RAMAKRISHNA MISSION SEVA PRATISHTHAN

(A General Hospital)

SCHEDULE OF CHARGES
28 August, 2024

Issued by
The Secretary
Ramakrishna Mission Seva Pratishthan
99, Sarat Bose Road, Kolkata - 700 026

Phone : +91 33 2475-3636 (4 Lines), 4032-0200

E-Mail : rkmspsm@gmail.com
Website : www.rkmsevapratishthan.org
 Contents
Title Page No.
Some important information 3
Schedule :
A. OPD Registration Fee 4
B. Daily Charges 5
C. Confinement 5
C1. Oxygen Charges 5
D. Investigations :
D1. Radiology 6
D2. CT Scanning 15
D2A Dexa Scan 16
D3. MRI Scanning 16
D4. Ultrasonography 18
D5. Echocardiography 22
D6. Haematology 22
D7. Clinical Pathology 24
D8. Immunology 25
D9. Serology 26
D10. Microbiology 27
D11. Histopathology 28
D12. Cytology 28
D13. Biochemistry 29
D14. Genetics 34
D15. Cardiac 34
D16. Neuro 35
D17. Endoscopy 35
D18. Others 36
D19. Day Care Obstetrics Unit & Gynae OPD 36
E. Plastering, Reduction, Etc. 37
F. Cardiac Instrumentation 38
F-1. Cath Lab 38
G. Haemodialysis 40
H. Dental Surgery & Instrumentations 42
I. ENT Surgery & Instrumentation 43
J. Eye Surgery & Instrumentation 43
K. Blood Centre 45
L. Therapy 45
Interventional Pain Management (IPM) 46
M. Extra 47
N. Cancellation Charges 48
O. Duplicate Report Copies 48
P. Service Charges (Non Refundable) 48
Q. Miscellaneous 49
R. Operations 49
S. List of Operations (Department Wise) 53
 RAMAKRISHNA MISSION SEVA PRATISHTHAN
SCHEDULE OF CHARGES
(As on 28-08-2024)
INTRODUCTION
Established in 1932, as a small maternity and child welfare clinic
this institution was originally known as the RAMAKRISHNA MISSION
SISHUMANGAL PRATISHTHAN. It made steady progress and soon
became a popular maternity-cum-children hospital. In 1956, it was
developed into a General Hospital and in 1957 its name was changed
to RAMAKRISHNA MISSION SEVA PRATISHTHAN to suit its altered
character. It is now the biggest Medical Centre of the Ramakrishna
Mission and is serving the people through its five wings viz. (1) General
Hospital, (2) School of Nursing, (3) Ma Sarada College of Nursing, (4)
Post-graduate Medical College and Research Centre – Vivekananda
Institute of Medical Sciences and (5) Community Health Service.

SOME IMPORTANT INFORMATION

1. The Hospital is recognised for treatment of Central Government
employees and members of their families, vide Health Ministry’s
Orders No. F8(IX)-17/55-HII(HI) dated 17.08.57 and No. 14025/
29/73 MC dated 07.09.73.
2. This schedule is the result of rationalisation and revision of the
rate of charges that were in force for several years.
3. Payment to be made at the time of admission (for maternity
ward admission advance booking of paying bed is essential) :

Sl. Particulars Amount

1. Advance Amount for Bed Booking for 8500.00
Maternity Patients
2. Advance Amount for Medicine for Maternity 9000.00
Patients (To be paid at the time of
Admission)
3. Surgeon’s Fees (in case of Caesarean 8000.00
Section)

Advance booking of Paying Bed is compulsory within one month

from the date of outdoor registration and on payment of full charges
for normal confinement. If booking is cancelled by the patient’s party
for any reason, 50% of the booking amount will be deducted as
Cancellation Charges before the refund is made.

( 3 )
B. Intensive Care Unit, Coronary : 5 days’ Seat Rent and
Care Unit, High Dependency ` 200/- as non-refundable
Unit, Intensive Therapy Unit, Service Charges.
Cardiology Ward
(ICU, CCU, HDU, ITU & CW)
C. Other Wards : 10 days’ Seat Rent and non-
refundable Service Charge of
` 150/- and ` 200/- for
General Bed and Cabin
Patients respectively
D. For Surgical Cases Operation Theatre Charges are also to be
deposited.
4. The diet supplied from the Pratishthan is free of charges.
5. Supply of Medicines:
Prescribed medicines have to be supplied by the Patients’ parties
in all cases. From July 2012, arrangement has been made to
supply medicines to all indoor patients from the hospital
pharmacy. For this, an advance deposit of ` 9,000/- (Rupees
nine thousand) is taken for each patient at the time of
admission.
6. All bills sent to the indoor patients are required to be paid within
two days of presentation.
7. Supply of Blood for the patients is to be arranged by the
Patients’ parties. Blood for indoor patients may be supplied by
the Pratishthan’s Blood Bank on exchange donation of Blood
and on payment of scheduled Service Charges, subject to
availability. If Blood is not used for the patient after reservation,
the amount deposited for it will be refunded to the party only
after a deduction of Service Charges of ` 400/- per pouch of
blood.
8. Except for LSCS, for any emergency operation ` 500/- extra
will be charged.
9. Operation Theatre charges as applicable to Cabin Cases will
be payable, if a patient is transferred to Cabin on guardian’s
request within 2 days of operation. Similarly for transfer of
Maternity Cases to Cabins within two days of delivery.
10. Application for refund of excess deposit of hospital charges must
be made within 15 days of discharge by the guardian.
Registration Card, Money Receipts and Discharge Card should
be enclosed.
A. OPD REGISTRATION FEE
Rs. 20/- for each new card (except for patients recommended
for admission in reserved beds and emergency cases) with a
validity for one month. Renewals will be charged @ 20/- each.
For Obstetric Cases Rs. 60/- for New Card – valid till Delivery.
SERV DESCRIPTION CHARGE
CODE `)
(`
INJO Disposable Syringe (any type 1, 2, 3, 5) 7
( 4 )
 B. DAILY CHARGES
SERV SERV DESCRIPTION CHARGE
TYPE CODE `)
(`
BRC BR01 Paying Ward (General) 150
BRC BR10 Caeserian Room 400
CRC CR06 Cardiology Ward Bed 600
CRC CR06 High Dependency Unit (I, II & III) (with Cardiac Monitor) 2500
CRC CR05 Coronary Care Unit (CCU) 1500
BRC BR06 Paying Ward (Paediatric) 200
CRC CR04 Cabin A (Paedatric) Full Cabin (with Toilet) 800
CRC CR03 Cabin B (Paedatric) Half Cabin (without Toilet) 500
CRC CR02 Cabin C (Cabin without Toilet) 600
CRC CR01 Cabin D (Cabin with Toilet) 800
CRC CR08 Cabin E (AC Cabin without Toilet) 1000
CRC CR09 Special Cabin Delux (Premananda Ward) 2500
BRC BR08 CTVS ITU Ward 1300
BRC BR11 Paying Ward (Genral) with AC 400
CRC CR07 Cabin F (AC Cabin with Toilet) 1200
BRC BR07 Intensive Therapy Unit (with Cardiac Monitor) 2500
CRC CR05 Intensive Care Unit (ICU) 1500
CRC CR10 ICU Isolation 1700
SBW SB01 Neonatal Intensive Care Unit (NICU-I) 300
SBW SB02 Neonatal Intensive Care Unit (NICU-II) 300
SBW SB03 Paediatric Intensive Care Unit (PICU) 300
OHE3 PPE Kits (for doctors, nurses and other health care
providers) for HDU-I & II patients,General Bed in
Wards / ICU / Cabin (Per Day) 1000
CRC CR12 Share Cabin with AC & Hot Water Facility 500
(Bed Nos. 11, 12, 13, 14, 15, 16, 17 & 18 of
C5 Ward)
C. CONFINEMENT (OPERATION CHARGES)
SERV SERV DESCRIPTION CABIN B GEN. BED
TYPE CODE CHARGE CHARGE
`)
(` `)
(`
CON CN01 Normal Confinement 3000 2500
CON CN02 Caesarean Section 6000 4500
CON CN03 Forceps Delivery 3500 3000
CON CN04 Emergency Delivery Charges
for Normal / Cesarean 500 500
CON CN05 Episiotomy during delivery 500 500
C1. OXYGEN CHARGES
SERV SERV DESCRIPTION CABIN/ICU/HDU GEN. BED
TYPE CODE CCU/PICU/ITU/ CHARGE
Card. Ward CHARGE
`)
(` `)
(`
OXY OX01 Oxygen Charges (Daily) 1,000 500
( 5 )
 D1. INVESTIGATIONS - RADIOLOGY
(DIGITAL X-RAY)

CHARGES AT CHARGES AT
SERV SERV INVESTIGATION/ ICU/CCU/CW/ OPD/OUTSIDE/
ORGANS TYPE CODE PROCEDURE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
SKULL DXRC DXR1 AP Or PA 200.00 180.00
DXRC DXR2 RT. Or LT. LAT 200.00 180.00
DXRC DXR3 AP + LAT 350.00 300.00
DXRC DXR4 Tangential View 200.00 180.00
DXRC DXR5 Towne’s View 200.00 180.00
DXRC DXR6 Reverse Towne’s View 200.00 180.00
DXRC DXR7 Stenverse View 200.00 180.00
DXRC DXR8 I.A.M. View 200.00 180.00
DXRC DXR9 E.A.M. View 200.00 180.00
DXRC DXR10 Base View 200.00 180.00
DXRC DXR11 Mastoid One Side Lat.
Oblique View 200.00 180.00
DXRC DXR12 Mastoid’s Both Lat.
Oblique View 350.00 300.00
DXRC DXR13 T.M. Joint (One Side)
Open & Close Mouth 350.00 300.00
DXRC DXR14 T. M. Joint (Both Side)
Open & Close Mouth 680.00 600.00

PNS DXRC DXR15 OM View 200.00 180.00

DXRC DXR16 OF View 200.00 180.00
DXRC DXR17 Water’s View 200.00 180.00
DXRC DXR18 Cladwell’s View 200.00 180.00
DXRC DXR19 LAT View (PNS) 200.00 180.00

( 6 )
 CHARGES AT CHARGES AT
SERV SERV INVESTIGATION/ ICU/CCU/CW/ OPD/OUTSIDE/
ORGANS TYPE CODE PROCEDURE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
ORBIT DXRC DXR20 Orbit PA 200.00 180.00
DXRC DXR21 Optic Foramen One Side 200.00 180.00
DXRC DXR22 Optic Foramen Both Side 350.00 300.00

MANDIBLE DXRC DXR23 Mandible PA 200.00 180.00

DXRC DXR24 Mandible LAT 200.00 180.00
DXRC DXR25 LAT. Oblique View One Side 200.00 180.00
DXRC DXR26 LAT. Oblique View Both Side 350.00 300.00

FACE DXRC DXR27 Face AP or LAT Or OM View 200.00 180.00

DXRC DXR28 Face AP + LAT. View 350.00 300.00
DXRC DXR29 Nasal Bone - Both LAT 350.00 300.00
DXRC DXR30 Soft Tissue Neck AP + LAT 350.00 300.00
DXRC DXR31 Soft Tissue Neck
Nasopharynx LAT 200.00 180.00
CERVICAL DXRC DXR32 AP View or LAT Cerv. Spine 200.00 180.00
SPINE DXRC DXR33 AP + Lat View Cerv. Spine 350.00 300.00
DXRC DXR34 One Side Oblique view 200.00 180.00
DXRC DXR35 Both Side Oblique View 350.00 300.00

DXRC DXR36 Flexion + Extension View 350.00 300.00

DXRC DXR37 AP + LAT + Both Oblique 680.00 600.00
DXRC DXR204 AP + LAT. In Flexion &
Extension 500.00 450.00
DXRC DXR38 Open Mouth View 200.00 180.00
DXRC DXR39 Trans - LAT View 200.00 180.00
DXRC DXR40 Cervico-Dorsal Spine
AP Or LAT 200.00 180.00
DXRC DXR41 Cervico-Dorsal Spine
AP + LAT 240.00 200.00
DXRC DXR42 Thoracic Inlet AP View 200.00 180.00

( 7 )
 CHARGES AT CHARGES AT
SERV SERV INVESTIGATION/ ICU/CCU/CW/ OPD/OUTSIDE/
ORGANS TYPE CODE PROCEDURE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
DORSAL DXRC DXR44 AP Or LAT View 200.00 180.00
SPINE DXRC DXR45 AP + LAT View 350.00 300.00
DXRC DXR46 One Side Oblique 200.00 180.00
DXRC DXR47 Both Side Oblique 350.00 300.00
DXRC DXR48 Dorso-Lumber AP Or LAT 200.00 180.00
DXRC DXR50 Dorso-Lumber Spine
AP & Lat 350.00 300.00

LUMBER DXRC DXR51 AP Or LAT View 200.00 180.00

SPINE DXRC DXR52 AP + LAT View 350.00 300.00
(LS) DXRC DXR53 One Side Oblique View 200.00 180.00
DXRC DXR54 Both Side Oblique View 350.00 300.00
DXRC DXR55 Flexion + Extension View 350.00 300.00
DXRC DXR56 AP + LAT in Flex. &
Extn. View 500.00 450.00
DXRC DXR57 AP+LAT+Flex.+Extn. View 680.00 600.00
DXRC DXR58 Cone View -AP Or LAT View200.00 180.00
DXRC DXR59 Cone View -AP+LAT View 350.00 300.00

SACRUM DXRC DXR60 AP View Or LAT View 200.00 180.00

&
COCCYX DXRC DXR61 AP+LAT View 350.00 300.00

PELVIS DXRC DXR62 Pelvis AP View 200.00 180.00

DXRC DXR63 Pelvis with Both Hip AP View 200.00 180.00
DXRC DXR64 Both Hip AP View 200.00 180.00
DXRC DXR65 RT. Or Lt. Hip AP View 200.00 180.00
DXRC DXR66 RT Or LT Hip LAT View 200.00 180.00
DXRC DXR67 Both Hip Lat View 350.00 300.00
DXRC DXR68 Both Hip AP + LAT View 500.00 450.00
DXRC DXR69 Oblique View for One Side 200.00 180.00
DXRC DXR70 Oblique View for Both Side 350.00 300.00

( 8 )
 CHARGES AT CHARGES AT
SERV SERV INVESTIGATION/ ICU/CCU/CW/ OPD/OUTSIDE/
ORGANS TYPE CODE PROCEDURE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
DXRC DXR71 RT. Or LT. Hip with
Femur AP or LAT 200.00 180.00
DXRC DXR72 RT. Or LT. Hip with
Femur AP + LAT 350.00 300.00
DXRC DXR73 Both Hip with Femur
AP View 200.00 180.00
DXRC DXR74 Both Hip Frog Leg
LAT View 200.00 180.00
DXRC DXR75 S.I. Joint Both Side AP View 200.00 180.00
DXRC DXR76 S.I. Joint Both Side
Oblique View 350.00 300.00
DXRC DXR77 S.I. Joint AP + Both Oblique 500.00 450.00
DXRC DXR78 S.I. Joint AP+ One Side
Oblique 350.00 300.00
KNEE JT. DXRC DXR79 RT. Or LT./AP Or LAT View 200.00 180.00
DXRC DXR80 RT. Or LT. AP+ LAT View 350.00 300.00
DXRC DXR81 Both Knee AP Or LAT View 350.00 300.00
DXRC DXR82 Both Knee AP + LAT View 680.00 600.00
(1 To 4 - Standing or Supine)
DXRC DXR83 Knotch View One Side 200.00 180.00
DXRC DXR84 Knotch View Both Side 350.00 300.00
DXRC DXR85 Skyline View of
Patella One Side 200.00 180.00
DXRC DXR86 Skyline View of
Patella Both Side 350.00 300.00
DXRC DXR87 Each Knee With Femur Or 200.00 180.00
Each Knee with Leg Ap View
DXRC DXR88 Each Knee with Femur
Or LEG LAT View 200.00 180.00
DXRC DXR89 Both Knee with Femur
Or LEG AP 350.00 300.00

( 9 )
 CHARGES AT CHARGES AT
SERV SERV INVESTIGATION/ ICU/CCU/CW/ OPD/OUTSIDE/
ORGANS TYPE CODE PROCEDURE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
DXRC DXR90 Both Knee with Femur
Or LEG LAT 350.00 300.00
DXRC DXR91 Both Knee with Femur
Or LEG AP + LAT 680.00 600.00

LEG DXRC DXR92 Each LEG AP Or LAT View 200.00 180.00

DXRC DXR93 Each LEG AP + LAT View 350.00 300.00
DXRC DXR94 Both LEG AP Or LAT View 350.00 300.00
DXRC DXR95 Both LEG AP + LAT View 680.00 600.00

ANKLE DXRC DXR96 Each Ankle AP Or LAT View 200.00 180.00

DXRC DXR97 Each Ankle AP + LAT View 350.00 300.00
DXRC DXR98 Both Ankle AP + LAT View 680.00 600.00
DXRC DXR99 Each Ankle Oblique View 200.00 180.00
DXRC DXR100 Each Ankle
Both Oblique View 350.00 300.00
DXRC DXR101 Both Ankle Oblique View 350.00 300.00
DXRC DXR102 Both Ankle
Both Oblique View 680.00 600.00
DXRC DXR103 Mortise View (Each) 200.00 180.00
DXRC DXR104 Mortise View (Both Ankle) 350.00 300.00
DXRC DXR105 Each Ankle AP+LAT+OB. 500.00 450.00
DXRC DXR106 Both Ankle AP+LAT+OB. 1000.00 900.00
DXRC DXR107 Each Heel Or Calcanium
Axial View 200.00 180.00
DXRC DXR108 Each Heel Or Calcanium
LAT View 200.00 180.00
DXRC DXR109 Both Heel Or Calcanium
Axial View 350.00 300.00
DXRC DXR110 Both Heel Or Calcanium
LAT View 350.00 300.00

( 10 )
 CHARGES AT CHARGES AT
SERV SERV INVESTIGATION/ ICU/CCU/CW/ OPD/OUTSIDE/
ORGANS TYPE CODE PROCEDURE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
DXRC DXR111 Both Heel Or Calcanium
Axial + LAT View 680.00 600.00
FOOT DXRC DXR112 Each Foot AP Or LAT
Or Oblique 200.00 180.00
DXRC DXR113 Each Foot AP+ LAT View 350.00 300.00
DXRC DXR114 Each Foot AP+
Oblique View 350.00 300.00
DXRC DXR115 Both Foot AP Or LAT
Or Oblique 350.00 300.00
DXRC DXR116 Both Foot AP+ LAT View 680.00 600.00
DXRC DXR117 Both Foot AP+
Oblique View 680.00 600.00
CHEST DXRC DXR118 Sternum LAT Or
Oblique View 200.00 180.00
DXRC DXR119 Sternum LAT +
Oblique View 350.00 300.00
DXRC DXR120 PA/LAT/ Oblique 200.00 180.00
DXRC DXR121 PA + LAT View 350.00 300.00
DXRC DXR122 PA+RT. Or LT. Oblique 350.00 300.00
DXRC DXR123 PA + Both Oblique View 500.00 450.00
DXRC DXR124 LAT. Decubetus Or
Trans LAT View 200.00 180.00
DXRC DXR125 Apical Or Lordoti & View 200.00 180.00

CALVICAL DXRC DXR126 Each Or Both Clavical AP 200.00 180.00

SCAPULA DXRC DXR127 Each side AP Or Oblique 200.00 180.00
DXRC DXR128 Both Side AP View 350.00 300.00
DXRC DXR129 Both Side Oblique View 350.00 300.00
DXRC DXR130 Each Scapula ‘Y’ View 200.00 180.00

( 11 )
 CHARGES AT CHARGES AT
SERV SERV INVESTIGATION/ ICU/CCU/CW/ OPD/OUTSIDE/
ORGANS TYPE CODE PROCEDURE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
SHOULDER DXRC DXR131 Each Schoulder AP Or
Lat Or Oblique 200.00 180.00
DXRC DXR132 Each Shoulder AP + Lat
Or Oblique 350.00 300.00
DXRC DXR133 Each Shoulder AP+Oblique 350.00 300.00
DXRC DXR134 Each Shoulder Axial View 200.00 180.00
DXRC DXR135 Each Shoulder Y-View 200.00 180.00
DXRC DXR136 Both Shoulder- AP+Lat 680.00 600.00

HUMERUS DXRC DXR137 AP Or Lat (Each) View 200.00 180.00

OR ARM DXRC DXR138 Each Humerous AP+Lat 350.00 300.00
DXRC DXR139 Both Humerous AP+Lat 680.00 600.00

ELBOW DXRC DXR140 Each AP Or Lat 200.00 180.00

DXRC DXR141 Each Elbow AP+Lat 350.00 300.00
DXRC DXR142 Each Elbow Oblique View 200.00 180.00
DXRC DXR144 Both Elbow Oblique View 350.00 300.00
DXRC DXR145 Each Elbow
AP+Lat+Oblique 500.00 450.00
DXRC DXR146 Both Elbow AP+Lat+Oblique 1000.00 900.00
DXRC DXR147 Each Elbow Shoot
Through View 200.00 180.00
DXRC DXR148 Both Elbow Shoot
Through View 350.00 300.00
FOREARM DXRC DXR149 Each F.A. AP Or Lat.
OR Oblique 200.00 180.00
DXRC DXR150 Each F.A. AP+Lat View 350.00 300.00
DXRC DXR151 Each F.A. AP+Lat+Oblique 500.00 450.00
DXRC DXR152 Both F.A. AP Or Lat Or OB 200.00 180.00
DXRC DXR153 Both F.A AP + Lat 680.00 600.00
DXRC DXR154 Both F.A. AP+Lat + Oblique 1000.00 900.00
( 12 )
 CHARGES AT CHARGES AT
SERV SERV INVESTIGATION/ ICU/CCU/CW/ OPD/OUTSIDE/
ORGANS TYPE CODE PROCEDURE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
WRIST DXRC DXR155 Each Side AP Or Lat
Or Oblique 200.00 180.00
DXRC DXR156 Each Wrist AP + Lat 350.00 300.00
DXRC DXR157 Each Wrist AP+Lat+Oblique 500.00 450.00
DXRC DXR158 Each Wrist Scaphoid View 200.00 180.00
DXRC DXR159 Both Wrist AP Or Lat
Or Oblique 350.00 300.00
DXRC DXR160 Both Wrist AP+Lat View 680.00 600.00
DXRC DXR161 Both Wrist AP+Lat+Oblique 1000.00 900.00
DXRC DXR162 Both Writst Scaphoid View 350.00 300.00

HAND DXRC DXR163 Each Hand AP Or Lat

OR Or Oblique 200.00 180.00
PALM DXRC DXR164 Each Hand AP+Lat View 350.00 300.00
DXRC DXR165 Each Hand AP+Obli. View 350.00 300.00
DXRC DXR166 Each Hand AP+Lat+Oblique 500.00 450.00
DXRC DXR167 Both Hand AP Or Lat
Or Oblique 350.00 300.00
DXRC DXR168 Both Hand AP+Lat View 680.00 600.00
DXRC DXR169 Both Hand AP+Obli. View 680.00 600.00
DXRC DXR170 Finger (Phlanges) AP +
Lat View 350.00 300.00

ABDOMEN DXRC DXR171 Erect Or Supine AP View 200.00 180.00

DXRC DXR172 Erect + Supine AP View 350.00 300.00
DXRC DXR173 Kub AP View 350.00 300.00
DXRC DXR174 Abdomen Trans. Lat View 200.00 180.00

DENTAL DXRC DXR175 Per Film 140.00 120.00

DXRC DXR176 Occlusal 350.00 300.00
DXRC DXR OPG X-ray 680.00 600.00

( 13 )
 CHARGES AT CHARGES AT
SERV SERV INVESTIGATION/ ICU/CCU/CW/ OPD/OUTSIDE/
ORGANS TYPE CODE PROCEDURE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
INVESTI- DXRC DXR177 BA-Swallow+SD+ICR 2600.00 2200.00
GATION DXRC DXR178 BA-Swallow Oesophagus 1350.00 1200.00
DXRC DXR179 BA-Swallow+Strom Dud 2200.00 1800.00
DXRC DXR180 BA-Swallow+ST. DU.+F.T. 3000.00 2500.00
DXRC DXR181 BA Stomachdudenum 1250.00 1100.00
DXRC DXR182 BA Stomachdudenum&F.T 2060.00 1800.00
DXRC DXR183 Barium I.C.R. (Only) 1000.00 900.00
DXRC DXR184 Barium Enema 1800.00 1600.00
DXRC DXR185 I.V.P. 1700.00 1500.00
DXRC DXR186 H.S.G. 1140.00 1000.00
DXRC DXR187 Fistulogram 1140.00 1000.00
DXRC DXR188 MCU 1140.00 1000.00
DXRC DXR189 Sinogram 1140.00 1000.00
DXRC DXR190 Sialogram 1250.00 1000.00
DXRC DXR191 Nephrostogram 1250.00 1000.00
DXRC DXR192 RGP (One Side)
Retrograde Pyelography 1350.00 1200.00
DXRC DXR193 RGP (Both Side)
Retrograde Pyelography 1700.00 1500.00
DXRC DXR194 Fluroscopy 140.00 120.00
DXRC DXR197 Ascending Urethrogram 600.00 500.00
DXRC DXR198 T. Tube Cholangiogram 680.00 600.00
DXRC DXR199 Per OP Cholangiogram
(In OT) 1350.00 1200.00
DXRC DXR200 Dacryocystogram(One Side) 1000.00 900.00
DXRC DXR201 Dacryocystogram(Both Side) 1350.00 1200.00

PORTABLE DXRC DXR202 Portable X-Ray 350.00 300.00

X-RAY

( 14 )
 CHARGES AT CHARGES AT
SERV SERV INVESTIGATION/ ICU/CCU/CW/ OPD/OUTSIDE/
ORGANS TYPE CODE PROCEDURE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
O. T. DXRC DXR203 X-Ray At OT C-ARM 1800.00 1600.00
DXRC DXR204 Cervical AP+Lat-in Flexion 500.00 450.00
DXRC DXR205 X-Ray Duplicate Film with
Report 50.00
DXRC DXR211 Mamogram (Both Breasts) 1900.00 1700.00
DXRC DXR212 Mamogram (Single Breasts)1500.00 1200.00
DXRC DXR213 Ortho Scanogram
(Whole Spine) 1200.00 1100.00
DXRC DXR214 Ortho Scanogram
B/L (Hip toToe) AP View 1200.00 1100.00
DXRC DXR215 Ortho Scanogram
B/L (Shoulder to Wrist) 1200.00 1100.00
DXRC DXR216 Ortho Scanogram (Whole Body)
(from 1 to 8 years) 1200.00 1100.00
DXRC OPG OPG X-Ray 680.00 600.00
D2. INVESTIGATIONS – CT SCANNING
CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
CTS CT01 Brain Scan 1500 1400
CTS CT02 Upper Abdomen Scan 3100 3000
CTS CT03 Lower Abdomen Scan 3100 3000
CTS CT04 Whole Abdomen Scan 5700 5500
CTS CT05 Any Organ Scan 3600 3500
CTS CT06 Brain & Orbit Scan 4200 4000
CTS CT07 Chest/Thorax Scan 3600 3500
CTS CT08 Spine/HIP Scan 4100 4000
CTS CT09 CT Scan - PNS 3100 3000
CTS CT15 Brain Screening 1100 1000
CTS CT16 Upper Abdomen Screening 1500 1400
CTS CT17 Lower Abdomen Screening 1500 1400
CTS CT18 Whole Abdomen Screening 3100 3000
CTS CT19 Any Organ Screening 1500 1400
CTS CT20 Chest/Thorax Screening 2100 2000
CTS CT21 Spine/Hip Screening 1500 1400
CTS CT27 C.T. Guided FNAC 2700 2500
CTS CT28 C.T. Thorax with Guided FNAC 5700 5500
( 15 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
CTS CT29 PNS Limited Cut Only 1200 1100
Coronal/Axial
CTS CT30 Mastoid Limited Cut 1300 1200
Coronal/Axial
CTS CT35 Duplicate Film & Report 600 600
For CT Scan
CTS CT36 Duplicate Film & Report 250 250
For Brain
CTS CT37 Duplicate Report of CT Scan 50 50
CTS CT40 Brain Angio 6700 6500
CTS CT41 Carotid Angio 6700 6500
CTS CT42 Upper Limb Angio 11200 11000
CTS CT43 Lower Limb Angio 12200 12000
CTS CT44 Abdominal / Aortic Angio 10200 10000
CTS CT45 Renal Angio 9200 9000
CTS CT46 Triple Phase Liver 6700 6500
CTS CT47 Dual Phase Liver 6700 6500
CTS CT48 KUB / IVU / Urogram / Pyelogram 6700 6500
CTS CT49 3D Reconstruction of any part of bone 6700 6500
CTS CT50 CT Urogram (Contrast Study) 4200 4000
CTS CT51 CT Guided Biopsy Procedure 5700 5500
CTS CT54 W/A Angio (Triple Phase) 11200 11000
D2A. INVESTIGATIONS – DEXA SCAN
CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
DS DS01 Dual Femur (Hip) 2000 1800
DS DS02 AP Spine 2000 1800
DS DS03 Dual Femur (HIP) & AP Spine 2900 2500
DS DS04 Total Body 4000 3000
DS DS05 Dual Forearm 1700 1700
D3. INVESTIGATIONS – MRI SCANNING
CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
MRI MRI01 Brain 3100 3000
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 CHARGES AT CHARGES AT
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TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
MRI MRI02 Brain & Angio 6200 6000
MRI MRI03 Angio (Brain/Venography) 3100 3000
MRI MRI04 Cervical Spine 3100 3000
MRI MRI05 Dorsal Spine 3100 3000
MRI MRI06 Lumber Spine 3100 3000
MRI MRI07 Dorsi Lumber 4100 4000
MRI MRI08 Cervico-Dorsal 4100 4000
MRI MRI09 Spine Screening 1100 1000
(ONE PART ALONG WITH FULL EXAM. OF OTHER PART)
MRI MRI10 One Joint 3100 3000
(SHOULDER, HIP, KNEE)
MRI MRI11 MRCP 3500 3350
MRI MRI12 MRCP and Upper Abdomen 6200 6000
MRI MRI13 MRI Upper Abdomen 3100 3000
MRI MRI14 MRI Lower Abdomen / Pelvis 3100 3000
MRI MRI16 Orbit 3100 3000
MRI MRI17 PNS 3100 3000
MRI MRI18 Angio & Veno (Brain) 4100 4000
MRI MRI20 MRI Myelogram 2100 2000
MRI MRI21 Brain & Orbit 5200 5000
MRI MRI22 MRI Fistulogram 2100 2000
MRI MRI23 Extremity or Swelling 3100 3000
MRI MRI25 MRI Cervical Spine Bronchial Plexus 5200 5000
MRI MRI26 MRI LS Spine & S.I Joint 5200 5000
MRI MRI28 Sacro Iliac Joint 2600 2500
MRI MRI29 MRI Contrast (10 ml.) 1600 1500
MRI MRI30 MRI Anaesthesia 850 750
MRI MRI31 Duplicate Report & Film of MRI 1000 1000
MRI MRI32 MRI Venogram 2100 2000
MRI MRI33 Duplicate Report of MRI - 50
MRI MRI50 MRI Contrast Study Additional 200 200
MRI MRI51 Brain Volumetric - Hippocampi Analysis
Regular MRI Charges + Additional....... 600 500
** For Contrast Study Additional Film Charges Rs. 200/- Per Film **

( 17 )
 D4. ULTRASONOGRAPHY
CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
USG US00 Lower Abdomen 800 700
USG US01 Upper Abdomen 800 700
(Liver, GB, Panc)
USG US02 Pelvis 800 700
USG US03 Upper & Lower Abdomen 1300 1200
USG US04 KUB + Prostate 800 700
USG US05 Single Organ 900 800
USG US06 Pregnancy Profile Single 800 700
USG US06A Pregnancy Profile Twin 1100 1000
USG US06B Early/Dating Scan Single 800 700
USG US06C Early/Dating Scan Twin 1100 1000
USG US06D Growth Scan Single 900 800
USG US06E Growth Scan Twin 1300 1200
USG US06F TVS 1300 1200
USG US07 USG : Brain 900 800
USG US08 USG : Thyroid/Neck 900 800
USG US09 US Testes/Scrotum Both 900 800
USG US10 Eye/Knee/Breast Single 900 800
USG US11 Eye/Knee/Breast Both 1200 1100
USG US12 Both Organ Screening 800 700
USG US14 Anomaly Scan Single 1300 1200
USG US14A Anomaly Scan Twin 2100 1900
USG US15 Combined First Trimester Screening (NT)1600 1400
(Add Double Marker Rs. 2000 to be done outside)
USG US15A Combined First Trimester Screening (NT) (Twin) 2300 2100
USG US19 Screening upper Abdomen 550 500
USG US20 Screening Lower Abdomen 550 500
USG US21 Screening Whole Abdomen 550 500

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 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
USG US22 Screening Pregnancy 550 500
USG US23 Screening KUB + Prostate 550 500
USG US24 Single Organ Screening 550 500
USG US30 USG Guided FNAC 1600 1400
USG US31 USG Guided Aspiration 2000 1800
USG US32 USG Guided Aspiration (Portable) 2600 2400
USG US33 USG Guided FNAC (Portable) 2100 1900
USG US34 USG Guided Pigtail Drainage (Portable) 5100 4800
USG US37 Portable USG 1300 1200
USG US38 Portable USG Doppler Study 550 500
USG US40 Carotid Doppler One Side 1200 1100
USG US41 Carotid Doppler Both Side 2300 2100
USG US42 Colour Doppler Study of Both 5500 5300
Limbs Artery + Vein (U/L) (R/L)
USG US43 Colour Doppler Study of Both 5500 5300
Lower Limbs Artery Vein
USG US44 Single Limb Artery (Peripheral) 1900 1700
USG US44A Both Limb Artery (Upper/Lower) 3300 3000
USG US44B USG Guided Pigtail Drainage 3800 3500
USG US44C USG Guided Biopsy 4800 4500
USG US45 Single Limb Vein (U/L) (R/L) 1400 1200
USG US45A Both Limb Vein (Upper/Lower) 2600 2400
USG US46 Single Limb Artery + Vein (U/L) (R/L) 3000 2800
USG US49 Doppler Study of Renal 2000 1800
Artery (Bilateral)
USG US50 Portal Vain Doppler 1400 1200
USG US51 Doppler Study of Pregnancy Single 1400 1200
USG US51A Doppler Study of Pregnancy Twin 2000 1800
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TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
USG US52 Foetal Doppler Echo Study 1600 1400
USG US52A Foetal Doppler Echo Study (Twin baby) 2600 2400
USG US53 Doppler Study of Hand 1400 1200
USG US54 Doppler Study of Wrist 1400 1200
USG US55 Doppler Study of Scrotum (Both) 1400 1200
USG US56 Doppler Study of Pelvis 1400 1200
USG US56A Doppler Study of Pelvis (Screening) 1100 1000
USG US57 Doppler Study of Renal Vein 1400 1200
USG US58 Doppler Study of Both (U/L) Limb Vessel 5500 5300
USG US60 Carotid Doppler One Side (Single Screening) 800 700
USG US61 Carotid Doppler Both Side (Single Screening)1300 1200
USG US62 Peripheral Artery Both Side (U/L Screening) 1900 1700
USG US63 Peripheral Vein Both Side (U/L Screening) 1400 1200
USG US64 Colour Flow Image of Peripheral Artery 1200 1100
R/L U/L Single One Side (Screening)
USG US65 Colour Flow Image Of Peripheral Artery 1200 1100
Right/Left Lower Limb (Screening)
USG US66 Colour Flow Image Of Peripheral Vein 800 700
Right/Left Upper Limb (Screening)
USG US67 Colour Flow Image Of Peripheral Vein 800 700
Right/Left Lower Limb (Screening)
USG US68 Colour Flow Image Of Both Upper 3000 2800
Limbs Vessels R + L (Screening)
USG US69 Colour Flow Image Of Both Lower 3000 2800
Limbs Vessels R + L (Screening)
USG US70 Doppler Study Of Renal Artery 1100 1000
(Bilateral) (Screening)
USG US71 Doppler Study Of Renal Vein 800 700
(Bilateral) (Screening)
( 20 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
USG US71A Doppler Study Of Renal Vessels 1100 1000
(Bilateral) (Screening)
USG US72 Doppler Study Of Pregnancy 900 800
(Screening)
USG US73 Foetal Doppler Echo Study (Screening) 1100 1000
USG US73A Foetal Doppler Echo Study Screening 1600 1400
(Twin baby)
USG US74 Abdominal Aorta including Spleeno-Portal
Doppler/Portal Vain Doppler with Film 1900 1700
USG US78 Duplicate USG Report & Plate 200 200
USG US79 Duplicate Report of USG. 50 50
USG US91 Biochemistry Combinned with NT + Free
HCG+Para-A 1600 1400
USG US92 Biochemistry with Free HCG / Para - A 800 700
USG US93 Biochemistry (10 to 11 Weeks) with
NT 11 to 13 weeks 800 700

( 21 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
D5. ECHO-CARDIOGRAPHY
EKH EK03 Echo-Colour Doppler Study 1500 1400
EKH EK35 Portable Echo Colour Doppler 2500 2500
Study (With Film)
EKH EK09 Echo Colour Doppler Screening 1000 900
EKH EK10 Doubtamine Stress Echo 3000 2500
EKH EK11 Pericardial Effusion 1200 1000
Tapping Under of Central/Echo
EKH EK12 Portable Echo-Cardiography (Screen) 700 600
EKH EK16 Duplicate Report & Flim of Echo 100 100
EKH EK22 Trans-Oesophageal Echo (TEE) 4500 3900
EKH Trans-Oesophageal Echo (Portable) 4500 4200
EKH EK23 Trans Oesophageal Echo Screening 3600 3400
EKH EK33 Echo Screening (Paediatric) 350 300
EKH EK34 Paediatric Echocardiography 1800 1700
EKH EK37 Echo-Doppler Study in Super Emergency 3000 3000
EKH EK38 Echocardiography Screening Prior to
CTVS Operation 400 —

D6. INVESTIGATIONS – HAEMATOLOGY

CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
HMT HM00 TC DC HB ESR 170 150
HMT HM01 TC DC HB 150 130
HMT HM02 Total Count 60 50
HMT HM03 Differential Count 60 50
HMT HM04 Haemoglobin 60 50
HMT HM05 ESR 60 50
HMT HM06 PCV 60 50
HMT HM07 RBC 60 50
( 22 )
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TYPE CODE ITU/HDU/CABIN GEN. BED
(`) (`)
HMT HM08 BT & CT 80 70
HMT HM09 BT 50 40
HMT HM10 CT 50 40
HMT HM11 MP 120 100
HMT HM12 MF 120 100
HMT HM13 Reticulocytes 140 120
HMT HM15 Aldehyde Test 70 60
HMT HM16 Peripheral Blood Film Study 80 70
HMT HM17 Peripheral Blood Film with ABS Values 80 70
HMT HM18 Platelet Count 80 70
HMT HM19 Clot Retraction 80 70
HMT HM20 Lysis 120 100
HMT HM21 Complete Haemogram with ABS Values 230 200
HMT HM22 Bone Marrow Aspiration 920 800
HMT HM23 RBC Osmotic Fragility Test 460 400
HMT HM24 LE Cell Detection 230 200
HMT HM25 Total Eosinophil Count 60 50
HMT HM26 Glucose 6 PD 350 300
HMT HM28 Prothrombin Time with INR 170 150
HMT HM29 Activated Partial Thromb Time (APTT) 520 450
HMT HM30 Thrombin Clotting Time 150 130
HMT HM31 Plasma Fibrinogen 460 400
HMT HM32 F D P Test 700 600
HMT HM36 HbA1C 500 450
HMT HM37 Thalassemia Screening 580 500
HMT HM38 Hb & PCV 90 80
HMT HM42 Plasmodium Falciparum Malaria 350 300
HMT HM43 D-DIMER Test 850 800
HMT HM47 Bone Marrow Biopsy 1100 1000
HMT HM49 M.C.V 60 50

( 23 )
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TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
HMT HM50 M.C.H. 60 50
HMT HM51 M.C.H.C. 60 50
HMT HM52 MCV/MCH/MCHC 180 150
HMT HM53 Double Antigen (P.Faliciparum & P.Vivax) 520 450
HMT HM54 Coagulation Profile 1260 1100
HMT HM56 Bone Marrow Aspiration + Biopsy 2000 1800

D7. INVESTIGATIONS – CLINICAL PATHOLOGY

CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
CLP CP01 CSF for Cell Count 120 100
CLP CP02 CSF for Cell Type 120 100
CLP CP03 CSF for Cell Count & Type 200 180
CLP CP04 CSF for AFB Stain 120 100
CLP CP05 CSF for GRAM Stain 120 100
CLP CP06 PERI / PLEU Fluid-Cell Count 120 100
CLP CP07 PERI / PLEU Fluid-Cell Type 120 100
CLP CP08 PERI / PLEU Fluid-Gram Stain 120 100
CLP CP09 PERI / PLEU Fluid-AFB Stain 120 100
CLP CP10 Semen Analysis 230 200
CLP CP11 Urine Routine Examination 80 70
CLP CP12 Acetone in Urine 80 70
CLP CP13 Bile Salt in Urine 80 70
CLP CP14 Bile Pigment in Urine 80 70
CLP CP15 Urobilinogen & Others in Urine 80 70
CLP CP16 Bence Jones Protein in Urine 90 80
CLP CP17 Albumin in Urine 80 70
( 24 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
CLP CP18 Chylous Urine for Study 90 80
CLP CP20 Stool Routine Examination 80 70
CLP CP21 Occult Blood in Stool 80 70
CLP CP22 Stool Routine by Concentration Method 80 70
CLP CP24 Sputum Direct Smears for AFB 90 80
CLP CP26 Smears from any specimen for
Gram Stain 90 80
CLP CP27 Smears from any other Specimen
for AFB Stain 90 80
CLP CP33 PUS FOR ACID FAST BACILLI 90 80
CLP CP34 PERI/PLEU FLUID CELL TYPE
& COUNT 200 180
CLP CP37 ASCITIC / PLEURAL FLUID CELL
COUNT & TYPE 200 180
CLP CP38 PERI / SYNOVIOL FLUID-CELL
COUNT & TYPE 180 160
CLP CP42 Indian Ink 120 100
CLP CP43 Reducing Substances Test 80 70
CLP CP44 Fungal Stain 120 100

D8. INVESTIGATIONS – IMMUNOLOGY

CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
IMM IM01 Mantoux Text 90 80
IMM IM02 VDRL 90 80
IMM IM03 Vitamin B-12 800 700
IMM IM04 Folic Acid (Folate) 800 700
IMM IM05 Vitamin B-12 & Folic Acid (Folate) 1400 1200
IMM IM06 Widal Test 120 100
IMM IM07 DENGU (IgG & IgM) by Elisa /
Antibody 800 700
IMM IM08 DENGU NS1 Antigen by Elisa 800 700
( 25 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
IMM IM10 Anti-Nuclear Antibody Test (ANA) 690 600
IMM IM14 Australia Antigen (Enhanced
Chemiluminescence Method) 400 350
IMM IM19 Clot Retraction 90 80
IMM IM20 Anti-HIV I & II (Enhanced
Chemiluminescence Method) 500 450
IMM IM23 HAM Test 180 150
IMM IM25 Coagulation Correction 920 800
IMM IM26 ANF 500 450
IMM IM28 Anti-DS DNA 520 450
IMM IM30 ASO (Quantitative) 690 600
IMM IM31 RA (Quantitative) 690 600
IMM IM32 CRP (Quantitative) 690 600
IMM IM33 ANA (IF) 800 700

D9. INVESTIGATIONS – SEROLOGY

CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
SRL SE01 HB Core IgM (Enhanced
Chemiluminescence Immunoassay) 690 600
SRL SE02 HBe Antibody (Enhanced
Chemiluminescence Immunoassay) 690 600
SRL SE03 HBe Antigen (Enhanced
Chemiluminescence Immunoassay) 690 600
SRL SE04 HBs Antibody (Enhanced
Chemiluminescence Immunoassay) 690 600
SRL SE05 HBs Antigen (Enhanced
Chemiluminescence Immunoassay) 690 600
SRL SE06 HCV 3 Antibody (Enhanced
Chemiluminescence Immunoassay) 690 600

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 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
SRL SE07 HAV Igm Antibody (Enhanced
Chemiluminescence Immunoassay) 690 600
SRL SE08 HBs Antigen (Spot Test) 350 300
SRL SE09 Anti HIV (Spot Test) 350 300
SRL SE10 Hepatitis Profile 4800 4500
SRL SE11 Anti HEV IgM (Elisa) 690 600
SRL SE24 Dialysis Package 1700 1500
SRL SE13 Potassium & Creatinine 200 180
SRL SE14 HBS Ag, Anti HCV, Anti HIV I & II 1600 1500
SRL SE15 Anti HCV (Spot Test) 350 300
SRL SE16 SCRUB TYPHUS 600 500
SRL SE17 ANA (IF) WITH TITRE 1600 1500
SRL SE18 Typhi DOT 450 400
SRL SE19 ANA Panel 2400 2200
SRL SE21 COVID 19 Test 950 950
SRL SE25 Rapid Antigen Test for COVID 19 on
Urgent Basis 200

D10. INVESTIGATIONS – MICROBIOLOGY

`)
(` (`
`)
MIC MI01 Blood & Sterile Body Fluid
Culture & Sensitivity 650 600
MIC MI03 Throat SWAB for KLB 120 100
MIC MI05 Culture & Sensitivity 900 800
MIC MI06 Culture of one Specimen for
TB (AFB Culture) 350 300
MIC MI07 Myco-Bact Culture of 5 Urine
Sample (Each) 350 300
MIC MI10 Smears for Gram Stain 140 120
MIC MI11 KOH Preperation for Fungus of
Any Specimen 170 150
MIC MI12 Fungal Culture & Sensitivity 580 500
MIC MI13 Skin Slit Smears for Hansens’ Disease
(AFB Stain) 120 100
MIC MI15 Urine Smears for AFB Stain 120 100
MIC MI17 MTB Rifampicin Resistance Test 2300 2000
MIC MI18 Blood Bank QC1 1800 1700

( 27 )
 D11. INVESTIGATIONS – HISTOPATHOLOGY
CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
HIS HP01 Biopsy Small Specimen (1-2 Blocks) 500 500
HIS HP02 Biopsy Medium Specimen (3-5 Blocks) 1000 1000
HIS HP03 Large Specimen (More than 5 Blocks) 1500 1500
HIS HP04 Extra Large (9 - 12 Blocks) 2200 2200
HIS HP09 Frozen Section (By Leica CM 1860) 2500 2500
(For Double Block)
HIS HP10 Frozen Section (By Leica CM 1860) 1500 1500
(For Single Block)
HIS HP11 Extra Charge per Block 300 300
HIS HP12 Estrogen Receptor (ER) 1200 1200
HIS HP13 Progesterone Receptor (PR) 1200 1200
HIS HP14 Human Epidermal Growth Factor 1200 1200
Receptor-2 (HER-2)
HIS HP15 ER+PR+HER 3500 3500
HIS HP16 True Cut Biopsy including needle 1600 1500
HIS HP17 Mastectomy Specimen Biopsy 4000 4000
(Whole Breast Tissue)
HIS HP18 ER+PR+HER2+KI-67 4000 4000
HIS HP19 KI-67 1200 1200
HIS HP20 CK AE1 / AE3 1200 1000
HIS HP21 CD45 1200 1000
HIS HP22 Chromogranin 1200 1000
HIS HP23 WT-1 1200 1000
HIS HP24 CK 20 1200 1000
HIS HP25 CK 7 1200 1000
HIS HP26 P 63 1200 1000

D12. INVESTIGATIONS – CYTOLOGY

`)
(` (`
`)
CYT CY01 Pap Smear (All Body Fluids, Gynae,
Specimen, Nipple Discharge etc.) 550 500
CYT CY02 FNAC 350 300
CYT CY03 Aspiration Smears for Cytological
Examination (drawn) 250 200
(USG Guided or CT Guided)

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SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
D13. INVESTIGATIONS – BIOCHEMISTRY

BIO B002 Serum CPK-MM 290 250

BIO B004 Plasma/Serum Creatinine 90 80
BIO B005 Serum Urea 90 80
BIO B006 Serum Uric Acid 90 80
BIO B007 Blood Urea Nitrogen (BUN) 90 80
BIO B008 NPN 90 80
BIO B010 CSF/PF/Serum Chloride 120 100
BIO B011 Serum Electrolytes 350 300
BIO B012 Serum : Sodium 120 100
BIO B013 Serum : Potassium 120 100
BIO B014 Serum : Chloride 120 100
BIO B015 CSF/PF/AF Protein 120 100
BIO B016 Serum Ceruloplasmin 920 800
BIO B018 Urinary Copper 460 400
BIO B019 Cardiac Enzyme : LDH, SGOT,
CPK, CPK-MB 920 800
BIO B020 Serum LDH 230 200
BIO B021 SGOT (AST) 120 100
BIO B022 Serum CPK 290 250
BIO B023 Serum CPK-MB 290 250
BIO B024 Serum Lipid/Protein Profile 580 500
BIO B025 Serum Total Cholesterol 180 150
BIO B026 Serum HDL Cholesterol 180 150
BIO B027 Serum LDL Cholesterol 180 150
BIO B028 Serum Cholesterol VLDL 180 150
BIO B029 Serum Triglycerides 200 170
BIO B030 LFT : BLR, PRT, ALB, GLB, ALKPH,
SGPT, SGOT 630 550
( 29 )
 CHARGES AT CHARGES AT
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TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
BIO B031 Serum Total Protein (Albumin
& Globulin) 120 100
BIO B032 Serum AIK Phosphatase 120 100
BIO B033 SGPT (ALT) 120 100
BIO B034 SerumBilirubin Total 120 100
BIO B035 Serum Bilirubin : Conju/Unconju+Total 190 160
BIO B036 Serum FSH (Enhanced
Chemiluminescence Immunoassay) 800 700
BIO B037 Serum LH (Enhanced
Chemiluminescence Immunoassay) 800 700
BIO B038 Serum Prolactin (Enhanced
Chemiluminescence Immunoassay) 700 600
BIO B040 Glucose Tolerance Test (GTT) 400 350
BIO B045 Serum Lipase 350 300
BIO B049 ABGA : pCO2, pO2, pH, bicarbonate 750 700
BIO B058 Serum Amylase 350 300
BIO B061 Serum Calcium 120 100
BIO B065 Serum Iron 230 200
BIO B066 Serum I.B.C. 230 200
BIO B067 Serum Inorganic Phosphorus 150 130
BIO B071 Serum Bicarbonate 170 150
BIO B077 Serum T3, T4, TSH (Enhanced
Chemiliminescence Immunoassay) 600 520
BIO B078 Serum T3 (Enhanced
Chemiliminescence Immunoassay) 200 170
BIO B079 Serum T4 (Enhanced
Chemiliminescence Immunoassay) 200 170

( 30 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
BIO B080 Serum TSH (Enhanced
Chemiliminescence Immunoassay) 260 230
BIO B082 Urinary Amylase 250 220
BIO B083 Urinary Bilirubin 90 80
BIO B084 Urinary Calcium 120 100
BIO B085 Urinary Chloride 120 100
BIO B086 Urinary Creatinine 120 100
BIO B088 Urinary Creatinine Clearance 170 150
BIO B092 Urinary Inorganic Phospharous 170 150
BIO B094 Fasting Plasma Sugar 60 45
BIO B095 Post Prandial Plasma Sugar 60 45
BIO B096 Random Plasma Sugar 60 45
BIO B097 CSF : Sugar 70 60
BIO B098 P. Fluid Sugar 70 60
BIO B099 Asc. Fluid Sugar 70 60
BIO B100 Sugar : Blood, CSF, PF, Asc 280 240
BIO B102 Urinary Protein (Total) Random 140 120
BIO B103 Urinary Protein - 24 HRS 140 120
BIO B105 Urinary Urea 120 100
BIO B106 Urinary VMA 920 800
BIO B107 Urobilinogen 90 80
BIO B109 Sugar by Glucometer 50 50
BIO B110 Sugar Fasting & Urea 180 140
BIO B111 Sugar Fasting & PP 120 90
BIO B112 Sugar, Urea & Creatinine 250 220
BIO B113 Urea, Creatinine & Uric Acid 270 240
BIO B114 Sugar & LFT : PRT, ALB,
GLB, BLR, ALKP, AST ALT 700 600
BIO B115 Sugar (F) & Serum Electrolyte 420 360
BIO B116 Sugar (F) & Lipid Profile 650 560
BIO B117 Sugar (F) & Cardiac Enzyme 990 860
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 CHARGES AT CHARGES AT
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TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
BIO B118 Sugar (F), Urea, Creatine,
LFT, Electrolyte 1180 1120
BIO B119 Sugar (F), Urea, Creatine & LFT 830 720
BIO B120 Serum Triglycerides & Cholesterol 320 270
BIO B121 Sugar, Protein & Chloride CSF/PF/AF 280 240
BIO B122 Sugar & Protein CSF/PF/AF 160 140
BIO B123 CSF Protein 120 100
BIO B124 PF Protein 120 100
BIO B125 AF Protein 120 100
BIO B126 CSF Chloride 180 150
BIO B127 PF Chloride 120 100
BIO B128 AF Chloride 120 100
BIO B129 Sugar (F), PP, Electrolyte & LFT 940 820
BIO B130 Sugar & Uric Acid 160 140
BIO B131 Postprandial Sugar & Uric Acid 160 140
BIO B132 Serum Urea & Creatinine 190 160
BIO B134 Urine for Micro Albumin 690 600
BIO B135 Serum Insulin Fasting 1150 1100
BIO B136 Serum PSA (Enhanced
Chemiluminescence Immunoassay) 580 500
BIO B137 Serum Ferritin (Enhanced
Chemiluminescence Immunoassay) 580 500
BIO B138 Serum Insulin P. P. 1150 1000
BIO B139 Serum Transferrin 230 200
BIO B142 Serum C. Peptide P. P. 580 500
BIO B143 Serum Gamma Glutamyl Transferase 230 200
BIO B144 Serum Magnesium 180 150
BIO B146 Serum C-Peptide Fasting 1150 1000
BIO B147 Serum FT3 (Enhanced
Chemiluminescence Immunoassay) 230 200
BIO B148 Serum FT4 (Enhanced
Chemiluminescence Immunoassay) 230 200
BIO B149 Serum Oestradiol 350 300
BIO B151 Serum Testosterone 580 500
BIO B152 Serum DHEA-Sulphate 580 500
BIO B153 Serum Cortisol (Enhanced
Chemiluminescence Immunoassay) 700 600
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TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
BIO B154 Growth Hormone (GH) 900 700
BIO B155 Serum Alfa Fetoprotein (AFP) 700 600
BIO B156 Serum Carcino Embryonic Antigen (CEA) 700 600
BIO B157 Serum CA-125 (Enhanced
Chemiluminescence Immunoassay) 700 600
BIO B159 Direct LDL 180 150
BIO B160 Direct HDL 180 150
BIO B164 Plasma / Blood Ammonia 400 350
BIO B166 Serum BETA HCG 700 600
BIO B167 25 OH Vitamin D Total 1500 1300
BIO B173 Serum Calcium Profile (Calcium +
Alk Phos + Phosphorus + MGM) 580 500
BIO B178 L. F. T. (T+C) 630 550
BIO B180 Serum Sodium & Potassium 230 200
BIO B182 Serum Lipase & Amylase 700 600
BIO B184 ADA test 580 500
BIO B186 Plasma Lactate 580 500
BIO B187 Spot / 24 Hrs Urinary Albumin
Creatinine Ratio (Protein-Creatinine) 700 600
BIO B190 Serum Procalcitonim (PCT) 1500 1500
BIO B191 25-OH Vitamin D Total (DS) 1400 1200
BIO B192 Troponin-1 900 800
BIO B193 Anti CCP 1300 1200
BIO B194 Anti TPO 1300 1200
BIO B195 PTH 1300 1200
BIO B196 Biothesiometry 350 300
BIO B197 Insulin Like Growth Factor (IGF 1) 1400 1200
BIO B198 Pro BNP 1500 1500
BIO B199 EGFR (PCT) 100 90
BIO B200 Urea, Creatinine, Sodium, Potassium 450 400
BIO B207 IL-6 (Interleukin 6) 1700 1500
(Test for COVID-19 Patients)
BIO B210 CTX-1 1600 1500
BIO B211 P1NP 1600 1500
BIO B214 HLA-B27 1700 1500
BIO B215 Total Serum Bile Acids (TSBA) 1300 1200

( 33 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
D14. INVESTIGATIONS – GENETICS

GEN SG01 ABO+Rh(D) Group Determination 230 200

GEN SG02 Pregnancy Test Immunological Method 300 250
GEN SG04 Direct Coomb’s Test (DCT) 400 350
GEN SG05 Indirect Coomb’s Test (ICT) 400 350
GEN SG06 Serum Titration - ABO 300 250
GEN SG07 Serum Titration - Rh 300 250
GEN GE11 Chromosome (Karyotype) 2700 2500
GEN SG13 ABO+RD(D) & DCT 600 550
GEN SG14 ABO+RD(D), DCT & ICT 1000 900
GEN SG15 DCT & ICT 800 700
GEN SG16 ABO+RD(D), ABO & Rh Titration 800 700
GEN SG22 ABO+RD(D) & ICT 600 550
GEN SG34 ABO & RD(D) & ABOTitration 600 550
GEN SG35 ABO & RD(D), Rh Titration 600 550
GEN SG38 ABO+Rh(D), DCT, ICT, Auto 1350 1250

D15. INVESTIGATIONS – CARDIAC

CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
ECG EC01 ECG 175 125
ECG EC02 E C G (Stress Test) TMT 1050 1000
ECG EC03 D C Shock 225 200
ECG EC04 Holter Monitoring - 24 Hrs. Each 1500 1300
ECG Holter Monitoring - 48 Hrs. Each 3000 2600
ECG EC05 Pace maker Analysis 250 200
ECG EC09 Carotid Sinus Message (CSM) 550 500
ECG EC14 24 Hours Ambulatory Blood Pressure
Monitoring (ABPM) 2000 1800
ECG 48 Hours Ambulatory Blood Pressure
Monitoring (ABPM) 4000 3600
( 34 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
D16. INVESTIGATIONS – NEURO
EEG EE01 E E G (16 Channel) 650 550
EMG EM01 E M G (Only) 650 550
EMG EM03 E M G (4 Channels) with needles 650 550
EMG EM04 NCV 850 750
EMG EM05 E M G : 6 Channel & NCV Together 1150 1050
EMG EM06 Evoked Potentials - VEP 650 550
EMG EM07 Evoked Potentials - BERA 650 550
EMG EM08 Evoked Potentials - SSEP 650 550
EMG EM11 RNST 750 650
D17. INVESTIGATIONS – ENDOSCOPY / ERCP
CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
END ED01 Arthroscopy 900 850
END ED02 Bronchoscopy 450 400
END ED03 Cystoscopy 300 250
END ED04 Colonoscopy (Short) 1000 800
END ED05 Colonoscopy (Long) 1500 1400
END ED06 Colonoscopic Polypectomy 2200 2000
END ED07 Gastroscopy 600 500
END ED08 UGI Endoscopy/Gastroscopy (OPD only) — 800
END ED09 Oesophagoscopy 500 400
END ED10 Sigmoidoscopy 400 300
END ED15 Laryngoscopy 300 250
END ED16 Laparoscopy 700 600
END ED17 UGI Endoscopy / Gastroscopy (IPD) 1000 800
END ED19 Sclerotherapy - EST 900 800
END ED20 Endoscopic Varicoel Ligation
(Banding) E.V.L. 1700 1500
END ED28 HMO CLIP 900 800
END ED29 Esophageal Dilatation 2600 2500
END OT 784 E.R.C.P. (Therapeutic) (at OT) 10000 10000
END ED31 Video - Bronchoscopy 3000 2500
END OT 784 E.R.C.P. Portable (at OT) 10000 10000
END ED33 Portable Endoscopy 1700 1500
END ED34 Colonoscopy (Portable) 2200 2000
( 35 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
END ED35 Medical Thoracoscopy 3200 3000
END ED37 Medical Thoracoscopy 3200 3000
END ED39 Lower GI Endoscopy (Diagnostic) 1700 1500
END ED40 Oesophageal SG Dilatation 2200 2000
END ED41 Achalasia Dilatation 3200 3000
END ED42 Haemo-Clip Application 1200 1000
(excluding cost of Clip)
END ED43 EVH (Endoscopic Vessel Harvesting) 35,000
END ED44 UGI Endoscopy at O.T. 2100 2000
END ED45 Colonoscopy at O.T. 2600 2500
D18. INVESTIGATIONS – OTHERS
OIN OI01 Audiogram 400 300
OIN OI02 Autologous Plasma Skin Test (APST) /
Autologous Serum Skin Test (ASST) 100 100
OIN OI03 Caloric Test 75 50
OIN OI04 Examination of Extremities 75 50
OIN OI05 Eye Refraction 80 80
OIN OI06 Glaucoma Examination 75 60
OIN OI07 Lung Function Test /P.F.T. 800 600
OIN OI08 SNRT 400 350
OIN OI09 Eye Refrection (Out side) 80 80
OIN OI10 Speech Adiometry 60 50
OIN OI11 F. F. Audiometry 125 100
OIN OI12 A.B.L.B. Test 50 40
OIN OI13 SISI Test 60 50
OIN OI14 Tone Decay Test 60 50
OIN OI15 Uroflowmetry 350 300
OIN OI17 PTA 70 70
OIN OI19 OTO Acoustic Emission Test 600 500
OIN OI20 OTO Refractometer 30 30
OIN OI23 Cystometry with Pressure-Flow Analysis(PFA) 2500
OIN OI24 Cystometry with pressure Flow Analysis(PFA) EMG Study 3000
OIN OI25 Flow EMG 1000
D19. INVESTIGATIONS – DAY CARE
OBSTETRICS UNIT & GYNAE OPD
`)
(` `)
(`
CTG OBS CTG Service 300 250
( 36 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
CTG OBS1 USG Service (Day Care) 450 400
CTG OBS2 CTG & USG Combined 700 600
GYN GY01 Colposcopy 500 500
GYN GY02 HPV Test for excluding CA Cervix 1550 1550
GYN GY03 Infertility investigation 1550 1550
GYN GY04 IUI (Donor) 2000 2000
The package charges for Urodynamic Study will include supply of the following :—
1) Gloves — 3 pairs
2) Syringes (20 cc - 1pc., 10cc - 1 pc. & 5 cc - 2 pcs.)
3) EMG electrodes — 3 pcs.
4) Foley’s Catheter (10/14 Fr.)
5) Urobag
6) Lignocaine Jelly
7) Betadine lotion (100 ml.)
8) Normal Saline 1 Litre
N.B. : Additional charges will be applicable for any item not covered
by the above list like i) Antibiotics, ii) other medicines (if required)

E. PLASTERING, REDUCTION, ETC.

PLR PL01 Plastered OR Plaster Shell 650 500
PLR PL02 Minerva Jacket 650 500
PLR PL03 Shoulder Spica 650 500
PLR PL04 Whitman’s Hip Spica (Adult) 650 500
PLR PL05 Whitman’s Hip Spica (Child) 500 400
PLR PL06 Plaster- Longleg 400 300
PLR PL07 Plaster-Long Arm 400 300
PLR PL08 Plaster Below Elbow 400 300
PLR PL09 Slabs - Above Elbow 250 200
PLR PL10 Slabs - Above Knee 250 200
PLR PL11 Slabs - Below Knee 250 200
PLR PL12 Plastering in Ward & OPD/EMER 150 100
PLR PL13 All Other Plastering & Reduction
Under GA 800 700
PLR PL14 Change / Review of Dress / Wounds 250 200
PLR PL15 Examination Under GA 600 400
PLR PL16 OPD - Colles Plaster 300 250
PLR PL17 OPD - Local Steroid Injection 70 50
PLR PL18 OPD - Pressure Bandage 70 50
( 37 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
PLR PL19 Fig of 8 Bandage 75 50
PLR PL20 Strapping 100 70
PLR PL21 Plaster Off 75 50
PLR PL22 Dressing 75 50
PLR PL23 O/C Sling 75 50
PLR PL24 Stitch Off 75 50
PLR PL25 Aspiration Under LA 150 125
PLR PL26 Muscle Nerve Chart 70 50
PLR PL27 Exercise with Equipment 30 20
PLR PL38 I & D Under LA 100 70

F. CARDIAC INSTRUMENTATION (FOR ICCU ONLY)

CAR CA01 Temporary Pacemaker 2000
CAR CA03 Use of External Pacemaker per day 500
CAR CA04 Defibrillation 500
CAR CA05 ECG Monitor 300
CAR CA07 Pacemaker Screening 1000
CAR CA09 Central Line (ICCU/ITU/Dialysis) 700

F-1. CATH LAB & CTVS

CL1 Coronary Angiography (Procedure Charges) 7,500
CL2 Coronary Angioplasty (PTCA) 48,000
(Procedure Charge) (Without Balloon & Stent)
CL3 Single Chamber Pacemaker/ICD 32,000
(Procedure Charges)
CL4 Double Chamber Pacemaker/ICD 42,000
(Procedure Charges)
CL5 ADHOC PTCA (Angiography + PTCA) (Without Balloon & Stent) 52,000
(Procerure Charges)
Bed Charges for HDU-I & II (Per day) 2,250
PPE Kits (for doctors, nurses and other health care providers)
for HDU-I & II patients (Per day) 1,000
The package charges will include the followings :-
1) 1 day in Hospital stay in case of Angiography.
2) 2 days hospital stay in CCU & 1 day in Ward in case of PTCA (Elective &
Ad-Hoc)
3) O.T. Charges.

( 38 )
 CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/
TYPE CODE ITU/HDU/CABIN
`)
(`
4) Investigations (Hb%, Urea, Creatinine, Hepatitis B & C, HIV)
5) Surgical Items (Dye, Catheter etc.)
N.B. Additional charges will be applicable for any item not covered by the
above list (if required), like (i) longer hospital stay, (ii) other investigations/
repeat investigation, (iii) medicine etc.
Cardiothoracic Surgery Procedure Charges
CL6* Bypass Surgery/CABG (Excl. Heart Lung Mac) 1,75,000
CL7* ASD Closure (Including Heart Lung Machine) 1,75,000
CL11* MVR (Including Heart Lung Machine) + Cost of Implant 1,85,000
CL12* AVR (Including Heart Lung Machine) + Cost of Implant 1,85,000
CL13* DVR (Including Heart Lung Machine) + Cost of Implant 2,00,000
CL15* CABG + AVR + (Cost of Implant) 2,00,000
CL16* CABG + MVR + (Cost of Implant) 2,00,000
CL17* CABG + DVR + (Cost of Implant) 2,10,000
CL8 Ballon Mitral Valvuloplasty (BMV) 40,000
(Charges include in the package from the day of operation —
3 days stay in CCU & Ward, Viral Profile, Urea Creatinine,
NA+, K+, P. Time CBC, ECG, Echocardiography Screening)
CL9 Heart-Lung Machine 20,000
CL10* IABP Machine 45,600
CL14 Device Closure 8,000
CL19 Occlutech Figulla Flex II 22,000
CL22 PDA (Package Charges) 25,000
CL23 ASD (Device + Package Charges) 1,00,000
CL24 BPV Balloon Charges 20,000
CL25 BPV Package Charges 20,000
CL26 Coil Embolization Package + Coil Charges 20,000
CL27 CAG + PAG 10,000
CL28 CA06 Pacemaker Battery Changing 30,000
CL29 CA08 Repositioning of Permanent Pacemaker (Single) 30,000
CL30 Double Chember Pacemaker Battery Charging 40,000
CL31 CA08 Repositioning of Permanent Pacemaker (Double) 40,000
CL32 Pericardiocentesis 7,000
CL33 PAG 8,000
CL34 PAG - Coil embolization 45,000
CL35 PAG without Stent & Ballon 10,000
CL42* VSD Closure 1,75,000
( 39 )
 CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/
TYPE CODE ITU/HDU/CABIN
`)
(`
CL43* LA MYXOMA 1,75,000
CL44* RA MYXOMA 1,75,000
CL45* Pericardiactomy 1,75,000
CL46* MICS (Minimally Invasive Cardiac Surgery) with EVH 3,00,000
CL47* MICS (Minimally Invasive Cardiac Surgery) without EVH 2,70,000
* The Package Charges will include the followings :—
1) 8 days in Hospital stay
2) O. T. Charges
3) Investigations & Medicine
N.B. : Additional Charges will be applicable in the following cases :—
1) Rs. 20,000/- to Rs. 25,000/- for blood, high cost medicine & investigation
2) Longer hospital stay (more than 8 days)

Paediatric Cardiothoracic Surgery Procedure Charges

PCL01* Paediatric Cardiac Angiography 7,000
PCL02* Paediatric Coil Embolization 12,000
PCL03* Paediatric PDA Device Closure 16,000
PCL04* Paediatric ASD Device Closure 26,000
PCL05* Paediatric VSD Device 36,000
PCL06* Paediatric Pulmonary Valve Angioplasty 16,000
PCL07* Paediatric Aortic Valve Balloon Angioplasty 21,000
PCL08* Paediatric Pericardiocentesis 10,000
PCL09* Paediatric Balloon Artrial Septostomy 16,000
*(a) Bed Charges, Lab Charges & Service Charges etc. will have to be
paid separately.
b) Coil, PDA device sheath, Balloon, VSD Device, VSD Delivery
Catheter, ASD Device, ASD Delivery Sheath etc. will be supplied
from the hospital’s pharmacy and will be included duly in the Medicine
Bill. )
G. HAEMODIALYSIS

CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/ HOLIDAY
TYPE CODE ITU/HDU/CABIN Gen. BED
(`` ) (`` ) (`` )
DIA DI01 2nd Dialysis (General) Onwards 1200 1000
DIA DI03 AV Fistula Operation Only 5000 4000

( 40 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/ HOLIDAY
TYPE CODE ITU/HDU/CABIN Gen. BED
DIA DI04 Peritoneal Dialysis per Sitting 600 500
DIA DI05 A.F. Fistula Needle each 45 45
DIA DI06 Artificial Kidney Each 670 670
DIA DI07 Blood Tubing Set Each 180 180
DIA DI08 IV Set Each 15 15
DIA DI09 B T Set Each 20 20
DIA DI10 Disposable Syringe Each 10 10
DIA DI11 Sub-clavian catheter 195mm (kit) each 2000 2000
DIA DI12 Sub-clavian catheter without kit each 1750 1750
DIA DI13 Femoral catheter 135mm each 690 690
DIA DI18 Guide Wire (O’PC) 400 400
DIA DI23 Tissue Dilator (Vessel) 154 154
DIA DI24 Introducer Needle 154 154
DIA DI27 Advance for dialysis 4000 4000
DIA DI28 Long Line in ICCU 700 700
DIA DI29 Plasmapheresis 30000 30000
DIA DI30 N.S. 09% 500 ML 22 22
DIA DI31 Dextrose 10% (500 ML) 30 30
DIA DI32 Dextross 25% (100 ML) 17 17
DIA DI33 Artifacial Kidney 625 625
DIA DI34 Blood Tubing Set 200 200
DIA DI51 1st Dialysis (General) Holiday — — 5500
DIA DI52 1st Dialysis (General) 4500 4000
DIA DI52A 1st Dialysis without Subclavan Cath 2500 2000
DIA DI53 2nd Dialysis (General) onwards Holiday — — 2000
DIA DI54 1st Dialysis (Saline) 4600 4100
DIA DI55 1st Dialysis (Saline) Holiday — — 5600
DIA DI56 2nd Dialysis (Saline) onwards Holiday — — 2100
DIA DI57 Dialysis (SLED) 6000
DIA DI58 Dialysis (SLED) Holiday — — 7500
DIA DI59 2nd Dialysis (SLED) onwards 1200
DIA DI60 2nd Dialysis (SLED) onwards Holiday — — 2000
DIA DI200 2nd Dialysis (Saline) onwards 1300 1100

( 41 )
 H. DENTAL SURGERY & INSTRUMENTATIONS
CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
DEN DE01 Trans Alveolar Extraction 200
DEN DE03 One Surface Filling L.C. 300
DEN DE05 Scaling (Per Sitting) 200
DEN DE06 Extraction of Each Tooth 50
DEN DE07 Extraction of Impacted Tooth (Soft Tissue) 600
DEN DE08 Extraction of Impacted Tooth (Hard Tissue) 1000
DEN DE09 Root Canal Therapy - Vital Tooth 1000
DEN DE10 Root Canal Therapy - Non-Vital Tooth 1500
DEN DE11 Selective Grinding 100
DEN DE12 Temporary Filling 100
DEN DE17 Cephalometry 250
DEN DE19 Orthodontic Treatment 2000+2000
DEN DE20 Orthodontic Treatment : (5000/- Per Sitting x 3 Sitting) 15000
DEN DE21 Ceramic Crown - Per Tooth 1500
DEN DE22 Metal Crown 1000
DEN DE24 RCT+Filling (Conventional Method) Single Canal 1200
DEN DE25 RCT+Filling (Conventional Method) Multi Canal 1500
DEN DE26 Protaper RCT + RVG 2500
DEN DE27 Metal Crown (NC) 1000
DEN DE28 Ceramic Crown (PFNL) 1200
DEN DE29 Full Ceramic Crown 5000
DEN DE30 Composite Filling 300
DEN DE31 Hard Tissue Surgical Extraction/Apicoectomy (per tooth) 3000
DEN DE32 Fibre Post / Cast Post 1500
DEN DE33 Screw Post 800
DEN DE34 Pulpotomy 2500
DEN DE35 Temporary Crown (Acrylic) 300
DEN DE36 Removal Pertial Denture (RPD) 300
DEN DE37 GIC Filling 200
DEN DE38 Complete Denture (High impact material) 6500
DEN DE39 Complete Denture High 8500
DEN DE40 Single Setting RCT & RVG 5000
DEN DE41 Bite Plate 1000
DEN DE42 Soft Tissue Surgical Procedure 600
DEN DE43 Orthodantic Treatment Fixed (Per Installment) 5000
DEN DE44 Functional Appliance 10000

( 42 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
DEN DE45 Removal Appliance 5000
DEN DE46 Retentive Appliance 2000
DEN DE47 Tooth Polishing & Bleaching 3800
DEN DE48 Veneering / unit 5000
DEN DE49 Flexible R.P.D. (Per Quadrant) 4000
DEN DE50 Half or Upper or Lower Denture (Per Quadrant) 4000
DEN DE53 Orthodantic Ceramic (White) Bracket Per Sitting 5000
DEN DE54 Implant+Abutment+Other Accessories & Implant
Posthetic Part (Crown) (1st Instalment) 12000
DEN DE55 Implant+Abutment+Other Accessories & Implant
Posthetic Part (Crown) (2nd Instalment) 4000
DEN DE56 Implant+Abutment+Other Accessories & Implant
Posthetic Part (Crown) (3rd Instalment) 4000
DEN DE59 RVG (Radiovisiogram) (New Machine) 100
DEN DE60 RVG (Radiovisiogram) (Old Machine) 80
I. ENT SURGERY & INSTRUMENTATION
ENT EN01 Microscopic Examination in O.T. 60 50
ENT EN02 Suction Clearance 50 40
ENT EN03 Outdoor OT under LA — 300
ENT EN04 Antrum Puncture 70 60
ENT EN05 Tympanogram 400 350
ENT EN06 ETF Test 250 200
ENT EN07 Myringectomy Under L.A. 100 100
ENT EN08 CESS 250 250
ENT EN10 Fibre Optic Laryngoscopy (FOL) (with Film) 900 800
ENT EN11 Fibre Optic Laryngoscopy (FOL) 500 450
(without Film)
ENT EN12 Nasoendoscopy (with Film) 700 700
ENT EN13 Nasoendoscopy (without Film) 300 300
J. EYE SURGERY & INSTRUMENTATION
EYE EY00 Automated Perimetry 1100 1000
EYE EY01 C Lens Hard Single Eye 200 200
EYE EY02 C Lens Soft Single Eye 400 400
EYE EY03 C Lens Hard Both Eye 310 310
EYE EY04 C Lens Soft Both Eye 600 600
EYE EY05 Biometry (Single) 400 300
EYE Biometry (Both) 600 500

( 43 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
EYE EY06 Intraocular Lences (IOL) 360 360
EYE EY09 Fundus Fluroscein Angiography(FFA) 1100 1000
EYE EY10 OCT Macula Single Eye (1st Visit) 900 800
EYE EY11 OCT Macula Both Eyes (1st Visit) 1300 1200
EYE EY12 OCT RNFL Analysis (Retinal Nerve 900 800
Fibre Layer) (for one eye)
EYE EY13 OCT RNFL Analysis (Retinal Nerve
Fibre Layer) (for both eyes) 1300 1200
EYE EY14 OCT Macula + FFA (both eyes) 1500 1500
EYE EY15 OCT RNFL + HFA/HVF/Perimetry 1300 1300
(both eyes) (Hymphrey Field Analyzer)
EYE EY16 Anterior Segment OCT (for one eye) 900 800
EYE EY17 Anterior Segment OCT (for both eyes) 1300 1200
EYE EY18 Sita Standard Sita Swap 400
EYE EY21 Fundus Photography Single Eye 400 300
EYE EY22 Fundus Photography Both Eye 500 400
EYE EY25 Yag Capsulotomy Or Yag Iridotomy (PI)
(Single Eye) 1400 1200
EYE EY26 Yag Capsulotomy Or Yag Iridotomy (PI)
(Both Eye) 2750 2400
EYE EY28 R.O.P. Screening (Both Eyes) 600 500
EYE EY29 R.O.P. Laser (Both Eyes)
(After Screening, if required) 10000 10000
EYE EY30 Argon Laser 1400 1200
EYE EY37 Ocular Miometry 600 500
EYE EY38 Colour Fundus Photo 600 500
EYE EY39 CCT Measurement 600 500
EYE EY40 USG B Scan Single Eye 600 500
EYE EY41 USG B Scan Both Eye 1000 900
EYE EY42 Foreign Body Removal 400 300
EYE EY44 OCT Macula (Single Eye) 500 400
(Repeat Visit, within 3 months)
EYE EY45 OCT Macula (Both Eye) 700 600
(Repeat Visit, within 3 months)

( 44 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`
(` ) `)
(`

K. BLOOD CENTRE
BBC BB10 **Concentrated RBC/Whole Blood (Per Unit) 1300 1200
BBC BB11 **Fresh Frozen Plasma 600 500
BBC BB12 **Platelet Concentrate 700 600
BBC BB13 Single Donor Platelet (Plateletpheresis) Per unit 10200 10000
BBC BB14 Cryoprecipitated Anti Haemophilic Factor 600 500
BBC BB15 Cryo-poor Plasma 600 500
**(Service and Processing Charges : Rs. 500/- per unit)
L. THERAPY
PTP PT01 Physiotherapy Traction Per Day 50 50
PTP PT02 Pelvic Traction Per Day 50 50
PTP PT03 Electrotherapy (Nerve Stimulation) Per Day 75 40
PTP PT04 ECT (Per Sitting) 100 50
PTP PT05 Diathermy (Per Exposure) 100 70
PTP PT06 Infra Red Ray (Per Exposure) 50 25
PTP PT07 Ultra Violet (Per Sitting) 50 25
PTP PT08 Ultrasonic (Per Sitting) UST 100 70
PTP PT09 Wax Bath (Per Sitting) 90 70
PTP PT10 Speech Therapy (1st Visit) 50 50
PTP PT11 Speech Therapy (Subsequent Visit) 20 20
PTP PT12 Chemotherapy 115 100
PTP PT13 Phototherapy (Per 8 Hours) 80 80
PTP PT18 Interferential Therapy (IFT/Tens) 150 120
PTP PT19 Nebulizer 40 35
PTP PT20 Electrical Traction 30 30
PTP PT21 Normal Physiotherapy (Per day) 50 50

( 45 )
INTERVENTIONAL PAIN MANAGEMENT (IPM) & DURING O.T . AT INDOOR / OUTDOOR
GRADE - 1
Code Description Rate (`
`)
OPD CASES (TAP BLOCK)
PC-01 Any T-Point Injection
PC-02 Any Intra-auricular Injection 500.00
PC-03 Stellate Ganglion Block (for each
PC-04 Intercostal Nerve Block (1-2 levels) case)
PC-05 Pyriformis Muscle, Psoas, Quadratus Lumborum Injection
OC-06 Suprascapular Nerve Block
PC-07 Any Peripheral Block
INDOOR CASES UNDER LA/GA
GRADE - 2
Code Description ` ) Cabin (`
Bed (` `)
PC-08 Facet Joint Blocks / Median Nerve Block (1-2 level)
PC-09 Epidural-Lumbar/Caudal/Thoracic Injections/Cervical
PC-10 Nerve Root Block/Transforaminal Epidural Injection
PC-11 Intraathecal or Epidural Trial for Permanent Implant
PC-12 Coeliac Block / Splanchnic Nerve Block 1000.00 1500.00
PC-13 Lumbar Sympathetic Block (for (for each
PC-14 Superior Hypogastric Block each case)
PC-15 Ganglion Impar Block case)
PC-16 T2-T3 Sympathetic Block
PC-17 Discography (Single Level)
PC-18 Ozone Nucleolysis
PC18A B. B. Block
GRADE - 3
Code Description ` ) Cabin (`
Bed (` `)
PC-19 Racz Adhesiolysis (FBSS)
PC-20 Radiofrequency Rhizotomy (Facet/Stellate/Sacroiliac,
Trigeminal) 2000.00 2500.00
PC-21 Percutaneous Vertebroplasty (for (for each
PC-22 Multilevel Disc Procedures each case)
PC-23 Multilevel Facet Blocks case)
PC-24 Trial of Spinal Stimulators
GRADE - 4
Code Description `)
` ) Cabin (`
Bed (`
PC-25 Permanent Implantation of Intrathecal Pump / Spinal 4000.00 5500.00
Cord Stimulator
( 46 )
 CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
M. EXTRA

EXT EX01 NICU with Incubator 300 300

EXT EX02 Alpha Bed/Ripple Bed 100 100
EXT EX03 Water Bed 50 50
EXT EX04 RH Test of Husband 150 100
EXT EX05 Ventilator in ITU/ICCU/OT/PICU 1200 1200
(Per day or Part Thereof)
EXT EX06 Nephro Bed-Post/Peri Dialysis 300 200
EXT EX07 Air Conditioner Per Day 250 250
EXT EX08 Cold Storage of Dead Body 800 800
(First 12 Hours, then 70/- per hour)
EXT EX09 Cancellation Charges For OBS Booking 1275 1275
EXT EX10 Cancellation Charges For CT Scan 150 150
EXT EX11 Cancellation Charges For USG 30 30
EXT EX12 Cancellation Charges For Echocardiography 30 30
EXT EX16 Bipap (Per Day or Part Thereof) 600 500
EXT EX17 C-Pap (Per Day or Part Thereof) 600 500
EXT EX18 Ventilator (Portable) per hour 100 100
EXT EX19 Pneumatic Compression 600 400
EXT EX20 Down Syndroms Screening 600 600
EXT Ex100 INS True ME & TS (Except’s Dialysis) 100
EXT Ex101 Mackintosh 90
EXT Ex102 High Flow Nasal Cannula System (First Day) 6,250
EXT Ex103 On Consecutive Day (Per Day) after first day 850
EXT Ex104 Fees for COVID 19 Protection (USG/CT/ENDO/Col) 200
EXT Ex105 Fees for COVID 19 Protection (X-ray / Echo) 100

( 47 )
 N. CANCELLATION CHARGES (OPD/OUTSIDE ONLY)
For Cancellation For Cancellation
of Total Examination of Screening
`)
(` `)
(`
1. MRI 200 100
2. CT Scan 150 50
3. USG 50 30
4. Echocardiography 50 30
5. Endoscopy/Colonoscopy/ERCP Etc. 100
6. PFT/ECG/Carotid Massage (or CGP) 30
7. Tympanometry 20
8. Perimetry 50
9. Biometry 30
10. FFA/Treadmill/Holter 100
11. Uroflowmetry 30
12. AOE/D-Dimmer 50
13. EMG+NCV (or EMNC) 50
14. VEP. + Bera + SSEP (or VBS) 100
15. Booked Spl. X-Ray (or BS Xray) 50

N. DUPLICATE REPORT COPIES

A) For Producing Duplicate copies of Reports from Computer
like those in CT Scan, USG, MRI and Issuing after taking
Doctor’s Signature, A Charge of ` 50/- Each will be taken.
B) Where it is Possible to give duplicate Film with Report,
The rate of charge will be as follows :-
ITEM RATE (` `)
1. CT Scan 150 (Per Plate)
2. USG 50 (Per Plate)
3. MRI 250 (Per Plate)
4. Echocardiography 100 (Per Plate)

P. SERVICE CHARGES (NON REFUNDABLE)

CHARGES AT CHARGES AT
SERV SERV DESCRIPTION ICU/CCU/CW/ OPD/OUTSIDE/
TYPE CODE ITU/HDU/CABIN GEN. BED
`)
(` `)
(`
SER SC01 Service Charge 200 150
( 48 )
 Q. MISCELLANEOUS

CHARGE AT CHARGE AT
ICCU/ITU/CCU/ GENERAL
HDU/CABIN BED
`)
(` `)
(`
1. Medical Report Comprehensive 100
2. Duplicate Birth Record 100
3. Duplicate MC, VP, RC, MRCPT OPD CARD, Etc. Each 50
4. Insurance Claim form Certificate 200
5. Medical Reimbursement Claim 100
6. Medical Certificate for Fitness Admission, Rest, Etc. 50
7. CD Charges 50
8. Bed Head Ticket 200
R. OPERATIONS
All types of Surgical Cases (Emergency as well as Scheduled), if Post-operative
ICU Observation is required as per advice of the concerned doctor, patient party
will be required to deposit an amount of ` 7,000/- (Rupees Seven thousand) and
in case of ICU Observation with Ventilation and Costly Medicine, patient
party will be required to deposit an amount of ` 45,000/- (Rupees Forty five
thousand).
GENERAL SURGERY
INDOOR & OPD UNDER L.A. : ` 400/-,
UNDER GA : ` 800/- & UNDER SA : ` 600/-
CHARGE AT CHARGE AT
ICCU/ITU/CCU/ GENERAL
HDU/CABIN BED
`)
(` `)
(`
GROUP A 1200 950
-Do - B1 2800 2300
-Do - B2 3200 2600
-Do - C1 4000 3200
-Do - C2 4500 3600
-Do - D1 5500 4400
-Do - D2 6500 5200
(GENERAL SURGERY) (UROLOGY)
GROUP A 1200 950
-Do - B 2800 2300
-Do - C 4000 3200
-Do - D 6000 4800
( 49 )
 CHARGE AT CHARGE AT
ICCU/ITU/CCU/ GENERAL
HDU/CABIN BED
`)
(` `)
(`
URS/LC
GROUP E 10000 8000

PCNL
GROUP F 10500 8500

PLASTIC/THORACIC/NEURO/FACIO-MAX
GROUP A 1500 1200
-Do - B 2800 2300
-Do - C 3400 2750
-Do - D 5500 4400
-Do - E 7500 6000

PAEDIATRIC SURGERY
GROUP A 1200 950
-Do - B 2800 2300
-Do - C 4000 3200
-Do - D 4500 3600

OBS. & GYNAE

MINOR OPERATION UNDER LA IN O.T. (INDOOR PATIENTS) : ` 600/-
GROUP A 1200 950
-Do - B 3000 2400
-Do - C 3800 3100
-Do - D 4500 3600
-Do - E 5000 4000

OBS. & GYNAE (ENDOSCOPIC) LAPAROSCOPY

GROUP A1 3000 2400

-Do - A2 3500 2800
-Do - A3 4200 3400
-Do - A4 7500 6000
( 50 )
 CHARGE AT CHARGE AT
ICCU/ITU/CCU/ GENERAL
HDU/CABIN BED
`)
(` `)
(`
HYSTEROSCOPY
Code
465 GROUP B1 3000 2400
326 -Do - B2 3200 2600
CYSTOSCOPY
472 GROUP C 3000 2400
BREAST SURGERY
555 Breast Reduction 10000 10000
561 Insertion of Chemo Port with mastectomy 4000 3200
562 Lumpectomy (small) 4000 3200
563 Lumpectomy (Large) 5200 4200
564 Breast Reconstruction (Expander) 6500 5200
565 Lumpectomy with frozen section 6500 5200
566 Microdocectomy 6500 5200
567 Breast Reconstruction (Implant) 7500 6000
568 Lumpectomy with frozen section f/b modified/
Radical mastectomy 10800 9000
ORTHOPAEDICS
[OPD : OT CASES WITH LA/GA WITH IMPLANT : ` 1000/- &
WITHOUT IMPLANT ` 600/-]
GROUP A 1500 1200
-Do - B1 3000 2400
-Do - B2 3500 2800
-Do - C 4000 3200
-Do - D 5500 4400
-Do - E 7500 6000
ENT/OTORHINO
INDOOR / OPD OPERATION UNDER LA ` 300/-, SA ` 500/-, GA ` 600/-
GROUP A 1000 800
-Do - B 2500 2000
-Do - C 4000 3200
-Do - D 5200 4200
-Do - E 6500 5200
COCHLEAR IMPLANTATION 40000 32000
Cost of Implant Rs. 5,38,000/-
( 51 )
 OPHTHALMOLOGY
PACKAGE CHARGES FOR CATARACT OPERATION
SICS PACKAGES
Package Type of Lens Types General Bed Cabin
O.T.
A SICS EC-EDGE 4000/- 5000/-
B SICS ULTIMA IC 6000/- 7000/-
PHACO EMULSIFICATION PACKAGES
Code Package Details General Bed Cabin
714 PHACO PACKAGE - A 8000/- 10000/-
715 PHACO PACKAGE - B 15000/- 17000/-
716 PHACO PACKAGE - C 18000/- 20000/-
717 PHACO PACKAGE - D 20000/- 22000/-
718 PHACO PACKAGE - E 26000/- 28000/-
719 PHACO PACKAGE - F 29000/- 31000/-
SPECIAL OPHTHALMIC SURGERIES : A : GLAUCOMA SURGERIES
720 MMC Augmented AB Externo
Trabecular Bypass Filter SX 20000/- 22000/-
721 Phaco-Emulsification with AB Externo
Trabecular Bypass Filter SX 29000/- 31000/-
SPECIAL OPHTHALMIC SURGERIES : B : LACRIMAL SYSTEM PROCEDURES
722 External Canalicular reconstruction with
Conjunctivo Nasal Bypass Procedure 20000/- 22000/-

OTHER PROCEDURE (OUTDOOR ONLY)

Code Package Details Package Total
723 Excision of Conjunctival Mass with Autograft 9000/-
INJECTION
724 Intra Vitreal Anti VEGF Package-A 15000/-
725 Intra Vitreal Anti VEGF Package-B 26000/-
726 Intra Vitreal Anti VEGF Package-C 33000/-

( 52 )
 LIST OF OPERATIONS : GENERAL SURGERY
15 OT AT INDOOR / OPD UNDER LA - ` 400/-
16 OT AT INDOOR / OPD UNDER SA - ` 600/-
OT AT INDOOR / OPD UNDER GA - ` 800/-
For use of Harmonic Scalpel in Appendicectomy ` 2,000/- extra
For use of Harmonic Scalpel in other operations in Dept. of Gynae/Urology/
Gen. Surgery & others ` 5,000/- extra.

OT
Srl. Code Operation Group Name Charges
No. Name `)
(`
1 11 Excision/Biopsy of Skin General
& Seb. Tissue/Muscle/ Surgery-A
Gangleon/Seb. Cyst./
Lipoma/ Sup. Sinus and Ulcer 1200
2 14 Eversion of Sac General Surgery -A 1200
3 15 Examination under
Anaesthesia General Surgery -A 1200
4 16 Sphincterotomy General Surgery -A 1200
5 17 Fistulectomy (Low) General Surgery -A 1200
6 19 Incision & Drainage of
Abscess (Breasts, Gluteal
Abscess Etc.) General Surgery -A 1200
7 21 Lymph Node Biopsy General Surgery -A 1200
8 26 Procto Sigmoidoscopy
with Biopsy General Surgery -A 1200
9 28 Anal Stitching/Fissurectomy General Surgery -A 1200
10 29 Retrograde Pyelography General Surgery -A 1200
11 30 Review of Wound and/or
Dressing in OT General Surgery -A 1200
12 31 Secondary Suture General Surgery -A 1200
13 34 Testicular Biopsy General Surgery -A 1200
14 332 Z-Plasty General Surgery -A 1200
15 333 Adherinolysis General Surgery -A 1200
16 370 Repair of Lacerated
Injury (Small) General Surgery -A 1200
17 371 Avulsion of Toe Nail General Surgery -A 1200
18 696 Wound Debridement (Small) General Surgery -A 1200
19 756 Analstreching General Surgery -A 1200

( 53 )
 OT
Srl. Code Operation Group Name Charges
No. Name `)
(`

20 768 Revarsal of Stoma General Surgery -A 1200

1 13 Excision of Fibroadenoma
of Breasts General Surgery -BI 2800
2 18 Haemorrhoidectomy
(Conventional) General Surgery -BI 2800
3 40 Appendicectomy General Surgery -BI 2800
4 41 Intra Abdominal
Polypectomy General Surgery -BI 2800
5 43 Drainage of Liver Abscess/
Intra Abdominal/Peritonial/
Subphrenial General Surgery -BI 2800
6 45 Drainage of Subphrenic
Abscess General Surgery -BI 2800
7 47 Exploration of Ureter General Surgery -BI 2800
8 52 Nephrolithotomy General Surgery -BI 2800
9 54 Operation for Varicose
Vein/Varicocele (Unilateral) General Surgery -BI 2800
10 56 Partial Amputation of Penis General Surgery -BI 2800
11 321 Excision of Umbilical Fistula General Surgery -BI 2800
12 322 Repair of Burst Abdomen General Surgery -BI 2800
13 335 Excision of Piles General Surgery -BI 2800
14 336 Excision of Intra-Oral
Growth and Cyst. General Surgery -BI 2800
15 372 Fistulectomy (High) General Surgery -BI 2800
16 373 Repair of Inguinal Hernia
(Unilateral) General Surgery -BI 2800
17 545 Gastrostomy/Colostomy/
Feeding Jejunostomy/
Jejunostomy General Surgery -BI 2800
18 546 Pyloric Myotomy General Surgery -BI 2800
19 547 Wide Excision with/without
Skin Grafting General Surgery -BI 2800
20 690 Diagnostic Laproscopy General Surgery -BI 2800
21 697 Wound Debridement (Large)General Surgery -BI 2800
22 709 Subcut Mastectomy General Surgery -BI 2800
23 741 B/L Eversion of Sac General Surgery -BI 2800
( 54 )
 OT
Srl. Code Operation Group Name Charges
No. Name `)
(`

24 762 Foreign Body Removal General Surgery -BI 2800

1 51 Exploratory Laparatomy with

any Biopsy from Abdomen
General General Surgery -BII 3200
2 66 Repair of Paraumbilical
Hernia/Adult Umbilical/Ventral
Hernia/Femoral Hernia/
Incisional Hernia General Surgery -BII 3200
3 75 Gastro Jejunostomy General Surgery -BII 3200
4 105 Resection/Anastomosis of
Small Intestine General Surgery -BII 3200
5 374 Repair of Inguinal Hernia
(Bilateral) General Surgery -BII 4200
6 375 Hemorrhoidectomy (Stapled) General Surgery -BII 3200

1 79 Excision of Sub Mandibular

Salivary Gland General Surgery -CI 4000
2 85 Abdomino Perineal
Resection General Surgery -CI 4000
3 87 Bladder-Neck Plasty General Surgery -CI 4000
4 90 Colonic Transplant General Surgery -CI 4000
5 103 Radical Amputation of Penis General Surgery -CI 4000
6 107 Repair of Strangulated
Hernia with Gut Resection General Surgery -CI 4000
7 110 Roux-En-Y-Jejunostomy General Surgery -CI 4000
8 111 Splenectomy General Surgery -CI 4000
9 113 Total Oesophagectomy General Surgery -CI 4000
10 114 Thyroidectomy (Subtotal) General Surgery -CI 4000
11 122 Superficial Parotidectomy General Surgery -CI 4000
12 323 Excision of Tracheo
Oesophageal Fistula General Surgery -CI 4000
13 376 Vegotomy General Surgery -CI 4000
14 377 Laparoscopic
Appendicectomy General Surgery -CI 4000
15 378 Laparoscopic Repair of
Perforation General Surgery -CI 4000
( 55 )
 OT
Srl. Code Operation Group Name Charges
No. Name `)
(`

16 379 Mastectomy (Simple) General Surgery -DI 4000

17 651 Rectopexy Abdominal General Surgery -CI 4000
18 652 Rectopexy Laparoscopic General Surgery -CI 4000
19 691 Ex. of Fibroadenoma (Bilat.) General Surgery -CI 4000
20 703 Mesh Rectopexy General Surgery -CI 4000
21 710 Subcut Mastectomy (Bilat.) General Surgery -CI 4000
22 750 Colemans Fat Grafting General Surgery -CI 4000
23 763 Lap/open Peritoneal Biopsy General Surgery -CI 4000
24 765 IPOM General Surgery -CI 4000
1 82 Adrenalectomy General Surgery C-II 5500
2 96 Hemicolectomy General Surgery C-II 4500
3 97 Sympathectomy
(Lumber/Cervical) General Surgery C-II 4500
4 101 Gastrectomy (Partial) General Surgery C-II 4500
5 135 Mastectomy (Radical/
Modified) General Surgery E-II 4500
6 347 Open/Laparoscopic
Cholecystectomy General Surgery C-II 4500
7 381 Laparoscopic Repair
of Hernia General Surgery C-II 4500
8 382 Cholecystectomy with
CBD Exploration General Surgery C-II 4500
9 383 Simple Mastectomy
with Axillary Clearance General Surgery E-II 4500

1 384 Gastrectomy (Total) General Surgery D-I 5500

2 385 Hepeticojejunostomy General Surgery D-I 5500
3 386 Pancreaticojejunostomy General Surgery D-I 5500
4 387 Anterior Resection General Surgery D-I 5500
5 388 Removal of Retropertioneal
Tumour General Surgery D-I 5500
6 389 Thyroidectomy (Total) General Surgery D-I 5500
7 390 Parotidectomy (Total) General Surgery D-I 5500
8 692 Varicose Vein OT (Bilat.) General Surgery D-I 5500
9 708 Resection of Omentum and
Ligation Procedure General Surgery D-I 5500
( 56 )
 OT
Srl. Code Operation Group Name Charges
No. Name `)
(`

10 711 Ileostomy General Surgery D-I 5500

11 730 B/L TEP General Surgery D-I 5500
12 739 Fundoplication General Surgery D-I 5500
13 764 Umbilectomy General Surgery D-I 5500
1 104 Gastrectomy (Radical) General Surgery D-II 6500
2 134 Pancreatico Duodenectomy
(Whipples/Tripple Bypass) General Surgery D-II 6500
3 136 Thyroidectomy + Neck
Dessection (Radical
Thyroidectomy) General Surgery D-II 6500
4 391 APR/LAR of Rectum General Surgery D-II 6500
5 392 Colectomy (Total) General Surgery D-II 6500
1 646 VATS General Surgery 8000
2 693 Jejuno Jejunostomy General Surgery 8000
3 733 Choledocoduodenostomy General Surgery 8000
4 734 Choledochojejunostomy General Surgery 8000
5 755 Graham’s Procedure General Surgery 8000

UROLOGY
Srl. Code Operation Group Name OT
No. Name Charges
`)
(`
1 393 Cystoscopy and
Bladder Biopsy Urology -A 1200
2 334 Cystoscopy and Removal
of D J Stent Urology - A 1200
3 9 Diagnostic Cystoscopy Urology - A 1200
4 394 Prostatic Biopsy Urology - A 4000
5 8 Suprapubic Cystolithotomy Urology - A 4000
6 33 Suprapubic Cystostomy
(Open/Trocar) Urology -A 1200
7 395 Testicular Biopsy Urology -A 1200
8 35 Urethral Dilatation and
Cystoscopy Urology - A 1200
9 577 Urethrai Dialation Urology - A 1200
10 578 Penile Biopsy Urology - A 1200
1 397 Insertion of D J Stent Urology - B 2800
( 57 )
Srl. Code Operation Group Name OT
No. Name Charges
`)
(`
2 24 Orchidectomy Urology - B 2800
3 396 Penectomy (Partial/Total) Urology - B 2800
4 53 Percutaneous
Nephrostomy (PCN) Urology - B 2800
5 73 Ureterolithotomy (Open) Urology - B 4000
6 579 Retrograde Pyelogram (RGP) Urology - B 2800
7 580 Reduction of Paraphimosis Urology - B 2800
8 581 Frenuloplasty Urology - B 2800
9 582 Preuceoplasty Urology - B 2800
10 694 UDS Urology - B 2800
11 698 Cystoscopy and Clot
Evacuation Urology - B 2800
12 108 Use of “FANS” in RIRS Urology - B 2500 /OT
1 401 Bladder Neck Incision (BNI) Urology - C 4000
2 92 Cystectomy (Partial) Urology - C 4000
3 399 Laparoscopic
Ureterolithotomy Urology - C 4000
4 137 Nephrectomy (Radical/
Simple/Partial) Urology - C 4000
5 549 Prostatectomy - Turp/Holep Urology - C 12000
6 557 ESWL upto First Three
Sessions Urology - C 12000
7 58 Pyelolithotomy (Open) Urology - C 4000
8 398 Pyeloplasty Urology - C 4000
9 115 Tur of Bladder Tumours
(Turbt) Urology - C 4000
10 400 Ureteric Reimplantation Urology - C 4000
11 71 Ureterolysis Urology - C 4000
12 72 Ureterostomy (OIU) Urology - C 4000
13 74 Urethroplasty Urology - C 4000
14 558 ESWL Supplementary
Lithotripsy (Single Session) Urology - C 4000
15 583 Circumcision Urology - C 4000
16 584 No Scalpel Vasectomy Urology - C 4000
17 644 Cystometry with Pressure
Flow Analysis (PFA) Urology - C 4000
18 645 Cystometry with Pressure
Flow Analysis (PFA) &
EMG Study Urology - C 4000
19 699 Bladder Repair Urology - C 4000
( 58 )
Srl. Code Operation Group Name OT
No. Name Charges
`)
(`
1 404 Bladder Augmentation Urology - D 6000
2 402 Cystectomy (Radical/Total) Urology - D 6000
3 405 Laparoscopic :
Nephrectomy/Pyeloplasty Urology - D 10500
4 99 Nephro Ureterectomy Urology - D 6000
5 549 Prostatectomy (Radical HOLEP)Urology - D 12000
6 106 Retro Peritoneal Lymph
Node Dissection Urology - D 6000
7 585 Orchidopexy Urology - D 6000
8 586 Varicocele Repair Urology - D 6000
9 587 Repair of Penile Fracture Urology - D 6000
10 588 Surgery for Priapism Urology - D 6000
11 589 Orchidectomy (High Inguinal) Urology - D 6000
12 727 B/L Orchidectomy Urology - D 6000
13 749 Cystolithotripsy Urology - D 6000
1 107 Use of “Thunderbeat” (Probe) Urology - E 10000 /OT
2 406 URS/LC Urology - E 10000
3 559 DVIU (Direct Vision Internal Urology - E 10000
Urethrotomy)
4 560 RIRS (Retrogade Intra
Renal Surgery) Urology - E 10000
5 590 Incision of Ureterocele Urology - E 10000
6 591 Ureteroureterostomy Urology - E 10000
7 592 Adrenalectomy Urology - E 10000
1 369 Percutaneous
Nephrolithotomy (PCNL) Urology - F 10500
2 556 ESWL upto First Three
Session for Inpatient Urology - F 10500
3 593 Total/Radical Penectomy Urology - F 10500
4 594 Bilateral/Unilateral Groin
Block Dissection Urology - F 10500
5 595 Repair of VVF Urology - F 10500
6 596 Therapeutic Laparoscopic
Urological Procedures Urology - F 10500
7 791 Urolift Procedure Urology - F 12000
8 309 Flexible RIRS Scope Urology - F 10000 /Use
(Flexible URS Scope) in OT
9 310 Flexible Cystonephroscope Urology - F 5000 /Use
(Disposable)
( 59 )
 EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL)
Code Service General Bed ICU/CCU/Cabin
ESWL01 Upto First Three (3) 10,000.00 —
Sessions (Day Care)
557 Upto First Three (3) 10,000.00 plus Bed 12,000.00
Sessions for Inpatient charges plus other
procedural charges
ESWL02 Supplementary Lithotripsy
558 Single Session 3,000.00 4,000.00
The Additional Charges Laser Application for Treatment of
Stones / Prostate Diseases will be as follows
Code Service Rate (``)
ESWL03 Laser Lithotripsy 6,000.00
ESWL04 Supplementary Laser Lithotripsy 3,000.00
ESWL05 Laser Prostatectomy 6,000.00
ESWL06 Laser 6,000.00
ESWL07 ESWL Screening 1,000.00
Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`
PLASTIC/THORACIC/NEURO/FACIO MAX
1 409 Bronchoscopy (with or Plastic/Thoracic/
without Biopsy) Neuro-A 1500 1200
2 39 Excision or Cyst/Small Plastic/Thoracic/
Growth from Gum/
Cheek & Tongue Neuro-A 1500 1200
3 412 Frenectomy Plastic/Thoracic/
Neuro-A 1500 1200
4 20 Intercostal Drainage Plastic/Thoracic/
(ICD) Neuro-A 1500 1200
5 408 Oesophagoscopy (with or Plastic/Thoracic/
without Biopsy) Neuro-A 1500 1200
6 23 Oesophagoscopy with Plastic/Thoracic/
Dilatation Neuro-A 1500 1200
7 410 Release of Carpel Tunnel Plastic/Thoracic/
Neuro-A 1500 1200
( 60 )
 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`
8 411 Repair of Fracture Plastic/Thoracic/
zygoma Neuro-A 1500 1200
9 32 Skin Grafting over Plastic/Thoracic/
Small Area Neuro-A 1500 1200

1 93 Excision/Repair of Plastic/Thoracic/
Encephelo/Meningocele Neuro-B 2800 2300
2 414 Excision of Non-Malignant Plastic/Thoracic/
Lesions of Head/Neck Neuro-B 2800 2300
(With or without
Skin Grafting)
3 415 Excision of Plastic/Thoracic/
Submandibular Gland Neuro-B 2800 2300
4 77 Release of Contracture & Plastic/Thoracic/
Skin Grafting-Fingers & Toe Neuro-B 2800 2300
5 68 Repair of Lacerated Injury Plastic/Thoracic/
Neuro-B 2800 2300
6 70 Skin Grafting Plastic/Thoracic/
Neuro-B 2800 2300
7 413 Surgical Removal of Plastic/Thoracic/
Impacted Teeth Neuro-B 2800 2300
8 84 V. P. Shunt Plastic/Thoracic/
Neuro-B 2800 2300

1 83 A. V. Fistula / Shunt Plastic/Thoracic/

Neuro-C 3400 2750
2 420 Cleft Lip Plastic/Thoracic/
Neuro-C 3400 2750
3 88 Craniotomy with Plastic/Thoracic/
Evacuation of Haematoma Neuro-C 3400 2750
(Burrhole Exploration)
4 94 Excision of A.V. Fistula Plastic/Thoracic/
Neuro-C 3400 2750
( 61 )
 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`
5 418 Forehead Flap Plastic/Thoracic/
Neuro-C 3400 2750
6 417 Release of Contracture Plastic/Thoracic/
of Limbs Neuro-C 3400 2750
7 419 Repair of Fracture Mandible Plastic/Thoracic/
with Costochondral Graft Neuro-C 3400 2750
8 109 Repair of Hiatus Hernia Plastic/Thoracic/
Neuro-C 3400 2750
9 416 Rib Resection & Plastic/Thoracic/
Drainage of Empyema Neuro-C 3400 2750
10 69 Rotation Flap Plastic/Thoracic/
Neuro-C 3400 2750

1 125 Cleft Lip with Palate Plastic/Thoracic/

Neuro-D 5500 4400
2 130 Closed Mitral Valvotomy Plastic/Thoracic/
Neuro-D 5500 4400
3 339 Closure of P.D.A. Plastic/Thoracic/
Neuro-D 5500 4400
4 129 Lobectomy Plastic/Thoracic/
Neuro-D 5500 4400
5 421 Oesophageal Myotomy Plastic/Thoracic/
Neuro-D 5500 4400
6 132 Pneumonectomy Plastic/Thoracic/
Neuro-D 5500 4400
7 423 Reconstruction with D.P. Plastic/Thoracic/
Flap/PECT. Major Flap Neuro-D 5500 4400
8 124 Release of T.M.J. Plastic/Thoracic/
Ankylosis Neuro-D 5500 4400
9 422 Removal of Intra- Plastic/Thoracic/
Thoracic Tumours Neuro-D 5500 4400
10 117 Repair of Fracture Plastic/Thoracic/
Maxilla Neuro-D 5500 4400
( 62 )
 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`
11 131 Trans Hiatal Plastic/Thoracic/
Oesophagectomy Neuro-D 5500 4400

1 426 Both Jaw Osteotomy Plastic/Thoracic/

Neuro-E 7500 6000
2 424 Correction of Jaw Plastic/Thoracic/
Deformity Neuro-E 7500 6000
3 89 Craniectomy with Plastic/Thoracic/
Removal of Tumour Neuro-E 7500 6000
4 123 Excision of Malignant Plastic/Thoracic/
Tumours of the Neuro-E 7500 6000
Oral Cavity with Radical
Neck Dissection
5 128 Laminectomy (Lumbar/ Plastic/Thoracic/
Cervical) Neuro-E 7500 6000
6 428 Laminectomy with Plastic/Thoracic/
Removal of Neuro-E 7500 6000
Spinal Tumour
7 121 Maxillectomy/Mandibule- Plastic/Thoracic/
ctomy with Reconstruction Neuro-E 7500 6000
8 425 Microvascular Plastic/Thoracic/
Reconstruction Neuro-E 7500 6000
9 133 Porto-Caval Shunts Plastic/Thoracic/
Neuro-E 7500 6000
10 427 Repair of Pan Facial Plastic/Thoracic/
Fracture Neuro-E 7500 6000
11 112 Thoracotomy (If Plastic/Thoracic/
Thoracotomy is Followed Neuro-E 7500 6000
By an Additional Operation
of other Groups-Charges of
Thoracotomy or Additional
Operation-Whichever is
Higher will be Payable)

( 63 )
 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`

PAEDIATRIC SURGERY

1 431 Dermoid Cyst Excision Paediatric Surgery-A 1200 950

2 433 Incision and Drainage Paediatric Surgery-A 1200 950
of Abscess of Babies
under Anaesthesia
3 22 Meatotomy/Meatoplasty Paediatric Surgery-A 1200 950
4 3 Opening of Colostomy Paediatric Surgery-A 1200 950
5 432 Papilloma Cheek and Paediatric Surgery-A 1200 950
Tongue
6 10 Prepuceoplasty/ Paediatric Surgery-A 1200 950
Circumcision
7 430 Release of Tongue Tie Paediatric Surgery-A 1200 950
8 429 Removal of Rectal Polyp Paediatric Surgery-A 1200 950

1 81 Anoplasty Paediatric Surgery-B 2800 2300

2 440 Closed Loop Paediatric Surgery-B 2800 2300
Ureterostomy
3 439 Closure of Colostomy Paediatric Surgery-B 2800 2300
4 442 Cystoscopy-Retrograde Paediatric Surgery-B 2800 2300
5 434 Excision of Lymphangi- Paediatric Surgery-B 2800 2300
oma, Hemangioma
6 46 Excision of Thyroglossal Paediatric Surgery-B 2800 2300
Cyst/Fistula
7 441 Excision of Umbilical Paediatric Surgery-B 2800 2300
Fistula and Umbilical
Hernia Repair
8 436 Exploratory Laparotomy Paediatric Surgery-B 2800 2300
9 36 Herniotomy-Inguinal Paediatric Surgery-B 2800 2300
10 25 Orchidopexy/OrchidectomyPaediatric Surgery-B 2800 2300

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`

11 438 Pelvic Colostomy Paediatric Surgery-B 2800 2300

12 435 Pyloromyotomy Paediatric Surgery-B 2800 2300
13 61 Repair of Cleft Lip Paediatric Surgery-B 2800 2300
14 437 Resection/Anastamosis Paediatric Surgery-B 2800 2300
of Gut

1 86 Duhamel Operation Paediatric Surgery-C 4000 3200

2 445 Fulguration of P.U.V. Paediatric Surgery-C 4000 3200
(Posterior Urethral Valve)
3 50 Hypospadias Paediatric Surgery-C 4000 3200
4 98 Nephrectomy Paediatric Surgery-C 4000 3200
5 447 Pelvic Ureteric Junction Paediatric Surgery-C 4000 3200
Dysfunction (Puj) Kidneys
6 443 Posterior Sagittal Paediatric Surgery-C 4000 3200
Anorectoplasty
7 444 Repair of Cleft Palate Paediatric Surgery-C 4000 3200
8 446 Repair of Hiatus Hernia Paediatric Surgery-C 4000 3200
9 448 Splenectomy Paediatric Surgery-C 4000 3200

1 449 Closure of Tracheo Paediatric Surgery-D 4500 3600

oesophageal Fistula
2 452 Heller’s Myotomy for Paediatric Surgery-D 4500 3600
Achalasia/Stricture
Oesophagus
3 108 Repair of Diaphragmatic Paediatric Surgery-D 4500 3600
Hernia
4 451 Repair of Epispadias/ Paediatric Surgery-D 4500 3600
Extrophy Complex

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`

5 450 Repair of Oesophageal Paediatric Surgery-D 4500 3600

Atresia
6 116 Ureteric Reimplantation Paediatric Surgery-D 4500 3600

OBSTETRICS & GYNAECOLOGY

540 Minor : Any Operation Under Local Anaesthesia in O.T.

(Indoor Patients) ` 600/-

Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`
(` ) `)
(`
1 150 Biopsy with Vulval OBS. & GYNAE-A 1200 950
2 140 Cervical Biopsy & OBS. & GYNAE-A 1200 950
Endometrial Biopsy
3 148 Cystoscopy OBS. & GYNAE-A 1200 950
4 144 D & C & Polypectomy OBS. & GYNAE-A 1200 950
5 145 D & C with Cervical OBS. & GYNAE-A 1200 950
Biopsy
6 139 D & C with Cervival OBS. & GYNAE-A 1200 950
Cautery
7 166 D.C. Perineorrhaphy OBS. & GYNAE-A 1200 950
8 138 Dilatation & Curettage OBS. & GYNAE-A 1200 950
(D & C) & with or withot
Endometrial Biopsy
9 158 Dilatation & Evacuation OBS. & GYNAE-A 1200 950
(D & E)
10 141 Dilatation, Insufflation & OBS. & GYNAE-A 1200 950
Curettage(DIC)

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`

11 154 Drainage of Bartholin OBS. & GYNAE-A 1200 950

Abscess (Cyst/Cyst Removal/
Marsupialization/Bartholin
12 152 Drainage of Hamato- OBS. & GYNAE-A 1200 950
metra/Pyometra
13 147 Examination Under OBS. & GYNAE-A 1200 950
Anaesthesia (EUA)
14 164 Exploration of Perineal OBS. & GYNAE-A 1200 950
Sinus
15 159 Exploration of Uterus OBS. & GYNAE-A 1200 950
16 165 Exploration of Vaginal OBS. & GYNAE-A 1200 950
Vault
17 156 Fenton’s Operation OBS. & GYNAE-A 1200 950
18 142 Fractional Curettage OBS. & GYNAE-A 1200 950
19 155 Hymenectomy OBS. & GYNAE-A 1200 950
20 149 Lymph Node Biopsy OBS. & GYNAE-A 1200 950
21 143 Polypectomy OBS. & GYNAE-A 1200 950
22 163 Removal of Foreign OBS. & GYNAE-A 1200 950
Body from Episiotomy
Wound/Vagina
23 157 Removal of Loop From OBS. & GYNAE-A 1200 950
Uterine Cavity
24 162 Secondary Perineal/ OBS. & GYNAE-A 1200 950
Abdominal Suture
25 151 Ulcer Excision OBS. & GYNAE-A 1200 950
26 168 Amputation of Cervix OBS. & GYNAE-A 1200 950

1 171 Anterior Colporrhaphy OBS. & GYNAE-B 3000 2400

with or Without D & C
2 170 Anterior Colporrhaphy & OBS. & GYNAE-B 3000 2400
Posterior Colpoperineorrhaphy

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`

3 177 Bilaterial Salpingectomy OBS. & GYNAE-B 3000 2400

(Abdominal/Vaginal/Post
PartumLigation/Puerperal
Ligation)
4 172 Cervical Amputation OBS. & GYNAE-B 3000 2400
with Or Without D & C
5 161 Drainage and Repair OBS. & GYNAE-B 3000 2400
of Vulval Haematoma
6 184 Excision of Scar OBS. & GYNAE-B 3000 2400
Endometriosis
7 183 Exploration of Wound/ OBS. & GYNAE-B 3000 2400
Abdominal Sinus
8 182 Forceps Application OBS. & GYNAE-B 3000 2400
under GA
9 186 Gilliam’s Operation OBS. & GYNAE-B 3000 2400
10 181 Internal Podalic Version OBS. & GYNAE-B 3000 2400
with Breech Extraction
11 173 Kelly’s Operation OBS. & GYNAE-B 3000 2400
12 453 Manual Removal of OBS. & GYNAE-B 3000 2400
Placenta
13 179 Oophorectomy/ OBS. & GYNAE-B 3000 2400
Salpingectomy
14 330 Ovarian Biopsy OBS. & GYNAE-B 3000 2400
15 178 Plication of Round OBS. & GYNAE-B 3000 2400
Ligaments with or without
any other operation
16 167 Posterior Colpe- OBS. & GYNAE-B 3000 2400
Perineorrhaphy with
or without DC

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`

17 185 Removal of Ectopic OBS. & GYNAE-B 3000 2400

Pregnancy (Unilateral)
18 175 Removal of Vaginal Cyst OBS. & GYNAE-B 3000 2400
19 174 Repair of Urethrocele/ OBS. & GYNAE-B 3000 2400
Cystocele
20 160 Shirodkar’s/Mcdonald’s/ OBS. & GYNAE-B 3000 2400
Lash’s Operation
21 169 Trachelorrhaphy OBS. & GYNAE-B 3000 2400
22 329 Wedge Resection of OBS. & GYNAE-B 3000 2400
Overy

1 454 Burch Colposuspension OBS. & GYNAE-C 3800 3100

2 342 Fothergill’s Operation OBS. & GYNAE-C 3800 3100
3 201 Ligature of Internal OBS. & GYNAE-C 3800 3100
Illiac Vessels
4 199 Ovariotomy/Overian OBS. & GYNAE-C 3800 3100
Cystectomy (Unilateral
or Bilateral)
5 197 Reconstruction of Uterus OBS. & GYNAE-C 3800 3100
6 191 Removal of Broad OBS. & GYNAE-C 3800 3100
Ligament Cyst or Tumour
7 341 Removal of Ectopic Preg OBS. & GYNAE-C 3800 3100
(Unilateral/Bilateral/
Salpingectomy/Oorphorectomy)
8 190 Removal of Tubo-Ovarian OBS. & GYNAE-C 3800 3100
Mass
9 187 Repair of Old Complete OBS. & GYNAE-C 3800 3100
Perineal Tear
10 340 Repair of Recto OBS. & GYNAE-C 3800 3100
Vaginal Fistula

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`

11 188 Repair of Vesico OBS. & GYNAE-C 3800 3100

Vaginal Fistula
12 192 Sling Operation OBS. & GYNAE-C 3800 3100
(Purandare’s Sling Or
Shirodkar’s Sling
Cervicopexy
13 193 Tubo-Plasty/Tubal OBS. & GYNAE-C 3800 3100
Surgery/Reconstruction of
Tube/Anastomosis of Tube/
Cuff Salpingostomy
14 189 Vaginoplasty OBS. & GYNAE-C 3800 3100

1 343 ABD. Hysterectomy with OBS. & GYNAE-D 4500 3600

or without Salpingo
Oophorectomy
2 207 Abdominal Hysterectomy/ OBS. & GYNAE-D 4500 3600
Repair of Uterus following
3 206 Abdomino-Perineal OBS. & GYNAE-D 4500 3600
Radical Hysterectomy
4 204 Mitra’s Operation OBS. & GYNAE-D 4500 3600
5 196 Myomectomy/Cervical OBS. & GYNAE-D 4500 3600
Myoma
6 200 Operation for OBS. & GYNAE-D 4500 3600
Endometriosis-Conser-
vative or Radical Surgery
7 205 Schauta’s Operation OBS. & GYNAE-D 4500 3600
8 344 Vaginal Hysterectomy OBS. & GYNAE-D 4500 3600
with or without PFR
(Ward Mayo’s Operation)

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed

1 208 ABD. Hysterectomy with OBS. & GYNAE-E 5000 4000

Bilateral Salpingo-
Oophorectomy with
Infracolic Omentectomy
with Appendicectomy
(Operation forovarian
Malignancy)
2 209 Anterior Exenteration OBS. & GYNAE-E 5000 4000
3 210 Posterior Exenteration OBS. & GYNAE-E 5000 4000
4 202 Repair of Vault Prolapse OBS. & GYNAE-E 5000 4000
(Abdominal/Vaginal)
5 203 Wertheim’s Operation/ OBS. & GYNAE-E 5000 4000
Radical Hysterectomy
6 211 Total Abdominal/Total OBS. & GYNAE-E 5000 4000
Vaginal Pan Hysterectomy

OBSTETRICS & GYNAECOLOGY

ENDOSCOPIC SURGERY

Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`
1 354 Diagnostic Lap. dye OBS. & GYNAE-A1 3000 2400
Test + D/C
2 355 Diagnostic Laparoscopy OBS. & GYNAE-A1 3000 2400

1 456 Laparoscopic Ovarian OBS. & GYNAE-A2 3500 2800

Biopsy
2 457 Laparoscopic Tubal OBS. & GYNAE-A2 3500 2800
Ligation (Bilateral)

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`

3 455 Laparoscopic Tubectomy OBS. & GYNAE-A2 3500 2800

(Bilateral)

1 459 Lap. Adhesiolysis OBS. & GYNAE-A3 4200 3400

2 458 Lap. Ovarian Cystectomy OBS. & GYNAE-A3 4200 3400
3 460 Lap. Salphingectomy For OBS. & GYNAE-A3 4200 3400
Ectopic Pregnancy

1 462 Lap. Burch Colposus- OBS. & GYNAE-A4 7500 6000

pension
2 463 Lap. Hysterectomy (TLH) OBS. & GYNAE-A4 7500 6000
3 464 Lap. Hysterectomy with OBS. & GYNAE-A4 7500 6000
Lymph Adenectomy
4 461 Lap. Myomectomy OBS. & GYNAE-A4 7500 6000
5 327 Lavh (Laparoscopy Asst. OBS. & GYNAE-A4 7500 6000
Vaginal Hyst)

1 465 Diagnostic Hysteroscopy OBS. & GYNAE-B1 3000 2400

2 469 Diagnostic Hysteroscopy OBS. & GYNAE-B1 3000 2400
+ D/C + CX. Biopsy
3 470 Diagnostic Hysteroscopy OBS. & GYNAE-B1 3000 2400
+ D/C + CX. Cautery
4 466 Diagnostic Hysteroscopy OBS. & GYNAE-B1 3000 2400
+ Endo Biopsy
5 467 Diagnostic Hysteroscopy OBS. & GYNAE-B1 3000 2400
+ Polypectomy
6 468 Diagnostic Hysteroscopy OBS. & GYNAE-B1 3000 2400
+ Polypectomy + D/C

1 326 Lap. Hysteroscopy + D/C OBS. & GYNAE-B2 3200 2600

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`

2 471 Laparoscopy + Hysteres- OBS. & GYNAE-B2 3200 2600

copy + D/C + Dye Test

1 472 Diagnostic Cystoscopy OBS. & GYNAE-C 3000 2400

ORTHOPAEDICS

101 With Implant ` 1000/-

102 Without Implant ` 600/-

Srl. Code Operation Group Name OT

No. Name Charges
`)
(`
1 212 Aspiration Orthopaedics-A 1500
2 215 Denham’s Pinning or Orthopaedics-A 1500
Steinmann Pinning or
Skelital Traction or D-Pin
Insertion or Skull Traction
3 219 Dressing & Drainage or Orthopaedics-A 1500
Osteomyelitis & Wound
Toilet/Debridement/
Sloughectomy with Anaesthesia
(Small Joint)
4 216 Examination under Orthopaedics-A 1500
Anaesthesia (EUA)
5 218 Incision & Drainage Orthopaedics-A 1500
6 324 Manipulation under Orthopaedics-A 1500
Anaesthesia (MUA/Close
Reduction)
7 217 Removal of Screws, Orthopaedics-A 1500
K-Wire, Circlage wire,
Staples
8 474 Skin Grafting Minor Orthopaedics-A 1500
9 214 Trephine Bone Biopsy Orthopaedics-A 1500

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Srl. Code Operation Group Name OT
No. Name Charges
`)
(`
10 597 A-PRF/I-PRF Injection at Orthopaedics-A 1500
OT under LA
11 598 Removal of K-Wire Orthopaedics-A 1500
12 705 Injection in any Joints Orthopaedics-A 1500
13 707 Back Slab / POP Cast
Procedure Orthopaedics-A 1500

1 220 Amputation/Disarticulation Orthopaedics-B1 3000

Through Finger, Toe,
Phallanges Inter-Phallangeal
Joints (IP Joints) Metacarpo/
Metatarso Phallangeal Joints
(M.P. Joints)
2 544 Arthrodisis of Orthopaedics-B1 3000
Interphallangeal Joints
3 240 Arthrotomy/Joint Orthopaedics-B1 3000
Eplosation/Clearence
4 221 Bone Biopsy Orthopaedics-B1 3000
5 223 Carpal Tunnel Orthopaedics-B1 3000
Decompression
6 350 Tenotomy/Correction of Orthopaedics-B1 3000
CTEV (PMSTR/JESS)
7 222 Curettage and or Bone Orthopaedics-B1 3000
Grafting
8 237 Drainage of Osteomy- Orthopaedics-B1 3000
elitis Septic Arthritis
9 225 Excision of Swelling of Orthopaedics-B1 3000
Whole or part of Bone,
E.G.Loose Bone Piece,
Radial/Ulnar Head, Exostosis
10 476 MUA+Distractor+K. Wire Orthopaedics-B1 3000
11 229 Open Reduction & Orthopaedics-B1 3000
Internal Fixation with
K-wire, Fractures of
Phallanges, Metacarpals
& Metatarsals

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Srl. Code Operation Group Name OT
No. Name Charges
`)
(`
12 475 Removal of any Orthopaedics-B1 3000
Implant Except Those
Mentioned in GR “A”
13 227 Soft Tissue Release Orthopaedics-B1 3000
14 234 Synovectomy Orthopaedics-B1 3000
15 236 Wound Toilet/ Orthopaedics-B1 3000
Debridement with soft
Tissue (Muscle, Tendon,
Ligament, Nerve) Repair
16 748 Vac Application Orthopaedics-B1 3000
17 757 Fibulectomy Orthopaedics-B1 3000
18 758 Corticotomy Orthopaedics-B1 3000
1 245 AMP Bipolar Prosthesis Orthopaedics-B2 3500
(Non-Cemented)
2 478 Condylocephallic Nailing Orthopaedics-B2 3500
3 238 Cross Flaps Orthopaedics-B2 3500
4 479 Diagnostic Arthroscopy Orthopaedics-B2 3500
5 224 Dilwyn Envan’s Operation Orthopaedics-B2 3500
6 226 Menisectomy Orthopaedics-B2 3500
7 228 Osteotomy (Any kind) Orthopaedics-B2 3500
Except Scapular Osteotomy,
Mcmurray’s Osteotomy,
Dickson’s Osteotomy
8 230 Patellectomy Orthopaedics-B2 3500
9 231 Quadriceps Plasty Orthopaedics-B2 3500
10 235 Sequestrectomy, Orthopaedics-B2 3500
Saucerisation Irrigation
Suction, Curettage
11 233 Skin Grafting Major Orthopaedics-B2 3500
12 477 Tendon Repair & Orthopaedics-B2 3500
Nerve Repair
13 248 Tendon Transfer/Grafting Orthopaedics-B2 3500
14 249 Removal of Tension Orthopaedics-B2 3500
Band Wiring
15 599 Arthrotomy of Joints Orthopaedics-B2 3500
16 601 Functional Crust Dressing Orthopaedics-B2 3500
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Srl. Code Operation Group Name OT
No. Name Charges
`)
(`
17 602 Skull Traction Orthopaedics-B2 3500
18 603 Nail Procedure Orthopaedics-B2 3500
19 604 Muscle Biopsy Orthopaedics-B2 3500
20 605 Bone Grafting Orthopaedics-B2 3500
1 481 ACL Reconstruction (Open) Orthopaedics-C 4000
2 250 Amputation/Disarticulation Orthopaedics-C 4000
Except Those of No. 1
of Group “B1”
3 239 Arthrodisis-All Except Orthopaedics-C 4000
Interphallangeal Joint
4 252 External Fixator-Application Orthopaedics-C 4000
5 244 Interlocking Nailing Orthopaedics-C 4000
(Femur, Tibia, Humerous)
PFN/AFN/DFN
7 351 Moor’s Pinning/DHS/ Orthopaedics-C 4000
JWET Nail Plasty
8 242 Moor’s Pinning/S.P. Orthopaedics-C 4000
Nailing/Screw Head Nailing
9 243 Open Reduction & Orthopaedics-C 4000
Internal Fixation (Nailing
and or Plating)
10 480 Prosthesis AMP. Bipolar Orthopaedics-C 4000
(Cemented)
11 246 S.P. Nailing & Orthopaedics-C 4000
Plating, Screw Head
Nailing & Plating
12 247 Scapular Osteotomy, Orthopaedics-C 4000
Mcmurry’s Osteotomy,
Dickson’s Geometre Osteotomy
13 253 Spinal Operation- Orthopaedics-C 4000
Drainage or Abscess
14 606 Debridement & Sloughectomy Orthopaedics-C 4000
15 607 Removal of Nail Plate &
External Fixatures Orthopaedics-C 4000
16 608 Nerve Repair/Grafting/
Transposition Orthopaedics-C 4000

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Srl. Code Operation Group Name OT
No. Name Charges
`)
(`
17 609 Tendon Repair/Reconstruction Orthopaedics-C 4000
18 610 Arthotomy of Hip & Shoulder /
Large Joint Orthopaedics-C 4000
19 611 Curettage & Bone Grafting /
Bone Cementing Orthopaedics-C 4000
20 612 TENS Orthopaedics-C 4000
21 613 Dressing & Drainage of
Osteomyelitis & Wound Toilet/
Debridement/Sloughectomy with
Anaesthesia (Large Joint) Orthopaedics-C 4000
22 614 Tension Band Wiring (Appli.) Orthopaedics-C 4000
23 615 Arthrotomy/Joint Eplosation/
Clearence (Large) Orthopaedics-C 4000
24 702 Bone Marrow Aspiration F/B
Injects on Any Fracture Side Orthopaedics-C 4000
25 731 ORIF with Screw Fixation Orthopaedics-C 4000
1 483 ACL Reconstruction/ Orthopaedics-D 5500
Meniscorraphy (Arthroscopy
Guided)
2 254 Illizarov Fixator Orthopaedics-D 5500
Application Corticotomy/
Limb Lengthening
3 482 Spinal Operations - Orthopaedics-D 5500
Laminectomy
4 616 Minimally Invasive Surgery of
Long Bone And Joint Orthopaedics-D 5500
5 617 Removal of Prosthesis (Hip,
Knee & Debridement) Orthopaedics-D 5500
6 618 Arthrodesis Large Joint Orthopaedics-D 5500
7 619 Pelvis Fixation Orthopaedics-D 5500
8 754 Antibiotic Cement Bead
Application Orthopaedics-D 5500
9 760 Rush Nailing Orthopaedics-D 5500
10 761 Excision of Bone Tumor
/ Sloughectomy without
Anaesthesia Orthopaedics-D 5500

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Srl. Code Operation Group Name OT
No. Name Charges
`)
(`
1 486 Total Elbow Replacement Orthopaedics-E 7500
2 325 Total Hip Replacement- Orthopaedics-E 7500
Unipolar Modular
3 484 Total Hip Replacement- Orthopaedics-E 7500
Bipolar Modular
4 485 Total Knee Replacement Orthopaedics-E 7500
5 487 Total Shoulder Replacement Orthopaedics-E 7500
6 620 Spinal Operations - with or
without Instrumentation Orthopaedics-E 7500
7 621 DHS + TSP Orthopaedics-E 7500
8 622 Shoulder Arthroscopy Orthopaedics-E 7500
9 623 Revision of Total Joint
Replacement of Hip, Knee,
Shoulder, Elbow Orthopaedics-E 7500
10 624 Acetabular Fixation Orthopaedics-E 7500

1 548 Dressing & Drainage of Orthopaedics-F 1000

Osteomyelitis & Wound
Toilet/Debridement/
Sloughectomy Without
Anaesthesia
INJ 03 A-PRF / I-PRF Injection at O.T. under LA 2000

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`
OTORHINOLARYNGOLOGY
103 OPD Cases : Operation Under LA : ` 300/-
104 Operation Under GA : ` 600/-
105 Operation Under SA : ` 500/-
Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` (``)
1 488 Antral Washout -Bilateral/ ENT-Otorhino-A 1000 800
Unilateral
2 493 Biopsy Under LA ENT-Otorhino-A 1000 800
3 357 Diagnostic Nasal ENT-Otorhino-A 1000 800
Endoscopy Under LA
4 291 Direct Larynogoscopy ENT-Otorhino-A 1000 800
(D/L) - Diagnostic
5 293 Examination Under ENT-Otorhino-A 1000 800
Anaesthesia
6 492 Examination Under ENT-Otorhino-A 1000 800
Microscope (EUM)
7 294 Gland Biopsy Under LA ENT-Otorhino-A 1000 800
8 490 I/D of Abscesses ENT-Otorhino-A 1000 800
9 295 Myringotomy (If inddor) ENT-Otorhino-A 1000 800
with Gromet Insertion
10 296 Nasal Polypectomy ENT-Otorhino-A 1000 800
11 491 Removal of Submandibular ENT-Otorhino-A 1000 800
Duct Stone Under LA
12 297 Repair of Pinna ENT-Otorhino-A 1000 800
13 489 Repair of Soft Tissue ENT-Otorhino-A 1000 800
Injury
14 298 Youngs Operation ENT-Otorhino-A 1000 800

1 299 Caldwell Luc’s Operation ENT-Otorhino-B 2500 2000

2 500 Direct Laryngoscopy (D/L) ENT-Otorhino-B 2500 2000
with Biopsy/Removal of F.B.
3 306 Endolymphatic Shunt ENT-Otorhino-B 2500 2000
4 494 Endoscopic DCR ENT-Otorhino-B 2500 2000
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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`

5 308 Excision of Any Tract ENT-Otorhino-B 2500 2000

6 498 Excision of Nasal Mass ENT-Otorhino-B 2500 2000
Under LA
7 292 Excision of Pre-Auricular ENT-Otorhino-B 2500 2000
Sinus Under LA
8 309 Gland Biopsy Under G.A. ENT-Otorhino-B 2500 2000
9 497 Middle Meatal Antrostomy ENT-Otorhino-B 2500 2000
(MMA) Under LA
10 301 Myringoplasty ENT-Otorhino-B 2500 2000
11 499 Oesophagoscopy/ ENT-Otorhino-B 2500 2000
Bronchoscopy (Diagnostic)
12 501 Reduction of Fracture ENT-Otorhino-B 2500 2000
Nasal Bone Under GA
13 495 Removal of F.B. From ENT-Otorhino-B 2500 2000
Ear/Nose/Throat under GA
14 496 Removal of Submandibular ENT-Otorhino-B 2500 2000
Duct stone under GA
15 311 Ulcers Excision ENT-Otorhino-B 2500 2000

1 310 Adenotonsillectomy ENT-Otorhino-C 4000 3200

2 307 Attico-Antrostomy/Atticotomy ENT-Otorhino-C 4000 3200
3 510 Excision of Branchial Cyst/ ENT-Otorhino-C 4000 3200
Fistula Under GA (Systrunk)
4 508 Excision of Nasal Mass ENT-Otorhino-C 4000 3200
Under GA
5 506 Excision of Submandibular ENT-Otorhino-C 4000 3200
Gland under GA
6 314 Excision of Thyroid Gland ENT-Otorhino-C 4000 3200
7 505 External Ethmoidectomy/ ENT-Otorhino-C 4000 3200
Fronto-Ethmoidectomy
8 543 Lateral Rhinotomy/Medial ENT-Otorhino-C 4000 3200
Maxillectomy
( 80 )
 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`
9 300 Mastoidectomy (Any Type) ENT-Otorhino-C 4000 3200
with or without Conchomeatoplasty
10 503 Microlaryngoscopic SurgeryENT-Otorhino-C 4000 3200
(MLS)
11 509 Oesophagoscopy/ ENT-Otorhino-C 4000 3200
Bronchoscopy with Biopsy/
Removal of F.B. Under GA
12 318 Pharyngectomy ENT-Otorhino-C 4000 3200
13 302 SMR/Septoplasty ENT-Otorhino-C 4000 3200
14 312 Stapedotomy/Stapedectomy ENT-Otorhino-C 4000 3200
15 507 Superficial Parotidectomy ENT-Otorhino-C 4000 3200
16 502 Thyroidectomy (Hemi/ ENT-Otorhino-C 4000 3200
Partial)
17 305 Tracheostomy ENT-Otorhino-C 4000 3200
18 303 Tympanoplasty/ ENT-Otorhino-C 4000 3200
Ossiculoplasty
19 504 Unilateral Endoscopic ENT-Otorhino-C 4000 3200
Sinus Surgery (Fess)
1 512 Bilateral Endoscopic ENT-Otorhino-D 5200 4200
Sinus Surgery (B/L Fess)
Under GA
554 Fees with Microdebrider 2500 2000
(Additional) Charges
2 511 Decompression of Facial ENT-Otorhino-D 5200 4200
Nerve
3 516 Endolymphatic Shunt ENT-Otorhino-D 5200 4200
4 515 Endoscopic ENT-Otorhino-D 5200 4200
Hypophysectomy
(Excision of Pituitary
Tumour)
5 513 Endoscopic Repair of ENT-Otorhino-D 5200 4200
CSF Rhinorrhoea
6 523 Excision of ENT-Otorhino-D 5200 4200
Nasopharyngeal
Angiofibroma
7 524 Excision of ENT-Otorhino-D 5200 4200
Parapharyngeal, Tumour
8 526 Facial Nerve Grafting ENT-Otorhino-D 5200 4200
9 520 Glossectomy ENT-Otorhino-D 5200 4200
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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`
10 316 Labyrinthectomy ENT-Otorhino-D 5200 4200
11 315 Laryngectomy ENT-Otorhino-D 5200 4200
12 522 Laryngoplasty (Type ENT-Otorhino-D 5200 4200
I-IV Thyroplasty)
13 519 Neck Dissection ENT-Otorhino-D 5200 4200
14 514 Orbital/Optic Nerve ENT-Otorhino-D 5200 4200
Decompression
15 530 Palatopharyngoplasty ENT-Otorhino-D 5200 4200
16 319 Pharyngo-Laryngectomy ENT-Otorhino-D 5200 42 00
17 529 Repair of Cleft Lip/ ENT-Otorhino-D 5200 4200
Palate
18 518 Rhinoplasty/ ENT-Otorhino-D 5200 4200
Septorhinoplasty
19 525 Styloidectomy Through ENT-Otorhino-D 5200 4200
Tonsillar Fossa Under GA
20 527 Surgery for Microtia ENT-Otorhino-D 5200 4200
21 317 Total Maxillectomy ENT-Otorhino-D 5200 4200
22 521 Total Parotidectomy ENT-Otorhino-D 5200 4200
23 517 Total Thyroidectomy ENT-Otorhino-D 5200 4200
24 528 Uvulopalatopharyngoplasty ENT-Otorhino-D 5200 4200

1 536 Baha Implantation ENT-Otorhino-E 6500 5200

2 533 Commando Operation ENT-Otorhino-E 6500 5200
3 313 Excision of Accoustic- ENT-Otorhino-E 6500 5200
Neuroma
4 532 Glossectomy with Neck ENT-Otorhino-E 6500 5200
Dissection
5 531 Laryngectomy with Neck ENT-Otorhino-E 6500 5200
Dissection
6 534 Laryngopharyngectomy ENT-Otorhino-E 6500 5200
with Neck Dissection
7 538 Maxillary Swing-Door ENT-Otorhino-E 6500 5200
Surgery
8 537 Skull Base Surgery ENT-Otorhino-E 6500 5200
9 535 Thyroidectomy with Neck ENT-Otorhino-E 6500 5200
Dissection

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`
1 554 Fess with Micodebrider (Additional Charges) 2500 2000

OPHTHALMOLOGY

1 264 Cyclo Diathermy Ophthalmology (A) 750 600

2 263 Cyclocryo Theraphy Ophthalmology (A) 750 600
3 256 Dacryocystectomy (D.C.T) Ophthalmology (A) 750 600
4 255 Dicission Operation Ophthalmology (A) 750 600
(Needling)
5 257 Drainage of Lid Abscess Ophthalmology (A) 750 600
6 258 Examination Under Ophthalmology (A) 750 600
Anaesthesia
7 259 Gland/Excision Biopsy Ophthalmology (A) 750 600
8 260 Iridectomy Ophthalmology (A) 750 600
9 348 Membranectomy Ophthalmology (A) 750 600
10 261 Multiple Chalazion Ophthalmology (A) 750 600
11 268 Needling of after Cataract Ophthalmology (A) 750 600
12 266 Optical Iridectomy Ophthalmology (A) 750 600
13 269 P.B.I. (Glaucoma) Ophthalmology (A) 750 600
14 262 Pterygium Ophthalmology (A) 750 600
15 267 Tarsorrhaphy Ophthalmology (A) 750 600
16 265 Total Conjunctivoplasty Ophthalmology (A) 750 600
Under LA

1 270 “Open Sky”Vitrectomy Ophthalmology (B) 1800 1450

2 274 Abscision of IRIS Prolapse Ophthalmology (B) 1800 1450
3 276 Capsulo Iridictomy Ophthalmology (B) 1800 1450
4 349 Enuculation Ophthalmology (B) 1800 1450
5 271 Plastic Reconstruction Ophthalmology (B) 1800 1450
Of Lids
6 272 Removal of Intraocular Ophthalmology (B) 1800 1450
Foreign Body

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 Charges at Charges
Srl. Code Operation Group Name ICCU/ITU/CCU at Gen.
No. Name /HDU/Cabin Bed
`)
(` `)
(`

7 273 Squint Correction Ophthalmology (B) 1800 1450

8 275 Sysaechectomy Ophthalmology (B) 1800 1450

1 282 Excision of Major Parital Ophthalmology (C) 2550 2100

Growth
2 283 Exenteration of Orbit Ophthalmology (C) 2550 2100
3 280 Filtering Surgery/ Ophthalmology (C) 2550 2100
Trabeculectomy
4 284 Keratoplasty Ophthalmology (C) 2550 2100
5 285 Lateral Orbitotomy Ophthalmology (C) 2550 2100
6 286 Operation for Detachment Ophthalmology (C) 2550 2100
of Retina
7 278 Reconstructive Surgery Ophthalmology (C) 2550 2100
for Contracted Socket
8 288 Repair of Lacterated Ophthalmology (C) 2550 2100
Injiury of the eye
9 279 Scheie’s Operation Ophthalmology (C) 2550 2100
10 287 Vitrectimy Ophthalmology (C) 2550 2100
11 367 Cataract Operation 900 600
(Extraction of Lens).
12 328 Microsurgery (IOL) 1350 900
13 352 DCR Under - LA 975 650
14 353 DCR Under - GA 2100 1400
15 358 Phaco Emulsification 4200 3260
16 784 E.R.C.P. (Therapeutic) 10000 10000
784 E.R.C.P. (Portable) 10000 10000
17 785 Squint Operation (for One Muscle) 17000 15000
18 786 Squint Operation (for 2/3/Oblique Muscle) 20000 18000
________________

Note : 1) If any operation is done outside the above list, its Group
will be decided by the Hospital Authority and charges
will be Payable Accordingly.
2) The rates and charges are subject to changes from time
to time. In case of any variation between charges taken
and charges published, please contact the Hospital
authority as soon as possible with money receipt.
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