CGHS rates for Cancer surgery for hospitals empanelled under CGHS
Scanned by CamScanner - CGHS Mumbai...SUB. :- Recognition . of private hospitals/diagnostic centers...
Transcript of Scanned by CamScanner - CGHS Mumbai...SUB. :- Recognition . of private hospitals/diagnostic centers...
-
Scanned by CamScanner
-
CONTENTS.
1- . .
Office Memorandum dated 9. 7 .2002 from Ministry of Health and F.W . •.
2. List of Recognized Hospitals
- Annexure -· A
List of Recognized Diagnostic Centres
- Annexnre, -B
4. Package Rates of
3.
(a) Various treatment/ Procedure
(b) Specialized Procedure/ Investigations
(c) New Procedure
- Annexure - C
1-4
5-6
7-7
8-42
43-55
56-64
Scanned by CamScanner
-
I
F. No. S. 11011/2.8/2001-CGHS Desk.II/ CGHS(P) GOVERNMENT OF INDIA
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi. Dated: 9th July, 2002.
OFFICE l\1E1'10Ri\NDUM
SUB. :- Recognition . of private hospitals/diagnostic centers under CGHS, Mumbai for specialized and general purpose treatment and diagnostic procedures
and fixation of package/celhng rates - regarding.
The undersigned is directed to say that the issue of fresh recognition of private hospitals and diagnostic centers for treatment of CGHS beneficiaries under CGHS, Mumbai and fixation of package/ceiling rates has been under consideration of the Government for quite some time. Lt has now been decided to recognize the ho
-
ANNEXURE 'C,
Package Rates of Various. Treatment/Prucedure offered by CGHS to Hospitnls/Diagnostic Centres for Recegnition under CGIIS
Mumbai, for General Purpose treatment
S. No. Package cost in rupees (semi private) Name of the Procedure
1. OUT PATrENT
1.1.1
LJ .2
First Vi.sit Revisited or each subsequent visit
40.00
30.00
1.2..l
1.2 Private if any
• 1.2_2
IJ
1.3. I
1.3.2
1.4
1.4. l
l .4.2
First Visit
Revisit ur each subsequent visit
By Medical officers/Resident doctors First visit
Revisit or each subsequent visit
By Specialists
First visit
Revisit or each subsequent visit
aoon 60.00
40.00
30.00
80.00
60.00
1.5 Out patient procedure
Injections - 20.00 .
20.00
20.00
252.00
40.00
80.00
160.00
321.00
505.00
1.5.1.
L5.2
1.5.3
1.5.4. 1."5.4.l.
LS.4.2.
1.5.4.3.
SC IM lV
IV (Chemotherapy)
Dressings Small
Medium
Large
Suturing without local anaesthesia
Suturing with local anaesthesia Removal of Foreign- body
Cy 51:
505.00
909.00
909.00 Benign Tumor
8
Scanned by CamScanner
-
S.No .. Name of the Procedure
1.5.5. Aspiration
l.5.5.1. Plural Effusion
l.5.5.1.1. Diagnostic
l.5.5.1.2. Therapeutic
1.5.5.2. Abdominal
1.5.5 .2. l. Diagnostic· .. . I.5.52.2. Therapeutic
1.5.5.3. Pericardia!
1.5.5,.,4. Bone Marrow 1.55.5. Joints
1.6. Biopsy
1.6.l. Skin ex:cept Hensens
i.6.2. Lymphnode
1.6.3 Liver
1_7 Strapping
1.8 Removal of stitches
1.9 Venesection
1.10 Phjmosis Under LA
1. ll . Lumber puncture 1.1.2 Sternal puncture
1.13 Injection for
1.13. l Haemorrhoids
l. l3.2 Varicose veins
1.14 Catheterisation
1.15 Dilatation of Urethra 1.16 Incision & Drainage
1.17 lntercostal Drainage
Package cost in rupees (semi private)
485.00
808.00
808.00
Ll 11.00
909.00
565.00
485.00
252.00
909.00
909.00
100.00
60.00
242.00
1212.00
646.00
565.00
roio.oo 1212.00
100.00
996.00
485.00
808.00
9
Scanned by CamScanner
-
S.NO. Name of the Procedure Package cost in rupees (semi private)
1.18
1.19
1.2.0
1.21
1.22
1.23
2.
2.1
2.-Z
2.2.1 2.2.2
2.2.3
2.2.4
2.2.5
2.2.6
2.2.7
2.2.8
3.
3J .
J.2
3..3
3.4
3.5
3.6
3.7
3.8
3.9
3.10
Lung Junction lest 565.00
126.00
101 .no 606.00
1212.00
1818.00
E. C. G.
E. E.G.
Incubation (per day)
Stress test
Peritoneal dialysis
SKIN
Skin Biopsy
Excision Moles Warts
Sela cysts
Mollus cum contrabiosum . Veneral Warts
354.00
505.()0
505.00
505 . .00
505.00
505.00
505.00
252.00
)00.00
Corns
1/D Injection keloid or Acne
Chemical cautery (per sittings)
E.N.T.
Pure Tone Audiogram
lmpedencc & other tests
SISI. Tone Decay & Difference times
Multiple bearing assessment test for Adults
Hearing Aid selection
Hearing Aid analysis
Speech Discrimination score
Speech Assessment
Speech.therapy per session of 30110 minutes
Cold Calorie Test for vestibular function
:252.00
252.00
252.00
404.00
354.00
202.00
100.00
160.00
120.00
202.00
lO
Scanned by CamScanner
-
S .. No. Package cod in rupees (semi private) Name of the Procedure
3.11
3. l 1.1
3.11.2
3.12
3.13
3.14
3.15
4.
4.1 . 4 I I
4.1.2
4.2
4.2.l
4.2.2
4.3
it .3 .1
4.3.2
4.4
4.5
4.6
4.7
4.8
4.9
4.10
1.11
4.11. l
4. 11.2
4.11-3
Cauterisation of ulcer/subconjunctival injection
One eye
Both eyes
Retrobular injection
One eye
Both Eyes
Syringing of Lacrimal sac
For one eye
For both eyes
Paracentesis
Removal of foreign hody
From Nose
From Ear
Repair ear lobe
Syringing
Polyp removal under Lt\
Peritonsillar abscess drainage under LA
EYE
Foreign body removal
Refract i on/Fundoscopy Ortho-optic check up
Ortho-optic exercises
Plcpoptic Exercises Pcrimetry/ field test Chalazion operation
One Eye Both Eyes
· Dressing
tl
303.00
JOJ.00
969.00
303.00
646.00
1293.00
160.00
242.00
160.00
303.00
160.00
242.00
808.00
323.00
80.00
80.00
)00.00
100.00
323.00
707.00
808.00
100.00
Scanned by CamScanner
-
S. No. Name of the Procedure Pm!kltge cost in rupees (semi private)
5. ORTHOPAEDIC AND PLASTER \VORK 5.1
5.2
5.3
5.3.1 '5.3.2
5 .. 4 5.5
5.6 . 5.7
5.8
5.9
5.lO
S.11 - .5.12
5.13
5.14
5.15
5. l 6 . 5.17
5.17.l
5.17.2
5.17.3
5.17.4
S.17 .. 5
5.17.6
5.17.7
5.17.8
Fingers (post, slab)
Fingers fu II plaster Colles *fracture
Below elbow Full plaster
Colles fracture Ant. nr post. slab
Above elbow full plaster
" •• post-slab
Below knee full plaster
242.00
242.00
•• •• post-slab
1111.00
1818.00
909.00
1010.00
646.00
rn I 0.00 646.00
1 S 15.00
2626.00
2222.00
3030.00
3030.00
3030.00
· 30'.JU.OO
36J:6.00
Tube Plaster {or plaster cylinder)
Above knee full plaster
" " full slab
Minerva Jacket
. Plaster Jacket
Shoulder spika
Single hip spika
Double hip spiky
STRAPPING
Finger
Toes
160.00
160.00
323.00
323.00
323.00
323.00
485.00
485.00
\Vrist
Elbow
Knee
Ankle Ch-est
Shoulder
l2
Scanned by CamScanner
-
' Name of the Procedure' Package cost in rupees (semi prhr.at~)
S.17.9
5.J 7.10
5.7.11
5.7.12
6.
6.1.
6.1.1
6.1.2 . 6.1.3
6. 1.4
6.1 .. 5
-6. J .6
6.1.7
6.1.8
6.2
6.2.1
6.2.2
6.2.3
6.3
6.3.l
-
S.No. Package cost in rupees (semi private) Name or the Procedure
7.
7.1.
7.2
7.3
7.4
7 .5.1
7.5.2
7.6
7.7 .. 7.8
7.9 8.
8.1
8.2
8.3
8.J.l
8.3.2
8.4. . 8.4.1
8.5.
8.6
8.7 9.
9.1
9_2
9.3
9.4
9 .. 5
9.6
DE:vIAL Extraction of tooth including LA
Complicated Ext. per Tooth including LA flap Operation per Tooth
Gingivcctorny per tooth
Cyst under LA (smalt)·
I00.00
202.00
404.00
242.00
303.00
505.00
646.00
646.00
808.00
80 .. 00
« " cc (large)
Apiscectomy including LA
Irnplacted Matar including LA
Fracture wiring including LA
Intra oral Xsray OTHERS
Upper G.L Endoscopy 1616.00
1818.00 « '' " with Biopsy
Oesophageal scierotherapy for varices
First sitting
Subsequent sitting
Sigmoidoscopy (rigid)
Sigmoidoscopy (flexible)
Oesophagosccpy
Cclonoscopy
Fibroptic bronchoscopy X-RAY
2020.00
1616.00
1616 .. 00
1212.00
1212.00
2020.00
2020.00
Fluroscopy chest
DentaI
Ocelusal
Abdomen AP or Erect {one film)
Abdomen Lateral view (one film)
Abdomen for Pregnacy
112.00
56.00
100.00
I 30.00
130.00
130.00
14
Scanned by CamScanner
-
S.No. Package cest in rupees (semi private) Name of the Procedure
9.7
9.8
9.9.
9.lO
9.11
9.12
9.13
9.14
9.15 9.16 •
9.17
9.18
9.J9
9.20
9.2]
9 . .22
9.23
9.24
~).25
9.26
9.27
9.28
9.29
9.30
9.3 l lO
IO.I
I0.1.1 -
Chest PA view (one film) Chest Oblique or T .ateral (one film)
Mastoids
Extremities, bones & Joints (one film)
Pelvis (une film) Paranasal sinuses (one film) . . . T.M. Joints (one film)
Abdomen & pelvis for K.U.8.
Skull A.P. & Lateral Spine A. P. & Lateral
Barium Swallow
Sinography/Sialography Cystography/Unrethrography
Hyslu-Salpai ngography
Arthro graphy
Retrograde Pyclography Oral or I.V. Cholecystography
Barium Enema
Barium Meal Upper or Lower Bronchography
t.v. Urography Myelography
Pneumo Encephalography
Barium meal Complete
Cerebral/Femoral Angiography
ULTRASOUND INVESTIGAT[ONS
Obstetric
First Scan -
15
130.00
L30.00
130.00
130.00
t30.00
130.00
130.00
225.00
225.00
225.00
630 .. 00
560_00
840.00
840.00
630.DO
840.00
700.00
980.00
980.00
980.00
I 050.00
1120.00
840.00
1260.00
1260.00
303.00
30J.OO
Scanned by CamScanner
-
I
S. No. Name of the Procedure . Package cost in rupees (semi prn1a'te)
10.1.2
10.2
W.2.1
10.2.2
10.3
103.1
10.3.2
10.3.3.
.10.3.4
10.3.S
11.
] 1.1
J 1.1
11.3
1 1.4
11.5
11.6
11.7
U.8
l 1. 9
l LlO
l 1.11
11.12
l l.13
11.14
I 1.15
l l.15.1
Follow up {2nd visit)
Upper abdomen
First scan
303.00
455.00
455.00 Follow up (2nd visit)
orHER.S
Quick look check-up for IUCD & Infants
Total Abdominal survey or Multiple study
Special procedures & Aspiration etc.
Image Intensifiers
Stress test (trcdrnill)
CLlNICAL PATHOLOGY
404.00
808.00
909.00
909.00
1212.00
Urine routine
Quantitative Albumin/Sugar
Urine Bile Pigment and Salt
Urine Urobilinogen Urine Ketones
Urine Occult Blood
Urine total proteins
Urine Sodium
Urine Chloride
Bence Jones protein
Stool routine
40.00
40.00
40.00
40.00
40.00
40.00
80.00
80.00
80.00
80.00
40.00
20.00
70.00
70.00
Stool occult blood
Post coital smear examination
Smear analysis
Body fluids ·- C.S.P/Plural/Ascitic etc.
Chemistry, Sugar, Protein etc. 242.00
16
Scanned by CamScanner
-
S.Nn. Package cost in rupees (semi prjvate] Name nf the Procedure
11.15.2
12
12. 1
12.2
12.3 12.4
12.5
12.6
12.7 •
12.8
12.9
12.10
12.1 I
l 2. 12
L2.J3
12.14
12.15
12.16
12.17
12.18
12.19
12.20
12.21
12.22
12.23
13
13.1
Malignant cells
HAEl\-lATOLOGY
Haemoglobin (Hb)
Tota:I Leucocytic Count (TLC)
Differential Leucocytic Count (DLC)
E. S. R.
160.00
30.00
30.00
30.00
30.00
40.00
50.00
50.00
-10.00
40.00
Total Red Cell count
Platelet count
Reticulocyte count. Absolute Eosi.naphil counl
Packed Cdl Volume (PCV)
Haemoglobin, total & Differential Leucocyte
Count (Hb, TLC, DLC)
Peripheral Smear Examination
Smear for Malaria parasite
Bleeding & Clotting Time
Clot Retraction Time
R.B.C. Fragility Test
L. E. Cd! Foetal Haemoglobin (ITb-F)
Prothrombin Time (P.T.)
Hb,TLC, DLC, ESR
80.00
50.00
40.00
50.00
40.00
80:00
100.00
160.00
12(1.00
100.00
100.00
252.00
160.00
l 60.00
Haemogram
Bone marrow Smear Examination
Partial Thrornhnplastin
Glucose Phosphate Dehydrogenase (G, 6 PD)
BLOOD BANK
Blood Group & RHO Type 80.00
17
Scanned by CamScanner
-
S. N01• Name of the Procedure Package cost in rupees (semi private)
13.2 Cross match 40.00
L3.3 Packed cell preparation 303.00
' .J 3.4 Coomb's Test
l J.4 l Direct 120.00
13.4.2 Indirect 120.00
13.5 Australia Antigen .. 160.00
13.6 Rho-Antibody titer 140.00
13.7 Blood Bank bag and solution 140.00
14. Bl0-CH£MISTRY • 14.1 Glucose 50.0()
lt1 .2 Blood Urea Nitrogen 60.00
]4.3 Serum Creatinine 70.00
14.4 Serum Uric Acid 80.00
14.5 Serum Bilirubin total & direct 140.00
14.6 Serum Iron 202.00
14.7 Serum Cholesterol 80 .. 00
14.8 Tota] Iron Binding Capacity 20:l.00
14.9 Glucose (Fasting & PP) I 00.00
J
-
S.No. Package cost iu rupees (semi Private) Name of the Procedure
14.20 14.21
14.22
14.23
14.24
14.25
14 26
14.27
14.~8
14.29
14.30
15.
15.1 15.2
'15.3
15.4
15.5
15.6
15. 7 '
16.
l6. I
16.2
16.3
16.4
16.5
16.6
16.7
16.8
L.D. H L. D.-1
LDH & LD~l
Alkaline Phosphatase
Acid Phosphatase
CK ).1B
T3 T4 TSH
HDL Cholestrol
L. H.
FSH
Prolactin HTSTOPATHOLOGY
Pap Smear
Smear for Malignant cells
Hostopath
Frozen section & Paraffin section Blood gas analysis
Blood gas analysis with electrotypes Vaginal Cytology for Hormonal evaluation
BACTRJOLOGY & SEROLOGY
160.00
150.00
252.00
100.00
120.00
323.00
858.00
140.00
505.00
505.00
505.00
160.00
160.00
303.00
303.00
282.00
4 M.00
323.00
Smear gram-strai n examination
Sputun1 smear A.F.B. stain
Vaginal Smear Examination
V. D.R. L
Widal test
R.A. test
Culture & Sensitivity (other specimens)
Urine pregnancy test
60.00
60.00
80.00
100.00
100.00
140.00
150.00
160.00
19
Scanned by CamScanner
-
• S. NO. Name ul the Procedure Package cost in rupees {semi private)
16 .. 9
16.10
l 6.11
16.12
16. 13
C.R. P.
ASO Titer
Quantitutive H.C.G.
Blood culture & sensitivity
Vibro cholera culture
140.00
160.00
252.00
202.00
140.00
17. ICU/ lCCll CHARGES
Special Care Cases ·· · 17: 1
l7.2
17.3
17.4
17.5
17.6
17.7
17 8
17.9
17.10
17.11
17.J2
17.13
17.14
17_! 5.
17.16
18
18.1
18 .. 2
18.3
Coronary Care with Cardiac Monitoring including ECG & Diet Respirator & Compressed air
Respirator with Piped Oxygen
Internal Pace-maker
Post operative care (ICU) with Diet
Child care in children
Paediatric care for New born (7 to 12 days)
General Nursery Care Incubator charges (Per day)
Intensive cart: in Nursery (Per day)
Phototherapy
Resuscitation
Resuscitation with Incubator
attended by Specialist
Exchange Transfusion
0.T. Charges for Exchange transfusion
Pneupack ventillator in Nursery (Per day)
OXYGEN CHARGES
Operation theatre (Including supply
of Nitrous Oxide)
Casuality ICU
General Ward
1515.00
1313.00
n 13.00
1414.00
970.00
.805.00
303.00
505.00
1313.00
303.00
]03.00
808.00
1010.00
303.00
707.00
808.00
100.00
100.00
20
Scanned by CamScanner
-
' S. No. Package cost in ru11ecs (semi private) Name of the Procedure
18.4
19. 19.1 19.2 19.3 19.4
L9.S 19.6 20.
Semi-private wards
BURN DRESSING 15% to 3 0% I st Dressing Subsequent Dressing 30% to 50% 1st Dressing Subsequent Dressing Extensive Bum above 50% Subsequent dressing OBSTETRIC CASES
20.1 Normal delivery or with Episiotomy & P. repair Low forceps Low midcavity forceps Caesarean section Caesarean hysterectomy Rupture Uterus, closure & repair with tubal ligation
20.8 Perforation of Uterus after DIE
20.2 20.4 20.5 ·20.6 20.7
20.9 20.10
20.11 • 20.12 20 13 20.14 20.15
20.16 20.17
20.18
20.19
20.20
Laparotorny & Closure Laparotorny for Ectopic rupture Laparotomy-peritonitis lavage and drainage Laparotorny-failed laparoscopy to explore Sul p hingectorny Sal phi ngo-oophrectomy Ovarean Cystectomy Oopherctomy Broad Ligment Haemotuma drainage Exploration of perinea! haematoma & Resuturing of episiotamy Exploration of abdominal haematoma (after laparotorny + LUCS) Internal podalic version and extraction Manual removal of placenta
21
120.00
404.00 303.00 sos 00 303.00 I 010.00
404.00
8080.00 9090,00
9090.00 15000.00 18180.00
18180.00
15150.00 15150.00 12120.00 6060.00
11110.00
13130.00 13130.00
11110.00 9090.00
8585.00
1110.00 9090.00
3030.00
Scanned by CamScanner
-
S. No.
3:rd stage complication MRP for
Name of the Procedure Package cost in rupees (semi private)
20.21
20.22
20.23
20.24
20.25
20.26
20.27
20.28
20.29 •
20.30
20.3 !
20.32
20.33
2034
20 JS
21.
21.1
21.2
21.3
21.4
21.5
2L.6
21.7
21.8
21.9
21.10
2L 11
21.12
outside delivery etc.
Examination under anaesthesia
Burst-abdomen repair
Gaping pareneal wound secondary suturing
Gaping abdominal wound-secondary suturing
Complete perinea! tear-repair
Exploration of l1J'H-tear repair
Destructive Operation Suction evacuation vesicular mole,
missed abortion D/E
Colpotomy-drainage PN needling EUA
Repair of post-coital tear, perinea] injury
Excision of urethral caruncle
Laparoscopy
Shirodhkar. Mc. Donalds stich
Abortion
GENER..t.\.L SURGERY
Drainage of Abscess
Dressing under G.A
Aspiration of cold Abscess of Lymphnodc
Aspiration of Empyema
. Aspiration of Liver Abscess·
Open Drainage of Liver Abscess
Drainage of Pelvic Abscess
Drainage nf lschiorectal Abscess
Drainage of suhdiaphragmatic Abscess
Open drainage of Perinepheric Abscess
Drainage of Perigastric Abscess
Drainage of Perot id Abscess
5050.00
2424.00
11110.00
2424.00
JOl0.00
3030.00
4040.00
9090.00
5050.00
5050.00
3434.00
3030.UO
5050.00
3232.00
4040.00
1414:00
2020.00
2626.00
2026.00
2424.0(]
9090.00
9090.00
5050.00
l 0100.00
10100.00
9'090.00
5050.00
22
Scanned by CamScanner
-
21.13 Drainage of Peritonsillar Abscess 5050.00
21.14 Drainage of Retropharyngeal Abscess 5050.00
21.15 Open Drainage of psoas Abscess 6060.00
21.16 Open Drainage of Perivertebral Abscess 8282.00
INJURY OF SUPERFICIAL SOFT TISSUES 21.17
21.18
21.19.
21.20
Suturing of small wounds
Secondary suture of wounds
Delayed primary suture
lJebridernent of wounds
242.00
1010.00
1414.00
1010.00
REl\10VAL OF FOREIGN BODIES 21.21
21.22
Removal of F. B. Superficial
Removal of F. B. Deep
1010.00
2424.00
BIOPSIES 21.23
21.24
21.25
21.26
21.27
21.28
21.29
21.30
21.31
21.32
21.33
21.34
21.35
21.36
21.37
Cervical Lymph Node
Auxiliary Lymph Node
Inguinal Lymph Node
Excision/Biopsy of Large Lymph Nodes
Excision Biopsy of Ulcers
Excision Biopsy of Superficial Lumps
Incision Biopsy of Growths/Ulcers Trucut Needle Biopsy
Percutaneous Liver Biopsy
Percutaneous Kidney Biopsy
Spleen Aspiration
Marrow Aspiration (Needle)
Marrow Biopsy (Open)
Muscle Biopsy
Scalene Node Biopsy
- IGIG.00
2020.00
2020.00
2020.00
3030.00
1mo.oo 1616.00
1616.00
1818.00
1818.00
1818.00
1818.00
1818.00
1818.00
2020.00
23
Scanned by CamScanner
-
S. No. Name or the Procedure Package cost iJ1 rupees (semi private)
21.38
21.39
21.40
21.41
21.42
21.43
21.44
21.45
ez. 22.1
22.2
22.2.l
22.2.2
22.2.3,
22.2.4
22.2.5
22.3
22.3.1
22.3.2
22.3.3
22.4
22.5
22.6
22.7
22.8
22.-9
22.10
22.11
EXCISION OF CYST/SMALL TUMOURS Excision of Sebaceous Cysts
Excision of Superficial Lipoma
Excision of Superficial Neurofibroma
Excision of Dermoid Cysts
Excision of Ganglion
Haemorrhoids
14) 4 .. 00
2525.00
2626.00
2424.00
2424.00
7070.00
4444.00
4040.00
Keloids
Superficial Varicosity
HEAD & NECK Ear Lobe Repair one side
Excision of Puma for Growths (Squamous/Basal) Injuries Skin Only
Skin and Cartih;1gc
Partial Amputation
Tota] Amputation
Total Ampulation & Excision of
External Auditory Meatus
Excision of Cystic Hygroma Minor Major
Extensive
505.00
3030.00
4444.00
4848.00
6060,00
10100.00
4444.00
7070,00
10908.00
10100.00
9090.00
10100.00
20806.00
15352.00
2020.00
20200.00
31310.00
Excision of Branchial Cyst
Excision of Branchial Sinus
Excision of Pharyngeal Diverticulum Excision of Carotid Body-Tumours
Operation for Cervical Rib
Scalene.Node Biopsy
Block Dissection of Cervical Lymph Nodes Phnryngectorny & Reconstruction
· 24
Scanned by CamScanner
-
S. NO. Name of the Procedure Package cost in rupees (semi private)
22.12 Operation for Carcinoma Lip
22.12.l
22.12.2
22.12.:3
22.12.4
22.12.5
22.12.6
22.12.7
22.IJ.
22.14
22.14.1
22.14.2
22.15
22.15.1
22.15.2
22.15.3
22.15.4
22.16
22.17. l.
22.17.2
22.17.3
22.18
22.19
22.20
22.21
22.21.1
22.21.2
22.21.3
Wedge-Excision
VermiI-ionectomy
Wedge Excision and Vermilonectomy
Hstlanders Operation
Abbe Operation
Check Advancement
Subcutaneous Pcdicle Flap
Excision of the Maxilla
Excision of the Mandible
Segmental
Hemimand ibulectomy
Glossectomy
Partial
8484.00
8080.00
9090.00
9090.00
9090.00
!0100.00
9090.00
19392.00
I 5150.00
22624.00
6060.00
12120.00
22624.00
22624.00
Herniglossectomy
Tutal Glossectorny
The Commando Operation
Parotidcctomy
Superficial 17372 .. 00
16 l60.00
2262'1.00
19190.00
19090_00
6666_00
Conservative
Radical Total
Repair of Parotid Duct
Removal of Subrnandibular Salivary gland
Excision/Bnucleaiion of Dental Cysts
Thyroidectorny
Hemithyroidcctomy
Partial Thyroidectorny
Subtotal Thyroidectomy (Toxic Goitre)
12120.00
12120.00
17372.00
25
Scanned by CamScanner
-
S. No .. Name of I.he Procedure Package cost in -rupees (semi. private)
22.21.4
23.2 l.5
22.21.6
22.2.l.7
22.22
22.23
22.24
22.25
• 22.26
23.
23.l
23.2
23.J
23.4
23.5
23.6
24.
24.1
24.2
24.3
24.4
24.5 24.6
24.7
24_R
24.9
24.10
Total Thyroidectorny (Cancer)
Resection Enucleation of Adcnoma
Isthmectorny
Total Thyroidectomy and Block Dissection
Excision of Lingual Thyroid
Excision of Thyroglossal Cyst/Fistula
Excision of Parathyroid Adenoma/Carcinoma
Laryngectomy
Laryngo Pharyngectomy
19796.00
11110.00
] 1110.00
27270.00
22624.00
10100.00
22220.00
30300.00
37370.00
OR EAST Drainage of Abscess
Excision of Lumps
Local Mastei:tomy (Simple)
Radical Mastectomy (Formal or Modified)
Excision of Mammary Fistula
Segment Resection of Breast
6060.00
9090.00
17000.00
25250.00
15150.00
16160.00
CHEST Direct Laryngoscopy
Brunch osco py
Scalene Node Biopsy
Medinstincscopy
Aspiration of Pleural Cavity
Aspiration of Pericardia! Cavity
Pleural Biopsy
Thoracoscopy
Tracheostomy
Thoracotorny (Penetrating 'Wounds)
5050.00
2424.00
2020_()0
2424.00
1616.00
1616..00
3030.00
7070.00
3030.00
]6160.00
26
Scanned by CamScanner
-
' S. No. Package cost in rupees (semi prtvate ) Name or the Procedure
24.11
24.12
24.13
24.14
24.15
24.16
24.17
24.18
24.1'9
lntcrcostal Drainage of Empyema
Rib Resection for Empyemu
Decortication (Pleurectomy)
Thoracoplasty
Pn eum onectomy
Lobectorny
Segmental Resection
Hydatid Cyst
Thymectorny
6060.00
13332.00
24846.00
33936.00
3]936 00
28280.00
28280.00
28280.00
28280.00
25. ABDOMEN
25.1
25.2
25.J
25.4 25.5
25.6
25.7
25.8
25.9 ·
25.10
25.10.1
25.11
25.12
25.13
25.14
25.15
25.16-
25.16.1
Gastroscopy
Gastric & Duodenal Biopsy (Endoscopic)
Pylerornyotomy
Gastrostorny
Simple Closure of Perforated Peptic Ulcer
Vagotomy Pyleroplasty/Gastro Jejunostomy
Duodenojejuuostomy
Partial/Subtotal Gastrectomy for Carcinoma
Partial/Subtotal Gastrcctomy for Ulcer
Operation for Bleeding Peptic Ulcer Gastrojejunostomy & Vagotorny ,
Operation for Gastrojejunal Ulcer
Total Gastrectomy for Cancer
Highly Selective Vagotorny
Selective Vagotomy & Drainage
Congenital Diaphragmatic hernia
Hiatus I lemia Repair
Abdominal •
1616.00
2424.00
8080.00
I 0504 00
11110.00
21000.00
18988.00
22220.00
21816.00
18988.00
20993.00
2X2RO.OO
18988.00
18988.00
12210.00
21210.00
21210.00
27
Scanned by CamScanner
-
S. No. 21210.00
12120.00
11312.00
11312.0(]
13130.00
Name of the Procedure
Transthoracic Exploratory Laparotomy Epigastric Hernia
Umbilical Hernia Ventral and Scar Hernia
Inguinal Hernia Herniography ... Hernioplasty
Femoral hernia
Rare Hernias (Spigalion, Obturator,
Lumbar, Sciatic)
25.24 Splenectomy
Package cost in rupees (semi private )
For Trauma
For Hypersplenism
Splenorenal Anastomosis
Portocaval Anastomosis
Direct Operation on Oesophagus
for Portal Hypertension
M esentericocaval Anastomosis
Warren Shunt
Pancerato Duodenectomy By Pass Procedures for Inoperable Carcinoma of Pancreas
Cystojejunostomy/or Cystogastrostomy
Cho lecystectomy
Cholecystectorny & Exploration of CBD
Repair of CBD Operation for Hydatid Cyst of Liver
Cholecystostomy Hepatic Resections (Lobcctorny Hepatectomy)
12928.00
17313.00
13130.00
15150.00
25.16.2
25.17
25.18
25. 19 25.20
25.21
25.21.1
25.21.2
25.22
.25.23
25.24.1
25.24.2
25.25
25.26
25.27
25.28
25..29
25.30
25.31
25.32
25.33
25.34
25.35
25.36
25.37
25.38
19796.00
)9796.00
36360.00
36360.00
25250.00
30300.00
30300.00
30300.00
24240.00
22220.00
15150.00
16564.00
16564.00
20200.00
14544.00
21210.00
28
Scanned by CamScanner
-
' S. No. Name of the Procedure Package cost in rupees (semi private)
25.39 Operation on Adrenal Glands
25.39.1 Bilateral 30300.00
25.39.2 Unilateral for Tumour 26260.00
25.40 Appendicectorny
25.40.1 Acute 17500.00
25.40.2 Chroriic/In tern al .. I 7500.00 25.'I0.3 Appendicular Abscess - Drainage 10504.00
25.41 Subphrenic Abscess Drainage 11312.00
25.42 Mesenteric Cyst-Excision 12120.00
24.43 Pentonioscopy/l.aparoscopy 5050.00
24.44 Jejunostomy 12928.00
24.45 Lieoslomy 22624.00
25.46 Congenital Atresia & Stencsis of Small Intestine 19796.00
25.47 Muconium lieus 16564.00
25 .'18 Mal-rotation & Volvulus of the Midgut 16564.00
25.49 Resection & Anastomosis of Small lntestine 19392.00
25.50 Excision of Meckle's Deverticulurn I 9392.00
25.51 lntususception 19392.00
25.5~ Duodenal Diveniculum 19392.00
25.53 Operation for Intestinal Obstruction 19392.00
25.54 Operation fur Intestinal Perforation 17776.00
25.55 Benign Tumours of Small Intestine 17776.00
26.56 Excision of Small Intestine Fistula 17776.00
26.57 Operations for Haemorrhage of the Small Intestines 20200.00
25.58 Operations of the Duplication of the Intestines 234-32.00
25.59 Operations for Recurrent lntestinal
Obstruction (Noble Plication & Other
Operations for the Adhesions) 23432.00
29
Scanned by CamScanner
-
S. No.
25.60
25.61
25.62
25.63
25.64
25.G4. I
25.64.2
25.65
25.66
25.67 .• 25.68
25.69
25.70
25.71
25.72
25.72.1
25.72.2
25.73
25.74
25 74_ I . 25.74.2
25.74.3
25.75
25_75. l
25.75.2
25.76
25.76.1
25.76.2
25.76.3
Name of the Procedure
Lieosigrnoi dostorny
Lieotransverse Colostomy
Sigmoidoscopy
Caecostorny
Colostomy
Loop Colostomy Transverse Sigmoid
Terminal Colostomy . ·
Closure of Colostomy
Right Herni-Colectorny
Left Herni-Colectorny
Total Colectorny
Operations for VolvuJus of Large Bowel
Operations for Sigmoid Diverticulitis
Injection of Haemorrhoids
Fissure in Ano
Dilatation
Fissurectorny
Rectal Polyp-Excision
Operation of Haemorrhoids
Lords Procedure
Ligature and Excision
Parkso Operation
Fistula in Ano
High Fistulectomy
Low Fistulcctomy
[mperforat Anus
Colostomy
Cut Back
Pull Through Operation
30
Package cost in r1rpees (semi private)
18180_00
18180.00
1818.00
7676.00
14140.00
17776.00
17776.00
17776_00
17776.00
24000.00
22624.00
18180.00
1414.00
5656.00
12Y28_00
5050.00
6060.00
7272.00
7272.00
]5150.00
9090.00
13130.00
12726.00
17372.00
Scanned by CamScanner
-
25.77 Prolapse Rectum
25.77.1 Theirch Wiring 12928.00
25.77.2 Reotopexy 16160.00
25.77.3 Grahams Operation 18180.0CJ
25.78 Operations for Tlirschsprungs Disease 1~180.00
25.79 Excision of Pilonidal Sinus 11716.00 . 25.80 Abdornino-Perineal Excision of Rectum 22220.00
25.81 Anterior Resection of Rectum 22220.00
'.25.82 Pull Through Abdominal Resection 18180.00
25.83 • Operations for neuroblastoma 18988.00
25.84 Coccygeal Teratoma Excision 18180.00
26. GENlTOURJNARY
26.1 Nephreciomy 16000.00
26.2 Partial Nephrectomy 16000.00
26.3 Nephrostomy 9090.00
26.4 N ephro lithomy 18180.00
26.5 Pyelolithotomy 18180.00
26.6 Operations fur Hydronephrosis 18180.00
26.7 . Open Drainage of Perinephric Abscess 10100.00 26.8 Convernostomy 18180.00
26.9 Operations for Cyst of the Kidney 12928.00
26.10 U reterol ithotomy 12120.00
26.11 N ephrourctcrcctomy 12120.00
26.12 Operations for Ureter for
26.12.1 Double Ureters 20200.00
26.12.2 Ectop i a . of Single Ureter 24240.00
31
Scanned by CamScanner
-
S. No. Package cost in rupees (semi private ) Name of Ihe Procedure
26.13 Operations for Versicouretaric Reflux 20200.00 26.14 Ureterostomy
Cutaneous 16160.00
'16160.00
17170.00
3838.00
5252.00
9090.00
5656.00
11312.00
12120.00
10504.00
17372.00
10100.00
23230.00
30300.00
25856.00
19392.CJ(J
19392.00
21210.00
23230.00
26.14.l
26.14.2
26.15
26.16
26.17
26.18
26.19
• 26.20
26.21
26.22
26.23
26.24
26.25
26.26
26.27
26.28
26.29 . 26 10
26.31
26.32
2G.33
26.34
26.35
26.36
26.37
-26.38
Uretero Colic Anastomosis
Formation of an Heal Conduit
Cy~LUSl:U(-ly
Ureteric Catheterisation
Dorrnia Extraction of Calculus
Biopsy of Bladder (Cy.stoscopic)
Cystolithotomy
Diathermy Destruction of Bladder Neoplasm
Litholapexy
Operations for Injuries of the Bladder
Suprapubic Drainage (Cystotstomy)
Partial Cystectomy
Total Cystectomy
Diver1iculectorny
Open Resection of the Bladder Neck
Y-V Plasty of the Bladder Neck
Repair Urinary Vaginal Fistula
Cystoplasty
Operations for Extrophy of. the Bladder
Repair of Ureterocele
Suprapubic Prostarectomy
Rctropubic Prostatcctomy
Transurethral Resection of Prostate
tirethroscopy
Operations for lnjury to Urethra
23230.00
13130.00
20200.00
19796.00
23000.00
4040.00
25452.00
32
Scanned by CamScanner
-
S.-No. Nnme of the Procedure Pm.:ka~e cost in rupees (semi private )
26.55 Adreneclectomy Unilateral/Bi fated for
Tumour/For Carcinoma
Operations for Hydrocele
Unilateral
26.39
2r 40
2641
26.42
26.43
26.43. l 26.43.2
26.44
26.45 26.46.
26.47
26.48
26.48.1
26.48.2
26.49
26.50
26.51
26.52
26.53
26.54
26.56
26.56.1
26.56.2
26.57
26.58
26.59
Urethral Dilatation
internal U retbrotomy
Urethral Reconstruction
Operation for Congenital Valves of Urethra
Operations for Incontinence of Urine
Male
2323.00
10100.00
25452.00
11312.00
• l 8988.00
18988.00
2020.00
3636.00
5636.00
5636.00
Female
Reduction of Paraphirnosis
Circumcision
Meatotomy
Meatoplasty
Operations for Hypospidias
Chordee Correction
Second Stage or On~ Stage Repair
Operations for Epispidias
Partial Amputation of the Penis
Total Amputation of the Penis
Orchidectomy
Epididymectorny
Orchidopexy
11312.00
25452.00
17170.00
9696.00
17372.00
10504.00
10504.00
14544.00
11312.00
Bilateral
Vasectomy Should he free for family welfare
Operation for Torsion of Testis
Vasovasostorny
5252.00
7676.00
10504.00
14544.00
33
Scanned by CamScanner
-
S. No. Package cost in rupees (semi private ) Name of the Procedure
26 .. 60
26.61
26_61.l
26.61-2
26_62
Operations for Vari cocele
Block Dissection of Inguinal Nodes
One Side
Both Sides
9090_00
20200.00
28280.00 Excision of Filarial Scrotum I2921LOO
27. OESOPHAGUS
Ocsophngoscopy 1470.00 27_ l
27.2 Atresia of Oesophagus and Trachea
Oesophageal Fistula
Operations for Replacement of 27.3 •
27.4
27.5 27.G
27.7
25452.00
Oesophagus by Colon Transthoracic Repair or Haitus Hernia
Abdominal Repair of Hiatus Hernia
Oesophagectomy for Carcinoma Easophagus
Oesophageal Intubation (Mausseau Barbin Tube)
31512.00
25452.00
25tf52_00
36000. 0(1
12928.00 27.8 Achalasia Cardin.
27.8.1
27.8.2
28.
28.1 28.2 •
28.3 28.J. I 28.3.2
28.4
28.5
28.6
28.6.1 28.6.2
Transthoracic 15352.00
12726.00 Ahdnminal
PLASTIC SURGERY
Primary Suture of Wounds Excision of Small-Scars, Moles, Small Cysts injection of Keloids Ganglion
Haemangioma
Excision of Multiple Moles Excision of M ultiple Warts Free Grafts
·wolfe Grafts Theirech-Small Area 5%
Large Area l 0%
Very Large Area 20%
3232.00
4040.00
2222.00
6060.00 6464.00
6464.00
8080.00
8080.00
9090.00
12120.00
34
Scanned by CamScanner
-
S. No. Name of the Procedure Package cost in rupees (semi private )
28.7 Skin Flaps
28.7.l
28.7.2
28. 7.3
Rotation Flaps
Advancement Flaps
Direct-cross Leg Flaps-Cross Arm Flap
Cross Finger
Abdominal
8080.00
9696.00
12928.00
12928.00
12928.00
12928.00
12928.00
. .. Thoracic
Ann Etc.
28.S. Subcutaneous Pediclc Flaps
28.8.1
28.8.2
28.8.3 '28.9
28.10
28. l l
28. 12
28.12.1
28-12.2
28.12.3
28.13 28.14
28.15
28.16
28.17 28.18
28.19
28.19.l
2&.1·9.2
Raising
Deloy
Transfer
Cartillate Grafting
Reduction of Facial Fractures of Nose
Reduction of Facial Fractures of Maxilla
Reduction of Fractures of Mandible & Maxilla
Eye Let Splinting
Cast Netal Splints
Gumming Splints
lntemal Wire Fixation of Mandible & Maxilla
Cleft Lip Clefl Palate Repair Severe Dcgtee
Primary Bone Grafting of Cleft Lip Palate
Secondary Surgery for Cleft Lip Deformity
Secondary Surgery for Cleft Palate Reconstruction of Eyelid Defects
Minor
Major
8080.00
8080.00
8080.00
8080.00
8080.00
12120.00
8080.00
8080.00
8080.00
14140.00
13130.00
15150.00
12120.00
12120.00
12120.00
8080.00
12120.00
28.20 Plastic Surgery of Different Regions
of the Ear
35
Scanned by CamScanner
-
S. No. Name of the Procedure Package cost in rupees (semi J!riv·ate )
28.20. l ·
28.20.2
Minor 7272.00
12120.00 Major
28.2 I Plastic Surgery of the N O,Se
28.21.1
28.21.2
28.22
28.22
Minor 8080.00
12120.00 Major
Plastic Surgery for Facial Paralysis
(Support with Reanimation)
Mamoplasty
1:8786.00
18786.00
28.23 Pendulous Breast
28.23. l • 28.23.1
28.23
28.24
Underdeveloped Breast After Mastectomy (Reconstruction)
Syndactyly Repair
Dermabrasion Face
16564.00
I 6~64.00
16564.00
]3332.00
29. CARDIAC SURGERY
29 .. 1 Patent Ductus Arteriousus 1,05,000.00
29.2 Mitra! Valvotorny (Open) 52,500.00 + Cost of valve 30. ORTHOPAEDIC SURGF.RY PROCEDURE
30.1 Application of P.0.P Casts for
30.2. 30 .. 3
30.4
30.S
30.6
30.7
30.8
30 .. 9
30.10
Upper & Lower Limbs Application of Functional Cast Brace Application of Skin Traction
Application of Skeletal Tractions
Bandage & Strappings for Fractures
Aspiration & lntra Articular Injections
Application nf P.O.P. Spices. & Jackets
Close Reduction of Fractures of Limb & P. 0. P
Reduction of Compound Fractures
Open Reduction & Internal Fixation of Fingers & Toes
1 Oto.DO
1414.00
1353.00
4040.00
1212.00
808.00
3030.00
3030.00
3636.00
8080.00
36
Scanned by CamScanner
-
S. No. Name of the Procedure P.ncfmge cost in rupees (semi private )
30.11 Open Reduction of Long Bones of
Upper & Lower Limb
30.25 Open Reduction of Fracture Dislocation & Internal Fixation Neurolysis/Nerve Suture Nerve Repair with Grafting Tendon with Transplant or Graft Tendon Lengthening/Tendon Sutures
30.11.1 30.11.2 30.12 30.13
30.14 3(1 [4 .. 1
30.14.2 30.15 30.16
• 30.17 30.17.l 30.17.2
. 30.17.3 30.18 30.19 30.20 30.21
30.22
30.23' 30.24 30.24. 1 30.24.2
30.26 30.27 30.28
30.29 30.30
30.31
Nailing & External Fixation A.O. Procedures
Tension Band Wirings Bone Grafting Excision of Bone Tumours Superficial Deep Excision Ganglions Excision or other Operations for Scaphoid Fractures Sequestrectomy & Sancerizations Superficial. Deep Arthrotomy S.P. Nailing for Fracture Neck Femur Multiple Pinning Fracture Neck Femur Nail Plate fixations for Fracture Neck Femur A.O. Compression Procedures for Fracture Neck Femur Open Reduction of Fracture Neck Femur, Muscle Pedicle Graft and Internal Fixations Close Reduction of Dislocations Open Reduction of Dislocations Superficial Deep
13130.00
15150.00 9090.00
12928.00
I 4J 40.00 28836.00 4040.00
10504.00
12120.00 19796.00 14544.00 30660.00 30660.00 32760.00
34020.00
29400.00 30130.00
9696.00
19190.00
- Tendon Transfer Laminectorny, Excision Disc and Tumours
28140.00 12524.00 19190.00 19190.00 12524.00 19190.00
31500.00
3.7
Scanned by CamScanner
-
S. No. Name of the Prncednre Package cost in rupees (semi private )
31.32
30.33 30.34
30.35 30.36
30.36.1
31.36.2 30.37 30.37.] • 30.37.2 30.38 30.39 30.40
30.41 J0.42
30.43 30.43.1 30.43.2
J0.43.3 . 30.43.4 30.43.5 30.43.6 30.44
30.44.1 30.44.2
30.45
Spinal Ostectomy and Internal Fixations 36540.00 Anterolateral Clearance for Tuberculosis 25200.00 Antereoiateral Decompressicn and
Spinal Fusion 33600.00 Coste Transversectomy 24780.00 Corrective Ostectorny & Internal Fixation Minor·
Major
Arthrodisis of Minor Joints
Major Joints Soft Tissue Operations fur C.T. E. V. Soft Tissue Operations for Poloi Partial Hip Relacernent
13130.00
27300.00
1212.0.00 27300.00 l 5756,00
15857.00 31500.00
95025.00 Total Joint Replacement
Operations for Brachial Plexus &. Cervical Rib Amputations Below Knee
Below Elbow
Above Knee Above Elbow
26250.0D
12524:00
12524.00
18180.00 J 8180.00
37800.00 37800.00
Forequarter
Hind Quarter and Hernipelvectomy Disarticulations
Major Minor
Arthrography & Osteomedullography
21420.00 12524.00
8888.00 30.46 Arlhroscopy 30.46. J
30.46.2
30.47
Diagnostic
Operative 9292.00
21000.00
25200.00 -·
Soft Tissue Operation on K.nee
38
Scanned by CamScanner
-
S. No. Name of the Procedure • Package cost in rupees (semi private )
JO.SO
30.52
30.53
31.
31. l
3L.1.l 31_ 1.2 31.2
31.3. 314
31.5
j 1.5. l
31.5.2
3 l.G
31.7
31.8
31.9
32.
32.1
32.2
32.3
J2.4·
32.5
32.S.l. 32.5.2
32.5.3
32.5.4
32.5.5
Myocutaneous and Fasciocutaneous
Flat Procedures for Limbs
Removal of Nails. Wires & Screw Removal of Plates
NEURO - SURGERY
22050.00
5656.00 7272 00
Craniotomy and Evacuation of Haematoma ... Subdural
Extradural
Cranioplasty
Evacuation of Brain Abscess Excision of Lobe (Frontal, Temporal, Cerebellum etc.)
Excision of Brain Tumours
Supratentorial
Subtentorial
Surgery of Cord Tumours
Meningomyelocele
V entri cu 1 oatri al Sh untfV entri cul operi tone al Excision of Cervical inter-Vertebral Discs
26250.00
29400.00
30540.00
30450.00
34020.00
46200.00
46200.00
42000.00
33600.00
21000.00
27300.00 ·
VASCULARSURCERY Arterial Embolectomy
Patch Graft Angioplasty
Femoropopliteal by pass procedure Th rombcndurterectomy
Surgery for Arterial Aneursysrn Distal Abdominal Aorta
Upper Abdominal Aorta
Splenic Artery
Renal ArtEtry
Carotid
26040.00 26250.00 31500.00
31080.00
37800.00 38640.00
36750.00
36750.00
36750.00
39
Scanned by CamScanner
-
S. No. Package cost in rupees (se.mi private ) Nome or the Procedure
32.5,.6 32.5.7
Vertebral Main Arteries of the Limbs
3675n_on 28980.00
32.6 Intrathoracic Aneurysm 32.6..1
32.6.2 32.7 32.8
32.9 32.10 32.11 32.12 32.13 32.14 32.15
32.16 32.17 32.17.'J 32.17.2 32.. 18
33. 33.1
:13.2
33.3 33.4. 33.5
3.3.6
33.7 _ 33.8
33.9
Aneurysm not Requiring Bypass Techniques Requiring Bypass Techniques Dissecting Aneurysms Operations for Acquired Arteriovenous Fistula Congential Arteriovenus Fistula Operations for Stenosis of Renal Arteries Injection of Varicose Veins Trendelenburg Operation Stripping of Short or Long Sephenous Vein Ligation of Ankle Perforators Excision and Skin Graft of Venous Ulcer Venous Thromoectomy . Sympatcctomy
Lumbar Cervical Lymphatics Excision of Subcutaneous Tissues in Lymphocdcma PAEDIATRIC SURGERY
31500.00 42000.00 36750.00
27300.00
27300.00 31500.00
1212.00 13534.00 13534.00 16160_00
13 LJ0.00 19392.00
19392.00 17170.00
2.5200.00
Trachostomy Excision of Branchial Cyst Excision of Branchial Sinus Excision of Thyroglossal Duct/Cyst
Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach) Trachea Oesophageal Fistula (Correction Surgery) Colon Replacement of Oesophagus Omphalo Mesenteric Cyst Excision Omphalo Mesenteric Duct-Excision
8080 .. 00 ])312.00 11312.00 15756.00
21000.00 30660.00
252·00.00 17172_00
15756.00
40
Scanned by CamScanner
-
S. No. Package cost in rupee!'! (semi private ) Name of the Procedure .
33.10 33.11 33.12 33.13 33.14 33.15 33.16 33.17 33.18 33.19 33.20 33.21 33.22 33.23 '33.24 33.25 33.26 33.27 33.28 30.29
33.30 . 33.30. l 33.30.2 33.31 33.31.1 33.3 l.2 33.31.3 33.32 33.33 33.33.1 33.34
Meckels Diverticulectorny Omphalocele I st Stage (Hernia Repair) Omphalocele 2nd Stage (Hernia Repair) Gastrochisis Repair Inguinal Herniotomy Congenital Hydrocele Hydrocele, of Cord Umbilical Hernia Repair Orchipexy Torsion Testis Operation Gastrostomy Congenital Pyloric Stenosis-operation Duodenal-Atresia Operation Pancreatic Ring Operation Meconium lieus Operation Malrotation of Intestines Operation Rectal Biopsy (Megacolon) Colostomy Transverse Colostomy Left lLLAC Abdominal Perineal Pull Through (Hirschaprugis Disease) Imperforate Anus Low Anomaly Cut Back Operation Perinea! Anoplasty lnperforate Anus High Anomaly Transverse Colostomy Sacroabdornino Perinea! Pull Through Closure of Colostomy I ntrusussusception Operation Atrcsia of Extra hepatic Hilliary Duct Choledochoduodenstomy Operation.of Choledochal Cyst
33.35.1 33.35 Nephrectorny for
Pyonephrosis
41
15756.00 14140.00 15756.00 15756.00 11312.00 11312.00 11312.00 14140.00 14544.00 14544.00 12928.00 14140.00 19392.00 30450.00 16160.00 ] 7372.00 2525.00 16160.00 16160.00 21000.00
9696.00 15756.00
16160.00 21000.00 8080.00 21000.00
21000.00 21000.00
21000.00
Scanned by CamScanner
-
S. No. Package co-st in rupees (semi private ) Name of the Procedure
33.35.2
33.35.3
33.35.4
33.36 33_37 33.37.1
33.37.2
33.40 34. • 34. l
34.2
3'1.3 34.4
34.5
34.6
34.7 34.8
34 9
34.10
}4.11 34. 12 34.13
34.14
34.15 64.16
34.17
34.18
34.J9
_34.20 34.21
34.22
Hydronephrosis
Wilms Tumour
Paraortic Lymphadcnoctomy with Nephrectomy for Wilms Tumour
Sacro-Coccygeal Teratoma Excision Neuroblastoma
Debulking Total Excision Rhabdomyosareoma wide Excision
GYNAE, OPERATION CHARGES Abdominal Hysterectomy
Vaginal Hysterectomy
Myomectomy
Vaginoplasty
Laparotorny {Ectopic Pregnancy)
Vulvectomy (Simple/Radical)
VVF/RVF
Other Major Operations Manchester Operations
Perineorraphy Colporraphy
Ovariectorny Modified Gilliam
Shirodkar's Operation Diagnostic Curettage Fractional Curettage D & C and Cervical Biopsy Polypectomy
Other-Minor Operation
Excision Vaginal Cyst/Burtholin Cyst Excision Vaginal Seplurn
Laparosco py
42
21000.00
21000.00
24360.00 17372.00
17372.00 21000.00
24360.00
lGl GO.DO 16160.00
14140.00
I 5756.00
14140.00 21 DOD.DO
21000.00
16160.00 14140.00
14140.00
14140.00 14140.00
14140.00
9292.00
3030.0U
3030.00
3030.00
4040.00 4040.00 4040.00 4848.00
4848.00
Scanned by CamScanner
-
' SPECIALISED PROCEDURE/INVESTIGATIONS
Package Rates of Hospitals/Diagnostic Centres for recognition under CGHS, Mumbai
Jtern Name of the iuvesfigation/ Without With
Code Treatment Procedure contrast contrast
l. Cat Scan
l. I. I a) Head •. , ~ 1800/- 2160/-
1.1.1 b) Head Scan lnvolv. Spl. Investigations 2430/- 3060/-
1.1.2 Chest (HRCn 2700/- 3~20/-
1.1.3 Spine (Dorsal, Lumber, Sacral) 3 level 2700/- 3420/- . 1.1.4 Cerviant C.T. 30 Reconstruction only
1.1.5 C.T. Guided Biopsy 1980/-
l .1.6 C.T. Guided percutaneous cath drainage 24JO/-
1.1. 7 C.T. Myelogram (Cervial Spine) 2880/- 3420/-
1.1.R C.T Myelogram '(Lumber Spine or D/S) 2340/- 3GOOI-
1.1.9 C.T. Scan Brain 1800/- 2160/-
1.1.10 C.T. Scan Chest 2700/- 3420/-
1.1.11 C.T. Scan Upper Abdomen 2700/- 3420/-
1.1.12 C.T. Scan LowerAbdomen 2700/- 3420/-
1.1. U C.T. Senn Whole Abdomen 4500/- 6300/-
1.1.14 C.T. Scan spine per Region 2250/-
1.1.15 C.T. Scan Neck (Throid Soft Tissue) 2250/- 3240/-·
1.1.16 C.T. Scan Orbits Eye 2250/- -
1.1.17 C.T. Scan Orbits with contrast - 2700/-
1.1.18 C.T. Scan Limbs 2700/-
1.1.19 C.T. Scan Whole Body 6000/-
1.1.20 C.T. Scan Thorax 2700/- 36001-·
l.I.21 C.T. Scan of Para Nasal Sinus 2250/- 2700/-
2.2.3 MRJ Heod 5250/- 8750/-.
2.2.4 MRJ Orbits 5250/- 8750/-
43
Scanned by CamScanner
-
Item
Code
Name or the investigation/ Treatment Procedure
Without With contrast contrast
2.2.5 MRI Nasopharynx and PNS 5250/~ 8750/ 2..2.6 MRI Neck 52501- 8750/ 2.2.7 MRI Shoulder singl joint 5250/- 2.2.8 MRI Shoulder both joint 8750/- 2.2.9 MRI Wrist Single joint 5250/- 2.2.IO MRI Vv"rist both joint 8750/- 2.2.ll MRI. Knee Single joint 5250/- 2.2.12 MRJ Knee both joint 87501-
• 2.2.13 MRI Ankle Single 5250/- 2.2. 14 MRI Ankle Hoth 8750/- 2.2.15 MRT Hip 5250/- 2.2.16 MRI Pelvis 5250/- 2.2.17 MRJ Extremities 52501- 2.2.18 MRJ Temporornandibular Single joint 5250/- 2.2.19 .v!RJ Temporornandibular Double joints 8750/- 2.2.20 MRI Abdomen 5250/- 8750!- 2.2.21 MRl Breast 525D.'- 8750/- 2.2.22 MRI Spine Screening 5250/- 8750/- 2.2.23 MRI Chest 5250/- 8750/- 2.2.24 MRJ Cervical Spine 5250/- 8750/- 2.2.25 MRI Lumber Spine 5250/- 87 S:0/- 2.2_26 MRI Thorax 5250/- 8750/- 2.2.27 MRJ Screening 5250/- 8750/- 2.2.28 MRI Angiography 2.3.2 ECG l 26/- 2.3.3 20 Echo with colour dopplcr 1335/- 2.3.4 Trans oesophaedral Echo (Tee) 3030/ 2.3.5 Treadrnil Test (TMT) 1212/-
44
Scanned by CamScanner
-
Item Name of the investigation/ Package cost in rupees (semi private )
Code Treatment Procedure
2.3.6
2.3.7
2.3.8
2.3.9
2.3.10
2.3. l l
2.3.12
2.3.13
2.3.t4
2.3.15
2.3.16
;:u .16. I 2.3.16.2
2.3.16.3
2.3.17
2.3.18
2.4.1
2.4.2
2.5
2.5.1
2.S.2
2.5.3
2.5.4
2.6
Z.7.1
2.7.2
2.7.3
2.7.4
2.7.5
Holter Analysis
Cathcrisation (Coronary Angiogaphy)
Fluoroscopic Screening
Holter Report (with Prd. Specification}
Test of Pacemaker
Oxygen Saturation PKG Chrgs for Cardiovascular Investigation
Coronary Angiography
Cardiac Cath Angiography (Wlo Coronary Angie)
Aortograrn
Pulmonary function test
Test for Pacemaker
Oxygen Saturation
Package charges for Cardiovascular investigation
Fibroptic Bronchoscopy
Fibroptic Bronchoscopy with Washing/Biopsy
Uroflow Study (Micturomatry)
Urodynamic Study (Cystometry)
Cystoscopy with Retrograde Catheter
Uni lateral
Bilateral
Cystoscopy Diagnostic
Cystoscopy with Bladder Biopsy
Diagnostic Laproscupy
T-3
T-4
TSH
1616/-
18,000/-
202/-
1616/-
606/-
303/-
3636/-
] 8000/-
13130/-
9090!-
41 Sf- 415!-
707/-
2828/-
2828/-
505/-
111 I/-
Cortisol
Prolactin
4040/-
5050/-
2424/-
30301-
7070/-
303.'-
303/-
303/-
505/-
505/-
45
Scanned by CamScanner
-
ltem
Code Treatment Procedure
Name of the investigation/ Package cost in rupees (semi private )
2.7.6
2.7.7
2.7.B
2.7..9
2.7.10
FSH
LH
Voiding -cysto-urethrog ram
Renal Transplant Evalution
Whole body scan
2. 7 .11 Spect bone scan
2.7.12
2.7.H
2.7.14
·2.7.15
2 .. 7.16
J.4
3.5
3.6
3.7
Bone marrow scan Scan (Spect)
Stress Thallium
Muga (Resting)
Muga (Stress)
A.V. Fistula
Coronary Bypass Surgery
Coronary Bypass Surgerypost Angioplasty
Coronary Ballon Angioplasaty ].8 Ballon Angioplastus with valvotomy
3.9
3.10
3.11
3.12
3.13
3.14
3.'15
3.16
3.17
3.18
3.19
Open Heart procedures
Patent Ductus Arteriosus
Total Correction of Tetralogy of Fallot
RSUV Correction
TAPVC Correction
Open ASD VSD
Open Pulmonary VaJvntomy Open Aortic Valvotrny
Corractati on of Auna
Blalock Taussing operation
Mitra] Valvotorny
505/-
505/-
l 11 l/-
1616/-
2424/-
2424/-
8490/-
2424/-
3030/-
4444/-
1,48,500/-
1,48.500/-
I,20,000/-
1,48,500/-
1,48,500/-
1,48,500/-
I ,48,500i-
l.48,500/-
] ,48,500/-
1,48.500/-
13,6,500/-
1, 19, 700/-
52,500/-
+ cost of valve
46
Scanned by CamScanner
-
ltem "
Code Treatment Procedure Name of the inve.stigatio.n/ Package C05t in rupees (semi prh-ate
3_20
3.21
3.22
3.23
3.24 3_25 3_26
3.27
3.2i 3.29
3.30
-1.31
3.32 3.33 3.34
3.35
J.36 3.37 • 3.38
3.39 3.40 3.41
3-42
3.43
3.44
3.45
3.46 -
Open Mitra! Valvotomy
Mitral Valve replacement
Aortic Valve replacement
Docble Valve replacement
Closed \(alvotomy
Coarctarion -Arota Rep, of Blk. Taussing Shunt B.T Shunt Pericardiostorny Pcricardiectomy
Pericardio Centosis
Permanent Pacemaker Implantation
Temporary Pacemaker Implantation
Tests of Pacemaker Embolectomy Aneurysm Resection & Grafting Thoraco Centesis Thorachcstomy Exploratory Thorocotomy Aorta-Femoral Bypass Node Biopsy Pleural Biopsy Open Lung Biopsy Removal of F_ B. - Trachea or Oesuphagus RIB Resection & Drainage Thoraco Plasty Pulmonary function test BMR
Pneumo Nectorny
I .48,500/-
1.48,500/-
l ,48,500/-
1.48,5001- + cost of Extra valve
1,20.750/-
1,20,750/-
1.20,750/- 1,20,750/-
1,20,750/-
3232/-
16.160/- (plus cost of pacemaker)
12,120/-
{plus cost of pacemaker}
.505/- 18,180/- 52,500/-
'l 970/- 12,322/- 37,.800/-
52,500/- 2,020/-
3,030/- 13,332/- 4,040i- l 0, 100/-
23,230/- 833/-
21,000/-
47
Scanned by CamScanner
-
Item
Code· Name of the investigation/
Treatment Procedure Package cost in rupees [semi prh-ate )
3.47
3.48
3.49
3 .. 50
3.51
3.52
3.53
3.54
3.55
• 3_56
3.57
4.1
4.2
4.:J
Lobectomy
Segmental Resection
Mediastinal Tumour
24,1 SO/-
I ~T 180/9.
31 ,500/-
26.355/-
18.180/-
) 8. 1 80/-
27,300/-
24.,'150/-
24, 150/-
24, 150/-
24.150/-
35,700/:_
15,352/-
18, 180/-
Thymectomy
Partial Pericardectomy
Removal Tumuors, of Chest WaU
Oesophago Gatectomy for mid 1/3 lesion
Hi al us Hen ia repai r Heller's Operation
CoJoninter position o.r repl. of Oesophagus
Oesophago Gastrcctorny - L\VR Corringers procd. Vascular Procedure - Major
Vascular Procedure - Minor Arterial Embolectomy
4.3
4.3.1 Removal of Foreign body from
4.4
4.5
4.6
4.7 4.7. l
4.7.2
4.7.3
4 .. 7.4
4.7.5
4.7.6
4.7 7
'4.8
4 .. 9
Trachea of Oesophagus
Patch Graft Angioplasty
Femoro - Popliteal bypass procedure
'111 rombo-Endarterectomy
Surgery for Arteri ... l Aneurysm Distal Abdominal Aoorta
Upper Abdominal Aorta
Spleen Artery
Renal Artery
Carotid
Vertebral
Main Arteries of the Limb
Intra-Thoracic Aneurysm
Aneurysm. not requiring bypass techq.
28,350/-
31,500/-
27JOO/-
42.000/-
42.000/-
26,250/-
26 250/- ,
26,250/~
26,250/-
26,250/-
29,400/-
29.400/-
48
Scanned by CamScanner
-
Item Name or the investigation/ Package cost in rupees (semi private ) Code Treatment Procedure
4.10
4.ll
4.12
4.13
4.14
4.15
4.16
4.17
4.18
4.19
4.20
4.20.1
4.20.2
5.2. l 5.2.2
5.2.3
5.2.4
5.2.5 5.2.6 • 5.2.6.1
5.2.7
5.2.8
5.2.8.l
5.2.9
5.2.10
5.2.11
5.2.12 5.2.13
Requiring bypass techniques
Dissecting Aneurysm Operations for Agr. Arteriovenous Fistula
Congenital Arterio Venous Fistula
Operations for Stenosis of Renal Arteries
Injection of Varicose Veins
Trendelenburg Operations
Stripping of short/long Sephaneous Veins
Excision & Skin Graft of Venous Ulcer Venous Thrombectomy
Sympathetectomy
Lumbar
Cervical
Emergency Dialysis
Femoral Puncture Subclavian Puncture
Peritoneal Dialysis
Kidney Biopsy
Fistula/Shunt
Carotid
Dialysis Femoral Cather Bilateral
Haemo Dialysis
37,800)-
51,450/-
31,500/-
21.000/-
26,250/-
1,8] 8/-
12,827/-
l S, 150/-
15,~54/- 31,500/-
14,400/-
16,160/-
3,030/-
1,515/- 1, 717/- 2,424/-
4,040/-
6,262/-
3,232/-
808+cost of
Artificials Kidney, Surgical Sundry & Fluids
Intra-Thoracic Aneurysm
Double Lumen Sub Clavian Catheter
Continuous Artcrio Venus Dia.lysis (CAVD)
Subclavian Access
Femoral Access
Plasma Exchange
4,040/-
16,160/-
1,616/-
1,616/-
1010/-
49
Scanned by CamScanner
-
Item Code - 5.3.l
5.3.2
5.3.3
5.3.4
5.3.4
5.3.5
5.3.6
5.3.7 ••
5.3.7
5.3.8
5.3.9
7.1
7. I. I
7.1.2 7.2
7.3
7.4.1
7.4.2 . 7.5
7.6
7.7
7.8
7.9
7.10
7.11
7.12 - 7.1.3
7.14
Ni101e of Che investigation/
Treatment Procedure Package cost in rupees (semi private )
Donor Nephrectorny
Renal Transplantation
Perfusion
Ureteric Rcimplant
Injection of Varicose Veins
Lymphocoel
Transplant Nephrectorny
Bilateral Nephrounrerctomy (Native)
Excision and Skin Graft of
Vascular Prosthetic Graft
CAPD
PCNL
Unilateral
Bilateral
Meatotorny
Meatoplasty
Palomo 's Unilateral
Palornos Bilateral
Emdoscopic Teflon Inject
Testicular Biopsy
Gil-Verncr's Extended Pyelolithotomy
Partial Nephrcctomy or Nephrolithotomy ,
Nephrectomy Campi. Tumour or Adhesions
Simple N ephrectomy
Anderson Hynes Pyeloplasty
Unilateral Implantation Bilateral
Total Cystectnmy -
Vasico Vaginal Fistula
21.000/-
1,68,000/-
13,130/-
21,000/-
21.000/-
21,000/-
6,000/-
21,000/-.
31,.500/-
3.,636/-
6,262/-
6.262/-
12, 120/-
5,050/-
3,737/-
21 ,000)-
18, l 80/-
25,200/-
20,000/-
21.000/-
21.000/-
3 l,500/-
19190/-
Scanned by CamScanner
-
Item Na.me of the invesUgationJ Package cost in rupees (semi private ) Code Treatment Procedure
7.15 Urethroplastic one stage procedure 21,000/- 7.16 Radical Cystectomy 25,200/. 7.n Epispadias/Extroply repair 25,200/- 7.18 Caeca Cystoplnsty 25,200/- 7.19 Pyelolithotorny -·. 16, 160/- 7.20 Nephrectomy Simple 21,000/- 7.21 N ephrostomy 9,090/-
7.21 Urethral Reirnplant 9,090/- •
7.22 U rethraJTransplantati on 2, 100/- 7.23 Partial Cystectomy 22,470/- 7.24 Transurethral resection of Prostate (TORP) 23,0001- 7:24.1 Laser Prostetectomy 37,800/- 7..25.1 TROP & TUR Bladder Tumour 21,000/- 7.25.2 TURP Cystolitho Tripsy 21,000/- 7.26 Open Prostectomy 17.3721~ 7.27 Closure of Urethal Fistula 11,312/- 7.28.l Orchidopexy Unilateral 10,504/- 7.28.2 Orchidopexy Bilateral 12,524/- . 7.29 Cystolithotomy Suprapubic 10,301/- 7.30 Endoscopic Removal of stone in Bladder 10,302/- 7.31 Resection Bladder Neck Endoscopic 10.504/- 7.32 Ureteroscopic removal 19.392/- 7.33 Cystoscopic basketing of Urethra 15,352/- 7.34 Urethroplasty l st Stage 13.130/- 7.35 Optical Urethrotorny 1 O, I 00/- 7.36 Exploratory Scrototomy 8,080/· - 7.37 Perinea! Urethrostorny 8,080/- 7.38 Dilatation of stricture Urethra under G .A. 3,333/-
51
Scanned by CamScanner
-
ltem Package cost in rupees (semi prfvate ] Name of the investigotioq/
Code Treatment Procedure
7.39 Dilatation of stricture Urethra 'W/0 Anesth 2,020/- 8.3 ChoJecystectomy Laparoscopic Surgery 27.000/- 8.4 Appenddi cectcrny
21,000/- 8.5 Hernia Repair
l 8, 1201- 8.6 Diagnostic Laproscopy 7,272/- 9.6.1 Liver Transplantation Receipient 9.6.2 Liver Transplantation Donor l0.5 IOL Implementation 7500/-+
• cost of Lens
12.6. J Total Hip Replacement 9'5~0251- 12.6.2 Total Ankle Joint Replacement [,32,000/- 12.6.3 Total Knee Joint Replacement 1,10,000/- 12.6.4 Total Shoulder Joint Replacement 110,000/- 12.6.5 Total Elbow Joint Replacement 82,500/- 12.6.6 Total Wrist Joint Replacement 82,500/- 13.3 Carniot:omy and Evacuation of Haemotoma 13.J. I Subdural 26;1..50/- 13.3.2 Extradural 26.250/- l3.4 Cranioplasty 31.500/- IJ.5 Evacuation o:f Brain Abscess 31.500/- 13.6 Excision. - Lobe (Frontal, Temp. Cerebellum etc.) 30,975/- 13.7 Excision of Brain Tumuors 13.7.1 Supratentorial 42,000/-
Subtentorial ' 47,250/- 13.7.2
13.8 Surgery of Cord Tumuors 38,325/- 13.8 Orcbidopexy Unilateral 13.9 Meningornyelocele 31.500/-
5Z
Scanned by CamScanner
-
Item Name of the investigation/ Package cost in rupees (semi private )
Corle Treatment Procedure
13.10 Ventriculoatrial Shunt/Ventriculo Peritoneal 29,400/-
13.11 Excision of Cervical lntervertebral Discs 28,350/-
13.12 Twist Drill Craniostorny 13,534/-
13.13 Subdural Tapping
13.14 Ventricular Tapping
13.15 Abscess Tapping 16,160/-
13.16 Placement of TCP Monitor 5,050/-
l:U7 Urokinase Therepy for lCH 9,595i- •
13.18 Skul I Traction Application 8,880/-
13.19 Lumber Pressure Monitoring 6,060/-
13.20 Vascular Malformations
13.21 Peritonreal Shunt
13.22 Atrial Shunt
13.23 Meningo Enccpbalocoel 21,735/-
13.24 Meningomyelocoel 25,200/-
13.25 C.S.F. Rhinorrhaea 33,600/:.
13.26 Cranioplasty 42~000/-
13.27 Posterior Cervical Dissectorny 37,800/-
13.28 Anterior Cervical Dissectorny 29,400/-
13.29 Brachia! Plexus Exploration Microsuturing 29,400/-
13.30 Median Nerve Decompression 19,594/-
13.31 Peripualc Ncurectomy (Tirgeminal) 19,594/-
13.32 Cranieotomy 39,900/-
13.33 Trigeminal Rhiotorny 33,600/-
13.34 Cravial Nerve Anastomosis 29,820/-
13.35 Meningocoele Excision 23,730/-
13.36 Peripheral Nerve Surgery - Major 14, 140/-
13.36 Minor 10, 100/-
53
Scanned by CamScanner
-
Item Name or the investigation/ Package cost in rupees (semi private ) Code Treatment Procedure
13.37 Ventriculo-Atrial Shunt (Exclud, cost of value} 2Sl200/- 13.38 Nerve Biopsy or Brain Biopsy 5050/L'1140/- 13.39 Arnterior Cervical Spine Surgery with fusion 33,600/- 13.40 Amterior Lateral Decompression 33,600/- 13.41 Brain Mapping 4,040/- 13.42 Cervical or Dorsal Laminectomy 33,600/- 13.43 Combd Trans-oral Surgery & CV Junct, Fusion 63,000/-· 13.44 C.V. Junction Fusion 37 BOO/- 1
• 13.45 Depressed Fracture . 29,400/- 13.46 Disssectomy 28,035/- 13.47 Endartercctomy . 30,975/~ 13.48 Endoscopic Surgery 52,5001- 13.49 R. F. Lesion _for Trigeminal Neuralgia 4,040!- 13.50 Shunt Procedures (V NVPff P/Shunt) 33.180/- L3.S I. Skull Base Surgery 13.52 Spasticity Surgery . 42,000/- 13.53 Spinal Fusion Procedure 39,.9001- 13.54 Spinal Intra Medullary Tumuors 53,655/- ·13.55 Spinal Tumours Others 38,430/- 13.56 Spina Bifida Surgery Major 38,010/- 13.57 Spina Bifida Surgery Minor 29,400/- 13.58 Stereotaxic Procedures 52,500/- 13 59 Trans Sphenoidal Surgery ,, 52,500/- 13.60 Trans Oral Surgery S,200i- 13.61 Trans Cranial Doppler 4040/- 14.7 Consul. fee per Fraction Phys. Chrg, &. Olh, Chrgs, . 303/-
54
Scanned by CamScanner
-
Item Name of the investigation/ Package cost in rupees (semi privntc )
Code Treatment Procedure
15 Lithoripsy 30,000+ Cost of JJ stent if required+
Cost of Room rent if required
16. COBALT 60 THERAPY 16.1
16.2
16.3
Radical Treatment .••
Palliative Treatment Adjustment Therapy
20,200/-
10, J 00/-
16, 160/-
16.4 Radiotheraphy per Fraction •
17. LINER ACCELERATORS 17.J
17.2
Radical Radiotherapy Liner Palliative Radiotherapy Liner
40,000/-
25,250/-
17.3 Liner Acceleration per Fraction
18. BRACHY THERAPY l ntracay itary
Interestical (Implant)
(i) Head & Neck
(ii) Breast
• (iii) Soft Tissue Sarcome 19. CHEMOTHERAPY CHARGES
JO, 110/- 18.1
I 8.1
11,110/-
10,100/-
12, 120/-
19.1
19.2
19.3
600/-
800/-
900/-
Single Durg Therapy per day
Multiple Drug Therapy per day ·
lnfusional Chemoteierapy
Note : For Chemotherapy the charges mentioned are onJy procedural charges. The cost of
medicines rent charges (admission cases) will be extra.
*
55
Scanned by CamScanner
-
29.30. Eviseration
29.11 Entr:opion
29.32. Fluoresce in
29.32.I lndo cynagreen 29.322 Angiography of Retina 29.32.3 IRIS 29.33. Automated Perimetry
29.34. Orbital ,, . 29..34.1 J\.1RI
29.34.2 C.T Scan 29.35. Orthoptie Checkup
29.36. Corneal Endothelial Cell Count
29.37. Corneal Topography
29.38. Corneal Pachymetry
29.39. Retinal nerve film analyser studies
29.40. Auti refractometry
29.41. Biometry
29.42. Ultrasound Studies
29.42.1 A Scan
29.42.2 BScan
29.43, RetinaUMeter Function Studies
29.43.l VER 29.4J.2 P ANACUTY METER 29.43.3 Laser Interferometry
29.43.4 EKG.EOG
29.44. Dacryocystography
29.45. Orbital Angiostudies
11121.5
9500
59
Scanned by CamScanner
-
New Procedure SL No.
Mumbai Name of Procedure
25.13.1
25. i 5.1
25.16.1
25.17.]
25.18. I
25.20.0
26.3.1
26.4.1
26.5.l
zs.s.i 26. I6.3
26.19.1
26.20. I
26.21.3
26.24.3
26.32. J
26.33.1
26.14.l
26.36.1
.26.38. l
26.39.3
26.40.4
26,.49.1.
26.50.0
26.54.0
26.66.l
LAPAROSCOPIC PROCEDURE Thorascopic Decortication
Thorascopic Pneurnonectomy
Thorascopic Lobectorny
Thoracoscopie Segmental Resection
Thoracoscopic hydatid Cyst Excision Thoracoscopic Sympathectomy Laparoscopi c Pyioromyotomy Laparoscopic Gastrostomy
Lap. Closure of perforated peptic ulcer
Lap. Vagotorny pyieroplasty/ gasrtojejunostomy
Laparoscopic Hiatus Hernia Repair
Laparoscopic Umbilica1 Hernia Repair Laparoscopic VentraJ Hernia Repair
Laparoscopic Hernia Repair
Laparoscopic Splenectomy
Laparoscopic Cystogastrostomy
Laparoscopic Cholecystectomy
Lap. Cholecystectorny BCHD exploration
Lap. Hydatid of Liver Surgery Lap. Hepatic Resection
Lap. Adrenalectomy
Lap. Appendictorny
29968
35000
29968
29968
29968
29968
29968
. 25984
27984
42500
]5500
35000
):5000
28500
29968
29968
36000
45000
35000
,,"' 235001
Lap. Assisted Small Bowel Resection
Lap. For Intestinal Obstruction
Lap. For Intestinal Perforation
Lap. Assisted Right Hemicolectorny 700001
56
Scanned by CamScanner
-
26.67.1
26.68. l
26.77.4
26.80.J
26.81.1
27 .1.1
27.2.1
27.4.1
27.5.1 .•.. 7.6.1
27.9.1 . 27.10.1
27.11.l
27.54.'I
29.60.l
•• Lap. Assisted Left Hemicolectomy
Lap. Assisted Total Colectomy
Laparoscopic Rectopexy
Lap. Assisted Abdominoperineal Resection of Rectum
Lap. Assisted Anterior Resection
Retro per itoneoscopy N ep hrectomy
Retroperitoneoscopy Partial Nephrectorny
Rctroperitoneoscopic Nepbrolithotomy
Retro peritoncoscop i c pyel oli tbotomy Retroperitoneoscopic Operation for Hydronephrosis
Retroperitoneoscopic Surgery for Renal cyst
Retrnperitoneoscoipc Ureterolithotomy
Retroperi ton eoscopi c N ephro ureteredomy
Lap. Assisted orchidopexy
Lap. Operation for Varicocele
LAPAROSCOPI
-
128. 13. Laparoscopic Ureterolithotomy
OPTHALMOLOGY 29.I .. Clinical Photography 29.2 .. Pteryge-um 2500 29.3 .. Chalazion !500 29.4 .. Orbitotomy 16000 29 .. 5 .. Ptosis 10000 .,- 29.6 ... Entropion 6424 21J.7 .. Xenon Arc Laser 29.8 .. DCR 7000 ·29.9 .. ECCE/lCCC 8250] 29.10. Epioanthus 29.I I. DCY
29.12. Squint Correction 5000 29.13. Keratiplasty 16243 29.14. Trabecul ectany ]1121.5 29.15. Trabeculotomy 6000 29.16. Irideotorny 9192.S 29.17. Goniotomy 7000 29. l 8. Sclaral Bulking (Retinal Detachment Surgery) 1562].5 . 2lJ. l 9. Electro oculcgram 29.20 __ ERG 29.2]. Fluorescein Angiography 2.9.22. A Scan 2701 29.23. Tonography 29.24. VER 29,25. Goldmen Perirnelry 29.26. Specular Microscopy 29.27. Syringing & Probing 3750 29.28. V:itrectoriiy 19381.5 29.29. Enucleation 8000
58
Scanned by CamScanner
-
JO. I.. .
30.2 ..
30 2.1.
30.2.2.
30.2.3.
J0.2.4
J0.3.
30.4.
30.5.
30.6. •. 30.7.
30.8.
30.9.
30.10.
30.11.
30.12. 30.13.
30.14.
30.15.
30.16. . 30.17.
30..18. 30.19 ..
30.20.
30.21.
30.22 ..
31.1..
31-2
I
CARDIO RESPIRATORY PROCEDURES Thoracop lasty
Pulmonary function Test BMR Spirometry
Spirornetry with Helium Dilution
Spirometry with a. helium dil.with diffusion capacity Study Pulmonary Exercise Testing Pneumonectomy
Lobectomy Decortication
Segmental Resection Mediastinal Tumour
Thymectorny
Partial Peri card iectomy
Removal of tumours Chest Wall
Oesophagectorriy of Mid I/3rd.Lesions
Hiatus hernia Repair Heller's Operation
Colon interposition/replacement of oesophagus
Open Lung Biopsy
Anterior Mediastinotomy
Oesophageogasrectomy for Lower t.hird/CorTingerProced. Medistinoscopy (cervical)
Video-assisted thorascopy (VATS)
VAT Lung Surgery
Lung volume reduction surgery
23000
850
500
225[1[
27000
26000
22000
35000
35000
35000
26000
30000
28000
30000
30000
18000
Aortogram
CHEST Direct Laryngoscopy
Bronchoscopy
3250
3500
60
Scanned by CamScanner
-
3 I .3.
3 I .4
31.5.
31.6.
3J. 7.
31.8.
31 9.
31.10.
31-1 l.
J 1.12.
31. IJ . . 31. 14.
calene Node Biopsy
.,1ediastinscopy of Pericardia! Cavity
Aspiration of Pleural Cavity
Aspiration of Pericardia! Cavity
Pleural Biopsy
Thorascopy
Tracheostomy
Thoracotomy (penetratingwound)
lntercostal Drainage of Empyema
Rib Resection ofEmpyema
Hydatid Cyst
Thymectomy
2750
3712
2000
2000
3030
10535
3500
32500
6000
10000
31.15. VATS
30000
31.16.
:n.11.
31.18.
32. I.
32.2.
32.3.
32.4.
32.5.
32.6.
32.7.
32.8.
32.9.
32.10.
32. l I.
32.12.
32.13.
32.14.
Fibrcoptic Bronchoscopy
Fibreoptic Bronchoscopy with Washing/ biopsy
Arterial Blood Gases
3500
500
EAR Ear Lobule Stiching
Ear piercing
Syringing
rn Removal Myringopl asty
Stapcdectorny
Myringotomy
Gorrnet Insertion
Tympanotomy
Paracentesis
Tympanop!asty
Mastoidectorny
Pinna Excision
1650
600
350
969
8000
17000
5924
7000
6000
Otoplasty
15621.5
18381.5
10000
15000
61
Scanned by CamScanner
-
32. ls. Lubyrintbectcmy
32.16. Skull base Surgery 32.17. Facial Nerve Decompression 26000
NOSE 33.1. Septoplasty 1712L5 JJ.2. Submucous Resection 18381.5 33.3. Septo-rhinoplasty 29968 33.4. Rhinoplasty 18000 33.5. Fracture Reduction 8000 33.6. Intra-nasal Diathermy 3000 33.7. Turbinectomy
• 33.8. Endoscopic DCR
33.9. Endoscopic Surgery
33.10. Septal Perf Repair
33.11. Antrurn Puncture 41741 33.12. Lateral Rhinatomy
33.1.3. Cranio facial Resection 33.14. Maxillectomy 33.15. Ethmoidoctomy 16243 33.16. Caldwell-Luc Surgry 15000
33.l 7. Angiofibroma Resection 22000
3J.18. Endoscopic Hypophysectomy JJ.19. Endoscopic Optic Nerve 33.20. Decompression 19121.5
THROAT 34.1. Ranula Excision 5500
34.2 Cyst Excision 5250 34.3. Tongue Tie Excision 2250
34-4. Submandibular Duct Lithotorny
34.5. Adencidectomy 8442.5 l
34.6. Palatopharyngoplasty
62
Scanned by CamScanner
-
· 34.7.
34.8.
34.9.
35.1.
352.
35.3.
35.4.
35.5.
35.6.
35.7 . •
36.1.
36.2
36.3.
36.4.
Cleft Palate Repair
Pharyngoplasty
Styloidectomy
17000
22000
10000
NECK Cyst Excision
Sinus & Fistula Repair
Lumph Node Excision
Subrnandibular Gland-Excision
Hyoid Suspension
Genioplasty
Thyroidectomy
6000
7000
3000
13121.5
20000
LARYNX Direct Lnryrigoscopy Phonosurgery
Fibreoptic Laryrigoscopy
Microlaryngeal Surgery
4275
162431
36.5. Laryngofissure
3fi.6. Stenosis Excision
37. l.
37.2.
37.3.
37.4.
37.5.
37.6.
37.7.
37.8.
37.9.
37.10.
37.11.
37'.12.
HEAD AND NECK CANCER Excisional Biopsy
Benign Tumour Excision
Temporal Bone Excision
Maadibulectomy
Glossectorny
Commando Surgery
Radical Neck Dissection Carotid Body Excision Total Laryngcctomy
Laryngopharyngectorny
2500
8000
Flap Reconstruction Surgery
Parapharyngeal Tumour Excision
300001
20000
37438
30000
37438
22000
29968
20000
20000
63
Scanned by CamScanner
-
37.13.
38.1.
38.1.1
3B. l.2
38.L.3 38.1.3.1
38.l .3.2
38.1.3.3
38.1.3.4
38. l.3.5 • 38.1.3.6
38.2.
38.2.I
38.2.2
38.2.3
38.2.4
38.)
38.4.
)~.4.1
38.5.
38.5~1
38.5.2
38.5.3
.38.5.4
' P:Arotidectomy
20000 GYNAE OPERA l'IONS
Laparoscopy
Diagnostic
Sterilisation
Operative
LAVH
Ovarian Cysrectorny Drilling of Ovary
Myornectomy
A