S.No.

NAME OF INVESTIGATION / TREATMENT PROCEDURE

Rates approved for Trivandrum

10% less

(in Rs)

Clinical Pathology
275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 Urine routine Quantitative Albumin/Sugar Urine Bile Pigment and Salt Urine Urobilinogen Urine Ketones Urine Occult Blood Urine total proteins Urine Sodium Urine Chloride Bence Jones protein Stool routine Stool occult blood Post coital smear examination Smear analysis Body fluid etc. (CSF/Ascitic Fluid etc.) Chemistry, Sugar, Protein 27 13.50 18 27 13.50 27 22.50 54 54 22.50 27 28.80 36 45 67.50 72

30 15 20 30 15 30 25 60 60 25 30 32 40 50 75 80

Body fluid for Malignant cells

Haematology
291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 Haemoglobin (Hb) Total Leucocytic Count (TLC) Differential Leucocytic Count (DLC) E.S.R. Total Red Cell count Platelet count Reticulocyte count Absolute Eosinophil count Packed Cell Volume (PCV) Peripheral Smear Examination Smear for Malaria parasite Bleeding & Clotting Time Clot Retraction Time R.B.C. Fragility Test L.E. Cell Foetal Haemoglobin (Hb-F) Prothrombin Time (P.T.) Complete Haemogram Bone Marrow Smear Exmination Partial Thromboplastin Glucose Phosphate Dehydrogenase (G, 6PD) 18 13.50 13.50 18 27 27 27 27 22.50 28.80 27 27 27 27 54 45 86.40 54 135 117 117

20 15 15 20 30 30 30 30 25 32 30 30 30 30 60 50 96 60 150 130 130

Blood Bank
312 313 314 315 316 317 318 Blood Group & RHO Type Cross match Packed cell preparation Coombs Test Direct Coombs Test Indirect Australia Antigen RHO, Antibody titer 31.50 27 27 87.30 87.30 90 54

35 30 30 97 97 100 60

Bio-Chemistry
319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 Glucose Blood Urea Nitrogen Serum Creatinine Serum Uric Acid Serum Bilirubin total & direct Serum Iron Serum Cholesterol Total Iron Binding Capacity Glucose (Fasting & PP) Serum Calcium Serum Phosphorus Total Protein Alb/Glo Ratio S.G.P.T. S.G.O.T. Serum amylase Serum Electrolyte Triglyceride Glucose Tolerance Test (GTT) C.P.K. L.D.H. L.D.-1 LDH & LD-1 Alkaline Phosphatase Acid Phosphatase CK MB T3, T4, TSH HDL Cholestrol LH FSH Prolactin Blood gas analysis Blood gas analysis with electrolytes Cortisol 27 45 45 49.50 45 72 45 90 45 54 54 45 54 54 90 57.60 81 90 108 108 72 90 54 72 90 180 67.50 135 243 243 207 265.50 243

30 50 50 55 50 80 50 100 50 60 60 50 60 60 100 64 90 100 120 120 80 100 60 80 100 200 75 150 270 270 230 295 270

Histopathology
352 353 354 355 Pap Smear Histopathology Frozen section & Paraffin section Vaginal Cytology for Hormonal evaluation 90 135 135 90

100 150 150 100

Bactriology & Serology

356 357 358 359 360 361 362 363 364 365 366 367 368 Smear gram-strain examination Sputum smear A.F.B. stain Vaginal Smear Examination V.D.R.L. Widal test Rheumatoid Factor test Culture & Sensitivity (other specimens) Urine pregnancy test C.R.P. ASO Titer Quantitative H.C.G. Blood culture & sensitivity Vibro cholera culture 43.20 43.20 43.20 54 50.40 72 86.40 72 81 90 130.50 108 90 0.00 First Visit 27 27 45 45 36 27 54 54 7 7.20 9 22.50 36 58.50 81 175.50 270 702

48 48 48 60 56 80 96 80 90 100 145 120 100

General
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Consultation Consultation- Revisit or each subsequent visit Consultation First Visit - Private, if any Consultation Revisit or each subsequent visit Private -if any First Consultation by Medical Officer / Resident Doctor Subsequent Consultation by Medical Officer / Resident Doctor First Visit by Specialists Revisit by Specialists or each subsequent visit Injections - SC Injection - IM Injection - IV Dressings Small Dressings Medium Dressings Large Suturing without local anesthesia Suturing of wounds with local anesthesia Removal of Foreign body Removal of Benign Tumor

30 30 50 50 40 30 60 60 8 8 10 25 40 65 90 195 300 780

19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45

Aspiration Plural Effusion - Diagnostic Aspiration Plural Effusion - Therapeutic Abdominal Aspiration - Diagnostic Abdominal Aspiration - Therapeutic Pericardial Aspiration Bone Marrow Aspiration Joints Aspiration Biopsy Skin except Hensens Biopsy Lymphnode Biopsy Liver Strapping Removal of Stitches Venesection Phimosis Under LA Lumber puncture Sternal puncture Injection for Haemorrhoids Injection for Catheterisation Dilatation of Urethra Incision & Drainage Intercostal Drainage Lung function test E.C.G. E.E.G. Stress test (TMT) Peritoneal dialysis Varicose Veins

126 126 225 423 270 247.50 207 180 360 513 58.50 27 81 873 135 135 270 270 54 378 351 585 270 63 360 675 1098

140 140 250 470 300 275 230 200 400 570 65 30 90 970 150 150 300 300 60 420 390 650 300 70 400 750 1220

Skin
46 47 48 49 50 51 52 Excision of Moles Excision of Warts Excision of Molluscumcontagiosum Excision of Veneral Warts Excision of Corns I/D Injection Keloid of Acne Chemical Cautery (per sittings) 252 369 360 189 189 63 72

280 410 400 210 210 70 80

E.N.T.
53 54 55 56 57 58 Pure Tone Audiogram Impedence & other tests SISI, Tone Decay & Difference times Multiple hearing assessment test to Adults Hearing Aid Selection Hearing Aid Analysis 117 189 117 117 117 90

130 210 130 130 130 100

59 60 61 62 63 64 65 66 67

Speech Discrimination Score Speech Assessment Speech therapy per session of 30-40 minutes Cold Calorie Test for Vestibular function Removal of foreign body From Nose Removal of foreign body From Ear Syringing (Ear) Polyp removal under LA Peritonsillar abscess drainage under LA

58.50 90 85.50 117 225 225 108 405 945

65 100 95 130 250 250 120 450 1050

Ear
68 69 70 71 72 73 74 75 76 77 78 79 80 Ear Piercing Myringoplasty Staepedectomy Myringotomy Grommet Insertion Tympanotomy Paracentesis Tympanoplasty Mastoidectomy Otoplasty Labyrinthectomy Skull Base surgery Facial Nerve Decompression 135 7200 8640 3150 2106 6345 1800 9720 10710 11025 9585 18360 13680

150 8000 9600 3500 2340 7050 2000 10800 11900 12250 10650 20400 15200

Nose
81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 Septoplasty Submucous Resection Septo-rhinoplasty Rhinoplasty Fracture Reduction Intra Nasal Diathermy Turbinectomy Endoscopic DCR Endoscopic Surgery Septal Perf. Repair Antrum Puncture Lateral Rhinotomy Cranio-facial resection Ethamoidectomy Caldwell Luc Surgery Angiofibroma Excision Endoscopic Hypophysectomy Endoscopic Optic Nerve Decompression Decompression of Optic Nerve 6120 4770 11115 10890 2952 1305 3960 8640 9000 6885 630 792 19710 10170 6930 11475 22500 22455 18000

6800 5300 12350 12100 3280 1450 4400 9600 10000 7650 700 880 21900 11300 7700 12750 25000 24950 20000

Throat
100 101 102 103 104 105 106 107 Ranula Excision Tongue Tie excision Sub Mandibular Duct Lithotomy Adenoidectomy Palatopharyngoplasty Cleft Palate repair Pharyngoplasty Styloidectomy 4590 1620 3600 4230 12240 11340 11520 8262

5100 1800 4000 4700 13600 12600 12800 9180

Eye
108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 Cauterisation of ulcer/subconjuctival injection - One eye Cauterisation of ulcer/subconjuctival injection - Both eyes Retrobular Injection - One Eye Retrobular Injection - Both Eyes Syringing of Lacrimal Sac -For One eye Syringing of Lacrimal Sac - For both eyes Paracentesis Foreign body removal Refraction/Fundoscopy Ortho-optic check up Ortho-optic exercises Plepoptic Exercises Perimetry/field test Chalazion operation -One Eye Chalazion operation - Both Eyes Dressing Clinical Photography Pterygium Excision Orbitotomy Ptosis correction Ectropion Correction Xenon Arc Laser D C R (Dacryocystorhinostony) ECCE/ICCE Epicantuhus correction Dacryocystectomy Squint Correction Keratoplasty Trabeculotomy Trabeculectomy Iridectomy 45 90 45 90 45 90 180 117 27 45 45 45 90 270 288 58.50 135 747 10800 4176 3240 900 7020 5940 3465 4590 6300 10800 6030 7020 900

50 100 50 100 50 100 200 130 30 50 50 50 100 300 320 65 150 830 12000 4640 3600 1000 7800 6600 3850 5100 7000 12000 6700 7800 1000

139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169

Goniotomy Scalaral Bukling (Retinal Detachment Surgery) ERG Flourescein Angioraphy A-Scan Tono Graphy VER Goldmen Perimetry Specular microscopy ---Vitrectomy Enucleation Eviseration Entropion correction Indo cyaningreen Angiography of Retina Indo cyaningreen Angiography Automated Perimetry Corneal endothelial cell count Corneal topography Corneal pachymetry Retinal nerve film analyzer studies ---Auto Refrectemetry Biometry Ultrasound studies ----A Scan Ultrasound studies ----B Scan Retinal/Meter function studies PAN ACUITY METER --Laser inter ferometry --EKG, EOG --Dacryocystography (DGC) Orbital Angio studies --Cateract with IOL (Cost of lens extra) - IRIS

3600 9900 517.50 720 135 360 720 360 252 7920 3240 3240 900 1080 504 729 216 216 198 72 27 49.50 135 216 126 1170 1170 1080 1080 1530 6750

4000 11000 575 800 150 400 800 400 280 8800 3600 3600 1000 1200 560 810 240 240 220 80 30 55 150 240 140 1300 1300 1200 1200 1700 7500

Orthopaedic & Plaster Work

170 171 172 173 174 175 176 177 178 179 180 181 Fingers (post, slab) Fingers full plaster Colles Fracture - Below elbow Colles Fracture Full plaster Colles fracture Ant. Or post. slab Above elbow full plaster Above Knee post-slab Below Knee full plaster Below Knee post-slab Tube Plaster (or plaster cylinder) Above knee full plaster Above knee full slab 175.50 175.50 801 648 648 729 468 675 468 675 1350 1620

195 195 890 720 720 810 520 750 520 750 1500 1800

182 183 184 185 186

Minerva Jacket Plaster Jacket Shoulder spica Single Hip spica Double Hip spica

1800 1530 1440 1530 1890

2000 1700 1600 1700 2100

Strapping
187 188 189 190 191 192 193 194 195 196 197 198 Strapping of Finger Strapping of Strapping of Strapping of Strapping of Toes Wrist Elbow Ankle 117 117 171 171 234 234 342 351 351 351 216 270

Strapping of Knee Strapping of Chest Strapping of Shoulder Nasal bone fracture Figure of 8 bandage Colar and cuff sling Ball bandage

130 130 190 190 260 260 380 390 390 390 240 300

Physiotheraphy
199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 Ultrasonic therapy S.W. Diathermy Electrical stimulation (therapeutic) Muscle testing and diagnostic Infra red U.V. Therapeutic dose Electric vibrator Vibrator belt massage Intra Lumbar Traction Intermittent Cervical traction Combined Lumbar & Cervical Wax bath Hot pack Whirl pool bath Obesity Exercises Breathing Exercises & Postural Drainage Cerebral Palsy Massage Post polio exercise traction 51.30 51.30 51.30 51.30 45.00 51.30 51.30 51.30 51.30 51.30 51.30 51.30 51.30 51.30 51.30 51.30 51.30 51.30

57 57 57 57 50 57 57 57 57 57 57 57 57 57 57 57 57 57

Dental
217 218 219 Extraction of tooth including LA Complicated Ext. per Tooth including LA Flap Operation per Tooth 72.90 148.50 270

81 165 300

220 221 222 223 224 225 226

Gingivectomy per tooth Cyst under LA (small) Cyst under LA (large) Impacted Molar including LA Apisectomy including LA Fracture wiring including LA Intra oral X-ray

175.50 175.50 292.50 432 468 585 45

195 195 325 480 520 650 50

Others
227 228 229 230 231 232 233 234 235 Upper G.I. Endoscopy Upper G.I. Endoscopy with Biopsy Esophageal scierotherapy for varices First sitting Esophageal sclerotherapy for varices Subsequent sitting Sigmoidoscopy (rigid) Sigmoidoscopy (flexible) Oesophagoscopy Colonoscopy Fibroptic bronchoscopy 765 1071 1485 1170 585 495 873 1440 1530

850 1190 1650 1300 650 550 970 1600 1700

X-Ray
236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 Fluroscopy chest Dental Occlusal Abdomen AP or Erect (one film) Abdomen Lateral view (one film) Abdomen for Pregnancy Chest PA view (one film) Chest Oblique or Lateral (One film) Mastoids Extremities, bones & Joints (one film) Pelvis (One film) Paranasal sinuses (One film) T.M. Joints (One film) Abdomen & pelvis for K.U.B. Skull A.P. & Lateral Spine A.P. & Lateral Barium Swallow Sinography/ Sialography Cystography/ Urethrography Hystero-Salpaingography Arthrography Retrograde Pyelography Oral or I.V. Cholecystography Barium Enema 72 45 54 90 90 90 90 90 90 90 90 90 90 93.60 144 144 360 450 585 631.80 508.50 585 562.50 693

80 50 60 100 100 100 100 100 100 100 100 100 100 104 160 160 400 500 650 702 565 650 625 770

260 261 262 263 264 265 266

Barium Meal Upper or Lower Bronchography I.V. Urography Myelography Pneumo Encephalography Barium meal Complete Cerebral/Femoral Angiography

720 787.50 846 842.40 675 855 1012.50

800 875 940 936 750 950 1125

Ultrasound Investigations
267 268 269 270 271 272 273 274 Obstetric First Scan Obstetric Follow up (2nd visit) Upper abdomen First Scan Upper abdomen Follow up (2nd visit) Quick look check-up for IUCD failure/Foetus. Total Abdominal survey or Multiple organ Special procedures & Aspiration etc. Image Intensifiers study 270 270 315 270 225 315 450 675

300 300 350 300 250 350 500 750

ICU/CCU CHARGES (Special Care Cases)

369 370 371 372 373 374 375 376 377 378 379 380 381 Coronary Care with Cardiac Monitoring including ECG & Diet Respirator & Compressed air / piped oxygen (Ventilator charges) Post operative care (ICU) with Diet Paediatric care for New born General Nursery Care per day Incubator charges (Per day) Intensive care in Nursery (Per day) Phototherapy Resuscitation Resuscitation with Incubator attended by Specialist Exchange Transfusion O.T. Charges for Exchange transfusion Pneupack ventilator in Nursery (Per day) per day(7 to 12 days) 1125 720 630 171 225 270 945 144 225 585 729 207 504

1250 800 700 190 250 300 1050 160 250 650 810 230 560

Oxygen Charges
382 383 384 385 Operation theatre(including supply of Nitrous Oxide) Casuality ICU General Ward Semi-private wards 135 27 27 27

150 30 30 30

Burn Dressing
386 387 upto 30% Burns 1st Dressing upto 30% Burns Subsequent Dressing 99 81

110 90

388 389 390 391

30% to 50% Burns 1st Dressing 30% to 50% Burns Subsequent Dressing Extensive Burn above 50% Frist Dressing Extensive Burn above 50% Subsequent dressing

126 90 180 126

140 100 200 140

Obstetric Cases
392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 Normal delivery or with Episiotomy & P. repair Low Forceps Low midcavity forceps Cesarean Section Cesarean Hysterectomy Rupture Uterus, closure & repair with Tubal Ligation Perforation of Uterus after D/E Laparotomy & Closure Laparotomy for Ectopic Rupture Laparotomy-peritonitis Lavage and Drainage Laparotomy-failed laparoscopy to explore Salphingectomy Salphingo-Oophorectomy Ovarean Cystectomy Oopherctomy Broad Ligment Haemotoma Drainage Exploration of perineal Haematoma & Resuturing of Episiotomy Exploration of abdominal Haematoma (after laparotomy + LUCS) 5850 6570 6570 10800 12375 12375 8730 8730 7290 3645 6120 9540 9540 8010 4500 5850 8010 2700 2250 2700 1485 7290 1080 2250 1485 2520 6570 3510 2520 2520 2250 3645 2250

6500 7300 7300 12000 13750 13750 9700 9700 8100 4050 6800 10600 10600 8900 5000 6500 8900 3000 2500 3000 1650 8100 1200 2500 1650 2800 7300 3900 2800 2800 2500 4050 2500

Internal podalic version and extraction Manual Removal of Placenta 3rd stage Complication MRP for outside delivery etc Examination under anaesthesia Burst-abdomen Repair Gaping Pareneal Wound Secondary Suturing Gaping abdominal wound Secondary Suturing Complete perineal tear-repair Exploration of PPH-tear repair Destructive Operation Suction evacuation vesicular mole, Missed abortion D/E Colpotomy-drainage P/V needling EUA Repair of post-coital tear, perineal injury Excision of urethral caruncle Laparoscopy (Gynae) Shirodhkar, Mc. Donalds stich

General Surgery
425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 Drainage of Abscess Dressing under G.A. Aspiration of cold Abscess of Lymphnode Aspiration of Empyema Aspiration of Liver Abscess Open Drainage of Liver Abscess Drainage of Pelvic Abscess Drainage of Ischiorectal Abscess Drainage of Subdiaphragmatic Abscess Open Drainage of Perinepheric Abscess Drainage of Perigastric Abscess Drainage of Perotid Abscess Drainage of Retropharyngeal Abscess Open Drainage of Psoas Abscess Open Drainage of Perivertebral Abscess 1071 1350 765 1035 1080 5850 3825 3825 7290 7267.50 5850 3330 3960 3960 4815

1190 1500 850 1150 1200 6500 4250 4250 8100 8075 6500 3700 4400 4400 5350

Injury Of Superficial Soft Tissues

440 441 442 443 Suturing of small wounds Secondary suture of wounds Delayed primary suture Debridement of wounds 175.50 270 1035 270

195 300 1150 300

Removal Of Foreign Bodies

444 445 Removal of F.B. Superficial Removal of F.B. Deep 180 1485

200 1650

Biopsies
446 447 448 449 450 451 452 453 454 455 456 457 458 459 Cervical Lymph Node Auxillary Lymph Node Inguinal Lymph Node Excision/Biopsy of Large Lumph Nodes Excision Biopsy of Ulcers Excision Biopsy of Superficial Lumps Incision Biopsy of Growths/Ulcers Trucut Needle Biopsy kidney biopsy Percutaneous Kidney Biopsy Spleen Aspiration Marrow Biopsy (Open) Muscle Biopsy Scalene Node Biopsy 1170 1485 1485 1485 1800 2250 1170 1170 1350 1170 1170 1170 1170 873

1300 1650 1650 1650 2000 2500 1300 1300 1500 1300 1300 1300 1300 970

Excision Of Cyst / Small Tumours

460 461 462 463 464 465 466 Excision of Sebaceous Cysts Excision of Superficial Liipoma Excision of Superficial Neurofibroma Excision of Dermoid Cysts Haemorrhoids Keloids Superficial Veriscosity 810 1260 1755 1485 1755 3150 2925

900 1400 1950 1650 1950 3500 3250

Head & Neck

467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 Ear Lobe Repair one side Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage Partial Amputation of Pinna Total Amputation of Pinna Total Amputation & Excision of External Auditory Meatus Excision of Cystic Hygroma Minor Excision of Cystic Hygroma Major Excision of Cystic Hygroma Extensive Excision of Branchial Cyst Excision of Branchial Sinus Excision of Pharyngeal Diverticulum Excision of Carotid Body-Tumours Operation for Cervical Rib Block Dissection of Cervical Lymph Nodes Pharyngectomy & Reconstruction Operation for Carcinoma Lip - Wedge-Excision Operation for Carcinoma Lip - Vermilionectomy Operation for Carcinoma Lip - Wedge Excision and Vermilonectomy Estlander Operation Abbe Operation Cheek Advancement Excision of the Maxilla Excision of the Mandible Segmental Hemimandibulectomy Partial Glossectomy Hemiglossectomy Total Glossectomy Commondo Operation 369 1080 1845 4230 4950 6570 3015 4545 6210 7515 7200 7290 21870 14130 14580 22590 5355 4590 6300 5130 8100 6570 14040 10980 16425 3645 8190 16425 16425

410 1200 2050 4700 5500 7300 3350 5050 6900 8350 8000 8100 24300 15700 16200 25100 5950 5100 7000 5700 9000 7300 15600 12200 18250 4050 9100 18250 18250

496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522

Parotidectomy - Superficial Parotidectomy Parotidectomy Conservative Radical Total

12600 7605 16425 13860 5985 8775 8190 11250 14310 7569 7569 19710 15930 9000 15930 23040 27000 5400 3240 7065 13500 3060 10170 2340 6840 12420 14670

Repair of Parotid Duct Removal of Submandibular Salivary gland Hemithyroidectomy Partial Thyroidectomy Subtotal Thyroidectomy (Toxic Goitre) Total Thyroidectomy (Cancer) Resection Enucleation of Adenoma Isthmectomy Total Thyroidectomy and Block Dissection Excision of Lingual Thyroid Excision of Thyroglossal Cyst/Fistula Excision of Parathyroid Adenoma/Carcinoma Laryngectomy Laryngo Pharyngectomy Sinus & Fistula repair Lymph Node Excision Hyoid Suspension Genioplasty Direct Laryngoscopy Phonosurgery Fibroptic Laryngoscopy Microlaryngeal Surgery Laryngofissure Stenosis Excision

14000 8450 18250 15400 6650 9750 9100 12500 15900 8410 8410 21900 17700 10000 17700 25600 30000 6000 3600 7850 15000 3400 11300 2600 7600 13800 16300

Head & Neck Cancer

523 524 525 526 527 528 529 530 Excisional Biopsies Benign Tumour Excisions Temporal Bone resection Radical Neck Dissection Carotid Body Excision Total Laryngectomy Flap Reconstructive Surgery Parapharyngeal Tumour Excision 4500 8010 14850 18144 25650 25560 21420 22950 0.00 4365 4590 8910

5000 8900 16500 20160 28500 28400 23800 25500

Breast
531 532 533 Drainage of Abscess Excision of Lumps Local Mastectomy (Simple)

4850 5100 9900

534 535 536

Radical Mastectomy (Formal or Modified) Excision of Mammary Fistula Segment Resection of Breast

21150 7650 10800

23500 8500 12000

Cardio Respiratory Procedures

537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 Direct Laryngoscopy Bronchoscopy Mediastinoscopy Pleural Biopsy Thoracoscopy Tracheostomy Thoracotomy (Penetrating Wounds) Intercostal Drainage of empyema Decortication (Pleurectomy) Thoracoplasty Pneumonectomy Lobectomy Segmental Resection Hydatid Cyst Pulmonary function test BMR Spirometry Spirometry with Helium Dilution Spirometry with a Helium Dilution with diffusion capacity studies Pulmonery exercise testing Open Lung Biopsy Anterior medicistonotomy Medicistinoscopy(cervical) Video-assisted thoracoscopy (VATS) Video-assisted thoracoscopic lung Surgeries Lung volume reduction surgery Thoracoscopic Decortication Thoracoscopic Pneumonectomy Thoracoscopic Lebectomy Thoracoscopic Segmental Resection Thoracoscopic Hydatid Cyst excision Thoracoscopic Sympathectomy 2700 1755 1773 1080 4410 2250 10485 3420 17190 24480 20070 17910 17910 17910 427.50 270 990 675 540 10764 23400 21600 16110 35532 35991 36000 45000 45000 45000 37800 26550

3000 1950 1970 1200 4900 2500 11650 3800 19100 27200 22300 19900 19900 19900 475 300 1100 750 600 11960 26000 24000 17900 39480 39990 40000 50000 50000 50000 42000 29500

Cardiac / Cardiothoracic Procedures

568 569 570 Coronary Bypass Surgery Coronary Bypass Surgery-post Angioplasty Coronary Baloon Angioplasty 117000 117000 76500

130000 130000 85000

571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605

Balloon angioplasty with Valvotomy Open Heart Procedures Total Correction of Tetralogy of Fallot RSUV Correction TAPVC Correction Open ASD VSD Open Pulmonary Valvotomy Open Aortic Valvotomy Balock Taussing Operation Mitral Valvotomy Mitral Valve Replacement (cost of valve extra) Aortic ValveReplacement (cost of valve extra) Double Valve Replacement Valve (cost of valve extra) Closed Valvotomy Coarctation-Arota Repair of Balock Taussing Shunt Patent Ductus Arteriousus Mitral Valvotomy (Open) Pericardiostomy Pericardiectomy Pericardio Centrosis Permanent Pacemaker Implantation Temporary Pacemaker Implantation Test of Pacemaker Embolectomy Aneurysm Resection & Grafting Thoracocentesis Thorachostomy Exploratory Thorocotomy Aorta-Femoral Bypass Removal of Foreign Body from Trachea or Oesophagus Rib Resection & Drainage Mediastinal Tumour Thymectomy Partial Pericardectomy Removal Tumours of Chest Wall

105000 130000 117000 130000 117000 130000 117000 130000 117000 130000 117000 130000 117000 130000 99000 110000 49500 55000 117000 130000 117000 130000 117000 130000 99000 110000 99000 110000 65880 73200 117000 130000 99000 110000 99000 110000 900 1000 11700 13000 8100 9000 436.50 485 15570 17300 27000 30000 1440 1600 11070 12300 13410 14900 45000 50000 2700 3000 7290 8100 21870 24300 18270 20300 13140 14600 14544 16160
94500 117000

Oesophagus
606 607 608 609 610 611 Atresia of Oesophagus and Tracheo Oesophageal Fistula Operations for Replacement of Oesophagus by Colon Oesophagectomy for Carcinoma Easophagus Oesophageal Intubation (Mausseau Barbin Tube) Achalasia Carida Transthoracic Achalasia Carida Abdominal 21600 18360 18360 9000 8730 10800

24000 20400 20400 10000 9700 12000

612 613 614 615

Oesophago Gastrectomy for mid 1/3 lesion Hellers Operation Colon-Inter position or Replacement of Oesophagus Oesophago Gastrectomy Lower Corringers procedure

18270 14580 16740 14544

20300 16200 18600 16160

Abdomen
616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644 645 646 647 648 649 650 651 Gastroscopy Gastric & Duodenal Biopsy (Endoscopic) Pyleromyotomy Gastrostomy Simple Closure of Perforated peptic Ulcer Vagotomy Pyleroplasty / Gastro Jejunostomy Duodenojejunostomy Partial/Subtotal Gastrectomy for Carcinoma Partial/Subtotal Gastrectomy for Ulcer Operation for Bleeding Peptic Ulcer Gastrojejunostomy & Vagotomy Operation for Gastrojejunal Ulcer Total Gastrectomy for Cancer Highly Selective Vagotomy Selective Vagotomy & Drainage Congenital Diaphragmatic Hernia Hiatus Hernia Repair Abdominal Hiatus Hernia Repair Transthoracic Exploratory Laparotomy Epigastric Hernia Repair Umbilical Hernia Repair Ventral and Scar Hernia Inguinal Hernia Repair Herniorraphy 900 1454.40 2181.60 6181.20 7290 9090 13680 15750 15750 13680 13680 13680 20070 13680 13680 13050 14580 11250 8010 7605 7605 9450 10800 13140 13860 14715 14265 14265 17100 23310 16920 21870 21870 21870 16020 13500

Inguinal Hernia - Hernioplasty Femoral Hernia Repair Rare Hernias Repair (Spigalion, Obturator, Lumbar, Sciatic) Splenectomy - For Trauma Splenectomy - For Hypersplenism Splenorenal Anastomosis Portocaval Anastomosis Direct Operation on Oesophagus for Portal Hypertension Mesentericocaval Anastomosis Warren Shunt Pancerato Duodenectomy By Pass Procedure for Inoperable Carcinoma of Pancreas Cystojejunostomy or Cystogastrostomy

1000 1616 2424 6868 8100 10100 15200 17500 17500 15200 15200 15200 22300 15200 15200 14500 16200 12500 8900 8450 8450 10500 12000 14600 15400 16350 15850 15850 19000 25900 18800 24300 24300 24300 17800 15000

652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 693 694

Cholecystectomy Cholecystectomy & Exploration of CBD Repair of CBD Operation for Hydatid Cyst of Liver Cholecystostomy Hepatic Resections (Lobectomy Hepatectomy) Operation on Adrenal Glands - Bilateral Operation on Adrenal Glands - Unilateral for Tumour Appendicectomy for Acute Appendicitis Appendicectomy for Chronic/recurrent Appendicitis Appendicular Abscess Drainage Mesenteric Cyst- Excision Peritonioscopy/Laparoscopy Jejunostomy Ileostomy Congenital Atresia & Stenosis of Small Intestine Muconium ileus Mal-rotation & Volvulus of the Midgut Resection & Anastomosis of Small Intestine Excision of Meckles Deverticulum Duodenal Diverticulum Operation for Intestinal Obstruction Operation for Intestinal perforation Benign Tumours of Small Intestine Excision of Small Intestine Fistual Operations for Haemorrhage of the Small Intestines Operations of the Duplication of the Intestines Operations for Recurrent Intestinal Obstruction (Noble Plication & Other Operations for the Adhesions) Ilieosigmoidostomy Ilieotransverse Colostomy Caecostomy Loop Colostomy Transverse Sigmoid Terminal Colostomy Closure of Colostomy Right Hemi-Colectomy Left Hemi-Colectomy Total Colectomy Operations for Volvulus of Large Bowel Operations for Sigmoid Diverticulitis Fissure in Ano - Dilatation Fissure in Ano - Fissurectomy Rectal Polyp-Excision Operation of Haemorrhoids -Lords procedure

9180 11970 11970 12798 9360 14580 20430 10800 10800 10800 6750 8730 3204 9360 16290 14265 11970 11970 14040 14040 14040 12870 12870 12870 12870 14580 15300 16920 13140 13140 2545.20 10260 12600 12645 12870 12870 25740 16380 13140 4095 8415 3690 4500

10200 13300 13300 14220 10400 16200 22700 12000 12000 12000 7500 9700 3560 10400 18100 15850 13300 13300 15600 15600 15600 14300 14300 14300 14300 16200 17000 18800 14600 14600 2828 11400 14000 14050 14300 14300 28600 18200 14600 4550 9350 4100 5000

695 696 697 698 699 700 701 702 703 704 705 706 707

Fistula in Ano

- High Fistulectomy Colostomy - Pull Through Operation

10944 6435 9495 9098.10 5355 5130 13140 10080 8460 16020 16020 13140 13140

Fistula in Ano - Low Fistulectomy Imperforat Anus Imperforate Anus

Prolapse Rectum - Theirch Wiring Prolapse Rectum - Rectopexy Prolapse Rectum Grahams Operation Operations for Hirschsprungs Disease Excision of Pilonidal Sinus Abdomino-Perineal Excision of Rectum Anterior Resection of rectum Pull Through Abdominal Resection Operations for Neuroblastoma

12160 7150 10550 10109 5950 5700 14600 11200 9400 17800 17800 14600 14600

Nephrology / Genitourinary
708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 723 724 725 726 727 728 729 730 731 732 733 734 735 Partial Nephrectomy Nephrolithomy Pyelolithotomy Operations for Hydronephrosis Open Drainage of Perinephric Abscess Cavernostomy Operations for Cyst of the Kidney Ureterolithotomy Nephroureterectomy Operations for Ureter for -Double Ureters Operations for Ureter -for Ectopia of Single Ureter Operations for Vesico- ureteric Reflux Ureterostomy - Cutaneous Uretero-Colic anastomosis Formation of an Ileal Conduit Ureteric Catheterisation Dormia Extraction of Calculus Biopsy of Bladder (Cystoscopic) Diathermy Destruction of Bladder Neoplasm Litholapexy Operations for Injuries of the Bladder Suprapubic Drainage (Cystostomy) Total Cystectomy Diverticulectomy Open Resection of the Bladder Neck Y-V Plasty of the Bladder Neck Cystoplasty
Operations for Extrophy of the Bladder

12690 12690 11700 12690 7290 10395 9360 8730 8730 14580 16290 14940 11700 11700 11700 1530 5908.50 3465 6399 7605 12510 6120 16740 16200 14040 14040 16740 14544

14100 14100 13000 14100 8100 11550 10400 9700 9700 16200 18100 16600 13000 13000 13000 1700 6565 3850 7110 8450 13900 6800 18600 18000 15600 15600 18600 16160

736 737 738 739 740 741 742 743 744 745 746 747 748 749 750 751 752 753 754 755 756 757 758 759 760 761 762 763 764 765 766 767 768 769 770 771 772 773 774 775 776 777 778

Repair of Ureterocoel Suprapubic Prostatectomy Retropubic Prostatectomy Transurethral Resection of Prostate (TURP) Urethroscopy Operations for Injury to Urethra Internal urethrotomy Urethral Reconstruction Operation for Congenital Valves of Urethra Operations for Incontinence of Urine - Male Operations for Incontinence of Urine - Female Reduction of Paraphimosis Circumcision Meatotomy Meatoplasty Operations for Hypospadias - Chordee Correction Operations for Hypospadias - Second Stage or One Stage Repair Operations for Epispadias Partial Amputation of the Penis Total amputation of the Penis Orchidectomy Epididymectomy Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma Operations for Hydrocele - Unilateral Operations for Hydrocele - Bilateral Vasectomy (Should be free for Family Welfare) Operation for Torsion of Testis Vasovasostomy Operations for Varicocele Block Dissection of Inguinal Nodes - One Side Block Dissection of Inguinal Nodes - Both Sides Excision of Filarial Scrotum Emergency Dialysis Femoral Puncture Emergency Dialysis Subclavian Puncture Fistula/Shunt Dialysis Femoral Catheterisation Bilateral Haemo Dialysis Double Lumen Sub Clavian Catheter Continuous Arterio Venus Dialysis (CAVD) Subclavian Access Femoral Access Plasma Exchange Donor Nephrectomy

9360 14580 14310 14580 3060 15300 7200 15210 8145 12780 12780 1530 2655 1530 2250 8190 15300 8726.40 7020 10800 7650 7650 18360 3825 5580 Free 7650 10530 6570 13770 15300 9360 729 909 3636 900 864 1260 10980 1170 810 1454.40 40500

10400 16200 15900 16200 3400 17000 8000 16900 9050 14200 14200 1700 2950 1700 2500 9100 17000 9696 7800 12000 8500 8500 20400 4250 6200 FREE 8500 11700 7300 15300 17000 10400 810 1010 4040 1000 960 1400 12200 1300 900 1616 45000

779 780 781 782 783 784 785 786 787 788 789 790 791 792 793 794 795 796 797 798 799 800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 816 817 818 819 820 821

Renal Transplantation Ureteric Reimplant Lymphocoel Transplant Nephrectomy Bilateral Nephrouretectomy (Native) Vascular Prosthetic Graft CAPD PCNL - Unilateral PCNL - Bilateral Palomos Unilateral Palomos Bilateral Endoscopic Teflon Inject Testicular Biopsy Gil-Verners Extended Pyelolithotomy Nephrectomy Complicated Tumour or Adhesions Anderson Hynes Pyeloroplasty Vasico Vaginal Fistula Radical Cystectomy Caeco Cystoplasty Nephrectomy Simple Nephrostomy Ureteric Reimplant Partial Cystectomy TURP & TUR Bladder Tumour TURP Cystolithotripsy Open Prostatectomy Closure of Urethral Fistula Orchidopexy - Unilateral Orchidopexy - Bilateral Cystolithotomy -Suprapubic Endoscopic Removal of Stone in Bladder Resection Bladder Neck Endoscopic Ureteroscopic Removal Cystoscopic Basketing of Urethra Urethroplasty 1st Stage Optical Urethrotomy Exploratory Scrototomy Perineal Urethrostomy Dilatation of Stricture Urethra under G.A. Dilatation of Stricture Urethra without Anesthesia Retroperitoneoscopy Nephrectomy Retroperitoneoscopy partial Nephrectomy Retroperitoneoscopic nephrolithotomy Repair

133200 17388 10800 15300 15300 18000 5400 14544 21870 4365 8730 3600 2295 12960 14544 11700 11700 17460 9000 10800 6300 6570 9000 14544 14040 14400 7290 6435 8010 7155 2250 7605 9495 7290 7290 7020 5580 4410 1845 1350 25200 24570 22860

148000 19320 12000 17000 17000 20000 6000 16160 24300 4850 9700 4000 2550 14400 16160 13000 13000 19400 10000 12000 7000 7300 10000 16160 15600 16000 8100 7150 8900 7950 2500 8450 10550 8100 8100 7800 6200 4900 2050 1500 28000 27300 25400

822 823 824 825 826 827 828 829

Retroperitoneoscopic pyelolithotomy Retroperitoneoscopic operation for Hyderonephrosis Retroperitoneoscopic surgery for Renal cyst Retroperitoneoscopic ureterolithotomy Retroperitoneoscopic Nephroureteroectomy Laproscopy aassisted orchidopexy Laproscopic operation for varicocele Lithotripsy

22680 22500 17730 21510 24300 15750 13050 16200

25200 25000 19700 23900 27000 17500 14500 18000

Plastic Surgery
830 831 832 833 834 835 836 837 838 839 840 841 842 843 844 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 Primary Suture of Wound Injection of Keloids Injection of Keloids Free Grafts - TheirechFree Grafts Ganglion Haemangioma Small Area 5% 1935 1800 3690 4680 5130 6030 7470 6300 8550 9360 7650 9180 9360 10800 4680 5130 5850 5850 6885 9000 5130 4680 5400 8190 8730 8730 7650 7290 9000 5310 7290

Free Grafts - Wolfe Grafts Large Area 10%

Free Grafts - Very Large Area 20% Skin Flaps - Rotation Flaps Skin Flaps Skin Flaps Skin Flaps Skin Flaps Skin Flaps Skin Flaps Advancement Flaps Direct- cross Leg Flaps- Cross Arm Flap Cross Finger Abdominal Thoracic Arm Etc.

Subcutaneous Pedicle Flaps Raising Subcutaneous Pedicle Flaps Delay Subcutaneous Pedicle Flaps Transfer Cartilage Grafting Reduction of Facial Fractures of Nose Reduction of Facial Fractures of Maxilla Reduction of Fractures of Mandible & Maxilla - Eye Let Splinting Reduction of Fractures of Mandible & Maxilla - Cast Netal Splints Reduction of Fractures of Mandible & Maxilla - Gumming Splints Internal Wire Fixation of Mandible & Maxilla Cleft Lip - repair. Cleft Palate Repair Severe Degree Primary Bone Grafting of Cleft Lip Palate Secondary Surgery for Cleft Lip Deformity Secondary Surgery for Cleft Palate Reconstruction of Eyelid Defects - Minor Reconstruction of Eyelid Defects - Major

2150 2000 4100 5200 5700 6700 8300 7000 9500 10400 8500 10200 10400 12000 5200 5700 6500 6500 7650 10000 5700 5200 6000 9100 9700 9700 8500 8100 10000 5900 8100

861 862 863 864 865 866 867 868 869 870

Plastic Surgery of Different Regions of the Ear - Minor Plastic Surgery of Different Regions of the Ear - Major Plastic Surgery of the Nose - Minor Plastic Surgery of the Nose - Major Plastic Surgery for Facial Paralysis (Support with Reanimation) Pendulous Breast - Mammoplasty Underdeveloped Breast Syndactyly Repair Dermabrasion Face Mammoplasty Mammoplasty After Mastectomy (Reconstruction)

5310 7290 5310 7290 13590 13590 11970 11970 11970 9630

5900 8100 5900 8100 15100 15100 13300 13300 13300 10700

Orthopaedic Surgery Procedure

871 872 873 874 875 876 877 878 879 880 881 882 883 884 885 886 887 888 889 890 891 892 893 894 895 896 897 898 Application of P.O.P Casts for Upper & Lower Limbs Application of Functional Cast Brace Application of Skin Traction Application of Skeletal Tractions Bandage & Strappings for Fractures Aspiration & Intra Articular Injections Application of P.O.P Spices & Jackets Close Reduction of Fractures of Limb & P.O.P Reduction of Compound Fractures Open Reduction & Internal Fixation of Fingurs & Toes Open Reduction offracture of Long Bones of Upper / Lower Limb Nailing & External Fixation Open Reduction of fracture of Long Bones of Upper / Lower Limb -AO Procedures Tension Band Wirings Bone Grafting Excision of Bone Tumours -Superficial Excision of Bone Tumours -Deep Excision or other Operations for Scaphoid Fractures Sequestrectomy & Saucerisation - Superficial Sequestrectomy & Saucerizations -Deep Sequestrectomy & Saucerizations -Arthrotomy S.P.Nailing for Fracture Neck Femur Multiple Pinning Fracture Neck Femur Nail Plate Fixations for Fracture Neck Femur A.O.Compression Procedures for Fracture Neck Femur Open Reduction of Fracture Neck Femur Muscle Pedicle Graft and Internal Fixations Close Reduction of Dislocations Open Reduction of Dislocations Open Reduction of Dislocations Superficial Deep 765 1035 720 1350 360 450 2205 1800 1800 3600 6300 6300 3690 5400 7200 10800 4500 4500 6300 7200 8100 9000 10800 10800 13500 2070 4194 13860

850 1150 800 1500 400 500 2450 2000 2000 4000 7000 7000 4100 6000 8000 12000 5000 5000 7000 8000 9000 10000 12000 12000 15000 2300 4660 15400

899 900 901 902 903 904 905 906 907 908 909 910 911 912 913 914 915 916 917 918 919 920 921 922 923 924 925 926 927 928 929 930 931 932 933 934 935 936 937 938

Open Reduction of Fracture Dislocation & Internal Fixation Neurolysis/Nerve Suture Nerve Repair with Grafting Tendon with Transplant or Graft Tendon Lengthening/Tendon Sutures Tendon Transfer Laminectomy, Excision Disc and Tumours Spinal Ostectomy and Internal Fixations Anterolateral Clearance for tuberculosis Antereolateral Decompression and Spinal Fusion Costo Transversectomy Corrective Ostectomy & Internal Fixation Corrective Ostectomy & Internal Fixation Arthrodisis of Arthrodisis of Minor Joints Major Joints Minor Major

9000 9090 13500 7200 5400 7200 13500 18000 16200 18000 13500 9000 7200 7200 7200 5400 4500 12600 17820 4500 4500 7200 7200 10800 13500 14850 9090 6435 6705 10800 10800 13500 4140 2700 81000 90000 99000 90000 81000 67500

Soft Tissue Operations for C.T.E.V. Soft Tissue Operations for Polio Partial Hip Replacement Operations for Brachial Plexus & Cervical Rib Amputations Amputations Amputations Amputations Amputations Below Knee Below Elbow Above Knee Above Elbow Forequarter Major Minor

Amputations -Hind Quarter and Hemipelvectomy Disarticulations Disarticulations Arthroscopy Arthroscopy -

Arthrography & Osteomedullography Diagnostic Operative

Soft Tissue Operation on Knee Myocutaneous and Fasciocutaneous Flat Procedures for Limbs Removal of Nails, Wires & Screw Removal of Plates Total Hip Replacement Total Ankle Joint Replacement Total Knee Joint Replacement Total Shoulder Joint Replacement Total Elbow Joint Replacement Total Wrist Joint Replacement

10000 10100 15000 8000 6000 8000 15000 20000 18000 20000 15000 10000 8000 8000 8000 6000 5000 14000 19800 5000 5000 8000 8000 12000 15000 16500 10100 7150 7450 12000 12000 15000 4600 3000 90000 100000 110000 100000 90000 75000

Neuro-Surgery
939 940 941 942 943 944 945 946 947 948 949 950 951 952 953 954 955 956 957 958 959 960 961 962 963 964 965 966 967 968 969 970 971 972 973 974 975 976 977 978 979 980 Craniotomy and Evacuation of Haematoma -Subdural Craniotomy and Evacuation of Haematoma -Extradural Evacuation of Brain Abscess Excision of Lobe (Frontal, Temporal, Cerebelium etc.) Excision of Brain Tumours -Supratentotial Excision of Brain Tumours -Subtentorial Surgery of Cord Tumours Ventriculoatrial /Ventriculoperitoneal Shunt Excision of Cervical Inter-Vertebral Discs Sympathetectomy Sympathetectomy Subdural Tapping Ventricular Tapping Abscess Tapping Placement of ICP Monitor Urokinase Therepy for ICH Skull Traction Application Lumber Pressure Monitoring Vascular Malformations Peritoneal Shunt Atrial Shunt Meningo Encephalocoel Meningomyelocoel C.S.F. Rhinorrhaea Cranioplasty Posterior Cervical Dissectomy Anterior Cervical Dissectomy Brachial Plexus Exploration Microsuturing Median Nerve Decompression Peripheral Neurectomy (Tirgeminal) Trigeminal Rhiotomy Cranial Nerve Anastomosis Meningocoele Excision Peripheral Nerve Surgery Major Peripheral Nerve Surgery Nerve Biopsy Anterior Cervical Spine Surgery with fusion Anterior Lateral Decompression Brain Mapping Cervical or Dorsal Laminectomy Minor Ventriculo-Atrial Shunt (Exclud. Cost of valve) Lumbar Cervical 19125 19125 21420 24480 33660 33660 30600 15300 19890 10260 2250 18000 1602 1935 1935 1800 900 3150 4410 16020 8730 8730 28800 28800 28800 17460 14544 14544 10260 9900 9900 10260 7920 9000 12600 5400 8730 4950 21870 19440 2610 16740

Twist Drill Craniostomy

21250 21250 23800 27200 37400 37400 34000 17000 22100 11400 2500 20000 1780 2150 2150 2000 1000 3500 4900 17800 9700 9700 32000 32000 32000 19400 16160 16160 11400 11000 11000 11400 8800 10000 14000 6000 9700 5500 24300 21600 2900 18600

981 982 983 984 985 986 987 988 989 990 991 992 993 994 995

Combined Trans-oral Surgery & CV Junction Fusion C.V. Junction Fusion Depressed Fracture Discectomy Endarterectomy R.F. Lesion for Trigeminal Neuralgia Spasticity Surgery Spinal Fusion Procedure Spinal Intra Medullary Tumours Spinal Bifida Surgery Major Spina Bifida Surgery Minor Stereotaxic Procedures Trans Sphenoidal Surgery Trans Oral Surgery Trans Cranial Doppler

30780 21870 20430 19440 15030 18000 28080 22770 22770 12510 12510 15300 27900 27000 2250

34200 24300 22700 21600 16700 20000 31200 25300 25300 13900 13900 17000 31000 30000 2500

Vascular Surgery
996 997 998 999 Patch Graft Angioplasty Femoropopliteal by pass procedure Thrombendarterectomy Surgery for Arterial Aneursysm -Distal Abdominal Aorta 18270 21870 18270 25200 29160 31500 25200 29250 31500 10980 14040 11250 17100 17460 45000 23815.80 18000 18000 19800 18000 20700 18000 18180 9270

1000 Surgery for Arterial Aneursysm -Upper Abdominal Aorta 1001 Surgery for Arterial Aneursysm -Vertebral 1002 Intrathoracic Aneurysm -Aneurysm not Requiring Bypass Techniques

20300 24300 20300 28000 32400 35000 28000 32500 35000 12200 15600 12500 19000 19400 50000 26462 20000 20000 22000 20000 23000 20000 20200 10300

1003 Intrathoracic Aneurysm -Requiring Bypass Techniques 1004 Dissecting Aneurysms 1005 Stripping of Short or Long Sephenous Veins 1006 Ligation of Ankle Perforators 1007 Excision and Skin Graft of Venous Ulcer 1008 Venous Thrombectomy 1009 Lymphatics Excision of Subcutaneous Tissues In Lymphoedema 1010 Vascular Procedure Major 1011 Vascular Procedure Minor 1012 Surgery for Arterial Aneurysm Spleen Artery 1013 Surgery for Arterial Aneurysm Renal Artery 1014 Surgery for Arterial Aneurysm Carotid 1015 Surgery for Arterial Aneurysm Main Arteries of the Limb 1016 Operations for Acquired Arteriovenous Fistual 1017 Congenital Arterio Venous Fistula 1018 Operations for Stenosis of Renal Arteries 1019 Trendelenburg Operations

Paediatric Surgery
1020 Excision of thyroglossal Duct/Cyst 1021 Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach) 1022 Tracheo Oesophageal Fistula (Correction Surgery) 1023 Colon Replacement of Oesophagus 1024 Omphalo Mesenteric Cyst Excision 1025 Omphalo Mesenteric Duct1026 Meckels Diverticulectomy 1027 Omphalocele 1st Stage (Hernia Repair) 1028 Omphalocele 2nd Stge (Hernia Repair) 1029 Gastrochisis Repair 1030 Inguinal Herniotomy 1031 Congenital Hydrocele 1032 Hydrocele of Cord 1033 Torsion Testis Operation 1034 Congenital Pyloric Stenosis- operation 1035 DuodenalAtresia Operation 1036 Pancreatic Ring Operation 1037 Meconium Ileus Operation 1038 Malrotation of Intestines Operation 1039 Rectal Biopsy (Megacolon) 1040 Colostomy Transverse 1041 Colostomy Left Iliac 1042 Abdominal Perineal Pull Through (Hirschaprugis Disease) 1043 Imperforate Anus Low Anomaly -Cut Back Operation 1044 Imperforate Anus Low Anomaly Perineal Anoplasty Inperforate Anus High Anomaly -Sacroabdomino Perineal Pull 1045 Through 1046 Inperforate Anus High Anomaly 1047 Intususception Operation 1048 Choledochoduodenostomy for Atresia of Extra Hepatic Billiary Duct Closure of Colostomy Excision 7650 11340 15300 16992 11025 11025 9945 9945 10710 10710 8190 8190 8190 9585 9090 10215 14220 11700 12510 1530 8415 8415 11475 7020 9180 11475 5850 12456 13770 13770 14580 13770 13770 16830 12510 12510 14580 16920

8500 12600 17000 18880 12250 12250 11050 11050 11900 11900 9100 9100 9100 10650 10100 11350 15800 13000 13900 1700 9350 9350 12750 7800 10200 12750 6500 13840 15300 15300 16200 15300 15300 18700 13900 13900 16200 18800

1049 Operation of Choledochal Cyst 1050 Nephrectomy for -Pyonephrosis 1051 Nephrectomy for Hydronephrosis 1052 Nephrectomy for -Wilms Tumour 1053 Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour 1054 SacroCoccygeal Teratoma Excision Debulking

1055 Neuroblastoma

1056 Neuroblastoma Total Excision 1057 Rhabdomyosarcoma wide Excision

Gynae, Operation Charges

1058 Abdominal Hysterectomy 1059 Vaginal Hysterectomy 1060 Myomectomy 1061 Vaginoplasty 1062 Laparotomy (Ectopic Pregnancy) 1063 Vulvectomy (Simple/Radical) 1064 RVF Repair 1065 Other Major Operations 1066 Manchester Operations 1067 Perineorrhaphy 1068 Colporraphy 1069 Modified Gilliam 1070 Shirodkars Operation 1071 Diagnostic Curettage 1072 Fractional Curettage 1073 D & C and Cervical Biopsy 1074 Polypectomy 1075 Other-Minor Operation 1076 Excision Vaginal Cyst/Burtholin Cyst 1077 Excision Vaginal Septum 1078 Laparoscopy Diagnostic 1079 Laparoscopy Sterilisation 1080 Laparoscopy Operative 1081 Laparoscopy LAVH 1082 Drilling of Overy 1083 Ectopic pregnancy 1084 Hysteroscopy TCRE 1085 Hysteroscopy Removal of IUCD 1086 Hysteroscopy Removal of Septum 1087 Hysteroscopy Diagnostic 1088 Werthimas Hystrectomy for Cancer cervix 1089 Sterilisation Post Pertum 1090 Sterilisation Intravaginal 1091 Abortion- D & C 1092 Abortion- Evacuation 1093 MTP- 1st Trimester 1094 MTP - 2nd Trimester 11700 11700 10260 11430 10260 13995 13005 14400 11700 8415 9945 9000 6750 1620 1800 2070 990 2340 2295 3060 3636 3870 9180 19800 10530 12060 9945 5850 7425 5130 18900 2700 2610 2700 1980 1980 3150

13000 13000 11400 12700 11400 15550 14450 16000 13000 9350 11050 10000 7500 1800 2000 2300 1100 2600 2550 3400 4040 4300 10200 22000 11700 13400 11050 6500 8250 5700 21000 3000 2900 3000 2200 2200 3500

Laproscopic Operations In Gen. Surgery / Gastrohepatic / Nephro1095 Laproscopic Pyloromyotomy 1096 Laproscopic Gastrostomy 1097 Laproscopic Closure of Perforated peptic ulcer 1098 Laproscopic Vagotomy Pyleroplasty/ gastro jejunostomy 1099 Laproscopic umbilical hernia repair 1100 Laproscopic ventral hernia repair 1101 Laproscopic cystogastrostomy 1102 Lap. Cholecystectomy & CBD exploration 1103 Lap. Hydatid of liver surgery 1104 Lap. Hepatic resection 1105 Lap. Assisted small bowel resection 1106 Lap. For intestinal obstruction 1107 Lap. For intestinal perforation 1108 Lap. Assisted Right Hemicolectomy 1109 Lap. Assisted left Hemicolectomy 1110 Lap. Assisted Total Colectomy 1111 Laproscopic Rectopexy 1112 Lap. Asisted Abdominoperineal Resection of rectum 1113 Lap. Assisted anterior resection 1114 Laproscopic Cholecystectomy 1115 Laproscopic Appendicectomy 1116 Laaproscopic Hernia Repair 1117 Laproscopic Hiatus Hernia Repair 1118 Laproscopic Adrenalectomy 1119 Laproscopic Thyroidectomy 1120 Laproscopic Spleenectomy 1121 Laproscopic Colectomy 1122 Laproscopic donor Nephroctomy 1123 Infra red coagulation in Haemeroohoids 1124 Laproscopic Pyelolithotomy 1125 Laproscopic ureterolithotomy 14400 13680 17910 21240 22140 20160 18450 20790 21600 22500 18225 18720 18720 20880 20880 22500 21600 22500 22500 14760 14850 18090 18450 15120 21960 21600 22500 22500 5940 18270 15372

16000 15200 19900 23600 24600 22400 20500 23100 24000 25000 20250 20800 20800 23200 23200 25000 24000 25000 25000 16400 16500 20100 20500 16800 24400 24000 25000 25000 6600 20300 17080

Specialised Procedures / Investigations

1126 Cat Scan (C.T.) Head/ Brain - Without Contrast 1127 Cat Scan (C.T.) Head / Brain - with Contrast 1128 C.T. Head Scan Involv. Spl. Investigation - Without Contrast 1129 C.T. Head Involv. Spl. Investigation -with Contrast 1130 C.T. Chest (HRCT) - Without Contrast 1131 C.T. Chest (HRCT) - with Contrast 810 1260 1260 1710 1530 1926

900 1400 1400 1900 1700 2140

1132 C.T. Spine (Cervical,Dorsal,Lumbar,Sacral) -Without Contrast 1133 C.T. Spine (Cervical,Dorsal,Lumbar,Sacral) - with Contrast 1134 C.T. Cervical C.T. 3D Reconstruction only -1135 C.T. Guided Biopsy 1136 C.T. Guided percutaneous cath drainage 1137 C.T. Myelogram (Cervical Spine) - Without Contrast 1138 C.T. Myelogram (Cervical Spine) - with Contrast 1139 C.T. Myelogram (Lumbar Spine or D/S) - Without Contrast 1140 C.T. Myelogram (Lumbar Spine or D/S)- with Contrast 1141 C.T. Scan Chest - Without Contrast 1142 C.T. Scan Chest - with Contrast 1143 C.T. Scan Upper Abdomen - Without Contrast 1144 C.T. Scan Upper Abdomen - with Contrast 1145 C.T. Scan Lower Abdomen - Without Contrast 1146 C.T. Scan Lower Abdomen - with Contrast 1147 C.T. Scan Whole Abdomen - Without Contrast 1148 C.T. Scan Whole Abdomen - with Contrast 1149 C.T. Scan Neck (Thyroid Soft Tissue) - Without Contrast 1150 C.T. Scan Neck (Thyroid Soft Tissue) - with Contrast 1151 C.T. Scan Orbits - Without Contrast 1152 C.T. Scan Orbits - with contract 1153 C.T. Scan Limbs - Without Contrast 1154 C.T. Scan Limbs - with Contrast 1155 C.T. Scan Whole Body - Without Contrast 1156 C.T. Scan Whole Body - with Contrast 1157 C.T. Scan of Para Nasal Sinus - Without Contrast 1158 C.T. Scan of Para Nasal Sinus - with Constrast

1296 2070 2650.50 900 1080 1620 2302.20 1800 2302.20 1260 2092.50 1170 1882.80 1512 1882.80 1882.80 3060 1404 1746 1080 1575 1530 2070 6030 8100 1368 1674

1440 2300 2945 1000 1200 1800 2558 2000 2558 1400 2325 1300 2092 1680 2092 2092 3400 1560 1940 1200 1750 1700 2300 6700 9000 1520 1860

MRI
1159 MRI Head - Without Contrast 2250 3150 1530 4500 2250 4500 2250 4500 2250 4500 2250 4500 2250 4500 1160 MRI Head - with Contrast 1161 MRI Orbits - without Contrast 1162 MRI Orbits - with Contrast 1163 MRI Nasopharynx and PNS - Without Contrast 1164 MRI Nasopharynx and PNS - with Constrast 1165 MRI Neck - Without Contrast 1166 MRI Neck - with Contrast 1167 MRI Shoulder - Without Contrast 1168 MRI Shoulder - with Contrast 1169 MRI Shoulder both Joint - Without Contrast 1170 MRI Shoulder both Joint - with Contrast 1171 MRI Wrist Single Joint - Without Contrast 1172 MRI Wrist Single Joint - with Contrast

2500 3500 1700 5000 2500 5000 2500 5000 2500 5000 2500 5000 2500 5000

1173 MRI Wrist both Joint - Without Contrast 1174 MRI Wrist both Joint - with Contrast 1175 MRI Knee Single Joint - Without Contrast 1176 MRI Knee Single Joint - with Contrast 1177 MRI Knee both Joint - Without Contrast 1178 MRI Knee both Joint - with Contrast 1179 MRI Ankle Single - Without Contrast 1180 MRI Ankle Single - with Contrast 1181 MRI Ankle Both - Without Contrast 1182 MRI Ankle Both - with Contrast 1183 MRI Hip - Without Contrast 1184 MRI Hip - with Contrast 1185 MRI Pelvis - Without Contrast 1186 MRI Pelvis - with Contrast 1187 MRI Extremities - Without Contrast 1188 MRI Extremities - with Contrast 1189 MRI Temporomandibular Single Joint - Without Contrast 1190 MRI Temporomandibular Single Joint - with Contrast 1191 MRI Temporomandibular Double Joints - Without Contrast 1192 MRI Temporomandibular Double Joints - with contrast 1193 MRI Abdomen - Without Contrast 1194 MRI Abdomen - with Contrast 1195 MRI Breast - Without Contrast 1196 MRI Breast - with Contrast 1197 MRI Spine Screening - Without Contrast 1198 MRI Spine Screening - with Contrast 1199 MRI Chest - Without Contrast 1200 MRI Chest - with Contrast 1201 MRI Cervical Spine - Without Contrast 1202 MRI Cervical Spine - with Contrast 1203 MRI Lumber Spine - Without Contrast 1204 MRI Lumber Spine - with Contrast 1205 MRI Screening - Without Contrast 1206 MRI Screening - with Contrast 1207 MRI Angiography - Without Contrast 1208 MRI Angiography - with Contrast 1209 Mammography (Single side) 1210 Mammography (Both sides) 1211 Bone Densitometry Single site 1212 Bone Densitometry Two sites 1213 Bone Densitometry Three sites ( Spine , Hip & one extremity) 1214 Bone Densitometry Whole body 1215 2 D Echo with colour Doppler

900 4500 2250 4500 2250 4500 2250 4500 2250 4500 2250 4500 2250 4500 2250 4500 2250 4500 2250 4500 2250 4500 2250 4500 900 3600 2250 4500 900 4500 2250 4500 900 3600 1080 4500 405 486 720 720 720 720 675

1000 5000 2500 5000 2500 5000 2500 5000 2500 5000 2500 5000 2500 5000 2500 5000 2500 5000 2500 5000 2500 5000 2500 5000 1000 4000 2500 5000 1000 5000 2500 5000 1000 4000 1200 5000 450 540 800 800 800 800 750

1216 Trans Oesophaedral Echo (TEE) 1217 Holter Analysis 1218 Fluoroscopic Screening 1219 Holter Report (with Prd. Specification) 1220 Oxygen Saturation 1221 Cardiac Cath Angiography (W/o Coronary Angio) 1222 Aortogram 1223 Pulmonary function test 1224 Test for Pacemaker 1225 Package charges for Cardiovascular investigation 1226 Fibroptic Bronchoscopy with Washing/Biopsy 1227 Uroflow Study (Micturometry) 1228 Urodynamic Study (Cystometry) 1229 Cystoscopy with Retrograde Catheter -Unilateral 1230 Cystoscopy with Retrograde Catheter - Bilateral 1231 Cystoscopy Diagnostic 1232 Cystoscopy with Bladder Biopsy 1233 Voiding-cysto-urethrogram 1234 Renal Transplant Evaluation 1235 Whole body scan 1236 Spect bone Scan 1237 Bone Marrow Scan 1238 Scan (Spect) 1239 Stress Thallium 1240 Muga (Resting) 1241 Muga (Stress) 1242 A.V. Fistula 1243 Coronary Angiography

1170 720 108 1080 76.50 10215 2925 270 292.50 513 2070 360 360 2295 3645 1755 2205 270 630 1454.40 1980 1350 2163.60 2700 1980 2520 3600 9000

1300 800 120 1200 85 11350 3250 300 325 570 2300 400 400 2550 4050 1950 2450 300 700 1616 2200 1500 2404 3000 2200 2800 4000 10000

Cobalt 60 Therapy
1244 Radical Treatment 1245 Palliative Treatment 1246 Adjustment Therapy 18090 9090 14535

20100 10100 16150

Linear Accelerators
1247 Radical Radiotherapy Linear 1248 Palliative Radiotherapy Linear 22716 22500

25240 25000

Brachy Therapy
1249 Intracavitary 900

1000

Interestical (Implant)
1250 Head & Neck 1251 Breast 1252 Soft Tissue Sarcome 7290 8730 10899

8100 9700 12110

Chemotherapy Charges
1253 Single Drug Therapy per day 1254 Multiple Drug Therapy per day 1255 Infusional Chemotherapy 360.00 585.00 675.00

400 650 750

The rates indicated above are for semi-private ward category. There will be 15% increase in package rates for treatment in private ward & 10% decrease in package rates for treatment in General ward. Rates for all other procedures and investigations will be same for all categories.cost of implants will be extra,as per ceiling rates.