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HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Eff ective from 01.04.2018 to 31.03.2020)

HOLY FAMILY HOSPITALOKHLA ROAD, NEW DELHI - 110025

Schedule of ChargesEffective 1 April, 2018

Phone Nos: +91 11 2633 2800 to 2633 2809 +91 11 2684 5900 to 2684 5909

Fax No : +91 11 2691 3225Email : [email protected]



Phone Nos: +91 11 2633 2800 to 2633 2809 +91 11 2684 5900 to 2684 5909




Phone Nos: +91 11 2633 2800 to 2633 2809 +91 11 2684 5900 to 2684 5909




Phone Nos: +91 11 2633 2800 to 2633 2809 +91 11 2684 5900 to 2684 5909




Phone Nos: +91 11 2633 2800 to 2633 2809 +91 11 2684 5900 to 2684 5909


Eff ecti ve from 1st April, 2018(Valid upto 31st March, 2020)

Schedule of Charges - 2018

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HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

INDEXS.No. CHARGING HEAD Page No.

1 General Information 3

In-Patient Schedule of Charges

2 Room / Bed and Board 5

3 CCU/ICU / Ped. ICU / Post Op. ICU and Board 5

4 Oxygen 5

5 Ventilator 5

6 NNU – Nursery, Photo Therapy, Incubator, Nursing Care 5

7 Hospital Doctor’s Fee :- Visits 6

8 :- Consultation 6

9 Surgery Fee : General Surgery 6

10 Surgery Fee : Laparoscopic General Surgery 9

11 Surgery Fee : Hernia Surgery 12

12 Surgery Fee : Breast Surgery 12

13 Surgery Fee : Rectal Surgery 13

14 Surgery Fee : O.B. & Gynae (Open) & Delivery Fee 13

15 Surgery Fee : O.B. & Gynae (Laparoscopic) 15

16 Surgery Fee : O.B. & Gynae (Hysteroscopic) 17

17 Surgery Fee : Ophthalmology 17

18 Surgery Fee : Orthopedics 19

19 Surgery Fee : Neuro Surgery 24

20 Surgery Fee : E.N.T. 25

21 Surgery Fee : Thoracic 28

22 Surgery Fee : Vascular 29

23 Surgery Fee : Urology 31

24 Surgery Fee : Plastic Surgery 35

25 Surgery Fee : Pediatric Surgery 38

26 Surgery Fee : Miscellaneous 41

27 Nephrology and Renal Transplant 41

28 Operation Theater Charges 43

29 Anesthesia Charges 43

30 Cath Lab Procedures & Cardiac Surgery & Packages 44

31 Non-Invasive Cardiac Lab-(ECG,Echo,TMT, Holter Moniter) 47

32 Gastroenterology 48

33 Neurology Investigations 49

34 Respiratory Medicine-(Sleep Lab,Spirometer,Video Bronchoscopy) 50

35 Radiology :BMD, C.T.Scan 51

36 Radiology : Mammography, Ultrasound 52

37 Radiology : X-Ray 54

38 Radiology : MRI 57

39 Radiology : Miscellaneous 60

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40 Laboratory 61

41 Spot Investigation 69

42 Exchange Blood Transfusion 69

43 Physio-Therapy : IPD 69

44 Treatment : IPD 71

45 Plastering 72

46 Dressing 7247 Chemotherapy : IPD 7348 Psychotherapy 7349 Laser Procedures (Ophthalmology) : IPD & OPD 7350 Laser Procedures (Dermatology)–Aesthetic Clinic : IPD & OPD 7351 Special Investigation (Uroflowmetry) 7452 Speech & Hearing Test 7453 Instrument & Special Equipments (Cardiac Monitor, DVT Pump) 7454 Diet for Attendant 7455 Concession (Only SB Bed) 7556 Ayurvedic Treatment : IPD & OPD 7557 Ambulance 7658 Mortuary 7659 Miscellaneous Charges 76

Out-Patient Schedule of Charges 60 O.P.D. Consultation (Private OPD) 7761 O.P.D. Registration (General OPD) 7762 O. B. Registration Charges 7763 Chemotherapy : OPD Casualty 7764 Dialysis [O.P.D.] 7765 O.P.D. Procedures : Urology, ENT, Ophthalmology, & Gynae, 7866 Plastering Charges : OPD 7867 Skin Procedures : OPD 7968 Treatment : OPD 7969 Nursing Procedures : OPD 8170 Physio-Therapy : OPD 81

Out-Patient : Package charges for Minor O.T. Procedures71 ENT : Minor O.T. Procedures 8472 General Surgery : Minor O.T. Procedures 8473 OB./Gyn. : Minor O.T. Procedures 8574 Eye (Ophthalmology) : Minor O.T. Procedures 8575 Ortho. : Minor O.T. Procedures 8676 Plastic Surgery : Minor O.T. Procedures 8677 Urology : Minor O.T. Procedures 8778 Thoracic : Minor O.T. Procedures 8779 Pediatric Surgery : Minor O.T. Procedures 8780 Miscellaneous Charges 89

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General Information: 1. Accommodation Categories:- ACCOMMODATION CATEGORIES :- DR = Delux Room 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) Check out time is 11:00AM. (f) Room / Bed charges are inclusive of charges for bed, Nursing Care 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 even with single incision, 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) In case of major surgeries carried out in Operation Theater, Surgeon’s Post Operative visits will not be charged for next 3 days including day of surgery. This clause is not applicable on minor surgeries and diagnostic procedures. If the surgical fee in “Delux Room” is Rs.10,000/- or less, will be treated as “Minor Surgery”.

4. Shifting from one to another accommodation:-(a) In case the patient is shifted from lower to higher category, the charges for surgical procedure/s, doctors’ visits,

any other professional fees, Investigations, Nursing Care and other variable charges (except Bed charges) will be charged as per the higher category from the date of admission.

(b) In normal course, shifting from higher category to lower category is not allowed.

Contd..

DR, PR, SPR and NSB accommodations will be offered to Credit Facility and Reimbursable cases.SB category is only for non-reimbursable cases.

(Pls see point no.7)

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5. Any treating consultant / physician can charge only one visit per day irrespective of the number of visits.

6. 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.

7. Re-imbursable cases not to opt Subsidised Bed (SB) category :- Patients entitled for reimbursement from their employer / Insurance company will be

accommodated in Delux Room (DR), Private Room(PR), Semi Private(SPR) or Non Subsidised Bed(NSB) only.As per Hospital policy, Subsidised Beds(SB) will only be allotted to economically Impoverished patients and who are not the beneficiaries of any organizational reimbursement scheme. If a patient opts to occupy a Subsidised Bed (SB), the Final Bill with payment receipt will only be issued. In such cases, Neither printed details of the bill nor “Emergency/Essentiality Certificate” will be issued. No form for reimbursement will be signed by any doctor or official.

8. ICU/CCU/SEMI ICU/PED. ICU/305 (SPL. NURSERY)/NICU-415/HDU are the common

areas. Any patient admitted directly in these areas will decide about the type of accommodation at the time of admission in these areas and charges will be made accordingly irrespective of whether or not theyhave actually utilized such an accommodation for whatever reason.

NOTE :The hospital reserves the right to modify the charges mentioned in this “Schedule of charges” without prior notice whenever it deems necessary.

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S.No. DESCRIPTION

01:01 ROOM / BED AND BOARD CHARGES (in rupees)001 DELUX ROOM 7000002 PRIVATE (SINGLE) ROOM 5000003 SEMI PRIVATE ROOM 3200004 NON-SUBSIDISED BED 2400005 SUBSIDISED BED 1300

NOTE: The Room / Bed Charges are inclusive of Nursing Care.

02:01 CCU/ICU/PED ICU/SEMI ICU / POST OP. ICU / INTENSIVE NURSING CARE UNIT / H.D.U.S.No. DESCRIPTION ACCOMMODATION CATEGORY

DR/PR/SPR/NSB/SB001 ICU / CCU 6300002 PED. ICU / SPL. NURSERY (305) 2300003 H.D.U. - (415) 3300004 SEMI ICU 5000005 P.OP.ROOM 3300006 H.D.U. - LABOR ROOM 2800

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

03:01 OXYGEN DR/PR/SPR/NSB SB001 BY HOOD/MASK (PER DAY) 500 400002 BY NASAL CATHETER (PER DAY) 400 250003 BY HOOD/MASK (LESS THAN 6 HOURS) 300 200

04:01 VENTILATOR DR/PR/SPR/NSB SB001 BI-PAP / C PAP 1600 1100002 INFANT VENTILATOR 1850 1200003 VENTILATOR PER DAY 2500 1700

05:01 NNU (NEO-NATAL UNIT) – NURSERY (206) DR/PR/SPR/NSB/SB001 NEO NATAL UNIT (NNU) - NURSERY : PER DAY 2000

Note:- NNU-Nursery charges are inclusive of charges for bed and Nursing Care for patient (Newborn Baby) only.

05:02 PHOTO THERAPY DR/PR/SPR/NSB SB001 PHOTO THERAPY : DOUBLE - PER DAY 700 350002 PHOTO THERAPY : SINGLE - PER DAY 400 200

05:03 INCUBATOR / OPEN CARE001 INCUBATOR / OPEN CARE : PER DAY 700 450002 WARMER CARE : PER DAY 400 250

05:04 NURSING CARE DR PR SPR NSB SB001 NURSING CARE : PER DAY(Only for newborn babies in “Nursery 208) 550 500 500 350 225

Note :- Nursing care is professional charges for routine nursing care provided by the nurses.

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S.No. DESCRIPTION ACCOMMODATION CATEGORYHOSPITAL DOCTOR’S FEE DR PR SPR NSB SB06:01 VISITS : MEDICAL CARE - PER DAY

06:02 CONSULTATION001 CONSULTATION (EACH) 1200 900 800 700 450

001 VISIT : MEDICAL CARE : PER DAY 1200 900 800 700 450

SURGICAL FEE

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:01 GENERAL SURGERY DR PR SPR NSB SB

001 GES037 ADRENALECTOMY 30000 25000 20000 15000 10000002 GES001 APPENDICECTOMY 17000 14000 11300 8500 5700003 GES121 ASPIRATION OF LIVER ABSCESS 8000 6700 5400 4000 2700004 GES018 ASPIRATION OF SUPERFICIAL COLD ABSCESS 3300 2750 2200 1650 1100005 GES118 AVULSION OF NAIL OR NAIL REMOVAL 4000 3300 2700 2000 1300006 GES021 AXILLARY LYMPH NODE BIOPSY 9000 7500 6000 4500 3000007 GES128 BARIATRIC SURGERY 60000 50000 40000 30000 20000008 GES097 BIOPSY OF LIVER 8000 6700 5400 4000 2700009 GES042 BLOCK DISSECTION NECK 32000 26800 21400 16000 10700010 GES112 CAECOSTOMY 17000 14000 11300 8500 5700

011 GES002 CHOLECYSTECTOMY WITH DUCT EXPLORATION 30000 25000 20000 15000 10000

012 GES122 CHOLECYSTOSTOMY 18000 15000 12000 9000 6000013 GES013 COLECTOMY WITH ILEOSTOMY 30000 25000 20000 15000 10000014 GES048 COLOSTOMY 17000 14000 11300 8500 5700

015 GES055 COLOSTOMY / ILEOSTOMY / JEJUNOSTOMY CLOSURE 18000 15000 12000 9000 6000

016 GES136 CONSTRUCTION OF J POUCH AFTER A PREVIOUS TOTAL PROCTO COLECTOMY 36000 30000 24000 18000 12000

017 GES137 CYTO-REDUCTIVE SURGERY WITH TOTAL PERITONECTOMY 100000 83000 66000 50000 33000

018 GES058 DEBRIDEMENT(LARGE) 9000 7500 6000 4500 3000019 GES098 DEBRIDEMENT(MEDIUM) 7000 5800 4800 3500 2400020 GES059 DEBRIDEMENT(SMALL) 5000 4200 3400 2500 1700021 GES087 DELTOID MUSCLE BIOPSY 7000 5800 4800 3500 2400022 GES053 DIVERTICULECTOMY 18000 15000 12000 9000 6000023 GES102 DRAINAGE OF ABSCESS - LARGE & DEEP 7000 5800 4800 3500 2400024 GES123 DRAINAGE OF ABSCESS - MEDIUM 5000 4200 3400 2500 1700025 GES017 DRAINAGE OF ABSCESS - SMALL 3500 2900 2300 1750 1200

026 GES085 DRAINAGE OF LARGE INTRA ABDOMINAL ABSCESS 18000 15000 12000 9000 6000

027 GES138 ASPIRATION OF LIVER ABSCESS 7000 5800 4800 3500 2400028 GES132 DRESSING – MAJOR 3500 2900 2300 1750 1200029 GES133 DRESSING – MEDIUM 3000 2500 2000 1500 1000

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030 GES134 DRESSING – MINOR 2200 1800 1500 1100 750031 GES035 DUODENAL DIVERTICULAM 29000 24200 19400 14500 9700032 GES022 EXCISION BIOPSY-SUPERFICIAL LUMPS 10000 8300 6700 5000 3350033 GES099 EXCISION OF CARBUNCLE 10000 8300 6700 5000 3350034 GES110 EXCISION OF DERMOID CYST 10000 8300 6700 5000 3350

035 GES111 EXCISION OF GLOMUS TUMOR (WITH OR WITHOUT EXCISION OF NAIL) 11000 9200 7400 5500 3700

036 GES139 EXCISION OF HILAR CHAOLANGIO CARCINOMA 42000 35000 28000 21000 14000

037 GES060 EXCISION OF LARGE SUPERFICIAL SOFT TISSUE MASS / TUMOUR 18000 15000 12000 9000 6000

038 GES100 EXCISION OF MEDIUM SUPERFICIAL SOFT TISSUE MASS / TUMOUR 13000 10900 8700 6500 4350

039 GES032 EXCISION OF MESENTERIC CYST 24000 20000 16000 12000 8000040 GES046 EXCISION OF PILONIDAL SINUS 16000 13400 10700 8000 5300041 GES056 EXCISION OF SEBACEOUS CYST 6500 5400 4400 3250 2200042 GES033 EXCISION OF SMALL INTESTINAL FISTULA 24000 20000 16000 12000 8000

043 GES101 EXCISION OF SMALL SUPERFICIAL SOFT TISSUE MASS / TUMOUR 10000 8300 6700 5000 3350

044 GES049 EXCISION OF SUBMANDIBULAR GLAND 15000 12500 10000 7500 5000

045 GES086 EXP.LAP.RESECTION OF LIVER SEG.-EXCISION OF UMBILICAL PORT 35000 29000 23400 17500 11700

046 GES084 EXP.LAPAROTOMY+CHOLEDOCHLITHOTOMY + CHOLEDOCHO DUODENOSTOMY 35000 29000 23400 17500 11700

047 GES003 EXPLORATORY LAPAROTOMY ONLY 14000 11700 9400 7000 4700

048 GES114 EXP. LAPAROTOMY WITH DUODENAL PERFORATION CLOSURE 32000 26800 21400 16000 10700

049 GES115 EXP. LAP. WITH EXCISION / DEBULKING OF INTRA-ABDOMINAL TUMOR – MAJOR 42000 35000 28000 21000 14000

050 GES095 FASCIOTOMY – LARGE / MULTIPLE 15000 12500 10000 7500 5000051 GES094 FASCIOTOMY – MEDIUM 11000 9200 7400 5500 3700052 GES124 FASCIOTOMY – SMALL 6000 5000 4000 3000 2000053 GES104 FASCIOTOMY – REDO ( LARGE / MULTIPLE) 12000 10000 8000 6000 4000054 GES103 FASCIOTOMY – REDO (MEDIUM) 9000 7500 6000 4500 3000055 GES125 FASCIOTOMY – REDO (SMALL) 5000 4200 3400 2500 1700056 GES116 FEEDING JEJUNOSTOMY 12000 10000 8000 6000 4000057 GES140 FREYS PROCEDURE 45000 37500 30000 22500 15000058 GES004 GASTRECTOMY 30000 25000 20000 15000 10000059 GES005 GASTRECTOMY WITH VAGOTOMY 32000 26800 21400 16000 10700060 GES006 GASTROJEJNOSTOMY 24000 20000 16000 12000 8000061 GES007 GASTROJEJUNOSTOMY WITH VAGOTOMY 27000 22500 18000 13500 9000062 GES008 GASTROSTOMY 16000 13400 10700 8000 5300063 GES031 GLAND BIOPSY 8000 6700 5400 4000 2700064 GES130 HEMATOMA DRAINAGE 5000 4200 3400 2500 1700065 GES044 HEMI THYROIDECTOMY 22000 18300 14700 11000 7400066 GES012 HEMICOLECTOMY 29000 24200 19400 14500 9700

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067 GES109 HEMIGLOSSECTOMY 18000 15000 12000 9000 6000068 GES120 HEPATICO JEJUNOSTOMY 32000 26800 21400 16000 10700069 GES069 HIGHLY SELECTIVE VAGOTOMY 21000 17500 14000 10500 7000070 GES025 ILEOTRANSVERSE COLOSTOMY 20000 16700 13200 10000 6600071 GES057 INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000072 GES024 INTESTINAL PERFORATION 24000 20000 16000 12000 8000

073 GES105 INTESTINAL RESECTION WITH ANASTOMOSIS – MULTIPLE 30000 25000 20000 15000 10000

074 GES009 INTESTINAL RESECTION WITH ANASTOMOSIS – SINGLE 24000 20000 16000 12000 8000

075 GES070 LAPAROTOMY AND BOWEL RESECTION FOR INTUSSUSCEPTION 24000 20000 16000 12000 8000

076 GES071 LAPAROTOMY AND CLOSURE OF INTESTINAL PERFORATION 24000 20000 16000 12000 8000

077 GES073 LAPAROTOMY AND DIVISION OF INTRA-ABDOMINAL ADHESIONS / BANDS 24000 20000 16000 12000 8000

078 GES072 LAPAROTOMY AND REDUCTION OF INTUSSUSCEPTION 24000 20000 16000 12000 8000

079 GES074 LEFT HEPATECTOMY 39000 32500 26000 19500 13000080 GES075 LEFT LIVER LOBECTOMY 42000 35000 28000 21000 14000081 GES047 LIGATION OF VARICOSE VEINS : UNILATERAL 18000 15000 12000 9000 6000082 GES114 LIVER RESECTION MAJOR / COMPLEX 42000 35000 28000 21000 14000083 GES113 LUMBAR PUNCTURE IN O.T. 3000 2500 2000 1500 1000084 GES020 LYMPH NODE BIOPSY 8000 6700 5400 4000 2700

085 GES011 LYSIS OF ADHESION WITH BOWEL RESECTION WITH ANASTOMOSIS 24000 20000 16000 12000 8000

086 GES010 LYSIS OF INTESTINAL ADHESION 15000 12500 10000 7500 5000

087 GES142 NECROSECTOMY AND OPEN DRAINAGE OF PANCREATIC ABSCESS 30000 25000 20000 15000 10000

088 GES096 NEEDLE ASPIRATION OF ABSCESS 3000 2500 2000 1500 1000089 GES143 OESOPHAGEAL DEVASCULARISATION 42000 35000 28000 21000 14000090 GES039 OESOPHAGO GASTRECTOMY 39000 32500 26000 19500 13000091 GES054 OMENTECTOMY 15000 12500 10000 7500 5000092 GES082 OPEN CHOLECYSTECTOMY 24000 20000 16000 12000 8000

093 GES106 OPEN CHOLECYSTECTOMY WITH CBD EXPLORTION 30000 25000 20000 15000 10000

094 GES144 OPEN DRAINAGE OF LIVER ABSCESS 18000 15000 12000 9000 6000095 GES038 OPERATION FOR PANCREAS 38000 31700 25400 19000 12700

096 GES040 PANCREATICO DUODONECTOMY (WHIPPLE’S PROCEDURE) 39000 32500 26000 19500 13000

097 GES083 PARATHYROID ADENOMA WITH HEMI THYROIDECTOMY 32000 26800 21400 16000 10700

098 GES045 PARATHYROIDECTOMY 24000 20000 16000 12000 8000099 GES041 PAROTIDECTOMY 32000 26800 21400 16000 10700

100 GES027 PARTIAL SUBTOTAL GASTRECTOMY CA./ULCER 32000 26800 21400 16000 10700

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101 GES117 PERITONEAL BIOPSY 5500 4600 3700 2750 1850102 GES145 PERITONEOVENOUS SHUNT 24000 20000 16000 12000 8000103 GES014 PYLOROMYOTOMY (RAMSTEDT’S) 20000 16700 13200 10000 6600104 GES015 PYLOROPLASTY WITH VAGOTOMY 24000 20000 16000 12000 8000105 GES077 RADICAL CHOLECYSTECTOMY 35000 29000 23400 17500 11700106 GES036 RECURRENT INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000107 GES088 REMOVAL OF DEEP FOREIGN BODY-LIMBS 21000 17500 14000 10500 7000108 GES108 REMOVAL OF MESH & TACKERS 17000 14000 11300 8500 5700

109 GES089 REMOVAL OF SUPERFICIAL FOREIGN BODY-LIMBS 12000 10000 8000 6000 4000

110 GES107 REMOVAL OF SUPERFICIAL FOREIGN BODY-LIMBS -MINOR 7000 5800 4800 3500 2400

111 GES029 REPAIR OF COMMON BILE DUCT (C.B.D.) 32000 26800 21400 16000 10700

112 GES146 RESECTION ANASTOMOSIS OESOPHAGUS (IVOR LEWIS) 42000 35000 28000 21000 14000

113 GES078 RESUTURING OF WOUNDS – LARGE / MULTIPLE 9000 7500 6000 4500 3000

114 GES050 RESUTURING OF WOUNDS – SMALL 5000 4200 3400 2500 1700

115 GES051 SECONDARY SUTURING OF ABDOMINAL WALL 14000 11700 9400 7000 4700

116 GES026 SIGMOID DIVERTICULUM 26000 21700 17400 13000 8700117 GES016 SPLENECTOMY 28000 23300 18800 14000 9400118 GES127 STRICTUROPLASTY 24000 20000 16000 12000 8000119 GES079 SUB-TOTAL COLECTOMY 32000 26800 21400 16000 10700

120 GES126 SUTURING OF WOUNDS / LACERATIONS – LARGE / MULTIPLE 8000 6700 5400 4000 2700

121 GES019 SUTURING OF WOUNDS / LACERATIONS – SMALL 4500 3750 3000 2250 1500

122 GES147 TOTAL OESOPHAGOGASTRECTOMY WITH COLONIC/JEJUNAL PULL UP 60000 50000 40000 30000 20000

123 GES043 THYROIDECTOMY TOTAL 27000 22500 18000 13500 9000124 GES030 TOTAL COLECTOMY 33000 27500 22000 16500 11000125 GES028 TOTAL GASTRECTOMY FOR CA. 42000 35000 28000 21000 14000126 GES148 TOTAL PROCTO COLECTOMY WITH J POUCH 48000 40000 32000 24000 16000127 GES149 TRISEGMENTECTOMY 42000 35000 28000 21000 14000128 GES023 TRUCUT NEEDLE BIOPSY 3300 2750 2200 1650 1100

129 GES080 TRUNCAL VAGOTOMY AND GASTRO JEJUNOSTOMY 30000 25000 20000 15000 10000

130 GES081 TRUNCAL VAGOTOMY AND PYLOROPLASTY 32000 26800 21400 16000 10700

07:02 LAPAROSCOPIC GENERAL SURGERY001 GES091 DIAGNOSTIC LAPAROSCOPY ONLY 12000 10000 8000 6000 4000002 GES092 DIAGNOSTIC LAPAROSCOPY WITH BIOPSY 14000 11700 9400 7000 4700

003 GES093 DIAGNOSTIC LAPAROSCOPY WITH MULTIPLE BIOPSIES 18000 15000 12000 9000 6000

004 HES029 LAPARASCOPIC TOTAL EXTRA PERITONEAL MESH - (TEP) - UNILATERAL 26000 21700 17400 13000 8700

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S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:02 LAPAROSCOPIC GENERAL SURGERY DR PR SPR NSB SB

005 LGS001 LAPAROSCOPIC ABDOMINO-PERINEAL RESECTION OF RECTUM 42000 35000 28000 21000 14000

006 LGS002 LAPAROSCOPIC ADHESIOLYSIS 20000 16700 13200 10000 6600

007 LGS003 LAPAROSCOPIC ADRENALECTOMY – BILATERAL 60000 50000 40000 30000 20000

008 LGS004 LAPAROSCOPIC ADRENALECTOMY – UNILATERAL 45000 37500 30000 22500 15000

009 GES061 LAPAROSCOPIC APPENDICECTOMY 21000 17500 14000 10500 7000010 GES052 LAPAROSCOPIC CHOLECYSTECTOMY 24000 20000 16000 12000 8000

011 LGS005 LAPAROSCOPIC CHOLEDOCHAL CYST EXCISION 60000 50000 40000 30000 20000

012 LGS006 LAPAROSCOPIC CLOSURE OF BOWEL PERFORATION 32000 26800 21400 16000 10700

013 LGS007 LAPAROSCOPIC COLOSTOMY/ CECOSTOMY 24000 20000 16000 12000 8000

014 LGS008 LAPAROSCOPIC COMPLETE RECTAL PROLAPSE REPAIR 32000 26800 21400 16000 10700

015 GES062 LAPAROSCOPIC DEROOFING OF NON-HYDATID LIVER CYST 30000 25000 20000 15000 10000

016 LGS009 LAPAROSCOPIC DIAPHAGMATIC HERNIA REPAIR 48000 40000 32000 24000 16000

017 LGS010 LAPAROSCOPIC DISTAL RADICAL GASTRECTOMY 55000 46000 36700 27500 18300

018 GES067 LAPAROSCOPIC DRAINAGE OF INTRA-ABDOMINAL COLLECTION 27000 22500 18000 13500 9000

019 GES063 LAPAROSCOPIC DRAINAGE OF LIVER ABCESS 24000 20000 16000 12000 8000

020 GES068 LAPAROSCOPIC DUODENAL PERFORATION CLOSURE 32000 26800 21400 16000 10700

021 HES020 LAPAROSCOPIC EPIGASTRIC HERNIA REPAIR-INLAY MESH 24000 20000 16000 12000 8000

022 HES019 LAPAROSCOPIC EPIGASTRIC HERNIA REPAIR-ONLAY MESH 24000 20000 16000 12000 8000

023 LGS011 LAPAROSCOPIC EXCISION OF HYDATID CYST OF LIVER 48000 40000 32000 24000 16000

024 HES021 LAPAROSCOPIC FUNDOPLICATION(DOR’S) 30000 25000 20000 15000 10000025 HES022 LAPAROSCOPIC FUNDOPLICATION(NISSEN) 30000 25000 20000 15000 10000026 LGS012 LAPAROSCOPIC GASTRIC BYPASS 60000 50000 40000 30000 20000

027 GES064 LAPAROSCOPIC GASTRIC PERFORATION CLOSURE 32000 26800 21400 16000 10700

028 GES065 LAPAROSCOPIC GASTRO-JEJUNOSTOMY (GJ) 32000 26800 21400 16000 10700

029 LGS013LAPAROSCOPIC HELLERS OPERATION/ CARDIO MYOTOMY (THROUGH THE CHEST) /ABDOMEN

48000 40000 32000 24000 16000

030 LGS014 LAPAROSCOPIC HEPATICO-JEJUNOSTOMY 48000 40000 32000 24000 16000

031 LGS015 LAPAROSCOPIC HIATUS HERNIA REPAIR THROUGH THE ABDOMEN / CHEST 48000 40000 32000 24000 16000

032 LGS016 LAPAROSCOPIC ILEOSTOMY / JEJUNOSTOMY 24000 20000 16000 12000 8000033 LGS017 LAPAROSCOPIC INCISIONAL HERNIA REPAIR 36000 30000 24000 18000 12000

034 HES023 LAPAROSCOPIC INGUINAL HERNIORRHAPHY BILATERAL 24000 20000 16000 12000 8000

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035 HES024 LAPAROSCOPIC INGUINAL HERNIORRHAPHY UNILATERAL 20000 16700 13200 10000 6600

036 HES025 LAPAROSCOPIC INGUINAL HERNIORRHAPHY WITH MESH BILATERAL 32000 26800 21400 16000 10700

037 HES026 LAPAROSCOPIC INGUINAL HERNIORRHAPHY WITH MESH UNILATERAL 24000 20000 16000 12000 8000

038 LGS018 LAPAROSCOPIC LAR 51000 42500 34000 25500 17000039 LGS019 LAPAROSCOPIC LIVER RESECTIION 55000 46000 36700 27500 18300040 HES027 LAPAROSCOPIC LUMBAR HERINA REPAIR 32000 26800 21400 16000 10700

041 LGS020 LAPAROSCOPIC MEDIAN ARCUATE LIGAMENT 60000 50000 40000 30000 20000

042 LGS021 LAPAROSCOPIC NECROSECTOMY 38000 31700 25400 19000 12700043 LGS022 LAPAROSCOPIC NEPHRECTOMY 55000 46000 36700 27500 18300044 LGS023 LAPAROSCOPIC OESOPHAGECTOMY 72000 60000 48000 36000 24000045 LGS024 LAPAROSCOPIC PALLIATIVE GASTRECTOMY 36000 30000 24000 18000 12000

046 LGS025 LAPAROSCOPIC RADICAL CHOLECYSTECTOMY (WITH SEGMENT 4 & 5) 51000 42500 34000 25500 17000

047 LGS026 LAPAROSCOPIC RADICAL PROSTATECTOMY FOR Ca PROSTATE 60000 50000 40000 30000 20000

048 LGS027 LAPAROSCOPIC RESECTION AND ANASTOMOSIS-MULTIPLE 40000 33300 26800 20000 13400

049 LGS028 LAPAROSCOPIC RESECTION AND ANASTOMOSIS-SINGLE 32000 26800 21400 16000 10700

050 LGS029 LAPAROSCOPIC RFTA OF MULTIPLE LESION 75000 62500 50000 37500 25000051 LGS030 LAPAROSCOPIC RFTA OF SINGLE LESION 60000 50000 40000 30000 20000

052 LGS031LAPAROSCOPIC RIGHT / LEFT HEMICOLECTOMY / TRANSVERSE COLECTOMY / SIGMOID COLECTOMY

38000 31700 25400 19000 12700

053 LGS032 LAPAROSCOPIC SILS APPENDICECTOMY 29000 24200 19400 14500 9700054 LGS033 LAPAROSCOPIC SILS CHOLECYSTECTOMY 38000 31700 25400 19000 12700055 LGS034 LAPAROSCOPIC SILS HERNIA REPAIR 30000 25000 20000 15000 10000056 LGS035 LAPAROSCOPIC SILS SLEEV GASTRECTOMY 70000 58000 46500 35000 23300057 LGS036 LAPAROSCOPIC SLEEV GASTRECTOMY 55000 46000 36700 27500 18300

058 LGS037 LAPAROSCOPIC SPLENECTOMY/SPLENORRHAPHY 40000 33300 26800 20000 13400

059 LGS038 LAPAROSCOPIC SPLENIC ARTERY LIGATION 40000 33300 26800 20000 13400

060 LGS039 LAPAROSCOPIC STRICTUROPLASTY – MULTIPLE 32000 26800 21400 16000 10700

061 LGS040 LAPAROSCOPIC STRICTUROPLASTY – SINGLE 30000 25000 20000 15000 10000

062 HES028 LAPAROSCOPIC TOTAL EXTRA- (TEP ) BILATERAL 32000 26800 21400 16000 10700

063 GES066 LAPAROSCOPIC TRUNCAL VAGOTOMY AND GASTRO JEJUNOSTOMY 33000 27500 22000 16500 11000

064 LGS041 LAPAROSCOPIC ULTRASOUND 13000 10800 8800 6500 4400

065 HES030 LAPAROSCOPIC UMBILICAL HERNIA REPAIR- ONLAY MESH 26000 21700 17400 13000 8700

066 LGS042 LAPAROSCOPIC WERTHIEMS 55000 46000 36700 27500 18300

13



067 URS146 ORCHIDOPEXY LAPROSCOPIC – BILATERAL 28000 23300 18800 14000 9400068 URS147 ORCHIDOPEXY LAPROSCOPIC – UNILATERAL 20000 16700 13200 10000 6600

069 LGS043 VATS (VIDEO ASSISTED THORACOSCOPIC SURGERY 42000 35000 28000 21000 14000

07:03 HERNIA SURGERY001 HES013 ABDOMINOPLASTY WITH MESH 28000 23300 18800 14000 9400002 HES008 EPIGASTRIC HERNIA 18000 15000 12000 9000 6000003 HES009 FEMORAL HERNIA 18000 15000 12000 9000 6000004 HES010 HIATUS HERNIA 26000 21700 17400 13000 8700005 HES014 HYDROCELECTOMY : BILATERAL 18000 15000 12000 9000 6000006 HES006 HYDROCELECTOMY : UNILATERAL 11000 9200 7400 5500 3700

007 HES017 INCISIONAL HERNIA REPAIR WITH ABDOMINOPLASTY 39000 32500 26000 19500 13000

008 HES036 INCISIONAL HERNIA REPAIR WITH MESH 24000 20000 16000 12000 8000009 HES018 INGUINAL HERNIA - BILATERAL 21000 17500 14000 10500 7000010 HES001 INGUINAL HERNIA : UNILATERAL 17000 14000 11300 8500 5700011 HES015 INGUINAL HERNIOPLASTY : BILATERAL 24000 20000 16000 12000 8000012 HES012 INGUINAL HERNIOPLASTY : UNILATERAL 18000 15000 12000 9000 6000013 HES002 INGUINAL HERNIA WITH ORCHIDECTOMY 21000 17500 14000 10500 7000

014 HES031 NISSEN FUNDOPLICATION AND HIATUS HERNIA REPAIR 30000 25000 20000 15000 10000

015 HES038 ORCHIDECTOMY : BILATERAL 18000 15000 12000 9000 6000016 HES037 ORCHIDECTOMY : UNILATERAL 15000 12500 10000 7500 5000

017 HES003 RECURRENT HERNIA (INCISIONAL) BILATERAL 24000 20000 16000 12000 8000

018 HES032 RECURRENT HERNIA (INCISIONAL) UNILATERAL 21000 17500 14000 10500 7000

019 HES033 RECURRENT HERNIA WITH MESH BILATERAL 32000 26800 21400 16000 10700

020 HES034 RECURRENT HERNIA WITH MESH UNILATERAL 28000 23300 18800 14000 9400

021 HES011 STRANGULATED / OBSTRUCTED HERNIA 24000 20000 16000 12000 8000022 HES005 UMBILICAL HERNIA 18000 15000 12000 9000 6000023 HES035 UMBILICAL HERNIA REPAIR WITH MESH 24000 20000 16000 12000 8000024 HES004 VENTRAL HERNIA (INCISIONAL) 21000 17500 14000 10500 7000

07:04 BREAST SURGERY001 BRS001 BIOPSY OF BREAST 9000 7500 6000 4500 3000002 BRS006 EXCISION OF MAMMARY FISTULA 12000 10000 8000 6000 4000003 BRS002 EXCISION OF SMALL FIBROADENOMA 10000 8300 6800 5000 3400004 BRS003 I. & D. OF BREAST ABSCESS 7000 5800 4800 3500 2400005 BRS008 LUMPECTOMY – LARGE 14000 11700 9400 7000 4700006 BRS010 LUMPECTOMY – SMALL 10000 8300 6800 5000 3400

007 BRS005 MASTECTOMY RADICAL WITH AUX. LYMPH NODES 30000 25000 20000 15000 10000

008 BRS004 MASTECTOMY SIMPLE 19000 15800 12800 9500 6400

14


07:05 RECTAL SURGERY

001 RES007 ABDOMINAL PERINEAL RESECTION FORCA. RECTUM 35000 29000 23400 17500 11700

002 RES002 ANAL DILATATION 7000 5800 4800 3500 2400003 RES008 ANTERIOR RESECTION 28000 23300 18800 14000 9400

004 RES009 ANTERIOR RESECTION WITH TOTAL MESORECTAL EXCISION 32000 26800 21400 16000 10700

005 RES013 EXCISION OF SKIN TAG 2000 1700 1400 1000 700006 RES001 FISSURECTOMY 9000 7500 6000 4500 3000007 RES003 FISTULECTOMY 16000 13400 10700 8000 5300008 RES004 HAEMORRHOIDECTOMY 18000 15000 12000 9000 6000009 RES005 I. & D. OF ISCHIO-RECTAL ABSCESS 10000 8300 6800 5000 3400010 RES011 PERIANAL ABSCESS DRAINAGE 9000 7500 6000 4500 3000011 RES006 RECTAL POLYP EXCISION 6000 5000 4000 3000 2000012 RES010 STAPLED HAEMORRHOIDECTOMY 20000 16700 13200 10000 6600

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:04 BREAST SURGERY DR PR SPR NSB SB

009 BRS011 RADICAL BLOCK DISSECTION OF BREAST 21000 17500 14000 10500 7000010 BRS007 SEGMENTAL RESECTION OF BREAST 12000 10000 8000 6000 4000011 BRS009 WIDE EXCISION BIOPSY OF BREAST 16000 13400 10700 8000 5300

07:06 O.B. & GYNAE - OPEN SURGERY001 OGS012 ABDOMINAL HYSTERECTOMY 26000 21700 17400 13000 8700

002 OGS016 ANTERIOR & POSTERIOR COLPORRHAPHY 15000 12500 10000 7500 5000

003 OGS060 ANTERIOR COLPORRAPHY 12000 10000 8000 6000 4000

004 OGS063 CAUTERY OF VAGINAL VAULT GRANULOMA 2000 1700 1400 1000 700

005 OGS088 CERVICAL EXPLORATION WITHOUT BIOPSY 5000 4200 3400 2500 1700

006 OGS089 CERVICAL EXPLORATION WITH BIOPSY 7000 5800 4800 3500 2400

007 OGS033 COMPLETE PERINEAL TEAR REPAIR 6500 5400 4400 3250 2200

008 OGS066 CONE BIOPSY OF CERVIX 6000 5000 4000 3000 2000

009 OGS094 CRYO CAUTERISATION OF CERVIX WITH OR WITHOUT BIOPSY 6000 5000 4000 3000 2000

010 OGS032 CRYOSURGERY 6000 5000 4000 3000 2000

011 OGS008 D. & C. WITH CERVIX BIOPSY 6000 5000 4000 3000 2000

012 OGS049 D. & C. WITH POLYPECTOMY 6000 5000 4000 3000 2000

013 OGS009 DILATATION & CURETTAGE (D.& C.) ONLY 5000 4200 3400 2500 1700

014 OGS007 DILATATION & EVACUATION (D. & E.) ONLY 5000 4200 3400 2500 1700

015 OGS028 DRAINAGE OF ABSCESS BARTHOLINS CYST 4500 3750 3000 2250 1500

016 OGS006 E.U.A. (EXAMINATION UNDER ANEASTHESIA) 4000 3300 2700 2000 1300

017 OGS070END TO END FALLOPIAN TUBAL RECANALISATION / ANASTOMOSIS – UNILATERAL OR BILATERAL

26000 21700 17400 13000 8700

018 OGS025 EXCISION OF LABIAL CYST / BARTHOLINS CYST 4500 3750 3000 2250 1500

019 OGS073 EXCISION OF VAGINAL WALL CYST 9000 7500 6000 4500 3000

15


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:06 O.B. & GYNAE - OPEN SURGERY DR PR SPR NSB SB

020 OGS092 EXP. LAP. WITH REPAIR OF UTERUS PERFORATION OR RUPTURE 32000 26800 21400 16000 10700

021 OGS075 FOREIGN BODY REMOVAL FROM VAGINA 5000 4200 3400 2500 1700

022 OGS040 FOTHERGILS / MANCHESTER OPERATION FOR UTERINE PROLAPSE 16000 13400 10700 8000 5300

023 OGS078 HEMATOCOLPOS DRAINAGE / COLPOTOMY 4500 3750 3000 2250 1500

024 OGS037 HEMATOMA DRAINAGE 4500 3750 3000 2250 1500

025 OGS038 HYMENECTOMY 4500 3750 3000 2250 1500

026 OGS058 HYSTEROTOMY 18000 15000 12000 9000 6000

027 OGS046 I & D OF LABIAL ABCESS UNILATERAL OR BILATERAL 6500 5400 4400 3250 2200

028 OGS061 INTERNAL ILIAC ARTERY LIGATION 13000 10900 8700 6500 4350

029 OGS021 L.S.C.S. 20000 16700 13200 10000 6600

030 OGS018 L.S.C.S. WITH HYSTERECTOMY 30000 25000 20000 15000 10000

031 OGS090 LSCS WITH PREVIOUS SCAR 24000 20000 16000 12000 8000

032 OGS017 L.S.C.S. WITH TUBECTOMY 28000 23300 18800 14000 9400

033 OGS048 LAPROTOMY & REPOSITIONING OF UTERUS(HAULTENS TECH.) 22000 18300 14700 11000 7400

034 OGS034 LAPROTOMY FOR ECTOPIC PREGNANCY 16000 13400 10700 8000 5300

035 OGS041 LAPROTOMY FOR TWISTED OVARIAN 18000 15000 12000 9000 6000

036 OGS095 LIGATION OF UTERINE & OVARIAN ARTERIES 12000 10000 8000 6000 4000

037 OGS015 MAC DONALD STITCH / CERVICAL ENCIRCLAGE 6500 5400 4400 3250 2200

038 OGS036 MANUAL REMOVAL OF PLACENTA (BED SIDE) 5000 4200 3400 2500 1700

039 OGS069 MANUAL REMOVAL OF PLACENTA IN OT 6500 5400 4400 3250 2200

040 OGS030 MYOMECTOMY 20000 16700 13200 10000 6600

041 OGS002 NON DESCENT VAGINAL HYSTERECTOMY 29000 24200 19400 14500 9700

042 OGS013 OOPHRECTOMY / SALPINGECTOMY 16000 13400 10700 8000 5300

043 OGS053 OVARIAN CYST ASPIRATION WITH BIOPSY-BILATERAL 17000 14000 11300 8500 5700

044 OGS051 OVARIAN CYST ASPIRATION WITH BIOPSY-UNILATERAL 14000 11700 9400 7000 4700

045 OGS052 OVARIAN CYST ASPIRATION WITHOUT BIOPSY-BILATERAL 15000 12500 10000 7500 5000

046 OGS050 OVARIAN CYST ASPIRATION WITHOUT BIOPSY-UNILATERAL 12000 10000 8000 6000 4000

047 OGS023 OVARIAN CYSTECTOMY 17000 14000 11300 8500 5700

048 OGS010 PANHYSTERECTOMY / TAH WITH BSO 30000 25000 20000 15000 10000

049 OGS059 PURANDARE’S SLING OPERATION FOR PROLAPSE 18000 15000 12000 9000 6000

050 OGS067RADICAL HYSTERECTOMY FOR MALIGNANCY / WERTHEIM’S HYSTERECTOMY

35000 29000 23400 17500 11700

16



07:06 O.B. & GYNAE - OPEN SURGERY DR PR SPR NSB SB

051 OGS003 RADICAL VULVECTOMY 33000 27500 22000 16500 11000

052 OGS093 REMOVAL OF MAC DONALD STITCH (IN O.T.) 2500 2100 1800 1250 900053 OGS065 REPAIR OF RECTOVAGINAL FISTULA (RVF) 16000 13400 10700 8000 5300054 OGS019 REPAIR OF VESICO-VAGINAL FISTULA 27000 22500 18000 13500 9000

055 OGS064 REPOSITIONING OF INVERTED UTERUS (UTERINE INVERSION) 9000 7500 6000 4500 3000

056 OGS057 RESUTURING OF ABDOMINAL WOUND – MAJOR 6500 5400 4400 3250 2200

057 OGS043 RESUTURING OF ABDOMINAL WOUND – MINOR 4000 3300 2700 2000 1300

058 OGS044 RESUTURING OF EPISIOTOMY WOUND 5000 4200 3400 2500 1700059 OGS014 SALPINGO-OOPHRECTOMY 16000 13400 10700 8000 5300060 OGS042 SHIRODHKAR SUTURE 8000 6700 5400 4000 2700061 OGS062 SIMPLE VULVECTOMY 16000 13400 10700 8000 5300062 OGS055 SUCTION AND EVACUATION 5000 4200 3400 2500 1700

063 OGS087 VAGINAL EXPLORATION WITH REMOVAL OF RING PESSARY 5000 4200 3400 2500 1700

064 OGS011 VAGINAL HYSTERECTOMY WITH VAGINAL AND PELVIC FLOOR REPAIR 27000 22500 18000 13500 9000

065 OGS001 VAGINOPLASTY 27000 22500 18000 13500 9000

066 OGS027 VAULT PROLASE REPAIR - ABDOMINAL COLPOSUSPENSION 27000 22500 18000 13500 9000

067 OGS026 VAULT PROLASE REPAIR - VAGINAL ROUTE 27000 22500 18000 13500 9000068 OGS091 VAULT BIOPSY 5000 4200 3400 2500 1700069 OGS045 VULVAL BIOPSY 4000 3300 2700 2000 1300070 OGS024 WEDGE RESECTION OF OVARY 16000 13400 10700 8000 5300

07:06A DELIVERY FEE001 DEL001 NORMAL DELIVERY 12500 11000 9500 8000 6500002 DEL002 FORCEPS DELIVERY 14000 12500 11000 9000 7500

07:06B O.B. & GYNAE – LAPAROSCOPIC SURGERY001 OGS031 DIAGNOSTIC LAPAROSCOPY 12000 10000 8000 6000 4000

002 OGS068 DIAGNOSTIC LAPAROSCOPY & HYSTEROSCOPY 14000 11700 9400 7000 4700

003 OGL042 DIAGNOSTIC LAPAROSCOPY & HYSTEROSCOPY WITH D & C. 16000 13400 10700 8000 5300

004 OGL001 DIAGNOSTIC LAPAROSCOPY WITH D. & C. 14000 11700 9400 7000 4700

005 OGS056 DIAGNOSTIC LAPAROSCOPY WITH TUBAL MILKING (FOR ECTOPIC PREGNANCY) 18000 15000 12000 9000 6000

006 OGL002 LAPAROSCOPIC ABLATION OF ENDOMETRIOTIC SPOT 18000 15000 12000 9000 6000

007 OGL003 LAPAROSCOPIC ABSCESS DRAINAGE 12000 10000 8000 6000 4000008 OGL004 LAPAROSCOPIC ADENOLYSIS 20000 16700 13200 10000 6600

009 OGS085 LAPAROSCOPIC ADHESIOLYSIS & HYSTEROSCOPY 22000 18300 14700 11000 7400

17


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:06B O.B. & GYNAE – LAPAROSCOPIC SURGERY DR PR SPR NSB SB

010 OGL005 LAPAROSCOPIC ASPIRATION OF OOCYTE 10000 8300 6700 5000 3350

011 OGL006 LAPAROSCOPIC ASSISTED VAGINAL HYSTRECTOMY (COMPLICATED) 40000 33300 26800 20000 13400

012 OGL007 LAPAROSCOPIC ASSISTED VAGINAL HYSTRECTOMY (SIMPLE) 36000 30000 24000 18000 12000

013 OGL008 LAPAROSCOPIC ASSISTED VAGINAL HYSTRECTOMY WITH BSO 39000 32500 26000 19500 13000

014 OGL009 LAPAROSCOPIC BURCH OPERATION 28000 23300 18800 14000 9400015 OGL010 LAPAROSCOPIC COLPOSUSPENSION 28000 23300 18800 14000 9400

016 OGL040 LAPROSCOPIC COMPLICATED ENDOMETRIOTIC CYST REMOVAL 28000 23300 18800 14000 9400

017 OGS020 LAPAROSCOPIC CYST ASPIRATION 12000 10000 8000 6000 4000

018 OGL011 LAPAROSCOPIC END TO END ANASTOMOSIS (TUBAL) 30000 25000 20000 15000 10000

019 OGL012 LAPAROSCOPIC ENDOMETRIOSIS 33000 27500 22000 16500 11000

020 OGL013 LAPAROSCOPIC ENDORMYOMECTOMY (COMPLICATED) 30000 25000 20000 15000 10000

021 OGL014 LAPAROSCOPIC ENDORMYOMECTOMY (SIMPLE) 24000 20000 16000 12000 8000

022 OGL015 LAPAROSCOPIC EXCISION OF ENDOMETRIC LESION / ABLATION 18000 15000 12000 9000 6000

023 OGL016 LAPAROSCOPIC EXCISION OF RUDIMENTARY HORN 30000 25000 20000 15000 10000

024 OGL017 LAPAROSCOPIC EXCISION OF SCAR ENDOMETROSIS 12000 10000 8000 6000 4000

025 OGL018 LAPAROSCOPIC FALLOPOSCOPY 12000 10000 8000 6000 4000026 OGL019 LAPAROSCOPIC FIMBRIOLYSIS 17000 14000 11300 8500 5700027 OGL020 LAPAROSCOPIC FIMBRIOPLASTY 18000 15000 12000 9000 6000028 OGL021 LAPAROSCOPIC LUNA 22000 18300 14700 11000 7400029 OGL022 LAPAROSCOPIC MOSCOWITZ 12000 10000 8000 6000 4000030 OGL023 LAPAROSCOPIC MULTIPLE PUNCTURE 18000 15000 12000 9000 6000031 OGL024 LAPAROSCOPIC MYOMECTOMY 30000 25000 20000 15000 10000032 OGL025 LAPAROSCOPIC OMENTECTOMY 21000 17500 14000 10500 7000033 OGL026 LAPAROSCOPIC OOPHRECTOMY 21000 17500 14000 10500 7000034 OGS081 LAPAROSCOPIC OVARIAN CYSTECTOMY 21000 17500 14000 10500 7000035 OGL027 LAPAROSCOPIC OVARIOPLASTY 17000 14000 11300 8500 5700036 OGL041 LAPAROSCOPIC PELVIC LYMPHADENECTOMY 29000 24200 19400 14500 9700037 OGL028 LAPAROSCOPIC REMOVAL OF IUCD 12000 10000 8000 6000 4000

038 OGL029 LAPAROSCOPIC REPAIR OF NULLI PAROUS PROLAPSE 48000 40000 32000 24000 16000

039 OGL030 LAPAROSCOPIC RETROPERITONEAL NODE DISSECTION 30000 25000 20000 15000 10000

040 OGL039 LAPAROSCOPIC SALPINGECTOMY 21000 17500 14000 10500 7000

041 OGS079 LAPAROSCOPIC SALPINGECTOMY FOR ECTOPIC PREGNANCY 21000 17500 14000 10500 7000

042 OGS076 LAPAROSCOPIC SALPINGO-OOPHORECTOMY 21000 17500 14000 10500 7000

043 OGS077 LAPAROSCOPIC SALPINGOSTOMY FOR ECTOPIC PREGNANCY 18000 15000 12000 9000 6000

18


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:06B O.B. & GYNAE – LAPAROSCOPIC SURGERY DR PR SPR NSB SB

044 OGL031 LAPAROSCOPIC SURGERY FOR ECTOPIC PREGNANCY 24000 20000 16000 12000 8000

045 OGL032 LAPAROSCOPIC SUTURING 9000 7500 6000 4500 3000046 OGL033 LAPAROSCOPIC TVT 22000 18300 14700 11000 7400

047 OGL034 LAPAROSCOPIC UTERINE SUSPENSION (SLING) 29000 24200 19400 14500 9700

048 OGL035 LAPAROSCOPIC VAULT SUSPENSION 28000 23300 18800 14000 9400

049 OGL036 LAPAROSCOPIC VAULT SUSPENSION WITH MESH 36000 30000 24000 18000 12000

050 OGS074 LAPAROSCOPY & HYSTEROSCOPY WITH OVARIAN BIOPSY 17000 14000 11300 8500 5700

051 OGS072 LAPAROSCOPY & HYSTEROSCOPY WITH OVARIAN DRILLING 17000 14000 11300 8500 5700

052 OGS071 LAPAROSCOPY WITH OVARIAN BIOPSY 17000 14000 11300 8500 5700053 OGL037 TOTAL LAPAROSCOPIC HYSTRECTOMY 45000 37500 30000 22500 15000

054 OGL038 TOTAL LAPAROSCOPIC HYSTRECTOMY WITH BSO 48000 40000 32000 24000 16000

07:06C O.B. & GYNAE – HYSTEROSCOPIC SURGERY

001 OGH001 HYSTEROSCOPIC ABLATION OF ENDOMETRIUM 18000 15000 12000 9000 6000

002 OGH002 HYSTEROSCOPIC CUTTING OF UTERINE SYNECHIAE 14000 11700 9400 7000 4700

003 OGS080 HYSTEROSCOPIC DIVISION OF THICK SYNECHIAE 17000 14000 11300 8500 5700

004 OGS082 HYSTEROSCOPIC DIVISION OF THIN SYNECHIAE 9000 7500 6000 4500 3000

005 OGH003 HYSTEROSCOPIC GUIDED BIOPSY 9000 7500 6000 4500 3000006 OGH004 HYSTEROSCOPIC MYOMA RESECTION 21000 17500 14000 10500 7000007 OGS029 HYSTEROSCOPIC POLYPECTOMY 11000 9200 7400 5500 3700008 OGS083 HYSTEROSCOPIC REMOVAL OF IUCD 9000 7500 6000 4500 3000

009 OGS084 HYSTEROSCOPIC REMOVAL OF RETAINED PRODUCTS OF CONCEPTION 10000 8300 6800 5000 3400

010 OGS086 HYSTEROSCOPIC RESECTION OF UTERINE SEPTUM 17000 14000 11300 8500 5700

011 OGH005 HYSTEROSCOPIC TRANS CERVICAL RESECTION OF ENDOMETRIUM 20000 16700 13200 10000 6600

012 OGH006 HYSTEROSCOPIC TUBAL CANNULATION 11000 9200 7400 5500 3700013 OGS004 HYSTEROSCOPY DIAGNOSTIC 6000 5000 4000 3000 2000014 OGS005 HYSTEROSCOPY WITH D. & C. 10000 8300 6800 5000 3400

07:07 OPHTHALMOLOGY SURGERY001 OPS015 AC WASH 7000 5800 4800 3500 2400002 OPS047 ANTERIOR SYNECHIOTOMY 3500 2900 2300 1750 1200

003 OPS032 BLEPHAROPLASTY FOR ECTROPION (WITH GRAFTING) 18000 15000 12000 9000 6000

004 OPS030 BLEPHAROPLASTY FOR ECTROPION (WITHOUT GRAFTING) 13000 10800 8800 6500 4400

19


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:07 OPHTHALMOLOGY SURGERY DR PR SPR NSB SB

005 OPS031 BLEPHAROPLASTY FOR ENTROPION (WITHOUT GRAFTING) 13000 10800 8800 6500 4400

006 OPS027 CAPSULOTOMY 9000 7500 6000 4500 3000007 OPS018 CATARACT EXTRACTION / GLAUCOMA 18000 15000 12000 9000 6000

008 OPS019 CATARACT EXTRACTION WITH I.O.L. IMPLANTATION (LENS COST EXTRA) 21000 17500 14000 10500 7000

009 OPS012 CONJ. TEAR 4500 3750 3000 2250 1500010 OPS002 CORNEAL GRAFTING 24000 20000 16000 12000 8000011 OPS025 CRYOPEXY / CYCLOCRYO : BILATERAL 9000 7500 6000 4500 3000012 OPS024 CRYOPEXY / CYCLOCRYO : UNILATERAL 6500 5400 4400 3250 2200013 OPS011 CYSTS LID CONJ. 4000 3300 2700 2000 1300014 OPS020 DACROCYSTORHINOSTOMY 17000 14000 11300 8500 5700015 OPS028 ENDOSCOPIC DACROCYSTORHINOSTOMY 24000 20000 16000 12000 8000

016 OPS029 ENUCLEATION / EVICERATION OF EYES (WITHOUT IMPLANT) 12000 10000 8000 6000 4000

017 OPS033 ENUCLEATION / EVICERATION WITH IMPLANT 16000 13400 10700 8000 5300

018 OPS034 EPICANTHUS + TELECANTHUS CORRECTION 21000 17500 14000 10500 7000019 OPS035 EPICANTHUS CORRECTION 14000 11700 9400 7000 4700020 OPS010 EXAMINATION UNDER G.A. 3000 2500 2000 1500 1000021 OPS036 EXENTRATION OF ORBIT + SOCKET REPAIR 20000 16700 13300 10000 6700022 OPS001 EXTRACTION OF CHALAZION – SINGLE 4000 3300 2700 2000 1300023 OPS052 EXTRACTION OF CHALAZION – MULTIPLE 5000 4200 3400 2500 1700024 OPS042 FOREIGN BODY REMOVAL – EYE 3300 2750 2200 1650 1100

025 OPS049 INTRA VITREAL INJECTION – ANTIBIOTIC/STEROIDS 6000 5000 4000 3000 2000

026 OPS046 INTRA VITREAL INJECTION – ANTI VEGF 7000 5800 4800 3500 2400027 OPS022 INTRA-OCULAR FOREIGN BODY REMOVAL 22000 18300 14700 11000 7400028 OPS014 LID INJURY MAJOR 12000 10000 8000 6000 4000029 OPS013 LID INJURY MINOR 9000 7500 6000 4500 3000

030 OPS037 LID TUMORS EXCISION AND REPAIR-WITH GRAFTING 19000 15800 12800 9500 6400

031 OPS038 LID TUMORS EXCISON AND REPAIR -WITHOUT GRAFTING 12000 10000 8000 6000 4000

032 OPS005 MAJOR RECONSTRUCTIVE SURGERY 22000 18300 14700 11000 7400

033 OPS051 M.I.C.S. WITH I.O.L. IMPLANTATION (COST OF LENS EXTRA) 24000 20000 16000 12000 8000

034 OPS009 NEEDLING & ASPIRATION 3000 2500 2000 1500 1000035 OPS023 PERFORATING INJURY REPAIR 21000 17500 14000 10500 7000

036 OPS007 PHACOEMULSIFICATION WITH I.O.L. IMPLANTATION (LENS COST EXTRA) 22000 18500 14800 11000 7400

037 OPS053 PHACOEMULSIFICATION WITH GLUCOMA SURGERY COMBINED 27000 22500 18000 13500 9000

038 OPS044 PROBING & SYRINGING OF NASO-LACRIMAL DUCT 3300 2750 2200 1650 1100

039 OPS039 PTERYGIUM SURGERY WITH GRAFTING 10000 8300 6700 5000 3350

20


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:07 OPHTHALMOLOGY SURGERY DR PR SPR NSB SB

040 OPS040 PTERYGIUM SURGERY WITHOUT GRAFTING 5000 4200 3400 2500 1700041 OPS026 PTOSIS 17000 14000 11300 8500 5700042 OPS048 PUPILOPLASTY 10000 8300 6700 5000 3350043 OPS003 RETINAL DETACHMENT SURGERY 21000 17500 14000 10500 7000044 OPS021 RETINAL DETACHMENT WITH VITRECTOMY 24000 20000 16000 12000 8000045 OPS045 SECONDARY I.O.L. IMPLANTATION 16000 13400 10700 8000 5300046 OPS006 SOCKET RECONSTRUCTION 21000 17500 14000 10500 7000

047 OPS017 SQUINT CORRECTION: MORE THAN 2-MUSCLES / VERTICAL MUSCLES 21000 17500 14000 10500 7000

048 OPS016 SQUINT CORRECTION: UPTO 2-MUSCLES / HORIZONTAL MUSCLES 18000 15000 12000 9000 6000

049 OPS041 TARSORRHPHY – PERMANENT 7000 5800 4800 3500 2400050 OPS050 TARSORRHPHY – TEMPORARY 4500 3750 3000 2250 1500051 OPS043 TRABECULECTOMY 18000 15000 12000 9000 6000052 OPS008 TUMOR OF IRIS 21000 17500 14000 10500 7000053 OPS004 VITRECTOMY 22000 18300 14700 11000 7400

07:08 ORTHOPAEDICS SURGERYAMPUTATION & DISARTICULATION

001 ORL049 AMPUTATION THROUGH LARGE BONES 18000 15000 12000 9000 6000

002 ORL050 AMPUTATION DISARTICULATION THROUGH SMALL BONES / DIGITS / RAYS 9000 7500 6000 4500 3000

003 ORL055 DISARTICULATION – KNEE / ANKLE / WRIST / ELBOW 15000 12500 10000 7500 5000

004 ORU003 DISARTICULATION - SHOULDER 24000 20000 16000 12000 8000005 ORL019 DISARTICULATION THROUGH HIP 24000 20000 16000 12000 8000006 ORL101 REVISION AMPUTATION / STUMP CLOSURE 12000 10000 8000 6000 4000

ARTHROPLASTY

007 ORL011 HEMIARTHROPLASTY WITH OR WITHOUT CEMENTING 30000 25000 20000 15000 10000

008 ORL056 REVISION ARTHROPLASTY - HIP / KNEE 53000 44000 35000 26500 17500009 ORL012 TOTAL HIP REPLACEMENT 48000 40000 32000 24000 16000010 ORL028 TOTAL KNEE REPLACEMENT 48000 40000 32000 24000 16000

011 ORU027 TOTAL REPLACEMENT – ELBOW / WRIST / ANKLE JOINT 36000 30000 24000 18000 12000

012 ORU008 TOTAL REPLACEMENT - SHOULDER 42000 35000 28000 21000 14000013 ORU039 RADIAL HEAD REPLACEMENT 21000 17500 14000 10500 7000014 ORL090 RE-SURFACING OF PATELLA 24000 20000 16000 12000 8000

015 ORU019 PUTTI PLATE RECONSTRUCTION OF SHOULDER / LATERJET PROCEDURE 27000 22500 18000 13500 9000

ARTHROTOMY AND ABSCESS

016 ORL035 ARTHROTOMY : HIP / KNEE / ANKLE / SHOULDER / ELBOW / WRIST 16000 13400 10700 8000 5300

017 ORL036 ARTHROTOMY : OTHER SMALL JOINTS - FINGERS / TOES / HANDS / FEET 12000 10000 8000 6000 4000

21


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:08 ORTHOPAEDICS SURGERY DR PR SPR NSB SB

ARTHROTOMY AND ABSCESS

018 ORL022 DRAINAGE OF ABSCESS-DEEP : HIP / KNEE /ANKLE / SPINE 9000 7500 6000 4500 3000

019 ORL059 PSOAS / PARA VERTEBRAL ABSCESS 14000 11700 9400 7000 4700020 ORL100 DRAINAGE OF ABSCESS- SUPERFICIAL 6000 5000 4000 3000 2000

ARTHROSCOPIC SURGERY

021 ORU029 ARTHROSCOPIC REPAIR SHOULDER - BANKART’S REPAIR/ROTATOR CUFF REPAIR 32000 26800 21400 16000 10700

022 ORU038ARTHROSCOPIC SURGERY – SHOULDER DECOMPRESSION / ACROMIOPLASTY / ARTHROSCOPIC RELEASE

24000 20000 16000 12000 8000

023 ORL023 DIAGNOSTIC ARTHROSCOPY- KNEE / SHOULDER / ANKLE / WRIST 13000 10800 8800 6500 4400

024 ORL058 OPEN / ARTHROSCOPIC ANT. C. LIGAMENT /PCL RECONSTRUCTION 30000 25000 20000 15000 10000

025 ORL024 ARTHROSCOPIC MENISCECTOMY 18000 15000 12000 9000 6000026 ORL102 MENISCUS REPAIR 27000 22500 18000 13500 9000027 ORL103 ARTHROSCOPIC SYNOVECTOMY 20000 16700 13300 10000 6700

028 ORL104 OPERATIVE ARTHROSCOPY-LOOSE BODY REMOVAL / ARTHRISCOPIC RELEASE 20000 16700 13300 10000 6700

BIOPSIES029 ORL030 OPEN BIOPSY : BONES 10000 8300 6800 5000 3400

030 ORL038 SYNOVECTOMY : HIP / KNEE / SHOULDER /WRIST 18000 15000 12000 9000 6000

031 ORL039 SYNOVECTOMY : OTHER SMALL JOINTS 13000 10800 8800 6500 4400032 ORL105 NEEDLE BIOPSY : BONES 8000 6700 5400 4000 2700

BONE GRAFTING033 ORL106 BONE GRAFTING – SMALL BONES 11000 9200 7400 5500 3700034 ORU022 BONE GRAFTING – LONG BONES 16000 13400 10700 8000 5300035 ORL107 ARTIFICIAL BONE GRAFTING 8000 6700 5400 4000 2700

CLOSE REDUCTION

036 ORL001 CLOSED REDUCTION – FRACTURE : Forearm, Arm, Leg, thigh, Wrist, Ankle 9000 7500 6000 4500 3000

037 ORU005 CLOSED REDUCTION - DISLOCATION : Elbow, Shoulder, Knee, Wrist, Ankle 10000 8300 6800 5000 3400

038 ORU031 MANIPULATION UNDER ANESTHESIA (M.U.A.) 10000 8300 6800 5000 3400

039 ORL108 CLOSED REDUCTION-DISLOCATION : HIP 15000 12500 10000 7500 5000

040 ORL109 CLOSED REDUCTION-FRACTURE & DISLOCATION: Hand, Foot Bone 5000 4200 3400 2500 1700

22



07:08 ORTHOPAEDICS SURGERY DR PR SPR NSB SB

DRESSINGS, DEBRIDEMENT AND FASCIOTOMY041 ORL089 FASCIOTOMY – LARGE 15000 12500 10000 7500 5000042 ORU034 FASCIOTOMY – SMALL 10000 8300 6800 5000 3400043 ORL088 FASCIOTOMY – THREE COMPARTMENT LEG 20000 16700 13300 10000 6700044 ORL006 WOUND DEBRIDEMENT & TOILETTING – SMALL 8000 6700 5400 4000 2700

045 ORU016 WOUND DEBRIDEMENT AND TOILETTING – LARGE 12000 10000 8000 6000 4000

FRACTURESK.WIRE FIXATION

046 ORU006 FIXATION WITH K.WIRE -LONG BONE 15000 12500 10000 7500 5000047 ORU041 FIXATION WITH K.WIRE- MULTIPLE SMALL BONE 18000 15000 12000 9000 6000048 ORU042 FIXATION WITH K.WIRE-SMALL BONE 12000 10000 8000 6000 4000

PLATING FIXATION

049 ORL017 ACETABULAR RECONSTRUCTION – ANTERIOR COLUMN 32000 26800 21400 16000 10700

050 ORL115 ACETABULAR RECONSTRUCTION – POSTERIOR COLUMN 32000 26800 21400 16000 10700

051 ORL016 FIXATION WITH PLATING – PELVIC BONES 28000 23300 18800 14000 9400

052 ORL027 TIBIAL PLATEAU ELEVATION & FIXATION (I GRAFTING) 26000 21700 17400 13000 8700

053 ORU036 O.R.I.F. WITH PLATING – LONG BONE 21000 17500 14000 10500 7000054 ORU048 O.R.I.F. WITH PLATING – SMALL BONE 18000 15000 12000 9000 6000055 ORU032 O.R.I.F. WITH PLATING - BOTH BONES 28000 23300 18800 14000 9400

056 ORU052 O.R.I.F. WITH PLATING WITH BONE GRAFT – LONG BONES 28000 23300 18800 14000 9400

057 ORU004 O.R.I.F. WITH PLATING WITH BONE GRAFT - BOTH BONE 32000 26800 21400 16000 10700

058 ORU049 O.R.I.F. WITH DUAL PLATING – LONG BONE 25000 20800 16800 12500 8400

NAILING FIXATION059 ORL005 INTERLOCKING NAILING / PFN 32000 26800 21400 16000 10700060 ORL092 DYNAMISATION OF I.M. NAIL 4500 3750 3000 2250 1500061 ORU050 FLEXIBLE INTRA-MEDULLARY / TENS NAILING 18000 15000 12000 9000 6000062 ORU051 O.R.I.F. WITH INTERLOCKING WITH BONE GRAFT 35000 29000 23400 17500 11700

EXTERNAL FIXATION063 ORL091 ADJUSTMENT OF EXTERNAL FIXATOR 12000 10000 8000 6000 4000064 ORL009 EXTERNAL FIXATION - LONG BONES 18000 15000 12000 9000 6000

065 ORL094 EXTERNAL FIXATION (ILIAZAROV TECHNIQUE) – LONG BONES 24000 20000 16000 12000 8000

066 ORU040 EXTERNAL FIXATOR – SMALL BONES 14000 11700 9400 7000 4700067 ORU053 EXTERNAL FIXATION – PELVIS 18000 15000 12000 9000 6000068 ORL063 FAILED CLUB FOOT FIXATOR CORRECTION 24000 20000 16000 12000 8000

23



07:08 ORTHOPAEDICS SURGERY DR PR SPR NSB SB

FIXATION WITH SCREWS069 ORU045 O.R.I.F. WITH SCREWS 14000 11700 9400 7000 4700070 ORL078 O.R.I.F. WITH DHS 24000 20000 16000 12000 8000

FIXATION WITH TENSION BAND WIRING071 ORU033 TENSION BAND WIRING 17000 14000 11300 8500 5700072 ORL082 CIRCLAGE WIRING 17000 14000 11300 8500 5700

OTHER FIXATION073 ORL070 O.R.I.F ANKLE - BIMALLEOLAR FIXATION 21000 17500 14000 10500 7000074 ORL087 O.R.I.F. ANKLE – TRIMALLEOLAR FIXATION 26000 21700 17400 13000 8700075 ORL031 PATELLECTOMY 16000 13400 10700 8000 5300

IMPLANT REMOVAL

076 ORL053REMOVAL OF IMPLANTS : MAJOR (PLATES, EXTERNAL FIXATOR, NAIL, TENSION BAND WIRE)

10000 8300 6800 5000 3400

077 ORL052 REMOVAL OF IMPLANTS : MINOR : SCREWS ETC 6500 5400 4400 3250 2200078 ORU054 REMOVAL OF IMPLANTS : K.WIRE 4500 3750 3000 2250 1500079 ORU055 REMOVAL OF IMPLANT – THR / BIPOLAR / TKR 15000 12500 10000 7500 5000

OSTEOMYLITIS

080 ORU043 OSTEOMYELITIS - LONG BONES 21000 17500 14000 10500 7000081 ORU044 OSTEOMYELITIS - SMALL BONES 14000 11700 9400 7000 4700082 ORL084 SEQUESTRECTOMY - LONG BONES 21000 17500 14000 10500 7000083 ORL083 SEQUESTRECTOMY - SMALL BONES 13000 10800 8800 6500 4400

OSTEOMIES AND ARTHRODESIS

084 ORL043 ARTHRODESIS : ANKLE, KNEE, SHOULDER, ELBOW, WRIST, TRIPLE. 24000 20000 16000 12000 8000

085 ORL018 ARTHRODESIS OF HIP 30000 25000 20000 15000 10000086 ORU024 ARTHRODESIS OF MINOR JOINTS 10000 8300 6800 5000 3400087 ORL048 OSTEOTOMY : MID FOOT 21000 17500 14000 10500 7000088 ORU026 OSTEOTOMY AND FIXATION 24000 20000 16000 12000 8000089 ORL013 OSTEOTOMY AROUND HIP 26000 21700 17400 13000 8700090 ORL062 PELVIC OSTEOTOMIES 26000 21700 17400 13000 8700091 ORU056 OSTEOCLASIS AND FIXATION 15000 12500 10000 7500 5000092 ORU057 EPIPHYSIODESIS 15000 12500 10000 7500 5000

TENDON AND NERVE SURGERY093 ORU012 CARPAL TUNNEL RELEASE / DECOMPRESSION 15000 12500 10000 7500 5000

094 ORL034 MAJOR RECONSTRUCTION : NERVE/ TENDONS (MORE THAN 3) 25000 20800 16800 12500 8400

24



TENDON AND NERVE SURGERY

095 ORL033 MINOR RECONSTRUCTION : NERVES/ TENDONS 19000 15800 12800 9500 6400

096 ORU010 REPAIR OF TENDONS - 3 OR LESS 17000 14000 11300 8500 5700

097 ORU011 REPAIR OF TENDONS -MORE THAN 3 TENDONS 24000 20000 16000 12000 8000

098 ORL047 TENDON ACHILLES / REPAIR & RECONSTRUCTION 16000 13400 10700 8000 5300

099 ORL098 TENDON LENGTHENING / STERNOMASTOID RELEASE 20000 16700 13300 10000 6700

100 ORU015 TENDON TRANSFER & REPAIR 20000 16700 13300 10000 6700101 ORU001 TENDON TRANSFER MULTIPLE 27000 22500 18000 13500 9000

102 ORU018 PERIPHERAL NERVE TRANSFER / TRANSPOSITION 23000 19200 15400 11500 7700

103 ORL073 PERCUTANEOUS TENOTOMY (3 OR LESS) 10000 8300 6800 5000 3400104 ORL074 PERCUTANEOUS TENOTOMY (MORE THAN 3) 14000 11700 9400 7000 4700105 ORL041 CLUB FOOT RELEASE (CTEV) : BILATERAL 23000 19200 15400 11500 7700106 ORL040 CLUB FOOT RELEASE (CTEV) : UNILATERAL 18000 15000 12000 9000 6000

107 ORU058 PERIPHERAL NERVE EXPLORATION/ NEUROLYSIS 15000 12500 10000 7500 5000

108 ORL110 QUADRICEPSPLASTY 19000 15800 12800 9500 6400109 ORL111 LIGAMENT REPAIR – UPTO TWO 18000 15000 12000 9000 6000110 ORL112 LIGAMENT REPAIR – MORE THAN TWO 24000 20000 16000 12000 8000

TUMOURS

111 ORL021 MINOR EXCISION OF SWELLING / TUMOR WITH OR WITHOUT BIOPSY 10000 8300 6800 5000 3400

112 ORL020 TUMOR EXCISION & RECONSTRUCTION - LONG BONES 33000 27500 22000 16500 11000

113 ORL113 TUMOR EXCISION & RECONSTRUCTION – SMALL BONES 18000 15000 12000 9000 6000

114 ORU037 EXCISION OF BURSAE 10000 8300 6800 5000 3400115 ORU014 EXCISION OF GANGLION 10000 8300 6800 5000 3400116 ORL114 EXCISION OF EXOSTOSIS 12000 10000 8000 6000 4000

SPINE117 ORS004 ANTEROLATERAL DECOMPRESSION 32000 26800 21400 16000 10700118 ORS005 CERVICAL VERTIBRECTOMY 45000 37500 30000 22500 15000

119 ORS001 LAMINECTOMY (LUMBAR / CERVICAL)/ DISCECTOMY 36000 30000 24000 18000 12000

120 ORS002 POSTERIOR / ANTERIOR FUSION & INSTRUMENTATION 45000 37500 30000 22500 15000

121 ORS003 POSTERIOR / ANTERIOR FUSION ONLY 33000 27500 22000 16500 11000

MISCELLANEOUS122 ORL054 TARGETTED DELIVERY OF STEROID 4000 3300 2700 2000 1300123 ORL045 EXCISION : NAIL & NAIL BED 10000 8300 6800 5000 3400

25



MISCELLANEOUS124 ORL046 MINOR PROCEDURES IN FOOT 10000 8300 6800 5000 3400125 ORL086 SKELETAL TRACTION (IN O.T.) 5000 4200 3400 2500 1700126 ORL015 C.D.H. (OPEN REDUCTION & FIXATION) 30000 25000 20000 15000 10000127 ORL014 C.D.H. (CLOSED REDUCTION & HIP SPICA) 17000 14000 11300 8500 5700

128 ORL065 CORE DECOMPRESSION FOR AVN HIP WITH FIBULAR GRAFTING 28000 23300 18800 14000 9400

129 ORL066 CORE DECOMPRESSION FOR AVN HIP WITHOUT FIBULAR GRAFTING 24000 20000 16000 12000 8000

130 ORL051 LIMB LENGTHENING WITH INSTRUMENTATION 27000 22500 18000 13500 9000

131 ORL069 MUSCLE PEDICLE GRAFTING 32000 26800 21400 16000 10700

132 ORU028 DE QUERVAIN RELEASE TRIGGER THUMB/ FINGER 10000 8300 6800 5000 3400

133 ORU013 EXCISION HEAD OF RADIUS / LOWER END ULNA 14000 11700 9400 7000 4700

07:09 NEURO SURGERY001 NES001 BURR HOLES FOR CH SDH / ABSCESS 12000 10000 8000 6000 4000002 NES042 CERVICAL TRACTION (IN O.T.) 4000 3300 2700 2000 1300003 NES029 CORPECTOMY 51000 42500 34000 25500 17000004 NES005 CRANIOPLASTY 40000 33300 26800 20000 13400005 NES014 CRANIOTOMY - A.V.MALFORMATION 60000 50000 40000 30000 20000006 NES013 CRANIOTOMY - ABSCESS / CYSTS 51000 42500 34000 25500 17000007 NES016 CRANIOTOMY - ACOUSTIC NEUROMA 51000 42500 34000 25500 17000008 NES015 CRANIOTOMY - ANEURYSM 60000 50000 40000 30000 20000009 NES017 CRANIOTOMY - BRAIN STEM TUMOR 60000 50000 40000 30000 20000010 NES032 CRANIOTOMY - CONTUSIONS 51000 42500 34000 25500 17000011 NES012 CRANIOTOMY - CRANIOPHARYNGIOMA 51000 42500 34000 25500 17000012 NES008 CRANIOTOMY - EXTRADURAL HEMATOMA 42000 35000 28000 21000 14000013 NES018 CRANIOTOMY - FOR CSF RHINORRHEA 51000 42500 34000 25500 17000

014 NES006 CRANIOTOMY - INTRACEREBRAL HEMATOMA 45000 37500 30000 22500 15000

015 NES011 CRANIOTOMY - PITUITARY TUMOR 51000 42500 34000 25500 17000016 NES010 CRANIOTOMY - POST. FOSSA TUMOR 51000 42500 34000 25500 17000017 NES007 CRANIOTOMY - SUBDURAL HEMATOMA 45000 37500 30000 22500 15000018 NES041 CRANIOTOMY - TEMPORAL CRANIOTOMY 45000 37500 30000 22500 15000019 NES009 CRANIOTOMY - VASCULAR TUMOR 51000 42500 34000 25500 17000020 NES033 CRANIOTOMY FOR DEPRESSED FRACTURE 42000 35000 28000 21000 14000021 NES052 DE-TEETHERING OF CORD 9000 7500 6000 4500 3000022 NES034 DECOMPRESSIVE CRANIOTOMY 51000 42500 34000 25500 17000

023 NES023 DISCECTOMY (CERVICAL / DORSAL/ MICRO-II LEVELS) 36000 30000 24000 18000 12000

024 NES053 ENDODSCOPIC COLLOID CYST EXCISION 51000 42500 34000 25500 17000

025 NES054 ENDOSCOPIC LUMBAR / CERVICAL DISC (MULTIPLE) 60000 50000 40000 30000 20000

26


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:09 NEURO SURGERY DR PR SPR NSB SB

026 NES055 ENDOSCOPIC LUMBAR / CERVICAL DISC (SINGLE) 51000 42500 34000 25500 17000

027 NES056 ENDOSCOPIC THIRD VENTRICULOSTOMTY 31000 26000 20800 15600 10400028 NES035 ENDODSCOPIC SURGERY 60000 50000 40000 30000 20000029 NES046 EXTERNAL VENTRICULAR DRAINAGE (EVD) 22000 18300 14700 11000 7400030 NES057 FORAMINAL BLOCKS FOR LUMBAR SPINE 9000 7500 6000 4500 3000031 NES051 FORAMINOTOMY 26000 21700 17400 13000 8700032 NES022 LAMINECTOMY (LUMBAR) 36000 30000 24000 18000 12000033 NES058 MENINGOCOEL REPAIR 28000 23300 18800 14000 9400034 NES059 MENINGO-MYELOCELE REPAIR 31000 26000 20800 15600 10400035 NES025 MICRODISCECTOMY - MORE THAN II LEVELS 40000 33300 26800 20000 13400036 NES043 NEUCLEOPLASTY 36000 30000 24000 18000 12000037 NES028 NEURO-ENDOSCOPIC SKULL BASE SURGERY 51000 42500 34000 25500 17000038 NES060 OMAYA RESERVOIR INSERTION 28000 23300 18800 14000 9400039 NES061 OMAYA RESERVOIR TAP 3000 2500 2000 1500 1000

040 NES024 OPERATION FOR CANAL STENOSIS (LUMBAR/ CERVICAL) 40000 33300 26800 20000 13400

041 NES036 PERIPHERAL NERVE SURGERY 36000 30000 24000 18000 12000

042 NES062 RF LESSIONING / PRGR FOR TRIMENIAL NEURALGIA 22000 18300 14700 11000 7400

043 NES045 REMOVAL OF V.P.SHUNT 9000 7500 6000 4500 3000044 NES021 REPAIR OF ENCEPHALOCELE 30000 25000 20000 15000 10000045 NES019 REPAIR OF MENINGOCELE 30000 25000 20000 15000 10000046 NES020 REPAIR OF MENINGOMYELOCELE 30000 25000 20000 15000 10000047 NES004 REVISION OF SHUNT 28000 23300 18800 14000 9400048 NES003 SHUNT FOR HYDRO CEPHALUS 28000 23300 18800 14000 9400049 NES037 SPINAL DYSRAPHISM 40000 33300 26800 20000 13400050 NES038 SPINAL INSTRUMENTATION 51000 42500 34000 25500 17000051 NES026 SPINAL TUMOR / HEMATOMA / ABSCESS 51000 42500 34000 25500 17000052 NES047 SUBDURAL TAP 4500 3750 3000 2250 1500053 NES030 SURGERY FOR CRANIOSYNOSTOSIS 40000 33300 26800 20000 13400

054 NES027 TRANS SPHENOIDAL PITUITARY / SELLAR SURGERY 51000 42500 34000 25500 17000

055 NES044 UNLOCKING OF FACET JOINT 3000 2500 2000 1500 1000056 NES039 VENTRIC TAP 6000 5000 4000 3000 2000057 NES002 VENTRICULO AURICULAR SHUNT 28000 23300 18800 14000 9400058 NES040 VERTEBROPLASTY 40000 33300 26800 20000 13400

07:10 E.N.T. SURGERY001 ENS019 ABSCESS TONSILLECTOMY - I. & D. 10000 8300 6800 5000 3400002 ENS045 ADENO-TONSILLECTOMY 15000 12500 10000 7500 5000003 ENS062 ADENOIDECTOMY 8000 6700 5400 4000 2700004 ENS064 ANGIOFIBROMA REMOVAL 30000 25000 20000 15000 10000005 ENS065 ANTRAL POLYPECTOMY 8000 6700 5400 4000 2700006 ENS046 ANTRAL WASH : UNILATERAL OR BILATERAL 4500 3750 3000 2250 1500007 ENS056 BIOPSY CHEEK OR TONGUE : U/L OR B/L 6000 5000 4000 3000 2000

27


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:10 E.N.T. SURGERY DR PR SPR NSB SB

008 ENS008 BRONCHOSCOPY WITH OR WITHOUT F.B.REMOVAL / BIOPSY 10000 8300 6800 5000 3400

009 ENS041 CALDWELL LUC : BILATERAL 14000 11700 9400 7000 4700010 ENS040 CALDWELL LUC : UNILATERAL 10000 8300 6800 5000 3400011 ENS067 CAUTERY PATCHING EAR 5000 4200 3400 2500 1700012 ENS063 CHANGE OF TRACHEOSTOMY TUBE 1800 1500 1200 900 600013 ENS068 COCHLEAR IMPLANT 48000 40000 32000 24000 16000

014 ENS089 COMMANDO SURGERY WITH MODIFIED RADICAL NECK DISSECTION 51000 42500 34000 25500 17000

015 ENS042 DIAGNOSTIC NASAL ENDOSCOPY 3000 2500 2000 1500 1000016 ENS069 ENDOLYMPHATIC SAC DECOMPRESSION 32000 26800 21400 16000 10700017 ENS086 ENDOSCOPIC CHOANAL ATRESIA REPAIR B/L 27000 22500 18000 13500 9000018 ENS070 ENDOSCOPIC CSF RHINORRHEA REPAIR 32000 26800 21400 16000 10700019 ENS013 ENDOSCOPIC DACROCYSTORHINOSTOMY 24000 20000 16000 12000 8000020 ENS009 ETHMOIDECTOMY (EXTERNAL) 18000 15000 12000 9000 6000

021 ENS085 EXCISION OF PALATIAL GROWTH WITH FLAP REPAIR 30000 25000 20000 15000 10000

022 ENS029 EXCISION THYROGLOSSAL CYST 14000 11700 9400 7000 4700

023 ENS087 EXTENDED TRANS LABYRINTHINE APPROACH 38000 31700 25400 19000 12700

024 ENS025 FACIAL NERVE DECOMPRESSION OR GRAFTING 35000 29000 23400 17500 11700

025 ENS071 FACIAL REANIMATION PROCEDURE - LID LOADING 21000 17500 14000 10500 7000

026 ENS072 FACIAL REANIMATION PROCEDURE - TEMPORALIS TRANSFER 24000 20000 16000 12000 8000

027 ENS073 FESS - LIMITED 12000 10000 8000 6000 4000028 ENS088 FESS – EXTENDED – UNILATERAL 24000 20000 16000 12000 8000029 ENS044 FESS : BILATERAL 23000 19200 15400 11500 7700030 ENS043 FESS : UNILATERAL 15000 12500 10000 7500 5000

031 ENS012 FOREIGN BODY REMOVAL - EAR / NOSE/ THROAT 4000 3300 2700 2000 1300

032 ENS022 FRACTURE NASAL BONES 9000 7500 6000 4500 3000033 ENS095 GLOSSECTOMY – PARTIAL 17000 14000 11300 8500 5700034 ENS096 GLOSSECTOMY – TOTAL 30000 25000 20000 15000 10000035 ENS097 GVELO-PALATOPHARYNGOPLASTY 33000 27500 22000 16500 11000036 ENS024 HEMATOMA PINNA : BILATERAL 8000 6700 5400 4000 2700037 ENS023 HEMATOMA PINNA : UNILATERAL 5000 4200 3400 2500 1700038 ENS053 I. & D. OF PARA PHARYNGEAL ABSCESS 12000 10000 8000 6000 4000039 ENS030 I. & D. OF THYROGLOSSAL CYST 6500 5400 4400 3250 2200040 ENS057 I. & D. QUINCY 6500 5400 4400 3250 2200

041 ENS059 I. & D. TONSILLAR ABSCESS : UNILATERAL OR BILATERAL 12000 10000 8000 6000 4000

042 ENS031 LARYNGECTOMY (TOTAL) 30000 25000 20000 15000 10000043 ENS017 LARYNGOSCOPY - DIRECT 4500 3750 3000 2250 1500044 ENS084 LARYNGOSCOPY - FIBER OPTIC 8000 6700 5400 4000 2700

28



045 ENS060 LATERAL RHINOTOMY 24000 20000 16000 12000 8000046 ENS055 LYMPH NODE BIOPSY 8000 6700 5400 4000 2700047 ENS014 MASTOIDECTOMY (MODIFIED) 22000 18300 14700 11000 7400048 ENS037 MASTOIDECTOMY WITH TYMPANOPLASTY 30000 25000 20000 15000 10000049 ENS028 MAXILLARY SINUS SURGERY 12000 10000 8000 6000 4000050 ENS099 MAXILLECTOMY 33000 27500 22000 16500 11000051 ENS098 MAXILLECTOMY -MEDIAL 21000 17500 14000 10500 7000052 ENS026 MICRO LARYNGEAL SURGERY 14000 11700 9400 7000 4700053 ENS006 MICRO LARYNGOSCOPY WITH BIOPSY 8000 6700 5400 4000 2700054 ENS038 MICROSCOPIC EXAMINATION (E.U.M.) 2500 2100 1800 1250 900

055 ENS100 MODIFIED ENDOSCOPIC LATHROP PROCEDURE (M.E.L.) 30000 25000 20000 15000 10000

056 ENS034 MYRINGOPLASTY 18000 15000 12000 9000 6000

057 ENS036 MYRINGOTOMY WITH OR WITHOUT GROMMET : BILATERAL 8000 6700 5400 4000 2700

058 ENS035 MYRINGOTOMY WITH OR WITHOUT GROMMET : UNILATERAL 5000 4200 3400 2500 1700

059 ENS048 NASAL CAUTERY IN EPISTAXIS 4500 3750 3000 2250 1500

060 ENS074 NASAL ENDOSCOPIC CAUTERISATION FOR EPISTAXIS 8000 6700 5400 4000 2700

061 ENS090 NASAL ENDOSCOPY WITH BIOPSY 5000 4200 3400 2500 1700062 ENS091 NASAL PACK REMOVAL (IN O.T.) 2200 1800 1500 1100 750

063 ENS092 NASAL PACK REMOVAL + CHECK NASAL ENDOSCOPY (IN O.T.) 3000 2500 2000 1500 1000

064 ENS058 NASAL PACKING – ANTERIOR (WITH PACK REMOVAL) 4000 3300 2700 2000 1300

065 ENS094 NASAL PACKING – POSTERIOR (WITH PACK REMOVAL) 5000 4200 3400 2500 1700

066 ENS027 NASAL PACKING – ANTERIOR WITH POSTERIOR (WITH PACK REMOVAL) 6500 5400 4400 3250 2200

067 ENS033 NASAL POLYPECTOMY : BILATERAL 10000 8300 6700 5000 3350068 ENS032 NASAL POLYPECTOMY : UNILATERAL 7000 5800 4800 3500 2400069 ENS101 NECK DISSECTION – PARTIAL 18000 15000 12000 9000 6000070 ENS102 NECK DISSECTION – TOTAL 29000 24200 19400 14500 9700

071 ENS002 OESOPHAGOSCOPY WITH F.BODY REMOVAL + BIOPSY 10000 8300 6700 5000 3350

072 ENS007 OSSICULOPLASTY / TYMPANOTOMY 24000 20000 16000 12000 8000073 ENS052 PRE AURICULAR SINUS : BILATERAL 13000 10800 8800 6500 4400074 ENS051 PRE AURICULAR SINUS : UNILATERAL 11000 9200 7400 5500 3700075 ENS076 RHINOPLASTY 21000 17500 14000 10500 7000076 ENS016 S.M.R. 11000 9200 7400 5500 3700077 ENS039 SEPTOPLASTY 10000 8300 6700 5000 3350078 ENS011 SEPTOPLASTY WITH S.M.D. 12000 10000 8000 6000 4000079 ENS061 SEPTORHINOPLASTY 24000 20000 16000 12000 8000080 ENS047 SMD 5000 4200 3400 2500 1700081 ENS050 SPLIT EAR LOBULE : BILATERAL 5500 4600 3700 2750 1850

29



082 ENS049 SPLIT EAR LOBULE : UNILATERAL 3500 2900 2300 1750 1200083 ENS015 STAPEDECTOMY 26000 21700 17400 13000 8700084 ENS021 STYLOIDECTOMY : BILATERAL 18000 15000 12000 9000 6000085 ENS020 STYLOIDECTOMY : UNILATERAL 11000 9200 7400 5500 3700086 ENS077 THYROPLASTY 18000 15000 12000 9000 6000

087 ENS078 THYROPLASTY WITH ARYTENOID - ABDUCTION / ADDUCTION 21000 17500 14000 10500 7000

088 ENS005 TONSILLECTOMY 10000 8300 6800 5000 3400089 ENS018 TRACHEOSTOMY 12000 10000 8000 6000 4000090 ENS004 TURBINECTOMY : BILATERAL 8000 6700 5400 4000 2700091 ENS003 TURBINECTOMY : UNILATERAL 5500 4600 3700 2750 1850092 ENS010 TYMPANOPLASTY 22000 18300 14700 11000 7400093 ENS103 VESTIBULAR NEURONECTOMY 30000 25000 20000 15000 10000094 ENS079 VOCAL CORD LATERLIZATION 12000 10000 8000 6000 4000095 ENS054 YOUNG OPERATION 12800 10700 8600 6400 4300

07:11 THORACIC SURGERY

001 THS002 BRONCHOSCOPY WITH OR WITHOUT F.B.REMOVAL / BIOPSY 10000 8300 6700 5000 3350

002 THS024 BULLECTOMY 35000 29000 23400 17500 11700003 THS035 CERVICAL RIB EXCISION – BILATERAL 33000 27500 22000 16500 11000004 THS036 CERVICAL RIB EXCISION – UNILATERAL 21000 17500 14000 10500 7000005 THS008 CHEST ASPIRATION 5500 4600 3700 2750 1850006 THS031 CLOSURE OF BRONCHO-PLEURAL FISTULA 23000 19200 15400 11500 7700007 THS014 DECORTICATION THORACOTOMY 33000 27500 22000 16500 11000008 THS020 DECORTICATION WITH LOBECTOMY 42000 35000 28000 21000 14000

009 THS037 DIAGNOSTIC THORACOSCOPY AND DRAINAGE 13000 10800 8800 6500 4400

010 THS038 EXCISION OF CHEST WALL TUMOR EXCLUDING RIBS 13000 10800 8800 6500 4400

011 THS039 EXCISION OF CHEST WALL TUMOR INCLUDING RIBS 31000 26000 20800 15600 10400

012 THS001 EXPLORATORY THORACOTOMY 23000 19200 15400 11500 7700013 THS005 HIATUS OR DIAPHRAGMATIC HERNIA 31000 26000 20800 15600 10400014 THS025 HYDATID CYST 31000 26000 20800 15600 10400015 THS009 INTERCOSTAL DRAINAGE 9000 7500 6000 4500 3000016 THS012 LOBECTOMY - WEDGE, SEGMENT / LOBE 35000 29000 23400 17500 11700

017 THS022 MEDIASTINAL LYMPHNODE EXCISION & BIOPSY 16000 13400 10700 8000 5300

018 THS003 MEDIASTINAL TUMOR EXCISION 33000 27500 22000 16500 11000019 THS010 NEEDLE BIOPSY- PLEURA / LUNG 7000 5800 4800 3500 2400020 THS007 OESOPHAGOSCOPY WITH F.B.REMOVAL 10000 8300 6800 5000 3400021 THS011 OPEN BIOPSY - PLEURA / LUNG 15000 12500 10000 7500 5000022 THS017 PERICARDECTOMY 31000 26000 20800 15600 10400023 THS018 PERICARDIOSTOMY 26000 21700 17400 13000 8700

30


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:11 THORACIC SURGERY DR PR SPR NSB SB

024 THS028 PLEURAL ASPIRATION 3000 2500 2000 1500 1000025 THS041 PLEURECTOMY 35000 29000 23400 17500 11700026 THS027 PLEURODESIS EACH SITTING 3500 2900 2300 1750 1200027 THS013 PNEUMENECTOMY 42000 35000 28000 21000 14000

028 THS006 RECONSTRUCTION OF PERIPHERAL VASCULAR INJURY 35000 29000 23400 17500 11700

029 THS029 REMOVAL OF FOREIGN BODY (BULLET) – CHEST / SHOULDER 35000 29000 23400 17500 11700

030 THS021 RIB RESECTION AND DRAINAGE 20000 16700 13200 10000 6600031 THS023 SCALENE NODE BIOPSY 8000 6700 5400 4000 2700032 THS026 SEGMENTAL RESECTION 30000 25000 20000 15000 10000033 THS004 SURGERY FOR PORTAL HYPERTENSION 30000 25000 20000 15000 10000034 THS032 THORACOSCOPIC DECORTICATION 35000 29000 23400 17500 11700

035 THS042 THORACOSCOPIC DRAINAGE OF PLEURAL EFFUSION 9000 7500 6000 4500 3000

036 THS043 THORACOSCOPIC PLEURODESIS 15000 12500 10000 7500 5000037 THS044 THORACOSCOPIC OESOPHEGECTOMY 75000 62500 50000 37500 25000

038 THS033 THORACOTOMY FOR ANTERO-LATERAL DECOMPRESSION 35000 29000 23400 17500 11700

039 THS030 THORACOSCOPY WITH DRAINAGE OF LUNG ABSCESS 13000 10800 8800 6500 4400

040 THS034 THORACOTOMY FOR PENETRATING INJURY CHEST 35000 29000 23400 17500 11700

041 THS019 THORACOTOMY WITH LIGATION OF PDA 26000 21700 17400 13000 8700042 THS040 THYMECTOMY 35000 29000 23400 17500 11700

07:12 VASCULAR SURGERY001 VAS055 A.V. FISTULA (COMPLEX) FOR DIALYSIS 22000 18300 14700 11000 7400002 VAS054 A.V. FISTULA (PROXIMAL) FOR DIALYSIS 18000 15000 12000 9000 6000003 VAS007 A.V. FISTULA (DISTAL) FOR DIALYSIS 15000 12500 10000 7500 5000004 VAS018 ABDOMINAL ANEURYSM 42000 35000 28000 21000 14000005 VAS013 AORTO-FEMORAL BYPASS 38000 31700 25400 19000 12700

006 VAS012 AV GRAFT FOR VASCULAR ACCESS FOR HAEMODIALYSIS 31000 26000 20800 15600 10400

007 VAS040 AXILLARY-BRACHIAL BYPASS USING SYNTHETIC GRAFT 45000 37500 30000 22500 15000

008 VAS033 BASALIC VEIN TRANSPOSITION 31000 26000 20800 15600 10400009 VAS037 BRACHIAL ARTERY REPAIR 26000 21700 17400 13000 8700010 VAS027 BRACHIAL ARTERY REPAIR WITH GRAFT 42000 35000 28000 21000 14000

011 VAS041 CAROTID AXILLARY BYPASS USING SYNTHETIC GRAFT 45000 37500 30000 22500 15000

012 VAS011 CAROTID ENDARTERECTOMY 38000 31700 25400 19000 12700013 VAS017 CERVICAL RIB EXCISION 24000 20000 16000 12000 8000014 VAS003 CERVICO THORACIC SYMPATHECTOMY 24000 20000 16000 12000 8000015 VAS030 CLOSURE OF A.V. FISTULA 24000 20000 16000 12000 8000016 VAS028 CLOT EVACUATION 7000 5800 4800 3500 2400

31


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:12 VASCULAR SURGERY DR PR SPR NSB SB

017 VAS036 EMBOLECTOMY 31000 26000 20800 15600 10400018 VAS010 ENDARTERECTOMY OF PERIPHERAL VESSELS 38000 31700 25400 19000 12700019 VAS016 EXCISION OF A.V. MALFORMATION 26000 21700 17400 13000 8700020 VAS019 EXCISION OF HAEMANGIOMA - MAJOR 30000 25000 20000 15000 10000021 VAS020 EXCISION OF HAEMANGIOMA - MEDIUM 22000 18300 14700 11000 7400022 VAS021 EXCISION OF HAEMANGIOMA - MINOR 14000 11700 9400 7000 4700

023 VAS042 EXPLORATION & REPAIR OF AXILLARY ARTERY 33000 27500 22000 16500 11000

024 VAS043 EXPLORATION & REPAIR OF CAROTID ARTERIAL INJURY 33000 27500 22000 16500 11000

025 VAS044 EXPLORATION & REPAIR OF CAROTID ARTERIAL INJURY USING VEIN PATCH 45000 37500 30000 22500 15000

026 VAS045 EXPLORATION & REPAIR OF FEMORAL ARTERY 33000 27500 22000 16500 11000

027 VAS066 EXPLORATION & REPAIR OF TIBIAL ARTERY 33000 27500 22000 16500 11000

028 VAS046 EXTRA-ANATOMICAL AXILLO-FEMORAL BYPASS USING GRAFT 45000 37500 30000 22500 15000

029 VAS009 FEMORAL EMBOLECTOMY : BILATERAL 38000 31700 25400 19000 12700030 VAS008 FEMORAL EMBOLECTOMY : UNILATERAL 30000 25000 20000 15000 10000031 VAS022 FEMORO-FEMORAL CROSS OVER GRAFT 42000 35000 28000 21000 14000032 VAS014 FEMORO-POPLITEAL BYPASS 36000 30000 24000 18000 12000

033 VAS023 FEMORO-POPLITEAL BYPASS WITH VEIN/ GRAFT 45000 37500 30000 22500 15000

034 VAS006 HEPATIC RESECTION (LOBECTOMY) 30000 25000 20000 15000 10000

035 VAS047 ILEO-FEMORAL BYPASS USING SYNTHETIC GRAFT 45000 37500 30000 22500 15000

036 VAS026 ILLIAC ARTERY ANEURYSM 42000 35000 28000 21000 14000037 VAS062 LASER VARICOSE VEINS – BOTH LEG 45000 37500 30000 22500 15000038 VAS063 LASER VARICOSE VEINS – ONE LEG 33000 27500 22000 16500 11000039 VAS056 LIGATION OF VEINS OF AVF 15000 12500 10000 7500 5000040 VAS031 LIGATION OF FEMORAL S.F. JUNCTION 26000 21700 17400 13000 8700

041 VAS032 LIGATION OF SAPHENOUS POPLITEAL JUNCTION 26000 21700 17400 13000 8700

042 VAS057 LOCAL TRANSPOSITION OF VEINS 18000 15000 12000 9000 6000043 VAS002 LUMBAR SYMPATHECTOMY : UNILATERAL 18000 15000 12000 9000 6000044 VAS059 MULTIPLE AVULSIONS OF VARICOSE VEIN 11000 9200 7400 5500 3700045 VAS015 PERIPHERAL ANEURYSM REPAIR 31000 26000 20800 15600 10400

046 VAS048 POPLITEAL TO ANTERIOR / POSTERIOR TIBIAL BYPASS 45000 37500 30000 22500 15000

047 VAS049 RE-EXPLORATION FOR BLEEDING AT VASCULAR-ANASTOMATIC SITE 15000 12500 10000 7500 5000

048 VAS050 REMOVAL OF INFECTED GRAFT 15000 12500 10000 7500 5000049 VAS051 REPAIR OF PERIPHERAL VASCULAR INJURY 27000 22500 18000 13500 9000050 VAS058 SCLEROTHERAPY OF VARICOSE VEINS 11000 9200 7400 5500 3700051 VAS060 STRIPPING – LSV 12000 10000 8000 6000 4000052 VAS061 STRIPPING – SSV 10000 8300 6700 5000 3350

32


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:12 VASCULAR SURGERY DR PR SPR NSB SB

053 VAS052 SUBCLAVIAN-BRACHIAL BYPASS 45000 37500 30000 22500 15000054 VAS065 TEMPORAL ARTERY BIOPSY 16000 13400 10700 8000 5300055 VAS001 THROMBO ENDARTERECTOMY AORTA 36000 30000 24000 18000 12000056 VAS068 THROMBOLECTOMY 31000 26000 20800 15600 10400

057 VAS034 THROMBOLETOMY WITH DACRON PATCH ARTERIOPLASTY 30000 25000 20000 15000 10000

058 VAS064 THROMBOLYSIS 40000 33300 26800 20000 13400059 VAS039 VARICOSE VEINS – BOTH LEG 33000 27500 22000 16500 11000060 VAS024 VARICOSE VEINS – ONE LEG 27000 22500 18000 13500 9000061 VAS035 VEIN PATCHPLASTY 38000 31700 25400 19000 12700062 VAS053 VENOUS ANEURYSM LIGATION 22000 18300 14700 11000 7400063 VAS025 VENOUS RECONSTRUCTION 26000 21700 17400 13000 8700

07:13 UROLOGY SURGERY001 URS123 ADRENELECTOMY OPEN 26000 21700 17400 13000 8700002 URS035 AMPUTATION OF PENIS - PARTIAL 17000 14000 11300 8500 5700003 URS034 AMPUTATION OF PENIS - TOTAL 22000 18300 14700 11000 7400004 URS029 AUGMENTATION CYSTOPLASTY 32000 26800 21400 16000 10700005 URS053 BASKETING 12000 10000 8000 6000 4000006 URS010 BLADDER NECK INCISION (B.N.I.) 18000 15000 12000 9000 6000007 URS056 BLADDER NECK RECONSTRUCTION 30000 25000 20000 15000 10000

008 URS102BUCCAL MUCOSAL GRAFT ( BILATERAL OR UNILATERAL) URETHROPLASTY OR SUBSTITUTION URETHROPLASTY

31000 26000 20800 15600 10400

009 URS122 CHORDEE WITHOUT HYPOSPADIAS 17000 14000 11300 8500 5700010 URS066 CIRCUMCISION 8000 6700 5400 4000 2700011 URS030 CLOSURE OF URETHRAL FISTULA 15000 12500 10000 7500 5000

012 URS008 COMBINATION OF T.U.R.P. + STONE OR TUMOR 39000 32500 26000 19500 13000

013 URS067 COMBINATION OF T.U.R.P. + B.N.I 31000 26000 20800 15600 10400014 URS132 CYSTOLITHOTOMY 15000 12500 10000 7500 5000015 URS009 CYSTOLITHOTRIPSY / CYSTOLITHALOPEXY 15000 12500 10000 7500 5000

016 URS095 CYSTOSCOPY + CLOT EVACUATION WITH FULGRATION 9000 7500 6000 4500 3000

017 URS004 CYSTOSCOPY (DIAGNOSTIC) 6000 5000 4000 3000 2000018 URS068 CYSTOSCOPY WITH BIOPSY 8000 6700 5400 4000 2700

019 URS005 CYSTOSCOPY WITH BLADDER BIOSPY OR R.G.P. 8000 6700 5400 4000 2700

020 URS069 CYSTOSTOMY (SUPRAPUBIC) 10000 8300 6700 5000 3350021 URS051 D.J.STENTING : BILATERAL 15000 12500 10000 7500 5000022 URS070 D.J.STENTING : UNILATERAL 10000 8300 6700 5000 3350

023 URS093 D.J.STENTING WITH URETERIC CATHETERISATION 15000 12500 10000 7500 5000

024 URS092 DEROOFING OF PROSTATIC ABSCESS 17000 14000 11300 8500 5700025 URS073 ENDOPYELOTOMY - PCN OR URS 29000 24200 19400 14500 9700

33


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:13 UROLOGY SURGERY DR PR SPR NSB SB

026 URS002 ENDOSCOPIC CORRECTION OF REFLUX : UNILATERAL OR BILATERAL 18000 15000 12000 9000 6000

027 URS074 ENDOSCOPIC DILATATION OF URETERAL STRICTURE 24000 20000 16000 12000 8000

028 URS141 ENDOSCOPIC INCISION OF URETEROCELE 20000 16700 13200 10000 6600

029 URS003 ENDOSCOPIC REMOVAL OF URETHRAL STONE 16000 13400 10700 8000 5300

030 URS012 ENDOSCOPIC VENTRO-SUSPENSION FOR STRESS / TVT / TOT 24000 20000 16000 12000 8000

031 URS064 EPIDIDYMAL CYST 12000 10000 8000 6000 4000032 URS075 EPIDYDMECTOMY - BILATERAL 15000 12500 10000 7500 5000033 URS076 EPIDYDMECTOMY - UNILATERAL 10000 8300 6700 5000 3350034 URS098 EXCISION OF GROWTH PENIS 15000 12500 10000 7500 5000

035 URS037 EXPLORATORY SCROTOTOMY / SCROTAL EXPLORATION 16000 13400 10700 8000 5300

036 URS015 EXTROPHY / EPISPADIAS REPAIR 45000 37500 30000 22500 15000037 URS071 FRENULOPLASTY 12000 10000 8000 6000 4000038 URS100 HYPOSPADIAS REPAIR – 1ST STAGE 18000 15000 12000 9000 6000039 URS101 HYPOSPADIAS REPAIR – 2ND STAGE 16000 13400 10700 8000 5300040 URS105 HYPOSPADIAS REPAIR – SINGLE STAGE 26000 21700 17400 13000 8700

041 URS119 ILEO – INGUINAL LYMPHADENECTOMY BILATERAL 35000 29000 23400 17500 11700

042 URS125 ILEO – INGUINAL LYMPHADENECTOMY UNILATERAL 26000 21700 17400 13000 8700

043 URS133 INTRAVESICAL INJECTION OF BOTULINUM TOXIN FOR O.A.B. (OVER ACTIVE BLADDER) 14000 11700 9400 7000 4700

044 URS113 ISTHAMECTOMY WITH NEPHROPEXY 26000 21700 17400 13000 8700045 URS062 LAPAROSCOPIC ADRENALECTOMY 33000 27500 22000 16500 11000046 URS115 LAPAROSCOPIC ASSISTED PCNL 31000 26000 20800 15600 10400047 URS061 LAPAROSCOPIC RADICAL NEPHRECTOMY 33000 27500 22000 16500 11000048 URS060 LAPAROSCOPIC SIMPLE NEPHRECTOMY 29000 24200 19400 14500 9700049 URS055 LAPAROSCOPIC URETEROLITHOTOMY 28000 23300 18800 14000 9400050 URS137 LASER PROSTATECTOMY 31000 26000 20800 15600 10400051 URS157 MEATAL DILATATION 4000 3300 2700 2000 1300052 URS057 MEATOPLASTY 6500 5400 4400 3250 2200053 URS063 MEATOTOMY 4000 3300 2700 2000 1300054 URS094 NEEDLE ASPIRATION OF PROSTATE 4500 3750 3000 2250 1500055 URS091 NEEDLE BIOPSY OF PROSTATE 4500 3750 3000 2250 1500056 URS072 NEPHRECTOMY 29000 24200 19400 14500 9700057 URS020 NEPHRECTOMY (RADICAL) 39000 32500 26000 19500 13000

058 URS142 NEPHRECTOMY (RADICAL) WITH IVC THROMBECTOMY 45000 37500 30000 22500 15000

059 URS018 NEPHRECTOMY (SIMPLE OR PARTIAL) 29000 24200 19400 14500 9700060 URS045 NEPHRECTOMY RENAL TUMOR 39000 32500 26000 19500 13000061 URS019 NEPHROLITHOTOMY (ANATROPHIC) 28000 23300 18800 14000 9400062 URS114 NEPHROPEXY FOR PTOTIC KIDNEY 18000 15000 12000 9000 6000

34



063 URS023 NEPHROSTOMY - OPEN 16000 13400 10700 8000 5300064 URS024 NEPHROSTOMY - PERCUTANEOUS (P.C.N.) 16000 13400 10700 8000 5300065 URS021 NEPHROURETERECTOMY 39000 32500 26000 19500 13000066 URS040 OPERATION FOR DOUBLE URETER 29000 24200 19400 14500 9700067 URS041 OPERATION FOR ECTOPIC URETER 27000 22500 18000 13500 9000068 URS046 OPERATION FOR INJURY OF BLADDER 22000 18300 14700 11000 7400069 URS110 OPERATION FOR MEGA URETER 26000 21700 17400 13000 8700070 URS011 OPTICAL INTERNAL URETHROTOMY 18000 15000 12000 9000 6000

071 URS143 ORCHIDECTOMY : RADICAL / HIGH/ INGUINAL – UNILATERAL OR BILATERAL 21000 17500 14000 10500 7000

072 URS144 ORCHIDECTOMY - BILATERAL 20000 16700 13200 10000 6600073 URS145 ORCHIDECTOMY - UNILATERAL 16000 13400 10700 8000 5300

074 URS017 ORCHIOPEXY OR ORCHIDOPEXY : BILATERAL 24000 20000 16000 12000 8000

075 URS016 ORCHIOPEXY OR ORCHIDOPEXY : UNILATERAL 18000 15000 12000 9000 6000

076 URS027 PARTIAL CYSTECTOMY 30000 25000 20000 15000 10000077 URS090 PCNL – UNILATERAL - MULTIPLE PUNCTURE 35000 29000 23400 17500 11700078 URS121 PCNL – BILATERAL 39000 32500 26000 19500 13000079 URS047 PCNL – UNILATERAL 31000 26000 20800 15600 10400080 URS148 PENILE IMPLANT – 3 PIECE SYSTEM 42000 35000 28000 21000 14000

081 URS149 PENILE IMPLANT – SEMIRIGID 2 PIECE SYSTEM 33000 27500 22000 16500 11000

082 URS131 PERCUTANEOUS CYSTOLITHOTRIPSY (PCLT) 18000 15000 12000 9000 6000083 URS033 PERINEAL URETHROSTOMY 9000 7500 6000 4500 3000084 URS118 PERINEPHRIC ABSCESS DRAINAGE – OPEN 14000 11700 9400 7000 4700

085 URS117 PERINEPHRIC ABSCESS DRAINAGE – PERCUTANEOUS 11000 9200 7400 5500 3700

086 URS078 PROSTATIC BIOPSY 5500 4600 3700 2750 1850087 URS079 PYELOLITHOTOMY 22000 18300 14700 11000 7400088 URS150 PYELOLITHOTOMY – LAPROSCOPIC 28000 23300 18800 14000 9400089 URS022 PYELOPLASTY WITH OR WITHOUT R.G.P. 28000 23300 18800 14000 9400090 URS106 RADICAL CYSTECTOMY WITH NEOBLADDER 39000 32500 26000 19500 13000091 URS058 RADICAL CYSTOPROSTATECTOMY 39000 32500 26000 19500 13000092 URS059 RADICAL RETROPUBIC PROSTATECTOMY 39000 32500 26000 19500 13000

093 URS080 RADICAL / TOTAL CYSTECTOMY WITH URINARY DIVERSION 39000 32500 26000 19500 13000

094 URS081 RECTO-URETHERAL FISTULA - POST SAGGITAL REPAIR 39000 32500 26000 19500 13000

095 URS120 RELOOK PCNL 9000 7500 6000 4500 3000096 URS052 REMOVAL OF D.J.STENT U/L OR B/L 5000 4200 3400 2500 1700097 URS044 REPAIR OF URETHRAL INJURY 22000 18300 14700 11000 7400098 URS112 RGP WITH SCLERO THERAPY FOR CHYLURIA 12000 10000 8000 6000 4000

099 URS111 RPLND (RETRO- PERITONEAL LYMPHNODE DISSECTION) 31000 26000 20800 15600 10400

100 URS096 SEPARATION AND DISSECTION OF BLADDER 14000 11700 9400 7000 4700

35



101 URS082 SUPRAPUBIC DRAINAGE (CLOSED) 10000 8300 6800 5000 3400102 URS084 SUPRAPUBIC DRAINAGE (OPEN) 10000 8300 6800 5000 3400103 URS085 SUPRAPUBIC PROSTATECTOMY 24000 20000 16000 12000 8000104 URS108 SURGERY FOR PEYRONIS DISEASE 26000 21700 17400 13000 8700105 URS109 SURGERY FOR PRIAPISM 26000 21700 17400 13000 8700106 URS107 SURGERY FOR RECTOURETHRAL FISTULA 35000 29000 23400 17500 11700

107 URS116 T U R E D (TRANS URETHRAL RESECTION OF EJACULATING DUCT) 18000 15000 12000 9000 6000

108 URS007 T.U.R. - BLADDER TUMOR 28000 23300 18800 14000 9400109 URS001 T.U.R. - POSTERIOR URETHRAL VALVES 19000 15800 12800 9500 6400110 URS006 T.U.R. - PROSTATE 29000 24200 19400 14500 9700111 URS097 T.U.R. - PROSTATE WITH T.U.E.V.P 28000 23300 18800 14000 9400112 URS086 TESTICULAR BIOPSY 5500 4600 3700 2750 1850113 URS151 TORSION TESTIS 15000 12500 10000 7500 5000114 URS128 TRANS URETERO URETEROSTOMY 26000 21700 17400 13000 8700

115 URS087 TRANS URETHRAL ELECTRO VAPOUIZATION OF PROSTATE 28000 23300 18800 14000 9400

116 URS152 TRANSPLANT NEPHRECTOMY 28000 23300 18800 14000 9400117 URS026 TROCAR CYSTOSTOMY 10000 8300 6800 5000 3400

118 URS065 URETERIC CATHETERISATION - UNILATERAL OR BILATERAL 8000 6700 5400 4000 2700

119 URS129 URETERO URETEROSTOMY 19000 15800 12800 9500 6400

120 URS025 URETEROINTESTINAL DIVERSION / RE-IMPLANTATION OF URETER / PSOAS HITCH 33000 27500 22000 16500 11000

121 URS088 URETEROLITHOTOMY 19000 15800 12800 9500 6400122 URS153 URETEROLITHOTOMY – LAPAROSCOPIC 24000 20000 16000 12000 8000

123 URS130 URETEROLYSIS FOR RETROPERITONEAL FIBROSIS 26000 21700 17400 13000 8700

124 URS014 URETERONEOCYSTOSTOMY : BILATERAL 35000 29000 23400 17500 11700125 URS013 URETERONEOCYSTOSTOMY : UNILATERAL 28000 23300 18800 14000 9400

126 URS127 URETERONEOCYSTOSTOMY WITH BOARI FLAP 26000 21700 17400 13000 8700

127 URS126 URETEROPLASTY WITH ILEAL REPOSITION 26000 21700 17400 13000 8700128 URS050 URETEROSCOPIC LITHOTRIPSY 24000 20000 16000 12000 8000129 URS049 URETEROSCOPIC STONE REMOVAL 20000 16700 13200 10000 6600130 URS089 URETEROSCOPIC URETEROTOMY 24000 20000 16000 12000 8000131 URS048 URETEROSCOPY : DIAGNOSTIC 12000 10000 8000 6000 4000132 URS154 URETHRAL CARBUNCULE EXCISION 15000 12500 10000 7500 5000133 URS054 URETHRAL DILATATION 4500 3750 3000 2250 1500134 URS140 URETHROPLASTY – END TO END 26000 21700 17400 13000 8700135 URS155 URETHROPLASTY – ONE STAGE 29000 24200 19400 14500 9700

136 URS103 URETHROPLASTY FOR POSTERIOR URETHRAL DISTRACTION DEFECT (PUDD) 35000 29000 23400 17500 11700

137 URS031 URETHROPLASTY TWO STAGED - 1ST STAGE 16000 13400 10700 8000 5300138 URS032 URETHROPLASTY TWO STAGED - 2ND STAGE 19000 15800 12800 9500 6400

36



139 URS043 V.V.FISTULA REPAIR / URETERO-VAGINAL FISTULA REPAIR 32000 26800 21400 16000 10700

140 URS099 VARICOCELECTOMY BILATERAL 19000 15800 12800 9500 6400141 URS124 VARICOCELECTOMY LAPAROSCOPIC 16000 13400 10700 8000 5300

142 URS156 VARICOCELECTOMY OPEN MICROSURGICAL – BILATERAL 20000 16700 13200 10000 6600

143 URS104 VARICOCELECTOMY OPEN MICROSURGICAL – UNILATERAL 16000 13400 10700 8000 5300

144 URS036 VARICOCELECTOMY UNILATERAL 16000 13400 10700 8000 5300145 URS039 VASO-EPIDIDYMAL ANASTOMOSIS 20000 16700 13200 10000 6600146 URS038 VASOVASAL ANASTOMOSIS 22000 18300 14700 11000 7400147 URS042 Y.V.PLASTY OF BLADDER NECK 20000 16700 13200 10000 6600

07:14 PLASTIC SURGERY001 PLS048 ABDOMINOPLASTY 28000 23300 18800 14000 9400

002 PLS028 ABDOMINOPLASTY WITH LIPOSUCTION (COSMETIC) 35000 29000 23400 17500 11700

003 PLS068 BAT EAR BILATERAL 24000 20000 16000 12000 8000004 PLS033 BLEPHEROPLASTY FOUR LIDS 36000 30000 24000 18000 12000005 PLS032 BLEPHEROPLASTY TWO LIDS 30000 25000 20000 15000 10000

006 PLS040 BREAST AUGMENTATION (IMPLANT) : BILATERAL 36000 30000 24000 18000 12000

007 PLS039 BREAST AUGMENTATION (IMPLANT) : UNILATERAL 24000 20000 16000 12000 8000

008 PLS041 BREAST AUGMENTATION BY FLAP 42000 35000 28000 21000 14000009 PLS070 BREAST REDUCTION : BILATERAL 36000 30000 24000 18000 12000010 PLS069 BREAST REDUCTION : UNILATERAL 24000 20000 16000 12000 8000011 PLS023 CHEMICAL PEELING 30000 25000 20000 15000 10000012 PLS010 CLEFT LIP CASE RHINOPLASTY 36000 30000 24000 18000 12000013 PLS009 CLEFT LIP NOSTRIL 28000 23300 18800 14000 9400014 PLS002 CLEFT LIP / PALATE : BILATERAL 32000 26800 21400 16000 10700015 PLS001 CLEFT LIP / PALATE : UNILATERAL 24000 20000 16000 12000 8000016 PLS005 CLEFT PALATE & LIP : BILATERAL 36000 30000 24000 18000 12000017 PLS004 CLEFT PALATE & LIP : UNILATERAL 30000 25000 20000 15000 10000018 PLS008 CLEFT PALATE FISTULA WITH FLAP 30000 25000 20000 15000 10000019 PLS006 CLEFT PALATE WITH PHARYNGOPLASTY 30000 25000 20000 15000 10000020 PLS007 CLEFT PALATE-FISTULA SIMPLE 18000 15000 12000 9000 6000021 PLS021 COMPLICATED SCAR FACE / MULTIPLE SCARS 28000 23300 18800 14000 9400022 PLS125 CONTRACTURE RELEASE ONLY (ONE FINGER) 12000 10000 8000 6000 4000

023 PLS085 CONTRACTURE RELEASE WITH FLAP & SKINGRAFT 36000 30000 24000 18000 12000

024 PLS084 CONTRACTURE RELEASE WITH SKIN GRAFT MORE FINGERS 35000 29000 23400 17500 11700

025 PLS083 CONTRACTURE RELEASE WITH SKIN GRAFT ONE FINGER 24000 20000 16000 12000 8000

026 PLS103 CYST OR GANGLION MULTIPLE 17000 14000 11300 8500 5700

37


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:14 PLASTIC SURGERY DR PR SPR NSB SB

027 PLS134 WOUND DEBRIDEMENT – LARGE 10000 8300 6800 5000 3400028 PLS135 WOUND DEBRIDEMENT – MEDIUM 8000 6700 5400 4000 2700029 PLS136 WOUND DEBRIDEMENT – SMALL 6500 5400 4400 3250 2200030 PLS022 DERMABRASION FACE 21000 17500 14000 10500 7000031 PLS098 DETACHMENT OF FLAP 17000 14000 11300 8500 5700

032 PLS122 DISTRACTION OSTEOGENESIS MANDIBLE OR MAXILLA 35000 29000 23400 17500 11700

033 PLS124 DIVISION OF FLAP 10000 8300 6800 5000 3400034 PLS057 DRESSING - MAJOR 5500 4600 3700 2750 1850035 PLS114 DRESSING - MEDIUM 4000 3300 2700 2000 1300036 PLS058 DRESSING - MINOR 3000 2400 1900 1500 1000037 PLS065 EAR LOBULE KELOID : BILATERAL 12000 10000 8000 6000 4000038 PLS064 EAR LOBULE KELOID : UNILATERAL 9000 7500 6000 4500 3000039 PLS101 EXCISION OF CYST - MULTIPLE 12000 10000 8000 6000 4000040 PLS100 EXCISION OF CYST - SINGLE 6000 5000 4000 3000 2000041 PLS113 EXCISION OF MOLE - FACE 6000 5000 4000 3000 2000042 PLS123 EXPLANTATION OF BREAST IMPLANT 21000 17500 14000 10500 7000043 PLS071 EXTRA DIGIT EXCISION 11000 9200 7400 5500 3700044 PLS034 EYE LIDS - PTOSIS : UNILATERAL 16000 13400 10700 8000 5300

045 PLS036 EYE LIDS : PARTIAL EXCISION & REPAIR WITH SKIN GRAFT & FLAP 26000 21700 17400 13000 8700

046 PLS038 EYE LIDS FOLD RECONSTRUCTION 26000 21700 17400 13000 8700

047 PLS037 EYE LIDS TUMOR EXCISION & REPAIR WITH SKIN GRAFT & FLAP 26000 21700 17400 13000 8700

048 PLS035 EYE LIDS- PTOSIS : BILATERAL 22000 18300 14700 11000 7400

049 PLS031 FACE LIFT WITH OR WITHOUT NECK LIFT (COSMETIC) 40000 33300 26800 20000 13400

050 PLS056 FACE MOLE OR CYST EXCISION - MULTIPLE 21000 17500 14000 10500 7000051 PLS049 FASCIO CUTANEOUS FLAP REPAIR - LARGE 28000 23300 18800 14000 9400052 PLS050 FASCIO CUTANEOUS FLAP REPAIR - MEDIUM 21000 17500 14000 10500 7000053 PLS051 FASCIO CUTANEOUS FLAP REPAIR - SMALL 12000 10000 8000 6000 4000

054 PLS054 FASCIO CUTANEOUS FLAP WITH SKIN GRAFT - LARGE 36000 30000 24000 18000 12000

055 PLS053 FASCIO CUTANEOUS FLAP WITH SKIN GRAFT - MEDIUM 24000 20000 16000 12000 8000

056 PLS052 FASCIO CUTANEOUS FLAP WITH SKIN GRAFT - SMALL 16000 13400 10700 8000 5300

057 PLS025 FAT OR FULL THICKNESS GRAFT - LARGE 22000 18300 14700 11000 7400058 PLS024 FAT OR FULL THICKNESS GRAFT - SMALL 13000 10800 8800 6500 4400059 PLS089 FRACTURE FLOOR OF ORBIT 24000 20000 16000 12000 8000

060 PLS080 FRACTURE MANDIBLE + MAXILLA + ORBIT + NOSE 36000 30000 24000 18000 12000

061 PLS079 FRACTURE MANDIBLE OR MAXILLA A.O. 20000 16700 13200 10000 6600062 PLS117 FRENULOPLASTY 12000 10000 8000 6000 4000063 PLS128 GYNAECOMASTIA – BILATERAL 27000 22500 18000 13500 9000064 PLS129 GYNAECOMASTIA – UNILATERAL 16000 13400 10700 8000 5300

38



065 PLS073 HAND - TENDON REPAIR (MAGNIFICATION) MULTIPLE 33000 27500 22000 16500 11000

066 PLS072 HAND - TENDON WITH NERVE REPAIR (MAGNIFICATION) 30000 25000 20000 15000 10000

067 PLS016 HYPOSPADIAS - CHORDEE CORRECTIONS 18000 15000 12000 9000 6000068 PLS015 HYPOSPADIAS - MEATOTOMY 5500 4600 3700 2750 1850069 PLS017 HYPOSPADIAS - URETHRA RECONSTRUCTION 29000 24200 19400 14500 9700070 PLS115 INTRAVELAR VELOPLASTY 31000 26000 20800 15600 10400071 PLS105 JOINT REPLACEMENT (MINOR) 21000 17500 14000 10500 7000072 PLS130 KELOID LARGE (ELSEWHERE) 24000 20000 16000 12000 8000073 PLS116 LARGE SCAR EXCISION 20000 16700 13200 10000 6600074 PLS027 LIPOSUCTION - LARGE AREA 29000 24200 19400 14500 9700075 PLS026 LIPOSUCTION - SMALL AREA 18000 15000 12000 9000 6000076 PLS093 LOCAL FLAP - LARGE 21000 17500 14000 10500 7000077 PLS092 LOCAL FLAP - MEDIUM 16000 13400 10700 8000 5300078 PLS091 LOCAL FLAP - MINOR 10000 8300 6800 5000 3400079 PLS090 LOCAL FLAP / CROSS FINGER FLAP 24000 20000 16000 12000 8000080 PLS131 LYMPHEDEMA SURGERY 26000 21700 17400 13000 8700081 PLS077 MALAR FRACTURE - CLOSED 18000 15000 12000 9000 6000

082 PLS078 MALAR FRACTURE - MINI INTERNAL FIXATION 24000 20000 16000 12000 8000

083 PLS097 MANDIBLE WIRING 28000 23300 18800 14000 9400084 PLS132 MELANOCYTE GRAFTING – LARGE 40000 33300 26800 20000 13400085 PLS133 MELANOCYTE GRAFTING – SMALL 20000 16700 13200 10000 6600086 PLS014 MINOR CORRECTION ON CLEFT LIP 16000 13400 10700 8000 5300087 PLS075 NASAL FRACTURE - CLOSED 10000 8300 6800 5000 3400

088 PLS076 NASAL FRACTURE WITH COMPOUND WOUND 15600 13000 10400 7800 5200

089 PLS106 NERVE GRAFT (UNDER MAGNIFICATION) 36000 30000 24000 18000 12000090 PLS107 NERVE REPAIR (MULTIPLE) 36000 30000 24000 18000 12000091 PLS108 NERVE REPAIR (SINGLE) 28000 23300 18800 14000 9400

092 PLS109 NERVE REPLANTATION (UNDER MAGNIFICATION) 42000 35000 28000 21000 14000

093 PLS013 NOSE TIP RHINOPLASTY 18000 15000 12000 9000 6000094 PLS047 PHARYNGOPLASTY 24000 20000 16000 12000 8000095 PLS030 PREAURICULAR SINUS : BILATERAL 14000 11700 9400 7000 4700096 PLS029 PREAURICULAR SINUS : UNILATERAL 12000 10000 8000 6000 4000097 PLS110 RADIAL CLUB HAND CORRECTION 30000 25000 20000 15000 10000

098 PLS074 RECONSTRUCTION OF EAR DEFORMITY – STAGE-I 33000 27500 22000 16500 11000

099 PLS120 RECONSTRUCTION OF EAR DEFORMITY – STAGE-II 22000 18300 14700 11000 7400

100 PLS121 RECONSTRUCTION OF EAR DEFORMITY – STAGE-III 20000 16700 13200 10000 6600

101 PLS087 RELEASE OF TONGUE TIE 5000 4200 3400 2500 1700102 PLS088 RELEASE OF TONGUE TIE - Z PLASTY REPAIR 12000 10000 8000 6000 4000

39



103 PLS094 REPAIR OF FRACTURE ZYGOMA 18000 15000 12000 9000 6000104 PLS119 REPAIR OF LIP – BILATERAL 22000 18300 14700 11000 7400105 PLS118 REPAIR OF LIP – UNILATERAL 15000 12500 10000 7500 5000106 PLS096 REPAIR OF MORE THAN ONE FINGER 12000 10000 8000 6000 4000107 PLS095 REPAIR OF ONE FINGER 10000 8300 6800 5000 3400108 PLS099 REPAIR OF PINNA 10000 8300 6800 5000 3400109 PLS011 RHINOPLASTY (COSMETIC) 33000 27500 22000 16500 11000

110 PLS003 SECONDARY DEFORMITY - CLEFT LIP/ PALATE / NOSE 31000 26000 20800 15600 10400

111 PLS012 SEPTO-RHINOPLASTY 25000 20800 16800 12500 8400112 PLS020 SIMPLE SCAR EXCISION 12000 10000 8000 6000 4000113 PLS018 SIMPLE Z PLASTY ANYWHERE 12000 10000 8000 6000 4000114 PLS061 SKIN GRAFTING - LARGE / EXTENSIVE 27000 22500 18000 13500 9000115 PLS060 SKIN GRAFTING - MEDIUM 21000 17500 14000 10500 7000116 PLS059 SKIN GRAFTING - SMALL 12000 10000 8000 6000 4000117 PLS102 SMALL NAEVUS - SINGLE 10000 8300 6800 5000 3400118 PLS063 SPLIT EAR LOBULES : BILATERAL 6500 5400 4400 3250 2200119 PLS062 SPLIT EAR LOBULES : UNILATERAL 4500 3750 3000 2250 1500120 PLS067 SYNDACTYLE FINGERS : MORE THAN ONE WEB 26000 21700 17400 13000 8700121 PLS066 SYNDACTYLE FINGERS : ONE WEB 21000 17500 14000 10500 7000122 PLS082 T.M. JOINT ANKYLOSIS WITH RIB GRAFT 33000 27500 22000 16500 11000

123 PLS081 T.M. JOINT ANKYLOSIS / CONDYLECTOMY : UNILATERAL 26000 21700 17400 13000 8700

124 PLS111 TENDON TRANSFER (MULTIPLE) 28000 23300 18800 14000 9400125 PLS112 TENDON TRANSFER (SINGLE) 19000 15800 12800 9500 6400126 PLS042 TISSUE EXPANDER (INSERTION) 28000 23300 18800 14000 9400127 PLS055 VAGINOPLASTY WITH SKIN GRAFT AND FLAP 36000 30000 24000 18000 12000128 PLS086 VAS RECANALISATION (MAGNIFICATION) 28000 23300 18800 14000 9400

129 PLS045 WOUND REPAIR - FACE / HAND / LIMBS – LARGE / MULTIPLE 18000 15000 12000 9000 6000

130 PLS044 WOUND REPAIR - FACE / HAND / LIMBS - MEDIUM 10000 8300 6700 5000 3350

131 PLS043 WOUND REPAIR - FACE / HAND / LIMBS - SMALL 5000 4200 3400 2500 1700

132 PLS019 Z PLASTY - SCAR EXCISION WITH OR WITHOUT SKINGRAFT 24000 20000 16000 12000 8000

07:15 PEDIATRIC SURGERY

001 PES002 ABDOMINOPERINEAL PULL THROUGH/ PSARP 33000 27500 22000 16500 11000

002 PES028 ANAL DILATATION 8000 6700 5400 4000 2700003 PES029 ANORECTAL MYOMECTOMY 18000 15000 12000 9000 6000004 PES030 APPENDECTOMY 18000 15000 12000 9000 6000005 PES031 AXILLARY LYMPH NODE BIOPSY 8000 6700 5400 4000 2700006 PES007 BILIARY ATRESIA / CHOLEDOCHAL CYST 39000 32500 26000 19500 13000007 PES032 BRONCHOSCOPY DIAGNOSTIC / FB / BIOPSY 12000 10000 8000 6000 4000

40


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:15 PEDIATRIC SURGERY DR PR SPR NSB SB

008 PES033 CATHETERISATION AND MCU 4000 3300 2700 2000 1300009 PES034 CENTRAL VENOUS LINE IN NEONATE 3500 3000 2400 1800 1200010 PES035 CERVICAL LYMPH NODE BIOPSY 8000 6700 5400 4000 2700011 PES036 CHEST ASPIRATION 4000 3300 2700 2000 1300012 PES037 CHEST TUBE INSERTION 4000 3300 2700 2000 1300013 PES011 CHEST TUBE MANIPULATION 1500 1300 1000 800 500014 PES112 CIRCUMCISION – NEONATAL 8000 6700 5400 4000 2700015 PES005 COLOSTOMY / ILEOSTOMY CLOSURE 24000 20000 16000 12000 8000016 PES013 COLOSTOMY / ILEOSTOMY / JEJUNOSTOMY 18000 15000 12000 9000 6000

017 PES039 COMPLETE DECORICATION - OPEN/ THORACOSCOPIC 31000 26000 20800 15600 10400

018 PES010 CYSTIC HYGROMA - MAJOR 27000 22500 18000 13500 9000

019 PES092 CYSTIC HYGROMA MINOR EXCISION/ SCLEROTHERAPY 16000 13400 10700 8000 5300

020 PES009 CYSTOGASTROSTOMY 24000 20000 16000 12000 8000021 PES040 DIAGNOSTIC LAPROSCOPY 12000 10000 8000 6000 4000022 PES041 DIAPHRAGMATIC HERNIA / EVENTRATION 35000 29000 23400 17500 11700023 PES042 DRAINAGE OF DEEP / LARGE ABCESS 8000 6700 5400 4000 2700024 PES043 DRAINAGE OF SMALL ABCESS 4000 3300 2700 2000 1300025 PES097 DRESSING – SMALL 2000 1700 1400 1000 700026 PES044 DRESSING LARGE 3500 3000 2400 1800 1200027 PES113 EMPYEMA THORACOCENTESIS 12000 10000 8000 6000 4000028 PES046 ESOPHAGOSCOPY / FB 10000 8300 6700 5000 3350029 PES045 ESPOHAGEAL DILATATION 6000 5000 4000 3000 2000030 PES047 EXCISION BIOPSY SUP. LUMP / SEB CYST 8000 6700 5400 4000 2700031 PES048 EXCISION BRANCHIAL SINUS / FISTULA 16000 13400 10700 8000 5300

032 PES095 EXCISION OF EXTRA DIGIT - (IN NEONATE CASES) 4000 3300 2700 2000 1300

033 PES096 EXCISION OF RETRO-PERITONEAL TUMOR 35000 29000 23400 17500 11700034 PES049 EXCISION THYROGLOSSAL CYST / FISTULA 16000 13400 10700 8000 5300035 PES050 EXPLORATORY LAPROTOMY 14000 11700 9400 7000 4700

036 PES103 EXPLORATORY LAPROTOMY WITH MULTIPLE BIOPSIES 21000 17500 14000 10500 7000

037 PES051 FUNDOPLICATION 24000 20000 16000 12000 8000038 PES052 GASTROSCHISIS 31000 26000 20800 15600 10400039 PES038 GASTROSTOMY 16000 13400 10700 8000 5300040 PES054 HYDROCOELE BILATERAL 20000 16700 13200 10000 6600041 PES055 HYDROCOELE UNILATERAL 12000 10000 8000 6000 4000042 PES056 INGUINAL HERNIA IN NEONATE BILATERAL 21000 17500 14000 10500 7000043 PES057 INGUINAL HERNIA IN NEONATE UNILATERAL 16000 13400 10700 8000 5300044 PES058 INGUINAL HERNIA REPAIR BILATERAL 18000 15000 12000 9000 6000045 PES059 INGUINAL HERNIA REPAIR UNILATERAL 14400 12000 9600 7200 4800

046 PES114 INSTILLATION OF INTRACAVITATORY MEDICATION 9000 7500 6000 4500 3000

047 PES060 INTESTINAL FISTULA 30000 25000 20000 15000 10000

41



048 PES004 INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000

049 PES061 INTUSSUSCEPTION AND RESECTON ANASTMOSIS 26000 21700 17400 13000 8700

050 PES062 INTUSSUSCEPTION REDUCTION (XRAY OR OPERATIVE) 18000 15000 12000 9000 6000

051 PES091 KIDNEY BIOPSY 5000 4200 3400 2500 1700052 PES063 LAPAROSCOPIC APPENDICECTOMY 21000 17500 14000 10500 7000053 PES108 LAPAROSCOPIC HERNIOTOMY 21000 17500 14000 10500 7000054 PES105 LAPAROSCOPIC ORCHIDOPEXY – BILATERAL 31000 26000 20800 15600 10400

055 PES104 LAPAROSCOPIC ORCHIDOPEXY – UNILATERAL 24000 20000 16000 12000 8000

056 PES064 LIVER ABCESS ASPIRATION 8000 6700 5400 4000 2700057 PES065 LIVER ABCESS ASPIRATION MULTIPLE 12000 10000 8000 6000 4000058 PES066 LIVER BIOPSY CLOSED 3500 3000 2400 1800 1200059 PES067 LOBECTOMY 31000 26000 20800 15600 10400060 PES068 LYSIS OF INTESTINAL ADHESIONS 15000 12500 10000 7500 5000061 PES069 MALROTATION INTESTINE 26000 21700 17400 13000 8700062 PES070 MESENTERIC CYST / DUPLICATION 26000 21700 17400 13000 8700063 PES072 MULTIPLE POLYPS 16000 13400 10700 8000 5300

064 PES074 NEONATAL INTESTINAL OBSTRUCTION/ ATRESIA 30000 25000 20000 15000 10000

065 PES076 OMPHALOCOELE MAJOR / GASTROSCHISIS 31000 26000 20800 15600 10400066 PES077 OMPHALOCOELE MINOR 22000 18300 14700 11000 7400067 PES075 OBSTRUCTED / STRANGULATED HERNIA 24000 20000 16000 12000 8000068 PES008 OESOPHAGOSTOMY 22000 18300 14700 11000 7400069 PES078 ORCHIDOPEXY BILAT 26000 21700 17400 13000 8700070 PES015 ORCHIDOPEXY UNILAT 20000 16700 13200 10000 6600071 PES100 PARAVERTIBRAL ABCESS 16000 13400 10700 8000 5300

072 PES106 PERCUTANEOUS PIGTAIL CATHETER INSERTION 11000 9200 7400 5500 3700

073 PES109 PERFORATION PERITONITIS 27000 22500 18000 13500 9000074 PES016 PARTIAL DECORTICATION / RIB RESECTION 21000 17500 14000 10500 7000075 PES001 PERINEAL ANOPLASTY 18000 15000 12000 9000 6000076 PES017 PERITONEAL ASPIRATION 3500 3000 2400 1800 1200077 PES012 PERITONEAL DRAINAGE 5000 4200 3400 2500 1700078 PES006 PNEUMONECTOMY 33000 27500 22000 16500 11000079 PES018 PULL THROUGH FOR HIRSCHPRUNG’S 28000 23300 18800 14000 9400080 PES019 PYELOPLASTY 33000 27500 22000 16500 11000081 PES020 PYLORMYOTOMY 21000 17500 14000 10500 7000082 PES079 RADIAL ARTERY CATH 5000 4200 3400 2500 1700083 PES080 RECTAL POLYP 10000 8300 6700 5000 3350084 PES081 RECTAL SUCTION BIOPSY / OPEN BIOPSY 8000 6700 5400 4000 2700085 PES014 RECURRENT INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000086 PES107 REMOVAL OF TUBE / CATHETER 3000 2400 1900 1500 1000

42



087 PES022 RESECTION AND ANASTMOSIS INTESTINE 26000 21700 17400 13000 8700088 PES071 RESECTION ANASTMOSIS - MULTIPLE 33000 27500 22000 16500 11000089 PES101 RETRO PERITONEAL ABSCESS / HAEMATOMA 21000 17500 14000 10500 7000

090 PES115 RETRO PERITONEAL / RETRO PERITONEOSCOPY PROCEDURE 28000 23300 18800 14000 9400

091 PES102 SCLEROTHERAPY RECTAL PROLAPSE / HAEMANGIOMA 9000 7500 6000 4500 3000

092 PES023 SIGMOIDOSCOPY 5000 4200 3400 2500 1700093 PES098 SOFT TISSUE TUMOR (LARGE) 16000 13400 10700 8000 5300094 PES099 SOFT TISSUE TUMOR (SMALL) 10000 8300 6700 5000 3350095 PES024 SPLEENECTOMY 28000 23300 18800 14000 9400096 PES025 SUTURING MULTIPLE WOUND 8000 6700 5400 4000 2700097 PES026 SUTURING OF WOUND 5000 4200 3400 2500 1700098 PES027 TONGUE TIE EXCISION 4000 3300 2700 2000 1300099 PES003 TRACHEOESOPHAGEAL FISTULA (T.O.F.) 36000 30000 24000 18000 12000100 PES082 UMBILICAL / EPIGASTRIC HERNIA 16000 13400 10700 8000 5300101 PES083 UMBILICAL CATH ARTERIAL 4000 3300 2700 2000 1300102 PES084 UMBILICAL CATH VENOUS 4000 3300 2700 2000 1300103 PES085 UMBILICAL GRANULOMA 4000 3300 2700 2000 1300104 PES086 URACHUS EXCISION 18000 15000 12000 9000 6000105 PES087 V Y PLASTY TONGUE TIE 8000 6700 5400 4000 2700106 PES110 VARICOCOELE – BILATERAL 19000 15800 12800 9500 6400107 PES088 VARICOCOELE – UNILATERAL 17000 14000 11300 8500 5700108 PES089 VENESECTION / CENTRAL LINE 4000 3300 2700 2000 1300109 PES090 VITELLINE DUCT EXCISION 18000 15000 12000 9000 6000

07:16 MISCELLANEOUS SURGERY001 MSS001 PERITONEOSCOPY – BIOPSY 5000 4200 3400 2500 1700002 MSS002 SIGMOIDOSCOPY 5000 4200 3400 2500 1700003 MSS003 ECT 4000 3300 2700 2000 1300004 MSS004 EPIDURAL INJECTION 3000 2400 1900 1500 1000

NEPHROLOGY07:17A NEPHROLOGY SURGICAL PROCEDURES

002 VAS012 AV GRAFT FOR VASCULAR ACCESS FOR HAEMODIALYSIS 30000 25000 20000 15000 10000

003 URS134 CAPD CATHETER PLACEMENT 13000 10800 8800 6500 4400004 URS135 CAPD / PERMACATH CATHETER REMOVAL 6000 5000 4000 3000 2000

005 URS136 CHRONIC HEMODIALYSIS CATHETER (PERMCATH) PLACEMENT 11000 9200 7400 5500 3700

DIALYSIS (IN PATIENT)07:17B HAEMODIALYSIS [PACKAGE]

001 DIA011 HAEMODIALYSIS [IN DEPTT.] 2500 2500 2500 2300 2300002 DIA012 HAEMODIALYSIS (ICU-BEDSIDE) 3300 3300 3300 3000 3000

43


S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY07:17B HAEMODIALYSIS [PACKAGE] DR PR SPR NSB SB

003 DIA014 EMERGENCY HAEMODIALYSIS 3300 3300 3300 3000 3000

004 DIA013 SLED (Sustained Low Efficiency Dialysis) – UPTO 8hrs. 5000 5000 5000 4400 3850

005 DIA017 SLED (Sustained Low Efficiency Dialysis) More than 8 Hrs. upto 12 Hrs. 7500 7500 7500 6500 6500

Note : Haemodialysis includes all consumables and professional charges but it does not include cost of Dialyser (Artificial Kidney & Tubbings), any Investigation charges and other medication.

07:17C OTHER PROCEDURES

001 DIA010 CAPD TRAINING CHARGES (FOR COMPLETE TRAINING) 5000 5000 4500 4000 3500

002 DIA009 FEMORAL CATHETERISATION 2000 2000 2000 1650 1350003 DIA007 FISTULA DRESSING 120 120 120 120 100004 DIA006 HAEMODIALYSIS CATHETER DRESSING 300 300 300 300 250005 TRE075 KIDNEY BIOPSY (LAB. CHARGES EXTRA) 4000 4000 4000 3000 2000006 DIA016 PERITONEAL CATHETER INSERTION 5500 4600 3700 2750 1850007 TRE023 PERITONEAL DIALYSIS 3500 3500 3500 2600 1800

008 TRE024 SUBCLAVIAN / JUGULAR CANNULATION OR CATHETERISATION 3500 3500 3500 2600 1800

009 DIA008U.SOUND / ECHO GUIDANCE CHARGES FOR JUGULAR CANNULATION / CATHETERISATION

300 300 300 300 250

010 DIA019 IMMUNO THERAPY (TRANSPLANT) 1600 1600 1600 1500 1500011 DIA020 CADAVERIC TRANSPLANT WORK-UP 3500 3500 3500 3500 3500

012 DIA021CRRT INITIATION (CONTINUOUS RENAL REPLACEMENT THERAPY) [FOR 1ST 24HRS.] [KIT / CONSUMABLE EXTRA]

12000 12000 12000 12000 10000

013 DIA022CRRT MAINTAINENCE CHARGES – PER DAY, AFTER 24 HRS. OF INITIATION} [KIT/ CONSUMABLE EXTRA]

10000 10000 10000 10000 8000

07:18 RENAL TRANSPLANT SPR

001 PACKAGE FOR RENAL TRANSPLANT 400000

Package includes :-

1. Duration of package :- For Recipient : 10 days (Pre-stay 2days + Post.op stay 8days)

For Donor : 6 days (Pre-stay 1day + Post.op stay 5days)

2. Visit’s Charges : Surgeon’s & Nephrologist’s visit charges upto above mentioned stay.

3. Surgical Fee, O.T. Charges, Anaesthesia Charges, disposables used in O.T. and ward and physio-therapy (with-in above mentioned stay).

RENAL TRANSPLANT

44


4. Investigation as per KINDNEY TRANSPLANT investigation protocol (with-in above mentioned stay)

Package excludes :-

1. All Drugs/Medicines (Injectables or Oral) used in O.T. during the surgery, CCU/ICU and , Ward are as per actuals.

2. Any other investigation beyond above mentioned period of stay.

3. All treatment, Medication, Room/Bed or ICU charges, visits of surgeon and Nephrologist beyond the stay mentioned above.

4. Any other incidental procedure other than the main planned package procedure.

5. Consultation charges other than Nephrologist

6. Investigation sent to outside laboratory centres.

Note :-

1. The “Recipient” & “Donor” both will be admiitted as “Semi Pvt. Room” category.

2. Patient (Recipient) and donor may opt for higher accommodation. In that case, the difference of room/bed charges will be charged extra.

3. After surgery, in case patient requires to shift out in the room, the recipient will be shifted out to Single Room or as higher opted by the patient. The donor will be shifted out to Semi Pvt. Room or as higher opted by them.

OPERATION THEATER (O.T.) CHARGES08:01 OGT001 The charges for ‘Operation Theater for Delivery cases’ will be 30% of the Delivery fee.09:01 ROO002 The charges for ‘Operation Theater’ for surgeries will be 30% of the Surgeon’s fee.

S.No. CODE DESCRIPTION DR/PR/SPR/NSB/SB10:01 ANAESTHESIA

001 ANC001 General/Spinal/Epidural Anaesthesia / Brachial or Regional Blocks 30% of the Surgeon’s Fee

002 ANC003 Local Anaesthesia with stand by. 15% of the Surgeon’s Fee003 ANC002 Local Anaesthesia 10% of the Surgeon’s Fee004 ANC005 Anaesthesia outside Operating Room As per above whichever is applicable


OTHER SPECIFIC TYPE OF ANAESTHESIA CHARGES DR PR SPR NSB SB10:02 ANC004 Obst. (Epidural) Anesthesia Upto 1 Hour 2500 2500 2500 1500 90010:03 ANC022 TOP-UP of Epidural Anesthesia (Each Time) 800 800 800 600 300

ANAESTHESIA

45


CATHLAB. (CARDIOLOGY) PROCEDURESS.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

DR PR SPR NSB SB11:01 ANGIOGRAPHY PACKAGES

01. CAD001 CORONARY ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 500002. CAD007 PERIPHERAL ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 500003. CAD009 RENAL ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 500004. CAD010 CHECK ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 5000

ANGIOPLASTY PACKAGES05. CAD002 CORONARY ANGIOPLASTY (Stay 2days) 110000 100000 85000 70000 6000006. CAD006 PERIPHERAL ANGIOPLASTY (Stay 2days) 90000 80000 65000 50000 4500007. CAD011 RENAL ANGIOPLASTY (Stay 2days) 90000 80000 65000 50000 4500008. CAD034 CAROTID ANGIOPLASTY (Stay 2days) 110000 100000 85000 70000 60000

PACEMAKER IMPLANTATION PACKAGES

09. CAD012 PACEMAKER IMPLANTATION-SINGLE CHAMBER (Stay 3days) 70000 60000 50000 40000 36000

10. CAD013 PACEMAKER IMPLANTATION-DOUBLE CHAMBER (Stay 3days) 90000 80000 65000 50000 45000

11. CAD014 PACEMAKER / LEAD– REPLACEMENT (Stay 3days) 70000 60000 50000 40000 36000

12. CAD031 PACEMAKER EXPLANTATION (Stay 3days) 70000 60000 50000 40000 36000

OTHER PACKAGES

13. CAD018 COIL/PARTICLE EMBOLIZATION (Stay 1day) 45000 40000 34000 25000 20000

14. CAD003 EP STUDY (Stay 1day) 25000 22000 19000 15000 13500

15. CAD029 FFR – FRACTIONAL FLOW RESERVE (Stay 1day) 20000 18000 15000 12000 10000

16. CAD021 IVC FILTER IMPLANTATION (Stay 1day) 25000 22000 19000 15000 13500

17. CAD016 BALLOON VALVULOPLASTY / BMV/BPV-BALLOON (Stay 2days) 120000 100000 80000 60000 50000

18. CAD015 ASD / VSD DEVICE CLOSURE (Stay 2days) 75000 65000 55000 45000 40000

19. CAD017 BIVENTRICULAR DEVICE/COMBO (Stay 3days) 120000 100000 80000 60000 50000

20. CAD019 ICD/AICD – SINGLE CHAMBER (Stay 3days) 95000 80000 65000 50000 45000

21. CAD020 ICD/AICD – DOUBLE CHAMBER(Stay 3days) 110000 90000 75000 60000 54000

22. CAD022 RF ABLATION – 3D MAPPING (Stay 3days) 190000 170000 150000 130000 12000023. CAD004 RF ABLATION (Stay 3days) 95000 80000 65000 50000 4500024. CAD005 EPS + RFA (Stay 3days) 125000 100000 75000 50000 45000

NOTE :- In case patient is admitted directly in ICU/CCU, treated and discharged from ICU/CCU only (not stayed or shifted to wards) shall be levied as per minimum Semi-Pvt. Room.

(Inclusions and exclusions of packages are on next page)

46


Inclusions of Packages.

1. Stay as mentioned above, Professional fee of Cardiologist during the package duration and Cath lab charges.2. Pre-operative Investigations (RBS, Urea, Createnine, CBC, BT, Sodium, potassium, Hbs Ag(spot), HIV(spot),

HCV(spot), PT, APTT, Platelet Count, Blood grouping & typing, X-Ray Chest, ECG (Quantity one of each investigation is covered in package).

Exclusions of Packages.

1. Any other investigation other than listed above in inclusions2. All treatment, all post op. investigations, Medication, Room/Bed charges and visits of Cardiologist beyond stay

mentioned in the package charges.3. Any other incidental procedure other than the main planned package procedure.4. Consultation charges other than Cardiologist.5. Cost of Stent/s, Balloons, Guidewire, Pace Maker,Lead & other accessories used in cathlab. (In case of Pacemaker

Replacement, cost of lead and accessories will be charged, If replaced). 6. Cost of Devices, Coil / Particles, Filter Wire, Special wires like Pressure Wire-FFR, OCT, Rotablation, Rotablation Burr.7. All Drugs/Medicines (Injectables or Oral), Contrast, disposables used in cathlab, CCU/ICU and , Ward are as per

actuals.8. IABP (in case used).9. Angiography CD

************************

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY11:02 Non-package Cathlab Procedures DR PR SPR NSB SB

26. CAD023 INTRA AORTIC BALLOON PUMP (IABP) IMPLANTATION 18000 16000 13000 11000 10000

27. CAD024 FOREIGN BODY REMOVAL 18000 16000 13000 11000 1000028. CAD025 FLUROSCOPY 2500 2200 2000 1700 150029. CAD026 TEMPORARY PACEMAKER IMPLANTATION 12000 10000 8000 6000 400030. CAD027 PERICARDIOCENTASIS 18000 16000 13000 10000 700031. CAD028 ELECTIVE CARDIOVERSION 15000 12500 10000 7500 5000

32. CAD033 EXTRA CORPOREAL MEMBRANE OXYGINATION (ECMO) INITIATION 300000 300000 300000 300000 300000

Note :-1. IABP:- Cost of IABP Balloon and procedure will be charged extra whenever it will be done. It is not inclusive in any of

the cathlab packages or Surgery package.2. The above charges will includes Professional fee and Cath lab Charges only.3. Cost of Ballon and all other disposables and medicinces will be extra.

************************

Non-package Cathlab Procedures

47


Package includes :- 01. Maximum stay of 8 days. 02. Period of 8 days will be effective from one day prior to the date of surgery.03. Routine Blood Tests (RBS, Urea, Createnine, CBC, BT, Sodium, Potassium, Hbs Ag(spot), HIV(spot),

HCV(spot), PT, APTT, Platelet Count,LFT), X-Ray Chest and ECG.04. Two Echocardiography both pre and post surgery. 05. One doppler (if needed) 06. Drugs, Medical Consumables, Professional fee of the Cardio-thoracic Surgeon, Cardiac Anesthesia, Cardiologist

for the duration of package. 07. Nursing Care, Diet (patient only) and Physiotherapy. 08. Six Units of Whole Blood for Open Heart Surgery and 4 Units for other Heart Surgeries. (Blood to be donated by

patient’s relatives).

Package does NOT include :- 01. All charges beyond package of 8 days will be charged as per hospital Schedule of Charges.02. Consultation charges other than Cardiologist. 03. Cost of SwanGanz catheter/CCO (if used) shall be charged extra. 04. Nephrology and dialysis services. 05. Additional investigations and Echo etc. 06. Cost of Valve, Vascular Graft, Aortic Graft, PTFE Patch, Visipaque Dye etc.07. High cost drugs like Inj. Solumedrol, Morotrol, Meronem, Milron, Targocid, Primacore, Albumin, Clexane,

Fibrin Glue, Trasylol, Injectable Anti-platelets, Thromolytic agents etc.

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY11:03 OTHER CHARGES DR PR SPR NSB SB

01. CAD030 INTRA AORTIC BALLOON PUMP (IABP) PER DAY* 2500 2500 2500 2500 1800

02. SCL070 ANGIOGRAPHY CD 500 500 500 500 500

03. MSS013 INTEROGATION / REPROGRAMMING OF AICD/PACEMAKER 1000 1000 1000 750 500

04. CPP001 ECMO (PER DAY)** 20000 20000 20000 20000 20000

Note :-1. *IABP routine charges (per day) will be levied from next day of IABP implantation.2. **For ECMO, no charge till 5days from initiation. Above charges will be levied from 6th day.

11:04 CARDIAC SURGERY PACKAGES01. CDS003 OPEN HEART/ BYPASS SURGERIES/CABG 275000 250000 230000 210000 19000002. CDS004 CLOSED HEART SURGERIES 155000 135000 115000 95000 8500003. CDS005 SINGLE VALVE REPLACEMENT 275000 250000 230000 210000 20000004. CDS006 DOUBLE VALVE REPLCEMENT 290000 265000 240000 225000 21000005. CDS007 CABG + VALVE REPLACEMENT SURGERY 310000 285000 265000 245000 22000006. CDS008 BENTALL REPAIR WITH PROSTHETIC VALVE 310000 285000 265000 245000 22000007. CDS009 BENTALL REPAIR WITH BIOLOGICAL VALVE 310000 285000 265000 245000 22000008. CDS010 ASD/VSD SURGERY 275000 250000 230000 210000 190000

CARDIAC SURGERY PACKAGES

48


11:05 OTHER NON-PACKAGE CARDIAC SURGERIES ACCOMMODATION CATEGORYS.No. CODE DESCRIPTION DR PR SPR NSB SB

01. CDS011 STERNOTOMY 20000 18000 15000 12000 10000

02. PLS126 STERNAL DEBRIDEMENT AND MUSCLE FLAP ROTATION 33000 27500 22000 16500 11000

03. PLS127 STERNAL RESECTION AND RECONSTRUC-TION 30000 25000 20000 15000 10000

Note :- Above mentioned charges are only professional fee of the surgeon. All other charges will be levied as per General S.O.C.-2016.

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S.No. DESCRIPTION ACCOMMODATION CATEGORYDR/PR/SPR/NSB/POPD/

CASUALTY SB/GOPD

12:01 ECG (ELECTRO CARDIOGRAM)001 ECG (ELECTRO CARDIOGRAM) (EACH) 240 220

12:02 ECHOCARDIOGRAPHY / CAROTID DOPPLER001 ARTERY DOPPLER - LOWER LIMB 2400 1900002 ARTERY DOPPLER - UPPER LIMB 2400 1900003 DOBUTAMINE STRESS ECHO 4000 3600004 DOPPLER STUDY 2400 1900005 ECHOCARDIOGRAPHY 2400 1900006 ECHOCARDIOGRAPHY - PEADIATRICS 2400 1900

007 PORTABLE CHARGES FOR ECHOCARDIOGRAPY/DOP-PLER 300 300

008 SCREENING ECHO* 700 600009 STRESS ECHO 4000 3600010 VENOUS DOPPLER - LOWER LIMB 2400 1900011 VENOUS DOPPLER - UPPER LIMB 2400 1900

NOTE : *No report of Screening will be issued to the patients, only noting in file to be made.

08. IABP Procedure charges (in case used) and cost of Balloon.09. Blood transfusion services for Special Blood Products on cell separator. 10. Rs. 5,000/- for Leukocyte Filter (in case used) 11. For High Risk Cases :- Rs.40,000/- will be an additional charge, over and above the cost of packages.

NON-PACKAGE CARDIAC SURGERIES / PROCEDURES

NON-INVASIVE CARDIAC LAB

49


ENDOSCOPIC PROCEDURES (FLAT RATES)13:01 UPPER GI ENDOSCOPY001 ACHALASIA DILATATION 7200 5000002 ARGON PLASMA COAGULATION – UPPER GI 7700 5500003 DILATATION 9250 6600004 ENDO THERAPY FOR BLEEDING – UPPER GI 5000 3500

005 ENDOSCOPIC NASO-JEJUNAL FEEDING TUBE INSERTION 5100 3600

006 ENDOSCOPIC PLACEMENT OF RYLES TUBE 3850 2750007 ENDOSCOPY UPPER G.I. 4000 2800008 EPT - STONE EXTRACTION 15500 11000009 EST-ENDOSCOPIC SCLEROTHERAPY 8500 6000010 EVL-ENDOSCOPIC VARICES LIGATION 8500 6000011 FOREIGN BODY REMOVAL 8000 5500012 H. PYLORI TEST 450 350013 OESOPHAGEAL ACHALASIA 5100 3600014 OESOPHAGEAL METAL STENT PLACEMENT 15500 11000015 PAPILLOTOMY WITH STONE EXTRACTION 15500 11000016 PEG REMOVAL 3300 2300017 PERCUTANEOUS ENDOSCOPIC GASTROTOMY - PEG 10000 7000018 SENGASTAKEN TUBE PLACEMENT 2200 1550019 SIDE VIEWING ENDOSCOPY 3850 2750020 UPPER GI WITH POLYPECTOMY 6600 4600

13:02 LOWER GI ENDOSCOPY001 ARGON PLASMA COAGULATION – LOWER GI 7700 5500002 COLONOSCOPY - 2 6200 4400

003 COLONOSCOPY – 2 WITH COLONOSOPIC SCLEROTHERAPY 9250 6600

004 COLONOSCOPY – I 4000 2750005 COLONOSCOPY WITH POLYPECTOMY 11000 9700

006 METAL STENT PLACEMENT (LOWER GI) (COST OF STENT EXTRA) 15500 11000

S.No. DESCRIPTION ACCOMMODATION CATEGORY

12:03 T.M.T. (TREAD MILL TEST) DR/PR/SPR/NSB/POPD/CASUALTY SB/GOPD

001 TREAD MILL TEST (EACH) 1900 1600

12:04 HOLTER MONITOR001 HOLTER MONITORING 2000 1700002 EXTENDED HOLTER MONITORING 8000 6500

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GASTROENTEROLOGY

50


13:04 OTHERS001 DIAGNOSTIC ABDOMINAL PARACENTESIS 2200 1500002 LARGE VOLUME PARACENTESIS 2400 1700003 LIVER BIOPSY 2900 2000004 ANESTHESIA FOR ENDOSCOPY - FLAT RATE 1300 900NOTE :(1). 25% of the above procedures fee will be levied as “G.E.Room and Equipment charges”.(2). All diagnostic “Medication”, “Radiology” and “laboratory” will be charged extra.(3). Any “Drug” like antibiotics, contrast & “Consumables” etc will charged extra.

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NEUROLOGY


13:02 LOWER GI ENDOSCOPY DR/PR/SPR/NSB/POPD/CASUALTY SB/GOPD

007 SIGMOIDOSCOPY 2200 1550008 THERAPY FOR BLEEDING – LOWER GI 7700 5500009 VIDEO PROCTOSCOPY 1700 1300

13:03 ERCP001 BRUSHING & BIOSPY 14300 10000002 ERCP - ENDOSCOPY 7700 5500

003 ERCP-METAL STENT PLACEMENT (COST OF STENT EXTRA) 16500 11500

004 MECHANICAL LITHOTRIPSY 16500 11500005 PANCREATIC STENTING 15400 11000006 PANCREATIC STONE REMOVAL 15400 11000007 PLASTIC STENT DEPLOYMENT 16500 11500008 PLASTIC STENT REMOVAL 5000 3500009 STENT REMOVAL & CBD CLEARANCE 16500 11500010 THERAPEUTIC ERCP 15500 11000

14:01 NEUROLOGICAL INVESTIGATIONS001 BAEP -BRAINSTEM AUDITORY EVOKED POTENTIALS* 2400 1700002 E.E.G. (IN DEPTT.) 1650 1200003 E.E.G. PORTABLE 2800 2200004 EMG ALL FOUR LIMBS* 4000 3000005 EMG BOTH LOWER LIMBS* 2500 2000006 EMG BOTH UPPER LIMBS* 2500 2000007 FACIAL NERVE NCV 2500 2000008 FACIAL NERVE NCV, EMG & BLINK* 4000 3000009 NCV & EMG ALL FOUR LIMBS* 6000 5000010 NCV & EMG BOTH LOWER LIMBS* 4000 3000011 NCV & EMG BOTH UPPER LIMBS* 4000 3000012 NCV ALL FOUR LIMBS 4000 3000

51


15:01 SLEEP LAB001 POLYSOMNOGRAPHY 11000 10000002 CPAP TITRATION STUDY 9000 8000003 SPLIT NIGHT STUDY 14000 12000

15:02 SPIROMETRY001 P.F.T. (PULMONARY FUNCTION TEST) 700 600002 P.F.T. DLCO 1300 1100

15:03 VIDEO BRONCHOSCOPY001 VIDEO BRONCHOSCOPY 7500 6500002 VIDEO BRONCHOSCOPY WITH BIOPSY OR TBNA 8000 7500003 VIDEO BRONCHOSCOPY WITH BIOPSY AND TBNA 8500 8000004 FOREIGN BODY REMOVAL 2500 2000005 GLUE APPLICATION (Cost of Glue Extra) 2000 1800006 APC 2000 1800007 STENT PLACEMENT (Cost of Stent Extra) 2500 2000008 DIAGNOSTIC THORACOSCOPY 9000 8000009 THORACOSCOPY WITH PLEURAL BIOPSY 9500 8500010 THORACOSCOPY & PLEURODESIS 11000 10000


14:01 NEUROLOGICAL INVESTIGATIONS DR/PR/SPR/NSB/POPD/CASUALTY SB/GOPD

013 NCV BOTH LOWER LIMBS 2500 2000014 NCV BOTH UPPER LIMBS 2500 2000015 RNS STUDIES 6000 5000016 SSEP ALL FOUR LIMBS* 5000 4000017 SSEP BOTH LOWER LIMBS* 4000 3000018 SSEP BOTH UPPER LIMBS* 4000 3000019 VEP* (VISUAL EVOKED POTENTIAL*) 4000 3000

* Cost of EMG Needle will be extra (As per Market price)

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RESPIRATORY MEDICINE

************************

52


RADIOLOGYS.No. DESCRIPTION ACCOMMODATION CATEGORY

16:01 BMD DR/PR/SPR/NSB/POPD/CASUALTY

SB/GOPD

001 BMD – PELVIS (BOTH HIPS) 2300 2100002 BMD - SINGLE HIP 2000 1800003 BMD - WHOLE BODY 4000 3600004 BMD -SPINE 2000 1800005 BMD -SPINE + PELVIS 2800 2500006 BMD -SPINE + SINGLE HIP 2300 2100

16:02 C.T. SCAN001 3D 5000 4600002 ANGIO-ABDOMINAL 11000 10000003 ANGIO-CEREBRAL 7700 7000004 ANGIO-RENAL 7700 7000005 ANGIO-PERIPHERAL 11000 10000006 ANGIO-ABDOMEN AORTA 11000 10000

007 ANGIO-WHOLE ABDOMEN (DUAL PHASE LIVER) 8800 8000

008 C4 TO C7 - 4 VERTEBRAE 4000 3650009 EVERY ADDITIONAL VERTEBRA 800 750010 EXTRA FOR EMERGENCY CASES [**] 650 650011 EXTRA FOR M.L.C. CASES 650 650012 EXTREMITIES 3000 2800013 FACE- CT 3900 3600

014 GUIDANCE BIOPSY (LAB. & DISPOSABLES EXTRA)-CT 3300 3000

015 GUIDED ASPIRATION (LAB. & DISPOSABLES EXTRA)-CT 3300 3000

016 GUIDED F.N.A.C. (LAB. & DISPOSABLES EXTRA) 3300 3000

017 HEAD - PLAIN 2400 2200

018 HEAD - PLAIN + CONTRAST (CONTRAST CHARGE EXT.) 3500 3200

019 HEAD NCCT 2400 2200020 HEAD NECT 2400 2200021 HEAD & NECK/FACE-CT 5000 4500022 HRCT THORAX FULL 5000 4600023 KUB-PLAIN : CT 5200 4800024 KUB PLAIN + CONTRAST 6600 6000025 L3 TO S1- 4 VERTEBRAE 4400 4000

53



16:02 C.T. SCAN DR/PR/SPR/NSB/POPD/CASUALTY

SB/GOPD

026 LARYNX 3100 3100027 LIVER – TRIPPLE PHASE 6600 6000028 LOWER ABDOMEN - CT 4600 4200029 LOWER THORAX + UPPER ABDOMEN-CT 7700 7000030 LOWER THORAX/CHEST 3850 3500031 MISCELLANEOUS [ANKLE/HIP/WRIST ETC.] 3000 2700032 NECK - CT 3800 3500033 ORBIT 3700 3400034 PITUITARY GLAND 3000 2700035 PNS : AXIAL + CORONAL + SAGITAL 4000 3700036 PNS FULL 2700 2500037 PULMONARY ANGIOGRAPHY 8000 7200038 TEMPORAL BONE [IAM] 4000 3600039 THORAX/CHEST -CT 4400 4000040 UPPER ABDOMEN - CT 4400 4000041 UPPER THORAX 3600 3300042 VIRTUAL COLONOSCOPY 9000 8100

043 WHOLE ABDOMEN – PLAIN + CONTRAST – CT 7700 7000

044 WHOLE SPINE 12000 10800

NOTE : [**] Emergency charges is extra for scans done between 7:00 pm to 8:00 am or on Sundays & holidays.

16:03 MAMMOGRAPHY001 MAMMOGRAPHY [BILATERAL] 1800 1600002 MAMMOGRAPHY [ONE SIDE] 900 800

16:04 ULTRA SOUND001 ABDOMINAL - SINGLE ORGAN 700 630002 B.P.P. ONLY 600 540003 B.P.P. ONLY (TWIN PREG.) 1000 900004 BREAST -U/S 800 720005 CHEST -U/S 700 630006 DOPPLER ONLY 600 540007 DOPPLER ONLY (TWIN PREG.) 1000 900008 EMERGENCY (ON CALL) CHARGE [**] 500 450009 EYES -U/S 800 720010 FOLLICULAR/OVALUTION STUDIES 1750 1600011 GALL BLADDER 700 630

54



16:04 ULTRA SOUND DR/PR/SPR/NSB/POPD/CASUALTY

SB/GOPD

012 GUIDED ASPIRATION -U/S 1150 1050013 GUIDED ASPIRATION IN O.T. -U/S 1650 1500014 GUIDED BIOPSY -U/S 1150 1050015 GUIDED MULTI ORGAN ASPIRATION -U/S 1650 1500016 JOINTS – U/S 1100 1000017 KIDNEY -U/S 700 630018 KUB -U/S 1100 1000019 LIVER -U/S 700 630020 LOWER ABDOMEN -U/S 1100 1000021 NEONATAL HEAD -U/S 800 700022 OBS + NT/NB -U/S 1500 1350023 OBS LEVEL II - 3D/4D (U/S) 2200 2000024 OBS LEVEL II - 3D/4D (U/S) (TWIN PREG.) 3150 2800025 OBS WITH DOPPLER 1700 1550026 OBS WITH DOPPLER (TWIN PREG.) 2600 2350027 OBS. + B.P.P. 1500 1350028 OBS. + B.P.P. (TWIN PREG.) 2100 1900029 OBS. + B.P.P. + DOPPLER 2200 2000030 OBS. + B.P.P. + DOPPLER (TWIN PREG.) 3100 2800031 OBS. + DOPPLER + SCAR THICKNESS 1800 1600032 OBS. U/S 1200 1100033 OBS. ULTRASOUND EACH (TWIN PREG.) 1600 1400034 PELVIS -U/S 1100 1000035 PELVIS -U/S 1200 1100036 PORTABLE CHARGES (ULTRASOUND) 400 350037 POST VOID RESIDU (PVR) 300 270038 RENAL DOPPLER -U/S 2500 2250039 SCAR THICKNESS 200 150040 SCROTUM / TESTIS 1100 1000041 SCROTUM / TESTIS DOPPLER 1900 1700042 SOFT TISSUE SONOGRAPHY 900 800043 SPLEEN -U/S 700 630044 THYROID-U/S 850 770045 TRANSRECTAL 1200 1100

046 TRANSRECTAL BIOPSY (Procedure & Lab. Charges are extra) 1300 1200

047 UPPER ABDOMEN + BPP + DOPPLER 2100 1900048 UPPER ABDOMEN + PLEURAL SPACE -U/S 1100 1000049 UPPER ABDOMEN -U/S 1100 1000

55



16:04 ULTRA SOUND DR/PR/SPR/NSB/POPD/CASUALTY

SB/GOPD

050 UPPER ABDOMEN DOPPLER -U/S 1500 1350051 WHOLE ABDOMEN + DOPPLER -U/S 2200 2000052 WHOLE ABDOMEN -U/S 1450 1300053 WHOLE ABDOMEN + BPP + DOPPLER -U/S 2300 2100

054 WHOLE ABDOMEN + OBS. (ABOVE 10 WEEKS) 1800 1600

055 WHOLE ABDOMEN + OBS. (UPTO 10 WEEKS) 1500 1400056 FOETAL ECHO 2400 1900057 PENILE DOPPLER 1500 1350058 DOPPLER STUDY (USG) 2400 1900059 VENOUS DOPPLER – PER LOWER LIMB 2400 1900060 VENOUS DOPPLER – PER UPPER LIMB 2400 1900061 ARTERY DOPPLER – PER LOWER LIMB 2400 1900062 ARTERY DOPPLER – PER UPPER LIMB 2400 1900063 ARTERY + VENOUS DOPPLER-PER LOWER LIMB 3600 2900064 ARTERY + VENOUS DOPPLER-PER UPPER LIMB 3600 2900065 VENOUS DOPPLER – BOTH LOWER LIMBS 3600 2900066 VENOUS DOPPLER – BOTH UPPER LIMBS 3600 2900067 ARTERY DOPPLER – BOTH LOWER LIMBS 3600 2900068 ARTERY DOPPLER – BOTH UPPER LIMBS 3600 2900069 ARTERY + VENOUS DOPPLER-BOTH LOWER LIMB 7200 5800070 ARTERY + VENOUS DOPPLER-BOTH UPPER LIMB 7200 5800

NOTE : [**] Emergency charges is extra for scans done between 7:00 pm to 8:00 am or on Sundays & holidays.

16:05 XRAY

001 ABDOMEN ERECT & SUPINE 540 500002 ADDITIONAL VIEWS FOR ANY REGION 270 250003 ANKLE (BORDEN’S VIEW) 570 520004 ANKLE AP & LAT 400 370005 ANKLE AP BOTH 270 250006 ANKLE LAT AXIAL 400 370007 ANKLE LATERAL BOTH 400 370008 APICOGRAM 270 250009 ARM (HUMERUS) AP & LAT 400 370010 BA. ENEMA 3100 2850011 BA. ENEMA (DOUBLE CONTRAST) 3800 3500012 BA. MEAL FOLLOW THROUGH 2900 2650

56



16:05 XRAY DR/PR/SPR/NSB/POPD/CASUALTY

SB/GOPD

013 BA. MEAL U.G.I.T. 2000 1850014 BA. SWALLOW /OESOPHAGOGRAPHY 1250 1150015 CERVICAL SPINE EXTENSION/FLEXION 540 500016 CERVICAL SPINE/NECK AP LATERAL 540 500017 CHEST (SINGLE VIEW) 270 250018 CHEST (2 VIEWS) 540 500019 COCCYX AP LATERAL 540 500

020 COLOGRAM WITH BARIUM OR GASTROGRAFFIN 2000 1850

021 DEPTT. SCREENING / FLUROSCOPY 220 200022 DORSO-LUMBAR SPINE AP+LATERAL 540 500023 ELBOW AP & LAT 400 370024 FEMUR AP & LAT 540 500025 FISTULOGRAM/SINOGRAM 1250 1150026 FOOT AP & OBLIQUE 400 370027 FOOT AP LATERAL BOTH 800 750028 FOREARM AP&LAT 400 370029 GASTROGRAFFIN SWALLOW 1250 1150030 GASTROGRAFFIN FOLLOW THROUGH 3150 2900031 HAND (FINGERS) AP + OBLIQUE 400 370032 HANDS AP BOTH 270 250033 HIP AP 270 250034 HIP AP&LAT 540 500035 HIP LATERAL 270 250036 HSG 1600 1500037 INTUSSUSCEPTION (X-RAY CHARGES) 3100 2850038 IVP 2500 2350039 IVP + MCU 3000 2800040 KNEE AP LATERAL AXIAL BOTH 800 750041 KNEE AP & LAT 400 370042 KNEE AP & LAT AXIAL 540 500043 KNEE AP BOTH 270 250044 KNEE AP LATERAL BOTH 650 600045 KUB/ABDOMEN (SINGLE VIEW) -XRAY 270 250046 LEG AP & LAT 540 500047 LS SPINE AP LATERAL 650 600048 LS SPINE EXTENSION/FLEXION 540 500049 LS SPINE LATERAL 540 500050 MANDIBLE AP 270 250051 MANDIBLE 3 VIEWS (AP + BOTH OBLIQUE) 800 750

57




SB/GOPD

052 MANDIBLE BOTH OBLIQUE 540 500

053 MASTOIDS (TOWNS + 2 LATERAL OBLIQUE) 3 VIEWS 800 750

054 MCU 1900 1750055 NASAL BONE 270 250056 NASOPHARAYNX/ ADENOIDS 270 250057 NEPHROSTOGRAM 2200 2000

058 OESOPHAGEAL DILATATION UNDER FLUROSCOPY 1600 1450

059 PELVIS AP 270 250060 PER ORBITAL VIEW / IAM 400 370061 PNS 270 250062 PORTABLE ABDOMEN PER EXPOSER 400 370063 PORTABLE ABDOMEN ERECT/SUPINE 800 750064 PORTABLE CHEST 430 400065 PORTABLE EXTREMITIES PER EXPOSER 430 400066 PORTABLE SKULL PER EXPOSER 430 400067 PORTABLE SPINE PER EXPOSER 430 400068 PORTABLE X-RAY (PER EXPOSER) 430 400

069 RADIOLOGY CHARGES FOR INTUSSUSCEPTION 2300 2100

070 RGP -RETROGRADE PYELOGRAM 1800 1650071 RGU + M.C.U. 2200 2000072 RGU/ASCENDING URETHROGRAM 1700 1550073 SACRO - COCCYX AP LATERAL 540 500074 SCANOGRAM (FULL LEG / SPINE) 600 550075 SCAPULA AP 270 250076 SCAPULA AP LATERAL 540 500077 SCREENING (ABOVE 15 MTS.) 1950 1800078 SCREENING (UPTO 15 MTS.) 1400 1300079 SCREENING FOR ERCP / EPT 1400 1300080 SHOULDER AP 270 250081 SHOULDER AXIAL 270 250082 SI JOINT PA + BOTH OBL. 800 750083 SI JOINT PA/SACRO ILIAC JOINT 270 250084 SIALOGRAPHY 1250 1150085 SKULL : ANY SINGLE VIEW 270 250086 SKULL AP & LATERAL 540 500087 SPINE (2 VIEWS) 540 500088 SPINE (SINGLE VIEW) 270 250

58


16:06 MRIS.No. DESCRIPTION ALL CATEGORIES OF IPD & OPD

BRAIN & FACE001 BRAIN 5250002 BRAIN & SPECTROSCOPY 7850003 BRAIN + CSF STUDIES 7850004 BRAIN + CV JUNCTION SCREENING 6300005 BRAIN + FMRI (ONE ACTIVITY) [BOLD/ASL] 10500006 BRAIN + ORBIT 7850007 BRAIN + PERFUSION (CONTRAST EXTRA) 7850008 BRAIN + SEIZURE PROTOCOL 6300009 BRAIN + SELLA 7850010 BRAIN + TRACTOGRAPHY 10500011 BRAIN ANGIOGRAPHY 5250012 BRAIN MRI + MRA BRAIN 7850013 BRAIN MRI + MRA BRAIN & NECK 10500014 BRAIN WITH IAM 7850015 BRAIN WITH PNS 7850016 CISTERNOGRAPHY 5250017 CONTRAST 3150018 EXTENDED STUDY 2600019 FACE 5250020 FACE + NECK 7850021 IAM/TEMPORAL BONE 5250022 MRA ABDOMINAL AORTA 7850023 MRA ARCH OF AORTA 7850



SB/GOPD

089 STYLOID PROCESS (SINGLE VIEW) 270 250090 THIGH / FEMUR AP 270 250091 TM JOINTS (BILATERAL) 800 750092 TTC 1500 1400093 VENOGRAPHY/PHLEBOGRAPHY (1 SIDE) 2400 2200

094 VENOGRAPHY/PHLEBOGRAPHY (BILATERAL) 4800 4400

095 WRIST AP & LAT 400 370096 WRIST AP BOTH 270 250097 XRAY PER EXPOSER 270 250098 WRIST AP & LAT + OBLIQUE (SCAPHOID) 650 600

COST OF DYE / CONTRAST EXTRA WHEREVER APPLICABLE.

59


026 MRA + MRV NECK 7850027 MRI + MRV BRAIN 7850028 MRI + MRV NECK 7850029 MR VENOGRAPHY 5250030 MYELOGRAPHY (WITHOUT CONTRAST) 2600031 NECK 5250032 NECK ANGIOGRAPHY 5250

033 NECK/FACE MR FOR C.A.-MRI (Incl. CT Correlation) 8900

034 ORBIT 5250

035PERFUSION IMAGING FOR STROKE (INCLUDES CONTRAST) WITHIN A WEEK OF INITIAL STUDY

5800

036 PNS 5250037 SCREENING – BRAIN 3150038 SELLA / PITUITARY 5250

039 SELLA DYNAMIC STUDY (INCLUDES CONTRAST) 10500

040 SPECTROSCOPY 5250041 TM JOINTS 8400

SPINE042 3D MRI 2100043 BRACHIAL PLEXUS 6300044 CERVICAL SPINE 5250

045 CERVICAL SPINE (FLEXION+EXTENSION) [DYNAMIC CERVICAL SPINE] 7850

046 CERVICAL SPINE WITH BRACHIAL PLEXUS 7850047 CERVICAL SPINE WITH CVJ SCREENING 6300

048 CERVICAL SPINE WITH SCREENING WHOLE SPINE 7850

049 CV JUNCTION 5250050 DORSAL SPINE 5250

051 DORSAL SPINE WITH SCREENING WHOLE SPINE 7850

052 L.S. SPINE 5250053 L.S. SPINE WITH S.I. JOINTS SCREENING 7850054 L.S. SPINE WITH SCREENING WHOLE SPINE 7850055 S.I. JOINTS 5250

S.No. DESCRIPTION ALL CATEGORIES OF IPD & OPD BRAIN & FACE

024 MRA BRAIN + MRA NECK 7850025 MRA + MRV BRAIN 7850

60


S.No. DESCRIPTION ALL CATEGORIES OF IPD & OPD SPINE

056 SCREENING WHOLE SPINE 3150057 WHOLE SPINE 10500

JOINTS AND EXTREMITIES058 ANKLE 5250059 BILATERAL ANKLES 10500060 BILATERAL KNEES 10500061 BILATERAL SHOULDERS 10500062 BOTH FEET 10500063 BOTH HANDS 10500064 CARTILAGE MAPPING (INCLUDES JOINT) 5800065 ELBOW 5250066 FOOT 5250067 FOREARM 5250068 HAND/ FINGER 5250069 HIPS 5250070 HIPS BOTH 6300071 JOINT (PER JOINT) 5250072 JOINT SCREENING FOR EFFUSION 2600073 KNEE 5250074 LEG 5250075 MR ARTHROGRAPHY (INCLUDES CONTRAST) 7850076 SHOULDER 5250077 THIGH / FEMUR 5250078 WRIST 5250

BODY MR079 CARDIAC 10500080 STERNUM / STERNOCLAVICULAR JOINT 5250081 THORAX 5250082 BREAST 6300083 FETAL MRI 7850084 LOWER ABDOMEN/PELVIS 5250085 LOWER ABDOMEN & PELVIS 6300086 MR ENTEROCLYSIS 7850087 MR SINOGRAM / FISTULOGRAM 5800

MRI OF OTHER PARTS088 MR UROGRAM 5250089 MR UROGRAM WITH LOWER ABDOMEN/KUB 7850

61


S.No. DESCRIPTION ALL CATEGORIES OF IPD & OPD MRI OF OTHER PARTS

090 MRCP 6300091 MRCP WITH UPPER ABDOMEN 7850092 MRI KUB 5250093 MULTIPARAMETRIC PROSTATE 7850

094 PERIPHERAL ANGIOGRAPHY MRI (NON-CONTRAST) PER LIMB 8400

095 RENAL ANGIOGRAPHY 7850096 TRIPLE PHASE LIVER (INCLUDES CONTRAST) 10500097 UPPER ABDOMEN 5250098 WHOLE ABDOMEN 8400099 WHOLE BODY SCREENING FOR METS 4200

Please Note: Contrast will be Charged Extra wherever required.

16:07 OTHER CHARGES101 ANAESTHESIA CHARGES 1500102 EMERGENCY CHARGES* 1000

16:08 MISCELLANEOUS CHARGES001 DUPLICATE DVD FOR MRI 200

002 DUPLICATE X-RAY /ULTRA SOUND/C.T./MRI FILM : PER FILM 125

NOTE : [*] Emergency charges is extra for scans done between 5:00 pm to 8:00 am or on Sundays & holidays.

62



17:01 GROUP : CLINICAL CHEMISTRY & HORMONES DR/PR/SPR/NSB/POPD/CASUALTY SB/GOPD

001 RBS - RANDOM BLOOD SUGAR 80 70002 UREA 110 100003 CREATININE 120 110004 CALCIUM 160 150005 PHOSPORUS (INORGANIC PHOS.) 160 150006 AMYLASE 330 300007 GTT-GLUCOSE TOLERANCE TEST 360 320008 URIC ACID-SERUM 150 140

009 FDP (FIBRIN/FIBRINOGEN DEGRADATION PRODUCT) 950 860

010 FLUID ALBUMIN 120 110011 CALCIUM/CREATININE RATIO- URINE FASTING 300 270012 PROTEIN/CREATININE RATIO -URINE FASTING 300 270013 GCT - GLUCOSE CHALLENGE TEST 90 80014 PPS- AFTER GLUCOSE 80 70015 TOTAL/SERUM PROTEIN(TP,ALB,GLOB,A/G) 160 140016 PT (PRO TIME) 220 200017 BILIRUBIN ( DIRECT,INDIRECT,TOTAL) 200 180018 ALKALINE P TASE-ALP 160 150019 SGPT/ALT 150 140020 SGOT /AST 150 140021 LFT-LIVER FUNCTION TEST 700 630022 APTT 300 270023 SODIUM (NA+) ONLY 150 140024 POTASSIUM (K+) ONLY 150 140025 SODIUM & POTASSIUM 290 260026 CHLORIDE (CL-) 140 130027 BICARBONATE (HCO3-) 200 180028 ABG - ARTILLARY BLOOD GAS 700 630029 CHOLESTEROL TOTAL-SERUM 140 130030 HDL CHOLESTROL - DIRECT 240 220031 TRIGLYCERIDES 280 250032 LIPID PROFILE 900 800033 CPK 250 230034 CPK (MB) 390 350035 CHOLESTEROL - FLUID 140 130036 LDH FLUID 290 260037 ELECTROLYTES SERUM 380 340

LABORATORY

63




038 LIPASE-SERUM 460 410039 GAMMA GT / GGT/ GGTP 250 230040 LDH-SERUM 300 270041 SERUM PROTEIN ELECTROPHORESIS 530 470042 MAGNESIUM -SERUM 300 270043 SODIUM-URINE RANDOM SPECIMEN 160 150044 AMYLASE-URINE 330 300045 D-DIMER TEST 1150 1050046 FT 3 -FREE T3 350 320047 FT 4 -FREE T4 350 320048 TSH 350 320049 FT3, FT4 & TSH (TOGETHER) 930 840050 FT3 & FT4 (TOGETHER) 680 600051 CORTISOL -SERUM 530 480052 PROLACTIN -SERUM 520 470053 FSH 520 470054 LH 520 470055 PSA - PROSTATE SPECIFIC ANTIGEN 730 660056 FERRITIN 670 600057 FBS - FASTING BLOOD SUGAR 80 70058 PPS (POST PRANDIAL SUGAR) 80 70059 SBR - BILIRUBIN TOTAL (MICRO METHOD) 130 120060 ADA 460 420061 CALCIUM - MICRO METHOD 160 150062 PPS AFTER BREAKFAST 80 70063 PPS AFTER LUNCH 80 70064 PPS AFTER DINNER 80 70065 URINE FOR CREATININE 150 130066 NEONATAL TSH SCREEN (NEO TSH) 250 230067 SERUM ALBUMIN 110 100068 CORD BLOOD PROLACTINE 520 470069 CBG - CAPILLARY BLOOD GAS 650 580070 CORD BLOOD PH FOR FETAL WELL BEING 250 220071 CRP 370 330072 HCG WITH LIPIDS 920 840073 ALPHA FETO PROTEIN 780 700074 BHCG (TUMOR MARKER) 650 580075 E3-ESTRIOL 1200 1080076 VITAMIN B12 1000 900

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077 FOLATE 1100 1000078 FOLATE & VITAMIN B12 1900 1700079 CA 125 1150 1050080 TRIPLE TEST 2550 2300081 FLUID FOR PH 190 170082 VITAMIN D-25 HYDROXY 1500 1350083 MODIFIED G..T.T. (GYNAE) 220 200084 MICROALBUMIN 500 450085 INSULIN (FASTING) 750 680086 INSULIN (PP) 750 680087 INSULIN (RANDOM) 750 680088 TROPONIN I (TROP. I) 1250 1120089 NT-proBNP 2000 1800090 GDM SCREENING 100 90091 LACTATE 250 220092 IMMUNOGLOBULIN IGE (TOTAL) 700 630093 PTH INTACT 1300 1170094 GFR (GLOMERULAR FILTRATION RATE) 200 180

17:02 GROUP : CYTOPATHOLOGY001 PAPANICULA SMEAR 440 390002 FLUIDS FOR MALIGNANT CYTOLOGY 440 390003 CSF FOR MALIGNANT CYTOLOGY 440 390004 FNAC 1000 900005 FNAC- CT/US GUIDED 970 870

006 TBNA (TRANS BRONCHIAL NEEDLE ASPIRATION) 1000 900

17:03 GROUP : HEMATOLOGY001 HB (HEMOGLOBIN) 100 90002 TLC (WBC COUNT) 100 90003 MALARIAL PARASITES (MP) 110 100004 PERIPHERAL SMEAR 140 130005 RBC COUNT 110 100006 HEMATOCRIT (HCT/PCV) 110 100007 CBC (COMPLETE BLOOD COUNT) 330 300008 TLC & DLC 200 180009 RED CELL INDICES 250 220010 ESR 120 110

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17:03 GROUP : HEMATOLOGY DR/PR/SPR/NSB/POPD/CASUALTY SB/GOPD

011 MCH 110 100012 MCHC 110 100013 DLC 140 130014 CBC & MP (TOGETHER) 420 380015 CBC & PS (TOGETHER) 420 380016 GASTRIC LAVAGE FOR PMNS 120 110017 MCV 120 110018 RETIC COUNT 240 220019 EOSINOPHIL COUNT 150 140020 CLOT RETRACTION 150 140021 BT – BLEEDING TIME 90 80022 SICKLE CELL PREP. 150 140023 PLATELET COUNT 50 50024 RBC FRAGILITY 400 360025 FILARIAL PREP. 240 220026 BONE MARROW EXAMINATION 830 750

027 FALCIPARUM & PLASMODIUM VIVAX TEST (F&V) 400 360

028 BONE MARROW IRON STAINING 250 220029 KALA - AZAR DETECT 460 420

030 BONE MARRROW (ASPIRATION AND EXAMINATION) 1020 900

031 FILARIAL ANTIGEN 650 580032 CBC & MP WITH F&V 480 430

17:04 GROUP : SPECIAL HEMATOLOGY001 GLYCOSYLATED HB/HB 1AC 440 400002 FETAL HB. 200 180003 G6 PD (CONFIRMATORY) 530 480004 HB ELECTROPHORESIS 900 800

005 G6 PD SCREENING (SCREENING + CONFIRMATORY) 600 540

006 SERUM IRON 280 250007 SERUM IRON & TIBC 450 400

17:05 GROUP : HISTOPATHOLOGY001 FROZEN SECTION WITH BIOPSY SPECIMEN 2400 2150002 TISSUE FOR GROSS/DOCUMENTATION ONLY 100 90003 SLIDE FOR HISTOPATHOLOGY 520 470004 BLOCK FOR HISTOPATHOLOGY 700 630

66



17:05 GROUP : HISTOPATHOLOGY DR/PR/SPR/NSB/POPD/CASUALTY SB/GOPD

005 TISSUE -SMALL FOR HISTOPATHOLOGY 570 510006 TISSUE - MEDIUM FOR HISTOPATHOLOGY 850 760007 TISSUE - LARGE FOR HISTOPATHOLOGY 2000 1800008 SMALL BIOPSY (SPECIAL STAIN) 1200 1080009 RADICAL SPECIMEN 3500 3150010 IHC MARKER (SINGLE) 1300 1300011 ER/PR/HER-2-NEU 3600 3600

17:06 GROUP : MICROBIOLOGY001 CULTURE - BLOOD-ROUTINE 460 410002 CULTURE- BLOOD -RAPID 1000 900003 STOOL FOR CHOLERA (HANGING DROP) 120 110004 GRAMS STAIN 130 120005 FUNGUS PREP. -KOH PREP 150 140006 TRICHOMONAS (VAGINAL SWAB,WET PREP) 130 120007 DIPHTHERIA SMEAR 160 150008 RAPID UREASE TEST 250 230009 NIGROSIN PREPRATION FOR CRYPTOCOCCUS 190 170010 FUNGUS CULTURE 400 360011 WET SMEAR FOR TROPHOZOITES 100 90012 CULTURE & SENSITIVITY - CSF 550 500013 CULTURE & SENSITIVITY - EAR SWAB 550 500014 CULTURE & SENSITIVITY - HVS 550 500015 CULTURE & SENSITIVITY - MISC. 550 500016 CULTURE & SENSITIVITY - PUS 550 500017 CULTURE & SENSITIVITY - SPUTUM 550 500018 CULTURE & SENSITIVITY - STOOL 550 500019 CULTURE & SENSITIVITY - THROAT SWAB 550 500020 CULTURE & SENSITIVITY - URINE 380 340021 AFB CULTURE - SPUTUM (MYCOBACTERIUM) 900 800022 AFB CULTURE - URINE (MYCOBACTERIUM) 900 800023 AFB CULTURE - PUS (MYCOBACTERIUM) 900 800024 AFB CULTURE - FLUIDS (MYCOBACTERIUM) 900 800025 AFB CULTURE - MISC (MYCOBACTERIUM) 900 800026 MTB/MOTT IDENTIFICATION 820 740027 SMEAR FOR FUNGUS 130 120028 AFB - SPUTUM (SAMPLE I) 180 160029 AFB - SPUTUM (SAMPLE II) 180 160030 AFB - SPUTUM(SAMPLE III ) 180 160

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17:06 GROUP : MICROBIOLOGY DR/PR/SPR/NSB/POPD/CASUALTY SB/GOPD

031 AFB - URINE (SAMPLE I) 180 160032 AFB - URINE (SAMPLE II) 180 160033 AFB - URINE (SAMPLE III) 180 160034 AFB - SMEAR MISC SPECIMEN. 180 160035 URETHERAL SMEAR G.C. 170 150036 CULTURE OTHERS RAPID 1050 950037 CRYPTOSPORIDIUM - ZN STAIN 180 160038 SMEAR FOR PNEUMOCYSTIC CARINI 130 120

17:07 GROUP : MISCELLANEOUS LAB INVESTIGATION001 FLUID - ROUTINE EXAMINATION 290 230002 CSF- (SPINAL FLUID) - ROUTINE 330 270003 SEMEN ANALYSIS 420 340004 PCT (POST COITAL TEST) 130 110

005 C.S.F. ROUTINE WITH SMEAR FOR CRYPTOCOCCUS 330 270

006 GA FOR OCCULT BLOOD 100 90007 FLUID FOR CRYSTALS 90 80008 FLUID FOR SUGAR 100 90

17:08 GROUP : PARASITOLOGY001 STOOL ROUTINE EXAMINATION 110 100002 STOOL OCCULT BLOOD 100 90003 STOOL FOR PH 90 80004 STOOL REDUCING SUBSTANCES 100 90005 STOOL FOR WBC/HPF 90 80006 STOOL/PUS AMOEBA 90 80007 ROTAVIRUS 460 410

17:09 GROUP : SEROLOGY001 RPR (VDRL) 130 120002 WIDAL 240 220003 HBS AG ELISA 420 380004 HBS AG SPOT 320 290005 ASO (ASLO) TEST 210 190006 ANF/ ANA. 700 630007 CRP (LATEX) 150 140008 PREGNANCY TEST 150 140009 UPT (SPOT) [PREGNANCY TEST (SPOT)] 150 140

68



17:09 GROUP : SEROLOGY DR/PR/SPR/NSB/POPD/CASUALTY SB/GOPD

010 HIV ELISA 470 420011 HIV SPOT 390 350012 TORCH TEST (IGM) 1300 1170013 TOXOPLASMA (IGM) 550 500014 RUBELLA (IGM) 550 500015 CYTOMEGALOVIRUS (CMV) (IGM) 550 500016 HERPES - II (IGM) 550 500017 HCV ELISA 700 630018 HCV SPOT 500 450019 HEPATITIS - A (HAV) 930 840020 HEPATITIS - E (HEV) 1300 1170021 DS DNA (DOUBLE STRANDED DNA) 930 840022 TORCH TEST (IGG) 1300 1170023 TOXOPLASMA (IGG) 550 500024 RUBELLA (IGG) 550 500025 CYTOMEGALOVIRUS (CMV) (IGG) 550 500026 HERPES - II (IGG) 550 500027 BACTERIAL ANTIGEN (5 TESTS) 2600 2240028 DENGUE ANTIGEN 600 600029 DENGUE IGG ANTIBODY 600 600030 DENGUE IGM ANTIBODY 600 600031 CHIKUNGUNYA 600 370032 HCG (MATERNAL) 660 600033 RA FACTOR 440 400034 ANTI CCP 1250 1120035 TTG 950 850036 PRO-CALCITONIN 2100 1900037 INFLUENZA A & B RAPID SREENING TEST 1300 1170038 BLOOD CULTURE + TYPHI DOT IGM 550 500039 RAPID BLOOD CULTURE + TYPHI DOT IGM 1100 1000040 WIDAL TEST + TYPHI DOT IGM 400 360041 VIRAL TRANSPORT MEDIUM (VTM) TUBES 300 270042 ENA PROFILE / ANA PROFILE – QUALITATIVE 3100 2800

17:10 GROUP : URINALYSIS001 URINE ROUTINE EXAMINATION 110 100002 ALBUMIN AND SUGAR 90 80003 ACETONE 90 80004 URINE FOR HEMOGLOBIN 80 70

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17:10 GROUP : URINALYSIS DR/PR/SPR/NSB/POPD/CASUALTY SB/GOPD

005 URINE FOR MYOGLOBIN 90 80006 URINE FOR SP. GRAVITY 80 70007 URINE FOR PH 80 70008 URINE FOR CHYLE 80 70009 APT TEST 100 90010 URINE FOR ALBUMIN 80 70011 URINE FOR SUGAR 80 70012 URINE FOR PORPHOBILINOGEN 90 80013 BILE PIGMENT 100 90014 UROBILINOGEN 100 90015 BENCE JONES PROTEIN 180 160016 24 HR. URINARY PROTEIN (QUANTITATIVE) 250 230017 URINE OCCULT BLOOD 90 80018 URINE FOR REDUCING SUBSTANCES 90 80019 24 HR. URINARY URIC ACID 220 200020 24 HR. URINARY CALCIUM 220 200021 24 HR. URINARY SODIUM 220 200022 24 HR. URINARY POTASSIUM 220 200023 24 HR. URINARY PHOSPHORUS 220 200024 CREATININE CLEARANCE 370 330025 URINE FOR CRENATED RBC 80 70026 24 HR. URINARY CREATININE 240 220027 URINE FOR HEMOSIDERIN 250 220

17:11 BLOOD BANK001 CROSS MATCHING 120 120002 GROUPING & TYPING 130 120

003 WHOLE BLOOD/RED CELLS :HOSPITAL- PROCESSING 1683 1683

004 OTHER BLOOD BANKS : BLOOD ISSUE 100 90005 FFP - HOSPITAL - PROCESSING 583 583006 RAPID DONOR TESTING 330 300

007 PLATELET CONCEN(RD) HOSPITAL : PROCESSING 633 633

008 DU FACTOR 280 250009 DIRECT COOMBS 290 260010 INDIRECT COOMBS 290 260011 RH ANTIBODY TITRE 750 680012 REPLACEMENT FFP -100 -100013 REPLACEMENT PLATELET CONCENTRA -100 -100

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17:11 BLOOD BANK DR/PR/SPR/NSB/POPD/CASUALTY SB/GOPD

014 REPLACEMENT WHOLE BLOOD -300 -300015 COLD AGGLUTININS 230 210016 VENESECTION PROCEDURE 260 240017 PLATELET APHERESIS 11000 11000018 TRANSFER BAGS 130 130

NOTE : Investigations done at outside Lab centers, will be charged as per the rate-list of concerned center

SPOT INVESTIGATIONS18:01 SPOT INVESTIGATIONS

001 ABG (ARTILLARY BLOOD GAS) – (ICU BED SIDE) 660 600002 MONTOUX TEST 50 40003 RBS DONE WITH GLUCOMETER 50 50004 URINE FOR ACETONE 30 30005 URINE FOR SUGAR / ALBUMIN 30 30

EXCHANGE BLOOD TRANSFUSION19:01 EXCHANGE BLOOD TRANSFUSION (FLAT RATE)

001 EXCHANGE BLOOD TRANSFUSION (FLAT RATE) EACH TIME 4200 1900

002 EXCHANGE PLASMA TRANSFUSION (FLAT RATE) EACH TIME 5800 3200

PHYSIO - THERAPY(IPD)20:01 RATES OF PHYSICAL THERAPY TREATMENT DR/PR/SPR/NSB SB

001 ANTE-NATAL EXERCISES PER SITTING 230 210002 ANTENATAL EXERCISE - PACKAGE 900 800003 BREATHING EXERCISE 100 90004 CERVICAL TRACTION 140 130005 CHEST PHYSIO-THERAPY (SINGLE) 160 150006 COLD PACK (MULTIPLE) 140 130007 COLD PACK (SINGLE) 100 90008 COMPRESSION THERAPY (MULTIPLE) 320 290009 COMPRESSION THERAPY (SINGLE) 250 230010 CONSULTATION (PHYSIOTHERAPY) 200 150011 CONTRAST BATH (MULTIPLE) 130 120012 CONTRAST BATH (SINGLE) 90 80

013 CPM - CONTINUOUS PASSIVE MOVEMENT (SINGLE AREA) 140 130

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S.No. DESCRIPTION ACCOMMODATION CATEGORY20:01 RATES OF PHYSICAL THERAPY TREATMENT DR/PR/SPR/NSB SB

014 CPM - CONTINUOUS PASSIVE MOVEMENT (TWO AREAS) 200 180

015 ELECTRICAL MUSCLE TESTING (MULTIPLE) 320 290016 ELECTRICAL MUSCLE TESTING (SINGLE) 210 190017 EMG BIO-FEEDBACK (SINGLE) 260 230018 EMG BIO-FEEDBACK (MULTIPLE) 370 330019 EXERCISE : TEACHING ONLY 130 110

020 MULTIPLE EXERCISE/EXERCISE WITH ADL TRAINING 280 250

021 EXERCISE SIMPLE 150 140022 EXERCISE SPECIAL 220 200023 EXERCISES - MOBILIZATION (SINGLE) 220 200024 EXERCISES – REHABILITATION 280 250025 GAIT TRAINING 190 170026 INFRA RED RAY THERAPY (MULTIPLE) 170 150027 INFRA RED RAY THERAPY (SINGLE) 100 90028 INFRA RED SAUNA 260 230029 INTERFERENTIAL THERAPY (SINGLE AREA) 170 160

030 INTERFERENTIAL THERAPY (MORE THAN TWO AREAS) 300 270

031 INTERFERENTIAL THERAPY (TWO AREAS) 250 220032 LASER -INFRA RED : POINT (MULTIPLE AREA) 280 250033 LASER -INFRA RED : POINT (SINGLE AREA) 210 190034 LASER -INFRA RED : SCAN (MULTIPLE AREA) 320 290035 LASER -INFRA RED : SCAN (SINGLE AREA) 220 200

036 LONG WAVE DIATHERMY (MORE THAN TWO AREAS) 250 230

037 LONG WAVE DIATHERMY (SINGLE AREA) 110 100038 LONG WAVE DIATHERMY (TWO AREAS) 200 180039 LUMBAR TRACTION 150 130040 MANUAL MUSCLE TESTING (MULTIPLE) 300 270041 MANUAL MUSCLE TESTING (SINGLE) 180 160042 MICROWAVE DIATHERMY (SINGLE AREA) 160 150043 MICROWAVE DIATHERMY (TWO AREAS) 220 190044 NEONATAL EXERCISE 120 110045 NEURO-DEVELOPMENTAL THERAPY 230 210046 NUGABEST 320 290

047 POST NATAL EXERCISES (ALL SESSIONS)(MULTIPLE) 470 430

048 POST OP. CHEST PHYSIO-THERAPY 120 110049 PULSED S.W.D. (SINGLE AREA) 160 150

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S.No. DESCRIPTION ACCOMMODATION CATEGORY20:01 RATES OF PHYSICAL THERAPY TREATMENT DR/PR/SPR/NSB SB

050 PULSED S.W.D. (TWO AREAS) 220 190051 SHORT WAVE DIATHERMY (TWO AREAS) 220 190052 SHORT WAVE DIATHERMY (SINGLE AREA) 160 150053 STEAM PACKS(MULTIPLE) 160 150054 STEAM PACKS(SINGLE) 100 90055 STIMULATION (NEURO-MUSCULAR ) SINGLE 160 140056 STIMULATION (NEURO-MUSCULAR) MULTIPLE 220 200057 SUSPENSION THERAPY 130 120058 TENS (MULTIPLE) 200 180059 TENS (SINGLE) 120 100060 TILT TABLE THERAPY 130 120061 ULTRA SONIC THERAPY (SINGLE AREA) 110 100

062 ULTRA SONIC THERAPY (MORE THAN TWO AREAS) 250 230

063 ULTRA SONIC THERAPY (TWO AREAS) 200 180064 WAX BATH (MORE THAN TWO AREAS) 230 200065 WAX BATH (SINGLE AREA) 100 90066 WAX BATH (TWO AREAS) 180 170

TREATMENT – IPD21:01 TREATMENT – IPD

001 ANAL DILATATION 2500 1500002 ASCITIC FLUID ASPIRATION / PARACENTESIS 2000 1200003 BIOPSY OF BONE 2500 1500004 BIOPSY OF LIVER 2500 1500005 BIOPSY OF MUSCLE 2500 1500006 BIOPSY OF SKIN 1500 1000

007 BONE MARROW ASPIRATION / STERNAL PUNCTURE 2000 1200

008 CAVAFIX INTRODUCTION 2000 1200

009 CENTRAL VENOUS PRESSURE LINE [CETROFIX] INSERTION 2000 1200

010 CUT DOWN / VENESECTION 2000 1200011 ENDOTRACHEAL INTUBATION 1800 1000012 INCIDENTAL ABORTION IN WARD 3500 2000013 INCISION & DRAINAGE OF ABSCESS 1800 1000014 INJECTION FOR PILES (SCLEROTHERAPY) 700 400015 INTER COSTAL (TUBE) DRAINAGE 2500 1500016 LUMBAR PUNCTURE 2000 1200017 KNEE ASPIRATION 2000 1200

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S.No. DESCRIPTION ACCOMMODATION CATEGORY21:01 TREATMENT – IPD DR/PR/SPR/NSB SB

018 MINOR SURGICAL PROCEDURE IN WARD 2000 1200019 MINOR SUTURING 1500 1000020 NASAL PACKING + PACK REMOVAL 2500 1500021 NON STRESS MONITORING [PER TWO HOURS] 300 200022 NON STRESS TEST [NST] (PER 20 MINUTES) 700 500023 PLEURAL FLUID ASPIRATION / THORACENTESIS 2000 1200024 REFRACTION 150 100

************************22:01 SPECIAL NURSING PROCEDURES

001 SKIN / PELVIC TRACTION APPLICATION 700 400

22:02 SPECIAL NURSING PROCEDURE001 SALSOL NEBULISATION 70 50002 NORMAL SALINE NEBULISATION 70 50003 LACTODEX MILK PER DAY 70 50

22:03 PLASTERING001 PLASTERING : BODY CAST 2000 1200002 PLASTERING : CTEV – UNILATERAL 2000 1200003 PLASTERING : CTEV – BILATERAL 3000 1800004 PLASTERING : HIP 1500 900005 PLASTERING : ROUTINE (REPAIR) 500 600006 PLASTERING : ABOVE ELBOW 1500 1000007 PLASTERING : BELOW ELBOW 1000 700008 PLASTERING : ABOVE KNEE 1500 1000009 PLASTERING : BELOW KNEE 1000 700

010 PLASTERING : DEFORMITY CORRECTION – SMALL 1500 900

011 PLASTERING : DEFORMITY CORRECTION – LARGE 2000 1200

Note : Material cost will be extra

23:01 DRESSING001 DRESSING – MINOR 100 60002 DRESSING – MEDIUM 150 90003 DRESSING – MAJOR 300 180


74


S.No. DESCRIPTION ACCOMMODATION CATEGORYDR/PR/SPR/NSB SB

SPECIAL PROCEDURES24:01 CHEMOTHERAPY

001 CHEMOTHERAPY – ONE DAY CYCLE 1800 1450002 CHEMOTHERAPY – TWO DAYS CYCLE 3000 2400003 CHEMOTHERAPY – THREE DAYS CYCLE 4100 3100004 CHEMOTHERAPY – FOUR DAYS CYCLE 5000 3800005 CHEMOTHERAPY – FIVE DAYS CYCLE 5700 4200

25:01 PSYCHOTHERAPY001 PSYCHOTHERAPY – SHORT SESSION 500 500002 PSYCHOTHERAPY – FULL SESSION 850 850

26:01 LASER PROCEDURES(OPHTHALMOLOGY) ALL CATEGORIES OF IPD & OPD001 AUTOPERIMETRY (FIELDS) 2100002 COLOUR PHOTOS 700

003 FUNDUS FLURESIEN ANGIOGRAPHY [SUPPLIES EXTRA] 2700

004 LASER PERIPHERAL IRIDECTOMY 4200005 LASER PHOTOCOAGULATION – PER SITTING 3500

006 LASER PHOTOCOAGULATION - LATTICE & HOLES 5500

007 LASER PHOTOCOAGULATION - R. O. P. 9000008 O C T 3500009 YAG CAPSULOTOMY 3500

27:01 LASER PROCEDURES (DERMATOLOGY) DR/PR/SPR/NSB SB (AESTHETIC CLINIC)

001 FRAXEL (FOR ACNE SCARS) 7000 5600002 LASER HAIR REMOVAL – CHIN (PER SESSION) 1500 1200003 LASER HAIR REMOVAL – FACE (PER SESSION) 4000 3200004 LASER HAIR REMOVAL - NECK (PER SESSION) 2000 1600

005 LASER HAIR REMOVAL – SIDE LOCK (PER SESSION) 1500 1200

006 LASER HAIR REMOVAL – UPPER LIP (PER SESSION) 1000 800

007 LASER RE-SURFACING 10000 8000008 LASER TATTO REMOVAL – SMALL 2500 2000009 LASER TATTO REMOVAL – MEDIUM 4000 3200010 LASER TATTO REMOVAL – LARGE 6000 4800011 LASER TATTO REMOVAL – EXTENSIVE 8000 6400

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S.No. DESCRIPTION ACCOMMODATION CATEGORY28:01 SPECIAL INVESTIGATIONS DR/PR/SPR/NSB SB

001 URO-FLOWMETRY 700 500

29:01 SPEECH & HEARING TEST001 AC BERA 1800 1800002 ASSR 2300 2300003 BC BERA 1800 1800004 COCHLEAR IMPLANT COUNSELING 750 700005 DIAGNOSTIC OAE-TEOAE/DPOAE 800 750006 ECOCH G 2500 2500007 IMPEDANCE – TYMPANOMETRY 600 500008 AUDIOMETRY – PTA/BOA/FFT 400 300009 SCREENING OAE 600 400010 ABLB/SISI/TD 300 300

011 SPEECH THERAPY (CONSULTATION-EACH SESSION) 200 150

30:01 INSTRUMENTS AND SPECIAL EQUIPMENTS

001 CARDIAC MONITOR : PER DAY (When monitored in ward/isolation) 700 450

002 DVT PUMP 450 300

31:01 DIET FOR ATTENDANT001 AERATED COLD DRINKS : 500 ML. BOTTLE 50 50002 BOTTLED DRINKING WATER (1 LITER) 25 25003 TEA ONE CUP 25 15004 COFFEE ONE CUP 30 25005 TEA WITH SNACKS 40 35006 COFFEE & SNACKS 50 40007 FROOTI (200 ML) 20 20008 PACKED JUICES (200 ML) 25 25009 SANDWICHES : VEG (4 SLICES) 40 35010 BREAKFAST [NON-VEGETARIAN] ONLY 100 -------011 BREAKFAST [VEGETARIAN] ONLY 90 50012 LUNCH [NON-VEGETARIAN] ONLY 180 -------013 LUNCH [VEGETARIAN] ONLY 150 100014 DINNER [NON-VEGETARIAN] ONLY 180 -------015 DINNER [VEGETARIAN] ONLY 150 100

016 FULL MEALS FOR ATTENDANT [NON-VEGETARIAN] : PER DAY 450 -------

017 FULL MEALS FOR ATTENDANT [VEGETARIAN] : PER DAY 370 250

018 MILK : PER GLASS 25 20

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S.No. DESCRIPTION ACCOMMODATION CATEGORY32:01 CONCESSION (ONLY FOR SB CASES) SB

001 CONCESSION ON ROOM / BED 260002 CONCESSION ON ICU / CCU 1260003 CONCESSION ON POST OP. ROOM 660004 CONCESSION ON SEMI ICU 1000005 CONCESSION ON HDU (415) 660006 CONCESSION ON PED. ICU / SPL. NURSERY (305) 460007 CONCESSION ON NNU - NURSERY (206) 400008 CONCESSION ON HDU – LABOR ROOM 1100

AYURVEDIC TREATMENT

33:01 AYURVEDIC TREATMENT DR/PR/SPR/NSB/POPD SB/GOPD

001 Avagaha Sweda (Per Sitting) 1400 1200002 Ekanga Taila Dhara (Per Sitting) 2000 1800003 Kati Basti (Per Sitting) 2300 2000004 Ksheera Dhara (Per Sitting) 2300 2000005 Matra Basti (Per Sitting) 500 450006 Nadi Sweda-Full Body (Per Sitting) 1100 1000007 Nadi Sweda-One Limb (Per Sitting) 700 600008 Nadi Sweda-Two Limbs (Per Sitting) 900 800009 Nasya Karma (Per Sitting) 800 650010 Netra Tarpan (Per Sitting) 1100 900011 Patra Pinda Sweda-Full Body (Per Sitting) 1300 1100012 Patra Pinda Sweda-One Limb (Per Sitting) 900 800013 Patra Pinda Sweda-Two Limbs (Per Sitting) 1100 950014 Sarvang Abhyanga-Adult (Per Sitting) 1100 900015 Sarvang Abhyanga-Child (Per Sitting) 800 700016 Sarvanga Bashpa Sweda (Per Sitting) 1300 1100017 Shashtik Shali Pinda Sweda-Adult (Per Sitting) 1900 1700018 Shashtik Shali Pinda Sweda-Child (Per Sitting) 1700 1500019 Shirobasti (7 Days) 16000 13000020 Taila Dhara (7 Days) 20000 17000021 Takra Dhara (Per Sitting) 2200 2000022 Twarita Basti (Per Sitting) 800 700023 Uttara Basti (Per Sitting) 1900 1700024 Vamana Karma (12 Days) 6600 5500025 Virechan Karma (12 Days) 7800 6800026 Yoga Basti[5A+3N] 16000 14000027 Kala Basti [10A+6N] 16-Days 24000 22000028 Karma Basti [18A+12N] 30-Days 38000 35000

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S.No. DESCRIPTION ALL CATEGORIES OF IPD & OPD

34:01 AMBULANCE001 UPTO 5 KM (To & Fro) 250002 MORE THAN 5KM AND UPTO 10 KM (To & Fro) 500003 BEYOND 10 KM PER KM (To & Fro) 30

Note : (1). Holy Family Hospital’s ambulance is meant for the use of the hospital’s own patients referred for scanning or transfer to another hospital only.

(2). All distance will be on to and fro basis. (3). Waiting charges Rs.150/- per hour. Initial half an hour waiting is free. (4). During the night (in between 6.00PM to 8.00AM) - Rs.150/- per hour will be extra. (5). Ambulance will not be provided to discharged patients. (6) Ambulance will not be used for transporting the dead body. (7) The ambulance will be available for use only within the city limits of Delhi and New Delhi. (8) The ambulance will not be available on Sundays and holidays.

************************

35:01 MORTUARY 1. Any inpatient who has expired in Hospital – Rs.500/- per day. 2. Dead Bodies brought from outside – Rs. 1500/- per day.

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36:01 MISCELLANEOUS CHARGES001 DUPLICATE COPY OF THE BILL 50002 COMPLITION OF RE-IMBURSEMENT FORM 30


33:01 AYURVEDIC TREATMENT DR/PR/SPR/NSB/POPD SB/GOPD

029 Snehadhara Sweda+Yoga Basti 14+8 Days 84000 78000030 Udwartanam (Per Sitting) 1100 900031 Cost of Patrapinda Bundle [Each] 250 250

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AMBULANCE

MORTUARY

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O.P.D.S.No. DESCRIPTION37:01 O.P.D.(PRIVATE) CONSULTATION (EACH TIME) PRIVATE O.P.D.

001 CONSULTATION [EACH] 800003 CONSULTATION [EACH] : HOMEOPATHIC CLINIC 300

38:01 O.P.D.[GENERAL] REGISTRATION (EACH TIME) GENERAL O.P.D.001 NEW REGISTRATION - PER CLINIC 150002 RE-VISIT REGISTRATION - PER CLINIC 120003 NEW REGISTRATION - O.B. & WELL BABY CLINIC 150004 RE-VISIT REGISTRATION - O.B. & WELL BABY CLINIC 120005 CASUALTY VISIT [EACH TIME] 400

BOOK CHARGES

006 ISSUE OF CONTINUATION OPD BOOK(On old book completely full) 20

007 ISSUE OF DUPLICATE OPD BOOK 50

39:01 O.B. REGISTRATION CHARGES (NON REFUNDABLE – NON ADJUSTABLE)S.No. DESCRIPTION DR PR SPR NSB SB

001 O.B. REGISTRATION FOR PR & SPR CATEGORY THROUGH POPD 300 300 300

002 O.B. REGISTRATION FOR NSB & SB CATEGORY THROUGH GOPD 200 200

O.P.D.

OPD PROCEDURES40:01 CHEMOTHERAPY CHARGES (In OPD-Casualty Room) POPD/ Casualty/ GOPD001 CHEMOTHERAPY- BED & NURSING 250002 CHEMOTHERAPY- GENERAL SUPPLIES 300003 CHEMOTHERAPY-THERAPY CHARGES 1600

41:01 GROUP : DIALYSIS ALL CATEGORIES OF OPD

001 DIALYSIS (PER HAEMODIALYSIS) Package Charges(Artificial Kidney Extra) 2100

002 EXTENDED DIALYSIS (8 HOURS DIALYSIS) 3300003 Package Charges for JUGULAR CATHETERISATION 2300004 SUBCLAVIAN CATHETERISATION – Package Charges 2300005 FEMORAL CATHETERISATION - Package Charges 1300006 KIDNEY BIOPSY (LAB CHARGES EXTRA) 1300007 HAEMODIALYSIS CATHETER DRESSING 250008 FISTULA DRESSING 100

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Note : Haemodialysis includes all consumables and professional charges but it does not include cost of Dialyser (Artificial Kidney), any Investigation charges and other medication.

42:01 O.P.D. Procedures – UROLOGY POPD/ Casualty G.O.P.D.001 BLADDER IRRIGATION 1000 750002 CATHETERIZATION PLAIN (Disposables Extra) 200 200003 CHANGE OF SUPRA PUBIC CATHETER 1500 1300004 PARAPHIMOSIS REDUCTION 1500 1300005 BCG INSTILLATION IN BLADDER 1000 750

42:02 O.P.D. Procedures – ENT001 SYRINGING ENT 650 500

42:03 O.P.D. Procedures – OPHTHALMOLOGY001 ORTHOPTIC WORK UP(SINGLE VISIT) 100 80002 SQUINT WORK UP 150 100003 REFRACTION 150 120004 CONVERGENCE EXERCISE (15 DAYS COURSE) 1100 700

42:04 O.P.D. Procedures – GYNAE

001 LOCALISATION OF FOETAL HEART BY USG IN LABOR ROOM 150 90

002 PAP SMEAR TAKING 200 120

003 INTRA UTERINE CONTRACEPTIVE DEVICE (IUCD) REMOVAL – (COPPER T ETC.) 600 500

004 MAC DONALD STITCH REMOVAL 1200 750

43:01 PLASTERING CHARGES001 PLASTERING : BODY CAST 2200 1200002 PLASTERING : CTEV – UNILATERAL 2000 1200003 PLASTERING : CTEV – BILATERAL 3000 1800004 PLASTERING : HIP 1500 900005 PLASTERING : ROUTINE (REPAIR) 500 600006 PLASTERING : ABOVE ELBOW 1500 1000007 PLASTERING : BELOW ELBOW 1000 700008 PLASTERING : ABOVE KNEE 1500 1000009 PLASTERING : BELOW KNEE 1000 700

S.No. DESCRIPTION ALL CATEGORIES OF OPD41:01 GROUP : DIALYSIS

009 US/ECHO GUIDANCE CHARGES FOR JUGULAR/SUBCLAVIAN CANNULATION OR CATHETERISATION 250

010 PERITONEAL DIALYSIS 2000011 KTP FOLLOW-UP (NEPHROLOGY) [FOR 1 YEAR) 35000

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S.No. DESCRIPTION POPD/ Casualty G.O.P.D.43:01 PLASTERING CHARGES

010 PLASTERING : DEFORMITY CORRECTION – SMALL 1500 900

011 PLASTERING : DEFORMITY CORRECTION – LARGE 2000 1200


44:01 SKIN PROCEDURES001 BIOPSY OF SKIN (LAB CHARGES EXTRA) 1000 600002 BOTOX INJECTION (PER UNIT) 250 250003 CHEMICAL CAUTERY 800 500004 CORN REMOVAL (PER CORN) – IN OPD 550 350005 CORN REMOVAL (PER CORN) – MINOR O.T. 650 450006 CRYO SURGERY (SINGLE LESION) 900 650007 CRYO SURGERY (TWO LESaION) 1400 1000008 CRYO SURGERY (MULTIPLE LESION) 1800 1300009 FILLER INJECTION (COST OF FILLER EXTRA) 5000 5000010 INTRA LESIONAL INJECTION 800 500011 REMOVAL OF BLACKHEADS 800 500012 REMOVAL OF MOLUSEUM 800 500013 SCRAPING 800 500014 PATCH TESTING - UPTO 4 ANTIGENS 900 650015 PATCH TESTING - ABOVE 4 ANTIGENS 1500 1250016 RF CAUTERY 800 450017 WOODS LAMP EXAMINATION 550 350

45:01 TREATMENT & PROCEDURES – OPD001 LUMBAR PUNCTURE 1000 550

002 BONE MARROW ASPIRATION/STERNAL PUNCTURE 1000 550

003 CUT DOWN/VENESECTION 600 350

004 CENTRAL VENOUS PRESSURE LINE (CETROFIX) INSERTION 1000 -------

005 I&D - INCISION & DRAINAGE OF ABSCESS 1000 550006 ENDOTRACHEAL INTUBATION 1000 550007 MINOR SURGICAL PROCEDURE 1200 650008 CAVAFIX INTRODUCTION 1000 -------

009 PLEURAL FLUID ASPIRATION(TAPING)/THORACENTESIS 1000 550

010 ASCITIC FLUID ASPIRATION/PARACENTESIS 1000 550

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S.No. DESCRIPTION POPD/ Casualty G.O.P.D.45:01 TREATMENT & PROCEDURES – OPD

011 INTER COSTAL (TUBE) DRAINAGE [COST OF CHEST TUBE EXTRA] 1300 800

012 INTRA ARTICULAR INJECTION (OPD)– SINGLE JOINT 650 450

013 BIOPSY OF BONE 1300 800014 BIOPSY OF LIVER (LAB CHARGES EXT.) 1500 850015 BIOPSY OF MUSCLE (LAB CHARGES EXT.) 1300 800016 BLADDER WASH 550 400017 CHANGE OF TRACHEOSTOMY TUBE 900 600018 CHANGE OF COLOSTOMY BAG 350 250019 CHEST STRAPPING 350 -------

020 CLOSED REDUCTION – MINOR (IN OPD/CASUALTY) 550 400

021 COPPER SULPHATE CAUTERY 400 250022 DEBRIDEMENT OF THE WOUND 400 -------023 DRESSING - MINOR 100 80024 DRESSING – MEDIUM 200 150025 DRESSING – MAJOR 350 250026 DRESSING–PLASTIC SURGERY (LARGE) 1100 700027 DRESSING–PLASTIC SURGERY (MEDIUM) 800 500028 DRESSING–PLASTIC SURGERY (SMALL) 550 400029 EAR PIERCING : BILATERAL 800 500030 EXCISION OF TOE NAIL (IN OPD/CASUALTY) 550 400031 EYE SYRINGING & NEEDLING 350 300032 D.C. (ELECTRIC) SHOCK IN CASUALTY 150 -------033 FOLEYS CATHETERISATION 250 200

034 FOREIGN BODY (MINOR) REMOVAL (IN CASUALTY) 600 400

035 GASTRIC LAVAGE / STOMACH WASH 1100 800036 HYDRO CORTIZONE INJ. 450 250037 I.V.SERVICE CHARGES (COST OF I.V. EXTRA) 40 -------038 INCIDENTAL ABORTION 2000 1800039 INJ. GIVING CHARGES 40 30040 JAW MANNUAL REDUCTION 800 500041 K-WIRE RAMOVAL (IN OPD) 600 400042 KNEE ASPIRATION 800 500043 MANIPULATION MINOR 600 400044 MANNUAL EVACUATION 600 400045 MONTOUX TEST 50 40046 NASAL PACKING (IN CASUALTY) 600 400

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S.No. DESCRIPTION POPD/ Casualty G.O.P.D.45:01 TREATMENT & PROCEDURES – OPD

047 NEEDLE ASPIRATION (IN OPD) OF MINOR ABSCESS 550 400

048 NON STRESS MONITORING (PER TWO HOURS) 250 150049 NST -NON STRESS TEST (PER 20 MINUTES) 600 400050 PROSTATE BIOPSY (Lab Charges is extra) 1300 900051 PULLED ELBOW 500 300052 SIMPLE MANIPULATION 700 400053 SODIUM NITRATE CAUTERY 500 350054 SPO2 MONITORING 150 -------055 SPOT RBS 60 50056 STRAPPING 120 -------057 SUPRA PUBIC CATHETERISATION 1500 1200058 SUTURING UP TO 5 STITCHES 400 250059 SUTURING ABOVE 5 STICHES EACH STITCH 150 100060 SYRINGING OR NEEDLING EYE (IN CASUALTY) 300 -------061 TEMPORARY PACING 4000 2500062 URINE FOR SUGAR/ALBUMIN - TREATMENT 30 30

46:01 GROUP : NURSING PROCEDURES001 STEAM INHALATION. 40 30002 NEBULIZATION 100 80003 SKIN/PELVIC TRACTION APPLICATION 300 200

PHYSIO - THERAPY (O.P.D.)47:01 RATES OF PHYSICAL THERAPY TREATMENT001 ANTE-NATAL EXERCISES PER SITTING 230 210002 ANTENATAL EXERCISE - PACKAGE 900 800003 BREATHING EXERCISE 100 90004 CERVICAL TRACTION 140 130005 CHEST PHYSIO-THERAPY (SINGLE) 160 150006 COLD PACK (MULTIPLE) 140 130007 COLD PACK (SINGLE) 100 90008 COMPRESSION THERAPY (MULTIPLE) 320 290009 COMPRESSION THERAPY (SINGLE) 250 230010 CONSULTATION (PHYSIOTHERAPY) 200 150011 CONTRAST BATH (MULTIPLE) 130 120012 CONTRAST BATH (SINGLE) 90 80

013 CPM - CONTINUOUS PASSIVE MOVEMENT (SINGLE AREA) 140 130

014 CPM - CONTINUOUS PASSIVE MOVEMENT (TWO AREAS) 200 180

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S.No. DESCRIPTION OPD CATEGORY47:01 RATES OF PHYSICAL THERAPY TREATMENT POPD/ Casualty G.O.P.D.

015 ELECTRICAL MUSCLE TESTING (MULTIPLE) 320 290016 ELECTRICAL MUSCLE TESTING (SINGLE) 210 190017 EMG BIO-FEEDBACK (SINGLE) 260 230018 EMG BIO-FEEDBACK (MULTIPLE) 370 330019 EXERCISE : TEACHING ONLY 120 100020 EXERCISE SIMPLE 150 140021 EXERCISE SPECIAL 220 200022 EXERCISES - MOBILIZATION (SINGLE) 220 200023 EXERCISES – REHABILITATION 280 250

024 MULTIPLE EXERCISE/EXERCISE WITH ADL TRAINING 280 250

025 GAIT TRAINING 190 170026 INFRA RED RAY THERAPY (MULTIPLE) 170 150027 INFRA RED RAY THERAPY (SINGLE) 100 90028 INFRA RED SAUNA 260 230029 INTERFERENTIAL THERAPY (SINGLE AREA) 170 160

030 INTERFERENTIAL THERAPY (MORE THAN TWO AREAS) 300 270

031 INTERFERENTIAL THERAPY (TWO AREAS) 250 220032 LASER -INFRA RED : POINT (MULTIPLE AREA) 280 250033 LASER -INFRA RED : POINT (SINGLE AREA) 210 190034 LASER -INFRA RED : SCAN (MULTIPLE AREA) 320 290035 LASER -INFRA RED : SCAN (SINGLE AREA) 220 200

036 LONG WAVE DIATHERMY (MORE THAN TWO AREAS) 250 230

037 LONG WAVE DIATHERMY (SINGLE AREA) 110 100038 LONG WAVE DIATHERMY (TWO AREAS) 200 180039 LUMBAR TRACTION 150 150040 MANUAL MUSCLE TESTING (MULTIPLE) 300 270041 MANUAL MUSCLE TESTING (SINGLE) 180 160042 MICROWAVE DIATHERMY (SINGLE AREA) 160 150043 MICROWAVE DIATHERMY (TWO AREAS) 220 190044 NEONATAL EXERCISE 120 100045 NEURO-DEVELOPMENTAL THERAPY 230 210046 NUGABEST 320 290

047 PACKAGE FOR CHRONIC CASES (ADULT) PER MONTH (20 SESSIONS) 4000 3500

048 PACKAGE FOR ELECTROMODALITY + JOINT MOBILIZATION EXERCISE (10 SESSIONS) 2500 2300

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049PACKAGE FOR JOINT MOBILISATION WITH ONE HOT/ELECTRO-THERAPY MODALITY (20 SESSIONS)

5000 4500

050 PACKAGE FOR PEDIATRIC CASES PER MONTH (20 SESSIONS) 4000 3500

051 POST NATAL EXERCISES (ALL SESSIONS)(MULTIPLE) 470 430

052 POST OP. CHEST PHYSIO-THERAPY 120 110053 PULSED S.W.D. (SINGLE AREA) 160 150054 PULSED S.W.D. (TWO AREAS) 220 190055 SHORT WAVE DIATHERMY(TWO AREAS) 220 190056 SHORT WAVE DIATHERMY (SINGLE AREA) 160 150057 STEAM PACKS(MULTIPLE) 160 150058 STEAM PACKS(SINGLE) 100 90059 STIMULATION (NEURO-MUSCULAR ) SINGLE 160 140060 STIMULATION (NEURO-MUSCULAR) MULTIPLE 220 200061 SUSPENSION THERAPY 130 120062 TENS (MULTIPLE) 200 180063 TENS (SINGLE) 120 100064 TILT TABLE THERAPY 130 120065 ULTRA SONIC THERAPY (SINGLE AREA) 110 100

066 ULTRA SONIC THERAPY (MORE THAN TWO AREAS) 250 230

067 ULTRA SONIC THERAPY (TWO AREAS) 200 180068 WAX BATH (MORE THAN TWO AREAS) 230 200069 WAX BATH (SINGLE AREA) 100 90070 WAX BATH (TWO AREAS) 180 170071 EXERCISE + WALKING 270 250072 HP + EXERCISE 200 180073 IFT + HP + EXERCISE 290 270074 IFT + HP + MOBILISATION EXERCISE 350 320075 IFT + SWD +EXERCISE (MULTIPLE) 380 350076 IFT + SWD +EXERCISE (SINGLE) 330 300077 IFT + US + HP + EXERCISE 350 320078 IFT + US2 + HP + EXERCISE 410 370079 IFT +US + HP + MOBILISATION EXERCISE 410 370080 IFT2 + SW2 + EXERCISE 440 400081 SWD + MOBILISATION EXERCISE 300 270082 SWD + US + EXERCISE 290 270

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48:01 ENT : MINOR O.T. PROCEDURES1 ANT. NASAL PACK 3800 25002 ANTRAL WASH : U/L OR B/L 3800 25003 BIOPSY OF CHEEK OR TONGUE : U/L OR B/L 3800 25004 CAUTERY OF NASAL BLEEDERS WITH PACKING 5000 34005 CAUTERY PATCHING EAR 5000 34006 CHANGE OF TRACHEOSTOMY TUBE 2500 18007 DIAGNOSTIC NASAL ENDOSCOPY 2500 18008 EUM -EXAMINATION UNDER MICROSCOPE 700 5009 EXCISION OF TONGUE TIE 3800 2500

10 FOREIGN BODY REMOVAL-(NOSE/EAR) 3200 220011 FOREIGN BODY THROAT(FISH BONE) 3800 250012 LARYNGOSCOPY – FIBER OPTIC 3800 250013 MYRINGOTOMY FOR ASOM 1300 100014 NASAL BIOPSY 1300 100015 NASAL PACK REMOVAL 1300 100016 SPLIT EAR LOBULE – BILATERAL 5000 340017 SPLIT EAR LOBULE – UNILATERAL 3800 2500

48:02 GENERAL SURGERY : MINOR O.T. PROCEDURES1 ASPIRATION OF SUPERFICIAL COLD ABSCESS 1800 13002 AVULSION OF TOE NAIL – B/L 3200 22003 AVULSION OF TOE NAIL – U/L 1800 13004 BIOPSY OF BREAST 7500 50005 DEBRIDEMENT – SMALL 3800 25006 DRAINAGE OF SMALL ABSCESS 1800 13007 EXCISION BIOPSY – SMALL 2500 18008 EXCISION OF SEBACEOUS CYST 3800 2500

9 EXCISION OF SMALL SUPERFICIAL SOFT TISSUE MASS/TUMOUR 7000 4700


083 SWD + US + MOBILISATION EXERCISE 360 330084 SWD + US2 + CTR + EXERCISE 430 380085 WAX + MOBILISATION EXERCISE 270 250

NOTE : For OPD patients, if more than one modality of physiotherapy will be performed in single sitting, the charges of higher modality will be charged in full and rest of the modalities will be

charged half.************************

PACKAGE CHARGES FOR MINOR O.T. PROCEDURES

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S.No. DESCRIPTION OPD CATEGORY48:02 GENERAL SURGERY : MINOR O.T. PROCEDURES POPD/ Casualty G.O.P.D.

10 GLAND BIOPSY 7000 470011 I & D OF BREAST ABSCESS 6400 450012 LYMPH NODE BIOPSY 7000 470013 NEEDLE ASPIRATION OF ABSCESS 2500 1800

14 REMOVAL OF SUPERFICIAL FOREIGN BODY LIMBS – MINOR 3200 2200

15 RESUTURING OF SMALL ABDOMINAL WOUND 4500 320016 SCLEROTHERAPY : (INJ. FOR PILES) 1300 1000

Note : Charges for Lab will be extra wherever is applicable.

48:03 OB./ GYN : Minor O.T. PROCEDURES1 CERVICAL BIOPSY 3800 27002 COLPOSCOPY DIAGNOSTIC 1300 10003 COLPOSCOPY WITH PUNCH BIOPSY 4500 3400

4 COLPOSCOPY WITH PUNCH BIOPSY WITH CRYO CAUTERY 6000 4500

5 CRYO-CAUTERY 3200 22006 D. & C. OR D.& E. 3800 25007 ENDOCERVICAL CURRETTINGS 3800 25008 ENDOMETRIAL ASPIRATION 3800 25009 ENDOMETRIAL BIOSPY 3800 2500

10 ENDOMETRIAL BRUSH CYTOLOGY 1300 1000

11 HPV-DNA COLLECTION CHARGES (Charges for Kit & Lab Extra) 1000 700

12 HYDRO TUBATION : PER SITTING (MED. COST EXT.) 1300 1000

13 INCIDENTAL DELIVERY INCLUDING SUTURING 5500 410014 POLYP REMOVAL 3200 220015 RESUTURING OF EPISIOTOMY 3200 220016 RESUTURING OF SMALL ABDOMINAL WOUNDS 3200 2200

17 SUTURING OF SMALL TEARS OVER PERINIUM, VAGINA AND LABIA 3200 2200


48:04 OPHTHALMOLOGY : MINOR O.T. PROCEDURES1 CHALAZION – SINGLE EYE LID 4600 32002 CHALAZION – BOTH EYE LID OR MULTIPLE 6400 45003 DRAINAGE OF LID ABSCESS 3600 24004 FOREIGN BODY REMOVAL 1600 11005 SYRINGING 1300 1000

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S.No. DESCRIPTION OPD CATEGORY48:05 ORTHO : Minor O.T. POPD/ Casualty G.O.P.D.

1 CLOSED REDUCTION MANIPULATION : LOWER EXTREMITY* 3800 2500

2 CLOSED REDUCTION MANIPULATION : UPPER EXTREMITY* 2600 1800

3 DRESSING : MAJOR (IN MINOR O.T.) * 1300 10004 DRESSING : MINOR (IN MINOR O.T.) * 650 5005 DYNAMISATION OF I.M.NAIL 2600 18006 EXCISION OF GANGLION / SOFT TISSUE MASS 7000 47007 EXCISION OF TOE/FINGER NAIL 2500 1800

8 INTRA ARTICULAR INJECTION/ASPIRATION (IN MINOR O.T.) – SINGLE JOINT** 1800 1300

9 PELVIC EXTERNAL FIXATOR*** 7000 470010 REMOVAL OF WIRE AND MINOR IMPLANTS 1800 130011 TENDO-ACHILLIS TENOTOMY – B/L 9000 580012 TENDO-ACHILLIS TENOTOMY – U/L 5300 3600

Note : 1. * Cost of P.O.P. and other materials will be extra wherever is applicable. 2. ** Cost of Injectable extra 3. *** Charges for Implant will be extra. 4. Cost of Medicine and injections will be extra wherever will be used.

48:06 PLASTIC SURGERY : MINOR O.T. PROCEDURES1 ARCH BAR REMOVAL 3500 23002 EXCISION OF CYST MULTIPLE 8700 58003 EXCISION OF CYST SINGLE 4400 29004 EXCISION OF KELOID – SMALL 6900 46005 EXCISION OF MOLE-FACE 4400 29006 FACIOCUTANEOUS FLAP REPAIR - SMALL 8700 58007 FULL THICKNESS GRAFT – SMALL 10000 67008 HAIR TRANSPLANT : LARGE AREA (1000 Grafts) 89000 89000

9 HAIR TRANSPLANT : MEDIUM AREA (Upto 500 Grafts) 57000 57000

10 HAIR TRANSPLANT : SMALL AREA (<100 Grafts) 24000 2400011 LOCAL FLAP – MINOR 5800 410012 MINOR AMPUTATION – TOE, DIGIT ETC. 6900 460013 MINOR IMPLANT REMOVAL – WIRE ETC. 3500 230014 REPAIR OF ONE FINGER 5800 410015 REPAIR OF PINNA 5800 410016 SIMPLE SCAR EXCISION 11000 730017 SIMPLE Z PLASTY 10000 680018 SKIN GRAFTING – SMALL 9000 5800

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S.No. DESCRIPTION OPD CATEGORY48:06 PLASTIC SURGERY : MINOR O.T. PROCEDURES POPD/ Casualty G.O.P.D.

19 SMALL NEVUS 7600 500020 SPLIT EAR LOBULE – BILATERAL 5000 340021 SPLIT EAR LOBULE – UNILATERAL 3800 250022 WOUND REPAIR SMALL 3800 2500


48:07 UROLOGY : MINOR O.T. PROCEDURES1 BIOSPY GROWTH ON PENIS OR SCROTUM 3800 25002 CIRCUMCISION 7000 47003 DORSAL SLIT 3600 24004 MEATOTOMY 3800 25005 ORCHIDECTOMY – B/L OR U/L 7000 47006 PROSTATIC BIOPSY * 5800 40007 TESTICULAR BIOPSY 6400 45008 TROCAR SPC** 7600 50009 URETHRAL DILATATION 4100 2600

Note : * Charges for TRU-CUT BIOPSY GUN will be Extra. **Charges for SUPRA-CATH will be extra. Charges for Lab will be extra wherever is applicable.

48:08 THORACIC SURGERY : Minor O.T.1 CHEST ASPIRATION 3800 2500

2 BRONCHOSCOPY WITH OR WITHOUT F.B.RE-MOVAL 6400 4500

Note : 1. Charges for Lab. will be extra wherever is applicable. 2. Cost of CHEST TUBE is extra.

PEDIATRIC SURGERY : Minor O.T.

48:09A PEDIATRIC SURGERY : GENERAL SURGERY1 ASPIRATION OF SUPERFICIAL COLD ABSCESS 1800 13002 AVULSION OF TOE NAIL – B/L 3200 22003 AVULSION OF TOE NAIL – U/L 1800 13004 CATHETERISATION & MCU 2500 18005 DEBRIDEMENT – SMALL 3800 25006 DRAINAGE OF SMALL ABSCESS 1800 13007 DRAINAGE OF ABSCESS 3000 20008 DRESSING : MAJOR 1300 10009 DRESSING : MINOR 650 500

10 EXCISION OF SEBACEOUS CYST 3800 2500

11 EXCISION OF SMALL SUPERFICIAL SOFT TISSUE MASS/TUMOUR 7000 4700

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S.No. DESCRIPTION OPD CATEGORY48:09A PEDIATRIC SURGERY : GENERAL SURGERY POPD/ Casualty G.O.P.D.

12 GLAND BIOPSY 7000 470013 I & D OF BREAST ABSCESS 6400 450014 LABIAL ADHESIONS 2500 180015 LYMPH NODE BIOPSY 7000 470016 NEEDLE ASPIRATION OF ABSCESS 2500 180017 PREPUTIAL DILATATION 2500 1800

18 REMOVAL OF SUPERFICIAL FOREIGN BODY LIMBS – MINOR 3200 2200

19 RESUTURING OF SMALL ABDOMINAL WOUND 4500 320020 UMBILICAL GRANULOMA 1900 130021 UMBILICAL POLYP 4000 260022 WOUND REPAIR 4000 2600


48:09B PEDIATRIC SURGERY : ENT1 EXCISION OF TONGUE TIE 3800 25002 SPLIT EAR LOBULE – UNILATERAL 3800 2500

48:09C PEDIATRIC SURGERY : PLASTIC1 EXCISION OF CYST MULTIPLE 9500 64002 EXCISION OF CYST SINGLE 4800 32003 LOCAL FLAP – MINOR 6400 45004 MINOR AMPUTATION – TOE, DIGIT ETC. 7600 50005 SIMPLE Z PLASTY 10000 68006 SMALL NEVUS 7600 5000

48:09D PEDIATRIC SURGERY : UROLOGY1 BIOSPY GROWTH ON PENIS OR SCROTUM 3800 25002 CIRCUMCISION* 7000 47003 DORSAL SLIT 3600 24004 TROCAR SPC** 7600 50005 URETHRAL DILATATION 4100 2600

Note : 1. * Charges for Plastic Bell will be extra. 2. ** Charges for Supra – Cath will be extra

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HOLY FAMILY HOSPITAL Okhla Road, New Delhi-110025, Tel : 011-26845900-09 | Fax: 011-26913225

Email : [email protected] | Website : www.hfhdelhi.org

48:10 MINOR O.T. PROCEDURE CHARGES : PRIVATE PATIENTS 1 The doctor is free to charge a differential fee for their Pvt. Patients.2 Charges for the O.T and Local Anesthesia will be 25% of the surgical fee.3 The disposables will be charged on actual.4 Lab. Charges will be extra wherever applicable.

*******************

MISCELLANEOUS CHARGES49:01 GROUP : DUPLICATE PRINTING001 DUPLICATE RECEIPTS PRINT 10

NOTE : The hospital reserves the right to modify the above mentioned charges without prior notice whenever it deems necessary.

S.No. DESCRIPTION OPD CATEGORY48:09E PEDIATRIC SURGERY : THORACIC POPD/ Casualty G.O.P.D.

1 CHEST ASPIRATION – DIAGNOSTIC 3800 25002 CHEST ASPIRATION – THERAPUTIC 5000 3400

Note : 1. Charges for Lab. will be extra wherever is applicable. 2. Cost of CHEST TUBE is extra.

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HOLY FAMILY HOSPITAL Okhla Road, New Delhi-110025, Tel : 011-26845900-09 | Fax: 011-26913225

Email : [email protected] | Website : www.hfhdelhi.org

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