RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS...

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RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU S.No. NAME OF INVESTIGATION For NABL / Imaging Centres DENTAL 1 Dental IOPA X-ray 60 2 Occlusal X-ray 80 3 OPG X-ray 200 PULMONARY - 4 Lung Ventilation & Perfusion Scan (V/Q Scan) 2,440 5 Lung Perfusion Scan 2,440 OSTEOLOGY - 6 Whole Body Bone Scan with SPECT. 3,500 7 Three phase whole body Bone Scan 2,240 NEUROSCIENCES - 8 Brain Perfusion SPECT Scan with Technetium 99m radiopharmaceuticals. 3,940 9 Radionuclide Cisternography for CSF leak 4,380 GASTRO AND HEPATOBILIARY - 10 Gastro esophageal Reflux Study (G.E.R. Study) 1,375 11 Gastro intestinal Bleed (GloB.) Study with Technetium 99m labeled RBCs. 1,970 12 Hepatobiliary Scintigraphy. 1,280 13 Meckel's Scan 1,200 14 Hepatosplenic scintigraphy with Technetium-99m radiopharmaceuticals 1,440 15 Gastric emptying 1,440 GENITOURINARY - 16 Renal Cortical Scintigraphy with Technetium 99m D.M.S.A. 1,600 17 Dynamic Renography. 1,600 18 Dynamic Renography with Diuretic. 1,600 19 Dynamic Renography with Captopril 2,300 20 Testicular Scan 1,440 ENDOCRINOLOGY - 21 Thyroid Uptake measurements with 131- Iodine. 1,600 22 Thyroid Scan with Technetium 99m Pertechnetate. 690 23 lodine-131 Whole Body Scan. 2,220 24 Whole Body Scan with M.I.B.G. 3,940 25 Parathyroid Scan 3,600 RADIO-ISOTOPE THERAPY - 26 131-lodine Therapy Listed Under Treatment Procedures 27 131-lodine Therapy <15mCi Listed Under Treatment Procedures 28 131-lodine Therapy 15-50mCi Listed Under Treatment Procedures

Transcript of RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS...

Page 1: RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS …msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File429.pdf · rates for diagnostic labs & imaging centres cghs bengaluru

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

DENTAL1 Dental IOPA X-ray 60 ����

2 Occlusal X-ray 80 ����

3 OPG X-ray 200 �����

PULMONARY - �����

4 Lung Ventilation & Perfusion Scan (V/Q Scan)

2,440 �����

5 Lung Perfusion Scan 2,440 �����

OSTEOLOGY - �����

6 Whole Body Bone Scan with SPECT. 3,500 �����

7 Three phase whole body Bone Scan 2,240 ������

NEUROSCIENCES - �����

8 Brain Perfusion SPECT Scan with Technetium 99m radiopharmaceuticals.

3,940 � ���

9 Radionuclide Cisternography for CSF leak 4,380 � � �

GASTRO AND HEPATOBILIARY - �����

10 Gastro esophageal Reflux Study (G.E.R. Study)

1,375 ������

11 Gastro intestinal Bleed (GloB.) Study with Technetium 99m labeled RBCs.

1,970 ������

12 Hepatobiliary Scintigraphy. 1,280 ������

13 Meckel's Scan 1,200 �����

14 Hepatosplenic scintigraphy with Technetium-99m radiopharmaceuticals

1,440 ����

15 Gastric emptying 1,440 ����

GENITOURINARY - �����

16 Renal Cortical Scintigraphy with Technetium 99m D.M.S.A.

1,600 �� ���

17 Dynamic Renography. 1,600 �� ���

18 Dynamic Renography with Diuretic. 1,600 �� ���

19 Dynamic Renography with Captopril 2,300 ������

20 Testicular Scan 1,440 ����

ENDOCRINOLOGY - �����

21 Thyroid Uptake measurements with 131-Iodine.

1,600 �� ���

22 Thyroid Scan with Technetium 99m Pertechnetate.

690 �����

23 lodine-131 Whole Body Scan. 2,220 ������

24 Whole Body Scan with M.I.B.G. 3,940 � ���

25 Parathyroid Scan 3,600 � ����

RADIO-ISOTOPE THERAPY - �����

26 131-lodine Therapy Listed Under Treatment

Procedures

��������������

����������

����������� 27 131-lodine Therapy <15mCi Listed Under Treatment

Procedures

��������������

����������

����������� 28 131-lodine Therapy 15-50mCi Listed Under Treatment

Procedures

��������������

����������

�����������

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RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

29 131-lodine Therapy 51-100mCi Listed Under Treatment

Procedures

��������������

����������

����������� 30 131-lodine Therapy >100mCi Listed Under Treatment

Procedures

��������������

����������

����������� 31 Phosphorus-32 therapy for metastatic

bone pain palliation

Listed Under Treatment

Procedures

��������������

����������

����������� 32 Samarium-153 therapy for metastatic bone

pain palliation

Listed Under Treatment

Procedures

��������������

����������

����������� 33 Radiosynovectomy with Yttrium Listed Under Treatment

Procedures

��������������

����������

�����������CARDIOLOGY - �����

34 Stress thallium / Myocardial Perfusion Scintigraphy

2,950 �����

35 Rest thallium / Myocardial Perfusion Scintigraphy

1,850 ���� �

36 Venography 1,000 �����

37 ECG 50 �� �

38 STRESS ECHO- DOBUTAMINE Listed Under Treatment

Procedures

��������������

����������

����������� 39 STRESS ECHO- EXERCISE 640 �����

40 TMT 500 ����

41 TEE 500 ����

42 Lymph angiography 1,650 ���� �

TUMOUR IMAGING - �����

43 Scintimammography. 3,650 � �� �

44 Indium lableled octeriotide Scan. 63,200 �� ���

PET SCAN - �����

45 FDG Whole body PET / CT Scan 21,000 �������

46 Brain I Heart FDG PET / CTScan, 15,000 ������

47 Gallium-68 Peptide PET / CT imaging for Neuroendocrine Tumor

17,000 �������

48 Non-FDG PET / CT Scan - �����

Laboratory Medicine - �����

Clinical Pathology - �����

49 Urine routine- pH,Specific gravity,sugar,protein and microscopy

39 � �

50 24 hrs urine for Proteins,Sodium,creatinine 38 � �

51 Urine-Microalbumin 150 ����

52 Quantitative Albumin/Sugar 24 ���

53 Urine Bile Pigment and Salt 35 � ��

54 Urine Urobilinogen 20 ����

55 Urine Ketones 25 ���

56 Urine Occult Blood 24 ���

57 Urine total proteins 21 ����

58 Bence Jones protein 48 ����

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RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

59 Stool routine 39 � �

60 Stool occult blood 18 ����

61 Post coital smear examination 55 ����

62 semen analysis 80 ����

63 Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc.

55 ����

64 Albumin. 21 ����

65 Creatinine clearance. 90 ����

Haematology - �����

66 Haemoglobin (Hb) 19 ����

67 Total Leucocytic Count (TLC) 32 ���

68 Differential Leucocytic Count (DLC) 32 ���

69 E.S.R. 35 � ��

70 Total Red Cell count with MCV,MCH,MCHC,DRW

35 � ��

71 Complete Haemogram -Hb,RBC count and indices, TLC, DLC, Platelet, ESR, Peripheral smear examination

138 �����

72 Platelet count 45 � ��

73 Reticulocyte count 49 ���

74 Absolute Eosinophil count 50 ���

75 Packed Cell Volume (PCV) 35 � ��

76 Peripheral Smear Examination 44 � ��

77 Smear for Malaria parasite 42 � ��

78 Bleeding & Clotting Time 48 ����

79 Clot Retraction Time 35 � ��

80 R.B.C. Fragility Test 60 ����

81 L.E. Cell 77 ����

82 Foetal Haemoglobin (Hb-F) 140 �����

83 Prothrombin Time (P.T.) 119 �����

84 Bone Marrow Smear Exmination 75 ����

85 Bone Marrow Smear Exmination with iron stain

210 �����

86 Bone Marrow Smear Exmination and cytochemistry where required.

210 �����

87 Partial Thromboplastin 105 ����

88 Glucose Phosphate Dehydrogenase (G, 6PD)

60 ����

89 Rapid test for malaria(card test) 44 � ��

90 WBC cytochemistry for leukemia -Conmplete panel

300 ����

91 Bleeding Disorder panel-BT,CT,Platetlet count,APTT,extended & Dic studies(FDP).

250 �� �

92 Factro Assays-Factor VIII 540 �����

93 Factor Assays-Factor IX 700 �����

94 Factro Assays-other Factors 570 �����

Anti Cardiolipin Antibodies. - �����

95 IgG. 260 ���

96 IgM. 260 ���

97 IgA. 260 ���

Anti Phospholipid Antibodies. - �����

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RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

98 IgG. 260 ���

99 IgM. 260 ���

100 IgA. 260 ���

101 Thalessemia studies 480 �����

102 Hb Electrophoresis 455 � ���

103 Sickling studies 60 ����

Nutritional Markers - �����

104 Serum Iron 100 ����

105 Total Iron Binding Capacity 100 ����

106 Vitamin B.12. 256 ����

107 Folic Acid. 350 ����

108 HDL Cholestrol 80 ����

Blood Bank - �����

109 Blood Group & RHO Type 33 ���

110 Cross match 60 ����

111 Packed cell preparation 40 � ��

112 Coomb’s Test Direct 100 ����

113 Coomb’s Test Indirect 105 ����

114 Australia Antigen 120 ����

115 RHO, Antibody titer 119 �����

116 Blood Components-PRO 530 �����

117 Blood Components -Fresh Frozen Plasma 530 �����

118 Blood Components-Cryoprecipitate 370 � ���

Histopathology - �����

119 Routine-H & E 100 ����

120 special stain 100 ����

121 Immunohistochemistry(IHC) 700 �����

122 Frozen section 630 �� ��

123 Paraffin section 300 ����

Cytology - �����

124 Pap Smear 140 �����

125 Vaginal Cytology for Hormonal evaluation 150 ����

126 Body fluid for Malignant cells 160 �� ��

127 FNAC 180 ��� �

128 special stain on cytology 90 ����

Flow cytometry - �����

129 Leukemia panel /Lymphoma panel 940 �����

130 CD Count: CD3,CD4,CD8 250 �� �

131 PNH Panel-CD55,CD59 900 �����

Cytogenetics - �����

132 karyotyping 1,500 �����

Tumour markers. - �����

133 PSA- Total. 300 ����

134 PSA- Free. 300 ����

135 AFP. 320 ���

136 HCG. 338 ����

137 CA. 125. 400 � ���

138 CA 19,9. 630 �� ��

139 CA 5,3. 630 �� ��

140 Carcioembryonic antigen(CEA) 275 � ��

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RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

Bio-Chemistry - �����

141 Blood Glucose Random 25 ���

142 Blood Urea Nitrogen 45 � ��

143 Serum Creatinine 45 � ��

144 Serum Uric Acid 56 ����

145 Serum Bilirubin total & direct - �����

146 Serum Iron at S.No. 104 ������ �������

147 Serum Cholesterol 60 ����

148 Total Iron Binding Capacity 100 ����

149 Glucose (Fasting & PP) 48 ����

150 Serum Calcium -Total 63 ����

151 Serum Calcium -Ionic 45 � ��

152 Serum Phosphorus 60 ����

153 Total Protein Alb/Glo Ratio 70 ����

154 S.G.P.T. 56 ����

155 S.G.O.T. 56 ����

156 Serum amylase 120 ����

157 Serum Electrolyte 120 ����

158 Triglyceride 70 ����

159 Glucose Tolerance Test (GTT) 100 ����

160 C.P.K. 105 ����

161 L.D.H. 105 ����

162 Alkaline Phosphatase 63 ����

163 Acid Phosphatase 80 ����

164 CK MB 180 ��� �

165 Lithium. 140 �����

166 Dilantin (phenytoin). 235 ����

167 Carbamazepine. 420 � ���

168 Valproic acid. 315 ����

169 Feritin. 315 ����

170 Blood gas analysis 290 ����

171 Blood gas analysis with electrolytes 151 ����

172 Urine pregnancy test 69 ����

173 Hb A1 C 165 �����

174 Kidney Function Test. 170 �����

175 Liver Function Test. 275 � ��

176 Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides)

215 ����

177 Extended Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo B,Lp(a) )

420 � ���

178 Apo A1. 188 �����

179 Apo B. 188 �����

180 Lp (a). 280 � ��

181 LDL. 63 ����

182 Homocysteine. 455 � ���

183 HB Electrophoresis. 450 � � �

184 Serum Electrophoresis. 300 ����

185 Fibrinogen. 360 � ���

186 Chloride. 53 ����

187 Magnesium. 120 ����

188 GGTP. 75 ����

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RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

189 Lipase. 156 �� �

190 Fructosamine. 224 �����

191 �2 microglobulin 100 ����

192 Albumin. 21 ����

193 Catecholamines. 1,350 ������

194 Creatinine clearance. 90 ����

Harmones - �����

195 T3, T4, TSH 150 128 196 T3 60 51 197 T4 60 51 198 TSH 90 77 199 LH 188 159 200 FSH 188 159 201 Prolactin 188 159 202 Cortisol 266 226 203 Enteropoetin 693 589 204 PTH(Paratharmone) 618 525 205 Calcitonin 840 714 206 C-Peptide. 400 340 207 Insulin. 325 276 208 Progesterone. 266 ���

209 17-DH Progesterone. 450 � � �

210 DHEAS. 450 � � �

211 Androstendione. 500 ����

212 Growth Hormone. 350 ����

213 TPO. 385 � ��

214 Throglobulin. 400 � ���

Microbiology & Serology - �����

215 Smear gram-strain examination 48 ����

216 Sputum smear A.F.B. stain 50 �� �

217 Vaginal Smear Examination 50 �� �

218 Direct smear and stain examination for cryptosporidium

70 ����

219 Direct smear and stain examination for P.Carcinei

100 ����

220 LCB Count for mycology 70 ����

221 LCB Count for others 100 ����

222 V.D.R.L. 50 ���

223 TPHA test 210 �����

224 Widal test 65 ����

225 Rheumatoid Factor test 105 ����

226 Culture & Sensitivity -bacterial 100 ����

227 Culture & Sensitivity -Mycobacterial 200 �����

228 Culture & Sensitivity -mycology 170 �����

229 C.R.P. 120 ����

230 C.R.P Quantative 180 ��� �

231 ASO Titer 143 ���

232 Quantitative H.C.G. 80 ����

233 Blood culture & sensitivity- manual 160 �� ��

234 Blood culture & sensitivity-automated 210 �����

235 Vibro cholera culture 200 �����

236 Rapid Blood Culture. 400 � ���

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RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

237 Rapid AFB Culture. 220 �����

238 C.3. 204 ��� �

239 C.4. 204 ��� �

240 IgG. 180 ��� �

241 IgM. 180 ��� �

242 IgA. 180 ��� �

243 ANA. 225 �����

244 Ds DNA. 385 � ��

245 P ANCA. 520 ����

246 C ANCA. 520 ����

Infectuous disease serology - �����

247 HAV. 350 ����

248 HbSAg – Elisa. 147 ����

249 Anti HBS. 35 � ��

250 Anti HBC Total. 462 � � �

251 Anti HBC IgM. 360 � ���

252 HbeAg. 390 � �

253 Anti Hbe. 400 � ���

254 Anti- HCV. 200 �����

255 Anti- HEV. 450 � � �

256 Triple Marker. 650 ��� �

TORCH. - �����

257 IgG. 260 ���

258 IgM. 260 ���

Toxoplasmosis. - �����

259 IgG. 248 ����

260 IgM. 248 ����

CMV(Cytomegalo virus). - �����

261 IgG. 248 ����

262 IgM. 248 ����

HSV. - �����

263 IgG. 248 ����

264 IgM. 248 ����

265 IgE. 400 � ���

Tuberculosis - �����

266 TB IgG. 280 � ��

267 TB IgM. 280 � ��

268 TB IgA. 280 � ��

Rubella - �����

269 Ig G 200 �����

270 Ig M 200 �����

271 Ig A 250 �� �

272 Dengue Serology. 400 � ���

273 Cysticercosis. 500 ����

274 Hydatic Serology. - �����

275 Anti Sperm Antibodies. 406 � ���

HBV DNA. - �����

276 Qualitative. 1,575 �� ��

277 Quantitative. 1,600 �� ���

HCV RNA. - �����

278 Qualitative. 2,310 ������

279 HPV serology #N/A ! "#

Page 8: RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS …msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File429.pdf · rates for diagnostic labs & imaging centres cghs bengaluru

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

280 Rota Virus serology 163 �� ��

281 PCR for TB 975 ����

282 PCR for HIV 630 �� ��

283 Chlamydae antigen 320 ���

284 chlamydae antibody 280 � ��

285 Brucella serology 170 �����

286 Influenza A serology 943 �����

USG, X-ray , CT, MRI, Bone Densitometry - �����

287 USG for Obstetrics - Anomalies scan 260 ���

288 Abdomen USG 300 ����

289 Pelvic USG ( prostate, gynae, infertility etc)

280 � ��

290 Small parts USG ( scrotum, thyroid , parathyroid etc)

290 ����

291 Neonatal head (Tranfontanellar) 300 ����

292 Neonatal spine 500 ����

293 Contrast enhanced USG 990 ����

294 USG Breast 300 ����

295 USG Hystero-Salpaingography (HSG) 300 ����

296 Colour Doppler , Carotid artery 600 �����

297 Colour Doppler, Peripheral Artery/Veins 830 �����

298 Colour doppler, renal arteries/any other organ

150 ����

299 USG guided intervention-aspiration 250 �� �

300 USG guided intervention- FNAC 525 �����

301 USG guided intervention - biopsy Listed Under Treatment

Procedures

��������������

����������

����������� 302 USG guided intervention - nephrostomy 875 �����

X-Ray - �����

303 Abdomen AP Supine or Erect (One film) 140 �����

304 Abdomen Lateral view (one film) 140 �����

305 Pelvimetry 140 �����

306 Chest PA view (one film) 70 ����

307 Chest Lateral (one film) 70 ����

308 Mastoids: Towne view, oblique views (3 films)

290 ����

309 Extremities, bones & Joints AP & Lateral views (Two films)

220 �����

310 Pelvis A.P (one film) 140 �����

311 T. M. Joints (one film) 140 �����

312 Abdomen & Pelvis for K. U. B. 140 �����

313 Skull A. P. & Lateral (2 films) 280 � ��

314 Spine A. P. & Lateral (2 films) 280 � ��

315 PNS view (1 film) 140 �����

X ray Contrast studies - �����

316 Barium Swallow 370 � ���

317 Barium Upper GI study 570 �����

318 Barium Upper GI study (Double contrast) 610 �����

319 Barium Meal follow through 900 �����

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RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

320 Barium Enema (Single contrast/double contrast)

640 �����

321 Small bowel enteroclysis 1,180 ���� �

322 ERCP (Endoscopic Retrograde Cholangio – Pancreatography)

2,750 � ��

323 General :Fistulography

/Sinography/Sialography/Dacrocystograph

y/ T-Tube cholangiogram/Nephrostogram

740 ����

324 Percutaneous transhepatic cholangiography (PTC)

1,400 ������

325 Intravenous Pyelography (IVP) 1,200 �����

326 Micturating Cystourethrography (MCU) 640 �����

327 Retrograde Urethrography (RGU) 360 � ���

328 Contrast Hystero-Salpingography (HSG) 690 �����

329 X ray - Arthrography - �����

330 Cephalography 150 ����

331 Myelography 2,500 ����

332 Digital Subtraction Angiography (DSA) – Cerebral arteries

8,010 ������

333 Digital Subtraction Angiography (DSA) – Peripheral Artery/arteries

8,010 ������

334 Digital Subtraction Angiography (DSA) - abdomen

- �����

335 Digital Subtraction Angiography (DSA) - chest

- �����

Mammography - �����

336 X-ray Mammography 500 ����

337 Ultrasound Mammography 300 ����

338 MRI Mammography 1,450 �� �

CT - �����

339 CT Head-Without Contrast 1,050 ��� �

340 CT Head- with Contrast (+/- CT angiography)

1,350 ������

341 C. T. Chest - without contrast (for lungs) 2,000 ������

342 C. T. Chest - with contrast (+/- CT angiography)

2,500 ����

343 C. T. Scan Upper Abdomen Without Contrast

1,700 ������

344 C. T. Scan Upper Abdomen With Contrast

2,400 �����

345 C. T. Scan Lower Abdomen Without Contrast

1,700 ������

346 C. T. Scan lower Abdomen With Contrast 2,400 �����

347 C. T. Scan Whole Abdomen Without Contrast

2,100 ������

348 C. T. Scan Whole Abdomen With Contrast 2,400 �����

349 CT angiography abdomen 5,000 �����

350 CT enteroclysis 3,150 �����

Page 10: RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS …msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File429.pdf · rates for diagnostic labs & imaging centres cghs bengaluru

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

351 C. T. Scan Neck (Thyroid, parathyroid, Soft Tissues) – Without Contrast

1,800 ��� ��

352 C. T. Scan Neck – With Contrast 2,200 ������

353 C. T. Scan Orbits - Without Contrast 1,400 ������

354 C. T. Scan Orbits - With Contrast 1,900 ������

355 C. T. Scan of Para Nasal Sinuses- Without Contrast

1,200 �����

356 C. T. Scan of Para Nasal Sinuses - With Contrast

1,500 �����

357 C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)–without contrast

1,200 �����

358 CT Temporal bone – without contrast 1,050 ��� �

359 CT - Dental 1,500 �����

360 C. T. Scan Limbs -Without Contrast 2,000 ������

361 C. T. Scan Limbs -With Contrast including CT angiography

2,650 �� �

362 C.T. Guided intervention – Biopsy /FNAC 1,500 �����

363 C. T. Guided intervention -percutaneous

catheter drainage / tube placement

1,535 �� ���

MRI - �����

364 MRI Head – Without Contrast 2,350 ������

365 MRI Head – With Contrast 3,350 �����

366 MRI Orbits – Without Contrast 1,700 ������

367 MRI Orbits – With Contrast 600 �����

368 MRI Nasopharynx and PNS – Without Contrast

2,500 ����

369 MRI Nasopharynx and PNS – With Contrast

3,500 �����

370 MRI Neck - Without Contrast 2,400 �����

371 MRI Neck- with contrast 5,000 �����

372 MRI Shoulder – With contrast 2,500 ����

373 MRI Shoulder – Without contrast 2,500 ����

374 MRI shoulder both Joints - Without contrast

2,500 ����

375 MRI Shoulder both joints – With contrast 5,000 �����

376 MRI Wrist Single joint - Without contrast 2,500 ����

377 MRI Wrist Single joint - With contrast 5,000 �����

378 MRI Wrist both joints - Without contrast 2,500 ����

379 MRI Wrist Both joints - With contrast 5,000 �����

380 MRI knee Single joint - Without contrast 2,500 ����

381 MRI knee Single joint - With contrast 5,000 �����

382 MRI knee both joints - Without contrast 2,500 ����

383 MRI knee both joints - With contrast 5,000 �����

384 MRI Ankle Single joint - Without contrast 2,500 ����

385 MRI Ankle single joint - With contrast 5,000 �����

386 MRI Ankle both joints - With contrast 2,500 ����

Page 11: RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS …msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File429.pdf · rates for diagnostic labs & imaging centres cghs bengaluru

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

387 MRI Ankle both joints - Without contrast 2,500 ����

388 MRI Hip - With contrast 2,500 ����

389 MRI Hip – without contrast 3,000 �����

390 MRI Pelvis – Without Contrast 2,500 ����

391 MRI Pelvis – with contrast 5,000 �����

392 MRI Extremities - With contrast 5,000 �����

393 MRI Extremities - Without contrast 2,500 ����

394 MRI Temporomandibular - Single Joint - With contrast

5,000 �����

395 MRI Temporomandibular - Single Joint - Without contrast

2,500 ����

396 MRI Temporomandibular Double Joint - With contrast

5,000 �����

397 MRI Temporomandibular Double Joint - Without contrast

2,500 ����

398 MRI Abdomen – Without Contrast 2,500 ����

399 MRI Abdomen – With Contrast 5,000 �����

400 MRI Breast - With Contrast 5,000 �����

401 MRI Breast - Without Contrast 2,000 ������

402 MRI Spine Screening - Without Contrast 1,000 �����

403 MRI Chest – Without Contrast 2,500 ����

404 MRI Chest – With Contrast 5,000 �����

405 MRI Cervical Spine – Without Contrast 2,500 ����

406 MRI Cervical Spine – With Contrast 3,500 �����

407 MRI Dorsal Spine - Without Contrast 2,500 ����

408 MRI Dorsal Spine – With Contrast 3,500 �����

409 MRI Lumbar Spine – Without Contrast 2,500 ����

410 MRI Lumbar Spine – With Contrast 5,000 �����

411 Whole body MRI (For oncological workup) 6,000 ������

412 MRI Angiography – Without Contrast 1,200 �����

413 MRI Angiography – With Contrast 4,900 ������

414 MR cholecysto-pancreatography. 2,500 ����

415 MR Enteroclysis 2,500 ����

Bone Densitometry - �����

416 Bone Densitometry - Single Site 630 �� ��

417 Bone Densitometry - Two sites 1,200 �����

418 Bone Densitometry - Three sites (Spine, Hip & extremity)

1,800 ��� ��

419 Bone Densitometry Whole body 1,800 ��� ��

NEUROLOGICAL INVESTIGATIONS AND PROCEDURES

- �����

420 EEG/Video EEG 350 ����

421 EMG (Electro myography) 750 �� ��

422 Nerve condition velocity (at least 2 limbs)

750 �� ��

423 Decremental response (before and after neo stigmine)

700 �����

424 Incremental response 410 � ���

Page 12: RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS …msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File429.pdf · rates for diagnostic labs & imaging centres cghs bengaluru

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

425 SSEP (Somato sensory evoked potentials)

750 �� ��

426 Poly somnography 750 �� ��

427 Brachial plexus study 750 �� ��

428 Muscle biopsy 450 � � �

429 ACHR anti body titre 2,250 ���� �

430 Anti MUSK body titre 9,500 ������

431 Serum COPPER 280 � ��

432 Serum ceruloplasmin 440 � ���

433 Urinary copper 280 � ��

434 Serum homocystine 455 � ���

435 Serum valproate level 365 � ���

436 Serum phenol barbitone level 320 ���

437 Coagulation profile 500 ����

438 Protein C, S anti thrombine – III 2,565 �����

439 Serum lactate level 225 �����

CSF - �����

440 a. Basic studies including cell count, protein, sugar, gram stain, India Ink preparation and smear for AFP

240 ����

441 b. Special studies 1,200 �����

442 PCR for tuberculosis/ Herpes simplex 960 �����

443 Bacterial culture and sensitivity 200 �����

444 Mycobacterial culture and sensitivity 200 �����

445 Fungal culture 150 ����

446 Malignant cells 75 ����

447 Anti measles antibody titre (with serum antibody titre)

640 �����

448 Viral culture 300 ����

449 Antibody titre (Herpes simplex, cytomegalo virus, flavivirus, zoster varicella virus)

1,130 �����

450 Oligoclonal band 630 �� ��

451 Myelin Basic protein - �����

452 Lactate 210 �����

453 Crypto coccal antigen 350 ����

TESTS IN GASTRO-ENTEROLOGY - �����

454 a. D-xylase test 525 �����

455 b. Fecal fat test/ fecal chymotrypsin/ fecal elastase

- �����

456 c. Breath tests - �����

457 d. H pylori serology for ciliac disease 540 �����

458 e. HBV genotyping 2,730 � ��

459 f. HCV genotyping 5,265 ������

Tests in Endocrinology ( in addition to those included under Harmones)

- �����

460 Urinary VMA 900 �����

461 Urinary metanephrine/Normetanephrine 990 ����

Page 13: RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS …msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File429.pdf · rates for diagnostic labs & imaging centres cghs bengaluru

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS BENGALURU

S.No. NAME OF INVESTIGATION For NABL / Imaging Centres

����������

462 Urinary free catecholamine 1,410 ������

463 Serum catecholamine 1,485 ����

464 Serum aldosterone 960 �����

465 24 Hr urinary aldosterone 920 ����

466 Plasma renin activity 1,235 ������

467 Serum aldosterone/renin ratio 960 �����

468 Osmolality urine 150 ����

469 Osmolality serum 150 ����

470 Urinary sodium 60 ����

471 Urinary Chloride 50 �� �

472 Urinary potassium 60 ����

473 Urinary calcium 94 ����

474 Anti TPO ante body 390 � �

475 Thyroid binding globulin 440 � ���

476 Serum cotisole 300 ����

477 24 hr urinary free cotisole 400 � ���

478 Islet cell antebody 900 �����

479 GAD antibody 1,330 ��� ��

480 Insulin associated antibody 449 � ���

481 IGF-1 960 �����

482 IGF-BP3 1,040 �����

483 Sex hormone binding globulin 300 ����

484 USG guided FNAC thyroid gland 455 � ���

485 FT3 96 ���

486 FT4 90 ����

487 FT4/TSH 100 ����

488 FT3/FT4/TSH 300 ����

489 E2 245 ����

490 Thyro globulin antibody 420 � ���