Secondary Care CGHS Packagearogya.karnataka.gov.in/sast/details/CGHS simple... · 2020. 4. 10. ·...
Transcript of Secondary Care CGHS Packagearogya.karnataka.gov.in/sast/details/CGHS simple... · 2020. 4. 10. ·...
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
1 23TREATMENT PROCEDURE
SKINExcision of Moles 311 357
2 24TREATMENT PROCEDURE
SKINExcision of Warts 279 321
3 25TREATMENT PROCEDURE
SKINExcision of Molluscum contagiosum 117 135
4 26TREATMENT PROCEDURE
SKINExcision of Veneral Warts 144 166
5 27TREATMENT PROCEDURE
SKINExcision of Corns 126 145
6 28TREATMENT PROCEDURE
SKINI/D Injection Keloid 97 112
7 29TREATMENT PROCEDURE
SKINChemical Cautery (s) 99 114
8 30TREATMENT PROCEDURE
OPTHALMOLOGY
Subconjunctival/subtenon’s injections in one
eyes66 76
9 31TREATMENT PROCEDURE
OPTHALMOLOGY
Subconjunctival/subtenon’s injections in both
eyes132 152
10 33TREATMENT PROCEDURE
OPTHALMOLOGYConjunctival Peritomy 58 67
11 35TREATMENT PROCEDURE
OPTHALMOLOGYRemoval of corneal foreign body 115 132
12 36TREATMENT PROCEDURE
OPTHALMOLOGY
Cauterization of ulcer/subconjunctival injection
in one eye69 79
13 37TREATMENT PROCEDURE
OPTHALMOLOGY
Cauterization of ulcer/subconjunctival injection
in both eyes138 159
14 40TREATMENT PROCEDURE
OPTHALMOLOGY
Cyanoacrylate /fibrin glue application for
corneal perforation690 794
15 41TREATMENT PROCEDURE
OPTHALMOLOGYBandage contact lenses for corneal perforation 414 476
16 45TREATMENT PROCEDURE
OPTHALMOLOGYEDTA for band shaped keratopathy 777 893
17 46TREATMENT PROCEDURE
OPTHALMOLOGYArcuate keratotomy for astigmatism 2800 3220
18 47TREATMENT PROCEDURE
OPTHALMOLOGY
Re-suturing (Primary suturing) of corneal
wound1035 1191
19 55TREATMENT PROCEDURE
OPTHALMOLOGY
Probing and Syringing of lacrimal sac- in one
eye69 79
20 56TREATMENT PROCEDURE
OPTHALMOLOGY
Probing and Syringing of lacrimal sac- in both
eye138 159
21 57TREATMENT PROCEDURE
OPTHALMOLOGYDacryocystorhinostomy—Plain 2875 3306
22 60TREATMENT PROCEDURE
OPTHALMOLOGYCaliculoplasty 2070 2381
23 61TREATMENT PROCEDURE
OPTHALMOLOGYDacryocystectomy 1725 1984
24 62TREATMENT PROCEDURE
OPTHALMOLOGYPunctal plugs for dry eyes 130 150
25 63TREATMENT PROCEDURE
OPTHALMOLOGYRefraction 36 41
26 64TREATMENT PROCEDURE
OPTHALMOLOGYIndirect Ophthalmoscopy 60 69
27 65TREATMENT PROCEDURE
OPTHALMOLOGYOrthoptic check-up- with synoptophore 44 51
28 66TREATMENT PROCEDURE
OPTHALMOLOGYLees’ charting or Hess’ charting 100 115
29 67TREATMENT PROCEDURE
OPTHALMOLOGYOrthoptic exercises 50 58
30 68TREATMENT PROCEDURE
OPTHALMOLOGYPleoptic exercises 50 58
31 69TREATMENT PROCEDURE
OPTHALMOLOGYPerimetry/field test—Goldman 144 166
Secondary Care CGHS Package
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
32 70TREATMENT PROCEDURE
OPTHALMOLOGYPerimetry/field test— automated 144 166
33 71TREATMENT PROCEDURE
OPTHALMOLOGYFluorescein angiography for fundus or iris 920 1058
34 72TREATMENT PROCEDURE
OPTHALMOLOGYUltrasound A- Scan 777 893
35 73TREATMENT PROCEDURE
OPTHALMOLOGYUltrasound B- Scan 230 265
36 74TREATMENT PROCEDURE
OPTHALMOLOGYFundus Photo Test 180 207
37 75TREATMENT PROCEDURE
OPTHALMOLOGYIndocyanin green angiography 828 952
38 76TREATMENT PROCEDURE
OPTHALMOLOGY
Corneal endothelial cell count with specular
microscopy230 265
39 77TREATMENT PROCEDURE
OPTHALMOLOGYCorneal topography 331 381
40 78TREATMENT PROCEDURE
OPTHALMOLOGYCorneal pachymetry 230 265
41 79TREATMENT PROCEDURE
OPTHALMOLOGYAuto-refraction 34 40
42 80TREATMENT PROCEDURE
OPTHALMOLOGYMacular function tests 44 51
43 81TREATMENT PROCEDURE
OPTHALMOLOGYPotential acuity metry 100 115
44 83TREATMENT PROCEDURE
OPTHALMOLOGYOCT-Optical coherence tomography 1913 2250
45 84TREATMENT PROCEDURE
OPTHALMOLOGYHRT- Heidelberg’s retinal tomogram 150 173
46 85TREATMENT PROCEDURE
OPTHALMOLOGYGDX--- Nerve fibre layer analyzer 88 101
47 86TREATMENT PROCEDURE
OPTHALMOLOGYUBM- Ultrasound bio microscopy 150 173
48 87TREATMENT PROCEDURE
OPTHALMOLOGYNon Contact tonometry 50 58
49 88TREATMENT PROCEDURE
OPTHALMOLOGYIOP measurement with schiotz 27 32
50 89TREATMENT PROCEDURE
OPTHALMOLOGYIOP measurement with applation tonometry 50 58
51 90TREATMENT PROCEDURE
OPTHALMOLOGYThree mirror examination for reti 52 60
52 91TREATMENT PROCEDURE
OPTHALMOLOGY90 D lens examination 45 52
53 92TREATMENT PROCEDURE
OPTHALMOLOGYGonioscopy 52 60
54 93TREATMENT PROCEDURE
OPTHALMOLOGYChalazion incision and curettage in one eye 400 460
55 94TREATMENT PROCEDURE
OPTHALMOLOGYChalazion incision and curettage in both eyes 431 496
56 96TREATMENT PROCEDURE
OPTHALMOLOGYPtosis surgery with LPS resection one lid 5500 6325
57 97TREATMENT PROCEDURE
OPTHALMOLOGYPtosis surgery with Sling surgery one lid 6670 7671
58 98TREATMENT PROCEDURE
OPTHALMOLOGYEctropion surgery- one lid 1400 1610
59 100TREATMENT PROCEDURE
OPTHALMOLOGYEpicanthus correction 1550 1783
60 101TREATMENT PROCEDURE
OPTHALMOLOGYCantholysis and canthotomy 575 662
61 102TREATMENT PROCEDURE
OPTHALMOLOGYEntropion surgery- one lid 1380 1587
62 104TREATMENT PROCEDURE
OPTHALMOLOGYTarsorraphy 650 748
63 106TREATMENT PROCEDURE
OPTHALMOLOGYLid retraction repair 1700 1955
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
64 107TREATMENT PROCEDURE
OPTHALMOLOGYConcretions removal 115 132
65 108TREATMENT PROCEDURE
OPTHALMOLOGYBucket handle procedure for lid tumors 345 397
66 115TREATMENT PROCEDURE
OPTHALMOLOGYTelecanthus correction 5175 5951
67 118TREATMENT PROCEDURE
OPTHALMOLOGYExenteration with skin grafting 6900 7935
68 124TREATMENT PROCEDURE
OPTHALMOLOGYSilicone oil removal 2800 3220
69 127TREATMENT PROCEDURE
OPTHALMOLOGYSquint correction for both eyes 7500 8625
70 129TREATMENT PROCEDURE
OPTHALMOLOGYTrabeculotomy 6900 7935
71 130TREATMENT PROCEDURE
OPTHALMOLOGYTrabeculectomy with Trabeculotomy 10350 11903
72 131TREATMENT PROCEDURE
OPTHALMOLOGYTrephition 2300 2645
73 132TREATMENT PROCEDURE
OPTHALMOLOGYGoniotomy 345 397
74 137TREATMENT PROCEDURE
OPTHALMOLOGYALT-Argon laser trabeculoplasty 1346 1547
75 138TREATMENT PROCEDURE
OPTHALMOLOGYPDT-Photodymic therapy 3105 3571
76 139TREATMENT PROCEDURE
OPTHALMOLOGYTTT- Transpupillary thermal therapy 3000 3450
77 140TREATMENT PROCEDURE
OPTHALMOLOGYPTK- Phototherapeutic keratectomy 7500 8625
78 141TREATMENT PROCEDURE
OPTHALMOLOGYArgon/diode laser for retinal detatchment 1035 1200
79 142TREATMENT PROCEDURE
OPTHALMOLOGYIntralase application for keratoconus 5750 6613
80 143TREATMENT PROCEDURE
OPTHALMOLOGYEOG- electro-oculogram 850 1000
81 144TREATMENT PROCEDURE
OPTHALMOLOGYERG- Electro-retinogram 794 913
82 145TREATMENT PROCEDURE
OPTHALMOLOGYVEP- visually evoked potential 800 920
83 147TREATMENT PROCEDURE
OPTHALMOLOGYIntravitreal injections- of antibiotics 1150 1323
84 148TREATMENT PROCEDURE
OPTHALMOLOGY
Intravitreal injections- of lucentis excluding
cost of drug3000 3450
85 149TREATMENT PROCEDURE
OPTHALMOLOGYX- Ray orbit 115 132
86 151TREATMENT PROCEDURE
OPTHALMOLOGYMRI- Orbit and brain 3450 3968
87 152TREATMENT PROCEDURE
OPTHALMOLOGYDacryocystography 340 391
88 153TREATMENT PROCEDURE
OPTHALMOLOGYOrbital angio-graphical studies 1350 1553
89 154TREATMENT PROCEDURE
OPTHALMOLOGYECCE with IOL 3450 3968
90 158TREATMENT PROCEDURE
OPTHALMOLOGY
Secondary IOL implantation- AC IOL PC IOL or
scleral fixated IOL6900 7935
91 160TREATMENT PROCEDURE
OPTHALMOLOGYOptic nerve sheathotomy 7500 8625
92 161TREATMENT PROCEDURE
OPTHALMOLOGYIridodialysis repair or papillary reconstruction 5000 5750
93 163TREATMENT PROCEDURE
OPTHALMOLOGYLid Abscess incision and Drainage 1530 1760
94 164TREATMENT PROCEDURE
OPTHALMOLOGYOrbital Abscess incision and Drainage 3000 3450
95 166TREATMENT PROCEDURE
OPTHALMOLOGYParacentesis 230 265
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
96 167TREATMENT PROCEDURE
OPTHALMOLOGYScleral graft for scleral melting or perforation 2520 2898
97 168TREATMENT PROCEDURE
OPTHALMOLOGYAmniotic membrane grafting 1100 1265
98 169TREATMENT PROCEDURE
OPTHALMOLOGYCyclodiathermy 2300 2645
99 171TREATMENT PROCEDURE
OPTHALMOLOGYElectrolysis 230 265
100 173TREATMENT PROCEDURE
OPTHALMOLOGY
Botulinum injection for blepharospasm or
squint2250 2588
101 174
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Flap Operation per quadrant 360 414
102 175
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Gingivectomy per quadrant 234 269
103 176
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Reduction & immobilization of fracture- Maxilla
Under LA900 1035
104 178
TREATMENT PROCEDURE
DENTAL
PROCEDURES
splints/Cirucum mandibular wiring under LA 510 587
105 179
TREATMENT PROCEDURE
DENTAL
PROCEDURES
splints/Cirucum mandibular wiring under GA 990 1139
106 180
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Internal wire fixation/plate fixation of Maxilla
under LA3000 3450
107 184
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Extraction per tooth under LA 80 92
108 185
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Complicated Ext. per Tooth under LA 100 115
109 187
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Extraction in mentally retarded/patients with systemic diseases/patient with
special needs
under short term GA
845 972
110 192
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Biopsy Intraoral-Soft tissue 337 387
111 193
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Biopsy Intraoral-Bone 374 430
112 196
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Segmental-mandibulectomy with graft 3400 3910
113 197
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Segmental-mandibulectomy without graft 990 1139
114 203
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Pre-prosthetic surgery- Alveoloplasty 500 575
115 204
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Pre-prosthetic surgery - ridge augmentation 1200 1380
116 205
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Root canal Treatment(RCT) Anterior teeth(per
tooth)500 575
117 206
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Root canal Treatment(RCT) Posterior teeth (per
tooth)700 805
118 207
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Apicoectomy- Single root 500 575
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
119 208
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Apicoectomy-Multiple roots 650 748
120 209
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Metal Crown-per unit 500 575
121 210
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Metal Crown with Acrylic facing per unit 700 805
122 211
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Complete single denture-metal based 1500 1725
123 212
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Complete denture- acrylic based per arch 950 1093
124 213
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Removable partial denture-Metal based-upto 3
teeth700 805
125 214
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Removable partial denture-Metal based-more
than 3 teeth900 1035
126 215
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Removable partial denture-Acrylic based-upto
3 teeth500 575
127 216
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Removable partial denture-Acrylic based-more
than 3 teeth264 304
128 217
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Amalgum restoration-per tooth 200 230
129 218
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Composite Restoration-per tooth-anterior tooth 250 288
130 219
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Glas Ionomer-per tooth 200 230
131 220
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Scaling & polishing 300 345
132 221
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Removable Orthodontics appliance- per Arch 630 725
133 222
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Fixed Orhtodontics-per Arch 1150 1323
134 223
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Space maintainers-Fixed 500 575
135 224
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Habit breaking appliances-removable 765 900
136 225
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Habit breaking appliances-Fixed 1500 1725
137 226
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Expansion plate 1000 1150
138 227
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Feeding appliance for cleft palate 1350 1553
139 228
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Maxillo-facial prosthesis
(sal/auricular/orbital/facial lost part)3150 3623
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
140 229
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Functional orthodentic appliances 3000 3450
141 230
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Obturator (Maxillo-facial) 1350 1553
142 231
TREATMENT PROCEDURE
DENTAL
PROCEDURES
Occlusal night guard(splint) 800 920
143 232TREATMENT PROCEDURE
ENTPure Tone Audiogram 172 198
144 233TREATMENT PROCEDURE
ENTImpedence with stepedeal reflex 230 265
145 234TREATMENT PROCEDURE
ENTSISI Tone Decay 132 152
146 235TREATMENT PROCEDURE
ENTMultiple hearing assessment test to Adults 115 132
147 236TREATMENT PROCEDURE
ENTSpeech Discrimination Score 90 103
148 237TREATMENT PROCEDURE
ENTSpeech Assessment 120 138
149 238TREATMENT PROCEDURE
ENTSpeech therapy per session of 30-40 minutes 131 151
150 239TREATMENT PROCEDURE
ENTCold Calorie Test for Vestibular function 172 198
151 240TREATMENT PROCEDURE
ENTRemoval of foreign body From Nose 311 357
152 242TREATMENT PROCEDURE
ENTSyringing (Ear) 149 172
153 244TREATMENT PROCEDURE
ENTPolyp removal under GA 850 978
154 247TREATMENT PROCEDURE
ENTStaepedectomy 9200 10580
155 257TREATMENT PROCEDURE
ENTSubmucous Resection 7314 8411
156 266TREATMENT PROCEDURE
ENTAntrum Puncture 855 984
157 274TREATMENT PROCEDURE
ENTPunch/Wedge biopsy 674 775
158 279TREATMENT PROCEDURE
ENTPolyp removal ear 748 860
159 282TREATMENT PROCEDURE
ENTEndolymphatic sac decompression 2875 3306
160 283TREATMENT PROCEDURE
ENTDiagnostic endoscopy under GA 2070 2381
161 286TREATMENT PROCEDURE
ENTNasal Packing-anterior 345 397
162 287TREATMENT PROCEDURE
ENTNasal Packing-posterior 805 926
163 289TREATMENT PROCEDURE
ENTTongue Tie excision 1350 1553
164 290TREATMENT PROCEDURE
ENTSub Mandibular Duct Lithotomy 269 309
165 331
TREATMENT PROCEDURE
FOR HEAD AND
NECK
Repair of Parotid Duct 11500 13225
166 334
TREATMENT PROCEDURE
FOR HEAD AND
NECK
Partial Thyroidectomy (lobectomy) 11500 13225
167 335
TREATMENT PROCEDURE
FOR HEAD AND
NECK
Subtotal Thyroidectomy 11748 13510
168 337
TREATMENT PROCEDURE
FOR HEAD AND
NECK
Resection Enucleation of thyroid Adenoma 10580 12167
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
169 339
TREATMENT PROCEDURE
FOR HEAD AND
NECK
Excision of Lingual Thyroid 15194 17473
170 344
TREATMENT PROCEDURE
FOR HEAD AND
NECK
Hyoid Suspension 10350 11903
171 346
TREATMENT PROCEDURE
FOR HEAD AND
NECK
Direct Laryngoscopy including biopsy under GA 4658 5356
172 347
TREATMENT PROCEDURE
FOR HEAD AND
NECK
Phonosurgery 13800 15870
173 348
TREATMENT PROCEDURE
FOR HEAD AND
NECK
Fibroptic examition of Larynx under LA 1649 1940
174 352 Head and neck cancer Excisional Biopsies 5175 5952
175 353 Head and neck cancer Benign Tumour Excisions 8550 9833
176 360 Head and neck cancer Other Major Surgery 21250 25000
177 368TREATMENT PROCEDURE
BREASTOther Major Surgery 22500 25875
178 370TREATMENT PROCEDURE
GENERAL SURGERYInjury Of Superficial Soft Tissues 425 500
179 373TREATMENT PROCEDURE
GENERAL SURGERYDebridement of wounds 450 518
180 374TREATMENT PROCEDURE
GENERAL SURGERYRemoval Of Foreign Bodies 300 345
181 378 Biopsies Excision Biopsy of Ulcers 1470 1691
182 379 Biopsies Excision Biopsy of Superficial Lumps 2898 3333
183 380 Biopsies Incision Biopsy of Growths/Ulcers 1470 1691
184 381 Biopsies Trucut Needle Biopsy 1395 1605
185 382 Biopsies Percutaneous Kidney Biopsy 1470 1691
186 383 Biopsies Marrow Biopsy (Open) 954 1097
187 385 Biopsies Scalene Node Biopsy 1350 1553
188 386 Biopsies Excision of Sebaceous Cysts 1242 1428
189 392 Biopsies keloid excision 1150 1323
190 404TREATMENT PROCEDURE
OESOPHAGUSOther Major Surgery 27625 32500
191 406
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Gastroscopy 1553 1786
192 407
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Gastric & Duodenal Biopsy (Endoscopic) 1944 2236
193 418
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Highly Selective Vagotomy 16767 19283
194 419
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Selective Vagotomy & Drainage 16767 19283
195 464
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Operations for Recurrent Intestinal Obstruction (Noble Plication & Other
Operations for
Adhesions)
23000 26450
196 478
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Rectal Polyp-Excision 5658 6507
197 479
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Fistula in Ano - High Fistulectomy 15102 17367
198 480
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Fistula in Ano - Low Fistulectomy 8880 10212
199 481
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Prolapse Rectum - Theirch Wiring 10350 11903
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
200 491
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Radio ablation of varicose veins 1800 2070
201 492
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Laser ablation of varicose veins 17250 19838
202 502
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Laproscopic Cholecystetomy 18975 21821
203 503
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Laproscopic Appedicectomy 16200 18630
204 504
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Laproscopic Hernia inguinal repair 16200 18630
205 509
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Other Major Surgery 34500 39675
206 512
TREATMENT PROCEDURE
ICU/CCU PROCEDURES
(SPECIAL CARE CASES)
Compressed air / piped oxygen /per hour 50 58
207 514
TREATMENT PROCEDURE
ICU/CCU PROCEDURES
(SPECIAL CARE CASES)
Paediatric care for New born (Per day) 186 214
208 515
TREATMENT PROCEDURE
ICU/CCU PROCEDURES
(SPECIAL CARE CASES)
Incubator charges (Per day) 345 397
209 517
TREATMENT PROCEDURE
ICU/CCU PROCEDURES
(SPECIAL CARE CASES)
Resuscitation 184 212
210 518
TREATMENT PROCEDURE
ICU/CCU PROCEDURES
(SPECIAL CARE CASES)
Exchange Transfusion 265 305
211 519
TREATMENT PROCEDURE
ICU/CCU PROCEDURES
(SPECIAL CARE CASES)
Pneupack ventilator in Nursery (Per day) 518 595
212 566
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Diagnostic Electrophysiological studies
conventional4550 5233
213 567
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Ambulatory BP monitoring 587 690
214 568
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
External Loop/event recording 2563 3015
215 580
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Sinogram 863 992
216 586
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Holter analysis 850 1000
217 590
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
ECG 50 58
218 591
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
HUTT 2040 2400
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
219 592
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
2 D echocardiography 1080 1242
220 593
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
3 D echocardiography 1275 1500
221 594
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Fetal Echo 1260 1449
222 595
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
2 D TEE 1403 1650
223 596
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
3 D TEE(Transoesophageal echo ) 1403 1650
224 597
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Stress Echo- exercise 1350 1553
225 598
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Stress Echo- pharmacological 2250 2588
226 599
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Stress MPI- exercise 1955 2300
227 600
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Stress MPI - pharmacological 2500 2875
228 601
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Coronary angiography 11500 13225
229 602
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
CT coronary angiography 6030 6935
230 603
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Cardiac CT scan 2272 2613
231 604
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Cardiac MRI 2444 2811
232 605
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Stress Cardiac MRI 3000 3450
233 606
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
MR angiography. 5635 6480
234 607
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Cardiac PET 1500 1725
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
235 609
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Other Major Surgery 20000 23000
236 611
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Normal delivery with or without Episiotomy &
P. repair8000 9200
237 612
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
vacuum delivery 8625 9919
238 613
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Forceps Delivery 9200 10580
239 625
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Exploration of perineal Haematoma & Repair 7200 8280
240 628
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Examination under anesthesia (EUA) 1000 1150
241 631
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Gaping abdominal wound Secondary Suturing 3450 3968
242 632
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Complete perineal tear-repair 2128 2447
243 633
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Exploration of PPH-tear repair 3500 4025
244 634
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Suction evacuation vesicular mole 4500 5175
245 637
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Repair of post-coital tear/ perineal injury 3508 4034
246 643
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Myomectomy -laparotomy 14000 16100
247 646
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Vulvectomy -Simple 9200 10580
248 649
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Manchester Operation 15000 17250
249 651
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Laparoscopic sling operations for prolapse
uterus25200 28980
250 652
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Diagnostic Curettage 2484 2857
251 655
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Other-Minor Operation Endometrial 2300 2645
252 656
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Excision Vaginal Cyst/Bartholin Cyst 3450 3968
253 659
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Laparoscopy Sterilization 3450 3968
254 660
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
LAVH 22719 26126
255 661
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Balloon Temponade for PPH 2800 3220
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
256 663
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Laparoscopic treatment of Ectopic pregnancy-
salpingectomy/salpinostomy conservative9775 11241
257 664
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Conisation of cervix 4025 4629
258 668
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Laparoscopic recannalization of Fallopian tubes-
(Tubuloplasty)18000 20700
259 669
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Colposcopy 958 1102
260 670
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Inversion of Uterus – Vaginal Reposition 2500 2875
261 671
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Inversion of Uterus – Abdominal Reposition 2500 2875
262 672
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Laparoscopic VVF Repair 25200 28980
263 673
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Abdominal VVF Repair 25200 28980
264 675
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Interventional Ultrasonography (CVS) 880 1012
265 677
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Karyotyping 800 920
266 678
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Thermal balloon ablation. 11500 13225
267 679
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Ultrasonographic myolysis 9264 10653
268 680
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Vaginal Myomectomy 10000 11500
269 681
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Intra Uterine Inseminition 920 1058
270 682
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
ICSI 11500 13225
271 683
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
15000 17250
272 684
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Vaginal Colpopexy 19800 22770
273 688
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Endometrial aspiration cytology/biopsy 513 590
274 689
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Transvaginal sonography (TVS for Follicular
monitioring /aspiration)414 476
275 691
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Transvaginal tapes for Stress incontinence 13500 15525
276 696
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Internal Iliac ligation 3393 3902
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
277 697
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
stepwise devascularisation 9200 10580
278 698
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Assisted breech delivery 10925 12564
279 700
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Hysteroscopy TCRE 8500 9775
280 701
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Hysteroscopy Removal of IUCD 7500 8625
281 702
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Hysteroscopy Removal of Septum 9900 11385
282 706
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Sterilization Post partum (minilap) 3750 4313
283 707
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Sterilization interval (minilap) 3750 4313
284 708
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Ultrasonography Level II scan/Anomaly Scan 500 575
285 709
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Fetal nuchal Translucency 300 345
286 710
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Fetal Doppler/Umblical Doppler/Uterine Vessel
Doppler800 920
287 713
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Quadruple test 1800 2070
288 714
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Biophysical score 600 690
289 715
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Other Major Surgery 25200 28980
290 779
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Circumcision 3000 3450
291 790
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Orchidectomy-Simple 8798 10117
292 798
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Operation for Torsion of Testis 11500 13225
293 801
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Operations for Varicocele Palomo’s Unilateral -
Lap9200 10580
294 803
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Operations for Varicocele Bilateral – Lap/
Palomo14950 17193
295 822
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Arteriovenous Fistula for Haemodialysis 2300 2645
296 824
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Jugular Catheterization for Haemodialysis 1500 1725
297 825
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Subclavian Catheterization for Haemodialysis 2025 2329
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
298 826
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
One sided (single Lumen) Femoral
Catheterization for Haemodialysis1000 1150
299 827
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Bilateral (single Lumen) Femoral
Catheterization for Haemodialysis1500 1725
300 828
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Double Lumen Femoral Catheterization for
Haemodialysis1665 1915
301 829
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Permcath Insertion 2800 3220
302 830
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Arterio venous Prosthetic Graft 1850 2128
303 831
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Single lumen Jugular Catheterization 1500 1725
304 832
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Single lumen Subclavian Catheterization 1530 1800
305 834
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Open method CAPD catheter insertion 3150 3623
306 835
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Schlendinger method CAPD catheter insertion 3150 3623
307 837
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Continuous Veno venous/Arteriovenous
Hemofilteration2250 2588
308 838
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Hemodialysis for Sero negative cases 1260 1449
309 839
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Hemodialysis for Sero Positive cases 1500 1725
310 841
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Fistologram for Arteriovenous Fistula 2500 2875
311 842
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Ultrasound guided kidney Biopsy 850 978
312 843
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Fistula stenosis dilation 3000 3450
313 844
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Slow continuous Ultrafilteration 2250 2588
314 847
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Endoscopic Bulking agent Inject 4050 4658
315 848
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Testicular Biopsy 1955 2248
316 880
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Dilatation of Stricture Urethra under LA 1553 1786
317 889
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Uroflow Study (Uroflometry) 405 466
318 890
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Urodynamic Study (Cystometry) 480 552
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
319 894
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Voiding-cysto-urethrogram and retrograde
urethrogram (Nephrostogram)414 476
320 904
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Microscopic VEA/ Vaso-Vasostomy (for
Infertility)13500 15525
321 906
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Peyronie’s disease – Plaque excision with
grafting3400 4000
322 907
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
High Intensity Focus Ultrasound (HIFU) (Robotic) for Carcinoma prostrate and
renal cell
carcinoma
4600 5290
323 908
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Prosthetic surgery for urinary incontinence 2300 2645
324 910
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Ultra sound guided PCN 720 828
325 911
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Other Major Surgery 15000 17250
326 935TREATMENT PROCEDURE
NEURO-SURGERYMedian Nerve Decompression 14000 16100
327 951TREATMENT PROCEDURE
NEURO-SURGERYSpasticity Surgery - 39675 45626
328 953TREATMENT PROCEDURE
NEURO-SURGERYSpinal Intra Medullary Tumours 34500 39675
329 955TREATMENT PROCEDURE
NEURO-SURGERYSpinal Bifida Surgery Minor 15000 17250
330 959TREATMENT PROCEDURE
NEURO-SURGERYImplantation of DBS -One electrode 31050 35708
331 960TREATMENT PROCEDURE
NEURO-SURGERYImplantation of DBS -two electrodes 36225 41659
332 961TREATMENT PROCEDURE
NEURO-SURGERYEndoscopic aqueductoplasty 15000 17250
333 962TREATMENT PROCEDURE
NEURO-SURGERYFacial nerve reconstruction 30000 34500
334 964TREATMENT PROCEDURE
NEURO-SURGERYCervical disc arthroplasty 27600 31740
335 965TREATMENT PROCEDURE
NEURO-SURGERYLumbar disc arthroplasty 13800 15870
336 966TREATMENT PROCEDURE
NEURO-SURGERYCorpus callostomy for Epilepsy 35000 40250
337 967TREATMENT PROCEDURE
NEURO-SURGERYHemishpherotomy for Epilepsy 32200 37030
338 971TREATMENT PROCEDURE
NEURO-SURGERYRF lesion for facet joint pain syndrome 17250 19838
339 972TREATMENT PROCEDURE
NEURO-SURGERYCervical laminoplasty 32000 36800
340 973TREATMENT PROCEDURE
NEURO-SURGERYLateral mass C1-C2 screw fixation 23000 26450
341 975TREATMENT PROCEDURE
NEURO-SURGERY
Microsurgical decompression for hemifacial
spasm4646 5343
342 981TREATMENT PROCEDURE
NEURO-SURGERYLumber puncture 207 238
343 992TREATMENT PROCEDURE
NEURO-SURGERY
Dorsal column stimulation for backache in
failed back syndrome28750 33063
344 993TREATMENT PROCEDURE
NEURO-SURGERY
Surgery for recurrent disc prolapse/epidural
fibrosis32200 37030
345 1014TREATMENT PROCEDURE
NEURO-SURGERYOther Major Surgery 42500 50000
346 1017
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Diaphragmatic Hernia Repair (Thoracic or
Abdominal Approach)17250 19838
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
347 1018
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Tracheo Oesophageal Fistula (Correction
Surgery)23000 26450
348 1020
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Omphalo Mesenteric Cyst Excision 17250 19838
349 1021
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Omphalo Mesenteric Duct- Excision 15525 17854
350 1025
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Gastrochisis Repair 16100 18515
351 1026
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Inguinal Herniotomy 12558 14442
352 1028
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Hydrocele of Cord 12000 13800
353 1030
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Congenital Pyloric Stenosis- operation 13938 16029
354 1055
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Muconium ileus 16000 18400
355 1056
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Mal-rotation & Volvulus of the Midgut 15000 17250
356 1057
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Excision of Meckle’s Deverticulum 12000 13800
357 1058
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Other Major Surgery 27000 31050
358 1060
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Primary Suturing of Wound 300 345
359 1061
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Injection of Keloids - Ganglion 1000 1150
360 1062
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Injection of Keloids - Haemangioma 1150 1323
361 1064
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Free Grafts - Theirech- Small Area 5% 6728 7736
362 1065
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Free Grafts - Large Area 10% 8000 9200
363 1070
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Skin Flaps - Cross Finger 12500 14375
364 1080
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Reduction of Fractures of Mandible & Maxilla -
Eye Let Splinting7475 8596
365 1081
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Reduction of Fractures of Mandible & Maxilla -
Cast Netal Splints6900 7935
366 1082
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Reduction of Fractures of Mandible & Maxilla -
Gumming Splints7500 8625
367 1083
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Internal Wire Fixation of Mandible & Maxilla 10350 11903
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
368 1086
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Primary Bone Grafting for alveolar cleft in Cleft
Lip11500 13225
369 1087
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Secondary Surgery for Cleft Lip Deformity 10000 11500
370 1089
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Reconstruction of Eyelid Defects - Minor 6325 7274
371 1090
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Reconstruction of Eyelid Defects - Major 8500 9775
372 1091
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Plastic Surgery of Different Regions of the Ear -
Minor8050 9258
373 1093
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Plastic Surgery of the Nose - Minor 8050 9258
374 1094
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Plastic Surgery of the Nose - Major 9500 10925
375 1095
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Plastic Surgery for Facial Paralysis (Support
with Reanimation)16100 18515
376 1096
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Pendulous Breast - Mammoplasty 13000 14950
377 1097
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Underdeveloped Breast Mammoplasty 12000 13800
378 1099
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Syndactyly Repair 12750 15000
379 1100
TREATMENT PROCEDURE
BURNS AND
PLASTIC SURGERY
Dermabrasion Face 11903 13688
380 1107TREATMENT PROCEDURE
ORTHOPEDICSPlaster Work 230 270
381 1108TREATMENT PROCEDURE
ORTHOPEDICSFingers (post slab) 233 268
382 1109TREATMENT PROCEDURE
ORTHOPEDICSFingers full plaster 233 268
383 1110TREATMENT PROCEDURE
ORTHOPEDICSColles Fracture - Below elbow 880 1013
384 1111TREATMENT PROCEDURE
ORTHOPEDICSColles Fracture - Full plaster 895 1029
385 1112TREATMENT PROCEDURE
ORTHOPEDICSColles fracture Ant. Or post. slab 360 414
386 1113TREATMENT PROCEDURE
ORTHOPEDICSAbove elbow full plaster 173 199
387 1114TREATMENT PROCEDURE
ORTHOPEDICSAbove Knee post-slab 518 288
388 1115TREATMENT PROCEDURE
ORTHOPEDICSBelow Knee full plaster 173 199
389 1116TREATMENT PROCEDURE
ORTHOPEDICSBelow Knee post-slab 646 743
390 1117TREATMENT PROCEDURE
ORTHOPEDICSTube Plaster (or plaster cylinder) 720 828
391 1118TREATMENT PROCEDURE
ORTHOPEDICSAbove knee full plaster 1139 1310
392 1119TREATMENT PROCEDURE
ORTHOPEDICSAbove knee full slab 1042 1199
393 1120TREATMENT PROCEDURE
ORTHOPEDICSMinerva Jacket 2174 2499
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
394 1121TREATMENT PROCEDURE
ORTHOPEDICSPlaster Jacket 1967 2262
395 1122TREATMENT PROCEDURE
ORTHOPEDICSShoulder spica 1955 2248
396 1123TREATMENT PROCEDURE
ORTHOPEDICSSingle Hip spica 2243 2579
397 1125TREATMENT PROCEDURE
ORTHOPEDICSStrapping of Finger 179 206
398 1126TREATMENT PROCEDURE
ORTHOPEDICSStrapping of Toes 180 207
399 1127TREATMENT PROCEDURE
ORTHOPEDICSStrapping of Wrist 207 239
400 1128TREATMENT PROCEDURE
ORTHOPEDICSStrapping of Elbow 236 271
401 1129TREATMENT PROCEDURE
ORTHOPEDICSStrapping of Knee 345 397
402 1130TREATMENT PROCEDURE
ORTHOPEDICSStrapping of Ankle 345 397
403 1131TREATMENT PROCEDURE
ORTHOPEDICSStrapping of Chest 414 476
404 1132TREATMENT PROCEDURE
ORTHOPEDICSStrapping of Shoulder 500 575
405 1134TREATMENT PROCEDURE
ORTHOPEDICSCollar and cuff sling 255 300
406 1135TREATMENT PROCEDURE
ORTHOPEDICSBall bandage 360 414
407 1136TREATMENT PROCEDURE
ORTHOPEDICS
Application of P.O.P Casts for Upper & Lower
Limbs570 655
408 1137TREATMENT PROCEDURE
ORTHOPEDICSApplication of Functiol Cast Brace 1300 1495
409 1140TREATMENT PROCEDURE
ORTHOPEDICSBandage & Strappings for Fractures 497 572
410 1141TREATMENT PROCEDURE
ORTHOPEDICSAspiration & Intra Articular Injections 518 595
411 1149TREATMENT PROCEDURE
ORTHOPEDICSBone Grafting 6601 7591
412 1151TREATMENT PROCEDURE
ORTHOPEDICS
Excision or other Operations for Scaphoid
Fractures7188 8266
413 1155TREATMENT PROCEDURE
ORTHOPEDICSPlate Fixations for Fracture Neck Femur 13500 15525
414 1156TREATMENT PROCEDURE
ORTHOPEDICS
A.O.Compression Procedures for Fracture Neck
Femur14904 17140
415 1165TREATMENT PROCEDURE
ORTHOPEDICSTendon Transfer 3105 3571
416 1166TREATMENT PROCEDURE
ORTHOPEDICSLaminectomy Excision Disc and Tumours 4830 5555
417 1167TREATMENT PROCEDURE
ORTHOPEDICSSpil Ostectomy and Internal Fixations 21735 24996
418 1170TREATMENT PROCEDURE
ORTHOPEDICS
Corrective Ostectomy & Internal Fixation -
short bones13800 15870
419 1172TREATMENT PROCEDURE
ORTHOPEDICSArthrodesis of - Minor Joints 10350 11903
420 1174TREATMENT PROCEDURE
ORTHOPEDICSSoft Tissue Operations for C.T.E.V. 8050 9258
421 1175TREATMENT PROCEDURE
ORTHOPEDICSSoft Tissue Operations for Polio 6900 7935
422 1177TREATMENT PROCEDURE
ORTHOPEDICSHemiarthroplasty- Shoulder 19440 22356
423 1182TREATMENT PROCEDURE
ORTHOPEDICSAmputations - Above Elbow 6843 7869
424 1187TREATMENT PROCEDURE
ORTHOPEDICSArthrography 8280 9522
425 1188TREATMENT PROCEDURE
ORTHOPEDICSArthroscopy - Diagnostic 8568 9853
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
426 1189TREATMENT PROCEDURE
ORTHOPEDICSArthroscopy-therapeutic: without implant 10000 11500
427 1190TREATMENT PROCEDURE
ORTHOPEDICSArthroscopy-therapeutic: with implant 17250 19838
428 1191TREATMENT PROCEDURE
ORTHOPEDICSSoft Tissue Operation on JOINTS -SMALL 6900 7935
429 1192TREATMENT PROCEDURE
ORTHOPEDICSSoft Tissue Operation on JOINTS -LARGE 12150 13973
430 1194TREATMENT PROCEDURE
ORTHOPEDICSRemoval of Wires & Screw 1760 2024
431 1195TREATMENT PROCEDURE
ORTHOPEDICSRemoval of Plates 4140 4761
432 1203TREATMENT PROCEDURE
ORTHOPEDICSTubular external fixator 4600 5290
433 1204TREATMENT PROCEDURE
ORTHOPEDICSIlizarov's external fixator 7763 8927
434 1207TREATMENT PROCEDURE
ORTHOPEDICSMeniscus Repair 10000 11500
435 1208TREATMENT PROCEDURE
ORTHOPEDICSACL Reconstruction 8500 9775
436 1210TREATMENT PROCEDURE
ORTHOPEDICSKnee Collateral Ligament Reconstruction 12500 14375
437 1211TREATMENT PROCEDURE
ORTHOPEDICSBencarf Repair Shoulder 11880 13662
438 1212TREATMENT PROCEDURE
ORTHOPEDICSRC Repair 1500 1725
439 1213TREATMENT PROCEDURE
ORTHOPEDICSBiceps tenodesis 12600 14490
440 1214TREATMENT PROCEDURE
ORTHOPEDICSDistal biceps tendon repair 10380 11937
441 1216TREATMENT PROCEDURE
ORTHOPEDICSCapsulotomy of Shoulder 14220 16353
442 1217TREATMENT PROCEDURE
ORTHOPEDICSConservative Pop 1200 1380
443 1224TREATMENT PROCEDURE
ORTHOPEDICSDiscectomy/ Micro Discectomy 12500 14375
444 1231TREATMENT PROCEDURE
ORTHOPEDICSSpinal Injections 450 518
445 1232TREATMENT PROCEDURE
ORTHOPEDICSDHS for Fracture Neck Femur 15000 17250
446 1236TREATMENT PROCEDURE
ORTHOPEDICSSoft Tissue Operations for Polio/ Cerebral Palsy 10080 11592
447 1237TREATMENT PROCEDURE
ORTHOPEDICSMini Fixator for Hand/Foot 8100 9315
448 1238TREATMENT PROCEDURE
ORTHOPEDICSOther Major Surgery 38250 45000
449 1240TREATMENT PROCEDURE
PHYSIOTHERAPYUltrasonic therapy 78 90
450 1241TREATMENT PROCEDURE
PHYSIOTHERAPYS.W. Diathermy 78 90
451 1242TREATMENT PROCEDURE
PHYSIOTHERAPYElectrical stimulation (therapeutic) 78 90
452 1243TREATMENT PROCEDURE
PHYSIOTHERAPYMuscle testing and diagnostic 71 82
453 1244TREATMENT PROCEDURE
PHYSIOTHERAPYInfra red 70 81
454 1245TREATMENT PROCEDURE
PHYSIOTHERAPYU.V. Therapeutic dose 58 67
455 1246TREATMENT PROCEDURE
PHYSIOTHERAPYIntermittent Lumbar Traction 78 90
456 1247TREATMENT PROCEDURE
PHYSIOTHERAPYIntermittent Cervical traction 75 86
457 1248TREATMENT PROCEDURE
PHYSIOTHERAPYWax bath 75 86
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
458 1249TREATMENT PROCEDURE
PHYSIOTHERAPYHot pack 70 81
459 1250TREATMENT PROCEDURE
PHYSIOTHERAPYBreathing Exercises & Postural Drainage 50 58
460 1251TREATMENT PROCEDURE
PHYSIOTHERAPYCerebral Palsy – exercise 50 58
461 1252TREATMENT PROCEDURE
PHYSIOTHERAPYPost – polio exercise 50 58
462 1280NUCLEAR MEDICINE /
CHEMOTHARAPY
PICC line (peripherally inserted Central
canulisation)828 952
463 1281
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Upper G.I. Endoscopy + Lower G.I. Endoscopy 1553 1786
464 1284
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Endoscopic mucosal resection 1543 1815
465 1285
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Oesophageal stricture dilatation 1725 1984
466 1286
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Balloon dilatation of achalasia cardia 2588 2975
467 1289
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Band ligation of oesophageal varices 2500 2875
468 1290
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Sclerotherapy of oesophageal varices 2500 2875
469 1291
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Glue injection of varices 2500 2875
470 1292
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Argon plasma coagulation 4025 4629
471 1293
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Pyloric balloon dilatation 2415 2777
472 1294
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Enteranal stenting 3680 4232
473 1295
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Duodenal stricture dilation 990 1139
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
474 1296
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Single balloon enterocopy 4000 4600
475 1297
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Double balloon enteroscopy 3500 4025
476 1298
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Capsule endoscopy 4950 5693
477 1299
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Piles banding 1099 1264
478 1300
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Colonic stricture dilatation 2737 3148
479 1301
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Hot biopsy forceps procedures 3000 3450
480 1302
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Colonic stenting 2463 2833
481 1303
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Junction biopsy 1800 2070
482 1304
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Conjugal microscopy 4000 4600
483 1305
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Endoscopic sphincterotomy 2415 2777
484 1306
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
CBD stone extraction 2415 2777
485 1308
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Biliary stenting (plastic and metallic) 4830 5555
486 1310
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Pancreatic sphincterotomy 6375 7500
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
487 1311
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Pancreatic stricture dilatation 5750 6613
488 1313
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Mechanical lithotripsy of pancreatic stones 11385 13093
489 1315
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Balloon dilatation of papilla 6210 7142
490 1316
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Ultrasound guided FNAC 575 661
491 1318
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
PTBD 1150 1323
492 1319
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Diagnostic angiography 2000 2300
493 1320
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Vascular embolization 15100 17365
494 1321
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
TIPS 5400 6210
495 1322
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
IVC graphy + hepatic veinography 30791 35410
496 1323
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Muscular stenting 87975 101172
497 1324
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
BRTO 51750 59513
498 1337
LIST OF PROCEDURES/ TESTS
IN GASTROENTEROLOGY /
ENDOSCOPIC
PROCEDURES
Extra corporeal shortwave lithotripsy 37260 42849
499 299TREATMENT PROCEDURE
ENTOther Minor Surgery 7650 9000
500 361 Head and neck cancer Other Minor Surgery 5000 5750
501 369TREATMENT PROCEDURE
BREASTOther Minor Surgery 5000 5750
Sl. No.Sl. No. (as
per CGHS)
CGHS TREATMENT
PROCEDURECGHS TREATMENT PROCEDURE/INVESTIGATION LIST
RATES FOR NON-
NABH
RATES FOR
NABH
502 405TREATMENT PROCEDURE
OESOPHAGUSOther Minor Surgery 5000 5750
503 510
TREATMENT PROCEDURE
ABDOMEN / GI
SURGERY
Other Minor Surgery 6000 6900
504 610
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY &
INVESTIGATIONS
Other Minor Surgery 4250 5000
505 716
TREATMENT PROCEDURE
OBSTETRICS AND
GYNAECOLOGY
Other Minor Surgery 5000 5750
506 912
TREATMENT PROCEDURE
NEPHROLOGY AND
UROLOGY
Other Minor Surgery 6800 7820
507 1015TREATMENT PROCEDURE
NEURO-SURGERYOther Minor Surgery 15300 18000
508 1059
TREATMENT PROCEDURE
PAEDIATRIC
SURGERY
Other Minor Surgery 11050 13000
509 1239TREATMENT PROCEDURE
ORTHOPEDICSOther Minor Surgery 11411 13425