VAJPAYEE AROGYA SHREE SCHEME

Government of Karnataka

SUVARNA AROGYA SURAKSHA TRUST

(Department of Health & Family Welfare)
Nitton Building, No.11, 3rd Floor, Palace Road, Bangalore-560 052,
Phone: 080-22341572 Fax: 080-22341571, E-mail: sast.mail@gmail.com
Date: 6/7/2012
Suvarna Arogya Surakha Trust has been established and registered as a
separate body under the aegis of Health and Family Welfare Department under the
Indian Trust Act, 1882 in order to implement Suvarna Arogya Suraksha Scheme (now
Vajpayee Arogya Shree scheme) vide GO No. HFW 216 CGE 2008, Bangalore dated
20th February 2009. The Trust has started functioning since April 2009. Initially the
scheme was taken up in all the districts of Gulbarga Division and later extended to the
Districts of Belgaum Division during October 2010 providing cashless high end Medical
Care & Surgeries in the Empanelled Super Specialty Hospitals.

1. Objectives:
To provide BPL families access to quality medical care for treatment of catastrophic
illness involving hospitalization, surgery and therapies through an Empanelled network
of Super specialty health care hospitals.
2. Coverage:
The Scheme was first launched in 2009 for the 6 (six) districts of Gulbarga division and
later extended to the 7 (seven) districts of Belgaum division. Now, it is extended to the
17 districts of Bangalore and Mysore divisions vide G.O. No.
Bangalore dated 21/6/2012, thus covering the entire State.
1

DPP/115/fE/2012,

3. Beneficiaries:

BPL families of both rural and urban areas of the State are eligible to avail the benefits
of the scheme. The BPL family is identified on the basis of BPL Ration Card issued by
the Food & Civil Supplies and Consumer affairs Department of Karnataka Government.
Beneficiaries are identified on the basis of:
i) Laminated BPL cards with photograph issued by Food and Civil Supplies
Department (Permanent BPL cards)
ii) Temporary BPL cards with seal and attestation by the jurisdictional Tahasildar.
4. Diseases Covered: The Benefit Package under the Scheme currently covers 402
tertiary care procedures, falling under 7 broad categories. They are;

1) Cardiovascular Diseases
2) Cancer
a) Surgical Oncology
b) Chemotherapy
c) Radiation Oncology.
3) Neurological Diseases
4) Renal Diseases
5) Burns
6) Polytrauma cases
(not applicable to motor vehicle accident cases)
7) Neonatal surgeries
Total

134 Procedures
166 Procedures

55 Procedures
21 Procedures
11 Procedures
08 Procedures
07 Procedures
402 Procedures

Apart from the above 50 follow up procedures are included under the following
categories:
a) Cardio Vascular Surgeries
b) Urology
c) Neurosurgeries

6. Empanelment of Network Hospitals:

1. Government Institutions wherein required infrastructure/Manpower for providing
tertiary care are available.
2. Identified Private Hospitals equipped with super speciality health care.
3. Private Nursing Homes equipped with super speciality health care.
Minimum standards on several parameters have been prescribed.
7. Special features of the Scheme:
1.
2.
3.
4.
5.
6.
7.
8.
9.

Applicable to all the BPL families in the State.

No age limit for availing the benefit of the Scheme.
Pre-existing disease is not a bar for giving treatment.
The tariff fixed for the procedure is inclusive of Investigations, Procedures Implants,
Transport, Food and Medicine for 10 days after discharge of the patient.
Each NWH is provided with the services of one Arogaymitra to guide the NWH &
beneficiary & to ensure that the benefit of the scheme reaches the beneficiary.
The treatment provided to the beneficiary is totally free and cashless.
No premium is collected from the beneficiary.
The entire expenditure towards treatment including premium is met by the
Government.
Follow up treatment in selected 50 procedures is provided for a period of one year.

8. Limitations of the Scheme:

1. The benefit is restricted to only five members of a BPL family in a year.
2. Sum assured will be Rs.1.50 lakh on a family floater basis per year. Additional buffer
of Rs.50,000/- per year for the entire family on a case to case basis will be available.
3. The beneficiaries are required to avail the benefits of the scheme only in NWH's
empanelled by the Trust.
4. The beneficiaries are eligible for Tertiary care of only identified 7 diseases under 402
procedures.
9. Publicity for the Scheme:
1. Distributing pamphlets containing brief information about the scheme in the
health camps.
2. Fixing Posters in important places such as village Panchayat office, Fair Price
Depots, Anganwadies, Village Co-operative Societies, Post offices, Bus stands,
Schools etc.
3. Press Note /Advertisement in News Papers.
3

4. Radio programmes.
5. TV programmes.
6. Arogaymitras and other officials of ISA are taking IEC activities in the concerned
area on the eve of Health Camps.
10. Health Camp Schedules:
The regular Monthly Health Camps are held at the District & Taluk Level. The following
are scheduled dates:
Gulbarga Division
5th of Every Month All Taluk Hospitals of Bidar & Koppal District.
10th of Every Month - All Taluk Hospitals of Yadgir & Bellary District.
15th of Every Month - All Taluk Hospitals of Gulbarga & Raichur District.
25th of Every Month Head Quarter of all 6 Districts at District Hospitals.
Belgaum Division
1st of Every Month All Taluk Hospitals of Karwar and Haveri District.
7th of Every Month - All Taluk Hospitals of Gadag, Bijapur and Dharwad District
14th of Every Month - All Taluk Hospitals of Bagalkote & Belgaum District.
21st of Every Month Head Quarter of all 7 Districts at District Hospitals.
Bangalore Division & Mysore Division
Scheme is extended to the 9 districts of Bangalore division and 8 districts of Mysore
division during the year 2012-13.
Health Camp activities will start after appointment of Implementation of Support
Agency, say from October 2012.
Till such time the BPL persons suffering from tertiary ailments can directly go to any of
the 130 empanelled hospitals and avail treatment.
For further details, the eligible beneficiaries may contact the following officials at
the District level;
District Health & Family Welfare Officer
District Surgeon
Administrative Medical Officer of CHC
4

Taluk Health Officer

Medical Officer, Primary Health Centre.
Health Sub-Centre
ASHA at the village level.
Telephone Nos of SAST
Executive Director
Director, MM
Deputy Director
Deputy Director
Consultant

22341572, 22341571
9900060127
7760999503.
7760999504
9900060126

11. List of Empanelled Hospitals (Net Work Hospitals) in the State.

130 Network Hospitals
Sl No.

Hospital Name

A.J. Hospital Research Centre, NH-17, Mangalore 575004

Abhaya Hospital, #17, Dr. M.H. Marigowda Road, Opp 7th Cross, Bus stop Wilson
Garden Bangalore-560 027

Apollo BGS Hospital, Adichunchangiri Road, Kuvempunagar, Mysore-570023

Apollo Hospitals, #154/11, Opp IIM, Bannerghatta Road, Bangalore -560 076

Arunodaya Hospital Sri. Nagar Colony, Siruguppa Road, Havambhavi, Bellary

Balanku Hospital, Basavanagar OPP: Munnurwadi School, Near Basavanabawi Chowk,

Raichur

Bangalore Baptist hospital, Bellary Road, Hebbal, Bangalore- 560 024.

Bapuji Hospital, Pavilion Road, Davanagere-577 004

Basaveshwar Medical College Hospital and Research Center, NH- 4, Bypass Near KHB
Colony, Chitradurga-577501

10

Basaveshwar Teaching & General Hospital, Mahadevappa Rampura Marga, Sedam

Road, Gulbarga -585 105

11

Belgaum Cancer Hospital Pvt Ltd, 9666 A-2/D, Ashok Nagar, Belgaum-590010

12

BGS Global Hospitals, BGS Health & education city, #67, Uttarhalli Road, Kengeri,
Bangalore-60

13

Bhadra Nursing Home Surgical & Maternity Home, Gandhi Nagar, Bhadravathi- 577301
Shimoga

14

Bhagwan Mahaveer Jain Hospital Millers Road, Vasanthnagar, Bangalore-52

15
16

Bharath Hospital & Institute of Oncology #438, outer ring road, Hebbal, Mysore 570
017
Bijapura Kidney Foundation, Opp. New Mugalkhod Math, Solapur Road, Bijapur -5860
103.

17

BKS Hospital, No.8, First Cross, Gandhinagar, Bellary-583103

18

Cauvery Hospital, #42/B, Teressian College circle, Siddartha Layout, Mysore-570 011

19

Choudhari Hospital, Shikarkhana Road, Bijapur-586 104

20

City Central Hospital Pvt Ltd., #17, Akkamahadevi Road, P.J. Extension, Davangere 577 002

21

City Hospital Research & Diagnostic Center, Pound Garden, Kadri, Mangalroe

22

Curie Centre of Oncology#88, 17th A Main, 2nd Cross, 5th Block, Kormangala,
Bangalore

23

Danamma Super Speciality Hospital, #135/136, Kolachalam Compound Opp Old

KSRTC Bus Stand Royal Circle, Bellary -583 101

24

Dhanvantari Hospital Charitable Trust and Rameshchandra Lahoti Medical Research

Centre, Ring Road, oppo Rammandir, Jevargi Road, Gulbarga-585102

25

Dipali Hospital, 8th cross, Basaveshwara Badavane, Hospet, Bellary - 583 201

26

Doddamane Hospital, Oppo. NEPS, 4th Cross, Shankarapuram, BH Road, Tumkur.

27

Dr. B.R. Ambedkar Medical College Hospital , Kadugondanahalli, Bangalore - 560 045

28

Dr. K. Narasimhaiah Hospital, #4th Main, Gandhi Nagar, Tumkur-572102

29

Dr. K.Ramappa's Naveen Multispeciality Hospital, Govardhan Yadav Complex, B.R.B.

Circle, Raichur-584 103.

30

S.K Panduraga Hospital, S.N Pet, 3rd Cross, Bellary

31

Dr. Y.B.Kulgod Multispeciality Hospital & MRC, Basav Marg, Ramdurg -591 123
District Belgaum

32

Dr.Bidari's Ashwini Hospital, B.L.D.E. Road, Bijapur-586 103

33

Father Mullers Medical College Hospital, Kankanadi, Mangalore, Dakshina Kannada575002

34

Fortis Hosptials Limited, #14, Cunningham Road, Bangalore-52.

35

Fortis Hosptials Limited, #23, 80 Feet Gurukrupa Layout, 2nd Stage, Nagarabhavi,
Bangalore-22

36

GPV Neuro Superspeciality Hospital, Gunja Road, Raichur-584 102.

37

Harsha Hospital, #193/4, Sonde koppa , Nelamangala, Bangalore-562 123

38

Bangalore Institure of Oncology, #44-45/2, 2nd cross, Raja Rammohan Extension, (off.
LalBagh Double Road), Bangalore 560 027

39

Health City 107/28, NH.13, Next to Hotel Ratna Palace, Solapur, Bijapur Road Bypass
junction, Bhutnal, Bijapur- 586 103

40

Indus Westside Hospital (IWH) #3 P (2) 60 Feet Road, 1st Block (Valgerahalli)
Jnanabharathi Layout, Bangalore- 560 059.

41

Jeevani Health Care's Hospital #11/2, Magadi Main Road, Agrahara Dasarahalli,
Bangalore 560 079

42

Jindal Sanjevani Hospital, P.O Vijay Vttal Nagar, Toranagallu, Village Sandur Tq,
Bellary District-583278

43

JSS Hospital, Mahatma Gandhi Raod, Mysore -04

44

Justice K.S. Hegde Charitable Hospital, Deralakattee, Mangalore 575018

45

K.R. Hospital #979, 25th main raod, BSK Istage, 50 feet road opp. PES College,
Hanumanth nagar, Bangalore -50

46

Kadli Ningamma Hospital, No.2667/3, 4th Cross, M.C.C B Block, Davangere-577004

47

Kasturba Hospital

48

Kerudi Hospital and Research Centre # Extension Area, Bagalkot - 587101

49
50
51

P.O.Box No. 7, Manipal, Udupi -576 104

Khaja Bandanawaz Institute of Medical Sciences, Khaja Nagri Main Raod, Near Ima
Hall, Gulbarga-585102
KLE Heart Hospital
Laxmi Complex, Near Trafic, Island Hubli-29.
KLES Dr. Prabhakhar Kore Hospital & Medical Research Center, Nehru Nagar,
Belgaum-590010

52

KMC Hospital, N.G. Raod, Attavar, Mangalore-575001, Dakshina Kannada

53

Kumar Hospital, MST Road, Tiptur, Tumkur

54
55
56

B.H.S Lakeview Hospital, #11888, Opp. Fort Lake, Gandhi Nagar, Belguam-590 016.
Lalitha Health care Pvt Ltd., (Fortis Hospital) #65, 1st Main Road, Seshadripuram,
Bangalore -560 020
Live 100 Hospital, Sy. No.107/1, Singasandra Village, Begur Hobli, Bangalore
SouthTaluk, Bangalore

57

M.K.Bhandari Hospital, oppo. Gowshala, Guni Road, Raichur

58

M.S. Ramaiah Hospital, MSRIT Post, New BEL Road, MSR Nagar, Bangalore-560054

59
60

M.S.Ramaiah Curie Centre of Oncology, M.S. Ramiah Memorial & Hospital, MSR
Nagar, MSRIT Post. Bangalore-560 054
M.S.Ramaiah Narayana Hrudayalaya Pvt Ltd., MSRIT Post, New BEL road,
Bangalore-54

61

Mallikarjuna Hospital, Hotel Jewel Rock Raod, Durgi Gudi, Shimoga

62

Mallya Hospital, #2, Vittal Mallya Road, Bangalore-560 001

63
64

Malnad Hospital & Institute of Oncology, 9th Mile stone, Opp Bidare Bus Stop, B.H.
Road, Nidige Post, Shimoga- 577 222
Mangala Hospital & Mangala Kidney Foundation Vajra Hills Kadri Raod,
Mangalore-575 003. D.K

65

Manipal Hospital #98, Rustom Bagh, Old Airport Road, Bangalore -17

66

Manipal Speciality Hospital,

Bangalore-98

67

Medicare Multispeciality Hospital, Darga Road, Sangtrashwadi, Gulbarga - 585 102

68
69
70
71
72
73
74

#363, Halagevaderahalli, Rajarajeshwarinagar,

N.R.R. Hospital #3 &3A, Hesarghatta main road, Chikksandra, Near Chikkabanavara

Railway station. Bangalore-560 090
Narayana Hrudayalaya, #258/A, Bommasandra Industrial Area, Anekal Taluk,
Bangalore 560 099
Navodaya Medical College Hospital and Research Centre Mantralayam Road, Navodaya
Nagar, Raichur-584103
NMR Curie Centre of Oncology, TB Road, near Revankar Kalyan Mantapa Despande
Nagar Hubli- 580 029 Dharwad District
Panacea Hospital Pvt Ltd, #334, 8th main III Stage, IV Block Basaveshwaranagar,
Bangalore-560 079
Patil Nursing Home, Bustand Road, Behind, Nagarjun Hotel, Venkatesh nagar Gulbarga585 102
R. B. Patil Hospital, Vidyanagar, Hubli-580021

75

Ravi Kirloskar Memorial Hospital, #19, 2nd main road, Ist Phase, Peenya Industrial
Area, Bangalore- 560 058

76

Ravi Nursing Home, # 136, Mahaveera Road, Davanagere-577001

77
78

S. Nijalingappa Medical College and HSK Hospital and Research Centre, Navanagar,
Bagalkot -587 102
S.S. Institute of Medical Science & Research Centre, "Jnanashankara"#4 Bypass Road,
Davangere-577 005.

79

Sagar Hospitals # 44/54, 30th corss Tilaknagar, Bannerghatta Road, Bangalore-560 041

80

Sagar Hospitals DSI Behind DSI campus, Shavige Malleshwara hills, Kumaraswamy
Layout, Banashankari, Bangalore-78

81

Saptagiri Hospital #, Chikkasandra, Hesarghatta Main Road, Bangalore-560090

82
83
84
85
86
87
88
89
90

Satya Uro Care & Mutlispeciality Hospital, Opp Divisinal forest office, S.B. temple
Behind Mini Vidhan Soudha, Gulbarga
Satyam General Hospital, 195/C, 8th Cross, M.V. Nagar, Kappagal Road, Bellary -583
103.
SDM College of Medical Scienes and Hospital, Manjushree Nagar, Sattur, Dharwad-580
009.
SDM Narayana Hrudayalaya Heart Centre , SDM Medical College, Sattur, Dharwad- 580
003
Shirdi Sai Hospital Pvt. Ltd., # 519, 2nd main, Nethravathi street, Devasandra, Opp. SLK
software, New BEL Road, Bangalore-560 054
Shree Basavalingappa Nisty Memorial Heart Centre, #15&16, Lahoti Enclave, Aiwan-EShahi Road, Gulbarga -585 102
Shree Hospital, Behind Akkamadevi College, Bidar -585 401
Shridevi Hospital and Shridevi Diagnostic and Research Center, M.G. Road,
1st Cross, K.R. Extension, Tumkur-572 101.
Shrinivasa Cardiac Center Pvt. Ltd, Bhagwan Mahaveer Jain Heart Centre Campus,
Millers Road, Vasanthnagar, Bangalore -560 052

91

Sparsh Hospital #29/P2, Kittagnahalli, Naryana Health City campus, Bangalore-99

92

Sri Laxmi Surgical Trauma Ortho & Multispeciality Center, 3rd Cross, Vinayaka Nagar,
Ranebennur 581115, Haveri

93

Sri. Siddhartha Medical College and Hospital, Agalakote, B.H. Road, Tumkur-572107

94

St. Theresa's Hospital #1, Dr. Rajkumar Road, Ist Block, Rajajinagar, Bangalore

95

Sugauna Hospital, #1A, 87/ 4th N Block, Dr. Rajkumar Road, Rajajinagar, Bangalore560010

96
97
98
99
100
101
102
103
104

The Karnataka Cancer Therapy and Research, Navanagar, Hubli- 580 025
Trinity Hospital & Heart Foundation, Near RV Teachers college circle, Basavangudi,
Bangalore-560004
Unity Life Line Hospital Pvt Ltd, EKADANTHA #193, 80feet Road, 2nd Block
Nagarabhavi 2nd Stage, Bangalore-72
Vaatsalya Hospital , Vaatsalya Healthcare complex, RTO Circle, SEDAM Road,
Gulbarga -585 105
Vikaram Jeshta (A Unit of Vikram Hospital Pvt Ltd.,) #46, Vivekananda Road,
Yadavgiri, Mysore- 570 020
Vikram (A unit of Vikram Hospital Pvt Limited) #D5/271/1219/B & D5/272/1220, 3rd
cross, Ashok nagar, Mandya -571401
Vikram Hospial, #71, 1, Millers Road, Bangalore
Vikram Jeev (A unit of Vikram Hospital Pvt Limited) #50C, New No. 34, 34/1,
Vivekananda Road, Yadavagiri, Mysore
Vikram Jyothi (A unit of Vikram Hospital Pvt Limited) #2909 Temple Road. V.V.
Mohalla, Mysore- 570002

105

VIMS Speciality Hospital, #88, Marathalli, Outer Ring Road Bangalore-37

106

Vydehi Institute of Medical Sciences & Research Centre, #82, E.P.I.P. Area, White field,
Bangalore-560 066.

107

Yenepoya Hospital, Kodiyalbail Mangalore Dakshina Kannada

108

Shri. B. M Patil Medical College Hospital, Ashram Road, Bijapur

109
110

Vagus Superspeciality Hospital Pvt. Ltd # 6,7 &8, 4th Main, 18th Cross, Malleshwaram,
Bangalore -03.
Yashomati Hospitals Pvt Ltd, No 2371/3,HAL Airport-Varthur Road,
Munnekolala,Marathahalli Post,Bangalore-560037

111

Dhanush Hospital, Near Durga Vihar Extension Area,Bagalkot-587101

112

Aasha Hospitals, #21/7, Near OPD, Controlment, Bellary-583104.

113

Nanjappa Life Care, No-5619, Gadikoppa, Sagar Road, Shimoga-577205.

114

Nanjappa Hospital, No.660, Kuvempu Road, Shimoga-577201

115
116

Sri Sai Ram Hospital, #6, J.C.Industrial area, Kanakpura Main Road, Yelechanahalli,
Bangalore560052.
Karnataka Cancer Hospital, #99, Jharaka bande kaval, Krishnandanagar, Nandini Layout,
Bangalore-560096

10

117

Chigateri District Hospital, P.J. Extension, Davangere, 577002

118

Institute of Nephro Uruology, Victoria Hosital Campus, Bangalore-560 002.

119

Kidwai Memorial Institute of Oncology, Dr. M.H Marigowda Road, Bangalore-560029

120

NIMHANS Hospital, Post Bag No 2900, Hosur Road, Bangalore-560029.

121
122

Sanjay Gandhi Institute of Trauma and Orthopaedics, Byrasandra, Jayanagar East,

Bangalore-11
Sri. Jayadeva Institute of Cardio Vasscular Science and Research
Bannerghatta Road, Jayanagara 9th Block, Bangalore-560009

123

Vanivilas Hospital, Fort K.R. Road, Bangalore-560002.

124

Victoria Hospital, Fort K.R. Road, Bangalore-560002.

125

VIMS Hospital , Bellary

126

SDS TRC & Rajiv Gandhi Institute of Chest Diseases,Hosur Road, Near NIMHANS,
Bangalore-29

127

Karnataka Institute Of Medical Sciences, Vidya Nagar,Hubli

128

Rajiv Gandhi Super Speciality Hospital Hyderbad Road, Raichur -584 102

129

KC General Hospital, #89, 5th Cross, Malleshwaram, Bangalore 560003

130

#166A/1A, Extension Area, Near Old IB, Bagalkot-587 101

11

12. Benefit Packages for Permitted Procedures

Sl.
No.

Main
Specialty

Sub-specialty

Procedure Name

Package
Rates

Pre Op Investigation Report

Burns

Burns

upto 30% (with grafting)

40000

Clinical Photograph

Burns

Burns

upto-40% with Scalds(

Conservative/ without grafting)

35000

Clinical Photograph

Burns

Burns

50000

Clinical Photograph

Burns

Burns

60000

Clinical Photograph

Burns

Burns

70000

Clinical Photograph

Burns

Burns

Burns

Burns

Burns

Burns

10

Burns

Burns

upto-40% Mixed Burns(with

grafting)
upto-50% with Scalds
(Conservative)
upto-50% Mixed Burns( with
surgery grafting)
upto-60% with Scalds
(Conservative)
Up to-60% Mixed Burns (with
Surgeries)
Above 60% Mixed Burns (with
Surgeries)

75000

Clinical Photograph

100000

Clinical Photograph

120000

Clinical Photograph

Burns

Post Burn Contracture surgeries

for Functional
Improvement(Package including
splints, pressure garments and
physiotherapy), Mild

20000

Clinical Photograph

Burns

Post Burn Contracture surgeries

for Functional
Improvement(Package including
splints, pressure garments and
physiotherapy), Moderate

30000

Clinical Photograph

40000

Clinical Photograph

11

Burns

Burns

Post Burn Contracture surgeries

for Functional
Improvement(Package including
splints, pressure garments and
physiotherapy), Severe

12

Cardiology

Cardiology

PTCA - one stent (nonmedicated)

60000

CAG

13

Cardiology

Cardiology

PTCA - 2 stent (non-medicated)

80000

CAG

14

Cardiology

Cardiology

Balloon Mitral Valvotomy

20000

2D ECHO

15

Cardiology

Cardiology

Coarctation dilatation

20000

2D ECHO

16

Cardiology

Cardiology

Balloon Pulmonary Valvotomy

20000

2D ECHO

12

17

Cardiology

Cardiology

Balloon Aortic Valvotomy

20000

2D ECHO

18

Cardiology

Cardiology

Peripheral Angioplasty withstent

(non-medicated)

50000

2D ECHO , ANGIOGRAM

19

Cardiology

Cardiology

Renal Angioplasty withstent

(non-medicated)

60000

ANGIOGRAM

20

Cardiology

Cardiology

Both side renal Angioplasty

withstent (non-medicated)

90000

ANGIOGRAM

21

Cardiology

ANGIOGRAM

Cardiology

Vertebral Angioplasty
Temporary Pacemaker
implantation

60000

22

Cardiology
Pacemaker
Implantation

23

Cardiology

Pacemaker
Implantation

24
25

Cardiology
Cardiology

26

4000

CAG , ECG

Permanent pacemaker
implantation (only VVI)
including Pacemaker value

75000

CAG , ECG

Cardiology
Device Closure

Pericardiocentesis
PDA Device Closure

3000
60000

2D ECHO
2D ECHO

Cardiology

Device Closure

ASD Device Closure

80000

2D ECHO

27

Cardiology

Device Closure

VSD Device Closure

80000

2D ECHO

28

Cardiology

Coil Closure

PDA Coil (one) insertion

15000

2D ECHO

29

Cardiology

Coil Closure

PDA Multiple coil insertion

20000

2D ECHO

30

Cardiology

Cardiology

IVUS

20000

angiogram

31

Cardiology

Cardiology

EP study

10000

ECG, 2D Echo

32

Cardiology

Cardiology

RF Ablation

25000

ECG, 2D Echo

33

Cardiology

Cardiology

3D Maping + Ablation

50000

ECG, 2D Echo

34

Cardiology

Cardiology

Medical treatment of Acute MI

with Thrombolysis

35

Cardiology

Cardiology

36

Cardiology

Cardiology

Thrombolysis for peripheral

ischemia
Rotablation+ PTCA

37

Cardiology

Cardiology

38
39
40
41

Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery

7000

2D ECHO, CPKMB,CAG,
ECG, TROPONINE-T

10000

ECG, 2D Echo

60000

CAG

Rotablation+ PTCA+ Stent

80000

CAG

CABG

CABG

95000

CAG

CABG

CABG with IABP

CABG

CABG with Aneurismal repair

95000

CAG

CABG

CABG with MV repair

95000

2D ECHO , CAG

13

115000

2D ECHO , CAG

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56

Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery

CABG

CABG with post MI VSD repair

95000

2D ECHO , CAG

Valve Repair

Open Mitral Valvotomy

80000

2D ECHO

Valve Repair

Open Aortic Valvotomy

80000

2D ECHO

Valve Repair

Open Pulmonary Valvotomy

75000

2D ECHO

Valve Repair

Mitral Valve Repair

80000

2D ECHO

Valve Repair

Tricuspid Valve Repair

80000

2D ECHO

Valve Repair

Aortic Valve Repair

80000

2D ECHO

Valve Replacement

Mitral Valve Replacement

120000

2D ECHO

Valve Replacement

Aortic Valve Replacement

120000

2D ECHO

Valve Replacement

Double Valve Replacement

150000

2D ECHO

Valve

Ross Procedure

95000

2D ECHO

ASD

80000

2D ECHO

VSD

80000

2D ECHO

AVSD/ AV Canal Defect

80000

2D ECHO

ICR for TOF

80000

2D ECHO

Congenital
(Simple)
Congenital
(Simple)
Congenital
(Simple)
Congenital
(Simple)

57

Cardiothoraci
c Surgery

Congenital
(Simple)

Pulmonary Valvotomy + RVOT

Resection

80000

2D ECHO

58

Cardiothoraci
c Surgery

Congenital
(Simple)

AP Window

80000

2D ECHO

59

Cardiothoraci
c Surgery

Congenital
(Simple)

Surgery for HOCM

80000

2D ECHO/TEE

60

Cardiothoraci
c Surgery

Congenital
(Simple)

Ebsteins

80000

2D ECHO

61

Cardiothoraci
c Surgery

Congenital
(Simple)

Fontan

80000

2D ECHO

62

Cardiothoraci
c Surgery

Congenital
(Complex)

TAPVC

95000

2D ECHO

63

Cardiothoraci
c Surgery

Congenital
(Complex)

Pulmonary Atresia with or

without VSD

95000

2D ECHO

64

Cardiothoraci
c Surgery

Congenital
(Complex)

TGA

95000

2D ECHO/Angio

14

65

Cardiothoraci
c Surgery

Congenital
(Complex)

Arterial Switch Operation

95000

2D ECHO/Angio

66

Cardiothoraci
c Surgery

Congenital
(Complex)

Sennings

95000

2D ECHO/Angio

67

Cardiothoraci
c Surgery

Congenital
(Complex)

Mustards

95000

2D ECHO

68

Cardiothoraci
c Surgery

Congenital
(Complex)

Pulmonary Conduit

95000

2D ECHO

69

Cardiothoraci
c Surgery

Congenital
(Complex)

Truncus Arteriosus Surgery

95000

2D ECHO

70

Cardiothoraci
c Surgery

Congenital
(Complex)

Root Replacement (Aortic

Aneurysm/ Aortic Dissection) /
Bental Procedure

110000

2D ECHO

71

Cardiothoraci
c Surgery

Congenital
(Complex)

Aortic Arch Replacement

110000

2D ECHO

72

Cardiothoraci
c Surgery

Congenital
(Complex)

Aortic Aneurysm Repair using

CPB

110000

2D ECHO

73

Cardiothoraci
c Surgery

Congenital
(Complex)

Aortic Aneurysm Repair without

using CPB

50000

2D ECHO

74

Cardiothoraci
c Surgery

Acquired

Pulmonary Embolectomy /
Endarterectomy

80000

ABG, 2D ECHO, X-Ray

75

Cardiothoraci
c Surgery

Acquired

Surgery for Cardiac Tumour/ LA

Myxoma/ RA Myxoma

95000

2D ECHO

Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery

Closed Heart
Procedures
Closed Heart
Procedures
Closed Heart
Procedures
Closed Heart
Procedures
Closed Heart
Procedures
Closed Heart
Procedures
Closed Heart
Procedures
Closed Heart
Procedures

Closed Mitral Valvotomy

20000

2D ECHO

PDA Closure

20000

2D ECHO

Coarctation Repair

25000

2D ECHO, CAG

Coarctation Repair with graft

32000

2D ECHO, CAG

BT Shunt (inclusives of grafts)

50000

2D ECHO

Glenn Shunt

50000

2D ECHO

Central Shunt

50000

2D ECHO

Aortic arch Anamolies

50000

2D ECHO

76
77
78
79
80
81
82
83

15

84
85
86
87

Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery
Cardiothoraci
c Surgery

Closed Heart
Procedures
Closed Heart
Procedures

Pericardiectomy

50000

2D ECHO

Thoracoscopic surgery

35000

CT Chest

Cardiac Injuries

Surgery without CPB

50000

CT Chest

Cardiac Injuries

Surgery with CPB

95000

CT Chest

88

Cardiothoraci
c Surgery

Thoracic Surgery

Lobectomy

50000

CT-Chest , X-RAY

89

Cardiothoraci
c Surgery

Thoracic Surgery

Pneumonectomy

50000

CT-Chest , X-RAY

90

Cardiothoraci
c Surgery

Thoracic Surgery

Pleurectomy

50000

CT-Chest , X-RAY

91

Cardiothoraci
c Surgery

Thoracic Surgery

Decortication

50000

CT-Chest , X-RAY

92

Cardiothoraci
c Surgery

Thoracic Surgery

Mediastinotomy

50000

CT-Chest , X-RAY

93

Cardiothoraci
c Surgery

Thoracic Surgery

Pulmonary AV Fistula surgery

35000

Biopsy , CT , X-RAY

94

Cardiothoraci
c Surgery

Thoracic Surgery

Lung Cyst

50000

CT-Chest , X-RAY

95

Cardiothoraci
c Surgery

Thoracic Surgery

SOL mediastinum

50000

CT-Chest , X-RAY

96

Cardiothoraci
c Surgery

Thoracic Surgery

Surgical Correction of
Bronchopleural Fistula.

50000

Biopsy , CT , X-RAY

97

Cardiothoraci
c Surgery

Thoracic Surgery

Diaphragmatic Eventeration

40000

Barium Study, CT SCAN

98

Cardiothoraci
c Surgery

Thoracic Surgery

Diaphragmatic Hernia

40000

BArium Study, X-RAY,

ENDOSCOPY, USG

99

Cardiothoraci
c Surgery

Thoracic Surgery

Oesophageal Diverticula
/Achalasia Cardia

40000

Barium Study, CT SCAN

100

Cardiothoraci
c Surgery

Thoracic Surgery

Diaphragmatic Injuries

35000

CT-Chest , X-RAY

101

Cardiothoraci
c Surgery

Thoracic Surgery

Thoracotomy, Thoraco
Abdominal Approach

40000

CT-Chest , X-RAY

102

Cardiothoraci
c Surgery

Thoracic Surgery

Foreign Body Removal with

scope

20000

CT-Chest , BRONCHOSCOPY

16

103

Cardiothoraci
c Surgery

Thoracic Surgery

Bronchial Repair Surgery for

Injuries due to FB

35000

CT-Chest , BRONCHOSCOPY

104

Cardiothoraci
c Surgery

Thoracic Surgery

Gastro StudyFollowed by
Thoracotomy & Repairs for
Oesophageal Injury for Corrosive
Injuries/FB

50000

GASTROSCOPY

105

Cardiothoraci
c Surgery

Thoracic Surgery

Oesophageal tumour removal

35000

ENDOSCOPY, X-RAY,
BARIUM STUDY

106

Cardiothoraci
c Surgery

Thoracic Surgery

Oesophagectomy

60000

Biopsy , CT , Endoscopy , USG

107

Cardiothoraci
c Surgery

Thoracic Surgery
(Chest Injuries)

Lung Injury repair

35000

CT-Chest , X-RAY

108

Cardiothoraci
c Surgery

Thoracic Surgery
(Chest Injuries)

Diaphragmatic injury repair

35000

CT-Chest , X-RAY

109

Cardiothoraci
c Surgery

Thoracic Surgery
(Chest Injuries)

Thyomectomy

35000

CT-Chest , X-RAY

110

Cardiovascula
r Surgery

Vascular

Patch Graft Angioplasty

16000

Regional angiogram

111

Cardiovascula
r Surgery

Vascular

Femoropopliteal by pass
procedure with graft (inclu.
Graft)

45000

ANGIO

112

Cardiovascula
r Surgery

Vascular

Thromboembolectomy

18000

ANGIO

113

Cardiovascula
r Surgery

Vascular

Surgery for Arterial Aneursysm Distal Abdominal Aorta

50000

Angiogram/spiral CT
Angiogram

114

Cardiovascula
r Surgery

Vascular

Surgery for Arterial Aneursysm Upper Abdominal Aorta

50000

Angiogram/spiral CT
Angiogram

115

Cardiovascula
r Surgery

Vascular

Surgery for Arterial Aneursysm Vertebral

20000

Angiogram/spiral CT
Angiogram

116

Cardiovascula
r Surgery

Vascular

Intrathoracic Aneurysm (without

graft)-Aneurysm not Requiring
Bypass Techniques

65000

CT-Angio , Cath

117

Cardiovascula
r Surgery

Vascular

Intrathoracic Aneurysm (with

graft) -Requiring Bypass
Techniques

125000

CT-Angio , Cath

118

Cardiovascula
r Surgery

Vascular

Dissecting Aneurysms with CPB

(inclu. Graft)

110000

CT-Angio , Cath

17

119

Cardiovascula
r Surgery

Vascular

Dissecting Aneurysms without

CPB (incl. graft)

75000

CT-Angio , Cath

120

Cardiovascula
r Surgery

Vascular

Vascular Procedure Major

Vessels

20000

color doppler/Angiogram

121

Cardiovascula
r Surgery

Vascular

Vascular Procedure Minor

Vessels

14000

color doppler/Angiogram

122

Cardiovascula
r Surgery

Vascular

Surgery for Arterial Aneurysm

Renal Artery

15000

Renal arterial
Doppler,angiogram

123

Cardiovascula
r Surgery

Vascular

Surgery for Arterial Aneursysm

Carotid

15000

Carotid doppler

124

Cardiovascula
r Surgery

Vascular

Surgery for Arterial Aneursysm

Main Arteries of the Limb

15000

Peripheral doppler

125

Cardiovascula
r Surgery

Vascular

Operations for Acquired

Arteriovenous Fistual

15000

regional Angiogram

126

Cardiovascula
r Surgery

Vascular

Congenital Arterio Venous

Fistula

15000

regional Angiogram

127

Cardiovascula
r Surgery

Vascular

Operations for Stenosis of Renal

Arteries

20000

Renal arterial
Doppler,angiogram

128

Cardiovascula
r Surgery

Vascular

Peripheral Embolectomy without

graft

15000

Angiogram/spiral CT
Angiogram

129

Cardiovascula
r Surgery

Vascular

Aorto Billiac / Bifemoral bypass

with Synthetic Graft

90000

Angiogram/spiral CT
Angiogram

130

Cardiovascula
r Surgery

Vascular

Axillo bifemoral bypass with

Synthetic Graft

90000

Angiogram/spiral CT
Angiogram

131

Cardiovascula
r Surgery

Vascular

Femoro Distal Bypass with Vein

Graft

50000

Angiogram/spiral CT
Angiogram

132

Cardiovascula
r Surgery

Vascular

Femoro Distal Bypass with

Synthetic Graft

70000

Angiogram/spiral CT
Angiogram

133

Cardiovascula
r Surgery

Vascular

Axillo Brachial Bypass using

with Synthetic Graft

65000

Angiogram/spiral CT
Angiogram

134

Cardiovascula
r Surgery

Vascular

Brachio - Radial Bypass with

Synthetic Graft

50000

Angiogram/spiral CT
Angiogram

135

Cardiovascula
r Surgery

Vascular

Excision of Carotid body Tumor

with vascular repair

35000

Angiogram/spiral CT
Angiogram

18

136

Cardiovascula
r Surgery

Vascular

Carotid artery bypass with

Synthetic Graft

60000

Angiogram/spiral CT
Angiogram

137

Cardiovascula
r Surgery

Vascular

Excision of Arterio Venous

malformation - Large

50000

Spiral CT Angiogram /MRI

Angiogram

138

Cardiovascula
r Surgery

Vascular

Excision of Arterio Venous

malformation - Small

30000

Spiral CT Angiogram /MRI

Angiogram

139

Cardiovascula
r Surgery

Vascular

Arterial Embolectomy

15000

Angiogram/colour Doppler

140

Cardiovascula
r Surgery

Vascular

D V T - IVC Filter

80000

color doppler

141

Cardiovascula
r Surgery

Vascular

Vascular Tumors

40000

Angiogram/Spiral CT
Angiogram

142

Cardiovascula
r Surgery

Vascular

Small Arterial Aneurysms Repair

15000

Angiogram/Spiral CT
Angiogram

143

Cardiovascula
r Surgery

Vascular

Medium size arterial aneurysms Repair

50000

Angiogram/Spiral CT
Angiogram

144

Cardiovascula
r Surgery

Vascular

Medium size arterial aneurysms

with synthetic graft

75000

Angiogram/Spiral CT
Angiogram

Vascular

Carotid endarterectomy

45000

ANGIOGRAM

Urology

Open Pyelolithotomy

10000

IVP , KUB , USG

Urology

Open Nephrolithotomy

10000

IVP , KUB , USG

Urology

Open Cystolithotomy

10000

IVP , KUB , USG

Urology

VVF Repair

25000

IVP , KUB , USG

Urology

Pyeloplasty

25000

IVP , KUB , USG

Urology

Cystolithotripsy

10000

IVP , KUB , USG

145
146

147

148

149

150

151

Cardiovascula
r Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery

19

152

153

154

155

156

Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery

Urology

PCNL (Percutaneous Nephro

Lithotomy)

20000

IVP , KUB , USG, Spiral CT

KUB

Urology

ESWL (Extra carporial shockwave lithotripsy)

10000

IVP , KUB , USG

Urology

URSL

20000

IVP , KUB , USG, Spiral CT

KUB

Urology

Nephrostomy (PCN)

10000

IVP , USG

Urology

DJ stent (One side)

5000

IVP , USG

157

Genito
Urinary
Surgery

Urology

Urethroplasty for Stricture

Diseases-single stage

25000

RGU & MCU, Uroflometry

158

Genito
Urinary
Surgery

Urology

Urethroplasty for Stricture

Diseases-First Stage

18000

RGU & MCU, Uroflometry

159

Genito
Urinary
Surgery

Urology

Urethroplasty for Stricture

Diseases-Second Stage

18000

RGU & MCU, Uroflometry

Urology

Hypospadiasis(Adult)

22000

USG,Clinical Photograph

Urology

TURBT

25000

Biopsy , CT , USG, ECHO

Urology

TURP

20000

USG, Uroflometry, ECHO

Urology

Simple Nephrectomy

30000

Biopsy , CT KUB , USG

Urology

Lap. Nephrectomy Simple

35000

USG, CT, ECHO

Urology

Lap. Nephrectomy Radical

40000

CT, KUB , USG

Urology

Lap. Partial Nephrectomy

35000

CT, USG

Breast

Adriamycin/Cyclophosphamide
(AC)

160

161

162

163

164

165

166

167

Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery
Genito
Urinary
Surgery
Medical
Oncology

20

3000/cycle

Mammography, Biopsy ,
Clinical Photograph

168

Medical
Oncology

Breast

5- Fluorouracil A-C (FAC)

3100/cycle

Mammography, Biopsy,
Clinical Photograph

169

Medical
Oncology

Breast

AC (AC then T)

3000/cycle

Mammography, Biopsy ,
Clinical Photograph

170

Medical
Oncology

Breast

Paclitaxel

9500/cycle

Mammography, Biopsy ,
Clinical Photograph

171

Medical
Oncology

Breast

Cyclophosphamide/Methotrexate/
5Fluorouracil (CMF)

1500/cycle

Mammography, Biopsy ,
Clinical Photograph

172

Medical
Oncology

Breast

Tamoxifen tabs

85/month

Mammography, Biopsy ,
Clinical Photograph

173

Medical
Oncology

Breast

Aromatase Inhibitors

835/month

Mammography, Biopsy ,
Clinical Photograph

Cervical Cancer

Weekly Cisplatin

2000/week

Biopsy , USG

Vulval Cancer

Cisplatin/5-FU

5000/cycle

Biopsy , USG

5000/cycle

Biopsy , Clinical Photograph

10500/cycle

Biopsy , Clinical Photograph

8000/cycle

Biopsy , Clinical Photograph

600/week

Biopsy , Clinical Photograph

174
175

Medical
Oncology
Medical
Oncology

176

Medical
Oncology

Vaginal Cancer

Cisplatin/5-FU

177

Medical
Oncology

Ovarian Cancer

Carboplatin/Paclitaxel

178

Medical
Oncology

Ovary Germcell
Tumour

Bleomycin-Etoposide-Cisplatin
(BEP)

179

Medical
Oncology

Gestational
Trophoblast Ds.Lowrisk

Weekly Methotrexate

180

Medical
Oncology

Gestational
Trophoblast Ds.Lowrisk

Actinomycin

3000/cycle

Biopsy , CT , USG

181

Medical
Oncology

Gestational
Trophoblast Ds.Highrisk

Etoposide-MethotrexateActinomycin /
Cyclophosphamide -Vincristine
(EMA-CO)

6000/cycle

Biopsy , CT , USG

Testicular Cancer

Bleomycin-Etoposide-Cisplatin
(BEP)

8000/cycle

Biopsy , CT , USG

Prostate Cancer

Hormonal therapy

182
183

Medical
Oncology
Medical
Oncology

21

3000/month

Biopsy , USG

184

Medical
Oncology

Bladder Cancer

Weekly Cisplatin

2000/week

Biopsy , USG

185

Medical
Oncology

Bladder Cancer

Methotrexate Vinblastine
Adriamycin Cyclophosphamide
(MVAC)

5000/cycle

Biopsy , CT , USG

186

Medical
Oncology

Non-small cell
lung cancer

Cisplatin/Etoposide (IIIB)

7000/cycle

X-RAY/CT Scan, Biopsy

187

Medical
Oncology

Oesophageal
Cancer

Cisplatin- 5FU

5000/cycle

Biopsy , CT-Scan , Endoscopy

188

Medical
Oncology

Gastric Cancer

5-FU -Leucovorin (McDonald

Regimen)

5000/cycle

Endoscopy/CT Scan, Biopsy

189

Medical
Oncology

Colorectal Cancer

Monthly 5-FU

4000/cycle

Biopsy , CT-Scan , Endoscopy

190

Medical
Oncology

Colorectal Cancer

5-Fluorouracil-Oxaliplatin Leucovorin (FOLFOX) (Stage III

only)

10000/week

Endoscopy/CT Scan, Biopsy

191

Medical
Oncology

Osteosarcoma
Bone Tumors

Cisplatin/Adriamycin+ifosmide
(IAP)

20000/week

Biopsy , CT-Scan , X-RAY

192

Medical
Oncology

LymphomaHodgkin disease

Adriamycin - Bleomycin Vinblastine Dacarbazine (ABVD)

4000/cycle

Biopsy

193

Medical
Oncology

Lymphoma-NHL

Cyclophosphamide - Adriamycin
Vincristine - Prednisone (CHOP)

3500/cycle

Biopsy

194

Medical
Oncology

Multiple Myeloma

4000/cycle

Hematology

3000/
month

Hematology

1500

Hematology

195
196
197
198
199
200
201
202

203

Medical
Oncology
Medical
Oncology
Medical
Oncology
Medical
Oncology
Medical
Oncology
Medical
Oncology
Medical
Oncology
Medical
Oncology
Medical
Oncology

Multiple Myeloma

Vincristine,
Adriamycin,Dexamethasone(VA
D)
Thalidomide+Dexamethasone(Or
al)

Multiple Myeloma

Melphalan -Prednisone (oral)

Wilm's Tumor

SIOP/NWTS regimen(Stages I III)

7000 /month

USG/CT, biopsy

Cisplatin - Adriamycin

3500 /cycle

USG/CT, biopsy

Variable Regimen

12000 /cycle

Heamatology

Variable Regimen

10000
/cycle

Hepatoblastoma
Operable
Childhood B Cell
Lymphomas
Neuroblastoma (
Stages I-III )
Retinoblastoma

Carbo/Etoposide/Vincristine

Histiocytosis

Variable Regimen

8000/ month

Heamatology, biopsy

Rhabdomyosarcom
a

Vincristine-ActinomycinCyclophosphamide(VactC) based
chemo

9000/month

Biopsy

22

4000/ cycle

CT, Biopsy
Biopsy

204
205
206

Medical
Oncology
Medical
Oncology
Medical
Oncology

Ewings sarcoma
Acute Myeloid
Leukemia
Acute Myeloid
Leukemia
Acute
Lymphoblastic
Leukemia

Variable Regimen

9000/month

X-Ray/CT Scan, Biopsy

Induction Phase

50000

Heamatology

Consolidation Phase

40000

Heamatology

Induction phase 1st and 2nd

months

50000

Heamatology

207

Medical
Oncology

208

Medical
Oncology

Acute
Lymphoblastic
Leukemia

3rd, 4th, 5th

20000

Heamatology

209

Medical
Oncology

Acute
Lymphoblastic
Leukemia

Maintenance

3000/ month

Heamatology

unlisted regimen

Palliative Chemotherapy

5000/cycle

Biopsy , CT , USG

For Terminally ill

cancer patient

Palliative and Supportive

Therapy

3000/cycle

Biopsy , CT , USG

4000/cycle

CT Scan Abdomen, Pelvis,

tissue biopsy, Photograph

3000/cycle

SIEP, Urine for Benche Jones

Protien, Skeletal Survey, Bone
Marrow Aspiration, biopsy,
S.electrolytes, 2D ECHO

210
211

Medical
Oncology
Medical
Oncology

212

Medical
Oncology

Colorectal Cancer
Stage 2 & 3

XELOX along with Adjuvant

chemotherapy

213

Medical
Oncology

MULTIPLE
MYELOMA

Zoledronic acid along with

Adjuvant Chemotherapy of AS-I

214

Medical
Oncology

Febrile
NeutropeniaHighrisk-1

1ST Line iv antibiotics And other

supportive therapy ( third
generation cephalosporin,
aminoglycoside etc.,)

9000 per
episode

Blood C&S, Urine C&S, Chest

X-Ray, Tissue Biopsy

215

Medical
Oncology

Febrile
NeutropeniaHighrisk-2

2nd line iv antibiotics and other

supportive therapy(Carbapenems,
Fourth generation cephalosporins,
Piperacillin, anti-fungal - azoles
etc.,)

30000 per
episode

Blood C&S, Urine C&S, Chest

X-Ray, Tissue Biopsy

216

Neuro
Surgery

Brain

Craniotomy and Evacuation of

Haematoma -Subdural

40000

CT

217

Neuro
Surgery

Brain

Craniotomy and Evacuation of

Haematoma -Extradural

40000

CT

23

218

Neuro
Surgery

Brain Tumor

Excision of Brain Tumor

Supratentorial-Parasagital

50000

CT

219

Neuro
Surgery

Brain Tumour

Excision of Brain Tumor

Supratentorial-Basal

60000

CT

220

Neuro
Surgery

Brain Tumour

Excision of Brain Tumor

Supratentorial-Brainstem

40000

CT

221

Neuro
Surgery

Brain Tumour

Excision of Brain Tumor

Supratentorial-C P Angle

50000

CT

222

Neuro
Surgery

Brain Tumour

Excision of Brain Tumor

Supratentorial & others

40000

CT

Brain Tumour

Excision of Brain Tumors Subtentorial

45000

MRI

Brain Tumour

Image Guided Biopsy

25000

CT

Brain

Intervention with coiling

50000

DSA

Brain

Ventriculoatrial
/Ventriculoperitoneal Shunt

20000

CT

Brain

Twist Drill Craniostomy

11400

CT

Brain

Subdural Tapping

10000

CT

Brain

Abscess Tapping Single

12000

CT

Brain

Abscess Tapping multiple

16000

CT

Brain

Meningo Encephalocele

25000

MRI

Brain

Meningomyelocele

25000

MRI, Clinical Photogaph, XRay Spine

Brain

C.S.F. Rhinorrhoea

20000

CT

Brain

Cranioplasty

19400

CT , Clinical Photograph

Brain

Meningocele Excision

25000

MRI, Clinic

Brain

Excision of Brain Abcess

45000

CT

Brain

Aneurysm Clipping

100000

MRI Angio / DSA

Brain

Carotid angioplasty with stent

150000

ANGIOGRAM

Brain

Carotid angioplasty without stent

110000

ANGIOGRAM

223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239

Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery

24

240
241
242
243
244
245
246
247
248
249
250

Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery

Brain

External Ventricular Drainage

(EVD)

30000

CT

Spinal

Spinal Cord Tumours

25000

MRI

Spinal

Excision of Cervical InterVertebral Discs

25000

MRI

Spinal

Posterior Cervical Discectomy

15000

MRI

Spinal

Anterior Cervical Discectomy

15000

MRI

Spinal

Anterior Cervical Spine Surgery

with fusion

25000

MRI

Spinal

Anterio Lateral Decompression

20000

MRI

Spinal

Laminectomy-Cervical

25000

MRI

Spinal

Discectomy-Dorso Lumbar

20000

MRI

Spinal

Discectomy-Lumbar

20000

MRI

Spinal

Discectomy + cost of implant

25000

MRI

251

Neuro
Surgery

Spinal

Spinal Fusion Procedure

25000

MRI

252

Neuro
Surgery

Spinal

Spinal Intra Medullary Tumours

50000

MRI

253

Neuro
Surgery

Spinal

Spina Bifida Surgery Major

20000

MRI

254

Neuro
Surgery

Spinal

Spina Bifida Surgery Minor

15000

MRI

Spinal

Stereotaxic Procedures

20000

CT/MRI

Spinal

Vertebral artery Stenting

60000

ANGIOGRAM

AAD Surgeries

Transoral surgery and CV

Junction

30000

MRI , X-Ray Cerical Spine

AAD Surgeries

Trans oral Surgery

25000

CT

Brain

Trans Sphenoidal Surgery

20000

CT, MRI

25000

MRI

30000

MRI

255
256
257
258
259
260
261
262
263

Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery

Spinal
Spinal

RF Lesions for Trigminal

Neuralgia
Anterior discectomy & bone
grafting

Spinal

Corpectomy for Spinal Fixation

40000

MRI

Spinal

Spinal Fixation Rods and Plates

75000

MRI

25

264

Neuro
Surgery
Neuro
Surgery
Neuro
Surgery
Neuro
Surgery

Neuro Surgery

Muscle Biopsy with report

15000

EMG, NCV

Spinal

MVD

40000

MRI

Neuro Surgery

Nerve Biopsy with report

Neuro Surgery

Nerve Decompression

20000

MRI

Neuro Surgery

Parasagital SOL

50000

CT, MRI

Neuro Surgery

Peripheral Nerve Surgery Major

25000

EMG, NCV

Neuro Surgery

Peripheral Nerve Surgery Minor

20000

EMG, NCV

Paediatric
Surgeries

Gastro Intestinal
Tract

Oesophageal Atresia

50000

X-Ray/ Oesophagoscopy

Paediatric
Surgeries
Paediatric
Surgeries
Paediatric
Surgeries

Gastro Intestinal
Tract
Gastro Intestinal
Tract
Gastro Intestinal
Tract

Diaphragmatic Hernia

40000

USG/CT

Intestinal Atresias & Obstructions

40000

X-RAY /CT

Biliary Atresia & Choledochal

Cyst

45000

CT/ Clinical Photograph

275

Paediatric
Surgeries

Gastro Intestinal
Tract

Anorectal Malformations Stage 1

25000

CLINICAL PHOTOGRAPH /
Proctoscopy

276

Paediatric
Surgeries

Gastro Intestinal
Tract

Anorectal Malformations Stage 2

40000

CLINICAL PHOTOGRAPH /
Proctoscopy

277

Paediatric
Surgeries

Genito Urinary
Surgeries

Hypospadias

22000

Clinical Photograph

278

Polytrauma

Polytrauma

Nerve and tendon repair +

Vascular repair

30000

Nerve Conduction study, CT

scan

279

Polytrauma

Polytrauma

Nerve & Tendon Repair +

Vascular Repair (Grade-I& II)

10000

Nerve Conduction study, CT

scan

280

Polytrauma

Polytrauma

Nerve & Tendon Repair +

Vascular Repair (Grade-III)

20000

Nerve Conduction study, CT

scan

281

Polytrauma

Plastic Surgery

Flap cover Surgery for wound in

compound fracture

20000

CLINICAL PHOTOGRAPH,
X-RAY

Polytrauma

Other Small bone fractures/Kwiring (To be covered along with

other injuries only and not as
exclusive procedure)

5000

265
266
267
268
269
270
271
272
273
274

282

Neuro
Surgery
Neuro
Surgery
Neuro
Surgery

Polytrauma

26

8000

EMG, NCV

X-RAY

283

Polytrauma

Polytrauma

Surgery for Patella fracture (To

be covered along with other
injuries only and not as exclusive
procedure

284

Polytrauma

Plastic Surgery

Facial bone fractures (FacioMaxillary Injuries)

35000

CLINICAL PHOTOGRAPH,
X-RAY

285

Polytrauma

Pelvic Bone
Fractures

Surgical Correction of Pelvic

bone fractures.

20000

X-RAY

286

Radiation
Oncology

Brain Tumour

Gamma Knife / Cyber Knife

55000

CT

287

Radiation
Oncology

Cobalt 60 External
Beam
Radiotherapy

Radical Treatment

20000

USG/X-RAY/CT, BIOPSY

288

Radiation
Oncology

Cobalt 60 External
Beam
Radiotherapy

Palliative Treatment

10000

USG/X-RAY/CT, BIOPSY

289

Radiation
Oncology

Cobalt 60 External
Beam
Radiotherapy

Adjuvent Therapy

15000

USG/X-RAY/CT, BIOPSY

290

Radiation
Oncology

Linear
Accelerators

Radical Treatment with Photons

(linear accelarator)

50000

USG/X-RAY/CT, BIOPSY

291

Radiation
Oncology

Linear
Accelerators

Palliative Treatment with Photons

(linear accelarator)

20000

USG/X-RAY/CT, BIOPSY

292

Radiation
Oncology

Linear
Accelerators

Adjuvant Treatment with

Photons/Electrons

35000

USG/X-RAY/CT, BIOPSY

293

Radiation
Oncology

BrachytherapyIntracavitary-i

i. LDR per application

(Brachytherapy-intracavitary)

4500

USG/X-RAY/CT, BIOPSY

294

Radiation
Oncology

BrachytherapyIntracavitary-ii

ii. HDR per application

2500

USG/X-RAY/CT, BIOPSY

295

Radiation
Oncology

BrachytherapyInterstitial-i

i. LDR per application

15000

USG/X-RAY/CT, BIOPSY

27

8000

X-RAY

296

297
298

Radiation
Oncology
Surgical
Oncology
Surgical
Oncology

BrachytherapyInterstitial-ii

ii. HDR - one application and

multiple dose fractions

15000

USG/X-RAY/CT, BIOPSY

Esophagus

Hiatus Hernia Repair

40000

USG, UGI ENDOSCOPY

Ear

Labyrinthectomy

20000

Audiogram

299

Surgical
Oncology

Throat

Microlaryngeal Surgery including

Phonosurgery

12000

Biopsy

300

Surgical
Oncology

Throat

Excision/ Hypopharynx of
Tumors in Pharynx

20000

FNAC

Pancreas

Distal Pancreatectomy

60000

CT , ERCP

Pancreas

Enucleation of Cyst

50000

CT

Pancreas

Whipples - any type

75000

CT , ERCP

Spleen

Splenectomy

35000

USG/CT

301
302
303
304

Surgical
Oncology
Surgical
Oncology
Surgical
Oncology
Surgical
Oncology

305

Surgical
Oncology

Genito Urinary
System

Radical Nephrectomy

40000

Biopsy , CT , IVP , KUB , USG

306

Surgical
Oncology

Genito Urinary
System

Radical Cystectomy

60000

Biopsy , CT , IVP , KUB , USG

307

Surgical
Oncology

Genito Urinary
System

Other cystectomies

40000

Biopsy , CT , IVP , KUB , USG

Surgical
Oncology
Surgical
Oncology
Surgical
Oncology
Surgical
Oncology

Genito Urinary
System
Genito Urinary
System
Genito Urinary
System
Genito Urinary
System

High Orchidectomy

15000

Biopsy , USG

Bilateral Orchidectomy

10000

Biopsy , USG

Emasculation

15000

Biopsy , USG

Total Penectomy

25000

Clinical Photograph

Surgical
Oncology

Genito Urinary
System

Inguinal Block Dissection-one

side

15000

Biopsy , Clinical Photograph

Surgical
Oncology
Surgical
Oncology
Surgical
Oncology

Genito Urinary
System
Genito Urinary
System

Radical Prostatectomy

60000

CT , KUB , USG

Partial Penectomy

15000

Clinical Photograph

Radical Hysterectomy

30000

Biopsy , CT , USG

308
309
310
311
312
313
314
315

Gynaec

28

316
317

Surgical
Oncology
Surgical
Oncology

Gynaec
Gynaec

Surgery for Ca Ovary - early

stage
Surgery for Ca Ovary - advance
stage

25000

Biopsy , CT , USG

40000

Biopsy , CT , USG

318

Surgical
Oncology

Gynaec

Vulvectomy

15000

Biopsy , Clinical Photograph

319

Surgical
Oncology

Breast

Mastectomy - any type

25000

Biopsy , Clinical Photograph ,

Mammography

320

Surgical
Oncology

Breast

Axillary Dissection

15000

Biopsy , Clinical Photograph

321

Surgical
Oncology

Breast

Wide excision

5000

Biopsy , Clinical Photograph

322

Surgical
Oncology

Breast

Wide excision + Reconstruction

25000

Biopsy , Clinical Photograph

323

Surgical
Oncology

Lung Cancer

Pneumonectomy

50000

Biopsy , CT , X-RAY

324

Surgical
Oncology

Lung Cancer

Lobectomy

50000

Biopsy , CT , X-RAY

325

Surgical
Oncology

Lung Cancer

Decortication

40000

Biopsy , CT , X-RAY

326

Surgical
Oncology

Lung Cancer

Surgical Correction of
Bronchopleural Fistula.

35000

Biopsy , CT , X-RAY

Head & Neck

Resection of Nasopharyngeal
Tumor

50000

CT/MRI

Head & Neck

Lateral Temporal bone resection

30000

CT/MRI

Head & Neck

Subtotal Temporal bone resection

50000

CT/MRI

Head & Neck

Total Temporal bone resection

60000

CT/MRI

327
328
329
330

Surgical
Oncology
Surgical
Oncology
Surgical
Oncology
Surgical
Oncology

331

Surgical
Oncology

Head & Neck

Composite Resection &

Reconstruction

60000

Clinical Photograph/X-Ray,
USG/biopsy

332

Surgical
Oncology

Head & Neck

Neck Dissection - any type

25000

Biopsy , Clinical Photograph ,

USG , X-RAY

333

Surgical
Oncology

Head & Neck

Hemiglossectomy

15000

Biopsy , Clinical Photograph ,

USG , X-RAY

29

334

Surgical
Oncology

Head & Neck

Maxillectomy - any type

25000

x-ray of maxilla, biopsy

335

Surgical
Oncology

Head & Neck

Thyroidectomy - any type

20000

Biopsy , Clinical Photograph ,

USG , X-RAY

336

Surgical
Oncology

Head & Neck

Parotidectomy - any type

20000

Biopsy , Clinical Photograph ,

USG , X-RAY

337

Surgical
Oncology

Head & Neck

Laryngectomy - any type

40000

Biopsy , Clinical Photograph ,

USG , X-RAY

338

Surgical
Oncology

Head & Neck

Laryngopharyngo
Oesophagectomy

70000

Biopsy , Clinical Photograph ,

USG , X-RAY

339

Surgical
Oncology

Head & Neck

Hemimandibulectomy

25000

Biopsy , Clinical Photograph ,

USG , X-RAY

340

Surgical
Oncology

Head & Neck

Wide excision

20000

Biopsy , Clinical Photograph ,

USG , X-RAY

341

Surgical
Oncology

Ca. Salivary Gland

Submandibular Gland Excision

20000

Biopsy , Clinical Photograph ,

USG , X-RAY

342

Surgical
Oncology

Ca. Trachea

Tracheal Resection

50000

CT, Bronchoscopy

343

Surgical
Oncology

Ca. Trachea

Sternotomy + Superior
Mediastinal Dissection

45000

CT

344

Surgical
Oncology

Ca. Parathyroid

Parathyroidectomy

30000

Biopsy , Clinical Photograph ,

USG , X-RAY

345

Surgical
Oncology

Ca. Gastro
Intestinal Tract

Small bowel resection

40000

CT/ Barium Meal Follow

through

346

Surgical
Oncology

Ca. Gastro
Intestinal Tract

Closure of Ileostomy/ Colostomy

20000

Colonoscopy

347

Surgical
Oncology

Ca.Rectum

Abdomino Perineal Resection

(APR) + Sacrectomy

50000

CT/BMFT, Colonoscopy,
Biopsy

348

Surgical
Oncology

Ca. Gall Bladder

Radical Cholecystectomy

60000

CT , USG

30

349

Surgical
Oncology

Spleen

Radical Splenectomy

30000

CT , USG

350

Surgical
Oncology

Gastro Intestinal
System

Resection of Retroperitoneal
Tumors

50000

Barium meal test, CT abdomen,

biopsy

351

Surgical
Oncology

Gastro Intestinal
System

Abdominal wall tumor Resection

35000

USG, CT abdomen, biopsy

352

Surgical
Oncology

Gastro Intestinal
System

Resection with reconstruction

45000

USG, CT abdomen, biopsy

353

Surgical
Oncology

Urinary Bladder

Bilateral pelvic lymph Node

Dissection(BPLND)

25000

CT

354

Surgical
Oncology

Gastro Intestinal
System

Oesophagectomy - any type

60000

Biopsy , CT , Endoscopy , USG

355

Surgical
Oncology

Gastro Intestinal
System

Gastrectomy - any type

40000

Biopsy , CT , Endoscopy , USG

356

Surgical
Oncology

Gastro Intestinal
System

Colectomy - any type

40000

Biopsy , CT , Endoscopy , USG

357

Surgical
Oncology

Gastro Intestinal
System

Anterior Resection

50000

Biopsy , CT , Endoscopy , USG

358

Surgical
Oncology

Gastro Intestinal
System

Abdominoperinial Resection

40000

Biopsy , CT , Endoscopy , USG

359

Surgical
Oncology

Gastro Intestinal
System

Triple Bypass

25000

Biopsy , CT , Endoscopy , USG

360

Surgical
Oncology

Gastro Intestinal
System

Other Bypasses-Pancreas

25000

Biopsy , CT , Endoscopy , USG

361

Surgical
Oncology

Gynaec

Radical Trachelectomy

40000

CT

362

Surgical
Oncology

Gynaec

Radical vaginectomy

40000

CT, Biopsy

363

Surgical
Oncology

Gynaec

Radical vaginectomy +
Reconstruction

45000

CT, Biopsy

Gynaec-Ca.Cervix

Radical Hysterectomy +Bilateral

Pelvic Lymph Node Dissection
(BPLND) + Bilateral Salpingo
Ophorectomy (BSO) / Ovarian
transposition

45000

Pap Smear / biopsy, CT

364

Surgical
Oncology

31

365

Surgical
Oncology

Gynaec-Ca.Cervix

Anterior Exenteration (Gynaec)

60000

Pap Smear / biopsy, CT

366

Surgical
Oncology

Gynaec-Ca.Cervix

Posterior Exenteration (Gynaec)

50000

Pap Smear / biopsy, CT

367

Surgical
Oncology

Gynaec-Ca.Cervix

Total Pelvic Exenteration

75000

Pap Smear / biopsy, CT

368

Surgical
Oncology

Chest

Chest wall resection for SOFT

tissue bone tumors

30000

CT Chest, Bone Scan

369

Surgical
Oncology

Chest

Chest wall resection +

Reconstruction

30000

CT Chest, Bone Scan

370

Surgical
Oncology

Bone / soft tissue

tumors

Limb salvage surgery for Bone

Tumors with modular Prosthesis

75000

CT-Local part, CT Chest, MRI,

Bone Scan

371

Surgical
Oncology

Bone / soft tissue

tumors

Forequarter amputation

30000

CT Chest

372

Surgical
Oncology

Bone / soft tissue

tumors

Hemipelvectomy

55000

CT/MRI Pelvis, CT Chest

373

Surgical
Oncology

Bone / soft tissue

tumors

Bone resection

30000

CT/MRI

374

Surgical
Oncology

Renal Cell Cancer

Partial Nephrectomy

55000

CT/Isotope renogram

375

Surgical
Oncology

Renal Cell Cancer

Nephroureterectomy for
Transitional Cell Carcinoma of
renal pelvis (one side)

25000

CT

376

Surgical
Oncology

Testes cancer

Retro Peritoneal Lymph Node

Dissection(RPLND) (for
Residual Disease)

60000

CT-Chest, CT.Abd+Pelvis,
Tumor markers

377

Surgical
Oncology

Tumours

Adrenalectomy

45000

CT/MRI, Urinary hormones

378

Surgical
Oncology

Testes cancer

Urinary diversion

40000

biopsy, USG Scrotum

379

Surgical
Oncology

Testes cancer

Retro Peritoneal Lymph Node

Dissection RPLND as part of
staging

20000

CT

380

Surgical
Oncology

Ca. Urinary
Bladder

Anterior Exenteration (Urinary

Bladder)

60000

Cystoscopy, biopsy/CT

381

Surgical
Oncology

Ca. Urinary
Bladder

Total Exenteration (Urinary

Bladder)

75000

Cystoscopy, biopsy/CT

32

382

Surgical
Oncology

Ca. Urinary
Bladder

Bilateral pelvic lymph Node

Dissection(BPLND)

25000

CT

383

Surgical
Oncology

Thoracic and
Mediastinum

Mediastinal tumor resection

50000

CT

Lung

Lung metastatectomy - solitary

30000

CT

Lung

Lung metastatectomy - Multiple

50000

CT

Lung

Sleeve resection of Lung cancer.

90000

CT/ Bronchoscopy

384
385
386

Surgical
Oncology
Surgical
Oncology
Surgical
Oncology

387

Surgical
Oncology

Esophagus

Oesophagectomy with Two field

Lymphadenectomy

90000

UGI Endoscopy, biopsy / CT

388

Surgical
Oncology

Esophagus

Oesophagectomy with Three field

Lymphadenectomy

75000

UGI Endoscopy, biopsy / CT

Palliative Surgeries

Tracheostomy

3000

Clinical Photograph

Palliative Surgeries

Gastrostomy

20000

Clinical Photograph

Palliative Surgeries

Jejunostomy

20000

Clinical Photograph

Palliative Surgeries

Ileostomy

20000

Clinical Photograph

Palliative Surgeries

Colostomy

20000

Clinical Photograph

Palliative Surgeries

Suprapubic Cystostomy

10000

Clinical Photograph

389
390
391
392
393
394

Surgical
Oncology
Surgical
Oncology
Surgical
Oncology
Surgical
Oncology
Surgical
Oncology
Surgical
Oncology

395

Surgical
Oncology

Palliative Surgeries

Gastro Jejunostomy

35000

Clinical Photograph

396

Surgical
Oncology

Palliative Surgeries

Ileotransverse Colostomy

50000

Clinical Photograph

397

Surgical
Oncology

Palliative Surgeries

Substernal bypass

35000

Clinical Photograph

Reconstruction

Myocutaneous / cutaneous flap

25000

Clinical Photograph

Reconstruction

Micro vascular reconstruction

45000

Clinical Photograph

398
399

Surgical
Oncology
Surgical
Oncology

400

Surgical
Oncology

Soft Tissue and

Bone Tumors

Wide excision - for soft tissue

and bone tumors

15000

Clinical Photograph, biopsy

401

Surgical
Oncology

Soft Tissue and

Bone Tumors

Wide excision + Reconstruction

for soft tissue and bone tumors

25000

Clinical Photograph, biopsy

402

Surgical
Oncology

Soft Tissue and

Bone Tumors

Amputation for bone / soft tissue

tumours (Major / Minor)

20000

Clinical Photograph, biopsy

33

34