PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 SOC- 2.02 INDEX Department/Services Code Page No. General Charges Room Tariff 2 Consultation CON 3 OT charges 3 Emergency Room ER 4 Services : Procedure/Surgery Anesthesia AN 7 Cardiology CD 8 CTVS CT 9 Dental DN 11 Dermatology (Skin and Cosmetic Centre) DM 17 ENT EN 23 General & Laproscopic surgery GS 27 Gestroentology GI 33 Interventional Radiology IR 34 Medical Oncology MO 37 Nephrology NP 38 Neurology NU 39 Neuro surgery NS 40 Obstetrics and Gynecology OG 42 Onco surgery OS 57 Opthalmology OP 58 Orthopeadic OR 60 Pain Clinic PC 66 Pediatric PD 67 Physiotherapy PT 69 Plastic surgery PS 70 Psyciatry PY 83 Respiratory Medicine RM 84 Spine SP 85 Urology UR 87 Miscellaneous services MS 90 Investigation Blood Bank BD 92 Cardiology CI 92 Lab LB 93 Radiology RD 97 Charges are effective from 1st Aug'2016 Charges are subject to change without prior notice Room Tariff and Billing Guidelines Bed category Room rent / day IP Consultation/ visit Emergency IP VIP Suite 13,500 1,800 Consultn/visit2,250 Deluxe Room 7,000 1,200 1,500 Single Room 6,000 1,000 1,250 Twin Sharing 4,000 850 1,060 General Ward 2,400 700 875 Day Care 1,500 700 875 NICU level 1/Nursery - - NICU level 2 - - NICU level 3 - - PICU level 1 - - PICU level 2 - - CCU/CTVS ICU 7,500 1,000 1,250 MICU/SICU 7,500 1,000 1,250 Neuro ICU 7,500 1,000 1,250 HDU 5,500 1,000 1,250 Room Charging Pattern : It will be 24 hrs based . Grace period will be 2 hours for discharging patient If the overall stay is less than 8 hours then half day room rent will be charged
NICU level of care is defined as: AdmissionLevel I: Observation directly in and to initialICU nursery care (i.e washing, tube feeding, oral medicines etc.) Where a patient is admitted to ICU bed directly, the charges for procedures/surgeries will be in line with rates applicable for single bed if they are not listed separately.Patient Bed However, Transfer if - the The patient higher optsbed categoryfor a category of the which bed transfer is higher day thanwill be Single charged bed at the time of transfer from ICU, the procedures /surgeries will be Post surgery change of bed category - If patient change the bed category from lower to higher after the surgery, then the complete surgery/procedure charges will Attendantbe applicable bed as charges: per the higher category. The attendant of ICU patient is allowed to retain the bed from 9 PM to 6AM, additional bed charges will be applicable as per actual . Only one attendant may stay in a room
Page 1 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 Service charges will be added to investigations and procedures wherever they are not defined separately as per the category of ward. Consumables, medicines etc. will be charged additionally on the basis of actual usage Consultation and Billing Guidelines OPD CONSULTATION Consultation charges/visit CON1001 Director/HOD 1000-1200 CON1002 Super Specialist consultant 600-800 CON1003 Specialist / Jr. consultant 400-500 CON1004 Follow up visit ( within10 days) Nill CON1005 Dietician (one visit per day) 300 IPD CONSULTATION CON2001 Room visit 600 - 1600 CON2002 Emergency visit 750-2000 CON2003 Dietician (one visit per day) 100 CON2004 ICU Intervisit (visit charges) for every ICU Patient per day one visit 1,250 Note : Two visits are mandatory. Additional visit shall be at written request of attendant or the attending doctor which shall be charged separately. The charges are for visits / consultation from 8 A.M. to 8 P.M. Any visit after 8 P.M. will be treated as Emergency visit and 25% extra will be charged Post operative visit charges by operating Surgeon/ Surgical Team upto two days will be charged at 50% of the normal charges. If patient is referred to another Oneconsultant, dietician full visit charges is mandatory for each admitted patient and it is valid for 3 days only. Surgery Breakup Surgeon Fee 100% as per bed category Assistant Surgeon fee 30% of Surgeon fee OT Charges 50% of Surgeon fee Anesthetist charges 30% of Surgeon fee Standby Anesthetist charges 10% of Surgeon fee OT Gases 20% of Surgeon fee Cath lab / DSA lab /LR charges 30% of Surgeon fee Note : Case 1 : If two or more surgeries are performed at same timeon the same area, then the 50% of X amount will be charged for the second and subsequent surgery Case(lower 2 charged).: All unplanned surgeries performed from 8 PM to 8 AM shall be charged 25% additional emergency charges on the total tariff rate of X Case 3: Cardiologist standby in the OT will be charged at 40% of the surgeon’s fees. Case 4: In case of Additional assistant surgeon fee, should be given in estimates. Case 5:Radiology & lab, 8 PM to 8 AM 25% will be Extra charge on base value. Case 6:Radiology & lab on Sunday and Holidays , 25% will be Extra charge on base value. Equipment Charges: Any specific equipment hired from outside the Paras Hospital would be charged additionally as specified in the pricing policy or as actual; whichever is higher from Ifthe more patient than (Unless one equipment specified) (In house) or private is used in same surgery then patient will be billed as per actual usage of equipment. Emergency Services
Service code Service name Charges ( Rs.)
Emergency service ER1001 Registration charges 100 ER1002 Emergency bed charges ( Per hours)* First 1 hours no bed charges 500 ER1003 Minor OT charges/ Procedure Room 25% of procedure ER1004 Anesthesia charges in minor OT 20% of procedure Consultation ER2001 Consultation ( CMO / EMO) 300 ER2002 Consultation (Specialist/Super specialist/HOD) As per OPD consultation Investigation ER3001 ECG 250 ER3002 Blood Pressure monitoring 100 ER3003 Blood Sugar monitoring 120 ER3004 Troponin-T Ambulance ER4001 BLS Ambulance Charges upto 5 Km 750 ER4002 Ambulance Charges additional per Km 40 ER4009 ALS Ambulance Charges upto 5 Km 1,500 ER4010 Ambulance Activation /advance charges for outside Patna. 2,000 ER4003 Doctor Charges upto 100 km 2,000 ER4011 Doctor Charges 100 - 200 km 4,000 ER4012 Doctor Charges more than 200 km 6,000 ER4004 Additional Nurse / support staff charges 2,000 ER4005 Equipment Charges 1,000 ER4006 Oxygen/Hr In Ambulance 100 ER4007 Ambulance Waiting Charges per hr 500 Procedure ER5004 Abcess I & D 3,500 ER5005 Burn Dressing (Small) 1,800 ER5006 Burn Dressing (Medium) 3,500 ER5007 Cast Application 3,000 ER5009 Closed Reduction Of Pop Application 4,000 ER5012 Cvp Line 2,500 ER5016 Debridement 4,500
Page 2 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 ER5019 Dressing Small 300 ER5020 Dressing Medium 450
Service code Service name Charges ( Rs.)
ER5021 Dressing large 600 ER5027 Folley'S Catherization 600 ER5028 Foreign Body Removal 2,500 ER5029 Catheter removal 200 ER5030 Incision And Drainage 1,500 ER5031 Infusion Pump 500 ER5032 Ingrowing Toe Nail Removal 1,500 ER5033 Intercostal Drainage 4,000 ER5035 Intra Muscular Injection 100 ER5036 Intubation 1,000 ER5037 Iv Infusion 100 ER5039 Nail Bed Wedge Excision 1,600 ER5040 Nasal Bone Reduction 4,000 ER5041 Nebulisation 200 ER5042 P.O.P Removal 400 ER5043 Pleural /Tapping (Diagnostic) 600 ER5044 Pleural /Tapping (Therapeutic) 2,000 ER5045 Ryle Tube Insertion 700 ER5047 Strapping Chest 1,500 ER5048 Suture Removal 250 ER5049 Suturing Less Than 6 700 ER5050 Suturing More Than 6 1,800 ER5053 Urethral Dilation 2,100 ER5054 Gastric Lavage 1,000 ER5055(A) Ascitic Tapping (Digonistic) 1,000 ER5055(B) Ascitic Tapping (Therapeutic) 1,500 ER5056 Bladder wash 500 ER5057 Strapping cervical with figure of 8 bandage 2,000 ER5060 Pulled elbow manipulamlm 700 ER5061 Pop Below Elbow Cast Application 1,600 ER5062 Pop Below Elbow Slab Application 1,100 ER5063 Pop Below Knee Cast Application 2,100 ER5064 Pop Below Knee Slab Application 1,600 ER5065 Pop Hip Spica Application Single 4,800 ER5066 POP Above Elbow Cast Application 2600 ER5067 POP Above Knee Cast Application 3000 ER5068 Abcess I & D (Large) > 10 m.m 3000 ER5069 Abcess I & D (Medium) > 5 mm. to 10 m.m 1500 ER5070 Abcess I & D (Small) < 5m.m 750 ER5074 Enema Administration 270 ER5077 Suturing With Staple 700 ANESTHESIA Service Service Name OPD/Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code AN1001 ABG Sampling 440 585 660 770 880 AN1002 Anaesthesia Standby (For Other Procedures) 1,200 1,596 1,800 2,100 2,400 AN1003 Anesthesia Visit For Emergency Management 1,540 2,048 2,310 2,695 3,080 AN1004 Arterial Line 2,500 3,325 3,750 4,375 5,000 AN1005 Bipap Procedure Charges 1,210 1,609 1,815 2,118 2,420 AN1006 Bronchoscopy 3,300 4,389 4,950 5,775 6,600 AN1007 Broncoscopy With Lavage 3,850 5,121 5,775 6,738 7,700 AN1008 Caudal Anesthesia (Continuous) 10,780 14,337 16,170 18,865 21,560 AN1009 Caudal Injection (Single Shot) 30% of procedure AN1010 Change Of Tracheostomy Tube 550 732 825 963 1,100 AN1011 Consultation Pain Management 770 1,024 1,155 1,348 1,540 AN1012 Continuous Plexus Block 4,400 5,852 6,600 7,700 8,800 AN1013 CPR Charges (Cardio Pulmonary Resuscitation) Emergency Resuscitation 2,200 2,926 3,300 3,850 4,400 AN1014 Cvp Line 3,000 3,990 4,500 5,250 6,000 AN1016 Endotracheal Intubation 880 1,170 1,320 1,540 1,760 AN1017 Endotracheal Intubation Nasal 990 1,317 1,485 1,733 1,980 AN1018 Epidural Blood Patch 2,970 3,950 4,455 5,198 5,940 AN1019 Epidural Catheterization 3,300 4,389 4,950 5,775 6,600 AN1020 Femoral Vein Acess 1,430 1,902 2,145 2,503 2,860 AN1021 Fiber Optic Intubation 3,300 4,389 4,950 5,775 6,600 AN1022 GA For Cath Lab Procedures 4,950 6,584 7,425 8,663 9,900 AN1023 GA For ECT 3,300 4,389 4,950 5,775 6,600 AN1024 I/V Cannula On Floors 880 1,170 1,320 1,540 1,760
Page 3 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 AN1025 Intubation And Ventilator Mgmt 5,000 6,650 7,500 8,750 10,000 AN1026 Labour Analgesia 5,500 7,315 8,250 9,625 11,000 AN1027 Mac For Cath Lab Procedures 30% of procedure AN1028 MAC Per Hr >2 Hr 20% of procedure AN1029 PA Catheter Placement 3,300 4,389 4,950 5,775 6,600 AN1030 Patient Controlled Analgesia 3,300 4,389 4,950 5,775 6,600 AN1031 PCEA (Patient Controlled Epidural Anaest 4,950 6,584 7,425 8,663 9,900 AN1032 Recanulation Tracheostomy 1,320 1,756 1,980 2,310 2,640 AN1035 Ryles Tube Insertion- Anesthesia 700 930 1,050 1,230 1,400 AN1036 Sedation For Nacro Analysis 3,300 4,389 4,950 5,775 6,600 AN1037 Single Shot Nerve Block 30% of procedure AN1038 Tracheostomy Percutaneous 7,000 9,310 10,500 12,250 14,000 AN1039 Trans Esophageal Echocardiography 3,520 4,682 5,280 6,160 7,040 AN1042 PAC 800 1,064 1,200 1,400 1,600 AN1043 Epidural Anaesthesia Management( in ward) 700 930 1,050 1,230 1,400 AN1045 Out of OT Anaesthesia (anaesthesia given other than OT ) 3000 3990 4500 5250 6000 AN1046 Post operative pain relief 700 931 1,050 1,225 1,400 CARDIOLOGY
Service Stay Service Name OPD/Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code day
CARDIOLOGY PACKAGE CD1001 Coronary Angiography (CAG) 1 13,500 13,500 18,000 20,000 25,000 CD1029 Coronary Angiography Day Care (CAG) 1 9,900 9,900 9,900 9,900 9,900 CD1002 Peripheral Angiography 1 13,000 13,000 17,000 19,000 22,000 CD1003 Check Angiography 1 7,500 7,500 8,000 9,000 10,000 CD1004 Coronary Angioplasty ( PTCA) 2 ICU+1 Day 3 109,900 109,900 126,700 143,600 165,300 CD1005 Peripheral Angioplasty 2 ICU+1Day 3 99,900 99,900 126,000 153,000 180,000 CD1015 Primary Angioplasty Emergency PTCA (2Days ICU and 1 Days Opted Category) 111,000 111,000 128,000 145,000 167,000 CD1006 Carotid Angioplasty 2 ICU+1 DAY 3 99,900 99,900 126,000 153,000 180,000 CD1017 EPS Complex 1 26,000 26,000 32,000 35,000 40,000 CD1007 EPS Basic ( additional catheter cost Extra) 1 13,000 13,000 16,000 17,500 20,000 CD1018 Ballon Volvoplasty (1 Day ICU + Cost of ballon extra) 1 40,800 40,800 49,800 52,200 56,700 CD1009 EPS and RFA(Additional catheter cost extra) 1 103,000 103,000 129,000 135,000 150,000 CD1019 CardioVersion includes TEE 1 13,700 13,700 17,200 18,000 20,000 CD1020 TPI+PPI (2 Days ICU+1 Day Opted Category ) 3 65,000 65,000 81,700 85,500 95,000
CD1010 Permanent Pacemaker Implantation Single Chamber (1 Day ICU + 1 Day Opted Category) 2 50,000 50,000 65,000 70,000 85,000
Permanent Pacemaker Implantation Double Chamber (2 Days ICU + 1 Days Opted CD1021 3 75,000 75,000 97,800 105,000 127,800 category) CD1022 Pulse Generator Replacement S/C (1 Day ICU) 1 26,300 26,300 34,200 36,800 44,700 CD1023 Pulse Generator Replacement D/C (1 Day ICU) 1 31,300 31,300 40,700 43,800 53,200 CD1024 Pulse Generator Replacement ICD (1 Day ICU) 1 31,300 31,300 40,700 43,800 53,200 CD1025 Pulse Generator Replacement CRT (1 Day ICU) 1 40,000 40,000 52,200 56,000 68,200 CD1016 BMV/PTMC (1 Day ICU + 1 Day Opted Category) includes TEE 2 71,446 71,446 92,838 100,004 121,396 CD1027 IABP (1 Day ICU) Including Ballon 1 75,000 75,000 97,800 105,000 127,800 CD1011 ICD Implantation 3 85,050 85,050 110,017 120,167 150,033 CD1028 Temporary Pacing (Including Wire/ lad Cost) 1 9,100 9,100 11,800 12,900 16,000 CD1012 Cardiac Cath Study 1 11,000 11,000 12,000 12,000 15,000 CD1013 ASD/VSD Device closure ( device extra and delevery sheath Extra) 3 85,000 85,000 110,000 120,000 130,000 CD1014 Septal Ablation 1 100,000 100,000 115,000 130,000 150,000 CD1030 Coil Embolization ( Medicines, Coil, Spl Catheter, Dye extra) 1 44,400 44,400 51,200 57,600 66,800
Package Includes: room rent as specified, cath lab charges, Professional fees of cardiologist, basic Investigations , Routine drugs , disposables in Cath Lab and Non Ionic Dye
Basic Investigations include- (CAG,Coil Embolization ONLY)-(Annexure – 1 A) Complete Blood Count, Blood Sugar, Renal Function Test (Na, K, Urea,Creatinine), ECG, Chest X Ray, HbsAg, HIV 1 &2, Blood Grouping,PT ( INR)X1 Each
Basic Investigations include- (PTCA ONLY)-(Annexure – 1 B)-Complete Blood Count, Blood Sugar, Renal Function Test (Na, K, Urea,Creatinine),Chest X Ray, HbsAg, HIV 1 &2, Blood Grouping,PT ( INR),Pre-Post CPK MB, - Echo Screening x1 Each,ECG X3
Basic Investigations include- (EPS,RFA ,AICD/CRT ONLY)-(Annexure – 1 C)-Complete Blood Count, Blood Sugar, Renal Function Test(Na, K, Urea,Creatinine),Chest X Ray, HbsAg, HIV 1 &2, Blood Grouping,PT ( INR), x1 Each,ECG X2
Basic Investigations include- (PG Replacement ONLY)-(Annexure – 1D)- - PT/INRX1 Basic Investigations include- (CardioVersion ONLY)-(Annexure – 1 E)- - PT/INRX1,ECG X2 Package excludes: Stent Cost , implant cost, Gp IIb/ IIIa inhibitor, Other devices like Rota & Atherectomy equipment , additional stay, Professional charges of other consultants, any additional procedure/investigation and Use of special drugs/ consumables. New wire and Balloon cost extra
Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed CARDIOLOGY PROCEDURES
Page 4 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 CD2004 Ivc Filter Insertion (filter cost extra) 45,000 59,850 67,500 78,750 90,000 CD2005 Pericardial Aspiration 4,000 5,320 6,000 7,000 8,000 CD2006 Arrhythmia Control 2,600 3,458 3,900 4,550 5,200 CD2007 Programming(For first Time) 1,000 1,330 1,500 1,750 2,000 CD2008 Programming(2nd time or onwards) 1,500 1,995 2,250 2,625 3,000
CTVS
Service Stay Two Service Name Six/ Nine bedded Single room Deluxe room VIP Suite Code day bedded
CTVS Packages CT1001 CABG(3 Days ICU & 4 Days Opted Category) 7 165,000 185,000 205,000 215,000 300,000 CT1002 Redo CABG (3 Days ICU & 4 Days Opted Category) 7 190,000 210,000 230,000 240,000 310,000 CT1003 CABG+AVR(3 Days ICU & 4 Days Opted Category) 7 200,000 220,000 240,000 250,000 320,000 CT1004 Single Valve Replacement/Repair(3 Days ICU & 4 Days Opted Category) 7 160,000 185,000 205,000 215,000 300,000 CT1005 Double Valve Replacement(3 Days ICU & 4 Days Opted Category) 7 190,000 210,000 230,000 240,000 310,000 CT1006 Mitral valve Replacement(3 Days ICU & 4 Days Opted Category) 7 160,000 185,000 205,000 215,000 300,000 CT1007 Pericardectomy/Sternotomy(3 Days ICU & 4 Days Opted Category) 7 105,000 115,000 125,000 135,000 145,000 CT1008 Repair of Tetralogy of Fallot(3 Days ICU & 4 Days Opted Category) 7 160,000 185,000 205,000 215,000 300,000 CT1009 A.S.D(3 Days ICU & 4 Days Opted Category) 7 160,000 185,000 205,000 215,000 300,000 CT1010 V.S.D(3 Days ICU & 4 Days Opted Category) 7 170,000 195,000 205,000 215,000 300,000 CT1011 Closed Heart Surgery(3 Days ICU & 4 Days Opted Category) 7 85,000 95,000 105,000 115,000 125,000 CT1012 Aorto-Femoral Bypass &Lleo Formal Bypass 7 95,000 115,000 125,000 135,000 145,000 CT1013 Femoro- Femoral Bypass & Femoro-Popliteal Bypass 7 95,000 115,000 125,000 135,000 145,000 CT1014 Upper & Lower Limb Grafting (2 Days ICU & 3 Days Category) 5 65,000 85,000 95,000 105,000 115,000 CT1015 CABG+LV CLOT REMOVAL(3 Days ICU & 4 Days Opted Category) 7 180,000 200,000 220,000 230,000 300,000 CT1016 CABG+LA CLOT REMOVAL(3 Days ICU & 4 Days Opted Category) 7 170,000 195,000 205,000 215,000 300,000 CT1017 CABG+LV ANEURYSM REPAIR(3 Days ICU & 4 Days Opted Category) 7 190,000 210,000 230,000 240,000 310,000 CT1018 CABG+MVR(3 Days ICU & 4 Days Opted Category) 7 200,000 220,000 240,000 250,000 320,000 CT1019 CABG+DVR(3 Days ICU & 4 Days Opted Category) 7 220,000 240,000 250,000 265,000 330,000 CT1020 CABG+TVR(3 Days ICU & 4 Days Opted Category) 7 220,000 240,000 250,000 265,000 330,000 CT1021 CABG+MV. ANNULOPLASTY(3 Days ICU & 4 Days Opted Category) 7 190,000 210,000 230,000 240,000 310,000 CT1022 REDO MVR/AVR(3 Days ICU & 4 Days Opted Category) 7 190,000 210,000 230,000 240,000 310,000 CT1023 REDO DVR(3 Days ICU & 4 Days Opted Category) 7 200,000 220,000 240,000 250,000 320,000 CT1024 REDO TVR(3 Days ICU & 4 Days Opted Category) 7 220,000 240,000 250,000 265,000 330,000 CT1026 Peripheral AV Malformation 3 50,000 56,700 61,600 65,100 82,600 CT 1027 Sternal Wire Removal 20,000 22,700 24,700 26,000 33,000 Package Includes: room rent as specified, Cardiac surgeon and cardiologist fee ,OT, OT gases, Anesthesia, Surgeon , basic Investigations , Medical & Surgical consumables used intra-operatively & during the stay of the patient, except as defined under exclusion list even during the 7 days of procedure. Ventilation during the stay in OTR/ICU for number of days specified under procedure.
Basic Investigations include- Complete Hemogram,ESR,BT,CT,Prothrombin Time, PTTK,Urea,Creatinine,Serum Electrolytes,Blood Sugar, echo, doppler(canotid/groin)INR, Urine R/M, X-Ray Chest & CPK. USG ABD/PELVIS, PERIPHERAL ARTERIAL DOPPLER, THYROID PROFILE, CRP - up to 2 times , LFT - up to 2 times , Microbiology samples for culture/staining - up to 4 times , 1 ECHO and All ABG(18times) done intra-operatively & post operatively.
Package excludes: additional stay, Professional charges of other consultants, any additional procedure/investigation and Use of special drugs/ consumables,ABG more than 5 times ,Any such treatment for a disease/condition which is not related to the intended procedure will not be the part of procedure cost even during the duration of procedure . Blood Transfusion ( Blood to be donated by patients relatives ) . Cost of cell saver & Swan Ganz catheter, Human Albumin, Cost of valves or any other graft/implants additional.
Service Service Name Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code Cardiac Surgery CT2001 PERICARDIAL TAPPING 3,780 5,027 5,670 6,615 7,560 CT2002 Pericardial Window 12,000 15,960 18,000 21,000 24,000 CT2003 Emergency Ot Team Stand By Ist Hour 18,000 18,000 18,000 18,000 18,000 CT2004 High risk / Emergency charges 30,000 30,000 30,000 30,000 30,000 Service Service Name Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code Thoracic surgery CT3001 Anterior Chest Wall Repair 20,000 26,600 30,000 35,000 40,000 CT3002 Bronchopulmonary Fistula (Bpf) Repair 25,000 33,250 37,500 43,750 50,000 CT3003 Chest Wall Resection 15,000 19,950 22,500 26,250 30,000 CT3004 Decortication (Pleurectomy) 18,000 23,940 27,000 31,500 36,000 CT3005 Decortication Of Lung 22,000 29,260 33,000 38,500 44,000 CT3006 Decortication Procedure 15,000 19,950 22,500 26,250 30,000 CT3007 Diagnostic Thoracoscopy 12,000 15,960 18,000 21,000 24,000 CT3008 Explotory Thoracotomy 15,000 19,950 22,500 26,250 30,000 CT3009 Intercostal Drainage Of Empyema 4,500 5,985 6,750 7,875 9,000 CT3010 Posterior Lateral Thoracotomy 18,000 23,940 27,000 31,500 36,000 CT3011 Surgery For Empyema 15,000 19,950 22,500 26,250 30,000 CT3012 Surgery For Thoracic Outlet Sy 22,600 30,058 33,900 39,550 45,200 CT3013 Therapeutic Thoracoscopy 12,000 15,960 18,000 21,000 24,000
Page 5 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 CT3014 Thoracoplasty 25,000 33,250 37,500 43,750 50,000 CT3015 Thoracotomy 12,000 15,960 18,000 21,000 24,000 CT3016 Tracheobronchial Injury Repair 15,000 19,950 22,500 26,250 30,000 CT3017 Treatment Of Rib Fractures 12,000 15,960 18,000 21,000 24,000 CT3018 Treatment Of Sternal Fracture 12,000 15,960 18,000 21,000 24,000 CT3019 Chest/Pleural Aspiration In Ot 1,500 1,995 2,250 2,625 3,000 CT3020 Decortication For Empyema Thoracis 12,000 15,960 18,000 21,000 24,000 CT3021 Diagnostic Thoracoscopy And Biopsy 6,000 7,980 9,000 10,500 12,000 CT3022 Diagnostic Thoracoscopy And Drainage 4,000 5,320 6,000 7,000 8,000 CT3023 Excision Of Cervical Rib/ Scalenotomy 8,000 10,640 12,000 14,000 16,000 CT3024 Excision Of Chest Wall Tumor( Excluding Ribs) 6,000 7,980 9,000 10,500 12,000 CT3025 Excision Of Chest Wall Tumor(Including Ribs) 14,000 18,620 21,000 24,500 28,000 CT3026 Excision Of Mediastinal Tumors(Open) 16,000 21,280 24,000 28,000 32,000 CT3027 Harvesting Of Muscle Pedicle Graft And Reinforcement Of Bronchisl Stump 24,000 31,920 36,000 42,000 48,000 CT3028 Intercostal Block 3,000 3,990 4,500 5,250 6,000 CT3029 Lobectomy In Life Threating Hemoptysis 30,000 39,900 45,000 52,500 60,000 CT3030 Open Lung Biopsy 12,000 15,960 18,000 21,000 24,000 CT3031 Open Pleural Biopsy 5,000 6,650 7,500 8,750 10,000 CT3032 Thoracoscopic Mediastinal Lymph Node Biopsy 16,000 21,280 24,000 28,000 32,000 CT3033 Thoracoscopic Mediastinal Tumors Excision 27,000 35,910 40,500 47,250 54,000 CT3034 Thoracotomy And Evacuation Of Hematoma 13,000 17,290 19,500 22,750 26,000 CT3035 Thoracotomy And Re Exploration For Bleeding 13,000 17,290 19,500 22,750 26,000 CT3036 Thoractomy For Anterolateral Decompression 13,000 17,290 19,500 22,750 26,000 CT3037 Thymectomy(Open) 15,000 19,950 22,500 26,250 30,000 CT3038 sternal resutruing 8,000 10,000 15,000 20,000 30,000 Vascular Surgery CT4001 Arterio-Venous Fistula High 10,000 13,300 15,000 17,500 20,000 CT4002 Branched Aortic Endograft Plac 37,800 50,274 56,700 66,150 75,600 CT4003 Carotid - Carotid Bypass 15,800 21,014 23,700 27,650 31,600 CT4004 Carotid Artery Stenting 19,300 25,669 28,950 33,775 38,600 CT4005 Carotid Body Tumour 19,300 25,669 28,950 33,775 38,600 CT4006 Embolectomy 15,000 19,950 22,500 26,250 30,000 CT4007 Endovascular Repair Of Abdominal 30,000 39,900 45,000 52,500 60,000 CT4008 Hd Access Major 6,200 8,246 9,300 10,850 12,400 CT4009 Leg Fasciotomy 15,800 21,014 23,700 27,650 31,600 CT4010 Ligation Artery Subclavian 3,000 3,990 4,500 5,250 6,000 CT4011 Peripheral Arterial Exposure P 12,000 15,960 18,000 21,000 24,000 CT4012 Peripheral Arterial Transposit 15,800 21,014 23,700 27,650 31,600 CT4013 Peripheral Artery Endarterecto 18,000 23,940 27,000 31,500 36,000 CT4014 Peripheral Bypass Using Vein 24,000 31,920 36,000 42,000 48,000 CT4015 Repair Of Aortic Coarctation 30,000 39,900 45,000 52,500 60,000 CT4016 Simple Av Fistula Ligation 15,000 19,950 22,500 26,250 30,000 CT4017 Treatment Of Ateriovenous Fis 15,800 21,014 23,700 27,650 31,600 DENTAL Service Service name Charges ( Rs.) Code CONSERVATIVE DENTISTRY DN1001 Ceramic Inlay Grade 1 6,000 DN1002 Ceramic Inlay Grade 2 8,000 DN1003 Ceramic Inlay Grade 3 10,000 DN1004 Ceramic Onlay Grade 1 8,000 DN1005 Ceramic Onlay Grade 2 10,000 DN1006 Ceramic Onlay Grade 3 12,000 DN1007 Ceramic Onlay Grade 4 15,000 DN1008 Composite Inlay Direct 4,000 DN1009 Composite Veneer 3,500 DN1010 Core Build Up Grade 1 1,000 DN1011 Core Build Up Grade 2 1,500 DN1012 Fluoride Application Per Quadrant 1,000 DN1013 Fluoride Application Per Sitting 500 DN1014 Fluoride Varnish Per Visit 1,000 DN1015 Indirect Pulp Capping 1,000 DN1016 Metal Inlay Grade 1 3,000 DN1017 Metal Inlay Grade 2 5,000 DN1018 Pit And Fissure Sealant Per Tooth Grade 1 800 DN1019 Pit And Fissure Sealant Per Tooth Grade 2 1,000 DN1020 Pit And Fissure Sealant Per Tooth Grade 3 1,500 DN1021 Post And Core Grade 1 1,500 DN1022 Post And Core Grade 2 2,500 DN1023 Pulpectomy 3,000 DN1025 Restoration Compomer Class 5 1,000
Page 6 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 DN1026 Restoration Composite 500 DN1027 Restoration Composite Class 1 1,200 DN1028 Restoration Composite Class 2 1,400 DN1029 Restoration Composite Class 3 1,700 DN1030 Restoration Composite Class 4 850 DN1031 Restoration Glass Ionomer Class 1 500 DN1032 Restoration Glass Ionomer Class 2 650 DN1033 Restoration Glass Ionomer Class 3 750 DN1034 Restoration Glass Ionomer Class 5 750 DN1035 Restoration Intermediate 600 DN1036 Restoration Miracle Mix 1,500 DN1037 Restoration Pulp Capping 600 DN1038 Restoration Silver Amalgam Grade 1 800 DN1039 Restoration Silver Amalgam Grade 2 1,000 DN1040 Restoration Silver Amalgam Grade 3 1,500 DN1041 Restoration Silver Amalgam Mod 2,200 DN1042 Restoration Temporary 500 DN1043 Root Canal 1St Sitting 1,600 DN1044 Root Canal 2Nd Sitting 2,000 DN1045 Root Canal Access Filling Composite 1,000 DN1046 Root Canal Access Filling GIC 600 DN1047 Root Canal Opening 1,200 DN1048 Root Canal Rotary 5,000 DN1049 Root Canal Treatment Anterior 3,500 DN1050 Root Canal Anterior Single Sitting 5,000 DN1051 Root Canal Treatment Posterior 4,500 DN1052 Root canal posterior Single sitting 6,000 DN1053 Re- Root canal treatment 5,000 Service Service name Charges ( Rs.) Code PROSTHODONTICS DN2001 All Ceramic Table Top Per Unit Grade 1 10,000 DN2002 All Ceramic Table Top Per Unit Grade 2 12,000 DN2003 Appliance Cleft Palate 5,000 DN2004 Bridge Per Unit 1,500 DN2005 Cast Partial Denture Grade 1 11,000 DN2006 Cast Partial Denture Grade 2 15,000 DN2007 Complete Denture Grade 1 15,000 DN2008 Complete Denture Grade 2 20,000 DN2009 Complete Denture Grade3 25,000 DN2013 Crown Removal 750 DN2014 Emax Laminates 1 12,000 DN2015 Emax Laminates 2 18,000 DN2016 Flexidenture Grade 1 11,000 DN2017 Flexidenture Grade 2 15,000 DN2018 Flexi Denture Grade3 18,000 DN2019 Full Ceramic Metal Free Crown Grade 1 10,000 DN2020 Full Ceramic Metal Free Crown Grade 2 12,000 DN2021 Full Ceramic Metal Free Crown Grade 3 15,000 DN2022 Full Ceramic Metal Free Crown Grade 4 18,000 DN2023 Full Ceramic Metal Free Crown Grade 5 22,000 DN2024 Laminate Per Tooth 10,000 DN2025 Lumineers 18,000 DN2026 Crown Porcelein 3,300 DN2027 Night Guard Grade 1 3,000 DN2028 Night Guard Grade 2 4,000 DN2029 Obturator 8,500 DN2030 Porcelein Crown 2Nd Sitting 2,000 DN2031 Porcelein Crown Per Sitting 2,500 DN2032 Porcelein Pfm Crown Grade 1 4,500 DN2033 Porcelein Pfm Crown Grade 2 5,000 DN2034 Porcelein Pfm Crown Grade 3 6,000 DN2035 Porcelein Pfm Crown Grade 4 8,000 DN2036 Porcelein Veneer 10,000 DN2037 Procera Crown Grade 1 10,000 DN2038 Procera Crown Grade 2 20,000 DN2039 Re Cementation Of Bridge 800 DN2040 Re Cementation Of Crown 500 DN2041 Re-Lining Grade 1 1,400 DN2042 Re-Lining Grade 2 2,500 DN2043 Re-Lining Grade 3 4,000
Page 7 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 DN2044 Repair Of Denture Grade 1 600 DN2045 Repair Of Denture Grade 2 1,000 DN2046 Rpd Per Additional Tooth 500 DN2047 Rpd Plate 5,000 DN2048 Rpd Type 1 Per Tooth 900 DN2049 Rpd Type 2 Per Tooth 1,500 DN2050 Smile Designing Lower 15,000 DN2051 Smile Designing Upper 15,000 DN2052 Space Maintainer 4,500 DN2053 Arcylic Crown 1,000 DN2054 crown Lava 14,000 DN2055 crown Lava(CAD-CAM) 18,000 DN2056 crown with ceramic facing 4,000 DN2057 crown metal 2,500 DN2058 crown acrylic 2,500 Service Service name Charges ( Rs.) Code PERIODONTICS DN3001 Bone graft grade 1 (GTR) 12,000 DN3002 Bone graft grade 2 (GTR) 15,000 DN3003 Bonegraft Grade 1 5,000 DN3004 Bonegraft Grade 2 6,500 DN3005 Bonegraft Grade 3 8,000 DN3006 Enameloplasty Per Tooth 600 DN3007 Flap Surgery Full Mouth Grade 1 6,000 DN3008 Flap Surgery Full Mouth Grade 2 20,000 DN3009 Flap Surgery Full Mouth Grade 3 30,000 DN3010 Flap Surgery Per Quadrant Grade 1 1,100 DN3011 Flap Surgery Per Quadrant Grade 2 5,000 DN3012 Flap Surgery Per Quadrant Grade 3 6,000 DN3013 Flap Surgery Per Quadrant Grade 4 8,000 DN3016 Gingival Contouring Per Tooth 600 DN3017 Gingival Currettage Per Quadrant 3,000 DN3018 Gingival Currettage Per Tooth 600 DN3019 Gingival Laser Contouring Per Tooth 1,000 DN3020 Gingivectomy 1,100 DN3021 Gingivectomy Per Quadrant 6,000 DN3022 Gingivectomy Per Tooth 800 DN3023 Gum Treatment Grade 1 1,100 DN3024 Gum Treatment Grade 2 2,200 DN3025 Gum Treatment Grade 3 3,300 DN3026 Polishing Per Tooth 700 DN3027 Re-Contouring Per Tooth 500 DN3028 Scaling Polishing Grade 1 1,500 DN3029 Scaling Polishing Grade 2 2,000 DN3030 Scaling Polishing Grade 3 2,500 DN3031 Sub Gingival Scaling,Root Planning Grade 1 1,500 DN3032 Sub Gingival Scaling,Root Planning Grade 2 2,000 DN3033 Gum Treatment full mouth grade1 8,000 DN3034 Gum Treatment full mouth grade2 12,000 DN3035 Oral Praphylaxn 1,000 COSMETIC DENTISTRY DN4001 Bleach follow up 5,000 DN4002 bleaching trays 2,200 DN4003 Brite smile teeth whitening 1 18,000 DN4004 Brite smile teeth whitening 2 20,000 DN4005 De sensitising treatment per tooth 800 DN4006 Homebleach with trays 5,000 DN4007 Teeth bleaching grade 1 8,000 DN4008 Teeth bleaching grade 2 10,000 DN4009 Walking bleach 2,500 DN4010 Zoom bleach 15,000 Service Service name Charges ( Rs.) Code ORTHODONTICS DN5001 Fixed orthodontic treatment visit grade 1 2,000 DN5002 Fixed orthodontic treatment visit grade 2 5,000 DN5003 Fixed orthodontic ceramic braces grade 1 50,000 DN5004 Fixed orthodontic ceramic braces grade 2 60,000 DN5005 Fixed orthodontic ceramic braces grade 3 75,000 DN5006 Fixed orthodontic ceramic self ligating 80,000
Page 8 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 DN5007 Fixed orthodontic lingual grade 1 75,000 DN5008 Fixed orthodontic lingual grade 2 100,000 DN5009 Fixed orthodontic lingual grade 3 150,000 DN5010 Fixed orthodontic self ligating metal braces 50,000 DN5011 Fixed orthodontic treatment (metal) grade 1 35,000 DN5012 Fixed orthodontic treatment (metal) grade 2 40,000 DN5013 Fixed orthodontic treatment (metal) grade 3 45,000 DN5014 Fixed orthodontic treatment installment 10,000 DN5015 Orthodontic treatment (clearpath/invisilign) grade 1 150,000 DN5016 Orthodontic treatment (clearpath/invisilign) grade 2 175,000 PEDODONTICS DN6001 Fixed Orthodontic Retainer 8,000 DN6002 Fixed Orthodontic Retainer Grade 1 6,000 DN6003 Growth Modifiers Grade 1 8,000 DN6004 Growth Modifiers Grade 2 10,000 DN6005 Pediatric Obturator 5,000 DN6006 Removable Appliance Bite Plate 4,000 DN6007 Removable Appliance By Trainer Therapy 8,000 DN6008 Removable Appliance Grade 1 (Retainer) 5,500 DN6009 Removable Appliance Habit Breaking Grade 1 3,500 DN6010 Removable Appliance Habit Breaking Grade 2 5,000 DN6011 Removable Appliance Therapy Grade 2 8,000 DN6012 Removable Appliance Therapy Grade 3 12,000 DN6013 Retainer Re-Making 1,500 DENTAL RADIOLOGY DN7001 Alveolectomy Grade 1 2,500 DN7002 Alveolectomy Grade 2 3,500 DN7003 Alveoplasty Grade 1 2,500 DN7004 Alveoplasty Grade 2 3,500 DN7005 Apisectomy Single Tooth Grade 1 5,500 DN7006 Apisectomy Single Tooth Grade 2 With Bone Graft 8,500 DN7007 Biopsy Grade 1 2,500 DN7008 Biopsy Grade 2 3,500 DN7009 Biopsy Grade 3 5,000 DN7013 Canine Exposure Grade 1 5,000 DN7014 Canine Exposure Grade 2 6,500 DN7015 Closure Of Oaf 6,500 DN7016 Collagen Plug Dressing 2,000 DN7017 Cyst Enucleation Grade 1 5,500 DN7018 Cyst Enucleation Grade 2 8,500 DN7019 Dental Suturing Grade 1 600 DN7020 Dental Suturing Grade 2 1,000 DN7021 Drainage Of Abscess Grade 1 600 DN7022 Drainage Of Abscess Grade 2 1,000 DN7023 Drainage Of Abscess Grade 3 2,000 DN7024 Extraction Of Braces Treatment Per Tooth 1,000 DN7025 Extraction Of Deciduous Tooth Grade 1 500 DN7026 Extraction Of Deciduous Tooth Grade 2 1,000 DN7031 Extraction Of Tooth Grade 1 500 DN7032 Extraction Of Tooth Grade 2 800 DN7033 Extraction Of Tooth Grade 3 1,000 DN7034 Extraction Surgical Removal Of Tooth Grade 1 1,500 DN7035 Extraction Surgical Removal Of Tooth Grade 2 2,000 DN7036 Extraction Surgical Removal Of Tooth Grade 3 3,000 DN7037 Frenectomy Grade 1 3,500 DN7038 Frenectomy Grade 2 5,500 DN7039 Imf Grade 1 15,000 DN7040 Imf Grade 2 18,000 DN7041 Imf Removal 1,500 DN7049 Indirect Sinus Lift 5,000 DN7050 Nerve Avulsion 15,000 DN7051 Nerve Block 1,500 DN7052 Opurculectomy 1,000 DN7053 Removal Of Fractured Deccayed Tooth 1,700 DN7054 Ridge Splinting Grade 1 5,000 DN7055 Ridge Splinting Grade 2 8,000 DN7056 Sinus Lift Grade 1 Direct 15,000 DN7057 Sinus Lift Grade 2 Direct 20,000 DN7058 Socket Currettage 1,000 DN7059 Splinting Grade 1 2,500 DN7060 Splinting Grade 2 3,000
Page 9 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 DN7061 Surgical Extraction Of Impacted Tooth Grade 1 4,500 DN7062 Surgical Extraction Of Impacted Tooth Grade 2 5,500 DN7063 Surgical Extraction Of Impacted Tooth Grade 3 6,500 DN7064 Surgical Extraction Of Impacted Tooth Grade 4 8,000 DN7065 Surgical Extraction Of Impacted Tooth Grade 5 10,000 DN7066 Surgical Extraction Of Root From Maxillary Sinus 10,000 DN7067 Suturing Laceration 2,000 DN7068 Tooth Re-Implantation With Splinting 5,000 DN7069 Treatment Of Dry Socket Grade 1 2,000 DN7070 Treatment Of Dry Socket Grade 2 3,000 ORAL SURGERY DN8001 IOPAR 200 DN8002 Lateral Cephalogram 440 DN8003 OPG 440 DN8004 RVG 200 DN8005 X ray 150 IMPLANTOLOGY DN9001 Study models 800 DN9002 implant grade 1 28,000 DN9003 implant grade 2 30,000 DN9004 implant grade 3 32,000 DN9005 implant grade 4 35,000 DN9006 implant grade 5 40,000 DN9007 mini implant grade 1 18,000 DN9008 mini implant grade 2 22,000 DN9009 mini implant grade 3 25,000 DN9010 implant supported denture with 2 implants 150,000 DN9011 implant supported denture with 4 implants 260,000 DN9012 implant abutment grade1 5,000 DN9013 implant abutment grade 2 7,500 DN9014 implant abutment grade 3 9,500 DN9015 implant abutment Zirconia grade 1 15,000 DN9016 implant abutment Zirconia grade 2 20,000 DN9017 Implant crown grade 1 5,000 DN9018 Implant crown grade 2 8,000 DN9019 Implant crown grade 3 10,000 DN9020 immediate loading implant per implant 60,000 DERMATOLOGY (SKIN & COSMETIC CENTRE) Service Service name Charges ( Rs.) Code SKIN & COSMETIC PROCEDURES DM1001 Acne Laser 4 Session 7,500 DM1002 Acne Laser Single Session 2,200 DM1003 Biopsy Skin Cscs 3,200 DM1004 Biopsy Mucosal 2,700 DM1005 Biopsy Nail 3,300 DM1006 Botox Procedure Administration (Per Unit) 250 DM1007 Chemical Cautary - Genital Warts (Per Sitting) 800 DM1008 Chemical Cautary - Xanthelasma (Per Sitting) - Both eyelids 2,000 DM1009 Chemical Cautary - Xanthelasma (Per Sitting) - One eyelid 1,000 DM1010 Chemical Cautery (Per Lesion) 350 DM1011 Chemical Cautry For Xanthelasma (small) 650 DM1012 Co2 Laser - Plantar & Palmar Wart (Per Lesion) 1,320 DM1013 Co2 Laser (Per Lesion) 610 DM1014 Co2 Laser For Xanthelasma 1,320 DM1015 Collagen Induction Therapy (Per Sitting) 2,750 DM1016 Comedone Extraction ( Per Lesion) 250 DM1017 Comedone Extraction Large Area 2,000 DM1018 Comedone Extraction Small Area 1,000 DM1019 Corn Removal Per Lesion 2,400 DM1020 Cyst Removal (Large) 2,400 DM1021 Cyst Removal (Medium) 1,600 DM1022 Cyst Removal (Small) 800 DM1023 Dark Circle 4 Session (peel) 3,500 DM1024 Dark Circle Per Session(peel) 1,080 DM1025 Dermabrasion-Small 16,500 DM1026 Dermabrasion-Medium 27,500 DM1027 Dernabrasion-Large 44,000 DM1028 Dressing Skin (Large) 550 DM1029 Dressing Skin (Medium) 350 DM1030 Dressing Skin (Small) 200
Page 10 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 DM1031 Facial Rajuvenation Per Sitting (IPL) 2,500 DM1032 Facial Rejuvenasion 4 session(IPL) 7,500 DM1033 Fillers (Per 0.5 Ml) 15,000 DM1034 Fillers (Per 1.0 Ml) 25,000 DM1035 Fraxel Deep Scars ( 4 Session) 92,000 DM1036 Fraxel Deep Scars (Per Session) 26,000 DM1037 Fraxel ( 4 Session) Large 68,000 DM1038 Fraxel ( 4 Session) Medium 46,000 DM1039 Fraxel ( 4 Session) Small 24,000 DM1040 Fraxel (Per Session) Large 20,000 DM1041 Fraxel (Per Session) Medium 13,000 DM1042 Fraxel (Per Session) Small 7,500 DM1043 Glycolic Peels (Arms) 5 Sitting 14,000 DM1044 Glycolic Peels (Arms) Per Sitting 3,000 DM1045 Glycolic Peels (Back) 5 Sitting 14,000 DM1046 Glycolic Peels (Back) Per Sitting 3,000 DM1047 Glycolic Peels (Face) 5 Sitting 7,500 DM1048 Glycolic Peels (Face) Per Sitting 1,800 DM1049 Glycolic Peels (Legs) 5 Sitting 14,000 DM1050 Glycolic Peels (Legs) Per Sitting 3,000 DM1051 Glycolic Peels (Neck) 5 Sitting 4,800 DM1052 Glycolic Peels (Neck) Per Sitting 1,200 DM1053 Hair Analysis 550 DM1054 Hair Removal Laser (Abdomen) 6+2 Sitting (Female) 46,000 DM1055 Hair Removal Laser (Abdomen) 6+2 Sitting (Male) 52,000 DM1056 Hair Removal Laser (Abdomen) Per Sitting (Female) 8,000 DM1057 Hair Removal Laser (Abdomen) Per Sitting (Male) 9,000 DM1058 Hair Removal Laser (Arms) 6+2 Sitting(Female) 44,000 DM1059 Hair Removal Laser (Arms) 6+2 Sitting (Male) 49,500 DM1060 Hair Removal Laser (Arms) Per Sitting (Female) 7,000 DM1061 Hair Removal Laser (Arms) Per Sitting (Male) 7,700 DM1062 HAIR REMOVAL LASER (BACK) 6+2 SITTING (FEMALE) 60,000 DM1063 Hair Removal Laser (Back) 6+2 Sitting (Male) 66,000 DM1064 Hair Removal Laser (Back) Per Sitting (Female) 8,800 DM1065 Hair Removal Laser (Back) Per Sitting (Male) 11,000 DM1066 Hair Removal Laser (Beard Shaping) 6+2 Sitting (Male) 16,500 DM1067 Hair Removal Laser (Beard Shaping) Per Sitting (Male) 2,750 DM1068 Hair Removal Laser (Bikni Area) 6+2 Sitting (Female) 26,400 DM1069 Hair Removal Laser (Bikni Area) 6+2 Sitting (Male) 28,600 DM1070 Hair Removal Laser (Bikni Area) Per Sitting (Female) 4,400 DM1071 Hair Removal Laser (Bikni Area) Per Sitting (Male) 5,500 DM1072 Hair Removal Laser (Chest) 6+2 Sitting (Female) 38,500 DM1073 Hair Removal Laser (Chest) 6+2 Sitting (Male) 44,000 DM1074 Hair Removal Laser (Chest) Per Sitting(Female) 5,500 DM1075 Hair Removal Laser (Chest) Per Sitting (Male) 6,600 DM1076 Hair Removal Laser (Ear Lobes) 6+2 Sitting 8,800 DM1077 Hair Removal Laser (Ear Lobes) Per Sitting 1,650 DM1078 Hair Removal Laser (Fore Head) 6+2 Sitting (Female) 13,200 DM1079 Hair Removal Laser (Fore Head) 6+2 Sitting(Male) 16,500 DM1080 Hair Removal Laser (Fore Head) Per Sitting (Female) 2,200 DM1081 Hair Removal Laser (Fore Head) Per Sitting (Male) 2,750 DM1082 Hair Removal Laser (Full Body) 6+2 Sitting (Female) 242,000 DM1083 Hair Removal Laser (full Body) 6+2 Sitting (Male) 264,000 DM1084 Hair Removal Laser (full Body) Per Sitting(Female) 44,000 DM1085 Hair Removal Laser (full Body) Per Sitting (Male) 55,000 DM1086 Hair Removal Laser (Full Legs) 6+2 Sitting(Female) 66,000 DM1087 Hair Removal Laser (Full Legs) 6+2 Sitting (Male) 71,500 DM1088 Hair Removal Laser (Full Legs) Per Sitting (Female) 12,000 DM1089 Hair Removal Laser (Full Legs) Per Sitting (Male) 13,000 DM1090 Hair Removal Laser (Half Face) 6+2 Sitting 19,800 DM1091 Hair Removal Laser (Half Face) Per Sitting 3,080 DM1092 Hair Removal Laser (Lower Arms) per Sitting (Female) 5,500 DM1093 Hair Removal Laser (Lower Arms) per Sitting(Male) 6,600 DM1094 Hair Removal Laser (Lower Arms) 6+2 Sitting (Female) 38,500 DM1095 Hair Removal Laser (Lower Arms) 6+2 Sitting(Male) 44,000 DM1096 Hair Removal Laser (Lower Legs) 6+2 Sitting (Female) 41,000 DM1097 Hair Removal Laser (Lower Legs) 6+2 Sitting (Male) 42,000 DM1098 Hair Removal Laser (Lower Legs) Per Sitting (Female) 8,200 DM1099 Hair Removal Laser (Lower Legs) Per Sitting (Male) 8,400 DM1100 Hair Removal Laser (Mid Brow) 6+2 Sitting 8,800 DM1101 Hair Removal Laser (Mid Brow) Per Sitting 1,650
Page 11 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 DM1102 Hair Removal Laser (Mid-Riff) 6+2 Sitting (Female) 30,800 DM1103 Hair Removal Laser (Mid-Riff) Per Sitting (Female) 4,400 DM1104 Hair Removal Laser (Periareolar) 6+2 Sitting (Female) 15,400 DM1105 Hair Removal Laser (Periareolar) Per Sitting (Female) 2,200 DM1106 Hair Removal Laser (Pubic Area) 6+2 Sitting (Female) 28,600 DM1107 Hair Removal Laser (Pubic Area) 6+2 Sitting (Male) 17,600 DM1108 Hair Removal Laser (Pubic Area) Per Sitting (Female) 5,500 DM1109 Hair Removal Laser (Pubic Area) Per Sitting (Male) 3,300 DM1110 Hair Removal Laser (Scalp) 6+2 Sitting (Male) 60,500 DM1111 Hair Removal Laser (Scalp) Per Sitting (Male) 12,100 DM1112 Hair Removal Laser (Side Locks) 6+2 Sitting 22,000 DM1113 Hair Removal Laser (Side Locks) Per Sitting 3,850 DM1114 Hair Removal Laser (Umbilical/Naval Line) 6+2 Sitting (Female) 17,600 DM1115 Hair Removal Laser (Umbilical/Naval Line) Per Sitting (Female) 3,300 DM1116 Hair Removal Laser (Under Arms) 6+2 Sitting (Female) 24,200 DM1117 Hair Removal Laser (Under Arms) 6+2 Sitting (Male) 27,500 DM1118 Hair Removal Laser (Under Arms) Per Sitting (Female) 4,400 DM1119 Hair Removal Laser (Under Arms) Per Sitting (Male) 5,500 DM1120 Hair Removal Laser (Upper Lips) 6+2 Sitting 10,450 DM1121 Hair Removal Laser (Upper Lips) Per Sitting 2,200 DM1122 Hair Removeal Laser (Full Face) Per Sitting 5,280 DM1123 Hair Tranplantation (Per graft) 70 DM1124 Hair Tranplantation Level - I 30,250 DM1125 Hair Tranplantation Level - II 60,500 DM1126 Hair Tranplantation Level - III 90,750 DM1127 Hair Tranplantation Level - IV 121,000 DM1128 Hair Tranplantation Level - V 151,250 DM1129 Hair Tranplantation Level - VI 181,500 DM1130 Incision & Drainage (Large) 6,100 DM1131 Incision & Drainage (Medium) 4,800 DM1132 Incision & Drainage (Small) 2,550 DM1133 Intra Lesional Therapy (Per Sitting) 500 DM1134 Intralesion Inj. (Single Lession) 500 DM1135 Intralesional Steroid Large Area 2,000 DM1136 Intralesional Steroid Small Area 1,000 DM1137 Iontophoresis (Per Week) 2,200 DM1138 Laser Acne Treatment Per Sitting (face & neck) 3,630 DM1139 Laser Hair Reducation Scalp (6+2 Session) 66,550 DM1140 Laser Hair Reducation Scalp( Per Session) 13,000 DM1141 Microderma Brasion (Face) Per Sitting 2,000 DM1142 Microderma Brasion (Arms) 5 Sitting 15,400 DM1143 Microderma Brasion (Arms) Per Sitting 3,500 DM1144 Microderma Brasion (Back) 5 Sitting 15,400 DM1145 Microderma Brasion (Back) Per Sitting 3,500 DM1146 Microderma Brasion (Face) 5 Sitting 7,500 DM1147 Microderma Brasion (Legs) 5 Sitting 15,400 DM1148 Microderma Brasion (Legs) Per Sitting 3,500 DM1149 Microderma Brasion (Neck) 5 Sitting 6,000 DM1150 Microderma Brasion (Neck) Per Sitting 1,400 DM1151 Microscopic Hair Analysis 600 DM1152 Milia Extraction (Per Lesion) 330 DM1153 Milia Treatment (Upto 10 Lession) 1,680 DM1154 Mole Removal (Per Mole) 3,600 DM1155 Nail Avulsion Per Nail 3,800 DM1156 Nbuvb Phototherapy (Derma) Per Sitting 600 DM1157 Nbuvb Phototherapy Per Month 4,400 DM1158 Nbuvb Phototherapy Localized Per Sitting 330 DM1159 Paring Lesion (Large) Per Sitting 1,800 DM1160 Paring Lesion (Medium) Per Sitting 1,200 DM1161 Paring Lesion (Small) Per Sitting 600 DM1162 Patch Test 3,200 DM1163 Lipolysis 1 (non surgical) 6,600 DM1164 Lipolysis II (non surgical) 11,000 DM1165 Lipolysis III (non surgical) 16,500 DM1166 Punch Grafting (Per Punch) 550 DM1167 Q Switched Laser (Per Sitting) 7,700 DM1168 Rf Cautery (Per Lesion) 400 DM1169 Salicylic Acid Peel 5 Sitting 6,600 DM1170 Salicylic Acid Peel Per Sitting 1,500 DM1171 Scar Revision (Large) Per Sitting 31,350 DM1172 Scar Revision (Medium) Per Sitting 19,250
Page 12 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 DM1173 Scar Revision (Small) Per Sitting 7,800 DM1174 Skin Smear 440 DM1175 Skin Stitching more than 6 Stitches 3,000 DM1176 Skin Stitching Up To 6 Stitches 1,800 DM1177 Skin Tightning (Large) 20,000 DM1178 Skin Tightning (Medium) 15,000 DM1179 Skin Tightning (Small) 10,000 DM1180 Smear For Fungus Making Charges 330 DM1181 Smear Making Charges 330 DM1182 Tattooing- Small 6,000 DM1183 Tattooing - Medium 14,500 DM1184 Tattooing- Large 30,000 DM1185 Tca Peel ( Arms) 5 Sitting 18,000 DM1186 Tca Peel (Arms) Per Sitting 4,200 DM1187 Tca Peel (Back )5 Sitting 14,000 DM1188 Tca Peel (Back) Per Sitting 3,000 DM1189 Tca Peel (Face) 5 Sitting 10,000 DM1190 Tca Peel (Face) Per Sitting 2,400 DM1191 Tca Peel (Legs) 5 Sitting 18,000 DM1192 Tca Peel (Legs) Per Sitting 4,200 DM1193 Tca Peel (Neck) 5 Sitting 6,000 DM1194 Tca Peel (Neck) Per Sitting 1,800 DM1195 Thermage Face A 33,000 DM1196 Thermage Face B 44,000 DM1197 Thermage Face C 55,000 DM1198 Tumor Excision Large 12,000 DM1199 Tumor Excision Medium 8,000 DM1200 Tumor Excision Small 5,600 DM1201 Vascular (Large) Per Sitting 12,100 DM1202 Vascular (Medium) Per Sitting 5,000 DM1203 Vascular (Small) Per Sitting 1,200 DM1204 Vitiligo Surgery (Large) 60,500 DM1205 Vitiligo Surgery (Medium) 30,250 DM1206 Vitiligo Surgery (Small) 11,880 DM1207 Wound Debridement (Large) Per Sitting 4,950 DM1208 Wound Debridement (Small) Per Sitting 1,800 DERMATOLOGY INVESTIGATIONS DM2001 ALLERGY TESTING N 1,980 DM2002 ALLERGY TESTING D 2,420 DM2003 ALLERGY TESTING I 2,750 DM2004 ALLERGY TESTING V 3,300 DM2005 ALLERGY TESTING V+ I 4,840 DM2006 ALLERGY TESTING V + N + I 5,500 DM2007 ALLERGY TESTING V + I + D 6,050 DM2008 ALLERGY TESTING COMPLETE 6,600
ENT Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed Minor procedure/surgery EN1001 Adenoidectomy 5,570 7,408 8,355 9,748 11,140 EN1002 Anterior & Posterior Nasal Packing 6,930 9,217 10,395 12,128 13,860 EN1003 Anterior Tracheal Wall Flap 4,200 5,586 6,300 7,350 8,400 EN1004 Antral Wash Outs Bilateral 2,730 3,631 4,095 4,778 5,460 EN1005 Antral Wash Outs Unilateral 1,680 2,234 2,520 2,940 3,360 EN1006 Aspiration & Drainage With Pressure Bandage Haematoma Pinna 2,100 2,793 3,150 3,675 4,200 EN1007 Aural Polypectomy 4,100 5,453 6,150 7,175 8,200 EN1008 Bronchoscopy With Foreign Body Removal 6,720 8,938 10,080 11,760 13,440 EN1009 Caldwell Lucs Operation 8,820 11,731 13,230 15,435 17,640 EN1010 Cauterization Bleeding Point Nose Cautery Electric 2,100 2,793 3,150 3,675 4,200 EN1011 Cauterization Bleeding Point Nose Sliver Nitrate 840 1,117 1,260 1,470 1,680 EN1012 Cautery Patching Ear 3,990 5,307 5,985 6,983 7,980 EN1013 Direct Laryngoscopy / Fodl 4,730 6,291 7,095 8,278 9,460 EN1014 Ear - Foreign Body removal 420 559 630 735 840 EN1015 Ear Packing 170 226 255 298 340 EN1016 Endoscopic Adenoidectomy 9,450 12,569 14,175 16,538 18,900 EN1017 ETF 470 625 705 823 940 EN1018 Eum (Exam Under Microscope) Ent 740 984 1,110 1,295 1,480 EN1019 Excision Branchial Cyst 7,980 10,613 11,970 13,965 15,960 EN1020 Excision Branchial Fistula 7,980 10,613 11,970 13,965 15,960 EN1021 Excision Branchial Sinus 9,350 12,436 14,025 16,363 18,700
Page 13 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 EN1022 Excision Growth External Auditory Canal 5,360 7,129 8,040 9,380 10,720 EN1023 Excision Of Nasal Synaechae (Adhesions) Bilateral 4,730 6,291 7,095 8,278 9,460 EN1024 Excision Of Nasal Synaechae (Adhesions) Unilateral 3,470 4,615 5,205 6,073 6,940 EN1025 Excision Sebaceous Cyst Neck 2,730 3,631 4,095 4,778 5,460 EN1026 Excision Submandibular Gland 9,350 12,436 14,025 16,363 18,700 EN1027 Fibre Optic Laryngoscopy 2,100 2,793 3,150 3,675 4,200 EN1028 Fibreoptic Nasal Endoscopy 2,100 2,793 3,150 3,675 4,200 EN1029 Foreign Body - Nose/ Oral Cavity -Removal 1,010 1,343 1,515 1,768 2,020 EN1030 Foreign Body Hypopharynx 6,720 8,938 10,080 11,760 13,440 EN1031 Foreign Body Larynx 6,720 8,938 10,080 11,760 13,440 EN1032 Injection Nasal Turbinates/Sub Mucosal Fibrosis 420 559 630 735 840 EN1033 Intra Nasal Ethemoidectomy Bilateral 10,500 13,965 15,750 18,375 21,000 EN1034 Intra Oral Removal Of Calculus Submandibular Duct 3,470 4,615 5,205 6,073 6,940 EN1035 Intranasal Antrostomy Unilateral 4,730 6,291 7,095 8,278 9,460 EN1036 Intra nasal Ethemoidectomy 9,350 12,436 14,025 16,363 18,700 EN1037 Lymph Node Biopsy Neck 3,570 4,748 5,355 6,248 7,140 EN1038 Myringotomy Bilateral 5,360 7,129 8,040 9,380 10,720 EN1039 Myringotomy Bilateral With Gromets 7,980 10,613 11,970 13,965 15,960 EN1040 Myringotomy Unilateral 3,470 4,615 5,205 6,073 6,940 EN1041 Myringotomy Unilateral With Gromets 6,090 8,100 9,135 10,658 12,180 EN1042 Nasal Endoscopy (Ent) 2,100 2,793 3,150 3,675 4,200 EN1043 Nasal Packing Anterior 3,470 4,615 5,205 6,073 6,940 EN1044 Nasal Packing With Catheter Balloons B/L (Endoscopy Assisted) 4,620 6,145 6,930 8,085 9,240 EN1045 Nasal Packing With Catheter Balloons U/L (Endoscopy Assisted) 3,470 4,615 5,205 6,073 6,940 EN1046 Nasal Polypectomy Bilateral 9,350 12,436 14,025 16,363 18,700 EN1047 Nasal Polypectomy Unilateral 6,720 8,938 10,080 11,760 13,440 EN1048 Oesophagoscopy With Foreign Body Removal 6,720 8,938 10,080 11,760 13,440 EN1049 Oto Endoscopy 1,160 1,543 1,740 2,030 2,320 EN1050 Partial Glossectomy 4,200 5,586 6,300 7,350 8,400 EN1051 Partial Turbinectomy 5,250 6,983 7,875 9,188 10,500 EN1052 Peritonsillar Abscess Incision & Drainage 3,360 4,469 5,040 5,880 6,720 EN1053 Pre Auricular Sinus Excision 7,980 10,613 11,970 13,965 15,960 EN1054 R.F Of Palate 5,250 6,983 7,875 9,188 10,500 EN1055 R.F Of Tongue 5,250 6,983 7,875 9,188 10,500 EN1056 R.F Of Turbinate 5,250 6,983 7,875 9,188 10,500 EN1057 Reduction Manipulation Of Nasal Bones 5,360 7,129 8,040 9,380 10,720 EN1058 Removal Of Foreign Body Ears 2,100 2,793 3,150 3,675 4,200 EN1059 Removal Of Foreign Body Nose 2,100 2,793 3,150 3,675 4,200 EN1060 Removal Of Imf Wire 1,680 2,234 2,520 2,940 3,360 EN1061 Removal Of Nasal Pack 1,470 1,955 2,205 2,573 2,940 EN1062 Removal Of Wax Ears Bilateral 740 984 1,110 1,295 1,480 EN1063 Removal Of Wax Ears Unilateral 420 559 630 735 840 EN1064 Repair Of Split Lobules Bilateral 2,630 3,498 3,945 4,603 5,260 EN1065 Repair Of Split Lobules Unilateral 1,890 2,514 2,835 3,308 3,780 EN1066 Repair Palatal Fistula 9,350 12,436 14,025 16,363 18,700 EN1067 Retropharyngeal Abscess Incision & Reainage 6,720 8,938 10,080 11,760 13,440 EN1068 Septal Abscess Incision & Drainage 5,250 6,983 7,875 9,188 10,500 EN1069 Septal Anscess Incision & Drainage 2,940 3,910 4,410 5,145 5,880 EN1070 Septal Hematoma Incision & Drainage 5,250 6,983 7,875 9,188 10,500 EN1071 Septoplasty 8,400 11,172 12,600 14,700 16,800 EN1072 Sinus Endoscopy 3,470 4,615 5,205 6,073 6,940 EN1073 Submucosal Cauterization Turbinates 2,100 2,793 3,150 3,675 4,200 EN1074 Submucosal Diathermy Turbinates 2,100 2,793 3,150 3,675 4,200 EN1075 Suction Clearance Ears / Nose - Bilateral 340 452 510 595 680 EN1076 Suction Clearance Ears / Nose - Unilateral 340 452 510 595 680 EN1077 Suturing Of Small Wounds Neck 1,790 2,381 2,685 3,133 3,580 EN1078 Suturing Of Small Wounds Nose 1,790 2,381 2,685 3,133 3,580 EN1079 Syringing Ears - Wax 210 279 315 368 420 EN1081 Thyroglossal Cyst Excision 9,350 12,436 14,025 16,363 18,700 EN1082 Thyroglossal Sinus Excision 9,350 12,436 14,025 16,363 18,700 EN1083 Tinnites Matching 420 559 630 735 840 EN1084 Tongue Tie Release & Suturing 3,360 4,469 5,040 5,880 6,720 EN1085 Tonsillectomy 9,350 12,436 14,025 16,363 18,700 EN1086 Tracheostomy 9,350 12,436 14,025 16,363 18,700 EN1087 Turbinectomy 5,040 6,703 7,560 8,820 10,080 EN1088 Uvuloplasty 5,250 6,983 7,875 9,188 10,500 EN1089 Video Laryngoscopy 2,310 3,072 3,465 4,043 4,620 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed Major surgery EN2001 Adenotonsillectomy 10,610 14,111 15,915 18,568 21,220
Page 14 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 EN2002 Anterior Ethemoidal Artery Ligation 10,610 14,111 15,915 18,568 21,220 EN2003 Carotid Body Tumour Excision 33,600 44,688 50,400 58,800 67,200 EN2004 Choanal Atresia 13,230 17,596 19,845 23,153 26,460 EN2005 Closure Of Oro Antral Fistula 10,610 14,111 15,915 18,568 21,220 EN2006 Cochlear Implantation 42,000 55,860 63,000 73,500 84,000 EN2007 Cortical Mastoidectomy 13,230 17,596 19,845 23,153 26,460 EN2008 Dilation Oesophageal Strictures 10,610 14,111 15,915 18,568 21,220 EN2009 Endo Lymphatic Sac Cecompression 18,900 25,137 28,350 33,075 37,800 EN2010 Endoscopic Csf Fistula Repair 19,950 26,534 29,925 34,913 39,900 EN2011 Endoscopic Dcr 13,440 17,875 20,160 23,520 26,880 EN2012 Endoscopic Orbital Decompression 18,900 25,137 28,350 33,075 37,800 EN2013 Endoscopic Sphenoethmoidectomy 23,100 30,723 34,650 40,425 46,200 EN2014 Endoscopic Sphenoidectomy 23,100 30,723 34,650 40,425 46,200 EN2015 Excision Cum Repair Laryngeal Stenosis 14,600 19,418 21,900 25,550 29,200 EN2016 Excision Cum Repair Tracheal Stenosis 14,600 19,418 21,900 25,550 29,200 EN2017 Excision Nasopharyngeal Angiofibroma 22,580 30,031 33,870 39,515 45,160 EN2018 Excision Pharyngeal Diverticulum 13,230 17,596 19,845 23,153 26,460 EN2019 Excision Pharyngeal Pouch 13,230 17,596 19,845 23,153 26,460 EN2020 Ext Ethmoidectomy 13,230 17,596 19,845 23,153 26,460 EN2021 Facial Nerve Decompression 19,950 26,534 29,925 34,913 39,900 EN2022 Fracture Naso Ethmoidal Comples 13,230 17,596 19,845 23,153 26,460 EN2023 Functional Endoscopic Sinus Surgery 15,960 21,227 23,940 27,930 31,920 EN2024 Glomus Jugulare Tumor Trans Tympanic Approach 42,000 55,860 63,000 73,500 84,000 EN2025 Laryngeal Web Excision 10,610 14,111 15,915 18,568 21,220 EN2026 Laryngectomy Conservative 19,950 26,534 29,925 34,913 39,900 EN2027 Laryngectomy Total 19,950 26,534 29,925 34,913 39,900 EN2028 Laryngo Fissurotomy 13,230 17,596 19,845 23,153 26,460 EN2029 Lateral Pharyngotomy 13,230 17,596 19,845 23,153 26,460 EN2030 Lateral Rhinotomy 13,230 17,596 19,845 23,153 26,460 EN2031 Ligation Ext Carotid Artery 10,610 14,111 15,915 18,568 21,220 EN2032 Ligation Sphenopalatine Artery 10,610 14,111 15,915 18,568 21,220 EN2033 Mastoid Cavity Obliteration 14,600 19,418 21,900 25,550 29,200 EN2034 Mastoidectomy Modified 14,600 19,418 21,900 25,550 29,200 EN2035 Mastoidectomy Radical 14,600 19,418 21,900 25,550 29,200 EN2036 Maxillectomy 19,950 26,534 29,925 34,913 39,900 EN2037 Microlaryngeal Surgery 13,230 17,596 19,845 23,153 26,460 EN2038 Myringoplasty 13,230 17,596 19,845 23,153 26,460 EN2039 Ossiculoplasty 13,230 17,596 19,845 23,153 26,460 EN2040 Pan Endoscopy & Biopsy 10,610 14,111 15,915 18,568 21,220 EN2041 Parapharyngeal Abscess Incision & Drainage 11,450 15,229 17,175 20,038 22,900 EN2042 Post Cochlear Implant 34,650 46,085 51,975 60,638 69,300 EN2043 Radical Ethemoidal Surgery 19,950 26,534 29,925 34,913 39,900 EN2044 Radical Frontal Surgery 19,950 26,534 29,925 34,913 39,900 EN2045 Radical Sphenoid Surgery 19,950 26,534 29,925 34,913 39,900 EN2046 Rhinoplasty Augmented 15,750 20,948 23,625 27,563 31,500 EN2047 Rhinoplasty Corrective 15,750 20,948 23,625 27,563 31,500 EN2048 Rhinoplasty Cum Septoplasty 15,750 20,948 23,625 27,563 31,500 EN2049 Stapedectomy 14,600 19,418 21,900 25,550 29,200 EN2050 Styloidectomy 13,230 17,596 19,845 23,153 26,460 EN2051 Thyroidectomy 14,600 19,418 21,900 25,550 29,200 EN2052 Transantral Ethmoidectomy (Horgans) 14,600 19,418 21,900 25,550 29,200 EN2053 Tympanomastoidectomy 18,710 24,884 28,065 32,743 37,420 EN2054 Tympanoplasty 14,600 19,418 21,900 25,550 29,200 EN2055 Vidian Neurectomy 14,600 19,418 21,900 25,550 29,200 EN2056 Ear Lobule Repair 3,150 4,190 4,725 5,513 6,300
Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed Speech and Hearing clinic EN3001 ASSR 2,630 3,498 3,945 4,603 5,260 EN3002 BERA/ABR 2,630 3,498 3,945 4,603 5,260 EN3003 BOA/FFA 530 705 795 928 1,060 EN3004 Ear Mould 1,050 1,397 1,575 1,838 2,100 EN3005 Hearing Aid Trail 420 559 630 735 840 EN3006 Hearing Screening Neonatal 580 771 870 1,015 1,160 EN3007 Impedance 840 1,117 1,260 1,470 1,680 EN3008 OAE 1,160 1,543 1,740 2,030 2,320 EN3009 Pure Tone Audiometery (Pta) 500 665 750 875 1,000 EN3010 Audio Metery 420 559 630 735 840 EN3011 Speech Therapy(Per session) 630 838 945 1,103 1,260 EN3012 Tone Decay Test 290 386 435 508 580
Page 15 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 EN3013 Tympanometery 840 1,117 1,260 1,470 1,680 EN3014 TDI/SISI 530 705 795 928 1,060 GENERAL & LAPAROSCOPIC SURGERY Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed Minor Procedure/surgery GS1001 Abscess Incision & Drainage 2,200 2,926 3,300 3,850 4,400 GS1002 Abscess Incision & Drainage In Ot 2,750 3,658 4,125 4,813 5,500 GS1003 Adhesiolysis 9,900 13,167 14,850 17,325 19,800 GS1004 Adhesiolysis & Division Of Bands 9,900 13,167 14,850 17,325 19,800 GS1005 Anal Dilatation Lords Procedure 2,310 3,072 3,465 4,043 4,620 GS1006 Anal Fistula Plug 9,900 13,167 14,850 17,325 19,800 GS1007 Anchoring Of Gaestrotomy Tube Under La 1,870 2,487 2,805 3,273 3,740 GS1008 Appendectomy 9,900 13,167 14,850 17,325 19,800 GS1009 Appendicular Abscess Drainge 8,800 11,704 13,200 15,400 17,600 GS1010 Axillary Dissection 8,800 11,704 13,200 15,400 17,600 GS1011 Biopsy Lymph Node 4,950 6,584 7,425 8,663 9,900 GS1012 Biopsy Lymph Node Axilla 4,950 6,584 7,425 8,663 9,900 GS1013 Biopsy Lymph Node Inguinal 4,950 6,584 7,425 8,663 9,900 GS1014 Bladder Repair 6,600 8,778 9,900 11,550 13,200 GS1015 Breast Abscess Incision & Drainage 4,950 6,584 7,425 8,663 9,900 GS1016 Breast Lumpectomy 6,600 8,778 9,900 11,550 13,200 GS1017 Breast Quatrantectomy 11,000 14,630 16,500 19,250 22,000 GS1018 Burst Abdomen Repair 10,450 13,899 15,675 18,288 20,900 GS1019 Carbuncle (Large) 8,800 11,704 13,200 15,400 17,600 GS1020 Carbuncle (Small) 5,500 7,315 8,250 9,625 11,000 GS1021 Cholangiogram Intra Operative 3,850 5,121 5,775 6,738 7,700 GS1022 Cholecystostomy 9,350 12,436 14,025 16,363 18,700 GS1023 Circumcision 5,500 7,315 8,250 9,625 11,000 GS1024 Colostomy Bag Application 660 878 990 1,155 1,320 GS1025 Colostomy Closure 9,350 12,436 14,025 16,363 18,700 GS1026 Core Excision Under La 2,750 3,658 4,125 4,813 5,500 GS1027 Corn Excision Under La 1,650 2,195 2,475 2,888 3,300 GS1028 Corn Excision Under La - Multiple 3,300 4,389 4,950 5,775 6,600 GS1029 Cyst Removal (Skin) 2,970 3,950 4,455 5,198 5,940 GS1030 Diabetic Gangrene (Major) 8,030 10,680 12,045 14,053 16,060 GS1031 Diabetic Gangrene (Minor) 4,840 6,437 7,260 8,470 9,680 GS1032 Dissection Lymph Node pelvis 11,550 15,362 17,325 20,213 23,100 GS1033 Dressing In Ot 2,200 2,926 3,300 3,850 4,400 GS1034 Escharotomy 3,850 5,121 5,775 6,738 7,700 GS1035 Excision Lipoma Of Large Lump Back 8,690 11,558 13,035 15,208 17,380 GS1036 Excision Lipoma U\A 6,270 8,339 9,405 10,973 12,540 GS1037 Excision Of Dilated Duct 5,500 7,315 8,250 9,625 11,000 GS1038 Excision Of Spermatocoele 5,500 7,315 8,250 9,625 11,000 GS1039 Excision Of Tumour 6,820 9,071 10,230 11,935 13,640 GS1040 Excision Sebaceous Cyst (Small ) 3,300 4,389 4,950 5,775 6,600 GS1041 Exscision Of Ranula 8,800 11,704 13,200 15,400 17,600 GS1042 Fingernail Removal 1,650 2,195 2,475 2,888 3,300 GS1043 Fisherectomy 9,900 13,167 14,850 17,325 19,800 GS1044 Fistula In Ano Low Level 10,560 14,045 15,840 18,480 21,120 GS1045 Foreign Body Removal Under La 3,300 4,389 4,950 5,775 6,600 GS1047 Foreign Body Removal-Deep-Under Ga 8,250 10,973 12,375 14,438 16,500 GS1048 Six/ Ninenier Gangrene 6,600 8,778 9,900 11,550 13,200 GS1049 Gangrene (Major) 8,800 11,704 13,200 15,400 17,600 GS1050 Gastrostomy 8,470 11,265 12,705 14,823 16,940 GS1051 Gynaecomastia Unilatral Breast 9,900 13,167 14,850 17,325 19,800 GS1052 Haemorrhoidectomy 9,900 13,167 14,850 17,325 19,800 GS1053 Hernia Epigastric 8,800 11,704 13,200 15,400 17,600 GS1054 Hernia Femoral 9,350 12,436 14,025 16,363 18,700 GS1055 Hernia Inguinal Repair Unilateral 10,450 13,899 15,675 18,288 20,900 GS1056 Hernia Lumber 11,000 14,630 16,500 19,250 22,000 GS1057 Hernia Spigelian 11,000 14,630 16,500 19,250 22,000 GS1058 Hernia Supraumblical 11,000 14,630 16,500 19,250 22,000 GS1059 Hernia Umbilical 9,900 13,167 14,850 17,325 19,800 GS1060 Hernia Ventral 10,450 13,899 15,675 18,288 20,900 GS1061 Hydrocele/Spermatocoele 7,040 9,363 10,560 12,320 14,080 GS1062 Ileostomy 7,150 9,510 10,725 12,513 14,300 GS1063 Injection Ganglion 2,200 2,926 3,300 3,850 4,400 GS1064 Injection Varicose Veins 3,300 4,389 4,950 5,775 6,600 GS1065 Instrussusception (Simple Reduction) 9,350 12,436 14,025 16,363 18,700 GS1066 Intesntinal Resction And Anastomosis 11,550 15,362 17,325 20,213 23,100
Page 16 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 GS1067 Intestinal Perforation 10,450 13,899 15,675 18,288 20,900 GS1068 Ischiorectal Abscess 7,260 9,656 10,890 12,705 14,520 GS1069 Jejunostomy 9,020 11,997 13,530 15,785 18,040 GS1070 Lap. Diagnostic (Gen Surg) 7,700 10,241 11,550 13,475 15,400 GS1071 Lap. Hernia (Lap. Repair ) In Children 9,900 13,167 14,850 17,325 19,800 GS1072 Lap. Ligation Of Varicocele 10,780 14,337 16,170 18,865 21,560 GS1073 Laparotomy Exploratory 18,700 24,871 28,050 32,725 37,400 GS1074 Lateral Sphicterotomy 7,700 10,241 11,550 13,475 15,400 GS1075 Manual Evacuation Of Rectum 2,200 2,926 3,300 3,850 4,400 GS1076 Mastectomy Unilateral 10,450 13,899 15,675 18,288 20,900 GS1077 Meckels Diverticulum 11,000 14,630 16,500 19,250 22,000 GS1078 Mesenteric Cyst Excision 11,000 14,630 16,500 19,250 22,000 GS1079 Metoplasty 4,400 5,852 6,600 7,700 8,800 GS1080 Nail Bed Wedge Excision 1,980 2,633 2,970 3,465 3,960 GS1081 Non Scalpel Vasectomy 7,700 10,241 11,550 13,475 15,400 GS1082 Oesophageoscopy For Foreign Body Removal 8,250 10,973 12,375 14,438 16,500 GS1083 Omentopexy 7,700 10,241 11,550 13,475 15,400 GS1084 Open Drainage Of Liver Abscess 10,560 14,045 15,840 18,480 21,120 GS1085 Para Phimosis 3,300 4,389 4,950 5,775 6,600 GS1086 Perforated Duodenal Ulcer Simple 11,000 14,630 16,500 19,250 22,000 GS1087 Perforated Gastric Ulcer Simple 11,000 14,630 16,500 19,250 22,000 GS1088 Perianal Abscess (Superficial) 11,000 14,630 16,500 19,250 22,000 GS1089 Phimosis Under La 4,400 5,852 6,600 7,700 8,800 GS1090 Pilonidal Sinus Excision Only 9,900 13,167 14,850 17,325 19,800 GS1091 Port Removal 3,850 5,121 5,775 6,738 7,700 GS1092 Ranula Deroofing / Excision 7,700 10,241 11,550 13,475 15,400 GS1093 Rectal Polypectomy 6,600 8,778 9,900 11,550 13,200 GS1094 Reduction Of Inguinal Hernia 2,750 3,658 4,125 4,813 5,500 GS1095 Repair Of Perineal Tear 7,150 9,510 10,725 12,513 14,300 GS1096 Sialography 9,900 13,167 14,850 17,325 19,800 GS1097 Sigmoidpexy 8,250 10,973 12,375 14,438 16,500 GS1098 Skin Grafting Spilt 11,000 14,630 16,500 19,250 22,000 GS1099 Superficial Cyst Large 4,950 6,584 7,425 8,663 9,900 GS1100 Superficial Tumor Large 4,950 6,584 7,425 8,663 9,900 GS1101 Superficial Tumor Small 2,860 3,804 4,290 5,005 5,720 GS1102 Superficial Tumor Small (Multiple) 4,400 5,852 6,600 7,700 8,800 GS1103 Suprapubic Drainage (Cystostomy) 5,500 7,315 8,250 9,625 11,000 GS1104 Suture Large Laceration 3,850 5,121 5,775 6,738 7,700 GS1105 Suturing Of Massive Lacerated Facial Wound 9,900 13,167 14,850 17,325 19,800 GS1106 Suturing Of Multiple Small Wound 4,950 6,584 7,425 8,663 9,900 GS1107 Suturing Of Single Major Wound 4,950 6,584 7,425 8,663 9,900 GS1108 Total Nail Bed Ablation 1,980 2,633 2,970 3,465 3,960 GS1109 Tube Ceacostomy 5,500 7,315 8,250 9,625 11,000 GS1110 Umbilectomy 8,800 11,704 13,200 15,400 17,600 GS1111 Umbilical Cut Down 2,750 3,658 4,125 4,813 5,500 GS1112 Wound Debridement In Operation Theatre 7,150 9,510 10,725 12,513 14,300 GS1113 Wound Delayed Suturing 9,900 13,167 14,850 17,325 19,800 GS1114 Wound Gunshot Debridement 11,000 14,630 16,500 19,250 22,000 GS1115 Thoracic Water seal drainge 6,050 8,047 9,075 10,588 12,100 GS1116 Sector Mastectomy 11,000 14,630 16,500 19,250 22,000 GS1117 Large Fibroadenoma 8,800 11,704 13,200 15,400 17,600 GS1118 Multiple Fibroadenoma/Bilateral 8,800 11,704 13,200 15,400 17,600 GS1119 Rectal BX Under GA 2,750 3,658 4,125 4,813 5,500 GS1120 Peritoneal Tapping 2,200 2,926 3,300 3,850 4,400 GS1121 Cut Back Operation For Anal Stenosis 6,050 8,047 9,075 10,588 12,100 GS1122 Fissurectomy + Rectal Dilatation+ Sentinel piles 11,000 14,630 16,500 19,250 22,000 GS1123 Fistula In Ano Single Opening 10,560 14,045 15,840 18,480 21,120 GS1124 Divarication of Recti Repair 8,800 11,704 13,200 15,400 17,600 GS1125 Laparatomy For Rectopexy 8,250 10,973 12,375 14,438 16,500 GS1126 Injection Sclerotheraphy in OPD for Keloid/ Hemangioma 2,200 2,926 3,300 3,850 4,400 GS1127 Incision BX 1,650 2,195 2,475 2,888 3,300 GS1128 Excision of Massive Lipoma/cyst/Keloid 8,690 11,558 13,035 15,208 17,380 GS1129 Wide Local Excision of Lump 9,790 13,021 14,685 17,133 19,580 GS1130 Extensive/Multiple Wound debridement 8,580 11,411 12,870 15,015 17,160 GS1131 Excision of Perineal Mass 9,900 13,167 14,850 17,325 19,800 GS1132 Ligation and Stripping Of Varicose Veins 8,800 11,704 13,200 15,400 17,600 GS1133 Excision Of Recurrent Varicose Vein 10,450 13,899 15,675 18,288 20,900 GS1134 Excision Of Recurrent Lump 11,000 14,630 16,500 19,250 22,000 GS1135 Tube Ligation 7,700 10,241 11,550 13,475 15,400 GS1136 Excision Of Lipoma 5,500 7,315 8,250 9,625 11,000 GS1137 Eyelid Repair (Coloboma) 11,000 7,315 16,500 19,250 22,000
Page 17 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 GS1138 Eyelid Repair (Injuries) 8,250 10,973 12,375 14,438 16,500 GS1139 Aspiration Liver Abscess 2,717 3,614 4,076 4,755 5,434 GS1140 Biopsy Liver 2,717 3,614 4,076 4,755 5,434 GS1141 Biopsy True Cut Needle 1,430 1,902 2,145 2,503 2,860 GS1142 Biopsy Ulcer In Opd/Ward 1,430 1,902 2,145 2,503 2,860 GS1143 Dressing (Large) 1,100 1,463 1,650 1,925 2,200 GS1144 Dressing (Medium) 660 878 990 1,155 1,320 GS1145 Dressing (Small) 350 466 525 613 700 GS1146 Ingrowing Toe Nail Removal In Opd/Ward 1,650 2,195 2,475 2,888 3,300 GS1147 Reinjection For Heamorrohoids 737 980 1,106 1,290 1,474 GS1148 Venesection 990 1,317 1,485 1,733 1,980
Major Surgeries
GS2096 Abdominoperineal Pull Through Resection With Colorectal Anastomosis ULAR/LAR/AR 23,100 30,723 34,650 40,425 46,200
GS2097 Abdominoperineal Resection Of Rectum (APR) 23,100 30,723 34,650 40,425 46,200 GS2001 Abscess Drainage Perinephric 12,100 16,093 18,150 21,175 24,200 GS2002 Abscess Drainage Psoas 12,100 16,093 18,150 21,175 24,200 GS2003 Abscess Drainage Subdiapragmatic 12,100 16,093 18,150 21,175 24,200 GS2078 Achalasia Oesophago Cardiomyotomy 19,800 26,334 29,700 34,650 39,600 GS2109 Adrenal Gland Neoplasm Excision 24,200 32,186 36,300 42,350 48,400 GS2023 Adrenalectomy Sub Total Bilateral 16,500 21,945 24,750 28,875 33,000 GS2024 Adrenalectomy Sub Total Unilateral 16,500 21,945 24,750 28,875 33,000 GS2061 Adrenalectomy Total Bilateral 19,250 25,603 28,875 33,688 38,500 GS2025 Anal Sphincter Repair Following Injury 16,500 21,945 24,750 28,875 33,000 GS2107 Biliary Peritonitis 23,100 30,723 34,650 40,425 46,200 GS2121 Biliary Structure 25,300 33,649 37,950 44,275 50,600 GS2026 Breast Conservation Surgery 16,500 21,945 24,750 28,875 33,000 GS2128 Bronchoplasty Fistula Closure 33,000 43,890 49,500 57,750 66,000 GS2124 Cbd Injury 27,500 36,575 41,250 48,125 55,000 GS2018 Cholecystectomy 13,750 18,288 20,625 24,063 27,500 GS2127 Choledochal Cyst 27,500 36,575 41,250 48,125 55,000 GS2054 Cholescystectomy & Choledochodudenostomy 16,500 21,945 24,750 28,875 33,000 GS2027 Cholesystectomy & Choledocho Lithotomy 16,500 21,945 24,750 28,875 33,000 GS2028 Colostomy 14,300 19,019 21,450 25,025 28,600 GS2106 Congenital Oesophageal Atresia & Tracheoesophageal Fistula 23,100 30,723 34,650 40,425 46,200 GS2055 Cysto Gastostomy 17,600 23,408 26,400 30,800 35,200 GS2079 Diaphragmatic Hernia Repair 18,700 24,871 28,050 32,725 37,400 GS2080 Diaphragmatic Rupture Repair 18,700 24,871 28,050 32,725 37,400 GS2044 Dissection Lymph Node Neck 14,850 19,751 22,275 25,988 29,700 GS2110 Distall Pancratectomy 23,100 30,723 34,650 40,425 46,200 GS2132 Esophageal Stricture 30,800 40,964 46,200 53,900 61,600 GS2133 Esophagectomy 30,800 40,964 46,200 53,900 61,600 GS2098 Excision Of Choledocal Cyst 23,100 30,723 34,650 40,425 46,200 GS2090 Excision Of Hydatid Cyst Of Liver 20,350 27,066 30,525 35,613 40,700 GS2017 Fistula In Ano High Level 13,200 17,556 19,800 23,100 26,400 GS2045 Gastrectomy Sub Total 16,500 21,945 24,750 28,875 33,000 GS2111 Gastrectomy Total 24,200 32,186 36,300 42,350 48,400 GS2029 Gastro Jejunostomy 15,400 20,482 23,100 26,950 30,800 GS2030 Gynaecomastia Bilateral Breast 15,400 20,482 23,100 26,950 30,800 GS2031 Haemorrhoidectom Stapled 14,300 19,019 21,450 25,025 28,600 GS2004 Hemangioma (Gen-Sur) 12,100 16,093 18,150 21,175 24,200 GS2005 Hemicolectomy Left 12,100 16,093 18,150 21,175 24,200 GS2006 Hemicolectomy Right 12,100 16,093 18,150 21,175 24,200 GS2112 Hepaticojejunostomy For Structure 23,100 30,723 34,650 40,425 46,200 GS2032 Hernia Incisional 15,400 20,482 23,100 26,950 30,800 GS2042 Hernia Inguinal Repair Bilateral 15,400 20,482 23,100 26,950 30,800 GS2033 Hernia Obstructed (Any Type) 15,400 20,482 23,100 26,950 30,800 GS2066 Hernia recurrent bilateral 18,700 24,871 28,050 32,725 37,400 GS2034 hernia recurrent unilateral 15,400 20,482 23,100 26,950 30,800 GS2035 Hernia Strangulated (Any Type) 15,400 20,482 23,100 26,950 30,800 GS2052 Hernia Ventral With Mesh 16,500 21,945 24,750 28,875 33,000 GS2007 Hernioplasty Inguinal Unilateral 13,200 17,556 19,800 23,100 26,400 GS2073 Hiatus Hernia Repair 18,040 23,993 27,060 31,570 36,080 GS2008 Imperforate Anus With Low Opening 12,100 16,093 18,150 21,175 24,200 GS2036 Internal Iliac Artery Ligation B/L 14,300 19,019 21,450 25,025 28,600 GS2048 Intestinal Fistula 15,400 20,482 23,100 26,950 30,800 GS2043 KIDNEY INJURY REPAIR 15,400 20,482 23,100 26,950 30,800 GS2016 Lap Adhesiolysis (Gen Surg) 11,550 15,362 17,325 20,213 23,100 GS2091 Lap Assisted /Lapraoscopic Bowel Resection 18,150 24,140 27,225 31,763 36,300 GS2009 Lap Inguinal Hernia -Unilateral 11,000 14,630 16,500 19,250 22,000
Page 18 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 GS2046 Lap Umbillical Hernia 13,750 18,288 20,625 24,063 27,500 GS2047 Lap. Appendectomy 13,750 18,288 20,625 24,063 27,500 GS2113 Lap. AR, APR 22,000 29,260 33,000 38,500 44,000 GS2062 Lap. Cholecsytectomy 15,950 21,214 23,925 27,913 31,900 GS2074 Lap. Choledhocodudenostomy 16,940 22,530 25,410 29,645 33,880 GS2063 Lap. Closure Of Duodenal/ Intestinal Perforations 15,950 21,214 23,925 27,913 31,900 GS2119 Lap. Colonic Surgery 22,440 29,845 33,660 39,270 44,880 GS2099 Lap. Diaphragm Repair 19,800 26,334 29,700 34,650 39,600 GS2114 Lap. Diaphragm Repair With Mesh 22,000 29,260 33,000 38,500 44,000 GS2064 Lap. Gastrojejunostomy 15,950 21,214 23,925 27,913 31,900 GS2105 Lap. Hiatus Hernia 20,680 27,504 31,020 36,190 41,360 GS2075 Lap. Hydatid Cyst. Liver 16,940 22,530 25,410 29,645 33,880 GS2076 Lap. Inguinal Hernia - Bilateral 16,940 22,530 25,410 29,645 33,880 GS2067 Lap. Lumbar Sympathectomy 16,500 21,945 24,750 28,875 33,000 GS2120 Lap. Nephrectomy 22,550 29,992 33,825 39,463 45,100 GS2068 Lap. Rectopexy 16,500 21,945 24,750 28,875 33,000 GS2092 Lap. Splenectomy 18,700 24,871 28,050 32,725 37,400 GS2081 Lap. Splenorrhaphy 17,600 23,408 26,400 30,800 35,200 GS2093 Lap. Surgery For Pancreatic Pseudocyst (Cystogastostomy) 18,700 24,871 28,050 32,725 37,400 GS2065 Lap. Ureterolithotomy/Pyelolithotomy 15,950 21,214 23,925 27,913 31,900 GS2051 Lap. Ventral Hernia (Incisional) 14,740 19,604 22,110 25,795 29,480 GS2094 Lap. Video Assisted Thorcoscopic Surgery 18,700 24,871 28,050 32,725 37,400 GS2082 Laparotomy With Removal Of Infected Mesh 19,800 26,334 29,700 34,650 39,600 GS2010 Laproscopic Diagnostic With Node Biopsy 11,000 14,630 16,500 19,250 22,000 GS2100 Lieno Renal Shunt(Warren Shunt) 22,000 29,260 33,000 38,500 44,000 GS2101 Ligation Varices Oesophageal 22,000 29,260 33,000 38,500 44,000 GS2019 Liver Injury Repair 14,300 19,019 21,450 25,025 28,600 GS2115 Liver Left Lobectomy 24,200 32,186 36,300 42,350 48,400 GS2116 Liver Partial Resection 24,200 32,186 36,300 42,350 48,400 GS2117 Liver Resection ( Lobctomy) 24,200 32,186 36,300 42,350 48,400 GS2129 Liver Right Lobectomy 29,700 39,501 44,550 51,975 59,400 GS2134 Liver Trisegmentectomy 35,200 46,816 52,800 61,600 70,400 GS2060 Mastectomy Bilateral 17,600 23,408 26,400 30,800 35,200 GS2069 Meso Caval Shunts 22,000 29,260 33,000 38,500 44,000 GS2049 Modified Neck Dissection 15,400 20,482 23,100 26,950 30,800 GS2037 Modified Radical Mastectomy 14,300 19,019 21,450 25,025 28,600 GS2083 Oesophageal Tear Repair 18,150 24,140 27,225 31,763 36,300 GS2056 Omentectomy 15,950 21,214 23,925 27,913 31,900 GS2118 Pancreas Head Ca Triple Bypass Surgery 23,100 30,723 34,650 40,425 46,200 GS2077 Pancreatectomy Partial 22,000 29,260 33,000 38,500 44,000 GS2102 Pancreatectomy Total 22,000 29,260 33,000 38,500 44,000 GS2084 Pancreatic Abscess Necrosectomy And Open Drainage 19,800 26,334 29,700 34,650 39,600 GS2122 Pancreatic Tumors 24,200 32,186 36,300 42,350 48,400 GS2038 Pancreaticojejunostomy 19,800 26,334 29,700 34,650 39,600 GS2050 Parathyroidectomy 15,400 20,482 23,100 26,950 30,800 GS2020 Partial Glossectomy 13,200 17,556 19,800 23,100 26,400 GS2011 Perforated Ulcer Complicated 13,200 17,556 19,800 23,100 26,400 GS2039 Pilonidal Sinus Excision And Primary Closure 15,400 20,482 23,100 26,950 30,800 GS2057 Porto Caval Shunt 22,000 29,260 33,000 38,500 44,000 GS2070 Pseudocyst Drainage Internal 18,700 24,871 28,050 32,725 37,400 GS2126 Radical Cholecystectomy 27,500 36,575 41,250 48,125 55,000 GS2108 Radical Gastrectomy 23,100 30,723 34,650 40,425 46,200 GS2085 Radical Hemicolectomy 19,800 26,334 29,700 34,650 39,600 GS2095 Radical Neck Dissection 19,800 26,334 29,700 34,650 39,600 GS2058 Rectal Prolapse Repair 16,500 21,945 24,750 28,875 33,000 GS2071 Repair Of Bile Duct Stricture 22,000 29,260 33,000 38,500 44,000 GS2130 Resection & Transplant Of Oesophagus For Cancer Colon 33,000 43,890 49,500 57,750 66,000 GS2131 Resection Of Growth Of Common Hepatic Duct And Repair 30,800 40,964 46,200 53,900 61,600 GS2136 Retroperitoneal L.N dissection 66,000 87,780 99,000 115,500 132,000 GS2059 Retroperitoneal Mass 19,800 26,334 29,700 34,650 39,600 GS2125 Retroperitoneal Tumor 27,500 36,575 41,250 48,125 55,000 GS2012 Simple Closure Of Perforated Duodenal\Gastric Ulcer 13,750 18,288 20,625 24,063 27,500 GS2040 Splenctomy 16,500 21,945 24,750 28,875 33,000 GS2053 Splenorrhaphy 16,500 21,945 24,750 28,875 33,000 Subcardiac Porto Azygos Disconnection And Devascularisation Of Lower Oesophagus And GS2086 19,800 26,334 29,700 34,650 39,600 Proximal Stomach GS2013 Super Facial Paratoidectomy 13,200 17,556 19,800 23,100 26,400 GS2072 Thoracotomy Exploratory 17,600 23,408 26,400 30,800 35,200 GS2087 Thoracotomy For Removal Of Oesophageal Foreign Body 19,800 26,334 29,700 34,650 39,600 GS2103 Total Colectomy & Ileorectal Anastomosis 22,000 29,260 33,000 38,500 44,000 GS2104 Total Procto Colectomy 22,000 29,260 33,000 38,500 44,000
Page 19 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 GS2088(A) Transection Oesophagus Using Eea Stapler 18,700 24,871 28,050 32,725 37,400 GS2088(B) Transhiatal esophayectimy 22,000 29,260 33,000 38,500 44,000 GS2088(C) transthoracic esophayectomy 27,500 36,575 41,250 48,125 55,000 GS2014(A) Transverse Colectomy 16,500 21,945 24,750 28,875 33,000 GS2014(B) Right Hemicolectomy 16,500 21,945 24,750 28,875 33,000 GS2014( C) Left colectomy 16,500 21,945 24,750 28,875 33,000 GS2022 Vagotomy Highly Selective 13,750 18,288 20,625 24,063 27,500 GS2015 Varicocelectomy 12,100 16,093 18,150 21,175 24,200 GS2041 Varicose Veins Of Limbs Excision 14,300 19,019 21,450 25,025 28,600 GS2021 Vassography 13,200 17,556 19,800 23,100 26,400 GS2135 Whipples 45,100 59,983 67,650 78,925 90,200 GS2089 Wound Gunshot Debridement And Primary Closure/Removal Of Bullet 19,800 26,334 29,700 34,650 39,600 GS2144 Excision Of Submamdibular Gland U/L 13,200 17,556 19,800 23,100 26,400 GS2145 Suprahyoid Block Dissection 14,300 19,019 21,450 25,025 28,600 GS2146 Thyroglossal Fistula 13,750 18,288 20,625 24,063 27,500 GS2147 Thyroid Nodule Excision 13,200 17,556 19,800 23,100 26,400 GS2148 Total/ Radical Parotidectomy 19,800 26,334 29,700 34,650 39,600 GS2149 Excision PF Thyroid Cyst 13,750 18,288 20,625 24,063 27,500 GS2150 Subtotal Thyroidectomy/Hemi 15,950 21,214 23,925 27,913 31,900 GS2151 Near Total Thyroidectomy 17,600 23,408 26,400 30,800 35,200 GS2152 Revision Thyroidectomy 19,800 26,334 29,700 34,650 39,600 GS2153 Thyroid Lobectomy 15,950 21,214 23,925 27,913 31,900 GS2154 Subcutaeonus Mastectomy B/L 15,400 20,482 23,100 26,950 30,800 GS2155 Splenectomy (Thoraco-Laparatomy) 22,000 29,260 33,000 38,500 44,000 GS2156 Fisssurectomy Plus Hemorrhoidectomy 17,600 23,408 26,400 30,800 35,200 GS2157 Anoplasty 13,200 17,556 19,800 23,100 26,400 GS2158 Complicated/Recurrent Fistula In Anon 16,500 21,945 24,750 28,875 33,000 GS2159 Hemorrhoidectomy + Fistula In Ano 18,700 24,871 28,050 32,725 37,400 GS2160 Horse Shoe Fistula in Ano 17,600 23,408 26,400 30,800 35,200 GS2161 Exploratory Laparatomy for Pancreatic Mass + Palliative Gastro-jejunostomy 28,600 38,038 42,900 50,050 57,200 GS2162 Fissurectomy+ Fistulectomy 18,700 24,871 28,050 32,725 37,400 GS2163 Fissurectomy +Hemorrhoidectomy+Fistulectomy 24,750 32,918 37,125 43,313 49,500 GS2164 Splenectomy +Porta Azygos Dissection 23,100 30,723 34,650 40,425 46,200 GS2165 Fistula In Ano Multiple Opening 15,400 20,482 23,100 26,950 30,800 GS2166 Emergency Laparatomy (Traumatic) 19,800 26,334 29,700 34,650 39,600 GS2167 Emergency Laparatomy Gun Shot 23,100 30,723 34,650 40,425 46,200 GS2168 Laparatomy for Ruptured Liver Abscess/Ruptured Hydatid Cyst 19,800 26,334 29,700 34,650 39,600 GS2169 Appendicular Lamp /Perforation 12,100 16,093 18,150 21,175 24,200 GS2170 Emergency Hemorrhoidectomy 12,100 16,093 18,150 21,175 24,200 GS2171 Laparatomy For Hypertrophic Pyloric Stenosis 14,850 19,751 22,275 25,988 29,700 GS2172 Achalasia Cardia Surgery 19,800 26,334 29,700 34,650 39,600 GS2173 Lapratomy For Megacolon (SAVE'S) 19,800 26,334 29,700 34,650 39,600 GS2174 Laparatomy for Massive Incisional/Ventral Hernia 17,600 23,408 26,400 30,800 35,200 GS2175 Laparatomy for Recurrent Incisional Hernia 18,700 24,871 28,050 32,725 37,400 GS2176 Laparatomy Appendicectomy Plus Check for Koch's 12,100 16,093 18,150 21,175 24,200 GS2177 Recurrent VVF/RVF Repair(Low type) 17,600 23,408 26,400 30,800 35,200 GS2178 Recurrent VVF/RVF Repair( High type) 19,800 26,334 29,700 34,650 39,600 GS2179 Excision Recurrent /Multiple Sinuses 12,100 16,093 18,150 21,175 24,200 GS2180 Filarial Scrotoplasty 13,200 17,556 19,800 23,100 26,400 GS2181 Fournier's Gangrene 15,400 20,482 23,100 26,950 30,800
GENERAL & LAPAROSCOPIC SURGERY PACKAGE Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed LP2001 Lap-Cholecystectomy (2 Days Stay) 2 50,000 62,500 81,250 93,750 112,500 Inclusions TWO DAYS STAY IN CHOSEN BED CATEGORY. LAP. CHOLE Annexure CONSUMABLES & MEDICINES UPTO Rs. 6500/-.if more than charge will be extra 1 1 TLC ECG SURGERY CHARGES,OT CHARGES,OT GAS,ASST. SURGEON CHARGES,ANAESTHESIA DLC 1 X-ray Chest 1 CHARGES. Hb 1 PAC CHARGES. Platelet Count 1 GENERAL SURGEON VISIT CHARGES. Urea 1 EQUIPMENT CHARGES. S. Creatinine 1 INVESTIGATION (Lap. Chole Annexure) Na+ 1 K+ 1 LFT 1 HIV 1 HCV 1 HbsAg 1 Bariatric /Metabolic Surgery Package
Page 20 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 Service OPD/ Six/ Nine Service Name Single room Deluxe room VIP Suite Code bed Two bed
BM1001 LAP SLEEVE GASTRECTOMY 4Day 320,000 380,000 450,000 200000 240000
BM1002 LAP SLEEVE GASTRECTOMY COMPLEX 4Day 480,000 570,000 675,000 300000 360000
BM1003 GASTRIC BYPASS 4Day 400,000 475,000 562,500 250000 300000
BM1004 GASTRIC BAND 4Day 304,000 361,000 427,500 190000 228000 GESTROENTEROLOGY Service OPD/ Six/ Nine Service Name Single room Deluxe room VIP Suite Code bed Two bed GI1001 Colonoscopy And Sclero Therapy Of Ulcer 6,000 7,980 9,000 10,500 12,000 GI1002 Colonoscopy Left Sided 3,000 3,990 4,500 5,250 6,000 GI1003 Colonoscopy Left Sided With Biopsy 3,400 4,522 5,100 5,950 6,800 GI1004 Colonoscopy Whole 4,400 5,852 6,600 7,700 8,800 GI1005 Colonoscopy Whole With Biopsy 4,800 6,384 7,200 8,400 9,600 GI1006 Dilation Achalasia 10,500 13,970 15,750 18,380 21,000 GI1007 Dilation Of Esophageal Stricture 4,620 6,140 6,930 8,090 9,240 GI1008 Diltation Subsequent 2,940 3,910 4,410 5,150 5,880 GI1009 Emergency Colonoscopy Whole 6,600 8,778 9,900 11,550 13,200 GI1010 Emergency Colonoscopy Whole Sided With Biopsy 7,000 9,310 10,500 12,250 14,000 GI1011 Emergency Endoscopic Foreign Body Removal 7,350 9,780 11,030 12,860 14,700 GI1012 Emergency Ercp With Biliary Stenting 23,100 30,720 34,650 40,430 46,200 GI1013 Emergency Ugi Endoscopy 4,520 6,010 6,780 7,910 9,040 GI1014 Emergency Ugi Endoscopy With Biopsy 4,830 6,420 7,250 8,450 9,660 GI1015 Emergency Variceal Banding Oesophageal (Evl) First Visit 6,930 9,220 10,400 12,130 13,860 GI1016 Endoscopic Biopsy 420 560 630 740 840 GI1017 Endoscopic Colonic Stenting 9,450 12,570 14,180 16,540 18,900 GI1018 Endoscopic Cystogastrostomy 15,750 20,950 23,630 27,560 31,500 GI1019 Endoscopic Esopahgeal Stenting 9,450 12,570 14,180 16,540 18,900 GI1020 Endoscopic Foreign Body Removal 4,730 6,290 7,100 8,280 9,460 GI1021 Endoscopic Percuateneous Gastrostomy 5,570 7,410 8,360 9,750 11,140 GI1022 Endoscopic Placement Of Ryles Tube 3,470 4,620 5,210 6,070 6,940 GI1023 Endoscopic Procedure For Biopsy 530 700 800 930 1,060 GI1024 Endoscopic Sclerotherapy First Visit 4,410 5,870 6,620 7,720 8,820 GI1025 Endoscopic Sclerotherapy Subsequent Visit 3,890 5,170 5,840 6,810 7,780 GI1026 Endoscopic Ultrasound 8,720 11,600 13,080 15,260 17,440 GI1027 Enteral Tts Dilatation 6,930 9,220 10,400 12,130 13,860 GI1028 Enteroscopy 3,890 5,170 5,840 6,810 7,780 GI1029 Ercp Therapeutic 11,550 15,360 17,330 20,210 23,100 GI1030 Ercp Diagnostic 9,030 12,010 13,550 15,800 18,060 GI1031 Ercp Endoscopic Papilotomy 15,750 20,950 23,630 27,560 31,500 GI1032 Ercp Nasobiliary Drainage 15,750 20,950 23,630 27,560 31,500 GI1033 Ercp With Biliary Stenting 15,750 20,950 23,630 27,560 31,500 GI1034 Ercp With Pancreatic Stenting 15,750 20,950 23,630 27,560 31,500 GI1035 Gastric Glue Injection 5,780 7,690 8,670 10,120 11,560 GI1036 Helicobacter Pylori Testing 420 560 630 740 840 GI1037 Microlith Study 5,780 7,690 8,670 10,120 11,560 GI1038 Naso Jejunal Tube Placement 1,050 1,400 1,580 1,840 2,100 GI1039A Peg Tube Replacement 5,250 6,980 7,880 9,190 10,500 GI1039B Peg Tube Removal 3,150 4,190 4,730 5,510 6,300 GI1040 Piles Banding 2,000 2,660 3,000 3,500 4,000 GI1041 Piles Sclero Therapy 2,000 2,660 3,000 3,500 4,000 GI1042 Polypectomy 7,350 9,780 11,030 12,860 14,700 GI1043 PTBD 3,360 4,470 5,040 5,880 6,720 GI1044 Sclerotherapy Of Ulcer 3,990 5,310 5,990 6,980 7,980 GI1045 Sengstaken Tube Placement 2,310 3,070 3,470 4,040 4,620 GI1046 Side Viewing Endoscopy 3,990 5,310 5,990 6,980 7,980 GI1047 Sigmoidoscopy 2,500 3,321 3,750 4,381 5,000 GI1048 Ugi Endoscopy 3,000 3,990 4,500 5,255 6,000 GI1049 Ugi Endoscopy With Biopsy 3,360 4,470 5,040 5,880 6,720 GI1050 Variceal Banding Oesophageal (Evl) First Visit 4,620 6,140 6,930 8,090 9,240 GI1051 Variceal Banding Subsequent (Evl) 3,680 4,890 5,520 6,440 7,360 LB6002 Ascitic Fluid Analysis - Culture 1,000 1,200 1,200 1,200 1,200 ER5055 Ascitic Tapping(Digonistic) 1,000 1,000 1,000 1,000 1,000 GI2001 Hemo Clip Application 4,400 5,850 6,600 7,700 8,800 INTERVENTIONAL RADIOLOGY
Service code Service name Six/ Nine Bed Two bed Single room Deluxe room VIP Suite
Page 21 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 INTERVENTIONAL PACKAGE IR1001 CHECK DSA 12,000 14,000 16,000 18,000 20,000 IR1002 DSA 20,000 24,444 28,889 31,111 33,333 IR1003 Ablation of vericose veins 75,000 80,000 85,000 90,000 100,000 Packages Includes: 1 days room rent, Professional fees of Doctor, DSA lab charges, MAC and local anesthesia, basic Investigations , Equipment charges, Routine drugs , disposables in DSA Lab and Non Ionic Dye (1)
PackageS excludes: additional stay, Professional charges of other consultants, any additional procedure/investigation and Use of special drugs/ consumables, non ionic dye more than 1, .Catheter (Picard catheter/Head Hunter 1 cathether), if used.If done under GA, the charges will be extra as per the bed category.
Basic Investigations include- Complete Blood Count, Blood Sugar, Renal Function Test (Na, K, Urea, Creatinine), PT, APTT., Routine Disposables include- Angio Protection Cover, syringes-6, needles,IV fluid, Guide wire- Terumo, ECG Electrode Adult, Gloves, I.V. Set (Non-Vented),Introducer Needle, Introducer Sheath , Nimodip Inj. 50 ml, Optiray200 ml and Xylocaine 2% Inj. 30 ml,
Service code Service name Six/ Nine Bed Double Bed Single room Deluxe room VIP Suite
INTERVENTIONAL PROCEDURE IR2001 Abdominal Aortic Aneurysm Graft 31,000 41,230 46,500 54,250 62,000 IR2002 Angioplasty For Carotid / Vertebral Artery Stenosis 43,500 57,855 65,250 76,125 87,000 IR2003 Aortic Angioplasty / Stenting 27,500 36,575 41,250 48,125 55,000 IR2004 Aortic Stent Graft Endoleak Embolization 26,500 35,245 39,750 46,375 53,000 IR2005 Aortogram / Specific Single Aortogram 7,900 10,507 11,850 13,825 15,800 IR2006 Arterio- Portogram 13,500 17,955 20,250 23,625 27,000 IR2007 Bronchial Artery Embolization 18,500 24,605 27,750 32,375 37,000 IR2008 Bronchial Artery Evaluation 8,500 11,305 12,750 14,875 17,000 IR2009 Carotid Angiogram 7,900 10,507 11,850 13,825 15,800 IR2010 Ccf Occlusion 47,700 63,441 71,550 83,475 95,400 IR2011 Central Venogram / Arm Venogram (Diagnostic) 3,700 4,921 5,550 6,475 7,400 IR2012 Central Venogram / Arm Venogram Interventional 10,500 13,965 15,750 18,375 21,000 IR2013 Cerebral Angiogram 12,600 16,758 18,900 22,050 25,200 IR2014 Cerebral Avm Embolization ( Besides Vb Territory) 42,100 55,993 63,150 73,675 84,200 IR2015 Chemoembolization Of Hepatic Tumour/Mets 26,300 34,979 39,450 46,025 52,600 IR2016 Chest Port Insertion For Chemotherapy 7,400 9,842 11,100 12,950 14,800 IR2017 Coiling Of Intracranial Aneurysm 36,800 48,944 55,200 64,400 73,600 IR2018 Coiling Of Intracranial Aneurysm Attempted 26,300 34,979 39,450 46,025 52,600 IR2019 Coiling Of Multiple Aneurysm 42,100 55,993 63,150 73,675 84,200 IR2020 Dialysis Catheter Insertion (Ij,Femoral) Tunnelled/Exchange 4,500 5,985 6,750 7,875 9,000 IR2021 Embolization For Nasal Bleeding / Sinus Mass / Preop Embolization 14,700 19,551 22,050 25,725 29,400 IR2022 Embolization For Vertebral Body Hemangioma / Mets 21,000 27,930 31,500 36,750 42,000 IR2023 Embolization Of External Carotid Artery/ Single Vessel For Tumour 22,100 29,393 33,150 38,675 44,200 IR2024 Embolization Of Spinal Tumours 28,500 37,905 42,750 49,875 57,000 IR2025 Embolization Of Tumour Fed By Both Ica & Eca 42,100 55,993 63,150 73,675 84,200 IR2026 Embolization Of Tumour Fed By Va / Ba 40,000 53,200 60,000 70,000 80,000 IR2027 Emperical Any Artery Embolisation 26,300 34,979 39,450 46,025 52,600 IR2028 Endovenous Laser Ablation Of Varicose Veins 52,000 69,160 78,000 91,000 104,000 IR2029 Evaluation For Nasal Bleeding / Nasal Mass /Bleeding 9,500 12,635 14,250 16,625 19,000 IR2030 Fallopian Tube Catheterization (For Blocked Tube) 10,500 13,965 15,750 18,375 21,000 IR2031 Followup For Nephrostomy Drainage Cathetar 1,600 2,128 2,400 2,800 3,200 IR2032 Gdc Coiling Of Intracranial Aneurysms With Spasm 46,500 61,845 69,750 81,375 93,000 IR2033 Gi Bleed And Ischemia (Tripple Vessel) Evaluation 10,500 13,965 15,750 18,375 21,000 IR2034 Gi Bleed Embolisation 15,900 21,147 23,850 27,825 31,800 IR2035 Gi Ischemia Intervention (Angioplasty/Stenting) 15,900 21,147 23,850 27,825 31,800 IR2036 Glue Embolization Of Tumours 40,000 53,200 60,000 70,000 80,000 Head & Neck Vessels Evaluation (Cerebral + Carotid + Subclavian+Vertebral)For Tumour/ IR2037 14,700 19,551 22,050 25,725 29,400 Hemanioma
IR2038 Image Guided Dialysis Catheter Insertion (Ij,Subclavian,Femoral) Non-Tunnelled 2,100 2,793 3,150 3,675 4,200
IR2039 Image Guided Peripheral Insertion Of Central Catheter. (Picc) 3,700 4,921 5,550 6,475 7,400 IR2040 Inferior Vena Cava Membranotomy And Angioplasty / Stenting 19,000 25,270 28,500 33,250 38,000 IR2041 Intra Arterial Thrombolysis 35,800 47,614 53,700 62,650 71,600 IR2042 Intra Vascular Catheter / Foreign Body Removal 3,700 4,921 5,550 6,475 7,400 IR2043 Intracranial Angioplasty 43,200 57,456 64,800 75,600 86,400 IR2044 Intracranial Drug Therapy For Post Sah Vasospasam 26,500 35,245 39,750 46,375 53,000 IR2045 Intracranial Stenting 43,200 57,456 64,800 75,600 86,400 IR2046 Ivc Filter Retrieval 19,000 25,270 28,500 33,250 38,000 IR2047 Llaic Angioplasty / Stenting 21,000 27,930 31,500 36,750 42,000 IR2048 Management Of Dural Sinus Thrombosis 43,200 57,456 64,800 75,600 86,400 IR2049 Mediastinal Syndromes Interventional 12,700 16,891 19,050 22,225 25,400 IR2050 Naso Jejunal Intubation 3,200 4,256 4,800 5,600 6,400 IR2051 Partial Splenic Embolization 26,500 35,245 39,750 46,375 53,000 IR2052 Pcn/Ptbd With Stenting 17,900 23,807 26,850 31,325 35,800 IR2053 Pelvic Congestion Syndrome (Ovarian Vein) Embolisation Interventional 21,000 27,930 31,500 36,750 42,000
Page 22 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 IR2054 Percutaneous Transhepatic Cholangiogram 5,300 7,049 7,950 9,275 10,600 IR2055 Percutanous Nephrostomy & Drainage (Rt/Lt) 8,500 11,305 12,750 14,875 17,000 IR2056 Peripheral Angiography (Diagnostic) (One Limb) 9,500 12,635 14,250 16,625 19,000 IR2057 Peripheral Arterial Angioplasty With Stent Rt/Lt (Interventional) 18,500 24,605 27,750 32,375 37,000 IR2058 Peripheral Arterial Angioplasty Without Stent Rt/Lt(Interventional) 18,500 24,605 27,750 32,375 37,000 IR2059 Peripheral Arterial Thrombolysis Rt/Lt 23,200 30,856 34,800 40,600 46,400 IR2060 Peripheral Hemangioma Sclerotherapy (Direct) 1,300 1,729 1,950 2,275 2,600 IR2061 Peripheral Hemangioma Sclerotherpy / Embolisation (Transarterial) 18,500 24,605 27,750 32,375 37,000 IR2062 Peripheral Trauma Interventional 18,500 24,605 27,750 32,375 37,000 IR2063 Portal Vein Embolisation 19,000 25,270 28,500 33,250 38,000 IR2064 Post Ptbd Check Cholangiogram Pre/Intra/Post Procedure 2,100 2,793 3,150 3,675 4,200 IR2065 Post Sah Intracranial Angioplasty For Spasm 40,000 53,200 60,000 70,000 80,000
IR2066 Pre / Post Procedure Usg Evaluation For Fibroids / Adenomyosis / Uterus/Body 630 838 945 1,103 1,260
IR2067 Proximal Occlusion Of Internal Carotid Artery 44,210 58,799 66,315 77,368 88,420 IR2068 Ptbd External Drainage (Single) 7,900 10,507 11,850 13,825 15,800 IR2069 Ptbd- Externo Internalisation 10,500 13,965 15,750 18,375 21,000 IR2070 Ptbd Internalisation 6,310 8,392 9,465 11,043 12,620 IR2071 Ptbd- Post Operative/ Biliary Leak 10,500 13,965 15,750 18,375 21,000 IR2072 Pudendal Artery Evaluation 11,600 15,428 17,400 20,300 23,200 IR2073 Radiofrequency Ablation Of Hepatic Tumours/Mets 21,000 27,930 31,500 36,750 42,000 IR2074 Renal Artery Angiography 11,600 15,428 17,400 20,300 23,200 IR2075 Renal Artery Angioplasty 18,500 24,605 27,750 32,375 37,000 IR2076 Renal Artery Embolization (One Side) 8,500 11,305 12,750 14,875 17,000 IR2077 Renal Artery Stenting 18,500 24,605 27,750 32,375 37,000 IR2078 Spinal Angiogram 16,900 22,477 25,350 29,575 33,800 IR2079 Spinal Avm Embolization / Avf Embolization 47,500 63,175 71,250 83,125 95,000 IR2080 Stenting For Vertebral Artery Stenosis 32,500 43,225 48,750 56,875 65,000 IR2081 Stenting For Carotid Artery Stenosis 32,500 43,225 48,750 56,875 65,000 IR2082 Test Occlusion Test 29,500 39,235 44,250 51,625 59,000 IR2083 Tips (Trans-Juglar Porto-Systimic Shunt) Interventional 28,500 37,905 42,750 49,875 57,000 IR2084 Trans Arterial Chemotherapy Infusion 21,000 27,930 31,500 36,750 42,000 IR2085 Transjuglar Liver Biopsy 6,900 9,177 10,350 12,075 13,800 IR2086 Uretic Stent (Double Pigtail / J) Rt/Lt Interventional 10,500 13,965 15,750 18,375 21,000 IR2087 Usg Guided Aneurysm Embolisation 7,500 9,975 11,250 13,125 15,000
IR2088 Uterine Artery / Pelvic Angiography For Post Partum Hemorrhage / Others (Diagnostic) 12,100 16,093 18,150 21,175 24,200
IR2089 Uterine Artery / Pelvic Embolization For Post Partum Hemorrhage (Embolisation) 15,800 21,014 23,700 27,650 31,600
IR2090 Uterine Artery Embolization For Fibroids 15,800 21,014 23,700 27,650 31,600 IR2091 Uterine Artery Embolization For Fibroids-Pre Myomectomy 14,800 19,684 22,200 25,900 29,600 IR2092 Venous Sampling (Adrenal & Renal Vein) 7,900 10,507 11,850 13,825 15,800 IR2093 Venous Sinus Sampling (Petrosal Sinus) 28,500 37,905 42,750 49,875 57,000 IR2094 Vericoseal Evaluation 14,800 19,684 22,200 25,900 29,600 IR2095 Vericoseal Interventional 20,000 26,600 30,000 35,000 40,000 IR2096 Vertebroplasty (Verteral Body/ Pelvic Bone / Specific Bone) 28,500 37,905 42,750 49,875 57,000 IR2097 Intra veneous Thrombolysis 10,000 13,300 15,000 17,500 20,000 MEDICAL ONCOLOGY Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed CHEMOTHERAPHY
MO1001 CHEMOTHERAPHY HIGH DOSE(PER DAY) 2,200 2,926 3,300 3,850 4,400 MO1002 CHEMOTHERAPHY INFUSIONAL (UPTO 6 HRS) 2,200 2,926 3,300 3,850 4,400 MO1003 CHEMOTHERAPHY INTRA PLEURAL(PER DAY) 2,200 2,926 3,300 3,850 4,400 MO1004 CHEMOTHERAPHY INTRA VESICAL(PER DAY) 4,500 5,985 6,750 7,875 9,000 MO1005 CHEMOTHERAPHY INTRA-THECAL (PER DAY) 4,400 5,852 6,600 7,700 8,800 MO1006 CHEMOTHERAPHY MULTIPLE DRUG BOLUS(PER DAY) 900 1,197 1,350 1,575 1,800 MO1007 CHEMOTHERAPHY MULTIPLE DRUG INFUSIONAL(PER DAY) 2,500 3,325 3,750 4,375 5,000 MO1008 CHEMOTHERAPHY SINGLE DRUG INFUSIONAL(PER DAY) 1,500 1,995 2,250 2,625 3,000 MO1009 CHEMOTHERAPY ORAL( PER DAY) 1,100 1,463 1,650 1,925 2,200 MO1010 CHEMOTHERAPY PLANNING AND COUNSELLING 2,000 2,660 3,000 3,500 4,000 Procedures MO2001 BIOPSY BONE(NEEDLE) (ONCO) 5,000 6,650 7,500 8,750 10,000 MO2002 BIOPSY TRUCUT IMAGE GUIDED(ONCO) 3,500 4,655 5,250 6,125 7,000 MO2003 FNAC(ONCO) 2,000 2,660 3,000 3,500 4,000 MO2004 MONOCLONAL ANTIBODY THERAPY(PER DAY) 4,000 5,320 6,000 7,000 8,000 MO2005 PLEURAL / ABDOMINAL PARACENTESIS 3,000 3,990 4,500 5,250 6,000 MO2006 PICC LINE INSERTION 4,000 5,320 6,000 7,000 8,000 MO2007 Biological agent / Immunotherapy 4,000 5,320 6,000 7,000 8,000
Nuclear Medicine
Page 23 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 Service Service Name OPD RATE IPD RATE Code NM0001 3 PHASE BONE SCAN 4,000 4,800 NM0002 99MTC-TETROFOSMIN PARATHYROID SCAN 10,000 12,000 NM0003 ADENOSINE TETRAFOSMIN CARDIAC SCAN 15,000 18,000 NM0004 CARDIAC PET-CT FDG PET WITH VIABILITY ONLY 8,000 9,600 NM0005 CARDIAC PET-CT FDG WITH REST PERFUSION 13,000 15,600 NM0006 DIAMOX ECD BRAIN PERFUSION SCAN (SPECT) 13,000 15,600 NM0007 DMSA RENAL SCAN 3,000 3,600 NM0008 DMSA V WHOLE BODY SCAN 6,000 7,200 NM0009 DRCG 3,000 3,600 NM0010 DTPA CAPTROPRIL RENOGRAM (PRE & POST) 8,000 9,600 NM0011 ECD BRAIN PERFUSION SCAN (SPECT) 6,000 7,200 NM0012 EXERCISE STRESS TETRAFOSMIN CARDIAC SCAN 10,000 12,000 NM0013 GE REFLUX(GER)/GASTRIC EMPTYING 2,000 2,400 NM0014 GFR-BLOOD SAMPLING METHOD(ABSOLUTE GFR) 2,000 2,400 NM0015 GI BLEED (TO-RBS/SCOLLOID) 5,000 6,000 NM0016 HEPATO-BILLIARY SCAN (HIDA) 4,000 4,800 NM0017 I-131 THERAPY (10 MCI) (BRIT) 10,000 12,000 NM0018 I-131 THERAPY (15 MCI) (BRIT) 14,000 16,800 NM0019 I-131 THERAPY (5 MCI) 5,000 6,000 NM0020 I-131 THERAPY (PER MCI) 1,500 1,800 NM0021 LIVER SCAN (PHYTATE/COLLOID PLANAR) 3,000 3,600 NM0022 LUNG PERFUSIONSCAN 5,000 6,000 NM0023 LUNG VENTILATIONSCAN 3,000 3,600 NM0024 MECKEL''S DIVERTICULUM 3,000 3,600 NM0025 NUCLEAR MEDICINE SEDATION CHARGES 1,500 1,800 NM0026 PARATHYROID INTRA-OPERATIVE LOCALIZATION 10,000 12,000 NM0027 PET-CT REPORT REVIEW CHARGES 2,500 3,000 NM0028 PET-CT DEMENTIA IMAGING WITHOUT CONTRAST 8,000 9,600 NM0029 PET-CT DEMENTIA IMAGING WITH CONTRAST 10,000 12,000 NM0030 PULMONARY SHUNTING & TC99MAA SCANNING 7,000 8,400 NM0031 RADIONUCLIDE DTPA CISTERNOGRAPHY. 7,500 9,000 NM0032 RADIONUCLIDE S. COLLOID LYMPHOSCINTIGRAPHY 7,500 9,000 NM0033 RENAL DYNAMIC SCAN (TC-99M DTPA) WITH GFR 4,000 4,800 NM0034 RENAL SCAN WITH GFR BLOOD SAMPLING METHOD 4,500 5,400 NM0035 RESTING TETROFOSMIN M.P. SCAN WITH ISOSORBIDE INTERVENTION 6,000 7,200 NM0036 SALIVARY GLAND IMAGING 2,500 3,000 NM0037 SCROTAL SCAN 3,000 3,600 NM0038 SENTINEL LYMPH NODE MAPPING 6,000 7,200 NM0039 SENTINEL LYMPH NODE MAPPING WITH INTRA-OPERATIVE LOCALIZATION 8,000 9,600 NM0040 SPECT REPORT REVIEW 1,000 1,200 NM0041 SUB. PARA THYROID SCAN/MIBI PARA THYROID SCAN 7,000 8,400 NM0042 THYROID SCAN 3,000 3,600 NM0043 VENTILATION PERFUSION SCAN 8,000 9,600 NM0044 WHOLE BODY BONE SCAN 4,000 4,800 NM0045 WHOLE BODY BONE SCAN SPECT 5,000 6,000 NM0046 WHOLE BODY F18 BONE SCAN 10,000 12,000 NM0047 WHOLE BODY I-131 SCAN 5,000 6,000 NM0048 WHOLE BODY PET-CT WITH CONTRAST 22,000 26,400 NM0049 WHOLE BODY PET-CT WITH TRIPLE PHASE 25,000 30,000 NM0051 PET CT-INECTION IMAGING-WITHOUT CONTRAST 16,000 19,200 NM0052 TRODAT SCAN 9,000 10,800 NM0053 Phosphorous-32 (P-32) 5,000 6,000 NM0054 Samarium-153 (SM-153) 10,000 12,000
Radiotherapy - Radiation Charges OPD OPD Rate Rate Total Service Site Preplannin service Radiotherapy Code Service Name g Code A1 A2 A1+ A2 RO0001 IGRT All 65,000 RO0002 85000 150,000 RO0003 IMRT All 45,000 RO0004 80000 125,000 RO0005 VMAT All 70,000 RO0006 130000 200,000 RO0007 SBRT All 80,000 RO0008 120000 200,000 RO0009 SRS Brain Brain 65,000 RO0010 85000 150,000 RO0011 SRT Brain Brain 60,000 RO0012 115000 175,000 RO0013 3 D CRT All 25,000 RO0014 50000 75,000 RO0015 Conventional All 20,000 RO0016 40000 60,000 RO0017 Palliative(low) Upto 5 All 10,000 RO0018 15000 25,000
Page 24 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 RO0019 Palliative(high ) Upto 10 All 10,000 RO0020 25000 35,000 RO0024 IGRT with Pet CT All 75,000 RO0025 90000 165,000 RO0026 IMRT With Pet CT All 55,000 RO0027 85,000 140000 RO0028 VMAT with Pet CT All 80,000 RO0029 135,000 215000 RO0030 SBRT with Pet CT Brain 90,000 RO0031 125,000 215000 RO0032 SRS Brain with Pet CT Brain 75,000 RO0033 90,000 165000 RO0034 SRT Brain with Pet CT Brain 70,000 RO0035 120,000 190000 RO0036 3 D CRT with Pet CT All 35,000 RO0037 57,000 92000 RO0038 Conventional with Pet CT All 30,000 RO0039 47,000 77000 RO0040 Palliative(low) Upto 5 with Pet CT All 20,000 RO0041 22,000 42000 RO0042 Palliative(high ) Upto 10 with Pet CT All 20,000 RO0043 32,000 52000 Note- Package Includes Treatment Planing,casts,imaging contrast and exclude any radiological/nuclear Med investigations and Room charges
Radiotherapy - Brachy Charges Service OPD Rate Service Name Code Includes Brachy 13000 charges, Anesthetist Charges, CT & Stimulation Interacavitary (Brachytherapy) per sitting Charges. RO3001 Includes Brachy 17000 charges, Anesthetist Charges, CT & Stimulation Interstetial Implantation per sitting (Brachytherapy) - Charges. RO3002 RO3003 Intraluminal Therapy per sitting (Brachytherapy) 10000 RO3004 Mould Therapy per sitting (Brachytherapy) 7000 Radiotherapy - Others Service Service Name Code RO0021 RT Planning MRI Add: 1000 to routine charges RO0022 RT Planning CT Add: 500 to routine charges RO0023 RT planning Angio Add: 2000 to routine charges Notes (cost of RT planning CT scan would be under RT imaging charges), contouring of images and treatment planning 2. RT(Radiotherapy) includes the entire cost of multiple fraction radiotherapy as has been planned for a patient. 3. All the simulation imaging costs shall be charged under a separate head NEPHROLOGY Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed Dialysis NP1001 Hemodialysis (Reuse Of Dialyzer) 2,200 2,926 3,300 3,850 4,400 NP1002 Hemodialysis (Single Use Of Dialyzer) 2,800 3,724 4,200 4,900 5,600 NP1003 Hemodialysis (High Permiabilty dialyzer Reuse) 2,600 3,458 3,900 4,550 5,200 NP1004 Hemodialysis (High Permiablity Dialyzer Single Use) 3,200 4,256 4,800 5,600 6,400 NP1005 Emergency Hemodialysis 3,800 5,054 5,700 6,650 7,600 NP1007 Acute Peritoneal Dialysis 4,000 5,320 6,000 7,000 8,000 NP1008 Paediatric/Neonatal Peritoneal Dialysis 3,500 4,655 5,250 6,125 7,000 NP1009 SLEDD ( upto 8 hrs) 7,500 9,975 11,250 13,125 15,000 Procedures NP2001 Arterio Venous Fistula Or Shunt 9,000 11,970 13,500 15,750 18,000 NP2002 Capd Catheter Placement Or Removal 9,000 11,970 13,500 15,750 18,000 NP2003 Capd Training 7,000 9,310 10,500 12,250 14,000 NP2004 Femoral Vein Catheterization 1,500 1,995 2,250 2,625 3,000 NP2005 Internal Jugular Or Subclavian Catheterization 4,000 5,320 6,000 7,000 8,000 NP2006 Kidney Biopsy 6,000 7,980 9,000 10,500 12,000 NP2007 Perma Cath Procedure Charges 6,600 8,778 9,900 11,550 13,200 NP2008 Perm-Cath (Cuffed Catheter) Placement 6,600 8,778 9,900 11,550 13,200 NP2009 Perm-Cath Removal 2,000 2,660 3,000 3,500 4,000 NEUROLOGY Service Service Name OPD/Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code NU1001 EEG Routine 2,500 3,321 3,750 4,381 5,000 NU1002 EEG Bed Side 3,680 4,890 5,520 6,440 7,360 NU1006 Video EEG less than 1 hour 3,150 4,190 4,730 5,510 6,300 NU1007 EMG One Limb* 2,730 3,630 4,100 4,780 5,460 NU1008 EMG Two Limbs* 3,360 4,470 5,040 5,880 6,720 NU1009 EMG more than two Limbs* 4,730 6,290 7,100 8,280 9,460
Page 25 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 NU1010 Ncv & Emg All Six/ Nine Limbs* 7,880 10,480 11,820 13,790 15,760 NU1011 Ncv Facial Nerve 3,150 4,190 4,730 5,510 6,300 NU1012 Ncv Motor & Sensory One Limb 3,000 3,989 4,505 5,253 6,000 NU1013 Ncv Motor & Sensory Two Limb 3,500 4,656 5,250 6,125 7,000 NU1014 Ncv Motor & Sensory more than two Limbs 5,000 6,649 7,505 8,753 10,000 NU1015 Intraoperative Monitoring 6,300 8,380 9,450 11,030 12,600 NU1016 Lumber Puncture 2,200 2,923 3,300 3,855 4,400 NU1017 Repetitive Nerve Stimulation 3,150 4,190 4,730 5,510 6,300 NU1018 TCD 4,200 5,590 6,300 7,350 8,400 NU1019 Tensilon Test / Neostigmine Test 2,100 2,790 3,150 3,680 4,200 NU1021 Tremor Study 3,680 4,890 5,520 6,440 7,360 NU1023 Blink Reflex 3,150 4,190 4,730 5,510 6,300 NU1024 Brachial Plexus Study 5,670 7,540 8,510 9,920 11,340 NU1025 Braintstem Auditary Evoked Response 3,150 4,190 4,730 5,510 6,300 NU1026 Somato Sensory Evoked Potential 3,150 4,190 4,730 5,510 6,300 NU1027 Visual Evoked Potential 3,150 4,190 4,730 5,510 6,300 NU1028 VEEG ( Overnight/12 hours) 10,500 13,970 15,750 18,380 21,000 NU1029 VEEG ( 24 hours) 15,750 20,950 23,630 27,560 31,500 Botulin Toxin Inj ( Group 1) ( Blepharospasm/Hemefacial spam/Spasticity each limb/ NU1030 3,150 4,190 4,730 5,510 6,300 Trigeminal neuralgia) Botulin Toxin Inj ( Group2) (Cervical/limb dystonia/chronic migraine/spasmodic NU1031 4,730 6,290 7,100 8,280 9,460 dysphonia/writer's cramp)) NU1032 Tysabri Infusion Charges 2,100 2,790 3,150 3,680 4,200 NU1033 Mini Mental Status Examination 2,100 2,790 3,150 3,680 4,200 NU1034 Emergency EEG 4,730 6,290 7,100 8,280 9,460 NU1035 ERP (Event Related Potential) 3,150 4,190 4,730 5,510 6,300 NU1036 I.V. Thrombolysis 10,500 13,970 15,750 18,380 21,000 NU1037 Short Term VEEG up to 4 hours 5,250 6,980 7,880 9,190 10,500 NU1038 Sleep Study Overnight 15,750 20,950 23,630 27,560 31,500 NU1039 Sleep Study titration 10,500 13,970 15,750 18,380 21,000 NU1040 Split Night Study 18,900 25,140 28,350 33,080 37,800 NU1041 Sympathetic Skin Response 3,150 4,190 4,730 5,510 6,300 NU1042 VEEG every additional hour 1,050 1,400 1,580 1,840 2,100 * Cost of EMG needle additional as per actual NEURO SURGERY Service Service Name Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code CATEGORY-A NS1001 Aneurysms 46200 61446 77154 98868 137214 NS1002 Craniotomies & Tumour Surgery - Craniopharyngioma 46200 61446 77154 98868 137214 NS1003 Cvj/Foremen Magnum 46200 61446 77154 98868 137214 NS1005 Im Tumours 46200 61446 77154 98868 137214 NS1006 Insular Glioma 46200 61446 77154 98868 137214 NS1007 Intraventricular Tumors 46200 61446 77154 98868 137214 NS1008 Post Fossa (Cp Angle) 46200 61446 77154 98868 137214 NS1009 Skull Base /Post Fossa (Cp Angle) 46200 61446 77154 98868 137214 LSF3T Lumber Spine Fusion >3 Level/ Traspendicular 46200 61446 77154 98868 137214 CC2LA Cervical Corpectomy > 2 Level 46200 61446 77154 98868 137214 CMWAD Cervical Microdisectomy with artificial Disc 46200 61446 77154 98868 137214 DORSA Dorsal Fusion 46200 61446 77154 98868 137214 CATEGORY-B NS2001 All Craniotomies For Elective Surgery Except Category A 36960 49159 61721 79090 109769 NS2002 Brachial Plexus With Neurotization 36960 49159 61721 79090 109769 NS2003 Cranioplasty/Csf Rhinorrhea 36960 49159 61721 79090 109769 NS2004 Craniotomies For Glioma 36960 49159 61721 79090 109769 NS2005 Craniotomies For Trauma 36960 49159 61721 79090 109769 NS2006 Craniotomy For Ich 36960 49159 61721 79090 109769 NS2007 Intracranial Abscebes Excision 36960 49159 61721 79090 109769 NS2008 Mvd 36960 49159 61721 79090 109769 NS2009 Neurotization 36960 49159 61721 79090 109769 NS2011 Tnts 36960 49159 61721 79090 109769 NSBDM Dorsal Microdisectomy 36960 49159 61721 79090 109769 CMWFB Cervical Microdisectomy with Fusion 36960 49159 61721 79090 109769 NSCLB Cervical Laminoplasty 36960 49159 61721 79090 109769 NSLSF Lumber Spine Fusion 36960 49159 61721 79090 109769 TCCL1 Transpendicular/Cervical Corpectomy Level-1 36960 49159 61721 79090 109769 CATEGORY-C NS3001 Bone Flap Replacement 30030 39941 50149 64262 89188 NS3002 Brachial Plexus With Neurolysis 30030 39941 50149 64262 89188 NS3003 Carotid Endarterectomy 30030 39941 50149 64262 89188 NS3004 Craniostnosis (Single) 30030 39941 50149 64262 89188
Page 26 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 NS3006 Endoscopic Surgery 30030 39941 50149 64262 89188 NS3008 Meningocoele 30030 39941 50149 64262 89188 NS3009 Multiple Burr Hole 30030 39941 50149 64262 89188 NS3010 Nerve Repair / Nerve Entrapment Under Ga 30030 39941 50149 64262 89188 NS3011 Reexploration (With In 24 Hrs) 30030 39941 50149 64262 89188 NS3012 Removal Of Depressed Bone Segment With Dural Repair 30030 39941 50149 64262 89188 NS3013 Scalp Avm 30030 39941 50149 64262 89188 NS3014 Sdh ( Bilateral) 30030 39941 50149 64262 89188 NS3015 Sdh Evaculation 30030 39941 50149 64262 89188 NS3017 Vp Shunt 30030 39941 50149 64262 89188 NS3018 Steriotectic Biopsy 30030 39941 50149 64262 89188 NSCLM Lumber Microdisectomy 30030 39941 50149 64262 89188 NSCCM Cerrvical Microdisectomy 30030 39941 50149 64262 89188 NSCCL Cerrvical Laminectomy 30030 39941 50149 64262 89188 NSCDL Dorsal Laminectomy 30030 39941 50149 64262 89188 NSCLL Lumber Laminectomy 30030 39941 50149 64262 89188 NSCCR Csf Rhinorrhea 30030 39941 50149 64262 89188 CATEGORY-D NS4001 Brain Abcess / Cyst Aspiration 17908 23815 29909 38324 53185 NS4002 Burr Hole 17908 23815 29909 38324 53185 NS4004 Chronic Sdh 17908 23815 29909 38324 53185 NS4005 Excision Osteoma 17908 23815 29909 38324 53185 NS4006 Shunt Revision 17908 23815 29909 38324 53185 NS4007 Va Shunt Revision 17908 23815 29909 38324 53185 NSBFR Bone Flap Replacement 17908 23815 29909 38324 53185 NSR48 Reexploration (within 48 Hrs) 17908 23815 29909 38324 53185 NSCTR Carpal Tunnel Release 17908 23815 29909 38324 53185 CATEGORY-E NS5001 Evd 8668 11528 14476 18546 25740 NS5002 External Ventricular Drain 8668 11528 14476 18546 25740 NS5003 Icp Monitoring 8668 11528 14476 18546 25740 NS5004 Lumber Drain 8668 11528 14476 18546 25740 NS5005 Muscle Biopsy 8668 11528 14476 18546 25740 NS5006 Scalp Avulsion 8668 11528 14476 18546 25740 NS5007 Skull Traction 8668 11528 14476 18546 25740 NS5008 Tic Injection 8668 11528 14476 18546 25740 NS5009 Venticular Tap 8668 11528 14476 18546 25740 Others NS6002 Exploration Of Wound Unrepair 16753 22286 27973 35849 49753 NS6003 Removal Of Icp Monitoring 869 1155 1452 1859 2585 NS6004 Removal Of Shunt (Omaya) 1386 1848 2310 2970 4114 NS6005 Shunt Removal 1155 1540 1925 2475 3432 Service NEURO PACKAGE Code NS7001 Lumber Microdisectomy 3 92,400 115,500 150,150 184,800 207,900 Inclusions 3 Days stay in chosen bed categaory Neuro Surgery Annexure CONSUMABLES & MEDICINES UPTO Rs. 10000/-.if more than will Charge Exclude in package Complete Heamogram 1 SURGERY CHARGES,OT CHARGES,OT GAS,ASST. SURGEON CHARGES,ANAESTHESIA CHARGES. Urea 1 S. Creatinine 1 PAC Visit Na+ 1 Neuro Surgeon Visit Charges K+ 1 INVESTIGATION (Neuro Surgery Annexure) only Renal profile / KFT (Equevalent to colum no-2,3,4,5) EQUIPMENT CHARGES (C-ARM) PT 1 DITECIAN VISIT HIV 1 Exclusions STAY BEYOND 3 DAYS AND ICU STAY Extra. HCV 1 IPD CONSULTS OTHER THAN NEURO SURGEON. HbsAg 1 ADMISTRATION CHARGE(MRD) ECG 1 X-ray Chest 1 Note: Any Charges over & above the package would be charge on actuals. OBSTETRICS AND GYNAECOLOGY Service OPD/ Six/ Nine Service Name Stay Two bed Single room Deluxe room VIP Suite Code bed IP PACKAGE OG3001 Normal Delivery 2 30,000 39,000 48,000 55,000 66,000 OG3002 LSCS 3 50,000 64,000 78,000 89,000 100,000
dayc OG3003 D&C 19,000 are
Packages Includes: room rent, Doctor fee, OT/LR charges, local anesthesia, basic Investigations (CBC, Blood Sugar, PT, APTT, Hbsag and HIV) , Routine drugs , disposables, One PackageSNST, Dietician excludes visit,: Physiotherapyadditional stay, Professional charges of other consultants, any additional procedure/investigation and Use of special drugs/ consumables, Blood transfusion, Epidural/ GA chargesMinor Surgery/procedure with consumables, Neonatal attendence at the time of delivery and baby bill.
Page 27 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 OG1001 Abdominal Adhesiolysis -Sever 7,000 9,310 10,500 12,250 14,000 OG1002 Abdominal salpingectomy U/L 9,000 11,970 13,500 15,750 18,000 OG1003 Abortion Mid Trimester 9,600 12,768 14,400 16,800 19,200 OG1004 Adhesolysis mild 6,000 7,980 9,000 10,500 12,000 OG1005 Aminiocentesis 3,600 4,788 5,400 6,300 7,200 OG1006 Amnioinfusion 5,500 7,315 8,250 9,625 11,000 OG1007 A-V Fistula, Ttts , Fetal RFA 6,600 8,778 9,900 11,550 13,200 OG1008 Bartholin Abscess Incision & Drainage 2,900 3,857 4,350 5,075 5,800 OG1009 Bartholin Cyst Excision Bilateral 3,700 4,921 5,550 6,475 7,400 OG1010 Bartholin Cyst Excision Unilateral 2,650 3,525 3,975 4,638 5,300 OG1011 Biopsy Of Ovary 3,500 4,655 5,250 6,125 7,000 OG1012 Biopsy Of Vaginal Mucosa; Extensive, Requiring Suture (Including Cysts) 2,800 3,724 4,200 4,900 5,600 OG1013 Biopsy Of Vaginal Mucosa; Simple (Separate Procedure) 2,250 2,993 3,375 3,938 4,500 OG1014 Biopsy Of Vulva Or Perineum; Each Separate Additional Lesion 2,250 2,993 3,375 3,938 4,500 OG1015 B-Lynch Suturing 2,650 3,525 3,975 4,638 5,300 OG1016 Contrast Material For Saline Infusion Sonohysterography (Sis) Or Hsg 1,200 1,596 1,800 2,100 2,400 OG1017 Cautery Of Cervix; Electro Or Thermal 1,700 2,261 2,550 2,975 3,400 OG1018 Cautery Of Cervix; Laser Ablation 3,500 4,655 5,250 6,125 7,000 OG1019 Cerclage of Cervix, During Pregnancy; laparoscopic 8,300 11,039 12,450 14,525 16,600 OG1020 Cerclage Of Cervix, During Pregnancy; Abdominal 6,600 8,778 9,900 11,550 13,200 OG1021 Cerclage Of Cervix, During Pregnancy; Vaginal(Mcdonald) 3,500 4,655 5,250 6,125 7,000 OG1022 Cerclage Of Uterine Cervix, Nonobstetrical 3,500 4,655 5,250 6,125 7,000 OG1023 Cervical Biopsy 2,350 3,126 3,525 4,113 4,700 OG1024 Cervical Polypectomy 2,550 3,392 3,825 4,463 5,100 OG1025 Clitoroplasty For Intersex State 9,600 12,768 14,400 16,800 19,200 OG1026 Closure Of Urethrovaginal Fistula 8,300 11,039 12,450 14,525 16,600 OG1027 Closure Of Urethrovaginal Fistula; With Bulbocavernosus Transplant 9,600 12,768 14,400 16,800 19,200 OG1028 Colpocentesis (Separate Procedure) 2,550 3,392 3,825 4,463 5,100 OG1029 Colpocleisis (Le Fort Type) 5,200 6,916 7,800 9,100 10,400
OG1030 Colpopexy, Vaginal; Intra-Peritoneal Approach (Uterosacral, Levator Myorrhaphy) 9,600 12,768 14,400 16,800 19,200
OG1031 Colporrhaphy Anterior 5,200 6,916 7,800 9,100 10,400 OG1032 Colporrhaphy Posterior 5,200 6,916 7,800 9,100 10,400 OG1033 Colporrhaphy, Suture Of Injury Of Vagina (Nonobstetrical) 3,700 4,921 5,550 6,475 7,400 OG1034 Colposcopy 1,500 1,995 2,250 2,625 3,000 OG1035 Colposcopy +Hysteroscopy+Leep+Eb 7,800 10,374 11,700 13,650 15,600 OG1036 Colposcopy Directed Biopsy 2,000 2,660 3,000 3,500 4,000 Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Biopsy(S) Of The OG1037 2,200 2,926 3,300 3,850 4,400 Cervix & Endo, Cure, Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Endocervical OG1038 1,700 2,261 2,550 2,975 3,400 Curettage Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Loop Electrode OG1039 1,700 2,261 2,550 2,975 3,400 Biopsy(S) Of The Cervix Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Loop Electrode OG1040 2,200 2,926 3,300 3,850 4,400 Conization Of The Cervix OG1041 Colposcopy Of The Entire Vagina, With Cervix If Present 1,700 2,261 2,550 2,975 3,400 OG1042 Colposcopy Of The Entire Vagina, With Cervix If Present; With Biopsy(S) 3,450 4,589 5,175 6,038 6,900 Colposcopy Of The Entire Vagina, With Cervix If Present; With Biopsy(S) Of OG1043 3,450 4,589 5,175 6,038 6,900 Vagina/Cervix OG1044 Colposcopy Of The Vulva 1,200 1,596 1,800 2,100 2,400 OG1045 Colposcopy Of The Vulva; With Biopsy(S) 1,700 2,261 2,550 2,975 3,400 OG1046 Colpotomy With Drainage Of Pelvic Abscess 1,700 2,261 2,550 2,975 3,400 OG1047 Colpotomy; With Exploration 3,000 3,990 4,500 5,250 6,000 OG1048 Combined Anteroposterior Colporrhaphy 7,800 10,374 11,700 13,650 15,600 OG1049 Combined Anteroposterior Colporrhaphy; With Enterocele Repair 8,300 11,039 12,450 14,525 16,600 OG1050 Cone Biopsy Of Cervix 5,250 6,983 7,875 9,188 10,500 OG1051 Construction Of Artificial Vagina; Without Graft 9,600 12,768 14,400 16,800 19,200 OG1052 Cryocautery 3,800 5,054 5,700 6,650 7,600 OG1053 Curettage, Postpartum 3,500 4,655 5,250 6,125 7,000 OG1054 Delivery Of Placenta (Separate Procedure) 3,300 4,389 4,950 5,775 6,600
OG1055 Destruction Of Lesion(S), Vulva; Extensive (Eg, Laser, Electro, Cryo, Chemosurgery) 4,400 5,852 6,600 7,700 8,800
OG1056 Destruction Of Lesion(S), Vulva; Simple (Laser Electro, Cryos, Chemosurgery) 3,500 4,655 5,250 6,125 7,000 OG1057 Destruction Of Vaginal Lesion(S); Extensive 3,500 4,655 5,250 6,125 7,000 OG1058 Destruction Of Vaginal Lesion(S); Simple 2,250 2,993 3,375 3,938 4,500 Destruction of Vaginal Lesion(S); Simple (Eg, Laser Surgery, Electrosurgery, Cryosurgery, OG1059 3,500 4,655 5,250 6,125 7,000 Chemosurge OG1060 Diag Lap+Chromo+Eb 8,700 11,571 13,050 15,225 17,400 OG1061 Diag Lap+Chromotubation 7,400 9,842 11,100 12,950 14,800 OG1062 Diag Laparo+Hystero 8,700 11,571 13,050 15,225 17,400 OG1063 Diagnostic Lap With Chromotubation 7,400 9,842 11,100 12,950 14,800
Page 28 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 OG1064 Diagnostic Laparo+Hystero+Eb 8,300 11,039 12,450 14,525 16,600 OG1065 Dilatation And Curettage 5,000 6,650 7,500 8,750 10,000 OG1066 Dilation & Curettage Of Cervical Stump 3,300 4,389 4,950 5,775 6,600 OG1067 Dilation Of Cervical Canal, Instrumental (Separate Procedure) 1,700 2,261 2,550 2,975 3,400 OG1068 Dilation Of Vagina Under Anesthesia 1,700 2,261 2,550 2,975 3,400 OG1069 Drainage Of Ovarian Abscess; Abdominal Approach 5,250 6,983 7,875 9,188 10,500 OG1070 Drainage Of Ovarian Abscess; Vaginal Approach, Open 5,250 6,983 7,875 9,188 10,500 OG1071 Drainage of Ovarian Abscess; Vaginal Approach/ abdominal approach 6,600 8,778 9,900 11,550 13,200
OG1072 Drainage Of Ovarian Cyst(S), Unilateral Or Bilateral, (Sepa. Pro); Vaginal Approach 5,250 6,983 7,875 9,188 10,500
OG1073 Drainage Of Ovarian Cyst(S), Unilateral Or Bilateral, (Sepa. Proc.); Abdominal Approach 5,250 6,983 7,875 9,188 10,500
OG1074 Drainage of Pelvic Abscess, Transvaginal or Transrectal Approach, Percutaneous 6,600 8,778 9,900 11,550 13,200
OG1075 Drainage Of The Abdminal Wall Hematoma 6,000 7,980 9,000 10,500 12,000 OG1076 Endocervical Curettage (Not Done As Part Of A Dilation & Curettage) 2,350 3,126 3,525 4,113 4,700 OG1077 Endomatrial Aspiration 1,500 1,995 2,250 2,625 3,000 OG1078 Endometrial Biopsy 2,100 2,793 3,150 3,675 4,200 OG1079 Enterocele Repair-Vaginal 5,250 6,983 7,875 9,188 10,500 OG1080 Episiotomy 2,150 2,860 3,225 3,763 4,300 OG1081 EUA 3,000 3,990 4,500 5,250 6,000 OG1082 Eua And Needling 3,000 3,990 4,500 5,250 6,000 OG1083 Evacuation Of Retained Poc 3,300 4,389 4,950 5,775 6,600 OG1084 Excision Of Cervical Stump, Abdominal Approach 9,600 12,768 14,400 16,800 19,200 OG1085 Excision Of Cervical Stump, Vaginal Approach 9,600 12,768 14,400 16,800 19,200 OG1086 Excision Of Labial Cyst 3,400 4,522 5,100 5,950 6,800 OG1087 Excision Of Scar Endometriosis 4,600 6,118 6,900 8,050 9,200 OG1088 Excision Of Urethral Caruncle 3,000 3,990 4,500 5,250 6,000 OG1089 Excision Of Vaginal Cyst Or Tumor 3,700 4,921 5,550 6,475 7,400 OG1090 Excision Of Vaginal Septum 4,400 5,852 6,600 7,700 8,800 OG1091 Exploratory Laparotomy (Gyn) 7,200 9,576 10,800 12,600 14,400 OG1092 External Cephalic Version, With Or Without Tocolysis 2,650 3,525 3,975 4,638 5,300 OG1093 Fetal Bladder Tap, Pleural Tap, Ascitic Tap , Therapeutic / Diagnostic Tap 5,250 6,983 7,875 9,188 10,500 OG1094 Fetal Blood Sampling 5,250 6,983 7,875 9,188 10,500 OG1095 Fetal Contraction Stress Test 460 612 690 805 920 OG1096 Fetal Muscle Biopsy 6,600 8,778 9,900 11,550 13,200 OG1097 Fetal Non-Stress Test 300 399 450 525 600 OG1098 Fetal Scalp Blood Sampling 1,700 2,261 2,550 2,975 3,400 OG1099 Fetal Shunting 6,600 8,778 9,900 11,550 13,200 OG1100 Fetal Skin Biopsy 6,600 8,778 9,900 11,550 13,200 OG1101 Fimbrioplasty (Abdominal / Vaginal) 6,600 8,778 9,900 11,550 13,200 OG1102 Foreign Body Removal From Vagina 3,500 4,655 5,250 6,125 7,000 OG1103 Fraction Curettage 3,300 4,389 4,950 5,775 6,600 OG1104 Hematocolpos Excision Septum 3,300 4,389 4,950 5,775 6,600 OG1105 Hydrotubation. 650 865 975 1,138 1,300 OG1106 Hymenectomy 2,800 3,724 4,200 4,900 5,600 OG1107 Hysteroplasty, Repair Of Uterine Anomaly Level 1 8,300 11,039 12,450 14,525 16,600 OG1108 Hysteroplasty, Repair Of Uterine Anomaly (Strassman Type) 6,600 8,778 9,900 11,550 13,200 OG1109 Hysteroplasty, Repair Of Uterine Anomaly Level 2 8,700 11,571 13,050 15,225 17,400 OG1110 Hysteroplasty, Repair Of Uterine Anomaly Level 3 9,600 12,768 14,400 16,800 19,200 OG1111 Hysteroscopic Endometrial Biopsy 4,400 5,852 6,600 7,700 8,800 OG1112 Hysteroscopic lateral meteroplasty 8,700 11,571 13,050 15,225 17,400 OG1113 Hysteroscopic Myomectomy single 9,600 12,768 14,400 16,800 19,200 OG1114 Hysteroscopic Polypectomy 5,300 7,049 7,950 9,275 10,600 OG1115 Hysteroscopic Removal Of Lucd 4,400 5,852 6,600 7,700 8,800 OG1116 Hysteroscopic Treatment Of Ectopic Pregnancy; Cervical, With Evacuation 7,400 9,842 11,100 12,950 14,800 OG1117 Hysteroscopic Tubal Cannulation 9,600 12,768 14,400 16,800 19,200 OG1118 Hysteroscopy Diagnostic 3,500 4,655 5,250 6,125 7,000
OG1119 Hysteroscopy, Surgical; With Lysis Of Grade 2 Intrauterine Adhesions (Any Method) 5,250 6,983 7,875 9,188 10,500
OG1120 Hysteroscopy, Surgical; With Lysis Of Grade 3 Intrauterine Adhesions (Any Method) 8,300 11,039 12,450 14,525 16,600
OG1121 Hysteroscopy, With Removal Of Impacted Foreign Body 4,400 5,852 6,600 7,700 8,800 Hysteroscopy,+ Endometrial Ablation (Endometrial Resection/Electrosurgical OG1122 8,300 11,039 12,450 14,525 16,600 Ablation/Thermoablation) OG1123 Hysterotomy 7,000 9,310 10,500 12,250 14,000 OG1124 Hysterotomy With Tubal Ligation 9,400 12,502 14,100 16,450 18,800 OG1125 Incision & Drainage Of Vaginal Hematoma; Non-Obstetrical 4,000 5,320 6,000 7,000 8,000 OG1126 Incision & Drainage Of Vaginal Hematoma;Obstetrical/Postpartum 4,000 5,320 6,000 7,000 8,000 OG1127 Incision & Drainage Of Vulva Or Perineal Abscess 2,350 3,126 3,525 4,113 4,700 OG1128 Incision & drainage of vulval hematoma < 5cm diameter /125 CC 3,500 4,655 5,250 6,125 7,000
Page 29 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 OG1129 Incision & drainage of vulval hematoma > 5cm diameter /125 CC 4,400 5,852 6,600 7,700 8,800 OG1130 Induced Abortion /Delivery Of Fetus 4,400 5,852 6,600 7,700 8,800 OG1131 Induced abortion by medical method without D&C 2,650 3,525 3,975 4,638 5,300 OG1132 Induced Abortion, By Dilation & Evacuation 3,300 4,389 4,950 5,775 6,600 Induced Abortion, By One Or > Intra-Amniotic Inj.(Amniocentesis-Inj.), Delivery Of OG1133 8,300 11,039 12,450 14,525 16,600 Fetus+Hyst Induced Abortion, By Vaginal Suppositories (Eg, Prostagl&In) Delivery Of Fetus Etc With OG1134 8,300 11,039 12,450 14,525 16,600 Hyst OG1135 Insertion Of Levonorgestrel-Releasing Intrauterine System(Mirena) 2,350 3,126 3,525 4,113 4,700
OG1136 Introduction Of Hemostatic Agent / Pack For Nonobstetrical Vaginal Hemorrhage 800 1,064 1,200 1,400 1,600
OG1137 Irrigation of Vagina 1,600 2,128 2,400 2,800 3,200 OG1138 Iucd Insertion (Multiload) 1,500 1,995 2,250 2,625 3,000 OG1139 IUI 3,000 3,990 4,500 5,250 6,000 OG1140 Lap / Vaginal Ovarian Cystectomy < 5 CM 8,500 11,305 12,750 14,875 17,000 OG1141 Lap / vaginal salpingo-Oophorectomy, Complete or Partial 8,700 11,571 13,050 15,225 17,400 OG1142 Lap +/- Hysteroplasty, Repair Of Uterine Anomaly Level 1 9,600 12,768 14,400 16,800 19,200
OG1143 Lap Extensive Adhesiolysis / Involving Bowel Bladder Muscle/Mucosa Prim. Pro.) 9,600 12,768 14,400 16,800 19,200
OG1144 Lap Mild Adhesiolysis-Add On Procedure 4,800 6,384 7,200 8,400 9,600 OG1145 Lap Salpingectomy/ Complete or Partial 9,600 12,768 14,400 16,800 19,200 OG1146 Lap. Adhesolysis (Obs & Gyn) 6,000 7,980 9,000 10,500 12,000 OG1147 Lap. Diagnostic (Obs & Gyn) 5,000 6,650 7,500 8,750 10,000 OG1148 Lap. Multiple Ovarian Dirlling / Puncture 6,800 9,044 10,200 11,900 13,600 OG1149 Lap. Oopherectomy Unilateral 9,000 11,970 13,500 15,750 18,000 OG1150 Lap. Ovarian Cystectomy Single 8,500 11,305 12,750 14,875 17,000 OG1151 Lap. sterlization 5,500 7,315 8,250 9,625 11,000 OG1152 Lap Vaginal Biopsy Of Ovary (Separate Procedure) 8,300 11,039 12,450 14,525 16,600 OG1153 Laparoscopic Drainage Of Ovarian Abscess 8,300 11,039 12,450 14,525 16,600 OG1154 Lap Drainage Of Ovarian Cyst(S) 8,300 11,039 12,450 14,525 16,600 OG1155 Lap Fimbrioplasty 8,300 11,039 12,450 14,525 16,600 OG1156 Lap Salpingostomy (Salpingoneostomy) 8,700 11,571 13,050 15,225 17,400 OG1157 Lap Transposition, Ovary(S) 8,300 11,039 12,450 14,525 16,600 Lap Fulguration Or Excision Of Lesions Of The Ovary, Pelvic Viscera, Or Peritoneal OG1158 8,300 11,039 12,450 14,525 16,600 Surface OG1159 Lap With Lysis Of Adhesions (Salpingolysis, Ovariolysis) (Separate Procedure) 8,300 11,039 12,450 14,525 16,600 OG1160 Lap Surgical With Fimbrioplasty 8,300 11,039 12,450 14,525 16,600 OG1161 Lap Surgical With Salpingostomy (Salpingoneostomy) 9,600 12,768 14,400 16,800 19,200 OG1162 Laparotomy (Open & Close) 7,400 9,842 11,100 12,950 14,800 OG1163 Laparotomy Gyn Oopherectomy Unilateral 8,600 11,438 12,900 15,050 17,200 OG1164 Laparotomy Gyn Ovarian Cystectomy Bilateral 9,960 13,247 14,940 17,430 19,920 OG1165 Laparotomy Gyn Ruptured Ovarian Cyst 9,960 13,247 14,940 17,430 19,920 OG1166 Laparotomy with Adhesiolysis MILD 8,300 11,039 12,450 14,525 16,600 OG1167 Laproscopic Removal Of Lost IUCD 8,300 11,039 12,450 14,525 16,600 OG1168 Laproscopic Targeted Biopsy 8,300 11,039 12,450 14,525 16,600 OG1169 Lefords Operation 6,800 9,044 10,200 11,900 13,600 OG1170 Ligation Or Transection Of Fallopian Tube(S), Abdominal/ Vaginal Approach 5,250 6,983 7,875 9,188 10,500 Ligation/Transection Fallopian Tube(S), Abdominal/Vaginal/Postpartum During Same OG1171 5,250 6,983 7,875 9,188 10,500 Hospitalization OG1172 Lysis Of Labial Adhesions 2,350 3,126 3,525 4,113 4,700 OG1173 Manual Removal Of Placenta 3,300 4,389 4,950 5,775 6,600 OG1174 Mcdonald Stitching 3,500 4,655 5,250 6,125 7,000 OG1175 Medical Management Of Ectopic Pregnancy 5,000 6,650 7,500 8,750 10,000 OG1176 Mesh Insertion For Repair Pelvic Floor Defect 3,700 4,921 5,550 6,475 7,400 OG1177 Micro colpo hysteroscopy 8,300 11,039 12,450 14,525 16,600 OG1178 MTP-High Risk 5,500 7,315 8,250 9,625 11,000 OG1179 Multiple Pregnancy, Embryo Reduction 5,250 6,983 7,875 9,188 10,500 OG1180 NST 450 599 675 788 900 Occlusion Of Fallopian Tube(S) By Device (Eg, B&, Clip, Falope Ring) Vaginal Or OG1181 5,250 6,983 7,875 9,188 10,500 Suprapubic Approach OG1182 Oligo Hydraminos, Amino Infusion 2,650 3,525 3,975 4,638 5,300 OG1183 Pereyra Procedure, Including Anterior Colporrhaphy 6,500 8,645 9,750 11,375 13,000 OG1184 Perineoplasty, Repair Of Perineum, Nonobstetrical (Separate Procedure) 3,500 4,655 5,250 6,125 7,000 OG1185 Placental Biopsy 4,400 5,852 6,600 7,700 8,800
OG1186 Plastic Operation On Urethral Sphincter, Vaginal Approach (Eg, Kelly Urethral Plication) 3,700 4,921 5,550 6,475 7,400
OG1187 Plastic Repair Of Introitus 3,500 4,655 5,250 6,125 7,000 OG1188 Plastic Repair Of Urethrocele 3,500 4,655 5,250 6,125 7,000 OG1189 Polyhydramnios, Amnio Drainage 2,250 2,993 3,375 3,938 4,500
OG1190 Posterior Colporrhaphy, Repair Of Rectocele With Or Without Perineorrhaphy 5,200 6,916 7,800 9,100 10,400
Page 30 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 OG1191 Removal Of Cerclage Suture Under Anesthesia 850 1,131 1,275 1,488 1,700 OG1192 Removal Of Iucd 600 798 900 1,050 1,200 OG1193 Removal Of Simple Vulval Tumor 2,800 3,724 4,200 4,900 5,600
OG1194 Removal Or Revision Of Sling For Stress Incontinence (Eg, Fascia Or Synthetic) 9,600 12,768 14,400 16,800 19,200
OG1195 Repair Of Perineal Tear Post Coital Or Traumatic 5,250 6,983 7,875 9,188 10,500 OG1196 Repair Of Uterus 9,600 12,768 14,400 16,800 19,200 OG1197 Resuturing of Abdominal Wound deep 2,650 3,525 3,975 4,638 5,300 OG1198 Resuturing of Abdominal Wound superficial 2,250 2,993 3,375 3,938 4,500 OG1199 Resuturing of burst Abdominal Wound 8,300 11,039 12,450 14,525 16,600
OG1200 Revision (Including Removal) Of Prosthetic Vaginal Graft; Open Abdominal Approach 9,600 12,768 14,400 16,800 19,200
OG1201 Revision (Including Removal) Of Prosthetic Vaginal Graft; Vaginal Approach 9,600 12,768 14,400 16,800 19,200 OG1202 Rh Incompatibility, Fetal Intrauterine Transfusion 8,700 11,571 13,050 15,225 17,400 OG1203 Richardson Sling Operation 8,300 11,039 12,450 14,525 16,600 OG1204 Shirodkars Stitching 2,250 2,993 3,375 3,938 4,500 OG1205 Simple Vulvectomy 7,960 10,587 11,940 13,930 15,920 OG1206 Single Pregnancy, Amniocentesis, Therapeutic 3,500 4,655 5,250 6,125 7,000 OG1207 Single Pregnancy, Amniocentesis, Therapeutic High Risk 4,400 5,852 6,600 7,700 8,800 OG1208 Single Pregnancy, Choronic Villus Sampling 4,000 5,320 6,000 7,000 8,000 OG1209 Single Pregnancy, Choronic Villus Sampling High Risk 5,250 6,983 7,875 9,188 10,500 OG1210 Suction & Evacuation -High Risk 5,000 6,650 7,500 8,750 10,000 OG1211 Surgical Treatment Of Ectopic Pregnancy; Cervical, With Evacuation 5,700 7,581 8,550 9,975 11,400 OG1212 Suturing Perineal Tears Ii Degree 3,250 4,323 4,875 5,688 6,500 OG1213 Suturing Perineal Tears Iii Degree 6,500 8,645 9,750 11,375 13,000 OG1214 Three Swab Test (For Vaginal Fistula) 750 998 1,125 1,313 1,500 OG1215 Trachelectomy (Cervicectomy), Amputation Of Cervix (Separate Procedure) 6,600 8,778 9,900 11,550 13,200 OG1216 Trachelorrhaphy, Plastic Repair Of Uterine Cervix, Vaginal Approach 3,500 4,655 5,250 6,125 7,000 OG1217 Transabdominal Amnioinfusion, Including Ultrasound Guidance 2,650 3,525 3,975 4,638 5,300 OG1218 Transcervical Introduction Of Fallopian Tube Catheter 4,400 5,852 6,600 7,700 8,800 OG1219 Transposition, Ovary(S) 6,600 8,778 9,900 11,550 13,200 OG1220 Transvaginal Hydrolaparoscopy Diagnostic 6,600 8,778 9,900 11,550 13,200 OG1221 Transvaginal Hydrolaparoscopy Operative 8,300 11,039 12,450 14,525 16,600 OG1222 Transvaginal Hydrolaparoscopy Operative level 1 8,300 11,039 12,450 14,525 16,600 OG1223 Transvaginal Hydrolaparoscopy Operative level 2 8,700 11,571 13,050 15,225 17,400 OG1224 Transvaginal Hydrolaparoscopy Operative level 3 9,600 12,768 14,400 16,800 19,200 OG1225 Treatment Of Missed Abortion, Completed Surgically; First Trimester 3,300 4,389 4,950 5,775 6,600 OG1226 Treatment Of Septic Abortion, Completed Surgically 5,000 6,650 7,500 8,750 10,000 OG1227 Tubal Insufflation 1,400 1,862 2,100 2,450 2,800 OG1228 Twin Pregnancy , Amniocentesis, Therapeutic 4,400 5,852 6,600 7,700 8,800 OG1229 Twin Pregnancy , Choronic Villus Sampling 6,600 8,778 9,900 11,550 13,200 OG1230 Twin Pregnancy , Choronic Villus Sampling High Risk 8,300 11,039 12,450 14,525 16,600 OG1231 Twin Pregnancy, Amniocentesis, Therapeutic High Risk 5,250 6,983 7,875 9,188 10,500 OG1232 Umbilical Cord Occlusion 6,600 8,778 9,900 11,550 13,200 OG1233 Uterine Artery Ligation 2,000 2,660 3,000 3,500 4,000 OG1234 Uterine Evacuation & Curettage For Hydatidiform Mole 5,500 7,315 8,250 9,625 11,000 Uterine Suspension, +/- Shortening Round Ligaments,+/- Shortening Sacrouterine OG1235 9,600 12,768 14,400 16,800 19,200 Ligaments; With Presa Uterine Suspension,+/- Shortening Round Ligaments+/- Shortening Sacrouterine OG1236 5,250 6,983 7,875 9,188 10,500 Ligaments; (Sepa. Proc)
OG1237 Vaginal Hysterectomy, For descebded Uterus >500 G; Without Removal Of Tube(S) 4,400 5,852 6,600 7,700 8,800
OG1238 Vaginectomy, Complete Removal Of Vaginal Wall 9,600 12,768 14,400 16,800 19,200
OG1239 Vaginectomy, Partial Removal Of Vaginal Wall; With Removal Of Paravaginal Tissue 9,600 12,768 14,400 16,800 19,200
OG1240 Ventri Suspension 7,500 9,975 11,250 13,125 15,000 OG1241 Ventrosuspension Of The Uterus Alone (Gilliams) 6,200 8,246 9,300 10,850 12,400 OG1242 Visual Inspection Of Cervix 1,070 1,423 1,605 1,873 2,140 OG1243 Vulval Biopsy 2,100 2,793 3,150 3,675 4,200 OG1244 Vulvectomy Simple, Partial 6,600 8,778 9,900 11,550 13,200 OG1245 Vulvectomy Radical, Partial 9,600 12,768 14,400 16,800 19,200 OG1246 Wedge Resection Or Bisection Of Ovary 6,600 8,778 9,900 11,550 13,200 OG1247 Procedure charges for HSG 2,250 2,993 3,375 3,938 4,500 OG1248 Bartholin'S Cyst Marsupialisation (Bilateral) 3,000 3,990 4,500 5,250 6,000 OG1249 Bartholin'S Cyst Marsupialisation (Unilateral) 2,000 2,660 3,000 3,500 4,000 OG1250 Insertion Of Vaginal Ring Pessary 1,200 1,596 1,800 2,100 2,400 OG1251 Laparotomy Gyn Oophrectomy (Bilateral) 10,000 13,300 15,000 17,500 20,000 OG1252 Laparotomy Gyn. Ovarian Cystectomy (Unilateral) 7,000 9,310 10,500 12,250 14,000 OG1253 MTP 5,000 6,650 7,500 8,750 10,000 OG1254 Suturing Of Perineal Tear 30 Including Anal Sphincter Repair 8,500 11,305 12,750 14,875 17,000
Page 31 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 Major Surgeries Service Service Name Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code OG2002 Abdominal Myomectomy less than 5 myomas 16,800 22,344 25,200 29,400 33,600 OG2003 Abdominal Myomectomy more than 5 myomas 16,000 21,280 24,000 28,000 32,000 OG2004 Abdominal Operation For Stress Incontinence 14,500 19,285 21,750 25,375 29,000 OG2005 Abdominal salpingectomy/ Complete Or Partial, B/L 14,000 18,620 21,000 24,500 28,000 OG2006 Abortion Mid Trimester (Twin) 14,500 19,285 21,750 25,375 29,000 OG2007 BSO With Omentectomy, TAH & Radical Dissection For Debulking 38,000 50,540 57,000 66,500 76,000 OG2008 Bso With Total Omentectomy, Tah For Malignancy 19,500 25,935 29,250 34,125 39,000 OG2009 Ceaserean Hysterectomy 15,700 20,881 23,550 27,475 31,400 Cesarean Delivery Only, Following Attempted Vaginal Delivery After Previous Cesarean OG2010 14,000 18,620 21,000 24,500 28,000 Delivery
OG2011 Closure Of Rectovaginal Fistula; Abdominal Approach, With Concomitant Colostomy 16,800 22,344 25,200 29,400 33,600
OG2012 Closure Of Vesicovaginal Fistula; Vaginal Approach 12,700 16,891 19,050 22,225 25,400 OG2013 Colpopexy, Abdominal Approach 11,800 15,694 17,700 20,650 23,600 OG2014 Colpopexy, Vaginal; Extra-Peritoneal Approach (Sacrospinous, Iliococcygeus) 10,500 13,965 15,750 18,375 21,000 Complete Lap Staging For Ovarian Malignancy (Hyst,Bso,Bilateral Pelvic & Aortic Ln OG2015 46,500 61,845 69,750 81,375 93,000 Sampling, Omente OG2016 Complex & High Risk Hysterctomy 16,600 22,078 24,900 29,050 33,200 OG2017 Construction Of Artificial Vagina; With Graft 12,700 16,891 19,050 22,225 25,400 OG2018 Delivery (Vacum/Forceps/ Breech) 13,500 17,955 20,250 23,625 27,000 OG2019 Delivery After previous lscs birth(VBAC) 13,500 17,955 20,250 23,625 27,000 OG2021 Delivery Twin 15,000 19,950 22,500 26,250 30,000 OG2022 Diag Lap +Hystero+Chromotubation+Eb 11,800 15,694 17,700 20,650 23,600 OG2023 Endometrial Ablation 14,600 19,418 21,900 25,550 29,200 OG2024 Enterocele Repair-Abdominal 11,000 14,630 16,500 19,250 22,000 OG2025 Excision Of Cervical Stump, Abdominal Approach; With Pelvic Floor Repair 17,500 23,275 26,250 30,625 35,000 OG2026 Excision Of Cervical Stump, Vaginal Approach; With Repair Of Enterocele 11,800 15,694 17,700 20,650 23,600 OG2027 Fentons Operation For Reconstruction Of Vagina 12,700 16,891 19,050 22,225 25,400 OG2028 Hysterectomy Abdominal 11,800 15,694 17,700 20,650 23,600 OG2029 Hysterectomy Vaginal And Repair 16,800 22,344 25,200 29,400 33,600 OG2030 Hysteroplasty, Repair Of Uterine Anomaly Level 4 11,000 14,630 16,500 19,250 22,000 OG2031 Hysteroplasty, Repair Of Uterine Anomaly / Excision Of Uterine Cornu 12,700 16,891 19,050 22,225 25,400 OG2032 Hysterorrhaphy Of Ruptured Uterus 11,800 15,694 17,700 20,650 23,600 Service Service Name Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code OG2033 Hysterorrhaphy, Repair Of Ruptured Uterus (Nonobstetrical) 13,000 17,290 19,500 22,750 26,000 OG2034 Hysteroscopic Myomectomy multiple 13,000 17,290 19,500 22,750 26,000 Hysteroscopy, Surgical; With Division Or Resection Of Intrauterine Sub Septate Septum OG2035 13,500 17,955 20,250 23,625 27,000 (Any Method)
OG2036 Hysteroscopy, Surgical; With Lysis Of Grade 4 Intrauterine Adhesions (Any Method) 11,500 15,295 17,250 20,125 23,000
OG2037 Lap / Vaginal Ovarian Cystectomy, Unilateral or Bilateral > 5 CM 10,100 13,433 15,150 17,675 20,200
OG2038 Lap / Vaginal Treatment of Ectopic Pregnancy; With Salpingectomy &/or Oophorectomy 10,000 13,300 15,000 17,500 20,000
Lap / Vaginal Treatment Of Ectopic Pregnancy; Without Salpingectomy &/Or OG2039 10,000 13,300 15,000 17,500 20,000 Oophorectomy OG2040 Lap +/- Hysteroplasty, Repair Of Uterine Anomaly Level 4 12,700 16,891 19,050 22,225 25,400 OG2041 Lap +/- Hysteroplasty, Repair Of Uterine Anomaly Level 2 11,000 14,630 16,500 19,250 22,000 OG2042 Lap +/-Hysteroplasty, Repair Of Uterine Anomaly Level 3 11,800 15,694 17,700 20,650 23,600 OG2043 Lap Burch Colposuspension 12,700 16,891 19,050 22,225 25,400 OG2044 Lap Myomectomy,Excision; 5 Or More Intramural Myomas 18,000 23,940 27,000 31,500 36,000 OG2045 Lap Myomectomy,Excision Less Then 5 Intramural Myomas 14,000 18,620 21,000 24,500 28,000
OG2046 Lap Removal Of B /L Endometrioma With Extensive Adhesiolysis & Clearance Of Pod 16,400 21,812 24,600 28,700 32,800
OG2047 Lap Removal of B/L Endometrioma With Extensive Adhesiolysis 16,400 21,812 24,600 28,700 32,800 Lap Removal Of B/L Endometrioma With Extensive Adhesiolysis/Involving Bowel Bladder OG2048 16,400 21,812 24,600 28,700 32,800 Muscle/Mucosa
OG2049 Lap Removal Of B/L Endometrioma With Moderate Adhesiolysis & Clearance Of Pod 15,000 19,950 22,500 26,250 30,000
Lap Removal Of B/L Endometrioma With Moderate Adhesiolysis / Involving Bowel OG2050 15,300 20,349 22,950 26,775 30,600 Bladder Serosa Lap Removal Of U/L Endometrioma With Extensive Adhesiolysis/Involving Bowel Bladder OG2051 16,400 21,812 24,600 28,700 32,800 Muscle/Mucosa Lap Removal Of U/L Endometrioma With Moderate Adhesiolysis / Involving Bowel/ OG2052 15,000 19,950 22,500 26,250 30,000 Bladder Serosa OG2053 Lap Total Hysterectomy 21,800 28,994 32,700 38,150 43,600 Lap Treatment Of Ectopic Pregnancy; Interstitial, Uterine Pregnancy+ Partial Resection OG2054 12,700 16,891 19,050 22,225 25,400 Of Uterus
Page 32 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02
OG2055 Lap, Radical Hyst 250-500Gms, Bilat Pelviic L Ectomy & P-Aortic L N Sampling +/- Bso 26,400 35,112 39,600 46,200 52,800
Service Service Name Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code
OG2056 Lap, Radical Hyst(Lavh) >500Gms, Bilat Pelviic L Ectomy & P-Aortic L N Sampling +/- Bso 26400 35,112 39,600 46,200 52,800
Lap, Radical Hyst, Bilateral Pelvic Lymphadenectomy & Para-Aortic L N Sampling +/- OG2057 26400 35,112 39,600 46,200 52,800 Bso
OG2058 Lap, Radical Hyst<250Gms, Bilat Pelviic L Ectomy & P-Aortic L N Sampling +/- Bso 26400 35,112 39,600 46,200 52,800
Lap, Supracervical Hyst, For Uterus > 250-500 G; With Removal Of Tube(S) / Ovary(S) / OG2059 20500 27,265 30,750 35,875 41,000 Moderate Adhes Lap, Supracervical Hyst, For Uterus >500 G; With Removal Of Tube(S) / Ovary(S)/With OG2060 20500 27,265 30,750 35,875 41,000 Severe Lap, Supracervical Hyst, Uterus 250 G Or Less; With Removal Of Tube(S) &/Or Ovary(S) OG2061 20500 27,265 30,750 35,875 41,000 / Adhesiolysis OG2062 Lap. Assisted Vaginal Hysterectomy (Lavh) 16600 22,078 24,900 29,050 33,200 OG2063 Lap. Ectopic Pregnancy / Tubal Surgery 10000 13,300 15,000 17,500 20,000 Lap. Hysteroplasty, Repair Of Uterine Anomaly (Strassman Type) / Unification Of OG2064 15300 20,349 22,950 26,775 30,600 Double Uterine Horns Lap. Myomectomy, Excision; 5 Or More Intramural Myomas/ Intramural Myomas Total OG2065 12700 16,891 19,050 22,225 25,400 Weight >250 G OG2066 Lap. Oopherectomy Bilateral 10100 13,433 15,150 17,675 20,200 OG2067 Lap. Ovarian Cystectomy Multiple 11500 15,295 17,250 20,125 23,000 Lap/ Vaginal Treatment Of Ectopic Pregnancy; With Salpingectomy &/Or OG2068 10000 13,300 15,000 17,500 20,000 Oophorectomy OG2069 LAP/VAG treatment of ectopic with oophorectomy 10000 13,300 15,000 17,500 20,000 OG2070 Lap/Vaginal Wedge Resection or Bisection of Ovary, Unilateral 10000 13,300 15,000 17,500 20,000 OG2071 Laparoscopic Myomectomy 12700 16,891 19,050 22,225 25,400 OG2072 Laparoscopic Tubotubal Anastomosis 12700 16,891 19,050 22,225 25,400 OG2073 Laparoscopic Tubouterine Implantation 15300 20,349 22,950 26,775 30,600 OG2074 Laparoscopic,Supracervical Hysterectomy, For Uterus >500 G 20500 27,265 30,750 35,875 41,000 OG2075 Laparoscopic,Supracervical Hysterectomy, For Uterus 250-500 G 20500 27,265 30,750 35,875 41,000 OG2076 Laparoscopy, Surgical, Colpopexy (Suspension Of Vaginal Apex) 12700 16,891 19,050 22,225 25,400 OG2077 Laparotomy Gyn Endometriosis 13500 17,955 20,250 23,625 27,000 OG2078 Laparotomy Gyn Extensive Endometriosis (Frozen Pelvis) 17500 23,275 26,250 30,625 35,000 OG2079 Laparotomy Gyn Oopherectomy Bilateral 10400 13,832 15,600 18,200 20,800 OG2080 Laparotomy Gyn Salpingo Oopherectomy Bilateral 10400 13,832 15,600 18,200 20,800 OG2081 Laparotomy Gyn Twisted Ovarian Cyst 10400 13,832 15,600 18,200 20,800 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed OG2082 Lavh (Uterus 500 G) 17500 23,275 26,250 30,625 35,000
OG2083 Lavh, For Uterus >500 G /+/- Bso Or Moderate Adhesiolysis / Removal To Mass 19500 25,935 29,250 34,125 39,000
OG2084 Lavh, For Uterus >500 G ; +/- Bso / Mild Adhesiolysis 17500 23,275 26,250 30,625 35,000 OG2085 Lavh, For Uterus >500 G +/- Bso Severe Adhesiolysis 21800 28,994 32,700 38,150 43,600 OG2086 Lavh, For Uterus 250 G Or Less; /+/- Bso Severe Adhesiolysis 19500 25,935 29,250 34,125 39,000
OG2087 Lavh, For Uterus 250 G Or Less; /+/- Bso Or Moderate Adhesiolysis / Removal To Mass 17500 23,275 26,250 30,625 35,000
OG2088 Lavh, For Uterus 250 G Or Less; +/- Bso / Mild Adhesiolysis 17500 23,275 26,250 30,625 35,000
OG2089 Lavh, For Uterus 250-500 G /+/- Bso Or Moderate Adhesiolysis / Removal To Mass 19500 25,935 29,250 34,125 39,000
OG2090 Lavh, For Uterus 250-500 G ; +/- Bso / Mild Adhesiolysis 17500 23,275 26,250 30,625 35,000 OG2091 Lavh, For Uterus 250-500 G +/- Bso Severe Adhesiolysis 21800 28,994 32,700 38,150 43,600 OG2093 Lscs (previous lscs birth) 16600 22,078 24,900 29,050 33,200 OG2094 Lscs after trial of vaginal delivery 16600 22,078 24,900 29,050 33,200 OG2095 Lscs Twin Pregnancy 20000 26,600 30,000 35,000 40,000 OG2096 Manchester / Forthergil Procedure 11800 15,694 17,700 20,650 23,600 OG2097 Myomectomy Abdominal 16800 22,344 25,200 29,400 33,600 OG2098 Ndvh (Non Descent Vaginal Hyst. 250-500Gm With Moderate Adhesiolysis 19500 25,935 29,250 34,125 39,000 OG2099 Ndvh (Non Descent Vaginal Hyst. 250-500Gm With Severe Adhesiolysis 21800 28,994 32,700 38,150 43,600
OG2100 Ndvh (Non Descent Vaginal Hyst. More Than 500 Gms + Bso / Mild Adhesiolysis 19500 25,935 29,250 34,125 39,000
OG2101 Ndvh (Non Desecent Vaginal Hyst.< Than 250Gm 17500 23,275 26,250 30,625 35,000 OG2102 Ndvh(Non Descent Vaginal Hyst.>Than 250Gm 19500 25,935 29,250 34,125 39,000 Ndvh (Non Descent Vaginal Hyst
Page 33 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 NDVH 250-500Gm Previous 1Cs/Abdominal Procedure/Nulliparous Removal Of Ovarian OG2107 21800 28,994 32,700 38,150 43,600 Mass Ndvh>500 Or Gms+ Previous 2 Or More Cs / Procedure Or Moderate Adhesiolysis /+ to OG2108 26400 35,112 39,600 46,200 52,800 Mass OG2109 Non Desent Vaginal Hysterectomy 17500 23,275 26,250 30,625 35,000 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed OG2110 Operative Hysteroscopy Septum Division 13500 17,955 20,250 23,625 27,000 OG2111 Operative Hysteroscopy Synaechae Removal 11500 15,295 17,250 20,125 23,000 OG2112 Purandares Sling 14200 18,886 21,300 24,850 28,400 OG2113 Radical Hysterctomy For Ca Body Of Uterus 35000 46,550 52,500 61,250 70,000 OG2114 Radical Hysterectomy Plus Omentectomy For Ovarian Malignancy 35000 46,550 52,500 61,250 70,000 Radical Trachelectomy, Bilat Pelvic Lymph. & Para-Aortic L N Sampling +/- Removal Of OG2115 30800 40,964 46,200 53,900 61,600 Tube(S)/Ovary(S OG2116 Rectovaginal Fistulas Repair Third Degree 11800 15,694 17,700 20,650 23,600 OG2117 Resect Ovarian/ Tubal/ Primary Peritoneal Malig BSO & Omentec 30800 40,964 46,200 53,900 61,600
OG2118 Resection Ovarian/ Tubal / Primary Peritoneal Malignancy With Bso & Omentectomy 17500 23,275 26,250 30,625 35,000
OG2119 Resection Ovarian/ Tubal/ Primary Peritoneal Malignancy With BSO & Omentectomy 24000 31,920 36,000 42,000 48,000
OG2120 Resection Recurrent Ovarian/Tubal/ Pri. Peritoneal/ Uterine Malignancy+Omentectomy 30800 40,964 46,200 53,900 61,600
OG2121 Resuspension Of Post Hysterectomy Vault Prolapse 21500 28,595 32,250 37,625 43,000 OG2122 Salphingectomy Unilateral 10400 13,832 15,600 18,200 20,800 OG2123 Salpingostomy (Salpingoneostomy) 10400 13,832 15,600 18,200 20,800 OG2124 Sub Total Hysterectomy 11800 15,694 17,700 20,650 23,600 Supracervical Abdominal Hyst, 250-500Gms (Subtotal), + Removal Of Tube(S)/ Removal OG2125 11800 15,694 17,700 20,650 23,600 Of Ovary(S) Supracervical Abdominal Hyst. >500 (Subtotal), + Removal Of Tube(S)/ Removal Of OG2126 12500 16,625 18,750 21,875 25,000 Ovary(S) Supracervical Abdominal Hyst/ <250 Gms(Subtotal), + Removal Of Tube(S)/ Removal Of OG2127 11800 15,694 17,700 20,650 23,600 Ovary(S) OG2128 Supracervical Abdominal Hysterectomy (Subtotal), 250-500 Gms 11800 15,694 17,700 20,650 23,600 OG2129 Supracervical Abdominal Hysterectomy(Subtotal),>500 Gms 11800 15,694 17,700 20,650 23,600 Surgery For Ectopic Tubal / Ovarian+ Salpingectomy &/Or Oophorectomy, Abdominal Or OG2130 10400 13,832 15,600 18,200 20,800 Vaginal OG2131 Surgical Treatment Of Ectopic Pregnancy; Abdominal Pregnancy 10400 13,832 15,600 18,200 20,800 Surgical Treatment Of Ectopic Pregnancy; Interstitial, Uterine Pregnancy Requiring OG2132 13800 18,354 20,700 24,150 27,600 Total Hyst, Surgical Treatment Of Ectopic Pregnancy; Interstitial, Uterine Pregnancy+Partial OG2133 13800 18,354 20,700 24,150 27,600 Resection Of Uterus Total Abdominal Hyst +/- Removal Of Tube(S)/ Ovary(S); With Colpo-Urethrocystopexy OG2134 17500 23,275 26,250 30,625 35,000 (Eg, Burch) Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed OG2135 Total Abdominal Hysterectomy (Obs Gya) 11800 15,694 17,700 20,650 23,600 OG2136 Total Abdominal Hysterectomy uterus < 250gms 11800 15,694 17,700 20,650 23,600 OG2137 Total Abdominal Hysterectomy, + Removal Of Tube(S)/ Ovary(S) 12500 16,625 18,750 21,875 25,000 Total Lap. Hyst. With Extensive Dense Adhesions Involving Bowel & Bladder Muscle / OG2138 26400 35,112 39,600 46,200 52,800 Mucosa Total Lap. Hyst. With More Than 500 Gms/ With Moderate Adhesions/Involving Bowel & OG2139 26400 35,112 39,600 46,200 52,800 Bladder Serosa R Total Lap.c Hyst.With Extensive Dense Adhesions Involving Bowel & Bladder OG2140 26400 35,112 39,600 46,200 52,800 Muscle/Mucosa
OG2143 Total Lapradical Hyst(Tlh) Bilat Pelviic L Ectomy & P-Aortic L N Sampling +/- Bso 26400 35,112 39,600 46,200 52,800
OG2144 Total Laproscopic Hysterectomy With Less Than 250 Gms 21800 28,994 32,700 38,150 43,600 OG2145 Total Valvectomy With Desection Of Nodes 26000 34,580 39,000 45,500 52,000 OG2146 Transcervical Resection Of Endometrium 11900 15,827 17,850 20,825 23,800 Transperineal Closure Rectovaginal Fistula; Perineal Body Reconstruction,+/- Levator OG2147 11900 15,827 17,850 20,825 23,800 Plication OG2148 Transvaginal Hydrolaparoscopy Operative level 4 11800 15,694 17,700 20,650 23,600 OG2149 Tuboplasty (Oper Microscopy) Bilateral 24000 31,920 36,000 42,000 48,000 OG2150 Tuboplasty (Oper Microscopy) Unilateral 19500 25,935 29,250 34,125 39,000 OG2151 Tubotubal Anastomosis 12500 16,625 18,750 21,875 25,000 OG2152 Tubouterine Implantation 12500 16,625 18,750 21,875 25,000 Vag. Hyst, >500 G; With Colpo-Urethrocystopexy Type, Pereyra Type) +/- Endoscopic OG2153 26400 35,112 39,600 46,200 52,800 Control/ Severe Ad Vag. Hyst, For descebded Uterus >500 G; Without Removal of Tube(S) &/Or OG2154 21800 28,994 32,700 38,150 43,600 Ovary(S),+Repair Of Enteroce
Page 34 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 Vag. Hyst, For Uterus >500 G; +Removal Of Tube(S) &/Or Ovary(S),+ Repair Of OG2155 24000 31,920 36,000 42,000 48,000 Enterocele / Moderate Ad Vag. Myom, of Uterus, 1 To 4 Myoma/ Total Weight of = > 500 G +/- Removal of Surface OG2156 12700 16,891 19,050 22,225 25,400 Myomas Vag. Myom, of Uterus, 1 To 4 Myoma/ Total Weight of = 250-500 G +/- Removal of OG2157 11800 15,694 17,700 20,650 23,600 Surface Myomas Vag. Myom, of Uterus, 1 To 4 Myoma/Total Weight of = < 250 G +/- Removal of Surface OG2158 11000 14,630 16,500 19,250 22,000 Myomas
OG2159 Vaginal Delivery Only, After Previous Cesarean (+/- Episiotomy &/Or Forceps / Vaccum) 12700 16,891 19,050 22,225 25,400
OG2160 Vaginal Hyst, For descended Uterus < 250 G;+ A/P repair 11800 15,694 17,700 20,650 23,600 Vaginal Hyst, For Descended Uterus 250-500 G; With Removal Of Tube(S) &/Or OG2161 15300 20,349 22,950 26,775 30,600 Ovary(S)/Mild Adh. Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed Vaginal Hyst, For Descended Uterus 250-500 G; With Removal Of Tube(S) &/Or OG2162 17500 23,275 26,250 30,625 35,000 Ovary(S)/Moderate Adh. Vaginal Hyst, For Descended Uterus 250-500 G; With Removal Of Tube(S) &/Or OG2163 19500 25,935 29,250 34,125 39,000 Ovary(S)/Severe Adh. OG2164 Vaginal Hyst, For Uterus 250 G Or Less With Anterior / Posterior Repair 11800 15,694 17,700 20,650 23,600 OG2165 Vaginal Hyst, For Uterus Greater Than 250 G; With Repair Of Enterocele 15300 20,349 22,950 26,775 30,600 OG2166 Vaginal Hyst, With Total Or Partial Vaginectomy; With Repair Of Enterocele 13500 17,955 20,250 23,625 27,000 OG2167 Vaginal Hyst,Uterus 250 G Or Less; Colpo-Urethrocystopexy (Marshall-M-K / Pereyra) +/- 15300 20,349 22,950 26,775 30,600 OG2168 VaginalEndos Hysterectomy, For Uterus 250 G 11000 14,630 16,500 19,250 22,000 OG2169 Vaginal Hysterectomy, For Uterus 250 G Or Less;With Repair Of Enterocele 11800 15,694 17,700 20,650 23,600 OG2170 Vaginal Hysterectomy, Radical (Schauta Type Operation) 19500 25,935 29,250 34,125 39,000 OG2171 Vaginal Hysterectomy, With Total Or Partial Vaginectomy 11800 15,694 17,700 20,650 23,600 OG2172 Vaginectomy (Partial); Removal Paravaginal Tissue (Radical) 17500 23,275 26,250 30,625 35,000
OG2173 Vaginectomy, Complete Removal Of Vaginal Wall+ Removal Of Paravaginal Tissue 17500 23,275 26,250 30,625 35,000
OG2174 Vault Repair 13800 18,354 20,700 24,150 27,600 OG2175 Vesicovaginal Fistula (Wf)(Gyn) 11800 15,694 17,700 20,650 23,600 Vh + Biopsy, Single Or Multiple, Or Local Excis.Of Lesion,+/- Fulguration OG2176 11800 15,694 17,700 20,650 23,600 (Sep.Proc.)/Mild Adhesiiol OG2177 Vulvectomy, Radical, Complete 11800 15,694 17,700 20,650 23,600
OG2178 Vulvectomy, Radical, Complete; With Unilateral Inguinofemoral Lymphadenectomy 19500 25,935 29,250 34,125 39,000
OG2179 Vulvectomy, Radical, Partial; With Bilateral Inguinofemoral Lymphadenectomy 12700 16,891 19,050 22,225 25,400
OG2180 Vulvectomy, Radical, Partial; With Unilateral Inguinofemoral Lymphadenectomy 11800 15,694 17,700 20,650 23,600
OG2181 Vulvectomy,Radical,Complete,With Inguinofemoral,Iliac,&Pelvic Lymphadenectomy 30800 40,964 46,200 53,900 61,600
ONCO SURGERY Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed OS1001 Abdominal Wall Tumor With Meshplasty 20,200 26,866 30,300 35,350 40,400 OS1002 Breast Conservation Surgery ( ONCO) 17,500 23,275 26,250 30,625 35,000 OS1003 Breast Limp Excision 10,200 13,566 15,300 17,850 20,400 OS1004 Breast Mrm/Rm 15,500 20,615 23,250 27,125 31,000 OS1005 Chemoport Flushing 1,500 1,995 2,250 2,625 3,000 OS1006 Chemoport Insertion 5,500 7,315 8,250 9,625 11,000 OS1007 Chemoport Placement 10,000 13,300 15,000 17,500 20,000 OS1008 Chemoport Removal/Adjustment 3,000 3,990 4,500 5,250 6,000 OS1009 Chest Wall Excision With Thoracoplasty 22,500 29,925 33,750 39,375 45,000 OS1011 Commando Surgery 20,000 26,600 30,000 35,000 40,000 OS1012 Eva 5,000 6,650 7,500 8,750 10,000 OS1013 Functional/Sohd/Limited Neck Dissection 14,000 18,620 21,000 24,500 28,000 OS1014 Hemi Scrotectomy 8,500 11,305 12,750 14,875 17,000 OS1015 Hemicolectomy 18,500 24,605 27,750 32,375 37,000 OS1016 Hemiglossectomy 15,000 19,950 22,500 26,250 30,000 OS1017 Hepaticoieimostomy/Biopsy 20,000 26,600 30,000 35,000 40,000 OS1018 Hilar Chdangiocarcinoma 25,800 34,314 38,700 45,150 51,600 OS1019 Hysterectomy Radical For Cancer 18,500 24,605 27,750 32,375 37,000 OS1020 Illeoinguinal Lymph Node Dissection 18,000 23,940 27,000 31,500 36,000 OS1021 Inferior Vena Cava Tumor Thrambectomy 18,500 24,605 27,750 32,375 37,000 OS1022 Inguinal Lymph Node Dissection 10,200 13,566 15,300 17,850 20,400 OS1023 Internal Artery Ligation B/L 14,000 18,620 21,000 24,500 28,000 OS1024 Laryngectomy Total 22,800 30,324 34,200 39,900 45,600 OS1025 Lemkoplakia Excision Biopsy 5,000 6,650 7,500 8,750 10,000 OS1026 Liver Wedge Resection 15,400 20,482 23,100 26,950 30,800 OS1027 Lobectomy/Segmentectomy Liver 20,200 26,866 30,300 35,350 40,400
Page 35 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 OS1028 Mandibulectomy 15,400 20,482 23,100 26,950 30,800 OS1029 Mediastinotomy 11,000 14,630 16,500 19,250 22,000 OS1030 Metastatectomy Lung Multiple/Single 15,400 20,482 23,100 26,950 30,800 OS1031 Oesophagectomy With Colonic Bypass 32,000 42,560 48,000 56,000 64,000 OS1032 Oesophagectomy With Gastric Pull Up 25,000 33,250 37,500 43,750 50,000 OS1033 Omentectomy 14,600 19,418 21,900 25,550 29,200 OS1034 Ovarian Laprotomy For Ovarian Cancer 24,000 31,920 36,000 42,000 48,000 OS1035 Parathyroidectomy 13,000 17,290 19,500 22,750 26,000 OS1036 Pelvic Exenteration Total 30,000 39,900 45,000 52,500 60,000 OS1037 Pelvic Lymph Node Dissection B/L 15,400 20,482 23,100 26,950 30,800 OS1038 Pelvic Lymph Node Dissection U/L 12,200 16,226 18,300 21,350 24,400 OS1039 Picc Line (Central Line Dress) 200 266 300 350 400 OS1040 Picc Line Insertion 4,000 5,320 6,000 7,000 8,000 OS1041 Picc Line Removal 500 665 750 875 1,000 OS1042 Picc Line Repair 500 665 750 875 1,000 OS1043 Radical Cholecystectomy 23,000 30,590 34,500 40,250 46,000 OS1044 Radical Cholecystectomy with Biliary Anastamotis 25,000 33,250 37,500 43,750 50,000 OS1045 Radical Nephrectomy 22,800 30,324 34,200 39,900 45,600 OS1046 Radical Parotidectomy With Neck Disection 18,500 24,605 27,750 32,375 37,000 OS1047 Resection Of Retro Peritoneal Mass 13,500 17,955 20,250 23,625 27,000 OS1048 Seroma Aspiration 1,500 1,995 2,250 2,625 3,000 OS1049 Soft Tissue Sarcoma, Widelocal Excision 12,500 16,625 18,750 21,875 25,000 OS1050 Thymectomy / Mediastinal Mass Excision 22,800 30,324 34,200 39,900 45,600 OS1051 Total Thyroidectomy With Neck Dissection 20,200 26,866 30,300 35,350 40,400 OS1052 Tripple Bypass For Pancreas 20,200 26,866 30,300 35,350 40,400 OS1053 Wide Excision Of Malignant Ulcer 6,000 7,980 9,000 10,500 12,000 Surgical Oncology (Head and Neck) Service Single Service Name OPD/Six/ Nine bed Two Bed Dlx Room VIP/Suite Code Room Surgery SO1001 Micro Laryngoscopy With Biopsy/Digonistic 5000 6650 7500 8750 10000 SO1002 Neckmassexcision–Large 12000 15960 18000 21000 24000 SO1003 Neckmassexcision–Simple 6000 7980 9000 10500 12000 SO1004 Neck Mass Excision- Complex 18000 23940 27000 31500 36000 SO1005 Oral Excisional Biopsy (Large) 5000 6650 7500 8750 10000 SO1006 Oral Excisional Biopsy (Small) 3000 3990 4500 5250 6000 SO1007 Buccal Mucosal Radical Excision 16000 21280 24000 28000 32000 SO1008 Commando Operation 28000 37240 42000 49000 56000 SO1009 Composite Oral Resection - Large 28000 37240 42000 49000 56000 SO1010 Composite Oral Resection - Medium 22000 29260 33000 38500 44000 SO1011 Composite Oral Resection (Small) 18000 23940 27000 31500 36000 SO1012 Para –Paharyngeal Excision Small 16000 21280 24000 28000 32000 SO1013 Para –Paharyngeal Excision Large 24000 31920 36000 42000 48000 SO1014 Parathyroidectomy Simple 12000 15960 18000 21000 24000 SO1015 Parathyroidectomy Complex 18000 23940 27000 31500 36000 SO1016 Partial Maxillectomy 12000 15960 18000 21000 24000 SO1017 Infrastructure Maxillectomy 16000 21280 24000 28000 32000 SO1018 Subtotal Maxillectomy 20000 26600 30000 35000 40000 SO1019 Total Maxillectomy 24000 31920 36000 42000 48000 SO1020 Complex Maxillectomy Extended 28000 37240 42000 49000 56000 SO1021 Laryngeal Procedure- Non Specified 12000 15960 18000 21000 24000 SO1022 Partial Laryngectomy 16000 21280 24000 28000 32000 SO1023 Near Total Laryngectomy 20000 26600 30000 35000 40000 SO1024 Total Laryngectomy 24000 31920 36000 42000 48000 SO1025 Total Laryngectomy + Neck Dissection(Nd) 30000 39900 45000 52500 60000 SO1026 Complex Laryngo-Pharyngectomy 30000 39900 45000 52500 60000 SO1027 Superficial Parotidectomy 14000 18620 21000 24500 28000 SO1028 Adequate Parotidectomy 18000 23940 27000 31500 36000 SO1029 Complex Parotidectomy - 26000 34580 39000 45500 52000 SO1030 Total Parotidectomy 22000 29260 33000 38500 44000 SO1031 Hemithyroidectomy 12000 15960 18000 21000 24000 SO1032 Simple Thyroidectomy 16000 21280 24000 28000 32000 SO1033 Total Thyroidectomy 20000 26600 30000 35000 40000 SO1034 Total Thyroidectomy+ Central/ Nd 25000 33250 37500 43750 50000 SO1035 Total Thyroidectomy+ B/L Nd 30000 39900 45000 52500 60000 SO1036 Tracheo-Oesophageal Puncture/ 5000 6650 7500 8750 10000 SO1037 Tracheostomy (Open) - Elective 5000 6650 7500 8750 10000 SO1038 Tracheostomy (Open) - Emergency 6000 7980 9000 10500 12000 SO1039 Tracheostomy (Percutaneous) – 8000 10640 12000 14000 16000 SO1040 Wide Excision Of Lesion In Head And Neck - Complex 25000 33250 37500 43750 50000 SO1041 Wide Excision Of Lesion In Head And Neck - Major 20000 26600 30000 35000 40000
Page 36 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 SO1042 Wide Excision Of Lesion In Head And Neck-Medium 16000 21280 24000 28000 32000 SO1043 Wide Excision Of Lesion In Head And Neck - Small 12000 15960 18000 21000 24000 SO1044 Lymph Node (Procedure) 2500 3325 3750 4375 5000 SO1045 Laryngoscopy/Hypopharyngoscopy 5000 6650 7500 8750 10000 SO1046 Endoscopic Nasal Biopsy 2200 2926 3300 3850 4400 SO1047 Excision Of Thyroglossal Fistula / Cyst Sinus 8000 10640 12000 14000 16000 SO1048 Extra-Cranial Skull Base Resection 20000 26600 30000 35000 40000 SO1049 Hemiglossectomy 16000 21280 24000 28000 32000 SO1050 Glossectomy – Subtotal 20000 26600 30000 35000 40000 SO1051 Glossectomy With Or Without Mandibulotomy 24000 31920 36000 42000 48000 SO1052 Glossectomy Complex 30000 39900 45000 52500 60000 SO1053 Glossectomy Partial 12000 15960 18000 21000 24000 SO1054 Infra - Temporal Fossa Resection 16000 21280 24000 28000 32000 SO1055 Micro Laryngoscopy With Biopsy 5000 6650 7500 8750 10000 SO1056 Dl Scopy 4500 5985 6750 7875 9000 SO1057 Local Tissue Flap Repair (S) 5000 6650 7500 8750 10000 SO1058 Local Tissue Flap Repair (L) 10000 13300 15000 17500 20000 SO1059 Nasopharyngeal Tumor Excision 8000 10640 12000 14000 16000 SO1060 Pectoralis Major Myocutaneous Flap Reconstruction 14000 18620 21000 24500 28000 SO1061 Pharyngocutaneous Fistula Repair 5000 6650 7500 8750 10000 SO1062 Submandibular Gland Excision (Malignant) With Supra Omohyoid Neck Dissection 14000 18620 21000 24500 28000 SO1063 Vascular Malformation Neck Excision Major 10000 13300 15000 17500 20000 SO1064 Vascular Malformation Neck Excision Minor 5000 6650 7500 8750 10000 SO1065 Cervico-Facial Resc.(Complex) 20000 26600 30000 35000 40000 SO1066 Cervico-Facial Resction (L) 16000 21280 24000 28000 32000 SO1067 Cervico-Facial Resc. (M) 12000 15960 18000 21000 24000 SO1068 Cervico-Facial Resc. (S) 8000 10640 12000 14000 16000 SO1069 Cervico-Facial Resc. Of Vasc Mass Cmplx 24000 31920 36000 42000 48000 SO1070 Cervico-Facial Resc. Of Vasc Mass Smpl 16000 21280 24000 28000 32000 SO1071 Cmplx Facial Repair-(L) 14400 19152 21600 25200 28800 SO1072 Cmplx Facial Repair-(S) 7000 9310 10500 12250 14000 SO1073 Control Of Hemorrhage Cmplx 10000 13300 15000 17500 20000 SO1074 Control Of Hemorrhage Smpl 5000 6650 7500 8750 10000 SO1075 Reexploration 5000 6650 7500 8750 10000 SO1076 Examination Under Anesthesia 4000 5320 6000 7000 8000 SO1077 Debridement (Head & Neck) 8000 10640 12000 14000 16000 SO1078 Flap Delay 6400 8512 9600 11200 12800 SO1079 Flap Inset To H& N 6400 8512 9600 11200 12800 SO1080 Flap Local To Head & Neck Region (L) 12000 15960 18000 21000 24000 SO1081 Flap Not Specified To Head & Neck Site(S) 6400 8512 9600 11200 12800 SO1082 Flap Not Specified To Head& Neck Site(L) 12800 17024 19200 22400 25600 SO1083 Flap Pedicled To Head & Neck Region (L) 16000 21280 24000 28000 32000 SO1084 Flap Pedicled To Head & Neck Region (S) 8000 10640 12000 14000 16000 SO1085 Laryngotracheal Reconstruction Complex 20000 26600 30000 35000 40000 SO1086 Laryngotracheal Reconstruction Major 16000 21280 24000 28000 32000 SO1087 Laryngotracheal Reconstruction Simple 12000 15960 18000 21000 24000 SO1088 Laryngotracheoplasty-Cmplx 16000 21280 24000 28000 32000 SO1089 Laryngotracheoplasty-Smpl 12000 15960 18000 21000 24000 SO1090 Mandibulotomy Approach 12000 15960 18000 21000 24000 SO1091 Maxillary Swing Approach 19000 25270 28500 33250 38000 SO1092 Microlaryngoscopy-Excision Of Mass Cmplx 9600 12768 14400 16800 19200 SO1093 Microlaryngoscopy-Excision Of Mass Smpl 6400 8512 9600 11200 12800 SO1094 Head Neck Exploration Cmplx 12000 15960 18000 21000 24000 SO1095 Head Neck Exploration Major 8000 10640 12000 14000 16000 SO1096 Head Neck Exploration Smpl 4000 5320 6000 7000 8000 SO1097 Neck Mass Excision Cmplx 14000 18620 21000 24500 28000 SO1098 Oral Resc. Not Otherwise Specified ((L)) 16000 21280 24000 28000 32000 SO1099 Oral Resc. Not Otherwise Specified ((M)) 12000 15960 18000 21000 24000 SO1100 Oral Resc. Not Otherwise Specified ((S)) 8000 10640 12000 14000 16000 SO1101 Oro-Antral Fistula Repair Cmplx 14400 19152 21600 25200 28800 SO1102 Oropharyngeal Resc. Major 18000 23940 27000 31500 36000 SO1103 Oropharyngeal Resc. Extensive 24000 31920 36000 42000 48000 SO1104 Oropharyngeal Resc. Limited 12000 15960 18000 21000 24000 SO1105 Pharyngoesophageal Repair 16000 21280 24000 28000 32000 SO1106 Pharyngotomy 16000 21280 24000 28000 32000 SO1107 Repair Head& Neck Cmplx Not Specified 16000 21280 24000 28000 32000 SO1108 Skin Graft To Head & Neck (L) 12000 15960 18000 21000 24000 SO1109 Skin Graft To Head & Neck (S) 4000 5320 6000 7000 8000 SO1110 Skin Graft To Head & Neck Medium 8000 10640 12000 14000 16000 SO1111 Skull Base Surg Approach Not Specified 24000 31920 36000 42000 48000 SO1112 Skull Base Surg C F Approach Lateral 28000 37240 42000 49000 56000
Page 37 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 SO1113 Skull Base Surgery C F Approach Ant 28000 37240 42000 49000 56000 SO1114 Skull Base Surgery Resc. Of Lesion 16000 21280 24000 28000 32000 SO1115 Temporal Bone Resc. Extensive 24000 31920 36000 42000 48000 SO1116 Temporal Bone Resc. Limited 12000 15960 18000 21000 24000 SO1117 Thyroglossal Cyst Surgery 8000 10640 12000 14000 16000 SO1118 Tracheal Resc. And Anastamosis Complex 24000 31920 36000 42000 48000 SO1119 Tracheal Resc. And Anastamosis Major 18000 23940 27000 31500 36000 SO1120 Tracheal Resc. And Anastamosis Small 12000 15960 18000 21000 24000 SO1121 Transhyoid Approach 16000 21280 24000 28000 32000 SO1122 Transmaxillary Approach To Inf.Temp Fossa 28000 37240 42000 49000 56000 SO1123 Cervico Facial Resection Small 5000 6650 7500 8750 10000 SO1124 Cervico Facial Resection Medium 10000 13300 15000 17500 20000 SO1125 Cervico Facial Resection Large 15000 19950 22500 26250 30000 SO1126 Cervico Facial Resection Complex 20000 26600 30000 35000 40000 SO1127 Neck Mass Biopsy 5600 7448 8400 9800 11200 SO1128 Neck Mass Excision Simple 9000 11970 13500 15750 18000 SO1129 Oral Mucosal Excision Simple 4500 5985 6750 7875 9000 SO1130 Flap Sectioning 6000 7980 9000 10500 12000 SO1131 Flap Local To Head & Neck Region Small 6700 8911 10050 11725 13400 SO1132 Oroantral Fistula Repair Simple 11200 14896 16800 19600 22400 SO1133 Repair Head & Neck Simple Not Specified 11200 14896 16800 19600 22400 SO1134 Repair Oral Multilayer / Cmplx / Mltpl 12000 15960 18000 21000 24000 SO1135 Repair Oral Simple 6000 7980 9000 10500 12000 SO1136 Panendoscopy 5000 6650 7500 8750 10000 SO1137 Interdental Wiring 4000 5320 6000 7000 8000 SO1138 Oral Resection With Microvascular Flap 40000 53200 60000 70000 80000 SO1139 Oral Resection With Free Flap Gr 1 50000 66500 75000 87500 100000 SO1140 Oral Resection With Free Flap Gr2 60000 79800 90000 105000 120000 SO1141 Oral Resection With Free Flap Gr3 70000 93100 105000 122500 140000 SO1142 Oral Resection Complex With Free Flap 80000 106400 120000 140000 160000 SO1143 Oral Resection Complex With Complex Free Flap 90000 119700 135000 157500 180000 SO1144 Microvascular Flap 20000 26600 30000 35000 40000 SO1145 Soft Tissue Free Flap (Small) 25000 33250 37500 43750 50000 SO1146 Soft Tissue Free Flap (Large) 40000 53200 60000 70000 80000 SO1147 Free Bone Flap 30000 39900 45000 52500 60000 SO1148 Free Fibula Reconstruction Simple 35000 46550 52500 61250 70000 SO1149 Free Fibula Reconstruction Complex 45000 59850 67500 78750 90000 SO1150 Soft Tissue Free Flap Medium 32000 42560 48000 56000 64000 SO1151 Free Flap Major 40000 53200 60000 70000 80000 SO1152 Free Flap Complex 50000 66500 75000 87500 100000 SO1153 Neck Dissection-Extended 20000 26600 30000 35000 40000 SO1154 Neck Dissection-Modified / Radical 16000 21280 24000 28000 32000 SO1155 Neck Dissection-Paratracheal 6400 8512 9600 11200 12800 SO1156 Neck Dissection-Selective 14000 18620 21000 24500 28000 SO1157 Neck Dissection-Sup Mediastinal Via Neck 6400 8512 9600 11200 12800 SO1158 Microlaryngoscopy-Excision Of Mass Cmplx 9600 12768 14400 16800 19200 SO1159 Microlaryngoscopy-Excision Of Mass Smpl 6400 8512 9600 11200 12800 SO1160 Lip Excision Cmplx Excluding Repair 12000 15960 18000 21000 24000 SO1161 Lip Excision Smpl 6400 8512 9600 11200 12800 SO1162 Mandibular Lesion Removal-(L) 16000 21280 24000 28000 32000 SO1163 Mandibular Lesion Removal-(S) 4800 6384 7200 8400 9600 SO1164 Mandibulectomy (Marginal) 9600 12768 14400 16800 19200 SO1165 Mandibulectomy (Segmental) 14400 19152 21600 25200 28800 SO1166 Deep Lymph Node (Procedure) 5000 6650 7500 8750 10000 Service Single Service Name OPD/Six/ Nine bed Two Bed Dlx Room VIP/Suite Code Room Procedure SO2001 Tracheo-Oesophageal Valve Insertion 1000 1330 1500 1750 2000 SO2002 Hopkin’S Scopy 500 660 750 880 1000 SO2003 Hopkin’S Scopy With Print 750 1000 1120 1300 1500 SO2004 Flexible Laryngoscopy 1800 2400 2700 3150 3600 SO2005 Flexible Laryngoscopy With Bx 2400 3200 3600 4200 4800 SO2006 Abscess/Seroma Aspiration (Large) 750 1000 1120 1300 1500 SO2007 Abscess/ Seroma Aspiration (Small) 400 530 600 700 800 SO2008 Core Needle Biopsy (Procedure) 1200 1600 1800 2100 2400 SO2009 Dressing - Large (Procedure) 800 1060 1200 1400 1600 SO2010 Dressing - Medium (Procedure) 500 660 750 880 1000 SO2011 Dressing - Small (Procedure) 300 400 450 500 600 SO2012 Excision Biopsy (Procedure) 2500 3300 4800 4400 5000 SO2013 Incision Biopsy 1200 1600 1800 2100 2400 SO2014 Deep Lymph Node (Procedure) 5000 6650 7500 8750 10000
Page 38 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 SO2015 Punch Biopsy (Procedure) 1000 1330 1500 1750 2000 SO2016 Suturing - Large (Procedure) 1000 1330 1500 1750 2000 SO2017 Suturing - Small (Procedure)Direct 500 660 750 880 1000 SO2018 Nasal Endoscopy Simple Opd 500 660 750 880 1000 SO2019 Nasal Endoscopy Complex Opd 750 1000 1120 1300 1500 SO2020 Lymph Node (Procedure) 2500 3300 3750 4400 5000 SO2021 Biopsy Mucosa 1750 2,328 2,625 3,063 3,500
OPTHALMOLOGY Service Service name Charges ( Rs.) Code INVESTIGATION OP1001 A Scan Biometry ( One Eye) 600 OP1002 Autoperimetry (Both Eyes) 1,500 OP1003 B-Scan Ultrasound ( One Eye ) 1,200 OP1004 Clinical Photograph (Both Eyes) 600 OP1005 Clinical Photograph (One Eye) 400 OP1006 Corneal Pachymetry (Both Eyes) 500 OP1007 Corneal Topography/OPD Scan ( Both Eyes) 1,000 OP1008 Examination under GA ( GA & Medicine Extra) 3,000 OP1009 Fundus Fluorescien Angiography (Both Eyes) 2,500 OP1010 Gonioscopy (Both Eyes) 700 OP1011 IOL Master 500 OP1012 OCT Scan (Both Eyes) 3,000 OP1013 Pentacam (Both Eyes) 3,000 OP1014 Schirmers (Both Eyes) 200 Surgery /Procedure OP2001 ARC 5,000 OP2002 Avastin Injection (One Eye ) 13,000 OP2003 Chalazian 5,000 OP2004 Corneal Foreign Body Removal 1,000 OP2005 Corneal Grafting 55,000 OP2006 Corneal Repairs 15,000 OP2007 Cryopexy 5,000 OP2008 CXL (One Eye) 20,000 OP2009 Cyclocryo per sitting 4,000 OP2010 D.C.R. 20,000 OP2011 Electroepilation 1,000 OP2012 Entropion Correction 12,000 OP2013 Focal Laser one eye 2,500 OP2014 Glaucoma Valve or Ahmad Valve (one eye) 45,000 OP2015 ICL (Both Eyes) 95,000 OP2016 IVTA 3,000 OP2017 Laser OFC 5,000 OP2018 Laser charges Per sitting for one eye 2,500 OP2019 Lensectomy with CTR 20,000 OP2020 Laser TrabeculoPlasty for one eye 5,000 OP2021 Prophylactic Laser (Both eyes) 10,000 OP2022 Prophylactic Laser (One Eye) 7,500
OP2023 Pan Retinal Photocogulation for Diabetic Retinopathy Package Laser (B/E 3 Sitting) 12,500 OP2024 Pan Retinal Photocogulation for Diabetic Retinopathy (per sitting) 2,500 OP2025 Probing in GA ( GA & Medicine Extra) 3,000 OP2026 Pterygium Excision 10,000 OP2027 Pterygium Excision with Conjunctival Autografting 25,000 OP2028 PTK 20,000 OP2029 Ptosis Correction 35,000 OP2030 Punctum Plugs 5,000 OP2031 REFRACTIVE SURGERY (Both Eyes) Aspheric Lasik 45,000 OP2032 REFRACTIVE SURGERY (Both Eyes) Z-Lasik 85,000 OP2033 Retinal Detachment 30,000 OP2034 ROP Screening (Both Eyes) 1,500 OP2035 SO Removal 12,000 OP2036 Squint Correction( Both eyes) 30,000 OP2037 Squint Correction (one eye) 27,000 OP2038 Subconjunctival Injection/S.Tenon’s 700 Service Service name Charges ( Rs.) Code OP2039(A) Syringing one eye 300 OP2039(B) Syringing both eye 600 OP2040 Toric ICL 125,000
Page 39 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 OP2041 Trabeculectomy 25,000 OP2042 Vitrectomy with PFCL (Laser+Buckle additional) 38,000 OP2043 Vitrectomy with SOI 30,000 OP2044 Vitrectomy without SOI (Laser+Buckle+Membrane peeling additional) 30,000 OP2045 Yag Laser Capsulotomy 2,700 OP2046 Yag Laser Iridotomy 3,500 Cataract Operation with no injection, no stich-Phaco technique OP2047 Non Aspheric IOL Package 18,000 OP2048 Aspheric IOL Package 32,000 OP2049 MICS with IOL Package 41,500 OP2050 Toric IOL Package 49,500 OP2051 Multifocal IOL Package 60,500 OP2052 Femto Cataract Surgery ( In addition To any of the above package ) 75,000 NOTE : All Surgery/procedures will be done on OP/Day care basis. Any stay and investigation charges will be additional All procedures will be done in Local anesthesia. Any GA charges + OT gases charges will be additional Minor OT/OT charges are included in the package. Routine OT consumables are included. CHARGES ARE FOR ONE EYE UNLESS SPECIFIED
ORTHOPEADIC
Service stay OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code day bed
Ortho packages OR3001 Total Knee replacement (U/L) 7 147,000 161,700 191,100 220,500 264,600 OR3002 Total Knee replacement (B/L) 9 199,000 219,900 251,400 282,800 345,600 OR3003 Total hip replacement (U/L) 7 135,000 145,800 179,550 202,500 257,850 OR3004 Total hip replacement (B/L) 10 220,000 251,400 282,900 324,800 377,100 Total Knee replacement (B/L) OR3005 10 242,000 284,100 315,700 357,700 410,300 (in same admission Surgery Done in 2 sittings) Total Hip replacement (B/L) OR3006 10 242,000 284,100 315,700 357,700 410,300 (in same admission Surgery Done in 2 sittings)
Package Includes: Stay up to (7 days for knee/hip U/L, 9 days for knee B/L, 10 days for hip B/L), Surgeon fee, OT charges, anesthesia charge, basic Investigations , Routine drugs and consumables , blood units (upto 2), Physiotherapy
Package excludes: Implant cost, additional stay, Professional charges of other consultants, any additional procedure/investigation, CT/MRI and Use of special drugs/ consumables e.g.Immunoglobins, Albumin, TPNs etc..
Basic Investigations include- COMPLETE HEAMOGRAM/PERIPHERIAL SMEAR AND ESR, COAGULATION PROFILE, LFT, RENAL PROFILE, BLOOD SUGAR , X-RAY CHEST,KNEE /HIP JOINT, ECG, ECHO.
Minor procedure/surgery OR1001 Above Elbow Plaster 2310 3069 3465 4048 4620 OR1002 Adductor Tenotomy & Obturator Neurectomy 11550 15367 17325 20218 23100 OR1003 Amputation Of Digits - Single 6930 9218 10395 12133 13860 OR1004 Amputation Of Digits Multiple 11550 15367 17325 20218 23100 OR1005 Amputations-Below Knee 11550 15367 17325 20218 23100 OR1006 Application Of Functional Cast Brace(PTB cast) 2893 3850 4345 5060 5786 OR1007 Arthoscopic Lose Body Removal 10978 14597 16467 19217 21956 OR1008 Arthrodesis Of Small Joints - Hand 10978 14597 16467 19217 21956 OR1009 Arthrotomy Ankle 10978 14597 16467 19217 21956 OR1010 Biopsy Bone 6589 8767 9889 11528 13178 OR1011 Biopsy Muscle (Deep) 5434 7227 8151 9515 10868 OR1012 Bone Grafting 10978 14597 16467 19217 21956 OR1013 Carpal Tunnel Decompression (Ortho) 11550 15367 17325 20218 23100 OR1014 Cervical Traction (Spine) 924 1232 1386 1617 1848 OR1016 Closed Reduction Of Fractures And Pop Application 8778 11671 13167 15367 17556 OR1017 Closed Reduction Of Joint Dislocation 6589 8767 9889 11528 13178 OR1018 Closed Reduction Of Small Joints - IP 5434 7227 8151 9515 10868 OR1019 Closed Reduction Of Small Joints - MP 5434 7227 8151 9515 10868 OR1020 Closed Reduction Of Small Joints - MTP 5434 7227 8151 9515 10868 OR1021 Colles Fracture Closed Reduction And Pop Cast 5775 7678 8668 10109 11550 OR1022 Compartment Syndrome - Leg/Foot/Thigh/Forearm 13860 18436 20790 24255 27720 OR1023 Contracture Release 9240 12287 13860 16170 18480 OR1024 Corrective Lesser Toe Surgery 6589 8767 9889 11528 13178 OR1025 Corrective Surgery Greater Toe 9823 13068 14740 17193 19646 OR1026 CTEV - Manipulation And Corrective Cast 2893 3850 4345 5060 5786 OR1027 CTEV - Manipulation And Corrective Cast B/L 4620 6149 6930 8085 9240 OR1028 De Querveins Release 5775 7678 8668 10109 11550 OR1029 Diagnostic Arthroscopy - Knee 10978 14597 16467 19217 21956 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed OR1030(A) Drainage Abscess (Incision & Drainage)- minor 5544 7370 8316 9702 11088
Page 40 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 OR1030(B) Drainage Abscess (Incision & Drainage)-major 9240 12287 13860 16170 18480 OR1032 Excision Head Of Radius 9240 12287 13860 16170 18480 OR1033 Excision Of Accessory Navicular 8778 11671 13167 15367 17556 OR1034(A) Excision Of Bone Tumors 9823 13068 14740 17193 19646 OR1034(B) Excision Of Bone Tumors (major) 17325 23045 25993 30316 34650 OR1035 Excision Of Bursa / Bakers Cyst 9240 12287 13860 16170 18480 OR1036 Excision Of Fibula 8668 11528 13002 15169 17336 OR1037 Excision Of Ganglion 7854 10450 11781 13750 15708 OR1038 Excision Of Lower End Ulna 8668 11528 13002 15169 17336 OR1039 Fasciotomy - Forearm 8778 11671 13167 15367 17556 OR1040 Fasciotomy - Leg 8778 11671 13167 15367 17556 OR1041 Hamstring Release 8778 11671 13167 15367 17556 OR1042 Ingrowing Toe Nail Excision (Multiple) 5775 7678 8668 10109 11550 OR1043 Injection Intra Articular (In OT) 1738 2310 2607 3047 3476 OR1044 Injection Intra Articular (Opd/Bedside) 1155 1540 1738 2024 2310 OR1045 Joint Aspiration In OT 1738 2310 2607 3047 3476 OR1046 K-Wire Fixation Of Single Bones - Foot 7513 9988 11275 13145 15026 OR1047 K-Wire fixation Of Single Bones- Hand 7513 9988 11275 13145 15026 OR1048 Manipulation Of Joints 4389 5841 6589 7678 8778 OR1049 Manipulation Of Joints - Elbow 4389 5841 6589 7678 8778 OR1050 Manipulation Of Joints - Knee 4389 5841 6589 7678 8778 OR1051 Manipulation Of Joints - Shoulder 4389 5841 6589 7678 8778 OR1053 Orif Long Bones Of Upper \Lower limb Procedure 17325 23045 25993 30316 34650 OR1054 Orif Small Bones (K-Wire) 8668 11528 13002 15169 17336 OR1055 (A) Osteomyelitis - Surgical Decompression - minor 10978 14597 16467 19217 21956 OR1055(B) Osteomyelitis - Surgical Decompression - major 13860 18436 20790 24255 27720 OR1055(C ) Osteomyelitis - Surgical Decompression - extensive 17325 23045 25993 30316 34650 OR1056 Pelvic Traction 1848 2453 2772 3234 3696 OR1057 Percutaneous K\ Screw - Wire Fixation Under C- Arm - Minor 5775 7678 8668 10109 11550 OR1058 Percutaneous K\ Screw - Wire Fixation Under C- Arm Major 10978 14597 16467 19217 21956 OR1059 POP Above Elbow Cast Application 3003 3993 4510 5258 6006 OR1060 POP Above Elbow Slab Application 2431 3234 3652 4257 4862 OR1061 POP Above Knee Cast Application 3465 4609 5203 6061 6930 OR1062 POP Above Knee Slab Application 3003 3993 4510 5258 6006 OR1063 POP Application - With Closed Reduction Of Fracture Under LA 4389 5841 6589 7678 8778 OR1064 Major Joint Interposition Arthroplasty 17325 23045 25993 30316 34650 OR1065 POP Below Elbow Cast Application 1848 2453 2772 3234 3696 OR1066 POP Below Elbow Slab Application 1276 1694 1914 2233 2552 OR1067 POP Below Knee Cast Application 2431 3234 3652 4257 4862 OR1068 POP Below Knee Slab Application 1848 2453 2772 3234 3696 OR1069 POP Hip Spica Application Single 5544 7370 8316 9702 11088 OR1070 POP Removal 462 616 693 814 924 OR1071 POP Shoulder Spica Application 5544 7370 8316 9702 11088 OR1072 Primary Nerve Repair 13860 18436 20790 24255 27720 OR1073 Pulled Elbow Manipulation 759 1012 1144 1331 1518 OR1074 Readjustment Of Fixator 5544 7370 8316 9702 11088 OR1075 Removal Of Exostosis 9240 12287 13860 16170 18480 OR1076 Removal Of Fixator 1738 2310 2607 3047 3476 OR1077 Removal Of Fixator In OT Under GA 4389 5841 6589 7678 8778 OR1078 Removal Of Implants - Long Bones - Upper Limb 9240 12287 13860 16170 18480 OR1079 Removal Of Implants - Long Bones Lower Limb 9240 12287 13860 16170 18480 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed OR1080 Removal Of K-Wire / Screw Removal/Nail Dynamization 2893 3850 4345 5060 5786 OR1081 Secondary Closure Of Wound 4389 5841 6589 7678 8778 OR1082 Skeletal Traction 1738 2310 2607 3047 3476 OR1083 Skeletal Traction Under GA 4279 5687 6424 7491 8558 OR1084 Skin Grafting 9240 12287 13860 16170 18480 OR1085 Skull Traction 7623 10142 11440 13343 15246 OR1086 Strapping Figure Of 8 Bandages 1155 1540 1738 2024 2310 OR1087 Tendon Repair - Foot 8778 11671 13167 15367 17556 OR1088 Tendon Repair - Hand 8778 11671 13167 15367 17556 OR1089 Trigger Finger Release 9240 12287 13860 16170 18480 OR1090 Wound Debridement (Ortho) Minor 1738 2310 2607 3047 3476 OR1091 Wound Debridement (Ortho) Major 4279 5687 6424 7491 8558 OR1092 Wound Debridement (Ortho) Extensive 6930 9218 10395 12133 13860 OR1093 Aspiration Of Joints 2079 2761 3124 3641 4158 OR1094 K-Wire Removal 583 770 880 1023 1166 OR1095 Single Agent Biophosphate Administration 748 990 1122 1309 1496 OR1096 Single agent bisphosphonate administration 748 990 1122 1309 1496
Page 41 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 Major Surgery OR2001 Acetabular / Pelvic Fixation 26565 35332 39853 46486 53130 OR2002 Accetabulum With Hip Dislocation 26565 35332 39853 46486 53130 OR2003 Fracture Pelvic Fix Application 17325 23045 25993 30316 34650
OR2004 Acromioplasty - Sub Acromial Decompression & Excision Of Lateral End Of Clavicle 17325 23045 25993 30316 34650
OR2005 All Reconstructions 14443 19206 21670 25278 28886 OR2006 Amputation - Fore Quarter 21945 29183 32923 38401 43890 OR2007 Amputation - Hind Quarter 26565 35332 39853 46486 53130 OR2008 Amputation -AE 13860 18436 20790 24255 27720 OR2009 Amputation -AK 13860 18436 20790 24255 27720 OR2010 Amputation -BE 11550 15367 17325 20218 23100 OR2011 Amputation -BK 11550 15367 17325 20218 23100 OR2014 Ao Compression Procedure For Facture Neck Femur 20790 27654 31185 36388 41580 OR2015 Arthrodesis Of Major Joints - Hip 24255 32263 36388 42449 48510 OR2016 Arthrodesis Of Major Joints - Knee 21945 29183 32923 38401 43890 OR2017 Arthrodesis Of Major Joints - Pantalar 21945 29183 32923 38401 43890 OR2018 Arthrodesis Of Major Joints - Shoulder 21945 29183 32923 38401 43890 OR2019 Arthrodesis Of Major Joints Elbow 21945 29183 32923 38401 43890 OR2020 Arthrodesis Of Small Joints - Foot 13860 18436 20790 24255 27720 OR2021 Arthroscopic Acl Reconstruction 26565 35332 39853 46486 53130 OR2022 Arthroscopic Acromioplasty 21945 29183 32923 38401 43890 OR2023 Arthroscopic And Osseochondral Fracture/Lesion Fix 21945 29183 32923 38401 43890 OR2024 Arthroscopic Excision Of Cyst 16753 22286 25135 29315 33506 OR2025 Arthroscopic Joint Debridement 13288 17677 19932 23254 26576 OR2026 Arthroscopic Meniscal Repair 27720 36872 41580 48510 55440 OR2027 Arthroscopic Menisectomy 16170 21505 24255 28303 32340 OR2028 Arthroscopic Pcl Reconstruction 32923 43791 49390 57618 65846 OR2029 Arthroscopic Synovectomy Knee 21945 29183 32923 38401 43890 OR2030 Arthroscopic Synovectomy Shoulder 21945 29183 32923 38401 43890 OR2031 Arthroscopic Synovectomy Wrist 16753 22286 25135 29315 33506 OR2032 Arthroscopy - Therapeutic : Without Implant 13860 18436 20790 24255 27720 OR2033 Arthroscopy-Therapeutic With Implant 20790 27654 31185 36388 41580 OR2034 Arthrotomy Hip 17325 23045 25993 30316 34650 Service Service Name Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code OR2035 Arthrotomy Knee 12705 16896 19063 22231 25410 OR2036 Arthrotomy Wrist 12705 16896 19063 22231 25410 OR2037 Bipolar Arthroplasty 23100 30723 34650 40425 46200 OR2038 Bone Grafting For Fracture Non Union 23100 30723 34650 40425 46200 OR2039 Change Of Tibial Articular Height 16170 21505 24255 28303 32340 OR2040 Closed Nailing Of Long Bones - Humerus 17325 23045 25993 30316 34650 OR2041 Closed Nailing Of Long Bones - Tibia/Fibula 17325 23045 25993 30316 34650 OR2042 Closed Nailing Of Long Bones - Ulna/Radius 20790 27654 31185 36388 41580 OR2043 Closed Nailing Of Long Bones Femur 20790 27654 31185 36388 41580 Closed Reduction Percutaneous K Wire And Above Elbow Cast For Supracondylar OR2044 12705 16896 19063 22231 25410 Fracture OR2046 Complex Knee Ligament Reconstruction And Stabilisation 32340 43010 48510 56595 64680 OR2049 Core Decompression 17325 23045 25993 30316 34650 OR2050 Core Decompression/Fibular Sturt Graft 23100 30723 34650 40425 46200 OR2054 Cross Finger Flaps 14443 19206 21670 25278 28886 OR2055 Ctev (Club Foot) Corrective Bone Surgery 17325 23045 25993 30316 34650 OR2056 Curretage Of Tumor And Bone Grafting 19063 25355 28600 33363 38126 OR2059 Diagnostic Arthroscopy - Ankle 13860 18436 20790 24255 27720 OR2060 Diagnostic Arthroscopy - Hip 16170 21505 24255 28303 32340 OR2061 Diagnostic Arthroscopy-Shoulder 13860 18436 20790 24255 27720 OR2062 Diagnostic Arthroscopy - Wrist 13860 18436 20790 24255 27720 OR2063 Difficult And Complex Fracture Fixation 24255 32263 36388 42449 48510 OR2064 Disarticulation - Ankle 13288 17677 19932 23254 26576 OR2065 Disarticulation - Elbow 13860 18436 20790 24255 27720 OR2066 Disarticulation - Hip 21945 29183 32923 38401 43890 OR2068 Excision Of Bone Tumors - Deep 17325 23045 25993 30316 34650 OR2069 External Fixator For Fracture Long Bones Upper Limb 13288 17677 19932 23254 26576 OR2070 External Fixator For Fracture long Bones Lower Limb 17325 23045 25993 30316 34650 OR2071 Fixation Aeromio Cervicular Joint Dislocation 16170 21505 24255 28303 32340 OR2072 Fixation Of Fracture Around Hip-D.H.S./Cannulated Screw 23100 30723 34650 40425 46200 OR2075 Fusion - Sub Talar 17325 23045 25993 30316 34650 OR2076 Fusion - Tripple Arthrodesis 23100 30723 34650 40425 46200 OR2077 Girdlestone Arthroplasty 17325 23045 25993 30316 34650 OR2078 Ilizarov & Complex External Fixator 23100 30723 34650 40425 46200 OR2079 Infected Tka First Stage 17325 23045 25993 30316 34650
Page 42 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 OR2080 Infected Tka Joint Debridement + Poly Exchange 17325 23045 25993 30316 34650 Service Service Name Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code OR2081 Infected Tka Second Stage 28875 38401 43318 50534 57750 OR2082 Jpatellar Realignment Procedure 17325 23045 25993 30316 34650 OR2083 K Wire Fixation Multiple (Foot And Hand) 12705 16896 19063 22231 25410 OR2087 Local Flaps 13860 18436 20790 24255 27720 OR2088 Major Tendon Transfers 17325 23045 25993 30316 34650 OR2091 Microvascular Free Flap(Plastic) 32340 43010 48510 56595 64680 OR2092 Mosaic Plasty -Knee 26565 35332 39853 46486 53130 OR2093 Multiple Hand Fracture And Tendon Injuries With Skin Loss 26565 35332 39853 46486 53130 OR2094 Multiple Hand Fracture Without Skin Loss 17325 23045 25993 30316 34650 OR2095 Nerve Decompression (Ortho) 11550 15367 17325 20218 23100 OR2096 Open Reduction Of Joint Dislocation (Major) Hip,Elbow,Knee,Shoulder 17325 23045 25993 30316 34650 OR2097 Open Reduction Of Joint Dislocation (Minor) 12705 16896 19063 22231 25410 OR2098 Open Reduction With Internal Fixation With Bone Grafting Major 20790 27654 31185 36388 41580 OR2099 Open Reduction With Internal Fixation With Bone Grafting Minor 11550 15367 17325 20218 23100 OR2100 Open Synovectomy - Wrist 13860 18436 20790 24255 27720 OR2101 Open Synovectomy -Knee 13860 18436 20790 24255 27720 OR2102 ORIF - Periprosthetic Fractures 28875 38401 43318 50534 57750 OR2103(A) ORIF Bimalleolar Fracture Ankle 20790 27654 31185 36388 41580 OR2103(B) ORIF Elbow 13860 18436 20790 24255 27720 OR2104 ORIF Both Bone Forearm 20790 27654 31185 36388 41580 OR2105 ORIF Fracture Claceneum 17325 23045 25993 30316 34650 OR2106 ORIF Fracture Clavicle 18480 24574 27720 32340 36960 OR2107 ORIF Fracture Lateral Malleolus 13860 18436 20790 24255 27720 OR2108 ORIF Fracture Lower End Radius 17325 23045 25993 30316 34650 OR2109 ORIF Fracture Medial Malleolus 13860 18436 20790 24255 27720 OR2110 ORIF Fracture Olecranon 13860 18436 20790 24255 27720 OR2111 ORIF Fracture Patella 16291 21670 24442 28512 32582 OR2112 ORIF Fracture Radial Head 13860 18436 20790 24255 27720 OR2113 ORIF Fracture Scaphoid 17325 23045 25993 30316 34650 OR2114 ORIF Fracture Supracondylar Humerus 13860 18436 20790 24255 27720 OR2115 ORIF Fracture Talus 16753 22286 25135 29315 33506 OR2116 ORIF Single Bone Forearm 12705 16896 19063 22231 25410 OR2117 Osteotomy - Around Hip 18480 24574 27720 32340 36960 OR2118 Osteotomy - Calcaneal 12705 16896 19063 22231 25410 OR2119 Osteotomy - French 13860 18436 20790 24255 27720 OR2120 Osteotomy - High Tibial 17325 23045 25993 30316 34650 OR2121 Paediatric Hip Surgery - Open Reduction Of CDH 18480 24574 27720 32340 36960 OR2122 Paediatric Hip Surgery - Perthes/ SCFE/ Open Reduction Of CDH 18480 24574 27720 32340 36960 Service Service Name Six/ Nine bed Two bed Single room Deluxe room VIP Suite Code OR2123 Paediatric Hip Surgery - SCFE 18480 24574 27720 32340 36960 OR2124 Patella Replacement 16170 21505 24255 28303 32340 OR2125 Patellectomy 16170 21505 24255 28303 32340 OR2128 Total Joint Replacement - Unilateral - Elbow 34650 46090 51975 60643 69300 OR2131 Total Joint Replacement - Unilateral - Wrist 27720 36872 41580 48510 55440 OR2132 Total Joint Replacement Unilateral - Ankle 27720 36872 41580 48510 55440 OR2133 Total Joint Replacement-Unilateral - Shoulder 34650 46090 51975 60643 69300 OR2134 Total Joint Replacement - Bilateral - Elbow 50820 67595 76230 88935 101640 OR2137 Total Joint Replacement - Bilateral - Wrist 50820 67595 76230 88935 101640 OR2138 Total Joint Replacement Bilateral - Ankle 50820 67595 76230 88935 101640 OR2139 Total Joint Replacement-Bilateral - Shoulder 50820 67595 76230 88935 101640 OR2140 Quadriceps Plasty Without Arthroscopy 16401 21813 24607 28699 32802 OR2141 Recurrent Dislocation Patella Stabilization - (Open Method) 17325 23045 25993 30316 34650 OR2142 Recurrent Dislocation Stabilization - Shoulder/Elbow (Arthroscopic Method) 26565 35332 39853 46486 53130 OR2143 Recurrent Dislocation Stabilization - Shoulder/Elbow (Open Method) 23100 30723 34650 40425 46200 OR2144 Removal Of Cyst/ Loose Body From Knee 16170 21505 24255 28303 32340 OR2145 Removal Of Fracture Fragment - Hip 17325 23045 25993 30316 34650 OR2146 Repair Of Multiple Tendons Of Hand 17325 23045 25993 30316 34650 OR2147 Resurface Hip Arthroplasty Unilateral 34650 46090 51975 60643 69300 OR2148 Revision THR (One Stage) 36960 49159 55440 64680 73920 OR2149 Revision TKR (One Stage) 34650 46090 51975 60643 69300 OR2150 Rotation Flaps 16170 21505 24255 28303 32340 OR2151 Rotator Cuff Repair - Open With Sub Acromial Decompression 17325 23045 25993 30316 34650 OR2153 Sequestractomy & Saucerization - Arthrotomy 16170 21505 24255 28303 32340 OR2154 Shoulder Arthroscopy. Rotator Cuff Repair 32340 43010 48510 56595 64680 OR2155 Single Nerve Repair - Major Nerve 13860 18436 20790 24255 27720 OR2156 Single Tendon Grafting 12705 16896 19063 22231 25410 OR2157 Small Joint Replacement 17325 23045 25993 30316 34650
Page 43 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 OR2158 Soft Tissue Operation of Joints -Large 20218 26895 30327 35387 40436 OR2163 Cavitatory Tumor Resection & Graft 19635 26114 29458 34364 39270 OR2164 Unicompartment Knee Replacement - Unilateral 26565 35332 39853 46486 53130 OR2165 Vascular Repair Artery & Vien 20790 27654 31185 36388 41580 OR2166 Vascular Repair With Vien Grafts 27720 36872 41580 48510 55440 OR2167 Large Tumor Resection With Mega Prosthetic Replacement 40425 53768 60643 70741 80850 OR2168 Large Tumor Resection With Mega Prosthetic Replacement/Muscle Flap 46200 61446 69300 80850 92400 OR2169 ORIF complex fracture upper limb 17325 23045 25993 30316 34650 OR2170 ORIF complex fracture Lower limb 20790 27654 31185 36388 41580 OR2171 Complex Hip fracture 28875 38401 43318 50534 57750 OR2172 Tenotomy plus COP for CTEV U/L 5775 7678 8668 10109 11550 OR2173 Tenotomy plus COP for CTEV B/L 8668 11528 13002 15169 17336 OR2174 Soft tissue release for CTEV U/L 11550 15367 17325 20218 23100 OR2175 Soft tissue release for CTEV B/L 17325 23045 25993 30316 34650 OR2176 Arthrolysis Elbow 17325 23045 25993 30316 34650 OR2177 Judet Quadricep plasty standard 17325 23045 25993 30316 34650 OR2178 Judet Quadricep plasty extensive 23100 30723 34650 40425 46200 OR2179 Shoulder Hemiarthroplasty 28875 38401 43318 50534 57750 OR2180 Distal forearm osteotomy 17325 23045 25993 30316 34650 OR2181 Deformity correction minor 13860 18436 20790 24255 27720 OR2182 Deformity correction standard 17325 23045 25993 30316 34650 OR2183 Deformity correction major 23100 30723 34650 40425 46200 PAIN CLINIC Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PC1001 Epidural Steroid Injection/Arterial Line 4,500 5,985 6,750 7,875 9,000 PC1002 Intracostal Block For Pain Relief 1,250 1,663 1,875 2,188 2,500 PC1003 Peripheral Nerve Block 2,000 2,660 3,000 3,500 4,000 PC1004 Re Injection Of Trigeminal N Within Seven Days 1,000 1,330 1,500 1,750 2,000 PC1005 Stellate Ganglion Block 1,250 1,663 1,875 2,188 2,500 PC1006 Trigeminal N 10,000 13,300 15,000 17,500 20,000
PAEDIATRIC Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed Investigation PD1001 ABG Sampling 600 798 900 1,050 1,200 PD1002 Oto Acountic Emission 800 1,064 1,200 1,400 1,600 PAEDIATRIC PROCEDURES PD2001 Abscess Incision & Drainage Large 4,000 5,320 6,000 7,000 8,000 PD2002 Arterial Line 3,000 3,990 4,500 5,250 6,000 PD2003 Cpap Procedure Charges 1,500 1,995 2,250 2,625 3,000 PD2004 Cvp Line 3,000 3,990 4,500 5,250 6,000 PD2005 Et Intubation 1,200 1,596 1,800 2,100 2,400 PD2006 Exchange Transfusion With Total Double Volume 7,500 9,975 11,250 13,125 15,000 PD2007 Foetal Monitoring CTG 760 1,011 1,140 1,330 1,520 PD2008 Initiation Of Ventilation (One Time Charge) 3,000 3,990 4,500 5,250 6,000 PD2009 Nasotracheal Et Intubation 1,200 1,596 1,800 2,100 2,400 PD2010 Neonatal Attendence At Delivery 3,000 3,990 4,500 5,250 6,000 PD2011 Pain Relief & IU Section 2,000 2,660 3,000 3,500 4,000 PD2012 Partial Exchange Transfusion 3,500 4,655 5,250 6,125 7,000 PD2013 Rt Insertion 750 998 1,125 1,313 1,500 PD2014 Surfectant Therapy 3,500 4,655 5,250 6,125 7,000 PD2015 Umblical Arterial/Venous Catherization 2,500 3,325 3,750 4,375 5,000 PD2016 Phototherapy 900 1,197 1,350 1,575 1,800 PAEDIATRIC SURGERY PD3001 Abdominoperineal Pull Through (Duhamels) 14,000 18,620 21,000 24,500 28,000 PD3002 Abscess Incision & Drainage 2,100 2,793 3,150 3,675 4,200 PD3003 Anal Dilatation 2,000 2,660 3,000 3,500 4,000 PD3004 Anal Transposition For Ectopic Anus 6,700 8,911 10,050 11,725 13,400 PD3005 Antireflux Surgery (Fundoplication) 14,000 18,620 21,000 24,500 28,000 PD3006 Appendicetomy 7,800 10,374 11,700 13,650 15,600 PD3007 Biliary Atresia (Asais Portoenterostomy) 19,500 25,935 29,250 34,125 39,000 PD3008 Biopsy Rectal 2,900 3,857 4,350 5,075 5,800 PD3009 Bladder Exostrophy Repair (Bladder Turn In) 19,500 25,935 29,250 34,125 39,000 PD3010 Bladder Exostrophy Repair Complete Repair 21,500 28,595 32,250 37,625 43,000 PD3011 Branchial Fistula 9,800 13,034 14,700 17,150 19,600 PD3012 Bronchoscopy With Foreign Body Removal 6,000 7,980 9,000 10,500 12,000 PD3013 Choledochal Cyst Excision 19,500 25,935 29,250 34,125 39,000 PD3014 Chordee Correction 6,700 8,911 10,050 11,725 13,400 PD3015 Circumcision 4,500 5,985 6,750 7,875 9,000
Page 44 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 PD3016 Cleft Lip Repair 11,000 14,630 16,500 19,250 22,000 PD3017 Cleft Palate Repair (Complete Cleft) 11,000 14,630 16,500 19,250 22,000 PD3018 Cleft Palate Repair (Incomplete Cleft) 13,000 17,290 19,500 22,750 26,000 PD3019 Clitorovaginoplasty (Feminizing Genitoplasty) 21,500 28,595 32,250 37,625 43,000 PD3020 Colostomy & Multiple Colonic Biopsies 11,000 14,630 16,500 19,250 22,000 PD3021 Colostomy 12,000 15,960 18,000 21,000 24,000 PD3022 Colostomy Closure 8,500 11,305 12,750 14,875 17,000 PD3023 Congenital Diaphragmatic Hernia 21,500 28,595 32,250 37,625 43,000 PD3024 Cystolithotomy 6,500 8,645 9,750 11,375 13,000 PD3025 Cystoscopic Fulguration Of Posterior Urethral Valves 11,000 14,630 16,500 19,250 22,000 PD3026 Dep Seated Abscess Drainage 4,800 6,384 7,200 8,400 9,600 PD3027 Diaphragm Eventeration Repair 16,000 21,280 24,000 28,000 32,000 PD3028 Epispadias Repair 11,000 14,630 16,500 19,250 22,000 PD3029 Esophageal Atresia With Tef (Primary Repair) 21,500 28,595 32,250 37,625 43,000 PD3030 Esophageal Replacement Surgery (Gastric Pull -Up) 21,500 28,595 32,250 37,625 43,000 PD3031 Esophagostomy & Gastrotomy 9,600 12,768 14,400 16,800 19,200 PD3032 Excision Cyst / Tumour Benign Small 3,800 5,054 5,700 6,650 7,600 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PD3033 Excision Of Tumor 4,800 6,384 7,200 8,400 9,600 PD3034 Excision Scrococcygeal Teratoma 16,000 21,280 24,000 28,000 32,000 PD3035 Excision Wide Rhabdomyosarcoma 16,000 21,280 24,000 28,000 32,000 PD3036 Exomphalos 19,500 25,935 29,250 34,125 39,000 PD3037 Gastroschisis Repair 19,500 25,935 29,250 34,125 39,000 PD3038 Gastrostomy 6,500 8,645 9,750 11,375 13,000 PD3039 Hemicolectomy Unilateral 8,000 10,640 12,000 14,000 16,000 PD3040 Hemi-Nephroureterectomy 17,000 22,610 25,500 29,750 34,000 PD3041 Hernia Epigastric 7,600 10,108 11,400 13,300 15,200 PD3042 Hernia Inguinal Bilateral 11,000 14,630 16,500 19,250 22,000 PD3043 Hernia Inguinal unilateral 8,000 10,640 12,000 14,000 16,000 PD3044 Hernia Umbilical 7,600 10,108 11,400 13,300 15,200 PD3045 Intussusception Reduction 9,800 13,034 14,700 17,150 19,600 PD3046 Laparotomy 7,600 10,108 11,400 13,300 15,200 PD3048 Liver Hydatid 14,500 19,285 21,750 25,375 29,000 PD3049 Lymph Node Biopsy 4,800 6,384 7,200 8,400 9,600 PD3050 Malrotation Of Intestine 9,600 12,768 14,400 16,800 19,200 PD3051 Meatotomy 2,000 2,660 3,000 3,500 4,000 PD3052 Meckels Diverticulectomy 8,700 11,571 13,050 15,225 17,400 PD3053 Neonatal Intestinal Atresia 12,800 17,024 19,200 22,400 25,600 PD3054 Nephrectomy / Nephroureterectomy 12,800 17,024 19,200 22,400 25,600 PD3055 Nephrostomy Open 12,000 15,960 18,000 21,000 24,000 PD3056 Nephrostomy Percutaneous 5,100 6,783 7,650 8,925 10,200 PD3057 Orchidopexy Bilateral 11,500 15,295 17,250 20,125 23,000 PD3058 Orchidopexy Unilateral 8,000 10,640 12,000 14,000 16,000 PD3059 Ovarian Cystectomy 11,000 14,630 16,500 19,250 22,000 PD3060 Pediatric Bronchoscopy - Diagnostic 8,000 10,640 12,000 14,000 16,000 PD3061 Pediatric Bronchoscopy - Removal Of Foreign Body 10,000 13,300 15,000 17,500 20,000 PD3062 Posterior Sagittal Anorctoplasty 21,000 27,930 31,500 36,750 42,000 PD3063 Prepucial Adhesions Deduction 1,750 2,328 2,625 3,063 3,500 PD3064 Pulmonary Hydatid 16,000 21,280 24,000 28,000 32,000 PD3065 Pyelolithotomy 8,800 11,704 13,200 15,400 17,600 PD3066 Pyeloplasty 12,600 16,758 18,900 22,050 25,200 PD3067 Pyloric Stenosis (Pyloromyotomy) 8,700 11,571 13,050 15,225 17,400 PD3068 Rectal Polyp 4,800 6,384 7,200 8,400 9,600 PD3069 Rescetion & Anastamosis Of Intestine 11,000 14,630 16,500 19,250 22,000 PD3070 Rigid Bronchoscopy (Paed) 6,000 7,980 9,000 10,500 12,000 PD3071 Spina Bifida Repair (Large) 13,800 18,354 20,700 24,150 27,600 PD3072 Spina Bifida Repair (Small) 11,000 14,630 16,500 19,250 22,000 PD3073 Splenectomy 11,000 14,630 16,500 19,250 22,000 PD3074 Suprapubic Cystostomy 6,500 8,645 9,750 11,375 13,000 PD3075 Syndactyly Release 11,000 14,630 16,500 19,250 22,000 PD3076 Thoracotomy & Cyst Excision 16,000 21,280 24,000 28,000 32,000 PD3077 Thoracotomy & Decortication 13,000 17,290 19,500 22,750 26,000 PD3078 Thoracotomy Lobectomy 16,000 21,280 24,000 28,000 32,000 PD3079 Throcotomy Pneumonectomy 21,500 28,595 32,250 37,625 43,000 PD3080 Thyroglossal Cyst 8,500 11,305 12,750 14,875 17,000 PD3081 Torsion Testis 7,500 9,975 11,250 13,125 15,000 PD3082 Torticollis Release 9,800 13,034 14,700 17,150 19,600 PD3083 Ureteric Reimplantation - Bilateral 19,500 25,935 29,250 34,125 39,000 PD3084 Ureteric Reimplantation - Unilateral 13,000 17,290 19,500 22,750 26,000 PD3085 Ureterostomy Bilateral 11,000 14,630 16,500 19,250 22,000
Page 45 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 PD3086 Ureterostomy Unilateral 8,500 11,305 12,750 14,875 17,000 PD3087 Urethral Dilatation 2,000 2,660 3,000 3,500 4,000 PD3088 Urethral Fistula Repair 13,000 17,290 19,500 22,750 26,000 PD3089 Urethroplasty Second stage Correction 16,000 21,280 24,000 28,000 32,000 PD3090 Urethroplasty Single Stage Distal Hypospadias 16,000 21,280 24,000 28,000 32,000 PD3091 Urethroplasty Single Stage Mid/Pros Hypospadias 19,500 25,935 29,250 34,125 39,000 PD3092 Ventriculo - Peritoneal Shunt Placement 11,000 14,630 16,500 19,250 22,000 PD3093 Vesicostomy 8,500 11,305 12,750 14,875 17,000 PD3094 Vilms Tumour / Neuroblastoma Excision 17,000 22,610 25,500 29,750 34,000
PHYSIOTHERAPY Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PT1001 Antenatal Classes 1,000 1,330 1,500 1,750 2,000 PT1002 Combination Therapy Upto Two Modalities 380 505 570 665 760 PT1003 Combination Therapy Upto Three Modalities 550 732 825 963 1,100 PT1004 Combination Therapy Upto Five Modalities 900 1,197 1,350 1,575 1,800 PT1005 Combination Therapy Upto Six/ Nine Modalities 700 931 1,050 1,225 1,400 PT1006 Continous Passive Mobilizer 200 266 300 350 400 PT1007 Exercise Thetrapy+ Chest Therapy 200 266 300 350 400 PT1008 Exercises Teaching 200 266 300 350 400 PT1009 Exercises Therapy Upto 15 Min 300 399 450 525 600 PT1010 Exercises Therapy Up To 30 Mins 400 532 600 700 800 PT1011 Exercises Therapy Up To 45 Mins 450 599 675 788 900 PT1012 Gym Charges Three Months 2,500 3,325 3,750 4,375 5,000 PT1013 Gym Charges One Month 1,000 1,330 1,500 1,750 2,000 PT1014 Gym Charges One Year 7,500 9,975 11,250 13,125 15,000 PT1015 Hot/Cold Packs 200 266 300 350 400 PT1016 Interferential Therapy 200 266 300 350 400 PT1017 Isokinetics 200 266 300 350 400 PT1018 Laser Unit/ Biofeed Back 220 293 330 385 440 PT1019 Muscle Stimulator 200 266 300 350 400 PT1020 Paraffin Wax Bath 200 266 300 350 400 PT1021 Physiotherapy At Home (10 Visits) 6,000 6,000 6,000 6,000 6,000 PT1022 Physiotherapy At Home (20 Visits) 10,000 10,000 10,000 10,000 10,000 PT1023 Physiotherapy At Home (30 Visits) 15,000 15,000 15,000 15,000 15,000 PT1024 Physiotherapy Charges 200 266 300 350 400 PT1025 Physiotherapy Consult 300 399 450 525 600 PT1026 Physiotherapy Emergency Visit 600 798 900 1,050 1,200 PT1027 Physiotherapy Neuro Surgery 600 798 900 1,050 1,200 PT1028 Post Natal Exercises 300 399 450 525 600 PT1029 Pre Natal Exercises 300 399 450 525 600 PT1030 Short Wave Diathermy 200 266 300 350 400 PT1031 Tens/Muscle Stimulation 200 266 300 350 400 PT1032 Traction 200 266 300 350 400 PT1033 Ultra Violet LR 200 266 300 350 400 PT1034 Ultrasound 200 266 300 350 400 PT1035 vacuum therapy 300 399 450 525 600 PLASTIC SURGERY Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed Minor Surgery/Procedure PS1001 Alar Adjustment (Nose) Both 8,000 10,640 12,000 14,000 16,000 PS1002 Alar Adjustment (Nose) Single 6,800 9,044 10,200 11,900 13,600 PS1003 Alveolar fracture- closed reduction 6,400 8,512 9,600 11,200 12,800 PS1004 Alveolar fracture- open reduction 9,600 12,768 14,400 16,800 19,200 PS1005 Arch bar application 12,000 15,960 18,000 21,000 24,000 PS1006 Arch Bar Removal 3,000 3,990 4,500 5,250 6,000 PS1007 Arthrodesis of hand & foot bone(s) 9,600 12,768 14,400 16,800 19,200 PS1008 Arthroscopic median nerve decompression 7,800 10,374 11,700 13,650 15,600 PS1009 Blepharoplasty upper /lower lid for ectropion (single eye) 7,800 10,374 11,700 13,650 15,600 PS1011 Botox per unit (cost of botox additional) 120 160 180 210 240 PS1012 Burn Dressing (Large ) 7,500 9,975 11,250 13,125 15,000 PS1013 Burn Dressing (Medium ) 3,500 4,655 5,250 6,125 7,000 PS1014 Burn Dressing (small ) 2,000 2,660 3,000 3,500 4,000 PS1015 Burn Grafting Small 12,000 15,960 18,000 21,000 24,000 PS1016 Chemical peel of face 2,000 2,660 3,000 3,500 4,000 PS1017 Chordee correction 9,000 11,970 13,500 15,750 18,000 PS1018 Circumcision Hypospadias repair 7,900 10,507 11,850 13,825 15,800 PS1019 Closed reduction of fracture scaphoid 9,000 11,970 13,500 15,750 18,000 PS1020 Contracture release for camptodactyly single finger 9,600 12,768 14,400 16,800 19,200
Page 46 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 PS1021 Correction of simple bifid thumb/ finger 7,800 10,374 11,700 13,650 15,600 PS1022 Correction of simple bifid toe 7,800 10,374 11,700 13,650 15,600 PS1023 Cubital tunnel release 7,800 10,374 11,700 13,650 15,600 PS1024 Debridement Extensive 9,600 12,768 14,400 16,800 19,200 PS1025 Debridement Foot and ankle 6,200 8,246 9,300 10,850 12,400 PS1026 Debridement for hand injuries 6,400 8,512 9,600 11,200 12,800 PS1027(A) Debridement Large 6,100 8,113 9,150 10,675 12,200 PS1027(B) Debridement medium 5,100 6,783 7,650 8,925 10,200 PS1028 Debridement Small 4,200 5,586 6,300 7,350 8,400 PS1029 Debridement Thigh and knee 6,200 8,246 9,300 10,850 12,400 PS1030 Delay of flap 4,000 5,320 6,000 7,000 8,000 PS1031 Dermabraison post-injury 7,800 10,374 11,700 13,650 15,600 PS1032 Dermabrasion partial face 9,600 12,768 14,400 16,800 19,200 PS1033 Dermofat graft-large 9,200 12,236 13,800 16,100 18,400 PS1034 Dermofat graft-small 7,800 10,374 11,700 13,650 15,600 PS1035 Distractor/ jess application for fracture proximal phalynx 9,600 12,768 14,400 16,800 19,200 PS1036 Distractor/jess application for metacarpal fracture 9,600 12,768 14,400 16,800 19,200 PS1037 Dorsal slit of prepuce 4,000 5,320 6,000 7,000 8,000 PS1038 Drainage of subungual haematoma 4,000 5,320 6,000 7,000 8,000 PS1039 Dressing in OT- major 5,500 7,315 8,250 9,625 11,000 PS1040 Dressing in OT-minor/suture removal 1,650 2,195 2,475 2,888 3,300 PS1041 Dressing In Ward /OPD (Large) 1,650 2,195 2,475 2,888 3,300 PS1042 Dressing In Ward /OPD (Medium) 1,000 1,330 1,500 1,750 2,000 PS1043 Dressing In Ward /OPD (Small) 500 665 750 875 1,000 PS1044 Ear Lobule Repair Single 5,000 6,650 7,500 8,750 10,000 PS1045 Ear Lobule Repair Both Sides 9,000 11,970 13,500 15,750 18,000 PS1046 Epicanthus correction 9,600 12,768 14,400 16,800 19,200 PS1047 Exc of carbuncle 7,800 10,374 11,700 13,650 15,600 PS1048 Exc of extra digit (Excluding thumb) 7,800 10,374 11,700 13,650 15,600 PS1049 Exc of extremity lesion+z-plasty of other adjacent tissue tran 9,600 12,768 14,400 16,800 19,200 PS1050 Exc of ganglion 7,800 10,374 11,700 13,650 15,600 PS1051 Exc of hand/foot lesion + z-plasty/other adjacent tissue tran 10,000 13,300 15,000 17,500 20,000 PS1052 Exc of head & neck lesion + z-plasty/other adjacent tissue tran 12,000 15,960 18,000 21,000 24,000 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS1053 Exc of multiple cysts 9,600 12,768 14,400 16,800 19,200 PS1054 Exc of pilonidal sinus + out primary CLSR 9,600 12,768 14,400 16,800 19,200 PS1055 Exc of scalp lesion + z-plasty/other adjacent tissue tran 8,500 11,305 12,750 14,875 17,000 PS1056 Exc of skin lesion- face (less than 2cm) 7,800 10,374 11,700 13,650 15,600 PS1057 Exc of trunk lesion + z-plasty/other adjacent tissue tran 9,600 12,768 14,400 16,800 19,200 PS1058 Excision Of Mole/Cyst 4,500 5,985 6,750 7,875 9,000 PS1059 Expander inflation 600 798 900 1,050 1,200 PS1060 Expander insertion > 3 (for additional per expander) 2,500 3,325 3,750 4,375 5,000 PS1061 Eyelid Wedge Resection & Reconstruction 9,600 12,768 14,400 16,800 19,200 PS1062 Face Scar Simple 9,500 12,635 14,250 16,625 19,000 PS1063 Facial Bones Close Fracture Nose 8,000 10,640 12,000 14,000 16,000 PS1064 Facial Bones Mandible Fracture Closed Reduction 9,600 12,768 14,400 16,800 19,200 PS1065 Filler / area (excluding cost) 4,000 5,320 6,000 7,000 8,000 PS1066 Flap insetting (small) 5,700 7,581 8,550 9,975 11,400 PS1067 Groin /abdominal flap cover for hand injurie-small (Sl fl) 9,600 12,768 14,400 16,800 19,200 PS1068 Hair transplant (per graft) 70 93 105 123 140 PS1069 Hand Surgery - Nail Bed Injury - One Finger 7,500 9,975 11,250 13,125 15,000 PS1070 Hand Surgery Repair & Graft 7,000 9,310 10,500 12,250 14,000 PS1071 Head and neck repair-simple 7,000 9,310 10,500 12,250 14,000 PS1072 Hemangioma (Excision Small) 9,000 11,970 13,500 15,750 18,000 PS1073 Intralesional injection (in OT) 2,300 3,059 3,450 4,025 4,600 PS1074 Jaw cyst Exc- simple/unilocular 7,800 10,374 11,700 13,650 15,600 PS1075 Kenacort injection 600 798 900 1,050 1,200 PS1076 K-wire fixation for fracture distal phalynx 7,800 10,374 11,700 13,650 15,600 PS1077 K-wire fixation for fracture middle phalynx 7,800 10,374 11,700 13,650 15,600 PS1078 K-wire fixation for fracture proximal phalynx 7,800 10,374 11,700 13,650 15,600 PS1079 K-wire fixation for metacarpal fracture 9,600 12,768 14,400 16,800 19,200 PS1080 K-wire fixation of fracture scaphoid 9,600 12,768 14,400 16,800 19,200 PS1081 Labial fold excision 9,600 12,768 14,400 16,800 19,200 PS1082 Lacerated Wound (Other Than Face And Finger) Large 9,600 12,768 14,400 16,800 19,200 PS1083 Lacerated Wound Face Simple very large 10,000 13,300 15,000 17,500 20,000 PS1084 Lacerated Wound Face Simple Large 8,000 10,640 12,000 14,000 16,000 PS1085 Lacerated Wound Face Simple Medium 5,000 6,650 7,500 8,750 10,000 PS1086 Lacerated Wound Face Simple Small 2,500 3,325 3,750 4,375 5,000 PS1087 Lacerated Wound Finger Simple Small 3,000 3,990 4,500 5,250 6,000 PS1088 Lacerated Wound Finger Single Large 4,250 5,653 6,375 7,438 8,500
Page 47 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 PS1089 Lid entropion correction- both eyes 10,000 13,300 15,000 17,500 20,000 PS1090 Lid entropion correction- single eye 6,400 8,512 9,600 11,200 12,800 PS1091 Local head and neck flap- small 12,000 15,960 18,000 21,000 24,000 PS1092 Local transposition flap- small 7,800 10,374 11,700 13,650 15,600 PS1093 Midline etching 7,800 10,374 11,700 13,650 15,600 PS1094 MRI JOINT extra ARTHROGRAPHY 9,600 12,768 14,400 16,800 19,200 PS1096 Nasal bone fracture- closed reduction + out manipulation 8,000 10,640 12,000 14,000 16,000 PS1097 Nasal pack removal 1,600 2,128 2,400 2,800 3,200 PS1098 Naso-maxillary fracture (lefort ii)- closed reduction 9,000 11,970 13,500 15,750 18,000 PS1099 Nerve biopsy 4,000 5,320 6,000 7,000 8,000 PS1100 Percutaneous reduction of malar fracture 8,500 11,305 12,750 14,875 17,000 PS1101 Pressure Sore Skin Graft Only 8,000 10,640 12,000 14,000 16,000 PS1102 Radial club hand- distractor/external fixator application 9,600 12,768 14,400 16,800 19,200 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS1103 Radiofrequency ablation Additional moles 780 1,037 1,170 1,365 1,560 PS1104 Radiofrequency ablation Two moles 4,500 5,985 6,750 7,875 9,000 PS1105 Reconstructive rhinoplasty -forehead flap (stage 2 of 2 ) 9,600 12,768 14,400 16,800 19,200 PS1106 Reimplantation each additional finger (after two fingers) 15,000 19,950 22,500 26,250 30,000 PS1107 Removal Of Implants (Mandible) 6,500 8,645 9,750 11,375 13,000 PS1108 Repair of lid coloboma 7,800 10,374 11,700 13,650 15,600 PS1109 Screw fixation of fracture scaphoid 9,600 12,768 14,400 16,800 19,200 PS1110 Shortening and CLSR of finger stump 7,800 10,374 11,700 13,650 15,600 PS1111 Skin graft for head and neck-small 10,000 13,300 15,000 17,500 20,000 PS1112 Skin grafting -minor 10,000 13,300 15,000 17,500 20,000 PS1113 Small multiple lacerations 6,400 8,512 9,600 11,200 12,800 PS1114 Tarsorrhaphy 2,300 3,059 3,450 4,025 4,600 PS1115 Tarsorrhaphy release 780 1,037 1,170 1,365 1,560 PS1116 Tendon transfer for polio 10,000 13,300 15,000 17,500 20,000 PS1117 Tendon transfer for median nerve injuries (opponensplasty) 10,000 13,300 15,000 17,500 20,000 PS1118 Tendon transfer for radial nerve injuries - single 10,000 13,300 15,000 17,500 20,000 PS1119 Tenolysis of flexor/ extensor tendons- single 7,800 10,374 11,700 13,650 15,600 PS1120 Tm joint dislocation- closed reduction 9,600 12,768 14,400 16,800 19,200 PS1121 Trigger finger release 6,400 8,512 9,600 11,200 12,800 PS1122 V-y flap cover of amputation stump 9,600 12,768 14,400 16,800 19,200 PS1123 Zimmer splint application for one finger 7,800 10,374 11,700 13,650 15,600 PS1138 Piercing Pinna - Bilateral 1,400 1,862 2,100 2,450 2,800 PS1139 Piercing Pinna - Unilateral 900 1,197 1,350 1,575 1,800 Major Surgery PS2001 Abdominoplasty 30,000 39,900 45,000 52,500 60,000 PS2002 Abdominoplasty + limited incision 15,000 19,950 22,500 26,250 30,000 PS2003 Abdominoplasty with liposuction 40,000 53,200 60,000 70,000 80,000 PS2004 Alt perforator free flap 40,000 53,200 60,000 70,000 80,000 PS2005 Alveolar bone gr 14,000 18,620 21,000 24,500 28,000 PS2006 Ao plating for fracture distal phalynx 10,000 13,300 15,000 17,500 20,000 PS2007 Ao plating for fracture middle phalynx 10,000 13,300 15,000 17,500 20,000 PS2008 Ao plating for fracture proximal phalynx 10,000 13,300 15,000 17,500 20,000 PS2009 Ao plating for metacarpal fracture 10,000 13,300 15,000 17,500 20,000 PS2010 Augmentation phalloplasty free flap 45,000 59,850 67,500 78,750 90,000 PS2011 AV Fistula High 18,000 23,940 27,000 31,500 36,000 PS2012 AV Fistula Low 12,000 15,960 18,000 21,000 24,000 PS2013 B/L sagittal split osteotomy-advancement 28,000 37,240 42,000 49,000 56,000 PS2014 B/L sagittal split osteotomy-setback 28,000 37,240 42,000 49,000 56,000 PS2015 Baggy Eyelids Bilateral 19,000 25,270 28,500 33,250 38,000 PS2016 Baggy Eyelids Unilateral 15,000 19,950 22,500 26,250 30,000 PS2017 Belt lipectomy 35,000 46,550 52,500 61,250 70,000 PS2018 Blepharoplasty upper lid 14,000 18,620 21,000 24,500 28,000 PS2019 Blepharoplasty upper lid for ectropion (both eyes) 16,000 21,280 24,000 28,000 32,000 PS2020 Blepharpplasty lower lid for entropion (both eyes) 16,000 21,280 24,000 28,000 32,000 PS2021 Brachial plexus exploration & nerve transfer/neurotization 19,000 25,270 28,500 33,250 38,000 PS2022 Brachial plexus exploration + nerve gr 31,000 41,230 46,500 54,250 62,000 PS2023 Brachial plexus exploration and nerve repair 19,000 25,270 28,500 33,250 38,000 PS2024 Brachial plexus repair- neurolysis 19,000 25,270 28,500 33,250 38,000 PS2025 Brachioplasty / arm lift 17,000 22,610 25,500 29,750 34,000 PS2026 Breast augmentation 25,000 33,250 37,500 43,750 50,000 PS2027 Breast augmentation -dual plane 28,000 37,240 42,000 49,000 56,000 PS2028 Brow/ forehead lift 15,000 19,950 22,500 26,250 30,000 PS2029 Burn Grafting Extensive 30,000 39,900 45,000 52,500 60,000 PS2030 Burn Grafting large 24,000 31,920 36,000 42,000 48,000 PS2031 Burn Grafting medium 16,000 21,280 24,000 28,000 32,000
Page 48 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS2032 Burns contracture release- multiple fingers/ extensive 19,000 25,270 28,500 33,250 38,000 PS2033 Burns contracture release-one finger/toe/minor 11,000 14,630 16,500 19,250 22,000 PS2034 Burns contracture release-two fingers/toes/medium 15,000 19,950 22,500 26,250 30,000 PS2035 Buttock implant 17,000 22,610 25,500 29,750 34,000 PS2036 Button hole deformity correction - multiple fingers 19,000 25,270 28,500 33,250 38,000 PS2037 Button hole deformity correction- two fingers 17,000 22,610 25,500 29,750 34,000 PS2038 Button hole deformity correction-single finger 14,000 18,620 21,000 24,500 28,000 PS2039 Calf implant 15,000 19,950 22,500 26,250 30,000 PS2040 Carpal tunnel release operation + guyons canal release 11,000 14,630 16,500 19,250 22,000 PS2041 Carpal tunnel release operation + opponensplasty 19,000 25,270 28,500 33,250 38,000 PS2042 Carpal tunnel release operation + synovectomy 17,000 22,610 25,500 29,750 34,000 PS2043 Centralisation of chin 14,000 18,620 21,000 24,500 28,000 PS2044 Chin augmentation- multiple sliding osteotomies 11,000 14,630 16,500 19,250 22,000 PS2045 Chin augmentation- osteotomy + bone graft 17,000 22,610 25,500 29,750 34,000 PS2046 Chin augmentation- prosthetic/allograft 14,000 18,620 21,000 24,500 28,000 PS2047 Chin augmentation- single sliding osteotomy 15,000 19,950 22,500 26,250 30,000 PS2048 Chin reduction 17,000 22,610 25,500 29,750 34,000 PS2049 Cleft lip + anterior palate repair B/L 20,000 26,600 30,000 35,000 40,000 PS2050 Cleft lip + anterior palate repair U/L 17,000 22,610 25,500 29,750 34,000 PS2051 Cleft Lip Bilateral (Complete) (Plastic) 18,000 23,940 27,000 31,500 36,000 PS2052 Cleft Lip Bilateral (Incomplete) (Plastic) 14,000 18,620 21,000 24,500 28,000 PS2053 Cleft Lip Unilateral (Complete) (Plastic) 14,000 18,620 21,000 24,500 28,000 PS2054 Cleft Lip Unilateral (Incomplete) (Plastic) 12,500 16,625 18,750 21,875 25,000 PS2055 Cleft Palate (Complete) (Plastic) 15,000 19,950 22,500 26,250 30,000 PS2056 Cleft Palate (Soft Palate) (Plastic) 14,000 18,620 21,000 24,500 28,000 PS2057 Cleft Palate Fistula (Plastic Surg) 16,000 21,280 24,000 28,000 32,000 PS2058 Closed aesthetic rhinoplasty 15,000 19,950 22,500 26,250 30,000 PS2059 Coccygeal Bdsr Exc + flap CLSR 17,000 22,610 25,500 29,750 34,000 PS2060 Coccygeal Bdsr Exc + primary CLSR 14,000 18,620 21,000 24,500 28,000 PS2061 Composite graft (medium) 15,000 19,950 22,500 26,250 30,000 PS2062 Composite Graft (Large) 16,000 21,280 24,000 28,000 32,000 PS2063 Composite graft (small) 12,500 16,625 18,750 21,875 25,000 PS2064 Contracture release for camptodactyly multiple fingers 17,500 23,275 26,250 30,625 35,000 PS2065 Contracture release of camptodactyly two fingers 11,000 14,630 16,500 19,250 22,000 PS2066 Contracture release of lips 14,000 18,620 21,000 24,500 28,000 PS2067 Contracture release of neck 19,000 25,270 28,500 33,250 38,000 PS2068 Contracture release + tendon transfer for camptodactyly 2 fingers 15,000 19,950 22,500 26,250 30,000 PS2069 Contracture release + tendon transfer for camptodactyly 1 finger 11,000 14,630 16,500 19,250 22,000 PS2070 Contracture release+tendon transfer for camptodactyly multiple fingers 22,000 29,260 33,000 38,500 44,000 PS2071 Correction of complex bifid thumb (wassal type 1) 10,000 13,300 15,000 17,500 20,000 PS2072 Correction of complex bifid thumb (wassal type 2) 12,000 15,960 18,000 21,000 24,000 PS2073 Correction of complex bifid thumb (wassal type 3) 14,000 18,620 21,000 24,500 28,000 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS2074 Correction of complex bifid thumb (wassal type 4) 15,000 19,950 22,500 26,250 30,000 PS2075 Correction of complex bifid thumb (wassal type 5) 17,500 23,275 26,250 30,625 35,000 PS2076 Correction of complex bifid thumb (wassal type 6) 17,000 22,610 25,500 29,750 34,000 PS2077 Correction of inverted nipple- B/L 19,000 25,270 28,500 33,250 38,000 PS2078 Correction of inverted nipple- U/L 11,000 14,630 16,500 19,250 22,000 PS2079 Correction of macrostomia U/L 10,000 13,300 15,000 17,500 20,000 PS2080 Correction of mallet finger 10,000 13,300 15,000 17,500 20,000 PS2081 Correction of mallet finger- extensor tendon repair 15,000 19,950 22,500 26,250 30,000 PS2082 Correction of mallet finger- tendon repair + k-wiring 16,000 21,280 24,000 28,000 32,000 PS2083 Correction of microstomia B/L 15,000 19,950 22,500 26,250 30,000 PS2084 Corrective Rhinoplasty (Plastic Surg) 23,000 30,590 34,500 40,250 46,000 PS2085 Cranioplasty with bone graft 23,000 30,590 34,500 40,250 46,000 PS2086 Cranioploasty with implant 19,000 25,270 28,500 33,250 38,000 PS2087 Craniostenosis (MCS)-reconstruction of cranial vault 37,000 49,210 55,500 64,750 74,000 PS2088 Craniostenosis (MSC)-reconstruction of cranial vault & BG 30,000 39,900 45,000 52,500 60,000 PS2089 Craniostenosis (SCS)- reconstruction of cranial vault 24,000 31,920 36,000 42,000 48,000 PS2090 Craniostenosis (SCS)-reconstruction of cranial vault & BG 28,000 37,240 42,000 49,000 56,000 PS2091 Cross lip pedicle flap (abbe estlander) 14,000 18,620 21,000 24,500 28,000 PS2092 CT UROGRAPHY 11,000 14,630 16,500 19,250 22,000 PS2093 David chuangs muscle transfer procedure 28,000 37,240 42,000 49,000 56,000 PS2094 Dcia flap 40,000 53,200 60,000 70,000 80,000 PS2095 Debulking of macrodactyly 19,000 25,270 28,500 33,250 38,000 PS2096 Dermabrasion full face 15,000 19,950 22,500 26,250 30,000 PS2097 Diep flap 40,000 53,200 60,000 70,000 80,000 PS2098 Digital nerve graft 15,000 19,950 22,500 26,250 30,000
Page 49 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 PS2099 Digital nerve repair 12,500 16,625 18,750 21,875 25,000 PS2100 Dimple creation B/L 18,000 23,940 27,000 31,500 36,000 PS2101 Dimple creation U/L 11,000 14,630 16,500 19,250 22,000 PS2102 Dorsal dermodesis for nail bed injuries 11,000 14,630 16,500 19,250 22,000 PS2103 Ear Deformity Bat Ears (Plastic) 14,000 18,620 21,000 24,500 28,000 PS2104 Ectropion (Both) (Plasitc Surg) 14,100 18,753 21,150 24,675 28,200 PS2105 Ectropion (Upper Eyelid) (Plasti Surg) 10,000 13,300 15,000 17,500 20,000 PS2106 Endoscopic face lift 30,000 39,900 45,000 52,500 60,000 PS2107 Endoscopic brow/ forehead lift 19,000 25,270 28,500 33,250 38,000 PS2108 Endoscopic gynaecomastia Exc - B/L 25,000 33,250 37,500 43,750 50,000 PS2109 Endoscopic gynaecomsatia Exc- U/L 15,000 19,950 22,500 26,250 30,000 PS2110 Epicanthus & telecanthus correction 11,000 14,630 16,500 19,250 22,000 PS2111 Exc of extra digit + ligament reconstruction (Exclud. thumb) 14,000 18,620 21,000 24,500 28,000 PS2112 Exc of L superfic soft tissue mas/tumor Exclude neuroma/gang 14,000 18,620 21,000 24,500 28,000 PS2113 Exc of M superfic soft tissue mas/tumor Exclude neuroma/gang 11,000 14,630 16,500 19,250 22,000 PS2114 Exc of neuroma- major nerve 17,000 22,610 25,500 29,750 34,000 PS2115 Exc of neuroma-minor nerve 11,000 14,630 16,500 19,250 22,000 PS2116 Exc of pilonidal sinus + flap cover 18,000 23,940 27,000 31,500 36,000 PS2117 Exc of pilonidal sinus + primary CLSR 11,000 14,630 16,500 19,250 22,000 PS2118 Exc of scar/ lesion/wound and skin gr-major 27,000 35,910 40,500 47,250 54,000 PS2119 Exc of scar/ lesion/wound and skin gr-medium 20,000 26,600 30,000 35,000 40,000 PS2120 Exc of scar/ lesion/wound and skin gr-minor 14,000 18,620 21,000 24,500 28,000 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS2121 Exc of skin lesion-face (more than 2cm) 11,000 14,630 16,500 19,250 22,000 PS2122 Exc of supernumerary/ breast/nipple 11,000 14,630 16,500 19,250 22,000 PS2123 Excision of keloid ear lobule 11,000 14,630 16,500 19,250 22,000 PS2124 Expander insertion -two 14,000 18,620 21,000 24,500 28,000 PS2125 Expander insertion-single 11,000 14,630 16,500 19,250 22,000 PS2126 Expander insertion-three 17,500 23,275 26,250 30,625 35,000 PS2127 Expander removal & contouring - multiple 22,000 29,260 33,000 38,500 44,000 PS2128 Expander removal & contouring - single 15,000 19,950 22,500 26,250 30,000 PS2129 Exploration & repair f popliteal arterial injur prmry repair 13,000 17,290 19,500 22,750 26,000 PS2130(A) Exploration & repair radial arterial injury prmry repair 15,000 19,950 22,500 26,250 30,000 PS2130(B) Exploration & repair ulnar arterial 16,000 21,280 24,000 28,000 32,000 PS2131 Exploration & repair radial arterial injury- use vein ptch 18,000 23,940 27,000 31,500 36,000 PS2132 Exploration & repair popliteal arterial injury use vein gr 22,000 29,260 33,000 38,500 44,000 PS2133 Exploration & repair popliteal arterial injury use vein ptch 19,000 25,270 28,500 33,250 38,000 PS2134 Exploration & repair radial arterial/Ulnar arterial injury- use vein gr 22,000 29,260 33,000 38,500 44,000 PS2135 Extended parotidectomy 18,000 23,940 27,000 31,500 36,000 PS2136 Extensor tendon repair (zone-1) 14,000 18,620 21,000 24,500 28,000 PS2137 Extensor tendon repair (zone-2) - two tendons 18,000 23,940 27,000 31,500 36,000 PS2138 Extensor tendon repair (zone-2) -single tendon 14,000 18,620 21,000 24,500 28,000 PS2139 Extensor tendon repair (zone-3) - multiple tendons 25,000 33,250 37,500 43,750 50,000 PS2140 Extensor tendon repair (zone-3) - single tendon 14,000 18,620 21,000 24,500 28,000 PS2141 Extensor tendon repair (zone-3) - two tendons 18,000 23,940 27,000 31,500 36,000 PS2142 Extensor tendon repair (zone-4) - multiple tendons 25,000 33,250 37,500 43,750 50,000 PS2143 Extensor tendon repair (zone-4) - single tendon 14,000 18,620 21,000 24,500 28,000 PS2144 Extensor tendon repair (zone-4) - two tendons 18,000 23,940 27,000 31,500 36,000 PS2145 Extensor tendon repair (zone-5) - multiple tendons 25,000 33,250 37,500 43,750 50,000 PS2146 Extensor tendon repair (zone-5) - single tendon 14,000 18,620 21,000 24,500 28,000 PS2147 Extensor tendon repair (zone-5) - two tendons 18,000 23,940 27,000 31,500 36,000 PS2148 Extensor tendon repair (zone-6) - multiple tendons 25,000 33,250 37,500 43,750 50,000 PS2149 Extensor tendon repair (zone-6) - single tendon 14,000 18,620 21,000 24,500 28,000 PS2150 Extensor tendon repair (zone-6) - two tendons 18,000 23,940 27,000 31,500 36,000 PS2151 Eye Lid Reconstruction - Partial (Plastic Surg) 15,000 19,950 22,500 26,250 30,000 PS2152 Eye Lid Reconstruction - Total (Plastic Surg) 20,000 26,600 30,000 35,000 40,000 PS2153 Face (thread lift) 15,000 19,950 22,500 26,250 30,000 PS2154 Face lift- classic operation 25,000 33,250 37,500 43,750 50,000 PS2155 Face lift- facial suspension 14,000 18,620 21,000 24,500 28,000 PS2156 Face lift- mid face 18,500 24,605 27,750 32,375 37,000 PS2157 Face lift- minimum scar 18,500 24,605 27,750 32,375 37,000 PS2158 Face lift- with smas 25,000 33,250 37,500 43,750 50,000 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS2159 Face Scar Complicated And Large 20,000 26,600 30,000 35,000 40,000 PS2160 Face Scar Medium 16,000 21,280 24,000 28,000 32,000 PS2161 Facial bi-partition for hypertelorism 38,000 50,540 57,000 66,500 76,000 PS2162 Facial Bones Compound Fracture Nose 12,000 15,960 18,000 21,000 24,000 PS2163 Facial Bones Frontal Bone Fracture Bilateral 13,500 17,955 20,250 23,625 27,000 PS2164 Facial Bones Frontal Bone Fracture Unilateral 11,000 14,630 16,500 19,250 22,000
Page 50 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 PS2165 Facial Bones Malar Fracture Open Reduction (Orif) 14,000 18,620 21,000 24,500 28,000 PS2166 Facial Bones Mandibile Fracture Open Reduction (Orif) 14,000 18,620 21,000 24,500 28,000 PS2167 Facial Bones Maxillary Fracture Closed Reduction 15,000 19,950 22,500 26,250 30,000 PS2168 Facial Bones Maxillary Fracture/ Orbital Floor Fracture (Orif) 19,500 25,935 29,250 34,125 39,000 PS2169 Facial reanimation 38,000 50,540 57,000 66,500 76,000 PS2170 Fascia latal sling surgery (eye) 14,000 18,620 21,000 24,500 28,000 PS2171 Fasciocutaneous Flaps (Large) (Plastic) 20,000 26,600 30,000 35,000 40,000 PS2172 Fasciocutaneous Flaps (Small) (Plastic) 15,000 19,950 22,500 26,250 30,000 PS2173 Fat injection 22,000 29,260 33,000 38,500 44,000 PS2174 Fibular osteocutaneous free flap for long bones 45,000 59,850 67,500 78,750 90,000 PS2175 First web release for cleft hand 14,000 18,620 21,000 24,500 28,000 PS2176 Flap Reconstructive Surgery 38,000 50,540 57,000 66,500 76,000 PS2177 Flap Vaginoplasty 25,000 33,250 37,500 43,750 50,000 PS2178 Flexor tendon repair (zone-1) 14,000 18,620 21,000 24,500 28,000 PS2179 Flexor tendon repair (zone-2) - two tendons 18,000 23,940 27,000 31,500 36,000 PS2180 Flexor tendon repair (zone-2) -single tendon 14,000 18,620 21,000 24,500 28,000 PS2181 Flexor tendon repair (zone-3) - multiple tendons 25,000 33,250 37,500 43,750 50,000 PS2182 Flexor tendon repair (zone-3) - two tendons 18,000 23,940 27,000 31,500 36,000 PS2183 Flexor tendon repair (zone-3) - single tendon 14,000 18,620 21,000 24,500 28,000 PS2184 Flexor tendon repair (zone-4) - multiple tendons 25,000 33,250 37,500 43,750 50,000 PS2185 Flexor tendon repair (zone-4) - single tendon 14,000 18,620 21,000 24,500 28,000 PS2186 Flexor tendon repair (zone-4) - two tendons 18,000 23,940 27,000 31,500 36,000 PS2187 Flexor tendon repair (zone-5) - multiple tendons 25,000 33,250 37,500 43,750 50,000 PS2188 Flexor tendon repair (zone-5) - single tendon 14,000 18,620 21,000 24,500 28,000 PS2189 Flexor tendon repair (zone-5) - two tendons 18,000 23,940 27,000 31,500 36,000 PS2190 Flexor tendon repair (zone-6) - multiple tendons 25,000 33,250 37,500 43,750 50,000 PS2191 Flexor tendon repair (zone-6) - single tendon 14,000 18,620 21,000 24,500 28,000 PS2192 Flexor tendon repair (zone-6) - two tendons 18,000 23,940 27,000 31,500 36,000 PS2193 Forehead (thread lift) 15,000 19,950 22,500 26,250 30,000 PS2194 Free fibular flap 45,000 59,850 67,500 78,750 90,000 PS2195 Free microvascular/ joint transfer 45,000 59,850 67,500 78,750 90,000 PS2196 Free perforator flap transfer 40,000 53,200 60,000 70,000 80,000 PS2197 Free phalangeal/ bone transfer for brachydactyly 12,500 16,625 18,750 21,875 25,000 PS2198 Free style free flap 40,000 53,200 60,000 70,000 80,000 PS2199 Full thickness skin gr 15,000 19,950 22,500 26,250 30,000 PS2200 Functioning free muscle transfer 50,000 66,500 75,000 87,500 100,000 PS2201 Functioning free muscle transfer- gracilis muscle 50,000 66,500 75,000 87,500 100,000 PS2202 Functioning free muscle transfer- latisimus dorsi muscle 50,000 66,500 75,000 87,500 100,000 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS2203 Gracilis muscle/myocutaneous flap-free 40,000 53,200 60,000 70,000 80,000 PS2204 Gracilis muscle/myocutaneous flap-pedicle 20,000 26,600 30,000 35,000 40,000 PS2205 Groin /abdominal flap cover for hand injurie-large (Sl fl) 25,000 33,250 37,500 43,750 50,000 PS2206 Groin /abdominal flap cover for hand injurie-medium (Sl fl) 11,000 14,630 16,500 19,250 22,000 PS2207 Groin/abdominal flap cover for hand injurie-large (2 fl) 25,000 33,250 37,500 43,750 50,000 PS2208 Groin/abdominal flap cover for hand injurie-large (mltpl fl) 25,000 33,250 37,500 43,750 50,000 PS2209 Groin/abdominal flap cover for hand injurie-medium (2 fl) 20,000 26,600 30,000 35,000 40,000 PS2210 Groin/abdominal flap cover for hand injurie-medium(mltpl fl) 20,000 26,600 30,000 35,000 40,000 PS2211 Groin/abdominal flap cover for hand injurie-small (2 fl) 20,000 26,600 30,000 35,000 40,000 PS2212 Groin/abdominal flap cover for hand injurie-small (mltpl fl) 20,000 26,600 30,000 35,000 40,000 PS2213 Groin perforator free flap 40,000 53,200 60,000 70,000 80,000 PS2214 Gynaecomastia Exc-U/L 15,000 19,950 22,500 26,250 30,000 PS2215 Gynaecomsatia Exc- B/L 25,000 33,250 37,500 43,750 50,000 PS2216 Hair graft eyebrow/scar/moustache 11,000 14,630 16,500 19,250 22,000 PS2217 Hand Surgery - Nail Bed Injurymultiple (Plastic Surg.) 11,000 14,630 16,500 19,250 22,000 PS2218 Hand Surgery - Pulp Injury With Flapcover (Plastic Surg.) 16,000 21,280 24,000 28,000 32,000 PS2219 Hand Surgery - Pulp Injury With Graft (Plastic Surg.) 14,000 18,620 21,000 24,500 28,000 PS2220 Hand Surgery Extra Digit (Plastic) 10,000 13,300 15,000 17,500 20,000 PS2221 Hand Surgery Repair With Flap (Plastic) 16,000 21,280 24,000 28,000 32,000 PS2222 Hand Surgery Syndactyly Multiple (Plastic) 17,000 22,610 25,500 29,750 34,000 PS2223 Hand Surgery Syndactyly Single (Plastic Surg.) 12,000 15,960 18,000 21,000 24,000 PS2224 Head and neck repair- complex 18,000 23,940 27,000 31,500 36,000 PS2225 Hemangioma (Excision Large)(Plastic Surg.) 20,000 26,600 30,000 35,000 40,000 PS2226 Hemangioma (Excision Medium) (Plastic Surg.) 18,000 23,940 27,000 31,500 36,000 PS2227 Hemangioma (Extensive) (Plastic Surg.) 30,000 39,900 45,000 52,500 60,000 PS2228 Hypospadias Reconstruction (1st Stage) 14,000 18,620 21,000 24,500 28,000 PS2229 Hypospadias Reconstruction (2Nd Stage) 18,000 23,940 27,000 31,500 36,000 PS2230 Hypospadias Reconstruction Single Stage 25,000 33,250 37,500 43,750 50,000 PS2231 Iliac crest osteocutaneous free flap 40,000 53,200 60,000 70,000 80,000 PS2232 Ischial Bdsr Exc + primary CLSR B/L 19,000 25,270 28,500 33,250 38,000 PS2233 Ischial Bdsr Exc + primary CLSR U/L 14,000 18,620 21,000 24,500 28,000
Page 51 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 PS2234 Ischial Bdsr Exc + skin gr B/L 22,000 29,260 33,000 38,500 44,000 PS2235 Ischial Bdsr Exc + skin gr U/L 17,500 23,275 26,250 30,625 35,000 PS2236 Ischial Bdsr Exc+myocutaneous/muscle fl CLSR U/L 14,000 18,620 21,000 24,500 28,000 PS2237 Ischial Bdsr Exci. + myocuta./muscle flap CLSR B/L 25,000 33,250 37,500 43,750 50,000 PS2238 Jaw cyst or tumour Exc and bone gr 14,000 18,620 21,000 24,500 28,000 PS2239 Jaw cyst tumour-radical resection 12,500 16,625 18,750 21,875 25,000 PS2240 Jaw cyst/tumour resection&reconstruction of jaw+free fib fl 60,000 79,800 90,000 105,000 120,000 PS2241 Krukenbergs operation 12,500 16,625 18,750 21,875 25,000 PS2242 Lacerated Wound (Other Than Face And Finger) Multiple 13,500 17,955 20,250 23,625 27,000 PS2243 Large Multiple Wounds Face Simple 15,000 19,950 22,500 26,250 30,000 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS2244 Lateral artery flap-free 40,000 53,200 60,000 70,000 80,000 PS2245 Latissimus dorsi flap-free 40,000 53,200 60,000 70,000 80,000 PS2246 Latissimus dorsi flap-pedicle 20,000 26,600 30,000 35,000 40,000 PS2247 Lefort i osteotomy + advancement 27,000 35,910 40,500 47,250 54,000 PS2248 Lefort i osteotomy + application of distractor 27,000 35,910 40,500 47,250 54,000 PS2249 Lefort i osteotomy + impaction/ intrusion 25,000 33,250 37,500 43,750 50,000 PS2250 Lefort iii (extracranial) advancement 31,000 41,230 46,500 54,250 62,000 PS2251 Lefort iii (intracranial) advancement- monobloc 31,000 41,230 46,500 54,250 62,000 PS2252 Lefort iii + lefort i advancement 31,000 41,230 46,500 54,250 62,000 PS2253 Lefort iii complicated fracture- open reduction (orif) 20,000 26,600 30,000 35,000 40,000 PS2254 Lefort iii fracture (complicated-open reduction + bg (orif) 25,000 33,250 37,500 43,750 50,000 PS2255 Lefort iii osteotomy + application of distractor 31,000 41,230 46,500 54,250 62,000 PS2256 Lid tumour Exc and repair+ skin/mucosal gr/fl construction 18,000 23,940 27,000 31,500 36,000 PS2257 Ligament reconstruction for hypoplastic thumb 13,000 17,290 19,500 22,750 26,000 PS2258 Lip reconstuction + multiple flaps 25,000 33,250 37,500 43,750 50,000 PS2259 Lip reconstuction + singleflaps 20,000 26,600 30,000 35,000 40,000 PS2260 Lip reduction 15,000 19,950 22,500 26,250 30,000 PS2261 Lipectomy 10,000 13,300 15,000 17,500 20,000 PS2262 Lipectomy (Abdomen) (Plastic Surg.) 13,500 17,955 20,250 23,625 27,000 PS2263 Lipoinjection > 20ml 19,000 25,270 28,500 33,250 38,000 PS2264 Lipoinjection 10 - 20ml 15,000 19,950 22,500 26,250 30,000 PS2265 Lipoinjection Upto 10ml 11,000 14,630 16,500 19,250 22,000 PS2266 Liposuction (Large) (Plastic Surg.) 30,000 39,900 45,000 52,500 60,000 PS2267 Liposuction (Medium) (Plastic Surg.) 25,000 33,250 37,500 43,750 50,000 PS2268 Liposuction (Small) (Plastic Surg.) 14,000 18,620 21,000 24,500 28,000 PS2269 Liposuction and Exc of gynaecomastia -B/L 30,000 39,900 45,000 52,500 60,000 PS2270 Liposuction and Exc of gynaecomastia -U/L 20,000 26,600 30,000 35,000 40,000 PS2271 Local head and neck flap-large 20,000 26,600 30,000 35,000 40,000 PS2272 Local head and neck flap-medium 15,000 19,950 22,500 26,250 30,000 PS2273 Local transposition flap-large 18,000 23,940 27,000 31,500 36,000 PS2274 Local transposition flap-medium 15,000 19,950 22,500 26,250 30,000 PS2275 Long bone - Free Fibula 45,000 59,850 67,500 78,750 90,000 PS2276 Lump/Tumour Excision With Cover (Large) (Plastic Surg.) 18,000 23,940 27,000 31,500 36,000 PS2277 Lump/Tumour Excision With Cover (Medium) (Plastic Surg.) 13,000 17,290 19,500 22,750 26,000 PS2278 Lump/Tumour Excision With Cover (Small) (Plastic Surg.) 10,000 13,300 15,000 17,500 20,000 PS2279 Lymphaticovenous shunt 22,000 29,260 33,000 38,500 44,000 PS2280 Lympho venous anastomosis i 20,000 26,600 30,000 35,000 40,000 PS2281 Lympho venous anastomosis ii 30,000 39,900 45,000 52,500 60,000 PS2282 Lympho venous anastomosis iii 40,000 53,200 60,000 70,000 80,000 PS2283 Lympho venous anastomosis iv 50,000 66,500 75,000 87,500 100,000 PS2284 Malar reduction 18,000 23,940 27,000 31,500 36,000 PS2285 Malar/ cheek implant 14,000 18,620 21,000 24,500 28,000 PS2286 Mammoplasty Reduction (Plastic) 30,000 39,900 45,000 52,500 60,000 PS2287 Mandible fracture- percutaneous reduction/ external fixation 11,000 14,630 16,500 19,250 22,000 PS2288 Mandible Reconstruction By Bone Flap (Plastic Surg.) 45,000 59,850 67,500 78,750 90,000 PS2289 Mandible Reconstruction By Bone Graft (Plastic Surg.) 30,000 39,900 45,000 52,500 60,000 PS2290 Mandible Reconstruction By Plate (Cost Of Plate Separate) 22,000 29,260 33,000 38,500 44,000 PS2291 Mandible reonstruction + implant 15,000 19,950 22,500 26,250 30,000 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS2292 Mandibular condylar fracture/open reduction 20,000 26,600 30,000 35,000 40,000 PS2293 Maxillary lefort i fr. (complicated)- open reduction (orif) 13,000 17,290 19,500 22,750 26,000 PS2294 Maxillary lefort i fr. (complicated) open reduction+bg (orif) 15,000 19,950 22,500 26,250 30,000 PS2295 Maxillary lefort i fracture - open reduction (orif) 11,000 14,630 16,500 19,250 22,000 PS2296 Maxillary reconstruction +out bone graft 11,000 14,630 16,500 19,250 22,000 PS2297 Maxillary reconstruction(complicated) + bone graft 14,000 18,620 21,000 24,500 28,000 PS2298 Maxillo-mandibular cyst enucleation/ marsupialisation 11,000 14,630 16,500 19,250 22,000 PS2299 Median nerve graft 22,000 29,260 33,000 38,500 44,000 PS2300 Median nerve repair 15,000 19,950 22,500 26,250 30,000
Page 52 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 PS2301 Medpore ear reconstruction B/L 38,000 50,540 57,000 66,500 76,000 PS2302 Medpore ear reconstruction U/L 27,000 35,910 40,500 47,250 54,000 PS2303 Microtia First Stage (Plastic Surg.) 19,000 25,270 28,500 33,250 38,000 PS2304 Microtia Second Stage (Plastic Surg.) 16,000 21,280 24,000 28,000 32,000 PS2305 Microtia Third Stage (Plastic Surg.) 11,000 14,630 16,500 19,250 22,000 PS2306 Microvascular Repair (Plastic Surg.) 18,000 23,940 27,000 31,500 36,000 PS2307 Mid face lift + lowerlid blepharoplasty 19,000 25,270 28,500 33,250 38,000 PS2308 Mucosal graft for urethra 11,000 14,630 16,500 19,250 22,000 PS2309 Myocutaneous Flap (Large) (Plastic Surg.) 20,000 26,600 30,000 35,000 40,000 PS2310 Myocutaneous Flap (Small) (Plastic Surg.) 15,000 19,950 22,500 26,250 30,000 PS2311 Nail bed reconstruction- multiple fingers 18,500 24,605 27,750 32,375 37,000 PS2312 Nail bed reconstruction- single finger 11,000 14,630 16,500 19,250 22,000 PS2313 Nail bed reconstruction- two fingers 15,000 19,950 22,500 26,250 30,000 PS2314 Nail bed repair- two nail beds 10,000 13,300 15,000 17,500 20,000 PS2315 Nasal bone fracture (simple)- open reduction 11,000 14,630 16,500 19,250 22,000 PS2316 Nasal Tip Correction (Plastic) 12,000 15,960 18,000 21,000 24,000 PS2317 Nasalbone Grafting (Plastic Surg.) 10,000 13,300 15,000 17,500 20,000 PS2318 Naso-ethmoid fracture -open reduction + fixation (orif) 13,000 17,290 19,500 22,750 26,000 PS2319 Naso-ethmoid fracture -open reduction +out fixation 11,000 14,630 16,500 19,250 22,000 PS2320 Naso-maxilary cmplicatd fr.(lefort ii)-openreduction(orif+bg 22,000 29,260 33,000 38,500 44,000 PS2321 Naso-maxillary cmplicatd fr.(lefort ii)-open reduction(orif) 20,000 26,600 30,000 35,000 40,000 PS2322 Naso-maxillary fracture (lefort ii)- open reduction(orif) 18,000 23,940 27,000 31,500 36,000 PS2323 Neck (thread lift) 15,000 19,950 22,500 26,250 30,000 PS2324 Neo-umbiloplasty 13,500 17,955 20,250 23,625 27,000 PS2325 Nerve exploration +neurolysis for median nerve 11,000 14,630 16,500 19,250 22,000 PS2326 Nerve Grafting Single (Plastic Surg.) 20,000 26,600 30,000 35,000 40,000 PS2327 Nerve grafting Three grafts 38,000 50,540 57,000 66,500 76,000 PS2328 Nerve grafting Two grafts 31,000 41,230 46,500 54,250 62,000 PS2329 Nerve Repair Multiple (Peripheral) (Plastic Surg.) 24,000 31,920 36,000 42,000 48,000 PS2330 Nerve transfer Double 31,000 41,230 46,500 54,250 62,000 PS2331 Nerve transfer Single 22,000 29,260 33,000 38,500 44,000 PS2332 Nerve transfer Triple 38,000 50,540 57,000 66,500 76,000 PS2333 Neurolysis of lateral popliteal nerve 18,500 24,605 27,750 32,375 37,000 PS2334 Neurovascular island flap-free 40,000 53,200 60,000 70,000 80,000 PS2335 Neurovascular island flap-pedicle 20,000 26,600 30,000 35,000 40,000 PS2336 Nipple reconstruction-B/L 15,000 19,950 22,500 26,250 30,000 PS2337 Nipple reconstruction-U/L 11,000 14,630 16,500 19,250 22,000 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS2338 Oblique triangular flap for finger tip injuries 13,000 17,290 19,500 22,750 26,000 PS2339 On-top plasty / pollicization 18,500 24,605 27,750 32,375 37,000 PS2340 Open reduction and ligament repair of wrist 13,000 17,290 19,500 22,750 26,000 PS2341 Open tip composite rhinoplasty 22,000 29,260 33,000 38,500 44,000 PS2342 Orbital blow out fr.-open reduction + alloplastic implant 14,000 18,620 21,000 24,500 28,000 PS2343 Orbital blow out fracture-open reduction + bone graft 17,000 22,610 25,500 29,750 34,000 PS2344 Orbital complicated fracture-open reduction 14,000 18,620 21,000 24,500 28,000 PS2345 Orbital simple fracture-open reduction 11,000 14,630 16,500 19,250 22,000 PS2346 Orbtal repositioning for hypertelori ext.cranial approach+bg 38,000 50,540 57,000 66,500 76,000 PS2347 Orbtal repositioning for hypertelori-extcran&intcran appr 38,000 50,540 57,000 66,500 76,000 PS2348 Orbtal repositioning for hypertelori-extcran&intcran appr+bg 40,000 53,200 60,000 70,000 80,000 PS2349 Orbtal repositioning for hypertelorism ext.cranial approach 36,000 47,880 54,000 63,000 72,000 PS2350 Orif and bone gr for non-union of scaphoid 14,000 18,620 21,000 24,500 28,000 PS2351 Orif and vascularisd bone gr for non-union of scaphoid 27,000 35,910 40,500 47,250 54,000 PS2352 Osteotomy for metacarpal malunion 13,000 17,290 19,500 22,750 26,000 PS2353 Osteotomy for phalangeal malunion 11,000 14,630 16,500 19,250 22,000 PS2354 Other Bdsr Exc + myocutaneous flap CLSR 19,000 25,270 28,500 33,250 38,000 PS2355 Other Bdsr Exc + primary CLSR 13,500 17,955 20,250 23,625 27,000 PS2356 Other Bdsr Exc + skin flap CLSR 17,500 23,275 26,250 30,625 35,000 PS2357 Other Bdsr Exc + skin gr 17,500 23,275 26,250 30,625 35,000 PS2358 Otoplasty for acquired ear deformity B/L 17,500 23,275 26,250 30,625 35,000 PS2359 Otoplasty for acquired ear deformity U/L 14,000 18,620 21,000 24,500 28,000 PS2360 Otoplasty for bat ears B/L 17,500 23,275 26,250 30,625 35,000 PS2361 Otoplasty for bat ears U/L 11,000 14,630 16,500 19,250 22,000 PS2362 Otoplasty for lop ears U/L 10,000 13,300 15,000 17,500 20,000 PS2363 Palatal fistula CLSR Famm flap 19,000 25,270 28,500 33,250 38,000 PS2364 Palatal fistula CLSR Mucosal flap 15,000 19,950 22,500 26,250 30,000 PS2365 Palatal fistula CLSR Tongue flap 15,000 19,950 22,500 26,250 30,000 PS2366 Parascapular flap 25,000 33,250 37,500 43,750 50,000 PS2367 Pedicle flap over of amputation stump 11,000 14,630 16,500 19,250 22,000 PS2368 Pedicled flap - medium 14,000 18,620 21,000 24,500 28,000 PS2369 Pedicled omental transfer for sternal wound 15,000 19,950 22,500 26,250 30,000
Page 53 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 PS2370 Penile lengthening 17,500 23,275 26,250 30,625 35,000 PS2371 Penile Surgery (Erectile Dysfuction - Inflatable) 23,000 30,590 34,500 40,250 46,000 PS2372 Penile Surgery (Erectile Dysfunction - Malleable) 19,500 25,935 29,250 34,125 39,000 PS2373 Perforator pedicle flap 22,000 29,260 33,000 38,500 44,000 PS2374 Peri-areolar breast lift/ mastopexy 18,500 24,605 27,750 32,375 37,000 PS2375 Pharyngeal flap pharyngoplasty 15,000 19,950 22,500 26,250 30,000 PS2376 Pollicization for hypoplastic thumb 30,000 39,900 45,000 52,500 60,000 PS2377 Post bariatric surgery Reverse thigh lift 22,000 29,260 33,000 38,500 44,000 PS2378 Post bariatric surgery Thighplasty 19,000 25,270 28,500 33,250 38,000 PS2379 Post bariatric surgery Upper body lift 27,000 35,910 40,500 47,250 54,000 PS2380 Pressure Sore Major (Plastic Surg.) 20,000 26,600 30,000 35,000 40,000 PS2381 Pressure Sore Medium (Plastic Surg.) 16,000 21,280 24,000 28,000 32,000 PS2382 Pressure Sore Minor (Plastic Surg.) 12,000 15,960 18,000 21,000 24,000 PS2383 Proximal row carpectomy 14,000 18,620 21,000 24,500 28,000 PS2384 Ptosis (Plastic) 12,500 16,625 18,750 21,875 25,000 PS2385 Radial artery flap -pedicle 22,000 29,260 33,000 38,500 44,000 PS2386 Radial artery flap-free 40,000 53,200 60,000 70,000 80,000 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS2388 Radial club hand- centralisation radialisation 14,000 18,620 21,000 24,500 28,000 PS2389 Radial club hand- osteotomy of ulna 19,000 25,270 28,500 33,250 38,000 PS2390 Radial club hand-free epiphysis/fibula transfer 32,000 42,560 48,000 56,000 64,000 PS2391 Radial collateral ligament reconstruction of thumb 14,000 18,620 21,000 24,500 28,000 PS2392 Radial collateral ligament repair of thumb 11,000 14,630 16,500 19,250 22,000 PS2393 Radial nerve graft 22,000 29,260 33,000 38,500 44,000 PS2394 Radial nerve repair 15,000 19,950 22,500 26,250 30,000 PS2395 Radiofrequency ablation Single mole 11,000 14,630 16,500 19,250 22,000 PS2396 Ray resectiion for macrodactyly 15,000 19,950 22,500 26,250 30,000 PS2397 Reconstructive + cartilage graft 22,000 29,260 33,000 38,500 44,000 PS2398 Reconstructive rhinoplasty-forehead flap (single stage) 25,000 33,250 37,500 43,750 50,000 PS2399 Reconstructive rhinoplasty-forehead flap(stg 1 of 2 ) 18,000 23,940 27,000 31,500 36,000 PS2400 Redo palatoplasty 15,000 19,950 22,500 26,250 30,000 PS2401 Reduction mammoplasty-U/L 20,000 26,600 30,000 35,000 40,000 PS2402 Reimplantation of fingers- Six/ Nine or more fingers 45,000 59,850 67,500 78,750 90,000 PS2403 Reimplantation of fingers- three fingers 40,000 53,200 60,000 70,000 80,000 PS2404 Reimplantation of upper limb at palm level 45,000 59,850 67,500 78,750 90,000 PS2405 Reimplantation of upper limb at upper arm level 45,000 59,850 67,500 78,750 90,000 PS2406 Flap Insetting (Large) 22,000 29,260 33,000 38,500 44,000 PS2407 Removal of breast implant 14,000 18,620 21,000 24,500 28,000 PS2408 Repair of lacrimal canaliculi 11,000 14,630 16,500 19,250 22,000 PS2409 Repair of lid coloboma + skin/mucosal gr/flap construction 11,000 14,630 16,500 19,250 22,000 PS2410 Repair of lid injuries 11,000 14,630 16,500 19,250 22,000 PS2411 Repair of lid injuries + flaps or grafts 12,500 16,625 18,750 21,875 25,000 PS2412 Repair of oro-antral fistula 11,000 14,630 16,500 19,250 22,000 PS2413 Replantation Hand 45,000 59,850 67,500 78,750 90,000 PS2414 Replantation Multiple Fingers 45,000 59,850 67,500 78,750 90,000 PS2415 Replantation One Finger 30,000 39,900 45,000 52,500 60,000 PS2416 Replantation Other Parts 40,000 53,200 60,000 70,000 80,000 PS2417 Revascularisation of finger -single 14,000 18,620 21,000 24,500 28,000 PS2418 Revascularisation of upper limb at forearm level 25,000 33,250 37,500 43,750 50,000 PS2419 Revascularization of fingers- Six/ Nine or more fingers 35,000 46,550 52,500 61,250 70,000 PS2420 Revascularization of fingers- three fingers 30,000 39,900 45,000 52,500 60,000 PS2421 Revascularization of fingers-two fingers 25,000 33,250 37,500 43,750 50,000 PS2422 Revascularization of upper limb at palm level 25,000 33,250 37,500 43,750 50,000 PS2423 Revascularization of upper limb at upper arm level 25,000 33,250 37,500 43,750 50,000 PS2424 Revascularization of upper limb at wrist level 25,000 33,250 37,500 43,750 50,000 PS2425 Reverse abdominoplasty/ torsoplasty 20,000 26,600 30,000 35,000 40,000 PS2426 Reverse dermal cross finger flap for finger tip injuries 14,000 18,620 21,000 24,500 28,000 PS2427 Segmental mandibular osteotomy (multiple) 19,000 25,270 28,500 33,250 38,000 PS2428 Segmental mandibular osteotomy (single) 15,000 19,950 22,500 26,250 30,000 PS2429 Segmental maxillary osteotomy (multiple) 19,000 25,270 28,500 33,250 38,000 PS2430 Segmental maxillary osteotomy (single) 15,000 19,950 22,500 26,250 30,000 PS2431 Single stage proximal Hypospadias repair 22,000 29,260 33,000 38,500 44,000 PS2432 Skin graft for head and neck- large 16,000 21,280 24,000 28,000 32,000 Service OPD/ Six/ Nine Service Name Two bed Single room Deluxe room VIP Suite Code bed PS2433 Skin graft of amputation stump 16,000 21,280 24,000 28,000 32,000 PS2434 Skin grafting-major 20,000 26,600 30,000 35,000 40,000 PS2435 Snow-litters procedure for cleft hand 19,000 25,270 28,500 33,250 38,000 PS2436 Sphincter pharyngoplasty 15,000 19,950 22,500 26,250 30,000 PS2437 Split skin grafting-medium 14,000 18,620 21,000 24,500 28,000
Page 54 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 PS2438 Sternomastoid release bipolar 15,000 19,950 22,500 26,250 30,000 PS2439 Sternomastoid release unipolar 11,000 14,630 16,500 19,250 22,000 PS2440 Superficial parotidectomy 13,500 17,955 20,250 23,625 27,000 PS2441 Superficial parotidectomy for recurrent tumour 13,500 17,955 20,250 23,625 27,000 PS2442 Swan neck deformity correction- multiple fingers 18,500 24,605 27,750 32,375 37,000 PS2443 Swan neck deformity correction- single finger 14,000 18,620 21,000 24,500 28,000 PS2444 Swan neck of deformity correction- two fingers 17,500 23,275 26,250 30,625 35,000 PS2445 Tendon gr - stage 1 14,000 18,620 21,000 24,500 28,000 PS2446 Tendon gr - stage 2 18,500 24,605 27,750 32,375 37,000 PS2447 Tendon transfer for median nerve injuries-multiple 20,000 26,600 30,000 35,000 40,000 PS2448 Tendon transfer for radial nerve injuries- multiple 20,000 26,600 30,000 35,000 40,000 PS2449 Tendon transfer for ulnar nerve injuries- multiple 20,000 26,600 30,000 35,000 40,000 PS2450 Tendon Transfer Single (Plastic Surg.) 17,500 23,275 26,250 30,625 35,000 PS2451 Thenar flap for finger tip injuries 14,000 18,620 21,000 24,500 28,000 PS2452 Thoracic pedicle flap 18,000 23,940 27,000 31,500 36,000 PS2453 Tm joint dislocation (cmplicatd)-closed red./imf(arch bars) 14,000 18,620 21,000 24,500 28,000 PS2454 Tm joint dislocation-open reduction 14,000 18,620 21,000 24,500 28,000 PS2455 Toe transfer- great toe 50,000 66,500 75,000 87,500 100,000 PS2456 Toe transfer- second toe 50,000 66,500 75,000 87,500 100,000 PS2457 Total parotidectomy 18,000 23,940 27,000 31,500 36,000 PS2458 Total parotidectomy (+ nerve gr) 22,000 29,260 33,000 38,500 44,000 PS2459 Total parotidectomy (nerve preserving) 18,000 23,940 27,000 31,500 36,000 PS2460 Total parotidectomy for recurrent tumour (+ nerve gr) 22,000 29,260 33,000 38,500 44,000 PS2461 Total parotidectomy for recurrent tumour (nerve preserving) 18,000 23,940 27,000 31,500 36,000 PS2462 Transverse etching (abdominal) 12,500 16,625 18,750 21,875 25,000 PS2463 Trapezius muscle transfer 25,000 33,250 37,500 43,750 50,000 PS2464 Triceps to biceps muscle transfer 25,000 33,250 37,500 43,750 50,000 PS2465 Trochanteric Bdsr Exc + primary CLSR B/L 17,500 23,275 26,250 30,625 35,000 PS2466 Trochanteric Bdsr Exc + primary CLSR U/L 14,000 18,620 21,000 24,500 28,000 PS2467 Trochanteric Bdsr Exc + skin flap CLSR B/L 19,000 25,270 28,500 33,250 38,000 PS2468 Trochanteric Bdsr Exc + skin flap CLSR U/L 17,500 23,275 26,250 30,625 35,000 PS2469 Trochanteric Bdsr Exc + skin gr B/L 22,000 29,260 33,000 38,500 44,000 PS2470 Trochanteric Bdsr Exc + skin gr U/L 17,500 23,275 26,250 30,625 35,000 PS2471 Trochanteric Bdsr Exc+myocutaneous fl CLSRB/L 22,000 29,260 33,000 38,500 44,000 PS2472 Trochanteric Bdsr Exc+myocutaneous fl CLSRU/L 17,500 23,275 26,250 30,625 35,000 PS2473 Ulnar artery forearm free flap 30,000 39,900 45,000 52,500 60,000 PS2474 Ulnar collateral ligament reconstruction of thumb 12,500 16,625 18,750 21,875 25,000 PS2475 Ulnar collateral ligament repair of thumb 10,000 13,300 15,000 17,500 20,000 PS2476 Ulnar nerve graft 22,000 29,260 33,000 38,500 44,000 PS2477 Ulnar nerve repair 15,000 19,950 22,500 26,250 30,000 PS2478 Upper extremity 38,000 50,540 57,000 66,500 76,000 PS2479 Vaginal tightening + perineorraphy 22,000 29,260 33,000 38,500 44,000 PS2480 Vanginoplasty 17,500 23,275 26,250 30,625 35,000 PS2481 V-y advancement flap for finger tip injuries 13,000 17,290 19,500 22,750 26,000 PS2482 Wide Exc of lesion in head and neck-major 17,500 23,275 26,250 30,625 35,000 PS2483 Wide Exc of lesion in head and neck-minor 10,000 13,300 15,000 17,500 20,000 PS2484 Zimmer splint application for multiple fingers 11,000 14,630 16,500 19,250 22,000
PSYCHIATRY & CLINICAL PSYCOLOGY Service Service Name Charges ( Rs.) Code CONSULTATION PY1003 Psychotherapy Consultation 1,100 PY1007 Psychotherapy Consultation On Sunday 1,650 PY1008 Psychotherapy Family Therapy 1,250 PY1009 Psychotherapy Family Therapy On Sunday 1,825 PY1010 Psychiatry First Consultation 800 PY1011 Psychiatry Follow Up Consultation 700 PY1012 Psychiatry Long Consultation 1,200 PSYCHOMETRY PROCEDURES PY2001 Assessment of relationship and conflict (2 session) 2,500 PY2003 ECT 2,300 PY2004 Intelligence Testing (2 Session) 3,000 PY2007 Memory Testing (1 Session) 2,500 PY2008 Neuropsychological Assessment (3 Session) 4,500 PY2009 Personality Assessment (2 Session) 2,500 PY2010 Pre-Academic Skills(1 Session) 2,000 PY2011 Psycho- Diagnostics (2 Session) 3,500 PY2012 Specific Learning Disability(2 Session) 4,000 Biofeedback Therapy ( For Tension, Headache, Migraine, Panic attack, Writer's cramp etc.) PY3001 Neuro disorder (Single session) 2,500
Page 55 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 PY3002 Neuro disorder (5 sessions) 10,000 PY3003 Neuro disorder (10 sessions) 18,000 PY3004 Psyciatry disorder (Single session) 2,500 PY3005 Psyciatry disorder (5 sessions) 10,000 PY3006 Psyciatry disorder (10 sessions) 18,000 RESPIRATORY MEDICINE Service OPD/ Six/ Nine Service Name Two bed Single bed Deluxe room VIP Suite Code bed RM1001 Bronchopleural Fistula 15,000 15,000 15,000 15,000 15,000 RM1002 Bronchoscopy 4,500 5,985 6,750 7,875 9,000 RM1003 Bronchoscopy With B.A.L (Lavage) With Biopsy 12,000 12,000 12,000 12,000 12,000 RM1004 Bronchoscopy With B.A.L (Lavage) 10000 13300 15000 17500 20000 RM1005 Bronchoscopy With TBLB (Transbronchial Lung Biopsy) 12,000 12,000 12,000 12,000 12,000 RM1006 Decortication Lung 16,000 21,280 24,000 28,000 32,000 RM1007 Diagnostics Thoracoscopy 6,000 7,980 9,000 10,500 12,000 RM1008 Intercostal Drainage 9000 11970 13500 15750 18000 RM1009 Intercostal Drainage For Pneumothorax 9000 11970 13500 15750 18000 RM1010 Lobectomy 17,000 22,610 25,500 29,750 34,000 RM1011 Lung Biopsy Open 6,000 7,980 9,000 10,500 12,000 RM1012 Mediastinal Mass Excision 18,000 23,940 27,000 31,500 36,000 RM1013 PFT ( Pulmonary Function Test) 850 1,275 1,381 1,594 1,806 RM1014 Pleurectomy & Excision Of Empyema Without Lung Resection 16,000 21,280 24,000 28,000 32,000 RM1015 Pleurodesis Chemical 7000 9310 10500 12250 14000 RM1016 Pleurodesis Talk Insuffolation 7000 9310 10500 12250 14000 RM1017 Pleural biopsy 7000 9310 10500 12250 14000 RM1018 Pleural Taping Diagnostic 2000 2660 3000 3500 4000 RM1019 Pleural Taping Therapeutic 4000 5320 6000 7000 8000 RM1020 Pneumonectomy 20,000 26,600 30,000 35,000 40,000 RM1021 Rib Resection & Drainage 8,000 10,640 12,000 14,000 16,000 RM1022 Sleep Study 8000 10,000 12,000 14,000 16,000 RM1023 Split Night Study 8,000 10,000 12,000 14,000 16,000 RM1024 Thoracoplasty & Apicolysis 15,000 19,950 22,500 26,250 30,000 RM1025 Thoracotomy Exploratory 15,000 19,950 22,500 26,250 30,000 RM1026 Titration Study 8,000 10,000 12,000 14,000 16,000 RM1027 Video Assited Thorcoscopy Therapeutic 18,000 23,940 27,000 31,500 36,000 RM1028 CT Guided FNAC/Biopsy 5,000 6,650 7,500 8,750 10,000 RM1029 Bronchoscopy for Foreign Body Removal 12,000 15,960 18,000 21,000 24,000 RM1030 USG Guided FNAC 3,000 3,990 4,500 5,250 6,000 RM1031 USG Guided Biopsy 4,000 5,320 6,000 7,000 8,000 RM1032 ICD Tube Removal 3000 3990 4500 5250 6000 SPINE Service Service Name OPD Code Spine OP packages SP1001 Nerve Blocks ( Level one ) 9,900 SP1002 Nerve Blocks ( Level Two ) 13,200 SP1003 Nerve Blocks ( Level Three or more ) 17,600 Package Includes: Doctor fee, OT charges, Equipment charges and Routine drugs and consumables
Stay Spine IP packages Six/ Nine bed Two bed Single bed Deluxe room VIP Suite days
SP2001 Endoscopic Discectomy (one level) 1 161,700 219,450 242,550 288,750 323,400 SP2002 Endoscopic Discectomy (two level/Biportal) 1 242,550 317,680 358,050 404,250 462,000 SP2003 Endoscopic Spine Fusion (one level) 2 225,280 300,410 346,610 398,530 456,390 SP2004 Fenestration (one level) 2 94,710 115,500 127,050 150,150 173,250 SP2005 Fenestration (two level) 2 115,500 138,600 155,980 173,250 207,900 SP2006 Intersegmental Decompression (one level) 4 202,180 231,110 265,760 311,960 346,610 SP2007 Intersegmental Decompression (two levels) 4 231,000 265,650 300,300 346,500 404,250 SP2008 Laminectomy (one level) 2 84,370 104,060 120,230 138,710 155,980 SP2009 Laminectomy (two and more levels) 3 107,470 132,880 152,570 173,360 202,180 SP2010 Microdiscectomy (one level) 3 138,600 173,250 196,350 219,450 254,100 SP2011 Microdiscectomy (Two level) 3 184,800 219,450 242,550 283,030 323,400 SP2012 Microdiscectomy (three level and above) 3 225,280 300,410 346,610 398,530 456,390 SP2013 Spinal Instrumentation (one/two level) 5 184,800 225,280 254,100 294,580 334,950 SP2014 Spinal Instrumentation (three or more levels) 5 231,000 265,650 300,300 346,500 404,250 SP2015 TLIF (one level) 4 202,180 231,110 265,760 311,960 346,610 SP2016 TLIF (two or more level) 5 231,000 265,650 300,300 346,500 404,250 Package Includes: Stay as mentioned, Surgeon fee, OT charges, anesthesia charge, basic Investigations , Routine drugs and consumables , Equipment charges & Physiotherapy
Page 56 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 Package excludes: Implant cost, additional stay, Professional charges of other consultants, any additional procedure/investigation, CT/MRI and Use of special drugs/ consumables e.g. tisseal/tissue patch etc.
Procedure/surgery Six/ Nine bed Two bed Single bed Deluxe room VIP Suite
SP3001 Antero Lateral Decompression and reconstruction 50,248 66,825 75,372 87,934 100,496 SP3002 Bone Flap Removel 35,233 46,860 52,855 61,655 70,466 SP3003 Bone Grafting Any Site Medium 8,899 11,836 13,354 15,576 17,798 SP3004 Bone Grafting only( in Non Union)Large 11,209 14,905 16,819 19,613 22,418 SP3005 Carpal Tunnel Syndrome 26,565 35,332 39,853 46,486 53,130 SP3006 Cervical Decompressive Laminectomy 35,233 46,860 52,855 61,655 70,466 SP3007 Combined anterior & posterior procedure for spine anomaly 69,300 92,169 103,950 121,275 138,600 SP3008 CT guided Nerve Root Block (one level) 8,899 11,836 13,354 15,576 17,798 SP3009 CT guided Nerve Root Block (Two level) 12,133 16,137 18,205 21,230 24,266 SP3010 Decompressive Laminectomy (1 or 2 levels) 21,530 28,630 32,300 37,680 43,060 SP3011 Decompressive Laminectomy (3 or more levels) 29,689 39,490 44,539 51,953 59,378 SP3012 Discography (One Level) 3,817 5,082 5,731 6,677 7,634 SP3013 Discography (Two Level) 5,775 7,678 8,668 10,109 11,550 SP3014 Discography (Three Level and above) 8,899 11,836 13,354 15,576 17,798 SP3015 Endoscopic cervical disectomy 51,975 69,124 77,968 90,959 103,950 SP3016 Endoscopic cervical disectomy with fusion 66,418 88,341 99,627 116,237 132,836 SP3017 Epidural Steroid Injection 2,893 3,850 4,345 5,060 5,786 SP3018 Facetal Injection (Single level) 2,893 3,850 4,345 5,060 5,786 SP3019 Facetal Injection (Mutiple Level) 5,203 6,919 7,810 9,108 10,406 SP3020 Fibular Strut Grafting 12,705 16,896 19,063 22,231 25,410 SP3021 Interlaminar Fenestration spine 23,100 30,723 34,650 40,425 46,200 SP3022 Kyphoplasty One Level 35,233 46,860 52,855 61,655 70,466
Procedure/surgery Six/ Nine bed Two bed Single bed Deluxe room VIP Suite
SP3023 Kyphoplasty Two Level 47,355 62,986 71,038 82,874 94,710 SP3024 Kyphoplasty Three Level and above 51,975 69,124 77,968 90,959 103,950 SP3025 LCS Decompression 29,458 39,182 44,187 51,557 58,916 SP3026 Manipulations skull traction 4,741 6,303 7,117 8,294 9,482 SP3027 Microdisectomy & artificial disc replacement (One level) 50,248 66,825 75,372 87,934 100,496 SP3028 Microdisectomy & artificial disc replacement (Two level) 57,178 76,043 85,767 100,067 114,356 SP3029 Microdisectomy & artificial disc replacement (Three level) 61,798 82,192 92,697 108,152 123,596 SP3030 Microscopic Intersegmental Decompression One Level 50,248 66,825 75,372 87,934 100,496 SP3031 Microscopic Intersegmental Decompression Two Level 57,178 76,043 85,767 100,067 114,356 SP3032 Minerva Jacket Application 12,133 16,137 18,205 21,230 24,266 SP3033 Nerve Root Block one Level 3,817 5,082 5,731 6,677 7,634 SP3034 Nerve Root Block Three Level 8,899 11,836 13,354 15,576 17,798 SP3035 Nerve Root Block Two Level 5,775 7,678 8,668 10,109 11,550 SP3036 Nerve root entrapment release 9,240 12,287 13,860 16,170 18,480 SP3037 Percutaneous CT guided biopsy 12,133 16,137 18,205 21,230 24,266 SP3038 Percutaneous Transforaminal Endoscopic Spinal Fusion ( One Level) 57,178 76,043 85,767 100,067 114,356 SP3039 Percutaneous Endoscopic Spinal Fusion ( Two Levels) 69,300 92,169 103,950 121,275 138,600 SP3040 Percutaneous Fluoroscopic guided biopsy 8,899 11,836 13,354 15,576 17,798 SP3041 Percutaneous Spinal fracture stabilization with pedicle screws 51,975 69,124 77,968 90,959 103,950 SP3042 Percutaneous Endoscopy Disectomy (Level I) 66,990 89,100 100,485 117,238 133,980 SP3043 Percutaneous Endoscopy Disectomy (Level II) 86,625 115,214 129,943 151,591 173,250 SP3044 Posterior vertebral column resection with instrumentation 57,178 76,043 85,767 100,067 114,356 SP3045 Postero lateral fusion Spondylolisthesis 35,233 46,860 52,855 61,655 70,466 SP3046 Posteroior decompression with fusion 26,565 35,332 39,853 46,486 53,130 SP3047 Revision Surgery for Lumbar / Cervical Disc Disease 61,798 82,192 92,697 108,152 123,596 SP3048 Sacroiliac Joint injection ( Bilateral) 7,161 9,526 10,747 12,529 14,322 SP3049 Sacroiliac Joint injection ( Unilateral) 4,741 6,303 7,117 8,294 9,482 SP3050 Scoliosis AP release instrumentation spine 66,990 89,100 100,485 117,238 133,980 SP3051 Scoliosis anteroposterior release spine with cast 51,975 69,124 77,968 90,959 103,950 SP3052 Scoliosis correction Posterior - spine 66,990 89,100 100,485 117,238 133,980 SP3053 Spinal Dysraphism 50,248 66,825 75,372 87,934 100,496 SP3054 Spinal Fracture posterior fixation 32,030 42,600 48,050 56,050 64,060 SP3055 Spinal Fracture posterior fixation with fusion 47,355 62,986 71,038 82,874 94,710 SP3056 Spinal jacket application 7,161 9,526 10,747 12,529 14,322 SP3057 Spinal Tumor 50,248 66,825 75,372 87,934 100,496 SP3058 Trans Oral Decompression For CV Junction Anomaly 50,248 66,825 75,372 87,934 100,496 SP3059 Translaminar Microdisectomy One Level 47,355 62,986 71,038 82,874 94,710 SP3060 Translaminar Microdisectomy Two Level 57,178 76,043 85,767 100,067 114,356 SP3061 Translaminar Microdisectomy Three Level 61,798 82,192 92,697 108,152 123,596 SP3062 Vertebral column resection 66,418 88,341 99,627 116,237 132,836 SP3063 Vertebral Instrumentation 61,798 82,192 92,697 108,152 123,596 SP3064 Vertebroplasty One Level 26,565 35,332 39,853 46,486 53,130 SP3065 Vertebroplasty Two Level 32,340 43,010 48,510 56,595 64,680
Page 57 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 SP3066 Vertebroplasty Three Level and above 41,580 55,297 62,370 72,765 83,160 SP3067 Removal of spinal cord stimulator minor 23,683 31,493 35,530 41,448 47,366 SP3068 Removal of spinal cord stimulator major 35,233 46,860 52,855 61,655 70,466 SP3069 Implant removal minor 8,085 10,758 12,133 14,146 16,170 SP3070 Implant removal major 26,565 35,332 39,853 46,486 53,130 SP3071 Implant repositioning minor 4,048 5,379 6,072 7,084 8,096 SP3072 Implant repositioning major 14,443 19,206 21,670 25,278 28,886 SP3073 Re exploration of spine surgery minor 2,310 3,069 3,465 4,048 4,620 SP3074 Re exploration of spine surgery major 13,288 17,677 19,932 23,254 26,576 SP3075 Release of tethered cord 29,458 39,182 44,187 51,557 58,916 SP3076 Fusion surgery minor 11,550 15,367 17,325 20,218 23,100 SP3077 Fusion surgery major 26,250 34,910 39,380 45,940 52,500 UROLOGY Service OPD/ Six/ Nine Service Name Two bed Single bed Deluxe room VIP Suite Code bed Minor Surgery/Procedures UR1001(A) A V Fistula- RC AVF 7,000 9,310 10,500 12,250 14,000 UR1001(B) A V Fistula- BC AVF 9,000 11,970 13,500 15,750 18,000 UR1001( C) A V Fistula-BBT AVF 11,000 14,630 16,500 19,250 22,000 UR1002 Capd Catheter Insertion 6,000 7,980 9,000 10,500 12,000 UR1003 Capd Catheter Removal 6,000 7,980 9,000 10,500 12,000 UR1004 Catheterization 1,000 1,330 1,500 1,750 2,000 UR1005 Catheter Removal 200 266 300 350 400 UR1006 Chordee Correction 6,500 8,645 9,750 11,375 13,000 UR1007 Circumcision 4,500 5,985 6,750 7,875 9,000 UR1008 Cmg +Uroflowmetry 4,500 5,985 6,750 7,875 9,000 UR1009 Cmg+Emg 4,500 5,985 6,750 7,875 9,000 UR1010 Cmg+Emg+Uroflowmetry 5,000 6,650 7,500 8,750 10,000 UR1011 Cystolithotomy Suprapubic 6,700 8,911 10,050 11,725 13,400 UR1012 Cystometery (Bedside) 2,500 3,325 3,750 4,375 5,000 UR1013 Cystometrogram (Cmg) 3,800 5,054 5,700 6,650 7,600 UR1014 Cystoscopic Clot Evacuation 5,000 6,650 7,500 8,750 10,000 UR1015 Cystoscopic Removal Of Foreign Bodies 6,000 7,980 9,000 10,500 12,000 UR1016 Cystoscopic Uretheral Alignment 9,000 11,970 13,500 15,750 18,000 UR1017 Cystoscopy Diagnostic 3,500 4,655 5,250 6,125 7,000 UR1018 Cystoscopy With Bladder Biopsy 4,500 5,985 6,750 7,875 9,000 UR1019 Cystoscopy With Retrograde Catheterisation Bilateral 6,000 7,980 9,000 10,500 12,000 UR1020 Cystoscopy With Retrograde Catheterisation Unilateral 5,000 6,650 7,500 8,750 10,000 UR1021 Debridement Of Fronier Gangrene 8,000 10,640 12,000 14,000 16,000 UR1022 Dilatation Of Stricture Urethra Under GA 2,500 3,325 3,750 4,375 5,000 UR1023 Dilation Of Stricture Urethra Without Anesthesia 1,500 1,995 2,250 2,625 3,000 UR1024 Dj Stent Removal Bilateral 2,500 3,325 3,750 4,375 5,000 UR1025 Dj Stent Removal Unilateral 2,000 2,660 3,000 3,500 4,000 UR1026 Dj Stenting Bilateral 7,500 9,975 11,250 13,125 15,000 UR1027 Dj Stenting Unilateral 6,500 8,645 9,750 11,375 13,000 UR1028 Drainage Of Scrotal Abscess 4,500 5,985 6,750 7,875 9,000 UR1029 Endoscopic Removal Of Stone In Bladder 9,000 11,970 13,500 15,750 18,000 UR1030 Endoscopic ureterocele incision U/L 8,000 10,640 12,000 14,000 16,000 UR1031 Excision Of Epididymis 8,000 10,640 12,000 14,000 16,000 UR1032 Excision Of Spermatocoele 6,000 7,980 9,000 10,500 12,000 UR1033 Exploratory Scrototomy 4,000 5,320 6,000 7,000 8,000 UR1034 Frenuloplasty 2,000 2,660 3,000 3,500 4,000 UR1035 Hydrocele U/L 5,000 6,650 7,500 8,750 10,000 UR1036 Intravasical Bcg Injection 1,000 1,330 1,500 1,750 2,000 UR1038 Lymph Node Biopsy 2,500 3,325 3,750 4,375 5,000 UR1039 Meatoplasty 7,000 9,310 10,500 12,250 14,000 UR1040 Meatotomy (Adult) 2,500 3,325 3,750 4,375 5,000 UR1041 Needle Aspiration (Renal Cyst) 6,000 7,980 9,000 10,500 12,000 UR1042 Nephrostomy (Open) 8,000 10,640 12,000 14,000 16,000 UR1043 Nephrostomy (Percutaneous) 8,000 10,640 12,000 14,000 16,000 UR1044 Non Scalpel Vasectomy 6,000 7,980 9,000 10,500 12,000 UR1045 Optical Urethrotomy 8,500 11,305 12,750 14,875 17,000 UR1046 Orchidectomy Unilateral (Uro) 7,000 9,310 10,500 12,250 14,000 UR1047 Orchidectomy Bilateral (Uro) 9,000 11,970 13,500 15,750 18,000 UR1048 Orchidopexy Unilateral 8,000 10,640 12,000 14,000 16,000 UR1049 Para Phimosis 2,600 3,458 3,900 4,550 5,200 UR1050 Penile Injection With Or Without Teaching Sessions 2,000 2,660 3,000 3,500 4,000 UR1051 Percutaneous Cystolithotomy (Pccl) 8,800 11,704 13,200 15,400 17,600 UR1052 Percutaneous Kidney 5,000 6,650 7,500 8,750 10,000 UR1053 Perineal Urethrostomy 11,000 14,630 16,500 19,250 22,000 UR1054 R.G.P B/L 5,000 6,650 7,500 8,750 10,000
Page 58 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 UR1055 R.G.P U/L 4,000 5,320 6,000 7,000 8,000 UR1056 Resection Bladder Neck Endoscopic 9,000 11,970 13,500 15,750 18,000 UR1057 Scrotal Cyst Excision 6,000 7,980 9,000 10,500 12,000 Service OPD/ Six/ Nine Service Name Two bed Single bed Deluxe room VIP Suite Code bed UR1058 Semino Vesiculogram 3,200 4,256 4,800 5,600 6,400 UR1059 Sildinafil essection test 1,000 1,330 1,500 1,750 2,000 UR1060 Sting Endoscopic Surgery Bilateral 8,000 10,640 12,000 14,000 16,000 UR1061 Suprapubic Drainage ( Cystostomy ) 4,000 5,320 6,000 7,000 8,000 UR1062 Testicular Biopsy 3,000 3,990 4,500 5,250 6,000 UR1063 Trans Rectal Prostate Biopsy 3,000 3,990 4,500 5,250 6,000 UR1064 Trans Rectal Trus Guided Prostate Biopsy 3,500 4,655 5,250 6,125 7,000 UR1065 Trocar Cystostomy 3,500 4,655 5,250 6,125 7,000 UR1066 Ureteral Reimplantation U/L 9,000 11,970 13,500 15,750 18,000 UR1067 Uretrolithotomy 9,000 11,970 13,500 15,750 18,000 UR1068 Uroflowmetry 800 1,064 1,200 1,400 1,600 UR1069 Vasectomy 4,400 5,852 6,600 7,700 8,800 UR1070 BLADDER NECK INCISION 9,000 11,970 13,500 15,750 18,000 UR1071 DORSAL SLIT 3,000 3,990 4,500 5,250 6,000 UR1072 GENITO URINARY INJURY REPAIR 8,000 10,640 12,000 14,000 16,000 UR1073 HORMONAL INJECTION FOR CA PROSTATE 800 1,064 1,200 1,400 1,600 UR1074 INTRAVESICAL MEDICINE INSTILLATION 1,000 1,330 1,500 1,750 2,000 UR1075 NEPHROSTOMY CHANGE 1,000 1,330 1,500 1,750 2,000 UR1076 POSTERIOR URETHRAL VALVE FULGURATION 9,000 11,970 13,500 15,750 18,000 UR1077 TORSION TESTIS (UNILATERAL) 7,500 9,975 11,250 13,125 15,000 UR1078 URETHRAL Stone removal 9,000 11,970 13,500 15,750 18,000 UR1079 Vesicostomy 8,500 11,305 12,750 14,875 17,000 UR1080 Bladder wash 2,000 2,660 3,000 3,500 4,000 Major surgery - - - - - UR2001 Abscess Drainage Perinephric 10,000 13,300 15,000 17,500 20,000 UR2002 Adrenalectomy Bilateral 22,000 29,260 33,000 38,500 44,000 UR2003 Adrenalectomy Unilateral 15,000 19,950 22,500 26,250 30,000 UR2004 Andreson Hynes Pyeloplasty 13,000 17,290 19,500 22,750 26,000 UR2005 Bladder Diverticulectomy Excision 15,000 19,950 22,500 26,250 30,000 UR2006 Bladder Injury Repair 10,000 13,300 15,000 17,500 20,000 UR2007 Bladder Stone Removal 10,000 13,300 15,000 17,500 20,000 UR2008 Botox inj. 11,000 14,630 16,500 19,250 22,000 UR2009 Buccal Mucosel Urethroplasty 18,000 23,940 27,000 31,500 36,000 UR2010 Closure Fo Urethral Fistula 12,000 15,960 18,000 21,000 24,000 UR2011 Cystectomy Partial (Bladder) 10,000 13,300 15,000 17,500 20,000 UR2012 Cystectomy Radical 20,000 26,600 30,000 35,000 40,000 UR2013 Cystectomy Radical With Uretrosigmoidostomy 23,000 30,590 34,500 40,250 46,000 UR2014 Cystectomy Radical With Continent Diversion 30,000 39,900 45,000 52,500 60,000 UR2015 Cystectomy Radical With Ileal Conduit 25,000 33,250 37,500 43,750 50,000 UR2016 Cystectomy Total (Bladder Removal) 20,000 26,600 30,000 35,000 40,000 UR2017 Endopyelotomy 16,000 21,280 24,000 28,000 32,000 UR2018 Epispadias Repair 15,000 19,950 22,500 26,250 30,000 UR2019 Exystropy Repair (Urology) 15,000 19,950 22,500 26,250 30,000 UR2020 Gil Vernit Extended Pyelolithotomy 13,000 17,290 19,500 22,750 26,000 UR2021 Cytoplasty Augmentation 18,000 23,940 27,000 31,500 36,000 UR2022 Inguinal Lymph Node Dissection B/L 15,000 19,950 22,500 26,250 30,000 UR2023 Inguinal Lymph Node Dissection U/L 10,000 13,300 15,000 17,500 20,000 UR2024 Kidney Injury Repair 12,000 15,960 18,000 21,000 24,000 UR2025 Lap Adnenolectomy B/L 30,000 39,900 45,000 52,500 60,000 UR2026 Lap Adnenolectomy U/L 20,000 26,600 30,000 35,000 40,000 UR2027 Lap Nephrectomy 20,000 26,600 30,000 35,000 40,000 UR2028 Lap Orchidopexy/Orchidectomy 15,000 19,950 22,500 26,250 30,000 UR2029 Lap Renal Cyst Excision 14,000 18,620 21,000 24,500 28,000 UR2030 Lap Uretero Lithotomy/Pyelolithotomy 12,000 15,960 18,000 21,000 24,000 UR2031 Lap. Nephro - Ureterectomy 33,000 43,890 49,500 57,750 66,000 UR2032 Lap. Pyeloplasty 20,000 26,600 30,000 35,000 40,000 UR2033 Lap. Radical Cystectomy 45,000 59,850 67,500 78,750 90,000 UR2034 Lap. Radical Nephrectomy 25,000 33,250 37,500 43,750 50,000 UR2035 Lap. Radical Prostatectomy 40,000 53,200 60,000 70,000 80,000 Service OPD/ Six/ Nine Service Name Two bed Single bed Deluxe room VIP Suite Code bed UR2043 Micro Ligation Of Varicocele 11,000 14,630 16,500 19,250 22,000 UR2044 Nephrectomy (Simple) 12,000 15,960 18,000 21,000 24,000 UR2045 Nephrectomy Complicated Tumor Or Adhesions 16,000 21,280 24,000 28,000 32,000 UR2046 Nephrectomy Nephroureterectomy (Radical) 20,000 26,600 30,000 35,000 40,000 UR2047 Nephrolithotomy 13,000 17,290 19,500 22,750 26,000
Page 59 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 UR2048 Nesbits Procedure 14,000 18,620 21,000 24,500 28,000 UR2049 Orchidopexy Bilateral 11,500 15,295 17,250 20,125 23,000 UR2050 Partial Nephrectomy 20,000 26,600 30,000 35,000 40,000 UR2051(B) PCNL (Percutaneous Nephrolithotomy) - simple 15,000 19,950 22,500 26,250 30,000 UR2051(A) PCNL (Percutaneous Nephrolithotomy) - pertial staghoen 18,000 23,940 27,000 31,500 36,000 UR2051(C ) PCNL (Percutaneous Nephrolithotomy) - staghoen 20,000 26,600 30,000 35,000 40,000 UR2052 PCNL with Endopylerotomy 22,000 29,260 33,000 38,500 44,000 UR2053 Pelvic Floor Repair 15,000 19,950 22,500 26,250 30,000 UR2054 Pelvicflor Repair-Mesh (Anterior) 15,000 19,950 22,500 26,250 30,000 UR2055 Pelvicflor Repair-Mesh (Posterior) 17,000 22,610 25,500 29,750 34,000 UR2056 Pelvicflor Repair-Mesh (Total) 25,000 33,250 37,500 43,750 50,000 UR2057 Penile Posthesis (Inflatable) 30,000 39,900 45,000 52,500 60,000 UR2058 Penile Posthesis (Semimaleable) 20,000 26,600 30,000 35,000 40,000 UR2059 Penis Fracture Repair 10,000 13,300 15,000 17,500 20,000 UR2060 Penis Partial Amputation (Uro) 11,000 14,630 16,500 19,250 22,000 UR2061 Penis Total Amputation (Uro) 15,000 19,950 22,500 26,250 30,000 UR2062 Perineal End Of End Urethroplasty 15,000 19,950 22,500 26,250 30,000 UR2063 Prostatectomy Open 15,000 19,950 22,500 26,250 30,000 UR2064 Prostatic Stenting 15,000 19,950 22,500 26,250 30,000 UR2065 Pyelolithotomy 13,000 17,290 19,500 22,750 26,000 UR2066 Radical Prostatectomy 27,000 35,910 40,500 47,250 54,000 UR2067 Retrograde Intrarenal Surgery (Rirs) 17,000 22,610 25,500 29,750 34,000 UR2068 Retroperitoneal Tumor excision 21,000 27,930 31,500 36,750 42,000 UR2069 Rplnd 22,000 29,260 33,000 38,500 44,000 UR2070 Sling Surgery For Incontinence 14,000 18,620 21,000 24,500 28,000 UR2071 Substitution Urethroplasty 25,000 33,250 37,500 43,750 50,000 UR2072 Transpubic Urethroplasty 30,000 39,900 45,000 52,500 60,000 UR2073(A) Transurethral Resection Of Bladder Tumor(small) 14,000 18,620 21,000 24,500 28,000 UR2073(b) Transurethral Resection Of Bladder Tumor(large) 16,000 21,280 24,000 28,000 32,000 UR2074(A) Transurethral Resection Of Prostate (Turp) - small 14,000 18,620 21,000 24,500 28,000 UR2074(B) Transurethral Resection Of Prostate (Turp) - large 16,000 21,280 24,000 28,000 32,000 UR2075 Ureter Uretrostomy 15,000 19,950 22,500 26,250 30,000 UR2076 Uretero Sigmoid Diversion 15,000 19,950 22,500 26,250 30,000 UR2077(A) Ureteroscopic Removal Of Stone(URS) grade-I 12,000 15,960 18,000 21,000 24,000 UR2077(B) Ureteroscopic Removal Of Stone(URS) grade-II 14,000 18,620 21,000 24,500 28,000 UR2078 Ureteral Reimplantation B/L 15,000 19,950 22,500 26,250 30,000 UR2079 Urethroplasty First Stage 10,000 13,300 15,000 17,500 20,000 UR2080 Urethroplasty One Stage Procedure 16,000 21,280 24,000 28,000 32,000 UR2081 Urethroplasty Second Stage 12,000 15,960 18,000 21,000 24,000 UR2082 Uretro Calicostomy 25,000 33,250 37,500 43,750 50,000 UR2083 Urs+Dj Stenting(Uni)+Cystoscopy Diag 16,000 21,280 24,000 28,000 32,000 UR2084 Vaso Epididymostomy 10,000 13,300 15,000 17,500 20,000 UR2085 Vaso Epididymostomy (Under Microscope) 14,000 18,620 21,000 24,500 28,000 UR2086 Vasovasostomy (Under Microscope) 12,000 15,960 18,000 21,000 24,000 UR2087 Vesicovaginal Fistula 18,000 23,940 27,000 31,500 36,000 UR2088 MAGPI 14,000 18,620 21,000 24,500 28,000 UR2089 MITROFANOFF 20,000 26,600 30,000 35,000 40,000 UR2090 NEPHRECTOMY RADICAL 22,800 30,324 34,200 39,900 45,600 UR2091 PEYRONNIEE PLAGUE EXCISION & VEIN GRAFTING 16,000 21,280 24,000 28,000 32,000 UR2092 TIP URETHROPLASTY 15,000 19,950 22,500 26,250 30,000 UR2093 URETEROLYSIS (UNILATERAL) 12,000 15,960 18,000 21,000 24,000 UR2094 URETHROPLASTY DISTAL HYPOSPADIAS 16,000 21,280 24,000 28,000 32,000 UR2095 URETHROPLASTY MID PROXIMAL HYPOSPADIAS 19,500 25,935 29,250 34,125 39,000 UR2096 WEBBED PENIS RELEASE 15,000 19,950 22,500 26,250 30,000 UR2097 Ureteric injury Repair 12,000 15,960 18,000 21,000 24,000 Lithotripcy Package UR2039 Lithotripcy Level I 15,000 UR2040 Lithotripcy Level Ii 22,500 UR2041 Lithotripcy Level Iii 29,000 UR2042 Lithotripcy Level Iv 36,000 The package include Surgeon fee, OT charges and equipment charges only. Any room rent/ investigation/ Anesthesia/ pharmacy and consumables will be additional.
Laser equipment charge UR1037 Laser Level-1 6,000 UR2036 Laser Level-2 12,000 UR2037 Laser Level-3 18,000 UR2038 Laser Level-4 24,000 ICU/WARD SERVICES Service Service Name Charges ( Rs.) Code Registration Charges
Page 60 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 MS1001 REGISTRATION FEE 100 MS1002 Mommy's first card registration 2,000 Monitoring Charges MS2001 Cardiac Monitoring < 8 Hours 600 MS2002 Cardiac Monitoring > 8 Hours 1,100 MS2003 IABP monitoring per day 2,000 MS2004 ICP Monitoring 2,500 ICU/ Ward services MS3001 Administrative /MRD Charges 500 MS3002 Alpha Bed Charges (Per Day) 200 MS3003 Attendent Room Charges as per bed occupied MS3004 Cd Charges For Cath lab/DSA lab) 500 MS3005 Extra Nursing Care (12 Hours) 1,200 MS3008 Injection Charges (Im/Iv) 100 MS3009 Mortuary Sheet 350 MS3010 Nebulization (Per siting)) 200 MS3011 Nebulization (Per Day) 650 MS3012 Oxygen Charge (Per Hour) 50 MS3013 Oxygen Charges Per Day 750 MS3014 Syringe Pump / Infusion Pump 400 MS3015 Vaccination Charge For New Born Baby 50 MS3016 Abg/Elec/Met in wards/critical area 1,440 MS3017 Blood Sugar monitoring(Glucomeeter) 110 MS3023 Mortuary charges (Up to to 12 Hrs) Nil MS3024 Mortuary charges (after12 Hrs upto 24 Hrs) 1,500 MS3025 Mortuary charges (More than 24 Hrs) 3,000 MS3026 Hospitals Gown Charges (If dress /gown Returned within seven days) 1,000 Equipment charges MS4001 Harmonic 5,000 MS4002 Laparoscope Charges 5,000 MS4003(A) C Arm( Major) 3,000 MS4003(B) C Arm ( Minor) 1,000 MS4004 Dvt Pump/ Pneumatic per day 600 MS4006(A) Bipap/Cpap Charges (Per Day)- Less Than 8 Hrs 1,000 MS4006(B) Bipap/Cpap Charges (Per Day)- More Than 8 Hrs 2,000 MS4007 Hysteroscope/Cystoscope/ Ureteroscope/ Endoscope 1,000 MS4008 Neuro Endoscope 6,000 MS4009 Ventilator Charges (Less Then 8 Hours) 1,500 MS4010 Ventilator Charges(More Then 8 Hours) 3,000 MS4011 Ventilator Charges - Stand By (Reserved) 1,500 MS4015 Arthroscopic system 4,000 MS4016 Ureterscope/Cystoscope/Nephroscope/ENT scope 1,000 MS4017 ENT Drill 1,000 MS4018 ENT Microscope 1,000 MS4019 Recording system 1,000 MS4020 Onco Microscope 5,000 MS4021 Onco Drill/Saw 6,000 MS4022 Neuro drill 6,000 MS4023 Neuro Microscope 5,000 MS4024 Onco/Neuro Microscope ( Minor) 1,000 MS4025 Onco Drill/Saw ( Minor) 1,000 MS4026 Phaco Machine 3,000 MS4027 Opthal ( Eye) Microscope 1,000 MS4028 Harmonic Probe 1,500 MS4029 Harmonic Focus 1,000 MS4030 Enseal hand probe ( Open surgery) 1,000 MS4031 Enseal hand probe ( Lap surgery) 2,000 MS4032 Linear Cutter 1,000 Other Procedures MS5005 Aspiration Cold Abscess 1,560 Service Service Name Charges ( Rs.) Code MS5029 Enema Administration 270 MS5033 Gastric Lavage 1,000 MS4013 Difficult Airway Tool 2,000 Blood Bank Service Service Name OP CHARGES IP CHARGES Code BD1001 Antibody Screening 220 260 BD1002 Apheresis Platelets 13,500 16,200 BD1003 Cross Matching Charges & Blood Grouping 400 480
Page 61 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 BD1004 Donor Screening For apheresis 1,500 1,800 BD1005 Whole Blood - Processing Charges 2,100 2,520 BD1006 Fresh Frozen Plasma 750 900 BD1007 Packed Cell 1,400 1,680 BD1008 Packed Cell (Leukoreduced) 2,500 3,000 BD1009 Platelet Concentrates (Processing Charges) 750 900 BD1010 Polycythaemia Phlebotomy 500 600 BD1011 Therapeutic Phlebotomy 300 360 BD1012 Subsequent Pack 250 300 BD1013 Thermocol packing Charges 100 120 BD1014 Donor Security Deposit (Refundable) 2,000 2,400 BD1015 TRANSFUSION CHARGES 300 360
CARDIOLOGY INVESTIGATION Service Service Name OP CHARGES IP CHARGES Code CI1001 ECG 300 NA CI1002 ECG Bedside NA 300 CI1003 Echo Doppler 2,200 NA CI1004 Echo Doppler (Bed Side) NA 2,500 CI1005 Echo Fetal 2,400 2,880 CI1006 Echo (Paediatrics / Neonatal ) 3,000 3,600 CI1007 Echo Screening 1,350 1,620 CI1008 Echo Stress 3,000 3,600 CI1009 Echo Stress (Dobutamine) 3,500 4,200 CI1010 Echo Trans Esophageal 2,500 3,000 CI1011 Holter Analysis 2,500 3,000 CI1012 Tilt Test 2,700 3,240 CI1013 TMT 1,500 1,800
LABORATORY SERVICES Service Service Name OP CHARGES IP CHARGES Code BIOCHEMISTRY LB1001 Adenosine Deaminase (ADA) 550 660 LB1002 Alkaline Phosphatase 160 192 LB1003 Amylase 400 480 LB1004 Anti Streprolysin-O\ Aslo\ Aso Titre 500 600 LB1006 Ascitic Fluid Analysis - Sugar/Glucose And Protein 400 480 LB1007 Bilirubin Total And Direct 240 288 LB1008 Blood Sugar (Random) 100 120 LB1009 Blood Sugar 2 Hr. Pp 100 120 LB1010 Blood Sugar Fasting 100 120 LB1011 Calcium 150 180 LB1012 Chloride 160 192 LB1013 Cholesterol 140 168 LB1014 C-Reactive Proteins (CRP) 550 660 LB1015 Creatinine 150 180 LB1016 Creatinine Kinase (CPK) 250 300 LB1017 Creatinine Kinase MB 350 420 LB1018 Electrolytes (NA\K\Cl) 350 420 LB1019 Fluid Amylase 350 420 LB1020 G - 6 Pd Deficiency Test 700 840 LB1021 Ggtp (Gamma Gt) 170 204 LB1022 Glucose Challenge Test (GCT) 110 132 LB1023 Glucose Tolerance Test (75 Gram Glucose) 350 420 LB1024 Glucose Tolerance Test (Gestation 100 Gram Glucose) 350 420 LB1025 Glycosylated Haemoglobin 700 840 LB1026 HDL Cholesterol 250 300 LB1027 Iron And Total Iron Binding Capacity 650 780 LB1028 Lactate, Plasma 800 960 LB1029 LDH Total (Serum) 350 420 LB1030 Lipase 550 660 LB1031 Lipid Profile 800 960 LB1032 Liver Function Test Profile 800 960 LB1033 Magnesium Serum 450 540 LB1034 Microalbuminuria (MAU) 430 516 LB1035 Other Fluid Analysis - LDH 350 420 LB1036 Phosphorus 150 180 LB1037 Pleural Fluid Analysis - LDH 350 420 LB1038 Pleural Fluid Analysis - Sugar/Glucose and Protein 400 480
Page 62 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 LB1039 Potassium 170 204 LB1040 Renal Profile 950 1,140 LB1041 Rheumatoid Factor Assay 550 660 LB1042 Serum Osmolality 600 720 LB1043 Serum Albumin 110 132 LB1044 SGOT- Aspartate Amino Transferase 150 180 LB1045 SGPT- Alanine Amino Transferase 150 180 LB1046 Sodium 170 204 LB1047 Total Proteins With Albumin\Globulin\A/G 250 300 LB1048 Triglycerides 250 300 LB1049 Troponin-I (Qualitative) 1,200 1,440 LB1050 Troponin-T 1,000 1,200 LB1051 Urea 150 180 LB1052 Uric Acid 150 180 LB1053 Urinary Calcium - Spot 200 240 LB1054 Urinary Calcium 24 Hrs. 200 240 LB1055 Urinary Chloride 24 Hrs. 200 240 LB1056 Urinary Chloride (Spot Sample) 200 240 LB1057 Urinary Creatinine - Spot 200 240 LB1058 Urinary Creatinine 24 Hrs. 200 240 Service Service Name OP CHARGES IP CHARGES Code LB1059 Urinary Potassium 24 Hrs. 200 240 LB1060 Urinary Potassium (Spot Sample) 200 240 LB1061 Urinary Protein 24 Hrs. 250 300 LB1062 Urinary Protein(Spot) 250 300 LB1063 Urinary Uric Acid 24 Hrs. 250 300 LB1064 Urine For Sodium (Spot Sample) 250 300 LB1065 Urine Protein/Creatinine Ratio 350 420 LB1066 Venous Blood Gas 700 840 LB1067 Abg/Elec/Met 1,300 1,560 LB1070 KALAZAR (RAPID TEST R K-39) 400 480
CLINICAL PATHOLOGY - LB2001 Ascitic Fluid - Cell Type\ Cell Count\ Albumin 450 540 LB2002 Bal For Cytology (Cell Count & Cell Type) 300 360 LB2003 Csf Analysis Cell Type\ Cell Count\ Glucose\ Protein 500 600 LB2004 Haemoglobin,Urine 160 192 LB2005 Occult Blood 110 132 LB2006 Other Fluid Analysis - Cell Type And Cell Count 400 480 LB2007 Pleural Fluid Analysis - Cell Type And Cell Count\ 450 540 LB2008 Semen Analysis 410 492 LB2009 Stool For Occult Blood 110 132 LB2010 Stool For Reducing Substance 110 132 LB2011 Stool Ph 110 132 LB2012 Stool Routine And Microscopy. 150 180 LB2013 Urinary Bence Jones Proteins 300 360 LB2014 Urine Albumin 110 132 LB2015 Urine For Bile Pigment 110 132 LB2016 Urine For Bile Salt 110 132 LB2017 Urine For Fat Globules 110 132 LB2018 Urine For Haematuria 100 120 LB2019 Urine For Specific Gravity 110 132 LB2020 Urine Ketone 110 132 LB2021 Urine Pregnancy Test 200 240 LB2022 Urine Routine And Microscopy. 150 180 LB2023 Urine Sugar Fasting 110 132 LB2024 Urine Sugar Pp 100 120 LB2025 Urine Sugar Random 100 120 CYTOLOGY - LB3001 Fluid Analysis - Cytology For Malignant Cell 700 840 LB3002 Ascitic Fluid Analysis - Cytology For Malignant Cell 700 840 LB3003 Cytology For Nipple Discharge 650 780 LB3004 Extra Slide 160 192 LB3005 Fine Needle Aspiration Cytology (FNAC) 800 960 LB3006 Malignant Cells (Ganga Ram Hospitals) 700 840 LB3007 Pap Smear 550 660 LB3008 Pleural Fluid Analysis - Cytology For Malignant Cell 700 840 LB3009 Slides For Review 550 660 LB3010 Sputum For Malignant Cells And Cytology 650 780
Page 63 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 LB3011 Tzank Smear 200 240 LB3012 Urine Cytology for Malignant Cells 650 780 HAEMATOLOGY - LB4001 Absolute Eosinophil Count 140 168 LB4002 Blood Group And Rh Factor 170 204 LB4003 Coagulation Profile 1,550 1,860 LB4004 Complete Blood Count -CBC(HB\TLC\PCV\RBC\Platelet) 400 480 LB4005 Complete Heamogram\ Peripherial Smear And ESR 400 480 LB4006 Coombs Test Direct 400 480 LB4007 Coombs Test Indirect 380 456 LB4008 Ddimer 1,300 1,560 LB4009 DLC 130 156 LB4026 Biopsy Bone Marrow (Procedure) 3,500 4,200 LB4027 Biopsy Nerve 4,500 5,400 LB4028 Exchange Transfusion 3,570 4,284 Service Service Name OP CHARGES IP CHARGES Code LB4010 ESR 100 120 LB4011 FDP 750 900 LB4012 Haemoglobin Estimation 125 150 LB4013 Le Cells 220 264 LB4014 Malaria Antigen (Rapid Test For Malaria) 650 780 LB4015 Malarial Parasite 140 168 LB4016 Partial Thromboplastin Time (APTT) 450 540 LB4017 PCV 140 168 LB4018 Peripheral Smear Examination 180 216 LB4019 Platelet Count 130 156 LB4020 Prothrombin Time (With Inr) 350 420 LB4021 RBC Count 110 132 LB4022 Reticulocyte Count 200 240 LB4023 Sickle Cell Test 110 132 LB4024 TLC 130 156 LB4025 BLEEDING AND CLOTTING TIME (BT\CT) 170 204 HISTOPATHOLOGY LB5001 Biopsy Large 1,700 2,040 LB5002 Biopsy Neuropathology 1,210 1,452 LB5003 Histo Biopsy Extra Slide 200 240 LB5004 Histo Biopsy Small Specimens 1,000 1,200 LB5005 Histo Biopsy Medium Specimens 1,200 1,440 LB5006 Histo Biopsy Review Of Slide 750 900 LB5007 Histo Block For Review (Ganga Ram) 1,000 1,200 LB5008 Immunohistochemistry > Three Markers 5,100 6,120 LB5009 Immunohistochemistry - Three Markers 4,400 5,280 LB5010 Immunohistochemistry - Two Markers 3,000 3,600 LB5011 Immunohistochemistry-One Marker 1,500 1,800 LB5012 Immunohistochemistry Er/Pr 2,500 3,000 LB5013 Immunohistochemistry Her-2-Neu 1,300 1,560 LB5014 Ganga Ram Extra Slide 550 660 LB5016 1-5 Biopsy Samples (May Call as Small Specimen) 3,500 4,200 LB5017 6-10 Biopsy Samples (May Call as Medium Specimen) 6,000 7,200 LB5018 > 10 Biopsy Samples (May Call as Large Specimen) 8,000 9,600 LB5019 Frozen Section (1-2 Specimens) 1,600 1,920 LB5020 Frozen section (3-5 specimen) 2,000 2,400 LB5021 Frozen section (>5 specimen) 2,500 3,000
MICROBIOLOGY - LB6001 Ascitic Fluid Analysis - AFB Stain 250 300 LB6002 Ascitic Fluid Analysis - Culture 1,000 1,200 LB6003 Ascitic Fluid Analysis - Gram'S Stain 250 300 LB6004 Bal For Culture And Sensitivity 450 540 LB6005 Blood C And S 1,100 1,320 LB6006 Body Fluid Culture (Bactec) 1,000 1,200 LB6007 Cathetertip Culture & Sensitivity 380 456 LB6008 Central Line Tip For Culture & Sensitivity 380 456 LB6009 Conjuctival Swab For C & S 380 456 LB6010 Csf C And S 1,000 1,200 LB6011 Culture And Sensitivity(Other Specimen) 450 540 LB6012 Cvp Line Tip For Culture & Sensitivity 380 456 LB6013 Ear Discharge C And S 380 456 LB6014 Ear Swab C+S 380 456
Page 64 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 LB6015 Et Secretions For Culture & Sensitivity 380 456 LB6016 Et Tip For Culture & Sensitivity 380 456 LB6017 Eye Swab Culture And Sensitivity 380 456 LB6018 Foleys Catheter Tip For Culture & Sensitivity 380 456 LB6019 High Vaginal Swab Culture And Sensitivity 380 456 LB6020 India Ink 275 330 LB6021 Koh Staining (Small Specimen) 250 300 LB6022 Mantoux / PPD/ Tuberculin Test 110 132 LB6023 Nail Clipping For Fungus 250 300 LB6024 Nasal Swab For Culture & Sensitivity 450 540 LB6025 Other Fluid Analysis - Culture 1,100 1,320 LB6026 Pleural Fluid Analysis - Afb Stain 275 330 LB6027 Pleural Fluid Analysis - Culture 1,100 1,320 LB6028 Pleural Fluid Analysis - Gram'S Stain 250 300 LB6029 Pus C And S 450 540 LB6030 Semen C And S 380 456 LB6031 Smear For AFB Staining 275 330 LB6032 Smear For Fungus 275 330 LB6033 Smear For Gram Staining 275 330 LB6034 Sputum C And S 450 540 LB6035 Sputum For AFB Smear 275 330 Service Service Name OP CHARGES IP CHARGES Code LB6036 Stool C/S 380 456 LB6037 Stool For Hanging Drop 160 192 LB6038 Throat Swab C And S 380 456 LB6039 Tip C And S 450 540 LB6040 Tissue For Culture & Sensitivity 450 540 LB6041 Tracheal Secretions For Culture & Sensitivity 450 540 LB6042 Urine C And S 400 480 LB6043 Urine For AFB Smear 250 300 LB6044 Widal Test 220 264 LB6045 Wound Swab C+S 450 540 LB6046 Fungal Culture test 1,000 1,200 SEROLOGY/IMMUNOLOGY LB7001 Antibody To Hepatitis C Virus (ECI) 1,200 1,440 LB7002 Antibody To Hepatitis C Virus (Rapid) 450 540 LB7003 Beta Hcg Cancer Marker 600 720 LB7004 Chickun Guniya Serology 850 1,020 LB7005 Dengue Ns1 Antigen 1,000 1,200 LB7006 Dengue Serology (Ig M & Ig G) 1,100 1,320 LB7007 Ferritin 650 780 LB7008 Free T3 400 480 LB7009 Free T4 400 480 LB7010 FSH - Follicle Stimulating Hormone 430 516 LB7011 HCG - Beta Specific 600 720 LB7012 Hepatitis B Surface Antigen (ECI) 650 780 LB7013 Hepatitis B Surface Antigen (Rapid) 550 660 LB7014 HIV I & Ii Antibody (Rapid) 410 492 LB7015 HIV I + II Antibody (ECI) 700 840 LB7016 LH - Leuteinizing Hormone 430 516 LB7017 Needle Stick Injury Panel 2,500 3,000 LB7018 Pre Dailysis Screen 2,500 3,000 LB7019 Procalcitonin (Qualitative) 3,000 3,600 LB7020 Prolactin 500 600 LB7021 PSA Total (Prostate Specific Antigen- Cancer Marker) 700 840 LB7022 RPR Test 125 150 LB7023 Thyroid Profile 950 1,140 LB7024 Troponin I (Quantitative) 1,500 1,800 LB7025 TSH (Ultrasensitive) 400 480 LB7026 Typhoid Igm 450 540 LB7027 Vitamin B12 1,150 1,380 LB7028 CA-125 1,300 1,560 LB7029 Rubella IgG 500 600 LB7030 Total IgE 700 840 LB7031 HAV IgM 1,100 1,320 LB7032 Cortisol AM 700 840 LB7033 Cortisol PM 700 840 LB7034 Cortisol Urine 700 840 LB7035 CEA 800 960 LB7036 25 Hydroxy Vitamin D-Total 1,600 1,920
Page 65 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 LB7037 Cryptococcus Antigen, CSF 1,600 1,920 LB7038 Cryptococcus Antigen, Serum 1,600 1,920 LB7041 LEPTOSPIRA IGM & IGG ( By rapid method) 800 960 LB7042 MICROFIARIA ANTIBODY ( By rapid method) 800 960
Lab panel LB8001 Blood culture ( Paired ) 1,500 1,800 LB8002 Blood culture with Urine culture and BAL 2,200 2,640 LB8003 Blood culture with Urine culture and Tracheal culture 2,200 2,640 LB8004 Blood culture with Urine culture and ET secretion 2,200 2,640 LB8005 Blood culture with Urine culture and Sputum culture 2,200 2,640
Radiology Service Service Name OP CHARGES IP CHARGES Code Bone densitometry RD1001 Bone Densitometry Hip 2,500 3,000 RD1002 Bone Densitometry Hip & Spine 3,500 4,200 RD1003 Bone Densitometry Spine Study 2,500 3,000 RD1004 Bone Densitometry Whole body 3,700 4,440 CT SCAN RD2001 CT-Whole Abdomen Plain 5,000 6,000 RD2002 CT-Whole Abdomen With Contrast 7,000 8,400 RD2003 CT-Upper Abdomen Plain 3,500 4,200 RD2004 CT-Upper Abdomen With Contrast 5,000 6,000 RD2005 CT-Abdomen-Dual Phase CT For Liver 6,000 7,200 RD2006 CT-Abdomen-Pelvis/Lower Abdomen plain 4,500 5,400 RD2007 CT-Abdomen -Pelvis/Lower Abdomen With Contrast 5,500 6,600 RD2008 CT-Angiography - Cerebral 7,000 8,400 RD2009 CT-Angiography-Localised 7,000 8,400 RD2010 CT-Angiography-Carotid Artery 7,000 8,400 RD2011 CT-Angiography-Peripheral/Extremeties 7,500 9,000 RD2012 CT-Angiography-Abd Aorta 7,000 8,400 RD2013 CT-Angiography-Pulmonary 7,500 9,000 RD2014 CT-Angiography-Renal Retery 7,000 8,400 RD2015 CT-Arthrography Screening 1,500 1,800 RD2016 CT-Chest & Whole Abdomen With Contrast 10,000 12,000 RD2017 CT-Chest With Contrast 4,500 5,400 RD2018 CT-Chest plain 3,700 4,800 RD2019 CT-Chest - HRCT 5,500 6,600 RD2020 CT-Guided Catheter Drainage 5,000 6,000 RD2021 CT-Guided FNAC - Level I 2,500 3,000 RD2022 CT-Guided FNAC - Level II 2,750 3,300 RD2023 CT-Guided FNAC - Level III 3,300 3,960 RD2024 CT-Guided Trucut Biopsy Level I 5,000 6,000 RD2025 CT-Guided Trucut Biopsy Level II 6,000 7,200 RD2026 CT-Head Plain 2,600 3,120 RD2027 CT-Head Contrast 3,200 3,840 RD2028 CT-head - Iam/Temporal Bone 3,500 4,200 RD2029 CT-head -Cisternography 4,500 5,400 RD2030 CT-head -Contrast (Non-Ionic) 4,000 4,800 RD2031 CT-head Pitutary- Sella Contrast 4,500 5,400 RD2032 CT-head-Pituitary-Sella 3,500 4,200 RD2033 CT-Joints Plain 4,000 4,800 RD2034 CT-Joints Contrast 5,500 6,600 RD2035 CT-Joints With 3D 5,000 6,000 RD2036 CT-Kub (Plain) 3,600 4,320 RD2037 CT-Maxillo-Facial Trauma 3D 5,000 6,000 RD2038 CT-Neck & Chest With Contrast 5,500 6,600 RD2039 CT-Neck Plain 3,000 3,600 RD2040 CT-Neck/Pharynx/Larynx (Contrast) 4,000 4,800 RD2041 CT-neuro( Follow Up) 1,500 1,800 RD2042 CT-neuro( Limited Window) 1,500 1,800 RD2043 CT-neuro( Repeat) 1,500 1,800 RD2044 CT-Orbits Coronal & Axial 3,000 3,600 RD2045 CT-Pns Axial & Coronal With Contrast 4,000 4,800 RD2046 CT-Pns Axial & Coronal plain 3,000 3,600 RD2047 CT-Pns-Plain Coronal Only 2,500 3,000 RD2048 CT-Posterior Fossa 2,500 3,000 RD2049 CT-Procedures-Diagnostic Aspiration 2,500 3,000 RD2050 CT-Procedures-Therapeutic Aspiration First Visit 2,500 3,000
Page 66 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 RD2051 CT-Procedures-Therapeutic Aspiration Second Visit 2,000 2,400 RD2052 CT-Procedures-Therapeutic Aspiration Third Visit 1,500 1,800 RD2053 CT-Spine-Cervical 4,000 4,800 RD2054 CT-Spine-Lumbar/Dorsal Spine 4,000 4,800 RD2055 CT-Spine-Lumbosacral Spine (Plain) 4,000 4,800 Service Service Name OP CHARGES IP CHARGES Code RD2056 CT-Spine-Myelography 5,000 6,000 RD2057 CT-Spine-Thoracis (5 Vertebrae) 3,500 4,200 RD2058 CT-Spine-With Contrast 5,500 6,600 RD2059 CT-Urography 5,500 6,600 RD2060 CT (CD charges)/(Extra Film) 300 360 RD2061 CT-Contrast-Charges Non-Ionic 100 Cc 2,000 2,400 RD2062 CT-Contrast-Charges Non-Ionic 50Cc (300Mg) 1,000 1,200 RD2063 CT-Contrast charges -Visipaque 2,700 3,240
RD2065 CT- face and Neck 4000 4000 RD2066 CT- face and Neck with contrast 5000 5000 RD2067 CT- face and Neck and chest with contrast 7000 7000 RD2068 CT- chest plus upper abdomen(plain) 6500 6500 RD2069 CT- chest plus upper abdomen(with Contrast) 8500 8500 RD2070 CT- triple phase whole abdomen(plain) 7000 7000 RD2071 CT- triple phase whole abdomen with contrast 9000 9000 RD2072 CT- triple phase upper abdomen (plain) 6500 6500 RD2073 CT- triple phase upper abdomen with contrast 8500 8500 RD2074 CT-abdomen angio 7000 7000 Mammography RD3001 X-Ray Mammography Bilateral 1,500 1,800 RD3002 X-Ray Mammography Unilateral 800 960 MRI RD4001 MR Angiography Without Contrast 6,000 7,200 RD4002 MR Spectroscopy 5,500 6,600 RD4003 MR Angio Brain 5,500 6,600 RD4004 MR angio Neck Vessels 5,500 6,600 RD4005 MRCP 6,500 7,800 RD4006 MRI Brachial Plexus 7,000 8,400 RD4007 MRI Brain Plain 6,000 7,200 RD4008 MRI Brain Posterior Fossa 6,000 7,200 RD4009 MRI Brain Screening 3,000 3,600 RD4010 MRI Brain With Angiography 9,000 10,800 RD4011 MRI Brain With Contrast 9,000 10,800 RD4012 MRI Brain With Functional 9,000 10,800 RD4013 MRI Brain With Spectroscopy 10,000 12,000 RD4014 MRI Cardiac 6,500 7,800 RD4015 MRI Chest 6,000 7,200 RD4016 MRI Functional 6,000 7,200 RD4017 MRI Knee 6,000 7,200 RD4018 MRI Nasopharynx/Larynx 6,000 7,200 RD4019 MRI Neck / Thyroid 6,000 7,200 RD4020 MRI Orbits 6,000 7,200 RD4021 MRI Peripheral 6,000 7,200 RD4022 MRI Renal Angio 6,000 7,200 RD4023 MRI Screening 3,500 4,200 RD4024 MRI Single Joint 6,000 7,200 RD4025 MRI Single Part - Musculo Skeletal 6,000 7,200 RD4026 MRI Spine Cervical 6,000 7,200 RD4027 MRI Spine Dorsal 6,000 7,200 RD4028 MRI Spine Dorsal With Cont 8,000 9,600 RD4029 MRI Spine Dorsolumbar 6,000 7,200 RD4030 MRI Spine Lumbar 6,000 7,200 RD4031 MRI Spine Screening 3,500 4,200 RD4032 MRI Lower Abdomen 6,000 7,200 RD4033 MRI Upper Abdomen 6,000 7,200 RD4034 MRI Whole Abdomen 9,000 10,800 RD4035 MRI Contrast Charges 3,000 3,600 RD4036 MRI (CD charges)/(Extra Film) 300 360 RD4037 MRI (EXTRA FILM) 360 432 RD4038 MRI VENOGRAPHY 5,500 6,600 RD4039 MRI FACE 6,000 7,200 RD4040 CEREBRAL WITH CAROTID ARTERY ANGIO 9,000 10,800 RD4041 MRICERVICAL SPINE WITH BRACHIAL PLEXUS 9,000 10,800
Page 67 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 RD4042 MRI EPILEPSY PROTOCOL 7,500 9,000 RD4043 MRI STROKE PROTOCOL 6,000 7,200 RD4044 MRI VERTIGO PROTOCOL 7,500 9,000 RD4045 MRI SELLAR PROTOCOL(WITH CONTRAST) 9,000 10,800 RD4046 MRI TUMOR PROTOCOL 9,000 10,800 RD4047 MRI Stroke protocol (brain + carotid angio) 9000 9,000 RD4048 MRI joint Screning 4000 4,000 RD4049 MRI - brain with cervical spine screening 8000 8,000 RD4050 MRI - cervical spine with brain screening 8000 8,000 RD4051 MRI Urography 6000 7,500 RD4052 Pancreatic protocol (CECT Pancreas + MRCP) 10000 12,000 RD4053 CVA prrotocol ( NCCT Brain + MRI with DW & T2FLAIR) 4000 5,000 RD4054 MRI One region 6000 7,500 ULTRASOUND RD5001 Ultra Sound 4D For Anomalies 2,500 3,000 RD5002 Ultra Sound 4D Pregnancy 2,500 3,000 RD5003 Ultra Sound Brain 800 960 RD5004 Ultra Sound Breast Unilateral 800 960 RD5005 Ultra Sound Breast Bilateral 1,200 1,440 RD5006 Ultra Sound Carotid Doppler (Screening) 2,000 2,400 RD5007 Ultra Sound Chest 900 1,080 RD5008 Ultra Sound Color Doppler - Both Limbs - Arterial 3,500 4,200 RD5009 Ultra Sound Color Doppler - Both Limbs - Venous 3,500 4,200 RD5010 Ultra Sound Color Doppler - Local Swelling 2,200 2,640 RD5011 Ultra Sound Color Doppler- Abdominal Aorta 2,200 2,640 RD5012 Ultra Sound Color Doppler- Carotids 2,200 2,640 RD5013 Ultra Sound Color Doppler- Obstetrics 2,500 3,000 RD5014 Ultra Sound Color Doppler- Peripheral Arterial One Limb 2,200 2,640 RD5015 Ultra Sound Color Doppler Peripheral Venous One Limb(Screening) 1,000 1,200 RD5016 Ultra Sound Color Doppler Renal (One Side) 2,000 2,400 RD5017 Ultra Sound Color Doppler Vascular (Portable/Bedside) 2,500 3,000 RD5018 Ultra Sound Color Doppler Venous (One Limb) 2,000 2,400 RD5054 Portable machine charges for US 25%of Base price 25%of Base price RD5055 Ultra Sound (CD charges)/(Extra Film) 200 240
Service Service Name OP CHARGES IP CHARGES Code RD5019 Ultra Sound Color Doppler-Penile Doppler 2,500 3,000 RD5020 Ultra Sound Color Doppler-Peripheral Venous One Limb 2,200 2,640 RD5021 Ultra Sound Pelvis Doppler 1,500 1,800 RD5022 Ultra Sound Renal Doppler 2,200 2,640 RD5023 Ultra Sound Scrotal Doppler 2,200 2,640 RD5024 Ultra Sound Color Doppler-Splenoportal Axis 2,200 2,640 RD5025 Ultra Sound Extremity/Joint 1,000 1,200 RD5026 Ultra Sound Fetal Growth Monitoring 2,000 2,400 RD5027 Ultra Sound Follicle Monitoring 1 Days 300 360 RD5028 Ultra Sound Follicle Monitoring 6 Days 1,500 1,800 RD5029 Ultra Sound for MTP 1,500 1,800 RD5030 Ultra Sound Kub 900 1,080 RD5031 Ultra Sound Kub & PVR 1,300 1,500 RD5032 Ultra Sound Kub & Scrotum 2,500 3,000 RD5033 Ultra Sound Lower Abdomen/Pelvis 900 1,080 RD5034 Ultra Sound Neck 1,000 1,200 RD5035 Ultra Sound Obstetrics (Level-I) 1,400 1,700 RD5036 Ultra Sound Obstetrics (Level-II) 2,200 2,600 RD5037 Ultra Sound Orbits 1,000 1,200 RD5038 Ultra Sound Pelvis & Scrotum 2,000 2,400 RD5039 Ultra Sound Pelvis-Transabdominal 1,000 1,200 RD5040 Ultra Sound Pelvis-Transvaginal 2,000 2,400 RD5041 Ultra Sound Pregnancy With Color Doppler 3,000 3,600 RD5042 Ultra Sound Scrotum 1,800 2,160 RD5043 Ultra Sound Sono Salpingogram 2,000 2,400 RD5044 Ultra Sound Thyroid 1,000 1,200 RD5045 Ultra Sound Transrectal 1,500 1,800 RD5046 Ultra Sound Upper Abdomen 1,000 1,200 RD5047 Ultra Sound Whole Abdomen 1,600 1,920 RD5048 Ultrasound Screening 600 720 RD5049 Us Guidance For D&C ( portable charge included) 1,000 1,200 RD5050 Us Guided Biopsy ( needle cost additional) 2,500 3,000 RD5051 Us Guided Catheter Placement 3,000 3,600
Page 68 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 RD5052 Us Guided FNAC/Diagnostic Aspiration 1,500 1,800 RD5053 Usg Abdomen With Tvs 2,000 2,400 X-RAY RD6001 X-Ray Abdomen - Decubitus 300 360 RD6002 X-Ray Abdomen - Erect 300 360 RD6003 X-Ray Abdomen - Other 300 360 RD6004 X-Ray Abdomen - Supine 300 360 RD6005 X-Ray Abdomen-Ap 300 360 RD6006 X-Ray Ankle Joint Ap & Lat 500 600 RD6007 X-Ray Arm Ap Only 300 360 RD6008 X-Ray Arm Ap & Lat 500 600 RD6009 X-Ray Barium Enema (Dc) 3,500 4,200 RD6010 X-Ray Barium Meal Follow Through 3,750 4,500 RD6011 X-Ray Barium Swallow 1,500 1,800 RD6012 X-Ray Both Ankle Joint - Lateral 500 600 RD6013 X-Ray Both Knee Joints Ap & Lat 1,000 1,200 RD6014 X-Ray Calcaneum -Ap & Axial 500 600 RD6015 X-Ray Chest -Ap 350 420 RD6016 X-Ray Chest -Decubitus (Right/Left) 300 360 RD6017 X-Ray Chest Lateral (Right/Left) 300 360 RD6018 X-Ray Chest -Other - One View 300 360 RD6019 X-Ray Chest -Pa 350 420 RD6020 X-Ray Chest-Oblique (For Ribs) 300 360 RD6021 X-Ray Clavicle / Acromio -Clav Jt (Right/Left) 300 360 RD6022 X-Ray Coccyx Ap & Lat 500 600 RD6023 X-Ray Colostomy Study 2,200 2,640 RD6024 X-Ray Cystography 2,000 2,400 RD6025 X-Ray Digits-Ap &Lat 500 600 RD6026 X-Ray Elbow Joint -Ap & Lat 500 600 RD6027 X-Ray Femur Ap Only 300 360 RD6028 X-Ray Femur Lat Only 300 360 Service Service Name OP CHARGES IP CHARGES Code RD6029 X-Ray Femur-Ap & Lat 500 600 RD6030 X-Ray Fistulography 2,000 2,400 RD6031 X-Ray Fluoroscopy 1,500 1,800 RD6032 X-Ray Foot - Any Other 1 View 300 360 RD6033 X-Ray Foot-Ap & Lat 500 600 RD6034 X-Ray For Tm Joints -Open & Close Mouth Both Side 1,000 1,200 RD6035 X-Ray For Tm Joints -Open & Close Mouth One Side 500 600 RD6036 X-Ray Forearm Ap 300 360 RD6037 X-Ray Forearm -Ap & Lat 500 600 RD6038 X-Ray Gastrografin Study 2,000 2,400 RD6039 X-Ray Hand Ap 300 360 RD6040 X-Ray Hands -Ap & Lat 500 600 RD6041 X-Ray Hands Ap & Obl 500 600 RD6042 X-Ray Hip joint Ap 300 360 RD6043 X-Ray Hip Joint -Ap & Lat 500 600 RD6044 X-Ray Hip joint Lateral 300 360 RD6045 X-Ray Humerus -Ap & Lat 500 600 RD6046 Hystero -Salpingography 2,250 2,700 RD6047 X-Ray Invertogram 300 360 RD6048 X-Ray Ivp (Non-Ionic Contrast) 3,000 3,600 RD6049 X-Ray Ivp + Mcu Film 3,250 3,900 RD6050 X-Ray Knee Joint - Ap & Lat 600 720 RD6051 X-Ray Knee Joints Ap Only 300 360 RD6052 X-Ray Knee Joints Lat Only 300 360 RD6053 X-Ray Kub 300 360 RD6054 X-Ray Leg - Ap & Lat 600 720 RD6055 X-Ray Leg Lat Only 250 300 RD6056 X-Ray Mastoids (One Side) 300 360 RD6057 X-Ray Micturating Cystography 2,000 2,400 RD6058 X-Ray Nasal Bones 500 600 RD6059 X-Ray Neck - For Soft Tissues -Lat 300 360 RD6060 X-Ray Nephrostogram 1,600 1,920 RD6061 X-Ray Pelvis -Ap 300 360 RD6062 X-Ray Pelvis-Ap Incl Both Hip Joints 350 420 RD6063 X-Ray Pns-Waters View 300 360 RD6064 X-Ray Retrograde Urethrography 2,100 2,520 RD6065 X-Ray Sacro-Iliac Joints- Obl 300 360 RD6066 X-Ray Sacro-Iliac Joints-ap 300 360
Page 69 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 RD6067 X-Ray Scapula Ap & Lat 500 600 RD6068 X-Ray Sella (Pituitary Fossa) 300 360 RD6069 X-Ray Shoulder Joint-Ap 300 360 RD6070 X-Ray Shoulder Joint-Ap & Axial 500 600 RD6071 X-Ray Sialography Unilateral 1,000 1,200 RD6072 X-Ray Sialography Bilateral 1,500 1,800 RD6073 X-Ray Single Film 300 360 RD6074 X-Ray Sinography 1,500 1,800 RD6075 X-Ray Skull -Any 2 Views 500 600 RD6076 X-Ray Skull For Styloid Process 300 360 RD6077 X-Ray Skull Lat 300 360 RD6078 X-Ray Skull Oblique 300 360 RD6079 X-Ray Skull-Ap & Lat 500 600 RD6080 X-Ray Small Bowel Enema 4,500 5,400 RD6081 X-Ray Special Views- For Mandible Ap & Oblique 500 600 RD6082 X-Ray Special Views For Orbits 500 600 RD6083 X-Ray Special Views-For Iam 500 600 RD6084 X-Ray Special Views-For Jugular Foramen 300 360 RD6085 X-Ray Special Views-For Mastoids 500 600 RD6086 X-Ray Spine Dorsal Ap 300 360 RD6087 X-Ray Spine-Cervical Ap 300 360 RD6088 X-Ray Spine-Cervical Ap & Lat 500 600 RD6089 X-Ray Spine-Cervical Both Obl 500 600 RD6090 X-Ray Spine-Cervical Flex & Ext 500 600 RD6091 X-Ray Spine-Cervical Lat 300 360 RD6092 X-Ray Spine-Cervico-Thoracic Ap & Lat 500 600 Service Service Name OP CHARGES IP CHARGES Code RD6093 X-Ray Spine-Cv Junction 2 Views 500 600 RD6094 X-Ray Spine-Lumbar Ap 300 360 RD6095 X-Ray Spine-Lumbar Ap & Lat 600 720 RD6096 X-Ray Spine-Lumbar -Both Obl 500 600 RD6097 X-Ray Spine-Lumbar Lat 300 360 RD6098 X-Ray Spine-Lumbo-Sacral Ap & Lat 500 600 RD6099 X-Ray Spine-Lumbo-Sacral Flex & Ext 500 600 RD6100 X-Ray Spine-Thoracic Ap & Lat 500 600 RD6101 X-Ray Spine-Thoraco-Lumbar Ap & Lat 500 600 RD6102 X-Ray Sterno-Clavicular Joint-Both Obliques 500 600 RD6103 X-Ray Sternum Ap & Lat 500 600 RD6104 X-Ray Sternum Lat 300 360 RD6105 X-Ray Sternum Lat & Obl 500 600 RD6106 X-Ray Styloid Process 300 360 RD6107 X-Ray T- Tube Cholangiogram 1,500 1,800 RD6108 X-Ray Thigh Ap & Lat 500 600 RD6109 X-Ray Thigh Ap Only 300 360 RD6110 X-Ray Upper Gi Series 2,800 3,360 RD6111 X-Ray Wirst Joint -Any 3 Views 500 600 RD6112 X-Ray Wrist Joint- 1 View 300 360 RD6113 X-Ray Wrist Joint-Any 2 Views 500 600 RD6114 X-Ray Wrist Joint-Ap & Lat 500 600 RD6115 X-Ray Portable machine charges 175 210 RD6116 X-Ray (CD charges)/(Extra Film) 140 168 RD6117 X-RAY CD CHARGES 160 192 RD6118 SKELETOGRAM X-RAY 1,800 3,600 RD6119 X-Ray Scapula Ap view 300 360 RD6120 X-Ray skull AP view 300 360 RD6121 X-Ray spine -Flexion view 300 360 RD6122 X-Ray spine -Extension view 300 360 RD6123 X-Ray spine -Obturator view 300 360 RD6124 X-Ray Pelvis -llliac View 300 360 RD6125 X-Ray pelvis-obturator View 300 360 RD6126 X-Ray Pelvis -inlet View 300 360 RD6127 X-Ray Pelvis -Outlet View 300 360 RD6128 X-Ray Elbow both oblique 600 720 RD6129 X-Ray leg oblique view 300 360 RD6130 X-Ray knee Tunnel View 300 360 RD6131 X-Ray knee oblique view 300 360 RD6132 X-Ray knee skyline view 300 360 RD6133 X-Ray Ankle Mortis view 300 360 RD6134 X-Ray Ankle Haris view 300 360 RD6135 X-Ray Ankle Brodes view 300 360
Page 70 PARAS HMRI HOSPITALPATNA Schedule of charges 2016 version 2.02 RD6136 X-Ray Foot oblique View 300 360 RD6137 X-Ray wrist Scaphoid View 300 360 RD6138 X-Ray wrist Oblique . View 300 360 RD6139 X-Ray Cerrvical Spine AP Open mouth View 300 360 RD6140 defaecation proctogram 3,000 3,700 RD6141 Fluoroscopy guided NJ tube placement 3,000 37,000 RD6142 Fluoroscopy 2,000 2,400 RD6143 PTBD 5,000 6,200 RD6144 Fallopian tube recanalization 5,000 7,200 RD6145 Transplant renal doppler 2,200 2,640
Others RD7001 Anaesthesia/Sedation For Radiology 1,000 1,200 RD7002 Emergency Charges - Radiology 550 600 RD7004 Trans Rectal Prostate Biopsy 3,000 3,600
OPD/WARD SERVICES
Service code Service name Charges ( Rs.)
OPD/ Ward Service WS1001 Biopsy (Small) 1,500 WS1002 Biopsy (Large) 3,000 WS1003 Cyst Removal (Small) 1,000 WS1004 Cyst Removal (Medium) 1,500 WS1005 Cyst Removal (Large) 2,500 WS1006 Aspiration Bone Marrow (Procedure) 1000
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