New 1337 Package Rates 14.07.2020

No.
2/56/2014-1HB-lll
From
Additional Chief Secretary to Government Haryana
Health Department.
To
1. All the Heads of Departments.
2. fhe Commissioners, Ambala, Hisar, Rohtak and Gurgaon Division.
3. The Registrar, Punjab and Haryana High Court, Chandigarh.
4. All the Deputy Commissioners in Haryana
5. All Sub-Division Officers (Civil) in Haryana.
Dated:- 14.7.2020
Subject:- Regarding implementation of Package Rates and lmplants applicabte to

Private Empanelled Hospitals/Private Empanelled Medica! Colleges.
Sir/Madam,
ln supersession of Government letter issued vide even no. dated 21.5.2015,

I have been directed to invite your attention to the subject mentioned above and to state
that the State Government has decided to implement package/implant rates for providing
medical treatment to the Haryana Government employees/pensioners and their
dependents in the approved private Hospitals. The package rates have been worked out
for common procedures in consultation with specialists serving in various departments of
Government Hospitals and after comparing the rates with normal tariff of leading private
empanelled hospitals, CGHS (Delhi NCR rates) and package rates fixed by insurance
companies. This has been done to rationalize the charges across the various institutions.
Under these new guidelines, 1337 (which include already notified 152 packages)
packages for major procedures have been fixed, which include rates of certain implants as
well. The details are given as under:
1. Definitions:
i) "Hospital" A private hospital approved by the State Government.
ii) "Private Medica! Colleges" recognised by Medical Council of lndia (MCl) in
Haryana state and empanelled by the State Government.
iii) "Package Rate" a lump sum amount charged by the empanelled Private
Hospitals for packages/procedu res.
iv) "Day Care" Day Care means indoor stay in the Hospital for less than 24
hours which is duly certified by the concerned hospital.
v) "NABH" means hospitals possessing accreditation certificate of National
Accreditation Board for Hospitals & Healthcare Providers. lt is further
categorised into a. Entry Level NABH b. Full NABH
vi) "JC!" mean hospitals possessing accreditation certificate of Joint
Commission lnternational.
vii) "Card" means the ldentity Card issued by competent authority of any
department under Haryana Government.
viii) "Card Holder" shall mean a person having identity card.
ix) "Beneficiary" means a person who is eligible for coverage of medical
benefits and holds a valid card for the benefit.
x) "Coverage" shall mean a type of person to be eligible as the scheme,
subject to the terms, conditions and limitations.
xi) 1,2,3,4,5,7,10 and 14 days package rate means the number of days a
patient remains in hospital for a particular surgery/procedure normally
without any complication.
xii) "ICU/CCU charges": lncludes all charges like ventilator, monitoring, nursing,
gas, drugs, etc. (charges of ICU/CCU inclusive of ventilator as per para C & t
(vii) of Guidelines, is nof to be charged extra).
xiii) "Package Rate" a lump sum amount charged by the empanelled private
H ospitals/P rivate Empa nelled Med ical Co lleges for packages/proced u res.
2. Guidelines for lmplementinq packaqe/lmplant Rates
(a) The State Government has categorized private approved hospitals and
private medical colleges for the purpose of implementing package rates, which are
explained as under:-
i) Following package rates shall be applicable to different types of empanelled

hospitals/empanelled Private Medical College, which are categorized on the
basis of accreditation of hospitals namely entry level NABH, Full NABH/JCl.
ii) All the State Government empanelled private hospitals and medical
colleges will charge from the employees as per the fixed package/implant
rates mentioned in Annexure-l&ll and these will be fully reimbursable to the
employees/pensioners and their dependents and/or to the private approved
hospitals/medical colleges for providing medical facility on cashless basis,
as the case may be.
iii) Entry level NABH package rates shall be applicable on Entry Level NABH &
NABH package rates shall be applicable on Full NABH/JCI Accredited
private hospitals empanelled with Government of Haryana.
(b) The empanelled hospitals shall provide treatment on 1337 procedures listed
in Annexure-l & ll at the prescribed package rates/implants (wherever implant rates have
been fixed and notified by Gol or State Government). The Hospital will raise the bill on
cashless or reimbursement mode (as the case may be) from the Haryana Government
employees/pensioners and their dependents. These package rates are applicable only for
procedures mentioned in Annexure-!.
i) A list of fixed 1337 packages/implants (this includes already notified 152
packages) applicable on NABH Entry Level, Full NABH/JCl empanelled
Hospitals/empanelled Private Medical Colleges in the state is attached at
Annexure-|.
ii) The "Package rate" shall mean and include lump sum cost of inpatient
treatmenVday care/diagnostic procedures for which patient goes to hospital.
This includes all charges pertaining to a particular treatment/Procedure
including admission charges, visit fee/consultation fee, Patient's diet,
monitoring charges, preoperative investigation charges, investigation
charges, operation charges, anaesthesia charges, operation theatre
charges, procedural charges/surgeon's fee, anaesthetist's fee, cost of
surgical disposals and all sundries used during hospitalization, consumables,
gas charges, Surgical charges/OT assistant charges, cost of medicine used
during hospitalization, physiotherapy charges, nursing care charges for its
services, routine post operative stay in lCU, blood transfusion (blood
grouping, cross matching, blood or component, Transfusion) and medicines
for a period of 7 days after discharge from the hospital etc.
iii) A list of fixed cost of implants applicable to all Government Hospitals,
Government Medical Colleges, empanelled private hospitals and non-
empanelled hospitals is attached at Annexure-!!. The cost of implant as fixed
by Government of lndia dated 13-02-2017, 16-08-2017 and amended from
time to time will be applicable. Other implants for which the rates have not
been fixed by Government of lndia shall be charged as per the rates fixed by
the State Government from time to time or whichever is less. Wherever the
cost is not fixed, the actual cost of the implant will be given.
iv) The cost of coronary stents shall be allowed up to a maximum of three stents
at a time.
v) The information such as stickers/batch no. etc. related to items like implant,
stent and valves should be pasted/indicated on the bill.
vi) lf in case, beneficiary opts for category/implant over & above the entitlement
or the implants rates fixed by the Government it will be the responsibility of
the hospital to explain and obtain undertaking from the beneficiary. The
charges over and above the entitlement will be borne by the beneficiary.
vii) The package rates mentioned in column no. 3, 4 in table (Annexure-l) are
same for both semi private ward and private ward entitlement.
(c) The entitlement for Room Rent for indoor treatment:-
Sr. Category Revised Pay as Hos I Accreditation

No. per 7th pay Entry level Ful! NA BH
commission NABH /JCt
(B.P.+G.P.x2.57 |
1. General ward Upto Rs. 501921- 1560/- 1720t-
2. Semi- Rs. 502171- to 3125t- 3440t-
Private/Twin 64532t-
Sharing Room
3. Private Roon Ra l458s/--and 4690/- 5160/-
No Sharing) above
i) Private ward is defined as a hospital room where single patient is

accommodated and having an attached toilet (lavatory and bath). The
room should have furnishings like wardrobe, dressing table, bed-side
table, sofa set, carpet, etc. as well as a bed for attendant. The room
has to be air-conditioned.
ii) Semi Private Ward is defined as a hospital room where two to three
patients are accommodated and having attached toilet facilities and
other necessary furnish ings.
iii) Room rent will include charges for occupation of bed, diet for the
patient, charges for water and electricity supply, linen charges, nursing,
heater/A.C. charges and routine housekeeping etc.
iv) Day care Room rent charges are admissible up to Rs. 7501-.
v) During the ICU/CCU/HDU, no separate room rent will be admissible.
vi) Treatment taken in higher category of accommodation than the entitled
category will be borne by the beneficiary.
vii) ln addition to the chargeable amount mentioned against package rates,
implant rates (if any) the cost of room rent/lCU/CCU/HDU including
ventilator shall be charged separately. However, when a treatment
given under a fixed package and the post operative/ post procedural
treatment/management protocols needs stay in CCU/ICU/HDU, No
extra charges shall be taken for the stay in CCU/lCU/HDU during post
operative/post procedure period. lt will be part of package rate.
viii) The room rent charges are according to the number days a patient
stays in the hospital i.e. 1, 2,3,4,5,7,14 days etc. as per the prescribed
package.
ix) lf the beneficiary has to stay in the hospital for his/her recovery for a
period more than the period covered in package rate, in exceptional
case, supported by relevant medical records and certified as such by
hospital, the additional reimbursement may be allowed and that shall be
limited to accommodation charges as per entitlement, investigations
charges at approved rates and cost of medicine. The hospital shall
issue separate bill for the period of over stay.
x) No additional charges on account of extended period of stay shall be
allowed if that extension is due to infection on the consequences of
surgical procedure/faulty investigation procedure etc.
3. The fixed cost of !CU/CCU under medical manaqement (indoor treatment):-

i) No extra room rent for ICU/CCU patient shall be charged.
ii) For CCU cases per day cost shall be @ 6500/- day. lt will include all
investigations, intra-arterial monitoring catheters, pressure bag, drugs,
including cardioversion and nothing is excluded. However, the routine
post operative stay in CCU shall be part of package as per Para 3(C) of
guidelines.
iii) For intra arterial balloon pump (IABP) a onetime cost of Rs. 300001
shall be applicable.
iv) ICU with invasive ventilation includes use of ventilator, nursing, diet,
procedural charges, (such as intra arterial/neck line, catheterization of
all types, chest tube, infusion pump, lV line, Tracheostomy, lntubation,
chage of tubes, change of Tracheostomy, splintage (Cervical/Limb),
etc.), physiotherapy, drugs, consumables, all lab investigations,
diagnostics, dretician and doctor's/Specialists visit, nebulisation, alpha
bed charges, etc. and nothing is excluded.
v) The HDU charges shall be same as room rent charges. However, the
routine post operative stay in HDU shall be part of package as per Para
3(C) of guidelines.
vi) The fixed cost of ICU is as under:-
Sr. No. Name Entry level Full NABH Remarks

NABH Rates Rates (per
(per dav) dav)
1 ICU without 3000/- 3450t- However, -tne routine
ventilation post operative
oper stay in
shal be
ICU shall part of
tge as per para
package
3(C) of gu idelines
2. ICU with non 5525t- 6500/- -do-
invasive
ventilation
3 ICU with 11050/- 13000/- -do-
invasive
ventilation
4. Additional Guidelines:-
(a) Apart from identified packages, any non-package procedure will be worked
out as under:-
i. Room rent- as per the entitlement of the beneficiary.
ii. Lab and Diagnostics- As per the rates fixed (Annexure-l)
iii. Medicines and consumables - Rs. 1750 l- per day. This will exclude
high cost injections such as Anti-D, Anti Haemophilic Factors,
Thrombolytic treatment (Streptokinase), Anti Cancer drugs, Antibiotics
(the per day cost of which is more than Rs 20001- irrespective of number
of doses) etc.
iv. The high cost injection is defined as an injection the cost of which
comes out to be more than Rs.2000/- after decreasing 30% on MRP of
purchased injection by the hospital. ln such case, health facility shall give
undertaking that no cheaper brand of same composition or molecule is
available in their inventory/ stock.
(b) ln case multiple packages are invoked in operative surgery at same time
then the package rates shall be charged at following rates:-
i. Highest package 100%.
ii. 2nd highest package 50% of the identified package rate.
iii. 3'd highest and so on packag e 25% of the identified package rate.
iv. However, the room rent shall be charged once only.
(c) Rates of other minor/major surgeries, related to various specialities for which
there is no fixed package shall be charged as under:-
Sr. No. proced u re/su rgery AmounURate

1. - Any procedure/surgery
a naesthesia
Any procedure/surgery done under l/V
sedg_t!911
3 (a) Any procedure/surgery related to 20,000/-
specialities other than ortho. Done under
nal/ reqional/ epidural anaesthesia
An@-iurgeiy done
under spinal/ regional/ epidural
anaesthesia.
Any procedure/surgery related to any
cialitv done under neral anaesthesia.
(d) The Pathology and Radiology rates shall only be applicable on OPD
procedures, any non-surgical procedures for which there is no package, as per point no.
4(a) and point no. 4(c) above.
(e) lt will be responsibility of the hospital to provide limited cashless medical
facility notified by State Government vide letter no. 2PM-Cashless-2017113626-13786
dated 20.11.2017 amended time to time and the guidelines therein. However, for the
remaining diseases/conditions the reimbursement will be done as per the identified
package rates and for non package procedures at PGIMER Chd. +75oh of balance
amount.
(0 Rates for any procedure/surgery like organ transplant etc. and
devices/implants rates fixed by the State Govt. shall be applicable on Govt. Health
Facilities and Empanelled private Hospital/Medical College in Haryana from time to time.
(g) At a time of discharge, the empanelled private hospital /private medical
college shall give medicines for a period of 7 days as a part of package. No extra charge
shall be taken from the patient for the medicines.
(h) Follow-ups:- Patient shall be provided follow-up services as per recording
the same in the discharge summary. The follow-ups under the six conditions as per limited
cashless medical facility notified by State Government vide letter no. 2PM-Cashless-
2017113626-13786 dated 20 11 .2017 amended time to time and the guidelines therein, will
be done as per the identified packages.
(i) The fixed package of any procedure/surgery mentioned in column 2 as OPD
in annexure 1 shall be applicable as per Government instructions dated 11.08.1992 and
08.06.2005 and amended from time to time.
(j) The PPP mode packages shall only be applicable on Government Health
lnstitutions in Haryana State.
(k) Private empanelled hospital/ Private Approved Medical Colleges will also
abide to the guidelines and packages fixed under Rastriya Bal Suraksha Karyakaram
(RBSK) made by Government of lndia, wherever applicable. However, this will not be
applicable on Haryana Government employees/pensioners and their dependents.
(l) The reimbursement under Rastriya Bal Suraksha Karyakaram (RBSK)
Scheme shall be paid to the hospital by NHM Haryana.
(m) Empanelled hospitals shall register every cancer case and report under
Haryana Cancer Atlas (HCA) wherever applicable.
(n) All earlier instructions related to fixed package/implant rates stand
superseded. These fixed package/implant rates shall come into force with immediate
effect.
The above orders can be downloaded from the website of Health Department r.e.
harvanahealth.nic.in
This issue with the concurrence of the Finance Department conveyed vide
their U.O No. 1813017012912001-FD-ll/2019, dated 15.9.2019.
YOGESH KUTilAR MEHTA, HCS

Additional Secretary, Health
for Additional Chief Secretary to Government Haryana,
Health Department og
A copy is fonruarded to all Additional Chief Secretaries/Principal
Secretaries/Commissioner and Secretaries for informatiop and necessary action.
I
ffog""fV[r., Mehta, Hcs)
Add-iti Jnal Sec reta ry, Hea tth
for: Additional Chief Secretary to Government of Haryana
Heatth Departmentd.'
To
All Add itional Chief Secretaries/Principa I Secreta ries/Comm issioner
to Government of Haryana.
U.O. No. 215612014-1 HBlll Dated: 14.7.2020
A copy is forwarded to Additional Chief Secretary to Government of Haryana
Finance Department for information and necessary action w.r.t their 1813017012912001-
FD-ll/2019, dated 1 5.9.2019
I
1vos""/Vr(,r Mehta, Hcs)

Additional Secretary, Health
for: Additional Chief Secretary to Government of Haryana
Health DeOartmenll,
To
Additional Chief Secretary to Government of Haryana
Finance Department.
U.O. No. 215612014-1 HB!!l Dated: 14.7.2020
ANNEXURE-I
Fixed Package rates/ Implants applicable to Entry Level NABH/ Full NABH/ JCI/ Private
Hospitals & Medical Colleges
Specialty-wise Serial No.

Cost of
Stay in implant/Pace
Hospital maker/Mesh etc
SR. Treatment Procedure Entry Level Full NABH Room rent, as
(Day as per Annexure 2
No. NABH rates rates per entitlement
care/ or the original
Days) cost (wherever
applicable)
Cardiology
1 1 ASD Closure 8 DAYS 68000 80000 extra
2 2 VSD with graft 8 DAYS 68000 80000 extra
TOF/ TAPVC/ TCPC/ REV/ RSOV
3 3 8 DAYS 127500 150000 extra
repair
4 4 B.D.Glenn/Left atrium Myxoma 8 DAYS 93500 110000 extra
5 5 Senning/ASO with graft 8 DAYS 127500 150000 extra
6 6 DSO 8 DAYS 110500 130000 extra
7 7 AV Canal repair 8 DAYS 157250 185000 extra
8 8 Fonten 8 DAYS 165750 195000 extra
9 9 Conduit repair 8 DAYS 165750 195000 extra
10 10 CABG 10 DAYS 127500 150000 extra
IABP cost as per
11 11 CABG + IABP 10 DAYS 165750 195000 extra
Para "J" iii
12 12 CABG + Valve 10 DAYS 165750 195000 extra
13 13 CABG without bypass 10 DAYS 153000 180000 extra
14 14 Ascendingaortareplacement 10 DAYS 144500 170000 extra
Original Cost of Two
15 15 DVR 10 DAYS 153000 180000 Valves is fully extra
reimbursible
origional Cost of
16 16 MVR/AVR 10 DAYS 110500 130000 extra
Valve
origional cost of
17 17 MV repair + AV repair 10 DAYS 110500 130000 extra
valve
18 18 Aorta femoral bypass 5 DAYS 51000 60000 extra
19 19 B.T Shunt/Coaractation 5 DAYS 51000 60000 extra
20 20 P.A.Bandingseptostomy 5 DAYS 51000 60000 extra
21 21 Pericardectomy 5 DAYS 46750 55000 extra
22 22 CMV/PDA 5 DAYS 55250 65000 extra
23 23 Gunshot injury 10 DAYS 55250 65000 extra
24 24 Heart transplant 10 DAYS 272000 320000 extra
Fixed cost of three
stents is/are
reimbursable+inj.
Eptifibatide/Abeixim
ab/Trofiban
Balloon coronary
25 25 3 DAYS 89250 105000 +Thermo suction extra
Angioplasty/PTCA with VCD
catheter (wherever
applicabel) It
includes the cost of
angiography if
performed in the
Fixed cost of three
stents is/are
reimbursable+inj.
Eptifibatide/Abeixim
ab/Trofiban
Balloon coronary Angioplasty/
26 26 3 DAYS 89250 105000 +Thermo suction extra
PTCA without VCD
catheter (wherever
applicabel) It
incluides the cost of
angiography if
performed in the
27 27 Rotablation 3 DAYS 51000 60000 extra
28 28 balloon valvotomy/PTMC 3 DAYS 12750 15000 extra
29 29 CATH 1DAY 10200 12000 extra
30 30 Arch Replacement 3 DAYS 12750 15000 extra
31 31 Aortic Dissection 10 DAYS 17000 20000 extra
Thoraco Abdominal Aneurism
32 32 3 DAYS 21250 25000 extra
Repair
33 33 Embolectomy 3 DAYS 23800 28000 extra
34 34 Vascular Repair 3 DAYS 42500 50000 extra
Bentall Repair with Prosthetic
35 35 10 DAYS 34000 40000 extra
Valve
Bentall Repair with Biologic
36 36 10 DAYS 144500 170000 extra
Valve
37 37 Coaractation dilatation 10 DAYS 17000 20000 extra
Coaractation dilatation with
38 38 10 DAYS 21250 25000 extra
Stenting
39 39 TPI Single Chamber 1 DAY 8500 10000 extra
40 40 TPI Dual Chamber 1 DAY 10200 12000 extra
Permanent pacemaker
41 41 3 DAYS 34000 40000 fixed cost of implant extra
implantation- Single Chamber
Permanent pacemaker
implantation- Dual Chamber
Permanent pacemaker
implantation Biventricular
AICD implantation Single
Chamber
AICD implantation Dual
Chamber
Combo device implantation
(CRTD)
Diagnostic Electrophysiological
47 47 1 DAY 10200 12000 extra
studies conventional
48 48 Ambulatory BP monitoring DAY CARE 850 1000 extra
49 49 External Loop/event recording DAY CARE 2975 3500 extra
50 50 RF Ablation conventional 1 DAY 42500 50000 extra
RF Ablation Atrial
51 51 1 DAY 51000 60000 extra
Tachycardia/Carto
52 52 Endomyocardial biopsy 1 DAY 12750 15000 extra
53 53 IABP 1 DAY 10200 12000 extra
54 54 Intra vascular coils 3 DAYS 51000 60000 extra
55 55 Septostomy- Balloon 3 DAYS 21250 25000 extra
56 56 Septostomy- Blade 3 DAYS 23800 28000 extra
57 57 AVBD/PVBD 3 DAYS 55250 65000 extra
Digital subtraction angiography-
58 58 1 DAY 11900 14000 extra
Peripheral artery
Digital subtraction Angiography-
59 59 1 DAY 11900 14000 extra
venogram
60 60 C.T. Guided biopsy 1 DAY 1530 1800 extra
61 61 Sinogram DAY CARE 1530 1800 extra
Peripheral Angioplasty with
62 62 3 DAYS 15300 18000 extra
VCD
Peripheral Angioplasty without
63 63 3 DAYS 15300 18000 extra
VCD
64 64 Renal Angioplasty 3 DAYS 72250 85000 extra
65 65 IVUS 3 DAYS 25500 30000 extra
66 66 FFR 3 DAYS 15300 18000 extra
67 67 Holter analysis OPD 1275 1500 ***********
Aortic stent grafting for aortic
68 68 10 DAYS 93500 110000
aneurysm
69 69 IVC Filter implantation 3 DAYS 23800 28000
70 70 ASD/VSD/PDA device closure 3 DAYS 42500 50000
71 71 ECG OPD 170 200 ************
72 72 HUTT OPD 2975 3500 ************
73 73 2 D echocardiography OPD 1275 1500 ************
74 74 3 D echocardiography OPD 1530 1800 ************
75 75 Fetal Echo OPD 1530 1800 ************
76 76 2 D TEE OPD 2125 2500 ************
3 D TEE (Transoesophageal
77 77 OPD 2125 2500 ************
echo)
78 78 Stress Echo- exercise OPD 2380 2800 ************
79 79 Stress Echo-Pharmacological OPD 2550 3000 ************
80 80 Stress MPI- exercise OPD 2550 3000 ************
81 81 Stress MPI-pharmacological OPD 2550 3000 ************
82 82 Coronary angiography 1 DAY 9775 11500
83 83 CT coronary angiography OPD 6375 7500 ************
84 84 Cardiac CT scan OPD 3400 4000 ************
85 85 Cardiac MRI OPD 4250 5000 ************
86 86 Stress Cardiac MRI OPD 4675 5500 ************
87 87 MR angiography. OPD 5950 7000 ************
88 88 Cardiac PET OPD 3825 4500 ************
89 89 Pericardiocentesis OPD 5525 6500 ************
ENT
90 1 Pure Tone Audiogram OPD 467.5 550 *******
91 2 Impedencewith stepedealreflex OPD 561 660 *******
92 3 SISI Tone Decay OPD 467.5 550 *******
93 4 Speech Discrimination Score OPD 467.5 550 *******
Multiple hearing assessment
94 5 OPD 467.5 550 *******
test to Adults
95 6 Speech Assessment OPD 467.5 550 *******
Speech Therapy per session of
96 7 OPD 425 500 *******
30-40 minutes
Cold Calorie Test for vestibular
97 8 OPD 425 500 *******
function
Removal of foreign body from
98 9 OPD 595 700 *******
Nose
Removal of foreign body from
99 10 OPD 595 700 *******
ear
100 11 Syringing (Ear) OPD 340 400 *******
Pertitonsillar abscess Drainage
101 12 OPD 850 1000 *******
under LA
102 13 Tympanoplasty 2 days 23375 27500 extra
Tonsillectomy Under General
103 14 2 days 23375 27500 extra
Anaesthesia
Adenotonsillectomy Under
104 15 2 days 25245 29700 extra
General Anaesthesia
105 16 FESS [antral polyp] 2 days 25500 30000 extra
106 17 FESS [Ethmoidal Polyp] 2 days 25500 30000 extra
107 18 Septoplasty 2 days 21250 25000 extra
108 19 Septo-rhinoplasty 2 days 32300 38000 extra
109 20 Rhinoplasty (Non cosmetic) 2 days 21250 25000 extra
110 21 Fracture reduction Nasal Bone Day Care 5100 6000 extra
111 22 Intra Nasal Diathermy 2 days 2125 2500 extra
112 23 Turbinectomy 2 days 17000 20000 extra
113 24 Endoscopic Surgery 2 days 25500 30000 extra
114 25 FESS Endoscopic Surgery Day Care 13600 16000 extra
115 26 Septal Perforation Repair 2 days 21250 25000 extra
Septal Perforation Repair Under
116 27 Day Care 13600 16000 extra
General Anaesthesia
Antrum Puncutre under
117 28 Day Care 1275 1500 extra
General Anaesthesia
118 29 Lateral Rhinotomy Day Care 127500 150000 extra
119 30 Angiofibroma Excision 3 Days 29750 35000 extra
120 31 Endoscopic Hypophysectomy 2 Days 34000 40000 extra
121 32 Decompression of Orbit 3 Days 42500 50000 extra
Punch /Wedge Biopsy Under
122 33 Day Care 1700 2000 extra
Local Anaesthesia
Endolymphatic Sac
123 34 2 days 14875 17500 extra
Decompression
124 35 Diagnostic Endoscopy under GA Day Care 5100 6000 extra
Yonges Operation for Atrophic
125 36 3 days 29750 35000 extra
rhinitis
Vidian neurectomy for
126 37 3 days 29750 35000 extra
vasomotor rhinitis
127 38 Palatopharyngoplasty 3 days 29750 35000 extra
128 39 Pharyngoplasty 2 days 25500 30000 extra
129 40 Styloidectomy 2 days 15300 18000 extra
Direct laryngoscopy including
130 41 Day Care 5100 6000 extra
Biopsy under GA
Ranula Excision Local
131 42 Day Care 6800 8000 extra
Anaesthesia
132 43 Tongue tie excision Day Care 1700 2000 extra
Modified Radical
133 44 Mastoidectomy with 3 days 42500 50000 extra
Tympanoplasty
134 45 Polyp removal under GA Day Care 6800 8000 extra
135 46 Polyp removal under LA Day Care 3400 4000 extra
136 47 Cochlear Implant 10 days 58650 69000 fixed cost of implant extra
Fracture Nasal Bone setting
137 48 Day Care 8500 10000 extra
Local Anaesthesia
138 49 Myringoplasty 2 days 23800 28000 extra
139 50 Staepedectomy 3 days 29750 35000 extra
140 51 Tympanotomy Day Care 5100 6000 extra
141 52 Otoplasty 3 days 29750 35000 extra
142 53 Labyrinthecytomy 3 days 42500 50000 extra
143 54 Facial Nerve Decompression 3 days 42500 50000 extra
Submucous Resection under
144 55 2 days 12750 15000 extra
Local Anaesthesia
Submucous Resection under
145 56 2 days 21250 25000 extra
General Anaesthesia
146 57 Endoscopic DCR 2 days 29750 35000 extra
147 58 Caldwell Luc Surgery 2 days 17000 20000 extra
148 59 Uvulo-palatoplasty 3 days 42500 50000 extra
Polyp removal ear under Local
149 60 2 days 1700 2000 extra
Anaesthesia
Polyp removal nose (Septal
150 61 Polyp) Under General 2 days 12750 15000 extra
Anaesthesia
151 62 Nasal Packing-Amteroe OPD 850 1000 ********
Nasal Packing-posterior under
152 63 Day Care 3400 4000 extra
GA
153 64 Sub Mandibular Duct Lithotomy 2 days 12750 15000 extra
Oesophagoscopy/foreign body
154 65 2 days 14875 17500 extra
removal
Bronochoscopy with F.B.
155 66 removal Under General 2 days 14025 16500 extra
Anaesthesia
156 67 Ear Lobe Repair One side OPD 935 1100 *******
Excision of pinna for Growth
(Squamous/Basal/Injuries)
157 68 2 Days 1700 2000 extra
Skin and Cartilage Local
Anaesthesia
Excision of External Auditory
158 69 Meatus under Local 4675 5500 extra
Anaesthesia
159 70 Excision of Branchial Cyst 2 days 14025 16500 extra
160 71 Excision of Branchial Sinus 2 days 14025 16500 extra
Excision of Pharyngeal
161 72 2 days 14025 16500 extra
Diverticulum
Excision of Carotid Body
162 73 5 days 51000 60000 extra
Tumours
163 74 Operation for Cervical Rib 5 days 29750 35000 extra
Pharyngectomy &
164 75 5 days 46750 55000 extra
Reconstruction
Operation for Carcinoma Lip-
165 76 5 days 35700 42000 extra
Wedge Excision
166 77 Excision of the Maxilla 5 days 42500 50000 extra
Excision of mandible-
167 78 5 days 42500 50000 extra
segmental
168 79 Mandibulectomy 5 days 42500 50000 extra
169 80 Partial Glossectomy 4 days 29750 35000 extra
170 81 Hemiglossectomy 4 days 34000 40000 extra
171 82 Total glossectomy 5 days 42500 50000 extra
172 83 Commondo Operation 5 days 42500 50000 extra
173 84 Parotidectomy – Superficial 3 days 25500 30000 extra
174 85 Parotidectomy – Total 5 days 38250 45000 extra
175 86 Parotidectomy – Radical 5 days 42500 50000 extra
176 87 Repair of Parotid Duct 3 days 23800 28000 extra
Removal of Submandibular
177 88 3 days 21250 25000 extra
Salivary Gland
178 89 Hemithyroidectomy 4 days 29750 35000 extra
Partial Thyroidectomy
179 90 4 days 29750 35000 extra
(Lobectomy)
180 91 Total Thyroidectomy 5 days 42500 50000 extra
Gynaecology & Obstetrics
Normal delivery with or without
181 1 3 17000 20000 **** extra
Episiotomy & P. repair
182 2 vacuum delivery 3 21250 25000 **** extra
183 3 Forceps Delivery 3 21250 25000 **** extra
184 4 Cesarean Section 4 29750 35000 **** extra
185 5 Cesarean Hysterectomy 3 42500 50000 **** extra
Rupture Uterus closure & repair
186 6 3 42500 50000 **** extra
with Tubal Ligation
Perforation of Uterus after D/E
187 7 3 34000 40000 **** extra
Laparotomy & Closure
Laparotomy for Ectopic
188 8 3 34000 40000 **** extra
pregnancy
Laparotomy- peritonitis Lavage
189 9 and 3 34000 40000 **** extra
Drainage
Salphingo- Oophorectomy/
190 10 3 25500 30000 **** extra
Oophorectomy Laproscopic
Ovarian Cystectomy-
191 11 3 29750 35000 **** extra
laparoscopic.
Ovarian Cystectomy-
192 12 3 25500 30000 **** extra
laparotomy.
Salpingo- Oophorectomy-
193 13 3 25500 30000 **** extra
Laparotomy
Laproscopic Broad Ligament
194 14 Hematoma Drainage with 3 17000 20000 **** extra
Repair
Exploration of Perineal
195 15 3 17000 20000 **** extra
Haematoma & Repair
Exploration of abdominal
196 16 Haematoma (after laparotomy 3 21250 25000 **** extra
+ LSCS)
197 17 Manual Removal of Placenta 1 8075 9500 **** extra
Examination under anesthesia
198 18 Day care 2550 3000 **** extra
(EUA)
199 19 Burst-abdomen Repair 3 25500 30000 **** extra
Gaping Perineal Wound
200 20 1 4250 5000 **** extra
Secondary Suturing
Gaping abdominal wound
201 21 1 8075 9500 **** extra
Secondary Suturing
202 22 Complete perineal tear-repair 1 6375 7500 **** extra
203 23 Exploration of PPH- tear repair 1 9350 11000 **** extra
Suction evacuation vesicular
204 24 3 12750 15000 **** extra
mole
Suction evacuation Missed
205 25 1 8500 10000 **** extra
abortion/ incomplete abortion
206 26 Colpotomy 1 8500 10000 **** extra
Repair of post- coital
207 27 1 8500 10000 **** extra
tear/perineal injury
208 28 Shirodhkar/ Mc. Donald's stitch 1 8500 10000 **** extra
Abdominal Hysterectomy with
209 29 or without salpingo- 3 42500 50000 **** extra
oophorectomy
210 30 Vaginal Hysterectomy (NDVH) 3 42500 50000 **** extra
Vaginal Hysterectomy with
211 31 3 42500 50000 **** extra
repairs (UV Prolapse)
212 32 Myomectomy - laparotomy 3 42500 50000 **** extra
213 33 Myomectomy - laparoscopic 3 42500 50000 **** extra
214 34 Vaginoplasty 3 42500 50000 **** extra
215 35 Vulvectomy - Simple 3 25500 30000 **** extra
216 36 Vulvectomy- Radical 3 25500 30000 **** extra
217 37 RVF Repair 3 34000 40000 **** extra
218 38 Manchester Operation 3 34000 40000 **** extra
Shirodkar's sling Operation or
219 39 other sling operations for 3 29750 35000 **** extra
prolapse uterus
Laparoscopic sling operations
220 40 3 29750 35000 **** extra
for prolapse uterus
221 41 Diagnostic Curettage 1 6375 7500 **** extra
222 42 Cervical Biopsy 1 4250 5000 **** extra
223 43 Polypectomy 1 4250 5000 **** extra
Other-Minor Operation
224 44 1 6800 8000 **** extra
Endometrial
Excision Vaginal Cyst/Bartholin
225 45 1 9350 11000 **** extra
Cyst
226 46 Excision Vaginal Septum 1 10200 12000 **** extra
Laparoscopy - Diagnostic with
227 47 chromopertubation and or 1 10200 12000 **** extra
adhesiolysis and drilling
228 48 Laparoscopy Sterilization 1 9350 11000 **** extra
229 49 LAVH 3 63750 75000 **** extra
230 50 Balloon Temponade for PPH 1 7225 8500 **** extra
Total laparoscopic
231 51 3 63750 75000 **** extra
hysterectomy
Laparoscopic treatment of
Ectopic pregnancy-
232 52 3 25500 30000 **** extra
salpingectomy/ salpinostomy
conservative
233 53 Conisation of cervix 1 10200 12000 **** extra
Trachhelectomy of cervix for
234 54 1 17000 20000 **** extra
early CA cervix
235 55 Hysteroscopic cannulation 1 7225 8500 **** extra
Laparotomy recannalization of
236 56 3 42500 50000 **** extra
Fallopian tubes- (Tubuloplasty)
Laparoscopic recannalization of
237 57 3 42500 50000 **** extra
Fallopian tubes- (Tubuloplasty)
238 58 Colposcopy 1 2125 2500 **** extra
Inversion of Uterus - Vaginal
239 59 2 8500 10000 **** extra
Reposition
Inversion of Uterus- Abdominal
240 60 2 8500 10000 **** extra
Reposition
241 61 Laparoscopic VVF Repair 3 63750 75000 **** extra
242 62 Abdominal VVF Repair 3 63750 75000 **** extra
243 63 Vaginal VVF Repair 3 63750 75000 **** extra
Interventional Ultrasonography
244 64 1 1700 2000 **** extra
(CVS)
245 65 Amniocentesis 1 1700 2000 **** extra
246 66 Karyotyping 1 1700 2000 **** extra
247 67 Thermal balloon ablation. 1 21250 25000 **** extra
248 68 Ultrasonographic myolysis 3 29750 35000 **** extra
249 69 Vaginal Myomectomy 3 29750 35000 **** extra
250 70 Intra Uterine Inseminition 3 2125 2500 **** extra
251 71 ICSI 3 34000 40000 **** extra
Laparotomy abdominal sacro-
252 72 3 42500 50000 **** extra
colpopexy
253 73 Vaginal Colpopexy 3 63750 75000 **** extra
Laparoscopic abdominal sacro-
254 74 3 59500 70000 **** extra
colpopexy
Endometrial aspiration
255 75 1 4250 5000 **** extra
cytology/biopsy
Transvaginal sonography (TVS
256 76 for Follicular 1 1275 1500 **** extra
monitioring/aspiration)
Laparoscopic treatment for
257 77 3 38250 45000 **** extra
stress incontinence
Transvaginal tapes for Stress
258 78 3 38250 45000 **** extra
Incontinence
Trans-obturator tapes for
259 79 3 38250 45000 **** extra
Stress Incontinence
Interventional radiographic
260 80 3 55250 65000 **** extra
arterial embolization
261 81 Diagnostic cystoscopy 1 8500 10000 **** extra
Staging laparotomy surgery for
262 82 3 18700 22000 **** extra
CA Ovary
263 83 Internal Iliac ligation 1 8500 10000 **** extra
264 84 Assisted breech delivery 1 21250 25000 **** extra
Intra-uterine fetal blood
265 85 3 51000 60000 **** extra
transfusion
266 86 Hysteroscopy TCRE 3 25500 30000 **** extra
267 87 Hysteroscopy Removal of IUCD 1 10200 12000 **** extra
Hysteroscopy Removal of
268 88 1 10200 12000 **** extra
Septum
269 89 Hysteroscopy Diagnostic 2 17000 20000 **** extra
Radical Hysterectomy for
270 90 Cancer cervix with pelvic 3 42500 50000 **** extra
Lymphadenectomy
Radical Hysterectomy for
Cancer endometrium extending
271 91 3 42500 50000 **** extra
to cervix with pelvic and para
aortic lymphadenectomy
Sterilization Post partum
272 92 1 9350 11000 **** extra
(minilap)
273 93 Sterilization interval (minilap) 1 9350 11000 **** extra
Ultrasonography Level II
274 94 OPD 850 1000 **** ******
scan/Anomaly Scan
275 95 Fetal nuchal Translucency OPD 850 1000 **** ******
Fetal Doppler/Umblical
276 96 OPD 1700 2000 **** ******
Doppler/Uterine Vessel Doppler
277 97 MTP-1st Trimester 1 8500 10000 **** extra
278 98 MTP - 2nd Trimester 3 17000 20000 **** extra
279 99 Quadruple test OPD 4250 5000 **** ******
280 100 Biophysical score OPD 1700 2000 **** ******
Neurosurgery
Aneurysms and AVM
281 1 10 59500 70000 extra
large/Extensive/ Complicated
Aneurysms and AVM -
282 2 Small/localised 7 59500 70000 extra
/Uncomplicated
Anterior Cranial Fossa Surgery
283 3 6 59500 70000 extra
(CSF Rhinnorhea)
Bilaterial / Multiple Burr holes
284 4 7 42500 50000 extra
and Evacuation SDH
Burr hole and aspiration of
285 5 5 34000 40000 extra
abscess
286 6 Burr hole with of chronic SDH 3 38250 45000 extra
287 7 C.V. junction fusion PKG 7 59500 70000 extra
Conversion of EVD into VP
288 8 5 42500 50000 extra
Shunt
Conversion of Frontal Twist
289 9 5 42500 50000 extra
into VP Shunt
290 10 Craniopharyngioma 10 63750 75000 extra
291 11 Cranioplasty large Defect 3 38250 45000 extra
292 12 Cranioplasty small Defect 2 34000 40000 extra
Craniotomy – Haematoma
293 13 10 59500 70000 extra
(Evacuation)
294 14 Craniotomy Tumours- Large 10 68000 80000 extra
295 15 Craniotomy Tumours - Small 8 59500 70000 extra
Craniotomy Evacuation of
296 16 10 68000 80000 extra
Contusions
Craniotomy and Excision of
297 17 10 76500 90000 extra
Intaorbital Tumor
Craniotomy and repair of
298 18 5 61200 72000 extra
growing fracture of skull
Debridment of scalp wound -
299 19 3 21250 25000 extra
large
Decompressive Craniotomy
300 20 8 68000 80000 extra
with Duroplasty
Elevation of depressed fracture
301 21 6 46750 55000 extra
without dural repair
Endonasal Hypophysetomy
302 22 7 68000 80000 extra
with Celler reconstruction
303 23 Eventration of Sacral Cyst 5 42500 50000 extra
304 24 Excision of Pituitary 7 76500 90000 extra
External Ventricular (EVD)
305 25 2 8500 10000 extra
Replace of same Patient
306 26 External Ventricular Drainage 2 12750 15000 extra
Foramen Magnum
307 27 5 68000 80000 extra
decompression
Interbody cage insertion for
308 28 7 59500 70000 extra
Spine Fusion
309 29 Meningo Enchephalcoele 7 63750 75000 extra
Microsugical Decompression for
310 30 7 63750 75000 extra
Trigeminal Nerve
Multidisc Corpectomy and
311 31 10 68000 80000 extra
Stabilization of Vertabral Spine
312 32 Occipitocervical fusion 7 72250 85000 extra
313 33 Odontoid Screw Fixation 5 55250 65000 extra
Placement of Bone innial
314 34 5 51000 60000 extra
Defect
Posterior Fosa Craniotomy -
315 35 10 68000 80000 extra
Complicated
316 36 Programmable VP Shunt 5 46750 55000 extra
Resection of Intraventricular
317 37 10 68000 80000 extra
tumor
Subcutaneous CSF Reservoir
318 38 3 29750 35000 extra
Implant
319 39 T.P. Shunt 3 42500 50000 extra
320 40 Skull Traction 2 4250 5000 extra
Temporo-Occipital craniotomy
321 41 7 59500 70000 extra
with EDH
Transphenoidal excision of
322 42 7 72250 85000 extra
Pituitary Gland
323 43 Trephin 3 55250 65000 extra
324 44 Tumor Biopsy 3 42500 50000 extra
325 45 VP Shunt 5 42500 50000 extra
326 46 VP Shunt Revision 5 42500 50000 extra
327 47 Ventriculo Atrial Shunt 5 55250 65000 extra
Ophthalmology
Subconjunctival/subtenon's OPD/ DAY
328 1 850 1000
injection (one eye) CARE
Subconjunctival/subtenon's OPD/DAY
329 2 850 1000
injections (both eyes) CARE
OPD/DAY
330 3 Pterygium surgery Bare Sclera 4250 5000
CARE
Pterygium Surgery Conjunctival OPD/DAY
331 4 12750 15000
Autograft CARE
OPD/DAY
332 5 Conjunctival Peritomy 765 900
CARE
Conjunctival wound repair or
OPD/DAY
333 6 exploration following blunt 8500 10000
CARE
trauma
Removal of corneal foreign OPD/DAY
334 7 680 800
body CARE
Cauterization of
OPD/DAY
335 8 ulcer/subconjunctival injection 213 250
CARE
(one eye)
Cauterization of
OPD/DAY
336 9 ulcer/subconjunctival injection 340 400
CARE
in both eyes
Corneal grafting—Penetrating OPD/DAY
337 10 25500 30000
keratoplasty CARE
Corneal grafting— Lamellar OPD/DAY
338 11 29750 35000
keratoplasty CARE
Cyanoacrylate /fibrin glue
OPD/DAY
339 12 application for corneal 4250 5000
CARE
perforation
Bandage contact lenses for OPD/DAY
340 13 2550 3000
corneal perforation CARE
Scleral grafting or conjunctival OPD/DAY
341 14 4250 5000
flap for corneal perforation CARE
Keratoconus correction with OPD/DAY
342 15 6375 7500
therapeutic contact lenses CARE
UV radiation for cross-linking OPD/DAY
343 16 17000 20000
for keratoconus (per eye) CARE
EDTA for band shaped OPD/DAY
344 17 1275 1500
keratopathy CARE
Arcuate keratotomy for OPD/DAY
345 18 4250 5000
astigmatism CARE
Re-suturing (Primary suturing) OPD/DAY
346 19 4250 5000
of corneal wound CARE
Penetrating keratoplasty-with OPD/DAY
347 20 34000 40000
glaucoma surgery CARE
Penetrating keratoplasty- with OPD/DAY
348 21 42500 50000
vitrectomy CARE
Penetrating keratoplasty-with OPD/DAY
349 22 34000 40000 Fixed cost of IOL
IOL implantation CARE
DALK- Deep anterior lamellar OPD/DAY
350 23 29750 35000
keratoplasty CARE
OPD/DAY
351 24 Keratoprosthesis stage I and II 21250 25000
CARE
DSAEK- Descemet's stripping
OPD/DAY
352 25 automated endothelial 29750 35000
CARE
keratoplasty
ALTK- Automated lamellar OPD/DAY
353 26 29750 35000
therapeutic keratoplasty CARE
Probing and syringing of OPD/DAY
354 27 595 700
lacrimal sac (one eye) under LA CARE
Probing and Syringing of
OPD/DAY
355 28 lacrimal sac (one eye) Under 2975 3500
CARE
General Anaesthesia
OPD/DAY
356 29 lacrimal sac (both eye) Under 1020 1200
CARE
Local Anaesthesia
OPD/DAY
357 30 lacrimal sac- ( both eye) Under 4250 5000
CARE
General Anaesthesia
Dacryocystorhinostomy— Plain OPD/DAY
358 31 8500 10000
Under Local Anaesthesia CARE
Dacryocystorhinostomy— Plain OPD/DAY
359 32 14875 17500
Under General Anaesthesia CARE
Dacryocystorhinostomy- plain
with intubation and/or with OPD/DAY
360 33 12750 15000
lacrimal implants Under Local CARE
Anaesthesia
Dacryocystorhinostomy—
OPD/DAY
361 34 conjunctival with implant 19125 22500
CARE
General Anaesthesia
OPD/DAY
362 35 conjunctival with implant Local 8500 10000
CARE
Anaesthesia
OPD/DAY
363 36 conjunctival with implant 14875 17500
CARE
General Anaesthesia
OPD/DAY
364 37 Caliculoplasty 6694 7875
CARE
Dacryocystectomy under OPD/DAY
365 38 18700 22000
General Anaesthesia CARE
Dacryocystectomy under Local OPD/DAY
366 39 10200 12000
Anaesthesia CARE
OPD/DAY
367 40 Punctal plugs for dry eyes 298 350
CARE
Perimetry/field test—Goldman OPD/DAY
368 41 850 1000
(each eye) CARE
Perimetry/field test— OPD/DAY
369 42 850 1000
automated (each eye) CARE
Fluorescein angiography for OPD/DAY
370 43 1700 2000
fundus or iris CARE
OPD/DAY
371 44 Ultrasound B- Scan 595 700
CARE
OPD/DAY
372 45 Fundus PhotoTest 595 700
CARE
OPD/DAY
373 46 Indocyanin green angiography 2125 2500
CARE
Corneal endothelial cell count
OPD/DAY
374 47 with specular microscopy (each 850 1000
CARE
eye)
OPD/DAY
375 48 Corneal Topography (each eye) 850 1000
CARE
OPD/DAY
376 49 Corneal pachymetry 850 1000
CARE
OCT-Optical coherence OPD/DAY
377 50 850 1000
tomography (each eye) CARE
Chalazion incision and OPD/DAY
378 51 850 1000
curettage (one eye) CARE
Ptosis surgery with OPD/DAY
379 52 17000 20000
fasanellaservat procedure CARE
Ptosis surgery with LPS OPD/DAY
380 53 21250 25000
resection -one lid CARE
Ptosis surgery with Sling OPD/DAY
381 54 21250 25000
surgery -one lid CARE
OPD/DAY
382 55 Ectropion surgery- one lid 8500 10000
CARE
OPD/DAY
383 56 Ectropion surgery- both lids 12750 15000
CARE
OPD/DAY
384 57 Epicanthus correction 2550 3000
CARE
OPD/DAY
385 58 Cantholysis and canthotomy 1020 1200
CARE
OPD/DAY
386 59 Entropion surgery- one lid 8500 10000
CARE
OPD/DAY
387 60 Entropion surgery- both lids 12750 15000
CARE
OPD/DAY
388 61 Tarsorraphy 2975 3500
CARE
OPD/DAY
389 62 Suturing of lid lacerations 2550 3000
CARE
OPD/DAY
390 63 Lid retraction repair 1700 2000
CARE
Cheek rotation flap for lid OPD/DAY
391 64 12750 15000
tumors CARE
OPD/DAY
392 65 Orbitotomy 25500 30000
CARE
OPD/DAY
393 66 Enucleation 8500 10000
CARE
Enucleation with orbital
OPD/DAY
394 67 implants and artificial 12750 15000
CARE
prosthesis
OPD/DAY
395 68 Evisceration 8500 10000
CARE
Evisceration with orbital
OPD/DAY
396 69 implants and artificial 12750 15000
CARE
prosthesis
OPD/DAY
397 70 Telecanthus correction 5950 7000
CARE
OPD/DAY
398 71 Orbital decompression 6800 8000
CARE
OPD/DAY
399 72 Exenteration 6800 8000
CARE
OPD/DAY
400 73 Exenteration with skin grafting 8500 10000
CARE
OPD/DAY
401 74 Fracture orbital repair 12750 15000
CARE
OPD/DAY
402 75 Retinal laser procedures 1275 1500
CARE
OPD/DAY
403 76 Retinal detachment surgery 29750 35000
CARE
Retinal detachment surgery OPD/DAY
404 77 34000 40000
with scleral buckling CARE
OPD/DAY
405 78 Buckle removal 3400 4000
CARE
OPD/DAY
406 79 Silicone oil removal 3400 4000
CARE
Squint correction for one eye - OPD/DAY
407 80 21250 25000
Local Anaesthesia CARE
Squint correction for one eye - OPD/DAY
408 81 25500 30000
Squint correction for both eyes - OPD/DAY
409 82 25500 30000
Local Anaesthesia CARE
Squint correction for both eyes - OPD/DAY
410 83 31875 37500
OPD/DAY
411 84 Trabeculectomy 19125 22500
CARE
Trabeculotomy under General OPD/DAY
412 85 21250 25000
Anaesthesia CARE
Trabeculectomy under Local OPD/DAY
413 86 19125 22500 Fixed Cost of Valve
Anaesthesia CARE
Glaucoma surgery with OPD/DAY
414 87 17000 20000 Fixed Cost of Valve
Glaucoma valves CARE
OPD/DAY
415 88 Cyclocryotherapy 2550 3000
CARE
OPD/DAY
416 89 YAG laser iridotomy (per eye) 850 1000
CARE
YAG laser capsulotomy(per OPD/DAY
417 90 680 800
eye) CARE
ALT-Argon laser OPD/DAY
418 91 2550 3000
Trabeculoplasty CARE
OPD/DAY
419 92 PDT-Photodymic Therapy 4250 5000
CARE
TTT- Transpupillary Thermal OPD/DAY
420 93 6800 8000
Therapy CARE
PTK- Phototherapeutic OPD/DAY
421 94 8500 10000
Keratectomy CARE
Argon/Diode Laser for Retinal OPD/DAY
422 95 1275 1500
Detatchment CARE
Intralase application for OPD/DAY
423 96 8500 10000
keratoconus CARE
OPD/DAY
424 97 Vitrectomy- pars plana 25500 30000
CARE
Intravitreal injections- of OPD/DAY
425 98 1275 1500 Cost of drug extra
antibiotics CARE
OPD/DAY
426 99 Intravitreal injections- lucentis 1275 1500 Cost of drug extra
CARE
OPD/DAY
427 100 Dacryocystography 765 900
CARE
OPD/DAY
428 101 Orbital Angiographical studies 2550 3000
CARE
OPD/DAY Fixed Cost of PMMA
429 102 ECCE with IOL 6800 8000
CARE IOL
OPD/DAY Fixed Cost of PMMA
430 103 SICS with IOL 8500 10000
CARE IOL
OPD/DAY
431 104 Phaco with foldable IOL 19125 22500 Fixed Cost of IOL
CARE
OPD/DAY
432 105 Femtolaser Cataract Surgery 51000 60000 Fixed Cost of IOL
CARE
Pars planalensectomy OPD/DAY
433 106 19125 22500 Fixed Cost of IOL
with/without IOL CARE
Secondary IOL implantation-
OPD/DAY
434 107 AC IOL PC IOL or scleral fixated 17000 20000 Fixed Cost of IOL
CARE
IOL
Cataract extraction with IOL
OPD/DAY
435 108 with capsular tension rings 21250 25000 Fixed Cost of IOL
CARE
(Cionni's ring)
OPD/DAY
436 109 Optic Nerve Sheathotomy 11900 14000
CARE
Iridodialysis repair or papillary OPD/DAY
437 110 8500 10000
reconstruction CARE
OPD/DAY
438 111 Iris cyst removal 1275 1500
CARE
Lid Abscess Incision and OPD/DAY
439 112 3400 4000
Drainage CARE
Orbital Abscess Incision and OPD/DAY
440 113 2975 3500
Drainage CARE
OPD/DAY
441 114 Biopsy 425 500
CARE
OPD/DAY
442 115 Paracentesis 1275 1500
CARE
OPD/DAY
443 116 Amniotic membrane grafting 5950 7000
CARE
OPD/DAY
444 117 Cyclodiathermy 2975 3500
CARE
OPD/DAY
445 118 Electrolysis 850 1000
CARE
LASIK Refractive Surgery with OPD/DAY
446 119 21250 25000
Micro Keratome (Both Eyes) CARE
OPD/DAY
447 120 Biopsy 425 500
CARE
LASIK Refractive Surgery with OPD/DAY

448 120 38250 45000
Femtolaser (Both Eyes) CARE
Orthopaedics
Close Reduction of Fractures
449 1 of Limb & P.O.P under 2 8500 10000 extra
Anaesthesia
Reduction of Compound
450 2 2 9350 11000 extra
Fractures
Open Reduction & Internal
451 3 2 4250 5000 extra
Fixationof Fingers & Toes
Open Reduction and plating
of fracture of Long Bones of
452 4 5 34000 40000 extra
Upper / Lower Limb -
nailing& External Fixation
Percutaneous and open
453 5 pinning of fracture in 3 23800 28000 extra
Children
454 6 Tension Band Wirings 3 21250 25000 extra
455 7 Isolated Bone Grafting 3 15300 18000 extra
Bone grafting done along
456 8 5 5100 6000 extra
with fixation of fracture
Excision of Benign Bone
457 9 3 15300 18000 extra
Tumours
Excision or other Operations
458 10 2 23800 28000 extra
for Scaphoid Fractures
Sequestrectomy &
459 11 3 23800 28000 extra
Saucerisation
Sequestrectomy &
460 12 3 19975 23500 extra
Saucerisation Arthrotomy
Multiple Pinning Fracture
461 13 5 23800 28000 extra
Neck Femur
Plate Fixations for Fracture
462 14 5 29750 35000 extra
Neck Femur
A.O.Compression
463 15 Procedures for fracture neck 5 29750 35000 extra
femur
Open Reduction of Fracture
464 16 Neck Femur Muscle Pedicle 5 34000 40000 extra
Graft
Close Reduction of
Dislocations of elbow,
465 17 3 8500 10000 extra
shoulder, hip, knee and
ankle under Anesthesia
Open Reduction of
Dislocations of elbow,
466 18 3 25500 30000 extra
shoulder, hip, knee and
ankle
Open reduction of
467 19 dislocation of foot/hand 3 15300 18000 extra
under Anesthesia
468 20 Neurolysis/Nerve repair 3 18700 22000 extra
469 21 Nerve Repair with Grafting 3 25500 30000 extra
Tendon with Transplant or
470 22 3 18700 22000 extra
Graft
Tendon Lengthening/
471 23 3 21250 25000 extra
Tendon repair
472 24 Tendon Transfer 2 22100 26000 extra
Upto two tendon transfer/
473 25 2 25500 30000 extra
more than 2
Endoscopy Excision Lumber
474 26 3 51000 60000 extra
spinal Disc and Tumours
Endoscopy Excision Cervical

475 27 3 59500 70000 extra
spinal Disc and Tumours
Spine Ostectomy and
476 28 5 59500 70000 extra
Internal Fixations
Anterolateral decompression
477 29 for tuberculosis/ Costo- 5 59500 70000 extra
Transversectorny
Antercolateral
478 30 decompression and spine 3 63750 75000 extra
fusion
Corrective Ostectomy &
479 31 Internal Fixation-short 3 25500 30000 extra
bones
Corrective Ostectomy &
480 32 Internal Fixation -long 5 29750 35000 extra
bones
481 33 Arthrodesis of - Minor Joints 3 8500 10000 extra
482 34 Arthrodesis of - Major Joints 5 29750 35000 extra

Soft Tissue Operations for
483 35 C.T.E.V. (complete 3 21250 25000 extra
posteromedial release)
Percutaneous tenatomies
484 36 2 8500 10000 extra
under anaesthesia
485 37 Hemiarthroplasty- Hip 10 51000 60000 extra
486 38 Hemiarthroplasty-Shoulder 5 51000 60000 extra
Operations for Brachial
487 39 3 38250 45000 extra
Plexus & Cervical Rib
488 40 Amputations - Below Knee 3 25500 30000 extra
489 41 Amputations - Below Elbow 3 25500 30000 extra
490 42 Amputations - Above Knee 3 29750 35000 extra
491 43 Amputations - Above Elbow 3 25500 30000 extra

492 44 Amputations - Forequarter 5 42500 50000 extra
Amputations -Hindquarter
493 45 7 42500 50000 extra
and Hemipelvectomy
494 46 Disarticulations - Hip 5 29750 35000 extra
Disarticulations – other
495 47 3 25500 30000 extra
Joints (Long Bones)
Disarticulations of fingers
496 48 1 5100 6000 extra
and Toes
497 49 Arthrography 1 5100 6000 extra
498 50 Arthroscopy Diagnostic 1 12750 15000 extra
Arthroscopy-therapeutic:
499 51 1 25500 30000 extra
without implant
Atthroscopy-therapeutic:
500 52 2 42500 50000 extra
with implant
Myocutaneous and
501 53 Fasciocutaneous Flap 5 34000 40000 extra
Procedures for Limbs
Removal of Wires & Screw
502 54 1 12750 15000 extra
under Anesthesia
503 55 Removal of Plates and Nail 1 23800 28000 extra
504 56 Total Hip Replacement (U/L) 10 85000 100000 Cost of Implants extra
505 57 Total Hip Replacement (B/L) 10 127500 150000 Cost of Implant extra
Total Ankle Joint
506 58 7 68000 80000 Cost of Implant extra
Replacement (U/L)
Total Ankle Joint
Replacement (B/L)
Total Knee Joint
Replacement (U/L)
Total Knee Joint
Replacement (B/L)
Total Shoulder Joint
Replacement (U/L)
Total Shoulder Joint
Replacement (B/L)
Total Elbow Joint
Replacement (U/L)
Total Elbow Joint
Replacement (B/L)
Total Wrist Joint
Replacement (U/L)
Total Wrist Joint
Replacement (B/L)
Total finger joint
replacement
517 69 Tubular external fixator 1 25500 30000 extra
518 70 Ilizarov's external fixator 3 29750 35000 extra
Pelvic-acetebular fracture-
519 71 3 46750 55000 extra
Internal fixation
520 72 Meniscectomy 3 23800 28000 extra
521 73 Meniscus Repair 3 23800 28000 extra
522 74 ACL Reconstruction 1 42500 50000 extra
523 75 PCL Reconstruction 1 42500 50000 extra
Knee Collateral Ligament
524 76 1 25500 30000 extra
Reconstruction
Arthroscopic Benkart Repair
525 77 1 42500 50000 extra
Shoulder
Arthroscopic Rotator Cuff
526 78 Day Care 29750 35000 extra
Repair
527 79 Biceps tenodesis 3 21250 25000 extra
528 80 Distal Biceps tendon repair 3 19975 23500 extra
Arthroscopic Arthrolysis of
529 81 3 22100 26000 extra
Stiff knee
Application for CTEV per
530 82 OPD 1275 1500 ******
sitting
Total Hip Replacement
531 83 3 42500 50000 extra
Revision Stage-I
Total Hip Replacement
532 84 5 102000 120000 extra
Revision Stage-II
Total Knee Replacement
533 85 5 42500 50000 extra
Revision Stage-I
Total Knee Replacement
534 86 5 102000 120000 extra
Revision Stage-II
Illizarov/ external fixation
535 87 for limb lengthening/ 3 34000 40000 extra
deformity correction
536 88 Lumbar Laminectomy 3 42500 50000 extra
537 89 Cervical Laminectomy 3 51000 60000 extra
Lumbar Laminectomy More
538 90 5 51000 60000 extra
than 1 level
Cervical Laminectomy More
539 91 5 59500 70000 extra
than 1 level
Spinal Fixation Cervical/
540 92 5 59500 70000 extra
dorsolumbar/ lumbosacral
Fusion Surgery: Cervical

541 93 5 51000 60000 extra
Lumbar Spine upto 2 Level
Fusion Surgery: Cervical,
542 94 Lumbar Spine More than 2 5 68000 80000 extra
level
Fusion Surgery: Cervical,
543 95 Lumbar Spine More than 2 5 68000 80000 extra
level
Scoliosis Surgery: Deformity
544 96 5 68000 80000 extra
Correction of Spine
545 97 Vertebroplasty 4 34000 40000 extra
546 98 Spinal Injections Day care 4250 5000 extra
DHS for Fracture Neck
547 99 5 34000 40000 extra
Femur
Proximal Femoral Nail (PFN
548 100 5 38250 45000 extra
for IT Fracture)
Closed interlocking nailing of
549 101 5 35700 42000 extra
femur
Closed interlocking nailing of
550 102 5 30600 36000 extra
Tibia
551 103 Spinal Osteotomy 5 38250 45000 extra
Illizarov's / External Fixation
552 104 5 25500 30000 extra
for Trauma
553 105 Polio/Cerebral Palsy for 5 21250 25000 extra
correction of deformity
554 106 Polio/Cerebral Palsy, if bony 5 21250 25000 extra
correction ofdeformity
555 107 Mini Fixator for Hand/Foot 3 21250 25000 extra

556 108 Plating of Ulna 3 27200 32000 extra
557 109 Plating of Radius 3 27200 32000 extra
558 110 Plating Both Radius and Ulna 3 34000 40000 extra
559 111 Psoas abscess drainage 3 25500 30000 extra
560 112 Carpal tunnel release 2 19125 22500 extra
Pathology (Investigations/Tests)
Urine routine (pH, Specific
561 1 gravity, sugar, protein) and ********* 43 50 ******* ********
Microscopy
562 2 Urine-Microalbumin ********* 106 125 ******* ********
563 3 Stool routine ********* 43 50 ******* ********
564 4 Stool occult blood ********* 43 50 ******* ********
565 5 Post coital smear examination ********* 43 50 ******* ********
566 6 Semen analysis ********* 43 50 ******* ********
567 7 Haemoglobin (Hb) ********* 26 30 ******* ********
568 8 Total Leucocytic Count (TLC) ********* 43 50 ******* ********
Differential Leucocytic Count
569 9 ********* 43 50 ******* ********
(DLC)
570 10 E.S.R. ********* 43 50 ******* ********
Total Red Cell count with
571 11 ********* 106 125 ******* ********
MCV,MCH,MCHC,DR W
Complete Haemogram/CBC
(Hb,RBC count and indices,
572 12 ********* 191 225 ******* ********
TLC, DLC, Platelet, ESR,
Peripheral smear examination)
573 13 Platelet count ********* 64 75 ******* ********
574 14 Reticulocyte count ********* 85 100 ******* ********
575 15 Absolute Eosinophil count ********* 85 100 ******* ********
576 16 Packed Cell Volume (PCV) ********* 21 25 ******* ********
Peripheral Smear
577 17 ********* 85 100 ******* ********
Examination
578 18 Smear for Malaria parasite ********* 51 60 ******* ********
579 19 Bleeding Time ********* 43 50 ******* ********
580 20 Osmotic fragility Test ********* 85 100 ******* ********
Bone Marrow Smear
581 21 ********* 106 125 ******* ********
Examination
Bone Marrow Smear
582 22 ********* 340 400 ******* ********
Examination with iron stain
Bone Marrow Smear
583 23 Examination and ********* 595 700 ******* ********
Cytochemistry
Activated partial
584 24 ********* 149 175 ******* ********
ThromboplastinTime (APTT)
Rapid test for malaria (card
585 25 ********* 60 70 ******* ********
test)
WBC cytochemistry for
586 26 ********* 170 200 ******* ********
leukemia -Complete panel
Bleeding Disorder panel- PT,
587 27 APTT, Thrombin Time, ********* 510 600 ******* ********
Fibrinogen, D-Dimer/ FDP
588 28 Factor Assays-Factor-VIII ********* 935 1100 ******* ********
589 29 Factor Assays-Factor-IX ********* 935 1100 ******* ********
590 30 Platelet Function test ********* 85 100 ******* ********
Tests for hypercoagulable
591 31 states- Protein C, Protein S, ********* 510 600 ******* ********
Antithrombin
592 32 Tests for lupus anticoagulant ********* 213 250 ******* ********
Tests for Antiphospholipid
antibody IgG, IgM (for
593 33 ********* 680 800 ******* ********
cardiolipin and B2 Glycoprotein
1)
Thalassemia studies (Red Cell
594 34 ********* 723 850 ******* ********
indices and Hb HPLC)
595 35 Tests for Sickling / Hb HPLC) ********* 128 150 ******* ********
596 36 Blood Group & RH Type ********* 43 50 ******* ********
597 37 Cross match ********* 85 100 ******* ********
598 38 Coomb's Test Direct ********* 128 150 ******* ********
599 39 Coomb's Test Indirect ********* 128 150 ******* ********
3 cell panel- antibody
600 40 ********* 234 275 ******* ********
screening for pregnant female
11 cells panel for antibody
601 41 ********* 234 275 ******* ********
Identification
602 42 HBs Ag ********* 128 150 ******* ********
603 43 HCV ********* 170 200 ******* ********
604 44 HIV I and II ********* 213 250 ******* ********
605 45 VDRL ********* 64 75 ******* ********
606 46 RH Antibody titer ********* 106 125 ******* ********
607 47 Platelet Concentrate ********* 85 100 ******* ********
608 48 Random Donor Platelet (RDP) ********* 2125 2500 ******* ********
Single Donor Platelet (SDP-
609 49 ********* 2125 2500 ******* ********
Aphresis)
610 50 Routine-H & E ********* 128 150 ******* ********
611 51 special stain ********* 85 100 ******* ********
612 52 Immunohistochemistry (IHC) ********* 1020 1200 ******* ********
613 53 Frozen section ********* 1020 1200 ******* ********
614 54 Paraffin section ********* 468 550 ******* ********
615 55 Pap Smear ********* 213 250 ******* ********
616 56 Body fluid for Malignant cells ********* 213 250 ******* ********
617 57 FNAC ********* 255 300 ******* ********
Leukemia panel/ Lymphoma
618 58 ********* 2550 3000.00 ******* ********
panel
619 59 PNH Panel- CD55,CD59 ********* 1275 1500.00 ******* ********
620 60 Karyotyping ********* 2125 2500 ******* ********
621 61 FISH ********* 1275 1500 ******* ********
622 62 Blood Glucose Random ********* 34 40 ******* ********
24 hrs urine for Proteins,
623 63 ********* 85 100 ******* ********
Sodium, Creatinine
624 64 Blood Urea Nitrogen ********* 68 80 ******* ********
625 65 Serum Creatinine ********* 68 80 ******* ********
626 66 Urine Bile Pigment and Salt ********* 34 40 ******* ********
627 67 Urine Urobilinogen ********* 26 30 ******* ********
628 68 Urine Ketones ********* 34 40 ******* ********
629 69 Urine Occult Blood ********* 43 50 ******* ********
630 70 Urine total proteins ********* 43 50 ******* ********
631 71 Rheumatoid Factor test ********* 128 150 ******* ********
632 72 Bence Jones protein ********* 64 75 ******* ********
633 73 Serum Uric Acid ********* 85 100 ******* ********
634 74 Serum Bilirubin total & direct ********* 102 120 ******* ********
635 75 Serum Iron ********* 128 150 ******* ********
636 76 C.R.P. ********* 128 150 ******* ********
637 77 C.R.P Quantitative ********* 255 300 ******* ********
Body fluid (CSF/Ascitic Fluid
638 78 ********* 425 500 ******* ********
etc.)-Sugar, Protein etc.
639 79 Albumin. ********* 43 50 ******* ********
640 80 Creatinine clearance ********* 170 200 ******* ********
641 81 Serum Cholesterol ********* 85 100 ******* ********
642 82 Total Iron Binding Capacity ********* 102 120 ******* ********
643 83 Glucose (Fasting & PP) ********* 64 75 ******* ********
644 84 Serum Calcium -Total ********* 85 100 ******* ********
645 85 Serum Calcium -Ionic ********* 85 100 ******* ********
646 86 Serum Phosphorus ********* 85 100 ******* ********
647 87 Total Protein Alb/Glo Ratio ********* 85 100 ******* ********
648 88 IgG. ********* 340 400 ******* ********
649 89 IgM. ********* 340 400 ******* ********
650 90 IgA. ********* 340 400 ******* ********
651 91 ANA. ********* 255 300 ******* ********
652 92 Ds DNA. ********* 468 550 ******* ********
653 93 S.G.P.T. ********* 85 100 ******* ********
654 94 S.G.O.T. ********* 85 100 ******* ********
655 95 Serum amylase ********* 170 200 ******* ********
656 96 Serum Lipase ********* 213 250 ******* ********
657 97 Serum Lactate ********* 170 200 ******* ********
658 98 Serum Magnesium ********* 128 150 ******* ********
659 99 Serum Sodium ********* 85 100 ******* ********
660 100 Serum Potassium ********* 85 100 ******* ********
661 101 Serum Ammonia ********* 128 150 ******* ********
662 102 Anemia Profile ********* 298 350 ******* ********
663 103 Serum Testosterone ********* 213 250 ******* ********
664 104 Imprint Smear from Endoscopy ********* 340 400 ******* ********
665 105 Triglyceride ********* 94 110 ******* ********

666 106 Glucose Tolerance Test (GTT) ********* 128 150 ******* ********
667 107 Triple Marker. ********* 1020 1200 ******* ********
668 108 C.P.K. ********* 128 150 ******* ********
669 109 Foetal Haemoglobin (HbF) ********* 298 350 ******* ********
670 110 Prothrombin Time (P.T.) ********* 145 170 ******* ********
671 111 L.D.H. ********* 128 150 ******* ********
672 112 Alkaline Phosphatase ********* 85 100 ******* ********
673 113 Acid Phosphatase ********* 106 125 ******* ********
674 114 CK MB ********* 255 300 ******* ********
675 115 CK MB Mass ********* 191 225 ******* ********
676 116 Troponin I ********* 298 350 ******* ********
677 117 Troponin T ********* 765 900 ******* ********
Glucose Phosphate
678 118 ********* 128 150 ******* ********
Dehydrogenase (G-6PD)
679 119 Lithium. ********* 170 200 ******* ********
680 120 Dilantin (phenytoin). ********* 510 600 ******* ********
681 121 Carbamazepine. ********* 510 600 ******* ********
682 122 Valproic acid. ********* 425 500 ******* ********
683 123 Feritin. ********* 340 400 ******* ********
684 124 Blood gas analysis ********* 170 200 ******* ********
Blood gas analysis with
685 125 ********* 595 700 ******* ********
electrolytes
686 126 Urine pregnancy test ********* 85 100 ******* ********
Tests for Antiphospholipid
687 127 ********* 383 450 ******* ********
antibodies syndrome.
688 128 Hb A1 C ********* 255 300 ******* ********
689 129 Hb Electrophoresis/Hb HPLC ********* 298 350 ******* ********
690 130 Kidney Function Test. ********* 255 300 ******* ********
691 131 Liver Function Test. ********* 340 400 ******* ********
Lipid Profile (Total Cholesterol,
692 132 ********* 255 300 ******* ********
LDL, HDL, Trigylcerides)
693 133 Serum Iron ********* 128 150 ******* ********
694 134 Total Iron Binding Capacity ********* 128 150 ******* ********
695 135 Serum Ferritin ********* 128 150 ******* ********
696 136 Vitamin B12 assay. ********* 340 400 ******* ********
697 137 Folic Acid assay. ********* 425 500 ******* ********
Extended Lipid Profile (Total
cholesterol, LDL, HDL,
698 138 ********* 680 800 ******* ********
trigylcerides, Apo A1, Apo B,
Lp(a))
699 139 Apo A1. ********* 255 300 ******* ********
700 140 Apo B. ********* 255 300 ******* ********
701 141 Lp (a). ********* 595 700 ******* ********
702 142 CD 3,4 and 8 counts ********* 255 300 ******* ********
703 143 CD 3,4 and 8 percentage ********* 255 300 ******* ********
704 144 LDL. ********* 85 100 ******* ********
705 145 Homocysteine. ********* 510 600 ******* ********
706 146 HB Electrophoresis. ********* 595 700 ******* ********
707 147 Serum Electrophoresis. ********* 340 400 ******* ********
708 148 Fibrinogen. ********* 213 250 ******* ********
709 149 Chloride. ********* 85 100 ******* ********
710 150 Magnesium. ********* 213 250 ******* ********
711 151 GGTP. ********* 128 150 ******* ********
712 152 Lipase. ********* 340 400 ******* ********
713 153 Fructosamine. ********* 255 300 ******* ********
714 154 P2 microglobulin ********* 128 150 ******* ********
715 155 Catecholamines. ********* 1360 1600 ******* ********
716 156 Creatinine clearance ********* 170 200 ******* ********
717 157 PSA- Total. ********* 425 500 ******* ********
718 158 PSA- Free. ********* 510 600 ******* ********
719 159 AFP. ********* 425 500 ******* ********
720 160 HCG. ********* 383 450 ******* ********
721 161 CA. 125. ********* 510 600 ******* ********
722 162 CA 19,9. ********* 850 1000 ******* ********
723 163 CA 15.3. ********* 765 900 ******* ********
724 164 Vinyl Mandelic Acid ********* 468 550 ******* ********
725 165 Calcitonin ********* 680 800 ******* ********
726 166 Carcioembryonic antigen(CEA) ********* 446 525 ******* ********

727 167 Immunofluorescence ********* 255 300 ******* ********
Direct (Skin and kidney
728 168 ********* 595 700 ******* ********
Disease)
Indirect (antids DNA Anti Smith
729 169 ********* 595 700 ******* ********
ANCA)
730 170 Vit.D3 assay ********* 723 850 ******* ********
Serum Protein electrophoresis
731 171 with immunofixationelectro ********* 425 500 ******* ********
phoresis (IFE)
732 172 BETA-2 Microglobulin assay ********* 128 150 ******* ********
Anti cycliocitrullinated peptide
733 173 ********* 595 700 ******* ********
(Anti CCP)
Anti-tissue Transglutaminase
734 174 ********* 595 700 ******* ********
Antibody
735 175 Serum Erythropoetin ********* 595 700 ******* ********
736 176 ACTH ********* 680 800 ******* ********
737 177 HARMONES ********* 0 ******* ********
738 178 T3, T4, TSH ********* 298 350 ******* ********
739 179 T3 ********* 128 150 ******* ********
740 180 T4 ********* 128 150 ******* ********
741 181 TSH ********* 213 250 ******* ********
742 182 LH ********* 213 250 ******* ********
743 183 FSH ********* 213 250 ******* ********
744 184 Prolactin ********* 213 250 ******* ********
745 185 Cortisol ********* 340 400 ******* ********
746 186 PTH(Paratharmone) ********* 680 800 ******* ********
747 187 C-Peptide. ********* 425 500 ******* ********
748 188 Insulin. ********* 213 250 ******* ********
749 189 Progesterone. ********* 340 400 ******* ********
750 190 17-DH Progesterone. ********* 595 700 ******* ********
751 191 DHEAS. ********* 595 700 ******* ********
752 192 Androstendione. ********* 765 900 ******* ********
753 193 Growth Hormone. ********* 510 600 ******* ********
754 194 TPO. ********* 425 500 ******* ********
755 195 Throglobulin. ********* 425 500 ******* ********
756 196 Hydatic Serology. ********* 425 500 ******* ********
757 197 Anti Sperm Antibodies. ********* 510 600 ******* ********
758 198 HBV DNA Qualitative ********* 2550 3000 ******* ********
759 199 HBV DNA Quantitative. ********* 2975 3500 ******* ********
760 200 HCV RNA Qualitative. ********* 2550 3000 ******* ********
761 201 HPV serology ********* 298 350 ******* ********
762 202 Rota Virus serology ********* 170 200 ******* ********
763 203 PCR for TB ********* 1190 1400 ******* ********
764 204 PCR for HIV ********* 765 900 ******* ********
765 205 Chlamydae antigen ********* 1275 1500 ******* ********
766 206 chlamydae antibody ********* 1275 1500 ******* ********
767 207 Brucella serology ********* 298 350 ******* ********
768 208 Influenza A serology ********* 1190 1400 ******* ********
Dexa Scan Bone Densitometry-
769 209 ********* 1913 2250 ******* ********
Two sites
Dexa Scan Bone Densitometry-
770 210 Three sites (Spine, Hip & ********* 2550 3000 ******* ********
extremity)
Dexa Scan Bone Densitometry
771 211 ********* 2550 3000 ******* ********
Whole body
772 212 EEG/Video EEG ********* 383 450 ******* ********
773 213 EMG (Electro myography) ********* 850 1000 ******* ********
Nerve condition velocity (at
774 214 ********* 850 1000 ******* ********
least 2 limbs)
Decremental response (before
775 215 ********* 808 950 ******* ********
and after Neostigmine)
776 216 Incremental response ********* 808 950 ******* ********
SSEP (Somato sensory evoked
777 217 ********* 850 1000 ******* ********
potentials)
778 218 Poly somnography ********* 850 1000 ******* ********
779 219 Brachial plexus study ********* 850 1000 ******* ********
780 220 Muscle biopsy ********* 510 600 ******* ********
781 221 ACHR anti body titre ********* 2380 2800 ******* ********
782 222 Anti MUSK body titre ********* 2975 3500 ******* ********
783 223 Serum COPPER ********* 680 800 ******* ********
784 224 Serum ceruloplasmin ********* 595 700 ******* ********
785 225 Urinary copper ********* 680 800 ******* ********
786 226 Serum homocystine ********* 595 700 ******* ********
787 227 Serum valproate level ********* 425 500 ******* ********
788 228 Serum phenolbarbitone level ********* 468 550 ******* ********
789 229 Coagulation profile ********* 765 900 ******* ********
790 230 Protein C, S anti thrombine -III ********* 3060 3600 ******* ********
791 231 Serum lactate level ********* 595 700 ******* ********
Basic studies including cell
count, protein, sugar, gram
792 232 ********* 340 400 ******* ********
stain, India Ink preparation
and smear for AFP
793 233 Special studies ********* 1275 1500 ******* ********
PCR for tuberculosis/Herpes
794 234 ********* 1530 1800 ******* ********
simplex
795 235 Bacterial culture and sensitivity ********* 255 300 ******* ********
Mycobacterial culture and
796 236 ********* 255 300 ******* ********
sensitivity
797 237 Fungal culture ********* 170 200 ******* ********
798 238 Malignant cells ********* 85 100 ******* ********
Anti measlesantibodytitre (with
799 239 ********* 1190 1400 ******* ********
serum antibodytitre)
800 240 Viral culture ********* 340 400 ******* ********
Antibody titre (Herpes simplex,
801 241 cytomegalo virus, flavivirus, ********* 1020 1200 ******* ********
zoster varicella virus)
802 242 Oligoclonal band ********* 1530 1800 ******* ********
803 243 Myelin Basic protein ********* 2550 3000 ******* ********
804 244 Lactate ********* 425 500 ******* ********
805 245 Crypto coccal antigen ********* 1445 1700 ******* ********
806 246 D-xylase test ********* 1105 1300 ******* ********
Fecal fat test/ fecal
807 247 ********* 1105 1300 ******* ********
chymotrypsin/ fecal elastase
808 248 Breath tests ********* 1652 1943 ******* ********
H pylori serology for ciliac
809 249 ********* 801 942 ******* ********
disease
810 250 HBV genotyping ********* 3176 3737 ******* ********
811 251 HCV genotyping ********* 6194 7287 ******* ********
812 252 Urinary VMA ********* 1955 2300 ******* ********
Urinary metanephrine/
813 253 ********* 1445 1700 ******* ********
Normetanephrine
814 254 Urinary free catecholamine ********* 2125 2500 ******* ********
815 255 Serum catecholamine ********* 4250 5000 ******* ********
816 256 Serum aldosterone ********* 1445 1700 ******* ********
817 257 24 Hr urinary aldosterone ********* 1190 1400 ******* ********
818 258 Plasma renin activity ********* 1275 1500 ******* ********
819 259 Serum aldosterone/renin ratio ********* 1530 1800 ******* ********
820 260 Osmolality urine ********* 170 200 ******* ********
821 261 Osmolality serum ********* 170 200 ******* ********
822 262 Urinary sodium ********* 106 125 ******* ********
823 263 Urinary Chloride ********* 60 70 ******* ********
824 264 Urinary potassium ********* 106 125 ******* ********
825 265 Urinary calcium ********* 106 125 ******* ********
826 266 Thyroid binding globulin ********* 680 800 ******* ********
827 267 24 hrs. urinary free cortisole ********* 255 300 ******* ********
828 268 Islet cell antebody ********* 935 1100 ******* ********
829 269 GAD antibody ********* 1700 2000 ******* ********
830 270 Insulin associated antibody ********* 595 700 ******* ********
831 271 IGF-1 ********* 1955 2300 ******* ********
832 272 IGF-BP3 ********* 2125 2500 ******* ********
833 273 Sex hormone binding globulin ********* 1700 2000 ******* ********
834 274 USG guided FNAC thyroid gland ********* 510 600 ******* ********
835 275 E2 ********* 298 350 ******* ********
836 276 Thyro globulin antibody ********* 765 900 ******* ********
Raidiology (Investigations/Diagnostics)
837 1 Dental IOPA X-ray ****** 85 100 ****** ******
838 2 Occlusal X-ray ****** 170 200 ****** ******
839 3 OPG X-ray ****** 298 350 ****** ******
840 4 FDG Whole body PET / CT Scan ****** 21250 25000 ****** ******
Brain I Heart FDG PET /
841 5 ****** 15300 18000 ****** ******
CTScan,
Gallium-68 Peptide PET / CT
842 6 imaging for Neuroendocrine ****** 16150 19000 ****** ******
Tumor
USG for Obstetrics- Anomalies
843 7 ****** 850 1000 ****** ******
scan
844 8 Abdomen USG ****** 340 400 ****** ******
Pelvic USG (Prostate, Gynae,
845 9 ****** 340 400 ****** ******
Infertility, etc.)
Small parts USG (scrotum,
846 10 ****** 425 500 ****** ******
thyroid, parathyroid, etc)
Neonatal head
847 11 ****** 425 500 ****** ******
(Tranfontanellar)
848 12 Neonatal spine ****** 425 500 ****** ******
849 13 Contrast enhanced USG ****** 935 1100 ****** ******
850 14 USG Breast ****** 425 500 ****** ******
USG Hystero-Salpaingography
851 15 ****** 425 500 ****** ******
(HSG)
852 16 Carotid Doppler ****** 850 1000 ****** ******
853 17 Arterial Colour Doppler ****** 850 1000 ****** ******
854 18 Venous Colour Doppler ****** 850 1000 ****** ******
Colour Doppler, renal
855 19 ****** 850 1000 ****** ******
arteries/any other organ
856 20 USG guided intervention- FNAC ****** 510 600 ****** ******
USG guided intervention-
857 21 ****** 850 1000 ****** ******
biopsy
USG guided intervention-
858 22 ****** 850 1000 ****** ******
nephrostomy
Abdomen AP Supine or Erect
859 23 ****** 128 150 ****** ******
(One film)
Abdomen Lateral view (one
860 24 ****** 128 150 ****** ******
film)
861 25 Chest PA view (one film) ****** 128 150 ****** ******
862 26 Chest Lateral (one film) ****** 128 150 ****** ******
Mastoids: Towne view, oblique
863 27 ****** 383 450 ****** ******
views (3 films)
Extremities, bones & Joints AP
864 28 ****** 255 300 ****** ******
& Lateral views (Two films)
865 29 Pelvis A.P (one film) ****** 128 150 ****** ******
866 30 T. M. Joints (one film) ****** 128 150 ****** ******
867 31 Abdomen & Pelvis for K. U. B. ****** 128 150 ****** ******
868 32 Skull A. P. & Lateral (2 films) ****** 255 300 ****** ******
869 33 Spine A. P. & Lateral (2 films) ****** 255 300 ****** ******
870 34 PNS view (1 film) ****** 128 150 ****** ******
871 35 Barium Swallow ****** 680 800 ****** ******
872 36 Barium Upper GI study ****** 1020 1200 ****** ******
Barium Upper GI study (Double
873 37 ****** 1275 1500 ****** ******
contrast)
874 38 Barium Meal follow through ****** 1700 2000 ****** ******
Barium Enema (Single
875 39 ****** 1275 1500 ****** ******
contrast/double contrast)
876 40 Small bowel enteroclysis ****** 1275 1500 ****** ******
ERCP (Endoscopic Retrograde
877 41 ****** 2975 3500 ****** ******
Cholangio-Pancreatography)
General: Fistulography/
Sinography/ Sialography/
878 42 ****** 850 1000 ****** ******
Dacrocystography/ T-Tube
cholangiogram/Nephrostogram
Percutaneous transhepatic
879 43 ****** 1700 2000 ****** ******
cholangiography (PTC)
880 44 Intravenous Pyelography (IVP) ****** 1700 2000 ****** ******
Micturating Cystourethrography
881 45 ****** 1020 1200 ****** ******
(MCU)
Retrograde Urethrography
882 46 ****** 1020 1200 ****** ******
(RGU)
Contrast Hystero-
883 47 ****** 1275 1500 ****** ******
Salpingography (HSG)
884 48 X ray - Arthrography ****** 850 1000 ****** ******
885 49 Cephalography ****** 170 200 ****** ******
886 50 Myelography ****** 2975 3500 ****** ******
Diagnostic Digital Subtraction
887 51 ****** 2550 3000 ****** ******
Angiography (DSA)
888 52 X-ray Mammography ****** 425 500 ****** ******
889 53 MRI Mammography ****** 2550 3000 ****** ******
890 54 CT Head-Without Contrast ****** 880 1035 ****** ******
CT Head- with Contrast (+/- CT
891 55 ****** 1320 1553 ****** ******
Angiography)
C. T. Chest- without contrast
892 56 ****** 1700 2000 ****** ******
(for lungs)
C. T. Scan Lower Abdomen
893 57 ****** 1662 1955 ****** ******
(incl. Pelvis) with Contrast
C. T. Scan Lower Abdomen
894 58 ****** 1466 1725 ****** ******
(Incl. Pelvis) Without Contrast
C. T. Scan Whole Abdomen
895 59 ****** 2933 3450 ****** ******
Without Contrast
C. T. Scan Whole Abdomen
896 60 ****** 4399 5175 ****** ******
with Contrast
897 61 Triple Phase CT abdomen ****** 4399 5175 ****** ******
CT angiography abdomen/
898 62 ****** 4399 5175 ****** ******
Chest
899 63 CT Enteroclysis ****** 5865 6900 ****** ******
C. T. Scan Neck - Without
900 64 ****** 1466 1725 ****** ******
Contrast
C. T. Scan Neck - With
901 65 ****** 1870 2200 ****** ******
Contrast
C. T. Scan Orbits - Without
902 66 ****** 1190 1400 ****** ******
Contrast
C. T. Scan Orbits - With
903 67 ****** 1615 1900 ****** ******
Contrast
C. T. Scan of Para Nasal
904 68 ****** 880 1035 ****** ******
Sinuses- Without Contrast
C. T. Scan of Para Nasal
905 69 ****** 1564 1840 ****** ******
Sinuses -With Contrast
C. T. Spine (Cervical, Dorsal,
906 70 Lumbar, Sacral)- without ****** 1466 1725 ****** ******
Contrast
CT Temporal bone - without
907 71 ****** 893 1050 ****** ******
contrast
908 72 CT - Dental ****** 1275 1500 ****** ******
C. T. Scan Limbs - Without
909 73 ****** 1700 2000 ****** ******
Contrast
C. T. Scan Limbs - With
910 74 Contrast including CT ****** 2253 2650 ****** ******
Angiography
911 75 C.T. Guided intervention -FNAC ****** 1173 1380 ****** ******
912 76 C.T. Guided Trucut Biopsy ****** 1173 1380 ****** ******
C. T. Guided intervention -
913 77 percutaneous catheter drainage ****** 1305 1535 ****** ******
/ tube placement
914 78 MRI Head - Without Contrast ****** 1998 2350 ****** ******
915 79 MRI Head - With Contrast ****** 2848 3350 ****** ******
916 80 MRI Orbits - Without Contrast ****** 1445 1700 ****** ******
917 81 MRI Orbits - With Contrast ****** 1955 2300 ****** ******
MRI Nasopharynx and PNS -
918 82 ****** 2395 2818 ****** ******
Without Contrast
MRI Nasopharynx and PNS -
919 83 ****** 3421 4025 ****** ******
With Contrast
MR for Salivary Glands with
920 84 ****** 2933 3450 ****** ******
Sialography
921 85 MRI Neck - Without Contrast ****** 2933 3450 ****** ******
922 86 MRI Neck- with contrast ****** 4888 5750 ****** ******
MRI Shoulder - Without
923 87 ****** 1955 2300 ****** ******
contrast
924 88 MRI Shoulder - With conntrast ****** 2550 3000 ****** ******
MRI shoulder both Joints -
925 89 ****** 2933 3450 ****** ******
Without contrast
MRI Shoulder both joints - with
926 90 ****** 3910 4600 ****** ******
contrast
MRI Wrist Single joint - without
927 91 ****** 2125 2500 ****** ******
contrast
MRI Wrist Single joint - With
928 92 ****** 3910 4600 ****** ******
contrast
MRI Wrist both joints- Without
929 93 ****** 2125 2500 ****** ******
contrast
MRI Wrist Both joints - With
930 94 ****** 4888 5750 ****** ******
contrast
MRI knee Single joint- Without
931 95 ****** 2125 2500 ****** ******
contrast
MRI knee Single joint- With
932 96 ****** 4888 5750 ****** ******
contrast
MRI knee both joints- Without
933 97 ****** 2125 2500 ****** ******
contrast
MRI knee both joints- With
934 98 ****** 4888 5750 ****** ******
contrast
MRI Ankle Single joint -
935 99 ****** 2125 2500 ****** ******
Without contrast
MRI Ankle single joint - With
936 100 ****** 4888 5750 ****** ******
contrast
MRI Ankle both joints - With
937 101 ****** 4888 5750 ****** ******
contrast
MRI Ankle both joints - Without
938 102 ****** 2444 2875 ****** ******
contrast
939 103 MRI Hip - With contrast ****** 2444 2875 ****** ******
940 104 MRI Hip - without contrast ****** 2125 2500 ****** ******
941 105 MRI Pelvis - Without Contrast ****** 2125 2500 ****** ******
942 106 MRI Pelvis - with contrast ****** 4888 5750 ****** ******
943 107 MRI Extremities - With contrast ****** 4888 5750 ****** ******
MRI Extremities - Without
944 108 ****** 2125 2500 ****** ******
contrast
MRI Temporomandibular- B/L -
945 109 ****** 3910 4600 ****** ******
With contrast
MRI Temporomandibular- B/L -
946 110 ****** 2125 2500 ****** ******
Without contrast
MR Temporal Bone/ Inner ear
947 111 ****** 3910 4600 ****** ******
with contrast
MR Temporal Bone/ Inner ear
948 112 ****** 2444 2875 ****** ******
without contrast
MRI Abdomen - Without
949 113 ****** 2125 2500 ****** ******
Contrast
950 114 MRI Abdomen - With Contrast ****** 4888 5750 ****** ******
951 115 MRI Breast - With Contrast ****** 4250 5000 ****** ******
952 116 MRI Breast - Without Contrast ****** 2125 2500 ****** ******
MRI Spine Screening- Without
953 117 ****** 978 1150 ****** ******
Contrast
954 118 MRI Chest - Without Contrast ****** 2125 2500 ****** ******
955 119 MRI Chest - With Contrast ****** 3910 4600 ****** ******
MRI Cervical/Cervico Dorsal
956 120 ****** 2125 2500 ****** ******
Spine -Without Contrast
MRI Cervical/ Cervico Dorsal
957 121 ****** 3910 4600 ****** ******
Spine- With Contrast
MRI Dorsal/ Dorso Lumbar
958 122 ****** 2125 2500 ****** ******
Spine -Without Contrast
MRI Dorsal/ Dorso Lumbar
959 123 ****** 3910 4600 ****** ******
Spine - With Contrast
MRI Lumbar/ Lumbo-Sacral
960 124 ****** 2125 2500 ****** ******
Spine- Without Contrast
MRILumbar/ Lumbo-Sacral
961 125 ****** 4888 5750 ****** ******
Spine- With Contrast
Whole body MRI (For
962 126 ****** 5100 6000 ****** ******
oncological workup)
MR cholecysto-
963 127 ****** 5376 6325 ****** ******
pancreatography.
964 128 MRI Angiography- with contrast ****** 4888 5750 ****** ******
965 129 MR Enteroclysis ****** 2125 2500 ****** ******
Surgery
Drainage of abscess under
966 1 4 11900 14000 extra
General/Spinal Anaesthesia
Excision of lumps under
967 2 4 12750 15000 extra
General/ Spinal Anesthesia
Local mastectomy- simple
968 3 4 21250 25000 extra
under General Anesthesia
Radical mastectomy- formal or
969 4 4 27200 32000 extra
modified.
Excision of mammary fistula
970 5 4 17000 20000 extra
971 6 Segmental resection of breast 4 17000 20000 extra
Secondary suture of wounds
972 7 Day Care 8925 10500 extra
10500
8925 (Small)
(Small)
11900
Debridement of wounds under 14000
973 8 Day Care (Medium) extra
General Anesthesia (Medium)
14875
17500
(Large)
(Large)
Removal of Foreign Bodies
974 9 under General/ Spinal/ Brachial Day Care 10413 12250 extra
Anesthesia
Excision of Cervical Lymph
975 10 Day Care 8925 10500 extra
Node under General Anesthesia
Excision of Axillary Lymph

976 11 Day Care 8925 10500 extra
Excision of Inguinal Lymph

977 12 Day Care 8925 10500 extra
Excision Biopsy of Ulcers under

978 13 Day Care 8925 10500 extra
General / Spinal Anesthesia
Excision Biopsy of Superficial
979 14 Lumps under General / Spinal Day Care 8925 10500 extra
Anesthesia
Incision Biopsy of Growths/
980 15 Ulcers under General/ Spinal Day Care 8925 10500 extra
Anesthesia
981 16 Trucut Needle Biopsy Day Care 4250 5000 extra
982 17 Percutaneous Kidney Biopsy Day Care 8925 10500 extra
983 18 Marrow Biopsy (Open) Day Care 10625 12500 extra
Haemorrhoidectomy under
984 19 4 19550 23000 extra
General/ Spinal Anesthesia
985 20 Stappler Haemorrhoidectomy 7 21250 25000 extra
Large keloid excision under
986 21 Day Care 8925 10500 extra
General / Spinal Anesthesia
Vericose vein surgery;
987 22 Tendelenburg operation with 4 19550 23000 extra
suturing or ligation.
988 23 Gastroscopy Day Care 21250 25000 extra
Gastric & Duodenal Biopsy
989 24 Day Care 2338 2750 extra
(Endoscopic)
990 25 Pyloromyotomy 1 14875 17500 extra
Gastrostomy under General
991 26 4 6375 7500 extra
Anesthesia
Simple Closure of Perforated
992 27 4 23375 27500 extra
peptic Ulcer
Vagotomy Pyleroplasty/ Gastro
993 28 4 23375 27500 extra
Jejunostomy
994 29 Duodenojejunostomy 4 23375 27500 extra
Partial/ Subtotal Gastrectomy
995 30 4 38250 45000 extra
for Carcinoma
Partial/ Subtotal Gastrectomy
996 31 4 38250 45000 extra
for Ulcer
Operation for Bleeding Peptic
997 32 4 34000 40000 extra
Ulcer
Operation for Gastrojejunal
998 33 4 34000 40000 extra
Ulcer
999 34 Total Gastrectomy for Cancer 4 42500 50000 extra
1000 35 Highly Selective Vagotomy 4 29750 35000 extra
1001 36 Selective Vagotomy & Drainage 4 29750 35000 extra
Congenital Diaphragmatic
1002 37 4 34000 40000 extra
Hernia
Hiatus Hernia Repair-
1003 38 4 25500 30000 extra
Abdominal
Lap. Hiatus Hernia Repair
1004 39 4 38250 45000 extra
Abdominal
Hiatus Hernia Repair-
1005 40 4 25500 30000 extra
Transthoracic
1006 41 Exploratory Laparotomy 4 21250 25000 extra
1007 42 Epigastric Hernia Repair 4 21250 25000 extra
1008 43 Lap- Epigastric Hernia Repair 4 25500 30000 extra
1009 44 Umbilical Hernia Repair 4 21250 25000 extra
1010 45 Lap- Umbilical Hernia Repair 4 25500 30000 extra
Ventral /incisional Hernia
1011 46 4 21250 25000 extra
Repair
Lap- Ventral/ incisional Hernia
1012 47 4 25500 30000 extra
Repair
1013 48 Inguinal Hernia Herniorraphy 4 17000 20000 extra
1014 49 Inguinal Hernia - Hernioplasty 4 21250 25000 extra
Lap-Inguinal Hernia-
1015 50 4 25500 30000 extra
Hernioplasty
1016 51 Femoral Hernia Repair 4 17000 20000 extra
1017 52 Lap-Femoral Hernia Repair 4 21250 25000 extra
Rare Hernias Repair (Spigalion,
1018 53 4 25500 30000 extra
Obturator, Lumbar, Sciatic)
Lap- Rare Hernias Repair
1019 54 (Spigalion, Obturator, Lumbar, 4 29750 35000 extra
Sciatic)
1020 55 Splenectomy - For Trauma 4 29750 35000 extra
Splenectomy - For
1021 56 4 25500 30000 extra
Hypersplenism
Lap- Splenectomy - For
1022 57 4 34000 40000 extra
Hypersplenism
1023 58 Splenorenal Anastomosis 4 51000 60000 extra
1024 59 Portocaval Anastomosis 4 51000 60000 extra
Direct Operation on
1025 60 Oesophagus for Portal 4 51000 60000 extra
Hypertension
1026 61 Mesentericocaval Anastomosis 4 51000 60000 extra
1027 62 Warren Shunt 4 51000 60000 extra
1028 63 Pancerato Duodenectomy 4 51000 60000 extra
1029 64 Lap-Pancerato Duodenectomy 4 68000 80000 extra
By Pass Procedure for
1030 65 Inoperable Carcinoma of 4 51000 60000 extra
Pancreas
Lap- By Pass Procedure for
1031 66 Inoperable Carcinoma of 4 68000 80000 extra
Pancreas
Cystojejunostomy or
1032 67 4 29750 35000 extra
Cystogastrostomy
Lap-Cystojejunostomy or
1033 68 4 38250 45000 extra
Cystogastrostomy
1034 69 Open- Cholecystectomy 4 21250 25000 extra
1035 70 Lap- Cholecystectomy 4 25500 30000 extra
Open- Cholecystectomy &
1036 71 4 25500 30000 extra
Exploration of CBD
Lap- Cholecystectomy &
1037 72 4 29750 35000 extra
Exploration of CBD
1038 73 Repair of CBD 4 25500 30000 extra
1039 74 Lap- Repair of CBD 4 29750 35000 extra
Operation for Hydatid Cyst of
1040 75 4 29750 35000 extra
Liver
Lap-Operation for Hydatid Cyst
1041 76 4 34000 40000 extra
of Liver
Hepatic Resections
1042 77 4 59500 70000 extra
(Lobectomy/ Hepatectomy)
Operation on Adrenal Glands -
1043 78 4 59500 70000 extra
Bilateral
Lap- Operation on Adrenal
1044 79 4 68000 80000 extra
Glands -Bilateral
Operation on Adrenal Glands -
1045 80 4 51000 60000 extra
Unilateral
Lap-Operation on Adrenal
1046 81 4 59500 70000 extra
Glands - Unilateral
1047 82 Appendicectomy 4 21250 25000 extra
1048 83 Lap-Appendicectomy 4 25500 30000 extra
Appendicular Abscess-
1049 84 4 21250 25000 extra
Drainage
Lap-Appendicular Abscess -
1050 85 4 25500 30000 extra
Drainage
1051 86 Mesenteric Cyst- Excision 4 21250 25000 extra
1052 87 Lap- Mesenteric Cyst- Excision 4 25500 30000 extra
Peritonioscopy/ Laparoscopy
1053 88 4 17000 20000 extra
1054 89 Jejunostomy 4 23800 28000 extra
1055 90 Lap- Jejunostomy 4 25500 30000 extra
1056 91 Ileostomy 4 21250 25000 extra
1057 92 Lap-Ileostomy 4 25500 30000 extra
Resection & Anastomosis of
1058 93 4 29750 35000 extra
Small Intestine
Lap- Resection & Anastomosis
1059 94 4 34000 40000 extra
of Small Intestine
1060 95 Duodenal Diverticulum 4 25500 30000 extra
1061 96 Lap- Duodenal Diverticulum 4 29750 35000 extra
Operation for Intestinal
1062 97 4 25500 30000 extra
Obstruction
Operation for Intestinal
1063 98 7 23375 27500 extra
perforation
Benign Tumours of Small
1064 99 7 25500 30000 extra
Intestine
Excision of Small Intestine
1065 100 7 25500 30000 extra
Fistula
Operations of the Duplication
1066 101 4 51000 60000 extra
of the Intestines
Lap- Operations of the
1067 102 4 59500 70000 extra
Duplication of the Intestines
Operations for Recurrent
Intestinal Obstruction (Noble
1068 103 7 29750 35000 extra
Plication & Other Operations
for Adhesions)
Lap- Operations for
RecurrentIntestinal Obstruction
1069 104 7 34000 40000 extra
(Noble Plication & Other
Operations for Adhesions)
Ilieosigmoidostomy and related
1070 105 7 38250 45000 extra
resection
Lap- Ilieosigmoidostomy and
1071 106 7 42500 50000 extra
related resection
Ilieotransverse Colostomy and
1072 107 7 38250 45000 extra
related resection
1073 108 Caecostomy 1 21250 25000 extra
Loop Colostomy Transverse
1074 109 7 21250 25000 extra
Sigmoid
1075 110 Terminal Colostomy 7 21250 25000 extra
1076 111 Closure of Colostomy 7 21250 25000 extra
1077 112 Right Hemi-Colectomy 7 34000 40000 extra
1078 113 Lap- Right Hemi-Colectomy 7 42500 50000 extra
1079 114 Left Hemi-Colectomy 7 34000 40000 extra
1080 115 Lap- Left Hemi-Colectomy 7 42500 50000 extra
1081 116 Total Colectomy 7 42500 50000 extra
1082 117 Lap- Total Colectomy 7 51000 60000 extra
Operations for Volvulus of
1083 118 7 42500 50000 extra
Large Bowel
Operations for Sigmoid
1084 119 7 25500 30000 extra
Diverticulitis
Fissure-in-Ano with Internal
1085 120 sphinctrectomy with 7 19550 23000 extra
fissurectomy.
1086 121 Fissure-in-Ano: Fissurectomy 7 19550 23000 extra
1087 122 Rectal Polyp-Excision 7 19550 23000 extra
Fistula-in-Ano: High
1088 123 7 29750 35000 extra
Fistulectomy
Fistula-in-Ano: Low
1089 124 7 25500 30000 extra
Fistulectomy
Prolapse Rectum- Theirch
1090 125 7 25500 30000 extra
Wiring
1091 126 Prolapse Rectum- Rectopexy 7 25500 30000 extra
Lap- Prolapse Rectum -
1092 127 7 34000 40000 extra
Rectopexy
Operations for Hirschsprungs
1093 128 7 29750 35000 extra
Disease
Excision of Pilonidal Sinus
1094 129 7 19550 23000 extra
(open)
Excision of Pilonidal Sinus with
1095 130 7 19550 23000 extra
closure
Abdomino-Perineal Excision of
1096 131 7 38250 45000 extra
Rectum
Lap-Abdomino- Perineal
1097 132 7 51000 60000 extra
Excision of Rectum
1098 133 Anterior Resection of rectum 7 34000 40000 extra
Lap-Anterior Resection of
1099 134 7 42500 50000 extra
rectum
Pull Through Abdominal
1100 135 7 34000 40000 extra
Resection
Retro Peritoneal Tumor
1101 136 7 42500 50000 extra
Removal
Lap- Retro Peritoneal Tumor
1102 137 7 51000 60000 extra
Removal
1103 138 Radio ablation of varicose veins 1 42500 50000 extra
1104 139 Laser ablation of varicose veins 7 51000 60000 extra

Laproscopic treatment of
1105 140 4 34000 40000 extra
Pseudo Pancreatic cyst
Laproscopic Whipple's
1106 141 4 68000 80000 extra
operation
Laproscopic GI bypass
1107 142 4 68000 80000 extra
operation
1108 143 Nephrectomy 4 34000 40000 extra
1109 144 Laproscopic Nephrectomy 3 38250 45000 extra
NEPHROLOGY and UROLOGY
1110 1 Partial Nephrectomy- open 7 76500 90000 extra
Partial Nephrectomy-
1111 2 3 110500 130000 extra
laproscopic/ endoscopic
1112 3 Pyelolithotomy-open 7 46750 55000 extra
Pyelolithotomy - laproscopic/
1113 4 3 55250 65000 extra
endoscopic
Operations for Hydronephrosis-
1114 5 3 63750 75000 extra
ureterocalicostomy
Open Drainage of Perinephric
1115 6 7 34000 40000 extra
Abscess
Percutaneous Drainage of
1116 7 Perinephric Abscess-Ultrasound 3 21250 25000 extra
guided
Operations for Cyst of the
1117 8 7 42500 50000 extra
Kidney - open
1118 9 Ureterolithotomy– open 7 42500 50000 extra
Ureterolithotomy-
1119 10 3 51000 60000 extra
Lap/Endoscopic
1120 11 Nephroureterectomy open 7 59500 70000 extra
Nephroureterectomy-
1121 12 3 76500 90000 extra
Lap/Endoscopic
Operations for Ureter- for
1122 13 7 55250 65000 extra
Ectopia of Single Ureter
Operations for Vesico- ureteric
1123 14 Reflux/ Urinary incontinence 7 68000 80000 extra
with bulking agents
1124 15 Ureterostomy- Cutaneous 3 42500 50000 extra
1125 16 Ureteric Catheterisation Day care 3400 4000 extra
1126 17 Biopsy of Bladder (Cystoscopic) Day care 8500 10000 extra
Operations for Injuries of the
1127 18 3 42500 50000 extra
Bladder
Suprapubic Drainage
1128 19 Day Care 3400 4000 extra
(Cystostomy/ vesicostomy)
1129 20 Repair of Ureterocoel -Open 5 59500 70000 extra
Repair of Ureterocoel -Lap/
1130 21 3 42500 50000 extra
Endoscopic
1131 22 Open Retropubic Prostatectomy 5 76500 90000 extra
Transurethral Resection of
1132 23 3 68000 80000 extra
Prostate (TURP)
Urethral Reconstruction- End to
1133 24 Day care 25500 30000 extra
end ansatamosis
Abdomino Perineal
1134 25 3 85000 100000 extra
urethroplasty
Operations for Incontinence of
1135 26 5 55250 65000 extra
Urine - Male -Sling
Operations for Incontinence of
1136 27 5 68000 80000 extra
Urine - Female-Bulking agent
1137 28 Circumcision Day care 8500 10000 extra
1138 29 Meatotomy Day care 8500 10000 extra
1139 30 Meatoplasty Day care 12750 15000 extra
Operations for Hypospadias +
1140 31 3 76500 90000 extra
Chordee Correction
1141 32 Partial Amputation of the Penis 3 42500 50000 extra
1142 33 Total amputation of the Penis 3 51000 60000 extra

1143 34 Orchidectomy- Simple 3 34000 40000 extra
1144 35 Orchidectomy - Radical 3 42500 50000 extra
Adreneclectomy
1145 36 Unilateral/Bilateral for 5 76500 90000 extra
Tumour/Carcinoma- Open
Adreneclectomy
Unilateral/Bilateral for
1146 37 3 102000 120000 extra
Tumour/Carcinoma -
Lap/Endoscopic
Operations for Hydrocele -
1147 38 3 17000 20000 extra
Unilateral
Operations for Hydrocele -
1148 39 3 25500 30000 extra
Bilateral
1149 40 Operation for Torsion of Testis 3 42500 50000 extra
Micro-surgical Vasovasostomy/
1150 41 3 59500 70000 extra
Vasoepidedymal ansatamosis.
Operations for Varicocele
1151 42 3 59500 70000 extra
Palomo's Unilateral - Lap
Operations for Varicocele
1152 43 3 102000 120000 extra
Bilateral- Lap/Palomo
Endoscopic Bulking agent
1153 44 1 17000 20000 extra
Inject
1154 45 Radical Nephrectomy -Open 5 68000 80000 extra
Radical Nephrectomy -
1155 46 3 85000 100000 extra
Lap/Endoscopic
Radical Nephrectomy plus IV
1156 47 3 153000 180000 extra
thrombus
Vesico Vaginal Fistula Repair
1157 48 7 59500 70000 extra
(Open)
Vesico Vaginal Fistula Repair
1158 49 3 76500 90000 extra
(Laproscopic)
Radical Cystectomy - continent
1159 50 3 127500 150000 extra
diversion.
Radical Cystectomy- Neo
1160 51 3 170000 200000 extra
bladder
1161 52 TURP with Cystolithotripsy 3 68000 80000 extra
1162 53 Closure of Urethral Fistula 3 42500 50000 extra
1163 54 Orchidopexy- Unilateral- Open 3 34000 40000 extra
Orchidopexy- Unilateral-
1164 55 3 42500 50000 extra
Lap/Endoscopic
1165 56 Orchidopexy - Bilateral -Open 3 42500 50000 extra
Orchidopexy - Bilateral -
1166 57 3 51000 60000 extra
Lap/Endoscopic
Resection Bladder Neck
Endoscopic/Bladder neck
1167 58 5 25500 30000 extra
incision/transurethral incision
on prostrate
1168 59 Urethroplasty 1st Stage 5 42500 50000 extra
1169 60 Perineal Urethrostomy 3 25500 30000 extra
Dilatation of Stricture Urethra
1170 61 1 8500 10000 extra
under G.A.
1171 62 Laproscopic Pyeloplasty 3 76500 90000 extra
Laproscopic surgery for Renal
1172 63 3 42500 50000 extra
cyst
1173 64 Laproscopic Ureterolithotomy 3 51000 60000 extra
1174 65 Uroflow Study (Uroflometry) OPD 1700 2000 *****
Cystoscopy with Retrograde
1175 66 1 17000 20000 extra
Catheter-Unilateral/ RGP
Cystoscopy with Retrograde
1176 67 1 25500 30000 extra
Catheter- Bilateral /RGP
AV FISTULA- RADIOCEPHALIC
1177 68 8500 10000
PACKAGE
1178 69 BIPOLAR TURP 34000 40000
1179 70 DJ REMOVAL U/L 4250 5000
1180 71 DJ REMOVAL B/L 4250 5000
1181 72 DJ STENTING 4250 5000
1182 73 RIRS PKG B/L 76500 90000
1183 74 RIRS PKG U/L 55250 65000
SUPRAPUBIC CYSTOSTOMY-
1184 75 4250 5000
OPEN
TRANSURETHRAL RESECTION
1185 76 30600 36000
OF PROSTATE (TURP)
1186 77 TURBT 30600 36000
1187 78 TURP+OIU 38250 45000
1188 79 URETEROLITHOTOMY 23800 28000
1189 80 LAP- URETEROLITHOTOMY 29750 35000
URSL WITH DJ(S) PLACEMENT -
1190 81 29750 35000
HARYANA GOVT.
VARICOSE VEINS UNILATERAL
1191 82 LIMB (LASER)- HARYANA 25500 30000
GOVT.
1192 83 A.V. FISTULA INSERTION 25500 30000
ANEURYSM AT RADIAL SITE-
1193 84 17000 20000
EXCISION
1194 85 BLADDER WASH 4250 5000
1195 86 CARE THROUGH OIU 23800 28000
CATHERRIZATION BY
1196 87 1275 1500
UROLOGIST
FEMORAL ACCESS- SINGLE
1197 88 850 1000
SURGERY
PROSTATEBIOPSY-
1198 89 4250 5000
FINGERGUIDED
ANEURYSM AT BRACHIAL SITE-
1199 90 27200 32000
EXCISION
ATERIOR URETHRAL
1200 91 STRICTURE- SINGLE STAGE 23800 28000
REPAIRS
ARTERIO VENOUS FISTULA-
1201 92 12750 15000
BRACHIOCEPHLIC
ARTERIO VENOUS FISTULA: RE-
1202 93 6375 7500
EXPLORATION
ARTIFICIAL URINARY
1203 94 106250 125000
SPHINCTER
1204 95 AVF RE-EXPLORATION 25500 30000
BASKETING OF STONE IN
1205 96 12750 15000
URETER
BILATERAL
1206 97 51000 60000
NEPHROURETECTOMY (TIVE)
BIPOLAR ENCUCLEATION OF
1207 98 42500 50000
PROSTATE
BLADDER NECK RESECTION/
1208 99 22100 26000
BLADDER NECK INCISION
BLADDER STONE REMOVAL-
1209 100 1700 2000
OPEN
BLADDER STONE REMOVAL-
1210 101 25500 30000
TransUrethral
BLOCK DISSECTION OF
1211 102 INGUINAL NODES - 34000 40000
SUPRAFICIAL AND DEEP U/L
BURCH COLPOSUSPENCOSI S-
1212 103 46750 55000
LAP
BURCH COLPOSUSPENCOSI S-
1213 104 29750 35000
OPEN
1214 105 CALIBRATION OF URETHRA 4250 5000
1215 106 CAPD - UROLOGY 12750 15000
1216 107 CIC 5525 6500
1217 108 CYSTOSCOPY 4250 5000
CSTECTOMY- PARTIAL WITH
1218 109 59500 70000
BOWEL AUGMENTATION
CYSTECTOMY RADICAL AND
1219 110 ORTHOTOPIC NEOBLADDER- 170000 200000
LAP
CYSTOSCOPY with BLADDER
1220 111 WASH and REFULGRATION of 5950 7000
OPERATIVE SITE
DETORSION OF TESTICULAR
1221 112 4250 5000
TORSION MANUAL
DIATHERMY DESTRUCTION OF
1222 113 17000 20000
BLADDER NEOPLASM
DORSAL SLITTING OF
1223 114 4250 5000
PREPUCE
1224 115 DRAINAGE FOR PRIAPISM 6800 8000
DRAINAGE OF PROSTATIC
1225 116 12750 15000
ABCESS-TRANSRECTAL
DRAINAGE OF PROSTATIC
1226 117 15300 18000
ABCESS-TRANSURETHRAL
ENDOSCOPIC INJECTION FOR
1227 118 8500 10000
VUR-U/L
ENDOSCOPIC INJECTION FOR
1228 119 12750 15000
VUR-B/L
1229 120 EPIDIDYMAL CYST EXCISION 8500 10000
EPISPADIAS/ EXYSTOPHY
1230 121 38250 45000
REPAIR
EXCISION OF MULTIPLE
1231 122 SEBACEOUS CYSTS UNDER 8500 10000
General Anaesthesia/Spinal
1232 123 EXCISION OF SCROTAL SINUS 5950 7000
1233 124 FRENUPLASTY 12750 15000
1234 125 LAP.ORCIHDOPEXY 21250 25000
LAP. RADICAL
1235 126 59500 70000
PROSTATECTOMY
LAP. URETHROLITHOTOMY FOR
1236 127 21250 25000
LARGE STONES
1237 128 LAP. VARICICELECTOMY 21250 25000
LAY OPEN OF URETHRA WITH
1238 129 42500 50000
BUCCAL GRAFTS
LAY OPEN OF URETHRA WITH
1239 130 42500 50000
PERINEAL URETHROSTOMY
1240 131 ILEO CAFCO CYSTECTOMY 34000 40000
1241 132 LUMBAR PUNCTURE 2975 3500
NEPHRECTOMY COMPLICATED -
1242 133 51000 60000
ADHESIONS
NEPHRECTOMY FOR RENAL
1243 134 51000 60000
TRAUMA
NEPHRECTOMY RADICAL WITH
1244 135 85000 100000
IVC THROMBUS LEVEL 1

1245 136 106250 125000
IVC THROMBUS LEVEL 2

1246 137 102000 120000
LYMPHADENECTOMY- LAP

1247 138 85000 100000
LYMPHADENECTOMY- OPEN
NEPHROURETERECTO MY WITH
1248 139 BLADDER CUFF-LAP 127500 150000
RETROPERITONEAL
NEPHROURETERECTO MY WITH
1249 140 BLADDER CUFF-LAP 127500 150000
TRANSPERITONEAL
OPEN PROSTATECTOMY -
1250 141 18700 22000
TRANSPUBIC
1251 142 OPEN STRICTURE SURGERY 27200 32000
OPTICAL INTERNAL
1252 143 21250 25000
URETHROTOMY (OIU)
1253 144 ORCHIDECTOMY-SIMPLE(B/L) 12750 15000
ORCHIDECTOMY - B/L FOR CA
1254 145 21250 25000
PROSTATE
1255 146 PCN- NEPHROSTOMY-OPEN B/L 21250 25000
PCN (NEPHROSTOMY)- USG
1256 147 29750 35000
GUIDED/ENDO B/L
PCN (NEPHROSTOMY)- USG
1257 148 25500 30000
GUIDED/ENDO U/L
PENECETOMY TOTAL WITH
1258 149 34000 40000
URETHEROSTOMY
1259 150 PENILE CYST EXCISION 8500 10000
1260 151 PENILE FRACTURE REPAIR 17000 20000
PENILE PROSTHESIS
1261 152 29750 35000
INSERTION- SEMIRIGID
PENILE PROSTHESIS
1262 153 INSERTION - 3 PIECE 127500 150000
INFLATABLE
1263 154 PENILE WEDGE BX 3400 4000
PERINEPHRIC ABCESS
1264 155 25500 30000
DRAINAGE- LAP
PLACMENT OF GRAFT FOR
1265 156 42500 50000
VASCULAR ACCESS
POST ORCHIDECTOMY LYMPH
1266 157 29750 35000
NODE DISSECTION
POST TRANSPLANT lymphocele-
1267 158 17000 20000
Laparoscopic drainage
POST TRANSPLANT lymphocele-

1268 159 8500 10000
Percutaneous Drainage
POSTERIOR URETHAL VALVU
1269 160 17000 20000
FULGURATION
1270 161 PYELOLITHOTOMY- OPEN 17000 20000
PYELOLYMPHATIC
1271 162 42500 50000
DISSEMINATION- LAP
PYELOLYMPHATIC
1272 163 34000 40000
DISSEMINATIO- OPEN
PYELOPLASTY- LAP
1273 164 38250 45000
TRANSPERITONEAL
PYELOPLASTY - OPEN
1274 165 21250 25000
(ANDERSOMHYNES)
RADICAL PROSTATECTOMY -
1275 166 34000 40000
OPEN
1276 167 RENAL BIOPSY -OPEN 17000 20000
1277 168 RENAL BIOPSY - USG GUIDED 12750 15000
1278 169 RENAL BIOPSY -LAP 21250 25000
1279 170 RENAL CYST EXCISION –OPEN 17000 20000
1280 171 REPAIR OF RENAL LACERATION 34000 40000

RETROGRAGE PYELOGRAPHY
1281 172 8500 10000
WITH STENTING -U/L
RETROGRAGE PYELOGRAPHY
1282 173 8500 10000
WITH STENTING -B/L
RETROPERITONEOSC OPIC
1283 174 SURGERY FOR 47600 56000
RETROPERITONEAL TUMOURS
1284 175 RGU/MCU 4250 5000
1285 176 RIRS-B/L 68000 80000
1286 177 RIRS-U/L 42500 50000
1287 178 SITAL SHUNT FOR PRIAPISM 34000 40000
SLING PROCEDURE
1288 179 INCONTINENCE- 46750 55000
TRANSVAGINL(TVT)
1289 180 SOROTOPLASTY 17000 20000
1290 181 TESTICULAR BIOPSY-OPEN 4250 5000
1291 182 TOT 25500 30000
1292 183 TURP BIPOLAR with PCLT 38250 45000
TURP WITH
1293 184 38250 45000
CYSTOLITHOTRIPSY
1294 185 URACHAL MASS- EXCISION 34000 40000
1295 186 URETHERAL DILATION 2975 3500
URETERONEOCYSTO STOMY-
1296 187 63750 75000
LAPROSCOPIC
URETERONEOCYST OSTOMY-
1297 188 (URETERIC REIMPLANTATION)- 47600 56000
OPEN B/L
URETERONEOCYSTO STOMY-
1298 189 38250 45000
COMMON SHIETH RE-IMPLANT
1299 190 URETERIC BALLOON DILATION 6800 8000

URETERIC CATHETERISATION-
1300 191 5950 7000
B/L
URETERIC EXCISION and End
1301 192 63750 75000
to End ANASTOMOSIS- LAP
URETERIC EXCISION and End
1302 193 34000 40000
to End ANASTOMOSIS-OPEN
URETERIC MEATOTOMY WITH
1303 194 15725 18500
STONE EXTRACATION
URETERIC
1304 195 STRICTURESURGERY- 29750 35000
ENDOSCOPIC
SLING PROCEDURE
1305 196 INCONTINENCE- TRANSVAGINL 46750 55000
(TVT)
URETERIC STRICTURE
1306 197 55250 65000
SURGERY- LAP
URETERIC STRICTURE
1307 198 21250 25000
SURGERY- OPEN
URETERIC SIGMOID
1308 199 34000 40000
DIVERSION
URETERO URETEROSTOMY-
1309 200 38250 45000
OPEN
1310 201 URETEROCALICOST OMY-OPEN 55250 65000
URETEROLITHOTOM Y-OPEN
1311 202 29750 35000
B/L
UTEROLYRES OMENTAL B/L
1312 203 29750 35000
(OPEN)
URETEROLYRES WITH
1313 204 63750 75000
OMENTAL WRAP
URETERORENOSCO PY (URS) -
1314 205 28475 33500
UPPER ½
URETERORENOSCOPY (URS)-
1315 206 25500 30000
BILATERAL
URETERORENOSCOPY (URS)
1316 207 17000 20000
WITH BIOPSY
URETERORENOSCOPY (URS) -
1317 208 16575 19500
LOWER 1/3
URETHERAL
1318 209 TRANSPLANTATION- 25500 30000
BILATERAL
URETHERAL
1319 210 TRANSPLANTATION- 17000 20000
UNILATERAL
URETHROPLASTY-
1320 211 SUBSTITUTION with BUCCAL 46750 55000
MUCOSA (DORSAL ONLY)
1321 212 URETHROPLASTY -OTHERS 46750 55000
URETHROPLASTY - SECOND
1322 213 28475 33500
STAGE CLOSURE
1323 214 URETHROPLASTY - SKIN FLAP 47600 56000
1324 215 URETHROPLASTY- SKIN TUBE 47600 56000
1325 216 URETHROSCOPY WITH BIOPSY 8500 10000
URETERIC REPLACEMENT
1326 217 85000 100000
WITH ILEAL URETER
URETERIC STRICTURE
1327 218 14025 16500
SURGERY-ENDOSCOPIC
VARICOCELECTOMY- PALMOS
1328 219 25500 30000
OPEN (B/L)
VARICOCELECTOMY- PALMOS
1329 220 17000 20000
OPEN (U/L)
VARICOCELECTOMY-
1330 221 MICROSURGICAL INGUINAL 29750 35000
B/L
ARICOCELECTOMY -
1331 222 MICROSURGICAL INGUINAL 20400 24000
U/L
VARICOCELECTOMY-
1332 223 MICROSURGICAL 42500 50000
SUBINGUINAL B/L
VARICOCELECTOMY-
1333 224 MICROSURGICAL 28900 34000
SUBINGUINAL U/L
1334 225 VASECTOMY (NSV) 6800 8000
1335 226 VASO VASOSTOMY 29750 35000
1336 227 VACILOSTOMY CLOSURE 25500 30000
1337 228 VESICOSTOMY 16150 19000
NOTE : ICU/CCU inclusive of ventilator charges as per para 2 (b) ii) & 2 (c) vii) of Guidelines, is not to be charged extra.

New 1337 Package Rates 14.07.2020

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No.

Subject:- Regarding implementation of Package Rates and lmplants applicabte to

ln supersession of Government letter issued vide even no. dated 21.5.2015,

2. Guidelines for lmplementinq packaqe/lmplant Rates

i) Following package rates shall be applicable to different types of empanelled

(c) The entitlement for Room Rent for indoor treatment:-

Sr. Category Revised Pay as Hos I Accreditation

i) Private ward is defined as a hospital room where single patient is

3. The fixed cost of !CU/CCU under medical manaqement (indoor treatment):-

Sr. No. Name Entry level Full NABH Remarks

Sr. No. proced u re/su rgery AmounURate

YOGESH KUTilAR MEHTA, HCS

1vos""/Vr(,r Mehta, Hcs)

Specialty-wise Serial No.

LASIK Refractive Surgery with OPD/DAY

Endoscopy Excision Cervical

482 34 Arthrodesis of - Major Joints 5 29750 35000 extra

489 41 Amputations - Below Elbow 3 25500 30000 extra

490 42 Amputations - Above Knee 3 29750 35000 extra

491 43 Amputations - Above Elbow 3 25500 30000 extra

Fusion Surgery: Cervical

555 107 Mini Fixator for Hand/Foot 3 21250 25000 extra

665 105 Triglyceride ********* 94 110 ******* ********

726 166 Carcioembryonic antigen(CEA) ********* 446 525 ******* ********

Excision of Axillary Lymph

Excision of Inguinal Lymph

Excision Biopsy of Ulcers under

1104 139 Laser ablation of varicose veins 7 51000 60000 extra

1142 33 Total amputation of the Penis 3 51000 60000 extra

NEPHRECTOMY RADICAL WITH

NEPHRECTOMY RADICAL WITH

NEPHRECTOMY RADICAL WITH

POST TRANSPLANT lymphocele-

1280 171 REPAIR OF RENAL LACERATION 34000 40000

1299 190 URETERIC BALLOON DILATION 6800 8000

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665 105 Triglyceride ***** 94 110 * ******

726 166 Carcioembryonic antigen(CEA) ***** 446 525 * ******