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Health Department Haryana 10 List of Haryana Package Rates For Approved Hospitals

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Page 1: List of Haryana Package Rates - Health Department, …haryanahealth.nic.in/userfiles/file/pdf/List Of Harayana Package... · Health Department Haryana 10 List of Haryana Package Rates

Health Department Haryana

10

List of Haryana

Package Rates For Approved Hospitals

Page 2: List of Haryana Package Rates - Health Department, …haryanahealth.nic.in/userfiles/file/pdf/List Of Harayana Package... · Health Department Haryana 10 List of Haryana Package Rates

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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