NIMS TARIFF LIST
====================
DEPARTMENT OF ANAESTHESIOLOGY
=============================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------1067
300
1068
1000
1069
1000
1070
300
1071
300
1072
100
1073
100
1074
700
1075
1000
1076
1000
1077
500
1078
1000
1079
600
1080
1000
1081
750
1082
MINITRACHEOSTOMY
PERCUTANEOUS TRACHEOSTOMY (DISPOSABLES EXTRA)
DISPOSABLE VENTILLATORY TUBINGS
PCA PUMPS
OBSERVATION IN RICU
PAIN CLINIC: TENS PER HOUR
NERVE BLOCKS
SPINAL STEROIDS
INVESTIGATIVE PROCEDURES UNDER GA
BRONCHOGRAMS/BRONCHOSCOPY
MYELOGRAM
M.R.I. ANAESTHESIA CHARGES
VENTILATOR CHARGES PER DAY (SIMPLE VENTILATOR
VENTILATOR CHARGES PER DAY (SOPHISTICATED VEN
CT SCAN ANAESTHESIA CHARGES
C.CATH(SCLEROTHERAPY) AND STAND BY CATH
700
1083
500
1084
500
1085
CENTRAL VENOUS CATHETERIZATION
1086
100
1087
150
1088
400
SERUM ELECTROLYTES
RESUSCITATION
ARTERIAL BLOOD GAS (ABG)
ANAESTHESIA CONSULTATION
ANAESTHESIA FOR OP CASES (15 MINUTES)
125
1089
1000
1090
900
1091
2000
1092
750
1093
1500
1094
2750
1095
4000
1096
1000
1097
8000
1098
500
1099
50
1100
600
LPTAN
LPTAN2
2380
MR03
500
SPINAL ANAESTHESIA
ANAESTHESIA FOR MINOR CASES (30 MINUTES)
REGIONAL ANAESTH.FOR MAJOR SURG.PROC.EPIDURAL
ANAESTHESIA FOR RADIATION ONCOLOGY (5 SITTING
ANAESTHESIA FOR RADIATION ONCOLOGY (10 SITTIN
ANAESTH. FOR MAJOR SURG. WITH ENDOTRACHIAL TU
GEN. ANAES. FOR MAJOR SURG.WITH INVASIVE MONI
ANAESTHESIA FOR OHS(ASD, VSD)
ANAESTHESIA FOR OPERN HEART SURGERY (VALVES &
FIBER OPTIC BRONCHOSCOPY FOR DIFFICULTY INTUB
RESPIRATORY THERAPY
MONITORED ANAESTHESIA CARE
LIPID FREE PROPOFOL TRIAL
2310
SAFETY OF PROPOFOL LIPID-FREE STUDY
ANAESTHESIA CHARGES
DEPARTMENT OF BLOOD BANK
=======================
751A
60
752A
90
753A
90
754A
200
755A
75
756A
600
757A
600
758A
600
759A
750
760A
BLOOD GROUPING
DIRECT
COOMB'S TEST
INDIRECT COOMB'S TEST
ANTIBODY TITRE
BLOOD RESERVATION
1 UNIT OF BLOOD
1 UNIT OF FRESH FROZEN PLASMA
1 UNIT OF PLATELETS
1 UNIT OF CRYOPRECIPITATE
PLASMAPHERESIS
7000
761A
8500
762A
600
764A
765A
375
766A
100
767A
768A
300
769A
100
PLATELET PHERESIS
PREDONATION DONOR SCREENING FOR OPEN HEART SU
EXTERNAL CASE
100
MANUAL PLASMAPHERESIS
THERAPEUTIC PHLEBOTOMY
CRYO(HEMOPHILIA)
300
FFP(HEMOPHILIA)
SCREENING TRANSFUSION TRANSMITTED VIRUS
-----DEPARTMENT OF BIOCHEMISTRY
==========================
11A
50
11B
90
11C
11D
350
11E
30
12A
75
12B
150
12C
200
12D
13A
70
14A
70
15A
90
15B
310
16A
90
17A
120
18A
370
BLOOD GLUCOSE FASTING, SUGAR
GLUCOSE FASTING AND P.P.
GLUCOSE TOLERANCE TEST (GTT)
290
EXTENDED GTT
GLUCOSE (GLUCO METER)
ELECTROLYTES(CHLORIDE OR BICARBONATE) EACH
ELECTROLYTES (Na&K) BOTH
ELECTROLYTES (Na,K,Cl)ALL
CHLORIDE
BLOOD UREA
SERUM CREATININE
SERUM URIC ACID
SERUM LACTIC ACID
SERUM CHOLESTEROL (TOTAL)
SERUM TRIGLYCERIDES
LIPID PROFILE
80
18B
600
18C
600
19A
LPA
20A
60
21A
100
22A
SERUM PHOSPHORUS
ELISA HOMOCYSTEINE
SERUM CALCIUM
75
SERUM MAGNESIUM
SERUM FLUORIDE
70
URINE FLUORIDE
22B
70
22C
70
22D
200
22E
200
23A
210
23B
FLUORIDE WATER
FLUORIDE(SERUM & URINE & WATER) ALL
BONE FLUORIDE
SERUM OSMOLALITY
URINE OSMOLALITY
210
23C
370
24A
380
25A
90
26A
65
26B
65
26C
110
27A
85
28A
85
29A
85
29B
OSMOLALITY(SERUM & URINE) BOTH
30A
150
31A
160
31B
SERUM GGTP (GAMMA GT)
LIVER FUNCTION TEST (6 TESTS)
SERUM TOTAL PROTEINS & ALBUMIN
SERUM BILIRUBIN (TOTAL)
SERUM BILIRUBIN (CONJUGATED)
BILIRUBIN (TOTAL & CONJUGATED)
ASPARTATE AMINOTRANSFERASE(SGOT)
ALANINE AMINOTRANSFERACE(SGPT)
ALKALINE PHOSPHATASE
ALP ISOENZYMES
400
SERUM AMYLASE
SERUM LIPASE
250
G_6 PD ASSAY
31C
220
32A
130
32B
LACTATE DEHYDROGENASE (LDH)
LDH Isoenzymes
400
33A
160
33B
300
33C
CREATININE PHOSPHOKINASE (CPK)
34A
180
34B
100
35A
210
36A
210
37A
130
38A
130
39A
160
ACID PHOSPHATASE (TOTAL & PROSTATIC) BOTH
39B
90
39C
130
39D
160
40A
100
41A
180
42A
FLUID ANALYSIS (URIC ACID)
43A
200
44A
500
45A
46A
80
47A
500
48A
48B
1500
48C
100
48D
1000
48E
1000
48F
1800
48G
1000
CPK-NAC & CPK-MB
CK ISOENZYMES - CK MASS
450
ACID PHOSPHATASE (TOTAL)
STONE ANALYSIS
AMMONIUM LOAD TEST
SPECTRAL ANALYSIS FOR (PORPHYRINS)
SPECTRA FOR HAEMOGLOBIN
CSF/PLEURAL/ASCITIC/SYNO.FLD,(PROTEIN,SUG&CHL
FLUID ANALYSIS (LDH)
FLUID ANALYSIS (AMYLASE)
PROTHROMBIN TIME (PT)
ACTIVATED PARTIAL THROMBO PLASTIN TINE (APTT)
THROMBIN TIME (TT)
300
PLASMA FIBRINOGEN
FIBRINOGEN DEGRADATION PRODUCTS (FDP) QUANTIT
EUGLOBULIN CLOTLYSIS TIME
160
UREA CLOTLYSIS
LUPUS INHIBITORS
COAGULATION FACTOR VIII
COAGULATION FACTOR IX
COAGULATION FACTOR XIII
PROTEIN C
PROTEIN S
PROTEIN C AND PROTEIN S BOTH
AT III
1500
48H
500
48I
2600
48J
2600
49A
500
49B
600
50A
80
51A
52A
280
52B
3200
53A
53B
700
54A
350
55A
300
55B
800
55C
400
55D
55E
450
55F
450
56A
500
56B
350
56C
700
56D
220
57A
1500
57B
2100
57C
2000
58A
59A
3200
60A
600
D-DIMER
PROTEIN C+PROTEIN S+ AT III
FACTOR VIII + FACTOR IX
MIXING EXPERIMENT
COMPLETE COAGULATION PROFINE SCREEN(PT,APTT,F
SERUM FRUCTOSAMINE
GLYCOSYLATED HEMOGLOBIN A1
280
GLYCOSYLATED Hb A1C
PROTEIN C,PROTEIN S,AT III,HOMOCYSTEINE,PT,AP
COMPLEMENT COMPONENT (C3 OR C4) EACH
400
COMPLEMENT COMPONENT (C3 & C4) BOTH
SERUM MYOGLOBIN (QUALITATIVE,LATEX)
SERUM IMMUNOGLOBULINS (EACH) IgG OR IgA OR Ig
SERUM IMMUNOGLOBULINS (ALL THREE)
IMMUNOGLOBULIN IgG SUBCLASS(EACH)
IMMUNOGLOBULIN E (IgE)ELISA
HEMOGLOBIN ELECTROPHORESIS
LIPOPROTEIN ELECTROPHORESIS
SYNOVIAL/CSF/URINE FLUID/ELECTORP.
SERUM PROTEIN ELECTROPHORESIS
KAPPA AND LAMBDA QUANTITATION
URINE MICRO ALBUMINURIA
SERUM IMMUNOELECTROPHORESIS
IMMUNOFOCUSSING BENCE JONES PROTEINS URINE
SERUM IMMUNOFIXATION ELECTROPHORESIS(IFE)
SERUM CRYOGLOBULIN
50
PARAPROTEIN (MONOCLONAL IMMUNOGLOBULIN) PROFI
HLA B-27
350
61A
61B
600
61C
250
61D
250
61E
450
61F
650
61G
MYOGLOBIN (QUANTITATIVE) ELISA
450
TROPONIN-T (TNT) ELISA
APOLIPOPROTEIN A1 ELISA
APOLIPOPROTEIN B ELISA
APOLIPOPROTEIN A1 & B (BOTH) ELISA
TROP T (QUALITATIVE)
N/C-TELOPEPTIDE
450
61H
500
62A
400
62B
1250
62C
500
62D
1400
63A
380
64A
380
N/C-TELOPEPTIDE + BONE ALP
65A
380
66A
350
66B
CARCINO EMBRYONIC ANTIGEN (CEA) ELISA
66C
350
66D
70
66E
TRANSFERRIN
INSULIN ELISA
GTT WITH INSULIN 4 POINT CURVE ELISA
C-PEPTIDE ELISA
GTT WITH 'C' PEPTIDE 4 POINT CURVE ELISA
ALPHAFETOPROTEIN (AFP) ELISA
BETA HUMAN CHORIONIC GONADOTROPIN (B-HCG) ELI
FERRITIN ELISA
HEPTOGLOBIN
350
66F
450
67A
450
67B
67C
800
67D
1500
68A
69A
350
IRON
UIBC / TIBC
70
IRON/UIBC/TIBC,FERRITIN
PROSTATE SPECIFIC ANTIGEN (PSA) ELISA
FREE PSA
450
TOTAL AND FREE PSA BOTH
Urinary NMP22 CA bladder Elisa
NEURON SPECIFIC ENOLASE (NSE) ELISA
BETA-2 MICROGLOBULIN (B2M) ELISA
500
70A
600
71A
600
71B
600
71C
150
72A
600
72B
350
72C
350
72D
350
72E
900
72F
350
72G
350
72H
CA-125 ELISA
72I
350
72J
650
73A
ESTRADIOL
CA-19-9
ELISA
CYFRA-21 ELISA
BONE ALP
CA-15-3
ELISA
FSH ELISA
LH ELISA
PROLACTIN ELISA
FSH,LH,PROLACTIN (ALL THREE) ELISA
CORTISOL
PROGESTERONE
TESTOSTERON
350
73B
150
73C
150
73D
75
73E
150
73F
65
73G
73H
300
73I
250
74A
65
74B
60
74C
65
74D
60
74E
60
ESTRADIOL AND PROGESTERON (BOTH)
URINARY PROTEINS (24 HOURS)
80
URINARY CREATININE CLEARANCE
URINARY ELECTROLYTES (Na & K) BOTH
URINARY CALCIUM (24 HOURS)
URINARY PHOSPHORUS CLEARANCE
URINARY PHOSPHORUS
URINARY URIC ACID
URINARY AMINDACIDS (CHROMATOGRAPHY)
VMA (QUANTITATIVE)
AMIND ACID (INDIVIDUAL) SPOT TEST
URINE TEST FOR CHYLE SPOT TEST
URINARY MUCOPOLYSACCHARIDES (SPOT TEST)
URINARY HOMOGENTISIC ACID (SPOT)
URINARY PHENYLKETONURIA/ALKPTONURIA (SPOT)
90
74F
60
74G
60
74H
60
74I
350
75A
650
75B
75C
650
75D
1200
75E
1800
76A
700
76B
600
76C
URINARY VMA (SPOT TEST) QUALITATIVE
5 OH INDOLE ACETIC ACID (SPOT)
URINARY PORPHOBILINOGEN (SPOT)
VMA QUANTITATIVE MANUAL
METHOD
VMA (COLUMN - METHOD QUANTITATIVE)
METANEPHRINE (COLUMN - METHOD)
650
5 HIAA (COLUMN -METHOD)
VMA (QUANTI) & METANEPHRINE BOTH
VMA (QUANTI) and METANEPHRINE BOTH and 5HIAA
ALA (COLUMN - METHOD)
PBG(COLUMN METHOD)
PORPHYRIA (COLUMN METHOD)
76D
1800
77A
800
77B
800
77C
1500
78A
195
ALA,PBG,PORTHYRIA (ALL)
78B
355
78C
300
78D
280
78E
400
BSR/BU/SC/SE
78F
1000
78G
150
78H
150
78I
CARDIAC PANEL II(CK-MB MASS,MYOGLOBIN,TROP-T)
78J
500
UNANI
920
OSTEOCLASTIC BONE PROFILE(ALP,CA,P,B-ALP,N/COSTEOBLASTIC BONE PROFILE(ALP,CA,P,B-ALP,OSTE
BONE PROFILE BOTH
BSR/BU/SC
BU/SC/SE
PT,APTT (40A+41A)
CARDIAC PANEL I(CK,CK-MB,LDH)
THYROID RIA T3
THYROID RIA T4
THYROID RIA TSH
200
THYROID RIA T3 T4 TSH
BS(F AND PP)/LP/BU/SC/UA/SP/AP
1000
-------
DEPARTMENT OF CARDIOLOGY
========================
3000
3500
3001
6000
3002
9000
3003
10000
3004
6000
3005
3006
10000
3007
1000
3008
25000
3009
40000
3010
45000
3011
CARDIAC HEMODYNAMICS
CORONARY ANGIOGRAM
(GW)
CORONARY ANGIOGRAM
(SPR)
CORONARY ANGIOGRAM
(PR)
RHC+LHC CATH
(GW)
RHC+LHC CATH
9000
RHC+LHC CATH
(SPR)
(PR)
EXTRA CHARGES FOR CREDIT
PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV)
PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV)
PERCUTANEOUSBALLOONMITRALVALVULOPLASTY (PBMV)
IABP
(GW)
3012
40000
3013
45000
3014
38500
3015
44000
3016
49500
3017
30000
3018
45000
3019
55000
3020
5000
3021
IABP
(SPR)
IABP
(PR)
EMERGENCY IABP
(GW)
EMERGENCY IABP
(SPR)
EMERGENCY IABP
(PR)
PTCA -IVD
(GW)
PTCA -IVD
(SPR)
PTCA -IVD
(PR)
3022
5000
3023
20000
EXTRA GUIDE CATHETER
EXTRA CHARGES FOR CREDIT PATIENTS
EXTRA GUIDE WIRE
5000
EXTRA BALLOON
35000
3024
3025
2000
3026
3000
3027
3028
500
3029
4500
3030
NON-IONIC CONTRAST 50ML
1000
NON-IONIC CONTRAST 100ML (MORE THAN 50 -100ML
NON-IONIC CONTRAST 150ML (MORE THAN 100-150 M
NON-IONIC CONTRAST 200ML (MORE THAN 150-200ML
4000
CINE FLUROSCOPY
PERICARDIAL TAP
TEMPORARY PACEMAKER
3031
5000
3032
15000
3033
30000
3034
25000
3035
25000
3036
10000
3037
70000
3038
75000
3039
25000
3040
5000
3041
5000
3042
25000
3043
PERMANENT PACEMAKER (COST OF PACEMAKER EXTRA)
3044
600
3045
600
3046
TREADMILL TEST
ELECTRO PHYSIOLOGICAL STUDY (EPS)
RADIO FREQUENCY ABLATION
PBAV
PBPV
PDA CLOSER + COST OF DEVICE EXTRA
ATHERECTOMY
ROTOBLATOR
PERIPHERAL ANGIOPLASTY (WITHOUT STENT)
VISCERAL ANGIOPLASTY
RENAL ANGIOGRAPHY
RENAL ANGIOPLASTY
HOLTER
800
3047
1000
3048
1500
3049
500
3050
500
3051
500
STRESS THALLIUM (COST OF THALLIUM EXTRA) *
TRANSESOPHAGEAL ECHO
1000
STRESS ECHO
DOBUTAMINE ECHO
LATE POTENTIAL
PHONOCARDIOGRAM
VECTOR CARDIOGRAM
3000
3052
APEX CARDIOGRAM
3053
500
3054
3000
3055
50
KINETOCARDIOGRAPHY
3056
500
3057
600
3058
1000
3059
500
3060
7000
3061
10000
3062
2D ECHO
3063
5000
3064
25000
3065
3066
5000
3067
5000
3068
10000
3069
100
3070
100
3071
3072
200
3073
200
CHAMBER
3074
100
3075
750
3076
1000
3077
5000
3078
10000
500
BEDSIDE HAEMODYNAMIC MONITORING
ECG
BEDSIDE ECHO
TRANSTHORACIC PACING
VENTILATOR TREATMENT (PER DAY)
ENDO MYO CARDIAL BIOPSY
(HISTOPATHOLOGY CHGS
BALLOON ATRIAL SEPTOSTOMY
ELECTIVE DC
500
PERIPHERAL ANGIOGRAPHY
I A B P BALLOON
EXTRA BALLOON FOR PTCA
25000
AORTOGRAM
RENAL ANGIOGRAPHY
ASD DEVICE CLOSER
EVENING CLINIC CONSULTATION
INTERVENTION CLINIC
PROSTHETIC VALVE CLINIC
FACE MAKER FOLLOW UP CLINIC(SINGLE CHAMBER)
PACE MAKER FOLLOWUP CLINIC (DUAL
CARDIAC CONSULTATIONS TO OTHER DEPARTMENTS
MASTER CARDIAC CHECK UP (MINIMUM OF 50 MEMBER
HIS BUNDLE ELECTROGRAM
SUPRAVENTRICULAR MAPPING
VENTRICULAR MAPPING
100
3079
15000
3080
10000
3081
5000
3082
100
3083
3084
2000
3085
400
3086
RF ABLATION WITHOUT MAPPING
RF ABALATION OF VENTRICLE
RF ABLATION OF ATRIUM
VALVULAR FLUORO
ARTERIAL SHEATH
600
WEDGE PRESSURE CATHETER
HOLTER SCANNING
ABBREVIATED GXT
300
3087
250
3088
1500
3089
M-MODE ECHO
3090
30000
3091
20000
3092
10000
3093
30000
3094
20000
3095
1000
3096
2000
3097
2000
3098
15000
3099
TRANSCATHETER VALVULOPLASTY
3100
550
3101
12000
3102
2D ECHO WITH CASSETTE
NON IONIC CONTRAST 50ML
NON IONIC CONTRAST 25ML
750
PERCUTANEOUS VALVULOPLASTY
BAIL-OUT VALVULOPLASTY
INTERVENTIONAL CORONARY
ANGIOPLASTY
ADHOC CORONARY ANGIOPLASTY
PERCUTANEOUS CARDIAC PUS ASPIRATION BY NEEDLE
PERCUTANEOUS CARDIAC PUS ASPIRATION BY CATHET
EXTERNAL PACING
ABBREVIATED PERIPHERAL
ANGIO PLASTY
BAIL - OUT IAB
10000
3103
3500
3104
22000
3105
4001
5000
ABANDONED PTCA
ABANDONED PBMV
5000
RIGHT HEART STUDY/LEFT HEART STUDY
EPTIFIBATIDE
GUIDE WIRE
750
RASHKIND PROCEDURE
4002
1500
4003
HBs AG KIT
4004
6000
4005
8000
4006
10000
4007
12000
4008
5000
4009
6000
CORONARY ANGIOGRAM (SEMI GW)
4010
8000
4011
10000
4012
12000
4013
CARDIAC CATHETERIZATION (SPR)
4014
30000
4015
35000
4016
PTCA (SEMI GW)
CORONARY ANGIOGRAM (GW)
5000
CORONARY ANGIOGRAM (SPR)
CORONARY ANGIOGRAM (PR)
CORONARY ANGIOGRAM (AC SINGLE ROOM)
CARDIAC CATHETERIZATION (GW)
CARDIAC CATHETERIZATION (SEMI GW)
CARDIAC CATHETERIZATION (PR)
CARDIAC CATHETERIZATION (AC SINGLE ROOM)
PTCA (GW)
25000
4017
50000
4018
15000
4019
4020
30000
4021
40000
4022
45000
4023
20000
4024
25000
4025
4026
40000
4027
45000
4028
30000
4029
30000
PTCA (SPR)
PTCA (PR)
45000
PTCA (AC SINGLE ROOM)
PBMV (GW)
PBMV (SEMI GW)
20000
PBMV (SPR)
PBMV (PR)
PBMV (AC SIGLE ROOM)
DIRECT STENTING (GW)
DIRECT STENTING (SEMI GW)
DIRECT STENTING (SPR)
DIRECT STENTING (PR)
DIRECT STENTING (AC SINGLE ROOM)
IABP (GW)
IABP (SEMI GW)
30000
4030
35000
4031
40000
4032
40000
4033
15000
4034
15000
4035
4036
20000
4037
20000
5001
5002
10000
5003
11000
5004
7000
5005
10000
5006
11000
5008
5009
43000
5010
48000
5011
38000
5012
43000
5013
48000
5014
41500
5015
47000
5016
52500
5017
33000
5018
48000
5019
58000
5020
5500
5021
IABP (SPR)
IABP (PR)
IABP (AC SINGLE ROOM)
EXTRA BALLOON (GW)
EXTRA BALLOON (SEMI GW)
EXTRA BALLOON (SPR)
20000
EXTRA BALLOON (PR)
EXTRA BALLOON (AC SINGLE ROOM)
CORONARY ANGIOGRAM
7000
CORONARY ANGIOGRAM
(GW)
CORONARY ANGIOGRAM
(PR)
RHC+LHC CATH
(GW)
RHC+LHC CATH
(SPR)
RHC+LHC CATH
(PR)
(SPR)
PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV)
PERCUTANEOUSBALLOONMITRALVALVULOPLASTY(PBMV)
PERCUTANEOUSBALLOONMITRALVALVULOPLASTY (PBMV)
IABP
(GW)
IABP
(SPR)
IABP
(PR)
EMERGENCY IABP
(GW)
EMERGENCY IABP
(SPR)
EMERGENCY IABP
(PR)
PTCA -IVD
(GW)
PTCA -IVD
(SPR)
PTCA -IVD
(PR)
CORONARY ANGIOGRAM (GW)
CORONARY ANGIOGRAM (SEMI GW)
6600
28000
5022
8800
5023
11000
5024
13200
5025
5500
5026
6600
5027
CORONARY ANGIOGRAM (SPR)
5028
11000
5029
13200
5030
27500
5031
33000
5032
38500
5033
49500
CARDIAC CATHETERIZATION (PR)
5034
55000
5035
16500
5036
22000
5037
PTCA (AC SINGLE ROOM)
5038
44000
5039
49500
5040
PBMV (PR)
CORONARY ANGIOGRAM (PR)
CORONARY ANGIOGRAM (AC SINGLE ROOM)
CARDIAC CATHETERIZATION (GW)
CARDIAC CATHETERIZATION (SEMI GW)
CARDIAC CATHETERIZATION (SPR)
8800
CARDIAC CATHETERIZATION (AC SINGLE ROOM)
PTCA (GW)
PTCA (SEMI GW)
PTCA (SPR)
PTCA (PR)
PBMV (GW)
PBMV (SEMI GW)
PBMV (SPR)
33000
5041
27500
5042
33000
5043
5044
49500
5045
33000
5046
5047
38500
5048
44000
5049
44000
PBMV (AC SIGLE ROOM)
DIRECT STENTING (GW)
22000
DIRECT STENTING (SEMI GW)
DIRECT STENTING (SPR)
DIRECT STENTING (PR)
44000
DIRECT STENTING (AC SINGLE ROOM)
IABP (GW)
IABP (SEMI GW)
IABP (SPR)
IABP (PR)
IABP (AC SINGLE ROOM)
33000
5050
16500
5051
16500
5052
22000
5053
22000
5054
22000
801A
40
801B
EXTRA BALLOON (GW)
801C
40
801D
200
801E
POST PARANDIAL GLUCOSE
803A
50
804A
50
806A
SERUM UREA
EXTRA BALLOON (SEMI GW)
EXTRA BALLOON (SPR)
EXTRA BALLOON (PR)
EXTRA BALLOON (AC SINGLE ROOM)
FASTING GLUCOSE
RANDOM GLUCOSE
40
GLUCOSE TOLERANCE TEST
EXTENDED GTT
250
807A
75
808A
225
809A
800
810A
800
811A
800
812A
SERUM CREATININE
TOTAL CHOLESTEROL
60
TRIGLYCERIDES
LIPID PROFILE
LIPOPROTEINS PATTERN
APO-LIPOPROTEIN A
APO-LIPOPROTEIN B
LP (A)
816A
60
817A
60
820A
100
820B
100
820C
100
821A
100
822A
ASPARATATE AMINO TRANFERASE
835A
25
CL54
500
HEMOGLOBIN
1000
ALAMINE AMINO TRANFERASE
LACTATE DEHYDROGENASE
LACTATE DEHYDROGENASE ISOENZYME 1
LACTATE DEHYDROGENASE ISOENZYME 2
CREATINE PHOSPHOKINASE
CPK-MB
200
EMERGENCY CHARGES-1 (ANGIO)
CL55
2000
EMERGENCY CHARGES-2 (PLASTY)
-------
DEPARTMENT OF C.P.M.R
====================
701A
600
701B
702A
50
703A
450
703B
704A
450
704B
900
705A
450
705B
900
706A
600
706B
1200
707A
1125
707B
2250
707C
1100
708A
300
709A
600
709B
950
710A
710B
800
711A
600
711B
712
2000
713A
1000
SERUM DIGOXIN (R)
SERUM DIGOXIN (E)
1200
PEAK FLOW RATE
SERUM PHENYTOIN (R)
SERUM PHENYTOIN (E)
900
SERUM CARBAMAZEPINE (R)
SERUM CARBAMAZEPINE (E)
SERUM PHENOBARBITONE (R)
SERUM PHENOBARBITONE (E)
SERUM VALPROIC ACID (R)
SERUM VALPROIC ACID (E)
CYCLOSPORINE (R)
CYCLOSPORINE (E)
CYCLOSPORINE TDX
ESTIMATION OF RBC/SERUM CHOLINESTERASE
SERUM CORTISOL(R)
SERUM CORTISOL(E)
SERUM BENZODIAPINE(R)
500
SERUM BENZODIAPINE(E)
SERUM TRI CYCLIC ANTI
DEPRESENTS(R)
SERUM TRI CYCLIC ANTI
950
PACKAGE FOR POISONING
DEPRESENTS(E)
SCREENING
LYMPHOCYTE CROSS MATCH STUDY
714
600
714A
1000
715A
10000
716A
HLA B27
717A
2500
718A
2500
718B
1000
719A
1000
HLA TYPING ABC
HLA - B27
HLA TYPING & CROSS MATCH - PATIENT & DONOR
HLA TYPING ABC & DR
4500
HLA TYPING DR
ADP INDUCED PLATELET AGGREGATION
COLLAGEN INDUCED PLATELET AGGREGATION
------
DEPARTMENT OF CARDIO THORACIC
============================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------C30A
50000
C30B
52500
C30C
55000
C30D
60000
C30E
70000
C31A
55000
C31B
57500
C31C
60000
C31D
C31E
80000
C32A
65000
C32B
C32C
75000
C32D
85000
ASD (GENERAL WARD)
ASD (THREE SHARED ROOM)
ASD (TWO SHARED ROOM)
ASD (SINGLE ROOM (MB))
ASD (A/C SINGLE ROOM (MB))
VSD (GENERAL WARD)
VSD (THREE SHARED ROOM)
VSD (TWO SHARED ROOM)
VSD (SINGLE ROOM (MB))
70000
VSD (A/C SINGLE ROOM (MB))
SIMPLE ICR (GENERAL WARD)
SIMPLE ICR (THREE SHARED ROOM)
70000
SIMPLE ICR (TWO SHARED ROOM)
SIMPLE ICR (SINGLE ROOM (MB))
C32E
95000
C33A
75000
C33B
80000
C33C
SIMPLE ICR ( A/C SINGLE ROOM (MB))
C33D
100000
C33E
110000
C34A
65000
C34B
70000
C34C
80000
C34D
90000
C34E
100000
C35A
63000
C35B
65000
C35C
75000
C35D
85000
C35E
95000
C36A
105000
C36B
110000
C36C
115000
C36D
108000
C36E
113000
C36F
118000
C37A
COMPLEX ICR (SINGLE ROOM (MB))
C37B
70000
C37C
85000
C37D
95000
C37E
105000
C38A
155000
TWO VALVE REPLACEMENT (TSR) *VALVES EXTRA
COMPLEX ICR (GENERAL WARD)
COMPLEX ICR (THREE SHARED ROOM)
COMPLEX ICR (TWO SHARED ROOM)
90000
COMPLEX ICR ( A/C SINGLE ROOM (MB))
CABG (GENERAL WARD)
CABG (THREE SHARED ROOM)
CABG (TWO SHARED ROOM)
CABG (SINGLE ROOM (MB))
CABG ( A/C SINGLE ROOM (MB))
VALVE REPLACEMENT (GENERAL WARD) *VALVE EXTRA
VALVE REPLACEMENT (THREE SHARED ROOM) *VALVE
VALVE REPLACEMENT (TWO SHARED ROOM) *VALVE EX
VALVE REPLACEMENT (SINGLE ROOM(MB)) *VALVE EX
VALVE REPLACEMENT (A/C SINGLE ROOM(MB)) *VALV
SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON
SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON
SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON
SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON
SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON
SINGLE VALVVE REPLACEMENT(MVR OR AVR)+MEDTRON
TWO VALVE REPLACEMENT (GENERAL WARD) *VALVES
TWO VALVE REPLACEMENT (TWOSHARED ROOM) *VALVE
TWO VALVE REPLACEMENT (SINGLE ROOM(MB))*VALVE
TWO VALVE REPLACEMENT (A/C SINGLE(MB)*VALVES
DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT
68000
C38B
160000
C38C
166000
C38D
158000
C38E
163000
C38F
169000
C39A
75000
C39B
80000
C39C
90000
C39D
100000
C39E
110000
DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT
C40A
80000
C40B
85000
C40C
90000
C40D
CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX
C40E
88000
C40F
93000
C41A
15000
C41B
20000
C41C
25000
C41D
35000
C41E
50000
C42
1500
C43
1000
C44
330
C45
660
C46
750
C47
CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX
C48
4875
DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT
DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT
DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT
DOUBLE VALVE REPLACEMENT +MEDITRONIC KIT
ANEURYSM REPAIR(GENERAL WARD)*GRAFT COST EXTR
ANEURYSM REPAIR(THREE SHARED ROOM)*GRAFT COST
ANEURYSM REPAIR(TWO SHARED ROOM)*GRAFT COST E
ANEURYSM REPAIR(SINGLE ROOM(MB))*GRAFT COST E
ANEURYSM REPAIR(A/C SINGLEROOM(MB))*GRAFT COS
CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX
CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX
CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX
CABG + SINGLE VALVE SURGERY(*COST OF VALVE EX
CLOSED HEART AND LUNG SURGERY (GENERAL WARD)
CLOSED HEART AND LUNG SURGERY (THREE SHARED R
CLOSED HEART AND LUNG SURGERY (TWO SHARED ROO
CLOSED HEART AND LUNG SURGERY (SINGLE ROOM(MB
CLOSED HEART AND LUNG SURGERY (A/C SINGLE ROO
BRONCHOSCOPY
ICD
SPRC (EXTRA LUMP SUM AMOUNT)
SPRA (EXTRA LUMP SUM AMOUNT)
PRC (EXTRA LUMP SUM AMOUNT)
PRAC (EXTRA LUMP SUM AMOUNT)
2000
GBDR (EXTRA LUMP SUM AMOUNT)
83000
C49
3500
C50
C52
10000
C53
10000
C54
C55
225
GBAC (EXTRA LUMP SUM AMOUNT)
GBNAC (EXTRA LUMP SUM AMOUNT)
1125
HIGH RISK CHARGES
EMERGENCY OPERATION CHARGES
STERNAL WIRE REMOVEL/
WOUND DEBRIDEMENT
ABG + ELECTROLYTES
-----
DEPARTMENT OF DENTAL CLINIC
==========================
D01
100
D02
200
D03
1000
D04
2000
D05
50
D06
100
D07
300
D08
300
D09
500
D10
DENTAL CONSULTATION
DENTAL EXTRACTION
SURGICAL DENTAL EXTRACTION OF MOLAR
SCALING & ORAL PROPHYLAXIS
EXPANSION APPLIANCE
IMPRESSIONS FOR UPPER & LOWER DENTITION
FILLING, TEMPORARY CEMENT FILLING
FILLING, PERMANENT SILVER FILLING
WAFER FOR ORTHODENTIC SURGERY
NECK COLLAR
500
DEPARTMENT OF DERMATOLOGY
========================
2001
250
2002
200
2003
150
SKIN BIOPSY
ELECTRO CAUTERY FACE (per lesion *)
ELECTRO CAUTGERY-OTHERS (per lesion)
1000
2004
250
2005
200
2006
50
2007
50
2008
50
2009
50
2010
100
2011
100
2012
2013
500
2014
300
2015
2016
500
2017
50
2018
RFDIET
30
CRYO CAUTERY -FACE (per lesion)
CRYO CAUTERY -OTHERS (per lesion)
COMEDO EXPRESSION (per lesion)
TZANCK TEST
INTRALESIONAL THERAPY (per lesion)
EXTRIPATION OF MOLLUSCON CONTAGIOSUM (per les
CURETTAGE (per lesion)
ELECTRO FULGURATION (per lesion)
CHEMICAL CAUTERY (per lesion)
100
CHEMICAL PEELING (GENERAL)
CHEMICAL PEELING (SPOT)
WOODs LAMP EXAMINATION
200
SKIN BIOPSY (SINGLE)
ELECTRO CAUTERY (PER LESION)
CRYO CAUTERY (PER LESION)
100
DIETICIAN CONSULTATION
DEPARTMENT OF E.N.T.
==================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------EN1
100
ENT1SU
200
ENT2SU
NUTRITION MANAGEMENT
ENT3SU
NASAL PACKING
EAR CLEANING / SYRINGING
TRACHEOSTOMY
2500
500
-----DEPARTMENT OF EMERGENCY
=======================
E101SU
50
MINOR DRESSING
E102SU
75
E103SU
100
E104SU
MINOR DRESSING
E105SU
250
E106SU
350
E107SU
500
E108SU
750
E109SU
1000
E110SU
1200
E111SU
1500
E112SU
2000
E113
1000
E19A
MINOR SURGERY 1
E21
500
E21A
150
STOMACH WASH
MAJOR DRESSING
MAJOR DRESSING
150
MINOR SURGERY 2
MINOR SURGERY 3
MAJOR SURGERY 1
MAJOR SURGERY 2
MAJOR SURGERY 3
MAJOR SURGERY 4
MAJOR SURGERY 5
VENTILATORY SUPPORT
SERUM CALCIUM
75
EM10
50
EM11
640
EM12
500
EM13
250
EM14
125
EM15
EM16
320
EM17
80
EM18
160
EM2
50
EM3
80
EM4
50
EM5
50
SERUM MAGNESIUM
EM1
RANDOM BLOOD SUGAR
50
NURSING CHARGES(RT FEEDS,BEDPAN,PD MAINTENANC
ICD
POLY TRAUMA (CONSULTATIONS MULTI SPECIALISTS)
AIR WAY PROTECTION(INTUBATION)
SUTURING
SUTURE REMOVAL
80
MAJOR SUTURING
DRESSING MINOR
DRESSING MAJOR
DRESSING
NEBULIZATION
CATHERATION
O2 (2 lit/6 hrs) or
(6-10 lit/hr)
EM6
80
EM7
50
EM8
500
EM9
125
EMDC
100
MONITOR (PER DAY)
RYLES TUBE
VENTILATOR CHARGES
(SIMPLE)
CALLS CONSULTATION
EMD CONSULTATION CHARGES
------DEPARTMENT OF GASTROENTEROLOGY
=============================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------651A
600
651B
750
651C
1000
652A
653A
600
654A
1100
654B
655A
1400
656A
1800
657A
900
657B
700
657C
3000
657D
1500
658A
1200
659A
1000
660A
200
661A
2500
UPPER GASTRO INTESTINAL ENDOSCOPY
EMERGECNY UGI ENDOSCOPY
(AFTER 5 PM)
EMERGENCY UGI ENDOSCOPY (AFTER 5 PM)
SIGMOIDOSCOPY (REGID)
300
FIBREOPTIC SIGMOIDOSCOPY
COLONOSCOPY (TOTAL)
EMERGECNY COLONSCOPY
(AFTER 5 PM)
E R C P
PNEUMATIC DILATATION (ACHALASIA-CARDIA)
ENDOSCOPIC SCLEROTHERAPY (Ist SITTING)
ENDOSCOPIC SCLEROTHERAPY (SUBSEQUENT SITTINGS
ENDOSCOPIC SCLEROTHERAPY (PACKAGE OF 6 SITTIN
EMERGECNY SCLEROTHERAPY
(AFTER 5 PM)
ENDOSCOPY POLYPECTOMY
LIVER BIOPSY
OP MINOR PROCEDURES (PROCTOSCOPY,ASCITES,TAP,
ENDOSCOPIC SHPINCTEROTOMY (PLAIN)
1600
661B
4000
661C
4000
662A
800
662B
3500
663A
3000
664A
665A
400
666A
1000
667A
3000
668A
1500
669A
3000
670A
ENDOSCOPIC SHPINCTEROTOMY WITH ADDITIONAL PRO
ENDOSCOPIC CYSTOGASTROSTOMY
SAVARY GILLIARD DILATATION (PER SITTING)
SAVARY GILLIARD DILATATION (PACKAGE OF 5 SITT
SENGSTAKEN TUBE (PER SITTING)
ENDOSCOPIC FOREIGN BODY REMOVAL
1500
HEMORRHOIDAL SCLEROTHERAPY
ENDOSCOPIC VARICEAL LIGATION
ESOPHAGEAL PROSTHESIA *
PERCUT. ENDOSCOPIC GASTROSTOMY (PEG) *
PYLORIC/COLONIC BALLOON DILATATION
BUTYL CYANOACRYLATE (GLUE) INJECTION
671A
100
672A
75
673A
100
674A
250
675A
300
676A
200
677A
SUDAN III
677B
400
678A
300
679A
SERUM COPPER + URINE COPPER
680A
250
681A
225
681B
SERUM TIBC
STOOL OCCULT BLOOD
SMEAR FOFECAL LEUCOCYTES
D-XYLOSE TEST
LACTOSE TOLERANCE TEST
A D A
SERUM COPPER
250
SERUM CERULOPLASMIN
SERUM IRON
250
682A
500
683A
400
684A
350
ANTI HBs Ab
ANTI HBS
225
FECAL FAT
BLOOD AMMONIA
F. CHYMOTRYPSIN
*
*
2000
685A
500
686A
400
687A
GASTRIC JUICE ANALYSIS
HBe Ab & ANTI HBe Ab
600
687B
HBE/ANTI HBE
300
688A
400
689A
400
690A
400
691A
1400
692A
2000
693A
150
694A
150
695A
500
ANTI HBc IgM
SERUM LIPASE
ANTI HCV
ANTI HEV
LIVER ABSCESS DRAINAGE
PER OPERATIVE ENDOSCOPY
ENDOSCOPIC BIOPSY
RAPID UREASE TEST
LIVER PACKAGE
----DEPARTMENT OF GENERAL MEDICINE
=============================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------731A
300
732A
450
733A
300
734A
1050
735A
450
736A
1000
737A
250
738A
600
739A
150
740A
PLEURAL FLUID ASPIRATION
PLEURAL BIOPSY
LUNG BIOPSY
FIBRE-OPTIC BRONCHOSCOPY (MAJOR)
PULMONARY FUNCTION TEST (PFT) MINOR
ALLERGIC SKIN TEST
ELISA FOR APOLIPOPROTEIN-A1
MASTER CHECK-UP
P E F R CHART
NEBULIZER USAGE
60
741A
900
742A
75
743A
ICD INSERTION
BLOOD SUGAR (DEXTROMETER)
ASCITIC FLUID ASPIRATION
150
FREE RADICAL ESTIMATION
744A
200
745A
200
746A
20
747A
600
748A
800
749A
ALPHA PROTEASE INHIBITOR
SERUM CHOLINESTERASE
FIBRE OPTIC BRONCHOSCOPY (MINOR)
FIBRE OPTIC BRONCHOSCOPY WITH PROCEDURE
PULMONARY FUNCTION TEST (MAJOR)
750A
500
771A
50
772A
500
773A
400
774A
225
775A
225
776A
SERUM CORTISOL (ELISA)
777A
150
778A
200
779A
T4
525
E.C.G.
A LIVER BIOPSY (MAJOR)
B LIVER BIOPSY (MINOR)
LUMBAR PUNCTURE
CENTRAL LINE CATHETER
T3
150
TSH
T3,T4,TSH
500
HLA TISSUE TYPING CROSS MATCH
780A
3500
781A
1500
782A
500
783A
300
784A
250
785A
HLA TISSUE TYPING FOR EACH EXTRA DONOR
HLA TISSUE TYPING CROSS MATCH BEFORE TRANSPLA
SERUM LACTATE
INSULIN
(PER ASSAY)
ENDOXAN PULSE THERAPY
45
786A
45
787A
100
788A
METHYL PREDNISOLONE PULSE THERAPY
JOINT ASPIRATION (ONLY
PROCEDURE)
JOINT INJECTION (ONLY
PROCEDURE)
100
789A
100
790A
1400
791A
500
792A
1900
793A
500
IV DRUG/BLOOD ADMINISTRATION
INVASIVE VENTILATORY SUPPORT
NON INVASIVE VENTILATORY SUPPORT (CPAP)
INVASIVE VENTILATORY SUPPORT + INVASIVE MONIT
INVASIVE MONITORING
----DEPARTMENT OF MICROBIOLOGY
==========================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------200A
STAINING
200C
75
201A
500
201B
700
201C
500
202A
400
202W
600
203A
400
204A
500
204B
1500
204C
MANTOUX TEST
204S
3000
205A
200
206A
207A
300
208A
300
209A
210A
400
AEROBIC CULTURE
AEROBIC + FAN
AEROBIC + ANAEROBIC
BLOOD/FUNGAL CULTURE
BLOOD CULTURE
ANAEROBIC CULTURE
TB CULTURE
TB CULTURE (EXTERNAL)
PCR FOR M.TB
3000
MYCOBACTERIAL SENSITIVITY TEST
AGGLUTINATION
IMMUNOGLOBULINS
250
BRUCELLA
MYCOPLASMA
WEIL FELIX
600
DOT HIV
75
211A
1600
211B
400
211C
1600
211D
400
211E
ANTI DNA
212A
750
213A
225
213B
400
214A
400
215A
250
216A
500
216B
500
217A
750
218A
750
219A
HEPATITIS A (IgM)
220A
750
221A
400
222A
VARICELLA ZOSTER
223A
300
224A
250
225A
250
226A
300
227A
300
228A
229A
300
230A
375
231A
375
232A
750
ANTI RNP ANTIBODIES
ANTI ENA PROFILE
ANTI SCL - 70 ANTIBODIES
ANTI HAV (TOTAL)
300
HBS Ag
HBS AG SPOT TEST
ANTI HBS
HIV
HERPES SIMPEX 1
(IGG+IGM)
HERPES SIMPEX 2
(IGG+IGM)
MEASLES (IGG+IGM)
MUMPS (IgG)
EBV
400
(IGG+IGM)
AMOEBIC
CYSTIDERODOSUS
300
EDHINOCOOCUS
IgM RF
CIRC. IMM. COMPLEX
ANTI DsDNA
ANF
ANTI Sm
A N C A
HBe Ag
ANTI HBe
TOXOPLASMA (IgG + IgM)
400
233A
750
234A
750
235A
900
236A
400
237A
2000
237W
RUBELLA (IgG + IgM)
238A
1000
239A
400
ANTI THYROID
239C
HCV QUALITATIVE PCR
1500
HEPATITIS PROFILE
Cytomegalo Virus (IgG +IgM)
ANTI CARDIOLIPIN
ANTI DNP
SLE PROFILE
SLE PROFILE
3200
240A
1500
240W
3000
241A
2500
241W
4000
242A
1800
242B
242C
1500
242D
4500
242W
3600
243A
500
244A
1000
244W
1500
245A
1050
246A
750
247A
600
248A
248W
800
249A
350
249B
H C V
HEPATITIS PROFILE
TORCH COMPLEX
TORCH COMPLEX
WESTERN BLOT
CD4 + CD8 (COUNT)
CD COUNTS
HIV MONITOR
WESTERN BLOT
ELISA TB
RHEUMATOID PROFILE
RHEUMATOID PROFILE
IMMUNOGLOBULINS(IgG, IgM & IgA)
HbC IgM
CRYPTOCOCCAL LATEX AGGLUTINATION
FAN blood culture
500
FAN AEROBIC BLOOD CULTURE
IMMUNOGLOBULIN (SINGLE)
T P H A
300
1500
249C
2500
249D
350
249E
249F
400
249G
400
249H
249J
4500
250
500
251
400
MB200
600
MB201
500
MB202
400
MB203
400
MB204
400
MB205
400
PUO PROFILE
COMPLEMENT C3
COMPLEMENT C4
350
LEPTOSPIRA ANTIBODIES
MYCOPLASMA ANTIBODIES
ANTI NEUTROPHIL CYCOPLASMIC ANTIBODIES(ANCA)
1500
VIRAL LOAD TESTING FOR HIV
LYME (IGG + IGM)
ANTI HAV TOTAL(IGG +IGM)
DENGUE SEROLOGY (ELISA)
DENGUE SEROLOGY (RAPID)
SS-A(RO)
SS-B (LA)
ANTI CENROMERE ABS
ANTI MITOCHONDRIAL ABS
----DEPARTMENT OF MEDICAL ONCOLOGY
==============================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------1101
225
1102
300
1103
BONE MARROW ASPIRATION PROCEDURE ONLY
1104
100
1105
100
1106
900
1107
500
L.P. WITH INTRATHECAL INJECTION
BONE MARROW BIOPSY PROCEDURE ONLY
L.P. FOR CSF CYTOLOGY
CHEMOTHERAPY CHARGES
CENTRAL VENUS CATHETERISATION BED SIDE
PLEURODESIS
75
1108
100
1109
100
1110
FNAC PROCEDURE ONLY
1111
375
1112
375
1113
DIAGNOSTIC CURETTAGE
PUNCH BIOPSY PROCEDURE ONLY
PAP SMEAR
100
1114
300
1115
300
1116
1117
150
1118
750
1119
750
1120
4500
1121
75000
1122
1123
300
1124
200
INTR
1353
EUA GYNAECOLOGIC
HOMEOPATHIC CONSULTATION
100
PCA PUMP PER DAY
INFUSION PUMP PER DAY
LIVER BIOPSY
750
PARACENTESIS
CANCER CHECKUP AND COUNC ELLING
APHARESIS PLATELETS (CONSUMABLES EXTRA)
APHARESIS STEMCELLS (CONSUMABLES EXTRA)
TRANSPLANT PROCEDURE ONLY (CONSUMABLES EXTRA)
INTRAPLURAL AND INTRAPERITONEAL CHEMOTHERAPY
300
EMERGENCY CONSULTATION
ROUTINE CONSULTATION
INTRA-A
------
DEPARTMENT OF NEUROLOGY
======================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------250A
300
250B
500
250C
1000
251A
600
E.E.G.
E.E.G. (WITH ACTIVATION PROCEDURES)
E.E.G. (DIGITAL)
LATE RESPONSE
252A
750
252B
1000
253A
EMNG (MINOR)
254A
700
254B
1000
255A
SEP (ONE NERVE)
EMNG (MAJOR)
VEP
600
SEP (TWO NERVES/DERMATONAL/PARASPINAL)
BAEP
750
BAEP (HEARING THRESHOLDS)
255B
1500
256A
1500
257A
800
257B
1200
258A
1500
259A
SINGLE FIBRE EMG
CENTRAL MOTOR CONDUCTION (UPPER OR LOWER LIMB
CENTRAL MOTOR CONDUCTION(BOTH UPPER OR LOWER
QUANTITATIVE EMG
DECREMENT RESPONSE
260A
700
261A
500
262A
70
263A
800
264A
1500
265A
300
266A
400
267A
800
268A
3000
268B
6000
269A
6000
270A
300
270B
BLINK REFLEX
CAROTID DOPPLER
BLOOD SUGAR (GLUCOMETER)
AUTONOMIC FUNCTION TEST
ELECTROPHYSIOLOGICAL EVALUATION OF MYOCLONIC
RESPIRATORY THERAPY
LUMBAR PUNCTURE
VENTILATORY CHARGES
PROLONGED VIDEO EEG RECORDING (3 HOURS)
PROLONGED VIDEO EEG RECORDING (6 HOURS) OR MO
INTRA OPERATIVE EPS
SPEECH THERAPY (UPTO 2 VISITS)
SPEECH THERAPY (UPTO 6 VISITS)
900
SPEECH THERAPY (UPTO A MONTH)
270C
1500
270D
300
271A
SPEECH THERAPY FOLLOW UP
PSYCHOMETRY (SCREENING TESTS)
450
750
271B
1000
272A
4000
272B
PSYCHOMETRY (COMPLICATED TESTS)
273A
35000
274A
15000
275A
3000
275B
6000
276A
300
276B
400
277A
750
277B
400
278A
20000
278B
25000
278C
30000
278D
12000
278E
PRE OPERATIVE EVALUATION OF EPILEPTIC FOCUS
278F
20000
ICMR
350
LMT-A
8 CONTACT DEPTH ELECTRODES
LMT-C
500
LMT-D
200
LMT-E
200
LMT-F
200
LMT-N
175
LMT-P
ECHO
LMT-R
1200
CT BRAIN (PLAIN)
SLEEP STUDY (OVER NIGHT)
SLEEP STUDY (OVER NIGHT + MSLT)
2000
FOCAL NEUROPARALYTIC THERAPY(INJ.BOTULINUM TO
PROLONGED DIGITAL EEG (3 HOURS)
PROLONGED DIGITAL EEG (6 HOURS)
I.Q
LOBE FUNCTIONS
NEUROPSYCHOLOGICAL TESTS
PSYCHOMETRY
4 CONTACT SUBDURAL STRIP
6 CONTACT SUBDURAL STRIP
8 CONTACT SUBDURAL STRIP
4 CONTACT DEPTH ELECTRODES
6 CONTACT DEPTH ELECTRODES
15000
ICMR CAROTID DOPPLER
ECG
50
CARBAMAZEPINE SERUM LEVELS
PHENOBARBITONE SERUM LEVELS
PHENYTOIN SERUM LEVELS
E.E.G
HB/PCV/TDC/CUE
140
LMT-S
760
LFT/SB(T)/SGOT/SGPT/AP(T&P)/BU/SC/SE
-----DEPARTMENT OF NUCLEAR MEDICINE
==============================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------901A
901N
150
902A
150
902N
903A
200
903N
200
904A
904N
500
905A
500
905N
500
906A
600
906N
50
907A
1100
907N
2500
908A
2500
908N
1500
909A
1100
909N
600
910A
1100
910N
911A
40000
911N
1100
THYROID RIA T3
150
THYROID RIA T3
THYROID RIA T4
THYROID RIA T4
150
THYROID RIA TSH
THYROID RIA TSH
THYROID RIA T3, T4, TSH
THYROID RIA T3,T4 & TSH
THYROID IODINE UPTAKE
THYROID IODINE UPTAKE
THYROID SCAN
THYROID CONSULTATION
LOW DOSE IODINE THERAPY
CR-51 RBC SURVIVAL
HIGH DOSE IODINE THERAPY
CR-51 RBC VOLUME
THYROID CONSULTATION
THYROID SCAN
LIVER COLLOID SCAN
WHOLE BODY IODINE-131 SCAN
1500
STRONTIUM -89
THERAPY
LIVER COLLOID SCAN
500
912A
912N
1100
913A
600
913N
1500
914A
1500
914N
600
915A
LIVER HEPATO BILIARY (MEBROFENIN)
1100
LIVER HEPATO BILIARY(MEBROFENIN)
OESOPHAGUS TRANSIT SCAN (ROTS)
DENATURED RBC SPLENIC SCINTIGRAPHY
ABDOMEN BLOOD POOL SCAN (GI BLEED, HEMANGIOMA
OESOPHAGEAL TRANSIT STUDY
ABDOMEN PERTECH SCAN (MECKEL'S)
915N
1500
916A
800
916N
600
917A
1000
917N
800
918A
1500
918N
800
919A
800
919N
1000
920A
ABDOMEN BLOOD POOL SCAN(GI BLEED,HEMANGIOM)
920N
1000
921A
600
921N
STANDARD RENOGRAM
600
GASTRIC EMPTYING LIQUID
ABDOMEN PERTECH SCAN - MECKEL S
STANDARD RENOGRAM
GASTRIC EMPTYING LIQUID
RENOGRAM
GASTRO OESOPHAGEAL REFLUX
RADIONUCLIDE CYSTOGRAPHY
DUODENOGASTRIC REFLUX
BONE SCAN
1200
922A
1000
922N
2000
923A
1500
923N
800
924A
1000
924N
925A
1000
925N
1000
RADIONUCLIDE GFR
CAPTOPRIL RENOGRAM
1500
MUGA RNV SCAN
LOSARTIN RENOGRAM
STRESS EX.MUGA
RADIONUCLIDE CYSTOGRAPHY
CARDIAC FIRST PASS
RADIONUCLIDE GFR
ISOTOPE VENOGRAM
DMSA RENAL SCINTIGRAPHY
600
926A
1000
926N
1000
927A
1000
927N
500
28A
10000
928N
1000
929A
2500
929N
LUNG PERFUSION SCAN
RADIONUCLIDE PHALLOGRAM
LUNG VENTILATION SCAN
TESTICULAR IMAGING
RADIONUCLIDE BRAIN SCAN
MUGA RNV SCAN
Cr-51 RBC Survival
STRESS EX.MUGA
1500
THALLIUM ISOTOPE CHARGES
930A
1500
930N
1000
931A
CARDIAC FIRST PASS
MYOCARDIAL PERFUSION SCAN SPECT
600
TL-201 MYOCARDIAL SPECT SCINTIGRAPHY
931N
6000
932A
1500
932N
PARATHYROID SCAN DERV.CHARGES
TETROFOSMIN/MIBI MYOCARDIAL SPECT
4000
933A
3000
933N
2000
934A
ADRENAL MIBG SCINTIGRAPHY
934N
1000
935A
1500
935N
1200
936A
1500
936N
1000
937A
1000
937N
1100
938A
100
938N
1500
939A
RADIONUCLIDE VENOGRAM
PHARMACOLOGICAL STRESS (ADENOSINE)
ADRENAL SCAN SERV. CHARGES
ADRENAL SCAN ISOTOPE
LUNG PERFUSION SCAN
GALLIUM SCAN SERV. CHARGES
LUNG VENTILATION SCAN
GALLIUM SCAN ISOTOPE
LYMPHANGIOGRAM
REGISTRATION FEE (DIRECT REFERENCE))
PARATHYROID SCINTIGRAPHY
LYMPHANGIOGRAM
1100
1200
939N
6000
940A
1500
940N
941A
1500
941N
2000
942A
942N
1500
943A
1000
943N
944A
1000
944N
5000
945A
500
945N
1500
946A
1000
946N
1500
947A
800
947N
1500
948A
1000
948N
7000
949A
1200
949N
8000
950A
1500
950B
1500
950C
1500
950D
950E
7000
950F
3000
950G
4000
ADRENAL MIBG SCINTIGRAPHY
I-131 WHOLE BODY SCAN (LARGE DOSE)
BONE SCAN
1400
Cr-51 labelled inv RBC-red blood
BONE SPECT SCINTIGRAPHY
Cr-51 Labelled RBC-Red Cell Study
2500
BONE MARROW SCINTIGRAPHY
Radionuclide Phallogram
ECD BRAIN SPECT
2000
D.M.S.A. Scan
HMPAO BRAIN SPECT
RADIONUCLIDE PLATELET SCINTIGRAPHY
RADIONUCLIDE CISTERNOGRAPHY
RADIONUCLIDE LEUCOCYTE SCINTIGRAPHY
CSF LEAK SCINTIGRAPHY
GASTRO OESOPHAGEAL REFLUX
CSF SHUNT SCINTIGRAPHY
DUOVENOGASTRIC REFLUX
GALLIUM-67 SCINTIGRAPHY
G-I BLEAD STUDY
IN-III PLATELET SCINTIGRAPHY
DENATURED RBC SPLINIC
SCINTIGRAPHY
BLOOD POOL SCINTIGRAPHY
(LIVER)
COLLOID BONE MARROW SCAN
TL-201 MYOCARDIAL SPECT SCINTIGRAPHY
6000
ADENSOSINE THALIUM SPECT
TETROFOSMIN/MIBI MYO CARDIAL SPECT
ADENOSINE MYO CARDIAL
SPECT
950H
2000
950I
5000
950J
ECD BRAIN SPECT
950K
1500
950L
1500
950M
7000
950O
5000
950P
100
CSF LEAK SCINIGRAPHY
950Q
5000
950R
200
950S
2500
950T
1500
950U
TC-99MM LEUCOCYTE SCINTIGRAPHY
950V
10000
950X
4000
950Y
500
950Z
1000
HMPAO BRAIN SPECT
RADIO NUCLIDE CISTEROGRAPHY
1500
CSF SHUNT SCINTIGRAPHY
GALLIUM -67 SCINTIGRAPHY
TC- 99M - LEUCOCYTE
SCINTIGRAPHY
EMERGENCY SCAN SERVICE
CHARGES
EMERGENCY SCAN SERVICE CHARGES
PHOSPHORUS - 32 THERAPY
LOW DOSE IODINE THERAPY
STRONTIUM-89 THERAPY
40000
RADIATION SYNOVECTOMY
THYROID ABLATION DOSE
ADDITIONAL RADIO PHARMACEUTICAL CHARGES
ADDITIONAL RADIO PHARMACEUTICAL CHARGES
-----DEPARTMENT OF NEPHOROLOGY
=========================
/
951A
1500
951B
2000
951C
951D
1000
951E
2500
951F
1500
951G
2000
HAEMODIALYSIS
*
HAEMODIALYSIS (HEPARIN FREE) *
HAEMODIALYSIS (BICARB)
1500
HAEMODIALYSIS
HAEMODYALSIS (BEDSIDE)
HAEMODIALYSIS WITH LMWH
HAEMODIALYSIS WITH ERYTHROPOIETIN
951H
2500
951I
HAEMODIALYSIS WITH LMWH+ERYTHROPOIETIN
951J
1500
951K
2500
951L
2000
951M
3000
951N
3500
951O
4000
952A
2000
952B
600
952C
350
953A
500
953B
1200
954A
3000
954B
2000
954C
2000
954D
1000
955A
7000
955B
5000
955C
3500
955D
HAEMODIALYSIS WITH I.V.IRON
955E
3000
955F
3000
955G
1000
956A
2500
957A
2500
957B
2500
958A
4000
A.V.FISTULA CONSTRUCTION SURGERY CHARGES
EMERGENCY HAEMODIALYSIS
2000
HEMODIALYSIS WITH ERYTHROPOIETIN 2000UTS+I.V
HAEMODIALYSIS NON-REUSE
HEMODIALYSIS WITH ERYTHROPOIETIN 3000UTS+I.V
HEMODIA(BICARB) WITH ERYTHROPOLETIN4000UTS+IV
HEMODIA(BICARB) WITH ERYTHROPOLETIN5000UTS+IV
PERITONEAL DIALYSIS (ROUTINE)
**
PERITONEAL DIALYSIS (EMERGENCY/BED SIDE)
**
PERITONEAL DIALYSIS TRAY CHARGES
FEMORAL ACCESS FOR DIALYSIS WITH ONE CATHETER
FEMORAL ACCESS FOR DIALYSIS WITH TWO CATHETER
SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH CATHT&D
SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH CATHT&S
SUBCLAVIAN ACCESS FOR HAEM. DYA.(WITH SERV. C
SUBCLAVIAN CATHETERIZATION TRAY CHARGES
C.A.P.D. SERVICE CHARGES
CAPD CATHETER IMPLANTATION SURGERY CHARGES
CAPD CATHETER REMOVAL SURGERY CHARGES
CAPD DRESSING CHARGES (EACH DRESSING)
A.V. FISTULA CLOSURE SURGERY CHARGES
A V FISTULA TRAY CHARGES
RENAL BIOPSY
A.V. SHUNT VASCULAR ACCESS
A.V.SHUNT KIT & TRAY
CHARGES
CONTINUOUS ARTERIO-VENOUS HAEMOFILT. SERV. CH
200
958B
7000
958C
8000
959A
2500
960A
5000
961A
20000
962A
963A
100
963B
200
963C
CAVH KIT CHARGES
CAVHD KIT CHARGES
C.A.V.H.D. SERVICE CHARGES
HAEMOPERFUSION SERV. CHARGES (DISP. COST EXTR
RENAL TRANSPLANTATION SERVICE CHARGES (NEPHRO
NEPHROLOGY CONSULSATION
150
FEMORAL/SUBCLAVIAN REMOVAL WITH DRESSING
SHUNT REMOVAL
TRANSPERANT SANDWICH DRESSING
200
964A
7053
964B
3897
964C
CAPD CATHETER
964D
21
964E
105
964F
127
964G
2088
964H
228
964I
228
964J
228
964K
56
965
750
MINICAP
966A
10000
966B
110000
966C
2500
966D
MARS PROCEDURE CHARGES(EACH SESSION 8-12 HRS)
966E
10000
966F
20000
TITANIUM ADAPTOR
LOCKING CAP
BLUE CLAMP
ULTRA Y-SET
EXTENDED LIFE TRANSVERSE SET
CAPD FLUID 1.5%
CAPD FLUID 2.5%
CAPD FLUID 4.25%
Easi "Y" set
AMBULATORY BLOOD PRESSURE MONITORING
MARS KIT CHARGES
PLAMAPHERESIS PROCEDURE CHARGES
PLASMAPHARESIS KIT CHARGES
12000
LIPIDAPHARESIS PROCEDURE CHARGES(EACH SESSION
LIPIDAPHARESIS KIT CHARGES
279
966G
500
CONTINUOUS CYCLER PERITONEAL DIALYSIS (CCPD)
-----DEPARTMENT OF NEURO SURGERY
=========================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------IN10SU
500
IN11SU
500
IN12SU
EMNG
IN13SU
500
IN14SU
750
IN1SU
SSEP
BAER
VEP
500
IN2ASU
500
IN2SU
500
IN3SU
1500
IN4SU
2000
IN5SU
500
IN6SU
IN7SU
1500
IN8SU
1000
IN9SU
2000
N100SU
16000
N101SU
3000
N102SU
6750
N103SU
9750
N104SU
12000
N105SU
11750
N106SU
SSEP > ONE LIMB
MICROPSCOPE
1500
C - ARM - MINOR
C - ARM - MINOR
C - ARM - MAJOR
ELECTROPHYSIOLOGICAL MONITORING
ELECTRO STIMULATION FOR PERIPHERAL MINOR
ELECTRO STIMULATION FOR PERIPHERAL MAJOR
ELECTRICAL STIMULATION FOR RHIZOTOMY
ULTRASONIC ASPIRATOR
USE OF ZIMMER DRILL
CRANIAL SURGERY FOR TUMORS & VASCULAR LESION
BURR HOLE FOR CH.SDH/ABSCESS DRINAGE
VH SHUNT & THECO PERITONEAL SHUNT(EXCLUDING S
SPINAL EXTRADURAL/DISC
SPINAL FUSION
SPINAL INTRADURAL
PERIPHERAL NERVE REPAIR
7750
1000
N107SU
12000
N108SU
2000
N109SU
N110SU
1000
N111SU
10250
N112SU
7750
N113SU
5000
N114SU
4000
N115SU
N116SU
7750
N117SU
500
N118SU
500
N119SU
200
N120SU
1500
N121SU
14000
N122SU
4750
N123SU
7750
N124SU
12750
N125SU
5000
N126SU
7500
N127SU
10000
N128SU
10250
N129SU
12750
N130SU
5000
N131SU
7500
N132SU
10000
N133SU
9000
CRANIAL MAJOR (FOR HEAD
INJURY)
CRANIAL MINOR( RESERVOIR PLACEMENT)
TWIST DRILL HOLE PLACEMENT
1500
SPINAL (MINOR)
PERIPHERAL NERVE SURGERY(MAJOR)
PERIPHERAL NERVE SURGERY(MINOR)
CRANIAL MINOR ELEVATION,OF DEPRESSED FRACTURE
CRANIAL RE-DO SURGERY FORCOMPLICATIONS
SPINAL RE-DO SURGERY FOR COMPLICATIONS
MENINGO MYELOCELE REPAIR&SURGERY (SPINALDYSRA
TRACHEOSTOMY
WOUND DEBRIDEMENT /SHUNT REMOVAL
RESUTURING OF WOUND
SHUNT REVISION
TRANS-SPHENOIDAL SURGERY FOR PITUIRARY TUMORS
TRANS-SPHENOIDAL BIOPSY
SINUS
DIAGNOSTIC
THERAPEUTIC
AS AN AID IN MICROSCOPY
STEREOTAXIC SURGERY
BIOPSY
HAEMATOMA EVACUATION
STEREOTACTIC BIOPSY UNDER GA (STEREOTAXIC SUR
STEREOTAXIC HEMATOMAS EVACUATION UNDER GA(S S
S.M.F.MINOR <90 MINUTES
S.M.F. INTERMEDIATE
S.M.F.MAJOR
S.P.R
OF SURGERY
3000
N134SU
3000
N135SU
5000
N136SU
250
N137SU
SOFT TISSUE RELEASE
(MINOR)
SOFT TISSUE RELEASE
(MAJOR)
SPECIAL EDUCATION
(MAJOR)
SPECIAL EDUCATION
(INTER)
N138SU
50
N139SU
150
N140SU
75
N141
100
N142
50
N143
30
N144
60
SPECIAL EDUCATION
(MINOR)
100
SPECIAL EDUCATION REVIEW (MAJOR)
SPECIAL EDUCATION REVIEW (MINOR)
OCCUPATIONAL THERAPHY EVALUATION AND THERAPY
OCCUPATIONAL THERAPHY REVIEW
MINOR DRESSING
MAJOR DRESSING
-----DEPARTMENT OF ORTHOPAEDICS
=========================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------B100SU
16000
B101SU
13000
B102SU
11500
B103SU
12750
B104SU
16000
B105SU
10250
B106SU
12000
B107SU
10750
B108SU
B109SU
11000
B110SU
11000
TOTAL JOINT REPLACEMENTS
ANTERIOR SPINAL FUSION
ANTEROLATERAL DECOMPRESSION
BONE TUMORS-TURNGRAFT/EXCISION & RECONSTRUCTI
POSTERIOR SPINAL FUSION INTERTRANSVERSE FUSIO
HIND/FORE QUATER AMPUTATIONS
LAMINECTOMY
A.M. ARTHROPLASTY
GIRDLESTONES ARTHROPLASTY
9000
NAIL PLATING
HIP SCREW FIXATION
B111SU
B112SU
10750
B113SU
7000
B114SU
8000
B115SU
7750
B116SU
8750
B117SU
B118SU
8750
B119SU
9500
B120SU
4000
B121SU
7750
B122SU
10750
B123SU
10750
B124SU
7750
B125SU
5000
B126SU
4000
B127SU
B128SU
4500
B129SU
4500
B130SU
B131SU
4000
B132SU
8750
B133SU
5000
B134SU
2000
B135SU
2500
B136SU
B137SU
4000
B138SU
5000
MUSCLE PEDICLE BONE GRAFT
9000
OSTEOTOMIES (AROUNT HIP)
DISARTICULATION/ARTHRODESIS
ARTHRODESIS
ARTHROSCOPY & MENISCECTOMY
KNEE LIGAMENT RECONSTRUCTION
ANKLE PANTALAR ARTHRODESIS
8750
LIGAMENT RECONSTRUCTION
SHOULDER RECURRENT DISLOCATION
EXTENDED MAXPAGE
MULTIPLE TENDON TRANSFERS
ALL INTERNAL FIXATIONS(FEMUR,TIBIA,FOREARM)
EXTERNAL FIXATIONS
CORRECTIVE OSTEOTOMIES (AROUND KNEE & ELBOW)
S.T.R. KNEE
SINGLE TENDON TRANSFER
PLATE REMOVAL
4000
RECURRENT DISLOCATION OF PATELLA
Q-PLASTY
TRIPLE ARTHRODESIS
4000
C.T.E.V. (ONE SIDE)
C.T.E.V. (BOTH SIDES)
GRICE ARTHRODESIS
MINOR - A
MINOR - B
MEDIUM - A
MEDIUM - B
MAJOR
3000
B139SU
10500
B140SU
4000
B141SU
7000
B142SU
7500
B143SU
11750
B144SU
10750
B145SU
11250
B146SU
10250
B147SU
150
B148SU
300
B149SU
500
EXTENDED
ARTHROSCOPY DIAGNOSTIC
ARTHROSCOPY SURGERY
ACL RECONSTRUCTION
CLOSED NAILINGS OF FEMUR & TIBIA
FRACTION TREATMENT
(ILIZAROR METHOD)
LIMBL.........
(ILIZAROR METHOD)
NONUNION MANAGEMENT
(ILIZAROR METHOD)
IMAGE INTENSIFIER (LESS THAN A MINUTE)
IMAGE INTENSIFIER (LESS THAN 3 MINUTES)
IMAGE INTENSIFIER (MORE THAN 3 MINUTES)
-----DEPARTMENT OF PSYCHOLOGICAL COUNSELLING
=======================================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------PCD1
100
PCD10
150
PCD11
PCD12
150
PCD13
150
PCD14
150
PCD15
200
PCD16
250
PCD17
PCD18
400
PCD2
150
PSYCHOLOGICAL COUNSELLING THERAPY CAT-1
SUPPORTIVE PSYCHOTHERAPY-CAT1
SUPPORTIVE PSYCHOTHERAPY-CAT2
250
MARITAL THERAPY
PARENTAL COUNSELLING
BEHAVIOURAL THERAPY
RELAXATION THERAPY - CAT3
RELAXATION THERAPHY - CAT4
RELAXATION THERAPY - CAT5
RELAXATION THERAPY - CAT6
PSYCHOLOGICAL COUNSELLING THERAPY-CAT2
300
PCD3
150
PCD4
250
PCD5
400
PCD6
75
PCD7
150
PCD8
75
PCD9
450
PCDF
100
PCDG
30
PCDI
30
FAMILY COUNSELLING THERAPY-CAT1
FAMILY COUNSELLING THERAPY-CAT2
FAMILY COUNSELLING THERAPY-CAT3
RELAXATION THERAPY CAT-1
RELAXATION THERAPY CAT-2
SLEEP THERAPY
SLEEP THERAPY FOR 6 DAYS
FAMILY COUNSELLING/THERAPY
GROUP COUNSELLING (PER HEAD)
INDIVIDUAL COUNSELLING/THERAPY
----DEPARTMENT OF PATHOLOGY
======================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------400A
HB ESTIMATION
30
PCV
401A
30
402A
50
403A
TOTAL AND DIFFERENTIAL COUNTS
PLATELET COUNT
40
404A
50
405A
40
406A
RETICULOCYTE COUNT
407A
75
408A
50
409A
225
410A
30
411A
30
412A
30
BLEEDING TIME AND CLOTTING TIME
ABSOLUTE EOSINOPHIL COUNT
ERYTHROCYTE SEDIMENTATION RATE (ESR)
CANCER FOLLOW UP
(CBC+P/S+R.C.COUNT+ESR)
URINE ALBUMIN + SUGAR
URINE SUGAR + KETONES
URINE MICROSCOPY
30
413A
30
414A
40
415A
70
416A
URINE METACHROMATIC GRANULES
417A
50
418A
75
419A
SICKLE CELL PREPARATION
STOOL OCCULT BLOOD ANASYSIS
COMPLETE URINE STUDY
SEMEN ANALYSIS
100
420A
150
421A
150
422A
423A
150
424A
200
425A
G-6PD DEFICIENCY SCREENING TEST
LE CELL PHENOMENON
150
FETAL HAEMOGLOBIN ESTIMATION
SUCROSE LYSES TEST
CYTOCHEMICAL STAINS
150
CBP
OSMOTIC FRAGILITY
BONE MARROW ASPIRATION
426A
350
427A
800
427B
600
427C
200
428A
100
429A
100
430A
100
431A
100
432A
100
433A
BONE MARROW BIOPSY
434A
150
435A
150
436A
100
437A
150
438A
60
ENDOSCOPIC/BRUSH SMEARS
300
KARYOTYPING BONE MARROW
KARYOTYPING PERIPHERAL BLOOD
PH CHROMOSOME
FLUID CYTOLOGY
C S F
SYNOVIAL FLUID
BODY FLUIDS
EXFOLIATIVE CYTOLOGY
SPUTUM
100
PAP SMEARS
BUCRAL SMEAR FOR SEX CHROMATIN
FINE NEEDLE ASPIRATION CYTOLOGY
SQUASH SMEAR
439A
440A
60
441A
150
442A
350
444A
500
445A
700
446A
SECOND OPINION
100
DUPLICATE SLIDES
HISTOPATHOLOGY A (SMALL)
HISTOPATHOLOGY B (LARGE)
HISTOPATHOLOGY+SPECIAL STUDIES A (MUSLCE,NERV
HISTOPATHOLOGY+IMMUNOHISTOLOGY(RENAL BIOP.,OT
HIST.PATH.+IMMUNOHISTOLOGY(REN.BIOP/OTH-MULTI
447A
150
448A
100
449A
20
450A
250
451A
800
452A
250
CRYOSTAT SECTIONS
453A
1500
454A
250
455A
3500
456A
850
457A
1400
458A
1800
459A
2500
460A
1200
461A
700
462A
1200
463A
500
464
120
464A
CD4/CD8 RATIOS
465A
50
P/S
1400
RESEARCH SPECIMEN
DUPLICATE REPORT
NEUROPATHOLOGY/LIVER BIOPSY
B LYMPHOCYTE CROSS MATCH
ELISA - ABPA
ELISA - TB
HLA TISSUE TYPING
CELL MEDIATED IMMUNE RESPONSE (INVITRO)
IMMUNO HISTOCHEMISTRY - TWO MARKERS
IMMUNO HISTOCHEMISTRY - THREE MARKERS
IMMUNO HISTOCHEMISTRY - FOUR MARKERS AND MORE
ACUTE LEUKEMIA PANEL
IMMUNO HISTOCHEMISTRY SINGLE MARKER(E R, GFAP
PITUITARY PANEL
ENZYME HISTOCHEMISTRY
HB, PCV, TLC, DLC, ESR
MUSCLE - DYSTROPHIN
1500
466A
50
467A
50
468A
250
469A
600
470A
150
471A
472A
1200
473A
1400
474A
MP
MF
PARASIGHT-F
LARGE SP > 3 BLOCKS
SPECIAL STAINING
KIDNEY
500
MUSCLE (INCLUDING PROCEDURE)ENGYME HISTO CHEM
ROUND CELL PANEL
SPINDEL CELL PANEL
1400
475A
1400
476A
1400
477A
478A
1200
479A
150
480A
481A
150
482A
2000
483A
484A
5000
485A
1000
486A
1000
487A
1000
488A
1000
489A
1000
490A
3000
PITUITARY PANEL
ER/PR
DYSTROPHIN & OR ADHALIN/ MEROSIN
1400
PAROXYSMAL NOCTURNAL HEMOGLOBINURIA(PNH)
SECOND OPINION +BLOCK
SECOND OPINION > 3 BLOCKS
250
SECOND OPINION SPECIAL STAINS
SPECIAL HISTOPATHOLOGY NEURO/LYMPHNODE/SOFT T
DYSTROPHIN 1 2 3
2000
ALPHA BETA GAMMA DELTA SARCOGLYCANS
MEROSIN
DYSFERLIN
EMERIN
MYOTILIN
BETA AMYLOID
BETA AMYLOID TAU PROTEIN AND UBIQUITIN
-----DEPARTMENT OF PLASTER ROOM
=========================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------500A
250
500B
500
500C
501A
50
502A
50
503A
504A
300
505A
50
506A
507A
30
508A
40
509A
510A
100
511A
350
512A
100
513A
250
514A
100
MINOR PROCEDURES
MINOR PROCEDURES
MINOR PROCEDURES
750
H.C. INJECTION OR INTRA ARTICULAR
KNEE JOINT ASPIRATION
REDUCTION UNDER SEDATION & POP
150
REDUCTION UNDER ANAESTHESIA & POP
C.T.E.V. MANIPULATION
PLASTER REMOVAL
15
DRESSING
SUTURE REMOVAL & DRESSING
PLASTER SLAB
100
PLASTER CAST
SPICA & BODY CORSETS
I & D (INCISION & DRAINAGE - LOCAL
I & D (INCISION & DRAINAGE - GENERAL
SUTURING - UNDER LOCAL ANAESTHESIA
----DEPARTMENT OF PLASTIC SURGERY
============================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------P100SU
1000
P101SU
2000
P102SU
2000
P103SU
3000
SCAR REVISION/TATO EXCISION LA MINOR
SCAR REVISION/TATO EXCISION LA MAJOR
SCAR REVISION/TATO EXCISION GA MINOR
SCAR REVISION/TATO EXCISION GA MAJOR
P104SU
1000
P105SU
3000
P106SU
5000
P107SU
1000
P108SU
2500
P109SU
3000
P110SU
P111SU
1500
P112SU
4000
P113SU
P114SU
5000
P115SU
7000
P116SU
4000
P117SU
6000
P118SU
4000
P119SU
P120SU
2000
P121SU
4000
P122SU
5000
P123SU
8000
P124SU
2000
P125SU
3500
P126SU
6000
P127SU
3000
P128SU
5000
P129SU
7500
P150SU
5000
P151SU
7500
DERMABRASION LA
DERMABRASION GA MINOR
DERMABRASION GA MAJOR
LIPOSUCTION LA MINOR
LIPOSUCTION LA MAJOR
LIPOSUCTION GA MINOR
LIPOSUCTION GA MAJOR
6000
LIPECTOMY LA
LIPECTOMY GA MINOR
LIPECTOMY GA MAJOR
6000
AUGUMENTATION MAMMOPLASTYU/L
AUGUMENTATION MAMMOPLASTYB/L
AUGUMENTATION MAMMOPLASTY(EXCLUDING IMPLANTS)
AUGUMENTATION MAMMOPLASTY(EXCLUDING IMPLANTS)
REDUCTION MAMMOPLASTY U/L
REDUCTION MAMMOPLASTY B/L
HAIR REPLACEMENT SURGERY LA MINOR
HAIR REPLACEMENT SURGERY LA MAJOR
HAIR REPLACEMENT SURGERY GA MINOR
HAIR REPLACEMENT SURGERY GA MAJOR
OTOPLASTY LA
OTOPLASTY GA MINOR
OTOPLASTY GA MAJOR
RHINO PLASTY -(CARTILAGE /BONE GRAFT) LA
RHINO PLASTY -(CARTILAGE /BONE GRAFT) GA MINO
RHINO PLASTY -(CARTILAGE /BONE GRAFT) GA MAJO
CALVARIAL RECONSTRUCTION (SOFT ISSUSE) MINOR
CALVARIAL RECONSTRUCTION (SOFT ISSUSE) MAJOR
7000
P152SU
7500
P153SU
10000
P154SU
6000
P155SU
10000
P156SU
10000
P157SU
15000
P158SU
CALVARIAL RECONSTRUCTION WITH BONE GRAFTS MIN
CALVARIAL RECONSTRUCTION WITH BONE GRAFTS MAJ
EXPANDERS (EXCLUDING IMPLANTS) MINOR
EXPANDERS (EXCLUDING IMPLANTS) MAJOR
CRANIOFACIAL SURGERY
GA (3 HRS)
CRANIOFACIAL SURGERY
GA (5 HRS)
CRANIOFACIAL SURGERY
GA (7 HRS)
P159SU
30000
P160SU
10000
P161SU
10000
P162SU
10000
P163SU
15000
P164SU
15000
P165SU
20000
P200SU
1500
P201SU
3000
P202SU
CRANIOFACIAL SURGERY
GA > 7 HRS
P203SU
3000
P204SU
5000
P205SU
ZYGOMA GA MINOR
20000
MAXILLA ADVANCEMENT /SET BACK
MANDIBLE ADVANCEMENT /SETBACK
SKULL BASE TUMORS-TRANSMAXILLARY
SKULL BASE TUMORS- NASOMAXILLARY
SKULL BASE TUMORS- FRONTONASAL
SKULL BASE TUMORS- FRONTONASO ORBITAL
NASAL LA
NASAL GA
ZYGOMA LA
1500
P206SU
3000
P207SU
5000
P208SU
5000
ZYGOMA GA MAJOR
ORBITAL LA
2000
ORBITAL GA MINOR
ORBITAL GA MAJOR
FRONTONASO ETHMOIDO ORBITL A
P209SU
10000
P210SU
15000
P211SU
FRONTONASO ETHMOIDO ORBITL B
P212SU
5000
MANDIBLE(CLOSED REDUCTION& IMF) GA
FRONTONASO ETHMOIDO ORBITL C
MANDIBLE(CLOSED REDUCTION& IMF) LA
3000
P213SU
2500
P214SU
5000
P215SU
10000
P216SU
10000
P217SU
15000
P218SU
6000
P219SU
11000
P220SU
1000
P221SU
MAXILLA LA
P222SU
5000
P223SU
7000
P250SU
ORIF GA MINOR
P251SU
1000
P252SU
2500
P253SU
DEBRIDEMENT B
MAXILLA GA MINOR
MAXILLA GA MAJOR
PANFACIAL FRACTURES GA A
PANFACIAL FRACTURES GA B
TM JOINT RELEASE(UNILATERAL)
TM JOINT RELEASE(BILATERAL)
IMF LA
IMF GA
3000
ORIF GA MAJOR
DEBRIDEMENT A
500
P254SU
500
P255SU
2000
P256SU
P257SU
3500
P258SU
5000
P259SU
2500
P260SU
4000
P261SU
3000
P262SU
5000
P263SU
500
P264SU
1000
P265SU
2000
P266SU
4000
DEBRIDEMENT C
DEBRIDEMENT D
4000
SKIN GRAFTING LA MINOR
SKIN GRAFTING LA MAJOR
SKIN GRAFTING GA A
SKIN GRAFTING GA B
SKIN GRAFTING GA C
SKIN FLAP MINOR
SKIN FLAP MAJOR
MUSCLE FLAP
MINOR
MUSCLE FLAP
MAJOR
SOFT TISSUE INJURY LA A
SOFT TISSUE INJURY LA B
SOFT TISSUE INJURY LA C
SOFT TISSUE INJURY LA D
3000
P267SU
2000
P268SU
2500
P269SU
P270SU
5000
P271SU
1500
P272SU
P273SU
4000
P274SU
6000
P275SU
3000
P276SU
5000
P277SU
10000
P278SU
P279SU
2000
P280SU
4000
P281SU
6000
P282SU
10000
P283SU
2000
P284SU
3500
P285SU
4500
P286SU
3000
P287SU
4000
P288SU
5000
P289SU
2500
P290SU
4000
P291SU
5000
P292SU
7000
P293SU
2000
SOFT TISSUE INJURY GA A
SOFT TISSUE INJURY GA B
SOFT TISSUE INJURY GA C
4000
SOFT TISSUE INJURY GA D
PRESSURE SORE REPAIR LA
MINOR
PRESSURE SORE REPAIR LA
3000
PRESSURE SORE REPAIR GA
MAJOR
PRESSURE SORE REPAIR GA
MAJOR
LYMPHOEDEMA EXCISION
MINOR
LYMPHOEDEMA EXCISION
MAJOR A
LYMPHOEDEMA EXCISION
MAJOR B
MINOR
LYMPHOEDEMA VIPEL PUMP/DAY
150
VASCULAR FORMATIONS
LA MINOR
VASCULAR FORMATIONS
GA MAJOR A
VASCULAR FORMATIONS
GA MAJOR B
VASCULAR FORMATIONS
GA MAJOR C
CLEFT LIP UNILATERAL-ADHESION
CLEFT LIP UNILATERAL-REPAIR MINOR
CLEFT LIP UNILATERAL-REPAIR MAJOR
CLEFT LIP BILATERAL-ADHESION
CLEFT LIP BILATERAL-ADHESION MINOR
CLEFT LIP BILATERAL-ADHESION MAJOR
CLEFT PALATE MINOR
CLEFT PALATE MAJOR
TOTAL CORRECTION LIP & PALATE - UNILATERAL
TOTAL CORRECTION LIP & PALATE - BILATERAL
SECONDARY CORRECTION LIP MINOR
P294SU
3000
P295SU
2000
P296SU
4000
P297SU
SECONDARY CORRECTION LIP MAJOR
P298SU
4000
P299SU
4000
P300SU
6000
P301SU
2000
P302SU
4000
P303SU
4000
P304SU
7000
P305SU
3500
P306SU
5000
P307SU
1500
P308SU
3000
P309SU
3500
P310SU
6000
P311SU
2000
P312SU
3000
P313SU
PALATAL FISTULA- FLAP COVER
CLEFT LIP NOSE DEFORMITY MINOR
CLEFT LIP NOSE DEFORMITY MAJOR
PALATAL FISTULA- CLOSURE
3000
ALVEOLAR BONE GRAFTING
MINOR
ALVEOLAR BONE GRAFTING
MAJOR
RECONSTRUCTION OF LIP/CHECK
LA MINOR
RECONSTRUCTION OF LIP/CHECK
LA MAJOR
RECONSTRUCTION OF LIP/CHECK
GA MINOR
RECONSTRUCTION OF LIP/CHECK
GA MAJOR
RECONSTRUCTION OF EYE
LIDS MINOR
RECONSTRUCTION OF EYE
LIDS MAJOR
EAR RECONSTRUCTION UNILATERAL LA MINOR
EAR RECONSTRUCTION UNILATERAL LA MAJOR
EAR RECONSTRUCTION UNILATERAL GA MINOR
EAR RECONSTRUCTION UNILATERAL GA MAJOR
EAR RECONSTRUCTION BILATERAL LA MINOR
EAR RECONSTRUCTION BILATERAL LA MAJOR
EAR RECONSTRUCTION BILATERAL GA MINOR
4500
P314SU
EAR RECONSTRUCTION BILATERAL GA MAJOR
7000
P315SU
RECONSTRUCTION OF NOSE
LA MINOR
1500
P316SU
RECONSTRUCTION OF NOSE
LA MAJOR
P317SU
3500
P318SU
6000
P319SU
1000
P320SU
2000
P321SU
3000
RECONSTRUCTION OF NOSE
GA MINOR
RECONSTRUCTION OF NOSE
GA MAJOR
POST BURN CONTRACTURE
LA-A
POST BURN CONTRACTURE
LA-B
POST BURN CONTRACTURE
LA-C
3000
P322SU
2000
P323SU
4000
P324SU
6000
P325SU
2000
P326SU
POST BURN CONTRACTURE
GA-A
POST BURN CONTRACTURE
GA-B
POST BURN CONTRACTURE
GA-C
P327SU
6000
HYPOSPADIAS - C
HYPOSPADIAS - A
HYPOSPADIAS - B
4000
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------P350SU
400
P351SU
600
P352SU
P353SU
2000
P354SU
1000
P355SU
1500
P356SU
2000
P357SU
3500
P358SU
P359SU
1400
P360SU
2000
P361SU
1000
P362SU
2000
P363SU
3000
P364SU
1000
P365SU
2500
P366SU
3500
P367SU
1500
P368SU
3000
P369SU
5000
BRACHIAL BLOCK
ABSCESS DRAINAGE
REVISION AMPUTATION(SINGLE)
500
REVISION AMPUTATION(MULTIPLE)
FINGER TIP INJURY(SUTURING)
FINGER TIP INJURY(SSG/FLAP)
SKIN LOSS HAND (LOCAL FLAP)
SKIN LOSS HAND (REGIONAL FLAP)
FRACTURE HAND (SINGLE/MULTIPLE/TRACTION)
FRACTURE HAND (SINGLE/K-WIRE)
FRACTURE HAND (SINGLE/OROF)
FRACTURE HAND (MULTIPLE/MANIPULATION,POP)
FRACTURE HAND (MULTIPLE/KWIRE ,DISTRACTOR)
FRACTURE HAND (MULTIPLE/ ORIF)
TENDON INJURY(SINGLE) LA
TENDON INJURY(MULTIPLE)-LA
TENDON INJURY(SINGLE/MULTIPLE) GA
TENDON GRAFTING(SINGLE)LA
TENDON GRAFTING(MULTIPLE) LA
TENDON GRAFTING(SINGLE/MULTIPLE) GA
500
P370SU
1500
NERVE INJURY(SUTURING)
LA
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------P371SU
2500
P372SU
4000
P373SU
3000
P374SU
5000
P375SU
NERVE INJURY(GRAFTING)
LA
NERVE INJURY(GRAFTING&
SUTURING) GA
VOLAR COMBINED INJURIES
LA
P376SU
5000
P377SU
4000
P378SU
7000
P379SU
7000
P380SU
12000
P381SU
12000
P382SU
6000
P383SU
10000
P384SU
12000
P385SU
16000
P386SU
17000
P387SU
5000
P388SU
7500
P389SU
3000
P390SU
4000
P391SU
5000
VOLAR COMBINED INJURIES
GA
DORSAL COMBINED INJURIES LA
DORSAL COMBINED INJURIES GA
4000
REVASCULARISATION OF SINGLE FINGER LA
REVASCULARISATION OF SINGLE FINGER GA
REVASCULARISATION OF MULTIPLE FINGERS LA
REVASCULARISATION OF MULTIPLE FINGERS GA
REVASCULARISATION OF HANDAND ABOVE
REPLANTATION OF SINGLE FINGER LA
REPLANTATION OF SINGLE FINGER GA
REPLANTATION OF MULTIPLE FINGERS LA
REPLANTATION OF MULTIPLE FINGERS GA
REPLANTATION OF HAND AND ABOVE
BRACHIAL PLEXUS EXPLORATION & SUTURING
BRACHIAL PLEXUS EXPLORATION &NERVE GRAFTING/T
CRUSH INJURY HAND LOCAL
FLAP LA
CRUSH INJURY HAND LOCAL
FLAP GA
CRUSH INJURY HAND REGIOLAL FLAP
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------P392SU
CRUSH INJURY HAND FREE
FLAP
12000
P425SU
5000
P426SU
10000
P427SU
15000
P428SU
20000
P429SU
4000
P430SU
6000
P431SU
4000
P432SU
6000
P450SU
100
P451SU
500
P452SU
25
P453SU
50
P454SU
P455SU
200
P456SU
300
P457SU
P458SU
100
P459SU
500
P460SU
P461SU
2000
FREE TISSUE TRANSFER
(< 6 HOURS) A
FREE TISSUE TRANSFER
(> 6 HOURS) B
FREE TISSUE TRANSFER
(COMPOSITE < 8 HOURS
FREE TISSUE TRANSFER
(COMPOSITE > 8 HOURS
VAS/TUBAL RECANLIZATION
MINOR
VAS/TUBAL RECANLIZATION
MAJOR
NERVE REPAIR MINOR
NERVE REPAIR MAJOR
PLASTIC
SURGERY CONSULTATION A
PLASTIC
SURGERY CONSULTATION(MULTIPLE VISITS
DRESSING CHARGES A
DRESSING CHARGES B
DRESSING CHARGES C
100
DRESSING CHARGES D
DRESSING CHARGES E
DRESSING CHARGES F
500
PHOTO DOCUMENTATION CHARGES
MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS
MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS
1000
MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------P462SU
3000
P463SU
4000
P464SU
5000
P465SU
7000
P466SU
10000
P467SU
20000
MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS
MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS
MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS
MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS
MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS
MISCELLANEOUS /DISPOSABLES & SUTURE MATERIALS
P468SU
5000
P469SU
10000
P470SU
2000
P471SU
6000
CLEFT LIP/PALATE(UNILAT)
CLEFT LIP & PALATE
CLEFT LIP AND PALATE (SINGLE PROCEDURE)
CLEFT LIP AND PALATE (DOUBLE PROCEDURE)
DEPARTMENT OF PHYSIOTHERAPY
===========================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------601A
50
602A
50
603A
50
604A
50
605A
50
606A
50
607A
50
608A
100
609A
50
610A
50
611A
60
612A
50
613A
614A
50
615A
400
616A
617A
50
YOGA
50
SWD (EACH SITTING)
US (ULTRA SOUND) EACH SITTING
STIMULATION
CERVICAL TRACTION
LUMBAR TRACTION
EXERCISE (MINOR)
EXERCISE (MAJOR)
POST RHIZOTOMY ASSESSMENT
SD CURVE
MUSCLE ASSESSMENT (EACH LIMB)
THUMB WED SPLINT
COCKUP SPLINTS
CYLINDRICAL SPLINTS
75
PHYSIOTHERAPY CHARGES
PHYSIO THERAPIST THEATRE CHARGES
INTERFERENTIAL THERAPY
50
DIADYNAMICS
YOGA CONSULTATION CHARGES
-----
DEPARTMENT OF RHEUMATOLOGY
==========================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------CSIR1
CSIR IST/IIND VISIT (PACKAGE)
720
CSIR2
365
RH1
100
RH10
CSIR VIITH/LAST VISIT (PACKAGE)
RH11
900
RH12
400
RH13
400
RH14
400
RH15
400
RH16
400
RH17
300
RH18
1500
RH19
350
RH2
150
RH20
350
RH21
250
RH22
ANTICARDIOLIPIN ANTIBODIES
RH23
1500
RH24
400
RH25
KIDNEY BIOPSY
INTRA-ARTICULAR JOINT INJECTION
ANTIDSDNA ANTIBODIES
300
ANTI RNP
ANTI ENA
ANTI SCL 70
ANTI SM ANTOBODIES
ANTI DNP ANTIBODIES
ANF-ELISA BLOT ASSAY
ANTI NEUTROPHILIC CYTOPLASMIC ANTIBODIES
COMPLIMENTS C3
SYNOVIAL FLUID ASPIRATION
COMPLIMENTS C4
IMMUNOGLOBLINS
SKIN BIOPSY
250
RH26
300
RH27
500
RH3
RH31
50
RH32
50
LUMBAR PUNCTURE
PLEURAL FLUID ASPIRATION
300
ASCITIC FLUID ASPIRATION
NEEDLE BIOPSY SYNOVIUM
SKIN TRACTION
PULSE CYCLOPHOSPHAMIDE
RANDOM BLOOD SUGAR
150
RH33
50
RH34
50
RH35
50
RH36
80
RH37
50
RH38
125
RH39
80
RH4
200
RH40
160
RH41
30
RH42
RH43
30
RH44
100
RH45
RH46
50
RH47
400
RH48
400
RH49
400
RH5
200
RH50
DRESSING
CATHETERIZATION
OXYGEN O2 (2 LTRS 6 LTRS) OR (6-10 LTR/LTR)
NEUALIZATION
RYLES TUBE FEEDING
RHEUMATOLOGY CONSULATION
DRESSING MINOR
ANTISREPTOLYSIN O
DRESSING MAJOR
URINE-ALBUMIN
URINE-SUGAR
30
URINE-MICROSCOPE ETC
SYNOVIAL FLUID ANALYSIS
SYNOVIAL FLUID CRYSTALS
50
SYNOVIAL FLUID CELL COUNT
ANTI SS-A (ANTI RO)
ANTI SS-B (ANTI LA)
ANTI JO-L
C REACTIVE PROTEIN
ANTI SCL-70
RH51
400
RH52
400
RH53
600
RH54
75
RH55
1200
RH56
1600
RH6
ANTI HISTONE ANTIBODIES
RH7
1000
REHEUMATOID PROFILE
400
ANTI CENTRO MERE ANTIBODIES
ANTI CARDIOLIPIN ANTIBODIES(IGG+IGM)
MONTOUX TEST
ANTI CCP (ANTI CYCLIC CITRULLINATED PEPTIDE)
EARLY RA PROFILE(IGMRF+ANTICCP+CRP)
SLE PROFILE
2000
RH8
250
RH9
250
RHEUMATOID FACTOR IGM
CIRCULATIING IMMUNE COMPLEXES
-----DEPARTMENT OF RADIOLOGY
======================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------100A
500
101A
600
102A
600
103A
900
104A
1000
105A
BARIUM SWALLOW
BARIUM MEAL UPPER G.I.
CONTRAST STUDY UPPER G.I. (WATER SOLUBLE)
BARIUM MEAL FOLLOW THROUGH
SMALL BOWEL ENEMA
BARIUM ENEMA
800
106A
750
107A
1250
108A
BRONCHOGRAM UNILATERAL
109A
1000
110A
700
111A
1000
112A
1400
113A
1600
114A
2500
115A
1000
116A
3000
117A
150
118A
IVP (WITH CONTRAST)AM
119A
500
120A
200
BRONCHOGRAM BILATERAL
DISTENSION ARTHROGRAM
IVP (WITHOUT CONTRAST)
LUMBAR MYELOGRAM
DORSAL MYELOGRAM
CERVICAL MYELOGRAM
WHOLE LENGTH MYELOGRAM
NON-IONIC CONTRAST IOHEXOL 300MG, 40ML EXTRA
SPLEENOPORTOGRAM
X-RAY IN-BED (EACH FILM)
CYSTOGRAM/MCU
500
NEEDLE BIOPSY FLUROSCOPI GUIDED
ORAL CHOLE CYSTOGRAM (OCC)
1000
121A
P.T.C.
122A
300
123A
400
124A
R.G.U.
2500
125A
600
126A
100
127A
128A
100
129A
2000
130A
1000
131A
70
132A
120
133A
300
133B
700
133C
900
133D
1100
133E
1300
133F
1600
134A
1400
135A
136A
2000
137A
2500
138A
139A
3500
140A
1500
141A
2000
142A
1100
143A
2000
SINOGRAM
TV FLUROSCOPY WITH CONTRAST AND FILMS
1000
TV FLUROSCOPY WITH FILMS & CONTRAST FOR ERCP
ENDOSCOPY DILATATION
FLUROSCOPY (MOBILE)
FLUROSCOPY
VENOGRAM BILATERAL
VENOGRAM UNILATERAL
X-RAY FOR PTIENTS < 10 YEARS
X-RAY FOR PATIENTS >=10 YEARS
COLOUR DOPLER SONOGRAPHY-SMALL PARTS
COLOUR DOPLER SONOGRAPHY-SINGLE VESSEL
COLOUR DOPLER SONOGRAPHY-DOUBLE VESSEL
COLOUR DOPLER SONOGRAPHY-TRIPPLE VESSEL
COLOUR DOPLER SONOGRAPHY-MULTIPLE VESSELS I
COLOUR DOPLER SONOGRAPHY-MULTIPLE VESSELS II
CT BRAIN (PLAIN)
CT BRAIN (CONTRAST)
1800
CT CHEST (PLAIN)
CT CHEST (CONTRAST)
CT UPPER/LOWER ABDOMEN
2500
CT WHOLE ABDOMEN
CT ORBITS/PNS (PLAIN)
CT ORBITS/PNS (CONTRAST)
CT JOINTS & LIMBS (PLAIN)
CT JOINTS & LIMBS (CONTRAST)
200
144A
CT SPINE (CERVICAL/DORSAL)
145A
1000
146A
1500
CT LIMITED CUTS
2200
CT LIMITED CUTS (CONTRAST)
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------147A
4500
148A
1000
149A
1800
150A
2200
151A
500
151B
151C
2000
153A
350
155A
156A
4500
156B
1000
157A
6800
158A
2500
159A
7500
160A
CT CHEST & ABDOMEN
CT BIOPSY
CT BRAIN WITH EXTRA CUTS (PLAIN)
CT BRAIN WITH EXTRA CUTS (CONTRAST)
CT NON-IONIC CONTRAST
CT NON-IONIC CONTRAST
1000
CT NON-IONIC CONTRAST
ULTRA SOUND (ROUTINE)
ULTRA SOUND GUIDED BIOPSY
500
MAGNETIC RESONANCE IMAGING
MRI OF JOINTS
MAGNETIC RESONANCE IMAGING
MAGNETIC RESONANCE IMAGING
MAGNETIC RESONANCE IMAGING
MAGNETIC RESONANCE IMAGING
161A
12000
162A
2000
163A
1200
164A
2000
165A
2500
166A
3000
WHOLE SPINE + BRAIN
CODE
RATE
DESCRIPTION
MUSCULO SKELETAL AND OTHERS (MRI)
CT HEAD
CT HEAD WITH NON IONIC CONTRAST
CT SINGEL REGION OTHER THAN HEAD/BIOPSY
CT-ONE REGION WITH CONTRAST OTHER THAN HEAD/C
9500
-------- --------------------------------------------- ---------167A
2500
168A
4000
169A
2500
170A
5000
171A
CT WHOLE ABDOMEN PLAIN/SPINE/HRCT
CT WHOLE ABDOMEN NON IONIC CONTRAST
SPIRAL CT - 3D
CT ANGIO (HEAD)
CT ANGIO (ABDOMEN/CHEST/NECK)
5000
CT LIMITED CUTS (PLAIN)
172A
1500
173A
500
174A
NON-IONIC CONTRAST
NON-IONIC CONTRAST
1000
175A
2000
176A
60
177A
NON-IONIC CONTRAST
178A
60
179A
60
180A
60
181A
60
182A
60
183A
60
184A
60
185A
60
186A
60
187A
60
LEFT OPTIC FORAMEN VIEW
P.N.S.
NOSAL BONE LATERAL VIEW
60
RIGHT OPTIC FORAMEN VIEW
MONDABLE PA VIEW
LEFT MONDABLE OBLIQUE VIEW
RIGHT MONDABLE OBLIQUE VIEW
CERVICAL SPINE AP VIEW
CERVICAL SPINE LATERAL VIEW
CERVICAL SPINE (L) OBLIQUE VIEW
CERVICAL SPINE (R) OBLIQUE VIEW
CERVICAL SPINE FLEXION VIEW
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------188A
189A
60
190A
60
191A
CERVICAL SPINE EXTENSION VIEW
60
C.V.JUNCTION LATERAL VIEW
C.V.JUNCTION FLEXION VIEW
C.V.JUNCTION EXTENSION VIEW
60
192A
60
193A
60
194A
C1,C2 OR ODONTOID OPEN MOUTH VIEW
195A
60
196A
70
197A
70
198A
70
199A
70
300A
70
301A
70
302A
70
303A
70
304A
70
305A
70
306A
70
307A
(R) MASTOID LATERAL VIEW
308A
70
COCCYX LATERAL VIEW
(L) MASTOID LATERAL VIEW
60
BOTH HANDS AP VIEW (INCLUDING BOTH WRISTS)
(L) HAND AP AND LATERAL VIEW
(R) HAND AP AND LATERAL VIEW
(L) HAND AP AND OBLIQUE VIEW
(R) HAND AP AND OBLIQUE VIEW
(L) FORE ARM AP AND LATERAL
(R) FORE ARM AP AND LATERAL
BOTH FORE ARMS AP VIEW
BOTH FOREARM LATERAL VIEW
(L) ARM AP AND LATERAL VIEW
(R) ARM AP AND LATERAL VIEW
(L) FOOT AP AND LATERAL VEW
70
(R) FOOT AP AND LATERAL VEW
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------309A
70
310A
70
311A
70
312A
70
313A
70
314A
(L) FOOT AP AND OBLIQUE VIEW
315A
70
316A
70
317A
70
BOTH ANKLE AP VIEW
(R) FOOT AP AND OBLIQUE VIEW
BOTH FEET AP VIEW
BOTH FEET LATERAL VIEW
BOTH FEET OBLIQUE VIEW
BOTH ANKLE LATERAL VIEW
BOOT INCLUDING ANKLE LATERAL VIEW
(L) ANKLE AP AND LATERAL
70
318A
70
319A
70
320A
70
321A
70
322A
70
323A
70
324A
325A
70
326A
70
327A
328A
70
329A
70
(R) ANKLE AP AND LATERAL
BOTH HEALS LATERAL VIEW
BOTH HEALS AXIAL VIEW
BOTH KNEES AP VIEW
BOTH KNEES AP IN STANDING POSITION
BOTH KNEES LATERAL VIEW
(L) KNEE AP AND LATERAL
70
(R) KNEE AP AND LATERAL
BOTH KNEES SKYLINE VIEW
HIP AP VIEW
70
HIP LATERAL VIEW
SACRUM INCLUDING COCCYX AP VIEW
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------330A
70
331A
SACRUM INCLUDING COCCYX LATERAL VIEW
332A
70
333A
70
334A
70
335A
70
336A
70
337A
70
338A
70
339A
70
340A
70
341A
70
342A
70
343A
70
SCAPULA AXIAL (OR) LATERAL VIEW
SCAPULA AP VIEW
THORACIC INLET VIEW
BOTH STENO-CLAVICAL JOINTS PA VIEW
(L) STERNO-CLAVICAL JOINT OBLIQUE
(R) STERNO-CLAVICAL JOINT OBLIQUE
BOTH S.T. JOINTS PA VIEW
BLADDER AREA AP VIEW
LUMBAR SPINE AP VIEW
LUMBAR SPINE LATERAL VIEW
LUMBOSACRAL SPINE AP VIEW
LUMBOSACRAL SPINE LATERAL VIEW
LUMBAR SPINE (L) OBLIQUE
70
344A
345A
70
346A
70
347A
348A
70
349A
70
350A
LUMBAR SPINE (R) OBLIQUE
70
LUMBOSACRAL SPINE (L) OBLIQUE
LUMBOSACRAL SPINE (R) OBLIQUE
L5-S1 CONADOWN AP VIEW
70
L5-S1 CONADOWN LATERAL VIEW
SKULL LATERAL VIEW
SKULL PA VIEW
70
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------351A
70
352A
70
353A
70
354A
70
355A
70
356A
70
357A
70
358A
70
359A
70
360A
70
361A
70
362A
80
363A
80
364A
365A
80
366A
80
367A
80
368A
80
SKULL AP VIEW
SKULL PA 20 DEGREES VIEW
SKULL TOWENE'S VIEW
BASE OF SKULL VIEW
BOTH MASTOIDS LATERAL VIEW
BOTH TM JOINTS
(L) TM JOINT OPEN AND CLOSED MOUTH
(R) TM JOINT OPEN AND CLOSED MOUTH
CLAVICAL AP VIEW
CERVICO-DORSAL SPINE AP VIEW
CERVICO-DORSAL SPINE OBLIQUE (OR) SWIMMERS VI
CHEST PA VIEW
CHEST AP VIEW
CHEST (L) LATERAL
80
CHEST (R) LATERAL
CHEST (L) OBLIQUE
CHEST (R) OBLIQUE
CHEST LATERAL DECUBITUS
369A
80
370A
CHEST APICOGRAM (OR) CHEST LORDOTIC
371A
80
BOTH SHOULDERS AP VIEW
STERNUM LATERAL
80
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------372A
80
373A
80
374A
80
375A
80
376A
80
377A
80
378A
80
379A
80
380A
80
381A
BOTH CLAVICLES AP VIEW
DORSAL SPINE AP VIEW
DORSAL SPINE LATERAL VIEW
DORSAL SPINE AP - (L) BENDING
DORSAL SPINE AP - (R) BENDING
DORSO-LUMBAR SPINE AP VIEW
DORSO-LUMBAR SPINE LATERAL
ABDOMEN AP (SUPHINE) VIEW
ABDOMEN ERECT VIEW
ABDOMEN DECUBITUS
80
ABDOMEN LATERAL VIEW
382A
80
383A
80
384A
K U B
PELVIS AP VIEW
80
385A
80
386A
80
387A
PELVIS INCLUDING BOTH HIPS AP VIEW
388A
80
389A
80
390A
80
391A
80
392A
80
HIP INCLUDING THIGH LATERAL
CODE
RATE
DESCRIPTION
PELVIS PA VIEW
HIP INCLUDING THIGH AP VIEW
THIGH INCLUDING KNEE AP VIEW
THIGH INCLUDING KNEE LATERAL VIEW
BOTH THIGHS AP VIEW
LEG AP AND LATERAL
80
-------- --------------------------------------------- ---------393A
80
394A
80
395A
80
396A
80
397A
80
398A
398B
100
398C
200
398D
399A
500
399B
300
399C
399D
1000
399E
500
MR01
2000
MR02
2000
R101
4000
R102
6500
R103
3000
R104
7000
R105
8500
CODE
BOTH LEGS AP VIEW
BOTH LEGS LATERAL VIEW
LEG INCLUDING KNEE AP & LATERAL VIEW
LEG INCLUDING KNEE AP AND LATERAL VIEW
LEG INCLUDING KNEE AP&LEG INCLUDING ANKLE LAT
BOTH THIGHS LATERAL VIEW
80
ADDL.CHAR. FOR OUT OF TURN OR EARLY APPOINTME
ADDL.CHRG. FOR O/T OR EARLY APPNT.FOR COSTRY
ADDITIONAL CHARGES FOR PLAIN FILMS
20
Angiography
Angiography
Ultrasound
50
SPIRAL CT BRAIN(PLAIN) ON HOLIDAYS AND SUNDA
PROCEDURES DONE UNDER FLUOROSCOPY
MRI
MRI CONTRAST
MRI SINGLE STUDY (CAT-B)
MRI SINGLE STUDY WITH CONTRAST (CAT-B)
ONLY CONTRAST STUDY (CAT-B)
DOUBLE STUDY (2PARTS) (CAT-B)
TRIPLE STUDY (3 PARTS)
DESCRIPTION
RATE
-------- --------------------------------------------- ---------R106
10000
R107
R108
2500
R109
6000
WHOLESPINE & BRAIN (4 PARTS)
MRI MUSCULOSKELETAL STUDY
3500
MRI OF JOINTS
MRI WHOLE ABDOMEN
R110
R111
4500
R112
4500
R113
2500
R114
7000
R115
7000
R116
R117
2500
R118
9000
R119
2500
R120
4500
R121
4500
R122
4500
R123
4500
R124
4500
R125
4500
R126
MR ANGIOGRAPHY
4500
MR VENOGRAPHY
MR BREAST
MRCP
MRA OF NECK & CIRCLE OF WILLIS
MRA &MRV BRAIN
MRI &MRA BRAIN
7000
DIFUSION IMAGING
MRI /DIFFUSION/PERFUSION IMAGING
MR SPECTROSCOPY
PROSTATE
FUNCTIONAL MRI
MR PELVIS
MR UPPER ABDOMEN
MR CHEST
MR BODY ANGIO
MR ABDOMEN & ANGIO
8500
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------R127
R128
200
R129
300
R130
500
R131
1000
R132
100
R133
R135
8000
R136
3000
MR PERIPHERAL ANGIO
4500
ADDITIONAL CHARGES I
ADDITIONAL CHARGES II
ADDITIONAL CHARGES III
ANESTHESIA CHARGES FOR MRI I
ANESTHESIA CHARGES FOR MRI II
EXTRA FILM (PER FILM)
300
CEREBRAL ANGIOGRAPHY
DEEP ABSCESS DRINAGE
UNDER FLUDROSCOPY
R137
3000
R138
3500
R139
5000
R140
2500
R141
3000
R142
5000
R143
5000
R144
7500
R145
6000
R146
1500
R147
R148
500
PERCUTANEOUS BILIARY
DRINAGE
LYMPHANGIOGRAM
IVC/SVC GRAM
PERCUTANEOUS TRANSHEPATICCHOLANGIOGRAPHY(PTC)
SPLENOPORTAL VENOGRAM(SPV)
BRONCHIAL ARTERY EMBOLISATION(COST OF NIC& PA
SPINAL AVM EMBOLLISATION
CEREBRAL AVM EMBOLISATION
TUMOUR EMBOLISATION
NON IONIC CONTRAST
STEREOTACTIC BIOPSY-IMAGING
4000
CINE FLOUROSCOPY
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------R149
6000
R150
25000
R151
PERIPHERAL ANGIOGRAPHY
R152
6000
R153
6000
R154
25000
R155
6000
R156
400
R157
5000
R158
6000
R159
5000
R160
3000
R161
1500
R162
2500
VISCERAL ANGIOGRAPHY
PERIPHERAL ANGIOPLASTY
PERIPHERAL ANGIOPLASTY
WITH STENT(STENT EXT
RENAL ANGIOGRAPHY
RENAL ANGIOPLASTY
AORTOGRAM
COLOR DOPPLER SONOGRAPHY SINGLE STUDY
CHEMO-INFUSIONS (COST OF AGENT EXTRA)
PERIPHERAL AVM EMBOLISATION
ORGAN ABLATION(COST OF AGENT EXTRA)
MRI SINGLE STUDY(PLAIN)ON HOLIDAYS AND SUNDAY
PNS CORONAL /BIOPSY I
BIOPSY II
25000
R163
1400
R164
R165
10000
R166
12000
R167
IVP WITH NON IONIC CONTRAST
ANTENATAL ULTRASOUND
250
PROCEDURE COST
CEREBRAL ANGIOGRAM INCLUDING 3D RA
CEREBRAL ANEURYSM COILING-PROCEDURE COST
20000
------
DEPARTMENT OF RADIATION ONCOLOGY
================================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------1201
275
1202
425
1203
2750
1204
4250
1205
5500
1206
8500
1207
8250
1208
12750
1209
9625
1210
14875
1211
500
1212
PER FRACTION (GENERAL WARD)
1213
600
1214
100
1215
100
1216
100
1217
375
PLEURODESIS
PER FRACTION (SPECIAL ROOM/SHARED PAYING ROOM
RADIOTHERAPY (GENERAL WARD)
RADTIONTHERAPY (SPECIAL
ROOM/SHARED PAYING R
RADIOTHERAPY (GENERAL WARD)
RADIOTHERAPY (SPECIAL
ROOM/SHARED PAYING R
RADIOTHERAPY (GENERAL WARD)
RADTIONTHERAPY (SPECIAL
ROOM/SHARED PAYING R
RADIOTHERAPY (GENERAL WARD)
RADTIONTHERAPY (SPECIAL
ROOM/SHARED PAYING R
PLANNING (GENERAL WARD)
PLANNING (SPECIAL ROOM/
FNAC (PROCEDURE)
PUNCH BIOPSY (PROCEDURE)
PAP SMEAR PROCEDURE
DIAGNOSTIC CURETTAGE
SHARED PAYING ROOM)
600
1218
375
1219
750
1220
200
1221
200
1222
300
1223
50
1224
120
1225
1226
1200
1227
600
1228
1229
1200
1230
1500
1231
1232
500
1233
750
1234
4000
1235
5500
1236
6000
1237
500
1238
750
1239
1000
1240
7500
1241
9000
1242
10000
1243
750
1244
1050
1245
1200
E.U.A. (GYNACOLOGY)
CANCER CHECKUP
MEDICAL PHYSICS CONSULTATION
CHEMOTHERAPY (GENERAL WARD)
CHEMOTHERAY (SPECIAL ROOM/SHARED PAYING ROOM)
REVIEW FOLLOW UP
RADIOTHERAPY CONSULATION CHARGES
ORFIT CAST (GENERAL WARD)
900
ORFIT CAST (SPECIAL ROOM/SHARED PAYING ROOM)
ORFIT CAST (SMALL)
X-RAY FILM
120
BRACHYTHERAPY CATHETER
SIMULATION CT (GENERAL WARD)
SIMULATION(CT) (SPL ROOM/SHARED PAYING ROOM)
SIMULATION ORDINARY (X-RAY) (GENERAL WARD)
SIMULATION (SPL ROOM/
SHARED PAYING ROOM)
I.C.A (GENERAL WARD)
I.C.A (SHARED PAYING ROOM)
I.C.A (PAYING ROOM)
BRACHY CONSULTATION (G W)
BRACHY CONSULTATION (SHARED P R)
BRACHY CONSULTATION (PAYING
R)
IRIDIUM IMPLANT (GENERAL WARD)
IRIDIUM IMPLANT (SHARED
PAYING ROOM)
IRIDIUM IMPLANT (
PAYING ROOM)
TELE & BRACHY TPS (GENE
RAL WARD)
TELE & BRACHY TPS (SHAREDPAYING ROOM)
TELE & BRACHY TPS (
PAYING ROOM)
2000
1246
1050
1247
1300
1248
1500
1249
300
1250
450
1251
2250
1252
2500
1253
TELE and BRACHY TPS(3D) (GENERAL WARD)
1254
3250
1255
300
I.L.R.T SPECIAL EACH
1256
600
1257
3000
1258
3500
1259
5000
1260
6000
1261
700
1262
250
1263
250
TELE & BRACHY TPS(3D)
(SHARED PAYING ROOM)
TELE & BRACHY TPS(3D)
(PAYING ROOM)
U.S.A - ONE PLANNING / REVIEW (GENERAL)
U.S.A. - ONE PLANNING/
REVIEW (SPECIAL)
I.C.A HDR ONE FRACTION
I.C.A HDR SPECIAL
I.L.R.T ONE FRACTION
3000
BRACHY THERAPY BED CHARGES
BRACHY THERAPY SPECIAL BED CHARGES
INTERSTITIAL IMPLANT(GENERAL WARD)EACH #
INTERSTITIAL IMPLANT (SPECIAL)PER FRACTION
TEMPLATE PER FRACTION
TEMPLATE PER FRACTION SPECIAL
BRACHY OT CHARGES
TELE 3D TPS SECOND PLANNING
BRACHY TPS 3D SECOND PLANNING
----
DEPARTMENT OF SURGICAL GASTEROENTROLOGY
======================================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------SEG104
165
SG100
MINOR SURGERY TYPE II
SG1000
2000
Diagnostic laparoscopy
Consultation Charges
120
SG1001
4000
SG1002
4500
SG1003
7500
SG1004
11000
SG1005
11000
SG1006
8000
SG1007
11000
SG1008
10000
SG1009
11000
SG101
50
SG1010
11000
SG1011
SG1012
7000
SG102
75
SG103
150
SG104
200
SG105
500
SG106
Laparoscopic excision
Laparoscopic adhesionolysis
Laparoscopic vagotomy
Laparoscopic bowel resection
Laparoscopic closure of D.U perforation
Laparoscopic Cholecystectomy
Laparoscopic Cholecystectomy+CBD exploration
Laparoscopic Cholecystectomy+adhesionolysis
Laparoscopic Cholecystectomy+Cholangiogram
Minor dressing type I
Laparoscopic Herniorrhaphy
Laparoscopic Splenectomy
11000
Laparoscopic Orchiopexy
Minor dressing Type II
Major dressing
Minor surgery type I
Minor surgery type II
Minor surgery type III
1000
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------SG107
1500
SG1100
4000
SG1101
5000
SG1102
4000
SG1103
3000
SG1104
2000
SG1105
2000
SG1106
4500
Minor surgery Under GA
Hemithyroidectomy
Total Thyroidectomy
Parathyroidectomy
Excision of Thyroglossal Cyst/Fistula
Excision of neck swelling
Tracheostomy
Superficial Parotidectomy
SG1107
7000
SG1108
10000
SG1109
Excision of Adrenal Tumor
Excision of Adrenal Tumor (Bilateral)
Mastectomy
5500
SG1110
Amputation
4000
SG1200
Laparoscopic Cholecystectomy-A
10000
SG1201
Laparoscopic Cholecystectomy-B
11000
SG1202
Laparoscopic Cholecystectomy-C
13500
SG1203
Laparoscopic Cholecystectomy-D
14500
SG1204
Laparoscopic Cholecystectomy-E
SG1205
17000
SG1206
7500
SG1207
8500
SG1208
9500
SG1209
10500
SG1210
11000
SG1211
12000
SG1212
2000
SG1214
3000
SG1215
3500
SG1216
4000
SG1217
4500
Laparoscopic Cholecystectomy-F
SG1218
3000
SG1219
3500
SG1220
4000
SG1221
Diagnostic laparoscopy(GA)+Biopsy-A
SG1222
5000
SG1223
5500
Laparoscopic Appendicectomy-A
Laparoscopic Appendicectomy-B
Laparoscopic Appendicectomy-C
Laparoscopic Appendicectomy-D
Laparoscopic Appendicectomy-E
Laparoscopic Appendicectomy-F
Diagnostic laparoscopy(LA)+Biopsy-A
Diagnostic laparoscopy(LA)+Biopsy-C
Diagnostic laparoscopy(LA)+Biopsy-D
Diagnostic laparoscopy(LA)+Biopsy-E
Diagnostic laparoscopy(LA)+Biopsy-F
Diagnostic laparoscopy(GA)+Biopsy-B
Diagnostic laparoscopy(GA)+Biopsy-C
Diagnostic laparoscopy(GA)+Biopsy-D
4500
Diagnostic laparoscopy(GA)+Biopsy-E
Diagnostic laparoscopy(GA)+Biopsy-F
16000
SG1224
15000
SG1225
16000
SG1226
18500
SG1227
Puestow's Procedure-A
SG1228
22000
SG1229
23000
SG1230
25000
SG1231
28000
SG1232
30000
SG1233
32000
SG1234
33500
SG1235
35000
SG1236
7000
SG1237
Puestow's Procedure-E
SG1238
8500
SG1239
9000
SG1240
Thyroidectomy-C
Puestow's Procedure-B
Puestow's Procedure-C
Puestow's Procedure-D
19500
Puestow's Procedure-F
Shunt Surgery-A
Shunt Surgery-B
Shunt Surgery-C
Shunt Surgery-D
Shunt Surgery-E
Shunt Surgery-F
Thyroidectomy-A
Thyroidectomy-B
7500
SG1241
11000
SG1242
6000
SG1243
6500
SG1244
7500
SG1245
8000
SG1246
SG1247
10000
SG1248
12000
SG1249
13000
SG1250
15500
SG1251
16500
Thyroidectomy-D
Thyroidectomy-E
10000
Thyroidectomy-F
Inguinal Hernia-A
Inguinal Hernia-B
Inguinal Hernia-C
Inguinal Hernia-D
Inguinal Hernia-E
Inguinal Hernia-F
Incisional Hernia-with mesh-A
Incisional Hernia-with mesh-B
Incisional Hernia-with mesh-C
Incisional Hernia-with mesh-D
9000
SG1252
18000
SG1253
20000
SG1254
8000
SG1255
9000
SG1256
11000
SG1257
12000
SG1258
13000
SG1259
SG1260
15000
SG1261
16000
SG1262
18500
SG1263
19500
SG1264
22000
SG1265
Incisional Hernia-with mesh-E
Incisional Hernia-with mesh-F
Incisional Hernia-without mesh-A
Incisional Hernia-without mesh-B
Incisional Hernia-without mesh-C
Incisional Hernia-without mesh-D
Incisional Hernia-without mesh-E
Incisional Hernia-without mesh-F
14000
Open Cholecystectomy-A
Open Cholecystectomy-B
Open Cholecystectomy-C
Open Cholecystectomy-D
Open Cholecystectomy-E
Open Cholecystectomy-F
SG1266
20000
SG1267
22000
SG1268
24000
SG1269
26000
SG1270
27000
SG1271
29000
SG1272
6000
SG1273
6500
SG1274
8000
SG1275
8500
SG1276
9500
Splenectomy with devascularization-A
SG1277
10500
SG1278
Open Appendicectomy-F
Splenectomy with devascularization-B
Splenectomy with devascularization-C
Splenectomy with devascularization-D
Splenectomy with devascularization-E
Splenectomy with devascularization-F
Open Appendicectomy-A
Open Appendicectomy-B
Open Appendicectomy-C
Open Appendicectomy-D
Open Appendicectomy-E
Hydrocele LA-A
1500
23000
SG1279
2000
SG1280
2500
SG1281
SG1282
3500
SG1283
4000
SG1284
3000
SG1285
3500
SG1286
4000
SG1287
SG1288
5000
SG1289
5500
SG1290
12500
SG1291
13500
SG1292
16000
SG1293
17000
SG1294
19000
SG1295
20000
SG200
7500
SG201
8500
SG202
9000
SG203
8500
SG204
SG205
1000
SG300
1000
SG301
4000
SG302
5500
SG303
5500
SG304
Hydrocele LA-B
Hydrocele LA-C
Hydrocele LA-D
3000
Hydrocele LA-E
Hydrocele LA-F
Hydrocele GA-A
Hydrocele GA-B
Hydrocele GA-C
Hydrocele GA-D
4500
Hydrocele GA-E
Hydrocele GA-F
Distal Pancreatectomy-A
Distal Pancreatectomy-B
Distal Pancreatectomy-C
Distal Pancreatectomy-D
Distal Pancreatectomy-E
Distal Pancreatectomy-F
Transhiatal oesophagectomy+gastric pullup
Transhiatal oesophagectomy+Colon transpositio
Transhiatal oesophagogastrectomy
Transthoracic esophagogastrectomy+colon Trans
Colon bypass alone
7000
Cervical oesophagostomy
Gastrostomy
Gastropexy
Nissen's fundoplication
Gastrojejunostomy
T.V + G.J./ Pyloroplasty
5500
SG305
7500
SG306
5000
SG307
5500
SG308
6000
SG309
6500
SG310
7500
SG311
8500
SG400
1000
SG401
4000
SG402
5000
SG403
5000
SG404
5000
SG405
SG406
5000
SG407
6500
SG500
4000
SG501
4000
SG502
5500
SG503
SG504
5500
SG505
5500
SG506
7500
SG507
10000
SG508
11000
SG509
5500
SG510
7500
SG511
5500
SG512
4000
H.S.V
Closure of Chronic D.U Perforation
D.U bleed-underrunning of bleeder
D.U bleed-underrunning of bleeder+definitive
Partial gastrectomy
Distal radical gastrectomy
Total radical gastrectomy
Feeding jejunostomy
Loop ileostomy
Ileal perforation closure
Release of adhesions / bands
Excision of diverticulum
Stricturoplasty
5000
Resection anastomosis (single)
Massive resection and multiple anastomosis
Caecostomy
Loop Colostomy
End colostomy + Mucous fistula
Colostomy closure
Ileocaecal resection
Hemicolectomy
Total colectomy
Total proctocolectomy + ileostomy
Tot.proctocolectomy+Ileoanal anastomosis/ilea
Anterior resection
Abdominoperineal resection
Abdominoperineal Pullthrough
Rectopexy (mesh charges extra)
4000
SG513
Haemorrhoidectomy
3000
SG514
1000
SG515
2000
SG516
SG517
4000
SG518
4500
SG519
Lateral sphincterotomy/Lord's dilatation
Perianal abscess I& D under GA
Excision of low perianal fistula
3000
Excision of high perianal fistula
Excision of multiple fistulae
Anoplasty
2000
SG520
Postanal repair
4000
SG521
Gracilis transposition
7500
SG522
Thiersch wiring (Thiersch wire cost extra)
SG523
2500
SG600
5500
SG601
6000
SG602
6500
SG603
5000
SG604
5000
SG605
6000
SG606
7000
SG607
10000
SG608
8500
SG609
11000
SG610
7000
SG611
SG612
10000
SG613
11000
SG614
5500
SG615
7500
SG616
4500
Excision of pilonidal sinuses
Cholecystectomy
Cholecystectomy+CBD exploration
Cholecystectomy+Choledochoduodenostomy
Choledochoduodenostomy
Cholecystojejunostomy
Tripple by pass
Segment III drainage
Exc.of CBD stricture+Hepaticodochojejunostomy
Radical cholecystectomy
Radical surgery for Cholangio Ca
Excision of choledochal cyst+repair
Hepatic Lobectomy (left )
7500
Hepatic Lobectomy (right)
Trisegementectomy
Excision of Hydatid cyst (single uninfected)
Exc.of Disseminated hydatid cysts of liver&ot
Splenectomy
2000
SG617
5500
SG618
6000
SG619
8500
SG620
Splenorrhaphy
SG621
8500
SG622
8500
SG700
10000
SG701
5500
SG702
5500
SG703
5000
SG704
7000
SG705
8500
SG706
5000
SG707
5500
SG800
5500
SG801
3000
SG802
Portocaval shunt (end to side)
SG803
5500
SG804
4500
SG805
10000
SG806
3000
SG807
4000
SG808
SG809
8500
SG900
5000
SG901
5500
SG902
5500
SG903
5500
Gastric devascularization (Tanner's)
Suiguira's procedure
Portocaval shunt (H graft) Graft extra
7500
Splenorenal shunt
Whipple's pancreaticoduodenectomy
Distal pancreatectomy
Pancreatic necrosectomy
Drainage of pancreatic abscess
Lateral pancreaticojejunostomy
L.P.J + choledochojejunostomy
Cystogastrostomy/cystoduodenostomy
Cystojejunostomy(Roux E N Y)
Staging laparotomy
Laparotomy
Laparotomy+biopsy
4000
Excision of Mesenteric cyst /tumour
Excision of well defined retroperitoneal tumo
Excision of diffuse/huge retroperitoneal tumo
Drainage of appendicular abscess
Drainage of subdiaphragmatic abscess
Drainage of intra abdominal abscess
Retroperitoneal Lymph node dissection
Inguinal hernia repair
Inguinal hernia-hernioplasty
Femoral hernia repair
Incisional hernia repair(without mesh)
5500
SGE100
120
SGE100
120
SGE101
30
SGE102
20
SGE102
CONSULTATION CHARGES
CONSULTATION CHARGES
MINOR DRESSING
MAJOR DRESSING
MAJOR DRESSING
45
SGE103
30
SGE103
85
SGE104
SGE104
330
SGE105
110
SGE105
330
SGE106
165
SGE106
250
SGE107
SGE107
825
SGE108
220
SGE108
1155
SGE109
440
SGE109
5500
SGE110
550
SGE110
7500
SGE111
220
SGE111
7500
SGE112
440
SGE112
8500
SGE113
1100
SGE113
11800
MINOR SURGERY TYPE I
MINOR SURGERY TYPE I
EXCISION OF NAIL
55
EXCISION OF NAIL
EXCISION OF CORN
EXCISION OF CORN
SUTURING OF CLEAN WOUND
SUTURING OF CLEAN WOUND
WOUND DEBRIDEMENT/SUTURING
WOUND DEBRIDEMENT/SUTURING
TOE AMPUTATION
TOE AMPUTATION
TRANSHIATAL OESOPHAGECTOMY
TRANSHIATAL OESOPHAGECTOMY
TRANSHIATAL OESOPHAGECTOMY + GASTRIC PULLUP
TRANSHIATAL OESOPHAGECTOMY + GASTRIC PULLUP
TRANSHIATAL OESOPHAGECTOMY + COLON TRANSPOSIT
TRANSHIATAL OESOPHAGECTOMY + COLON TRANSPOSIT
ESOPHAGOGASTRECTOMY+GASTRIC PULLUP/JEJUNAL PU
ESOPHAGOGASTRECTOMY+GASTRIC PULLUP/JEJUNAL PU
ESOPHAGOGASTRECTOMY+COLON TRANSPOSITION
ESOPHAGOGASTRECTOMY+COLON TRANSPOSITION
220
SGE114
220
SGE114
5500
SGE115
SGE115
7500
SGE116
220
SGE116
SGE117
220
SGE117
825
SGE118
165
SGE118
4000
SGE119
550
SGE119
4500
SGE120
770
SGE120
4000
SGE121
1100
SGE121
4500
SGE122
2200
SGE122
7500
SGE123
4400
SGE123
4000
SGE124
3300
SGE124
SGE125
4400
SGE125
5500
SGE126
4400
SGE126
5500
SGE127
5500
SGE127
COLON BYPASS
COLON BYPASS
ESOPHAGECTOMY + COLON BYPASS
440
ESOPHAGECTOMY + COLON BYPASS
ESOPHAGECTOMY
ESOPHAGECTOMY
660
GASTROSTOMY
GASTROSTOMY
GASTROPEXY
GASTROPEXY
NISSEN'S FUNDOPLICATION
NISSEN'S FUNDOPLICATION
GASTROJEJUNOSTOMY
GASTROJEJUNOSTOMY
T.V. + G.J./PYLOROPLASTY
T.V. + G.J./PYLOROPLASTY
H.S.V.
H.S.V.
CHRONIC D.U. PERFORATION CLOSURE
CHRONIC D.U. PERFORATION CLOSURE
D.U.BLEED-UNDERRUNNING OF BLEEDER
D.U.BLEED-UNDERRUNNING OF BLEEDER
4500
D.U.BLEED-UNDERRUNNING OF BLEEDER+DEFINITIVE
D.U.BLEED-UNDERRUNNING OF BLEEDER+DEFINITIVE
PARTIAL GASTRECTOMY
PARTIAL GASTRECTOMY
PALLIATIVE GASTRECTOMY
PALLIATIVE GASTRECTOMY
5500
SGE128
6600
SGE128
7500
SGE129
3300
SGE129
8500
SGE130
4400
SGE130
825
SGE131
DISTAL RADICAL GASTRECTOMY
SGE131
3000
SGE132
7700
LAPAROTOMY
SGE132
LOOP ILEOSTOMY
DISTAL RADICAL GASTRECTOMY
TOTAL RADICAL
GASTRECTOMY
TOTAL RADICAL
GASTRECTOMY
FEEDING JEJUNOSTOMY
FEEDING JEJUNOSTOMY
LAPAROTOMY
440
SGE133
8800
SGE133
4000
SGE134
SGE134
4000
SGE135
2200
SGE135
4000
SGE136
2750
SGE136
4000
SGE137
SGE137
5500
SGE138
2750
SGE138
7500
SGE139
4400
SGE139
5500
SGE140
2200
SGE140
4000
SGE141
2750
SGE141
8500
LOOP ILEOSTOMY
4000
ILEAL PERFORATION CLOSURE
ILEAL PERFORATION CLOSURE
RELEASE OF ADHESIONS/BANDS
550
RELEASE OF ADHESIONS/BANDS
EXCISION OF DIVERTICULUM
EXCISION OF DIVERTICULUM
STRICTUROPLASTY
STRICTUROPLASTY
RESECTION ANASTOMOSIS
RESECTION ANASTOMOSIS
MASSIVE RESECTION & MULTIPLE ANASTOMOSIS
MASSIVE RESECTION & MULTIPLE ANASTOMOSIS
EXCISION OF MESENTERIC CYST/TUMOR
EXCISION OF MESENTERIC CYST/TUMOR
LAPAROTOMY + BIOPSY
LAPAROTOMY + BIOPSY
RADICAL RESECTION OF MALIGNANT ILEAL TUMOUR
RADICAL RESECTION OF MALIGNANT ILEAL TUMOUR
2200
SGE143
3300
SGE143
3000
SGE144
3300
SGE144
SGE145
4400
SGE145
5500
SGE146
5500
SGE146
2000
SGE147
6600
SGE147
SGE148
550
SGE148
5500
SGE149
1650
SGE149
4500
SGE150
2200
SGE150
4500
SGE151
2200
SGE151
5500
SGE152
2200
SGE152
7500
SGE153
2200
SGE153
2500
SGE154
SGE154
11000
SGE155
3300
SGE155
DRAINAGE OF APPENDICULAR ABSCESS
DRAINAGE OF APPENDICULAR ABSCESS
DRAINAGE OF DIAPHRAGMATIC ABSCESS
DRAINAGE OF DIAPHRAGMATIC ABSCESS
4000
DRAINAGE OF INTRA ABDOMINAL ABSCESS
DRAINAGE OF INTRA ABDOMINAL ABSCESS
CAECOSTOMY
CAECOSTOMY
LOOP COLOSTOMY
LOOP COLOSTOMY
END COLOSTOMY + MUCUS FISTULA
END COLOSTOMY + MUCUS FISTULA
COLOSTOMY CLOSURE
COLOSTOMY CLOSURE
LIMITED COLON RESECTION
LIMITED COLON RESECTION
HEMICOLECTOMY
HEMICOLECTOMY
MASSIVE RESECTION OF COLON
MASSIVE RESECTION OF COLON
TOTAL COLECTOMY
TOTAL COLECTOMY
TOTAL PROCTO COLECTOMY
2200
TOTAL PROCTO COLECTOMY
ANTERIOR RESECTION
ANTERIOR RESECTION
5500
SGE156
ABDOMINO PERINEAL RESECTION
4400
SGE156
ABDOMINO PERINEAL RESECTION
5500
4000
SGE157
A.P.R. + PELVIC LYMPHADENECTOMY
SGE157
7500
SGE158
2200
SGE158
5500
SGE159
5500
SGE159
5500
SGE160
2200
SGE160
2000
SGE161
1650
SGE161
330
SGE162
2200
SGE162
825
SGE163
3300
A.P.R. + PELVIC LYMPHADENECTOMY
SGE163
825
SGE164
1100
SGE164
2000
SGE165
LATERAL SPHINCTROTOMY/LORD'S SKILATATION
SGE165
2000
SGE166
3300
SGE166
3000
SGE167
2750
SGE167
4500
SGE168
SGE168
4500
SGE169
3300
SGE169
4000
SGE170
4400
3300
ABDOMINOPERINEAL PULLTHROUGH
ABDOMINOPERINEAL PULLTHROUGH
RECTOPEXY(MESH CHARGES SEPERATE)
RECTOPEXY(MESH CHARGES SEPERATE)
HAEMORRHOIDECTOMY
HAEMORRHOIDECTOMY
BANDING
BANDING
SCLEROTHERAPY FOR HAEMORRHOIDS
SCLEROTHERAPY FOR HAEMORRHOIDS
LATERAL SPHINCTROTOMY/LORD'S SKILATATION
PERI ANAL ABSCESS I & D
PERI ANAL ABSCESS I & D
EXCISION OF LOW PERI ANAL FISTULA
2200
EXCISION OF LOW PERI ANAL FISTULA
EXCISION OF HIGH PERI ANAL FISTULA
EXCISION OF HIGH PERI ANAL FISTULA
EXCISION OF MULTIPLE FISTULAE
EXCISION OF MULTIPLE FISTULAE
RENOPLASTY
RENOPLASTY
SPHINCTEROPLASTY
SPHINCTEROPLASTY
CRACILIS TRANSPOSITION
2750
SGE170
7500
SGE171
5500
SGE171
2000
SGE172
6600
SGE172
4500
SGE173
3300
SGE173
4000
SGE174
3300
SGE174
SGE175
4400
SGE175
4500
SGE179
220
SGE179
5500
SGE180
550
SGE180
CRACILIS TRANSPOSITION
THIERSCH WIRING (THIERSCH)
THIERSCH WIRING (THIERSCH)
EXCISION OF PILONIDAL SINUS
EXCISION OF PILONIDAL SINUS
INGUINAL HERNIA - REPAIR
INGUINAL HERNIA - REPAIR
INGUINAL HERNIA - HERNIOPLASTY
INGUINAL HERNIA - HERNIOPLASTY
4500
FEMORAL HERNIA - REPAIR
FEMORAL HERNIA - REPAIR
RELEASE OF ADHESIONS + CHOLECYSTECTOMY
RELEASE OF ADHESIONS + CHOLECYSTECTOMY
CHOLECYSTECTOMY + OP.CHOLANGIOGRAM
CHOLECYSTECTOMY + OP.CHOLANGIOGRAM
SGE181
550
SGE181
6000
SGE182
1100
SGE182
7500
SGE183
1100
SGE183
4500
SGE184
1650
SGE184
4500
SGE185
2750
SGE185
CHOLECYSTECTOMY + CBD EXPLORATION
SGE186
2750
SGE186
4500
SGE187
2200
SEGMENT III DRAINAGE
CHOLECYSTECTOMY + CBD EXPLORATION
CHOLECYSTECTOMY + CBD DRAINAGE/SPHINCTEROPLAS
CHOLECYSTECTOMY + CBD DRAINAGE/SPHINCTEROPLAS
CHOLECYSTODUODENOTOMY
CHOLECYSTODUODENOTOMY
CHOLECYSTOJEJUNOSTOMY
CHOLECYSTOJEJUNOSTOMY
TRIPPLE BYPASS
TRIPPLE BYPASS
5500
SEGMENT III DRAINAGE
EXCISION OF CBD STRICTURE+HEPATICODOCHOJEJUNO
5500
SGE187
EXCISION OF CBD STRICTURE+HEPATICODOCHOJEJUNO
5500
SGE188
REPAIR OF HIGH CBD STRICTURE
4400
SGE188
REPAIR OF HIGH CBD STRICTURE
7500
SGE189
RADICAL CHOLECYSTECTOMY
1100
SGE189
RADICAL CHOLECYSTECTOMY
8500
SGE190
RADICAL CHOLECYSTECTOMY+SEGMENTECTOMY
SGE190
11000
SGE191
550
SGE191
11000
SGE192
1100
SGE192
7500
SGE193
1750
SGE193
5500
SGE194
2200
SGE194
7500
SGE195
RADICAL CHOLECYSTECTOMY+SEGMENTECTOMY
SGE195
8000
HEPATIC LOBECTOMY
SGE196
2750
SGE196
PARTIAL HEPATECTOMY
2750
RADICAL SURGERY FOR CHOLANGIO Ca.
RADICAL SURGERY FOR CHOLANGIO Ca.
EXCISION OF INFECTED CHOLEDOCHAL CYST + REPAI
EXCISION OF INFECTED CHOLEDOCHAL CYST + REPAI
WEDGE HEPATECTOMY
WEDGE HEPATECTOMY
HEPATIC SEGMENTECTOMY
HEPATIC SEGMENTECTOMY
HEPATIC LOBECTOMY
2200
SGE197
2750
SGE197
11000
SGE198
SGE198
5500
SGE199
4400
SGE199
7500
SGE200
550
SGE200
8500
SGE201
PARTIAL HEPATECTOMY
8500
TRISEGEMENTECTOMY
TRISEGEMENTECTOMY
EXCISION HYDATID CYST(SINGLE UN-INFECTED)
2750
EXCISION HYDATID CYST(SINGLE UN-INFECTED)
EXCISION OF INFECTED HYDATID CYST OF LIVER
EXCISION OF INFECTED HYDATID CYST OF LIVER
EXCISION OF DISSEMINATED HYDATID CYSTS OF LIV
EXCISION OF DISSEMINATED HYDATID CYSTS OF LIV
SPLEENECTOMY
2750
SGE201
4500
SGE202
2750
SGE202
5500
SGE203
2750
SGE203
6000
SGE205
3300
SGE205
8500
SGE206
3850
SGE206
7500
SGE207
4400
SGE207
8500
SGE209
2750
SGE209
SGE210
3300
SGE210
8500
SGE211
2750
SGE211
5500
SGE213
4400
SGE213
SGE214
5500
SGE214
8500
SGE215
6600
SGE215
5500
SGE216
6600
SGE216
4500
SGE217
3300
SGE217
5500
SGE219
3300
SPLEENECTOMY
SPLEENORRHAPHY
SPLEENORRHAPHY
GASTRIC DEVASCULARIZATION (TANNER'S)
GASTRIC DEVASCULARIZATION (TANNER'S)
SIGURA'S PROCEDURE
SIGURA'S PROCEDURE
PORTACAVAL SHUNT ('H' GRAFT)
PORTACAVAL SHUNT ('H' GRAFT)
PORTACAVAL SHUNT (END TO SIDE)
PORTACAVAL SHUNT (END TO SIDE)
WARREN'S SHUNT
WARREN'S SHUNT
8500
WHIPPLE'S PANCREATICODUODENECTOMY
WHIPPLE'S PANCREATICODUODENECTOMY
DISTAL 1/3 PANCREATECTOMY
DISTAL 1/3 PANCREATECTOMY
TOTAL PANCREATECTOMY
TOTAL PANCREATECTOMY
TOTAL PANCREATICODUODENECTOMY
TOTAL PANCREATICODUODENECTOMY
PANCREATIC NECROSECTOMY
PANCREATIC NECROSECTOMY
DRAINAGE OF PANCREATIC ABSCESS
DRAINAGE OF PANCREATIC ABSCESS
DISTAL PANCREATICOJEJUNOSTOMY
DISTAL PANCREATICOJEJUNOSTOMY
LATERAL PANCREATICOJEJUNOSTOMY+CHOLEDOCHOJEJU
7500
SGE219
7500
SGE220
4400
SGE220
4000
SGE221
SGE221
4500
SGE222
5500
SGE222
5500
SGE223
6600
SGE223
4500
SGE224
LATERAL PANCREATICOJEJUNOSTOMY+CHOLEDOCHOJEJU
CYSTO GASTROSTOMY/CYSTO DUODENOSTOMY
CYSTO GASTROSTOMY/CYSTO DUODENOSTOMY
CYSTO JEJUNOSTOMY (ROUX EN Y)
4950
CYSTO JEJUNOSTOMY (ROUX EN Y)
STAGING LAPAROTOMY
STAGING LAPAROTOMY
EXCISION OF WELL DEFINED RETROPERITONEAL TUMO
EXCISION OF WELL DEFINED RETROPERITONEAL TUMO
EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUMO
3300
SGE224
EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUMO
11000
SGE225
DIAGNOSTIC LAPAROSCOPY
4400
SGE225
DIAGNOSTIC LAPAROSCOPY
825
SGE227
LAPAROSCOPIC EXCISION
2750
SGE227
LAPAROSCOPIC EXCISION
4000
SGE228
LAPAROSCOPIC ADHESIONOLYSIS
3300
SGE228
LAPAROSCOPIC ADHESIONOLYSIS
4500
SGE229
LAPAROSCOPIC VAGOTOMY
3850
SGE229
LAPAROSCOPIC VAGOTOMY
7500
SGE230
LAPAROSCOPIC BOWEL RESECTION
4400
SGE230
LAPAROSCOPIC BOWEL RESECTION
11000
SGE232
LAPAROSCOPIC
CHOLECYSTECTOMY+ADHESIOLYSIS
4400
SGE232
LAPAROSCOPIC CHOLECYSTECTOMY+ADHESIOLYSIS
13000
SGE233
LAPAROSCOPIC CHOLECYSTECTOMY+CHOLANGIOGRAM
5500
SGE233
LAPAROSCOPIC CHOLECYSTECTOMY+CHOLANGIOGRAM
13000
SGE234
LAPAROSCOPIC CHOLECYSTECTOMY+CBD EXPLORATION
4400
SGE234
LAPAROSCOPIC CHOLECYSTECTOMY+CBD EXPLORATION
16000
SGE235
LAPAROSCOPIC HERNIORRHAPHY
5500
SGE235
LAPAROSCOPIC HERNIORRHAPHY
11000
SGE236
5500
SGE236
11000
SGE237
3300
SGE237
12000
SGE237
10000
SGE238
5500
SGE238
12500
SGE238
11000
SGE239
4400
SGE239
13500
SGE240
5500
SGE240
14500
SGE240
14000
SGE241
3300
SGE241
16000
SGE242
LAPAROSCOPIC ORCHIOPEXY
LAPAROSCOPIC ORCHIOPEXY
LAPROSCOPIC CHOLECYSTECTOMY GW (P)
LAPROSCOPIC CHOLECYSTECTOMY GW (P)
LAPROSCOPIC CHOLECYSTECTOMY GW (P)
LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT)
LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT)
LAPROSCOPIC CHOLECYSTECTOMY GW (CREDIT)
LAPROSCOPIC CHOLECYSTECTOMY SPR (P)
LAPROSCOPIC CHOLECYSTECTOMY SPR (P)
LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT)
LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT)
LAPROSCOPIC CHOLECYSTECTOMY SPR (CREDIT)
LAPROSCOPIC CHOLECYSTECTOMY PR (P)
LAPROSCOPIC CHOLECYSTECTOMY PR (P)
LAPROSCOPIC CHOLECYSTECTOMY PR (CREDIT)
2750
SGE242
LAPROSCOPIC CHOLECYSTECTOMY PR (CREDIT)
17000
SGE243
LAPROSCOPIC APENDICECTOMYGW (P)
3300
SGE243
LAPROSCOPIC APENDICECTOMYGW (P)
SGE243
8000
SGE244
3850
SGE244
8500
SGE245
4400
SGE245
9500
SGE246
2200
SGE246
10500
SGE246
10000
SGE247
2750
LAPROSCOPIC APENDICECTOMYGW (P)
LAPROSCOPIC APENDICECTOMYGW (CREDIT)
LAPROSCOPIC APENDICECTOMYGW (CREDIT)
LAPROSCOPIC APENDICECTOMYSPR (P)
LAPROSCOPIC APENDICECTOMYSPR (P)
LAPROSCOPIC APENDICECTOMYSPR (CREDIT)
LAPROSCOPIC APENDICECTOMYSPR (CREDIT)
LAPROSCOPIC APENDICECTOMYSPR (CREDIT)
LAPROSCOPIC APENDICECTOMYPR (P)
7500
SGE247
11000
SGE248
3300
SGE248
12000
SGE249
2750
SGE249
2000
SGE250
6600
SGE250
2500
SGE251
2750
SGE251
3000
SGE251
2750
SGE252
3300
SGE252
3500
SGE252
LAPROSCOPIC APENDICECTOMYPR (P)
SGE253
4950
SGE253
3500
SGE253
4000
SGE254
5500
SGE254
4000
SGE254
4500
SGE255
2750
SGE255
3000
SGE256
4400
SGE256
3500
SGE257
4400
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P)
SGE257
4000
SGE258
6600
SGE258
4500
SGE259
1100
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (P)
LAPROSCOPIC APENDICECTOMYPR (CREDIT)
LAPROSCOPIC APENDICECTOMYPR (CREDIT)
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (P)
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (P)
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (CREDI
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY GW (CREDI
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P)
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P)
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (P)
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY SPR (CRED
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P)
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (P)
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI
DIAGNOSTIC (LA) LAPROSCOPIC +BIOPSY PR (CREDI
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (P)
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (P)
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (CREDI
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY GW (CREDI
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (P)
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (CRED
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY SPR (CRED
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (P)
3000
SGE259
4900
SGE260
2750
SGE260
5500
SGE261
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (P)
SGE261
15000
SGE262
4400
SGE262
16000
SGE263
2750
SGE263
18500
SGE264
2200
SGE264
19500
SGE265
2750
SGE265
22000
SGE266
3300
SGE266
23000
SGE267
4400
SGE267
LONGITUDINAL PANCREATICOJEJUMECTOMY GW (P)
SGE268
2200
SGE268
28000
SGE268
27500
SGE269
2750
SGE269
29000
SGE269
SGE270
1650
SGE270
31500
SGE270
32000
SGE271
1100
SGE271
32000
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (CREDI
DIAGNOSTIC (GA) LAPROSCOPIC +BIOPSY PR (CREDI
LONGITUDINAL PANCREATICOJEJUMECTOMY GW (P)
3300
LONGITUDINAL PANCREATICOJEJUMECTOMY GW (CREDI
LONGITUDINAL PANCREATICOJEJUMECTOMY GW (CREDI
LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (P)
LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (P)
LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (CRED
LONGITUDINAL PANCREATICOJEJUMECTOMY SPR (CRED
LONGITUDINAL PANCREATICOJEJUMECTOMY PR (P)
LONGITUDINAL PANCREATICOJEJUMECTOMY PR (P)
LONGITUDINAL PANCREATICOJEJUMECTOMY PR (CREDI
LONGITUDINAL PANCREATICOJEJUMECTOMY PR (CREDI
SHUNT SURGERY
GW (P)
SHUNT SURGERY
25000
SHUNT SURGERY
GW (P)
SHUNT SURGERY
GW (CREDIT)
SHUNT SURGERY
GW (CREDIT)
SHUNT SURGERY
SPR (P)
SHUNT SURGERY
SPR (P)
SHUNT SURGERY
SPR (P)
SHUNT SURGERY
SPR (CREDIT)
SHUNT SURGERY
SPR (CREDIT)
SHUNT SURGERY
SPR (CREDIT)
SHUNT SURGERY
PR (P)
SHUNT SURGERY
PR (P)
GW (CREDIT)
30000
SGE271
33500
SGE272
550
SGE272
35000
SGE272
34500
SGE273
1100
SGE273
7000
SGE274
1100
SGE274
7500
SGE275
1650
SGE275
8500
SGE276
SHUNT SURGERY
PR (P)
SHUNT SURGERY
PR (CREDIT)
SHUNT SURGERY
PR (CREDIT)
SHUNT SURGERY
PR (CREDIT)
THYROIDECTOMY
GW (P)
THYROIDECTOMY
GW (P)
THYROIDECTOMY
GW (CREDIT)
THYROIDECTOMY
GW (CREDIT)
THYROIDECTOMY
SPR (P)
THYROIDECTOMY
SPR (P)
THYROIDECTOMY
2200
SGE276
THYROIDECTOMY
9000
SGE277
THYROIDECTOMY
1100
SGE277
THYROIDECTOMY
SPR (CREDIT)
SGE278
2750
SGE278
11000
SGE279
3300
SGE279
6000
SGE280
5500
SGE280
6500
SGE281
6600
SGE281
7500
SGE282
550
SGE282
8000
SGE283
1100
SGE283
9000
SGE284
1650
SGE284
10000
THYROIDECTOMY
PR (CREDIT)
THYROIDECTOMY
PR (CREDIT)
SPR (CREDIT)
PR (P)
PR (P)
HERNIA (INGUINAL PLASTY) GW (P)
HERNIA (INGUINAL PLASTY) GW (P)
HERNIA (INGUINAL PLASTY) GW (CREDIT)
HERNIA (INGUINAL PLASTY) GW (CREDIT)
HERNIA (INGUINAL PLASTY) SPR (P)
HERNIA (INGUINAL PLASTY) SPR (P)
HERNIA (INGUINAL PLASTY) SPR (CREDIT)
HERNIA (INGUINAL PLASTY) SPR (CREDIT)
HERNIA (INGUINAL PLASTY) PR (P)
HERNIA (INGUINAL PLASTY) PR (P)
HERNIA (INGUINAL PLASTY) PR (CREDIT)
HERNIA (INGUINAL PLASTY) PR (CREDIT)
10000
SGE285
2200
SGE285
SGE286
2750
SGE286
13000
SGE287
3300
SGE287
15500
SGE288
4400
SGE288
INCISIONAL HERNIA WITH MESH GW (P)
INCISIONAL HERNIA WITH MESH GW (P)
12000
INCISIONAL HERNIA WITH MESH GW (CREDIT)
INCISIONAL HERNIA WITH MESH GW (CREDIT)
INCISIONAL HERNIA WITH MESH SPR (P)
INCISIONAL HERNIA WITH MESH SPR (P)
INCISIONAL HERNIA WITH MESH SPR (CREDIT)
INCISIONAL HERNIA WITH MESH SPR (CREDIT)
SGE289
2200
SGE289
18000
SGE290
4400
SGE290
20000
SGE290
19000
SGE291
5500
SGE291
8000
SGE292
1100
SGE292
9000
SGE292
8500
SGE293
6600
SGE293
11000
SGE294
1650
SGE294
12000
SGE295
2750
SGE295
13000
SGE296
2750
SGE296
14000
SGE297
INCISIONAL HERNIA WITH MESH PR (P)
OPEN CHOLECYSTECTOMY
GW (P)
SGE297
15000
OPEN CHOLECYSTECTOMY
GW (P)
16500
INCISIONAL HERNIA WITH MESH PR (P)
INCISIONAL HERNIA WITH MESH PR (CREDIT)
INCISIONAL HERNIA WITH MESH PR (CREDIT)
INCISIONAL HERNIA WITH MESH PR (CREDIT)
INCISIONAL HERNIA WITHOUTMESH GW (P)
INCISIONAL HERNIA WITHOUTMESH GW (P)
INCISIONAL HERNIA WITHOUTMESH GW (CREDIT)
INCISIONAL HERNIA WITHOUTMESH GW (CREDIT)
INCISIONAL HERNIA WITHOUTMESH GW (CREDIT)
INCISIONAL HERNIA WITHOUTMESH SPR (P)
INCISIONAL HERNIA WITHOUTMESH SPR (P)
INCISIONAL HERNIA WITHOUTMESH SPR (CREDIT)
INCISIONAL HERNIA WITHOUTMESH SPR (CREDIT)
INCISIONAL HERNIA WITHOUTMESH PR (P)
INCISIONAL HERNIA WITHOUTMESH PR (P)
INCISIONAL HERNIA WITHOUTMESH PR (CREDIT0
INCISIONAL HERNIA WITHOUTMESH PR (CREDIT0
4400
SGE298
3300
SGE298
16000
SGE299
550
SGE299
18500
SGE300
1100
SGE300
19500
SGE301
2200
SGE301
22000
SGE302
2750
SGE302
23000
SGE303
4400
SGE303
20000
SGE304
6600
SGE304
22000
SGE305
6600
SGE305
24000
SGE306
8800
SGE306
OPEN CHOLECYSTECTOMY
GW (CREDIT)
OPEN CHOLECYSTECTOMY
GW (CREDIT)
OPEN CHOLECYSTECTOMY
SPR (P)
OPEN CHOLECYSTECTOMY
SPR (P)
OPEN CHOLECYSTECTOMY
SPR (CREDIT)
OPEN CHOLECYSTECTOMY
SPR (CREDIT)
OPEN CHOLECYSTECTOMY
PR (P)
OPEN CHOLECYSTECTOMY
PR (P)
OPEN CHOLECYSTECTOMY
PR (CREDIT)
OPEN CHOLECYSTECTOMY
PR (CREDIT)
SGE307
8800
SGE307
27000
SGE308
11000
SGE308
29000
SGE309
6600
SGE309
6000
SGE310
6600
SGE310
6500
SGE311
4400
SGE311
8000
SPLENECTOMY +CLEVASCULAISECTION PR (P)
SPLENECTOMY +CLEVASCULAISECTION GW (P)
SPLENECTOMY +CLEVASCULAISECTION GW (P)
SPLENECTOMY +CLEVASCULAISECTION GW (CREDIT)
SPLENECTOMY +CLEVASCULAISECTION GW (CREDIT)
SPLENECTOMY +CLEVASCULAISECTION SPR (P)
SPLENECTOMY +CLEVASCULAISECTION SPR (P)
SPLENECTOMY +CLEVASCULAISECTION SPR (CREDIT)
SPLENECTOMY +CLEVASCULAISECTION SPR (CREDIT)
SPLENECTOMY +CLEVASCULAISECTION PR (P)
SPLENECTOMY +CLEVASCULAISECTION PR (CREDIT)
SPLENECTOMY +CLEVASCULAISECTION PR (CREDIT)
OPEN APPENDICCTOMY
GW (P)
OPEN APPENDICCTOMY
GW (P)
OPEN APPENDICCTOMY
GW (CREDIT)
OPEN APPENDICCTOMY
GW (CREDIT)
OPEN APPENDICCTOMY
SPR (P)
OPEN APPENDICCTOMY
SPR (P)
26000
SGE312
3300
SGE312
8500
SGE313
OPEN APPENDICCTOMY
SPR (CREDIT)
OPEN APPENDICCTOMY
SPR (CREDIT)
OPEN APPENDICCTOMY
4400
OPEN APPENDICCTOMY
PR (P)
OPEN APPENDICCTOMY
PR (CREDIT)
OPEN APPENDICCTOMY
10500
SGE315
HYDROCELA (LA)
6600
SGE315
HYDROCELA (LA)
1500
SGE316
HYDROCELA (LA)
PR (CREDIT)
SGE317
2250
SGE318
2500
SGE318
3000
SGE319
3000
SGE319
3500
SGE320
3500
SGE320
4000
SGE321
3000
SGE322
3500
SGE323
4000
SGE324
4500
SGE325
4900
SGE326
5500
SGE327
12000
SGE327
12500
SGE328
HYDROCELA (LA)
SPR (P)
HYDROCELA (LA)
SPR (CREDIT)
HYDROCELA (LA)
SPR (CREDIT)
HYDROCELA (LA)
PR (P)
HYDROCELA (LA)
PR (P)
HYDROCELA (LA)
PR (CREDIT)
HYDROCELA (LA)
PR (CREDIT)
HYDROCELA (GA)
GW (P)
HYDROCELA (GA)
GW (CREDIT)
HYDROCELA (GA)
SPR (P)
HYDROCELA (GA)
SPR (CREDIT)
HYDROCELA (GA)
PR (P)
HYDROCELA (GA)
PR (CREDIT)
CLISTAL PANCREATECTOMY
GW (P)
CLISTAL PANCREATECTOMY
GW (P)
CLISTAL PANCREATECTOMY
13000
CLISTAL PANCREATECTOMY
GW (CREDIT)
CLISTAL PANCREATECTOMY
SPR (P)
CLISTAL PANCREATECTOMY
SPR (P)
SGE313
9500
SGE314
5500
SGE314
SGE328
13500
SGE329
15500
SGE329
16000
PR (P)
GW (P)
GW (P)
GW (CREDIT)
GW (CREDIT)
2000
SGE330
16500
SGE330
17000
SGE331
CLISTAL PANCREATECTOMY
SPR (CREDIT)
CLISTAL PANCREATECTOMY
SPR (CREDIT)
CLISTAL PANCREATECTOMY
PR (P)
SGE331
19000
SGE332
19000
SGE332
20000
SGE333
5500
SGE334
4500
SGE335
11000
SGE336
4500
SGE337
5500
SGE338
8000
SGE339
CLISTAL PANCREATECTOMY
PR (P)
CLISTAL PANCREATECTOMY
PR (CREDIT)
CLISTAL PANCREATECTOMY
PR (CREDIT)
SGE340
4500
SGE341
7500
SGE342
SGE343
11000
SGE344
2000
SGE345
4500
SGE346
5500
SGE347
7500
SGE348
SGE349
4000
SGE350
4500
SGE351
7500
SGE352
4000
SGE353
4500
SGE354
3000
18000
STAGING LAPAROTOMY
EXCISION OF WELL DEFINED RETROPERITONEAL TUM
EXCISION OF DIFFUSE/HUGE RETROPERITONEAL TUM
BILATERAL ADRENELECTOMY
EXCISIO OF ADRENAL TUMOUR (UNILATERAL)
EXCISIO OF ADRENAL TUMOUR (BILATERAL)
R.P.C.N.D.
8500
EXCISION OF MESENTERIC/OMENTAL CYST
PANHYSTERECTOMY
EXCISION OF MESENTERIC TUMOUR
7500
WHERTHEIM'S HYSTERECTOMY
PAROTID ABSCESS I & D
SUPERFICIAL PAROTIDECTOMY
TOTAL PAROTIDECTOMY
RADICAL PAROTIDECTOMY
EXCISION OF SUBMANDIBULAR SALIVARY GLAND
HEMITHYROIDECTOMY
PARTIAL THYROIDECTOMY
TOTAL THYROIDECTOMY + FUNCTIONAL DISSECTION
EXCISION OF PARATHYROID ADENOMA
SUB TOTAL PARATHYROIDECTOMY
EXCISION OF THYROGLOSSAL CYST/FISTULA
4500
SGE355
2000
SGE356
825
SGE357
2000
SGE358
SGE359
3000
SGE360
4000
SGE361
SGE362
4500
EXCISION NECK CYST
EXCISION OF SOFT TISSUE TUMOR NECK
EXCISION OF BRANCHIAL CYST
TRACHEOSTOMY
2000
EXCISION OF LYMPHANGIOMA
ORAL RESECTION
RECONSTRUCTION
2000
LARYNGECTOMY
SGE363
5500
SGE364
8500
SGE365
11000
SGE366
825
SGE367
LARYNGECTOMY + RECONSTRUCTION
SGE368
3000
SGE369
4000
SGE370
4500
SGE371
5500
SGE372
7500
SGE373
4000
SGE374
7500
SGE375
8500
SGE376
2000
SGE377
BRONCHOSCOPY - FOREIGN BODY REMOVAL
SGE378
3000
SGE379
4500
SGE380
4500
SGE381
7500
SGE382
5500
LARYNGOPHARYNGECTOMY + RECONSTRUCTION
LARYNGOPHARYNGO ESOPHAGECTOMY + RECONSTRUCTI
BRONCHOSCOPY - DIAONOSTIC
BRONCHOSCOPY - BIOPSY
SIMPLE MASTECTOMY
MASTECTOMY + AXILLARY CLEARANCE
PATEY'S MASTECTOMY
RADICAL MASTECTOMY
AMPUTATION
SHOULDER DISARTICULATION
HIP DISARTICULATION
PARTIAL AMPUTATION OF PENIS
HEMIPELVECTOMY
11000
TOTAL AMPUTATION OF PENIS
EMASCULATION
INGUINAL LYMPHNODE BLOCK DISSECTION
INGUINAL & PELVIC LYMPHADENECTOMY
RADICAL NECK DISSECTION
2000
----DEPARTMENT OF SURGICAL ONCOLOGY
=============================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------SOG11SU
50
SOG12SU
150
SOG13SU
150
SOG14SU
200
SOG15SU
250
SOG16SU
350
SOG17SU
400
SOG18SU
400
SOG19SU
500
SOG20SU
SOG21SU
750
SOG22SU
1000
SOG23SU
1000
SOG24SU
2000
SOG25SU
3000
SOG26SU
SOG27SU
4000
SOG28ASU
5000
SOG29SU
2000
SOG30SU
3000
SOG31SU
3000
SOG32ASU
6000
SOG32SU
4500
Dressing/Minor Procedure/Suture Removal
Consultation charges
Cervical screening
Minor surgery/Excision of Nail/Mole/Corn
Laryngoscopy / Sigmoidoscopy
Banding/Sclerotherapy/Lateral Sphincterotomy
Debridement/Excision of Breast Lump biopsy
Excision of Cyst/Lipoma/Tumour/Ganglion/Nail
Bronchoscopy/Diag. Laparoscopy/Sigmoidoscopy
Tracheostomy/Orchiectomy/Hydrocele
750
Debridement/Amputation of limb/Amp. of penis
Gastrostomy/Jejunustomy/Hemorrhoids/Fistulect
Selective lymphadenectomy /Laparoscopy/ L.A
Fibroaden. Breast/ Hemorrhoid / Catheterizati
Hydrocele / Fistula / Segmentectomy / Oral re
Simple Mastectomy
3500
Total Mastectomy + Ax. clearance / Patey's
M
Total Mastectomy + Ax. clearance Patey's M
I
Orchiectomy/ Varicocele /Hernia + Mesh Charge
S T Tumor excision/Amp. of limb /Emasculation
Laparotomy Abscess drainage /GJ/Appendicectom
STS Compart.excision/Shoulder disarticulation
STS Compart.excision/Shoulder disarticulation
SOG33ASU Hip Disarticulation II
7000
SOG33SU Hip Disarticulation I
5000
SOG34ASU Hemipelvectomy II
8500
SOG34SU Hemipelvectomy I
6000
SOG35ASU Oral Resection + reconstruction II
8000
SOG35SU Oral Resection + reconstruction I
5000
SOG36ASU Thyroidectomy / Total Parotidectomy II
6000
SOG36SU Thyroidectomy / FND/ Total Parotidectomy I
4500
SOG37ASU Laryngectomy /Bil R N D /FND/Pelvic Lymph II
8000
SOG37SU Laryngectomy /R N D /Pelvic Lymph adenectomy
4500
SOG38SU Thyroglossal cyst excision/parathyroid excisi
3000
SOG39SU Parotidectomy / Submandibular gland excision
3000
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------SOG40SU
3000
SOG41ASU
8000
SOG41SU
6500
SOG42SU
2000
SOG43SU
2500
SOG44SU
4000
SOG45ASU
7500
SOG45SU
6000
SOG46ASU
9000
SOG46SU
5500
SOG47ASU
6000
SOG47SU
4000
SOG48SU
6000
SOG49SU
Branchial Cyst & fistula excision
Laryngo Pharyngo Esophagectomy II
Laryngo Pharyngo Esophagectomy I
Inguinal Lymphnode Block dissection
Ilio Inguinal Block dissection
Ilio Inguinal block dissection+Myo cutaneous
Transhiatal Esophagectomy + Gastric pull-up I
Transhiatal Esophagectomy + Gastric pull-up I
Oesophago-gastrectomy+jejunal/colon position
Oesophago-gastrectomy+jejunal/colon position
Colon bypass/intestinal bypass II
Colon bypass/intestinal bypass I
Esophagectomy+2 field Lymphadenectomy
Esophagectomy+3 field Lymphadenectomy
8000
SOG50ASU DU/Ileal perforation/Underrunning of bleeder
6000
SOG50SU
3500
SOG51ASU
6000
SOG51SU
3500
SOG52ASU
6000
SOG52SU
D.U /Ileal perforation/Underrunning of bleede
SOG53SU
4500
G.J + T.V / Definitive surgery
Excision of diverticulum/Small bowel resectio
Excision of diverticulum/Small bowel resectio
Colostomy&closure/Adhesionolysis/Stricuroplas
Colostomy&closure/Adhesionolysis/Stricuroplas
3500
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------SOG54ASU
6000
SOG54SU
4500
SOG55ASU
8500
SOG55SU
6500
SOG56SU
4500
SOG57ASU
6000
SOG57SU
4500
SOG58SU
6000
SOG59SU
8000
SOG60ASU
SOG60SU
4500
SOG61ASU
7500
SOG61SU
4500
SOG62ASU
10000
SOG62SU
7000
SOG63ASU
Palliative Gastrectomy/Dist.Radical Gastrecto
Palliative Gastrectomy/Dist.Radical Gastrecto
Total Radical Gastrectomy
II
Total Radical Gastrectomy I
Excision of Mesenteric cyst/Tumor,colon resec
Massive/Multiple Resection/ Tumor excision II
Massive/Multiple Resection/Tumor excision I
Total colectomy
Total Procto colectomy
Low Anterior Resection / A.P.R II
6000
Anterior Resection / APR I
Biliary Bypass II
Biliary Bypass I
C.B.D stricture + Choledochal Cyst Excision I
C.B.D stricture + Choledochal Cyst Excision I
Cholangio ca. / Radical Cholecystectomy II
SOG63SU Cholangio ca. / Radical Cholecystectomy I
7000
SOG64ASU Wedge hepatectomy /segmentectomy/Hydatid cyst
5500
10000
SOG64SU Wedge hepatectomy /segmentectomy/Hydatid cyst
4500
SOG65SU Partial hepatectomy / Hemi hepatectomy
7000
SOG66ASU Trisegmentectomy II
10000
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------SOG66SU Trisegmentectomy I
8000
SOG67SU Splenectomy / Splenorrhaphy
4500
SOG68SU Surgery for Variceal bleed/Cysto Gastrostomy
4500
SOG69ASU Whipple's Procedure/Pancreaticoduodenectomy
10000
SOG69SU Whipple's Procedure/Pancreaticoduodenectomy I
7000
SOG70ASU Distal Pancreatectomy/Lateral Pan.jejunostomy
6000
SOG70SU Distal Pancreatectomy/Lateral Pan.jejunostomy
4500
SOG71ASU Panhysterectomy/Staging Laparotomy II
6000
SOG71SU Panhysterectomy/Staging Laparotomy I
4500
SOG72ASU Wertheim's Hysterectomy
II
6000
SOG72SU Wertheim's Hysterectomy I
4500
SOG73ASU Excision of Adrenal Tumor/Radical nephrectomy
SOG73SU
6000
SOG74ASU
8000
SOG74SU
6000
SOG75ASU
9000
SOG75SU
4500
SOG76ASU
7000
SOG76SU
4000
Excision of Adrenal Tumor/Radical nephrectomy
Radical cystectomy/R.P.L.N.DII
Radical cystectomy/R.P.L.N.D I
Excision of Diffuse/Huge Retroperitoneal Tumo
Excision of/Mesenteric/ RetroperitoneaTumourLaparoscopic Surgery /Lap. Excision of Tumor
Laparoscopic Minor procedure / Oophorectomy
------
DEPARTMENT OF UROLOGY
=====================
8000
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------U100SU
300
U101SU
300
U102SU
U103SU
300
U104SU
500
U105SU
300
U106SU
500
U107SU
300
U108SU
URETHRAL CATHETERISATION
CHANGE OF NEPHROSTOMY
CHANGE OF SPC
200
HEGAR DILATATION
PROSTATE BIOPSY
INTRAVESICAL INSTILLATION OF DRUGS
TESTICULAR BIOPSY
URETHRAL DILATATION
CIRCUMCISION
U109SU
500
U110SU
500
U111SU
1000
U112SU
1000
U113SU
1000
U114SU
2000
U115SU
2500
U116SU
500
U117SU
2000
U118SU
CYSTOSCOPY
U119SU
2000
U120SU
4000
U121SU
ORCHECTOMY
500
TROCAR CYSTOSTOMY
CYSTOSCOPY UNDER G.A.
TESTICULAR BIOPSY UNDER G.A
CIRCUMCISION UNDER G.A.
HERNIOTOMY
GLANDULO CAVERNOUS SHUNT
EMPLTYING CLOTS FROM BLADDER
CHORDEE RELEASE
HYDROCELE
2000
U122SU
3000
ORCHIPEXY
ENDOSCOPIC DILATATION
1000
ENDOSCOPIC BLADDER STONE REMOVAL
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------U123SU
3000
DORMIA BASKETING
U124SU
3000
U125SU
CYSTOLITHOTOMY
U126SU
2000
U127SU
2500
U128SU
2000
U129SU
1500
U130SU
1000
U131SU
3000
U132SU
DEROOFING OF URETEROCEL
U133SU
2000
U134SU
4000
U135SU
3000
U136SU
2500
U137SU
5000
U138SU
URETERIC STENTING
BLADDER NECK RESECTION
2500
PCN
INTERNAL URETHROTOMY
URETHRAL FISTULA REPAIR
SPC
TUF BLADDER TUMOUR
RGP
2000
U139SU
2000
U140SU
4000
U141SU
3500
U142SU
4000
U143SU
5000
CODE
STAGE I URETHROPLASTY
STAGE II
URETHROPLASTY
PARTIAL AMPUTATION OF PENIS
NEPHRECTOMY
PUV FULGURATION
2000
A.V.FISTULA
TUR(P)
TUR(BT)
PERINEAL URETHROPLASTY
TOTAL AMPUTATION PENIS
DESCRIPTION
RATE
-------- --------------------------------------------- ---------U144SU
5000
U145SU
5000
U146SU
5000
U147SU
4000
U148SU
4000
HYPOSPADIAS REPAIR
OPEN PROSTATECTOMY
VASO VASOSTOMY
VASO EPIDIDY MOSTOMY
URETEROLITHOTOMY
U149SU
4000
U150SU
5000
U151SU
6000
U152SU
B/L CUTANEOUS URETEROSTOMY
U153SU
5000
U154SU
6000
U155SU
DIVERTICULECTOMY
PYELOLITHOTOMY
TRANSPUBLIC URETHRO PLASTY
VVF REPAIR
7000
U156SU
6000
U157SU
5000
U158SU
U159SU
5000
U160SU
4000
U161SU
5000
U162SU
6000
U163SU
8000
U164SU
URETERIC REIMPLANTATION
BOARIFLAP URETEROPLASTY
5000
RADICAL NEPHRECTOMY
PYELOPLASTY
PARTIAL NEPHRECTOMY
4000
NEPHROLITHOTOMY
SURGERY ON HORSE SHOE KIDNEY PELVIC KIDNEY
TAILORING & REIMPLANTATION OF MAGAURETER
URETERO SIGMOIDOSTOMY
TOTAL CYSTECTOMY
ILEO CYSTOPLASTY
10000
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------U165SU
2500
U166SU
5000
U167SU
5000
U168SU
1500
U169SU
6000
U170SU
6000
U171SU
4000
U172SU
URETERO RENOSCOPY
U173SU
1000
U174SU
400
CO2 CYSTOMETRY
URETERO RENOSCOPY + BASKETTING
URETERO RENOSCOPY + ULTRASONIC LITHOTRIPSY
FULUORO SCOPY CHARGES
PERCUTANEOUS NEPHROLITHOTOMY
PERCUTANEOUS NEPHROLITHOTOMY + U.SONIC LITHOT
URETRO URETEROSTOMY
URO FLOWMETRY
200
URETHRAL PRESSURE PROFILE
U175SU
U176SU
3000
U177SU
6000
U178SU
5000
U179SU
4000
U180SU
3000
U181SU
U182SU
4000
U183SU
6000
U184SU
1500
U185SU
4000
EXTERNAL SPHINCTER EMG
400
URETEROLYSIS
BLADDER INJURY REPAIR
I LEAL URETERS
ENDOPYELOTOMY
VARICOCELE SURGERY
SILVER NITRATE INSTILLATION
2000
CYSTOLITHOTRIPSY
AUTOTRANSPLANT
HYDROSTATIC DILATATION OF BLADDER
ENDOSCOPIC SUSPENSION OF BLADDER NECK
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------U186SU
5000
U187SU
10000
U188SU
15000
U189SU
ANATROPHIC NEPHROLITHOTOMY
U192SU
3000
U193SU
5000
U194SU
500
U195SU
2000
U196SU
4000
U197SU
7000
U198SU
8000
U199SU
5000
U200SU
DETRUSOR MYECTOMY
U201SU
8000
CONTINENT URINARY DIVERSION
DONOR NEPHRECTOMY
RECIPIENT SURGERY WITH REEXPLORATION WHERE NE
RECPPIENT SURGERY
17000
VIDEO TUR (P)
VIDEO CHARGES FOR ENDOSCOPIC PROCEDURES
CUTANEOUS VESICOSTOMY
BURCH PROCEDURE FOR INCONTINENCE
PENILE IMPLANT INSERTION (PT. TO PURCH. IMPLA
RADICAL PROSTATECTOMY
ARTIFICAL URINARY SPHINCTER INSERTION(PT.TO P
KIDNEY(S) RETRIEVAL FROM BRAIN DEAD
10000
U202SU
5000
U203SU
6000
U204SU
1000
U205SU
1000
U206SU
5000
U207SU
2000
U208SU
3000
AUGNUTATION CYSTOPLASTY
ORTHOTOPIC NEO BLADDER
URETHRAL MEATOTOMY
URETHRAL CORUNCE EXCISION
ILIO-INGUINAL BLOCK DISSECTION
LAP-DIAGNOSTIC
LAP-VARICOELECTOMY
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------U209SU
2000
U210SU
5000
U211SU
U212SU
2000
U213SU
2000
U214SU
U215SU
2000
U216SU
3000
U217SU
2000
U218SU
1500
U219SU
2000
U220SU
U221SU
5000
U222SU
5000
U223SU
4000
U224SU
50000
U225SU
60000
U226SU
17000
U227SU
25000
LAP-CAPD-INSERTION
LAP-ORCHIOPEXY
LAP-NEPHROTECTOMY
10000
REDO - PCNL
REDO - URS
REDO - TURF
2000
LAPAROTOMY
URETTHRAL STENT INSERTION
URETHRECTOMY
BLADDER
MUCOSAL BIOPSY
EMG/CMG/UPP
PIPE TEST
PENILE PLAQUE EXCISION AND GRAFTING
MODERN PUBOVAGINAL SLING
TVT
TRANSPLANT PACKAGE (LRD)
CADAVER KIDNEY TRANSPLANTATION(CKT) PACKAGE-(
PCNL (PACKAGE-1)
PCNL (PACKAGE-2)
300
U228SU
35000
U229SU
300
PCNL (PACKAGE-3)
CODE
DESCRIPTION
DJ STENTING/REMOVAL UNDER LA
RATE
-------- --------------------------------------------- ---------U230SU
6000
U231SU
U232SU
8000
U233SU
12000
U234SU
15000
U235SU
15000
U236SU
20000
U237SU
BMG URETHROPLASTY (C1)
BMG URETHROPLASTY (C2)
8000
URS (PACKAGE-1)
URS (PACKAGE-2)
URS (PACKAGE-3)
TURP (PACKAGE-1)
TURP (PACKAGE-2)
TURBT (PACKAGE-1)
U238SU
20000
U239SU
8000
U240SU
17000
U241SU
25000
U242SU
35000
U243SU
300
U244SU
6000
U245SU
8000
U246SU
8000
U247SU
TURBT (PACKAGE-2)
U248SU
15000
U249SU
15000
U250SU
URS PACKAGE-3
15000
ADRENALECTOMY
PCNL (PACKAGE-1)
PCNL (PACKAGE-2)
PCNL (PACKAGE-3)
DJ STENTING/REMOVAL UNDER LA
BMG URETHROPLASTY C1
BMG URETHROPLASTY C2
URS
PACKAGE-1
URS PACKAGE-2
12000
U251SU
15000
U252SU
20000
U253SU
8000
TURP PACKAGE-1
TURP PACKAGE-2
20000
TURBT PACKAGE-1
TUBT PACKAGE-2
ADRENALECTOMY
-----
DEPARTMENT OF VASCULAR SURGERY
==============================
CODE
DESCRIPTION
RATE
-------- --------------------------------------------- ---------V100SU
18000
V101SU
15000
V102SU
8750
V103SU
10000
V104SU
8750
V105SU
5000
V106SU
3500
V107SU
1500
V108SU
7000
V109SU
10000
V110SU
10500
V111SU
1500
V112SU
AORTOBIFEMORAL BYPASS
AXILLOBIFEMORAL BYPASS
AXILLOAXILLARY BYPASS
FEMORFEMORAL BYPASS
CAROTID BYPASS
SYMPATHECTOMY
EMBOLECTOMY
AMPUTATION (MINOR)
AMPUTATION (MAJOR)
FEMOROPOPLITEAL SAPHANOUS BYPASS
ANGIOPLASTY INTRA OPERATIVE
A.V.FISTULA
LYMPHATIC SURGERY OMENTOPLASTY
3000
VERICOSE VEINS
V113SU
5000
V114SU
SURGERY FOR RENOVASCULAR HYPERTENSION
14000
V115SU
BRACHIORADIAL BYPASS SAPHENOUS VEIN
6000
V116SU
VENOUS THROMBECTOMY
5000
V117SU
VENOUS BYPASS
6000
V118SU
MINOR SURGERY
V119SU
450
V120SU
4500
V121SU
10750
V122SU
2000
VASCULAR BIOPSY
VASCULAR INJURIES (MINOR)
VASCULAR INJURIES (MAJOR)
INTRAOPERATIVE ANGIOGRAMS (MINOR)
1000
V123SU
3000
V124SU
500
V125SU
2000
V126SU
200
V127SU
300
V128SU
V129SU
500
V130SU
1000
V131SU
V132SU
9000
V133SU
12000
V134SU
V135SU
9000
V136SU
3500
V137SU
INTRAOPERATIVE ANGIOGRAMS (MAJOR)
VASCULAR LABORATORY STUDIES (MINOR)
VASCULAR LABORATORY STUDIES (MAJOR)
PORTABLE DOPLER STUDIES
SCROTUM DOPLER (OR) PPG
F-P VEIN SCAN
500
SBP & PVR OF UPPER OR LOWER LIMBS
SBP OR PVR OF UPPER AND LOWER LIMBS
REPAIR OF RUPTERED AAA
19000
F P BYPASS(SYNTHETIC)
FEMRO DISTAL BYPASS
THORACIC OUTLET DECOMPRESSION
8750
REPAIR OF PERIPHERAL
ANEURYSM
EMBOLOTHERAPY
OPERATION FOR AV
V138SU
2500
V139SU
8500
V140SU
7750
V141SU
100
V142SU
50
V143SU
250
V144SU
2000
V145SU
2500
V146SU
10000
V147SU
THROMBOLYSIS
V148SU
6000
V149SU
4000
V150SU
300
CERVICAL SYMPATHECTOMY
MALFORMATION
IVC FILTER REPLACEMENT
OPERATION FOR VASCULAR
TUMOR
INFUSION PUMP PER DAY
DRESSING(MINOR)
DRESSING(MAJOR)
CHEMICAL SYMPATHECTOMY
SPLIT SKIN GRAFTING
PROFUNDOPLASTY
FASCIOTOMY
500
RE-EXPLORATION FOR
HEMATOMA
SELEROTHERAPY FOR VARICOSE VEINS
4000
SPOP
120
MOOP
SPECIAL CLINIC CONSULTATION CHARGES
MORNING CONSULTATION CHARGES
50
------
ACCOMMODATION CHARGES W.E.F. 01.09.2006
S.No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
Particulars
General Ward
Triple Shared Ward
Non A.C.Sharing Room
A.C.Sharing Room
Non-A.C. Single Room
A.C.Single Room
Acute Medical Care(AMC)
Intensive Coronary Care Unit (ICCU)
Cardiothoracic Intensive Care Unit (CTICU)
Neurosurgery Intensive Care Unit (NSICU)
Neuro Intensive Care Unit(NICU)
Spinal Cord Intensive Care Unit (SCICU)
Surgical Critical Care Unit (SCCU)
Stroke Unit
Respiratory Intensive Care Unit (RICU)
Acute Renal Care Unit (ARCU)
Kidney Transplantation Unit (KTU)
Bone Marrow Transplantation (BMT)
Post Operative ward
Radio Iodine Therapy ward
Emergency Medicine Dept. (EMD) upto 12hrs
Emergency Medicine Dept. (EMD) 12 hrs. to 24
hrs.
Amount Rs.
200/400/800/1200/1200/2000/1000/1500/1500/1000/1500/600/1000/1000/1500/600/600/1500/600/600/400/800/-
The tariff of other bed charges will remain same.
1. Surcharge on sharing rooms ? 15%
2. Surcharge on single rooms - 25%
3. Surcharge on Emergencies and ICU?s ? 20%
4. Surcharge applies to investigations, surgeries and procedures.
5. Surcharge doesn?t apply for bed charges, medicines, consumables and
diet.
6. When the patient has been shifted from one type of accommodation to
other type of accommodation, higher accommodation charges for that day
will be levied.
7. Bed charges includes Nursing charges.
NIZAM?S INSTITUTE OF
MEDICAL SCIENCE
PANJAGUTTA : : HYDERABAD
CREDIT COLLECTION UNIT
(CCU)
DEPARTMENT WISE TARRIF LIST
2005
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