1

CAPITAL DEVELOPMENT AUTHORITY

(CAPITAL HOSPITAL)

NEW / REVISED RATES OF HOSPITAL CHARGES W.E.F. 18-09-2013

CT.SCAN (Charges for CT. Scan are exclusive of contrast Medicine

& Disposables)

ABDOMIN

S. No Procedure Approved
Rate w.e.f.
18-09-2013
(Rs)
1. Abdomen without contrast 2,000.00
2. Abdomen with contrast 3,000.00
3. Abdomen with & without contrast 3,500.00
4. Abdomen - pelvis without contrast 3,000.00
5. Abdomen-Pelvis with contrast 4,000.00
6. Abdomen-Pelvis with &without contrast 4,500.00
7. Liver Dynamic(3 phase) 4,000.00
8. Pancreas Dynamic(3 phase) 4,000.00
9. Pelvimetry Scan 1,000.00
10. Pelvis without contrast 2,000.00
11. Pelvis with contrast 3,000.00
12. Pelvis with &without contrast 3,500.00
13. Kidney (3phase) 4,000.00
14. CT KUB Urography 2,000.00
BRAIN

15 Brain without contrast 2,000.00

16 Brain with contrast 3,000.00
17 Brain with& without contrast 3,500.00
18 Pituitary Fossa Axial & coronal without 3,000.00
contrast
19 Pituitary Fossa Axial & coronal with contrast 4,000.00
20 Pituitary Fossa Axial & coronal with&without 4,500.00
contrast
21 Pituitary Fossa & Brain without contrast 3,000.00
22 Pituitary Fossa & Brain with contrast 4,000.00
23 Pituitary Fossa & Brain with & without 4,500.00
contrast
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CHEST

24 Chest without contrast 2,000.00

25 Chest with contrast 3,000.00
26 Chest with&without contrast 3,500.00
27 Chest + Abdomen without contrast 3,000.00
28 Chest + Abdomen with contrast 4,000.00
29 Chest + Abdomen with&without contrast 4,500.00
30 Lungs High Resolution(HRCT) 3,000.00
EAR,ORBIT & PNS

31 Ear and Temporal Bone Axial & Coronal without 2,000.00

contrast
32 Ear and Temporal Bone Axial & Coronal with 3,000.00
contrast
33 Ear and Temporal Bone Axial & Coronal 3,500.00
with&without contrast
34 Orbit Coronal & Axial + Brain without contrast 3,000.00
35 Orbit Coronal & Axial + Brain with contrast 4,000.00
36 Orbit Coronal & Axial + Brain with&without 4,500.00
contrast
37 Orbits without contrast 2,000.00
38 Orbits with contrast 3,000.00
39 Orbits with&without contrast 3,500.00
40 PNS. Axial and Coronal without contrast 2,000.00
41 PNS. Axial and Coronal with contrast 3,000.00
42 PNS. Axial and Coronal with & without contrast 3,500.00
HEAD & NECK

43 Neck soft tissue & Chest without contrast 3,000.00

44 Neck soft tissue & Chest with contrast 4,000.00
45 Neck soft tissue & Chest with & without contrast 4,500.00
46 Neck soft tissue without contrast 2,000.00
47 Neck soft tissue with contrast 3,000.00
48 Neck soft tissue with & without contrast 3,500.00

SPINE

49 Cervical spine Myelo CT 4,000.00

50 Lumbar spine Myelo CT 4,000.00
51 Dorsal spine Myelo CT 4,000.00
52 Spine Cervical without contrast 2,000.00
53 Spine Cervical with contrast 3,000.00
54 Spine Cervical with&without contrast 3,500.00
55 Spine Dorsal without contrast 2,000.00
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56 Spine Dorsal with contrast 3,000.00

57 Spine Dorsal with & without contrast 3,500.00
58 Spine Lumbar without contrast 2,000.00
59 Spine Lumbar with contrast 3,000.00
60 Spine Lumbar with & without contrast 3,500.00
61 Spine (up to 4 vertebrae) without contrast 2,000.00
62 Spine (up to 4 vertebrae) with contrast 3,000.00
63 Spine (up to 4 vertebrae) with & without 3,500.00
contrast
MAXILLOFACIAL

64 Maxillo-facial & Brain without contrast 3,000.00

65 Maxillo-facial & Brain with contrast 4,000.00
66 Maxillo-facial & Brain with & without contrast 4,500.00
67 Maxillo-facial & Orbit without contrast 2,000.00
68 Maxillo-facial & Orbit with contrast 3,000.00
69 Maxillo-facial & Orbit with & without contrast 3,500.00
70 Maxillo-facial area without contrast 2,000.00
71 Maxillo-facial area with contrast 3,000.00
72 Maxillo-facial area with & without contrast 3,500.00

CT MISCELLANEOUS

73 Upper limb(one part) without contrast 2,000.00

74 Upper limb(one part) with contrast 3,000.00
75 Upper limb(one part) with & without contrast 3,500.00
76 Lower limb(one part) without contrast 2,000.00
77 Lower limb(one part) with contrast 3,000.00
78 Lower limb(one part) with& without contrast 3,500.00

79 Joint(single) without contrast 2,000.00

80 Joint(single) with contrast 3,000.00
81 Joint(single) with & without contrast 3,500.00
82 Fistulagram CT 4.000.00
83 Biopsy 4,000.00
84 Aspiration 4,000.00
85 CT Virtual Colonoscopy 5,000.00
86 CT Virtual Bronchoscpoy 5,000.00
87 CT Bonedenistometry 1,500.00
CT ANGIOGRAPHY

88 Peripheral vascular CT Angiography(one limb) 5,000.00

89 Calcium Scoring 2,000.00
90 Coronary stent imaging 6,000.00
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91 Coronary CT Angiography(CTA) 6,000.00

92 Brain CT Angiography(CTA) 6,000.00
93 Pulmonary CT Angiography + Chest 6,000.00
94 Renal CT Angiography 6,000.00
95 Aortogram 6,000.00

MRI (Charges for MRI are exclusive of contrast Medicine

& Disposables.)

96 Brain without contrast 3,000.00

97 Brain with contrast 4,000.00
98 MRI Brain & MRA or MRV 4,500.00
99 Brain with and without contrast 4,500.00
100 Brain with & without contrast + MRA 6,000.00
101 Brain & orbits without contrast 4,000.00
102 Brain & orbits with contrast 4,500.00
103 Brain & orbits with & without contrast 5,000.00
104 Plain MRA brain + neck 5,000.00
105 Orbit with & without contrast 4,500.00
106 Orbit & Face without contrast 3,000.00
107 TMJ 3,000.00
108 Chest without contrast 3,000.00
109 Chest with contrast 4,000.00
110 Chest with & without contrast 4500.00
111 Breast without contrast 3,000.00
112 Breast with contrast 4,000.00
113 Breast with & without contrast 4,500.00
114 Abdomen without contrast 3,000.00
115 Abdomen with contrast 4,000.00
116 Abdomen with & without contrast 4500.00
117 Cervical spine without contrast 3,000.00
118 Cervical spine with contrast 4,000.00
119 Cervical spine with & without contrast 4,500.00
120 Thoracic spine without contrast 3,000.00
121 Thoracic spine with contrast 4,000.00
122 Thoracic spine with & without contrast 4,500.00
123 Lumbar spine without contrast 3,000.00
124 Lumbar spine with contrast 4,000.00
125 Lumbar spine with & without contrast 4,500.00
126 Pelvis without contrast 3,000.00
127 Pelvis with contrast 4,000.00
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128 Pelvis with & without contrast 4,500.00

129 Upper limb any joint without contrast 3,000.00
130 Upper limb any joint with contrast 4,000.00
131 Upper limb any joint with & without contrast 4,500.00
132 Lower limb any joint without contrast 3,000.00
133 Lower limb any joint with contrast 4,000.00
134 Lower limb any joint with & without contrast 4,500.00
135 Any joint with & without contrast 4,500.00
136 MR Angiography of Head or neck 4,000.00
137 MR Angiography of Chest 4,000.00
138 MR Angiography of Abdomen 4,000.00
139 MR Angiography of Spine 4,000.00
140 MR Angiography of Upper limb 4,000.00
141 MR Angiography of Lower limb 4,000.00
142 Pelvimetry 3,000.00
143 MRCP 3,000.00
144 CE MRA any peripheral region 4,500.00
145 PNS 3,000.00
146 Spectroscopy 5,000.00
147 Plain MRI + spectroscopy 7,000.00
148 Dynamic Scan 10,000.00
OTHER CHARGES
149 OPD Ticket 10
150 OPD Consultation (Specialist) 300
ROOM \ BED CHARGES
151 General Ward:
50
a) General Public
200
b) Panel patients
152 Semi \ Private Ward 300
153 Single Room 500
154 VIP Room 750
155 CCU\ ICU 400
DIET CHARGES
156 General Ward:
a)General public
100
b) Panel patients
200
157 Officer Ward:
75
a)CDA Employee
200
b)Private
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158 VIP Room

100
a)CDA Employee
200
b)Private
SPECIAL ATTENDANCE FEE
159 Officer Ward 300
General Ward:
a)General public 50
b) Panel patients 200
SURGICAL PACKAGES FOR NON-
ENTITLED PATIENTS EXCLUDING
WARD/ ROOM/ CONSULTANCY /
LAB/ MEDICAL CHARGES ETC.
160 Category-1+ Operations 30000/-

161 Category Operations-I 20000/-

162 Category Operations-II 15000/-

163 Category Operations-III 10000/-

164 Category Operations-IV 3000/-

165 Category Operations-V 1000/-

MISCELLANEOUS SURGICAL PROCEDURES

GENERAL SURGERY
166 FNAC 500
167 CVP Line 500
168 Intra and extra-articular injections 500
169 Surgical Dressing 500
170 Burn dressing 500
171 Skin Biopsy 500
172 Femoral Vein Cannulation 500
173 Subclavian Catheter Insertion 500
ENT SURGERY
174 I/D Peritonsillar abssess 500
175 Ear Syringing 500
176 Pure lone audiometry(only) 500
177 Advance pure tome Audiometry tests 500
178 Tympanometry + Stapedial reflex 500
179 Free Field audiometry 500
180 Speech field audiometry
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181 Brainstem evoked audiometry 500

182 Electronystagmography 500
EYE SURGERY
183 Perimetry 500
184 Biometry 500
185 Ocular Ultrasonograpy 500
186 Fundus Fluorescein 500
Angiography(FFA)
187 Hess screening / Orthoptic assessment 500
of squint case
188 Epilation 500
189 Opening of tarsorrhaphy 500
190 Subconjunctival injection 500
191 Retrobulbar injection of alcohol 500
192 Computerized fields Analysis 500
193 Fundus Flourescein Angiography (FFA) 500
194 Impendence Screen 500
195 Synotiphore Test 500
196 Bjerrum Screen 500
DERMATOLOGY SURGERY
197 Skin dressing 500
198 Electro Fulguration/ Electro dessication 500
199 Electro cautery 500
200 Electro epilation 500
201 Cryotherapy 500
202 Skin biopsy 500
203 Pinch Skin grafting 500
204 Nail biopsies 500
205 Draining abscesses/cysts 500
206 Mole Surgery 500
207 Specialized Dressing 500

ORTHOPEDIC PROCEDURES
208 Above Elbow POP 500
209 Above Knee POP 500
210 Aspitation of joints 500
211 Back Slab 500
212 Below Elbow POP 500
213 Below Knee POP 500
214 Intra and Extra articular injections 500
215 POP Spica 500
216 Reinforcement of POP 100
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217 Removal of toe nail 500

218 Shoulder Spica 500
219 Application of Figure of 8 100
220 Crepe Bandage 100
221 Dressing (Routine) 100
222 Sclerotherophy 3000

223 Delivery Charges 5000

(Exclusive of Medicines & Disposable)
224 C.T.G 100 per CTG
CARDIOLOGICAL CHARGES
225 E.C.G 100
226 Holter Monitoring 24 Hrs ambulatory 500
ECG Monitoring
227 Insertion of Temporary pace Maker 3000
228 Right Heartcathetrisation with Swanm 5000
Ganz Catheter
229 Thallium Scan 5000
230 ETT 800
231 RNCA/MUGA Scan 1500
232 Echo 800
G.I.T PROCEDURES
233 G.I Endoscopies 3000
234 Liver Aspiration 1500
235 Liver Biopsy 1500
RADIOLOGICAL CHARGES
236 Ultrasonography 400
237 X- Ray 150
238 IV Cholangiogram 500
(Complete Test)
239 Cyto-Urthropgraphy with Screening 500 (Complete Test)
240 Retrograde Cysto- Urothrography with 500 (Complete Test)
screening
241 Barium Meal G.I.T 600 (Complete Test)
242 Barium Meal Exam and Screening 600 (Complete Test)
243 Oesophagography 600(Complete Test)
244 Hysterosalpingography 600 (Complete Test)
245 Singraphy 600 (Complete Test)
246 Peripheral Venography 600 (Complete Test)
247 Mammography 600 (Complete Test)
248 Retroperitoneal pneumography 600 (Complete Test)
249 Arteriography 600 (Complete Test)
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250 Tomography 600 (Complete Test)

251 Sialography 600 (Complete Test)
252 Choleeystography Oral 600 (Complete Test)
253 Pelvimetery 600 (Complete Test)
DENTAL CHARGES
254 Cast metal splint 800
255 Composite Restoration (Large) 500
256 Orthopentographic Dental X-Ray (OPG) 600
257 Dental X- Ray 200
258 Extraction Impacted ( Surgical Each) 1000
259 Extraction (Normal each) 200
260 Flap Operation Gingiveetomy each 500
segment
261 Inter maxillary wiring 2000
262 Prophylaxis / scaling 400
263 Root Canal therapy (anterior tooth 500
each)
264 Root Canal (Posterkior tooth each) 800
265 Silver amalgam Restoration (Large) 200
266 Silver amalgam (small) 100
NEONATOLOGY CHARGES
267 Incubator Charges 400
268 Cot Charges 200
269 Phototherapy Charges 300
270 Vantilator Charges 600
271 Blood exchange charges 600
272 Resusicitation charges of new born in 500
OT/Labour Room
PHYSIOTHERAPY CHARGES
273 Electric Stimulation 60
274 Shot wave diathermy 60
275 Infra-red Rays 30
276 Hydrotherapy whole Body 75
277 Hydrotherapy part of Body 50
278 Cervical traction 50
279 Ultrasound Trerapy 50
280 Manual Muscle Testing 75
281 Microwave Diathermy 50
282 Interferential 50
283 Ultra Violet Rays 50
284 Bio Feed Fack 50
285 Exercises
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286 a. Routine 50
287 b. Special 50
PATH LAB CHARGES
288 Urine Routine Examination 100
289 Urinary Bile Salts and Pigments 60
290 Urinary Urobilinogen 60
291 Urine Ketone Bodies 60
292 Urinary Protein 60
293 Urinary Creatinine 150
294 Urinary Micro albumin 250
295 Urinary Potassium 150
296 CEA test 500
297 Anti Nuclear Factor 500
298 G6-PD 200
299 CSF routine Examination 250
300 Blood Torch Screening 4000
301 Blood /Marrow Cytochemical 400
Examination
302 Serum Immunoglobulin 600
303 Blood Viral Studied 500
304 Urine Viral Studies 500
305 Bone Marrow Examination 600
306 Bone Marrow Aspiration and 600
Examination
307 Bone Marrow Trephine Biopsy 500
308 PSA 500
309 HbA1C 500
310 Protein Electrophoresis 1000
311 TropT (Rapid Test) 750
312 Platelets (For Transfusion) With Scr:1000
Without:500
313 FFP Without Scr:300
With Scr: 600
314 INR 150
315 FDP 300
316 D- Dimmer 800
317 Bactec 500
318 Thyroid Function Test (TFT) 1200
319 Urea 120
320 Creatinine 120
321 Uric Acid 120
322 Electrolytes 400
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323 BT.CT. 120

324 Blood Complete Picture (CP) 200
325 TLC 200
326 DLC 200
327 HB 60
328 Platelets 60
329 ESR 50
330 Blood Indices (MCV,MCHC,MCH etc. 200
331 Malarial Parasite MP 100
332 RBC Morphology 100
333 Blood Grouping and RH Factor 200
334 Combs Test (Direct) 200
335 Combs Test (Indirect) 200
336 Cross Matching 150
337 ASOT 300
338 CRP 300
339 RA Factor 200
340 L.E. Cell 200
341 Fungus Scraping Test 100
342 Montox Test 200
343 Stool RE 100
344 Occult Blood in Stool 100
345 Urine for reducing Substances 60
346 Stool for total Fats 60
347 Urine Pregnancy Test 200
348 Semen analysis 200
349 Glucose tolerance (GTT) 400
350 VDRL 250
351 Widal 150
352 Blood Transfusion( screening and cross 1500
match)
353 Histopathology 1100
354 Cytology (pap smear, cervical fluid or 500
sputum etc.)
355 FNAC 500
356 Culture and sensitivity C/S (Urine or 350
blood or CSF or Swab etc.)
357 AFB culture 700
358 Gram Staining 150
359 Z.N. Staining 150
360 HIV screening (Device) 300
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361 HBsAg (Device) 225

362 HCV antibodies (Device) 300
363 Histopathology 2nd opinion 1000
364 Stereotyping Salmonella and E. Coli 250
365 HIV Elisa 500
366 HBsAg Elisa 400
367 HCV Elisa 500
368 Serum Iron 200
369 TIBC 200
370 PT 150
371 APTT 150
372 Reticulocytes Counts 100
373 HB Electrophoresis 700
374 Blood Heptoglobulin 250
375 Blood Osmolality 300
376 Blood clotting Studies 300
377 Alpha Fetoprotein 500
378 Liver function test(LFT) 400
379 Bilirubin 120
380 ALT 120
381 AST 120
382 Alkaline Phos 120
383 Protein or Albumin 120
384 Aldolase 120
385 Amylase 120
386 Blood Gases 500
387 Calcium 120
388 Phosphorus 120
389 Cardiac enzyme 600
390 CPK 120
391 CPK-MB 250
392 Sugar (F or R) 120
393 LDH 120
394 Lipid profile 500
395 Cholesterol 120
396 Triglycerides 120
397 LDL 120
398 HDL 120
399 Total Lipids 500
400 Urinary Sodium 120
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401 Urine for malignant cell 500

402 Urine for keto steroids 500
403 Urinary Calcium 120
404 Urine VMA 500
405 Urinary Uric Acid 120
406 Urine Metabolic screening 250
407 Typhidot 400
408 H-Pylori 400
409 IC TT 400
410 ICTT Malaria 250
411 Estradiol 500
412 FSH 500
413 LH 500
414 Progesterone 500
415 Prolectin 500
416 Renal Profile 350
417 Dengue Seroposy 1000
418 Rit Abs Titre 200