RATES PRPOSED FOR CGHS AHMEDABAD

S.No. PROCEDURE Rates for Rates for

NABH Non NABH
Hosp Hospitals
OPD
1 Consultation OPD 58 50
2 Consultation- for Inpatients 72 63
3 Dressings of wounds 58 50
4 Suturing of wounds with local anesthesia 124 108
5 Aspiration Plural Effusion - Diagnostic 193 168
6 Aspiration Plural Effusion - Therapeutic 193 168
7 Abdomil Aspiration - Diagnostic 345 300
8 Abdomil Aspiration - Therapeutic 460 400
9 Pericardial Aspiration 380 330
10 Joints Aspiration 317 276
11 Biopsy Skin 230 200
12 Removal of Stitches 41 36
13 Venesection 124 108
14 Phimosis Under LA 1311 1140
15 Sterl puncture 173 150
16 Injection for Haemorrhoids 414 360
17 Injection for Varicose Veins 414 360
18 Catheterisation 83 72
19 Dilatation of Urethra 575 500
20 Incision & Draige 483 420
21 Intercostal Draige 125 106
22 Peritoneal dialysis 1466 1275
22A Health Check up{ see Annexure (IV-a )for details} 2285 1942
Skin
23 Excision of Moles
24 Excision of Warts
25 Excision of Molluscumcontagiosum
26 Excision of Veneral Warts
27 Excision of Corns
28 I/D Injection Keloid of Acne
29 Chemical Cautery (s)
Opthalmology
30 Subconjunctival/subtenon’s injections in one eyes
31 Subconjunctival/subtenon’s injections in both eyes
32 Pterygium surgeries
33 Conjunctival peritomy
34 Conjunctival wound repair or exploration following blunt
trauma
35 Removal of corneal foreign body
36 Cauterization of ulcer/subconjunctival injection in one eye

37 Cauterization of ulcer/subconjunctival injection in both

eyes
38 Corneal grafting—Penetrating keratoplasty
39 Corneal grafting—Lamellar keratoplasty
40 Cyanoacrylate /fibrin glue application for corneal
perforation
41 Bandage contact lenses for corneal perforation
42 Scleral grafting or conjunctival flap for corneal perforation
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
43 Keratoconus correction with therapeutic contact lenses

44 UV radiation for cross-linking for keratoconus

45 EDTA for band shaped keratopathy
46 Arcuate keratotomy for astigmatism
47 Re-suturing (Primary suturing) of corneal wound
48 Penetrating keratoplasty ---- with glaucoma surgery
49 Penetrating keratoplasty --- with vitrectomy
50 Penetrating keratoplasty ---- with IOL implantation
51 DALK- Deep anterior lamellar keratoplasty
52 Keratoprosthesis stage I and II
53 DSAEK- Descemet’s stripping automated endothelial
keratoplasty
54 ALTK- Automated lamellar therapeutic keratoplasty
55 Probing and Syringing of lacrimal sac- in one eye
56 Probing and Syringing of lacrimal sac- in both eye
57 Dacryocystorhinostomy—Plain
58 Dacryocystorhinostomy—Plain with intubation and/or with
lacrimal implants
59 Dacryocystorhinostomy—conjunctival with implant
60 Caliculoplasty
61 Dacryocystectomy
62 Punctal plugs for dry eyes
63 Refraction
64 Indirect ophthalmoscopy
65 Orthoptic check-up- with synoptophore
66 Lees’ charting or Hess’ charting
67 Orthoptic exercises
68 Pleoptic exercises
69 Perimetry/field test—Goldman
70 Perimetry/field test— automated
71 Fluorescein angiography for fundus or iris
72 Ultrasound A- Scan
73 Ultrasound B- Scan
74 Indocyanin green angiography
75 Corneal endothelial cell count with specular micropscopy

76 Corneal topography
77 Corneal pachymetry
78 Auto-refraction
79 Macular function tests
80 Potential acuity metry
81 Laser interferometry
82 OCT- Optical coherence tomography
83 HRT- Heidelberg’s retil tomogram
84 GDX--- Nerve fibre layer alyzer
85 UBM- Ultrasound biomicroscopy
86 Non Contact tonometry
87 IOP measurement with schiotz
88 IOP measurement with applation tonometry
89 Three mirror examition for reti
90 90 D lens examition
91 Gonioscopy
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
92 Chalazion incision and curettage in one eye
93 Chalazion incision and curettage in both eyes
94 Ptosis surgery with fasanella servat procedure
95 Ptosis surgery with LPS resection
96 Ptosis surgery with Sling surgery
97 Ectropion surgery- one lid
98 Ectropion surgery- both lids
99 Epicanthus correction
100 Cantholysis and canthotomy
101 Entropion surgery- one lid
102 Entropion surgery- both lids
103 Tarsorraphy
104 Suturing of lid lacerations
105 Lid retraction repair
106 Concretions removal
107 Bucket handle procedure for lid tumors
108 Cheek rotation flap for lid tumors
109 Orbitotomy
110 Enucleation
111 Enucleation with orbital implants and artificial prosthesis

112 Evisceration
113 Evisceration with orbital implants and artificial prosthesis

114 Telecanthus correction

115 Orbital decompression
116 Exenteration
117 Exenteration with skin grafting
118 Fracture orbital repair
119 Retil laser procedures
120 Retil detachment surgery
121 Retil detachment surgery with scleral buckling
122 Buckle removal
123 Silicone oil removal
124 Anterior retil cryopexy
125 Squint correction for one eye
126 Squint correction for both eyes
127 Trabeculectomy
128 Trabeculotomy
129 Trabeculectomy with Trabeculotomy
130 Trephition
131 Goniotomy
132 Glaucoma surgery with Glaucoma valves
133 Cyclocryotherapy
134 YAG laser iridotomy
135 YAG laser capsulotomy
136 ALT-Argon laser trabeculoplasty
137 PDT-Photodymic therapy
138 TTT- Transpupillary thermal therapy
139 PTK- Phototherapeutic keratectomy
140 Argon/diode laser for reti
141 Intralase application for keratoconus
142 EOG- electro-oculogram
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
143 ERG- Electrio-retinogram
144 VEP- visually evoked potential
145 Vitrectomy- pars pla
146 Intravitreal injections- of antibiotics
147 Intravitreal injections- of avastin
148 Intravitreal injections- of lucentis
149 X- Ray orbit
150 CT-orbit and brain
151 MRI- Orbit and brain
152 Dacryocystography
153 Orbital angio-graphical studies
154 ECCE with IOL
155 SICS with IOL
156 Phaco with foldable IOL (silicone and acrylic)/PMMA IOL

157 Pars pla lensectomy with/without IOL

158 Secondary IOL implantation- AC IOL PC IOL or scleral
fixated IOL
159 Cataract extraction with IOL with capsular tension rings
(Cionni’s ring)
160 Optic nerve sheathotomy
161 Iridodialysis repair or papillary reconstruction
162 Iris cyst removal
163 Lid Abscess incision and draige
164 Orbital Abscess incision and draige
165 Biopsy
166 Paracentesis
167 Scleral graft for scleral melting or perforation
168 Amniotic membrane grafting
169 Cyclodiathermy
170 Intraocular foreign body removal
171 Electrolysis
172 Perforating injury repair
173 Botulinum injection for blepharospasm or squint
Dental Procedures
174 Flap Operation per quadrant
175 Gingivectomy per quadrant
176 Reduction & immobilasation of fracture- Maxilla Under LA

177 Reduction & immobilasation of fracture-Mandible Under

LA
178 splints/Cirucum mandibular wiring under LA
179 splints/Cirucum mandibular wiring under GA
180 Interl wire fixation/plate fixation of Maxilla under LA
181 Interl wire fixation/plate fixation of Maxilla under GA
182 Interl wire fixation/plate fixation of Mandible under LA
183 Interl wire fixation/plate fixation of Mandible under GA
184 Extraction per tooth under LA
185 Complicated Ext. per Tooth under LA
186 Extraction of impacted tooth under LA
187 Extraction in mentally retarded/patients with systemic

diseases/patient with special needs under short term GA

S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
188 Cyst & tumour of Maxilla /mandible by

enucleation/excision/marsupalisation upto 4 cms under LA

189 Cyst & tumour of Maxilla/mandible by
enucleation/excision/marsupalisation size more than 4
cms under LA
190 Cyst & tumour of Maxilla/mandible by
enucleation/excision/marsupalisation size more than 4
cms under GA
191 TM joint ankylosis- under GA
192 Biopsy Intraoral-Soft tissue
193 Biopsy Intraoral-Bone
194 Hemi-mandibulectomy with graft
195 Hemi-mandibulectomy without graft
196 Segmental-mandibulectomy with graft
197 Segmental-mandibulectomy without graft
198 Maxillectomy- Total with graft
199 Maxillectomy- Total without graft
200 Maxillectomy- partial with graft
201 Maxillectomy- partial without graft
202 Release of fibrous bands & grafting -in (OSMF) treatment
under GA
203 Pre-prosthetic surgery- Alveoloplasty
204 Pre-prosthetic surgery - ridge augmentation
205 Root cal Treatment(RCT) Anterior teeth
206 Root cal Treatment(RCT) Posterior teeth
207 Apicoectomy- Single root
208 Apicoectomy-Multiple roots
209 Metal Crown-per unit
210 Metal crown with Acrylic facing per unit
211 Complete single denture-metal based
212 Complete denture- acrylic based per arch
213 Removable partial denture-Metal based-upto 3 teeth
214 Removable partial denture-Metal based-more than 3 teeth

215 Removable partial denture-Acrylic based-upto 3 teeth

216 Removable partial denture-Acrylic based-more than 3
teeth
217 Amalgum restoration-per tooth
218 Composite Restoration-per tooth-anterior tooth
219 Glas Ionomer-per tooth
220 Scaling & polishing
221 Removable Orthodontics appliance- per Arch
222 Fixed Orhtodontics-per Arch
223 Space maintainers-Fixed
224 Habit breaking appliances-removable
225 Habit breaking appliances-Fixed
226 Expansion plate
227 Feeding appliance for cleft palate
228 Maxillo-facial prosthesis (sal/auricular/orbital/facial lost
part)
229 Functiol orthodentic appliances
230 Obturator (Maxillo-facial)
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
231 Occlusal night guard(splint)
E.N.T.Head and Neck
ENT
232 Pure Tone Audiogram 173 150
233 Impedence with stepedeal reflex 230 200
234 SISI Tone Decay 135 115
235 Multiple hearing assessment test to Adults 115 100
236 Speech Discrimition Score 90 78
237 Speech Assessment 138 120
238 Speech therapy per session of 30-40 minutes 131 114
239 Cold Calorie Test for Vestibular function 173 150
240 Removal of foreign body From Nose 330 281
241 Removal of foreign body From Ear 230 200
242 Syringing (Ear) 166 144
243 Polyp removal under LA 575 500
244 Polyp removal under GA 743 632
245 Peritonsillar abscess draige under LA 1449 1260
246 Myringoplasty 6900 6000
247 Staepedectomy 9200 8000
248 Myringotomy with Grommet insertion 4600 4000
249 Tympanotomy 8625 7500
250 Tympanoplasty 13800 12000
251 Mastoidectomy 14950 13000
252 Otoplasty 16100 14000
253 Labyrinthectomy 13800 12000
254 Skull Base surgery 26450 23000
255 Facial Nerve Decompression 17250 15000
256 Septoplasty 5750 5000
257 Submucous Resection 7314 6360
258 Septo-rhinoplasty 16100 14000
259 Rhinoplasty- Non-cosmetic 11500 10000
260 Fracture Reduction 5750 5000
261 Intra sal Diathermy 1150 1000
262 Turbinectomy 5750 5000
263 Endoscopic DCR 13248 11520
264 Endoscopic Surgery 13800 12000
265 Septal Perf. Repair 13800 12000
266 Antrum Puncture 966 840
267 Lateral Rhinotomy 1150 1000
268 Cranio-facial resection 26450 23000
269 Caldwell Luc Surgery 10626 9240
270 Angiofibroma Excision 18400 16000
271 Endoscopic Hypophysectomy 23000 20000
272 Endoscopic Optic Nerve Decompression 32775 28500
273 Decompression of Orbit 26450 23000
274 Punch/Wedge biopsy
275 Tonsillectomy
276 Uvulo-palatoplasty
277 FESS for antrochoal polyp
278 FESS for ethmoidal polyp
279 Polyp removal ear
280 Polyp removal Nose(Septal polyp)
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
281 Mastoidectomy plus Ossciculoplasty including TORP or
PORP
282 Endolymphatic sac decompression
283 Diagnostic sal endoscopy under GA
284 Yonges operation for Atrophic rhinitis
285 Vidian neurectomy for vasomotor Rhinitis
286 sal Packing-anterior
287 sal Packing-posterior
288 Ranula Excision 6843 5950
289 Tongue Tie excision 1725 1500
290 Sub Mandibular Duct Lithotomy 275 234
291 Adenoidectomy 6486 5640
292 Palatopharyngoplasty 8165 7100
293 Cleft Palate repair 14950 13000
294 Pharyngoplasty 17193 14950
295 Styloidectomy 9200 8000
296 Direct laryngoscopy including Biopsy under GA
297 oesophagoscopy/foreign body removal from
298 Bronchoscopy with F.B.removal
Head and Neck
299 Ear Lobe Repair one side 566 492
300 Excision of Pin for Growth (Squamous/Basal/ Injuries) 4025 3500
Skin Only
301 Excision of Pin for Growth (Squamous/Basal/ Injuries) 5290 4600
Skin and Cartilage
302 Partial Amputation of Pin 5750 5000
303 Total Amputation of Pin 7130 6200
304 Total Amputation & Excision of Exterl Auditory Meatus 1725 1500

305 Excision of Cystic Hygroma 5175 4500

306 Excision of Cystic Hygroma Extensive 7452 6480
307 Excision of Branchial Cyst 10350 9000
308 Excision of Branchial Sinus 10350 9000
309 Excision of Pharyngeal Diverticulum 10580 9200
310 Excision of Carotid Body-Tumours 13500 11475
311 Operation for Cervical Rib 13500 11475
312 Block Dissection of Cervical Lymph Nodes 15500 13175
313 Pharyngectomy & Reconstruction 15500 13175
314 Operation for Carcinoma Lip - Wedge-Excision 8050 7000
315 Operation for Carcinoma Lip - Vermilionectomy 8050 7000
316 Operation for Carcinoma Lip - Wedge Excision and 9660 8400
Vermilonectomy
317 Estlander Operation 7475 6500
318 Abbe Operation 11500 10000
319 Cheek Advancement 9775 8500
320 Excision of the Maxilla 19320 16800
321 Excision of mandible-segmental 15525 13500
322 Mandibulectomy 21074 18325
323 Partial Glossectomy 5520 4800
324 Hemiglossectomy 11500 10000
325 Total Glossectomy 22885 19900
326 Commondo Operation 23000 20000
327 Parotidectomy - Superficial 17250 15000
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
328 Parotidectomy - Total 12075 10500
329 Parotidectomy - Radical 19550 17000
330 Repair of Parotid Duct 11500 10000
331 Removal of Submandibular Salivary gland 8625 7500
332 Hemithyroidectomy 12650 11000
333 Partial Thyroidectomy (lobectomy) 11500 10000
334 Subtotal Thyroidectomy 13053 11350
335 Total Thyroidectomy 19550 17000
336 Resection Enucleation of thyroid Adenoma 10580 9200
337 Total Thyroidectomy and Block Dissection 26450 23000
338 Excision of Lingual Thyroid 17270 14680
339 Excision of Thyroglossal Cyst/Fistula 13225 11500
340 Excision of Parathyroid Adenoma/Carcinoma 21275 18500
341 Laryngectomy 31050 27000
342 Laryngo Pharyngectomy 17825 15500
343 Hyoid Suspension 10350 9000
344 Genioplasty 19550 17000
345 Direct Laryngoscopy including biopsy under GA 5175 4500
346 Phonosurgery 13800 12000
347 Fibroptic examition of Larynx under LA 1725 1500
348 Microlaryngeal Surgery 10350 9000
349 Laryngofissure 17250 15000
350 Tracheal Stenosis Excision 19780 17200
Head and neck cancer
351 Excisiol Biopsies 5750 5000
352 Benign Tumour Excisions 11270 9800
353 Temporal Bone subtotal resection 20700 18000
354 Modified Radical Neck Dissection 25300 22000
355 Carotid Body Excision 28750 25000
356 Total Laryngectomy 39192 34080
357 Flap Reconstructive Surgery 41400 36000
358 Parapharyngeal Tumour Excision 39330 34200
359 Breast 9535 8105
360 Draige of abscess 6325 5500
361 Excision of lumps 9775 8500
362 Local mastectomy-simple 12650 11000
363 Radical mastectomy-formal or modified. 26058 22149
364 Excision of mammary fistula 15525 13500
365 Segmental resection of breast
General surgery
Injury Of Superficial Soft Tissues
366 Suturing of small wounds 269 234
367 Secondary suture of wounds 288 250
368 Debridement of wounds 414 360
369 Removal Of Foreign Bodies 288 250
Biopsies
370 Excision Cervical Lymph Node 1725 1500
371 Excision Axillary Lymph Node 2277 1980
372 Excision of Inguil Lymph Node 2277 1980
373 Excision Biopsy of Ulcers 1500 1275
374 Excision Biopsy of Superficial Lumps 3220 2800
375 Incision Biopsy of Growths/Ulcers 1500 1275
376 Trucut Needle Biopsy 1725 1500
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
377 Percutaneous Kidney Biopsy 1500 1275
378 Marrow Biopsy (Open) 1725 1275
379 Muscle Biopsy 1500 1275
380 Scalene Node Biopsy 1323 1150
381 Excision of Sebaceous Cysts 1242 1080
382 Excision of Superficial Lipoma 1932 1680
383 Excision of Superficial Neurofibroma 2645 2300
384 Excision of Dermoid Cysts 2277 1980
385 Haemorrhoidectomy
386 Stapler haemorrhoidectomy
387 keloid excision 1150 1000
388 Vericose vein surgery;Tendelenburg operation with
suturing or ligation.
Oesophagus
389 Atresia of Oesophagus and Tracheo Oesophageal Fistula 28750 25000

390 Operations for Replacement of Oesophagus by Colon 25300 22000

391 Oesophagectomy for Carcinoma Easophagus 25300 22000
392 Oesophageal Intubation (Mausseau Barbin Tube) 11500 10000
393 Achalasia Cardia Transthoracic 12650 11000
394 Achalasia Cardia Abdomil 14950 13000
395 Oesophago Gastrectomy for mid 1/3 lesion 24495 21300
396 Heller’s Operation 19780 17200
397 Colon-Inter position or Replacement of Oesophagus 22540 19600
398 Oesophago Gastrectomy – Lower Corringers procedure 21390 18600

Abdomen
399 Gastroscopy 1725 1500
400 Gastric & Duodel Biopsy (Endoscopic) 2243 1913
401 Pyloromyotomy 3105 2700
402 Gastrostomy 8625 7500
403 Simple Closure of Perforated peptic Ulcer 9775 8500
404 Vagotomy Pyleroplasty / Gastro Jejunostomy 13800 12000
405 Duodenojejunostomy 20700 18000
406 Partial/Subtotal Gastrectomy for Carcinoma 23000 20000
407 Partial/Subtotal Gastrectomy for Ulcer 22425 19500
408 Operation for Bleeding Peptic Ulcer 20976 18240
409 Gastrojejunostomy & Vagotomy 19780 17200
410 Operation for Gastrojejul Ulcer 19780 17200
411 Total Gastrectomy for Cancer 22368 19450
412 Highly Selective Vagotomy 18630 16200
413 Selective Vagotomy & Draige 18630 16200
414 Congenital Diaphragmatic Hernia 18975 16500
415 Hiatus Hernia Repair- Abdomil 14490 12600
416 Hiatus Hernia Repair- Transthoracic 16100 14000
417 Exploratory Laparotomy 12650 11000
418 Epigastric Hernia Repair 11385 9900
419 Umbilical Hernia Repair 11385 9900
420 Ventral /incisiol Hernia Repair 10293 8950
421 Inguil Hernia Herniorraphy 14835 12900
422 Inguil Hernia - Hernioplasty 17135 14900
423 Femoral Hernia Repair 18285 15900
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
424 Rare Hernias Repair (Spigalion Obturator Lumbar Sciatic) 22885 19900

425 Splenectomy - For Trauma 18975 16500

426 Splenectomy - For Hypersplenism 14490 12600
427 Splenorel Astomosis 23000 20000
428 Portocaval Astomosis 30935 26900
429 Direct Operation on Oesophagus for Portal Hypertension 22885 19900

430 Mesentericocaval Astomosis 28750 25000

431 Warren Shunt 28750 25000
432 Pancerato Duodenectomy 21735 18900
433 By Pass Procedure for Inoperable Carcinoma of Pancreas 23000 20000

434 Cystojejunostomy or Cystogastrostomy 14490 12600

435 Cholecystectomy 10293 8950
436 Cholecystectomy & Exploration of CBD 13800 12000
437 Repair of CBD 17250 15000
438 Operation for Hydatid Cyst of Liver 11903 10350
439 Cholecystostomy 10293 8950
440 Hepatic Resections (Lobectomy /Hepatectomy) 14375 12500
441 Operation on Adrel Glands - Bilateral 26105 22700
442 Operation on Adrel Glands - Unilateral for Tumour 13800 12000
443 Appendicectomy 8108 7050
444 Appendicular Abscess – Draige 9775 8500
445 Mesenteric Cyst- Excision 11040 9600
446 Peritonioscopy/Laparoscopy 4600 4000
447 Jejunostomy 5750 5000
448 Ileostomy 15410 13400
449 Resection & Astomosis of Small Intestine 20700 18000
450 Duodel Diverticulum 18400 16000
451 Operation for Intestil Obstruction 10350 9000
452 Operation for Intestil perforation 7763 6750
453 Benign Tumours of Small Intestine 19550 17000
454 Excision of Small Intestine Fistual 19550 17000
455 Operations for Haemorrhage of Small Intestines 19550 17000
456 Operations of the Duplication of the Intestines 17825 15500
457 Operations for Recurrent Intestil Obstruction (Noble 23000 20000
Plication & Other Operations for Adhesions)
458 Ilieosigmoidostomy 16790 14600
459 Ilieotransverse Colostomy 16790 14600
460 Caecostomy 3903 3394
461 Loop Colostomy Transverse Sigmoid 13110 11400
462 Termil Colostomy 17250 15000
463 Closure of Colostomy 17480 15200
464 Right Hemi-Colectomy 13800 12000
465 Left Hemi-Colectomy 13800 12000
466 Total Colectomy 17250 15000
467 Operations for Volvulus of Large Bowel 24921 21670
468 Operations for Sigmoid Diverticulitis 18630 16200
469 Fissure in Ano with interl sphinctrectomy with
fissurectomy.
470 Fissure in Ano - Fissurectomy 13800 12000
471 Rectal Polyp-Excision 5658 4920
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
472 Operation of Haemorrhoids -Lords procedure 1580 1343
473 Fistula in Ano - High Fistulectomy 16781 14592
474 Fistula in Ano - Low Fistulectomy 9867 8580
475 Prolapse Rectum - Theirch Wiring 10350 9000
476 Prolapse Rectum - Rectopexy 5750 5000
477 Prolapse Rectum - Grahams Operation 18400 16000
478 Operations for Hirschsprungs Disease 14260 12400
479 Excision of Pilonidal Sinus 11500 10000
480 Abdomino-Perineal Excision of Rectum 21850 19000
481 Anterior Resection of rectum 21850 19000
482 Pull Through Abdomil Resection 17710 15400
483 Operations for Neuroblastoma 14600 12410
ICU/CCU procedures (Special Care Cases) 0 0
484 Corory Care with Cardiac Monitoring including ECG & Diet 1250 1063

485 Compressed air / piped oxygen 58 50

486 Ventilator charges 560 476
487 Paediatric care for New born per day 190 162
488 Incubator charges (Per day) 345 300
489 Neotal ICU charges (Per day) 400 340
490 Resuscitation 184 160
491 Exchange Transfusion 265 230
492 Pneupack ventilator in Nursery (Per day) 575 500
Cardiovascular and cardiac surgery & investigations

493 ASD Closure 53000 45050

494 VSD with graft 53000 45050
495 TOF/TAPVC/TCPC/REV/VSOV repair 115000 97750
496 V.D.Glenn/Left atrium myxoma
497 Senning/ASO with graft
498 DSO
499 AV Cal repair
500 Fonten
501 Conduit repair
502 CABG 110000 93500
503 CABG + IABP 121000 102850
504 CABG +I valve.
505 Asending aorta replacement
506 DVR 115000 97750
507 MVR/AVR 53000 45050
508 MV repair + AV repair 106000 90100
509 Aorta femoral bypass
510 B.T Shunt/Coaractation
511 P.A.Banding septostomy
512 Pericardictomy
513 CMV/PDA
514 CABG without bypass.
515 Gunshot injury
516 Heart transplant
517 Balloon corory angioplasty/PTCA 85000 72250
518 Intra corory stenting 55000 46750
519 Direct stenting
520 Directiol atherectomy
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
521 Rotablation
522 balloon valvotomy/PTMC
523 CART
524 CATH
525 Coaractation dilatation 12650 11000
526 Permanent pacemaker implantation-VVI 13800 12000
527 Permanent pacemaker implantation- DDD 19320 16800
528 Permanent pacemaker implantation Biventricular 34500 30000
529 AICD implantation 28750 25000
530 Combo device implantation
531 Electrophysiological studies. 11500 10000
532 Endomyocardial biopsy
533 IABP 6000 5100
534 Intra vascular coils one coil( additiol coil charges extra)

535 R.F.ablation 30000 25500

536 Septostomy
537 AVBD/PVBD
538 Digital substraction angiography-Pheripheral artery 11500 10000
539 Digital substraction angiography- venogram 11500 10000
540 Venous DSA
541 C.T Guided biopsy 1265 1100
542 Sinogram
543 Cine -Barium
544 CT guided PTA
545 DSA + PTA
546 Embolisation
547 IVUS
548 Vascular stent
549 Aortic stent graft for aortic aneurysm
550 IVC Filter 16500 14025
551 ASD/VSD/PDA closure device 36225 31500
552 ECG 104 90
553 TMT 1139 990
554 echocardiography echo adultHolter alysis 1265 1100
555 TEE(Transoesophageal echo 1725 1500
556 Stress Echo -erercise 1955 1700
557 Stress Echo- Dobutamine 2530 2200
558 Stress Thallium - exrercise
559 Stress Thallium - pharmacological
560 Corory angiography 11500 10000
561 CT corory angiography 7245 6300
562 Cardiac CT scan 2325 1976
563 Cardiac MRI
564 MR angiography.
Obstetrics and Gyecology
565 Normal delivery or with Episiotomy & P. repair 8625 7500
566 vaccum delivery
567 Low Forceps 9200 8000
568 Low midcavity forceps 9200 8000
569 Cesarean Section 17250 15000
570 Cesarean Hysterectomy 18975 16500
571 Rupture Uterus closure & repair with Tubal Ligation 17250 15000
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
572 Perforation of Uterus after D/E Laparotomy & Closure 13800 12000
573 Laparotomy for Ectopic Rupture 13800 12000
574 Laparotomy-peritonitis Lavage and Draige 11500 10000
575 Laparotomy-failed laparoscopy to explore 5750 5000
576 Salphingectomy 10350 9000
577 Salphingo-Oophorectomy 13800 12000
578 Ovarean Cystectomy-laparoscopic. 13800 12000
579 Ovarean Cystectomy -laparotomy. 13800 12000
580 Ophorectomy-laparoscopic 9200 8000
581 Oophorectomy-laparotomy 9200 8000
582 Broad Ligment Haemotoma Draige 6900 6000
583 Exploration of perineal Haematoma & Resuturing of 8280 7200
Episiotomy
584 Exploration of abdomil Haematoma (after laparotomy + 8050 7000
LUCS)
585 Interl podalic version and breech extraction 4140 3600
586 Manual Removal of Placenta 3450 3000
587 3rd stage Complication from extra-institutiol delivery etc 4140 3600

588 Examition under aesthesia 1150 1000

589 Burst-abdomen Repair 10350 9000
590 Gaping Pareneal Wound Secondary Suturing 1656 1440
591 Gaping abdomil wound Secondary Suturing 3450 3000
592 Complete perineal tear-repair 2128 1850
593 Exploration of PPH-tear repair 3565 3100
594 Destructive Operation 9200 8000
595 Suction evacuation vesicular mole Missed abortion D/E 5175 4500

596 Colpotomy-draige P/V needling EUA 3450 3000

597 Repair of post-coital tear perineal injury 3508 3050
598 Excision of urethral caruncle 3450 3000
599 Shirodhkar Mc. Dolds stich 3220 2800
600 Abdomil Hysterectomy 17250 15000
601 Vagil Hysterectomy 17250 15000
602 Myomectomy -laparotomy 14375 12500
603 Myomectomy -laparoscopic 6325 5500
604 Vaginoplasty 14950 13000
605 Laparotomy for Ectopic Pregncy 6325 5500
606 Vulvectomy -Simple 9200 8000
607 Vulvectomy-Radical 9200 8000
608 RVF Repair 18975 16500
609 Manchester Operations 15525 13500
610 Perineorrhaphy 14950 13000
611 Colporrhaphy with mesh. 16388 14250
612 Colporrhaphy without mesh. 13800 12000
613 Enterocoel repair
614 Shirodkar’s sling Operation or other sling operations for 3450 3000
prolapse uterus
615 Laparoscopic sling operations for prolapse uterus
616 Diagnostic Curettage 2484 2160
617 Fractiol Curettage 2760 2400
618 D & C and Cervical Biopsy 3163 2750
619 Polypectomy 1518 1320
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
620 Other-Minor Operation Endometrial 2300 2000
621 Excision Vagil Cyst/Burtholin Cyst 3450 3000
622 Excision Vagil Septum 4600 4000
623 Laparoscopy -Diagnostic with chromopertubation 4025 3500
624 Laparoscopy Sterilisation 3450 3000
625 Laparoscopy Operative 5750 5000
626 Laparoscopy LAVH 10350 9000
627 Total laparscopic hysterectomy 25243 21950
628 Drilling of Overy 6325 5500
629 Laparascopic treatment of Ectopic pregncy-salpingectomy

630 Laparotomy treatment of Ectopic pregncy. 14605 12700

631 Conisation of cervix
632 Trachleorraphy of cervix for early CA cervix
633 Hysteroscopic cannulation
634 Laparotomy recannulation of Fellopian tubes-
(Tubuloplasty)
635 Laparoscopic recannulation of Fellopian tubes-
(Tubuloplasty)
636 Colposcopy
637 LEETZ(Large Loop Excision of Transformation Zone)
638 Loop Electro Surgical procedures.
639 Chorionic Villi sampling
640 Interventiol Ultrasonography
641 Amneocentosis
642 Karyotyping
643 Hysteroscopic endometrial ablation
644 Thermal ballon ablation.
645 Ultrasonographic myolysis
646 Laparoscopic cystectomy
647 Intra Uterine Insemition
648 ICSI
649 Anti Retroviral Therapy.
650 Laparotomy abdomil scaro-colpopexy
651 Laparotomy Vault suspension
652 Laparscopic abdomil scaro-colpopexy
653 Laparoscopic Vault suspension
654 Laparotomy radical Lymphedenectomy
655 Laparoscopic radical Lymphedenectomy
656 Pap smear 138 120
657 Endometrial aspiration cytology
658 Transvagil sonography (TVS for Follicular
monitioringaspiration)
659 laparoscopic treatment for stress incontinence
660 Transvagil tubes for Stress incontinence
661 trans-obturator tubes for Stress incontinence
662 Interventiol radiographic arterial embolisation
663 Diagnosticcystoscopy
664 Staging laparotomy surgery for CA Overy
665 Interl Iliac ligation
666 stepwise devascularisation
667 Assisted breech delivery
668 Cordocentesis
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
669 Intra-uterine fetal blood transfusion
670 Hysteroscopy TCRE 11500 10000
671 Hysteroscopy Removal of IUCD 8050 7000
672 Hysteroscopy Removal of Septum 11385 9900
673 Hysteroscopy Diagnostic 7475 6500
674 Werthimas Hystrectomy for Cancer cervix 26450 23000
675 Sterilisation Post ertum 4140 3600
676 Sterilisation Intravagil 4025 3500
677 Abortion- D & C 2300 2000
678 Abortion- Evacuation 3036 2640
679 MTP- 1st Trimester 3036 2640
680 MTP - 2nd Trimester 4370 3800
681 Triple test
682 Quadriple test
683 Biophysical score
684 Fetal nuechal translucency
685 HPV testing
686 BLCG
Nephrology and Urology.
687 Partial Nephrectomy -open 16215 14100
688 Partial Nephrectomy-laproscopic/endoscopic 14490 12600
689 Nephrolithomy -open 16100 14000
690 Nephrolithomy -laproscopic/endoscopic 16100 14000
691 Pyelolithotomy-open 14950 13000
692 Pyelolithotomy -laproscopic/endoscopic 10580 9200
693 Operations for Hydronephrosis -pyeloplasty open 18400 16000
694 Operations for Hydronephrosis -pyeloplasty 20700 18000
Lap/endoscopic
695 Operations for Hydronephrosis Endoplyelotomy antegrade

696 Operations for Hydronephrosis Endoplyelotomy retrograde

697 Operations for Hydronephrosis -ureterocalicostomy

698 Operations for Hydronephrosis-Ileal ureter
699 Open Draige of Perinephric Abscess
700 Percutaneous Draige of Perinephric Abscess -Ultrasound
guided
701 Cavernostomy
702 Operations for Cyst of the Kidney -open
703 Operations for Cyst of the Kidney -Lap/endoscopic
704 Ureterolithotomy -open
705 Ureterolithotomy-Lap/Endoscopic
706 Nephroureterectomy open 13386 11640
707 Nephroureterectomy -Lap/Endoscopic 16100 14000
708 Operations for Ureter for -Double Ureters
709 Operations for Ureter -for Ectopia of Single Ureter
710 Operations for Vesico- ureteric Reflux -Open
711 Operations for Vesico- ureteric Reflux-Lap/Endoscopic
712 Operations for Vesico- ureteric Reflux-with bulking agents

713 Ureterostomy - Cutaneous

714 Uretero-Colic astomosis
715 Formation of an Ileal Conduit
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
716 Ureteric Catheterisation
717 Biopsy of Bladder (Cystoscopic)
718 Diathermy Destruction of Bladder Neoplasm
719 Cysto-Litholapexy
720 Operations for Injuries of the Bladder
721 Suprapubic Draige (Cystostomy/vesicostomy)
722 Simple Cystectomy
723 Diverticulectomy -open 17250 15000
724 Diverticulectomy- Lap/Endoscopic 18400 16000
725 Diverticulectomy -Endoscopic incision of neck
726 Augmentation Cystoplasty
727 Operations for Extrophy of the Bladder- Single stage
repair
728 Operations for Extrophy of the Bladder- Multistage repair

729 Operations for Extrophy of the Bladder- simple cystectomy

with uriry diversion
730 Repair of Ureterocoel -Open
731 Repair of Ureterocoel -Lap/Endoscopic
732 Repair of Ureterocoel -Endoscopic incision
733 Open Suprapubic Prostatectomy
734 Open Retropubic Prostatectomy
735 Transurethral Resection of Prostate (TURP) 18630 16200
736 Urethroscopy/ Cystopanendoscopy
737 Interl urethrotom -optical
738 Interl urethrotomy -Core through urethroplasty
739 Urethral Reconstruction -End to end ansatamosis
740 Urethral Reconstruction - substitution urethroplasty
741 Posterior Urethal Valvu fulguration.
742 Operations for Incontinence of Urine - Male -Open 17250 15000
743 Operations for Incontinence of Urine - Male -Sling 18400 16000
744 Operations for Incontinence of Urine - Male-Bulking agent

745 Operations for Incontinence of Urine - Female -Open 17250 15000

746 Operations for Incontinence of Urine - Female-Sling 18400 16000
747 Operations for Incontinence of Urine - Female-Bulking
agent
748 Reduction of Paraphimosis 1725 1500
749 Circumcision 4025 3500
750 Meatotomy 2346 2040
751 Meatoplasty 3220 2800
752 Operations for Hypospadias + Chordee Correction 1208 1050
753 Operations for Hypospadias - Second Stage 17250 15000
754 Operations for Hypospadias - One Stage Repair 12075 10500
755 Operations for Crippled Hypospadias 12593 10950
756 Operations for Epispadias _primary repair 12593 10950
757 Operations for Epispadias-crippled epispaedias 11385 9900
758 Partial Amputation of the Penis 10764 9360
759 Total amputation of the Penis 16100 14000
760 Orchidectomy-Simple 9775 8500
761 Orchidectomy -Radical 12075 10500
762 Orchidectomy -Post orchidectomy retroperitoneal lynpy 15985 13900
node dissection.
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
763 Epididymectomy 11270 9800
764 Adreneclectomy Unilateral/Bilateral for Tumour/For 25300 22000
Carcinoma- Open
765 Adreneclectomy Unilateral/Bilateral for Tumour/For 14375 12500
Carcinoma -Lap/Endoscopic
766 Operations for Hydrocele - Unilateral 5865 5100
767 Operations for Hydrocele - Bilateral 8556 7440
768 Vasectomy (Should be free for Family Welfare) 10000 8500
769 Operation for Torsion of Testis 11500 10000
770 Micro-surgical Vasovasostomy /Vaso epidedymal 11040 9600
ansatamosis.
771 Operations for Varicocele Palomo’s Unilateral- 7705 6700
Microsurgical
772 Operations for Varicocele Palomo’s Unilateral - 9200 8000
Lap/Endoscopic
773 Operations for Varicocele Palomo’s Bilateral -- 12650 11000
Microsurgical
774 Operations for Varicocele Palomo’s Bilateral - 14950 13000
Lap/Endoscopic
775 Block Dissection of Inguil Nodes - One Side 6325 5500
776 Block Dissection of Inguil Nodes - Both Sides 23000 20000
777 Excision of Filarial Scrotum 11500 10000
778 Emergency Dialysis Femoral Puncture 932 810
779 Emergency Dialysis Subclavian Puncture 1162 1010
780 Fistula/Shunt 4646 4040
781 Dialysis Femoral Catheterisation Bilateral 1150 1000
782 Haemo Dialysis-For sero negative cases 1104 960
783 Haemo Dialysis -FOR SERO POSITIVE CASES 1380 1200
784 Double Lumen Sub Clavian Catheter 1610 1400
785 Continuous Arterio Venus Haemofiltration 14030 12200
786 Subclavian Access 1208 1050
787 Femoral Access 1035 900
788 Plasma Exchange 1668 1450
789 Donor Nephrectomy -Open 28750 25000
790 Donor Nephrectomy-Lap/Endoscopic 46000 40000
791 Rel Transplantation 115000 100000
792 Lymphocoel Post transplant 5750 5000
793 Transplant Nephrectomy 23000 20000
794 Bilateral Nephrouretectomy (tive) 21850 19000
795 Vascular Prosthetic Graft 27600 24000
796 CAPD 2415 2100
797 PCNL - Unilateral 21850 19000
798 PCNL - Bilateral 28750 25000
799 Endoscopic Bulking agent Inject 4600 4000
800 Testicular Biopsy 1955 1700
801 Gil-Verner’s Extended Pyelolithotomy 3500 2975
802 Radical Nephrectomy Nephrectomy -Open 17250 15000
803 Radical Nephrectomy Nephrectomy -Lap/Endoscopic 20700 18000
804 Radical Nephrectomy plus IV thrombus 23000 20000
805 Radical Nephrectomy plus IV thrombus plus cardiac 23000 20000
bypass.
806 Vasico Vagil Fistula Repair 17250 15000
807 Radical Cystectomy -Ileal conduit 24150 21000
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
808 Radical Cystectomy - continent diversion. 16560 14400
809 Nephrectomy Simple -Open 10074 8760
810 Nephrectomy Simple-ap/Endoscopic 11500 10000
811 Nephrostomy -Open 10074 8760
812 Nephrostomy -Lap/Endoscopic 12593 10950
813 Ureteric Reimplant for MegaureterVesicoureteric 10494 9125
reflexuterocoel
814 Ureteric Reimplant 10494 9125
815 Partial Cystectomy 13800 12000
816 TURP & TUR Bladder Tumour 17250 15000
817 TURP with Cystolithotripsy 19090 16600
818 Closure of Urethral Fistula 11178 9720
819 Orchidopexy - Unilateral -Open 9867 8580
820 Orchidopexy - Unilateral- Lap/Endoscopic 12334 10725
821 Orchidopexy - Bilateral -Open 12282 10680
822 Orchidopexy - Bilateral -Lap/Endoscopic 15353 13350
823 Cystolithotomy -Suprapubic 9775 8500
824 Endoscopic Removal of Stone in Bladder 3450 3000
825 Resection Bladder Neck Endoscopic /Bladden neck 10925 9500
incision/transurethral incision on prostrate
826 Ureteroscopic Surgery 10350 9000
827 Urethroplasty 1st Stage 10925 9500
828 Exploratory Scrototomy 8556 7440
829 Perineal Urethrostomy 4715 4100
830 Dilatation of Stricture Urethra under G.A. 2358 2050
831 Dilatation of Stricture Urethra under LA 1725 1500
832 Retroperitoneoscopy Nephrectomy 33350 29000
833 Retroperitoneoscopy partial Nephrectomy 13225 11500
834 Retroperitoneoscopic nephrolithotomy 12075 10500
835 Retroperitoneoscopic pyelolithotomy 12650 11000
836 Retroperitoneoscopic operation for Hyderonephrosis 12305 10700
837 Retroperitoneoscopic surgery for Rel cyst 9775 8500
838 Retroperitoneoscopic ureterolithotomy 11500 10000
839 Retroperitoneoscopic Nephroureteroectomy 13225 11500
840 Laproscopy aassisted orchidopexy 8625 7500
841 Laproscopic operation for varicocele 7533 6550
842 Lithotripsy Extra corporeal shock wave. 23000 20000
843 Uroflow Study (Micturometry) 460 400
844 Urodymic Study (Cystometry) 552 480
845 Cystoscopy with Retrograde Catheter -Unilateral /RGP 2803 2437
846 Cystoscopy with Retrograde Catheter - Bilateral /RGP 5589 4860
847 Cystoscopy with Bladder Biopsy 3381 2940
848 Voiding-cysto-urethrogram and retrograde urethrogram 414 360

849 Radical prostratectomy-Open

850 Radical prostratectomy-Laproscopic
851 Radical prostratectomy- Robotic
852 Hilioum Laser Prostrate surgery/ Optical Interl
urethrotomy/Core through/Stone lithotrypsy/Bladder
tumour
853 High Intensity Focus Ultrasound (HIFU) Robotic for
Carcinoma prostrate and rel cell carcinoma
854 Prosthetic surgery for uriry incontinence
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
855 Ultra sound guided Biopsy
Neuro-surgery
856 Craniotomy and Evacuation of Haematoma -Subdural 50715 44100
857 Craniotomy and Evacuation of Haematoma -Extradural 50715 44100
858 Evacuation /Excision of Brain Abscess by craniotomy 54395 47300
859 Excision of Lobe (Frontal Temporal Cerebellum etc.) 54395 47300
860 Excision of Brain Tumours -Supratentotial 54395 47300
861 Excision of Brain Tumours -Infratentorial 54395 47300
862 Surgery of spil Cord Tumours 54395 47300
863 Ventriculoatrial /Ventriculoperitoneal Shunt 24281 20639
864 Twist Drill Craniostomy 5750 5000
865 Subdural Tapping 2456 2136
866 Ventricular Tapping 2967 2580
867 Abscess Tapping 2967 2580
868 Placement of ICP Monitor - 2875 2500
869 Urokise Therepy for ICH - 1380 1200
870 Skull Traction Application 3100 2635
871 Lumber Pressure Monitoring 5750 5000
872 Vascular Malformations 23000 20000
873 Theco-peritoneal Shunt 12650 11000
874 Meningo Encephalocoeleexcision and repair 34500 30000
875 Meningomyelocoel 34500 30000
876 C.S.F. Rhinorrhaea 28750 25000
877 Cranioplasty 24150 21000
878 Posterior Cervical Dissectomy 22301 19392
879 Anterior Cervical Dissectomy 16618 14450
880 Brachial Plexus Exploration Microsuturing 15525 13500
881 Median Nerve Decompression 15180 13200
882 Peripheral Neurectomy (Tirgemil) 15180 13200
883 Trigemil Rhiotomy 15525 13500
884 Cranial Nerve Astomosis 11500 10000
885 Peripheral Nerve Surgery – Major 18400 16000
886 Peripheral Nerve Surgery Minor 8280 7200
887 Ventriculo-Atrial Shunt (without valve) 13386 11640
888 Nerve Biopsy 6900 6000
889 Brain Biopsy 7475 6500
890 Anterior Cervical Spine Surgery with fusion 32200 28000
891 Anterior Lateral Decompression of spine 28750 25000
892 Brain Mapping 985 837
893 Cervical or Dorsal or Lumbar Laminectomy 23000 20000
894 Combined Trans-oral Surgery & CV Junction Fusion 46000 40000
895 C.V. Junction Fusion procedures 32200 28000
896 Depressed Fracture 28750 25000
897 Discectomy 27600 24000
898 Endarterectomy 23000 20000
899 R.F. Lesion for Trigemil Neuralgia - 11500 10000
900 Spasticity Surgery - 39675 34500
901 Spil Fusion Procedure 34500 30000
902 Spil Intra Medullary Tumours 34500 30000
903 Spil Bifida Surgery Major 18975 16500
904 Spi Bifida Surgery Minor 18975 16500
905 Stereotaxic Procedures- biopsy/aspiration 23000 20000
906 Trans Sphenoidal Surgery 40250 35000
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
907 Trans Oral Surgery 37375 32500
908 Implantation of DBS -One electrode
909 Implantation of DBS -two electrodes
910 Endoscopic adueductoplasty
911 Facial nerve reconstruction
912 Recanelisation of venous sinuses
913 Carotid stenting
914 Cervical disc arthroplasty
915 Lumbar disc arthroplasty
916 Corpus callosectomy
917 Hemishpherectomy
918 Endoscopic CSF rhinorrhea rapair
919 Burr hole evacuation of chronic subdural haematoma
920 Microsurgical excision of Acoustic tomour
921 Microsurgical excision of meningomas
922 Epilepsy surgery
923 RF lesion for facet pain syndrome
924 Cervical laminoplasty
925 Lateral mass C1-C2 screw fixation
926 Microsurgical decompression for Trigemil nerve
927 Cerebellar stimulation for hemifacial spasm
928 Cerebellar stimulation for other cranial nerve neuralgia
929 IC EC bypass procedures
930 Steriotactic guided craniotomy
931 Baclofen pump implantation lesioning for movement
disorder including Parkinsonism
932 Programmable VP shunt
933 Endoscopic sympathectomy
934 Lumber puncture
935 Exterl ventricular draige
936 Image guided surgeryExcision of tethored
937 Endoscopic 3rd ventriculostomy
938 Endoscopic cranial surgery/Biopsy/aspiration/aneurysm
coiling
939 Endoscopic discectomy
940 Aneurysm coiling
941 Endoscopic spil procedure- aneurysm coiling
942 Surgery for groving skull fractures-aneurysm coiling
943 carpel Tunnel decompression
944 Clipping of intracranial aneurysm with use of stent
945 Surgery for intracranial Arteriovenous
malformarions(AVM)
946 Endovascular procedure/embolisation
947 4 vessels cerebral angiography
948 Foramen magnum decompression
949 Foramen magnum decompression with
syringosubarachnoid shunt
950 Dorsal column stimulation for bachache in failed back
syndrome
951 Surgery for recurrent disc prolapse/epidural fibrosis
952 Surgery for brain stem tumours
953 Programmable shunts
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
954 Decompressive cranectomy for hemishpherical acute
subdural haematoma/brain swelling/large infarct
955 Intra arterial thrombolysis with tPA for ischemic stroketTpa-
activated thromboplastin)
956 steriotactic aspiration of intracerebral haematoma
957 Endoscopic aspiration of intracerebellar haematoma
958 Steriotactic Radiosurgery for brain pathology(X
kinfe/Gamma knife - ONE session
959 Steriotactic Radiosurgery for brain pathology(X
kinfe/Gamma knife -Two or more sessions
960 Chemotheraphy wafers for malignt brain tumours
Paediatric surgery
961 Excision of thyroglossal Duct/Cyst 16100 14000
962 Diaphragmatic Hernia Repair (Thoracic or Abdomil 17250 15000
Approach)
963 Tracheo Oesophageal Fistula (Correction Surgery) 25300 22000
964 Colon Replacement of Oesophagus 23000 20000
965 Omphalo Mesenteric Cyst Excision 17250 15000
966 Omphalo Mesenteric Duct- Excision 15525 13500
967 Meckels Diverticulectomy 2910 2910
968 Omphalocele 1st Stage (Hernia Repair) 15525 13500
969 Omphalocele 2nd Stge (Hernia Repair) 17250 15000
970 Gastrochisis Repair 16100 14000
971 Inguil Herniotomy 12558 10920
972 Congenital Hydrocele 12558 10920
973 Hydrocele of Cord 12558 10920
974 Torsion Testis Operation 15525 13500
975 Congenital Pyloric Stenosis- operation 13938 12120
976 Duodel- Atresia Operation 14375 12500
977 Pancreatic Ring Operation 28750 25000
978 Meconium Ileus Operation 17250 15000
979 Malrotation of Intestines Operation 17250 15000
980 Rectal Biopsy (Megacolon) 8648 7351
981 Colostomy Transverse 17250 15000
982 Colostomy Left Iliac 17250 15000
983 Abdomil Perineal Pull Through (Hirschaprugis Disease) 20700 18000

984 Imperforate Anus Low Anomaly -Cut Back Operation 10235 8900
985 Imperforate Anus Low Anomaly - Perineal Anoplasty 13800 12000
986 Imperforate Anus High Anomaly -Sacroabdomino Perineal 20700 18000
Pull Through
987 Imperforate Anus High Anomaly - Closure of Colostomy 8625 7500

988 Intususception Operation 20700 18000

989 Choledochoduodenostomy for Atresia of Extra Hepatic 20700 18000
Billiary Duct
990 Operation of Choledochal Cyst 20700 18000
991 Nephrectomy for -Pyonephrosis 20700 18000
992 Nephrectomy for - Hydronephrosis 20700 18000
993 Nephrectomy for -Wilms Tumour 7180 7180
994 Paraortic Lymphadenoctomy with Nephrectomy for Wilms 23000 20000
Tumour
995 Sacro-Coccygeal Teratoma Excision 17250 15000
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
996 Neuroblastoma Debulking 17480 15200
997 Neuroblastoma Total Excision 20700 18000
998 Rhabdomyosarcoma wide Excision 21563 18750
999 Congenital Atresia & Stenosis of Small Intestine 23000 20000
1000 Muconium ileus 17250 15000
1001 Mal-rotation & Volvulus of the Midgut 19182 16680
1002 Excision of Meckle’s Deverticulum 15755 13700
Burns and Plastic surgery
1003 Primary Suturing of Wound 1500 1275
1004 Injection of Keloids - Ganglion 1380 1200
1005 Injection of Keloids - Haemangioma 2300 2000
1006 Free Grafts - Wolfe Grafts 6555 5700
1007 Free Grafts - Theirech- Small Area 5% 7475 6500
1008 Free Grafts - Large Area 10% 8625 7500
1009 Free Grafts - Very Large Area 20% and above. 10350 9000
1010 Skin Flaps - Rotation Flaps 8970 7800
1011 Skin Flaps - Advancement Flaps 12650 11000
1012 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap 13225 11500
1013 Skin Flaps - Cross Finger 13225 11500
1014 Skin Flaps - Abdomil 13225 11500
1015 Skin Flaps - Thoracic 13225 11500
1016 Skin Flaps - Arm Etc. 14375 12500
1017 Subcutaneous Pedicle Flaps Raising 6900 6000
1018 Subcutaneous Pedicle Flaps Delay 7475 6500
1019 Subcutaneous Pedicle Flaps Transfer 8625 7500
1020 Cartilate Grafting 1625 1381
1021 Reduction of Facial Fractures of Nose 1380 1200
1022 Reduction of Facial Fractures of Maxilla 12420 10800
1023 Reduction of Fractures of Mandible & Maxilla - Eye Let 7475 6500
Splinting
1024 Reduction of Fractures of Mandible & Maxilla - Cast Netal 6900 6000
Splints
1025 Reduction of Fractures of Mandible & Maxilla - Gumming 7820 6800
Splints
1026 Interl Wire Fixation of Mandible & Maxilla 11500 10000
1027 Cleft Lip - repair. 12650 11000
1028 Cleft Palate Repair 13225 11500
1029 Primary Bone Grafting for alveolar cleft in Cleft Lip 11500 10000
1030 Secondary Surgery for Cleft Lip Deformity 11178 9720
1031 Secondary Surgery for Cleft Palate 12650 11000
1032 Reconstruction of Eyelid Defects - Minor 6325 5500
1033 Reconstruction of Eyelid Defects - Major 11178 9720
1034 Plastic Surgery of Different Regions of the Ear - Minor 8050 7000
1035 Plastic Surgery of Different Regions of the Ear - Major 10350 9000
1036 Plastic Surgery of the Nose - Minor 8050 7000
1037 Plastic Surgery of the Nose - Major 11178 9720
1038 Plastic Surgery for Facial Paralysis (Support with 18400 16000
Reanimation)
1039 Pendulous Breast - Mammoplasty 18630 16200
1040 Underdeveloped Breast Mammoplasty 16675 14500
1041 After Mastectomy (Reconstruction)Mammoplasty 16675 14500
1042 Syndactyly Repair 16675 14500
1043 Dermabrasion Face 13225 11500
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
1044 upto 30% Burns 1st Dressing 152 132
1045 upto 30% Burns Subsequent Dressing 124 108
1046 30% to 50% Burns 1st Dressing 193 168
1047 30% to 50% Burns Subsequent Dressing 152 132
1048 Extensive Burn -above 50% Frist Dressing 276 240
1049 Extensive Burn -above 50% Subsequent dressing 193 168
Orthopedics
Plaster Work
1050 Fingers (post slab) 259 225
1051 Fingers full plaster 259 225
1052 Colles Fracture - Below elbow 1150 1000
1053 Colles Fracture - Full plaster 994 864
1054 Colles fracture Ant. Or post. slab 920 800
1055 Above elbow full plaster 173 150
1056 Above Knee post-slab 718 624
1057 Below Knee full plaster 173 150
1058 Below Knee post-slab 718 624
1059 Tube Plaster (or plaster cylinder) 978 850
1060 Above knee full plaster 1840 1600
1061 Above knee full slab 1380 1200
1062 Minerva Jacket 2415 2100
1063 Plaster Jacket 2185 1900
1064 Shoulder spica 1955 1700
1065 Single Hip spica 2243 1950
1066 Double Hip spica 2760 2400
Strapping
1067 Strapping of Finger 179 156
1068 Strapping of Toes 179 156
1069 Strapping of Wrist 262 228
1070 Strapping of Elbow 262 228
1071 Strapping of Knee 345 300
1072 Strapping of Ankle 345 300
1073 Strapping of Chest 489 425
1074 Strapping of Shoulder 518 450
1075 Figure of 8 bandage 518 450
1076 Collar and cuff sling 345 300
1077 Ball bandage 403 350
1078 Application of P.O.P Casts for Upper & Lower Limbs 1093 950
1079 Application of Functiol Cast Brace 1380 1200
1080 Application of Skin Traction 690 600
1081 Application of Skeletal Tractions 949 825
1082 Bandage & Strappings for Fractures 552 480
1083 Aspiration & Intra Articular Injections 575 500
1084 Application of P.O.P Spices & Jackets 2473 2150
1085 Close Reduction of Fractures of Limb & P.O.P 2760 2400
1086 Reduction of Compound Fractures 2760 2400
1087 Open Reduction & Interl Fixation of Fingurs & Toes 5520 4800
1088 Open Reduction offracture of Long Bones of Upper / 9660 8400
Lower Limb -iling & Exterl Fixation
1089 Open Reduction of fracture of Long Bones of Upper / 9660 8400
Lower Limb -AO Procedures
1090 Tension Band Wirings 5658 4920
1091 Bone Grafting 8280 7200
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
1092 Excision of Bone Tumours 6900 6000
1093 Excision or other Operations for Scaphoid Fractures 7188 6250
1094 Sequestrectomy & Saucerisation 6900 6000
1095 Sequestrectomy & Saucerizations -Arthrotomy 10235 8900
1096 Multiple Pinning Fracture Neck Femur 11500 10000
1097 il Plate Fixations for Fracture Neck Femur 16100 14000
1098 A.O.Compression Procedures for Fracture Neck Femur 16560 14400

1099 Open Reduction of Fracture Neck Femur Muscle Pedicle 19550 17000
Graft and Interl Fixations
1100 Close Reduction of Dislocations 3174 2760
1101 Open Reduction of Dislocations 3439 2990
1102 Open Reduction of Fracture Dislocation & Interl Fixation 13800 12000

1103 Neurolysis/Nerve repair 13800 12000

1104 Nerve Repair with Grafting 18975 16500
1105 Tendon with Transplant or Graft 10350 9000
1106 Tendon Lengthening/Tendon repair 8050 7000
1107 Tendon Transfer 3105 2700
1108 Laminectomy Excision Disc and Tumours 4830 4200
1109 Spil Ostectomy and Interl Fixations 24150 21000
1110 Anterolateral decompression for tuberculosis/ Costo- 3450 3000
Transversectomy
1111 Antereolateral Decompression and Spil Fusion 26450 23000
1112 Corrective Ostectomy & Interl Fixation - short bones 13800 12000
1113 Corrective Ostectomy & Interl Fixation - long bones 11040 9600
1114 Arthrodesis of - Minor Joints 10350 9000
1115 Arthrodesis of - Major Joints 11040 9600
1116 Soft Tissue Operations for C.T.E.V. 8050 7000
1117 Soft Tissue Operations for Polio 6900 6000
1118 Hemiarthroplasty- Hip
1119 Hemiarthroplasty- Shoulder
1120 Operations for Brachial Plexus & Cervical Rib 19950 16958
1121 Amputations - Below Knee 6900 6000
1122 Amputations - Below Elbow 6843 5950
1123 Amputations - Above Knee 10580 9200
1124 Amputations - Above Elbow 6843 5950
1125 Amputations - Forequarter 14950 13000
1126 Amputations -Hind Quarter and Hemipelvectomy 18400 16000
1127 Disarticulations - Major joint 20700 18000
1128 Disarticulations - Minor joint 12650 11000
1129 Arthrography 9200 8000
1130 Arthroscopy - Diagnostic 8568 7450
1131 Arthroscopy-therapeutic: without implant 11500 10000
1132 Arthroscopy-therapeutic: with implant 17250 15000
1133 Soft Tissue Operation on JOINTS -SMALL 6900 6000
1134 Soft Tissue Operation on JOINTS -LARGE 16560 14400
1135 Myocutaneous and Fasciocutaneous FlaP Procedures for 18630 16200
Limbs
1136 Removal of Wires & Screw 1800 1530
1137 Removal of Plates/IL 4140 3600
1138 Total Hip Replacement 98000 83300
1139 Total Ankle Joint Replacement 112125 97500
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
1140 Total Knee Joint Replacement 126500 110000
1141 Total Shoulder Joint Replacement 19550 17000
1142 Total Elbow Joint Replacement 19550 17000
1143 Total Wrist Joint Replacement 115000 100000
1144 Total finger joint replacement
1145 Tubular exterl fixator
1146 Ilizarov's exterl fixator
1147 Pelvi-acetebular fracture -interl fixation
Physiotherapy
1148 Ultrasonic therapy 45 38
1149 S.W. Diathermy 45 38
1150 Electrical stimulation (therapeutic) 45 38
1151 Muscle testing and diagnostic 78 68
1152 Infra red 71 62
1153 U.V. Therapeutic dose 78 68
1154 Intermittent Lumbar Traction 78 68
1155 Intermittent Cervical traction 78 68
1156 Wax bath 78 68
1157 Hot pack 78 68
1158 Breathing Exercises & Postural Draige 58 50
1159 Cerebral Palsy – exercise 58 50
1160 Post – polio exercise 58 50
Nuclear Medicine.
RADIO-ISOTOPE THERAPY
131-lodine Therapy
1161 131-lodine Therapy <15mCi
1162 131-lodine Therapy 15-50mCi
1163 131-lodine Therapy 51-100mCi
1164 131-lodine Therapy >100mCi
1165 Phosphorus-32 therapy for metastatic bone pain palliation

1166 Samarium-153 therapy for metastatic bone pain palliation

1167 Radiosynovectomy with Yttrium

Radiotherapy and Chemotherapy
Cobalt 60 therapy
1168 Radical therapy
1169 Palliative therapy
Linear accelerator
1170 Radical therapy 60000 51000
1171 Palliative therapy 35000 29750
1172 3 D Planning 5000 4250
1173 2 D Planing 5000 4250
1174 IMRT(Intensity Modulated radiotherapy) 103200 87720
1175 SRT (Stereotactic radiotherapy) 62400 53040
1176 SRS(Stereotactic radio surgery) 82400 70040
1177 IGRT(Image guided radiotherapy) 150400 127840
1178 Respiratory Gating-alongwith Linear accelerator planning 125000 106250

1179 Electron beam with Linear accelerator 89060 75701

1180 Tomotherapy
Brachytherapy- High Dose radiation
1181 Intracavitory
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
1182 Interstitial
1183 Intralumil
1184 Surface moul
1185 GLIADAL WAFER
Chemotharapy
1186 Neoadjuvant
1187 Adjuvant
1188 Concurrent-chemoadiation
1189 Single drug 552 480
1190 Multiple drugs 897 780
1191 Targeted therapy
1192 Chemoport facility
1193 PICC line (peripherally inserted Central canulisation)
List of procedures/ tests in Gastroenterology
A) Endoscopic procedures
a. Upper G.I. Endoscopy + Lower G.I. Endoscopy 1725 1500
1194 a. Diagnostic endoscopy 600 510
1195 b. Endoscopic biopsy 345 300
1196 c. Endoscopic mucosal resection 1898 1650
1197 d. Oesophageal stricture dilatation 1725 1500
1198 e. Balloon dilatation of achalasia cardia 2875 2500
1199 f. Foreign body removal 1725 1500
1200 g. Oesophageal stenting 3450 3000
1201 h. Band ligation of oesophageal varices 2875 2500
1202 i. Sclerotherapy of oesophageal varices 2737 2380
1203 j. Glue injection of varices 2737 2380
1204 k. Argon plasma coagulation 4025 3500
1205 l. Pyloric balloon dilatation 2415 2100
1206 m. Enteral stenting 3680 3200
1207 n. Duodel stricture dilation 2415 2100
1208 o. Single balloon enterocopy 4600 4000
1209 p. Double balloon enteroscopy 4000 3400
1210 q. Capsule endoscopy 5175 4500
1211 r. Polypectomy 1518 1320
1212 s. Piles banding 1125 956
1213 t. Colonic stricture dilatation 2737 2380
1214 u. Hot biopsy forceps procedures 4025 3500
1215 v. Colonic stenting 2737 2380
1216 w. Junction biopsy 2300 2000
1217 x. rrow band imaging 3450 3000
1218 y. Conjugal microscopy 4600 4000
b. ERCP
1219 a. Diagnostic ERCP 5750 5000
1220 b. Endoscopic sphincterotomy
1221 c. CBD stone extraction 2415 2100
1222 d. CBD stricture dilatation
1223 e. Biliary stenting (plastic and metallic)
1224 f. Mechanical lithotripsy of CBD stones 8050 7000
1225 g. Pancreatic sphincterotomy
1226 h. Pancreatic stricture dilatation
1227 i. Pancreatic stone extraction
1228 j. Mechanical lithotripsy of pancreatic stones
1229 k. Endoscopic cysto gastrostomy
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
1230 l. Balloon dilatation of papilla
B. Endoscopic ultrasound
1231 a. Diagnostic ultrasound 575 500
1232 b. Colored doplar 1000 850
1233 c. Ultrasound guided FC 575 500
1234 d. Ultrasound guided abscess draige 575 500
1235 e. PTBD
1236 f. Biliary stenting
C. Angiography
1237 a. Diagnostic angiography
1238 b. Vascular embolization
1239 c. TIPS
1240 d. Trans jugular liver biopsy
1241 e. IVC graphy + hepatic veinography
1242 f. Balloon angioplasty
1243 g. Muscular stenting
1244 h. BRTO
1245 i. Portal haemodymic studies
D. Manometry and PH metry
1246 a. Oesophageal PH metry
1247 b. Oesophageal manometry
1248 c. Small bowel manometry
1249 d. Anorectal manometry
1250 e. Colonic manometry
1251 f. Biliary manometry
1252 E. Sengstaken blackenesse tube tempode
1253 F. Lintas machles tube tempode
G. Bichemistry Serology and Molecular biology
1254 a. D-xylase test
1255 b. Fecal fat test/ fecal chymotrypsin/ fecal elastase

1256 c. Breath tests

1257 d. H pylori serology for ciliac disease
1258 e. HBV genotyping
1259 f. HCV genotyping
H. Extra corporeal shortwave lithotripsy
1268 a. CBD stones
1268 b. Pancreatic duct stones
1270 I. Liver biopsy
Nephrological procedures
1271 Interl jugular cannulization
1272 Rel Biopsy
1273 Transplant Biopsy
1274 Acute P.D. catheterization
1275 Cont. Rel Replacement Therapy
1276 SLED (Slow Efficiency Dialysis)
1277 Permacath Insertion
1278 CAPD ( Insertion and Removal )
1279 Femoral Access
1280 Subclavian Access
1281 Partial Nephrectomy
1282 Nephrolithotomy- Laproscopic/endoscopic
1283 Pyelolithotomy-laproscopic/ endoscopic
S.No. PROCEDURE Rates for Rates for
NABH Non NABH
Hosp Hospitals
1284 pyeloplasty -Lap/ Endoscopic
1285 Ureterolithotomy- Lap/ Endoscopic
1286 Formation of an illeal conduit
1287 Fistula/shunt
1288 Dialysis Femoral Catheterization Bilateral
1289 Haemodialysis- For Sero negative cases
1290 Haemodialysis- For Sero positive cases
1291 Double luman sub clavian catheter
1292 Continuous Arterio Venous Haemofiltration
1293 Plasma Exchange
1294 Donor nephrectomy- Open
1295 Donor nephrectomy- Lap/ endoscopic
1296 Rel Transplantation
1297 Lymphocoel Post Transplant
1298 Transplant Nephrectomy