STD NBH
STD NBH
STD NBH
OF INDIA
MINISTRY OF HEALTH & FAMILY WELFARE
CENTRAL GOVT. HEALTH SCHEME
PLOT NO 8-11, RATAN LAL NAGAR
KANPUR-208022
PHONE NO: 0512-2283499
FAX NO: 0512-2283488
Page 1 of 76
1357
1311 1180 145 1180
14 Phimosis Under LA
199
173 156 173 173
15 Sternal puncture
429
414 373 240 373
16 Injection for Haemorrhoids
362
350 315 100 315
17 Injection for Varicose Veins
95
83 75 83 83
18 Catheterisation
518
500 450 130 450
19 Dilatation of Urethra
435
420 378 140 378
20 Incision & Drainage
144
125 113 125 125
21 Intercostal Drainage
1517
1466 1319 870 1319
22 Peritoneal Dialysis
0
TREATMENT PROCEDURE SKIN
380
345 311 330 330
23 Excision of Moles
321
310 279 280 279
24 Excision of Warts
150
130 117 130 130
25 Excision of Molluscum contagiosum
166
160 144 150 144
26 Excision of Veneral Warts
145
140 126 125 126
27 Excision of Corns
109
97 87 95 95
28 I/D Injection Keloid
121
110 99 105 105
29 Chemical Cautery (s)
TREATMENT PROCEDURE 0
OPTHALMOLOGY
Subconjunctival/subtenon’s injections in one 71
69 62 50 62
30 eyes
Subconjunctival/subtenon’s injections in both 143
138 124 75 124
31 eyes
89
86 77 75 77
32 Pterygium Surgery
60
58 52 50 52
33 Conjunctival Peritomy
Conjunctival wound repair or exploration 115 104 100 104 120
34 following blunt trauma
120
115 104 100 104
35 Removal of corneal foreign body
Page 2 of 76
Cauterization of ulcer/subconjunctival injection 69 62 50 62 71
36 in one eye
Cauterization of ulcer/subconjunctival injection 138 124 90 124 143
37 in both eyes
5951
5750 5175 175 5175
38 Corneal grafting—Penetrating keratoplasty
5175
5000 4500 3000 4500
39 Corneal grafting—Lamellar keratoplasty
Cyanoacrylate /fibrin glue application for 690 621 300 621 714
40 corneal perforation
476
460 414 400 414
41 Bandage contact lenses for corneal perforation
Scleral grafting or conjunctival flap for corneal 2300 2070 900 2070 2381
42 perforation
Keratoconus correction with therapeutic contact 1380
1200 1080 1200 1200
43 lenses
1955
1800 1620 1700 1700
44 UV radiation for cross-linking for keratoconus
894
863 777 750 777
45 EDTA for band shaped keratopathy
2898
2800 2520 2100 2520
46 Arcuate keratotomy for astigmatism
Re-suturing (Primary suturing) of corneal 1190
1150 1035 1000 1035
47 wound
Penetrating keratoplasty ---- with glaucoma 12570
12144 10930 2800 10930
48 surgery
12570
12144 10930 3000 10930
49 Penetrating keratoplasty --- with vitrectomy
Penetrating keratoplasty ---- with IOL 14134
13656 12290 2100 12290
50 implantation
17854
17250 15525 3000 15525
51 DALK- Deep anterior lamellar keratoplasty
11903
11500 10350 2000 10350
52 Keratoprosthesis stage I and II
DSAEK- Descemet’s stripping automated 16675 15008 2000 15008 17259
53 endothelial keratoplasty
ALTK- Automated lamellar therapeutic 17078
16500 14850 600 14850
54 keratoplasty
Probing and Syringing of lacrimal sac- in one 71
69 62 60 62
55 eye
Probing and Syringing of lacrimal sac- in both 143
138 124 100 124
56 eye
2976
2875 2588 130 2588
57 Dacryocystorhinostomy—Plain
Dacryocystorhinostomy—Plain with intubation 9750 8775 3500 8775 10091
58 and/or with lacrimal implants
Dacryocystorhinostomy—conjunctival with 9522
9200 8280 4000 8280
59 implant
Page 3 of 76
2381
2300 2070 2000 2070
60 Caliculoplasty
1786
1725 1553 1500 1553
61 Dacryocystectomy
150
130 117 200 130
62 Punctal plugs for dry eyes
41
40 36 30 36
63 Refraction
69
67 60 30 60
64 Indirect Ophthalmoscopy
46
44 40 38 40
65 Orthoptic check-up- with synoptophore
104
100 90 50 90
66 Lees’ charting or Hess’ charting
58
50 45 50 50
67 Orthoptic exercises
58
50 45 50 50
68 Pleoptic exercises
150
144 130 125 130
69 Perimetry/field test—Goldman
150
144 130 125 130
70 Perimetry/field test— automated
952
920 828 150 828
71 Fluorescein angiography for fundus or iris
894
863 777 150 777
72 Ultrasound A- Scan
238
230 207 200 207
73 Ultrasound B- Scan
207
200 180 100 180
74 Fundus Photo Test
952
920 828 230 828
75 Indocyanin green angiography
Corneal endothelial cell count with specular 238
230 207 200 207
76 microscopy
343
331 298 230 298
77 Corneal topography
238
230 207 50 207
78 Corneal pachymetry
37
35 32 30 32
79 Auto-refraction
46
44 40 10 40
80 Macular function tests
115
100 90 100 100
81 Potential acuity metry
199
173 156 200 173
82 Laser interferometry
2200
2125 1913 300 1913
83 OCT-Optical coherence tomography
155
150 135 140 135
84 HRT- Heidelberg’s retinal tomogram
Page 4 of 76
101
88 79 120 88
85 GDX--- Nerve fibre layer analyzer
155
150 135 60 135
86 UBM- Ultrasound bio microscopy
52
50 45 30 45
87 Non Contact tonometry
31
30 27 20 27
88 IOP measurement with schiotz
52
50 45 30 45
89 IOP measurement with applation tonometry
60
58 52 30 52
90 Three mirror examination for reti
52
50 45 30 45
91 90 D lens examination
60
58 52 30 52
92 Gonioscopy
414
400 360 200 360
93 Chalazion incision and curettage in one eye
446
431 388 380 388
94 Chalazion incision and curettage in both eyes
2381
2300 2070 1600 2070
95 Ptosis surgery with fasanella servat procedure
5693
5500 4950 1790 4950
96 Ptosis surgery with LPS resection one lid
6903
6670 6003 1700 6003
97 Ptosis surgery with Sling surgery one lid
1449
1400 1260 1000 1260
98 Ectropion surgery- one lid
2588
2500 2250 1500 2250
99 Ectropion surgery- both lids
1604
1550 1395 600 1395
100 Epicanthus correction
596
575 518 500 518
101 Cantholysis and canthotomy
1428
1380 1242 1000 1242
102 Entropion surgery- one lid
2070
2000 1800 650 1800
103 Entropion surgery- both lids
673
650 585 595 585
104 Tarsorraphy
1190
1150 1035 300 1035
105 Suturing of lid lacerations
1760
1700 1530 150 1530
106 Lid retraction repair
120
115 104 50 104
107 Concretions removal
358
345 311 300 311
108 Bucket handle procedure for lid tumors
7142
6900 6210 300 6210
109 Cheek rotation flap for lid tumors
Page 5 of 76
8332
8050 7245 3500 7245
110 Orbitotomy
3450
3000 2700 3000 3000
111 Enucleation
Enucleation with orbital implants and artificial 3450
3000 2700 3000 3000
112 prosthesis
3571
3450 3105 3000 3105
113 Evisceration
Evisceration with orbital implants and artificial 5693 5124 3450 5124 5893
114 prosthesis
5357
5175 4658 2100 4658
115 Telecanthus correction
5951
5750 5175 2250 5175
116 Orbital decompression
6325
5750 5175 5500 5500
117 Exenteration
7142
6900 6210 5000 6210
118 Exenteration with skin grafting
9522
9200 8280 1600 8280
119 Fracture orbital repair
1553
1500 1350 600 1350
120 Retinal laser procedures
11903
11500 10350 2500 10350
121 Retinal detachment surgery
Retinal detachment surgery with scleral 14283
13800 12420 1300 12420
122 buckling
1190
1150 1035 1000 1035
123 Buckle removal
2898
2800 2520 1200 2520
124 Silicone oil removal
1203
1162 1046 650 1046
125 Anterior retinal cryopexy
5175
5000 4500 595 4500
126 Squint correction for one eye
7763
7500 6750 1190 6750
127 Squint correction for both eyes
7142
6900 6210 4000 6210
128 Trabeculectomy
7142
6900 6210 2500 6210
129 Trabeculotomy
10712
10350 9315 2000 9315
130 Trabeculectomy with Trabeculotomy
2381
2300 2070 350 2070
131 Trephition
358
345 311 300 311
132 Goniotomy
#VALUE!
6900+valve #VALUE! 1200 6210+valve
133 Glaucoma surgery with Glaucoma valves
1190
1150 1035 1000 1035
134 Cyclocryotherapy
Page 6 of 76
1553
1500 1350 1100 1350
135 YAG laser iridotomy
1132
1093 984 950 984
136 YAG laser capsulotomy
1548
1495 1346 1400 1346
137 ALT-Argon laser trabeculoplasty
3571
3450 3105 2400 3105
138 PDT-Photodymic therapy
3450
3000 2700 3000 3000
139 TTT- Transpupillary thermal therapy
7763
7500 6750 1200 6750
140 PTK- Phototherapeutic keratectomy
1190
1150 1035 1000 1035
141 Argon/diode laser for retinal detatchment
5951
5750 5175 1000 5175
142 Intralase application for keratoconus
932
900 810 400 810
143 EOG- electro-oculogram
822
794 715 575 715
144 ERG- Electro-retinogram
828
800 720 300 720
145 VEP- visually evoked potential
11903
11500 10350 1100 10350
146 Vitrectomy- pars plana
1190
1150 1035 …………. 1035
147 Intravitreal injections- of antibiotics
Intravitreal injections- of lucentis excluding 3105
3000 2700 ……….. 2700
148 cost of drug
132
115 104 115 115
149 X- Ray orbit
199
173 156 173 173
150 CT-orbit and brain
3571
3450 3105 1400 3105
151 MRI- Orbit and brain
352
340 306 289 306
152 Dacryocystography
1553
1500 1350 900 1350
153 Orbital angio-graphical studies
3571
3450 3105 2500 3105
154 ECCE with IOL
5175
5000 4500 714 4500
155 SICS with IOL
Phaco with foldable IOL (silicone and 10781 9703 6500 9703 11158
156 acrylic)/PMMA IOL
10712
10350 9315 1200 9315
157 Pars plana lensectomy with/without IOL
Secondary IOL implantation- AC IOL PC IOL 6900 6210 5000 6210 7142
158 or scleral fixated IOL
Page 7 of 76
Cataract extraction with IOL with capsular 13500 12150 5000 12150 13973
159 tension rings (Cionni’s ring)
7763
7500 6750 1000 6750
160 Optic nerve sheathotomy
5175
5000 4500 1700 4500
161 Iridodialysis repair or papillary reconstruction
880
850 765 500 765
162 Iris cyst removal
1760
1700 1530 500 1530
163 Lid Abscess incision and Drainage
3105
3000 2700 250 2700
164 Orbital Abscess incision and Drainage
476
460 414 350 414
165 Biopsy
238
230 207 200 207
166 Paracentesis
2898
2800 2520 500 2520
167 Scleral graft for scleral melting or perforation
1139
1100 990 200 990
168 Amniotic membrane grafting
2381
2300 2070 250 2070
169 Cyclodiathermy
193
187 168 163 168
170 Intraocular foreign body removal
238
230 207 200 207
171 Electrolysis
4658
4500 4050 300 4050
172 Perforating injury repair
Botulinum injection for blepharospasm or 2588
2500 2250 500 2250
173 squint
TREATMENT PROCEDURE DENTAL 0
PROCEDURES
414
360 324 400 360
174 Flap Operation per quadrant
269
234 211 247 234
175 Gingivectomy per quadrant
Reduction & immobilization of fracture- 900 810 230 810 932
176 Maxilla Under LA
Reduction & immobilization of fracture- 3500 3150 1700 3150 3623
177 Mandible Under LA
587
510 459 530 510
178 splints/Cirucum mandibular wiring under LA
1139
990 891 1000 990
179 splints/Cirucum mandibular wiring under GA
Internal wire fixation/plate fixation of Maxilla 3450
3000 2700 3200 3000
180 under LA
Internal wire fixation/plate fixation of Maxilla 4600
4000 3600 4200 4000
181 under GA
Page 8 of 76
Internal wire fixation/plate fixation of Mandible 3500 3150 4200 3500 4025
182 under LA
Internal wire fixation/plate fixation of 4250 3825 5500 4250 4888
183 Mandible under GA
92
80 72 92 80
184 Extraction per tooth under LA
115
100 90 100 100
185 Complicated Ext. per Tooth under LA
184
160 144 180 160
186 Extraction of impacted tooth under LA
Extraction in mentally retarded/patients with
systemic diseases/patient with special needs 939 845 1000 939 1080
187 under short term GA
Cyst & tumour of Maxilla /mandible by
enucleation/ excision/ marsupalisation upto 4 244 220 250 244 281
188 cms under LA
Cyst & tumour of Maxilla/mandible by
enucleation/ excision/ marsupalisation size 406 365 440 406 467
189 more than 4 cms under LA
Cyst & tumour of Maxilla/mandible by
enucleation/excision/marsupalisation size more 1000 900 1100 1000 1150
190 than 4 cms under GA
8625
7500 6750 8500 7500
191 TM joint ankylosis- under GA
430
374 337 400 374
192 Biopsy Intraoral-Soft tissue
388
374 337 350 337
193 Biopsy Intraoral-Bone
21735
21000 18900 1100 18900
194 Hemi-mandibulectomy with graft
21735
21000 18900 3335 18900
195 Hemi-mandibulectomy without graft
3910
3400 3060 4200 3400
196 Segmental-mandibulectomy with graft
1139
990 891 1139 990
197 Segmental-mandibulectomy without graft
2875
2500 2250 2700 2500
198 Maxillectomy- Total with graft
2243
1950 1755 2200 1950
199 Maxillectomy- Total without graft
3450
3000 2700 3450 3000
200 Maxillectomy- partial with graft
2875
2500 2250 2700 2500
201 Maxillectomy- partial without graft
Release of fibrous bands & grafting -in (OSMF) 1500 1350 1700 1500 1725
202 treatment under GA
575
500 450 550 500
203 Pre-prosthetic surgery- Alveoloplasty
Page 9 of 76
1380
1200 1080 1300 1200
204 Pre-prosthetic surgery - ridge augmentation
Root canal Treatment(RCT) Anterior teeth(per 575
500 450 550 500
205 tooth)
Root canal Treatment(RCT) Posterior teeth (per 805
700 630 750 700
206 tooth)
575
500 450 550 500
207 Apicoectomy- Single root
748
650 585 700 650
208 Apicoectomy-Multiple roots
575
500 450 550 500
209 Metal Crown-per unit
725
700 630 550 630
210 Metal Crown with Acrylic facing per unit
1553
1500 1350 750 1350
211 Complete single denture-metal based
1093
950 855 1100 950
212 Complete denture- acrylic based per arch
Removable partial denture-Metal based-upto 3 805
700 630 800 700
213 teeth
Removable partial denture-Metal based-more 900 810 700 810 932
214 than 3 teeth
Removable partial denture-Acrylic based-upto 575
500 450 500 500
215 3 teeth
Removable partial denture-Acrylic based-more 264 238 310 264 304
216 than 3 teeth
207
200 180 170 180
217 Amalgum restoration-per tooth
288
250 225 250 250
218 Composite Restoration-per tooth-anterior tooth
230
200 180 200 200
219 Glas Ionomer-per tooth
311
300 270 250 270
220 Scaling & polishing
725
700 630 150 630
221 Removable Orthodontics appliance- per Arch
1190
1150 1035 750 1035
222 Fixed Orhtodontics-per Arch
575
500 450 575 500
223 Space maintainers-Fixed
828
800 720 550 720
224 Habit breaking appliances-removable
1553
1500 1350 850 1350
225 Habit breaking appliances-Fixed
1150
1000 900 1150 1000
226 Expansion plate
1553
1500 1350 1100 1350
227 Feeding appliance for cleft palate
Page 10 of 76
Maxillo-facial prosthesis 3500 3150 1600 3150 3623
228 (sal/auricular/orbital/facial lost part)
3306
3000 2700 2875 2875
229 Functional orthodentic appliances
1725
1500 1350 1725 1500
230 Obturator (Maxillo-facial)
920
800 720 920 800
231 Occlusal night guard(splint)
0
0
TREATMENT PROCEDURE ENT
178
172 155 150 155
232 Pure Tone Audiogram
238
230 207 170 207
233 Impedence with stepedeal reflex
152
132 119 130 132
234 SISI Tone Decay
120
115 104 110 104
235 Multiple hearing assessment test to Adults
93
90 81 80 81
236 Speech Discrimination Score
124
120 108 80 108
237 Speech Assessment
136
131 118 115 118
238 Speech therapy per session of 30-40 minutes
178
172 155 125 155
239 Cold Calorie Test for Vestibular function
358
345 311 170 311
240 Removal of foreign body From Nose
265
230 207 230 230
241 Removal of foreign body From Ear
171
166 149 150 149
242 Syringing (Ear)
596
575 518 180 518
243 Polyp removal under LA
880
850 765 530 765
244 Polyp removal under GA
1500
1449 1304 1000 1304
245 Peritonsillar abscess Drainage under LA
7142
6900 6210 1300 6210
246 Myringoplasty
10580
9200 8280 9000 9200
247 Staepedectomy
4761
4600 4140 4300 4140
248 Myringotomy with Grommet insertion
8927
8625 7763 1320 7763
249 Tympanotomy
14283
13800 12420 9000 12420
250 Tympanoplasty
15473
14950 13455 1300 13455
251 Mastoidectomy
Page 11 of 76
16664
16100 14490 13500 14490
252 Otoplasty
14283
13800 12420 12500 12420
253 Labyrinthectomy
25875
25000 22500 12500 22500
254 Skull Base surgery
17854
17250 15525 15500 15525
255 Facial Nerve Decompression
6325
5750 5175 5500 5500
256 Septoplasty
7570
7314 6583 6500 6583
257 Submucous Resection
16664
16100 14490 1400 14490
258 Septo-rhinoplasty
11903
11500 10350 10000 10350
259 Rhinoplasty- Non-cosmetic
4888
4250 3825 5500 4250
260 Fracture Reduction
1190
1150 1035 1000 1035
261 Intra nasal Diathermy
5951
5750 5175 1100 5175
262 Turbinectomy
13455
13000 11700 5500 11700
263 Endoscopic DCR
14283
13800 12420 2100 12420
264 Endoscopic Surgery
14283
13800 12420 1300 12420
265 Septal Perforation Repair
983
950 855 860 855
266 Antrum Puncture
1150
1000 900 1150 1000
267 Lateral Rhinotomy
26393
25500 22950 1200 22950
268 Cranio-facial resection
10997
10626 9563 1000 9563
269 Caldwell Luc Surgery
17595
17000 15300 10800 15300
270 Angiofibroma Excision
22253
21500 19350 18000 19350
271 Endoscopic Hypophysectomy
33923
32775 29498 19000 29498
272 Endoscopic Optic Nerve Decompression
26393
25500 22950 600 22950
273 Decompression of Orbit
698
674 607 600 607
274 Punch/Wedge biopsy
5175
5000 4500 1200 4500
275 Tonsillectomy
15525
15000 13500 6000 13500
276 Uvulo-palatoplasty
Page 12 of 76
5951
5750 5175 700 5175
277 FESS for antrochoal polyp
5951
5750 5175 700 5175
278 FESS for ethmoidal polyp
860
748 673 748 748
279 Polyp removal ear
860
748 673 748 748
280 Polyp removal Nose(Septal polyp)
Mastoidectomy plus Ossciculoplasty including 2415 2174 2000 2174 2500
281 TORP or PORP
2976
2875 2588 2300 2588
282 Endolymphatic sac decompression
2381
2300 2070 2100 2070
283 Diagnostic endoscopy under GA
7142
6900 6210 350 6210
284 Yonges operation for Atrophic rhinitis
10712
10350 9315 800 9315
285 Vidian neurectomy for vasomotor Rhinitis
397
345 311 345 345
286 Nasal Packing-anterior
926
805 725 800 805
287 Nasal Packing-posterior
7083
6843 6159 250 6159
288 Ranula Excision
1725
1500 1350 1725 1500
289 Tongue Tie excision
309
269 242 275 269
290 Sub Mandibular Duct Lithotomy
5837
5640 5076 1150 5076
291 Adenoidectomy
8451
8165 7349 7200 7349
292 Palatopharyngoplasty
17795
17193 15474 5000 15474
293 Pharyngoplasty
9522
9200 8280 8000 8280
294 Styloidectomy
Direct laryngoscopy including Biopsy under 5175
5000 4500 4500 4500
295 GA
1863
1800 1620 1650 1620
296 Oesophagoscopy/foreign body removal from
2523
2438 2194 2260 2194
297 Bronchoscopy with F.B.removal
15525
15000 13500 3500 13500
298 Other Major Surgery
9775
8500 7650 8500 8500
299 Other Minor Surgery
TREATMENT PROCEDURE FOR HEAD 0 0
AND NECK
Page 13 of 76
575
500 450 500 500
300 Ear Lobe Repair one side
Excision of Pinna for Growth 4000 3600 700 3600 4140
301 (Squamous/Basal/ Injuries) Skin Only
Excision of Pinna for Growth 3800 3420 4700 3800 4370
302 (Squamous/Basal/ Injuries) Skin and Cartilage
5175
4500 4050 5400 4500
303 Partial Amputation of Pinna
7130
6200 5580 6500 6200
304 Total Amputation of Pinna
Total Amputation & Excision of External 1500 1350 1700 1500 1725
305 Auditory Meatus
5357
5175 4658 4700 4658
306 Excision of Cystic Hygroma
7713
7452 6707 4800 6707
307 Excision of Cystic Hygroma Extensive
10712
10350 9315 9500 9315
308 Excision of Branchial Cyst
10712
10350 9315 9500 9315
309 Excision of Branchial Sinus
10950
10580 9522 9500 9522
310 Excision of Pharyngeal Diverticulum
12650
11615 10454 11000 11000
311 Excision of Carotid Body-Tumours
13800
12500 11250 12000 12000
312 Operation for Cervical Rib
15525
15000 13500 13500 13500
313 Block Dissection of Cervical Lymph Nodes
15525
15000 13500 13500 13500
314 Pharyngectomy & Reconstruction
8332
8050 7245 7500 7245
315 Operation for Carcinoma Lip - Wedge-Excision
Operation for Carcinoma Lip - 6622
5758 5182 7500 5758
316 Vermilionectomy
Operation for Carcinoma Lip - Wedge Excision 9292 8363 900 8363 9617
317 and Vermilonectomy
7737
7475 6728 7000 6728
318 Estlander Operation
10143
9800 8820 7500 8820
319 Abbe Operation
10118
9775 8798 9000 8798
320 Cheek Advancement
19996
19320 17388 4830 17388
321 Excision of the Maxilla
16069
15525 13973 14000 13973
322 Excision of mandible-segmental
21735
21000 18900 16000 18900
323 Mandibulectomy
Page 14 of 76
6348
5520 4968 14000 5520
324 Partial Glossectomy
7245
7000 6300 6000 6300
325 Hemiglossectomy
23687
22885 20597 12000 20597
326 Total Glossectomy
22770
22000 19800 12000 19800
327 Commondo Operation
13886
12075 10868 16000 12075
328 Parotidectomy - Superficial
15525
15000 13500 1100 13500
329 Parotidectomy - Total
20234
19550 17595 10000 17595
330 Parotidectomy - Radical
11903
11500 10350 10500 10350
331 Repair of Parotid Duct
8927
8625 7763 8000 7763
332 Removal of Submandibular Salivary gland
10350
9500 8550 9000 9000
333 Hemithyroidectomy
13225
11500 10350 12000 11500
334 Partial Thyroidectomy (lobectomy)
13510
13053 11748 10500 11748
335 Subtotal Thyroidectomy
19665
19000 17100 10500 17100
336 Total Thyroidectomy
10950
10580 9522 9500 9522
337 Resection Enucleation of thyroid Adenoma
27376
26450 23805 10500 23805
338 Total Thyroidectomy and Block Dissection
17473
16882 15194 15500 15194
339 Excision of Lingual Thyroid
13688
13225 11903 12000 11903
340 Excision of Thyroglossal Cyst/Fistula
22020
21275 19148 12500 19148
341 Excision of Parathyroid Adenoma/Carcinoma
20499
17825 16043 20000 17825
342 Laryngectomy
31050
30000 27000 16000 27000
343 Laryngo Pharyngectomy
10712
10350 9315 9500 9315
344 Hyoid Suspension
12420
12000 10800 10000 10800
345 Genioplasty
Direct Laryngoscopy including biopsy under 5635
5175 4658 4900 4900
346 GA
14283
13800 12420 5500 12420
347 Phonosurgery
1786
1725 1553 1600 1553
348 Fibroptic examition of Larynx under LA
Page 15 of 76
10712
10350 9315 1600 9315
349 Microlaryngeal Surgery
17854
17250 15525 9000 15525
350 Laryngofissure
20472
19780 17802 9000 17802
351 Tracheal Stenosis Excision
0
Head and neck cancer
5951
5750 5175 5400 5175
352 Excisional Biopsies
9833
9500 8550 5500 8550
353 Benign Tumour Excisions
21425
20700 18630 5500 18630
354 Temporal Bone subtotal resection
26186
25300 22770 22300 22770
355 Modified Radical Neck Dissection
26910
26000 23400 20000 23400
356 Carotid Body Excision
40564
39192 35273 35000 35273
357 Total Laryngectomy
42849
41400 37260 32200 37260
358 Flap Reconstructive Surgery
40707
39330 35397 25990 35397
359 Parapharyngeal Tumour Excision
21994
21250 19125 14500 19125
360 Other Major Surgery
5750
5000 4500 12000 5000
361 Other Minor Surgery
0
TREATMENT PROCEDURE BREAST
6210
6000 5400 4025 5400
362 Drainage of abscess
8014
6969 6272 7000 6969
363 Excision of lumps
13093
12650 11385 10000 11385
364 Local mastectomy-simple
29756
28750 25875 15000 25875
365 Radical mastectomy-formal or modified.
16069
15525 13973 12000 13973
366 Excision of mammary fistula
16664
16100 14490 12000 14490
367 Segmental resection of breast
25875
25000 22500 20000 22500
368 Other Major Surgery
5750
5000 4500 15000 5000
369 Other Minor Surgery
TREATMENT PROCEDURE GENERAL 0
SURGERY
440
425 383 253 383
370 Injury Of Superficial Soft Tissues
Page 16 of 76
278
269 242 250 242
371 Suturing of small wounds
300
290 261 250 261
372 Secondary suture of wounds
466
450 405 400 405
373 Debridement of wounds
331
300 270 288 288
374 Removal Of Foreign Bodies
0
Biopsies
1786
1725 1553 1550 1553
375 Excision of Cervical Lymph Node
2356
2277 2049 1300 2049
376 Excision of Axillary Lymph Node
2356
2277 2049 1900 2049
377 Excision of Inguinal Lymph Node
1521
1470 1323 1300 1323
378 Excision Biopsy of Ulcers
3333
3220 2898 1700 2898
379 Excision Biopsy of Superficial Lumps
1521
1470 1323 1300 1323
380 Incision Biopsy of Growths/Ulcers
1604
1550 1395 1300 1395
381 Trucut Needle Biopsy
1521
1470 1323 1250 1323
382 Percutaneous Kidney Biopsy
1219
1060 954 1200 1060
383 Marrow Biopsy (Open)
1521
1470 1323 1100 1323
384 Muscle Biopsy
1397
1350 1215 1250 1215
385 Scalene Node Biopsy
1428
1242 1118 1242 1242
386 Excision of Sebaceous Cysts
2000
1932 1739 1500 1739
387 Excision of Superficial Lipoma
2588
2500 2250 2000 2250
388 Excision of Superficial Neurofibroma
2356
2277 2049 2093 2049
389 Excision of Dermoid Cysts
2588
2500 2250 1200 2250
390 Haemorrhoidectomy
4166
4025 3623 1300 3623
391 Stappler haemorrhoidectomy
1190
1150 1035 1050 1035
392 keloid excision
Vericose vein surgery;Tendelenburg operation 8625 7763 250 7763 8927
393 with suturing or ligation.
TREATMENT PROCEDURE 0
OESOPHAGUS
Page 17 of 76
Atresia of Oesophagus and Tracheo 28750 25875 3200 25875 29756
394 Oesophageal Fistula
Operations for Replacement of Oesophagus by 25875
25000 22500 3000 22500
395 Colon
28750
25000 22500 25000 25000
396 Oesophagectomy for Carcinoma Easophagus
Oesophageal Intubation (Mausseau Barbin 11903
11500 10350 10500 10350
397 Tube)
15473
14950 13455 11500 13455
398 Achalasia Cardia Transthoracic
13800
12650 11385 12000 12000
399 Achalasia Cardia Abdominal
25353
24495 22046 1380 22046
400 Oesophago Gastrectomy for mid 1/3 lesion
20441
19750 17775 1400 17775
401 Heller’s Operation
Colon-Inter position or Replacement of 23329
22540 20286 20000 20286
402 Oesophagus
Oesophago Gastrectomy – Lower Corringers 22139
21390 19251 20000 19251
403 procedure
28592
27625 24863 15000 24863
404 Other Major Surgery
5750
5000 4500 15000 5000
405 Other Minor Surgery
TREATMENT PROCEDURE ABDOMEN / 0
GI SURGERY
1786
1725 1553 1090 1553
406 Gastroscopy
2018
1950 1755 1000 1755
407 Gastric & Duodenal Biopsy (Endoscopic)
2898
2800 2520 2000 2520
408 Pyloromyotomy
8927
8625 7763 3000 7763
409 Gastrostomy
10118
9775 8798 9000 8798
410 Simple Closure of Perforated peptic Ulcer
14283
13800 12420 2000 12420
411 Vagotomy Pyleroplasty / Gastro Jejunostomy
19613
18950 17055 4000 17055
412 Duodenojejunostomy
23805
23000 20700 18000 20700
413 Partial/Subtotal Gastrectomy for Carcinoma
23210
22425 20183 18900 20183
414 Partial/Subtotal Gastrectomy for Ulcer
21710
20976 18878 19000 18878
415 Operation for Bleeding Peptic Ulcer
20472
19780 17802 18000 17802
416 Operation for Gastrojejunal Ulcer
Page 18 of 76
23151
22368 20131 19000 20131
417 Total Gastrectomy for Cancer
20700
18630 16767 18000 18000
418 Highly Selective Vagotomy
19282
18630 16767 17000 16767
419 Selective Vagotomy & Drainage
19640
18975 17078 17000 17078
420 Congenital Diaphragmatic Hernia
14997
14490 13041 13000 13041
421 Hiatus Hernia Repair- Abdominal
16664
16100 14490 15000 14490
422 Hiatus Hernia Repair- Transthoracic
13093
12650 11385 11000 11385
423 Exploratory Laparotomy
11784
11385 10247 10000 10247
424 Epigastric Hernia Repair
11784
11385 10247 10000 10247
425 Umbilical Hernia Repair
11500
10293 9264 10000 10000
426 Ventral /incisional Hernia Repair
15355
14835 13352 13000 13352
427 Inguinal Hernia Herniorraphy
17078
16500 14850 13000 14850
428 Inguinal Hernia - Hernioplasty
18926
18285 16457 13000 16457
429 Femoral Hernia Repair
Rare Hernias Repair (Spigalion, Obturator, 18975 17078 18000 18000 20700
430 Lumbar, Sciatic)
19640
18975 17078 17000 17078
431 Splenectomy - For Trauma
14997
14490 13041 13000 13041
432 Splenectomy - For Hypersplenism
23805
23000 20700 17000 20700
433 Splenorenal Anastomosis
29756
28750 25875 22000 25875
434 Portocaval Anastomosis
Direct Operation on Oesophagus for Portal 22885 20597 21000 20597 23687
435 Hypertension
26341
25450 22905 21000 22905
436 Mesentericocaval Anastomosis
29756
28750 25875 26000 25875
437 Warren Shunt
22496
21735 19562 20000 19562
438 Pancerato Duodenectomy
By Pass Procedure for Inoperable Carcinoma of 23000 20700 20000 20700 23805
439 Pancreas
14997
14490 13041 13000 13041
440 Cystojejunostomy or Cystogastrostomy
Page 19 of 76
10652
10292 9263 9500 9263
441 Cholecystectomy
14879
14375 12938 12500 12938
442 Cholecystectomy & Exploration of CBD
15640
13600 12240 16000 13600
443 Repair of CBD
12319
11902 10712 4000 10712
444 Operation for Hydatid Cyst of Liver
11500
10292 9263 10000 10000
445 Cholecystostomy
14879
14375 12938 13000 12938
446 Hepatic Resections (Lobectomy /Hepatectomy)
27019
26105 23495 19000 23495
447 Operation on Adrenal Glands - Bilateral
14283
13800 12420 12000 12420
448 Operation on Adrenal Glands - Unilateral
9315
8108 7297 8100 8100
449 Appendicectomy
10118
9775 8798 9000 8798
450 Appendicular Abscess – Drainage
11426
11040 9936 9000 9936
451 Mesenteric Cyst- Excision
4761
4600 4140 4200 4140
452 Peritonioscopy/Laparoscopy
5951
5750 5175 5000 5175
453 Jejunostomy
15949
15410 13869 10000 13869
454 Ileostomy
21425
20700 18630 18500 18630
455 Resection & Anastomosis of Small Intestine
19044
18400 16560 16500 16560
456 Duodenal Diverticulum
10712
10350 9315 9500 9315
457 Operation for Intestinal Obstruction
39330
38000 34200 7000 34200
458 Operation for Intestinal perforation
20234
19550 17595 18000 17595
459 Benign Tumours of Small Intestine
20234
19550 17595 18000 17595
460 Excision of Small Intestine Fistula
18400
16000 14400 19000 16000
461 Operations for GI Bleed
20234
19550 17595 16000 17595
462 Operations for Haemorrhage of Small Intestines
18449
17825 16043 16500 16043
463 Operations of the Duplication of the Intestines
Operations for Recurrent Intestinal Obstruction
(Noble Plication & Other Operations for 23000 20700 15000 20700 23805
464 Adhesions)
Page 20 of 76
17378
16790 15111 15000 15111
465 Ilieosigmoidostomy and related resection
17378
16790 15111 4000 15111
466 Ilieotransverse Colostomy and related resection
4040
3903 3513 3400 3513
467 Caecostomy
13569
13110 11799 3900 11799
468 Loop Colostomy Transverse Sigmoid
17854
17250 15525 7250 15525
469 Terminal Colostomy
18092
17480 15732 13000 15732
470 Closure of Colostomy
14283
13800 12420 12500 12420
471 Right Hemi-Colectomy
14283
13800 12420 12500 12420
472 Left Hemi-Colectomy
17854
17250 15525 16000 15525
473 Total Colectomy
25792
24920 22428 13000 22428
474 Operations for Volvulus of Large Bowel
19282
18630 16767 5500 16767
475 Operations for Sigmoid Diverticulitis
Fissure in Ano with Internal sphinctrectomy 13800 12420 1750 12420 14283
476 with fissurectomy.
5951
5750 5175 5000 5175
477 Fissure in Ano - Fissurectomy
5856
5658 5092 1400 5092
478 Rectal Polyp-Excision
17367
16780 15102 2700 15102
479 Fistula in Ano - High Fistulectomy
10212
9867 8880 9000 8880
480 Fistula in Ano - Low Fistulectomy
10712
10350 9315 5500 9315
481 Prolapse Rectum - Theirch Wiring
5951
5750 5175 5200 5175
482 Prolapse Rectum - Rectopexy
19044
18400 16560 8400 16560
483 Prolapse Rectum - Grahams Operation
14759
14260 12834 11000 12834
484 Operations for Hirschsprungs Disease
11903
11500 10350 10000 10350
485 Excision of Pilonidal Sinus (open)
11903
11500 10350 9750 10350
486 Excision of Pilonidal Sinus with closure
18941
18300 16470 16000 16470
487 Abdomino-Perineal Excision of Rectum
22615
21850 19665 13000 19665
488 Anterior Resection of rectum
17771
17170 15453 13000 15453
489 Pull Through Abdominal Resection
Page 21 of 76
20700
18000 16200 22000 18000
490 Retro Peritoneal Tumor Removal
2070
1800 1620 7500 1800
491 Radio ablation of varicose veins
17854
17250 15525 5000 15525
492 Laser ablation of varicose veins
22195
19300 17370 20000 19300
493 Laproscopic Fundoplication
27600
25000 22500 24000 24000
494 Laproscopic Spleenectomy
20700
18000 16200 20000 18000
495 Laproscopic Removal of hydatid cyst
Laproscopic treatment of Pseudo Pancreatic 20700
18000 16200 18000 18000
496 cyst
23000
20000 18000 26000 20000
497 Laproscopic whipples operation
25300
22000 19800 35000 22000
498 Laproscopic GI bypass operation
28750
25000 22500 25000 25000
499 Laproscopic Total Colectomy
26450
23000 20700 22000 23000
500 Laproscopic Hemi Colectomy
23805
23000 20700 19000 20700
501 Laproscopic Anterior Resection
20700
18975 17078 18000 18000
502 Laproscopic Cholecystetomy
18630
18000 16200 16500 16200
503 Laproscopic Appedicectomy
20700
18000 16200 18000 18000
504 Laproscopic Hernia inguinal repair
20125
17500 15750 22000 17500
505 Laproscopic ventral Hernia Repair
14467
12580 11322 24000 12580
506 Laproscopic Paraumblical Hernia Repair
13800
12000 10800 16800 12000
507 Laproscopic Adrenelectomy
25300
22000 19800 25000 22000
508 Laproscopic Nephrectomy
43700
38000 34200 45000 38000
509 Other Major Surgery
6900
6000 5400 22000 6000
510 Other Minor Surgery
TREATMENT PROCEDURE ICU/CCU 0
PROCEDURES (SPECIAL CARE CASES)
Coronary Care with Cardiac Monitoring (Room 750 675 1200 675 776
511 Rent extra)
58
50 45 50 50
512 Compressed air / piped oxygen /per hour
Page 22 of 76
611
531 478 560 531
513 Ventilator charges (Per day)
214
186 167 190 186
514 Paediatric care for New born (Per day)
358
345 311 300 311
515 Incubator charges (Per day)
450
391 352 500 391
516 Neonatal ICU charges (Per day)
212
184 166 184 184
517 Resuscitation
305
265 239 250 265
518 Exchange Transfusion
661
575 518 550 575
519 Pneupack ventilator in Nursery (Per day)
TREATMENT PROCEDURE
CARDIOVASCULAR AND CARDIAC 0
SURGERY & INVESTIGATIONS
59579
51808 46627 1,30,000.00 51808
520 ASD Closure
59579
51808 46627 1,45,000.00 51808
521 VSD with graft
146136
127075 114368 1,60,000.00 127075
522 TOF/TAPVC/TCPC/REV/RSOV repair
92863
80750 72675 1,50,000.00 80750
523 B.D.Glenn/Left atrium myxoma
140516
122188 109969 1,60,000.00 122188
524 Senning/ASO with graft
119157
103615 93254 1,50,000.00 103615
525 DSO
166635
161000 144900 1,50,000.00 144900
526 AV Canal repair
174915
169000 152100 1,00,000.00 152100
527 Fonten
174915
169000 152100 1,00,000.00 152100
528 Conduit repair
146136
127075 114368 1,50,000.00 127075
529 CABG
194350
169000 152100 2,00,000.00 169000
530 CABG + IABP
174915
169000 152100 1,50,000.00 152100
531 CABG + Valve.
161000
140000 126000 1,50,000.00 140000
532 CABG without bypass.
149500
130000 117000 3,00,000.00 130000
533 Ascending aorta replacement
60950
53000 47700 1,50,000.00 53000
534 DVR
107242
103615 93254 67,775.00 93254
535 MVR/AVR
Page 23 of 76
119157
103615 93254 1,35,150 103615
536 MV repair + AV repair
59800
52000 46800 1,30,000.00 52000
537 Aorta femoral bypass
53799
51980 46782 NONE 46782
538 B.T Shunt/Coaractation
53799
51980 46782 NONE 46782
539 P.A.Banding septostomy
48668
42320 38088 55200 42320
540 Pericardectomy
59777
51980 46782 67800 51980
541 CMV/PDA
59777
51980 46782 98000 51980
542 Gunshot injury
285660
276000 248400 NONE 248400
543 Heart transplant
83421
80600 72540 75000 72540
544 Balloon coronary angioplasty/PTCA with VCD
Balloon coronary angioplasty/PTCA without 92000
80000 72000 90000 80000
545 VCD
56206
48875 43988 63750 48875
546 Rotablation
11804
10264 9238 15618 10264
547 balloon valvotomy/PTMC
11500
10000 9000 15750 10000
548 CATH
10712
10350 9315 NONE 9315
549 Arch Replacement
13093
12650 11385 NONE 11385
550 Aortic Dissection
17250
15000 13500 80000 15000
551 Thoraco Abdominal Aneurism Repair
24150
21000 18900 35000 21000
552 Embolectomy
37260
36000 32400 10000 32400
553 Vascular Repair
31050
30000 27000 NONE 27000
554 Bentall Repair with Prosthetic Valve
131963
127500 114750 NONE 114750
555 Bentall Repair with Biologic Valve
15008
14500 13050 NONE 13050
556 Coaractation dilatation
19148
18500 16650 NONE 16650
557 Coaractation dilatation with Stenting
7763
7500 6750 4500 6750
558 TPI Single Chamber
9384
8160 7344 8,500.00 8160
559 TPI Dual Chamber
Permanent pacemaker implantation- Single 15870
13800 12420 18,000.00 13800
560 Chamber
Page 24 of 76
Permanent pacemaker implantation- Dual 22218
19320 17388 25,000.00 19320
561 Chamber
Permanent pacemaker implantation 39675
34500 31050 45,000.00 34500
562 Biventricular
33063
28750 25875 37,500.00 28750
563 AICD implantation Single Chamber
41400
40000 36000 NONE 36000
564 AICD implantation Dual Chamber
46000
40000 36000 63,000.00 40000
565 Combo device implantation
Diagnostic Electrophysiological studies 4709
4550 4095 NONE 4095
566 conventional
607
587 528 150 528
567 Ambulatory BP monitoring
2947
2848 2563 200 2563
568 External Loop/event recording
36225
35000 31500 NONE 31500
569 RF Ablation conventional
46575
45000 40500 NONE 40500
570 RF Ablation Atrial Tachycardia/Carto
10350
10000 9000 NONE 9000
571 Endomyocardial biopsy
8993
7820 7038 11,900.00 7820
572 IABP
51750
46000 41400 45,000.00 45,000.00
573 Intra vascular coils
16715
16150 14535 NONE 14535
574 Septostomy- Balloon
20234
19550 17595 NONE 17595
575 Septostomy- Blade
55545
48300 43470 63,000.00 48300
576 AVBD/PVBD
Digital subtraction angiography-Peripheral 13225
11500 10350 17,500.00 11500
577 artery
13225
11500 10350 17,500.00 11500
578 Digital subtraction angiography- venogram
1455
1265 1139 1,925.00 1265
579 C.T Guided biopsy
992
863 777 1,300.00 863
580 Sinogram
13225
11500 10350 60,000.00 11500
581 Peripheral Angioplasty with VCD
13225
11500 10350 75,000.00 11500
582 Peripheral Angioplasty without VCD
62462
60350 54315 NONE 54315
583 Renal Angioplasty
25875
25000 22500 NONE 22500
584 IVUS
13196
12750 11475 NONE 11475
585 FFR
Page 25 of 76
978
850 765 2,500.00 850
586 Holter analysis
81248
78500 70650 NONE 70650
587 Aortic stent grafting for aortic aneurysm
18548
16129 14516 21,037.00 16129
588 IVC Filter implantation
41659
36225 32603 1,50,000.00 36225
589 ASD/VSD/PDA device closure
58
50 45 100 50
590 ECG
2277
2200 1980 NONE 1980
591 HUTT
1242
1200 1080 1,000.00 1080
592 2 D echocardiography
1452
1403 1263 1,100.00 1263
593 3 D echocardiography
1449
1400 1260 1200 1260
594 Fetal Echo
1613
1403 1263 2,625.00 1403
595 2 D TEE
1452
1403 1263 NONE 1263
596 3 D TEE(Transoesophageal echo )
1553
1500 1350 978 1350
597 Stress Echo- exercise
2875
2500 2250 2,500.00 2500
598 Stress Echo- pharmacological
2024
1955 1760 NONE 1760
599 Stress MPI- exercise
2588
2500 2250 NONE 2250
600 Stress MPI - pharmacological
13225
11500 10350 14,000.00 11500
601 Coronary angiography
6935
6030 5427 10,000.00 6030
602 CT coronary angiography
2613
2272 2045 10,000.00 2272
603 Cardiac CT scan
2811
2444 2200 8,200.00 2444
604 Cardiac MRI
3450
3000 2700 10,000.00 3000
605 Stress Cardiac MRI
6480
5635 5072 8,200.00 5635
606 MR angiography.
1553
1500 1350 NONE 1350
607 Cardiac PET
4025
3500 3150 6,000.00 3500
608 Pericardiocentesis
23000
20000 18000 50,000.00 20000
609 Other Major Surgery
4888
4250 3825 23,000.00 4250
610 Other Minor Surgery
Page 26 of 76
TREATMENT PROCEDURE OBSTETRICS 0
AND GYNAECOLOGY
Normal delivery with or without Episiotomy & 9200
8000 7200 8,000.00 8000
611 P. repair
8927
8625 7763 8,000.00 7763
612 vacuum delivery
9522
9200 8280 8,500.00 8280
613 Forceps Delivery
14542
14050 12645 8,000.00 12645
614 Cesarean Section
19640
18975 17078 9,000.00 17078
615 Cesarean Hysterectomy
Rupture Uterus closure & repair with Tubal 17854
17250 15525 12,000.00 15525
616 Ligation
Perforation of Uterus after D/E Laparotomy & 14283
13800 12420 11,500.00 12420
617 Closure
14283
13800 12420 10,500.00 12420
618 Laparotomy for Ectopic pregnancy
11903
11500 10350 9,775.00 10350
619 Laparotomy-peritonitis Lavage and Drainage
Salphingo-Oophorectomy/ Oophorectomy 10350
10000 9000 9,000.00 9,000.00
620 Laproscopic
10712
10350 9315 6,000.00 9315
621 Ovarian Cystectomy-laparoscopic.
14283
13800 12420 9,000.00 12420
622 Ovarian Cystectomy -laparotomy.
11923
11520 10368 9,200.00 10368
623 Salpingo-Oophorectomy-laparotomy
Laproscopic Broad Ligament Hematoma 6900 6210 6,325.00 6210 7142
624 Drainage with repair
8280
8000 7200 6,000.00 7200
625 Exploration of perineal Haematoma & Repair
Exploration of abdominal Haematoma (after 8050 7245 4,900.00 7245 8332
626 laparotomy + LSCS)
3571
3450 3105 1,500.00 3105
627 Manual Removal of Placenta
1150
1000 900 1000 1000
628 Examination under anesthesia (EUA)
10350
10000 9000 1,200.00 9000
629 Burst-abdomen Repair
1714
1656 1490 1,500.00 1490
630 Gaping Perineal Wound Secondary Suturing
3571
3450 3105 1,500.00 3105
631 Gaping abdominal wound Secondary Suturing
2202
2128 1915 1,700.00 1915
632 Complete perineal tear-repair
3623
3500 3150 1,900.00 3150
633 Exploration of PPH-tear repair
Page 27 of 76
5175
5000 4500 2,500.00 4500
634 Suction evacuation vesicular mole
Suction evacuation Missed abortion/ 5175 4658 3,500.00 4658 5357
635 incomplete abortion
3571
3450 3105 3,200.00 3105
636 Colpotomy
3631
3508 3157 3,200.00 3157
637 Repair of post-coital tear/ perineal injury
3571
3450 3105 1,200.00 3105
638 Excision of urethral caruncle
3333
3220 2898 3,000.00 2898
639 Shirodhkar/ Mc. Donald’s stitch
Abdominal Hysterectomy with or without 17250 15525 3,500.00 15525 17854
640 salpingo-oophorectomy
17854
17250 15525 14,000.00 15525
641 Vaginal Hysterectomy (NDVH)
Vaginal Hysterectomy with repairs (UV 17854
17250 15525 15,000.00 15525
642 Prolapse)
16100
14000 12600 13,200.00 14000
643 Myomectomy -laparotomy
7274
6325 5693 6,000.00 6325
644 Myomectomy -laparoscopic
15473
14950 13455 8,000.00 13455
645 Vaginoplasty
9522
9200 8280 8,500.00 8280
646 Vulvectomy -Simple
9522
9200 8280 8,600.00 8280
647 Vulvectomy-Radical
14490
14000 12600 9,000.00 12600
648 RVF Repair
15525
15000 13500 14,000.00 13500
649 Manchester Operation
Shirodkar’s sling Operation or other sling 3450 3105 3,100.00 3105 3571
650 operations for prolapse uterus
Laparoscopic sling operations for prolapse 28980
28000 25200 2,300.00 25200
651 uterus
2571
2484 2236 2,200.00 2236
652 Diagnostic Curettage
1863
1800 1620 1,200.00 1620
653 Cervical Biopsy
1571
1518 1366 1,400.00 1366
654 Polypectomy
2381
2300 2070 1,300.00 2070
655 Other-Minor Operation Endometrial
3571
3450 3105 1,300.00 3105
656 Excision Vaginal Cyst/Bartholin Cyst
4761
4600 4140 1,500.00 4140
657 Excision Vaginal Septum
Page 28 of 76
Laparoscopy -Diagnostic with
chromopertubation and or adhesiolysis and 4025 3623 3,700.00 3623 4166
658 drilling
3968
3450 3105 3,400.00 3450
659 Laparoscopy Sterilization
26127
25243 22719 2,800.00 22719
660 LAVH
3220
2800 2520 5,600.00 2800
661 Balloon Temponade for PPH
26127
25243 22719 22,000.00 22719
662 Total laparoscopic hysterectomy
Laparoscopic treatment of Ectopic pregnancy- 9775 8798 1,380.00 8798 10118
663 salpingectomy/salpinostomy conservative
4166
4025 3623 1,400.00 3623
664 Conisation of cervix
5693
5500 4950 920 4950
665 Trachhelectomy of cervix for early CA cervix
2976
2875 2588 1,000.00 2588
666 Hysteroscopic cannulation
Laparotomy recannalization of Fallopian tubes- 22425 20183 5,000.00 20183 23210
667 (Tubuloplasty)
Laparoscopic recannalization of Fallopian 19500 17550 900 17550 20183
668 tubes-(Tubuloplasty)
991
958 862 850 862
669 Colposcopy
2875
2500 2250 7,500.00 2500
670 Inversion of Uterus – Vaginal Reposition
2588
2500 2250 900 2250
671 Inversion of Uterus – Abdominal Reposition
28980
28000 25200 900 25200
672 Laparoscopic VVF Repair
28980
28000 25200 6,200.00 25200
673 Abdominal VVF Repair
28980
28000 25200 15,000.00 25200
674 Vaginal VVF Repair
911
880 792 690 792
675 Interventional Ultrasonography (CVS)
911
880 792 700 792
676 Amniocentesis
920
800 720 900 800
677 Karyotyping
11903
11500 10350 920 10350
678 Thermal balloon ablation.
10654
10293 9264 900 9264
679 Ultrasonographic myolysis
10350
10000 9000 1,300.00 9000
680 Vaginal Myomectomy
1058
920 828 900 920
681 Intra Uterine Inseminition
Page 29 of 76
11903
11500 10350 1,100.00 10350
682 ICSI
15525
15000 13500 900 13500
683 Laparotomy abdominal sacro-colpopexy
22770
22000 19800 900 19800
684 Vaginal Colpopexy
20700
20000 18000 15,000.00 18000
685 Laparoscopic abdominal sacro-colpopexy
1380
1200 1080 20,000.00 1200
686 Laparotomy pelvic Lymphadenectomy
3623
3500 3150 2,000.00 3150
687 Laparoscopic pelvic Lymphadenectomy
590
570 513 300 513
688 Endometrial aspiration cytology/biopsy
Transvaginal sonography (TVS for Follicular 460 414 400 414 476
689 monitioring /aspiration)
15525
15000 13500 1,200.00 13500
690 laparoscopic treatment for stress incontinence
15525
15000 13500 1,380.00 13500
691 Transvaginal tapes for Stress incontinence
12420
12000 10800 1,250.00 10800
692 trans-obturator tapes for Stress incontinence
Interventional radiographic arterial 18630
18000 16200 1,250.00 16200
693 embolization
2976
2875 2588 1,300.00 2588
694 Diagnostic cystoscopy
6547
6325 5693 4,500.00 5693
695 Staging laparotomy surgery for CA Ovary
3512
3393 3054 3,000.00 3054
696 Internal Iliac ligation
9522
9200 8280 1,300.00 8280
697 stepwise devascularisation
11308
10925 9833 1,400.00 9833
698 Assisted breech delivery
22020
21275 19148 1,300.00 19148
699 Intra-uterine fetal blood transfusion
8798
8500 7650 1,300.00 7650
700 Hysteroscopy TCRE
7763
7500 6750 7,500.00 6750
701 Hysteroscopy Removal of IUCD
11385
11000 9900 7,500.00 9900
702 Hysteroscopy Removal of Septum
7763
7500 6750 4,830.00 6750
703 Hysteroscopy Diagnostic
Radical Hysterectomy for Cancer cervix with 8500 7650 5,000.00 7650 8798
704 pelvic lymphadenectomy
Radical Hysterectomy for Cancer endometrium
extending to cervix with pelvic and para aortic 8500 7650 6,000.00 7650 8798
705 lymphadenectomy
Page 30 of 76
3881
3750 3375 3,400.00 3375
706 Sterilization Post partum (minilap)
4255
3750 3375 3,700.00 3,700.00
707 Sterilization interval (minilap)
575
500 450 600 500
708 Ultrasonography Level II scan/Anomaly Scan
345
300 270 800 300
709 Fetal nuchal Translucency
Fetal Doppler/Umblical Doppler/Uterine Vessel 880
850 765 350 765
710 Doppler
3105
3000 2700 1,800.00 2700
711 MTP- 1st Trimester
4523
4370 3933 3,500.00 3933
712 MTP - 2nd Trimester
2070
2000 1800 1,250.00 1800
713 Quadruple test
661
600 540 575 575
714 Biophysical score
28980
28000 25200 1,850.00 25200
715 Other Major Surgery
5175
5000 4500 3,500.00 4500
716 Other Minor Surgery
TREATMENT PROCEDURE 0
NEPHROLOGY AND UROLOGY
16783
16215 14594 15,000.00 14594
717 Partial Nephrectomy -open
14997
14490 13041 13,000.00 13041
718 Partial Nephrectomy-laproscopic/endoscopic
13800
12000 10800 14,500.00 12000
719 Nephrolithomy -open
16100
14000 12600 14,500.00 14000
720 Nephrolithomy -laproscopic/endoscopic
14950
13000 11700 13,500.00 13000
721 Pyelolithotomy-open
11500
10580 9522 10,000.00 10,000.00
722 Pyelolithotomy -laproscopic/endoscopic
Operations for Hydronephrosis -pyeloplasty 19044
18400 16560 16,500.00 16560
723 open
Operations for Hydronephrosis -pyeloplasty 19000 17100 17,000.00 17100 19665
724 Lap/endoscopic
Operations for Hydronephrosis 20000 18000 16,000.00 18000 20700
725 Endoplyelotomy antegrade
Operations for Hydronephrosis 20000 18000 15,000.00 18000 20700
726 Endoplyelotomy retrograde
Operations for Hydronephrosis - 18630
18000 16200 15,000.00 16200
727 ureterocalicostomy
18630
18000 16200 15,525.00 16200
728 Operations for Hydronephrosis-Ileal ureter
Page 31 of 76
9200
8000 7200 8,500.00 8000
729 Open Drainage of Perinephric Abscess
Percutaneous Drainage of Perinephric Abscess - 5750 5175 5,000.00 5175 5951
730 Ultrasound guided
10118
9775 8798 5,500.00 8798
731 Cavernostomy
12379
11960 10764 8,000.00 10764
732 Operations for Cyst of the Kidney -open
Operations for Cyst of the Kidney - 14521
14030 12627 9,000.00 12627
733 Lap/endoscopic
13711
13248 11923 11,000.00 11923
734 Ureterolithotomy -open
10925
10000 9000 9,500.00 9,500.00
735 Ureterolithotomy-Lap/Endoscopic
16664
16100 14490 12,000.00 14490
736 Nephroureterectomy open
16664
16100 14490 13,500.00 14490
737 Nephroureterectomy -Lap/Endoscopic
19665
19000 17100 16,700.00 17100
738 Operations for Ureter for -Double Ureters
Operations for Ureter -for Ectopia of Single 20700
18000 16200 19,000.00 18000
739 Ureter
20700
18000 16200 19,000.00 18000
740 Operations for Vesico- ureteric Reflux -Open
Operations for Vesico- ureteric Reflux- 18630
18000 16200 16,675.00 16200
741 Lap/Endoscopic
Operations for Vesico- ureteric Reflux/ Urinary 20700 18630 15,500.00 18630 21425
742 incontinence with bulking agents
13800
12000 10800 13,000.00 12000
743 Ureterostomy - Cutaneous
18400
16000 14400 16,000.00 16000
744 Uretero-Colic anastomosis
17854
17250 15525 800 15525
745 Formation of an Ileal Conduit
794
690 621 690 690
746 Ureteric Catheterisation
2381
2300 2070 2,100.00 2070
747 Biopsy of Bladder (Cystoscopic)
11308
10925 9833 7,000.00 9833
748 Cysto-Litholapaxy
10350
10000 9000 7,000.00 9000
749 Operations for Injuries of the Bladder
Suprapubic Drainage 6900
6000 5400 6,300.00 6000
750 (Cystostomy/vesicostomy)
17854
17250 15525 10,000.00 15525
751 Simple Cystectomy
16560
16000 14400 10,500.00 14400
752 Diverticulectomy -open
Page 32 of 76
19044
18400 16560 1,700.00 16560
753 Diverticulectomy- Lap/Endoscopic
1786
1725 1553 1,500.00 1553
754 Diverticulectomy -Endoscopic incision of neck
6903
6670 6003 6,000.00 6003
755 Augmentation Cystoplasty
Operations for Extrophy of the Bladder- Single 22300 20070 18,000.00 20070 23081
756 stage repair
Operations for Extrophy of the Bladder- 20815 18734 18,200.00 18734 21544
757 Multistage repair
Operations for Extrophy of the Bladder- simple 22500 20250 13,000.00 20250 23288
758 cystectomy with urinary diversion
14950
13800 12420 13,000.00 13,000.00
759 Repair of Ureterocoel -Open
14879
14375 12938 12,000.00 12938
760 Repair of Ureterocoel -Lap/Endoscopic
13455
13000 11700 2,500.00 11700
761 Repair of Ureterocoel -Endoscopic incision
21425
20700 18630 9,600.00 18630
762 Open Suprapubic Prostatectomy
20830
20125 18113 18,000.00 18113
763 Open Retropubic Prostatectomy
19282
18630 16767 5,000.00 16767
764 Transurethral Resection of Prostate (TURP)
4761
4600 4140 4,200.00 4140
765 Urethroscopy/ Cystopanendoscopy
5951
5750 5175 4,200.00 5175
766 Internal urethrotomy -optical
Internal urethrotomy -Core through 11426
11040 9936 3,500.00 9936
767 urethroplasty
Urethral Reconstruction -End to end 3571
3450 3105 3,200.00 3105
768 ansatamosis
Urethral Reconstruction - substitution 19550 17595 10,000.00 17595 20234
769 urethroplasty (Transpubic urethroplasty
14490
14000 12600 10,000.00 12600
770 Abdomino Perineal urethroplasty
12961
11270 10143 11,270.00 11270
771 Posterior Urethral Valve fulguration.
Operations for Incontinence of Urine - Male - 17854
17250 15525 16,000.00 15525
772 Open
Operations for Incontinence of Urine - Male - 19044
18400 16560 16,000.00 16560
773 Sling
Operations for Incontinence of Urine - Male- 19435 17492 16,000.00 17492 20116
774 Bulking agent
Operations for Incontinence of Urine - Female - 17854
17250 15525 16,000.00 15525
775 Open
Operations for Incontinence of Urine - Female- 19044
18400 16560 1,700.00 16560
776 Sling
Page 33 of 76
Operations for Incontinence of Urine - Female- 19435 17492 2,500.00 17492 20116
777 Bulking agent
1786
1725 1553 1,500.00 1553
778 Reduction of Paraphimosis
3105
3000 2700 2,500.00 2700
779 Circumcision
2428
2346 2111 1,200.00 2111
780 Meatotomy
3333
3220 2898 3,000.00 2898
781 Meatoplasty
Operations for Hypospadias + Chordee 9522
9200 8280 1,100.00 8280
782 Correction
15525
15000 13500 13,000.00 13500
783 Operations for Hypospadias - Second Stage
Operations for Hypospadias - One Stage 10580
9200 8280 11,000.00 9200
784 Repair
11903
11500 10350 1,380.00 10350
785 Operations for Crippled Hypospadias
13034
12593 11334 1,500.00 11334
786 Operations for Epispadias _primary repair
11784
11385 10247 1,500.00 10247
787 Operations for Epispadias-crippled epispadias
11141
10764 9688 2,000.00 9688
788 Partial Amputation of the Penis
12420
12000 10800 1,500.00 10800
789 Total amputation of the Penis
10118
9775 8798 9,000.00 8798
790 Orchidectomy-Simple
12498
12075 10868 11,000.00 10868
791 Orchidectomy -Radical
Post Radical Orchidectomy retroperitoneal 14000 12600 11,000.00 12600 14490
792 lymph node dissection.
9200
8000 7200 10,000.00 8000
793 Epididymectomy
Adreneclectomy Unilateral/Bilateral for 25300 22770 11,000.00 22770 26186
794 Tumour/For Carcinoma- Open
Adreneclectomy Unilateral/Bilateral for 14375 12938 13,000.00 12938 14879
795 Tumour/For Carcinoma -Lap/Endoscopic
6071
5865 5279 5,100.00 5279
796 Operations for Hydrocele - Unilateral
8855
8556 7700 5,000.00 7700
797 Operations for Hydrocele - Bilateral
11903
11500 10350 5,000.00 10350
798 Operation for Torsion of Testis
Micro-surgical Vasovasostomy /Vaso 11040 9936 7,000.00 9936 11426
799 epidedymal ansatamosis.
Operations for Varicocele Unilateral- 7975
7705 6935 7,200.00 6935
800 Microsurgical
Page 34 of 76
Operations for Varicocele Palomo’s Unilateral - 9522
9200 8280 8,500.00 8280
801 Lap
Operations for Varicocele Bilateral -- 13093
12650 11385 11,500.00 11385
802 Microsurgical
Operations for Varicocele Bilateral – Lap/ 15473
14950 13455 12,000.00 13455
803 Palomo
Block Dissection of ilio-inguinal Nodes - One 6325 5693 5,700.00 5693 6547
804 Side (For Ca-Penis)
Block Dissection of ilio-inguinal Nodes - Both 23000 20700 20,000.00 20700 23805
805 Sides (For Ca-Penis)
11903
11500 10350 10,500.00 10350
806 Excision of Filarial Scrotum
4025
3500 3150 10,000.00 3500
807 Kidney Transplantation (related)
148005
143000 128700 11,500.00 128700
808 Kidney Transplantation (Spousal/ unrelated)
507150
490000 441000 11,500.00 441000
809 ABO incompatible Transplantation
401580
388000 349200 11,500.00 349200
810 Swap Transplantation
61583
59500 53550 38,000.00 53550
811 Kidney Transplant Graft Nephrectomy
29756
28750 25875 1,340.00 25875
812 Donor Nephrectomy (open)
47610
46000 41400 38,000.00 41400
813 Donor Nephrectomy (Laproscopic)
86216
83300 74970 NONE 74970
814 Cadaver Transplantation
Kidney Transplant with Native Kidney 28000 25200 60,000.00 28000 32200
815 Nephrectomy (Related)/ Unilateral
Kidney Transplant with Native Kidney 85000 76500 85,000.00 85000 97750
816 Nephrectomy (Related)/ Bilateral
Kidney Transplant with Native Kidney 85000 76500 65,000.00 76500 87975
817 Nephrectomy (Spousal/ Unrelated) Unilateral
Kidney Transplant with Native Kidney 85000 76500 5,00,000.00 85000 97750
818 Nephrectomy (Spousal/ Unrelated) Bilateral
Post-Transplant Collection drainage for 6800 6120 28,000.00 6800 7820
819 Lymphocele (open)
Post-Transplant Collection drainage for 6800 6120 18,000.00 6800 7820
820 Lymphocele (percutaneous)
Post-Transplant Collection drainage for 7650 6885 32,000.00 7650 8798
821 Lymphocele (Laproscopic)
2645
2300 2070 3,200.00 2300
822 Arteriovenous Fistula for Haemodialysis
3623
3500 3150 1,900.00 3150
823 Arteriovenous Shunt for Haemodialysis
Page 35 of 76
1725
1500 1350 2,000.00 1500
824 Jugular Catheterization for Haemodialysis
2329
2250 2025 2,000.00 2025
825 Subclavian Catheterization for Haemodialysis
One sided (single Lumen) Femoral 1000 900 1,000.00 1000 1150
826 Catheterization for Haemodialysis
Bilateral (single Lumen) Femoral 1500 1350 2,000.00 1500 1725
827 Catheterization for Haemodialysis
Double Lumen Femoral Catheterization for 1850 1665 1,850.00 1850 2128
828 Haemodialysis
2898
2800 2520 1,000.00 2520
829 Permcath Insertion
2128
1850 1665 12,000.00 1850
830 Arterio venous Prosthetic Graft
1553
1500 1350 1,200.00 1350
831 Single lumen Jugular Catheterization
1760
1700 1530 1,200.00 1530
832 Single lumen Subclavian Catheterization
1786
1725 1553 500 1553
833 Plasma Exchange/ Plasma phresis
3623
3500 3150 850 3150
834 Open method CAPD catheter insertion
3623
3500 3150 2,200.00 3150
835 Schlendinger method CAPD catheter insertion
1294
1250 1125 400 1125
836 Sustained low efficiency hemodialysis
Continuous Veno venous/Arteriovenous 2588
2250 2025 4,000.00 2250
837 Hemofilteration
1449
1400 1260 1,050.00 1260
838 Hemodialysis for Sero negative cases
1708
1650 1485 1,090.00 1485
839 Hemodialysis for Sero Positive cases
1501
1450 1305 1,500.00 1305
840 Acute Peritoneal Dialysis
2588
2500 2250 1,750.00 2250
841 Fistologram for Arteriovenous Fistula
880
850 765 525 765
842 Ultrasound guided kidney Biopsy
3105
3000 2700 1,500.00 2700
843 Fistula stenosis dilation
2588
2500 2250 1,500.00 2250
844 Slow continuous Ultrafilteration
20700
20000 18000 9,000.00 18000
845 PCNL - Unilateral
25875
25000 22500 18,000.00 22500
846 PCNL - Bilateral
4658
4500 4050 2,000.00 4050
847 Endoscopic Bulking agent Inject
Page 36 of 76
2024
1955 1760 1,250.00 1760
848 Testicular Biopsy
19550
17250 15525 17,000.00 17,000.00
849 Radical Nephrectomy -Open
21425
20700 19,000.00 18630
850 Radical Nephrectomy -Lap/Endoscopic
23805
23000 20700 21,000.00 20700
851 Radical Nephrectomy plus IV thrombus
Radical Nephrectomy plus IV thrombus plus 23000 20700 1,500.00 20700 23805
852 cardiac bypass.
16560
16000 14400 1,300.00 14400
853 Vesico Vaginal Fistula Repair (Open)
22770
22000 19800 15,000.00 19800
854 Vesico Vaginal Fistula Repair (Laproscopic)
17595
17000 15300 15,000.00 15300
855 Radical Cystectomy -Ileal conduit
15525
15000 13500 13,000.00 13500
856 Radical Cystectomy - continent diversion.
19148
18500 16650 15,000.00 16650
857 Radical Cystectomy – Neo bladder
10427
10074 9067 9,000.00 9067
858 Nephrectomy Simple -Open
13034
12593 11334 10,500.00 11334
859 Nephrectomy Simple-lap/Endoscopic
10350
10000 9000 9,000.00 9000
860 Nephrostomy -Open
11079
10704 9634 10,000.00 9634
861 Nephrostomy -Lap/Endoscopic
Ureteric Re- implant for
Megaureter/Vesicoureteric reflex/ uterocele 10494 9445 9,500.00 9445 10862
862 (open)
Ureteric Re -implant for
Megaureter/Vesicoureteric reflex/ uterocele 10494 9445 9,500.00 9445 10862
863 (Laproscopic)
14283
13800 12420 9,000.00 12420
864 Partial Cystectomy
17854
17250 15525 13,000.00 15525
865 TURP & TUR Bladder Tumour
19550
17000 15300 17,500.00 17000
866 TURP with Cystolithotripsy
11385
11000 9900 10,000.00 9900
867 Closure of Urethral Fistula
11347
9867 8880 9,000.00 9867
868 Orchidopexy - Unilateral -Open
12766
12334 11101 10,000.00 11101
869 Orchidopexy - Unilateral- Lap/Endoscopic
12712
12282 11054 10,000.00 11054
870 Orchidopexy - Bilateral -Open
15008
14500 13050 9,500.00 13050
871 Orchidopexy - Bilateral -Lap/Endoscopic
Page 37 of 76
10118
9775 8798 9,000.00 8798
872 Cystolithotomy -Suprapubic
3571
3450 3105 3,100.00 3105
873 Endoscopic Removal of Stone in Bladder
Resection Bladder Neck Endoscopic /Bladder 10925 9833 4,500.00 9833 11308
874 neck incision/transurethral incision on prostrate
10712
10350 9315 9,500.00 9315
875 Ureteroscopic Surgery
11308
10925 9833 10,000.00 9833
876 Urethroplasty 1st Stage
8855
8556 7700 5,675.00 7700
877 Scrotal Exploration
4881
4715 4244 4,300.00 4244
878 Perineal Urethrostomy
2300
2000 1800 2,100.00 2000
879 Dilatation of Stricture Urethra under G.A.
1786
1725 1553 1,600.00 1553
880 Dilatation of Stricture Urethra under LA
34517
33350 30015 1,700.00 30015
881 Laproscopic Nephrectomy
11500
10000 9000 12,000.00 10000
882 Laproscopic partial Nephrectomy
13093
12650 11385 11,500.00 11385
883 Laproscopic pyelolithotomy
11241
9775 8798 13,000.00 9775
884 Laproscopic Pyeloplasty
11241
9775 8798 10,700.00 9775
885 Laproscopic surgery for Renal cyst
13225
11500 10350 12,500.00 11500
886 Laproscopic ureterolithotomy
15209
13225 11903 14,500.00 13225
887 Laproscopic Nephro ureterotectomy
19665
19000 17100 16,000.00 17100
888 Lithotripsy Extra corporeal shock wave.
466
450 405 400 405
889 Uroflow Study (Uroflometry)
497
480 432 400 432
890 Urodynamic Study (Cystometry)
Cystoscopy with Retrograde Catheter - 2901
2803 2523 900 2523
891 Unilateral /RGP
Cystoscopy with Retrograde Catheter - Bilateral 5376
4675 4208 5,000.00 4675
892 /RGP
Cystoscopy with Bladder Biopsy (Cold Cup 3499
3381 3043 3,000.00 3043
893 Biopsy)
Voiding-cysto-urethrogram and retrograde 414 373 400 400 460
894 urethrogram (Nephrostogram)
18449
17825 16043 900 16043
895 Radical prostatectomy-Open
Page 38 of 76
20830
20125 18113 1,000.00 18113
896 Radical prostatectomy-Laproscopic
Radical prostatectomy- Robotic (Robotic 20125 18113 1,500.00 18113 20830
897 Partial Nephrectomy)
15525
15000 13500 1,300.00 13500
898 Hollmium YAG Prostate Surgery
4761
4600 4140 50,000.00 4140
899 Hollmium YAG OIU
19838
17250 15525 45,000.00 17250
900 Hollmium YAG Core Through
11730
10200 9180 46,000.00 10200
901 Hollmium YAG Stone Lithotripsy
19838
17250 15525 48,000.00 17250
902 Green Light laser for prostate
7820
6800 6120 35,000.00 6800
903 RIRS/ Flexible Ureteroscopy
Microscopic VEA/ Vaso-Vasostomy (for 15525
13500 12150 15,000.00 13500
904 Infertility)
Cystoscopic Botulinum Toxin Injection ( Over 6800 6120 2,000.00 6120 7038
905 active bladder/ Neurogenic bladder)
Peyronie’s disease – Plaque excision with 3910
3400 3060 13,000.00 3400
906 grafting
High Intensity Focus Ultrasound (HIFU)
(Robotic) for Carcinoma prostrate and renal cell 4600 4140 2,100.00 4140 4761
907 carcinoma
2381
2300 2070 2,100.00 2070
908 Prosthetic surgery for urinary incontinence
661
575 518 2,000.00 575
909 TRUS guided prostate biopsy
828
720 648 2,600.00 720
910 Ultra sound guided PCN
17250
15000 13500 15,000.00 15000
911 Other Major Surgery
7820
6800 6120 7,000.00 6800
912 Other Minor Surgery
TREATMENT PROCEDURE NEURO- 0
SURGERY
Craniotomy and Evacuation of Haematoma - 52491
50715 45644 6,000.00 45644
913 Subdural
Craniotomy and Evacuation of Haematoma - 51750
50000 45000 35,000.00 45000
914 Extradural
Evacuation /Excision of Brain Abscess by 41400
40000 36000 35,000.00 36000
915 craniotomy
Excision of Lobe (Frontal Temporal 42435
41000 36900 35,000.00 36900
916 Cerebellum etc.)
40493
39123 35211 35,000.00 35211
917 Excision of Brain Tumours -Supratentorial
46575
45000 40500 40,000.00 40500
918 Excision of Brain Tumours -Infratentorial
Page 39 of 76
46575
45000 40500 45,000.00 40500
919 Surgery of spinal Cord Tumours
28175
25000 22500 24,500.00 24,500.00
920 Ventriculoatrial /Ventriculoperitoneal Shunt
4888
4250 3825 5,200.00 4250
921 Twist Drill Craniostomy
2542
2456 2210 2,200.00 2210
922 Subdural Tapping
3071
2967 2670 2,400.00 2670
923 Ventricular Tapping
2976
2875 2588 2,400.00 2588
924 Abscess Tapping
2976
2875 2588 2,400.00 2588
925 Placement of ICP Monitor -
2381
2300 2070 1,250.00 2070
926 Skull Traction Application
4399
4250 3825 3,000.00 3825
927 Lumber Pressure Monitoring
22770
22000 19800 5,500.00 19800
928 Vascular Malformations
15525
15000 13500 1,350.00 13500
929 Meningo Encephalocoele excision and repair
25870
24995 22496 12,200.00 22496
930 Meningomyelocoel Repair
29756
28750 25875 18,000.00 25875
931 C.S.F. Rhinorrhaea Repair
24995
24150 21735 22,000.00 21735
932 Cranioplasty
19090
16600 14940 17,500.00 16600
933 Anterior Cervical Dissectomy
16069
15525 13973 14,000.00 13973
934 Brachial Plexus Exploration and neurotization
14490
14000 12600 8,000.00 12600
935 Median Nerve Decompression
17854
17250 15525 1,300.00 15525
936 Peripheral Nerve Surgery – Major
8570
8280 7452 1,300.00 7452
937 Peripheral Nerve Surgery Minor
12022
11615 10454 1,500.00 10454
938 Ventriculo-Atrial Shunt
7142
6900 6210 2,500.00 6210
939 Nerve Biopsy
6011
5808 5227 5,000.00 5227
940 Brain Biopsy
33327
32200 28980 1,400.00 28980
941 Anterior Cervical Spine Surgery with fusion
29756
28750 25875 19,000.00 25875
942 Anterio Lateral Decompression of spine
963
837 753 850 837
943 Brain Mapping
Page 40 of 76
23805
23000 20700 1,500.00 20700
944 Cervical or Dorsal or Lumbar Laminectomy
Combined Trans-oral Surgery & CV Junction 35708
34500 31050 23,000.00 31050
945 Fusion
31050
30000 27000 11,000.00 27000
946 C.V. Junction Fusion procedures
28750
25000 22500 26,000.00 25000
947 Depressed Fracture Elevation
28566
27600 24840 2,100.00 24840
948 Lumbar Discectomy
20700
20000 18000 1,500.00 18000
949 Endarterectomy (Carotid)
11903
11500 10350 1,250.00 10350
950 R.F. Lesion for Trigeminal Neuralgia
41064
39675 35708 1,250.00 35708
951 Spasticity Surgery -
31050
30000 27000 1,500.00 27000
952 Spinal Fusion Procedure
35708
34500 31050 25,000.00 31050
953 Spinal Intra Medullary Tumours
21821
18975 17078 20,000.00 18975
954 Spinal Bifida Surgery Major
15525
15000 13500 5,500.00 13500
955 Spinal Bifida Surgery Minor
Stereotaxic Procedures- biopsy/aspiration of 23805
23000 20700 1,500.00 20700
956 cyst
31050
30000 27000 1,450.00 27000
957 Trans Sphenoidal Surgery
31050
30000 27000 6,000.00 27000
958 Trans Oral Surgery
35708
34500 31050 5,500.00 31050
959 Implantation of DBS -One electrode
41659
40250 36225 800 36225
960 Implantation of DBS -two electrodes
15525
15000 13500 850 13500
961 Endoscopic aqueductoplasty
31050
30000 27000 850 27000
962 Facial nerve reconstruction
43743
42263 38037 850 38037
963 Carotid stenting
31740
27600 24840 28,400.00 27600
964 Cervical disc arthroplasty
14283
13800 12420 12,500.00 12420
965 Lumbar disc arthroplasty
36225
35000 31500 29,000.00 31500
966 Corpus callostomy for Epilepsy
33327
32200 28980 29,000.00 28980
967 Hemishpherotomy for Epilepsy
33350
30000 27000 29,000.00 29,000.00
968 Endoscopic CSF rhinorrhea repair
Page 41 of 76
Burr hole evacuation of chronic subdural 24995
24150 21735 21,500.00 21735
969 haematoma
37493
36225 32603 1,200.00 32603
970 Epilepsy surgery
17854
17250 15525 850 15525
971 RF lesion for facet joint pain syndrome
33120
32000 28800 26,100.00 28800
972 Cervical laminoplasty
23805
23000 20700 18,000.00 20700
973 Lateral mass C1-C2 screw fixation
Microsurgical decompression for Trigeminal 39330
38000 34200 850 34200
974 nerve
Microsurgical decompression for hemifacial 4808
4646 4181 900 4181
975 spasm
33120
32000 28800 850 28800
976 IC EC bypass procedures
29994
28980 26082 850 26082
977 Image guided craniotomy
40365
39000 35100 850 35100
978 Baclofen pump implantation
25875
25000 22500 850 22500
979 Programmable VP shunt
17705
17107 15396 850 15396
980 Endoscopic sympathectomy
230
207 186 200 200
981 Lumber puncture
4761
4600 4140 600 4140
982 External ventricular drainage (EVD)
41400
40000 36000 15,000.00 36000
983 Endoscopic 3rd ventriculostomy
32639
31536 28382 25,000.00 28382
984 Endoscopic cranial surgery/Biopsy/aspiration
36868
35621 32059 18,000.00 32059
985 Endoscopic discectomy (Lumbar, Cervical)
35604
34400 30960 850 30960
986 Aneurysm coiling (Endovascular)
41400
40000 36000 23,000.00 36000
987 Surgery for skull fractures
17250
15000 13500 17,500.00 15000
988 Carpel Tunnel decompression
24995
24150 21735 5,000.00 21735
989 Clipping of intracranial aneurysm
Surgery for intracranial Arteriovenous 40000 36000 850 36000 41400
990 malformarions(AVM)
Foramen magnum decompression for Chari 1100 990 18,000.00 1100 1265
991 Malformation
Dorsal column stimulation for backache in 28750 25875 1,000.00 25875 29756
992 failed back syndrome
Page 42 of 76
Surgery for recurrent disc prolapse/epidural 33327
32200 28980 850 28980
993 fibrosis
45527
43988 39589 850 39589
994 Surgery for brain stem tumours
Decompressive craniotomy for hemishpherical
acute subdural haematoma/brain swelling/large 40000 36000 24,950.00 36000 41400
995 infarct
Intra-arterial thrombolysis with TPA (for 4600 4140 4,000.00 4140 4761
996 ischemic stroke )
Steriotactic aspiration of intracerebral 33685
32545 29291 850 29291
997 haematoma
Endoscopic aspiration of intracerebellar 41400
40000 36000 900 36000
998 haematoma
Steriotactic Radiosurgery for brain pathology(X 27560 24804 21,000.00 24804 28525
999 knife/Gamma ) - ONE session
Steriotactic Radiosurgery for brain pathology(X 57500 51750 850 51750 59513
1000 knife / Gamma knife -Two or more sessions
Chemotheraphy wafers for malignant brain 14956
14450 13005 850 13005
1001 tumors
25300
22000 19800 31,800.00 22000
1002 Battery Placement for DBS
17937
17330 15597 1,200.00 15597
1003 Baclofen pump implantation for spasticity
24840
24000 21600 13,000.00 21600
1004 Peripheral Nerve tumor surgery
23000
20000 18000 27,000.00 20000
1005 Surgery Intra Cranial Meningioma
39330
35000 31500 34,200.00 34,200.00
1006 Surgery for Intracranial Schwannoma
46575
45000 40500 27,300.00 40500
1007 Surgery for Gliomas
41400
40000 36000 31,400.00 36000
1008 Surgery for Orbital tumors
39848
38500 34650 32,000.00 34650
1009 Surgery for Cranial (Skull) tumors
28750
25000 22500 35,000.00 25000
1010 Surgery for Scalp AVM’s
41400
40000 36000 15,000.00 36000
1011 Kyphoplasty
46000
40000 36000 45,000.00 40000
1012 Balloon Kyphoplasty
Lesioning procedures for Parkinson’s disease, 35000 31500 35,000.00 35,000.00 40250
1013 Dystonia etc.
43988
42500 38250 35,000.00 38250
1014 Other Major Surgery
19550
17000 15300 22,500.00 17000
1015 Other Minor Surgery
Page 43 of 76
TREATMENT PROCEDURE PAEDIATRIC 0
SURGERY
16560
16000 14400 13,800.00 14400
1016 Excision of thyroglossal Duct/Cyst
Diaphragmatic Hernia Repair (Thoracic or 17250 15525 13,500.00 15525 17854
1017 Abdominal Approach)
Tracheo Oesophageal Fistula (Correction 23805
23000 20700 17,000.00 20700
1018 Surgery)
23805
23000 20700 17,250.00 20700
1019 Colon Replacement of Oesophagus
17854
17250 15525 16,000.00 15525
1020 Omphalo Mesenteric Cyst Excision
16069
15525 13973 14,500.00 13973
1021 Omphalo Mesenteric Duct- Excision
3464
3347 3012 2,910.00 3012
1022 Meckels Diverticulectomy
16069
15525 13973 14,000.00 13973
1023 Omphalocele 1st Stage (Hernia Repair)
17854
17250 15525 15,000.00 15525
1024 Omphalocele 2nd Stge (Hernia Repair)
16664
16100 14490 15,000.00 14490
1025 Gastrochisis Repair
12997
12558 11302 11,000.00 11302
1026 Inguinal Herniotomy
12420
12000 10800 10,500.00 10800
1027 Congenital Hydrocele
12420
12000 10800 10,500.00 10800
1028 Hydrocele of Cord
15525
15000 13500 12,000.00 13500
1029 Torsion Testis Operation
14426
13938 12544 12,500.00 12544
1030 Congenital Pyloric Stenosis- operation
14490
14000 12600 13,000.00 12600
1031 Duodenal- Atresia Operation
23210
22425 20183 17,000.00 20183
1032 Pancreatic Ring Operation
16675
14500 13050 17,000.00 14500
1033 Meconium Ileus Operation
14950
13000 11700 17,000.00 13000
1034 Malrotation of Intestines Operation
10076
9736 8762 9,000.00 8762
1035 Rectal Biopsy (Megacolon)
15525
15000 13500 9,000.00 13500
1036 Colostomy Transverse
17250
15000 13500 17,000.00 15000
1037 Colostomy Left Iliac
Abdominal Perineal Pull Through 19000 17100 17,000.00 17100 19665
1038 (Hirschaprugis Disease)
Page 44 of 76
Imperforate Anus Low Anomaly -Cut Back 10594
10235 9212 9,500.00 9212
1039 Operation
Imperforate Anus Low Anomaly - Perineal 13800
12000 10800 12,000.00 12000
1040 Anoplasty
Imperforate Anus High Anomaly - 12500 11250 14,000.00 12500 14375
1041 Sacroabdomino Perineal Pull Through
Imperforate Anus High Anomaly - Closure of 8625 7763 8,000.00 7763 8927
1042 Colostomy
21425
20700 18630 9,500.00 18630
1043 Intususception Operation
Choledochoduodenostomy for Atresia of Extra 15000 13500 19,000.00 15000 17250
1044 Hepatic Billiary Duct
18400
16000 14400 19,000.00 16000
1045 Operation of Choledochal Cyst
19550
17000 15300 19,000.00 17000
1046 Nephrectomy for -Pyonephrosis
17250
15000 13500 19,000.00 15000
1047 Nephrectomy for - Hydronephrosis
15525
15000 13500 7,200.00 13500
1048 Nephrectomy for -Wilms Tumour
Paraortic Lymphadenoctomy with 20000 18000 19,500.00 19,500.00 22425
1049 Nephrectomy for Wilms Tumour
16100
14000 12600 16,000.00 14000
1050 Sacro-Coccygeal Teratoma Excision
18400
16000 14400 16,200.00 16000
1051 Neuroblastoma Debulking
21425
20700 18630 18,000.00 18630
1052 Neuroblastoma Total Excision
17250
15000 13500 19,200.00 15000
1053 Rhabdomyosarcoma wide Excision
Congenital Atresia & Stenosis of Small 21850
19000 17100 21,000.00 19000
1054 Intestine
18400
16000 14400 16,000.00 16000
1055 Muconium ileus
17250
15000 13500 17,000.00 15000
1056 Mal-rotation & Volvulus of the Midgut
13800
12000 10800 14,500.00 12000
1057 Excision of Meckle’s Deverticulum
27945
27000 24300 25,000.00 24300
1058 Other Major Surgery
12708
11050 9945 12,000.00 11050
1059 Other Minor Surgery
TREATMENT PROCEDURE BURNS AND 0
PLASTIC SURGERY
345
300 270 2,300.00 300
1060 Primary Suturing of Wound
1137
1099 989 575 989
1061 Injection of Keloids - Ganglion
Page 45 of 76
1190
1150 1035 600 1035
1062 Injection of Keloids - Haemangioma
1786
1725 1553 1,200.00 1553
1063 Free Grafts - Wolfe Grafts
7737
7475 6728 6,500.00 6728
1064 Free Grafts - Theirech- Small Area 5%
8280
8000 7200 7,500.00 7200
1065 Free Grafts - Large Area 10%
10712
10350 9315 9,000.00 9315
1066 Free Grafts - Very Large Area 20% and above.
9284
8970 8073 8,200.00 8073
1067 Skin Flaps - Rotation Flaps
12938
12500 11250 9,500.00 11250
1068 Skin Flaps - Advancement Flaps
Skin Flaps - Direct- cross Leg Flaps- Cross 12938
12500 11250 11,000.00 11250
1069 Arm Flap
14375
12500 11250 12,000.00 12500
1070 Skin Flaps - Cross Finger
10753
9350 8415 11,200.00 9350
1071 Skin Flaps - Abdominal
10753
9350 8415 11,200.00 9350
1072 Skin Flaps - Thoracic
12650
11000 9900 11,200.00 11000
1073 Skin Flaps - Arm Etc.
7142
6900 6210 6,200.00 6210
1074 Subcutaneous Pedicle Flaps Raising
6843
5950 5355 6,200.00 5950
1075 Subcutaneous Pedicle Flaps Delay
6843
5950 5355 7,000.00 5950
1076 Subcutaneous Pedicle Flaps Transfer
8927
8625 7763 8,000.00 7763
1077 Cartilage Grafting
1428
1380 1242 1,250.00 1242
1078 Reduction of Facial Fractures of Nose
9200
8000 7200 9,000.00 8000
1079 Reduction of Facial Fractures of Maxilla
Reduction of Fractures of Mandible & Maxilla - 7475 6728 7,000.00 6728 7737
1080 Eye Let Splinting
Reduction of Fractures of Mandible & Maxilla - 6900 6210 6,400.00 6210 7142
1081 Cast Netal Splints
Reduction of Fractures of Mandible & Maxilla - 7500 6750 7,000.00 6750 7763
1082 Gumming Splints
11903
11500 10350 7,800.00 10350
1083 Internal Wire Fixation of Mandible & Maxilla
12535
11500 10350 10,900.00 10,900.00
1084 Cleft Lip - repair.
13685
12650 11385 11,900.00 11,900.00
1085 Cleft Palate Repair
Page 46 of 76
Primary Bone Grafting for alveolar cleft in 11903
11500 10350 1,200.00 10350
1086 Cleft Lip
11408
10000 9000 9,920.00 9,920.00
1087 Secondary Surgery for Cleft Lip Deformity
13093
12650 11385 9,920.00 11385
1088 Secondary Surgery for Cleft Palate
6547
6325 5693 5,900.00 5693
1089 Reconstruction of Eyelid Defects - Minor
9200
8500 7650 8,000.00 8,000.00
1090 Reconstruction of Eyelid Defects - Major
Plastic Surgery of Different Regions of the Ear 8332
8050 7245 7,500.00 7245
1091 - Minor
Plastic Surgery of Different Regions of the Ear 10712
10350 9315 8,000.00 9315
1092 - Major
8332
8050 7245 7,500.00 7245
1093 Plastic Surgery of the Nose - Minor
9833
9500 8550 8,000.00 8550
1094 Plastic Surgery of the Nose - Major
Plastic Surgery for Facial Paralysis (Support 16100 14490 10,200.00 14490 16664
1095 with Reanimation)
14950
13000 11700 18,200.00 13000
1096 Pendulous Breast - Mammoplasty
13800
12000 10800 15,000.00 12000
1097 Underdeveloped Breast Mammoplasty
After Mastectomy 13800
12000 10800 15,000.00 12000
1098 (Reconstruction)Mammoplasty
14663
12750 11475 15,000.00 12750
1099 Syndactyly Repair
13688
13225 11903 12,000.00 11903
1100 Dermabrasion Face
158
152 137 135 137
1101 upto 30% Burns 1st Dressing
129
124 112 110 112
1102 upto 30% Burns Subsequent Dressing
200
193 174 130 174
1103 30% to 50% Burns 1st Dressing
158
152 137 135 137
1104 30% to 50% Burns Subsequent Dressing
285
276 248 175 248
1105 Extensive Burn -above 50% Frist Dressing
Extensive Burn -above 50% Subsequent 200
193 174 178 174
1106 dressing
TREATMENT PROCEDURE 0
ORTHOPEDICS
288
255 230 250 250
1107 Plaster Work
268
259 233 230 233
1108 Fingers (post slab)
268
259 233 230 233
1109 Fingers full plaster
Page 47 of 76
1012
978 880 350 880
1110 Colles Fracture - Below elbow
1029
994 895 900 895
1111 Colles Fracture - Full plaster
460
400 360 500 400
1112 Colles fracture Ant. Or post. slab
179
173 156 160 156
1113 Above elbow full plaster
596
575 518 500 518
1114 Above Knee post-slab
196
173 156 170 170
1115 Below Knee full plaster
743
718 646 630 646
1116 Below Knee post-slab
828
800 720 700 720
1117 Tube Plaster (or plaster cylinder)
1455
1265 1139 1,200.00 1265
1118 Above knee full plaster
1332
1158 1042 1,250.00 1158
1119 Above knee full slab
2500
2415 2174 1,900.00 2174
1120 Minerva Jacket
2262
2185 1967 2,050.00 1967
1121 Plaster Jacket
2024
1955 1760 1,800.00 1760
1122 Shoulder spica
2322
2243 2019 1,900.00 2019
1123 Single Hip spica
2857
2760 2484 2,020.00 2484
1124 Double Hip spica
185
179 161 160 161
1125 Strapping of Finger
186
180 162 160 162
1126 Strapping of Toes
238
230 207 160 207
1127 Strapping of Wrist
271
262 236 240 236
1128 Strapping of Elbow
397
345 311 345 345
1129 Strapping of Knee
358
345 311 300 311
1130 Strapping of Ankle
476
460 414 400 414
1131 Strapping of Chest
536
518 466 475 466
1132 Strapping of Shoulder
536
518 466 475 466
1133 Figure of 8 bandage
293
255 230 300 255
1134 Collar and cuff sling
Page 48 of 76
414
400 360 345 360
1135 Ball bandage
Application of P.O.P Casts for Upper & Lower 656
633 570 350 570
1136 Limbs
1397
1350 1215 700 1215
1137 Application of Functiol Cast Brace
714
690 621 620 621
1138 Application of Skin Traction
982
949 854 649 854
1139 Application of Skeletal Tractions
572
552 497 500 497
1140 Bandage & Strappings for Fractures
596
575 518 525 518
1141 Aspiration & Intra Articular Injections
2560
2473 2226 1,100.00 2226
1142 Application of P.O.P Spices & Jackets
2875
2600 2340 2,500.00 2,500.00
1143 Close Reduction of Fractures of Limb & P.O.P
2857
2760 2484 1,380.00 2484
1144 Reduction of Compound Fractures
Open Reduction & Internal Fixation of Fingurs 5357
5175 4658 1,400.00 4658
1145 & Toes
Open Reduction offracture of Long Bones of 8050 7245 2,700.00 7245 8332
1146 Upper / Lower Limb -iling & Exterl Fixation
Open Reduction of fracture of Long Bones of 9660 8694 8,600.00 8694 9998
1147 Upper / Lower Limb -AO Procedures
5856
5658 5092 5,000.00 5092
1148 Tension Band Wirings
7475
6601 5941 6,500.00 6,500.00
1149 Bone Grafting
7142
6900 6210 6,300.00 6210
1150 Excision of Bone Tumours
Excision or other Operations for Scaphoid 7439
7188 6469 6,400.00 6469
1151 Fractures
7142
6900 6210 6,400.00 6210
1152 Sequestrectomy & Saucerisation
10320
9971 8974 7,000.00 8974
1153 Sequestrectomy & Saucerizations -Arthrotomy
11903
11500 10350 9,500.00 10350
1154 Multiple Pinning Fracture Neck Femur
13973
13500 12150 10,200.00 12150
1155 Plate Fixations for Fracture Neck Femur
A.O.Compression Procedures for Fracture Neck 17140
16560 14904 15,000.00 14904
1156 Femur
Open Reduction of Fracture Neck Femur 19500 17550 16,200.00 17550 20183
1157 Muscle Pedicle Graft and Internal Fixations
3450
3174 2857 3,000.00 3,000.00
1158 Close Reduction of Dislocations
Page 49 of 76
3559
3439 3095 3,000.00 3095
1159 Open Reduction of Dislocations
Open Reduction of Fracture Dislocation & 13500 12150 6,000.00 12150 13973
1160 Internal Fixation
14283
13800 12420 12,200.00 12420
1161 Neurolysis/Nerve repair
17259
16675 15008 13,000.00 15008
1162 Nerve Repair with Grafting
10712
10350 9315 9,200.00 9315
1163 Tendon with Transplant or Graft
8332
8050 7245 4,000.00 7245
1164 Tendon Lengthening/Tendon repair
3450
3105 2795 3,000.00 3,000.00
1165 Tendon Transfer
4999
4830 4347 1,380.00 4347
1166 Laminectomy Excision Disc and Tumours
24995
24150 21735 1,300.00 21735
1167 Spil Ostectomy and Internal Fixations
Anterolateral decompression for tuberculosis/ 3450 3105 1,300.00 3105 3571
1168 Costo-Transversectomy
22253
19350 17415 21,500.00 19350
1169 Antereolateral Decompression and Spil Fusion
Corrective Ostectomy & Internal Fixation - 14283
13800 12420 12,500.00 12420
1170 short bones
Corrective Ostectomy & Internal Fixation - 11426
11040 9936 10,000.00 9936
1171 long bones
11500
10350 9315 10,000.00 10,000.00
1172 Arthrodesis of - Minor Joints
11500
10000 9000 10,000.00 10,000.00
1173 Arthrodesis of - Major Joints
8332
8050 7245 7,300.00 7245
1174 Soft Tissue Operations for C.T.E.V.
7142
6900 6210 6,300.00 6210
1175 Soft Tissue Operations for Polio
20700
20000 18000 7,000.00 18000
1176 Hemiarthroplasty- Hip
20700
20000 18000 17,000.00 18000
1177 Hemiarthroplasty- Shoulder
24995
24150 21735 15,000.00 21735
1178 Operations for Brachial Plexus & Cervical Rib
7142
6900 6210 6,200.00 6210
1179 Amputations - Below Knee
7083
6843 6159 6,000.00 6159
1180 Amputations - Below Elbow
8332
8050 7245 7,000.00 7245
1181 Amputations - Above Knee
7083
6843 6159 6,000.00 6159
1182 Amputations - Above Elbow
Page 50 of 76
13688
13225 11903 10,500.00 11903
1183 Amputations - Forequarter
Amputations -Hind Quarter and 19044
18400 16560 16,000.00 16560
1184 Hemipelvectomy
21425
20700 18630 19,000.00 18630
1185 Disarticulations - Major joint
13093
12650 11385 10,000.00 11385
1186 Disarticulations - Minor joint
9522
9200 8280 8,200.00 8280
1187 Arthrography
8868
8568 7711 7,500.00 7711
1188 Arthroscopy - Diagnostic
11500
10000 9000 10,000.00 10000
1189 Arthroscopy-therapeutic: without implant
17854
17250 15525 11,000.00 15525
1190 Arthroscopy-therapeutic: with implant
7142
6900 6210 6,300.00 6210
1191 Soft Tissue Operation on JOINTS -SMALL
14950
13500 12150 13,000.00 13,000.00
1192 Soft Tissue Operation on JOINTS -LARGE
Myocutaneous and Fasciocutaneous Flap 18630 16767 5,000.00 16767 19282
1193 Procedures for Limbs
1822
1760 1584 550 1584
1194 Removal of Wires & Screw
4285
4140 3726 3,800.00 3726
1195 Removal of Plates
81765
79000 71100 50,000.00 71100
1196 Total Hip Replacement
98739
95400 85860 60,000.00 85860
1197 Total Ankle Joint Replacement
113850
110000 99000 1,00,000.00 99000
1198 Total Knee Joint Replacement
81765
79000 71100 19,550.00 71100
1199 Total Shoulder Joint Replacement
81765
79000 71100 19,550.00 71100
1200 Total Elbow Joint Replacement
115000
100000 90000 15,500.00 100000
1201 Total Wrist Joint Replacement
20700
20000 18000 7,000.00 18000
1202 Total finger joint replacement
4761
4600 4140 4,300.00 4140
1203 Tubular external fixator
8035
7763 6987 7,000.00 6987
1204 Ilizarov's external fixator
8927
8625 7763 8,000.00 7763
1205 Pelvi-acetebular fracture -Internal fixation
13800
12000 10800 17,000.00 12000
1206 Meniscectomy
13800
12000 9000 17,000.00 12000
1207 Meniscus Repair
Page 51 of 76
8798
8500 7650 1,800.00 7650
1208 ACL Reconstruction
13973
13500 12150 1,800.00 12150
1209 PCL Reconstruction
12938
12500 11250 1,800.00 11250
1210 Knee Collateral Ligament Reconstruction
13662
13200 11880 1,800.00 11880
1211 Bencarf Repair Shoulder
1725
1500 1350 1,800.00 1500
1212 RC Repair
14490
14000 12600 1,800.00 12600
1213 Biceps tenodesis
10743
10380 9342 9,000.00 9342
1214 Distal biceps tendon repair
14375
12500 11250 17,500.00 12500
1215 Arthrolysis of knee
18170
15800 14220 18,000.00 15800
1216 Capsulotomy of Shoulder
1242
1200 1080 500 1080
1217 Conservative Pop
1242
1200 1080 500 1080
1218 Application for CTEV per sitting
19550
17000 15300 80,000.00 17000
1219 Total Hip Replacement Revision Stage-I
57500
50000 45000 58,000.00 50000
1220 Total Hip Replacement Revision Stage-II
40250
35000 31500 75,000.00 35000
1221 Total Knee Replacement Revision Stage-I
40250
35000 31500 80,000.00 35000
1222 Total Knee Replacement Revision Stage-II
Illizarov/ external fixation for limb lengthening/ 12500 11250 12,000.00 12,000.00 13800
1223 deformity correction
14375
12500 11250 25,000.00 12500
1224 Discectomy/ Micro Discectomy
5343
4646 4181 18,000.00 4646
1225 Laminectomy
Spinal Fixation Cervical/dorsolumbar/ 18400
16000 14400 25,000.00 16000
1226 lumbosacral
Fusion Surgery Cervical/ Lumbar Spine upto 2 22770
22000 19800 18,000.00 19800
1227 Level
13800
12000 10800 21,000.00 12000
1228 More than 2 Level
Scoliosis Surgery/ Deformity Correction of 28750
25000 22500 30,000.00 25000
1229 Spine
13800
12000 10800 25,000.00 12000
1230 Vertebroplasty
518
450 405 1,000.00 450
1231 Spinal Injections
17250
15000 13500 18,000.00 15000
1232 DHS for Fracture Neck Femur
Page 52 of 76
16100
14000 12600 21,000.00 14000
1233 Proximal Femoral Nail (PFN for IT Fracture)
1649
1434 1291 17,000.00 1434
1234 Spinal Osteotomy
13455
13000 11700 12,000.00 11700
1235 Illizarov’s / External Fixation for Trauma
Soft Tissue Operations for Polio/ Cerebral 12141
10557 9501 12,000.00 10557
1236 Palsy
10350
9000 8100 15,000.00 9000
1237 Mini Fixator for Hand/Foot
39589
38250 34425 20,000.00 34425
1238 Other Major Surgery
12299
11883 10695 9,000.00 10695
1239 Other Minor Surgery
TREATMENT PROCEDURE 0
PHYSIOTHERAPY
81
78 70 70 70
1240 Ultrasonic therapy
81
78 70 70 70
1241 S.W. Diathermy
81
78 70 70 70
1242 Electrical stimulation (therapeutic)
82
71 64 70 71
1243 Muscle testing and diagnostic
81
78 70 70 70
1244 Infra red
67
58 52 70 58
1245 U.V. Therapeutic dose
81
78 70 70 70
1246 Intermittent Lumbar Traction
78
75 68 70 68
1247 Intermittent Cervical traction
78
75 68 70 68
1248 Wax bath
81
78 70 55 70
1249 Hot pack
58
50 45 55 50
1250 Breathing Exercises & Postural Drainage
58
50 45 55 50
1251 Cerebral Palsy – exercise
52
50 45 5 45
1252 Post – polio exercise
NUCLEAR MEDICINE / RADIOTHERAPY 0
AND CHEMOTHERAPY
65981
63750 57375 8,000.00 57375
1253 Cobalt 60 therapy
70820
68425 61583 5,000.00 61583
1254 Radical therapy
25293
24438 21994 5,000.00 21994
1255 Palliative therapy
Page 53 of 76
30791
29750 26775 8,000.00 26775
1256 Linear accelerator
60703
58650 52785 5,000.00 52785
1257 Radical therapy
35411
34213 30792 5,000.00 30792
1258 Palliative therapy
5621
4888 4399 5,000.00 4888
1259 3 D Planning
5621
4888 4399 5,000.00 4888
1260 2 D Planing
104409
100878 90790 5,000.00 90790
1261 IMRT(Intensity Modulated radiotherapy)
63130
60996 54896 5,000.00 54896
1262 SRT (Stereotactic radiotherapy)
83365
80546 72491 5,000.00 72491
1263 SRS(Stereotactic radio surgery)
152161
147016 132314 5,000.00 132314
1264 IGRT(Image guided radiotherapy)
Respiratory Gating-alongwith Linear 110000 99000 5,000.00 99000 113850
1265 accelerator planning
69835
67473 60726 5,000.00 60726
1266 Electron beam with Linear accelerator
82179
79400 71460 5,000.00 71460
1267 Tomotherapy
NUCLEAR MEDICINE /
BRACHYTHERAPY- HIGH DOSE 0
RADIATION
12141
11730 10557 5,000.00 10557
1268 Intracavitory
60703
58650 52785 5,000.00 52785
1269 Interstitial
10118
9775 8798 5,000.00 8798
1270 Intraluminal
5341
4644 4180 5,000.00 4644
1271 Surface mould
97187
93900 84510 5,000.00 84510
1272 GLIADAL WAFER
0
NUCLEAR MEDICINE / CHEMOTHARAPY
992
863 777 1,960.00 863
1273 Neoadjuvant
992
863 777 1,960.00 863
1274 Adjuvant
1058
920 828 1,430.00 920
1275 Concurrent-chemoadiation
635
552 497 752 552
1276 Single drug
1032
897 807 1,345.00 897
1277 Multiple drugs
Page 54 of 76
1058
920 828 1,310.00 920
1278 Targeted therapy
1058
920 828 3,140.00 920
1279 Chemoport facility
PICC line (peripherally inserted Central 1058
920 828 2,000.00 920
1280 canulisation)
LIST OF PROCEDURES/ TESTS IN
GASTROENTEROLOGY / ENDOSCOPIC 0
PROCEDURES
1786
1725 1553 1,200.00 1553
1281 Upper G.I. Endoscopy + Lower G.I. Endoscopy
288
250 225 650 250
1282 Diagnostic endoscopy
358
345 311 300 311
1283 Endoscopic biopsy
1725
1543 1389 1,500.00 1,500.00
1284 Endoscopic mucosal resection
1786
1725 1553 1,500.00 1553
1285 Oesophageal stricture dilatation
2976
2875 2588 2,000.00 2588
1286 Balloon dilatation of achalasia cardia
1786
1725 1553 1,150.00 1553
1287 Foreign body removal
3105
3000 2700 1,500.00 2700
1288 Oesophageal stenting
2588
2500 2250 2,000.00 2250
1289 Band ligation of oesophageal varices
2588
2500 2250 2,000.00 2250
1290 Sclerotherapy of oesophageal varices
2588
2500 2250 2,000.00 2250
1291 Glue injection of varices
4166
4025 3623 3,600.00 3623
1292 Argon plasma coagulation
2500
2415 2174 2,000.00 2174
1293 Pyloric balloon dilatation
3809
3680 3312 3,000.00 3312
1294 Enteranal stenting
1139
990 891 2,200.00 990
1295 Duodenal stricture dilation
4140
4000 3600 1,300.00 3600
1296 Single balloon enterocopy
3623
3500 3150 1,200.00 3150
1297 Double balloon enteroscopy
5123
4950 4455 1,200.00 4455
1298 Capsule endoscopy
1137
1099 989 1,000.00 989
1299 Piles banding
2832
2737 2463 1,600.00 2463
1300 Colonic stricture dilatation
Page 55 of 76
3105
3000 2700 2,000.00 2700
1301 Hot biopsy forceps procedures
2832
2737 2463 2,400.00 2463
1302 Colonic stenting
2070
2000 1800 1,150.00 1800
1303 Junction biopsy
4140
4000 3600 3,000.00 3600
1304 Conjugal microscopy
2500
2415 2174 2,200.00 2174
1305 Endoscopic sphincterotomy
2500
2415 2174 2,200.00 2174
1306 CBD stone extraction
6728
6500 5850 5,000.00 5850
1307 CBD stricture dilatation
4999
4830 4347 4,400.00 4347
1308 Biliary stenting (plastic and metallic)
8280
8000 7200 7,000.00 7200
1309 Mechanical lithotripsy of CBD stones
7331
6375 5738 7,500.00 6375
1310 Pancreatic sphincterotomy
5951
5750 5175 5,200.00 5175
1311 Pancreatic stricture dilatation
10925
10098 9088 9,500.00 9,500.00
1312 Pancreatic stone extraction
11784
11385 10247 9,500.00 10247
1313 Mechanical lithotripsy of pancreatic stones
8332
8050 7245 7,500.00 7245
1314 Endoscopic cysto gastrostomy
7142
6900 6210 3,000.00 6210
1315 Balloon dilatation of papilla
596
575 518 525 518
1316 Ultrasound guided FNAC
745
720 648 525 648
1317 Ultrasound guided abscess Drainage
1323
1150 1035 1,500.00 1150
1318 PTBD
2070
2000 1800 1,350.00 1800
1319 Diagnostic angiography
15629
15100 13590 14,000.00 13590
1320 Vascular embolization
5589
5400 4860 1,500.00 4860
1321 TIPS
35410
34212 30791 1,500.00 30791
1322 IVC graphy + hepatic veinography
101171
97750 87975 1,500.00 87975
1323 Muscular stenting
59513
57500 51750 1,500.00 51750
1324 BRTO
1980
1913 1722 1,500.00 1722
1325 Portal haemodymic studies
Page 56 of 76
1854
1612 1451 2,500.00 1612
1326 Manometry and PH metry
5175
5000 4500 1,250.00 4500
1327 Oesophageal PH metry
5175
5000 4500 1,250.00 4500
1328 Oesophageal manometry
7038
6800 6120 1,250.00 6120
1329 Small bowel manometry
7038
6800 6120 1,250.00 6120
1330 Anorectal manometry
7918
7650 6885 1,250.00 6885
1331 Colonic manometry
7918
7650 6885 1,250.00 6885
1332 Biliary manometry
2976
2875 2588 1,500.00 2588
1333 Sengstaken blackenesse tube tempode
2976
2875 2588 1,500.00 2588
1334 Lintas machles tube tempode
403
350 315 1,500.00 350
1335 Fecal fat test/ fecal chymotrypsin/ fecal elastase
345
300 270 1,500.00 300
1336 Breath tests
42849
41400 37260 2,000.00 37260
1337 Extra corporeal shortwave lithotripsy
1428
1380 1242 125 1242
1338 Liver biopsy
0
NAME OF INVESTIGATION / DENTAL
58
50 45 70 50
1339 Dental IOPA X-ray
90
78 70 80 78
1340 Occlusal X-ray
202
196 176 120 176
1341 OPG X-ray
NAME OF INVESTIGATION / 0
PULMONARY
4140
3600 3240 5,000.00 3600
1342 Lung Ventilation & Perfusion Scan (V/Q Scan)
2300
2000 1800 3,000.00 2000
1343 Lung Perfusion Scan
0
NAME OF INVESTIGATION / OSTEOLOGY
3934
3421 3079 3,500.00 3421
1344 Whole Body Bone Scan with SPECT.
3934
3421 3079 3,500.00 3421
1345 Three phase whole body Bone Scan
NAME OF INVESTIGATION / 0
NEUROSCIENCES
Brain Perfusion SPECT Scan with Technetium 9775 8798 10,000.00 9775 11241
1346 99m radiopharmaceuticals.
Page 57 of 76
4301
3740 3366 5,000.00 3740
1347 Radionuclide Cisternography for CSF leak
NAME OF INVESTIGATION / GASTRO 0
AND HEPATOBILIARY
Gastro esophageal Reflux Study (G.E.R. 2248
1955 1760 2,000.00 1955
1348 Study)
Gastro intestinal Bleed (GloB.) Study with 3421 3079 3,500.00 3421 3934
1349 Technetium 99m labeled RBCs.
2811
2444 2200 2,500.00 2444
1350 Hepatobiliary Scintigraphy.
2248
1955 1760 2,000.00 1955
1351 Meckel's Scan
Hepatosplenic scintigraphy with Technetium- 1870 1683 2,500.00 1870 2151
1352 99m radiopharmaceuticals
1466
1275 1148 1,500.00 1275
1353 Gastric emptying
NAME OF INVESTIGATION / 0
GENITOURINARY
Renal Cortical Scintigraphy with Technetium 3421 3079 3,500.00 3421 3934
1354 99m D.M.S.A.
3934
3421 3079 3,500.00 3421
1355 Dynamic Renography.
3934
3421 3079 3,500.00 3421
1356 Dynamic Renography with Diuretic.
2254
1960 1764 4,500.00 1960
1357 Dynamic Renography with Captopril
1686
1466 1319 1,500.00 1466
1358 Testicular Scan
NAME OF INVESTIGATION / 0
ENDOCRINOLOGY
1799
1564 1408 1,600.00 1564
1359 Thyroid Uptake measurements with 131-Iodine.
Thyroid Scan with Technetium 99m 1686
1466 1319 1,500.00 1466
1360 Pertechnetate.
3373
2933 2640 3,000.00 2933
1361 Lodine-131 Whole Body Scan.
18211
17595 15836 2,800.00 15836
1362 Whole Body Scan with M.I.B.G.
5621
4888 4399 5,000.00 4888
1363 Parathyroid Scan
NAME OF INVESTIGATION / RADIO- 0
ISOTOPE THERAPY
1760
1530 1377 5,000.00 1530
1364 131-lodine Therapy
4432
3854 3469 5,000.00 3854
1365 131-lodine Therapy <15mCi
5699
4956 4460 5,000.00 4956
1366 131-lodine Therapy 15-50mCi
Page 58 of 76
12420
12000 10800 5,000.00 10800
1367 131-lodine Therapy 51-100mCi
15525
15000 13500 5,000.00 13500
1368 131-lodine Therapy >100mCi
Phosphorus-32 therapy for metastatic bone pain 5000 4500 8,000.00 5000 5750
1369 palliation
Samarium-153 therapy for metastatic bone pain 10450 9405 8,000.00 9405 10816
1370 palliation
21994
21250 19125 8,000.00 19125
1371 Radiosynovectomy with Yttrium
NAME OF INVESTIGATION / 0
CARDIOLOGY
Stress thallium / Myocardial Perfusion 10868
9450 8505 9,900.00 9450
1372 Scintigraphy
Rest thallium / Myocardial Perfusion 9200
8000 7200 9,900.00 8000
1373 Scintigraphy
3795
3300 2970 3,500.00 3300
1374 Venography
562
489 440 500 489
1375 TMT
562
489 440 500 489
1376 TEE
1855
1613 1452 1,650.00 1613
1377 Lymph angiography
NAME OF INVESTIGATION / TUMOUR 0
IMAGING
5520
4800 4320 5,000.00 4800
1378 Scintimammography.
84310
73313 65982 75,000.00 73313
1379 Indium lableled octeriotide Scan.
0
NAME OF INVESTIGATION / PET SCAN
23607
20528 18475 21,000.00 20528
1380 FDG Whole body PET / CT Scan
16862
14663 13197 15,000.00 14663
1381 Brain I Heart FDG PET / CTScan,
Gallium-68 Peptide PET / CT imaging for 15000 13500 17,000.00 15000 17250
1382 Neuroendocrine Tumor
LABORATORY MEDICINE / CLINICAL 0
PATHOLOGY
Urine routine- pH, Specific gravity, sugar, 35 32 39 35 40
1383 protein and microscopy
72
70 63 50 63
1384 Urine-Microalbumin
37
35 32 30 32
1385 Stool routine
25
24 22 20 22
1386 Stool occult blood
Page 59 of 76
35
30 27 100 30
1387 Post coital smear examination
40
35 32 80 35
1388 Semen analysis
LABORATORY MEDICINE / 0
HAEMATOLOGY
21
18 16 19 18
1389 Haemoglobin (Hb)
36
31 28 32 31
1390 Total Leucocytic Count (TLC)
36
31 28 32 31
1391 Differential Leucocytic Count (DLC)
29
25 23 35 25
1392 E.S.R.
Total Red Cell count with 37
32 29 35 32
1393 MCV,MCH,MCHC,DRW
Complete Haemogram/CBC, Hb,RBC count
and indices, TLC, DLC, Platelet, ESR, 135 122 138 135 155
1394 Peripheral smear examination
55
48 43 50 48
1395 Platelet count
49
48 43 45 43
1396 Reticulocyte count
49
48 43 40 43
1397 Absolute Eosinophil count
15
13 12 35 13
1398 Packed Cell Volume (PCV)
49
43 39 44 43
1399 Peripheral Smear Examination
47
41 37 42 41
1400 Smear for Malaria parasite
37
35 32 25 32
1401 Bleeding Time
58
50 45 50 50
1402 Osmotic fragility Test
81
70 63 75 70
1403 Bone Marrow Smear Examination
Bone Marrow Smear Examination with iron 288
250 225 256 250
1404 stain
Bone Marrow Smear Examination and 506
440 396 500 440
1405 cytochemistry
117
102 92 105 102
1406 Activated partial ThromboplastinTime (APTT)
51
44 40 44 44
1407 Rapid test for malaria(card test)
WBC cytochemistry for leukemia -Complete 127
110 99 300 110
1408 panel
Bleeding Disorder panel- PT, APTT, Thrombin 400 360 500 400 460
1409 Time Fibrinogen, D-Dimer/ FDP
Page 60 of 76
805
720 648 700 700
1410 Factor Assays-Factor VIII
704
680 612 500 612
1411 Factor Assays-Factor IX
58
50 45 180 50
1412 Platelet Function test
Tests for hypercoagulable states- Protein C, 400 360 500 400 460
1413 Protein S, Antithrombin
173
150 135 500 150
1414 Tests for lupus anticoagulant
Tests for Antiphospholipid antibody IgG, IgM 500 450 290 450 518
1415 ( for cardiolipin and B2 Glycoprotein 1)
Thalassemia studies (Red Cell indices and Hb 644
560 504 700 560
1416 HPLC)
89
77 69 285 77
1417 Tests for Sickling / Hb HPLC)
0
LABORATORY MEDICINE / BLOOD BANK
35
30 27 33 30
1418 Blood Group & RH Type
58
50 45 60 50
1419 Cross match
104
90 81 100 90
1420 Coomb’s Test Direct
115
100 90 119 100
1421 Coomb’s Test Indirect
3 cell panel- antibody screening for pregnant 176
170 153 75 153
1422 female
176
170 153 5 153
1423 11 cells panel for antibody identification
106
102 92 50 92
1424 HBs Ag
147
128 115 150 128
1425 HCV
173
150 135 150 150
1426 HIV I and II
49
43 39 50 43
1427 VDRL
92
80 72 100 80
1428 RH Antibody titer
64
56 50 100 56
1429 Platelet Concentrate
147
128 115 250 128
1430 Random Donor Platelet(RDP)
173
150 135 300 150
1431 Single Donor Platelet (SDP- Aphresis)
LABORATORY MEDICINE / 0
HISTOPATHOLOGY
Page 61 of 76
104
90 81 100 90
1432 Routine-H & E
75
65 59 100 65
1433 special stain
863
750 675 878 750
1434 Immunohistochemistry(IHC)
807
780 702 400 702
1435 Frozen section
394
343 309 350 343
1436 Paraffin section
0
LABORATORY MEDICINE / CYTOLOGY
173
150 135 160 150
1437 Pap Smear
173
150 135 200 150
1438 Body fluid for Malignant cells
230
200 180 250 200
1439 FNAC
NAME OF INVESTIGATION / FLOW 0
CYTOMETRY
1589
1536 1382 700 1382
1440 Leukemia panel /Lymphoma panel
1150
1000 900 1,000.00 1000
1441 PNH Panel-CD55,CD59
LABORATORY MEDICINE / 0
CYTOGENETIC STUDIES
1770
1539 1385 2,200.00 1539
1442 Karyotyping
518
500 450 NONE 450
1443 FISH
LABORATORY MEDICINE / BIO- 0
CHEMISTRY
28
24 22 25 24
1444 Blood Glucose Random
58
50 45 50 50
1445 24 hrs urine for Proteins,Sodium, creatinine
62
54 49 55 54
1446 Blood Urea Nitrogen
63
55 50 56 55
1447 Serum Creatinine
29
25 23 70 25
1448 Urine Bile Pigment and Salt
23
20 18 35 20
1449 Urine Urobilinogen
35
30 27 35 30
1450 Urine Ketones
37
35 32 30 32
1451 Urine Occult Blood
Page 62 of 76
21
18 16 21 18
1452 Urine total proteins
115
100 90 100 100
1453 Rheumatoid Factor test
48
47 42 30 42
1454 Bence Jones protein
63
55 50 40 55
1455 Serum Uric Acid
92
80 72 90 80
1456 Serum Bilirubin total & direct
104
90 81 90 90
1457 Serum Iron
115
100 90 110 100
1458 C.R.P.
184
160 144 200 160
1459 C.R.P Quantitative
Body fluid (CSF/Ascitic Fluid etc.)Sugar, 104
90 81 100 90
1460 Protein etc.
21
18 16 21 18
1461 Albumin.
92
80 72 125 80
1462 Creatinine clearance.
71
62 56 50 62
1463 Serum Cholesterol
92
80 72 90 80
1464 Total Iron Binding Capacity
54
47 42 48 47
1465 Glucose (Fasting & PP)
62
60 54 50 54
1466 Serum Calcium –Total
51
44 40 45 44
1467 Serum Calcium –Ionic
62
60 54 46 54
1468 Serum Phosphorus
52
50 45 45 45
1469 Total Protein Alb/Glo Ratio
259
250 225 120 225
1470 IgG.
259
250 225 120 225
1471 IgM.
259
250 225 120 225
1472 IgA.
207
200 180 150 180
1473 ANA.
403
350 315 385 350
1474 Ds DNA.
63
55 50 56 55
1475 S.G.P.T.
63
55 50 56 55
1476 S.G.O.T.
Page 63 of 76
135
117 105 120 117
1477 Serum amylase
150
130 117 130 130
1478 Serum Lipase
83
72 65 150 72
1479 Serum Lactate
115
100 90 125 100
1480 Serum Magnesium
58
50 45 50 50
1481 Serum Sodium
58
50 45 50 50
1482 Serum Potassium
115
100 90 100 100
1483 Serum Ammonia
235
204 184 250 204
1484 Anemia Profile
173
150 135 250 150
1485 Serum Testosterone
276
240 216 250 240
1486 Imprint Smear From Endoscopy
86
75 68 95 75
1487 Triglyceride
104
90 81 100 90
1488 Glucose Tolerance Test (GTT)
828
800 720 250 720
1489 Triple Marker.
115
100 90 100 100
1490 C.P.K.
98
85 77 150 85
1491 Foetal Haemoglobin (HbF)
114
110 99 90 99
1492 Prothrombin Time (P.T.)
115
100 90 132 100
1493 L.D.H.
69
60 54 63 60
1494 Alkaline Phosphatase
81
78 70 70 70
1495 Acid Phosphatase
197
190 171 115 171
1496 CK MB
161
140 126 150 140
1497 CK MB Mass
115
100 90 200 100
1498 Troponin I
621
600 540 225 540
1499 Troponin T
115
100 90 150 100
1500 Glucose Phosphate Dehydrogenase (G, 6PD)
150
130 117 140 130
1501 Lithium.
Page 64 of 76
460
400 360 439 400
1502 Dilantin (phenytoin).
460
400 360 439 400
1503 Carbamazepine.
345
300 270 315 300
1504 Valproic acid.
288
250 225 315 250
1505 Feritin.
138
120 108 470 120
1506 Blood gas analysis
476
460 414 151 414
1507 Blood gas analysis with electrolytes
68
65 59 50 59
1508 Urine pregnancy test
Tests for Antiphospholipid antibodies 290
280 252 90 252
1509 syndrome.
150
130 117 150 130
1510 Hb A1 C
115
100 90 225 100
1511 Hb Electrophoresis/ Hb HPLC
259
225 203 261 225
1512 Kidney Function Test.
259
225 203 275 225
1513 Liver Function Test.
Lipid Profile.( Total 200 180 215 200 230
1514 cholesterol,LDL,HDL,treigylcerides)
0
Nutritional Markers
104
90 81 100 90
1515 Serum Iron
104
90 81 100 90
1516 Total Iron Binding Capacity
115
100 90 225 100
1517 Serum Ferritin
288
250 225 256 250
1518 Vitamin B12 assay.
345
300 270 350 300
1519 Folic Acid assay.
Extended Lipid Profile.( Total
cholesterol,LDL,HDL,treigylcerides,Apo 595 536 500 536 616
1520 A1,Apo B,Lp(a) )
230
200 180 203 200
1521 Apo A1.
229
199 179 203 199
1522 Apo B.
512
445 401 450 445
1523 Lp (a).
196
170 153 1,200.00 170
1524 CD 3,4 and 8 counts
Page 65 of 76
196
170 153 400 170
1525 CD 3,4 and 8 percentage
71
62 56 63 62
1526 LDL.
414
400 360 300 360
1527 Homocysteine.
455
440 396 250 396
1528 HB Electrophoresis.
253
220 198 250 220
1529 Serum Electrophoresis.
190
165 149 400 165
1530 Fibrinogen.
69
60 54 66 60
1531 Chloride.
155
150 135 100 135
1532 Magnesium.
104
90 81 100 90
1533 GGTP.
247
239 215 160 215
1534 Lipase.
230
200 180 225 200
1535 Fructosamine.
104
90 81 110 90
1536 ß<
2 microglobulin
1087
1050 945 25 945
1537 Catecholamines.
138
120 108 175 120
1538 Creatinine clearance.
NAME OF INVESTIGATION / TUMOUR 0
MARKERS
323
312 281 225 281
1539 PSA- Total.
389
375 338 275 338
1540 PSA- Free.
345
300 270 300 300
1541 AFP.
332
289 260 340 289
1542 HCG.
450
391 352 400 391
1543 CA. 125.
708
616 554 630 616
1544 CA 19,9.
644
560 504 630 560
1545 CA 15.3.
403
350 315 760 350
1546 Vinyl Mandelic Acid
575
500 450 500 500
1547 Calcitonin
391
340 306 350 340
1548 Carcioembryonic antigen(CEA)
Page 66 of 76
0
OTHERS
173
150 135 250 150
1549 Immunofluorescence
440
425 383 250 383
1550 Direct(Skin and kidney Disease)
440
425 383 250 383
1551 Indirect (antids DNA Anti Smith ANCA)
633
550 495 550 550
1552 VitD3 assay
Serum Protein electrophoresis with 300 270 540 300 345
1553 immunofixationelectrophoresis (IFE)
115
100 90 500 100
1554 BETA-2 Microglobulin assay
466
450 405 350 405
1555 Anti cycliocitrullinated peptide (Anti CCP)
489
425 383 550 425
1556 Anti tissuetransglutaminase antibody
489
425 383 500 425
1557 Serum Erythropoetin
575
500 450 500 500
1558 ACTH
0
HARMONES
230
200 180 213 200
1559 T3, T4, TSH
74
64 58 75 64
1560 T3
74
64 58 75 64
1561 T4
104
90 81 120 90
1562 TSH
173
150 135 188 150
1563 LH
173
150 135 188 150
1564 FSH
173
150 135 188 150
1565 Prolactin
288
250 225 266 250
1566 Cortisol
575
500 450 618 500
1567 PTH(Paratharmone)
380
330 297 400 330
1568 C-Peptide.
173
150 135 325 150
1569 Insulin.
259
225 203 266 225
1570 Progesterone.
506
440 396 450 440
1571 17-DH Progesterone.
Page 67 of 76
506
440 396 450 440
1572 DHEAS.
690
600 540 770 600
1573 Androstendione.
391
340 306 350 340
1574 Growth Hormone.
345
300 270 320 300
1575 TPO.
345
300 270 400 300
1576 Throglobulin.
366
318 286 374 318
1577 Hydatic Serology.
437
380 342 406 380
1578 Anti Sperm Antibodies.
2300
2000 1800 2,340.00 2000
1579 Qualitative.
1725
1500 1350 1,600.00 1500
1580 Quantitative.
0
1691 1522
1581 Qualitative.
251
218 196 1,400.00 218
1582 HPV serology
150
130 117 163 130
1583 Rota Virus serology
1035
900 810 975 900
1584 PCR for TB
690
600 540 630 600
1585 PCR for HIV
978
850 765 900 850
1586 Chlamydae antigen
274
238 214 280 238
1587 chlamydae antibody
265
230 207 245 230
1588 Brucella serology
1084
943 849 943 943
1589 Influenza A serology
USG, X-RAY , CT, MRI, BONE 0
DENSITOMETRY
371
323 291 380 323
1590 USG for Obstetrics - Anomalies scan
335
323 291 300 291
1591 Abdomen USG
293
255 230 300 255
1592 Pelvic USG ( prostate, gynae, infertility etc)
Small parts USG ( scrotum, thyroid , 401
349 314 410 349
1593 parathyroid etc)
489
425 383 500 425
1594 Neonatal head (Tranfontanellar)
518
500 450 450 450
1595 Neonatal spine
Page 68 of 76
1035
900 810 1,000.00 900
1596 Contrast enhanced USG
401
349 314 410 349
1597 USG Breast
293
255 230 300 255
1598 USG Hystero-Salpaingography (HSG)
880
850 765 750 765
1599 Carotid Doppler
812
706 635 750 706
1600 Arterial Colour Doppler
812
706 635 700 706
1601 Venous Colour Doppler
920
800 720 900 800
1602 Colour Doppler, renal arteries/any other organ
564
490 441 700 490
1603 USG guided intervention- FNAC
828
720 648 1,200.00 720
1604 USG guided intervention - biopsy
920
800 720 875 800
1605 USG guided intervention - nephrostomy
0
X-Ray
147
128 115 150 128
1606 Abdomen AP Supine or Erect (One film)
147
128 115 150 128
1607 Abdomen Lateral view (one film)
69
60 54 70 60
1608 Chest PA view (one film)
69
60 54 70 60
1609 Chest Lateral (one film)
259
250 225 200 225
1610 Mastoids: Towne view, oblique views (3 films)
Extremities, bones & Joints AP & Lateral 255 230 150 230 265
1611 views (Two films)
127
110 99 150 110
1612 Pelvis A.P (one film)
127
110 99 150 110
1613 T. M. Joints (one film)
147
128 115 150 128
1614 Abdomen & Pelvis for K. U. B.
265
255 230 200 230
1615 Skull A. P. & Lateral (2 films)
259
250 225 200 225
1616 Spine A. P. & Lateral (2 films)
127
110 99 150 110
1617 PNS view (1 film)
0
X RAY CONTRAST STUDIES
587
510 459 600 510
1618 Barium Swallow
Page 69 of 76
920
800 720 950 800
1619 Barium Upper GI study
1075
935 842 1,000.00 935
1620 Barium Upper GI study (Double contrast)
1075
935 842 1,100.00 935
1621 Barium Meal follow through
Barium Enema (Single contrast/double 978
850 765 1,000.00 850
1622 contrast)
1173
1020 918 1,100.00 1020
1623 Small bowel enteroclysis
ERCP (Endoscopic Retrograde Cholangio – 2500 2250 2,500.00 2500 2875
1624 Pancreatography)
General :Fistulography
/Sinography/Sialography/Dacrocystography/ 638 574 750 638 734
1625 T-Tube cholangiogram/Nephrostogram
Percutaneous transhepatic cholangiography 1656
1440 1296 1,500.00 1440
1626 (PTC)
1369
1190 1071 1,400.00 1190
1627 Intravenous Pyelography (IVP)
782
680 612 800 680
1628 Micturating Cystourethrography (MCU)
782
680 612 800 680
1629 Retrograde Urethrography (RGU)
1056
1020 918 600 918
1630 Contrast Hystero-Salpingography (HSG)
805
700 630 700 700
1631 X ray - Arthrography
173
150 135 150 150
1632 Cephalography
2846
2750 2475 700 2475
1633 Myelography
Diagnostic Digital Subtraction Angiography 2011
1749 1574 11,000.00 1749
1634 (DSA)
0
MAMMOGRAPHY
362
315 284 500 315
1635 X-ray Mammography
2639
2550 2295 1,500.00 2295
1636 MRI Mammography
0
CT
1035
900 810 1,000.00 900
1637 CT Head-Without Contrast
1397
1350 1215 1,000.00 1215
1638 CT Head- with Contrast (+/- CT angiography)
1760
1700 1530 1,300.00 1530
1639 C. T. Chest - without contrast (for lungs)
C. T. Scan Lower Abdomen(incl. Pelvis) With 1955
1700 1530 1,800.00 1700
1640 Contrast
Page 70 of 76
C. T. Scan Lower Abdomen( Incl. Pelvis) 1500 1350 1,500.00 1500 1725
1641 Without Contrast
3105
3000 2700 1,500.00 2700
1642 C. T. Scan Whole Abdomen Without Contrast
4658
4500 4050 1,800.00 4050
1643 C. T. Scan Whole Abdomen With Contrast
4658
4500 4050 2,000.00 4050
1644 Triple Phase CT abdomen
4658
4500 4050 2,500.00 4050
1645 CT angiography abdomen/ Chest
6210
6000 5400 5,000.00 5400
1646 CT Enteroclysis
1725
1500 1350 1,800.00 1500
1647 C. T. Scan Neck – Without Contrast
2151
1870 1683 2,200.00 1870
1648 C. T. Scan Neck – With Contrast
1369
1190 1071 1,200.00 1190
1649 C. T. Scan Orbits - Without Contrast
1672
1615 1454 1,500.00 1454
1650 C. T. Scan Orbits - With Contrast
C. T. Scan of Para Nasal Sinuses- Without 1035
900 810 1,200.00 900
1651 Contrast
C. T. Scan of Para Nasal Sinuses - With 1656
1600 1440 1,500.00 1440
1652 Contrast
C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)– 1500 1350 1,500.00 1500 1725
1653 without contrast
1027
893 804 1,050.00 893
1654 CT Temporal bone – without contrast
1466
1275 1148 1,500.00 1275
1655 CT - Dental
1760
1700 1530 1,500.00 1530
1656 C. T. Scan Limbs -Without Contrast
C. T. Scan Limbs -With Contrast including CT 2253 2028 1,800.00 2028 2332
1657 angiography
1380
1200 1080 1,800.00 1200
1658 C.T. Guided intervention –FNAC
1380
1200 1080 1,800.00 1200
1659 C.T. Guided Trucut Biopsy
C. T. Guided intervention -percutaneous 1305 1175 1,535.00 1305 1501
1660 catheter drainage / tube placement
0
MRI
2298
1998 1798 2,350.00 1998
1661 MRI Head – Without Contrast
3275
2848 2563 3,300.00 2848
1662 MRI Head – With Contrast
1662
1445 1301 1,700.00 1445
1663 MRI Orbits – Without Contrast
Page 71 of 76
2300
2000 1800 3,300.00 2000
1664 MRI Orbits – With Contrast
2818
2450 2205 2,500.00 2450
1665 MRI Nasopharynx and PNS – Without Contrast
4025
3500 3150 3,300.00 3500
1666 MRI Nasopharynx and PNS – With Contrast
3450
3000 2700 3,500.00 3000
1667 MR for Salivary Glands with Sialography
3105
3000 2700 2,400.00 2700
1668 MRI Neck - Without Contrast
5175
5000 4500 3,000.00 4500
1669 MRI Neck- with contrast
2300
2000 1800 2,500.00 2000
1670 MRI Shoulder – Without contrast
2990
2600 2340 3,300.00 2600
1671 MRI Shoulder – With conntrast
3105
3000 2700 2,500.00 2700
1672 MRI shoulder both Joints - Without contrast
4600
4000 3600 5,000.00 4000
1673 MRI Shoulder both joints – With contrast
2444
2125 1913 2,500.00 2125
1674 MRI Wrist Single joint - Without contrast
4600
4000 3600 5,000.00 4000
1675 MRI Wrist Single joint - With contrast
2444
2125 1913 2,500.00 2125
1676 MRI Wrist both joints - Without contrast
5750
5000 4500 5,000.00 5000
1677 MRI Wrist Both joints - With contrast
2444
2125 1913 2,500.00 2125
1678 MRI knee Single joint - Without contrast
5175
5000 4500 3,300.00 4500
1679 MRI knee Single joint - With contrast
2444
2125 1913 2,500.00 2125
1680 MRI knee both joints - Without contrast
5175
5000 4500 3,300.00 4500
1681 MRI knee both joints - With contrast
2444
2125 1913 2,500.00 2125
1682 MRI Ankle Single joint - Without contrast
5175
5000 4500 3,000.00 4500
1683 MRI Ankle single joint - With contrast
5175
5000 4500 3,300.00 4500
1684 MRI Ankle both joints - With contrast
2875
2500 2250 2,500.00 2500
1685 MRI Ankle both joints - Without contrast
2875
2500 2250 3,500.00 2500
1686 MRI Hip - With contrast
2444
2125 1913 3,000.00 2125
1687 MRI Hip – without contrast
2444
2125 1913 2,500.00 2125
1688 MRI Pelvis – Without Contrast
Page 72 of 76
5175
5000 4500 3,500.00 4500
1689 MRI Pelvis – with contrast
5175
5000 4500 3,000.00 4500
1690 MRI Extremities - With contrast
2444
2125 1913 2,500.00 2125
1691 MRI Extremities - Without contrast
MRI Temporomandibular – B/L - With 4140
4000 3600 3,000.00 3600
1692 contrast
MRI Temporomandibular – B/L - Without 2444
2125 1913 2,750.00 2125
1693 contrast
4140
4000 3600 3,300.00 3600
1694 MR Temporal Bone/ Inner ear with contrast
2875
2500 2250 2,750.00 2500
1695 MR Temporal Bone/ Inner ear without contrast
2444
2125 1913 2,500.00 2125
1696 MRI Abdomen – Without Contrast
5175
5000 4500 3,000.00 4500
1697 MRI Abdomen – With Contrast
4399
4250 3825 3,300.00 3825
1698 MRI Breast - With Contrast
2444
2125 1913 2,500.00 2125
1699 MRI Breast - Without Contrast
1150
1000 900 1,000.00 1000
1700 MRI Spine Screening - Without Contrast
2444
2125 1913 2,500.00 2125
1701 MRI Chest – Without Contrast
4140
4000 3600 3,000.00 3600
1702 MRI Chest – With Contrast
MRI Cervical/Cervico Dorsal Spine – Without 2444
2125 1913 2,500.00 2125
1703 Contrast
MRI Cervical/ Cervico Dorsal Spine – With 4140
4000 3600 3,300.00 3600
1704 Contrast
MRI Dorsal/ Dorso Lumbar Spine - Without 2444
2125 1913 2,500.00 2125
1705 Contrast
MRI Dorsal/ Dorso Lumbar Spine – With 4140
4000 3600 3,300.00 3600
1706 Contrast
MRI Lumbar/ Lumbo-Sacral Spine – Without 2444
2125 1913 2,500.00 2125
1707 Contrast
MRI Lumbar/ Lumbo-Sacral Spine – With 5175
5000 4500 3,300.00 4500
1708 Contrast
5750
5100 4590 5,000.00 5,000.00
1709 Whole body MRI (For oncological workup)
5693
5500 4950 2,500.00 4950
1710 MR cholecysto-pancreatography.
5750
5000 4500 5,000.00 5000
1711 MRI Angiography - with contrast
2444
2125 1913 2,500.00 2125
1712 MR Enteroclysis
0
BONE DENSITOMETRY (DEXA SCAN)
Page 73 of 76
1553
1500 1350 1,200.00 1350
1713 Dexa Scan Bone Densitometry - Two sites
Dexa Scan Bone Densitometry - Three sites 2000 1800 1,500.00 1800 2070
1714 (Spine, Hip & extremity)
2536
2450 2205 1,200.00 2205
1715 Dexa Scan Bone Densitometry Whole body
NEUROLOGICAL INVESTIGATIONS AND 0
PROCEDURES
343
298 268 350 298
1716 EEG/Video EEG
734
638 574 750 638
1717 EMG (Electro myography)
734
638 574 750 638
1718 Nerve condition velocity (at least 2 limbs)
Decremental response (before and after neo 684
595 536 700 595
1719 stigmine)
684
595 536 700 595
1720 Incremental response
734
638 574 750 638
1721 SSEP (Somato sensory evoked potentials)
734
638 574 600 638
1722 Poly somnography
734
638 574 750 638
1723 Brachial plexus study
440
383 345 450 383
1724 Muscle biopsy
2125
1848 1663 1,850.00 1848
1725 ACHR anti body titre
2691
2340 2106 3,450.00 2340
1726 Anti MUSK body titre
518
500 450 350 450
1727 Serum COPPER
466
450 405 350 405
1728 Serum ceruloplasmin
518
500 450 350 450
1729 Urinary copper
518
450 405 455 450
1730 Serum homocystine
362
315 284 439 315
1731 Serum valproate level
403
350 315 390 350
1732 Serum phenol barbitone level
636
553 498 650 553
1733 Coagulation profile
2760
2400 2160 5,558.00 2400
1734 Protein C, S anti thrombine – III
518
450 405 500 450
1735 Serum lactate level
Page 74 of 76
0
CSF
Basic studies including cell count, protein,
sugar, gram stain, India Ink preparation and 240 216 240 240 276
1736 smear for AFP
1150
1000 900 1,200.00 1000
1737 Special studies
1242
1200 1080 1,100.00 1080
1738 PCR for tuberculosis/ Herpes simplex
207
200 180 150 180
1739 Bacterial culture and sensitivity
207
200 180 150 180
1740 Mycobacterial culture and sensitivity
147
128 115 150 128
1741 Fungal culture
74
64 58 75 64
1742 Malignant cells
Anti measles antibody titre (with serum 921
890 801 300 801
1743 antibody titre)
293
255 230 300 255
1744 Viral culture
Antibody titre (Herpes simplex, cytomegalo 760 684 700 684 787
1745 virus, flavivirus, zoster varicella virus)
1380
1200 1080 1,400.00 1200
1746 Oligoclonal band
1937
1871 1684 1,200.00 1684
1747 Myelin Basic protein
343
298 268 350 298
1748 Lactate
1178
1138 1024 100 1024
1749 Crypto coccal antigen
0
TESTS IN GASTRO-ENTEROLOGY
880
850 765 200 765
1750 D-xylase test
880
850 765 100 765
1751 Fecal fat test/ fecal chymotrypsin/ fecal elastase
1495
1300 1170 1,500.00 1300
1752 Breath tests
575
500 450 550 500
1753 H pylori serology for ciliac disease
2875
2500 2250 2,730.00 2500
1754 HBV genotyping
5046
4875 4388 4,500.00 4388
1755 HCV genotyping
TESTS IN ENDOCRINOLOGY ( IN
ADDITION TO THOSE INCLUDED UNDER 0
HARMONES)
1725
1500 1350 1,500.00 1500
1756 Urinary VMA
Page 75 of 76
1309
1138 1024 1,138.00 1138
1757 Urinary metanephrine/Normetanephrine
1944
1690 1521 1,690.00 1690
1758 Urinary free catecholamine
3910
3400 3060 3,500.00 3400
1759 Serum catecholamine
1294
1125 1013 1,200.00 1125
1760 Serum aldosterone
1058
920 828 920 920
1761 24 Hr urinary aldosterone
1150
1000 900 1,235.00 1000
1762 Plasma renin activity
1380
1200 1080 1,250.00 1200
1763 Serum aldosterone/renin ratio
147
128 115 150 128
1764 Osmolality urine
147
128 115 150 128
1765 Osmolality serum
92
80 72 80 80
1766 Urinary sodium
49
43 39 50 43
1767 Urinary Chloride
92
80 72 80 80
1768 Urinary potassium
92
80 72 94 80
1769 Urinary calcium
587
510 459 600 510
1770 Thyroid binding globulin
230
200 180 400 200
1771 24 hr. urinary free cotisole
863
750 675 1,015.00 750
1772 Islet cell antebody
1530
1330 1197 1,330.00 1330
1773 GAD antibody
516
449 404 449 449
1774 Insulin associated antibody
1725
1500 1350 2,015.00 1500
1775 IGF-1
1898
1650 1485 1,788.00 1650
1776 IGF-BP3
1533
1333 1200 1333 1333
1777 Sex hormone binding globulin
445
387 348 455 387
1778 USG guided FNAC thyroid gland
239
208 187 245 208
1779 E2
675
587 528 700 587
1780 Thyro globulin antibody
Page 76 of 76