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CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. CGHSTREATMENTPROCEDURE/
INVESTIGATION
LIST NABH/NABL
Non-NABI
I Consultation OPD -15) 135
2 Consultation- for Inpatients 270 270
3 Dressings of wounds 50 58
4 Suturingof woundswith localanesthesia 108 L24
5 Aspiration PluralEffusion- Diagnostic tr! 138
6 Aspiration -
PluraIEffusionTherapeutic 193 222
7 Abdomine l Aspiration- Diagnostic 345 397
6 AQdominal -
AspirationTherapeutic 460 579
9 PericardialAspiratio n 380 437
10 JointsAspiration 3rl 365
1L Biopsy Skin 230 26s
72 Removal of Stitches 36 47
13 Venesection L24 L43
1,4 Phimosis UnderLA 1180 L357
15 SternaI puncture 173 199
15 Injectionfor Haemorrhoids 4L4 476
17 Injectionfor Varicose Veins 350 403
18 Catheterisation 83 95
19 Dilatation of Urethra 450 518
20 Incision& Drainage 378 435
2I Intercostal Drainage 1,25 1.44
22 PeritonealDialysis 1319 1-517

23 Excisionof Moles 345 397


24 Excisionof Warts 310 5l I
25 Excisionof Molluscum contagiosum 130 150
26 Excisionof VeneraI Warts 160 184
27 Excisionof Corns L40 rol
28 l/D Injection
Keloid 97 1L2
29 Chemical Cautery(s) 100 1-15

30 Subconjunctival/subtenon's iniectionsin oneeyes 69 79


31 Subconjunctival/subtenon's injectionsin botheyes 138 159
32 PterygiumSurgery 86 99
33 ConjunctivalPeritomy 58 67
34 Conjunctivalwound repairor exploration followingblunt
trauma 115 L32
J) Removql of cornealforeign body ro4 '120
36 Cauterizationof ulcer/subconjunctivalinjection
in oneeye 69 79
37 Cauterizationof ulcer/subconjunctivalinjection
in botheyes 138 159
38 Cornealgrafting-Penetrating keratoplasty 5750 OO.LJ
39 Cornealgraflin€- Lamellar keratoplasty 5000 5750
40 Cyanoacrylate/fibringlueapplication for cornealperforation 690 794
4't- Bandage contactlenses for corneal perforation 460 529
42 graftingor conjunctival
Scleral flapfor cornealperforation 7070 238r
43 Keratoconus correctionwith therapeutic contactlenses 1200 1380
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. CGHSTREATMENTPROCEDURE/
INVESTIGATION
LIST NABH/NABL
Non-NABL
44 UVradiationfor cross-linking for keratoconus 1800 2070
45 EDTAfor bandshapedkeratopathv 863 992
46 Arcuatekeratotomy for astigmatism 2800 3220
47 (Primary
Re-suturing suturing) of corneal wound 1150 LSZa
48 Penetrating
keratoplasty --- with glaucoma surgery 1"21.44 13965
49 Penetrating
keratoplasty -- withvitrectomy 12'J-44 13966
50 Penetrating
keratoplasty --- with IOLimplantation 13656 15704
51 DALK-Deepanteriorlamellar keratoplastv 17254 19838
52 Keratoprosthesis
stageI andll 11500 L322s
53 DSAEK-Descemet's stripping automated endothelial '1667
5 T9L76
keratoplasty
54 ALTK-Automated lamellar therapeutic keratoplastv 16500 18975
55 Probing
andSyringing of lacrimal sac-in oneeve 79
56 P r o b i n ga n d S V r i n g i nogf l a c r i m a l s a ci-n b o t h e v e 138 159
57 DacrvocVstorhinostomV- Plain 2875 3306
58 Dacryocystorhinostomy- Plain with intubation
and/orwith
97 5A I121,3
lacrimal
imolants
59 Dacryocystorhinostomy- conjunctiva lwithimplant 9200 10580
60 Calicu
loplasty 2300 2645
61 DacryocystectomV 1553 1786
62 Punctalpiugsfor dryeyes 130 150
63 Refraction 40 46
64 Indirect
OphthalmoscopV 67 77
65 Orthopticcheck-up-with svnoptophore 44 51
65 Lees'chartingor Hess'chartinq 100 t_tf

67 Orthopticexercises 50 58
68 Pleoptic
exercises 50 58
69 Perimetrv/field
test-Goldman 't-44
_t-oo
70 Perimetrv/field
test- automateo L44 -too
7L Fluorescein
angiography for fundusor iris 828 952
72 Ultrasou
nd A- Scan 777 894
73 Ultrasou
nd B-Scan 230 765
74 FundusPhotoTest 200 230
t5 n i n g r e en a n g i o g r a
Indocya phy 924 1058
76 Cornealendothelialcellcountwithspecular
microscopV 2ra 242
77 Cornealtopography 331 381
78 Cornealpachymetry 210 242
79 Auto-refraction 35 40
80 Macularfunctiontests 44 51
81 Potentialacuitv
metrv 100 115
82 interfe
Laser rometry 'l-73 199
83 OCT-Optical
coherence tomography 1913 2200
84 HRT-Heidelberg'sretinaltomogram 150 173
85 GDX---Nervefibrelayeranalyzer 88 101
86 UBM-Ultrasound bio microscoov 150 773
87 NonContact tonometrv 50 55
CGHSCHENNAI. NEWRATES2014

Non-NABH/
LIST NABH/NABL
TREATMENT
CGHS INVESTIGATION
PROCEDURE/ Non-NABL
Sr.No.
: 30 35
----^^1..,i+h.-hi^1"
88 lur r I ] e d 5 u I c r r r t r r r v v r ! rI J v ' t ' : ' _
50 58
89 -'"u'u'"*"n,.,I'lL tono'"t'u
90
l!?lltill
I h r e € r l l l r r o r e x a t t t t . t t a r t u'r"'' ' " ' '
58
50 58
91- 90 D lensexamtnatton 58
92 GonioscoPY 400 460
93 ahalazion incision i19!9jy.e--
and9ul9!!9gg
43r 496
94 f h a l a z t o n t n c t S l o na r t u u u t e t r o 6 , c" ' " " ' " "r"-
"
procedure
servat 2300 2645
95 F6GiGifitfr fasanella 6325
5500
96 P t o s t s u r g e r Yw t t t t u r : ' c J . . ' ' " " " " " . " : 767r
'"
6674
97 P t o S l ss u r 8 e r y w r t r I J r r | | F' ." ' 6 - ' t - ' "
1610
1.400
98 F . t r ^ n i o n s U r g e r v -o n g I l o
2500 7875
E ^ + . ^ ^ i ^ hc '' r o a r v - h o t h l i d s
99 1s50 7783
100 Epicanthus correctlor-l 66L
101 Cantholysis andcanthol9|n Y 1s87
13801
ro2 Entropton surger v- ( J J l g llu
2300
200c
103 Entroplon surger v_ u v r r | |rqJ
748
65t
104 arsorrapny l-Lf 1 3z 7
105 ;utun ng oTllo lacel 153( 1760
106 .idretractionrePall 1-1:
107 loncretlonsremovi 34 397
108 Sucket handleProc 7 L42
62L
109 lheek rotatton ttap tut ttu t"' ''"' " 8332
774s1
110 f,rbitotomY 3000 345C
111 3000 3450
- - -
rrz t n u c l e a l l o l l w l L r ru r u r r o r r ' r r v r s " ' "
*"- '
34s01 396t
113 s6931 6s47
prostnes's
andartificial
withorbit.limplants
TL4 EiG6ra-.-t',on s17sl sesl
115 correction
Telecanthus 6613
sTsol
116 decomPression
Orbital 5613
'Lt1 s7s0l
FY c n t P r a t t o n
6900 793s
118 E - ^ ^ i a r f , t i n n \ ^ / i t hs k i n e f a t t i n g
9200 10580
LLg orbitalrePair
Fracture 172s
r-s001
120 R P t i n a ll a s g r o r o c e u u l e s
1-1500 L3225
12r Rgtlnal oelacrlllltslll5ur6sr v -.
13800 15870
butkling
sutgety*ith sc,letal
iE:tal d-eu.l,,r'tent
122 1150 1323
123 Buckle removal . 3220
2800
124 Siliconeoil removal 1336
'Lzs rL62
AnteriorretinalcryoPexY 5000 5750
rzo S q u i n tc o r r e c t t o nr u t u r t ! c Y " 8625
7500
727 5 q u l n ! c o r r e c t t t l t tt u t u u t " - v = ' 7935
6900
128 TrabeculectomY 67LO 7142
129 93 1 s tol 12
'
130 lrabeculeclorrly wllrr | | outLv rv!v" t 2645
2300
t5-L Trephition 345 391
r32 GontotomY
6210+VALVE7142+VALVE
valves
surget with Glaucoma
Glaucoma
CGHSCHENNAI. NEWRATES2014

Non-NABH/
Sr.No. CGHSTREATMENTPROCEDURE/
INVESTIGATION
LIST NABH/NABt
Non-NABL
134 CyclocrVothe rapV 1150 L323
135 YAGlaseriridotomV 1350 1553
't'132
-!5 0 YAGlasercapsulotomV 984
ALT-Areon lasertrabeculoDlastv r.495 1719
138 PDT-PhotodVmlc therapV 3450 3968
139 TTT-Transpu pillarV
thermaI therapV 3000 3450
140 PTK-Phototherapeutic keratectomV 6750 7763
'J-4L
Argon/diode laserfor retinaldetatchment 1035 1190
L42 lntralaseaoolication for keratoconus 5750 6613
'143
EOG-electro-ocu logram 900 1035
144 ERG- Electro-retinogram 794 913
745 VEP-visua llvevokedpotential 720 828
146 VitrectomV- parsplana 11500 13225
747 I iniections-
Intravitrea of antibiotics 1150 L5Z5

L48 Intravitrealiniections- of lucentis costof drug


excluding 3000 3450
r49 X- Ravorbit _L tf 132
150 CT-orbitand brain 199
151 MRI-Orbitandbrain 3450 3968
L52 Dacryocystogra phy 344 391
153 Orbitalangio-graphical studies 1500 7725
154 ECCE with IOL 3450 3968
155 S I C Sw i t h I O L 5000 5750
156 PhacowithfoldableIOL(silicone andacrvlic)/PMMA IOL r0781. 12398
157 Parsplanalensectomy with/withoutIOL 9315 t07L2
158 Secondary IOLimplantation- ACIOLPCIOLor scleral fixatedIOL 6714 7r42
159 Cataract extraction with IOLwith capsulartensionrings
\7154 13973
(Cionni'srins)
160 Opticnervesheathotomv 7500 862s
-LO t lridodialvsisrepairor papillarv
reconstruction s000 5754
L62 lriscvstremoval 850 978
163 LidAbscess incisionandDrainage 1700 1955
764 OrbitalAbscess incisionand Drainase 3000 3450
165 BiopsV 460 529
165 Paracentesis 230 26s
t67 graftfor scleral
Scleral meltingor perforation 2800 3220
158 Amnioticmembrane grafting 1100 1265
169 Cvclodiathermv 2300 2645
170 Intraocular foreignbodvremoval L87 2L5
17L Electrolvsis 230 265
177 Perforating iniurVrepair 4500 5r75
L73 Botulinum iniectionfor blepharospasm or squint 2500 2875

174 Flap Operation


per quadrant 360 41-4
175 G i n g l v e c t o mpVe r q u a d r an t 234 269
rto Reduction of fracture-
& immobilization MaxillaUnderLA 900 1035
& immobilization
Reduction of fracture-MandibleUnderLA 3s00 4025
CGHSCHENNAI- NEWRATES2014

Non-NABH/ NnsH/NneL
LIST
INVESTIGATION
PROCEDURE/ I
Sr.No, TREATMENT
CGHS Non-NABLI
^ t ; ^ + ./ r i . , ' r r r m r n a n d i h r r l a rw i r i n s u n d e r L A slol s87
t-t8
sphnts/CirucummandibularwiringunderGA seoL_____113s
t79
fixationof MaxillaunderLA 3000 3450
180 wirefixation/plate
Internal
4000 4500
181 Internal fixationof MaxillaunderGA
wirefixation/plate
r n t o r n e lr l i r e f i v a t i o n / o l a t e f i x a t i o n o f M a n d i b l e u n d e r L A 35ool 4o2s
L82 ,200
3825
183 l"t.-.1 *-" f".t."/plate fixationof Ma
80 n
184 ExtractionPer tooth underLA 11s
F*,,ri..t.a Fvt ner Tooth under LA 1001
185
184
186 F y t r a c t i o no f i m o a c t e dt o o t h u n d e r L A
787 with systemic
I*tr".tlon in mentallyretarded/patients 9391 1080
diseases/patient@
188 C v s t& t u m o u r o f M a x i l l a/ m a n d i b l eb y e n u c l e a t l o ne/ x c l s l o n / 2441 28L
--'^--,.--l;--+i^^ ,s ,t ^/ t ^ / l . m < r r n d a r l A
rrrdrrupo[Jo!'vI

189
excision/
ndibleby enucleation/
Cyrta t|',.out of Maxilla/ma *ul___ -t
marsupalisation slzemorethan 4 cmsunderLA
190 Lvst& tumourof Maxilla/mandible by
sizemorethan4 cms 10001 11sc
enucleation/excision/ma rsupalisation
underGA
7s001 862
191 underGA
TMjointankylosis-
374 430
192 lntraoral tissue
Biopsy Soft
oi^^.\, lnt-^ri l-Rnne
3741 430
193
210001 24ts0
194 t t e m i - m an d i b ul e c t o m vw i t h g r a f t
21000 24L50
195 lectomylry4heu!-gIaft
Hemi-mandibu __-
c^^,.^^r-t m.^.liht rla.f 3400 3910
- _ - - .)mv, with sraft
195 Js5"'L''rsr i,,si.e."- e -

c ^ ^ 6 a ^ r a l - r n ' n . l i h rr l F . t o m v w i t h o u t s f a t t 990 1139


797 J L b " r l r ' r e , , i i e . . - - - - - , -

2500 2875
198 TotaI with graft
MaxillectomY-
^n--illd.l^m\,- T^t al \^/ithollt praft 1950 2243
199
3000 3450
200 Partialwith gratt
MaxillectomY-
r r r t r v i l l e r t n m vn
- artial without sraft 2500 2875
20r
202 R"1""* b*tdt & grafting-in (osMF)treatmentunder 1500 1725
"f-fib."t
GA
500 575
203 Pre-prosthetic surgery-Alveoloplasty
- ridgeaugmentatlqn 1200 r-380
204 Pre-prosthetic surgery ..
;; ."'.'"[*rtrn."t{ RCT) Anteriorteeth(pertooth) s00 575
205
teeth(per tooth) 700 805
206 RootcanalTreatment(RCT) Posterior
Singleroot s00 515
207 AprcoectomY-
^ ^i-^a.i^mw-l\/lr rltinle roots 650 748
208
500 575
209 M e t a l C r o w n - o e ru n i t
700 805
zrc MetalCrownwith Acrylic facingperunit
based 1350 1553
2Lr Complete singledenture-metal
950 1093
2'Lz Complete denture-acrylicbasedperarch .
I^-^-xr. ^rrtiaidenirrre-Metal 3 teeth
based-upto 700 805
273
;.-^'^ln" than 3 teeth
n a r t i e ld e n t u r e - M e t abl a s e d - m o r e 900 1035
zL4
3 teeth
based-upto 500 575
215 Remwablepartialdenture-Acrylic
264 304
zro R"r"""bl. p. tti. I d"@
tooth 200 230
217 Amalgum restoration-Per
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABt
Non-NABL
218 Comoosite Restoration-oe r tooth-anteriortooth 2so 288
219 Glaslonomer-per tooth 200 234
220 Scaling& polishine 300 345
22L Removable Orthodontics appliance- per Arch 630 725
222 FixedOrhtodontics-pe r Arch 1150 L323
223 Spacemaintainers-Fixed 500 575
224 Habit breaking nces-removable
applia 800 920
22s nces-Fixed
Habit breakingapplia 1500 1725
226 Expa nsionplate 1000 1150
227 Feeding appliancefor cleftpalate 1500 L725
228 prosthesis
Maxillo-facial lostpart)
(sal/auricular/orbital/facial 3s00 4025
729 Functional aooliances
orthodentic 3000 3450
230 (Maxillo-facial)
Obturator 1500 1725
23't- night
Occlusal guard(splint) 800 920

232 PureToneAudiogram 1-t2 198


233 lmoedencewith steoedeal
reflex 230 265
234 Sl S lT o n e D e c a y r3z L52
235 Multiplehearing assessmenttest to Adults 115 L32
236 SoeechDiscrim ination Score 90 104
237 SpeechAssessment L20 138
238 Speechtherapypersession of 30-40minutes ,LJI 15L
'l-72 198
239 ColdCalorie r function
Testfor Vestibula
240 Removal of foreignbodyFromNose 345 397
747 Removal foreignbodyFromEar
of 230 26s
742 (Ear)
Svrineins L66 19L
243 PolypremovalunderLA 575 661
244 PolypremovalunderGA 850 978
245 abscess
Peritonsillar DrainageunderLA 1304 1500
246 Myringoplasty 5900 7935
247 Staepedectomy 9200 1058C
248 with Grommetinsertion
MVringotomy 4600 5294
249 TvmpanotomV 8525 9919
2s0 T V mp an op l a s t V 1380C 1s870
251- Mastordectomv 14950 tt193
252 OtoplastV 1s000 L7250
253 LabVrinthectomy 13800 L5870
254 Skull Basesurgerv 25000 28750
255 Facial NerveDecomDression 17250 19838
256 Septoplastv 5750 bb 15

257 SubmucousResection 6583 7570


258 Septo-rhinoplasty 15100 18515
2s9 RhinoplastV-Non-cosmetic 11500 13225
260 Fractu re Reduction 4250 4888
toL IntranasaI DiathermV 1150
262 TurbinectomV 5750 6613
CGHSCHENNAI- NEWRATES2014

Non-NABH/
LIST
INVESTIGATION NABH/NABt
Sr.No. CGHSTREATMENTPROCEDURE/ Non-NABI

DCR 11,700 13455


263 Endoscopic
264 EndoscopicSurgerY r2424 1.4283
I PerforationRePair 13800 1587C
265 Septa
950 1093
266 AntrumPuncture
RhinotomY 1000 1150
Lateral
resection
Cranio-facial 25500 29325
268
CaldwellLucSurgerY L0626 12224
269
270 Aneiofibroma Exctsion 15300 r7595
Endoscopic PhYsect!rnY- 21500 2472s
27r HyPo
Endoscopic OpticNerveDecompression 3 2 7 75 37691.
272
Decompression of Orbit 25500 29325
773
bioPsY 674 775
274 Punch/Wedge
Tonsillectomy 5000 5750
275
Uvulo-palatoplasty 15000 77250
276
277 FESSfor antrochoal PoIYP 5750 OOIJ

FESSfor ethmoidal 5750 6613


278 PoIYP
Polypremovalear 748 850
279
PolypremovalNose(Septal polyp| - 748 860
280
Mastoidectomy plusOssciculoplgsty or PORP
TORP
including 74L5 2771
28L
sacdeco[ !I9!!.]en- 2875 3306
282 Endolymphatic
DiagnosticendoscoPY underGl 2070 238L
283
operationfor Atrophicrhinitis 6900 7935
284 Yonges
Vidianneurectomy for vasomotor Rhinitis 10350 11903
285
Nasa nterior
I Packing-a 345 397
286
NasalPacking-Posterior 805 926
287
Excision 6843 7869
288 Ranula
Tongue Tieexcision 1s00 1725
289
290 SubMandibular DuctLithotomY 769 309
Adenoidectomy 5640 6486
297
Palatopharyngoplasty 8165 9390
292
T7I93 19172
293 Pharyngoplasty
294 Styloidectomy 9200 10580
includil&Q!pplyLt1!s1G{-
Directlaryngoscopy 4500 5r75
295
bodyremovalfrom 1800 2074
296 Oesophagoscopy/foreign
297 Bronchoscopywith F.B.removal 2438 2ao4
1s00c L7250
298 OtherMajorSurgerY
7650 8798
299 OtherMinorSurgerY

EarLobeRepair oneside 500 s75


300
301 Excision l/ Injuries)Skin
of Pinnafor Growth(Squamous/Basa '4000 4600
Onlv
302 Excision l/ Injuries)
of Pinnafor Growth(Squamous/Basa Skin 4370
3800
andCartilage
Amputation of Pinna 4500 5175
303 Partial
of Pinna 6200 7L30
304 TotalAmputation
TotalAmputation Meatus
of ExternalAuditory
& Excision 1500 t725
305
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABL
Non-NABL
306 of CvsticHygroma
Excision 5775 5951
307 of CvsticHvgromaExtensive
Excision 6701 7713
308 of BranchialCyst
Excision 10350 11903
309 of Branch
Excision iaI Sinus 103s0 11903
310 n of Pharyngeal
Excisio Diverticulum 10580 r2761
311 of CarotidBodv-Tumours
Excision 11515 133s7
'J.4375
3L2 Ooerationfor CervicalRib 12s0c
313 BlockDissection
of Cervical LymphNodes 1500c L7250
3L4 Pharyngectomy & Reconstruction 15000 L7250
315 Operationfor Carcinoma Lip- Wedge-Excision 8050 9258
5 tt) Operationfor Carcinoma Lip- Vermilionectomy 5758 6622
317 Operationfor Carcinoma Lip- WedgeExcision
and
9292 10686
Vermilonectomv
318 EstlanderOperation 7 475 8596
319 Abbeoperation 9800 11274
320 Cheek Advancement 9775 71241
3tr n of the Maxilla
Excisio 79324 222L8
522 Excisionof mandlble-segme ntaI 1s525 17854
323 Mandibulectomy 2100c 2415C
324 PartialGlossectomy 5520 6344
325 Hemiglossectomy 7000 8050
5ZO TotalGlossectomV 2288s 26318
Commondo Operation 2.2000 25300
328 Parotidectomv - Superficia
l 72075 13886
329 P ar o t i d e c t o m y- T o t a l 1s000 \1254
330 Parotidecto mV Radical 195s0 22483
331 Repair of ParotidDuct 11500 ISZZJ

332 Removal of Submandibular gland


Salivary 8625 9919
333 HemithVroidectomy 9500 10925
334 PartialThvroidectomy (lobectomy) 1150C L3225
33s Subtotal Thyroidectomy 13053 15011
336 TotalThvroidectomv 19000 21850
337 Resection Enucleationof thvroidAdenoma 10s80 12161
338 TotalThvroidectomv andBlockDissection 25450 30418
339 Excisionof LingualThyroid 16882 194',1-4
340 Excisionof ThVroglossal Cyst/Fistula L3225 15209
341 Excisionof Parathyroid Adenoma/Ca rcinoma 2L275 24466
342 LarVngectomy 77825 20499
343 Larvngo Pharyngectomy 30000 34s00
344 HVoidSuspension 10350 11903
' 12000 1380C
345 Genioplastv
346 DirectLaryngoscopy including biopsyunderGA 5175 5951
341 Phonosurgery 13800 15870
348 Fibroptic examitionof Larynx underLA 1553 1786
2/O MicrolarVngealSurgery 103s0 11903
350 LarvnAofissure t7750 19838
CGHSCHENNAI- NEWRATqs2014

Non-NABH/
LIST NABH/NABt
INVESTIGATION
CGHSTREATMENTPROCEDURE/ Non-NABL
Sr.No.
r9784 22141
3s1
5750 6613
5)Z
: Y r i s t o n a lb t o o S l e S
9500 10925
353 B e n l g n I u m o u r E x L l s l u1r 5 23805
2070Q
354 Iemporal bone suotutot tc>cr''"' ' 2909s
2s300
3s5 M o d l l l e d K a O l c a l l \ e L K u r 5 ) e L L r u rI 29900
26000
356 CarotidBodYExcision 45071
39192
357 TotalLarYngectomY 40000 46000
358 Fl a p K e c o n s i r u c t l V e J u | E ' E r y 45230
39330
3s9 Parapharyngeat utttuut c;'ut:'"" 24438
21254
360 OtherMajorSurgerY 5000 5150
361
5400 6210
362 Drarnago er aoscess 7213
6Zt2
363 E x c i s i oonf l u m P s 14548
12650
364 Lo.l'T.r,"f.ol',y-',,i!u:li-:; :: :::;;;^; 78754 33053
355 R a d l c a lm a s r e c t o n t y - t u tt t t o t u ' "'"""''"' L7250
15000
366 F " . i <i ^ n n f m a m m a r V l l s t U l a
-^-^.+i^^ ^f hra2<t
16100 18515
367 )CHl-
2s00c 2875C
358 O t h e r l v l al o r 5 u r g e r Y
500c 575C
369 U t n e r l v l l n o r > u r B e r Y ,. ", , , , , ,
r:l:tfllr.:ir:li:l:,.:i.i:r:.rt:l|ena]!rr1-{r.!'':r:'.l'''_ -
"-_'
38 44(
370 I n J u r yU T5 u P e r t t c t a t : u t tt t : : " ' 30!
26:
311 S u t u r t n go l s m a l lw u u rr u 5 331
29(
312 s F a o n d A r vs u t u r e o l w u u l l u >
4s0l s1t
373 l D e b r i d e m e not Tw o u r r u 5 345
300
374
15531 1786
375 : x c l S l o n o T L e r v l L d l L y r r r P rI r r v u L 23s6
zo+gl
376 ixclslon ol Axlrrdr y Lyrli.Pl:r:-v-1q- 2356
zo49l
371 E x c t s t o on T t n g u t n a rt y t t t P t rt u " " ' 1691
!4701
378 E*'ltlon ol 3333
!loPtY Y,':'::i:';,:;:, ;::;:: zassl
379 F x c t s t o nb l o p s v u t : u p e t t ' u ' " ' ' " " ' n ' 1691
t47ol
380 r - " i . i ^ h R i n n s vo f G r o w t h s / U l C e r S
1ss0l 1783
381, TrucutNeedleBioPsY r47A 1691
382 PercutaneousKidneyBioPsY . 1060 t219
383 MarrowBioPsY (OPen)
M7A 169t
384 MuscleBioPsY 1350 1553
JO) ScaleneNodeBioPSY 7286
1118
386 txclslonor )eudLcuu5uY"" 2722
1932
387 oll,o"'li.!11
r*,'!o" ll?ll?,;;:;; z25A 2588
388 E x c l S t o oo T 5 u p e t t t c t a t t ' t c u t u " " ' " " ' "
2049 25>O
389 n f D e r m o i dC Y s t s
E x c i s i oo 2875
2500
390 H a e m or r h o i d e c t o m Y 4629
4025
391 S t a p p l e rh a em o r r h o i d e c t o m Y
1150 t5z3
t ( e l ol o e x c l S l uI I
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABL
Non-NABL
393 Vericoseveinsurgery;Tendelenburg or
withsuturing
operation
8625 9919
lieation.

394 Atresia
of Oesophagus andTracheoOesophagealFistula 2875C 33063
395 Operationsfor Replacementof Oesophagusby Colon 2500c 28750
396 Oesophagectomv for CarcinomaEasophagus 2500c 78750
397 Oesophageal Intubation(MausseauBarbinTube) 1150C L3275
't 4950 L7793
398 AchalasiaCardiaTransthoracic
'l-2650
399 A c h al a s i aC a r d i aA b d o m i n a l 14548
400 OesophagG o a s t r e c t o m fyo r m i d 1 / 3 l e s i o n 24495 28169
40L Heller's
Operation 19750 227L3
402 position
Colon-lnter or Replacement
of Oesophagus 22540 25921-
403 Oesophago Gastrectomy- procedure
LowerCorringers 2t390 24599
404 Other MalorSurgery 7l675 31769
405 OtherMinorSurgery 5000 5750

406 GastroscopV 1 55 3 1786


407 Gastric & Duodenal Biopsy (Endoscopic) 1950 2243
408 PVloromyotomy 2800 3220
409 GastrostomV 8625 991"9
4'10 SlmpleClosure of Perforated pepticUlcer 9775 1L241
477 VagotomV Pyleroplasty / GastroJejunostomy 13800 1s870
4'J-Z Duodenojej unostomy 18950 21793
413 Partial/SubtotaI Gastrectomv for Carcinoma 23000 26454
4'l-4 Partial/Subtotal Gastrectomv for Ulcer 22425 2s789
4L5 Operation for Bleeding PepticUlcer 20000 23000
4L6 Operation for Gastrojejuna I Ulcer E78A 22747
41-l TotalGastrectomy for Cancer 72368 25723
4r8 Hi g hl v S e l e c t i v V
e agotomV 18630 2L425
419 & Drainage
VagotomV
Selective 18630 21425
420 n i t aI D i ap hr a g m a t i cH er n i a
ConAe 18975 2'J-821
421 HiatusHerniaRepair- Abdominal 74494 L6664
422 HiatusHerniaReoair- Transthoracic 16100 18515
423 ExploratorV Laparotomy L265C 1.4548
424 EpieastricHerniaRepa ir 1138s 13093
425 Umbilical H e r n i a
R e p a ir 11385 13093
476 Ventral/incisionalHerniaRepair 10293 11837
427 InRuinaI HerniaHerniorraphy 14835 17060
428 i n aI H e r n i a- H e r n i o p l a s t y
InAU 16500 18975
429 FemoralHerniaRepa ir 16457 18926
'18975 2L821
430 RareHerniasRepair(Spigalion, Lumbar,
Obturator, Sciatic)
431 Splenectomy ForTrauma 1-8975 21821
'14490
432 Splenectomy- ForHypersplenism 76664
433 Anastomosis
SDlenorenal 23000 264s4
434 Anastomosis
Portocaval 28750 33063
435 DirectOperation
on Oesophagusfor PortalHypertension 22885 26318
,

CGHSCHENNAI. NEWRATES2014

Non-NABH/
LIST
INVESTIGATION
PROCEDURE/
CGHsTREATMENT NABH/NABL
Sr.No. Non-NABL

436 Mesentericocaval Anastomosls 2s450 29268


431 WarrenShunt 287s0 33053
438 Pancerato DuodenectomY 2L735 24995
439 BvPassProcedure Carcinoma
for Inoperable of Pancreas 23000 2645Q
440 Cvstoiejunostomy or Cystogastrostomy 74494 L6664
44t Cholecystectomy L0292 11836
442 Cholecvstectomy & Explorationof CBD 1437s 16531
443 Repair of CBD 13600 15640
444 Operationfor HydatidCystof Liver r1.902 13687
445 CholecVstostomy ro292 11836
446 Hepatic Resections(Lobectomy /Hepatectomy) L4375 16531
447 Operation - Bilateral
on AdrenalGlands 26L05 3002L
448 Ooeration on AdrenalGlands- Unilateral 13800 15870
449 Appendicectomy 8108 9324
450 Aopendicular Abscess - Drainage 9775 Lt24L
451 Mesente ricCyst-Excision 17044 12696
452 Peritonroscopy/ LaparoscoPY 4600 5290
4J5 Jeiunostomy 5750 66L3
454 lleostomV 15410 17722
455 Resection & Anastomosis of SmallIntestine 70700 23805
456 Duode naI Diverticulum 18400 2r764
457 ODeration Obstruction
for Intestinal 10350 11903
458 Operation for perforation
Intestinal 34704 39330
459 BenignTumours of SmallIntestine 1955C 22483
460 of SmallIntestine
Excision Fistula 19550 22483
467 Ooerations for Gl Bleed 16000 18400
402 of SrylllI!99!M
for Haemorrhage
Operations 19550 22483
463 Operations of the l!19$!19!
of the Duplication 17825 20499
464 Ooerationsfor Recurrent Obstruction
Intestinal (NoblePlication
23000 2645Q
& OtherOperations for Adhesions)
465 llieosigmoidostomy relatedresection
and 16790 19309
466 Colostomv
llieotransverse andrelatedresection 16790 19309
467 Caecostomy 3903 4488
468 LoopColostomy TransverseSigmoid 13110 t5071
469 Termlnal Colostomy fi254 19838
470 Closureof ColostomY 17484 20L02
47r RiAhtHemi-Colectomy 1380C 15870
412 LeftHemi-ColectomY 13800 15870
473 TotalColectomy 17250 19838
474 Operations of LargeBowel
for Volvulus 24924 28658
475 Operations for SigmoidDiverticulitis 18630 27425
476 withfissurectomy.
in Anowith Internalsphinctrectomy
Fissure 13800 L587C
477 Fissurein Ano- Fissurectomy 5750 6613
478 RectalPolyp-Excision 5092 s856
479 in Ano - HighFistulectomy
Fistula t5102 17361
480 in Ano- LowFistulectomY
Fistula 9861 L\341
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. INVESTIGATION
CGHSTREATMENTPROCEDURE/ LIST NABH/NABL
Non-NABL
481 Prolapse Rectum- TheirchWiring 10350 11903
482 Prola oseRectum- Rectopexv 5750 6613
483 Prolaose Rectum - Grahams Ooeration 18400 2t764
484 Operatio nsfor Hirschspru ngsDisease 74264 16399
485 E x c i s i oonf P i l o n i d a l S i n( o
upsen) 11500 13225
486 Excision of PilonidalSinus with closure 11500 73225
487 A b d o m i n o - P e r i n eE
a lx c i s i o n
of Rectum 18300 2L045
488 Anterior Resectionof rectum 218s0 75r28
489 PullThrough Abdominal Resection u17A 79746
490 RetroPeritonealTumorRemoval 18000 20704
497 Radio ablationof varicoseveins 1800 2070
AO1 Laserablationof varicoseveins L7250 19838
493 LaproscoDicFundoplication 19300 22195
494 L a p r o s c o p iScp l e e n e c t o m y 25000 28754
495 L ap r o s c op i c R e m o v aol f h v d a t i dc y s t 18000 20704
496 Laproscopic
treatmentof PseudoPancreatic
cyst l^8000 20700
497 picwhipples
Laorosco n
operatio 20000 23000
498 Laproscopic
Gl bypassoperation 22000 25300
499 Laproscopic
TotalColectomy 25000 28750
500 Laproscopic
HemiColectomV 23000 26450
501 Anterior
Laoroscooic Resection 23000 26450
502 Laoroscooic
Cholecvstetomv L897 5 21821
503 L a o r o s c o p iAcp p e d i c e c t o m V 18000 20700
504 Laproscopic
Herniainguinal
reparr 18000 20700
s05 Laproscopic
ventralHerniaRepair 17500 20125
506 Laproscopic
Paraumblical
HerniaRepair 12580 74467
507 Laproscooic
Adrenelectomv 12000 13800
508 Nephrectomy
Laproscopic 22000 25300
509 OtherMaiorSurgerV 34200 39330
510 OtherMinorSurAerv 6000 6900

51L CoronaryCarewith Cardiac (RoomRentextra)


Monitoring 750 863
q,
51.2 Compressed air/ pipedoxvgen/per hour 45
513 Ventilato
r charges (Perdav) 531 o f t

514 carefor Newborn (Perdav)


Paediatric 186 274
515 charges(Perdav)
Incubator 345 397
516 NeonatalICUcharges (Perday) 391 450
577 Resuscitation 1.84 2L2
518 ngeTransfusion
Excha 239 275
519 Pneupackventilator (Perdav)
in Nurserv 575 oot

520 ASDClosure s1808 59579


52r VSDwitheraft 51808 59579
522 TOF/TAPVC/TCPC/R repair
EV/RSOV r27075 146136
523 B.D.Glenn/Left
atriummvxoma 80750 92863
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. CGHS PROCEDURE/
TREATMENT tIST
INVESTIGATION NABH/NABL
Non-NABL
524 SenninA/ASO with eraft 122188 140516
qt<
D50 93254 L07242
526 AVCanalrepair 151000 185150
527 Fonten 169000 194350
528 Conduit repair 169000 194350
529 CABG 114368 131523
s30 CABG+ IABP 152100 L749Ls
531 C A B G+ V A I V E . 169000 194350
s32 CABG withoutbvpass. 140000 161000
533 Ascendingaortareplacement 130000 149500
534 DVR 53000 60950
535 MVR/AVR 93254 107742
536 MV repair+ AVrepair 103615 119157
537 Aortafemoralbypass 52000 59800
s38 B.TShunt/Coaractation 51980 59777
539 P.A.BandingseptostomV 51980 59771
540 Pericardectomv 4732Q 48668
541 CMV/PDA 51980 59771
542 Gunshotiniury 51980 59777
543 nt
Hearttranspla 276004 31.7400
544 Ballooncoronary withVCD
angioplasty/PTCA 75000 862s0
q,4 q
BallooncoronarV withoutVCD
angioplasty/PTCA 75000 86250
546 Rotablation 48875 s6206
547 balloonvalvotomv/PTMC L0264 71804
548 CATH 10000 1-1500
549 ArchReplacement 10350 11903
550 AorticDissection D65A L4548
551 Thoraco Abdominal Aneurism Reoair 15000 L7254
552 Embolectomy 71000 241.54
553 Vascular Repair 36000 4r404
554 BentallRepair Valve
with Prosthetic 30000 34500
555 BentallRepair Valve
with Biologic I27 504 L46625
556 Coaractation dilatation 14500 L667s
557 Coaracta withStenting
tion dilatation 18500 27275
558 T P l S r n g lCe h a m b e r 7500 8625
559 TPIDualChamber 8160 9384
560 Permanentpacemaker implantation- Chamber
Single 13800 15870
561 Permanentpacemaker DualChamber
implantation- 19320 22218
562 Permanentpacemaker implantation
Biventricular 34s00 39675
563 AICDimplantationSingle
Chamber 28754 33053
564 AICDimplantationDualChamber 36ooo 47404
565 C o m b od e v i c e i mp l an t a t i o n 40000 46000
s55 Diagnostic studiesconventional
Electrophvsiological 4550 s233
567 Ambulatory BPmonitoring 587 675
568 ExternalLoop/eventrecording 2848 3275
569 RFAblation conventional 3s000 40254
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. CGHSTREATMENTPROCEDURE/ LIST
INVE5TIGATION NABH/NABt
Non-NABL
570 RFAblation
AtrialTachvcardia/Carto 4s000 51750
57'J- E n d om V o c ar di aI b i o p s y 10000 11500
572 IABP 7820 8993
573 lntravascular coils 46000 5290C
574 Septostomv- Balloon 1615C L8573
575 Septostomv- Blade 19s5C 22483
576 AVBD/PVBD 4830C 55545
577 Digitalsubtraction artery
angiographV-Peripheral 1150C 13225
578 Digitalsubtraction phV-venogram
angiogra 1150C L3225
579 C.TGuidedbiopsv L265 1455
s80 Sinogram 853 992
581 Peripheral Angioplastv
withVCD 11500 73225
plastv 'J.3225
582 PeripheraI Angio withoutVCD 11500
583 RenalAnAioplastv 60350 69403
584 IVUS 22504 2s875
585 FFR 72754 14663
586 Holteranalvsis 8s0 978
587 Aorticstentgraftingfor aorticaneurysm 78500 90275
588 IVCFilterimplantation L6r29 18548
589 ASD/VSD/PDA deviceclosure 36225 4L659
s90 ECG 50 58
591 HUTT 2200 2s30
s92 2 D echoca phv
rdiogra 1080 1-742
593 3 D echocardioeraphv 1763 L452
qo,a
F e t a lE c h o L260 1449
595 2 DTEE t263 7452
596 3 D T EE ( T r a
n s o e s o p h a g eI ea c h o) r203 1452
597 Echo-exercise
Stress 1350 1553
s98 Echo-pharmacological
Stress 2250 2588
599 S t r e s sM P I ' e x e r c i s e L760 2024
600 S t r e s sM P I p h ar m a c o l o g i cIa 2soo 2875
601 CoronarVangiographV 10350 11903
602 CTcoronarvangiography 5030 6935
603 CardiacCTscan 2272 2613
604 C a r di a c M R I 2444 28't't
505 Stress
Cardiac
MRI 3000 3450
606 M Ra n g i o g r a p h V . 5535 6480
607 C a r d i aPcE T 1500 L725
608 Perica rdiocentesis 3500 4025
609 OtherMajorSurgery 2000c 2300c
610 OtherMinorSurge rV 4Z5A 4888

611 & P.repair


with or withoutEpisiotomV
NormaldeliverV 8000 9200
612 vacuumdeliverv 8625 9919
613 F o r c ep s D e l i v e r y 9200 10s80
614 C e s ar e a nS e c t i on 1405C 1 6 1 58
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. CGHSTREATMENTPROCEDURE/ LIST
INVESTIGATION NABH/NABI-
Non-NABL
515 CesareanHVsterectomV L7078 19640
616 RuptureUterusclosure& repairwithTubalLigation 1s750 18113
or/ of UterusafterD/ELaparotomy
Perforation & Closure 17424 1,4283
618 LaparotomVfor Ectopicpregnancy 1,270Q 14605
619 itisLavageand Drainage
Laparotomy-periton 11100 1,2765
620 Salphingo-Oophorectomy/ Oophorectomy Laproscopic 10000 11500
621 OvarianCvstectomV-laparoscopic. 103s0 11903
622 OvarianCvstectomv-laparotomv. 13800 15870
623 Salpingo-Oophorectomy-laparotomy L'1524 73248
624 LaproscopicBroadLigament Hematoma Drainagewith repair 6900 7935
625 Explorationof perinealHaematoma & Repair 8000 9204
626 Explorationof abdominal Haematoma (afterlaparotomy+
8050 9258
LSCS)
627 ManualRemoval of Placenta 310s 3571.
528 Examination underanesthesia (EUA) 1000 1 1 50
629 Burst-abdomen Reoair 10000 11500
630 GapingPerineal WoundSecondary Suturing _Lb) b LgQ4
b5r GapingabdominalwoundSecondary Suturing 310s 3571.
632 Completeperineal tear-repair 2000 2300
633 Exolorationof PPH-tear repair 3150 3623
634 evacuation
Suction vesicular mole 5000 5750
635 Suction
evacuation Missedabortion/incomolete abortion s000 5750
636 ColpotomV 3450 3958
637 of post-coitaltear/
Repair perinealiniurv 3't57 3631
638 Excision
of urethralcaruncle 3450 3968
639 Shirodhkar/Mc.Donald's stitch 3220 3703
640 Abdominal Hysterectomy with or withoutsalpingo-
15525 77854
ooohorectomv
641 Vagina (NDVH)
I Hysterectomy 1 5 52 5 r1854
642 Vaginal with repairs(UVProlapse)
HvsterectomV 16000 18400
643 Mvomectomv -laparotomy 13400 15410
644 Mvomectomvlaparoscopic 6325 7274
645 V a g i n op l a s t y t4700 1690s
646 -Simple
Vulvectomy 9200 10580
647 VulvectomV-Radical 9200 10580
648 R V F R e p ai r 14000 16100
649 Manchester ODeration 15000 77250
650 slingOperatlon
Shirodkar's for
or otherslingoperations
3450 3968
orolaoseuterus
551_ Laparoscopic for prolapse
slingoperations uterus 2s200 28980
652 Diagnostic
Curettage 2484 2857
6s3 Cervical
Biopsv 1800 2070
654 Polvpectomv 1518 L746
655 other-MinorOperationEndometrial 230C 2645
655 Excision
Vaginal rtholinCyst
Cyst/Ba 3105 3571
657 Vaginal
Excision Septum 41,4Q 4761
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr,No. CGHS PROCEDURE/
TREATMENT INVESTIGATION
tIST NABH/NABt
Non-NABI
6s8 -Diagnostic
Laparoscopy andor
with chromopertubation
3623 4L66
adhesiolvsis
anddrilling
659 roscopV
Lapa Sterilization 3450 3958
660 LAVH 22719 1612 |

66L BalloonTemponade for PPH 2800 3220


bbz Totallaparoscopic hvsterectomv 24000 27600
663 Laparoscopic treatmentof Ectopic pregnancy-
9775 LL24I
saloinsectomv/salpinostomv conservative
664 Conisationof cervix 4025 4629
665 Trachhelectomy of cervixfor earlyCAcervix 5500 6325
666 Hvsteroscooic cannulation 2875 3306
667 Laparotomy recannalization of Fallopian
tubes-(Tubuloplasty) 20183 232lC
668 Laparoscopic recannalization of Fallopian
tubes-(Tubuloplasty) 1950C 22425
'1.102
669 Colooscopv 958
670 Inversionof Uterus- VasinalReposition 2500 2875
67'J. Inversionof Uterus- Abdominal Reposition 2500 2875
otz Laparoscopic VVFRepair 2800c 3220C
673 Abdominal WF Repair 28000 3220C
674 VaginalWF Repa ir 28000 3220C
675 InterventionaI UltrasonographV(CVS) 880 1012
676 Amniocentesis 880 L012
677 Karvotvpins 800 924
678 Thermal balloonablation. 11500 1-3225
679 Ultrasonographic myolysis 10000 1150C
680 VaginalMyomectomy 10000 1150C
681 lntraUterinelnseminition 924 1058
682 tcsl 11500 73225
683 Laparotomyabdominal sacro-colpopexy 1s000 1.7254
684 VaginalColpopexy 22004 2s300
685 pa
La roscopic abdominal sacro-colpopexV 20000 2300c
686 LaparotomvpelvicLvmphadenectomv 1204 1380
687 Laparoscopic pelvicLvmphadenectomy 3500 4025
588 Endometrial cytoloey/biopsy
aspiration 574 656
689 Transvaginal sonography (rySfor Follicular
monitioring
464 529
/aspiration)
590 laoarosco0ic treatmentfor stressincontinence 13500 15525
691 Transvaginal tapesfor Stressincontinence 13500 15525
692 trans-obturator taDesfor Stressincontine
nce 11000 n6sa
693 Interventional radiographic arterialembolization 16500 18975
694 Diagnosticcvstoscopy 7875 3306
695 Staginglaparotomvsurgeryfor CAOvary 5200 7'BA
696 lnternallllacliAation 3393 3902
691 steowise devascu larisation 8600 9890
698 Assistedbreechdeliverv 9833 11308
699 lntra-ute
rinefetalbloodtransfusion 19'J.48 22024
700 Hvsterosco pvTCRE 8500 9775
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr,No. CGHSTREATMENTPROCEDURE/ LIST
INVESTIGATION NABH/NABt
Non-NABI
707 HvsteroscopV Removal of IUCD 6750 7763
702 Hvsteroscopv Removal of Septum 9900 11385
703 Hysteroscopy Diagnostic 6754 7763
704 RadicalHysterectomyfor Cancer cervixwith pelvic
8500 9775
lvmphadenectomv
705 RadicalHysterectomy for Cancer endometriu m extendingto
8500 9775
cervixwith oelvicand para aorticlvmphadenectomy
706 Postpartum(minilap)
Sterilization 3600 4L4A
707 interval(minilap)
Sterilization 3750 43L3
708 UltrasonographV Levelll scan/Anomaly Scan s00 575
709 FetalnuchalTranslucencV 27Q 311
710 FetalDoppler/U mblicaI Doppler/UterineVessel Doppler 8s0 978
7LL MTP-1stTrimester 2704 3105
7',t2 MTP- zndTrimester 5:r5l
71,3 Quadruple test 2000 2300
714 Biophysicalscore 600 690
71,5 Other MaiorSurgerV 2800c 3220C
7L6 OtherMinorSurgerV 5000 s750

777 PartialNephrectomy -open L621.5 L8647


7L8 Partial NephrectomV-laproscopic/endoscopic r449C L6664
-710
Nephrolithomv -open 1200c 1380C
720 Nephrolithomy -laprosco piclendoscop ic 1400c 1610C
'711
PVelo lithoto my-o pe n 1300c l_4950
722 Pvelolithotomy -laproscopic/endosco pic 1058C L2L67
723 Operations for Hydronephrosis -pyeloplastyopen 1840C 2L160
724 Operations for Hydronephrosis -pyeloplastyLap/endoscopic 1900c 2185C
725 Operations for HVdronephrosis Endoplyelotomy antegrade 2000c 23000
726 Operations for Hydronephrosis Endoplyelotomy retrograde 2000c 23000
721 Operations for Hvdronephrosis -ureterocalicostomy 1800c 20700
728 Operations for Hvdronephrosis-llealureter 1800c 20700
729 OpenDrainage of Perinephric Abscess 800c 9200
730 Percutaneous Drainage of Perinephric
Abscess -Ultrasound
5750 6613
euided
73L Cavernostomy 9775 1124r
732 Operations for Cystof the Kidneyopen 11960 1,3754
733 Operations for Cvstof the Kidney-Lap/endoscopic 14030 16135
-ooen 'l-3248
734 Ureterolithotomv 1.5235
/35 UreterolithotomV-Lap/Endoscopic 10000 11500
736 Nephrou reterecto myopen 16100 18515
737 Nephroureterectomy -Lap/Endoscopic 15100 18515
738 operations for Ureterfor -DoubleUreters 19000 21850
739 Operations for Ureter-forEctopia of SingleUreter 18000 20700
740 Operations for Vesico- uretericReflux-Open 18000 20700
74't- Operations for Vesico-uretericReflux-La p/Endoscopic 18000 20700
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. CGHSTREATMENTPROCEDURE/
INVESTIGATION
LIST NABH/NABL
Non-NABL
742 Operationsfor Vesico- uretericReflux/Urinaryincontinence
20704 23805
with bulkinRasents
743 UreterostomV - Cutaneous 12000 13800
744 Uretero-Colicanastomosis 16000 18400
745 Formation of an llealConduit 17254 19838
746 UretericCatheterisation 690 794
747 Biopsyof Bladder (Cvstoscopic) 7070 2381
748 paxv
cvsto-Lithola 10925 12564
749 Operationsfor Iniuriesof the Bladder 10000 11500
750 Suprapubic Drainage (Cystostomy/vesicostomy) 6000 5900
7 51- S i m p l eC y s t e c t o m V 17250 19838
752 Diverticulectomy-open 1600c 1840C
753 Diverticulectomv-Lap/Endoscopic 1840C 2TL6C
754 Diverticulectomv-Endoscopicincisionof neck t775 1984
755 Augmentation CVstoplasty 6674 7677
756 Operations for Extrophy
of the Bladder-Single
stagerepair 22304 25645
757 Operations for Extrophv
of the Bladder-Multistage
repair 20815 23931
758 Operatlons for Extrophy
of the Bladder-simplecystectomywith
27504 25875
urinarvdiversion
759 Repa -Ooen
ir of Ureterocoel 13800 15870
760 Repair -Lap/Endoscopic
of Ureterocoel 14375 -LO) 5 -t
'/6't- -Endoscopic
Repair of Ureterocoel incision 13000 14950
762 OpenSuprapubic ProstatectomV 20700 23805
763 OpenRetropu bic Prostatectom y 20125 23144
764 Transurethral
Resection of Prostate {TURP) 18630 21425
765 Urethroscopy/ CVstopa nendosco py 4600 529C
766 InternalurethrotomV-optica I 5750 oo tl

767 InternalurethrotomV -Core throughurethroplastv 1104C 17696


768 UrethralReconstruction -Endto endansatamosis 3450 3968
769 UrethralReconstruction - substitution (Transpubic
urethroplasty
19550 22483
urethroolastv
770 Abdomino PerineaI urethroplasty 14000 16100
771 PosteriorUrethralValve fulsuration, 7L27A 12967
772 Operationsfor Incontinence of Urine- Male-Open u25A 19838
773 Operationsfor Incontinence of Urine- Male-Sling 18400 21"764
774 Operationsfor Incontinence of Urine- Male-Bulking
agent 19435
775 Operationsfor Incontinence of Urine- Female-Open 1,7250 19838
ll6 Operationsfor Incontinence of Urine- Female-Sling 18400 21160
777 Operationsfor Incontinence of Urine- Female-Bulking
agent 19435 22351
778 Reductionof Paraphimosis r125 1984
719 mcisio
Circu n 3000 3450
780 Meatotomy 2346 2698
781- MeatoplastV 3724 3703
782 Operations + Chordee
for Hvpospadias Correction 9200 1058C
183 Operations -
for HvpospadiasSecond
StaRe 1s00c 1725C
784 Operations - OneStaAeRepair
for Hvposoadias 9204 10s8c
CGHSCHENNAI. NEWRATES2014

Non-NABH/
LIST NABH/NABL
TREATMENT
CGHS INVESTIGATION
PROCEDURE/ Non-NABL
Sr,No.
11-500 13725
785 C p e r a t i o n tso r L r l p p l e qH y p u ) t r d u r d > . t4482
12593
786 O p e r a t t o n st o T r p t s p o u t o > - t r " " : o ' . v ' ' . v " " .
13093
11385
787 s o rt p t s p a u t a s - ut tt. r v ' - " ' v ' . ' ' " - ' " "
O p e r a t t o nT L2379
^ ^f +h6 D 6ni< LO764
vr Lr!! ' _" '
788 HartldlAlrlPuLdrru'r
12000 13800
789 T o t a l a m P u r a r l o n u l L lr c r t r r r r 1L247
9775
790 OrchldectomY-)lrrrPrc.
t2075 13886
^ --L: r ^^+^-,, D-di..l
797 \-,rl Ll llucLrvr I rY rrus'|vq'

portnua,.rt
Ot.f idectomy
nua|c-rt node
retroperitoneallymph 1400c 16100
792
dissection. 800c 9200
793 Fn t n t o v m e c t u l l l v
Ut l.t"ral/Bilateral
Ut-d".t"tv Carcinoma-
for Tumour/For 2530( 29095
794 Ad**.6.t"tv
Open ,: ;- :::,
LdrLrrrurrrd'
795 y n i l a t e r a l / B i l a t e rtaolr l u m o u r / r o t
A d r e n e c l e c t o mU L437 16531
| -^ /E-.1^(.^ni.
586: 6745
796 lor nyor9!919 yltlt-o-'':
Operattons " 85s 9839
-
797 O p e r a t t o n st o r n y o t u c e t c o t t o ' = ' ' ' L322s
---
1150(
798 O p e r a t t o n l o rt o r s t o t t u rt e : t ' : .. . .
12696
I gnsatamosts 11o4ol
799 ii-rc.c-su.gica /vaso epidedym.a
I vasovasostomy
770 8861
800 9200 10s80
801 r'"".
"p.,. l"' :":"'"': ;: ;I:';::: i- ; ;;:::. :;;;,;;i 12650 r4548
802 oP"'.ti"":' I'"'l:!::::::i:::::i ;' "";i
t ' a #:";;
' --',-.--'-- 149s01 r7r93
803 O p e r a t l o n sT o rv a t t c t r c c t so t' o" ' " ' --- -'
7274
^+:^^ ^{ ili^ ihd'rinal Nndes- (Jne)loe lrul Ld-rsrrrJ' 6325
804
of itioingr''nut - Bothsides(Forca-
tttodes 23000 26454
805 iloirr".ton
Penis) 11500 13225
t c ''
806 EXCl5lUlIUl rrlor ror Jur v!vt
3500 40?5
,,:,' - -.. r-^^-^l-^+-+i^. /roleiod\
807 Nlul rcY i I orrryrqr r!s!tvr ' \' ' -_--
L43000 164450
808 iffi-a nt pl nt" t ion (spousal/ unr-elt t ed) 507150
^ 6^ :.- -^ ---^+lL.l^ " -r.1n.^l.htatlnn 441000
809 34920C 401580
81,0 68425
sgsoOl
811 28754 33063
872 45000
813 83300
814
(Related)/
815 K-.d*vTr."plt.,t *,th NativeKidneyNephrectomy 28000
Unilateral . -- ----'
Transplant with NativeKidney (nerdreui/
Nepnrecromy 85000
815 Kidney
B i l a l r . r a l : : : : : ;
(rpeu>drl
8L7 t i t h N a t i v eK i d n e yN e p h r e c t o m y
K i d n e yT r a n s p l a nw 85000 97750
--^l^+^r\ | l^il-+6r.1
"u l l l s r o ( s " / ^r /
"',"
818 K i d n e yT r a n s p l a nw t i t h N a t i v eK i d n e yN e p n r e c r o m y\ ) f ' u u 5 d r / 85000 97750
U n r e l a t e dB) i l a t e r a l - ' '-'
6800 7a20
T-^^.^r-^+.^lla.tinn d
- r -a i n a s e t O r L V m p n O C e l [eo p e r U
819 ruJL-rrorrJPrur,!vvi'!r--
-

820 port-iEropt"nt Collectiondrainagefor Lymphocele 6800 7824


(oercuta
neous)
CGHSCHENNAI-NEWRATES2014

Non-NABH/
Sr.No. CGHSTREATMENTPROCEDURE/ LIST
INVESTIGATION NABH/NABT
Non-NABL
82r Post-Transplant
Collection drainagefor Lymphocele
7650 8798
{Laproscopic)
822 Arteriovenous
Fistulafor Haemodialvsis 2300 2645
823 Arteriovenous
Shunt for Haemod ialvsis 3500 4025
824 Jugula for Haemodialvsis
r Catheterization 1500 1.125
825 S ub c l a v i a
n C a t h e t e r i z a t i ofno r H a e m o d i a l v s i s 275C 2588
826 O n es i d e d( s i n g l eL u m e n )F e m o r a lC a t h e t e r i z a t i of n
or
1000 1150
Ha e m o di a l v s i s
827 Bilateral(single Lumen)Femoral for
Catheterization
1500 1725
Haemodia lvsis
828 DoubleLumenFemoralCatheterization for Haemodialvsis 1850 2728
829 Permcath lnsertion z52A 2898
830 ArteriovenousProsthetic Graft 1850 2128
831 Single lumenJugular Catheterization 1500 1725
832 SinglelumenSubclavia n Catheterization noa 1955
833 Plasma Excha nge/Plasma phresis 1725 1984
834 OpenmethodCAPD catheterinsertion 3500 4025
835 Schlendinger methodCAPD insertion
catheter 3150 3623
836 Sustained low efficiencv hemodialvsis 1250 1438
631 Contin uousVenovenous/Arteriovenous Hemofilteration 2250 2588
838 Hemodialysis for Seronegative cases 1400 1610
839 Hemodialvsis for SeroPositive cases 1650 1 8 98
840 AcutePeritonea I Dialvsis 1450 1668
841 Fisto
losram for Arteriovenous Fistula 2500 2875
842 Ultrasound AUided kidneV Biopsv 850 978
843 Fistula stenosis dilation 2700 3105
844 Slowcontinuous Ultrafilteration 2500 2875
845 PCN L - Unilateral 20000 23000
846 PCNL - BilateraI 25000 28750
847 Endoscopic Bulkins agentIniect 4500 5175
848 Testicula r Biopsy 1955 2248
849 Rad ica N e p h r e c t o m y- O p e n \1250 19838
850 R a d i c aNephrectomv -Lap/Endoscopic 20100 23805
851 Radica NephrectomvpluslVthrombus 2070c 23805
852 pluslV thrombuspluscardiac
Rad ica Nephrectomy bypass. 2300c 26450
853 l i s t u l aR e p a i r( O p e n )
V e s i c oV a g i n a F 1500c 18400
854 VesicoVaginalFistulaRepair(l-aproscopic) 2200c 25300
855 -lleaI conduit
RadicaI Cvstectomv 1700c 1 9 55 C
856 Radical - continent
Cvstectomv d iversion. 1500c L725C
857 R a di c aI C v s t e c t o m v -N e o b l a d d e r 1850C 21-275
'L0014
858 Nephrectomv Simple-Open 11585
8s9 Nephrectomv Simple-lap/Endoscooic 72593 14482
860 Nephrostomy -Open 10000 11500
861 Nephrostomv -Lap/Endoscopic 9634 11079
862 Re-implantfor Megau
Ureteric retericreflex/
reter/Vesicou
1.0494 r2068
uterocele{o0en)
CGHSCHENNAI. NEWRATES2014

Sr,No,
Non-NABH/
dbJ Non-NABt_ NABH/NABt

1-0494 12068
864
6b5 13800 15870
dbb
'J-7250
19838
5b/ 77000 19550
868 11000 t2650
l6q 9867 71.347
170 :IJT 12334 1,41.84
171 72282 1-4L24
872 Uqqol 1'6l-rs
873 977a LL24
874 3450 3968
10925 L2564
6/5

876 10350 11903


877 1-O92s 12564
878 8s56 qe 10
879 47'J-5 s422
880 2000 2300
881 1984
882 33350 38353
- - - - _ - - _ - 1 y
883 Laproscopicovelolithotornv- 10000 11500
884 !91r' L2650 1,4548
885 :s!lt 71-241.
- - - - _ - - - - - : ' " r
385 Laproscopicuretero Iith o tn.,.,F 9775 L1.241
887 !1!9ol tzz:s
888 L322sl rszos
889 190001 zrsso
890 450 518
891 18ol ss2
892 28031 3223
893 Jrlor. 467s1 fi76
894 Uo'4,; 3381 3888
474 476
395
895 RadrcaI prostatectomv_Lanro
Jlii'- 1,7825 20499
- - - - . - - . - - - - F ' -

897 -

t{adrca
I prostatectomv-
Roh# 20125 23L44
898 {o 20125 231.44
899 15000 17250
900 4600 5290
901 17250 19838
902 1-0200 LL730
903 L7250 19838
904 6800 7820
13500
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABT
Non-NABL
905 CystoscopicBotulinum ( Overactivebladder/
ToxinInjection 5800 7820
Neurosenic bladder)
906 disease
Pevronie's - Plaqueexcision withgrafting 3400 3910
907 HighIntensityFocusUltrasound (HIFU)(Robotic)
for Carcinoma
4600 s290
andrenalcellcarcinoma
orostrate
908 surgerV
Prosthetic for urinaryincontinence 2300 2645
909 TRUS guidedprostate biopsy s75 bbt
't20
910 Ultrasound guidedPCN 828
91L OtherMaiorSurgery 15000 17254
912 OtherMinorSurgery 6800 7824

913 Craniotomv andEvacuation of Haematoma -Subdural 50715 58322


9L4 Craniotomv andEvacuation of Haematoma -Extradural 5000c 5750C
915 Evacuation of BrainAbscess
/Excision by craniotomy 4000c 46000
916 of Lobe(Frontal
Excision TemporalCerebellum etc ) 41000 47L50
9t7 of BrainTumours
Excision -Supratentorial 39123 44991
918 of BrainTumours
Excision -lnfratentorial 45000 5r750
919 Surgeryof spinalCordTumours 4s000 51750
970 Ventriculoatrial Shunt
/Ventriculoperitoneal 25000 28754
921 TwistDrillCraniostomy 4250 4888
922 SubduralTapping 2456 2824
J23 Ventricular Tapping 2967 34r2
924 AbscessTapping 2875 55UO

925 Placement of ICPMonitor- 2875 3306


926 SkullTraction Application 2300 2645
927 LumberPressu re Monitoring 4250 4888
928 Vascular Malformations 22000 2s300
'J.7250
929 MeningoEncephalocoele andrepair
excision 1s000
930 Meningomyelocoel Repair 24995 28744
931 F.Rhinorrhaea ir
C.S. Repa 28754 33063
932 Cranioplastv 24754 27773
933 AnteriorCervica I Dissectomy 16600 19090
O 2/t BrachialPlexus Explorationandneurotization 1552s 17854
93s MedianNerveDecompression 12500 1449C
936 Peripheral NerveSurgery - Major t725C 19838
937 Peripheral NerveSurgeryMinor 8280 9522
938 Ventriculo-Atrial Shunt 11615 L3357
939 NerveBiopsy 6900 7935
940 Brain Biopsy 5808 6679
94r AnteriorCervical withfusion
SpineSurgery 32204 37030
942 AnterioLateral Decompression of spine 28154 33063
943 B r a i nM a p p i n g 831 953
944 Dorsalor LumbarLaminectomy
Cervicalor 23000 26454
945 Combined Fusion
& CVJunction
Trans-oralSurgery 34500 39675
946 C.V.JunctionFusionprocedures 3000c 34s0c
947 DeoressedFractureElevation 2s000 2875C
CGHSCHENNAI. NEWRATES2014

Non-NABH/
LIST
INVEsTIGATION
PROCEDURE/ NABH/NABt
Sr.No. TREATMENT
CGHS Non-NABL
27604 3L74Q
948 LumbarDiscectomY
Endarterectomy(carolt!)----------------.-..-- 20000 23000
949
for Trigeminal Neuralgia 11500 L3225
9s0 R.F.Lesion
SurgerY - 39675 45626
951 Spasticity
Fusion Procedu re 30000 34500
952 Spinal
I IntraMedullarY Tumours 3450C 39675
953 Spina
Major 18975 2L821.
954 SpinalBifidaSurgery
I BifidaSurgerY Minor 15000 fi254
955 Spina
bropsy/aspirationof cyst 23000 26454
956 itereotaxicProcedures-
SurgerY- 3000c 34500
957 TransSphenoidal
30000 34500
958 TransOralSurgery
of DBS-Oneelectrode 34500 39675
959 lmplantation
of DBS-two electrodes 40250 46288
960 lmolantation
961 Endoscopic aqueductoPlasty 1500c 17250
nervereconstructlon 30000 34500
967 Facial
stenting 42263 48602
953 Carotid
I discarthroPlasty 27604 3fl44
964 Cervica
LumbardiscarthroPlasty 1380C 1s87C
965
callostomY for EPilePsY 3s000 402s0
966 Corpus
for EPilePsY 32200 37030
967 HemishpherotomY
CSFrhinorrhea rePair 30000 34500
968 Endoscopic
of chronicsubdural haematoma 24L5A 27713
969 Burrholeevacuation
surgerY 36225 4t659
970 EpilepsV
17250 19838
97r RFlesionfor facetjointpainsyndrome
laminoplasty 32000 36800
972 Cervical
massC1-CZ screwfixation 23000 26454
973 Lateral
nslys
flgErnjn9.l
decomplessienler 3800c 4370C
974 Microsurgical
spasm
for hemifacial
decompression 4646 s343
975 Microsurgical
proced
ures 32000 36800
976 lCECbypass
l m a g eg u i d e dc r an i o t o m Y
28980
977 -
39000 44850
978 PumPimPlantation
Baclofen
979 VPshunt
Programmable 2s000 28750
symPathectqmY n101 79673
980 Endoscopic
2Q7 238
981 Lumberpuncture
4600 5294
982 ExternaI ventricuIat CELn-q€s-(EyE-
mv
3rdventriculosto 4000c 46000
983 Endoscopic
cranialsurserl@!!y&iqilg!91- 31536 36266
984 Endoscopic
(Lqrn!e r, Jelyj!ell-
discectomy 35627 40964
985 Endoscopic
coiling(Elqevglegl3O--- 30960 35604
986 Aneurysm
40000 4600c
987 Surgervfor skullfractures
TunneldecomPression 15000 t7250
988 Carpel
aneurysm
of intracranial 74750 77773
989 Clipping
Arteriovenous
for intracranial malformarions(AVM) 40000 46000
990 Surgery
magnumdecompression for CharlMalformation 1100 L265
991 Foramen
for backachein failedbacksyndrome 287s0 33053
992 columnstimulation
Dorsal
32200 37030
993 for recurrentdlgq!I9E!:9/e-Pjggellibrg:!i
Sursery
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABt
Non-NABI
994 Surgerv for brainstemtumours 43988 50586
995 Decompressivecraniotomyfor hemishpherical acutesubdural
40000 4500c
haematoma/brain swelling/large infarct
996 Intra-arterial thrombolysis withTPA(forischemic stroke) 4600 s290
997 Steriotactic aspiration of intracerebral haematoma 37545 31427
998 Endoscooic asoiration of intracerebellar haematoma 40000 46000
999 Steriotactic Radiosurgery for brain pathology(Xknife/Gamma)
27560 31694
ONEsession
1000 Steriotactic Radiosurgery for brainpathology(X knife/ Gamma
66L25
57500
knife-Two or moresessions
1001 Chemotheraphy wafersfor malignant braintumors 1-4450 15618
1002 BatterV Placement for DBS 19800 22774
1003 Baclofen pumpimplantation for spasticity 17330 19930
roo4 Periphera I Nervetumorsurgery 24004 77604
1005 Surgerv Intra CranialMeningioma 20000 23000
1006 Surgeryfor Intracra niaI Schwannoma 35000 40250
1007 Surgervfor Gliomas 45000 51750
1008 Surgerv for OrbitaI tumors 40000 46000
1009 Surgerv for Crania| (Skull)tumors 38500 44275
1010 SurgerV for Scalp AVM's 25000 28754
1011 K V p h o p l a s t y 40000 4500c
!01.2 B al l o o n K y p h op l a s t y 4000c 4600c
1013 Lesioning procedures for Parkinson's disease,Dystoniaetc. 3500c 40250
1014 OtherMaiorSurgery 4250C 48875
1015 OtherMinorSurgerV 17000 19550

I Duct/Cyst
of thyroglossa
1016 Excision 16000 18400
LO77 Diaphragmatic HerniaRepair(Thoracic
or Abdominal
Approach) L7250 19838
1018 TracheoOesophageal (Correction
Fistula Surgery) 23000 26450
1019 C o l o nR e p l a cm
e en t o f O e s o p h a g u s 23000 26454
1020 Omphalo Mesenteric CvstExciston L7250 19838
ro27 Omohalo Mesenteric Duct- Excision 15525 17854
1.022 Meckels DiverticulectomV 3347 3849
1023 Omphalocele 1stStage(HerniaRepair 15525 17854
1024 Omphalocele 2ndStee(HerniaRepair) 17254 19838
1025 Gastrochisis Repair 16100 18515
LO26 InguinalHernrotomy 12558 14442
L027 Conge nitaI Hydrocele 12000 1380C
1028 Hydrocele of Cord 12000 1380C
7029 TorsionTestisOoeration 15000 1725C
operation ' 13938 16029
1030 ConRen itaI PvloricStenosis-
1031 Duodenal- AtresiaOoeration 1400c 15100
7032 Pancreatic RingOperation 22425 25789
1033 Meconium lleusOperation 14s00 L6615
1034 lrotation
l\4a of Intestines
Operation 13000 14950
1035 RectalBiopsv (Megacolon) 9736 11195
CGHSCHENNAI- NEWRATES2014

Non-NABH/ *orr/"or,_
LIST
INVESTIGATION I
Sr.No, CGHSTREATMENTPROCEDURE/ Non-NABL I
Transverse 1s0001 r72s0
1036 Colostomy
150001 7725A
ro37 Colostomy Leftlliac
p"tteal PullThrough(Hirschaprugis Disease) 19000 21850
1038 nOOorin'rt
AnusLowAnomaly -CutBackOperation 102351 r777O
1039 lmperforate
120001 13800
1040 Irp"rfotateAnrs LowAnomaly- Perineal Anoplasty
-Sacroabdomino Perineal Pull
1041 f.p"rt-"t" m'usHighAnomaly 125001 1.4375
tnrousn
a a r t n t a r o a n r r <H i s h A n o m a l v - C l o s u r e o f C o l o s t o m v 862s1 9919
LO42
70704 23805
1043 lntususception OPeration
LO44 Choledochod uodenostomyfor Atresiaof ExtraHepatic Billiary L7250
150001
Duct
160001 18400
1045 . r h 6 ' . t i ^ h n f f h n l c d n c h a l C v s t
17000 19550
1045 N e n h r e c t o m fvo r - P v o n e P h r o s i S
for - HYdronePhrosis 15000 L7250
ro47 Neohrectomv
for -WilmsTumour 1s0001 t72so
1048 Nephrectomy
1049 laraorticLymph"denoctomy with Nephrectomy for Wilms 20000 23000
Tumour
TeratomaExcislo! 1400c 16100
1050 Sacro-Coccygeal
r.50001 18400
1051 NeuroblastomaDe!!l!.[g--
20704 23805
ro52 Nr^,,'^hl.ctnrna Tntal Fr. ision

rcomaryideggisjen 15000 1725C


10s3 Rhabdomyosa
& Stqng!l!e!!rngL!-.!19:IinS 19000 21850
Atresia
ro54 Consenital
160001 18400
1055 Muconium ileus
of the Midgut
& Volvulus
Mal-rotation
1s000 17254
1056
Deverticulum 12000 1380C
ro57 of Meckle's
Excision
27000 31050
SurgerY
ross fothet IVlaior
110501 12108
1059 OtherMinorSurgerY

300 345
1060 Primarv Suturingof Wound
1000 1150
1051 Iniectionof Keloids- Ga!€!cn_-------
- Haemangtoma 1035 1190
7062 Injectionof Keloids
1725 1984
LO53 lFreeGrafts- WolfeQa l!9
7475 8596
1064 FreeGrafts- Theirech-SmallArea5%
8000 9200
1055 FreeGrafts LargeArea10%
10350 11903
1066 E , 6 a c r . f r < - \ / a r v l e r o e A r e a 2 0 % a n d a b o v e
8974 10315
1067 I s k i n F l a o s- R o t a t i o nF l a P s
1-2s00 74375
1068 lskinflaps- Advancement Flaps
- cross Flaps-
Leg Cross Arm Flap 12500 5
1.437
1069
- l SkinFlaps Direct-
- crossFinger 12500 1.4375
1o7o lskinFlaps
- 9350 10753
ro7f lskinrlaps Abdominal
9350 10753
1072 SkinFlaps- Thoracic
11000 L2654
ro73 SkinFlaps- Arm Etc.
po.li.lp Flaos Raisins 6900 7935
LO74 c , , h . ' , t . h o ^ , , c
FlapsDelay 5950 6843
1075 suLlcutaneous Pedicle
Flaps Transfer 5950 5843
1076 Subcuta neousPedicle
8625 9919
r077 Cartilage Grafting
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABt
Non-NABL

1078 Reduction of Nose


Fractures
of Facial 1380 1587
L079 of Facial
Reduction of Maxilla
Fractures 8000 9200
1080 Reduction & Maxilla- EyeLetSplinting
of Mandible
of Fractures 7475 8596
1081 Reduction & Maxilla- CastNetal
of Mandible
of Fractures 5900 7935
Splints
1082 Reduction of Fracturesof Mandible & Maxilla- Gumming Splints 7500 8525
1083 lnternalWireFixation of Mandible & Maxilla 11500 L3275
-
1084 CleftLip repair. 11500 r522)
'l-2654 L4548
1085 CleftPalateRepair
1085 PrimarV BoneGrafting for alveolarcleftin CleftLip 1150C 73225
1087 Secondarv Surgeryfor Cleft LipDeformity 10000 11500
1088 Secondary Surgery for CleftPalate 12650 14548
1089 Reconstruction of EyelidDefects- Minor 6325 7274
1090 Reconstruction of EyelidDefects- Major 8500 9775
1091 Plastic Surgerv of Different Regions of the Ear- Minor 8050 9258
1092 Plastic Surgerv of Different Regions of the Ear-Major 10350 11903
1093 Plastic Surgery of the Nose- Minor 8050 9258
r094 Plastic Surgery of the Nose- Major 9500 L0925
1095 Plastic Surgery for FacialParalysis(Suppe4lryI! 1911'm9!e!) 1610C 18515
1096 PendulousBreast - MammoPlasty 13000 14950
1097 Underdeveloped Breastlvlammoplasty 12000 13800
1098 AfterMastectomy (Reconstruction)Mammoplasty 12000 13800
1099 svndactyly Repair 1275A L4663
1100 Dermabrasion Face 13225 15209
1 1 0 1 upto30%Burns1stDressing r)z rl)

7702 upto30% BurnsSubsequent Dressing 124 1.43


1103 3O/oto 5Oo/o Burns 1st Dressing 193 222
'J.L04 Dressing t)z 175
30%to 50% BurnsSubsequent
l- 105 Extensive Burn-above50%FristDressing 276
1106 Extensive Burn-above50%Subsequent dressing 193 222

L707 Work
Plaster 25s 293
1108 (postslab)
Fingers 259 298
1109 Fingers plaster
full 259 298
1110 Fracture
Colles - Belowelbow 978 7r25
TIII Fracture
Colles - FullPlaster 994 L't43
1.112 fractureAnt.Or post.slab
Colles 400 460
1113 Aboveelbowfull plaster 173 r99
'l-'l-L4 575 661
AboveKneepostslab
1115 BelowKneefull plaster L73 199
ttto BelowKneepost-sla b 178 826
1'J-17 TubePlaster(or plaster
cylinder) 800 920
1L18 Abovekneefull plaster L265 r-455
'1L19 Abovekneefull slab 1158 1332
t120 Minerva Jacket 2300 2645
't12r Jacket
Plaster 2000 2300
CGHSCHENNAI- NEWRATES2014

Non-NABH/
LIST
INVESTIGATION | *orr/ron
Sr.No. CGHSTREATMENTPROCEDURE/ Non-NABLI
L760 2024
LIZZ q h ^ ' ' l . l A r c h i . 2
7019 2322
1.L23 c i h d l a l . l ; h c n i . a
24841 2857
1L24 D o u b l e H i D s o i c a
119 206
tt25 Straooins of Finger
180 207
1.L26 S t r ao o i n go f T o e s
of Wrist 234 26s
L127 Straooins
250 288
1r-28 Strappingof Elbow
311 358
t729 Strappins of Knee
c+r. ^^ihd nf A nklc 311 358
1130 J!' vt,t/ri rb e, ... -

4s0l 518
1131 q f r a n n i n g o f C h e s t
of Shoulder 466 s36
Lt5Z Strapping
ct-, 'ro nf Q hendaop 466 536
1133
234 265
7134 Collarandcuffsltng
3601 41-4
1135 B a l lb a n d a g e
for Upper& LowerLimbs 633 728
LL36 npptic"tion of P.O.P Casts
1350 1553
t1.37 n n n l i e r t i n n n f F r r n . t i o l C a s t B r a c e
62t 714
1138 A n o l i c a t i o no f S k i nT r a c t i o n
Tractions 854 982
1139 A0plicatio n of Skeletal
a a h . l . d A P , qtrannino< for Fractufes 491 572
Lt40
& lntraArticularIniections 575 66r
\t41- Asoiration
Spices & Jackets 2473 2844
L't42 Applicatton of P.O.P
of Lin! 3-BO.l 2600 2990
11.43 Close Reduction of Fractures
D 6 . 1 ',. i i ^ h n f l - n m n n r r n d F r a c t U r e s 276A 3L74
t't 44
of
& InterntlFl*ation st75 5v)r
1145 f6pen Reduction
ii4 PPer/ LowerLimb 8050 9258
I
l-ilins& ExterlFixation
L147 lOoenReduction of fractureof LongBonesot Upper/ Lower 96601 11109
lLimb-Ao Procedures
s658 6501
1148 TensionBand Wirings
6601 7591-
Y.49 lBoneGrafting
6900 7935
1150 lExcisionof BoneTumours
for Scaph 7188 8266
rfif lf*.ittn or otherOperations
6900 7935
1152 lseouestrectomv & Saucerisation
-AI!hrelety 9971 LI467
1153 TS"quutttectomy& S"uc"rl!!!jen:
NeckFemur 103s01 11903
1154 lvtultiptePinningFracture
NeckFemur 13500 15525
irss lPlate for Fracture
Fixations
NeckFemur
foi Fracture
Procedures t4904 L7740
rrSO lnlOCotpression
ii@r Graft
Pedicle
Muscle 19500 22425
andlnternaI Fixations
Reduction of Dislocations 3r74 3650
1158
- - - - l Close
3439 3955
1159 lOpenReduction of Dislocations
6lLp o,{,,.ti.'.' .' f Fracture Dislo cat ion & Internal Fixat io n 13500 15525
1160
13800 15870
t761- Neurolvsis/Nerve rePalr
15008 !72s9
1L62 N r 6 . \ , aa a n a i r \ ^ / i r h G r a f t i n s
10250 11788
1163 T^^.{^h r^,ith Tren<nlent or Graft
8050 9258
LL64 TendonLenstheninellq!q9ll9lg[_---
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr,No. TIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABL
Non-NABL

-L LO] TendonTransfer 3105 3577


_troo Laminectomv Excision DiscandTumours 4830 555s
'1t67 SoilOstectomv andInternalFixations 24150 27773
1-168 Anterolateral decompression Costo-
for tuberculosis/ 3968
3450
Transversectomv
L'169 Antereolateral Decompression andSpilFusion 19350 zzz) a
'L'J.70 Corrective Ostectomy & InternalFixation - shortbones 13800 1587C
1-17',1- Corrective Ostectomy & InternalFixation longbones 1104C L2696
L 1 7 2 Arthrodesis of - MinorJoints 10000 11500
' L ' 137 Arthrodesis of ' Malorloints 10000 11500
rt7 4 SoftTissueOoerations for C.T, E.V. 80s0 9258
III) SoftTissueOperations for Pollo 6900 793s
-LIlO Hemia rthroplasty- Hip 20000 23000
1 L 7 7 Hemiarthroolastv- Shoulder 20000 23000
L778 Ooerations for Brachial Plexus & CervicalRib 27735 2499s
-
1179 Amputations BelowKnee 5900 7935
1180 AmDutations - BelowElbow 6843 7869
1181 Amputatio ns- AboveKnee 8050 9258
1182 A m p u t a t i o n sA b o v e E l b o w 6843 7869
1183 AmDutations - Foreq uarter 13225 L5709
1L84 Amoutations -HindQuarterandHemipelvectomy 18400 211"64
1185 Disarticulations - Majorjoint 1863C 21425
1186 Disarticulations - Minorjoint 1138s 13093
L187 Arth rographV 9200 10580
1188 ArthroscopV - Diagnostic 8568 9853
1189 Arthrosco py-the rapeutic: withoutimplant 10000 11500
1190 Arthroscopy-thera peutic: with implant 1552s t7854
1 1 9 1 SoftTissue Ooeration on JOINTS -SMALL 6900 7935
1192 SoftTissue Operation on JOINTS -LARGE 13500 1s525
1193 Mvocutaneous andFasciocutaneous FlapProceduresfor Limbs 76767 19282
rLg4 Removal of Wires& Screw 1760 2024
1195 Removal of Plates 4740 4IOt

1196 TotalHipReplacement 79000 90850


1197 TotalAnkleJointReplacement 8s850 98739
1198 TotalKneeJointRePlacement 99000 1138sC
1199 Tota ShoulderJointReplacement 7L70C 8L765
1200 Tota ElbowJointReplacement 71r.00 8r765
L207 Tota WristJointReplacement 90000 103s00
1202 Totalfingerjoint replacement 20000 23000
1203 Tubularexternalfixator 4500 5290
7204 llizarov's external f ixator 7163 8927
1205 Pelvi-acetebu lar fracture-lnternal fixation 8625 9919
r206 Meniscectomy 1200c 13800
r20l Meniscus Repa ir 10000 11500
1208 ACLReco nstruction 8s00 9775
1209 PCLReconstruction 13s00 1s525
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. CGHSTREATMENTPROCEDURE/ LIST
INVESTIGATION NABH/NABt
Non-NABI
T2IO KneeCollateral Lisament Reconstruction 1250C t4375
12'Lr Benca rf ReoairShoulder 1320C 1s180
12L2 RCRepair 150C L725
12'J-3 Biceps tenodesis 14000 16100
12L4 DistaI biceostendonreoair 10380 L1937
r2'15 Arthrolvsis of knee 12s00 14375
12T6 Capsulotomy of Shoulder 1422C 16353
72L7 Conservative Pop 1080 1242
72L8 Application for CTEV persitting r20c 1380
12L9 Tota HipReplacement Revision Stage-l 1700c 19550
L220 Tota HipReplacement Revision Stage-ll s0000 57500
r22't Tota KneeReplacement RevisionStage-l 35000 40250
1222 Tota KneeReplacementRevision Stage-ll 35000 402s0
7223 lllizarov/external deformity
fixationfor limblengthening/
1,1,250 12938
correction
rz24 Discectomv/ MicroDiscectomy 12500 L4375
L225 Laminectomv 4646 5343
1226 Spina I Fixation l/dorsolumbar/
Cervica lumbosacral 1.4400 16560
1.227 Fusion Surgery LumbarSpineupto 2 Level
Cervical/ 22000 25300
L228 Morethan 2 Level 12000 13800
L229 Scoliosis Surgery/Deformity Correctionof Spine 25000 28750
1230 Vertebroplastv 12000 13800
123r S p i n aI I ni e c t i o n s 450 518
1232 DHSfor Fracture NeckFemur 15000 77250
1233 Proximal Femoral Nail(PFNfor lT Fracture) 14000 16100
L234 SpinalOsteotomv L434 L649
L235 lllizarov's
/ ExternalFixationfor Trauma 13000 14950
'J.2141.
1235 SottTissue Operations for Polio/Cerebral
Palsy 10ss7
L237 MiniFixator for Hand/Foot 9000 103s0
1238 OtherMaior5urgerV 34425 39589
1239 OtherMinorSurgery 11883 13665

1240 Ultrasonic
therapV 70 81
't241 S.W.Diathermv 70 81
1242 Electricalstimulation(therapeutic) 70 81
L243 Muscletestinganddiagnostic 7L 82
1244 lnfrared 70 81
'l-245 58 67
U,V.Therapeutic dose
L246 Intermittent LumbarTraction 10 81
1.247 lntermittentCervicaltraction 68 78
1248 Waxbath 68 78
7249 Hotpack 78 90
1250 Breathing Exercises& PosturalDrainage 50 58
7251 Cerebral Palsv- exercise 50 58
'J-257 Post- polioexercise 50 58
CGHSCHENNAI. NEWRATES2014

Non-NABH/
Sr.No. LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABL
Non-NABL

IL55 Cobalt60 therapy 57375 65981


1754 Radicaltherapy 61s83 70824
IL)) Palliative
therapy 21994 25293
L256 Linearaccelerator 29754 3421-3
1-257 Radicaltherapy 52185 50703
1258 therapy
Palliative 30t 97 3s411
7259 3 D Planning 4399 s059
1260 2 D Planing 4399 5059
lzr))- IMRT(lntensitv Modulatedradiotherapy) 100878 116010
1262 SRT(Stereotactic radiotherapy) 60996 70L45
1263 5RS(Stereotacticradiosurgery) 80546 92628
7264 IGRT(lmase py)
suidedradiothera t4701-6 169068
7265 Respiratory planning
Linearaccelerator
Gating-alongwith 110000 12650C
IZO O beamwith Linearaccelerator
Electron 60726 s
6983
L 2 6 7 Tomotherapy 7 t46A 82119

L268 Intracavitory r173C 13490


1269 Interstitial 5278s 60703
7270 lntra luminaI 9775 L1241
1271- Surfacemould 4180 4807
L272 GLIADALWAFER 93900 107985

L273 Neoadjuva nt 863 992


r274 Adiuva nt 863 992
1275 Concurrent-chemoadiation 920 1058
1276 Single drug 552 635
7277 M u l t i p l de r u g s 891 1032
t278 Targetedtherapy 924 1058
L279 Chemoport facility 924 1058
1280 PICC line(peripherallV inserted canulisation)
Central 924 1058

1287 LowerG.l.
UpperG.l,Endoscopy+ Endoscopy IJ55 1786
L282 endoscopy
Diagnostic 250 288
1283 E n d o s c o p ibci o p s y 345 397
L2a4 Endoscooic mucosal resection 1543 17'l4
1285 Oesophageal stricture dilatation 1700 1955
7286 Balloon dilatationof achalasia cardia 2875 3306
1287 Foreign bodyremoval 1725 1984
1288 Oesophagealstenting 3000 3450
1289 Band ligationof oesophagea I vartces 2500 2875
r290 Sclerotherapy of oesophageal varices 2254 2s88
129L Glueinjection of varices 2s00 2875
r292 Argonplasma coagulation 4025 4629
1293 Pvloricballoondilatation 2415 2777
CGHSCHENNAI- NEWRATES2014

Non-NABH/|
LIST
INVESTIGATION
Sr.No. CGHSTREATMENTPROCEDURE/ Non-NABL| "orr/"or'_
-
36801 4232
Fntoranel stenting geol
r294 113!
L295 Duodenal dilG
stricture 4600
4000
1296 S i n g l eb a l l o o ne n r e ru L e u Y 3s09l 4oz5
1297 D o u b l eb a l l o o ne n r e ru s L u P Y 44ssl 5121
L298 CapsuleendoscoPY 10991 L264
1299 Pilesbanding 2n7l 3148
1300 : o l o n i cS t r i c t u r ed l l a t a r l o n 3000 3451
1301- l o t b i o P s Yt o r c e P sP tu c c u " ' ' " 27371 3148
1302 C o l o n i cs t e n t l n g 2oool 230q
1303 J u n c t i o nb i o P s Y 4000 4600
1304 C o n j u g am l tcroscttPY 24t5 2711
1305 F n . l n s c o o t cs o n l n c r e lu L U rt r Y 2777
2475
1,306 CBDstoneextracrlon s850 6728
1307 C B DS t r i c t u r eo l l a r a r l o r r 4800 5520
1308 t"''!Y'f"lll?'Y'lliii
ii'i;;-;;:;;1 7204 828C
1309 M c c h a n l c a l l l r n u L r l p 5 y v r - " " " ' " " - - 5738 659!
1310 P a n c r P a t i cs P n l n c r e r o L UI rI Y 5175 cq5
1,311 P a n c r e a t i cS t r l c t u r eo l l d L d t r uIl 9088 1045
t3L2 Pancreatlc stone e{!!g!j.jY! t0247 \r78,
1313 7700 88sl
1314 E n d o s c o P ct cy s r ot a > t tu > . ' " ' ' Y 62LO 7 14,
1315 R al l o o n d l l a t a t l o n o l p d p r | ' d 575 oor
1-316 I J l t r a S onud g ul o e o r r \ ^ L 720 828
106'
13r7 U l t r a s o u n d g u l o e o a p s L c s 5L / rd r r 1150 LSZJ

1318 PTBD 1900 2L85


1319 D i a g n o s t tacn g t o B r a P t t Y 15100 17365
1320 J a s c u l aer m o o l l z a r l o r l 486C 5589
L3ZI IIPs 3079 35410
t322 I V Cg r a P h Y+ n e P a t t cv e t t' " s ' o Y " Y 8797 roLll l
L5 Z5 Muscularstenting s7sool 66721
1324 BRTO .. 1s131 2lno
r5 z) PortalhaemodYmic studles 1854
r6L2
r326 M e n o m e t r v a n o P n I I l t s l 'Yr s17s
4sool
L327 OesoPnagea r nt t t t e t tY
soo0L___-!ZI9
1328 O e s o p h a g e aml a n o m e t r Y 6800 78ZA
t329 SmallbowelmanomelrY 61201 7038
1330 Anorectal y
manometr 8798
7654
T5J.L manometrY
Colonic 7650 8798
r55Z .unlT"ltY
Bili.rY 2588 2976
:::;:_;::-:::''
1333 S e n g s t a k ebnl a c < e n e s steu u : t = ' t ' " " " 2875 55UO

7334 350 403


'-'- ' ---
r5 5) F e c a lt a t t € s t / r e c a t u t t y t t ' v ' ' v v " " ' r 300 345
1550 B,"u,ha"t,t 37260 42849
, , , ,,-,,: ;;;;:;;;;::;
r55 t E x t r ac o r p o r e ast n o tl w a v e ' ' ' ' ' " ' ' ' v . y ]-,242 L428
1-338 LiverbioPsY
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABt
Non-NABL

1339 I loPAx-ray
Denta 50 58
1340 OcclusalX-rav 78 90
7341 OPGX-rav 196 225

1342 Scan(V/q!q1)
LunsVentilation& Perfusion 3244 3726
1343 LungPerfusionScan 1800 2070

1-344 WholeBodvBoneScanwith SPECT. 3421 3934


1345 ThreephasewholebodyBoneScan 3421 3934

1346 SPECT
BrainPerfusion 99m
ScanwithTechnetium 8798 10118
radiopharmaceuticals.
1347 Cisternography
Radionuclide for CSFIeak 3366 387r

1348 GastroesophagealRefluxStudy(G.E.R.s!!y) 195s 2248


t349 Bleed(GloB.)Study
Gastrointestinal 99m
withTechnetium 3541
3019
labeledRBCs.
1350 Hepatobiliary ScintigraPhY. 2444 28r'L
1 35 1 Meckel's Scan 1955 2248
1352 Hepatosplenic withTechnetium-99m
scintigraphy r870 2L51
radiopharmaceuticals
1 3 5 3 GastricemPtYing 1.275 1466

1354 RenalCortical 99mD.M.S.A.


withTechnetium
Scintigraphy 3079 3541
1355 DVnamicRenography. 3079 3541
1356 DVnamicRenographywith Diuretic. 3079 3541
1357 DvnamicRenography withCaptopril 1960 2254
1358 r Scan
Testicula 1466 1686

1359 ThvroidUotakemeasurementswith 131-lodine 1500 t725


1360 ThvroidScanwith 99m
Technetium Pertechnetate. L466 1686
r50_t WholeBodyScan.
Lodine-131 2933 3373
1s836
'L82rr
1362 WholeBodvScanwith M.l.B.G.
Scan
1353 Parathyroid 4500 sL75

L364 Therapy
131-lodine 1530 1760
136s Therapy
131-lodine <15mCi 3854 4432
1366 Therapv15-50mCi
131-lodine 4956 s699
L50I Therapv
131-lodine 51-100mCi 10800 1242C
1368 ineTherapy
131-lod >100mCi 1500c 77250
1369 bonepainpalliation
therapyfor metastatic
Phosphorus-32 5000 5750
L370 Samarium-153 bonepainpalliation
therapyfor metastatic 9405 10816
L371 mywithYttrium
Radiosvnovecto L9L25 2t994

1372 Stressthallium/ MyocardialPetfullqr,ltjltiglg-p-ly 850s 978'1.


r373 Perfuqlq!!q4€Eply--
Restthallium/ Myocardial 7204 8280
C G H SC H E N N A.I N E W R A T E S
2014

Non-NABH/ *ntH/*ott-
Llsr
INVESTIGATIoN I
Sr.No. PROCEDURE/
cGHsTREATMENT I Non-NABL I
:rool 3795
phY
Venogra
489 562
t375 TMT
489 502
-t5 /o TEE 1855
r-0131
r377
43201 4968
1378 75819
65982
1379
18475 2L246
1380 15171
t3791
1 38 1 17250
15000
1382

p r o t e l na n o
1383 U r i n er o u t i n e -p H ,5 p e c i f i cg r a v i t y ,s u g a r , 35 40
microscoPY l2
63
1384 Urine-Microalbumin 3
32
1385 24 zt
1386 S t o o lo c c u l tb l o o d . 3
30
1387 P o s tc o i t a ls m e a Te x a m l n a tlon
35 4(
1388 semen analy5lS
" , , ",,,,,"",,,,."."{sr.,!i!r! rlrlrr r! Fr.l:l!::rrl*:l

18 2L
1389 32
28
1390 IuLor Lsulvry!r! vvv '\'--,
28 3Z
1391 Differen Count (DLC)
LiaI Leucocvtic
25 29
r392 E , SR, . 35
30
1393 i l l l ' " ^ , . r r ^ r r . n r r n r r u i r h N n a v M c H . M C H C . D R W
*r""g.rtpret" Hb,RBC
1394 CorUEG rf*r""g.,tttlCeC, countand indices'TLC' 122 140
DLCP , l a t e l e tE, S RP, e r i p h e r asl m e a re x a m i n a t i o n
43 49
1395 P l a t e l e ct o un t 49
43
1396 R e t i c u l o c Y tceo u n t Aa 49
. ^- i^^ ^h il -^' rhi
!397 13 15
1398 39 45
1399 37 43
1400 37
32
1401 58
50
L402 70 81
1403 259
725
t404 440 506
1405 L11
102
1406 44 51
1401 '114
99
1408 vvLrL LyLv!rrr",,J!i t - -- --

Thrombin
p"*L PT,APTT, D
TimeFibrinogen' 460
1409 S""d",CDrs"rd"r. 400
Dimer/FDP 745
648
1410 Vlll
FactorAssaYs-Factor
6'12 104
74!1- Factor lX
AssaYs-Factor
50 58
14t2 test
PlateletFunction
CGHSCHENNAI-NEWRATES2014

Non-NABH/
Sr.No. LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABt
Non-NABL
1413 Testsfor hypercoagulable C,ProteinS,
states-Protein 460
400
Antithrombin
L414 Testsfor lupusanticoagula
nt 150 773
r475 Testsfor Antiphospholipid antibodylgG,lgM(for cardiolipin 500 575
and82 clvcoprotein 1)
1-4'l-6 Thalassemia studies(Red andHb HPLC)
Cellindices 560 644
1417 Testsfor Sickling
/ Hb HPLC) 77 89

74L8 BloodGroup& RHType 3l 35


L419 Crossmatch 45 57
L420 Coomb'sTestDirect 81 93
142'l- Coomb's TestIndirect 90 104
7422 3 cellpanel-antibodyscreeningfor pregnant
female 153 776
1423 Ll cellsoanelfor antibodvidentification 770 rvb
1424 HBsAg 100 115
'J.47
L425 HCV r28
L426 H I Vl a n dl l 150 173
L427 VDRL 40 46
L428 RHAntibodV titer 80 92
1429 Platelet Concentrate 56
L430 Random DonorPlatelet(RDP
) 1-25 t44
143L SingleDonorPlatelet (SDP-
Aphresis) 135 155

L432 Routine-H & E 90 704


14J I specialstain 65 75
7434 lmmunohistochem istrV(lH
C) 675 776
1435 Frozen section 780 897
L436 Paraffinsection 309 355

'J.437 PapSmear 135 155


1438 Bodvfluidfor M alignant cells 155
1439 FNAC 180 207

'J.440 panel/LVmphoma
panel 1536 7766
Leukemia
744L PNHPanel-CD55,CD59 1000 1150

L442 KarvotVping 1539 177A


r443 FISH 500 575

1444 BloodGlucose Random 24 28


7445 creatinine
24 hrsurinefor Proteins,Sodium, 50 58
1446 BloodUreaNitrogen 49 56
1447 SerumCreatinine 50 58
1448 UrineBilePigment andSalt 23 26
L449 UrineUrobilinogen 20 23
1450 UrineKetones 27 5I
CGHSCHENNAI. NEWRATES2014

Non-NABH/
LIST
INVESTIGATION NABH/NABt
Sr,No. CGHSTREATMENTPROCEDURE/ Non-NABL
UrineOccultBlood 32 37
L45L
18 21
7452 Urinetotalproteins
1453 Rheumatoid Factortest 90 ro4
'J.454 Jones protein 42 48
Bence
1455 SerumUricAcid 50 58
total& direct 77 83
L456 SerumBilirubin
'J.457 Serumlron 81 93
7458 c . R . P . 100 lr)
't /t qo 160 l-84
C.R.PQuantitative
1460 Body fluid (csF/Ascitic FIuidq1!,)!ggr,jplgj! {.. 90 104
!46t Albumin. 18 LI

'J.462 Creatinine clearance. 80 92


)o 64
L463 SerumCholesterol
7464 TotallronBinding CaPacity 80 92
(Fasting & PP) 47 54
L465 Glucose
t+oo SerumCalcium -Total 54 62
-lo nic 44 5t
L467 SerumCalcium
rus
<A 62
7468 SerumPhospho
1469 TotalProteinAlb/GloRatio 50 58
225 259
1470 lsG.
250 288
t47L l*l\rl
't472 l g A . 225 259
200 230
1.473 A N A ,
DsDNA. 3ls 362
7474
50 58
L475 S . G , P . T ,
50 58
t47 6 5.G.O.T.
105 721.
L 4 7 7 Serumamylase
SerumLipase LI7 135
t478
L479 SerumLactate 70 d_L

90 104
1480 SerumMagnesium
50 58
L48L SerumSodium
SerumPotassium 50 58
I482
90 104
1483 SerumAmmonia
204 235
7484 AnemiaProfile
150 173
1485 SerumTestosterone
zLo 248
L486 lmprintSmearFromEndoscoPY
68 78
7487 Triglyceride
90 104
1488 GlucoseToleranceTest(GTT)
800 920
1489 TripleMarker.
100 115
1490 cPl(
85 98
L49L F o e t a lH a e m o g l o b i n( Hb F )
't 492 Prothrombin Time(P.T.) 100 Ltf

L.D.H. 1-00 115


L493
EA h2
1494 AlkalinePhosphatase
AcidPhosphatase 78 90
L495
CKMB 190 219
L496
CHENNAI.
CGHS 2014
NEWRATES

Non-NABH/
Sr.No. CGHSTREATMENTPROCEDURE/ LIST
INVESTIGATION NABH/NABt
Non-NABL
1497 C KM B M a s s 140 151
1498 Troponin I 100 115
1499 Troponin T 540 621
1500 Glucose Phosphate (G,6PD)
Dehydrogenase 100 115
150L Lithium. L17 135
1502 Dilantin(phenvtoin). 360 414
1503 C a r b am a z e p i n e , 36C 414
1504 Valproicacid. 300
1505 Feritin. 251 288
1506 Bloodgasanalvsis 120 138
7507 Bloodgasanalvsiswithelectrolvtes 414 476
1508 Urinepregnancy test 59 68
1509 Testsfor Antiphospholipid syndrome.
antibodies 252 290
1510 Hb 41 C 130 150
1511 Hb HPLC
Hb Electroohoresis/ 100 I L f

15'12 KidneV FunctionTest. 203 233


1513 LiverFunctionTest. 225 259
1514 LipidProfile.( LDL,
Totalcholesterol, rides)
HDL,treigylce 200 234

1515 Serumlron 90 1.04


1 5 L 6 TotallronBinding Capacitv 90 704
7517 SerumFerritin 100 115
1 5 1 8 VitaminB12assav, 250 288
1 5 1 9 FolicAcidassav. 300 345
t520 Extended LipidProfile.(
Totalcholesterol,LDL,
536 616
HDL,treiAVlcerides,Apo A1,ApoB,Lp(a)
)
t521 Apo A1. 200 230
1522 ApoB. 199 229
1523 L D{ a) . 430 495
'170 195
7524 C D3 , 4a n d8 c o u n t s
1525 CD3,4and8 percentage 170 r-96
'1526 LDL, 62 7I
'J.527 Homocvsteine. 400 460
1528 HBElectrophoresis. 396 455
L529 SerumElectroohoresis. 220 253
1530 Fibrinogen. tb) 190
1 53 1 C h l o r i d e . 54 62
t532 MaAnesium. _15 ) 155
TJSI GGTP. 81 93
1534 L r p as e 2L5 241
1535 F r u c t o s a m i n e . 180 207
1536 B2microglobulin 81 93
IJ3 I Catecholamines. 94s 1087
1538 Creatinine clearance. 108 L24

1539 P S AT
. OtAI, 281. 323
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABt
Non-NABL
1540 PSA-
Free. 338 389
'J.54r A F P . 274 311
1542 HCG, 289 332
L543 cA.125. 380 431
L544 cA 19,9. 554 631
1545 cA 15.3. 504 580
1546 l a n d e l iAcc i d
V i n vM 350 403
L547 Calciton in 450 518
1548 Carcioembryonic antigen(CEA) 306 352

1549 lmmunofluorescence 150 173


1550 andkidneyDisease)
Direct(Skin 425 489
1 55 1 (antids
Indirect DNAAntiSmithANCA) 425 489
L552 VitD3assaV 5s0 633
1553 SerumProteinelectrophoresiswith
270 311
immunofixationelectrophoresis(lFE)
1554 BETA-2 Microglobulinassay 100 115
1555 llinatedpeptrde(AntiCCP)
Anticycliocitru 450 518
1556 nsgluta
Antitissuetra minaseantibody 425 489
'1557 425 489
SerumEryth ropoetin
1558 ACTH 500 575

1559 T3,T4,TSH 180 207


1560 T3 64 74
1 56 1 r4 64 t4
1.562 TSH 90 104
1553 LH 150 173
'1564 FSH 150 L73
1 56 5 Prolactin 150 173
1566 Cortiso I 250 288
t)o / PTH(Paratharmone) 500 575
1568 C-Peptide. 330 380
1 56 9 lnsulin. 150 L73
7570 Progesterone. 225 259
L57r 17-DHProgesterone. 396 455
1572 DHEAS, 396 455
L5t 3 Androste ndione. 600 690
'l-574 330 380
GrowthHormone.
1575 TPO. 300 345
L576 Throslobu lin. 300 345
1577 Hydatic Serology. 318 366
1578 AntiSpermAntibod ies, 342 393
7s79 Qualitative. 1800 2070
1580 Quantitative. 1500 1725
1581 Q u al i t a t i v e . 1691 1945
1582 HP Vs e r o l o g y 218 25r
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABL
Non.NABI
L583 RotaVirusserology 130 150
1584 PCRfor TB 900 1035
1585 PCRfor HIV 600 590
1586 Chlamvdae antigen 800 924
L587 chlamydae antibody 238 274
1588 Brucellaserology 230 265
1589 InfluenzaA serology 849 976

1590 USGfor Obstetrics- Anomalies scan 323

1591 AbdomenUSG 323 371


r592 PelvicUSG( prostate,gynae,infertilityetc) 255 293
1593 SmallpartsUSG( scrotum, thyroid,parathyroid
etc) 349 40'L
1594 Neonata I head(Tranfontanellar) 383 444
1595 Neonatalspine 450 518
1596 Contrast enhanced USG 810 932
L597 USGBreast 349 401
1598 USGHVstero-Salpa ingogra phy (HSG) 255 293
1599 CarotidDoppler 765 880
1500 ArterialColourDoppler 635 730
160r- VenousColourDoppler 635 130
r602 ColourDoppler, renalarteries/anyotherorgan 720 828
1603 USGsuidedintervention- FNAC 490 564
1604 USGeuidedintervention - biopsy 720 828
1605 USGguidedintervention - nephrostomy 800 920
'J.32
1606 Abdomen APSupineor Erect(Onef ilm) 115
'1607 AbdomenLateral view(onefilm) 115 132
1508 Chest PA view (one f ilm) 60 69
1609 ChestLateral (onefilm) 60 69
1610 Mastoids:Towne view,obliqueviews(3 films) 225 259
1 6 1 1 Extremities, bones& JointsAP& Lateral views(Twofilms) 230 265
t6L2 Pelvis A.P (onefilm) 110 r27
1613 T. M. Joints(onefilm) 110 r27
t6r4 Abdomen& Pelvisfor K.U. B. 120 138
1 6 1 5 S k u l l AP. .& L a t e r a( 2
l films) 230 265
76L6 SpineA. P.& Lateral films) (2 zzJ 259
16'J-7 P N Sv i e w ( 1 f i l m ) 110

1618 BariumSwallow 510 587


L619 BariumUpperGl study 800 920
1620 BariumUpperGl study(Double
contrast) 935 LO75
ro2 | BariumMeal
follow through 935 1075
'J.622 BariumEnema(Single contrast)
contrast/double 8s0 978
t623 Smallbowelenteroclysis 1020 7773
L624 ERCP (Endoscopic - Pancreatogra
Cholangio
Retrograde phy) 2500 2875
CGHSCHENNAI- NEWRATES2014

Non-NABH/
5r. No, LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABL
Non-NABL
L625 Genera | :Fistulography /Sinogra phy
phy/Sialogra
638 734
/Dacrocvstographv/T-Tube Nephlostogram
cholangiogram/
'J.444
7626 Percuta neoustranshepatic (PTC)
cholangiography 1656
1627 Intravenous Pyelography(lVP) 1190 1369
1.628 Micturating Cvstourethrography(MCU) 680 782
7629 Retrosrade UrethroeraPhY (RGU) 680 782
1630 Contrast Hystero-Salpingography (HSG) 918 1056
1531 X ray- Arthrography 630 725
1632 C e p h al o g r ap h V 150 173
1633 Myelography 2475 2846
't634 Diagnostic Angiography
DigitalSubtraction (DSA) 1749 20L1.

1535 X-rayMammography 315 362


- L O 50 MRIMammography 2550 2933

1637 CTHead-Without Contrast 900 1035


1638 CTHead-wlth Contrast(+/- CTangiography) 1350 1553
1639 C.T. Chest- withoutcontrast(forlungs) 1700 1955
1640 C.T.ScanLowerAbdomen(incl. WithContrast
Pelvis) L700 1955
t641 C.T. ScanLowerAbdomen( WithoutContrast
Incl.Pelvis) 1500 L725
L642 C.T.ScanWholeAbdomenWithoutContrast 3000 3450
7643 C.T.ScanWholeAbdomenWithContrast 4050 4658
L644 TriolePhase CTabdomen 4500 5L75
1645 CTangiogra phyabdomen/Chest 4500 5r75
L646 CTEnteroclVsis 5400 oz tv

L647 C.T.ScanNeck- WithoutContrast 1500 7725


7648 C.T.ScanNeck- With Contrast 1870 215r
L649 C.T.ScanOrbits- WithoutContrast 1190 1359
1650 C.T.ScanOrbits- With Contrast 1615 1857
1651 C.T. Scanof ParaNasalSinuses- WithoutContrast 900 1035
L652 C.T.Scanof Para NasalSinuses - WithContrast 1600 1840
1653 C.T.Spine(Cervical,Dorsal,Lumbar, contrast
Sacral)-without 1500 7725
.LDJ+ CTTemDoral -
bone withoutcontrast 893 7027
-
1655 CT Dental I275 L456
1656 C.T,ScanLimbs-WithoutContrast r700 195s
t657 C.T.ScanLimbs-WithContrast tQl4g|s8lgqry-
including 2253 2591
1658 -FNAC
C,T.Guidedintervention 1200 1380
1659 C.T.GuidedTrucutBiopsy 1200 1380
1660 -percutaneous
C.T. Guidedintervention catheterdrainage
/ 1305 1501
tube placement

1661 MRIHead- WithoutContrast 1998 2798


7662 MRIHead- WithContrast 2848 3275
'l-445
1663 MRIOrbits- WithoutContrast t ooz

t664 MRIOrbits- WithContrast 2000 2300


1665 MRINasopharvnx and PNS- WithoutContrast 2450 z8L8
CGHSCHENNAI- NEWRATES2014

Non-NABH/
Sr.No. CGHSTREATMENTPROCEDURE/ LIST
INVESTIGATION NABH/NABt
Non-NABI
1666 MRINasopharvnx andPNS- WithContrast 3500 4025
1667 MRfor Salivarv GlandswithSialographv 3000 3450
1668 -
MRINeck WithoutContrast 3000 3450
1669 MRINeck-withcontrast 5000 s750
7670 MRIShoulder- Withoutcontrast 2000 2300
't-67r MRIShoulder- Withconntrast 2600 2990
L672 MRIshoulderbothJoints- Withoutcontrast 3000 3450
7673 MRIShoulder bothioints- With contrast 4000 4600
1674 MRIWristSinglejoint- Withoutcontrast 2t25 2444
L675 MRIWristSingleioint- Withcontrast 4000 4600
1676 MRIWristboth ioints- Withoutcontrast 2125 2444
7677 MRIWristBothjoints- Withcontrast 5000 5750
1678 MRIkneeSingle iolnt- Withoutcontrast 2L25 2444
L679 MRIkneeSingleioint- Withcontrast 5000 5750
1680 MRIkneebothioints- Withoutcontrast 2L25 2444
1681 MRIkneeboth ioints- Withcontrast s000 5750
1682 MRIAnkleSingle joint- Withoutcontrast 7L25 2444
1683 MRIAnklesingleioint- Withcontrast 5000 5750
1684 MRIAnkleboth ioints- Withcontrast 5000 s750
1585 MRIAnkleboth ioints- Withoutcontrast 2500 2875
-1O60 MRIHip- Withcontrast 2s00 2875
't 687 MRIHio- withoutcontrast 2L25 2444
1688 MRIPelvis- WithoutContrast 2L2s 2444
1589 MRI Pelvis- with contrast 5000 5750
1690 MRIExtremities - Withcontrast s000 5750
1591 MRIExtremities - Withoutcontrast 2125 2444
1-692 MRITemooromandibular- B/L - Withcontrast 4000 4500
1593 MRlTemporomandibular- B/L - Withoutcontrast 7\25 2444
1.694 MRTemporal Bone/Innerearwith contrast 4000 4500
1695 MRTemporal Bone/Innerearwithoutcontrast 2500 2875
1696 lvlRlAbdomen - WithoutContrast 2725 2444
L697 M RlAbdomen - WithContrast 5000 5750
1698 M RlBreast- With Contrast 4250 4888
1699 M RlBreast- WithoutContrast 2125 2444
1700 MRISpineScreening - WithoutContrast 1000 1150
770r M RlChest- WithoutContrast 2725 2444
L702 M RlChest- WithContrast 4000 4600
1703 MRICervica l/Cervico DorsalSoine -Without Contrast 2125 2444
1l04 MRICervical/ Cervico DorsalSoine-With Contrast 4000 4600
1705 MRIDorsal/DorsoLumbarSpine- WithoutContrast 2125 7444
1706 MRIDorsal/DorsoLumbarSpine- WithContrast 4000 4600
L707 MRILumbar/Lumbo-Sacral SDine- WithoutContrast 2125 2444
1-708 MRILumbar/Lumbo-Sacral Soine- WithContrast s000 5750
7709 WholebodvMRI(Foroncological workup) 5100 5855
7770 MRcholecvsto-pancreatography. 4950 5693
17'l-'l- MRIAneiographV - with contrast 5000 5750
CGHSCHENNAI- NEWRATES2014

Non-NABH/
LIST
INVESTIGATION NABH/NABL
Sr,No. CGHSTREATMENTPROCEDURE/ Non.NABL
2125 2444
t7L2 MREnteroclysis

- Two Sites
DexaScanBoneDensitometry 1500 7725
!7L3
r7t4 - Threesites(Spine,
DexaScanBoneDensitometry Hip&
2000 2300
extremitV)
17t5 Wholebody
DexaScanBoneDensitometry 2404 2764

EEG
EEG/Video 798 343
t7L6
638 734
77t7 EMG(Electro
myograPhY)
velocity(at least2 limbs)
condrtion
Nerve 638 734
L778
17t9 (beforeandafterneostigmine)
Decrementalresponse s36 oro

Incremental resPonse 595 684


L720
ssEP(Somato sensoryevokedpotentials) 638 734
172L
638 734
L722 Polysomnography
Brachialplexusstudy 638 134
L723
Musclebiopsy 345 397
1724
L725 ACHRantibodytitre 1848 2r25
AntiMUSKbodytitre 2340 7691
7726
1127 Serum COPPER 450 518
Serumceruloplasmin 450 518
L728
UrinarV copper 450 518
1729
Serumhomocystine 450 518
L730
1737 Serumvalproatelevel 315 352
L732 Serumphenolbarbitone level 3s0 403
rtSa Coagu lationprofile 553 636
ProteinC,S antithrombine- lll 2'L6A 2484
1734
II SJ Serumlactatelevel 450 518

1736 Basic studiesincluding gramsraln,


cellcount,protein,sugar, 276
240
IndiaInkpreparation andsllgar for AFP
L737 Special studies 900 1035
1738 PCR for tuberculosis/ Herpes simplex 1200 1380
L739 Bacterial cultu re andsensitivlty L80 zo7
culture and sen!I!iv{y 200 234
L740 Mvcobacterial
7741- Fungal culture r28 L4'/
'J.7
42 Malignant cells 64 74
antibodytitre (withserumantlbo 801 921
1743 Antimeasles
255 293
1744 Viralculture
L745 Antibodv titre (Herpes simplex, cytomegalovirus,flavivirus, 684 787
zostervaricella virus)
O l i g o c l o n abl an d 1200 1380
t746
t87r 2L52
7747 MVelinBasicProtein
298 343
r748 Lactate
coccalantigen 1138 1309
L749 CrVpto

t750 test
D-xVlase 765 880
CGHSCHENNAI- NEWRATES2014

Non-NABH/
LIST
INVESTIGATION
CGHSTREATMENTPROCEDURE/ NABH/NABt
Sr.No. Non-NABL

1751 Fecalfat test/ fecalchymotrypsin/ fecalelastase 850 978


7752 Breathtests 11'/O 1346
1753 H pvloriserology for ciliacdisease 450 518
1754 ge
HBV notVping 2250 2588
L755 HCVsenotVping 4388 5046

r/)o UrinarVVMA 1350 1553


1757 UrinarVmetanephrine/No rmetanephrine 1024 L178
'1571- 1749
7758 UrinarV freecatechola mine
tt59 Serumcatecholamine 3060 3519
1760 Serumaldosterone 7L25 L294
7761 24 Hr urinarValdosterone 924 1058
L762 Plasma reninactivity 1000 1150
t763 Serumaldosterone/renin ratio 1200 1380
7764 Osmolality urine L28 L47
I/t)J Osmolality serum 728 147
1766 rV
Urina sodium 75 86
UrinaryChloride 43 49
1768 Urinarypotassium 80 92
t769 Urina rVcalcium 83
1770 Thvroidbindingglobulin 490 564
7771 24 hr.urinarvfreecotisole 200
'750
L772 lsletcellantebody 853
IJJU If5U
1773 G A Da n t i b o d V
'J-77
4 Insulinassociated antibody 449 JIO

7775 IGF-1 1350 1553


1776 IGF-BP3 1485 1708
ITll Sexhormonebindingglobulin 1200 1380
7778 U S GA u i d e dF N A Ct h y r o i dg l a n d 387 445
1779 E2 208 239
1780 Thvroglobulinantibody 528 607

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