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Page 1: NARAYANA Hrudayala - Tariff
Page 2: NARAYANA Hrudayala - Tariff

Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 1 of 81

Schedule of Charges is effective from 01 January 2012 till the next revision,

any further addition / modification required will be done as on addendum/

amendments till the next revision.

DISCLAIMER

All the efforts have been made to ensure that there are no inconsistencies

or typographical error in the schedule. Nevertheless if any error is noted, it

may please be brought to the notice of the billing in charge.

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 2 of 81

TABLE OF CONTENT

S. No. NAME OF ITEM PAGE NO. 1 HOSPITAL PROFILE 3-9 2 DOCTORS LIST 10-13 3 REGISTRATION CHARGE,OPD CONSULTATION & OTHER OPD PROCUDERE 14-15 4 PREVENTIVE HEALTH PACKAGES 16-18 5 IN PATIENT DEPARTMENT (IPD) CONSULTATION 19-20 6 BILLING GUIDELINES 21 7 CARDIAC VASCULAR & THORACIC SURGERY PACKAGES 23-24 8 CARDIAC CATHETERIZATION (CATH LAB) PACKAGES 25-27 9 ORTHOPAEDICS OPD PROCEDURES 28 10 ORTHOPAEDICS SURGERY PACKAGES 29 11 ORTHOPAEDICS GENERAL PROCEDURES 30-31 12 ARTHROSCOPY PROCEDURES 31 13 SPINE SURGERY PROCEDURES 33-34 14 HAND JOINT & PEDIATRIC SURGERY PROCEDURES 35 15 JOINT REPLACEMENT SURGERY PROCEDURES 35 16 NEUROSURGERY PROCEDURES 37-41 16 NEPHROLOGY & DIALYSIS PROCEDURES 42 17 UROLOGY SURGERY PROCEDURES 43-46 18 UROLOGY SURGERY PACKAGES 47 19 GENERAL SURGERY PROCEDURE & PACKAGES 48 20 GYNAECOLOGY OPD PROCEDURE & SURGERY PACKAGES 49 21 GYNAECOLOGY SURGERY PROCEDURES 49-50 22 OBSTETRICS PACKAGES 51 23 ONCO. GYNAECOLOGY PACKAGES 52 24 GYNAECOLOGY OTHER PACKAGES 53 25 POLICY OF DIFFRENTIAL CHARGES FOR RADIOLOGY 55 26 RADIOLOGY INVESTIGATIONS 56-65 27 POLICY OF DIFFERNTIAL CHARGES FOR DIAGNOSTICS 66 28 NON INVASIVE INVESTIGATIONS 67-68 29 POLICY OF DIFEERNTIAL CHARGES FOR PATH LAB 69 29 PATH LAB INVESTIGATIONS 70-81 30 RRE SURGICAL INVESTIGATIONS PACKAGES 82

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 3 of 81

Narayana Hrudayalaya Group of Hospitals

Narayana Hrudayalaya is now, without a shadow of doubt, the spark that has radically changed the scenario of accessibility, pricing and state of the art healthcare in India. Originally, the radical new concept, started as the Spartan Narayana Hrudayalaya Heart Hospital Bangalore by the founder Dr. Devi Prasad Shetty, has eventually evolved as a truly global healthcare provider. Our current facilities allow for 4000 beds and we positively look at being able to equip and service 30,000 beds by 2015.

Dr. Devi Shetty has over the past three decades re affirmed his commitment to ‘An equitable distribution of world class healthcare for the masses at an affordable cost’. Our group’s firm belief in the mission statement and its core values, helps reinforce our everlasting commitment to the people of Rajasthan. Narayana Hrudayalaya will bring this very same revolutionary concept to the state and its people with the promise of an affordable one stop health solution.

“We aim to reproduce the highly efficient Healthcare model of Narayana Hrudayalaya Hospitals in Jaipur & other Northern regions of the country.”

Narayana Hrudayalaya Hospital, Jaipur

We are located on Hrudayalaya avenue, off Kumbha marg at Pratapnagar in New Sanganer, Jaipur. This

sprawling 4.7 acre campus has its commitment for all to view as you arrive at the campus, in a multi-faith place

of worship .It reaffirms our commitment to society, with no distinction in classes, religion or faith. This is a

`Temple of healing ‘and that sentiment echoes throughout a patient’s experience at NH hospital.

You see a hospital that is functional as phase 1 with a capacity of 200 beds that includes tertiary intensive care

beds with additional intermediate care areas and wards. We offer centers of excellence that have a unique

multidimensional approach to patient care - The Heart centre, The center for Bone, Joint and Spine, The

division of Renal sciences and Transplant Urology ,The Advanced center for Minimal Access surgeries and the

Maternity and Child unit to name a few.

Ensuring quality medical treatment at Narayana Hrudayalaya Hospital Jaipur, are the most comprehensive facilities available in Rajasthan which includes a 64 slice CT scan machine, 1.5 tesla MRI, Nuclear medicine, touch screen monitors, world class dialysis facility , and a flat panel Cath lab, to name a few. The idea is to bring together our group’s vision, its eclectic view of healthcare for the common person and the expertise of multidisciplinary specialists.

The idea is to bring together our group’s vision, its eclectic view of healthcare for the common person and the expertise of multi-disciplinary specialties whose brief description as follows:

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 4 of 81

CARDIOLOGY AND CARDIAC SURGERY

Narayana Hrudayalaya Hospital, Jaipur has put together a team of experts for achieving excellence in cardiac

treatment .The cardiac operation theatre is equipped for cardiac bypass and off pump beating heart surgery,

exclusive cardiac surgical ICU recovery, new top of the line cath lab and a advanced heart command centre

with latest monitoring system which provides comprehensive invasive and non invasive services by highly

trained and skilled medical and para-medical staff.

NEUROSCIENCES

The Department of Neurosciences at Narayana Hrudayalaya Hospital, Jaipur offers evaluation and care of

patients with Stroke, Backache, Spinal disorders, Neuro Oncology, Epilepsy, Facial Pain and Headache etc in

specialty clinics. The Hospital offers state-of-the-art surgical facilities for Microscopic Neurosurgery as well.

The department is backed by most advanced Neuro-Imaging for accurate diagnosis like 64 Slice CT Scan &

Magnetic Resonance Imaging.(MRI) and treatment of most Neurological disorders, and Electrophysiological

tests.

NEPHROLOGY AND UROLOGY

At our dedicated Nephrology unit, there is a dialysis centre equipped with state-of-the art dialysis machines and

a dedicated RO (reverse osmosis) water plant. Acute & chronic renal failure cases would be accepted. Two

CRRT machines would be available to enhance the dialysis repertoire.

GASTROENTEROLOGY

The specialized teams of doctors conduct advanced treatment for disorders of the liver, biliary tract, pancreas,

and other GI endoscopy and ERCP, sclerotherapy, banding, stenting polypectomy, and so on. Bariatric surgery

would also be undertaken.

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 5 of 81

ORTHOPAEDICS AND JOINT REPLACEMENT

The Narayana Hrudayalaya Hospital is fully equipped for joint replacement surgery (knee, hip, ankle and

shoulder). Two dedicated Operation Theatres of International level where high-end procedures and minimally

invasive surgeries (arthroscopy) are performed. They are equipped with-

• Laminar flow systems

• State of the art implants

• Infection free post operative care

• State of Art Physiotherapy & rehabilitation Centre

TRAUMA CARE AND EMERGENCY SERVICES

The Narayana Hrudayalaya Hospital, Jaipur has well-equipped seven bedded triage and an emergency

Operation Theatre supported by ICU where Critically ill and polytrauma patients are attended in an integrated

manner and supported round the clock by team of physician, Radiologist, Anesthesiologist, General ,Orthopedic

and Neurosurgeon and specially trained nursing staff.

The Hospital has Code Blue team comprises a team of a emergency Physician, Cardiologist, Anesthetist and a

Nurse who responds to all such Emergencies.

The distance between emergency –Triage- Operation Theatre- Cath lab has been kept minimal for the speedy

approach of facilities and medical staff.

CRITICAL CARE

The patients who require acute advanced care are taken to Critical Care unit which does round the clock

observation. The Critical Care Unit facilitates:-

• Forty Three bedded Critical care unit with nurse to patient ratio of 1:1 having advanced ventilators and

monitoring systems.

• International Protocols of Nursing care

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 6 of 81

• Bedside arterial blood gas analysis & Imaging i.e. X-ray, ultrasonography, echocardiography, peripheral

Doppler

• Bedside Haemodialysis, endoscopy and bronchoscopy.

• Microprocessor controlled capable of providing ventilatory support to adults and children

MOTHER AND CHILD CARE

The Narayana Hrudayalaya Hospital provides ideal set-up both for mother and child alike. A dedicated LDR

complements the other labour rooms and state-of -the -art foetal monitoring system for complete safety of both

mother and child are available. Laparoscopic as well as other gynecological surgeries are undertaken. The

labour rooms can well facilitate all emergency cases round the clock. For Child health care the hospital is

equipped with:

• Level 3 neonatal intensive care facilities for babies

• Implementation of clinical contemporary protocols of resuscitation at birth,

• Timely immunization, feeding advice and health ante-natal & post natal checkups.

• Special clinics for asthma, epilepsy, adolescent health, child psychology and high-risk newborns.

At NARAYANA HRUDAYALAYA HOSPITAL, we offer pain free delivery for first time in Rajasthan by a

team of highly experienced staff.

PULMONARY MEDICINE

The centre offers an integrated approach for the treatment and management of Pulmonary diseases as well as

respiratory problems. Procedures like broncho-alveolar lavage, brush cytology, bronchial / transbronchial

biopsy, needle aspiration cytology and interventional bronchoscopy are performed.

BURNS, PLASTIC SURGERYY, COSMETIC& RECONSTRUCTIVE SURGERY

Specialized corrective procedures for congenital anomalies, facial injuries, scars and reconstructive work are

undertaken. Treatment for acute burns and related post burn corrective procedures are performed by highly

experienced doctors.

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 7 of 81

INTERNAL MEDICINE

Protocols for evidence-based medicine are followed in the treatment of general medical disorders including

infections, degenerative and metabolic disorders and clinical immunology etc.

DIABETES & ENDOCRINOLOGY

With the change in lifestyles, advanced therapeutic modalities for complicated disorders of thyroid, pituitary

and other metabolic diseases like diabetes, hormonal and growth disorders are thoroughly investigated here.

• Adult & Childhood Diabetes

• Adult and Childhood Obesity

• Metabolic and Lipid disorders

• Thyroid disorders

PHYSIOTHERAPY & REHABILITATION CENTRE

Chest Physiotherapy (CTVS) and rehabilitation for joint diseases, stroke, backache, trauma and so on is

provided by well trained staff and facilitated by latest gadget

NUTRITION

Professionally managed Dietetics Department supervise all meals with special emphasis on disease specific

menu, and Nutritional requirements.

Preventive Health Check Unit

Well designed comprehensive and preventive health packages for executives as well as for general population,

including an array of blood tests, X-rays, Ultrasound, TMT, ECG, Pulmonary Function test, Echocardiography,

Eye and Dental check up.

RADIO DIAGNOSIS AND IMAGING

The Narayana Hrudayalaya Hospital Jaipur is equipped with,

• Highly advanced 64 slice CT scan machine

• 1.5 tesla MRI machine.

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 8 of 81

• 500 MA X ray machines

"The World Class Dialysis Program supported by ARCS, USA, enhances the delivery with reducing variability

in delivery of care for patients undergoing Dialysis."

Sonography unit caters for multifaceted services for abdomen, small part and Obstetric mapping round the

clock. Equipment consists of colour & power Doppler and interventional ultrasound.

PATHOLOGY & MICROBIOLOGY

Pathology services include biochemistry, microbiology and histopathology & Range of tests offered exceeds

3000 from routine to rare ones. It strictly follows the protocols of the college of American Pathologists (CAP).

The result is cutting edge accuracy and speed in investigation, enabled by the high-tech procedures and state of

the art equipment.

COMFORT, SAFETY AND SUPPORTIVE CARE

Total environment control with proper treatment of air and water, well-provided waiting space, sophisticated

and well stocked pharmacy and facilities for communication and refreshment enhance patient comfort.

The hospital is networked for global connectivity and supported by state-of-the –art medical gas system, central

sterile supply, laundry and full backup power generation.

Solar Water Heater System

Renewable energy systems are our most effective strategy for preventing air, water and land pollution. They

also help our economy and national security by reducing our huge dependency on imported fossil fuels. Thus, to

help preserve our natural supplies and decrease air pollution locally, the hospital has implanted solar water

heater system in its infrastructure which would conserve not only electricity but also natural resources.

Support Services

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 9 of 81

• 24 Hour Chemist shop

• Patient attendant rest areas

• 24 hour Multi-cuisine Cafeteria

Some call Narayana Hrudayalaya a temple, Some chose to call it the abode of saints who heal. To some, it's a

last chance of survival. But to no one, is this just a hospital. In its genre, Narayana Hrudayalaya, Bangalore

may well be one of the biggest hospitals in the world, but the fact that it’s one of the biggest hospitals, with a

heart, is becoming legendary. It is intended to replicate this concept in Jaipur.

*******

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 10 of 81

LIST OF CONSULTANTS

S.No. Name Qualification Specialty/Discipline Department of Cardiac Sciences

1 Dr. Sandeep Attawar M.Ch. Surgeon in Chief & Director Cardiac Services

2. Dr. C. P. Shrivastav M.Ch. Chief Cardiac Surgeon

3. Dr. Mahesh Wadhwani M.Ch Junior Consultant-CTVS

4. Dr. Hemlata Verma M.Ch. Junior Consultant - CTVS

5. Dr. Sohail Ahmed MCPS (Surgery), MS (CTVS) Fellow in Cardiac Surgery

CARDIOLOGY

5 Dr. Ashok Jain D.M. Consultant Interventional Cardiology

6 Dr. Devendra Kumar Shrimal D.M. Consultant Interventional Cardiology

7 Dr. Kapil Kumawat D.M. Fellowship in Electrophysiology & Pacing (Melbourne, Australia)

Consultant- Interventional Cardiology & Electrophysiology

8 Dr. Ruchi Gupta D.M. MRHS, FSCA Consultant Interventional Cardiology

9 Dr. Ram Chitlangia D.M. Associate-Consultant Interventional Cardiology

Pediatric Cardiology

10 Dr. Anamika Mehta M.D., F.N.B. Consultant- Pediatric Cardiology

11 Dr. Prashant Mahawar

M.D., F.N.B.Fellowship in pediatric cardiology from “The Children’s Hospital at Westmead” Sydney, Australia

Consultant- Pediatric Cardiology

Department of Renal Sciences

12 Dr. (Brig) Anuj Rajvanshi D.M. Consultant-Nephrology

13 Dr. Kamal Kumar Kaswan D.M. Consultant-Nephrology

14 Dr. Ravi Gupta M.S., DNB, MRCS Ed (UK), MNAMS

Consultant-Urology

15 Dr. Ritesh Mehta M.S., DNB, Consultant-Urology

Department of Neurology

16 Dr. Krishan Kumar Bansal M.Ch. (Neurosurgery) Consultant- Neurosurgery

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 11 of 81

17 Dr. Surya Prakash Patidar MD (Pediatrics), DM (Neurology)

Associate - Consultant Neurology

Institute of Bone Joint & Spine

18 Dr. Neeraj Aggarwal M.S. Fellowship in Joint Replacement Surgery (Mumbai & Germany)

Consultant Orthopedics & Joint Replacement Surgery

19 Dr. Saurabh Mathur M.S., Fellowship in Sports Medicine (SGH Singapore)

Consultant Orthopaedics & Arthroscopy & Sports Medicine Surgeon

20 Dr. Lalit Sharma M.S., Fellowship in spine surgery(NUH,Singapore)

Consultant Orthopedics & Spine Surgery

21 Dr. Girish Gupta D. Orthopedics, Carl Zeiss Fellowship in Hand & Microvascular Surgery

Consultant Orthopedics, Hand & Upper Limb surgery

Department of G.I. Sciences

22 Dr. Saket Agarwal D.M. Consultant-Gastroenterology

23 Dr. Monika Gupta M.Ch. Consultant Laparoscopy & G.I. Surgery

Department of Medicine & Allied Specialties

24 Dr. P. D. Khandelwal M.D. Consultant- Internal Medicine

25 Dr. Alok Mathur M.D. Consultant- Internal Medicine

26 Dr. Ajay Nair M.D., IDCC Consultant-Internal Medicine

27 Dr. Shubhranshu M.D. (Pulmonology), DCC Consultant Pulmonology

Department of Surgery & Allied Specialties

28 Dr. J. M. Mehta M.S., MANS, FACS Consultant- General Surgery

29 Dr. Ramkaran Choudhary MS General Surgery Visiting Consultant - General & Laparoscopy Surgery

30 Dr. Hemendra Sharma MS General Surgery Visiting Consultant - General & Laparoscopy Surgery

Department of Obstetrics & Gynecology

31 Dr. Usha Aggarwal M.S. Consultant Obs. & Gynecology

32 Dr. Rakhi Jain M.S. Consultant Obs. & Gynecology

33 Dr. Richa Chaudhary M.S. Consultant Obs. & Gynecology

34 Dr. Aabha Gupta M.S. Visiting Consultant Obs. & Gynecology

35 Dr. Mridul Gehlot M.S.,FICOG, FICMCH Consultant Gyne Oncology

Department of Pediatrics & Neonatology

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36 Dr. Pinkoo Attawar M.D. Consultant Pediatrics

37 Dr. Vijay Shankar Sharma M.D. Consultant Neonatology

PAEDIATRIC SURGEON

38 Dr. A. K. Sharma M.Ch. Visiting Consultant Pediatric Surgeon

PLASTIC SURGERY

39 Dr. Sandeepan Mukul M.Ch. Visiting Consultant Plastic Surgeon

40 Dr. Ambrish Gupta M.Ch. Visiting Consultant Plastic Surgeon

PSYCHIATRY

41 Dr. Gaurav Rajender DNB Consultant- Psychiatry

DERMATOLOGY

42 Dr. Komal Gupta M.D. Visting Consultant Dermatology & STD

43 Dr. Sachin Sarda M.D Visting Consultant Dermatology & STD

44 Dr. S. R. Shukla M.D. Visting Consultant Dermatology & STD

ENT

45 Dr. Sanjay Agrawal MS (ENT) Visiting Consultant-ENT

46 Dr. Rishabh Jain MS (ENT) Visiting Consultant-ENT

OPHTHALMOLOGY

47 Dr. Ankur Sinha M.D. (Ophthalmology) Consultant-Ophthalmology

48 Dr. Ajai Pal Singh Jhinja M.D. (Ophthalmology) Consultant-Ophthalmology

Department of Anesthesia

49 Dr. Prabhat Dutta MD , PDCC Consultant Cardiac Anesthesiology

50 Dr. Shailendra Motwani MD Anesthesiology Clinical Assistant- Anesthesiology

51 Dr. Vivek Bhargava M.D. Asst. Consultant Anesthesiology

52 Dr. Avinash Chauhan MBBS, MD (Anesthesia), Fellowship in Cardiac Anesthesia

Associate Consultant - Anesthesiology

53 Dr. Mohd. Aquil MBBS, D.N.B. Jr. Consultant Anesthesiology

54 Dr. Amit Khawas MBBS, DA JC - Anesthesiology & critical care

55 Dr. Minakshi Agarwal M.D. JC - Anesthesiology & critical care

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56 Dr. Hemesh Singhal M.D. (Anesthesia) Assistant Consultant-Anesthesia & Critical Care

Department of Physiotherapy & Occupational Therapy

57 Mr. Bharat Rajpurohit MPT Physiotherapist

58 Ms. Priyanka Gupta MPT Physiotherapist

59 Mr. Vikas Mathur MPT Physiotherapist

Department of Diagnostics

60 Dr. Samiksha Sharma MBBS, DNB Pathology

61 Major (Dr.) Anil Sharma M.D. Microbiologist

62 Dr. Pallavi Maheshwari MBBS, DIHBT Medical Officer-Blood Bank & Transfusion Medicine

63 Dr. Jainendra Jain DMRD, DNB-Radio-Diagnosis Consultant Radiologist

64 Dr. Pankaj Verma DMRD, DNB-Radio-Diagnosis Consultant Radiologist

65 Dr. Manish Saxena M.D. (Radio-Diagnosis) Consultant Radiologist

66 Dr. Swati Jain M.D. (Radio-Diagnosis) Consultant Radiologist

Department of Dietetics

67 Ms. Kapila Jain MSc-Food & Nutrition Dietician

68 Ms. Tripti harshwal MSc-Food & Nutrition Dietician

Department of Critical care & Emergency

69 Dr. Vivek Bhargava M.D. Asst. Consultant Anaes.

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OPD Charges

OPD Charges

1. Hospital Registration charge

a Rs. 50/- b. Shall be applicable for first OPD service

2. OPD consultation

Consultation charges (For Non Super specialties)- Rs. 150/- visit b. Physiotherapy consultation charges – Rs. 100/-

c. Diet consultation charges – Rs. 100/- d. OPD Referral- Rs. 150/- (applicable for same day only) e. All consultations are valid for 7 days (counted from the day of billing)

Upto a maximum of 2 visits to the same consultant. f. Consultation Charges for super Specialties Services As follows:-

Super Specialist

Services Rs. Cross Referral (Rs.)

Cardiac Surgery 300 300

Cardiology 300 300

Neurology 300 300

Neuro Surgery 300 300

Nephrology 300 300

Urology 300 300

Gastroenterology 300 300

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Preventive Health Check Programme

Why to go for health check up? Face a few facts

• One out of every 4 person in India is a diabetic. • In another 20 years, India will have the large population of diabetics in the words. • In Urban India, one out of every 4 adults has hypertension or high blood pressure. • Diabetics and hypertensive account for 2/3rd of the total care of kidney failure. • 10 million new cases of cancer are reported every year and over 5 million people die of cancer every year.

Oral and lung cancer, directly attributable to tobacco consumption, is the biggest killer amongst Indian males. • Over 30 % women, in the age of 50 year are likely to develop osteoporosis.(Bone disease). • One in 30 women, in the age group of 20-74 years has breast cancer.

As mentioned above lethal diseases are now threatening us. Fortunately, these diseases are easily preventive. Irresponsible dietary habits, perpetual stress, smoking, excessive alcohol consumption and irregular working hours all contribute towards these diseases. Most of the diseases are silent. One often does not have any early symptoms. Hence regular screening tests are the only way for early detection. At Narayana Hrudayalaya, Jaipur is totally committed to the age old adage. NH J has various preventive health check packages which have been specially designed keeping in mind your needs. The focus of the check up is on administering a truly standardize and medically correct set of tests. Medically incomplete Preventive check up can give you a fast sense of security, as they do not include certain tests, which might be of vital importance to you. The Preventive Health check up is designed keeping in mind the disease risk profile, which essentially varies with age and sex.

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Please go through the following guidelines before Health Check-up

• Health checks are done usually through prior appointments. Appointments can be taken for all weekdays except Sunday.

• We request you to kindly observe the appointment timings, so that reports can be provided to you on time for the consultation in the afternoon and you can finish the health check on time on the very same day.

• On the day of the appointment, please report between 8.00A.M to 9:00 AM at the reception of the health check department of Narayana Hrudayalaya Hospital.

• The Duration of the health check is approximately 5 to 6 Hrs depending upon the package you have selected. • You are advised to observe 12 hours of fasting. Hence it is recommended that you do not eat anything after 8:00

P.M. previous night. • You may drink water during fasting period. However, please refrain from consuming alcohol, tea, coffee and

other beverages for at least 12 Hrs. prior to the check up. • Men are requested to shave their chest to ensure a good ECG/Tread mill Test. • Please note that certain tests like X-Ray should not be done for pregnant women. Please advise us if this is the

case. • In case you are under certain daily medication (for blood pressure), then you can take your medication with

water and inform the same to the Health Check Executive before commencing the health check. You can also carry along medication (for diabetes) and take it as per the instruction of the health check Executives.

• In case you are under certain medication and/or are suffering from previous disease, you are advised to bring the previous Medical records.

• You are advised to remove all your jewelry before the health check. • For females, during menstruation PAP SMEAR test cannot be done. • Please inform the Front Desk in advance if you want any addition investigation or consultations to be done so

that we can schedule your appointment accordingly. • Such additional Tests/ Investigation/ Procedures/ Consultations will be billed separately in addition to the Health

Check package cost. • If your company is paying for the health check, an authorization letter from your company is required.

Fasting Plasma Sugar:

• Fasting period of 10-12 hrs required • Collect first voided med-stream morning urine for urine glucose

Post Prandial Plasma Sugar: • Blood and urine specimens collected 2 hrs after completion of meals

Lipid Profile • 12-14 hours of fasting required

Urine collection for Urine Routine • Urine must be voided directly into the container. • During the collection, the initial portion of the urine stream should be allowed to escape while the midstream

portion must be collected In case you require any further assistance please feel free to contact our front desk. NARAYANA HRUDAYALAYA HOSPITAL NARAYANA HRUDAYALAYA CLINIC Sec-28, Kumbha Marg, Pratap Nagar, G1/2, Paradise Complex, C – 61 A, Sanganer, Jaipur-302033 Sarojini Marg, C-Scheme, Jaipur-302001 Tel:- 0141-5192939 Tel:-0141-5105152, Mobile: 96940-96062 Email:- [email protected] Website:-www.narayanahospitals.com

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Preventive Health Check Packages Basic Health Check Up:- Rs. 600

Components

CBC Blood Glucose Random Urine Routine

ESR Total Cholesterol ECG

ABoRh S. Creatinine X-Ray Chest PA View Consultation by Internal Medicine

Basic Heart Check Up :- Rs.1600

Components

CBC Kidney Function Test ECG

Blood Glucose Fasting S. Calcium Tread Mill test/ 2 D Echo

Post Prandial Glucose Urine Routine Consultation by Cardiologist

LIPID PROFILE Chest X-Ray PA View Consultation by Dietician Complete Heart Check Up:- Rs. 2000

Components

CBC Kidney Function Test Chest X-Ray PA View

Blood Glucose Fasting Echocardiography ECG

Post Prandial Glucose Tread Mill test Consultation by Cardiologist

LIPID PROFILE S. Calcium Consultation by Dietician

Urine Routine 360° Heart Check Up Rs:- 7500

Components

CBC Echocardiography ECG

Blood Glucose Fasting Tread Mill test 64 Slice CT Coronary Angiography

Blood Glucose Post Prandial S. Calcium Consultation by Cardiologist

LIPID PROFILE Urine Routine Consultation by Dietician

Kidney Function Test Chest X-Ray PA View

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 18 of 81

Advance Health Package (Male):- Rs. 2200

Components

CBC S. Creatinine Consultation by Dietician

Blood Glucose Fasting Pulmonary Function Test Chest X Ray PA View

Post Prandial Glucose Ultrasound Whole Abdomen Blood Urea Nitrogen (BUN)

LIPID PROFILE PSA (age more than 50 Yrs.) ECG

Liver Function Test Consultation by Internal Medicine Advance Health Package (Female):- Rs. 2500

Components

CBC Pap Smear Ultrasound Whole Abdomen

Blood Glucose Fasting ECG Mammography

Post Prandial Glucose S. Calcium Consultation by Internal Medicine

LIPID PROFILE Blood Urea Nitrogen Consultation by Gynecologist

Liver Function Test S. Creatinine Consultation by Dietician

S.TSH Chest X-Ray PA View Master Health Check (Male) :- Rs. 2900

Components

CBC S. Uric Acid ECG

Blood Glucose Fasting HBsAg Ultrasound Whole Abdomen

Post Prandial Glucose B. Urea Chest X-Ray PA View

LIPID PROFILE Blood Urea Nitrogen (BUN) Consultation by Internal Medicine

Liver Function Test Tread Mill Test Consultation by Dietician

S. Creatinine Pulmonary Function Test

PSA (Age more than 50 yrs) Master Health Check (Female):- Rs. 3300

Components

CBC S. Creatinine Ultrasound Whole Abdomen

Blood Glucose Fasting Pap Smear Chest X-Ray PA View

Post Prandial Glucose HBsAg ECG

LIPID PROFILE S. Uric Acid Consultation by Internal Medicine

Liver Function Test S.TSH Consultation by Gynecologist

Blood Urea Tread Mill Test Consultation by Dietician

Blood Urea Nitrogen (BUN) Mammography

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IN PATIENT CHARGES (Rs.)

SL No

PARTICULARS General ward

Semi Pvt

(Twin Sharing

)

Pvt Delux

e SUIT

CCU / ITU / MICU

HDU NICU NHDU

A IN PATIENT BED Charges

Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs.

1 Admission Charges 100 100 100 100 100 100 100 100 100

1 Bed Charges per day (F & B and Nursing charges)

650 2150 3,000 3,750 4,000 2,750 2,000 2,400 1,600

2 Daily Visit Charges - per day

250 350 500 750 1,000 750 500 600 400

B BED CHARGES (TOTAL)

900 2,500 3,500 4,500 5,000 3,500 2,500 3,000 2,000

C

CROSS CONSULTATION / WARD VISIT Charges :

1 Visting Consultation Charges - per visit

150 300 400 500 600 250 200 250 200

D OTHER SERVICES :

1 Oxygen Charges - per hour

50 50 50 50 50 50 50 50 50

2 Oxygen Charges - more than 10 hrs

500 500 500 500 500 500 500 500 500

3 Ventilator Charges - per day ( adult/ Paediatric )

1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000

4 Ventilator Charges - per day ( BI-PAP/CI-PAP )- ICU

600 600 600 600 600 600 600 600 600

5 Infusion pump / Syring pump Charges(per day)

100 100 100 100 100 100 100 100 100

6 Epidural Catheter Insertion Charges

350 475 510 560 610 510 475 510 475

7 Alpha bed Charges per day ( Trans XL )

325 325 325 325 325 325 325 325 325

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8 Alpha bed Charges per day ( XL )

325 325 325 325 325 325 325 325 325

9 Alpha Bed Charges per day ( Nibus)

325 325 325 325 325 325 325 325 325

10 Nitrous Oxyde Charges per day

1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000

Note:-

1. Half day room rent shall be applicable upto 6 hrs, beyond 6 hrs of stay shall attract full day room rent 2. 24 hrs billing cycle on room rent shall be applicable

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Billing Guidelines for OT 1. Two Surgeries/ Procedures in single sitting, following billing policy shall be applicable:- a. Higher value surgery shall be considered as principal surgery & shall be charged 100% of procedure charges/

package charges b. Subsequent surgery with Lower value shall be considered as minor surgery & shall be charged 50% of Procedure

charges / package charges c. Standard inclusions shall remain as per principal surgery d. Shall be subject to differential pricing as per room category Policy on Differential Charges on Packages & Procedures:-

S. No.

Name of Ward % hike in tariff from base packages/ Procedures

1 General Ward Standard (100%)

2 Special General Ward 110% of Standard

3 Semi Private (twin occupancy) 125% of Standard 4 Private (single occupancy) 150% of Standard

5 Deluxe 200% of Standard

6 ICUs/ NICU 125% of Standard

7 HDU 110% of Standard

8 Night charges (only for unscheduled Surgeries)

200% of Standard

9 Emergency charges (between 10:00 PM to 7:00 AM and Sunday & Holidays)

200% of Standard

The differential charges shall be applicable on following billing items:-

• Procedure chargers (including surgeon charges, OT charges, Anesthesia charges) • Bed Side Procedure • Investigations

The differential charges shall not be applicable on followings billing items:

• Ambulance Charges • Drugs & Consumables • Prosthesis • Oxygen & Gases • Administrative charges • Equipment

Note:- • The Emergency charges shall not be applicable on Obg procedures • The ER charges shall be applicable on all Sunday/ holidays • The risk category policy shall be applicable along with differential charges

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Surgical Charges

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Cardio Vascular & Thoracic Surgery Packages (In Rs.) Ward Type General Ward Twin sharing Private Deluxe

Sl No Description

RISK A (Low Risk)

RISK B (Moder

ate Risk)

RISK C (High Risk)

RISK A (Low Risk)

RISK B (Moder

ate Risk)

RISK C (High Risk)

RISK A (Low Risk)

RISK B (Moder

ate Risk)

RISK C (High Risk)

RISK A (Low Risk)

RISK B (Moderate Risk)

RISK C (High Risk)

Vascular

1 Aorto Bifemoral bypass 93500 113500 133500 116900 136900 156900 140300 160300 180300 187000 207000 227000

2

Carotid Subclavian bypass 93500 113500 133500 116900 136900 156900 140300 160300 180300 187000 207000 227000

3

Abdominal Aortic Aneurysm repair 93500 113500 133500 116900 136900 156900 140300 160300 180300 187000 207000 227000

Thorasic

1 Thymectomy 93500 113500 133500 116900 136900 156900 140300 160300 180300 187000 207000 227000

Closed Heart Surgery

1 BT Shunt 77000 97000 117000 97000 117000 137000 115500 135500 155500 154000 174000 194000

2 Coarctation 77000 97000 117000 97000 117000 137000 115500 135500 155500 154000 174000 194000

3 PA Banding 77000 97000 117000 97000 117000 137000 115500 135500 155500 154000 174000 194000

4 PDA 77000 97000 117000 97000 117000 137000 115500 135500 155500 154000 174000 194000

5 BD Glen 77000 97000 117000 97000 117000 137000 115500 135500 155500 154000 174000 194000

6 Carotid Endarterectomy 77000 97000 117000 97000 117000 137000 115500 135500 155500 154000 174000 194000

Open Heart Surgery

1 ASD 88000 108000 128000 110000 130000 150000 132000 152000 172000 176000 196000 216000

2 CABG 99000 119000 139000 123800 143800 163800 148500 168500 188500 198000 218000 238000

3 AVR 99000 119000 139000 123800 143800 163800 148500 168500 188500 198000 218000 238000

4 MVR 99000 119000 139000 123800 143800 163800 148500 168500 188500 198000 218000 238000

5 VSD 99000 119000 139000 123800 143800 163800 148500 168500 188500 198000 218000 238000

6 AP Window 99000 119000 139000 123800 143800 163800 148500 168500 188500 198000 218000 238000

7 AV Canal 99000 119000 139000 123800 143800 163800 148500 168500 188500 198000 218000 238000

8 AV Repair 99000 119000 139000 123800 143800 163800 148500 168500 188500 198000 218000 238000

9 BD Glen on CPB 99000 119000 139000 123800 143800 163800 148500 168500 188500 198000 218000 238000

10 DVR 121000 141000 161000 151300 171300 191300 181500 201500 221500 242000 262000 282000

11 Ebstein 104500 124500 144500 130700 150700 170700 156800 176800 196800 209000 229000 249000

12 LA Myxoma 104500 124500 144500 130700 150700 170700 156800 176800 196800 209000 229000 249000

13 MV Repair 115500 135500 155500 144300 164300 184300 173300 193300 213300 231000 251000 271000

14 RSOV 104500 124500 144500 130700 150700 170700 156800 176800 196800 209000 229000 249000

15 SAM excision 104500 124500 144500 130700 150700 170700 156800 176800 196800 209000 229000 249000

16 Senning 132000 152000 172000 165000 185000 205000 198000 218000 238000 264000 284000 304000

17 TAPVC 132000 152000 172000 165000 185000 205000 198000 218000 238000 264000 284000 304000

18 TCPC (Complete 121000 141000 161000 151300 171300 191300 181500 201500 221500 242000 262000 282000

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Fontan)

19 TOFF 107800 127800 147800 134800 154800 174800 161700 181700 201700 215600 235600 255600

20 CABG + Carotid Endarectomy 121000 141000 161000 151300 171300 191300 181500 201500 221500 242000 262000 282000

21 CABG with ASD 137500 157500 177500 171900 191900 211900 206300 226300 246300 275000 295000 315000

22 CABG with AVR 148500 168500 188500 185700 205700 225700 222800 242800 262800 297000 317000 337000

23 CABG with MVR 148500 168500 188500 185700 205700 225700 222800 242800 262800 297000 317000 337000

24 Bental 154000 174000 194000 192500 212500 232500 231000 251000 271000 308000 328000 348000

25 Rasteli 132000 152000 172000 165000 185000 205000 198000 218000 238000 264000 284000 304000

26 Ross's Procedure 132000 152000 172000 165000 185000 205000 198000 218000 238000 264000 284000 304000

27 Arterial Switch / ASO 154000 174000 194000 192500 212500 232500 231000 251000 271000 308000 328000 348000

28 CABG on Pre-op Renal Dialysis 154000 174000 194000 192500 212500 232500 231000 251000 271000 308000 328000 348000

29 CABG with DVR 154000 174000 194000 192500 212500 232500 231000 251000 271000 308000 328000 348000

30 DOR's procedure 148500 168500 188500 185700 205700 225700 222800 242800 262800 297000 317000 337000

31 Truncus Arteriosis 132000 152000 172000 165000 185000 205000 198000 218000 238000 264000 284000 304000

32 Norwood 198000 218000 238000 247500 267500 287500 297000 317000 337000 396000 416000 436000

33 Post Infarct VSD 143000 163000 183000 178800 198800 218800 214500 234500 254500 286000 306000 326000

34 Double Switch / DSO 165000 185000 205000 206300 226300 246300 247500 267500 287500 330000 350000 370000

35 Pulmonary Endarectomy 143000 163000 183000 178800 198800 218800 214500 234500 254500 286000 306000 326000

36

Thoracic Aorta/Arch Replacement 220000 240000 260000 275000 295000 315000 330000 350000 370000 440000 460000 480000

37

Thoraco-abdomi aorta replacement 220000 240000 260000 275000 295000 315000 330000 350000 370000 440000 460000 480000

38 Unifocalization with shunt 165000 185000 205000 206300 226300 246300 247500 267500 287500 330000 350000 370000

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Cardiac Catheterization (Cath Lab) Packages (in Rs.)

Package

Code Package Name Package

Days GW(Rs.)

SPW(Rs.) PVT(Rs.) DLX(Rs.)

1 ANGIOGRAM PKG 1 9,000 11,300 13,500 18,000 2 ANGIOGRAM RENAL PKG 1 6,500 8,200 9,800 13,000 3 ANGIOGRAM RADIAL PKG 1 9,000 11,300 13,500 18,000 4 PERIPHERAL ANGIOGRAM PKG 1 6,500 8,200 9,800 13,000 5 AORTAGRAM PKG 1 6,000 7,500 9,000 12,000 6 CARDIAC CATH PKG 1 9,000 11,300 13,500 18,000

7 ANGIOGRAM (CAG, CARDIAC CATH (SAME SITTING)) PKG 1

13,500 16,900 20,300 27,000

8 CEREBRAL ANGIOGRAM PKG 1 9,000 11,300 13,500 18,000

9 CORONARY ANGIOGRAM, PERIPHERAL ANGIOGRAM (SAME SITTING) PKG 1

12,300 15,400 18,500 24,600

10 CORONARY ANGIOGRAM, RENAL ANGIOGRAM PKG 1

13,500 16,900 20,300 27,000

11 PULMONARY ARTERIAL ANGIOGRAM PKG 1

9,000 11,300 13,500 18,000

12 ANGIOPLASTY PKG 2 50,000 62,500 75,000 100,000 13 ANGIOPLASTY - PRIMARY PKG 2 72,000 90,000 108,000 144,000 14 ANGIOPLASTY RENAL PKG 2 50,000 62,500 75,000 100,000 15 PERIPHERAL ANGIOPLASTY (PTA) PKG 2 45,000 56,300 67,500 90,000 16 AORTIC STENT GRAFTING PKG 4 125,000 156,300 187,500 250,000

17 ANGIOGRAM & ANGIOPLASTY (SAME SITTING) PKG 2

50,000 62,500 75,000 100,000

18 ANGIOGRAM RENAL, ANGIOPLASTY RENAL (SAME SITTING) PKG 2

50,000 62,500 75,000 100,000

19 ANGIOPLASTY RENAL AND CORONARY ANGIOPLASTY PKG 2

75,000 94,000 112,500 150,000

20

PERIPERAL ANGIOGRAM, ANGIOPLASTY (PTA) - (SAME SITTING) PKG 2

45,000 56,300 67,500 90,000

21 PACE MAKER IMPLANTATION - SINGLE CHAMBER PKG 2

20,000 25,000 30,000 40,000

22 PACE MAKER IMPLANTATION - DOUBLE CHAMBER PKG 2

25,000 31,300 37,500 50,000

23 PG REPLACEMENT PKG 2 20,000 25,000 30,000 40,000 24 PG EXPLANTATION PKG 2 10,000 12,500 15,000 20,000 25 ABLATION OF VT PKG 1 35,000 43,800 52,500 70,000 26 CRT - P IMPLANTATION PKG 2 40,000 50,000 60,000 80,000

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Package Code

Package Name Package Days

GW(Rs.) SPW(Rs.)

PVT(Rs.) DLX(Rs.)

27 EPICARDIAL PACING PKG 2 22,500 28,100 33,800 45,000 28 AICD IMPLANTATION - SINGLE PKG 2 40,000 50,000 60,000 80,000 29 AICD IMPLANTATION - DOUBLE PKG 2 50,000 62,500 75,000 100,000

30 BALOON VALVULOPLASTY - AORTIC PKG 3

40,000 50,000 60,000 80,000

31 BALOON VALVULOPLASTY - MITRAL PKG 3

40,000 50,000 60,000 80,000

32 BALOON VALVULOPLASTY - PULMONARY PKG 3

40,000 50,000 60,000 80,000

33 SEPTAL ABLATION / PTSMA PKG 2 50,000 62,500 75,000 100,000

34 COARCTOPLASTY / BALLOON DIALATATION OF COA PKG 2

40,000 50,000 60,000 80,000

35 ELECTRO PHYSIOLOGIC STUDY WITH 2D PKG 1

10,000 12,500 15,000 20,000

36

ELECTRO PHYSIOLOGIC STUDY WITH 3D (COST OF CATHETER AND PATCH IS EXTRA) PKG 1

60,000 75,000 90,000 120,000

37 RADIO FREQUENCY ABLATION PKG 1 25,000 31,300 37,500 50,000 38 PDA DEVICE CLOSURE PKG 3 25,000 31,300 37,500 50,000

39 ANGIOGRAM, PDA DEVICE CLOSURE (SAME SITTING) PKG 3

29,500 36,900 44,300 59,000

40 CARDIAC CATH, PDA DEVICE CLOSURE PKG 3

30,500 38,100 45,800 61,000

41 ASD DEVICE CLOSURE PKG 3 30,000 37,500 45,000 60,000

42 CARDIAC CATH, ASD DEVICE CLOSURE (SAME SITTING) PKG 3

35,500 44,400 53,300 71,000

43 VSD DEVICE CLOSURE PKG 3 40,000 50,000 60,000 80,000

44 CARDAIC CATH, VSD DEVICE CLOSURE (SAME SITTING) PKG 3

45,500 56,900 68,300 91,000

45 COIL EMBOLIZATION (COIL CHARGE EXTRA) PKG 3

16,000 20,000 24,000 32,000

46 PDA COIL CLOURE (COIL CHARGE EXTRA) PKG 3

25,000 31,300 37,500 50,000

47 RSOV DEVICE CL PKG 3 30,000 37,500 46,900 58,600

48 CRT - D IMPLANTATION PKG (COMBO DEVICE) 2

60,000 75,000 90,000 120,000

49 Biventricular Pacing 3 60,000 75,000 90,000 120,000 50 Cardio Version 1 5,000 6,300 7,500 10,000 51 Carotid Angiogram 1 5,000 6,300 7,500 10,000 52 Carotid Angioplasty 2 50,000 62,500 75,000 100,000

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53 Check Angiogram 1 6,000 7,500 9,000 12,000 Package

Code Package Name Package

Days GW(Rs.)

SPW(Rs.) PVT(Rs.) DLX(Rs.)

54 CHECK EPS 1 6,000 7,500 9,000 12,000 55 Complex RF Ablation 3 45,000 56,300 67,500 90,000 56 EP + RFA 3 35,000 43,800 52,500 70,000 57 Impella Implantation 3 30,000 37,500 45,000 60,000 58 IVC Filter Implantation 1 11,000 13,750 16,500 22,000 59 IVUS CAG 1 18,000 22,500 27,000 36,000 60 Pacemaker lead replacement 2 20,000 25,000 30,000 40,000 61 Septostomy 3 30,000 37,500 45,000 60,000 62 Temp. Pacemaker 1 5,000 6,300 7,500 10,000 63 Pre Cardiac Centeisi 1 4,500 5,700 6,800 9,000 64 Cardiac Cath (Pediatric) 2 11,000 13,800 16,500 22,000

Note:-

1 All implants like Coil, Stent, Valve, Devices, etc are not included in package & will be charged as per applicable hospital tariff.

2 Pre cath profile is included in package. 3 Non Ionic contrast would be included in Package

4 Chargable Medicines and injections like Reopro, Integrillin would be charged extra.Chargable medicine list would be provided separately.

5 Any stay beyond the above package days would be chargeable. Blood Processing Charge would be extra 6 Primary PTCAs would be charged at Grade II

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Orthopedic OPD Procedures

S. No. Name of Procedure Charges (Rs.)

1 Aspiration 500

2 Aspiration of Joints 800

3 Cast Completion 300

4 Close Reduction of Fractures 1500

5 CTEV Cas BL 800

6 CTEV Cast UL 500

7 Debridement and Suturing ↓ LA 1000

8 Finger Tip Repair with K-wire fix ↓ LA 1500

9 Functional Cast Bracing 1000

10 Hip spica 1200

11 Intraarticular injection 800

12 Plaster Cast (above knee and elbow) 800

13 Plaster cast (below knee and elbow) 600

14 Plaster Removal 200

15 Plaster Slab (above knee and elbow) 500

16 Plaster Slab (below knee and elbow) 400

17 Skeletal Traction 2000

18 Steroid Injection 300

19 Strapping 150

20 Synthetic cast 1000

2. Drugs & Consumables would be charged extra

Note:-

1. Any implant if used would be charged extra

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Orthopedics Surgery Packages (In Rs.)

General (Rs.) Sp Twin Bed (Rs.) Private (Rs.) Deluxe (Rs.) S.

No. Package Category

Low Risk

High Risk Low Risk High

Risk Low Risk

High Risk

Low Risk

High Risk

1 Arthoscopy 15,000 16,500 19,000 21,000 22,500 25,000 33,000 36,000

2 Total Knee Replacement (B/L) 80,000 88,000 100,000 110,000 120,00

0 132,000 176,000 194,000

3 Ligament Reconstruction 22,000 24,000 27,500 30,000 33,000 36,000 48,000 53,000

4 Total Hip Replacement 41,000 45,000 51,000 57,000 61,500 67,500 90,000 100,000

5

Total Knee Replacement (U/L)

41,000 45,000 51,000 57,000 61,500 67,500 90,000 100,000

Note:-

1. Arthroscopy Package is for 1 day 2. Total Knee Replacement (B/L) is for 10 days 3. Total Knee Replacement (U/L) is for 8 days 4. Total Hip Replacement is for 8 days 5. Ligament Re-construction the package duration is for 3 days 6. Charges are inclusive of Investigation, Bed charges, Operation charges, Drugs & Consumables. 7. Charges of Implant, Bone Cement & Other Prosthesis are not part of these packages & would be charged extra. 8. For any stay beyond the package period Medicine, Consumables & investigations would be charged Extra

9.Category B package would be applicable for patients with co- morbid conditions

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Orthopedics General Procedure Charges (Rs.) S. No. Orthopedics Procedure

GW (Rs.)

S Pvt (Rs.)

PVT (Rs.)

DLX (Rs.)

1 Amputation above knee 11500 14400 17300 23000

2 Amputation upper limb and below knee 11500 14400 17300 23000

3 Bankart Repair 28800 36000 43200 57600 4 Biopsy deep 8100 10100 12200 16200 5 Biopsy superficial 5800 7300 8700 11600 6 Close Reduction of fractures 3500 4400 5300 7000

7 Complex intra articular # , comm. # 17300 21600 26000 34600

8 Core decompression 11500 14400 17300 23000

9 CR &Percutaneous Pinning Large Bone 8100 10100 12200 16200

10 CR &Percutaneous Pinning Small Bone 5800 7300 8700 11600

11 CTEV circumferential 13800 17300 20700 27600 12 CTEV postero-medial 11500 14400 17300 23000

13 Debridement & suturing under anesthesia (large) 8100 10100 12200 16200

14 Debridement & suturing under anesthesia (small) 5800 7300 8700 11600

15 Excision of large tumor hand 11500 14400 17300 23000 16 Excision of small tumor 5800 7300 8700 11600 17 External Fixator (open #) 11500 14400 17300 23000 18 Fasciotomy Major 11500 14400 17300 23000 19 Fasciotomy Minor 5800 7300 8700 11600

20 Fore quarter and hind quarter amputation 23000 28800 34500 46000

21 Fresh # with bone graft 17300 21600 26000 34600 22 Girdlestone Arthroplasty 11500 14400 17300 23000 23 Hallux Valgus/Varus 13800 17300 20700 27600 24 Hemi replacement Arthroplasty 13800 17300 20700 27600 25 I&D large 8100 10100 12200 16200 26 I&D small 3500 4400 5300 7000 27 Ilizarov 23000 28800 34500 46000

28 Implant Removal nails and plates 8100 10100 12200 16200

29 Implant Removal wire and screws 5800 7300 8700 11600

30 Ingrowing Toe Nail ↓ LA 1200 1500 1800 2400 31 Large joint arthrodesis 13800 17300 20700 27600 32 Manipulation ↓ Anaesthesia 3500 4400 5300 7000 33 Monorail Fixator Simple 11500 14400 17300 23000

34 Monorail Fixator Simple Corrective 17300 21600 26000 34600

S. No. Orthopedics Procedure GW SPW PVT DLX

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 31 of 81

(Rs.) (Rs.) (Rs.) (Rs.) 35 Muscle pedicle graft 17300 21600 26000 34600 36 Old # fixation with bone graft 17300 21600 26000 34600

37 Open reduction & fixation single bone forearm 8100 10100 12200 16200

38 Open synovectomy 11500 14400 17300 23000 39 ORIF long bones 13800 17300 20700 27600 40 ORIF pelvis and acetabulum 23000 28800 34500 46000

41 Osteotomy &fixation for deformity 17300 21600 26000 34600

42 Osteotomy for deformity 13800 17300 20700 27600 43 Patellar realignment 13800 17300 20700 27600 44 Patellectomy 11500 14400 17300 23000 45 Phemister bone grafting 11500 14400 17300 23000 46 Posterolateral bone grafting 13800 17300 20700 27600

47 Saucerization and sequestrectomy 11500 14400 17300 23000

48 Skin Grafting Large 11500 14400 17300 23000 49 Skin grafting small 5800 7300 8700 11600 50 Tendo Achilles Repair 13800 17300 20700 27600 51 Triple Arthrodesis 13800 17300 20700 27600

Arthroscopic Procedures:- 1 Ankle debridement 11500 14400 17300 23000 2 Arthroscopic Acromioplasty 17300 21600 26000 34600 3 Arthroscopy assisted Fracture fixation 17300 21600 26000 34600 4 Bicipital tendinitis 17300 21600 26000 34600 5 Bostrum repair 11500 14400 17300 23000 6 Capsular release 11500 14400 17300 23000 7 Debridement Knee 11500 14400 17300 23000 8 Lateral release patella 13800 17300 20700 27600 9 Loose body removal 11500 14400 17300 23000 10 MCL Reconstruction 11500 14400 17300 23000 11 Meniscectomy 11500 14400 17300 23000 12 Mosaicplasty 17300 21600 26000 34600 13 Multidirectional shoulder instability 28800 36000 43200 57600 14 Open Ligament Reconstruction 17300 21600 26000 34600 15 Patellar tendon Reconstruction 13800 17300 20700 27600 16 PCL Reconstruction 23000 28800 34500 46000 17 PLC Reconstruction 13800 17300 20700 27600 18 Recurrent patellar dislocation 13800 17300 20700 27600 19 Recurrent shoulder dislocation 23000 28800 34500 46000 20 Rotator Cuff tear 23000 28800 34500 46000 21 Shoulder debridement 11500 14400 17300 23000 22 SLAP Lesion 23000 28800 34500 46000 23 Subacromial decompression 17300 21600 26000 34600 24 Synovectomy Knee 13800 17300 20700 27600 25 Tendoachilles’ rupture 17300 21600 26000 34600 26 Tibial spine fixation 11500 14400 17300 23000

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Note:-

1 These charges are inclusive of OT charges, Surgeon charges, Anesthetist charges and Drugs & consumables used in OT. All other charges like bed, consultation, investigations, drugs & consumables other than in OT would be charged extra.

2 Any implants used for the above procedures would be charged extra. 3 Presurgical Profile would be charged extra

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 33 of 81

Spine Surgery Procedures Charges (Rs.)

S. No. Spine Surgery Procedure

GW(Rs.)

S pvt (Rs.) PVT(Rs.) DLX(Rs.)

1 ALD / Debridement 20700 25900 31100 41400 2 Anterior Cervical Discectomy 23000 28800 34500 46000

3 Anterior Cervical Discectomy with Fusion 28800 36000 43200 57600

4 Anterior Cervical Discectomy with Instrumentation 34500 43100 51800 69000

5 Anterior Cervical Discectomy with Instrumentation Multilevel 40300 50400 60500 80600

6 Anterior Instrumentation 23000 28800 34500 46000 7 Anterior Reconstruction 28800 36000 43200 57600

8 Cervical Laminectomy / Posterior Fusion Multiple 28800 36000 43200 57600

9 Cervical Laminectomy / Posterior Fusion Single 17300 21600 26000 34600

10 Combined anterior and posterior spinal Surgery 34500 43100 51800 69000

11 Complex Spine Reconstruction 40300 50400 60500 80600 12 Convex Epiphysiodesis 17300 21600 26000 34600

13 CT Guided Biopsy (CT Chagres included) 3500 4400 5300 7000

14 Decompression (Major) 28800 36000 43200 57600 15 Decompression (Minor) 17300 21600 26000 34600 16 Discectomy 17300 21600 26000 34600 17 Discectomy Lumbar Multi-Level 40300 50400 60500 80600 18 Discectomy Lumbar Single Level 28800 36000 43200 57600 19 Discectomy Lumbar Single Minor 23000 28800 34500 46000 20 Epidural Injection 4600 5800 6900 9200 21 Foraminal Injection 5800 7300 8700 11600 22 Growth Rods 23000 28800 34500 46000 23 Growth Rods Adjustment 3500 4400 5300 7000 24 Kyphoplasty 34500 43100 51800 69000 25 Laminectomy (Major) 28800 36000 43200 57600 26 Laminectomy (Minor) 17300 21600 26000 34600 27 Minimal Invasive Discectomy 34500 43100 51800 69000 28 Minimal Invasive Spine fixation 34500 43100 51800 69000 29 Nerve Root Block 3500 4400 5300 7000 30 Odontoid Screw Fixation 17300 21600 26000 34600 31 Revision Spine Surgery 34500 43100 51800 69000

32 Scoliosis Surgery - Ant Instrumentation 34500 43100 51800 69000

33 Scoliosis Surgery - Anterior Release (Major) 28800 36000 43200 57600

34 Scoliosis Surgery - Anterior Release (Minor) 17300 21600 26000 34600

35 Scoliosis Surgery - Post Instrumentation (Major) 34500 43100 51800 69000

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36 Scoliosis Surgery - Post Instrumentation (Minor) 23000 28800 34500 46000

37 Spine Fusion 17300 21600 26000 34600 38 Spine Internal Fixation (Major) 28800 36000 43200 57600 39 Spine Internal Fixation (Minor) 17300 21600 26000 34600 40 Spine Osteotomy 28800 36000 43200 57600

41 Total Disc Replacement Cervical (Multiple Level) 46000 57500 69000 92000

42 Total Disc Replacement Cervical (Single Level) 28800 36000 43200 57600

43 Total Disc Replacement Lumbar 34500 43100 51800 69000 44 Trans Oral Surgery 23000 28800 34500 46000

45 Transforaminal Lumbar Interbody Fusion 34500 43100 51800 69000

46 Vertebroplasty 11500 14400 17300 23000

Note:-

1 These charges are inclusive of OT charges, Surgeon charges, Anesthetist charges and Drugs & consumables used in OT. All other charges like bed, consultation, investigations, drugs & consumables other than in OT would be charged extra.

2 Any implants used for the above procedures would be charged extra. 3 Pre-surgical Profile would be charged extra

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Hand Joint & Pediatric Surgery Procedures Charges (Rs.)

S. No. Hand Surgery Procedure GW(Rs.) SPW(Rs.) PVT(Rs.) DLX(Rs.)

1 Carpal Tunnel / Dequervain’s release 5800 7300 8700 11600

2 Contracture Release Major 13800 17300 20700 27600 3 Contracture Release Medium 8100 10100 12200 16200 4 Contracture Release Minor 5800 7300 8700 11600 5 Cross Finger Flap 8100 10100 12200 16200 6 Darrach’s procedure 8100 10100 12200 16200 7 Debulking (Macrodactyly) 13800 17300 20700 27600 8 Dorsal Flap Arthroplasty(Kienbock's) 13800 17300 20700 27600 9 Ganglion Excision (Deep) 8100 10100 12200 16200 10 Ganglion Excision (Superficial) 3500 4400 5300 7000 11 Groin Flap 13800 17300 20700 27600 12 Nerve repair single 11500 14400 17300 23000 13 Radial Head Replacement 17300 21600 26000 34600 14 Ray Amputation 11500 14400 17300 23000 15 Scaphoid # fixation (old) with graft 17300 21600 26000 34600 16 Scaphoid # fixation fresh 13800 17300 20700 27600 17 Small Joint Replacements 17300 21600 26000 34600 18 Sundactyly Complex 17300 21600 26000 34600 19 Syndactyly Simple 11500 14400 17300 23000 20 Tendon repair multiple 13800 17300 20700 27600 21 Tendon repair single 5800 7300 8700 11600 22 Tendon Transfer Multiple 17300 21600 26000 34600 23 Tendon Transfer Single 11500 14400 17300 23000 24 Trigger Finger release 5800 7300 8700 11600

Joint Replacement Procedures

1 First stage revision 23000 28800 34500 46000 2 Joint lavage Post Replacement 11500 14400 17300 23000 3 Second stage revision 46000 57500 69000 92000 4 Total Elbow / Ankle Replacement 28800 36000 43200 57600 5 Total Shoulder Replacement 28800 36000 43200 57600 6 Unicondylar Knee Replacement 28800 36000 43200 57600

Pediatric Orthopedic Procedures

1 Adductor Tenotomy 3500 4400 5300 7000

2 Adductor Tenotomy +Obturator Neurectomy 5800 7300 8700 11600

3 CDH Capsulorraphy 17300 21600 26000 34600

4 CDH Closed Reduction Hip Spica 4600 5800 6900 9200

5 CTEV Cast ↓ GA B/L 1700 2100 2600 3400 6 CTEV Cast ↓ GA U/L 1200 1500 1800 2400

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7 Fractional Lenghthening(Gastrocnemius) 8100 10100 12200 16200

8 Tendoachilles Tenotomy B/L 5800 7300 8700 11600 9 Tendoachilles Tenotomy UL 3500 4400 5300 7000

Note:-

1 These charges are inclusive of OT charges, Surgeon charges, Anesthetist charges and Drugs & consumables used in OT. All other charges like bed, consultation, investigations, drugs & consumables other than in OT would be charged extra.

2 Any implants used for the above procedures would be charged extra. 3 Pre-surgical Profile would be charged extra

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Neurosurgery S. NO. NEURO SURGERY GW SPW PVT DLX

NS01 ALD/DEBRIDEMENT ANTERIOR RECONSTRUCTION, INSTRUMENTAT1ON - INTERMEDIATE 12800

16000 19200 25600

NS02 ALD/DEBRIDEMENT ANTERIOR RECONSTRUCTION, INSTRUMENTAT1ON - MAJOR 20500

25600 30800 41000

NS03 ALD/DEBRIDEMENT ANTERIOR RECONSTRUCTION, INSTRUMENTAT1ON - SUPRA MAJOR 28200

35300 42300 56400

NS04 ANEURYSMS AND AVM - LARGE/EXTENSIVE/ COMPLICATED -INTERMEDATE 25600

32000 38400 51200

NS05 ANEURYSMS AND AVM - LARGE/EXTENSIVE/ COMPLICATED - SUPRA MAJOR 64000

80000 96000 128000

NS06 ANEURYSMS AND AVM - SMALL I LOCALISED I UNCOMPLICATED - INTERMEDATE 25600

32000 38400 51200

NS07 ANEURYSMS AND AVM - SMALL I LOCALISED I UNCOMPLICATED - MAJOR 38400

48000 57600 76800

NS08 ANEURYSMS AND AVM - SMALL I LOCALISED I UNCOMPLICATED - SUPRA MAJOR 51200

64000 76800 102400

NS09 ANTERIOR CERVICAL DISSECTOMY WITH FUSION - MAJOR 25600

32000 38400 51200

NS10 ANTERIOR CERVICAL DISSECTION WITH FUSION -SUPRA MAJOR 38400

48000 57600 76800

NS11 ANTERIOR CRANIAL FOSSA SURGERY (CSF RHINNORHEA)- MAJOR 25600

32000 38400 51200

NS12 ANTERIOR CRANIAL FOSSA SURGERY (CSF RHINNORHEA)- INTERMEDIATE 12800

16000 19200 25600

NS13 ANTERIOR CRANIAL FOSSA SURGERY (CSF RHINNORHEA)- SUPRA MAJOR 51200

64000 76800 102400

NS14 ASPIRATION OF ABSCESS IN SPINAL TB - SUPRA MAJOR 3200

4000 4800 6400

NS15 BILATERAL/ MULTIPLE BURR HOLES AND EVACUATION OF SDH - MAJOR 25600

32000 38400 51200

NS16 BILATERAL/ MULTIPLE BURR HOLES AND EVACUATION OF SDH - INTERMEDIATE 12800

16000 19200 25600

NS17 BONE GRAFTING ANO TITANIUM PLATE FUSION OF MULTIPLE VERTEBRAE- MAJOR 19200

24000 28800 38400

NS18 BURR HOLE WITH EVACUATION OF CHRONIC SDH- INTERMEDIATE UNDER LA 12800

16000 19200 25600

NS19 BURR HOLE WITH EVACUATION OF CHRONIC SDH MAJOR UNDER LA 19200

24000 28800 38400

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NS20 BURR HOLE WITH EVACUATION OF CHRONIC SDH SUPRA MAJOR UNDER LA 25600

32000 38400 51200

NS21 CERVICAL LAMINECTOMY,POSTERIOR FUSION - MULTIPLE LEVELS - MAJOR 25600

32000 38400 51200

NS22 CERVICAL LAMINECTOMY,POSTERIOR FUSION - SINGLE LEVELS - INTERMEDIATE 19200

24000 28800 38400

NS23 CONVERSION OF EVD INTO V P.SHUNT 12800 16000 19200 25600

NS24 CONVERSION OF FRONTAL TWIST INTO VP SHUNT . MAJOR 12800

16000 19200 25600

NS25 CONVERSION OF FRONTAL TWIST INTO VP SHUNT - SUPRA MAJOR 19200

24000 28800 38400

NS26 CRANIECTOMY - INTERMEDIATE 12800 16000 19200 25600

NS27 CRANIECTOMY - MAJOR 25600 32000 38400 51200

NS28 CRANIECTOMY - SUPRA MAJOR 38400 48000 57600 76800

NS29 CRANIOPLASTY - LARGE DEFECT - INTERMEDIATE 19200 24000 28800 38400

NS30 CRANIOPLASTY - LARGE DEFECT- MAJOR 38400 48000 57600 76800

NS31 CRANIOPLASTY - SMALL DEFECT- INTERMEDIATE 12800 16000 19200 25600

NS32 CRANIOPLASTY - SMALL DEFECT- MAJOR 25600 32000 38400 51200

NS33 CRANIOTOMY - HAEMATOMA - INTERMEDIATE 19200 24000 28800 38400

NS34 CRANIOTOMY - HAEMATOMA - MAJOR 32000 40000 48000 64000

NS35 CRANIOTOMY - HAEMATOMA - SUPRA MAJOR 51200 64000 76800 102400

NS36 CRANIOTOMY - INTERMEDIATE 12800 16000 19200 25600

NS37 CRANIOTOMY - SUPRA MAJOR 51200 64000 76800 102400

NS38 CRANIOTOMY- MAJOR 25600 32000 38400 51200

NS39 CRANIOTOMY- TUMOURS - LARGE - INTERMEDIATE 19200 24000 28800 38400

NS40 CRANIOTOMY- TUMOURS - LARGE - MAJOR 32000 40000 48000 64000

NS41 CRANIOTOMY- TUMOURS - LARGE - SUPRA MAJOR 64000 80000 96000 128000

NS42 CRANIOTOMY- TUMOURS - SMALL - INTERMEDIATE 12800 16000 19200 25600

NS43 CRANIOTOMY- TUMOURS - SMALL - SUPRA MEJOR 51200 64000 76800 102400

NS44 DEBRIDEMENT SCALP WOUND - LARGE - MAJOR 12800 16000 19200 25600

NS45 DEBRIDEMENT SCALP WOUND - LARGE - SUPRA MAJOR 15400

19300 23100 30800

NS46 DEBRIDEMENT SCALP WOUND -SMALL - MAJOR 6400 8000 9600 12800

NS47 DECOMPRESSIVE CRANIOTOMY WITH DUROPLASTY - INTERMEDIATE 19200

24000 28800 38400

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NS48 DECOMPRESSIVE CRANIOTOMY WITH DUROPLASTY - SUPRA MAJOR 51200

64000 76800 102400

NS49 DECOMPRESSIVE CRANIOTOMY WITH DUROPLASTY- MAJOR 51200

64000 76800 102400

NS50 DISSECTOMY 32000 40000 48000 64000

NS51 ENDONASAL HYPOPHYSECTOMY WITH CELLAR RECONSTRICTION -INTERMEDIATE 19200

24000 28800 38400

NS52 ENDONASAL HYPOPHYSECTOMY WITH CELLAR RECONSTRICTION -MAJOR 32000

40000 48000 64000

NS53 ENDONASAL HYPOPHYSECTOMY WITH CELLAR RECONSTRICTION -SUPRA MAJOR 51200

64000 76800 102400

NS54 ENDOSCOPIC RT OR LT. LUMBAR DISCECTOMY - INTERMEDIATE 12800

16000 19200 25600

NS55 ENDOSCOPIC RT OR LT. LUMBAR DISCECTOMY - MAJOR 19200

24000 28800 38400

NS56 ENDOSCOPIC VENTRICULOSTOMY - INTERMEDIATE 12800 16000 19200 25600

NS57 ENDOSCOPIC VENTRICULOSTOMY - MAJOR 25600 32000 38400 51200

NS58 ENDOSCOPIC VENTRICULOSTOMY - SUPRA MAJOR + BIOPSY 32000

40000 48000 64000

NS59 EXCISION OF PITUITARY ADENOMA - INTERMEDIATE 19200 24000 28800 38400

NS60 EXCISION OF PITUITARY ADENOMA - MAJOR 32000 40000 48000 64000

NS61 EXCISION OF PITUITARY ADENOMA - SUPRA MAJOR 51200 64000 76800 102400

NS62 EXTERNAL VENTRICULAR DRAINAGE (EVD) - SUPRA MAJOR 12800

16000 19200 25600

NS63 LAMINECTOMY & EXCISION OF INTRADURAL EXTRA MEDULLARY TUMOR 16000

20000 24000 32000

NS64 LAMINECTOMY -DISC- SINGLE LEVEL - INTERMEDIATE 12800 16000 19200 25600

NS65 LAMINECTOMY -DISC- SINGLE LEVEL - MAJOR 19200 24000 28800 38400

NS66 LAMINECTOMY -DISC- SINGLE LEVEL - SUPRA MAJOR 32000 40000 48000 64000

NS67 LAMINECTOMY -TUMOR - MULTIPLE LEVEL - INTERMEDIATE 12800

16000 19200 25600

NS68 LAMINECTOMY -TUMOR - MULTIPLE LEVEL - MAJOR 25600 32000 38400 51200

NS69 LAMINECTOMY -TUMOR - MULTIPLE LEVEL - SUPRA MAJOR 51200

64000 76800 102400

NS70 LAMINECTOMY -TUMOR - SINGLE LEVEL - INTERMEDIATE 12800

16000 19200 25600

NS71 LAMA ECTOMY -TUMOR - SINGLE LEVEL - MAJOR 32000 40000 48000 64000

NS72 LAMINECTOMY -TUMOR - SINGLE LEVEL - SUPRA MAJOR 44800

56000 67200 89600

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NS73 LUMBAR PUNCTURE - MAJOR 1300 1600 2000 2600

NS74 LUMBAR PUNCTURE - SUPRA MAJOR 2600 3300 3900 5200

NS75 MENINGO ENCHEPHALOCOELE - INTERMEDIATE 12800 16000 19200 25600

NS76 MENINGO ENCHEPHALOCOELE - MAJOR 25600 32000 38400 51200

NS77 MENINGO ENCHEPHALOCOELE - SUPRA MAJOR 51200 64000 76800 102400

NS78 MENINGO MYELOCOELE - INTERMEDIATE 12800 16000 19200 25600

NS79 MENINGO MYELOCOELE - MAJOR 19200 24000 28800 38400

NS80 MENINGO MYELOCOELE - SUPRA MAJOR 38400 48000 57600 76800

NS81 MULTI DISC CORPECTOMY WITH DISCOIDECTOMY - MAJOR 25600

32000 38400 51200

NS82

MULTISDISC CORPECTOMY AND STABILIZATION Or VERTEBRAL COLUMN WITH PLATING AND GRAFTING - SUPRA MAJOR 32000

40000 48000 64000

NS83

MULTISDISC CORPECTOMY AND STABILIZATION Or VERTEBRAL COLUMN WITH PLATING AND GRAFTING - MAJOR 44800

56000 67200 89600

NS84 ODONTOID SCREW FIXATION - MAJOR 32000 40000 48000 64000

NS85 PARIETAL CRANIOTOMY WITH EVACUATION Of HEMATOMA - INTERMEDIATE 19200

24000 28800 38400

NS86 PARIETAL CRANIOTOMY WITH EVACUATION Of HEMATOMA - MAJOR 32000

40000 48000 64000

NS87 PARIETAL CRANIOTOMY WITH EVACUATION Of HEMATOMA - SUPRA MAJOR 64000

80000 96000 128000

NS88 PERIPHERAL NERVE SURGERY (MICROSCOPIC REPAIR OF NERVE)-PLEXUS - INTERMEDIATE 12800

16000 19200 25600

NS89 PERIPHERAL NERVE SURGERY (MICROSCOPIC REPAIR OF NERVE)-PLEXUS - MAJOR 19200

24000 28800 38400

NS90 PERIPHERAL NERVE SURGERY (MICROSCOPIC REPAIR OF NERVE)-PLEXUS - SUPRA MAJOR 25600

32000 38400 51200

NS91 PERIPHERAL NEURECTOMY (TRIGEMINAL) - MAJOR 12800 16000 19200 25600

NS92 PERIPHERAL NEURECTOMY (TRIGEMINAL) - SUPRA MAJOR 19200

24000 28800 38400

NS93 POSTERIOR FOSA CRANIOTOMY- COMPLICATED-INTERMEDIATE 25600

32000 38400 51200

NS94 POSTERIORFOSA CRANIOTOMY- COMPLICATED-MAJOR 38400

48000 57600 76800

NS95 POSTERIOR FOSA CRANIOTOMY- COMPLICATED-SUPRA MAJOR 64000

80000 96000 128000

NS96 POSTERIOR FOSA CRANIOTOMY- UNCOMPLICATED-INTERMEDIATE 12800

16000 19200 25600

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NS97 POSTERIORFOSA CRANIOTOMY- UNCOMPLICATED-MAJOR 25600

32000 38400 51200

NS98 SHUNT REPOSITIONING - SUPRA MAJOR 6400 8000 9600 12800

NS99 SKULL TRACTION 5800 7300 8700 11600

NS100 SUBDURAL TAP 1000 1300 1500 2000

NS101 T.P.SHUNT - INTERMEDIATE UNDER LA 12800 16000 19200 25600

NS102 T.P.SHUNT - MAJOR UNDER LA 19200 24000 28800 38400

NS103 T.P.SHUNT - SUPRA MAJOR UNDER LA 25600 32000 38400 51200

NS104 TEMPORO-OCCIPITAL CRANIOTOMY WITH EDH REMOVAL - INTERMEDIATE 19200

24000 28800 38400

NS105 TEMPORO-OCCIPITAL CRANIOTOMY WITH EDH REMOVAL - MAJOR 32000

40000 48000 64000

NS106 TEMPORO-OCCIPITAL CRANIOTOMY WITH EDH REMOVAL - SUPRA MAJOR 51200

64000 76800 102400

NS107 TRANSPHENOIDAL EXCISION OF PITUITARY GLAND - MAJOR 32000

40000 48000 64000

NS108 TRANSPHENOIDAL EXCISION OF PITUITARY GLAND - SUPRA MAJOR 51200

64000 76800 102400

NS109 V. P. SHUNT - INTERMEDIATE 12800 16000 19200 25600

NS110 V. P. SHUNT - MAJOR 19200 24000 28800 38400

NS111 V.P.SHUNT REVISION - SUPRA MAJOR 12800 16000 19200 25600

NS112 VENTRICULAR PUNCTURE - 1ST - MAJOR 3200 4000 4800 6400

NS113 VENTRICULAR PUNCTURE - 1ST - SUPRA MAJOR 6400 8000 9600 12800

NS114 VENTRICULAR PUNCTURE - SUBSEQUENT 4500 5600 6800 9000

NS115 STEREOTAXY BIOPSY 25600 32000 38400 51200

NS116 USE OF CUSA PER HOUR 2000 2500 3000 4000

NS117 USE OF ULTRASOUND INTRA PER HOUR 1000 1300 1500 2000

NS118 EPILEPSY SURGERY 25600 32000 38400 51200

NS119 CARPAL TUNNEL SURGERY 5800 7300 8700 11600

Note These are only procedure charges include Surgeon, OT & Anesthists Charges.

Medicine & Consumable used in OT charged Extra.

All other charges like Bed, Investigantiosn, Medicine & Consumable charged extra.

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Nephrology & Dialysis Procedures Charges (Rs.)

S. No. Name of procedure OPD IPD ITU/HDU/

ICU Remark

1 Acute Haemodialysis-IPD NA 900 1,400 Cost of dialyser

extra

2 Acute Peritoneal Dialysis Catheter Insertion

NA 1,500 2,250 Cost of Catheter

extra

3 Chronic Haemodialysis re-use) -OPD 900 NA NA

4 Double Lumen Hemodialysis Catheter insertion

NA 1,000 1,500

5 Haemodialysis - Australia Antigen + / Bi-carbonate Dialysis

1,200 1,200 1,800

6 Kidney Biopsy - USG Guided 1,300 1,300 1,300 USG charges

extra Rs.700/-)

7 Percutaneous Renal Biopsy- Native Kidney US Guidedd

1,300 1,300 1,300

8 Peritoneal Dialysis -IPD NA 1,500 1,500

Note:- 1 Charges are Not inclusive of Drugs & Consumables used in Procedure

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Urology Surgery Procedures Charges (Rs.)

S. NO. NAME OF PROCEDURE

GENERAL WARD (Rs.)

SPW (Rs. PVT(Rs. DLX(Rs.

1 DORSAL SLIT 4000 5,000 6,000 8,000

2 WEDGE BIOPSY 3000 3,800 4,500 6,000

3 MEATOTOMY 4000 5,000 6,000 8,000

4 VASECTOMY 5000 6,300 7,500 10,000

5 INCISION AND DRAINAGE 2500 3,100 3,800 5,000

6 TUBE EXCHANGE 2500 3,100 3,800 5,000

7 URETHRAL DILATATION 2500 3,100 3,800 5,000

8 TRACT DILATATION 2500 3,100 3,800 5,000

9 BLADDER LAVAGE 2500 3,100 3,800 5,000 10 A CYSTOURETHROSCOPY under LA 2500 3,100 3,800 5,000

10B CYSTOURETHROSCOPY under GA

5000 6,300 7,500 10,000 11 ANTEGRADE CYSTOSCOPY 3500 4,400 5,300 7,000

12 CAVITY ENDOSCOPY 2500 3,100 3,800 5,000 13 RETROGRADE URETHROGRAM ( RGU ) 2500 3,100 3,800 5,000

14 SINOGRAM 2500 3,100 3,800 5,000

15 FISTULOGRAM 2500 3,100 3,800 5,000

16 BOOGIOGRAM 2500 3,100 3,800 5,000

17 CYSTOGRAM 2500 3,100 3,800 5,000

18

MICTURATING CYSTOURETHROGRAM ( MCU ) 2500 3,100 3,800 5,000

19 CIRCUMCISION 5000 6,300 7,500 10,000

20 OPEN BIOPSY 5000 6,300 7,500 10,000 21 TRANSRECTAL PROSTATIC BIOPSY 3000 3,800 4,500 6,000

22 TESTICULAR BIOPSY 4000 5,000 6,000 8,000

23 TROCAR SPC 2500 3,100 3,800 5,000

24 SIMPLE ORCHIECTOMY 5000 6,300 7,500 10,000

25 DEBRIDEMENT 3000 3,800 4,500 6,000

26 RESUTURING 4000 5,000 6,000 8,000

27 FRENULOPLASTY 4000 5,000 6,000 8,000

28 DIAGNOSTIC CYSTOSCOPY 5000 6,300 7,500 10,000

29 CHECK CYSTOSCOPY 5000 6,300 7,500 10,000 30 DIAGNOSTIC NEPHROSCOPY 6000 7,500 9,000 12,000

31A URETERIC STENT REMOVAL under LA 1500 1,900 2,300 3,000 31B URETERIC STENT REMOVAL under GA 3000 3,800 4,500 6,000

32 CYSTOSCOPIC FOREIGN BODY REMOVAL

5000 6,300 7,500 10,000

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33 ENDODILATATION OF URETHRA 5000 6,300 7,500 10,000

34 NEPHROSTOGRAM 4000 5,000 6,000 8,000

35 RETROGRADE PYELOGRAM ( RGP ) 4000 5,000 6,000 8,000

36 MEATOPLASTY 6000 7,500 9,000 12,000

37 STAGE 1 URETHROPLASTY 8000 10,000 12,000 16,000

38 EXCISIONAL BIOPSY 5000 6,300 7,500 10,000

39 SIMPLE ORCHIOPEXY 8000 10,000 12,000 16,000

40 BILATERAL ORCHIECTOMY 8000 10,000 12,000 16,000

41 HYDROCELECTOMY 6000 7,500 9,000 12,000 42 DRAIN/CATHETER PLACEMENT 3000 3,800 4,500 6,000

43 DJ STENTING 6000 7,500 9,000 12,000

44 PARTIAL PENECTOMY 8000 10,000 12,000 16,000

45 VARICOCELE LIGATION 8000 10,000 12,000 16,000

46 INGUINAL ORCHIECTOMY 8000 10,000 12,000 16,000

47 EPIDIDYMECTOMY 6000 7,500 9,000 12,000

48 MEATOPLASTY 6000 7,500 9,000 12,000

49 OPEN CYSTOSTOMY 7000 8,800 10,500 14,000

50 OPEN CYSTOLITHOTOMY 9000 11,300 13,500 18,000 51 URETHRAL FISTULA REPAIR 8000 10,000 12,000 16,000

52 PERINEPHRIC ABCESS/ FLANK COLLECTION DRAINAGE 9000 11,300 13,500 18,000

53 DIAGNOSTIC URETEROSCOPY 6000 7,500 9,000 12,000 54 FLEXIBLE CYSTOSCOPY Under GA 6000 7,500 9,000 12,000

55 ENDOSCOPIC URETROCELE INCISION 10000 12,500 15,000 20,000

56 TUR- BIOPSY of bladder 7000 8,800 10,500 14,000

57 DIAGNOSTIC LAPAROSCOPY 5000 6,300 7,500 10,000

59 STAGE 2 URETHROPLASTY 12000 15,000 18,000 24,000

60 TOTAL PENILE AMPUTATION 15000 18,800 22,500 30,000 61 SUBCAPSULAR ORCHIECTOMY 7000 8,800 10,500 14,000

62 BILATERAL ORCHIOPEXY 13000 16,300 19,500 26,000

63 URINARY FISTULA REPAIR 20000 25,000 30,000 40,000 64 EXPLORATION FOR BLADDER RUPTURE 12000 15,000 18,000 24,000

65 URETEROLITHOTOMY 12000 15,000 18,000 24,000 66 PYELOLITHOTOMY/NEPHROLITHOTOMY 16000 20,000 24,000 32,000

67 PYELOPLASTY

20000 25,000 30,000 40,000 68 URETERIC REIMPLANTATION 20000 25,000 30,000 40,000 69 URETERO-URETEROSTOMY 20000 25,000 30,000 40,000

70 URETEROLYSIS 12000 15,000 18,000 24,000

71 BLADDER NECK SUSPENSION 11000 13,800 16,500 22,000

72 VAGINAL SLING 15000 18,800 22,500 30,000

73 SIMPLE NEPHRECTOMY 20000 25,000 30,000 40,000

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74 PARTIAL CYSTECTOMY 15000 18,800 22,500 30,000

75 ILEAL CONDUIT DIVERSION 15000 18,800 22,500 30,000 76 ENDOSCOPIC URETHRAL REALIGNMENT 15000 18,800 22,500 30,000 77 LAPAROSCOPIC URETEROLITHOTOMY 16000 20,000 24,000 32,000 78 LAPAROSCOPIC VARICOCELECTOMY 12000 15,000 18,000 24,000

79 LAPAROSCOPIC BIOPSY 9000 11,300 13,500 18,000

80 RADICAL NEPHRECTOMY 22000 27,500 33,000 44,000

81 URACHAL EXCISION 10000 12,500 15,000 20,000 82 COMPLEX URINARY FISTULA REPAIR 25000 31,300 37,500 50,000

83 PYELOLYMPHATIC DISCONNECTION 15000 18,800 22,500 30,000

84 PERINEAL ANASTOMOTIC URETHROPLASTY 22000 27,500 33,000 44,000

85 DIVERTICULECTOMY 15000 18,800 22,500 30,000

86 OPEN PROSTATECTOMY 18000 22,500 27,000 36,000 87 LAPARASCOPIC NEPHRECTOMY 20000 25,000 30,000 40,000 88 LAPAROSCOPIC PYELOPLASTY 25000 31,300 37,500 50,000

89 ADRENALECTOMY 25000 31,300 37,500 50,000

90 ILIOINGUINAL LYMPH NODE DISSECTION

20000 25,000 30,000 40,000

91 PARTIAL NEPHRECTOMY 26000 32,500 39,000 52,000

92 RADICAL CYSTECTOMY 30000 37,500 45,000 60,000 93 RADICAL PROSTATECTOMY 30000 37,500 45,000 60,000

94 RADICAL PROSTATECTOMY Laparoscopic 35000 43,800 52,500 70,000

95 RETROPERITONEAL LYMPH NODE DISSECTION 20000 25,000 30,000 40,000

96 PELVIC EXENTERATION 30000 37,500 45,000 60,000

97 SUBSTITUTION URETHROPLASTY 22000 27,500 33,000 44,000 98 TRANSPUBIC URETHROPLASTY 25000 31,300 37,500 50,000

99 URETERIC REIMPLANTATION WITH PSOAS HITCH/ BOARIS FLAP 22000 27,500 33,000 44,000

100 ENDOSCOPIC VALVE FULGURATION 12000 15,000 18,000 24,000

101 VESICOSTOMY 10000 12,500 15,000 20,000

102 VESICOSTOMY CLOSURE 8000 10,000 12,000 16,000 103 B/L URETERIC REIMPLANTATION 30000 37,500 45,000 60,000

104 B/L DJ STENTING 8000 10,000 12,000 16,000

105 B/L VARICOCELE LIGATION 12000 15,000 18,000 24,000

106 CHORDEE CORRECTION 10000 12,500 15,000 20,000

107 HYPOSPADIAS REPAIR- SINGLE STAGE

18000 22,500 27,000 36,000

108 PENILE FRACTURE REPAIR 15000 18,800 22,500 30,000

109 Radical Cystectomy with Pelvic Lymphadenectomy 40000 50,000 60,000 80,000

110 RADICAL ORCHIECTOMY 15000 18,800 22,500 30,000

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111 AV FISTULA 7000 8,800 10,500 14,000

112 Lap Radical Nephrectomy 25000 31,300 37,500 50,000 113 Lap Adrenalectomy (Pheochromocytoma) 25000 31,300 37,500 50,000

114 suprapubic cystostomy 4000 5,000 6,000 8,000

115 Visual Internal Urethrotomy 12000 15,000 18,000 24,000

116 DJ Stent Exchange 6000 7,500 9,000 12,000

117 Open Collection Drainage 6000 7,500 9,000 12,000 118 Difficult urethral catheterisation 1200 1,500 1,800 2,400

Note:-

1 These charges are inclusive of OT charges, Surgeon charges, Anesthetist charges and Drugs & consumables used in OT. All other charges like Bed, consultation, Investigation and Drugs &

Consumables used in place other than OT would be charged extra.

2 Any implants used for the above procedures would be charged extra.

3 Pre Surgical profile would be charged extra

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Urology Surgery Packages Charges (Rs.)

S. No.

Urology Specifications (if any)

GENERAL WARD (Rs.)

Semi Pvt (Twin

Sharing)Rs.

Pvt (Rs.) Deluxe (Rs.)

Standard Package Days

1 TURP Less Than 50 Gms

18,000

22,500 27,000 36,000

4

More Than 50 Gms

22,000 27,500 33,000 44,000

4

2 BNI (BLADDER

NECK INCISION )

15,000

18,750 22,500 30,000 3

3 URS

14,000 17,500 21,000 28,000

3

4 URS+ Lith

16,000 20,000 24,000 32,000 3

5 PCNL

Simple Stone 20,000 25,000 30,000 40,000 4

Big Stone 24,000 30,000 36,000 48,000 4

Stag Horn 26,000 32,500 39,000 52,000 4

6 OIU OIU

10,000 12,500 15,000 20,000 2

Core Through OIU

14,000 17,500 21,000 28,000 2

7 TURBT Tumor < 2 cm

18,000 22,500 27,000 36,000 3

Tumor > 2 cm 22,000 27,500 33,000 44,000 3

8

CLP/PCCL (ENDOSCOPIC CYSTOLITHOT

RIPSY)

Stone < 2 cm 14,000 17,500 21,000 28,000 3

Stone > 2 cm 18,000 22,500 27,000 36,000 3

Note: 1 Charges are inclusive of Investigation, Bed charges, Operation charges, Drugs & Consumables.

2 Charges of Prosthesis are not part of these packages & would be charged extra.

3 Any stay beyond the package period would be chargeable on actuals.

4 Pre Surgical profile included in package

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General Surgery Procedure & Packages Charges

S. No. Name of Procedure Amount

1 Minor Procedure General Surgery 700 2 Minor Procedure General Surgery under Local Anesthesia 1000 3 Minor Procedure General Surgery under General Anesthesia 2000 (Consumable Extra)

S. No. Name of Packages GENERAL WARD

Semi Private Private Deluxe

Standard Package Days

1 Inguinal Hernia (Open) 14000 17500 21000 28000 3 2 Inguinal Hernia (Laproscopic) 20000 25000 30000 40000 3 3 Haemorroidectomy / Piles 15000 18750 22500 30000 3 4 Fistula / Fistulotomy 12000 15000 18000 24000 3

5 Lap CHOLECYSTECTOMY (uncomplicated) 16500

20500 24750 33000 3

6 Lap APPENDECTOMY 16000 20000 24000 32000 3 Note:-

1 Charges are inclusive of Investigation, Bed charges, Operation charges, Drugs & Consumables. 2 Charges of Prosthesis are not part of these packages & would be charged extra. 3 Any stay beyond the package period would be chargeable on actual.

4 Pre Surgical profile would be charged extra

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OPD Gynecology Procedure

S.No. Name of Procedure Price 1 Gyne OPD Procedure (Major) 150 2 Gyne OPD Procedure (Minor) 50 3 Hydro Tubation 400 4 Copper T Removal 100 5 IUD Insertion under GA 800 6 CRYOSURGERY 1500 (Consumable Included)

Gynecology Surgery Packages Charges (Rs.)

S.No. Name of package Duration General Ward (Rs.)

Semi Pvt (Twin

sharing)Rs. Pvt (Rs.) Deluxe (Rs.)

1 Abdominal Hysterectomy (Simple)

5 20,000 25,000 30,000 40,000

2 Abdominal Hysterectomy (Complex)

5 25,000 31,300 37,500 50,000

3 Abdominal sterilization AS 1 3,000 3,800 4,500 6,000

4 Hysterotomy (Pregnancy) 5 15,000 18,800 22,500 30,000

Note:- 1. Charges are inclusive of Bed charges, Operation charges, Labour room charges, Drugs & Consumables. 2. Any stay beyond the package period would be chargeable on actuals

3. All investigation charged extra

Gynecology Surgery Procedure Charges (Rs.)

S.No. Name of package Duration General

Ward(Rs.)

Semi Pvt (Twin

sharing)Rs. Pvt (Rs.) Deluxe(Rs.)

1 Bartholin cyst excision Open billing 2,500 3,125 3,750 5,000

2 Diagnostic hysteroscopy Open billing 2,500 3,125 3,750 5,000

3 Diagnostic Colposcopy Open billing 2,500 3,125 3,750 5,000

4 Operative Hysteroscopy Open billing 3,500 4,375 5,250 7,000

5 Diagnostic laproscopy Open billing 5,000 6,250 7,500 10,000

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S.No. Name of package Duration General

Ward(Rs.)

Semi Pvt (Twin

sharing) Rs. Pvt (Rs.) Deluxe(Rs.)

6 Fractional curettage Open billing 3,500 4,375 5,250 7,000

7 Operative Laproscopy (minor) Open billing 7,000 8,750 10,500 14,000

8 Operative Laproscopy (major) Open billing 18,000 22,500 27,000 36,000

9 LAP sterization LS Open billing 3,500 4,375 5,250 7,000

10 Laprotomy Simple Open billing 12,000 15,000 18,000 24,000

11 Laprotomy Complex Open billing 15,000 18,750 22,500 30,000

12 Laprotomy - Stageing Open billing 18,000 22,500 27,000 36,000

13 LAVH Open billing 15,000 18,750 22,500 30,000

14 NDVH Open billing 15,000 18,750 22,500 30,000

15 Myomectomy Open billing 15,000 18,750 22,500 30,000

16 OS tightning Open billing 3,000 3,750 4,500 6,000

17 Introitus Tightning Open billing 5,000 6,250 7,500 10,000

18 Tubal Microsurgery Open billing 20,000 25,000 30,000 40,000

19 Vaginal Hysterectomy Open billing 18,000 22,500 27,000 36,000

20 Radical Hysterectomy Open billing 18,000 22,500 27,000 36,000

21 Breast Abscess Drainage GA Open billing 3,000 3,750 4,500 6,000

22 Breast Abscess Drainage LA Open billing 1,500 1,875 2,250 3,000

Note:-

The charges are inclusive of OT charges, Surgeon charges, Anesthetist charges and Drugs & consumables used in OT. All other charges like bed, consultation, investigations, drugs &

consumables other than in OT would be charged extra.

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Obstetrics Packages Charges (In Rs.)

S. No. Name of package Duration General Ward (Rs.)

Semi Pvt (Twin

sharing) Rs. Pvt (Rs.) Deluxe (Rs.)

1 NORMAL DELIVERY PKG 3 6,000 9,000

12,000 15,000

2 NORMAL DELIVERY - WITHOUT BOOKING PKG

3 8,000 12,000

16,000 20,000

3 NORMAL DELIVERY - PAINLESS PKG

3 12,500 18,800

25,000 31,200

4

NORMAL DELIVERY - PAINLESS - WITHOUT BOOKING PKG

3 14,500 21,800

29,000 36,200

5 NORMAL DELIVERY - HIGH RISK PKG

3 9,000 13,500

18,000 22,500

6 NORMAL DELIVERY - HIGH RISK + PAINLESS PKG

3 15,000 22,500

30,000 37,500

7 NORMAL DELIVERY - HIGH RISK + PAINLESS - WITHOUT BOOKING PKG

3 17,000 25,500

34,000 42,500

8

NORMAL DELIVERY - HIGH RISK - WITHOUT BOOKING PKG

3 11,000 16,500

22,000 27,500

9 CAESAREAN SECTION LSCS PKG

5 20,000 30,000

40,000 50,000

10 CAESAREAN SECTION LSCS - WITHOUT BOOKING PKG

5 22,000 33,000

44,000 55,000

11 CAESAREAN SECTION LSCS - HIGH RISK PKG

5 25,000 37,500

50,000 62,500

12

CAESAREAN SECTION LSCS - HIGH RISK - WITHOUT BOOKING PKG

5 27,000 40,500

54,000 67,500

13 ASSISTED DELIVERY (INSTRUMENTAL) PKG

3 9,000 13,500

18,000 22,500

14

ASSISTED DELIVERY (INSTRUMENTAL) - WITHOUT BOOKING PKG

3 11,000 16,500

22,000 27,500

Note:-

1. Charges are inclusive of Bed charges, Operation charges, Labour room charges, Drugs & Consumables. 2. Any stay beyond the package period would be chargeable on actuals

3. All Invetsigations Charged Extra

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4. Unbooked Deliveries to be charged Rs. 2000/- in general ward to be increased

Oncology Gynecology Packages Charges (In Rs.)

S. No. Name of package Duration

General Ward (Rs.)

Semi Pvt (Twin

sharing)Rs. Pvt (Rs.) Deluxe (Rs.)

1 Fibroadenoma removal Open Billing 3,000 3,750 4,500 6,000

2 Anterior & Posterior Colpperineorrhaphy Open Billing 10,000 12,500 15,000 20,000

3 PAP Smear & Colposcopy Open Billing 1,500 1,875 2,250 3,000

4 PAP Smear + VIA with Cryotherapy Open Billing 2,000 2,500 3,000 4,000

5 PAP Smear with Electric Coutry VILI Open Billing 2,000 2,500 3,000 4,000

6 LLETZ (Large Loop Excision of T Zone) Open Billing 2,500 3,125 3,750 5,000

7 Endo Aspiration with Endo Sample Open Billing 1,000 1,250 1,500 2,000

8 PAP Smear with Ecto, Endi Cx Open Billing 1,500 1,875 2,250 3,000

9

For All Genital Malignents Pap's Smear Ecto Cx, Endo Cx & Endometrium

Open Billing 2,500 3,125 3,750 5,000

10 Werthiems hysterectomy Open Billing 15,000 18,750 22,500 30,000

11 Staging Laprotomy Open Billing 18,000 22,500 27,000 36,000

12 Vulvectomy (Major Surgery) Open Billing 10,000 12,500 15,000 20,000

13 Radical Vulvectomy Open Billing 9,000 11,250 13,500 18,000

14 Conization of Cx Open Billing 4,500 5,625 6,750 9,000

15 Chemotherapy Infusion Charges Open Billing 1,000 1,250 1,500 2,000

Note:-

1 The charges are inclusive of OT charges, Surgeon charges, Anesthetist charges and Drugs &

consumables used in OT. All other charges like bed, consultation, investigations, drugs & consumables other than in OT would be charged extra.

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Other Gynecology Packages Chagres (In Rs.)

S.No. Name of package Duration General Ward (Rs.)

Semi Pvt (Twin sharing) Rs. Pvt (Rs.) Deluxe

(Rs.)

1 D & E 6 - 10 week Open Billing 2,000 2,500 3,000 4,000

2 D & E 10 - 12 week Open Billing 3,000 3,750 4,500 6,000

3 D & C Open Billing 2,000 2,500 3,000 4,000

4 MTP surgical 6- 8 week Open Billing 3,000 3,750 4,500 6,000

5 MTP surgical 8-10 week Open Billing 4,000 5,000 6,000 8,000

6 MTP surgical 10-12 week Open Billing 5,000 6,250 7,500 10,000

7 MTP surgical Second Trimester Open Billing 7,500 9,375 11,250 15,000

8 Vesicular Mole 6 - 10 Week Open Billing 4,000 5,000 6,000 8,000

9 Vesicular Mole 10 - 12 Week Open Billing 5,000 6,250 7,500 10,000

10 Vesicular Mole Second Trimester Open Billing 7,500 9,375 11,250 15,000

11 Vesicular Mole Third Trimester Open Billing 10,000 12,500 15,000 20,000

Note:

1 For Item no 1 to 12:- the charges are inclusive of OT charges, Surgeon charges, Anesthetist charges and Drugs & consumables used in OT. All other charges like bed, consultation, investigations, drugs & consumables other than in OT would be charged extra.

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Investigation Charges

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Policy of Differential Charges for RADIOLOGY S. No.

Name of bed category % hike in tariff from base Chagres

1 OPD and General Ward Standard 100%)

2 Special General Ward 120% of Standard

3 Semi Private 130% of Standard 4 Private 145% of Standard 5 Deluxe 160% of Standard 6 Suite 175% of Standard

7 ICUs/ NICU 120% of Standard

8 HDU 120% of Standard 9 Night charges for Radiology except CT & MRI 10% Extra on the respective rates

10 Portable X Ray, USG, ECHO, Doppler Charges applicable only in general ward

20% Extra on the respective rates

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Radiology Investigations

Code Service Name in NH Rs.

RAD000006 CT ABDOMEN CONTRAST 5000 RAD000007 CT ABDOMEN PLAIN 2500 RAD000008 CT ABDOMEN UPPER 1500

RAD000009 CT ABDOMEN WITH CONTRAST 2500

RAD000010 CT ANGIOGRAPHY ABDOMEN 6000 RAD000011 CT ANGIOGRAPHY BOTH LIMBS 6000

RAD000012 CT ANGIOGRAPHY BRAIN & INTRACRANIAL VESSEL 4000

RAD000014 CT ANGIOGRAPHY CHEST 4000 RAD000021 CT ANGIOGRAPHY OF NECK VESSELS 5000 RAD000023 CT ANGIOGRAPHY PULMONARY 4000 RAD000024 CT ANGIOGRAPHY RENAL 4000 RAD000025 CT ANGIOGRAPHY UPPER LIMB 3500 RAD000027 CT AORTAGRAM 5000 RAD000028 CT BRAIN 1200 RAD000032 CT BRAIN NON IONIC CONTRAST 1800 RAD000039 CT CERVICAL SPINE 1000

RAD000041 CT CERVICAL SPINE WITH CONTRAST 2500 RAD000043 CT CHEST 1700 RAD000044 CT CHEST CONTRAST 3000

RAD000047 CT CONTRAST CHARGES - 100 ML 2000

RAD000048 CT CONTRAST CHARGES - 25 ML 500

RAD000049 CT CONTRAST CHARGES - 50 ML 1000

RAD000050 CT CONTRAST CHARGES - 75 ML 1500

RAD000052 CT CV JUNCTION 1500 RAD000053 CT CV JUNCTION WITH CONTRAST 3000 RAD000055 CT DORSAL LUMBAR SPINE 2000 RAD000056 CT DORSAL SPINE 1500

RAD000057 CT DORSAL SPINE WITH CONTRAST 2500 RAD000060 CT FACE 2000 RAD000063 CT FACE WITH CONTRAST 3000 RAD000069 CT FOOT 1500

RAD000071 CT GUIDED FNAC 2000 RAD000074 CT HAND SINGLE PLAIN 1500 RAD000077 CT HIP JOINT (BOTH) WITH CONTRAST 3000 RAD000078 CT HIP JOINT BOTH 1500 RAD000081 CT HUMERUS 1500 RAD000083 CT KNEE LEFT 1500

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RAD000084 CT KNEE LEFT WITH CONTRAST 2000 RAD000085 CT KNEE RIGHT 1500

RAD000086 CT KUB CONTRAST 3000 RAD000087 CT KUB PLAIN 1600 RAD000091 CT LUMBOSACRAL SPINE 1500 RAD000093 CT NECK 2000 RAD000096 CT NECK CONTRAST 3500 RAD000097 CT ORBITS 1200

RAD000098 CT ORBITS CONTRAST 2500

RAD000101 CT PETROUS TEMPORAL BONE 2000

RAD000102 CT PETROUS TEMPORAL BONE WITH CONTRAST 3000 RAD000103 CT PNS 1400 RAD000104 CT PNS CONTRAST 2500 RAD000109 CT SACRO ILIAC JOINT 1500 RAD000111 CT SCANOGRAM BOTH LOWER LIMBS 600 RAD000113 CT SHOULDER LEFT 1200 RAD000114 CT SHOULDER RIGHT 1200 RAD000115 CT SI JOINT WITH CONTRAST 2500 RAD000121 CT THERAPEUTIC ASPIRATION 2500 RAD000122 CT THERAPEUTIC ASPIRATION WITH CONTRAST 4000 RAD000130 CT TRU CUT BIOPSY 4000 RAD000131 CT TRU CUT BIOPSY WITH CONTRAST 5500 RAD000132 CT WRIST PLAIN 1200 RAD000133 DOPPLER ABDOMEN UPPER 1500 RAD000134 DOPPLER AORTA 1500 RAD000135 DOPPLER ARTERIAL LOWER LIMB BOTH 2200 RAD000136 DOPPLER ARTERIAL LOWER LIMB SINGLE 1250 RAD000138 DOPPLER ARTERIAL UPPER LIMB SINGLE 1250 RAD000139 DOPPLER CAROTID BOTH 1500 RAD000142 DOPPLER KIDNEY TRANSPLANT 1500 RAD000143 DOPPLER LIMBS VENOUS AND ARTERIAL 5000 RAD000147 DOPPLER PENILE 1500 RAD000150 DOPPLER SCROTAL 1000 RAD000151 DOPPLER SPLENO PORTAL 1500 RAD000153 DOPPLER VENOUS LOWER LIMB BOTH 2200 RAD000154 DOPPLER VENOUS LOWER LIMB SINGLE 1250 RAD000155 DOPPLER VENOUS UPPER LIMB BOTH 2200 RAD000156 DOPPLER VENOUS UPPER LIMB SINGLE 1250 RAD000163 HR CT CHEST 2500 RAD000168 MRI ABDOMEN UPPER 1500 RAD000170 MRI ABDOMEN WHOLE 5000

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RAD000171 MRI ABDOMEN WHOLE CONTRAST 7000 RAD000173 MRI ANGIO ABDOMINAL CONTRAST 7000 RAD000185 MRI ANGIOGRAPHY ABDOMEN 3000 RAD000186 MRI ANGIOGRAPHY BRAIN 3000

RAD000187 MRI ANGIOGRAPHY BRAIN WITH CONTRAST 5000 RAD000188 MRI ANGIOGRAPHY NECK 3000 RAD000189 MRI ANGIOGRAPHY NECK WITH CONTRAST 6600 RAD000190 MRI ANGIOGRAPHY RENAL 3000

RAD000191 MRI ANGIOGRAPHY RENAL WITH CONTRAST 7000 RAD000192 MRI ANKLE JOINT LEFT 2500 RAD000193 MRI ANKLE JOINT LEFT CONTRAST 4500 RAD000194 MRI ANKLE JOINT RIGHT 2500 RAD000195 MRI ANKLE JOINT RIGHT CONTRAST 4500 RAD000198 MRI BRACHIAL PLEXUS 3500 RAD000199 MRI BRACHIAL PLEXUS CONTRAST 5000 RAD000200 MRI BRAIN 3000 RAD000201 MRI BRAIN CONTRAST 5000 RAD000204 MRI BRAIN SCREENING 1500 RAD000205 MRI BRAIN VENOGRAPHY 3000 RAD000206 MRI BRAIN VENOGRAPHY WITH CONTRAST 6500 RAD000213 MRI CERVICAL SPINE 3000 RAD000214 MRI CERVICAL SPINE CONTRAST 5000 RAD000215 MRI CERVICAL SPINE SCREENING 1500 RAD000216 MRI CHEST 2500 RAD000217 MRI CHEST CONTRAST 4500 RAD000218 MRI CHOLANGIOGRAPHY (MRCP) 2500 RAD000219 MRI CONTRAST CHARGES - 10 ML 2000 RAD000220 MRI CONTRAST CHARGES - 20 ML 4000 RAD000224 MRI DORSAL SPINE 3000 RAD000225 MRI DORSAL SPINE CONTRAST 5000 RAD000226 MRI DORSAL SPINE SCREENING 1500 RAD000228 MRI ELBOW JOINT LEFT 2500 RAD000229 MRI ELBOW JOINT LEFT CONTRAST 5000 RAD000230 MRI ELBOW JOINT RIGHT 2500 RAD000231 MRI ELBOW JOINT RIGHT CONTRAST 5000 RAD000235 MRI FOOT SINGLE 3000 RAD000236 MRI FOOT SINGLE WITH CONTRAST 4500 RAD000241 MRI GLUTEAL REGION 2500 RAD000242 MRI GLUTEAL REGION WITH CONTRAST 4500 RAD000243 MRI HAND SINGLE 2500 RAD000244 MRI HAND SINGLE WITH CONTRAST 4500

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RAD000245 MRI HIP JOINT LEFT 2500 RAD000246 MRI HIP JOINT LEFT CONTRAST 5000 RAD000247 MRI HIP JOINT RIGHT 2500 RAD000248 MRI HIP JOINT RIGHT CONTRAST 5000 RAD000249 MRI HIP JOINTS BOTH 3500 RAD000252 MRI KNEE LEFT 3800 RAD000253 MRI KNEE LEFT CONTRAST 5000 RAD000254 MRI KNEE RIGHT 3800 RAD000255 MRI KNEE RIGHT CONTRAST 5000 RAD000256 MRI LEG LEFT 2500 RAD000257 MRI LEG LEFT CONTRAST 5000 RAD000258 MRI LEG RIGHT 2500 RAD000259 MRI LEG RIGHT CONTRAST 5000 RAD000261 MRI LUMBAR SPINE 3000 RAD000263 MRI LUMBAR SPINE SCREENING 1500 RAD000264 MRI LUMBOSACRAL SPINE 3000 RAD000265 MRI LUMBOSACRAL SPINE CONTRAST 5000 RAD000266 MRI LUMBOSACRAL SPINE SCREENING 1500 RAD000269 MRI NASOPHARYNX 3500 RAD000270 MRI NASOPHARYNX CONTRAST 5000 RAD000271 MRI NECK 3500 RAD000272 MRI NECK CONTRAST 5000 RAD000277 MRI ORBIT CONTRAST 4500 RAD000278 MRI ORBITS 2500 RAD000279 MRI PELVIS 3000 RAD000280 MRI PELVIS CONTRAST 5000 RAD000281 MRI PELVIS/LOWER ABDOMEN 3000 RAD000288 MRI PROSTATE 3500 RAD000289 MRI PROSTATE WITH CONTRAST 5000 RAD000290 MRI REPORT SECOND OPINION 500 RAD000292 MRI SCREENING SINGLE REGION 1500 RAD000294 MRI SHOULDER JOINT LEFT 3500 RAD000295 MRI SHOULDER JOINT LEFT CONTRAST 5000 RAD000296 MRI SHOULDER JOINT RIGHT 3000 RAD000297 MRI SHOULDER JOINT RIGHT CONTRAST 5000 RAD000298 MRI SI JOINT 2500 RAD000299 MRI SI JOINT CONTRAST 4500 RAD000300 MRI SI JOINTS BOTH SCREENING 1500 RAD000302 MRI SPECTROSCOPY 3500 RAD000303 MRI SPECTROSCOPY WITH CONTRAST 5500 RAD000305 MRI SPINE SCREENING WHOLE 2500

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RAD000307 MRI SPINE WHOLE NON CONTRAST 10000 RAD000309 MRI TEMPOROMANDIBULAR JOINT 3500

RAD000310 MRI TEMPOROMANDIBULAR JOINT WITH CONTRAST 5000 RAD000316 MRI WRIST JOINT LEFT 2500 RAD000317 MRI WRIST JOINT LEFT CONTRAST 4500 RAD000318 MRI WRIST JOINT RIGHT 2500 RAD000319 MRI WRIST JOINT RIGHT CONTRAST 4500 RAD000327 USG ABDOMEN LOWER 450 RAD000329 USG ABDOMEN UPPER 450 RAD000331 USG ABDOMEN UPPER SCREENING 300 RAD000332 USG ABDOMEN WHOLE 750 RAD000333 USG ABDOMEN WHOLE SCREENING 500 RAD000334 USG BIOPSY 1500 RAD000336 USG BRAIN 500 RAD000337 USG BREAST BOTH 1000 RAD000338 USG BREAST SINGLE 500 RAD000339 USG CHEST 400 RAD000341 USG DIAGNOSTIC ASPIRATION 1500 RAD000345 USG FNAC 1500 RAD000346 USG FNAC/BIOPSY 6000 RAD000347 USG FOETAL WELL BEING 450 RAD000349 USG FOETAL WELL BEING SCREENING 300 RAD000350 USG FOLLICULAR STUDY 250 RAD000351 USG FOLLICULAR STUDY (UPTO 3 VISITS) 600 RAD000352 USG FOLLICULAR STUDY (UPTO 6 VISITS) 1000 RAD000355 USG GUIDANCE FOR CATHERIZATION 500

RAD000358 USG GUIDED COMPRESSION THROMBOSIS OF PSEUDOANEURYSM 2500 RAD000362 USG HAND SINGLE 600 RAD000365 USG KIDNEY/RENAL 450 RAD000366 USG KUB 450 RAD000367 USG KUB SCREENING 300 RAD000371 USG MAMMOGRAPHY BILATERAL 1000 RAD000372 USG MAMMOGRAPHY UNILATERAL 500 RAD000375 USG NECK 600 RAD000379 USG PELVIS 450 RAD000383 USG PREGNANCY + DOPPLER & BP 1500 RAD000385 USG RESIDUAL URINE 100 RAD000387 USG SCROTUM 1000 RAD000390 USG TESTIS 1000 RAD000393 USG THYROID 600 RAD000394 USG TRANSRECTAL 800

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RAD000396 USG TRU CUT BIOPSY 3000 RAD000397 USG TRUS 600 RAD000398 USG TVS 500 RAD000399 USG UTERUS & ADNEXA 450 RAD000400 USG UTERUS & ADNEXA COLOR DOPPLER 1500 RAD000401 USG UTERUS & ADNEXA SCREENING 250 RAD000404 XRAY NEPHROSTOGRAM STUDY 1500 RAD000405 XRAY ABDOMEN ERECT 200 RAD000406 XRAY ABDOMEN SUPINE AP 200 RAD000413 XRAY ANKLE JOINT LEFT AP/LAT 360 RAD000415 XRAY ANKLE JOINT RIGHT AP 200 RAD000416 XRAY ANKLE JOINT RIGHT AP/LAT 360 RAD000418 XRAY ANKLE WITH LEG LEFT AP/LAT 225 RAD000427 XRAY ARM RIGHT AP 200 RAD000430 XRAY ARM SINGLE AP/LAT 300 RAD000444 XRAY CERVICAL SPINE AP 200 RAD000445 XRAY CERVICAL SPINE AP/LAT 360 RAD000446 XRAY CERVICAL SPINE FLE & EXT 360 RAD000447 XRAY CERVICAL SPINE LAT 200 RAD000449 XRAY CHEST APICAL 200 RAD000450 XRAY CHEST APICAL/LORDOTIC 200 RAD000451 XRAY CHEST BOTH LAT (L&R) 360 RAD000453 XRAY CHEST LEFT LAT 200 RAD000456 XRAY CHEST PA 200 RAD000458 XRAY CHEST RIGHT LAT 200 RAD000462 XRAY CLAVICLE RIGHT AP 200 RAD000464 XRAY COCCYX AP/LAT 360 RAD000470 XRAY DORSAL SPINE AP 200 RAD000471 XRAY DORSAL SPINE AP/LAT 360 RAD000474 XRAY DORSOLUMBAR SPINE AP/LAT 360 RAD000479 XRAY ELBOW LEFT AP/LAT 360 RAD000481 XRAY ELBOW RIGHT AP 200 RAD000482 XRAY ELBOW RIGHT AP/LAT 360 RAD000483 XRAY ELBOW RIGHT LAT 200 RAD000492 XRAY FEMUR LEFT AP 200 RAD000493 XRAY FEMUR LEFT AP/LAT 360 RAD000495 XRAY FEMUR RIGHT AP 200 RAD000496 XRAY FEMUR RIGHT AP/LAT 360 RAD000500 XRAY FOOT & ANKLE LEFT AP/LAT 400 RAD000501 XRAY FOOT & ANKLE RIGHT AP/LAT 400 RAD000502 XRAY FOOT LEFT AP 200

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RAD000503 XRAY FOOT LEFT AP & LAT 360 RAD000504 XRAY FOOT LEFT AP/OBL 300 RAD000505 XRAY FOOT LEFT LAT 200 RAD000506 XRAY FOOT RIGHT AP 200 RAD000507 XRAY FOOT RIGHT AP & OBLIQUES 360 RAD000508 XRAY FOOT RIGHT AP/LAT 360 RAD000513 XRAY FOREARM LEFT AP/LAT 360 RAD000515 XRAY FOREARM RIGHT AP 200 RAD000516 XRAY FOREARM RIGHT AP/LAT 360 RAD000521 XRAY HAND & WRIST BOTH AP 300 RAD000522 XRAY HAND & WRIST BOTH AP/LAT 500 RAD000524 XRAY HAND LEFT AP 200 RAD000525 XRAY HAND LEFT AP/LAT 360 RAD000526 XRAY HAND LEFT AP/OBL 360 RAD000528 XRAY HAND RIGHT AP 200 RAD000529 XRAY HAND RIGHT AP & OBLIQUES 360 RAD000530 XRAY HAND RIGHT AP/LAT 360 RAD000532 XRAY HANDS AP 200 RAD000536 XRAY HEEL LEFT AP 200 RAD000537 XRAY HEEL LEFT AP & LAT 360 RAD000538 XRAY HEEL LEFT LAT 200 RAD000539 XRAY HEEL RIGHT AP 200 RAD000540 XRAY HEEL RIGHT LAT 200 RAD000541 XRAY HEELS BOTH AP 300 RAD000542 XRAY HEELS BOTH LAT 360 RAD000543 XRAY HIP JOINT LEFT AP 200 RAD000544 XRAY HIP JOINT LEFT AP/LAT 360 RAD000545 XRAY HIP JOINT LEFT LAT 200 RAD000546 XRAY HIP JOINT RIGHT AP 200 RAD000547 XRAY HIP JOINT RIGHT AP/LAT 360 RAD000548 XRAY HIP JOINT RIGHT LAT 200 RAD000556 XRAY HIP RIGHT/LEFT AP/LAT 360 RAD000559 XRAY HSG 1300 RAD000562 XRAY HUMERUS LEFT AP/LAT 360 RAD000563 XRAY HUMERUS RIGHT AP/LAT 360 RAD000567 XRAY IVP/IVU 2000 RAD000568 XRAY KNEE (STANDING) LEFT AP/LAT 360 RAD000569 XRAY KNEE (STANDING) RIGHT AP/LAT 360 RAD000570 XRAY KNEE BOTH AP 300 RAD000572 XRAY KNEE BOTH AP/LAT 360 RAD000575 XRAY KNEE LEFT AP 200

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RAD000576 XRAY KNEE LEFT AP/LAT 360 RAD000577 XRAY KNEE LEFT LAT 200 RAD000578 XRAY KNEE RIGHT AP 200 RAD000579 XRAY KNEE RIGHT AP/LAT 360 RAD000580 XRAY KNEE RIGHT LAT 200 RAD000581 XRAY KNEE SKYLINE 200 RAD000582 XRAY KNEES BOTH (STANDING) AP/LAT 500 RAD000584 XRAY KNEES BOTH SKYLINE 200 RAD000585 XRAY KUB 225 RAD000589 XRAY LEG LEFT AP/LAT 360 RAD000593 XRAY LEG RIGHT AP/LAT 360 RAD000601 XRAY LEGS WITH ANKLE JOINT BOTH AP/LAT 360 RAD000606 XRAY LUMBAR SPINE AP/LAT 360 RAD000608 XRAY LUMBO SACRAL SPINE AP 200 RAD000609 XRAY LUMBO SACRAL SPINE AP/LAT 500 RAD000610 XRAY LUMBO SACRAL SPINE AP/LAT/OBL 600 RAD000611 XRAY LUMBO SACRAL SPINE LAT 200 RAD000613 XRAY MANDABLE 200 RAD000614 XRAY MANDABLE AP & LAT 360 RAD000619 XRAY NASAL BONE 300 RAD000620 XRAY NECK AP/LAT 360 RAD000625 XRAY NECK CERVICAL SPINE AP/LAT 360 RAD000640 XRAY NECK SOFT/TISSUE NASOPHARYNX 200 RAD000646 XRAY PELVIS AP 200 RAD000647 XRAY PELVIS HIPS BOTH AP 200 RAD000648 XRAY PNS 200 RAD000650 XRAY RETROGRADE URETHROGRAM 1000 RAD000651 XRAY RIGHT HEEL AP & LAT 360 RAD000653 XRAY RIGHT KNEE AP/LAT 360 RAD000654 XRAY RIGHT WRIST AP, LAT & OBL 500 RAD000659 XRAY SACRO ILIAC JOINTS OBL 360 RAD000662 XRAY SACRO-ILIAC JOINTS AP 200 RAD000672 XRAY SHOULDER 200 RAD000677 XRAY SHOULDER LEFT AP 200 RAD000678 XRAY SHOULDER LEFT AP/AXIAL 400 RAD000681 XRAY SHOULDER ONE SIDE AP/LAT 360 RAD000682 XRAY SHOULDER RIGHT AP 200 RAD000683 XRAY SHOULDER RIGHT AP/AXILLARY 400 RAD000684 XRAY SHOULDER RIGHT AP/LAT 360 RAD000690 XRAY SKULL AP 200 RAD000699 XRAY SKULL LAT 200

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RAD000702 XRAY SKULL MASTOIDS TOWNES 200 RAD000711 XRAY SPINE WHOLE AP & LAT 1000 RAD000717 XRAY T TUBE STUDIES 800 RAD000737 XRAY WRIST LEFT AP 200 RAD000738 XRAY WRIST LEFT AP/LAT 400 RAD000740 XRAY WRIST LEFT LAT 200 RAD000742 XRAY WRIST RIGHT AP 200 RAD000743 XRAY WRIST RIGHT AP/LAT 400 RAD000745 XRAY WRIST RIGHT LAT 200 RAD000746 CT ANGIOGRAPHY CORONARY 64 SLICE 8000 RAD000747 CT BRAIN PLAIN 1000 RAD000748 DOPPLER RENAL 1500 RAD000749 MRI THORASIC SPINE SCREENING 1500 RAD000750 USG HIP JOINT SINGLE 400 RAD000751 USG THERAPEUTIC ASPIRATION 1500 RAD000752 XRAY FINGER AP/LAT 300 RAD000753 XRAY HAND SINGLE AP, LAT & OBL 500 RAD000754 XRAY KNEES BOTH (STANDING) AP 360 RAD000755 XRAY MASTOIDS BOTH LAT/OBL 360 RAD000756 XRAY NECK LAT 200 RAD000757 XRAY RIGHT KNEE (STANDING) AP/LAT 360 RAD000758 XRAY THIGH AP/LAT 400 RAD000759 XRAY THORACIC SPINE AP & LAT 360 RAD000760 XRAY WRIST LEFT AP, LAT & OBL 500 RAD000761 XRAY BARIUM ENEMA SINGLE CONTRAST 1500 RAD000762 XRAY ABDOMEN ERECT AP/LAT 360 RAD000763 USG GLUTEAL REGION 450 RAD000764 USG FOETAL WELL BEING - CONGENITAL ABNORMALITIES (LEVEL II) 2000 RAD000765 CT SCANOGRAM BOTH UPPER LIMBS 600 RAD000766 CT PELVIS 1500 RAD000767 DOPPLER ARTERIAL UPPER LIMB BOTH 2200 RAD000768 MRI CONTRAST CHARGES - 5 ML 1000 RAD000769 MRI CONTRAST CHARGES - 15 ML 3000 RAD000770 XRAY SINGLE FILM 200 RAD000771 CT GUIDED INJECTION 1500 RAD001169 CT ABDOMEN UPPER CONTRAST 0 RAD001170 CT ABDOMEN LOWER CONTRAST 0

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Policy of Differential Charges for Diagnostics

S. No.

Name of bed category % hike in tariff from base Tariff

1 OPD and General Ward Standard 100%)

2 Special General Ward 120% of Standard

3 Semi Private 130% of Standard

4 Private 145% of Standard

5 Deluxe 160% of Standard

6 Suite 175% of Standard

7 ICUs/ NICU 120% of Standard

8 HDU 120% of Standard

9 Portable Charges 20% Extra on the respective rates

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Non Invasive Investigation

Diagnostics Charges Sl No Name of Investigation Rs.

1 2D ECHO CARDIOGRAPHY / ECHO COLOR DOPPLER 1,000 2 ECG 120.00 3 ECHO SCREENING 500 4 TREADMILL TEST 1,000 5 FOETAL ECHO CARDIOGRAPHY 1,200 6 HOLTER MONITORING 1,250 7 STRESS ECHO 2,000 8 TEE 1,600 9 TEE WITH ANESTHESIA 2,300 10 THALLIUM SCAN 7,700 11 THYRIOD SCAN 1,000 12 TILT TABLE TEST 1,500 13 ENDOSCOPY 1,200 14 COLONOSCOPY 1,600 15 PULMONARY FUNCTION TEST 650 16 FIBRE OPTIC BRONCHOSCOPY 2,200 17 FIBRE OPTIC BRONCHOSCOPY HIGH RISK (OT) 3,500 18 Sigmoidoscopy 1200 19 Catheterization 250.00 20 Endoscopic Glue Injection 3,500 21 Colonscopic Hemordial Sclerotherapy 2,000 22 Foreign Body Removal 2,500 23 Endoscopy Balloon Dilation 2,000 24 Therapeutic Paracentesis 1,000

UROLOGY

22 ESWL (Not Available) 6,000 23 FLEXIBLE CYSTOSCOPE Under LA 2,000 25 URETHRAL DILATATION 1,000 26 URODYNAMICS 1,500 27 URO FLOWMETRY 150 28 URETHRAL CALIBRATION 150 29 URETHRAL CATHETERIZATION 250 30 TROCAR SPC 2,500

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Neurology

31 EMG+NCV 2500 32 NCV- TWO LIMBS 1200 33 NCV-FOUR LIMBS 1800 34 EEG 900 35 NCV FACIAL 900 36 VEP (Visual Evoked Potential) 900 37 BAER (Brianstem Auditory Evoked Response) 900 38 Somato Sensory Evoked Response 900 39 RNS (Repetitive Nerve Stimultion) 1200 40 Needle EMG 1500 41 LP-CSF 500 42 NCV Any one Limb 800 43 LP with Pressure Measurement 1,500

Note:

1. Contrast would be charged extra 2. Anesthetist charges (If required) will be extra 3. Any Drugs & Consumable used would be extra

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Policy of Differential Charges for LAB

S. No.

Name of Ward % hike in tariff from base packages

1 OPD and General Ward Standard (100%) 2 SP 120% of Standard

3 Twin Sharing 130% of Standard 4 Private 145% of Standard 5 Deluxe 160% of Standard 6 Suite 175% of Standard 7 ICUs/ NICU 120% of Standard 8 HDU 120% of Standard 9 Portable X Ray, USG, ECHO, Doppler

Charges applicable only in general ward 20% Extra on the respective

rates

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Path Lab Investigations

Code Service Name Rs. LAB000005 24 HOURS URINE FOR CATECHOLAMINES 3850 LAB000006 24 HOURS URINE FOR COPPER 1570 LAB000008 24 HOURS URINE FOR ELECTROLYTES 300 LAB000010 24 HOURS URINE FOR MICROALBUMIN 460 LAB000012 24 HOURS URINE FOR POTASSIUM 100 LAB000013 24 HOURS URINE FOR PROTEIN 200 LAB000015 24 HRS URINE CREATININE CLEARANCE TEST 350 LAB000016 24 HRS URINE FOR CALCIUM 125 LAB000019 24 HRS URINE FOR PHOSPHORUS 125 LAB000020 24 HRS URINE FOR URIC ACID 125 LAB000026 AC TAP FOR CULTURE & SENSITIVITY 300 LAB000027 AC TAP FOR FUNGAL CULTURE 650 LAB000028 ACE (ANGIOTENSIN CONVERTING ENZYME) 860 LAB000036 ADENOCORTION TROPIC HORMONE (ACTH PLASMA) 1240 LAB000037 ADENOSINE DEAMINASE 510 LAB000038 AEC (ABSOLUTE ESONIPHIL COUNT) 60 LAB000040 AFB CULTURE & RADIOMETRIC SUSEPTIBILITY - 5 DRUG PANEL 4230 LAB000043 AFB CULTURE/MYCOBACTERIAL CULTURE (BACTEC METHOD) 1010 LAB000044 AFB CULTURE/MYCOBACTERIAL CULTURE (LJ METHOD) 750 LAB000047 AFB SMEAR 100 LAB000048 AFP (ALPHA FETO PROTEIN) 690 LAB000053 ALKALINE PHOSPHATASE 100 LAB000062 ANAL SWAB FOR C/S 300 LAB000063 ANCA (P/C) 1460 LAB000068 ANTI -CARDIOLIPIN ANTIBODY (ANTI-PHOSPHOLIPID) IGG 690 LAB000069 ANTI -CARDIOLIPIN ANTIBODY IGM 690 LAB000072 ANTI CYCLIC CITRULLINATED PEPTIDE;ANTI CCP 1570 LAB000073 ANTI DNASE B, SERUM; ANTIDEOXYRIBONUCLEASE B 1020 LAB000074 ANTI DS DNA 1350 LAB000075 ANTI HAV-TOTAL 1020 LAB000076 ANTI -HBC IGM ANTIBODY 1000 LAB000077 ANTI HBC TOTAL 910 LAB000079 ANTI HCV IGG 1300 LAB000080 ANTI HCV IGM 1370 LAB000081 ANTI IMMUNE HEPATITIS PANEL (AMA; ANTI LKM, ANTI L/P) 1460 LAB000083 ANTI -LKM-1(LIVER KIDNEY MICROSOMAL ANTIBODIES ) 1350 LAB000084 ANTI MITOCHONDRIAL ANTIBODY 1460 LAB000085 ANTI MULLERIAN HORMONE 1650

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LAB000087 ANTI NUCLEAR ANTIBODY / FACTOR (ANA / ANF), IFA (HEP-2) IN DILUTIONS 2470 LAB000088 ANTI NUCLEAR ANTIBODY / FACTOR (ANA/ANF), EIA 570 LAB000089 ANTI NUCLEAR ANTIBODY / FACTOR (ANA/ANF), IFA (HEP-2) 1300 LAB000099 ANTI-HAV IGM 1020 LAB000100 ANTISPERM ANTIBODY, SERUM 690 LAB000103 APO LIPO PROTIENS 570 LAB000104 APOLIPOPROTEIN B 570 LAB000105 ARTERIAL LINE TIP FOR CULTURE & SENSITIVITY 300 LAB000108 ASCITIC FLUID FOR CYTOLOGY/MALIGNANT CELLS 300 LAB000109 ASLO QUALITATIVE 180 LAB000110 ASMA (ANTI-SMOOTH MUSCLE ANTIBODIES) 1460 LAB000111 ASO (ANTISTREPTOYSIN "O" ) 450 LAB000116 ASPIRATED FLUID ANALYSIS 550 LAB000117 ASPIRATED FLUID ANALYSIS (BIOCHEMISTRY) 250 LAB000118 ASPIRATED FLUID FOR C/S 300 LAB000120 BAL FLUID (BRONCHO ALVEOLAR LAVAGE) FOR AFB C/S 1010 LAB000121 BAL FLUID (BRONCHO ALVEOLAR LAVAGE) FOR AFB STAIN 100 LAB000122 BAL FLUID (BRONCHO ALVEOLAR LAVAGE) FOR C/S 300 LAB000123 BAL FLUID (BRONCHO ALVEOLAR LAVAGE) FOR FUNGAL C/S 650 LAB000124 BAL FLUID (BRONCHO ALVEOLAR LAVAGE) FOR GRAMS STAIN 80 LAB000125 BAL FLUID FOR CYTOLOGY (BRONCHIAL WASH/ALVIOLAR LAVAGE) 300 LAB000126 BAL FLUID FOR FUNGAL STAIN 80 LAB000129 BAND FORMS 50 LAB000130 BED SORE SWAB C/S 300 LAB000133 BETA HCG (BETA HUMAN CHORIONIC GONADIO TROPIN) 570 LAB000135 BILE FOR CULTURE & SENSITIVITY 300 LAB000136 BILIRUBIN DIRECT 80 LAB000137 BILIRUBIN INDIRECT 80 LAB000138 BILIRUBIN TOTAL 150 LAB000141 BLISTER FLUID FOR C/S 300 LAB000143 BLOOD CLOT FOR C/S 300 LAB000144 BLOOD CULTURE FOR FUNGUS 650 LAB000145 BLOOD FOR ANAEROBIC CULTURE/SENSITIVITY 750 LAB000146 BLOOD FOR C/S 450 LAB000147 BLOOD FOR CULTURE & SENSITIVITY AEROBIC 780 LAB000150 BONE MARROW BIOPSY 500 LAB000156 BRONCHIAL ASPIRATION FOR CULTURE & SENSITIVITY 300 LAB000159 BT/CT BLEEDING TIME & CLOTTING TIME 60 LAB000160 BUN (UREA) 80 LAB000163 CA - 125 1020 LAB000164 CA - 15 - 3 1130

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LAB000165 CA - 19 - 9 1130 LAB000167 CALCIUM 100 LAB000168 CANCA 1350 LAB000169 CAPD FLUID FOR CULTURE & SENSITIVITY 300 LAB000170 CAPD FLUID FOR FUNGAL CULTURE 650 LAB000171 CARBAMAZEPINE 780 LAB000172 CATHETER URINE FOR C/S 300 LAB000174 CAVAFIX TIP FOR C/S 300 LAB000175 CBC (COMPLETE BLOOD COUNT) 200 LAB000184 CEA (CARCINO EMBRYONIC ANTIGEN) 570 LAB000187 CENTRAL LINE TIP FOR C/S 300 LAB000188 CERULOPLASMIN 910 LAB000189 CERVICAL SWAB FOR C/S 300 LAB000191 CHEST WOUND SWAB FOR C/S 300 LAB000200 CHLORIDE 100 LAB000201 CHOLESTEROL TOTAL 100 LAB000204 CHROMOSOME (KARYOTYPE) ANALYSIS, BLOOD 2470 LAB000206 CKMB (CREATININE KINASE MB) 350 LAB000210 CMV IGG ANTIBODY (CYTOMEGALOVIRUS) 460 LAB000214 COMPLIMENT C3 550 LAB000215 COMPLIMENT C4 550 LAB000216 CONJUNCTIVAL SWAB FOR C/S 300 LAB000217 CONJUNCTIVAL SWAB FOR FUNGAL CULTURE 650 LAB000218 CORNEAL SCRAPPING FOR CULTURE & SENSITIVITY 300 LAB000219 CORNEAL SCRAPPING FOR FUNGAL CULTURE 650 LAB000220 CORTISOL LEVELS (4 PM) 460 LAB000221 CORTISOL LEVELS (8AM) 460 LAB000223 CPK (CREATININE PHOSPHOKINASE) 250 LAB000225 CRP (C -REACTIVE PROTEIN) 100 LAB000230 CSF AFB STAIN 100 LAB000231 CSF ANALYSIS (BIOCHEMISTRY) 550 LAB000233 CSF CELL COUNT 550 LAB000234 CSF FOR C/S 300 LAB000235 CSF FOR CYTOLOGY/MALIGNANT CELLS 550 LAB000238 CSF FOR FUNGAL CULTURE 650 LAB000239 CSF FOR GRAM STAIN 80 LAB000241 CSF FOR INDIA INK 100 LAB000245 CSF FOR Z-N STAIN (AFB STAIN) 100 LAB000248 CSF PROTEIN ELECTROPHORESIS 3350 LAB000252 CULTURED AFB ANTIBIOTICS SENSITIVITY 11 DRUGS PANEL 8700 LAB000253 CVP TIP FOR CULTURE & SENSITIVITY 300

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LAB000254 CYCLOSPORINE LEVEL 2000 LAB000257 CYSTIC FLUID (BIOCHEMISTRY) 300 LAB000258 CYSTIC FLUID FOR CYTOLOGY 300 LAB000263 CYTOLOGY 300 LAB000265 DC (DIFFERENTIAL COUNT) 60 LAB000266 D-DIMER 1020 LAB000268 DENGUE ANTIBODIES IGM & IGG - QUALITATIVE 1000 LAB000269 DENGUE ANTIBODIES IGM 700 LAB000270 DENGUE ANTIBODIES IGG 700 LAB000271 DHEA SULPHATE (DHEAS) 860 LAB000272 DIALYSIS CATHETER TIP FOR C/S 300 LAB000273 DIALYSIS FLUID FOR C/S 300 LAB000274 DIALYSIS SHEETH FOR C/S 300 LAB000275 DIALYSIS VIROLOGY PROFILE (HIV, HCV AND HBS AG ) - RAPID 900 LAB000276 DIALYSIS WATER FOR C/S 300 LAB000277 DIGOXIN 750 LAB000278 DIRECT COOMBS TEST 350 LAB000289 DRAIN FLUID FOR C/S 300 LAB000291 EAR SWAB FOR CULTURE & SENSITIVITY 300 LAB000292 EAR SWAB FUNGAL CULTURE 650 LAB000298 ECHINOCOCCUS (HYDATID SEROLOGY)IGG, SERUM 1020 LAB000299 ELECTROLYTES (NA+,K+,CL+, HCO3-) 320 LAB000300 ENDOMETNIAL CURETTINGS FOR AFB C/S 1010 LAB000301 ENDOMETNIAL CURETTINGS FOR AFB STAIN 100 LAB000304 ENDOTRACHEAL TUBE TIP FOR C/S 300 LAB000306 ESR (ERYTHROCYTES SEDIMENTATION RATE) 75 LAB000307 ESTRADIOL II (E2) 490 LAB000308 ET SECRETION FOR C/S 300 LAB000309 ET SECRETION FOR GRAMS STAIN 80 LAB000310 ET SECRETIONS FUNGAL STAIN 100 LAB000311 ET SECRETIONS Z-N STAIN (AFB STAIN) 100 LAB000312 EVD TIP FOR C/S 300 LAB000314 EYE DISCHARGE 300 LAB000315 EYE SWAB FOR CULTURE & SENSITIVITY 300 LAB000318 FACTOR IX ASSAY 1480 LAB000319 FACTOR V ASSAY 2720 LAB000321 FACTOR VII ASSAY 2470 LAB000322 FACTOR VIII ASSAY 1190 LAB000323 FACTOR XI ASSAY 2720 LAB000324 FACTOR XIII 300 LAB000325 FDP (FIBRINBOGEN DEGRADATION PRODUCTS) 750

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LAB000327 FIBRINOGEN ASSAY 570

LAB000332 FLUID EXAMINATION, ROUTINE, CSF/NASAL FLUID DOES NOT INCLUDE PAPANICOLOAU STAIN OR KOH PREPARATION. 320

LAB000334 FLUID FOR CULTURE & SENSITIVITY 300 LAB000335 FLUID FOR CYTOLOGY 300 LAB000337 FLUID FOR GRAM STAIN 80 LAB000339 FNAC 300 LAB000340 FOLIC ACID LEVEL 910 LAB000342 FREE TESTOSTERONE 1570 LAB000345 FSH (FOLLICLE STIMULATING HORMONE) 460 LAB000346 FT3 (FREE T3) 300 LAB000347 FT4 (FREE T4) 300 LAB000348 FUNGAL CULTURE 650 LAB000349 G6 PD 690 LAB000354 GALACTOSEMIA PANEL 1 GALACTOSEMIA SCREENING GALACTOSEMIA C 2030 LAB000360 GASTRIC ASPIRATE FOR C/S 300 LAB000361 GASTRIC SECRETION FOR AFB SMEAR 100 LAB000363 GGT(GAMMA GLUTAMYL TRANSAMINASE) 250 LAB000364 GLOMERULAR BASEMENT MEMBRANE (GBM) ANTIBODY, IFA 1240 LAB000365 GLUCOSE FBS (FASTING BLOOD SUGAR ) 60 LAB000366 GLUCOSE PPBS (POST PRANDIAL BLOOD SUGAR) 60 LAB000367 GLUCOSE RBS (RANDOM BLOOD SUGAR) 60 LAB000368 GLUCOSE TOLERANCE TEST 350 LAB000370 GLYCOSYLATED HB 370 LAB000373 GRAMS STAIN SMEAR 80 LAB000374 GROIN SWAB FOR C/S 300 LAB000379 HANGING DROP PREPARATION 80 LAB000381 HAPTOGLOBLIN 1570 LAB000382 HB ELECTROPHORESIS 820 LAB000383 HB% (HAEMOGLOBIN) 50 LAB000384 HBE AG 750 LAB000385 HBSAG (HEPATITS B SURFACE ANTIGEN) - CHEMILUMINESCENCE 400 LAB000386 HBSAG (HEPATITS B SURFACE ANTIGEN) - CHEMILUMINESCENCE DELET LAB000390 HCV (ANTI HCV ANTIBODY) - CHEMILUMINESCENCE 720 LAB000393 HDL CHOLESTROL (HDLC) 150 LAB000401 HEPATITIS B E ANTIBODY (ANTI HBE) 690 LAB000402 HEPATITIS C VIRAL RNA (HCV RNA) QUANTITATIVE, REAL TIME PCR # 7750 LAB000403 HEPATITIS C VIRAL,PCR, QUALITATIVE; HCV RNA,PCR,QUALITATIVE # 3680 LAB000405 HEPATITIS E (HEV), IGM 1350

LAB000410 HISTOPATHOLOGY, KIDNEY BIOPSY PANEL 1 *HISTOPATHOLOGY *SPEACIAL STAINS *DIF FOR IGG,*IGA, *IGM, C3 & C1Q * MICROPHOTOGRAPHY 3100

LAB000413 HIV - CHEMILUMINESCENCE 400

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LAB000420 HLA B27 2500 LAB000421 HOMOCYSTEINE LEVEL 750 LAB000427 HPVDNA 1500 LAB000439 IMD PANEL QUANTITATIVE, BLOOD *AMINO ACIDS * ORAGANIC ACIDS *FATTY ACIDS 3350 LAB000449 INDIA INK CRYPTOCOCCUS 100 LAB000456 INTERCOSTAL TUBE TIP FOR C/S 300 LAB000457 INTERLEUKIN-6; IL-6 12480 LAB000459 IONISED CALCIUM 460 LAB000460 TOTAL IRON 550 LAB000461 IRRIGATION FLUID FOR C/S 300 LAB000463 IV CANNULA TIP FOR C/S 300 LAB000464 IV FLUID FOR C /S 300 LAB000469 KIDNEY BIOPSY - HISTOPATHOLOGY 1400 LAB000470 KOH PREPARATION FUNGUS 100 LAB000471 LACTATE (LACTIC ACID) 800 LAB000473 LARYNGEAL SWAB C/S 300 LAB000474 LDH TOTAL 260 LAB000475 LDL CHOLESTEROL 150 LAB000482 LFT (LIVER FUNCTION TEST) 600 LAB000483 LH (LUTEINIZING HORMONE) 460 LAB000484 LIPASE 350 LAB000485 LIPID PROFILE (CHOL,TRIG,HDL,LDL,VLDL) 600 LAB000486 LIVER ABSCESS ASPIRATE FOR C/S 300 LAB000488 LIVER KIDNEY MICROSOMES LKM -1 2580 LAB000490 LP- DRAIN TIP FOR C/S 300 LAB000491 LUMBAR DRAIN TIP C/S 300 LAB000499 MAGNESIUM 250 LAB000501 MALARIAL PARASITE / MICROFILARIA ( MP/MF ) -BY CARD METHOD 400 LAB000502 MANTOUX SKIN TEST (PPD) 60

LAB000503 MATERNAL SERUM SCREEN 3; TRIPLE TEST *AFP *BETA HCG *FREE ESTRIAL *RISK EVALUATION 2400

LAB000505 MCH (MEAN CORPUSCULAR HAEMOGLOBIN) 50 LAB000506 MCHC (MEAN CORPUSCULAR HAEMOGLOBIN CONCENTRATION) 50 LAB000507 MCV (MEAN CORPUSCULAR VOLUME) 50 LAB000510 MEASLES IGM ANTIBODIES 1350 LAB000511 MEDIASTENAL CLOT FOR C/S 300 LAB000512 MEDIASTENAL FLUID FOR C/S 300 LAB000524 MYCOBACTERIUM TUBERCULOSIS ANTIBODY IGG 820 LAB000525 MYCOBACTERIUM TUBERCULOSIS ANTIBODY IGM 820 LAB000531 NAIL CLIPPING FUNGAL CULTURE 650 LAB000532 NAIL CLIPPING KOH PREPARATION 100

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LAB000533 NASAL SWAB FOR C/S 300 LAB000534 NASAL SWAB FOR FUNGAL C/S 650 LAB000544 OESOPHAGIAL DRAIN FLUID FOR C/S 300 LAB000545 ORAL ULCER SWAB FOR C/S 300 LAB000548 PANCA 1350 LAB000549 PAP SMEAR 300 LAB000554 PCOD PANEL 3300 LAB000560 PCR FOR HBV DNA -QUALITATIVE 3680 LAB000561 PCR FOR HBV DNA -QUANTIFICATION 6820 LAB000573 PCV (PACKED CELL VOLUME) / HEMATOCRIT 50 LAB000574 PERICARDIAL FLUID - CLINICAL PATHOLOGY, CELL COUNT & CELL TYPE 550 LAB000576 PERICARDIAL FLUID FOR AFB STAIN 100 LAB000577 PERICARDIAL FLUID FOR ANALYSIS (BIOCHEMISTRY) 550 LAB000578 PERICARDIAL FLUID FOR CULTURE & SENSITIVITY 300 LAB000579 PERICARDIAL FLUID FOR CYTOLOGY/MALIGNANT CELLS 300 LAB000580 PERICARDIAL FLUID FOR GRAMS STAIN 80 LAB000582 PERICARDIAL TISSUE FOR C/S 300 LAB000583 PERINEAL SWAB FOR C/S 300 LAB000584 PERIPHERAL SMEAR EXAMINATION 80 LAB000585 PERIPHERAL SMEAR FOR MP & MF 80 LAB000586 PERITONEAL FLUID AFB STAIN/ ZN STAIN 100 LAB000588 PERITONEAL FLUID FOR CYTOLOGY (ASCITIC GLUID) 300 LAB000589 PERITONEAL FLUID FOR FUNGAL CULTURE 650 LAB000590 PERITONEAL FLUID FOR FUNGAL STAIN 100 LAB000591 PERITONEAL FLUID FOR GRAM STAIN 80 LAB000592 PERITONEAL FLUID/ ASCITIC FLUID FOR C/ S 300 LAB000593 PERITONIAL / ASCITIC FLUID- BIOCHEMISTRY 550 LAB000596 PHENOBARBITONE 800 LAB000598 PHENYTOIN LEVEL 800 LAB000599 PHOSPHORUS 100 LAB000604 PLATELET COUNT 80 LAB000607 PLEURAL FLUID ANALYSIS (BIOCHEMISTRY) 550 LAB000608 PLEURAL FLUID ANALYSIS (CLINICAL PATHOLOGY) 500 LAB000609 PLEURAL FLUID FOR CULTURE & SENSITIVITY 300 LAB000610 PLEURAL FLUID FOR CYTOLOGY 300 LAB000611 PLEURAL FLUID FOR FUNGAL CULTURE 650 LAB000612 PLEURAL FLUID FOR FUNGAL STAIN 100 LAB000613 PLEURAL FLUID FOR GRAM STAIN 80 LAB000614 PLEURAL FLUID FOR Z-N STAIN ( AFB SATIN) 100 LAB000620 POST- BY PASS FLUID FOR C/S 300 LAB000621 POST- EJACULATION URINE FOR C/S 300

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LAB000622 POTASSIUM 100 LAB000623 PRE- BY PASS FLUID FOR C/S 300 LAB000625 PROGESTERONE 460 LAB000626 PROLACTIN 470 LAB000631 PROTEIN ELECTROPHORESIS, SERUM INCLUDES TOTAL PROTEIN, ELECT 550 LAB000633 PSA (PROSTATE SPECIFIC ANTIGEN) 600 LAB000634 PT - INR (PROTHROMBIN TEST) 150 LAB000635 PTH (PARATHYROID HORMONE) 1410 LAB000636 PTT (ACTIVATED THROMBOPLASTIN TIME) 180 LAB000638 PUS FOR ANAEROBIC C/S 300 LAB000639 PUS FOR CULTURE & SENSITIVITY 300 LAB000640 PUS FOR FUNGAL CULTURE 650 LAB000641 PUS FOR FUNGAL STAIN 100 LAB000642 PUS FOR GRAM STAIN 80 LAB000643 PUS FOR Z-N STAIN (AFB STAIN) 100 LAB000644 PUS FROM BOIL FOR CULTURE & SENSITIVITY 300 LAB000645 PUS FROM LUNG ABSCESS FOR C/S 300 LAB000647 QUANTIFERON TB GOLD 2800 LAB000650 RANDOM URINE CALCIUM 175 LAB000651 RANDOM URINE CHLORIDE 175 LAB000652 RANDOM URINE CREATININE 175 LAB000655 RANDOM URINE PHOSPHOROUS 175 LAB000658 RANDOM URINE URIC ACID 100 LAB000659 RECTAL SWAB FOR C/S 300 LAB000660 RED BLOOD CELL COUNT 50 LAB000663 REGULAR HP LARGE SPECIMEN 400 LAB000665 REGULAR HP SMALL SPECIMEN 350 LAB000666 RETICULOCYTE COUNT 100 LAB000667 RHEUMATOID FACTOR -SERUM 350 LAB000668 RHEUMATOID FACTOR- SYNOVIAL FLUID 350 LAB000674 RUBELLA IGG ANTIBODY 460 LAB000677 S - CREATININE 80 LAB000680 SCI-70 (SCLERODERMA) ANTIBODY 910 LAB000681 SEMEN ANALYSIS 200 LAB000682 SEMEN FOR C/S 300 LAB000684 SERUM ALBUMIN 80 LAB000685 SERUM AMYLASE 300 LAB000689 SERUM CHOLINESTERASE 410 LAB000691 SERUM CORTISOL LEVEL (AM & PM) 820 LAB000692 SERUM CORTISOL RANDOM 690 LAB000693 SERUM FERRITIN 570

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LAB000696 SERUM GLOBULIN 80 LAB000697 SERUM IGA 290 LAB000698 SERUM IGE 690 LAB000699 SERUM IGG 630 LAB000700 SERUM IGM 350 LAB000702 SERUM IMMUNOGLOBULIN (IGA IGM IGG ) 860 LAB000705 SERUM LITHIUM 210 LAB000707 SERUM OSMOLALITY 570 LAB000711 SERUM TIBC 330 LAB000714 SGOT (AST) 100 LAB000715 SGPT (ALT) 100 LAB000717 SICKLING TEST 80 LAB000718 SINUS / ANTRAL WASH C/S 300 LAB000719 SKIN SCRAPPING FOR FUNGAL CULTURE 650 LAB000721 SKIN SWAB FOR C/S 300 LAB000725 SODIUM 100 LAB000727 SPUTUM FOR AFB (ZN STAIN) 100 LAB000729 SPUTUM FOR CULTURE AND SENSITIVITY 300 LAB000730 SPUTUM FOR FUNGAL CULTURE 650 LAB000731 SPUTUM FOR MALIGNANT CELLS 300 LAB000734 SPUTUM FUNGAL STAIN 100 LAB000735 SPUTUM GRAM STAIN 80 LAB000736 STAINED FNAC SLIDES FOR OPINION 250 LAB000737 STERNAL SWAB FOR C/S 300 LAB000738 STERNAL WIRE C/S 300 LAB000740 STOOL (OCCULT BLOOD) 60 LAB000741 STOOL CULTURE & SENSITIVITY 300 LAB000742 STOOL REDUCING SUBSTANCES 80 LAB000743 STOOL ROUTINE EXAMINATION 60 LAB000744 SUBCALVIAN CATHETER FOR C/S 300 LAB000745 SUBPHRENIC ASPIRATE FOR C/S 300 LAB000747 SUCTION TIP FOR C/S 300 LAB000748 SWAB FOR CULTURE 300 LAB000749 SWINE FLU H1N1 TEST 9000 LAB000750 SYNOVIAL FLUID FOR ANALYSIS (BIO) 550 LAB000752 SYNOVIAL FLUID FOR CULTURE & SENSITIVITY 300 LAB000753 SYNOVIAL FLUID FOR CYTOLOGY 550 LAB000754 SYNOVIAL FLUID FOR FUNGAL CULTURE 650 LAB000755 SYNOVIAL FLUID FOR GRAM STAIN 80 LAB000757 SYNOVIAL FLUID FOR ZN STAIN (AFB) 100 LAB000759 T3, T4 & TSH 750

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LAB000762 TC & DC 100 LAB000763 TC (TOTAL COUNT) 50 LAB000764 TESTOSTERONE 550 LAB000765 THROAT SWAB FOR ALBERTS STAIN 100 LAB000766 THROAT SWAB FOR CULTURE & SENSITIVITY 300 LAB000767 THROMBIN TIME 550 LAB000771 TISSUE FOR C/S 300 LAB000773 TONGUE SWAB FOR CULTURE & SENSITIVITY 300 LAB000775 TORCH IGM ANTIBODIES 1130 LAB000776 TORCH PANEL (IGG&IGM) 2200 LAB000778 TOTAL PROTEIN 100 LAB000779 TOXOPLASMA IGG ANTIBODY 460 LAB000782 TPHA 460 LAB000784 TRACHEAL ASPIRATION FOR C/S 300 LAB000786 TRACHEOSTOMY SECRETIONS FOR C/S 300 LAB000787 TRACHEOSTOMY SWAB FOR C/S 300 LAB000788 TRIGLYCERIDES 150 LAB000790 TROPONIN I 600 LAB000792 TSH (THYROID STIMULATING HORMONE) 200 LAB000794 TTG (TISSUE TRANSGLUTAMINASE ) IGA 800 LAB000796 UNSTAINED FNAC SLIDE FOR OPINION 300 LAB000797 URETHERAL SMEAR FOR CULTURE 300 LAB000798 URETHRAL DISCHARGE AFTER PROSRTATIC MASSAGE FOR ROUTINE EXAMINATION 300 LAB000799 URETHRAL SWAB FOR GRAMS STAIN 80 LAB000800 URIC ACID 100 LAB000802 URINE CALCIUM (RANDOM) 100 LAB000804 URINE FOR AFB SMEAR 100 LAB000805 URINE FOR ALBUMIN 100 LAB000808 URINE FOR BJP (BENCE JONES PROTEIN) 150 LAB000809 URINE FOR BLOOD 70 LAB000810 URINE FOR BS/BP (BILE SALT & BILE PIGMENT) 80 LAB000811 URINE FOR CULTURE & SENSITIVITY 300 LAB000812 URINE FOR CYTOLOGY /MALIGNANT CELLS 300 LAB000815 URINE FOR FUNGAL CULTURE 650 LAB000816 URINE FOR FUNGAL STAIN 100 LAB000817 URINE FOR GRAM STAIN 80 LAB000818 URINE FOR HAEMOGLOBIN 160 LAB000820 URINE FOR KETONE BODIES 60 LAB000821 URINE FOR MICROALBUMIN (RANDOM) 460 LAB000823 URINE FOR MICROSCOPY 60 LAB000827 URINE FOR PREGNANCY TEST 100

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LAB000829 URINE FOR REDUCING SUBSTANCES 80 LAB000831 URINE FOR SUGAR 30 LAB000832 URINE FOR SUGAR (FASTING) 30 LAB000833 URINE FOR SUGAR (POST PRANDIAL) 30 LAB000834 URINE FOR SUGAR (RANDOM) 30 LAB000836 URINE FOR UROBILINOGEN 90 LAB000837 URINE METANEPHRINES (RANDOM) 9130 LAB000838 URINE OSMOLALITY 570 LAB000840 URINE POTASSIUM (RANDOM) 100 LAB000841 URINE PROTEIN CREATININE RATIO 300 LAB000842 URINE ROUTINE & MICROSCOPY 80 LAB000843 URINE SODIUM (RANDOM) 100 LAB000845 VACUOLATED EOSINOPHIL COUNT 60 LAB000846 VAGINAL SWAB FOR C/S 300 LAB000852 VDRL- CSF 110 LAB000853 VDRL -SERUM 110 LAB000855 VITAMIN B-12 LEVEL 830 LAB000859 VITAMIN D 25 HYDROXY 1570 LAB000860 VITREOUS FLUID FOR AFB STAIN 100 LAB000861 VITREOUS FLUID FOR CULTURE & SENSITIVITY 300 LAB000862 VITREOUS FLUID FOR FUNGAL CULTURE 650 LAB000863 VITREOUS FLUID FOR FUNGAL STAIN 100 LAB000864 VITREOUS FLUID FOR GRAM STAIN 80 LAB000865 VLDL CHOLESTEROL 150 LAB000867 WATER FOR CULTURE 300 LAB000870 WET MOUNT 80 LAB000871 WIDAL TEST 150 LAB000872 WOUND SWAB - ABDOMEN FOR C/S 300 LAB000873 WOUND SWAB - HAND FOR C/S 300 LAB000874 WOUND SWAB - LEG FOR C/S 300 LAB000875 WOUND SWAB FOR AFB STAIN 100 LAB000876 WOUND SWAB FOR CULTURE & SENSITIVITY 300 LAB000877 WOUND SWAB FOR GRAM STAIN 80 LAB000878 PRE CATH PROFILE 1500 LAB000879 PRE OPERATIVE PROFILE - I 7500 LAB000880 PRE OPERATIVE PROFILE - II 6000 LAB000881 SEROLOGY PROFILE 900 LAB000882 IRON PROFILE 1500 LAB000883 PRE OPERATIVE PROFILE - GENERAL SURGERY 1500 LAB000884 PRE OPERATIVE PROFILE - LAP CHOLE 2200 LAB000885 PRE OPERATIVE PROFILE - NEURO SURGERY 1200

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LAB000886 RENAL PACKAGE - 1 400 LAB000887 RENAL PACKAGE - 2 750 LAB000888 RANDOM CHOLESTEROL PROFILE 230 LAB000889 DIALYSIS PACKAGE - 1 200 LAB000890 DIALYSIS PACKAGE - 2 500 LAB000891 A/G RATIO 100 LAB000892 SERUM BICARBONATE LEVEL 120 LAB000893 SERUM TRANSFERRIN 910 LAB000894 INDIRECT COOMBS TEST 410 LAB000895 HEPATITIS B SURFACE ANTIBODY; HBSAB 520 LAB000896 PCR FOR TB (AFB) 1800 LAB000897 TEC (TOTAL EOSINOPHIL COUNT) 50 LAB000898 BIOPSY 250 LAB000899 BONE MARROW ASPIRATION REPORTING 300 LAB000900 ANTI -CARDIOLIPIN ANTIBODY (ANTI-PHOSPHOLIPID) IGG & IGM 1380 LAB000901 MALARIAL PARASITE / MICROFILARIA ( MP/MF ) -BY QBC METHOD 910 LAB000902 AMMONIA (PLASMA) 650 LAB000903 OSMOTIC FRAGILITY 410 LAB001354 ANTITHYROID PEROXIDASE ANTIBODY 1080 BLB000003 BLOOD GROUP 100 EME000001 BLOOD GAS ANALYSIS 400

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Narayana Hrudayalaya Hospital, Jaipur Schedule of Charges Page 81 of 81

Pre Surgical Profiles Breakup of Pre Surgery Profile (Non Cardiac) GROUP A GROUP B

S. No. Details

1 Creatinine 2 Glucose 3 Blood grouping & RH typing 4 CBC 5 HbSAg Elisa) 6 HIV Elisa) 7

ECG

S. No. Details 1 Creatinine 2 Urea 3 Electrolytes (Na+, K+, Cl-) 4 Glucose 5 Blood grouping & RH typing 6 CBC 7 HbSAg (Elisa) 8 HCV Elisa) 9 HIV Elisa) 10 APTT 11 P.T (Prothrombin Time) 12 ECG 13 X Ray Chest PA View