECHOCARDIOGRAPHY / CAROTID DOPPLER

47:01
001 002

ECHOCARDIOGRAPHY
Echocardiography Carotid Doppler Study

PR 1600 1600 PR 500

SPR 1600 1600 SPR 400

NSB 1600 1600 NSB 300

50:01
001

VISITING CONSULTANT'S FEE

Visit Charges [Honorary Consultants]

NOTE :- The above mentioned 'Visiting charges' will not be applicable to the patients admitted by Visiting Consultants as their 'PRIVATE PATIENT'. Visiting Consultants are free to charge a differential fee for their Private Patients, but this will be billed and collected by the hospital on their behalf.

55:01
003

SPECIAL EQUIPMENT
Phacoemulsification Machine

PR/SPR/NSB 1500 Back to top

LASER PROCEDURES
56:01
010 011 004 006

LASER PROCEDURES
Autoperimetry Colour Photos Fundus Fluresien Angiography Laser Peripheral Iridectomy

PR/SPR/NSB 1200 500 1800 2750

[Supplies Extra]

005 007 008 009

Laser Photocoagulation Laser Photocoagulation - Lattice & Holes Laser Photocoagulation - R. O. P. OCT

2250 3500 6000 2000 Back to top

AYURVEDIC TREATMENT
32:01
031 019 029 034 018 023 024 028 016 013 011 012 026 030 010 008 009 027 002 003 014 006

AYURVEDIC TREATMENT
Agni Karma Annalepanam Avagaha Sweda Cost of Patrapinda Bundle Ekanga Taila Dhara Kala Basti [10A+6N] Karma Basti [18A+12N] Kati Basti Ksheera Dhara Nadi Sweda-Full Body Nadi Sweda-One Limb Nadi Sweda-Two Limbs Nasya Karma Netra Tarpan Patra Pinda Sweda-Full Body Patra Pinda Sweda-One Limb Patra Pinda Sweda-Two Limbs Raktamokshana Sarvang Abhyanga-Adult Sarvang Abhyanga-Child Sarvanga Bashpa Sweda Shashtik Shali Pinda Sweda-Adult [Per Sitting] 7-Days 7-Days [Each] 7-Days 16-Days 30-Days 7-Days 7-Days 7-Days 7-Days 7-Days 7-Days 7-Days 7-Days 7-Days 7-Days [Per Sitting] 7- Sittings 7- Sittings 7-Days 7-Days

PVT. O.P.D. 700 8600 5400 100 7900 13700 21600 8600 8700 4000 2500 3200 2900 4000 4300 2200 2900 1000 3600 2900 4700 6500

007 033 005 015 017 032 025 020 021 022

Shashtik Shali Pinda Sweda-Child Shirobasti Snehadhara Sweda+Yoga Basti Taila Dhara Takra Dhara Twarita Basti Uttara Basti Vamana Karma Virechan Karma Yoga Basti[5A+3N]

7-Days 7-Days 14+8 Days 7-Days 7-Days [Per Sitting] 7-Days 12-Days 12-Days 8-Days

5800 7200 43200 10800 8700 400 7200 3600 3600 7200 Back to top

O.P.D.
88:01
001 002

O.P.D.(PRIVATE) CONSULTATION (EACH TIME)

Consultation [Each] : Morning O.P.D. Consultation [Each] : Evening O.P.D.

P.O.P.D. 400 400 Back to top G.O.P.D. 60 50 60 60 100

88:02
001 002 003 004 005

O.P.D.[GENERAL] REGISTRATION (EACH TIME)

New Registration - General Clinics Re-Visit Registration - General Clinics New Registration - O.B. & Well Baby Clinic Re-Visit Registration - O.B. & Well Baby Clinic Casualty Visit [Each Time]

88:03 O.B.ADVANCE
(NON REFUNDABLE-WILL BE ADJUSTED IN FINAL BILL) PR 001 002 Booking for PR & SPR category through P.O.P.D. Booking for NSB category through G.O.P.D. 500 SPR 400 NSB 200

88:04 TREATMENT (EACH TIME)

001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 Lumbar Puncture Pleural Fluid Aspiration / Thoracentesis Ascitic Fluid Aspiration / Paracentesis Bone Marrow Aspiration / Sternal Puncture Inter Costal Drainage Endotrachael Intubation Minor Suturing Incision & Drainage [I.& D.] Urethral Dilatatoin Central Venous Pressure Line Insertion Pap Smear Taking [Lab. Charges Extra] D. & C. / Endometrial Biopsy Suturing Charges up to 5 Stitches Above that each Stitch Incidental Delivery Including Suturing Hydro Tubation [Cost of Med. Extra] Hydro Cortizone Inj. [Cost of Med. Extra] Biopsy of Bone [Lab. Charges Extra] Biopsy of Liver [Lab. Charges Extra] Biopsy of Skin [Lab. Charges Extra] Biopsy of Muscle [Lab. Charges Extra] Excision Biopsy [Lab. Charges Extra] Cervical Biopsy [Lab. Charges Extra] Prostate Biopsy [Lab. Charges Extra] Electric Cautery of Cervix Copper-T Removal Excision of Tongue Tie Sodium Nitrate Cautery Copper Sulphate Cautery

O.P.D. P.O.P.D. G.O.P.D. 600 600 600 600 900 600 600 600 400 600 100 1500 200 40 1500 900 200 900 900 600 900 600 600 800 500 200 500 200 200 300 300 300 300 350 300 300 300 250 300 50 700 125 25 700 350 100 350 350 300 350 300 300 400 300 100 300 100 100

Casualty 600 600 600 600 900 600 600 600 400 600 100 1500 200 40 1500 900 200 900 900 600 900 600 600 800 500 200 500 200 200

030 Mac Donald Stitch Removal 400 031 Excision of Nail 600 032 Nasal Pack 400 033 Ear Lobe Stitching Under L.A. (Single) 600 034 Ear Lobe Stitching Under L.A. [Both] 800 035 Ear Piercing : Bilateral 400 036 K-Wire Removal 800 037 Closed Reduction Manipulation : Upper Extremity 1500 038 Closed Reduction Manipulation : Lower Extremity 2000 039 Dressing 50 040 Nebulization 50 041 Montoux Test 25 042 Injection for Haemorrhoids [Piles] 200 043 I.V.Service Charges [Cost of I.V. Extra] 20 044 Inj.Service Charges [Cost of Inj. Extra] 20 NOTE :- COST OF SUTURES AND OTHER MATERIALS i.e. P.O.P., COTTON ROLL ETC. EXTRA

200 300 250 300 400 200 400 600 800 30 30 20 100 10 10

400 600 400 600 800 400 800 1500 2000 50 50 25 200 20 20 Back to top

88:05 OXYGEN INHALATION

001 Nasal Oxygen [Per Two Hours] P.O.P.D. 20 100 50 160 100 100 100 50 P.O.P.D. G.O.P.D.

Casualty 100 Casualty 20 100 50 160 100 100 100 50 Casualty

88:06 OTHER NURSING PROCEDURES (EACH TIME)

001 002 003 004 005 006 007 008 Sitz Bath / Steam Inhalation. Bowel Wash [Usual with Hospital Saline] Enema [Usual] [Cost of Medicine Extra] Enema followed by Bowel Wash Hospital Saline Catheterization [Cost of Cath. Extra] Stomach Wash [New Born Cases] Stomach Wash [Other than New Born Cases] Douche

88:07 PLASTERING SERVICE

001 002 003 004 006

Plastering : Foot / Arm / Hand Plastering : Leg Plastering : Hip Plastering : Body Cast Replastering Routine [Repair]

500 625 750 1250 250

250 325 375 625 125

500 625 750 1250 250

NOTE :- MATERIAL COST WILL BE EXTRA. Back to top

88:08 CARDIAC MONITORING

001 Cardiac Monitoring in Casualty

Casualty 100 P.O.P.D. 150 G.O.P.D. 120 Casualty 150

88:09
001

ELECTROCARDIOGRAM
E.C.G.

COLPOSCOPIC PROCEDURES
88:10 GYNAECOLOGICAL PROCEDURES IN O.P.D.
001 002 Diagnostic Colposcopy Colposcopy with Punch Biopsy P.O.P.D. 750 1050 G.O.P.D. 500 700 Casualty 750 1050

NOTE :- LABORATORY CHARGES FOR BIOPSY WILL BE EXTRA.

DIALYSIS (O.P.D.)
88:11 HAEMODIALYSIS CHARGES FOR O.P.D. CASES
001 Haemodialysis P.O.P.D. 650 G.O.P.D. 650

Note :- HAEMODIALYSIS CHARGES INCLUDE PROFESSIONAL FEE OF NEPHROLOGIST FOR HAEMODIALYSIS. HOWEVER, IT DOES NOT INCLUDE CHARGES FOR ANY CONSUMABLES, VASCULAR ACCESS AND INVESTIGATION.

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