BHANDARI HOSPITAL & RESEARCH CENTRE

(A Unit Of Bhandari Health Care Pvt. Ltd.)

SCHEDULE OF CHARGES
EFECTIVE FROM 01.04.2009
138-A, VASUNDHARA COLONY, GOPALPURA BYE-PASS TONK ROAD, JAIPUR-18 Phone : 2703851, 2703852 Email: bharcjpr@datainfosys.net Website:www.bhandarihospital.com

PREFACE

These charges are effective from 01.04.2009. All efforts have been made to ensure that there are no inconsistencies or typographical errors in the schedule. Nevertheless, if any error or inaccuracy is noted, it may be brought to the notice of the management without reservation.

(DR. K.M. BHANDARI) MANAGING DIRECTOR

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CONTENTS

1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.10 1.11

SCHEDULE OF CHARGES FOR OUTDOOR PATIENTS Registration Admission Charges Consultation Emergency Charges Injections Blood & Exchange Transfusions Certificates & Records Ambulance OPD Timings Emergency (Night) Charges Miscellaneous 1. Visiting Hours 2. Food Timings 3. Advance deposit 4. Provisional Bill 5. Food Charges 6. Charges for Investigation 7. Charges for Oxygen & Monitor 8. Payment of ICU & Ward Charges 9. Free Beds 10. Waste disposable & Other Maintenance Charges 11. Nursing Charges / Service Charges SCHEDULE OF CHARGES INDOOR PATIENTS

Page 06 06 06 06 06 06 07 07 07 07 07 & 08 07 08 08 08 08 08 08 08 08 08 08

2.00 2.1 3.00 4.00 5.00 6.00 7.00

Accommodation (Bed Charges for Indoor Patients) Extra Charges for Bed/Mattress – Misc. Charges Oxygen Charges Monitor Charges Special Nursing Extra Facilities Indoor Patient Visit Fee

09 10 10 10 10 10 10 &11

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APPENDICES I II III IV V VI VI Laboratory Investigation Radiological Investigation Ultrasonography /X-ray ECG 2D-Echo Color Doppler Charges for Asthma / Allergy Test Health Check Up Plans Charges for Surgery 1. Endoscopic / Laparoscopic Procedures 2. 3. 4. 5. 6 7. 8. 9. 10. 11. 12. 13. 14. Endoscopic / Laparoscopic Operations Minor Procedures Endocrinal Procedures (OPD) General Rules for Surgery & Procedures General Surgery Obstetrics & Gynaecology Plastic Surgery ENT Pediatric Surgery Neuro Surgery Orthopedic Surgery & Procedures Urology Dental Treatment Charges 12 to 30 31 32 32 33 34 & 35 36 37 to 38 39 40 41 41 to 44 45 46 & 51 52 to 54 55 to 57 58 59 to 60 61 to 63 64 to 66

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15. 16. 17. 18.

Skin Treatment Charges Speech Therapy & Audiology Physiotherapy / Occupational Therapy Charges Multi specialty Holmium Laser Surgery

67 67 68 to 69 70 to 71

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SCHEDULE OF CHARGES FOR OUT DOOR PATIENTS -------------------------------------------------------------------------------------------------------------S.NO. Particulars Charges Rs. -------------------------------------------------------------------------------------------------------------1.1 Registration: First visit (Valid for Two years) 35/1.2 1.3 (i) Admission Charges OPD Charges Consultation Fee Super Specialist Senior Consultant Jr. Consultant / Asst. Consultant Speech Therapist & Audiologist Resident Doctor Emergency Charges Consultation Fee ( 8.00 P.M. To 8.00 A.M.) 250/225/200/125/100/200/400/175/150/125/100/100/125/-

( ii )

Super Specialist Senior Consultant Jr. Consultant / Asst. Consultant Resident Doctor Dressings Dressing each time Small Big Very Big 1.4 Injections Injections each time Intramuscular Injections each time Intravenous 1.5 Exchange Transfusion Blood Transfusion (whole blood ) Plazma / FFP RDP

15/25/3500/300/150/- each 150/- each

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1.6

Certificates & Records a. Sick / Fitness / Maternity leave Certificate b. Duplicate Copy of Any Certificate / bills / Receipts c. Bed head ticket Xerox copies 50/- each 50/- each 700/-

1.7

Ambulance: Within City ( upto 15 Kms. radius ) Rs. 350/- For First Hour Or For Excess Number Of Hours Rs.150/- For Each Hour Plus Rs. 10/-Per K.M. B. For Outside The City ( upto 25 Kms. radius ) Rs.11/- Per K.M. C. Extra Rs. 200/- For Journeys During 8 P.M. To 8 A.M.
A.

Note: 1.8

K.M. Run shall be from Hospital to Destination and back to Hospital. O.P.D. Timings ( a ) Summer: 9.00 A.M. TO 1.00 P.M. 5.30 P.M TO 7.00 P.M. ( b ) Winter: 9.30 A.M. TO 2.00 P.M. 5.0 P.M. TO 7.00 P.M.

NOTE :-The OPD will remain closed on Sundays and hospital notified holidays. Timing may be changed according to need. 1.09 Emergency Charges - Charges for X-ray, lab. investigations, ECG and other investigations will be double from 8.00 PM to 8.00 AM. Miscellaneous 1. Visiting Hours: Daily Sundays 2. Food Timings : 01.30 PM to 4.00 PM 07.00 PM to 9.00 PM 11.00 AM to 9.00 PM 07.00 AM to 8.00 AM 11.30 AM to 12.30 PM 07.00 PM to 08.00 PM

1.10

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3.

Advance: An advance deposit equivalent to 5 days bed/room rent will be charged on admission for all categories of patients and will be adjusted at the time of final payment. Advance for surgery will have to be deposited before surgery.

4. 5.

Provisional Bill : At the end of 3 days stay payment of provisional bill has to be made. Food Charges : The charges are exclusive of food. The patients will have to make their own arrangement or from hospital canteen for food as advised by the consultants from time to time.

6.

The charges for investigations, operations, procedures, would be as per schedule for General Ward patients but the charges for deluxe rooms & Emergency operations will be one and half times and for Suit class / Super deluxe it would be double for indoor patients. Doctor’s visit will be as per visits.

7.

The charges for use of monitor, pulse oxymeter, respirator and oxygen, waterbed, nabuliser etc. wherever required would be extra as per schedule.

8.

ICU: If the patient is admitted in ICU and if the ward accommodation is also retained , then the charges for such accommodation retained in the ward would be extra.

1 1

9.

Free beds will be offered in deserving cases at the discretion of 10. Waste disposable & other maintenance charges of Rs. 30/- per

the Management/ Shri Sardarmal Bhandari Charitable Trust / Society.
11

day will be charged. 11. Rs. 10/- will be charged extra for using disposables for collection of samples. 12. Nursing Charges / Service Charges @ 15% will be extra on total bill amount excluding Operation / Procedure / Delivery Charges.

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SCHEDULE OF CHARGES - INDOOR PATIENTS 2.0(a) ACCOMMODATION S.N Accommodation Name 1 2 3 4 5 6 7 8 General Ward Semi Private (Air-cooled) Semi Deluxe (Air-conditioned) Deluxe Ward/ Pvt. Ward (Air-conditioned) Super Deluxe/ Pvt. Ward (Air-conditioned) Suite 108 & 109 I. C. U. Nursery (Special Care Neonatal Unit) A) Incubator B) Radiant Warmer C) Photo therapy D) Cradle Labour Room Waiting (Antenatal Bed) High risk pregnancy ward Isolation Rent 400.00 800.00 1000.00 1500.00 2000.00 3000.00 1500.00

600.00 300.00 250.00 400.00 800.00 2000.00

9 10 11

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2.1

Extra Charges For Bed/Mattress Suit Class Super Deluxe Deluxe Semi Deluxe / Private General Ward

500/400/300/200/200/350/500/650/900/-

3.0

Oxygen Charges 1 In Emergency up to 3 hours 2 Beyond 3 hours – up to 6 hours 3. Beyond 6 hours – up to 12 hours 4 Beyond 12 hours – up to 24 hours

4.0 Monitor Charges 1 2. 3 4. 5. 6. 7. 5.0 Ventilator Installation Ventilator charges per day Cardiac Monitor & pulse oxymeter- per day Fetal Monitor (Six Hour) NIBP Syringe Pump / Infusion Pump Endotracheal Intubation 700/1200/150/- each 500/300/100/500/-

Special Nursing 1 2 Day shift for 12 hours Night shift for 12 hours 400/450/-

6.0

Extra Facilities 1 2 Colour T.V. Portable Room Heater / Pt. Warmer 250/400/-

7.0 Consultant's Fees (Indoor Visit) : Not more than two visits per day. 1 Routine per visit Super Specialist Senior Consultant Jr. Consultant / Asstt. Consultant Resident Doctors
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Gen./ Semi Dlx/Cubical 175/150/125/100/10

Dlx. 250/200/175/125/-

Spr. Dlx. ICU 300/275/250/175/350/325/300/175/-

NICU 250/-

Special visit (Call) Gen./ Semi Dlx/Cubical Dlx. day/night Super Specialist 300/375/Senior Consultant 250/350/2

Spr. Dlx. ICU 400/375/300/700/700/-

NICU

400/375/- 375/350/- 350/700/700/-

Jr. / Asstt. Consultant Cesarean Call for Pediatrician Normal Delivery Call

175/600/500/-

250/600/600/-

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LABORATORY INVESTIGATION HAEMATOLOGY GROUP I CBC (CELLTAC ALPHA) TLC, DLC, PCV, RBC, Hb%, ESR TLC DLC Hb% Erythrocyte Sedimentation Rate(ESR) M.C.V. M.C.H. M.C.H.C. Haemotocrit ( PCV ) Bleeding Time Clotting Time Blood Grouping (ABO & Rh ) Cross Matching Platelets Count Absolute Eosinophil Count(TEC) Vacuolated Eosinophil Count(VEC) Reticulocyte Count PBF Examination MP ( PBF ) Prothrombin Time ( P . T . ) Clot Retraction Test Partial Thromboplastin Time ( PTT ) 150.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 60.00 110.00 35.00 35.00 35.00 35.00 55.00 50.00 100.00 45.00 150.00

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TRBC HIV Nasal Smear for Eosinophils * GROUP II PBF for Microfilaria Thrombin Time G- 6 PD ( Quantitative ) Foetal Hb P.B.F. for L.D. Body FDP Plasma Plasma Fibrinogen Osmotic Fragility Test ( OFT ) Sickling Test Blood Culture & sensitivity (Bactac) Bone Marrow Aspiration from sternum Blood for MP QBC Factor VIII Assay Quantitative LE Cells Bone Marrow Biopsy

35.00 350.00 35.00

55.00 450.00 250.00 550.00 55.00 850.00 450.00 110.00 55.00 700.00 600.00 110.00 1500.00 350.00 800.00

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BIO CHEMISTRY GROUP I Blood Sugar ( 1 Sample ) Fasting Blood Sugar (PP - 2 Hrs.) Blood Sugar (PG – 75 gms.) –Two Hrs. Blood Sugar – Fasting ( Glucometer ) Blood Sugar PP ( Glucometer ) Blood Sugar - Random Glucose Tolerance Test (6 Samples) After 75 Gms. Glucose S. Urea BUN S.Creatinine Total Protein ( A / G Ratio ) S.Bilirubin (T & D) SGOT SGPT S.Alkaline Phosphatase S.Uric Acid S.Sodium S.Potassium S.Chloride S.Electrolyte S.Calcium S.Phosphorus S.Cholesterol ( Total ) 55.00 55.00 55.00 55.00 55.00 55.00 300.00 65.00 65.00 65.00 110.00 90.00 70.00 70.00 90.00 85.00 125.00 125.00 125.00 450.00 100.00 70.00 65.00

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S.Cholesterol ( HDL ) S. Cholesterol ( LDL ) Cholesterol ( VLDL ) S.Triglycerides S.Amylase S.Lipase LFT S. Inorganic phosphorus *GROUP II PBI D-Xylose Creatinine Clearence Total Lipids Glycosylated Hb (Hb A1c) S. Acid Phosphatase (Total & Prostatic) ( CPK – MB ) Creatinine Phosphokinase – MB CPK S. Iron S. Copper Lithium LDH S. Magnesium ADA (Total)

175.00 175.00 175.00 200.00 200.00 200.00 400.00 100.00

175.00 150.00 110.00 175.00 450.00 275.00 275.00 250.00 200.00 330.00 220.00 220.00 220.00 220.00

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Ionized Calcium S. Albumin S. Ammonia levels S.TIBC S. Hepatoglobulin S. Transferrin SGGT (Gamma G.T.) Anti Mitochondrial Antibody Beta – 2 Microglobulin Elisa Anti Phospholipid Lupus Anticoagulant CD – 3 CD – 15 CD – 20 CD – 30 CD – 43 CD - 45 RO Anti C C P S. Lactate ANCA ( P- ANCA , C – ANCA )

300.00 65.00 600.00 200.00 1150.00 900.00 220.00 1350.00 1100.00 1200.00 1750.00 1750.00 1750.00 1750.00 1750.00 1750.00 700 .00 650.00 1200 .00

SEROLOGY

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GROUP I Widal Test V.D.R.L. CRP ( Qualitative ) ASLO Titer ( Qualitative ) RA Factor ( Qualitative ) *GROUP II RA Factor ( Quantitative ) CRP ( Quantitative ) ASLO Titer ( Quantitative ) Rh Antibody Titer Coombs Test Direct Coombs Test Indirect Haembio Complement Functional Serum Hb Electrphoresis 250.00 225.00 250.00 200.00 110.00 200.00 900.00 12000.00 800.00 90.00 100.00 110.00 200.00 85.00

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HBV – DNA ( Qualitative ) HBV – DNA ( Quantitative ) HIV – Viral Load S.TPO PROFILES GROUP I Lipid Profile Liver Profile Anemia Profile Cardiac Profile Renal Profile *GROUP II Thyroid Profile IMMUNOLOGY HORMONES ( CLIA ) *GROUP II T3 T4 TSH FT3, FT4 , TSH FreeT3

3300.00 5500.00 4000.00 550.00

550.00 500.00 650.00 550.00 700.00

570.00

175.00 175.00 220.00 660.00 220.00

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FreeT4 FSH LH Prolactin DHEA Sulphate Testosterone Estradiol Progesterone 17 OH Progesterone Parathyroid Hormone ( PTH ) Cortisol : Single Sample Cortisol : Double Sample ACTH Growth Hormone ( Basal ) Growth Hormone ( Double )

220.00 275.00 275.00 330.00 440.00 440.00 475.00 440.00 600.00 900.00 450.00 800.00 900.00 375.00 800.00

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Body Fluids Examination ( CSF,Pleural, Perit on eal , Ascitic & Others ) GROUP I Cell Count & Type, Bio Cherosy Protein Glucose Chloride Amylase Lipase Creatinine VDRL Ph Malignant Cells (Cytology) *GROUP II ADA CRP ( Qualitative ) TB PCR BACTERIOLOGY GROUP I Gram’s Staining Hanging Drop ( Stool for V. Cho.) Any Routine Culture & Sensitivity 35.00 55.00 175.00 220.00 110.00 1600.00 240.00 110.00 55.00 125.00 200.00 200.00 65.00 100.00 35.00 300.00

*GROUP II

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Fungus Culture Rapid AFB Culture (Bact / Alert ) Pleural Fluid Aspirate For Bott Arobes Pleural Fluid Aspirate For Bott Anarobes Pus For Aerobic Culture Pus For Anaerobic Culture Endometrial Biopsy for MRNA PCR Albert Staining ( For C .Dipth.) MYCOLOGY *GROUP II KOH Mount Indian ink prep. For Cryptococus Neoformans Grams Staining for Yeast Cell PARASITOLOGY *GROUP II Smear Examination for: Trichomonas Vaginalis Gardinella Candida / Gonococci Entomoeba Histolytica Hydatid Sand / Hooklets Leishman Staining FERTILITY

220.00 750.00 650.00 700.00 650.00 700.00 2400.00 55.00

55.00 110.00 35.00

55.00 55.00 55.00 each 110.00 110.00 55.00

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GROUP I Semen analysis Semen Culture *GROUP II Fructose SKIN TEST GROUP I Mountoux Test 40.00 90.00 90.00 175.00

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HEPATITIS MARKERS GROUP I Australia Antigen (HBs Ag) *GROUP II Anti HBs Antibody Anti – HBc – ( IgG / IgM ) Hbe Ag anti – HBe – antibody anti – HCV – antibody Anti – HAV IgM anti – HEV IgM IgM HCV Anti Cardiolipin Antibody IgG Anti HAV Antibody IgG Anti HCV – RNA Quantitative TORCH ( IgG/IgM ) ( ELISA ) *GROUP II anti – Toxoplasma antibody ( IgG / IgM ) anti – Rubella antibody ( IgG / IgM ) anti – HSV - II antibody ( IgG / IgM ) anti – CMV antibody ( IgG / IgM ) 275.00 each 275.00 each 275.00 each 550.00 each 450.00 450.00 each 450.00 450.00 500.00 each 500.00 550.00 650.00 550.00 800.00 7700.00 1100.00 each 200.00

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CANCER MARKER ( CLIA ) *GROUP II Prostate Specific Antigen ( PSA ) Alpha fetoprotein (AFP ) Carcino Embryonic Antigen B. Human Chorionic Gonadotrophin ( Bh CG ) Ferritin CA 125 ( Ovarian Cancer ) CA – 19 – 9 Elisa CA – 53 ( Breast Carcinoma ) HLA B 27 Anti LKM COLLAGEN DISEASES *GROUP II Anti – ds – DNA antibody Anti – nuclear antibody (ANA By ELISA) Anti – nuclear antibody (ANA By IFA) Anti – Cardiolipin antibody – IgM / IgG Anti – Thyroidglobulin antibody ( ATA ) Anti – Thyroid microsomal antibody (AMA ) Anti – Sperm antibody Anti Smooth Muscle Antibody 450.00 400.00 625.00 1100.00 550.00 550.00 450.00 1450.00 450.00 450.00 450.00 450.00 650.00 770.00 1200.00 1600.00 1450.00 1250.00

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Anti – Phospholipid antibody (IgG / IgM ) IMMUNOGLOBULINS *GROUP II Immunoglobulin G Immunoglobulin M Immunoglobulin A Immunoglobulin E INFECTIOUS DISEASE *GROUP II HIV (west. Bloot) Anti Mycobacterium A - 60 Ab (IgA) Anti Mycobacterium A - 60 Ab (IgG ) Anti Mycobacterium A - 60 Ab (IgM) PCR For TB (Endometrial Tissue for PCR Mycobacterium) Anti Measles Antibody (IGG / IGM) Anti Amoebic Antibody ( IgM / IgG ) Anti Taeniasolium antibody (Cysticercosis) Anti Measles Antibody Anti Echinococcosis Anti – Chlamydia Antibody ( IgA / IgM / IgG ) Dengue virus antibody ( IgG / IgM ) Brucella antibody ( IgG & IgM ) Malaria p LDH

450.00 each

330.00 330.00 330.00 330.00

2200.00 450.00 450.00 450.00 1600.00 each 1000.00 each 700.00 550.00 450.00 450.00 450.00 each 770.00 each 1500.00 300.00

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TPHA Test for Infectious mononucleosis ( IMN ) Test for Chickengunia ( Igm ) DRUG ASSAY *GROUP II Carbemazepine Assay Phenytoin Valporic Acid

330.00 275.00 900.00

450.00 450.00 450.00

ELECTROPHORESIS *GROUP II Serum Protein Electrophoresis CLINICAL - PATHOLOGY URINE GROUP I Routine Occult Blood Bile salts Bile Pigments Gravindrax Test ( Sp. ) Urine Sugar Urine Culture & sensitivity Ketone Bodies 30.00 30.00 20.00 20.00 90.00 20.00 175.00 35.00 500.00

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Acetone *GROUP II 17 Keto Steroids 24Hrs. Urobilinogen Porphobilnogen 24 Hrs.Protein Cortisol Potassium Sodium Creatinine Uric Acid Calcium Phosphorus Chloride Magnesium Ferric Chloride A.F.B. Culture (Bactac) 24 hrs. urinary Oxalates 24 Hrs. Urinary Copper 24 Hrs. VMA

35.00

1650.00 50.00 60.00 90.00 450.00 90.00 90.00 90.00 110.00 110.00 110.00 90.00 330.00 110.00 750.00 1300.00 375.00 1800.00

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Bence – Jones Proteins Urinary Microalbuminuria STOOL GROUP I Routine Occult Blood PH Reducing Substance Stool Culture & sensitivity *GROUP II Stercobilinogen Faecal Fat ( Qualitative ) SPUTUM GROUP I Sputum Exam. Sputum AFB stain OTHERS GROUP I Blood Collection at Home Paps Smear Vomitus for occult blood *GROUP II Bronchodilator Reversibility test

55.00 330.00

30.00 30.00 35.00 35.00 175.00

35.00 55.00

55.00 80.00

110.00 250.00 30.00

55.00

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Cojunctival Smear for Gram’s Stain Vit. B - 12 Folic Acid Complement C3 Complement C4 Immunoreactive Insulin C- Peptide Ceruloplasmin Western Blott for HIV Biopsy of any Tissue Exfoliative Cytology Blood Gas Analysis Pleural Fluid for AFB Culture by RNA JMA Det etc. Stone for Chemical Analysis CD – 4 Count BSL 13 SMA - 12 SMA – 12 +2 SMA – 12 ( Gen . ) SMA - 27 UIRNP Anti – SM Antibodies Anti Rabies

55.00 550.00 550.00 350.00 350.00 450.00 450.00 550.00 2200.00 550.00 250.00 600.00 2400.00 600.00 1200.00 925.00 475.00 1000.00 900.00 800.00 2100.00 1450.00 975.00

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Urine for Metanephrine 24 Hrs. Urine for Catacolamine 24 Hrs. Urine for HIA – A 24 Hrs. Urine for Copper Anti Endomycl Antibody 1GM Anti Body LA Anti Body RO APS (B2) GM & 1GG, Cardio 1GM, LA CNCA Immuno Innuno Fixation Quali Prot. Laptospira 1GM Homostetin TTG Vit. D3

1500.00 2800.00 2300.00 1500.00 1400.00 1100.00 1150.00 1950.00 700.00 2800.00 3700.00 800.00 800.00 1200.00 1200.00

Note - * Group II investigations are being out sourced .

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RADIOLOGY INVESTIGATIONS -------------------------------------------------------------------------------------------------------------S.No. Particulars Charges Rs. BedSide Charges 1 Ultra Sonography (US) of upper abdomen including Liver, Gall- bladder, Pancreas Spleen, great Vessels, Kidneys Gynae/Lower abdomen Whole abdomen K.U.B. Whole abdomen (screening) Upper abdomen (screening) Lower abdomen (screening) K.U.B. (screening) X-Ray I.V.P. Ba.Meal Ba.Enema Ba.Meal & Follow Through Ba.Swallow H.S.G. NIGHT X-Ray Portable X-Ray at Home Urethrogram Sinogram T - Tube cholangiogram Dental X-Ray Bed Side X-Ray at Hospital U.S.G. of follicle study/Ovulation study ( for three days) Sono guided Biopsy/ FNAC Sono guided Aspiration of liver Abscess / Pl. Fluid / Peritoneal or Pelvic abscess Sono guided Aspiration Diagnostic

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

500.00 500.00 800.00 500.00 500.00 300.00 300.00 300.00 250.00 1500.00 1100.00 1300.00 1600.00 1100.00 1200.00 400.00 550.00 650.00 650.00 550.00 80.00 350.00 800.00 1000.00 2000.00 1000.00

800.00 800.00 1200.00 800.00 800.00

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ECG III a) E.C.G Single Channel 125/c) E.C.G.twelve Channel 250/e) E.C.G. at Night 250/b) ECG Three Channel d) ECG Bed Side f) E.C.G. at home 175/200/250/-

2D ECHO IV 2D ECHO COLOR DOPPLER for Heart 2D Echo Colour Doppler for peripheral vessels one limb 2D Echo Colour Doppler for peripheral vessels two limbs 2D Echo Colour Doppler for Fetus CTMT EEG 1500/1500/2500/1700/1500/1500/-

V VI

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CHARGES FOR ASTHMA TEST S.No. 1. 2. 3. 4. 5. 6. 7. 8. Description P.P.D. (M.T.) Test P.E.F. Spirometery Test (P.F.T.) Nebuliser Therapy Oxygen Therapy Bronchoscopy Chest Physiotherapy Simple Nasal Smear for Eosinophils Charges 35.00 30.00 350.00 60.00 150.00 Per Hour 3000.00 60.00 35.00

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HEALTH CHECK UP PLANS I ) Basic Health Check Up Plan Rs. 500/-

One Consultation with Physician and One Consultation with Gynaecologist (For Females Only ) along with CBC , ESR , Blood Sugar (F) / Post Prandial, S. Cholesterol , S. Creatinine , Complete Urine Examination , X- Ray Chest , ECG . II ) Comprehensive Health Check Up Plan Rs.1500/-

One Consultation with Physician and Surgeon / Gynecologist (For Females Only) along with CBC , ESR, Blood Group (ABO & Rh), Blood Sugar (F) / Post Prandial, S. Creatinine , Uric Acid , Blood Urea , SGPT , Lipid Profile , Complete Urine Examination , Stool Examination , Ultrasonography (whole abdomen), XRay Chest , ECG and Pap’s Smear ( For Females ). III ) Executive Health Check Up Plan Rs. 3000/-

One Consultation with Physician and Surgeon / Gynaecologist ( For Females Only ) alongwith CBC , ESR ,Blood Group ( ABO & Rh ), Blood Sugar (F) / Post Prandial ( 2 Hrs ) , Blood Urea , S. Creatinine , S. Calcium ,Uric Acid , Lipid Profile , Liver Function Tests , , Complete Urine Examination, Stool Examination , Ultrasonography (whole abdomen) , X- Ray Chest , ECG , Stress Test and Pap’s Smear ( For Females ). IV ) Child Health Check Up Plan Rs. 500/-

One Consultation with Paedriatician alongwith CBC , ESR , Mantoux Test , Complete Urine Examination , X- Ray Chest. V ) Women Health Check Up Plan Rs. 1000/-

One Consultation with Gynaecologist alongwith CBC , Blood Sugar (F) / Random , TSH , Complete Urine Examination , Ultrasonography – Lower Abdomen and Pap’s Smear . Additional Cancer Screening ( Optional ) CA – 125 Tumor Marker – Rs. 1100/-

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VI ) Diabetic and Cardiac Risk Evaluation Plan

Rs. 1500/-

One Consultation with Physician alongwith Blood Sugar (F) / Post Prandial (2 Hrs) Blood Urea , S. Creatinine , SGOT , SGPT , Lipid Profile , S. Electrolytes , HBA Ic Complete Urine Examination , Microalbuminuria , X- Ray Chest , and ECG VII ) Heart Check Up Plan Rs. 3100/-

One Consultation with Cardiologist alongwith CBC , ESR , S. Creatinine ,Lipid Profile , Ultrasonography ( KUB Region ) , X- Ray Chest , ECG ,2 D Echo and CTMT . VIII ) Obesity Check Up Plan Rs. 5000/-

One Consultation with panel of doctors consisting of Physician, Surgeon, Endocrinologist and Dietician along with CBC , Blood Sugar – F / PP , S. Creatinine, Lipid Profile , LFT , T3 T4 TSH , S. Insulin , S. Cortisol ,ECG , X-Ray Chest , USG – Whole Abdomen , PFT , Echo Cardiography. Optional – GTT – 250/- , CTMT – 1000/IX ) Cancer Screening Profile ( Male ) Rs. 1500/-

CBC , ESR , Peripheral Blood Film (PBF) , X – Ray Chest , USG – whole abdomen, PSA – Tumor Marker , Consultation with Physician (one) , Consultation with Surgeon (one)

X ) Thyroid Profile Plan
T3, T4, TSH , Serum Cholestrol , ECG , Consultation with Physician (one)

Rs. 700/-

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ENDOSCOPIES /LAPAROSCOPIC DIAGNOSTIC PROCEDURES Note:- 1. 2. 3.
4.

If the patient is having additional Medical Problems, i.e. IHD, H.T., D.M. etc the charges would be variable with the problem. Disposable / Consumables items charges will be extra like Stapler, Tracker, Lagging, Mesh, PPH etc. Harmonic Scalpel Charges Rs.1500/- extra, if used in the Laparoscopic Procedures. C – Arm IITV if used during Surgery , charges would be Rs. 700 / - extra. LIST OF PROCEDURES

Diagnostic :1. 2. 3 4 Sigmoidoscopy(Rigid) Sigmoidoscopy(Flexible) Gastroscopy E R C P Diagnostic - LA - GA Cystoscopy L.A. Cystoscopy G.A. Hysteroscopy Diagnostic Laparoscopy Panendoscopy Sinoscopy Colposcopy Colonoscopy - LA - GA 600/1500/1500/3000/4000/2500/3500/4000/5000/3000/1000/1000/2500/3500/-

5. 6. 7. 8. 9. 10. 11. 12.

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ENDOSCOPIES /LAPAROSCOPIC OPERATIONS
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Sclerotherapy Foreign body removal Oesophageal dilatation Therapeutic ERCP CBD stone removed with GA Therapeutic ERCP Bil Stenting Appendicectomy Cholecystectomy CBD Exploration LAVH LAVH with BSO Total Lap. Hysterectomy Adhesiolysis Ovarian cyst excision Ectopic Pregnancy Fulgration of endometriosis R.P Ureterolithotomy Lumbar sympathectomy Colostomy Lap. Asst. Rt. Hemicolectomy

2000/2500/2000/8000/7500/8000/9000/15000/11000/13000/15000/6500/8000/9000/6000/10000/18000/10000/20000/-

11.
12. 13. 14. 15. 16. 17. 18. 19.

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20.
21. 22. 23. 24. 25. 26. 27.

Lap. Asst. Lt. Hemicolectomy LAP - sterlization Inguinal Hernia Repair(Big) TEP/TAPP Inguinal Hernia Repair(Small) TEP/TAPP Ventral Hernia repair/Umbilical Hernia repair Large Incisional Hernia repair Small Incisional Hernia repair Minimal Invasive Haemrrhoidectomy (Stapler Haemrrhoidectomy / MIPH /PPH) Nissan Fundoplication (operation for Hiatus Hernia) Lap Assisted Total Colectomy Lap Chole + CBD Exploration Rectopexy Lap. Myomectomy (small fibroid < 4 cm.) Lap. Myomectomy (big fibroid > 4 cm.) Varicocele ESWL & ERCP for large CBD Stone ESWL for Pancreatic stones

25000/4000/15000/10000/15000/18000/15000/8500/20000/25000/21000/15000/12000/15000/15000/30000/30000/-

i. 28. 29. 30. 31. 32. 33. 34. 35.

36. Note:- 1.

If the patient is having additional Medical Problems, e.g IHD, H.T., D.M. etc the charges would be variable with the problem i.e. 15% per problem will be extra. Disposable / Consumables items charges will be extra like Stapler, Trocar, Lagging etc, PPH, Mesh etc.

2.

3. Harmonic Scalpel Charges Rs.1500/- extra, if used in the Laparoscopic Procedures. 4. C – Arm IITV if used during Surgery , charges would be Rs. 700 / - extra.
38

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MINOR PROCEDURE Liver needle biopsy closed Bone marrow aspiration/biopsy Aspiration of chest or abdomen Diag. Lumbar puncture Fine needle aspiration organs other than lung Fine needle aspiration lung Venesection Suturing (minimum) Piercing of ears ( Unilateral ) Local cortisone -intrarticular inj. Enema Hot seitz Bath Copper T insertion Tongue tie release under L.A. Tongue tie release under G.A. Nebulizer Karvol/Steam Inhalation Intubation – Endo – Tracheal Femoral Central Line Neck Line / Central Line Chest Tube Insertion under LA Ryles Tube Insertion Catherisation
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800/800/800/800/500/800/1000/200/200/300/35/30/350/1000/1500/30/- each 25/500/500/800/2000/50/200/39

8.00

GENERAL RULES REGARDING CHARGES FOR SURGERY AND OTHER INPATIENT PROCEDURES : The schedule of charges for operatons and procedures are set out in the subsequent pages and are governed by the following general rules:1. The operation charges are for Gen. ward, Semi deluxe / Semi Private ward inclusive of Surgeon's fee, Asst.fee,O.T. charges, Aneasthesia fee and exclusive of medicines, disposables and Investigations. 2. The charges set out are for general ward patients. Unless otherwise specilfied, the charges for private wards / Deluxe Rooms & Emergency Operations will be one and half time and for Suit Class/Super Deluxe Charges would be double. 3. The cost of implants / surgical sundries including valves, plastic materials, IOL, tubings, plates, mesh, stapler, tacker, endoanchor, medicines etc. supplied by hospital will be charged extra. 4. For any operation not included or fully described in this schedule the Surgeon will levy the O.T. and operation charges commensurate with the magnitude of the operation. 5. C – Arm IITV if used during Surgery , charges would be Rs. 800 / - extra. 6. Harmonic Scalpel Charges Rs.1500/- extra, if used in the Laparoscopic Procedures.

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GENERAL SURGERY
SUPER MAJOR (15000 & Above) 1. 2. 3. 4. 5. 6. 7. Radical neck dissection with mandibulectomy Abdomino-perineal surgery CBD Exploration Hiatus Hernia Whipples Operation By pass Procedure for Periampullary Carcinoma or Pancreatic Carcinoma Choledochal Cyst Excision with Hepaticojejunostomy Oesophagectomy – Trans hiatal Trans thoracic Choledochojejunostomy or Chloedochocystojejunostomy Total Colectomy Cholecystectomy + CBD Exploration Radical Gastrectomy Lower Esophagectomy Mid Esophagectomy Esophagectomy with colonic Replacement 20000/20000/12000/20000/27000/22000/20000/22000/23000/17000/17000/18000/18000/20000/22000/35000/-

8.

9. 10. 11. 12. 13. 14. 15.

MAJOR (8000 - 15000) 1 2 Radical Thyroidectomy Cholecystectomy 11000/9000/-

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3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Exploratory Laparotomy Gastrectomy Gastro-jejunostomy with vagotomy Intestinal Resection & Anastomosis Lysis of Adhesions with relief of bowel obstruction Colostomy / Ileostomy Hemicolectomy Modified Radical Mastectomy Cervical sympathectomy Pyloroplasty with vagotomy Spleenectomy Subtotal Thyroidectomy Hemi Thyroidectomy Hernioplasty for Ing. Hernia Rectopexy Parotidectomy Incisional Hernia Big Small Colostomy / Ileostomy closure INTERMEDIATE (5000 - 8000)

10000/13000/13000/13000/10000/12000/13000/11000/11000/11000/10500/9000/8000/8000/11000/12000/11000/- ( Open) 9000/- ( Open ) 10000/-

1 2 3

Appendicectomy Umbilical and paraumbilical hernia Lumbar Sympathectomy

7000/8000/8500/-

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4 5 6 7

Piles (Haemorrohidectomy) Piles (IRC) Piles (Band Ligation) Piles (Cryo)

8000/6500/5000/5000/-

8 9 10 11 12 13 14 15 16

Excision of Fistula in Ano (Low) ( High ) Split skin grafting (Small) (Large) Herniorraphy for Ing. Hernia Operation for Hydrocele Lumpectomy Pilonidal Sinus Varicocele Orchidectomy Uni Bil

7000/10000/6500/9000/6500/6500/5000/7000/5000/5000/7000/7000/12000/-

Surgery for Gynaecomastia Unilateral Bilateral MINOR (1500 - 5000)

1 2 3

Anal Wiring Suturing Small Cyst (G.A.) (L.A.) (G.A.)
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1100/1800/1100/2000/-

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(L.A.) 4 5 6 7 8 9 10 11 12 Anal Abscess(G.A.) (L.A.) Anal Stretching (G.A.) (Lords Stretching)

1500/2700/1500/4500/2500/1500/2700/1700/2500/3000/2000/2000/3000/3500/-

Incision & drainage (G.A.) (L.A.) Biopsy (G.A.) (L.A.)

Chest Drainage (I C T D) L.A. Circumcision (G.A.) (L.A.) Testicular Biopsy (L.A.) One side Vasectomy (L.A.) Suprapubic Catheterization (SPC)

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OBSTETRICS AND GYNAECOLOGY MAJOR 1. 2. 3. 4. 5. 6. 7. 8. 9. Vaginal Hysterectomy Vaginal Hystrectomy with PFR Total Hysterectomy Caesarean Section Ectopic Gestation Ovarian Cystectomy Vault Prolapse Adhesiolysis TVT 10000/13000/10000/8000/8000/7500/18000/6600/15000/-

INTERMEDIATE 1 2 3 Repair of Perineal Tear Tubectomy M.T.P. Upto 6 weeks 6 to 10 weeks 4 5 6 7 D&C Primi Delivery (Normal delivery with episiotomy) Forceps delivery Abnormal Vaginal Delivery 6000/4000/3000/4500/2500/4500/6000/6000/-

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PLASTIC SURGERY OPERATION CHARGES SUPER MAJOR Abddominoplasty Large Avulsion Injuries Limb Large Avulsion Injuries Scalp Reimplantation of Above Face Lift with Neck Lift Reduction Mammoplasty Reconstruction Mammoplasty Reconstruction Pinna Re Implantation Digit Cosmetic Rhinoplasty Face Lift Rhydectomy Face Lift Both Sides Demo Lipectomy Cosmetic TM Joint Ankylosis Panfacial Fracture 25000/25000/25000/25000/25000/25000/25000/25000/25000/25000/25000/25000/25000/25000/25000/-

GRADE – I Abdominoplasty Small Anterior Repair, Anterior Palate Avulsion Injuries Scalp Avulsion Injury Scrotum Cleft palate complete Dermabrasion full face Elephantiasis per limb per stage major Facial Paralysis Nerve Repair
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15000/15000/15000/15000/15000/15000/15000/15000/46

Fascial Paralysis Sling Rhinoplasty with Forehead Flap Incisional Hernea Repair Liposuction SAL DO/ REGION/ Area Augumentation Mammoplasty Fracture maxilla Lefort – Three Micro Neural Graft Pollicization Port wine stain Large Port wine stain side Pharyngoplasty Single stage Hypospadius Repair Syndactaly Multiple Vaginoplasty Micro vaso Vasotomy Nasal Tip Correction Secondary Cleft Lip Secondary Revision Palate Skin Grafting > 20% PBC Neck GRADE – II Avulsion penis Baggy Eye Lids Per Eye Pressure / Bed sore Bone Graft A.O. Fixatio Bone Fixation per Fracture Cheek Augumentation per Side Chin Augumentation
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15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/15000/-

12500/12500/12500/12500/12500/12500/12500/47

Cleft Lip Unilateral Incomplete Cleft Lip Unilateral Complete Cleft Lip Bi Lateral Incomplete Cleft Palate Soft Palate Composite graft Compound Fracture Nose Contracture with Cover Large Cosmetic Correction of Lip Cosmetic Penile Surgery Dermabrasion Part of Face De Sloughing Large Duptrens Contracture Release Bat Ear correction per Ear Elephantiasis Scrotum / Major Eye lid Reconstruction Major Face Scar Complicated Large Fascio Cutaneous Flaps Large Full thickness Graft Medium Size Intermediate Hypospadius Chordae Correction Reconstruction of Urethra second Stage Reconstruction of Urethra Stage – 3 Lacerations Extensive Lipoma Excision Large Major hand Injury Do Open Reduction Mandible Fracture closed Reduction Mandible Fracture Open Reduction and Plating per Fracture DO Lefort – Two Micro Neuro Repair Musculocutaneous Flaps Large Large Flap single
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12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/48

Island Flap Ptosis Sling Procedure DO 8-20 % of Body Surface Syndactly Single Tendon Repair Gynaecomastia Torticollis Eye Wedge Resection Reconstruction one side Face Scar Complicated large Zygoma Fracture GRADE – III In hand Injuries Burn Excision Large Burn Excision Medium Carpal Tunnel Syndrome Per Cartilage Graft to Nose / Ear Closed Fracture Nose Contractures Small Deformities of Eye Brows One De Slouging Medium Entropion Per Eye Epicanthus Eye Lid Reconstruction Minor Escharectomy per Fasciotomy Scar Small Finger Tip Injury Flap Fistula Closure Foreign Body Removal Haemangioma Excision Small / Intermediate
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12500/12500/12500/12500/12500/12500/12500/12500/12500/12500/-

7500/7500/7500/7500/7500/7500/7500/7500/7500/7500/7500/7500/7500/7500/7500/7500/7500/7500/49

Disarticulation + Closure Lacerated wound Ear lobule Transposition Malar Fracture closed Reduction Intermediate CMF Plating & Suspension Meatal Reconstruction Small Single Flap Tangential Excision Z- Plasty W- Plasty Gynaecomastia Bilat. Gynaecomastia

7500/7500/7500/7500/7500/7500/7500/7500/7500/7500/13000/-

GRADE – IV Burn Excision Small De Sloughing Small Dressing Burns > less than 5% DO From Superficial wounds Hand Surgery Supernummary Lacerated Wound DO + Skin Graft Tongue Tie Escharectomy per Fasciotomy Suture Lacerations Wound Debridement Z – Plasty W- Plasty 5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/-

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GRADE – V Dressing Burns Minor ( 10-15% ) Dressing Burns Major > 30% Dressing Burns Medium ( 10-30% ) Dressing Burns Under G A in O. T. Ear Lobule Repair both sides Meatal Stenosis Surgical Toilet Large Suture Lacerations Wound Debridement Z – Plasty W – Plasty Haemangioma Seclerosing Injection Day Care Intralesional Steroid Adminstration Keloid by Dermojet Surgical Toilet Large 2500/2500/2500/2500/2500/2500/2500/2500/2500/2500/2500/2500/2500/2500/-

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EAR NOSE THROAT MINOR F.B. Removal - Ear,Nose G.A. Drainage Of Abscess-Peritonstillar Gxt.Ear Removal Of Stone From Wharton's Duct Electric Cautery Nose In Epistaxis L.A. Post. Nasal Packing With Catheter L.A. Ear Lobule Repair - Single L.A. - Both Direct Laryngoscopy Diagnostic LA GA Drainage Of Abscess Mastoid LA Retropharyngeal Abscess drainage GA Cervical Gland Biopsy LA Cyst Removal GA Myringotomy Exam Under Magnification LA Gromett Insertion Antrum Puncture Tracheostomy Oesophagoscopy F.B Removal Air/Food Passage I.E., Direct Laryngoscopy Intra Nasal Polypectomy Int. Turbinectomy With Cautery With Antral Toasu 2200/LA GA LA GA 1500/900/2500/1500/2000/800/1500/1250/2000/1100/1700/1250/2000/1250/1700/1100/1700/1700/2500/2200/4000 food / Air - 7000 2200/2200/-

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INTERMEDIATE Tonsillectomy SMR/Septoplasy Coldwell-Luc's Op. Intra Nasal Ethmoid Nasal Bone Fracture Reduction Submandibular Gland Excision Myringo Plasty LA GA Micro Laryngeal Surgery (M.L.S) GA 5000/5000/6000/4500/3800/6000/3300/5000/9000/-

MAJOR FESS ( functioral endoscopic sinus surgery ) Rhinoplasty Parotid Gland Excision Lat. Rhinotomy (Ethmoidectomy) Tronto Gatnamoid Ectomy Tympanoplasty LA GA Mastoidectomy Stapedectomy LA GA Thyroid Gland Surgery Maxillectomy Withflap Total Laryngectomy Sub Total Laryngectomy With Block Dissection
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(i) 6500 - One side (ii) 9500 - Bothside 6500/9000/7500/6500/6000/7000/8000/10000/10000/9000/10000/12000/12000/11000/15000/-

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Commendo Operation With Flap Angiofibroma Endo nasal DCR

20000/25000/9000-13000 (i) 5500 One side (ii) 7500 Both Side

OPD PROCEDURES Nasal Packing For Epistaxis Anterior Posterior Foreign Body Removal Ear, Nose Antrum Puncture Unilat Bilat Ear Louble Repair Unilat Pure Tone Audiometery 600/450/900/1000/300/1000/1500/-

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PAEDIATRIC SURGERY VERY MINOR (600 - 2500) Intercostal Drainage Tube L.A. Venesection L.A. Umbilical Catheterization L.A I & D for Abscess G.A. Tongue Tie L.A Tongue Tie G.A. Urethral Dilatation L.A. Urethral Dilatation G.A. INTERMEDIATE (5000 - 7000) Ranula Unilateral Cieflip Branchial Sinus Or Cyst Thyroglassal Sinus Or Cyst Small Cystic Hygroma Appendix Gastrostomy Colontomy Colotomy Colsure Inguinal Hernia Umbilical Hernia Bladder Stone Vesicostomy Sutaneous Chordee Correction Un descended Testis Torsion Testis Fixation Of Testis
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2000/1000/600/2500/1000/1500/1000/1500/-

5000/7000/6000/6000/6000/6000/6000/6000/5000/5000/6000/5000/5000/5000/6000/5000/5000/55

Pilonidal Sinus Small Sacro-Coccygeal Teratoma Posterior Urethral Valve Sternomastoid Tumour Biopsy For Abdominal Mass MAJOR SURGERY (8000 - 11000) Meningo myelocoele Encephalocoele Hydrocephalous Bil. Cleft Lip Exp. Laparotomy Obstructed Hernia Large Sacro-Coccygeal Teratoma Hypospadius Scrotal Transposition Cystic Hygroma (Large) Thyroglossal Cyst Branchial Sinus Chest Wall Tumors & Soft Tissue Sarcoma Fundoplication For Reflux Lump Abdomen

5000/6000/6000/6000/6000/-

8000/8000/8000/10000/10000/10000/10000/9000/9000/10000/9000/9000/10000/10000/11000/-

SUPER MAJOR (12000 – 15000 & Above) T.O Fistula Ligation Diaphragmatic Hernia Neonatal Obstruction Extrophy Bladder (Staged Procedure) 1. Primary Bladder Closure 8000/2. Urethral Reconstruction 10000/3. Ureteric Re-Implant & Continent Procedure 12000/E:\MY DOCS – VIVEK \ 25299020.doc

17000/13000/15000/30000/-

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Ureteric Reimplantation & Bladder Diverticulum

15000/-

SPECIAL SURGERY (15000 & Above) Duhamel Operation Post. Sagittal Anorectoplasty Lung Resection Of Congenital Lung Condition 19000/16000/20000/-

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NEURO-SURGERY OPERATIONS Craniotomy Craniotomy Extended Cranioplasty (excluding cost of material) Percutaneous Trigeminal Rhizotomy Laminectomy for Tumours Laminectomy for Spinal Tumours Laminectomy of disc Lumber Laminectomy for Cervical Disc Meningocoele Excision Venticulo Atrial / peritoneal shunt (excluding cost of valve) Burr Holes (L.A.) Burr Holes (G.A.) Neuro Endoscopy Therapeutic Micro Neurosurgery Endoscopy Assisted 15000/21000/10000/10000/16500/16500/15000/20000/13000/13000/10000/12000/5000/14000/-

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ORTHOPEADIC SURGERY & PROCEDURES
MINOR PROCEDURE
OPD PROCEDURE (WITHOUT ANAESTHESIA) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 STEROID INJECTION IN O.T B/E PLASTER A/E PLASTER B/K PLASTER A/K PLASTER CTEV CAST CAST COMPLETION - B / K , B / E CAST COMPLETION - A / K , A / E HIP SPICA DEBRIDEMENT AND SUTURING (UNDER LA) ASPIRATION KNEE SKELETAL TRACTION REDUCTION (CLOSED) OF FRACTURE (UNDER C - ARM) STRAPPING 300/400/600/500/700/700/300/500/1500/800 - 1000/1000/800/1500/150/-

INTERMEDIATE PROCEDURE
UNDER ANAESTHESIA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 CLOSE REDUCTION OF FRACTURES DEBRIDEMENT SUTURING SMALL DEBRIDEMENT SUTURING LARGE EXTERNAL FIXATOR I & D SMALL I & D LARGE FIXATION (UNDER LA) BIOPSY – SUPERFICIAL BIOPSY - DEEP (BONE) SKIN GRAFTING - SMALL EXCISION OF TUMOR - SMALL- (HAND) TENDON REPAIR - SINGLE -( HAND ) CLOSED REDUCTION AND FIXATION OF FRACTURES (HAND) CARPAL TUNNEL RELEASE SYNOVIAL BIOPSY (HAND) SYNOVIAL BIOPSY EXCISION OF TUMOR – SMALL IMPLANT REM. ( Wires & Screws) 59 3000 - 5000/3000 - 5000/7000 - 10000/5000 - 8000/2000 - 3000/3000 - 5000/2000 - 5000/5000 - 8000/8000 - 10000/5000 - 7000/5000/5000/3000 - 5000/5000/5000/7000 - 10000/5000 - 7000/5000/-

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MAJOR PROCEDURE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 SAUCERIZATION AND SEQUESTRECTOMY OPEN REDUCTION & FIXATION SMALL BONES FRACTURES OPEN REDUCTION & FIXATION HAND BONES FRACTURES HIP PROSTHESIS AMPUTATIONS - LOWER LIMB AMPUTATIONS - UPPER LIMB AMPUTATIONS - RAY SKIN GRAFTING LARGE EXCISION OF TUMOR - LARGE - (HAND) TENDON REPAIR MULTIPLE - (HAND) NERVE REPAIR - ALONE - (HAND) SYNOVECTOMY PATELLAR REALIGNMENT EXCISION OF TUMOR LARGE PHEMISTER BONE GRAFTING TRIPLE ARTHODESIS CTEV RELEASE - POSTERO MEDIAL CTEV RELEASE - CIRCUMFERENTIAL KNEE ARTHRODESIS PATELLECTOMY IMPLANT REM. ( Nails & Plates ) 10000 - 12000/10000 - 12000/7000 - 10000/15000/10000/10000/12000 - 15000/7000 - 10000/7000 - 10000/10000 - 12000/7000 - 10000/10000 - 13000/15000/15000/12000/12000 - 15000/12000/15000/12000 - 15000/12000/10000/-

SUPER MAJOR PROCEDURE
1 2 3 4 5 6 OPEN REDUCTION & FIXATION COMPLEX LONG BONES OPEN REDUCTION & FIXATION PELVIC FRACTURES LONG NERVE REPAIR WITH TENDON - (HAND) TENDON TRANSFERS - (HAND) TENDO ACHILLES REPAIR RECURRENT DISLOCATION SHOULDER 15000 - 18000/18000 - 20000/15000/15000/15000 - 18000/15000 - 18000/-

SPECIAL SURGERY
1 2 3 4 5 6 7 8 LAMINECTOMY & DISCECTOMY SINGLE LEVEL LAMINECTOMY & DISCECTOMY MULTIPLE LEVEL SPINE FIXATION ARTHROSCOPY DIGNOSTIC / LAVAGE ARTHROSCOPIC ACL RECONSTRUCTION ARTHROSCOPIC MENISCECTOMY TOTAL HIP REPLACEMENT TOTAL KNEE REPLACEMENT 18000 - 22000/25000/25000 - 30000/15000 - 25000/40000 - 50000/30000 - 40000/60000 - 80000/80000 - 125000/-

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UROLOGY
MINOR PROCEDURE 1 2 3 4 5 6 Catheterization (L.A.) 200/1800/900/3500/3500/6500/3500/2000/3000/1500/2500/1700/1000/1500/-

Urethral dilatation (G.A.) (L.A.) Meatotomy (G.A.) P C N (Nephrostomy) Unilat Bilat RGP Cystoscopy L.A. G.A D.J Stenting L A GA Prostate Biopsy LA. D.J.Stenting Removal L.A. D.J.Stenting Removal G.A. INTERMEDIATE PROCEDURE

7 8 9 10

1. 2. 3. 4. 5.

TCRE TURP Ureterolithotomy Optical Urethrotomy (VIU / OIU) BNI

9000/9000/7000/7000/7000/-

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MAJOR PROCEDURE 1 2 3 Nephrectomy Nephrolithotomy P C N L (Minimum, Higher amount according to stone size upto 2.00 cm. stone ) U R S ( Minimum, Higher amount according to stone size ) TURBT Bladder Stone Cystolitholapaxy with Intracorporeal Lithotripsy Lithotripsy by Dornier Lithotripter (for stone upto 1.00cm.and for large size of stone Rs. 1000/- per mm ) Radical Cystectomy Ureteric Re Implant Unilateral Bilateral Uretero – ureteric Anastomosis Urethroplasty Surgey for Fracture Penis Penile Amputation Partial Total Pyelopasty (Operation for Hydronephrosis) TVT/TOT 15000/13000/-

13000/-(Minimum)

4

9000/-(Minimum) 11000/8000/14000/-

5 6 7

8 9

20000/16000/22000/14000/13500/11000/-

10 11 12 13

8000/12000/11000/11,000/-

14 15

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16

Laproscopic procdures (a) Pyeloplasty (b) Nephrectomy (c ) Ureterolithotromy (d) Pyelolithotomy (e) Orchidectomy for retained abd. testis (one side ) 20000/25000/10000/16000/13000/-

17 Orchidopexy Inguinal Abdominal Lap. Orchidopexy 18 Chordec Correction 19 P.U.V. 20 Circumcision G.A. L.A. 21 Hypospadius Repair 22 URS Laser Lithotripsy

6000/10000/15000/6000/8000/3500/2500/12000/20000/-

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DENTAL TREATMENT CHARGES Scaling 1 Mild Moderate Severe Gum Currettage (per tooth) Intraoral periapical x rays Sealants OPG Fluoride treatment Filling Silver alloy 1 surface Filling silver alloy 2 surface Filling silver alloy 3 surface 400.00 500.00 1500.00 250.00 100.00 400.00 350.00 2000.00 300.00 500.00 800.00 2000.00 500.00 800.00 1000.00 300.00 300.00 300.00 850.00 3500.00 2000.00 2000.00 6000.00 8000.00 1000.00 2000.00 2500.00 4000.00
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2 3 4 5 6 7 8 9

10 Pin retained fillings 11 Composite fillings one surface 12 Composite filling two surface 13 Composite filling three surface 14 Glass ionomer filling class five 15 Glass ionomer fillings class one 16 Temporary filling 17 Root canal treatment per canal 18 Gigivectomy 19 Inlays 20 Composite Crown 21 Full upper denture Acrilyic 22 Full Lower Denture Acrlyic 23 Full cast crown 24 Bridge Cst (units) 25 Poreclin to metal bridge(units) 26 Porclin Crown
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27 Tooth Extraction 28 Surgical tooth Extraction 29 Impacted tooth extraction Grade 1 Grade 2 Grade 3 30 Apicoectomy 31 Perecoronal Flap Surgery 32 Flap Operation(per segement) 33 Bone Grafting(per tooth) 34 Periodontal wiring(anterior teeth) 35 Orthodontic Study, Diagonistic cast and treatment 36 Fixed orthodontic appliances metal Bracket 37 Fixed Orhodontic Appliances Transparent Bracket 38 Fixed Orthodontc Appliances Poreclin Bracket(tooth color)

100.00 1500.00 1500.00 2000.00 2500.00 4500.00 3000.00 5000.00 4000.00 5000.00 2000.00 18000.00 25000.00 3000.00 6000.00 15000.00 25000.00 100000.00 150000.00 3000.00 10000.00 400.00 1000.00 250.00 250.00 500.00 250.00 1500.00 800.00 250.00 4000.00

39 Removable orthodontic appliance retainers each 40 Dental implant anterior teeth 41 Posterior teeth with bone graft 42 Lower full denture with three implant 43 Upper full denture with three implant 44 Bleaching of the teeth by the tray method and supply

45 Insta bleach 46 Removable partial Denture( per teeth) 47 RPD distal extention 48 Selective Grinding(upper) 49 Selective Grinding(lower) 50 Glass Ionomer Liner 51 Denture adjustment (minor) 52 Post and Core per canal 53 Root Planning (per quad) 54 Bitewing x ray 55 Bone graft(per tooth)grade 1

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56 Bone Graft(per tooth)grade2 57 Bone graft(per tooth) Grade3 58 Sinus lift with bone graft (per tooth) 59 Impacted tooth removal (per tooth) grade 1 60 Impacted tooth removal (per tooth) grade 2 61 Impacted tooth removal (per tooth) grade3 62 Impacted tooth removal (per tooth) grade 4 63 Surgical removal of the inverted impacted tooth 64 Immediate loading implants(per implant) 65 Normal Ceramic Vita Crown(per crown) 66 Vita 3D Crown (per tooth-) 67 Low fusing Ceramic Crown (per Crown) 68 Allceramic metal free crown (per crown) 69 Composite Laminates 70 Laminated Veener (empress-2) 71 Laminated Veener (poreclin/cergo) 72 Cyst Removal 73 Fracture wiring Consultation Charges : 1. Specialty consultation : Rs. 150/2. Consultation : Rs. 100/3. Bed side procedures will have additional 25% charges.

6000.00 10000.00 15000.00 1500.00 2000.00 2500.00 8000.00 15000.00 35000.00 4000.00 10000.00 10000.00 12000.00 2500.00 8000.00 12000.00 3500.00 4500.00

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SKIN TREATMENT CHARGES

1. 2.

Removal of warts by Electrical cautary Removal of warts by Cryo

1700/- each 2200/- each

SPEECH THERAPY & AUDIOLOGY 1. Audiometry 2. Speech Therapy ( per session ) 300.00 200.00

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CHARGES OF REHABILITATION CENTRE

PHYSIOTHERAPY/ OCCUPATIONAL THERAPY
CONSULTATION CHARGES O.P.D. I.P.D. : General Ward / Semi Deluxe / Cubical Deluxe Super Deluxe ICU I.P.D. Procedure Charges: Steam Inhalation Spirometry Exercise Breathing Exercise Limb Physiotherapy Postural Training
Chest Physiotherapy (Intensive)

125/-

125/175/250/300/-

50/75/75/75/100/125/-

ELECTRO-THERAPY CHARGES

Major Tense Muscle Stimulator Short Wave Diathermy Ultrasound

75/75/75/75/-

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TRACTION Cervical : 75/- Per Day (300/- Per Week)

Lumbar :

75/- Per Day (300/- Per Week)

Paraffin Wax Bath Exerciser (Cycle) Shoulder Wheel

50/- per session 75/- per session 75/- per session

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CHARGES OF MULTI SPECIALITY HOLMIUM LASER SURGERY APPLICATIONS
S.No 1 Specialty Neuro Surgery Procedures 1. Holmium Laser Assisted Disc Decompression LADD 2. Lumbar Discectomy for Herniated Disc 3. Extra Axial Brain Tumours 1. 2. 3. 4. 5. 6. 1. 2. 3. 4. 5. 6. 7. Hysterectomy Endometriosis Myomectomy Lyses of adhesions Benign endometrial Polyps Submucous fibroids Menisectomy Capsula Shift (LACS) Chondroplasty Sub acromial dicompression Lateral Retinacular Release Synovectomy Osteoarthritic Lesions Charges in Rs. Rs.45,000/per Procedure Rs.25,000/per Procedure

2

Gynecology

3

Orthopedics

Rs.35,000/per Procedure

4

Urology

1. Holmium Laser Prostatectomy (HOLEP) 2. Holmium Laser Lithotripsy 3. Superficial Bladder tumours 4. Urethral Strictures 5. Urethral & Urethral tumours 6. Lithotripsy for impacted stone 7. Condylomas & lesions of the external Genitalia 1. 2. 3. 4. 5. 6. 7. 8. Cholecystectomy Appendectomy Benign and malignant lesions Lyses of adhesions Polypectomy Haemorrhoidectomy Fistulectomy Endoscopic / Laparoscopic drainage of Cyst.

Rs.40,000/Rs.20,000/Rs.25,000/Rs.20,000/Rs.25,000/Rs.20,000/Rs.25,000/-

5

General Surgery

Rs.20,000/per Procedure

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6

ENT

1. 2. 3. 4.

Turbinectomy Tonsillectomy/Adenoidectomy Polypectomy TMJ synovectomy and anterior release

Rs.20,000/per Procedure Rs.30,000/per Procedure Rs.15,000/per Procedure

7

Thoracic & Pulmonary

1. Laryngeal lesions due to polyps and granulomas 2. Obstdructing carcinomas of the tracheobronchial tree 1. Periungual, Subungual and plantar warts 2. Neuromas 3. Radical nail excision

8

Podiatry

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