HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Eff ective from 01.04.2018 to 31.03.2020)

HOLY FAMILY HOSPITAL HOLOKHLAY ROFAMILAD, NEWY DELHIHOSPIT - 110025AL HOLOKHLAY ROFAMILAD, NEWY DELHIHOSPIT - 110025AL OKHLA ROAD, NEW DELHI - 110025

HOLY FAMILY HOSPITAL OKHLASchedule ROAD, NEW of DELHICharges - 110025 ScheduleEffective 1of April, Charges 2018 ScheduleEffective 1of April, Charges 2018 Effective 1 April, 2018 Phone Nos: +91 11 2633 2800 to 2633 2809 Fax No : +91 11 2691 3225 +91 11 2684 5900 to 2684 5909 Email : [email protected] Phone Nos: +91 11 2633 2800 to 2633 2809 Fax No : +91 11 2691 3225 P hone Nos: Schedule +91+91 1111 Schedule 26842633 59002800 toto 26842633 of 59092809 ChargesofEmailF axCharges No : adimini: +91 11 [email protected] - 32252018 +91 11 Schedule2684 5900 to 2684 5909 ofEmail Charges : [email protected] Effective 1 April,st 2018 Eff Effectiveecti ve from 1 April, 1 April, 2018 2018 (Valid upto 31st March, 2020)

Phone Nos: +91 11 2633 2800 to 2633 2809 Fax No : +91 11 2691 3225 Phone Nos: +91 11 2633 2800 to 2633 2809 Fax No : +91 11 2691 3225 +91 11 2684 5900 to 2684 5909 Email : [email protected] +91 11 2684 5900 to 2684 5909 1 Email : [email protected] HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020) INDEX S.No. CHARGING HEAD Page No. 1 General Information 3 In-Patient Schedule of Charges 2 Room / Bed and Board 5 3 CCU/ICU / Ped. ICU / Post Op. ICU and Board 5 4 Oxygen 5 5 Ventilator 5 6 NNU – Nursery, Photo Therapy, Incubator, Nursing Care 5 7 Hospital Doctor’s Fee :- Visits 6 8 :- Consultation 6 9 Surgery Fee : General Surgery 6 10 Surgery Fee : Laparoscopic General Surgery 9 11 Surgery Fee : Hernia Surgery 12 12 Surgery Fee : Breast Surgery 12 13 Surgery Fee : Rectal Surgery 13 14 Surgery Fee : O.B. & Gynae (Open) & Delivery Fee 13 15 Surgery Fee : O.B. & Gynae (Laparoscopic) 15 16 Surgery Fee : O.B. & Gynae (Hysteroscopic) 17 17 Surgery Fee : Ophthalmology 17 18 Surgery Fee : Orthopedics 19 19 Surgery Fee : Neuro Surgery 24 20 Surgery Fee : E.N.T. 25 21 Surgery Fee : Thoracic 28 22 Surgery Fee : Vascular 29 23 Surgery Fee : Urology 31 24 Surgery Fee : Plastic Surgery 35 25 Surgery Fee : Pediatric Surgery 38 26 Surgery Fee : Miscellaneous 41 27 Nephrology and Renal Transplant 41 28 Operation Theater Charges 43 29 Anesthesia Charges 43 30 Cath Lab Procedures & Cardiac Surgery & Packages 44 31 Non-Invasive Cardiac Lab-(ECG,Echo,TMT, Holter Moniter) 47 32 Gastroenterology 48 33 Neurology Investigations 49 34 Respiratory Medicine-(Sleep Lab,Spirometer,Video Bronchoscopy) 50 35 Radiology :BMD, C.T.Scan 51 36 Radiology : Mammography, Ultrasound 52 37 Radiology : X-Ray 54 38 Radiology : MRI 57 39 Radiology : Miscellaneous 60

2 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

40 Laboratory 61 41 Spot Investigation 69 42 Exchange Blood Transfusion 69 43 Physio-Therapy : IPD 69 44 Treatment : IPD 71 45 Plastering 72 46 Dressing 72 47 Chemotherapy : IPD 73 48 Psychotherapy 73 49 Laser Procedures (Ophthalmology) : IPD & OPD 73 50 Laser Procedures (Dermatology)–Aesthetic Clinic : IPD & OPD 73 51 Special Investigation (Uroflowmetry) 74 52 Speech & Hearing Test 74 53 Instrument & Special Equipments (Cardiac Monitor, DVT Pump) 74 54 Diet for Attendant 74 55 Concession (Only SB Bed) 75 56 Ayurvedic Treatment : IPD & OPD 75 57 Ambulance 76 58 Mortuary 76 59 Miscellaneous Charges 76 Out-Patient Schedule of Charges 60 O.P.D. Consultation (Private OPD) 77 61 O.P.D. Registration (General OPD) 77 62 O. B. Registration Charges 77 63 Chemotherapy : OPD Casualty 77 64 Dialysis [O.P.D.] 77 65 O.P.D. Procedures : Urology, ENT, Ophthalmology, & Gynae, 78 66 Plastering Charges : OPD 78 67 Skin Procedures : OPD 79 68 Treatment : OPD 79 69 Nursing Procedures : OPD 81 70 Physio-Therapy : OPD 81 Out-Patient : Package charges for Minor O.T. Procedures 71 ENT : Minor O.T. Procedures 84 72 General Surgery : Minor O.T. Procedures 84 73 OB./Gyn. : Minor O.T. Procedures 85 74 Eye (Ophthalmology) : Minor O.T. Procedures 85 75 Ortho. : Minor O.T. Procedures 86 76 Plastic Surgery : Minor O.T. Procedures 86 77 Urology : Minor O.T. Procedures 87 78 Thoracic : Minor O.T. Procedures 87 79 Pediatric Surgery : Minor O.T. Procedures 87 80 Miscellaneous Charges 89

3 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

General Information:

1. Accommodation Categories:-

ACCOMMODATION CATEGORIES :- DR = Delux Room  DR, PR, SPR and NSB accommodations will be PR = Private (Single) Room offered to Credit Facility and Reimbursable cases. SPR = Semi Private Room (Two beds in a Room) SB category is only for non-reimbursable cases. NSB = Non-Subsidised Bed (Four or five beds in a Room) (Pls see point no.7) SB = Subsidised Bed

2. Room / Bed Charges:- (a) Room charges are for full day on the day of admission irrespective of the time of checking in. (b) If a patient is discharged within 24 hrs of admission, room / bed will be charged for one day only irrespective of calender days. (c) 6 hours and above, upto 24 hours of admission is counted as one day. (d) For stay less than 6 hours Room/bed will be charged for half a day. (e) Check out time is 11:00AM. (f) Room / Bed charges are inclusive of charges for bed, Nursing Care and Diet Services for the patient only. If the patient is NPO, no food will be supplied to the attendant of the patient. Diet for the attendant will be charged separately as per the Schedule of Charges.

3. Surgical & Doctor’s visits fee (Hospital Case):- (a) If more than one surgeon performs different procedures at the same time even with single incision, the surgical fee for each surgery will be charged in full separately. (b) If a surgeon performs more than one surgery (as per categorisation in the schedule of charges) at a single opening or incision. The higher one will be charged in full, Ist lesser one will be charged at 50% and the 2nd lesser or more thereafter will be charged at 25%. (c) If a surgeon performs more than one surgery with different incisions, the surgical fee for each procedure will be charged in full. (d) If a single procedure is performed by more than one surgeon, only the single fee as per schedule of charges will be charged. (e) In case of major surgeries carried out in Operation Theater, Surgeon’s Post Operative visits will not be charged for next 3 days including day of surgery. This clause is not applicable on minor surgeries and diagnostic procedures. If the surgical fee in “Delux Room” is Rs.10,000/- or less, will be treated as “Minor Surgery”.

4. Shifting from one to another accommodation:- (a) In case the patient is shifted from lower to higher category, the charges for surgical procedure/s, doctors’ visits, any other professional fees, Investigations, Nursing Care and other variable charges (except Bed charges) will be charged as per the higher category from the date of admission. (b) In normal course, shifting from higher category to lower category is not allowed.

Contd..

4 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

5. Any treating consultant / physician can charge only one visit per day irrespective of the number of visits.

6. Private Patients of Visiting Consultants:- The Visits and / or Surgical charges mentioned in this Schedule of Charges and point no. 3 mentioned above will not be applicable to patients admitted by Visiting Consultants as their ‘PRIVATE PATIENT’. Visiting Consultants are free to charge a differential fee for their Private Patients, but this will be billed and collected by the hospital on their behalf.

7. Re-imbursable cases not to opt Subsidised Bed (SB) category :- Patients entitled for reimbursement from their employer / Insurance company will be accommodated in Delux Room (DR), Private Room(PR), Semi Private(SPR) or Non Subsidised Bed(NSB) only.As per Hospital policy, Subsidised Beds(SB) will only be allotted to economically Impoverished patients and who are not the beneficiaries of any organizational reimbursement scheme. If a patient opts to occupy a Subsidised Bed (SB), the Final Bill with payment receipt will only be issued. In such cases, Neither printed details of the bill nor “Emergency/Essentiality Certificate” will be issued. No form for reimbursement will be signed by any doctor or official.

8. ICU/CCU/SEMI ICU/PED. ICU/305 (SPL. NURSERY)/NICU-415/HDU are the common areas. Any patient admitted directly in these areas will decide about the type of accommodation at the time of admission in these areas and charges will be made accordingly irrespective of whether or not theyhave actually utilized such an accommodation for whatever reason.

NOTE :The hospital reserves the right to modify the charges mentioned in this “Schedule of charges” without prior notice whenever it deems necessary.

5 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION

01:01 ROOM / BED AND BOARD CHARGES (in rupees) 001 DELUX ROOM 7000 002 PRIVATE (SINGLE) ROOM 5000 003 SEMI PRIVATE ROOM 3200 004 NON-SUBSIDISED BED 2400 005 SUBSIDISED BED 1300 NOTE: The Room / Bed Charges are inclusive of Nursing Care.

02:01 CCU/ICU/PED ICU/SEMI ICU / POST OP. ICU / INTENSIVE NURSING CARE UNIT / H.D.U. S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/SB 001 ICU / CCU 6300 002 PED. ICU / SPL. NURSERY (305) 2300 003 H.D.U. - (415) 3300 004 SEMI ICU 5000 005 P. O P. R O OM 3300 006 H.D.U. - LABOR ROOM 2800 Note :- ICU / CCU (Intensive / Coronary Care Unit) / Post-op. ICU and Ped. ICU charges include bed Nursing care and monitoring charges for all vital parameters. All other service charges will be as per the category in which the patient is admitted.

03:01 OXYGEN DR/PR/SPR/NSB SB 001 BY HOOD/MASK (PER DAY) 500 400 002 BY NASAL CATHETER (PER DAY) 400 250 003 BY HOOD/MASK (LESS THAN 6 HOURS) 300 200

04:01 VENTILATOR DR/PR/SPR/NSB SB 001 BI-PAP / C PAP 1600 1100 002 INFANT VENTILATOR 1850 1200 003 VENTILATOR PER DAY 2500 1700

05:01 NNU (NEO-NATAL UNIT) – NURSERY (206) DR/PR/SPR/NSB/SB 001 NEO NATAL UNIT (NNU) - NURSERY : PER DAY 2000 Note:- NNU-Nursery charges are inclusive of charges for bed and Nursing Care for patient (Newborn Baby) only.

05:02 PHOTO THERAPY DR/PR/SPR/NSB SB 001 PHOTO THERAPY : DOUBLE - PER DAY 700 350 002 PHOTO THERAPY : SINGLE - PER DAY 400 200

05:03 INCUBATOR / OPEN CARE 001 INCUBATOR / OPEN CARE : PER DAY 700 450 002 WARMER CARE : PER DAY 400 250

05:04 NURSING CARE DR PR SPR NSB SB 001 NURSING CARE : PER DAY(Only for newborn babies in “Nursery 208) 550 500 500 350 225 Note :- Nursing care is professional charges for routine nursing care provided by the nurses.

6 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY HOSPITAL DOCTOR’S FEE DR PR SPR NSB SB 06:01 VISITS : MEDICAL CARE - PER DAY 001 VISIT : MEDICAL CARE : PER DAY 1200 900 800 700 450

06:02 CONSULTATION 001 CONSULTATION (EACH) 1200 900 800 700 450 SURGICAL FEE

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:01 GENERAL SURGERY DR PR SPR NSB SB 001 GES037 ADRENALECTOMY 30000 25000 20000 15000 10000 002 GES001 APPENDICECTOMY 17000 14000 11300 8500 5700 003 GES121 ASPIRATION OF LIVER ABSCESS 8000 6700 5400 4000 2700 004 GES018 ASPIRATION OF SUPERFICIAL COLD ABSCESS 3300 2750 2200 1650 1100 005 GES118 AVULSION OF NAIL OR NAIL REMOVAL 4000 3300 2700 2000 1300 006 GES021 AXILLARY LYMPH NODE BIOPSY 9000 7500 6000 4500 3000 007 GES128 BARIATRIC SURGERY 60000 50000 40000 30000 20000 008 GES097 BIOPSY OF LIVER 8000 6700 5400 4000 2700 009 GES042 BLOCK DISSECTION NECK 32000 26800 21400 16000 10700 010 GES112 CAECOSTOMY 17000 14000 11300 8500 5700 CHOLECYSTECTOMY WITH DUCT 011 GES002 30000 25000 20000 15000 10000 EXPLORATION 012 GES122 CHOLECYSTOSTOMY 18000 15000 12000 9000 6000 013 GES013 COLECTOMY WITH ILEOSTOMY 30000 25000 20000 15000 10000 014 GES048 COLOSTOMY 17000 14000 11300 8500 5700 COLOSTOMY / ILEOSTOMY / JEJUNOSTOMY 015 GES055 18000 15000 12000 9000 6000 CLOSURE CONSTRUCTION OF J POUCH AFTER A 016 GES136 36000 30000 24000 18000 12000 PREVIOUS TOTAL PROCTO COLECTOMY CYTO-REDUCTIVE SURGERY WITH TOTAL 017 GES137 100000 83000 66000 50000 33000 PERITONECTOMY 018 GES058 DEBRIDEMENT(LARGE) 9000 7500 6000 4500 3000 019 GES098 DEBRIDEMENT(MEDIUM) 7000 5800 4800 3500 2400 020 GES059 DEBRIDEMENT(SMALL) 5000 4200 3400 2500 1700 021 GES087 DELTOID MUSCLE BIOPSY 7000 5800 4800 3500 2400 022 GES053 DIVERTICULECTOMY 18000 15000 12000 9000 6000 023 GES102 DRAINAGE OF ABSCESS - LARGE & DEEP 7000 5800 4800 3500 2400 024 GES123 DRAINAGE OF ABSCESS - MEDIUM 5000 4200 3400 2500 1700 025 GES017 DRAINAGE OF ABSCESS - SMALL 3500 2900 2300 1750 1200 DRAINAGE OF LARGE INTRA ABDOMINAL 026 GES085 18000 15000 12000 9000 6000 ABSCESS 027 GES138 ASPIRATION OF LIVER ABSCESS 7000 5800 4800 3500 2400 028 GES132 DRESSING – MAJOR 3500 2900 2300 1750 1200 029 GES133 DRESSING – MEDIUM 3000 2500 2000 1500 1000

7 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:01 GENERAL SURGERY DR PR SPR NSB SB 030 GES134 DRESSING – MINOR 2200 1800 1500 1100 750 031 GES035 DUODENAL DIVERTICULAM 29000 24200 19400 14500 9700 032 GES022 EXCISION BIOPSY-SUPERFICIAL LUMPS 10000 8300 6700 5000 3350 033 GES099 EXCISION OF CARBUNCLE 10000 8300 6700 5000 3350 034 GES110 EXCISION OF DERMOID CYST 10000 8300 6700 5000 3350 EXCISION OF GLOMUS TUMOR (WITH OR 035 GES111 11000 9200 7400 5500 3700 WITHOUT EXCISION OF NAIL) EXCISION OF HILAR CHAOLANGIO 036 GES139 42000 35000 28000 21000 14000 CARCINOMA EXCISION OF LARGE SUPERFICIAL SOFT 037 GES060 18000 15000 12000 9000 6000 TISSUE MASS / TUMOUR EXCISION OF MEDIUM SUPERFICIAL SOFT 038 GES100 13000 10900 8700 6500 4350 TISSUE MASS / TUMOUR 039 GES032 EXCISION OF MESENTERIC CYST 24000 20000 16000 12000 8000 040 GES046 EXCISION OF PILONIDAL SINUS 16000 13400 10700 8000 5300 041 GES056 EXCISION OF SEBACEOUS CYST 6500 5400 4400 3250 2200 042 GES033 EXCISION OF SMALL INTESTINAL FISTULA 24000 20000 16000 12000 8000 EXCISION OF SMALL SUPERFICIAL SOFT 043 GES101 10000 8300 6700 5000 3350 TISSUE MASS / TUMOUR 044 GES049 EXCISION OF SUBMANDIBULAR GLAND 15000 12500 10000 7500 5000 EXP.LAP.RESECTION OF LIVER SEG.-EXCISION OF 045 GES086 35000 29000 23400 17500 11700 UMBILICAL PORT EXP.LAPAROTOMY+CHOLEDOCHLITHOTOMY 046 GES084 35000 29000 23400 17500 11700 + CHOLEDOCHO DUODENOSTOMY 047 GES003 EXPLORATORY LAPAROTOMY ONLY 14000 11700 9400 7000 4700 EXP. LAPAROTOMY WITH DUODENAL 048 GES114 32000 26800 21400 16000 10700 PERFORATION CLOSURE EXP. LAP. WITH EXCISION / DEBULKING OF 049 GES115 42000 35000 28000 21000 14000 INTRA-ABDOMINAL TUMOR – MAJOR 050 GES095 FASCIOTOMY – LARGE / MULTIPLE 15000 12500 10000 7500 5000 051 GES094 FASCIOTOMY – MEDIUM 11000 9200 7400 5500 3700 052 GES124 FASCIOTOMY – SMALL 6000 5000 4000 3000 2000 053 GES104 FASCIOTOMY – REDO ( LARGE / MULTIPLE) 12000 10000 8000 6000 4000 054 GES103 FASCIOTOMY – REDO (MEDIUM) 9000 7500 6000 4500 3000 055 GES125 FASCIOTOMY – REDO (SMALL) 5000 4200 3400 2500 1700 056 GES116 FEEDING JEJUNOSTOMY 12000 10000 8000 6000 4000 057 GES140 FREYS PROCEDURE 45000 37500 30000 22500 15000 058 GES004 GASTRECTOMY 30000 25000 20000 15000 10000 059 GES005 GASTRECTOMY WITH VAGOTOMY 32000 26800 21400 16000 10700 060 GES006 GASTROJEJNOSTOMY 24000 20000 16000 12000 8000 061 GES007 GASTROJEJUNOSTOMY WITH VAGOTOMY 27000 22500 18000 13500 9000 062 GES008 GASTROSTOMY 16000 13400 10700 8000 5300 063 GES031 GLAND BIOPSY 8000 6700 5400 4000 2700 064 GES130 HEMATOMA DRAINAGE 5000 4200 3400 2500 1700 065 GES044 HEMI THYROIDECTOMY 22000 18300 14700 11000 7400 066 GES012 HEMICOLECTOMY 29000 24200 19400 14500 9700

8 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:01 GENERAL SURGERY DR PR SPR NSB SB 067 GES109 HEMIGLOSSECTOMY 18000 15000 12000 9000 6000 068 GES120 HEPATICO JEJUNOSTOMY 32000 26800 21400 16000 10700 069 GES069 HIGHLY SELECTIVE VAGOTOMY 21000 17500 14000 10500 7000 070 GES025 ILEOTRANSVERSE COLOSTOMY 20000 16700 13200 10000 6600 071 GES057 INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000 072 GES024 INTESTINAL PERFORATION 24000 20000 16000 12000 8000 INTESTINAL RESECTION WITH 073 GES105 30000 25000 20000 15000 10000 ANASTOMOSIS – MULTIPLE INTESTINAL RESECTION WITH 074 GES009 24000 20000 16000 12000 8000 ANASTOMOSIS – SINGLE LAPAROTOMY AND BOWEL RESECTION FOR 075 GES070 24000 20000 16000 12000 8000 INTUSSUSCEPTION LAPAROTOMY AND CLOSURE OF INTESTINAL 076 GES071 24000 20000 16000 12000 8000 PERFORATION LAPAROTOMY AND DIVISION OF INTRA- 077 GES073 24000 20000 16000 12000 8000 ABDOMINAL ADHESIONS / BANDS LAPAROTOMY AND REDUCTION OF 078 GES072 24000 20000 16000 12000 8000 INTUSSUSCEPTION 079 GES074 LEFT HEPATECTOMY 39000 32500 26000 19500 13000 080 GES075 LEFT LIVER LOBECTOMY 42000 35000 28000 21000 14000 081 GES047 LIGATION OF VARICOSE VEINS : UNILATERAL 18000 15000 12000 9000 6000 082 GES114 LIVER RESECTION MAJOR / COMPLEX 42000 35000 28000 21000 14000 083 GES113 LUMBAR PUNCTURE IN O.T. 3000 2500 2000 1500 1000 084 GES020 LYMPH NODE BIOPSY 8000 6700 5400 4000 2700 LYSIS OF ADHESION WITH BOWEL 085 GES011 24000 20000 16000 12000 8000 RESECTION WITH ANASTOMOSIS 086 GES010 LYSIS OF INTESTINAL ADHESION 15000 12500 10000 7500 5000 NECROSECTOMY AND OPEN DRAINAGE OF 087 GES142 30000 25000 20000 15000 10000 PANCREATIC ABSCESS 088 GES096 NEEDLE ASPIRATION OF ABSCESS 3000 2500 2000 1500 1000 089 GES143 OESOPHAGEAL DEVASCULARISATION 42000 35000 28000 21000 14000 090 GES039 OESOPHAGO GASTRECTOMY 39000 32500 26000 19500 13000 091 GES054 OMENTECTOMY 15000 12500 10000 7500 5000 092 GES082 OPEN CHOLECYSTECTOMY 24000 20000 16000 12000 8000 OPEN CHOLECYSTECTOMY WITH CBD 093 GES106 30000 25000 20000 15000 10000 EXPLORTION 094 GES144 OPEN DRAINAGE OF LIVER ABSCESS 18000 15000 12000 9000 6000 095 GES038 OPERATION FOR PANCREAS 38000 31700 25400 19000 12700 PANCREATICO DUODONECTOMY (WHIPPLE’S 096 GES040 39000 32500 26000 19500 13000 PROCEDURE) PARATHYROID ADENOMA WITH HEMI 097 GES083 32000 26800 21400 16000 10700 THYROIDECTOMY 098 GES045 PARATHYROIDECTOMY 24000 20000 16000 12000 8000 099 GES041 PAROTIDECTOMY 32000 26800 21400 16000 10700 PARTIAL SUBTOTAL GASTRECTOMY CA./ 100 GES027 32000 26800 21400 16000 10700 ULCER

9 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:01 GENERAL SURGERY DR PR SPR NSB SB 101 GES117 PERITONEAL BIOPSY 5500 4600 3700 2750 1850 102 GES145 PERITONEOVENOUS SHUNT 24000 20000 16000 12000 8000 103 GES014 PYLOROMYOTOMY (RAMSTEDT’S) 20000 16700 13200 10000 6600 104 GES015 PYLOROPLASTY WITH VAGOTOMY 24000 20000 16000 12000 8000 105 GES077 RADICAL CHOLECYSTECTOMY 35000 29000 23400 17500 11700 106 GES036 RECURRENT INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000 107 GES088 REMOVAL OF DEEP FOREIGN BODY-LIMBS 21000 17500 14000 10500 7000 108 GES108 REMOVAL OF MESH & TACKERS 17000 14000 11300 8500 5700 REMOVAL OF SUPERFICIAL FOREIGN BODY- 109 GES089 12000 10000 8000 6000 4000 LIMBS REMOVAL OF SUPERFICIAL FOREIGN BODY- 110 GES107 7000 5800 4800 3500 2400 LIMBS -MINOR 111 GES029 REPAIR OF COMMON BILE DUCT (C.B.D.) 32000 26800 21400 16000 10700 RESECTION ANASTOMOSIS OESOPHAGUS 112 GES146 42000 35000 28000 21000 14000 (IVOR LEWIS) RESUTURING OF WOUNDS – LARGE / 113 GES078 9000 7500 6000 4500 3000 MULTIPLE 114 GES050 RESUTURING OF WOUNDS – SMALL 5000 4200 3400 2500 1700 SECONDARY SUTURING OF ABDOMINAL 115 GES051 14000 11700 9400 7000 4700 WALL 116 GES026 SIGMOID DIVERTICULUM 26000 21700 17400 13000 8700 117 GES016 SPLENECTOMY 28000 23300 18800 14000 9400 118 GES127 STRICTUROPLASTY 24000 20000 16000 12000 8000 119 GES079 SUB-TOTAL COLECTOMY 32000 26800 21400 16000 10700 SUTURING OF WOUNDS / LACERATIONS – 120 GES126 8000 6700 5400 4000 2700 LARGE / MULTIPLE SUTURING OF WOUNDS / LACERATIONS – 121 GES019 4500 3750 3000 2250 1500 SMALL TOTAL OESOPHAGOGASTRECTOMY WITH 122 GES147 60000 50000 40000 30000 20000 COLONIC/JEJUNAL PULL UP 123 GES043 THYROIDECTOMY TOTAL 27000 22500 18000 13500 9000 124 GES030 TOTAL COLECTOMY 33000 27500 22000 16500 11000 125 GES028 TOTAL GASTRECTOMY FOR CA. 42000 35000 28000 21000 14000 126 GES148 TOTAL PROCTO COLECTOMY WITH J POUCH 48000 40000 32000 24000 16000 127 GES149 TRISEGMENTECTOMY 42000 35000 28000 21000 14000 128 GES023 TRUCUT NEEDLE BIOPSY 3300 2750 2200 1650 1100 TRUNCAL VAGOTOMY AND GASTRO 129 GES080 30000 25000 20000 15000 10000 JEJUNOSTOMY 130 GES081 TRUNCAL VAGOTOMY AND PYLOROPLASTY 32000 26800 21400 16000 10700

07:02 LAPAROSCOPIC GENERAL SURGERY 001 GES091 DIAGNOSTIC LAPAROSCOPY ONLY 12000 10000 8000 6000 4000 002 GES092 DIAGNOSTIC LAPAROSCOPY WITH BIOPSY 14000 11700 9400 7000 4700 DIAGNOSTIC LAPAROSCOPY WITH MULTIPLE 003 GES093 18000 15000 12000 9000 6000 BIOPSIES LAPARASCOPIC TOTAL EXTRA PERITONEAL 004 HES029 26000 21700 17400 13000 8700 MESH - (TEP) - UNILATERAL

10 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:02 LAPAROSCOPIC GENERAL SURGERY DR PR SPR NSB SB LAPAROSCOPIC ABDOMINO-PERINEAL 005 LGS001 42000 35000 28000 21000 14000 RESECTION OF RECTUM 006 LGS002 LAPAROSCOPIC ADHESIOLYSIS 20000 16700 13200 10000 6600 LAPAROSCOPIC ADRENALECTOMY – 007 LGS003 60000 50000 40000 30000 20000 BILATERAL LAPAROSCOPIC ADRENALECTOMY – 008 LGS004 45000 37500 30000 22500 15000 UNILATERAL 009 GES061 LAPAROSCOPIC APPENDICECTOMY 21000 17500 14000 10500 7000 010 GES052 LAPAROSCOPIC CHOLECYSTECTOMY 24000 20000 16000 12000 8000 LAPAROSCOPIC CHOLEDOCHAL CYST 011 LGS005 60000 50000 40000 30000 20000 EXCISION LAPAROSCOPIC CLOSURE OF BOWEL 012 LGS006 32000 26800 21400 16000 10700 PERFORATION 013 LGS007 LAPAROSCOPIC COLOSTOMY/ CECOSTOMY 24000 20000 16000 12000 8000 LAPAROSCOPIC COMPLETE RECTAL 014 LGS008 32000 26800 21400 16000 10700 PROLAPSE REPAIR LAPAROSCOPIC DEROOFING OF NON- 015 GES062 30000 25000 20000 15000 10000 HYDATID LIVER CYST LAPAROSCOPIC DIAPHAGMATIC HERNIA 016 LGS009 48000 40000 32000 24000 16000 REPAIR LAPAROSCOPIC DISTAL RADICAL 017 LGS010 55000 46000 36700 27500 18300 GASTRECTOMY LAPAROSCOPIC DRAINAGE OF INTRA- 018 GES067 27000 22500 18000 13500 9000 ABDOMINAL COLLECTION 019 GES063 LAPAROSCOPIC DRAINAGE OF LIVER ABCESS 24000 20000 16000 12000 8000 LAPAROSCOPIC DUODENAL PERFORATION 020 GES068 32000 26800 21400 16000 10700 CLOSURE LAPAROSCOPIC EPIGASTRIC HERNIA REPAIR- 021 HES020 24000 20000 16000 12000 8000 INLAY MESH LAPAROSCOPIC EPIGASTRIC HERNIA REPAIR- 022 HES019 24000 20000 16000 12000 8000 ONLAY MESH LAPAROSCOPIC EXCISION OF HYDATID CYST 023 LGS011 48000 40000 32000 24000 16000 OF LIVER 024 HES021 LAPAROSCOPIC FUNDOPLICATION(DOR’S) 30000 25000 20000 15000 10000 025 HES022 LAPAROSCOPIC FUNDOPLICATION(NISSEN) 30000 25000 20000 15000 10000 026 LGS012 LAPAROSCOPIC GASTRIC BYPASS 60000 50000 40000 30000 20000 LAPAROSCOPIC GASTRIC PERFORATION 027 GES064 32000 26800 21400 16000 10700 CLOSURE 028 GES065 LAPAROSCOPIC GASTRO-JEJUNOSTOMY (GJ) 32000 26800 21400 16000 10700 LAPAROSCOPIC HELLERS OPERATION/ 029 LGS013 CARDIO MYOTOMY (THROUGH THE CHEST) / 48000 40000 32000 24000 16000 ABDOMEN 030 LGS014 LAPAROSCOPIC HEPATICO-JEJUNOSTOMY 48000 40000 32000 24000 16000 LAPAROSCOPIC HIATUS HERNIA REPAIR 031 LGS015 48000 40000 32000 24000 16000 THROUGH THE ABDOMEN / CHEST 032 LGS016 LAPAROSCOPIC ILEOSTOMY / JEJUNOSTOMY 24000 20000 16000 12000 8000 033 LGS017 LAPAROSCOPIC INCISIONAL HERNIA REPAIR 36000 30000 24000 18000 12000 LAPAROSCOPIC INGUINAL HERNIORRHAPHY 034 HES023 24000 20000 16000 12000 8000 BILATERAL

11 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:02 LAPAROSCOPIC GENERAL SURGERY DR PR SPR NSB SB LAPAROSCOPIC INGUINAL HERNIORRHAPHY 035 HES024 20000 16700 13200 10000 6600 UNILATERAL LAPAROSCOPIC INGUINAL HERNIORRHAPHY 036 HES025 32000 26800 21400 16000 10700 WITH MESH BILATERAL LAPAROSCOPIC INGUINAL HERNIORRHAPHY 037 HES026 24000 20000 16000 12000 8000 WITH MESH UNILATERAL 038 LGS018 LAPAROSCOPIC LAR 51000 42500 34000 25500 17000 039 LGS019 LAPAROSCOPIC LIVER RESECTIION 55000 46000 36700 27500 18300 040 HES027 LAPAROSCOPIC LUMBAR HERINA REPAIR 32000 26800 21400 16000 10700 LAPAROSCOPIC MEDIAN ARCUATE 041 LGS020 60000 50000 40000 30000 20000 LIGAMENT 042 LGS021 LAPAROSCOPIC NECROSECTOMY 38000 31700 25400 19000 12700 043 LGS022 LAPAROSCOPIC NEPHRECTOMY 55000 46000 36700 27500 18300 044 LGS023 LAPAROSCOPIC OESOPHAGECTOMY 72000 60000 48000 36000 24000 045 LGS024 LAPAROSCOPIC PALLIATIVE GASTRECTOMY 36000 30000 24000 18000 12000 LAPAROSCOPIC RADICAL 046 LGS025 51000 42500 34000 25500 17000 CHOLECYSTECTOMY (WITH SEGMENT 4 & 5) LAPAROSCOPIC RADICAL PROSTATECTOMY 047 LGS026 60000 50000 40000 30000 20000 FOR Ca PROSTATE LAPAROSCOPIC RESECTION AND 048 LGS027 40000 33300 26800 20000 13400 ANASTOMOSIS-MULTIPLE LAPAROSCOPIC RESECTION AND 049 LGS028 32000 26800 21400 16000 10700 ANASTOMOSIS-SINGLE 050 LGS029 LAPAROSCOPIC RFTA OF MULTIPLE LESION 75000 62500 50000 37500 25000 051 LGS030 LAPAROSCOPIC RFTA OF SINGLE LESION 60000 50000 40000 30000 20000 LAPAROSCOPIC RIGHT / LEFT 052 LGS031 HEMICOLECTOMY / TRANSVERSE 38000 31700 25400 19000 12700 COLECTOMY / SIGMOID COLECTOMY 053 LGS032 LAPAROSCOPIC SILS APPENDICECTOMY 29000 24200 19400 14500 9700 054 LGS033 LAPAROSCOPIC SILS CHOLECYSTECTOMY 38000 31700 25400 19000 12700 055 LGS034 LAPAROSCOPIC SILS HERNIA REPAIR 30000 25000 20000 15000 10000 056 LGS035 LAPAROSCOPIC SILS SLEEV GASTRECTOMY 70000 58000 46500 35000 23300 057 LGS036 LAPAROSCOPIC SLEEV GASTRECTOMY 55000 46000 36700 27500 18300 LAPAROSCOPIC SPLENECTOMY/ 058 LGS037 40000 33300 26800 20000 13400 SPLENORRHAPHY 059 LGS038 LAPAROSCOPIC SPLENIC ARTERY LIGATION 40000 33300 26800 20000 13400 LAPAROSCOPIC STRICTUROPLASTY – 060 LGS039 32000 26800 21400 16000 10700 MULTIPLE 061 LGS040 LAPAROSCOPIC STRICTUROPLASTY – SINGLE 30000 25000 20000 15000 10000 LAPAROSCOPIC TOTAL EXTRA- (TEP ) 062 HES028 32000 26800 21400 16000 10700 BILATERAL LAPAROSCOPIC TRUNCAL VAGOTOMY AND 063 GES066 33000 27500 22000 16500 11000 GASTRO JEJUNOSTOMY 064 LGS041 LAPAROSCOPIC ULTRASOUND 13000 10800 8800 6500 4400 LAPAROSCOPIC UMBILICAL HERNIA REPAIR- 065 HES030 26000 21700 17400 13000 8700 ONLAY MESH 066 LGS042 LAPAROSCOPIC WERTHIEMS 55000 46000 36700 27500 18300

12 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:02 LAPAROSCOPIC GENERAL SURGERY DR PR SPR NSB SB 067 URS146 ORCHIDOPEXY LAPROSCOPIC – BILATERAL 28000 23300 18800 14000 9400 068 URS147 ORCHIDOPEXY LAPROSCOPIC – UNILATERAL 20000 16700 13200 10000 6600 VATS (VIDEO ASSISTED THORACOSCOPIC 069 LGS043 42000 35000 28000 21000 14000 SURGERY

07:03 HERNIA SURGERY 001 HES013 ABDOMINOPLASTY WITH MESH 28000 23300 18800 14000 9400 002 HES008 EPIGASTRIC HERNIA 18000 15000 12000 9000 6000 003 HES009 FEMORAL HERNIA 18000 15000 12000 9000 6000 004 HES010 HIATUS HERNIA 26000 21700 17400 13000 8700 005 HES014 HYDROCELECTOMY : BILATERAL 18000 15000 12000 9000 6000 006 HES006 HYDROCELECTOMY : UNILATERAL 11000 9200 7400 5500 3700 INCISIONAL HERNIA REPAIR WITH 007 HES017 39000 32500 26000 19500 13000 ABDOMINOPLASTY 008 HES036 INCISIONAL HERNIA REPAIR WITH MESH 24000 20000 16000 12000 8000 009 HES018 INGUINAL HERNIA - BILATERAL 21000 17500 14000 10500 7000 010 HES001 INGUINAL HERNIA : UNILATERAL 17000 14000 11300 8500 5700 011 HES015 INGUINAL HERNIOPLASTY : BILATERAL 24000 20000 16000 12000 8000 012 HES012 INGUINAL HERNIOPLASTY : UNILATERAL 18000 15000 12000 9000 6000 013 HES002 INGUINAL HERNIA WITH ORCHIDECTOMY 21000 17500 14000 10500 7000 NISSEN FUNDOPLICATION AND HIATUS 014 HES031 30000 25000 20000 15000 10000 HERNIA REPAIR 015 HES038 ORCHIDECTOMY : BILATERAL 18000 15000 12000 9000 6000 016 HES037 ORCHIDECTOMY : UNILATERAL 15000 12500 10000 7500 5000 RECURRENT HERNIA (INCISIONAL) 017 HES003 24000 20000 16000 12000 8000 BILATERAL RECURRENT HERNIA (INCISIONAL) 018 HES032 21000 17500 14000 10500 7000 UNILATERAL 019 HES033 RECURRENT HERNIA WITH MESH BILATERAL 32000 26800 21400 16000 10700 RECURRENT HERNIA WITH MESH 020 HES034 28000 23300 18800 14000 9400 UNILATERAL 021 HES011 STRANGULATED / OBSTRUCTED HERNIA 24000 20000 16000 12000 8000 022 HES005 UMBILICAL HERNIA 18000 15000 12000 9000 6000 023 HES035 UMBILICAL HERNIA REPAIR WITH MESH 24000 20000 16000 12000 8000 024 HES004 VENTRAL HERNIA (INCISIONAL) 21000 17500 14000 10500 7000

07:04 BREAST SURGERY 001 BRS001 BIOPSY OF BREAST 9000 7500 6000 4500 3000 002 BRS006 EXCISION OF MAMMARY FISTULA 12000 10000 8000 6000 4000 003 BRS002 EXCISION OF SMALL FIBROADENOMA 10000 8300 6800 5000 3400 004 BRS003 I. & D. OF BREAST ABSCESS 7000 5800 4800 3500 2400 005 BRS008 LUMPECTOMY – LARGE 14000 11700 9400 7000 4700 006 BRS010 LUMPECTOMY – SMALL 10000 8300 6800 5000 3400 MASTECTOMY RADICAL WITH AUX. LYMPH 007 BRS005 30000 25000 20000 15000 10000 NODES 008 BRS004 MASTECTOMY SIMPLE 19000 15800 12800 9500 6400

13 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:04 BREAST SURGERY DR PR SPR NSB SB 009 BRS011 RADICAL BLOCK DISSECTION OF BREAST 21000 17500 14000 10500 7000 010 BRS007 SEGMENTAL RESECTION OF BREAST 12000 10000 8000 6000 4000 011 BRS009 WIDE EXCISION BIOPSY OF BREAST 16000 13400 10700 8000 5300

07:05 RECTAL SURGERY ABDOMINAL PERINEAL RESECTION FOR 001 RES007 35000 29000 23400 17500 11700 CA. RECTUM 002 RES002 ANAL DILATATION 7000 5800 4800 3500 2400 003 RES008 ANTERIOR RESECTION 28000 23300 18800 14000 9400 ANTERIOR RESECTION WITH TOTAL 004 RES009 32000 26800 21400 16000 10700 MESORECTAL EXCISION 005 RES013 EXCISION OF SKIN TAG 2000 1700 1400 1000 700 006 RES001 FISSURECTOMY 9000 7500 6000 4500 3000 007 RES003 FISTULECTOMY 16000 13400 10700 8000 5300 008 RES004 HAEMORRHOIDECTOMY 18000 15000 12000 9000 6000 009 RES005 I. & D. OF ISCHIO-RECTAL ABSCESS 10000 8300 6800 5000 3400 010 RES011 PERIANAL ABSCESS DRAINAGE 9000 7500 6000 4500 3000 011 RES006 RECTAL POLYP EXCISION 6000 5000 4000 3000 2000 012 RES010 STAPLED HAEMORRHOIDECTOMY 20000 16700 13200 10000 6600

07:06 O.B. & GYNAE - OPEN SURGERY 001 OGS012 ABDOMINAL 26000 21700 17400 13000 8700 002 OGS016 ANTERIOR & POSTERIOR COLPORRHAPHY 15000 12500 10000 7500 5000 003 OGS060 ANTERIOR COLPORRAPHY 12000 10000 8000 6000 4000 004 OGS063 CAUTERY OF VAGINAL VAULT GRANULOMA 2000 1700 1400 1000 700 005 OGS088 CERVICAL EXPLORATION WITHOUT BIOPSY 5000 4200 3400 2500 1700 006 OGS089 CERVICAL EXPLORATION WITH BIOPSY 7000 5800 4800 3500 2400 007 OGS033 COMPLETE PERINEAL TEAR REPAIR 6500 5400 4400 3250 2200 008 OGS066 CONE BIOPSY OF 6000 5000 4000 3000 2000 CRYO CAUTERISATION OF CERVIX WITH OR 009 OGS094 6000 5000 4000 3000 2000 WITHOUT BIOPSY 010 OGS032 CRYOSURGERY 6000 5000 4000 3000 2000 011 OGS008 D. & C. WITH CERVIX BIOPSY 6000 5000 4000 3000 2000 012 OGS049 D. & C. WITH POLYPECTOMY 6000 5000 4000 3000 2000 013 OGS009 DILATATION & CURETTAGE (D.& C.) ONLY 5000 4200 3400 2500 1700 014 OGS007 DILATATION & EVACUATION (D. & E.) ONLY 5000 4200 3400 2500 1700 015 OGS028 DRAINAGE OF ABSCESS BARTHOLINS CYST 4500 3750 3000 2250 1500 016 OGS006 E.U.A. (EXAMINATION UNDER ANEASTHESIA) 4000 3300 2700 2000 1300 END TO END FALLOPIAN TUBAL 017 OGS070 RECANALISATION / ANASTOMOSIS – 26000 21700 17400 13000 8700 UNILATERAL OR BILATERAL EXCISION OF LABIAL CYST / BARTHOLINS 018 OGS025 4500 3750 3000 2250 1500 CYST 019 OGS073 EXCISION OF VAGINAL WALL CYST 9000 7500 6000 4500 3000

14 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:06 O.B. & GYNAE - OPEN SURGERY DR PR SPR NSB SB EXP. LAP. WITH REPAIR OF 020 OGS092 32000 26800 21400 16000 10700 PERFORATION OR RUPTURE 021 OGS075 FOREIGN BODY REMOVAL FROM 5000 4200 3400 2500 1700 FOTHERGILS / MANCHESTER OPERATION 022 OGS040 16000 13400 10700 8000 5300 FOR 023 OGS078 HEMATOCOLPOS DRAINAGE / COLPOTOMY 4500 3750 3000 2250 1500 024 OGS037 HEMATOMA DRAINAGE 4500 3750 3000 2250 1500 025 OGS038 HYMENECTOMY 4500 3750 3000 2250 1500 026 OGS058 18000 15000 12000 9000 6000 I & D OF LABIAL ABCESS UNILATERAL OR 027 OGS046 6500 5400 4400 3250 2200 BILATERAL 028 OGS061 INTERNAL ILIAC ARTERY LIGATION 13000 10900 8700 6500 4350 029 OGS021 L.S.C.S. 20000 16700 13200 10000 6600 030 OGS018 L.S.C.S. WITH HYSTERECTOMY 30000 25000 20000 15000 10000 031 OGS090 LSCS WITH PREVIOUS SCAR 24000 20000 16000 12000 8000 032 OGS017 L.S.C.S. WITH TUBECTOMY 28000 23300 18800 14000 9400 LAPROTOMY & REPOSITIONING OF 033 OGS048 22000 18300 14700 11000 7400 UTERUS(HAULTENS TECH.) 034 OGS034 LAPROTOMY FOR ECTOPIC PREGNANCY 16000 13400 10700 8000 5300 035 OGS041 LAPROTOMY FOR TWISTED OVARIAN 18000 15000 12000 9000 6000 036 OGS095 LIGATION OF UTERINE & OVARIAN ARTERIES 12000 10000 8000 6000 4000 MAC DONALD STITCH / CERVICAL 037 OGS015 6500 5400 4400 3250 2200 ENCIRCLAGE 038 OGS036 MANUAL REMOVAL OF PLACENTA (BED SIDE) 5000 4200 3400 2500 1700 039 OGS069 MANUAL REMOVAL OF PLACENTA IN OT 6500 5400 4400 3250 2200 040 OGS030 MYOMECTOMY 20000 16700 13200 10000 6600 041 OGS002 NON DESCENT VAGINAL HYSTERECTOMY 29000 24200 19400 14500 9700 042 OGS013 OOPHRECTOMY / 16000 13400 10700 8000 5300 OVARIAN CYST ASPIRATION WITH BIOPSY- 043 OGS053 17000 14000 11300 8500 5700 BILATERAL OVARIAN CYST ASPIRATION WITH BIOPSY- 044 OGS051 14000 11700 9400 7000 4700 UNILATERAL OVARIAN CYST ASPIRATION WITHOUT 045 OGS052 15000 12500 10000 7500 5000 BIOPSY-BILATERAL OVARIAN CYST ASPIRATION WITHOUT 046 OGS050 12000 10000 8000 6000 4000 BIOPSY-UNILATERAL 047 OGS023 OVARIAN CYSTECTOMY 17000 14000 11300 8500 5700 048 OGS010 PANHYSTERECTOMY / TAH WITH BSO 30000 25000 20000 15000 10000 PURANDARE’S SLING OPERATION FOR 049 OGS059 18000 15000 12000 9000 6000 PROLAPSE RADICAL HYSTERECTOMY FOR 050 OGS067 MALIGNANCY / WERTHEIM’S 35000 29000 23400 17500 11700 HYSTERECTOMY

15 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:06 O.B. & GYNAE - OPEN SURGERY DR PR SPR NSB SB 051 OGS003 RADICAL 33000 27500 22000 16500 11000 052 OGS093 REMOVAL OF MAC DONALD STITCH (IN O.T.) 2500 2100 1800 1250 900 053 OGS065 REPAIR OF RECTOVAGINAL FISTULA (RVF) 16000 13400 10700 8000 5300 054 OGS019 REPAIR OF VESICO-VAGINAL FISTULA 27000 22500 18000 13500 9000 REPOSITIONING OF INVERTED UTERUS 055 OGS064 9000 7500 6000 4500 3000 (UTERINE INVERSION) RESUTURING OF ABDOMINAL WOUND – 056 OGS057 6500 5400 4400 3250 2200 MAJOR RESUTURING OF ABDOMINAL WOUND – 057 OGS043 4000 3300 2700 2000 1300 MINOR 058 OGS044 RESUTURING OF EPISIOTOMY WOUND 5000 4200 3400 2500 1700 059 OGS014 SALPINGO-OOPHRECTOMY 16000 13400 10700 8000 5300 060 OGS042 SHIRODHKAR SUTURE 8000 6700 5400 4000 2700 061 OGS062 SIMPLE VULVECTOMY 16000 13400 10700 8000 5300 062 OGS055 SUCTION AND EVACUATION 5000 4200 3400 2500 1700 VAGINAL EXPLORATION WITH REMOVAL OF 063 OGS087 5000 4200 3400 2500 1700 RING PESSARY VAGINAL HYSTERECTOMY WITH VAGINAL 064 OGS011 27000 22500 18000 13500 9000 AND PELVIC FLOOR REPAIR 065 OGS001 VAGINOPLASTY 27000 22500 18000 13500 9000 VAULT PROLASE REPAIR - ABDOMINAL 066 OGS027 27000 22500 18000 13500 9000 COLPOSUSPENSION 067 OGS026 VAULT PROLASE REPAIR - VAGINAL ROUTE 27000 22500 18000 13500 9000 068 OGS091 VAULT BIOPSY 5000 4200 3400 2500 1700 069 OGS045 VULVAL BIOPSY 4000 3300 2700 2000 1300 070 OGS024 WEDGE RESECTION OF 16000 13400 10700 8000 5300

07:06A DELIVERY FEE 001 DEL001 NORMAL DELIVERY 12500 11000 9500 8000 6500 002 DEL002 FORCEPS DELIVERY 14000 12500 11000 9000 7500

07:06B O.B. & GYNAE – LAPAROSCOPIC SURGERY 001 OGS031 DIAGNOSTIC LAPAROSCOPY 12000 10000 8000 6000 4000 DIAGNOSTIC LAPAROSCOPY & 002 OGS068 14000 11700 9400 7000 4700 DIAGNOSTIC LAPAROSCOPY & 003 OGL042 16000 13400 10700 8000 5300 HYSTEROSCOPY WITH D & C. 004 OGL001 DIAGNOSTIC LAPAROSCOPY WITH D. & C. 14000 11700 9400 7000 4700 DIAGNOSTIC LAPAROSCOPY WITH TUBAL 005 OGS056 18000 15000 12000 9000 6000 MILKING (FOR ECTOPIC PREGNANCY) LAPAROSCOPIC ABLATION OF 006 OGL002 18000 15000 12000 9000 6000 ENDOMETRIOTIC SPOT 007 OGL003 LAPAROSCOPIC ABSCESS DRAINAGE 12000 10000 8000 6000 4000 008 OGL004 LAPAROSCOPIC ADENOLYSIS 20000 16700 13200 10000 6600 LAPAROSCOPIC ADHESIOLYSIS & 009 OGS085 22000 18300 14700 11000 7400 HYSTEROSCOPY

16 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:06B O.B. & GYNAE – LAPAROSCOPIC SURGERY DR PR SPR NSB SB 010 OGL005 LAPAROSCOPIC ASPIRATION OF OOCYTE 10000 8300 6700 5000 3350 LAPAROSCOPIC ASSISTED VAGINAL 011 OGL006 40000 33300 26800 20000 13400 HYSTRECTOMY (COMPLICATED) LAPAROSCOPIC ASSISTED VAGINAL 012 OGL007 36000 30000 24000 18000 12000 HYSTRECTOMY (SIMPLE) LAPAROSCOPIC ASSISTED VAGINAL 013 OGL008 39000 32500 26000 19500 13000 HYSTRECTOMY WITH BSO 014 OGL009 LAPAROSCOPIC BURCH OPERATION 28000 23300 18800 14000 9400 015 OGL010 LAPAROSCOPIC COLPOSUSPENSION 28000 23300 18800 14000 9400 LAPROSCOPIC COMPLICATED 016 OGL040 28000 23300 18800 14000 9400 ENDOMETRIOTIC CYST REMOVAL 017 OGS020 LAPAROSCOPIC CYST ASPIRATION 12000 10000 8000 6000 4000 LAPAROSCOPIC END TO END ANASTOMOSIS 018 OGL011 30000 25000 20000 15000 10000 (TUBAL) 019 OGL012 LAPAROSCOPIC ENDOMETRIOSIS 33000 27500 22000 16500 11000 LAPAROSCOPIC ENDORMYOMECTOMY 020 OGL013 30000 25000 20000 15000 10000 (COMPLICATED) LAPAROSCOPIC ENDORMYOMECTOMY 021 OGL014 24000 20000 16000 12000 8000 (SIMPLE) LAPAROSCOPIC EXCISION OF ENDOMETRIC 022 OGL015 18000 15000 12000 9000 6000 LESION / ABLATION LAPAROSCOPIC EXCISION OF RUDIMENTARY 023 OGL016 30000 25000 20000 15000 10000 HORN LAPAROSCOPIC EXCISION OF SCAR 024 OGL017 12000 10000 8000 6000 4000 ENDOMETROSIS 025 OGL018 LAPAROSCOPIC 12000 10000 8000 6000 4000 026 OGL019 LAPAROSCOPIC FIMBRIOLYSIS 17000 14000 11300 8500 5700 027 OGL020 LAPAROSCOPIC FIMBRIOPLASTY 18000 15000 12000 9000 6000 028 OGL021 LAPAROSCOPIC LUNA 22000 18300 14700 11000 7400 029 OGL022 LAPAROSCOPIC MOSCOWITZ 12000 10000 8000 6000 4000 030 OGL023 LAPAROSCOPIC MULTIPLE PUNCTURE 18000 15000 12000 9000 6000 031 OGL024 LAPAROSCOPIC MYOMECTOMY 30000 25000 20000 15000 10000 032 OGL025 LAPAROSCOPIC OMENTECTOMY 21000 17500 14000 10500 7000 033 OGL026 LAPAROSCOPIC OOPHRECTOMY 21000 17500 14000 10500 7000 034 OGS081 LAPAROSCOPIC OVARIAN CYSTECTOMY 21000 17500 14000 10500 7000 035 OGL027 LAPAROSCOPIC OVARIOPLASTY 17000 14000 11300 8500 5700 036 OGL041 LAPAROSCOPIC PELVIC LYMPHADENECTOMY 29000 24200 19400 14500 9700 037 OGL028 LAPAROSCOPIC REMOVAL OF IUCD 12000 10000 8000 6000 4000 LAPAROSCOPIC REPAIR OF NULLI PAROUS 038 OGL029 48000 40000 32000 24000 16000 PROLAPSE LAPAROSCOPIC RETROPERITONEAL NODE 039 OGL030 30000 25000 20000 15000 10000 DISSECTION 040 OGL039 LAPAROSCOPIC SALPINGECTOMY 21000 17500 14000 10500 7000 LAPAROSCOPIC SALPINGECTOMY FOR 041 OGS079 21000 17500 14000 10500 7000 ECTOPIC PREGNANCY 042 OGS076 LAPAROSCOPIC SALPINGO- 21000 17500 14000 10500 7000 LAPAROSCOPIC SALPINGOSTOMY FOR 043 OGS077 18000 15000 12000 9000 6000 ECTOPIC PREGNANCY

17 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:06B O.B. & GYNAE – LAPAROSCOPIC SURGERY DR PR SPR NSB SB LAPAROSCOPIC SURGERY FOR ECTOPIC 044 OGL031 24000 20000 16000 12000 8000 PREGNANCY 045 OGL032 LAPAROSCOPIC SUTURING 9000 7500 6000 4500 3000 046 OGL033 LAPAROSCOPIC TVT 22000 18300 14700 11000 7400 LAPAROSCOPIC UTERINE SUSPENSION 047 OGL034 29000 24200 19400 14500 9700 (SLING) 048 OGL035 LAPAROSCOPIC VAULT SUSPENSION 28000 23300 18800 14000 9400 LAPAROSCOPIC VAULT SUSPENSION WITH 049 OGL036 36000 30000 24000 18000 12000 MESH LAPAROSCOPY & HYSTEROSCOPY WITH 050 OGS074 17000 14000 11300 8500 5700 OVARIAN BIOPSY LAPAROSCOPY & HYSTEROSCOPY WITH 051 OGS072 17000 14000 11300 8500 5700 OVARIAN DRILLING 052 OGS071 LAPAROSCOPY WITH OVARIAN BIOPSY 17000 14000 11300 8500 5700 053 OGL037 TOTAL LAPAROSCOPIC HYSTRECTOMY 45000 37500 30000 22500 15000 TOTAL LAPAROSCOPIC HYSTRECTOMY WITH 054 OGL038 48000 40000 32000 24000 16000 BSO

07:06C O.B. & GYNAE – HYSTEROSCOPIC SURGERY HYSTEROSCOPIC ABLATION OF 001 OGH001 18000 15000 12000 9000 6000 HYSTEROSCOPIC CUTTING OF UTERINE 002 OGH002 14000 11700 9400 7000 4700 SYNECHIAE HYSTEROSCOPIC DIVISION OF THICK 003 OGS080 17000 14000 11300 8500 5700 SYNECHIAE HYSTEROSCOPIC DIVISION OF THIN 004 OGS082 9000 7500 6000 4500 3000 SYNECHIAE 005 OGH003 HYSTEROSCOPIC GUIDED BIOPSY 9000 7500 6000 4500 3000 006 OGH004 HYSTEROSCOPIC MYOMA RESECTION 21000 17500 14000 10500 7000 007 OGS029 HYSTEROSCOPIC POLYPECTOMY 11000 9200 7400 5500 3700 008 OGS083 HYSTEROSCOPIC REMOVAL OF IUCD 9000 7500 6000 4500 3000 HYSTEROSCOPIC REMOVAL OF RETAINED 009 OGS084 10000 8300 6800 5000 3400 PRODUCTS OF CONCEPTION HYSTEROSCOPIC RESECTION OF UTERINE 010 OGS086 17000 14000 11300 8500 5700 SEPTUM HYSTEROSCOPIC TRANS CERVICAL 011 OGH005 20000 16700 13200 10000 6600 RESECTION OF ENDOMETRIUM 012 OGH006 HYSTEROSCOPIC TUBAL CANNULATION 11000 9200 7400 5500 3700 013 OGS004 HYSTEROSCOPY DIAGNOSTIC 6000 5000 4000 3000 2000 014 OGS005 HYSTEROSCOPY WITH D. & C. 10000 8300 6800 5000 3400

07:07 OPHTHALMOLOGY SURGERY 001 OPS015 AC WASH 7000 5800 4800 3500 2400 002 OPS047 ANTERIOR SYNECHIOTOMY 3500 2900 2300 1750 1200 BLEPHAROPLASTY FOR ECTROPION (WITH 003 OPS032 18000 15000 12000 9000 6000 GRAFTING) BLEPHAROPLASTY FOR ECTROPION 004 OPS030 13000 10800 8800 6500 4400 (WITHOUT GRAFTING)

18 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:07 OPHTHALMOLOGY SURGERY DR PR SPR NSB SB BLEPHAROPLASTY FOR ENTROPION 005 OPS031 13000 10800 8800 6500 4400 (WITHOUT GRAFTING) 006 OPS027 CAPSULOTOMY 9000 7500 6000 4500 3000 007 OPS018 CATARACT EXTRACTION / GLAUCOMA 18000 15000 12000 9000 6000 CATARACT EXTRACTION WITH I.O.L. 008 OPS019 21000 17500 14000 10500 7000 IMPLANTATION (LENS COST EXTRA) 009 OPS012 CONJ. TEAR 4500 3750 3000 2250 1500 010 OPS002 CORNEAL GRAFTING 24000 20000 16000 12000 8000 011 OPS025 CRYOPEXY / CYCLOCRYO : BILATERAL 9000 7500 6000 4500 3000 012 OPS024 CRYOPEXY / CYCLOCRYO : UNILATERAL 6500 5400 4400 3250 2200 013 OPS011 CYSTS LID CONJ. 4000 3300 2700 2000 1300 014 OPS020 DACROCYSTORHINOSTOMY 17000 14000 11300 8500 5700 015 OPS028 ENDOSCOPIC DACROCYSTORHINOSTOMY 24000 20000 16000 12000 8000 ENUCLEATION / EVICERATION OF EYES 016 OPS029 12000 10000 8000 6000 4000 (WITHOUT IMPLANT) ENUCLEATION / EVICERATION WITH 017 OPS033 16000 13400 10700 8000 5300 IMPLANT 018 OPS034 EPICANTHUS + TELECANTHUS CORRECTION 21000 17500 14000 10500 7000 019 OPS035 EPICANTHUS CORRECTION 14000 11700 9400 7000 4700 020 OPS010 EXAMINATION UNDER G.A. 3000 2500 2000 1500 1000 021 OPS036 EXENTRATION OF ORBIT + SOCKET REPAIR 20000 16700 13300 10000 6700 022 OPS001 EXTRACTION OF CHALAZION – SINGLE 4000 3300 2700 2000 1300 023 OPS052 EXTRACTION OF CHALAZION – MULTIPLE 5000 4200 3400 2500 1700 024 OPS042 FOREIGN BODY REMOVAL – EYE 3300 2750 2200 1650 1100 INTRA VITREAL INJECTION – ANTIBIOTIC/ 025 OPS049 6000 5000 4000 3000 2000 STEROIDS 026 OPS046 INTRA VITREAL INJECTION – ANTI VEGF 7000 5800 4800 3500 2400 027 OPS022 INTRA-OCULAR FOREIGN BODY REMOVAL 22000 18300 14700 11000 7400 028 OPS014 LID INJURY MAJOR 12000 10000 8000 6000 4000 029 OPS013 LID INJURY MINOR 9000 7500 6000 4500 3000 LID TUMORS EXCISION AND REPAIR-WITH 030 OPS037 19000 15800 12800 9500 6400 GRAFTING LID TUMORS EXCISON AND REPAIR 031 OPS038 12000 10000 8000 6000 4000 -WITHOUT GRAFTING 032 OPS005 MAJOR RECONSTRUCTIVE SURGERY 22000 18300 14700 11000 7400 M.I.C.S. WITH I.O.L. IMPLANTATION (COST OF 033 OPS051 24000 20000 16000 12000 8000 LENS EXTRA) 034 OPS009 NEEDLING & ASPIRATION 3000 2500 2000 1500 1000 035 OPS023 PERFORATING INJURY REPAIR 21000 17500 14000 10500 7000 PHACOEMULSIFICATION WITH I.O.L. 036 OPS007 22000 18500 14800 11000 7400 IMPLANTATION (LENS COST EXTRA) PHACOEMULSIFICATION WITH GLUCOMA 037 OPS053 27000 22500 18000 13500 9000 SURGERY COMBINED PROBING & SYRINGING OF NASO-LACRIMAL 038 OPS044 3300 2750 2200 1650 1100 DUCT 039 OPS039 PTERYGIUM SURGERY WITH GRAFTING 10000 8300 6700 5000 3350

19 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:07 OPHTHALMOLOGY SURGERY DR PR SPR NSB SB 040 OPS040 PTERYGIUM SURGERY WITHOUT GRAFTING 5000 4200 3400 2500 1700 041 OPS026 PTOSIS 17000 14000 11300 8500 5700 042 OPS048 PUPILOPLASTY 10000 8300 6700 5000 3350 043 OPS003 RETINAL DETACHMENT SURGERY 21000 17500 14000 10500 7000 044 OPS021 RETINAL DETACHMENT WITH VITRECTOMY 24000 20000 16000 12000 8000 045 OPS045 SECONDARY I.O.L. IMPLANTATION 16000 13400 10700 8000 5300 046 OPS006 SOCKET RECONSTRUCTION 21000 17500 14000 10500 7000 SQUINT CORRECTION: MORE THAN 047 OPS017 21000 17500 14000 10500 7000 2-MUSCLES / VERTICAL MUSCLES SQUINT CORRECTION: UPTO 2-MUSCLES / 048 OPS016 18000 15000 12000 9000 6000 HORIZONTAL MUSCLES 049 OPS041 TARSORRHPHY – PERMANENT 7000 5800 4800 3500 2400 050 OPS050 TARSORRHPHY – TEMPORARY 4500 3750 3000 2250 1500 051 OPS043 TRABECULECTOMY 18000 15000 12000 9000 6000 052 OPS008 TUMOR OF IRIS 21000 17500 14000 10500 7000 053 OPS004 VITRECTOMY 22000 18300 14700 11000 7400

07:08 ORTHOPAEDICS SURGERY AMPUTATION & DISARTICULATION 001 ORL049 AMPUTATION THROUGH LARGE BONES 18000 15000 12000 9000 6000 AMPUTATION DISARTICULATION THROUGH 002 ORL050 9000 7500 6000 4500 3000 SMALL BONES / DIGITS / RAYS DISARTICULATION – KNEE / ANKLE / WRIST 003 ORL055 15000 12500 10000 7500 5000 / ELBOW 004 ORU003 DISARTICULATION - SHOULDER 24000 20000 16000 12000 8000 005 ORL019 DISARTICULATION THROUGH HIP 24000 20000 16000 12000 8000 006 ORL101 REVISION AMPUTATION / STUMP CLOSURE 12000 10000 8000 6000 4000

ARTHROPLASTY HEMIARTHROPLASTY WITH OR WITHOUT 007 ORL011 30000 25000 20000 15000 10000 CEMENTING 008 ORL056 REVISION ARTHROPLASTY - HIP / KNEE 53000 44000 35000 26500 17500 009 ORL012 TOTAL HIP REPLACEMENT 48000 40000 32000 24000 16000 010 ORL028 TOTAL KNEE REPLACEMENT 48000 40000 32000 24000 16000 TOTAL REPLACEMENT – ELBOW / WRIST / 011 ORU027 36000 30000 24000 18000 12000 ANKLE JOINT 012 ORU008 TOTAL REPLACEMENT - SHOULDER 42000 35000 28000 21000 14000 013 ORU039 RADIAL HEAD REPLACEMENT 21000 17500 14000 10500 7000 014 ORL090 RE-SURFACING OF PATELLA 24000 20000 16000 12000 8000 PUTTI PLATE RECONSTRUCTION OF 015 ORU019 27000 22500 18000 13500 9000 SHOULDER / LATERJET PROCEDURE

ARTHROTOMY AND ABSCESS ARTHROTOMY : HIP / KNEE / ANKLE / 016 ORL035 16000 13400 10700 8000 5300 SHOULDER / ELBOW / WRIST ARTHROTOMY : OTHER SMALL JOINTS - 017 ORL036 12000 10000 8000 6000 4000 FINGERS / TOES / HANDS / FEET

20 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:08 ORTHOPAEDICS SURGERY DR PR SPR NSB SB ARTHROTOMY AND ABSCESS DRAINAGE OF ABSCESS-DEEP : HIP / KNEE / 018 ORL022 9000 7500 6000 4500 3000 ANKLE / SPINE 019 ORL059 PSOAS / PARA VERTEBRAL ABSCESS 14000 11700 9400 7000 4700 020 ORL100 DRAINAGE OF ABSCESS- SUPERFICIAL 6000 5000 4000 3000 2000

ARTHROSCOPIC SURGERY ARTHROSCOPIC REPAIR SHOULDER - 021 ORU029 32000 26800 21400 16000 10700 BANKART’S REPAIR/ROTATOR CUFF REPAIR ARTHROSCOPIC SURGERY – SHOULDER 022 ORU038 DECOMPRESSION / ACROMIOPLASTY / 24000 20000 16000 12000 8000 ARTHROSCOPIC RELEASE DIAGNOSTIC ARTHROSCOPY- KNEE / 023 ORL023 13000 10800 8800 6500 4400 SHOULDER / ANKLE / WRIST OPEN / ARTHROSCOPIC ANT. C. LIGAMENT / 024 ORL058 30000 25000 20000 15000 10000 PCL RECONSTRUCTION 025 ORL024 ARTHROSCOPIC MENISCECTOMY 18000 15000 12000 9000 6000 026 ORL102 MENISCUS REPAIR 27000 22500 18000 13500 9000 027 ORL103 ARTHROSCOPIC SYNOVECTOMY 20000 16700 13300 10000 6700 OPERATIVE ARTHROSCOPY-LOOSE BODY 028 ORL104 20000 16700 13300 10000 6700 REMOVAL / ARTHRISCOPIC RELEASE

BIOPSIES 029 ORL030 OPEN BIOPSY : BONES 10000 8300 6800 5000 3400 SYNOVECTOMY : HIP / KNEE / SHOULDER / 030 ORL038 18000 15000 12000 9000 6000 WRIST 031 ORL039 SYNOVECTOMY : OTHER SMALL JOINTS 13000 10800 8800 6500 4400 032 ORL105 NEEDLE BIOPSY : BONES 8000 6700 5400 4000 2700

BONE GRAFTING 033 ORL106 BONE GRAFTING – SMALL BONES 11000 9200 7400 5500 3700 034 ORU022 BONE GRAFTING – LONG BONES 16000 13400 10700 8000 5300 035 ORL107 ARTIFICIAL BONE GRAFTING 8000 6700 5400 4000 2700

CLOSE REDUCTION CLOSED REDUCTION – FRACTURE : Forearm, 036 ORL001 9000 7500 6000 4500 3000 Arm, Leg, thigh, Wrist, Ankle CLOSED REDUCTION - DISLOCATION : Elbow, 037 ORU005 10000 8300 6800 5000 3400 Shoulder, Knee, Wrist, Ankle MANIPULATION UNDER ANESTHESIA 038 ORU031 10000 8300 6800 5000 3400 (M.U.A.) 039 ORL108 CLOSED REDUCTION-DISLOCATION : HIP 15000 12500 10000 7500 5000 CLOSED REDUCTION-FRACTURE & 040 ORL109 5000 4200 3400 2500 1700 DISLOCATION: Hand, Foot Bone

21 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:08 ORTHOPAEDICS SURGERY DR PR SPR NSB SB DRESSINGS, DEBRIDEMENT AND FASCIOTOMY 041 ORL089 FASCIOTOMY – LARGE 15000 12500 10000 7500 5000 042 ORU034 FASCIOTOMY – SMALL 10000 8300 6800 5000 3400 043 ORL088 FASCIOTOMY – THREE COMPARTMENT LEG 20000 16700 13300 10000 6700 044 ORL006 WOUND DEBRIDEMENT & TOILETTING – SMALL 8000 6700 5400 4000 2700 WOUND DEBRIDEMENT AND TOILETTING – 045 ORU016 12000 10000 8000 6000 4000 LARGE FRACTURES K.WIRE FIXATION 046 ORU006 FIXATION WITH K.WIRE -LONG BONE 15000 12500 10000 7500 5000 047 ORU041 FIXATION WITH K.WIRE- MULTIPLE SMALL BONE 18000 15000 12000 9000 6000 048 ORU042 FIXATION WITH K.WIRE-SMALL BONE 12000 10000 8000 6000 4000

PLATING FIXATION ACETABULAR RECONSTRUCTION – ANTERIOR 049 ORL017 32000 26800 21400 16000 10700 COLUMN ACETABULAR RECONSTRUCTION – POSTERIOR 050 ORL115 32000 26800 21400 16000 10700 COLUMN 051 ORL016 FIXATION WITH PLATING – PELVIC BONES 28000 23300 18800 14000 9400 TIBIAL PLATEAU ELEVATION & FIXATION (I 052 ORL027 26000 21700 17400 13000 8700 GRAFTING) 053 ORU036 O.R.I.F. WITH PLATING – LONG BONE 21000 17500 14000 10500 7000 054 ORU048 O.R.I.F. WITH PLATING – SMALL BONE 18000 15000 12000 9000 6000 055 ORU032 O.R.I.F. WITH PLATING - BOTH BONES 28000 23300 18800 14000 9400 O.R.I.F. WITH PLATING WITH BONE GRAFT – 056 ORU052 28000 23300 18800 14000 9400 LONG BONES O.R.I.F. WITH PLATING WITH BONE GRAFT - 057 ORU004 32000 26800 21400 16000 10700 BOTH BONE 058 ORU049 O.R.I.F. WITH DUAL PLATING – LONG BONE 25000 20800 16800 12500 8400

NAILING FIXATION 059 ORL005 INTERLOCKING NAILING / PFN 32000 26800 21400 16000 10700 060 ORL092 DYNAMISATION OF I.M. NAIL 4500 3750 3000 2250 1500 061 ORU050 FLEXIBLE INTRA-MEDULLARY / TENS NAILING 18000 15000 12000 9000 6000 062 ORU051 O.R.I.F. WITH INTERLOCKING WITH BONE GRAFT 35000 29000 23400 17500 11700

EXTERNAL FIXATION 063 ORL091 ADJUSTMENT OF EXTERNAL FIXATOR 12000 10000 8000 6000 4000 064 ORL009 EXTERNAL FIXATION - LONG BONES 18000 15000 12000 9000 6000 EXTERNAL FIXATION (ILIAZAROV TECHNIQUE) – 065 ORL094 24000 20000 16000 12000 8000 LONG BONES 066 ORU040 EXTERNAL FIXATOR – SMALL BONES 14000 11700 9400 7000 4700 067 ORU053 EXTERNAL FIXATION – PELVIS 18000 15000 12000 9000 6000 068 ORL063 FAILED CLUB FOOT FIXATOR CORRECTION 24000 20000 16000 12000 8000

22 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:08 ORTHOPAEDICS SURGERY DR PR SPR NSB SB FIXATION WITH SCREWS 069 ORU045 O.R.I.F. WITH SCREWS 14000 11700 9400 7000 4700 070 ORL078 O.R.I.F. WITH DHS 24000 20000 16000 12000 8000

FIXATION WITH TENSION BAND WIRING 071 ORU033 TENSION BAND WIRING 17000 14000 11300 8500 5700 072 ORL082 CIRCLAGE WIRING 17000 14000 11300 8500 5700

OTHER FIXATION 073 ORL070 O.R.I.F ANKLE - BIMALLEOLAR FIXATION 21000 17500 14000 10500 7000 074 ORL087 O.R.I.F. ANKLE – TRIMALLEOLAR FIXATION 26000 21700 17400 13000 8700 075 ORL031 PATELLECTOMY 16000 13400 10700 8000 5300

IMPLANT REMOVAL REMOVAL OF IMPLANTS : MAJOR (PLATES, 076 ORL053 EXTERNAL FIXATOR, NAIL, TENSION BAND 10000 8300 6800 5000 3400 WIRE) 077 ORL052 REMOVAL OF IMPLANTS : MINOR : SCREWS ETC 6500 5400 4400 3250 2200 078 ORU054 REMOVAL OF IMPLANTS : K.WIRE 4500 3750 3000 2250 1500 079 ORU055 REMOVAL OF IMPLANT – THR / BIPOLAR / TKR 15000 12500 10000 7500 5000

OSTEOMYLITIS 080 ORU043 OSTEOMYELITIS - LONG BONES 21000 17500 14000 10500 7000 081 ORU044 OSTEOMYELITIS - SMALL BONES 14000 11700 9400 7000 4700 082 ORL084 SEQUESTRECTOMY - LONG BONES 21000 17500 14000 10500 7000 083 ORL083 SEQUESTRECTOMY - SMALL BONES 13000 10800 8800 6500 4400

OSTEOMIES AND ARTHRODESIS ARTHRODESIS : ANKLE, KNEE, SHOULDER, 084 ORL043 24000 20000 16000 12000 8000 ELBOW, WRIST, TRIPLE. 085 ORL018 ARTHRODESIS OF HIP 30000 25000 20000 15000 10000 086 ORU024 ARTHRODESIS OF MINOR JOINTS 10000 8300 6800 5000 3400 087 ORL048 OSTEOTOMY : MID FOOT 21000 17500 14000 10500 7000 088 ORU026 OSTEOTOMY AND FIXATION 24000 20000 16000 12000 8000 089 ORL013 OSTEOTOMY AROUND HIP 26000 21700 17400 13000 8700 090 ORL062 PELVIC OSTEOTOMIES 26000 21700 17400 13000 8700 091 ORU056 OSTEOCLASIS AND FIXATION 15000 12500 10000 7500 5000 092 ORU057 EPIPHYSIODESIS 15000 12500 10000 7500 5000

TENDON AND NERVE SURGERY 093 ORU012 CARPAL TUNNEL RELEASE / DECOMPRESSION 15000 12500 10000 7500 5000 MAJOR RECONSTRUCTION : NERVE 094 ORL034 25000 20800 16800 12500 8400 / TENDONS (MORE THAN 3)

23 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:08 ORTHOPAEDICS SURGERY DR PR SPR NSB SB TENDON AND NERVE SURGERY MINOR RECONSTRUCTION : NERVES 095 ORL033 19000 15800 12800 9500 6400 / TENDONS 096 ORU010 REPAIR OF TENDONS - 3 OR LESS 17000 14000 11300 8500 5700 REPAIR OF TENDONS -MORE THAN 3 097 ORU011 24000 20000 16000 12000 8000 TENDONS TENDON ACHILLES / REPAIR & 098 ORL047 16000 13400 10700 8000 5300 RECONSTRUCTION TENDON LENGTHENING / STERNOMASTOID 099 ORL098 20000 16700 13300 10000 6700 RELEASE 100 ORU015 TENDON TRANSFER & REPAIR 20000 16700 13300 10000 6700 101 ORU001 TENDON TRANSFER MULTIPLE 27000 22500 18000 13500 9000 PERIPHERAL NERVE TRANSFER 102 ORU018 23000 19200 15400 11500 7700 / TRANSPOSITION 103 ORL073 PERCUTANEOUS TENOTOMY (3 OR LESS) 10000 8300 6800 5000 3400 104 ORL074 PERCUTANEOUS TENOTOMY (MORE THAN 3) 14000 11700 9400 7000 4700 105 ORL041 CLUB FOOT RELEASE (CTEV) : BILATERAL 23000 19200 15400 11500 7700 106 ORL040 CLUB FOOT RELEASE (CTEV) : UNILATERAL 18000 15000 12000 9000 6000 PERIPHERAL NERVE EXPLORATION 107 ORU058 15000 12500 10000 7500 5000 / NEUROLYSIS 108 ORL110 QUADRICEPSPLASTY 19000 15800 12800 9500 6400 109 ORL111 LIGAMENT REPAIR – UPTO TWO 18000 15000 12000 9000 6000 110 ORL112 LIGAMENT REPAIR – MORE THAN TWO 24000 20000 16000 12000 8000

TUMOURS MINOR EXCISION OF SWELLING / TUMOR 111 ORL021 10000 8300 6800 5000 3400 WITH OR WITHOUT BIOPSY TUMOR EXCISION & RECONSTRUCTION - 112 ORL020 33000 27500 22000 16500 11000 LONG BONES TUMOR EXCISION & RECONSTRUCTION – 113 ORL113 18000 15000 12000 9000 6000 SMALL BONES 114 ORU037 EXCISION OF BURSAE 10000 8300 6800 5000 3400 115 ORU014 EXCISION OF GANGLION 10000 8300 6800 5000 3400 116 ORL114 EXCISION OF EXOSTOSIS 12000 10000 8000 6000 4000

SPINE 117 ORS004 ANTEROLATERAL DECOMPRESSION 32000 26800 21400 16000 10700 118 ORS005 CERVICAL VERTIBRECTOMY 45000 37500 30000 22500 15000 LAMINECTOMY (LUMBAR / CERVICAL) 119 ORS001 36000 30000 24000 18000 12000 / DISCECTOMY POSTERIOR / ANTERIOR FUSION & 120 ORS002 45000 37500 30000 22500 15000 INSTRUMENTATION 121 ORS003 POSTERIOR / ANTERIOR FUSION ONLY 33000 27500 22000 16500 11000

MISCELLANEOUS 122 ORL054 TARGETTED DELIVERY OF STEROID 4000 3300 2700 2000 1300 123 ORL045 EXCISION : NAIL & NAIL BED 10000 8300 6800 5000 3400

24 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:08 ORTHOPAEDICS SURGERY DR PR SPR NSB SB MISCELLANEOUS 124 ORL046 MINOR PROCEDURES IN FOOT 10000 8300 6800 5000 3400 125 ORL086 SKELETAL TRACTION (IN O.T.) 5000 4200 3400 2500 1700 126 ORL015 C.D.H. (OPEN REDUCTION & FIXATION) 30000 25000 20000 15000 10000 127 ORL014 C.D.H. (CLOSED REDUCTION & HIP SPICA) 17000 14000 11300 8500 5700 CORE DECOMPRESSION FOR AVN HIP WITH 128 ORL065 28000 23300 18800 14000 9400 FIBULAR GRAFTING CORE DECOMPRESSION FOR AVN HIP 129 ORL066 24000 20000 16000 12000 8000 WITHOUT FIBULAR GRAFTING LIMB LENGTHENING WITH 130 ORL051 27000 22500 18000 13500 9000 INSTRUMENTATION 131 ORL069 MUSCLE PEDICLE GRAFTING 32000 26800 21400 16000 10700 DE QUERVAIN RELEASE TRIGGER THUMB 132 ORU028 10000 8300 6800 5000 3400 / FINGER EXCISION HEAD OF RADIUS / LOWER END 133 ORU013 14000 11700 9400 7000 4700 ULNA

07:09 NEURO SURGERY 001 NES001 BURR HOLES FOR CH SDH / ABSCESS 12000 10000 8000 6000 4000 002 NES042 CERVICAL TRACTION (IN O.T.) 4000 3300 2700 2000 1300 003 NES029 CORPECTOMY 51000 42500 34000 25500 17000 004 NES005 CRANIOPLASTY 40000 33300 26800 20000 13400 005 NES014 CRANIOTOMY - A.V.MALFORMATION 60000 50000 40000 30000 20000 006 NES013 CRANIOTOMY - ABSCESS / CYSTS 51000 42500 34000 25500 17000 007 NES016 CRANIOTOMY - ACOUSTIC NEUROMA 51000 42500 34000 25500 17000 008 NES015 CRANIOTOMY - ANEURYSM 60000 50000 40000 30000 20000 009 NES017 CRANIOTOMY - BRAIN STEM TUMOR 60000 50000 40000 30000 20000 010 NES032 CRANIOTOMY - CONTUSIONS 51000 42500 34000 25500 17000 011 NES012 CRANIOTOMY - CRANIOPHARYNGIOMA 51000 42500 34000 25500 17000 012 NES008 CRANIOTOMY - EXTRADURAL HEMATOMA 42000 35000 28000 21000 14000 013 NES018 CRANIOTOMY - FOR CSF RHINORRHEA 51000 42500 34000 25500 17000 CRANIOTOMY - INTRACEREBRAL 014 NES006 45000 37500 30000 22500 15000 HEMATOMA 015 NES011 CRANIOTOMY - PITUITARY TUMOR 51000 42500 34000 25500 17000 016 NES010 CRANIOTOMY - POST. FOSSA TUMOR 51000 42500 34000 25500 17000 017 NES007 CRANIOTOMY - SUBDURAL HEMATOMA 45000 37500 30000 22500 15000 018 NES041 CRANIOTOMY - TEMPORAL CRANIOTOMY 45000 37500 30000 22500 15000 019 NES009 CRANIOTOMY - VASCULAR TUMOR 51000 42500 34000 25500 17000 020 NES033 CRANIOTOMY FOR DEPRESSED FRACTURE 42000 35000 28000 21000 14000 021 NES052 DE-TEETHERING OF CORD 9000 7500 6000 4500 3000 022 NES034 DECOMPRESSIVE CRANIOTOMY 51000 42500 34000 25500 17000 DISCECTOMY (CERVICAL / DORSAL 023 NES023 36000 30000 24000 18000 12000 / MICRO-II LEVELS) 024 NES053 ENDODSCOPIC COLLOID CYST EXCISION 51000 42500 34000 25500 17000 ENDOSCOPIC LUMBAR / CERVICAL DISC 025 NES054 60000 50000 40000 30000 20000 (MULTIPLE)

25 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:09 NEURO SURGERY DR PR SPR NSB SB ENDOSCOPIC LUMBAR / CERVICAL DISC 026 NES055 (SINGLE) 51000 42500 34000 25500 17000 027 NES056 ENDOSCOPIC THIRD VENTRICULOSTOMTY 31000 26000 20800 15600 10400 028 NES035 ENDODSCOPIC SURGERY 60000 50000 40000 30000 20000 029 NES046 EXTERNAL VENTRICULAR DRAINAGE (EVD) 22000 18300 14700 11000 7400 030 NES057 FORAMINAL BLOCKS FOR LUMBAR SPINE 9000 7500 6000 4500 3000 031 NES051 FORAMINOTOMY 26000 21700 17400 13000 8700 032 NES022 LAMINECTOMY (LUMBAR) 36000 30000 24000 18000 12000 033 NES058 MENINGOCOEL REPAIR 28000 23300 18800 14000 9400 034 NES059 MENINGO-MYELOCELE REPAIR 31000 26000 20800 15600 10400 035 NES025 MICRODISCECTOMY - MORE THAN II LEVELS 40000 33300 26800 20000 13400 036 NES043 NEUCLEOPLASTY 36000 30000 24000 18000 12000 037 NES028 NEURO-ENDOSCOPIC SKULL BASE SURGERY 51000 42500 34000 25500 17000 038 NES060 OMAYA RESERVOIR INSERTION 28000 23300 18800 14000 9400 039 NES061 OMAYA RESERVOIR TAP 3000 2500 2000 1500 1000 OPERATION FOR CANAL STENOSIS (LUMBAR 040 NES024 / CERVICAL) 40000 33300 26800 20000 13400 041 NES036 PERIPHERAL NERVE SURGERY 36000 30000 24000 18000 12000 RF LESSIONING / PRGR FOR TRIMENIAL 042 NES062 NEURALGIA 22000 18300 14700 11000 7400 043 NES045 REMOVAL OF V.P.SHUNT 9000 7500 6000 4500 3000 044 NES021 REPAIR OF ENCEPHALOCELE 30000 25000 20000 15000 10000 045 NES019 REPAIR OF MENINGOCELE 30000 25000 20000 15000 10000 046 NES020 REPAIR OF MENINGOMYELOCELE 30000 25000 20000 15000 10000 047 NES004 REVISION OF SHUNT 28000 23300 18800 14000 9400 048 NES003 SHUNT FOR HYDRO CEPHALUS 28000 23300 18800 14000 9400 049 NES037 SPINAL DYSRAPHISM 40000 33300 26800 20000 13400 050 NES038 SPINAL INSTRUMENTATION 51000 42500 34000 25500 17000 051 NES026 SPINAL TUMOR / HEMATOMA / ABSCESS 51000 42500 34000 25500 17000 052 NES047 SUBDURAL TAP 4500 3750 3000 2250 1500 053 NES030 SURGERY FOR CRANIOSYNOSTOSIS 40000 33300 26800 20000 13400 TRANS SPHENOIDAL PITUITARY / SELLAR 054 NES027 SURGERY 51000 42500 34000 25500 17000 055 NES044 UNLOCKING OF FACET JOINT 3000 2500 2000 1500 1000 056 NES039 VENTRIC TAP 6000 5000 4000 3000 2000 057 NES002 VENTRICULO AURICULAR SHUNT 28000 23300 18800 14000 9400 058 NES040 VERTEBROPLASTY 40000 33300 26800 20000 13400

07:10 E.N.T. SURGERY 001 ENS019 ABSCESS TONSILLECTOMY - I. & D. 10000 8300 6800 5000 3400 002 ENS045 ADENO-TONSILLECTOMY 15000 12500 10000 7500 5000 003 ENS062 ADENOIDECTOMY 8000 6700 5400 4000 2700 004 ENS064 ANGIOFIBROMA REMOVAL 30000 25000 20000 15000 10000 005 ENS065 ANTRAL POLYPECTOMY 8000 6700 5400 4000 2700 006 ENS046 ANTRAL WASH : UNILATERAL OR BILATERAL 4500 3750 3000 2250 1500 007 ENS056 BIOPSY CHEEK OR TONGUE : U/L OR B/L 6000 5000 4000 3000 2000

26 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:10 E.N.T. SURGERY DR PR SPR NSB SB BRONCHOSCOPY WITH OR WITHOUT 008 ENS008 10000 8300 6800 5000 3400 F.B.REMOVAL / BIOPSY 009 ENS041 CALDWELL LUC : BILATERAL 14000 11700 9400 7000 4700 010 ENS040 CALDWELL LUC : UNILATERAL 10000 8300 6800 5000 3400 011 ENS067 CAUTERY PATCHING EAR 5000 4200 3400 2500 1700 012 ENS063 CHANGE OF TRACHEOSTOMY TUBE 1800 1500 1200 900 600 013 ENS068 COCHLEAR IMPLANT 48000 40000 32000 24000 16000 COMMANDO SURGERY WITH MODIFIED 014 ENS089 51000 42500 34000 25500 17000 RADICAL NECK DISSECTION 015 ENS042 DIAGNOSTIC NASAL ENDOSCOPY 3000 2500 2000 1500 1000 016 ENS069 ENDOLYMPHATIC SAC DECOMPRESSION 32000 26800 21400 16000 10700 017 ENS086 ENDOSCOPIC CHOANAL ATRESIA REPAIR B/L 27000 22500 18000 13500 9000 018 ENS070 ENDOSCOPIC CSF RHINORRHEA REPAIR 32000 26800 21400 16000 10700 019 ENS013 ENDOSCOPIC DACROCYSTORHINOSTOMY 24000 20000 16000 12000 8000 020 ENS009 ETHMOIDECTOMY (EXTERNAL) 18000 15000 12000 9000 6000 EXCISION OF PALATIAL GROWTH WITH FLAP 021 ENS085 30000 25000 20000 15000 10000 REPAIR 022 ENS029 EXCISION THYROGLOSSAL CYST 14000 11700 9400 7000 4700 EXTENDED TRANS LABYRINTHINE 023 ENS087 38000 31700 25400 19000 12700 APPROACH FACIAL NERVE DECOMPRESSION OR 024 ENS025 35000 29000 23400 17500 11700 GRAFTING FACIAL REANIMATION PROCEDURE - LID 025 ENS071 21000 17500 14000 10500 7000 LOADING FACIAL REANIMATION PROCEDURE - 026 ENS072 24000 20000 16000 12000 8000 TEMPORALIS TRANSFER 027 ENS073 FESS - LIMITED 12000 10000 8000 6000 4000 028 ENS088 FESS – EXTENDED – UNILATERAL 24000 20000 16000 12000 8000 029 ENS044 FESS : BILATERAL 23000 19200 15400 11500 7700 030 ENS043 FESS : UNILATERAL 15000 12500 10000 7500 5000 FOREIGN BODY REMOVAL - EAR / NOSE 031 ENS012 4000 3300 2700 2000 1300 / THROAT 032 ENS022 FRACTURE NASAL BONES 9000 7500 6000 4500 3000 033 ENS095 GLOSSECTOMY – PARTIAL 17000 14000 11300 8500 5700 034 ENS096 GLOSSECTOMY – TOTAL 30000 25000 20000 15000 10000 035 ENS097 GVELO-PALATOPHARYNGOPLASTY 33000 27500 22000 16500 11000 036 ENS024 HEMATOMA PINNA : BILATERAL 8000 6700 5400 4000 2700 037 ENS023 HEMATOMA PINNA : UNILATERAL 5000 4200 3400 2500 1700 038 ENS053 I. & D. OF PARA PHARYNGEAL ABSCESS 12000 10000 8000 6000 4000 039 ENS030 I. & D. OF THYROGLOSSAL CYST 6500 5400 4400 3250 2200 040 ENS057 I. & D. QUINCY 6500 5400 4400 3250 2200 I. & D. TONSILLAR ABSCESS : UNILATERAL OR 041 ENS059 12000 10000 8000 6000 4000 BILATERAL 042 ENS031 LARYNGECTOMY (TOTAL) 30000 25000 20000 15000 10000 043 ENS017 LARYNGOSCOPY - DIRECT 4500 3750 3000 2250 1500 044 ENS084 LARYNGOSCOPY - FIBER OPTIC 8000 6700 5400 4000 2700

27 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:10 E.N.T. SURGERY DR PR SPR NSB SB 045 ENS060 LATERAL RHINOTOMY 24000 20000 16000 12000 8000 046 ENS055 LYMPH NODE BIOPSY 8000 6700 5400 4000 2700 047 ENS014 MASTOIDECTOMY (MODIFIED) 22000 18300 14700 11000 7400 048 ENS037 MASTOIDECTOMY WITH TYMPANOPLASTY 30000 25000 20000 15000 10000 049 ENS028 MAXILLARY SINUS SURGERY 12000 10000 8000 6000 4000 050 ENS099 MAXILLECTOMY 33000 27500 22000 16500 11000 051 ENS098 MAXILLECTOMY -MEDIAL 21000 17500 14000 10500 7000 052 ENS026 MICRO LARYNGEAL SURGERY 14000 11700 9400 7000 4700 053 ENS006 MICRO LARYNGOSCOPY WITH BIOPSY 8000 6700 5400 4000 2700 054 ENS038 MICROSCOPIC EXAMINATION (E.U.M.) 2500 2100 1800 1250 900 MODIFIED ENDOSCOPIC LATHROP 055 ENS100 30000 25000 20000 15000 10000 PROCEDURE (M.E.L.) 056 ENS034 MYRINGOPLASTY 18000 15000 12000 9000 6000 MYRINGOTOMY WITH OR WITHOUT 057 ENS036 8000 6700 5400 4000 2700 GROMMET : BILATERAL MYRINGOTOMY WITH OR WITHOUT 058 ENS035 5000 4200 3400 2500 1700 GROMMET : UNILATERAL 059 ENS048 NASAL CAUTERY IN EPISTAXIS 4500 3750 3000 2250 1500 NASAL ENDOSCOPIC CAUTERISATION FOR 060 ENS074 8000 6700 5400 4000 2700 EPISTAXIS 061 ENS090 NASAL ENDOSCOPY WITH BIOPSY 5000 4200 3400 2500 1700 062 ENS091 NASAL PACK REMOVAL (IN O.T.) 2200 1800 1500 1100 750 NASAL PACK REMOVAL + CHECK NASAL 063 ENS092 3000 2500 2000 1500 1000 ENDOSCOPY (IN O.T.) NASAL PACKING – ANTERIOR (WITH PACK 064 ENS058 4000 3300 2700 2000 1300 REMOVAL) NASAL PACKING – POSTERIOR (WITH PACK 065 ENS094 5000 4200 3400 2500 1700 REMOVAL) NASAL PACKING – ANTERIOR WITH 066 ENS027 6500 5400 4400 3250 2200 POSTERIOR (WITH PACK REMOVAL) 067 ENS033 NASAL POLYPECTOMY : BILATERAL 10000 8300 6700 5000 3350 068 ENS032 NASAL POLYPECTOMY : UNILATERAL 7000 5800 4800 3500 2400 069 ENS101 NECK DISSECTION – PARTIAL 18000 15000 12000 9000 6000 070 ENS102 NECK DISSECTION – TOTAL 29000 24200 19400 14500 9700 OESOPHAGOSCOPY WITH F.BODY REMOVAL 071 ENS002 10000 8300 6700 5000 3350 + BIOPSY 072 ENS007 OSSICULOPLASTY / TYMPANOTOMY 24000 20000 16000 12000 8000 073 ENS052 PRE AURICULAR SINUS : BILATERAL 13000 10800 8800 6500 4400 074 ENS051 PRE AURICULAR SINUS : UNILATERAL 11000 9200 7400 5500 3700 075 ENS076 RHINOPLASTY 21000 17500 14000 10500 7000 076 ENS016 S.M.R. 11000 9200 7400 5500 3700 077 ENS039 SEPTOPLASTY 10000 8300 6700 5000 3350 078 ENS011 SEPTOPLASTY WITH S.M.D. 12000 10000 8000 6000 4000 079 ENS061 SEPTORHINOPLASTY 24000 20000 16000 12000 8000 080 ENS047 SMD 5000 4200 3400 2500 1700 081 ENS050 SPLIT EAR LOBULE : BILATERAL 5500 4600 3700 2750 1850

28 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:10 E.N.T. SURGERY DR PR SPR NSB SB 082 ENS049 SPLIT EAR LOBULE : UNILATERAL 3500 2900 2300 1750 1200 083 ENS015 STAPEDECTOMY 26000 21700 17400 13000 8700 084 ENS021 STYLOIDECTOMY : BILATERAL 18000 15000 12000 9000 6000 085 ENS020 STYLOIDECTOMY : UNILATERAL 11000 9200 7400 5500 3700 086 ENS077 THYROPLASTY 18000 15000 12000 9000 6000 THYROPLASTY WITH ARYTENOID - 087 ENS078 21000 17500 14000 10500 7000 ABDUCTION / ADDUCTION 088 ENS005 TONSILLECTOMY 10000 8300 6800 5000 3400 089 ENS018 TRACHEOSTOMY 12000 10000 8000 6000 4000 090 ENS004 TURBINECTOMY : BILATERAL 8000 6700 5400 4000 2700 091 ENS003 TURBINECTOMY : UNILATERAL 5500 4600 3700 2750 1850 092 ENS010 TYMPANOPLASTY 22000 18300 14700 11000 7400 093 ENS103 VESTIBULAR NEURONECTOMY 30000 25000 20000 15000 10000 094 ENS079 VOCAL CORD LATERLIZATION 12000 10000 8000 6000 4000 095 ENS054 YOUNG OPERATION 12800 10700 8600 6400 4300

07:11 THORACIC SURGERY BRONCHOSCOPY WITH OR WITHOUT 001 THS002 10000 8300 6700 5000 3350 F.B.REMOVAL / BIOPSY 002 THS024 BULLECTOMY 35000 29000 23400 17500 11700 003 THS035 CERVICAL RIB EXCISION – BILATERAL 33000 27500 22000 16500 11000 004 THS036 CERVICAL RIB EXCISION – UNILATERAL 21000 17500 14000 10500 7000 005 THS008 CHEST ASPIRATION 5500 4600 3700 2750 1850 006 THS031 CLOSURE OF BRONCHO-PLEURAL FISTULA 23000 19200 15400 11500 7700 007 THS014 DECORTICATION THORACOTOMY 33000 27500 22000 16500 11000 008 THS020 DECORTICATION WITH LOBECTOMY 42000 35000 28000 21000 14000 DIAGNOSTIC THORACOSCOPY AND 009 THS037 13000 10800 8800 6500 4400 DRAINAGE EXCISION OF CHEST WALL TUMOR 010 THS038 13000 10800 8800 6500 4400 EXCLUDING RIBS EXCISION OF CHEST WALL TUMOR 011 THS039 31000 26000 20800 15600 10400 INCLUDING RIBS 012 THS001 EXPLORATORY THORACOTOMY 23000 19200 15400 11500 7700 013 THS005 HIATUS OR DIAPHRAGMATIC HERNIA 31000 26000 20800 15600 10400 014 THS025 HYDATID CYST 31000 26000 20800 15600 10400 015 THS009 INTERCOSTAL DRAINAGE 9000 7500 6000 4500 3000 016 THS012 LOBECTOMY - WEDGE, SEGMENT / LOBE 35000 29000 23400 17500 11700 MEDIASTINAL LYMPHNODE EXCISION & 017 THS022 16000 13400 10700 8000 5300 BIOPSY 018 THS003 MEDIASTINAL TUMOR EXCISION 33000 27500 22000 16500 11000 019 THS010 NEEDLE BIOPSY- PLEURA / LUNG 7000 5800 4800 3500 2400 020 THS007 OESOPHAGOSCOPY WITH F.B.REMOVAL 10000 8300 6800 5000 3400 021 THS011 OPEN BIOPSY - PLEURA / LUNG 15000 12500 10000 7500 5000 022 THS017 PERICARDECTOMY 31000 26000 20800 15600 10400 023 THS018 PERICARDIOSTOMY 26000 21700 17400 13000 8700

29 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:11 THORACIC SURGERY DR PR SPR NSB SB 024 THS028 PLEURAL ASPIRATION 3000 2500 2000 1500 1000 025 THS041 PLEURECTOMY 35000 29000 23400 17500 11700 026 THS027 PLEURODESIS EACH SITTING 3500 2900 2300 1750 1200 027 THS013 PNEUMENECTOMY 42000 35000 28000 21000 14000 RECONSTRUCTION OF PERIPHERAL 028 THS006 35000 29000 23400 17500 11700 VASCULAR INJURY REMOVAL OF FOREIGN BODY (BULLET) – 029 THS029 35000 29000 23400 17500 11700 CHEST / SHOULDER 030 THS021 RIB RESECTION AND DRAINAGE 20000 16700 13200 10000 6600 031 THS023 SCALENE NODE BIOPSY 8000 6700 5400 4000 2700 032 THS026 SEGMENTAL RESECTION 30000 25000 20000 15000 10000 033 THS004 SURGERY FOR PORTAL HYPERTENSION 30000 25000 20000 15000 10000 034 THS032 THORACOSCOPIC DECORTICATION 35000 29000 23400 17500 11700 THORACOSCOPIC DRAINAGE OF PLEURAL 035 THS042 9000 7500 6000 4500 3000 EFFUSION 036 THS043 THORACOSCOPIC PLEURODESIS 15000 12500 10000 7500 5000 037 THS044 THORACOSCOPIC OESOPHEGECTOMY 75000 62500 50000 37500 25000 THORACOTOMY FOR ANTERO-LATERAL 038 THS033 35000 29000 23400 17500 11700 DECOMPRESSION THORACOSCOPY WITH DRAINAGE OF LUNG 039 THS030 13000 10800 8800 6500 4400 ABSCESS THORACOTOMY FOR PENETRATING INJURY 040 THS034 35000 29000 23400 17500 11700 CHEST 041 THS019 THORACOTOMY WITH LIGATION OF PDA 26000 21700 17400 13000 8700 042 THS040 THYMECTOMY 35000 29000 23400 17500 11700

07:12 VASCULAR SURGERY 001 VAS055 A.V. FISTULA (COMPLEX) FOR DIALYSIS 22000 18300 14700 11000 7400 002 VAS054 A.V. FISTULA (PROXIMAL) FOR DIALYSIS 18000 15000 12000 9000 6000 003 VAS007 A.V. FISTULA (DISTAL) FOR DIALYSIS 15000 12500 10000 7500 5000 004 VAS018 ABDOMINAL ANEURYSM 42000 35000 28000 21000 14000 005 VAS013 AORTO-FEMORAL BYPASS 38000 31700 25400 19000 12700 AV GRAFT FOR VASCULAR ACCESS FOR 006 VAS012 31000 26000 20800 15600 10400 HAEMODIALYSIS AXILLARY-BRACHIAL BYPASS USING 007 VAS040 45000 37500 30000 22500 15000 SYNTHETIC GRAFT 008 VAS033 BASALIC VEIN TRANSPOSITION 31000 26000 20800 15600 10400 009 VAS037 BRACHIAL ARTERY REPAIR 26000 21700 17400 13000 8700 010 VAS027 BRACHIAL ARTERY REPAIR WITH GRAFT 42000 35000 28000 21000 14000 CAROTID AXILLARY BYPASS USING 011 VAS041 45000 37500 30000 22500 15000 SYNTHETIC GRAFT 012 VAS011 CAROTID ENDARTERECTOMY 38000 31700 25400 19000 12700 013 VAS017 CERVICAL RIB EXCISION 24000 20000 16000 12000 8000 014 VAS003 CERVICO THORACIC SYMPATHECTOMY 24000 20000 16000 12000 8000 015 VAS030 CLOSURE OF A.V. FISTULA 24000 20000 16000 12000 8000 016 VAS028 CLOT EVACUATION 7000 5800 4800 3500 2400

30 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:12 VASCULAR SURGERY DR PR SPR NSB SB 017 VAS036 EMBOLECTOMY 31000 26000 20800 15600 10400 018 VAS010 ENDARTERECTOMY OF PERIPHERAL VESSELS 38000 31700 25400 19000 12700 019 VAS016 EXCISION OF A.V. MALFORMATION 26000 21700 17400 13000 8700 020 VAS019 EXCISION OF HAEMANGIOMA - MAJOR 30000 25000 20000 15000 10000 021 VAS020 EXCISION OF HAEMANGIOMA - MEDIUM 22000 18300 14700 11000 7400 022 VAS021 EXCISION OF HAEMANGIOMA - MINOR 14000 11700 9400 7000 4700 EXPLORATION & REPAIR OF AXILLARY 023 VAS042 33000 27500 22000 16500 11000 ARTERY EXPLORATION & REPAIR OF CAROTID 024 VAS043 33000 27500 22000 16500 11000 ARTERIAL INJURY EXPLORATION & REPAIR OF CAROTID 025 VAS044 45000 37500 30000 22500 15000 ARTERIAL INJURY USING VEIN PATCH EXPLORATION & REPAIR OF FEMORAL 026 VAS045 33000 27500 22000 16500 11000 ARTERY 027 VAS066 EXPLORATION & REPAIR OF TIBIAL ARTERY 33000 27500 22000 16500 11000 EXTRA-ANATOMICAL AXILLO-FEMORAL 028 VAS046 45000 37500 30000 22500 15000 BYPASS USING GRAFT 029 VAS009 FEMORAL EMBOLECTOMY : BILATERAL 38000 31700 25400 19000 12700 030 VAS008 FEMORAL EMBOLECTOMY : UNILATERAL 30000 25000 20000 15000 10000 031 VAS022 FEMORO-FEMORAL CROSS OVER GRAFT 42000 35000 28000 21000 14000 032 VAS014 FEMORO-POPLITEAL BYPASS 36000 30000 24000 18000 12000 FEMORO-POPLITEAL BYPASS WITH VEIN 033 VAS023 45000 37500 30000 22500 15000 / GRAFT 034 VAS006 HEPATIC RESECTION (LOBECTOMY) 30000 25000 20000 15000 10000 ILEO-FEMORAL BYPASS USING SYNTHETIC 035 VAS047 45000 37500 30000 22500 15000 GRAFT 036 VAS026 ILLIAC ARTERY ANEURYSM 42000 35000 28000 21000 14000 037 VAS062 LASER VARICOSE VEINS – BOTH LEG 45000 37500 30000 22500 15000 038 VAS063 LASER VARICOSE VEINS – ONE LEG 33000 27500 22000 16500 11000 039 VAS056 LIGATION OF VEINS OF AVF 15000 12500 10000 7500 5000 040 VAS031 LIGATION OF FEMORAL S.F. JUNCTION 26000 21700 17400 13000 8700 LIGATION OF SAPHENOUS POPLITEAL 041 VAS032 26000 21700 17400 13000 8700 JUNCTION 042 VAS057 LOCAL TRANSPOSITION OF VEINS 18000 15000 12000 9000 6000 043 VAS002 LUMBAR SYMPATHECTOMY : UNILATERAL 18000 15000 12000 9000 6000 044 VAS059 MULTIPLE AVULSIONS OF VARICOSE VEIN 11000 9200 7400 5500 3700 045 VAS015 PERIPHERAL ANEURYSM REPAIR 31000 26000 20800 15600 10400 POPLITEAL TO ANTERIOR / POSTERIOR 046 VAS048 45000 37500 30000 22500 15000 TIBIAL BYPASS RE-EXPLORATION FOR BLEEDING AT 047 VAS049 15000 12500 10000 7500 5000 VASCULAR-ANASTOMATIC SITE 048 VAS050 REMOVAL OF INFECTED GRAFT 15000 12500 10000 7500 5000 049 VAS051 REPAIR OF PERIPHERAL VASCULAR INJURY 27000 22500 18000 13500 9000 050 VAS058 SCLEROTHERAPY OF VARICOSE VEINS 11000 9200 7400 5500 3700 051 VAS060 STRIPPING – LSV 12000 10000 8000 6000 4000 052 VAS061 STRIPPING – SSV 10000 8300 6700 5000 3350

31 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:12 VASCULAR SURGERY DR PR SPR NSB SB 053 VAS052 SUBCLAVIAN-BRACHIAL BYPASS 45000 37500 30000 22500 15000 054 VAS065 TEMPORAL ARTERY BIOPSY 16000 13400 10700 8000 5300 055 VAS001 THROMBO ENDARTERECTOMY AORTA 36000 30000 24000 18000 12000 056 VAS068 THROMBOLECTOMY 31000 26000 20800 15600 10400 THROMBOLETOMY WITH DACRON PATCH 057 VAS034 30000 25000 20000 15000 10000 ARTERIOPLASTY 058 VAS064 THROMBOLYSIS 40000 33300 26800 20000 13400 059 VAS039 VARICOSE VEINS – BOTH LEG 33000 27500 22000 16500 11000 060 VAS024 VARICOSE VEINS – ONE LEG 27000 22500 18000 13500 9000 061 VAS035 VEIN PATCHPLASTY 38000 31700 25400 19000 12700 062 VAS053 VENOUS ANEURYSM LIGATION 22000 18300 14700 11000 7400 063 VAS025 VENOUS RECONSTRUCTION 26000 21700 17400 13000 8700

07:13 UROLOGY SURGERY 001 URS123 ADRENELECTOMY OPEN 26000 21700 17400 13000 8700 002 URS035 AMPUTATION OF PENIS - PARTIAL 17000 14000 11300 8500 5700 003 URS034 AMPUTATION OF PENIS - TOTAL 22000 18300 14700 11000 7400 004 URS029 AUGMENTATION CYSTOPLASTY 32000 26800 21400 16000 10700 005 URS053 BASKETING 12000 10000 8000 6000 4000 006 URS010 BLADDER NECK INCISION (B.N.I.) 18000 15000 12000 9000 6000 007 URS056 BLADDER NECK RECONSTRUCTION 30000 25000 20000 15000 10000 BUCCAL MUCOSAL GRAFT ( BILATERAL 008 URS102 OR UNILATERAL) URETHROPLASTY OR 31000 26000 20800 15600 10400 SUBSTITUTION URETHROPLASTY 009 URS122 CHORDEE WITHOUT HYPOSPADIAS 17000 14000 11300 8500 5700 010 URS066 CIRCUMCISION 8000 6700 5400 4000 2700 011 URS030 CLOSURE OF URETHRAL FISTULA 15000 12500 10000 7500 5000 COMBINATION OF T.U.R.P. + STONE OR 012 URS008 39000 32500 26000 19500 13000 TUMOR 013 URS067 COMBINATION OF T.U.R.P. + B.N.I 31000 26000 20800 15600 10400 014 URS132 CYSTOLITHOTOMY 15000 12500 10000 7500 5000 015 URS009 CYSTOLITHOTRIPSY / CYSTOLITHALOPEXY 15000 12500 10000 7500 5000 CYSTOSCOPY + CLOT EVACUATION WITH 016 URS095 9000 7500 6000 4500 3000 FULGRATION 017 URS004 CYSTOSCOPY (DIAGNOSTIC) 6000 5000 4000 3000 2000 018 URS068 CYSTOSCOPY WITH BIOPSY 8000 6700 5400 4000 2700 CYSTOSCOPY WITH BLADDER BIOSPY OR 019 URS005 8000 6700 5400 4000 2700 R.G.P. 020 URS069 CYSTOSTOMY (SUPRAPUBIC) 10000 8300 6700 5000 3350 021 URS051 D.J.STENTING : BILATERAL 15000 12500 10000 7500 5000 022 URS070 D.J.STENTING : UNILATERAL 10000 8300 6700 5000 3350 D.J.STENTING WITH URETERIC 023 URS093 15000 12500 10000 7500 5000 CATHETERISATION 024 URS092 DEROOFING OF PROSTATIC ABSCESS 17000 14000 11300 8500 5700 025 URS073 ENDOPYELOTOMY - PCN OR URS 29000 24200 19400 14500 9700

32 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:13 UROLOGY SURGERY DR PR SPR NSB SB ENDOSCOPIC CORRECTION OF REFLUX : 026 URS002 18000 15000 12000 9000 6000 UNILATERAL OR BILATERAL ENDOSCOPIC DILATATION OF URETERAL 027 URS074 24000 20000 16000 12000 8000 STRICTURE 028 URS141 ENDOSCOPIC INCISION OF URETEROCELE 20000 16700 13200 10000 6600 ENDOSCOPIC REMOVAL OF URETHRAL 029 URS003 16000 13400 10700 8000 5300 STONE ENDOSCOPIC VENTRO-SUSPENSION FOR 030 URS012 24000 20000 16000 12000 8000 STRESS / TVT / TOT 031 URS064 EPIDIDYMAL CYST 12000 10000 8000 6000 4000 032 URS075 EPIDYDMECTOMY - BILATERAL 15000 12500 10000 7500 5000 033 URS076 EPIDYDMECTOMY - UNILATERAL 10000 8300 6700 5000 3350 034 URS098 EXCISION OF GROWTH PENIS 15000 12500 10000 7500 5000 EXPLORATORY SCROTOTOMY / SCROTAL 035 URS037 16000 13400 10700 8000 5300 EXPLORATION 036 URS015 EXTROPHY / EPISPADIAS REPAIR 45000 37500 30000 22500 15000 037 URS071 FRENULOPLASTY 12000 10000 8000 6000 4000 038 URS100 HYPOSPADIAS REPAIR – 1ST STAGE 18000 15000 12000 9000 6000 039 URS101 HYPOSPADIAS REPAIR – 2ND STAGE 16000 13400 10700 8000 5300 040 URS105 HYPOSPADIAS REPAIR – SINGLE STAGE 26000 21700 17400 13000 8700 ILEO – INGUINAL LYMPHADENECTOMY 041 URS119 35000 29000 23400 17500 11700 BILATERAL ILEO – INGUINAL LYMPHADENECTOMY 042 URS125 26000 21700 17400 13000 8700 UNILATERAL INTRAVESICAL INJECTION OF BOTULINUM 043 URS133 14000 11700 9400 7000 4700 TOXIN FOR O.A.B. (OVER ACTIVE BLADDER) 044 URS113 ISTHAMECTOMY WITH NEPHROPEXY 26000 21700 17400 13000 8700 045 URS062 LAPAROSCOPIC ADRENALECTOMY 33000 27500 22000 16500 11000 046 URS115 LAPAROSCOPIC ASSISTED PCNL 31000 26000 20800 15600 10400 047 URS061 LAPAROSCOPIC RADICAL NEPHRECTOMY 33000 27500 22000 16500 11000 048 URS060 LAPAROSCOPIC SIMPLE NEPHRECTOMY 29000 24200 19400 14500 9700 049 URS055 LAPAROSCOPIC URETEROLITHOTOMY 28000 23300 18800 14000 9400 050 URS137 LASER PROSTATECTOMY 31000 26000 20800 15600 10400 051 URS157 MEATAL DILATATION 4000 3300 2700 2000 1300 052 URS057 MEATOPLASTY 6500 5400 4400 3250 2200 053 URS063 MEATOTOMY 4000 3300 2700 2000 1300 054 URS094 NEEDLE ASPIRATION OF PROSTATE 4500 3750 3000 2250 1500 055 URS091 NEEDLE BIOPSY OF PROSTATE 4500 3750 3000 2250 1500 056 URS072 NEPHRECTOMY 29000 24200 19400 14500 9700 057 URS020 NEPHRECTOMY (RADICAL) 39000 32500 26000 19500 13000 NEPHRECTOMY (RADICAL) WITH IVC 058 URS142 45000 37500 30000 22500 15000 THROMBECTOMY 059 URS018 NEPHRECTOMY (SIMPLE OR PARTIAL) 29000 24200 19400 14500 9700 060 URS045 NEPHRECTOMY RENAL TUMOR 39000 32500 26000 19500 13000 061 URS019 NEPHROLITHOTOMY (ANATROPHIC) 28000 23300 18800 14000 9400 062 URS114 NEPHROPEXY FOR PTOTIC KIDNEY 18000 15000 12000 9000 6000

33 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:13 UROLOGY SURGERY DR PR SPR NSB SB 063 URS023 NEPHROSTOMY - OPEN 16000 13400 10700 8000 5300 064 URS024 NEPHROSTOMY - PERCUTANEOUS (P.C.N.) 16000 13400 10700 8000 5300 065 URS021 NEPHROURETERECTOMY 39000 32500 26000 19500 13000 066 URS040 OPERATION FOR DOUBLE URETER 29000 24200 19400 14500 9700 067 URS041 OPERATION FOR ECTOPIC URETER 27000 22500 18000 13500 9000 068 URS046 OPERATION FOR INJURY OF BLADDER 22000 18300 14700 11000 7400 069 URS110 OPERATION FOR MEGA URETER 26000 21700 17400 13000 8700 070 URS011 OPTICAL INTERNAL URETHROTOMY 18000 15000 12000 9000 6000 ORCHIDECTOMY : RADICAL / HIGH 071 URS143 21000 17500 14000 10500 7000 / INGUINAL – UNILATERAL OR BILATERAL 072 URS144 ORCHIDECTOMY - BILATERAL 20000 16700 13200 10000 6600 073 URS145 ORCHIDECTOMY - UNILATERAL 16000 13400 10700 8000 5300 ORCHIOPEXY OR ORCHIDOPEXY : 074 URS017 24000 20000 16000 12000 8000 BILATERAL ORCHIOPEXY OR ORCHIDOPEXY : 075 URS016 18000 15000 12000 9000 6000 UNILATERAL 076 URS027 PARTIAL CYSTECTOMY 30000 25000 20000 15000 10000 077 URS090 PCNL – UNILATERAL - MULTIPLE PUNCTURE 35000 29000 23400 17500 11700 078 URS121 PCNL – BILATERAL 39000 32500 26000 19500 13000 079 URS047 PCNL – UNILATERAL 31000 26000 20800 15600 10400 080 URS148 PENILE IMPLANT – 3 PIECE SYSTEM 42000 35000 28000 21000 14000 PENILE IMPLANT – SEMIRIGID 2 PIECE 081 URS149 33000 27500 22000 16500 11000 SYSTEM 082 URS131 PERCUTANEOUS CYSTOLITHOTRIPSY (PCLT) 18000 15000 12000 9000 6000 083 URS033 PERINEAL URETHROSTOMY 9000 7500 6000 4500 3000 084 URS118 PERINEPHRIC ABSCESS DRAINAGE – OPEN 14000 11700 9400 7000 4700 PERINEPHRIC ABSCESS DRAINAGE – 085 URS117 11000 9200 7400 5500 3700 PERCUTANEOUS 086 URS078 PROSTATIC BIOPSY 5500 4600 3700 2750 1850 087 URS079 PYELOLITHOTOMY 22000 18300 14700 11000 7400 088 URS150 PYELOLITHOTOMY – LAPROSCOPIC 28000 23300 18800 14000 9400 089 URS022 PYELOPLASTY WITH OR WITHOUT R.G.P. 28000 23300 18800 14000 9400 090 URS106 RADICAL CYSTECTOMY WITH NEOBLADDER 39000 32500 26000 19500 13000 091 URS058 RADICAL CYSTOPROSTATECTOMY 39000 32500 26000 19500 13000 092 URS059 RADICAL RETROPUBIC PROSTATECTOMY 39000 32500 26000 19500 13000 RADICAL / TOTAL CYSTECTOMY WITH 093 URS080 39000 32500 26000 19500 13000 URINARY DIVERSION RECTO-URETHERAL FISTULA - POST 094 URS081 39000 32500 26000 19500 13000 SAGGITAL REPAIR 095 URS120 RELOOK PCNL 9000 7500 6000 4500 3000 096 URS052 REMOVAL OF D.J.STENT U/L OR B/L 5000 4200 3400 2500 1700 097 URS044 REPAIR OF URETHRAL INJURY 22000 18300 14700 11000 7400 098 URS112 RGP WITH SCLERO THERAPY FOR CHYLURIA 12000 10000 8000 6000 4000 RPLND (RETRO- PERITONEAL LYMPHNODE 099 URS111 31000 26000 20800 15600 10400 DISSECTION) 100 URS096 SEPARATION AND DISSECTION OF BLADDER 14000 11700 9400 7000 4700

34 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:13 UROLOGY SURGERY DR PR SPR NSB SB 101 URS082 SUPRAPUBIC DRAINAGE (CLOSED) 10000 8300 6800 5000 3400 102 URS084 SUPRAPUBIC DRAINAGE (OPEN) 10000 8300 6800 5000 3400 103 URS085 SUPRAPUBIC PROSTATECTOMY 24000 20000 16000 12000 8000 104 URS108 SURGERY FOR PEYRONIS DISEASE 26000 21700 17400 13000 8700 105 URS109 SURGERY FOR PRIAPISM 26000 21700 17400 13000 8700 106 URS107 SURGERY FOR RECTOURETHRAL FISTULA 35000 29000 23400 17500 11700 T U R E D (TRANS URETHRAL RESECTION OF 107 URS116 18000 15000 12000 9000 6000 EJACULATING DUCT) 108 URS007 T.U.R. - BLADDER TUMOR 28000 23300 18800 14000 9400 109 URS001 T.U.R. - POSTERIOR URETHRAL VALVES 19000 15800 12800 9500 6400 110 URS006 T.U.R. - PROSTATE 29000 24200 19400 14500 9700 111 URS097 T.U.R. - PROSTATE WITH T.U.E.V.P 28000 23300 18800 14000 9400 112 URS086 TESTICULAR BIOPSY 5500 4600 3700 2750 1850 113 URS151 TORSION TESTIS 15000 12500 10000 7500 5000 114 URS128 TRANS URETERO URETEROSTOMY 26000 21700 17400 13000 8700 TRANS URETHRAL ELECTRO VAPOUIZATION 115 URS087 28000 23300 18800 14000 9400 OF PROSTATE 116 URS152 TRANSPLANT NEPHRECTOMY 28000 23300 18800 14000 9400 117 URS026 TROCAR CYSTOSTOMY 10000 8300 6800 5000 3400 URETERIC CATHETERISATION - UNILATERAL 118 URS065 8000 6700 5400 4000 2700 OR BILATERAL 119 URS129 URETERO URETEROSTOMY 19000 15800 12800 9500 6400 URETEROINTESTINAL DIVERSION / RE- 120 URS025 33000 27500 22000 16500 11000 IMPLANTATION OF URETER / PSOAS HITCH 121 URS088 URETEROLITHOTOMY 19000 15800 12800 9500 6400 122 URS153 URETEROLITHOTOMY – LAPAROSCOPIC 24000 20000 16000 12000 8000 URETEROLYSIS FOR RETROPERITONEAL 123 URS130 26000 21700 17400 13000 8700 FIBROSIS 124 URS014 URETERONEOCYSTOSTOMY : BILATERAL 35000 29000 23400 17500 11700 125 URS013 URETERONEOCYSTOSTOMY : UNILATERAL 28000 23300 18800 14000 9400 URETERONEOCYSTOSTOMY WITH BOARI 126 URS127 26000 21700 17400 13000 8700 FLAP 127 URS126 URETEROPLASTY WITH ILEAL REPOSITION 26000 21700 17400 13000 8700 128 URS050 URETEROSCOPIC LITHOTRIPSY 24000 20000 16000 12000 8000 129 URS049 URETEROSCOPIC STONE REMOVAL 20000 16700 13200 10000 6600 130 URS089 URETEROSCOPIC URETEROTOMY 24000 20000 16000 12000 8000 131 URS048 URETEROSCOPY : DIAGNOSTIC 12000 10000 8000 6000 4000 132 URS154 URETHRAL CARBUNCULE EXCISION 15000 12500 10000 7500 5000 133 URS054 URETHRAL DILATATION 4500 3750 3000 2250 1500 134 URS140 URETHROPLASTY – END TO END 26000 21700 17400 13000 8700 135 URS155 URETHROPLASTY – ONE STAGE 29000 24200 19400 14500 9700 URETHROPLASTY FOR POSTERIOR 136 URS103 35000 29000 23400 17500 11700 URETHRAL DISTRACTION DEFECT (PUDD) 137 URS031 URETHROPLASTY TWO STAGED - 1ST STAGE 16000 13400 10700 8000 5300 138 URS032 URETHROPLASTY TWO STAGED - 2ND STAGE 19000 15800 12800 9500 6400

35 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:13 UROLOGY SURGERY DR PR SPR NSB SB V.V.FISTULA REPAIR / URETERO-VAGINAL 139 URS043 32000 26800 21400 16000 10700 FISTULA REPAIR 140 URS099 VARICOCELECTOMY BILATERAL 19000 15800 12800 9500 6400 141 URS124 VARICOCELECTOMY LAPAROSCOPIC 16000 13400 10700 8000 5300 VARICOCELECTOMY OPEN MICROSURGICAL 142 URS156 20000 16700 13200 10000 6600 – BILATERAL VARICOCELECTOMY OPEN MICROSURGICAL 143 URS104 16000 13400 10700 8000 5300 – UNILATERAL 144 URS036 VARICOCELECTOMY UNILATERAL 16000 13400 10700 8000 5300 145 URS039 VASO-EPIDIDYMAL ANASTOMOSIS 20000 16700 13200 10000 6600 146 URS038 VASOVASAL ANASTOMOSIS 22000 18300 14700 11000 7400 147 URS042 Y.V.PLASTY OF BLADDER NECK 20000 16700 13200 10000 6600

07:14 PLASTIC SURGERY 001 PLS048 ABDOMINOPLASTY 28000 23300 18800 14000 9400 ABDOMINOPLASTY WITH LIPOSUCTION 002 PLS028 35000 29000 23400 17500 11700 (COSMETIC) 003 PLS068 BAT EAR BILATERAL 24000 20000 16000 12000 8000 004 PLS033 BLEPHEROPLASTY FOUR LIDS 36000 30000 24000 18000 12000 005 PLS032 BLEPHEROPLASTY TWO LIDS 30000 25000 20000 15000 10000 BREAST AUGMENTATION (IMPLANT) : 006 PLS040 36000 30000 24000 18000 12000 BILATERAL BREAST AUGMENTATION (IMPLANT) : 007 PLS039 24000 20000 16000 12000 8000 UNILATERAL 008 PLS041 BREAST AUGMENTATION BY FLAP 42000 35000 28000 21000 14000 009 PLS070 BREAST REDUCTION : BILATERAL 36000 30000 24000 18000 12000 010 PLS069 BREAST REDUCTION : UNILATERAL 24000 20000 16000 12000 8000 011 PLS023 CHEMICAL PEELING 30000 25000 20000 15000 10000 012 PLS010 CLEFT LIP CASE RHINOPLASTY 36000 30000 24000 18000 12000 013 PLS009 CLEFT LIP NOSTRIL 28000 23300 18800 14000 9400 014 PLS002 CLEFT LIP / PALATE : BILATERAL 32000 26800 21400 16000 10700 015 PLS001 CLEFT LIP / PALATE : UNILATERAL 24000 20000 16000 12000 8000 016 PLS005 CLEFT PALATE & LIP : BILATERAL 36000 30000 24000 18000 12000 017 PLS004 CLEFT PALATE & LIP : UNILATERAL 30000 25000 20000 15000 10000 018 PLS008 CLEFT PALATE FISTULA WITH FLAP 30000 25000 20000 15000 10000 019 PLS006 CLEFT PALATE WITH PHARYNGOPLASTY 30000 25000 20000 15000 10000 020 PLS007 CLEFT PALATE-FISTULA SIMPLE 18000 15000 12000 9000 6000 021 PLS021 COMPLICATED SCAR FACE / MULTIPLE SCARS 28000 23300 18800 14000 9400 022 PLS125 CONTRACTURE RELEASE ONLY (ONE FINGER) 12000 10000 8000 6000 4000 CONTRACTURE RELEASE WITH FLAP & 023 PLS085 36000 30000 24000 18000 12000 SKINGRAFT CONTRACTURE RELEASE WITH SKIN GRAFT 024 PLS084 35000 29000 23400 17500 11700 MORE FINGERS CONTRACTURE RELEASE WITH SKIN GRAFT 025 PLS083 24000 20000 16000 12000 8000 ONE FINGER 026 PLS103 CYST OR GANGLION MULTIPLE 17000 14000 11300 8500 5700

36 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:14 PLASTIC SURGERY DR PR SPR NSB SB 027 PLS134 WOUND DEBRIDEMENT – LARGE 10000 8300 6800 5000 3400 028 PLS135 WOUND DEBRIDEMENT – MEDIUM 8000 6700 5400 4000 2700 029 PLS136 WOUND DEBRIDEMENT – SMALL 6500 5400 4400 3250 2200 030 PLS022 DERMABRASION FACE 21000 17500 14000 10500 7000 031 PLS098 DETACHMENT OF FLAP 17000 14000 11300 8500 5700 DISTRACTION OSTEOGENESIS MANDIBLE OR 032 PLS122 35000 29000 23400 17500 11700 MAXILLA 033 PLS124 DIVISION OF FLAP 10000 8300 6800 5000 3400 034 PLS057 DRESSING - MAJOR 5500 4600 3700 2750 1850 035 PLS114 DRESSING - MEDIUM 4000 3300 2700 2000 1300 036 PLS058 DRESSING - MINOR 3000 2400 1900 1500 1000 037 PLS065 EAR LOBULE KELOID : BILATERAL 12000 10000 8000 6000 4000 038 PLS064 EAR LOBULE KELOID : UNILATERAL 9000 7500 6000 4500 3000 039 PLS101 EXCISION OF CYST - MULTIPLE 12000 10000 8000 6000 4000 040 PLS100 EXCISION OF CYST - SINGLE 6000 5000 4000 3000 2000 041 PLS113 EXCISION OF MOLE - FACE 6000 5000 4000 3000 2000 042 PLS123 EXPLANTATION OF BREAST IMPLANT 21000 17500 14000 10500 7000 043 PLS071 EXTRA DIGIT EXCISION 11000 9200 7400 5500 3700 044 PLS034 EYE LIDS - PTOSIS : UNILATERAL 16000 13400 10700 8000 5300 EYE LIDS : PARTIAL EXCISION & REPAIR WITH 045 PLS036 26000 21700 17400 13000 8700 SKIN GRAFT & FLAP 046 PLS038 EYE LIDS FOLD RECONSTRUCTION 26000 21700 17400 13000 8700 EYE LIDS TUMOR EXCISION & REPAIR WITH 047 PLS037 26000 21700 17400 13000 8700 SKIN GRAFT & FLAP 048 PLS035 EYE LIDS- PTOSIS : BILATERAL 22000 18300 14700 11000 7400 FACE LIFT WITH OR WITHOUT NECK LIFT 049 PLS031 40000 33300 26800 20000 13400 (COSMETIC) 050 PLS056 FACE MOLE OR CYST EXCISION - MULTIPLE 21000 17500 14000 10500 7000 051 PLS049 FASCIO CUTANEOUS FLAP REPAIR - LARGE 28000 23300 18800 14000 9400 052 PLS050 FASCIO CUTANEOUS FLAP REPAIR - MEDIUM 21000 17500 14000 10500 7000 053 PLS051 FASCIO CUTANEOUS FLAP REPAIR - SMALL 12000 10000 8000 6000 4000 FASCIO CUTANEOUS FLAP WITH SKIN GRAFT 054 PLS054 36000 30000 24000 18000 12000 - LARGE FASCIO CUTANEOUS FLAP WITH SKIN GRAFT 055 PLS053 24000 20000 16000 12000 8000 - MEDIUM FASCIO CUTANEOUS FLAP WITH SKIN GRAFT 056 PLS052 16000 13400 10700 8000 5300 - SMALL 057 PLS025 FAT OR FULL THICKNESS GRAFT - LARGE 22000 18300 14700 11000 7400 058 PLS024 FAT OR FULL THICKNESS GRAFT - SMALL 13000 10800 8800 6500 4400 059 PLS089 FRACTURE FLOOR OF ORBIT 24000 20000 16000 12000 8000 FRACTURE MANDIBLE + MAXILLA + ORBIT + 060 PLS080 36000 30000 24000 18000 12000 NOSE 061 PLS079 FRACTURE MANDIBLE OR MAXILLA A.O. 20000 16700 13200 10000 6600 062 PLS117 FRENULOPLASTY 12000 10000 8000 6000 4000 063 PLS128 GYNAECOMASTIA – BILATERAL 27000 22500 18000 13500 9000 064 PLS129 GYNAECOMASTIA – UNILATERAL 16000 13400 10700 8000 5300

37 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:14 PLASTIC SURGERY DR PR SPR NSB SB HAND - TENDON REPAIR (MAGNIFICATION) 065 PLS073 33000 27500 22000 16500 11000 MULTIPLE HAND - TENDON WITH NERVE REPAIR 066 PLS072 30000 25000 20000 15000 10000 (MAGNIFICATION) 067 PLS016 HYPOSPADIAS - CHORDEE CORRECTIONS 18000 15000 12000 9000 6000 068 PLS015 HYPOSPADIAS - MEATOTOMY 5500 4600 3700 2750 1850 069 PLS017 HYPOSPADIAS - URETHRA RECONSTRUCTION 29000 24200 19400 14500 9700 070 PLS115 INTRAVELAR VELOPLASTY 31000 26000 20800 15600 10400 071 PLS105 JOINT REPLACEMENT (MINOR) 21000 17500 14000 10500 7000 072 PLS130 KELOID LARGE (ELSEWHERE) 24000 20000 16000 12000 8000 073 PLS116 LARGE SCAR EXCISION 20000 16700 13200 10000 6600 074 PLS027 LIPOSUCTION - LARGE AREA 29000 24200 19400 14500 9700 075 PLS026 LIPOSUCTION - SMALL AREA 18000 15000 12000 9000 6000 076 PLS093 LOCAL FLAP - LARGE 21000 17500 14000 10500 7000 077 PLS092 LOCAL FLAP - MEDIUM 16000 13400 10700 8000 5300 078 PLS091 LOCAL FLAP - MINOR 10000 8300 6800 5000 3400 079 PLS090 LOCAL FLAP / CROSS FINGER FLAP 24000 20000 16000 12000 8000 080 PLS131 LYMPHEDEMA SURGERY 26000 21700 17400 13000 8700 081 PLS077 MALAR FRACTURE - CLOSED 18000 15000 12000 9000 6000 MALAR FRACTURE - MINI INTERNAL 082 PLS078 24000 20000 16000 12000 8000 FIXATION 083 PLS097 MANDIBLE WIRING 28000 23300 18800 14000 9400 084 PLS132 MELANOCYTE GRAFTING – LARGE 40000 33300 26800 20000 13400 085 PLS133 MELANOCYTE GRAFTING – SMALL 20000 16700 13200 10000 6600 086 PLS014 MINOR CORRECTION ON CLEFT LIP 16000 13400 10700 8000 5300 087 PLS075 NASAL FRACTURE - CLOSED 10000 8300 6800 5000 3400 NASAL FRACTURE WITH COMPOUND 088 PLS076 15600 13000 10400 7800 5200 WOUND 089 PLS106 NERVE GRAFT (UNDER MAGNIFICATION) 36000 30000 24000 18000 12000 090 PLS107 NERVE REPAIR (MULTIPLE) 36000 30000 24000 18000 12000 091 PLS108 NERVE REPAIR (SINGLE) 28000 23300 18800 14000 9400 NERVE REPLANTATION (UNDER 092 PLS109 42000 35000 28000 21000 14000 MAGNIFICATION) 093 PLS013 NOSE TIP RHINOPLASTY 18000 15000 12000 9000 6000 094 PLS047 PHARYNGOPLASTY 24000 20000 16000 12000 8000 095 PLS030 PREAURICULAR SINUS : BILATERAL 14000 11700 9400 7000 4700 096 PLS029 PREAURICULAR SINUS : UNILATERAL 12000 10000 8000 6000 4000 097 PLS110 RADIAL CLUB HAND CORRECTION 30000 25000 20000 15000 10000 RECONSTRUCTION OF EAR DEFORMITY – 098 PLS074 33000 27500 22000 16500 11000 STAGE-I RECONSTRUCTION OF EAR DEFORMITY – 099 PLS120 22000 18300 14700 11000 7400 STAGE-II RECONSTRUCTION OF EAR DEFORMITY – 100 PLS121 20000 16700 13200 10000 6600 STAGE-III 101 PLS087 RELEASE OF TONGUE TIE 5000 4200 3400 2500 1700 102 PLS088 RELEASE OF TONGUE TIE - Z PLASTY REPAIR 12000 10000 8000 6000 4000

38 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:14 PLASTIC SURGERY DR PR SPR NSB SB 103 PLS094 REPAIR OF FRACTURE ZYGOMA 18000 15000 12000 9000 6000 104 PLS119 REPAIR OF LIP – BILATERAL 22000 18300 14700 11000 7400 105 PLS118 REPAIR OF LIP – UNILATERAL 15000 12500 10000 7500 5000 106 PLS096 REPAIR OF MORE THAN ONE FINGER 12000 10000 8000 6000 4000 107 PLS095 REPAIR OF ONE FINGER 10000 8300 6800 5000 3400 108 PLS099 REPAIR OF PINNA 10000 8300 6800 5000 3400 109 PLS011 RHINOPLASTY (COSMETIC) 33000 27500 22000 16500 11000 SECONDARY DEFORMITY - CLEFT LIP 110 PLS003 / PALATE / NOSE 31000 26000 20800 15600 10400 111 PLS012 SEPTO-RHINOPLASTY 25000 20800 16800 12500 8400 112 PLS020 SIMPLE SCAR EXCISION 12000 10000 8000 6000 4000 113 PLS018 SIMPLE Z PLASTY ANYWHERE 12000 10000 8000 6000 4000 114 PLS061 SKIN GRAFTING - LARGE / EXTENSIVE 27000 22500 18000 13500 9000 115 PLS060 SKIN GRAFTING - MEDIUM 21000 17500 14000 10500 7000 116 PLS059 SKIN GRAFTING - SMALL 12000 10000 8000 6000 4000 117 PLS102 SMALL NAEVUS - SINGLE 10000 8300 6800 5000 3400 118 PLS063 SPLIT EAR LOBULES : BILATERAL 6500 5400 4400 3250 2200 119 PLS062 SPLIT EAR LOBULES : UNILATERAL 4500 3750 3000 2250 1500 120 PLS067 SYNDACTYLE FINGERS : MORE THAN ONE WEB 26000 21700 17400 13000 8700 121 PLS066 SYNDACTYLE FINGERS : ONE WEB 21000 17500 14000 10500 7000 122 PLS082 T.M. JOINT ANKYLOSIS WITH RIB GRAFT 33000 27500 22000 16500 11000 T.M. JOINT ANKYLOSIS / CONDYLECTOMY : 123 PLS081 26000 21700 17400 13000 8700 UNILATERAL 124 PLS111 TENDON TRANSFER (MULTIPLE) 28000 23300 18800 14000 9400 125 PLS112 TENDON TRANSFER (SINGLE) 19000 15800 12800 9500 6400 126 PLS042 TISSUE EXPANDER (INSERTION) 28000 23300 18800 14000 9400 127 PLS055 VAGINOPLASTY WITH SKIN GRAFT AND FLAP 36000 30000 24000 18000 12000 128 PLS086 VAS RECANALISATION (MAGNIFICATION) 28000 23300 18800 14000 9400 WOUND REPAIR - FACE / HAND / LIMBS – 129 PLS045 18000 15000 12000 9000 6000 LARGE / MULTIPLE WOUND REPAIR - FACE / HAND / LIMBS - 130 PLS044 10000 8300 6700 5000 3350 MEDIUM WOUND REPAIR - FACE / HAND / LIMBS - 131 PLS043 5000 4200 3400 2500 1700 SMALL Z PLASTY - SCAR EXCISION WITH OR 132 PLS019 24000 20000 16000 12000 8000 WITHOUT SKINGRAFT

07:15 PEDIATRIC SURGERY ABDOMINOPERINEAL PULL THROUGH 001 PES002 33000 27500 22000 16500 11000 / PSARP 002 PES028 ANAL DILATATION 8000 6700 5400 4000 2700 003 PES029 ANORECTAL MYOMECTOMY 18000 15000 12000 9000 6000 004 PES030 APPENDECTOMY 18000 15000 12000 9000 6000 005 PES031 AXILLARY LYMPH NODE BIOPSY 8000 6700 5400 4000 2700 006 PES007 BILIARY ATRESIA / CHOLEDOCHAL CYST 39000 32500 26000 19500 13000 007 PES032 BRONCHOSCOPY DIAGNOSTIC / FB / BIOPSY 12000 10000 8000 6000 4000

39 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:15 PEDIATRIC SURGERY DR PR SPR NSB SB 008 PES033 CATHETERISATION AND MCU 4000 3300 2700 2000 1300 009 PES034 CENTRAL VENOUS LINE IN NEONATE 3500 3000 2400 1800 1200 010 PES035 CERVICAL LYMPH NODE BIOPSY 8000 6700 5400 4000 2700 011 PES036 CHEST ASPIRATION 4000 3300 2700 2000 1300 012 PES037 CHEST TUBE INSERTION 4000 3300 2700 2000 1300 013 PES011 CHEST TUBE MANIPULATION 1500 1300 1000 800 500 014 PES112 CIRCUMCISION – NEONATAL 8000 6700 5400 4000 2700 015 PES005 COLOSTOMY / ILEOSTOMY CLOSURE 24000 20000 16000 12000 8000 016 PES013 COLOSTOMY / ILEOSTOMY / JEJUNOSTOMY 18000 15000 12000 9000 6000 COMPLETE DECORICATION - OPEN 017 PES039 31000 26000 20800 15600 10400 / THORACOSCOPIC 018 PES010 CYSTIC HYGROMA - MAJOR 27000 22500 18000 13500 9000 CYSTIC HYGROMA MINOR EXCISION 019 PES092 16000 13400 10700 8000 5300 / SCLEROTHERAPY 020 PES009 CYSTOGASTROSTOMY 24000 20000 16000 12000 8000 021 PES040 DIAGNOSTIC LAPROSCOPY 12000 10000 8000 6000 4000 022 PES041 DIAPHRAGMATIC HERNIA / EVENTRATION 35000 29000 23400 17500 11700 023 PES042 DRAINAGE OF DEEP / LARGE ABCESS 8000 6700 5400 4000 2700 024 PES043 DRAINAGE OF SMALL ABCESS 4000 3300 2700 2000 1300 025 PES097 DRESSING – SMALL 2000 1700 1400 1000 700 026 PES044 DRESSING LARGE 3500 3000 2400 1800 1200 027 PES113 EMPYEMA THORACOCENTESIS 12000 10000 8000 6000 4000 028 PES046 ESOPHAGOSCOPY / FB 10000 8300 6700 5000 3350 029 PES045 ESPOHAGEAL DILATATION 6000 5000 4000 3000 2000 030 PES047 EXCISION BIOPSY SUP. LUMP / SEB CYST 8000 6700 5400 4000 2700 031 PES048 EXCISION BRANCHIAL SINUS / FISTULA 16000 13400 10700 8000 5300 EXCISION OF EXTRA DIGIT - (IN NEONATE 032 PES095 4000 3300 2700 2000 1300 CASES) 033 PES096 EXCISION OF RETRO-PERITONEAL TUMOR 35000 29000 23400 17500 11700 034 PES049 EXCISION THYROGLOSSAL CYST / FISTULA 16000 13400 10700 8000 5300 035 PES050 EXPLORATORY LAPROTOMY 14000 11700 9400 7000 4700 EXPLORATORY LAPROTOMY WITH MULTIPLE 036 PES103 21000 17500 14000 10500 7000 BIOPSIES 037 PES051 FUNDOPLICATION 24000 20000 16000 12000 8000 038 PES052 GASTROSCHISIS 31000 26000 20800 15600 10400 039 PES038 GASTROSTOMY 16000 13400 10700 8000 5300 040 PES054 HYDROCOELE BILATERAL 20000 16700 13200 10000 6600 041 PES055 HYDROCOELE UNILATERAL 12000 10000 8000 6000 4000 042 PES056 INGUINAL HERNIA IN NEONATE BILATERAL 21000 17500 14000 10500 7000 043 PES057 INGUINAL HERNIA IN NEONATE UNILATERAL 16000 13400 10700 8000 5300 044 PES058 INGUINAL HERNIA REPAIR BILATERAL 18000 15000 12000 9000 6000 045 PES059 INGUINAL HERNIA REPAIR UNILATERAL 14400 12000 9600 7200 4800 INSTILLATION OF INTRACAVITATORY 046 PES114 9000 7500 6000 4500 3000 MEDICATION 047 PES060 INTESTINAL FISTULA 30000 25000 20000 15000 10000

40 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:15 PEDIATRIC SURGERY DR PR SPR NSB SB 048 PES004 INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000 INTUSSUSCEPTION AND RESECTON 049 PES061 26000 21700 17400 13000 8700 ANASTMOSIS INTUSSUSCEPTION REDUCTION (XRAY OR 050 PES062 18000 15000 12000 9000 6000 OPERATIVE) 051 PES091 KIDNEY BIOPSY 5000 4200 3400 2500 1700 052 PES063 LAPAROSCOPIC APPENDICECTOMY 21000 17500 14000 10500 7000 053 PES108 LAPAROSCOPIC HERNIOTOMY 21000 17500 14000 10500 7000 054 PES105 LAPAROSCOPIC ORCHIDOPEXY – BILATERAL 31000 26000 20800 15600 10400 LAPAROSCOPIC ORCHIDOPEXY – 055 PES104 24000 20000 16000 12000 8000 UNILATERAL 056 PES064 LIVER ABCESS ASPIRATION 8000 6700 5400 4000 2700 057 PES065 LIVER ABCESS ASPIRATION MULTIPLE 12000 10000 8000 6000 4000 058 PES066 LIVER BIOPSY CLOSED 3500 3000 2400 1800 1200 059 PES067 LOBECTOMY 31000 26000 20800 15600 10400 060 PES068 LYSIS OF INTESTINAL ADHESIONS 15000 12500 10000 7500 5000 061 PES069 MALROTATION INTESTINE 26000 21700 17400 13000 8700 062 PES070 MESENTERIC CYST / DUPLICATION 26000 21700 17400 13000 8700 063 PES072 MULTIPLE POLYPS 16000 13400 10700 8000 5300 NEONATAL INTESTINAL OBSTRUCTION 064 PES074 30000 25000 20000 15000 10000 / ATRESIA 065 PES076 OMPHALOCOELE MAJOR / GASTROSCHISIS 31000 26000 20800 15600 10400 066 PES077 OMPHALOCOELE MINOR 22000 18300 14700 11000 7400 067 PES075 OBSTRUCTED / STRANGULATED HERNIA 24000 20000 16000 12000 8000 068 PES008 OESOPHAGOSTOMY 22000 18300 14700 11000 7400 069 PES078 ORCHIDOPEXY BILAT 26000 21700 17400 13000 8700 070 PES015 ORCHIDOPEXY UNILAT 20000 16700 13200 10000 6600 071 PES100 PARAVERTIBRAL ABCESS 16000 13400 10700 8000 5300 PERCUTANEOUS PIGTAIL CATHETER 072 PES106 11000 9200 7400 5500 3700 INSERTION 073 PES109 PERFORATION PERITONITIS 27000 22500 18000 13500 9000 074 PES016 PARTIAL DECORTICATION / RIB RESECTION 21000 17500 14000 10500 7000 075 PES001 PERINEAL ANOPLASTY 18000 15000 12000 9000 6000 076 PES017 PERITONEAL ASPIRATION 3500 3000 2400 1800 1200 077 PES012 PERITONEAL DRAINAGE 5000 4200 3400 2500 1700 078 PES006 PNEUMONECTOMY 33000 27500 22000 16500 11000 079 PES018 PULL THROUGH FOR HIRSCHPRUNG’S 28000 23300 18800 14000 9400 080 PES019 PYELOPLASTY 33000 27500 22000 16500 11000 081 PES020 PYLORMYOTOMY 21000 17500 14000 10500 7000 082 PES079 RADIAL ARTERY CATH 5000 4200 3400 2500 1700 083 PES080 RECTAL POLYP 10000 8300 6700 5000 3350 084 PES081 RECTAL SUCTION BIOPSY / OPEN BIOPSY 8000 6700 5400 4000 2700 085 PES014 RECURRENT INTESTINAL OBSTRUCTION 24000 20000 16000 12000 8000 086 PES107 REMOVAL OF TUBE / CATHETER 3000 2400 1900 1500 1000

41 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:15 PEDIATRIC SURGERY DR PR SPR NSB SB 087 PES022 RESECTION AND ANASTMOSIS INTESTINE 26000 21700 17400 13000 8700 088 PES071 RESECTION ANASTMOSIS - MULTIPLE 33000 27500 22000 16500 11000 089 PES101 RETRO PERITONEAL ABSCESS / HAEMATOMA 21000 17500 14000 10500 7000 RETRO PERITONEAL / RETRO 090 PES115 28000 23300 18800 14000 9400 PERITONEOSCOPY PROCEDURE SCLEROTHERAPY RECTAL PROLAPSE 091 PES102 9000 7500 6000 4500 3000 / HAEMANGIOMA 092 PES023 SIGMOIDOSCOPY 5000 4200 3400 2500 1700 093 PES098 SOFT TISSUE TUMOR (LARGE) 16000 13400 10700 8000 5300 094 PES099 SOFT TISSUE TUMOR (SMALL) 10000 8300 6700 5000 3350 095 PES024 SPLEENECTOMY 28000 23300 18800 14000 9400 096 PES025 SUTURING MULTIPLE WOUND 8000 6700 5400 4000 2700 097 PES026 SUTURING OF WOUND 5000 4200 3400 2500 1700 098 PES027 TONGUE TIE EXCISION 4000 3300 2700 2000 1300 099 PES003 TRACHEOESOPHAGEAL FISTULA (T.O.F.) 36000 30000 24000 18000 12000 100 PES082 UMBILICAL / EPIGASTRIC HERNIA 16000 13400 10700 8000 5300 101 PES083 UMBILICAL CATH ARTERIAL 4000 3300 2700 2000 1300 102 PES084 UMBILICAL CATH VENOUS 4000 3300 2700 2000 1300 103 PES085 UMBILICAL GRANULOMA 4000 3300 2700 2000 1300 104 PES086 URACHUS EXCISION 18000 15000 12000 9000 6000 105 PES087 V Y PLASTY TONGUE TIE 8000 6700 5400 4000 2700 106 PES110 VARICOCOELE – BILATERAL 19000 15800 12800 9500 6400 107 PES088 VARICOCOELE – UNILATERAL 17000 14000 11300 8500 5700 108 PES089 VENESECTION / CENTRAL LINE 4000 3300 2700 2000 1300 109 PES090 VITELLINE DUCT EXCISION 18000 15000 12000 9000 6000

07:16 MISCELLANEOUS SURGERY 001 MSS001 PERITONEOSCOPY – BIOPSY 5000 4200 3400 2500 1700 002 MSS002 SIGMOIDOSCOPY 5000 4200 3400 2500 1700 003 MSS003 ECT 4000 3300 2700 2000 1300 004 MSS004 EPIDURAL INJECTION 3000 2400 1900 1500 1000 NEPHROLOGY 07:17A NEPHROLOGY SURGICAL PROCEDURES AV GRAFT FOR VASCULAR ACCESS FOR 002 VAS012 30000 25000 20000 15000 10000 HAEMODIALYSIS 003 URS134 CAPD CATHETER PLACEMENT 13000 10800 8800 6500 4400 004 URS135 CAPD / PERMACATH CATHETER REMOVAL 6000 5000 4000 3000 2000 CHRONIC HEMODIALYSIS CATHETER 005 URS136 11000 9200 7400 5500 3700 (PERMCATH) PLACEMENT

DIALYSIS (IN PATIENT) 07:17B HAEMODIALYSIS [PACKAGE] 001 DIA011 HAEMODIALYSIS [IN DEPTT.] 2500 2500 2500 2300 2300 002 DIA012 HAEMODIALYSIS (ICU-BEDSIDE) 3300 3300 3300 3000 3000

42 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 07:17B HAEMODIALYSIS [PACKAGE] DR PR SPR NSB SB 003 DIA014 EMERGENCY HAEMODIALYSIS 3300 3300 3300 3000 3000 SLED (Sustained Low Efficiency Dialysis) – UPTO 004 DIA013 5000 5000 5000 4400 3850 8hrs. SLED (Sustained Low Efficiency Dialysis) More than 8 005 DIA017 7500 7500 7500 6500 6500 Hrs. upto 12 Hrs. Note : Haemodialysis includes all consumables and professional charges but it does not include cost of Dialyser (Artificial Kidney & Tubbings), any Investigation charges and other medication.

07:17C OTHER PROCEDURES CAPD TRAINING CHARGES (FOR COMPLETE 001 DIA010 5000 5000 4500 4000 3500 TRAINING) 002 DIA009 FEMORAL CATHETERISATION 2000 2000 2000 1650 1350 003 DIA007 FISTULA DRESSING 120 120 120 120 100 004 DIA006 HAEMODIALYSIS CATHETER DRESSING 300 300 300 300 250 005 TRE075 KIDNEY BIOPSY (LAB. CHARGES EXTRA) 4000 4000 4000 3000 2000 006 DIA016 PERITONEAL CATHETER INSERTION 5500 4600 3700 2750 1850 007 TRE023 PERITONEAL DIALYSIS 3500 3500 3500 2600 1800 SUBCLAVIAN / JUGULAR CANNULATION OR 008 TRE024 3500 3500 3500 2600 1800 CATHETERISATION U.SOUND / ECHO GUIDANCE CHARGES FOR 009 DIA008 JUGULAR CANNULATION 300 300 300 300 250 / CATHETERISATION 010 DIA019 IMMUNO THERAPY (TRANSPLANT) 1600 1600 1600 1500 1500 011 DIA020 CADAVERIC TRANSPLANT WORK-UP 3500 3500 3500 3500 3500 CRRT INITIATION (CONTINUOUS RENAL 012 DIA021 REPLACEMENT THERAPY) [FOR 1ST 24HRS.] 12000 12000 12000 12000 10000 [KIT / CONSUMABLE EXTRA] CRRT MAINTAINENCE CHARGES – PER DAY, 013 DIA022 AFTER 24 HRS. OF INITIATION} [KIT 10000 10000 10000 10000 8000 / CONSUMABLE EXTRA] RENAL TRANSPLANT

07:18 RENAL TRANSPLANT SPR 001 PACKAGE FOR RENAL TRANSPLANT 400000

Package includes :- 1. Duration of package :- For Recipient : 10 days (Pre-stay 2days + Post.op stay 8days) For Donor : 6 days (Pre-stay 1day + Post.op stay 5days) 2. Visit’s Charges : Surgeon’s & Nephrologist’s visit charges upto above mentioned stay. 3.  Surgical Fee, O.T. Charges, Anaesthesia Charges, disposables used in O.T. and ward and physio-therapy (with- in above mentioned stay).

43 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020) 4.  Investigation as per KINDNEY TRANSPLANT investigation protocol (with-in above mentioned stay) Package excludes :- 1.  All Drugs/Medicines (Injectables or Oral) used in O.T. during the surgery, CCU/ICU and , Ward are as per actuals. 2. Any other investigation beyond above mentioned period of stay. 3. All treatment, Medication, Room/Bed or ICU charges, visits of surgeon and Nephrologist beyond the stay mentioned above. 4. Any other incidental procedure other than the main planned package procedure. 5. Consultation charges other than Nephrologist 6. Investigation sent to outside laboratory centres.

Note :- 1. The “Recipient” & “Donor” both will be admiitted as “Semi Pvt. Room” category. 2. Patient (Recipient) and donor may opt for higher accommodation. In that case, the difference of room/bed charges will be charged extra. 3. After surgery, in case patient requires to shift out in the room, the recipient will be shifted out to Single Room or as higher opted by the patient. The donor will be shifted out to Semi Pvt. Room or as higher opted by them. OPERATION THEATER (O.T.) CHARGES

08:01 OGT001 The charges for ‘Operation Theater for Delivery cases’ will be 30% of the Delivery fee. 09:01 ROO002 The charges for ‘Operation Theater’ for surgeries will be 30% of the Surgeon’s fee.

ANAESTHESIA

S.No. CODE DESCRIPTION DR/PR/SPR/NSB/SB 10:01 ANAESTHESIA General/Spinal/Epidural Anaesthesia / Brachial 001 ANC001 30% of the Surgeon’s Fee or Regional Blocks 002 ANC003 Local Anaesthesia with stand by. 15% of the Surgeon’s Fee 003 ANC002 Local Anaesthesia 10% of the Surgeon’s Fee 004 ANC005 Anaesthesia outside Operating Room As per above whichever is applicable

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY Other specific type of Anaesthesia Charges DR PR SPR NSB SB 10:02 ANC004 Obst. (Epidural) Anesthesia Upto 1 Hour 2500 2500 2500 1500 900 10:03 ANC022 TOP-UP of Epidural Anesthesia (Each Time) 800 800 800 600 300

44 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

CATHLAB. (CARDIOLOGY) PROCEDURES

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY DR PR SPR NSB SB 11:01 ANGIOGRAPHY PACKAGES 01. CAD001 CORONARY ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 5000 02. CAD007 PERIPHERAL ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 5000 03. CAD009 RENAL ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 5000 04. CAD010 CHECK ANGIOGRAPHY (Stay 1day) 11000 9000 7500 5000 5000

ANGIOPLASTY PACKAGES 05. CAD002 CORONARY ANGIOPLASTY (Stay 2days) 110000 100000 85000 70000 60000 06. CAD006 PERIPHERAL ANGIOPLASTY (Stay 2days) 90000 80000 65000 50000 45000 07. CAD011 RENAL ANGIOPLASTY (Stay 2days) 90000 80000 65000 50000 45000 08. CAD034 CAROTID ANGIOPLASTY (Stay 2days) 110000 100000 85000 70000 60000

PACEMAKER IMPLANTATION PACKAGES PACEMAKER IMPLANTATION-SINGLE 09. CAD012 70000 60000 50000 40000 36000 CHAMBER (Stay 3days) PACEMAKER IMPLANTATION-DOUBLE 10. CAD013 90000 80000 65000 50000 45000 CHAMBER (Stay 3days) PACEMAKER / LEAD– REPLACEMENT 11. CAD014 70000 60000 50000 40000 36000 (Stay 3days) 12. CAD031 PACEMAKER EXPLANTATION (Stay 3days) 70000 60000 50000 40000 36000

OTHER PACKAGES COIL/PARTICLE EMBOLIZATION 13. CAD018 45000 40000 34000 25000 20000 (Stay 1day) 14. CAD003 EP STUDY (Stay 1day) 25000 22000 19000 15000 13500 FFR – FRACTIONAL FLOW RESERVE 15. CAD029 20000 18000 15000 12000 10000 (Stay 1day) 16. CAD021 IVC FILTER IMPLANTATION (Stay 1day) 25000 22000 19000 15000 13500 BALLOON VALVULOPLASTY / BMV/BPV- 17. CAD016 120000 100000 80000 60000 50000 BALLOON (Stay 2days) 18. CAD015 ASD / VSD DEVICE CLOSURE (Stay 2days) 75000 65000 55000 45000 40000 BIVENTRICULAR DEVICE/COMBO 19. CAD017 120000 100000 80000 60000 50000 (Stay 3days) 20. CAD019 ICD/AICD – SINGLE CHAMBER (Stay 3days) 95000 80000 65000 50000 45000 ICD/AICD – DOUBLE CHAMBER 21. CAD020 110000 90000 75000 60000 54000 (Stay 3days) 22. CAD022 RF ABLATION – 3D MAPPING (Stay 3days) 190000 170000 150000 130000 120000 23. CAD004 RF ABLATION (Stay 3days) 95000 80000 65000 50000 45000 24. CAD005 EPS + RFA (Stay 3days) 125000 100000 75000 50000 45000 NOTE :- In case patient is admitted directly in ICU/CCU, treated and discharged from ICU/CCU only (not stayed or shifted to wards) shall be levied as per minimum Semi-Pvt. Room. (Inclusions and exclusions of packages are on next page)

45 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020) Inclusions of Packages.

1. Stay as mentioned above, Professional fee of Cardiologist during the package duration and Cath lab charges. 2. Pre-operative Investigations (RBS, Urea, Createnine, CBC, BT, Sodium, potassium, Hbs Ag(spot), HIV(spot), HCV(spot), PT, APTT, Platelet Count, Blood grouping & typing, X-Ray Chest, ECG (Quantity one of each investigation is covered in package). Exclusions of Packages.

1. Any other investigation other than listed above in inclusions 2. All treatment, all post op. investigations, Medication, Room/Bed charges and visits of Cardiologist beyond stay mentioned in the package charges. 3. Any other incidental procedure other than the main planned package procedure. 4. Consultation charges other than Cardiologist. 5. Cost of Stent/s, Balloons, Guidewire, Pace Maker,Lead & other accessories used in cathlab. (In case of Pacemaker Replacement, cost of lead and accessories will be charged, If replaced). 6. Cost of Devices, Coil / Particles, Filter Wire, Special wires like Pressure Wire-FFR, OCT, Rotablation, Rotablation Burr. 7. All Drugs/Medicines (Injectables or Oral), Contrast, disposables used in cathlab, CCU/ICU and , Ward are as per actuals. 8. IABP (in case used). 9. Angiography CD ************************

Non-package Cathlab Procedures

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 11:02 Non-package Cathlab Procedures DR PR SPR NSB SB INTRA AORTIC BALLOON PUMP (IABP) 26. CAD023 18000 16000 13000 11000 10000 IMPLANTATION 27. CAD024 FOREIGN BODY REMOVAL 18000 16000 13000 11000 10000 28. CAD025 FLUROSCOPY 2500 2200 2000 1700 1500 29. CAD026 TEMPORARY PACEMAKER IMPLANTATION 12000 10000 8000 6000 4000 30. CAD027 PERICARDIOCENTASIS 18000 16000 13000 10000 7000 31. CAD028 ELECTIVE CARDIOVERSION 15000 12500 10000 7500 5000 EXTRA CORPOREAL MEMBRANE 32. CAD033 300000 300000 300000 300000 300000 OXYGINATION (ECMO) INITIATION

Note :- 1. IABP:- Cost of IABP Balloon and procedure will be charged extra whenever it will be done. It is not inclusive in any of the cathlab packages or Surgery package. 2. The above charges will includes Professional fee and Cath lab Charges only. 3. Cost of Ballon and all other disposables and medicinces will be extra.

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46 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. CODE DESCRIPTION ACCOMMODATION CATEGORY 11:03 OTHER CHARGES DR PR SPR NSB SB INTRA AORTIC BALLOON PUMP (IABP) PER 01. CAD030 2500 2500 2500 2500 1800 DAY* 02. SCL070 ANGIOGRAPHY CD 500 500 500 500 500 INTEROGATION / REPROGRAMMING OF 03. MSS013 1000 1000 1000 750 500 AICD/PACEMAKER 04. CPP001 ECMO (PER DAY)** 20000 20000 20000 20000 20000

Note :- 1. *IABP routine charges (per day) will be levied from next day of IABP implantation. 2. **For ECMO, no charge till 5days from initiation. Above charges will be levied from 6th day.

CARDIAC SURGERY PACKAGES

11:04 CARDIAC SURGERY PACKAGES 01. CDS003 OPEN HEART/ BYPASS SURGERIES/CABG 275000 250000 230000 210000 190000 02. CDS004 CLOSED HEART SURGERIES 155000 135000 115000 95000 85000 03. CDS005 SINGLE VALVE REPLACEMENT 275000 250000 230000 210000 200000 04. CDS006 DOUBLE VALVE REPLCEMENT 290000 265000 240000 225000 210000 05. CDS007 CABG + VALVE REPLACEMENT SURGERY 310000 285000 265000 245000 220000 06. CDS008 BENTALL REPAIR WITH PROSTHETIC VALVE 310000 285000 265000 245000 220000 07. CDS009 BENTALL REPAIR WITH BIOLOGICAL VALVE 310000 285000 265000 245000 220000 08. CDS010 ASD/VSD SURGERY 275000 250000 230000 210000 190000

Package includes :- 01. Maximum stay of 8 days. 02. Period of 8 days will be effective from one day prior to the date of surgery. 03. Routine Blood Tests (RBS, Urea, Createnine, CBC, BT, Sodium, Potassium, Hbs Ag(spot), HIV(spot), HCV(spot), PT, APTT, Platelet Count,LFT), X-Ray Chest and ECG. 04. Two Echocardiography both pre and post surgery. 05. One doppler (if needed) 06. Drugs, Medical Consumables, Professional fee of the Cardio-thoracic Surgeon, Cardiac Anesthesia, Cardiologist for the duration of package. 07. Nursing Care, Diet (patient only) and Physiotherapy. 08. Six Units of Whole Blood for Open Heart Surgery and 4 Units for other Heart Surgeries. (Blood to be donated by patient’s relatives).

Package does NOT include :- 01. All charges beyond package of 8 days will be charged as per hospital Schedule of Charges. 02. Consultation charges other than Cardiologist. 03. Cost of SwanGanz catheter/CCO (if used) shall be charged extra. 04. Nephrology and dialysis services. 05. Additional investigations and Echo etc. 06. Cost of Valve, Vascular Graft, Aortic Graft, PTFE Patch, Visipaque Dye etc. 07. High cost drugs like Inj. Solumedrol, Morotrol, Meronem, Milron, Targocid, Primacore, Albumin, Clexane, Fibrin Glue, Trasylol, Injectable Anti-platelets, Thromolytic agents etc.

47 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020) 08. IABP Procedure charges (in case used) and cost of Balloon. 09. Blood transfusion services for Special Blood Products on cell separator. 10. Rs. 5,000/- for Leukocyte Filter (in case used) 11. For High Risk Cases :- Rs.40,000/- will be an additional charge, over and above the cost of packages.

NON-PACKAGE CARDIAC SURGERIES / PROCEDURES

11:05 OTHER NON-PACKAGE CARDIAC SURGERIES ACCOMMODATION CATEGORY S.No. CODE DESCRIPTION DR PR SPR NSB SB 01. CDS011 STERNOTOMY 20000 18000 15000 12000 10000 STERNAL DEBRIDEMENT AND MUSCLE FLAP 02. PLS126 33000 27500 22000 16500 11000 ROTATION STERNAL RESECTION AND RECONSTRUC- 03. PLS127 30000 25000 20000 15000 10000 TION

Note :- Above mentioned charges are only professional fee of the surgeon. All other charges will be levied as per General S.O.C.-2016.

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NON-INVASIVE CARDIAC LAB

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/POPD/ SB/GOPD CASUALTY 12:01 ECG (ELECTRO CARDIOGRAM) 001 ECG (ELECTRO CARDIOGRAM) (EACH) 240 220

12:02 ECHOCARDIOGRAPHY / CAROTID DOPPLER 001 ARTERY DOPPLER - LOWER LIMB 2400 1900 002 ARTERY DOPPLER - UPPER LIMB 2400 1900 003 DOBUTAMINE STRESS ECHO 4000 3600 004 DOPPLER STUDY 2400 1900 005 ECHOCARDIOGRAPHY 2400 1900 006 ECHOCARDIOGRAPHY - PEADIATRICS 2400 1900 PORTABLE CHARGES FOR ECHOCARDIOGRAPY/DOP- 007 300 300 PLER 008 SCREENING ECHO* 700 600 009 STRESS ECHO 4000 3600 010 VENOUS DOPPLER - LOWER LIMB 2400 1900 011 VENOUS DOPPLER - UPPER LIMB 2400 1900

NOTE : *No report of Screening will be issued to the patients, only noting in file to be made.

48 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/POPD/ 12:03 T.M.T. (TREAD MILL TEST) SB/GOPD CASUALTY 001 TREAD MILL TEST (EACH) 1900 1600

12:04 HOLTER MONITOR 001 HOLTER MONITORING 2000 1700 002 EXTENDED HOLTER MONITORING 8000 6500

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GASTROENTEROLOGY

ENDOSCOPIC PROCEDURES (FLAT RATES) 13:01 UPPER GI ENDOSCOPY 001 ACHALASIA DILATATION 7200 5000 002 ARGON PLASMA COAGULATION – UPPER GI 7700 5500 003 DILATATION 9250 6600 004 ENDO THERAPY FOR BLEEDING – UPPER GI 5000 3500 ENDOSCOPIC NASO-JEJUNAL FEEDING TUBE 005 5100 3600 INSERTION 006 ENDOSCOPIC PLACEMENT OF RYLES TUBE 3850 2750 007 ENDOSCOPY UPPER G.I. 4000 2800 008 EPT - STONE EXTRACTION 15500 11000 009 EST-ENDOSCOPIC SCLEROTHERAPY 8500 6000 010 EVL-ENDOSCOPIC VARICES LIGATION 8500 6000 011 FOREIGN BODY REMOVAL 8000 5500 012 H. PYLORI TEST 450 350 013 OESOPHAGEAL ACHALASIA 5100 3600 014 OESOPHAGEAL METAL STENT PLACEMENT 15500 11000 015 PAPILLOTOMY WITH STONE EXTRACTION 15500 11000 016 PEG REMOVAL 3300 2300 017 PERCUTANEOUS ENDOSCOPIC GASTROTOMY - PEG 10000 7000 018 SENGASTAKEN TUBE PLACEMENT 2200 1550 019 SIDE VIEWING ENDOSCOPY 3850 2750 020 UPPER GI WITH POLYPECTOMY 6600 4600

13:02 LOWER GI ENDOSCOPY 001 ARGON PLASMA COAGULATION – LOWER GI 7700 5500 002 COLONOSCOPY - 2 6200 4400 COLONOSCOPY – 2 WITH COLONOSOPIC 003 9250 6600 SCLEROTHERAPY 004 COLONOSCOPY – I 4000 2750 005 COLONOSCOPY WITH POLYPECTOMY 11000 9700 METAL STENT PLACEMENT (LOWER GI) (COST OF 006 15500 11000 STENT EXTRA)

49 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/POPD/ 13:02 LOWER GI ENDOSCOPY SB/GOPD CASUALTY 007 SIGMOIDOSCOPY 2200 1550 008 THERAPY FOR BLEEDING – LOWER GI 7700 5500 009 VIDEO PROCTOSCOPY 1700 1300

13:03 ERCP 001 BRUSHING & BIOSPY 14300 10000 002 ERCP - ENDOSCOPY 7700 5500 ERCP-METAL STENT PLACEMENT (COST OF STENT 003 16500 11500 EXTRA) 004 MECHANICAL LITHOTRIPSY 16500 11500 005 PANCREATIC STENTING 15400 11000 006 PANCREATIC STONE REMOVAL 15400 11000 007 PLASTIC STENT DEPLOYMENT 16500 11500 008 PLASTIC STENT REMOVAL 5000 3500 009 STENT REMOVAL & CBD CLEARANCE 16500 11500 010 THERAPEUTIC ERCP 15500 11000

13:04 OTHERS 001 DIAGNOSTIC ABDOMINAL PARACENTESIS 2200 1500 002 LARGE VOLUME PARACENTESIS 2400 1700 003 LIVER BIOPSY 2900 2000 004 ANESTHESIA FOR ENDOSCOPY - FLAT RATE 1300 900 NOTE : (1). 25% of the above procedures fee will be levied as “G.E.Room and Equipment charges”. (2). All diagnostic “Medication”, “Radiology” and “laboratory” will be charged extra. (3). Any “Drug” like antibiotics, contrast & “Consumables” etc will charged extra.

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NEUROLOGY 14:01 NEUROLOGICAL INVESTIGATIONS 001 BAEP -BRAINSTEM AUDITORY EVOKED POTENTIALS* 2400 1700 002 E.E.G. (IN DEPTT.) 1650 1200 003 E.E.G. PORTABLE 2800 2200 004 EMG ALL FOUR LIMBS* 4000 3000 005 EMG BOTH LOWER LIMBS* 2500 2000 006 EMG BOTH UPPER LIMBS* 2500 2000 007 FACIAL NERVE NCV 2500 2000 008 FACIAL NERVE NCV, EMG & BLINK* 4000 3000 009 NCV & EMG ALL FOUR LIMBS* 6000 5000 010 NCV & EMG BOTH LOWER LIMBS* 4000 3000 011 NCV & EMG BOTH UPPER LIMBS* 4000 3000 012 NCV ALL FOUR LIMBS 4000 3000

50 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/POPD/ 14:01 NEUROLOGICAL INVESTIGATIONS SB/GOPD CASUALTY 013 NCV BOTH LOWER LIMBS 2500 2000 014 NCV BOTH UPPER LIMBS 2500 2000 015 RNS STUDIES 6000 5000 016 SSEP ALL FOUR LIMBS* 5000 4000 017 SSEP BOTH LOWER LIMBS* 4000 3000 018 SSEP BOTH UPPER LIMBS* 4000 3000 019 VEP* (VISUAL EVOKED POTENTIAL*) 4000 3000

* Cost of EMG Needle will be extra (As per Market price)

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RESPIRATORY MEDICINE

15:01 SLEEP LAB 001 POLYSOMNOGRAPHY 11000 10000 002 CPAP TITRATION STUDY 9000 8000 003 SPLIT NIGHT STUDY 14000 12000

15:02 SPIROMETRY 001 P.F.T. (PULMONARY FUNCTION TEST) 700 600 002 P.F.T. DLCO 1300 1100

15:03 VIDEO BRONCHOSCOPY 001 VIDEO BRONCHOSCOPY 7500 6500 002 VIDEO BRONCHOSCOPY WITH BIOPSY OR TBNA 8000 7500 003 VIDEO BRONCHOSCOPY WITH BIOPSY AND TBNA 8500 8000 004 FOREIGN BODY REMOVAL 2500 2000 005 GLUE APPLICATION (Cost of Glue Extra) 2000 1800 006 APC 2000 1800 007 STENT PLACEMENT (Cost of Stent Extra) 2500 2000 008 DIAGNOSTIC THORACOSCOPY 9000 8000 009 THORACOSCOPY WITH PLEURAL BIOPSY 9500 8500 010 THORACOSCOPY & PLEURODESIS 11000 10000

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51 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020) RADIOLOGY

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/POPD/ SB/ 16:01 BMD CASUALTY GOPD 001 BMD – PELVIS (BOTH HIPS) 2300 2100 002 BMD - SINGLE HIP 2000 1800 003 BMD - WHOLE BODY 4000 3600 004 BMD -SPINE 2000 1800 005 BMD -SPINE + PELVIS 2800 2500 006 BMD -SPINE + SINGLE HIP 2300 2100

16:02 C.T. SCAN 001 3D 5000 4600 002 ANGIO-ABDOMINAL 11000 10000 003 ANGIO-CEREBRAL 7700 7000 004 ANGIO-RENAL 7700 7000 005 ANGIO-PERIPHERAL 11000 10000 006 ANGIO-ABDOMEN AORTA 11000 10000 ANGIO-WHOLE ABDOMEN (DUAL PHASE 007 8800 8000 LIVER) 008 C4 TO C7 - 4 VERTEBRAE 4000 3650 009 EVERY ADDITIONAL VERTEBRA 800 750 010 EXTRA FOR EMERGENCY CASES [**] 650 650 011 EXTRA FOR M.L.C. CASES 650 650 012 EXTREMITIES 3000 2800 013 FACE- CT 3900 3600 GUIDANCE BIOPSY (LAB. & DISPOSABLES 014 3300 3000 EXTRA)-CT GUIDED ASPIRATION (LAB. & DISPOSABLES 015 3300 3000 EXTRA)-CT GUIDED F.N.A.C. (LAB. & DISPOSABLES 016 3300 3000 EXTRA) 017 HEAD - PLAIN 2400 2200 HEAD - PLAIN + CONTRAST (CONTRAST 018 3500 3200 CHARGE EXT.) 019 HEAD NCCT 2400 2200 020 HEAD NECT 2400 2200 021 HEAD & NECK/FACE-CT 5000 4500 022 HRCT THORAX FULL 5000 4600 023 KUB-PLAIN : CT 5200 4800 024 KUB PLAIN + CONTRAST 6600 6000 025 L3 TO S1- 4 VERTEBRAE 4400 4000

52 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/POPD/ SB/ 16:02 C.T. SCAN CASUALTY GOPD 026 LARYNX 3100 3100 027 LIVER – TRIPPLE PHASE 6600 6000 028 LOWER ABDOMEN - CT 4600 4200 029 LOWER THORAX + UPPER ABDOMEN-CT 7700 7000 030 LOWER THORAX/CHEST 3850 3500 031 MISCELLANEOUS [ANKLE/HIP/WRIST ETC.] 3000 2700 032 NECK - CT 3800 3500 033 ORBIT 3700 3400 034 PITUITARY GLAND 3000 2700 035 PNS : AXIAL + CORONAL + SAGITAL 4000 3700 036 PNS FULL 2700 2500 037 PULMONARY ANGIOGRAPHY 8000 7200 038 TEMPORAL BONE [IAM] 4000 3600 039 THORAX/CHEST -CT 4400 4000 040 UPPER ABDOMEN - CT 4400 4000 041 UPPER THORAX 3600 3300 042 VIRTUAL COLONOSCOPY 9000 8100 WHOLE ABDOMEN – PLAIN + CONTRAST – 043 7700 7000 CT 044 WHOLE SPINE 12000 10800

NOTE : [**] Emergency charges is extra for scans done between 7:00 pm to 8:00 am or on Sundays & holidays.

16:03 MAMMOGRAPHY 001 MAMMOGRAPHY [BILATERAL] 1800 1600 002 MAMMOGRAPHY [ONE SIDE] 900 800

16:04 ULTRA SOUND 001 ABDOMINAL - SINGLE ORGAN 700 630 002 B.P.P. ONLY 600 540 003 B.P.P. ONLY (TWIN PREG.) 1000 900 004 BREAST -U/S 800 720 005 CHEST -U/S 700 630 006 DOPPLER ONLY 600 540 007 DOPPLER ONLY (TWIN PREG.) 1000 900 008 EMERGENCY (ON CALL) CHARGE [**] 500 450 009 EYES -U/S 800 720 010 FOLLICULAR/OVALUTION STUDIES 1750 1600 011 GALL BLADDER 700 630

53 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/POPD/ SB/ 16:04 ULTRA SOUND CASUALTY GOPD 012 GUIDED ASPIRATION -U/S 1150 1050 013 GUIDED ASPIRATION IN O.T. -U/S 1650 1500 014 GUIDED BIOPSY -U/S 1150 1050 015 GUIDED MULTI ORGAN ASPIRATION -U/S 1650 1500 016 JOINTS – U/S 1100 1000 017 KIDNEY -U/S 700 630 018 KUB -U/S 1100 1000 019 LIVER -U/S 700 630 020 LOWER ABDOMEN -U/S 1100 1000 021 NEONATAL HEAD -U/S 800 700 022 OBS + NT/NB -U/S 1500 1350 023 OBS LEVEL II - 3D/4D (U/S) 2200 2000 024 OBS LEVEL II - 3D/4D (U/S) (TWIN PREG.) 3150 2800 025 OBS WITH DOPPLER 1700 1550 026 OBS WITH DOPPLER (TWIN PREG.) 2600 2350 027 OBS. + B.P.P. 1500 1350 028 OBS. + B.P.P. (TWIN PREG.) 2100 1900 029 OBS. + B.P.P. + DOPPLER 2200 2000 030 OBS. + B.P.P. + DOPPLER (TWIN PREG.) 3100 2800 031 OBS. + DOPPLER + SCAR THICKNESS 1800 1600 032 OBS. U/S 1200 1100 033 OBS. ULTRASOUND EACH (TWIN PREG.) 1600 1400 034 PELVIS -U/S 1100 1000 035 PELVIS -U/S 1200 1100 036 PORTABLE CHARGES (ULTRASOUND) 400 350 037 POST VOID RESIDU (PVR) 300 270 038 RENAL DOPPLER -U/S 2500 2250 039 SCAR THICKNESS 200 150 040 SCROTUM / TESTIS 1100 1000 041 SCROTUM / TESTIS DOPPLER 1900 1700 042 SOFT TISSUE SONOGRAPHY 900 800 043 SPLEEN -U/S 700 630 044 THYROID-U/S 850 770 045 TRANSRECTAL 1200 1100 TRANSRECTAL BIOPSY (Procedure & Lab. 046 1300 1200 Charges are extra) 047 UPPER ABDOMEN + BPP + DOPPLER 2100 1900 048 UPPER ABDOMEN + PLEURAL SPACE -U/S 1100 1000 049 UPPER ABDOMEN -U/S 1100 1000

54 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/POPD/ SB/ 16:04 ULTRA SOUND CASUALTY GOPD 050 UPPER ABDOMEN DOPPLER -U/S 1500 1350 051 WHOLE ABDOMEN + DOPPLER -U/S 2200 2000 052 WHOLE ABDOMEN -U/S 1450 1300 053 WHOLE ABDOMEN + BPP + DOPPLER -U/S 2300 2100 WHOLE ABDOMEN + OBS. (ABOVE 10 054 1800 1600 WEEKS) 055 WHOLE ABDOMEN + OBS. (UPTO 10 WEEKS) 1500 1400 056 FOETAL ECHO 2400 1900 057 PENILE DOPPLER 1500 1350 058 DOPPLER STUDY (USG) 2400 1900 059 VENOUS DOPPLER – PER LOWER LIMB 2400 1900 060 VENOUS DOPPLER – PER UPPER LIMB 2400 1900 061 ARTERY DOPPLER – PER LOWER LIMB 2400 1900 062 ARTERY DOPPLER – PER UPPER LIMB 2400 1900 063 ARTERY + VENOUS DOPPLER-PER LOWER LIMB 3600 2900 064 ARTERY + VENOUS DOPPLER-PER UPPER LIMB 3600 2900 065 VENOUS DOPPLER – BOTH LOWER LIMBS 3600 2900 066 VENOUS DOPPLER – BOTH UPPER LIMBS 3600 2900 067 ARTERY DOPPLER – BOTH LOWER LIMBS 3600 2900 068 ARTERY DOPPLER – BOTH UPPER LIMBS 3600 2900 069 ARTERY + VENOUS DOPPLER-BOTH LOWER LIMB 7200 5800 070 ARTERY + VENOUS DOPPLER-BOTH UPPER LIMB 7200 5800

NOTE : [**] Emergency charges is extra for scans done between 7:00 pm to 8:00 am or on Sundays & holidays.

16:05 XRAY 001 ABDOMEN ERECT & SUPINE 540 500 002 ADDITIONAL VIEWS FOR ANY REGION 270 250 003 ANKLE (BORDEN’S VIEW) 570 520 004 ANKLE AP & LAT 400 370 005 ANKLE AP BOTH 270 250 006 ANKLE LAT AXIAL 400 370 007 ANKLE LATERAL BOTH 400 370 008 APICOGRAM 270 250 009 ARM (HUMERUS) AP & LAT 400 370 010 BA. ENEMA 3100 2850 011 BA. ENEMA (DOUBLE CONTRAST) 3800 3500 012 BA. MEAL FOLLOW THROUGH 2900 2650

55 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020) S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/POPD/ SB/ 16:05 XRAY CASUALTY GOPD 013 BA. MEAL U.G.I.T. 2000 1850 014 BA. SWALLOW /OESOPHAGOGRAPHY 1250 1150 015 CERVICAL SPINE EXTENSION/FLEXION 540 500 016 CERVICAL SPINE/NECK AP LATERAL 540 500 017 CHEST (SINGLE VIEW) 270 250 018 CHEST (2 VIEWS) 540 500 019 COCCYX AP LATERAL 540 500 COLOGRAM WITH BARIUM OR 020 2000 1850 GASTROGRAFFIN 021 DEPTT. SCREENING / FLUROSCOPY 220 200 022 DORSO-LUMBAR SPINE AP+LATERAL 540 500 023 ELBOW AP & LAT 400 370 024 FEMUR AP & LAT 540 500 025 FISTULOGRAM/SINOGRAM 1250 1150 026 FOOT AP & OBLIQUE 400 370 027 FOOT AP LATERAL BOTH 800 750 028 FOREARM AP&LAT 400 370 029 GASTROGRAFFIN SWALLOW 1250 1150 030 GASTROGRAFFIN FOLLOW THROUGH 3150 2900 031 HAND (FINGERS) AP + OBLIQUE 400 370 032 HANDS AP BOTH 270 250 033 HIP AP 270 250 034 HIP AP&LAT 540 500 035 HIP LATERAL 270 250 036 HSG 1600 1500 037 INTUSSUSCEPTION (X-RAY CHARGES) 3100 2850 038 IVP 2500 2350 039 IVP + MCU 3000 2800 040 KNEE AP LATERAL AXIAL BOTH 800 750 041 KNEE AP & LAT 400 370 042 KNEE AP & LAT AXIAL 540 500 043 KNEE AP BOTH 270 250 044 KNEE AP LATERAL BOTH 650 600 045 KUB/ABDOMEN (SINGLE VIEW) -XRAY 270 250 046 LEG AP & LAT 540 500 047 LS SPINE AP LATERAL 650 600 048 LS SPINE EXTENSION/FLEXION 540 500 049 LS SPINE LATERAL 540 500 050 MANDIBLE AP 270 250 051 MANDIBLE 3 VIEWS (AP + BOTH OBLIQUE) 800 750

56 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/POPD/ SB/ 16:05 XRAY CASUALTY GOPD 052 MANDIBLE BOTH OBLIQUE 540 500 MASTOIDS (TOWNS + 2 LATERAL OBLIQUE) 3 053 800 750 VIEWS 054 MCU 1900 1750 055 NASAL BONE 270 250 056 NASOPHARAYNX/ ADENOIDS 270 250 057 NEPHROSTOGRAM 2200 2000 OESOPHAGEAL DILATATION UNDER 058 1600 1450 FLUROSCOPY 059 PELVIS AP 270 250 060 PER ORBITAL VIEW / IAM 400 370 061 PNS 270 250 062 PORTABLE ABDOMEN PER EXPOSER 400 370 063 PORTABLE ABDOMEN ERECT/SUPINE 800 750 064 PORTABLE CHEST 430 400 065 PORTABLE EXTREMITIES PER EXPOSER 430 400 066 PORTABLE SKULL PER EXPOSER 430 400 067 PORTABLE SPINE PER EXPOSER 430 400 068 PORTABLE X-RAY (PER EXPOSER) 430 400 RADIOLOGY CHARGES FOR 069 2300 2100 INTUSSUSCEPTION 070 RGP -RETROGRADE PYELOGRAM 1800 1650 071 RGU + M.C.U. 2200 2000 072 RGU/ASCENDING URETHROGRAM 1700 1550 073 SACRO - COCCYX AP LATERAL 540 500 074 SCANOGRAM (FULL LEG / SPINE) 600 550 075 SCAPULA AP 270 250 076 SCAPULA AP LATERAL 540 500 077 SCREENING (ABOVE 15 MTS.) 1950 1800 078 SCREENING (UPTO 15 MTS.) 1400 1300 079 SCREENING FOR ERCP / EPT 1400 1300 080 SHOULDER AP 270 250 081 SHOULDER AXIAL 270 250 082 SI JOINT PA + BOTH OBL. 800 750 083 SI JOINT PA/SACRO ILIAC JOINT 270 250 084 SIALOGRAPHY 1250 1150 085 SKULL : ANY SINGLE VIEW 270 250 086 SKULL AP & LATERAL 540 500 087 SPINE (2 VIEWS) 540 500 088 SPINE (SINGLE VIEW) 270 250

57 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/POPD/ SB/ 16:05 XRAY CASUALTY GOPD 089 STYLOID PROCESS (SINGLE VIEW) 270 250 090 THIGH / FEMUR AP 270 250 091 TM JOINTS (BILATERAL) 800 750 092 TTC 1500 1400 093 VENOGRAPHY/PHLEBOGRAPHY (1 SIDE) 2400 2200 VENOGRAPHY/PHLEBOGRAPHY 094 4800 4400 (BILATERAL) 095 WRIST AP & LAT 400 370 096 WRIST AP BOTH 270 250 097 XRAY PER EXPOSER 270 250 098 WRIST AP & LAT + OBLIQUE (SCAPHOID) 650 600

COST OF DYE / CONTRAST EXTRA WHEREVER APPLICABLE.

16:06 MRI S.No. DESCRIPTION ALL CATEGORIES OF IPD & OPD BRAIN & FACE 001 BRAIN 5250 002 BRAIN & SPECTROSCOPY 7850 003 BRAIN + CSF STUDIES 7850 004 BRAIN + CV JUNCTION SCREENING 6300 005 BRAIN + FMRI (ONE ACTIVITY) [BOLD/ASL] 10500 006 BRAIN + ORBIT 7850 007 BRAIN + PERFUSION (CONTRAST EXTRA) 7850 008 BRAIN + SEIZURE PROTOCOL 6300 009 BRAIN + SELLA 7850 010 BRAIN + TRACTOGRAPHY 10500 011 BRAIN ANGIOGRAPHY 5250 012 BRAIN MRI + MRA BRAIN 7850 013 BRAIN MRI + MRA BRAIN & NECK 10500 014 BRAIN WITH IAM 7850 015 BRAIN WITH PNS 7850 016 CISTERNOGRAPHY 5250 017 CONTRAST 3150 018 EXTENDED STUDY 2600 019 FACE 5250 020 FACE + NECK 7850 021 IAM/TEMPORAL BONE 5250 022 MRA ABDOMINAL AORTA 7850 023 MRA ARCH OF AORTA 7850

58 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ALL CATEGORIES OF IPD & OPD BRAIN & FACE 024 MRA BRAIN + MRA NECK 7850 025 MRA + MRV BRAIN 7850 026 MRA + MRV NECK 7850 027 MRI + MRV BRAIN 7850 028 MRI + MRV NECK 7850 029 MR VENOGRAPHY 5250 030 MYELOGRAPHY (WITHOUT CONTRAST) 2600 031 NECK 5250 032 NECK ANGIOGRAPHY 5250 NECK/FACE MR FOR C.A.-MRI (Incl. CT 033 8900 Correlation) 034 ORBIT 5250 PERFUSION IMAGING FOR STROKE 035 (INCLUDES CONTRAST) WITHIN A WEEK OF 5800 INITIAL STUDY 036 PNS 5250 037 SCREENING – BRAIN 3150 038 SELLA / PITUITARY 5250 SELLA DYNAMIC STUDY (INCLUDES 039 10500 CONTRAST) 040 SPECTROSCOPY 5250 041 TM JOINTS 8400

SPINE 042 3D MRI 2100 043 BRACHIAL PLEXUS 6300 044 CERVICAL SPINE 5250 CERVICAL SPINE (FLEXION+EXTENSION) 045 7850 [DYNAMIC CERVICAL SPINE] 046 CERVICAL SPINE WITH BRACHIAL PLEXUS 7850 047 CERVICAL SPINE WITH CVJ SCREENING 6300 CERVICAL SPINE WITH SCREENING WHOLE 048 7850 SPINE 049 CV JUNCTION 5250 050 DORSAL SPINE 5250 DORSAL SPINE WITH SCREENING WHOLE 051 7850 SPINE 052 L.S. SPINE 5250 053 L.S. SPINE WITH S.I. JOINTS SCREENING 7850 054 L.S. SPINE WITH SCREENING WHOLE SPINE 7850 055 S.I. JOINTS 5250

59 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ALL CATEGORIES OF IPD & OPD SPINE 056 SCREENING WHOLE SPINE 3150 057 WHOLE SPINE 10500

JOINTS AND EXTREMITIES 058 ANKLE 5250 059 BILATERAL ANKLES 10500 060 BILATERAL KNEES 10500 061 BILATERAL SHOULDERS 10500 062 BOTH FEET 10500 063 BOTH HANDS 10500 064 CARTILAGE MAPPING (INCLUDES JOINT) 5800 065 ELBOW 5250 066 FOOT 5250 067 FOREARM 5250 068 HAND/ FINGER 5250 069 HIPS 5250 070 HIPS BOTH 6300 071 JOINT (PER JOINT) 5250 072 JOINT SCREENING FOR EFFUSION 2600 073 KNEE 5250 074 LEG 5250 075 MR ARTHROGRAPHY (INCLUDES CONTRAST) 7850 076 SHOULDER 5250 077 THIGH / FEMUR 5250 078 WRIST 5250

BODY MR 079 CARDIAC 10500 080 STERNUM / STERNOCLAVICULAR JOINT 5250 081 THORAX 5250 082 BREAST 6300 083 FETAL MRI 7850 084 LOWER ABDOMEN/PELVIS 5250 085 LOWER ABDOMEN & PELVIS 6300 086 MR ENTEROCLYSIS 7850 087 MR SINOGRAM / FISTULOGRAM 5800

MRI OF OTHER PARTS 088 MR UROGRAM 5250 089 MR UROGRAM WITH LOWER ABDOMEN/KUB 7850

60 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ALL CATEGORIES OF IPD & OPD MRI OF OTHER PARTS 090 MRCP 6300 091 MRCP WITH UPPER ABDOMEN 7850 092 MRI KUB 5250 093 MULTIPARAMETRIC PROSTATE 7850 PERIPHERAL ANGIOGRAPHY MRI (NON- 094 8400 CONTRAST) PER LIMB 095 RENAL ANGIOGRAPHY 7850 096 TRIPLE PHASE LIVER (INCLUDES CONTRAST) 10500 097 UPPER ABDOMEN 5250 098 WHOLE ABDOMEN 8400 099 WHOLE BODY SCREENING FOR METS 4200

Please Note: Contrast will be Charged Extra wherever required.

16:07 OTHER CHARGES 101 ANAESTHESIA CHARGES 1500 102 EMERGENCY CHARGES* 1000

16:08 MISCELLANEOUS CHARGES 001 DUPLICATE DVD FOR MRI 200 DUPLICATE X-RAY /ULTRA SOUND/C.T./MRI 002 125 FILM : PER FILM

NOTE : [*] Emergency charges is extra for scans done between 5:00 pm to 8:00 am or on Sundays & holidays.

61 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020) LABORATORY S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/ 17:01 GROUP : CLINICAL CHEMISTRY & HORMONES SB/GOPD POPD/CASUALTY 001 RBS - RANDOM BLOOD SUGAR 80 70 002 UREA 110 100 003 CREATININE 120 110 004 CALCIUM 160 150 005 PHOSPORUS (INORGANIC PHOS.) 160 150 006 AMYLASE 330 300 007 GTT-GLUCOSE TOLERANCE TEST 360 320 008 URIC ACID-SERUM 150 140 FDP (FIBRIN/FIBRINOGEN DEGRADATION 009 950 860 PRODUCT) 010 FLUID ALBUMIN 120 110 011 CALCIUM/CREATININE RATIO- URINE FASTING 300 270 012 PROTEIN/CREATININE RATIO -URINE FASTING 300 270 013 GCT - GLUCOSE CHALLENGE TEST 90 80 014 PPS- AFTER GLUCOSE 80 70 015 TOTAL/SERUM PROTEIN(TP,ALB,GLOB,A/G) 160 140 016 PT (PRO TIME) 220 200 017 BILIRUBIN ( DIRECT,INDIRECT,TOTAL) 200 180 018 ALKALINE P TASE-ALP 160 150 019 SGPT/ALT 150 140 020 SGOT /AST 150 140 021 LFT-LIVER FUNCTION TEST 700 630 022 APTT 300 270 023 SODIUM (NA+) ONLY 150 140 024 POTASSIUM (K+) ONLY 150 140 025 SODIUM & POTASSIUM 290 260 026 CHLORIDE (CL-) 140 130 027 BICARBONATE (HCO3-) 200 180 028 ABG - ARTILLARY BLOOD GAS 700 630 029 CHOLESTEROL TOTAL-SERUM 140 130 030 HDL CHOLESTROL - DIRECT 240 220 031 TRIGLYCERIDES 280 250 032 LIPID PROFILE 900 800 033 CPK 250 230 034 CPK (MB) 390 350 035 CHOLESTEROL - FLUID 140 130 036 LDH FLUID 290 260 037 ELECTROLYTES SERUM 380 340

62 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/ 17:01 GROUP : CLINICAL CHEMISTRY & HORMONES SB/GOPD POPD/CASUALTY 038 LIPASE-SERUM 460 410 039 GAMMA GT / GGT/ GGTP 250 230 040 LDH-SERUM 300 270 041 SERUM PROTEIN ELECTROPHORESIS 530 470 042 MAGNESIUM -SERUM 300 270 043 SODIUM-URINE RANDOM SPECIMEN 160 150 044 AMYLASE-URINE 330 300 045 D-DIMER TEST 1150 1050 046 FT 3 -FREE T3 350 320 047 FT 4 -FREE T4 350 320 048 TSH 350 320 049 FT3, FT4 & TSH (TOGETHER) 930 840 050 FT3 & FT4 (TOGETHER) 680 600 051 CORTISOL -SERUM 530 480 052 PROLACTIN -SERUM 520 470 053 FSH 520 470 054 LH 520 470 055 PSA - PROSTATE SPECIFIC ANTIGEN 730 660 056 FERRITIN 670 600 057 FBS - FASTING BLOOD SUGAR 80 70 058 PPS (POST PRANDIAL SUGAR) 80 70 059 SBR - BILIRUBIN TOTAL (MICRO METHOD) 130 120 060 ADA 460 420 061 CALCIUM - MICRO METHOD 160 150 062 PPS AFTER BREAKFAST 80 70 063 PPS AFTER LUNCH 80 70 064 PPS AFTER DINNER 80 70 065 URINE FOR CREATININE 150 130 066 NEONATAL TSH SCREEN (NEO TSH) 250 230 067 SERUM ALBUMIN 110 100 068 CORD BLOOD PROLACTINE 520 470 069 CBG - CAPILLARY BLOOD GAS 650 580 070 CORD BLOOD PH FOR FETAL WELL BEING 250 220 071 CRP 370 330 072 HCG WITH LIPIDS 920 840 073 ALPHA FETO PROTEIN 780 700 074 BHCG (TUMOR MARKER) 650 580 075 E3-ESTRIOL 1200 1080 076 VITAMIN B12 1000 900

63 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/ 17:01 GROUP : CLINICAL CHEMISTRY & HORMONES SB/GOPD POPD/CASUALTY 077 FOLATE 1100 1000 078 FOLATE & VITAMIN B12 1900 1700 079 CA 125 1150 1050 080 TRIPLE TEST 2550 2300 081 FLUID FOR PH 190 170 082 VITAMIN D-25 HYDROXY 1500 1350 083 MODIFIED G..T.T. (GYNAE) 220 200 084 MICROALBUMIN 500 450 085 INSULIN (FASTING) 750 680 086 INSULIN (PP) 750 680 087 INSULIN (RANDOM) 750 680 088 TROPONIN I (TROP. I) 1250 1120 089 NT-proBNP 2000 1800 090 GDM SCREENING 100 90 091 LACTATE 250 220 092 IMMUNOGLOBULIN IGE (TOTAL) 700 630 093 PTH INTACT 1300 1170 094 GFR (GLOMERULAR FILTRATION RATE) 200 180

17:02 GROUP : CYTOPATHOLOGY 001 PAPANICULA SMEAR 440 390 002 FLUIDS FOR MALIGNANT CYTOLOGY 440 390 003 CSF FOR MALIGNANT CYTOLOGY 440 390 004 FNAC 1000 900 005 FNAC- CT/US GUIDED 970 870 TBNA (TRANS BRONCHIAL NEEDLE 006 1000 900 ASPIRATION)

17:03 GROUP : HEMATOLOGY 001 HB (HEMOGLOBIN) 100 90 002 TLC (WBC COUNT) 100 90 003 MALARIAL PARASITES (MP) 110 100 004 PERIPHERAL SMEAR 140 130 005 RBC COUNT 110 100 006 HEMATOCRIT (HCT/PCV) 110 100 007 CBC (COMPLETE BLOOD COUNT) 330 300 008 TLC & DLC 200 180 009 RED CELL INDICES 250 220 010 ESR 120 110

64 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/ 17:03 GROUP : HEMATOLOGY SB/GOPD POPD/CASUALTY 011 MCH 110 100 012 MCHC 110 100 013 DLC 140 130 014 CBC & MP (TOGETHER) 420 380 015 CBC & PS (TOGETHER) 420 380 016 GASTRIC LAVAGE FOR PMNS 120 110 017 MCV 120 110 018 RETIC COUNT 240 220 019 EOSINOPHIL COUNT 150 140 020 CLOT RETRACTION 150 140 021 BT – BLEEDING TIME 90 80 022 SICKLE CELL PREP. 150 140 023 PLATELET COUNT 50 50 024 RBC FRAGILITY 400 360 025 FILARIAL PREP. 240 220 026 BONE MARROW EXAMINATION 830 750 FALCIPARUM & PLASMODIUM VIVAX TEST 027 400 360 (F&V) 028 BONE MARROW IRON STAINING 250 220 029 KALA - AZAR DETECT 460 420 BONE MARRROW (ASPIRATION AND 030 1020 900 EXAMINATION) 031 FILARIAL ANTIGEN 650 580 032 CBC & MP WITH F&V 480 430

17:04 GROUP : SPECIAL HEMATOLOGY 001 GLYCOSYLATED HB/HB 1AC 440 400 002 FETAL HB. 200 180 003 G6 PD (CONFIRMATORY) 530 480 004 HB ELECTROPHORESIS 900 800 G6 PD SCREENING (SCREENING + 005 600 540 CONFIRMATORY) 006 SERUM IRON 280 250 007 SERUM IRON & TIBC 450 400

17:05 GROUP : HISTOPATHOLOGY 001 FROZEN SECTION WITH BIOPSY SPECIMEN 2400 2150 002 TISSUE FOR GROSS/DOCUMENTATION ONLY 100 90 003 SLIDE FOR HISTOPATHOLOGY 520 470 004 BLOCK FOR HISTOPATHOLOGY 700 630

65 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/ 17:05 GROUP : HISTOPATHOLOGY SB/GOPD POPD/CASUALTY 005 TISSUE -SMALL FOR HISTOPATHOLOGY 570 510 006 TISSUE - MEDIUM FOR HISTOPATHOLOGY 850 760 007 TISSUE - LARGE FOR HISTOPATHOLOGY 2000 1800 008 SMALL BIOPSY (SPECIAL STAIN) 1200 1080 009 RADICAL SPECIMEN 3500 3150 010 IHC MARKER (SINGLE) 1300 1300 011 ER/PR/HER-2-NEU 3600 3600

17:06 GROUP : MICROBIOLOGY 001 CULTURE - BLOOD-ROUTINE 460 410 002 CULTURE- BLOOD -RAPID 1000 900 003 STOOL FOR CHOLERA (HANGING DROP) 120 110 004 GRAMS STAIN 130 120 005 FUNGUS PREP. -KOH PREP 150 140 006 TRICHOMONAS (VAGINAL SWAB,WET PREP) 130 120 007 DIPHTHERIA SMEAR 160 150 008 RAPID UREASE TEST 250 230 009 NIGROSIN PREPRATION FOR CRYPTOCOCCUS 190 170 010 FUNGUS CULTURE 400 360 011 WET SMEAR FOR TROPHOZOITES 100 90 012 CULTURE & SENSITIVITY - CSF 550 500 013 CULTURE & SENSITIVITY - EAR SWAB 550 500 014 CULTURE & SENSITIVITY - HVS 550 500 015 CULTURE & SENSITIVITY - MISC. 550 500 016 CULTURE & SENSITIVITY - PUS 550 500 017 CULTURE & SENSITIVITY - SPUTUM 550 500 018 CULTURE & SENSITIVITY - STOOL 550 500 019 CULTURE & SENSITIVITY - THROAT SWAB 550 500 020 CULTURE & SENSITIVITY - URINE 380 340 021 AFB CULTURE - SPUTUM (MYCOBACTERIUM) 900 800 022 AFB CULTURE - URINE (MYCOBACTERIUM) 900 800 023 AFB CULTURE - PUS (MYCOBACTERIUM) 900 800 024 AFB CULTURE - FLUIDS (MYCOBACTERIUM) 900 800 025 AFB CULTURE - MISC (MYCOBACTERIUM) 900 800 026 MTB/MOTT IDENTIFICATION 820 740 027 SMEAR FOR FUNGUS 130 120 028 AFB - SPUTUM (SAMPLE I) 180 160 029 AFB - SPUTUM (SAMPLE II) 180 160 030 AFB - SPUTUM(SAMPLE III ) 180 160

66 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/ 17:06 GROUP : MICROBIOLOGY SB/GOPD POPD/CASUALTY 031 AFB - URINE (SAMPLE I) 180 160 032 AFB - URINE (SAMPLE II) 180 160 033 AFB - URINE (SAMPLE III) 180 160 034 AFB - SMEAR MISC SPECIMEN. 180 160 035 URETHERAL SMEAR G.C. 170 150 036 CULTURE OTHERS RAPID 1050 950 037 CRYPTOSPORIDIUM - ZN STAIN 180 160 038 SMEAR FOR PNEUMOCYSTIC CARINI 130 120

17:07 GROUP : MISCELLANEOUS LAB INVESTIGATION 001 FLUID - ROUTINE EXAMINATION 290 230 002 CSF- (SPINAL FLUID) - ROUTINE 330 270 003 SEMEN ANALYSIS 420 340 004 PCT (POST COITAL TEST) 130 110 C.S.F. ROUTINE WITH SMEAR FOR 005 330 270 CRYPTOCOCCUS 006 GA FOR OCCULT BLOOD 100 90 007 FLUID FOR CRYSTALS 90 80 008 FLUID FOR SUGAR 100 90

17:08 GROUP : PARASITOLOGY 001 STOOL ROUTINE EXAMINATION 110 100 002 STOOL OCCULT BLOOD 100 90 003 STOOL FOR PH 90 80 004 STOOL REDUCING SUBSTANCES 100 90 005 STOOL FOR WBC/HPF 90 80 006 STOOL/PUS AMOEBA 90 80 007 ROTAVIRUS 460 410

17:09 GROUP : SEROLOGY 001 RPR (VDRL) 130 120 002 WIDAL 240 220 003 HBS AG ELISA 420 380 004 HBS AG SPOT 320 290 005 ASO (ASLO) TEST 210 190 006 ANF/ ANA. 700 630 007 CRP (LATEX) 150 140 008 PREGNANCY TEST 150 140 009 UPT (SPOT) [PREGNANCY TEST (SPOT)] 150 140

67 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/ 17:09 GROUP : SEROLOGY SB/GOPD POPD/CASUALTY 010 HIV ELISA 470 420 011 HIV SPOT 390 350 012 TORCH TEST (IGM) 1300 1170 013 TOXOPLASMA (IGM) 550 500 014 RUBELLA (IGM) 550 500 015 CYTOMEGALOVIRUS (CMV) (IGM) 550 500 016 HERPES - II (IGM) 550 500 017 HCV ELISA 700 630 018 HCV SPOT 500 450 019 HEPATITIS - A (HAV) 930 840 020 HEPATITIS - E (HEV) 1300 1170 021 DS DNA (DOUBLE STRANDED DNA) 930 840 022 TORCH TEST (IGG) 1300 1170 023 TOXOPLASMA (IGG) 550 500 024 RUBELLA (IGG) 550 500 025 CYTOMEGALOVIRUS (CMV) (IGG) 550 500 026 HERPES - II (IGG) 550 500 027 BACTERIAL ANTIGEN (5 TESTS) 2600 2240 028 DENGUE ANTIGEN 600 600 029 DENGUE IGG ANTIBODY 600 600 030 DENGUE IGM ANTIBODY 600 600 031 CHIKUNGUNYA 600 370 032 HCG (MATERNAL) 660 600 033 RA FACTOR 440 400 034 ANTI CCP 1250 1120 035 TTG 950 850 036 PRO-CALCITONIN 2100 1900 037 INFLUENZA A & B RAPID SREENING TEST 1300 1170 038 BLOOD CULTURE + TYPHI DOT IGM 550 500 039 RAPID BLOOD CULTURE + TYPHI DOT IGM 1100 1000 040 WIDAL TEST + TYPHI DOT IGM 400 360 041 VIRAL TRANSPORT MEDIUM (VTM) TUBES 300 270 042 ENA PROFILE / ANA PROFILE – QUALITATIVE 3100 2800

17:10 GROUP : URINALYSIS 001 URINE ROUTINE EXAMINATION 110 100 002 ALBUMIN AND SUGAR 90 80 003 ACETONE 90 80 004 URINE FOR HEMOGLOBIN 80 70

68 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/ 17:10 GROUP : URINALYSIS SB/GOPD POPD/CASUALTY 005 URINE FOR MYOGLOBIN 90 80 006 URINE FOR SP. GRAVITY 80 70 007 URINE FOR PH 80 70 008 URINE FOR CHYLE 80 70 009 APT TEST 100 90 010 URINE FOR ALBUMIN 80 70 011 URINE FOR SUGAR 80 70 012 URINE FOR PORPHOBILINOGEN 90 80 013 BILE PIGMENT 100 90 014 UROBILINOGEN 100 90 015 BENCE JONES PROTEIN 180 160 016 24 HR. URINARY PROTEIN (QUANTITATIVE) 250 230 017 URINE OCCULT BLOOD 90 80 018 URINE FOR REDUCING SUBSTANCES 90 80 019 24 HR. URINARY URIC ACID 220 200 020 24 HR. URINARY CALCIUM 220 200 021 24 HR. URINARY SODIUM 220 200 022 24 HR. URINARY POTASSIUM 220 200 023 24 HR. URINARY PHOSPHORUS 220 200 024 CREATININE CLEARANCE 370 330 025 URINE FOR CRENATED RBC 80 70 026 24 HR. URINARY CREATININE 240 220 027 URINE FOR HEMOSIDERIN 250 220

17:11 BLOOD BANK 001 CROSS MATCHING 120 120 002 GROUPING & TYPING 130 120 WHOLE BLOOD/RED CELLS :HOSPITAL- 003 1683 1683 PROCESSING 004 OTHER BLOOD BANKS : BLOOD ISSUE 100 90 005 FFP - HOSPITAL - PROCESSING 583 583 006 RAPID DONOR TESTING 330 300 PLATELET CONCEN(RD) HOSPITAL : 007 633 633 PROCESSING 008 DU FACTOR 280 250 009 DIRECT COOMBS 290 260 010 INDIRECT COOMBS 290 260 011 RH ANTIBODY TITRE 750 680 012 REPLACEMENT FFP -100 -100 013 REPLACEMENT PLATELET CONCENTRA -100 -100

69 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/ 17:11 BLOOD BANK SB/GOPD POPD/CASUALTY 014 REPLACEMENT WHOLE BLOOD -300 -300 015 COLD AGGLUTININS 230 210 016 VENESECTION PROCEDURE 260 240 017 PLATELET APHERESIS 11000 11000 018 TRANSFER BAGS 130 130 NOTE : Investigations done at outside Lab centers, will be charged as per the rate-list of concerned center SPOT INVESTIGATIONS 18:01 SPOT INVESTIGATIONS 001 ABG (ARTILLARY BLOOD GAS) – (ICU BED SIDE) 660 600 002 MONTOUX TEST 50 40 003 RBS DONE WITH GLUCOMETER 50 50 004 URINE FOR ACETONE 30 30 005 URINE FOR SUGAR / ALBUMIN 30 30 EXCHANGE BLOOD TRANSFUSION 19:01 EXCHANGE BLOOD TRANSFUSION (FLAT RATE) EXCHANGE BLOOD TRANSFUSION (FLAT RATE) 001 4200 1900 EACH TIME EXCHANGE PLASMA TRANSFUSION (FLAT RATE) 002 5800 3200 EACH TIME PHYSIO - THERAPY(IPD)

20:01 RATES OF PHYSICAL THERAPY TREATMENT DR/PR/SPR/NSB SB 001 ANTE-NATAL EXERCISES PER SITTING 230 210 002 ANTENATAL EXERCISE - PACKAGE 900 800 003 BREATHING EXERCISE 100 90 004 CERVICAL TRACTION 140 130 005 CHEST PHYSIO-THERAPY (SINGLE) 160 150 006 COLD PACK (MULTIPLE) 140 130 007 COLD PACK (SINGLE) 100 90 008 COMPRESSION THERAPY (MULTIPLE) 320 290 009 COMPRESSION THERAPY (SINGLE) 250 230 010 CONSULTATION (PHYSIOTHERAPY) 200 150 011 CONTRAST BATH (MULTIPLE) 130 120 012 CONTRAST BATH (SINGLE) 90 80 CPM - CONTINUOUS PASSIVE MOVEMENT 013 140 130 (SINGLE AREA)

70 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY 20:01 RATES OF PHYSICAL THERAPY TREATMENT DR/PR/SPR/NSB SB CPM - CONTINUOUS PASSIVE MOVEMENT (TWO 014 200 180 AREAS) 015 ELECTRICAL MUSCLE TESTING (MULTIPLE) 320 290 016 ELECTRICAL MUSCLE TESTING (SINGLE) 210 190 017 EMG BIO-FEEDBACK (SINGLE) 260 230 018 EMG BIO-FEEDBACK (MULTIPLE) 370 330 019 EXERCISE : TEACHING ONLY 130 110 MULTIPLE EXERCISE/EXERCISE WITH ADL 020 280 250 TRAINING 021 EXERCISE SIMPLE 150 140 022 EXERCISE SPECIAL 220 200 023 EXERCISES - MOBILIZATION (SINGLE) 220 200 024 EXERCISES – REHABILITATION 280 250 025 GAIT TRAINING 190 170 026 INFRA RED RAY THERAPY (MULTIPLE) 170 150 027 INFRA RED RAY THERAPY (SINGLE) 100 90 028 INFRA RED SAUNA 260 230 029 INTERFERENTIAL THERAPY (SINGLE AREA) 170 160 INTERFERENTIAL THERAPY (MORE THAN TWO 030 300 270 AREAS) 031 INTERFERENTIAL THERAPY (TWO AREAS) 250 220 032 LASER -INFRA RED : POINT (MULTIPLE AREA) 280 250 033 LASER -INFRA RED : POINT (SINGLE AREA) 210 190 034 LASER -INFRA RED : SCAN (MULTIPLE AREA) 320 290 035 LASER -INFRA RED : SCAN (SINGLE AREA) 220 200 LONG WAVE DIATHERMY (MORE THAN TWO 036 250 230 AREAS) 037 LONG WAVE DIATHERMY (SINGLE AREA) 110 100 038 LONG WAVE DIATHERMY (TWO AREAS) 200 180 039 LUMBAR TRACTION 150 130 040 MANUAL MUSCLE TESTING (MULTIPLE) 300 270 041 MANUAL MUSCLE TESTING (SINGLE) 180 160 042 MICROWAVE DIATHERMY (SINGLE AREA) 160 150 043 MICROWAVE DIATHERMY (TWO AREAS) 220 190 044 NEONATAL EXERCISE 120 110 045 NEURO-DEVELOPMENTAL THERAPY 230 210 046 NUGABEST 320 290 POST NATAL EXERCISES (ALL SESSIONS) 047 470 430 (MULTIPLE) 048 POST OP. CHEST PHYSIO-THERAPY 120 110 049 PULSED S.W.D. (SINGLE AREA) 160 150

71 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY 20:01 RATES OF PHYSICAL THERAPY TREATMENT DR/PR/SPR/NSB SB 050 PULSED S.W.D. (TWO AREAS) 220 190 051 SHORT WAVE DIATHERMY (TWO AREAS) 220 190 052 SHORT WAVE DIATHERMY (SINGLE AREA) 160 150 053 STEAM PACKS(MULTIPLE) 160 150 054 STEAM PACKS(SINGLE) 100 90 055 STIMULATION (NEURO-MUSCULAR ) SINGLE 160 140 056 STIMULATION (NEURO-MUSCULAR) MULTIPLE 220 200 057 SUSPENSION THERAPY 130 120 058 TENS (MULTIPLE) 200 180 059 TENS (SINGLE) 120 100 060 TILT TABLE THERAPY 130 120 061 ULTRA SONIC THERAPY (SINGLE AREA) 110 100 ULTRA SONIC THERAPY (MORE THAN TWO 062 250 230 AREAS) 063 ULTRA SONIC THERAPY (TWO AREAS) 200 180 064 WAX BATH (MORE THAN TWO AREAS) 230 200 065 WAX BATH (SINGLE AREA) 100 90 066 WAX BATH (TWO AREAS) 180 170 TREATMENT – IPD

21:01 TREATMENT – IPD 001 ANAL DILATATION 2500 1500 002 ASCITIC FLUID ASPIRATION / PARACENTESIS 2000 1200 003 BIOPSY OF BONE 2500 1500 004 BIOPSY OF LIVER 2500 1500 005 BIOPSY OF MUSCLE 2500 1500 006 BIOPSY OF SKIN 1500 1000 BONE MARROW ASPIRATION / STERNAL 007 2000 1200 PUNCTURE 008 CAVAFIX INTRODUCTION 2000 1200 CENTRAL VENOUS PRESSURE LINE [CETROFIX] 009 2000 1200 INSERTION 010 CUT DOWN / VENESECTION 2000 1200 011 ENDOTRACHEAL INTUBATION 1800 1000 012 INCIDENTAL ABORTION IN WARD 3500 2000 013 INCISION & DRAINAGE OF ABSCESS 1800 1000 014 INJECTION FOR PILES (SCLEROTHERAPY) 700 400 015 INTER COSTAL (TUBE) DRAINAGE 2500 1500 016 LUMBAR PUNCTURE 2000 1200 017 KNEE ASPIRATION 2000 1200

72 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY 21:01 TREATMENT – IPD DR/PR/SPR/NSB SB 018 MINOR SURGICAL PROCEDURE IN WARD 2000 1200 019 MINOR SUTURING 1500 1000 020 NASAL PACKING + PACK REMOVAL 2500 1500 021 NON STRESS MONITORING [PER TWO HOURS] 300 200 022 NON STRESS TEST [NST] (PER 20 MINUTES) 700 500 023 PLEURAL FLUID ASPIRATION / THORACENTESIS 2000 1200 024 REFRACTION 150 100

************************ 22:01 SPECIAL NURSING PROCEDURES 001 SKIN / PELVIC TRACTION APPLICATION 700 400

22:02 SPECIAL NURSING PROCEDURE 001 SALSOL NEBULISATION 70 50 002 NORMAL SALINE NEBULISATION 70 50 003 LACTODEX MILK PER DAY 70 50

22:03 PLASTERING 001 PLASTERING : BODY CAST 2000 1200 002 PLASTERING : CTEV – UNILATERAL 2000 1200 003 PLASTERING : CTEV – BILATERAL 3000 1800 004 PLASTERING : HIP 1500 900 005 PLASTERING : ROUTINE (REPAIR) 500 600 006 PLASTERING : ABOVE ELBOW 1500 1000 007 PLASTERING : BELOW ELBOW 1000 700 008 PLASTERING : ABOVE KNEE 1500 1000 009 PLASTERING : BELOW KNEE 1000 700 PLASTERING : DEFORMITY CORRECTION – 010 1500 900 SMALL PLASTERING : DEFORMITY CORRECTION – 011 2000 1200 LARGE

Note : Material cost will be extra

23:01 DRESSING 001 DRESSING – MINOR 100 60 002 DRESSING – MEDIUM 150 90 003 DRESSING – MAJOR 300 180

Note : Material cost will be extra

73 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB SB SPECIAL PROCEDURES 24:01 CHEMOTHERAPY 001 CHEMOTHERAPY – ONE DAY CYCLE 1800 1450 002 CHEMOTHERAPY – TWO DAYS CYCLE 3000 2400 003 CHEMOTHERAPY – THREE DAYS CYCLE 4100 3100 004 CHEMOTHERAPY – FOUR DAYS CYCLE 5000 3800 005 CHEMOTHERAPY – FIVE DAYS CYCLE 5700 4200

25:01 PSYCHOTHERAPY 001 PSYCHOTHERAPY – SHORT SESSION 500 500 002 PSYCHOTHERAPY – FULL SESSION 850 850

26:01 LASER PROCEDURES(OPHTHALMOLOGY) ALL CATEGORIES OF IPD & OPD 001 AUTOPERIMETRY (FIELDS) 2100 002 COLOUR PHOTOS 700 FUNDUS FLURESIEN ANGIOGRAPHY [SUPPLIES 003 2700 EXTRA] 004 LASER PERIPHERAL IRIDECTOMY 4200 005 LASER PHOTOCOAGULATION – PER SITTING 3500 LASER PHOTOCOAGULATION - LATTICE & 006 5500 HOLES 007 LASER PHOTOCOAGULATION - R. O. P. 9000 008 O C T 3500 009 YAG CAPSULOTOMY 3500

27:01 LASER PROCEDURES (DERMATOLOGY) DR/PR/SPR/NSB SB (AESTHETIC CLINIC) 001 FRAXEL (FOR ACNE SCARS) 7000 5600 002 LASER HAIR REMOVAL – CHIN (PER SESSION) 1500 1200 003 LASER HAIR REMOVAL – FACE (PER SESSION) 4000 3200 004 LASER HAIR REMOVAL - NECK (PER SESSION) 2000 1600 LASER HAIR REMOVAL – SIDE LOCK (PER 005 1500 1200 SESSION) LASER HAIR REMOVAL – UPPER LIP (PER 006 1000 800 SESSION) 007 LASER RE-SURFACING 10000 8000 008 LASER TATTO REMOVAL – SMALL 2500 2000 009 LASER TATTO REMOVAL – MEDIUM 4000 3200 010 LASER TATTO REMOVAL – LARGE 6000 4800 011 LASER TATTO REMOVAL – EXTENSIVE 8000 6400

74 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020) S.No. DESCRIPTION ACCOMMODATION CATEGORY 28:01 SPECIAL INVESTIGATIONS DR/PR/SPR/NSB SB 001 URO-FLOWMETRY 700 500

29:01 SPEECH & HEARING TEST 001 AC BERA 1800 1800 002 ASSR 2300 2300 003 BC BERA 1800 1800 004 COCHLEAR IMPLANT COUNSELING 750 700 005 DIAGNOSTIC OAE-TEOAE/DPOAE 800 750 006 ECOCH G 2500 2500 007 IMPEDANCE – TYMPANOMETRY 600 500 008 AUDIOMETRY – PTA/BOA/FFT 400 300 009 SCREENING OAE 600 400 010 ABLB/SISI/TD 300 300 SPEECH THERAPY (CONSULTATION-EACH 011 SESSION) 200 150

30:01 INSTRUMENTS AND SPECIAL EQUIPMENTS CARDIAC MONITOR : PER DAY (When monitored 001 in ward/isolation) 700 450 002 DVT PUMP 450 300

31:01 DIET FOR ATTENDANT 001 AERATED COLD DRINKS : 500 ML. BOTTLE 50 50 002 BOTTLED DRINKING WATER (1 LITER) 25 25 003 TEA ONE CUP 25 15 004 COFFEE ONE CUP 30 25 005 TEA WITH SNACKS 40 35 006 COFFEE & SNACKS 50 40 007 FROOTI (200 ML) 20 20 008 PACKED JUICES (200 ML) 25 25 009 SANDWICHES : VEG (4 SLICES) 40 35 010 BREAKFAST [NON-VEGETARIAN] ONLY 100 ------011 BREAKFAST [VEGETARIAN] ONLY 90 50 012 LUNCH [NON-VEGETARIAN] ONLY 180 ------013 LUNCH [VEGETARIAN] ONLY 150 100 014 DINNER [NON-VEGETARIAN] ONLY 180 ------015 DINNER [VEGETARIAN] ONLY 150 100 FULL MEALS FOR ATTENDANT 016 [NON-VEGETARIAN] : PER DAY 450 ------FULL MEALS FOR ATTENDANT [VEGETARIAN] : 017 PER DAY 370 250 018 MILK : PER GLASS 25 20

75 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY 32:01 CONCESSION (ONLY FOR SB CASES) SB 001 CONCESSION ON ROOM / BED 260 002 CONCESSION ON ICU / CCU 1260 003 CONCESSION ON POST OP. ROOM 660 004 CONCESSION ON SEMI ICU 1000 005 CONCESSION ON HDU (415) 660 006 CONCESSION ON PED. ICU / SPL. NURSERY (305) 460 007 CONCESSION ON NNU - NURSERY (206) 400 008 CONCESSION ON HDU – LABOR ROOM 1100 AYURVEDIC TREATMENT

DR/PR/SPR/NSB/ 33:01 AYURVEDIC TREATMENT SB/GOPD POPD 001 Avagaha Sweda (Per Sitting) 1400 1200 002 Ekanga Taila Dhara (Per Sitting) 2000 1800 003 Kati Basti (Per Sitting) 2300 2000 004 Ksheera Dhara (Per Sitting) 2300 2000 005 Matra Basti (Per Sitting) 500 450 006 Nadi Sweda-Full Body (Per Sitting) 1100 1000 007 Nadi Sweda-One Limb (Per Sitting) 700 600 008 Nadi Sweda-Two Limbs (Per Sitting) 900 800 009 Nasya Karma (Per Sitting) 800 650 010 Netra Tarpan (Per Sitting) 1100 900 011 Patra Pinda Sweda-Full Body (Per Sitting) 1300 1100 012 Patra Pinda Sweda-One Limb (Per Sitting) 900 800 013 Patra Pinda Sweda-Two Limbs (Per Sitting) 1100 950 014 Sarvang Abhyanga-Adult (Per Sitting) 1100 900 015 Sarvang Abhyanga-Child (Per Sitting) 800 700 016 Sarvanga Bashpa Sweda (Per Sitting) 1300 1100 017 Shashtik Shali Pinda Sweda-Adult (Per Sitting) 1900 1700 018 Shashtik Shali Pinda Sweda-Child (Per Sitting) 1700 1500 019 Shirobasti (7 Days) 16000 13000 020 Taila Dhara (7 Days) 20000 17000 021 Takra Dhara (Per Sitting) 2200 2000 022 Twarita Basti (Per Sitting) 800 700 023 Uttara Basti (Per Sitting) 1900 1700 024 Vamana Karma (12 Days) 6600 5500 025 Virechan Karma (12 Days) 7800 6800 026 Yoga Basti[5A+3N] 16000 14000 027 Kala Basti [10A+6N] 16-Days 24000 22000 028 Karma Basti [18A+12N] 30-Days 38000 35000

76 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ACCOMMODATION CATEGORY DR/PR/SPR/NSB/ 33:01 AYURVEDIC TREATMENT SB/GOPD POPD 029 Snehadhara Sweda+Yoga Basti 14+8 Days 84000 78000 030 Udwartanam (Per Sitting) 1100 900 031 Cost of Patrapinda Bundle [Each] 250 250

************************

AMBULANCE ALL CATEGORIES OF IPD & S.No. DESCRIPTION OPD 34:01 AMBULANCE 001 UPTO 5 KM (To & Fro) 250 002 MORE THAN 5KM AND UPTO 10 KM (To & Fro) 500 003 BEYOND 10 KM PER KM (To & Fro) 30 Note : (1). Holy Family Hospital’s ambulance is meant for the use of the hospital’s own patients referred for scanning or transfer to another hospital only. (2). All distance will be on to and fro basis. (3). Waiting charges Rs.150/- per hour. Initial half an hour waiting is free. (4). During the night (in between 6.00PM to 8.00AM) - Rs.150/- per hour will be extra. (5). Ambulance will not be provided to discharged patients. (6) Ambulance will not be used for transporting the dead body. (7) The ambulance will be available for use only within the city limits of Delhi and New Delhi. (8) The ambulance will not be available on Sundays and holidays.

************************ MORTUARY 35:01 MORTUARY

1. Any inpatient who has expired in Hospital – Rs.500/- per day. 2. Dead Bodies brought from outside – Rs. 1500/- per day.

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36:01 MISCELLANEOUS CHARGES 001 DUPLICATE COPY OF THE BILL 50 002 COMPLITION OF RE-IMBURSEMENT FORM 30

77 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020) O.P.D. O.P.D. S.No. DESCRIPTION 37:01 O.P.D.(PRIVATE) CONSULTATION (EACH TIME) PRIVATE O.P.D. 001 CONSULTATION [EACH] 800 003 CONSULTATION [EACH] : HOMEOPATHIC CLINIC 300

38:01 O.P.D.[GENERAL] REGISTRATION (EACH TIME) GENERAL O.P.D. 001 NEW REGISTRATION - PER CLINIC 150 002 RE-VISIT REGISTRATION - PER CLINIC 120 003 NEW REGISTRATION - O.B. & WELL BABY CLINIC 150 004 RE-VISIT REGISTRATION - O.B. & WELL BABY CLINIC 120 005 CASUALTY VISIT [EACH TIME] 400

BOOK CHARGES ISSUE OF CONTINUATION OPD BOOK(On old book 006 20 completely full) 007 ISSUE OF DUPLICATE OPD BOOK 50

39:01 O.B. REGISTRATION CHARGES (NON REFUNDABLE – NON ADJUSTABLE) S.No. DESCRIPTION DR PR SPR NSB SB O.B. REGISTRATION FOR PR & SPR CATEGORY 001 300 300 300 THROUGH POPD O.B. REGISTRATION FOR NSB & SB CATEGORY 002 200 200 THROUGH GOPD OPD PROCEDURES 40:01 CHEMOTHERAPY CHARGES (In OPD-Casualty Room) POPD/ Casualty/ GOPD 001 CHEMOTHERAPY- BED & NURSING 250 002 CHEMOTHERAPY- GENERAL SUPPLIES 300 003 CHEMOTHERAPY-THERAPY CHARGES 1600

41:01 GROUP : DIALYSIS ALL CATEGORIES OF OPD DIALYSIS (PER HAEMODIALYSIS) Package 001 2100 Charges(Artificial Kidney Extra) 002 EXTENDED DIALYSIS (8 HOURS DIALYSIS) 3300 003 Package Charges for JUGULAR CATHETERISATION 2300 004 SUBCLAVIAN CATHETERISATION – Package Charges 2300 005 FEMORAL CATHETERISATION - Package Charges 1300 006 KIDNEY BIOPSY (LAB CHARGES EXTRA) 1300 007 HAEMODIALYSIS CATHETER DRESSING 250 008 FISTULA DRESSING 100

78 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION ALL CATEGORIES OF OPD 41:01 GROUP : DIALYSIS US/ECHO GUIDANCE CHARGES FOR JUGULAR/ 009 250 SUBCLAVIAN CANNULATION OR CATHETERISATION 010 PERITONEAL DIALYSIS 2000 011 KTP FOLLOW-UP (NEPHROLOGY) [FOR 1 YEAR) 35000

Note : Haemodialysis includes all consumables and professional charges but it does not include cost of Dialyser (Artificial Kidney), any Investigation charges and other medication.

42:01 O.P.D. Procedures – UROLOGY POPD/ Casualty G.O.P.D. 001 BLADDER IRRIGATION 1000 750 002 CATHETERIZATION PLAIN (Disposables Extra) 200 200 003 CHANGE OF SUPRA PUBIC CATHETER 1500 1300 004 PARAPHIMOSIS REDUCTION 1500 1300 005 BCG INSTILLATION IN BLADDER 1000 750

42:02 O.P.D. Procedures – ENT 001 SYRINGING ENT 650 500

42:03 O.P.D. Procedures – OPHTHALMOLOGY 001 ORTHOPTIC WORK UP(SINGLE VISIT) 100 80 002 SQUINT WORK UP 150 100 003 REFRACTION 150 120 004 CONVERGENCE EXERCISE (15 DAYS COURSE) 1100 700

42:04 O.P.D. Procedures – GYNAE LOCALISATION OF FOETAL HEART BY USG IN 001 LABOR ROOM 150 90 002 PAP SMEAR TAKING 200 120 INTRA UTERINE CONTRACEPTIVE DEVICE 003 (IUCD) REMOVAL – (COPPER T ETC.) 600 500 004 MAC DONALD STITCH REMOVAL 1200 750

43:01 PLASTERING CHARGES 001 PLASTERING : BODY CAST 2200 1200 002 PLASTERING : CTEV – UNILATERAL 2000 1200 003 PLASTERING : CTEV – BILATERAL 3000 1800 004 PLASTERING : HIP 1500 900 005 PLASTERING : ROUTINE (REPAIR) 500 600 006 PLASTERING : ABOVE ELBOW 1500 1000 007 PLASTERING : BELOW ELBOW 1000 700 008 PLASTERING : ABOVE KNEE 1500 1000 009 PLASTERING : BELOW KNEE 1000 700

79 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION POPD/ Casualty G.O.P.D. 43:01 PLASTERING CHARGES PLASTERING : DEFORMITY CORRECTION – 010 SMALL 1500 900 PLASTERING : DEFORMITY CORRECTION – 011 LARGE 2000 1200 Note : Material cost will be extra

44:01 SKIN PROCEDURES 001 BIOPSY OF SKIN (LAB CHARGES EXTRA) 1000 600 002 BOTOX INJECTION (PER UNIT) 250 250 003 CHEMICAL CAUTERY 800 500 004 CORN REMOVAL (PER CORN) – IN OPD 550 350 005 CORN REMOVAL (PER CORN) – MINOR O.T. 650 450 006 CRYO SURGERY (SINGLE LESION) 900 650 007 CRYO SURGERY (TWO LESaION) 1400 1000 008 CRYO SURGERY (MULTIPLE LESION) 1800 1300 009 FILLER INJECTION (COST OF FILLER EXTRA) 5000 5000 010 INTRA LESIONAL INJECTION 800 500 011 REMOVAL OF BLACKHEADS 800 500 012 REMOVAL OF MOLUSEUM 800 500 013 SCRAPING 800 500 014 PATCH TESTING - UPTO 4 ANTIGENS 900 650 015 PATCH TESTING - ABOVE 4 ANTIGENS 1500 1250 016 RF CAUTERY 800 450 017 WOODS LAMP EXAMINATION 550 350

45:01 TREATMENT & PROCEDURES – OPD 001 LUMBAR PUNCTURE 1000 550 BONE MARROW ASPIRATION/STERNAL 002 1000 550 PUNCTURE 003 CUT DOWN/VENESECTION 600 350 CENTRAL VENOUS PRESSURE LINE (CETROFIX) 004 1000 ------INSERTION 005 I&D - INCISION & DRAINAGE OF ABSCESS 1000 550 006 ENDOTRACHEAL INTUBATION 1000 550 007 MINOR SURGICAL PROCEDURE 1200 650 008 CAVAFIX INTRODUCTION 1000 ------PLEURAL FLUID ASPIRATION(TAPING)/ 009 1000 550 THORACENTESIS 010 ASCITIC FLUID ASPIRATION/PARACENTESIS 1000 550

80 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION POPD/ Casualty G.O.P.D. 45:01 TREATMENT & PROCEDURES – OPD INTER COSTAL (TUBE) DRAINAGE [COST OF 011 1300 800 CHEST TUBE EXTRA] INTRA ARTICULAR INJECTION (OPD)– SINGLE 012 650 450 JOINT 013 BIOPSY OF BONE 1300 800 014 BIOPSY OF LIVER (LAB CHARGES EXT.) 1500 850 015 BIOPSY OF MUSCLE (LAB CHARGES EXT.) 1300 800 016 BLADDER WASH 550 400 017 CHANGE OF TRACHEOSTOMY TUBE 900 600 018 CHANGE OF COLOSTOMY BAG 350 250 019 CHEST STRAPPING 350 ------CLOSED REDUCTION – MINOR (IN OPD/ 020 550 400 CASUALTY) 021 COPPER SULPHATE CAUTERY 400 250 022 DEBRIDEMENT OF THE WOUND 400 ------023 DRESSING - MINOR 100 80 024 DRESSING – MEDIUM 200 150 025 DRESSING – MAJOR 350 250 026 DRESSING–PLASTIC SURGERY (LARGE) 1100 700 027 DRESSING–PLASTIC SURGERY (MEDIUM) 800 500 028 DRESSING–PLASTIC SURGERY (SMALL) 550 400 029 EAR PIERCING : BILATERAL 800 500 030 EXCISION OF TOE NAIL (IN OPD/CASUALTY) 550 400 031 EYE SYRINGING & NEEDLING 350 300 032 D.C. (ELECTRIC) SHOCK IN CASUALTY 150 ------033 FOLEYS CATHETERISATION 250 200 FOREIGN BODY (MINOR) REMOVAL (IN 034 600 400 CASUALTY) 035 GASTRIC LAVAGE / STOMACH WASH 1100 800 036 HYDRO CORTIZONE INJ. 450 250 037 I.V.SERVICE CHARGES (COST OF I.V. EXTRA) 40 ------038 INCIDENTAL ABORTION 2000 1800 039 INJ. GIVING CHARGES 40 30 040 JAW MANNUAL REDUCTION 800 500 041 K-WIRE RAMOVAL (IN OPD) 600 400 042 KNEE ASPIRATION 800 500 043 MANIPULATION MINOR 600 400 044 MANNUAL EVACUATION 600 400 045 MONTOUX TEST 50 40 046 NASAL PACKING (IN CASUALTY) 600 400

81 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION POPD/ Casualty G.O.P.D. 45:01 TREATMENT & PROCEDURES – OPD NEEDLE ASPIRATION (IN OPD) OF MINOR 047 ABSCESS 550 400 048 NON STRESS MONITORING (PER TWO HOURS) 250 150 049 NST -NON STRESS TEST (PER 20 MINUTES) 600 400 050 PROSTATE BIOPSY (Lab Charges is extra) 1300 900 051 PULLED ELBOW 500 300 052 SIMPLE MANIPULATION 700 400 053 SODIUM NITRATE CAUTERY 500 350 054 SPO2 MONITORING 150 ------055 SPOT RBS 60 50 056 STRAPPING 120 ------057 SUPRA PUBIC CATHETERISATION 1500 1200 058 SUTURING UP TO 5 STITCHES 400 250 059 SUTURING ABOVE 5 STICHES EACH STITCH 150 100 060 SYRINGING OR NEEDLING EYE (IN CASUALTY) 300 ------061 TEMPORARY PACING 4000 2500 062 URINE FOR SUGAR/ALBUMIN - TREATMENT 30 30

46:01 GROUP : NURSING PROCEDURES 001 STEAM INHALATION. 40 30 002 NEBULIZATION 100 80 003 SKIN/PELVIC TRACTION APPLICATION 300 200 PHYSIO - THERAPY (O.P.D.) 47:01 RATES OF PHYSICAL THERAPY TREATMENT 001 ANTE-NATAL EXERCISES PER SITTING 230 210 002 ANTENATAL EXERCISE - PACKAGE 900 800 003 BREATHING EXERCISE 100 90 004 CERVICAL TRACTION 140 130 005 CHEST PHYSIO-THERAPY (SINGLE) 160 150 006 COLD PACK (MULTIPLE) 140 130 007 COLD PACK (SINGLE) 100 90 008 COMPRESSION THERAPY (MULTIPLE) 320 290 009 COMPRESSION THERAPY (SINGLE) 250 230 010 CONSULTATION (PHYSIOTHERAPY) 200 150 011 CONTRAST BATH (MULTIPLE) 130 120 012 CONTRAST BATH (SINGLE) 90 80 CPM - CONTINUOUS PASSIVE MOVEMENT 013 140 130 (SINGLE AREA) CPM - CONTINUOUS PASSIVE MOVEMENT (TWO 014 AREAS) 200 180

82 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION OPD CATEGORY 47:01 RATES OF PHYSICAL THERAPY TREATMENT POPD/ Casualty G.O.P.D. 015 ELECTRICAL MUSCLE TESTING (MULTIPLE) 320 290 016 ELECTRICAL MUSCLE TESTING (SINGLE) 210 190 017 EMG BIO-FEEDBACK (SINGLE) 260 230 018 EMG BIO-FEEDBACK (MULTIPLE) 370 330 019 EXERCISE : TEACHING ONLY 120 100 020 EXERCISE SIMPLE 150 140 021 EXERCISE SPECIAL 220 200 022 EXERCISES - MOBILIZATION (SINGLE) 220 200 023 EXERCISES – REHABILITATION 280 250 MULTIPLE EXERCISE/EXERCISE WITH ADL 024 280 250 TRAINING 025 GAIT TRAINING 190 170 026 INFRA RED RAY THERAPY (MULTIPLE) 170 150 027 INFRA RED RAY THERAPY (SINGLE) 100 90 028 INFRA RED SAUNA 260 230 029 INTERFERENTIAL THERAPY (SINGLE AREA) 170 160 INTERFERENTIAL THERAPY (MORE THAN TWO 030 300 270 AREAS) 031 INTERFERENTIAL THERAPY (TWO AREAS) 250 220 032 LASER -INFRA RED : POINT (MULTIPLE AREA) 280 250 033 LASER -INFRA RED : POINT (SINGLE AREA) 210 190 034 LASER -INFRA RED : SCAN (MULTIPLE AREA) 320 290 035 LASER -INFRA RED : SCAN (SINGLE AREA) 220 200 LONG WAVE DIATHERMY (MORE THAN TWO 036 250 230 AREAS) 037 LONG WAVE DIATHERMY (SINGLE AREA) 110 100 038 LONG WAVE DIATHERMY (TWO AREAS) 200 180 039 LUMBAR TRACTION 150 150 040 MANUAL MUSCLE TESTING (MULTIPLE) 300 270 041 MANUAL MUSCLE TESTING (SINGLE) 180 160 042 MICROWAVE DIATHERMY (SINGLE AREA) 160 150 043 MICROWAVE DIATHERMY (TWO AREAS) 220 190 044 NEONATAL EXERCISE 120 100 045 NEURO-DEVELOPMENTAL THERAPY 230 210 046 NUGABEST 320 290 PACKAGE FOR CHRONIC CASES (ADULT) PER 047 4000 3500 MONTH (20 SESSIONS) PACKAGE FOR ELECTROMODALITY + JOINT 048 2500 2300 MOBILIZATION EXERCISE (10 SESSIONS)

83 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION OPD CATEGORY 47:01 RATES OF PHYSICAL THERAPY TREATMENT POPD/ Casualty G.O.P.D. PACKAGE FOR JOINT MOBILISATION WITH 049 ONE HOT/ELECTRO-THERAPY MODALITY (20 5000 4500 SESSIONS) PACKAGE FOR PEDIATRIC CASES PER MONTH 050 4000 3500 (20 SESSIONS) POST NATAL EXERCISES (ALL SESSIONS) 051 470 430 (MULTIPLE) 052 POST OP. CHEST PHYSIO-THERAPY 120 110 053 PULSED S.W.D. (SINGLE AREA) 160 150 054 PULSED S.W.D. (TWO AREAS) 220 190 055 SHORT WAVE DIATHERMY(TWO AREAS) 220 190 056 SHORT WAVE DIATHERMY (SINGLE AREA) 160 150 057 STEAM PACKS(MULTIPLE) 160 150 058 STEAM PACKS(SINGLE) 100 90 059 STIMULATION (NEURO-MUSCULAR ) SINGLE 160 140 060 STIMULATION (NEURO-MUSCULAR) MULTIPLE 220 200 061 SUSPENSION THERAPY 130 120 062 TENS (MULTIPLE) 200 180 063 TENS (SINGLE) 120 100 064 TILT TABLE THERAPY 130 120 065 ULTRA SONIC THERAPY (SINGLE AREA) 110 100 ULTRA SONIC THERAPY (MORE THAN TWO 066 250 230 AREAS) 067 ULTRA SONIC THERAPY (TWO AREAS) 200 180 068 WAX BATH (MORE THAN TWO AREAS) 230 200 069 WAX BATH (SINGLE AREA) 100 90 070 WAX BATH (TWO AREAS) 180 170 071 EXERCISE + WALKING 270 250 072 HP + EXERCISE 200 180 073 IFT + HP + EXERCISE 290 270 074 IFT + HP + MOBILISATION EXERCISE 350 320 075 IFT + SWD +EXERCISE (MULTIPLE) 380 350 076 IFT + SWD +EXERCISE (SINGLE) 330 300 077 IFT + US + HP + EXERCISE 350 320 078 IFT + US2 + HP + EXERCISE 410 370 079 IFT +US + HP + MOBILISATION EXERCISE 410 370 080 IFT2 + SW2 + EXERCISE 440 400 081 SWD + MOBILISATION EXERCISE 300 270 082 SWD + US + EXERCISE 290 270

84 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION OPD CATEGORY 47:01 RATES OF PHYSICAL THERAPY TREATMENT POPD/ Casualty G.O.P.D. 083 SWD + US + MOBILISATION EXERCISE 360 330 084 SWD + US2 + CTR + EXERCISE 430 380 085 WAX + MOBILISATION EXERCISE 270 250

NOTE :  For OPD patients, if more than one modality of physiotherapy will be performed in single sitting, the charges of higher modality will be charged in full and rest of the modalities will be charged half. ************************ PACKAGE CHARGES FOR MINOR O.T. PROCEDURES

48:01 ENT : MINOR O.T. PROCEDURES 1 ANT. NASAL PACK 3800 2500 2 ANTRAL WASH : U/L OR B/L 3800 2500 3 BIOPSY OF CHEEK OR TONGUE : U/L OR B/L 3800 2500 4 CAUTERY OF NASAL BLEEDERS WITH PACKING 5000 3400 5 CAUTERY PATCHING EAR 5000 3400 6 CHANGE OF TRACHEOSTOMY TUBE 2500 1800 7 DIAGNOSTIC NASAL ENDOSCOPY 2500 1800 8 EUM -EXAMINATION UNDER MICROSCOPE 700 500 9 EXCISION OF TONGUE TIE 3800 2500 10 FOREIGN BODY REMOVAL-(NOSE/EAR) 3200 2200 11 FOREIGN BODY THROAT(FISH BONE) 3800 2500 12 LARYNGOSCOPY – FIBER OPTIC 3800 2500 13 MYRINGOTOMY FOR ASOM 1300 1000 14 NASAL BIOPSY 1300 1000 15 NASAL PACK REMOVAL 1300 1000 16 SPLIT EAR LOBULE – BILATERAL 5000 3400 17 SPLIT EAR LOBULE – UNILATERAL 3800 2500

48:02 GENERAL SURGERY : MINOR O.T. PROCEDURES 1 ASPIRATION OF SUPERFICIAL COLD ABSCESS 1800 1300 2 AVULSION OF TOE NAIL – B/L 3200 2200 3 AVULSION OF TOE NAIL – U/L 1800 1300 4 BIOPSY OF BREAST 7500 5000 5 DEBRIDEMENT – SMALL 3800 2500 6 DRAINAGE OF SMALL ABSCESS 1800 1300 7 EXCISION BIOPSY – SMALL 2500 1800 8 EXCISION OF SEBACEOUS CYST 3800 2500 EXCISION OF SMALL SUPERFICIAL SOFT TISSUE 9 7000 4700 MASS/TUMOUR

85 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION OPD CATEGORY 48:02 GENERAL SURGERY : MINOR O.T. PROCEDURES POPD/ Casualty G.O.P.D. 10 GLAND BIOPSY 7000 4700 11 I & D OF BREAST ABSCESS 6400 4500 12 LYMPH NODE BIOPSY 7000 4700 13 NEEDLE ASPIRATION OF ABSCESS 2500 1800 REMOVAL OF SUPERFICIAL FOREIGN BODY 14 3200 2200 LIMBS – MINOR 15 RESUTURING OF SMALL ABDOMINAL WOUND 4500 3200 16 SCLEROTHERAPY : (INJ. FOR PILES) 1300 1000 Note : Charges for Lab will be extra wherever is applicable.

48:03 OB./ GYN : Minor O.T. PROCEDURES 1 CERVICAL BIOPSY 3800 2700 2 DIAGNOSTIC 1300 1000 3 COLPOSCOPY WITH PUNCH BIOPSY 4500 3400 COLPOSCOPY WITH PUNCH BIOPSY WITH CRYO 4 6000 4500 CAUTERY 5 CRYO-CAUTERY 3200 2200 6 D. & C. OR D.& E. 3800 2500 7 ENDOCERVICAL CURRETTINGS 3800 2500 8 ENDOMETRIAL ASPIRATION 3800 2500 9 ENDOMETRIAL BIOSPY 3800 2500 10 ENDOMETRIAL BRUSH CYTOLOGY 1300 1000 HPV-DNA COLLECTION CHARGES (Charges for Kit 11 1000 700 & Lab Extra) HYDRO TUBATION : PER SITTING (MED. COST 12 1300 1000 EXT.) 13 INCIDENTAL DELIVERY INCLUDING SUTURING 5500 4100 14 POLYP REMOVAL 3200 2200 15 RESUTURING OF EPISIOTOMY 3200 2200 16 RESUTURING OF SMALL ABDOMINAL WOUNDS 3200 2200 SUTURING OF SMALL TEARS OVER PERINIUM, 17 3200 2200 VAGINA AND LABIA Note : Charges for Lab will be extra wherever is applicable.

48:04 OPHTHALMOLOGY : MINOR O.T. PROCEDURES 1 CHALAZION – SINGLE EYE LID 4600 3200 2 CHALAZION – BOTH EYE LID OR MULTIPLE 6400 4500 3 DRAINAGE OF LID ABSCESS 3600 2400 4 FOREIGN BODY REMOVAL 1600 1100 5 SYRINGING 1300 1000

86 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION OPD CATEGORY 48:05 ORTHO : Minor O.T. POPD/ Casualty G.O.P.D. CLOSED REDUCTION MANIPULATION : LOWER 1 3800 2500 EXTREMITY* CLOSED REDUCTION MANIPULATION : UPPER 2 2600 1800 EXTREMITY* 3 DRESSING : MAJOR (IN MINOR O.T.) * 1300 1000 4 DRESSING : MINOR (IN MINOR O.T.) * 650 500 5 DYNAMISATION OF I.M.NAIL 2600 1800 6 EXCISION OF GANGLION / SOFT TISSUE MASS 7000 4700 7 EXCISION OF TOE/FINGER NAIL 2500 1800 INTRA ARTICULAR INJECTION/ASPIRATION (IN 8 1800 1300 MINOR O.T.) – SINGLE JOINT** 9 PELVIC EXTERNAL FIXATOR*** 7000 4700 10 REMOVAL OF WIRE AND MINOR IMPLANTS 1800 1300 11 TENDO-ACHILLIS TENOTOMY – B/L 9000 5800 12 TENDO-ACHILLIS TENOTOMY – U/L 5300 3600

Note : 1. * Cost of P.O.P. and other materials will be extra wherever is applicable. 2. ** Cost of Injectable extra 3. *** Charges for Implant will be extra. 4. Cost of Medicine and injections will be extra wherever will be used.

48:06 PLASTIC SURGERY : MINOR O.T. PROCEDURES 1 ARCH BAR REMOVAL 3500 2300 2 EXCISION OF CYST MULTIPLE 8700 5800 3 EXCISION OF CYST SINGLE 4400 2900 4 EXCISION OF KELOID – SMALL 6900 4600 5 EXCISION OF MOLE-FACE 4400 2900 6 FACIOCUTANEOUS FLAP REPAIR - SMALL 8700 5800 7 FULL THICKNESS GRAFT – SMALL 10000 6700 8 HAIR TRANSPLANT : LARGE AREA (1000 Grafts) 89000 89000 HAIR TRANSPLANT : MEDIUM AREA (Upto 500 9 57000 57000 Grafts) 10 HAIR TRANSPLANT : SMALL AREA (<100 Grafts) 24000 24000 11 LOCAL FLAP – MINOR 5800 4100 12 MINOR AMPUTATION – TOE, DIGIT ETC. 6900 4600 13 MINOR IMPLANT REMOVAL – WIRE ETC. 3500 2300 14 REPAIR OF ONE FINGER 5800 4100 15 REPAIR OF PINNA 5800 4100 16 SIMPLE SCAR EXCISION 11000 7300 17 SIMPLE Z PLASTY 10000 6800 18 SKIN GRAFTING – SMALL 9000 5800

87 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION OPD CATEGORY 48:06 PLASTIC SURGERY : MINOR O.T. PROCEDURES POPD/ Casualty G.O.P.D. 19 SMALL NEVUS 7600 5000 20 SPLIT EAR LOBULE – BILATERAL 5000 3400 21 SPLIT EAR LOBULE – UNILATERAL 3800 2500 22 WOUND REPAIR SMALL 3800 2500 Note : Charges for Lab will be extra wherever is applicable.

48:07 UROLOGY : MINOR O.T. PROCEDURES 1 BIOSPY GROWTH ON PENIS OR SCROTUM 3800 2500 2 CIRCUMCISION 7000 4700 3 DORSAL SLIT 3600 2400 4 MEATOTOMY 3800 2500 5 ORCHIDECTOMY – B/L OR U/L 7000 4700 6 PROSTATIC BIOPSY * 5800 4000 7 TESTICULAR BIOPSY 6400 4500 8 TROCAR SPC** 7600 5000 9 URETHRAL DILATATION 4100 2600 Note : * Charges for TRU-CUT BIOPSY GUN will be Extra. **Charges for SUPRA-CATH will be extra. Charges for Lab will be extra wherever is applicable.

48:08 THORACIC SURGERY : Minor O.T. 1 CHEST ASPIRATION 3800 2500 BRONCHOSCOPY WITH OR WITHOUT F.B.RE- 2 6400 4500 MOVAL Note : 1. Charges for Lab. will be extra wherever is applicable. 2. Cost of CHEST TUBE is extra.

PEDIATRIC SURGERY : Minor O.T.

48:09A PEDIATRIC SURGERY : GENERAL SURGERY 1 ASPIRATION OF SUPERFICIAL COLD ABSCESS 1800 1300 2 AVULSION OF TOE NAIL – B/L 3200 2200 3 AVULSION OF TOE NAIL – U/L 1800 1300 4 CATHETERISATION & MCU 2500 1800 5 DEBRIDEMENT – SMALL 3800 2500 6 DRAINAGE OF SMALL ABSCESS 1800 1300 7 DRAINAGE OF ABSCESS 3000 2000 8 DRESSING : MAJOR 1300 1000 9 DRESSING : MINOR 650 500 10 EXCISION OF SEBACEOUS CYST 3800 2500 EXCISION OF SMALL SUPERFICIAL SOFT TISSUE 11 7000 4700 MASS/TUMOUR

88 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION OPD CATEGORY 48:09A PEDIATRIC SURGERY : GENERAL SURGERY POPD/ Casualty G.O.P.D. 12 GLAND BIOPSY 7000 4700 13 I & D OF BREAST ABSCESS 6400 4500 14 LABIAL ADHESIONS 2500 1800 15 LYMPH NODE BIOPSY 7000 4700 16 NEEDLE ASPIRATION OF ABSCESS 2500 1800 17 PREPUTIAL DILATATION 2500 1800 REMOVAL OF SUPERFICIAL FOREIGN BODY 18 3200 2200 LIMBS – MINOR 19 RESUTURING OF SMALL ABDOMINAL WOUND 4500 3200 20 UMBILICAL GRANULOMA 1900 1300 21 UMBILICAL POLYP 4000 2600 22 WOUND REPAIR 4000 2600 Note : Charges for Lab will be extra wherever is applicable.

48:09B PEDIATRIC SURGERY : ENT 1 EXCISION OF TONGUE TIE 3800 2500 2 SPLIT EAR LOBULE – UNILATERAL 3800 2500

48:09C PEDIATRIC SURGERY : PLASTIC 1 EXCISION OF CYST MULTIPLE 9500 6400 2 EXCISION OF CYST SINGLE 4800 3200 3 LOCAL FLAP – MINOR 6400 4500 4 MINOR AMPUTATION – TOE, DIGIT ETC. 7600 5000 5 SIMPLE Z PLASTY 10000 6800 6 SMALL NEVUS 7600 5000

48:09D PEDIATRIC SURGERY : UROLOGY 1 BIOSPY GROWTH ON PENIS OR SCROTUM 3800 2500 2 CIRCUMCISION* 7000 4700 3 DORSAL SLIT 3600 2400 4 TROCAR SPC** 7600 5000 5 URETHRAL DILATATION 4100 2600 Note : 1. * Charges for Plastic Bell will be extra. 2. ** Charges for Supra – Cath will be extra

89 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

S.No. DESCRIPTION OPD CATEGORY 48:09E PEDIATRIC SURGERY : THORACIC POPD/ Casualty G.O.P.D. 1 CHEST ASPIRATION – DIAGNOSTIC 3800 2500 2 CHEST ASPIRATION – THERAPUTIC 5000 3400 Note : 1. Charges for Lab. will be extra wherever is applicable. 2. Cost of CHEST TUBE is extra.

48:10 MINOR O.T. PROCEDURE CHARGES : PRIVATE PATIENTS

1 The doctor is free to charge a differential fee for their Pvt. Patients. 2 Charges for the O.T and Local Anesthesia will be 25% of the surgical fee. 3 The disposables will be charged on actual. 4 Lab. Charges will be extra wherever applicable. *******************

MISCELLANEOUS CHARGES 49:01 GROUP : DUPLICATE PRINTING 001 DUPLICATE RECEIPTS PRINT 10

NOTE : The hospital reserves the right to modify the above mentioned charges without prior notice whenever it deems necessary.

HOLY FAMILY HOSPITAL Okhla Road, New Delhi-110025, Tel : 011-26845900-09 | Fax: 011-26913225 Email : [email protected] | Website : www.hfhdelhi.org

90 HOLY FAMILY HOSPITAL, NEW DELHI. SCHEDULE OF CHARGES -2018 (Effective from 01.04.2018 to 31.03.2020)

HOLY FAMILY HOSPITAL Okhla Road, New Delhi-110025, Tel : 011-26845900-09 | Fax: 011-26913225 Email : [email protected] | Website : www.hfhdelhi.org

91