rate list of synergy institute of medical sciences...2019/05/12 · rate list of synergy institute...

RATE LIST OF SYNERGY INSTITUTE OF MEDICAL SCIENCES

1

IN CASE OF ANY EMERGENCY TERMS & CONDITIONS WILL BE APPLICALE AS PER INSTITUTION POLICY.

S.NO PARTICULARS INR

1. Air Mattres(Per Day) 300/-

2. Alpha Bed (Auto Excel) Per Day 350/-/

3. Alpha Bed (Excel) Per Day 350/-

4. Alpha Bed (Nimbus) Per Day 350/-

5. Alpha Bed (Trancel) Per Day 400/-

6. BIPAP-Per Day* 1500/-

7. Blood Administration Chargesper unitinward 200/-

8. Cardiac Montr / PulseOxmtr(2-6 hr) 500/-

9. Cardiac Montr / PulseOxmtr(6-24 hr) 700/-

10. CPAP-Per Day* 1500/-

11. DVT KendallPer day 700/-

12. DVT Pump 10 Per Day 700/-

13. DVT Pump 20 Per Day 700/-

14. Harmonic Scalper charges-per hour 5,000/-

15. High Frequency Ventilator With Sterilized circuit 3,000/-

16. Injection Administration Charges (Equi-cha) 50/-

17. Oxygen charges(13-24 hrs) 500/-

18. Oxygen charges between 4 -12 hours 400/-

19. Oxygen charges for 4 hours 50/-

20. Phototherapy Unit(0-12hrs) 800/-

21. Phototherapy Unit(13-24hrs) 1500/-

22. Syringe Pump (Up to24 hrs) 200/-

23. Telemetry Charges per day 500/-

24. Ventilator-Per day 2500/-

25. Transducer Charges 2800/-

26. Flowtron DVT Pump 700/-

27. Infusion Pump 50/-

28. Monitor Charges 200/-

29. Arterial Line 1500/-

30. Centre Line 2000/-

31. Tracheostomy Charges 7000/-

32. Intubation 1000/-

33. Lumber Puncture 1500/-

34. Inj. Fentanyl 100/-

35. Inj. Morphine 100/-

36. Blood Transfusion Charges 200/-

37. Epidural Charges 2000/-

38. ICD 7000/-

39. EVD 7000/-

40. Craniotomy Charges 8000/-

41. Tilt Table 3000/-

42. CPM 200/-


2


43. ICD Repositioning / Dressing / Adjustment 2500/-

44. Bronchoscopy by Anesthetist 5000/-

45. Bone Marrow Examination 2000/-

46. ABG (Absolute Blood Gas) 1250/-

47. Conox Monitoring (With Electrodes) 1200/-

48. CGSM Censor 4000/-


3


CARDIOLOGY PACKAGES

PARTICULARSPARTICULARSPARTICULARSPARTICULARS INRINRINRINR

ANGIOGRAPHY

Packag

e

15000 including

one daystay

doctor charges

diet

sister charges

monitorcharges

investigations

Refer Annexure 1

ANGIOPLASTY

Ballooning 12000 (ifrequired)

Package 1,15000 including

3 daysstay,

F7 doctor charges

sister charges

monitorcharges

investigations

STENT Minimum 38000

ICD

Package (4 DAYS STAY) Single Chamber 1.00000

Dual Chamber 110000

ICD IMPLANT () Single Chamber : 300000 (Minimum)

Dual chamber : 540000(Minimum)

PACEMAKER

Package (5 DAYS STAY) Single Chamber 100000

Dual Chamber 110000

IMPLANT Single Chamber : 70000 (Minimum)

Dual chamber : 170000 (Minimum)

BRONCHIALARTERYEMBOLIZATION

Procedure Cost 50000


4


CARDIOLOGY INVESTIGATION

Sr.No Procedure OPD/ IPD

1. Abdominal Vascular Doppler 1500 1500

2. Ankle Brachial Index(ABI) 675 783

3. B.P. Check-up 50 60

4. Carotid Doppler 1500 1500

5. Dobutamine Stress Echo 3000 3000

6. Doppler guided pseudo-aneurysmcopression 1500 1760

7. ECG 250 300

8. ECG with magnet 300 300

9. Echo 1500 1700

10. Echo Review(Bedside) 500 700

11. Echo/ Ultrasound guided pleural/ pericardialtap 1500 1700

12. Echo Bedside 2500 2500

13. Echo for CRT 2000 2500

14. ECHO Offsite 1600 1800

15. Echo Review(Screening) 500 800

16. Holter Affixation Charge for Outside NA NA

17. Holter Detachment Charges for outside NA NA

18. Holter Monitoring Security (Refundable) 5000 NA

19. Holter Monitoring 1800 1800

20. IMT(Intimal Thickness Measurement) 500 600

21. Intimal Thickness Measurement 630 729

22. Paediatric Echo 2000 2000

23. Stress Echo 3000 3000

24. TEE Echo 3000 3000

25. Temporary Pacing NA 10000

26. Tread Mill Test(TMT) 1500 1500

27. Head Up Till Table 3000 3000

28. Peri Cardial Centesis (Day Care) 10000


5


CARDIO VASCULAR & THORACIC SURGERY PACKAGES (In Rs)

Ward Type CUBICLE STANDARD DELUXE

Sl.

No. Description

RISK A

(Low Risk)

RISK B

(Moderate

Risk)

RISK C

(High

Risk)

RISK A

(Low

Risk)

RISK B

(Modera

te Risk)

RISK C

(High

Risk)

RISK A

(Low

Risk)

RISK B

(Modera

te Risk)

RISK C

(High

Risk)

Vascular :

1 AortoBifemoral

bypass 119000 139000 159000 151000 171000 201000 183000 203000 223000

2 Carotid Subclavian

bypass 119000 139000 159000 151000 171000 201000 183000 203000 223000

3 Abdominal Aortic

Aneurysm repair 119000 139000 159000 151000 171000 201000 183000 203000 223000

4 Carotid

Endarterectomy 80000 125000 145000 133000 153000 173000 160000 180000 200000

5 VERICOSE VEINS

LIGATION SURGERY 70000/- 80000/- 90000/-

Thoracic Adult

1 Thymectomy 119000 139000 159000 151000 171000 201000 183000 203000 223000

Closed Heart Surgery : Paediatric

1 BT Shunt 105000 125000 145000 133000 153000 173000 160000 180000 200000

2 Coarctation 105000 125000 145000 133000 153000 173000 160000 180000 200000

3 PA Banding 105000 125000 145000 133000 153000 173000 160000 180000 200000

4 PDA 105000 125000 145000 133000 153000 173000 160000 180000 200000

5 BD Glen 105000 125000 145000 133000 153000 173000 160000 180000 200000

Open Heart Surgery : Paediatric

1 ASD 115000 135000 155000 145000 165000 185000 175000 195000 215000

2 VSD 125000 145000 165000 159000 179000 199000 193000 213000 233000

3 AP Window 125000 145000 165000 159000 179000 199000 193000 213000 233000

4 AV Canal 125000 145000 165000 159000 179000 199000

193000 213000 233000

5 AV Repair 125000 145000 165000 159000 179000 199000 193000 213000 233000

6 BD Glen on CPB 125000 145000 165000 159000 179000 199000 193000 213000 233000


6


7 Ebstein’s Repair 130000 150000 170000 165000 185000 205000 200000 220000 240000

8 RSOV 130000 150000 170000 165000 185000 205000 200000 220000 240000

9 SAM Excision 130000 150000 170000 165000 185000 205000 200000 220000 240000

10 Senning 157000 177000 197000 202000 222000 242000 247000 267000 287000

11 TAPVC 157000 177000 197000 202000 222000 242000 247000 267000 287000

12 TCPC (Complete

Fontan) 145000 165000 185000 185000 205000 225000 225000 245000 265000

13 TOF Intra Cardiac

Repair 133000 153000 173000 170000 190000 210000 207000 227000 247000

14 Rasteli’s Operation 157000 177000 197000 202000 222000 242000 247000 267000 287000

15 Ross's Procedure 157000 177000 197000 202000 222000 242000 247000 267000 287000

16 Arterial Switch /

ASO 179000 199000 219000 231000 251000 271000 283000 303000 323000

17 TruncusArteriosis 157000 177000 197000 202000 222000 242000 247000 267000 287000

18 Norwood 223000 243000 263000 290000 310000 330000 340000 360000 380000

19 Double Switch /

DSO 190000 210000 230000 247000 267000 287000 300000 320000 340000

20 Unifocalization

with shunt 190000 210000 230000 247000 267000 287000 300000 320000 340000

Open Heart Surgery : Adult

1 CABG 125000 145000 165000 159000 179000 199000 193000 213000 233000

2 AVR 125000 145000 165000 159000 179000 199000 193000 213000 233000

3 MVR 125000 145000 165000 159000 179000 199000 193000 213000 233000

4 DVR 145000 165000 185000 185000 205000 225000 225000 245000 265000

5 LA Myxoma 130000 150000 170000 165000 185000 205000 200000 220000 240000

6 MV Repair 131000 161000 181000 181000 201000 221000 120000 240000 260000

7 RSOV 130000 150000 170000 165000 185000 205000 200000 220000 240000

8 CABG with ASD 163000 183000 203000 210000 230000 250000 257000 277000 297000


7


9 CABG with AVR 174000 194000 214000 225000 245000 265000 275000 295000 315000

10 CABG with MVR 174000 194000 214000 225000 245000 265000 275000 295000 315000

11 Bental’s Operation 174000 199000 219000 231000 251000 271000 283000 303000 323000

12 CABG on Pre-Op

Renal Dialysis 179000 199000 219000 231000 251000 271000 283000 303000 323000

13 CABG with DVR 179000 199000 219000 231000 251000 271000 283000 303000 323000

14 Post Infarct VSD 168000 188000 208000 215000 235000 255000 263000 283000 303000

15 Pulmonary

Endarectomy 168000 188000 208000 215000 235000 255000 263000 283000 303000

NOTE : Point 39 (Include Surgery, 3 Days Stay, Investigation & Medication)


8


DERMATOLOGY

Sr.No. Procedure INR

1 VitiligoSurgeryMPG/MCT-1-50 cm2 19,350

2 VitiligoSurgeryMPG/MCT-100-150cm2 41,112

3 VitiligoSurgeryMPG/MCT-50-75 cm2 26,649

4 VitiligoSurgeryMPG/MCT-75-100cm2 29,061

5 VitiligoSurgeryMPG/MCT-Mucossal&snsitivesites# 29,061

Sr.No. Rate Per Sitting 5 Sitting 10 Sitting

Normal Normal 10%Discount Normal 20%Discount

1 Small Chin 1200 6000 5400 12000 9,600

2 Chin 1500 7500 6750 15000 12000

3 BroadChin 2000 10000 9000 20000 16000

4 Upper Lip 700 3500 3150 7000 5600

5 Lower Face 3500 17500 15750 35000 28000

6 FullFace 4000 20000 18000 40000 32000

7 Under Arms 1500

8 (Life Time) 10000

CO2FractionalLaser

Sr.No. RatePer Sittin 5 Sitting 10 Sitting


1 2500 12500 11250 25000 20000

QSwitched Laser

Rate Per

Sitting

5 Sitting 10 Sitting


1 2500 12500 11250 25000 20000

MicrodermAbrasion

Sr.No. RatePer

Sitting

8 Sittings

Normal Normal

1 900 7200

MicrodermAbrasion

Sr.No. RatePer

Sitting

8 Sitting

Normal Normal After Discount

1 900 7200 6000

Botox


9


Rate Per Sitting 250/Unit

Normal 1 Crowfeet 6000 2 Forehead 3750 15-18000

3 Glabelercom 7500

Fillers

Rate Per Sitting

Normal

20000


10


ENTOPERATIVECHARGES

Sr.No. Procedure Cubicles Standard Deluxe

1 Tonsillectomy 10000 13334 16665

2 Styloidectomy 7200 9600 12000

3 TAR 9000 12000 15000

4 Biopsy/GA 7000 9330 11660

5 Biopsy/ LA 5000 6667 8330

6 MIS 9000 12000 15000

7 Tracheostomy 7125 9500 11875

8 Thyroid SurgeryHemi 13500 18000 22500

9 Thyroid SurgeryTotal 22500 30000 37500

10 NeckDissection 13500 18000 22500

11 NeckAbscessDrainage 7200 9600 12000

12 Sistrunks 9000 12000 15000

13 Parotid (Superficial) 18000 24000 30000

14 Submandibular 9000 12000 15000

15 Tympanolplasty 11250 15000 18750

16 Tympanomastoid 13500 18000 22500

17 Myringotomy 5000 6667 8330

18 Ossiculoplasty 11250 15000 18750

19 StapesSurgery 13500 18000 22500

20 Preauricular Sinus 4500 6000 7500

21 Septoplasty?SMR 8000 10665 13330

22 ESSU/L 9000 12000 15000

23 ESSB/L 13500 18000 22500

24 Angiofibroma 18000 24000 30000

25 Rhinoplasty 18000 24000 30000

26 Reduction 7000 9330 11660

Day Care Procedure

1 Chemotherapy 3000

2 Direct Laryngoscopy 2000

3 Nasal Endoscopy 2000

4 Nasal Packing 1500


11


GASTROENTEROLOGYPROCEDURE CHARGE

S.NO PARTICULARS OPD IPD / DAY CARE

(Charged as per OT %)*

1. Upper G.I Endoscopy 2000 2500

2. Colonoscopy 4000 5000

3. Endoscopy under Moderate Sedation 3000 3500

4. Colonoscopy under Sedation 4000 5000

5. Sigmoidoscopy 2000 2000

7. Banding 6000 8000

8. Sclero Therapy 6000 8000

9. Polypectomy 6000 8000

10. Adrenaline Injection 4000 4500

11. Foreign Body Removal 4000 4500

12. Glue Injection 6000 8000

13. CRE Dialatation 8000 10000

14. Heat Coagulation 6000 8000

15. Fibro Scan 2000 2000

16. PR Examination (Per Rectal Examination) 1000 1000

17. UGI Endoscopy (Portable / Bed Side) 5000 5000

18. ERCP Stent Removal 5000 5000

19. Liver Biopsy Charge 5000 5000

20. Stoma Bag 1500 1500

ERCP PACKAGE ECONOMY STANDARD DELUXE

21.

ERCP 12500 10000 + ROOM

RENT

10000 + ROOM

RENT

22. ERCP Balloon 17500 15000 + Room

Rent

15000 + Room

Rent

23. ERCP Lithotripsy 22500 20000 + Room

Rent

20000 + Room

Rent


12


GASTROENTEROLOGYPACKAGES

Endoscopy under Moderate Sedation

OPD/ CUBICLE IPD

1. PROCEDURE CHARGE 2000 2500

2. OT CHARGE 1000 1250

3. ANAESTHESIA CHARGE 500 500

4. CONSUMABLES 500 500

TOTAL 4000 4750

Colonoscopy under Sedation

OPD/ CUBICLE IPD


2. OT CHARGE 1300 2000



TOTAL 6000 8000

ERCP

ECONOMY STANDARD DELUXE

1. PROCEDURE CHARGE 5000 5000 5000

2. OT CHARGE 2500 2500 2500

3. ANAESTHESIA CHARGE 1000 1000 1000

4. CONSUMABLES 1500 1500 1500

5. STAY 2500 3600 4500

TOTAL 12500 13600 14500

BANDING

OPD/ CUBICLE IPD


2. OT CHARGE 1800 2500


4. CONSUMABLES

5. IMPLANT ON ACTUAL

TOTAL 6000 8000

Band Charges will be additional

SCLERO THERAPY

OPD/ CUBICLE IPD


2. OT CHARGE 1800 2500


4. CONSUMABLES


TOTAL 6000 8000


13


POLYPECTOMY

OPD/ CUBICLE IPD


2. OT CHARGE 1500 2000




TOTAL 6000 8000

ADRENALINE INJECTION

OPD/ CUBICLE IPD


2. OT CHARGE 1000 1000




TOTAL 4000 4500

FOREIGN BODY REMOVAL

OPD/ CUBICLE IPD


2. OT CHARGE 1250 1000


4. CONSUMABLES ON ACTUAL ON ACTUAL


TOTAL 4000 4500

GLUE INJECTION

OPD/ CUBICLE IPD


2. OT CHARGE 1500 2000




TOTAL 6000 8000

CRE DIALATATION

OPD/ CUBICLE IPD


2. OT CHARGE 2500 3000


4. CONSUMABLES


TOTAL 8000 10000

HEAT COAGULATION

OPD/ CUBICLE IPD



14


2. OT CHARGE 1250 1750




TOTAL 6250 8750

Esophageal StrictionsDialaation

OPD/ CUBICLE IPD

1. Esophageal StrictionsDialaation 6500 10000

SEMS DEPLOYMENT

OPD/ CUBICLE IPD

1. Colonvic 20000

2 Duodenal 20000

3 Esophageal 15000

ENDOSCOPIC PYLE’S GASTRIC TUBE IMERTION

OPD/ CUBICLE IPD

1. ENDOSCOPIC PYLE’S GASTRIC TUBE IMERTION 5000 + TUBE

ENDOSCOPIC NJ TUBE IMERTION

OPD/ CUBICLE IPD

1. ENDOSCOPIC NJ TUBE IMERTION 5000 + TUBE

PEG PLACEMENT OPD/ CUBICLE IPD

1. PEG Placement 8000 + Peg TUBE

COLONIC DECOMPRESSION

OPD/ CUBICLE IPD

1. Colonic decompression 5000

DIAGNOSTIC SIGMOIDASCOPY

OPD/ CUBICLE IPD

1. Diagnostic Sigmoidoscopy 2000

HEMOCLIPPY

OPD/ CUBICLE IPD

1. Hemoclippy UGI 5000 + Hemocip Charge

2 Hemoclippy Colon 6000 + Hemocip Charge


15


ERCP BALLOON



2. OT CHARGE 4000 4000 4000


4. CONSUMABLES 2000 2000 2000

5. STAY 2500 3600 4500

TOTAL 17500 18600 19500

ERCP LITHOTRIPSY



2. OT CHARGE 5500 5500 5500


4. CONSUMABLES 2000 2000 2000

5. STAY 2500 3600 4500

TOTAL 22500 23600 24500

ENDOSCOPY & APC

OPD/ IPD

1. PROCEDURE CHARGE 5000

2. OT CHARGE 2500

3. CONSUMABLES 2500


TOTAL 10000


16


GI/ LAPAROSCOPIC PROCEDURES CHARGES

S. No Procedure Operative Charges

Cubicle Standard Deluxe

1 Abcess Incision & Drainage 4500 6000 7500

2 Laparoscopic Cholecystectomy 11250 15000 18750

3 Open Cholecystectomy 9000 12000 15000

4 Laparoscopic CBD Exploration 18750 25000 31250

5 Open CBD Exploration 13500 18000 22500

6 Esophagectomy 33750 45000 56250

7 Whipple's 37500 50000 62500

8 Laparoscopic Fundoplication 15000 20000 25000

9 Open Fundoplication 9000 12000 15000

10 Hydatid Cystectomy 11250 15000 18750

11 Gastrectomy 22500 30000 37500

12 Splenectomy 7200 9600 12000

13 Hepatico- Jejunostomy 22500 30000 37500

14 Pancreatic Pseudocyst Surgery 15000 20000 25000

15 Diagnostic Laparoscopy 4500 6000 7500

16 Laparoscopic Appendicectomy 11250 15000 18750

17 Haemorrhoidectomy (milligan-morgan) 4500 6000 7500

18 Stapled Haemorrhoidectomy 7500 10000 12500

19 Lateral Sphicterotomy 4500 6000 7500

20 Fistulectomy/ Seton 7200 9600 12000

21 Right Hemicolectomy 13500 18000 22500

22 Left Hemicolectomy/ Anterior Resection 18750 25000 31250

23 Low Anterior Resection 18750 25000 31250

24 Apr 22500 30000 37500

25 Laparoscopic Inguinal Hernia Repair U/L 11250 15000 18750

26 Laparoscopic Inguinal Hernia Repair B/L 15000 20000 25000

27 Laparoscopic Para umblical / Umbilical Hernia Repair 7500 10000 12500

28 Laparoscopic Complex Incisiona Hernia Repair 18750 25000 31250

29 MRM 18750 25000 31250

30 Thyroidectomy Hemi 11250 15000 18750

31 Thyroidectomy Total 15000 20000 25000

32 Feeding Jujunostomy 8000 10000 12500

33 Explorative Laparotomy 11625 15500 20000

34 Lap. Liver Abscess Drainage 9500 12500 15625

35 Lap Ventral Hernia Repair 14000 18750 23500

36 Open U/L Inguinal hernia Repair 8500 11250 14000

37 Open B/L Inguinal hernia Repair 14000 18750 23500

38 Pancreatic Necrosectomy 18750 25000 31250

39 Distal Pancreatectomy 21375 28500 35625


17


40 Open Umbilical / Paraumbilical Hernia 6000 7500 9500

41 Open Incisional hernia 9500 12500 15625

42 Open Appendectomy 5625 7500 9375

43 Lap. Adhesiolysis 9000 12000 15000

44 Lap. Bariatric Surgery 18750 25000 31250


18


GYNAECOLOGY OPD PROCEDURES

SrNo Procedure OPD / IPD

1. Medical abortion 5000 5000

2. Cryocantery 5000 5000

3. Cervical Biopsy 2000 2000

4. Endometrial Sampling 6000 8000

5. Multiload Insertion 4000 4000

6. Mirena Insertion 11000 11000

7. NST / CTG Monitoring 2000 2000

8. Polypectomy 2000 2000

9. Endometrial Curettage 2000 2000

10. IUI (Intrauterine Insemination) 5000 5000

11. Emily Insertion 5000 5000

12 Colposcopy 2500 2500


19


GYNAECOLOGY IPD PACKAGES

NOTE

• Above packages include 2 days stay for normal delivery & /3 days

Stay for rest all operative procedures, OT Charges , OT Medicines,

Routine Medicine and Investigations.

S. No Procedures Cubicle Standard Deluxe

1 Normal Del. 32000 40000 50000

2 Painless Delivery 40000 50000 62500

3 Ceseream (LSCS Package) 40000 50000 62500

4 High Risk LSCS package or

High risk delivery 41250 55000 68750

5 Open Hystrectomy 48000 60000 75000

6 Open Ovarian Cystectomy 32000 40000 50000

7 D & C (Day Care) 15000

8 Open Myomectomy 48000 60000 75000

9 Lap. Hystrectomy 60000 75000 93750

10 Lap. Myomectomy 60000 75000 93750

11 Lap. Ovarian Cystectomy 44000 55000 68750

Note :Rest procedure to be decided at time of admission.


20


NEUROLOGY INVESTIGATION

SrNo Procedure OPD / IPD

1. EEG+ BrainMapping 1,000

2. Video EEG 2,000

3. NCVBoth Lower Limbs 1,000

4. NCVBothUpper Limbs 1,000

5. NCVBothUpper LimbsWithExtendedNerve 1,500

6. NCVBoth Lower LimbsWithExtendedNerve 1,500

7. NCV/EMG Both Lower Limbs 1,500

8. NCV/EMG BothUpper Limbs 1,500

9. EMGBothUpper limbs 1,500

10. EMGBoth Lower limbs 1,500

11. NCV/EMG AllFour Limbs 2,000

12. NCVAllFour Limbs 1,500

13. SNCBoth Limbs 1,000

14. SNCAllFour Limbs 1,500

15. VEPTest 1,500

16. BERATest 1,500

17. EEG+ BrainMappingEmergency 1,500

18. Video EEGEmergency 2,200

19. NCVBoth Lower LimbsEmergency 1,500

20. NCVBothUpper LimbsEmergency 1,500

21. NCVBothUpper LimbsWithExtendedNerveEmergency 1,500

22. NCVBoth Lower LimbsWithExtendedNerveEmergency 1,500

23. NCV/EMG Both Lower LimbsEmergency 2,000

24. NCV/EMG BothUpper LimbsEmergency 2,000

25. EMGBothUpper limbsEmergency 2,000

26. EMGBoth Lower limbsEmergency 2,000

27. NCV/EMG AllFour LimbsEmergency 2,500

28. NCVAllFour LimbsEmergency 2,000

29. SNCBoth LimbsEmergency 1,500

30. SNCAllFour LimbsEmergency 2,000

31. VEPTestEmergency 2,000

32. BERATestEmergency 2,000

33. External Ventricular Drainage 8,000


21


NEURO SURGERY OPERATIVE CHARGES

Sr.No. Procedures OPERATIVE CHARGES

Cubicles Standard Deluxe

1 Minor Procedure ward Under L.A 7000 9330 11660

2 Minor Procedure O.T Under L.A 10000 13334 16665

3 L.P/ V.P Shifting 25000 33335 41670

4 Surgery for Head Injury 25000 33335 41670

5 Surgery for S.D.H 25000 33335 41670

6 Surgery for Brain Tumor 30000 40002 50002

7 Disc Surgery 25000 33335 41670

8 Spinal Fusion 25000 33335 41670

9 Endoscopic Surgery 25000 33335 41670

10 Surgery for CV Junction 25000 33335 41670

11 Spinal Tumors 25000 33335 41670

12 Cranioplasty 25000 33335 41670

13 Trans nasal Procedure 25000 33335 41670

14 Surgery for Spinal Bifida 25000 33335 41670

15 Surgery for Vascular Lesion 25000 33335 41670

16 EVD 10000 13334 16665

17 Revision of Shunt 9500 12500 15650

18 ACF Repair 28000 37500 47000

19 Micro Dinectomy 23000 31250 39000

20 Bilateral SDH 32000 42500 53000

21 DSA 18750 25000 31250

22 Aneurysm Coiling (Only Procedure Charge) 32000 42500 53000

23 Decompressive Craniectomy 28000 37500 47000


22


NEPHROLOGY PROCEDURE CHARGES

Sr No Procedure INR

1. Dialysis with Consumables Charge 1600

2. Dialysis new kit reusable 1400

3. Dialysis new kit single use 1000

4. Dialysis New Blood Tubing Charge 300

5. Dialysis Single Lumen Catheterization 1000

6. Dialysis Dabble Lumen Catheterization Charge 4000

7. Dialysis Triple Lumen Catheterization Charge 5000

8. Dialysis Permanent Catheterization (Perm Cath) 20000

9. Dialysis ICU (5008s) 4500

10. Dialysis HDF with Consumables single use 3500

11. Dialysis HDF with Consumables reuse 2700

12. Dialysis Emergency Charge 1000

13. Dialysis VIP Room 5000

14. Dialysis Plasma Pheresis with Consumables 18000

15. Dialysis Plasma Pheresis with Reuse 4000

16. RBS by Glucometer 50

17. Miner Dressing / Diagnostic Pleural taping 250

18. Major Dressing / Therapeutic Asistic Taping 250

19. PD Transfer Set Charge 500

20. APD 12 Hrs 3000

21. IPD (Acute PD12 Hrs) 3000

22. CAPD IPD Catheter Insertion (OT + Surgeon) 10000

23. Renal Biopsy Procedure Charge 3500

24. Fistula (Anastomosis) OT + Surgeon

11500 (7000 SF +

3500 OT + 1000Day

Care)

NOTE : Above mention S.no 1 To 6 includes OT Charge, Surgeon fees, Catheter & USG Guided as per

requirement.


23


ORTHOPEDICPROCEDURES CHARGES


Cubicle

s

Standard Deluxe

1 OpenReductionofhip dislocation 15000 20000 25000 2 Moorespinning 15000 20000 25000 3 Canulatedscrews 15000 20000 25000

4

GirdieStone Arthro/DebridementHip/Arthomy/Biopsy

HIP

23625 31500 39375

5 TotalHipReplacement 23625 31500 39375 6 TotalKnee Replacement 23625 31500 39375 7 TotalElbowReplacement 23625 31500 39375 8 TotalShoulder Replacement 23625 31500 39375 9 TotalAnkle Replacement 23625 31500 39375

10

Cemented or Uncemented ModularBipolar Hip

Replacement

23625 31500 39375

11 RevisionTotalJointReplacement(Hip,Knee,shoulder) 23625 31500 39375

12 PartialjointRevision(Hip,Knee) 18750 25000 31250 13 D.H.S./DCSFixation 17000 22665 28330 14 Hemi Arthroplasty 17000 22665 28330 15 Condylar Blade Plate Fixation 17000 22665 28330 16 Upper FemoralOsteotomy withBlade-Plate Fixation 17000 22665 28330 17 PelvicOsteotomyRemovaloftotalHipProsthesis 16000 21335 26665 18 Acetabulumand PelvicFractureORIF-Single Column 18000 24000 30000 19 PelvicFractureORIF-Two Column 20000 26665 33330

FRACTURES-OPENREDUCTION 20 OpenReductionMedical Condyleofhumerus 12000 16000 20000 21 OpenReductionFracturelateralcondyleofhumerus 12000 16000 20000 22 OpenReductionOlecranonfracture 12000 16000 20000 23 OpenReductionHeadradius 12000 16000 20000 24 OpenReduction Lower end radius 12000 16000 20000 25 OpenReduction LateralMalleolus 12000 16000 20000 26 OpenReductionMedicalMalleolus 12000 16000 20000 27 OpenReductionPatella fracture &fracture calcaneum 12000 16000 20000 28 OpenReductionTalus 12000 16000 20000 29 OpenReductionScaphoid 12000 16000 20000

30

OpenReductionSingle forearmbone 12000 16000 20000

31

OpenReductionFractureclavicle 12000 16000 20000

32 OpenReductionSupra condylar Humerus 12000 16000 20000

33 OpenReductionFrenchosteotomy 12000 16000 20000 34 OpenReductionDarach'sOperation 12000 16000 20000


24



Cubicle

s

Standard Deluxe

35 OpenReductionMonteggiaFracture 12000 16000 20000 36 OpenReductionMajorORIF under C-arm 16000 21335 26665 37 OpenReductionORIFFracture Humerus 16000 21335 26665 38 OpenReductionB.B.Forearm 16000 21335 26665 39 OpenReductionFemur 16000 21335 26665

40 OpenReductionTibia 16000 21335 26665

41

OpenReductionBimalleolar FractureAnkle 16000 21335 26665

42 OpenReductionSinglecondylefracture Tibia 16000 21335 26665 43 OpenReductionSinglecondylefracture Femur 16000 21335 26665 44 OpenReductionDislocatedankle 16000 21335 26665

45

OpenReductionTwo part fracture upper end Humerus 16000 21335 26665

External FixatorApplication 46 ExternalFixationPelvis 10500 14000 17500 47 ExternalFixationFemur 10500 14000 17500 48 ExternalFixationHumerus 10500 14000 17500 49 ExternalFixationForearm 10500 14000 17500 50 ExternalFixationTibia 10500 14000 17500 51 ExternalFixationSmallBone 8000 10665 13330 52 RingFixator(Illizarovor Ongnesyon) Fractures 15800 21065 26330 53 DeformityCorrection Limb Lengthening 18000 24000 30000

Ext.fixator ofhand and feet 54 Tarsals-Metatarsai-Phalanges-CarpalsMetaCarpals 7628 10170 12713 55 InternalFixationofSmallBonesofHands&Feet 7628 10170 12713 56 Drainage Abscess-Pyogenic-Small 7628 10170 12713 57 Drainage Abscess-Pyogenic-Large 7628 10170 12713 58 Debridementand Closure Primary-Small 7628 10170 12713 59 Debridementand Closure Primary-Medium 11850 15800 19750 60 Debridementand Closure Primary-Large 11843 15790 19738

61

Debridementand Closure ofGunShotwound without

removalofBullet 15083 20110 25138

62 ArthrotomyShoulder 10170 13560 16950 63 ArthrotomyElbow 10170 13560 16950 64 ArthrotomyKnee 10170 13560 16950 65 ArthrotomyAnkle 10170 13560 16950 66 ArthrotomyWrist 10170 13560 16950 67 Bone Graft-Small 8000 10665 13330 68 Bone Graft-Large 11843 15790 19738 69 InterlockingNailing-Femur 17000 22665 28330 70 InterlockingNailing-Tibia 17000 22665 28330


25




71 InterlockingNailing-Humerus 17000 22665 28330 72 Intra-articular fracture-Femur 18000 24000 30000 73 Intra-articular fracture-Tibia 18000 24000 30000 74 Intra-articular,fracture-Humerus 18000 24000 30000 75 ReconNailing 15000 20000 25000 76 DFN 15000 20000 25000

77 PFN 18000 24000 30000 78 PHN 18000 24000 30000 79 Non-unionoflongbones 18000 24000 30000

80

Complexintra-articular fracture withThree part fracture

upper end humerus 18000 24000 30000

81 PercutaneousK.Wire Fixationunder C.Arm 6188 8250 10313

82

PercutaneousK.Wire FixationCrushinjury

Fingeror toesSinglewithoutCAM

3000 4000 5000

83

PercutaneousK.Wire Fixationunder C.ArmCrushinjury

Fingeror toesSinglewithFixation

5000 6665 8330

84

PercutaneousK.Wire Fixationunder C.ArmCrushinjury

Fingeror toesSinglewithSkinGrafting

7000 9330 11660

85 MajorHandInjuriesmorethan3 Fingers/toes 10000 13330 16660 86 Repairs Reconstructionofcrushinjuryhand/foot 12000 16000 20000

OPENREDUCTION-DISLOCATION

87 OpenReductionShoulder Dislocation 12490 16655 20815 88 OpenReductionKnee Dislocation 12490 16655 20815 89 OpenReduction AnkleDislocation 12490 16655 20815 90 OpenReductionElbowDislocation 9800 13065 16330 91 Surgeryfor RecurrentDislocation 18000 24000 30000

92

OpenReductionWristDislocation-Inter Carpel&Tarsal

joints 12000 16000 20000

93 OpenReductionMetacarpophalangealJoint 5000 6665 8330 94 OpenReductionMetatarsophalangealJoint 5000 6665 8330 95 OpenReductionInterphalangealJoint 5000 6665 8330 96 OpenReductionTemporomandibular Joint 13000 17335 21665 97 Strappingfor finger 263 350 438

CLOSEREDUCTION 98 Srappingfor Clavicle 615 820 1025


26




99 Strappingfor NeckHumerus 615 820 1025 100 Strappingfor Acromino-Clavicular 615 820 1025

101 R.J Bandage Dislocationor Fracture Ribs 615 820 1025

102 R.J Bandage Dislocationor FractureKnee 615 820 1025

103 R.J Bandage Dislocationor FractureAnkles 615 820 1025

104 R.J Bandage Dislocationor FractureWrist 615 820 1025 105 SkinTraction 615 820 1025 106 POPSlabApplicationBE 900 1200 1500 107 POPSlabApplicationBK 900 1200 1500

108 POPSlabApplication AE 1125 1500 1875 109 POPSlabApplication AK 1125 1500 1875 110 POPCastApplication(notrequiringreduc.) BE 1088 1450 1813 111 POPCastApplication(notrequiringreduc.) BK 1088 1450 1813 112 POPCastApplication(notrequiringreduc.) AE (Children) 1200 1600 2000

113

POPCastApplication(notrequiringreduc.) AK

(Children) 1200 1600 2000

114 AE Adults/shoulder Hood/Shoulder Spica 1418 1890 2363 115 AKAdults/shoulder Hood/Shoulder Spica 1418 1890 2363 116 HipspicainChildren 1418 1890 2363 117 Reductonunder Sedation(Add) 705 940 1175

ReductionandCast ApplicationunderSedation 118 POP BE 1125 1500 1875 119 POP BK 1125 1500 1875 120 Synthetic BE 1088 1450 1813 121 Synthetic BK 1088 1450 1813 122 POPAE 1200 1600 2000 123 POPAK 1200 1600 2000 124 Synthetic AE 1418 1890 2363 125 Synthetic AK 1418 1890 2363

ReductionandCast Applicationunder GAandC-Arm 126 POP BE 2250 3000 3750 127 POP BK 2250 3000 3750 128 Synthetic BE 2625 3500 4375 129 Synthetic BK 2625 3500 4375 130 POPAE 3750 5000 6250 131 POPAK 3750 5000 6250 132 Synthetic AE 4125 5500 6875 133 Synthetic AK 4125 5500 6875


27




ClosedReductionOfDislocationwithCast/Traction/Strapping

134 ClosedReductionOfDislocationwithCast/Traction/Strappingpull

ed elbow – Close Manipulation

563 750 938

135

ClosedReductionOfDislocationwith

Cast/Traction/StrappingHip

4500 6000 7500

136


Cast/Traction/StrappingShoulder

4000 5330 6660

137


Cast/Traction/StrappingKnee 4000 5330 6660

138 ClosedReductionOfDislocationwith

Cast/Traction/StrappingElbow 4000 5330 6660

139


Cast/Traction/Strapping Ankle 4000 5330 6660

140 ClosedReductionOfDislocationwith

Cast/Traction/StrappingTarsalJoints 3500 4665 5830

141


Cast/Traction/StrappingWrist

3500 4665 5830

142


Cast/Traction/Strapping ACD

3500 4665 5830

143


Cast/Traction/StrappingSternoClavicular Joint

2625 3500 4375

144 Under Sedation 1808 2410 3013 145 Under GA 2400 3200 4000 146 SmallJoimtsofHandsand feet 750 1000 1250 147 Synthetic CastApplicationBE 1185 1580 1975 148 Synthetic CastApplicationBK 1185 1580 1975 149 Synthetic CastApplication AE 1695 2260 2825 150 Synthetic CastApplication AK 1695 2260 2825 151 CastBracing 2550 3400 4250

OtherProcedure

s

152 Knee Synovectomy 7628 10170 12713 153 Knee Menisectomy 7628 10170 12713 154 ArthroscopyofKnee Diagnostic 8288 11050 13813 155 ArthroscopyofKnee ArthroscopicLavage 8288 11050 13813 156 Fasciotomy,Leg, Forearmetc 7000 9330 11660 157 Quadricepsplasty 10000 13330 16660 158 Patella TendonorTendo achillesRepair or Reconstruction 9620 12825 16030


28




159 ArthroscopicSurgeryMenisectomyloose body, foregin

bodyremovaland carpeltunnelrelease/ MLC etc

12000 16000 20000

160 ArthroscopySurgery– Ligamentreconstructions (single) 16000 21335 26665

161 ArthroscopySurgery– Synovectomy 14378 19170 23963

162 ArthroscopySurgery– Arthroscopyassistedfixation 14378 19170 23963 163 HighTibialosteotomyconventional 10000 13334 16665 164 KashinoH.TO 12000 16000 20000 165 Arthrodesls-Shoulder 12000 16000 20000 166 Arthrodesls– Knee 12000 16000 20000 167 Arthrodesls– Ankle 12000 16000 20000 168 Arthrodesls– Triple 12000 16000 20000 169 Arthrodesls– Elbow 12000 16000 20000 170 Arthrodesls– Wrist 12000 16000 20000 171 Arthrodesls -Subtalar 12000 16000 20000 172 ArthrodesisIPJoints 6000 8000 10000 173 ArthrodesisMP Joints 6000 8000 10000

BONE

TUMORS

174 ExcisionExostosisof LongBones(DEEP) 10000 13330 16660 175 ExcisionExostosisof LongBones(Superficial) 8000 10665 13330 176

Curretage, Bone GraftingofBone ofFemur,Tibia,

Humerus 11000 14665 18330

177

ExcisionTumor LongBonesAxialSkeletonwithor

without Bone Graft

12000 16000 20000

178 ExcisionTumorsofSmallBo0nesofHand&Feet 5000 6665 8330 179 ReconstructionsurgeryinBone tumors 14000 18665 23330

a) TendonSurgery

180 SingleTendonRepair 5000 6665 8330

181

MultipleTendonRepair (Add 50%to(I) for each

additional Tendon

5000 6665 8330

182

Lengthening(Per tendon)-(add 50% for eachadditional

tendon) 5000 6665 8330

183 TendonTransfers 9480 12640 15800

184

Repair /ReconstructionofTendonor Ligamentsoflarge

partsBiopsy 9480 12640 15800

185 NerveSurgery:Repair/Transposition 8000 10665 13330

186 MicroscopicRepair ofNerve 13545 18060 22575

187 BrachialPlexusSurgery 17663 23550 29438

188 ManipulationofClub Foot&Cong. Dislocationofhip 2000 2665 3330


29




189 VascularRepair 11370 15160 18950

190 Surgeryfor de-Quevains'sDiseaseTrigger Fingeretc. 7000 9330 11660

191 Surgeryfor TennisElbow 7500 10000 12500

192 Surgeryfor Plantar Fascitis 7500 10000 12500

193 Surgeryfor Carpel/Tunnel Release 8000 10665 13330

194

Surgeryfor ChronicOsteomyelitis,Saucerization,

SequestrectomyFemur&Humerus 9000 12000 15000

195


SequestrectomyFibulaRadiusUlna Clavicle

7420 9890 12360

196


SequestrectomyAnkle, Hand,Foot

5580 7440 9300

197

Drainage inAcuteOstemyelitiswithor withoutBone

Drilling 7000 9330 11660

198 SkinGrafting– Small 5000 6665 8330

199 SkinGrafting– Medium 7000 9330 11660

200 SkinGrafting– Large 9000 12000 15000

AMPUTATION

S

201 AmputationThigh 11000 14665 18330

202 Amputation Arm 9000 12000 15000

203 Amputation Leg 9000 12000 15000

204 Amputation Leg 9000 12000 15000

205 AmputationFoot 7000 9330 11660

206 AmputationHand 7000 9330 11660

207 AmputationDigits 4000 5330 6660

POLIOSURGERY

208 Souters, YountRelease&Contracture Release 7133 9510 11888

209 legLengthening/Shortening 12713 16950 21188

210 EplphysealStimulationEpiphyseodesis 8000 10665 13330


30




211

Bachelors/Grice Green ArthrodesisCalcanealOsteotomy

10000 13330 16660

212

Corrective Osteotomyof LongBones,Duputytrens

Contracture 10000 13330 16660

213 Excision ArthroplastyofElbow&Knee/Wrist 10000 13330 16660

214 Excision ArthroplastyofSmallJoints 5000 6665 8330

215 OperationsofHalluxVagus&Varus 8000 10665 13330

216 Bone Biopsy– Needle 3400 4530 5660

217 Bone Biopsy– ShortBones 5000 6665 8330

218 Bone Biopsy-OpenIllum&LongBones 8000 10665 13330

219 Bone Biopsy– Spine 11000 14665 18330

Removal ofImplants 220 RemovalofK-Wires,Screws,Screwsunder LA 2000 2660 3325

221

RemovalofForearmNall,K-Nail, A.O. Or RingFixator&

Screws under GAor RAor under LAinC-Arm

6500 8665 10330

222

Removalof Large Implants(Like A.O. Plate, DHS,

Prosthesis) Interlockingnew 9000 12000 15000

223 Removalofposterior spinalInstruction 12443 16590 20738

224 SkeletalTractionofFemur,Tibia, Calcaneum, Olecranon 2500 3330 4160

225 SkullTraction 2753 3670 4588

226 SkinTraction, PelvisTraction, Holier Traction 1100 1465 1830

Miscellaneo

us

227

JointAspiration, Haemotomaor cold Abscess/Aspiration

cyst 1695 2260 2825

228 Intra-Articular, EpiduralInjection 1200 1600 2000

229

LocalSt/otherInjection– TennisElbow,Tendinitisor

Fibrositis 800 1065 1330

230 JointManipulation/GA 2100 2800 3500

231 GanglionExcision 3500 4665 5830

232 Drainage ofPalmer Abscess 2415 3220 4025


31




233 ForeignBodyremoval– L.A. 4000 5330 6660

234 ForeignBodyremoval– G.A. 7000 9330 11660

235 DressingSmall 225 300 375

236 DressingMedium 450 600 750

237 Dressing Large 825 1100 1375

238 DisarticulationofKnee /Elbow/Wrist/Ankle 8000 10665 13330

239 Hipor Shoulder 12000 16000 20000

240 Fore-Quarter ofHindquarter 15000 20000 25000

PAEDIATRIC ORTHOPROCEDURES

241

Release ofSternomastoidTumor &Tenotomy(Torticollis)

6518 8690 10863

242 SoftTissue Release inClub Foot 7448 9930 12413

243 Umexor JeesFixaturefor CTEV-1 to5 year 14000 18665 23330

244 Umexor jeesFixaturefor CTEV-1 to11 year 14000 18665 23330

245 CTEV(PonSateTechnique) One Side 5000 6665 8330

C.D.H.

246 ClosedReductionSpica 3900 5200 6500

247 OpenReductionSpica 10000 13330 16660

248

Reconstructive Procedure

(VariousDerotationOsteotomy, Acetabuloplastyetc)

14000 18665 23330

Sr.No. Procedures Cubicles Standard Deluxe

249 CongentialConstrictionBand ZPlasty 8550 11400 14250

250 Multipleor singlefor release – Small 4100 5465 6830

251 Multipleor singlefor release – Medium 5700 7600 9500

252 Multipleor singlefor release – Large 9100 12130 15160

HEMIMELIA

253 ClosedReduction 4500 6000 7500

254 SoftTissue Release 5808 7745 9680


32




255 ReconstructionsurgeryinBone tumors 12000 16000 20000

AMC

256 SoftTissue Release 9540 12720 15900

257 Corrective Osteotomy 12000 16000 20000

258 Talectomy 10000 13330 16660

CEREBRAL PALSY

259 NeurectomySoftTissue Release 7155 9540 11925

260 Egger'sProcedure or other tendontransfer 6000 8000 10000

261 Corrective Osteotomy 10596 14125 17655

MISC. ORTHOP AEDIC P ROCEDURE –OP D INR

1 StrappingFingers 200 NA NA

2 Ankle 200 NA NA

3 BallBandage 400 NA NA

4 Chest 600 NA NA

5 Cuff&Collar Sling 200 NA NA

6 Elbow 600 NA NA

7 Figureof '8'Bandage 600 NA NA

8 Knee 600 NA NA

9 Shoulder 600 NA NA

10 Toes 200 NA NA

NA NA

Sr.No. Procedures INR NA NA

11 Wrist NA NA

12

POPCASTAPPLICATION (NotRequiringReduction)

Above Elbow

1300 NA NA

13


AboveKnee

1300

NA NA

14


BelowElbow

1150 NA NA


33




15


BelowKnee

1150 NA NA

16

POPSLABAPPLICATION (NotRequiringReduction)

Above Elbow

1200

NA NA

17


AboveKnee

1200

NA NA

18 POPSLABAPPLICATION (NotRequiringReduction)

BelowElbow

1000

NA NA

19


BelowKnee

1000

NA NA

20

SYNTHETICCAST/SLABAPPLICATION (Not

RequiringReduction) AE/AK

1800

NA NA

21

SYNTHETICCAST/SLABAPPLICATION (Not

RequiringReduction) BE/BK

1300 NA NA

22

Close Reduction And pop Cast/Slab ApplicationUnder

SedationPOP BE/BK

1700

NA NA

23

Close Reduction And pop Cast/Slab ApplicationUnder

SedationPOPAE/AK

2300

NA NA

24

Close ReductionofDislocationsunder SedationwithCast

/Strapping/Traction/ Hip

4500

NA NA

25


/Strapping/TractionHipShoulder /Knee /Elbow

3500

NA NA

26


/Strapping/Traction Ankle/Wrist/TarsalJoint

2500

NA NA

27


/Strapping/TractionSmallJointsofHands/Feel

1500

NA NA

28

Close Reductionand Synthetic CastApplicationunder

Sedation

2600

NA NA

29


SedationAbove Elbow

2600

NA NA

30


SedationAbove Knee

2600

NA NA

31


SedationBelowElbow

2300

NA NA

32


SedationBelowKnee

2300

NA NA


34




33 ClosedManipulationofPulled Elbow 500 NA NA

34 Ortho Dressing– Large 810 NA NA

35 Ortho Dressing– Medium 405 NA NA

36 Ortho Dressing– Small 200 NA NA

37

Suturingof Lacerated Wound– MultipleSmall/ Large

Single

1800

NA NA

38 Suturingof Lacerated Wound– Medium 1200 NA NA

39 Suturingof Lacerated Wound– Small 600 NA NA

40 Intra Articular /EpiduralInjection 1300 NA NA

41 LocalInjection– TennisElbow/Tendinitis/Fibrositis 800 NA NA

42 AspirationofJoint–Haemarthrosis/Fluid/Abscess 2000 NA NA

43

CTEV– JointManipulation&Corrective CastApplication

– Unilateral

2000

NA NA

44

CTEV– JointManipulation&Corrective CastApplication

– Bilateral

3000

NA NA

45 GanglionExcision 3500 NA NA

46 Ingrowingtoe NailRemoval/ExcisionUnder LA 900 NA NA

47 Removalofk-wire /ScrewsUnder LA 1600 NA NA

48 SkeletalTraction 2200 NA NA

49 SkullTraction 3200 NA NA

50 SkinTraction 1100 NA NA


35


OPTHALMOLOGY

Sr.No. Procedures Charges

1 Gonioscopy 500

2 IndentationRetinalPeripheryscreening 400

3 GoldmanApplanationtension/Syringing 280

4 Rebound tonometry 280

5 UltrasoundAScan/Pachymetry 1000

6 Pachymetry 1000

7 Immersionscan 1000

8 Laser Capsulotomy 2000

9 Entropion/Ectropion 12000

10 Laser Iridotomy 2900

11 Angiography (Opthal) 2200

12 Biometry Test 1000

13 I.V.T.D ( Inj) 1500

14 Oct 2200

15 Panta Gun 2500

16 V.F.A 1300

17 YAG Laser Capsulotomy 1500

18 YAG Laser Iridoctomy 2500

19 YAK ( Iridoctomy) 2500

20 Phaco with Hydrophobic Acrylic / Aspheric IOL 35000

21 Phaco withmicroincisionIOL 48000

22 ToricIOL 65000

23 WithRestor/TecnisMultifocalIOL 72000

24 Evisceration/Enucleation 12000

25 glaucoma filterationdevice implantation 75000

26 Strabismussurgery(per eye) 15000

27 PterygiumSurgerywithconj. autograft 18000

28 Refractive lasersurgerystandard (per eye) 22000

29 Refractive Laser surgery(WFcustomized) 25000

30 Trabeculectomy 25000

31 Anterior Vitrectomy 15000

32 Posterior sub tenon’sinjection(per injection) 4000

33 IntravitrealInjection(excludingdrug) 8000

34 DCRwithintubation 32000

35 Ptosis(FasanellaServat) 22500

36 LPSresection 18500

37 FasciaLata Sling(botheyes) 19500

38 AMD glaucoma valve implantation 75000


36


PLASTIC SURGERY PROCEDURES CHARGES



1 Abdominoplasty 22500 30000 37500

2

Adiposectomy/Panniculectomy/ Lumpectomy/

Apronectomy

18000 24000 30000

3 Applicationof Archbar 4500 6000 7500

4 ApplicationofVacuumAssisted Clossure 2109 2812 3515

5 ArchBar Removal(Plas-Surg) 1454 1938 2423

6 Armslift/Reductions/Brachioplasty 18000 24000 30000

7 BeltLipectomy(360 Degrees) 27000 36000 45000

8 Bilateral Cleft Lip (Plas.) 6000 8000 10000

9 Blepharoplasty-Four Lid 15000 20000 25000

10 Blepharoplasty-Single Lid 7500 10000 12500

11 Blepharoplasty-Two Lid 10500 14000 17500

12 Botox(per area) Administration 1875 2500 3125

13 Botox for AdditionalAreas(per area) 1875 2500 3125

14 Botox for CrowsFeet 1875 2500 3125

15 BreastAugmentation 11752 25000 31250

16 BreastAugmentationwith Lift 22500 30000 37500

17 Breast Lift 11752 25000 31250

18 BreastReconstructionwithexpander /implant 22500 30000 37500

19 Breastreconstructionwith LDflap 24000 32000 40000

20 BreastreconstructionwithTRAM flap 27000 36000 45000

21 BreastReduction 22500 30000 37500

22 BrowLift/Forehead Lift 15000 20000 25000

23 Cartilage/bone graft 11250 15000 18750

24 Cheek Augmentation 11752 25000 31250

25 Chin Augmentation 11752 25000 31250

26 Cleft Lip -Unilateral/Incomplete 11250 15000 18750

27 Cleft Lip + Anterior Palate (Plas-Surg) 15000 20000 25000

28 CleftPalate (Plas-Surg) 13500 18000 22500

29 CompositeFreeFlap 30000 40000 50000

30 CompositeGraft 7500 10000 12500

31 Contracture release 6750 9000 11250

32 Contracture release and Fullthicknessskingraft 9750 13000 16250

33 Contracture release and Z-plasty 9000 12000 15000

34 Contracture release multiple fingers/extensive 13500 18000 22500

35 Craniostenosis/Hyperteleorism 37500 50000 62500

36 DebridementLarge 6375 8500 10625


37




37 Debridement-Medium(Plas-Surg) 2625 3500 4375

38 Debridement-Minor(Plas-Surg) 1875 2500 3125

39 Dermabrasion-FullFace 18750 25000 31250

40 Dermabrasion-minor 4500 6000 7500

41 DermafillersFor AdditionalArea (

PlasticSurgery)

3000 4000 5000

42

DermafillersFor Lip Augmentation(Plastic

Surgery

3000 4000 5000

43 DermofatGraft- Large 15000 20000 25000

44 Dermofatgraft-Small 7500 10000 12500

45 Dressing- Large (Plas-Surg) 958 1277 1596

46 Dressing-Medium(Plas-Surg) 632 842 1053

47 Dressing-Small(Plas-Surg) 423 564 705

48 DressingExtra Large 3140 4186 5233

49 EarDeformity-BatEars(Plas-Sur) 11250 15000 18750

50 EarKeloidsurgeryBilateral 7500 10000 12500

51 EarKeloidsurgeryunilateral 5250 7000 8750

52 EarLobuloplasty(B/l) 5250 7000 8750

53 EarLobuloplasty(U/L) (Pla-Sug) 3000 4000 5000

54

EarReconstruction(1stStageCartilage

Implantation)

24000 32000 40000

55

EarReconstruction(2nd StageRelease and Graft) -

(Plas)

21000 28000 35000

56

EarReconstruction(3rd Stageor touchingand

Revisions)

11250 15000 18750

57 ElephantiasisLarge 22500 30000 37500

58 ElephantiasisSmall 11250 15000 18750

59

EpispadiasGebitliaReconstrution(PLASTIC

SUR)

21000 28000 35000

60

Excisionofskinlesion-Major/Multiple(Plas-

Surg)

9000 12000 15000

61 ExcisionofSkin Lesion-Medium(Plas-Surg) 6000 8000 10000

62 Expander InsertionSingle 13500 18000 22500

63 Expander Removal&ContouringSingle 13500 18000 22500

64 Eye bagsEctropion,Entropion(Plas-Sur) 13500 18000 22500

65 Eye Lid Reconstruction 15000 20000 25000

66 EyebroworEyelashGraft 15000 20000 25000

67 Face-Thread LiftFullFace 18750 25000 31250

68 Face-Thread LiftMidFace/Brow 11250 15000 18750

69 FaceLift(Rhytidectomy) 22500 30000 37500

70 FaceRepair -Medium 6000 8000 10000

71 FaceRepair -Minor 3000 4000 5000


38




72 FaceRepair-Major/Multiple 11250 15000 18750

73 FaceScar 9000 12000 15000

74 FacialBones-ClosedNasalFracture 6750 9000 11250

75 FacialParalysis -Facial-sling(Plas-Sur) 18000 24000 30000

76 FingerPollicisation 22500 30000 37500

77 Fixationofpanfacialfracture 26250 35000 43750

78 FlapDetachmentSmall 6000 8000 10000

79 FlapDetachment/InsetLarge 11250 15000 18750

80 Forehead Rhinoplasty 15000 20000 25000

81 FTSG(Large/Multiple) 15000 20000 25000

82 FTSG(Small) 7500 10000 12500

83

Gynaecomastia/SupernumeryBreastExcision

(Plast.Surg)

18750 25000 31250

84 HaemangiomaExcision-Major 18750 25000 31250

85 HairTransplantation- Large 28500 38000 47500

86 HairTransplantation-Megasession 37500 50000 62500

87 HairTransplantation-Small 15000 20000 25000

88 HandSurgery-DigitalNerve Repair (Per Finger) 12000 16000 20000

89 HandSurgery-MajorHandInjury 18750 25000 31250

90 HandSurgery-Medium 15000 20000 25000

91 HandSurgery-MinorHandSurgery 11250 15000 18750

92 HandSurgery-SingleTendonRepair 9000 12000 15000

93

HandSurgery-TendonRepiar(Multiple) (Plas-

Sur)

15000 20000 25000

94 HandSurgery:Syndactyly-complete/complex 15000 20000 25000

95 HandSurgery:SyndactylyPartial/simple 11250 15000 18750

96 Hymenoplasty 18750 25000 31250

97 HypospadiasDistal 12000 16000 20000

98 Hypospadias-FirstStage 12000 16000 20000

99 Hypospadias-Proximal 15000 20000 25000

100 Hypospadias-SecondStage 13500 18000 22500

101 Ingrowingtoe -nail 3000 4000 5000

102 InjectionIntralesional/expander 1125 1500 1875

103 Inter MaxillaryFixation(IMF) 7500 10000 12500

104 Labiaplasty 13500 18000 22500

105 Large Flaps 18750 25000 31250

106 Lip reduction 15000 20000 25000

107 Lipoinjection-Major 21000 28000 35000

108 Lipoinjection-Medium 16500 22000 27500

109 Lipoinjection-Minor 11250 15000 18750


39




110 Liposuction-Major 26250 35000 43750

111 Liposuction-Medium 22500 30000 37500

112 Liposuction-Small 18750 25000 31250

113 Lower BodyLift 37500 50000 62500

114 Mandibularor MaxillaryOsteotomy 33750 45000 56250

115 Mandibular/MaxillaryFracture 18750 25000 31250

116 NerveGraftMajor 18750 25000 31250

117 NerveGraftMinor-Digitalor equivalent(Plas) 12000 16000 20000

118 Nerveneurolysis/CarpalTunnelrelease 12000 16000 20000

119 NippleReconstruction 12000 16000 20000

120 Orbital floor fracture 18750 25000 31250

121 OsseousMentoplasty 22500 30000 37500

122 Palatoplastyand pharyngoplasty(Plas) 22500 30000 37500

123 PtosisUnilateral 9000 12000 15000

124 Reconstructive Abdominoplasty(Plas-Sur) 24000 32000 40000

125 Reconstructive Armslift/reductions/

Brachioplasty

18000 24000 30000

126 Reconstructive BeltLipectomy(360 degrees) 27000 36000 45000

127

Reconstructive Blepharoplasty-SingleLid (Plas-

Sur)

7500 10000 12500

128

Reconstructive Blepharoplasty-Two Lid (Plas-

Sur)

10500 14000 17500

129

Reconstructive Blepharoplasty-Four Lid (Plas-

Sur)

15000 20000 25000

130 Reconstructive Botox(per area) administration 1875 2500 3125

131

Reconstructive Botox for AdditionalAreas(per

area)

1875 2500 3125

132 Reconstructive Botox for CrowsFeet 1875 2500 3125

133 Reconstructive BreastAugmentation 18750 25000 31250

134 Reconstructive BreastAugmentationwith Lift 22500 30000 37500

135 Reconstructive Breast Lift(Plas-Sur) 18750 25000 31250

136 Reconstructive BreastReduction 18750 25000 31250

137 Reconstructive Browlift/Forehead lift 15000 20000 25000

138 Reconstructive Cheek Augmentation 18750 25000 31250

139 Reconstructive Chin Augmentation(Plas-Surg) 18750 25000 31250

140

Reconstructive DermafillersFor AdditionalArea

(Plas-Surg)

3000 4000 5000

141

Reconstructive DermafillersFor Lip

Augmentation(Plas-Surg)

3000 4000 5000

142 Reconstructive FaceLift(Rhytidectomy) 22500 30000 37500

143 Reconstructive FaceLiftThread (FullFace) 18750 25000 31250


40




144 Reconstructive Face-Thread LiftMidFace/

Brow

11250 15000 18750

145 Reconstructive HairTransplantation- Large 28500 38000 47500

146 Reconstructive HairTransplantation-

Megasession

37500 50000 62500

147 Reconstructive HairTransplantation-Small 15000 20000 25000

148 Reconstructive Hymenoplasty 18750 25000 31250

149 Reconstructive Labioplasty 13500 18000 22500

150 Reconstructive Lip reduction 15000 20000 25000

151 Reconstructive Lipoinjection-Major 21000 28000 35000

152 Reconstructive Lipoinjection-Medium 16500 22000 27500

153 Reconstructive Lipoinjection-Minor 11250 15000 18750

154 Reconstructive Liposuction-Major 26250 35000 43750

155 Reconstructive Liposuction-Medium(Plas.) 22500 30000 37500

156 Reconstructive Liposuction-Small 18750 25000 31250

157 Reconstructive Lower Bodylift 37500 50000 62500

158 Reconstructive Rhinoplasty-Open 22500 30000 37500

159 Reconstructive RhinoplastyClosed 22500 30000 37500

160 Reconstructive Thighslift/buttocklift 22500 30000 37500

161 Reconstructive Vaginoplasty(Plas.) 21000 28000 35000

162 Reconstructive VASERLipo -Major 32250 43000 53750

163 Reconstructive VASERLipo -Medium 26250 35000 43750

164 Reconstructive VASERLipo -Minor 22500 30000 37500

165 ReimplantionofDigits/Extremities 34500 46000 57500

166 RevascularisationofMultipleDigits/ Limb 33750 45000 56250

167 RevascularisationsofSingleDigit 19500 26000 32500

168 RevisionofDefattingFlap/Graft(Plast-Surg) 9000 12000 15000

169 Rhinoplasty-Open 22500 30000 37500

170 RhinoplastyClosed 22500 30000 37500

171

Secondarydeformitycleft- Lip or platateor nose

(Plas.)

13500 18000 22500

172 SecondarySuturing-Major 9000 12000 15000

173 SecondarySuturing-Minor 6000 8000 10000

174 SkinGrafting-Major 18750 25000 31250

175 SkinGrafting-Medium 15000 20000 25000

176 SkinGrafting-Minor 11250 15000 18750

177 Skin LesionMedium(Plas-surg) 6000 8000 10000

178 Skin Lesion-Small(Plas-Surg) 3750 5000 6250

179 SmallFlap(Pla-Sug) 7500 10000 12500

180 T.M.Jointsankylosis 21000 28000 35000


41




181 Thighslift/buttocklift 22500 30000 37500

182 Trainingor delayof flap 3750 5000 6250

183 TransfacialApproach 21000 28000 35000

184 UrethralFistulaClosure (Pla-Sug) 6000 8000 10000

185 Vaginoplasty 21000 28000 35000

186 VASERLipo -Major 32250 43000 53750

187 VASERLipo -Medium 26250 35000 43750

188 VASERLipo -Minor 2250 3000 3750

189

WoundFacerepair-major /Multiple(Other than

face)

7500 10000 12500

190 Woundrepair -Medium(Oher than face) 4500 6000 7500

191

Wound Repair -Minor(Other than face) (Plas-

surg)

1500 2000 2500


42


PULMONARYPROCEDURE CHARGE

S. NO PARTICULARS OPD IPD 1. PFT 750/-

2. Balloon tamponadeendobronchial 10000 12000

3. Balloon dilatation endobronchial 10000 12000

4. Bronchoscopyfibreoptic 5000 8500

5. Bronchoscopyfiberoptictoassist Intubation 3900 4875

6. Bronchoscopy(fibreoptic) inclusive bal /brush 8000 11500

7. Bronchoscopy(fibreoptic) with Endobronchialbiopsy 10000 12000

8. Bronchoscopy(fibreoptic) with

Transbronchiallung biopsy

10000 12000

9. Bronchoscopy(fibreoptic) withtbna 10000 12000

10. Bronchoscopy(fibreoptic) withebb&tb 10000 12000

11. Bronchoscopy(fibreoptic) withtbb&tb 10000 12000

12. Endobronchialbiopsy 10000 12000

13. Electrocauterytreatment 3500 4375

14. Fineneedle aspiration lung 2000 2500

15. Foreignbody removal 10000 12000

16. Glue therapyendobronchial 10000 12000

17. Icd repositioning /dressing 2500 2500

18. Intercostaldrainage /pigtail

Drainage ofemphyema/ pleuralfluid/ pneumothorax

6000 7000

19. Laryngoscopy /bronchoscopic

(assessementofupper airway) 2800 3500

20. Lasertreatment 4300 5375

21. Pleuralaspiration (diagnostic) 2000 2000

22. Pleuralbiopsy 2800 3500

23. Pleuralaspiration (theraputic) 5000 5000

24. Pleurodiesis/fibrinolysis 2000 2500

25. Rescuniv care * 400 500

26. Rescuniv care cpap/ bipapmachine* 1100 1375

27. Rescunivinitiation * 450 563

28. Rescusixminutewalktest/oxygen Titration test 500 500

29. Rigidbronchoscopy 6000 8000

30. Sphigottampondeendo bronchial 2000 2500

31. Stentmetallic placement 20000 20000

32. Stentsilicon placement 20000 20000

33. Stentsilicon'y' placement 20000 20000

34. TBNA 12000 12000

35. Skin Prick Test 5500/- (OPD/ IPD)

36. Transbronchial biopsy 12000 12000

37. Thoroscopy 10000 10000

38 Sleep Study 10000 10000


43


UROLOGY PROCEDURE CHARGES

Sr.No. Procedure INR

1 Calibration 250

2 Catheterization 250

3 Uroflowmetry 350

4 BCGInstillation 1000

5 MitomycinInstillation 1000

6 TRUSGuidedProstate Biopsy 1500

7 FingerGuidedProstate Biopsy 750

8 SelfCatheterization(teach) 500

9 CIC(Teach) 500

10 SuprapubicCystostomy 3000

11 PIPE Test 1500

12 PapaverineInjection 500

13 SPCChange 200

14 Urodynamics Study 8000

15 Meatotomy Stone Removal 1700

16 Paraphaimosis 1000

17 DJ Stent Removal 3000


44


UROLOGY OPERATIVE CHARGES



1. Prostate Biopsy 2625 3500 4375

2. Cystoscopy(Diagnostic) 2625 3500 4375

3. Cystoscopy+ Bladder Biopsy 3000 4000 5000

4. Cystoscopy+ ClotEvacuation 4500 6000 7500

5. Ureteric Catheterization(U/L) 4500 6000 7500

6. Ureteric Catheterization(B/L) 6375 8500 10625

7. RGP+ DJ Stenting(U/L) 4500 6000 7500

8. RGP+ DJ Stenting(B/L) 6375 8500 10625

9. OIU 6750 9000 11250

10. TURP (Small) 9375 12500 15625

11. TURP (Large) 12000 16000 20000 12. OrchidopexyU/L Open 9000 12000 15000 13. OrchidopexyB/L Open 13500 18000 22500 14. Laparoscopic CystDeroofing 18750 25000 31250 15. LaparoscopicSimpleNephrectomy 18750 25000 31250 16. Laparoscopic Radical Nephrectomy 18750 25000 31250 17. LaparoscopicUreterolithotomy 18750 25000 31250 18. LaparoscopicPyeloplasty 18750 25000 31250 19. DissectionU/L (Inguinal) 15000 20000 25000 20. DissectionB/L(Inguinal) 22500 30000 37500 21. AVFistulaRadial 11250 15000 18750 22. AVFistulaBrachial 15000 20000 25000 23. CAPDInsertion Open 18750 15000 11250 24. CAPDInsertion Lap. 18750 25000 31250 25. Testicular Biopsy B/L 18750 25000 31250 26. OpenPyeloplasty 13500 18000 22500 27. VesicovaginalFistula(VVF) Repair 15000 20000 25000 28. UreteralreimplantationU/L 16500 22000 27500 29. UreteralreimplantationB/L 22500 30000 37500 30. Partialcystectomy 18750 25000 31250 31. Closure ofUrethralFistula 11250 15000 18750 32. ReductionofParaphimosis 2250 3000 3750 33. PartialAmputationofPenis 9000 12000 15000 34. TotalAmputationofPenis 13500 18000 22500 35. B/LOrchiectomyofCaProstate 5625 7500 9375 36. Epididymectomy 5625 7500 9375 37. Adrenalectomy U/L Open 18750 25000 31250


45


38. AdrenalectomyU/L Lap. 26250 35000 43750

39. Adrenalectomy B/L 12750 17000 21250

40. Hydrocele U/L 3750 5000 6250 41. Hydrocele B/L 5250 7000 8750 42. Orchidectomy + Orchidexy 9000 12000 15000 43. Varicoeelectomy (Open) 11250 15000 18750 44. Varicoeelectomy (Lap.) 18750 25000 31250 45. Vasovasostomy 13500 18000 22500 46. UrethralInjuryOperation 9000 12000 15000 47. UrethroplastyE-E 15000 20000 25000 48. (BMG)/ SUBSTITUTION

22500 30000 37500

49. UrethroplastyStageI 18750 25000 31250 50. UrethroplastyStageII 11250 15000 18750 51. PerinealUrethrostomy 13500 18000 22500 52. Circumcision 3750 5000 6250 53. Meatoplasty 4500 6000 7500 54. Hypospadias Repair SingleStage 13500 18000 18750 55. Hypospadias Repair StageII 11250 15000 18750

56. Operation for ectopic singleUreter

57. Total Cystectomy 27750 37000 46250

58. IlealConduit 16500 22000 27500

59. IlealNeobladder 56250 75000 93750

60. Operation for Bladder Injury 12750 17000 21250

61. Diverticulectomy 12750 17000 21250

62. Y-VplastyofBladder Neck 15000 20000 25000

63. AugmentationCystoplasty 26250 35000 43750

64. SuprapubicProstatectomy 12750 17000 21250

65. RetropubicProstatectomy 16500 22000 27500

66. SimpleNephrectomy (Open) 14250 19000 23750

67. PartialNephrectomy (Open) 18750 25000 31250

68. Radical Nephrectomy– Small (Open) 20250 27000 33750

69. Radical Nephrectomy- Large (Open) 262502 35000 43750

70. Nephrectomyfor Pyonephrosis 18750 25000 31250

71. Radical Nephrectomy+ IVCThrombu 33000 44000 55000

72. Ureterolithotomy (Open) 11250 15000 18750

73. Ureterolithotomy (Lap.) 18750 25000 31250

74. Pyelolithotomy (Open) 15000 20000 25000

75. Nephrolithotomy (Open) 18750 25000 31250

76. ExtendedPyelolithotomy 18750 25000 31250

77. Nephroureterectomy 22500 30000 37500

78. PercutaneousNephrostomy 3750 5000 6250


46


79. PCNL(Small) 15000 20000 25000

80. Thromaboembolectomy 11250 15000 18750

81. PCNL(PartialStaghorn) 16500 22000 27500

82. PCNL(Complete Staghorn) 18750 25000 31250

83. PCNL(B/L) 26250 35000 43750

84. TURBT(Small) 11250 15000 18750

85. TURBT(Large) 15000 20000 25000

86. Bladder NeckIncision(BNI) 11250 15000 18750

87. (PUV) Fulguration 11250 15000 18750

TURP+ TURBT 18750 25000 31250

88. Cystolithopexy 11250 15000 18750

89. PercutaneousCystolithotomy(PCLT) 13500 18000 22500

90. UrethralDilatation 3750 5000 6250

91. UreteroceleIncision 11250 15000 18750

92. Ureteroscopic RemovalofStone(Single)

11250 15000 18750

93. Ureteroscopic RemovalofStone (Cpmplete)

15000 20000 25000

94. VericoseVein 7200 9600 12000

95. TURP+ CLT 16500 22000 27500

96. DorsalSlit 1500 2000 2500

97. Meatoplasty 4500 6000 7500

98. RIRS 15000 20000 25000


47


PATHOLOGY CHARGES

Charak Pathology Clinic Rates 2017

PATHOLOGY In House Test

SNo Test Name Opd

Rate Ipd Rate

1 (ADA) ADENOSINE DEAMINASE 700 770.00

2 1ST FLOOR SURVEILLANCE 700 770.00

3 24 HOUR URINARY UREA 250 280.00

4 24 HOURS URIC ACID 250 280.00

5 24 HOURS URINARY CALCIUM 250 280.00

6 24 HOURS URINARY CREATININE 250 280.00

7 24 HOURS URINARY PROTEIN 250 280.00

8 24 HR URINARY VOLUME 0 0.00

9 24 HRS URINARY SODIUM 250 300.00

10 A.S.O. TITRE 400 440.00

11 ABG- ARTERIAL BLOOD GASES 1000 1,100.00

12 ABSOLUTE BAND COUNT 120 130.00

13 ABSOLUTE EOSINOPHIL COUNT 120 130.00

14 ABSOLUTE LYMPHOCYTES COUNT 100 110.00

15 ABSOLUTE NEUTROPHIL COUNT 100 110.00

16 ACID FAST BACILLI 150 170.00

17 ACID FAST BACILLI 150 170.00

18 ACID PHOSPHATASE 250 280.00

19 AFB STAINING 150 170.00

20 ALBUMIN 100 110.00

21 ALKALINE PHOSPHATASE 130 140.00

22 ALT/SGPT 130 140.00

23 ANC PROFILE 1100 1,210.00

24 ANTENATAL PROFILE 1270 1,400.00

25 ANTI CCP 1500 1,650.00

26 ANTI HAV IGM 1000 1,100.00

27 ANTI HBE 1200 1,320.00

28 ANTI HBS ANTIBODY QUANTITATIVE 850 940.00

29 ANTIBODY TO HEPETITIS " E" VIRUS 1100 1,210.00

30 APTT 300 330.00

31 ASCITIC FLUID EXAMINATION 400 440.00

32 ASCITIC FLUID FOR A.F.B. 100 110.00

33 AST / SGOT 130 140.00

34 BASIC ARTHERITIS PROFILE 850 940.00

35 BASIC HEALTH PACKAGE 999 1,100.00


48


36 Basic Studies (Gram Stain & AFB) 270

37 BETA HCG 600 660.00

38 BICARBONATES (cHco3) 500 550.00

39 BILE PIGMENT 50 60.00

40 BILE SALTS 50 60.00

41 BILIRUBIN [TDI] 240 260.00

42 BLEEDING TIME 100 110.00

43 BLOOD CULTURE & SENSITIVITY 900 990.00

44 BLOOD CULTURE 900 990.00

45 BLOOD GLUCOSE - RANDOM 70 80.00

46 BLOOD GLUCOSE - FASTING 70 80.00

47 BLOOD GLUCOSE - PP 70 80.00

48 BLOOD GROUP ABO 110 120.00

49 BLOOD UREA 120 130.00

50 BLOOD UREA NITROGEN (BUN) 100 110.00

51 BONE MARROW ASPIRATION 1500 1,650.00

52 BONE MARROW SMEAR 500 550.00

53 BRONCHIAL ASPIRATE MALIGN CELL 200 220.00

54 BRUSH FOR CYTOLOGY 300 330.00

55 BUCCAL SMEAR EXAMINATION 200 220.00

56 CA 125( Ovarian Cancer Marker) 1150 1,270.00

57 CALCIUM 120 130.00

58 CAPD FLUID EXAMINATION 400 440.00

59 CAPD FLUID FOR FUNGUS 150 170.00

60 CARDIAC INJURY 1400 1,540.00

61 CARDIAC PROFILE 400 440.00

62 CARDIAC RECOVERY SURVEILLANCE 700 770.00

63 CATHLAB SURVEILLANCE 700 770.00

64 CBC & GBP 400 440.00

65 CHLORIDE 150 170.00

66 CHYLE TEST 150 170.00

67 CLOT RETRACTION TIME 150 170.00

68 CLOTTING TIME 100 110.00

69 COMPLETE BLOOD COUNTS [CBC] 250 280.00

70 COMPLETE HEMOGRAM WITH ESR 300 330.00

71 CONJUGATED (D. BILIRUBIN) 100 110.00

72 CONJUNCTIVAL SWAB R/E 150 170.00

73 CPK (NAC) 250 280.00

74 CPK-MB 380 420.00

75 C-REACTIVE PROTEIN (CRP) 350 390.00

76 CREATININE CLEARANCE TEST 500 550.00

77 CSF CULTURE & SENSITIVITY 750 830.00

78 CSF EXAMINATION 400 440.00

79 CSF PROTEIN 150 170.00

80 CSF SUGAR 100 110.00


49


81 CULTURE & SENSITIVITY 750 830.00

82 CYST FLUID EXAMINATION 400 440.00

83 CYTOLOGICAL EXAMINATION 400 440.00

84 D - DIMER 1450 1,600.00

85 DENGUE ANTIBODIES 1000 1,000.00

86 DENGUE COMBI 1000 1,000.00

87 DENGUE ELISA 800 800.00

88 DENGUE NS1 ANTIGEN 1000 1,000.00

89 DIABETES PROFILE 1200 1,320.00

90 DIALYSIS WATER TESSTING 200 220.00

91 DIFFERENTIAL LEUCOCYTE COUNT [DLC] 80 90.00

92 DIRECT COOMBS TEST 300 330.00

93 DOUBLE MARKER TEST 2400 2,640.00

94 DRINKING WATER TESTING 200 220.00

95 DRUGS ALLERGY PANEL 5000 5,500.00

96 E.S.R. (WESTERGREEN METHOD) 60 70.00

97 ENDOSCOPIC SCREENING 900 990.00

98 EOSINOPHIL 60 70.00

99 ERYTHROCYTE SEDIMENTATION RATE 80 90.00

100 EXECUTIVE COMPLETE BODY PROFILE 2700 2,970.00

101 EXECUTIVE PROFILE 1300 1,430.00

102 EXTRA CHARGES 1 50 60.00



105 FEVER PANEL 1 600 660.00

106 FEVER PANEL 2 1500 1,650.00

107 FLUID ALBUMIN 100 110.00

108 FLUID AMYLASE 250 280.00

109 FLUID BILIRUBIN 100 110.00

110 FLUID CHLORIDE 100 110.00

111 FLUID CHOLESTROL 100 110.00

112 FLUID CREATININE 150 170.00

113 FLUID CULTURE & SENSITIVITY 750 830.00

114 FLUID DLC 60 70.00

115 FLUID EXAMINATION 400 440.00

116 FLUID FOR CYTOLOGICAL EXAMINATION 400 440.00

117 FLUID FOR GRAM STAIN 150 170.00

118 FLUID FOR MALIGNANT CELLS 250 280.00

119 FLUID LIPASE 350 390.00

120 FLUID PROTEINS 100 110.00

121 FLUID SMEAR 100 110.00

122 FLUID -SPECIFIC GRAVITY 50 60.00

123 FLUID SUGAR 60 70.00

124 FLUID TLC 60 70.00

125 FLUID TRIGLYCERIDES 150 170.00


50


126 FNAC (SAMPLE IN CLINIC) 500 550.00

127 FOLLICLE STIMULATING HORMONE 400 440.00

128 FREE T3 (FREE TRI IODOTHYRONINE) 200 220.00

129 FREE T4 (THYROXIN) 200 220.00

130 FREE THYROID PROFILE 600 660.00

131 FUNGAL SMEAR 150 170.00

132 G G T P 300 330.00

133 G6PD QUALITATIVE 600 660.00

134 G6PD QUANTITATIVE 600 660.00

135 GENERAL BLOOD PICTURE 200 220.00

136 GGT 300 330.00

137 GLOBULIN 0 0.00

138 GLUCOSE CHALLENGE TEST (1 .5Hr) 150 150.00

139 GLUCOSE CHALLENGE TEST(1Hr) 150 170.00

140 GLUCOSE CHALLENGE TEST(2Hr) 150 150.00

141 GLUCOSE TOLERANCE TEST 400 440.00

142 GLYCOSYLATED HB 400 440.00

143 GRAM STAIN 150 170.00

144 GYNECOLOGY OT SURVEILLANCE 1200 1,320.00

145 H D L CHOLESTEROL 150 170.00

146 H1N1 SCREENING 1450 1,600.00

147 HAEMOGLOBIN (HB) 80 90.00

148 HBe Ag 1200 1,320.00

149 HBE ANTIGEN 1200 1,320.00

150 HBsAg QUANTITATIVE 1300 1,430.00

151 HCV ANTIBODY TEST 800 880.00

152 HEALTHY HEART PACKAGE 800 880.00

153 HEPATITIS "E" VIRUS ANTIBODIES 1500 1,650.00

154 HEPATITIS B SURFACE ANTIGEN 250 280.00

155 HIGH SENSITIVITY CRP 400 440.00

156 HIV (AIDS) ANTIBODY I & II 350 380.00

157 HYPERTENSION PROFILE 1300 1,430.00

158 IGG TO SALMONELLA TYPHI 0 0.00

159 IGM TO SALMONELLA TYPHI 250 280.00

160 INDIA INK STAIN 150 170.00

161 INDIRECT COOMBS TEST 400 440.00

162 INORGANIC PHOSPHORUS 120 130.00

163 INSULIN FASTING 700 770.00

164 INSULIN PP 700 770.00

165 INSULIN RANDOM 700 770.00

166 IONIZED CALCIUM 450 500.00

167 KETONE BODIES/ACETONE 100 110.00

168 KOH FOR FUNGUS 200 220.00

169 KOH FOR NAIL 200 220.00

170 L D H 150 170.00


51


171 L D L CHOLESTEROL 300 330.00

172 LDH BLOOD 150 170.00

173 LDH CSF 250 280.00

174 LDH FLUID 250 280.00

175 LEPTOSPIRA ABs 2150 2,370.00

176 LEPTOSPIRA IGM ABs 2150 2,370.00

177 LIPID PROFILE 500 550.00

178 LIVER FUNCTION TEST [LFT] 550 610.00

179 LUTEINISING HORMONE 400 440.00

180 M C H 60 70.00

181 M C H C 60 70.00

182 M C V 60 70.00

183 MALARIA ANTIGEN 500 550.00

184 MALARIA PARASITE (M.P) 100 110.00

185 MALIGNANT CELLS 250 280.00

186 MANTOUX TEST 150 170.00

187 MCV (MEAN CORPUSCULAR VOLUME) 60 70.00

188 MICROALBUMIN / CREATININE RATIO 600 660.00

189 MICROFILARIA SLIDE 500 550.00

190 MODIFIED Z.N. STAINING 200 220.00

191 MYOGLOBIN, SERUM 3000 3,300.00

192 NASAL FLUID 300 330.00

193 NASAL SMEAR FOR M.LAPRAE 150 170.00

194 NEUROEDOCRINE PANEL 4900 5,390.00

195 NEUROSURGERY PROFILE 1300 1,430.00

196 OCCULT BLOOD 100 110.00

197 OT CULTURE 2000 2,200.00

198 P.C.V / HAEMATOCRIT 60 70.00

199 PAP SMEAR 500 550.00

200 PERICARDIAL FLUID CULTURE & SENSITIVITY 750 830.00

201 PERICARDIAL FLUID EXAMINATION 450 500.00

202 PERIPHERAL SMEAR (GBP) 200 220.00

203 PH 50 60.00

204 PHENYTOIN 1050 1,160.00

205 PLATELET COUNT 100 110.00

206 PLEURAL FLUID EXAMINATION 400 440.00

207 PLEURAL FLUID EXAMINATION (LEFT SIDE) 400 440.00

208 PLEURAL FLUID EXAMINATION (RIGHT SIDE) 400 440.00

209 PLEURAL FLUID CULTURE & SENSITIVITY 750 830.00

210 PLEURAL FLUID FOR A.F.B. 150 170.00

211 POST COITAL TEST 200 220.00

212 POTASSIUM 140 160.00

213 POTASSIUM FLUID 220 240.00

214 PRE-MARITAL SCREEN 1350 1,490.00

215 PREOPERATIVE PROFILE 1750 1,930.00


52


216 PROCALCITONIN 3500 3,850.00

217 PROLACTIN 450 500.00

218 PROSTATE SPECIFIC ANTIGEN 600 660.00

219 PROTEIN / CREATININE RATIO 500 550.00

220 PROTEIN PROFILE 200 220.00

221 PROTHROMBIN TIME 300 330.00

222 PROTHROMBIN MUTATION DETECTION 8900 9,790.00

223 PUS CULTURE & SENSITIVITY 750 830.00

224 PUS EXAMINATION 150 170.00

225 PUS FOR A.F.B. 150 170.00

226 PUS FOR AFB 150 170.00

227 PUS FOR CRYSTAL 150 170.00

228 PUS FOR GRAM STAIN 150 170.00

229 R B C (RED BLOOD CELLS) 60 70.00

230 R D W 60 70.00

231 RANDOM URINE FOR TPR/CRTN RATIO 500 550.00

232 REDUCING SUBSTANCES 50 60.00

233 RENAL FUNCTION TESTS 650 720.00

234 RETICULOCYTE COUNT 150 170.00

235 RH ANTIBODY TITRE 300 330.00

236 RH TYPING 0 0.00

237 RHEUMATOID FACTOR ( QUANTITATIVE) 350 390.00

238 RHEUMATOID FACTOR TEST 200 220.00

239 ROUTINE HEALTH PROFILE 850 940.00

240 SCRAPING FOR FUNGUS 200 220.00

241 SCRAPING FOR M.LEPRAE 150 170.00

242 SCRAPINGS FOR CYTOLOGICAL EXAM 400 440.00

243 SCRUB TYPHUS ANTIBODY 900 990.00

244 SEMEN ANALYSIS 200 220.00

245 SEMEN CULTURE & SENSITIVITY 750 830.00

246 SERUM AMYLASE 300 330.00

247 SERUM BETA HCG 600 660.00

248 SERUM CHOLINESTERASE 450 500.00

249 SERUM CREATININE 120 130.00

250 SERUM FERRITIN 600 660.00

251 SERUM IRON 250 280.00

252 SERUM LIPASE 350 390.00

253 SERUM MAGNESIUM 450 500.00

254 SERUM URIC ACID 120 130.00

255 SMEAR FOR EXAMINATION 150 170.00

256 SMEAR FOR GONOCOCCI 150 170.00

257 SMEAR FOR GRAM STAIN 150 170.00

258 SODIUM 140 160.00

259 SODIUM FLUID 220 240.00

260 SPOT URINARY PROTEIN 250 280.00


53


261 SPOT URINE CALCIUM 180 200.00

262 SPOT URINE CREATININE 250 280.00

263 SPUTUM CULTURE & SENSITIVITY 750 830.00

264 SPUTUM FOR A.F.B. 150 170.00

265 SPUTUM FOR GRAM STAIN 150 170.00

266 STOOL CULTURE & SENSITIVITY 750 830.00

267 STOOL CULTURE FOR SALMONELLA SP. 750

268 STOOL EXAMINATION 150 170.00

269 STOOL FOR HANGING DROP 150 150.00

270 STOOL PH 50 60.00

271 STOOL TEST FOR VIBRIO CHOLERA 200 220.00

272 SYNOVIAL FLUID EXAMINATION 400 440.00

273 T3 THYROID FUNCTION TEST 150 170.00

274 T4 THYROID FUNCTION TEST 150 170.00

275 Test 0 0.00

276 TESTOSTERONE 550 610.00

277 THROAT SWAB C&S 750 830.00

278 THYROID FUNCTION TEST 3RD GENERATION 550 610.00

279 THYROID STIMULATING HORMONE TSH 250 280.00

280 TOTAL IRON BINDING CAPACITY 250 280.00

281 TOTAL BILIRUBIN 120 130.00

282 TOTAL CHOLESTEROL 120 130.00

283 TOTAL IGE 600 660.00

284 TOTAL LEUCOCYTE COUNT (TLC) 80 90.00

285 TOTAL PROTEIN 100 110.00

286 Total Red Cell count with MCV,MCH,MCHC,DRW 180 180.00

287 TOTAL T3 200 220.00

288 TOTAL T4 200 220.00

289 TOTAL TESTOSTERONE 550 610.00

290 TOTAL THYROID PROFILE 400 440.00

291 TREPONEMA PALLIDUM ANTIBODIES 200 220.00

292 TRIGLYCERIDES 150 170.00

293 TROPONIN I HIGH SENSITIVE 1000 1,100.00

294 TROPONIN T 1000 1,100.00

295 TROPONIN T HS QUANTITATIVE 1000 1,000.00

296 TSH 3RD GENERATRION 250 280.00

297 TSH(THYROID FUNCTION TEST) 250 280.00

298 TSU TSUGANASHI ANTIBODIES 900 990.00

299 TZANCK SMEAR 300 330.00

300 UNCONJUGATED (I.D.Bilirubin) 0 0.00

301 URETHRAL SMEAR 300 330.00

302 URINARY CHLORIDE 150 170.00

303 URINARY POTASSIUM 450 500.00

304 URINARY SODIUM 450 500.00

305 URINE - FOR DRUG ABUSE 2200 2,420.00


54


306 URINE ALBUMIN 40 50.00

307 URINE ANALYSIS 100 110.00

308 URINE CORTISOL 24 HR 800 900.00

309 URINE CULTURE & SENSITIVITY 500 550.00

310 URINE FOR A.F.B. STAIN 200 220.00

311 URINE FOR ALCOHOL 1500 1,650.00

312 URINE FOR DRUG ABUSE 2200 2,420.00

313 URINE FOR DYSMORPHIC RBC 350 390.00

314 URINE FOR FAT GLOBULES 50 60.00

315 URINE FOR MALIGNANT CELLS 250 280.00

316 URINE FOR MICROALBUMINURIA 450 500.00

317 URINE FOR PREGNANCY TEST (ELISA) 100 110.00

318 URINE SUGAR 50 60.00

319 URINE SUGAR FASTING 50 60.00

320 URINE SUGAR PP 50 60.00

321 URINE SUGAR RANDOM 50 60.00

322 V L D L 150 170.00

323 V.D.R.L.(TPHA) 100 110.00

324 VAGINAL SWAB CULTURE & SENSITIVITY 750 830.00

325 VALPROIC ACID 950 1,050.00

326 VDRL TITER 300 330.00

327 VITAMIN B12 950 1,050.00

328 VITAMIN D 1500 1,650.00

329 WIDAL TEST ( TUBE METHOD) 250 280.00

330 WIDAL TEST (SLIDE METHOD) 180 200.00

331 WOUND SWAB CULTURE & SENSITIVITY 750 830.00

Charak Pathology Clinic Rates 2017

Out Sourced Tests

S.

NO PARTICULARS OPD IPD

1 17 ALFA HYDROXY PROGESTERONE 1650 1,820.00

2 24 HR URINE PROTEIN ELECTROPHORESIS 950 1,050.00

3 24 HRS URINE VMA 4000 4,400.00

4 ACETYCHOLINE RECEPTOR AUTOANTIBODIES 4750 5,225.00

5 ACUTE HEPATITIS VIRUS EVALUATION III 6200 6,820.00

6 ADRENOCORTICOTROPIC HORMONE(ACTH) 1850 2,040.00

7 AFB DRUG SUCEPTIBILITY 6500 7,150.00

8 AFB TISSUE BIOPSY 850 940.00

9 ALDOSTERONE 2600 2,860.00

10 ALFA FETO PROTEIN 900 990.00

11 ALLERGEN - WHEAT 1500 1,650.00


55


12 ALLERGEN-COMPREHENSIVE ALLERGY PANEL 11000 12,100.00

13 AMH PLUS (4501) 2700 2,970.00

14 AMMONIA 900 990.00

15 AMOEBIC SEROLOGY IgG 1250 1,380.00

16 ANA PROFILE 8000 8,800.00

17 ANCA 2400 2,640.00

18 ANCA + PNCA 2800 3,080.00

19 ANCA COMBINED PROFILE 6200 6,820.00

20 ANEMIA PROFILE 1100 1,210.00

21 ANGIOTENSIN CONVERTING ENZYME 1200 1,320.00

22 ANTI DIURETIC HOROMONE(Vasopressin) 5200 5,720.00

23 ANTI DNASE B 3550 3,900.00

24 ANTI ds - DNA ANTIBODIES 2200 2,420.00

25 ANTI GBM ANTIBODIES 1900 2,090.00

26 ANTI ISLET CELL ANTIBODY 2800 3,080.00

27 ANTI ISLET CELL ANTIBODY WITH TITRE 4000 4,400.00

28 ANTI MULLERIAN HORMONE 2200 2,420.00

29 ANTI NUCLEAR ANTIBODY 1350 1,490.00

30 ANTI PARIETAL CELL ANTIBODY 3600 3,960.00

31 ANTI PARIETAL CELL ANTIBODY TITER 6100 6,710.00

32 ANTI PHOSPHOLIPASE A2 RECEPTOR IGG 4800 5,280.00

33 ANTI PHOSPHOLIPID IgG 1350 1,480.00

34 ANTI PHOSPHOLIPID IgM 1350 1,480.00

35 ANTI PHOSPHOLIPID SYNDROME PANEL 4900 5,390.00

36 ANTI SMOOTH MUSCLE ANTIBODIES 2500 2,750.00

37 ANTI SOLUBLE LIVER ANTIGEN 3060 3,370.00

38 ANTI THROMBIN III ACTIVITY( 3900 4,290.00

39 ANTI THYROGLOBULIN 1750 1,930.00

40 ANTI THYROID ANTIBODIES 2600 2,860.00

41 ANTI U1RNP 2800 3,080.00

42 ANTI-AQUAPORIN-4 / NMO ANTIBODIES 6000 6,600.00

43 ANTIBODY TO FILARIA 1200 1,320.00

44 ANTI-HBC IGM 1200 1,320.00

45 APO-A 800 880.00

46 APO-B 800 880.00

47 APOLIPOPROTEIN - E 3800 4,180.00

48 ARSENIC BLOOD 3400 3,750.00

49 ARTHRITIS PROFILE 3100 3,410.00

50 ASPIGILLUS ANTIBODIES 3500 3,850.00

51 ASTHMATIC RESPIRATORY ALLERGY PANEL 5950 6,550.00

52 AUTOIMMUNE MARKERS 3750 4,130.00

53 BASIC NEW BORN SCREENING 1550 1,710.00

54 BENCE JONES PROTEIN 700 770.00

55 BETA 2 GLYCOPROTEIN IGG 1300 1,430.00

56 BETA 2 GLYCOPROTEIN IGM 1300 1,430.00


56


57 BETA 2 GLYCOPROTEIN PANEL 1 2600 2,860.00

58 BETA 2 MICROGLOBULIN 2100 2,310.00

59 BLOOD ALCOHOL / ETHANOL 2500 2,750.00

60 BLOOD LEAD LEVEL 2370 2,600.00

61 BOH PANEL 5400 5,940.00

62 BONE MARROW BIOPSY 2200 2,420.00

63 BRAF V600E MUTATION 5500 6,050.00

64 BRUCELLA ABORTUS IgG 1500 1,650.00

65 BRUCELLA ABORTUS IgM 1500 1,650.00

66 BRUCELLA AGGLUTINATION TEST 200 220.00

67 C DIFFICILE TOXIN 3200 3,520.00

68 C1 ESTERASE INACTIVATOR FUNCTIONAL 6000 6,600.00

69 C1 ESTERASE INHIBITOR, PROTEIN QUANTITATIVE 2100 2,310.00

70 CA 15-3 BREAST CANCER MARKER(3134) 2300 2,530.00

71 CA 19.9 2700 2,700.00

72 CARBAMAZEPINE 1000 1,100.00

73 CARDIOLIPIN IgG ANTIBODIES 920 990.00

74 CARDIOLIPIN IgM ANTIBODIES 920 990.00

75 CATECHOLAMINES 24HR URINE 4800 5,280.00

76 CD117 IHC 2700 2,970.00

77 CD3 IHC 2700 2,970.00

78 CD4 & CD8 PANEL 2800 3,080.00

79 CD4 COUNTS 2600 2,860.00

80 CD45 (CLA) 3700 4,070.00

81 CD5 IHC 2700 2,970.00

82 CEA 850 940.00

83 CERULOPLASMIN 1250 1,380.00

84 CERULOPLASMIN SERUM 1250 1,380.00

85 CHICKEN POX (VARICELLA ZOSTER VIRUS (VZV) IgG ANTIBODIES) 1900 2,090.00

86 CHIKUNGUNIYA RNA PCR 3000

87 CHIKUNGUNYA IgM 1000 1,100.00

88 CHLAMYDIA PNEUMONIAE IgG 2250 2,480.00

89 CHLAMYDIA PNEUMONIAE IgM 2250 2,480.00

90 Chromogranin-A 7400 8,140.00

91 CMV DNA DETECTOR 4500 4,950.00

92 CMV IgG Ab TITRES 900 990.00

93 CMV IgM Ab TITRES 900 990.00

94 CMV Virul Load 8600 9,460.00

95 COLLAGEN DISEASE ANTIBIDIES PANEL 8550 9,400.00

96 COMPLEMENT CONCENTRATION C3 850 940.00

97 COMPLEMENT CONCENTRATION C4 850 940.00

98 COMPLETE NEW BORN SCREENING 4800 5,280.00

99 COMPREHENSIVE ALLERGY SCREENING PANEL 6000 6,600.00

100 CONGO RED STAIN 900 990.00

101 COPPER 24HRS URINE 2200 2,420.00


57


102 COPPER SERUM 2200 2,420.00

103 C-PEPTIDE 1250 1,380.00

104 CRYOFIBRINOGEN 1150 1,290.00

105 CRYOGLOBULINS 1300 1,430.00

106 CRYPTOCOCCUS ANTIGEN 2800 3,080.00

107 CYCLOSPORIN C2 LEVEL 3050 3,360.00

108 CYSTATIN C 1600 1,760.00

109 CYSTICERCOSIS (ELISA) IgG 2550 2,810.00

110 CYTOGENETICS: PRODUCT OF CONCEPTION(POC) 6950 7,650.00

111 D.H.E.A SULPHATE 1150 1,270.00

112 DIC PROFILE 5900 6,490.00

113 DIGOXIN (lanoxin) 1000 1,100.00

114 ECHINOCOCCUS IgG ABs 2100 2,310.00

115 EGFR MUTATION DETECTION 7700 8,470.00

116 ELISA FOR MYCOBACTERIUM (IgA) 600 660.00

117 ELISA FOR MYCOBACTERIUM (IgG) 600 660.00

118 ELISA FOR MYCOBACTERIUM (IgM) 600 660.00

119 ENA QUALITATIVE PROFILE(S118) 6700 7,370.00

120 ENA QUANTITATIVE PROFILE(Z101) 7500 8,250.00

121 ENDOMYSIAL ANTIBODY IgA, 3060 3,370.00

122 ERYTHROPOITIN 2200 2,420.00

123 ESTRADIOL 750 750.00

124 ESTROGEN & PROGESTERONE RECEPTOR 2700 2,970.00

125 EXTRACTABLE NUCLEAR ANTIGEN 8000 8,800.00

126 FABREY DISEASE, QUANTITATIVE, 2000 2,200.00

127 FACTOR IX 2550 2,810.00

128 Factor V Leiden 5800 6,380.00

129 FACTOR VIII 3300 3,630.00

130 FECAL CALPROTECTIN 2750 3,030.00

131 FIBRINOGEN 1350 1,490.00

132 FIBRINOGEN DEGENERATION PRODUCTS 1650 1,820.00

133 FILARIA ANTIBODY 3000 3,300.00

134 FILARIA ANTIGEN DETECTION 1200 1,320.00

135 FOETAL HAEMOGLOBIN 1150 1,270.00

136 FOLIC ACID 1250 1,380.00

137 FOOD ALLERGY PANEL 6500 7,150.00

138 FREE CORTISOL, SERUM 10000 11,000.00

139 FREE PSA 1100 1,210.00

140 FREE TESTOSTERONE 2000 2,200.00

141 FTA ABS 1500 1,650.00

142 FUNGAL CULTURE 1250 1,380.00

143 GAD - 65 (GLUTAMIC ACID DECARBOXYLASE) 6800 7,260.00

144 GALACTOMANNAN 5500 6,050.00

145 GASTRIN FASTING 1800 1,980.00

146 GENE EXPERT (XPERT MTB / RIF) 2800 3,000.00


58


147 GENETIC DISORDERS; SCA 21600 23,760.00

148 GERIATRIC PANEL 2000 2,200.00

149 GROWTH HORMONE 850 940.00

150 H - TTG / DGP 1900 2,090.00

151 H. PYLORI ANTIGEN DETECTION 1400 1,540.00

152 H. PYLORI IgM 2700 2,970.00

153 H.PYLORI IGG 2700 2,950.00

154 H1N1 INFUENZA PCR 6050 6,660.00

155 HANTA VIRUS IgM 2200 2,420.00

156 HAPTOGLOBIN 4500 4,500.00

157 HBV DNA PCR 8000 8,800.00

158 HBV DNA QUANTITATIVE 8000 8,800.00

159 HBV VIRAL LOAD BY REAL TIME PCR 4400 4,400.00

160 HCV RNA QUALITATIVE 4300 4,730.00

161 HCV RNA QUANTITATIVE 8900 9,790.00

162 HCV RNA QUANTITATIVE GENOTYPE 16500 18,150.00

163 HEMOGLIBIN URINE 200 220.00

164 HEMOGLOBIN ELECTROPHORESIS 1250 1,380.00

165 HEMOSIDRIN URINE 350 390.00

166 HEPATITIS B CORE TOTAL ANTIBODIES 1200 1,320.00

167 HEPATITIS C VIRUS RNA QUANTITATIVE 8900 9,790.00

168 HEPATITIS C VIRUS TOTAL 1500 1,500.00

169 HER 2 NEO RECEPTOR 5500 6,050.00

170 HERPES - I IgG Ab TITRE 920 1,010.00

171 HERPES - II IgG Ab TITRE 920 1,010.00

172 HERPES I - IgM Ab TITRE 920 1,010.00

173 HERPES SIMPLEX VIRUS DNA 5300 5,830.00

174 HERPES TYPE I & II PCR 6100 6,710.00

175 HERPES-II IgM Ab Titre 920 1,010.00

176 HISTOPATHOLOGY LARGE 2200 2,420.00

177 HISTOPATHOLOGY MEDIUM 1500 1,650.00

178 HISTOPATHOLOGY SMALL 850 940.00

179 HISTOPATHOLOGY SPECIAL 1650 1,810.00

180 HISTOPATHOLOGY WITH IMMUNOFLOROCENCE 3400 3,740.00

181 HIV I & II INCLUDING P24 ANTIGEN 450 500.00

182 HIV VIRAL LOAD 7200 7,920.00

183 HIV WESTERN BLOT 3500 3,850.00

184 HLA B 27 FLOW CYTOMETERY 2800 3,080.00

185 HLA B 27 PCR 3800 4,180.00

186 HLA DQ TYPING 7000 7,700.00

187 HOMOCYSTEINE 1300 1,430.00

188 HPV DNA 3100 3,410.00

189 IgG,IgM,IgA TO MYCOBACTERIUM 1800 1,980.00

190 IGG4 6800 7,480.00

191 IMMUNO HISTO CHEMISTRY 5700 6,270.00


59


192 IMMUNOFIXATION ELECTROPHORESIS 7350 8,090.00

193 IMMUNOGLOBULIN IgA 930 1,020.00

194 IMMUNOGLOBULIN IgA, IgG & IgM 2100 2,310.00

195 IMMUNOGLOBULIN IgG 930 1,020.00

196 IMMUNOGLOBULIN IgM 930 1,020.00

197 INFECTIOUS MONONUCLEOSIS (EBV) IgG / IgM 6500 7,150.00

198 INSULIN LIKE GROWTH FACTOR-1 (IGF-1) 4500 4,950.00

199 INTRINSIC FACTOR IgG 3400 3,740.00

200 ISSUE OF SLIDE & BLOCKS 400 440.00

201 JAK2 MUTATION 6500 7,150.00

202 K 39 antigen 1400 1,540.00

203 KALA AZAR/L.D. BODIES 1800 1,980.00

204 KAPPA / LAMBDA LIGHT CHAINS 7300 8,030.00

205 KARIOTYPING 4200 4,620.00

206 KRAS MUTATION DETECTION 7500 8,250.00

207 LE CELL PHENOMENON 350 390.00

208 LINE PROBE ASSAY 5500 6,050.00

209 LIPOPROTEIN (a) 1650 1,820.00

210 LIVER BIOPSY 3750 4,130.00

211 LKM - 1 2200 2,420.00

212 LUPUS ANTICOAGULANT 2200 2,420.00

213 MATERNAL SCREEN 3600 3,960.00

214 MATERNAL SCREEN QUADRUPLE MARKER TEST 3600 3,960.00

215 MEASLES IgG ANTIBODIES 1790 1,970.00

216 MEASLES IgM ANTIBODIES 1790 1,970.00

217 MERCURY SERUM 4350 4,790.00

218 MERCURY, SERUM 4350 4,790.00

219 MERCURY,SERUM ICPMS 4350 4,790.00

220 METANEPHRIN 24 HR URINE 2200 2,420.00

221 METANEPHRINE-FREE, PLASMA 5500 6,050.00

222 METHOTREXATE LEVEL (D052) 2500 2,750.00

223 MITOCHONDRIAL ANTIBODY (AMA) IFA, DLUTIONS 2720 2,990.00

224 MTHFR GENE MUTATION 9200 10,120.00

225 MUCOPOLYSACCHARIDOSIS URINE 400 440.00

226 MUMPS IgG & IgM 3600 3,960.00

227 MYCOBACTERIUM LEPRAE, PCR 4050 4,460.00

228 MYOGLOBIN, URINE 2500 2,750.00

229 OMSOLALITY URINE 1200 1,320.00

230 OSMATIC FRAGILITY TEST 800 800.00

231 OSMOLARITY SERUM 1200 1,320.00

232 OSMOLARITY URINE 1200 1,320.00

233 P63 IHC 2700 2,970.00

234 PARACETAMOL (Acetaminophen) 1700 1,870.00

235 PARATHYROID HORMONE 2000 2,200.00


60


236 PAROXYSMAL NOCTURNAL hEMOGLOBINURIA(CD 59 - 59 Penel

Flowcytometry ) 6100 6,710.00

237 PCOD PANEL 4250 4,680.00

238 PCR FOR MTB 2800 3,080.00

239 PEDIATATRIC PANEL 900 990.00

240 PNEUMOCYSTIS CARINII DETECTION 2900 3,190.00

241 PORPHOBILINOGEN QUALITATIVE URINE 3500 3,850.00

242 PORPHOBILINOGEN QUANTITATIVE URINE 24 HRS 9500 10,450.00

243 PRO BNP 4000 4,400.00

244 PROGESTERONE 750 820.00

245 PROTEIN C, FUNCTIONAL 4300 4,730.00

246 PROTEIN ELECTROPHORESIS WITH IMMUNOFIXATION 6100 6,710.00

247 PROTEIN S, FUNCTIONAL 4300 4,730.00

248 RBC FOLATE LEVAL 2330 2,560.00

249 REVIEW OF HISTOPATHOLOGY SLIDE AND BLOCKS 2300 2,530.00

250 RUBELLA IgG Ab TITRE 920 1,010.00

251 RUBELLA IgM Ab TITR 920 1,010.00

252 SCL-70 (SCLERODERMA ) ANTIBODY 2550 2,800.00

253 SEMEN FRUCTOSE 450 500.00

254 SERUM ALBUMIN ASCITES GRADIANT 300 330.00

255 SERUM CALCITONIN 2600 2,860.00

256 SERUM CORTISOL 700 770.00

257 SERUM LACTATE 1300 1,430.00

258 SERUM LITHIUM 650 720.00

259 SERUM PROTEIN ELECTROPHORESIS 900 990.00

260 SICKLING TEST 450 500.00

261 SJOGREN S SYNDROME ANTIBODIES 2400 2,650.00

262 SLE DIAGNOSTIC PANEL 2100 2,310.00

263 SPECIAL STAINS, TISSUE/PARAFFIN BLOCK 900 1,000.00

264 SPOT TEST FOR INFECTION MONONEUCLEOSIS 1000 1,100.00

265 STANDARD NEW BORN SCREENING 2400 2,640.00

266 STONE ANALYSIS 1800 1,980.00

267 STOOL FOR ROTA VIRUS 1500 1,650.00

268 SYPHLIS ANTIBODIES 1200 1,320.00

269 TACROLIMUS SERUM 4500 4,950.00

270 TB CULTURE 1600 1,760.00

271 TB ELISA IGG & IGM 1200 1,320.00

272 TB GOLD 3000 3,300.00

273 THALLESEMIA PROFILE 1700 1,870.00

274 THROMBIN TIME 1200 1,320.00

275 THROMBOCHECK TOTAL 22000 24,200.00

276 THROMBOCHEK PANEL 18000 19,800.00

277 THROMBOPHILIA PROFILE 13350 14,680.00

278 Thyroid Stimulating Hormone Receptor Antibody (TRAb) 4750 5,230.00

279 THYROID STIMULATING IMMUNOGLOBULIN 14750 16,230.00


61


280 THYROXINE BINDING GLOBULIN 5500 6,050.00

281 TISSUE TRANSGLUTAMINASE(TTG) 1550 1,700.00

282 TMS BASIC 47 2700 2,700.00

283 TMS COMPELETE 62 4750 4,750.00

284 TMS MIDDLE 53 3900 3,900.00

285 TORCH PROFILE (IGG) 1600 160.00

286 TORCH PROFILE (IGM) 1600 1,760.00

287 TOXOPLASMA IGG 920 1,010.00

288 TOXOPLASMA IGM 920 1,010.00

289 TPMT GENOTYPING 5500 6,050.00

290 TRASFERRIN 1300 1,430.00

291 TREPONEMA PALLIDUM HEMAGGLUTINATION ANTIBODIES(VDRL) 750 830.00

292 TRIPLE TEST 3000 3,300.00

293 URINE - THIN PREP 600 660.00

294 URINE FOR MYOGLOBIN 2500 2,750.00

295 VACCICHEQ PROFILE 6380 7,020.00

296 VARICELLA ZOSTER VIRUS IgG ABs 1900 2,090.00

297 Vitamin A 4500 4,950.00

298 VITAMIN B6 3500 3850

299 VON WILLEBRAND FACTOR ANTIGEN 10700 11,770.00

300 VON WILLEBRAND FACTOR PLASMA 13300 14,630.00

301 VZV PCR 3300 3,630.00


62


RADIOLOGY RATES

S. NO PARTICULARS INR /

RATES

1. X-RAY SKULL-AP VIEW 350

2. X-RAY SKULL-AP VIEW(TOWNE VIEW) 350

3. X-RAY SKULL-LATERAL VIEW 350

4. X-RAY SKULL-AP&LAT. VIEW 700

5. X-RAY ORBIT- PA(OBL)VIEW 350

6. X-RAY ORBIT- AP&LAT VIEW 700

7. X-RAY ORBIT -OBL VIEW 350

8. X-RAY ORBIT- PA(OBL)& LAT VIEW 700

9. X-RAY P.N.S- AP VIEW 350

10. X-RAY P.N.S- PA VIEW (WATER VIEW) 350

11. X-RAY SELLA- AP VIEW 350

12. X-RAY SELLA-LAT VIEW 350

13. X-RAY SELLA-AP& LAT VIEW 700

14. X-RAY NASAL BONE -LAT VIEW(SINGLE) 350

15. X-RAY NASAL BONE-LAT VIEW(BILATERAL) 700

16. X-RAY MASTOID-LAT(OBL)VIEW(SINGLE) 350

17. X-RAY MASTOID-LAT(OBL)VIEW(BILATERAL) 700

18. X-RAY T.M JOINT-LAT VIEW (BILATERAL) 700

19. X-RAY T.M JOINT-LAT VIEW (SINGLE) 350

20. X-RAY T.M JOINT-AP VIEW OPEN MOUTH (BILATERAL) 350

21. X-RAY T.M JOINT-AP VIEW CLOSE MOUNT(BILATERAL) 350

22. X-RAY T.M JOINT-AP VIEW OPEN & CLOSE MOUTH(BILATERAL) 700

23. X-RAY STYLOID PROCESS- AP VIEW 350

24. X-RAY STYLOID PROCESS-OBL VIEW 350

25. X-RAY STYLOID PROCESS-AP & OBLVIEW 700

26. X-RAY MANDIBLE-AP VIEW 350

27. X-RAY MANDIBLE-OBL VIEW (SINGLE) 350

28. X-RAY MANDIBLE-OBL VIEW (BILATERAL) 700

29. X-RAY MANDIBLE-AP& OBL VIEW (SINGLE) 700


63


30. X-RAY MANDIBLE-AP &OBL VIEW (BILATERAL) 1000

31. X-RAY NASOPHARYNX(ADENOIDS) – LATERAL VIEW 350

32. X-RAY CVJ (C1-C2)-AP VIEW 350

33. X-RAY CVJ (C1-C2)-LAT VIEW 350

34. X-RAY CVJ (C1-C2)-AP & LAT VIEW 700

35. X-RAY C-SPINE-AP VIEW 350

36. X-RAY C-SPINE-PA VIEW 350

37. X-RAY C-SPINE -LAT VIEW 350

38. X-RAY C-SPINE -AP& LAT VIEW 700

39. X-RAY C-SPINE-LAT(FLEXION) VIEW 350

40. X-RAY C-SPINE-LAT(EXTENTION) VIEW 350

41. X-RAY C-SPINE-LAT(FLEX &EXTEN.)VIEW 700

42. X-RAY C-SPINE-LAT & FLEX & EXTEN. VIEW 1000

43. X-RAY NECK (SOFT TISSUE)-AP VIEW 350

44. X-RAY NECK (SOFT TISSUE)-LAT VIEW 350

45. X-RAY NECK (SOFT TISSUE)-AP & LAT VIEW 700

46. X-RAY C-D SPINE-AP VIEW 350

47. X-RAY C-D SPINE-LAT VIEW 350

48. X-RAY C-D SPINE-OBL VIEW(SWIMMER'S VIEW) 350

49. X-RAY C-D SPINE-AP & OBL VIEW 700

50. X-RAY C-D SPINE-AP&OBL &LAT VIEW 1000

51. X-RAY CHEST-AP VIEW(ERECT) 350

52. X-RAY CHEST-AP VIEW 350

53. X-RAY CHEST-PA VIEW 350

54. X-RAY CHEST-LAT VIEW 350

55. X-RAY CHEST-OBL VIEW(SINGLE) 350

56. X-RAY CHEST- OBL VIEW(BILATERAL) 700

57. X-RAY STERNUM-AP VIEW 350

58. X-RAY STERNUM-LAT VIEW 350

59. X-RAY STERNUM-AP & LAT VIEW 700

60. X-RAY ABDOMEN-AP VIEW(SUPINE) 350

61. X-RAY ABDOMEN-AP VIEW(ERECT) 350

62. X-RAY ABDOMEN (KUB)-AP VIEW 350


64


63. X-RAY CHEST DECUBITUS 350

64. X-RAY ABDOMEN DECUBITUS 350

65. X-RAY CLAVICLE BONE-AP VIEW 350

66. X-RAY APICOGRAM-AP VIEW 350

67. X-RAY APICOGRAM-PA VIEW 350

68. X-RAY SHOULDER JOINT- AP VIEW 350

69. X-RAY SHOULDER JOINT-LAT VIEW 350

70. X-RAY SHOULDER JOINT-AXIAL VIEW 350

71. X-RAY SHOULDER JOINT-AP & AXIAL VIEW 700

72. X-RAY SCAPULA- AP VIEW 350

73. X-RAY SCAPULA- LATVIEW 350

74. X-RAY SCAPULA-AP & LAT VIEW 700

75. X-RAY D/T-SPINE- AP VIEW 350

76. X-RAY D/T-SPINE-LAT VIEW 350

77. X-RAY D/T-SPINE-AP & LAT VIEW 700

78. X-RAY D/T-SPINE-LAT(FLEXTION) VIEW 350

79. X-RAY D/T-SPINE-LAT(EXTENTION) VIEW 350

80. X-RAY D/T-SPINE-LAT(FLEX & EXTEN)VIEW 700

81. X-RAY D/T-SPINE-LAT & FLEX & EXTEN VIEW 1000

82. X-RAY DORSO-LUMBAR SPINE-AP VIEW 350

83. X-RAY DORSO-LUMBAR SPINE-LAT VIEW 350

84. X-RAY DORSO-LUMBAR SPINE-AP & LAT VIEW 700

85. X-RAY LS-SPINE-AP VIEW 350

86. X-RAY LS-SPINE-LAT VIEW 350

87. X-RAY LS-SPINE-AP & LAT VIEW 700

88. X-RAY LS-SPINE-LAT(FLEXTION)VIEW 350

89. X-RAY LS-SPINE-LAT(EXTENTION)VIEW 350

90. X-RAY LS-SPINE-LAT(FLEX & EXTEN)VIEW 700

91. X-RAY LS-SPINE-LAT & FLEX & EXTEN.VIEW 1000

92. X-RAY SACRO-ILIAC (S.I) JOINTS-AP VIEW 350

93. X-RAY SACRO-ILIAC(S.I) JOINTS-OBL VIEW(SINGLE) 350

94. X-RAY SACRO-ILIAC(S.I) JOINTS- OBL VIEW(BILATERAL) 700

95. X-RAY SACRO-ILIAC(S.I) JOINTS-AP&OBL(SINGLE)VIEW 700


65


96. X-RAY SACRO-ILIAC(S.I) JOINTS-AP&OBL(BILATERAL)VIEW 1000

97. X-RAY SACRUM-APVIEW 350

98. X-RAY SACRUM-LAT VIEW 350

99. X-RAY SACRUM-AP & LAT VIEW 700

100. X-RAY COCCYX-AP VIEW 350

101. X-RAY COCCYX-LAT VIEW 350

102. X-RAY COCCYX-AP & LAT VIEW 700

103. X-RAY PELVIS WITH BOTH HIP- AP VIEW 350

104. X-RAY PELVIS -LAT VIEW 350

105. X-RAY PELVIS WITH BOTH HIP – AP & LAT VIEW 700

106. X-RAY HIP JOINT- AP VIEW (SINGLE) 350

107. X-RAY HIP JOINT-AP VIEW ( BILATERAL) 350

108. X-RAY HIP JOINT- LAT VIEW (SINGLE) 350

109. X-RAY HIP JOINT- LAT VIEW (BILATERAL) 700

110. X-RAY HIP JOINT-AP & LAT VIEW (SINGLE) 700

111. X-RAY HIP JOINT-AP & LAT VIEW (BILATERAL) 1000

112. X-RAY HIP WITH UPPER THIGH(FEMUR) -AP VIEW 350

113. X-RAY HIP WITH UPPER THIGH(FEMUR) -LAT VIEW 350

114. X-RAY HIP WITH UPPER THIGH(FEMUR) -AP & LAT VIEW 700

115. X- RAY FEMUR/THIGH -AP VIEW 350

116. X- RAY FEMUR/THIGH -LAT VIEW 350

117. X- RAY FEMUR/THIGH – AP & LAT VIEW 700

118. X- RAY LOWER FEMUR WITH KNEE- AP VIEW 350

119. X- RAY LOWER FEMUR WITH KNEE- LAT VIEW(SINGLE) 350

120. X- RAY LOWER FEMUR WITH KNEE- LAT VIEW(BILATERAL) 700

121. X- RAY LOWER FEMUR WITH KNEE- AP & LAT VIEW(SINGLE) 700

122. X- RAY LOWER FEMUR WITH KNEE- AP & LAT VIEW(BILATERL) 1000

123. X- RAY KNEE JOINT – AP VIEW 350

124. X- RAY KNEE JOINT –LAT VIEW(SINGLE) 350

125. X- RAY KNEE JOINT –LAT VIEW(BILATERAL) 700

126. X- RAY KNEE JOINT – AP & LAT VIEW(SINGLE) 700

127. X- RAY KNEE JOINT – AP & LAT VIEW(BILATERAL) 1000

128. X- RAY KNEE JOINT WITH UPPER LEG- AP VIEW 350


66


129. X- RAY KNEE JOINT WITH UPPER LEG- LAT VIEW (SINGLE) 350

130. X- RAY KNEE JOINT WITH UPPER LEG- LAT VIEW (BILATERAL) 700

131. X- RAY KNEE JOINT WITH UPPER LEG- AP & LAT VIEW (SINGLE) 700

132. X- RAY KNEE JOINT WITH UPPER LEG-AP& LAT VIEW(BILATERAL 1000

133. X- RAY PATELLA – AP VIEW 350

134. X- RAY PATELLA – LAT VIEW 350

135. X- RAY PATELLA – SKYLINE VIEW 350

136. X- RAY PATELLA – AP & LAT VIEW 700

137. X- RAY LOWER LEG WITH ANKLE JOINT – AP VIEW 350

138. X- RAY LOWER LEG WITH ANKLE JOINT – LAT VIEW(SINGLE) 350

139. X- RAY LOWER LEG WITH ANKLE JOINT – LAT VIEW(BILATERAL) 700

140. X- RAY LOWER LEG WITH ANKLE JOINT-AP& LAT VIEW(SINGLE) 700

141. X- RAY LOWER LEG WITH ANKLE JOINT-AP& LAT VIEW(BILATERLAL) 1000

142. X- RAY ANKLE JOINT – AP VIEW 350

143. X- RAY ANKLE JOINT – OBL VIEW 350

144. X- RAY ANKLE JOINT – LAT VIEW (SINGLE) 350

145. X- RAY ANKLE JOINT – LAT VIEW (BILATERAL) 700

146. X- RAY ANKLE JOINT – AP & LAT VIEW (SINGLE) 700

147. X- RAY ANKLE JOINT – AP & LAT VIEW (BILATERAL) 1000

148. X- RAY FOOT AP VIEW 350

149. X- RAY FOOT OBL VIEW 350

150. X- RAY FOOT LAT VIEW (SINGLE) 350

151. X- RAY FOOT LAT VIEW (BILATERAL) 700

152. X- RAY FOOT AP & LAT VIEW (BILATERL) 1000

153. X- RAY FOOT AP &OBL VIEW (SINGLE) 700

154. X- RAY FOOT AP & OBL VIEW (BILATERL) 1000

155. X- RAY FOOT – AP & OBL & LAT VIEW (SINGLE) 1000

156. X- RAY FOOT – AP & OBL & LAT VIEW (BILATERAL) 1800

157. X- RAY CALCANIUM -LAT VIEW (SINGLE) 350

158. X- RAY CALCANIUM -LAT VIEW (BILATERAL) 700

159. X- RAY CALCANIUM -AXIAL VIEW (SINGLE) 350

160. X- RAY CALCANIUM -AXIAL VIEW (BILATERAL) 700

161. X- RAY CALCANIUM -AXIAL & LAT VIEW (SINGLE) 700


67


162. X- RAY CALCANIUM - AXIAL & LAT VIEW (BILATERAL) 1400

163. X- RAY GREAT TOE – AP VIEW 350

164. X- RAY GREAT TOE – OBL VIEW 350

165. X- RAY GREAT TOE – LAT VIEW 350

166. X- RAY GREAT TOE – AP & LAT VIEW 700

167. X- RAY GREAT TOE – AP & OBL & LAT VIEW 1000

168. X- RAY ARM (HUMERUS) – AP VIEW 350

169. X- RAY ARM (HUMERUS) – LAT VIEW 350

170. X- RAY ARM (HUMERUS) – AP & LAT VIEW 700

171. X- RAY ARM (HUMERUS) WITH ELBOW JOINT – AP VIEW 350

172. X- RAY ARM (HUMERUS) WITH ELBOW JOINT – LAT VIEW 350

173. X- RAY ARM (HUMERUS) WITH ELBOW JOINT – AP & LAT VIEW 700

174. X- RAY ELBOW JOINT – AP VIEW 350

175. X- RAY ELBOW JOINT – LAT VIEW 350

176. X- RAY ELBOW JOINT – AP & LAT VIEW 700

177. X- RAY ELBOW JOINT WITH UPPER FORE-ARM – AP VIEW 350

178. X- RAY ELBOW JOINT WITH UPPER FORE-ARM – LAT VIEW 350

179. X- RAY ELBOW JOINT WITH UPPER FORE-ARM – AP & LAT VIEW 700

180. X- RAY FORE-ARM (RADIUS & ULNA) – AP VIEW 350

181. X- RAY FORE-ARM (RADIUS & ULNA) – LAT VIEW 350

182. X- RAY FORE-ARM (RADIUS & ULNA) – AP & LAT VIEW 700

183. X- RAY FORE-ARM(RADIUS & ULNA)–WITH WRIST JOINT-AP VIEW 350

184. X- RAY FORE-ARM(RADIUS & ULNA)–WITH WRIST JOINT-LAT VIEW 350

185. X- RAY FORE-ARM(RADIUS & ULNA)–WITH WRIST JOINT AP & LAT VIEW 700

186. X- RAY WRIST JOINT- AP VIEW 350

187. X- RAY WRIST JOINT- AP VIEW WITH ULNAR DEVIANTION 350

188. X- RAY WRIST JOINT- OBL VIEW 350

189. X- RAY WRIST JOINT- LAT VIEW 350

190. X- RAY WRIST JOINT- AP & LAT VIEW 700

191. X- RAY WRIST JOINT – AP & OBL VIEW 700

192. X- RAY WRIST JOINT – AP & LAT & OBL VIEW 1000

193. X- RAY HAND- AP VIEW(SINGLE/BOTH) 350

194. X- RAY HAND- OBL VIEW 350


68


195. X- RAY HAND- LAT VIEW 350

196. X- RAY HAND- AP & LAT VIEW 700

197. X- RAY HAND- AP & OBL VIEW 700

198. X- RAY HAND- AP & LAT & OBL VIEW 1000

199. X- RAY THUMB – AP VIEW 350

200. X- RAY THUMB LAT VIEW 350

201. X- RAY THUMB AP & LAT VIEW 700

202. X- RAY FINGER(SPECIFIC) – AP VIEW 350

203. X- RAY FINGER(SPECIFIC) – LAT VIEW 350

204. X- RAY FINGER(SPECIFIC) – AP & LAT VIEW 700

205. X- RAY INFANTO-GRAM 350

206. X- RAY INVERTO-GRAM 350

207. X- RAY AP VIEW 350

208. X- RAY PA VIEW 350

209. X- RAY OBLIQUE 350

210. X- RAY LATERAL 350

211. X- RAY BILATERAL LATERAL VIEW 700

212. X- RAY DECUBITUS 350

213. X- RAY SUPINE 350

214. X- RAY ERECT 350

215. X- RAY TRANS-LATERAL 350

216. X- RAY AXIAL VIEW 350

217. PORTABLE X- RAY-BED SIDE 500

SPECIAL INVESTIGATIONS

218. X- RAY SPECIAL INVESTIGATION-BARIUM SWALLOW 2000

219. X- RAY SPECIAL INVESTIGATION-BARIUM MEAL 2500

220. X- RAY SPECIAL INVESTIGATION-BARIUM MEAL FOLLOW THROUGH 3500

221. X- RAY SPECIAL INVESTIGATION-BARIUM ENEMA 2500

222. X- RAY SPECIAL INVESTIGATION-GASTROGRAFFIN STUDY 3000

223. X- RAY SPECIAL INVESTIGATION-H.S.G(HYSTERO-SALPHINGOGRAPHY) 3000

224. X- RAY SPECIAL INVESTIGATION-I.V.P(INTRA-VENOUS PYELOGRAPHY) 2800

225. X- RAY SPECIAL INVESTIGATION- I.V.P + M.C.U 3200

226. X- RAY SPECIAL INVESTIGATION- M.C.U 2500


69


227. X- RAY SPECIAL INVESTIGATION- R.G.U 2500

228. X- RAY SPECIAL INVESTIGATION- R.G.U-M.C.U 3500

229. X- RAY SPECIAL INVESTIGATION-SIALOGRAM 1800

230. X- RAY SPECIAL INVESTIGATION-FISTULOGRAM 1800

231. X- RAY SPECIAL INVESTIGATION-SINOGRAM 1800

232. X- RAY SPECIAL INVESTIGATION-DACROCYSTOGRAM 1800

233. X- RAY SPECIAL INVESTIGATION-CYSTOGRAM 1800

234. X- RAY SPECIAL INVESTIGATION-T-TUBE CHOLANGIOGRAM 2500

235. X- RAY SPECIAL INVESTIGATION-INTRA-OPERATIVE CHOLANGIOGRAPHY 2500

236. X- RAY SPECIAL INVESTIGATION-ARTHROGRAPHY 3000

237. X- RAY SPECIAL INVESTIGATION-RETROGRADE PYELOGRAPHY 2200

238. X- RAY SPECIAL INVESTIGATION-COLONOGRAM(GASROGRAFFIN STUDY) 2000

MAMMOGRAPHY

239. MAMMOGRAPHY(X- RAY)-SINGLE BRAEST(FEMALE) 1500

240. MAMMOGRAPHY(X- RAY)-SINGLE BRAEST(MALE) 1500

241. MAMMOGRAPHY(X- RAY)-BOTH BRAEST(FEMALE) 2000

242. MAMMOGRAPHY(X- RAY)-BOTH BRAEST(MALE) 2000

CT-SCAN

243. CT HEAD WITHOUT CONTRAST 2500

244. CT HEAD WITH CONTRAST 3000

245. CT HEAD WITH IAM SCREENING WITHOUT CONTRAST 3500

246. CT HEAD WITH IAM SCREENING WITH CONTRAST 4000

247. CT HEAD WITH CVJ SCREENING WITHOUT CONTRAST 3500

248. CT HEAD WITH CVJ SCREENING WITH CONTRAST 4000

249. CT HEAD WITH ORBIT SCREENING WITHOUT CONTRAST 3500

250. CT HEAD WITH ORBIT SCREENING WITH CONTRAST 4000

251. CT HEAD WITH PNS(AXIL) SCREENING WITHOUT CONTRAST 3500

252. CT HEAD WITH PNS(AXIL) SCREENING WITH CONTRAST 4000

253. CT HEAD WITH TEMPORAL BONE SCREENING WITHOUT CONTRAST 3500

254. CT HEAD WITH TEMPORAL BONE SCREENING WITH CONTRAST 4000

255. CT HEAD WITH SELLA SCREENING WITHOUT CONTRAST 3500

256. CT HEAD WITH SELLA SCREENING WITH CONTRAST 4000


70


257. CT SELLA/PITUITARY-AXIAL WITHOUT CONTRAST 3500

258. CT SELLA/PITUITARY-AXILWITH CONTRAST 4000

259. CT SELLA/PITUITARY-CORONAL WITHOUT CONTRAST 3500

260. CT SELLA/PITUITARY-CORONAL WITH CONTRAST 4000

261. CT SELLA/PITUITARY-AXIAL & CORONAL WITHOUT CONTRAST 3500

262. CT SELLA/PITUITARY-AXIAL & CORONAL WITH CONTRAST 4000

263. CT PNS AXIAL WITHOUT CONTRAST 3000

264. CT PNS AXIAL WITH CONTRAST 4000

265. CT PNS CORONAL WITHOUT CONTRAST 3000

266. CT PNS CORONAL WITH CONTRAST 4000

267. CT PNS AXIAL & CORONAL WITHOUT CONTRAST 3500

268. CT PNS AXIAL & CORONAL WITH CONTRAST 4500

269. CT ORBITS AXIAL WITHOUT CONTRAST 3000

270. CT ORBITS AXIAL WITH CONTRAST 3500

271. CT ORBITS CORONAL WITH CONTRAST 3500

272. CT ORBITS CORONAL WITHOUT CONTRAST 3000

273. CT ORBITS AXIAL & CORONAL WITHOUT CONTRAST 3500

274. CT ORBITS AXIAL & CORONAL WITH CONTRAST 4000

275. HRCT TEMPORALBONE WITHOUT CONTRAST 5000

276. HRCT TEMPORALBONE WITH CONTRAST 5500

277. CT CJV WITHOUT CONTRAST 3500

278. CT CJV WITH CONTRAST 4000

279. CT FACE WITHOUT CONTRAST 4500

280. CT FACE WITH CONTRAST 5000

281. CT FACE WITHOUT CONTRAST – 3D RECON 6000

282. CT FACE WITH CONTRAST – 3D 6500

283. CT TM JOINT AXIAL WITHOUT CONTRAST 4500

284. CT TM JOINT AXIAL WITH CONTRAST 5000

285. CT TM JOINT CORONAL WITHOUT CONTRAST 4500

286. CT TM JOINT CORONAL WITH CONTRAST 5000

287. CT TM JOINT AXIAL & CORONAL WITHOUT CONTRAST 5000

288. CT TM JOINT AXIAL & CORONAL WITH CONTRAST 5500

289. CT MANDIBLE WITHOUT CONTRAST 4500


71


290. CT MANDIBLE WITH CONTRAST 5000

291. CT NECK WITHOUT CONTRAST 3500

292. CT NECK WITH CONTRAST 4500

293. CT LARYNX WITHOUT CONTRAST 3500

294. CT LARYNX WITH CONTRAST 4500

295. CT NECK WITH UPPER CHEST WITHOUT CONTRAST 5500

296. CT NECK WITH UPPER CHEST WITH CONTRAST 6500

297. CT NECK WITH C-SPINE WITHOUT CONTRAST 5000

298. CT NECK WITH C-SPINE WITH CONTRAST 5500

299. CT SHOULDER JOINT WITHOUT CONTRAST 4000

300. CT SHOULDER JOINT WITH CONTRAST 4500

301. CT SHOULDER JOINT WITHOUT CONTRAST-3DRECON / VR 5500

302. CT SHOULDER JOINT WITH CONTRAST-3D RECON / VR 6000

303. CT CHEST/THORAX WITHOUT CONTRAST 4500

304. CT CHEST/THORAX WITH CONTRAST 5000

305. CT CHEST/THORAX WITH LOWER NECK WITHOUT CONTRAST 5500

306. CT CHEST/THORAX WITH LOWER NECK WITH CONTRAST 6000

307. CT CHEST/THORAX WITH UPPER ABDOMEN WITHOUT CONTRAST 5500

308. CT CHEST/THORAX WITH UPPER ABDOMEN WITH CONTRAST 6500

309. HRCT CHEST/LUNGS WITHOUT CONTRAST 5000

310. HRCT CHEST/LUNGS WITH CONTRAST 5500

311. CT LOWER CHEST WITH UPPER ABDOMEN WITHOUT CONTRAST 5500

312. CT LOWER CHEST WITH UPPER ABDOMEN WITH CONTRAST 6000

313. CT UPPER ABDOMEN WITHOUT CONTRAST(ORAL ONLY) 4500

314. CT UPPER ABDOMEN WITH CONTRAST (ORAL &IV) 5000

315. CT WHOLE ABDOMEN WITHOUT CONTRAST(ORAL ONLY) 5500

316. CT WHOLE ABDOMEN WITH CONTRAST (ORALONLY) 7000

317. CT KUB WITHOUT CONTRAST 5500

318. CT KUB WITH CONTRAST 7000

319. CT LOWER ABDOMEN WITHOUT CONTRAST(ORAL ONLY) 4500

320. CT LOWER ABDOMEN WITH CONTRAST (ORLA & IV) 5000

321. CT PELVIS WITHOUT CONTRAST 4500

322. CT PELVIS WITH CONTRAST 5000


72


323. CT PELVIS WITHOUT CONTRAST(BONE)-3D RECON/VR 5500

324. CT PELVIS WITH CONTRAST(BONE)-3DRECON / VR 6500

325. CT PELVIS WITH BOTH HIP JOINT WITHOUT CONTRAST 5000

326. CT PELVIS WITH BOTH HIP JOINT WITH CONTRAST 6000

327. CT SACRO-ILIAC (S.I) JOINT WITHOUT CONTRAST 4000

328. CT SACRO-ILIAC (S.I) JOINT WITH CONTRAST 4500

329. CT HIP JOINT WITHOUT CONTRAST 4500

330. CT HIP JOINT WITH CONTRAST 5000

331. CT HIP JOINT WITH UPPER THIGH(FEMUR)WITHOUT CONTRAST 5500

332. CT HIP JOINT WITH UPPER THIGH(FEMUR)WITH CONTRAST 6000

333. CT THIGH(FEMUR)WITHOUT CONTRAST 5500

334. CT THIGH(FEMUR)WITH CONTRAST 6000

335. CT LOWER THIGH(FEMUR)WITH KNEE JOINT WITHOUT CONTRAST 5000

336. CT LOWER THIGH(FEMUR)WITH KNEE JOINT WITH CONTRAST 5500

337. CT KNEE JOINT WITHOUT CONTRAST 4000

338. CT KNEE JOINT WITH CONTRAST 4500

339. CT KNEE JOINT WITHOUT CONTRAST-3DRECON / VR 5000

340. CT KNEE JOINT WITH CONTRAST-3DRECON / VR 5500

341. CT KNEE JOINT WITH LOWER LEG(TIBIA & FIBULA) WITHOUT CONTRAST 4500

342. CT KNEE JOINT WITH LOWER LEG(TIBIA & FIBULA) WITH CONTRAST 5000

343. CT LEG(TIBIA & FIBULA) WITHOUT CONTRAST 5500

344. CT LEG(TIBIA & FIBULA) WITH CONTRAST 6000

345. CT LOWER LEG(TIBIA & FIBULA)WITH ANKLE JOINT WITHOUT CONTRAST 5000

346. CT LOWER LEG(TIBIA & FIBULA) WITH ANKLE JOINT WITH CONTRAST

5500

347. CT ANKLE JOINT WITHOUT CONTRAST 4000

348. CT ANKLE JOINT WITH CONTRAST 4500

349. CT ANKLE JOINT WITHOUT CONTRAST-3D RECON/VR 5000

350. CT ANKLE JOINT WITH CONTRAST-3D RECON/VR 5500

351. CT FOOT WITHOUT CONTRAST 5000


73


352. CT FOOT WITH CONTRAST 5500

353. CT FOOT WITHOUT CONTRAST-3D RECON/VR 6000

354. CT FOOT WITH CONTRAST-3D RECON/VR 6500

355. CT CERVICAL / C-SPINE WITHOUT CONTRAST 4500

356. CT CERVICAL / C-SPINE WITH CONTRAST 5000

357. CT DORSAL / THORACIC (D/T) SPINE WITHOUT CONTRAST 4500

358. CT DORSAL / THORACIC (D/T) SPINE WITH CONTRAST 5000

359. CT LUMBO-SACRAL SPINE WITHOUT CONTRAST 4500

360. CT LUMBO-SACRAL SPINE WITH CONTRAST 5000

361. CT SPINE (SPECIFIC 5 VERTEBRA) WITHOUT CONTRAST 4000

362. CT SPINE (SPECIFIC 5 VERTEBRA) WITH CONTRAST 4500

363. CT HUMERUS (ARM) WITHOUT CONTRAST 5000

364. CT HUMERUS (ARM) WITH CONTRAST 5500

365. CT HUMERUS (ARM) WITH ELBOW JOINT WITHOUT CONTRAST 4500

366. CT HUMERUS (ARM) WITH ELBOW JOINT WITH CONTRAST 5000

367. CT ELBOW JOINT WITHOUT CONTRAST 4000

368. CT ELBOW JOINT WITH CONTRAST 4500

369. CT ELBOW JOINT WITH FORE-ARM (RADIUS & ULNA) WITHOUT CONTRAST 4500

370. CT ELBOW JOINT WITH FORE-ARM (RADIUS & ULNA) WITH CONTRAST 5000

371. CT FORE-ARM (RADIUS & ULNA) WITHOUT CONTRAST 5000

372. CT FORE-ARM (RADIUS & ULNA) WITH CONTRAST 5500

373. CT FORE-ARM (RADIUS & ULNA) WITH WRIST JOINT WITHOUT CONTRAST 5500

374. CT FORE-ARM (RADIUS & ULNA) WITH WRIST JOINT WITHOUT CONTRAST 6000

375. CT WRIST JOINT WITHOUT CONTRAST 4000

376. CT WRIST JOINT WITH CONTRAST 4500

377. CT HAND WITHOUT CONTRAST 4500

378. CT HAND WITH CONTRAST 5000

379. CT UPPER LIMB WITHOUT CONTRAST WITH-3D RECON/VR (BONE) 7500

380. CT LOWER LIMB WITHOUT CONTRAST WITH-3D RECON/VR (BONE) 7500

381. CT GUIDED FNAC 3000

382. CT GUIDED FNAC (IF SCAN DONE ANYWERE ELSE) 4000

383. CT GUIDED INTER -VENSIONS (PROCEDURES) 3500

384. CONTRAST CHARGES-BRAIN (ADDITIONAL) 600


74


385. CONTRAST CHARGES-BODY (ADDITIONAL) 1200

386. CONTRAST CHARGES (ADDITIONAL) – VISIPAQUE 2500

387. CT 3D RECON WITH VR (ADDITIONAL CHARGE) 1200

388. CT SCANOGRAM 1700

SPECIAL CT INVESTIGATIONS

389. CT ANGIOGRAPHY WITH 3D RECON/VR-BRAIN (CIRCLE OF WILLIS) 10000

390. CT ANGIOGRAPHY WITH 3D RECON/VR-CAROTID ARTERIES 10000

391. CT ANGIOGRAPHY WITH 3D RECON/VR-PULMONARY ARTERY 10000

392. CT ANGIOGRAPHY WITH 3D RECON/VR-THORACIC AORTA 10000

393. CT ANGIOGRAPHY WITH 3D RECON/VR-THORACIC & ABDOMINAL AORTA 12000

394. CT ANGIOGRAPHY WITH 3D RECON/VR-ABDOMINAL AORTA 10000

395. CT ANGIOGRAPHY WITH 3D RECON/VR-RENAL & ABDOMINAL AORTA 11000

396. CT ANGIOGRAPHY WITH 3D RECON/VR-ABDOMINAL & LOWER LIMB 12000

397. CT ANGIOGRAPHY WITH 3D RECON/VR-LOWER LIMB 12000

398. CT ANGIOGRAPHY WITH 3D RECON/VR-UPPER LIMB 12000

399. CT PELVIS WITH RGU (WITH CONTRAST) 5500

400. CT UROGRAPHY (KUB REGION) 9000

401. CT BI-PHASIC/TRI-PHASIC LIVER SCAN WITH UPPER ABDOMEN 8000

402. CT BI-PHASIC/TRI-PHASIC LIVER SCAN WITH WHOLE ABDOMEN 9000

403. CT TRAUMA SCAN(NC-HEAD,FACE(3D),C-SPINE,CT-CHEST & WHOLE ABD) 21500

404. CT CISTERNOGRAPHY 9000

405. ANESTHESIA CHARGES(ADDITIONAL CHARGES-CT) 2500

406. AMBULANCE CHARGES(ADDITIONAL CHARGES) 250

ULTRASOUND

407. USG WHOLE ABDOMEN 1250

408. USG UPPER ABDOMEN 1250

409. USG LOWER ABDOMEN 1250

410. USG PELVIS 1250

411. USG K.U.B 1250

412. USG TRUS(TRANSRECTAL) 1800

413. USG TVS(TRANSVAGINAL) 1600


75


414. USG ABDOMEN WITH TVS 2250

415. USG HEAD/CRANIUM 1600

416. USG FOLLICULAR ON DAY 01 1600

417. USG FOLLCULAR MONITORING(SINGLE DAY) 1600+600

PER DAY

418. USG FOLLUCULAR MONITORING (ONE DAY) 750

419. USG FOLLICULAR MONITORING COMPLETE 3000

420. USG NECK 1800

421. USG SOFT TISSUE 1800

422. ----------- 00

423. USG EMERGENCY CHARGES(ADDITIONAL) 1000

424. USG EMERGENCY CHARGES(PORTABLE) 1000

425. ----------- 00

426. USG CHEST/THORAX 1600

427. USG ORBITS OR BETA SCAN 1600

428. USG SCROTUM 1800

429. USG TESTIS 1800

430. USG BREAST 1600

431. USG BOTH BREAST 1800

432. USG JOINTS(SINGLE) 1800

433. USG OBS FOR FOETAL WELL BEING(FWB) 1600

434. USG OBS FOR FOETAL WELL BEING(FWB)-TWINS 1900

435. USG OBS WITH WHOLE ABDOMEN 2500

436. USG OBS 3D/4D(SINGLE) 3500

437. USG OBS 3D/4D(TWINS) 4500

438. USG OBS BIOPHYSICAL PROFILE 3000

439. USG OBS LEVEL 2 3500

440. USG COLOR DOPPLER-OBS 3000

441. USG COLOR DOPPLER-OBS(TWINS) 4000

442. USG COLOR DOPPLER-RENAL ARTERIES 2500

443. USG COLOR DOPPLER-SCROTUM 2500

444. USG COLOR DOPPLER-PENILE 3000

445. USG COLOR DOPPLER-CAROTID 2500

446. USG COLOR DOPPLER-PSEUDOANEURYSM COMPRESSION 4000


76


447. USG COLOR DOPPLER-ABDOMINAL AORTA 2500

448. USG COLOR DOPPLER ARTERIAL-RIGHT UPPER LIMB 2500

449. USG COLOR DOPPLER ARTERIAL-LEFT UPPER LIMB 2500

450. USG COLOR DOPPLER ARTERIAL RIGHT LOWER LIMB 2500

451. USG COLOR DOPPLER ARTERIAL-LEFT LOWER LIMB 2500

452. USG COLOR DOPPLER ARTERIAL-BOTH UPPER LIMB 4000

453. USG COLOR DOPPLER ARTERIAL-BOTH LOWER LIMB 4000

454. USG COLOR DOPPLER VENOUS-RIGHT UPPER LIMB 2500

455. USG COLOR DOPPLER VENOUS- LEFT UPPER LIBM 2500

456. USG COLOR DOPPLER VENOUS-RIGHT LOWER LIMB 2500

457. USG COLOR DOPPLER VENOUS-LEFT LOWER LIMB 2500

458. USG COLOUR DOPPLERVENOUS BOTH UPPER LIMB 4000

459. USG B/L LOWER LIMB VENOUS DOPPLER 4000

460. USG COLOR DOPPLER-EMG.CHARGES 1000

461. USG COLOR DOPPLER-EMG.CHARGES(PORTABLE) 1000

462. USG GUIDED FNAC 2000

463. USG GUIDED LIVER ABSCESS DRAINAGE 6000

464. USG GUIDED LUNG ABSCESS DRAINAGE 6000

465. USG GUIDED PELVIC ABSCESS DRAINAGE 6000

466. USG GUIDED ASCITIC TAP(DIAGNOSTIC) 1500

467. USG GUIDED PLEURAL TAP(DIAGNOSTIC) 1500

468. USG GUIDEDPLEURAL DRAINAGE(THERAPEUTIC) 4000

469. USG TRUS GUIDED PROSTATE FNAC-UROLOGY 2000

470. USG(EMERGENCY-PORTABLE) 2000

471. USG SMALL PARTS 1800

472. USG GUIDED RENAL BIOPSY 2000

473. USG SURFACE MARKING 1200

474. USG ABDOMEN-3D 3000

475. USG ELASTOGRAPHY 4000

476. USG THYROID 1400

477. POST VOID RESIDUE 300

478. SELECTIVE CBD SCAN/ HEPRATOBILIARY 500

BMD -DEXA


77


479. DEXA-FORE ARM 1500

480. DEXA-SPINE(LUMBAR) 1500

481. DEXA-SPINE(LUMBAR) WITH SINGLE HIP JOINT 2000

482. DEXA-SPINE(LUMBAR) WITH BOTH HIP JOINT 3000

483. DEXA- WHOLE BODY(FAT-ANALYSIS) 4000

M.R.I

484. MRI BRAIN 6750

485. MRI BRAIN SCREENING 3500

486. MRI BRAIN WITH SEIZURE PROTOCOL 8000

487. MRI BRAIN WITH SEIZURE PROTOCOL & SPECTROSCOPY 12000

488. MRI BRAIN WITH SPECTROSCOPY 10000

489. MRI BRAIN WITH MRA 10000

490. MRI BRAIN WITH MRV 10000

491. MRI BRAIN WITH MRA & MRV 13000

492. MRI BRAIN WITH CONTRAST 9500

493. MRI CONTRAST CHARGES(ADDITIONAL CHARGES) 3000

494. MRI ORBIT 6750

495. MRI ORBIT SCREENING 3500

496. MRI IAM (INTERNAL AUDITORY MEATUS) 6750

497. MRI IAM(INTERNAL AUDITORY MEATUS) SCREENING 3500

498. MRI C.V.J(CRANIO-VERTEBRAL JUNCTION) 6750

499. MRI C.V.J(CRANIO-VERTEBRAL JUNCTION) SCREENING 3500

500. MRI T.M JOINT (OPEN & CLOSE) 6750

501. MRI T.M JOINT SCREENING (CLOSE MOUTH) 3500

502. MRI T.M JOINT SCREENING (OPEN MOUTH) 3500

503. MRI PNS (PARA NASAL SINUSES) 6750

504. MRI PNS (PARA NASAL SINUSES) SCREENING 3500

505. MRI FACE 6750

506. MRI FACE SCREENING 3500

507. MRI MANDIBLE 6750

508. MRI MANDIBLE SCREENING 3500

509. MRI NASOPHARYNX 6750

510. MRI NASOPHARYNX SCREENING 3500


78


511. MRI TOUNGE 6750

512. MRI NECK 6750

513. MRI NECK SCREENING 3500

514. MRI THYRIOD 6750

515. MRI LARYNX 6750

516. MRI C-SPINE 6750

517. MRI C-SPINE SCREENING 3500

518. MRI D/T-SPINE 6750

519. MRI D/T-SPINE SCREENING 3500

520. MRI L S SPINE 6750

521. MRI L S SPINE SCREENING 3500

522. MRI S.I JOINT 6750

523. MRI S.I JOINT SCREENING 3500

524. MRI CHEST/THORAX 6750

525. MRI CHEST/THORAX SCREENING 3500

526. MRI UPPER ABDOMEN 6750

527. MRI UPPER ABDOMEN SCREENING 3500

528. MRI LOWER ABDOMEN 6750

529. MRI LOWER ABDOMEN SCREENING 3500

530. MRI UPPER ABDOMEN WITH MRCP 7500

531. MRCP 6000

532. MRI PELVIS 6750

533. MRI PELVIS SCREENING 3500

534. MRI PELVIS WITH BOTH HIP JOINT 6750

535. MRI HIP JOINT 6750

536. MRI HIP JOINT SCREENING 3500

537. MRI PROSTATE 6750

538. MRI KUB 6750

539. MRI WHOLE ABDOMEN(UPPER & LOWER) 11000

540. MRI THIGH(SINGLE) 6750

541. MRI THIGH (BOTH) 13500

542. MRI THIGH SCREENING (SINGLE) 3500

543. MRI KNEE JOINT (SINGLE) 6750


79


544. MRI KNEE JOINT (BOTH) 13500

545. MRI KNEE JOINT SCREENING (SINGLE) 3500

546. MRI LEG (SINGLE) 6750

547. MRI LEG (BOTH) 13500

548. MRI LEG SCREENING (SINGLE) 3500

549. MRI ANKLE JOINT (SINGLE) 6750

550. MRI ANKLE JOINT (BOTH) 13500

551. MRI ANAESTHESIOA CHARGE (ADDITIONAL CHARGE) 3500

552. Portable X-Ray- Bed Side 500

553. Portable / Bed Side Echo3 2000

554. Portable X-Ray Abdomen Decubetus 500

555. Portable X-Ray Chest Decubetus 500

556. Portable X-Ray Abdomen (Kub) - Ap View 500

557. Portable X-Ray Abdomen- Ap View (Errect) 500

558. Portable X-Ray Abdomen- Ap View (Supine) 500

559. Portable X-Ray Ankle Joint - Ap & Lat View (Single) 1000

560. Portable X-Ray Ankle Joint - Ap & Lat View (Bilatearl) 1500

561. Portable X-Ray Ankle Joint - Ap View 500

562. Portable X-Ray Ankle Joint - Lat View ( Single) 500

563. Portable X-Ray Ankle Joint - Lat View (Bilateral) 1000

564. Portable X-Ray Ankle Joint - Obl View 500

565. Portable X-Ray Ap View 500

566. Portable X-Ray Arm ( Humerus) Latview 500

567. Portable X-Ray Arm ( Humerus) - Ap & Lat View 1000

568. Portable X-Ray Arm ( Humerus) - Ap View 500

569. Portable X-Ray Arm ( Humerus) With Elbow Joint - Ap & Lat View 1000

570. Portable X-Ray Arm ( Humerus) With Elbow Joint - Ap View 500

571. Portable X-Ray Arm ( Humerus) With Elbow Joint Lat View 500

572. Portable X-Ray Axial View 500

573. Portable X-Ray Bilateral Lateral View 1000

574. Portable X-Ray C- D Spine - Ap View 500

575. Portable X-Ray C- D Spine - Ap & Obl & Lat View 1500

576. Portable X-Ray C- D Spine - Ap & Obl View Portable 1000


80


577. Portable X-Ray C- D Spine - Lat View 500

578. Portable X-Ray C- D Spine - Obl View (Swimer S View) 500

579. Portable X-Ray C- Spine - Ap View 500

580. Portable X-Ray C- Spine - Ap & Lat View 1000

581. Portable X-Ray C- Spine - Lat View 500

582. Portable X-Ray C- Spine - Lat & Flex & Exten View 1500

583. Portable X-Ray C- Spine - Lat (Extension) View 500

584. Portable X-Ray C- Spine - Lat (Flex & Exten.) View 1000

585. Portable X-Ray C- Spine - Lat (Flexion) View 500

586. Portable X-Ray Calcanium - Axial View(Bilateral) 1000

587. Portable X-Ray Calcanium - Axial & Lat View(Bilateral) 2000

588. Portable X-Ray Calcanium - Axial & Lat View(Single) 1000

589. Portable X-Ray Calcanium - Axial View(Single) 500

590. Portable X-Ray Calcanium - Lat View(Bilateral) 1000

591. Portable X-Ray Calcanium - Lat View(Single) 500

592. Portable X-Ray Chest - Ap View ( Errect ) 500

593. Portable X-Ray Chest - Lat View 500

594. Portable X-Ray Chest - Obl View (Bilateral) 1000

595. Portable X-Ray Chest - Obl View (Single) 500

596. Portable X-Ray Chest - Pa View 500

597. Portable X-Ray Chest Apicogram - Ap View 500

598. Portable X-Ray Chest Apicogram - Pa View 500

599. Portable X-Ray Chest- Ap View 500

600. Portable X-Ray Clavicle Bone - Ap View 500

601. Portable X-Ray Coccyx - Ap & Lat View 1000

602. Portable X-Ray Coccyx - Ap View 500

603. Portable X-Ray Coccyx - Lat View 500

604. Portable X-Ray Cvj (C1-C2)- Ap & Lat View 1000

605. Portable X-Ray Cvj (C1-C2)- Ap View 500

606. Portable X-Ray Cvj (C1-C2)- Lat View 500

607. Portable X-Ray D/T- Spine - Ap View 500

608. Portable X-Ray D/T- Spine - Ap & Lat View 1000

609. Portable X-Ray D/T- Spine - Lat View 500


81


610. Portable X-Ray D/T- Spine - Lat & Flex & Exten View 1500

611. Portable X-Ray D/T- Spine - Lat (Extension) View 500

612. Portable X-Ray D/T- Spine - Lat (Flex & Exten.) View 1000

613. Portable X-Ray D/T- Spine - Lat (Flexion) View 500

614. Portable X-Ray Decubitus 500

615. Portable X-Ray Dorso-Lumbar Spine - Ap View 500

616. Portable X-Ray Dorso-Lumbar Spine - Ap & Lat View 1000

617. Portable X-Ray Dorso-Lumbar Spine - Lat View 500

618. Portable X-Ray Elbow Joint - Ap & Lat View 1000

619. Portable X-Ray Elbow Joint - Ap View 500

620. Portable X-Ray Elbow Joint - Lat View 500

621. Portable X-Ray Elbow Joint With Upper Fore-Arm - Ap View 500

622. Portable X-Ray Elbow Joint With Upper Fore-Arm - Ap & Lat View 1000

623. Portable X-Ray Elbow Joint With Upper Fore-Arm- Lat View 500

624. Portable X-Ray Errect 500

625. Portable X-Ray Femur/Thigh- Ap & Lat View 1000

626. Portable X-Ray Femur/Thigh- Ap View 500

627. Portable X-Ray Femur/Thigh- Lat View 500

628. Portable X-Ray Finger(Specific) - Lat View 500

629. Portable X-Ray Finger(Specific) - Ap View 500

630. Portable X-Ray Finger(Specific) - Ap & Lat View 1000

631. Portable X-Ray Foot - Ap & Lat View (Bilatearl) 1500

632. Portable X-Ray Foot - Ap & Obl & Lat View (Bilatearl) 3000

633. Portable X-Ray Foot - Ap & Obl & Lat View (Single) 1500

634. Portable X-Ray Foot - Ap & Obl View (Bilatearl) 1500

635. Portable X-Ray Foot - Lat View ( Single) 500

636. Portable X-Ray Foot - Lat View (Bilateral) 1000

637. Portable X-Ray Foot - Obl View 500

638. Portable X-Ray Foot - Ap & Obl View ( Single) 1000

639. Portable X-Ray Foot - Ap View 500

640. Portable X-Ray Fore-Arm (Radius & Ulna) - Ap & Lat View 1000

641. Portable X-Ray Fore-Arm (Radius & Ulna) - Ap View 500

642. Portable X-Ray Fore-Arm (Radius & Ulna) - Lat View 500


82


643. Portable X-Ray Fore-Arm (Radius & Ulna) With Wrist Joint - Ap View 500

644. Portable X-Ray Fore-Arm (Radius & Ulna) With Wrist Joint- Ap & Lat View 1000

645. Portable X-Ray Fore-Arm (Radius & Ulna) With Wrist Joint- Lat View 500

646. Portable X-Ray Great Toe - Ap & Lat View 1000

647. Portable X-Ray Great Toe - Ap & Obl & Lat View 1500

648. Portable X-Ray Great Toe - Ap View 500

649. Portable X-Ray Great Toe - Lat View 500

650. Portable X-Ray Great Toe - Obl View 500

651. Portable X-Ray Hand - Ap & Lat View 1000

652. Portable X-Ray Hand - Ap & Lat & Obl View 1500

653. Portable X-Ray Hand - Ap & Obl View 1000

654. Portable X-Ray Hand - Ap View (Single/Both) 500

655. Portable X-Ray Hand - Lat View 500

656. Portable X-Ray Hand - Obl View 500

657. Portable X-Ray Hip Joint - Ap & Lat View (Bilateral) 1500

658. Portable X-Ray Hip Joint - Ap & Lat View (Single) 1000

659. Portable X-Ray Hip Joint - Ap View (Bilateral) 500

660. Portable X-Ray Hip Joint - Ap View (Single) 500

661. PORTABLE X-RAY HIP JOINT - LAT VIEW ( SINGLE) 500

662. PORTABLE X-RAY HIP JOINT - LAT VIEW (BILATERAL) 1000

663. PORTABLE X-RAY HIP WITH UPPER THIGH (FEMUR) -AP & LAT VIEW 1000

664. PORTABLE X-RAY HIP WITH UPPER THIGH (FEMUR) -AP VIEW 500

665. PORTABLE X-RAY HIP WITH UPPER THIGH (FEMUR) -LAT VIEW 500

666. PORTABLE X-RAY INFANTO-GRAM 500

667. PORTABLE X-RAY INVERTO-GRAM 500

668. Portable X-Ray Knee Joint - Ap & Lat View (Bilatearl) 1500

669. Portable X-Ray Knee Joint - Ap & Lat View (Single) 1000

670. PORTABLE X-RAY KNEE JOINT - AP VIEW 1500

671. PORTABLE X-RAY KNEE JOINT - LAT VIEW ( SINGLE) 500

672. Portable X-Ray Knee Joint - Lat View (Bilateral) 1000

673. PORTABLE X-RAY KNEE JOINT WITH UPPER LEG - AP & LAT VIEW (BILATEARL) 1500

674. PORTABLE X-RAY KNEE JOINT WITH UPPER LEG - AP VIEW 500

675. PORTABLE X-RAY KNEE JOINT WITH UPPER LEG - LAT VIEW ( SINGLE) 500


83


676. PORTABLE X-RAY KNEE JOINT WITH UPPER LEG- AP & LAT VIEW (SINGLE) 1000

677. PORTABLE X-RAY KNEE JOINT WITH UPPER LEG- LAT VIEW (BILATERAL) 1000

678. Portable X-Ray L.S- Spine - Lat & Flex & Exten View 1500

679. Portable X-Ray L.S- Spine - Lat (Extension) View 500

680. PORTABLE X-RAY L.S- SPINE - LAT (FLEX & EXTEN.) VIEW 1000

681. PORTABLE X-RAY L.S- SPINE - LAT (FLEXION) VIEW 500

682. PORTABLE X-RAY LATERAL VIEW 500

683. PORTABLE X-RAY LOWER FEMUR WITH KNEE - AP & LAT VIEW ( BILATERAL) 1500

684. PORTABLE X-RAY LOWER FEMUR WITH KNEE - AP & LAT VIEW (SINGLE) 1000

685. PORTABLE X-RAY LOWER FEMUR WITH KNEE - AP VIEW 500

686. PORTABLE X-RAY LOWER FEMUR WITH KNEE - LAT VIEW (BILATERAL) 1000

687. PORTABLE X-RAY LOWER FEMUR WITH KNEE - LAT VIEW( SINGLE) 500

688. Portable X-Ray Lower Leg With Ankle Joint - Ap & Lat View (Bilatearl) 1500

689. PORTABLE X-RAY LOWER LEG WITH ANKLE JOINT - AP & LAT VIEW (SINGLE) 1000

690. PORTABLE X-RAY LOWER LEG WITH ANKLE JOINT - AP VIEW 500

691. PORTABLE X-RAY LOWER LEG WITH ANKLE JOINT - LAT VIEW (BILATERAL) 1000

692. PORTABLE X-RAY LOWER LEG WITH ANKLE JOINT- LAT VIEW ( SINGLE) 500

693. PORTABLE X-RAY LS- SPINE - AP VIEW 500

694. PORTABLE X-RAY LS- SPINE - AP & LAT VIEW 1000

695. PORTABLE X-RAY LS- SPINE - LAT VIEW 500

696. PORTABLE X-RAY MANDIBLE - AP & OBL VIEW ( BILATERAL) 1500

697. PORTABLE X-RAY MANDIBLE - AP & OBL VIEW ( SINGLE) 1000

698. PORTABLE X-RAY MANDIBLE - OBL VIEW ( BILATERAL) 1000

699. PORTABLE X-RAY MANDIBLE -AP VIEW 500

700. PORTABLE X-RAY MANDIBLE -OBL VIEW( SINGLE) 500

701. PORTABLE X-RAY MASTOID - LAT(OBL) VIEW (BILATERAL) 500

702. PORTABLE X-RAY MASTOID - LAT(OBL) VIEW (SINGLE) 500

703. PORTABLE X-RAY NASAL BONE - LAT VIEW (BILATERAL) 1000

704. PORTABLE X-RAY NASAL BONE - LAT VIEW (SINGLE) 500

705. PORTABLE X-RAY NASOPHARYNX(ADENOIDS) - LATERAL VIEW 500

706. PORTABLE X-RAY NECK (SOFT TISSUE) - AP VIEW 500

707. PORTABLE X-RAY NECK (SOFT TISSUE) - AP & LAT VIEW 1000

708. PORTABLE X-RAY NECK (SOFT TISSUE) - LAT VIEW 500


84


709. PORTABLE X-RAY OBLIQUE VIEW 500

710. PORTABLE X-RAY ORBIT - AP & LAT. VIEW 1000

711. PORTABLE X-RAY ORBIT - OBL. VIEW 500

712. PORTABLE X-RAY ORBIT - PA(OBL) VIEW 500

713. PORTABLE X-RAY ORBIT - PA(OBL) & LAT VIEW 1000

714. PORTABLE X-RAY P.N.S - PA VIEW (WATER S VIEW) 500

715. PORTABLE X-RAY P.N.S- AP VIEW 500

716. PORTABLE X-RAY PA VIEW 500

717. PORTABLE X-RAY PATELLA - AP & LAT VIEW 1000

718. PORTABLE X-RAY PATELLA - AP VIEW 500

719. PORTABLE X-RAY PATELLA - LAT VIEW 500

720. PORTABLE X-RAY PATELLA - SKYLINE VIEW 500

721. PORTABLE X-RAY PELVIS - LAT VIEW 500

722. Portable X-Ray Pelvis With Both Hip - Ap & Lat View 1000

723. Portable X-Ray Pelvis With Both Hip - Ap View 500

724. PORTABLE X-RAY SACRO-ILIAC ( S.I) JOINT- AP & OBL ( BILATERAL) VIEW 1500

725. PORTABLE X-RAY SACRO-ILIAC ( S.I) JOINT- AP & OBL (SINGLE) VIEW 1000

726. PORTABLE X-RAY SACRO-ILIAC ( S.I) JOINT- AP VIEW 500

727. PORTABLE X-RAY SACRO-ILIAC ( S.I) JOINT- OBL VIEW (BILATERAL) 1000

728. PORTABLE X-RAY SACRO-ILIAC ( S.I) JOINT- OBL VIEW (SINGLE) 500

729. PORTABLE X-RAY SACRUM - AP & LAT VIEW 1000

730. PORTABLE X-RAY SACRUM - AP VIEW 500

731. PORTABLE X-RAY SACRUM - LAT VIEW 500

732. PORTABLE X-RAY SCAPULA - AP VIEW 500

733. PORTABLE X-RAY SCAPULA - AP & LAT VIEW 1000

734. PORTABLE X-RAY SCAPULA - LAT VIEW 500

735. PORTABLE X-RAY SELLA - AP & LAT VIEW 1000

736. PORTABLE X-RAY SELLA - AP VIEW 500

737. PORTABLE X-RAY SELLA - LAT VIEW 500

738. Portable X-Ray Shoulder Joint - Ap View 500

739. PORTABLE X-RAY SHOULDER JOINT - AP & AXIAL VIEW 1000

740. Portable X-Ray Shoulder Joint - Axial View 500

741. PORTABLE X-RAY SHOULDER JOINT - LAT VIEW 500


85


742. PORTABLE X-RAY SKULL - AP VIEW (TOWN S VIEW) 500

743. PORTABLE X-RAY SKULL - AP & LAT. VIEW 1000

744. PORTABLE X-RAY SKULL - AP VIEW 500

745. PORTABLE X-RAY SKULL - LATERAL VIEW 500

746. PORTABLE X-RAY STERNUM - AP & LAT VIEW 1000

747. Portable X-Ray Sternum - Ap View 500

748. Portable X-Ray Sternum - Lat View 500

749. Portable X-Ray Styloid Process - Ap & Obl View 1000

750. Portable X-Ray Styloid Process - Ap View 500

751. Portable X-Ray Styloid Process - Obl View 500

752. Portable X-Ray Supine 500

753. Portable X-Ray T.M Joint - Ap View Close Mouth (Bilateral) 500

754. Portable X-Ray T.M Joint - Ap View Open & Close Mouth (Bilateral) 1000

755. Portable X-Ray T.M Joint - Ap View Open Mouth (Bilateral) 500

756. Portable X-Ray T.M Joint - Lat View (Bilateral) 1000

757. Portable X-Ray T.M Joint- Lat View (Single) 500

758. Portable X-Ray Thumb - Lat View 500

759. Portable X-Ray Thumb - Ap & Lat View 1000

760. Portable X-Ray Thumb - Ap View 500

761. Portable X-Ray Trans-Lateral 500

762. Portable X-Ray Wrist Joint - Ap & Lat View 1000

763. Portable X-Ray Wrist Joint - Ap & Lat & Obl View 1500

764. Portable X-Ray Wrist Joint - Ap & Obl View 1000

765. Portable X-Ray Wrist Joint - Ap View 500

766. Portable X-Ray Wrist Joint - Ap View With Ulnar Deviation 500

767. Portable X-Ray Wrist Joint - Lat View 500

768. Portable X-Ray Wrist Joint - Obl View 500

769. Portable X-Ray- Bed Side (Single) 500

770. Portable X-Ray-Bed Side(Additiona Charge Per Exposure) 150


86


Annexure 1

PHYSIOTHERAPY CHARGES


87


S.NO IPD / WARDS CHARGES PER VISIT NO. OF VISITS

1 TWIN SHARING 150/- VISIT 2

2 STANDARD 200/- VISIT 2

3 DELUXE 200/- VISIT 2

4 STROKE UNIT 250/- VISIT 2

5 MHDU / SHDU 250/- VISIT 2

6 ICU / CCU/ CARDIAC RECOVERY 300/- VISIT 3

S.NO Particulars CHARGES PER VISIT NO. OF VISITS

1 OPD 200/- 1

Routine Investigationincase of Angioplasty/ Angiography

Investigation Qty


88


-Complete Haemogram

-S.Electrolytes

-Blood Urea

-S.Creatinine

-Blood Sugar (R)

-Platelet Count&APTT/PTTK

-Blood Grouping(ABO/RH)

-HIV(only withconsent)

-HbsAg

-HCV

-PT(INR)

-ChestX-Ray

-ECG

1

1

1

1

1

1

1

1

1

1

1

1

1


89


Annexure

INVESTIGATIONS INCLUDEDINCARDIACSURGERIES

S.No.

INVESTIGATIONS UPTO 7000/- (NOT INCLUDE OUTSOURCED) No. Includedin

PACKAGE 1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

ABG

APTT

All Cultures

Blood groupingand crossmatching

Blood Urea

CBC

Colour Doppler (Carotid + IMA+ Renal) onlyfor Cardiac Surgeries

Colour Doppler (Carotid or Venousor Peripheral) onlyfor VascularSurgeries

Complete Urine Examination

CPK

CPK-MB

ECG

ECHO

Glucosebyglucometer

HbsAg

HCV-anti

Hemoglobin&hematocrit

HIV (only withconsent)

LFT

PFT

PT

RBS

SerumCreatinine

SerumElectrolyte

X-Ray(chest)

Asappropriate

Asappropriate

2

4

6

6

3

1

1

4

4

Asappropriate

2

Asappropriate

1

1

6

1

2

3

6

Asappropriate

6

6

8


90


Annexure B

DRUGS DOES NOT INCLUDEDINCARDIACSURGERIES

S.No. GENERIC NAMES OF ATIBIOTICS

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

ALBUMIN

AMPHOTERICINBLIPID COMPLEX(ampholip)

AZITHROMYCIN(azee, azithral)

AZTREO1GM INJECTION

AZTREONAM(ajenam)

CEFETAMET PIVOXIL(altamet)

CEFTAZIDIME (fortum)

CEFTIZOXIME (cefizox)

CEFTRIAXONE + TAZOBACTUM (xone)

CELEMIX

CLARITHROMYCIN(claribid, klacid, crixan, synclar)

CLINDAMYCIN(dalacin, dalcinex)

DEMECLOCYCLINE (ledermycin)

FAROPENEM (faronem)

FORTUMINJ 1GM VIAL

IMIPENEM+CILASTATIN(cilanem, zienem)

INJ. LIPOSOMALAMPHOTERICINB (ambisome, fungisome,abelcet)

JNTRALIPID20%250ML

LINCOMYCIN(lynx)

MEROPENAM(meronem, merotroyl)

MINOCYCLINE(cynomycin,minoz)

PERCUTANEOUSTRACHEOSTOMY7 FR(PCTKIT) WITHOUTFORECEP-PORTEX

PERCUTANEOUSTRACHEOSTOMY8 FR(PCTKIT) WITHFORECEP-PORTEX

PERCUTANEOUSTRACHEOSTOMY8 FR(PCTKIT) WITHOUTFORECEP-PORTEX

PERITONIALDIALYSIS CATHETER- ADULT (ROMSONS)

PERITONIALDIALYSISFLUID1 LITRE

PERITONIALDIALYSISINFUSIONSET(B.BRAUN)

PIPERACILINSODIUM+ TAZOBACTSODIUM(tajact, zosyn)

PIPERACILLINSODIUM(pipracil)

POLYMYXINS(poly-b)

PRIMACOR10 MLINJECTION

SOLU-MEDROLINJ 125MG/2 MLVIAL

TARGOCID 200MG INJ

TARGOCID 400MG INJ

TAZACT2.25GM INJ

TAZACT4.5GM INJ

TICARCILLIN+CLAVULANATEK(timentin)

VORICONAZOLE(vgend, voraz)

Note - Drugs Included up to 50000/-

Sr. No. Room Type Bed Charge IP Consultation

1 Cubicles 2100 600

2 Twin sharing 2750 700

3 Standard 3200 700

4 Deluxe 4100 800

5 ICU/CCU 6000 1000

6 Stroke Unit 4350 1000

7 SHDU / MHDU 3200 700

8 NICU LEVEL 2 2600 700

NICU LEVEL 3 3800 1000

9 VIP Suites 6400 1500

1 Visiting consultant charges in Emergency

10 am to 8 pm Double of OPD charges

8 pm to 10 am 1250

2 Day Care Room Charges

upto 12 Hours 1000

More than 12 Hours 2200

3 Emergency/Triage Charges 400 First Hour Free

4 Medical record Department 300

5 MLC Charges 1500

6 OPD/IPD Registration Charges 50/150

7 Dieticican Charges 250

8

OT Charges 60%

Anesthesia Charges 25%

OT Gases Charges 15%

Preanesthesia Charges Rs 1000

Assitant Surgeon Charges Rs 1000

Kamal Kant Garg

Managing Director

Emergency/Triage Charges

Procedure Charges Break-up under GA Of Surgeon Fees

SYNERGY ROOM TARIFF & IP CONSULTATION

Total (Inclusive of all services)

2700

3900

3300

4800

7900

3450

3900

4900

7000

5350

rate list of synergy institute of medical sciences...2019/05/12 · rate list of synergy institute...

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