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Health Department Haryana
10
List of Haryana
Package Rates For Approved Hospitals
1
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
1 Consultation charges for indoor 300 300
2 Injections - SC 20 17
2.1 Injections-IM 20 17
2.2 Injections-IV 20 17
2.3 (Chemotherapy) IV 252 214
3 Dressings Small 40 34
3.1 Dressings Medium 81 69
3.2 Dressings Large 162 138
4 Suturing
4.1 Suturing without local anesthesia 323 275
4.2 Suturing with local anesthesia 505 429
5 Removal of
5.1 Removal of Foreign body 485 412
5.2 Removal of Cyst 909 773
5.3 Removal of Benign Tumor 909 773
6 Plural Effusion
6.1 Diagnostic 485 412
6.2 Therapeutic 808 687
7 Abdominal
7.1 Diagnostic 808 687
7.2 Therapeutic 1131 961
7.3 Pericardial 303 258
7.4 Bone Marrow 566 481
7.5 Joints 485 412
8 Biopsy
8.1 Skin except Hensens 252 214
8.2 Lymphnode 909 773
8.3 Liver 909 773
9 Strapping 81 69
10 Removal of Stitches 50 43
11 Venesection 242 206
12 Phimosis Under LA 1212 1030
13 Lumber puncture 646 549
14 Sternal puncture 566 481
15 Injection for
15.1 Haemorrhoids 1010 859
15.2 Varicose Veins 1212 1030
16 Catheterisation 97 82
17 Dilatation of Urethra 970 825
18 Incision & Drainage 485 412
19 Intercostal Drainage 808 687
20 Lung function test 566 481
21 E.C.G. 100 85
22 E.E.G. 707 601
23 Inclubation (per day) 606 515
24 Stress test 1212 1030
25 Peritoneal dialysis 1515 1288
26 SKIN
26.1 Skin Biopsy 353 300
26.2 Excision
26.2.1 Moles 505 429
27.2 Warts 505 429
2
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
26.2.2 Sela cysts 505 429
26.2.3 Mollus cum contrabiosum 505 429
26.2.4 Veneral Warts 505 429
26.3 Corns 505 429
26.4 I/D Injection Keloid of Acne 252 214
26.5 Chemical Cautery (per sittings) 101 86
27 E.N.T.
27.1 Pure Tone Audiogram 252 214
27.2 Impedence & other tests 252 214
27.3 SISI, Tone Decay & Difference times 252 214
27.4 Multiple hearing assessment test to Adults 404 343
27.5 Hearing Aid Selection 353 300
27.6 Hearing Aid Analysis 151 128
27.7 Speech Discrimination Score 81 69
27.8 Speech Assessment 162 138
27.9 Speech therapy per session of 30-40 minutes 121 103
27.10 Cold Calorie Test for Vestibular function 161 137
28 Removal of foreign body
28.1 From Nose 303 258
28.2 From Ear 303 258
28.3 Repair ear lobe 970 825
28.4 Syringing - 303 258
28.5 Polyp removal under LA 646 549
28.6 Peritonsillar abscess drainage under LA 1293 1099
29 EAR
29.1 Ear lobule stitching 1350 1148
29.2 Ear Piercing 450 383
29.3 Myringoplasty 10000 8500
29.4 Staepedectomy 12000 10200
29.5 Myringotomy 4550 3868
29.6 Grommet Insertion 5670 4820
29.7 Tympanotomy 8800 7480
29.8 Paracentesis 2900 2465
29.9 Tympanoplasty 13400 11390
29.10 Mastoidectomy 14800 12580
29.11 Pinna Excision 15100 12835
29.12 Otoplasty 15300 13005
29.13 Labyrinthectomy 13300 11305
29.14 Skull Base surgery 26500 22525
29.15 Facial N Decompression 18900 16065
30 NOSE
30.1 Septoplasty 8500 7225
30.2 Submucous Resection 6600 5610
30.3 Septo-rhinoplasty 15400 13090
30.4 Rhinoplasty 15100 12835
30.5 Fracture Reduction 7500 6375
30.6 Intra Nasal Diathermy 2800 2380
3
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
30.7 Turbinectomy 5480 4658
30.8 Endoscopic DCR 12000 10200
30.9 Endoscopic Surgery 12600 10710
30.10 Septal Perf. Repair 12600 10710
30.11 Antrum Puncture 1500 1275
30.12 Lateral Rhinotomy 1100 935
30.13 Cranio-facial resection 28000 23800
30.14 Maxillectomy 21200 18020
30.15 Ethamoidectomy 14100 11985
30.16 Caldwell Luc Surgery 9600 8160
30.17 Angiofibroma Excision 18900 16065
30.18 Endoscopic Hypophysectomy 25680 21828
30.19 Endoscopic Optic Nerve 25000 21250
30.20 Decompression 22000 18700
31 THROAT
31.1 Ranula Excision 10300 8755
31.2 Cyst Excision 7000 5950
31.3 Tongue Tie excision 3000 2550
31.4 Sub Mand Duct Lithotomy 6200 5270
31.5 Adendidectomy 5864 4984
31.6 Palatopharyngoplasty 17000 14450
31.7 Cleft Palate repair 15750 13388
31.8 Pharyngoplasty 15900 13515
31.9 Styloidectomy 12000 10200
32 EYE
32.1 Cauterisation of ulcer/subconjuctival injection
32.1.1 One eye 162 138
32.1.2 Both eyes 242 206
32.2 Retrobular Injection
32.2.1 One Eye 162 138
32.2.2 Both Eyes 242 206
32.3 Syringing of Lacrimal Sac
32.3.1 For oen eye 162 138
32.3.2 For both eyes 242 206
32.4 Paracentesis 808 687
32.5 Foreign body removal 323 275
32.6 Refraction/Fundoscopy 81 69
32.7 Ortho-optic check up 81 69
32.8 Ortho-optic exercises 81 69
32.9 Plepoptic Exercises 81 69
32.10 Perimetry/field test 323 275
32.11 Chalazion operation
32.11.1 One Eye 707 601
32.11.2 Both Eyes 808 687
32.12 Dressing 81 69
32.13 Clinical Photography 600 510
32.14 Pterygium 1440 1224
4
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
32.15 Orbitotomy 21510 18284
32.16 Ptosis 12000 10200
32.17 Ectropion 4640 3944
32.18 Xenon Arc Laser 1850 1573
32.19 D C R 9700 8245
32.20 ECCE/ICCE 8200 6970
32.21 Epicantuhus 4800 4080
32.22 DCY 6300 5355
32.23 Squint Correction 11500 9775
32.24 Keratoplasty 18600 15810
32.25 Trabeculectony 8300 7055
32.26 Trabeculectomy 9700 8245
32.27 Iridectomy 3200 2720
32.28 Goniotomy 9700 8245
32.29 Scalaral Bukling 16500 14025
32.30 (Retinal Detachment Surgery)
32.31 Electrooculogram
32.32 ERG 700 595
32.33 Flouresein Angioraphy 1300 1105
32.34 A-Scan 300 255
32.35 Tono Graphy 500 425
32.36 VER 1000 850
32.37 Goldmen Perimetry 500 425
32.38 Syringing & Probing 3000 2550
32.39 Vitrectomy 10900 9265
32.40 Enucleation 7300 6205
32.41 Eviseration 6900 5865
32.42 Entropion 3200 2720
32.43 Fluroseince 800 680
32.44 Angiography of Retina 1400 1190
32.45 IRIS 700 595
32.46 Automated Perimetry 1350 1148
32.47 Corneal endothelial cell count 300 255
32.48 Corneal topography 300 255
32.49 Corneal pachymetry 275 234
32.50 Auto Refrectemetry 45 38
32.51 Biometry 315 268
32.58 Ultrasound studies
32.58.1 A Scan 200 170
32.58.2 B Scan 400 340
32.59 Retinal/Meter function studies 170 145
32.60 VER 1050 893
32.61 Dacryocystography (DGC) 1500 1275
32.62 Cateract with IOL + Lens 9300 7905
33 ORTHOPAEDIC AND PLASTER WORK 0
33.1 Fingers (post, slab) 242 206
33.2 Fingers full plaster 242 206
5
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
33.3 Colles fracture
33.3.1 Below elbow 1111 944
33.3.2 Full plaster 1818 1545
33.4 Colles fracture Ant. Or post slab 909 773
33.5 Above elbow full plaster 1010 859
33.6 Above post-slab 646 549
33.7 Below knee full plaster 1010 859
33.8 Below post-slab 646 549
33.9 Tube Plaster (or plaster cylinder) 1515 1288
33.10 Above knee full plaster 2626 2232
33.11 Above full slab 2222 1889
33.12 Minerva Jacket 4040 3434
33.13 Plaster Jacket 3030 2576
33.14 Shoulder spika 3030 2576
33.15 Single hip spika 3030 2576
33.16 Double hip spika 3636 3091
33.17 STRAPPING
33.17.1 Finger 162 138
33.17.2 Toes 162 138
33.17.3 Wrist 323 275
33.17.4 Elbow 323 275
33.17.5 Knee 323 275
33.17.6 Ankle 323 275
33.17.7 Chest 485 412
33.17.8 Shoulder 485 412
33.18 Nasal bone fracture 485 412
33.19 Figure of 8 bandage 485 412
33.20 Colar and cuff sling 485 412
33.21 Ball bandage 485 412
34 PHYSIOTHERAPY
34.1 Electro therapy 71 60
34.2 Ultrasonic therapy 71 60
34.3 S.W. Diathermy 71 60
34.4 Electrical stimulation (therapeutic) 71 60
34.5 Muscle testing and diagnostic 71 60
34.6 Infra red 71 60
34.7 U.V. Therapeutic does 71 60
34.8 Electric vibrator 71 60
34.9 Vibrator belt massage 71 60
34.10 Electric/Mechanical Traction 71 60
34.11 Intra Lumbar Traction 71 60
34.12 Intermittent Cervical traction 71 60
34.13 Combined Lumbar & Cervical 71 60
34.14 Hydrotherapy 71 60
34.15 Wax bath 71 60
34.16 Hot pack 71 60
34.17 Whirl pool bath 71 60
6
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
34.18 Miscellaneous 71 60
34.19 Obesity Exercises 71 60
34.20 Breathing Exercises & Postural Drainage 71 60
34.21 Cerebral Palsy – Massage 71 60
34.22 Post – polio exercise 71 60
35 DENTAL
35.1 Extraction of tooth including LA 101 86
35.2 Complicated Ext. per Tooth including LA 202 172
35.3 Flap Operation per Tooth 404 343
35.4 Gingivectomy per tooth 404 343
35.5 Cyst under LA (small) 242 206
35.6 Cyst under LA (large) 404 343
35.7 Apiscectomy including LA 646 549
35.8 Fracture wiring including LA 808 687
35.9 Intra oral X-ray 81 69
36 OTHERS
36.1 Upper G.I. Endoscopy 1616 1374
36.2 Upper G.I. with Biopsy 1818 1545
36.3 Esophageal scierotherapy for varices
36.3.1 First sitting 2020 1717
36.3.2 Subsequent sitting 1616 1374
36.4 Sigmoidoscopy (rigid) 1616 1374
36.5 Sigmoidoscopy (flexible) 1212 1030
36.6 Oesophagoscopy 1212 1030
36.7 Colonoscopy 2020 1717
36.8 Fibroptic bronchoscopy 2121 1803
37 X-RAY
37.1 Fluroscopy chest 125 106
37.2 Dental 81 69
37.3 Occlusal 109 93
37.4 Abdomen AP or Erect (one film) 125 106
37.5 Abdomen Lateral view (one film) 125 106
37.6 Abdomen for Pregnancy 125 106
37.7 Chest PA view (one film) 125 106
37.8 Chest Oblique or Lateral (One film) 125 106
37.9 Mastoids 125 106
37.10 Extremities, bones & Joints (one film) 125 106
37.11 Pelvis (One film) 125 106
37.12 Paranasal sinuses (One film) 125 106
37.13 T.M. Joints (One film) 125 106
37.14 Abdomen & pelvis for K.U.B. 250 213
37.15 Skull A.P. & Lateral 250 213
37.16 Spine A.P. & Lateral 250 213
37.17 Barium Swallow 702 597
37.18 Sinography/ Sialography 624 530
37.19 Cystography/ Unrethrography 936 796
37.20 Hysto-Salpaingography 936 796
7
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
37.21 Arthrography 702 597
37.22 Retrograde Pyelography 936 796
37.23 Oral or I.V. Cholecystography 780 663
37.24 Barium Enema 1092 928
37.25 Barium Meal Upper or Lower 1092 928
37.26 Bronchography 1092 928
37.27 I.V. Urography 1170 995
37.28 Myelography 1248 1061
37.29 Pneumo Encephalography 936 796
37.30 Barium meal Complete 1404 1193
37.31 Cerebral/Gemoral Angiography 1404 1193
38 ULTRASOUND INVESTIGATIONS
38.1 Obstetric
38.1.1 First Scan 375 319
38.1.2 Follow up (2nd visit) 375 319
38.2 Upper abdomen
38.2.1 First Scan 500 425
38.2.2 Follow up (2nd visit) 500 425
38.3 OTHERS
38.1 Quick look check-up for IUCD & Infants 500 425
38.2 Total Abdominal survey or Multiple study 1000 850
38.3 Special procedures & Aspiration etc. 1125 956
38.3 Image Intensifiers
38.3 Stress test (tredmill) 1500 1275
39 CLINICAL PATHOLOGY
39.1 Urine routine 40 34
39.2 Quantitative Albumin/Sugar 40 34
39.3 Urine Bile Pigment and Salt 40 34
39.4 Urine Urobilinogen 40 34
39.5 Urine Ketones 40 34
39.6 Urine Occult Blood 40 34
39.7 Urine total proteins 40 34
39.8 Urine Sodium 81 69
39.9 Urine Chloride 81 69
39.10 Bence Jones protein 81 69
39.11 Stool routine 81 69
39.12 Stool occult blood 40 34
39.13 Post coital smear examination 71 60
39.14 Smear analysis 71 60
39.15 Body fluids – C.S.F/{;ira;/Ascitic etc. 71 60
39.16 Malignant cells 162 138
40 HAEMATOLOGY
40.1 Haemoglobin (Hb) 30 26
40.2 Total Leucocytic Count (TLC) 30 26
40.3 Differential Leucocytic Count (DLC) 30 26
40.4 E.S.R. 30 26
40.5 Total Red Cell count 40 34
8
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
40.6 Platelet count 50 43
40.7 Reticulocyte count 50 43
40.8 Absolute Eosinophil count 40 34
40.9 Packed Cell Volume (PCV) 30 26
40.10 Haemoglobin, total & Differential Leucocyte count (Hb, TLC, DLC) 40 34
40.11 Peripheral Smear Examination 40 34
40.12 Smear for Malaria parasite 40 34
40.13 Bleeding & Clotting Time 40 34
40.14 Clot Retraction Time 40 34
40.15 R.B.C. Fragility Test 61 52
40.16 L.E. Cell 101 86
40.17 Foetal Haemoglobin (Hb-F) 162 138
40.18 Prothrombin Time (P.T.) 127 108
40.19 Hb, TLC, DLC, ESR 101 86
40.2 Haemogram 101 86
40.21 Bone Marrow Smear Exmination 252 214
40.22 Partial Thromboplastin 162 138
40.23 Glucose Phosphate Dehydrogenase (G, 6PD) 162 138
41 . BLOOD BANK 0
41.1 Blood Group & RHO Type 81 69
41.2 Cross match 40 34
41.3 Packed cell preparation 40 34
41.4 Coomb’s Test
41.4.1 Direct 121 103
41.4.2 Indirect 121 103
41.5 Australia Antigen 162 138
41.6 RHO, Antibody titer 141 120
42 BIO-CHEMISTRY 0
42.1 Glucose 50 43
42.2 Blood Urea Nitrogen 61 52
42.3 Serum Creatinine 71 60
42.4 Serum Uric Acid 81 69
42.5 Serum Bilirubin total & direct 141 120
42.6 Serum Iron 162 138
42.7 Serum Cholesterol 81 69
42.8 Total Iron Binding Capacity 202 172
42.9 Glucose (Fasting & PP) 101 86
42.10 Serum Calcium 81 69
42.11 Serum Phosphorus 81 69
42.12 Total Protein Alb/Glo Ratio 101 86
42.13 S.G.P.T. 81 69
42.14 S.G.O.T. 81 69
42.15 Serum amylase 162 138
42.16 Serum Electrolyte 202 172
42.17 Triglyceride 162 138
42.18 Glucose Tolerance Test (GTT) 242 206
42.19 C.P.K. 202 172
9
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
42.20 L.D.H. 151 128
42.21 L.D.-1 151 128
42.22 LDH &LD-1 252 214
42.23 Alkaline Phosphatase 81 69
42.24 Acid Phosphatase 101 86
42.25 CK MB 323 275
42.26 T3 T4 TSH 550 468
42.27 HDL Cholestrol 121 103
42.28 L.H. 505 429
42.29 FSH 505 429
42.30 Prolactin 505 429
43 HISTOPATHOLOGY
43.1 Pap Smear 162 138
43.2 Smear for Malignant cells 162 138
43.3 Hostopath 303 258
43.4 Frozen section & Paraffin section 242 206
43.5 Blood gas analysis 283 241
43.6 Blood gas analysis with electrotypes 364 309
43.7 Vaginal Cytology for Hormonal evaluation 323 275
44 BACTRIOLOGY & SEROLOGY
44.1 Smear gram-strain examination 61 52
44.2 Sputum smear A.F.B. stain 61 52
44.3 Vaginal Smear Examination 61 52
44.4 V.D.R.L. 101 86
44.5 Widal test 101 86
44.6 R.A. test 141 120
44.7 Culture & Sensitivity (other specimens) 141 120
44.8 Urine pregnancy test 162 138
44.9 C.R.P. 141 120
44.10 ASO Titer 162 138
44.11 Quantitative H.C.G. 252 214
44.12 Blood culture & sensitivity 162 138
44.13 Vibro cholera culture 141 120
45 ICU/CCU CHARGES (Special Care Cases)
45.1 Coronary Care with Cardiac Monitoring including ECG & Diet 1515 1288
45.2 Respirator & Compressed air 1313 1116
45.3 Respirator with Piped Oxygen 1313 1116
45.4 Internal Pace-maker 0
45.5 Post operative care (ICU) with Diet 1414 1202
45.6 Child care in children 970 825
45.7 Paediatric care for New born (7 to 12 days) 555 472
45.8 General Nursery Care 303 258
45.9 Incubator charges (Per day) 505 429
46 Intensive care in Nursery (Per day) 1313 1116
46.1 Phototherapy 303 258
46.2 Resuscitation 303 258
46.3 Resuscitation with Incubator attended by Specialist 808 687
10
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
46.4 Exchange Transfusion 1010 859
46.5 O.T. Charges for Exchange transfusion 303 258
46.6 Pneupack ventilator in Nursery (Per day) 707 601
47 OXYGEN CHARGES(including supply of Nitrous Oxide)
47.1 Operation theatre 808 687
47.2 Casuality ICU 81 69
47.3 General Ward 81 69
47.4 Semi-private wards 81 69
48 BURN DRESSING
48.1 15% to 30% 1st Dressing 303 258
48.2 Subsequent Dressing 151 128
48.3 30% to 50% 1st Dressing 505 429
48.4 Subsequent Dressing 252 214
48.5 Extensive Burn above 50% 808 687
48.6 Subsequent dressing 303 258
49 OBSTETRIC CASES
49.1 Normal delivery or with Episiotomy & P. repair 8080 6868
49.2 Low Forceps 9090 7727
49.3 Low midcavity forceps 9090 7727
49.4 Cesarean Section 15000 12750
49.5 Cesarean Hysterectomy 17170 14595
49.6 Rupture Uterus, closure & repair with Tubal Ligation 17170 14595
49.7 Perforation of Uterus after D/E Laparotomy & Closure 12120 10302
49.8 Laparotomy for Ectopic Rupture 12120 10302
49.9 Laparotomy-peritonitis Lavage and Drainage 10100 8585
49.10 Laparotomy-failed laparoscopy to explore 5050 4293
49.11 Salphingectomy 9696 8242
49.12 Salphingo-oophrectomy 13130 11161
49.13 Ovarean Cystectomy 13130 11161
49.14 Oopherctomy 10100 8585
49.15 Broad Ligment Haemotoma Drainage 8484 7211
49.16 Exploration of perineal Haematoma & Resuturing of Episiotor 8080 6868
49.17 Exploration of abdominal Haematoma (after laparotomy + LUCS) 11110 9444
49.18 Internal podalic version and extraction 9090 7727
49.19 Manual Removal of Placenta 3030 2576
49.20 3rd stage Complication MRP for outside delivery etc. 4040 3434
49.21 Examination under anaesthesia 2020 1717
49.22 Burst-abdomen Repair 10100 8585
49.23 Gaping Pareneal Wound Secondary Suturing 2020 1717
49.24 Gaping abdominal wound Secondary Suturing 3030 2576
49.25 Complete perineal tear-repair 2020 1717
49.26 Exploration of PPH-tear repair 3434 2919
49.27 Destructive Operation 9090 7727
49.28 Suction evacuation vesicular mole, Missed abortion D/E 4848 4121
49.29 Colpotomy-drainage P/V needling EUA 3434 2919
49.30 Repair of post-coital tear, perineal injury 3434 2919
49.31 Excision of urethral caruncle 3030 2576
11
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
49.32 Laparoscopy 5050 4293
49.33 Shirodhkar, Mc. Donalds stich 3030 2576
49.34 Abortion 4040 3434
50 GENERAL SURGERY
50.1 Drainage of Abscess 1414 1202
50.2 Dressing under G.A. 2020 1717
50.3 Aspiration of cold Abscess of Lymphnode 2626 2232
50.4 Aspiration of Empyema 2020 1717
50.5 Aspiration of Liver Abscess 2020 1717
50.6 Open Drainage of Liver Abscess 8080 6868
50.7 Drainage of Pelvic Abscess 8080 6868
50.8 Drainage of Ischiorectal Abscess 5500 4675
50.9 Drainage of Subdiaphragmatic Abscess 10100 8585
50.10 Open Drainage of Perinepheric Abscess 10100 8585
50.11 Drainage of Perigastric Abscess 8080 6868
50.12 Drainage of Perotid Abscess 5500 4675
50.13 Drainage of peritonsillar Abscess 5500 4675
50.14 Drainage of Retropharyngeal Abscess 5500 4675
50.15 Open Drainage of Psoas Abscess 5500 4675
50.16 Open Drainage of Perivertebral Abscess 7676 6525
51 INJURY OF SUPERFICIAL SOFT TISSUES
51.1 Suturing of small wounds 242 206
51.2 Secondary suture of wounds 1010 859
51.3 Delayed primary suture 1414 1202
51.4 Debridement of wounds 1010 859
52 REMOVAL OF FOREIGN BODIES
52.1 Removal of F.B. Superficial 1010 859
52.2 Removal of F.B. Deep 2020 1717
53 BIOPSIES
53.1 Cervical Lymph Node 1616 1374
53.2 Auxillary Lymph Node 2020 1717
53.3 Inguinal Lymph Node 2020 1717
53.4 Excision/Biopsy of Large Lumph Nodes 2020 1717
53.5 Excision Biopsy of Ulcers 3030 2576
53.6 Excision Biopsy of Superficial Lumps 3030 2576
53.7 Incision Biopsy of Growths/Ulcers 1616 1374
53.8 Trucut Needle Biopsy 1616 1374
53.9 Percutaneous Liver Biopsy 1616 1374
53.10 Percutaneous Kidney Biopsy 1616 1374
53.11 Spleen Aspiration 1616 1374
53.12 Marrow Aspiration (Needle) 1616 1374
53.13 Marrow Biopsy (Open) 1616 1374
53.14 Muscle Biopsy 1616 1374
53.15 Scalene Node Biopsy 1212 1030
54 EXCISION OF CYST/SMALL TUMOURS
54.1 Excision of Sebaceous Cysts 1414 1202
54.2 Excision of Superficial Liipoma 2020 1717
12
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
54.3 Excision of Superficial Neurofibroma 2424 2060
54.4 Excision of Dermoid Cysts 2020 1717
54.5 Excision of Ganglion 2424 2060
54.6 Haemorrhoids 7070 6010
54.7 Keloids 4444 3777
54.8 Superficial Variscosity 4040 3434
55 HEAD & NECK
55.1 Ear Lobe Repair one side 505 429
55.2 Excision of Pinna for Growth (Squamous/Basal) Injuries
55.2.1 Skin Only 3030 2576
55.2.2 Skin and Cartilage 4444 3777
55.2.3 Partial Amputation 4848 4121
55.2.4 total Amputation 5858 4979
55.2.5 Total Amputation & Excision of External Auditory Meatus 9090 7727
55.3 Excision of Cystic Hygroma
55.3.1 Minor 4444 3777
55.3.2 Major 6666 5666
55.3.3 Extensive 10908 9272
55.4 Excision of Branchial Cyst 10100 8585
55.5 Excision of Branchial Sinus 8080 6868
55.6 Excision of Pharyngeal Diverticulum 10100 8585
55.7 Excision of Carotid Body-Tumours 30300 25755
55.8 Operation for Cervical Rib 19594 16655
55.9 Scalene Node Biopsy 10100 8585
55.10 Block Dissection of Cervical Lymph Nodes 20200 17170
55.11 Pharyngectomy & Reconstruction 31310 26614
55.12 Operation for Carcinoma Lip -
55.12.1 Wedge-Excision 6464 5494
55.12.2 Vermilionectomy 6060 5151
55.12.3 Wedge Excision and Vermilonectomy 7070 6010
55.12.4 Hstianders Operation 8080 6868
55.12.5 Abbe Operation 9090 7727
55.12.6 Check Advancement 9090 7727
55.12.7 Subcutaneous Pedicle Flap 9090 7727
55.13 Exicision of the Maxilla 19392 16483
55.14 Excision of the Mandible
55.14.1 Segmental 15150 12878
55.14.2 Hemimandibulectomy 22624 19230
55.15 Glossectomy
55.15.1 Partial 5050 4293
55.15.2 Hemiglossectomy 11312 9615
55.15.3 Total Glossectomy 22624 19230
55.15.4 The Commondo Operation 22624 19230
55.16 Parotidectomy
55.16.1 Superficial 17372 14766
55.16.2 Conservative 10504 8928
55.16.3 Radical Total 22624 19230
13
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
55.17 Repair of Parotid Duct 19190 16312
55.18 Removal of Submandibular Salivary gland 8282 7040
55.19 Excision/ Enucleation of Dental Cysts 6464 5494
55.2 Thyroidectomy
55.20.1 Hemithyroidectomy 12120 10302
55.20.2 Partial Thyroidectomy 11312 9615
55.20.3 Subtotal Thyroidectomy (Toxic Goitre) 17372 14766
55.20.4 Total Thyroidectomy (Cancer) 19796 16827
55.20.5 Resection Enucleation of Adenoma 10504 8928
55.20.6 Isthmectomy 10504 8928
55.20.7 Total Thyroidectomy and Block Dissection 27270 23180
55.21 Excision of Lingual Thyroid 22624 19230
55.22 Excision of Thyroglossal Cyst/Fistula 10100 8585
55.23 Excision of Parathyroid Adenoma/Carcinoma 22220 18887
55.24 Laryngectomy 31916 27129
55.25 Laryngo Pharyngectomy 37370 31765
55.26 Cyst Excision 7500 6375
55.27 Sinus & Fistula repair 10900 9265
55.28 Lymph Node Excision 4500 3825
55.29 Sub-Mandibular gland excision 9800 8330
55.30 Hyoid Suspension 13200 11220
55.31 Genioplasty 17200 14620
55.32 Thyroidectomy 16700 14195
55.33 Direct Laryngoscopy 4250 3613
55.34 Phonosurgery 14100 11985
55.35 Fibroptic Laryngoscopy 3250 2763
55.36 Microlaryngeal Surgery 9400 7990
55.37 Laryngofissure 17200 14620
55.38 Stenosis Excision 21200 18020
56 HEAD AND NECK CANCER
56.1 Excisional Biopsies 6600 5610
56.2 Benign Tumour Excisions 15500 13175
56.3 Temporal Bone resection 28350 24098
56.4 Mandibulectomy 25200 21420
56.5 Glossectomy 22800 19380
56.6 Commando Surgery 35600 30260
56.7 Radical Neck Dissection 25200 21420
56.8 Carotid Body Excision 35600 30260
56.9 Total Laryngectomy 35500 30175
56.10 Laryngopathryngectomy 38000 32300
56.11 Flap Reconstructive Surgery 35600 30260
56.12 Parapharyngeal Tumour Excision 35600 30260
56.13 Parotidectomy 34000 28900
58 BREAST
58.1 Drainage of Abscess 6060 5151
58.2 Excision of Lumps 9090 7727
58.3 Local Mastectomy (Simple) 12275 10434
14
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
58.4 Radical Mastectomy (Formal or Modified) 30000 25500
58.5 Excision of Mammary Fistula 15150 12878
58.6 Segment Resection of Breast 16160 13736
59 CARDIO RESPIRATORY PROCEDURES
59.1 . Direct Laryngoscopy 5050 4293
59.2 Bronchoscopy 2424 2060
59.3 Scalene Node Biopsy 1212 1030
59.4 Mediastinoscopy 2424 2060
59.5 Aspiration of Pleural Cavity 1414 1202
59.6 Aspiration of Pericardial Cavity 1414 1202
59.7 Pleural Biopsy 3030 2576
59.8 Thoracoscopy 6060 5151
59.9 Tracheostomy 3030 2576
59.10 Thoracotomy (Penetrating Wounds) 14544 12362
59.11 Intercostal Drainage of empyeme 4646 3949
59.12 Rib Resection for empyeme 11312 9615
59.13 Decortication (Pleurectomy) 24864 21134
59.14 Thoracoplasty 33936 28846
59.15 Pneumonectomy 27876 23695
59.16 Lobectomy 24846 21119
59.17 Segmental Resection 24846 21119
59.18 Hydatid Cyst 24846 21119
59.19 Thymectomy 28078 23866
59.20 Pulmonary function test BMR 585 497
59.21 Spirometry 585 497
59.22 Spirometry with Helium Dilution 1350 1148
59.23 Spirometry with a Helium Dilution with diffusion capacity studies 1350 1148
59.24 Pulmonery exercise testing 780 663
59.25 Decortication 40000 34000
59.26 Segmental resection 40000 34000
59.27 Mediastinal Tumour 39600 33660
59.28 Partial pericardectomy 47250 40163
59.29 Removal tumours of chest wall 40000 34000
59.30 Oesophago gatectomy for mid 1/3 lesions 35500 30175
59.31 Hiatus hernia repair 32500 27625
59.32 Heller’s operation 33000 28050
59.33 Colonlnter position or replacement of Oesophagus 43700 37145
59.34 Open Lung Biopsy 17750 15088
59.35 Anterior medicistonotomy 32400 27540
59.36 Oesophago gastrectomy for lower Corringers procedure 43400 36890
59.37 Medicistinoscopy(cervical) 25250 21463
59.38 Video-assested thoracoscopy (VATS) 18000 15300
59.39 Video-assested thoracoscopic lung Surgeries 40000 34000
59.40 Lung volume reduction surgery 44000 37400
59.41 Aortogram 9000 7650
60 ABDOMEN
60.1 Gastroscopy 1616 1374
15
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
60.2 Gastric & Duodenal Biopsy (Endoscopic) 2424 2060
60.3 Pyleromyotomy 6868 5838
60.4 Gastrostomy 10100 8585
60.5 Simple Closure of Perforated peptic Ulcer 10100 8585
60.6 Vagotomy Pyleroplasty/Gastro Jejunostomy 21466 18246
60.7 Duodenojejunostomy 18988 16140
60.8 Partial/Subtotal Gastrectomy for Carcinoma 21816 18544
60.9 Partial/Subtotal Gastrectomy for Ulcer 21816 18544
60.10 Operation for Bleeding Peptic Ulcer 18988 16140
60.11 Gastrojejunostomy & Vagotomy 18988 16140
60.12 Operation for Gastrojejunal Ulcer 18988 16140
60.13 Total Gastrectomy for Cancer 27876 23695
60.14 Highly Selective Vagotomy 18988 16140
60.15 Selective Vagotomy & Drainage 18988 16140
60.16 Congenital Diaphragma tic Hernia 21210 18029
60.17 Hiatus Hernia Repair
60.17.1 Abdominal 21210 18029
60.17.2 Transthoracic 21210 18029
60.18 Exploratory Laparotomy 11110 9444
60.19 Epigastric Hernia 10504 8928
60.20 Umbilical Hernia 10504 8928
60.21 Ventral and Scar Hernia 12928 10989
60.3 Inguinal Hernia
60.3.1 Herniography 12928 10989
60.3.2 Hernioplasty 20125 17106
60.3.3 Femoral Hernia 18180 15453
60.3.4 Rare Hernias (Spigalion, Obturator, Lumbar, Sciatic) 19190 16312
60.4 Splenectomy
60.4.1 For Trauma 19796 16827
60.4.2 For Hypersplenism 19796 16827
60.5 Splenorenal Anastomosis 32320 27472
60.6 Portocaval Anastomosis 32320 27472
60.7 Direct Operation on Oesophagus for Portal Hypertension 23432 19917
60.8 Mesentericocaval Anastomosis 30300 25755
60.9 Warren Shunt 30300 25755
60.10 Pancerato Duodenectomy 30300 25755
60.11 By Pass Procedure for Inoperable Carcinoma of Pancreas 22220 18887
60.12 Cystojejunostomy or Cystogastrostomy 22220 18887
60.13 Cholecystectomy 12726 10817
60.14 Cholecystectomy & Exploration of CBD 16564 14079
60.15 Repair of CBD 16564 14079
60.16 Operation for Hydatid Cyst of Liver 19797 16827
60.17 Cholecystostomy 12928 10989
60.18 Hepatic Resections (Lobectomy Hepatectomy) 20200 17170
60.19 Operation on Adrenal Glands
60.19.1 Bilateral 28280 24038
60.19.2 Unilateral for Tumour 14800 12580
16
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
60.20 Appendicectomy
60.20.1 Acute 14800 12580
60.20.2 Chronic/Internal 14800 12580
60.20.3 Appendicular Abscess – Drainage 9292 7898
60.21 Subphrenic Abscess Drainage 12120 10302
60.22 Mesenteric Cyst-Excision 12120 10302
60.23 Peritonioscopy/Laparoscopy 4444 3777
60.24 Jejunostomy 12928 10989
60.25 Lieostomy 22624 19230
60.26 Congenital Atresia & Stenosis of Small Intestine 19796 16827
60.27 Muconium Lieus 16564 14079
60.28 Mai-rotation & Volvulus of the Midgut 16564 14079
60.29 Resection & Anastomosis of Small Intestine 19392 16483
60.30 Excision of Meckle’s Deverticulum 19392 16483
60.31 Inruauaxwprion 19392 16483
60.32 Duodenal Diverticulum 19392 16483
60.33 Operation for Intestinal Obstruction 17776 15110
60.34 Operation for Intestinal perforation 17776 15110
60.35 Benign Tumours of Small Intestine 17776 15110
60.36 Excision of Small Intestine Fistual 17776 15110
60.37 Operations for Haemorrhage of the Small Intestines 20200 17170
60.38 Operations of the Duplication of the Intestines 23432 19917
60.39 Operations for Recurrent Intestinal Obstruction (Noble Plication & Other
Operations for the Adhesions)
23432
19917
60.4 Lieosigmoidostomy 18180 15453
60.41 Lieotransverse Colostomy 18180 15453
60.42 Sigmoidoscopy 1818 1545
60.43 Caecostomy 7676 6525
60.44 Colostomy
60.44.1 Loop Colostomy Transverse Sigmoid 14140 12019
60.44.2 Terminal Colostomy 17776 15110
60.45 Closure of Colostomy 17776 15110
60.46 Right Hemi-Colectomy 17776 15110
60.47 Left Hemi-Colectomy 17776 15110
60.48 Total Colectomy 38500 32725
60.49 Operations for Volvulus of Large Bowel 22624 19230
60.50 Operations for Sigmoid Diverticulitis 18180 15453
60.51 Injection of Haemorrhoids 1414 1202
60.52 Fissure in Ano
60.52.1 Dilatation 5656 4808
60.52.2 Fissurectomy 12928 10989
60.53 Rectal Polyp-Excision 5050 4293
60.54 Operation of Haemorrhoids
60.54.1 Lords procedure 6060 5151
60.54.2 Ligature and Excision 7272 6181
60.55 Fistula in Ano
60.55.1 High Fistulectomy 15150 12878
17
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
60.55.2 Low Fistulectomy 8888 7555
60.56 Imperforat Anus 0
60.56.1 Colostomy 13130 11161
60.56.2 Cut Back 12726 10817
60.56.3 Pull Through Operation 17372 14766
60.57 Prolapse Rectum -
60.57.1 Theirch Wiring 12928 10989
60.57.2 Reotopexy 7070 6010
60.57.3 Grahams Operation 18180 15453
60.58 Operations for Hirschsprungs Disease 18180 15453
60.59 Excision of Pilonidal Sinus 11716 9959
60.60 Abdomino-Perineal Excision of Rectum 22220 18887
60.61 Anterior Resection of rectum 22220 18887
60.62 Pull Through Abdominal Resection 18180 15453
60.63 Operations for Neuroblastoma 18180 15453
60.64 Coccygeal Teratoma Excision 18180 15453
61 GENITOURINARY
61.1 Nephrectomy 17900 15215
61.2 Partial Nephrectomy 17574 14938
61.3 Nephrostomy 17574 14938
61.4 Nephrolithomy 17574 14938
61.5 Pyelolithotomy 17574 14938
61.6 Operations for Hydronephrosis 17574 14938
61.7 Open Drainage of Perinephric Abscess 10100 8585
61.8 Convemostomy 18180 15453
61.9 Operations for Cyst of the Kidney 12928 10989
61.20 Ureterolithotomy 12120 10302
61.21 Nephroureterectomy 12120 10302
61.22 Operations for Ureter for
61.22.1 Double Ureters 20200 17170
61.22.2 Ectopia of Single Ureter 22624 19230
61.23 Operations for Versicouretaric Reflux 20200 17170
61.24 ureterostomy
61.24.1 Cutaneous 16160 13736
61.24.2 Uretero Colic anastomosis 16160 13736
61.25 Formation of an lieal Conduit 16160 13736
61.26 Cystoscopy 3838 3262
61.27 Ureteric Catheterisation 5252 4464
61.28 Dormia Extraction of Calculus 8484 7211
61.29 Biopsy of Bladder (Cystoscopis) 5656 4808
61.3 Cystolithotomy 11312 9615
61.31 Diathermy Destruction of Bladder Neoplasm 8888 7555
61.32 Litholapexy 10504 8928
61.33 Operations for Injuries of the Bladder 17372 14766
61.34 Suprapubic Drainage (Cystotstomy) 10100 8585
61.35 Partial Cystectomy 23230 19746
61.36 Total Cystectomy 30300 25755
18
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
61.37 Diverticulectomy 25856 21978
61.38 Open Resection of the Bladder Neck 19392 16483
61.39 Y-V Plasty of the Bladder Neck 19392 16483
61.4 Repair Urinary Vaginal Fistula 23230 19746
61.41 Cystoplasty 23230 19746
61.42 Operations for Extrophy of the Bladder 30300 25755
61.43 Repair of Ureterocele 12928 10989
61.44 Suprapubic Prostatectomy 20200 17170
61.45 Retropublic Prostatectomy 19796 16827
61.46 Transurethral Resection of Prostate 20200 17170
61.47 Urethroscopy 4040 3434
61.48 Operations for Injury to Urethra 25452 21634
61.49 Urethral Dilatation 2323 1975
61.5 Internal urethrotomy 10100 8585
61.51 Urethral Reconstruction 25452 21634
61.52 Operation for Congenital Valves of Urethra 11312 9615
61.53 Operations for Incontinence of Urine
61.53.1 Male 18988 16140
61.53.2 Female 18988 16140
61.54 Reduction of Paraphimosis 2020 1717
61.54 Circumcision 3636 3091
61.54 Meatotomy 2020 1717
61.54 Meatoplasty 5656 4808
61.55 Operations for Hypospidias
61.55.1 Chordee Correction 11312 9615
61.55.2 Second Stage or One Stage Repair 25452 21634
61.55.3 Operations for Epispidias 16160 13736
61.55.4 Partial Amputation of the Penis 9696 8242
61.55.5 Total amputation of the Penis 17372 14766
61.55.6 Orchidectomy 10504 8928
61.55.7 Epididymectomy 10504 8928
61.55.8 Orchidopexy 14544 12362
61.55.9 Adreneclectomy Unilateral/Bilated for Tumour/For Carcinoma 25452 21634
61.56 Operations for Hydrocele
61.56.1 Unilateral 5252 4464
61.56.2 Bilateral 7676 6525
61.57 Vasectomy (Should be free for Family Welfare)
61.58 Operation for Torsion of Testis 10504 8928
61.59 Vasovasostomy 14544 12362
61.60 Operations for Varicocele 9090 7727
61.61 Block Dissection of Inguinal Nodes
61.61.1 One Side 20200 17170
61.61.2 Both Sides 28280 24038
61.62 Excision of Filarial Scrotum 12928 10989
62 OESOPHAGUS
62.1 Oesophagoscopy 1414 1202
62.2 Atresia of Oesophagus and Tracheo Oesophageal Fistula 25452 21634
19
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
62.3 Operations for Replacement of Oesophagus by Colon 31512 26785
62.4 Transthoracic Repair or Haitus Hernia 25452 21634
62.5 Abdominal Repair of Hiatus Hernia 25452 21634
62.6 Oesophagectomy for Carcinoma Easophagus 31680 26928
62.7 Oesophageal Intubation (Mausseau Barbin Tube) 12928 10989
62.8 Achalasia Carida
62.8.1 Transthoracic 15352 13049
62.8.2 Abdominal 12120 10302
63 PLASTIC SURGERY
63.1 Primary Suture of Wound 3232 2747
63.2 Excision of Small-Scars, Moles, Small Cysts 4040 3434
63.3 Injection of Keloids
63.3.1 Ganglion 2262 1923
63.3.2 Haemangioma 5050 4293
63.4 Excision of Multiple Moles 6464 5494
63.5 Excision of Multiple Warts 6464 5494
63.6 Free Grafts
63.6.1 Wolfe Grafts 7070 6010
63.6.2 Theirech-Small Area 5% 7070 6010
63.6.3 Large Area 10% 8282 7040
63.6.4 Very Large Area 20% 10302 8757
63.7 Skin Flaps
63.7.1 Rotation Flaps 7272 6181
63.7.2 Advancement Flaps 9696 8242
63.7.3 Direct-cross Leg Flaps-Cross Arm Flap 12928 10989
63.7.4 Cross Finger 12928 10989
63.7.5 Abdominal 12928 10989
63.7.6 Thoracic 12928 10989
63.7.7 Arm Etc. 12928 10989
63.8 Subcutaneous Pedicle Flaps
63.8.1 Raising 7070 6010
63.8.2 Delay 6464 5494
63.8.3 Transfer 7070 6010
63.9 Cartillate Grafting 8080 6868
63.10 Reduction of Facial Fractures of Nose 8080 6868
63.11 Reduction of Facial Fractures of Maxilla 12120 10302
63.12 Reduction of Fractures of Mandible & Maxilla
63.12.1 Eye Let Splinting 7070 6010
63.12.2 Cast Netal Splints 7070 6010
63.12.3 Gumming Splints 6464 5494
63.13 Internal Wire Fixation of Mandible & Maxilla 9696 8242
63.14 Cleft Lip 11312 9615
63.15 Cleft Palate Repair Severe Degree 12120 10302
63.16 Primary Bone Grafting of Cleft Lip Palate 12120 10302
63.17 Secondary Surgery for Cleft Lip Deformity 10504 8928
63.18 Secondary Surgery for Cleft Palate 10100 8585
63.19 Reconstruction of Eyelid Defects
20
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
63.19.1 Minor 7272 6181
63.19.2 Major 10100 8585
63.20 Plastic Surgery of Different Regions of the Ear
63.20.1 Minor 7272 6181
63.20.2 Major 12120 10302
63.21 Plastic Surgery of the Nose
63.21.1 Minor 7272 6181
63.21.2 Major 12120 10302
63.22 Plastic Surgery for Facial Paralysis (Support with Reanimation) 18786 15968
63.23 Mamoplasty 18786 15968
63.24 Pendulous Breast
63.24.1 Underdeveloped Breast 16564 14079
63.24.2 After Mastectomy (Reconstruction) 16564 14079
63.25 Syndactyly Repair 16564 14079
63.26 Dermabrasion Face 13332 11332
64 CARDIAC SURGERY
64.1 Patent Ductus Arteriousus 101000 85850
64.2 Mitral Valvotomy (Open) 133650 113603
65 ORTHOPAEDIC SURGERY PROCEDURE
65.1 Application of P.O.P Casts for Upper & Lower Limbs 1010 859
65.2 Application of Functional Cast Brace 1414 1202
65.3 Application of Skin Traction 1353 1150
65.4 Application of Skeletal Tractions 4040 3434
65.5 Bandage & Strappings for Fractures 969 824
65.6 Aspiration & Intra Articular Injections 808 687
65.7 Application of P.O.P Spices & Jackets 3030 2576
65.8 Close Reduction of Fractures of Limb & P.O.P 2828 2404
65.9 Reduction of Compound Fractures 3636 3091
65.10 Open Reduction & Internal Fixation of Fingurs & Toes 8080 6868
65.11 Open Reduction of Long Bones of Upper & Lower Limb
65.11.1 Nailing & External Fixation 12524 10645
65.11.2 A.O. Procedures 12524 10645
65.12 Tension Band Wirings 5050 4293
65.13 Bone Grafting 12928 10989
65.14 Excision of Bone Tumours #VALUE!
65.14.1 Superficial 12524 10645
65.14.2 Deep 23836 20261
65.15 Excision Ganglions 4040 3434
65.16 Excision or other Operations for Scaphoid Fractures 10504 8928
65.17 Sequestrectomy & Sancerizations 0
65.17.1 Superficial 12120 10302
65.17.2 Deep 19796 16827
65.17.3 Arthrotomy 14544 12362
65.18 S.P. Nailing for Fracture Neck Femur 29492 25068
65.19 Multiple Pinning Fracture Neck Femur 29492 25068
65.20 Nail Plate Fixations for Fracture Neck Femur 31512 26785
65.21 A.O. Compression Procedures for Fracture Neck Femure 32724 27815
21
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
65.22 Open Reduction of Fracture Neck Femur, Muscle Pedicle Graft and
Internal Fixations 28280 24038
65.23 Close Reduction of Dislocations 2828 2404
65.24 Open Reduction of Dislocations
65.24.1 Superficial 9696 8242
65.24.2 Deep 19190 16312
65.25 Open Reduction of Fracture Dislocation & Internal Fixation 27068 23008
65.26 Neurolysis/Nerve Suture 12524 10645
65.27 Nerve Repair with Grafting 19190 16312
65.28 Tendon with Transplant or Graft 19190 16312
65.29 Tendon Lengthening/Tendon Sutures 12524 10645
65.30 Tendon Transfer 19190 16312
65.31 Laminectomy, Excision Disc and Tumours 30300 25755
65.32 Spinal Ostectomy and Internal Fixations 35148 29876
65.33 Anterolateral Clearance for tuberculosis 23836 20261
65.34 Antereolateral Decompression and Spinal Fusion 32724 27815
65.35 Costo Transversectomy 23836 20261
65.36 Corrective Ostectomy & Internal Fixation
65.36.1 Minor 12524 10645
65.36.2 Major 26260 22321
65.37 Arthrodisis of
65.37.1 Minor Joints 12120 10302
65.37.2 Major Joints 26260 22321
65.38 Soft Tissue Operations for C.T.E.V. 15857 13478
65.39 Soft Tissue Operations for Poloi 15857 13478
65.40 Partial Hip Replacement 30300 25755
65.41 Total Joint Replacement -
65.42 Operations for Brachial Plexus & Cervical Rib 24644 20947
65.43 Amputations
65.43.1 Below Knee 12524 10645
65.43.2 Below Elbow 12524 10645
65.43.3 Above Knee 18180 15453
65.43.4 Above Elbow 18180 15453
65.43.5 Forequarter 36360 30906
65.43.6 Hind Quarter and Hemipelvectomy 36360 30906
65.44 Disarticulations
65.44.1 Major 20604 17513
65.44.2 Minor 12524 10645
65.45 Arthrography & Osteomedullography 8888 7555
65.46 Arthroscopy
65.46.1 Diagnostic 9292 7898
65.46.2 Operative 20200 17170
65.47 Soft Tissue Operation on Knee 24240 20604
65.48 Myocutaneous and Fasciocutaneous Flat Procedures for Limbs 20604 17513
65.49 Removal of Nails, Wires & Screw 5656 4808
65.50 Removal of Plates 7272 6181
66 NEURO-SURGERY
22
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
66.1 Craniotomy and Evacuation of Haematoma
66.1.1 Subdural 50000 42500
66.1.2 Extradural 50000 42500
66.2 Cranioplasty 50000 42500
66.3 Evacuation of Brain Abscess 50000 42500
66.4 Excision of Lobe (Frontal, Temporal, Cerebelium etc.) 50000 42500
66.5 Excision of Brain Tumours
66.5.1 Supratentotial 50000 42500
66.5.2 Subtentorial 50000 42500
66.6 Surgery of Cord Tumours 50000 42500
66.7 Meningomyelocele 50000 42500
66.8 Ventriculoatrial Shunt/Ventriculoperitoneal 25000 21250
66.9 Excision of Cervical Inter-Vertebral Discs 30000 25500
67 VASCULAR SURGERY
67.1 Arterial Embolectomy 25048 21291
67.2 Patch Graft Angioplasty 21008 17857
67.3 Femoropopliteal by pass procedure 29896 25412
67.4 Thrombendarterectomy 29896 25412
67.5 Surgery for Arterial Aneursysm
67.5.1 Distal Abdominal Aorta 28280 24038
67.5.2 Upper Abdominal Aorta 37168 31593
67.5.3 Splenic Artery 35451 30133
67.5.4 Renal Artery 35451 30133
67.5.5 Carotid 35451 30133
67.5.6 Vertebral 35451 30133
67.5.7 Main Arteries of the Limbs 27876 23695
67.6 Intrathoracic Aneurysm
67.6.1 Aneurysm not Requiring Bypass Techniques 28280 24038
67.6.2 Requiring Bypass Techniques 35451 30133
67.7 Dissecting Aneurysms 35451 30133
67.8 Operations for Acquired Arteriovenous Fistula 24442 20776
67.9 Congential Arteriovenus Fistula 26664 22664
67.10 Operations for Stenosis of Renal Arteries 29896 25412
67.11 Injection of Varicose Veins 1212 1030
67.12 Trendelenburg Operation 12928 10989
67.13 Stripping of Short or Long Sephenous Veins 12928 10989
67.14 Ligation of Ankle Perforators 16160 13736
67.15 Excision and Skin Graft of Venous Ulcer 12928 10989
67.16 Venous Thromoectomy 19392 16483
67.17 Sympatectomy
67.17.1 Lumbar 19392 16483
67.17.2 Cervical 15352 13049
67.18 Lymphatics Excision of Subcutaneous Tissues In Lymphoedema 24240 20604
68 PAEDIATRIC SURGERY
68.1 Trachostomy 8080 6868
68.2 Excision of Branchial Cyst 11312 9615
68.3 Excision of Branchial Sinus 11312 9615
23
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
68.4 Excision of thyroglossal Duct/Cyst 15756 13393
68.5 Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach) 20200 17170
68.6 Tracheo Oesophageal Fistula (Correction Surgery) 29492 25068
68.7 Colon Replacement of Oesophagus 23432 19917
68.8 Omphalo Mesenteric Cyst Excision 17372 14766
68.9 Omphalo Mesenteric Duct-Excision 15756 13393
68.10 Meckels Diverticulectomy 15756 13393
68.11 Omphalocele 1st Stage (Hernia Repair) 14140 12019
68.12 Omphalocele 2nd Stge (Hernia Repair) 15756 13393
68.13 Gastrochisis Repair 15756 13393
68.14 Inguinal Herniotomy 11312 9615
68.15 Congenital Hydrocele 11312 9615
68.16 Hydrocele of Cord 11312 9615
68.17 Umbilical Hernia Repair 14140 12019
68.18 Orchipexy 14544 12362
68.19 Torsion Testis Operation 14544 12362
68.20 Gastrostomy 12928/- 14140 12019
68.21 Congenital Pyloric Stenosis-operation 19392 16483
68.22 Duodenal-Atresia Operation 29290 24897
68.23 Pancreatic Ring Operation 16160 13736
68.24 Meconium Ileus Operation 17372 14766
68.25 Malrotation of Intestines Operation 16160 13736
68.26 Rectal Biopsy (Megacolon) 16160 13736
68.27 Colostomy Transverse 16160 13736
68.28 Colostomy Left ILLAC 20200 17170
68.29 Abdominal Perineal Pull Through (Hirschaprugis Disease) 8080 6868
68.30 Imperforate Anus Low Anomaly
68.30.1 Cut Back Operation 9696 8242
68.30.2 Perineal Anoplasty 15750 13388
68.31 Inperforate Anus High Anomaly
68.31.1 Transverse Colostomy 16160 13736
68.31.2 Sacroabdomino Perineal Pull Through 20200 17170
68.31.3 Closure of Colostomy 8080 6868
68.32 Intrusussusception Opertion 20200 17170
68.33 Atresia of Extra Hepatic Billiary Duct
68.33.1 Choledochoduodenstomy 20200 17170
68.34 Operation of Choledochal Cyst 20200 17170
68.35 Nephrectomy for
68.35.1 Pyonephrosis 20200 17170
68.35.2 Hydronephrosis 20200 17170
68.35.3 Wilms Tumour 20200 17170
68.35.4 Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour 23432 19917
68.36 Sacro-Coccygeal Teratoma Excision 17372 14766
68.37 Neuroblastoma 4800 4080
68.37.1 Debulking 17372 14766
68.37.2 Total Excision 20200 17170
68.38 Rhabdomyosarcoma wide Excision 23432 19917
24
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
69 GYNAE, OPERATION CHARGES
69.1 Abdominal Hysterectomy 16160 13736
69.2 Vaginal Hysterectomy 16160 13736
69.3 Myomectomy 14140 12019
69.4 Vaginoplasty 15756 13393
69.5 Laparotomy (Ectopic Pregnancy) 14140 12019
69.6 Vulvectomy (Simple/Radical) 20200 17170
69.7 VVF/RVF 20200 17170
69.8 Other Major Operations 20200 17170
69.9 Manchester Operations 16160 13736
69.10 Perineorraphy 14140 12019
69.11 Colporraphy 14140 12019
69.12 Ovariectomy 14140 12019
69.13 Modified Gilliam 14140 12019
69.14 Shirodkar’s Operation 9292 7898
69.15 Diagnostic Curettage 2222 1889
69.16 Fractional Curettage 2828 2404
69.17 D & C and Cervical Biopsy 2828 2404
69.18 Polypectomy 3232 2747
69.19 Other-Minor Operation 3232 2747
69.20 Excision Vaginal Cyst/Burtholin Cyst 3232 2747
69.21 Excision Vaginal Septum 4848 4121
69.22 Laparoscopy 4848 4121
69.23 Diagnostic 7690 6537
69.24 Sterilisation 6400 5440
69.25 Operative 15000 12750
69.26 LAVH 26400 22440
69.27 Ovanan Cystectomy 14900 12665
69.28 Drilling of Overy 14600 12410
69.29 Myomectomy 16200 13770
69.30 Adhesiolysis 15000 12750
69.31 Ectopic pregnancy 16700 14195
70 HYSTEROSCOPY
70.1 ICRE 15400 13090
70.2 Removal of IVCD 7180 6103
70.3 Removal of Seplum 10260 8721
70.4 Diagnostic 7100 6035
70.5 Werthimas Hystrectomy for Cancer cervix 30780 26163
70.6 Sterilisation Post Pertum 5500 4675
70.7 Intervaginal 3570 3035
70.8 Abortion 4800 4080
70.9 D & C 3800 3230
70.10 Evacuation 3685 3132
70.11 MTP—1st Trimester 3600 3060
70.12 MTP---2nd Trimester 6000 5100
71 LAPROSCOPIC OPERATIONS IN GEN. SURG.
71.1 Laproscopic Cholecystectomy 21000 17850
25
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
71.2 Laproscopic Appenjdicectomy 19660 16711
71.3 Laaproscopic Hernia Repair 25100 21335
71.4 Laproscopic Hiatus Hernia Repair 30500 25925
71.5 Laproscopic Adhesiolysis 21000 17850
71.6 Laproscopic Adrenalectomy 36000 30600
71.7 Laproscopic Thyroidectomy 30500 25925
71.8 Laproscopic Spleenectomy 30000 25500
71.9 Laproscopic Coliatomus 37000 31450
71.10 Laproscopic donor Nephroctomy 36000 30600
71.11 Infra red coagulation in Haemeroohoids 8150 6928
71.12 Laproscopic Pyelolithotomy 25300 21505
71.13 Laproscopic ureterolithotomy 26000 22100
72 CAT SCAN
72.1 Head 1400 1190
72.2 Head Contarst 1900 1615
72.3 Chest (HRCT) 2325 1976
72.4 Chest (HRCT) -Contrast 2945 2503
72.5 Spine (Cervical, Dorsal, Lumbar, Sacral) 2325 1976
72.6 Spine (Cervical, Dorsal, Lumbar, Sacral) -Contarst 2945 2503
72.7 C.T. Guided Biopsy 1550 1318
72.8 C.T. Guided percutaneous cath drainage 2015 1713
72.9 C.T. Myelogram (Cervical Spine) 2558 2174
72.10 C.T. Myelogram (Cervical Spine) -Contrast 3875 3294
72.11 C.T. Myelogram (Lumbar Spine or D/S) 2558 2174
72.12 C.T. Myelogram (Lumbar Spine or D/S) -Contrast 3875 3294
72.13 C.T. Scan Brain 1400 1190
72.14 C.T. Scan Brain -Contrast 1900 1615
72.15 C.T. Scan Chest 2325 1976
72.16 C.T. Scan Chest -Contrast 2945 2503
72.17 C.T. Scan Upper Abdomen 2092 1778
72.18 C.T. Scan Upper Abdomen -Contrast 3100 2635
72.19 C.T. Scan Lower Abdomen 2092 1778
72.20 C.T. Scan Lower Abdomen -Contrast 3100 2635
72.21 C.T. Scan Whole Abdomen 4185 3557
72.22 C.T. Scan Whole Abdomen -Contrast 5580 4743
72.23 C.T. Scan Neck (Thyroid Soft Tissue) 1940 1649
72.24 C.T. Scan Neck (Thyroid Soft Tissue) -Contrast 2790 2372
72.25 C.T. Scan Orbits with contrast 1940 1649
72.26 C.T. Scan Orbits with contrast 2325 1976
72.27 C.T. Scan Limbs 2325 1976
72.28 C.T. Scan Whole Body 9300 7905
72.29 C.T. Scan Thorax 2325 1976
72.30 C.T. Scan Thorax contrast 3410 2899
72.31 C.T. Scan of Para Nasal Sinus 1900 1615
72.32 C.T. Scan of Para Nasal Sinus -contrast 2325 1976
72.33 MRI Head 5000 4250
72.34 MRI Head -contrast 8000 6800
26
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
72.35 MRI Orbits 5000 4250
72.36 MRI Orbits -contrast 8000 6800
72.37 MRI Nasopharynx and PNS 5000 4250
72.38 MRI Nasopharynx and PNS -contrast 8000 6800
72.39 MRI Neck 5000 4250
72.40 MRI Neck -contrast 8000 6800
72.41 MRI Shoulder 5000 4250
72.42 MRI Shoulder -contrast 8000 6800
72.43 MRI Shoulder both Joint 5000 4250
72.44 MRI Shoulder both Joint -contrast 8000 6800
72.45 MRI Wrist Single Joint 5000 4250
72.46 MRI Wrist Single Joint -contrast 8000 6800
72.47 MRI Wrist both Joint 5000 4250
72.48 MRI Wrist both Joint -contrast 8000 6800
72.49 MRI Knee Single Joint 5000 4250
72.50 MRI Knee Single Joint -contrast 8000 6800
72.51 MRI Knee both Joint 5000 4250
72.52 MRI Knee both Joint -contrast 8000 6800
72.53 MRI Ankle Single 5000 4250
72.54 MRI Ankle Single -contrast 8000 6800
72.55 MRI Ankle Both 5000 4250
72.56 MRI Ankle Both -contrast 8000 6800
72.57 MRI Hip 5000 4250
72.58 MRI Hip-contrast 8000 6800
72.59 MRI Pelvis 5000 4250
72.60 MRI Pelvis -contrast 8000 6800
72.61 MRI Extremities 5000 4250
72.62 MRI Extremities -contrast 8000 6800
72.63 MRI Temporomandibular Single Joint 5000 4250
72.64 MRI Temporomandibular Single Joint 8000 6800
72.65 MRI Temporomandibular Double Joints 5000 4250
72.66 MRI Temporomandibular Double Joints 8000 6800
72.67 MRI Abdomen 5000 4250
72.68 MRI Abdomen 8000 6800
72.69 MRI Breast 5000 4250
72.70 MRI Breast 8000 6800
72.71 MRI Spine Screening 5000 4250
72.72 MRI Spine Screening 8000 6800
72.73 MRI Chest 5000 4250
72.74 MRI Chest 8000 6800
72.75 MRI Cervical Spine 5000 4250
72.76 MRI Cervical Spine 8000 6800
72.77 MRI Lumber Spine 5000 4250
72.78 MRI Lumber Spine 8000 6800
72.79 MRI Thorax 5000 4250
72.80 MRI Thorax 8000 6800
72.81 MRI Screening 5000 4250
27
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
72.82 MRI Screening 8000 6800
72.83 MRI Angiography 5000 4250
72.84 MRI Angiography 8000 6800
72.85 Mammography (Single side – Both side) 540 459
72.86 Mammography (Single side – Both side) 810 689
73 Bone Densitometry 0
73.1 Single sites 1200 1020
73.2 Two sites 2000 1700
73.3 Three sites 3000 2550
73.4 Whole body 3500 2975
74 2D Echo with colour Doppler 1400 1190
75 2Trans Oesophaedral Echo (Tee) 3030 2576
76 Treadmil Test (TMT) 1212 1030
77 Holter Analysis 1616 1374
78 Fluoroscopic Screening 204 173
79 Holter Report (with Prd. Specification) 1616 1374
80 Test of Pacemaker 606 515
81 Oxygen Saturation 303 258
82 PKG Charges for Cardiovascular Investigation 3636 3091
83 Cardiac Cath Angiography (W/o Coronary Angio) 14160 12036
84 Aortogram 4040 3434
85 Pulmonary function test 450 383
86 Test for Pacemaker 403 343
87 Oxygen Saturation 303 258
88 Cardiovascular investigation 707 601
89 Fibroptic Bronchoscopy with Washing/Biopsy 2828 2404
90 Uroflow Study (Micturomatry) 404 343
91 Urodynamic Study (Cystometry) 404 343
92 Cystoscopy with Retrograde Catheter 909 773
93 Unilateral 4040 3434
94 Bilateral 5050 4293
95 Cystoscopy Diagnostic 2424 2060
96 Cystoscopy with Bladder Biopsy 3030 2576
97 Diagnostic Laproscopy 6060 5151
98 T-3 303 258
99 T-4 303 258
100 TSH 303 258
101 Cortisol 505 429
102 Voiding-cysto-urethrogram 1010 859
103 Renal Transplant Evaluation 1616 1374
104 Whole body scan 2424 2060
105 Spect bone Scan 2400 2040
106 Bone Marrow Scan 2424 2060
107 Cardiovascular
107.1 Scan (Spect) 3000 2550
107.2 Stress Thallium 6000 5100
107.3 Muga (Resting) 2424 2060
28
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
107.4 Muga (Stress) 3030 2576
107.5 A.V. Fistula 4444 3777
107.6 Coronary Angiography 14160 12036
107.7 Coronary Bypass Surgery 133650 113603
107.8 Coronary Bypass Surgery-post Angioplasty 133650 113603
107.9 Coronary Baloon Angioplasty 87500 74375
107.10 Balloon Angioplastus with Valvotomy 105000 89250
107.11 Open Heart Procedures 133650 113603
107.12 Patent Ductus Arterious 101000 85850
107.13 Total Corrextion of Tetralogy of Fallot 133650 113603
107.14 RSUV Correction 133650 113603
107.15 TAPVC Correction 133650 113603
107.16 Open ASD VSD 133650 113603
107.17 Open Pulmonary Valvotomy 133650 113603
107.18 Open Aortic Valvotomy 133650 113603
107.19 Coarctation of Aorta 133650 113603
107.20 Balock Taussing Operation 115140 97869
107.21 Mitral Valvotomy 115140 97869
107.22 Open Mitral Valvotomy 133650 113603
107.23 Mitral Valve Replacement 133650 113603
107.24 Aortic ValveReplacement 133650 113603
107.25
Double Valve Replacement
180000+Cost
of Valve 153000+Cost of
Valve
107.26 Closed Valvotomy 116150 98728
107.27 Coarctation-Arota Repair of Block Taussing Shunt 116150 98728
107.28 B.T. Shunt 116150 98728
107.29 Pericardiostomy 116150 98728
107.30 Pericardiectomy 116150 98728
107.31 Pericardio Centrosis 3232 2747
107.32 Permanent Pacemaker Implantation 16160 13736
107.33 Temporary Pacemaker Implantation 12120 10302
107.34 Embolectomy 17372 14766
107.35 Thoraco Centesisi 1616 1374
107.36 Thorachostomy 12322 10474
107.37 Exploratory Thorocotomy 36360 30906
107.38 Aorta-Femoral Bypass 50500 42925
107.39 Node Biopsy 2 2020 1717
107.40 Pleural Biopsy 3030 2576
107.41 Open Lung Biopsy 32320 27472
107.42 Removal of Foreign Body from Trachea or Oesophagus 4040 3434
107.43 RBI Resection & Drainage 10100 8585
107.44 Pulmonary function test (BMR) 606 515
107.45 Mediastinal Tumour 30300 25755
107.46 Thymectomy 25350 21548
107.47 Partial Pericardectomy 18180 15453
107.48 Removal Tumours of Chest Wall 18180 15453
29
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
107.49 Oesophago Gatectomy for mid 1/3 lesion 25351 21548
107.50 Hiatus Hernia Repair 20200 17170
107.51 Heller’s Operation 20200 17170
107.52 Colon-Inter position or Replacement of Oesophagus 23230 19746
107.53 Oesophago Gastrectomy – Lower Corringers procedure 18180 15453
107.54 Patch Graft Angioplasty 25351 21548
107.55 Femoro-Popliteal bypass procedure 30300 25755
107.56 Thrombo-Endarterectomy 25351 21548
107.57 Surgery for Arterial Aneurysm
107.57.1 Distal Abdominal Aorta 40400 34340
107.57.2 Upper Abdominal Aorta 40400 34340
107.57.3 Spleen Artery 20200 17170
107.57.4 Renal Artery 20200 17170
107.57.5 Carotid 23230 19746
107.57.6 Main Arteries of the Limb 20604 17513
108 Dissecting Aneurysm 49490 42067
109 Operations for Acquired Arteriovenous Fistual 23230 19746
110 Congenital Arterio Venous Fistula 20200 17170
111 Operations for Stenosis of Renal Arteries 23230 19746
112 Injection of Varicose Veins 1818 1545
113 Trendelenburg Operations 12827 10903
114 Stripping of Short/long Sephaneous Veins 15150 12878
115 Excision & Skin Graft of Venous Ulcer 15554 13221
116 Venous Thrombectomy 30400 25840
117 Sympathetectomy
117.1 Lumbar 14140 12019
117.2 Cervical 14140 12019
117.3 Femoral Puncture 1010 859
117.4 Subclavian Puncture 1717 1459
117.5 Peritoneal Dialysis 2020 1717
117.6 Kidney Biopsy 4040 3434
117.7 Fistula/Shunt 6262 5323
117.8 Dialysis Femoral Catheterisation Bilateral 3232 2747
117.9 Haemo Dialysis 1200 1020
117.10 Double Lumen Sub Clavian Catheter 4040 3434
117.11 Continuous Arterio Venus Dialysis (CAVD) 15150 12878
117.12 Subclavian Access 1616 1374
117.13 Femoral Access 1616 1374
117.14 Donor Nephrectomy 48000 40800
117.15 Renal Transplantation 160000 136000
117.16 Lymphocoel 12120 10302
117.17 Transplant Nephrectomy 17170 14595
117.18 Bilateral Nephrouretectomy (Native) 17170 14595
117.19 Vascular Prosthetic Graft 20200 17170
117.20 CAPD 6060 5151
117.21 PCNL
117.21.1 Unilateral 20200 17170
30
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
117.21.2 Bilateral 30300 25755
117.22 Meatotomy 3636 3091
117.23 Meatoplasty 6060 5151
117.24 Palomo’s Unilateral 6060 5151
117.25 Palomo’s Bilateral 12120 10302
117.26 Emdoscopic Teflon Inject 5050 4293
117.27 Testicular Biopsy 3737 3176
117.28 Gil-Verner’s Extended Pyelolithotomy 17970 15275
117.29 Nephrectomy Complicated Tumour or Adhesions 20200 17170
117.30 Anderson Hynes Pyeloplasty 16160 13736
117.31 Unilateral Implantation 14140 12019
117.32 Vasico Vaginal Fistula 16160 13736
117.33 Urethroplastic one stage procedure 16500 14025
117.34 Radical Cystectomy 24240 20604
117.35 Epispadias/Extroply Repair 20200 17170
117.36 Caeco Cystoplasty 18180 15453
117.37 Pyelolithotomy 16160 13736
117.38 Nephrectomy Simple 16160 13736
117.39 Nephrostomy 9090 7727
117.40 Ureteric Reimplant 9090 7727
117.41 Partial Cystectomy 16160 13736
117.42 TURP & TUR Bladder Tumour 20200 17170
117.43 TURP Cystolitho Tripsy 19392 16483
117.44 Open Prostectomy 17372 14766
117.45 Closure of Urethal Fistula 10100 8585
117.46 Orchidopexy Unilateral 8882 7550
117.47 Orchidopexy Bilateral 11110 9444
117.48 Cystolithotomy Suprapubic 9898 8413
117.49 Endoscopic Removal of Stone in Bladder 9696 8242
117.50 Resection Bladder Neck Endoscopic 10504 8928
117.51 Ureteroscopic Removal 13130 11161
117.52 Cystoscopic Basketing of urethra 10100 8585
117.53 Urethroplasty 1st Stage 10100 8585
117.54 Optical Urethrotomy 9696 8242
117.55 Exploratory Scrototomy 7676 6525
117.56 Perineal Urethrostomy 6060 5151
117.57 Dilatation of Stricture Urethra under G.A. 2525 2146
117.58 Dilatation of Stricture Urethra without Anesthesia 1818 1545
117.59 Cholecystectomy Laparoscopic Surgery 20000 17000
117.60 Hernia Repair 18180/- 18180 15453
117.61 Diagnostic Laproscopy 4040 3434
117.62 Thoracoscopic Decortication 40000 34000
117.63 Thoracoscopic Pneumonectomy 50000 42500
117.64 Thoracoscopic Lebectomy 50000 42500
117.65 Thoracoscopic Segmental Resection 51700 43945
117.66 Thoracoscopic Hydatid Cyst excision 42750 36338
117.67 Thoracoscopic Sympathectomy 30000 25500
31
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
117.68 Laproscopic Pyloromyotomy 20000 17000
117.69 Laproscopic Gastrostomy 18900 16065
117.70 Laproscopic Closure of Perforated peptic ulcer 24800 21080
117.71 Laproscopic Vagotomy Pyleroplasty/ gastro jejunostomy 29500 25075
117.72 Laproscopic hiatus hernia repair 30700 26095
117.73 Laproscopic umbilical hernia repair 28000 23800
117.74 Laproscopic ventral hernia repair 28000 23800
117.75 Laproscopic hernia repair 25100 21335
117.76 Laproscopic spleenectomy 30000 25500
117.77 Laproscopic cystogastrostomy 25600 21760
117.78 Laproscopic cholecystectomy 20500 17425
117.79 Lap. Cholecystectomy & CBD exploration 28800 24480
117.80 Lap. Hydatid of liver surgery 30000 25500
117.81 Lap. Hepatic resection 37800 32130
117.82 Lap. Adrenalectomy 37800 32130
117.83 Lap. Appendicectomy 20250 17213
117.84 Lap. Assisted small bowel resection 27600 23460
117.85 Lap. For intestinal obstruction 26000 22100
117.86 Lap. For intestinal perforation 26000 22100
117.87 Lap. Assisted Right Hemicolectomy 29000 24650
117.88 Lap. Assisted left Hemicolectomy 29000 24650
117.89 Lap. Assisted Total Colectomy 40090 34077
117.90 Laproscopic Rectopexy 30000 25500
117.91 Lap. Asisted Abdominoperineal Resection of rectum 40090 34077
117.92 Lap. Assisted anterior resection 36560 31076
117.93 Retroperitoneoscopy Nephrectomy 35000 29750
117.94 Retroperitoneoscopy partial Nephrectomy 34020 28917
117.95 Retroperitoneoscopic nephrolithotomy 31700 26945
117.96 Retroperitoneoscopic pyelolithotomy 31500 26775
117.97 Retroperitoneoscopic operation for Hyderonenphyrosis 31200 26520
117.98 Retroperitoneoscopic surgery for Renal cyst 24550 20868
117.99 Retroperitoneoscopic ureterolithotomy 29830 25356
118 Retroperitoneoscopic Nephroureteroectomy 33640 28594
118.01 Laproscopy aassisted orchidopexy 21875 18594
118.02 Laproscopic operation for varicocele 18060 15351
118.03 IOL Implementation 9300 7905
118.04 Total Hip Replacement 91350 77648
118.05 Total Ankle Joint Replacement 132000 112200
118.06 Total Knee Joint Replacement 115000 97750
118.07 Total Shoulder Joint Replacement 110000 93500
118.08 Total Elbow Joint Replacement 100000 85000
118.09 Toral Wrist Joint Replacement 100000 85000
118.10 Orchidopexy Unilateral 50000 42500
118.11 Ventriculoatrial Shunt/Ventriculo Peritonea- 140000 119000
118.12 Excision of Cervical Intervertebral Discs 50000 42500
118.13 Twist Drill Craniostomy 25000 21250
118.14 Subdural Tapping 2222 1889
32
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
118.15 Ventricular Tapping 2666 2266
118.16 Abscess Tapping 2626 2232
118.17 Skull Traction Application 5050 4293
118.18 Lumber Pressure Monitoring 6060 5151
118.19 Vascular Malformations 22220 18887
118.20 Peritoneal Shunt 12120 10302
118.21 Atrial Shunt 12120 10302
118.22 Meningo Encephalocoel 40000 34000
118.23 Meningomyelocoel 40000 34000
118.24 C.S.F. Rhinorrhaea 40000 34000
118.25 Cranioplasty 40000 34000
118.26 Posterior Cervical Dissectomy 24240 20604
118.27 Anterior Cervical Dissectomy 20200 17170
118.28 Brachial Plexus Exploration Microsuturing 20200 17170
118.29 Median Nerve Decompression 11312 9615
118.30 Periphrale Neurectomy (Tirgeminal) 11312 9615
118.31 Trigeminal Rhiotomy 26260 22321
118.32 Cranial Nerve Anastomosis 14140 12019
118.33 Meningocoele Excision 10908 9272
118.34 Peripheral Nerve Surgery – Major 14140 12019
118.35 Minor 6464 5494
118.36 Ventriculo-Atrial Shunt (Exclud. Cost of valve) 12120 10302
118.37 Nerve Biopsy 6868 5838
118.38 Brain Biopsy 14140 12019
118.39 Anterior Cervical Spine Surgery with fusion/- 30300 25755
118.40 Anterior Lateral Decompression 26967 22922
118.41 Brain Mapping 3600 3060
118.42 Cervical or Dorsal Laminectomy 23230 19746
118.43 C.V. Junction Fusion 30300 25755
118.44 Depressed Fracture 28280 24038
118.45 Dissectomy 26967 22922
118.46 Endarterectomy 20806 17685
118.47 Skull Base Surgery 31613 26871
118.48 Spinal Fusion Procedure 31613 26871
118.49 Spinal Intra Medullary Tumours 31613 26871
118.50 Spinal Bifida Surgery Major 17271 14680
118.51 Spina Bifida Surgery Minor 17271 14680
118.52 Stereotaxic Procedures 17270 14680
118.53 Trans Sphenoidal Surgery 31613 26871
118.54 Trans Oral Surgery 31613 26871
118.55 Renal Transplant (including donor work) 208000 176800
118.56 Lithotripsy 20000 17000
118.57 COBALT 60 THERAPY
118.57.1 Radical Treatment 20200 17170
118.57.2 Palliative Treatment 10100 8585
118.57.3 Adjustment Therapy 16160 13736
118.58 LINER ACCELERATORS
33
Sr. No Name of the Treatment Procedure/Investigation Pvt ward Gen/ 15 % discount as per2.17of the policy
118.58.1 Radical Radiotherapy Liner 51500 43775
118.58.2 Palliative Radiotherapy Liner 2525 2146
118.59 BRACHY THERAPY
118.59.1 Intracayitary 1000 850
118.59.2 Interestical (Implant)
i) Head & Neck 11110 9444
ii) Breast 10100 8585
iii) Soft Tissue Sarcome 12120 10302
118.60 CHEMOTHERAPY CHARGES
118.60.1 Single Drug Therapy per day 500 425
118.60.2 Multiple Drug Therapy per day 808 687
118.60.3 Infusional Chemotherapy 909 773