Scanned by CamScanner - CGHS Mumbai...SUB. :- Recognition . of private hospitals/diagnostic centers...

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Transcript of Scanned by CamScanner - CGHS Mumbai...SUB. :- Recognition . of private hospitals/diagnostic centers...

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • ' 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

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  • 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

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    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

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  • 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

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  • 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

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  • • 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

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  • ' 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • ' 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

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  • 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

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  • ' 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • ' 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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/-

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  • 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

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  • 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/-

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  • 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/-

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  • 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

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  • 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/-

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  • 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/-

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  • 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.

    *

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • 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

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  • · 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

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  • 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