Holy Family 2018

HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.
2020)
HOLY FAMILY HOSPITAL

HOLY FAMILY
OKHLA ROAD, HOSPITAL
NEW DELHI - 110025
HOLY FAMILY
OKHLA ROAD, HOSPITAL
NEW DELHI - 110025
OKHLA ROAD, NEW DELHI - 110025
HOLY
HOLY FAMILY
FAMILY HOSPITAL
HOSPITAL
Schedule
OKHLA
OKHLA ROAD, NEW
ROAD, NEW of DELHI
Charges
DELHI -- 110025
110025
Schedule
Effective 1of Charges
April, 2018
Schedule
Effective 1of Charges
April, 2018
Effective 1 April, 2018
Phone Nos: +91 11 2633 2800 to 2633 2809 Fax No : +91 11 2691 3225
+91 11 2684 5900 to 2684 5909 Email : adiministration@holyfamilyhospitaldelhi.org
Schedule
Phone Nos:+91
Schedule
+9111112684
Schedule of Charges
2633 5900
of
2800 to
of Charges
to 2684 - 2018
2633 5909
2809
Charges
+91 11 2684 5900 to 2684 5909
Email
Fax No: adiministration@holyfamilyhospitaldelhi.org
: +91 11 2691 3225
Email : adiministration@holyfamilyhospitaldelhi.org
EﬀEffective
ective from
Effective 1 April, 2018 1st April,
1 stApril, 20182018
(Valid upto 31 March, 2020)
+91 11 2684 5900 to 2684 5909 Email : adiministration@holyfamilyhospitaldelhi.org
+91 11 2684 5900 to 2684 5909 1 Email : adiministration@holyfamilyhospitaldelhi.org
HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)
INDEX
S.No. CHARGING HEAD Page No.
1 General Information 3
In-Patient Schedule of Charges
2 Room / Bed and Board 5
3 CCU/ICU / Ped. ICU / Post Op. ICU and Board 5
4 Oxygen 5
5 Ventilator 5
6 NNU – Nursery, Photo Therapy, Incubator, Nursing Care 5
7 Hospital Doctor’s Fee :- Visits 6
8 :- Consultation 6
9 Surgery Fee : General Surgery 6
10 Surgery Fee : Laparoscopic General Surgery 9
11 Surgery Fee : Hernia Surgery 12
12 Surgery Fee : Breast Surgery 12
13 Surgery Fee : Rectal Surgery 13
14 Surgery Fee : O.B. & Gynae (Open) & Delivery Fee 13
15 Surgery Fee : O.B. & Gynae (Laparoscopic) 15
16 Surgery Fee : O.B. & Gynae (Hysteroscopic) 17
17 Surgery Fee : Ophthalmology 17
18 Surgery Fee : Orthopedics 19
19 Surgery Fee : Neuro Surgery 24
20 Surgery Fee : E.N.T. 25
21 Surgery Fee : Thoracic 28
22 Surgery Fee : Vascular 29
23 Surgery Fee : Urology 31
24 Surgery Fee : Plastic Surgery 35
25 Surgery Fee : Pediatric Surgery 38
26 Surgery Fee : Miscellaneous 41
27 Nephrology and Renal Transplant 41
28 Operation Theater Charges 43
29 Anesthesia Charges 43
30 Cath Lab Procedures & Cardiac Surgery & Packages 44
31 Non-Invasive Cardiac Lab-(ECG,Echo,TMT, Holter Moniter) 47
32 Gastroenterology 48
33 Neurology Investigations 49
34 Respiratory Medicine-(Sleep Lab,Spirometer,Video Bronchoscopy) 50
35 Radiology :BMD, C.T.Scan 51
36 Radiology : Mammography, Ultrasound 52
37 Radiology : X-Ray 54
38 Radiology : MRI 57
39 Radiology : Miscellaneous 60
2
40 Laboratory 61
41 Spot Investigation 69
42 Exchange Blood Transfusion 69
43 Physio-Therapy : IPD 69
44 Treatment : IPD 71
45 Plastering 72
46 Dressing 72
47 Chemotherapy : IPD 73
48 Psychotherapy 73
49 Laser Procedures (Ophthalmology) : IPD & OPD 73
50 Laser Procedures (Dermatology)–Aesthetic Clinic : IPD & OPD 73
51 Special Investigation (Uroflowmetry) 74
52 Speech & Hearing Test 74
53 Instrument & Special Equipments (Cardiac Monitor, DVT Pump) 74
54 Diet for Attendant 74
55 Concession (Only SB Bed) 75
56 Ayurvedic Treatment : IPD & OPD 75
57 Ambulance 76
58 Mortuary 76
59 Miscellaneous Charges 76
Out-Patient Schedule of Charges
60 O.P.D. Consultation (Private OPD) 77
61 O.P.D. Registration (General OPD) 77
62 O. B. Registration Charges 77
63 Chemotherapy : OPD Casualty 77
64 Dialysis [O.P.D.] 77
65 O.P.D. Procedures : Urology, ENT, Ophthalmology, & Gynae, 78
66 Plastering Charges : OPD 78
67 Skin Procedures : OPD 79
68 Treatment : OPD 79
69 Nursing Procedures : OPD 81
70 Physio-Therapy : OPD 81
Out-Patient : Package charges for Minor O.T. Procedures
71 ENT : Minor O.T. Procedures 84
72 General Surgery : Minor O.T. Procedures 84
73 OB./Gyn. : Minor O.T. Procedures 85
74 Eye (Ophthalmology) : Minor O.T. Procedures 85
75 Ortho. : Minor O.T. Procedures 86
76 Plastic Surgery : Minor O.T. Procedures 86
77 Urology : Minor O.T. Procedures 87
78 Thoracic : Minor O.T. Procedures 87
79 Pediatric Surgery : Minor O.T. Procedures 87
80 Miscellaneous Charges 89
3
General Information:

1. Accommodation Categories:-

ACCOMMODATION CATEGORIES :-
DR = Delux Room DR, PR, SPR and NSB accommodations will be
PR = Private (Single) Room offered to Credit Facility and Reimbursable cases.
SPR = Semi Private Room (Two beds in a Room) SB category is only for non-reimbursable cases.
NSB = Non-Subsidised Bed (Four or five beds in a Room) (Pls see point no.7)
SB = Subsidised Bed

2. Room / Bed Charges:-
(a) Room charges are for full day on the day of admission irrespective of the time of checking in.
(b) If a patient is discharged within 24 hrs of admission, room / bed will be charged for one day only irrespective of calender
days.
(c) 6 hours and above, upto 24 hours of admission is counted as one day.
(d) For stay less than 6 hours Room/bed will be charged for half a day.
(e) Check out time is 11:00AM.
(f) Room / Bed charges are inclusive of charges for bed, Nursing Care and Diet Services for the patient only. If the patient
is NPO, no food will be supplied to the attendant of the patient. Diet for the attendant will be charged separately as per
the Schedule of Charges.
3. Surgical & Doctor’s visits fee (Hospital Case):-

(a) If more than one surgeon performs different procedures at the same time even with single incision, the surgical fee
for each surgery will be charged in full separately.
(b) If a surgeon performs more than one surgery (as per categorisation in the schedule of charges) at a single opening or
incision. The higher one will be charged in full, Ist lesser one will be charged at 50% and the 2nd lesser or more thereafter
will be charged at 25%.
(c) If a surgeon performs more than one surgery with different incisions, the surgical fee for each procedure will be
charged in full.
(d) If a single procedure is performed by more than one surgeon, only the single fee as per schedule of charges will be
charged.
(e) In case of major surgeries carried out in Operation Theater, Surgeon’s Post Operative visits will not be charged for next 3
days including day of surgery. This clause is not applicable on minor surgeries and diagnostic procedures. If the surgical
fee in “Delux Room” is Rs.10,000/- or less, will be treated as “Minor Surgery”.
4. Shifting from one to another accommodation:-

(a) In case the patient is shifted from lower to higher category, the charges for surgical procedure/s, doctors’ visits,
any other professional fees, Investigations, Nursing Care and other variable charges (except Bed charges) will be charged
as per the higher category from the date of admission.
(b) In normal course, shifting from higher category to lower category is not allowed.
Contd..
4
5. Any treating consultant / physician can charge only one visit per day irrespective of the
number of visits.

6. Private Patients of Visiting Consultants:-
Th
e Visits and / or Surgical charges mentioned in this Schedule of Charges and point no. 3
mentioned above will not be applicable to patients admitted by Visiting Consultants as their
‘PRIVATE PATIENT’. Visiting Consultants are free to charge a differential fee for their
Private Patients, but this will be billed and collected by the hospital on their behalf.
7. Re-imbursable cases not to opt Subsidised Bed (SB) category :-

Patients entitled for reimbursement from their employer / Insurance company will be
accommodated in Delux Room (DR), Private Room(PR), Semi Private(SPR) or Non Subsidised
Bed(NSB) only.As per Hospital policy, Subsidised Beds(SB) will only be allotted to economically
Impoverished patients and who are not the beneficiaries of any organizational reimbursement
scheme. If a patient opts to occupy a Subsidised Bed (SB), the Final Bill with payment receipt
will only be issued. In such cases, Neither printed details of the bill nor “Emergency/Essentiality
Certificate” will be issued. No form for reimbursement will be signed by any doctor or official.

8. ICU/CCU/SEMI ICU/PED. ICU/305 (SPL. NURSERY)/NICU-415/HDU are the common
areas. Any patient admitted directly in these areas will decide about the type of accommodation at
the time of admission in these areas and charges will be made accordingly irrespective of whether
or not theyhave actually utilized such an accommodation for whatever reason.
NOTE :The hospital reserves the right to modify the charges

mentioned in this “Schedule of charges” without prior notice
whenever it deems necessary.
5
S.No. DESCRIPTION
01:01 ROOM / BED AND BOARD CHARGES (in rupees)

001 DELUX ROOM 7000
002 PRIVATE (SINGLE) ROOM 5000
003 SEMI PRIVATE ROOM 3200
004 NON-SUBSIDISED BED 2400
005 SUBSIDISED BED 1300
NOTE: The Room / Bed Charges are inclusive of Nursing Care.
02:01 CCU/ICU/PED ICU/SEMI ICU / POST OP. ICU / INTENSIVE NURSING CARE UNIT / H.D.U.
S.No. DESCRIPTION ACCOMMODATION CATEGORY
DR/PR/SPR/NSB/SB
001 ICU / CCU 6300
002 PED. ICU / SPL. NURSERY (305) 2300
003 H.D.U. - (415) 3300
004 SEMI ICU 5000
005 P.OP.ROOM 3300
006 H.D.U. - LABOR ROOM 2800
Note :- ICU / CCU (Intensive / Coronary Care Unit) / Post-op. ICU and Ped. ICU charges include bed Nursing care
and monitoring charges for all vital parameters. All other service charges will be as per the category in
which the patient is admitted.
03:01 OXYGEN DR/PR/SPR/NSB SB

001 BY HOOD/MASK (PER DAY) 500 400
002 BY NASAL CATHETER (PER DAY) 400 250
003 BY HOOD/MASK (LESS THAN 6 HOURS) 300 200
04:01 VENTILATOR DR/PR/SPR/NSB SB

001 BI-PAP / C PAP 1600 1100
002 INFANT VENTILATOR 1850 1200
003 VENTILATOR PER DAY 2500 1700
05:01 NNU (NEO-NATAL UNIT) – NURSERY (206) DR/PR/SPR/NSB/SB

001 NEO NATAL UNIT (NNU) - NURSERY : PER DAY 2000
Note:- NNU-Nursery charges are inclusive of charges for bed and Nursing Care for patient (Newborn Baby) only.
05:02 PHOTO THERAPY DR/PR/SPR/NSB SB

001 PHOTO THERAPY : DOUBLE - PER DAY 700 350
002 PHOTO THERAPY : SINGLE - PER DAY 400 200
05:03 INCUBATOR / OPEN CARE

001 INCUBATOR / OPEN CARE : PER DAY 700 450
002 WARMER CARE : PER DAY 400 250
05:04 NURSING CARE DR PR SPR NSB SB

001 NURSING CARE : PER DAY(Only for newborn babies in “Nursery 208) 550 500 500 350 225
Note :- Nursing care is professional charges for routine nursing care provided by the nurses.
6

HOSPITAL DOCTOR’S FEE DR PR SPR NSB SB
06:01 VISITS : MEDICAL CARE - PER DAY
001 VISIT : MEDICAL CARE : PER DAY 1200 900 800 700 450
06:02 CONSULTATION
001 CONSULTATION (EACH) 1200 900 800 700 450
SURGICAL FEE
S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY
07:01 GENERAL SURGERY DR PR SPR NSB SB
001 GES037 ADRENALECTOMY 30000 25000 20000 15000 10000
002 GES001 APPENDICECTOMY 17000 14000 11300 8500 5700
003 GES121 ASPIRATION OF LIVER ABSCESS 8000 6700 5400 4000 2700
004 GES018 ASPIRATION OF SUPERFICIAL COLD ABSCESS 3300 2750 2200 1650 1100
005 GES118 AVULSION OF NAIL OR NAIL REMOVAL 4000 3300 2700 2000 1300
006 GES021 AXILLARY LYMPH NODE BIOPSY 9000 7500 6000 4500 3000
007 GES128 BARIATRIC SURGERY 60000 50000 40000 30000 20000
008 GES097 BIOPSY OF LIVER 8000 6700 5400 4000 2700
009 GES042 BLOCK DISSECTION NECK 32000 26800 21400 16000 10700
010 GES112 CAECOSTOMY 17000 14000 11300 8500 5700
CHOLECYSTECTOMY WITH DUCT
011 GES002 30000 25000 20000 15000 10000
EXPLORATION
012 GES122 CHOLECYSTOSTOMY 18000 15000 12000 9000 6000
013 GES013 COLECTOMY WITH ILEOSTOMY 30000 25000 20000 15000 10000
014 GES048 COLOSTOMY 17000 14000 11300 8500 5700
COLOSTOMY / ILEOSTOMY / JEJUNOSTOMY
015 GES055 18000 15000 12000 9000 6000
CLOSURE
CONSTRUCTION OF J POUCH AFTER A
016 GES136 36000 30000 24000 18000 12000
PREVIOUS TOTAL PROCTO COLECTOMY
CYTO-REDUCTIVE SURGERY WITH TOTAL
017 GES137 100000 83000 66000 50000 33000
PERITONECTOMY
018 GES058 DEBRIDEMENT(LARGE) 9000 7500 6000 4500 3000
019 GES098 DEBRIDEMENT(MEDIUM) 7000 5800 4800 3500 2400
020 GES059 DEBRIDEMENT(SMALL) 5000 4200 3400 2500 1700
021 GES087 DELTOID MUSCLE BIOPSY 7000 5800 4800 3500 2400
022 GES053 DIVERTICULECTOMY 18000 15000 12000 9000 6000
023 GES102 DRAINAGE OF ABSCESS - LARGE & DEEP 7000 5800 4800 3500 2400
024 GES123 DRAINAGE OF ABSCESS - MEDIUM 5000 4200 3400 2500 1700
025 GES017 DRAINAGE OF ABSCESS - SMALL 3500 2900 2300 1750 1200
DRAINAGE OF LARGE INTRA ABDOMINAL
026 GES085 18000 15000 12000 9000 6000
ABSCESS
027 GES138 ASPIRATION OF LIVER ABSCESS 7000 5800 4800 3500 2400
028 GES132 DRESSING – MAJOR 3500 2900 2300 1750 1200
029 GES133 DRESSING – MEDIUM 3000 2500 2000 1500 1000
7

030 GES134 DRESSING – MINOR 2200 1800 1500 1100 750
031 GES035 DUODENAL DIVERTICULAM 29000 24200 19400 14500 9700
032 GES022 EXCISION BIOPSY-SUPERFICIAL LUMPS 10000 8300 6700 5000 3350
033 GES099 EXCISION OF CARBUNCLE 10000 8300 6700 5000 3350
034 GES110 EXCISION OF DERMOID CYST 10000 8300 6700 5000 3350
EXCISION OF GLOMUS TUMOR (WITH OR
035 GES111 11000 9200 7400 5500 3700
WITHOUT EXCISION OF NAIL)
EXCISION OF HILAR CHAOLANGIO
036 GES139 42000 35000 28000 21000 14000
CARCINOMA
EXCISION OF LARGE SUPERFICIAL SOFT
037 GES060 18000 15000 12000 9000 6000
TISSUE MASS / TUMOUR
EXCISION OF MEDIUM SUPERFICIAL SOFT
038 GES100 13000 10900 8700 6500 4350
039 GES032 EXCISION OF MESENTERIC CYST 24000 20000 16000 12000 8000
040 GES046 EXCISION OF PILONIDAL SINUS 16000 13400 10700 8000 5300
041 GES056 EXCISION OF SEBACEOUS CYST 6500 5400 4400 3250 2200
042 GES033 EXCISION OF SMALL INTESTINAL FISTULA 24000 20000 16000 12000 8000
EXCISION OF SMALL SUPERFICIAL SOFT
043 GES101 10000 8300 6700 5000 3350
044 GES049 EXCISION OF SUBMANDIBULAR GLAND 15000 12500 10000 7500 5000
EXP.LAP.RESECTION OF LIVER SEG.-EXCISION OF
045 GES086 35000 29000 23400 17500 11700
UMBILICAL PORT
EXP.LAPAROTOMY+CHOLEDOCHLITHOTOMY
046 GES084 35000 29000 23400 17500 11700
+ CHOLEDOCHO DUODENOSTOMY
047 GES003 EXPLORATORY LAPAROTOMY ONLY 14000 11700 9400 7000 4700
EXP. LAPAROTOMY WITH DUODENAL
048 GES114 32000 26800 21400 16000 10700
PERFORATION CLOSURE
EXP. LAP. WITH EXCISION / DEBULKING OF
049 GES115 42000 35000 28000 21000 14000
INTRA-ABDOMINAL TUMOR – MAJOR
050 GES095 FASCIOTOMY – LARGE / MULTIPLE 15000 12500 10000 7500 5000
051 GES094 FASCIOTOMY – MEDIUM 11000 9200 7400 5500 3700
052 GES124 FASCIOTOMY – SMALL 6000 5000 4000 3000 2000
053 GES104 FASCIOTOMY – REDO ( LARGE / MULTIPLE) 12000 10000 8000 6000 4000
054 GES103 FASCIOTOMY – REDO (MEDIUM) 9000 7500 6000 4500 3000
055 GES125 FASCIOTOMY – REDO (SMALL) 5000 4200 3400 2500 1700
056 GES116 FEEDING JEJUNOSTOMY 12000 10000 8000 6000 4000
057 GES140 FREYS PROCEDURE 45000 37500 30000 22500 15000
058 GES004 GASTRECTOMY 30000 25000 20000 15000 10000
059 GES005 GASTRECTOMY WITH VAGOTOMY 32000 26800 21400 16000 10700
060 GES006 GASTROJEJNOSTOMY 24000 20000 16000 12000 8000
061 GES007 GASTROJEJUNOSTOMY WITH VAGOTOMY 27000 22500 18000 13500 9000
062 GES008 GASTROSTOMY 16000 13400 10700 8000 5300
063 GES031 GLAND BIOPSY 8000 6700 5400 4000 2700
064 GES130 HEMATOMA DRAINAGE 5000 4200 3400 2500 1700
065 GES044 HEMI THYROIDECTOMY 22000 18300 14700 11000 7400
066 GES012 HEMICOLECTOMY 29000 24200 19400 14500 9700
8

067 GES109 HEMIGLOSSECTOMY 18000 15000 12000 9000 6000
068 GES120 HEPATICO JEJUNOSTOMY 32000 26800 21400 16000 10700
069 GES069 HIGHLY SELECTIVE VAGOTOMY 21000 17500 14000 10500 7000
070 GES025 ILEOTRANSVERSE COLOSTOMY 20000 16700 13200 10000 6600
071 GES057 INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000
072 GES024 INTESTINAL PERFORATION 24000 20000 16000 12000 8000
INTESTINAL RESECTION WITH
073 GES105 30000 25000 20000 15000 10000
ANASTOMOSIS – MULTIPLE
INTESTINAL RESECTION WITH
074 GES009 24000 20000 16000 12000 8000
ANASTOMOSIS – SINGLE
LAPAROTOMY AND BOWEL RESECTION FOR
075 GES070 24000 20000 16000 12000 8000
INTUSSUSCEPTION
LAPAROTOMY AND CLOSURE OF INTESTINAL
076 GES071 24000 20000 16000 12000 8000
PERFORATION
LAPAROTOMY AND DIVISION OF INTRA-
077 GES073 24000 20000 16000 12000 8000
ABDOMINAL ADHESIONS / BANDS
LAPAROTOMY AND REDUCTION OF
078 GES072 24000 20000 16000 12000 8000
INTUSSUSCEPTION
079 GES074 LEFT HEPATECTOMY 39000 32500 26000 19500 13000
080 GES075 LEFT LIVER LOBECTOMY 42000 35000 28000 21000 14000
081 GES047 LIGATION OF VARICOSE VEINS : UNILATERAL 18000 15000 12000 9000 6000
082 GES114 LIVER RESECTION MAJOR / COMPLEX 42000 35000 28000 21000 14000
083 GES113 LUMBAR PUNCTURE IN O.T. 3000 2500 2000 1500 1000
084 GES020 LYMPH NODE BIOPSY 8000 6700 5400 4000 2700
LYSIS OF ADHESION WITH BOWEL
085 GES011 24000 20000 16000 12000 8000
RESECTION WITH ANASTOMOSIS
086 GES010 LYSIS OF INTESTINAL ADHESION 15000 12500 10000 7500 5000
NECROSECTOMY AND OPEN DRAINAGE OF
087 GES142 30000 25000 20000 15000 10000
PANCREATIC ABSCESS
088 GES096 NEEDLE ASPIRATION OF ABSCESS 3000 2500 2000 1500 1000
089 GES143 OESOPHAGEAL DEVASCULARISATION 42000 35000 28000 21000 14000
090 GES039 OESOPHAGO GASTRECTOMY 39000 32500 26000 19500 13000
091 GES054 OMENTECTOMY 15000 12500 10000 7500 5000
092 GES082 OPEN CHOLECYSTECTOMY 24000 20000 16000 12000 8000
OPEN CHOLECYSTECTOMY WITH CBD
093 GES106 30000 25000 20000 15000 10000
EXPLORTION
094 GES144 OPEN DRAINAGE OF LIVER ABSCESS 18000 15000 12000 9000 6000
095 GES038 OPERATION FOR PANCREAS 38000 31700 25400 19000 12700
PANCREATICO DUODONECTOMY (WHIPPLE’S
096 GES040 39000 32500 26000 19500 13000
PROCEDURE)
PARATHYROID ADENOMA WITH HEMI
097 GES083 32000 26800 21400 16000 10700
THYROIDECTOMY
098 GES045 PARATHYROIDECTOMY 24000 20000 16000 12000 8000
099 GES041 PAROTIDECTOMY 32000 26800 21400 16000 10700
PARTIAL SUBTOTAL GASTRECTOMY CA./
100 GES027 32000 26800 21400 16000 10700
ULCER
9

101 GES117 PERITONEAL BIOPSY 5500 4600 3700 2750 1850
102 GES145 PERITONEOVENOUS SHUNT 24000 20000 16000 12000 8000
103 GES014 PYLOROMYOTOMY (RAMSTEDT’S) 20000 16700 13200 10000 6600
104 GES015 PYLOROPLASTY WITH VAGOTOMY 24000 20000 16000 12000 8000
105 GES077 RADICAL CHOLECYSTECTOMY 35000 29000 23400 17500 11700
106 GES036 RECURRENT INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000
107 GES088 REMOVAL OF DEEP FOREIGN BODY-LIMBS 21000 17500 14000 10500 7000
108 GES108 REMOVAL OF MESH & TACKERS 17000 14000 11300 8500 5700
REMOVAL OF SUPERFICIAL FOREIGN BODY-
109 GES089 12000 10000 8000 6000 4000
LIMBS
REMOVAL OF SUPERFICIAL FOREIGN BODY-
110 GES107 7000 5800 4800 3500 2400
LIMBS -MINOR
111 GES029 REPAIR OF COMMON BILE DUCT (C.B.D.) 32000 26800 21400 16000 10700
RESECTION ANASTOMOSIS OESOPHAGUS
112 GES146 42000 35000 28000 21000 14000
(IVOR LEWIS)
RESUTURING OF WOUNDS – LARGE /
113 GES078 9000 7500 6000 4500 3000
MULTIPLE
114 GES050 RESUTURING OF WOUNDS – SMALL 5000 4200 3400 2500 1700
SECONDARY SUTURING OF ABDOMINAL
115 GES051 14000 11700 9400 7000 4700
WALL
116 GES026 SIGMOID DIVERTICULUM 26000 21700 17400 13000 8700
117 GES016 SPLENECTOMY 28000 23300 18800 14000 9400
118 GES127 STRICTUROPLASTY 24000 20000 16000 12000 8000
119 GES079 SUB-TOTAL COLECTOMY 32000 26800 21400 16000 10700
SUTURING OF WOUNDS / LACERATIONS –
120 GES126 8000 6700 5400 4000 2700
LARGE / MULTIPLE
SUTURING OF WOUNDS / LACERATIONS –
121 GES019 4500 3750 3000 2250 1500
SMALL
TOTAL OESOPHAGOGASTRECTOMY WITH
122 GES147 60000 50000 40000 30000 20000
COLONIC/JEJUNAL PULL UP
123 GES043 THYROIDECTOMY TOTAL 27000 22500 18000 13500 9000
124 GES030 TOTAL COLECTOMY 33000 27500 22000 16500 11000
125 GES028 TOTAL GASTRECTOMY FOR CA. 42000 35000 28000 21000 14000
126 GES148 TOTAL PROCTO COLECTOMY WITH J POUCH 48000 40000 32000 24000 16000
127 GES149 TRISEGMENTECTOMY 42000 35000 28000 21000 14000
128 GES023 TRUCUT NEEDLE BIOPSY 3300 2750 2200 1650 1100
TRUNCAL VAGOTOMY AND GASTRO
129 GES080 30000 25000 20000 15000 10000
JEJUNOSTOMY
130 GES081 TRUNCAL VAGOTOMY AND PYLOROPLASTY 32000 26800 21400 16000 10700
07:02 LAPAROSCOPIC GENERAL SURGERY

001 GES091 DIAGNOSTIC LAPAROSCOPY ONLY 12000 10000 8000 6000 4000
002 GES092 DIAGNOSTIC LAPAROSCOPY WITH BIOPSY 14000 11700 9400 7000 4700
DIAGNOSTIC LAPAROSCOPY WITH MULTIPLE
003 GES093 18000 15000 12000 9000 6000
BIOPSIES
LAPARASCOPIC TOTAL EXTRA PERITONEAL
004 HES029 26000 21700 17400 13000 8700
MESH - (TEP) - UNILATERAL
10

07:02 LAPAROSCOPIC GENERAL SURGERY DR PR SPR NSB SB
LAPAROSCOPIC ABDOMINO-PERINEAL
005 LGS001 42000 35000 28000 21000 14000
RESECTION OF RECTUM
006 LGS002 LAPAROSCOPIC ADHESIOLYSIS 20000 16700 13200 10000 6600
LAPAROSCOPIC ADRENALECTOMY –
007 LGS003 60000 50000 40000 30000 20000
BILATERAL
LAPAROSCOPIC ADRENALECTOMY –
008 LGS004 45000 37500 30000 22500 15000
UNILATERAL
009 GES061 LAPAROSCOPIC APPENDICECTOMY 21000 17500 14000 10500 7000
010 GES052 LAPAROSCOPIC CHOLECYSTECTOMY 24000 20000 16000 12000 8000
LAPAROSCOPIC CHOLEDOCHAL CYST
011 LGS005 60000 50000 40000 30000 20000
EXCISION
LAPAROSCOPIC CLOSURE OF BOWEL
012 LGS006 32000 26800 21400 16000 10700
PERFORATION
013 LGS007 LAPAROSCOPIC COLOSTOMY/ CECOSTOMY 24000 20000 16000 12000 8000
LAPAROSCOPIC COMPLETE RECTAL
014 LGS008 32000 26800 21400 16000 10700
PROLAPSE REPAIR
LAPAROSCOPIC DEROOFING OF NON-
015 GES062 30000 25000 20000 15000 10000
HYDATID LIVER CYST
LAPAROSCOPIC DIAPHAGMATIC HERNIA
016 LGS009 48000 40000 32000 24000 16000
REPAIR
LAPAROSCOPIC DISTAL RADICAL
017 LGS010 55000 46000 36700 27500 18300
GASTRECTOMY
LAPAROSCOPIC DRAINAGE OF INTRA-
018 GES067 27000 22500 18000 13500 9000
ABDOMINAL COLLECTION
019 GES063 LAPAROSCOPIC DRAINAGE OF LIVER ABCESS 24000 20000 16000 12000 8000
LAPAROSCOPIC DUODENAL PERFORATION
020 GES068 32000 26800 21400 16000 10700
CLOSURE
LAPAROSCOPIC EPIGASTRIC HERNIA REPAIR-
021 HES020 24000 20000 16000 12000 8000
INLAY MESH
LAPAROSCOPIC EPIGASTRIC HERNIA REPAIR-
022 HES019 24000 20000 16000 12000 8000
ONLAY MESH
LAPAROSCOPIC EXCISION OF HYDATID CYST
023 LGS011 48000 40000 32000 24000 16000
OF LIVER
024 HES021 LAPAROSCOPIC FUNDOPLICATION(DOR’S) 30000 25000 20000 15000 10000
025 HES022 LAPAROSCOPIC FUNDOPLICATION(NISSEN) 30000 25000 20000 15000 10000
026 LGS012 LAPAROSCOPIC GASTRIC BYPASS 60000 50000 40000 30000 20000
LAPAROSCOPIC GASTRIC PERFORATION
027 GES064 32000 26800 21400 16000 10700
CLOSURE
028 GES065 LAPAROSCOPIC GASTRO-JEJUNOSTOMY (GJ) 32000 26800 21400 16000 10700
LAPAROSCOPIC HELLERS OPERATION/
029 LGS013 CARDIO MYOTOMY (THROUGH THE CHEST) / 48000 40000 32000 24000 16000
ABDOMEN
030 LGS014 LAPAROSCOPIC HEPATICO-JEJUNOSTOMY 48000 40000 32000 24000 16000
LAPAROSCOPIC HIATUS HERNIA REPAIR
031 LGS015 48000 40000 32000 24000 16000
THROUGH THE ABDOMEN / CHEST
032 LGS016 LAPAROSCOPIC ILEOSTOMY / JEJUNOSTOMY 24000 20000 16000 12000 8000
033 LGS017 LAPAROSCOPIC INCISIONAL HERNIA REPAIR 36000 30000 24000 18000 12000
LAPAROSCOPIC INGUINAL HERNIORRHAPHY
034 HES023 24000 20000 16000 12000 8000
BILATERAL
11

035 HES024 20000 16700 13200 10000 6600
UNILATERAL
036 HES025 32000 26800 21400 16000 10700
WITH MESH BILATERAL
037 HES026 24000 20000 16000 12000 8000
WITH MESH UNILATERAL
038 LGS018 LAPAROSCOPIC LAR 51000 42500 34000 25500 17000
039 LGS019 LAPAROSCOPIC LIVER RESECTIION 55000 46000 36700 27500 18300
040 HES027 LAPAROSCOPIC LUMBAR HERINA REPAIR 32000 26800 21400 16000 10700
LAPAROSCOPIC MEDIAN ARCUATE
041 LGS020 60000 50000 40000 30000 20000
LIGAMENT
042 LGS021 LAPAROSCOPIC NECROSECTOMY 38000 31700 25400 19000 12700
043 LGS022 LAPAROSCOPIC NEPHRECTOMY 55000 46000 36700 27500 18300
044 LGS023 LAPAROSCOPIC OESOPHAGECTOMY 72000 60000 48000 36000 24000
045 LGS024 LAPAROSCOPIC PALLIATIVE GASTRECTOMY 36000 30000 24000 18000 12000
LAPAROSCOPIC RADICAL
046 LGS025 51000 42500 34000 25500 17000
CHOLECYSTECTOMY (WITH SEGMENT 4 & 5)
LAPAROSCOPIC RADICAL PROSTATECTOMY
047 LGS026 60000 50000 40000 30000 20000
FOR Ca PROSTATE
LAPAROSCOPIC RESECTION AND
048 LGS027 40000 33300 26800 20000 13400
ANASTOMOSIS-MULTIPLE
LAPAROSCOPIC RESECTION AND
049 LGS028 32000 26800 21400 16000 10700
ANASTOMOSIS-SINGLE
050 LGS029 LAPAROSCOPIC RFTA OF MULTIPLE LESION 75000 62500 50000 37500 25000
051 LGS030 LAPAROSCOPIC RFTA OF SINGLE LESION 60000 50000 40000 30000 20000
LAPAROSCOPIC RIGHT / LEFT
052 LGS031 HEMICOLECTOMY / TRANSVERSE 38000 31700 25400 19000 12700
COLECTOMY / SIGMOID COLECTOMY
053 LGS032 LAPAROSCOPIC SILS APPENDICECTOMY 29000 24200 19400 14500 9700
054 LGS033 LAPAROSCOPIC SILS CHOLECYSTECTOMY 38000 31700 25400 19000 12700
055 LGS034 LAPAROSCOPIC SILS HERNIA REPAIR 30000 25000 20000 15000 10000
056 LGS035 LAPAROSCOPIC SILS SLEEV GASTRECTOMY 70000 58000 46500 35000 23300
057 LGS036 LAPAROSCOPIC SLEEV GASTRECTOMY 55000 46000 36700 27500 18300
LAPAROSCOPIC SPLENECTOMY/
058 LGS037 40000 33300 26800 20000 13400
SPLENORRHAPHY
059 LGS038 LAPAROSCOPIC SPLENIC ARTERY LIGATION 40000 33300 26800 20000 13400
LAPAROSCOPIC STRICTUROPLASTY –
060 LGS039 32000 26800 21400 16000 10700
MULTIPLE
061 LGS040 LAPAROSCOPIC STRICTUROPLASTY – SINGLE 30000 25000 20000 15000 10000
LAPAROSCOPIC TOTAL EXTRA- (TEP )
062 HES028 32000 26800 21400 16000 10700
BILATERAL
LAPAROSCOPIC TRUNCAL VAGOTOMY AND
063 GES066 33000 27500 22000 16500 11000
GASTRO JEJUNOSTOMY
064 LGS041 LAPAROSCOPIC ULTRASOUND 13000 10800 8800 6500 4400
LAPAROSCOPIC UMBILICAL HERNIA REPAIR-
065 HES030 26000 21700 17400 13000 8700
ONLAY MESH
066 LGS042 LAPAROSCOPIC WERTHIEMS 55000 46000 36700 27500 18300
12

067 URS146 ORCHIDOPEXY LAPROSCOPIC – BILATERAL 28000 23300 18800 14000 9400
068 URS147 ORCHIDOPEXY LAPROSCOPIC – UNILATERAL 20000 16700 13200 10000 6600
VATS (VIDEO ASSISTED THORACOSCOPIC
069 LGS043 42000 35000 28000 21000 14000
SURGERY
07:03 HERNIA SURGERY

001 HES013 ABDOMINOPLASTY WITH MESH 28000 23300 18800 14000 9400
002 HES008 EPIGASTRIC HERNIA 18000 15000 12000 9000 6000
003 HES009 FEMORAL HERNIA 18000 15000 12000 9000 6000
004 HES010 HIATUS HERNIA 26000 21700 17400 13000 8700
005 HES014 HYDROCELECTOMY : BILATERAL 18000 15000 12000 9000 6000
006 HES006 HYDROCELECTOMY : UNILATERAL 11000 9200 7400 5500 3700
INCISIONAL HERNIA REPAIR WITH
007 HES017 39000 32500 26000 19500 13000
ABDOMINOPLASTY
008 HES036 INCISIONAL HERNIA REPAIR WITH MESH 24000 20000 16000 12000 8000
009 HES018 INGUINAL HERNIA - BILATERAL 21000 17500 14000 10500 7000
010 HES001 INGUINAL HERNIA : UNILATERAL 17000 14000 11300 8500 5700
011 HES015 INGUINAL HERNIOPLASTY : BILATERAL 24000 20000 16000 12000 8000
012 HES012 INGUINAL HERNIOPLASTY : UNILATERAL 18000 15000 12000 9000 6000
013 HES002 INGUINAL HERNIA WITH ORCHIDECTOMY 21000 17500 14000 10500 7000
NISSEN FUNDOPLICATION AND HIATUS
014 HES031 30000 25000 20000 15000 10000
HERNIA REPAIR
015 HES038 ORCHIDECTOMY : BILATERAL 18000 15000 12000 9000 6000
016 HES037 ORCHIDECTOMY : UNILATERAL 15000 12500 10000 7500 5000
RECURRENT HERNIA (INCISIONAL)
017 HES003 24000 20000 16000 12000 8000
BILATERAL
RECURRENT HERNIA (INCISIONAL)
018 HES032 21000 17500 14000 10500 7000
UNILATERAL
019 HES033 RECURRENT HERNIA WITH MESH BILATERAL 32000 26800 21400 16000 10700
RECURRENT HERNIA WITH MESH
020 HES034 28000 23300 18800 14000 9400
UNILATERAL
021 HES011 STRANGULATED / OBSTRUCTED HERNIA 24000 20000 16000 12000 8000
022 HES005 UMBILICAL HERNIA 18000 15000 12000 9000 6000
023 HES035 UMBILICAL HERNIA REPAIR WITH MESH 24000 20000 16000 12000 8000
024 HES004 VENTRAL HERNIA (INCISIONAL) 21000 17500 14000 10500 7000
07:04 BREAST SURGERY

001 BRS001 BIOPSY OF BREAST 9000 7500 6000 4500 3000
002 BRS006 EXCISION OF MAMMARY FISTULA 12000 10000 8000 6000 4000
003 BRS002 EXCISION OF SMALL FIBROADENOMA 10000 8300 6800 5000 3400
004 BRS003 I. & D. OF BREAST ABSCESS 7000 5800 4800 3500 2400
005 BRS008 LUMPECTOMY – LARGE 14000 11700 9400 7000 4700
006 BRS010 LUMPECTOMY – SMALL 10000 8300 6800 5000 3400
MASTECTOMY RADICAL WITH AUX. LYMPH
007 BRS005 30000 25000 20000 15000 10000
NODES
008 BRS004 MASTECTOMY SIMPLE 19000 15800 12800 9500 6400
13

07:04 BREAST SURGERY DR PR SPR NSB SB
009 BRS011 RADICAL BLOCK DISSECTION OF BREAST 21000 17500 14000 10500 7000
010 BRS007 SEGMENTAL RESECTION OF BREAST 12000 10000 8000 6000 4000
011 BRS009 WIDE EXCISION BIOPSY OF BREAST 16000 13400 10700 8000 5300
07:05 RECTAL SURGERY

ABDOMINAL PERINEAL RESECTION FOR
001 RES007 35000 29000 23400 17500 11700
CA. RECTUM
002 RES002 ANAL DILATATION 7000 5800 4800 3500 2400
003 RES008 ANTERIOR RESECTION 28000 23300 18800 14000 9400
ANTERIOR RESECTION WITH TOTAL
004 RES009 32000 26800 21400 16000 10700
MESORECTAL EXCISION
005 RES013 EXCISION OF SKIN TAG 2000 1700 1400 1000 700
006 RES001 FISSURECTOMY 9000 7500 6000 4500 3000
007 RES003 FISTULECTOMY 16000 13400 10700 8000 5300
008 RES004 HAEMORRHOIDECTOMY 18000 15000 12000 9000 6000
009 RES005 I. & D. OF ISCHIO-RECTAL ABSCESS 10000 8300 6800 5000 3400
010 RES011 PERIANAL ABSCESS DRAINAGE 9000 7500 6000 4500 3000
011 RES006 RECTAL POLYP EXCISION 6000 5000 4000 3000 2000
012 RES010 STAPLED HAEMORRHOIDECTOMY 20000 16700 13200 10000 6600
07:06 O.B. & GYNAE - OPEN SURGERY

001 OGS012 ABDOMINAL HYSTERECTOMY 26000 21700 17400 13000 8700
002 OGS016 ANTERIOR & POSTERIOR COLPORRHAPHY 15000 12500 10000 7500 5000
003 OGS060 ANTERIOR COLPORRAPHY 12000 10000 8000 6000 4000
004 OGS063 CAUTERY OF VAGINAL VAULT GRANULOMA 2000 1700 1400 1000 700
005 OGS088 CERVICAL EXPLORATION WITHOUT BIOPSY 5000 4200 3400 2500 1700
006 OGS089 CERVICAL EXPLORATION WITH BIOPSY 7000 5800 4800 3500 2400
007 OGS033 COMPLETE PERINEAL TEAR REPAIR 6500 5400 4400 3250 2200
008 OGS066 CONE BIOPSY OF CERVIX 6000 5000 4000 3000 2000
CRYO CAUTERISATION OF CERVIX WITH OR
009 OGS094 6000 5000 4000 3000 2000
WITHOUT BIOPSY
010 OGS032 CRYOSURGERY 6000 5000 4000 3000 2000
011 OGS008 D. & C. WITH CERVIX BIOPSY 6000 5000 4000 3000 2000
012 OGS049 D. & C. WITH POLYPECTOMY 6000 5000 4000 3000 2000
013 OGS009 DILATATION & CURETTAGE (D.& C.) ONLY 5000 4200 3400 2500 1700
014 OGS007 DILATATION & EVACUATION (D. & E.) ONLY 5000 4200 3400 2500 1700
015 OGS028 DRAINAGE OF ABSCESS BARTHOLINS CYST 4500 3750 3000 2250 1500
016 OGS006 E.U.A. (EXAMINATION UNDER ANEASTHESIA) 4000 3300 2700 2000 1300
END TO END FALLOPIAN TUBAL
017 OGS070 RECANALISATION / ANASTOMOSIS – 26000 21700 17400 13000 8700
UNILATERAL OR BILATERAL
EXCISION OF LABIAL CYST / BARTHOLINS
018 OGS025 4500 3750 3000 2250 1500
CYST
019 OGS073 EXCISION OF VAGINAL WALL CYST 9000 7500 6000 4500 3000
14

07:06 O.B. & GYNAE - OPEN SURGERY DR PR SPR NSB SB
EXP. LAP. WITH REPAIR OF UTERUS
020 OGS092 32000 26800 21400 16000 10700
PERFORATION OR RUPTURE
021 OGS075 FOREIGN BODY REMOVAL FROM VAGINA 5000 4200 3400 2500 1700
FOTHERGILS / MANCHESTER OPERATION
022 OGS040 16000 13400 10700 8000 5300
FOR UTERINE PROLAPSE
023 OGS078 HEMATOCOLPOS DRAINAGE / COLPOTOMY 4500 3750 3000 2250 1500
024 OGS037 HEMATOMA DRAINAGE 4500 3750 3000 2250 1500
025 OGS038 HYMENECTOMY 4500 3750 3000 2250 1500
026 OGS058 HYSTEROTOMY 18000 15000 12000 9000 6000
I & D OF LABIAL ABCESS UNILATERAL OR
027 OGS046 6500 5400 4400 3250 2200
BILATERAL
028 OGS061 INTERNAL ILIAC ARTERY LIGATION 13000 10900 8700 6500 4350
029 OGS021 L.S.C.S. 20000 16700 13200 10000 6600
030 OGS018 L.S.C.S. WITH HYSTERECTOMY 30000 25000 20000 15000 10000
031 OGS090 LSCS WITH PREVIOUS SCAR 24000 20000 16000 12000 8000
032 OGS017 L.S.C.S. WITH TUBECTOMY 28000 23300 18800 14000 9400
LAPROTOMY & REPOSITIONING OF
033 OGS048 22000 18300 14700 11000 7400
UTERUS(HAULTENS TECH.)
034 OGS034 LAPROTOMY FOR ECTOPIC PREGNANCY 16000 13400 10700 8000 5300
035 OGS041 LAPROTOMY FOR TWISTED OVARIAN 18000 15000 12000 9000 6000
036 OGS095 LIGATION OF UTERINE & OVARIAN ARTERIES 12000 10000 8000 6000 4000
MAC DONALD STITCH / CERVICAL
037 OGS015 6500 5400 4400 3250 2200
ENCIRCLAGE
038 OGS036 MANUAL REMOVAL OF PLACENTA (BED SIDE) 5000 4200 3400 2500 1700
039 OGS069 MANUAL REMOVAL OF PLACENTA IN OT 6500 5400 4400 3250 2200
040 OGS030 MYOMECTOMY 20000 16700 13200 10000 6600
041 OGS002 NON DESCENT VAGINAL HYSTERECTOMY 29000 24200 19400 14500 9700
042 OGS013 OOPHRECTOMY / SALPINGECTOMY 16000 13400 10700 8000 5300
OVARIAN CYST ASPIRATION WITH BIOPSY-
043 OGS053 17000 14000 11300 8500 5700
BILATERAL
OVARIAN CYST ASPIRATION WITH BIOPSY-
044 OGS051 14000 11700 9400 7000 4700
UNILATERAL
OVARIAN CYST ASPIRATION WITHOUT
045 OGS052 15000 12500 10000 7500 5000
BIOPSY-BILATERAL
OVARIAN CYST ASPIRATION WITHOUT
046 OGS050 12000 10000 8000 6000 4000
BIOPSY-UNILATERAL
047 OGS023 OVARIAN CYSTECTOMY 17000 14000 11300 8500 5700
048 OGS010 PANHYSTERECTOMY / TAH WITH BSO 30000 25000 20000 15000 10000
PURANDARE’S SLING OPERATION FOR
049 OGS059 18000 15000 12000 9000 6000
PROLAPSE
RADICAL HYSTERECTOMY FOR
050 OGS067 MALIGNANCY / WERTHEIM’S 35000 29000 23400 17500 11700
HYSTERECTOMY
15

07:06 O.B. & GYNAE - OPEN SURGERY DR PR SPR NSB SB
051 OGS003 RADICAL VULVECTOMY 33000 27500 22000 16500 11000
052 OGS093 REMOVAL OF MAC DONALD STITCH (IN O.T.) 2500 2100 1800 1250 900
053 OGS065 REPAIR OF RECTOVAGINAL FISTULA (RVF) 16000 13400 10700 8000 5300
054 OGS019 REPAIR OF VESICO-VAGINAL FISTULA 27000 22500 18000 13500 9000
REPOSITIONING OF INVERTED UTERUS
055 OGS064 9000 7500 6000 4500 3000
(UTERINE INVERSION)
RESUTURING OF ABDOMINAL WOUND –
056 OGS057 6500 5400 4400 3250 2200
MAJOR
RESUTURING OF ABDOMINAL WOUND –
057 OGS043 4000 3300 2700 2000 1300
MINOR
058 OGS044 RESUTURING OF EPISIOTOMY WOUND 5000 4200 3400 2500 1700
059 OGS014 SALPINGO-OOPHRECTOMY 16000 13400 10700 8000 5300
060 OGS042 SHIRODHKAR SUTURE 8000 6700 5400 4000 2700
061 OGS062 SIMPLE VULVECTOMY 16000 13400 10700 8000 5300
062 OGS055 SUCTION AND EVACUATION 5000 4200 3400 2500 1700
VAGINAL EXPLORATION WITH REMOVAL OF
063 OGS087 5000 4200 3400 2500 1700
RING PESSARY
VAGINAL HYSTERECTOMY WITH VAGINAL
064 OGS011 27000 22500 18000 13500 9000
AND PELVIC FLOOR REPAIR
065 OGS001 VAGINOPLASTY 27000 22500 18000 13500 9000
VAULT PROLASE REPAIR - ABDOMINAL
066 OGS027 27000 22500 18000 13500 9000
COLPOSUSPENSION
067 OGS026 VAULT PROLASE REPAIR - VAGINAL ROUTE 27000 22500 18000 13500 9000
068 OGS091 VAULT BIOPSY 5000 4200 3400 2500 1700
069 OGS045 VULVAL BIOPSY 4000 3300 2700 2000 1300
070 OGS024 WEDGE RESECTION OF OVARY 16000 13400 10700 8000 5300
07:06A DELIVERY FEE

001 DEL001 NORMAL DELIVERY 12500 11000 9500 8000 6500
002 DEL002 FORCEPS DELIVERY 14000 12500 11000 9000 7500
07:06B O.B. & GYNAE – LAPAROSCOPIC SURGERY

001 OGS031 DIAGNOSTIC LAPAROSCOPY 12000 10000 8000 6000 4000
DIAGNOSTIC LAPAROSCOPY &
002 OGS068 14000 11700 9400 7000 4700
HYSTEROSCOPY
DIAGNOSTIC LAPAROSCOPY &
003 OGL042 16000 13400 10700 8000 5300
HYSTEROSCOPY WITH D & C.
004 OGL001 DIAGNOSTIC LAPAROSCOPY WITH D. & C. 14000 11700 9400 7000 4700
DIAGNOSTIC LAPAROSCOPY WITH TUBAL
005 OGS056 18000 15000 12000 9000 6000
MILKING (FOR ECTOPIC PREGNANCY)
LAPAROSCOPIC ABLATION OF
006 OGL002 18000 15000 12000 9000 6000
ENDOMETRIOTIC SPOT
007 OGL003 LAPAROSCOPIC ABSCESS DRAINAGE 12000 10000 8000 6000 4000
008 OGL004 LAPAROSCOPIC ADENOLYSIS 20000 16700 13200 10000 6600
LAPAROSCOPIC ADHESIOLYSIS &
009 OGS085 22000 18300 14700 11000 7400
HYSTEROSCOPY
16

07:06B O.B. & GYNAE – LAPAROSCOPIC SURGERY DR PR SPR NSB SB
010 OGL005 LAPAROSCOPIC ASPIRATION OF OOCYTE 10000 8300 6700 5000 3350
LAPAROSCOPIC ASSISTED VAGINAL
011 OGL006 40000 33300 26800 20000 13400
HYSTRECTOMY (COMPLICATED)
012 OGL007 36000 30000 24000 18000 12000
HYSTRECTOMY (SIMPLE)
013 OGL008 39000 32500 26000 19500 13000
HYSTRECTOMY WITH BSO
014 OGL009 LAPAROSCOPIC BURCH OPERATION 28000 23300 18800 14000 9400
015 OGL010 LAPAROSCOPIC COLPOSUSPENSION 28000 23300 18800 14000 9400
LAPROSCOPIC COMPLICATED
016 OGL040 28000 23300 18800 14000 9400
ENDOMETRIOTIC CYST REMOVAL
017 OGS020 LAPAROSCOPIC CYST ASPIRATION 12000 10000 8000 6000 4000
LAPAROSCOPIC END TO END ANASTOMOSIS
018 OGL011 30000 25000 20000 15000 10000
(TUBAL)
019 OGL012 LAPAROSCOPIC ENDOMETRIOSIS 33000 27500 22000 16500 11000
LAPAROSCOPIC ENDORMYOMECTOMY
020 OGL013 30000 25000 20000 15000 10000
(COMPLICATED)
LAPAROSCOPIC ENDORMYOMECTOMY
021 OGL014 24000 20000 16000 12000 8000
(SIMPLE)
LAPAROSCOPIC EXCISION OF ENDOMETRIC
022 OGL015 18000 15000 12000 9000 6000
LESION / ABLATION
LAPAROSCOPIC EXCISION OF RUDIMENTARY
023 OGL016 30000 25000 20000 15000 10000
HORN
LAPAROSCOPIC EXCISION OF SCAR
024 OGL017 12000 10000 8000 6000 4000
ENDOMETROSIS
025 OGL018 LAPAROSCOPIC FALLOPOSCOPY 12000 10000 8000 6000 4000
026 OGL019 LAPAROSCOPIC FIMBRIOLYSIS 17000 14000 11300 8500 5700
027 OGL020 LAPAROSCOPIC FIMBRIOPLASTY 18000 15000 12000 9000 6000
028 OGL021 LAPAROSCOPIC LUNA 22000 18300 14700 11000 7400
029 OGL022 LAPAROSCOPIC MOSCOWITZ 12000 10000 8000 6000 4000
030 OGL023 LAPAROSCOPIC MULTIPLE PUNCTURE 18000 15000 12000 9000 6000
031 OGL024 LAPAROSCOPIC MYOMECTOMY 30000 25000 20000 15000 10000
032 OGL025 LAPAROSCOPIC OMENTECTOMY 21000 17500 14000 10500 7000
033 OGL026 LAPAROSCOPIC OOPHRECTOMY 21000 17500 14000 10500 7000
034 OGS081 LAPAROSCOPIC OVARIAN CYSTECTOMY 21000 17500 14000 10500 7000
035 OGL027 LAPAROSCOPIC OVARIOPLASTY 17000 14000 11300 8500 5700
036 OGL041 LAPAROSCOPIC PELVIC LYMPHADENECTOMY 29000 24200 19400 14500 9700
037 OGL028 LAPAROSCOPIC REMOVAL OF IUCD 12000 10000 8000 6000 4000
LAPAROSCOPIC REPAIR OF NULLI PAROUS
038 OGL029 48000 40000 32000 24000 16000
PROLAPSE
LAPAROSCOPIC RETROPERITONEAL NODE
039 OGL030 30000 25000 20000 15000 10000
DISSECTION
040 OGL039 LAPAROSCOPIC SALPINGECTOMY 21000 17500 14000 10500 7000
LAPAROSCOPIC SALPINGECTOMY FOR
041 OGS079 21000 17500 14000 10500 7000
ECTOPIC PREGNANCY
042 OGS076 LAPAROSCOPIC SALPINGO-OOPHORECTOMY 21000 17500 14000 10500 7000
LAPAROSCOPIC SALPINGOSTOMY FOR
043 OGS077 18000 15000 12000 9000 6000
ECTOPIC PREGNANCY
17

07:06B O.B. & GYNAE – LAPAROSCOPIC SURGERY DR PR SPR NSB SB
LAPAROSCOPIC SURGERY FOR ECTOPIC
044 OGL031 24000 20000 16000 12000 8000
PREGNANCY
045 OGL032 LAPAROSCOPIC SUTURING 9000 7500 6000 4500 3000
046 OGL033 LAPAROSCOPIC TVT 22000 18300 14700 11000 7400
LAPAROSCOPIC UTERINE SUSPENSION
047 OGL034 29000 24200 19400 14500 9700
(SLING)
048 OGL035 LAPAROSCOPIC VAULT SUSPENSION 28000 23300 18800 14000 9400
LAPAROSCOPIC VAULT SUSPENSION WITH
049 OGL036 36000 30000 24000 18000 12000
MESH
LAPAROSCOPY & HYSTEROSCOPY WITH
050 OGS074 17000 14000 11300 8500 5700
OVARIAN BIOPSY
LAPAROSCOPY & HYSTEROSCOPY WITH
051 OGS072 17000 14000 11300 8500 5700
OVARIAN DRILLING
052 OGS071 LAPAROSCOPY WITH OVARIAN BIOPSY 17000 14000 11300 8500 5700
053 OGL037 TOTAL LAPAROSCOPIC HYSTRECTOMY 45000 37500 30000 22500 15000
TOTAL LAPAROSCOPIC HYSTRECTOMY WITH
054 OGL038 48000 40000 32000 24000 16000
BSO
07:06C O.B. & GYNAE – HYSTEROSCOPIC SURGERY

HYSTEROSCOPIC ABLATION OF
001 OGH001 18000 15000 12000 9000 6000
ENDOMETRIUM
HYSTEROSCOPIC CUTTING OF UTERINE
002 OGH002 14000 11700 9400 7000 4700
SYNECHIAE
HYSTEROSCOPIC DIVISION OF THICK
003 OGS080 17000 14000 11300 8500 5700
SYNECHIAE
HYSTEROSCOPIC DIVISION OF THIN
004 OGS082 9000 7500 6000 4500 3000
SYNECHIAE
005 OGH003 HYSTEROSCOPIC GUIDED BIOPSY 9000 7500 6000 4500 3000
006 OGH004 HYSTEROSCOPIC MYOMA RESECTION 21000 17500 14000 10500 7000
007 OGS029 HYSTEROSCOPIC POLYPECTOMY 11000 9200 7400 5500 3700
008 OGS083 HYSTEROSCOPIC REMOVAL OF IUCD 9000 7500 6000 4500 3000
HYSTEROSCOPIC REMOVAL OF RETAINED
009 OGS084 10000 8300 6800 5000 3400
PRODUCTS OF CONCEPTION
HYSTEROSCOPIC RESECTION OF UTERINE
010 OGS086 17000 14000 11300 8500 5700
SEPTUM
HYSTEROSCOPIC TRANS CERVICAL
011 OGH005 20000 16700 13200 10000 6600
RESECTION OF ENDOMETRIUM
012 OGH006 HYSTEROSCOPIC TUBAL CANNULATION 11000 9200 7400 5500 3700
013 OGS004 HYSTEROSCOPY DIAGNOSTIC 6000 5000 4000 3000 2000
014 OGS005 HYSTEROSCOPY WITH D. & C. 10000 8300 6800 5000 3400
07:07 OPHTHALMOLOGY SURGERY

001 OPS015 AC WASH 7000 5800 4800 3500 2400
002 OPS047 ANTERIOR SYNECHIOTOMY 3500 2900 2300 1750 1200
BLEPHAROPLASTY FOR ECTROPION (WITH
003 OPS032 18000 15000 12000 9000 6000
GRAFTING)
BLEPHAROPLASTY FOR ECTROPION
004 OPS030 13000 10800 8800 6500 4400
(WITHOUT GRAFTING)
18

07:07 OPHTHALMOLOGY SURGERY DR PR SPR NSB SB
BLEPHAROPLASTY FOR ENTROPION
005 OPS031 13000 10800 8800 6500 4400
(WITHOUT GRAFTING)
006 OPS027 CAPSULOTOMY 9000 7500 6000 4500 3000
007 OPS018 CATARACT EXTRACTION / GLAUCOMA 18000 15000 12000 9000 6000
CATARACT EXTRACTION WITH I.O.L.
008 OPS019 21000 17500 14000 10500 7000
IMPLANTATION (LENS COST EXTRA)
009 OPS012 CONJ. TEAR 4500 3750 3000 2250 1500
010 OPS002 CORNEAL GRAFTING 24000 20000 16000 12000 8000
011 OPS025 CRYOPEXY / CYCLOCRYO : BILATERAL 9000 7500 6000 4500 3000
012 OPS024 CRYOPEXY / CYCLOCRYO : UNILATERAL 6500 5400 4400 3250 2200
013 OPS011 CYSTS LID CONJ. 4000 3300 2700 2000 1300
014 OPS020 DACROCYSTORHINOSTOMY 17000 14000 11300 8500 5700
015 OPS028 ENDOSCOPIC DACROCYSTORHINOSTOMY 24000 20000 16000 12000 8000
ENUCLEATION / EVICERATION OF EYES
016 OPS029 12000 10000 8000 6000 4000
(WITHOUT IMPLANT)
ENUCLEATION / EVICERATION WITH
017 OPS033 16000 13400 10700 8000 5300
IMPLANT
018 OPS034 EPICANTHUS + TELECANTHUS CORRECTION 21000 17500 14000 10500 7000
019 OPS035 EPICANTHUS CORRECTION 14000 11700 9400 7000 4700
020 OPS010 EXAMINATION UNDER G.A. 3000 2500 2000 1500 1000
021 OPS036 EXENTRATION OF ORBIT + SOCKET REPAIR 20000 16700 13300 10000 6700
022 OPS001 EXTRACTION OF CHALAZION – SINGLE 4000 3300 2700 2000 1300
023 OPS052 EXTRACTION OF CHALAZION – MULTIPLE 5000 4200 3400 2500 1700
024 OPS042 FOREIGN BODY REMOVAL – EYE 3300 2750 2200 1650 1100
INTRA VITREAL INJECTION – ANTIBIOTIC/
025 OPS049 6000 5000 4000 3000 2000
STEROIDS
026 OPS046 INTRA VITREAL INJECTION – ANTI VEGF 7000 5800 4800 3500 2400
027 OPS022 INTRA-OCULAR FOREIGN BODY REMOVAL 22000 18300 14700 11000 7400
028 OPS014 LID INJURY MAJOR 12000 10000 8000 6000 4000
029 OPS013 LID INJURY MINOR 9000 7500 6000 4500 3000
LID TUMORS EXCISION AND REPAIR-WITH
030 OPS037 19000 15800 12800 9500 6400
GRAFTING
LID TUMORS EXCISON AND REPAIR
031 OPS038 12000 10000 8000 6000 4000
-WITHOUT GRAFTING
032 OPS005 MAJOR RECONSTRUCTIVE SURGERY 22000 18300 14700 11000 7400
M.I.C.S. WITH I.O.L. IMPLANTATION (COST OF
033 OPS051 24000 20000 16000 12000 8000
LENS EXTRA)
034 OPS009 NEEDLING & ASPIRATION 3000 2500 2000 1500 1000
035 OPS023 PERFORATING INJURY REPAIR 21000 17500 14000 10500 7000
PHACOEMULSIFICATION WITH I.O.L.
036 OPS007 22000 18500 14800 11000 7400
IMPLANTATION (LENS COST EXTRA)
PHACOEMULSIFICATION WITH GLUCOMA
037 OPS053 27000 22500 18000 13500 9000
SURGERY COMBINED
PROBING & SYRINGING OF NASO-LACRIMAL
038 OPS044 3300 2750 2200 1650 1100
DUCT
039 OPS039 PTERYGIUM SURGERY WITH GRAFTING 10000 8300 6700 5000 3350
19

07:07 OPHTHALMOLOGY SURGERY DR PR SPR NSB SB
040 OPS040 PTERYGIUM SURGERY WITHOUT GRAFTING 5000 4200 3400 2500 1700
041 OPS026 PTOSIS 17000 14000 11300 8500 5700
042 OPS048 PUPILOPLASTY 10000 8300 6700 5000 3350
043 OPS003 RETINAL DETACHMENT SURGERY 21000 17500 14000 10500 7000
044 OPS021 RETINAL DETACHMENT WITH VITRECTOMY 24000 20000 16000 12000 8000
045 OPS045 SECONDARY I.O.L. IMPLANTATION 16000 13400 10700 8000 5300
046 OPS006 SOCKET RECONSTRUCTION 21000 17500 14000 10500 7000
SQUINT CORRECTION: MORE THAN
047 OPS017 21000 17500 14000 10500 7000
2-MUSCLES / VERTICAL MUSCLES
SQUINT CORRECTION: UPTO 2-MUSCLES /
048 OPS016 18000 15000 12000 9000 6000
HORIZONTAL MUSCLES
049 OPS041 TARSORRHPHY – PERMANENT 7000 5800 4800 3500 2400
050 OPS050 TARSORRHPHY – TEMPORARY 4500 3750 3000 2250 1500
051 OPS043 TRABECULECTOMY 18000 15000 12000 9000 6000
052 OPS008 TUMOR OF IRIS 21000 17500 14000 10500 7000
053 OPS004 VITRECTOMY 22000 18300 14700 11000 7400
07:08 ORTHOPAEDICS SURGERY

AMPUTATION & DISARTICULATION
001 ORL049 AMPUTATION THROUGH LARGE BONES 18000 15000 12000 9000 6000
AMPUTATION DISARTICULATION THROUGH
002 ORL050 9000 7500 6000 4500 3000
SMALL BONES / DIGITS / RAYS
DISARTICULATION – KNEE / ANKLE / WRIST
003 ORL055 15000 12500 10000 7500 5000
/ ELBOW
004 ORU003 DISARTICULATION - SHOULDER 24000 20000 16000 12000 8000
005 ORL019 DISARTICULATION THROUGH HIP 24000 20000 16000 12000 8000
006 ORL101 REVISION AMPUTATION / STUMP CLOSURE 12000 10000 8000 6000 4000
ARTHROPLASTY
HEMIARTHROPLASTY WITH OR WITHOUT
007 ORL011 30000 25000 20000 15000 10000
CEMENTING
008 ORL056 REVISION ARTHROPLASTY - HIP / KNEE 53000 44000 35000 26500 17500
009 ORL012 TOTAL HIP REPLACEMENT 48000 40000 32000 24000 16000
010 ORL028 TOTAL KNEE REPLACEMENT 48000 40000 32000 24000 16000
TOTAL REPLACEMENT – ELBOW / WRIST /
011 ORU027 36000 30000 24000 18000 12000
ANKLE JOINT
012 ORU008 TOTAL REPLACEMENT - SHOULDER 42000 35000 28000 21000 14000
013 ORU039 RADIAL HEAD REPLACEMENT 21000 17500 14000 10500 7000
014 ORL090 RE-SURFACING OF PATELLA 24000 20000 16000 12000 8000
PUTTI PLATE RECONSTRUCTION OF
015 ORU019 27000 22500 18000 13500 9000
SHOULDER / LATERJET PROCEDURE
ARTHROTOMY AND ABSCESS

ARTHROTOMY : HIP / KNEE / ANKLE /
016 ORL035 16000 13400 10700 8000 5300
SHOULDER / ELBOW / WRIST
ARTHROTOMY : OTHER SMALL JOINTS -
017 ORL036 12000 10000 8000 6000 4000
FINGERS / TOES / HANDS / FEET
20

07:08 ORTHOPAEDICS SURGERY DR PR SPR NSB SB
ARTHROTOMY AND ABSCESS
DRAINAGE OF ABSCESS-DEEP : HIP / KNEE /
018 ORL022 9000 7500 6000 4500 3000
ANKLE / SPINE
019 ORL059 PSOAS / PARA VERTEBRAL ABSCESS 14000 11700 9400 7000 4700
020 ORL100 DRAINAGE OF ABSCESS- SUPERFICIAL 6000 5000 4000 3000 2000
ARTHROSCOPIC SURGERY
ARTHROSCOPIC REPAIR SHOULDER -
021 ORU029 32000 26800 21400 16000 10700
BANKART’S REPAIR/ROTATOR CUFF REPAIR
ARTHROSCOPIC SURGERY – SHOULDER
022 ORU038 DECOMPRESSION / ACROMIOPLASTY / 24000 20000 16000 12000 8000
ARTHROSCOPIC RELEASE
DIAGNOSTIC ARTHROSCOPY- KNEE /
023 ORL023 13000 10800 8800 6500 4400
SHOULDER / ANKLE / WRIST
OPEN / ARTHROSCOPIC ANT. C. LIGAMENT /
024 ORL058 30000 25000 20000 15000 10000
PCL RECONSTRUCTION
025 ORL024 ARTHROSCOPIC MENISCECTOMY 18000 15000 12000 9000 6000
026 ORL102 MENISCUS REPAIR 27000 22500 18000 13500 9000
027 ORL103 ARTHROSCOPIC SYNOVECTOMY 20000 16700 13300 10000 6700
OPERATIVE ARTHROSCOPY-LOOSE BODY
028 ORL104 20000 16700 13300 10000 6700
REMOVAL / ARTHRISCOPIC RELEASE
BIOPSIES
029 ORL030 OPEN BIOPSY : BONES 10000 8300 6800 5000 3400
SYNOVECTOMY : HIP / KNEE / SHOULDER /
030 ORL038 18000 15000 12000 9000 6000
WRIST
031 ORL039 SYNOVECTOMY : OTHER SMALL JOINTS 13000 10800 8800 6500 4400
032 ORL105 NEEDLE BIOPSY : BONES 8000 6700 5400 4000 2700
BONE GRAFTING
033 ORL106 BONE GRAFTING – SMALL BONES 11000 9200 7400 5500 3700
034 ORU022 BONE GRAFTING – LONG BONES 16000 13400 10700 8000 5300
035 ORL107 ARTIFICIAL BONE GRAFTING 8000 6700 5400 4000 2700
CLOSE REDUCTION
CLOSED REDUCTION – FRACTURE : Forearm,
036 ORL001 9000 7500 6000 4500 3000
Arm, Leg, thigh, Wrist, Ankle
CLOSED REDUCTION - DISLOCATION : Elbow,
037 ORU005 10000 8300 6800 5000 3400
Shoulder, Knee, Wrist, Ankle
MANIPULATION UNDER ANESTHESIA
038 ORU031 10000 8300 6800 5000 3400
(M.U.A.)
039 ORL108 CLOSED REDUCTION-DISLOCATION : HIP 15000 12500 10000 7500 5000
CLOSED REDUCTION-FRACTURE &
040 ORL109 5000 4200 3400 2500 1700
DISLOCATION: Hand, Foot Bone
21

DRESSINGS, DEBRIDEMENT AND FASCIOTOMY
041 ORL089 FASCIOTOMY – LARGE 15000 12500 10000 7500 5000
042 ORU034 FASCIOTOMY – SMALL 10000 8300 6800 5000 3400
043 ORL088 FASCIOTOMY – THREE COMPARTMENT LEG 20000 16700 13300 10000 6700
044 ORL006 WOUND DEBRIDEMENT & TOILETTING – SMALL 8000 6700 5400 4000 2700
WOUND DEBRIDEMENT AND TOILETTING –
045 ORU016 12000 10000 8000 6000 4000
LARGE
FRACTURES
K.WIRE FIXATION
046 ORU006 FIXATION WITH K.WIRE -LONG BONE 15000 12500 10000 7500 5000
047 ORU041 FIXATION WITH K.WIRE- MULTIPLE SMALL BONE 18000 15000 12000 9000 6000
048 ORU042 FIXATION WITH K.WIRE-SMALL BONE 12000 10000 8000 6000 4000
PLATING FIXATION
ACETABULAR RECONSTRUCTION – ANTERIOR
049 ORL017 32000 26800 21400 16000 10700
COLUMN
ACETABULAR RECONSTRUCTION – POSTERIOR
050 ORL115 32000 26800 21400 16000 10700
COLUMN
051 ORL016 FIXATION WITH PLATING – PELVIC BONES 28000 23300 18800 14000 9400
TIBIAL PLATEAU ELEVATION & FIXATION (I
052 ORL027 26000 21700 17400 13000 8700
GRAFTING)
053 ORU036 O.R.I.F. WITH PLATING – LONG BONE 21000 17500 14000 10500 7000
054 ORU048 O.R.I.F. WITH PLATING – SMALL BONE 18000 15000 12000 9000 6000
055 ORU032 O.R.I.F. WITH PLATING - BOTH BONES 28000 23300 18800 14000 9400
O.R.I.F. WITH PLATING WITH BONE GRAFT –
056 ORU052 28000 23300 18800 14000 9400
LONG BONES
O.R.I.F. WITH PLATING WITH BONE GRAFT -
057 ORU004 32000 26800 21400 16000 10700
BOTH BONE
058 ORU049 O.R.I.F. WITH DUAL PLATING – LONG BONE 25000 20800 16800 12500 8400
NAILING FIXATION
059 ORL005 INTERLOCKING NAILING / PFN 32000 26800 21400 16000 10700
060 ORL092 DYNAMISATION OF I.M. NAIL 4500 3750 3000 2250 1500
061 ORU050 FLEXIBLE INTRA-MEDULLARY / TENS NAILING 18000 15000 12000 9000 6000
062 ORU051 O.R.I.F. WITH INTERLOCKING WITH BONE GRAFT 35000 29000 23400 17500 11700
EXTERNAL FIXATION
063 ORL091 ADJUSTMENT OF EXTERNAL FIXATOR 12000 10000 8000 6000 4000
064 ORL009 EXTERNAL FIXATION - LONG BONES 18000 15000 12000 9000 6000
EXTERNAL FIXATION (ILIAZAROV TECHNIQUE) –
065 ORL094 24000 20000 16000 12000 8000
LONG BONES
066 ORU040 EXTERNAL FIXATOR – SMALL BONES 14000 11700 9400 7000 4700
067 ORU053 EXTERNAL FIXATION – PELVIS 18000 15000 12000 9000 6000
068 ORL063 FAILED CLUB FOOT FIXATOR CORRECTION 24000 20000 16000 12000 8000
22

FIXATION WITH SCREWS
069 ORU045 O.R.I.F. WITH SCREWS 14000 11700 9400 7000 4700
070 ORL078 O.R.I.F. WITH DHS 24000 20000 16000 12000 8000
FIXATION WITH TENSION BAND WIRING

071 ORU033 TENSION BAND WIRING 17000 14000 11300 8500 5700
072 ORL082 CIRCLAGE WIRING 17000 14000 11300 8500 5700
OTHER FIXATION
073 ORL070 O.R.I.F ANKLE - BIMALLEOLAR FIXATION 21000 17500 14000 10500 7000
074 ORL087 O.R.I.F. ANKLE – TRIMALLEOLAR FIXATION 26000 21700 17400 13000 8700
075 ORL031 PATELLECTOMY 16000 13400 10700 8000 5300
IMPLANT REMOVAL
REMOVAL OF IMPLANTS : MAJOR (PLATES,
076 ORL053 EXTERNAL FIXATOR, NAIL, TENSION BAND 10000 8300 6800 5000 3400
WIRE)
077 ORL052 REMOVAL OF IMPLANTS : MINOR : SCREWS ETC 6500 5400 4400 3250 2200
078 ORU054 REMOVAL OF IMPLANTS : K.WIRE 4500 3750 3000 2250 1500
079 ORU055 REMOVAL OF IMPLANT – THR / BIPOLAR / TKR 15000 12500 10000 7500 5000
OSTEOMYLITIS
080 ORU043 OSTEOMYELITIS - LONG BONES 21000 17500 14000 10500 7000
081 ORU044 OSTEOMYELITIS - SMALL BONES 14000 11700 9400 7000 4700
082 ORL084 SEQUESTRECTOMY - LONG BONES 21000 17500 14000 10500 7000
083 ORL083 SEQUESTRECTOMY - SMALL BONES 13000 10800 8800 6500 4400
OSTEOMIES AND ARTHRODESIS

ARTHRODESIS : ANKLE, KNEE, SHOULDER,
084 ORL043 24000 20000 16000 12000 8000
ELBOW, WRIST, TRIPLE.
085 ORL018 ARTHRODESIS OF HIP 30000 25000 20000 15000 10000
086 ORU024 ARTHRODESIS OF MINOR JOINTS 10000 8300 6800 5000 3400
087 ORL048 OSTEOTOMY : MID FOOT 21000 17500 14000 10500 7000
088 ORU026 OSTEOTOMY AND FIXATION 24000 20000 16000 12000 8000
089 ORL013 OSTEOTOMY AROUND HIP 26000 21700 17400 13000 8700
090 ORL062 PELVIC OSTEOTOMIES 26000 21700 17400 13000 8700
091 ORU056 OSTEOCLASIS AND FIXATION 15000 12500 10000 7500 5000
092 ORU057 EPIPHYSIODESIS 15000 12500 10000 7500 5000
TENDON AND NERVE SURGERY

093 ORU012 CARPAL TUNNEL RELEASE / DECOMPRESSION 15000 12500 10000 7500 5000
MAJOR RECONSTRUCTION : NERVE
094 ORL034 25000 20800 16800 12500 8400
/ TENDONS (MORE THAN 3)
23

TENDON AND NERVE SURGERY
MINOR RECONSTRUCTION : NERVES
095 ORL033 19000 15800 12800 9500 6400
/ TENDONS
096 ORU010 REPAIR OF TENDONS - 3 OR LESS 17000 14000 11300 8500 5700
REPAIR OF TENDONS -MORE THAN 3
097 ORU011 24000 20000 16000 12000 8000
TENDONS
TENDON ACHILLES / REPAIR &
098 ORL047 16000 13400 10700 8000 5300
RECONSTRUCTION
TENDON LENGTHENING / STERNOMASTOID
099 ORL098 20000 16700 13300 10000 6700
RELEASE
100 ORU015 TENDON TRANSFER & REPAIR 20000 16700 13300 10000 6700
101 ORU001 TENDON TRANSFER MULTIPLE 27000 22500 18000 13500 9000
PERIPHERAL NERVE TRANSFER
102 ORU018 23000 19200 15400 11500 7700
/ TRANSPOSITION
103 ORL073 PERCUTANEOUS TENOTOMY (3 OR LESS) 10000 8300 6800 5000 3400
104 ORL074 PERCUTANEOUS TENOTOMY (MORE THAN 3) 14000 11700 9400 7000 4700
105 ORL041 CLUB FOOT RELEASE (CTEV) : BILATERAL 23000 19200 15400 11500 7700
106 ORL040 CLUB FOOT RELEASE (CTEV) : UNILATERAL 18000 15000 12000 9000 6000
PERIPHERAL NERVE EXPLORATION
107 ORU058 15000 12500 10000 7500 5000
/ NEUROLYSIS
108 ORL110 QUADRICEPSPLASTY 19000 15800 12800 9500 6400
109 ORL111 LIGAMENT REPAIR – UPTO TWO 18000 15000 12000 9000 6000
110 ORL112 LIGAMENT REPAIR – MORE THAN TWO 24000 20000 16000 12000 8000
TUMOURS
MINOR EXCISION OF SWELLING / TUMOR
111 ORL021 10000 8300 6800 5000 3400
WITH OR WITHOUT BIOPSY
TUMOR EXCISION & RECONSTRUCTION -
112 ORL020 33000 27500 22000 16500 11000
LONG BONES
TUMOR EXCISION & RECONSTRUCTION –
113 ORL113 18000 15000 12000 9000 6000
SMALL BONES
114 ORU037 EXCISION OF BURSAE 10000 8300 6800 5000 3400
115 ORU014 EXCISION OF GANGLION 10000 8300 6800 5000 3400
116 ORL114 EXCISION OF EXOSTOSIS 12000 10000 8000 6000 4000
SPINE
117 ORS004 ANTEROLATERAL DECOMPRESSION 32000 26800 21400 16000 10700
118 ORS005 CERVICAL VERTIBRECTOMY 45000 37500 30000 22500 15000
LAMINECTOMY (LUMBAR / CERVICAL)
119 ORS001 36000 30000 24000 18000 12000
/ DISCECTOMY
POSTERIOR / ANTERIOR FUSION &
120 ORS002 45000 37500 30000 22500 15000
INSTRUMENTATION
121 ORS003 POSTERIOR / ANTERIOR FUSION ONLY 33000 27500 22000 16500 11000
MISCELLANEOUS
122 ORL054 TARGETTED DELIVERY OF STEROID 4000 3300 2700 2000 1300
123 ORL045 EXCISION : NAIL & NAIL BED 10000 8300 6800 5000 3400
24

MISCELLANEOUS
124 ORL046 MINOR PROCEDURES IN FOOT 10000 8300 6800 5000 3400
125 ORL086 SKELETAL TRACTION (IN O.T.) 5000 4200 3400 2500 1700
126 ORL015 C.D.H. (OPEN REDUCTION & FIXATION) 30000 25000 20000 15000 10000
127 ORL014 C.D.H. (CLOSED REDUCTION & HIP SPICA) 17000 14000 11300 8500 5700
CORE DECOMPRESSION FOR AVN HIP WITH
128 ORL065 28000 23300 18800 14000 9400
FIBULAR GRAFTING
CORE DECOMPRESSION FOR AVN HIP
129 ORL066 24000 20000 16000 12000 8000
WITHOUT FIBULAR GRAFTING
LIMB LENGTHENING WITH
130 ORL051 27000 22500 18000 13500 9000
INSTRUMENTATION
131 ORL069 MUSCLE PEDICLE GRAFTING 32000 26800 21400 16000 10700
DE QUERVAIN RELEASE TRIGGER THUMB
132 ORU028 10000 8300 6800 5000 3400
/ FINGER
EXCISION HEAD OF RADIUS / LOWER END
133 ORU013 14000 11700 9400 7000 4700
ULNA
07:09 NEURO SURGERY

001 NES001 BURR HOLES FOR CH SDH / ABSCESS 12000 10000 8000 6000 4000
002 NES042 CERVICAL TRACTION (IN O.T.) 4000 3300 2700 2000 1300
003 NES029 CORPECTOMY 51000 42500 34000 25500 17000
004 NES005 CRANIOPLASTY 40000 33300 26800 20000 13400
005 NES014 CRANIOTOMY - A.V.MALFORMATION 60000 50000 40000 30000 20000
006 NES013 CRANIOTOMY - ABSCESS / CYSTS 51000 42500 34000 25500 17000
007 NES016 CRANIOTOMY - ACOUSTIC NEUROMA 51000 42500 34000 25500 17000
008 NES015 CRANIOTOMY - ANEURYSM 60000 50000 40000 30000 20000
009 NES017 CRANIOTOMY - BRAIN STEM TUMOR 60000 50000 40000 30000 20000
010 NES032 CRANIOTOMY - CONTUSIONS 51000 42500 34000 25500 17000
011 NES012 CRANIOTOMY - CRANIOPHARYNGIOMA 51000 42500 34000 25500 17000
012 NES008 CRANIOTOMY - EXTRADURAL HEMATOMA 42000 35000 28000 21000 14000
013 NES018 CRANIOTOMY - FOR CSF RHINORRHEA 51000 42500 34000 25500 17000
CRANIOTOMY - INTRACEREBRAL
014 NES006 45000 37500 30000 22500 15000
HEMATOMA
015 NES011 CRANIOTOMY - PITUITARY TUMOR 51000 42500 34000 25500 17000
016 NES010 CRANIOTOMY - POST. FOSSA TUMOR 51000 42500 34000 25500 17000
017 NES007 CRANIOTOMY - SUBDURAL HEMATOMA 45000 37500 30000 22500 15000
018 NES041 CRANIOTOMY - TEMPORAL CRANIOTOMY 45000 37500 30000 22500 15000
019 NES009 CRANIOTOMY - VASCULAR TUMOR 51000 42500 34000 25500 17000
020 NES033 CRANIOTOMY FOR DEPRESSED FRACTURE 42000 35000 28000 21000 14000
021 NES052 DE-TEETHERING OF CORD 9000 7500 6000 4500 3000
022 NES034 DECOMPRESSIVE CRANIOTOMY 51000 42500 34000 25500 17000
DISCECTOMY (CERVICAL / DORSAL
023 NES023 36000 30000 24000 18000 12000
/ MICRO-II LEVELS)
024 NES053 ENDODSCOPIC COLLOID CYST EXCISION 51000 42500 34000 25500 17000
ENDOSCOPIC LUMBAR / CERVICAL DISC
025 NES054 60000 50000 40000 30000 20000
(MULTIPLE)
25

07:09 NEURO SURGERY DR PR SPR NSB SB
ENDOSCOPIC LUMBAR / CERVICAL DISC
026 NES055 51000 42500 34000 25500 17000
(SINGLE)
027 NES056 ENDOSCOPIC THIRD VENTRICULOSTOMTY 31000 26000 20800 15600 10400
028 NES035 ENDODSCOPIC SURGERY 60000 50000 40000 30000 20000
029 NES046 EXTERNAL VENTRICULAR DRAINAGE (EVD) 22000 18300 14700 11000 7400
030 NES057 FORAMINAL BLOCKS FOR LUMBAR SPINE 9000 7500 6000 4500 3000
031 NES051 FORAMINOTOMY 26000 21700 17400 13000 8700
032 NES022 LAMINECTOMY (LUMBAR) 36000 30000 24000 18000 12000
033 NES058 MENINGOCOEL REPAIR 28000 23300 18800 14000 9400
034 NES059 MENINGO-MYELOCELE REPAIR 31000 26000 20800 15600 10400
035 NES025 MICRODISCECTOMY - MORE THAN II LEVELS 40000 33300 26800 20000 13400
036 NES043 NEUCLEOPLASTY 36000 30000 24000 18000 12000
037 NES028 NEURO-ENDOSCOPIC SKULL BASE SURGERY 51000 42500 34000 25500 17000
038 NES060 OMAYA RESERVOIR INSERTION 28000 23300 18800 14000 9400
039 NES061 OMAYA RESERVOIR TAP 3000 2500 2000 1500 1000
OPERATION FOR CANAL STENOSIS (LUMBAR
040 NES024 40000 33300 26800 20000 13400
/ CERVICAL)
041 NES036 PERIPHERAL NERVE SURGERY 36000 30000 24000 18000 12000
RF LESSIONING / PRGR FOR TRIMENIAL
042 NES062 22000 18300 14700 11000 7400
NEURALGIA
043 NES045 REMOVAL OF V.P.SHUNT 9000 7500 6000 4500 3000
044 NES021 REPAIR OF ENCEPHALOCELE 30000 25000 20000 15000 10000
045 NES019 REPAIR OF MENINGOCELE 30000 25000 20000 15000 10000
046 NES020 REPAIR OF MENINGOMYELOCELE 30000 25000 20000 15000 10000
047 NES004 REVISION OF SHUNT 28000 23300 18800 14000 9400
048 NES003 SHUNT FOR HYDRO CEPHALUS 28000 23300 18800 14000 9400
049 NES037 SPINAL DYSRAPHISM 40000 33300 26800 20000 13400
050 NES038 SPINAL INSTRUMENTATION 51000 42500 34000 25500 17000
051 NES026 SPINAL TUMOR / HEMATOMA / ABSCESS 51000 42500 34000 25500 17000
052 NES047 SUBDURAL TAP 4500 3750 3000 2250 1500
053 NES030 SURGERY FOR CRANIOSYNOSTOSIS 40000 33300 26800 20000 13400
TRANS SPHENOIDAL PITUITARY / SELLAR
054 NES027 51000 42500 34000 25500 17000
SURGERY
055 NES044 UNLOCKING OF FACET JOINT 3000 2500 2000 1500 1000
056 NES039 VENTRIC TAP 6000 5000 4000 3000 2000
057 NES002 VENTRICULO AURICULAR SHUNT 28000 23300 18800 14000 9400
058 NES040 VERTEBROPLASTY 40000 33300 26800 20000 13400
07:10 E.N.T. SURGERY

001 ENS019 ABSCESS TONSILLECTOMY - I. & D. 10000 8300 6800 5000 3400
002 ENS045 ADENO-TONSILLECTOMY 15000 12500 10000 7500 5000
003 ENS062 ADENOIDECTOMY 8000 6700 5400 4000 2700
004 ENS064 ANGIOFIBROMA REMOVAL 30000 25000 20000 15000 10000
005 ENS065 ANTRAL POLYPECTOMY 8000 6700 5400 4000 2700
006 ENS046 ANTRAL WASH : UNILATERAL OR BILATERAL 4500 3750 3000 2250 1500
007 ENS056 BIOPSY CHEEK OR TONGUE : U/L OR B/L 6000 5000 4000 3000 2000
26

07:10 E.N.T. SURGERY DR PR SPR NSB SB
BRONCHOSCOPY WITH OR WITHOUT
008 ENS008 10000 8300 6800 5000 3400
F.B.REMOVAL / BIOPSY
009 ENS041 CALDWELL LUC : BILATERAL 14000 11700 9400 7000 4700
010 ENS040 CALDWELL LUC : UNILATERAL 10000 8300 6800 5000 3400
011 ENS067 CAUTERY PATCHING EAR 5000 4200 3400 2500 1700
012 ENS063 CHANGE OF TRACHEOSTOMY TUBE 1800 1500 1200 900 600
013 ENS068 COCHLEAR IMPLANT 48000 40000 32000 24000 16000
COMMANDO SURGERY WITH MODIFIED
014 ENS089 51000 42500 34000 25500 17000
RADICAL NECK DISSECTION
015 ENS042 DIAGNOSTIC NASAL ENDOSCOPY 3000 2500 2000 1500 1000
016 ENS069 ENDOLYMPHATIC SAC DECOMPRESSION 32000 26800 21400 16000 10700
017 ENS086 ENDOSCOPIC CHOANAL ATRESIA REPAIR B/L 27000 22500 18000 13500 9000
018 ENS070 ENDOSCOPIC CSF RHINORRHEA REPAIR 32000 26800 21400 16000 10700
019 ENS013 ENDOSCOPIC DACROCYSTORHINOSTOMY 24000 20000 16000 12000 8000
020 ENS009 ETHMOIDECTOMY (EXTERNAL) 18000 15000 12000 9000 6000
EXCISION OF PALATIAL GROWTH WITH FLAP
021 ENS085 30000 25000 20000 15000 10000
REPAIR
022 ENS029 EXCISION THYROGLOSSAL CYST 14000 11700 9400 7000 4700
EXTENDED TRANS LABYRINTHINE
023 ENS087 38000 31700 25400 19000 12700
APPROACH
FACIAL NERVE DECOMPRESSION OR
024 ENS025 35000 29000 23400 17500 11700
GRAFTING
FACIAL REANIMATION PROCEDURE - LID
025 ENS071 21000 17500 14000 10500 7000
LOADING
FACIAL REANIMATION PROCEDURE -
026 ENS072 24000 20000 16000 12000 8000
TEMPORALIS TRANSFER
027 ENS073 FESS - LIMITED 12000 10000 8000 6000 4000
028 ENS088 FESS – EXTENDED – UNILATERAL 24000 20000 16000 12000 8000
029 ENS044 FESS : BILATERAL 23000 19200 15400 11500 7700
030 ENS043 FESS : UNILATERAL 15000 12500 10000 7500 5000
FOREIGN BODY REMOVAL - EAR / NOSE
031 ENS012 4000 3300 2700 2000 1300
/ THROAT
032 ENS022 FRACTURE NASAL BONES 9000 7500 6000 4500 3000
033 ENS095 GLOSSECTOMY – PARTIAL 17000 14000 11300 8500 5700
034 ENS096 GLOSSECTOMY – TOTAL 30000 25000 20000 15000 10000
035 ENS097 GVELO-PALATOPHARYNGOPLASTY 33000 27500 22000 16500 11000
036 ENS024 HEMATOMA PINNA : BILATERAL 8000 6700 5400 4000 2700
037 ENS023 HEMATOMA PINNA : UNILATERAL 5000 4200 3400 2500 1700
038 ENS053 I. & D. OF PARA PHARYNGEAL ABSCESS 12000 10000 8000 6000 4000
039 ENS030 I. & D. OF THYROGLOSSAL CYST 6500 5400 4400 3250 2200
040 ENS057 I. & D. QUINCY 6500 5400 4400 3250 2200
I. & D. TONSILLAR ABSCESS : UNILATERAL OR
041 ENS059 12000 10000 8000 6000 4000
BILATERAL
042 ENS031 LARYNGECTOMY (TOTAL) 30000 25000 20000 15000 10000
043 ENS017 LARYNGOSCOPY - DIRECT 4500 3750 3000 2250 1500
044 ENS084 LARYNGOSCOPY - FIBER OPTIC 8000 6700 5400 4000 2700
27

045 ENS060 LATERAL RHINOTOMY 24000 20000 16000 12000 8000
046 ENS055 LYMPH NODE BIOPSY 8000 6700 5400 4000 2700
047 ENS014 MASTOIDECTOMY (MODIFIED) 22000 18300 14700 11000 7400
048 ENS037 MASTOIDECTOMY WITH TYMPANOPLASTY 30000 25000 20000 15000 10000
049 ENS028 MAXILLARY SINUS SURGERY 12000 10000 8000 6000 4000
050 ENS099 MAXILLECTOMY 33000 27500 22000 16500 11000
051 ENS098 MAXILLECTOMY -MEDIAL 21000 17500 14000 10500 7000
052 ENS026 MICRO LARYNGEAL SURGERY 14000 11700 9400 7000 4700
053 ENS006 MICRO LARYNGOSCOPY WITH BIOPSY 8000 6700 5400 4000 2700
054 ENS038 MICROSCOPIC EXAMINATION (E.U.M.) 2500 2100 1800 1250 900
MODIFIED ENDOSCOPIC LATHROP
055 ENS100 30000 25000 20000 15000 10000
PROCEDURE (M.E.L.)
056 ENS034 MYRINGOPLASTY 18000 15000 12000 9000 6000
MYRINGOTOMY WITH OR WITHOUT
057 ENS036 8000 6700 5400 4000 2700
GROMMET : BILATERAL
MYRINGOTOMY WITH OR WITHOUT
058 ENS035 5000 4200 3400 2500 1700
GROMMET : UNILATERAL
059 ENS048 NASAL CAUTERY IN EPISTAXIS 4500 3750 3000 2250 1500
NASAL ENDOSCOPIC CAUTERISATION FOR
060 ENS074 8000 6700 5400 4000 2700
EPISTAXIS
061 ENS090 NASAL ENDOSCOPY WITH BIOPSY 5000 4200 3400 2500 1700
062 ENS091 NASAL PACK REMOVAL (IN O.T.) 2200 1800 1500 1100 750
NASAL PACK REMOVAL + CHECK NASAL
063 ENS092 3000 2500 2000 1500 1000
ENDOSCOPY (IN O.T.)
NASAL PACKING – ANTERIOR (WITH PACK
064 ENS058 4000 3300 2700 2000 1300
REMOVAL)
NASAL PACKING – POSTERIOR (WITH PACK
065 ENS094 5000 4200 3400 2500 1700
REMOVAL)
NASAL PACKING – ANTERIOR WITH
066 ENS027 6500 5400 4400 3250 2200
POSTERIOR (WITH PACK REMOVAL)
067 ENS033 NASAL POLYPECTOMY : BILATERAL 10000 8300 6700 5000 3350
068 ENS032 NASAL POLYPECTOMY : UNILATERAL 7000 5800 4800 3500 2400
069 ENS101 NECK DISSECTION – PARTIAL 18000 15000 12000 9000 6000
070 ENS102 NECK DISSECTION – TOTAL 29000 24200 19400 14500 9700
OESOPHAGOSCOPY WITH F.BODY REMOVAL
071 ENS002 10000 8300 6700 5000 3350
+ BIOPSY
072 ENS007 OSSICULOPLASTY / TYMPANOTOMY 24000 20000 16000 12000 8000
073 ENS052 PRE AURICULAR SINUS : BILATERAL 13000 10800 8800 6500 4400
074 ENS051 PRE AURICULAR SINUS : UNILATERAL 11000 9200 7400 5500 3700
075 ENS076 RHINOPLASTY 21000 17500 14000 10500 7000
076 ENS016 S.M.R. 11000 9200 7400 5500 3700
077 ENS039 SEPTOPLASTY 10000 8300 6700 5000 3350
078 ENS011 SEPTOPLASTY WITH S.M.D. 12000 10000 8000 6000 4000
079 ENS061 SEPTORHINOPLASTY 24000 20000 16000 12000 8000
080 ENS047 SMD 5000 4200 3400 2500 1700
081 ENS050 SPLIT EAR LOBULE : BILATERAL 5500 4600 3700 2750 1850
28

082 ENS049 SPLIT EAR LOBULE : UNILATERAL 3500 2900 2300 1750 1200
083 ENS015 STAPEDECTOMY 26000 21700 17400 13000 8700
084 ENS021 STYLOIDECTOMY : BILATERAL 18000 15000 12000 9000 6000
085 ENS020 STYLOIDECTOMY : UNILATERAL 11000 9200 7400 5500 3700
086 ENS077 THYROPLASTY 18000 15000 12000 9000 6000
THYROPLASTY WITH ARYTENOID -
087 ENS078 21000 17500 14000 10500 7000
ABDUCTION / ADDUCTION
088 ENS005 TONSILLECTOMY 10000 8300 6800 5000 3400
089 ENS018 TRACHEOSTOMY 12000 10000 8000 6000 4000
090 ENS004 TURBINECTOMY : BILATERAL 8000 6700 5400 4000 2700
091 ENS003 TURBINECTOMY : UNILATERAL 5500 4600 3700 2750 1850
092 ENS010 TYMPANOPLASTY 22000 18300 14700 11000 7400
093 ENS103 VESTIBULAR NEURONECTOMY 30000 25000 20000 15000 10000
094 ENS079 VOCAL CORD LATERLIZATION 12000 10000 8000 6000 4000
095 ENS054 YOUNG OPERATION 12800 10700 8600 6400 4300
07:11 THORACIC SURGERY

BRONCHOSCOPY WITH OR WITHOUT
001 THS002 10000 8300 6700 5000 3350
F.B.REMOVAL / BIOPSY
002 THS024 BULLECTOMY 35000 29000 23400 17500 11700
003 THS035 CERVICAL RIB EXCISION – BILATERAL 33000 27500 22000 16500 11000
004 THS036 CERVICAL RIB EXCISION – UNILATERAL 21000 17500 14000 10500 7000
005 THS008 CHEST ASPIRATION 5500 4600 3700 2750 1850
006 THS031 CLOSURE OF BRONCHO-PLEURAL FISTULA 23000 19200 15400 11500 7700
007 THS014 DECORTICATION THORACOTOMY 33000 27500 22000 16500 11000
008 THS020 DECORTICATION WITH LOBECTOMY 42000 35000 28000 21000 14000
DIAGNOSTIC THORACOSCOPY AND
009 THS037 13000 10800 8800 6500 4400
DRAINAGE
EXCISION OF CHEST WALL TUMOR
010 THS038 13000 10800 8800 6500 4400
EXCLUDING RIBS
EXCISION OF CHEST WALL TUMOR
011 THS039 31000 26000 20800 15600 10400
INCLUDING RIBS
012 THS001 EXPLORATORY THORACOTOMY 23000 19200 15400 11500 7700
013 THS005 HIATUS OR DIAPHRAGMATIC HERNIA 31000 26000 20800 15600 10400
014 THS025 HYDATID CYST 31000 26000 20800 15600 10400
015 THS009 INTERCOSTAL DRAINAGE 9000 7500 6000 4500 3000
016 THS012 LOBECTOMY - WEDGE, SEGMENT / LOBE 35000 29000 23400 17500 11700
MEDIASTINAL LYMPHNODE EXCISION &
017 THS022 16000 13400 10700 8000 5300
BIOPSY
018 THS003 MEDIASTINAL TUMOR EXCISION 33000 27500 22000 16500 11000
019 THS010 NEEDLE BIOPSY- PLEURA / LUNG 7000 5800 4800 3500 2400
020 THS007 OESOPHAGOSCOPY WITH F.B.REMOVAL 10000 8300 6800 5000 3400
021 THS011 OPEN BIOPSY - PLEURA / LUNG 15000 12500 10000 7500 5000
022 THS017 PERICARDECTOMY 31000 26000 20800 15600 10400
023 THS018 PERICARDIOSTOMY 26000 21700 17400 13000 8700
29

07:11 THORACIC SURGERY DR PR SPR NSB SB
024 THS028 PLEURAL ASPIRATION 3000 2500 2000 1500 1000
025 THS041 PLEURECTOMY 35000 29000 23400 17500 11700
026 THS027 PLEURODESIS EACH SITTING 3500 2900 2300 1750 1200
027 THS013 PNEUMENECTOMY 42000 35000 28000 21000 14000
RECONSTRUCTION OF PERIPHERAL
028 THS006 35000 29000 23400 17500 11700
VASCULAR INJURY
REMOVAL OF FOREIGN BODY (BULLET) –
029 THS029 35000 29000 23400 17500 11700
CHEST / SHOULDER
030 THS021 RIB RESECTION AND DRAINAGE 20000 16700 13200 10000 6600
031 THS023 SCALENE NODE BIOPSY 8000 6700 5400 4000 2700
032 THS026 SEGMENTAL RESECTION 30000 25000 20000 15000 10000
033 THS004 SURGERY FOR PORTAL HYPERTENSION 30000 25000 20000 15000 10000
034 THS032 THORACOSCOPIC DECORTICATION 35000 29000 23400 17500 11700
THORACOSCOPIC DRAINAGE OF PLEURAL
035 THS042 9000 7500 6000 4500 3000
EFFUSION
036 THS043 THORACOSCOPIC PLEURODESIS 15000 12500 10000 7500 5000
037 THS044 THORACOSCOPIC OESOPHEGECTOMY 75000 62500 50000 37500 25000
THORACOTOMY FOR ANTERO-LATERAL
038 THS033 35000 29000 23400 17500 11700
DECOMPRESSION
THORACOSCOPY WITH DRAINAGE OF LUNG
039 THS030 13000 10800 8800 6500 4400
ABSCESS
THORACOTOMY FOR PENETRATING INJURY
040 THS034 35000 29000 23400 17500 11700
CHEST
041 THS019 THORACOTOMY WITH LIGATION OF PDA 26000 21700 17400 13000 8700
042 THS040 THYMECTOMY 35000 29000 23400 17500 11700
07:12 VASCULAR SURGERY

001 VAS055 A.V. FISTULA (COMPLEX) FOR DIALYSIS 22000 18300 14700 11000 7400
002 VAS054 A.V. FISTULA (PROXIMAL) FOR DIALYSIS 18000 15000 12000 9000 6000
003 VAS007 A.V. FISTULA (DISTAL) FOR DIALYSIS 15000 12500 10000 7500 5000
004 VAS018 ABDOMINAL ANEURYSM 42000 35000 28000 21000 14000
005 VAS013 AORTO-FEMORAL BYPASS 38000 31700 25400 19000 12700
AV GRAFT FOR VASCULAR ACCESS FOR
006 VAS012 31000 26000 20800 15600 10400
HAEMODIALYSIS
AXILLARY-BRACHIAL BYPASS USING
007 VAS040 45000 37500 30000 22500 15000
SYNTHETIC GRAFT
008 VAS033 BASALIC VEIN TRANSPOSITION 31000 26000 20800 15600 10400
009 VAS037 BRACHIAL ARTERY REPAIR 26000 21700 17400 13000 8700
010 VAS027 BRACHIAL ARTERY REPAIR WITH GRAFT 42000 35000 28000 21000 14000
CAROTID AXILLARY BYPASS USING
011 VAS041 45000 37500 30000 22500 15000
SYNTHETIC GRAFT
012 VAS011 CAROTID ENDARTERECTOMY 38000 31700 25400 19000 12700
013 VAS017 CERVICAL RIB EXCISION 24000 20000 16000 12000 8000
014 VAS003 CERVICO THORACIC SYMPATHECTOMY 24000 20000 16000 12000 8000
015 VAS030 CLOSURE OF A.V. FISTULA 24000 20000 16000 12000 8000
016 VAS028 CLOT EVACUATION 7000 5800 4800 3500 2400
30

07:12 VASCULAR SURGERY DR PR SPR NSB SB
017 VAS036 EMBOLECTOMY 31000 26000 20800 15600 10400
018 VAS010 ENDARTERECTOMY OF PERIPHERAL VESSELS 38000 31700 25400 19000 12700
019 VAS016 EXCISION OF A.V. MALFORMATION 26000 21700 17400 13000 8700
020 VAS019 EXCISION OF HAEMANGIOMA - MAJOR 30000 25000 20000 15000 10000
021 VAS020 EXCISION OF HAEMANGIOMA - MEDIUM 22000 18300 14700 11000 7400
022 VAS021 EXCISION OF HAEMANGIOMA - MINOR 14000 11700 9400 7000 4700
EXPLORATION & REPAIR OF AXILLARY
023 VAS042 33000 27500 22000 16500 11000
ARTERY
EXPLORATION & REPAIR OF CAROTID
024 VAS043 33000 27500 22000 16500 11000
ARTERIAL INJURY
EXPLORATION & REPAIR OF CAROTID
025 VAS044 45000 37500 30000 22500 15000
ARTERIAL INJURY USING VEIN PATCH
EXPLORATION & REPAIR OF FEMORAL
026 VAS045 33000 27500 22000 16500 11000
ARTERY
027 VAS066 EXPLORATION & REPAIR OF TIBIAL ARTERY 33000 27500 22000 16500 11000
EXTRA-ANATOMICAL AXILLO-FEMORAL
028 VAS046 45000 37500 30000 22500 15000
BYPASS USING GRAFT
029 VAS009 FEMORAL EMBOLECTOMY : BILATERAL 38000 31700 25400 19000 12700
030 VAS008 FEMORAL EMBOLECTOMY : UNILATERAL 30000 25000 20000 15000 10000
031 VAS022 FEMORO-FEMORAL CROSS OVER GRAFT 42000 35000 28000 21000 14000
032 VAS014 FEMORO-POPLITEAL BYPASS 36000 30000 24000 18000 12000
FEMORO-POPLITEAL BYPASS WITH VEIN
033 VAS023 45000 37500 30000 22500 15000
/ GRAFT
034 VAS006 HEPATIC RESECTION (LOBECTOMY) 30000 25000 20000 15000 10000
ILEO-FEMORAL BYPASS USING SYNTHETIC
035 VAS047 45000 37500 30000 22500 15000
GRAFT
036 VAS026 ILLIAC ARTERY ANEURYSM 42000 35000 28000 21000 14000
037 VAS062 LASER VARICOSE VEINS – BOTH LEG 45000 37500 30000 22500 15000
038 VAS063 LASER VARICOSE VEINS – ONE LEG 33000 27500 22000 16500 11000
039 VAS056 LIGATION OF VEINS OF AVF 15000 12500 10000 7500 5000
040 VAS031 LIGATION OF FEMORAL S.F. JUNCTION 26000 21700 17400 13000 8700
LIGATION OF SAPHENOUS POPLITEAL
041 VAS032 26000 21700 17400 13000 8700
JUNCTION
042 VAS057 LOCAL TRANSPOSITION OF VEINS 18000 15000 12000 9000 6000
043 VAS002 LUMBAR SYMPATHECTOMY : UNILATERAL 18000 15000 12000 9000 6000
044 VAS059 MULTIPLE AVULSIONS OF VARICOSE VEIN 11000 9200 7400 5500 3700
045 VAS015 PERIPHERAL ANEURYSM REPAIR 31000 26000 20800 15600 10400
POPLITEAL TO ANTERIOR / POSTERIOR
046 VAS048 45000 37500 30000 22500 15000
TIBIAL BYPASS
RE-EXPLORATION FOR BLEEDING AT
047 VAS049 15000 12500 10000 7500 5000
VASCULAR-ANASTOMATIC SITE
048 VAS050 REMOVAL OF INFECTED GRAFT 15000 12500 10000 7500 5000
049 VAS051 REPAIR OF PERIPHERAL VASCULAR INJURY 27000 22500 18000 13500 9000
050 VAS058 SCLEROTHERAPY OF VARICOSE VEINS 11000 9200 7400 5500 3700
051 VAS060 STRIPPING – LSV 12000 10000 8000 6000 4000
052 VAS061 STRIPPING – SSV 10000 8300 6700 5000 3350
31

07:12 VASCULAR SURGERY DR PR SPR NSB SB
053 VAS052 SUBCLAVIAN-BRACHIAL BYPASS 45000 37500 30000 22500 15000
054 VAS065 TEMPORAL ARTERY BIOPSY 16000 13400 10700 8000 5300
055 VAS001 THROMBO ENDARTERECTOMY AORTA 36000 30000 24000 18000 12000
056 VAS068 THROMBOLECTOMY 31000 26000 20800 15600 10400
THROMBOLETOMY WITH DACRON PATCH
057 VAS034 30000 25000 20000 15000 10000
ARTERIOPLASTY
058 VAS064 THROMBOLYSIS 40000 33300 26800 20000 13400
059 VAS039 VARICOSE VEINS – BOTH LEG 33000 27500 22000 16500 11000
060 VAS024 VARICOSE VEINS – ONE LEG 27000 22500 18000 13500 9000
061 VAS035 VEIN PATCHPLASTY 38000 31700 25400 19000 12700
062 VAS053 VENOUS ANEURYSM LIGATION 22000 18300 14700 11000 7400
063 VAS025 VENOUS RECONSTRUCTION 26000 21700 17400 13000 8700
07:13 UROLOGY SURGERY

001 URS123 ADRENELECTOMY OPEN 26000 21700 17400 13000 8700
002 URS035 AMPUTATION OF PENIS - PARTIAL 17000 14000 11300 8500 5700
003 URS034 AMPUTATION OF PENIS - TOTAL 22000 18300 14700 11000 7400
004 URS029 AUGMENTATION CYSTOPLASTY 32000 26800 21400 16000 10700
005 URS053 BASKETING 12000 10000 8000 6000 4000
006 URS010 BLADDER NECK INCISION (B.N.I.) 18000 15000 12000 9000 6000
007 URS056 BLADDER NECK RECONSTRUCTION 30000 25000 20000 15000 10000
BUCCAL MUCOSAL GRAFT ( BILATERAL
008 URS102 OR UNILATERAL) URETHROPLASTY OR 31000 26000 20800 15600 10400
SUBSTITUTION URETHROPLASTY
009 URS122 CHORDEE WITHOUT HYPOSPADIAS 17000 14000 11300 8500 5700
010 URS066 CIRCUMCISION 8000 6700 5400 4000 2700
011 URS030 CLOSURE OF URETHRAL FISTULA 15000 12500 10000 7500 5000
COMBINATION OF T.U.R.P. + STONE OR
012 URS008 39000 32500 26000 19500 13000
TUMOR
013 URS067 COMBINATION OF T.U.R.P. + B.N.I 31000 26000 20800 15600 10400
014 URS132 CYSTOLITHOTOMY 15000 12500 10000 7500 5000
015 URS009 CYSTOLITHOTRIPSY / CYSTOLITHALOPEXY 15000 12500 10000 7500 5000
CYSTOSCOPY + CLOT EVACUATION WITH
016 URS095 9000 7500 6000 4500 3000
FULGRATION
017 URS004 CYSTOSCOPY (DIAGNOSTIC) 6000 5000 4000 3000 2000
018 URS068 CYSTOSCOPY WITH BIOPSY 8000 6700 5400 4000 2700
CYSTOSCOPY WITH BLADDER BIOSPY OR
019 URS005 8000 6700 5400 4000 2700
R.G.P.
020 URS069 CYSTOSTOMY (SUPRAPUBIC) 10000 8300 6700 5000 3350
021 URS051 D.J.STENTING : BILATERAL 15000 12500 10000 7500 5000
022 URS070 D.J.STENTING : UNILATERAL 10000 8300 6700 5000 3350
D.J.STENTING WITH URETERIC
023 URS093 15000 12500 10000 7500 5000
CATHETERISATION
024 URS092 DEROOFING OF PROSTATIC ABSCESS 17000 14000 11300 8500 5700
025 URS073 ENDOPYELOTOMY - PCN OR URS 29000 24200 19400 14500 9700
32

07:13 UROLOGY SURGERY DR PR SPR NSB SB
ENDOSCOPIC CORRECTION OF REFLUX :
026 URS002 18000 15000 12000 9000 6000
UNILATERAL OR BILATERAL
ENDOSCOPIC DILATATION OF URETERAL
027 URS074 24000 20000 16000 12000 8000
STRICTURE
028 URS141 ENDOSCOPIC INCISION OF URETEROCELE 20000 16700 13200 10000 6600
ENDOSCOPIC REMOVAL OF URETHRAL
029 URS003 16000 13400 10700 8000 5300
STONE
ENDOSCOPIC VENTRO-SUSPENSION FOR
030 URS012 24000 20000 16000 12000 8000
STRESS / TVT / TOT
031 URS064 EPIDIDYMAL CYST 12000 10000 8000 6000 4000
032 URS075 EPIDYDMECTOMY - BILATERAL 15000 12500 10000 7500 5000
033 URS076 EPIDYDMECTOMY - UNILATERAL 10000 8300 6700 5000 3350
034 URS098 EXCISION OF GROWTH PENIS 15000 12500 10000 7500 5000
EXPLORATORY SCROTOTOMY / SCROTAL
035 URS037 16000 13400 10700 8000 5300
EXPLORATION
036 URS015 EXTROPHY / EPISPADIAS REPAIR 45000 37500 30000 22500 15000
037 URS071 FRENULOPLASTY 12000 10000 8000 6000 4000
038 URS100 HYPOSPADIAS REPAIR – 1ST STAGE 18000 15000 12000 9000 6000
039 URS101 HYPOSPADIAS REPAIR – 2ND STAGE 16000 13400 10700 8000 5300
040 URS105 HYPOSPADIAS REPAIR – SINGLE STAGE 26000 21700 17400 13000 8700
ILEO – INGUINAL LYMPHADENECTOMY
041 URS119 35000 29000 23400 17500 11700
BILATERAL
ILEO – INGUINAL LYMPHADENECTOMY
042 URS125 26000 21700 17400 13000 8700
UNILATERAL
INTRAVESICAL INJECTION OF BOTULINUM
043 URS133 14000 11700 9400 7000 4700
TOXIN FOR O.A.B. (OVER ACTIVE BLADDER)
044 URS113 ISTHAMECTOMY WITH NEPHROPEXY 26000 21700 17400 13000 8700
045 URS062 LAPAROSCOPIC ADRENALECTOMY 33000 27500 22000 16500 11000
046 URS115 LAPAROSCOPIC ASSISTED PCNL 31000 26000 20800 15600 10400
047 URS061 LAPAROSCOPIC RADICAL NEPHRECTOMY 33000 27500 22000 16500 11000
048 URS060 LAPAROSCOPIC SIMPLE NEPHRECTOMY 29000 24200 19400 14500 9700
049 URS055 LAPAROSCOPIC URETEROLITHOTOMY 28000 23300 18800 14000 9400
050 URS137 LASER PROSTATECTOMY 31000 26000 20800 15600 10400
051 URS157 MEATAL DILATATION 4000 3300 2700 2000 1300
052 URS057 MEATOPLASTY 6500 5400 4400 3250 2200
053 URS063 MEATOTOMY 4000 3300 2700 2000 1300
054 URS094 NEEDLE ASPIRATION OF PROSTATE 4500 3750 3000 2250 1500
055 URS091 NEEDLE BIOPSY OF PROSTATE 4500 3750 3000 2250 1500
056 URS072 NEPHRECTOMY 29000 24200 19400 14500 9700
057 URS020 NEPHRECTOMY (RADICAL) 39000 32500 26000 19500 13000
NEPHRECTOMY (RADICAL) WITH IVC
058 URS142 45000 37500 30000 22500 15000
THROMBECTOMY
059 URS018 NEPHRECTOMY (SIMPLE OR PARTIAL) 29000 24200 19400 14500 9700
060 URS045 NEPHRECTOMY RENAL TUMOR 39000 32500 26000 19500 13000
061 URS019 NEPHROLITHOTOMY (ANATROPHIC) 28000 23300 18800 14000 9400
062 URS114 NEPHROPEXY FOR PTOTIC KIDNEY 18000 15000 12000 9000 6000
33

063 URS023 NEPHROSTOMY - OPEN 16000 13400 10700 8000 5300
064 URS024 NEPHROSTOMY - PERCUTANEOUS (P.C.N.) 16000 13400 10700 8000 5300
065 URS021 NEPHROURETERECTOMY 39000 32500 26000 19500 13000
066 URS040 OPERATION FOR DOUBLE URETER 29000 24200 19400 14500 9700
067 URS041 OPERATION FOR ECTOPIC URETER 27000 22500 18000 13500 9000
068 URS046 OPERATION FOR INJURY OF BLADDER 22000 18300 14700 11000 7400
069 URS110 OPERATION FOR MEGA URETER 26000 21700 17400 13000 8700
070 URS011 OPTICAL INTERNAL URETHROTOMY 18000 15000 12000 9000 6000
ORCHIDECTOMY : RADICAL / HIGH
071 URS143 21000 17500 14000 10500 7000
/ INGUINAL – UNILATERAL OR BILATERAL
072 URS144 ORCHIDECTOMY - BILATERAL 20000 16700 13200 10000 6600
073 URS145 ORCHIDECTOMY - UNILATERAL 16000 13400 10700 8000 5300
ORCHIOPEXY OR ORCHIDOPEXY :
074 URS017 24000 20000 16000 12000 8000
BILATERAL
ORCHIOPEXY OR ORCHIDOPEXY :
075 URS016 18000 15000 12000 9000 6000
UNILATERAL
076 URS027 PARTIAL CYSTECTOMY 30000 25000 20000 15000 10000
077 URS090 PCNL – UNILATERAL - MULTIPLE PUNCTURE 35000 29000 23400 17500 11700
078 URS121 PCNL – BILATERAL 39000 32500 26000 19500 13000
079 URS047 PCNL – UNILATERAL 31000 26000 20800 15600 10400
080 URS148 PENILE IMPLANT – 3 PIECE SYSTEM 42000 35000 28000 21000 14000
PENILE IMPLANT – SEMIRIGID 2 PIECE
081 URS149 33000 27500 22000 16500 11000
SYSTEM
082 URS131 PERCUTANEOUS CYSTOLITHOTRIPSY (PCLT) 18000 15000 12000 9000 6000
083 URS033 PERINEAL URETHROSTOMY 9000 7500 6000 4500 3000
084 URS118 PERINEPHRIC ABSCESS DRAINAGE – OPEN 14000 11700 9400 7000 4700
PERINEPHRIC ABSCESS DRAINAGE –
085 URS117 11000 9200 7400 5500 3700
PERCUTANEOUS
086 URS078 PROSTATIC BIOPSY 5500 4600 3700 2750 1850
087 URS079 PYELOLITHOTOMY 22000 18300 14700 11000 7400
088 URS150 PYELOLITHOTOMY – LAPROSCOPIC 28000 23300 18800 14000 9400
089 URS022 PYELOPLASTY WITH OR WITHOUT R.G.P. 28000 23300 18800 14000 9400
090 URS106 RADICAL CYSTECTOMY WITH NEOBLADDER 39000 32500 26000 19500 13000
091 URS058 RADICAL CYSTOPROSTATECTOMY 39000 32500 26000 19500 13000
092 URS059 RADICAL RETROPUBIC PROSTATECTOMY 39000 32500 26000 19500 13000
RADICAL / TOTAL CYSTECTOMY WITH
093 URS080 39000 32500 26000 19500 13000
URINARY DIVERSION
RECTO-URETHERAL FISTULA - POST
094 URS081 39000 32500 26000 19500 13000
SAGGITAL REPAIR
095 URS120 RELOOK PCNL 9000 7500 6000 4500 3000
096 URS052 REMOVAL OF D.J.STENT U/L OR B/L 5000 4200 3400 2500 1700
097 URS044 REPAIR OF URETHRAL INJURY 22000 18300 14700 11000 7400
098 URS112 RGP WITH SCLERO THERAPY FOR CHYLURIA 12000 10000 8000 6000 4000
RPLND (RETRO- PERITONEAL LYMPHNODE
099 URS111 31000 26000 20800 15600 10400
DISSECTION)
100 URS096 SEPARATION AND DISSECTION OF BLADDER 14000 11700 9400 7000 4700
34

101 URS082 SUPRAPUBIC DRAINAGE (CLOSED) 10000 8300 6800 5000 3400
102 URS084 SUPRAPUBIC DRAINAGE (OPEN) 10000 8300 6800 5000 3400
103 URS085 SUPRAPUBIC PROSTATECTOMY 24000 20000 16000 12000 8000
104 URS108 SURGERY FOR PEYRONIS DISEASE 26000 21700 17400 13000 8700
105 URS109 SURGERY FOR PRIAPISM 26000 21700 17400 13000 8700
106 URS107 SURGERY FOR RECTOURETHRAL FISTULA 35000 29000 23400 17500 11700
T U R E D (TRANS URETHRAL RESECTION OF
107 URS116 18000 15000 12000 9000 6000
EJACULATING DUCT)
108 URS007 T.U.R. - BLADDER TUMOR 28000 23300 18800 14000 9400
109 URS001 T.U.R. - POSTERIOR URETHRAL VALVES 19000 15800 12800 9500 6400
110 URS006 T.U.R. - PROSTATE 29000 24200 19400 14500 9700
111 URS097 T.U.R. - PROSTATE WITH T.U.E.V.P 28000 23300 18800 14000 9400
112 URS086 TESTICULAR BIOPSY 5500 4600 3700 2750 1850
113 URS151 TORSION TESTIS 15000 12500 10000 7500 5000
114 URS128 TRANS URETERO URETEROSTOMY 26000 21700 17400 13000 8700
TRANS URETHRAL ELECTRO VAPOUIZATION
115 URS087 28000 23300 18800 14000 9400
OF PROSTATE
116 URS152 TRANSPLANT NEPHRECTOMY 28000 23300 18800 14000 9400
117 URS026 TROCAR CYSTOSTOMY 10000 8300 6800 5000 3400
URETERIC CATHETERISATION - UNILATERAL
118 URS065 8000 6700 5400 4000 2700
OR BILATERAL
119 URS129 URETERO URETEROSTOMY 19000 15800 12800 9500 6400
URETEROINTESTINAL DIVERSION / RE-
120 URS025 33000 27500 22000 16500 11000
IMPLANTATION OF URETER / PSOAS HITCH
121 URS088 URETEROLITHOTOMY 19000 15800 12800 9500 6400
122 URS153 URETEROLITHOTOMY – LAPAROSCOPIC 24000 20000 16000 12000 8000
URETEROLYSIS FOR RETROPERITONEAL
123 URS130 26000 21700 17400 13000 8700
FIBROSIS
124 URS014 URETERONEOCYSTOSTOMY : BILATERAL 35000 29000 23400 17500 11700
125 URS013 URETERONEOCYSTOSTOMY : UNILATERAL 28000 23300 18800 14000 9400
URETERONEOCYSTOSTOMY WITH BOARI
126 URS127 26000 21700 17400 13000 8700
FLAP
127 URS126 URETEROPLASTY WITH ILEAL REPOSITION 26000 21700 17400 13000 8700
128 URS050 URETEROSCOPIC LITHOTRIPSY 24000 20000 16000 12000 8000
129 URS049 URETEROSCOPIC STONE REMOVAL 20000 16700 13200 10000 6600
130 URS089 URETEROSCOPIC URETEROTOMY 24000 20000 16000 12000 8000
131 URS048 URETEROSCOPY : DIAGNOSTIC 12000 10000 8000 6000 4000
132 URS154 URETHRAL CARBUNCULE EXCISION 15000 12500 10000 7500 5000
133 URS054 URETHRAL DILATATION 4500 3750 3000 2250 1500
134 URS140 URETHROPLASTY – END TO END 26000 21700 17400 13000 8700
135 URS155 URETHROPLASTY – ONE STAGE 29000 24200 19400 14500 9700
URETHROPLASTY FOR POSTERIOR
136 URS103 35000 29000 23400 17500 11700
URETHRAL DISTRACTION DEFECT (PUDD)
137 URS031 URETHROPLASTY TWO STAGED - 1ST STAGE 16000 13400 10700 8000 5300
138 URS032 URETHROPLASTY TWO STAGED - 2ND STAGE 19000 15800 12800 9500 6400
35

V.V.FISTULA REPAIR / URETERO-VAGINAL
139 URS043 32000 26800 21400 16000 10700
FISTULA REPAIR
140 URS099 VARICOCELECTOMY BILATERAL 19000 15800 12800 9500 6400
141 URS124 VARICOCELECTOMY LAPAROSCOPIC 16000 13400 10700 8000 5300
VARICOCELECTOMY OPEN MICROSURGICAL
142 URS156 20000 16700 13200 10000 6600
– BILATERAL
VARICOCELECTOMY OPEN MICROSURGICAL
143 URS104 16000 13400 10700 8000 5300
– UNILATERAL
144 URS036 VARICOCELECTOMY UNILATERAL 16000 13400 10700 8000 5300
145 URS039 VASO-EPIDIDYMAL ANASTOMOSIS 20000 16700 13200 10000 6600
146 URS038 VASOVASAL ANASTOMOSIS 22000 18300 14700 11000 7400
147 URS042 Y.V.PLASTY OF BLADDER NECK 20000 16700 13200 10000 6600
07:14 PLASTIC SURGERY

001 PLS048 ABDOMINOPLASTY 28000 23300 18800 14000 9400
ABDOMINOPLASTY WITH LIPOSUCTION
002 PLS028 35000 29000 23400 17500 11700
(COSMETIC)
003 PLS068 BAT EAR BILATERAL 24000 20000 16000 12000 8000
004 PLS033 BLEPHEROPLASTY FOUR LIDS 36000 30000 24000 18000 12000
005 PLS032 BLEPHEROPLASTY TWO LIDS 30000 25000 20000 15000 10000
BREAST AUGMENTATION (IMPLANT) :
006 PLS040 36000 30000 24000 18000 12000
BILATERAL
BREAST AUGMENTATION (IMPLANT) :
007 PLS039 24000 20000 16000 12000 8000
UNILATERAL
008 PLS041 BREAST AUGMENTATION BY FLAP 42000 35000 28000 21000 14000
009 PLS070 BREAST REDUCTION : BILATERAL 36000 30000 24000 18000 12000
010 PLS069 BREAST REDUCTION : UNILATERAL 24000 20000 16000 12000 8000
011 PLS023 CHEMICAL PEELING 30000 25000 20000 15000 10000
012 PLS010 CLEFT LIP CASE RHINOPLASTY 36000 30000 24000 18000 12000
013 PLS009 CLEFT LIP NOSTRIL 28000 23300 18800 14000 9400
014 PLS002 CLEFT LIP / PALATE : BILATERAL 32000 26800 21400 16000 10700
015 PLS001 CLEFT LIP / PALATE : UNILATERAL 24000 20000 16000 12000 8000
016 PLS005 CLEFT PALATE & LIP : BILATERAL 36000 30000 24000 18000 12000
017 PLS004 CLEFT PALATE & LIP : UNILATERAL 30000 25000 20000 15000 10000
018 PLS008 CLEFT PALATE FISTULA WITH FLAP 30000 25000 20000 15000 10000
019 PLS006 CLEFT PALATE WITH PHARYNGOPLASTY 30000 25000 20000 15000 10000
020 PLS007 CLEFT PALATE-FISTULA SIMPLE 18000 15000 12000 9000 6000
021 PLS021 COMPLICATED SCAR FACE / MULTIPLE SCARS 28000 23300 18800 14000 9400
022 PLS125 CONTRACTURE RELEASE ONLY (ONE FINGER) 12000 10000 8000 6000 4000
CONTRACTURE RELEASE WITH FLAP &
023 PLS085 36000 30000 24000 18000 12000
SKINGRAFT
CONTRACTURE RELEASE WITH SKIN GRAFT
024 PLS084 35000 29000 23400 17500 11700
MORE FINGERS
CONTRACTURE RELEASE WITH SKIN GRAFT
025 PLS083 24000 20000 16000 12000 8000
ONE FINGER
026 PLS103 CYST OR GANGLION MULTIPLE 17000 14000 11300 8500 5700
36

07:14 PLASTIC SURGERY DR PR SPR NSB SB
027 PLS134 WOUND DEBRIDEMENT – LARGE 10000 8300 6800 5000 3400
028 PLS135 WOUND DEBRIDEMENT – MEDIUM 8000 6700 5400 4000 2700
029 PLS136 WOUND DEBRIDEMENT – SMALL 6500 5400 4400 3250 2200
030 PLS022 DERMABRASION FACE 21000 17500 14000 10500 7000
031 PLS098 DETACHMENT OF FLAP 17000 14000 11300 8500 5700
DISTRACTION OSTEOGENESIS MANDIBLE OR
032 PLS122 35000 29000 23400 17500 11700
MAXILLA
033 PLS124 DIVISION OF FLAP 10000 8300 6800 5000 3400
034 PLS057 DRESSING - MAJOR 5500 4600 3700 2750 1850
035 PLS114 DRESSING - MEDIUM 4000 3300 2700 2000 1300
036 PLS058 DRESSING - MINOR 3000 2400 1900 1500 1000
037 PLS065 EAR LOBULE KELOID : BILATERAL 12000 10000 8000 6000 4000
038 PLS064 EAR LOBULE KELOID : UNILATERAL 9000 7500 6000 4500 3000
039 PLS101 EXCISION OF CYST - MULTIPLE 12000 10000 8000 6000 4000
040 PLS100 EXCISION OF CYST - SINGLE 6000 5000 4000 3000 2000
041 PLS113 EXCISION OF MOLE - FACE 6000 5000 4000 3000 2000
042 PLS123 EXPLANTATION OF BREAST IMPLANT 21000 17500 14000 10500 7000
043 PLS071 EXTRA DIGIT EXCISION 11000 9200 7400 5500 3700
044 PLS034 EYE LIDS - PTOSIS : UNILATERAL 16000 13400 10700 8000 5300
EYE LIDS : PARTIAL EXCISION & REPAIR WITH
045 PLS036 26000 21700 17400 13000 8700
SKIN GRAFT & FLAP
046 PLS038 EYE LIDS FOLD RECONSTRUCTION 26000 21700 17400 13000 8700
EYE LIDS TUMOR EXCISION & REPAIR WITH
047 PLS037 26000 21700 17400 13000 8700
SKIN GRAFT & FLAP
048 PLS035 EYE LIDS- PTOSIS : BILATERAL 22000 18300 14700 11000 7400
FACE LIFT WITH OR WITHOUT NECK LIFT
049 PLS031 40000 33300 26800 20000 13400
(COSMETIC)
050 PLS056 FACE MOLE OR CYST EXCISION - MULTIPLE 21000 17500 14000 10500 7000
051 PLS049 FASCIO CUTANEOUS FLAP REPAIR - LARGE 28000 23300 18800 14000 9400
052 PLS050 FASCIO CUTANEOUS FLAP REPAIR - MEDIUM 21000 17500 14000 10500 7000
053 PLS051 FASCIO CUTANEOUS FLAP REPAIR - SMALL 12000 10000 8000 6000 4000
FASCIO CUTANEOUS FLAP WITH SKIN GRAFT
054 PLS054 36000 30000 24000 18000 12000
- LARGE
055 PLS053 24000 20000 16000 12000 8000
- MEDIUM
056 PLS052 16000 13400 10700 8000 5300
- SMALL
057 PLS025 FAT OR FULL THICKNESS GRAFT - LARGE 22000 18300 14700 11000 7400
058 PLS024 FAT OR FULL THICKNESS GRAFT - SMALL 13000 10800 8800 6500 4400
059 PLS089 FRACTURE FLOOR OF ORBIT 24000 20000 16000 12000 8000
FRACTURE MANDIBLE + MAXILLA + ORBIT +
060 PLS080 36000 30000 24000 18000 12000
NOSE
061 PLS079 FRACTURE MANDIBLE OR MAXILLA A.O. 20000 16700 13200 10000 6600
062 PLS117 FRENULOPLASTY 12000 10000 8000 6000 4000
063 PLS128 GYNAECOMASTIA – BILATERAL 27000 22500 18000 13500 9000
064 PLS129 GYNAECOMASTIA – UNILATERAL 16000 13400 10700 8000 5300
37

HAND - TENDON REPAIR (MAGNIFICATION)
065 PLS073 33000 27500 22000 16500 11000
MULTIPLE
HAND - TENDON WITH NERVE REPAIR
066 PLS072 30000 25000 20000 15000 10000
(MAGNIFICATION)
067 PLS016 HYPOSPADIAS - CHORDEE CORRECTIONS 18000 15000 12000 9000 6000
068 PLS015 HYPOSPADIAS - MEATOTOMY 5500 4600 3700 2750 1850
069 PLS017 HYPOSPADIAS - URETHRA RECONSTRUCTION 29000 24200 19400 14500 9700
070 PLS115 INTRAVELAR VELOPLASTY 31000 26000 20800 15600 10400
071 PLS105 JOINT REPLACEMENT (MINOR) 21000 17500 14000 10500 7000
072 PLS130 KELOID LARGE (ELSEWHERE) 24000 20000 16000 12000 8000
073 PLS116 LARGE SCAR EXCISION 20000 16700 13200 10000 6600
074 PLS027 LIPOSUCTION - LARGE AREA 29000 24200 19400 14500 9700
075 PLS026 LIPOSUCTION - SMALL AREA 18000 15000 12000 9000 6000
076 PLS093 LOCAL FLAP - LARGE 21000 17500 14000 10500 7000
077 PLS092 LOCAL FLAP - MEDIUM 16000 13400 10700 8000 5300
078 PLS091 LOCAL FLAP - MINOR 10000 8300 6800 5000 3400
079 PLS090 LOCAL FLAP / CROSS FINGER FLAP 24000 20000 16000 12000 8000
080 PLS131 LYMPHEDEMA SURGERY 26000 21700 17400 13000 8700
081 PLS077 MALAR FRACTURE - CLOSED 18000 15000 12000 9000 6000
MALAR FRACTURE - MINI INTERNAL
082 PLS078 24000 20000 16000 12000 8000
FIXATION
083 PLS097 MANDIBLE WIRING 28000 23300 18800 14000 9400
084 PLS132 MELANOCYTE GRAFTING – LARGE 40000 33300 26800 20000 13400
085 PLS133 MELANOCYTE GRAFTING – SMALL 20000 16700 13200 10000 6600
086 PLS014 MINOR CORRECTION ON CLEFT LIP 16000 13400 10700 8000 5300
087 PLS075 NASAL FRACTURE - CLOSED 10000 8300 6800 5000 3400
NASAL FRACTURE WITH COMPOUND
088 PLS076 15600 13000 10400 7800 5200
WOUND
089 PLS106 NERVE GRAFT (UNDER MAGNIFICATION) 36000 30000 24000 18000 12000
090 PLS107 NERVE REPAIR (MULTIPLE) 36000 30000 24000 18000 12000
091 PLS108 NERVE REPAIR (SINGLE) 28000 23300 18800 14000 9400
NERVE REPLANTATION (UNDER
092 PLS109 42000 35000 28000 21000 14000
MAGNIFICATION)
093 PLS013 NOSE TIP RHINOPLASTY 18000 15000 12000 9000 6000
094 PLS047 PHARYNGOPLASTY 24000 20000 16000 12000 8000
095 PLS030 PREAURICULAR SINUS : BILATERAL 14000 11700 9400 7000 4700
096 PLS029 PREAURICULAR SINUS : UNILATERAL 12000 10000 8000 6000 4000
097 PLS110 RADIAL CLUB HAND CORRECTION 30000 25000 20000 15000 10000
RECONSTRUCTION OF EAR DEFORMITY –
098 PLS074 33000 27500 22000 16500 11000
STAGE-I
099 PLS120 22000 18300 14700 11000 7400
STAGE-II
100 PLS121 20000 16700 13200 10000 6600
STAGE-III
101 PLS087 RELEASE OF TONGUE TIE 5000 4200 3400 2500 1700
102 PLS088 RELEASE OF TONGUE TIE - Z PLASTY REPAIR 12000 10000 8000 6000 4000
38

103 PLS094 REPAIR OF FRACTURE ZYGOMA 18000 15000 12000 9000 6000
104 PLS119 REPAIR OF LIP – BILATERAL 22000 18300 14700 11000 7400
105 PLS118 REPAIR OF LIP – UNILATERAL 15000 12500 10000 7500 5000
106 PLS096 REPAIR OF MORE THAN ONE FINGER 12000 10000 8000 6000 4000
107 PLS095 REPAIR OF ONE FINGER 10000 8300 6800 5000 3400
108 PLS099 REPAIR OF PINNA 10000 8300 6800 5000 3400
109 PLS011 RHINOPLASTY (COSMETIC) 33000 27500 22000 16500 11000
SECONDARY DEFORMITY - CLEFT LIP
110 PLS003 31000 26000 20800 15600 10400
/ PALATE / NOSE
111 PLS012 SEPTO-RHINOPLASTY 25000 20800 16800 12500 8400
112 PLS020 SIMPLE SCAR EXCISION 12000 10000 8000 6000 4000
113 PLS018 SIMPLE Z PLASTY ANYWHERE 12000 10000 8000 6000 4000
114 PLS061 SKIN GRAFTING - LARGE / EXTENSIVE 27000 22500 18000 13500 9000
115 PLS060 SKIN GRAFTING - MEDIUM 21000 17500 14000 10500 7000
116 PLS059 SKIN GRAFTING - SMALL 12000 10000 8000 6000 4000
117 PLS102 SMALL NAEVUS - SINGLE 10000 8300 6800 5000 3400
118 PLS063 SPLIT EAR LOBULES : BILATERAL 6500 5400 4400 3250 2200
119 PLS062 SPLIT EAR LOBULES : UNILATERAL 4500 3750 3000 2250 1500
120 PLS067 SYNDACTYLE FINGERS : MORE THAN ONE WEB 26000 21700 17400 13000 8700
121 PLS066 SYNDACTYLE FINGERS : ONE WEB 21000 17500 14000 10500 7000
122 PLS082 T.M. JOINT ANKYLOSIS WITH RIB GRAFT 33000 27500 22000 16500 11000
T.M. JOINT ANKYLOSIS / CONDYLECTOMY :
123 PLS081 26000 21700 17400 13000 8700
UNILATERAL
124 PLS111 TENDON TRANSFER (MULTIPLE) 28000 23300 18800 14000 9400
125 PLS112 TENDON TRANSFER (SINGLE) 19000 15800 12800 9500 6400
126 PLS042 TISSUE EXPANDER (INSERTION) 28000 23300 18800 14000 9400
127 PLS055 VAGINOPLASTY WITH SKIN GRAFT AND FLAP 36000 30000 24000 18000 12000
128 PLS086 VAS RECANALISATION (MAGNIFICATION) 28000 23300 18800 14000 9400
WOUND REPAIR - FACE / HAND / LIMBS –
129 PLS045 18000 15000 12000 9000 6000
LARGE / MULTIPLE
WOUND REPAIR - FACE / HAND / LIMBS -
130 PLS044 10000 8300 6700 5000 3350
MEDIUM
WOUND REPAIR - FACE / HAND / LIMBS -
131 PLS043 5000 4200 3400 2500 1700
SMALL
Z PLASTY - SCAR EXCISION WITH OR
132 PLS019 24000 20000 16000 12000 8000
WITHOUT SKINGRAFT
07:15 PEDIATRIC SURGERY

ABDOMINOPERINEAL PULL THROUGH
001 PES002 33000 27500 22000 16500 11000
/ PSARP
002 PES028 ANAL DILATATION 8000 6700 5400 4000 2700
003 PES029 ANORECTAL MYOMECTOMY 18000 15000 12000 9000 6000
004 PES030 APPENDECTOMY 18000 15000 12000 9000 6000
005 PES031 AXILLARY LYMPH NODE BIOPSY 8000 6700 5400 4000 2700
006 PES007 BILIARY ATRESIA / CHOLEDOCHAL CYST 39000 32500 26000 19500 13000
007 PES032 BRONCHOSCOPY DIAGNOSTIC / FB / BIOPSY 12000 10000 8000 6000 4000
39

07:15 PEDIATRIC SURGERY DR PR SPR NSB SB
008 PES033 CATHETERISATION AND MCU 4000 3300 2700 2000 1300
009 PES034 CENTRAL VENOUS LINE IN NEONATE 3500 3000 2400 1800 1200
010 PES035 CERVICAL LYMPH NODE BIOPSY 8000 6700 5400 4000 2700
011 PES036 CHEST ASPIRATION 4000 3300 2700 2000 1300
012 PES037 CHEST TUBE INSERTION 4000 3300 2700 2000 1300
013 PES011 CHEST TUBE MANIPULATION 1500 1300 1000 800 500
014 PES112 CIRCUMCISION – NEONATAL 8000 6700 5400 4000 2700
015 PES005 COLOSTOMY / ILEOSTOMY CLOSURE 24000 20000 16000 12000 8000
016 PES013 COLOSTOMY / ILEOSTOMY / JEJUNOSTOMY 18000 15000 12000 9000 6000
COMPLETE DECORICATION - OPEN
017 PES039 31000 26000 20800 15600 10400
/ THORACOSCOPIC
018 PES010 CYSTIC HYGROMA - MAJOR 27000 22500 18000 13500 9000
CYSTIC HYGROMA MINOR EXCISION
019 PES092 16000 13400 10700 8000 5300
/ SCLEROTHERAPY
020 PES009 CYSTOGASTROSTOMY 24000 20000 16000 12000 8000
021 PES040 DIAGNOSTIC LAPROSCOPY 12000 10000 8000 6000 4000
022 PES041 DIAPHRAGMATIC HERNIA / EVENTRATION 35000 29000 23400 17500 11700
023 PES042 DRAINAGE OF DEEP / LARGE ABCESS 8000 6700 5400 4000 2700
024 PES043 DRAINAGE OF SMALL ABCESS 4000 3300 2700 2000 1300
025 PES097 DRESSING – SMALL 2000 1700 1400 1000 700
026 PES044 DRESSING LARGE 3500 3000 2400 1800 1200
027 PES113 EMPYEMA THORACOCENTESIS 12000 10000 8000 6000 4000
028 PES046 ESOPHAGOSCOPY / FB 10000 8300 6700 5000 3350
029 PES045 ESPOHAGEAL DILATATION 6000 5000 4000 3000 2000
030 PES047 EXCISION BIOPSY SUP. LUMP / SEB CYST 8000 6700 5400 4000 2700
031 PES048 EXCISION BRANCHIAL SINUS / FISTULA 16000 13400 10700 8000 5300
EXCISION OF EXTRA DIGIT - (IN NEONATE
032 PES095 4000 3300 2700 2000 1300
CASES)
033 PES096 EXCISION OF RETRO-PERITONEAL TUMOR 35000 29000 23400 17500 11700
034 PES049 EXCISION THYROGLOSSAL CYST / FISTULA 16000 13400 10700 8000 5300
035 PES050 EXPLORATORY LAPROTOMY 14000 11700 9400 7000 4700
EXPLORATORY LAPROTOMY WITH MULTIPLE
036 PES103 21000 17500 14000 10500 7000
BIOPSIES
037 PES051 FUNDOPLICATION 24000 20000 16000 12000 8000
038 PES052 GASTROSCHISIS 31000 26000 20800 15600 10400
039 PES038 GASTROSTOMY 16000 13400 10700 8000 5300
040 PES054 HYDROCOELE BILATERAL 20000 16700 13200 10000 6600
041 PES055 HYDROCOELE UNILATERAL 12000 10000 8000 6000 4000
042 PES056 INGUINAL HERNIA IN NEONATE BILATERAL 21000 17500 14000 10500 7000
043 PES057 INGUINAL HERNIA IN NEONATE UNILATERAL 16000 13400 10700 8000 5300
044 PES058 INGUINAL HERNIA REPAIR BILATERAL 18000 15000 12000 9000 6000
045 PES059 INGUINAL HERNIA REPAIR UNILATERAL 14400 12000 9600 7200 4800
INSTILLATION OF INTRACAVITATORY
046 PES114 9000 7500 6000 4500 3000
MEDICATION
047 PES060 INTESTINAL FISTULA 30000 25000 20000 15000 10000
40

048 PES004 INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000
INTUSSUSCEPTION AND RESECTON
049 PES061 26000 21700 17400 13000 8700
ANASTMOSIS
INTUSSUSCEPTION REDUCTION (XRAY OR
050 PES062 18000 15000 12000 9000 6000
OPERATIVE)
051 PES091 KIDNEY BIOPSY 5000 4200 3400 2500 1700
052 PES063 LAPAROSCOPIC APPENDICECTOMY 21000 17500 14000 10500 7000
053 PES108 LAPAROSCOPIC HERNIOTOMY 21000 17500 14000 10500 7000
054 PES105 LAPAROSCOPIC ORCHIDOPEXY – BILATERAL 31000 26000 20800 15600 10400
LAPAROSCOPIC ORCHIDOPEXY –
055 PES104 24000 20000 16000 12000 8000
UNILATERAL
056 PES064 LIVER ABCESS ASPIRATION 8000 6700 5400 4000 2700
057 PES065 LIVER ABCESS ASPIRATION MULTIPLE 12000 10000 8000 6000 4000
058 PES066 LIVER BIOPSY CLOSED 3500 3000 2400 1800 1200
059 PES067 LOBECTOMY 31000 26000 20800 15600 10400
060 PES068 LYSIS OF INTESTINAL ADHESIONS 15000 12500 10000 7500 5000
061 PES069 MALROTATION INTESTINE 26000 21700 17400 13000 8700
062 PES070 MESENTERIC CYST / DUPLICATION 26000 21700 17400 13000 8700
063 PES072 MULTIPLE POLYPS 16000 13400 10700 8000 5300
NEONATAL INTESTINAL OBSTRUCTION
064 PES074 30000 25000 20000 15000 10000
/ ATRESIA
065 PES076 OMPHALOCOELE MAJOR / GASTROSCHISIS 31000 26000 20800 15600 10400
066 PES077 OMPHALOCOELE MINOR 22000 18300 14700 11000 7400
067 PES075 OBSTRUCTED / STRANGULATED HERNIA 24000 20000 16000 12000 8000
068 PES008 OESOPHAGOSTOMY 22000 18300 14700 11000 7400
069 PES078 ORCHIDOPEXY BILAT 26000 21700 17400 13000 8700
070 PES015 ORCHIDOPEXY UNILAT 20000 16700 13200 10000 6600
071 PES100 PARAVERTIBRAL ABCESS 16000 13400 10700 8000 5300
PERCUTANEOUS PIGTAIL CATHETER
072 PES106 11000 9200 7400 5500 3700
INSERTION
073 PES109 PERFORATION PERITONITIS 27000 22500 18000 13500 9000
074 PES016 PARTIAL DECORTICATION / RIB RESECTION 21000 17500 14000 10500 7000
075 PES001 PERINEAL ANOPLASTY 18000 15000 12000 9000 6000
076 PES017 PERITONEAL ASPIRATION 3500 3000 2400 1800 1200
077 PES012 PERITONEAL DRAINAGE 5000 4200 3400 2500 1700
078 PES006 PNEUMONECTOMY 33000 27500 22000 16500 11000
079 PES018 PULL THROUGH FOR HIRSCHPRUNG’S 28000 23300 18800 14000 9400
080 PES019 PYELOPLASTY 33000 27500 22000 16500 11000
081 PES020 PYLORMYOTOMY 21000 17500 14000 10500 7000
082 PES079 RADIAL ARTERY CATH 5000 4200 3400 2500 1700
083 PES080 RECTAL POLYP 10000 8300 6700 5000 3350
084 PES081 RECTAL SUCTION BIOPSY / OPEN BIOPSY 8000 6700 5400 4000 2700
085 PES014 RECURRENT INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000
086 PES107 REMOVAL OF TUBE / CATHETER 3000 2400 1900 1500 1000
41

087 PES022 RESECTION AND ANASTMOSIS INTESTINE 26000 21700 17400 13000 8700
088 PES071 RESECTION ANASTMOSIS - MULTIPLE 33000 27500 22000 16500 11000
089 PES101 RETRO PERITONEAL ABSCESS / HAEMATOMA 21000 17500 14000 10500 7000
RETRO PERITONEAL / RETRO
090 PES115 28000 23300 18800 14000 9400
PERITONEOSCOPY PROCEDURE
SCLEROTHERAPY RECTAL PROLAPSE
091 PES102 9000 7500 6000 4500 3000
/ HAEMANGIOMA
092 PES023 SIGMOIDOSCOPY 5000 4200 3400 2500 1700
093 PES098 SOFT TISSUE TUMOR (LARGE) 16000 13400 10700 8000 5300
094 PES099 SOFT TISSUE TUMOR (SMALL) 10000 8300 6700 5000 3350
095 PES024 SPLEENECTOMY 28000 23300 18800 14000 9400
096 PES025 SUTURING MULTIPLE WOUND 8000 6700 5400 4000 2700
097 PES026 SUTURING OF WOUND 5000 4200 3400 2500 1700
098 PES027 TONGUE TIE EXCISION 4000 3300 2700 2000 1300
099 PES003 TRACHEOESOPHAGEAL FISTULA (T.O.F.) 36000 30000 24000 18000 12000
100 PES082 UMBILICAL / EPIGASTRIC HERNIA 16000 13400 10700 8000 5300
101 PES083 UMBILICAL CATH ARTERIAL 4000 3300 2700 2000 1300
102 PES084 UMBILICAL CATH VENOUS 4000 3300 2700 2000 1300
103 PES085 UMBILICAL GRANULOMA 4000 3300 2700 2000 1300
104 PES086 URACHUS EXCISION 18000 15000 12000 9000 6000
105 PES087 V Y PLASTY TONGUE TIE 8000 6700 5400 4000 2700
106 PES110 VARICOCOELE – BILATERAL 19000 15800 12800 9500 6400
107 PES088 VARICOCOELE – UNILATERAL 17000 14000 11300 8500 5700
108 PES089 VENESECTION / CENTRAL LINE 4000 3300 2700 2000 1300
109 PES090 VITELLINE DUCT EXCISION 18000 15000 12000 9000 6000
07:16 MISCELLANEOUS SURGERY

001 MSS001 PERITONEOSCOPY – BIOPSY 5000 4200 3400 2500 1700
002 MSS002 SIGMOIDOSCOPY 5000 4200 3400 2500 1700
003 MSS003 ECT 4000 3300 2700 2000 1300
004 MSS004 EPIDURAL INJECTION 3000 2400 1900 1500 1000
NEPHROLOGY
07:17A NEPHROLOGY SURGICAL PROCEDURES
AV GRAFT FOR VASCULAR ACCESS FOR
002 VAS012 30000 25000 20000 15000 10000
HAEMODIALYSIS
003 URS134 CAPD CATHETER PLACEMENT 13000 10800 8800 6500 4400
004 URS135 CAPD / PERMACATH CATHETER REMOVAL 6000 5000 4000 3000 2000
CHRONIC HEMODIALYSIS CATHETER
005 URS136 11000 9200 7400 5500 3700
(PERMCATH) PLACEMENT
DIALYSIS (IN PATIENT)

07:17B HAEMODIALYSIS [PACKAGE]
001 DIA011 HAEMODIALYSIS [IN DEPTT.] 2500 2500 2500 2300 2300
002 DIA012 HAEMODIALYSIS (ICU-BEDSIDE) 3300 3300 3300 3000 3000
42

07:17B HAEMODIALYSIS [PACKAGE] DR PR SPR NSB SB
003 DIA014 EMERGENCY HAEMODIALYSIS 3300 3300 3300 3000 3000
SLED (Sustained Low Efficiency Dialysis) – UPTO
004 DIA013 5000 5000 5000 4400 3850
8hrs.
SLED (Sustained Low Efficiency Dialysis) More than 8
005 DIA017 7500 7500 7500 6500 6500
Hrs. upto 12 Hrs.
Note : Haemodialysis includes all consumables and professional charges but it does not include cost of Dialyser (Artificial
Kidney & Tubbings), any Investigation charges and other medication.
07:17C OTHER PROCEDURES

CAPD TRAINING CHARGES (FOR COMPLETE
001 DIA010 5000 5000 4500 4000 3500
TRAINING)
002 DIA009 FEMORAL CATHETERISATION 2000 2000 2000 1650 1350
003 DIA007 FISTULA DRESSING 120 120 120 120 100
004 DIA006 HAEMODIALYSIS CATHETER DRESSING 300 300 300 300 250
005 TRE075 KIDNEY BIOPSY (LAB. CHARGES EXTRA) 4000 4000 4000 3000 2000
006 DIA016 PERITONEAL CATHETER INSERTION 5500 4600 3700 2750 1850
007 TRE023 PERITONEAL DIALYSIS 3500 3500 3500 2600 1800
SUBCLAVIAN / JUGULAR CANNULATION OR
008 TRE024 3500 3500 3500 2600 1800
CATHETERISATION
U.SOUND / ECHO GUIDANCE CHARGES FOR
009 DIA008 JUGULAR CANNULATION 300 300 300 300 250
/ CATHETERISATION
010 DIA019 IMMUNO THERAPY (TRANSPLANT) 1600 1600 1600 1500 1500
011 DIA020 CADAVERIC TRANSPLANT WORK-UP 3500 3500 3500 3500 3500
CRRT INITIATION (CONTINUOUS RENAL
012 DIA021 REPLACEMENT THERAPY) [FOR 1ST 24HRS.] 12000 12000 12000 12000 10000
[KIT / CONSUMABLE EXTRA]
CRRT MAINTAINENCE CHARGES – PER DAY,
013 DIA022 AFTER 24 HRS. OF INITIATION} [KIT 10000 10000 10000 10000 8000
/ CONSUMABLE EXTRA]
RENAL TRANSPLANT
07:18 RENAL TRANSPLANT
SPR
001 PACKAGE FOR RENAL TRANSPLANT 400000
Package includes :-
1. Duration of package :- For Recipient : 10 days (Pre-stay 2days + Post.op stay 8days)
For Donor : 6 days (Pre-stay 1day + Post.op stay 5days)
2. Visit’s Charges : Surgeon’s & Nephrologist’s visit charges upto above mentioned stay.
3. Surgical Fee, O.T. Charges, Anaesthesia Charges, disposables used in O.T. and ward and physio-therapy (with-
in above mentioned stay).
43
4. Investigation as per KINDNEY TRANSPLANT investigation protocol (with-in above mentioned stay)
Package excludes :-
1. All Drugs/Medicines (Injectables or Oral) used in O.T. during the surgery, CCU/ICU and , Ward are as per
actuals.
2. Any other investigation beyond above mentioned period of stay.
3. All treatment, Medication, Room/Bed or ICU charges, visits of surgeon and Nephrologist beyond the stay
mentioned above.
4. Any other incidental procedure other than the main planned package procedure.
5. Consultation charges other than Nephrologist
6. Investigation sent to outside laboratory centres.
Note :-
1. The “Recipient” & “Donor” both will be admiitted as “Semi Pvt. Room” category.
2. Patient (Recipient) and donor may opt for higher accommodation. In that case, the difference of room/bed
charges will be charged extra.
3. After surgery, in case patient requires to shift out in the room, the recipient will be shifted out to Single Room
or as higher opted by the patient. The donor will be shifted out to Semi Pvt. Room or as higher opted by them.
OPERATION THEATER (O.T.) CHARGES

08:01 OGT001 The charges for ‘Operation Theater for Delivery cases’ will be 30% of the Delivery fee.
09:01 ROO002 The charges for ‘Operation Theater’ for surgeries will be 30% of the Surgeon’s fee.
ANAESTHESIA
S.No. CODE DESCRIPTION DR/PR/SPR/NSB/SB

10:01 ANAESTHESIA
General/Spinal/Epidural Anaesthesia / Brachial
001 ANC001 30% of the Surgeon’s Fee
or Regional Blocks
002 ANC003 Local Anaesthesia with stand by. 15% of the Surgeon’s Fee
003 ANC002 Local Anaesthesia 10% of the Surgeon’s Fee
004 ANC005 Anaesthesia outside Operating Room As per above whichever is applicable
S.No. CODEDESCRIPTION ACCOMMODATION CATEGORY

Other specific type of Anaesthesia Charges DR PR SPR NSB SB
10:02 ANC004 Obst. (Epidural) Anesthesia Upto 1 Hour 2500 2500 2500 1500 900
10:03 ANC022 TOP-UP of Epidural Anesthesia (Each Time) 800 800 800 600 300
44
CATHLAB. (CARDIOLOGY) PROCEDURES

DR PR SPR NSB SB
11:01 ANGIOGRAPHY PACKAGES
01. CAD001 CORONARY ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 5000
02. CAD007 PERIPHERAL ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 5000
03. CAD009 RENAL ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 5000
04. CAD010 CHECK ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 5000
ANGIOPLASTY PACKAGES
05. CAD002 CORONARY ANGIOPLASTY (Stay 2days) 110000 100000 85000 70000 60000
06. CAD006 PERIPHERAL ANGIOPLASTY (Stay 2days) 90000 80000 65000 50000 45000
07. CAD011 RENAL ANGIOPLASTY (Stay 2days) 90000 80000 65000 50000 45000
08. CAD034 CAROTID ANGIOPLASTY (Stay 2days) 110000 100000 85000 70000 60000
PACEMAKER IMPLANTATION PACKAGES

PACEMAKER IMPLANTATION-SINGLE
09. CAD012 70000 60000 50000 40000 36000
CHAMBER (Stay 3days)
PACEMAKER IMPLANTATION-DOUBLE
10. CAD013 90000 80000 65000 50000 45000
CHAMBER (Stay 3days)
PACEMAKER / LEAD– REPLACEMENT
11. CAD014 70000 60000 50000 40000 36000
(Stay 3days)
12. CAD031 PACEMAKER EXPLANTATION (Stay 3days) 70000 60000 50000 40000 36000
OTHER PACKAGES
COIL/PARTICLE EMBOLIZATION
13. CAD018 45000 40000 34000 25000 20000
(Stay 1day)
14. CAD003 EP STUDY (Stay 1day) 25000 22000 19000 15000 13500
FFR – FRACTIONAL FLOW RESERVE
15. CAD029 20000 18000 15000 12000 10000
(Stay 1day)
16. CAD021 IVC FILTER IMPLANTATION (Stay 1day) 25000 22000 19000 15000 13500
BALLOON VALVULOPLASTY / BMV/BPV-
17. CAD016 120000 100000 80000 60000 50000
BALLOON (Stay 2days)
18. CAD015 ASD / VSD DEVICE CLOSURE (Stay 2days) 75000 65000 55000 45000 40000
BIVENTRICULAR DEVICE/COMBO
19. CAD017 120000 100000 80000 60000 50000
(Stay 3days)
20. CAD019 ICD/AICD – SINGLE CHAMBER (Stay 3days) 95000 80000 65000 50000 45000
ICD/AICD – DOUBLE CHAMBER
21. CAD020 110000 90000 75000 60000 54000
(Stay 3days)
22. CAD022 RF ABLATION – 3D MAPPING (Stay 3days) 190000 170000 150000 130000 120000
23. CAD004 RF ABLATION (Stay 3days) 95000 80000 65000 50000 45000
24. CAD005 EPS + RFA (Stay 3days) 125000 100000 75000 50000 45000
NOTE :- In case patient is admitted directly in ICU/CCU, treated and discharged from ICU/CCU only (not stayed or shifted
to wards) shall be levied as per minimum Semi-Pvt. Room.
(Inclusions and exclusions of packages are on next page)
45
Inclusions of Packages.
1. Stay as mentioned above, Professional fee of Cardiologist during the package duration and Cath lab charges.
2. Pre-operative Investigations (RBS, Urea, Createnine, CBC, BT, Sodium, potassium, Hbs Ag(spot), HIV(spot),
HCV(spot), PT, APTT, Platelet Count, Blood grouping & typing, X-Ray Chest, ECG (Quantity one of each investigation
is covered in package).
Exclusions of Packages.
1. Any other investigation other than listed above in inclusions

2. All treatment, all post op. investigations, Medication, Room/Bed charges and visits of Cardiologist beyond stay
mentioned in the package charges.
3. Any other incidental procedure other than the main planned package procedure.
4. Consultation charges other than Cardiologist.
5. Cost of Stent/s, Balloons, Guidewire, Pace Maker,Lead & other accessories used in cathlab. (In case of Pacemaker
Replacement, cost of lead and accessories will be charged, If replaced).
6. Cost of Devices, Coil / Particles, Filter Wire, Special wires like Pressure Wire-FFR, OCT, Rotablation, Rotablation Burr.
7. All Drugs/Medicines (Injectables or Oral), Contrast, disposables used in cathlab, CCU/ICU and , Ward are as per
actuals.
8. IABP (in case used).
9. Angiography CD
************************
Non-package Cathlab Procedures

11:02 Non-package Cathlab Procedures DR PR SPR NSB SB
INTRA AORTIC BALLOON PUMP (IABP)
26. CAD023 18000 16000 13000 11000 10000
IMPLANTATION
27. CAD024 FOREIGN BODY REMOVAL 18000 16000 13000 11000 10000
28. CAD025 FLUROSCOPY 2500 2200 2000 1700 1500
29. CAD026 TEMPORARY PACEMAKER IMPLANTATION 12000 10000 8000 6000 4000
30. CAD027 PERICARDIOCENTASIS 18000 16000 13000 10000 7000
31. CAD028 ELECTIVE CARDIOVERSION 15000 12500 10000 7500 5000
EXTRA CORPOREAL MEMBRANE
32. CAD033 300000 300000 300000 300000 300000
OXYGINATION (ECMO) INITIATION
Note :-
1. IABP:- Cost of IABP Balloon and procedure will be charged extra whenever it will be done. It is not inclusive in any of
the cathlab packages or Surgery package.
2. The above charges will includes Professional fee and Cath lab Charges only.
3. Cost of Ballon and all other disposables and medicinces will be extra.
************************
46

11:03 OTHER CHARGES DR PR SPR NSB SB
INTRA AORTIC BALLOON PUMP (IABP) PER
01. CAD030 2500 2500 2500 2500 1800
DAY*
02. SCL070 ANGIOGRAPHY CD 500 500 500 500 500
INTEROGATION / REPROGRAMMING OF
03. MSS013 1000 1000 1000 750 500
AICD/PACEMAKER
04. CPP001 ECMO (PER DAY)** 20000 20000 20000 20000 20000
Note :-
1. *IABP routine charges (per day) will be levied from next day of IABP implantation.
2. **For ECMO, no charge till 5days from initiation. Above charges will be levied from 6th day.
CARDIAC SURGERY PACKAGES

11:04 CARDIAC SURGERY PACKAGES
01. CDS003 OPEN HEART/ BYPASS SURGERIES/CABG 275000 250000 230000 210000 190000
02. CDS004 CLOSED HEART SURGERIES 155000 135000 115000 95000 85000
03. CDS005 SINGLE VALVE REPLACEMENT 275000 250000 230000 210000 200000
04. CDS006 DOUBLE VALVE REPLCEMENT 290000 265000 240000 225000 210000
05. CDS007 CABG + VALVE REPLACEMENT SURGERY 310000 285000 265000 245000 220000
06. CDS008 BENTALL REPAIR WITH PROSTHETIC VALVE 310000 285000 265000 245000 220000
07. CDS009 BENTALL REPAIR WITH BIOLOGICAL VALVE 310000 285000 265000 245000 220000
08. CDS010 ASD/VSD SURGERY 275000 250000 230000 210000 190000
Package includes :-
01. Maximum stay of 8 days.
02. Period of 8 days will be effective from one day prior to the date of surgery.
03. Routine Blood Tests (RBS, Urea, Createnine, CBC, BT, Sodium, Potassium, Hbs Ag(spot), HIV(spot),
HCV(spot), PT, APTT, Platelet Count,LFT), X-Ray Chest and ECG.
04. Two Echocardiography both pre and post surgery.
05. One doppler (if needed)
06. Drugs, Medical Consumables, Professional fee of the Cardio-thoracic Surgeon, Cardiac Anesthesia, Cardiologist
for the duration of package.
07. Nursing Care, Diet (patient only) and Physiotherapy.
08. Six Units of Whole Blood for Open Heart Surgery and 4 Units for other Heart Surgeries. (Blood to be donated by
patient’s relatives).

Package does NOT include :-
01. All charges beyond package of 8 days will be charged as per hospital Schedule of Charges.
02. Consultation charges other than Cardiologist.
03. Cost of SwanGanz catheter/CCO (if used) shall be charged extra.
04. Nephrology and dialysis services.
05. Additional investigations and Echo etc.
06. Cost of Valve, Vascular Graft, Aortic Graft, PTFE Patch, Visipaque Dye etc.
07. High cost drugs like Inj. Solumedrol, Morotrol, Meronem, Milron, Targocid, Primacore, Albumin, Clexane,
Fibrin Glue, Trasylol, Injectable Anti-platelets, Thromolytic agents etc.
47
08. IABP Procedure charges (in case used) and cost of Balloon.
09. Blood transfusion services for Special Blood Products on cell separator.
10. Rs. 5,000/- for Leukocyte Filter (in case used)
11. For High Risk Cases :- Rs.40,000/- will be an additional charge, over and above the cost of packages.
NON-PACKAGE CARDIAC SURGERIES / PROCEDURES

11:05 OTHER NON-PACKAGE CARDIAC SURGERIES ACCOMMODATION CATEGORY
S.No. CODE DESCRIPTION DR PR SPR NSB SB
01. CDS011 STERNOTOMY 20000 18000 15000 12000 10000
STERNAL DEBRIDEMENT AND MUSCLE FLAP
02. PLS126 33000 27500 22000 16500 11000
ROTATION
STERNAL RESECTION AND RECONSTRUC-
03. PLS127 30000 25000 20000 15000 10000
TION
Note :- Above mentioned charges are only professional fee of the surgeon. All other charges will be levied as per General
S.O.C.-2016.
************************
NON-INVASIVE CARDIAC LAB

DR/PR/SPR/NSB/POPD/
SB/GOPD
CASUALTY
12:01 ECG (ELECTRO CARDIOGRAM)
001 ECG (ELECTRO CARDIOGRAM) (EACH) 240 220
12:02 ECHOCARDIOGRAPHY / CAROTID DOPPLER

001 ARTERY DOPPLER - LOWER LIMB 2400 1900
002 ARTERY DOPPLER - UPPER LIMB 2400 1900
003 DOBUTAMINE STRESS ECHO 4000 3600
004 DOPPLER STUDY 2400 1900
005 ECHOCARDIOGRAPHY 2400 1900
006 ECHOCARDIOGRAPHY - PEADIATRICS 2400 1900
PORTABLE CHARGES FOR ECHOCARDIOGRAPY/DOP-
007 300 300
PLER
008 SCREENING ECHO* 700 600
009 STRESS ECHO 4000 3600
010 VENOUS DOPPLER - LOWER LIMB 2400 1900
011 VENOUS DOPPLER - UPPER LIMB 2400 1900
NOTE : *No report of Screening will be issued to the patients, only noting in file to be made.
48

DR/PR/SPR/NSB/POPD/
12:03 T.M.T. (TREAD MILL TEST) SB/GOPD
CASUALTY
001 TREAD MILL TEST (EACH) 1900 1600
12:04 HOLTER MONITOR

001 HOLTER MONITORING 2000 1700
002 EXTENDED HOLTER MONITORING 8000 6500
************************
GASTROENTEROLOGY
ENDOSCOPIC PROCEDURES (FLAT RATES)
13:01 UPPER GI ENDOSCOPY
001 ACHALASIA DILATATION 7200 5000
002 ARGON PLASMA COAGULATION – UPPER GI 7700 5500
003 DILATATION 9250 6600
004 ENDO THERAPY FOR BLEEDING – UPPER GI 5000 3500
ENDOSCOPIC NASO-JEJUNAL FEEDING TUBE
005 5100 3600
INSERTION
006 ENDOSCOPIC PLACEMENT OF RYLES TUBE 3850 2750
007 ENDOSCOPY UPPER G.I. 4000 2800
008 EPT - STONE EXTRACTION 15500 11000
009 EST-ENDOSCOPIC SCLEROTHERAPY 8500 6000
010 EVL-ENDOSCOPIC VARICES LIGATION 8500 6000
011 FOREIGN BODY REMOVAL 8000 5500
012 H. PYLORI TEST 450 350
013 OESOPHAGEAL ACHALASIA 5100 3600
014 OESOPHAGEAL METAL STENT PLACEMENT 15500 11000
015 PAPILLOTOMY WITH STONE EXTRACTION 15500 11000
016 PEG REMOVAL 3300 2300
017 PERCUTANEOUS ENDOSCOPIC GASTROTOMY - PEG 10000 7000
018 SENGASTAKEN TUBE PLACEMENT 2200 1550
019 SIDE VIEWING ENDOSCOPY 3850 2750
020 UPPER GI WITH POLYPECTOMY 6600 4600
13:02 LOWER GI ENDOSCOPY

001 ARGON PLASMA COAGULATION – LOWER GI 7700 5500
002 COLONOSCOPY - 2 6200 4400
COLONOSCOPY – 2 WITH COLONOSOPIC
003 9250 6600
SCLEROTHERAPY
004 COLONOSCOPY – I 4000 2750
005 COLONOSCOPY WITH POLYPECTOMY 11000 9700
METAL STENT PLACEMENT (LOWER GI) (COST OF
006 15500 11000
STENT EXTRA)
49

DR/PR/SPR/NSB/POPD/
13:02 LOWER GI ENDOSCOPY SB/GOPD
CASUALTY
007 SIGMOIDOSCOPY 2200 1550
008 THERAPY FOR BLEEDING – LOWER GI 7700 5500
009 VIDEO PROCTOSCOPY 1700 1300
13:03 ERCP
001 BRUSHING & BIOSPY 14300 10000
002 ERCP - ENDOSCOPY 7700 5500
ERCP-METAL STENT PLACEMENT (COST OF STENT
003 16500 11500
EXTRA)
004 MECHANICAL LITHOTRIPSY 16500 11500
005 PANCREATIC STENTING 15400 11000
006 PANCREATIC STONE REMOVAL 15400 11000
007 PLASTIC STENT DEPLOYMENT 16500 11500
008 PLASTIC STENT REMOVAL 5000 3500
009 STENT REMOVAL & CBD CLEARANCE 16500 11500
010 THERAPEUTIC ERCP 15500 11000
13:04 OTHERS
001 DIAGNOSTIC ABDOMINAL PARACENTESIS 2200 1500
002 LARGE VOLUME PARACENTESIS 2400 1700
003 LIVER BIOPSY 2900 2000
004 ANESTHESIA FOR ENDOSCOPY - FLAT RATE 1300 900
NOTE :
(1). 25% of the above procedures fee will be levied as “G.E.Room and Equipment charges”.
(2). All diagnostic “Medication”, “Radiology” and “laboratory” will be charged extra.
(3). Any “Drug” like antibiotics, contrast & “Consumables” etc will charged extra.
************************
NEUROLOGY
14:01 NEUROLOGICAL INVESTIGATIONS
001 BAEP -BRAINSTEM AUDITORY EVOKED POTENTIALS* 2400 1700
002 E.E.G. (IN DEPTT.) 1650 1200
003 E.E.G. PORTABLE 2800 2200
004 EMG ALL FOUR LIMBS* 4000 3000
005 EMG BOTH LOWER LIMBS* 2500 2000
006 EMG BOTH UPPER LIMBS* 2500 2000
007 FACIAL NERVE NCV 2500 2000
008 FACIAL NERVE NCV, EMG & BLINK* 4000 3000
009 NCV & EMG ALL FOUR LIMBS* 6000 5000
010 NCV & EMG BOTH LOWER LIMBS* 4000 3000
011 NCV & EMG BOTH UPPER LIMBS* 4000 3000
012 NCV ALL FOUR LIMBS 4000 3000
50

DR/PR/SPR/NSB/POPD/
14:01 NEUROLOGICAL INVESTIGATIONS SB/GOPD
CASUALTY
013 NCV BOTH LOWER LIMBS 2500 2000
014 NCV BOTH UPPER LIMBS 2500 2000
015 RNS STUDIES 6000 5000
016 SSEP ALL FOUR LIMBS* 5000 4000
017 SSEP BOTH LOWER LIMBS* 4000 3000
018 SSEP BOTH UPPER LIMBS* 4000 3000
019 VEP* (VISUAL EVOKED POTENTIAL*) 4000 3000
* Cost of EMG Needle will be extra (As per Market price)
************************
RESPIRATORY MEDICINE
15:01 SLEEP LAB
001 POLYSOMNOGRAPHY 11000 10000
002 CPAP TITRATION STUDY 9000 8000
003 SPLIT NIGHT STUDY 14000 12000
15:02 SPIROMETRY
001 P.F.T. (PULMONARY FUNCTION TEST) 700 600
002 P.F.T. DLCO 1300 1100
15:03 VIDEO BRONCHOSCOPY

001 VIDEO BRONCHOSCOPY 7500 6500
002 VIDEO BRONCHOSCOPY WITH BIOPSY OR TBNA 8000 7500
003 VIDEO BRONCHOSCOPY WITH BIOPSY AND TBNA 8500 8000
005 GLUE APPLICATION (Cost of Glue Extra) 2000 1800
006 APC 2000 1800
007 STENT PLACEMENT (Cost of Stent Extra) 2500 2000
008 DIAGNOSTIC THORACOSCOPY 9000 8000
009 THORACOSCOPY WITH PLEURAL BIOPSY 9500 8500
010 THORACOSCOPY & PLEURODESIS 11000 10000
************************
51
RADIOLOGY
DR/PR/SPR/NSB/POPD/ SB/
16:01 BMD CASUALTY GOPD
001 BMD – PELVIS (BOTH HIPS) 2300 2100
002 BMD - SINGLE HIP 2000 1800
003 BMD - WHOLE BODY 4000 3600
004 BMD -SPINE 2000 1800
005 BMD -SPINE + PELVIS 2800 2500
006 BMD -SPINE + SINGLE HIP 2300 2100
16:02 C.T. SCAN

001 3D 5000 4600
002 ANGIO-ABDOMINAL 11000 10000
003 ANGIO-CEREBRAL 7700 7000
004 ANGIO-RENAL 7700 7000
005 ANGIO-PERIPHERAL 11000 10000
006 ANGIO-ABDOMEN AORTA 11000 10000
ANGIO-WHOLE ABDOMEN (DUAL PHASE
007 8800 8000
LIVER)
008 C4 TO C7 - 4 VERTEBRAE 4000 3650
009 EVERY ADDITIONAL VERTEBRA 800 750
010 EXTRA FOR EMERGENCY CASES [**] 650 650
011 EXTRA FOR M.L.C. CASES 650 650
012 EXTREMITIES 3000 2800
013 FACE- CT 3900 3600
GUIDANCE BIOPSY (LAB. & DISPOSABLES
014 3300 3000
EXTRA)-CT
GUIDED ASPIRATION (LAB. & DISPOSABLES
015 3300 3000
EXTRA)-CT
GUIDED F.N.A.C. (LAB. & DISPOSABLES
016 3300 3000
EXTRA)
017 HEAD - PLAIN 2400 2200
HEAD - PLAIN + CONTRAST (CONTRAST
018 3500 3200
CHARGE EXT.)
019 HEAD NCCT 2400 2200
020 HEAD NECT 2400 2200
021 HEAD & NECK/FACE-CT 5000 4500
022 HRCT THORAX FULL 5000 4600
023 KUB-PLAIN : CT 5200 4800
024 KUB PLAIN + CONTRAST 6600 6000
025 L3 TO S1- 4 VERTEBRAE 4400 4000
52

16:02 C.T. SCAN CASUALTY GOPD
026 LARYNX 3100 3100
027 LIVER – TRIPPLE PHASE 6600 6000
028 LOWER ABDOMEN - CT 4600 4200
029 LOWER THORAX + UPPER ABDOMEN-CT 7700 7000
030 LOWER THORAX/CHEST 3850 3500
031 MISCELLANEOUS [ANKLE/HIP/WRIST ETC.] 3000 2700
032 NECK - CT 3800 3500
033 ORBIT 3700 3400
034 PITUITARY GLAND 3000 2700
035 PNS : AXIAL + CORONAL + SAGITAL 4000 3700
036 PNS FULL 2700 2500
037 PULMONARY ANGIOGRAPHY 8000 7200
038 TEMPORAL BONE [IAM] 4000 3600
039 THORAX/CHEST -CT 4400 4000
040 UPPER ABDOMEN - CT 4400 4000
041 UPPER THORAX 3600 3300
042 VIRTUAL COLONOSCOPY 9000 8100
WHOLE ABDOMEN – PLAIN + CONTRAST –
043 7700 7000
CT
044 WHOLE SPINE 12000 10800
NOTE : [**] Emergency charges is extra for scans done between 7:00 pm to 8:00 am or on Sundays
& holidays.
16:03 MAMMOGRAPHY
001 MAMMOGRAPHY [BILATERAL] 1800 1600
002 MAMMOGRAPHY [ONE SIDE] 900 800
16:04 ULTRA SOUND

001 ABDOMINAL - SINGLE ORGAN 700 630
002 B.P.P. ONLY 600 540
003 B.P.P. ONLY (TWIN PREG.) 1000 900
004 BREAST -U/S 800 720
005 CHEST -U/S 700 630
006 DOPPLER ONLY 600 540
007 DOPPLER ONLY (TWIN PREG.) 1000 900
008 EMERGENCY (ON CALL) CHARGE [**] 500 450
009 EYES -U/S 800 720
010 FOLLICULAR/OVALUTION STUDIES 1750 1600
011 GALL BLADDER 700 630
53

16:04 ULTRA SOUND CASUALTY GOPD
012 GUIDED ASPIRATION -U/S 1150 1050
013 GUIDED ASPIRATION IN O.T. -U/S 1650 1500
014 GUIDED BIOPSY -U/S 1150 1050
015 GUIDED MULTI ORGAN ASPIRATION -U/S 1650 1500
016 JOINTS – U/S 1100 1000
017 KIDNEY -U/S 700 630
018 KUB -U/S 1100 1000
019 LIVER -U/S 700 630
020 LOWER ABDOMEN -U/S 1100 1000
021 NEONATAL HEAD -U/S 800 700
022 OBS + NT/NB -U/S 1500 1350
023 OBS LEVEL II - 3D/4D (U/S) 2200 2000
024 OBS LEVEL II - 3D/4D (U/S) (TWIN PREG.) 3150 2800
025 OBS WITH DOPPLER 1700 1550
026 OBS WITH DOPPLER (TWIN PREG.) 2600 2350
027 OBS. + B.P.P. 1500 1350
028 OBS. + B.P.P. (TWIN PREG.) 2100 1900
029 OBS. + B.P.P. + DOPPLER 2200 2000
030 OBS. + B.P.P. + DOPPLER (TWIN PREG.) 3100 2800
031 OBS. + DOPPLER + SCAR THICKNESS 1800 1600
032 OBS. U/S 1200 1100
033 OBS. ULTRASOUND EACH (TWIN PREG.) 1600 1400
034 PELVIS -U/S 1100 1000
035 PELVIS -U/S 1200 1100
036 PORTABLE CHARGES (ULTRASOUND) 400 350
037 POST VOID RESIDU (PVR) 300 270
038 RENAL DOPPLER -U/S 2500 2250
039 SCAR THICKNESS 200 150
040 SCROTUM / TESTIS 1100 1000
041 SCROTUM / TESTIS DOPPLER 1900 1700
042 SOFT TISSUE SONOGRAPHY 900 800
043 SPLEEN -U/S 700 630
044 THYROID-U/S 850 770
045 TRANSRECTAL 1200 1100
TRANSRECTAL BIOPSY (Procedure & Lab.
046 1300 1200
Charges are extra)
047 UPPER ABDOMEN + BPP + DOPPLER 2100 1900
048 UPPER ABDOMEN + PLEURAL SPACE -U/S 1100 1000
049 UPPER ABDOMEN -U/S 1100 1000
54

16:04 ULTRA SOUND CASUALTY GOPD
050 UPPER ABDOMEN DOPPLER -U/S 1500 1350
051 WHOLE ABDOMEN + DOPPLER -U/S 2200 2000
052 WHOLE ABDOMEN -U/S 1450 1300
053 WHOLE ABDOMEN + BPP + DOPPLER -U/S 2300 2100
WHOLE ABDOMEN + OBS. (ABOVE 10
054 1800 1600
WEEKS)
055 WHOLE ABDOMEN + OBS. (UPTO 10 WEEKS) 1500 1400
056 FOETAL ECHO 2400 1900
057 PENILE DOPPLER 1500 1350
058 DOPPLER STUDY (USG) 2400 1900
059 VENOUS DOPPLER – PER LOWER LIMB 2400 1900
060 VENOUS DOPPLER – PER UPPER LIMB 2400 1900
061 ARTERY DOPPLER – PER LOWER LIMB 2400 1900
062 ARTERY DOPPLER – PER UPPER LIMB 2400 1900
063 ARTERY + VENOUS DOPPLER-PER LOWER LIMB 3600 2900
064 ARTERY + VENOUS DOPPLER-PER UPPER LIMB 3600 2900
065 VENOUS DOPPLER – BOTH LOWER LIMBS 3600 2900
066 VENOUS DOPPLER – BOTH UPPER LIMBS 3600 2900
067 ARTERY DOPPLER – BOTH LOWER LIMBS 3600 2900
068 ARTERY DOPPLER – BOTH UPPER LIMBS 3600 2900
069 ARTERY + VENOUS DOPPLER-BOTH LOWER LIMB 7200 5800
070 ARTERY + VENOUS DOPPLER-BOTH UPPER LIMB 7200 5800
NOTE : [**] Emergency charges is extra for scans done between 7:00 pm to 8:00 am or on Sundays
& holidays.
16:05 XRAY
001 ABDOMEN ERECT & SUPINE 540 500
002 ADDITIONAL VIEWS FOR ANY REGION 270 250
003 ANKLE (BORDEN’S VIEW) 570 520
004 ANKLE AP & LAT 400 370
005 ANKLE AP BOTH 270 250
006 ANKLE LAT AXIAL 400 370
007 ANKLE LATERAL BOTH 400 370
008 APICOGRAM 270 250
009 ARM (HUMERUS) AP & LAT 400 370
010 BA. ENEMA 3100 2850
011 BA. ENEMA (DOUBLE CONTRAST) 3800 3500
012 BA. MEAL FOLLOW THROUGH 2900 2650
55

16:05 XRAY CASUALTY GOPD
013 BA. MEAL U.G.I.T. 2000 1850
014 BA. SWALLOW /OESOPHAGOGRAPHY 1250 1150
015 CERVICAL SPINE EXTENSION/FLEXION 540 500
016 CERVICAL SPINE/NECK AP LATERAL 540 500
017 CHEST (SINGLE VIEW) 270 250
018 CHEST (2 VIEWS) 540 500
019 COCCYX AP LATERAL 540 500
COLOGRAM WITH BARIUM OR
020 2000 1850
GASTROGRAFFIN
021 DEPTT. SCREENING / FLUROSCOPY 220 200
022 DORSO-LUMBAR SPINE AP+LATERAL 540 500
023 ELBOW AP & LAT 400 370
024 FEMUR AP & LAT 540 500
025 FISTULOGRAM/SINOGRAM 1250 1150
026 FOOT AP & OBLIQUE 400 370
027 FOOT AP LATERAL BOTH 800 750
028 FOREARM AP&LAT 400 370
029 GASTROGRAFFIN SWALLOW 1250 1150
030 GASTROGRAFFIN FOLLOW THROUGH 3150 2900
031 HAND (FINGERS) AP + OBLIQUE 400 370
032 HANDS AP BOTH 270 250
033 HIP AP 270 250
034 HIP AP&LAT 540 500
035 HIP LATERAL 270 250
036 HSG 1600 1500
037 INTUSSUSCEPTION (X-RAY CHARGES) 3100 2850
038 IVP 2500 2350
039 IVP + MCU 3000 2800
040 KNEE AP LATERAL AXIAL BOTH 800 750
041 KNEE AP & LAT 400 370
042 KNEE AP & LAT AXIAL 540 500
043 KNEE AP BOTH 270 250
044 KNEE AP LATERAL BOTH 650 600
045 KUB/ABDOMEN (SINGLE VIEW) -XRAY 270 250
046 LEG AP & LAT 540 500
047 LS SPINE AP LATERAL 650 600
048 LS SPINE EXTENSION/FLEXION 540 500
049 LS SPINE LATERAL 540 500
050 MANDIBLE AP 270 250
051 MANDIBLE 3 VIEWS (AP + BOTH OBLIQUE) 800 750
56

052 MANDIBLE BOTH OBLIQUE 540 500
MASTOIDS (TOWNS + 2 LATERAL OBLIQUE) 3
053 800 750
VIEWS
054 MCU 1900 1750
055 NASAL BONE 270 250
056 NASOPHARAYNX/ ADENOIDS 270 250
057 NEPHROSTOGRAM 2200 2000
OESOPHAGEAL DILATATION UNDER
058 1600 1450
FLUROSCOPY
059 PELVIS AP 270 250
060 PER ORBITAL VIEW / IAM 400 370
061 PNS 270 250
062 PORTABLE ABDOMEN PER EXPOSER 400 370
063 PORTABLE ABDOMEN ERECT/SUPINE 800 750
064 PORTABLE CHEST 430 400
065 PORTABLE EXTREMITIES PER EXPOSER 430 400
066 PORTABLE SKULL PER EXPOSER 430 400
067 PORTABLE SPINE PER EXPOSER 430 400
068 PORTABLE X-RAY (PER EXPOSER) 430 400
RADIOLOGY CHARGES FOR
069 2300 2100
INTUSSUSCEPTION
070 RGP -RETROGRADE PYELOGRAM 1800 1650
071 RGU + M.C.U. 2200 2000
072 RGU/ASCENDING URETHROGRAM 1700 1550
073 SACRO - COCCYX AP LATERAL 540 500
074 SCANOGRAM (FULL LEG / SPINE) 600 550
075 SCAPULA AP 270 250
076 SCAPULA AP LATERAL 540 500
077 SCREENING (ABOVE 15 MTS.) 1950 1800
078 SCREENING (UPTO 15 MTS.) 1400 1300
079 SCREENING FOR ERCP / EPT 1400 1300
080 SHOULDER AP 270 250
081 SHOULDER AXIAL 270 250
082 SI JOINT PA + BOTH OBL. 800 750
083 SI JOINT PA/SACRO ILIAC JOINT 270 250
084 SIALOGRAPHY 1250 1150
085 SKULL : ANY SINGLE VIEW 270 250
086 SKULL AP & LATERAL 540 500
087 SPINE (2 VIEWS) 540 500
088 SPINE (SINGLE VIEW) 270 250
57

089 STYLOID PROCESS (SINGLE VIEW) 270 250
090 THIGH / FEMUR AP 270 250
091 TM JOINTS (BILATERAL) 800 750
092 TTC 1500 1400
093 VENOGRAPHY/PHLEBOGRAPHY (1 SIDE) 2400 2200
VENOGRAPHY/PHLEBOGRAPHY
094 4800 4400
(BILATERAL)
095 WRIST AP & LAT 400 370
096 WRIST AP BOTH 270 250
097 XRAY PER EXPOSER 270 250
098 WRIST AP & LAT + OBLIQUE (SCAPHOID) 650 600
COST OF DYE / CONTRAST EXTRA WHEREVER APPLICABLE.
16:06 MRI
S.No. DESCRIPTION ALL CATEGORIES OF IPD & OPD
BRAIN & FACE
001 BRAIN 5250
002 BRAIN & SPECTROSCOPY 7850
003 BRAIN + CSF STUDIES 7850
004 BRAIN + CV JUNCTION SCREENING 6300
005 BRAIN + FMRI (ONE ACTIVITY) [BOLD/ASL] 10500
006 BRAIN + ORBIT 7850
007 BRAIN + PERFUSION (CONTRAST EXTRA) 7850
008 BRAIN + SEIZURE PROTOCOL 6300
009 BRAIN + SELLA 7850
010 BRAIN + TRACTOGRAPHY 10500
011 BRAIN ANGIOGRAPHY 5250
012 BRAIN MRI + MRA BRAIN 7850
013 BRAIN MRI + MRA BRAIN & NECK 10500
014 BRAIN WITH IAM 7850
015 BRAIN WITH PNS 7850
016 CISTERNOGRAPHY 5250
017 CONTRAST 3150
018 EXTENDED STUDY 2600
019 FACE 5250
020 FACE + NECK 7850
021 IAM/TEMPORAL BONE 5250
022 MRA ABDOMINAL AORTA 7850
023 MRA ARCH OF AORTA 7850
58

BRAIN & FACE
024 MRA BRAIN + MRA NECK 7850
025 MRA + MRV BRAIN 7850
026 MRA + MRV NECK 7850
027 MRI + MRV BRAIN 7850
028 MRI + MRV NECK 7850
029 MR VENOGRAPHY 5250
030 MYELOGRAPHY (WITHOUT CONTRAST) 2600
031 NECK 5250
032 NECK ANGIOGRAPHY 5250
NECK/FACE MR FOR C.A.-MRI (Incl. CT
033 8900
Correlation)
034 ORBIT 5250
PERFUSION IMAGING FOR STROKE
035 (INCLUDES CONTRAST) WITHIN A WEEK OF 5800
INITIAL STUDY
036 PNS 5250
037 SCREENING – BRAIN 3150
038 SELLA / PITUITARY 5250
SELLA DYNAMIC STUDY (INCLUDES
039 10500
CONTRAST)
040 SPECTROSCOPY 5250
041 TM JOINTS 8400
SPINE
042 3D MRI 2100
043 BRACHIAL PLEXUS 6300
044 CERVICAL SPINE 5250
CERVICAL SPINE (FLEXION+EXTENSION)
045 7850
[DYNAMIC CERVICAL SPINE]
046 CERVICAL SPINE WITH BRACHIAL PLEXUS 7850
047 CERVICAL SPINE WITH CVJ SCREENING 6300
CERVICAL SPINE WITH SCREENING WHOLE
048 7850
SPINE
049 CV JUNCTION 5250
050 DORSAL SPINE 5250
DORSAL SPINE WITH SCREENING WHOLE
051 7850
SPINE
052 L.S. SPINE 5250
053 L.S. SPINE WITH S.I. JOINTS SCREENING 7850
054 L.S. SPINE WITH SCREENING WHOLE SPINE 7850
055 S.I. JOINTS 5250
59

SPINE
056 SCREENING WHOLE SPINE 3150
057 WHOLE SPINE 10500
JOINTS AND EXTREMITIES

058 ANKLE 5250
059 BILATERAL ANKLES 10500
060 BILATERAL KNEES 10500
061 BILATERAL SHOULDERS 10500
062 BOTH FEET 10500
063 BOTH HANDS 10500
064 CARTILAGE MAPPING (INCLUDES JOINT) 5800
065 ELBOW 5250
066 FOOT 5250
067 FOREARM 5250
068 HAND/ FINGER 5250
069 HIPS 5250
070 HIPS BOTH 6300
071 JOINT (PER JOINT) 5250
072 JOINT SCREENING FOR EFFUSION 2600
073 KNEE 5250
074 LEG 5250
075 MR ARTHROGRAPHY (INCLUDES CONTRAST) 7850
076 SHOULDER 5250
077 THIGH / FEMUR 5250
078 WRIST 5250
BODY MR
079 CARDIAC 10500
080 STERNUM / STERNOCLAVICULAR JOINT 5250
081 THORAX 5250
082 BREAST 6300
083 FETAL MRI 7850
084 LOWER ABDOMEN/PELVIS 5250
085 LOWER ABDOMEN & PELVIS 6300
086 MR ENTEROCLYSIS 7850
087 MR SINOGRAM / FISTULOGRAM 5800
MRI OF OTHER PARTS

088 MR UROGRAM 5250
089 MR UROGRAM WITH LOWER ABDOMEN/KUB 7850
60

MRI OF OTHER PARTS
090 MRCP 6300
091 MRCP WITH UPPER ABDOMEN 7850
092 MRI KUB 5250
093 MULTIPARAMETRIC PROSTATE 7850
PERIPHERAL ANGIOGRAPHY MRI (NON-
094 8400
CONTRAST) PER LIMB
095 RENAL ANGIOGRAPHY 7850
096 TRIPLE PHASE LIVER (INCLUDES CONTRAST) 10500
097 UPPER ABDOMEN 5250
098 WHOLE ABDOMEN 8400
099 WHOLE BODY SCREENING FOR METS 4200
Please Note: Contrast will be Charged Extra wherever required.
16:07 OTHER CHARGES

101 ANAESTHESIA CHARGES 1500
102 EMERGENCY CHARGES* 1000
16:08 MISCELLANEOUS CHARGES

001 DUPLICATE DVD FOR MRI 200
DUPLICATE X-RAY /ULTRA SOUND/C.T./MRI
002 125
FILM : PER FILM
NOTE : [*] Emergency charges is extra for scans done between 5:00 pm to 8:00 am or on Sundays
& holidays.
61
LABORATORY
DR/PR/SPR/NSB/
17:01 GROUP : CLINICAL CHEMISTRY & HORMONES SB/GOPD
POPD/CASUALTY
001 RBS - RANDOM BLOOD SUGAR 80 70
002 UREA 110 100
003 CREATININE 120 110
004 CALCIUM 160 150
005 PHOSPORUS (INORGANIC PHOS.) 160 150
006 AMYLASE 330 300
007 GTT-GLUCOSE TOLERANCE TEST 360 320
008 URIC ACID-SERUM 150 140
FDP (FIBRIN/FIBRINOGEN DEGRADATION
009 950 860
PRODUCT)
010 FLUID ALBUMIN 120 110
011 CALCIUM/CREATININE RATIO- URINE FASTING 300 270
012 PROTEIN/CREATININE RATIO -URINE FASTING 300 270
013 GCT - GLUCOSE CHALLENGE TEST 90 80
014 PPS- AFTER GLUCOSE 80 70
015 TOTAL/SERUM PROTEIN(TP,ALB,GLOB,A/G) 160 140
016 PT (PRO TIME) 220 200
017 BILIRUBIN ( DIRECT,INDIRECT,TOTAL) 200 180
018 ALKALINE P TASE-ALP 160 150
019 SGPT/ALT 150 140
020 SGOT /AST 150 140
021 LFT-LIVER FUNCTION TEST 700 630
022 APTT 300 270
023 SODIUM (NA+) ONLY 150 140
024 POTASSIUM (K+) ONLY 150 140
025 SODIUM & POTASSIUM 290 260
026 CHLORIDE (CL-) 140 130
027 BICARBONATE (HCO3-) 200 180
028 ABG - ARTILLARY BLOOD GAS 700 630
029 CHOLESTEROL TOTAL-SERUM 140 130
030 HDL CHOLESTROL - DIRECT 240 220
031 TRIGLYCERIDES 280 250
032 LIPID PROFILE 900 800
033 CPK 250 230
034 CPK (MB) 390 350
035 CHOLESTEROL - FLUID 140 130
036 LDH FLUID 290 260
037 ELECTROLYTES SERUM 380 340
62

DR/PR/SPR/NSB/
POPD/CASUALTY
038 LIPASE-SERUM 460 410
039 GAMMA GT / GGT/ GGTP 250 230
040 LDH-SERUM 300 270
041 SERUM PROTEIN ELECTROPHORESIS 530 470
042 MAGNESIUM -SERUM 300 270
043 SODIUM-URINE RANDOM SPECIMEN 160 150
044 AMYLASE-URINE 330 300
045 D-DIMER TEST 1150 1050
046 FT 3 -FREE T3 350 320
047 FT 4 -FREE T4 350 320
048 TSH 350 320
049 FT3, FT4 & TSH (TOGETHER) 930 840
050 FT3 & FT4 (TOGETHER) 680 600
051 CORTISOL -SERUM 530 480
052 PROLACTIN -SERUM 520 470
053 FSH 520 470
054 LH 520 470
055 PSA - PROSTATE SPECIFIC ANTIGEN 730 660
056 FERRITIN 670 600
057 FBS - FASTING BLOOD SUGAR 80 70
058 PPS (POST PRANDIAL SUGAR) 80 70
059 SBR - BILIRUBIN TOTAL (MICRO METHOD) 130 120
060 ADA 460 420
061 CALCIUM - MICRO METHOD 160 150
062 PPS AFTER BREAKFAST 80 70
063 PPS AFTER LUNCH 80 70
064 PPS AFTER DINNER 80 70
065 URINE FOR CREATININE 150 130
066 NEONATAL TSH SCREEN (NEO TSH) 250 230
067 SERUM ALBUMIN 110 100
068 CORD BLOOD PROLACTINE 520 470
069 CBG - CAPILLARY BLOOD GAS 650 580
070 CORD BLOOD PH FOR FETAL WELL BEING 250 220
071 CRP 370 330
072 HCG WITH LIPIDS 920 840
073 ALPHA FETO PROTEIN 780 700
074 BHCG (TUMOR MARKER) 650 580
075 E3-ESTRIOL 1200 1080
076 VITAMIN B12 1000 900
63

DR/PR/SPR/NSB/
POPD/CASUALTY
077 FOLATE 1100 1000
078 FOLATE & VITAMIN B12 1900 1700
079 CA 125 1150 1050
080 TRIPLE TEST 2550 2300
081 FLUID FOR PH 190 170
082 VITAMIN D-25 HYDROXY 1500 1350
083 MODIFIED G..T.T. (GYNAE) 220 200
084 MICROALBUMIN 500 450
085 INSULIN (FASTING) 750 680
086 INSULIN (PP) 750 680
087 INSULIN (RANDOM) 750 680
088 TROPONIN I (TROP. I) 1250 1120
089 NT-proBNP 2000 1800
090 GDM SCREENING 100 90
091 LACTATE 250 220
092 IMMUNOGLOBULIN IGE (TOTAL) 700 630
093 PTH INTACT 1300 1170
094 GFR (GLOMERULAR FILTRATION RATE) 200 180
17:02 GROUP : CYTOPATHOLOGY

001 PAPANICULA SMEAR 440 390
002 FLUIDS FOR MALIGNANT CYTOLOGY 440 390
003 CSF FOR MALIGNANT CYTOLOGY 440 390
004 FNAC 1000 900
005 FNAC- CT/US GUIDED 970 870
TBNA (TRANS BRONCHIAL NEEDLE
006 1000 900
ASPIRATION)
17:03 GROUP : HEMATOLOGY

001 HB (HEMOGLOBIN) 100 90
002 TLC (WBC COUNT) 100 90
003 MALARIAL PARASITES (MP) 110 100
004 PERIPHERAL SMEAR 140 130
005 RBC COUNT 110 100
006 HEMATOCRIT (HCT/PCV) 110 100
007 CBC (COMPLETE BLOOD COUNT) 330 300
008 TLC & DLC 200 180
009 RED CELL INDICES 250 220
010 ESR 120 110
64

DR/PR/SPR/NSB/
17:03 GROUP : HEMATOLOGY SB/GOPD
POPD/CASUALTY
011 MCH 110 100
012 MCHC 110 100
013 DLC 140 130
014 CBC & MP (TOGETHER) 420 380
015 CBC & PS (TOGETHER) 420 380
016 GASTRIC LAVAGE FOR PMNS 120 110
017 MCV 120 110
018 RETIC COUNT 240 220
019 EOSINOPHIL COUNT 150 140
020 CLOT RETRACTION 150 140
021 BT – BLEEDING TIME 90 80
022 SICKLE CELL PREP. 150 140
023 PLATELET COUNT 50 50
024 RBC FRAGILITY 400 360
025 FILARIAL PREP. 240 220
026 BONE MARROW EXAMINATION 830 750
FALCIPARUM & PLASMODIUM VIVAX TEST
027 400 360
(F&V)
028 BONE MARROW IRON STAINING 250 220
029 KALA - AZAR DETECT 460 420
BONE MARRROW (ASPIRATION AND
030 1020 900
EXAMINATION)
031 FILARIAL ANTIGEN 650 580
032 CBC & MP WITH F&V 480 430
17:04 GROUP : SPECIAL HEMATOLOGY

001 GLYCOSYLATED HB/HB 1AC 440 400
002 FETAL HB. 200 180
003 G6 PD (CONFIRMATORY) 530 480
004 HB ELECTROPHORESIS 900 800
G6 PD SCREENING (SCREENING +
005 600 540
CONFIRMATORY)
006 SERUM IRON 280 250
007 SERUM IRON & TIBC 450 400
17:05 GROUP : HISTOPATHOLOGY

001 FROZEN SECTION WITH BIOPSY SPECIMEN 2400 2150
002 TISSUE FOR GROSS/DOCUMENTATION ONLY 100 90
003 SLIDE FOR HISTOPATHOLOGY 520 470
004 BLOCK FOR HISTOPATHOLOGY 700 630
65

DR/PR/SPR/NSB/
17:05 GROUP : HISTOPATHOLOGY SB/GOPD
POPD/CASUALTY
005 TISSUE -SMALL FOR HISTOPATHOLOGY 570 510
006 TISSUE - MEDIUM FOR HISTOPATHOLOGY 850 760
007 TISSUE - LARGE FOR HISTOPATHOLOGY 2000 1800
008 SMALL BIOPSY (SPECIAL STAIN) 1200 1080
009 RADICAL SPECIMEN 3500 3150
010 IHC MARKER (SINGLE) 1300 1300
011 ER/PR/HER-2-NEU 3600 3600
17:06 GROUP : MICROBIOLOGY

001 CULTURE - BLOOD-ROUTINE 460 410
002 CULTURE- BLOOD -RAPID 1000 900
003 STOOL FOR CHOLERA (HANGING DROP) 120 110
004 GRAMS STAIN 130 120
005 FUNGUS PREP. -KOH PREP 150 140
006 TRICHOMONAS (VAGINAL SWAB,WET PREP) 130 120
007 DIPHTHERIA SMEAR 160 150
008 RAPID UREASE TEST 250 230
009 NIGROSIN PREPRATION FOR CRYPTOCOCCUS 190 170
010 FUNGUS CULTURE 400 360
011 WET SMEAR FOR TROPHOZOITES 100 90
012 CULTURE & SENSITIVITY - CSF 550 500
013 CULTURE & SENSITIVITY - EAR SWAB 550 500
014 CULTURE & SENSITIVITY - HVS 550 500
015 CULTURE & SENSITIVITY - MISC. 550 500
016 CULTURE & SENSITIVITY - PUS 550 500
017 CULTURE & SENSITIVITY - SPUTUM 550 500
018 CULTURE & SENSITIVITY - STOOL 550 500
019 CULTURE & SENSITIVITY - THROAT SWAB 550 500
020 CULTURE & SENSITIVITY - URINE 380 340
021 AFB CULTURE - SPUTUM (MYCOBACTERIUM) 900 800
022 AFB CULTURE - URINE (MYCOBACTERIUM) 900 800
023 AFB CULTURE - PUS (MYCOBACTERIUM) 900 800
024 AFB CULTURE - FLUIDS (MYCOBACTERIUM) 900 800
025 AFB CULTURE - MISC (MYCOBACTERIUM) 900 800
026 MTB/MOTT IDENTIFICATION 820 740
027 SMEAR FOR FUNGUS 130 120
028 AFB - SPUTUM (SAMPLE I) 180 160
029 AFB - SPUTUM (SAMPLE II) 180 160
030 AFB - SPUTUM(SAMPLE III ) 180 160
66

DR/PR/SPR/NSB/
17:06 GROUP : MICROBIOLOGY SB/GOPD
POPD/CASUALTY
031 AFB - URINE (SAMPLE I) 180 160
032 AFB - URINE (SAMPLE II) 180 160
033 AFB - URINE (SAMPLE III) 180 160
034 AFB - SMEAR MISC SPECIMEN. 180 160
035 URETHERAL SMEAR G.C. 170 150
036 CULTURE OTHERS RAPID 1050 950
037 CRYPTOSPORIDIUM - ZN STAIN 180 160
038 SMEAR FOR PNEUMOCYSTIC CARINI 130 120
17:07 GROUP : MISCELLANEOUS LAB INVESTIGATION

001 FLUID - ROUTINE EXAMINATION 290 230
002 CSF- (SPINAL FLUID) - ROUTINE 330 270
003 SEMEN ANALYSIS 420 340
004 PCT (POST COITAL TEST) 130 110
C.S.F. ROUTINE WITH SMEAR FOR
005 330 270
CRYPTOCOCCUS
006 GA FOR OCCULT BLOOD 100 90
007 FLUID FOR CRYSTALS 90 80
008 FLUID FOR SUGAR 100 90
17:08 GROUP : PARASITOLOGY

001 STOOL ROUTINE EXAMINATION 110 100
002 STOOL OCCULT BLOOD 100 90
003 STOOL FOR PH 90 80
004 STOOL REDUCING SUBSTANCES 100 90
005 STOOL FOR WBC/HPF 90 80
006 STOOL/PUS AMOEBA 90 80
007 ROTAVIRUS 460 410
17:09 GROUP : SEROLOGY

001 RPR (VDRL) 130 120
002 WIDAL 240 220
003 HBS AG ELISA 420 380
004 HBS AG SPOT 320 290
005 ASO (ASLO) TEST 210 190
006 ANF/ ANA. 700 630
007 CRP (LATEX) 150 140
008 PREGNANCY TEST 150 140
009 UPT (SPOT) [PREGNANCY TEST (SPOT)] 150 140
67

DR/PR/SPR/NSB/
17:09 GROUP : SEROLOGY SB/GOPD
POPD/CASUALTY
010 HIV ELISA 470 420
011 HIV SPOT 390 350
012 TORCH TEST (IGM) 1300 1170
013 TOXOPLASMA (IGM) 550 500
014 RUBELLA (IGM) 550 500
015 CYTOMEGALOVIRUS (CMV) (IGM) 550 500
016 HERPES - II (IGM) 550 500
017 HCV ELISA 700 630
018 HCV SPOT 500 450
019 HEPATITIS - A (HAV) 930 840
020 HEPATITIS - E (HEV) 1300 1170
021 DS DNA (DOUBLE STRANDED DNA) 930 840
022 TORCH TEST (IGG) 1300 1170
023 TOXOPLASMA (IGG) 550 500
024 RUBELLA (IGG) 550 500
025 CYTOMEGALOVIRUS (CMV) (IGG) 550 500
026 HERPES - II (IGG) 550 500
027 BACTERIAL ANTIGEN (5 TESTS) 2600 2240
028 DENGUE ANTIGEN 600 600
029 DENGUE IGG ANTIBODY 600 600
030 DENGUE IGM ANTIBODY 600 600
031 CHIKUNGUNYA 600 370
032 HCG (MATERNAL) 660 600
033 RA FACTOR 440 400
034 ANTI CCP 1250 1120
035 TTG 950 850
036 PRO-CALCITONIN 2100 1900
037 INFLUENZA A & B RAPID SREENING TEST 1300 1170
038 BLOOD CULTURE + TYPHI DOT IGM 550 500
039 RAPID BLOOD CULTURE + TYPHI DOT IGM 1100 1000
040 WIDAL TEST + TYPHI DOT IGM 400 360
041 VIRAL TRANSPORT MEDIUM (VTM) TUBES 300 270
042 ENA PROFILE / ANA PROFILE – QUALITATIVE 3100 2800
17:10 GROUP : URINALYSIS

001 URINE ROUTINE EXAMINATION 110 100
002 ALBUMIN AND SUGAR 90 80
003 ACETONE 90 80
004 URINE FOR HEMOGLOBIN 80 70
68

DR/PR/SPR/NSB/
17:10 GROUP : URINALYSIS SB/GOPD
POPD/CASUALTY
005 URINE FOR MYOGLOBIN 90 80
006 URINE FOR SP. GRAVITY 80 70
007 URINE FOR PH 80 70
008 URINE FOR CHYLE 80 70
009 APT TEST 100 90
010 URINE FOR ALBUMIN 80 70
011 URINE FOR SUGAR 80 70
012 URINE FOR PORPHOBILINOGEN 90 80
013 BILE PIGMENT 100 90
014 UROBILINOGEN 100 90
015 BENCE JONES PROTEIN 180 160
016 24 HR. URINARY PROTEIN (QUANTITATIVE) 250 230
017 URINE OCCULT BLOOD 90 80
018 URINE FOR REDUCING SUBSTANCES 90 80
019 24 HR. URINARY URIC ACID 220 200
020 24 HR. URINARY CALCIUM 220 200
021 24 HR. URINARY SODIUM 220 200
022 24 HR. URINARY POTASSIUM 220 200
023 24 HR. URINARY PHOSPHORUS 220 200
024 CREATININE CLEARANCE 370 330
025 URINE FOR CRENATED RBC 80 70
026 24 HR. URINARY CREATININE 240 220
027 URINE FOR HEMOSIDERIN 250 220
17:11 BLOOD BANK

001 CROSS MATCHING 120 120
002 GROUPING & TYPING 130 120
WHOLE BLOOD/RED CELLS :HOSPITAL-
003 1683 1683
PROCESSING
004 OTHER BLOOD BANKS : BLOOD ISSUE 100 90
005 FFP - HOSPITAL - PROCESSING 583 583
006 RAPID DONOR TESTING 330 300
PLATELET CONCEN(RD) HOSPITAL :
007 633 633
PROCESSING
008 DU FACTOR 280 250
009 DIRECT COOMBS 290 260
010 INDIRECT COOMBS 290 260
011 RH ANTIBODY TITRE 750 680
012 REPLACEMENT FFP -100 -100
013 REPLACEMENT PLATELET CONCENTRA -100 -100
69

DR/PR/SPR/NSB/
17:11 BLOOD BANK SB/GOPD
POPD/CASUALTY
014 REPLACEMENT WHOLE BLOOD -300 -300
015 COLD AGGLUTININS 230 210
016 VENESECTION PROCEDURE 260 240
017 PLATELET APHERESIS 11000 11000
018 TRANSFER BAGS 130 130
NOTE : Investigations done at outside Lab centers, will be charged as per the rate-list of
concerned center
SPOT INVESTIGATIONS
18:01 SPOT INVESTIGATIONS
001 ABG (ARTILLARY BLOOD GAS) – (ICU BED SIDE) 660 600
002 MONTOUX TEST 50 40
003 RBS DONE WITH GLUCOMETER 50 50
004 URINE FOR ACETONE 30 30
005 URINE FOR SUGAR / ALBUMIN 30 30
EXCHANGE BLOOD TRANSFUSION

19:01 EXCHANGE BLOOD TRANSFUSION (FLAT RATE)
EXCHANGE BLOOD TRANSFUSION (FLAT RATE)
001 4200 1900
EACH TIME
EXCHANGE PLASMA TRANSFUSION (FLAT RATE)
002 5800 3200
EACH TIME
PHYSIO - THERAPY(IPD)
20:01 RATES OF PHYSICAL THERAPY TREATMENT DR/PR/SPR/NSB SB
001 ANTE-NATAL EXERCISES PER SITTING 230 210
002 ANTENATAL EXERCISE - PACKAGE 900 800
003 BREATHING EXERCISE 100 90
004 CERVICAL TRACTION 140 130
005 CHEST PHYSIO-THERAPY (SINGLE) 160 150
006 COLD PACK (MULTIPLE) 140 130
007 COLD PACK (SINGLE) 100 90
008 COMPRESSION THERAPY (MULTIPLE) 320 290
009 COMPRESSION THERAPY (SINGLE) 250 230
010 CONSULTATION (PHYSIOTHERAPY) 200 150
011 CONTRAST BATH (MULTIPLE) 130 120
012 CONTRAST BATH (SINGLE) 90 80
CPM - CONTINUOUS PASSIVE MOVEMENT
013 140 130
(SINGLE AREA)
70

CPM - CONTINUOUS PASSIVE MOVEMENT (TWO
014 200 180
AREAS)
015 ELECTRICAL MUSCLE TESTING (MULTIPLE) 320 290
016 ELECTRICAL MUSCLE TESTING (SINGLE) 210 190
017 EMG BIO-FEEDBACK (SINGLE) 260 230
018 EMG BIO-FEEDBACK (MULTIPLE) 370 330
019 EXERCISE : TEACHING ONLY 130 110
MULTIPLE EXERCISE/EXERCISE WITH ADL
020 280 250
TRAINING
021 EXERCISE SIMPLE 150 140
022 EXERCISE SPECIAL 220 200
023 EXERCISES - MOBILIZATION (SINGLE) 220 200
024 EXERCISES – REHABILITATION 280 250
025 GAIT TRAINING 190 170
026 INFRA RED RAY THERAPY (MULTIPLE) 170 150
027 INFRA RED RAY THERAPY (SINGLE) 100 90
028 INFRA RED SAUNA 260 230
029 INTERFERENTIAL THERAPY (SINGLE AREA) 170 160
INTERFERENTIAL THERAPY (MORE THAN TWO
030 300 270
AREAS)
031 INTERFERENTIAL THERAPY (TWO AREAS) 250 220
032 LASER -INFRA RED : POINT (MULTIPLE AREA) 280 250
033 LASER -INFRA RED : POINT (SINGLE AREA) 210 190
034 LASER -INFRA RED : SCAN (MULTIPLE AREA) 320 290
035 LASER -INFRA RED : SCAN (SINGLE AREA) 220 200
LONG WAVE DIATHERMY (MORE THAN TWO
036 250 230
AREAS)
037 LONG WAVE DIATHERMY (SINGLE AREA) 110 100
038 LONG WAVE DIATHERMY (TWO AREAS) 200 180
039 LUMBAR TRACTION 150 130
040 MANUAL MUSCLE TESTING (MULTIPLE) 300 270
041 MANUAL MUSCLE TESTING (SINGLE) 180 160
042 MICROWAVE DIATHERMY (SINGLE AREA) 160 150
043 MICROWAVE DIATHERMY (TWO AREAS) 220 190
044 NEONATAL EXERCISE 120 110
045 NEURO-DEVELOPMENTAL THERAPY 230 210
046 NUGABEST 320 290
POST NATAL EXERCISES (ALL SESSIONS)
047 470 430
(MULTIPLE)
048 POST OP. CHEST PHYSIO-THERAPY 120 110
049 PULSED S.W.D. (SINGLE AREA) 160 150
71

050 PULSED S.W.D. (TWO AREAS) 220 190
051 SHORT WAVE DIATHERMY (TWO AREAS) 220 190
052 SHORT WAVE DIATHERMY (SINGLE AREA) 160 150
053 STEAM PACKS(MULTIPLE) 160 150
054 STEAM PACKS(SINGLE) 100 90
055 STIMULATION (NEURO-MUSCULAR ) SINGLE 160 140
056 STIMULATION (NEURO-MUSCULAR) MULTIPLE 220 200
057 SUSPENSION THERAPY 130 120
058 TENS (MULTIPLE) 200 180
059 TENS (SINGLE) 120 100
060 TILT TABLE THERAPY 130 120
061 ULTRA SONIC THERAPY (SINGLE AREA) 110 100
ULTRA SONIC THERAPY (MORE THAN TWO
062 250 230
AREAS)
063 ULTRA SONIC THERAPY (TWO AREAS) 200 180
064 WAX BATH (MORE THAN TWO AREAS) 230 200
065 WAX BATH (SINGLE AREA) 100 90
066 WAX BATH (TWO AREAS) 180 170
TREATMENT – IPD
21:01 TREATMENT – IPD
001 ANAL DILATATION 2500 1500
002 ASCITIC FLUID ASPIRATION / PARACENTESIS 2000 1200
003 BIOPSY OF BONE 2500 1500
004 BIOPSY OF LIVER 2500 1500
005 BIOPSY OF MUSCLE 2500 1500
006 BIOPSY OF SKIN 1500 1000
BONE MARROW ASPIRATION / STERNAL
007 2000 1200
PUNCTURE
008 CAVAFIX INTRODUCTION 2000 1200
CENTRAL VENOUS PRESSURE LINE [CETROFIX]
009 2000 1200
INSERTION
010 CUT DOWN / VENESECTION 2000 1200
011 ENDOTRACHEAL INTUBATION 1800 1000
012 INCIDENTAL ABORTION IN WARD 3500 2000
013 INCISION & DRAINAGE OF ABSCESS 1800 1000
014 INJECTION FOR PILES (SCLEROTHERAPY) 700 400
015 INTER COSTAL (TUBE) DRAINAGE 2500 1500
016 LUMBAR PUNCTURE 2000 1200
017 KNEE ASPIRATION 2000 1200
72

21:01 TREATMENT – IPD DR/PR/SPR/NSB SB
018 MINOR SURGICAL PROCEDURE IN WARD 2000 1200
019 MINOR SUTURING 1500 1000
020 NASAL PACKING + PACK REMOVAL 2500 1500
021 NON STRESS MONITORING [PER TWO HOURS] 300 200
022 NON STRESS TEST [NST] (PER 20 MINUTES) 700 500
023 PLEURAL FLUID ASPIRATION / THORACENTESIS 2000 1200
024 REFRACTION 150 100
************************
22:01 SPECIAL NURSING PROCEDURES
001 SKIN / PELVIC TRACTION APPLICATION 700 400
22:02 SPECIAL NURSING PROCEDURE

001 SALSOL NEBULISATION 70 50
002 NORMAL SALINE NEBULISATION 70 50
003 LACTODEX MILK PER DAY 70 50
22:03 PLASTERING
001 PLASTERING : BODY CAST 2000 1200
002 PLASTERING : CTEV – UNILATERAL 2000 1200
003 PLASTERING : CTEV – BILATERAL 3000 1800
004 PLASTERING : HIP 1500 900
005 PLASTERING : ROUTINE (REPAIR) 500 600
006 PLASTERING : ABOVE ELBOW 1500 1000
007 PLASTERING : BELOW ELBOW 1000 700
008 PLASTERING : ABOVE KNEE 1500 1000
009 PLASTERING : BELOW KNEE 1000 700
PLASTERING : DEFORMITY CORRECTION –
010 1500 900
SMALL
PLASTERING : DEFORMITY CORRECTION –
011 2000 1200
LARGE
Note : Material cost will be extra
23:01 DRESSING
001 DRESSING – MINOR 100 60
002 DRESSING – MEDIUM 150 90
003 DRESSING – MAJOR 300 180
73

DR/PR/SPR/NSB SB
SPECIAL PROCEDURES
24:01 CHEMOTHERAPY
001 CHEMOTHERAPY – ONE DAY CYCLE 1800 1450
002 CHEMOTHERAPY – TWO DAYS CYCLE 3000 2400
003 CHEMOTHERAPY – THREE DAYS CYCLE 4100 3100
004 CHEMOTHERAPY – FOUR DAYS CYCLE 5000 3800
005 CHEMOTHERAPY – FIVE DAYS CYCLE 5700 4200
25:01 PSYCHOTHERAPY
001 PSYCHOTHERAPY – SHORT SESSION 500 500
002 PSYCHOTHERAPY – FULL SESSION 850 850
26:01 LASER PROCEDURES(OPHTHALMOLOGY) ALL CATEGORIES OF IPD & OPD

001 AUTOPERIMETRY (FIELDS) 2100
002 COLOUR PHOTOS 700
FUNDUS FLURESIEN ANGIOGRAPHY [SUPPLIES
003 2700
EXTRA]
004 LASER PERIPHERAL IRIDECTOMY 4200
005 LASER PHOTOCOAGULATION – PER SITTING 3500
LASER PHOTOCOAGULATION - LATTICE &
006 5500
HOLES
007 LASER PHOTOCOAGULATION - R. O. P. 9000
008 O C T 3500
009 YAG CAPSULOTOMY 3500
27:01 LASER PROCEDURES (DERMATOLOGY) DR/PR/SPR/NSB SB

(AESTHETIC CLINIC)
001 FRAXEL (FOR ACNE SCARS) 7000 5600
002 LASER HAIR REMOVAL – CHIN (PER SESSION) 1500 1200
003 LASER HAIR REMOVAL – FACE (PER SESSION) 4000 3200
004 LASER HAIR REMOVAL - NECK (PER SESSION) 2000 1600
LASER HAIR REMOVAL – SIDE LOCK (PER
005 1500 1200
SESSION)
LASER HAIR REMOVAL – UPPER LIP (PER
006 1000 800
SESSION)
007 LASER RE-SURFACING 10000 8000
008 LASER TATTO REMOVAL – SMALL 2500 2000
009 LASER TATTO REMOVAL – MEDIUM 4000 3200
010 LASER TATTO REMOVAL – LARGE 6000 4800
011 LASER TATTO REMOVAL – EXTENSIVE 8000 6400
74

28:01 SPECIAL INVESTIGATIONS DR/PR/SPR/NSB SB
001 URO-FLOWMETRY 700 500
29:01 SPEECH & HEARING TEST

001 AC BERA 1800 1800
002 ASSR 2300 2300
003 BC BERA 1800 1800
004 COCHLEAR IMPLANT COUNSELING 750 700
005 DIAGNOSTIC OAE-TEOAE/DPOAE 800 750
006 ECOCH G 2500 2500
007 IMPEDANCE – TYMPANOMETRY 600 500
008 AUDIOMETRY – PTA/BOA/FFT 400 300
009 SCREENING OAE 600 400
010 ABLB/SISI/TD 300 300
011 SPEECH THERAPY (CONSULTATION-EACH
SESSION) 200 150
30:01 INSTRUMENTS AND SPECIAL EQUIPMENTS

001 CARDIAC MONITOR : PER DAY (When monitored
in ward/isolation) 700 450
002 DVT PUMP 450 300
31:01 DIET FOR ATTENDANT

001 AERATED COLD DRINKS : 500 ML. BOTTLE 50 50
002 BOTTLED DRINKING WATER (1 LITER) 25 25
003 TEA ONE CUP 25 15
004 COFFEE ONE CUP 30 25
005 TEA WITH SNACKS 40 35
006 COFFEE & SNACKS 50 40
007 FROOTI (200 ML) 20 20
008 PACKED JUICES (200 ML) 25 25
009 SANDWICHES : VEG (4 SLICES) 40 35
010 BREAKFAST [NON-VEGETARIAN] ONLY 100 -------
011 BREAKFAST [VEGETARIAN] ONLY 90 50
012 LUNCH [NON-VEGETARIAN] ONLY 180 -------
013 LUNCH [VEGETARIAN] ONLY 150 100
014 DINNER [NON-VEGETARIAN] ONLY 180 -------
015 DINNER [VEGETARIAN] ONLY 150 100
016 FULL MEALS FOR ATTENDANT
[NON-VEGETARIAN] : PER DAY 450 -------
017 FULL MEALS FOR ATTENDANT [VEGETARIAN] :

PER DAY 370 250
018 MILK : PER GLASS 25 20
75

32:01 CONCESSION (ONLY FOR SB CASES) SB
001 CONCESSION ON ROOM / BED 260
002 CONCESSION ON ICU / CCU 1260
003 CONCESSION ON POST OP. ROOM 660
004 CONCESSION ON SEMI ICU 1000
005 CONCESSION ON HDU (415) 660
006 CONCESSION ON PED. ICU / SPL. NURSERY (305) 460
007 CONCESSION ON NNU - NURSERY (206) 400
008 CONCESSION ON HDU – LABOR ROOM 1100
AYURVEDIC TREATMENT
DR/PR/SPR/NSB/
33:01 AYURVEDIC TREATMENT SB/GOPD
POPD
001 Avagaha Sweda (Per Sitting) 1400 1200
002 Ekanga Taila Dhara (Per Sitting) 2000 1800
003 Kati Basti (Per Sitting) 2300 2000
004 Ksheera Dhara (Per Sitting) 2300 2000
005 Matra Basti (Per Sitting) 500 450
006 Nadi Sweda-Full Body (Per Sitting) 1100 1000
007 Nadi Sweda-One Limb (Per Sitting) 700 600
008 Nadi Sweda-Two Limbs (Per Sitting) 900 800
009 Nasya Karma (Per Sitting) 800 650
010 Netra Tarpan (Per Sitting) 1100 900
011 Patra Pinda Sweda-Full Body (Per Sitting) 1300 1100
012 Patra Pinda Sweda-One Limb (Per Sitting) 900 800
013 Patra Pinda Sweda-Two Limbs (Per Sitting) 1100 950
014 Sarvang Abhyanga-Adult (Per Sitting) 1100 900
015 Sarvang Abhyanga-Child (Per Sitting) 800 700
016 Sarvanga Bashpa Sweda (Per Sitting) 1300 1100
017 Shashtik Shali Pinda Sweda-Adult (Per Sitting) 1900 1700
018 Shashtik Shali Pinda Sweda-Child (Per Sitting) 1700 1500
019 Shirobasti (7 Days) 16000 13000
020 Taila Dhara (7 Days) 20000 17000
021 Takra Dhara (Per Sitting) 2200 2000
022 Twarita Basti (Per Sitting) 800 700
023 Uttara Basti (Per Sitting) 1900 1700
024 Vamana Karma (12 Days) 6600 5500
025 Virechan Karma (12 Days) 7800 6800
026 Yoga Basti[5A+3N] 16000 14000
027 Kala Basti [10A+6N] 16-Days 24000 22000
028 Karma Basti [18A+12N] 30-Days 38000 35000
76

DR/PR/SPR/NSB/
33:01 AYURVEDIC TREATMENT SB/GOPD
POPD
029 Snehadhara Sweda+Yoga Basti 14+8 Days 84000 78000
030 Udwartanam (Per Sitting) 1100 900
031 Cost of Patrapinda Bundle [Each] 250 250
************************
AMBULANCE
ALL CATEGORIES OF IPD &
S.No. DESCRIPTION
OPD
34:01 AMBULANCE
001 UPTO 5 KM (To & Fro) 250
002 MORE THAN 5KM AND UPTO 10 KM (To & Fro) 500
003 BEYOND 10 KM PER KM (To & Fro) 30
Note : (1). Holy Family Hospital’s ambulance is meant for the use of the hospital’s own patients referred
for scanning or transfer to another hospital only.
(2). All distance will be on to and fro basis.
(3). Waiting charges Rs.150/- per hour. Initial half an hour waiting is free.
(4). During the night (in between 6.00PM to 8.00AM) - Rs.150/- per hour will be extra.
(5). Ambulance will not be provided to discharged patients.
(6) Ambulance will not be used for transporting the dead body.
(7) The ambulance will be available for use only within the city limits of Delhi and New Delhi.
(8) The ambulance will not be available on Sundays and holidays.
************************
MORTUARY
35:01 MORTUARY

1. Any inpatient who has expired in Hospital – Rs.500/- per day.
2. Dead Bodies brought from outside – Rs. 1500/- per day.
************************
36:01 MISCELLANEOUS CHARGES

001 DUPLICATE COPY OF THE BILL 50
002 COMPLITION OF RE-IMBURSEMENT FORM 30
77
O.P.D.
O.P.D.
S.No. DESCRIPTION
37:01 O.P.D.(PRIVATE) CONSULTATION (EACH TIME) PRIVATE O.P.D.
001 CONSULTATION [EACH] 800
003 CONSULTATION [EACH] : HOMEOPATHIC CLINIC 300
38:01 O.P.D.[GENERAL] REGISTRATION (EACH TIME) GENERAL O.P.D.

001 NEW REGISTRATION - PER CLINIC 150
002 RE-VISIT REGISTRATION - PER CLINIC 120
003 NEW REGISTRATION - O.B. & WELL BABY CLINIC 150
004 RE-VISIT REGISTRATION - O.B. & WELL BABY CLINIC 120
005 CASUALTY VISIT [EACH TIME] 400
BOOK CHARGES
ISSUE OF CONTINUATION OPD BOOK(On old book
006 20
completely full)
007 ISSUE OF DUPLICATE OPD BOOK 50
39:01 O.B. REGISTRATION CHARGES (NON REFUNDABLE – NON ADJUSTABLE)

S.No. DESCRIPTION DR PR SPR NSB SB
O.B. REGISTRATION FOR PR & SPR CATEGORY
001 300 300 300
THROUGH POPD
O.B. REGISTRATION FOR NSB & SB CATEGORY
002 200 200
THROUGH GOPD
OPD PROCEDURES
40:01 CHEMOTHERAPY CHARGES (In OPD-Casualty Room) POPD/ Casualty/ GOPD
001 CHEMOTHERAPY- BED & NURSING 250
002 CHEMOTHERAPY- GENERAL SUPPLIES 300
003 CHEMOTHERAPY-THERAPY CHARGES 1600
41:01 GROUP : DIALYSIS ALL CATEGORIES OF OPD

DIALYSIS (PER HAEMODIALYSIS) Package
001 2100
Charges(Artificial Kidney Extra)
002 EXTENDED DIALYSIS (8 HOURS DIALYSIS) 3300
003 Package Charges for JUGULAR CATHETERISATION 2300
004 SUBCLAVIAN CATHETERISATION – Package Charges 2300
005 FEMORAL CATHETERISATION - Package Charges 1300
006 KIDNEY BIOPSY (LAB CHARGES EXTRA) 1300
007 HAEMODIALYSIS CATHETER DRESSING 250
008 FISTULA DRESSING 100
78
S.No. DESCRIPTION ALL CATEGORIES OF OPD

41:01 GROUP : DIALYSIS
US/ECHO GUIDANCE CHARGES FOR JUGULAR/
009 250
SUBCLAVIAN CANNULATION OR CATHETERISATION
010 PERITONEAL DIALYSIS 2000
011 KTP FOLLOW-UP (NEPHROLOGY) [FOR 1 YEAR) 35000
Note : Haemodialysis includes all consumables and professional charges but it does not include cost of
Dialyser (Artificial Kidney), any Investigation charges and other medication.
42:01 O.P.D. Procedures – UROLOGY POPD/ Casualty G.O.P.D.

001 BLADDER IRRIGATION 1000 750
002 CATHETERIZATION PLAIN (Disposables Extra) 200 200
003 CHANGE OF SUPRA PUBIC CATHETER 1500 1300
004 PARAPHIMOSIS REDUCTION 1500 1300
005 BCG INSTILLATION IN BLADDER 1000 750
42:02 O.P.D. Procedures – ENT

001 SYRINGING ENT 650 500
42:03 O.P.D. Procedures – OPHTHALMOLOGY

001 ORTHOPTIC WORK UP(SINGLE VISIT) 100 80
002 SQUINT WORK UP 150 100
003 REFRACTION 150 120
004 CONVERGENCE EXERCISE (15 DAYS COURSE) 1100 700
42:04 O.P.D. Procedures – GYNAE

001 LOCALISATION
LABOR ROOM
OF FOETAL HEART BY USG IN 150 90
002 PAP SMEAR TAKING 200 120
003 INTRA UTERINE CONTRACEPTIVE DEVICE
(IUCD) REMOVAL – (COPPER T ETC.) 600 500
004 MAC DONALD STITCH REMOVAL 1200 750
43:01 PLASTERING CHARGES

001 PLASTERING : BODY CAST 2200 1200
002 PLASTERING : CTEV – UNILATERAL 2000 1200
003 PLASTERING : CTEV – BILATERAL 3000 1800
004 PLASTERING : HIP 1500 900
005 PLASTERING : ROUTINE (REPAIR) 500 600
006 PLASTERING : ABOVE ELBOW 1500 1000
007 PLASTERING : BELOW ELBOW 1000 700
008 PLASTERING : ABOVE KNEE 1500 1000
009 PLASTERING : BELOW KNEE 1000 700
79
S.No. DESCRIPTION POPD/ Casualty G.O.P.D.

43:01 PLASTERING CHARGES
010 PLASTERING : DEFORMITY CORRECTION – 1500 900
SMALL
011 PLASTERING : DEFORMITY CORRECTION – 2000 1200
LARGE
44:01 SKIN PROCEDURES

001 BIOPSY OF SKIN (LAB CHARGES EXTRA) 1000 600
002 BOTOX INJECTION (PER UNIT) 250 250
003 CHEMICAL CAUTERY 800 500
004 CORN REMOVAL (PER CORN) – IN OPD 550 350
005 CORN REMOVAL (PER CORN) – MINOR O.T. 650 450
006 CRYO SURGERY (SINGLE LESION) 900 650
007 CRYO SURGERY (TWO LESaION) 1400 1000
008 CRYO SURGERY (MULTIPLE LESION) 1800 1300
009 FILLER INJECTION (COST OF FILLER EXTRA) 5000 5000
010 INTRA LESIONAL INJECTION 800 500
011 REMOVAL OF BLACKHEADS 800 500
012 REMOVAL OF MOLUSEUM 800 500
013 SCRAPING 800 500
014 PATCH TESTING - UPTO 4 ANTIGENS 900 650
015 PATCH TESTING - ABOVE 4 ANTIGENS 1500 1250
016 RF CAUTERY 800 450
017 WOODS LAMP EXAMINATION 550 350
45:01 TREATMENT & PROCEDURES – OPD

001 LUMBAR PUNCTURE 1000 550
BONE MARROW ASPIRATION/STERNAL
002 1000 550
PUNCTURE
003 CUT DOWN/VENESECTION 600 350
CENTRAL VENOUS PRESSURE LINE (CETROFIX)
004 1000 -------
INSERTION
005 I&D - INCISION & DRAINAGE OF ABSCESS 1000 550
006 ENDOTRACHEAL INTUBATION 1000 550
007 MINOR SURGICAL PROCEDURE 1200 650
008 CAVAFIX INTRODUCTION 1000 -------
PLEURAL FLUID ASPIRATION(TAPING)/
009 1000 550
THORACENTESIS
010 ASCITIC FLUID ASPIRATION/PARACENTESIS 1000 550
80

INTER COSTAL (TUBE) DRAINAGE [COST OF
011 1300 800
CHEST TUBE EXTRA]
INTRA ARTICULAR INJECTION (OPD)– SINGLE
012 650 450
JOINT
013 BIOPSY OF BONE 1300 800
014 BIOPSY OF LIVER (LAB CHARGES EXT.) 1500 850
015 BIOPSY OF MUSCLE (LAB CHARGES EXT.) 1300 800
016 BLADDER WASH 550 400
017 CHANGE OF TRACHEOSTOMY TUBE 900 600
018 CHANGE OF COLOSTOMY BAG 350 250
019 CHEST STRAPPING 350 -------
CLOSED REDUCTION – MINOR (IN OPD/
020 550 400
CASUALTY)
021 COPPER SULPHATE CAUTERY 400 250
022 DEBRIDEMENT OF THE WOUND 400 -------
023 DRESSING - MINOR 100 80
024 DRESSING – MEDIUM 200 150
025 DRESSING – MAJOR 350 250
026 DRESSING–PLASTIC SURGERY (LARGE) 1100 700
027 DRESSING–PLASTIC SURGERY (MEDIUM) 800 500
028 DRESSING–PLASTIC SURGERY (SMALL) 550 400
029 EAR PIERCING : BILATERAL 800 500
030 EXCISION OF TOE NAIL (IN OPD/CASUALTY) 550 400
031 EYE SYRINGING & NEEDLING 350 300
032 D.C. (ELECTRIC) SHOCK IN CASUALTY 150 -------
033 FOLEYS CATHETERISATION 250 200
FOREIGN BODY (MINOR) REMOVAL (IN
034 600 400
CASUALTY)
035 GASTRIC LAVAGE / STOMACH WASH 1100 800
036 HYDRO CORTIZONE INJ. 450 250
037 I.V.SERVICE CHARGES (COST OF I.V. EXTRA) 40 -------
038 INCIDENTAL ABORTION 2000 1800
039 INJ. GIVING CHARGES 40 30
040 JAW MANNUAL REDUCTION 800 500
041 K-WIRE RAMOVAL (IN OPD) 600 400
042 KNEE ASPIRATION 800 500
043 MANIPULATION MINOR 600 400
044 MANNUAL EVACUATION 600 400
045 MONTOUX TEST 50 40
046 NASAL PACKING (IN CASUALTY) 600 400
81

047 NEEDLE
ABSCESS
ASPIRATION (IN OPD) OF MINOR 550 400
048 NON STRESS MONITORING (PER TWO HOURS) 250 150
049 NST -NON STRESS TEST (PER 20 MINUTES) 600 400
050 PROSTATE BIOPSY (Lab Charges is extra) 1300 900
051 PULLED ELBOW 500 300
052 SIMPLE MANIPULATION 700 400
053 SODIUM NITRATE CAUTERY 500 350
054 SPO2 MONITORING 150 -------
055 SPOT RBS 60 50
056 STRAPPING 120 -------
057 SUPRA PUBIC CATHETERISATION 1500 1200
058 SUTURING UP TO 5 STITCHES 400 250
059 SUTURING ABOVE 5 STICHES EACH STITCH 150 100
060 SYRINGING OR NEEDLING EYE (IN CASUALTY) 300 -------
061 TEMPORARY PACING 4000 2500
062 URINE FOR SUGAR/ALBUMIN - TREATMENT 30 30
46:01 GROUP : NURSING PROCEDURES

001 STEAM INHALATION. 40 30
002 NEBULIZATION 100 80
003 SKIN/PELVIC TRACTION APPLICATION 300 200
PHYSIO - THERAPY (O.P.D.)

47:01 RATES OF PHYSICAL THERAPY TREATMENT
001 ANTE-NATAL EXERCISES PER SITTING 230 210
002 ANTENATAL EXERCISE - PACKAGE 900 800
003 BREATHING EXERCISE 100 90
004 CERVICAL TRACTION 140 130
005 CHEST PHYSIO-THERAPY (SINGLE) 160 150
006 COLD PACK (MULTIPLE) 140 130
007 COLD PACK (SINGLE) 100 90
008 COMPRESSION THERAPY (MULTIPLE) 320 290
009 COMPRESSION THERAPY (SINGLE) 250 230
010 CONSULTATION (PHYSIOTHERAPY) 200 150
011 CONTRAST BATH (MULTIPLE) 130 120
012 CONTRAST BATH (SINGLE) 90 80
CPM - CONTINUOUS PASSIVE MOVEMENT
013 140 130
(SINGLE AREA)
014 CPM - CONTINUOUS PASSIVE MOVEMENT (TWO 200 180
AREAS)
82
S.No. DESCRIPTION OPD CATEGORY

47:01 RATES OF PHYSICAL THERAPY TREATMENT POPD/ Casualty G.O.P.D.
015 ELECTRICAL MUSCLE TESTING (MULTIPLE) 320 290
016 ELECTRICAL MUSCLE TESTING (SINGLE) 210 190
017 EMG BIO-FEEDBACK (SINGLE) 260 230
018 EMG BIO-FEEDBACK (MULTIPLE) 370 330
019 EXERCISE : TEACHING ONLY 120 100
020 EXERCISE SIMPLE 150 140
021 EXERCISE SPECIAL 220 200
022 EXERCISES - MOBILIZATION (SINGLE) 220 200
023 EXERCISES – REHABILITATION 280 250
MULTIPLE EXERCISE/EXERCISE WITH ADL
024 280 250
TRAINING
025 GAIT TRAINING 190 170
026 INFRA RED RAY THERAPY (MULTIPLE) 170 150
027 INFRA RED RAY THERAPY (SINGLE) 100 90
028 INFRA RED SAUNA 260 230
029 INTERFERENTIAL THERAPY (SINGLE AREA) 170 160
INTERFERENTIAL THERAPY (MORE THAN TWO
030 300 270
AREAS)
031 INTERFERENTIAL THERAPY (TWO AREAS) 250 220
032 LASER -INFRA RED : POINT (MULTIPLE AREA) 280 250
033 LASER -INFRA RED : POINT (SINGLE AREA) 210 190
034 LASER -INFRA RED : SCAN (MULTIPLE AREA) 320 290
035 LASER -INFRA RED : SCAN (SINGLE AREA) 220 200
LONG WAVE DIATHERMY (MORE THAN TWO
036 250 230
AREAS)
037 LONG WAVE DIATHERMY (SINGLE AREA) 110 100
038 LONG WAVE DIATHERMY (TWO AREAS) 200 180
039 LUMBAR TRACTION 150 150
040 MANUAL MUSCLE TESTING (MULTIPLE) 300 270
041 MANUAL MUSCLE TESTING (SINGLE) 180 160
042 MICROWAVE DIATHERMY (SINGLE AREA) 160 150
043 MICROWAVE DIATHERMY (TWO AREAS) 220 190
044 NEONATAL EXERCISE 120 100
045 NEURO-DEVELOPMENTAL THERAPY 230 210
046 NUGABEST 320 290
PACKAGE FOR CHRONIC CASES (ADULT) PER
047 4000 3500
MONTH (20 SESSIONS)
PACKAGE FOR ELECTROMODALITY + JOINT
048 2500 2300
MOBILIZATION EXERCISE (10 SESSIONS)
83

PACKAGE FOR JOINT MOBILISATION WITH
049 ONE HOT/ELECTRO-THERAPY MODALITY (20 5000 4500
SESSIONS)
PACKAGE FOR PEDIATRIC CASES PER MONTH
050 4000 3500
(20 SESSIONS)
POST NATAL EXERCISES (ALL SESSIONS)
051 470 430
(MULTIPLE)
052 POST OP. CHEST PHYSIO-THERAPY 120 110
053 PULSED S.W.D. (SINGLE AREA) 160 150
054 PULSED S.W.D. (TWO AREAS) 220 190
055 SHORT WAVE DIATHERMY(TWO AREAS) 220 190
056 SHORT WAVE DIATHERMY (SINGLE AREA) 160 150
057 STEAM PACKS(MULTIPLE) 160 150
058 STEAM PACKS(SINGLE) 100 90
059 STIMULATION (NEURO-MUSCULAR ) SINGLE 160 140
060 STIMULATION (NEURO-MUSCULAR) MULTIPLE 220 200
061 SUSPENSION THERAPY 130 120
062 TENS (MULTIPLE) 200 180
063 TENS (SINGLE) 120 100
064 TILT TABLE THERAPY 130 120
065 ULTRA SONIC THERAPY (SINGLE AREA) 110 100
ULTRA SONIC THERAPY (MORE THAN TWO
066 250 230
AREAS)
067 ULTRA SONIC THERAPY (TWO AREAS) 200 180
068 WAX BATH (MORE THAN TWO AREAS) 230 200
069 WAX BATH (SINGLE AREA) 100 90
070 WAX BATH (TWO AREAS) 180 170
071 EXERCISE + WALKING 270 250
072 HP + EXERCISE 200 180
073 IFT + HP + EXERCISE 290 270
074 IFT + HP + MOBILISATION EXERCISE 350 320
075 IFT + SWD +EXERCISE (MULTIPLE) 380 350
076 IFT + SWD +EXERCISE (SINGLE) 330 300
077 IFT + US + HP + EXERCISE 350 320
078 IFT + US2 + HP + EXERCISE 410 370
079 IFT +US + HP + MOBILISATION EXERCISE 410 370
080 IFT2 + SW2 + EXERCISE 440 400
081 SWD + MOBILISATION EXERCISE 300 270
082 SWD + US + EXERCISE 290 270
84

083 SWD + US + MOBILISATION EXERCISE 360 330
084 SWD + US2 + CTR + EXERCISE 430 380
085 WAX + MOBILISATION EXERCISE 270 250
NOTE : For OPD patients, if more than one modality of physiotherapy will be performed in single
sitting, the charges of higher modality will be charged in full and rest of the modalities will be
charged half.
************************
PACKAGE CHARGES FOR MINOR O.T. PROCEDURES

48:01 ENT : MINOR O.T. PROCEDURES
1 ANT. NASAL PACK 3800 2500
2 ANTRAL WASH : U/L OR B/L 3800 2500
3 BIOPSY OF CHEEK OR TONGUE : U/L OR B/L 3800 2500
4 CAUTERY OF NASAL BLEEDERS WITH PACKING 5000 3400
5 CAUTERY PATCHING EAR 5000 3400
6 CHANGE OF TRACHEOSTOMY TUBE 2500 1800
7 DIAGNOSTIC NASAL ENDOSCOPY 2500 1800
8 EUM -EXAMINATION UNDER MICROSCOPE 700 500
9 EXCISION OF TONGUE TIE 3800 2500
10 FOREIGN BODY REMOVAL-(NOSE/EAR) 3200 2200
11 FOREIGN BODY THROAT(FISH BONE) 3800 2500
12 LARYNGOSCOPY – FIBER OPTIC 3800 2500
13 MYRINGOTOMY FOR ASOM 1300 1000
14 NASAL BIOPSY 1300 1000
15 NASAL PACK REMOVAL 1300 1000
16 SPLIT EAR LOBULE – BILATERAL 5000 3400
17 SPLIT EAR LOBULE – UNILATERAL 3800 2500
48:02 GENERAL SURGERY : MINOR O.T. PROCEDURES

1 ASPIRATION OF SUPERFICIAL COLD ABSCESS 1800 1300
2 AVULSION OF TOE NAIL – B/L 3200 2200
3 AVULSION OF TOE NAIL – U/L 1800 1300
4 BIOPSY OF BREAST 7500 5000
5 DEBRIDEMENT – SMALL 3800 2500
6 DRAINAGE OF SMALL ABSCESS 1800 1300
7 EXCISION BIOPSY – SMALL 2500 1800
8 EXCISION OF SEBACEOUS CYST 3800 2500
EXCISION OF SMALL SUPERFICIAL SOFT TISSUE
9 7000 4700
MASS/TUMOUR
85

48:02 GENERAL SURGERY : MINOR O.T. PROCEDURES POPD/ Casualty G.O.P.D.
10 GLAND BIOPSY 7000 4700
11 I & D OF BREAST ABSCESS 6400 4500
12 LYMPH NODE BIOPSY 7000 4700
13 NEEDLE ASPIRATION OF ABSCESS 2500 1800
REMOVAL OF SUPERFICIAL FOREIGN BODY
14 3200 2200
LIMBS – MINOR
15 RESUTURING OF SMALL ABDOMINAL WOUND 4500 3200
16 SCLEROTHERAPY : (INJ. FOR PILES) 1300 1000
Note : Charges for Lab will be extra wherever is applicable.
48:03 OB./ GYN : Minor O.T. PROCEDURES

1 CERVICAL BIOPSY 3800 2700
2 COLPOSCOPY DIAGNOSTIC 1300 1000
3 COLPOSCOPY WITH PUNCH BIOPSY 4500 3400
COLPOSCOPY WITH PUNCH BIOPSY WITH CRYO
4 6000 4500
CAUTERY
5 CRYO-CAUTERY 3200 2200
6 D. & C. OR D.& E. 3800 2500
7 ENDOCERVICAL CURRETTINGS 3800 2500
8 ENDOMETRIAL ASPIRATION 3800 2500
9 ENDOMETRIAL BIOSPY 3800 2500
10 ENDOMETRIAL BRUSH CYTOLOGY 1300 1000
HPV-DNA COLLECTION CHARGES (Charges for Kit
11 1000 700
& Lab Extra)
HYDRO TUBATION : PER SITTING (MED. COST
12 1300 1000
EXT.)
13 INCIDENTAL DELIVERY INCLUDING SUTURING 5500 4100
14 POLYP REMOVAL 3200 2200
15 RESUTURING OF EPISIOTOMY 3200 2200
16 RESUTURING OF SMALL ABDOMINAL WOUNDS 3200 2200
SUTURING OF SMALL TEARS OVER PERINIUM,
17 3200 2200
VAGINA AND LABIA
48:04 OPHTHALMOLOGY : MINOR O.T. PROCEDURES

1 CHALAZION – SINGLE EYE LID 4600 3200
2 CHALAZION – BOTH EYE LID OR MULTIPLE 6400 4500
3 DRAINAGE OF LID ABSCESS 3600 2400
5 SYRINGING 1300 1000
86

48:05 ORTHO : Minor O.T. POPD/ Casualty G.O.P.D.
CLOSED REDUCTION MANIPULATION : LOWER
1 3800 2500
EXTREMITY*
CLOSED REDUCTION MANIPULATION : UPPER
2 2600 1800
EXTREMITY*
3 DRESSING : MAJOR (IN MINOR O.T.) * 1300 1000
4 DRESSING : MINOR (IN MINOR O.T.) * 650 500
5 DYNAMISATION OF I.M.NAIL 2600 1800
6 EXCISION OF GANGLION / SOFT TISSUE MASS 7000 4700
7 EXCISION OF TOE/FINGER NAIL 2500 1800
INTRA ARTICULAR INJECTION/ASPIRATION (IN
8 1800 1300
MINOR O.T.) – SINGLE JOINT**
9 PELVIC EXTERNAL FIXATOR*** 7000 4700
10 REMOVAL OF WIRE AND MINOR IMPLANTS 1800 1300
11 TENDO-ACHILLIS TENOTOMY – B/L 9000 5800
12 TENDO-ACHILLIS TENOTOMY – U/L 5300 3600
Note : 1. * Cost of P.O.P. and other materials will be extra wherever is applicable.
2. ** Cost of Injectable extra
3. *** Charges for Implant will be extra.
4. Cost of Medicine and injections will be extra wherever will be used.
48:06 PLASTIC SURGERY : MINOR O.T. PROCEDURES

1 ARCH BAR REMOVAL 3500 2300
2 EXCISION OF CYST MULTIPLE 8700 5800
3 EXCISION OF CYST SINGLE 4400 2900
4 EXCISION OF KELOID – SMALL 6900 4600
5 EXCISION OF MOLE-FACE 4400 2900
6 FACIOCUTANEOUS FLAP REPAIR - SMALL 8700 5800
7 FULL THICKNESS GRAFT – SMALL 10000 6700
8 HAIR TRANSPLANT : LARGE AREA (1000 Grafts) 89000 89000
HAIR TRANSPLANT : MEDIUM AREA (Upto 500
9 57000 57000
Grafts)
10 HAIR TRANSPLANT : SMALL AREA (<100 Grafts) 24000 24000
11 LOCAL FLAP – MINOR 5800 4100
12 MINOR AMPUTATION – TOE, DIGIT ETC. 6900 4600
13 MINOR IMPLANT REMOVAL – WIRE ETC. 3500 2300
14 REPAIR OF ONE FINGER 5800 4100
15 REPAIR OF PINNA 5800 4100
16 SIMPLE SCAR EXCISION 11000 7300
17 SIMPLE Z PLASTY 10000 6800
18 SKIN GRAFTING – SMALL 9000 5800
87

48:06 PLASTIC SURGERY : MINOR O.T. PROCEDURES POPD/ Casualty G.O.P.D.
19 SMALL NEVUS 7600 5000
20 SPLIT EAR LOBULE – BILATERAL 5000 3400
22 WOUND REPAIR SMALL 3800 2500
48:07 UROLOGY : MINOR O.T. PROCEDURES

1 BIOSPY GROWTH ON PENIS OR SCROTUM 3800 2500
2 CIRCUMCISION 7000 4700
3 DORSAL SLIT 3600 2400
4 MEATOTOMY 3800 2500
5 ORCHIDECTOMY – B/L OR U/L 7000 4700
6 PROSTATIC BIOPSY * 5800 4000
7 TESTICULAR BIOPSY 6400 4500
8 TROCAR SPC** 7600 5000
9 URETHRAL DILATATION 4100 2600
Note : * Charges for TRU-CUT BIOPSY GUN will be Extra.
**Charges for SUPRA-CATH will be extra. Charges for Lab will be extra wherever is applicable.
48:08 THORACIC SURGERY : Minor O.T.

1 CHEST ASPIRATION 3800 2500
BRONCHOSCOPY WITH OR WITHOUT F.B.RE-
2 6400 4500
MOVAL
Note : 1. Charges for Lab. will be extra wherever is applicable.
2. Cost of CHEST TUBE is extra.
PEDIATRIC SURGERY : Minor O.T.
48:09A PEDIATRIC SURGERY : GENERAL SURGERY

1 ASPIRATION OF SUPERFICIAL COLD ABSCESS 1800 1300
2 AVULSION OF TOE NAIL – B/L 3200 2200
3 AVULSION OF TOE NAIL – U/L 1800 1300
4 CATHETERISATION & MCU 2500 1800
5 DEBRIDEMENT – SMALL 3800 2500
6 DRAINAGE OF SMALL ABSCESS 1800 1300
7 DRAINAGE OF ABSCESS 3000 2000
8 DRESSING : MAJOR 1300 1000
9 DRESSING : MINOR 650 500
10 EXCISION OF SEBACEOUS CYST 3800 2500
EXCISION OF SMALL SUPERFICIAL SOFT TISSUE
11 7000 4700
MASS/TUMOUR
88

48:09A PEDIATRIC SURGERY : GENERAL SURGERY POPD/ Casualty G.O.P.D.
12 GLAND BIOPSY 7000 4700
13 I & D OF BREAST ABSCESS 6400 4500
14 LABIAL ADHESIONS 2500 1800
15 LYMPH NODE BIOPSY 7000 4700
16 NEEDLE ASPIRATION OF ABSCESS 2500 1800
17 PREPUTIAL DILATATION 2500 1800
REMOVAL OF SUPERFICIAL FOREIGN BODY
18 3200 2200
LIMBS – MINOR
19 RESUTURING OF SMALL ABDOMINAL WOUND 4500 3200
20 UMBILICAL GRANULOMA 1900 1300
21 UMBILICAL POLYP 4000 2600
22 WOUND REPAIR 4000 2600
48:09B PEDIATRIC SURGERY : ENT

1 EXCISION OF TONGUE TIE 3800 2500
48:09C PEDIATRIC SURGERY : PLASTIC

1 EXCISION OF CYST MULTIPLE 9500 6400
2 EXCISION OF CYST SINGLE 4800 3200
3 LOCAL FLAP – MINOR 6400 4500
4 MINOR AMPUTATION – TOE, DIGIT ETC. 7600 5000
5 SIMPLE Z PLASTY 10000 6800
6 SMALL NEVUS 7600 5000
48:09D PEDIATRIC SURGERY : UROLOGY

1 BIOSPY GROWTH ON PENIS OR SCROTUM 3800 2500
2 CIRCUMCISION* 7000 4700
3 DORSAL SLIT 3600 2400
4 TROCAR SPC** 7600 5000
5 URETHRAL DILATATION 4100 2600
Note : 1. * Charges for Plastic Bell will be extra.
2. ** Charges for Supra – Cath will be extra
89

48:09E PEDIATRIC SURGERY : THORACIC POPD/ Casualty G.O.P.D.
1 CHEST ASPIRATION – DIAGNOSTIC 3800 2500
2 CHEST ASPIRATION – THERAPUTIC 5000 3400
Note : 1. Charges for Lab. will be extra wherever is applicable.
2. Cost of CHEST TUBE is extra.
48:10 MINOR O.T. PROCEDURE CHARGES : PRIVATE PATIENTS

1 The doctor is free to charge a differential fee for their Pvt. Patients.
2 Charges for the O.T and Local Anesthesia will be 25% of the surgical fee.
3 The disposables will be charged on actual.
4 Lab. Charges will be extra wherever applicable.
*******************
MISCELLANEOUS CHARGES
49:01 GROUP : DUPLICATE PRINTING
001 DUPLICATE RECEIPTS PRINT 10
NOTE : The hospital reserves the right to modify the above mentioned
charges without prior notice whenever it deems necessary.
90
HOLY FAMILY HOSPITAL

Okhla Road, New Delhi-110025, Tel : 011-26845900-09 | Fax: 011-26913225
Email : administration@holyfamilyhospitaldelhi.org | Website : www.hfhdelhi.org
91

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HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.

HOLY FAMILY HOSPITAL

3. Surgical & Doctor’s visits fee (Hospital Case):-

4. Shifting from one to another accommodation:-

7. Re-imbursable cases not to opt Subsidised Bed (SB) category :-

NOTE :The hospital reserves the right to modify the charges

01:01 ROOM / BED AND BOARD CHARGES (in rupees)

03:01 OXYGEN DR/PR/SPR/NSB SB

04:01 VENTILATOR DR/PR/SPR/NSB SB

05:01 NNU (NEO-NATAL UNIT) – NURSERY (206) DR/PR/SPR/NSB/SB

05:02 PHOTO THERAPY DR/PR/SPR/NSB SB

05:03 INCUBATOR / OPEN CARE

05:04 NURSING CARE DR PR SPR NSB SB

S.No. DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:02 LAPAROSCOPIC GENERAL SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:03 HERNIA SURGERY

07:04 BREAST SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:05 RECTAL SURGERY

07:06 O.B. & GYNAE - OPEN SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:06A DELIVERY FEE

07:06B O.B. & GYNAE – LAPAROSCOPIC SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:06C O.B. & GYNAE – HYSTEROSCOPIC SURGERY

07:07 OPHTHALMOLOGY SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:08 ORTHOPAEDICS SURGERY

ARTHROTOMY AND ABSCESS

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

FIXATION WITH TENSION BAND WIRING

OSTEOMIES AND ARTHRODESIS

TENDON AND NERVE SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:09 NEURO SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:10 E.N.T. SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:11 THORACIC SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:12 VASCULAR SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:13 UROLOGY SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY

07:14 PLASTIC SURGERY

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY