Approved Hospitals Attendants PDF

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F.No. Misc.1002/2006/CGHS(R&H)1 CGHS(p)
Government of India
Ministry of Health & FamilyWelfare
Department of Health & Family Welfare
.***tri: . ****
Maufana Azad Road, Nirman Bhawan
New De/hi 110 108 dated the r" February, 2013.
OFFICE MEMORANDUM
Subject: Revision of Ceiling Rates for Coronary AngiopJ asty and Coronary AngiopJ asty
with Balloon for CGHS beneficiaries.
*"**
With reference to the above mentioned subject the undersigned is directed to draw
attention to the Office Memorandum No. 8.11011123/2009 IHospital Cell dated 17.08.2010 and
other Office Memoranda issued subsequently whereby the CGHS package rates for Coronary
Angioplasty were fixed by the Government for empanelled hospitals under CGHS in' Delhi and
NCR and other CGHS cities and to state that in supersession of the earlier CGHS rates ceiling
rates the following ceiling rates are approved for reimbursement to CGHS beneficiaries/CGH8
empanelied hospitals as per the details given below:
Coronary Angioplasty
Coronary Anglop\asty with Balloon
: Rs.50, 000/- (for semi-private ward)
: Rs.55, 000/- (for semi-private ward)
Reimbursement to beneficiaries /ernpanelled hospitals shall be limited to ceiling rate or
as per actuals, whichever is lower. The other terms and conditions as regards to CGHS
package rates remain unchanged.
2. The revised rates shall come into force from the date of issue and shall be in force till
further orders.
3. This issues with the concurrence of Integrated Finance Division vide Note dated
20/12/2012 of AS & FA
~~
(RAVI KANT)
UNDER SECRETARY TO GOVERNMENT OF INDIA
Te1.No.23061141
COP)' to'
1. All private hospitals ernpanelled with CGHS for cardio-thoracic and cardiovascular
surgeries
2. All Ministries 1 Departments. Government of h"ii8 .
3. Director, CGHS, Nirman Bhawan, NewDe ":~
"
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F.No. l\.t1isc.1002/2006/CGHS(R&H)! CGHS (Pi
Government of India
Ministry of Health & Family Welfare
Department of /-lealt/7 & Family Welfare
r.... " ! " " ... %kw
MaulanEl Aza<i Roed, Nitmen BIlawal1
New Delhi 110 108 dated the 7"
i
February. 2013.
OFFICE MEMORANDUM
Subject: Revision of Ceiling Rates for Stainless Steel Bare Metal Coronary Stents for
CGHS/CS(MA) beneficiaries.
****
.'
attention to the Office Memorandum of even No. dated 31.10.2011 and to state that the ceiling
rates for reimbursement of Stainless steel bare metal coronary stents for CGHSI CS(MJ I.)
beneficiaries as mentioned at para (1) (2) (i) of the said order are hereby revised and the new
ceiling rates for reimbursement to CGHS/CS(MA) beneficiaries are fixed as under:
STAINLESS STEEL BARE METAL CORONARY STENTS R.s. ':0, OOOi- .>:
Reimbursement to beneficiaries lernpanelled hospitals shall be limitec to ceiling rate or
as per actual. whichever is lower.
2. The revised rates shall come into force from the date of issue of this OM and shall be W I
force till further orders.
3, Revised rates in respect of other categories of stents will be issued separately and other
conditions as mentioned in the OM dated 31.10.2011 shall continue to be in force till further
orders.
20/12/2012 of AS & FA.
(R/WI Kl\NT)
Under Secretary to the Government Of Indio
Te1.No.230ni14'i
Copy to:
1. All private hospitals ernpanelled with CGHS for cardio-thoracic anti cardiovasculai
surgeries
2. All Ministries! Departments, Government of India
3. Director, CGHS. Nirman Bhawan, New Delhi
~
,
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.ss:
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MlMw
F.No. Misc. 1002/2006/CGHS(R&H)1 CGHS(P)
Government of India
*************
Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the zr' February, 2013.
OFFICE MEMORANDUM
Stbject: Revision of Ceiling Rates and guidelines for various Coronary Stents for
CGHS/CS(MA) beneficiaries.
**** .
abntion to the Office Memorandum of even number dated 31.10.2011 and to state that ceiling
nhs for all DCGI approved Coronary Stents have been revised In super cession of the Office
Nenorandum of even No. dated 31.10.2011 of the Ministry of Health & Family Welfare as per
Ineceilingrates mentioned below:
S.No. Type of Coronary Stents Ceiling Rate
1.
DRUG ELUTING All DCGI and FDA approved Drug
CORONARY STENTS Eluting Stents
Rs.25,OOOI-
All DCGI and CE approved Drug
Eluting Stents
All DCGI approved Drug Eluting
Stents
2. BARE METAL COBALT STENTS (including
CORONARY STENTS Coated and other Stents) Rs.12,0001-
All DCGI and FDA approved
All DCGIand CE approved
All DCGI approved
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3. BARE METAL Rs.10,OOO/- the rates were already notified vide OM of even
STAINLESS STELL number dated r: February 2013
STENTS
Reimbursement to beneficiaries /empanelled hospitals shall be allowed subject to the
ceilingrates or actuals, whichever are lower.
Contd .... 21-
-:: 2 ::-
2. Coronary Stents shall be permitted on the advice of Govt. Specialist, of which not more
than two shall be of Drug Eluting Stents( in any o~the coronary stents as per the decision of
treating specialist). Permission shall be granted as per the laid down procedure. If more than
two drug eluting stents are implanted in an empanelled hospital and no written informed
consent was obtained from the beneficiary that he/she would bear the difference in cost
between the DES and Bare Metal Stent, and the hospital has charged this amount from the
beneficiary, the additional amount shall be paid to the beneficiary and shall be deducted from
the pending bills of hospitals.
3. It is essential for the empanelled hospitals to quote the Batch number when a coronary/
vascular stent of any type is implanted in the case of a CGHS/CS (MA) beneficiary and also
enclose a copy of the relevant invoices pertaining to the procurement of the stents by the
hospitals. In addition to this, the outer pouch of the Stent packet along with the sticker on it on
which details of the stent are printed shall also be enclosed with the medical bill for claiming
reimbursement from the Govt. In case of treatment from a private non-empanelled hospital,
where the treatment was taken in an emergency, it is the responsibility of the beneficiary to
obtain the batch number, invoice and outer pouches of the stent(s) before the submission of
the medical claim to CGHS/ concerned department, as the case may be.
4. The empanelled hospital shall submit a self certified undertaking that the hospital has
not charged the CGHS / CS (MA) beneficiary more than the rate at which the stent has been
procured by the hospital and in case of any detection and establishment that the hospital has
overcharged, the hospital shall be removed from the list of hospitals empanelled under CGHS
without any further notice. .
5. UTI-ITSL, while processing the hospital bills of coronary / vascular stents shall ensure
that the hospitals have enclosed copies of the relevant invoices pertaining to the procurement
of the stents by the hospitals and the outer pouch of-the srent packet along with the sticker on
it on which details of the stent are printed and that the 'prescribed rates and the guidelines
have. been followed, before making 'provisional payments to the hospitals.
6. The revised rates and guidelines shall come intoforce from the' date of issue and shall
be in force till they are revised. .
20.12.2012 of AS&FA, Min. of H&FW.
(RAVI KANT)
UNDER SECRETARY TO GOVERNMENT OF INDIA
Te1.No.23061441
Copy to:
1. All Ministries / Departments, Government of India
2. Director, CGHS, Nirman Bhawan. New Delhi
3. Addl.DDG (HQ)/AIIAdditional Directors /J oint Directors of CGHS cities outside Delhi
4. Additional Director (Hdqrs) / Additional Director (SZ)/(CZ)/(EZ)/(NZ), CGHS, NewDelhi
5. J D(HQ) / J D (Grievance)/J D(R&H), CGHS, Bikaner House, New Delhi
Contd .... 3/-
,----
- ::3::-
6. All Pay &Accounts Officers under CGHS
7. CGHS -I/CGHS-II/CGHS-III/CGHS-IV, Directorate General of CGHS, Nirman Shawano
NewDelhi
8. Estt.l/Estt.II/Estt.lII/Estt.IV Sections, M/o Health & Family Welfare
9. Admn.1I Admn.1ISections of Dte.GHS
10. Rajya Sabha I Lok Sabha Secretariat
11. Registrar, Supreme Court of India
12. U.P.S.C. Dholpur House, Shahjahan Road, NewDelhi
13. Integrated Finance Division, Ministry of Health & FW, Nirman Shawan, New Delhi
14. Deputy Secretary (Civil Service News), Department of Personnel &Training,
5th Floor, Sardar Patel Shawan, NewDelhi.
15. PPS to Secretary (H&FW)I Secretary (AYUSH) I Secretary (AIDS Control) I
Secretary (HR), Ministry of Health &Family Welfare, NewDelhi
16. PPS to DGHS I AS (H) IAS &DG (CGHS) IAS&MD,NRHM/AS&FA, MOHFW,
Nirman Shawan, New Delhi
'17. Swamy Publishers (P) Ltd., P. S. No. 2468, R. A. Puram, Chennai-600028.
18. Shri Umraomal Purohit, Secretary, Staff Side, National Council (J CM),13-C, Ferozshah
Road, New Delhi
19. All Staff Side Members of National Council (J CM) (as per list)
20. Office of the Comptroller &Auditor General of India, 10, Sahadur Shah Zafar Marg, New
Delhi
21. All Offices I Sections I Desks in the Ministry
22. UTI-ITSL,1S3/1, First floor, Old Madras Road, Ulsoor, Sengaluru- 560008.
23. Sr. Technical Director, NIC, MOHFW, Nirman Shawan, New Delhi
with the request to upload this OM on the CGHS website. -
24. All CGHS empanelled private hospitals for strict compliance
25. Guard File
Dental Centres

S.NO Name Details
1
Gupta Dental Centre
General Dentistry, special dental procedures
A-10, Hospital Road, J angpura - A, New Delhi and diagnostic procedures(Non-CGHS)
2
Dr Chhabras Dental Clinic
Dental clinic for all available facilities(Non-
1097, Sector-4, Gurgaon CGHS)
Leela Dental Clinic
3 B-39 Main Road
CGHS)
Majlis Park, Delhi
Dr. Shweta's Dental Clinic
4 0-42, Kalkaji
CGHS)
New Delhi
Hi-tech Dental
5 2863/5, 1st floor, Chuna Mandi
Pahar Ganj, New Delhi
CGHS)
Navneesh Dental Clinic
6
Unit No.2 Dental clinic for all available facilities(Non-
Begum Zaidi, Market, Moti Bagh
CGHS)
Part-1, New Delhi
7
Precision Dental Care Dental clinic for all available facilities(Non-
C-159, Sarita Vihar, New Delhi
CGHS)
Singh's Dental Hospital
8 30-34 Sewak Park, Opp. Metro Pillar No. 771
CGHS)
Dwarka
Balaji Multi Speciality Dental Centre
9 Shop No. 47, B-2 Market, Paschim Vihar, New
Delhi
CGHS)
Muskan Dental Care
10 11/26 West Patel Nagar
New Delhi
CGHS)
Dr. Rajat Ailwadi
11 Rx mulitispeciality
2649, Basement, Hudson Line, GTS Nagar, Delhi
CGHS)
Diagnostic Centres
S.NO Name Details
1
Delhi Institute for Functional Imaging Diagnostic centre for nuclear medicine(Non-
K-16, South Ex., Part - I, New Delhi
CGHS)
Delhi MRIand CT Scan Centre, Aashlok Hospital
25-A, Siock AS, Community Center, Safdarjung
Enclave,
2
New Delhi
CT scan and Ultrasonography only(CGHS)
[Now known as Piramal Diagnostic Services-
Delhi MR & CT Aashlok Hospital
25 A Siock AS, Community Centre, Safdarjung
Enclave, New Delhi
Delhi MRI Scan Centre
M-2, Hauz Khas, New Delhi [Now known as
3
Piramal Diagnostic Services - Delhi MRI, M 2 MRI, X-ray, Sone Densityometry, USG/Colour
Hauz Khas
Doppler(CGHS)
Aurobindo Marg, Near ASN Amro bank, New
Delhi
Dewan Chand Satypal Aggarwal Imaging &
Radiological diagnosis and imaging services
(MRI, CT scan, Mammography, USG/Colour
4 Research Centre
Doppler, X-ray, Bone Densityometry)- Non
10-S, K.G. Marg, New Delhi
CGHS
Dr. Anand Imaging & Neurologial Research
Imaging services including MRI, CT scan
Centre
5
G-14, Preet Vihar
Ultrasonography/Colour Doppler
Vikas Marg, Delhi - 92
X ray and mammography(Non-CGHS)
6
Dr. Lal Path Labs Pvt. Ltd
Laboratory (Clinical pathology, Biochemistry
Eskay House, 54 Hanuman Road, New Delhi and Microbiology)-CGHS
Dr. P. Bhasin Pathlabs Pvt. Ltd
Diagnostic centre [ USG/Colour Doppler, Bone
7 S 13, Greater Kailash Part I
Densitometry, Echocardiography, TMT, PFT
New Delhi and Urofiowmetryj- Non CGHS
Focus Imaging and Research Centre
USG 1 Colour Doppler, CT Scan,
8
Mammography, Bone densitometry and X-
C-10 Green Park Extn. New Delhi
Ray(CGHS)
9
Focus Imaging and Research Centre Pvt. Ltd., Diagnostic purposes [MRI, CT, EEG, EMG and
H-10 Green Park Extension. New Delhi NCV]- CGHS
10
Goyal MRI and Diagnostic Centre
Laboratory services and imaging services in
B-1/12, Safdarjung Enclave, New Delhi MRI and USG/Colour Doppler(NOn- CGHS)
11
Green Park Diagnostics, (1st Floor)
Laboratory services(Non-CGHS)
G-43, Green Park, Main Market, New Delhi
Mahajan Imaging Centre MRI, CT scan, USG/Colour Doppler,
12 K-18, Hauz Khas Enclave, mammography, X-ray and Bone
New Delhi Densitometry(CGHS)
Mahajan Imaging Centre
13
(J aipur Golden Hospital) CT scan, Bone Densitometry and USG(Non-
2, Institutional Area, Sector-3,
CGHS)
Rohini, Delhi
City- X- Ray & Scan Clinic Pvt. Ltd.
X-ray, Ultrasound, Mammography, Bone
14 Densitometry, Color Doppler, ECHO and all
A-12, Vikaspuri, New Delhi-18
Laboratory Investigations( Non -CGHS)
MRI, CT Scan, X-ray, OPG, Ultrasound, Color
15
City- X- Ray & Scan Clinic Pvt. Ltd. Doppler, ECHO, Holter, TMT, EEG, EMG, PFT,
4 B/7 Tilak Nagar, New Delhi NCV and all laboratory investigations(Non-
CGHS\
16
Dr. Lal Path Labs Pvt. Ltd
All Lab. Tests(CGHS)
54 Eskay House, Hanuman Road, New Delhi
Delhi Heart Hospital
Laboratory investigations, Radiology-Ultrasound
17 176 J agriti Enclave, Vikas Marg Extension, Delhi-
92
invest(Non-CGHS)
MRIScan, CT Scan, Ultrasound, Color Doppler,
18
Ganesh Diagnostic & Imaging Centre Pvt. Ltd. ECHO, ECG, EMG, NCV, BERA, PET-CT,
109, Pocket A-1, Sec-8, Rohini, Delhi Digital x-ray, Dexa-Bone-Densitometry,
Laboratory(Non-CGHS)
19
Clinical Laboratory Laboratory investigations, x-ray, USG, ECHO,
E-13/9 Vasant Vihar, New Delhi
CT Scan, OPG(Non-CGHS)
20
Dr. S.s. Doda's Ultra sound centre
Radiology(Non-CGHS)
23-B Main Pusa Road, New Delhi
21
Dr.Lal Pathology Lab., New Friends Colony, N. D- CGHS rates only for Lab. Services & non-
65
CGHS for Ultrasound,X-ray, TMT,ECG etc.
MRIScan, CT Scan, Ultrasound, Color Doppler,
22
Ganesh MRI Centre Pvt. Ltd Echo, ECG, EMG, NCV, BERA, PET- CT,
CS/Oct- 7, Sec-8, Rohini, Delhi-85 Nuclear Medicine, Digital X-ray, Dexa-Bone-
Densitometry, Laboratory(Non CGHS)
C 15 MRI Diagnostic and Research Centre,
MRICT Scan, X-rays, Ultrasound, ECHO, ECG,
23
C-15, Green Park Extension, New Delhi-16
Mammography, Bone Densitometry, OPG(Non
CGHS\
24
J anta X-ray Clinic,
Laboratory Investigations Radiology(Non-
A-6 Vikas puri, New Delhi-18
CGHS)
Mahajan Imaging Pvt. Ltd,
MRI, CT , X Ray Utlra Sound, Bone
25 Hauz Khas Enclave,
New Delhi-16
Densitometry, Mammography, CBCT(CGHS)
M81, Multislice CT Scan,
Ltd.
Echocardiography/TMT, Dentascan, Colour
Focus Imaging & Research Centre Pvt.
Doppler, 40 Ultrasound, Digital X-ray Digital
26 3/8, Asaf Ali Road
Mammography, Dexa-Bone Densitometry,
New Delhi
Video ECG/EEG/NCV, EMGNEP(Non-
CGHS)
Focus Imaging & Research Centre Pvt. Ltd.
Laboratory services, X-ray, Ultrasound, color
27 7/1-4 Yusuf Sarai Aurbindo Marg
Doppler, Urofiometry(CGHS)
New Delhi
Diwan Chand Medical Services Pvt. Ltd
MRI, CT-Scan, Ultra-Sound, Color Doppler, X-
28 A-2, Kirti Nagar (Near Metro Pillar No. 328)
Ray(Non-CGHS)
New Delhi-11 0015
29
Mahajan Imaging Centre ( A Unit of Mahajan
Lab.services (Non-CGHS)
lmaqlnq Pvt. Ltd.)Rajender Nagar, New Delhi
Srivastava MRI and Imaging Centre
30 Pkt-B LSC Market, Mayur Vihar -2 Laboratory Facilities(Non-CGHS)
Delhi -110091
Eye Hospitals
S.NO Name Details
Centre for sight
CataracUGlaucoma, Retinal - Medical - vitreo-
retinal surgery, Strabismus, Occuloplasty and
1 Safdarjung Enclave & also Centre for Sight at
Adnexa and other specialised
Fortis Escort Hospital, Okhla ,New Delhi-25.
treatment(CGHS)
Chaudhary Eye Centre & Laser Vision
CGHS on CataracUGlaucoma, Retinal - Medical
- vitreo- retinal surgery, Strabismus,
2 4802 Bharat Ram Road, 24 Darya Ganj
Occuloplasty and Adnexa and other specialised
New Delhi 110002
treatment except corneal transplant(CGHS)
3
ICARE Eye Hospital & Post Graduate Institute retinal surgery, Strabismus, Occuloplasty and
E-3A, Sector 26,Noida 201301 Adnexa and other specialised treatment (Non-
CGHS)
Venu Eye Institute & Research Centre
retinal surgery, Strabismus, Occuloplasty and
4 1/31 Sheikh Sarai Institutional Area, New Delhi
Adnexa and other specialised treatment except
110017
orbital surgery(Non CGHS)
5
Khanna Eye Centre Eye Centre for All Available Facilities(Non-
E-368 Nirman Vihar, Vikas Marg- Delhi-92
CGHS)
6
Vision Eye Centre Eye Centre for All Available Facilities(Non-
12/27 West Patel Nagar, New Delhi
CGHS)
7
Eye 7 Chaudhary Eye Centre & Laser Vision
Eye Centre for All Available Facilities(CGHS)
34, Ring Road, Lajpat Nagar-Iv, ND-24
Aster Eye Care (OM Eye Care, Delhi Pvt Ltd)
Eye Centre for all available Facilities(Non-
8 5-E/08 B.P. NIT, Near Neelam Chowk, Railway
Road Faridabad
CGHS)
9
Venu Eye Institute & Research Centre Eye Centre for All Available Facilities(NON-
Dhankot, Gurgaon
CGHS)
Shroff Eye Centre
110- Commercial Plaza, Radisson Suites, Behind
Eye Centre for all available Facilities(Non-
10 Ansal's Time Square
Building, B- Block Sushant Lok Phase - I, Sector-
CGHS)
27, Gurgaon
11
Spectra Eye (A Unit of RC Health Care Pvt.Ltd.) Eye Centre for All Available Facilities(Non-
E-82 A, Greater Kailash, Part- 1, New Delhi
CGHS)
Vision Eye Centre
Eye Centre for All Available Facilities(Non-
12 19, Siri Fort Road
New Delhi
CGHS)
13
Eye care Centre F-182, Dilshad Colony Delhi- Eye Centre for All Available Facilities(Non-
110095
CGHS)
14
Dr. Shroffs Charity Eye Hospital 5027, Kedar
Eye Centre for All Available Facilities(CGHS)
Nath Road, Daryaganj, New Delhi
15
Banarsidas Chandiwala Estate, Maa
All available IPD & OPD eye treatment on
Ananadmaye Marg Kalka J i, New Delhi-19 CGHS rates
16 Sujan Mohinder Hospital,N.F.C.,New Delhi
All available IPD & OPD eye treatment on
Non- CGHS rates
Hospitals
S.NO Name Details
1
Bansal Hospital A 1, New Friends Colony CGHS/Cashiess Facilities on all available
New Delhi 110065 IPD & OPD facilities
Batra Hospital and Medical Research Centre
CGHS &CashlesS(IPD) facility on
2 1, Tughalkabad Institutional Area, Mehrauli,
Cardiac,J oint Replacement, Gastroenterology,
Badarpur Road, New Delhi
Nephrology, Dialysis, Neuro Surgery and
Oncology with CT/MRI
3
Delhi Heart & Lung Institute, 3MM - II
Cardiology & Cardiothoracic Vascular
Panchkuian Road, New Delhi- 110055 Surgery(Non-CGHS rates)
General Medicine, General Surgery, OBS &
Gynae, Paediatrics, Gastroenterology and GI
surgery, Endoscopy/Laparoscopy, Orthopedics
including J oint Replacement, Cardiology &
4 Dr. B.L. Kapur Memorial Hospital
Cardiothoracic Surgery, Urology, Nephrology,
Dialysis, Neurology, Neuro Surgery, ENT, Eye,
Dental,
Medical/Surgical & Radiation Oncology(Non-
CGHS)
Escorts Heart Institute & Research Centre Ltd.
Cardiological services & Surgeries,Orthopaedic
5
Okhla Road, New Delhi
& J t. Replacments on CGHS rates/Cashless
facility. 20% on other IPD & OPD services
6
Fortis Hospital Orthopedics and Cardiology Cardiothoracic
All Delhi and NCR Branchs Surgery
General purpose and specialised purpose
G. M. Modi Hospital & Research Center for (Neurosurgery, urology, nephrology, GIsurgery,
7
Medical Sciences Orthopaedics including arthroscopic surgery
Mandir Marg Near Press Enclave and joint replacement, paediatrics, endoscopic
Saket, New Delhi and laproscopic surgery, ENT, Dental and
ophthalmology on Non-CGHS rates
Orthopaedics(Knee& J oint Replacement),
Indraprastha Apollo Hospital
Cardioloyg & Cardiac Surgeries, Dialysis &
8
Sarita Vihar
Renal Transplant, Oncoloyas well as 10%
Discount on other IPD & OPD Services(Non
r.r.a .. I~\
Orthopaedics, Orthopaedic surgery [ including
9
Indian Spinal Injuries Centre arthroscopic surgery and joint
Sector C, Vasant Kunj, New Delhi 110070 replacementjLithotripsy and Endoscopic
surgery(Non-CGHS rates)
Laproscopic/ Endoscopic procedures,
Gynecology & Obsterics, Orthopedic surgery
10
J eewan Nursing Home & Hospital with J oint Replacement, General Surgery,
2-B Pusa Road, Karol Bagh, New Delhi Neurology, Nephrology (Including Dialysis),
Gatroenerology, Neurologery, Paediatrics,
Urology and Diagnostics(Non-CGHS rates)
LaproscopiC/ Endoscopic procedures,
J eewan Mala Hospital
with J oint Replacement, General Medicine,
11
67/1 New Rohtak Road, New Delhi
Surgery, Neurology, Nephrology (Including
Dialysis), Dental, Eye, ENT, Gastroenerology,
Neurologery, Paediatrics, Urology and
Diagnostics(Non-CGHS)
Kukreja Hospital & Heart Centre, Specialised services in Cardiological
12 Vishal Enclave, Rajouri Garden, New Delhi investigation, Laproscopic surgery and IOL
Implant..(Non-CGHS)
Laproscopic! Endoscopic procedures,
Kalyani Hospital Pvt Ltd.
13 Mehrauli Road
Gurgaon
Laproscopic! Endoscopic procedures,
Khandelwal Hospital & Urology Centre
14 8-16, East Krishna Nagar, Main Swaran Cinema
Road, Delhi
General Medicine, LaparoscopiclEndoscopic
Kukreja Hospital
Surgery, General surgery, Orthopedic surgery
15 Acharya Niketan, Mayur Vihar, Phase-I
with J oint replacement, Paediatrics & Gynae &
New Delhi
Obst, Eye, ENT, Urology, Nephrology,
Gastroenterology, Neurology and
diaanostics(Non-CGHS)
Lions Kidney Hospital & Urology Research
16
Institute Super-speciality in Urology including dialysis
New Friends Colony and Iithotripsy(Non-CGHS )
New Delhi
17
Metro Heart Institute Cardiological services including Cardio-thoracic
Sector-12 Noida surgery(Non-CGHS ).
18
Metro Heart Institue Cardiology & Cardiovascular Surgery and
Sector 16A, Faridabad Pulmonary Function Test(Non-CGHS)
19
Metro Hospital & Heart Institute Cardiology & Cardiothoracic Vascular
14 Rina road, Laioat Nagar, New Delhi Suraery(Non-CGHS rates)
General and specialised purposes for
Maharaja Agrasen Hospital
cardiological investigatoins, cardio-thoracic
20 West Punjabi Bagh
surgery,
New Delhi TURP, IOL implant and joint replacement(Non
CGHS\
cardiovascular cardiothoracic
Max Devki Devi Heart & Vascular Institute
surgery,Orthopaedic & Oncology on CGHS
21
Saket, New Delhi
rates +Cashless facility &on IPD &
OPD available services there is 15%
Disc.
General and specialised purpose for
22
Mata Chandan Devi Hospital Haemodialysis, Lithotripsy, TURP,
C-1 J anakpuri, New Delhi 110058 Laptroscopic Surgery, IOL implant and joint
replacement(CGHS rates)
23
MAX Hospital
Super-speciality in Orthopaedic surgery
All Group in DelhilNCR
including joint replacement and arthroscopic
surgery
Medanta Medicity
Inerventional Cardiology & Cardiothoraic
24 Sector -38
Surgery & J oint Replacement(15% Disc.), 10%
Gurgaon
Disc on Cancer And 15% Disc on room rent
& laboratorv services
Max Super Speciality Hospital
(A Unit of Balaji Medical & Diagnostic Research
CGHS on Orthopedics including J oint
25
Centre)
Replacement, Cardiology & Cardiothoracic
108-A, Indraprastha Extension, Patparganj, Delhi-
Surgery, Oncology.
110092
Cardiology & Cardiothoracic Surgery, J t.
26
Moolchand Hospital
Replacement,Opthamology,Nephrology,
Lajpat Nagar
Med.Oncology & ENT on CGHS rates
ICashless(IPD) facility & on others IPD &
OPD there is 20%.
National Heart Institute
27 49 Community Centre, East of Kailash
Cardiology & Cardiovascular Surgery(CGHS
New Delhi
rates) & on others 20% Disc.on IPD & OPD
Orthonova Hospital
Orthopaedic surgery including arthroscopic
28 C-S/24 Safdarjung Enclave
surgery and joint replacement(Non-CGHS)
New Delhi- 110029
Cardiological investigatioCardio- Thoracic
Orthonova Hospital
surgery, Renal Transplantation,
29
haemodialysis,Laproscopic surgery, IOL implant
C-S/S9, S.D.A. Opp Main liT Gate, New Delhi- 16
and J oint replacement and diagnostic services
(Non- CGHS)
Park Hospital
General purpose and Super-speciality in
Cardiology, Cardiovascular and Cardiothoracic
30
12, Chowkandi, Outer Ring Road
Surgery and Diagnostic services [ Clinical
West Delhi (Near Kesavpur Depot)
Pathlogoy, Clinical Biochemistry and X- ray]-
New Delhi
Non-CGHS
Prakash Hospital General and specialised purpose for
31 T-12, 12-A, 12-B, Sector-33
Laproscopic surgery, Lithotripsy, Turp, IOL
Noida J oint replacement(CGHS rates)
Interventional Cardiology & Cardiothoracic
Surgery, Laparoscopic/Endoscopic procedures,
Gynecology, Orthopedic surgery
with J oint replacement, General Medicine,
32
Pushpanjali Crosslay Hospital
Neurology, Nephrology (Including Dialsis),
W-3, Sector-1, Vaishali, Ghazaiabd
Gastroenterology, Neurosurgery, Paediatrix,
Urology, General Surgery, Neurosurgery,
Dental, Eye, ENT and diagnostics Cancer
(surgery, Chemotherapy & Radiotherapy)- Non
CGHS
33
Primus Super Specialty Hospital Orthopedics including Arthroscopy and J oint
Chanakyapuri, New Delhi Replacement(only 15 % Discount)
Cardiology & Cardiothoracic Surgery General
Medicine, General Surgery, Obstetrics and
Gynecology, Pediatrics, ENT, Ophthalmology,
Paras Hospital Endoscopy Surgery, Dental, Gastrointestinal
34 C-1, Sushant Lok, Phase-1, Sector-43, Gurgaon- Surgery, Orthopedic surgery with J oint
122002 replacement, Urology, nephrology including
dialysis, neurology and neurosurgery, Medical
and surgical oncology and diagnostics(Non-
. CGHS)
General and specialised purpose for
Rockland Hospital
Laproscopic surgery and J oint replacement and
super-speciality in Urology [ Including Dialysis,
3S B-33-34, Qutub Institutional Area
Lithotripsy and Renal Transplant]
New Delhi
Diagnostic services for CT, Mammography,
USG/Colour Doppler and X-Ray(Non-CGHS)
Invervention Cardiology & Cardiothoracic
Surgery, General Medicine, General Surgery,
RLKC Hospital & Metro Heart Institute
Obstetrics and Gynecology, Pediatrics, ENT,
36
Pandav Nagar, Naraina Road, New Delhi
Ophthalmology, Endoscopy Surygery with J oint
replacement, Urology, nephrology, neurology
and neurosurgery and diagnostics(Non-
CGHS)
R G Stone Urology Laparoscopy Hospital
General Surgery, Laparoscopic/Endoscopic
A-6 Nehru Ground Neelam Bata Road, NIT
37
Faridabad, Haryana-121001
Surgery, Gynae & Obt, Urology and Nephrology
on CGHS rates but no Cashless facility)
General Purpose, IOL Implants
Sheetal Hospital and Eye Institute
(Ophthalmology), Diagnostic Procedures &
38 Investigations - Lab, X-ray,
New Railway Road, Gurgaon
ESG, USG, ECHO, Colour Doppler(Non-
CGHS)
General and specialised services for
Cardiological investigation
39
St. Stephen's Hopsital Cardio- Thoracic surgery, Renal
Tis Hazari, New Delhi Transplantation, haemodialysis
Laproscopic surgery, IOL implant and J oint
replacement(NON-CGHS)
Multi- speciality (General purpose); Cardiology
Sri Balaji Action Medical Institute
& Cardiovascular Surgery
40 Specialised Orthopaedic surgery & J oint
A-4 Pachim Vihar, Delhi - 110063
Replacement(CGHS & Cashless on cardiac &
Oncoloqv)
General purpose and specialised purpose
(Neurosurgery, Orthopaedics including
Sumitra Hospital arthroscopic surgery and joint replacement,
41 A 119A Sector 35 endoscopic and laproscopic
Noida surgery, Gastroenterology & GIsurgery,
paediatrics & paediatrics surgery, ENT, Dental
and ophthalmology)- Non CGHS
42
Sanjeevan Medical Research Centre (P) Ltd Super-speciality in Urology including dialysis
4869/24 Ansari Road, Darya Ganj, Delhi 110002 and lithotripsy(CGHS)
Multi-speciality General Purpose and
Specialised purpose in Neurology and
Sunder Lal J ain Charitable Hospital
Neurosurgery, Urology including dialysis,
43
Ashok Vihar Phase III, Delhi
Orthopaedic surgery including joint replacement
and arthroscopic surgery, Gastroenterology and
GIsurgery, Paediatrics and Paediatrix
Surg(NON- CGHS)
Cardiology, cardiothoracic surgery,
Laparoscopic/Endoscopic Surgery, Neurology,
Kalra Hospital SRCNC Pvt. Ltd.
Neurosurgery, Gatroenterology, Nephrology
44 A-4, 5 & 6 Tulsi Dass Kalra Marg
including Dialysis, Urology, Orthopedics
Kirti Nagar, New Delhi
including J oint Replacement, General Surgery,
General Medicine, Medical and surgical
oncology, Eye, ENT, Dental, Obstetrics and
Gynecology and Diagnostic(Non-CGHS)
General purpose including ENT, Dental and
Tirath Ram Shah Charitable Hospitals Ophthalmology and speciafised purpose in
45 Sawhney Marg haemodialysis, TURP, Laparoscopic surgery,
Rajpur Road, New Delhi
Gastro-enterology and GIEndoscopy(NON-
CGHS\
General Medicine, General Surgery, Obstetrics
and Gynecology, Pediatrics, Dental,
Ophthalmology, ENT, Cardiology, Dental
Kailash Hospital Ltd,
Ophtthalmology, ENT, Cardiology Dental,
46
Noida/Greater Noida
Gastrointestinal Surgery, Orthopedic surgery
with J oint replacement, Nephrology including
dialysis & Urology Laparoscopic/ Endoscopic
Surgery, Medical and surgical oncology and
diagnostics(Non-CGHS)
General Medicine, General Surgery, Dental,
Vinayak Hospital
Eye, ENT, General and Laparoscopic Surgery,
47
NH-1, Sector-27, Atta, Noida
Nephrology, Obstetrics and Gynecology,
Neurology/ Neurosurgery, Orthopedic
Surgery(Non-CGHS)
General and Specialised purpose for
Yashoda Hospital and Research Centre
laparoscopic surgery, IOL implant and J oint
48
III-M, Nehru Nagar, Ghaziabad
replacement. Diagnostic services in laboratory
medicine and imaging (Mammography,
USG/Colour Doppler)- Non CGHS
Multi- speciality General purpose and
Specialised purpose [Orthopaedic surgery
including joint replacement, Neurology &
49
Yashoda Super Speciality Hospital
Neurosurgery, Gastroenterology, Oncology
H 1, Kaushambi, Ghaziabad, U.P
(surgical and medical), Endoscopic and
Endoscopic/Laproscopic surgeryJ ( NON-
CGHS
50
J amia Hamdard (Hakeem Abdul Hameed CGHS rates for all available IPD & OPD
Cenetary Hosp), Hamdard Nagar, New Delhi- 62 services
Delhi ENT Hospital & Research Centre, FC-
CGHS rates for all available ENT IPD & OPD
51 33/13, J asola Institutuional Area, New Delhi -25
services
AIShifa Multi Speicality Hospital, Abdul Fazal
Non-CGHS rates on all their IPD & OPD
52 Enclave, New Delhi -25
services
Vimhans, Vidyasagar Institute for Mental Health,
Non-CGHS rates on all available IPD & OPD
53 Neuro & Allied Scienecs, New Delhi -65
treatment
J eewan Hospital & Nursing Home, Gate NO.1 &
CGHS rates on all available IPD & OPD
54 2,J eewan Nagar, New Delhi- 14
treatment & Cashless only on IPD
55
Non-CGHS On all available IPD & OPD
Holy Family Hospital, Okhla, ND.-25 treatment
Medical Attendants
S.NO Name Address
1 Dr. Mrs.) Bharti Sinha 12-A, W.EA Karol B1!9.h,New Delhi
2
Dr.
Mrs.) J addish Trikha G1/13, Mal~a N1!9.ar, New Delhi
3
Dr.
Mrs.) Lata Sood 9, Rajpura Road, Delhi
4
Dr. Mrs.) Parveen Chadd a B-7/4C, Mayur Vihar, Phase-III Delhi-91
5 Dr. (Mrs.) Poonam Sharma 69, Khan Market, New Delhi
6 Dr. (Mrs.) Radha Rao A-2/99 A.M.I.G. Flats, Paschim Vihar, N. Delhi
7 Dr. (Mrs.) Raka Sinqh Vaishali, Ghaziabad (UP)
8 Dr. (Mrs.) Safia Qureshi 243, Kucha Mir Ashiq, Chawri Bazar, Delhi
9 Dr. (Mrs.) Urmila Batra 9652, Islam Gnai, Azad Market, Delhi
10 Dr. (Mrs.) V. Sundaravatti F-31, A.N.I.G. Flats, Hari Nagar, New Delhi
11 Dr. A. R Gupta 149, DDA Flats, Hauz Khaz, New Delhi
12 Dr. Abdul Hannan Qureshi 256, Kucha Mir Ashiq, Chawri Bazar, Delhi-6
13 Dr. Ajay Kumar Delhi MCGP Clinic 12/92, Geeta Colony, Delhi
14 Dr. Ajay Kumar Rastogi
J aipuria Sunrise Plaza, SC-176, UGF,
Indir~uram, Ghaziabad
15 Dr. Ashmi Rijhwani J P-38, Pitampura, Delhi
16 Dr. Ashok Kumar J india B-36/G-III, Dilshad Garden, Delhi
17 Dr. B.P. Singh 669, Sector 29, Noida{UPl
18 Dr. G.N. Suchwani 22/7, Shakti Nagar, Delhi
19 Dr. Gulshan Kumar Ghai E-86 A, Vishnu Vihar, N. Delhi
20 Dr. Harish Takkar M-2, Kalkaji, New Delhi-19
21 Dr. J aideep Rohtagi Child Welfare Clinic, Nai Sarak, Delhi-6
22 Dr. K. Anil Khera 305, Rai Sahib Qrs. Masjid Mot, New Delhi.
23 Dr. K. J ayaraman 78 A, Pocket B, Mayur Vihar, Delhi
24 Dr. K.B. Bhatia 83, Saini Enclave, Delhi-92
25 Dr. K.B. Rohtagi
R-205, Greater Kailash, Part-I, New Delhi
26 Dr. K.K. Yadav
180, Keshav Block, Guru Ram Dass Nagar,
Delhi
27 Dr. K.R Singh Sector 12/905, RK. Puram, New Delhi
28 Dr. Krishna Avtar Gupta 234 Picket 2, PaschimPuri, New Delhi
29 Dr. MK Dogra 64/Sector 14, Faridabad
30 Dr. Mala Bhattacharjee 647, Sector-5, Vaishali, Ghaziabad
31 Dr. Manoj Kumar Sharma Sarawati Vihar, New Delhi
32 Dr. Mirza Hasrat 987, Bazar Chitli Qabar, J ama Masjid, Delhi
33 Dr. Mohinder Kumar Tayagi 1/30 A, Mehrauli, New Delhi
34 Dr. Moinuddin Bagai 2177, Gali Addan, Pahari Bhojla, Delhi-6
35 Dr. N.K. Gupta 16/59, Trilok Puri, Delhi-91
36 Dr. Promod Bbassu 2143, Roadgran, Lal Kuan, Delhi-6
37 Dr. R.K Luthria 13-A, Pocket-I Mayur Vihar, Delhi
38 Dr. Rakesh Kumar, MBBS 0-20, Moti Nagar, New Delhi
39 Dr. Ramesh Dhawan, A.S.B 118 A, janakpuri, New Delhi-56
40 Dr. Ramesh Raina 275, South Ext. Appt. Pul Pehladpuri
41 Dr. Ravinder Dogra K-113, B
42 Dr. S.C. Singhal C-4F/1, J anakQuri, New Delhi-58
43 Dr. S.K. Bansal Seelampur Market, New Seelampur, Delhi-53
44 Dr. Sadullah J aitpur, Badarpur, New Delhi
45 Dr. Sarvosh Kumar 1393, Bazaar Gulian, J ama Masjid, Delhi-6
46 Dr. Srinivasan
No-4, DDA Shopping Centre, Pocket-III, Mayur
Vihar, Phase-I, Delhi-110091
47 Dr. Suman Kirti 60 Anand Lok, New Delhi-49
48 Dr. Surender Singh, MBBS 39, Raja Garden, New Delhi
49 Dr. T.N. Bhan Kashmeri Gate, Delhi
50 Dr. V.S. Chaudhari A-188, Sector 19, Noida
DETAIL REG. OPD & IPD FOR PENSIONERS/FAMIL Y PENSIONERS
S.NO I Name
1
Detail
I ( FOR OPO SERVICESl
I
1 Ansari Health Centre, J MI, New Deihl - 25
2 Holy Family Hospital, Okhla, New Delhi - 25
3 Fortis Escorts Hospital, Okhla, New Delhi-25
4 Max Super Speciality Hospital,Saket, N.D.
For all treatment.
Non-CGHS rates for all available treatment.
Only for Cardiac, Orthopaediac & Eye treatment
Only for Cardiac,J oint Replacment & Oncology
( FOR IPO SERVICES )
1. All panelled hospitals shown in the lists for regular employees.
__ ... '__ .h~~ .""._~'.h...._.~.__ .:"'_ ~ _
...6i..... ;.:.k~...;., ""'~- .. ~=.=>~.::.;;;.
CGHS DELHI 2010 RATES
S.No. Name of Treatment Procedure Rates for Rates for Rates for Super
NASH Non-
Accredited NASH
Hospitals Hospitals Spl.Hospitals
512 Pericardictomy 42320 36800 42320
513 CMV/PDA 51980 45200 51980
514 CABG without bypass. 149500 130000 149500
515 Gunshot injury 51980 45200 51980
516 Heart transplant 276000 240000 276000
517 Balloon corory angioplasty/PTCA 97750 85000 97750
518 Intra corory stenting - 97750 85000 97750
519 Direct stenting 92000 80000 92000
520 Directiol atherectomy 97750 85000 97750
521 Rotablation 50000 42500 50000
522 balloon valydtomy/PTMC 10500 8925 10500
523 CART V 10350 9000 10350
524 CATH 10350 9000 10350
525 Coaractation dilatation 12650 11000 12650
526 Permanent pacemaker implantation-VVI 13800 12000 13800
527 Permanent pacemaker implantation- ODD 19320 16800 19320
528 Permanent pacemaker implantation Biventricular 34500 30000 34500
529 AICD implantation 28750 25000 28750
530 Combo device implantation 48300 42000 48300
531 Electrophysiological studies. 11500 10000 11500
532 Endomyocardial biopsy 11500 10000 . 11500
533 IABP 8000 6800 8000
534 Intra vascular coils one coil( additiol coil charges extra) 46000 40000 46000
535 R.F.ablation 30000 25500 30000
536 Septostomy 20000 17000 20000
537 AVBD/PVBD 48300 42000 48300
538 Diqital substraction angiography-Pheripheral artery 11500 10000 11500
539 DiQital substraction angiography~ venogram 11500 10000 11500
540 Venous DSA
/ 11500 10000 11500
541 C.T Guided biopsy \/
1265 1100 1265
542 Sinogram 863 750 . 863
543 Cine -Barium 2070 1800 2070
544 CT cuided PTA 2300 2000 2300
545 DSA +PTA 13800 12000 13800
546 Embolisation 28750 25000 28750
547 IVUS 33960 28866 33960
548 Vascular stent 42000 35700 42000
549 Aortic stent graft for aortic aneurysm 86250 75000 86250
550 IVC Filter 16500 14025 16500
551 ASDNSD/PDA closure device 36225 31500 36225
552 ECG Listed under
Investiaations
553 TMT
Listed under
Investiaatlons
(/
554 echocardiography echo adultl-iolter alysis 1265 1100 1265
555 TEE(Transoesophageal acho, 1725 -:
1500
/
1725
556 Stress Echo -erercise .;
I . 1955 IV 1700
./
1955
557 Stress Echo- Dobutamine d /
2~30 2200 2530
558 Stress Thallium - exrercise .-
/ 2500 2125 2500
559 Stress Thallium - pharmacological .( 3000 2550 3000
560 Corory anciooraohv " - , 11500
'-"
10000 11500
561 CT eorory angiography 7245 ' 6300 7245
562 Cardiac CT scan 2325 1976 2325
563 Cardiac MRI 2500 2125 2500
564 MR angiography. 5635 4900 5635
Obstc~trics'and G.ye-to!t)gy,!"
51#:""'i
. I
Rates for
NABH
Rates for Rates for Supe
I
\
No: S.11011/23/2009CGHS D.II/Hospital Cell (Part I)
Government of India
* * * * * * * * * * * * *
Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 1th August, 2010
OFFICE MEMORANDUM
Subject: Fresh empanelment of private hospitals and revision of package
rates applicable under CGHS, Delhi.
The undersigned is directed to state that CGHS had initiated action for fresh
empanelment of private hospitals under CGHS, Delhi (which covers areas in Delhi,
Faridabad, Gurgaon, Ghaziabad and NaiDA) and also for the revision of package
rates (which were fixed in 2006), to be paid to hospitals, by floating tender for the
same. On the basis of the responses received rates for various procedures J
treatments have been arrived at and have been uploaded in the website of CGHS:
www.mohfw.nic.in\cghsnew\index.asp and can be downloaded.
2. In order that CGHS beneficiaries get treatment from well maintained and run
hospitals, it has been decided to have differential rates of reimbursements, as per
details given in the enclosed rates list. The principle followed for the differential
package rates being:
(i) where L-1 rates were arrived at on the basis of rates quoted by non-
NASH accredited hospitals / super-speciality hospitals, NASH accredited
hospitals will be entitled to reimbursement of certain percentage of
additional amount over and above the L-1 rates;
(ii) where L- 1 rates were arrived at on the basis of rates quoted by NASH
accredited hospitals, then non-NASH accredited hospitals would be
entitled to an amount lower by certain percentage than the
reimbursement made to NASH accredited hospitals at L-1 rates; and
(ili) Rates for super-speciality hospitals have been identified separately and
notified in the rate list put on the website of the CGHS. Super-speciality
hospitals covered under this category are:
(1) Cardiology & Cardio-thoracic surgery
(2) J oint replacement surgery made under orthopaedics
(3) Nephrology & Urology including renal transplantation;
(4) Endocrinology;
(5) Neurosurgery;
(6) Gastro-enterology & GIsurgery; and
(7) Oncology
3.1 "Package Rate" shall mean and include lump sum cost of inpatient treatment J
day care J diagnostic procedure for which a CGHS beneficiary has been permitted by
the competent authority or for treatment under emergency from the time of admission
to the time of discharge including (but not limited to) - (i) Registration charges, (ii)
Admission charges, (iii) Accommodation charges including patients diet, (IV)
Operation charges, (v) Injection charges, (vi) Dressing charges, (vii) Doctor I
consultant visit charges, (viii) ICU I ICCU charges, (ix) Monitoring charges, (x)
Transfusion charges, (xi) Anesthesia charges, (xii) Operation theatre charges, (xiii)
Procedural charges I surgeon's fee, (xiv) Cost of surgical disposables and all sundries
used during hospitalization, (xv) Cost of medicines, (xvi) Related routine and essential
investigations, (xvii) Physiotherapy charges etc. (xviii) Nursing care and charges for its
services.
(b) Cost of Implants I stents I grafts is reimbursable in addition to package rates
as per CGHS ceiling rates for Implants / stents / grafts or as per actual, in case there
is no CGHS prescribed ceiling rates.
(c) Treatment charges for new born baby are separately reimbursable in addition
to delivery chares for mother.
d) The hospitals empanelled under CGHS shall not charge more than the
package rates I rates.
3.2 Package rates envisage upto a maximum duration of indoor treatment as
follows:
12days for Specialised (Super Specialties) treatment;
7 days for other Major Surgeries;
3 days for Laparoscopic surgeries / normal deliveries; and
1day for day care I Minor (OPO) surgeries.
3.3 However, if 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 cases,
supported by relevant medical records and certified as such by hospital, the
additional reimbursement shall be limited to accommodation charges as per
entitlement. investigations charges at approved rates, and doctors visit charges (not
more than 2 visits per day per visit by specialists I consultants) and cost of medicines
for additional stay).
3.4 No additional charge on account of extended period of stay shall be allowed if
that extension is due to infection on the consequences of surgical procedure or due to
any improper procedure and is not justified.
4.1 CGHS beneficiaries are entitled to facilities of private, semi-private or general
ward depending on their basic pay / pension. The entitlement is as follows:-
2.
3.
4.2 The package rates for semi-private ward.
4.3 It has now been decided that the CGHS beneficiaries taking treatment in the
empanelled hospitals will be entitled for reimbursement /treatment on credit as per the
package rates / rates. The package rates are for semi-private ward. If the beneficiary
is entitled for general ward there will be a decrease of 10% in the rates; for private
ward entitlement there will be an increase of 15%. However, the rates shall be same
for investigation irrespective of entitlement, whether the patient is admitted or not and
the test per se does not require admission to hospital.
4,4 A hospital empanelled under CGHS, whose normal rates for treatment
procedure I test are lower than the CGHS prescribed rates shall charge as per the
rates charged by them for that procedure / treatment from a non-CGHS beneficiary
and will furnish a certificate to the effect that the rates charged from CGHS
beneficiaries are not more than the rates charged by them from non-CG HS
beneficiaries.
5.1 Private ward is defined as a hospital room where single patient is
accommodated and which has 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.
5.2 Semi Private ward is defined as a hospital room where two to three patients are
accommodated and which has attached toilet facilities and necessary furnishings.
5.3 General ward is defined as halls that accommodate four to ten patients.
5,4 Normally treatment in higher category of accommodation than the entitled
category is not permissible. However, in case of an emergency when the entitled
category accommodation is not available, admission in the immediate higher category
may be allowed till the entitled category accommodation becomes available.
However, if a particular hospital does not have the ward as per entitlement of
beneficiary, then the hospital can only bill as per entitlement of the beneficiary even
though the treatment was given in higher type of ward.
6.1 In case of non-emergencies, the beneficiary shall have the option of
availing specific treatment I investigation from any of the empanelled hospitals of his /
her choice (provided the hospital is empanelled for that treatment procedure I test),
afterthe same has been advised by CGHS l at her Government Specialist I CMO
in-charge and permission is obtained from the competent authority.
6.2 CGHS beneficiaries have, so far, been given the option to get themselves
treated in any hospital of their choice. However, in view of the increased outgo on
getting treatment in super-speciality hospitals, it has now been decided that CGHS
beneficiaries desirous of getting treated in super-speciality hospitals, in non-
emergency conditions, prior approval of the concerned Additional Director, CGHS
would have to be obtained.
6.3 Permission for treatment, other than those covered by para 6.2 above, is
granted by CMO in-charge / Additional Director / J oint Director, CGHS in case of
pensioners, former Governors, former Vice-Presidents, ex-MPs, Freedom Fighters,
etc., and by Rajya Sabha / Lok Sabha Secretariat as the case may be in case of
sitting Members of Parliament, concerned Ministry / Department / Organisation in case
of serving Government employees, serving employees and pensioners of autonomous
bodies covered under CGHS.
7. The empanelled hospitals shall honour permission letter issued by competent
authority and provide treatment / investigation facilities as specified in the permission
letter.
8.1 Hospitals shall provide credit facility to the following categories of CGHS
beneficiaries (including dependant family members, whose names are entered on
CGHS Card) on production of valid permission letter:
Members of Parliament;
Pensioners of Central Government drawing pension from central estimates;
former Vice-presidents, Former Governors and former Prime Ministers;
Ex-Members of Parliament;
Freedom Fighters;
serving CGHS employees;
serving employees of Ministry of Health & Family Welfare (including attached /
subordinate offices under the Ministry of Health & Family Welfare); and
such other categories of CGHS cardholders as notified by the Government.
8.2 Bills should be submitted to the Office of the Rajya Sabha Secretariat / Lok
Sabha Secretariat in case of sitting Members of Parliament and to Additional Director,
CGHS (Hqrs), Delhi, in case of other beneficiaries enlisted above, once in a month.
8.3 The hospitals shall extend credit facility to the above categories of CGHS
beneficiaries under emergency / with prior permission irrespective of the CGHS city
where they are registered and send the bill to Additional Director, CGHS (Hqrs), Delhi.
8.4 Bills of serving employees of the Ministry of Health & Family Welfare and the
employees if attached / subordinate offices under the Ministry of Health & Family
Welfare will be sent directly to the office / officer which / who referred the patients to
the hospitals.
8.5 In case of emergencies empanelled hospitals shall not refuse admission nor
demand payment from CGHS beneficiaries on production of valid CGHS card, issued
by competent authority of any CGHS City.
8.6 Reimbursement in case of pensioners, former Governors, former Vice-
Presidents, ex-MPs , Freedom Fighters, etc., is made by CGHS and by Rajya Sabha
Secretariat I Lok Sabha Secretariat in case of sitting Members of Parliament and by
concerned Ministry I Departmentl Organisation in case of serving Govt. employees,
serving employees and pensioners of autonomous bodies covered under CGHS.
8.7 Serving Central Government employees and their dependent family members not
covered by the CGHS will not be denied treatment at package rates if they approach
the hospitals with a proper referral letter from the Ministry / Department in which they
are working, after verifying the genuineness of the employee by production of his / her
valid identify card issued by the appropriate authority.
8.8 Serving Central Government employees and their dependent family members not
covered by the CGHS will not be denied treatment at package rates if they approach
the hospitals in emergency condition to the patient. The treatment will given after
verifying the genuineness of the employee by production of his / her valid identify card
issued by the appropriate authority.
9 During In-patient treatment of the CGHS beneficiary, the hospital will not ask the
beneficiary or his f her attendant to purchase separately the medicines / sundries J
equipment or accessories from outside and will provide the treatment within the
package rate, fixed by the CGHS which includes the cost of all the items.
10 In case of treatment taken in emergency in any non-empanelled private
hospitals, reimbursement shall be considered by competent authority at CGHS
prescribed packages I rates only.
11 If one or more minor procedures form part of a major treatment procedure, then
package charges would be permissible for major procedure and only at 50% of
charges for minor procedure.
12 Any legal liability arisinq out of such services, responsibility solely rests on the
hospital and shall be dealt with by the concerned empanelled hospital themselves.
13 This Office Memorandum supercedes all earlier instructions relating to
empanelment of hospitals for specialised and general purpose treatment and
investigations for Delhi, Faridabad, Ghaziabad, Gurgaon and NOIDA areas.
14 This issues with the concurrence of Internal Finance Division in the Ministry of
Health & Family Welfare, vide Dy. No: AS & FA 12457/2010 dated the 16
th
August,
2010.
15 The revised rates will come into effect from 1
st
September, 2010.
16 A copy of this Office Memorandum along with rate list and a copy of MOA are
placed on the internet at http://mohfw.nic.in/cghsnew/index.asp.
~ ..:~~
\, '{J\ (/
,[R Ravi]
Director
[Tel: 23063483]
To
1 All Ministries / Departments, Government of India
2 Director, CGHS, Nirman Bhawan, New Delhi
3 All Additional Directors IJ oint Directors of CGHS cities outside Delhi
4 All Pay & Accounts Officers under CGHS
5 Additional Director (Hqrs) 1 Additional Director (SZ), CGHS, New Delhi
6 J D (Gr.)/J D(R&H), CGHS Delhi
7 CGHS Desk-llDesk-II/CGHS-I/CGHS-II, Dte.GHS, Nirman Bhawan. New Delhi
8 EstUI Estt.1I1Estt.llil Estt.lV Sections, Ministry of Health & Family Welfare
9 Admn.11 Admn.11Sections of Dte.GHS
10 Rajya Sabha / Lok Sabha Secretariat
11 Registrar, Supreme Court of India IPunjab & Haryana High Court, Chandigarh
12 U.P.S.C.
13 Finance Division
14 Deputy Secretary (Civil Service News), Department of Personnel & Training,
s" Floor, Sardar Patel Bhawan, New Delhi.
15 PPS to Secretary (H&FW)/ Secretary (AYUSH)I Secretary(HR)!
Secretary(AIDS Control), Ministry of Health & Family Welfare
16 PPS to DGHS I AS&FA / AS(H) / AS&MD, NRHM
17 Swamy Publishers (P) Ltd., P. B. No. 2468, R. A. Puram, Chennai 600028.
18 Shri Umraomal Purohit, Secretary, Staff Side, 13-C, Ferozshah Road, New
Delhi
19 All Staff Side Members of National Council (J CM) (as per list attached)
20 Office of the Comptroller & Auditor General of India, 10 Bahadur Shah Zafar
Marg, New Delhi
21 All Offices I Sections I Desks in the Ministry
22 Sr. Technical Director, NIC, MOHFW, Nirman Bhawan, New Delhi with the
request to upload on the website of the CGHS.
23 Office Order folder
24 Guard File
NABH Non-
Accredited NABH
Hospitals Hospitals Spl.Hospltals
GPO ,.,.'",'" .... ,;"
..... , . .. .>
.-
<
1 Consultation OPD 58 50 240
2 Consultation- for Inpatients 72 63 240
3 Dressings of wounds 58 50
4 Suturing of wounds with local anesthesia 124 108
5 Aspiration Plural Effusion - Diagnostic 193 168
6 Aspiration Plural Effusion - Therapeutic 193 168
7 Abdomil Aspiration - Diagnostic 345 300
8 Abdomil Aspiration - Therapeutic 460 400
9 Pericardial Aspiration 380 330
10 J oints Aspiration 317 276
11 Biopsy Skin 230 200
12 Removal of Stitches 41 36
13 Venesection 124 108
14 Phimosis Under LA 1311 1140
15 Sterl puncture 173 150
16 Injection for Haemorrhoids 414 360
17 Injection for Varicose Veins 414 360
18 Catheterisation 83 72
19 Dilatation of Urethra 575 500
20 Incision & Draige 483 420
21 Intercostal Draige 125 106
22 Peritoneal dialysis 1466 1275
Skin
""
"
23 Excision of Moles 345 300
24 Excision of Warts 310 264
25 Excision of Molluscumcontagiosum 130 111
26 Excision of Veneral Warts 160 136
27 Excision of Corns 140 119
28 I/O Injection Keloid of Acne 97 84
29 Chemical Cautery (s) 110 96
QpthalmoloQY .
30 Subconjunctival/subtenon's injections in one eyes 69 60
31 Subconjunctival/subtenon's injections in both eyes 138 120
32 Pterygium surgeries 86 75
33 Conjunctival peritomy 58 50
34 Conjunctival wound repair or exploration following blunt 115 100
trauma
35 Removal of corneal foreign body 115 100
36 Cauterization of ulcer/subconjunctival injection in one eye 69 60
37 Cauterization of ulcer/subconjunctival injection in both 138 120
eyes
38 Corneal grafting-Penetrating keratoplasty 5750 5000
39 Corneal grafting-Lamellar keratoplasty 5750 5000
40 Cyanoacrylate /fibrin glue application for corneal 690 600
I perforation
41 Bandage contact lenses for corneal perforation 460 400
42 Scleral grafting or conjunctival flap for corneal perforation 2300 2000
43 Keratoconus correction with therapeutic contact lenses 1380 1200
44 UV radiation for cross-linking for keratoconus 2300 2000
45 EDT A for band shaped keratopathy 863 750
46 Arcuate keratotomy for astigmatism
2875 2500
47 He-suturinq (Primary suturing) of corneal wound 1150 1000
48 Penetrating keratoplasty ---- with glaucoma surgery 16100 14000
NASH Non-
Accredited NASH
49 Penetratinq keratoplasty --- with vitrectomy 12144 10560
50 Penetratinq keratoplasty ---- with IOL implantation 3450 3000
51 DALK- Deep anterior lamellar keratoplastv 17250 15000
52 Keratoprosthesis stage I and II 11500 10000
53 DSAEK- Descemet's stripping automated endothelial 21275 18500
keratoplasty
54 AL TK- Automated lamellar therapeutic keratoplastv 16675 14500
55 Probinq and Svrinqinq of lacrimal sac- in one eve 69 60
56 Probina and Svrinaina of lacrimal sac- in both eve 138 120
57 Dacryocystorhinostomy-Plain 1725 1500
58 Dacryocystorhinostomy-Plain with intubation and/or with 9775 8500
lacrimal implants
59 Dacryocvstorhinostomy--conjunctival with implant 9775 8500
60 Callculoplastv 2300 2000
61 Dacryocystectomy 2875 2500
62 Punctal plugs for dry eves 575 500
63 Refraction 41 36
64 Indirect ophthalmoscopy 104 90
65 Orthoptic check-up- with synoptophore 44 38
66 Lees' charting or Hess' chartina 115 100
67 Orthoptic exercises 58 50
68 Pleoptic exercises 58 50
69 Perimetry/field test-Goldman 144 125
70 Perimetrv/field test- automated 144 125
71 Fluorescein anclcoraohv for fundus or iris 1104 960
72 Ultrasound A- Scan 173 150
73 Ultrasound 8- Scan 288 250
74 Indocyanin qreen angiography 920 800
75 Corneal endothelial cell count with specular micropscopy 230 200
76 Corneal topoqraphv 331 288
77 Corneal pachymetry 230 200
78 Auto-refraction 35 30
79 Macular function tests 58 50
80 Potential acuity metrv 115 100
81 Laser interferometry 230 200
82 OCT- Optical coherence tomography 345 300
83 HRT- Heldelberq's relil tornoqrarn 173 150
84 GDX--- Nerve fibre layer alvzer 138 120
85 UBM- Ultrasound biomicroscopy 230 200
86 Non Contact tonometry 58 50
87 lOP measurement with schiotz 35 30
88 lOP measurement with applation tonometry 58 50
89 Three mirror examition for reti 58 50
90 90 D lens examition 58 50
91 Gonloscopv 58 50
92 Chalazion incision and curettage in one eve 414 360
93 Chalazion incision and curettaae in both eves 442 384
94 Ptosis surgery with fasanella servat procedure 2300 2000
95 Ptosis surgery with LPS resection 6843 5950
96 Ptosis surcerv with Slinq suraerv 6900 6000
97 Ectropion surgery- one lid 1725 1500
98 Ectropion suroerv- both lids 3450 3000
99 Epicanthus correction 2300 2000
100 Cantholysis and canthotomy 575 500
101 Entropion suroerv- one lid 1380 1200
102 Entropion surgery- both lids 2760 2400
NABH Non-
Accredited NABH
103 Tarsorraohv
700 595
104 Suturinq of lid lacerations
1150 1000
105 Lid retraction repair
1725 1500
106 Concretions removal
115 100
107 Bucket handle procedure for lid tumors 345 300
108 Cheek rotation flap for lid tumors 6900 6000
109 Orbitotomy 8050 7000
110 Enucleation
3450 3000
111 Enucleation with orbital implants and artificial prosthesis 3450 3000
112 Evisceration 3450 3000
113 Evisceration with orbital implants and artificial prosthesis 5693 4950
114 Telecanthus correction 5175 4500
115 Orbital decompression 5750 5000
116 Exenteration 6900 6000
117 Exenteration with skin grafting 5750 5000
118 Fracture orbital repair 9200 8000
119 Retillaser procedures 1668 1450
120 Retil detachment surcerv 11500 10000
121 Retil detachment suraerv with scleral bucktlnq 13800 12000
122 Buckle removal 1150 1000
123 Silicone oil removal 2875 2500
124 Anterior retil crvooexv 1162 1010
125 Squint correction for one eve 700 595
126 Squint correction for both eyes 1400 1190
127 Trabeculectomy 6900 6000
128 Trabeculotomy 6900 6000
129 Trabeculectomy with Trabeculotomy 2300 2000
130 Trephition 2300 2000
131 Goniotomy 345 300
132 Glaucoma surcerv with Glaucoma valves 2300 2000
133 cvclocrvotheraov 1150 1000
134 YAG laser iridotomy 1725 1500
135 YAG laser caosulotornv 1093 950
136 AL T'Aroon laser trabeculoolastv 1725 1500
137 PDT-Photodymic therapy 3450 3000
138 TTT- Transouolllarv thermal therapy 3450 3000
139 PTK- Phototherapeutic keratectomy 8050 7000
140 Arnon/diode laser for reti 1150 1000
141 Intralase application for keratoconus 5750 5000
142 EOG- electro-oculoqrarn 920 800
143 ERG- Electrio-retinoqram 794 690
144 VEP- visually evoked potential 920 800
145 Vltrectornv- pars pia 5750 5000
146 Intravitreal injections- of antibiotics 1150 1000
147 Intravitreal lnlectlons- of avastin 3450 3000
148 Intravitreal injections- of lucentis 3450 3000
149 X- Ray orbit 115 100
150 CT-orbit and brain 173 150
151 MRI- Orbit and brain 3450 3000
152 Dacrvocvstoqraohv 340 289
153 Orbital angio-graphical studies 1500 1500
154 ECCE with IOL 5750 5000
155 SICS with IOL 840 714
156 Phaco with foldable IOL (silicone and acrylic)/PMMA IOL 10781 9375
NABH Non-
Accredited NABH
Hospitals Hospitals Sol.Hospitals
157 Pars pia lensectomy with/without IOL 11500 10000
158 Secondary IOL implantation- AC IOL PC IOL or scleral 6900 6000
fixated IOL
159 Cataract extraction with IOL with capsular tension rings 13800 12000
i(Cionni's rlnc)
160 Optic nerve sheathotomy 11500 10000
161 Iridodialysis repair or papillary reconstruction 5693 4950
162 Iris cyst removal 863 750
163 Lid Abscess incision and draiqe 1725 1500
164 Orbital Abscess incision and draige 3220 2800
165 Biopsy 460 400
166 Paracentesis 230 200
167 Scleral qratt for scleral melting or perforation 2875 2500
168 Amniotic membrane orattino 1150 1000
169 Cyclodiathermy 2300 2000
170 Intraocular foreign body removal 187 163
171 Electrolysis 230 200
172 Perforating injury repair 4600 4000
173 Botulinum injection for blepharospasm or squint 2933 2550
DelltalProC:edures,,;,
,/
"
,'"
;/
174 Flap Operation per quadrant 414 360
175 Gingivectomy per quadrant 269 234
176 Reduction & immobilasation of fracture- Maxilla Under LA 1380 1200
177 Reduction & immobilasation of fracture-Mandible Under LA 1725 1500
178 splints/Cirucum mandibular wirinq under LA 587 510
179 splints/Cirucum mandibular wiring under GA 1139 990
180 Interl wire fixation/plate fixation of Maxilla under LA 3450 3000
181 Interl wire fixation/plate fixation of Maxilla under GA 4600 4000
182 Interl wire fixation/plate fixation of Mandible under LA 4600 4000
183 Interl wire fixation/plate fixation of Mandible under GA 5750 5000
184 Extraction per tooth under LA 92 80
185 Complicated Ext. per Tooth under LA 115 100
186 Extraction of impacted tooth under LA 184 160
187 Extraction in mentally retarded/patients with systemic 1105 939
diseases/patient with special needs under short term GA
188 Cyst & tumour of Maxilla /mandible by 281 244
enucleation/excision/marsupalisation upto 4 cms under LA
189 Cyst & tumour of Maxilla/mandible by 467 406
enucleation/excision/marsupalisation size more than 4
cms under LA
190 Cyst & tumour of Maxilla/mandible by 1150 1000
enucleation/excision/marsupalisation size more than 4 cms
under GA
191 TM joint ankylosis- under GA 9775 8500
192 Biopsy Intraoral-Soft tissue 430 374
193 Biopsy Intraoral-Bone 430 374
194 Hemi-mandibulectomy with qraft 5693 4950
195 Hemi-mandibulectomy without graft 3335 2900
196 Segmental-mandibulectomy with craft 4543 3950
197 Segmental-mandibulectomy without qraft 1139 990
198 Maxillectomy- Total with craft 2875 2500
199 Maxillectomy- Total without graft 2243 1950
200 Maxillectomy- partial with qraft 3450 3000
S.No. Name of Treatment Procedure Rates for Rates for Rates for Su per
NABH Non-
Accredited NABH
Hospitals Hospitals set.Hospitals
201 Maxillectomy- partial without qratt 2875 2500
202 Release of fibrous bands & grafting -in (OSMF) treatment 1725 1500
under GA
203 Pre-prosthetic surgery- Alveoloplasty 575 500
204 Pre-prosthetic surgery - ridge augmentation 1500 1275
205 Root cal Treatment(RCT) Anterior teeth 575 500
206 Root cal Treatment(RCT) Posterior teeth 805 700
207 Apicoectomy- Single root 575 500
208 Apicoectomy-Multiple roots 748 650
209 Metal Crown-per unit 575 500
210 Metal crown with Acrylic facing per unit 805 700
211 Complete sinqle denture-metal based 1725 1500
212 Complete denture- acrylic based per arch 1093 950
213 Removable partial denture-Metal based-unto 3 teeth 805 700
214 Removable partial denture-Metal based-more than 3 teeth 1035 900
215 Removable partial denture-Acrylic based-unto 3 teeth 575 500
216 Removable partial denture-Acrylic based-more than 3 teeth 310 264
217 Arnalourn restoration-per tooth 230 200
218 Composite Restoration-per tooth-anterior tooth 288 250
219 Glas lonorner-per tooth 230 200
220 Scaling & polishing 345 300
221 Removable Orthodontics appliance- per Arch 805 700
222 Fixed Orhtodontics-per Arch 1380 1200
223 Space maintainers-Fixed 575 500
224 Habit breaking appliances-removable 920 800
225 Habit breaking appliances-Fixed 1725 1500
226 Expansion plate 1150 1000
227 Feeding appliance for cleft palate 1725 1500
228 Maxillo-facial prosthesis (sallauricular/orbital/facial lost 4025 3500
Ipart)
229 Functiol orthodentic appliances 3450 3000
230 Obturator (Maxillo-facial) 1725 1500
231 Occlusal night guard(splint) 920 800
E.N.T.Head and Necl<
<
ENT :1.<"
."
t:
232 Pure Tone Audiogram 173 150
233 lrnpedence with stepedeal reflex 230 200
234 SISI Tone Decay 135 115
235 Multiple hearing assessment test to Adults 115 100
236 Speech Discrimition Score 90 78
237 Speech Assessment 138 120
238 Speech therapy per session of 30-40 minutes 131 114
239 Cold Calorie Test for Vestibular function 173 150
240 Removal of foreign body From Nose 345 300
241 Removal of foreign body From Ear 230 200
242 Syringing (Ear) 166 144
243 Polyp removal under LA 575 500
244 Polyp removal under GA 1150 1000
245 Peritonsillar abscess draige under LA 1449 1260
246 Myringoplasty 6900 6000
247 Staepedectomy 9200 8000
248 Myringotomy with Grommet insertion 4600 4000
249 Tympanotomy 8625 7500
250 Tympanoplasty 13800 12000
251 Mastoidectomy 14950 13000
NASH Non-
Accredited NASH
252 Otoplasty 16100 14000
253 Labyrinthectomy 13800 12000
254 Skull Base surgElry 26450 23000
255 Facial Nerve Decompression 17250 15000
256 seotoolastv
5750 5000
257 Submucous Resection 7314 6360
258 Septo-rhinoplasty 16100 14000
259 Rhinoplasty- Non-cosmetic 11500 10000
260 Fracture Reduction 5750 5000
261 Intra sal Diathermy 1'150 1000
262 Turbinectomy 5750 5000
263 Endoscopic DCR 13248 11520
264 Endoscopic Surgery 13800 12000
265 Septal Perf. Repair 13800 12000
266 Antrum Puncture 966 840
267 Lateral Rhinotomy 1150 1000
268 Cranio-facial resection 26450 23000
269 Caldwell Luc Surqerv 10626 9240
270 Anqiofibroma Excision 18400 16000
271 Endoscopic Hypophysectomy 23000 20000
272 Endoscopic Optic Nerve Decompression 32775 28500
273 Decompression of Orbit 26450 23000
274 PunchIWedge biopsy 674 586
275 Tonsillectomy 6900 6000
276 Uvulo-palatoplasty 17250 15000
277 FESS for antrochoal polyp 5750 5000
278 FESS for ethmoidal polyp 5750 5000
279 Polyp removal ear 748 650
280 Polyp removal Nose(Septal polyp) 748 650
281 Mastoidectomy plus Ossciculoplasty including TORP or 2415 2100
PORP
282 Endolvrnphatic sac decompression 2875 2500
283 Diaqnostic sal endoscopy under GA 2300 2000
284 Yonges operation for Atrophic rhinitis 6900 6000
285 Vidian neurectomy for vasomotor Rhinitis 10350 9000
286 sal Packing-anterior 345 300
287 sal Packing-posterior 805 700
288 Ranula Excision 6843 5950
289 Tongue Tie excision 1725 1500
290 Sub Mandibular Duct Lithotomy 275 234
291 Adenoidectomy 6486 5640
292 Palatooharvnooplastv 8165 7100
293 Cleft Palate repair at S. No.1 028
294 Pharvnqoclastv 17193 14950
295 Styloidectomy 9200 8000
296 Direct laryngoscopy including Biopsy under GA 5175 4500
297 oesophagoscopy/foreign body removal from 1858 1616
298 Bronchoscopy with F.B.removal 2804 2438
Head'<lndtN~ck .'
299 Ear Lobe Repair one side 566 492
300 Excision of Pin for Growth (Squamous/Basal/ Injuries) Skin 4025 3500
Only
301 Excision of Pin for Growth (Squamous/Basal! Injuries) Skin 5290 4600
and Cartilage
302 Partial Amputation of Pin 5750 5000
303 Total Amputation of Pin 7130 6200
.'
NABH Non-
Accredited NABH
Hospitals Hospitals Sol.Hospitals
304 Total Amputation & Excision of Exterl Auditory Meatus 1725 1500
305 Excision of Cystic Hygroma 5175 4500
306 Excision of Cystic Hvqrorna Extensive 7452 6480
307 Excision of Branchial Cyst 10350 9000
308 Excision of Branchial Sinus 10350 9000
309 Excision of Pharyngeal Diverticulum 10580 9200
310 Excision of Carotid Body-Tumours 13500 11475
311 Operation for Cervical Rib 13500 11475
312 Block Dissection of Cervical Lymph Nodes 15500 13175
313 Pharyngectomy & Reconstruction 15500 13175
314 Operation for Carcinoma Lip - Wedce-Excision 8050 7000
315 Operation for Carcinoma Lip - Vermilionectomy 8050 7000
316 Operation for Carcinoma Lip - Wedge Excision and 9660 8400
Vermilonectomy
317 Estlander Operation 7475 6500
318 Abbe Operation 11500 10000
319 Cheek Advancement 9775 8500
320 Excision of the Maxilla 19320 16800
321 Excision of mandible-segmental 15525 13500
322 Mandibulectomy 21074 18325
323 Partial Glossectomy 5520 4800
324 Hemiglossectomy 11500 10000
325 Total Glossectomy 22885 19900
326 Commondo Operation 23000 20000
327 Parotidectomy - Superficial 17250 15000
328 Parotidectomy - Total 12075 10500
329 Parotidectomy - Radical 19550 17000
330 Repair of Parotid Duct 11500 10000
331 Removal of Submandibular Salivary eland 8625 7500
332 Hemithyroidectomy 12650 11000
333 Partial Thyroidectomy (lobectomy) 11500 10000
334 Subtotal Thyroidectomy 13053 11350
335 Total Thyroidectomy 19550 17000
336 Resection Enucleation of thyroid Adenoma 10580 9200
337 Total Thyroidectomy and Block Dissection 26450 23000
338 Excision of Linaual Thyroid 17270 14680
339 Excision of Thvroolossal Cyst/Fistula 13225 11500
340 Excision of Parathyroid Adenoma/Carcinoma 21275 18500
341 Larvncectornv 31050 27000
342 Laryngo Pharyngectomy 17825 15500
343 Hyoid Suspension 10350 9000
344 Genioplasty 19550 17000
345 Direct Laryngoscopy including biopsy under GA At S.No.296
346 Phonosurgery 13800 12000
347 Fibroptic examition of Larynx under LA 1725 1500
348 Microlaryngeal Surgery 10350 9000
349 l.arvnooflssure 17250 15000
350 Tracheal Stenosis Excision 19780 17200
Head and neck 'cancer
351 Excisiol Biopsies 5750 5000
352 Benign Tumour Excisions 11270 9800
353 Temporal Bone subtotal resection 20700 18000
354 Modified Radical Neck Dissection 25300 22000
355 Carotid Body Excision 28750 25000
356 Total Laryngectomy 39192 34080
357 Flap Reconstructive Surqerv 41400 36000
NABH Non-
Accredited NABH
358 Parapharyngeal Tumour Excision 39330 34200
359 Breast 28750 25000
360 Draige of abscess 6325 5500
361 Excision of lumps 9775 8500
362 Local mastectomy-simple 12650 11000
363 Radical mastectomy-formal or modified. 28750 25000
364 Excision of mammary fistula 15525 13500
365 Segmental resection of breast 16100 14000
General surnerv c'
,
Injury Of Superficial Soft Tissues
366 sutunno of small wounds 269 234
367 Secondary suture of wounds 288 250
368 Debridement of wounds 414 360
369 Removal Of Foreign Bodies 288 250
Biopsies
370 Excision Cervical Lymph Node 1725 1500
371 Excision Axillary Lymph Node 2277 1980
372 Excision of lnouil Lymph Node 2277 1980
373 Excision Biopsy of Ulcers 1500 1275
374 Excision Biopsy of Superficial Lumps 3220 2800
375 Incision Biopsy of Growths/Ulcers 1500 1275
376 Trucut Needle Biopsy 1725 1500
377 Percutaneous Kidney Biopsy 1500 1275
378 Marrow Biopsy (Open) 1725 1275
379 Muscle Biopsy 1500 1275
380 Scalene Node Biopsy 1323 1150
381 Excision of Sebaceous Cysts 1242 1080
382 Excision of Superficial Lipoma 1932 1680
383 Excision of Superficial Neurofibroma 2645 2300
384 Excision of Dermoid Cysts 2277 1980
385 Haemorrhoidectomy 2645 2300
386 Stapler haemorrhoidectomy 4025 3500
387 keloid excision 1150 1000
388 Vericose vein surgery;Tendelenburg operation with 8625 7500
suturing or ligation.
Oesophaqus , " ,<",/,,,,. 0',
... :.
389 Atresia of Oesophagus and Tracheo Oesophageal Fistula 28750 25000
390 Operations for Replacement of Oesophagus by Colon 25300 22000
391 Oesophagectomy for Carcinoma Easophagus 25300 22000
392 Oesophageal Intubation (Mausseau Barbin Tube) 11500 10000
393 Achalasia Cardia Transthoracic 12650 11000
394 Achalasia Cardia Abdomil 14950 13000
395 Oesophaoo Gastrectomy for mid 1/ 3lesion 24495 21300
396 Heller's Operation 19780 17200
397 Colon-Inter position or Replacement of Oesophaous 22540 19600
398 Oesophago Gastrectomy - Lower Corringers procedure 21390 18600
Abdomen
..
399 Gastroscopy 1725 1500
400 Gastric & Duodel Biopsy (Endoscopic) 2243 1950
401 Pyloromyotomy 3105 2700
402 Gastrostomy 8625 7500
403 Simple Closure of Perforated peptic Ulcer 9775 8500
404 Vagotomy Pyleroplasty / Gastro J ejunostomy 13800 12000
405 Duodenojejunostomy 20700 18000
406 Partial/Subtotal Gastrectomy for Carcinoma 23000 20000
NABH Non-
Accredited NABH
407 Partial/Subtotal Gastrectomy for Ulcer 22425 19500
408 Operation for Bleedinq Peptic Ulcer 20976 18240
409 Gastrojejunostomy & Vaootornv 19780 17200
410 Operation for Gastroieiul Ulcer 19780 17200
411 Total Gastrectomy for Cancer 22368 19450
412 Highly Selective Vaqotomv 18630 16200
413 Selective Vaqotomv & Dralce 18630 16200
414 Conqenltal Diaphragmatic Hernia 18975 16500
415 Hiatus Hernia Repair- Abdomil 14490 12600
416 Hiatus Hernia Repair- Transthoracic 16100 14000
417 Exploratory Laparotomy 12650 11000
418 Epiqastrlc Hernia Repair 11385 9900
419 Umbilical Hernia Repair 11385 9900
420 Ventral /incisiol Hernia Repair 10293 8950
421 Inquil Hernia Herniorraphy 14835 12900
422 lnquil Hernia - Hernioplasty 17135 14900
423 Femoral Hernia Repair 18285 15900
424 Rare Hernias Repair (Spigalion Obturator Lumbar Sciatic) 22885 19900
425 Splenectomy - For Trauma 18975 16500
426 Splenectomy - For Hypersplenism 14490 12600
427 Splenorel Astomosis 23000 20000
428 Portocaval Astomosis 30935 26900
429 Direct Operation on Oesophagus for Portal Hypertension 22885 19900
430 Mesentericocaval Astomosis 28750 25000
431 Warren Shunt 28750 25000
432 Pancerato Duodenectomy 21735 18900
433 By Pass Procedure for Inoperable Carcinoma of Pancreas 23000 20000
434 Cystojejunostomy or Cvstoqastrostomv 14490 12600
435 Cholecystectomy 10293 8950
436 Cholecystectomy & Exploration of CBD 13800 12000
437 Repair of CBD 17250 15000
438 Operation for Hydatid Cyst of Liver 11903 10350
439 Cholecystostomy 10293 8950
440 Hepatic Resections (Lobectomy IHepatectomy) 14375 12500
441 Operation on Adrel Glands - Bilateral 26105 22700
442 Operation on Adrel Glands - Unilateral for Tumour 13800 12000
443 Appendicectomy 8108 7050
444 Appendicular Abscess - Draige 9775 8500
445 Mesenteric Cyst- Excision 11040 9600
446 Peritonioscopy/Laparoscopy 4600 4000
447 J ejunostomy 5750 5000
448 Ileostomy 15410 13400
449 Resection & Astomosis of Small Intestine 20700 18000
450 Duodel Diverticulum 18400 16000
451 Operation for Intestil Obstruction 10350 9000
452 Operation for Intestil perforation 7763 6750
453 Beniqn Tumours of Small Intestine 19550 17000
454 Excision of Small Intestine Fistual 19550 17000
455 Operations for Haemorrhaqe of Small Intestines 19550 17000
456 Operations of the Duplication of the Intestines 17825 15500
457 Operations for Recurrent Intestil Obstruction (Noble 23000 20000
Plication & Other Operations for Adhesions)
458 llleosicmoldostomv 16790 14600
459 lIieotransverse Colostomy 16790 14600
NASH Non-
Accredited NASH
Hospitals Hospitals Spl.Hospltals
460 Caecostomy 3903 3394
461 Loop Colostomy Transverse Siqrnoid 13110 11400
462 Termil Colostomy 17250 15000
463 Closure of Colostomy 17480 15200
464 Right Hemi-Colectomy 13800 12000
465 Left Hemi-Colectomy 13800 12000
466 Total Colectomy 17250 15000
467 Operations for Volvulus of Large Bowel 24921 21670
468 Operations for Siqmoid Diverticulitis 18630 16200
469 Fissure in Ano with interl sphinctrectomy with fissurectomy. 5750 5000
470 Fissure in Ano - Fissurectomy 13800 12000
471 Rectal Polyp-Excision 5658 4920
472 Operation of Haemorrhoids -Lords procedure 1580 1343
473 Fistula in Ano - High Fistulectomy 16781 14592
474 Fistula in Ano - Low Fistulectomy 9867 8580
475 Prolapse Rectum - Theirch Wiring 10350 9000
476 Prolapse Rectum - Rectopexy 5750 5000
477 Prolapse Rectum - Grahams Operation 18400 16000
478 Operations for Hirschsprunqs Disease 14260 12400
479 Excision of Pilonidal Sinus 11500 10000
480 Abdomino-Perineal Excision of Rectum 21850 19000
481 Anterior Resection of rectum 21850 19000
482 Pull Through Abdomil Resection 17710 15400
483 Operations for Neuroblastoma 14600 12410
ICUICCU procedures (Special Care Cases)
484 Corory Care with Cardiac Monitoring including ECG & Diet 1250 1063 3890
485 Compressed air I piped oxygen 58 50 1300
486 Ventilator charqes 560 476 2090
487 Paediatric care for New born per day 190 162 1795
488 Incubator charges (Per day) 345 300 1200
489 Neotal ICU charges (Per day) 400 340 1795
490 Resuscitation 184 160 880
491 Exchange Transfusion 265 230 880
492 Pneupack ventilator in Nursery (Per day) 575 500 1200
C~rdiovll.sc.ularand,cll.rdiac surg~ry & tnvesttqattons
493 ASD Closure 53000 45050 53000
494 VSD with graft 53000 45050 53000
495 TOFITAPVCITCPC/REVIVSOV repair 130000 110500 130000
496 V.D.Glenn/Left atrium myxoma 100000 85000 100000
497 Senning/ASO with graft 125000 106250 125000
498 DSO 16100 14000 16100
499 AV Cal repair 161000 140000 161000
500 Fonten 169050 147000 169050
501 Conduit repair 169050 147000 169050
502 CABG 130000 110500 130000
503 CABG + IABP 169050 147000 169050
504 CABG +1valve. 169050 147000 169050
505 Asendinq aorta replacement 165000 140250 165000
506 DVR 130000 110500 130000
507 MVR/AVR 53000 45050 53000
508 MV repair +AV repair 106000 90100 106000
509 Aorta femoral bypass 56810 49400 56810
510 B.T ShuntlCoaractation 51980 45200 51980
511 P.A.Banding septostomy 51980 45200 51980
NABH Non-
Accredited NABH
Hospitals Hospitals Spl. Hospitals
512 Pericardictomv 42320 36800 42320
513 CMV/PDA 51980 45200 51980
514 CABG without bypass. 149500 130000 149500
515 Gunshot injury 51980 45200 51980
516 Heart transplant 276000 240000 276000
517 Balloon corory angioplastv/PTCA J =e.h . ')0 \'3 v
- -
518 Intra cororv stentinq r:- eh. '20 13
-
~.
519 Direct stenting
- ~h. 2DY-i
..
- - -
- - - -
520 Directiol atherectomy 97750 85000 97750
521 Rotablation 50000 42500 50000
522 balloon valvotomv/PTMC 10500 8925 10500
523 CART 10350 9000 10350
524 CATH 10350 9000 10350
525 Coaractation dilatation 12650 11000 12650
526 Permanent pacemaker implantation-VVI 13800 12000 13800
527 Permanent pacemaker implantation- DDD 19320 16800 19320
528 Permanent pacemaker implantation Biventricular 34500 30000 34500
529 AICD implantation 28750 25000 28750
530 Combo device implantation 48300 42000 48300
531 Electrophysiological studies. 11500 10000 11500
532 Endomvocardial biopsy 11500 10000 11500
533 IABP 8000 6800 8000
534 Intra vascular coils one coil( additiol coil charges extra) 46000 40000 46000
535 R.F.ablation 30000 25500 30000
536 seotostomv 20000 17000 20000
537 AVBD/PVBD 48300 42000 48300
538 Digital substraction anqioqraphy-Pherlpheral artery 11500 10000 11500
539 Diqltal substraction anclocraohv- venocrarn 11500 10000 11500
540 Venous DSA 11500 10000 11500
541 C.T Guided biopsy 1265 1100 1265
542 Slnoqrarn 863 750 863
543 Cine -Barlum 2070 1800 2070
544 CT qulded PTA 2300 2000 2300
545 DSA +PTA 13800 12000 13800
546 Embolisation 28750 25000 28750
547 IVUS 33960 28866 33960
548 Vascular stent 42000 35700 42000
549 Aortic stent oratt for aortic aneurysm 86250 75000 86250
550 IVC Filter 16500 14025 16500
551 ASDNSD/PDA closure device 36225 31500 36225
552 ECG Listed under
Investiaations
553 TMT Listed under
Investiaations
554 echocardioqraohv echo adultHolter alvsls 1265 1100 1265
555 TEE(Transoesophageal echo 1725 1500 1725
556 Stress Echo -erercise 1955 1700 1955
557 Stress Echo- Dobutamine 2530 2200 2530
558 Stress Thallium- exrercise 2500 2125 2500
559 Stress Thallium - pharrnacoloqlcal 3000 2550 3000
560 Cororv anclooraohv 11500 10000 11500
561 CT corory anclcoraonv 7245 6300 7245
562 Cardiac CT scan 2325 1976 2325
563 Cardiac MRI 2500 2125 2500
564 MR anolooraphv. 5635 4900 5635
Obstetrics and Gvecoloav .
,~.. :'
., ..
t(ev \sed (~HS
Ro.1-e
Lis+
-.
NABH Non-
Accredited NABH
565 Normal delivery or with Episiotomy & P. repair 8625 7500
566 vaccum delivery 8625 7500
567 Low Forceps 9200 8000
568 Low midcavity forceps 9200 8000
569 Cesarean Section 17250 15000
570 Cesarean Hysterectomy 18975 16500
571 Rupture Uterus closure & repair with Tubal Ligation 17250 15000
572 Perforation of Uterus after DIE Laparotomy & Closure 13800 12000
573 Laparotomy for Ectopic Rupture 13800 12000
574 Laparotomy-peritonitis Lavage and Draige 11500 10000
575 Laparotomy-failed laparoscopy to explore 5750 5000
576 Salphinqectomy 10350 9000
577 Salphingo-Oophorectomy 13800 12000
578 Ovarean Cvstectornv-laparoscopic. 13800 12000
579 Ovarean Cystectomy -laparotorny, 13800 12000
580 Ophorectomy-Iaparoscopic 9200 8000
581 Oophorectomy-laparotomy 9200 8000
582 Broad Ligment Haemotoma Drai!le 6900 6000
583 Exploration of perineal Haematoma & Resuturing of 8280 7200
Episiotomy
584 Exploration of abdomil Haematoma (after laparotomy + 8050 7000
LUCS)
585 Interl podalic version and breech extraction 4140 3600
586 Manual Removal of Placenta 3450 3000
587 3rd stage Complication from extra-institutiol deliveryetc 4140 3600
588 Examition under aesthesia 1150 1000
589 Burst-abdomen Repair 10350 9000
590 Gaping Pareneal Wound Secondary Suturing 1656 1440
591 Gaping abdomil wound Secondary Suturing 3450 3000
592 Complete perineal tear-repair 2128 1850
593 Exploration of PPH-tear repair 3565 3100
594 Destructive Operation 9200 8000
595 Suction evacuation vesicular mole Missed abortion DIE 5175 4500
596 Colpotomy-draige PN needling EUA 3450 3000
597 Repair of post-coital tear perineal injury 3508 3050
598 Excision of urethral caruncle 3450 3000
599 Shirodhkar Mc. Ooids stich 3220 2800
600 Abdomil Hysterectomy 17250 15000
601 Vagil Hysterectomy 17250 15000
602 Myomectomy -laparotomy 14375 12500
603 Myomectomy -laparoscopic 6325 5500
604 Vaginoplasty 14950 13000
605 Laparotomy for Ectopic Preqncv 6325 5500
606 Vulvectomy -Simple 9200 8000
607 Vulvectomy-Radical 9200 8000
608 RVF Repair 18975 16500
609 Manchester Operations 15525 13500
610 Perineorrhaphy 14950 13000
611 Colporrhaphy with mesh. 16388 14250
612 Colporrhaphy without mesh. 13800 12000
613 Enterocoel repair 11500 10000
614 Shirodkar's sling Operation or other sling operations for 3450 3000
[prolapse uterus
615 Laparoscopic sling operations for prolapse uterus 3450 3000
616 Diagnostic Curettage 2484 2160
'.
NASH Non-
Accredited NASH
617 Fractiol Curettage 2760 2400
618 o & C and Cervical Biopsy 3163 2750
619 Polypectomy 1518 1320
620 Other-Minor Operation Endometrial 2300 2000
621 Excision VaQiI CysVBurtholin Cyst 3450 3000
622 Excision Vaoil Septum 4600 4000
623 Laparoscopy -Diaqnostlc with chromopertubation 4025 3500
624 Laparoscopy Sterilisation 3450 3000
625 Laparoscopy Operative 5750 5000
626 Laparoscopy LAVH 10350 9000
627 Total laoarscooic hysterectomy 25243 21950
628 Drillinq of Overy 6325 5500
629 Laparascopic treatment of Ectopic pregncy-salpingectomy 9775 8500
630 Laparotomy treatment of Ectopic pregncy. 14605 12700
631 Conisation of cervix 4025 3500
632 Trachleorraphy of cervix for early CA cervix 7130 6200
633 Hysteroscopic cannulation 2875 2500
634 Laparotomy recannulation of Fellopian tubes- 17250 15000
I (Tubuloptastv)
635 Laparoscopic recannulation of Fellopian tubes- 22425 19500
I(Tubuloplastv)
636 Colposcopy 980 833
637 LEETZ(LarQe Loop Excision of Transformation Zone) 5980 5200
638 Loop Electro Surgical procedures. 5980 5200
639 Chorionic Villi sampling 1208 1050
640 Interventiol Ultrasonooraphv 1000 850
641 Amneocentosis 1035 900
642 Karyotyping Listed under
Investiaations
643 Hysteroscopic endometrial ablation 15525 13500
644 Thermal ballon ablation. 11500 10000
645 Ultrasonooraphic rnyolysis 10293 8950
646 Laparoscopic cystectomy 5750 5000
647 Intra Uterine Insemition 920 800
648 ICSI 11500 10000
649 Anti Retroviral Therapy. 17078 14850
650 Laparotomy abdomil scaro-colpopexy 23000 20000
651 Laparotomy Vault suspension 16675 14500
652 Laparscoplc abdomil scaro-colpopexv 24035 20900
653 Laparoscopic Vault suspension 20125 17500
654 Laparotomy radical l.vrnohedenectomv 23000 20000
655 l.aparoscopic radical Lymphedenectomy 27600 24000
656 Pap smear Listed under
Investiaations
657 Endometrial aspiration cvtolocv 575 500
658 Transvagil sonography (TVS for Follicular 460 400
monitiorino aspiration)
659 laparoscopic treatment for stress incontinence 5750 5000
660 Transvagil tubes for Stress incontinence 17595 15300
661 trans-obturator tubes for Stress incontinence 11500 10000
662 Interventiol radlooraohlc arterial embolisation 18343 15950
663 Diagnosticcystoscopy 2875 2500
664 Staaing laparotomy surgery for CA Overy 6325 5500
665 Interilliac liqatlon 3393 2950
666 stepwise devascularisation 9200 8000
667 Assisted breech delivery 10925 9500
NASH Non-
Accredited NASH
668 Cordocentesis 2990 2600
669 Intra-uterine fetal blood transfusion 23000 20000
670 Hysteroscopy TCRE 11500 10000
671 Hysteroscopy Removal of IUCD 8050 7000
672 Hysteroscopy Removal of Septum 11385 9900
673 Hysteroscopy Diacnostic 7475 6500
674 Werthimas Hystrectomy for Cancer cervix 26450 23000
675 Sterilisation Post ertum 4140 3600
676 Sterilisation Intravagil 4025 3500
677 Abortion- D & C 2300 2000
678 Abortion- Evacuation 3036 2640
679 MTP- 1st Trimester 3036 2640
680 MTP - 2nd Trimester 4370 3800
681 Triple test 1656 1440
682 Quadriple test 2530 2200
683 BioPtlysical score 690 600
684 Fetal nuechal translucency 345 300
685 HPV testlnq 575 500
686 BLCG 460 400
NephroloQV and ,UroloQv.
687 Partial Nephrectomy -open 16215 14100 35000
688 Partial Nephrectomy-larxoscoQic/endoscopic 14490 12600 57500
689 Nephrolithomy -open 16100 14000 35000
690 Nephrolithomy -Iaproscopic/endoscopic 16100 14000 65000
691 Pyelolithotomy-open 14950 13000 35000
692 Pyelolithotomy -Iaproscopic/endoscopic 10580 9200 65000
693 Operations for Hydronephrosis -pyeloQiasty open 18400 16000 42500
694 Operations for Hydronephrosis -pyeloplasty 20700 180,00 75000
Lap/endoscopic
695 Operations for Hydronephrosis Endopiyelotomy antegrade 20125 17500 48000
696 Operations for Hydronephrosis Endoplyelotomy retrograde 20269 17625 48000
697 Operations for Hydronephrosis -ureterocalicostomy 18400 16000 48000
698 Operations for Hydronephrosis-Ileal ureter 20269 17625 48000
699 Open Draiqe of Perinephric Abscess 9200 8000 25000
700 Percutaneous Draige of Perinephric Abscess -Ultrasound 5750 5000 18500
guided
701 Cavernostomy 11500 10000 25000
702 Operations for Cyst of the Kidney -open 11960 10400 35000
703 Operations for Cyst of the Kidney -Lap/endoscopic 14030 12200 57830
704 Ureterolithotomy -open 13386 11640 29940
705 Ureterolithotomy-Lap/Endoscopic 10580 9200 30750
706 Nephroureterectomyopen 13386 11640 45000
707 Nephroureterectomy -Lap/Endoscopic 16100 14000 78000
708 Operations for Ureter for -Double Ureters 19550 17000 45000
709 Operations for Ureter -for Ectopia of Sinole Ureter 20700 18000 32500
710 Operations for Vesico- ureteric Reflux -Open 20700 18000 32500
711 Operations for Vesico- ureteric Reflux-Lap/Endoscopic 20700 18000 65000
712 Operations for Vesico- ureteric Reflux-with bulking agents 20700 18000 27500
713 Ureterostomy - Cutaneous 13800 12000 32000
714 Uretero-Colic astomosis 17250 15000 27500
715 Formation of an Ileal Conduit 17250 15000 32000
716 Ureteric Catheterisation 690 600 8500
717 Biopsy of Bladder (Cystoscopic) 2300 2000 12500
718 Diathermy Destruction of Bladder Neoplasm 8625 7500 27500
NASH Non-
Accredited NASH
719 Cysto Litholapexy 10925 9500 23770
720 Operations for Injuries of the Bladder 11500 10000 52500
721 Suprapubic Draige (Cystostomy/vesicostomy) 6900 6000 19740
722 Simple Cystectomy 17250 15000 44770
723 Diverticulectomy -open 17250 15000 46310
724 Diverticulectomy- Lap/Endoscopic 18400 16000 30870
725 Diverticulectomy -Endoscopic incision of neck 1725 1500 27180
726 Augmentation Cystoplasty 6670 5800 52500
727 Operations for Extrophy of the Bladder- Single stage repair 22301 19392 75000
728 Operations for Extrophy of the Bladder- Multistage repair 20815 18100 74850
729 Operations for Extrophy of the Bladder- simple cystectomy 23000 20( ) 00 74850
with uriry diversion
730 Repair of Ureterocoel -Open 13800 12000 37500
731 Repair of Ureterocoel -Lap/Endoscopic 14375 12500 61950
732 Repair of Ureterocoel -Endoscopic incision 13570 11800 31000
733 Open Suprapubic Prostatectomy 20700 18000 27600
734 Open Retropubic Prostatectomy 20125 17500 29000
735 Transurethral Resection of Prostate (TURP) 18630 16200 35000
736 Urethroscopy/ Cystopanendoscopy 4600 4000 11940
737 Interl urethrotom -optical 5750 5000 25620
738 Interl urethrotomy -Core through urethroplasty 11040 9600 38500
739 Urethral Reconstruction -End to end ansatamosis 3450 3000 37500
740 Urethral Reconstruction - substitution urethroplasty 19550 17000 42500
741 Posterior Urethal Valvu fulguration. 11270 9800 32500
742 Operations for Incontinence of Urine - Male -Open 17250 15000 37500
743 Operations for Incontinence of Urine - Male -Sling 18400 16000 37500
744 Operations for Incontinence of Urine - Male-Bulking agent 19435 16900 37500
745 Operations for Incontinence of Urine - Female -Open 17250 15000 37500
746 Operations for Incontinence of Urine - Female-Sling 18400 16000 37500
747 Operations for Incontinence of Urine - Female-Bulking 19435 16900 37500
agent
748 Reduction of Paraphimosis 1725 1500 5950
749 Circumcision 4025 3500 9500
750 Meatotomy 2346 2040 5250
751 Meatoplasty 3220 2800 9500
752 Operations for Hypospadias +Chordee Correction 1208 1050 38000
753 Operations for Hypospadias - Second Stage 17250 15000 38500
754 Operations for Hypospadias - One Stage Repair 12075 10500 38000
755 Operations for Crippled Hypospadias 12593 10950 42500
756 Operations for Epispadias _primary repair 12593 10950 38500
757 Operations for Epispadias-crip.Qied epispaedias 11385 9900 65000
758 Partial Amputation of the Penis 10764 9360 16500
759 Total amputation of the Penis 16100 14000 27500
760 Orchidectomy-Simple 9775 8500 16000
761 Orchidectomy -Radical 12075 10500 28000
762 Orchidectomy -Post orchidectomy retroperitoneallynpy 15985 13900 68500
node dissection.
763 Epididymectomy 11270 9800 16000
764 Adreneclectomy Unilateral/Bilateral for Tumour/For 25300 22000 50750
Carcinoma- Open
765 Adreneclectomy Unilateral/Bilateral for Tumour/For 14375 12500 75000
Carcinoma -Lap/Endoscopic
766 Operations for Hydrocele - Unilateral 5865 5100 10500
767 Operations for Hydrocele - Bilateral 8556 7440 12500
NASH Non-
Accredited NASH
Hospitals Hosoitals Sol. Hospitals
768 Vasectomy (Should be free for Family Welfare) 0 0 14330
769 Operation for Torsion of Testis 11500 10000 21000
770 Micro-surgical Vasovasostomy Naso epidedymal 11040 9600 27500
ansatamosis.
771 Operations for Varicocele Palomo's Unilateral- 7705 6700 27500
Microsuraical
772 Operations for Varicocele Palomo's Unilateral - 9200 8000 27500
Lap/Endoscopic
773 Operations for Varicocele Palomo's Bilateral -- 12650 11000 35000
Microsurgical
774 Operations for Varicocele Palomo's Bilateral - 14950 13000 39000
Lap/Endoscopic
775 Block Dissection of Inguil Nodes - One Side 6325 5500 28500
776 Block Dissection of lnqull Nodes - Both Sides 23000 20000 32500
777 Excision of Filarial Scrotum 11500 10000 20000
778 Emergency Dialysis Femoral Puncture 932 810 990
779 Emerqency Dialysis Subclavian Puncture 1162 1010 1830
780 Fistula/Shunt at S.No.1287
781 Dialysis Femoral Catheterisation Bilateral 1150 1000 1500
782 Haemo Dialysis-For sero negative cases at S.No.1289
783 Haemo Dialysis -FOR SERO POSITIVE CASES at S.No.1290
784 Double Lumen Sub Clavian Catheter at S.No.1291
785 Continuous Arterio Venus Haemofiltration at S.No. 1292
786 Subclavian Access at S.No. 1280
787 Femoral Access at S.No. 1279
788 Plasma Exchange at S.No.1293
789 Donor Nephrectomy -Open 28750 25000 49000
790 Donor Nephrectomy-Lap/Endoscopic 46000 40000 75000
791 Rei Transplantation 115000 100000 300770
792 Lymphocoel Post transplant 5750 5000 5000
793 Transplant Nephrectomy 23000 20000 87500
794 Bilateral Nephrouretectomy (tive) 21850 19000 87500
795 Vascular Prosthetic Graft 27600 24000 50750
796 CAPD 2415 2100 28000
797 PCNL - Unilateral 21850 19000 59500
798 PCNL - Bilateral 28750 25000 89250
799 Endoscopic Bulking agent Inject 4600 4000 42000
800 Testicular Blopsv 1955 1700 6500
801 GiI-Verner's Extended Pyelolithotomy 3500 2975 3500
802 Radical Nephrectomy Nephrectomy -Ooen 17250 15000 65000
803 Radical Nephrectomy Nephrectomy -Lap.Endoscopic 20700 18000 65000
804 Radical Nephrectomy plus IV thrombus 23000 20000 65000
805 Radical Nephrectomy plus IV thrombus plus cardiac 23000 20000 175000
bypass.
806 Vasico Vagil Fistula Repair 17250 15000 49000
807 Radical Cystectomy -Ileal conduit 24150 21000 65000
808 Radical Cystectomy - continent diversion. 16560 14400 87500
809 Nephrectomy Simple -Open 10074 8760 42000
810 Nephrectomy Simple-ap/Endoscopic 11500 10000 65000
811 Nephrostomv -Ooen 10074 8760 28000
812 Nephrostomy -Lap/Endoscopic 12593 10950 17500
813 Ureteric Reimplant for MegaureterVesicoureteric 10494 9125 32500
reflexuterocoel
814 Ureteric Reimplant 10494 9125 32500
815 Partial Cystectomy 13800 12000 31500
816 TURP & TUR Bladder Tumour 17250 15000 42000
817 TURP with Cystolithotripsy 19090 16600 35000
NABH Non-
Accredited NABH
Hospitals Hospitals Spl.Hospltats
818 Closure of Urethral Fistula 11178 9720 37500
819 Orchidopexy - Unilateral -Open 9867 8580 17500
820 Orchidopexy - Unilateral- Lap/Endoscopic 12334 10725 35000
821 Orchidopexy - Bilateral -Open 12282 10680 26250
822 Orchidopexy - Bilateral -Lap/Endoscoplc 15353 13350 45000
823 Cystolithotomy -Suprapublc 9775 8500 15000
824 Endoscopic Removal of Stone in Bladder 3450 3000 23800
825 Resection Bladder Neck Endoscopic /Bladden neck 10925 9500 27300
incision/transurethral incision on prostrate
826 Ureteroscopic Surgery 10350 9000 25000
827 Urethroplasty 1st Stage 10925 9500 25000
828 Exploratory Scrototomy 8556 7440 17500
829 Perineal Urethrostomy 4715 4100 25000
830 Dilatation of Stricture Urethra under G.A. 2358 2050 5400
831 Dilatation of Stricture Urethra under LA 1725 1500 2500
832 Retroperitoneoscopy Nephrectomy 33350 29000 54330
833Hetroperitoneoscopy partial Nephrectomy 13225 11500 65000
834 Retroperitoneoscopic nephrolithotomy 12075 10500 65000
835 Retroperitoneoscopic pyelolithotomy 12650 11000 61690
836 Retroperitoneoscopic operation for Hvderonephrosis 12305 10700 80000
837 Retroperitoneoscopic surgery for Rei cyst 9775 8500 61950
838 Retroperitoneoscopic ureterolithotomy 11500 10000 57430
839 Retroperitoneoscopic Nephroureteroectomy 13225 11500 78730
840 Laproscopy aassisted orchidopexy 8625 7500 42500
841 l.aproscopic operation for varicocele 7533 6550 35000
842 Lithotripsy Extra corporeal shock wave. 23000 20000 95000
843 Uroflow Study (Micturometry) 460 400 950
844 Urodvmlc Study (Cvstornetrv) 552 480 5700
845 Cystoscopy with Retrograde Catheter -Unllateral /RGP 2803 2437 9000
846 Cystoscopy with Retrograde Catheter - Bilateral /RGP 5589 4860 12000
847 Cystoscopy with Bladder Biopsy 3381 2940 12500
848 Voiding-cysto-urethrogram and retrograde urethrogram 414 360 3670
849 Radical orostratectornv-Ooen 17825 15500 75000
850 Radical prostratectomy-Laproscopic 20125 17500 95000
851 Radical prostratectorny- Robotic 20125 17500 220100
852 Hilioum Laser Prostrate surgery/ Optical Interl 17250 15000 65000
urethrotomy/Core through/Stone lithotrypsy/Bladder
tumour
853 High Intensity Focus Ultrasound (HIFU) Robotic for 4600 4000 220100
Carcinoma prostrate and rei cell carcinoma
854 Prosthetic surgery for uriry incontinence 2300 2000 87500
855 Ultra sound guided Biopsy 575 500 4600
Nimro,surQery
,.'
856 Craniotomy and Evacuation of Haematoma -Subdural 50715 441QO 85000
857 Craniotomy and Evacuation of Haematoma -Extradural 50715 44100 85000
858 Evacuation /Excision of Brain Abscess by craniotomy 54395 47300 110000
859 Excision of Lobe (Frontal Temporal Cerebellum etc.) 54395 47300 105000
860 Excision of Brain Tumours -Supratentotial 54395 47300 110000
861 Excision of Brain Tumours -Infratentorial 54395 47300 110000
862 Surgery of spll Cord Tumours 54395 47300 80000
863 Ventriculoatrial Nentriculoperitoneal Shunt 27600 24000 58000
864 Twist Drill Craniostomy 5750 5000 30000
865 Subdural Tapping 2456 2136 25000
866 Ventricular Tapping 2967 2580 21000
867 Abscess Tapping 2967 2580 25000
868 Placement of ICP Monitor - 2875 2500 25000
NASH Non-
Accredited NASH
869 Urokise Therepy for ICH - 1380 1200 25000
870 Skull Traction Application 3100 2635 3100
871 Lumber Pressure Monitoring 5750 5000 45650
872 Vascular Malformations 23000 20000 126000
873 Theco-peritoneal Shunt 12650 11000 21000
874 Meningo Encephalocoeleexcision and repair 34500 30000 63000
875 Meningomyelocoel 34500 30000 48000
876 C.S.F. Rhinorrhaea 28750 25000 75000
877 Cranioplasty 24150 21000 63000
878 Posterior Cervical Olssectomv 22301 19392 65000
879 Anterior Cervical Dissectomy 16618 14450 65000
880 Brachial Plexus Exploration Microsuturing 15525 13500 65000
881 Median Nerve Decompression 15180 13200 52500
882 Peripheral Neurectomy (Tlrqemil) 15180 13200 59500
883 Trigemil Rhiotomy 15525 13500 59500
884 Cranial Nerve Astomosis 11500 10000 98000
885 Peripheral Nerve Surgery - Major 18400 16000 70000
886 Peripheral Nerve Surgery Minor 8280 7200 52500
887 Ventriculo-Atrial Shunt (without valve) 13386 11640 125050
888 Nerve Biopsy 6900 6000 24500
889 Brain Biopsy 7475 6500 35000
890 Anterior Cervical Spine Surgery with fusion 32200 28000 77000
891 Anterior Lateral Decompression of spine 28750 25000 87500
892 Brain Mapping 985 837 985
893 Cervical or Dorsal or Lumbar Laminectomy 23000 20000 63000
894 Combined Trans-oral Surgery & CV J unction Fusion 46000 40000 145000
895 C.V. J unction Fusion procedures 32200 28000 91000
896 Depressed Fracture 28750 25000 45000
897 Discectomy 27600 24000 63000
898 Endarterectomy 23000 20000 70000
899 R.F. Lesion for Trigemil Neuralgia - 11500 10000 50260
900 Spasticity Surgery - 39675 34500 137200
901 Spil Fusion Procedure 34500 30000 70000
902 Spil Intra Medullary Tumours 34500 30000 110000
903 Spil Bifida Surgery Major 18975 16500 98000
904 Spi Bifida Surgery Minor 18975 16500 87500
905 Stereotaxic Procedures- biopsy/aspiration 23000 20000 194840
906 Trans Sphenoidal Surgery 40250 35000 105000
907 Trans Oral Surgery 37375 32500 157500
908 Implantation of DBS -One electrode 34500 30000 166310
909 Implantation of DBS -two electrodes 40250 35000 166310
910 Endoscopic adueductoplasty 16100 14000 179900
911 Facial nerve reconstruction 40250 35000 55000
912 Recanelisation of venous sinuses 27600 24000 140000
913 Carotid stenting 51980 45200 157800
914 Cervical disc arthroplasty 27600 24000 95000
915 Lumbar disc arthroplasty 13800 12000 95000
916 Corpus callosectomy 40250 35000 157500
917 Hemishpherectomy 32200 28000 175000
918 Endoscopic CSF rhinorrhea rapair 39100 34000 63000
919 Burr hole evacuation of chronic subdural haematoma 24150 21000 52500
920 Microsurgical excision of Acoustic tomour 39100 34000 157500
921 Microsurgical excision of rneninqornas 39100 34000 122500
922 Epilepsy surgery 51980 45200 194840
923 RF lesion for facet pain syndrome 17250 15000 120630
924 Cervicallaminoplasty 32200 28000 98000
925 Lateral mass C1-C2 screw fixation 32200 28000 105000
NASH Non-
Accredited NASH
Hospitals Hospitals ser Hospitals
926 MicrosurQical decompression for Triqernil nerve 43700 38000 122500
927 Cerebellar stimulation for hemifacial spasm 34500 30000 166310
928 Cerebellar stimulation for other cranial nerve neuralgia 34500 30000 166310
929 IC EC bypass procedures 51980 45200 122500
930 Steriotactic guided craniotomy 51980 45200 157500
931 Baclofen pump implantation lesioning for movement 46000 40000 98000
disorder including Parkinsonism
932 Programmable VP shunt 28750 25000 87500
933 Endoscopic sympathectomy 17500 14875 17500
934 Lumber puncture 207 180 2400
935 Exterl ventricular draiqe 4600 4000 17500
936 lrnaqe quided surgeryExcision of tethored 40250 35000 140000
937 Endoscopic 3rd ventriculostomy 40250 35000 105000
938 Endoscopic cranial surgery/Biopsy/aspiration/aneurysm 51980 45200 166310
coiling
939 Endoscopic discectomy 46000 40000 157500
940 Aneurysm coiling 45885 39900 175000
941 Endoscopic spil procedure- aneurysm colllnq 46000 40000 157500
942 Surgery for orovino skull fractures-aneurysm coillno 45885 39900 98000
943 carpel Tunnel decompression 20700 18000 35000
944 Clippinq of intracranial aneurysm with use of stent 56810 49400 175000
945 Surgery for intracranial Arteriovenous malformarions(AVM) 43988 38250 126000
946 Endovascular procedure/embolisation 32200 23800 28000
947 4 vessels cerebral anqioqraphy 13800 12000 28000
948 Foramen maonum decompression 28750 25000 87500
949 Foramen magnum decompression with 51980 45200 98000
syrinoosubarachnoid shunt
950 Dorsal column stimulation for bachache in failed back 28750 25000 145410
syndrome
951 Suroery for recurrent disc prolapse/epidural fibrosis 32200 28000 87500
952 surcerv for brain stem tumours 43988 38250 175000
953 Proqrarnmable shunts 28750 25000 87500
954 Decompressive cranectomy for hemishpherical acute 51980 45200 98000
subdural haematomalbrain swellinp/laroe infarct
955 Intra arterial thrombolysis with tPA for ischemic stroketTpa- 4600 4000 42000
activated thromboplastin)
956 steriotactic aspiration of intracerebral haematoma 43988 38250 70000
957 Endoscopic aspiration of intracerebellar haematoma 51980 45200 70000
958 Steriotactic Radiosurgery for brain pathology(X 57500 50000 210000
kinfe/Gamma knife - ONE session
959 Steriotactic Radiosurgery for brain pathology(X 57500 50000 210000
kinfe/Gamma knife -Two or more sessions
960 Chemotheraphy wafers for rnaliqnt brain tumours 19550 14450 25000
Paediatric s~rger.v'.;,
.. ,
961 Excision of thvroqlossal Duct/Cyst 16100 14000
962 Diaphragmatic Hernia Repair (Thoracic or Abdomil 17250 15000
Approach)
963 Tracheo Oesophaoeal Fistula (Correction Surcervi 25300 22000
964 Colon Replacement of Oesophaqus 23000 20000
965 Ornnhalo Mesenteric Cyst Excision 17250 15000
966 Omphalo Mesenteric Duct- Excision 15525 13500
967 Meckels Diverticulectomy 2910 2910
968 Omphalocele 1st Staqe (Hernia Repair) 15525 13500
969 Omphalocele 2nd Stge (Hernia Repair) 17250 15000
970 Gastrochisis Repair 16100 14000
971 Inquil Herniotomy 12558 10920
NASH Non-
Accredited NASH
972 Conqenltal Hydrocele 12558 10920
973 Hydrocele of Cord 12558 10920
974 Torsion Testis Operation 15525 13500
975 Congenital Pyloric Stenosis- operation 13938 12120
976 Duodel- Atresia Operation 14375 12500
977 Pancreatic Rinq Operation 28750 25000
978 Meconium Ileus Operation 17250 15000
979 Malrotation of Intestines Operation 17250 15000
980 Rectal Biopsy (Meqacolon) 9960 8466
981 Colostomy Transverse 17250 15000
982 Colostomy Left Iliac 17250 15000
983 Abdomil Perineal Pull Through (Hirschaprugis Disease) 20700 18000
984 Imperforate Anus LowAnomaly -Cut Back Operation 10235 8900
985 Imperforate Anus LowAnomaly - Perineal Anoplasty 13800 12000
986 Imperforate Anus High Anomaly -Sacroabdomino Perineal 20700 18000
Pull Through
987 Imperforate Anus High Anomaly - Closure of Colostomy 8625 7500
988 tntususceotion Operation 20700 18000
989 Choledochoduodenostomy for Atresia of Extra Hepatic 20700 18000
Billiary Duct
990 Operation of Choledochal Cyst 20700 18000
991 Nephrectomy for -Pyonephrosis 20700 18000
992 Nephrectomy for - Hydronephrosis 20700 18000
993 Nephrectomy for -Wilms Tumour 7180 7180
994 Paraortic Lymphadenoctomy with Nephrectomy for Wilms 23000 20000
Tumour
995 Sacro-Coccyqeal Teratoma Excision 17250 15000
996 Neuroblastoma Debulking 17480 15200
997 Neuroblastoma Total Excision 20700 18000
998 Rhabdomyosarcoma wide Excision 21563 18750
999 Congenital Atresia & Stenosis of Small Intestine 23000 20000
1000 Muconiumileus 17250 15000
1001 Mal-rotation & Volvulus of the Midgut 19182 16680
1002 Excision of Meckle's Deverticulum 15755 13700
B~rnsand Plasticsurgs..y '" >",' ,;,:i,
1003 PrimarySuturlnq of Wound 3450 3000
1004 Injection of Keloids - Ganglion 1380 1200
1005 Injection of Keloids - Haemangioma 2300 2000
1006 Free Grafts - Wolfe Grafts 6555 5700
1007 Free Grafts - Theirech- Small Area 5% 7475 6500
1008 Free Grafts - Large Area 10% 8625 7500
1009 Free Grafts - Very Laroe Area 20%and above. 10350 9000
1010 Skin Flaps - Rotation Flaps 8970 7800
1011 Skin Flaps - Advancement Flaps 12650 11000
1012 Skin Flaps - Direct- cross Leg Flaps- Cross ArmFlap 13225 11500
1013 Skin Flaps- Cross Finger 13225 11500
1014 Skin Flaps- Abdomil 13225 11500
1015 Skin Flaps- Thoracic 13225 11500
1016 Skin Flaps- ArmEtc. 14375 12500
1017 Subcutaneous Pedicle Flaps RaisinQ 6900 6000
1018 Subcutaneous Pedicle Flaps Delay 7475 6500
1019 Subcutaneous Pedicle Flaps Transfer 8625 7500
1020 Cartilate Grafting 8625 7500
1021 Reduction of Facial Fractures of Nose 1380 1200
1022 Reduction of Facial Fractures of Maxilla 12420 10800
NABH Non-
Accredited NABH
1023 Reduction of Fractures of Mandible & Maxilla - Eye Let 7475 6500
Solintlno
1024 Reduction of Fractures of Mandible & Maxilla - Cast Netal 6900 6000
Splints
1025 Reduction of Fractures of Mandible & Maxilla - Gumming 7820 6800
Splints
1026 Interl Wire Fixation of Mandible & Maxilla 11500 10000
1027 Cleft Lip - repair. 12650 11000
1028 Cleft Palate Repair 13225 11500
1029 Primary Bone Graftina for alveolar cleft in Cleft Lip 11500 10000
1030 Secondary Surqerv for Cleft Lip Deformity 11178 9720
1031 Secondary Suraerv for Cleft Palate 12650 11000
1032 Reconstruction of Eyelid Defects - Minor 6325 5500
1033 Reconstruction of Eyelid Defects - Major 11178 9720
1034 Plastic Surqerv of Different Reqions of the Ear - Minor 8050 7000
1035 Plastic Surgery of Different Reaions of the Ear - Major 10350 9000
1036 Plastic Surqerv of the Nose - Minor 8050 7000
1037 Plastic Surgery of the Nose - Maior 11178 9720
1038 Plastic Surgery for Facial Paralysis (Support with 18400 16000
Reanimation)
1039 Pendulous Breast - Mammoplasty 18630 16200
1040 Underdeveloped Breast Mammoplasty 16675 14500
1041 After Mastectomy (Reconstruction)Mammoplasty 16675 14500
1042 Syndactyly Repair 16675 14500
1043 Dermabrasion Face 13225 11500
1044 upto 30% Burns 1st Dressina 152 132
1045 upto 30% Burns Subsequent Dressing 124 108
1046 30% to 50% Burns 1st Dressina 193 168
1047 30% to 50% Burns Subsequent Dressing 152 132
1048 Extensive Burn -above 50% Frist Dressing 276 240
1049 Extensive Burn -above 50% Subsequent dressing 193 168
Orthopedics ,..y
Plaster Work
1050 Flnqers (post slab) 259 225
1051 Fingers full plaster 259 225
1052 Colles Fracture - Below elbow 1150 1000
1053Colles Fracture - Full plaster 994 864
1054 Calles fracture Ant. Or post. slab 920 800
1055 Above elbow full plaster 173 150
1056 Above Knee post-slab 718 624
1057 Below Knee full plaster 173 150
1058 Below Knee post-slab 718 624
1059 Tube Plaster (or plaster cylinder) 978 850
1060 Above knee full plaster 1840 1600
1061 Above knee full slab 1380 1200
1062 Minerva J acket 2415 2100
1063 Plaster J acket 2185 1900
1064 Shoulder spica 1955 1700
1065 Sinqle Hip spica 2243 1950
1066 Double Hip spica 2760 2400
Strappina 0 0
1067 Straoolno of Finaer 179 156
1068 Strappinq of Toes 179 156
1069 Straoolno of Wrist 262 228
1070 Strapolnq of Elbow 262 228
1071 Strapping of Knee 345 300
1072 Straopino of Ankle 345 300
NASH Non-
Accredited NASH
1073 Strapping of Chest 489 425
1074 Strapping of Shoulder 518 450
1075 Fiaure of 8 bandage 518 450
1076 Collar and cuff slina 345 300
1077 Ball bandage 403 350
1078 Application of P.O.P Casts for Upper & Lower Limbs 1093 950
1079 Application of Functiol Cast Brace 1380 1200
1080 Application of Skin Traction 690 600
1081 Application of Skeletal Tractions 949 825
1082 Bandage & Strappings for Fractures 552 480
1083 Aspiration & Intra Articular Injections 575 500
1084 Application of P.O.P Spices & J ackets 2473 2150
1085 Close Reduction of Fractures of Limb & P.O.P 2760 2400
1086 Reduction of Compound Fractures 2760 2400
1087 Open Reduction & Interl Fixation of Fingurs & Toes 5520 4800
1088 Open Reduction offracture of Long Bones of Upper / 9660 8400
Lower Limb -llinq & Exterl Fixation
1089 Open Reduction of fracture of Long Bones of Upper / 9660 8400
Lower Limb -AO Procedures
1090 Tension Band Wirings 5658 4920
1091 Bone Grafting 8280 7200
1092 Excision of Bone Tumours 6900 6000
1093 Excision or other Operations for Scaphoid Fractures 7188 6250
1094 Sequestrectomy & Saucerisation 6900 6000
1095 Sequestrectomy & Saucerizations -Arthrotomy 10235 8900
1096 Multiple Pinning Fracture Neck Femur 11500 10000
1097 iI Plate Fixations for Fracture Neck Femur 16100 14000
1098 A.O.Compression Procedures for Fracture Neck Femur 16560 14400
1099 Open Reduction of Fracture Neck Femur Muscle Pedicle 19550 17000
Graft and Interl Fixations
1100 Close Reduction of Dislocations 3174 2760
1101 Open Reduction of Dislocations 3439 2990
1102 Open Reduction of Fracture Dislocation & Interl Fixation 13800 12000
1103 Neurolysis/Nerve repair 13800 12000
1104 Nerve Repair with Grafting 18975 16500
1105 Tendon with Transplant or Graft 10350 9000
1106 Tendon Lengthening/Tendon repair 8050 7000
1107 Tendon Transfer 3105 2700
1108 Laminectomy Excision Disc and Tumours 4830 4200
1109 Spil Ostectomy and Interl Fixations 24150 21000
1110 Anterolateral decompression for tuberculosis/ Costo- 3450 3000
Transversectomy
1111 Antereolateral Decompression and Soil Fusion 26450 23000
1112 Corrective Ostectomy & Interl Fixation - short bones 13800 12000
1113 Corrective Ostectomy & Interl Fixation - long bones 11040 9600
1114 Arthrodesis of - Minor J oints 10350 9000
1115 Arthrodesis of - Major J oints 11040 9600
1116 Soft Tissue Operations for C.T.E.V. 8050 7000
1117 Soft Tissue Operations for Polio 6900 6000
1118 Herniarthroolastv- Hip 20125 17500
1119 Hemiarthroplasty- Shoulder 20125 17500
1120 Operations for Brachial Plexus & Cervical Rib 24150 21000
1121 Amputations - Below Knee 6900 6000
1122 Amputations - Below Elbow 6843 5950
1123 Amputations - Above Knee 10580 9200
NABH Non-
Accredited NABH
Hospitals Hospitals sct.Hosottats
1124 Amputations - Above Elbow 6843 5950
1125 Amputations - Forequarter 14950 13000
1126 Amputations -Hind Quarter and Hemipelvectomy 18400 16000
1127 Disarticulations - Maier ioint 20700 18000
1128 Disarticulations - Minor joint 12650 11000
1129 Arth rography 9200 8000
1130 Arthroscopy - Diagnostic 8568 7450
1131 Arthroscopy-therapeutic: without implant 11500 10000
1132 Arthroscopy-therapeutic: with implant 17250 15000
1133 Soft Tissue Operation on J OINTS -SMALL 6900 6000
1134 Soft Tissue Operation on J OINTS -LARGE 16560 14400
1135 Myocutaneous and Fasciocutaneous FlaP Procedures for 18630 16200
Limbs
1136 Removal of Wires & Screw 1800 1530
1137 Removal of Plates/lL 4140 3600
1138 Total Hip Replacement 103500 90000 103500
1139 Total Ankle J oint Replacement 112125 97500 112125
1140 Total Knee J oint Replacement 126500 110000 126500
1141 Total Shoulder J oint Replacement 19550 17000 19550
1142 Total Elbow J oint Replacement 19550 17000 19550
1143 Total Wrist J oint Replacement 115000 100000 115000
1144 Total finger joint replacement 23000 20000 23000
1145 Tubular exlerl fixator 4600 4000
1146 llizarov's exterl fixator 7763 6750
1147 Pelvi-acetebular fracture -interl fixation 8625 7500
Physiotherapy
1148 Ultrasonic therapy 78 68
1149 S.w. Diathermy 78 68
1150 Electrical stimulation (therapeutic) 78 68
1151 Muscle testing and diagnostic 78 68
1152 Infra red 71 62
1153 U.V. Therapeutic dose 78 68
1154 Intermittent Lumbar Traction 78 68
1155 Intermittent Cervical traction 78 68
1156 Wax bath 78 68
1157 Hot pack 78 68
1158 Breathing Exercises & Postural Draige 58 50
1159 Cerebral Palsy - exercise 58 50
1160 Post- polio exercise 58 50
Nuclear Medicine.' 0 0
RADIO~ISOTOPE'THgRAPY ,;,
0 0
131-lodine Therapy 8300 7055 8300
1161 131-lodine Therapy <15mCi 5130 4361 5130
1162 131-lodine Therapy 15-50mCi 12000 10200 18800
1163 131-lodine Therapy 51-1 OOmCi 15000 12750 18800
1164 131-lodine Therapy> 1OOmCi 18000 15300 21700
1165 Phosphorus-32 therapy for metastatic bone pain palliation 7130 6061 7130
1166 Samarium-153 therapy for metastatic bone pain palliation 10690 9087 10690
1167 Radiosynovectomy with Yttrium
Radiotherapv'cind Chemotherapy';
Cobalt 60 therapy
"
,t .,f"
1168 Radical therapy 70000 59500
1169 Palliative therapy 25000 21250
Linearacceleratqr
- .
,:
1170 Radical therapy 60000 51000 95000
NABH Non-
Accredited NABH
Hospitals Hospitals Sol. Hospitals
1171 Palliative therapy 35000 29750 47500
1172 3 D Planning 5000 4250 8910
1173 2 D Planing 5000 4250 6530
1174 IMRT(lntensity Modulated radlotheraov) 103200 87720 129000
1175 SRT (Stereotactic radiotherapy) 62400 53040 78000
1176 SRS(Stereotactic radio surgery) 82400 70040 103000
1177 IGRT(lmage guided radiotherapy) 150400 127840 188000
1178 Respiratory Gating-alongwith Linear accelerator planning 125000 106250
1179 Electron beam with Linear accelerator 89060 75701 89060
1180 Tomotherapy
BrachYfherapy- Hiqh'Dose radiation ..
1181 Intracavitory 12000 10200 23750
1182 Interstitial 60000 51000 107830
1183 lntralumll 10000 8500 14250
1184 Surface moul 4750 4038 4750
1185 GLiADAL WAFER 107830 91656 107830
Cliemcitharapy' ,0', ,/ ,,<
,
1186 Neoadjuvant 863 750 1960
1187 Adjuvant 863 750 1960
1188 Concurrent-chemoadiation 920 800 1430
1189 Single drug 552 480 590
1190 Multiple drugs 897 780 1345
1191 Targeted therapy 920 800 1310
1192 Chemoport facility 920 800 3140
1193 PICC line (peripherally inserted Central canullsation) 920 800 2000
List of proceduresi tests in Gastroenterology
A) Endoscopic procedures
a, Upper G,L Endoscopy +Lower G,I, Endoscoov 1725 1500 6670
1194 a, Diagnostic endoscopy 600 510 2480
1195 b, Endoscopic biopsy 345 300 3800
1196 c. Endoscopic mucosal resection 1898 1650
1197 d. Oesophageal stricture dilatation 1725 1500 4280
1198 e, Balloon dilatation of achalasia cardia 2875 2500 6530
11991. Foreign body removal 1725 1500 4465
1200
III
Oesophageal stenting 3450 3000 9115
1201 h. Band ligation of oesophageal varices 2875 2500 4465
1202 L Sclerotherapy of oesophageal varices 2737 2380 3800
1203 ' . Glue injection of varices 2737 2380 5000
1204 k. Argon plasma coaculatlon 4025 3500 11880
1205 L Pyloric balloon dilatation 2415 2100 6530
1206 m. Enteral stenting 3680 3200 74460
1207 n. Duodel stricture dilation 2415 2100 4280
1208 o. Slnqle balloon enterocopy 4600 4000
1209[p. Double balloon enteroscopy 4000 3400
1210lc. Capsule endoscopy 5175 4500
1211 r. Polypectomy 1518 1320 6000
1212 s. Piles bandlnq 1125 956 1125
1213 t. Colonic stricture dilatation 2737 2380 4280
1214 u. Hot biopsy forceps procedures 4025 3500
1215 v. Colonic stenting 2737 2380 15080
1216 w. J unction biopsy 2300 2000
1217 x. rrow band imaging 3450 3000 3560
12181y Conjugal microscopy 4600 4000
b. ERCP
1219 a. Diagnostic ERCP 5750 5000 6680
1220 b. Endoscopic sphincterotomy 2415 2100 13060
CGHS DELHI 201.0 RATES
NASH Non-
Accredited NASH
Hospitals Hospitals Spl,Hospitals
1221 c. CBO stone extraction 2415 2100 20540
1222 d. CBO stricture dilatation 7935 6900 13060
1223 e, Biliary stentinq (plastic and metallic) 4830 4200 15080
1224 f. Mechanical lithotripsy of CBO stones 8050 7000 10330
1225
Ig
Pancreatic sphincterotomy 8050 7000 10330
1226 h. Pancreatic stricture dilatation 5750 5000 10330
1227 i. Pancreatic stone extraction 10350 9000 10330
1228 '. Mechanical lithotripsy of pancreatic stones 11385 9900 13060
1229 k. Endoscopic cysto gastrostomy 8050 7000 11760
1230 I. Balloon dilatation of papilla 6900 6000 13060
B. Endoscopic ultrasound
1231 a. Diaqnostic ultrasound 575 500 1045
1232 b. Colored doplar Listed under
Investiaations
1233 c. Ultrasound quided FC 575 500 970
1234 d. Ultrasound quided abscess dralqe 575 500 970
1235 e, PTBO 2875 2500 29690
1236 f. Biliary stentinc at S.No.1223
C. Anqiooraohv 11500 10000 14500
1237 a. Oiagnostic anclocraohv 1495 1300 16860
1238 b. Vascular embolization 35630 30286 35630
1239 c. TIPS 4106 3035 428690
1240 d. Trans jugular liver biopsy 6843 5950 94290
1241 e. IVC craohv +hepatic velnoqraohv 35000 29750
1242 f. Balloon angioplasty 97750 85000 112810
1243 Q. Muscular stentinq 97750 85000
1244 h. BRTO 74750 65000
1245 i. Portal haemodymic studies 1725 1500
D. Manometry and PH metry
1246 a. Oesoohaoeal PH metry
1247 b. Oesophageal manometry
1248 c. Small bowel manometry
1249 d. Anorectal manometry
1250 e. Colonic manometry
1251 f. Biliary manometry
1252
E.
Sengstaken blackenesse tube tempode 2875 2500
1253 F. Lintas machles tube tempode 2875 2500
G. Bichemistry Seroloqv and Molecular bloloov
1254 a. O-xylase test Listed under
Investiaations
1255 b. Fecal fat test/ fecal chymotrypsin/ fecal elastase Listed under
Investiaations
1256 c. Breath tests Listed under
Investiaations
1257 d. H pylori serology for ciliac disease Listed under
Investiaations
1258 e, HBV genotyping Listed under
Investiaations
1259 f. HCV genotyping Listed under
Investiaations
H. Extra corporeal shortwave lithotripsy 41400 36000
1268 a, CSO stones 633 550
1268 b, Pancreatic duct stones 10330 8781
1270 I. Liver biopsy 1380 1200 2490
Nephroloi:!ic:a)prdeedures
1271 Interl jugular cannulization 1208 1050 1700
1272 Rei Biopsy 1380 1200 2040
NABH Non-
Accredited NABH
1273 Transplant Biopsy 2300 2000 3330
1274 Acute p.o. catheterization 1725 1500 6180
1275 Cont. Rei Replacement Therapy 17250 15000
1276 SLED (Slow Efficiency Dialysis) 1610 1400
1277 Permacath Insertion 2300 2000
1278 CAPO ( Insertion and Removal) 2600 2261 12350
1279 Femoral Access 886 770 990
1280 Subclavian Access 1725 1500 1830
1281 Partial Nephrectomy at S.No.687
1282 Nephrolithotomy- Laproscopic/endoscopic at S.No.690
1283 Pyelolithotomy-Iaproscopic/ endoscopic at S.No.692
1284 pyeloplasty -Lap/ Endoscopic 11250 9563 35000
1285 Ureterolithotomy- Lap/ Endoscopic at S.No.705
1286 Formation of an illeal conduit at S.No.715
1287 Fistula/shunt 5575 4848 8500
1288 Dialysis Femoral Catheterization Bilateral 1380 1200 5000
1289 Haemodialysis- For Sero negative cases 1208 1050 2850
1290 Haemodialysis- For Sero positive cases 1466 1275 2850
1291 Double luman sub ciavian catheter 1932 1680 1800
1292 Continuous Arterio Venous Haemofiltration 1725 1500 47500
1293 Plasma Exchange 2875 2500 28500
1294 Donor nephrectomy- Open at S.No.789
1295 Donor nep_hrectomy- Lap/ endoscopic at S.No.790
1296 Rei Transplantation at S.No. 791
1297 Lymphocoel Post Transplant at S.No.792
1298 Transplant Nephrectomy at S.No. 793
)
CGHSDElHI 2010 RATES LIST
.t~R.6MPANELLED DIAGNOSTIC LABORATORIESAND IMAGING CENTRES
SNo. NAME OF INVESTIGATION For Delhi NABL Accredited For Delhi Non
.
NABL in
in Rupees Rupees
[ j ~Nr AL
':
"
.. ., . ~
1 DentaiiOPA x-rav 70 60
2 Occlusal X-ray 80 68
3 OPGx-rav 200 170
PULMONARY
.<"
. . c.
:
:":'
. ......
~;.
:
-
4 lung Ventilation & Perfusion Scan(V/Q Scan) 5,000 4,250
5 lung Perfusion Scan 3,000 2,550
OSTEOlOG,(.' -
..
6 Whole Body Bone Scanwith SPECT. 3,500 2,975
7 Three phase whole body Bone Scan 3,500 2,975
NEUROSCIENCES.'
.. ....
-
8 Brain Perfusion SPECTScanwith Technetium 99m radiopharmaceuticals. 10,000 8,500
9 Radionuclide Cisternography for CSFleak 5,000 4,250
GASTIWANbHEeATOBILIARY. - :
" .
-
10 Gastro esophageal Reflux Study (G.E.R.Study) 2,000 1,700
11 Gastro intestinal Bleed (GloB.) Study with Technetium 99m labeled RBCs. 3,500 2,975
12 Hepatobiliary Scintigraphy. 2,500 2,125
13 Meckel's Scan 2,000 1,700
14 Hepatosplenic sclntlgraphv with Technetium-99m radiopharmaceuticals 2,500 2,125
15 Gastric emptying 1,500 1,275
GENITOURI~ARY .
-' .
; ..<
- - ~" ,.
-
16 Renal Cortical Scintigraphy with Technetium 99m D.M.S.A. 3,500 2,975
17 Dynamic Renography. 3,500 2,975
18 Dynamic Renography with Diuretic. 3,500 2,975
19 Dynamic Renography with Captopril 4,500 3,825
20 Testicular Scan 1,500 1,275
,ENDOCRINQl;OGYi,i ',' . ,
"
-
21 Thyroid Uptake measurements with 131-lodine. 1,600
1,360
22 Thyroid Scanwith Technetium 99m Pertechnetate. 1,500
1,275
23 lodine-131 Whole Body Scan. 3,000
2,550
24 Whole Body Scanwith M.I.B.G.
18,000
15,300
25 Parathyroid Scan 5,000
4,250
RADIO-ISOTbpETHERAPJ .
" ....
:
-
26 131-lodine Therapy listed under Treatment
27 131-lodine Therapy <1smCi listed under Treatment
28 131-lodine Therapy ls-s0mCi listed under Treatment
29 131-lodine Therapy sl-100mCi listed under Treatment
30 131-lodine Therapy >100mCi
listed under Treatment
31 Phosphorus-32 therapy for metastatic bone pain palliation listed under Treatment
32 Samarium-153 therapy for metastatic bone pain palliation listed under Treatment
33 Radiosynovectomy with Yttrium
listed under Treatment
CAR'OIOlOGY
:: -
34 Stressthallium / Myocardial Perfusion Scintigraphy 9,900
8,415
35 Restthallium / Myocardial Perfusion Scintigraphy
9,900 8,415
36 Venography
3,500
2,975
37 ECG
50
43
38 STRESSECHO- DOBUTAMINE
Listed under Treatment
39 STRESSECHO- EXERCISE 1,650 1,403
40 TMT
500 425
41 TEE 500 425
42 Lymph angiography 1,650 1,403
Tl!.tY10U R;trytAGING':'" ,." ........... .. x',},':'
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43 Scintimammography. 5,000 4,250
44 Indium lableled octeriotide Scan. 75,000 63,750
PETSCAN
>;.'.,
J',""
..
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-
~.'.
-
45 FOGWhole body PET/ CTScan 21,000 17,850
46 Brain I Heart FOGPET/ CTScan, 15,000 12,750
47 Gallium-68 Peptide PET/ CTimaging for Neuroendocrine Tumor 17,000 14,450
48 Non-FOGPET/ CTScan - -
laboratory Medlclne," :
.:
.. '
"
-
.. .~
Clinical Pat;hoI0gy;>,
" ./ '.,'"
,
..
....
-
49 Urine routine- pH,specific gravity,sugar,protein and microscopy 39 33
50 24 hrs urine for Proteins,sodium,creatinine 100 85
51 Urine-Microalbumin 150 128
52 Quantitative Albumin/Sugar 24 20
53 Urine Bile Pigment and Salt 35 30
54 Urine Urobilinogen 35 30
55 Urine Ketones 35 30
56 Urine Occult Blood 35 30
57 Urine total proteins 21 18
58 BenceJ ones protein 48 41
59 Stool routine 39 33
60 Stool occult blood 35 30
61 Postcoital smear examination 100 85
62 semen analysis 80
68
63 Bodyfluid (CsF/Ascitic Fluid etc.)Sugar, Protein etc. 100
85
64 Albumin. 21 18
65 Creatinine clearance. 160 136
Haematology
'~i"'llr
.....:
."
-
66 Haemoglobin (Hb) 19
16
67 Total Leucocytic Count (TLC) 32 27
68 Differential Leucocytic Count (DLC) 32
27
69 E.5,R.
35
30
70 Total RedCell count with MCV,MCH,MCHC,DRW 35
30
71 Complete Haemogram -Hb,RBCcount and indices, TLC, DLC,Platelet, ESR, 138
117
72 Platelet count 50
42
73 Reticulocyte count 49
42
74 Absolute Eosinophil count
50
42
75 PackedCell Volume (PCV) 35
30
76 Peripheral Smear Examination 44
37
77 Smear for Malaria parasite 42
36
78 Bleeding &Clotting Time
48
41
79 Clot Retraction Time
35
30
80 R.B.C.Fragility Test
60
51
81 L.E.Cell
77
65
82 Foetal Haemoglobin (Hb-F)
154
131
83 Prothrombin Time (P.T.) 119
101
84 Bone Marrow Smear Exmination
75
64
85 Bone Marrow Smear Exmination with iron stain 256 218
86 Bone Marrow Smear Exmination and cytochemistry where required. 665 565
87 Partial Thromboplastin
105 89
88 Glucose Phosphate Dehydrogenase (G, 6PD) 250 213
89 Rapidtest for malaria(card test) 44 37
90 WBC cytochemistry for leukemia -Conmplete panel 890 757
91 Bleeding Disorder panel-BT,CT,Platetlet count.Aj'Tl'.extended & Dic 700 595
92 Factro Assays-Factor VIII 750 638
93 Factor Assays-Factor IX 700 595
94 Factro Assays-other Factors 2,763 2,348
Anti CarOioHpinAntfbooies:
, 'C
-
95 IgG. 260 221
96 IgM. 260 221
97
IgA. 260 221
J \n~iPho~p/1oljpidCi.qtibbdie,s. ':;,h\! )" ,:. :Z ~ ':;.
.
-
98 IgG. 260 221
99 IgM. 260 221
100 IgA. 260 221
101 Thalessemia studies 700 595
102 Hb Electrophoresis 455 387
103 Sickling studies 77 65
Nu~dti6nat.~arkers'}.
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104 Serum Iron 100 85
105 Total Iron Binding Capacity 100 85
106 Vitamin B.12. 256 218
107 Folic Acid. 350 298
108 HDLCholestrol 100 85
Blood Bank
..
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....
.. ..
c
109 Blood Group & RHOType 33 28
110 Cross match 60 51
111 Packedcell preparation 40 34
112 Coomb's Test Direct 100
85
113 Coomb's Test Indirect 119
101
114 Australia Antigen 120
102
115 RHO,Antibody titer 119
101
116 Blood Components-PRO 2,800
2,380
117 Blood Components -Fresh Frozen Plasma 3,800
3,230
118 Blood Components-Cryoprecipitate 488
414
Histopathology'" " .,.
. ..... .. ". " .
119 Routine-H & E 100
85
120 special stain 100
85
121 Immunohistochemistry(IHC) 878
746
122 Frozensection
1,500
1,275
123 Paraffin section
350
298
Cvtologv
,..
;,; " .
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....
..
124 PapSmear
160
136
125 Vaginal Cytology for Hormonal evaluation
160
136
126 Body fluid for Malignant cells
200
170
127 FNAC
250
213
128 special stain on cytology
90
77
Flowcvtornetrv
-
129 Leukemia panel/Lymphoma panel
3,575
3,039
130 CDCount: CD3,CD4,CD8
1,000 850
131 PNHPanel-CD55,CD59
1,450 1,233
f::Y1:og~r'1~tjfis;,,'i;,) ;, ',>; :,GJ ::.t" " 'j'" h
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-
132 karyotyping 2,200 1,870
Tur:nolJr'!;har,kers. ,.
...
,,""S'!
" 0
-
133 PSA-Total. 319 271
134 PSA-Free. 450 383
135 AFP. 345 293
136 HCG. 340 289
137 CA. 125. 400 340
138 CA19,9. 630 536
139 CA 5,3. 630 536
140 Carcioembryonic antigen(CEA) 350 298
Blo-Cheri)ist!Y';,<E
..'
; c:: ,','" >.
-
141 Blood Glucose Random 25 21
142 Blood Urea Nitrogen 55 47
143 SerumCreatinine 56 48
144 Serum Uric Acid 56 48
145 Serum Bilirubin total & direct - -
146 SerumIron 100 85
147 SerumCholesterol 63 54
148 Total Iron Binding Capacity 100
85
149 Glucose (Fasting & PP) 48
41
150 SerumCalcium-Total 63 54
151 SerumCalcium-lonic 45
38
152 Serum Phosphorus 66 56
153 Total Protein Alb/Glo Ratio 70
60
154 S.G.P.T. 56 48
155 S.G.O.T. 56
48
156 Serumamylase 120
102
157 Serum Electrolyte
140
119
158 Triglyceride
95
81
159 Glucose Tolerance Test (GTI)
100
85
160 C.P.K.
105
89
161 L.D.H.
132
112
162 Alkaline Phosphatase
63
54
163 Acid Phosphatase
80
68
164 CKMB
196
167
165 Lithium.
140
119
166 Dilantin (phenytoin).
439
373
167 Carbamazepine.
439
373
168 Valproic acid.
315
268
169 Feritin.
315
268
170 Blood gas analysis
470
400
171 Blood gas analysis with electrolytes
151
129
172 Urine pregnancy test
69
58
173 HbA1 C
165
140
174 Kidney Function Test.
261
222
175 Liver Function Test.
275
234
176
Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides)
215
182
177
Extended Lipid Profile.] Total cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo
700
595
178 ApoA1.
203
173
)
179 Apo B. 203 173
180 Lp(a). 455 387
181
LDL. 63 54
182 Homocysteine. 455 387
183 HB Electrophoresis. 450 383
184 SerumElectrophoresis. 300 255
185 Fibrinogen. 400 340
186 Chloride. 66 56
187 Magnesium. 154 131
188 GGTP. 100 85
189 Lipase. 245 208
190 Fructosamine. 224 190
191 ~2 microglobulin 100 85
192 Albumin. 21 18
i93 Catecholamines. 1,400
1)90
194 Creatinine clearance. 160 136
!1!? r:rn~hi? ~il} t; s { ; lii; 12; L ; .; !:"> ; x";"}". , "";;;:"5 2 "
'; '/" " . "
,
- ".. ,; .
"
195 T3, T4, TSH 213 181
196 T3 75 64
197 T4 75 64
198 TSH 125
106
199 LH 188
159
200 FSH 188
159
201 Prolactin 188
159
202 Cortisol 266
226
203 Enteropoetin 693
589
204 PTH(Paratharmone) 618
525
205 Calcitonin 840
7L4
206 C-Peptide. 400 34-0
207 Insulin.
325
276
208 Progesterone.
266
226
209 17-DH Progesterone.
450
383
210 DHEAS.
450
383
211 Androstendione.
770
655
212 Growth Hormone.
350
298
213 TPO.
385
327
214 Throglobulin.
400
340
t0il;rob.i616gY&'S~'~6)Bgy.;:';'.J ;
"; i ,'; ; r
,c ..
215 Smear gram-strain examination
48
4: 1
216 Sputum smear A.F.B. stain
56
48
217 Vaginal Smear Examination
80
68
218 Direct smear and stain examination for cryptosporidium
100
85
219 Direct smear and stain examination for P.Carcinei
100
85
220 lCB Count for mycology
150
128
221 lCB Count for others
300
255
222 V.D.R.l.
50
42
223 TPHAtest
210
179
224 Widal test
70
61)
225 Rheumatoid Factor test
105
8~
226 Culture & Sensitivity -bacterial
100 8>-
227 Culture & Sensitivity -Mycobacterial
200
171J
228 Culture & Sensitivity -mycology
200
171J
229 C.R.P. 120 102
230 C.R.PQuantative 200 170
231 ASOTiter
143 122
232 Quantitative H.C.G. 80 68
233 Blood culture &sensitivity- manual 160 136
234 Blood culture &sensitivity-automated 300 255
235 Vibro cholera culture 300 255
236 Rapid Blood Culture. 468 397
237 RapidAFBCulture. 420 357
238
C.3. 250 213
239
C.4. 250 213
240 IgG. 260 221
141 IgM. 260 221
242 IgA. 260 221
243 ANA. 320 272
244 Ds DNA. 385 327
245 PANCA. 800 680
246 CANCA. 770 655
Infectuous disease serology "i t :~L': . ~ .
,.
" -
247 HAV. 553 470
248 HbSAg- Elisa. 147 125
249 Anti HBS. 300 255
250 Anti HBCTotal. 490 417
251 Anti HBCIgM. 488 414
252 HbeAg. 423 359
253 Anti Hbe. 450 383
254 Anti- HCV. 400 340
255 Anti- HEV. 618 525
256 Triple Marker. 900 765
TORCH.
, ..
." . ..
.... -
-
." .. ,. -
257 IgG. 260 221
258 IgM. 260 221
Toxoplasmosis. . i s !e !' . . /~ ;i ." ./.&::;;~,. ~ ",'? :
_ .
,.\:.
-
259 IgG. 260
221
260 IgM. 260
221
CMV(Cytomegalovirus) .
- ":'"
-
261 IgG. 260
221
262 IgM. 260
221
'HSV:F ',,'
"
j'. ; I'
" .'
'.I .,
,'"
-
263 IgG. 260
221
264 IgM. 260
221
265 IgE. 400
340
Tuberculosis.'
.. ,." .
. , . . s '
.
-
266 TBIgG. 280
238
267 TB IgM. 280
238
268 TBIgA. 280
238
Rubella '( J; , " ', '.'" . ..
.'., '
" .
- ..... ,
269 IgG 200
170
270 IgM
200
170
271 IgA
250
213
272 Dengue Serology.
600
510
273 Cysticercosis.
500
425
274 Hydatic Serology. 374 318
275 Anti SpermAntibodies. 406 345
IHeVl)N~!fl<f~'2:jt1S'i'6~;; :::- ... < ....... ';;: .. ,';,
;," :" ...............................................
-
276 Qualitative. 2,340 1,989
277 Quantitative. 1,600 1,360
HCVRNA./iV '
.o'.' .
~.'
-
;
278 Qualitative. 2,340 1,989
279 HPVserology -
280 RotaVirus serology 163 138
281 PCRforTB 975 829
282 PCRfor HIV 630 536
283 Chlamydae antigen 900 765
284 chlamydae antibody 280 238
285 Brucella serology 245 208
286 Influenza A serology 943 801
USG,X-ray}ct:,I'J iRI, Bone Densitometry
..
'.
'.,
-
287 USGfor Obstetrics - Anomalies scan 380 323
288 Abdomen USG 300 255
289 Pelvic USG( prostate, gynae, infertility etc) 300 255
290 Small parts USG( scrotum, thyroid, parathyroid etc) 410 349
291 Neonatal head (Tranfontanellar) 500 425
292 Neonatal spine 500 425
293 Contrast enhanced USG 1,000 850
294 USGBreast 410
349
295 USGHystero-Salpaingography (HSG) 300
255
296 Colour Doppler, Carotid artery 1,000
850
297 Colour Doppler, Peripheral Artery/Veins 830
706
298 Colour doppler, renal arteries/any other organ 1,000
850
299 USGguided intervention-aspiration 500
425
300 USGguided intervention- FNAC 700
595
301 USGguided intervention - biopsy Listed under Treatment
302 USGguided intervention - nephrostomy 875
744
X-Ray' :i~'.Y ; ;
.. -
303 Abdomen AP Supine or Erect (One film)
150
128
304 Abdomen Lateral view (one film)
150
128
305 Pelvimetry
150
128
306 Chest PAview (one film)
70
60
307 Chest Lateral (one film)
70
60
308 Mastoids: Towne view, oblique views (3 films)
300
255
309 Extremities, bones &J oints AP & Lateral views (Two films)
300
255
310 PelvisA.P (one film)
150
128
311 T. M. J oints (one film)
150
128
312 Abdomen & Pelvis for K. U. B.
150
128
313 Skull A. P. & Lateral (2films)
300
255
314 Spine A. P. & Lateral (2films)
300
255
315 PNSview (1 film)
150
128
X ray Contrast studies
-
316 BariumSwallow
600
510
317 Barium Upper GI study
1,000
850
318 Barium Upper GI study (Double contrast)
1,100
935
319 Barium Meal follow through
1,100
935
320 Barium Enema (Single contrast/double contrast)
1,000
850
321 Small bowel enteroclysis 1,200 1,020
322 ERCP(Endoscopic Retrograde Cholangio - Pancreatography) 6,010 5,109
323 General :Fistulography /Sinography/Sialography/Dacrocystography/ T-Tube 750 638
324 Percutaneous transhepatic cholangiography (PTC) 1,500 1,275
325 Intravenous Pyelography (IVP)
1,400
1,190
326 Micturating Cystourethrography (MCU) 800 680
327 Retrograde Urethrography (RGU) 800 680
328 Contrast Hystero-Salpingography (HSG) 1,200 1,020
329 X ray - Arthrography
2,400
2,040
330 Cephalography 150 128
331 Myelography 3,500 2,975
332 Digital Subtraction Angiography (DSA)- Cerebral arteries 22,000 18,700
333 Digital Subtraction Angiography (DSA)- Peripheral Artery/arteries 9,000 7,650
334 Digital Subtraction Angiography (DSA) - abdomen - -
335 Digital Subtraction Angiography (DSA) - chest -
-
I 'tf' ,'!M!l!ts ~t>:,; J 3:h ,; { F i3:j { " i;i;;; '" , ... ); ,j :i,; j '; ii 11t.2,j,;;,.::;i>.X,-:,, ,.....
.. ,
-
336 X-ray Mammography 500 425
337 Ultrasound Mammography 500 425
338 MRI Mammography 3,000 2,550
! ~1.'S(j ; ; ; lf!:~; r
; j ; 1 ::
"",',:,'// ....'<f:; X i, ; T :'; ,' .:; ;...... ~\
.,;,;:" ':" '>" L;
.~
-
339 CTHead-Without Contrast 1,050
893
340 CTHead- with Contrast (+/- CTangiography) 1,350 1,148
341 C.T. Chest - without contrast (for lungs) 2,000
1,700
342 C.T. Chest - with contrast (+/- CTangiography) 2,500
2,125
343 C.T. ScanUpper Abdomen Without Contrast 1,700 1,445
344 C.T. ScanUpper Abdomen With Contrast 2,400
2,0110
345 C. T. ScanLower Abdomen Without Contrast 1,700
1,445
346 c. T. Scanlower Abdomen With Contrast 2,400
2,OtlO
347 C.T. ScanWhole Abdomen Without Contrast 3,300 2,8[)5
348 C.T. ScanWhole Abdomen With Contrast 4,500
3,8l5
349 CTangiography abdomen 5,000
4,2>0
350 CTenteroclysis 7,500
6,3T5
351 C.T. ScanNeck (Thyroid, parathyroid, Soft Tissues) - Without Contrast 1,800
l,5~0
352 C.T. ScanNeck - With Contrast
2,200
1,870
353 C.T. ScanOrbits - Without Contrast
1,400
1,190
354 C.T. ScanOrbits - With Contrast
1,900
1,615
355 C. T. Scanof Para Nasal Sinuses- Without Contrast
1,250
l,OE3
356 C.T. Scanof Para Nasal Sinuses - With Contrast
2,100
1,7~5
357 C.T. Spine (Cervical, Dorsal, Lumbar, SacraI)-without contrast 1,750 1,4~
358 CTTemporal bone - without contrast
1,050
893
359 CT- Dental
1,500
1,275
360 c. T. Scan Limbs -Without Contrast
2,000
1,7(0
361 C.T. ScanLimbs -With Contrast including CTangiography
2,650
2,253
362 C.T.Guided intervention - Biopsy/FNAC
1,500
1,275
363 c. T. Guided intervention -percutaneous catheter drainage / tube placement 1,535
1,3(6
MR!~.';;;" 'i, i; '\>fP "i!); rfzr,? { ; .]i2+j E' ; . "tr '!\/'/!'i I j ,
. {\. . . fTi Pi ; "., t
.,.>
364 MRI Head- Without Contrast
2,350
1,993
365 MRI Head- With Contrast
3,350
2,843
366 MRIOrbits Without Contrast
1,700 l,4L 1S
367 MRI Orbits - With Contrast
5,000
4,25::1
368 MRI Nasopharynx and PNS- Without Contrast
2,500
2,12);
369 MRI Nasopharynx and PNS With Contrast
5,000
4,25
370 MRI Neck- Without Contrast
2,400
2,040
371 MRI Neck- with contrast 5,000 4,250
372 MRI Shoulder - With contrast 2,500 2,125
373 MRI Shoulder - Without contrast 3,000 2,550
374 MRI shoulder both J oints - Without contrast 2,500 2,125
375 MRI Shoulder both joints - With contrast 5,000 4,250
376 MRI Wrist Single joint - Without contrast 2,500 2,125
377 MRI Wrist Singlejoint - With contrast 5,000 4,250
378 MRI Wrist both joints - Without contrast 2,500 2,125
379 MRI Wrist Both joints - With contrast 5,000 4,250
380 MRI knee Singlejoint - Without contrast 2,500 2,125
381 MRI knee Singlejoint - With contrast 5,000 4,250
382 MRI knee both joints - Without contrast 2,500 2,125
383 MRI knee both joints - With contrast 5,000 4,250
384 MRI Ankle Singlejoint - Without contrast 2,500 2,125
385 MRI Ankle single joint - With contrast 5,000
4,250
386 MRI Ankle both joints - With contrast 2,500
2,125
387 MRI Ankle both joints - Without contrast 3,000
2,550
388 MRI Hip - With contrast 2,500
2,125
389 MRI Hip- without contrast 3,000
2,550
390 MRI Pelvis- Without Contrast 2,500
2,125
391 MRI Pelvis- with contrast 5,000
4,250
392 MRI Extremities - With contrast 5,000
4,250
393 MRI Extremities - Without contrast 2,500
2,125
394 MRI Temporomandibular - Single J oint - With contrast 5,000
4,250
395 MRI Temporomandibular - Single J oint - Without contrast 2,500
2,125
396 MRI Temporomandibular Double J oint - With contrast 5,000
4,250
397 MRI Temporomandibular Double J oint - Without contrast 2,500
2,125
398 MRI Abdomen - Without Contrast 2,500
2,125
399 MRI Abdomen - With Contrast 5,000
4,250
400 MRI Breast - With Contrast
5,000
4,250
401 MRI Breast - Without Contrast
2,500
2,125
402 MRI Spine Screening - Without Contrast
1,000
850
403 MRI Chest- Without Contrast
2,500
2,125
404 MRI Chest- With Contrast
5,000
4,250
405 MRI Cervical Spine - Without Contrast
2,500
2,125
406 MRI Cervical Spine - With Contrast
5,000
4,250
407 MRI Dorsal Spine - Without Contrast
2,500
2,125
408 MRI Dorsal Spine - With Contrast
5,000
4,250
409 MRI Lumbar Spine - Without Contrast
2,500
2,125
410 MRI Lumbar Spine- With Contrast
5,000
4,250
411 Whole body MRI (For oncological workup)
6,000
5,100
412 MRI Angiography - Without Contrast
1,200
1,020
413 MRI Angiography - With Contrast
5,000
4,250
414 MR cholecysto-pancreatography,
2,500
2,125
415 MR Enteroclysis
2,500
2,125
Bql:ie:Dehsitornefr:y'.i;lAi~s;<',/.; ... ,.. " . :;C ~ ,: . ; .>
v
.,
.:;
.
-
416 Bone Densitometry - Single Site
1,000
850
417 Bone Densitometry - Two sites
1,800
1,530
418 Bone Densitometry - Three sites (Spine, Hip & extremity)
2,300
1,955
419 Bone Densitometry Whole body
2,950
2,508
N.E!i1ROLUGf@.4;li'iINVESTiGA>TidNSAND!liR0GEDtJ f{ES .
-
"? "~ .,.>,,,,, ..~.;,,.,. " .. _,." .. yo . ""'" ",. - ; ". ". - ,', , v- , 0' _ ",' ',' _ ,,' '. . ,,".; ._ , ,.', " <
420 EEG/Video EEG 350 298
421 EMG(Electro myography) 750 638
422 Nerve condition velocity (at least 2 limbs) 750 638
423 Decremental response (before and after neo stigmine) 700 595
424 Incremental response 700 595
425 SSEP(Somato sensory evoked potentials) 750 638
426 Poly somnography 750 638
427 Brachial plexus study 750 638
428 Muscle biopsy 450 383
429 ACHRanti body titre 8,500 7,225
430 Anti MUSK body titre 9,500 8,075
431 SerumCOPPER 600 510
432 Serumceruloplasmin 618 525
433 Urinary copper 600 510
434 Serumhomocystine 455 387
435 Serumvalproate level 439 373
436 Serumphenol barbitone level 390 332
437 Coagulation profile 650 553
438 Protein C, Santi thrombine - III 5,558 4,724
439 Serumlactate level 540 459
<f,!'i.:>tJ ry"; ' 'U. ,,? 'k? ? "", ::t"",,:'"
,: "
" "
"
-
440 a. Basicstudies including cell count, protein, sugar, gram stain, India Ink 240
204
441 b. Special studies 1,200 1,020
442 PCRfor tuberculosis/ Herpes simplex 1,229 1,044
443 Bacterial culture and sensitivity 200 170
444 Mycobacterial culture and sensitivity 200
170
445 Fungal culture 150 128
446 Malignant cells 75
64
447 Anti measles antibody titre (with serum antibody titre) 1,230
1,046
448 Viral culture 300
255
449 Antibody titre (Herpes simplex, cytomegalo virus, flavivirus, zoster varicella 2,275
1,934
450 'Oligoclonal band 1,500
1,275
451 Myelin Basicprotein 5,040
4,284
452 Lactate 350
298
453 Crypto coccal antigen 1,138
967
;nEsts'1t'J ;'GA~TBC? :;ENt~,R6EGG\'
" " )'.
-
454 a. D-xylasetest 1,200
1,020
455 b. Fecalfat test/ fecal chymotrypsin/ fecal elastase 1,200
1,020
456 c. Breath tests 1,500
1,275
457 d. Hpylori serology for ciliac disease 550
468
458 e. HBVgenotyping 2,730
2,321
459 f. HCVgenotyping 5,450
4,633
Tests ip' End.ocrinhlbgy ;('ip'<j,<J ditidh~o.t't\oseinctud,~dunperHarmon~sJ
'. -
460 UrinaryVMA 1,500
1,275
461 Urinary metanephrine/Normetanephrine 1,138
967
462 Urinary free catecholamine
1,690 1,437
463 Serumcatecholamine
3,500
2,975
464 Serumaldosterone
1,200
1,020
465 24 Hr urinary aldosterone
920
782
466 Plasmarenin activity
1,235
1,050
467 Serumaldosterone/renin ratio
1,250
1,063
468 Osmolality urine
150
128
469 Osmolality serum 150 128
470 Urinary sodium 94 79
471 Urinary Chloride 50 43
472 Urinary potassium 94 79
473 Urinary calcium 94 79
474 Anti TPO ante body 400 340
475 Thyroid binding globulin 600 510
476 Serumcotisole 300 255
477 24 hr urinary free cotisole 400 340
478 Islet cell antebody 1,015 863
479 GADantibody 1,330 1,131
480 Insulin associated antibody 449 381
481 IGF-l 2,015 1,713
482 IGF-BP3 1,788 1,519
483 Sexhormone binding globulin 1,333 1,133
484 USGguided FNACthyroid gland 455 387
485 FT3 125 106
486 FT4 125 106
487 FT4/TSH 100 85
488 FT3/FT4/TSH 300 255
489 E2 245
208
490 Thyro globulin antibody 700
595

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