All India Institute of Medical Sciences Bhopal, India

Rates of Hospital Surgical / Procedural Charges

INDEX

S. Annexure Department Description of the User Charges No. No. 1. Neurosurgery neurosurgery operation rate list “A” pmr re-revised rate list for aids & appliances in prosthetics and orthotic 2. PMR/ Orthopaedics workshop “B”

revised package charges for cardiac surgeries/ procedures (ctvs) for “C” private ward CTVS (Cardiothoracic package charges for cardiac / 3. and Vascular angiography procedures for private “D” Surgeons) ward package charges for cardiac radiology tests / procedures for “E” private ward

4. Opthalmology “F”

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A. Neurosurgery Operation rate list Burr hole, tracheostomy, E.V.D., Ommaya. I C P monitoring, 1 2000 ICA ligation: VP Shunt, DBS, Endoscopy, Brain Biopsy 2 5000

Simple spine(No instrumentation), Extramedullary tumor, 3 Peripheral nerve surgery, Carotid endartrectomy 10000

Complex spine ( including CVJ instrumentation), Intramedullary 4 15000 tumors, Laminoplasty

Simple craniotomy ( including head injury, Supratentorial and 5 15000 infratentorial tumors), Transphenoidal surgery

Complex Craniotomy ( including craniotomy for aneurysm, 6 20000 AVM, Epilepsy surgery, CP angle tumor, skull base tumors

For every single titanium aneurysm clip used Rs 5000 will be 7 charged

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B. PMR re-revised rate list for Aids & Appliances in Prosthetics and Orthotic Workshop APPLIANCE ALIMCO* parts AIIMS Charges

1 Unilateral BK Orthosis 331 20 2 KAFO 991 60 3 KAFO/HKAFO with PB 1401 65 4 AFO Unilateral Adult (PP) 150 AFO Unilateral Adult (PVC) 50 5 KAFOUnilateral Adult (PP) 200 KAFOUnilateral Adult(PVC) 150 6 L.S. Frame Knight Brace 60 7 Taylor's Brace Adult 60 8 L.S. Belt 60 9 Mermaid spl. 90 10 Unilateral Knee Cage 55 11 Hand Splint 45 12 Toe Pick Up 15 13 Arch Support 15 14 C&E Heel/Wedging 15 15 Sarbo Padded Heel 15 16 Moulded Spinal Brace (AP Jacket) 150 17 Moulded Coller 125 18 Von Rosen Splint 45 19 Aeroplane Splint 125 20 Gaiters 90 21 Milwaukee Brace 1049 150 22 Four Post Coller 125 23 Moulded Shoes Filler 125 24 FRO 200 25 PTB Brace 350 150 26 Arm Splint 45 27 Posterior/Antrior Knee Splint 60 28 Soft Padded Sandle 45 29 Soft Insole 30 PTB Prosthesis 739 145 31 PTB Prosthesis with thigh corset 1519 175 32 PTB Prosthesis (Endoskeletal) 1692 33 AK Prosthesis 2550 200 34 Hip Disarticulation Prosthesis 2784 300 35 AE Prosthesis 3255 200 36 BE Prosthesis 1935 100 37 Syme Prosthesis 739 175 38 Cosmetic Hand 94 125

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39 Breast Prosthesis 45 40 Compenstion Prosthesis 717 250 41 Chopart Prosthesis 125 42 AK Belt 25 43 PTB Strop 15 44 Cushion

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C. REVISED PACKAGE CHARGES FOR CARDIAC SURGERIES/ PROCEDURES (CTVS) FOR PRIVATE WARD

Room Rent,diet & Private Ward. Charges Admission excluding room Total Package charges S. Name of the Investigation rent,admission (Rs) No. Procedure/Surgery Charges,Blood & allied charges (Proposed) Bank ICUICCU (Existing) Charges

1 ASD CLOSURE 57000 26900 83900 2 VSD CLOSURES 67000 25900 92900 3 TOF/TOTAL CORRECTION 67000 26900 93900

4 RSOV 67000 26900 93900

5 TAPVC 72000 26500 98500

6 TCPC/FONTAN 77000 26900 103900

7 SENNING 77000 26700 103700

8 ASO 87000 26900 113900

9 BD Gleen 57000 26900 83900

10 DSO 92000 26900 118900

11 A.V. CANAL REPAIR 72000 26900 98900

*12 CONDUIT REPAIR 66000(+ cost of conduit) 26900 92900(+cost of conduit)

13 CABG 80000 26900 106900

*14 CABG 1 Valve 66000(+ cost of Valve) 26900 92900 (+ cost of valve)

15 CABG + IABP 105000 26900 131900

16 MVR/AVR 58000(+cost of valve) 26900 84900 (+cost of valve)

17 DVR 65000(+cost of valves) 26900 91900 (+cost of valves)

*18 MV Repair/AV Repair 63000 26900 89900

19 AORTIC FEMORAL BYPASS 53000 26900 79900

20 CABG OFF PUMP 20000(+actuals) 26900 46900(+actuals)

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BENTALL (WITH 21 185000 26900 211900 COMMERCIALCONDUIT

BENTALL + WITH HAND *22 72000(+cost of valve) 26900 98900(+cost of valve) MADE CONDUIT

BENTALL+ARCH *23 192000(+arch Replacement) 26900 218900(+arch Replacement) REPLACEMENT

72000(+cost of 98900 (+cost of *24 AORTIC DISSECTIONS 26900 graft/valve/valved conduit) graft/valve/valved conduit)

VALVE SPARING *25 ASCENDING 84000 26900 110900 AORTICREPLACEMENT THORACOABDOMINAL *26 72000(+cost of graft) 26900 98900 (+cost of graft) ANEURYSM REPAIR

27 P.A. BANDING 32000 26750 58750

28 PERICARDIACTOMY 21000 25750 46750

29 GUNSHOT INJURY 12000 26750 38750

30 HEART TRANSPLANTATION 120000 27050 147050

31 B. T. SHUNT 27000 18950 45950

32 CMV/PDA 12000 18300 30300

*33 EMBOLECTOMY 8400 19000 27400

*34 VASCULAR REPAIR 8400 (+COST OF GRAFT) 18500 26900(+COST OF GRAFT)

PSEUDOANEURYSM *35 8400 (+COST OF GRAFT) 18500 26900(+COST OF GRAFT) REPAIR

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D. PACKAGE CHARGES FOR CARDIAC / ANGIOGRAPHY PROCEDURES FOR PRIVATE WARD CORONARY ANGIOGRAPHY 6000 2600 8600 (CART) CARDIAC CATHETERIZATION 8000 2600 10600 (CATH) RF ABLATION 22000 5100 27100

19000 (+cost of 25300 (+cost of CORONARY ANGIOPLASTY OR Balloon,Stent,Drugs,Burr,IVU Balloon,Stent,Drugs,Burr,IVUS 6300 OTHER INTERVENTIONS S Cath etc.if requried as Cath etc.if requried as actual actual cost) cost)

PDA COIL CLOSURES USING 12000(+ COST OF COILS 17300(+ COST OF COILS AS 5300 BIOPTOME AS PER ACTUAL) PER ACTUAL)

DILATIONS OF OTHER VALVES 6000(+ cost of balloon etc if 11100(+ cost of balloon etc if 5100 OR COARCT DILATION requried as per actual cost) requried as per actual cost)

ELECTROPHYSIOLOGY STUDY 7000 5300 12300

ENODOMYO CARDIAL BIOPSY 6000 5100 11100

PTMC 20000 5300 25300

7200 (+cost of device/Sheath 13500 (+cost of device/Sheath Shunt Closure 6300 etcas per actual cost) etcas per actual cost)

COLLATERAL CLOSURE 1200(+COST OF COILS AS 7500(+COST OF COILS AS 6300 WITHOUT DEVICE/BIOPTOME PER ACTUAL COST) PER ACTUAL COST)

1200(+cost of 6500(+cost of Septostomy balloon/catheter/blade as per 5300 balloon/catheter/blade as per actual cost.) actual cost.) AICD/BI VENT PACING 9000 (+cost of Device as per 22900 (+cost of Device as per (INCLUDING TEMPORARY 13900 actuals cost) actuals cost) PACEMAKER) PERMANENT PACEMAKER 7000(+ cost of Pacemaker as 20900(+ cost of Pacemaker as (INCLUDING TEMPORARY 13900 per actual cost per actual cost PACEMAKER.SUTURE etc.

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E. PACKAGE CHARGES FOR CARDIAC RADIOLOGY TESTS / PROCEDURES FOR PRIVATE WARD

DSA 4500 2600 7100

DSA (Gassed Material) 1800 2600 4400

DSA (Venogram) 500 3600 4100

DSA (Venus) 2000 3600 5600

SINOGRAM 250 2600 2850

CINE-BARIUM 500 2600 3100

IVUS 36000 2600 38600

CT GUIDED BIOPSY (excluding 700 2600 3300 CT charges) EMBOLIZATION (laser) 9600 5800 15400

EMBOLIZATION (Coil) 3600(+cost of coil) 5800 9400(+cost of coil)

EMBOLIZATION 4200(+cost of Device) 5800 10000(+cost of Device)

IVC Filter 4100(+cost of Device) 6100 10200(+cost of Device)

VASCULAR STENT 9600(+cost of Device) 5800 15400(+cost of Device)

PTA 9600(+cost of Device) 5800 15400(+cost of Device)

AORTIC STENTGRAFT 42000(+cost of Device) 12700 54700(+cost of Device)

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F. OPHTHALMIC-SURGERY 1 Abscess incision and drainage (Lid Lacrimal) 250.00 2 A/C Formation 2000.00 3 AGV (Ahmed Glaucoma Value) 2000.00 4 Biopsy 250.00 5 Blebrevision 2000.00 6 Blepharoplasty 2000.00 7 Buckling 2000.00 8 Buckle removal 1000.00 9 C3F (Gas Injection) 250.00 10 C-DCR (Conjuctive Dacryo Cyst Rhonostomy) 5000.00 11 Canaliculoplasty 2000.00 12 Canthotomy / Cantholysis 250.00 13 Capsuloiridectomy 2000.00 14 Cataract Extraction (ECC-ECC) 2000.00 15 Cataract Extraction (IOL-LENS) 2000.00 16 Cauterization of Nuclea 250.00 17 Chalazion (incision and curettage) 250.00 18 Combined PK with Glaucoma Surgery or Vitrectomy or Lens 5000.00 19 Conectomy 2000.00 20 Conjuctivoplasty 2000.00 21 Corneal F.B. Removal 250.00 22 Corneal Perforation Repair 2000.00 23 Cryotherapy (Conjunctival / Corneal) 1000.00 24 Cryotherapy Retinal 2000.00 25 Curette & Evacuation 1000.00 26 Cyclocryo-Therapy 1000.00 27 Cyclodiathermy 2000.00 28 Dacryocystectomy (DCY) 2000.00 29 Dacryocyclorhinostomy (DCR) 2000.00 30 DCR with Fistulectomy 2000.00 31 DALK 2000.00 32 Dermoid Excession with IK 2000.00 33 Dermoid Excission (Limbal Scleral) 2000.00 34 DLCP 1000.00 35 DSAEK / PK 5000.00 36 E.D.T.A. 250.00 37 Ectropion Correction 2000.00 38 Electrolysis 250.00 39 ERM Peeling 2000.00 40 Entropion Correction (Each Lid) 1000.00 41 Enucleation 2000.00 42 Enucleation with Orbital Implant 2000.00 43 Epicanthus 2000.00

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44 EUA 250.00 45 B. Secretation 1000.00 46 Exenteration 2000.00 47 Exenteration with Skin Grafting 5000.00 48 Expression of follicles 250.00 49 Eviscretion + Implant LA 2000.00 50 Glove Repair 2000.00 51 ICL 2000.00 Per Eye 52 Incision Biopsy 1000.00 53 Injection Macugen 30000.00 per vial 54 Injection Lucentis 40100.00 per vial 55 Intravitreal Injection 250.00 56 Intraocular Foreign Body Removal 5000.00 57 Iridectomy 2000.00 58 Iridencleasis 2000.00 59 Iridodyalesis Repair 2000.00 60 Iris Cyst Removal 2000.00 61 Keratoplasty 2000.00 62 Kerato Refractive Surgery+ Triple Procedure 5000.00 63 Refractoprosthesis State-I 2000.00 64 Keratoprosthesis Stage-II 2000.00 65 LPS Resection 2000.00 66 Lensectomy 2000.00 67 Lens Aspiration + PC + IOL 2000.00 68 Lamellar Keratoplasy 2000.00 69 Lateral Orbiotomy 5000.00 70 Lid Retraction 2000.00 71 Limbal Ring X-ray 250.00 72 Macular Hole Surgery 2000.00 73 Membranectomy 2000.00 74 M.H. Surgery (Retinal Hole) 2000.00 75 Orbitotomy 5000.00 76 P.K. with Lens Extraction and IOL Implant (Triple Procedure) 5000.00 77 Paracentesis 250.00 78 Peritomy Peritectomy 250.00 79 Pars Plana Lensectomy / Skin Grafting 5000.00 80 Penetrating Keratoplasty 5000.00 81 Photocoagulation 1000.00 82 Photocoagulation (Xenoo/arc) per sitting 1000.00 83 Plastic Lid Repair 2000.00 84 Prolapse Iris Repair 2000.00 85 Prophylactic Cryopexy 2000.00 86 Pterygium 250.00 87 Ptosis Correction 2000.00

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88 PPV 5000.00 89 Radial Keratotomy (Both Eyes) 2000.00 90 Recurrent Pterygium IK / Membrane Graft 5000.00 91 Removal of Orbital Implant 250.00 92 Repair of Corneal Wound or Corneal Perforation Repair 2000.00 93 Repair of Scleral Rupture 2000.00 94 Resuturing of Corneal Wound 250.00 95 Retinal Detachment Surgery 2000.00 96 Schle's Operation 2000.00 97 Scleral Graft / Slingoperation 2000.00 98 Sclerectomy 2000.00 99 Secondary IOL Implantation 2000.00 100 Kerato Refractive Surgery 5000.00 101 Skin Grafting 2000.00 102 SOI 2000.00 103 S.O.R (Inside Free) 2000.00 104 Socket Repsin 1000.00 105 Squint Surgery 2000.00 106 Stem Cell Transplanation 2000.00 107 Suturing of Lid Wound 250.00 108 Syringing and Probing 250.00 109 Symbo Release Pheron 1000.00 110 Symbo Release Pheron + AMG 2000.00 111 Tarsorrhaphy 250.00 112 Tripolar 1000.00 113 Telecanthus 2000.00 114 Thermokeratoplasty 2000.00 115 Trab with MMC 2000.00 116 Trabeculotomy with Trabeculectomy 2000.00 117 Trephination 2000.00 118 Vitral Lavage 5000.00 119 Vitrectomy Paras Plana / Epi-Retinalmembranepeeling / /ERM 5000.00 120 Ware Excision 250.00 121 Excimer Lasik Surgery (Both Eyes) 15000.00 122 Aspiration + PC + IOL 2000.00 123 I/H Macular Hole 2000.00

INVESTIGATION & OTHER OPD PROCEDEURES

1 U.S.G. 25.00 2 FA Scopy 150.00 3 FFA 250.00 4 ICG 1500.00 5 ERG / VER 25.00

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6 X-Ray per Film 30.00 7 X-Ray (Pvt. Ward) per Film 50.00 8 Perimetry 25.00 (one 9 Laser - Argon / YAG 250.00 sitting) 10 Lasik - Both Eyes (including Disposable & Microkotome Blade) 21000.00 11 PDT per eye sitting 60000.00 (one 12 Laser Photocoagulation 250.00 sitting) (one 13 Yag Capsultomy 250.00 sitting) OTHER CHARGES 1 Admission Charge (Gen. Ward) 25.00 2 General Ward Charges per day (including Diet Charges) 35.00 3 Admission Charges (Pvt. Ward) 200.00 4 Room Rent for Pvt. (B-Class) per day 1100.00 5 Room Rent for Deluxe. (A-Class) per day 1700.00 6 Diet Charges (Pvt. Patient) per day 100.00 7 Extra Diet (Pvt. Patient) per day 100.00 8 Short Admission Charges 60.00 9 Day Care Charges 500.00 10 Medical / Fitness / Misc. Certificate Charges 10.00 each 11 CT Scan / MRI Scan As per AIIMS Rate PRICE LIST FOR OPHTHALMIC SURGERY - IOL/V.R./SQUINT/GLAUCOMA SURGERY KITS 1 Disposable Syringe Tuberculin 1ml, 2ml and 5ml 2.50 2 Gloves Surgical (Per Pair) 7.50 3 Minor Drape 30.00 4 Mersoseal sponges (Pkt. Of 5 sponges) 50.00 5 Suture 4.0 Silk 50.00 6 Suture 5.0 Ethibond Double Armed 215.00 7 Suture 6.0 Vicryl 230.00 8 Suture 8.0 Vicryl Round Body 260.00 9 Suture 10.0 Monofilament 240.00 10 Suture 7.0 Vicryl 210.00 11 Venflon Adults 9.00 12 Venflon Paediatric 60.00 13 I.V. Sets 6.00 14 Terphine (Indian) 190.00 15 Micro Surgical Knives MVR, Cresent, 5.2mm, 3.2mm & 2.75mm (Alcon/BD) 450.00 16 Micro Surgical Knives MVR, Cresent, 5.2mm, 3.2mm & 2.75mm 38.00 17 Alcon Viscot 1950.00 18 Healon GV, 0.85ml 2090.00 19 Healon-5 2495.00 20 Hyal 1000 840.00 21 Hylase 40.00

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22 H P M C PFS 46.00 23 Trypan Blue Dye 25.00 24 Inj. Pilocarpine Intercameral 12.00 25 Inj. Adrenaline 2.00 26 Preservative Free Intra Cameral Adreal 12.50 27 B.S.S. (Plus) Imported (Alcon) 1525.00 28 Inj. Ringer Lactage 15.00 29 Inj. Mitomycin 10mg 405.00 30 Inj. Mitomycin 2mg 115.00 31 Inj. Kenacort 40mg 40.00 ITEM FOR IOL SURGERY 32 Acrysof Hydrophobic Single Piece SA 60-AT (Imported) 5000.00 33 Acrylic foldable SN60 WF(IQ) (Imported) 6000.00 34 Acrylic foldable ZA 9003 (Imported) Technis 5500.00 35 Acreos (Imported) 3500.00 36 Acreos AO (Imported) 4775.00 37 All PMMA, AC IOL/PC IOL (Indian) 44.00 38 Acrylic Fold-Hydrophilic IOL (Indian) 825.00 39 Multi Piece MA 60 AC (Imported) 3500.00 40 Multi Piece AR 40 E Sensar (Imported) 4400.00 41 Multifocal Restore SN 60 D3 (Imported) 28000.00 42 Spherical IOL (Imported 22000.00 43 Multifocal ZN 9000 Technis (Imported) 25000.00 44 Irris Fixateds Phakic IOL Model VRS M60, VRS M50, VRSH M50 (Imported) 20000.00 ITEM FOR V.R. SURGERY 45 High Speed Cutter Alcon 6000.00 46 High Speed Cutter B&L 8325.00 47 High Speed Cutter 25G B&L 9100.00 48 Infusion Cannula Vitreo Lab 360.00 49 PFCL Arcadopth 1654.00 50 PFCL Vitreo Lab 4350.00 51 Silicone Oil Arcadopth 1755.00 52 Silicone Oil DORC 2400.00 53 Silicone Oil Aurosil 1560.00 54 Silicone Oil Labtician 4890.00 55 Silicon Band Labtician 310.00 56 Silicon Band MIRA USA 320.00 57 Silicon Rubber Tyre Labtician 480.00 58 Silicon Rubber Tyre MIRA USA 490.00 59 Vitrectomy Cutter Alcon 4700.00 60 Vitrectomy Cutter B&L 5425.00 61 Vitrectomy Cutter DORC 5050.00 62 Vitrectomy Cutter Microvision 5685.00 63 Vitrectomy Cutter Midlab 3000.00

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64 Vitrectomy Cutter 23G DORC 6600.00 65 Nylon Iris Retractor Hook (Reusable) 3075.00 66 Nylon Iris Retractor Hook (Disposable) 3075.00 67 Nylon Iris Retractor Hook Appasamy 315.00 68 Capsulo Tension Ring Appasamy 315.00 69 Coinnis Ring with Single & Double Eyelets Appasamy 315.00 70 Fibre Optic Endo Illuminators 20 G B&L 2380.00 71 Wide Angle Light Pipe B&L 2970.00 72 Endo Diathermy Probe for Intravitreal with pointed tip B&L 780.00 73 Plug 20 G Appasamy 105.00 74 Green Silicon Tipped Cannual AAO 2970.00 75 Green Silicone Tipped Cannula Synergetic 780.00 76 Corneal Shielded wide field Endo-illuminator Synergetic 1310.00 77 Corneal Shielded wide field Endo-illuminator Alcon 2660.00 78 Flexitip Aspirator BD 2870.00 79 Illuminated Infusion Cannula 23G & 25G Synergetic 2970.00 80 Illuminated Infusion Cannula 19G Synergetic 1905.00 81 Poly Tip Cannula 23G & 25G Medone 3200.00 82 Polymide Cannula 20G Synergetic 2010.00 83 Polymide Cannula 23G & 25G Synergetic 3060.00

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