Cghs Jaipur Rates

1

GOVERNMENT OF RAJASTHAN STATE INSURANCE & PROVIDENT FUND DEPARTMENT,

BANIPARK, JAI SINGH HIGHWAY, JAIPUR

Annexure - II

Name of the Scheme : Saras Samuhik Arogya Bima Yojna - IV Sum assured : - (A) For General diseases/ailments - Rs. 1.0 Lac per annum per family (on floater basis). (B) For Critical diseases/Surgical procedures - Rs. 2.0 Lac per annum per family on floater basis Size of Family - (1 Member + 3 dependents) Policy Period - 15/07/2009 (Midnight) to 14/07/2010 (Midnight) The acreditated/empanelled hospitals shall have to provide 10% discount on enclosed package rates under Saras Samuhik Arogya Bima Yojna - IV. The Annexure - II (Page No. 2 to 65) read with MoU para No. 1.7 (B) & 6.10

Annexure - II

2

Procedure Rates

Procedure Category: Abdomen w.e.f. 29/10/2007

S.No. Procedure Name Rate (Rs.)

1 Gastroscopy 1125

2 Gastric & Duodenal Biopsy (Endoscopic) 1275

3 Pyleromyotomy 2424

4 Gastrostomy 6868

5 Simple Closure of Perforated peptic Ulcer 8000

6 Vagotomy Pyleroplasty / Gastro Jejunostomy 10100

7 Duodenojejunostomy 12750

8 Partial/Subtotal Gastrectomy for Carcinoma 16200

9 Partial/Subtotal Gastrectomy for Ulcer 16200

10 Operation for Bleeding Peptic Ulcer 14100

11 Gastrojejunostomy & Vagotomy 14100

12 Operation for Gastrojejunal Ulcer 14100

13 Total Gastrectomy for Cancer 22300

14 Highly Selective Vagotomy 15000

15 Selective Vagotomy & Drainage 15000

16 Congenital Diaphragmatic Hernia 13500

17 Hiatus Hernia Repair Abdominal 15750

18 Hiatus Hernia Repair Transthoracic 12500

19 Exploratory Laparotomy 8700

20 Epigastric Hernia Repair 7800

21 Umbilical Hernia Repair 7800

22 Ventral and Scar Hernia Repair 9600

23 Inguinal Hernia Herniorraphy 9400

24 Inguinal Hernia - Hernioplasty 11100

25 Femoral Hernia Repair 10000

26 Rare Hernias Repair (Spigalion, Obturator, Lumbar, Sciatic) 11500

27 Splenectomy - For Trauma 13000

28 Splenectomy - For Hypersplenism 13000

29 Splenorenal Anastomosis 19000

30 Portocaval Anastomosis 24000

31 Direct Operation on Oesophagus for Portal Hypertension 17400

32 Mesentericocaval Anastomosis 22500

33 Warren Shunt 22500

34 Pancerato Duodenectomy 22500

35 By Pass Procedure for Inoperable Carcinoma of Pancreas 17800

36 Cystojejunostomy or Cystogastrostomy 15000

37 Cholecystectomy 9900

3

38 Cholecystectomy & Exploration of CBD 13100

39 Repair of CBD 13100

40 Operation for Hydatid Cyst of Liver 14220

41 Cholecystostomy 9600

42 Hepatic Resections (Lobectomy Hepatectomy) 16200

43 Operation on Adrenal Glands - Bilateral 21000

44 Operation on Adrenal Glands - Unilateral for Tumour 12000

45 Appendicectomy for Acute Appendicitis 8400

46 Appendicectomy for Chronic/recurrent Appendicitis 8400

47 Appendicular Abscess – Drainage 6900

48 Mesenteric Cyst- Excision 9000

49 Peritonioscopy/Laparoscopy 3300

50 Jejunostomy 9300

51 Ileostomy 13000

52 Congenital Atresia & Stenosis of Small Intestine 14100

53 Muconium ileus 12300

54 Mal-rotation & Volvulus of the Midgut 12000

55 Resection & Anastomosis of Small Intestine 12900

56 Excision of Meckle’s Deverticulum 12900

57 Duodenal Diverticulum 14500

58 Operation for Intestinal Obstruction 13500

59 Operation for Intestinal perforation 13500

60 Benign Tumours of Small Intestine 13000

61 Excision of Small Intestine Fistual 13000

62 Operations for Haemorrhage of the Small Intestines 15000

63 Operations of the Duplication of the Intestines 15000

64 Operations for Recurrent Intestinal Obstruction (Noble Plication & Other Operations for the Adhesions)

17400

65 Ilieosigmoidostomy 13500

66 Ilieotransverse Colostomy 13500

67 Caecostomy 2828

68 Loop Colostomy Transverse Sigmoid 10500

69 Terminal Colostomy 13200

70 Closure of Colostomy 10500

71 Right Hemi-Colectomy 14300

72 Left Hemi-Colectomy 14300

73 Total Colectomy 13200

74 Operations for Volvulus of Large Bowel 15000

75 Operations for Sigmoid Diverticulitis 13500

76 Fissure in Ano - Dilatation 3750

77 Fissure in Ano - Fissurectomy 6750

78 Rectal Polyp-Excision 3375

79 Operation of Haemorrhoids -Lords procedure 4500

80 Fistula in Ano - High Fistulectomy 9700

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81 Fistula in Ano - Low Fistulectomy 6600

82 Imperforat Anus - Colostomy 10000

83 Imperforate Anus - Pull Through Operation 10109

84 Prolapse Rectum - Theirch Wiring 6000

85 Prolapse Rectum - Rectopexy 5700

86 Prolapse Rectum - Grahams Operation 12000

87 Operations for Hirschsprungs Disease 11200

88 Excision of Pilonidal Sinus 7500

89 Abdomino-Perineal Excision of Rectum 15000

90 Anterior Resection of rectum 15000

91 Pull Through Abdominal Resection 13500

92 Operations for Neuroblastoma 13500

5

Procedure Rates

Procedure Category: Blood Bank w.e.f. 29/10/2007


1 Blood Group & RHO Type 40

2 Cross match 30

3 Packed cell preparation 30

4 Coomb’s Test Direct 50

5 Coomb’s Test Indirect 50

6 Australia Antigen 80

7 RHO, Antibody titer 60

6

Procedure Rates

Procedure Category: Cardiac / Cardio Thoracic Procedures

w.e.f. 29/10/2007


1 Coronary Bypass Surgery 130000

2 Coronary Bypass Surgery-post Angioplasty 130000

3 Coronary Baloon Angioplasty 85000

4 Balloon angioplasty with Valvotomy 35000

5 Open Heart Procedures 130000

6 Total Correction of Tetralogy of Fallot 115000

7 RSUV Correction 111500

8 TAPVC Correction 111500

9 Open ASD VSD 90000

10 Open Pulmonary Valvotomy 90000

11 Open Aortic Valvotomy 90000

12 Balock Taussig Operation 45000

13 Mitral Valvotomy 20000

14 Mitral Valve Replacement (cost of valve extra) 130000

15 Aortic ValveReplacement (cost of valve extra) 130000

16 Double Valve Replacement (cost of valve extra) 130000

17 Closed Valvotomy 20000

18 Coarctation-Arota Repair of Balock Taussig Shunt 90000

19 Patent Ductus Arteriousus 25000

20 Mitral Valvotomy (Open) 90000

21 Pericardiostomy 12000

22 Pericardiectomy 40000

23 Pericardio Centrosis 1000

24 Permanent Pacemaker Implantation 13000

25 Temporary Pacemaker Implantation 5500

26 Test of Pacemaker 485

27 Embolectomy 13500

28 Aneurysm Resection & Grafting 30000

29 Thoracocentesis 1200

30 Thorachostomy 9150

31 Exploratory Thorocotomy 14900

32 Aorta-Femoral Bypass 37500

33 Removal of Foreign Body from Trachea or Oesophagus 3000

34 Rib Resection & Drainage 7500

35 Mediastinal Tumour 22500

36 Thymectomy 18825

37 Partial Pericardectomy 13500

38 Removal Tumours of Chest Wall 13500

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Procedure Rates

Procedure Category: Skin w.e.f. 29/10/2007


1 Excision of Moles 280

2 Excision of Warts 350

3 Excision of Molluscumcontagiosum 375

4 Excision of Veneral Warts 210

5 Excision of Corns 210

6 I/D Injection Keloid of Acne 70

7 Chemical Cautery (per sittings) 75

8

Procedure Rates

Procedure Category: Cobalt 60 Therapy w.e.f. 29/10/2007


1 Radical Treatment 20100

2 Palliative Treatment 10100

3 Adjustment Therapy 16150

9

Procedure Rates

Procedure Category: Excision Of Cyst / Small Tumours

w.e.f. 29/10/2007


1 Excision of Sebaceous Cysts 900

2 Excision of Superficial Lipoma 1000

3 Excision of Superficial Neurofibroma 1800

4 Excision of Dermoid Cysts 1500

5 Haemorrhoids 1600

6 Keloids 3300

7 Superficial Veriscosity 3000

10

Procedure Rates

Procedure Category: Haematology w.e.f. 29/10/2007


1 Haemoglobin (Hb) 20

2 Total Leucocytic Count (TLC) 20

3 Differential Leucocytic Count (DLC) 20

4 E.S.R. 20

5 Total Red Cell count 20

6 Platelet count 30

7 Reticulocyte count 30

8 Absolute Eosinophil count 20

9 Packed Cell Volume (PCV) 20

10 Peripheral Smear Examination 30

11 Smear for Malaria parasite 20

12 Bleeding & Clotting Time 20

13 Clot Retraction Time 30

14 R.B.C. Fragility Test 30

15 L.E. Cell 50

16 Foetal Haemoglobin (Hb-F) 50

17 Prothrombin Time (P.T.) 60

18 Complete Haemogram 50

19 Bone Marrow Smear Exmination 150

20 Partial Thromboplastin 120

21 Glucose Phosphate Dehydrogenase (G, 6PD) 120

11

Procedure Rates

Procedure Category: ICU/CCU CHARGES (Special Care Cases)

w.e.f. 29/10/2007


1 Coronary Care with Cardiac Monitoring including ECG & Diet 1250

2 Respirator & Compressed air / piped oxygen (Ventilator charges) 750

3 Post operative care (ICU) with Diet 1000

4 Paediatric care for New born per day(7 to 12 days) 190

5 General Nursery Care per day 135

6 Incubator charges (Per day) 300

7 Intensive care in Nursery (Per day) 1000

8 Phototherapy 150

9 Resuscitation 225

10 Resuscitation with Incubator attended by Specialist 525

11 Exchange Transfusion 750

12 O.T. Charges for Exchange transfusion 225

13 Pneupack ventilator in Nursery (Per day) 450

12

Procedure Rates

Procedure Category: Linear Accelerators w.e.f. 29/10/2007


1 Radical Radiotherapy Linear 25240

2 Palliative Radiotherapy Linear 25000

13

Procedure Rates

Procedure Category: Neuro-Surgery w.e.f. 29/10/2007


1 Craniotomy and Evacuation of Haematoma -Subdural 25000

2 Craniotomy and Evacuation of Haematoma -Extradural 20500

3 Evacuation of Brain Abscess 25500

4 Excision of Lobe (Frontal, Temporal, Cerebelium etc.) 30000

5 Excision of Brain Tumours -Supratentotial 31500

6 Excision of Brain Tumours -Subtentorial 26300

7 Surgery of Cord Tumours 29300

8 Ventriculoatrial /Ventriculoperitoneal Shunt 16000

9 Excision of Cervical Inter-Vertebral Discs 22000

10 Sympathetectomy - Lumbar 11400

11 Sympathetectomy - Cervical 2500

12 Twist Drill Craniostomy 20000

13 Subdural Tapping 1780

14 Ventricular Tapping 2150

15 Abscess Tapping 2150

16 Placement of ICP Monitor - 2000

17 Urokinase Therepy for ICH - 1000

18 Skull Traction Application 3500

19 Lumber Pressure Monitoring 4900

20 Vascular Malformations 17800

21 Peritoneal Shunt 9700

22 Atrial Shunt 9700

23 Meningo Encephalocoel 22000

24 Meningomyelocoel 22000

25 C.S.F. Rhinorrhaea 24000

26 Cranioplasty 19400

27 Posterior Cervical Dissectomy 16160

28 Anterior Cervical Dissectomy 16160

29 Brachial Plexus Exploration Microsuturing 11400

30 Median Nerve Decompression 11000

31 Peripheral Neurectomy (Tirgeminal) 11000

32 Trigeminal Rhiotomy 11400

33 Cranial Nerve Anastomosis 8800

34 Meningocoele Excision 10000

35 Peripheral Nerve Surgery – Major 14000

36 Peripheral Nerve Surgery Minor 6000

37 Ventriculo-Atrial Shunt (Exclud. Cost of valve) 9700

38 Nerve Biopsy 5500

14

39 Brain Biopsy 14140

40 Anterior Cervical Spine Surgery with fusion 21950

41 Anterior Lateral Decompression 21600

42 Brain Mapping 2900

43 Cervical or Dorsal Laminectomy 18600

44 Combined Trans-oral Surgery & CV Junction Fusion 22500

45 C.V. Junction Fusion 21000

46 Depressed Fracture 20025

47 Discectomy 21600

48 Endarterectomy 16700

49 R.F. Lesion for Trigeminal Neuralgia - 20000

50 Spasticity Surgery - 31200

51 Spinal Fusion Procedure 25300

52 Spinal Intra Medullary Tumours 24000

53 Spinal Bifida Surgery Major 13900

54 Spina Bifida Surgery Minor 13900

55 Stereotaxic Procedures 17000

56 Trans Sphenoidal Surgery 30000

57 Trans Oral Surgery 30000

58 Trans Cranial Doppler 2500

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Procedure Rates

Procedure Category: Orthopaedic & Plaster Work

w.e.f. 29/10/2007


1 Fingers (post, slab) 180

2 Fingers full plaster 180

3 Colles Fracture - Below elbow 825

4 Colles Fracture - Full plaster 720

5 Colles fracture Ant. Or post. slab 450

6 Above elbow full plaster 750

7 Above Knee post-slab 480

8 Below Knee full plaster 275

9 Below Knee post-slab 480

10 Tube Plaster (or plaster cylinder) 750

11 Above knee full plaster 750

12 Above knee full slab 750

13 Minerva Jacket 1275

14 Plaster Jacket 1275

15 Shoulder spica 1275

16 Single Hip spica 1275

17 Double Hip spica 1275

16

Procedure Rates

Procedure Category: Paediatric Surgery w.e.f. 29/10/2007


1 Excision of thyroglossal Duct/Cyst 8700

2 Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach) 12600

3 Tracheo Oesophageal Fistula (Correction Surgery) 15000

4 Colon Replacement of Oesophagus 15000

5 Omphalo Mesenteric Cyst Excision 12000

6 Omphalo Mesenteric Duct- Excision 10800

7 Meckels Diverticulectomy 10500

8 Omphalocele 1st Stage (Hernia Repair) 10000

9 Omphalocele 2nd Stge (Hernia Repair) 10500

10 Gastrochisis Repair 10500

11 Inguinal Herniotomy 8250

12 Congenital Hydrocele 6000

13 Hydrocele of Cord 6000

14 Torsion Testis Operation 10500

15 Congenital Pyloric Stenosis- operation 10000

16 Duodenal- Atresia Operation 11350

17 Pancreatic Ring Operation 14000

18 Meconium Ileus Operation 12000

19 Malrotation of Intestines Operation 12750

20 Rectal Biopsy (Megacolon) 1500

21 Colostomy Transverse 10000

22 Colostomy Left Iliac 10000

23 Abdominal Perineal Pull Through (Hirschsprungs Disease) 11250

24 Imperforate Anus Low Anomaly -Cut Back Operation 7200

25 Imperforate Anus Low Anomaly - Perineal Anoplasty 9000

26 Inperforate Anus High Anomaly -Sacroabdomino Perineal Pull Through 13500

27 Inperforate Anus High Anomaly - Closure of Colostomy 6000

28 Intususception Operation 12925

29 Choledochoduodenostomy for Atresia of Extra Hepatic Billiary Duct 14250

30 Operation of Choledochal Cyst 14250

31 Nephrectomy for -Pyonephrosis 13500

32 Nephrectomy for - Hydronephrosis 13500

33 Nephrectomy for -Wilms Tumour 13500

34 Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour 15000

35 Sacro-Coccygeal Teratoma Excision 12900

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36 Neuroblastoma Debulking 12750

37 Neuroblastoma Total Excision 15000

38 Rhabdomyosarcoma wide Excision 17250

18

Procedure Rates

Procedure Category: Ultrasound Investigations

w.e.f. 29/10/2007


1 Obstetric First Scan 300

2 Obstetric Follow up (2nd visit) 300

3 Upper abdomen First Scan 300

4 Upper abdomen Follow up (2nd visit) 300

5 Quick look check-up for IUCD failure/Foetus. 250

6 Total Abdominal survey or Multiple organ study 350

7 Special procedures & Aspiration etc. 500

8 Image Intensifiers 770

19

Procedure Rates

Procedure Category: Bactriology & Serology

w.e.f. 29/10/2007


1 Smear gram-strain examination 30

2 Sputum smear A.F.B. stain 25

3 Vaginal Smear Examination 30

4 V.D.R.L. 50

5 Widal test 50

6 Rheumatoid Factor test 50

7 Culture & Sensitivity (other specimens) 50

8 Urine pregnancy test 70

9 C.R.P. 105

10 ASO Titer 100

11 Quantitative H.C.G. 145

12 Blood culture & sensitivity 120

13 Vibro cholera culture 100

20

Procedure Rates

Procedure Category: Brachy Therapy w.e.f. 29/10/2007


1 Intracavitary 1000

21

Procedure Rates

Procedure Category: Cardio Respiratory Procedures

w.e.f. 29/10/2007


1 Direct Laryngoscopy 3750

2 Bronchoscopy 1800

3 Mediastinoscopy 1800

4 Pleural Biopsy 1200

5 Thoracoscopy 4500

6 Tracheostomy 2250

7 Thoracotomy (Penetrating Wounds) 10800

8 Intercostal Drainage of empyema 3450

9 Decortication (Pleurectomy) 18000

10 Thoracoplasty 22500

11 Pneumonectomy 20700

12 Lobectomy (Lung) 18450

13 Segmental Resection 18450

14 Hydatid Cyst 18450

15 Pulmonary function test BMR 475

16 Spirometry 475

17 Spirometry with Helium Dilution 1100

18 Spirometry with a Helium Dilution with diffusion capacity studies 750

19 Pulmonery exercise testing 450

20 Open Lung Biopsy 11960

21 Anterior medicistonotomy 15000

22 Medicistinoscopy(cervical) 24000

23 Video-assisted thoracoscopy (VATS) 10200

24 Video-assisted thoracoscopic lung Surgeries 32000

25 Lung volume reduction surgery 39990

26 Thoracoscopic Decortication 32000

27 Thoracoscopic Pneumonectomy 32000

28 Thoracoscopic Lebectomy 32000

29 Thoracoscopic Segmental Resection 29000

30 Thoracoscopic Hydatid Cyst excision 25000

31 Thoracoscopic Sympathectomy 25350

22

Procedure Rates

Procedure Category: Dental w.e.f. 29/10/2007


1 Extraction of tooth including LA 65

2 Complicated Ext. per Tooth including LA 105

3 Flap Operation per Tooth 300

4 Gingivectomy per tooth 180

5 Cyst under LA (small) 180

6 Cyst under LA (large) 300

7 Impacted Molar including LA 300

8 Apisectomy including LA 480

9 Fracture wiring including LA 600

10 Intra oral X-ray 50

23

Procedure Rates

Procedure Category: Eye w.e.f. 29/10/2007


1 Cauterisation of ulcer/subconjuctival injection - One eye 50

2 Cauterisation of ulcer/subconjuctival injection - Both eyes 100

3 Retrobular Injection - One Eye 50

4 Retrobular Injection - Both Eyes 100

5 Syringing of Lacrimal Sac -For One eye 50

6 Syringing of Lacrimal Sac - For both eyes 100

7 Paracentesis 200

8 Foreign body removal 100

9 Refraction/Fundoscopy 30

10 Ortho-optic check up 50

11 Ortho-optic exercises 50

12 Plepoptic Exercises 50

13 Perimetry/field test 60

14 Chalazion operation -One Eye 300

15 Chalazion operation - Both Eyes 320

16 Dressing (Eye) 60

17 Clinical Photography 75

18 Pterygium Excision 830

19 Orbitotomy 12000

20 Ptosis correction 4640

21 Ectropion Correction 3350

22 Xenon Arc Laser 1000

23 D C R (Dacryocystorhinostony) 3900

24 ECCE/ICCE 5150

25 Epicantuhus correction 3175

26 Dacryocystectomy(DCY) 7000

27 Squint Correction 5100

28 Keratoplasty 6750

29 Trabeculotomy 4000

30 Trabeculectomy 7800

31 Iridectomy 1000

32 Goniotomy 2750

33 Scalaral Bukling (Retinal Detachment Surgery) 10100

34 ERG 575

35 Flourescein Angioraphy 800

36 A-Scan 150

37 Tono Graphy 300

38 VER 800

24

39 Goldmen Perimetry 400

40 Specular microscopy 280

41 Vitrectomy 6000

42 Enucleation 3060

43 Eviseration 1850

44 Entropion correction 1000

45 Indo cyaningreen Angiography of Retina 800

46 Indo cyaningreen Angiography - IRIS 500

47 Automated Perimetry 450

48 Corneal endothelial cell count 240

49 Corneal topography 240

50 Corneal pachymetry 220

51 Retinal nerve film analyzer studies 80

52 Auto Refrectemetry 30

53 Biometry 55

54 Ultrasound studies ---- A Scan 150

55 Ultrasound studies ---- B Scan 200

56 Retinal/Meter function studies 140

57 PAN ACUITY METER --- 1300

58 Laser inter ferometry --- 1300

59 EKG, EOG --- 1200

60 Dacryocystography (DGC) 625

61 Orbital Angio studies --- 1700

62 Cateract with IOL (Cost of lens extra) 7000

25

Procedure Rates

Procedure Category: Head & Neck w.e.f. 29/10/2007


1 Ear Lobe Repair one side 375

2 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only 2250

3 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage 3900

4 Partial Amputation of Pinna 4300

5 Total Amputation of Pinna 5500

6 Total Amputation & Excision of External Auditory Meatus 7300

7 Excision of Cystic Hygroma Minor 3300

8 Excision of Cystic Hygroma Major 4950

9 Excision of Cystic Hygroma Extensive 8100

10 Excision of Branchial Cyst 7500

11 Excision of Branchial Sinus 6000

12 Excision of Pharyngeal Diverticulum 7500

13 Excision of Carotid Body-Tumours 18000

14 Operation for Cervical Rib 11400

15 Block Dissection of Cervical Lymph Nodes 12300

16 Pharyngectomy & Reconstruction 21000

17 Operation for Carcinoma Lip - Wedge-Excision 4800

18 Operation for Carcinoma Lip - Vermilionectomy 4500

19 Operation for Carcinoma Lip - Wedge Excision and Vermilonectomy 5250

20 Estlander Operation 5700

21 Abbe Operation 6750

22 Cheek Advancement 6750

23 Excision of the Maxilla 12000

24 Excision of the Mandible Segmental 11250

25 Hemimandibulectomy 10000

26 Partial Glossectomy 3750

27 Hemiglossectomy 8400

28 Total Glossectomy 15000

29 Commondo Operation 16500

30 Parotidectomy - Superficial 12000

31 Parotidectomy - Conservative 7800

32 Parotidectomy - Radical Total 16800

33 Repair of Parotid Duct 12000

34 Removal of Submandibular Salivary gland 6150

35 Hemithyroidectomy 8500

36 Partial Thyroidectomy 8400

37 Subtotal Thyroidectomy (Toxic Goitre) 12500

26

38 Total Thyroidectomy (Cancer) 14250

39 Resection Enucleation of Adenoma 7800

40 Isthmectomy 7800

41 Total Thyroidectomy and Block Dissection 17250

42 Excision of Lingual Thyroid 13200

43 Excision of Thyroglossal Cyst/Fistula 7500

44 Excision of Parathyroid Adenoma/Carcinoma 13875

45 Laryngectomy 18000

46 Laryngo Pharyngectomy 24000

47 Sinus & Fistula repair 6000

48 Lymph Node Excision 1800

49 Hyoid Suspension 7850

50 Genioplasty 10850

51 Direct Laryngoscopy 2800

52 Phonosurgery 9500

53 Fibroptic Laryngoscopy 2000

54 Microlaryngeal Surgery 6250

55 Laryngofissure 8650

56 Stenosis Excision 12800

27

Procedure Rates

Procedure Category: Injury Of Superficial Soft Tissues

w.e.f. 29/10/2007


1 Suturing of small wounds 120

2 Secondary suture of wounds 300

3 Delayed primary suture 1000

4 Debridement of wounds 300

28

Procedure Rates

Procedure Category: MRI w.e.f. 29/10/2007


1 MRI Head - Without Contrast 2500

2 MRI Head - with Contrast 3500

3 MRI Orbits - without Contrast 1700

4 MRI Orbits - with Contrast 5000

5 MRI Nasopharynx and PNS - Without Contrast 2500

6 MRI Nasopharynx and PNS - with Constrast 5000

7 MRI Neck - Without Contrast 2500

8 MRI Neck - with Contrast 5000

9 MRI Shoulder - Without Contrast 2500

10 MRI Shoulder - with Contrast 5000

11 MRI Shoulder both Joint - Without Contrast 2500

12 MRI Shoulder both Joint - with Contrast 5000

13 MRI Wrist Single Joint - Without Contrast 2500

14 MRI Wrist Single Joint - with Contrast 5000

15 MRI Wrist both Joint - Without Contrast 1000

16 MRI Wrist both Joint - with Contrast 5000

17 MRI Knee Single Joint - Without Contrast 2500

18 MRI Knee Single Joint - with Contrast 5000

19 MRI Knee both Joint - Without Contrast 2500

20 MRI Knee both Joint - with Contrast 5000

21 MRI Ankle Single - Without Contrast 2500

22 MRI Ankle Single - with Contrast 5000

23 MRI Ankle Both - Without Contrast 2500

24 MRI Ankle Both - with Contrast 5000

25 MRI Hip - Without Contrast 2500

26 MRI Hip - with Contrast 5000

27 MRI Pelvis - Without Contrast 2500

28 MRI Pelvis - with Contrast 5000

29 MRI Extremities - Without Contrast 2500

30 MRI Extremities - with Contrast 5000

31 MRI Temporomandibular Single Joint - Without Contrast 2500

32 MRI Temporomandibular Single Joint - with Contrast 5000

33 MRI Temporomandibular Double Joints - Without Contrast 2500

34 MRI Temporomandibular Double Joints - with contrast 5000

35 MRI Abdomen - Without Contrast 2500

36 MRI Abdomen - with Contrast 5000

37 MRI Breast - Without Contrast 2500

29

38 MRI Breast - with Contrast 5000

39 MRI Spine Screening - Without Contrast 1000

40 MRI Spine Screening - with Contrast 4000

41 MRI Chest - Without Contrast 2500

42 MRI Chest - with Contrast 5000

43 MRI Cervical Spine - Without Contrast 1000

44 MRI Cervical Spine - with Contrast 5000

45 MRI Lumber Spine - Without Contrast 2500

46 MRI Lumber Spine - with Contrast 5000

47 MRI Screening - Without Contrast 1000

48 MRI Screening - with Contrast 4000

49 MRI Angiography - Without Contrast 1200

50 MRI Angiography - with Contrast 5000

51 Mammography (Single side) 450

52 Mammography (Both sides) 540

53 Bone Densitometry Single site 800

54 Bone Densitometry Two sites 1000

55 Bone Densitometry Three sites ( Spine , Hip & one extremity) 2000

56 Bone Densitometry Whole body 1650

57 2 D Echo with colour Doppler 1000

58 Trans Oesophaedral Echo (TEE) 1300

59 Holter Analysis 800

60 Fluoroscopic Screening 100

61 Holter Report (with Prd. Specification) 1200

62 Test of Pacemaker 485

63 Oxygen Saturation 250

64 Cardiac Cath Angiography (W/o Coronary Angio) 11350

65 Aortogram 3250

66 Pulmonary function test 430

67 Test for Pacemaker 325

68 Package charges for Cardiovascular investigation 570

69 Fibroptic Bronchoscopy with Washing/Biopsy 1800

70 Uroflow Study (Micturometry) 400

71 Urodynamic Study (Cystometry) 400

72 Cystoscopy with Retrograde Catheter -Unilateral 3000

73 Cystoscopy with Retrograde Catheter - Bilateral 3750

74 Cystoscopy Diagnostic 1950

75 Cystoscopy with Bladder Biopsy 2450

76 Voiding-cysto-urethrogram 300

77 Renal Transplant Evaluation 700

78 Whole body scan 1616

79 Spect bone Scan 2200

80 Bone Marrow Scan 1500

81 Scan (Spect) 2404

30

82 Stress Thallium 3000

83 Muga (Resting) 2200

84 Muga (Stress) 2800

85 A.V. Fistula 4000

86 Coronary Angiography 10000

31

Procedure Rates

Procedure Category: Nose w.e.f. 29/10/2007


1 Septoplasty 6000

2 Submucous Resection 5300

3 Septo-rhinoplasty 8800

4 Rhinoplasty 7125

5 Fracture Reduction 4000

6 Intra Nasal Diathermy 1760

7 Turbinectomy 2500

8 Endoscopic DCR 9600

9 Endoscopic Surgery 10000

10 Septal Perf. Repair 6000

11 Antrum Puncture 700

12 Lateral Rhinotomy 880

13 Cranio-facial resection 18700

14 Ethamoidectomy 10000

15 Caldwell Luc Surgery 7500

16 Angiofibroma Excision 12000

17 Endoscopic Hypophysectomy 25000

18 Endoscopic Optic Nerve Decompression 15900

19 Decompression of Optic Nerve 19300

32

Procedure Rates

Procedure Category: Orthopaedic Surgery Procedure

w.e.f. 29/10/2007


1 Application of P.O.P Casts for Upper & Lower Limbs 750

2 Application of Functional Cast Brace 1050

3 Application of Skin Traction 800

4 Application of Skeletal Tractions 1500

5 Bandage & Strappings for Fractures 400

6 Aspiration & Intra Articular Injections 500

7 Application of P.O.P Spices & Jackets 2250

8 Close Reduction of Fractures of Limb & P.O.P 2000

9 Reduction of Compound Fractures 2000

10 Open Reduction & Internal Fixation of Fingurs & Toes 4000

11 Open Reduction offracture of Long Bones of Upper / Lower Limb -Nailing & External Fixation 7000

12 Open Reduction of fracture of Long Bones of Upper / Lower Limb -AO Procedures 7000

13 Tension Band Wirings 3750

14 Bone Grafting 6000

15 Excision of Bone Tumours -Superficial 8000

16 Excision of Bone Tumours -Deep 12000

17 Excision or other Operations for Scaphoid Fractures 5000

18 Sequestrectomy & Saucerisation - Superficial 5000

19 Sequestrectomy & Saucerizations -Deep 7000

20 Sequestrectomy & Saucerizations -Arthrotomy 7500

21 S.P.Nailing for Fracture Neck Femur 9000

22 Multiple Pinning Fracture Neck Femur 10000

23 Nail Plate Fixations for Fracture Neck Femur 12000

24 A.O.Compression Procedures for Fracture Neck Femur 12000

25 Open Reduction of Fracture Neck Femur Muscle Pedicle Graft and Internal Fixations 15000

26 Close Reduction of Dislocations 2100

27 Open Reduction of Dislocations - Superficial 4660

28 Open Reduction of Dislocations - Deep 10500

29 Open Reduction of Fracture Dislocation & Internal Fixation 10000

30 Neurolysis/Nerve Suture 9000

31 Nerve Repair with Grafting 12450

32 Tendon with Transplant or Graft 1300

33 Tendon Lengthening/Tendon Sutures 6000

34 Tendon Transfer 8000

35 Laminectomy, Excision Disc and Tumours 15000

33

36 Spinal Ostectomy and Internal Fixations 20000

37 Anterolateral Clearance for tuberculosis 17250

38 Antereolateral Decompression and Spinal Fusion 20000

39 Costo Transversectomy 13500

40 Corrective Ostectomy & Internal Fixation - Minor 9000

41 Corrective Ostectomy & Internal Fixation - Major 8000

42 Arthrodisis of - Minor Joints 7500

43 Arthrodisis of - Major Joints 8000

44 Soft Tissue Operations for C.T.E.V. 6000

45 Soft Tissue Operations for Polio 5000

46 Partial Hip Replacement 10500

47 Operations for Brachial Plexus & Cervical Rib 18000

48 Amputations - Below Knee 5000

49 Amputations - Below Elbow 5000

50 Amputations - Above Knee 8000

51 Amputations - Above Elbow 8000

52 Amputations - Forequarter 9750

53 Amputations -Hind Quarter and Hemipelvectomy 15000

54 Disarticulations - Major 9700

55 Disarticulations - Minor 9000

56 Arthrography & Osteomedullography 5250

57 Arthroscopy - Diagnostic 6000

58 Arthroscopy - Operative 9000

59 Soft Tissue Operation on Knee 12000

60 Myocutaneous and Fasciocutaneous Flat Procedures for Limbs 14250

61 Removal of Nails, Wires & Screw 4200

62 Removal of Plates 3000

63 Total Hip Replacement 40000

64 Total Ankle Joint Replacement 130000

65 Total Knee Joint Replacement 90000

66 Total Shoulder Joint Replacement 100000

67 Total Elbow Joint Replacement 100000

68 Total Wrist Joint Replacement 100000

34

Procedure Rates

Procedure Category: Physiotheraphy w.e.f. 29/10/2007


1 Ultrasonic therapy 57

2 S.W. Diathermy 50

3 Electrical stimulation (therapeutic) 50

4 Muscle testing and diagnostic 50

5 Infra red 50

6 U.V. Therapeutic dose 50

7 Electric vibrator 57

8 Vibrator belt massage 57

9 Intra Lumbar Traction 57

10 Intermittent Cervical traction 50

11 Combined Lumbar & Cervical traction 57

12 Wax bath 57

13 Hot pack 50

14 Whirl pool bath 57

15 Obesity Exercises 45

16 Breathing Exercises & Postural Drainage 45

17 Cerebral Palsy – Massage 50

18 Post – polio exercise 50

35

Procedure Rates

Procedure Category: Specialised Procedures / Investigations

w.e.f. 29/10/2007


1 Cat Scan (C.T.) Head/ Brain - Without Contrast 900

2 Cat Scan (C.T.) Head / Brain - with Contrast 1400

3 C.T. Head Scan Involv. Spl. Investigation - Without Contrast 1400

4 C.T. Head Involv. Spl. Investigation -with Contrast 1900

5 C.T. Chest (HRCT) - Without Contrast 1700

6 C.T. Chest (HRCT) - with Contrast 2140

7 C.T. Spine (Cervical,Dorsal,Lumbar,Sacral) -Without Contrast 1440

8 C.T. Spine (Cervical,Dorsal,Lumbar,Sacral) - with Contrast 2300

9 C.T. Cervical C.T. 3D Reconstruction only -- 2945

10 C.T. Guided Biopsy 1000

11 C.T. Guided percutaneous cath drainage 1200

12 C.T. Myelogram (Cervical Spine) - Without Contrast 1800

13 C.T. Myelogram (Cervical Spine) - with Contrast 2558

14 C.T. Myelogram (Lumbar Spine or D/S) - Without Contrast 2000

15 C.T. Myelogram (Lumbar Spine or D/S)- with Contrast 2558

16 C.T. Scan Chest - Without Contrast 1400

17 C.T. Scan Chest - with Contrast 2325

18 C.T. Scan Upper Abdomen - Without Contrast 1300

19 C.T. Scan Upper Abdomen - with Contrast 2092

20 C.T. Scan Lower Abdomen - Without Contrast 1680

21 C.T. Scan Lower Abdomen - with Contrast 2092

22 C.T. Scan Whole Abdomen - Without Contrast 2092

23 C.T. Scan Whole Abdomen - with Contrast 3400

24 C.T. Scan Neck (Thyroid Soft Tissue) - Without Contrast 1560

25 C.T. Scan Neck (Thyroid Soft Tissue) - with Contrast 1940

26 C.T. Scan Orbits - Without Contrast 1200

27 C.T. Scan Orbits - with contract 1750

28 C.T. Scan Limbs - Without Contrast 1700

29 C.T. Scan Limbs - with Contrast 2300

30 C.T. Scan Whole Body - Without Contrast 6700

31 C.T. Scan Whole Body - with Contrast 9000

32 C.T. Scan of Para Nasal Sinus - Without Contrast 1520

33 C.T. Scan of Para Nasal Sinus - with Constrast 1860

36

Procedure Rates

Procedure Category: Vascular Surgery w.e.f. 29/10/2007


1 Patch Graft Angioplasty 20300

2 Femoropopliteal by pass procedure 24300

3 Thrombendarterectomy 20300

4 Surgery for Arterial Aneursysm -Distal Abdominal Aorta 28000

5 Surgery for Arterial Aneursysm -Upper Abdominal Aorta 32400

6 Surgery for Arterial Aneursysm -Vertebral 35000

7 Intrathoracic Aneurysm -Aneurysm not Requiring Bypass Techniques 28000

8 Intrathoracic Aneurysm -Requiring Bypass Techniques 32500

9 Dissecting Aneurysms 35000

10 Stripping of Short or Long Sephenous Veins 9600

11 Ligation of Ankle Perforators 10500

12 Excision and Skin Graft of Venous Ulcer 9600

13 Venous Thrombectomy 9750

14 Lymphatics Excision of Subcutaneous Tissues In Lymphoedema 10500

15 Vascular Procedure – Major - 50000

16 Vascular Procedure – Minor 26462

17 Surgery for Arterial Aneurysm Spleen Artery 20000

18 Surgery for Arterial Aneurysm Renal Artery 20000

19 Surgery for Arterial Aneurysm Carotid 22000

20 Surgery for Arterial Aneurysm Main Arteries of the Limb 20000

21 Operations for Acquired Arteriovenous Fistual 23000

22 Congenital Arterio Venous Fistula 20000

23 Operations for Stenosis of Renal Arteries 20200

24 Trendelenburg Operations 9525

37

Procedure Rates

Procedure Category: Bio-Chemistry w.e.f. 29/10/2007


1 Glucose 20

2 Blood Urea Nitrogen 20

3 Serum Creatinine 25

4 Serum Uric Acid 35

5 Serum Bilirubin total & direct 50

6 Serum Iron 75

7 Serum Cholesterol 25

8 Total Iron Binding Capacity 75

9 Glucose (Fasting & PP) 20

10 Serum Calcium 35

11 Serum Phosphorus 35

12 Total Protein Alb/Glo Ratio 35

13 S.G.P.T. 25

14 S.G.O.T. 25

15 Serum amylase 100

16 Serum Electrolyte 64

17 Triglyceride 70

18 Glucose Tolerance Test (GTT) 80

19 C.P.K. 100

20 L.D.H. 100

21 Alkaline Phosphatase 35

22 Acid Phosphatase 75

23 CK MB 100

24 T3, T4, TSH 200

25 HDL Cholestrol 35

26 LH 150

27 FSH 150

28 Prolactin 180

29 Blood gas analysis 230

30 Blood gas analysis with electrolytes 150

31 Cortisol 270

38

Procedure Rates

Procedure Category: Breast w.e.f. 29/10/2007


1 Drainage of Abscess 3975

2 Excision of Lumps 4900

3 Local Mastectomy (Simple) 9000

4 Radical Mastectomy (Formal or Modified) 18700

5 Excision of Mammary Fistula 7500

6 Segment Resection of Breast 9750

39

Procedure Rates

Procedure Category: Chemotherapy Charges

w.e.f. 29/10/2007


1 Single Drug Therapy per day 400

2 Multiple Drug Therapy per day 650

3 Infusional Chemotherapy 750

40

Procedure Rates

Procedure Category: E.N.T. w.e.f. 29/10/2007


1 Pure Tone Audiogram 110

2 Impedence & other tests 160

3 SISI, Tone Decay & Difference times 130

4 Multiple hearing assessment test to Adults 130

5 Hearing Aid Selection 130

6 Hearing Aid Analysis 100

7 Speech Discrimination Score 50

8 Speech Assessment 100

9 Speech therapy per session of 30-40 minutes 55

10 Cold Calorie Test for Vestibular function 110

11 Removal of foreign body From Nose 240

12 Removal of foreign body From Ear 225

13 Syringing (Ear) 100

14 Polyp removal under LA 450

15 Peritonsillar abscess drainage under LA 1000

41

Procedure Rates

Procedure Category: General Surgery w.e.f. 29/10/2007


1 Drainage of Abscess 1000

2 Dressing under G.A. 1500

3 Aspiration of cold Abscess of Lymphnode 1400

4 Aspiration of Empyema 1500

5 Aspiration of Liver Abscess 1200

6 Open Drainage of Liver Abscess 6000

7 Drainage of Pelvic Abscess 6000

8 Drainage of Ischiorectal Abscess 3750

9 Drainage of Subdiaphragmatic Abscess 7500

10 Open Drainage of Perinepheric Abscess 5000

11 Drainage of Perigastric Abscess 6000

12 Drainage of Perotid Abscess 3375

13 Drainage of Retropharyngeal Abscess 3750

14 Open Drainage of Psoas Abscess 3750

15 Open Drainage of Perivertebral Abscess 5700

42

Procedure Rates

Procedure Category: Head & Neck Cancer

w.e.f. 29/10/2007


1 Excisional Biopsies 2500

2 Benign Tumour Excisions 5000

3 Temporal Bone resection 11250

4 Radical Neck Dissection 16500

5 Carotid Body Excision 17500

6 Total Laryngectomy 17025

7 Flap Reconstructive Surgery 18250

8 Parapharyngeal Tumour Excision 16650

43

Procedure Rates

Procedure Category: Interestical (Implant)

w.e.f. 29/10/2007


1 Head & Neck 8100

2 Breast 9700

3 Soft Tissue Sarcome 12110

44

Procedure Rates

Procedure Category: N/A w.e.f. 29/10/2007


1 Consultation First Visit 30

2 Consultation- Revisit or each subsequent visit 30

3 Consultation First Visit - Private, if any 50

4 Consultation Revisit or each subsequent visit Private -if any 50

5 First Consultation by Medical Officer / Resident Doctor 40

6 Subsequent Consultation by Medical Officer / Resident Doctor 30

7 First Visit by Specialists 60

8 Revisit by Specialists or each subsequent visit 60

9 Injections - SC 10

10 Injection - IM 10

11 Injection - IV 15

12 Dressings Small 15

13 Dressings Medium 40

14 Dressings Large 70

15 Suturing without local anesthesia 90

16 Suturing of wounds with local anesthesia 195

17 Removal of Foreign body 300

18 Removal of Benign Tumor 700

19 Aspiration Plural Effusion - Diagnostic 140

20 Aspiration Plural Effusion - Therapeutic 140

21 Abdominal Aspiration - Diagnostic 250

22 Abdominal Aspiration - Therapeutic 470

23 Pericardial Aspiration 300

24 Bone Marrow Aspiration 275

25 Joints Aspiration 230

26 Biopsy Skin except Hensens 200

27 Biopsy Lymphnode 400

28 Biopsy Liver 570

29 Strapping 50

30 Removal of Stitches 30

31 Venesection 90

32 Phimosis Under LA 900

33 Lumber puncture 150

34 Sternal puncture 150

35 Injection for Haemorrhoids 300

36 Injection for Varicose Veins 300

37 Catheterisation 60

45

38 Dilatation of Urethra 300

39 Incision & Drainage 390

40 Intercostal Drainage 600

41 Lung function test 250

42 E.C.G. 75

43 E.E.G. 400

44 Stress test (TMT) 810

45 Peritoneal dialysis 1150

46

Procedure Rates

Procedure Category: Obstetric Cases w.e.f. 29/10/2007


1 Normal delivery or with Episiotomy & P. repair 6000

2 Low Forceps 6750

3 Low midcavity forceps 6750

4 Cesarean Section 12000

5 Cesarean Hysterectomy 13200

6 Rupture Uterus, closure & repair with Tubal Ligation 12750

7 Perforation of Uterus after D/E Laparotomy & Closure 9600

8 Laparotomy for Ectopic Rupture 9600

9 Laparotomy-peritonitis Lavage and Drainage 7850

10 Laparotomy-failed laparoscopy to explore 4050

11 Salphingectomy 7760

12 Salphingo-Oophorectomy 9600

13 Ovarean Cystectomy 9600

14 Oopherctomy 8700

15 Broad Ligment Haemotoma Drainage 5000

16 Exploration of perineal Haematoma & Resuturing of Episiotomy 6500

17 Exploration of abdominal Haematoma (after laparotomy + LUCS) 8250

18 Internal podalic version and extraction 3000

19 Manual Removal of Placenta 2100

20 3rd stage Complication MRP for outside delivery etc 3000

21 Examination under anaesthesia 1500

22 Burst-abdomen Repair 8000

23 Gaping Pareneal Wound Secondary Suturing 1200

24 Gaping abdominal wound Secondary Suturing 2250

25 Complete perineal tear-repair 1500

26 Exploration of PPH-tear repair 2550

27 Destructive Operation 6750

28 Suction evacuation vesicular mole, Missed abortion D/E 3700

29 Colpotomy-drainage P/V needling EUA 2550

30 Repair of post-coital tear, perineal injury 2550

31 Excision of urethral caruncle 2250

32 Laparoscopy (Gynae) 4000

33 Shirodhkar, Mc. Donalds stich 2450

47

Procedure Rates

Procedure Category: Throat w.e.f. 29/10/2007


1 Ranula Excision 3100

2 Tongue Tie excision 800

3 Sub Mandibular Duct Lithotomy 2100

4 Adenoidectomy 4550

5 Palatopharyngoplasty 9300

6 Cleft Palate repair 9500

7 Pharyngoplasty 12800

8 Styloidectomy 8500

48

Procedure Rates

Procedure Category: Others w.e.f. 29/10/2007


1 Upper G.I. Endoscopy 900

2 Upper G.I. Endoscopy with Biopsy 1050

3 Esophageal scierotherapy for varices First sitting 1500

4 Esophageal sclerotherapy for varices Subsequent sitting 1200

5 Sigmoidoscopy (rigid) 400

6 Sigmoidoscopy (flexible) 750

7 Oesophagoscopy 810

8 Colonoscopy 1350

9 Fibroptic bronchoscopy 1050

49

Procedure Rates

Procedure Category: Biopsies w.e.f. 29/10/2007


1 Cervical Lymph Node 1200

2 Auxillary Lymph Node 1500

3 Inguinal Lymph Node 1500

4 Excision/Biopsy of Large Lumph Nodes 1500

5 Excision Biopsy of Ulcers 2000

6 Excision Biopsy of Superficial Lumps 2250

7 Incision Biopsy of Growths/Ulcers 1200

8 Trucut Needle Biopsy 1200

9 kidney biopsy 1500

10 Percutaneous Kidney Biopsy 1200

11 Spleen Aspiration 1200

12 Marrow Biopsy (Open) 1200

13 Muscle Biopsy 1200

14 Scalene Node Biopsy 900

50

Procedure Rates

Procedure Category: Plastic Surgery w.e.f. 29/10/2007


1 Primary Suture of Wound 1800

2 Injection of Keloids - Ganglion 1600

3 Injection of Keloids - Haemangioma 3700

4 Free Grafts - Wolfe Grafts 4500

5 Free Grafts - Theirech- Small Area 5% 5000

6 Free Grafts - Large Area 10% 6000

7 Free Grafts - Very Large Area 20% 7500

8 Skin Flaps - Rotation Flaps 5400

9 Skin Flaps - Advancement Flaps 7200

10 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap 9600

11 Skin Flaps - Cross Finger 8250

12 Skin Flaps - Abdominal 8250

13 Skin Flaps - Thoracic 8250

14 Skin Flaps - Arm Etc. 8250

15 Subcutaneous Pedicle Flaps Raising 5200

16 Subcutaneous Pedicle Flaps Delay 4800

17 Subcutaneous Pedicle Flaps Transfer 5250

18 Cartilage Grafting 6000

19 Reduction of Facial Fractures of Nose 4500

20 Reduction of Facial Fractures of Maxilla 9000

21 Reduction of Fractures of Mandible & Maxilla - Eyelet Splinting 5250

22 Reduction of Fractures of Mandible & Maxilla - Cast Netal Splints 5200

23 Reduction of Fractures of Mandible & Maxilla - Gumming Splints 5200

24 Internal Wire Fixation of Mandible & Maxilla 7200

25 Cleft Lip - repair. 8400

26 Cleft Palate Repair Severe Degree 9000

27 Primary Bone Grafting of Cleft Lip Palate 8500

28 Secondary Surgery for Cleft Lip Deformity 7800

29 Secondary Surgery for Cleft Palate 8000

30 Reconstruction of Eyelid Defects - Minor 5400

31 Reconstruction of Eyelid Defects - Major 8100

32 Plastic Surgery of Different Regions of the Ear - Minor 5400

33 Plastic Surgery of Different Regions of the Ear - Major 8100

34 Plastic Surgery of the Nose - Minor 5400

35 Plastic Surgery of the Nose - Major 8100

36 Plastic Surgery for Facial Paralysis (Support with 12000

51

Reanimation)

37 Pendulous Breast - Mammoplasty 13500

38 Underdeveloped Breast Mammoplasty 12000

39 After Mastectomy (Reconstruction) Mammoplasty 13300

40 Syndactyly Repair 12900

41 Dermabrasion Face 9700

52

Procedure Rates

Procedure Category: Burn Dressing w.e.f. 29/10/2007


1 upto 30% Burns 1st Dressing 110

2 upto 30% Burns Subsequent Dressing 90

3 30% to 50% Burns 1st Dressing 140

4 30% to 50% Burns Subsequent Dressing 110

5 Extensive Burn above 50% Frist Dressing 200

6 Extensive Burn above 50% Subsequent dressing 140

53

Procedure Rates

Procedure Category: Strapping w.e.f. 29/10/2007


1 Strapping of Finger 120

2 Strapping of Toes 120

3 Strapping of Wrist 190

4 Strapping of Elbow 190

5 Strapping of Knee 225

6 Strapping of Ankle 225

7 Strapping of Chest 270

8 Strapping of Shoulder 330

9 Nasal bone fracture 325

10 Figure of 8 bandage 325

11 Colar and cuff sling 135

12 Ball bandage 200

54

Procedure Rates

Procedure Category: Clinical Pathology w.e.f. 29/10/2007


1 Urine routine 30

2 Quantitative Albumin/Sugar 15

3 Urine Bile Pigment and Salt 20

4 Urine Urobilinogen 30

5 Urine Ketones 20

6 Urine Occult Blood 20

7 Urine total proteins 25

8 Urine Sodium 30

9 Urine Chloride 30

10 Bence Jones protein 50

11 Stool routine 30

12 Stool occult blood 20

13 Post coital smear examination 30

14 Smear analysis 30

15 Body fluid (CSF/Ascitic Fluid etc.) Chemistry, Sugar, Protein etc. 60

16 Body fluid for Malignant cells 80

55

Procedure Rates

Procedure Category: Ear w.e.f. 29/10/2007


1 Ear Piercing 150

2 Myringoplasty 7800

3 Staepedectomy 8350

4 Myringotomy 2600

5 Grommet Insertion 4200

6 Tympanotomy 4750

7 Paracentesis 2400

8 Tympanoplasty 8200

9 Mastoidectomy 9500

10 Otoplasty 7500

11 Labyrinthectomy 10500

12 Skull Base surgery 19050

13 Facial Nerve Decompression 11050

56

Procedure Rates

Procedure Category: Nephrology / Genitourinary

w.e.f. 29/10/2007


1 Partial Nephrectomy 12000

2 Nephrolithomy 13000

3 Pyelolithotomy 12000

4 Operations for Hydronephrosis 13000

5 Open Drainage of Perinephric Abscess 7500

6 Cavernostomy 10500

7 Operations for Cyst of the Kidney 9600

8 Ureterolithotomy 9000

9 Nephroureterectomy 9000

10 Operations for Ureter for -Double Ureters 13500

11 Operations for Ureter -for Ectopia of Single Ureter 15000

12 Operations for Vesico- ureteric Reflux 13500

13 Ureterostomy - Cutaneous 11250

14 Uretero-Colic anastomosis 12000

15 Formation of an Ileal Conduit 12000

16 Ureteric Catheterisation 2750

17 Dormia Extraction of Calculus 6000

18 Biopsy of Bladder (Cystoscopic) 3000

19 Diathermy Destruction of Bladder Neoplasm 6500

20 Litholapexy 7800

21 Operations for Injuries of the Bladder 12000

22 Suprapubic Drainage (Cystostomy) 6500

23 Total Cystectomy 18600

24 Diverticulectomy 13500

25 Open Resection of the Bladder Neck 12750

26 Y-V Plasty of the Bladder Neck 12750

27 Cystoplasty 15000

28 Operations for Extrophy of the Bladder 16160

29 Repair of Ureterocoel 9600

30 Suprapubic Prostatectomy 14000

31 Retropubic Prostatectomy 13500

32 Transurethral Resection of Prostate (TURP) 13500

33 Urethroscopy 2750

34 Operations for Injury to Urethra 13000

35 Internal urethrotomy 6700

36 Urethral Reconstruction 15000

37 Operation for Congenital Valves of Urethra 8250

38 Operations for Incontinence of Urine - Male 13500

39 Operations for Incontinence of Urine - Female 13500

57

40 Reduction of Paraphimosis 1500

41 Circumcision 1500

42 Meatotomy 1500

43 Meatoplasty 2500

44 Operations for Hypospadias - Chordee Correction 7500

45 Operations for Hypospadias - Second Stage or One Stage Repair 13500

46 Operations for Epispadias 9696

47 Partial Amputation of the Penis 6750

48 Total amputation of the Penis 11000

49 Orchidectomy 6750

50 Epididymectomy 6300

51 Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma 20400

52 Operations for Hydrocele - Unilateral 3900

53 Operations for Hydrocele - Bilateral 5700

54 Vasectomy (Should be free for Family Welfare) 0

55 Operation for Torsion of Testis 6000

56 Vasovasostomy 10800

57 Operations for Varicocele 6750

58 Block Dissection of Inguinal Nodes - One Side 12000

59 Block Dissection of Inguinal Nodes - Both Sides 16500

60 Excision of Filarial Scrotum 9600

61 Emergency Dialysis Femoral Puncture 750

62 Emergency Dialysis Subclavian Puncture 1010

63 Fistula/Shunt 3750

64 Dialysis Femoral Catheterisation Bilateral 1000

65 Haemo Dialysis 960

66 Double Lumen Sub Clavian Catheter 1400

67 Continuous Arterio Venus Dialysis (CAVD) 11250

68 Subclavian Access 900

69 Femoral Access 900

70 Plasma Exchange 1616

71 Donor Nephrectomy 18000

72 Renal Transplantation 148000

73 Ureteric Reimplant 18000

74 Lymphocoel 9000

75 Transplant Nephrectomy 17000

76 Bilateral Nephrouretectomy (Native) 17000

77 Vascular Prosthetic Graft 20000

78 CAPD 4500

79 PCNL - Unilateral 16000

80 PCNL - Bilateral 18000

81 Palomo’s Unilateral 4500

82 Palomo’s Bilateral 9000

58

83 Endoscopic Teflon Inject 3400

84 Testicular Biopsy 2775

85 Gil-Verner’s Extended Pyelolithotomy 13350

86 Nephrectomy Complicated Tumour or Adhesions 15000

87 Anderson Hynes Pyeloroplasty 12000

88 Vasico Vaginal Fistula Repair 12000

89 Radical Cystectomy 18000

90 Caeco Cystoplasty 10000

91 Nephrectomy Simple 12000

92 Nephrostomy 7300

93 Ureteric Reimplant 7300

94 Partial Cystectomy 10000

95 TURP & TUR Bladder Tumour 13500

96 TURP Cystolithotripsy 14400

97 Open Prostatectomy 12900

98 Closure of Urethral Fistula 7500

99 Orchidopexy - Unilateral 6600

100 Orchidopexy - Bilateral 8250

101 Cystolithotomy -Suprapubic 7350

102 Endoscopic Removal of Stone in Bladder 2500

103 Resection Bladder Neck Endoscopic 7800

104 Ureteroscopic Removal 10000

105 Cystoscopic Basketing of Urethra 6000

106 Urethroplasty 1st Stage 7500

107 Optical Urethrotomy 6000

108 Exploratory Scrototomy 5700

109 Perineal Urethrostomy 4500

110 Dilatation of Stricture Urethra under G.A. 1815

111 Dilatation of Stricture Urethra without Anesthesia 1350

112 Retroperitoneoscopy Nephrectomy 23000

113 Retroperitoneoscopy partial Nephrectomy 23000

114 Retroperitoneoscopic nephrolithotomy 18000

115 Retroperitoneoscopic pyelolithotomy 18000

116 Retroperitoneoscopic operation for Hyderonephrosis 18000

117 Retroperitoneoscopic surgery for Renal cyst 18000

118 Retroperitoneoscopic ureterolithotomy 18000

119 Retroperitoneoscopic Nephroureteroectomy 23000

120 Laproscopy aassisted orchidopexy 17500

121 Laproscopic operation for varicocele 14500

122 Lithotripsy 18000

59

Procedure Rates

Procedure Category: Gynae, Operation Charges

w.e.f. 29/10/2007


1 Abdominal Hysterectomy 13000

2 Vaginal Hysterectomy 13000

3 Myomectomy 10500

4 Vaginoplasty 11700

5 Laparotomy (Ectopic Pregnancy) 10500

6 Vulvectomy (Simple/Radical) 15000

7 RVF Repair 15000

8 Other Major Operations 15000

9 Manchester Operations 12000

10 Perineorrhaphy 9750

11 Colporraphy 8250

12 Modified Gilliam 10000

13 Shirodkar’s Operation 7500

14 Diagnostic Curettage 1650

15 Fractional Curettage 2000

16 D & C and Cervical Biopsy 2000

17 Polypectomy 1100

18 Other-Minor Operation 2400

19 Excision Vaginal Cyst/Burtholin Cyst 2400

20 Excision Vaginal Septum 3500

21 Laparoscopy Diagnostic 4000

22 Laparoscopy Sterilisation 3500

23 Laparoscopy Operative 12000

24 Laparoscopy LAVH 16500

25 Drilling of Overy 7000

26 Myomectomy 9500

27 Ectopic pregnancy 12000

28 Hysteroscopy ICRE 10000

29 Hysteroscopy Removal of IUCD 1600

30 Hysteroscopy Removal of Septum 7600

31 Hysteroscopy Diagnostic 3325

32 Werthimas Hystrectomy for Cancer cervix 17000

33 Sterilisation Post Pertum 3000

34 Sterilisation Intravaginal 2900

35 Abortion- D & C 1750

36 Abortion- Evacuation 2100

37 MTP- 1st Trimester 2200

38 MTP - 2nd Trimester 3400

60

Procedure Rates

Procedure Category: Laproscopic Operations In Gen. Surgery / Gastrohepatic / Nephro-

w.e.f. 29/10/2007


1 Laproscopic Pyloromyotomy 16000

2 Laproscopic Gastrostomy 14500

3 Laproscopic Closure of Perforated peptic ulcer 17500

4 Laproscopic Vagotomy Pyleroplasty/ gastro jejunostomy 18000

5 Laproscopic umbilical hernia repair 17000

6 Laproscopic ventral hernia repair 17000

7 Laproscopic cystogastrostomy 19750

8 Lap. Cholecystectomy & CBD exploration 15000

9 Lap. Hydatid of liver surgery 17750

10 Lap. Hepatic resection 24500

11 Lap. Assisted small bowel resection 18250

12 Lap. For intestinal obstruction 18000

13 Lap. For intestinal perforation 17500

14 Lap. Assisted Right Hemicolectomy 19500

15 Lap. Assisted left Hemicolectomy 19500

16 Lap. Assisted Total Colectomy 25000

17 Laproscopic Rectopexy 22750

18 Lap. Asisted Abdominoperineal Resection of rectum 25000

19 Lap. Assisted anterior resection 25000

20 Laproscopic Cholecystectomy 16400

21 Laproscopic Appendicectomy 15000

22 Laaproscopic Hernia Repair 17000

23 Laproscopic Hiatus Hernia Repair 18000

24 Laproscopic Adrenalectomy 16800

25 Laproscopic Thyroidectomy 23000

26 Laproscopic Spleenectomy 18000

27 Laproscopic Colectomy 20000

28 Laproscopic donor Nephroctomy 18000

29 Infra red coagulation in Haemeroohoids 5000

30 Laproscopic Pyelolithotomy 17750

31 Laproscopic ureterolithotomy 17080

61

Procedure Rates

Procedure Category: Histopathology w.e.f. 29/10/2007


1 Pap Smear 100

2 Histopathology 150

3 Frozen section & Paraffin section 150

4 Vaginal Cytology for Hormonal evaluation 100

62

Procedure Rates

Procedure Category: Oesophagus w.e.f. 29/10/2007


1 Atresia of Oesophagus and Tracheo Oesophageal Fistula 16500

2 Operations for Replacement of Oesophagus by Colon 20400

3 Oesophagectomy for Carcinoma Easophagus 20400

4 Oesophageal Intubation (Mausseau Barbin Tube) 9000

5 Achalasia Carida Transthoracic 9700

6 Achalasia Carida Abdominal 9000

7 Oesophago Gastrectomy for mid 1/3 lesion 18825

8 Heller’s Operation 15000

9 Colon-Inter position or Replacement of Oesophagus 16520

10 Oesophago Gastrectomy – Lower Corringers procedure 13500

63

Procedure Rates

Procedure Category: Removal Of Foreign Bodies

w.e.f. 29/10/2007


1 Removal of F.B. Superficial 200

2 Removal of F.B. Deep 1500

64

Procedure Rates

Procedure Category: Oxygen Charges w.e.f. 29/10/2007


1 Operation theatre(including supply of Nitrous Oxide) 350

2 Casuality ICU 30

3 General Ward 30

4 Semi-private wards 30

65

Procedure Rates

Procedure Category: X-Ray w.e.f. 29/10/2007


1 Fluroscopy chest 70

2 Dental 50

3 Occlusal 60

4 Abdomen AP or Erect (one film) 100

5 Abdomen Lateral view (one film) 100

6 Abdomen for Pregnancy 100

7 Chest PA view (one film) 100

8 Chest Oblique or Lateral (One film) 100

9 Mastoids 100

10 Extremities, bones & Joints (one film) 100

11 Pelvis (One film) 100

12 Paranasal sinuses (One film) 100

13 T.M. Joints (One film) 100

14 Abdomen & pelvis for K.U.B. 104

15 Skull A.P. & Lateral 160

16 Spine A.P. & Lateral 160

17 Barium Swallow 450

18 Sinography/ Sialography 500

19 Cystography/ Urethrography 650

20 Hystero-Salpaingography 655

21 Arthrography 565

22 Retrograde Pyelography 650

23 Oral or I.V. Cholecystography 625

24 Barium Enema 770

25 Barium Meal Upper or Lower 800

26 Bronchography 875

27 I.V. Urography 940

28 Myelography 900

29 Pneumo Encephalography 750

30 Barium meal Complete 1065

31 Cerebral/Femoral Angiography 1125

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