1.

CLINICAL CHEMISTRY ( Provisional)

CODE SERVICE_TYPE Cost per test
12004 Albumin 50
12002 Alk Phosphatase 120
12003 Alt 30
12005 Amylase 120
12001 A.S.T 30
12007 Bence Jones Protein (urine) 200
1210 BETA - Transferrine (BETA 1&2) 9000
12068 Bga/E/Hb
12067 Bga/E/Hb/Glu
12066 Bga/E/Hb/Lac/Gluc
12006 Bhcg 850
12058 Bilirubin ( T & D) 100
12008 Blood Gas Analysis 2500
12009 Blood Urea Nitrogen 50
12010 Ca 125 1550
12011 Ca 15 - 3 2045
12012 Ca 19 - 9 1670
12016 Calcium 50
12017 Cardiac Enzyme( mini / Maxi) 2000/8500
12013 Creatinine 50
12018 Cholesterol 50
12014 CK- MB 290
12019 Cortisol Am + Pm Samples 2200
12020 Creatinine 50
12022 Creatinine Clearance/Vma 1000 /7500
12021 Creatinine Kinase (Ck) 100
12015 Csf Biochemistry 1000
12069 D-Dimer 600
12023 Digoxin Levels 2000
12024 Direct Bilirubin 50
12065 Estrodiol 1400
12029 Ferritin 2000
12030 Fertility Hormone Profile 4000
12031 Fluids Biochemistry 1000
12032 Folate Levels 4000
12025 FPSA 950
12026 FSH 250
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Vision: A world class patient-centered specialized care hospital ISO 9001: 2015 CERTIFIED
 CODE SERVICE_TYPE Cost per test
12027 FT3 250
12028 FT4 250
12033 GGT 70
12034 Glucose/Random Blood Sugar 50
12036 HbA1c 300
12035 HDL 200
12037 In. Phosphorous 170
12038 LDH 170
12039 LFTS 1400
12040 LH 800
12041 Lipase 220
12042 Lipid Profile 1500
12043 Magnesium 300
12044 Myoglobin 1500
12046 Occult Blood 100
12045 OGTT 200
12048 Progesterone Level 600
12049 Prolactin 800
12047 PTH 2800
12050 Serum Protein Electrophresis 1800
12051 Sodium /Potassium/Chloride 250
12052 T3 250
12053 T4 250
12056 Testosterone 900
12057 Thyroid Profile (T3, T4,Tsh) 750
12059 Total Protein 50
12054 TPSA 950
12055 TSH 250
12061 Urea Electrolyte + Creatinine 350
(U/E/C)
12062 Uric Acid 110
12063 Urinary Microprotein 750
12064 Vitamin B12 Levels 850
  Vitamin D Levels 1200
  Lactate 2500
  Microalbumin 750

2. CYTOLOGY
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Vision: A world class patient-centered specialized care hospital ISO 9001: 2015 CERTIFIED
 CODE SERVICE_TYPE Cost per test
12177 Buccal Smear Cytology 2000
12178 Fine Needle Aspirate ( FNA) 2500
12182 Pap Smear Package
12179 Pap Smears (Done In-House) 1000
12181 Pap Smears (Submitted Slides) 80

3. MICROBIOLOGY
Cost per test
CODE SERVICE_TYPE
12066 ASOT 400
12067 Blood Culture 2200
12068 Brucella Test 50
12069 CSF(M/C) 2000
12070 Ear Swab C/S 2200
12071 Eye Swab Microscopy 1000
12072 Gram Stain 500
12073 HVS C/S 2200
12074 Indian Ink 600
12085 Lipoarabinomannam - Lam
12225 Apolipoprotein E (Apoe) 1800
12204 Pcr Bkv Virus 6000
12212 Pcr Bordetella Pertussis IgG) 5000
12207 Pcr Chlamydia Trachomatis 7600
Pcr Clostridium Difficile Infection 6500
12220 (Cdi Or C-Dif)
Pcr Enterohemorrhagic 8000
12222 Sscherichia Coli (Ehec)
12205 Pcr Epstein -Barr Virus (Ebv) 5400
12209 Pcr Factor ii Mutation 10000
12210 Pcr Factor V Ledin mutation 8500
12214 Pcr Fluoro Type Mrsa 4500
12216 Pcr Genotype Cm Direct Ver
12224 Pcr Geno Type Mrsa
Pcr Gramnegative Bacteria (15 D
12218 Types)
Pcr Gramnegative Bacteria (17 D
12219 Types)

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Vision: A world class patient-centered specialized care hospital ISO 9001: 2015 CERTIFIED
 Cost per test
CODE SERVICE_TYPE
12223 Pcr Helicobacter Pylori (H. Pylori) 4000
12211 Pcr Herpes Simplex Viruses (Hsv) 6000
12213 Pcr Mtbdr 2000
12203 Pcr M. Tuberculosis Complex 2000
12208 Pcr Neisseria Gonorrhoeae 6500
Pcr Nontuberculous Mycobacteria
12217 (Ntms)
Thrombophilia 18500/30000
12221 Diagnostics( mini/ Maxi)
Pcr Varicella Zoster Virus Or 5200
12206 Varicella- Zoster Virus (Vzv)
12215 Pcr Xdr - Tb 12500
12075 Pus Swab & Wound Swab C/S 2200
12076 Serous Fluid Aspirate
12077 Sputum Microscopy 500
12078 Sputum Tracheal / Eye Swab C/S 2200
12079 Stool Culture & Sensitivity 2000
12080 Tracheal Aspirate Microscopy 1000
12081 Urethral Swab/Rectal Swab 1000
12082 Urinalysis + Microscopy 100
12083 Urine Culture & Sensitivity 2200
12084 Widal Test 200
Salmonella Antigen 200
H. Pyroli 200

4. Immunology/Virology

CODE SERVICE_TYPE Cost per test

12149 ANF/ANA 2500
12150 Alpha Feto Protein 1100
12151 CMV IgG 1200
12152 CMV IgM 1200
12153 CRAG
12154 Compliment 3 (C3) 1300
12155 Compliment 4 (C4) 1300
12156 HCV Elisa 800

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Vision: A world class patient-centered specialized care hospital ISO 9001: 2015 CERTIFIED
 CODE SERVICE_TYPE Cost per test
12157 HIV Elisa 800
Hepatitis Bs Antigen (HBs Ag) 800
12158 ELISA
12159 IgA 1300
12160 IgE 1300
12161 IgG 1300
12162 IgM 1300
12163 Pregnancy Test ( PDT) 100
12164 RPR/VDRL Syphilis 100
12165 Rheumatoid Factor (Rh. Factor) 400
2166 Toxoplasma Gondii IgM/ IgG 1700/1700
12167 Rubella IgG/ IgM 1700/1700
  HEP A VIRUS - ELFA 1700
HEP Be VIRUS antigen / Antibody 1600/ 1600
  CMIA
  HEP Bc VIRUS – IgM /Total CMIA 1600 /1600
  HSV – 1 IgM/ IgG 3500
  HSV- 2 3500
  CRP 275

5. PARASITOLOGY
CODE SERVICE_TYPE Cost per test
12093 Blood Slides for MPS 100
Body Fluid (Parasite 100
12094 Identification)
12096 Rectal Snip 100
12098 Stool For Zn Cryptosporidium 500
12097 Stool Ova & Cyst 100
Cusson's

6. HISTOLOGY ( final)

CODE SERVICE_TYPE Cost per test

12168 Additional Serial Section Per Block 500
12169 Estrogen & Progestrone & Her2 15000
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Vision: A world class patient-centered specialized care hospital ISO 9001: 2015 CERTIFIED
 Panel X3
12170 Histology - Large Specimen 8500
12171 Histology - Medium Specimen 6500
Histology Per Sample (Single Block 3000
12173 No Special Stains, No Serial Secti
12172 Histology - Small Specimen 4500
Histology Special Stains On 3000
12174 Request
Immunoflorscent Study Per 6500
12175 Antibody
Immunohistochemistry Stain 15000
12176 Antibody

7. MOLECULAR DIAGNOSIS
CODE SERVICE_TYPE Cost per test
Class I&II Antibody 10000
Class II D Antibody 10000
Class II Dv2 Antibody 10000
Donor Specific Antibody 14000
Single Antigen Class I 15000
Single Antigen Class II 15000
Single Antigen MIC Antibody
23600 (HLA Profile ABC DR
HLA‐A SSO Typing ,DQ,DP)
HLA‐B SSO Typing
HLA‐C eRES SSO Typing
HLA DRB1 SSO Typing
HLA‐DQA1/B1 SSO Typing
CDC Crossmatch 3400

8. HAEMATOLOGY & BTU

CODE SERVICE_TYPE Cost per test

12149 Abo Antibody Titration
12151 Antibody Identification
12150 Antibody Screening 3 Cell
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Vision: A world class patient-centered specialized care hospital ISO 9001: 2015 CERTIFIED
 CODE SERVICE_TYPE Cost per test
12101 Assessment Of Sustainable Iron
12153 Atibody Sreening & Identification
12102 Autologus Transfusion
12104 Blood Bag
12105 Blood Cross Match Only
12106 Blood Grouping Only
12107 Bone Marrow (Cytochemistry) 6000
12137 Bone Marrow Cytology 5000
12108 Clotting Time 250
12109 Coagulation Screen ( PT / APTT) 200/200
12110 Cold Agglutinin 600
12111 Cryoprecipitate
12113 DFP
12115 Direct Coombs Test 750
12112 DRVVT
Erythrocyte Sedimentation Rate 250
12116 (ESR)
12152 Extended Antibody Identification
12117 Factor 8 Assay 3500
12118 Factor 9 Assay 3500
12119 Factor Assay
12121 FBC/HGM/CBC
12122 FBC/HGM/CBC+ ESR
12134 Fresh Frozen Plasma (FFP)
12123 G-6-PD Qualitative 1300
12124 Haemolytic Screen 1500
12125 Hams Test 1300
12126 Hb Electrophoresis 1500
12127 Heinz Bodies 350
12128 Indirect Coombs Test 1000
12141 INR/PTI 150
12130 LE Cells 1000
12131 Lupus Inhibitor
12132 Osmotic Fragility Test 1300
12114 PBF 200
12136 Platelet Concentrate
12135 Platelet Rich Plasma
12138 Platellet Aggrutination

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Vision: A world class patient-centered specialized care hospital ISO 9001: 2015 CERTIFIED
 CODE SERVICE_TYPE Cost per test
12139 Protein C 6000
12140 Protein S 6000
12142 Reticulocyte Count 500
12143 Sickling Test 250
12144 Substitution Test 200
12145 Therapeutic Phlebotomy
12146 Thrombin Time 1200
12147 Trephine Biopsy 7500
12148 Von Willebrand 10000

9. RARE TESTS
Item
No ITEM DESCRIPTION Cost per test 
1 Hepatitis B Viral Load  5000
2 Hepatitis B Core Antigen  
3 24-Hour Urine Metanephrines  4000
4 Philadelphia Chromosome  6500
5 IF Light Microscopy  
6 IF Cytostain  
8 Procalcitonin  3500
9 C3 , C4 , ENA  
10 Lupus Anticoagulant Profile  4000
11 Candida PCR  
12 TB Quantitative  25000
13 CS & Toxoplasma  4000
14 CD4  
15 TB Gram stain  200
16 Serum Crag  1300
17 P - ANCA C - ANCA  2500/2500
18 Serum Electrophoresis  1500
19 Antiphospholipids RF  
20 RF Procalcitonin  
21 C1C9  
22 CRP  400
23 Toxo Ig G  1700
24 Chikingunya Serology  1300

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Vision: A world class patient-centered specialized care hospital ISO 9001: 2015 CERTIFIED
 Item
No ITEM DESCRIPTION Cost per test 
25 ImmunoHistochemistry  15000
26 Light Microsc & Immunofluorscence  15000
27 Anticardiolipin  
28 CSF Crag  1200
29 Heparin A Ig M  
30 Kidney biopsy & ImmunoHC  18000
31 TB PCR  4000
32 Antineural Antibodies  
33 ProBNP  3400
34 Quantferron TB  4000
Urine Metanephrine &
35 catecholamines  4000
36 Vitamin D  1200
37 Genetic Chromosome Structure  
38 Blood Karyotyping  
Serum Electrophoresis & Free Light
39 Chains 7500
40 TB PCR Gene Xpert  4000
41 Flow cytometry  13000
42 ds DNA

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Vision: A world class patient-centered specialized care hospital ISO 9001: 2015 CERTIFIED