(a) faculty of modern medicine list updated till 20.01.2012... · banaras hindu university sir...

BANARAS HINDU UNIVERSITYSIR SUNDERLAL HOSPITAL

FROM PAGE NO. 1 TO 25

LIST OF MAINTENANCE CHARGES LEVIED FOR MEDICAL / SURGICAL PROCEDURES, INVESTIGATIONS AND LABORATORY TESTS, ETC.

CARRIED OUT IN DIFFERENT DEPARTMENTS / DISCIPLINES OF FACULTIES OF MODERN MEDICINE & AYURVEDA AND S.S.HOSPITAL, BHU

(UPDATED TILL 20.01.2012)

(A) FACULTY OF MODERN MEDICINE

(1) “ANAESTHESIOLOGY” DEPARTMENT

S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES

CHARGES

1. ANESTH-01 Maintenance Charges (Minor) Rs.100/-2. ANESTH-02 Maintenance Charges (Major) Rs.500/-3. ANESTH-03 Fibreoptic Laryngoscopy Rs.100/-4. ANESTH-04 Blood Gas Analysis/Electrolyte Rs.200/-5. ANESTH-05 ICU/Post Op. Recovery Charges per day Rs.900/-6. ANESTH-06 T3, T4, TSH Rs.400/-7. ANESTH-07 Maintenance Charges for Renal Transplantation/

Open Heart Surgery Rs.1,000/-

8. ANESTH-08 Blood Glucose Rs.10/-9. ANESTH-09 Blood Urea Rs.20/-10. ANESTH-10 Serum Creatinine Rs.30/-11. ANESTH-11 Serum Protein & Albumin Rs.30/-12. ANESTH-12 Conjugated and Unconjugated Bilirubin Rs.30/-13. ANESTH-13 SGPT Rs.40/-14. ANESTH-14 Serum Electrolytes Na, K, Cl. Rs.60/-15. ANESTH-15 Serum Calcium Rs.20/-16. ANESTH-16 Serum Phosphorus Rs.20/- 17. ANESTH-17 Serum Magnesium Rs.100/-18. ANESTH-18 Serum Iron Rs.100/-19. ANESTH-19 CPK Rs.250/-20. ANESTH-20 CPK-MB Rs.250/-21. ANESTH-21 Acid Phosphatase Prostatic Fraction Rs.100/-22. ANESTH-22 Serum Alkaline Phosphatase Rs.30/-23. ANESTH-23 LDH Rs.100/-24. ANESTH-24 Special (Gasserian Ganglion block, Percutaneous

Cordotomies)Rs. 1000/-

25. ANESTH-25 Major ( Coeliac Plexus block, Epidural steriod Foramin Inj. Facet Joint Inj. Stellate Ganglion Rhizotomy, Permanent epdidural, Radiofrequency lesion, Pain procedures under Image Intensifier)

Rs. 500/-

26. ANESTH-26 Minor (Intra articular Inj., TENS/Acupuncture, Triger point Inj. Laser Therapy, procedures for painless labour, Post operative pain relief procedure.

Rs. 100/-

27. ANESTH-27 Super Major Operations Rs. 1000/-

S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES 28. ANESTH-28 Percutaneous Necleotomy Kit Rs. 30000/- (can be

splited into 3 parts each Rs. 10000/-)

29. ANESTH-29 R.F. Canula (15 dm 20 gauge) Rs. 2000/- (can be splited into 2 parts each Rs. 1000/-)

30. ANESTH-30 O.T. Equipment & Room Maintenance (Minor Operations performed in Operation Theatres)

Rs. 200/-

Certified that the above-mentioned Maintenance Charges have been taken from the original list duly approved by the competent authority of the University.

(2) “BLOOD BANK”

S.No. CODE NO. NAME OF INVESTIGATIONS/ PROCEDURES, ETC.

CHARGES

1. BLDBNK-01 Each single unit of Donor Bleeding (including charges for Blood Donor Bag + HIV + HBsAg + VDRL Testing + Grouping & Cross Matching)

Rs. 600/-

2. BLDBNK-02 Fresh Frozen Plasma (FFP) per unit Rs. 400/-3. BLDBNK-03 Platelet Poor Plasma (PPP) per unit Rs. 400/-4. BLDBNK-04 Platelet Concentrate or Cryoprecipitate per unit Rs. 400/-5. BLDBNK-05 Whole Unit on Payment Rs.1300/-6. BLDBNK-06 Half Unit on Payment Rs. 700/-7. BLDBNK-07 Transfer Bag Charges (Each Bag) Rs. 50/-8. BLDBNK-08 Blood Grouping (Per Case) Rs. 20/-9. BLDBNK-09 Cell Separator Charges Rs. 8000/-/-10. BLDBNK-10 HbA1C (Glycoselated Hemoglobin) for Diabetes

MellitusRs. 200/-

11. BLDBNK-11 Thalassaemia Screen for Thalassemia Rs. 700/-


(3) "BIO-CHEMISTRY" DEPARTMENT


CHARGES

1. BIOCHM-01 Blood for HB % Rs. 15/-2. BIOCHM-02 Blood for TC/DC Rs. 20/-3. BIOCHM-03 Blood for ESR Rs. 10/-4. BIOCHM-04 Blood for GBP Rs. 10/-5. BIOCHM-05 Blood for RBC Count Rs. 15/-6. BIOCHM-06 Blood for Reticulocyte Rs. 15/-7. BIOCHM-07 Blood for PCV Count Rs. 15/-8. BIOCHM-08 Urine for Sugar, Acetone & Microscopy Rs. 15/-9. BIOCHM-09 Urine for Urobilinogen, Bile Salts, Bile

Pigments, Ketone Bodies & other Rs. 15/-

10. BIOCHM-10 24 Hrs. Urinary Calcium /Protein Rs. 10/-11. BIOCHM-11 Stool for Occult Blood Rs. 10/-

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S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES 12. BIOCHM-12 Blood Glucose Fasting Rs. 10/-13. BIOCHM-13 Blood Glucose PP Rs. 10/-14. BIOCHM-14 Blood Urea Rs. 20/-15. BIOCHM-15 Blood Calcium Rs. 20/-16. BIOCHM-16 Serum Phosphorous Rs. 20/-17. BIOCHM-17 Seminogram Rs. 10/-18. BIOCHM-18 Serum Cholesterol Rs. 30/-19. BIOCHM-19 Serum Uric Acid Rs. 40/-20. BIOCHM-20 Serum Creatinine Rs. 30/-21. BIOCHM-21 Serum Amylase Rs. 40/-22. BIOCHM-22 Serum Alkaline Phosphatase Rs. 30/-23. BIOCHM-23 Conjugated & Unconjugated Bilirubin Rs. 30/-24. BIOCHM-24 CSF Examination for Cell Count &

Biochemical Rs. 30/-

25. BIOCHM-25 Serous Fluid Routine & Microscopic Rs. 20/-26. BIOCHM-26 Serum Electrolytes Na, K, Cl Rs.60/-27. BIOCHM-27 Serum Protein & Albumin Rs. 30/-28. BIOCHM-28 Platelet Count Rs. 30/-29. BIOCHM-29 Gama G.T. Rs. 30/-30. BIOCHM-30 SGOT Rs. 40/-31. BIOCHM-31 SGPT Rs. 40/-32. BIOCHM-32 Acid Phosphatase Prostatic Fraction Rs. 100/-33. BIOCHM-33 Serum Iron Rs. 100/-34. BIOCHM-34 Serum for TIBC Rs. 200/-35. BIOCHM-35 Haematological Profile with Histogram Rs. 100/-36. BIOCHM-36 LDH Rs. 100/-37. BIOCHM-37 CPK Rs. 250/-38. BIOCHM-38 CPK-MB Rs. 250/-39. BIOCHM-39 Liver Functions Test Rs. 200/-40. BIOCHM-40 Lipid Profile Rs. 300/-41. BIOCHM-41 PCR based carrier detection test 1,500/-per family42. BIOCHM-42 Lactate Dehydrogenise Rs 100/-43. BIOCHM-43 LDH Isoenzymes Rs 400/-44. BIOCHM-44 CPK Isoenzymes Rs 400/-45. BIOCHM-45 Tumour Marker, Acid Phosphatase Rs 150/-46. BIOCHM-46 Carcino Embryonic Antigen ELISA Rs 150/-47. BIOCHM-47 Alfa Fetoprotein -ELISA Rs 150/-48. BIOCHM-48 HCG – ELISA Rs 150/-


(4) "CARDIOLOGY" DEPARTMENTS.No. CODE NO. NAME OF INVESTIGATIONS /

PROCEDURESCHARGES

1. CARDIO-01 Computerised Treadmill Rs. 400/-2. CARDIO-02 Echo Cardiography Rs. 400/-3. CARDIO-03 Holter Monitoring Test Rs. 600/-4. CARDIO-04 Vectro Cardiography Rs. 200/-5. CARDIO-05 E.C.G. Rs. 30/-

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S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES 6. CARDIO-06 CCU Maintenance Charges Rs. 500/- per day7. CARDIO-07 Temporary Pacing Rs. 500/-8. CARDIO-08 Permanent Pacemaker Implantation (for single chamber) Rs. 5,000/-9. CARDIO-09 Permanent Pacemaker Implantation (for dual chamber) Rs. 5,000/-10. CARDIO-10 Transoesophageal ECHO

(To be acquired in near future)Rs. 1,500/-

11. CARDIO-11 Coloured 2D ECHO Colour Doppler (Screening only)

Rs. 250/-

12. CARDIO-12 Signal Averaged ECG Rs. 600/-13. CARDIO-13 Coloured 2D ECHO Colour Doppler Rs. 500/-/

14. CARDIO-14 Coronary Angiography Rs. 1000/-15. CARDIO-15 Angioplasty Rs. 5000/-


(5) "CARDIOTHORACIC SURGERY" DEPARTMENT


CHARGES

1. CDTHSG-01 O.T. Equipment & Room Maintenance Charges (Minor Operation)

Rs. 100/-

2. CDTHSG-02 OT Equipment and Room Maintenance Charges (Moderate Operation)

Rs. 500/-

3. CDTHSG-03 OT Equipment and Room Maintenance Charges (Major Operation)

Rs. 1,000/-

4. CDTHSG-04 Open Heart Surgery Rs. 9,000/-(Out of Rs. 10,000/- total charges on Procedure, Rs.1,000/- goes to ANESTH-07)

5. CDTHSG-05 2D, 3D Trans Esophageal Echo Cardiography Rs. 1500/-6. CDTHSG-06 O.T. Equipment & Room Maintenance (Minor

Operations performed in Operation Theatres)Rs. 200/-

Certified that the above-mentioned Maintenance Charges have been taken from the original list duly approved by the competent authority of the University. (6) "CLINICAL PATHOLOGY” (CENTRE FOR CLINICAL INVESTIGATION)

S.No. CODE NO. Name of investigations / procedures Approved charges (Rs.)

1. CPTHMM-01 Prothrombin time with INR 200/-2. CPTHMM-02 APTT 250/-3. CPTHMM-03 Blood for ESR 10/-4. CPTHMM-04 Blood for GBP 50/-5. CPTHMM-05 Factor VIII assay/Factor IX assay 500/- each6. CPTHMM-06 Blood for Reticulocyte 15/-7. CPTHMM-07 Plasma Fibrinogen 500/-

4

S.No. CODE NO. NAME OF INVESTIGATIONS CHARGES 8. CPTHMM-08 Urine for Sugar, Acetone & Microscopy/ Urine for

Urobilinogen, Bile Salts, Bile Pigments, Ketone Bodies & others

50/-

9. CPTHMM-09 Lupus Anticoagulant 500/-10. CPTHMM-10 24 Hrs. Urinary Calcium /Protein 20/-11. CPTHMM-11 Stool for Occult Blood 50/-12. CPTHMM-12 Blood Glucose Fasting/PP/Random 20/- each13. CPTHMM-13 D-dimer 600/-14. CPTHMM-14 Blood Urea 30/-15. CPTHMM-15 Blood Calcium 20/-16. CPTHMM-16 Serum Phosphorous 20/-17. CPTHMM-17 Seminogram/Semen analysis 20/-18. CPTHMM-18 Serum Cholesterol 40/-19. CPTHMM-19 Serum Uric Acid 50/-20. CPTHMM-20 Serum Creatinine 40/-21. CPTHMM-21 Serum Amylase/Lipase 150/- each22. CPTHMM-22 Serum Alkaline Phosphatase 50/-23. CPTHMM-23 Conjugated & Unconjugated Bilirubin 50/-24. CPTHMM-24 CSF Examination for Cell Count & Biochemical 50/-25. CPTHMM-25 Serous Fluid Routine & Microscopic 20/-26. CPTHMM-26 Serum Electrolytes Na, K, C1 100/-27. CPTHMM-27 Serum Protein & Albumin 30/-28. CPTHMM-28 Protein-C / Protein-S 1500/- each29. CPTHMM-29 Gama G.T. 100/-30. CPTHMM-30 SGOT/SGPT 40/-each31. CPTHMM-31 Troponin-I test for Investigation of MI Rs 800/- per test32. CPTHMM-32 Acid Phosphatase Prostatic Fraction Rs.100/-33. CPTHMM-33 Serum Iron Rs.100/-34. CPTHMM-34 Serum for TIBC Rs.200/-35. CPTHMM-35 Haematological Profile with Histogram (C.B.C.) Rs.50/-36. CPTHMM-36 LDH Rs.100/-37. CPTHMM-37 CPK Rs.150/-38. CPTHMM-38 CPK-MB Rs.200/-39. CPTHMM-39 Liver Function Test (LFT) Rs. 200/-40. CPTHMM-40 Lipid Profile Rs. 300/-32. CPTHMM-41 OptiMal Test (Para Check) Rs. 200/-33. CPTHMM-42 Dengue Fever confirmation (Strip test) Rs. 500/- 34. CPTHMM-43 Triglyceride Rs. 50/-35. CPTHMM-44 Ferritin Test Rs 600/- per test


(7) "DENTAL SURGERY” DEPARTMENT


CHARGES

1. DENTSG-01 O.T. Equipment & Room Maintenance Charges (Minor Operation)

Rs. 50/-

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S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES 2. DENTSG-02 O.T. Equipment & Room Maintenance Charges

(Major Operation)Rs. 300/-

3. DENTSG-03 Crown & Bridge Works (Including Composite Testoration & Inlays)

Rs. 300/-

4. DENTSG-04 Complete Dentures Rs. 300/-5. DENTSG-05 Root Canal Treatment Rs. 500/-6. DENTSG-06 Maxillo-Facial Prosthesis Rs. 400/-7. DENTSG-07 Dental X-Ray Film & Processing Material (per

film)Rs. 40/-

8. DENTSG-08 OPG X-Ray / Cephalmetric (per film) Rs.200/-9. DENTSG-09 Occlusal X-Ray (per film) Rs.100/-10. DENTSG-10 Fixed Orthodontics Rs.1200/-11. DENTSG-11 Ceramic Crown Rs. 500/-12. DENTSG-12 O.T. Equipment & Room Maintenance (Minor

Operations performed in Operation Theatres) Rs. 200/-


(8) "DERMATOLOGY & VENEREOLOGY” DEPARTMENT


CHARGES

1. DERVEN-01 Scraping & KOH mount Rs. 10/-2. DERVEN-02 Smear & Staining Rs. 10/-3. DERVEN-03 Hanging Drop preparation Rs. 10/-4. DERVEN-04 Tzanck test Rs. 10/-5. DERVEN-05 Urine for Sugar Protein & Microscopy Rs. 15/-6. DERVEN-06 Blood for TC / DC Rs. 20/-7. DERVEN-07 Blood for Hb% Rs. 15/-8. DERVEN-08 Blood for ESR Rs. 10/-

9. DERVEN-09 SGOT Rs. 40/-10. DERVEN-10 SGPT Rs. 40/-11. DERVEN-11 Culture for fungus Rs. 50/-12. DERVEN-12 Culture for gonococcus Rs. 50/-13. DERVEN-13 Patch Test Rs. 200/-14. DERVEN-14 Chemical Cautery Rs. 30/-15. DERVEN-15 Electro Cautery Rs. 50/-16. DERVEN-16 Intralesional Therapy Rs. 50/-17. DERVEN-17 Iontophoresis Rs. 50/-18. DERVEN-18 Skin biopsy Rs. 50/-19. DERVEN-19 Electrolysis Rs. 100/-20. DERVEN-20 Cryosurgery Rs. 100/-21. DERVEN-21 Punch Grafting/Chemical

peeling/MicrodermabrasionRs. 100/- per sitting

22. DERVEN-22 Q-Swithched ND-Yag Laser/Intense Pulsed Light for hair removal(3 cm x 3 cm per sitting)PUVA and NBUVB (per 10 sitting)

Rs. 250/-

6


(9) "ENDORCRINOLOGY” DEPARTMENT


CHARGES

1. ENDCRI-01 Thyroid Hormone/Adrenal Hormone Profile

Rs. 400/-

2. ENDCRI-02 GH Dynamic Test Rs. 300/-3. ENDCRI-03 Gonadal Hormone Test Profile Rs. 600/-4. ENDCRI-04 Single Hormone Assay Rs. 200/-5. ENDCRI-05 Bone Density Measurement by DEXA-

Single SiteRs.500/-

6. ENDCRI-06 Bone Density Measurement by DEXA-Double Site

Rs.700/-

7. ENDCRI-07 HbA1 test Rs. 200/- per test8. ENDCRI-08 Cortisol Plasma Rs. 300/-9. ENDCRI-09 Thyroid Anti Microsonal AMA Rs. 300/-10. ENDCRI-10 Serum PTH Rs. 400/-11. ENDCRI-11 Serum Insulin Rs. 200/-12. ENDCRI-12 Vit. D Test Rs. 500/-


(10) "GENERAL MEDICINE” DEPARTMENT


CHARGES

1. GENLMD-01 Lumber Puncture Rs. 100/-2. GENLMD-02 Ascitic Tap Rs. 100/-3. GENLMD-03 Pericardial Tap Rs. 100/-4. GENLMD-04 Pleural Tap Rs. 100/-5. GENLMD-05 Bone Marrow Aspiration Rs. 100/-6. GENLMD-06 Splenic Aspiration Rs. 100/-7. GENLMD-07 Tissue Aspiration Rs. 100/-8. GENLMD-08 Other Minor Surgical procedures Rs. 100/-9. GENLMD-09 Renal Biopsy Rs. 100/-10. GENLMD-10 Liver Biopsy Rs. 100/-11. GENLMD-11 Bone Marrow Biopsy Rs. 100/-12. GENLMD-12 Pleural Biopsy Rs. 100/-13. GENLMD-13 ECG Charges Rs. 30/-14. GENLMD-14 Daily Charges for patients in Intermediate

Care UnitRs. 200/-(per day)

15. GENLMD-15 Acute Care Unit Admission Rs. 500/- per day per patient


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(11) "GENERAL SURGERY” DEPARTMENT


CHARGES

1. GENLSG-01 O.T. Equipment & Room Maintenance Charges (Minor Operation)

Rs. 100/-

2. GENLSG-02 O.T. Equipment & Room Maintenance Charges (Major Operation)

Rs. 500/-

3. GENLSG-03 Laparaoscopy Rs. 1000/-4. GENLSG-04 Endoscopy (Upper GI/Lower

GI/Choledochoscope/ Sigmoidoscope)Rs. 300/-

5. GENLSG-05 Anal Manometry Rs. 200/-6. GENLSG-06 IRC Rs. 200/-7. GENLSG-07 Ultrasound Rs. 200/-8. GENLSG-08 Supra Major Operation Charge Rs. 1000/-9. GENLSG-9 O.T. Equipment & Room Maintenance

(Minor Operations performed in Operation Theatres)

Rs. 200/-


(12) "GASTROENTEROLOGY” DEPARTMENT


CHARGES

1. GASTRO-01 Diagnostic Endoscopy /Video Endoscopy/Left sided Colonoscopy

Rs. 300/-

2. GASTRO-02 Therapeutic Endoscopy (Per package)/Full length Colonoscopy/Endoscopy Sclerotherapy (upto two procedures in a year)/ Endoscopy binding (upto two procedures in a year)

Rs. 500/-

3. GASTRO-03 Therapeutic Biliary Duct Endoscopy Rs. 1000/-4. GASTRO-04 Sigmoidoscopy Rs. 100/-5. GASTRO-05 Therapeutic Endoscopy (Repeated Sessions up to

one year)Rs. 500/-

6. GASTRO-06 HBV Markers (Panel upto 3) Rs. 500/-

7. GASTRO-07 HBV Markers (More than 3) Rs. 1000/-

8. GASTRO-08 HBV Markers (Using ELISA) Rs. 200/-

9. GASTRO-09 HCV Markers/H Pylori Serology Rs. 300/-

10. GASTRO-10 Pancrealolauryl Test/HEV (Anti HEV IgM)/Igm Anti HBe/Anti HAV IgM

Rs. 200/-

11. GASTRO-11 D-Xylose/RUT/ADA/HBs Ag//HBe Ag/Anti HCV Rs. 100/-12. GASTRO-12 Charge for Maintenance of computerised

equiptment, for retrieving and analysing data and generating reports in relation to Capsule endoscopy.

1000/- (Sharing of collection will be as per existing Revolving Fund pattern)

13 GASTRO-13 Ultrasonography Rs. 200/-14. GASTRO-21 Endoscopic sphincterotomy with common

bile duct stone extraction2200/- per package*

15. GASTRO-22 Endoscopic Cystogatrostomy/ feeding gastrostomy

2200/- per package*

16. GASTRO-23 Bile duct stent placement 3000/- per package*

8

S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES 17. GASTRO-24 Enteral Stent placement 3300/- per package*18. GASTRO-25 Cynoacrylate gluing 3000/- per package*19. GASTRO-26 Endoscopic band ligation 1000/- per package*20. GASTRO-27 Achalasia dilatation 1000/- per package*21. GASTRO-28 Polypectomy 1000/- per package*22. GASTRO-29 Foreignbody extraction 1000/- per package* 23. GASTRO-30 Capsule Endoscopy 22500/- ** (100 % of

collection will be provided to department Revolving Fund.

24. GASTRO-31 Sphincterotomy Rs. 1500/-25. GASTRO-32 Cost of kit for PCR test for HBV DNA

quantificationRs. 2000/-


(13) "IMMUNODIAGNOSTIC TRAINING & RESEARCH CENTRE”


Approved Charges

24. IDTGRC-01 Rheumatoid Factor Rs. 50/-25. IDTGRC-02 C-Reactive Proteins Rs. 50/-26. IDTGRC-03 ASO Test Rs. 50/-27. IDTGRC-04 Hepatitis-B Surface Antigen Rs. 50/-28. IDTGRC-05 Bence Jones Protein in Urine Rs. 50/-29. IDTGRC-06 L.E. Cell Phenomenon Rs. 50/-30. IDTGRC-07 RA Titre/CRP Titre/Myeloma Profile or CSF

ElctrophoresisRs. 250/-

31. IDTGRC-08 ANA or Ab to ds DNA Test Rs. 250/-32. IDTGRC-10 Collagen disease profile (As package that includes test, i.e.

Rheumatoid Factor, LE Cell Phenomenon, ANA & Anti DNA Antibody)

Rs. 500/-

33. IDTGRC-11 Serum Immunoglobulin IgG Rs. 200/-34. IDTGRC-12 Serum IgA Rs. 200/-35. IDTGRC-13 Serum IgM Rs. 200/-36. IDTGRC-14 Serum IgE Rs. 250/-37. IDTGRC-15 ELISA Test for Tuberculosis by Lymphocyte typing Rs. 800/-38. IDTGRC-16 HLA B 27 Typing Rs. 900/-39. IDTGRC-17 HLA ABC with DR & DQ Typing for

Transplantation CasesRs. 6,000/-

40. IDTGRC-18 Cross Matching for Renal Transplant Cases Rs. 1000/-41. IDTGRC-19 Anti Thyroglobulin Antibody Rs. 250/-42. IDTGRC-20 Anti Thyroidmicorsomal Antibody Rs. 250/-43. IDTGRC-21 Anticardiolipin Ab Test Rs. 350/-44. IDTGRC-22 Kappa or Lambda Light Chain Test Rs. 250/-45. IDTGRC-23 Cytokines or interleukin test Rs. 500/-46. IDTGRC-24 Anti SSA Ab/ Anti Sm Ab / Anti RNP Ab / anti

Centromere Ab / Anti Scleroderma ‘70’ Ab / Anti Jo-1 Ab / anti mitochondrial Ab / anti smooth muscle Ab / Anti LKM Ab / Other auto antibodies test : Anti TTG Ig A / Anti Gliadin IgA / Anti CCP 2 Ab

Rs. 450/- each

9

S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES 47. IDTGRC-25 Anti SSA Ab+ anti SSB Ab+ anti Sm Ab+ anti

RNP Ab+ anti centromere Ab+ anti Scleroderma-70 Ab-anti Jo-1 Ab

Rs. 1000/- (for all)

48. IDTGRC-27 Anti Neutrophil cytoplasmic Ab (PR 3 + MPO) + Anti GBM

Rs. 600/-

49. IDTGRC-30 Auto Immune-hepatitis Profile (anti mitochondrial Ab. Anti LKM Ab, anti smooth muscle Ab, LCI, SLA. ANA.

Rs. 600/-

50. IDTGRC-31 Anti Neutrophil cytoplasmic Ab (ANCA) (C-ANCA or PANCA)

Rs. 500/-

51. IDTGRC-33 Tumour Markers – Alpha Feto Protein (AFP) Rs. 250/-52. IDTGRC-34 Tumour Marker – Prostate Specific Antigen

(PSA)Rs. 200/-

53. IDTGRC-35 Tumour Markers – HCG Rs. 250/-54. IDTGRC-36 Tumour Markers – Carcinoembryonic Antigen

(CEA)Rs. 250/-

55. IDTGRC-37 Other Tumour Markers Rs. 350/-56. IDTGRC-38 Complement Profile : C3 & C4 Rs. 400/-57. IDTGRC-39 Panel Reactive Antibody Rs. 4000/-58. IDTGRC-40 HLA typing by molecular method (low resolution

class I & class II)Rs. 12000/-


(14) "MICROBIOLOGY” DEPARTMENT

S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES1. MICBIO-01 Stained Smear Study Grams Staining Rs. 20/-2. MICBIO-02 Stained Smear Study for AFB Rs. 20/-3. MICBIO-03 Stained Smear Study for Diphtheria Rs. 20/-4. MICBIO-04 Blood for MP Rs. 20/-5. MICBIO-05 Blood for MF Rs. 20/-6. MICBIO-06 Blood for VDRL Rs. 40/-7. MICBIO-07 Blood for Aldehyde Rs. 20/-8. MICBIO-08 Stool for Microscopy (Ova/Cyst) Rs. 20/-9. MICBIO-09 Blood for Widal Test Rs. 50/-10. MICBIO-10 DEC Provocation Test for MF Rs. 40/-11. MICBIO-11 Culture & Sensitivity Rs. 80/-12. MICBIO-12 Blood Culture Rs. 100/-13. MICBIO-13 Casoni Test Rs. 50/-14. MICBIO-14 TPHA test for syphilis Rs. 50/-15. MICBIO-15 Brucella Aglutination Test Rs. 50/-16. MICBIO-16 Paul Bunnel Test Rs. 50/-17. MICBIO-17 Culture for Tb. Bacilli/Drug Sensitivity testing for TB Rs. 150/- each18. MICBIO-18 Culture for Anaerobes Rs. 100/-19. MICBIO-19 Culture for Fungus Rs. 100/-20. MICBIO-20 ELISA-I for Toxoplasmosi Rs. 200/-21. MICBIO-21 ELISA-I for Rubella Rs. 200/-22. MICBIO-22 ELISA-I for Cysticercosi Rs. 200/-23. MICBIO-23 ELISA-I for Herpes Simplex Rs. 200/-

10

S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES 24. MICBIO-24 ELISA-I for Amoebiasis Rs. 200/-25. MICBIO-25 ELISA-I for Leishmaniasis Rs. 200/-26. MICBIO-26 ELISA-I for CMV Rs. 200/-27. MICBIO-27 ELISA-I for Antisperm-Antibody Rs. 200/-28. MICBIO-28 ELISA (IgG) for Tuberculosis Rs. 400/-29. MICBIO-29 ELISA (IgM) for Tuberculosis Rs. 400/-30. MICBIO-30 TORCH Pannel Rs. 800/-31. MICBIO-31 PCR for tuberculosis Rs. 1000/-32. MICBIO-32 PCR for Typhoid fever Rs. 1000/-33. MICBIO-33 OptiMal Test for Malaria/Typhi dot for Typhoid

Fever/K 39 Test for LeishmaniasisRs. 200/- each


(15) "NEUROLOGY” DEPARTMENT S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES1. NEROMD-01 EEG/EMG/VCP/EP/NCV Rs. 200/-

Certified that the above-mentioned Maintenance Charges have been taken from the original list duly approved by the competent authority of the University.(16) "NEUROSURGERY” DEPARTMENT

S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES1. NEROSG-01 O.T. Equipment & Room Maintenance

Charges (Minor Operation)Rs. 100/-

2. NEROSG-02 O.T. Equipment & Room Maintenance Charges (Major Operation)

Rs. 500/-

3. NEROSG-03 O.T. Equipment & Room Maintenance Charges (Specialised Surgical Procedure)

Rs. 1,000/-

4. NEROSG-04 C-Arm Fluoroscopy Rs. 250/-5. NEROSG-05 D.S.A. Rs. 750/-6. NEROSG-06 Therapuetic Embolization i.e. Aneurysm,

AVMs & Vascular TumoursRs. 5000/-

7. NEROSG-07 O.T. Equipment & Room Maintenance (Minor Operations performed in Operation Theatres)

Rs. 200/-


(17) "NEPHROLOGY” DEPARTMENT


CHARGES

1. NEPHRO-01 Haemodialysis (with providing material by the Nephrology Department)

Rs. 1,500/-

2. NEPHRO-02 Peritoneal Dialysis (with providing material by the Nephrology Department)

Rs. 2,500/-

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S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES 3. NEPHRO-03 Haemodialysis procedure or peritoneal

dialysis procedure or Renal Biopsy Procedure (without providing material)

Rs. 450/-

4. NEPHRO-04 OT Equipment and Room Maintenance Charges for Renal Transplantation

Rs. 3,000/- (Out of

Rs. 10,000/- collected for the said Procedure)

5. NEPHRO-05 CRRT Procedure / CAPD Procedure Rs. 500/-6. NEPHRO-06 12 Hrs. Dialysis Rs.1,000/-7. NEPHRO-07 24 Hrs. Dialysis Rs.2,000/-8. NEPHRO-08 Haemodialysis Rs. 1000/- per

pateint9. NEPHRO-09 Haemodialysis Rs. 250/- per

patient


(18) "OBSTRETRICS & GYNAECOLOGY” DEPARTMENT


CHARGES

1. OBSGYN-01 O.T. Equipment & Room Maintenance Charges Minor Operation (D&C, MTP, Vaginal Delivery, Forceps Delivery, Ventuse Delivery)

Rs. 100/-

2. OBSGYN-02 O.T. Equipment & Room Maintenance Charges Major Operation (Hysterectomy Abdominal & Vaginal / Laparotomy, Radical Hysterectomy & other Radical Surgical Procedures)

Rs. 500/-

3. OBSGYN-03 Ultrasonography (Biophysical Score) (USG + CTZ)/ Trans Vaginal Sonography

Rs. 200/-

4. OBSGYN-04 Ultrasonography (Antenatal S.I. Max. 3) Antenatal Cardio Tocography (SI Max.3)

Rs. 200/-

5. OBSGYN-05 USG guided Amnomicentesis/Chlorion Villus Sampling

Rs. 200/-

6. OBSGYN-06 USG guided Interventional Procedures Rs. 200/-7. OBSGYN-07 Hysteroscopic Operative procedures Rs. 500/-8. OBSGYN-08 Colposcopy and Biopsy Rs. 100/-9. OBSGYN-09 O.T. Equipment & Room Maintenance


Rs. 200/-


12

(19) "OPHTHALMOLOGY” DEPARTMENT


CHARGES

1. OPHTHL-01 OT Equipment & Room Maintenance Charges (Minor Operation)

Rs. 100/-

2. OPHTHL-02 OT Equipment & Room Maintenance Charges (Major Operation)

Rs. 500/-

3. OPHTHL-03 Laser Procedure (per package) Rs. 500/-4. OPHTHL-04 Intraocular Lense Implantation (Micro-

Procedure)Rs. 200/-

5. OPHTHL-05 Ophthascon Ultrasound Rs. 200/-6. OPHTHL-06 Fluoresce In Angiography (per eye) Rs. 100/-7. OPHTHL-07 Fundus Photography Rs. 100/-8. OPHTHL-08 Slit Lamp Photography Rs. 100/-9. OPHTHL-09 Refraction Charges Rs. 30/-10. OPHTHL-10 A-Scan Biometry Rs.200/-11. OPHTHL-11 Automated Perimetry Rs.300/-12. OPHTHL-12 Phacoemulsification Surgery Rs.1,000/-13. OPHTHL-13 Vitrectomy Procedure Rs. 1000/- per patient14. OPHTHL-14 Nd: YAG Laser Rs. 500/- for full

treatment15. OPHTHL-15 Argon Green Laser 1000/- for full

treatment16. OPHTHL-16 Digital Fundus Photography 500/- for both eyes17. OPHTHL-17 O.C.T. Rs. 500/- per patient18. OPHTHL-18 B-Scan Rs. 200/- per patient19. OPHTHL-19 O.T. Equipment & Room Maintenance


Rs. 200/-


(20) "ORTHOPAEDICS” DEPARTMENT

S.No. CODE NO. NAME OF INVESTIGATIONS/ PROCEDURES, ETC. CHARGES

1. ORTHOP-01 OT Equipment & Room Maintenance Charges (Minor Operation)

Rs. 100/-

2. ORTHOP-02 OT Equipment & Room Maintenance Charges (Major Operation)

Rs. 500/-

3. ORTHOP-03 Traumatic (SWD/MWD) (Not in vogue) Rs. 10/- (old rate)

4. ORTHOP-04 Microwave Diathermy / Shortwave Diathermy/ Ultrasound Diathermy/ Muscle Stimulator/ Wax Bath/ Cervical Traction/ Pelvic Traction.

Rs. 100/- for each per set of 6 sittings for one episode of treatment for each procedure5. ORTHOP-05 Continuous Passive Motion (CPM)-Knee/

Continuous Passive Motion (CPM)-Shoulder/ Inter ferrential Therapy (IFT)/ Transcutaneous nerve stimulation (TENS)/ Neurodevelopment Therapy (NDT)/ Sensory Integration (SI)

13

S.No. CODE NO. NAME OF INVESTIGATIONS/ PROCEDURES, ETC. CHARGES6. ORTHOP-06 Arthoscopy-Diagnostic Procedure Rs. 1000/-

7. ORTHOP-07 OT Equipment & Room Maintenance charges (Minor Operation performed in Operation Theatres)

Rs. 200/-

8. ORTHOP-11 Use of C-Arm Image Intensifier Rs. 250/-

9. ORTHOP-12 OT Equipment & Room Maintenance charges for all Specialized Surgery including Arthroscopy for Therapeutic Procedure

Rs. 2000/-


(21) "OTORHINOLARYNGOLOGY” DEPARTMENT

S.No. CODE NO. NAME OF INVESTIGATIONS / PROCEDURES CHARGES1. OTRINO-01 Diagnostic procedure under local anaesthesis

eg. Nasal Endoscopy, Otomicroscopy, Laryngoscopy, Lymphnode Biopsy and Biopsy to establish Histopathological Diagnosis

Rs. 100/-

2. OTRINO-02All Minor operations done under Local Anaesthesia

Rs. 250/-

All Minor operations done under General Anaesthesis

Rs. 300/-

3. OTRINO-03 All major operations done under General Anaesthesis

Rs. 500/-

4. OTRINO-04 For puretone Audiometry/Free field Audiometry

Rs. 50/-

5. OTRINO-05 Impedance Audiometry & Colorimetry Rs. 100/-6. OTRINO-06 Brain Stem Evoked Response Audiometry

(BERA)Rs. 500/-

7. OTRINO-07 O.T. Equipment & Room Maintenance (Minor Operations performed in Operation Theatres)

Rs. 200/-


(22) "PAEDIATRICS” DEPARTMENT S.No. CODE NO. NAME OF INVESTIGATIONS/ PROCEDURES, ETC. CHARGES

1. PAEDIA-01 Phototherapy (Per Package) Rs. 100/-2. PAEDIA-02 Peritoneal Dialysis (Per Dialysis) Rs. 500/-3. PAEDIA-03 Paediatric Intensive Care Unit (PICU) and

Neonantal Intensive Care Unit (NICU)Rs. 100/-

per day per patient4. PAEDIA-04*

(100% to Deptt.)Arterial Blood Gas Analysis for PCO2, PO2 & PH (per test)

Rs. 120/-

5. PAEDIA-05 Nebuliser (Per Package) Rs. 100/-6. PAEDIA-06 Peritoneal Ped – dialysis procedure Rs. 450/-7. PAEDIA-07 Phototherapy Rs. 100/-8. PAEDIA-08 Chest tube drainage Rs. 100/-

14

S.No. CODE NO. NAME OF INVESTIGATIONS/ PROCEDURES, ETC. CHARGES9. PAEDIA-09 Exchange Transfusion Rs. 200/-10. PAEDIA-10 Bone Marrow aspiration Rs. 100/-11. PAEDIA-11 Peritoneal Tapping Rs. 100/-12. PAEDIA-12 Pericardial tapping Rs. 100/-13. PAEDIA-13 Biopsy (Muscle, Liver, Kidney) Rs.100/-14. PAEDIA-14 Serum (Fe, TIBC, O.F. Fetal Hb) Rs. 100/-15. PAEDIA-15 Bed Charges PICU cubical Rs. 200/-16. PAEDIA-16 Paediatric Intensive Care Unit (PICU) and

Neonantal Intensive Care Unit (NICU) on Ventilator

Rs. 500/- per day per patient

17. PAEDIA-17 Bed charges for Pediatric Medicine Ward Rs 50/- per day per patient

18. PAEDIA-18 Servoguard for Siemens Ventilator (Model servo 300)

460/- per Pc.

19. PAEDIA-19 Green baterial filter 260/-per Pc20. PAEDIA-20 Disposable neonatal respiratory circuit 350/-per Pc.21. PAEDIA-21 Disposable pediatric respiratory circuit 350/- per Pc.22. PAEDIA-22 HME filter 150/- per Pc.

(23) PAEDIATRIC SURGERY DEPARTMENT S.No. CODE NO. NAME OF INVESTIGATIONS/ PROCEDURES, ETC. CHARGES1. PAEDSG-01 OT Equipment & Room Maintenance Charges

(Minor Operation)Rs. 100/-

2. PAEDSG-02 OT Equipment & Room Maintenance Charges (Major Operation)

Rs. 500/-

3. PAEDSG-03 Incubator Charges per day Rs. 50/-4. PAEDSG-04 Phototherapy Unit Charges Per Package Rs. 100/-5. PAEDSG-05 Ventilator Charges per day Rs. 100/-6. PAEDSG-06 Blood Gas Analyser Rs. 100/-7. PAEDSG-07 Giendoscopy/Cystoscopy/Laparoscopy/

BronchoscopyRs. 300/-

8. PAEDSG-08 Laparoscopic Surgery Rs. 500/-9. PAEDSG-09

(100% in Deptt.)Central AC Maintenance Charges for Paediatric Surgery Ward

Rs.50/- per day

10. PAEDSG-10(100% in Deptt.)

Central AC Maintenance Charges for Neonatal and Paediatric Surgery ICU

Rs.100/- per day

11. PAEDSG-11 OT Equipment & Room Maintenance Charges (Specialised Operation)

Rs. 1000/-

12. PAEDSG-12 Additional OT Equipment & Room Maintenance Charges for use of Harmonic Knife in any Surgical Operation

Rs. 2000/-

13. PAEDSG-13 Patients admitted in the Paediatric Surgery Department in the Special rooms of II Floor

Rs. 650/- per day per patient (100% will be utilized by the department for maintenance work as is approved for PAEDSH-09 & PAEDSG-10)

14. PAEDSG-14 O.T. Equipment & Room Maintenance (Minor Operations performed in Operation Theatres)

Rs. 200/-

15

(24) "PLASTRIC SURGERY" DEPARTMENT


CHARGES

1. PLSTSG-01 OT Equipment & Room Maintenance Charges (Minor Operation)

Rs. 100/-

2. PLSTSG-02 OT Equipment & Room Maintenance Charges (Major Operation)

Rs. 500/-

3. PLSTSG-03 OT Equipment & Room Maintenance Charges (Specialised Surgical Procedure)

Rs. 1,000/-

4. PLSTSG-04 Bed Maintenance Charges in the Burn Unit having AC facility, Burn Bath and Physiotherapy facility

Rs. 100/-Per day

5. PLSTSG-05 Intermittent Pneumatic Compression including methods of Pressotherapy for the Lymphodema patients

Rs 100/-Per day

6. PLSTSG-06 O.T. Equipment & Room Maintenance (Minor Operations performed in Operation Theatres)

Rs. 200/-

.Certified that the above-mentioned Maintenance Charges have been taken from the original list duly approved by the competent authority of the University.

(25) "PSYCHIATRY" DEPARTMENT S.No. CODE NO. NAME OF INVESTIGATIONS/

PROCEDURES, ETC.CHARGES

1. PSYCHI-01 E.E.G. Rs. 200/-2. PSYCHI-02 E.C.T. Rs. 200/- 3. PSYCHI-03 Maintenance Charges for Bio-fee back

Equipment used in PhychotherapyRs. 100/-

4. PSYCHI-04 Maintenance Charges for Bio-fee back Equipment used in Behaviour therapy

Rs. 100/-

5. PSYCHI-05 I. Q. Testing Rs. 100/-6. PSYCHI-06 Full Cognitive function testing Rs. 200/-7. PSYCHI-07 Serum Electrolytes Na, K, Cl. Rs. 60/-8. PSYCHI-08 Serum Lithium & Electrolyte estimation

by automatic Electrolyte AnalyzerRs. 200/- per sample

9. PSYCHI-09 Sleep Lab. investigation therapy Rs. 1000/- per sleep study10. PSYCHI-10 Computerized Stress Profile Assessment Rs. 500/- per case


(26) "PATHOLOGY" DEPARTMENT


CHARGES

1. PATHOG-01 Prothrombin Time Rs. 200/-2. PATHOG-02 Complete Haemogram Rs. 250/-3. PATHOG-03 Platelet Profile

BTAggregationPF-3Clot Retraction

Rs. 250/-

4. PATHOG-04 Bleeding Disorders/Coagulation Disorders Rs. 500/--

16

S.No. CODE NO. NAME OF INVESTIGATIONS/ PROCEDURES, ETC. CHARGES5. PATHOG-05 Cytology (Exfoliative cytology &FNAC) Rs. 150/-6. PATHOG-06 Histo-Pathology Examination: Small

tissue.Rs. 200/-

7. PATHOG-07 Frozen Section Facility Rs. 200/-8. PATHOG-08 GBP Rs. 50/-9. PATHOG-09 GBP + BM Rs. 150/-10. PATHOG-10 Reticulocyte Count Rs. 100/-11. PATHOG-11 Osmotic Fragility Rs. 100/-12. PATHOG-12 G6PD Rs. 100/-13. PATHOG-13 HbF Rs. 100/-14. PATHOG-14 Sickling Test Rs. 100/-15. PATHOG-15 Hb electrophoresis Rs. 250/-16. PATHOG-16 Rh Antibody Titre Rs. 200/-17. PATHOG-17 Panel for Breast Carcinoma Rs. 1200/- each18. PATHOG-18 Individual Marker Rs. 500/- each

New Test added in Department of Pathology under Revolving Fund HAEMATOLOGY LABORATORY:1. Extended Coagulation profile : Rs. 1000/-

S.No. Code No. Name of Investigation Approved charges1. PATHOG-19 Test for Factor XIII Assay Rs. 200/- per test2. PATHOG-20 Test for Factor VIII Assay Rs. 500/-- per test3. PATHOG-21 Test for Factor IX Assay Rs. 500/- per test4. PATHOG-22 Other Factor Assays Rs. 200/- per test5. PATHOG-23 Plasma Fibrinogen Rs. 500/- per test

Extended test for platelet functions: Platelet Aggregation studies Rs. 1000/-

S.No. Code No. Name of Investigation Approved charges1. PATHOG-24 ADP

Adreneline RCollagenRistocetin

Rs. 500/- per test

2. PATHOG-25 Von Wille brand Antigen Rs. 500/- per test

3. Tests for Thrombophilia

4.S.No. Code No. Name of Investigation Approved charges

1. PATHOG-26 D-dimer Rs. 600/-2. PATHOG-27 APCR Rs. 1000/-3. PATHOG-28 Protein-C Rs. 1500/-4. PATHOG-29 Protein-S Rs. 1500/-

5. Coomb’s testS.No. Code No. Name of Investigation Approved charges

1. PATHOG-30 Direct Rs. 100/-2. PATHOG-31 Indirect Rs. 100/-

17

6. Special Stains on demand (if possible) Rs. 200/-

Histopathology laboratory: Immunohistochemistry

S.No. Code No. Name of Investigation1. PATHOG-32 Immuno Histo Chemistry (IHC) for each

marker (ER, PR, HER-2)Rs.600/- for each marker

2. PATHOG-33 Histology: Large tissue or more than one bottel

Rs. 400/-


(27) “RADIOLOGY” DEPARTMENT


CHARGES

1. RADIOG-01 X-Ray Single Exposure Rs. 60/-2. RADIOG-02 X-Ray Double Exposure Rs. 90/-3. RADIOG-03 Barium Swallow/Barium Meal Examination

- Routine like Stomach, Duodenum, ICR Region/ Barium Enema

Rs. 230/-

4. RADIOG-04 I.V.P. Myelography/Angiography Rs. 300/-5. RADIOG-05 H.S.G./Sinogram/Cystogram/Urethrogram Rs. 200/-6. RADIOG-06 Ultrasonography Rs. 200/-7. RADIOG-07 Colour Doppler Rs. 400/-8. RADIOG-08 CT Scan Head/Neck Rs. 900/-9. RADIOG-09 CT Scan Body Rs. 1950/-10. RADIOG-10 ERCP Charges for X-Ray Rs. 200/-11. RADIOG-11 MRI Charges Rs. 2200/-12. RADIOG-12 MRI Investigation Contrast Dye Charges Rs. 800/-13. RADIOG-13 Surcharge on X-Ray for Special ward Rs. 20/-14. RADIOG-14 Mammography Rs. 600/-15. RADIOG-15 Computed Radiography Single Exposure Rs. 100/-16. RADIOG-16 Computed Radiography Double Exposure Rs. 150/-


(28) "RADIOTHERAPY & RADIATION MEDICINE” DEPARTMENT


CHARGES

1. RTHRMD-01 External Beam Therapy – Full Course Rs. 3,000/-


18

(29) "SURGICAL ONCOLOGY” DEPARTMENT


CHARGES

1. ONCOSG-01 OT Equipment & Room Maintenance Charges (Minor Operation)

Rs. 100/-

2. ONCOSG-02 OT Equipment & Room Maintenance Charges (Major Operation)

Rs. 500/-

3. ONCOSG-03 Videoendoscopy Rs. 300/-4. ONCOSG-04 Laser Procedure Rs. 500/-5. ONCOSG-05 Nd: YAG Laser Use Rs.2,000/-6. ONCOSG-06 Ultrasonic Dissector (Harmonic Scalpel) use Rs.2,000/-7. ONCOSG-07 Mammography Test (in collaboration with

Department of Radio-Diagnosis, IMS, BHU.)Rs. 1,000/-

8. ONCOSG-08 RFG 10000/-Per patient

9. ONCOSG-09 Bronchoscopy Rs. 500/-10. ONCOSG-10 USG (SonoSite) Rs. 200/-11. ONCOSG-11 Doppler Rs. 400/-12. ONCOSG-12 Intraoprative USG/Doppler Rs. 500/-13. ONCOSG-13 Super Major Operations 1000/-14. ONCOSG-14 O.T. Equipment & Room Maintenance (Minor

Operations performed in Operation Theatres)Rs. 200/-

(30) "TB & CHEST DISEASES” DEPARTMENT


CHARGES

1. TBCHST-01 Pleural aspiration Rs.100/- per patient2. TBCHST-02 Broncho Pulmonary Procedure Rs. 150/- per patient3. TBCHST-03 Pulmonary Function Test Rs. 300/- per patient4. TBCHST-04 Nebulizer Therapy Rs.100/- per day5. TBCHST-05 Pulse Oximetry Rs.100/- per day6. TBCHST-06 Fiber optic bronchoscopy Rs. 500/-7. TBCHST-07 USG guided pleural aspiration/biopsy Rs. 200/-8. TBCHST-08 PFT+Diffusion Studies Rs. 600/-9. TBCHST-09 Polysomnography (for overnigh study

i.e. 6 to 10 hrs.)Rs. 1500/-


(31) “UROLOGY” DEPARTMENT


CHARGES

1. UROLOG-01 OT Equipment & Room Maintenance Charges (Minor Operation)

Rs. 100/-

2. UROLOG-02 OT Equipment & Room Maintenance Charges (Major Operation)

Rs. 500/-

19

S.No. CODE NO. NAME OF INVESTIGATIONS/ PROCEDURES, ETC. CHARGES3. UROLOG-03 Cystoscopy/OLU/Urethroscopy Rs. 300/-4. UROLOG-04 TURP Rs. 500/-5. UROLOG-05 A.V. Fistula Rs. 300/-6. UROLOG-06 Intra-Corporeal- Lithotripsy/Percutanous

NephrolithotomyRs. 1,000/-

7. UROLOG-07 Lithotripsy (ESWL) Rs. 10,000/-8. UROLOG-08 OT Equipment and Room Maintenance

Charges for Renal TransplantationRs. 6,000/-

(out of Rs. 10,000/- for the entire

procedure)9. UROLOG-09 ESWL for Residual Calculi Rs. 2000/-10. UROLOG-10 Laser Lithotripsy Rs. 7500/-11. UROLOG-11 Green Light Laser Prostatectomy Rs. 50000/-12. UROLOG-12 RIRS/Holmium Laser

Lithotripsy/Holmium Lasr StricturotomyRs. 10000/- for each procedure

13. UROLOG-13 O.T. Equipment & Room Maintenance (Minor Operations performed in Operation Theatres)

Rs. 200/-


20

(B) FACULTY OF AYURVEDA

(32) “BASIC PRINCIPLES (SHARIR KRIYA UNIT)” DEPARTMENT


CHARGES

1. BSPLAY-01 E.E.G. Feedback Rs. 200/-2. BSPLAY-02 E.M.G. Feedback Rs. 200/-


(33) “CLINICAL PATHOLOGY” (FACULTY OF AYURVEDA)


CHARGES

1. CPTHAY-03 Blood for ESR Rs. 10/-2. CPTHAY-04 Blood for GBP Rs. 50/-3. CPTHAY-06 Blood for Reticulocyte Rs. 15/-4. CPTHAY-08 Urine for Suga/, Acetone & Microscopy/Urine

for Urobilinogen, Bile Salts, Bile Pigments, Ketone Bodies & Other.

Rs. 50/-

5. CPTHAY-10 24 Hrs. Urinary Calcium /Protein Rs. 20/-6. CPTHAY-11 Stool for Occult Blood Rs. 15/-7. CPTHAY-12 Blood Glucose Fasting/PP Rs. 20/- each8. CPTHAY-14 Blood Urea Rs. 30/-9. CPTHAY-15 Serum Calcium Rs. 20/-10. CPTHAY-16 Serum Phosphorous Rs. 20/-11. CPTHAY-17 Seminogram Rs. 20/-12. CPTHAY-18 Serum Cholesterol Rs. 40/-13. CPTHAY-19 Serum Uric Acid Rs. 50/-14. CPTHAY-20 Serum Creatinine Rs. 40/-15. CPTHAY-21 Serum Amylase Rs. 40/-16. CPTHAY-22 Serum Alkaline Phosphatase Rs. 50/-17. CPTHAY-23 Conjugated & Unconjugated Bilirubin Rs. 50/-18. CPTHAY-24 CSF Examination for Cell Count &

Biochemical Rs. 50/-

19. CPTHAY-25 Serous Fluid Routine & Microscopic Rs. 20/-20. CPTHAY-26 Serum Electrolytes Na, K, C1 Rs.100/-21. CPTHAY-27 Serum Protein & Albumin Rs. 30/-22. CPTHAY-29 Gama G.T. Rs. 100/-23. CPTHAY-30 SGOT/SGPT Rs. 40/-24. CPTHAY-32 Acid Phosphatase Prostatic Fraction Rs. 100/-25. CPTHAY-33 Serum Iron Rs. 100/-26. CPTHAY-34 Serum for TIBC Rs. 200/-27. CPTHAY-35 Haematological Profile with Histogram (CBC) Rs. 50/-28. CPTHAY-36 LDH Rs. 100/-29. CPTHAY-37 CPK Rs. 150/-30. CPTHAY-38 CPK-MB Rs. 200/-31. CPTHAY-39 Liver Functions Test Rs. 200/-

21

S.No. CODE NO. NAME OF INVESTIGATIONS/ PROCEDURES, ETC. CHARGES32. CPTHAY-40 Lipid Profile Rs. 300/-33. CPTHAY-41 Blood for MP Rs. 10/-34. CPTHAY-42 Blood for MF Rs. 10/-35. CPTHAY-43 Stool for Microscopy (Ova and Cyst) Rs. 10/-36. CPTHAY-44 E.C.G. Rs. 30/-37. CPTHAY-45 HBs Ag Rs. 50/-38. CPTHAY-46 R A Factor Rs. 50/-39. CPTHAY-47 ASO Titre Rs. 50/-40. CPTHAY-48 CRP Rs. 50/-41. CPTHAY-49 Paracheck (Combo for PV & PF) Rs. 200/-


(34) “KAYACHIKITSA (PANCHKAMA THERAPY UNIT)” DEPARTMENT


CHARGES

1. KYCHAY-01 Full Panch Karma Treatment for 15 days Rs. 1,000/-2. KYCHAY-02 Pind Sweda for 15 days full therapy Rs. 1,000/-3. KYCHAY-03 Nadi Sweda for 15 days full therapy Rs. 250/-4. KYCHAY-04 Medicated Steam Bath 15 days full therapy Rs. 250/-5. KYCHAY-05 Dry Heat Bath for 15 days full therapy Rs. 500/-6. KYCHAY-06 Shirodhara for 15 days full therapy Rs. 500/-7. KYCHAY-07 Vasti for 15 days full therapy Rs. 500/-8. KYCHAY-08 Vamana for 15 days full therapy Rs. 500/-9. KYCHAY-09 Awagahan for 15 days full therapy Rs. 1,000/-10. KYCHAY-10 Energy Therapy for 15 days Rs. 500/-11. KYCHAY-11 ECG Rs. 30/- per

event12. KYCHAY-12 Computerized Spirometry Rs. 300/- per

event13. KYCHAY-13 Sattvapariksha (Objecitve scale + GSR +

AVRT)/ Sattvavajaya (Ayurvedic Psychotherapy)

Rs. 25/- per event

14. KYCHAY-14 Jalaukavacharan Rs. 100.0015. KYCHAY-15 Agni Karma Rs. 100.00

Note: If any of the therapeutic procedures at S.No. 3 to S.No. 10 are recommended by the consultant for less duration than the full therapy 0 15 days, the rates wil be charged @ Rs. 50/- per exposure.


22

(35) “PRASUTI TANTRA” DEPARTMENT


1. PSTRAY-01 OT Equipment & Room Maintenance Charges for Minor Operation (D&C/MTP, Vaginal Delivery, Forceps Delivery & Ventuse Delivery)

Rs. 100/-

2. PSTRAY-02 OT Equipment & Room Maintenance Charges for Major Operation (Hysterectomy Abdominal/ Vaginal, Laparotomy, Radical Hysterectomy & Other Radical Surgical Procedures)

Rs. 500/-

3. PSTRAY-03 C.T.G. Rs. 200/-4. PSTRAY-04 OT Equipment & Room Maintenace Charges for

Sangyaharan procedure in Minor Operation (D&C/MTP, Vaginal Delivery, Forceps Delivery & Ventuse Delivery)

Rs. 100/-

5. PSTRAY-05 OT Equipment & Room Maintenance Charges for Sangyaharan procedure in Major Operation (Hysterectomy Abdominal/ Vaginal, Laparotomy, Radical Hysterectomy & Other Radical Surgical Procedures)

Rs. 500/-

6. PSTRAY-06 O.T. Equipment & Room Maintenance (Minor Operations performed in Operation Theatres)

Rs. 200/-

(36) “PRASUTITANTRA” DEPARTMENT (KAUMARBHRITYA)


1. PSKBAY-01 Phototherapy (per package) Rs. 100/-2. PSKBAY-02 Nursery Care including incubator Care

Charges (per day)Rs. 100/-

3. PSKBAY-03 Nebuliser (per package) Rs. 100/-


(37) “SHALYA SHALAKYA” DEPARTMENT


1. SLSKAY-01 OT Equipment & Room Maintenance Charges for Minor Operation

Rs. 100/-

2. SLSKAY-02 OT Equipment & Room Maintenance Charges for Major Operation

Rs. 500/-

3. SLSKAY-03 Kshar Sutra (Each) Rs. 50/-4. SLSKAY-04 Agni Karma Rs. 100/- per sitting5. SLSKAY-05 Jalaukavacharan Rs. 100/- per sitting6. SLSKAY-06 O.T. Equipment & Room Maintenance


Rs. 200/-


23

(38) “SHALYA SHALAKYA” DEPARTMENT (EYE & ENT SECTION)


1. SLSHAY-01 OT Equipment & Room Maintenance charges for Minor Operation

Rs. 100/-

2. SLSHAY-02 OT Equipment & Room Maintenance charges for Major Operation

Rs. 500/-

3. SLSHAY-03 Refraction charges Rs. 30/-4. SLSHAY-04 Intraocular Lens Implantation

(Microprocedure)Rs. 200/-

5. SLSHAY-05 O.T. Equipment & Room Maintenance (Minor Operations performed in Operation Theatres)

Rs. 200/-


(39) “SHALYA SHALAKYA” DEPARTMENT (SANGYAHARAN)


CHARGES

1. SLSGAY-01 Maintenance charges (Minor) Rs. 100/-2. SLSGAY-02 Maintenance charges (Major) Rs. 500/-3. SLSGAY-03 Fibreoptic Laryngoscopy Rs. 100/-


(40) “SHALYA SHALAKYA” DEPARTMENT (RADILOGY SECTION


1. SLRDAY-01 X-Ray Single Exposure Rs. 60/-2. SLRDAY-02 X-Ray Double Exposure Rs. 90/-3. SLRDAY-03 Barium Swallow/Barium Meal Examination -

Routine like Stomach, Duodenum, ICR Region/Barium Enema

Rs. 230/-

4. SLRDAY-04 I.V.P. Myelography / Angiography Rs. 300/-5. SLRDAY-05 H.S.G./Sinogram/Cystogram/ Urethrogram Rs. 200/-6. SLRDAY-06 Ultrasonograpy (USG) Rs. 200/-


(41) DEPARTMENT OF SANGYAHARA

S.No. Code No. Name of Investigation Charges1. SGHNAY -01 Agni Karma Rs. 100/- per sitting 2. SGHNAY -02 Jalaukavacharan Rs. 100/- per sitting3. SGHNAY -03 HDU-Sangyaharan-PFT Rs. 200/-4. SGHNAY -04 Sangyaharan Serum Electrolyte Rs. 100/-5. SGHNAY -05 Sangyaharan E.C.G. with interpretation Rs. 30/-

24

(42) “DHARMSHALA”


CHARGES

1. DHRMSH- 01 Room Rent per day per room Rs. 50/-


(43) SPECIAL WARD


CHARGES

1. SPLWDA- 01 Room Rent charge per day (AC Rooms) Rs. 1000/-2. SPLWDB- 02 Room Rent charge per day (Non AC Rooms) Rs. 500/3. SURCHG- 03* Surcharge on Spl. Ward Room Rent Rs. 5% of Total4. - Room Rent charge per day (Deluxe Room) Rs. 2500/-


(44) “MISCELANEOUS”


CHARGES

1. BRTHCF- 01 Birth Certificate Rs. 20/-2. DETHCF- 02 Death Certificate Rs.50/-3. LICCRF- 03 LIC Certificate Charge Rs. 100/-4. GATPAS- 04 Gate Pass Rs. 50/-5. MEDICF-05 Medical Certificate Rs. 20/-6. DURECP-6 For issue of Duplicate Receipt (AR-1) Rs. 50/-

(45) “ADMISSION”


CHARGES

1. ADMSON- 01 Admission Charge per patient Rs. 50/-

(46) “OPD SLIP”


CHARGES

1. OPDSLP- 01 OPD SLIP Rs. 20/-

(47) Doctor’s LoungeS.No. CODE NO. NAME OF INVESTIGATIONS/

PROCEDURES, ETC.CHARGES

1. DLONGE- 01 Doctors Lounge Rs. 2000/-

25

(a) faculty of modern medicine list updated till 20.01.2012... · banaras hindu university sir...

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