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 6 Cardiology CD 7 CTVS CT 8 Dental DN 10 Dermatology (Skin and Cosmetic Centre) DM 17 ENT EN 20 General & Laproscopic surgery GS 23 Gestroentology GI 27 Interventional Radiology IR 28 Medical Oncology MO 30 Nephrology NP 30 Neurology NU 31 Neuro surgery NS 32 Obstetrics and Gynecology OG 34 Onco surgery OS 43 Opthalmology OP 44 Orthopeadic OR 46 Pain Clinic PC 50 Pediatric PD 51 Physiotherapy PT 53 Plastic surgery PS 54 Cosmetic Surgery CS 63 Psyciatry PY 64 Respiratory Medicine RM 65 Spine SP 66 Urology UR 68 Registration/ Room / Monitoring RG/RC/MC 71 MRD /Nebulization/Oxygen MR/NC/OC 71 Equipment /Vaccination /Procedures EC/ VC/PR 72 Vascular Surgery VS 73 Investigation Blood Bank BD 76 Cardiology CI 76 Lab LB 77 Radiology RD 81 Charges are effective from 1st April 2016 Charges are subject to change without prior notice Room Tariff and Billing Guidelines

Room IP Consultation/ Emergency IP rent / day visit Consultn/visit Bed category VIP Suite 15,300 1,550 2,325 Deluxe Room 9,800 1,350 2,025 Single Room 7,300 1,050 1,575 Twin Sharing 5,000 950 1,425 Four Bedded 3,700 750 1,125 Day Care 2,300 650 975 Delivery suite 8,800 1,300 1,950 NICU level 1/Nursery 3,300 1,150 1,725 NICU level 2 5,100 1,150 1,725 NICU level 3 5,800 1,150 1,725 PICU level 1 5,800 1,150 1,725 PICU level 2 6,800 1,150 1,725 HDU 7,000 1,150 1,725 CCU/CTVS ICU 9,800 1,150 1,725 MICU/SICU 9,800 1,150 1,725 Neuro ICU 9,800 1,150 1,725 Room Charging Pattern : Check out time will be 11 am In case total Hospitalization is less than 24 hours then room charges will be billed for one day only. 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: Admission directly in to ICU 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. However, if the patient opts for a category which is higher than Single bed at the time of transfer from ICU, the procedures /surgeries will be charged as per the tariff applicable to the higher category of bed. The bed charges will be as Patient Bed Transfer - The higher bed category of the bed transfer day will be charged

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 be applicable as per the higher category.

Attendant bed charges: 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

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 900-1500 CON1002 Super Specialist consultant/ Sr. Consultant 800 CON1003 Specialist / Jr. consultant 600 CON1004 Follow up visit ( within 4 days) nil CON1005 Dietician 400 IPD CONSULTATION CON2001 Room visit 600 - 1500 CON2002 Emergency visit 900-2250 CON2003 Dietician visit 600 Two visits are mandatory. Additional visit shall be at written request of attendant or the attending doctor which shall be charged Note : separately. The charges are for visits / consultation from 7 A.M. to 8 P.M. Any visit after 8 P.M. will be treated as Emergency visit and 50% extra will be charged Post operative visit charges by operating Surgeon/ Surgical Team on the day of surgery shall be free. If patient is referred to another consultant, full charges For Nutritional assessment only One dietician visit shall be charged for each admitted patient in 3 days and reassessment shall be done after every 3 days and shall be charged. Surgery Breakup Surgeon Fee 100% as per bed category Assistant Surgeon fee 30% of Surgeon fee OT Charges 70% of Surgeon fee Anesthetist charges 30% of Surgeon fee Standby Anesthetist charges 10% of Surgeon fee OT Gases 10% of Surgeon fee Cath lab / DSA lab /LR charges 70% of Surgeon fee 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 Note : and subsequent surgery (lower charged).

Case 2 : All unplanned and emergency surgeries performed from 8 PM to 7 AM shall be charged 30% additional emergency charges on corresponding rates.

Case 3: Cardiologist standy in the OT ill e harged at 30% of the surgeon’s fees. 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 the patient (Unless specified)

If more than one equipment (In house) or private is used in same surgery then patient will be billed as per actual usage of equipment. Emergency Room Service Charges ( Rs.) code Service name Emergency room service ER1001 Registration charges 100 ER1002 Emergency bed charges ( Per Two hours) 500 ER1003 Minor OT charges 30% of procedure ER1004 Anesthesia charges in minor OT 25% of procedure Consultation ER2001 Consultation ( CMO / EMO) 300 ER2002 Consultation (Specialist/Super specialist/HOD) As per OPD consultation Investigation ER3001 ECG 240 ER3002 Blood Pressure monitoring 110 ER3003 Blood Sugar monitoring 110 ER3004 Troponin-T 1,210 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 delhi- 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 ER5001 Aspiration Of Joints 2,180 ER5002 Biopsy (Small) 1,810 ER5003 Biopsy (Large) 3,630 ER5004 Breast Abcess I & D 4,240 ER5005 Burn Dressing (Small) 2,180 ER5006 Burn Dressing (Medium) 4,240 ER5007 Cast Application 3,630 ER5008 Circumcision 5,450 ER5009 Closed Reduction Of Pop Application 4,840 ER5010 Corn Excision Under La 1,450 ER5011 Corn Excision Under La Multiple 2,420 ER5012 Cvp Line 3,030 ER5013 Cyst Removal (Small) 1,210 ER5014 Cyst Removal (Medium) 1,810 ER5015 Cyst Removal (Large) 3,030 ER5016 Debridement 5,450 ER5017 Dj Stent Removal ( unilateral) 3,030 ER5018 Dj Stent Removal ( bilateral) 3,630 ER5019 Dressing Small 360 ER5020 Dressing Medium 550 ER5021 Dressing large 730 ER5022 Ear Lobule Repair 3,630 ER5023 Excision Of Lipoma 6,050 ER5024 Excision Of Sebaceous Cyst 3,030 ER5025 Eyelid Repair (Coloboma) 12,100 ER5026 Eyelid Repair (Injuries) 9,080 ER5027 Folley'S Catherization 660 ER5028 Foreign Body Removal 3,030 ER5029 Catheter removal 240 ER5030 Incision And Drainage 1,810 ER5031 Infusion Pump 490 ER5032 Ingrowing Toe Nail Removal 1,810 ER5033 Intercostal Drainage 4,840 ER5034 Intra Articular Injection 1,810 ER5035 Intra Muscular Injection 120 ER5036 Intubation 960 ER5037 Iv Infusion 120 Service Charges (Rs) code Service name ER5038 K-Wire Removal 600 ER5039 Nail Bed Wedge Excision 1,940 ER5040 Nasal Bone Reduction 4,840 ER5041 Nebulisation 240 ER5042 P.O.P Removal 490 ER5043 Pleural / Peritoneal Tapping (Diagnostic) 730 ER5044 Pleural / Peritoneal Tapping (Therapeutic) 2,420 ER5045 Ryle Tube Insertion 600 ER5046 Skin Grafting 8,470 ER5047 Strapping Chest 1,810 ER5048 Suture Removal 240 ER5049 Suturing Less Than 6 850 ER5050 Suturing More Than 6 2,180 ER5051 Tendon Repair 8,470 ER5052 Tracheotomy Change 360 ER5053 Urethral Dilation 2,540 ER5054 Gastric Lavage 1,210 ER5055 Ascitic Tapping 600 ER5056 Bladder wash 600 ER5057 Strapping cervical with figure of 8 bandage 2,420 ER5058 Close reduction of joint dislocation (large) 4,840 ER5059 Close reduction of joint dislocation (small) 1,810 ER5060 Pulled elbow manipulamlm 850 ER5061 Pop Below Elbow Cast Application 1,940 ER5062 Pop Below Elbow Slab Application 1,330 ER5063 Pop Below Knee Cast Application 2,540 ER5064 Pop Below Knee Slab Application 1,940 ER5065 Pop Hip Spica Application Single 5,810 ER5066 POP Above Elbow Cast Application 3,150 ER5067 POP Above Knee Cast Application 3,630 ER5068 Abcess I & D (Large) 3,630 ER5069 Abcess I & D (Medium) 2,660 ER5070 Abcess I & D (Small) 1,810 ER5071 Carbuncle (Large) 8,470 ER5072 Carbuncle (Small) 5,450 ER5073 Cystoscopy Diagnostic 4,240 ER5074 Enema Administration 330 ER5075 Fnac - Procedure 610 ER5076 Single Agent Biophosphate Administration 790 ER5077 Suturing With Staple 850 ER5078 Trans Rectal Prostate Biopsy 3,630 CPR Charges(Cardio Pulmonary Resuscitation) Emergency 2,530 ER5079 Resuscitation ER5080 Urine Dipstick 120 ANESTHESIA Service Service Name OPD/four Two bed Single Deluxe room VIP Suite AN1001 Abg Sampling 506 744 744 931 931 AN1002 Anaesthesia Standby (For Other Procedures) 1,265 1,860 1,860 2,328 2,328 AN1003 Anesthesia Visit For Emergency Management 1,771 2,603 2,603 3,259 3,259 AN1004 Arterial Line 2,530 3,719 3,719 4,655 4,655 AN1005 Bipap Procedure Charges 1,392 2,046 2,046 2,560 2,560 AN1006 Broncoscopy 3,795 5,579 5,579 6,983 6,983 AN1007 Broncoscopy With Lavage 4,428 6,508 6,508 8,147 8,147 AN1008 Caudal Anesthesia (Continuous) 12,397 18,224 18,224 22,810 22,810 AN1009 Caudal Injection (Single Shot) 30% of procedure AN1010 Change Of Tracheostomy Tube 633 930 930 1,164 1,164 AN1011 Consultation Pain Management 886 1,302 1,302 1,629 1,629 AN1012 Continuous Plexus Block 5,060 7,438 7,438 9,310 9,310 AN1013 Cpr Charges (Cardio Pulmonary Resuscitation) Emergency 2,530 3,719 3,719 4,655 4,655 AN1014 Cvp Line 3,163 4,649 4,649 5,819 5,819 AN1015 Daily Follow Up Of Bipap 506 744 744 931 931 AN1016 Endotracheal Intubation 1,012 1,488 1,488 1,862 1,862 AN1017 Endotracheal Intubation Nasal 1,139 1,674 1,674 2,095 2,095 AN1018 Epidural Blood Patch 3,416 5,021 5,021 6,285 6,285 AN1019 Epidural Catheterization 3,795 5,579 5,579 6,983 6,983 AN1020 Femoral Vein Acess 1,645 2,417 2,417 3,026 3,026 AN1021 Fiber Optic Intubation 3,795 5,579 5,579 6,983 6,983 AN1022 Ga For Cath Lab Procedures 5,693 8,368 8,368 10,474 10,474 AN1023 Ga For Ect 3,795 5,579 5,579 6,983 6,983 AN1024 I/V Cannula On Floors 1,012 1,488 1,488 1,862 1,862 AN1025 Intubation And Ventilator Mgmt 5,693 8,368 8,368 10,474 10,474 AN1026 Labour Analgesia 6,325 9,298 9,298 11,638 11,638 AN1027 Mac For Cath Lab Procedures 30% of procedure AN1028 Mac Per Hr >2 Hr 20% of procedure AN1029 Pa Catheter Placement 3,795 5,579 5,579 6,983 6,983 AN1030 Patient Controlled Analgesia 3,795 5,579 5,579 6,983 6,983 AN1031 Pcea (Patient Controlled Epidural Anaest 5,693 8,368 8,368 10,474 10,474 AN1032 Recanulation Tracheostomy 1,518 2,231 2,231 2,793 2,793 AN1033 Ryles Tube Insertion (Adult) 633 930 930 1,164 1,164 AN1034 Ryles Tube Insertion (Child) 886 1,302 1,302 1,629 1,629 AN1035 Ryles Tube Insertion- Anesthesia 696 1,023 1,023 1,280 1,280 AN1036 Sedation For Nacro Analysis 3,795 5,579 5,579 6,983 6,983 AN1037 Single Shot Nerve Block 30% of procedure AN1038 Tracheostomy Percutaneous 7,590 11,157 11,157 13,966 13,966 AN1039 Trans Esophageal Echocardiography 4,048 5,951 5,951 7,448 7,448 AN1040 Unstable Patient Management 6,578 9,670 9,670 12,104 12,104 CARDIOLOGY

Service Stay OPD/four Single Two bed Deluxe room VIP Suite Code day bed room Service Name CARDIOLOGY PACKAGE CD1001 Coronary Angiography (CAG) 1 14,000 15,500 19,000 21,000 26,000 CD1002 Peripheral Angiography 1 14,000 15,000 18,000 20,000 23,000 CD1003 Check Angiography 1 8,000 8,500 8,500 10,000 11,000 CD1004 Coronary Angioplasty (Primary PTCA) 3 105,000 110,000 121,000 137,000 158,000 CD1005 Peripheral Angioplasty 3 66,000 74,000 84,000 95,000 105,000 CD1006 Carotid Angioplasty 3 77,000 79,000 89,000 105,000 126,000 CD1007 EPS 1 24,000 27,000 34,000 37,000 42,000 CD1008 RFA 1 73,000 95,000 116,000 121,000 131,000 CD1009 EPS and RFA 1 83,000 108,000 135,000 142,000 158,000 CD1010 Permanent Pacemaker Implantation 3 44,000 53,000 68,000 74,000 89,000 CD1011 ICD Implantation 3 77,000 89,000 116,000 126,000 158,000 CD1012 Cardiac Cath Study 1 11,000 12,000 13,000 13,000 16,000 CD1013 ASD/VSD Device closure 3 72,000 89,000 116,000 126,000 137,000 CD1014 Septal Ablation 1 99,000 105,000 121,000 137,000 158,000 CD2001 Bi Ventricular/Icd Pacemaker implantation 3 62,000 79,000 79,000 98,000 98,000 CD2002 Bmv 2 74,000 95,000 95,000 118,000 118,000 CD2003 Combo Device implantation 3 72,000 79,000 79,000 98,000 98,000 CD2004 Ivc Filter Insertion 2 50,000 63,000 63,000 79,000 79,000 Package Includes: room rent as specified, cath lab charges, Professional fees of cardiologist, basic Investigations , disposables in Cath Lab and Non Ionic Dye Basic Investigations include- Complete Blood Count, Blood Sugar, Renal Function Test (Na, K, Urea,Creatinine), ECG, Chest X Ray, HbsAg, HIV 1 &2, Blood Grouping 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 and ward medicines.

Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room CARDIOLOGY PROCEDURES CD2005 Pericardial Aspiration 4,400 6,468 6,468 8,096 8,096 CD2006 Iabp procedure Charges 8,250 12,128 12,128 15,180 15,180 CD2007 Temporary Pacing 6,600 9,702 9,702 12,144 12,144 CD2008 Fractional Flow Reserve (FFR) 44,000 64,680 64,680 80,960 80,960 CTVS Service Stay Four Two Single Deluxe room VIP Suite Code Service Name day bedded bedded room CTVS Packages CT1001 CABG 7 175,000 196,000 216,000 227,000 319,000 CT1002 Redo CABG 7 209,000 231,000 253,000 264,000 341,000 CT1003 CABG+AVR 7 220,000 242,000 264,000 275,000 352,000 CT1004 Single Valve Replacement/Repair 7 168,000 194,000 215,000 226,000 315,000 CT1005 Double Valve Replacement 7 200,000 221,000 242,000 252,000 326,000 CT1006 Mitral valve Replacement 7 168,000 194,000 215,000 226,000 315,000 CT1007 Pericardectomy/Sternotomy 7 116,000 127,000 138,000 149,000 160,000 CT1008 Repair of Tetralogy of Fallot 7 176,000 204,000 226,000 237,000 330,000 CT1009 A.S.D 7 168,000 194,000 215,000 226,000 315,000 CT1010 V.S.D 7 187,000 215,000 226,000 237,000 330,000 CT1011 Closed Heart Surgery 7 94,000 105,000 116,000 127,000 138,000 CT1012 Aorto-Femoral Bypass &Lleo Formal Bypass 7 105,000 127,000 138,000 149,000 160,000 CT1013 Femoro- Femoral Bypass & Femoro-Popliteal Bypass 7 105,000 127,000 138,000 149,000 160,000 CT1014 Upper & Lower Limb Grafting 5 72,000 94,000 105,000 116,000 127,000 CT1015 CABG+LV CLOT REMOVAL 7 198,000 220,000 242,000 253,000 330,000 CT1016 CABG+LA CLOT REMOVAL 7 187,000 215,000 226,000 237,000 330,000 CT1017 CABG+LV ANEURYSM REPAIR 7 209,000 231,000 253,000 264,000 341,000 CT1018 CABG+MVR 7 220,000 242,000 264,000 275,000 352,000 CT1019 CABG+DVR 7 242,000 264,000 275,000 292,000 363,000 CT1020 CABG+TVR 7 242,000 264,000 275,000 292,000 363,000 CT1021 CABG+MV. ANNULOPLASTY 7 209,000 231,000 253,000 264,000 341,000 CT1022 REDO MVR/AVR 7 209,000 231,000 253,000 264,000 341,000 CT1023 REDO DVR 7 220,000 242,000 264,000 275,000 352,000 CT1024 REDO TVR 7 242,000 264,000 275,000 292,000 363,000 CT1025 Abdominal Aortic Aneurysym Repair 7 176,000 204,000 226,000 237,000 330,000 CT1028 Extracorporeal Membrance Oxygenation (ECMO Ist Week) 7 440000 495,000 550,000 578,000 803,000 CT1029 Extracorporeal Membrance Oxygenation (ECMO Subsequent 7 220000 248,000 275,000 288,000 402,000 CT1030 Bentall'S Procedure / Ascending Aorta Aneurysm 7 275000 308,000 341,000 358,000 501,000 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,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 done intra-operatively & post operatively. Package excludes: additional stay, Professional charges of other consultants, any additional procedure/investigation and Use of special drugs/ consumables,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. PACKAGE CT1028 & CT1029 excludes Cost of Antibiotics & Albumin. If Membrane Oxygenator or Tubing are changed then Disposable Cost will be Extra.

Service Service Name Four bed Two bed Single Deluxe room VIP Suite Code room Cardiac Surgery CT2001 Pericardial Tapping 4,158 6,112 6,112 7,651 7,651 CT2002 Pericardial Window 13,200 19,404 19,404 24,288 24,288 CT2003 Emergency Ot Team Stand By Ist Hour 19,800 29,106 29,106 36,432 36,432 CT2004 High risk / Emergency charges 33,000 48,510 48,510 60,720 60,720 CT2005 Sternal Wire Removal 11,000 16,170 16,170 20,240 20,240 Service Stay Four Two Single Deluxe room VIP Suite Code Service Name day bedded bedded room Thoracic surgery CT3001 Anterior Chest Wall Repair 24,750 36,383 36,383 45,540 45,540 CT3002 Bronchopulmonary Fistula (Bpf) Repair 30,938 45,478 45,478 56,925 56,925 CT3003 Chest Wall Resection 18,563 27,287 27,287 34,155 34,155 CT3004 Decortication (Pleurectomy) 22,275 32,744 32,744 40,986 40,986 CT3005 Decortication Of Lung 27,225 40,021 40,021 50,094 50,094 CT3006 Decortication Procedure 18,563 27,287 27,287 34,155 34,155 CT3007 Diagnostic Thoracoscopy 14,850 21,830 21,830 27,324 27,324 CT3008 Explotory Thoracotomy 18,563 27,287 27,287 34,155 34,155 CT3009 Intercostal Drainage Of Empyema 5,569 8,186 8,186 10,247 10,247 CT3010 Posterior Lateral Thoracotomy 22,275 32,744 32,744 40,986 40,986 CT3011 Surgery For Empyema 18,563 27,287 27,287 34,155 34,155 CT3012 Surgery For Thoracic Outlet Sy 27,968 41,112 41,112 51,460 51,460 CT3013 Therapeutic Thoracoscopy 14,850 21,830 21,830 27,324 27,324 CT3014 Thoracoplasty 30,938 45,478 45,478 56,925 56,925 CT3015 Thoracotomy 14,850 21,830 21,830 27,324 27,324 CT3016 Tracheobronchial Injury Repair 18,563 27,287 27,287 34,155 34,155 CT3017 Treatment Of Rib Fractures 14,850 21,830 21,830 27,324 27,324 CT3018 Treatment Of Sternal Fracture 14,850 21,830 21,830 27,324 27,324 CT3019 Chest/Pleural Aspiration In Ot 1,856 2,729 2,729 3,416 3,416 CT3020 Decortication For Empyema Thoracis 14,850 21,830 21,830 27,324 27,324 CT3021 Diagnostic Thoracoscopy And Biopsy 7,425 10,915 10,915 13,662 13,662 CT3022 Diagnostic Thoracoscopy And Drainage 4,950 7,277 7,277 9,108 9,108 CT3023 Excision Of Cervical Rib/ Scalenotomy 9,900 14,553 14,553 18,216 18,216 CT3024 Excision Of Chest Wall Tumor( Excluding Ribs) 7,425 10,915 10,915 13,662 13,662 CT3025 Excision Of Chest Wall Tumor(Including Ribs) 17,325 25,468 25,468 31,878 31,878 CT3026 Excision Of Mediastinal Tumors(Open) 19,800 29,106 29,106 36,432 36,432 Harvesting Of Muscle Pedicle Graft And Reinforcement Of CT3027 29,700 43,659 43,659 54,648 54,648 Bronchisl Stump CT3028 Intercostal Block 3,713 5,457 5,457 6,831 6,831 CT3029 Lobectomy In Life Threating Hemoptysis 37,125 54,574 54,574 68,310 68,310 CT3030 Open Lung Biopsy 14,850 21,830 21,830 27,324 27,324 CT3031 Open Pleural Biopsy 6,188 9,096 9,096 11,385 11,385 CT3032 Thoracoscopic Mediastinal Lymph Node Biopsy 19,800 29,106 29,106 36,432 36,432 CT3033 Thoracoscopic Mediastinal Tumors Excision 33,413 49,116 49,116 61,479 61,479 CT3034 Thoracotomy And Evacuation Of Hematoma 16,088 23,649 23,649 29,601 29,601 CT3035 Thoracotomy And Re Exploration For Bleeding 16,088 23,649 23,649 29,601 29,601 CT3036 Thoractomy For Anterolateral Decompression 16,088 23,649 23,649 29,601 29,601 CT3037 Thymectomy(Open) 18,563 27,287 27,287 34,155 34,155 Vascular Surgery CT4001 Arterio-Venous Fistula High 12,375 18,191 18,191 22,770 22,770 CT4002 Branched Aortic Endograft Plac 46,778 68,763 68,763 86,071 86,071 CT4003 Carotid - Carotid Bypass 19,553 28,742 28,742 35,977 35,977 CT4004 Carotid Artery Stenting 23,884 35,109 35,109 43,946 43,946 CT4005 Carotid Body Tumour 23,884 35,109 35,109 43,946 43,946 CT4006 Embolectomy 18,563 27,287 27,287 34,155 34,155 CT4007 Endovascular Repair Of Abdominal 37,125 54,574 54,574 68,310 68,310 CT4008 Hd Access Major 7,673 11,279 11,279 14,117 14,117 CT4009 Leg Fasciotomy 19,553 28,742 28,742 35,977 35,977 CT4010 Ligation Artery Subclavian 3,713 5,457 5,457 6,831 6,831 CT4011 Peripheral Arterial Exposure P 14,850 21,830 21,830 27,324 27,324 CT4012 Peripheral Arterial Transposit 19,553 28,742 28,742 35,977 35,977 CT4013 Peripheral Artery Endarterecto 22,275 32,744 32,744 40,986 40,986 CT4014 Peripheral Bypass Using Vein 29,700 43,659 43,659 54,648 54,648 CT4015 Repair Of Aortic Coarctation 37,125 54,574 54,574 68,310 68,310 CT4016 Simple Av Fistula Ligation 18,563 27,287 27,287 34,155 34,155 CT4017 Treatment Of Ateriovenous Fis 19,553 28,742 28,742 35,977 35,977 CT4018 Repair Of Carotid Artery Injury 44,000 64,680 64,680 80,960 80,960 CT4019 Repair Of Ijv Inury 22,000 32,340 32,340 40,480 40,480 CT4020 Femoro-Femoral Cross Over Bypass 38,500 56,595 56,595 70,840 70,840 DENTAL Service Charges ( Rs.) Code Service name PRVENTIVE TREATMENT DN0001 Fluoride application per sitting1 600 DN0002 Fluroride application per sitting 2 800 DN0003 Pit and fissure sealant 1 850 DN0004 Pit and fissure sealant 2 1,000 DN0005 Pit and fissure sealant 3 1,200 DN0006 Antisnoring appliance gd 1 4,500 DN0007 Antisnoring appliance gd 2 5,500 DN0008 Antisnoring appliance gd 3 6,500 DN0009 Enameloplasty 1 500 DN0010 Enameloplasty 2 800 DN0011 Mouthguard sports 1 3,000 DN0012 Mouthguard sports 2 6,000 DN0013 Night guard 1 3,000 DN0014 night guard 2 4,000 DN0015 Selective grinding 200 DN0016 Chin cap 4,000 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 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 Service Charges ( Rs.) Code Service name CONSERVATIVE DENTISTRY 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 DN1054 Filling Restoration With Dycal 850 DN1055 Composite Inlay 3,000 DN1056 Composite Onlay 4,000 DN1057 Crown Removal 500 DN1058 Bridge Removal 1,500 DN1059 Re- Rct 6,500 DN1060 Root Canal Treatment 6,500 DN1061 Root Canal Treatment of Calcified 7,500 DN1062 Restoration glass ionomer class 6 850 DN1063 Restoration glass ionomer class 7 1,200 DN1064 Restoration Composite DSR 1,500 DN1065 Restoration Composite DSR Class 1 2,000 DN1066 Restoration Composite DSR Class 2 3,000 DN1067 Metalfree Crown Grade 1 12,000 DN1068 Metalfree Crown Grade 2 16,000 DN1069 Metalfree Crown Grade 3 18,000 DN1070 PFM Crown 12,000

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 DN2044 Repair Of Denture Grade 1 600 DN2045 Repair Of Denture Grade 2 1,000 Service Charges ( Rs.) Code Service name PROSTHODONTICS 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 DN2059 Acrylic RPD single arch 3,000 DN2060 Acrylic RPD with flexible claso 8,000 DN2061 Acrylic flexible RPD 12,000 DN2062 Denture repair grade 1 1,000 DN2063 Denture repair grade 2 2,000 DN2064 Denture relining/rebasing grade 1 3,000 DN2065 Denture relining/rebasing gd 2 4,500 DN2066 Aesthetic fiber post n core 1 2,000 DN2067 Aesthetic fiber post n core 2 2,500 DN2068 Temporary crown 1 500 DN2069 Temporary crown 2 750

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 DN3036 Crown lengthening 1 1,500 DN3037 Crown lengthening 2 2,500 DN3038 Curettage per tooth 1 800 Service Charges ( Rs.) Code Service name PERIODONTICS DN3039 Curettage per tooth 2 1,000 DN3040 Frenectomy 1 4,000 DN3041 frenectomy 2 8,000 DN3042 Root planning 1 1,500 DN3043 Root planning 2 2,500 DN3044 Laser gingivectomy per quadrant 5,000 DN3045 Laser gingivectomy per arch 8,000 DN3046 Laser gingivectomy full mouth 20,000 DN3047 Laser removal of mucocele 8,000 DN3048 Surgical removal of mucocele 5,000 DN3049 Scaling Grade 1 2,000 DN3050 Scaling Grade 2 4,000

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 DN4011 Bleaching trays 3,000 DN4012 Home bleach material 4,000 DN4013 laser whitening 24,000 DN4014 Tooth jewelry 1 3,000 DN4015 Tooth jewelry 2 5,000 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 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 Service Charges ( Rs.) Code Service name ORAL SURGERY 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 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 DN7071 Extraction socket management 1 500 DN7072 Extraction socket management 2 1,200 DN7073 Opurculectomy gd 1 1,500 DN7074 Opurculectomy gd 2 2,000 DN7075 Incision and drainage 1 800 DN7076 Incision and drainage 2 1,000 Service Charges ( Rs.) Code Service name ORAL SURGERY DN7077 IMF ,arch bar 1 8,000 DN7078 IMF,Arch bar 2 10,000 DN7079 Minor surgical procedure 1 3,000 DN7080 Minor surgical procedure 2 5,000 DN7081 Minor surgical procedure 3 7,000 DN7082 Re-implantation of tooth with splinting 1 5,000 DN7083 Re-implantation of tooth with splinting 2 8,000 DN7084 Suture placement- non resorbable 1,000 DN7085 Suture placement - resorbable 1,500 DN7086 Orthognathic surgery Max reduction 1 8,000 DN7087 Orthognathic surgery Max reduction 2 10,000 DN7088 Orthognathic surgery Max reduction 3 15,000 DN7089 Orthognathic surgery Max reduction 4 18,000 DN7090 Orthognathic surgery mandibular reduction1 8,000 DN7091 Orthognathic surgery mandibular reduction 2 10,000 DN7092 Orthognathic surgery mandibular reduction 3 18,000 DN7093 LE FORTE 1 fracture management 25,000 DN7094 LE FORTE 2 fracture management 25,000 DN7095 LE FORTE 3 fracture management 25,000 DN7096 Removal of IMF wire 1,500 DN7097 Osteomylitis- surgical decompression 15,000 DN7098 Closed reduction of joint dislocation 10,000 DN7099 Cleft lip repair 10,000 DN7100 Cleft palate repair 15,000 DN7101 Complex wound management 10,000 DN7102 Chin augmentation-osteotomy+ bonegraft 40,000 DN7103 Chin reduction 20,000 DN7104 Fascial bone mandible fracture-open reduction 20,000 DN7105 LE FORTE 1 osteotomy +advancement 20,000 DN7106 LE FORTE 2 osteotomy+application of distractor 20,000 DN7107 LE FORTE 1 osteotomy+ impaction/intrussion 20,000 DN7108 Mandible fracture with external fixation 25,000 DN7109 Mandibular condylar fracture/open reduction 25,000 DN7110 Dento-alveolar fracture 10,000 DENTAL RADIOLOGY 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 DN9021 Ridge expansion 7,500 DERMATOLOGY (LASKIN) Service Charges ( Rs.) Code Service name DERMATOLOGY CONSULTATION Opd- Consultation 700 Ipd- Consultation 1,200 SKIN & COSMETIC PROCEDURES SC1001 Procedure - A 5,000 SC1002 Procedure - B 10,000 SC1003 Procedure - C 15,000 SC1004 Procedure- D 20,000 SC1005 Procedure - E 25,000 SC1006 Q Switch Single Small 6,000 SC1007 Q Switch Medium 10,000 SC1008 Q Switch Large 15,000 SC1009 Pixel Very Small 6,000 SC1010 Pixel Small 8,000 SC1011 Pixel Medium 15,000 SC1012 Pixel Large 25,000 SC1013 Cautry/Rcf/(Single) Small/ Co2 1,500 SC1014 Cautry/Rcf/(Single) Medium/ Co2 2,000 SC1015 Cautry/Rcf/(Single) Large/ Co2 2,500 SC1016 Cautry/Rcf/(Single) Large Less Then 10 8,000 SC1017 Cautry/Rcf/(Single) Large More Then 10 12,000 SC1018 Cautry/Rcf/(Single) Large More Then 15 18,000 SC1019 Cautry/Rcf/(Single) Large More Then 20 24,000 SC1020 Cautry/Rcf/(Single) Large Uncountable 30,000 SC1021 Uvb Phototherapy Full Body Per Session 800 SC1022 Uvb Phototherapy Spot Per Session (Small Patch) 2,000 SC1023 Biopsy Procedure Charges 3,000 SC1024 Biopsy A 2,000 SC1025 Biopsy B 4,000 SC1026 Biopsy C 5,000 SC1027 Biopsy D 7,000 SC1028 Intralesional - Small 600 SC1029 Intralesional - Medium 1,200 SC1030 Intralesional - Large 2,200 SC1031 Commedean Ext 1,000 SC1032 Commedean Medium 1,500 SC1033 Commedean Large 3,000 SC1034 I / D Small 600 SC1035 I/D Medium 1,000 SC1036 I/ D Large 2,000 SC1037 Dressing Small 400 SC1038 Dressing Medium 800 SC1039 Dressing Large 1,200 SC1040 Collection Of Pus 1,000 SC1041 Collection Of Sample Koh 1,000 SC1042 Collection Of Nail Sample 1,000 SC1043 Vitiligo ( Small Area) 15,000 SC1044 Vitiligo (Medium Area) 25,000 SC1045 Vitiligo (Large Area) 40,000 SC1046 Single Session Prp 12,000 SC1047 Single Session Prp With Medicine 15,000 SC1048 Hair Fall Procedure 1 6,000 SC1049 Hair Fall Procedure 2 6,500 SC1050 Hair Fall Procedure 3 7,500 SC1051 Hair Fall Procedure 4 8,500 SC1052 Microdermabrassion Per Sesson 2,000 SC1053 Photorejuvination Peel Per Session 5,000 SC1054 Photo Rejuvenation With Oxy Infusion 8,000 SC1055 Oxy Infusion Therapy 2,500 SC1056 Venus Skin Rejuvenation 6,500 SC1057 Venus Skin Rejuvenation Arms 8,000 SC1058 Venus Skin Rejuvenation Abdomen 8,000 Service Charges ( Rs.) Code Service name SC1059 Venus Skin Rejuvenation Thighs 10,000 SC1060 Venus Under Eye Skin Rejuvination 3,000 SC1061 Non Invasive Laser Skin Tightening - Face 8,000 SC1062 Non Invasive Laser Skin Tightening - Face & Neck 10,000 SC1063 Non Invasive Laser Skin Tightening - Abdomen 10,000 SC1064 Non Invasive Laser Skin Tightening - Arms 12,000 SC1065 Non Invasive Laser Skin Tightening - Thighs 12,000 SC1066 Tca Peel - Neck 2,000 SC1067 Tca Peel - Chest 6,000 SC1068 Tca Peel - Face 3,000 SC1069 Tca Peel - Face + Neck 4,500 SC1070 Tca Peel - Back Upper 6,000 SC1071 Tca Peel - Back Lower 6,000 SC1072 Tca Peel - Back Full 12,000 SC1073 Tca Peel - Legs Thighs 10,000 SC1074 Tca Peel - Lower Legs 10,000 SC1075 Tca Peel - Full Legs 18,000 SC1076 Tca Peel - Bikini 4,000 SC1077 Oxypeel 3,500 SC1078 Oxypeel + Medicine Therapy 4,500 SC1079 Glycolic Peel Per Session 2,000 SC1080 Salicylic Peel Per Session 2,000 SC1081 Yellow Peel Per Session 4,000 SC1082 Agri Lactic Peel Per Session 1,500 SC1083 Dark Circle Per Session 1,500 SC1084 Gel Derma Peel 2,500 SC1085 Ses Glyco Peel 2,500 SC1086 Melas Peel 2,000 SC1087 Mandelac Peel 2,000 SC1088 Azelac Peel 2,000 SC1089 Lactic Peel 2,000 SC1090 Nomelan Fenol Peel 3,000 SC1091 Retinol Peel 3,500 SC1092 Cpeel 3,000 SC1093 Meso Treatment Single Session 10,000 SC1094 Meso Treatment + Medicine Single Session 12,000 SC1095 Glycolic Peel - Neck 2,000 SC1096 Glycolic Peel -Chest 6,000 SC1097 Glycolic Peel -Back Upper 6,000 SC1098 Glycolic Peel -Back Lower 6,000 SC1099 Glycolic Peel -Back Full 12,000 SC1100 Glycolic Peel -Arms 15,000 SC1101 Glycolic Peel -Legs Thighs 10,000 SC1102 Glycolic Peel -Lower Legs 10,000 SC1103 Glycolic Peel -Full Legs 18,000 SC1104 Glycolic Peel -Upper Arms 6,000 SC1105 Glycolic Peel -Gluteal Region 8,000 SC1106 Glycolic Peel -Gluteal Region Small Area 4,000 SC1107 Glycolic Peel -Face 2,000 SC1108 Glycolic Peel -Full Face 3,000 SC1109 Laser Hair Reduction - Full Face (Without Neck) 6,000 SC1110 Laser Hair Reduction - Full Face (Withneck) 8,000 SC1111 Laser Hair Reduction - Lower Face 6,000 SC1112 Laser Hair Reduction - Chin 2,500 SC1113 Laser Hair Reduction - Upper Lip 2,000 SC1114 Laser Hair Reduction - Side Locks 3,500 SC1115 Laser Hair Reduction - Jaw Line 4,000 SC1116 Laser Hair Reduction - Mid Brows 1,000 SC1117 Laser Hair Reduction - Ear Lobes 1,200 SC1118 Laser Hair Reduction - Fore Head 3,000 SC1119 Laser Hair Reduction - Temples 1,500 SC1120 Laser Hair Reduction - Hair Line 1,500 SC1121 Laser Hair Reduction - Nose 1,200 SC1122 Laser Hair Reduction - Beard Shaping 3,500 SC1123 Laser Hair Reduction - Upper Neck 2,500 SC1124 Laser Hair Reduction - Lower Neck 2,500 Service Charges ( Rs.) Code Service name SC1125 Laser Hair Reduction - Posterior Neck 3,000 SC1126 Laser Hair Reduction - Ful Neck 4,500 SC1127 Laser Hair Reduction - Under Arms 3,500 SC1128 Laser Hair Reduction - Half Arms 8,000 SC1129 Laser Hair Reduction - Full Arms 12,000 SC1130 Laser Hair Reduction - 10 Fingers 1,500 SC1131 Laser Hair Reduction - 20 Toes 4,000 SC1132 Laser Hair Reduction - Midriff 2,500 SC1133 Laser Hair Reduction - Aerola 2,500 SC1134 Laser Hair Reduction - Chest 6,000 SC1135 Laser Hair Reduction - Abdomen Line 3,000 SC1136 Laser Hair Reduction - Abdomen 6,000 SC1137 Laser Hair Reduction - Upper Back 6,000 SC1138 Laser Hair Reduction - Lower Back 6,000 SC1139 Laser Hair Reduction - Full Back 10,000 SC1140 Laser Hair Reduction - Full Front Anterior 10,000 SC1141 Laser Hair Reduction - Bikini Line 2,500 SC1142 Laser Hair Reduction - Full Bikini 6,000 SC1143 Laser Hair Reduction - Gluteal 3,500 SC1144 Laser Hair Reduction - Buttocks 5,000 SC1145 Laser Hair Reduction - Half Legs ( Thighs) 8,000 SC1146 Laser Hair Reduction - Half Legs (Lower) 7,000 SC1147 Laser Hair Reduction - Full Legs 15,000 SC1148 Laser Hair Reduction - Full Body 55,000 SC1149 Botox Procedure 500 PER UNIT SC1150 Thread Lift 25,000 SC1151 Mesobotox 15,000 SC1152 Derma Filler 30,000 Allergy Testing SC1153 Nose Piercing 2,000 SC1154 Ear Piercing 4,000 ENT CODE Service Name OPD/ four Two bed Single Deluxe room VIP Suite Minor procedure/surgery EN1001 Adenoidectomy 6,705 9,856 9,856 12,336 12,336 EN1002 Anterior & Posterior Nasal Packing 8,349 12,273 12,273 15,362 15,362 EN1003 Anterior Tracheal Wall Flap 5,060 7,438 7,438 9,310 9,310 EN1004 Antral Wash Outs Bilateral 3,289 4,835 4,835 6,052 6,052 EN1005 Antral Wash Outs Unilateral 2,024 2,975 2,975 3,724 3,724 EN1006 Aspiration & Drainage With Pressure Bandage Haematoma 2,530 3,719 3,719 4,655 4,655 EN1007 Aural Polypectomy 4,934 7,252 7,252 9,078 9,078 EN1008 Bronchoscopy With Foreign Body Removal 8,096 11,901 11,901 14,897 14,897 EN1009 Caldwell Lucs Operation 10,626 15,620 15,620 19,552 19,552 EN1010 Cauterization Bleeding Point Nose Cautery Electric 2,530 3,719 3,719 4,655 4,655 EN1011 Cauterization Bleeding Point Nose Sliver Nitrate 1,012 1,488 1,488 1,862 1,862 EN1012 Cautery Patching Ear 4,807 7,066 7,066 8,845 8,845 EN1013 Direct Laryngoscopy / Fodl 5,693 8,368 8,368 10,474 10,474 EN1014 Ear - Foreign Body removal 506 744 744 931 931 EN1015 Ear Packing 202 298 298 372 372 EN1016 Endoscopic Adenoidectomy 11,385 16,736 16,736 20,948 20,948 EN1017 ETF 569 837 837 1,047 1,047 EN1018 Eum (Exam Under Microscope) Ent 886 1,302 1,302 1,629 1,629 EN1019 Excision Branchial Cyst 9,614 14,133 14,133 17,690 17,690 EN1020 Excision Branchial Fistula 9,614 14,133 14,133 17,690 17,690 EN1021 Excision Branchial Sinus 11,259 16,550 16,550 20,716 20,716 EN1022 Excision Growth External Auditory Canal 6,452 9,484 9,484 11,871 11,871 EN1023 Excision Of Nasal Synaechae (Adhesions) Bilateral 5,693 8,368 8,368 10,474 10,474 EN1024 Excision Of Nasal Synaechae (Adhesions) Unilateral 4,175 6,137 6,137 7,681 7,681 EN1025 Excision Sebaceous Cyst Neck 3,289 4,835 4,835 6,052 6,052 EN1026 Excision Submandibular Gland 11,259 16,550 16,550 20,716 20,716 EN1027 Fibre Optic Laryngoscopy 2,530 3,719 3,719 4,655 4,655 EN1028 Fibreoptic Nasal Endoscopy 2,530 3,719 3,719 4,655 4,655 EN1029 Foreign Body - Nose/ Oral Cavity -Removal 1,215 1,786 1,786 2,235 2,235 EN1030 Foreign Body Hypopharynx 8,096 11,901 11,901 14,897 14,897 EN1031 Foreign Body Larynx 8,096 11,901 11,901 14,897 14,897 EN1032 Injection Nasal Turbinates/Sub Mucosal Fibrosis 506 744 744 931 931 EN1033 Intra Nasal Ethemoidectomy Bilateral 12,650 18,596 18,596 23,276 23,276 EN1034 Intra Oral Removal Of Calculus Submandibular Duct 4,175 6,137 6,137 7,681 7,681 EN1035 Intranasal Antrostomy Unilateral 5,693 8,368 8,368 10,474 10,474 EN1036 Intra nasal Ethemoidectomy 11,259 16,550 16,550 20,716 20,716 EN1037 Lymph Node Biopsy Neck 4,301 6,322 6,322 7,914 7,914 EN1038 Myringotomy Bilateral 6,452 9,484 9,484 11,871 11,871 EN1039 Myringotomy Bilateral With Gromets 9,614 14,133 14,133 17,690 17,690 EN1040 Myringotomy Unilateral 4,175 6,137 6,137 7,681 7,681 EN1041 Myringotomy Unilateral With Gromets 7,337 10,785 10,785 13,500 13,500 EN1042 Nasal Endoscopy (Ent) 2,530 3,719 3,719 4,655 4,655 EN1043 Nasal Packing Anterior 4,175 6,137 6,137 7,681 7,681 EN1044 Nasal Packing With Catheter Balloons B/L (Endoscopy 5,566 8,182 8,182 10,241 10,241 EN1045 Nasal Packing With Catheter Balloons U/L (Endoscopy 4,175 6,137 6,137 7,681 7,681 EN1046 Nasal Polypectomy Bilateral 11,259 16,550 16,550 20,716 20,716 EN1047 Nasal Polypectomy Unilateral 8,096 11,901 11,901 14,897 14,897 EN1048 Oesophagoscopy With Foreign Body Removal 8,096 11,901 11,901 14,897 14,897 EN1049 Oto Endoscopy 1,392 2,046 2,046 2,560 2,560 EN1050 Partial Glossectomy 5,060 7,438 7,438 9,310 9,310 EN1051 Partial Turbinectomy 6,325 9,298 9,298 11,638 11,638 EN1052 Peritonsillar Abscess Incision & Drainage 4,048 5,951 5,951 7,448 7,448 EN1053 Pre Auricular Sinus Excision 9,614 14,133 14,133 17,690 17,690 EN1054 R.F Of Palate 6,325 9,298 9,298 11,638 11,638 EN1055 R.F Of Tongue 6,325 9,298 9,298 11,638 11,638 EN1056 R.F Of Turbinate 6,325 9,298 9,298 11,638 11,638 EN1057 Reduction Manipulation Of Nasal Bones 6,452 9,484 9,484 11,871 11,871 EN1058 Removal Of Foreign Body Ears 2,530 3,719 3,719 4,655 4,655 EN1059 Removal Of Foreign Body Nose 2,530 3,719 3,719 4,655 4,655 EN1060 Removal Of Imf Wire 2,024 2,975 2,975 3,724 3,724 EN1061 Removal Of Nasal Pack 1,771 2,603 2,603 3,259 3,259 EN1062 Removal Of Wax Ears Bilateral 886 1,302 1,302 1,629 1,629 EN1063 Removal Of Wax Ears Unilateral 506 744 744 931 931 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room EN1064 Repair Of Split Lobules Bilateral 3,163 4,649 4,649 5,819 5,819 EN1065 Repair Of Split Lobules Unilateral 2,277 3,347 3,347 4,190 4,190 EN1066 Repair Palatal Fistula 11,259 16,550 16,550 20,716 20,716 EN1067 Retropharyngeal Abscess Incision & Reainage 8,096 11,901 11,901 14,897 14,897 EN1068 Septal Abscess Incision & Drainage 6,325 9,298 9,298 11,638 11,638 EN1069 Septal Anscess Incision & Drainage 3,542 5,207 5,207 6,517 6,517 EN1070 Septal Hematoma Incision & Drainage 6,325 9,298 9,298 11,638 11,638 EN1071 Septoplasty 10,120 14,876 14,876 18,621 18,621 EN1072 Sinus Endoscopy 4,175 6,137 6,137 7,681 7,681 EN1073 Submucosal Cauterization Turbinates 2,530 3,719 3,719 4,655 4,655 EN1074 Submucosal Diathermy Turbinates 2,530 3,719 3,719 4,655 4,655 EN1075 Suction Clearance Ears / Nose - Bilateral 405 595 595 745 745 EN1076 Suction Clearance Ears / Nose - Unilateral 405 595 595 745 745 EN1077 Suturing Of Small Wounds Neck 2,151 3,161 3,161 3,957 3,957 EN1078 Suturing Of Small Wounds Nose 2,151 3,161 3,161 3,957 3,957 EN1079 Syringing Ears - Wax 253 372 372 466 466 EN1081 Thyroglossal Cyst Excision 11,259 16,550 16,550 20,716 20,716 EN1082 Thyroglossal Sinus Excision 11,259 16,550 16,550 20,716 20,716 EN1083 Tinnites Matching 506 744 744 931 931 EN1084 Tongue Tie Release & Suturing 4,048 5,951 5,951 7,448 7,448 EN1085 Tonsillectomy 11,259 16,550 16,550 20,716 20,716 EN1086 Tracheostomy 11,259 16,550 16,550 20,716 20,716 EN1087 Turbinectomy 6,072 8,926 8,926 11,172 11,172 EN1088 Uvuloplasty 6,325 9,298 9,298 11,638 11,638 EN1089 Video Laryngoscopy 2,783 4,091 4,091 5,121 5,121 Major surgery EN2001 Adenotonsillectomy 12,777 18,781 18,781 23,509 23,509 EN2002 Anterior Ethemoidal Artery Ligation 12,777 18,781 18,781 23,509 23,509 EN2003 Carotid Body Tumour Excision 40,480 59,506 59,506 74,483 74,483 EN2004 Choanal Atresia 15,939 23,430 23,430 29,328 29,328 EN2005 Closure Of Oro Antral Fistula 12,777 18,781 18,781 23,509 23,509 EN2006 Cochlear Implantation 50,600 74,382 74,382 93,104 93,104 EN2007 Cortical Mastoidectomy 15,939 23,430 23,430 29,328 29,328 EN2008 Dilation Oesophageal Strictures 12,777 18,781 18,781 23,509 23,509 EN2009 Endo Lymphatic Sac Cecompression 22,770 33,472 33,472 41,897 41,897 EN2010 Endoscopic Csf Fistula Repair 24,035 35,331 35,331 44,224 44,224 EN2011 Endoscopic Dcr 16,192 23,802 23,802 29,793 29,793 EN2012 Endoscopic Orbital Decompression 22,770 33,472 33,472 41,897 41,897 EN2013 Endoscopic Sphenoethmoidectomy 27,830 40,910 40,910 51,207 51,207 EN2014 Endoscopic Sphenoidectomy 27,830 40,910 40,910 51,207 51,207 EN2015 Excision Cum Repair Laryngeal Stenosis 17,584 25,848 25,848 32,354 32,354 EN2016 Excision Cum Repair Tracheal Stenosis 17,584 25,848 25,848 32,354 32,354 EN2017 Excision Nasopharyngeal Angiofibroma 27,198 39,980 39,980 50,043 50,043 EN2018 Excision Pharyngeal Diverticulum 15,939 23,430 23,430 29,328 29,328 EN2019 Excision Pharyngeal Pouch 15,939 23,430 23,430 29,328 29,328 EN2020 Ext Ethmoidectomy 15,939 23,430 23,430 29,328 29,328 EN2021 Facial Nerve Decompression 24,035 35,331 35,331 44,224 44,224 EN2022 Fracture Naso Ethmoidal Comples 15,939 23,430 23,430 29,328 29,328 EN2023 Functional Endoscopic Sinus Surgery 19,228 28,265 28,265 35,380 35,380 EN2024 Glomus Jugulare Tumor Trans Tympanic Approach 50,600 74,382 74,382 93,104 93,104 EN2025 Laryngeal Web Excision 12,777 18,781 18,781 23,509 23,509 EN2026 Laryngectomy Conservative 24,035 35,331 35,331 44,224 44,224 EN2027 Laryngectomy Total 24,035 35,331 35,331 44,224 44,224 EN2028 Laryngo Fissurotomy 15,939 23,430 23,430 29,328 29,328 EN2029 Lateral Pharyngotomy 15,939 23,430 23,430 29,328 29,328 EN2030 Lateral Rhinotomy 15,939 23,430 23,430 29,328 29,328 EN2031 Ligation Ext Carotid Artery 12,777 18,781 18,781 23,509 23,509 EN2032 Ligation Sphenopalatine Artery 12,777 18,781 18,781 23,509 23,509 EN2033 Mastoid Cavity Obliteration 17,584 25,848 25,848 32,354 32,354 EN2034 Mastoidectomy Modified 17,584 25,848 25,848 32,354 32,354 EN2035 Mastoidectomy Radical 17,584 25,848 25,848 32,354 32,354 EN2036 Maxillectomy 24,035 35,331 35,331 44,224 44,224 EN2037 Microlaryngeal Surgery 15,939 23,430 23,430 29,328 29,328 EN2038 Myringoplasty 15,939 23,430 23,430 29,328 29,328 EN2039 Ossiculoplasty 15,939 23,430 23,430 29,328 29,328 EN2040 Pan Endoscopy & Biopsy 12,777 18,781 18,781 23,509 23,509 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room EN2041 Parapharyngeal Abscess Incision & Drainage 13,789 20,269 20,269 25,371 25,371 EN2042 Post Cochlear Implant 41,745 61,365 61,365 76,811 76,811 EN2043 Radical Ethemoidal Surgery 24,035 35,331 35,331 44,224 44,224 EN2044 Radical Frontal Surgery 24,035 35,331 35,331 44,224 44,224 EN2045 Radical Sphenoid Surgery 24,035 35,331 35,331 44,224 44,224 EN2046 Rhinoplasty Augmented 18,975 27,893 27,893 34,914 34,914 EN2047 Rhinoplasty Corrective 18,975 27,893 27,893 34,914 34,914 EN2048 Rhinoplasty Cum Septoplasty 18,975 27,893 27,893 34,914 34,914 EN2049 Stapedectomy 17,584 25,848 25,848 32,354 32,354 EN2050 Styloidectomy 15,939 23,430 23,430 29,328 29,328 EN2051 Thyroidectomy 17,584 25,848 25,848 32,354 32,354 EN2052 Transantral Ethmoidectomy (Horgans) 17,584 25,848 25,848 32,354 32,354 EN2053 Tympanomastoidectomy 22,542 33,137 33,137 41,478 41,478 EN2054 Tympanoplasty 17,584 25,848 25,848 32,354 32,354 EN2055 Vidian Neurectomy 17,584 25,848 25,848 32,354 32,354 Speech and Hearing clinic EN3001 ASSR 3,163 4,649 4,649 5,819 5,819 EN3002 BERA/ABR 3,163 4,649 4,649 5,819 5,819 EN3003 BOA/FFA 633 930 930 1,164 1,164 EN3004 Ear Mould 1,650 2,426 2,426 3,036 3,036 EN3005 Hearing Aid Trail 770 1,132 1,132 1,417 1,417 EN3006 Hearing Screening Neonatal 660 970 970 1,214 1,214 EN3007 Impedance 1,012 1,488 1,488 1,862 1,862 EN3008 OAE 1,650 2,426 2,426 3,036 3,036 EN3009 Pure Tone Audiometery (Pta) 550 809 809 1,012 1,012 EN3010 Audio Metery 550 809 809 1,012 1,012 EN3011 Speech Therapy(Per session) 880 1,294 1,294 1,619 1,619 EN3012 Tone Decay Test 550 809 809 1,012 1,012 EN3013 Tympanometery 1,012 1,488 1,488 1,862 1,862 EN3014 TDI/SISI 633 930 930 1,164 1,164 GENERAL & LAPAROSCOPIC SURGERY Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room Minor Procedure/surgery GS1001 Abscess Incision & Drainage 1,898 2,789 2,789 3,491 3,491 GS1002 Abscess Incision & Drainage In Ot 2,530 3,719 3,719 4,655 4,655 GS1003 Adhesiolysis 10,120 14,876 14,876 18,621 18,621 GS1004 Adhesiolysis & Division Of Bands 10,120 14,876 14,876 18,621 18,621 GS1005 Anal Dilatation Lords Procedure 2,024 2,975 2,975 3,724 3,724 GS1006 Anal Fistula Plug 11,385 16,736 16,736 20,948 20,948 GS1007 Anchoring Of Gaestrotomy Tube Under La 1,898 2,789 2,789 3,491 3,491 GS1008 Appendectomy 9,488 13,947 13,947 17,457 17,457 GS1009 Appendicular Abscess Drainge 8,855 13,017 13,017 16,293 16,293 GS1010 Axillary Dissection 8,855 13,017 13,017 16,293 16,293 GS1011 Biopsy Lymph Node 4,428 6,508 6,508 8,147 8,147 GS1012 Biopsy Lymph Node Axilla 4,428 6,508 6,508 8,147 8,147 GS1013 Biopsy Lymph Node Inguinal 4,428 6,508 6,508 8,147 8,147 GS1014 Bladder Repair 6,325 9,298 9,298 11,638 11,638 GS1015 Breast Abscess Incision & Drainage 4,428 6,508 6,508 8,147 8,147 GS1016 Breast Lumpectomy 6,325 9,298 9,298 11,638 11,638 GS1017 Breast Quatrantectomy 11,385 16,736 16,736 20,948 20,948 GS1018 Burst Abdomen Repair 10,753 15,806 15,806 19,785 19,785 GS1019 Carbuncle (Large) 8,855 13,017 13,017 16,293 16,293 GS1020 Carbuncle (Small) 5,693 8,368 8,368 10,474 10,474 GS1021 Cholangiogram Intra Operative 3,795 5,579 5,579 6,983 6,983 GS1022 Cholecystostomy 10,120 14,876 14,876 18,621 18,621 GS1023 Circumcision 5,693 8,368 8,368 10,474 10,474 GS1024 Colostomy Bag Application 696 1,023 1,023 1,280 1,280 GS1025 Colostomy Closure 10,120 14,876 14,876 18,621 18,621 GS1026 Core Excision Under La 2,910 4,277 4,277 5,353 5,353 GS1027 Corn Excision Under La 1,518 2,231 2,231 2,793 2,793 GS1028 Corn Excision Under La - Multiple 2,530 3,719 3,719 4,655 4,655 GS1029 Cyst Removal (Skin) 2,910 4,277 4,277 5,353 5,353 GS1030 Diabetic Gangrene (Major) 7,970 11,715 11,715 14,664 14,664 GS1031 Diabetic Gangrene (Minor) 4,301 6,322 6,322 7,914 7,914 GS1032 Dissection Lymph Node pelvis 12,018 17,666 17,666 22,112 22,112 GS1033 Dressing In Ot 2,024 2,975 2,975 3,724 3,724 GS1034 Escharotomy 3,795 5,579 5,579 6,983 6,983 GS1035 Excision Lipoma Of Large Lump Back 8,729 12,831 12,831 16,060 16,060 GS1036 Excision Lipoma U\A 5,946 8,740 8,740 10,940 10,940 GS1037 Excision Of Dilated Duct 6,325 9,298 9,298 11,638 11,638 GS1038 Excision Of Spermatocoele 5,693 8,368 8,368 10,474 10,474 GS1039 Excision Of Tumour 6,578 9,670 9,670 12,104 12,104 GS1040 Excision Sebaceous Cyst (Small ) 3,163 4,649 4,649 5,819 5,819 GS1041 Exscision Of Ranula 9,488 13,947 13,947 17,457 17,457 GS1042 Fingernail Removal 1,392 2,046 2,046 2,560 2,560 GS1043 Fisherectomy 9,488 13,947 13,947 17,457 17,457 GS1044 Fistula In Ano Low Level 10,626 15,620 15,620 19,552 19,552 GS1045 Foreign Body Removal Under La 3,163 4,649 4,649 5,819 5,819 GS1047 Foreign Body Removal-Deep-Under Ga 9,108 13,389 13,389 16,759 16,759 GS1048 Fournier Gangrene 5,060 7,438 7,438 9,310 9,310 GS1049 Gangrene (Major) 8,602 12,645 12,645 15,828 15,828 GS1050 Gastrostomy 9,488 13,947 13,947 17,457 17,457 GS1051 Gynaecomastia Unilatral Breast 10,753 15,806 15,806 19,785 19,785 GS1052 Haemorrhoidectomy 10,120 14,876 14,876 18,621 18,621 GS1053 Hernia Epigastric 9,488 13,947 13,947 17,457 17,457 GS1054 Hernia Femoral 9,488 13,947 13,947 17,457 17,457 GS1055 Hernia Inguinal Repair Unilateral 10,753 15,806 15,806 19,785 19,785 GS1056 Hernia Lumber 11,385 16,736 16,736 20,948 20,948 GS1057 Hernia Spigelian 11,385 16,736 16,736 20,948 20,948 GS1058 Hernia Supraumblical 11,385 16,736 16,736 20,948 20,948 GS1059 Hernia Umbilical 9,488 13,947 13,947 17,457 17,457 GS1060 Hernia Ventral 10,753 15,806 15,806 19,785 19,785 GS1061 Hydrocele/Spermatocoele 6,831 10,042 10,042 12,569 12,569 GS1062 Ileostomy 7,843 11,529 11,529 14,431 14,431 GS1063 Injection Ganglion 2,151 3,161 3,161 3,957 3,957 GS1064 Injection Varicose Veins 2,530 3,719 3,719 4,655 4,655 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room GS1065 Instrussusception (Simple Reduction) 10,120 14,876 14,876 18,621 18,621 GS1066 Intesntinal Resction And Anastomosis 11,727 17,238 17,238 21,577 21,577 GS1067 Intestinal Perforation 11,132 16,364 16,364 20,483 20,483 GS1068 Ischiorectal Abscess 7,084 10,413 10,413 13,035 13,035 GS1069 Jejunostomy 9,108 13,389 13,389 16,759 16,759 GS1070 Lap. Diagnostic (Gen Surg) 8,855 13,017 13,017 16,293 16,293 GS1071 Lap. Hernia (Lap. Repair ) In Children 11,385 16,736 16,736 20,948 20,948 GS1072 Lap. Ligation Of Varicocele 12,397 18,224 18,224 22,810 22,810 GS1073 Laparotomy Exploratory 9,994 14,690 14,690 18,388 18,388 GS1074 Lateral Sphicterotomy 7,590 11,157 11,157 13,966 13,966 GS1075 Manual Evacuation Of Rectum 2,530 3,719 3,719 4,655 4,655 GS1076 Mastectomy Unilateral 10,753 15,806 15,806 19,785 19,785 GS1077 Meckels Diverticulum 11,259 16,550 16,550 20,716 20,716 GS1078 Mesenteric Cyst Excision 11,259 16,550 16,550 20,716 20,716 GS1079 Metoplasty 4,428 6,508 6,508 8,147 8,147 GS1080 Nail Bed Wedge Excision 2,024 2,975 2,975 3,724 3,724 GS1081 Non Scalpel Vasectomy 7,590 11,157 11,157 13,966 13,966 GS1082 Oesophageoscopy For Foreign Body Removal 8,855 13,017 13,017 16,293 16,293 GS1083 Omentopexy 8,223 12,087 12,087 15,129 15,129 GS1084 Open Drainage Of Liver Abscess 10,879 15,992 15,992 20,017 20,017 GS1085 Para Phimosis 3,289 4,835 4,835 6,052 6,052 GS1086 Perforated Duodenal Ulcer Simple 11,385 16,736 16,736 20,948 20,948 GS1087 Perforated Gastric Ulcer Simple 11,385 16,736 16,736 20,948 20,948 GS1088 Perianal Abscess (Superficial) 3,795 5,579 5,579 6,983 6,983 GS1089 Phimosis Under La 4,554 6,694 6,694 8,379 8,379 GS1090 Pilonidal Sinus Excision Only 10,120 14,876 14,876 18,621 18,621 GS1091 Port Removal 3,795 5,579 5,579 6,983 6,983 GS1092 Ranula Deroofing / Excision 7,590 11,157 11,157 13,966 13,966 GS1093 Rectal Polypectomy 6,325 9,298 9,298 11,638 11,638 GS1094 Reduction Of Inguinal Hernia 2,530 3,719 3,719 4,655 4,655 GS1095 Repair Of Perineal Tear 7,590 11,157 11,157 13,966 13,966 GS1096 Sialography 11,006 16,178 16,178 20,250 20,250 GS1097 Sigmoidpexy 8,602 12,645 12,645 15,828 15,828 GS1098 Skin Grafting Spilt 11,385 16,736 16,736 20,948 20,948 GS1099 Superficial Cyst Large 4,807 7,066 7,066 8,845 8,845 GS1100 Superficial Tumor Large 4,807 7,066 7,066 8,845 8,845 GS1101 Superficial Tumor Small 2,910 4,277 4,277 5,353 5,353 GS1102 Superficial Tumor Small (Multiple) 4,428 6,508 6,508 8,147 8,147 GS1103 Suprapubic Drainage (Cystostomy) 5,060 7,438 7,438 9,310 9,310 GS1104 Suture Large Laceration 3,795 5,579 5,579 6,983 6,983 GS1105 Suturing Of Massive Lacerated Facial Wound 9,994 14,690 14,690 18,388 18,388 GS1106 Suturing Of Multiple Small Wound 3,795 5,579 5,579 6,983 6,983 GS1107 Suturing Of Single Major Wound 3,795 5,579 5,579 6,983 6,983 GS1108 Total Nail Bed Ablation 2,151 3,161 3,161 3,957 3,957 GS1109 Tube Ceacostomy 5,693 8,368 8,368 10,474 10,474 GS1110 Umbilectomy 8,855 13,017 13,017 16,293 16,293 GS1111 Umbilical Cut Down 2,530 3,719 3,719 4,655 4,655 GS1112 Wound Debridement In Operation Theatre 6,325 9,298 9,298 11,638 11,638 GS1113 Wound Delayed Suturing 10,120 14,876 14,876 18,621 18,621 GS1114 Wound Gunshot Debridement 9,867 14,504 14,504 18,155 18,155 Major Surgeries GS2096 Abdominoperineal Pull Through Resection With Colorectal 22,770 33,472 33,472 41,897 41,897 GS2097 Abdominoperineal Resection Of Rectum (APR) 22,770 33,472 33,472 41,897 41,897 GS2001 Abscess Drainage Perinephric 12,650 18,596 18,596 23,276 23,276 GS2002 Abscess Drainage Psoas 12,650 18,596 18,596 23,276 23,276 GS2003 Abscess Drainage Subdiapragmatic 12,650 18,596 18,596 23,276 23,276 GS2078 Achalasia Oesophago Cardiomyotomy 20,240 29,753 29,753 37,242 37,242 GS2109 Adrenal Gland Neoplasm Excision 25,300 37,191 37,191 46,552 46,552 GS2023 Adrenalectomy Sub Total Bilateral 15,180 22,315 22,315 27,931 27,931 GS2024 Adrenalectomy Sub Total Unilateral 15,180 22,315 22,315 27,931 27,931 GS2061 Adrenalectomy Total Bilateral 18,343 26,963 26,963 33,750 33,750 GS2025 Anal Sphincter Repair Following Injury 15,180 22,315 22,315 27,931 27,931 GS2107 Biliary Peritonitis 24,035 35,331 35,331 44,224 44,224 GS2121 Biliary Structure 26,565 39,051 39,051 48,880 48,880 GS2026 Breast Conservation Surgery 15,180 22,315 22,315 27,931 27,931 GS2128 Bronchoplasty Fistula Closure 31,625 46,489 46,489 58,190 58,190 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room GS2124 Cbd Injury 27,830 40,910 40,910 51,207 51,207 GS2018 Cholecystectomy 13,915 20,455 20,455 25,604 25,604 GS2127 Choledochal Cyst 30,360 44,629 44,629 55,862 55,862 GS2054 Cholescystectomy & Choledochodudenostomy 17,710 26,034 26,034 32,586 32,586 GS2027 Cholesystectomy & Choledocho Lithotomy 15,180 22,315 22,315 27,931 27,931 GS2028 Colostomy 15,180 22,315 22,315 27,931 27,931 GS2106 Congenital Oesophageal Atresia & Tracheoesophageal 23,909 35,145 35,145 43,992 43,992 GS2055 Cysto Gastostomy 17,710 26,034 26,034 32,586 32,586 GS2079 Diaphragmatic Hernia Repair 20,240 29,753 29,753 37,242 37,242 GS2080 Diaphragmatic Rupture Repair 20,240 29,753 29,753 37,242 37,242 GS2044 Dissection Lymph Node Neck 15,813 23,244 23,244 29,095 29,095 GS2110 Distall Pancratectomy 25,300 37,191 37,191 46,552 46,552 GS2132 Esophageal Stricture 33,396 49,092 49,092 61,449 61,449 GS2133 Esophagectomy 33,396 49,092 49,092 61,449 61,449 GS2098 Excision Of Choledocal Cyst 22,770 33,472 33,472 41,897 41,897 GS2090 Excision Of Hydatid Cyst Of Liver 20,873 30,683 30,683 38,405 38,405 GS2017 Fistula In Ano High Level 13,662 20,083 20,083 25,138 25,138 GS2045 Gastrectomy Sub Total 15,813 23,244 23,244 29,095 29,095 GS2111 Gastrectomy Total 25,300 37,191 37,191 46,552 46,552 GS2029 Gastro Jejunostomy 15,180 22,315 22,315 27,931 27,931 GS2030 Gynaecomastia Bilateral Breast 15,180 22,315 22,315 27,931 27,931 GS2031 Haemorrhoidectom Stapled 15,180 22,315 22,315 27,931 27,931 GS2004 Hemangioma (Gen-Sur) 12,650 18,596 18,596 23,276 23,276 GS2005 Hemicolectomy Left 12,650 18,596 18,596 23,276 23,276 GS2006 Hemicolectomy Right 12,650 18,596 18,596 23,276 23,276 GS2112 Hepaticojejunostomy For Structure 25,300 37,191 37,191 46,552 46,552 GS2032 Hernia Incisional 15,180 22,315 22,315 27,931 27,931 GS2042 Hernia Inguinal Repair Bilateral 15,433 22,687 22,687 28,397 28,397 GS2033 Hernia Obstructed (Any Type) 15,180 22,315 22,315 27,931 27,931 GS2066 Hernia recurrent bilateral 18,975 27,893 27,893 34,914 34,914 GS2034 hernia recurrent unilateral 15,180 22,315 22,315 27,931 27,931 GS2035 Hernia Strangulated (Any Type) 15,180 22,315 22,315 27,931 27,931 GS2052 Hernia Ventral With Mesh 17,078 25,104 25,104 31,423 31,423 GS2007 Hernioplasty Inguinal Unilateral 12,650 18,596 18,596 23,276 23,276 GS2073 Hiatus Hernia Repair 19,481 28,637 28,637 35,845 35,845 GS2008 Imperforate Anus With Low Opening 12,650 18,596 18,596 23,276 23,276 GS2036 Internal Iliac Artery Ligation B/L 15,180 22,315 22,315 27,931 27,931 GS2048 Intestinal Fistula 15,863 23,319 23,319 29,188 29,188 GS2043 KIDNEY INJURY REPAIR 15,433 22,687 22,687 28,397 28,397 GS2016 Lap Adhesiolysis (Gen Surg) 13,283 19,525 19,525 24,440 24,440 GS2091 Lap Assisted /Lapraoscopic Bowel Resection 20,873 30,683 30,683 38,405 38,405 GS2009 Lap Inguinal Hernia -Unilateral 12,650 18,596 18,596 23,276 23,276 GS2046 Lap Umbillical Hernia 15,813 23,244 23,244 29,095 29,095 GS2047 Lap. Appendectomy 15,813 23,244 23,244 29,095 29,095 GS2113 Lap. AR, APR 25,300 37,191 37,191 46,552 46,552 GS2062 Lap. Cholecsytectomy 18,343 26,963 26,963 33,750 33,750 GS2074 Lap. Choledhocodudenostomy 19,481 28,637 28,637 35,845 35,845 GS2063 Lap. Closure Of Duodenal/ Intestinal Perforations 18,343 26,963 26,963 33,750 33,750 GS2119 Lap. Colonic Surgery 25,806 37,935 37,935 47,483 47,483 GS2099 Lap. Diaphragm Repair 22,770 33,472 33,472 41,897 41,897 GS2114 Lap. Diaphragm Repair With Mesh 25,300 37,191 37,191 46,552 46,552 GS2064 Lap. Gastrojejunostomy 18,343 26,963 26,963 33,750 33,750 GS2105 Lap. Hiatus Hernia 23,782 34,960 34,960 43,759 43,759 GS2075 Lap. Hydatid Cyst. Liver 19,481 28,637 28,637 35,845 35,845 GS2076 Lap. Inguinal Hernia - Bilateral 19,481 28,637 28,637 35,845 35,845 GS2067 Lap. Lumbar Sympathectomy 18,975 27,893 27,893 34,914 34,914 GS2120 Lap. Nephrectomy 25,933 38,121 38,121 47,716 47,716 GS2068 Lap. Rectopexy 18,975 27,893 27,893 34,914 34,914 GS2092 Lap. Splenectomy 21,505 31,612 31,612 39,569 39,569 GS2081 Lap. Splenorrhaphy 20,240 29,753 29,753 37,242 37,242 GS2093 Lap. Surgery For Pancreatic Pseudocyst (Cystogastostomy) 21,505 31,612 31,612 39,569 39,569 GS2065 Lap. Ureterolithotomy/Pyelolithotomy 18,343 26,963 26,963 33,750 33,750 GS2051 Lap. Ventral Hernia (Incisional) 16,951 24,918 24,918 31,190 31,190 GS2094 Lap. Video Assisted Thorcoscopic Surgery 21,505 31,612 31,612 39,569 39,569 GS2082 Laparotomy With Removal Of Infected Mesh 20,240 29,753 29,753 37,242 37,242 GS2010 Laproscopic Diagnostic With Node Biopsy 12,650 18,596 18,596 23,276 23,276 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room GS2100 Lieno Renal Shunt(Warren Shunt) 22,770 33,472 33,472 41,897 41,897 GS2101 Ligation Varices Oesophageal 22,770 33,472 33,472 41,897 41,897 GS2019 Liver Injury Repair 13,915 20,455 20,455 25,604 25,604 GS2115 Liver Left Lobectomy 25,300 37,191 37,191 46,552 46,552 GS2116 Liver Partial Resection 25,300 37,191 37,191 46,552 46,552 GS2117 Liver Resection ( Lobctomy) 25,300 37,191 37,191 46,552 46,552 GS2129 Liver Right Lobectomy 31,625 46,489 46,489 58,190 58,190 GS2134 Liver Trisegmentectomy 37,950 55,787 55,787 69,828 69,828 GS2060 Mastectomy Bilateral 17,837 26,220 26,220 32,819 32,819 GS2069 Meso Caval Shunts 18,975 27,893 27,893 34,914 34,914 GS2049 Modified Neck Dissection 16,445 24,174 24,174 30,259 30,259 GS2037 Modified Radical Mastectomy 15,180 22,315 22,315 27,931 27,931 GS2083 Oesophageal Tear Repair 20,240 29,753 29,753 37,242 37,242 GS2056 Omentectomy 18,469 27,149 27,149 33,983 33,983 GS2118 Pancreas Head Ca Triple Bypass Surgery 25,300 37,191 37,191 46,552 46,552 GS2077 Pancreatectomy Partial 19,608 28,823 28,823 36,078 36,078 GS2102 Pancreatectomy Total 22,770 33,472 33,472 41,897 41,897 GS2084 Pancreatic Abscess Necrosectomy And Open Drainage 20,240 29,753 29,753 37,242 37,242 GS2122 Pancreatic Tumors 26,565 39,051 39,051 48,880 48,880 GS2038 Pancreaticojejunostomy 15,180 22,315 22,315 27,931 27,931 GS2123 Pancreatojejunostomy 26,565 39,051 39,051 48,880 48,880 GS2050 Parathyroidectomy 16,445 24,174 24,174 30,259 30,259 GS2020 Partial Glossectomy 13,915 20,455 20,455 25,604 25,604 GS2011 Perforated Ulcer Complicated 12,650 18,596 18,596 23,276 23,276 GS2039 Pilonidal Sinus Excision And Primary Closure 15,180 22,315 22,315 27,931 27,931 GS2057 Porto Caval Shunt 17,710 26,034 26,034 32,586 32,586 GS2070 Pseudocyst Drainage Internal 18,975 27,893 27,893 34,914 34,914 GS2126 Radical Cholecystectomy 29,095 42,770 42,770 53,535 53,535 GS2108 Radical Gastrectomy 25,047 36,819 36,819 46,086 46,086 GS2085 Radical Hemicolectomy 20,240 29,753 29,753 37,242 37,242 GS2095 Radical Neck Dissection 21,505 31,612 31,612 39,569 39,569 GS2058 Rectal Prolapse Repair 17,710 26,034 26,034 32,586 32,586 GS2071 Repair Of Bile Duct Stricture 18,975 27,893 27,893 34,914 34,914 GS2130 Resection & Transplant Of Oesophagus For Cancer Colon 31,625 46,489 46,489 58,190 58,190 GS2131 Resection Of Growth Of Common Hepatic Duct And Repair 32,890 48,348 48,348 60,518 60,518 GS2136 Retroperitoneal L.N dissection 63,250 92,978 92,978 116,380 116,380 GS2059 Retroperitoneal Mass 17,710 26,034 26,034 32,586 32,586 GS2125 Retroperitoneal Tumor 27,830 40,910 40,910 51,207 51,207 GS2012 Simple Closure Of Perforated Duodenal\Gastric Ulcer 12,650 18,596 18,596 23,276 23,276 GS2040 Splenctomy 15,180 22,315 22,315 27,931 27,931 GS2053 Splenorrhaphy 17,078 25,104 25,104 31,423 31,423 GS2086 Subcardiac Porto Azygos Disconnection And 20,240 29,753 29,753 37,242 37,242 GS2013 Super Facial Paratoidectomy 12,650 18,596 18,596 23,276 23,276 GS2072 Thoracotomy Exploratory 18,975 27,893 27,893 34,914 34,914 GS2087 Thoracotomy For Removal Of Oesophageal Foreign Body 20,240 29,753 29,753 37,242 37,242 GS2103 Total Colectomy & Ileorectal Anastomosis 22,770 33,472 33,472 41,897 41,897 GS2104 Total Procto Colectomy 23,403 34,402 34,402 43,061 43,061 GS2088 Transection Oesophagus Using Eea Stapler 20,240 29,753 29,753 37,242 37,242 GS2014 Transverse Colectomy 12,650 18,596 18,596 23,276 23,276 GS2022 Vagotomy Highly Selective 14,548 21,385 21,385 26,767 26,767 GS2015 Varicocelectomy 12,650 18,596 18,596 23,276 23,276 GS2041 Varicose Veins Of Limbs Excision 15,180 22,315 22,315 27,931 27,931 GS2021 Vassography 13,915 20,455 20,455 25,604 25,604 GS2135 Whipples 50,600 74,382 74,382 93,104 93,104 GS2089 Wound Gunshot Debridement And Primary 20,240 29,753 29,753 37,242 37,242 GS2138 Single Port Lap Cholecystectomy 19,250 28,298 28,298 35,420 35,420 GS2139 Single Port Lap Appendicectomy 16,500 24,255 24,255 30,360 30,360 GS2140 Single Port Ovarian Cystectomy 11,000 16,170 16,170 20,240 20,240 GS2141 Bariatric Sleeve Gastrectomy 33,000 48,510 48,510 60,720 60,720 GS2142 Bariatric Laproscopic Roux-Y Gastro Jejunostomy 33,000 48,510 48,510 60,720 60,720 GS2143 Laproscopic Cardio- mytomy for Achalasia 28,336 41,654 41,654 52,138 52,138 GASTROENTEROLOGY Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room GI1001 Colonoscopy And Sclero Therapy Of Ulcer 8,360 12,290 12,290 15,380 15,380 GI1002 Colonoscopy Left Sided 4,180 6,140 6,140 7,690 7,690 GI1003 Colonoscopy Left Sided With Biopsy 4,730 6,950 6,950 8,700 8,700 GI1004 Colonoscopy Whole 6,110 8,980 8,980 11,240 11,240 GI1005 Colonoscopy Whole With Biopsy 6,660 9,790 9,790 12,250 12,250 GI1006 Dilation Achalasia 13,920 20,460 20,460 25,610 25,610 GI1007 Dilation Of Esophageal Stricture 6,110 8,980 8,980 11,240 11,240 GI1008 Diltation Subsequent 3,910 5,750 5,750 7,190 7,190 GI1009 Emergency Colonoscopy Whole 9,190 13,510 13,510 16,910 16,910 GI1010 Emergency Colonoscopy Whole Sided With Biopsy 9,740 14,320 14,320 17,920 17,920 GI1011 Emergency Endoscopic Foreign Body Removal 9,740 14,320 14,320 17,920 17,920 GI1012 Emergency Ercp With Biliary Stenting 30,640 45,040 45,040 56,380 56,380 GI1013 Emergency Ugi Endoscopy 6,000 8,820 8,820 11,040 11,040 GI1014 Emergency Ugi Endoscopy With Biopsy 6,380 9,380 9,380 11,740 11,740 GI1015 Emergency Variceal Banding Oesophageal (Evl) First Visit 9,190 13,510 13,510 16,910 16,910 GI1016 Endoscopic Biopsy 550 810 810 1,010 1,010 GI1017 Endoscopic Colonic Stenting 12,540 18,430 18,430 23,070 23,070 GI1018 Endoscopic Cystogastrostomy 20,900 30,720 30,720 38,460 38,460 GI1019 Endoscopic Esopahgeal Stenting 12,540 18,430 18,430 23,070 23,070 GI1020 Endoscopic Foreign Body Removal 6,270 9,220 9,220 11,540 11,540 GI1021 Endoscopic Percuateneous Gastrostomy 7,370 10,830 10,830 13,560 13,560 GI1022 Endoscopic Placement Of Ryles Tube 4,570 6,720 6,720 8,410 8,410 GI1023 Endoscopic Procedure For Biopsy 720 1,060 1,060 1,320 1,320 GI1024 Endoscopic Sclerotherapy First Visit 5,830 8,570 8,570 10,730 10,730 GI1025 Endoscopic Sclerotherapy Subsequent Visit 5,170 7,600 7,600 9,510 9,510 GI1026 Endoscopic Ultrasound 11,550 16,980 16,980 21,250 21,250 GI1027 Enteral Tts Dilatation 9,190 13,510 13,510 16,910 16,910 GI1028 Enteroscopy 5,170 7,600 7,600 9,510 9,510 GI1029 Ercp Therapeutic 15,290 22,480 22,480 28,130 28,130 GI1030 Ercp Diagnostic 11,990 17,630 17,630 22,060 22,060 GI1031 Ercp Endoscopic Papilotomy 20,900 30,720 30,720 38,460 38,460 GI1032 Ercp Nasobiliary Drainage 20,900 30,720 30,720 38,460 38,460 GI1033 Ercp With Biliary Stenting 20,900 30,720 30,720 38,460 38,460 GI1034 Ercp With Pancreatic Stenting 20,900 30,720 30,720 38,460 38,460 GI1035 Gastric Glue Injection 7,650 11,250 11,250 14,080 14,080 GI1036 Helicobacter Pylori Testing 550 810 810 1,010 1,010 GI1037 Microlith Study 7,650 11,250 11,250 14,080 14,080 GI1038 Naso Jejunal Tube Placement 1,380 2,030 2,030 2,540 2,540 GI1039 Peg Tube Replacement /Removal 1,270 1,870 1,870 2,340 2,340 GI1040 Piles Banding 2,640 3,880 3,880 4,860 4,860 GI1041 Piles Sclero Therapy 2,640 3,880 3,880 4,860 4,860 GI1042 Polypectomy 9,740 14,320 14,320 17,920 17,920 GI1043 PTBD 4,460 6,560 6,560 8,210 8,210 GI1044 Sclerotherapy Of Ulcer 5,280 7,760 7,760 9,720 9,720 GI1045 Sengstaken Tube Placement 3,080 4,530 4,530 5,670 5,670 GI1046 Side Viewing Endoscopy 5,280 7,760 7,760 9,720 9,720 GI1047 Sigmoidoscopy 2,810 4,130 4,130 5,170 5,170 GI1048 Ugi Endoscopy 3,910 5,750 5,750 7,190 7,190 GI1049 Ugi Endoscopy With Biopsy 4,460 6,560 6,560 8,210 8,210 GI1050 Variceal Banding Oesophageal (Evl) First Visit 6,110 8,980 8,980 11,240 11,240 GI1051 Variceal Banding Subsequent (Evl) 4,900 7,200 7,200 9,020 9,020 INTERVENTIONAL RADIOLOGY Service OPD/ four Single Two bed Deluxe room VIP Suite code Service name bed room INTERVENTIONAL PACKAGE IR1001 CHECK DSA 14000 16000 17000 19000 21000 IR1002 DSA 21000 25000 27000 29000 32000 IR1003 Ablation of vericose veins 82,000 84,000 89,000 95,000 105,000 Packages Includes: 1 days room rent, Professional fees of Doctor, DSA lab charges, MAC and local anesthesia, basic Investigations , Equipment PackageS excludes: additional stay, Professional charges of other consultants, any additional procedure/investigation and Use of special drugs/ 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 OPD/ four Double Single Deluxe room VIP Suite code Service name bed Bed room INTERVENTIONAL PROCEDURE IR2001 Abdominal Aortic Aneurysm Graft 34,100 50,127 50,127 62,744 62,744 IR2002 Angioplasty For Carotid / Vertebral Artery Stenosis 47,850 70,340 70,340 88,044 88,044 IR2003 Aortic Angioplasty / Stenting 30,250 44,468 44,468 55,660 55,660 IR2004 Aortic Stent Graft Endoleak Embolization 29,150 42,851 42,851 53,636 53,636 IR2005 Aortogram / Specific Single Aortogram 8,690 12,774 12,774 15,990 15,990 IR2006 Arterio- Portogram 14,850 21,830 21,830 27,324 27,324 IR2007 Bronchial Artery Embolization 20,350 29,915 29,915 37,444 37,444 IR2008 Bronchial Artery Evaluation 9,350 13,745 13,745 17,204 17,204 IR2009 Carotid Angiogram 8,690 12,774 12,774 15,990 15,990 IR2010 Ccf Occlusion 52,470 77,131 77,131 96,545 96,545 IR2011 Central Venogram / Arm Venogram (Diagnostic) 4,070 5,983 5,983 7,489 7,489 IR2012 Central Venogram / Arm Venogram Interventional 11,550 16,979 16,979 21,252 21,252 IR2013 Cerebral Angiogram 13,860 20,374 20,374 25,502 25,502 IR2014 Cerebral Avm Embolization ( Besides Vb Territory) 46,310 68,076 68,076 85,210 85,210 IR2015 Chemoembolization Of Hepatic Tumour/Mets 28,930 42,527 42,527 53,231 53,231 IR2016 Chest Port Insertion For Chemotherapy 8,140 11,966 11,966 14,978 14,978 IR2017 Coiling Of Intracranial Aneurysm 40,480 59,506 59,506 74,483 74,483 IR2018 Coiling Of Intracranial Aneurysm Attempted 28,930 42,527 42,527 53,231 53,231 IR2019 Coiling Of Multiple Aneurysm 46,310 68,076 68,076 85,210 85,210 IR2020 Dialysis Catheter Insertion (Ij,Femoral) Tunnelled/Exchange 4,400 6,468 6,468 8,096 8,096 IR2021 Embolization For Nasal Bleeding / Sinus Mass / Preop 16,170 23,770 23,770 29,753 29,753 IR2022 Embolization For Vertebral Body Hemangioma / Mets 23,100 33,957 33,957 42,504 42,504 IR2023 Embolization Of External Carotid Artery/ Single Vessel For 24,310 35,736 35,736 44,730 44,730 IR2024 Embolization Of Spinal Tumours 31,350 46,085 46,085 57,684 57,684 IR2025 Embolization Of Tumour Fed By Both Ica & Eca 46,310 68,076 68,076 85,210 85,210 IR2026 Embolization Of Tumour Fed By Va / Ba 44,000 64,680 64,680 80,960 80,960 IR2027 Emperical Any Artery Embolisation 28,930 42,527 42,527 53,231 53,231 IR2028 Endovenous Laser Ablation Of Varicose Veins 57,200 84,084 84,084 105,248 105,248 IR2029 Evaluation For Nasal Bleeding / Nasal Mass /Bleeding 10,450 15,362 15,362 19,228 19,228 IR2030 Fallopian Tube Catheterization (For Blocked Tube) 11,550 16,979 16,979 21,252 21,252 IR2031 Followup For Nephrostomy Drainage Cathetar 1,760 2,587 2,587 3,238 3,238 IR2032 Gdc Coiling Of Intracranial Aneurysms With Spasm 51,150 75,191 75,191 94,116 94,116 IR2033 Gi Bleed And Ischemia (Tripple Vessel) Evaluation 11,550 16,979 16,979 21,252 21,252 IR2034 Gi Bleed Embolisation 17,490 25,710 25,710 32,182 32,182 IR2035 Gi Ischemia Intervention (Angioplasty/Stenting) 17,490 25,710 25,710 32,182 32,182 IR2036 Glue Embolization Of Tumours 44,000 64,680 64,680 80,960 80,960 IR2037 Head & Neck Vessels Evaluation (Cerebral + Carotid + 16,170 23,770 23,770 29,753 29,753 IR2038 Image Guided Dialysis Catheter Insertion 2,310 3,396 3,396 4,250 4,250 IR2039 Image Guided Peripheral Insertion Of Central Catheter. 4,070 5,983 5,983 7,489 7,489 IR2040 Inferior Vena Cava Membranotomy And Angioplasty / 20,900 30,723 30,723 38,456 38,456 IR2041 Intra Arterial Thrombolysis 39,380 57,889 57,889 72,459 72,459 IR2042 Intra Vascular Catheter / Foreign Body Removal 4,070 5,983 5,983 7,489 7,489 IR2043 Intracranial Angioplasty 47,520 69,854 69,854 87,437 87,437 IR2044 Intracranial Drug Therapy For Post Sah Vasospasam 29,150 42,851 42,851 53,636 53,636 IR2045 Intracranial Stenting 47,520 69,854 69,854 87,437 87,437 IR2046 Ivc Filter Retrieval 20,900 30,723 30,723 38,456 38,456 IR2047 Llaic Angioplasty / Stenting 23,100 33,957 33,957 42,504 42,504 IR2048 Management Of Dural Sinus Thrombosis 47,520 69,854 69,854 87,437 87,437 IR2049 Mediastinal Syndromes Interventional 13,970 20,536 20,536 25,705 25,705 IR2050 Naso Jejunal Intubation 3,520 5,174 5,174 6,477 6,477 IR2051 Partial Splenic Embolization 29,150 42,851 42,851 53,636 53,636 Service OPD/ four Double Single Deluxe room VIP Suite code Service name bed Bed room IR2052 Pcn/Ptbd With Stenting 19,690 28,944 28,944 36,230 36,230 IR2053 Pelvic Congestion Syndrome (Ovarian Vein) Embolisation 23,100 33,957 33,957 42,504 42,504 IR2054 Percutaneous Transhepatic Cholangiogram 5,830 8,570 8,570 10,727 10,727 IR2055 Percutanous Nephrostomy & Drainage (Rt/Lt) 9,350 13,745 13,745 17,204 17,204 IR2056 Peripheral Angiography (Diagnostic) (One Limb) 10,450 15,362 15,362 19,228 19,228 IR2057 Peripheral Arterial Angioplasty With Stent Rt/Lt 20,350 29,915 29,915 37,444 37,444 IR2058 Peripheral Arterial Angioplasty Without Stent 20,350 29,915 29,915 37,444 37,444 IR2059 Peripheral Arterial Thrombolysis Rt/Lt 25,520 37,514 37,514 46,957 46,957 IR2060 Peripheral Hemangioma Sclerotherapy (Direct) 1,430 2,102 2,102 2,631 2,631 IR2061 Peripheral Hemangioma Sclerotherpy / Embolisation 20,350 29,915 29,915 37,444 37,444 IR2062 Peripheral Trauma Interventional 20,350 29,915 29,915 37,444 37,444 IR2063 Portal Vein Embolisation 20,900 30,723 30,723 38,456 38,456 IR2064 Post Ptbd Check Cholangiogram Pre/Intra/Post Procedure 2,310 3,396 3,396 4,250 4,250 IR2065 Post Sah Intracranial Angioplasty For Spasm 44,000 64,680 64,680 80,960 80,960 IR2066 Pre / Post Procedure Usg Evaluation For Fibroids / 693 1,019 1,019 1,275 1,275 IR2067 Proximal Occlusion Of Internal Carotid Artery 48,631 71,488 71,488 89,481 89,481 IR2068 Ptbd External Drainage (Single) 8,690 12,774 12,774 15,990 15,990 IR2069 Ptbd- Externo Internalisation 11,550 16,979 16,979 21,252 21,252 IR2070 Ptbd Internalisation 6,941 10,203 10,203 12,771 12,771 IR2071 Ptbd- Post Operative/ Biliary Leak 11,550 16,979 16,979 21,252 21,252 IR2072 Pudendal Artery Evaluation 12,760 18,757 18,757 23,478 23,478 IR2073 Radiofrequency Ablation Of Hepatic Tumours/Mets 23,100 33,957 33,957 42,504 42,504 IR2074 Renal Artery Angiography 12,760 18,757 18,757 23,478 23,478 IR2075 Renal Artery Angioplasty 20,350 29,915 29,915 37,444 37,444 IR2076 Renal Artery Embolization (One Side) 9,350 13,745 13,745 17,204 17,204 IR2077 Renal Artery Stenting 20,350 29,915 29,915 37,444 37,444 IR2078 Spinal Angiogram 18,590 27,327 27,327 34,206 34,206 IR2079 Spinal Avm Embolization / Avf Embolization 52,250 76,808 76,808 96,140 96,140 IR2080 Stenting For Vertebral Artery Stenosis 35,750 52,553 52,553 65,780 65,780 IR2081 Stenting For Carotid Artery Stenosis 35,750 52,553 52,553 65,780 65,780 IR2082 Test Occlusion Test 32,450 47,702 47,702 59,708 59,708 IR2083 Tips (Trans-Juglar Porto-Systimic Shunt) Interventional 31,350 46,085 46,085 57,684 57,684 IR2084 Trans Arterial Chemotherapy Infusion 23,100 33,957 33,957 42,504 42,504 IR2085 Transjuglar Liver Biopsy 7,590 11,157 11,157 13,966 13,966 IR2086 Uretic Stent (Double Pigtail / J) Rt/Lt Interventional 11,550 16,979 16,979 21,252 21,252 IR2087 Usg Guided Aneurysm Embolisation 8,250 12,128 12,128 15,180 15,180 Uterine Artery / Pelvic Angiography For Post Partum IR2088 13,310 19,566 19,566 24,490 24,490 Hemorrhage / Others (Diagnostic) Uterine Artery / Pelvic Embolization For Post Partum IR2089 17,380 25,549 25,549 31,979 31,979 Hemorrhage (Embolisation) IR2090 Uterine Artery Embolization For Fibroids 17,380 25,549 25,549 31,979 31,979 IR2091 Uterine Artery Embolization For Fibroids-Pre Myomectomy 16,280 23,932 23,932 29,955 29,955 IR2092 Venous Sampling (Adrenal & Renal Vein) 8,690 12,774 12,774 15,990 15,990 IR2093 Venous Sinus Sampling (Petrosal Sinus) 31,350 46,085 46,085 57,684 57,684 IR2094 Vericoseal Evaluation 16,280 23,932 23,932 29,955 29,955 IR2095 Vericoseal Interventional 22,000 32,340 32,340 40,480 40,480 IR2096 Vertebroplasty (Verteral Body/ Pelvic Bone / Specific Bone) 31,350 46,085 46,085 57,684 57,684 IR2097 Intra veneous Thrombolysis 11,000 16,170 16,170 20,240 20,240 MEDICAL ONCOLOGY Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room CHEMOTHERAPHY MO1001 Chemotheraphy High Dose(Per Day) 2,780 4,090 4,090 5,120 5,120 MO1002 Chemotheraphy Infusional (Upto 6 Hrs) 2,780 4,090 4,090 5,120 5,120 MO1003 Chemotheraphy Intra Pleural(Per Day) 2,780 4,090 4,090 5,120 5,120 MO1004 Chemotheraphy Intra Vesical(Per Day) 5,690 8,360 8,360 10,470 10,470 MO1005 Chemotheraphy Intra-Thecal (Per Day) 5,570 8,190 8,190 10,250 10,250 MO1006 Chemotheraphy Multiple Drug Bolus(Per Day) 1,140 1,680 1,680 2,100 2,100 MO1007 Chemotheraphy Multiple Drug Infusional(Per Day) 3,160 4,650 4,650 5,810 5,810 MO1008 Chemotheraphy Single Drug Infusional(Per Day) 1,770 2,600 2,600 3,260 3,260 MO1009 Chemotherapy Oral( Per Day) 1,390 2,040 2,040 2,560 2,560 MO1010 Chemotherapy Planning And Counselling 2,530 3,720 3,720 4,660 4,660 Procedures - - MO2001 Biopsy Bone(Needle) (Onco) 6,330 9,310 9,310 11,650 11,650 MO2002 Biopsy Trucut Image Guided(Onco) 4,430 6,510 6,510 8,150 8,150 MO2003 Fnac(Onco) 2,530 3,720 3,720 4,660 4,660 MO2004 Monoclonal Antibody Therapy(Per Day) 5,060 7,440 7,440 9,310 9,310 MO2005 Pleural / Abdominal Paracentesis 3,800 5,590 5,590 6,990 6,990 MO2006 Picc Line Insertion 5,060 7,440 7,440 9,310 9,310

NEPHROLOGY Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room Dialysis NP1001 Hemodialysis (Reuse Of Dialyzer) 2,350 3,450 3,450 4,320 4,320 NP1002 Hemodialysis (Single Use Of Dialyzer) 2,800 4,120 4,120 5,150 5,150 NP1003 Hemodialysis (High Permiabilty dialyzer Reuse) 2,800 4,120 4,120 5,150 5,150 NP1004 Hemodialysis (High Permiablity Dialyzer Single Use) 3,500 5,150 5,150 6,440 6,440 NP1005 Emergency Hemodialysis 5,000 7,350 7,350 9,200 9,200 NP1007 Acute Peritoneal Dialysis 4,620 6,790 6,790 8,500 8,500 NP1008 Paediatric/Neonatal Peritoneal Dialysis 4,040 5,940 5,940 7,430 7,430 NP1009 SLEDD ( upto 8 hrs) 6,930 10,190 10,190 12,750 12,750 Procedures NP2001 Arterio Venous Fistula Or Shunt 10,400 15,290 15,290 19,140 19,140 NP2002 Capd Catheter Placement Or Removal 10,400 15,290 15,290 19,140 19,140 NP2003 Capd Training 8,090 11,890 11,890 14,890 14,890 NP2004 Femoral Vein Catheterization 1,730 2,540 2,540 3,180 3,180 NP2005 Internal Jugular Or Subclavian Catheterization 3,470 5,100 5,100 6,380 6,380 NP2006 Kidney Biopsy 5,780 8,500 8,500 10,640 10,640 NP2007 Perma Cath Procedure Charges 7,620 11,200 11,200 14,020 14,020 NP2008 Perm-Cath (Cuffed Catheter) Placement 7,620 11,200 11,200 14,020 14,020 NP2009 Perm-Cath Removal 2,310 3,400 3,400 4,250 4,250 NP2010 Plasma Pheresis 3,500 5,150 5,150 6,440 6,440 NEUROLOGY Service OPD/Four Single Two bed Deluxe room VIP Suite Code Service Name bed room NU1001 EEG Routine 2,200 3,234 3,234 4,048 4,048 NU1002 EEG Bed Side 3,850 5,660 5,660 7,084 7,084 NU1006 Video EEG less than 1 hour 3,300 4,851 4,851 6,072 6,072 NU1007 EMG One Limb* 2,860 4,204 4,204 5,262 5,262 NU1008 EMG Two Limbs* 3,520 5,174 5,174 6,477 6,477 NU1009 EMG more than two Limbs* 4,950 7,277 7,277 9,108 9,108 NU1010 Ncv & Emg All Four Limbs* 8,250 12,128 12,128 15,180 15,180 NU1011 Ncv Facial Nerve 3,300 4,851 4,851 6,072 6,072 NU1012 Ncv Motor & Sensory One Limb 2,860 4,204 4,204 5,262 5,262 NU1013 Ncv Motor & Sensory Two Limb 3,520 5,174 5,174 6,477 6,477 NU1014 Ncv Motor & Sensory more than two Limbs 4,950 7,277 7,277 9,108 9,108 NU1015 Intraoperative Monitoring 6,600 9,702 9,702 12,144 12,144 NU1016 Lumber Puncture 2,200 3,234 3,234 4,048 4,048 NU1017 Repetitive Nerve Stimulation 3,300 4,851 4,851 6,072 6,072 NU1018 TCD 4,400 6,468 6,468 8,096 8,096 NU1019 Tensilon Test / Neostigmine Test 2,200 3,234 3,234 4,048 4,048 NU1021 Tremor Study 3,850 5,660 5,660 7,084 7,084 NU1023 Blink Reflex 3,300 4,851 4,851 6,072 6,072 NU1024 Brachial Plexus Study 5,940 8,732 8,732 10,930 10,930 NU1025 Braintstem Auditary Evoked Response 3,300 4,851 4,851 6,072 6,072 NU1026 Somato Sensory Evoked Potential 3,300 4,851 4,851 6,072 6,072 NU1027 Visual Evoked Potential 3,300 4,851 4,851 6,072 6,072 NU1028 VEEG ( Overnight/12 hours) 11,000 16,170 16,170 20,240 20,240 NU1029 VEEG ( 24 hours) 16,500 24,255 24,255 30,360 30,360 NU1030 Botulin Toxin Inj ( Group 1) ( Blepharospasm/Hemefacial 3,300 4,851 4,851 6,072 6,072 NU1031 Botulin Toxin Inj ( Group2) (Cervical/limb dystonia/chronic 4,950 7,277 7,277 9,108 9,108 NU1032 Tysabri Infusion Charges 2,200 3,234 3,234 4,048 4,048 NU1033 Mini Mental Status Examination 2,200 3,234 3,234 4,048 4,048 NU1034 Emergency EEG 4,950 7,277 7,277 9,108 9,108 NU1035 ERP (Event Related Potential) 3,300 4,851 4,851 6,072 6,072 NU1036 I.V. Thrombolysis 11,000 16,170 16,170 20,240 20,240 NU1037 Short Term VEEG up to 4 hours 5,500 8,085 8,085 10,120 10,120 NU1038 Sleep Study Overnight 18,700 27,489 17,000 34,408 17,000 NU1039 Sleep Study titration 14,850 21,830 13,500 27,324 13,500 NU1040 Split Night Study 20,900 30,723 19,000 38,456 19,000 NU1041 Sympathetic Skin Response 3,300 4,851 4,851 6,072 6,072 NU1042 VEEG every additional hour 1,100 1,617 1,617 2,024 2,024 NU1044 Intraoperative TCD 5,445 8,004 8,004 10,019 10,019 * Cost of EMG needle additional as per actual NEURO SURGERY Service OPD/Four Single Two bed Deluxe room VIP Suite Code Service Name bed room CATEGORY-A 50,023 66,531 83,538 107,049 107,049 NS1001 Aneurysms NS1002 Craniotomies for-Craniopharyngioma NS1003 Cvj/Foremen Magnum NS1004 Excision of Meningioma NS1005 Intramedullary Tumor (IM tumor) NS1006 Insular Glioma NS1007 Intraventricular Tumors NS1008 Brain Steam Tumor NS1009 Skull Base /Post Fossa (Cp Angle) NS1010 Spinal Surgery With Instrumentation & Reconstruction CATEGORY-B 41,195 54,789 68,796 88,157 88,157 NS2001 All Craniotomies For Elective Surgery Except Category A NS2002 Brachial Plexus With Neurotization NS2003 Cranioplasty/Csf Rhinorrhea NS2004 Craniotomies For Glioma NS2005 Craniotomies For Trauma NS2006 Craniotomy For ICH/ Intracranial Bleed NS2007 Intracranial Abscess Excision NS2008 MVD NS2009 Neurotization of Peripheral Nerve NS2010 Spinal Surgery- Intradural NS2011 TNTS NS2012 Bilateral Subdural Evacuation (SDH) CATEGORY-C 31,779 42,266 53,071 68,007 68,007 NS3001 Bone Flap Replacement NS3002 Brachial Plexus With Neurolysis NS3003 Carotid Endarterectomy NS3004 Craniostnosis (Single) NS3005 Detethring of Cord NS3006 Endoscopic Surgery NS3007 Lumber Micro Disectomy NS3008 Meningocoele NS3010 Nerve Repair / Nerve Entrapment Under Ga NS3011 Reexploration (With In 24 Hrs) NS3012 Removal Of Depressed Bone Segment With Dural Repair NS3013 Scalp Avm NS3014 Unilateral SDH (Chronic)- 2 Burr hole Evacuation NS3016 Single Level Lumber/ Cervical Disc NS3017 Vp Shunt / VA Shunt NS3018 Steriotectic Biopsy CATEGORY-D 18,244 24,265 30,467 39,042 39,042 NS4001 Brain Abcess / Cyst Needle Aspiration NS4002 Burr Hole/ EVD NS4003 Carpal Tunnel Syndrome/ Nerve Entapment Under LA/RA NS4004 Chronic SDH ( Single Burr Hole) NS4005 Excision Osteoma NS4006 Shunt Revision NS4007 VA Shunt Revision NS4008 Carotid Ligation CATEGORY-E 8,828 11,741 14,743 18,892 18,892 NS5001 Burr Hole (only) NS5002 External Ventricular Drain ( Bed side by Twist Drill) NS5003 ICP Monitoring NS5004 Lumber Drain NS5005 Muscle Biopsy NS5006 Scalp Avulsion ( more than 12 stiches) NS5007 Skull Traction NS5008 Tic Injection NS5009 Venticular Tap NS5010 Excision of Lipoma Service OPD/Four Single Two bed Deluxe room VIP Suite Code Service Name bed room

OTHERS SURGERY NS6001 Carpel Tunnel Decompression 26,483 35,222 44,226 56,673 56,673 NS6002 Exploration Of Wound Unrepair 17,067 22,698 28,501 36,522 36,522 NS6003 Removal Of ICP Monitoring 883 1,174 1,474 1,889 1,889 NS6004 Removal Of Shunt (Omaya) 1,412 1,878 2,359 3,023 3,023 NS6005 Shunt Removal 1,177 1,565 1,966 2,519 2,519 NS6006 Scalp Suturing <6 stiches 942 1,252 1,572 2,015 2,015 NS6007 Scalp Suturing>6 stiches 2,354 3,131 3,931 5,038 5,038 OBSTETRICS AND GYNAECOLOGY Service OPD/Four Single Stay Two bed Deluxe room VIP Suite Code Service Name bed room IP PACKAGE OG3001 Normal Delivery 2 56,000 68,000 81,000 OG3002 LSCS 3 80,000 93,000 118,000 OG3003 D&C daycare 15,000 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 NST, Dietician visit, Physiotherapy PackageS excludes: additional stay, Professional charges of other consultants, any additional procedure/investigation and Use of special drugs/ consumables, Blood transfusion, Epidural/ GA charges with consumables, Neonatal attendence at the time of delivery and baby bill. The package are for uncomplicated case . in case of instrumental/twin/complicated delivery, the package will not be applicable. Minor Surgery/procedure OG1001 Abdominal Adhesiolysis -Sever 8,855 13,017 13,017 16,293 16,293 OG1002 Abdominal salpingectomy U/L 11,385 16,736 16,736 20,948 20,948 OG1003 Abortion Mid Trimester 12,144 17,852 17,852 22,345 22,345 OG1004 Adhesolysis mild 7,590 11,157 11,157 13,966 13,966 OG1005 Aminiocentesis 4,554 6,694 6,694 8,379 8,379 OG1006 Amnioinfusion 6,958 10,228 10,228 12,802 12,802 OG1007 A-V Fistula, Ttts , Fetal RFA 8,349 12,273 12,273 15,362 15,362 OG1008 Bartholin Abscess Incision & Drainage 3,669 5,393 5,393 6,750 6,750 OG1009 Bartholin Cyst Excision Bilateral 4,681 6,880 6,880 8,612 8,612 OG1010 Bartholin Cyst Excision Unilateral 3,352 4,928 4,928 6,168 6,168 OG1011 Biopsy Of Ovary 4,428 6,508 6,508 8,147 8,147 OG1012 Biopsy Of Vaginal Mucosa; Extensive, Requiring Suture 3,542 5,207 5,207 6,517 6,517 OG1013 Biopsy Of Vaginal Mucosa; Simple (Separate Procedure) 2,846 4,184 4,184 5,237 5,237 OG1014 Biopsy Of Vulva Or Perineum; Each Separate Additional 2,846 4,184 4,184 5,237 5,237 OG1015 B-Lynch Suturing 3,352 4,928 4,928 6,168 6,168 OG1016 Contrast Material For Saline Infusion Sonohysterography 1,518 2,231 2,231 2,793 2,793 OG1017 Cautery Of Cervix; Electro Or Thermal 2,151 3,161 3,161 3,957 3,957 OG1018 Cautery Of Cervix; Laser Ablation 4,428 6,508 6,508 8,147 8,147 OG1019 Cerclage of Cervix, During Pregnancy; laparoscopic 10,500 15,434 15,434 19,319 19,319 OG1020 Cerclage Of Cervix, During Pregnancy; Abdominal 8,349 12,273 12,273 15,362 15,362 OG1021 Cerclage Of Cervix, During Pregnancy; Vaginal(Mcdonald) 4,428 6,508 6,508 8,147 8,147 OG1022 Cerclage Of Uterine Cervix, Nonobstetrical 4,428 6,508 6,508 8,147 8,147 OG1023 Cervical Biopsy 2,973 4,370 4,370 5,470 5,470 OG1024 Cervical Polypectomy 3,226 4,742 4,742 5,935 5,935 OG1025 Clitoroplasty For Intersex State 12,144 17,852 17,852 22,345 22,345 OG1026 Closure Of Urethrovaginal Fistula 10,500 15,434 15,434 19,319 19,319 OG1027 Closure Of Urethrovaginal Fistula; With Bulbocavernosus 12,144 17,852 17,852 22,345 22,345 OG1028 Colpocentesis (Separate Procedure) 3,226 4,742 4,742 5,935 5,935 OG1029 Colpocleisis (Le Fort Type) 6,578 9,670 9,670 12,104 12,104 Colpopexy, Vaginal; Intra-Peritoneal Approach (Uterosacral, OG1030 12,144 17,852 17,852 22,345 22,345 Levator Myorrhaphy) OG1031 Colporrhaphy Anterior 6,578 9,670 9,670 12,104 12,104 OG1032 Colporrhaphy Posterior 6,578 9,670 9,670 12,104 12,104 OG1033 4,681 6,880 6,880 8,612 8,612 Colporrhaphy, Suture Of Injury Of Vagina (Nonobstetrical) OG1034 Colposcopy 4,175 6,137 6,137 7,681 7,681 OG1035 Colposcopy +Hysteroscopy+Leep+Eb 12,144 17,852 17,852 22,345 22,345 OG1036 Colposcopy Directed Biopsy 4,681 6,880 6,880 8,612 8,612 Colposcopy Of The Cervix Including Upper/Adjacent Vagina; OG1037 5,060 7,438 7,438 9,310 9,310 With Biopsy(S) Of The Cervix & Endo, Cure, Colposcopy Of The Cervix Including Upper/Adjacent Vagina; OG1038 4,428 6,508 6,508 8,147 8,147 With Endocervical Curettage Colposcopy Of The Cervix Including Upper/Adjacent Vagina; OG1039 4,428 6,508 6,508 8,147 8,147 With Loop Electrode Biopsy(S) Of The Cervix Colposcopy Of The Cervix Including Upper/Adjacent Vagina; OG1040 5,060 7,438 7,438 9,310 9,310 With Loop Electrode Conization Of The Cervix OG1041 4,428 6,508 6,508 8,147 8,147 Colposcopy Of The Entire Vagina, With Cervix If Present Colposcopy Of The Entire Vagina, With Cervix If Present; OG1042 6,641 9,763 9,763 12,220 12,220 With Biopsy(S) Colposcopy Of The Entire Vagina, With Cervix If Present; OG1043 6,641 9,763 9,763 12,220 12,220 With Biopsy(S) Of Vagina/Cervix OG1044 Colposcopy Of The Vulva 2,846 4,184 4,184 5,237 5,237 OG1045 Colposcopy Of The Vulva; With Biopsy(S) 4,428 6,508 6,508 8,147 8,147 Service OPD/Four Single Stay Two bed Deluxe room VIP Suite Code Service Name bed room OG1046 Colpotomy With Drainage Of Pelvic Abscess 4,428 6,508 6,508 8,147 8,147 OG1047 Colpotomy; With Exploration 6,072 8,926 8,926 11,172 11,172 OG1048 Combined Anteroposterior Colporrhaphy 9,867 14,504 14,504 18,155 18,155 Combined Anteroposterior Colporrhaphy; With Enterocele OG1049 10,500 15,434 15,434 19,319 19,319 Repair OG1050 Cone Biopsy Of Cervix 6,641 9,763 9,763 12,220 12,220 OG1051 Construction Of Artificial Vagina; Without Graft 12,144 17,852 17,852 22,345 22,345 OG1052 Cryocautery 4,807 7,066 7,066 8,845 8,845 OG1053 Curettage, Postpartum 4,428 6,508 6,508 8,147 8,147 OG1054 Delivery Of Placenta (Separate Procedure) 4,175 6,137 6,137 7,681 7,681 Destruction Of Lesion(S), Vulva; Extensive (Eg, Laser, Electro, OG1055 5,566 8,182 8,182 10,241 10,241 Cryo, Chemosurgery) Destruction Of Lesion(S), Vulva; Simple (Laser Electro, Cryos, OG1056 4,428 6,508 6,508 8,147 8,147 Chemosurgery) OG1057 Destruction Of Vaginal Lesion(S); Extensive 4,428 6,508 6,508 8,147 8,147 OG1058 Destruction Of Vaginal Lesion(S); Simple 2,846 4,184 4,184 5,237 5,237 Destruction of Vaginal Lesion(S); Simple (Eg, Laser Surgery, OG1059 4,428 6,508 6,508 8,147 8,147 Electrosurgery, Cryosurgery, Chemosurge OG1060 Diag Lap+Chromo+Eb 11,006 16,178 16,178 20,250 20,250 OG1061 Diag Lap+Chromotubation 9,361 13,761 13,761 17,224 17,224 OG1062 Diag Laparo+Hystero 11,006 16,178 16,178 20,250 20,250 OG1063 Diagnostic Lap With Chromotubation 9,361 13,761 13,761 17,224 17,224 OG1064 Diagnostic Laparo+Hystero+Eb 10,500 15,434 15,434 19,319 19,319 OG1065 Dilatation And Curettage 6,325 9,298 9,298 11,638 11,638 OG1066 Dilation & Curettage Of Cervical Stump 4,175 6,137 6,137 7,681 7,681 Dilation Of Cervical Canal, Instrumental (Separate OG1067 2,151 3,161 3,161 3,957 3,957 Procedure) OG1068 Dilation Of Vagina Under Anesthesia 2,151 3,161 3,161 3,957 3,957 OG1069 Drainage Of Ovarian Abscess; Abdominal Approach 6,641 9,763 9,763 12,220 12,220 OG1070 Drainage Of Ovarian Abscess; Vaginal Approach, Open 6,641 9,763 9,763 12,220 12,220 Drainage of Ovarian Abscess; Vaginal Approach/ abdominal OG1071 8,349 12,273 12,273 15,362 15,362 approach Drainage Of Ovarian Cyst(S), Unilateral Or Bilateral, (Sepa. OG1072 6,641 9,763 9,763 12,220 12,220 Pro); Vaginal Approach Drainage Of Ovarian Cyst(S), Unilateral Or Bilateral, (Sepa. OG1073 6,641 9,763 9,763 12,220 12,220 Proc.); Abdominal Approach Drainage of Pelvic Abscess, Transvaginal or Transrectal OG1074 8,349 12,273 12,273 15,362 15,362 Approach, Percutaneous OG1075 Drainage Of The Abdminal Wall Hematoma 7,590 11,157 11,157 13,966 13,966 Endocervical Curettage (Not Done As Part Of A Dilation & OG1076 2,973 4,370 4,370 5,470 5,470 Curettage) OG1077 Endomatrial Aspiration 1,898 2,789 2,789 3,491 3,491 OG1078 Endometrial Biopsy 2,657 3,905 3,905 4,888 4,888 OG1079 Enterocele Repair-Vaginal 6,641 9,763 9,763 12,220 12,220 OG1080 Episiotomy 2,720 3,998 3,998 5,004 5,004 OG1081 EUA 3,795 5,579 5,579 6,983 6,983 OG1082 Eua And Needling 3,795 5,579 5,579 6,983 6,983 OG1083 Evacuation Of Retained Poc 4,175 6,137 6,137 7,681 7,681 OG1084 Excision Of Cervical Stump, Abdominal Approach 12,144 17,852 17,852 22,345 22,345 OG1085 Excision Of Cervical Stump, Vaginal Approach 12,144 17,852 17,852 22,345 22,345 OG1086 Excision Of Labial Cyst 4,301 6,322 6,322 7,914 7,914 OG1087 Excision Of Scar Endometriosis 5,819 8,554 8,554 10,707 10,707 OG1088 Excision Of Urethral Caruncle 3,795 5,579 5,579 6,983 6,983 OG1089 Excision Of Vaginal Cyst Or Tumor 4,681 6,880 6,880 8,612 8,612 OG1090 Excision Of Vaginal Septum 5,566 8,182 8,182 10,241 10,241 OG1091 Exploratory Laparotomy (Gyn) 9,108 13,389 13,389 16,759 16,759 OG1092 External Cephalic Version, With Or Without Tocolysis 3,352 4,928 4,928 6,168 6,168 Fetal Bladder Tap, Pleural Tap, Ascitic Tap , Therapeutic / OG1093 6,641 9,763 9,763 12,220 12,220 Diagnostic Tap OG1094 Fetal Blood Sampling 6,641 9,763 9,763 12,220 12,220 OG1095 Fetal Contraction Stress Test 582 855 855 1,071 1,071 OG1096 Fetal Muscle Biopsy 8,349 12,273 12,273 15,362 15,362 Service OPD/Four Single Stay Two bed Deluxe room VIP Suite Code Service Name bed room OG1097 Fetal Non-Stress Test 380 558 558 698 698 OG1098 Fetal Scalp Blood Sampling 2,151 3,161 3,161 3,957 3,957 OG1099 Fetal Shunting 8,349 12,273 12,273 15,362 15,362 OG1100 Fetal Skin Biopsy 8,349 12,273 12,273 15,362 15,362 OG1101 Fimbrioplasty (Abdominal / Vaginal) 8,349 12,273 12,273 15,362 15,362 OG1102 Foreign Body Removal From Vagina 4,428 6,508 6,508 8,147 8,147 OG1103 Fraction Curettage 4,175 6,137 6,137 7,681 7,681 OG1104 Hematocolpos Excision Septum 4,175 6,137 6,137 7,681 7,681 OG1105 Hydrotubation. 822 1,209 1,209 1,513 1,513 OG1106 Hymenectomy 3,542 5,207 5,207 6,517 6,517 OG1107 Hysteroplasty, Repair Of Uterine Anomaly Level 1 10,500 15,434 15,434 19,319 19,319 OG1108 8,349 12,273 12,273 15,362 15,362 Hysteroplasty, Repair Of Uterine Anomaly (Strassman Type) OG1109 Hysteroplasty, Repair Of Uterine Anomaly Level 2 11,006 16,178 16,178 20,250 20,250 OG1110 Hysteroplasty, Repair Of Uterine Anomaly Level 3 12,144 17,852 17,852 22,345 22,345 OG1111 Hysteroscopic Endometrial Biopsy 5,566 8,182 8,182 10,241 10,241 OG1112 Hysteroscopic lateral meteroplasty 11,006 16,178 16,178 20,250 20,250 OG1113 Hysteroscopic Myomectomy single 12,144 17,852 17,852 22,345 22,345 OG1114 Hysteroscopic Polypectomy 6,705 9,856 9,856 12,336 12,336 OG1115 Hysteroscopic Removal Of Lucd 5,566 8,182 8,182 10,241 10,241 Hysteroscopic Treatment Of Ectopic Pregnancy; Cervical, OG1116 9,361 13,761 13,761 17,224 17,224 With Evacuation OG1117 Hysteroscopic Tubal Cannulation 12,144 17,852 17,852 22,345 22,345 OG1118 Hysteroscopy Diagnostic 4,428 6,508 6,508 8,147 8,147 Hysteroscopy, Surgical; With Lysis Of Grade 2 Intrauterine OG1119 6,641 9,763 9,763 12,220 12,220 Adhesions (Any Method) Hysteroscopy, Surgical; With Lysis Of Grade 3 Intrauterine OG1120 10,500 15,434 15,434 19,319 19,319 Adhesions (Any Method) OG1121 5,566 8,182 8,182 10,241 10,241 Hysteroscopy, With Removal Of Impacted Foreign Body Hysteroscopy,+ Endometrial Ablation (Endometrial OG1122 10,500 15,434 15,434 19,319 19,319 Resection/Electrosurgical Ablation/Thermoablation) OG1123 Hysterotomy 8,855 13,017 13,017 16,293 16,293 OG1124 Hysterotomy With Tubal Ligation 11,891 17,480 17,480 21,879 21,879 OG1125 5,060 7,438 7,438 9,310 9,310 Incision & Drainage Of Vaginal Hematoma; Non-Obstetrical Incision & Drainage Of Vaginal OG1126 5,060 7,438 7,438 9,310 9,310 Hematoma;Obstetrical/Postpartum OG1127 Incision & Drainage Of Vulva Or Perineal Abscess 2,973 4,370 4,370 5,470 5,470 Incision & drainage of vulval hematoma < 5cm diameter OG1128 4,428 6,508 6,508 8,147 8,147 /125 CC Incision & drainage of vulval hematoma > 5cm diameter OG1129 5,566 8,182 8,182 10,241 10,241 /125 CC OG1130 Induced Abortion /Delivery Of Fetus 5,566 8,182 8,182 10,241 10,241 OG1131 Induced abortion by medical method without D&C 3,352 4,928 4,928 6,168 6,168 OG1132 Induced Abortion, By Dilation & Evacuation 4,175 6,137 6,137 7,681 7,681 Induced Abortion, By One Or > Intra-Amniotic OG1133 10,500 15,434 15,434 19,319 19,319 Inj.(Amniocentesis-Inj.), Delivery Of Fetus+Hyst Induced Abortion, By Vaginal Suppositories (Eg, Prostagl&In) OG1134 10,500 15,434 15,434 19,319 19,319 Delivery Of Fetus Etc With Hyst Insertion Of Levonorgestrel-Releasing Intrauterine OG1135 2,973 4,370 4,370 5,470 5,470 System(Mirena) Introduction Of Hemostatic Agent / Pack For Nonobstetrical OG1136 1,012 1,488 1,488 1,862 1,862 Vaginal Hemorrhage OG1137 Irrigation of Vagina 2,024 2,975 2,975 3,724 3,724 OG1138 Iucd Insertion (Multiload) 1,898 2,789 2,789 3,491 3,491 OG1139 IUI 3,795 5,579 5,579 6,983 6,983 OG1140 Lap / Vaginal Ovarian Cystectomy < 5 CM 10,753 15,806 15,806 19,785 19,785 OG1141 11,006 16,178 16,178 20,250 20,250 Lap / vaginal salpingo-Oophorectomy, Complete or Partial Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room OG1142 12,144 17,852 17,852 22,345 22,345 Lap +/- Hysteroplasty, Repair Of Uterine Anomaly Level 1 Lap Extensive Adhesiolysis / Involving Bowel Bladder OG1143 12,144 17,852 17,852 22,345 22,345 Muscle/Mucosa Prim. Pro.) OG1144 Lap Mild Adhesiolysis-Add On Procedure 6,072 8,926 8,926 11,172 11,172 OG1145 Lap Salpingectomy/ Complete or Partial 12,144 17,852 17,852 22,345 22,345 OG1146 Lap. Adhesolysis (Obs & Gyn) 7,590 11,157 11,157 13,966 13,966 OG1147 Lap. Diagnostic (Obs & Gyn) 6,325 9,298 9,298 11,638 11,638 OG1148 Lap. Multiple Ovarian Dirlling / Puncture 8,602 12,645 12,645 15,828 15,828 OG1149 Lap. Oopherectomy Unilateral 11,385 16,736 16,736 20,948 20,948 OG1150 Lap. Ovarian Cystectomy Single 10,753 15,806 15,806 19,785 19,785 OG1151 Lap. sterlization 6,958 10,228 10,228 12,802 12,802 OG1152 Lap Vaginal Biopsy Of Ovary (Separate Procedure) 10,500 15,434 15,434 19,319 19,319 OG1153 Laparoscopic Drainage Of Ovarian Abscess 10,500 15,434 15,434 19,319 19,319 OG1154 Lap Drainage Of Ovarian Cyst(S) 10,500 15,434 15,434 19,319 19,319 OG1155 Lap Fimbrioplasty 10,500 15,434 15,434 19,319 19,319 OG1156 Lap Salpingostomy (Salpingoneostomy) 11,006 16,178 16,178 20,250 20,250 OG1157 Lap Transposition, Ovary(S) 10,500 15,434 15,434 19,319 19,319 Lap Fulguration Or Excision Of Lesions Of The Ovary, Pelvic OG1158 10,500 15,434 15,434 19,319 19,319 Viscera, Or Peritoneal Surface Lap With Lysis Of Adhesions (Salpingolysis, Ovariolysis) OG1159 10,500 15,434 15,434 19,319 19,319 (Separate Procedure) OG1160 Lap Surgical With Fimbrioplasty 10,500 15,434 15,434 19,319 19,319 OG1161 Lap Surgical With Salpingostomy (Salpingoneostomy) 12,144 17,852 17,852 22,345 22,345 OG1162 Laparotomy (Open & Close) 9,361 13,761 13,761 17,224 17,224 OG1163 Laparotomy Gyn Oopherectomy Unilateral 10,879 15,992 15,992 20,017 20,017 OG1164 Laparotomy Gyn Ovarian Cystectomy Bilateral 12,599 18,521 18,521 23,183 23,183 OG1165 Laparotomy Gyn Ruptured Ovarian Cyst 12,599 18,521 18,521 23,183 23,183 OG1166 Laparotomy with Adhesiolysis MILD 10,500 15,434 15,434 19,319 19,319 OG1167 Laproscopic Removal Of Lost IUCD 10,500 15,434 15,434 19,319 19,319 OG1168 Laproscopic Targeted Biopsy 10,500 15,434 15,434 19,319 19,319 OG1169 Lefords Operation 8,602 12,645 12,645 15,828 15,828 Ligation Or Transection Of Fallopian Tube(S), Abdominal/ OG1170 6,641 9,763 9,763 12,220 12,220 Vaginal Approach

OG1171 Ligation/Transection Fallopian Tube(S), 6,641 9,763 9,763 12,220 12,220 Abdominal/Vaginal/Postpartum During Same Hospitalization OG1172 Lysis Of Labial Adhesions 2,973 4,370 4,370 5,470 5,470 OG1173 Manual Removal Of Placenta 4,175 6,137 6,137 7,681 7,681 OG1174 Mcdonald Stitching 4,428 6,508 6,508 8,147 8,147 OG1175 Medical Management Of Ectopic Pregnancy 6,325 9,298 9,298 11,638 11,638 OG1176 Mesh Insertion For Repair Pelvic Floor Defect 4,681 6,880 6,880 8,612 8,612 OG1177 Micro colpo hysteroscopy 10,500 15,434 15,434 19,319 19,319 OG1178 MTP-High Risk 6,958 10,228 10,228 12,802 12,802 OG1179 Multiple Pregnancy, Embryo Reduction 6,641 9,763 9,763 12,220 12,220 OG1180 NST 569 837 837 1,047 1,047 Occlusion Of Fallopian Tube(S) By Device (Eg, B&, Clip, OG1181 6,641 9,763 9,763 12,220 12,220 Falope Ring) Vaginal Or Suprapubic Approach OG1182 Oligo Hydraminos, Amino Infusion 3,352 4,928 4,928 6,168 6,168 OG1183 Pereyra Procedure, Including Anterior Colporrhaphy 8,223 12,087 12,087 15,129 15,129 Perineoplasty, Repair Of Perineum, Nonobstetrical (Separate OG1184 4,428 6,508 6,508 8,147 8,147 Procedure) OG1185 Placental Biopsy 5,566 8,182 8,182 10,241 10,241 Plastic Operation On Urethral Sphincter, Vaginal Approach OG1186 4,681 6,880 6,880 8,612 8,612 (Eg, Kelly Urethral Plication) OG1187 Plastic Repair Of Introitus 4,428 6,508 6,508 8,147 8,147 OG1188 Plastic Repair Of Urethrocele 4,428 6,508 6,508 8,147 8,147 OG1189 Polyhydramnios, Amnio Drainage 2,846 4,184 4,184 5,237 5,237 Posterior Colporrhaphy, Repair Of Rectocele With Or OG1190 6,578 9,670 9,670 12,104 12,104 Without Perineorrhaphy OG1191 Removal Of Cerclage Suture Under Anesthesia 1,075 1,581 1,581 1,978 1,978 OG1192 Removal Of Iucd 759 1,116 1,116 1,397 1,397 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room OG1193 Removal Of Simple Vulval Tumor 3,542 5,207 5,207 6,517 6,517 Removal Or Revision Of Sling For Stress Incontinence (Eg, OG1194 12,144 17,852 17,852 22,345 22,345 Fascia Or Synthetic) OG1195 Repair Of Perineal Tear Post Coital Or Traumatic 6,641 9,763 9,763 12,220 12,220 OG1196 Repair Of Uterus 12,144 17,852 17,852 22,345 22,345 OG1197 Resuturing of Abdominal Wound deep 3,352 4,928 4,928 6,168 6,168 OG1198 Resuturing of Abdominal Wound superficial 2,846 4,184 4,184 5,237 5,237 OG1199 Resuturing of burst Abdominal Wound 10,500 15,434 15,434 19,319 19,319 Revision (Including Removal) Of Prosthetic Vaginal Graft; OG1200 12,144 17,852 17,852 22,345 22,345 Open Abdominal Approach Revision (Including Removal) Of Prosthetic Vaginal Graft; OG1201 12,144 17,852 17,852 22,345 22,345 Vaginal Approach OG1202 Rh Incompatibility, Fetal Intrauterine Transfusion 11,006 16,178 16,178 20,250 20,250 OG1203 Richardson Sling Operation 10,500 15,434 15,434 19,319 19,319 OG1204 Shirodkars Stitching 2,846 4,184 4,184 5,237 5,237 OG1205 Simple Vulvectomy 10,069 14,802 14,802 18,528 18,528 OG1206 Single Pregnancy, Amniocentesis, Therapeutic 4,428 6,508 6,508 8,147 8,147 OG1207 5,566 8,182 8,182 10,241 10,241 Single Pregnancy, Amniocentesis, Therapeutic High Risk OG1208 Single Pregnancy, Choronic Villus Sampling 5,060 7,438 7,438 9,310 9,310 OG1209 Single Pregnancy, Choronic Villus Sampling High Risk 6,641 9,763 9,763 12,220 12,220 OG1210 Suction & Evacuation -High Risk 6,325 9,298 9,298 11,638 11,638 Surgical Treatment Of Ectopic Pregnancy; Cervical, With OG1211 7,211 10,599 10,599 13,267 13,267 Evacuation OG1212 Suturing Perineal Tears Ii Degree 4,111 6,044 6,044 7,565 7,565 OG1213 Suturing Perineal Tears Iii Degree 8,223 12,087 12,087 15,129 15,129 OG1214 Three Swab Test (For Vaginal Fistula) 949 1,395 1,395 1,746 1,746 Trachelectomy (Cervicectomy), Amputation Of Cervix OG1215 8,349 12,273 12,273 15,362 15,362 (Separate Procedure) Trachelorrhaphy, Plastic Repair Of Uterine Cervix, Vaginal OG1216 4,428 6,508 6,508 8,147 8,147 Approach Transabdominal Amnioinfusion, Including Ultrasound OG1217 3,352 4,928 4,928 6,168 6,168 Guidance OG1218 Transcervical Introduction Of Fallopian Tube Catheter 5,566 8,182 8,182 10,241 10,241 OG1219 Transposition, Ovary(S) 8,349 12,273 12,273 15,362 15,362 OG1220 Transvaginal Hydrolaparoscopy Diagnostic 8,349 12,273 12,273 15,362 15,362 OG1221 Transvaginal Hydrolaparoscopy Operative 10,500 15,434 15,434 19,319 19,319 OG1222 Transvaginal Hydrolaparoscopy Operative level 1 10,500 15,434 15,434 19,319 19,319 OG1223 Transvaginal Hydrolaparoscopy Operative level 2 11,006 16,178 16,178 20,250 20,250 OG1224 Transvaginal Hydrolaparoscopy Operative level 3 12,144 17,852 17,852 22,345 22,345 Treatment Of Missed Abortion, Completed Surgically; First OG1225 4,175 6,137 6,137 7,681 7,681 Trimester OG1226 Treatment Of Septic Abortion, Completed Surgically 6,325 9,298 9,298 11,638 11,638 OG1227 Tubal Insufflation 1,771 2,603 2,603 3,259 3,259 OG1228 Twin Pregnancy , Amniocentesis, Therapeutic 5,566 8,182 8,182 10,241 10,241 OG1229 Twin Pregnancy , Choronic Villus Sampling 8,349 12,273 12,273 15,362 15,362 OG1230 Twin Pregnancy , Choronic Villus Sampling High Risk 10,500 15,434 15,434 19,319 19,319 OG1231 Twin Pregnancy, Amniocentesis, Therapeutic High Risk 6,641 9,763 9,763 12,220 12,220 OG1232 Umbilical Cord Occlusion 8,349 12,273 12,273 15,362 15,362 OG1233 Uterine Artery Ligation 2,530 3,719 3,719 4,655 4,655 OG1234 Uterine Evacuation & Curettage For Hydatidiform Mole 6,958 10,228 10,228 12,802 12,802

OG1235 Uterine Suspension, +/- Shortening Round Ligaments,+/- 12,144 17,852 17,852 22,345 22,345 Shortening Sacrouterine Ligaments; With Presa

OG1236 Uterine Suspension,+/- Shortening Round Ligaments+/- 6,641 9,763 9,763 12,220 12,220 Shortening Sacrouterine Ligaments; (Sepa. Proc) Vaginal Hysterectomy, For descebded Uterus >500 G; OG1237 5,566 8,182 8,182 10,241 10,241 Without Removal Of Tube(S) OG1238 Vaginectomy, Complete Removal Of Vaginal Wall 12,144 17,852 17,852 22,345 22,345 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room Vaginectomy, Partial Removal Of Vaginal Wall; With OG1239 12,144 17,852 17,852 22,345 22,345 Removal Of Paravaginal Tissue OG1240 Ventri Suspension 9,488 13,947 13,947 17,457 17,457 OG1241 Ventrosuspension Of The Uterus Alone (Gilliams) 7,843 11,529 11,529 14,431 14,431 OG1242 Visual Inspection Of Cervix 1,354 1,990 1,990 2,491 2,491 OG1243 Vulval Biopsy 2,657 3,905 3,905 4,888 4,888 OG1244 Vulvectomy Simple, Partial 8,349 12,273 12,273 15,362 15,362 OG1245 Vulvectomy Radical, Partial 12,144 17,852 17,852 22,345 22,345 OG1246 Wedge Resection Or Bisection Of Ovary 8,349 12,273 12,273 15,362 15,362 OG1247 Procedure charges for HSG 2,846 4,184 4,184 5,237 5,237 OG1248 Bartholin'S Cyst Marsupialisation (Bilateral) 3,795 5,579 5,579 6,983 6,983 OG1249 Bartholin'S Cyst Marsupialisation (Unilateral) 2,530 3,719 3,719 4,655 4,655 OG1250 Insertion Of Vaginal Ring Pessary 1,518 2,231 2,231 2,793 2,793 OG1251 Laparotomy Gyn Oophrectomy (Bilateral) 12,650 18,596 18,596 23,276 23,276 OG1252 Laparotomy Gyn. Ovarian Cystectomy (Unilateral) 8,855 13,017 13,017 16,293 16,293 OG1253 MTP 6,325 9,298 9,298 11,638 11,638 OG1254 10,753 15,806 15,806 19,785 19,785 Suturing Of Perineal Tear 30 Including Anal Sphincter Repair Major Surgeries - OG2002 Abdominal Myomectomy less than 5 myomas 21,252 31,240 31,240 39,104 39,104 OG2003 Abdominal Myomectomy more than 5 myomas 20,240 29,753 29,753 37,242 37,242 OG2004 Abdominal Operation For Stress Incontinence 18,343 26,963 26,963 33,750 33,750 OG2005 Abdominal salpingectomy/ Complete Or Partial, B/L 17,710 26,034 26,034 32,586 32,586 OG2006 Abortion Mid Trimester (Twin) 18,343 26,963 26,963 33,750 33,750 BSO With Omentectomy, TAH & Radical Dissection For OG2007 48,070 70,663 70,663 88,449 88,449 Debulking OG2008 Bso With Total Omentectomy, Tah For Malignancy 24,668 36,261 36,261 45,388 45,388 OG2009 Ceaserean Hysterectomy 19,861 29,195 29,195 36,543 36,543 Cesarean Delivery Only, Following Attempted Vaginal OG2010 17,710 26,034 26,034 32,586 32,586 Delivery After Previous Cesarean Delivery Closure Of Rectovaginal Fistula; Abdominal Approach, With OG2011 21,252 31,240 31,240 39,104 39,104 Concomitant Colostomy OG2012 Closure Of Vesicovaginal Fistula; Vaginal Approach 16,066 23,616 23,616 29,561 29,561 OG2013 Colpopexy, Abdominal Approach 14,927 21,943 21,943 27,466 27,466 Colpopexy, Vaginal; Extra-Peritoneal Approach OG2014 13,283 19,525 19,525 24,440 24,440 (Sacrospinous, Iliococcygeus)

OG2015 Complete Lap Staging For Ovarian Malignancy 58,823 86,469 86,469 108,233 108,233 (Hyst,Bso,Bilateral Pelvic & Aortic Ln Sampling, Omente OG2016 Complex & High Risk Hysterctomy 20,999 30,869 30,869 38,638 38,638 OG2017 Construction Of Artificial Vagina; With Graft 16,066 23,616 23,616 29,561 29,561 OG2018 Delivery (Vacum/Forceps/ Breech) 17,078 25,104 25,104 31,423 31,423 OG2019 Delivery After previous lscs birth(VBAC) 17,078 25,104 25,104 31,423 31,423 OG2021 Delivery Twin 18,975 27,893 27,893 34,914 34,914 OG2022 Diag Lap +Hystero+Chromotubation+Eb 14,927 21,943 21,943 27,466 27,466 OG2023 Endometrial Ablation 18,469 27,149 27,149 33,983 33,983 OG2024 Enterocele Repair-Abdominal 13,915 20,455 20,455 25,604 25,604 Excision Of Cervical Stump, Abdominal Approach; With OG2025 22,138 32,542 32,542 40,733 40,733 Pelvic Floor Repair Excision Of Cervical Stump, Vaginal Approach; With Repair OG2026 14,927 21,943 21,943 27,466 27,466 Of Enterocele OG2027 Fentons Operation For Reconstruction Of Vagina 16,066 23,616 23,616 29,561 29,561 OG2028 Hysterectomy Abdominal 14,927 21,943 21,943 27,466 27,466 OG2029 Hysterectomy Vaginal And Repair 21,252 31,240 31,240 39,104 39,104 OG2030 Hysteroplasty, Repair Of Uterine Anomaly Level 4 13,915 20,455 20,455 25,604 25,604 Hysteroplasty, Repair Of Uterine Anomaly / Excision Of OG2031 16,066 23,616 23,616 29,561 29,561 Uterine Cornu OG2032 Hysterorrhaphy Of Ruptured Uterus 14,927 21,943 21,943 27,466 27,466 OG2033 16,445 24,174 24,174 30,259 30,259 Hysterorrhaphy, Repair Of Ruptured Uterus (Nonobstetrical) OG2034 Hysteroscopic Myomectomy multiple 16,445 24,174 24,174 30,259 30,259 Hysteroscopy, Surgical; With Division Or Resection Of OG2035 17,078 25,104 25,104 31,423 31,423 Intrauterine Sub Septate Septum (Any Method) Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room Hysteroscopy, Surgical; With Lysis Of Grade 4 Intrauterine OG2036 14,548 21,385 21,385 26,767 26,767 Adhesions (Any Method) Lap / Vaginal Ovarian Cystectomy, Unilateral or Bilateral > 5 OG2037 12,777 18,781 18,781 23,509 23,509 CM Lap / Vaginal Treatment of Ectopic Pregnancy; With OG2038 12,650 18,596 18,596 23,276 23,276 Salpingectomy &/or Oophorectomy Lap / Vaginal Treatment Of Ectopic Pregnancy; Without OG2039 12,650 18,596 18,596 23,276 23,276 Salpingectomy &/Or Oophorectomy

OG2040 16,066 23,616 23,616 29,561 29,561 Lap +/- Hysteroplasty, Repair Of Uterine Anomaly Level 4 OG2041 13,915 20,455 20,455 25,604 25,604 Lap +/- Hysteroplasty, Repair Of Uterine Anomaly Level 2

OG2042 14,927 21,943 21,943 27,466 27,466 Lap +/-Hysteroplasty, Repair Of Uterine Anomaly Level 3 OG2043 Lap Burch Colposuspension 16,066 23,616 23,616 29,561 29,561 OG2044 22,770 33,472 33,472 41,897 41,897 Lap Myomectomy,Excision; 5 Or More Intramural Myomas OG2045 17,710 26,034 26,034 32,586 32,586 Lap Myomectomy,Excision Less Then 5 Intramural Myomas Lap Removal Of B /L Endometrioma With Extensive OG2046 20,746 30,497 30,497 38,173 38,173 Adhesiolysis & Clearance Of Pod Lap Removal of B/L Endometrioma With Extensive OG2047 20,746 30,497 30,497 38,173 38,173 Adhesiolysis Lap Removal Of B/L Endometrioma With Extensive OG2048 20,746 30,497 30,497 38,173 38,173 Adhesiolysis/Involving Bowel Bladder Muscle/Mucosa Lap Removal Of B/L Endometrioma With Moderate OG2049 18,975 27,893 27,893 34,914 34,914 Adhesiolysis & Clearance Of Pod Lap Removal Of B/L Endometrioma With Moderate OG2050 19,355 28,451 28,451 35,612 35,612 Adhesiolysis / Involving Bowel Bladder Serosa Lap Removal Of U/L Endometrioma With Extensive OG2051 20,746 30,497 30,497 38,173 38,173 Adhesiolysis/Involving Bowel Bladder Muscle/Mucosa Lap Removal Of U/L Endometrioma With Moderate OG2052 18,975 27,893 27,893 34,914 34,914 Adhesiolysis / Involving Bowel/ Bladder Serosa OG2053 Lap Total Hysterectomy 27,577 40,538 40,538 50,742 50,742 Lap Treatment Of Ectopic Pregnancy; Interstitial, Uterine OG2054 16,066 23,616 23,616 29,561 29,561 Pregnancy+ Partial Resection Of Uterus Lap, Radical Hyst 250-500Gms, Bilat Pelviic L Ectomy & P- OG2055 33,396 49,092 49,092 61,449 61,449 Aortic L N Sampling +/- Bso Lap, Radical Hyst(Lavh) >500Gms, Bilat Pelviic L Ectomy & P- OG2056 33,396 49,092 49,092 61,449 61,449 Aortic L N Sampling +/- Bso Lap, Radical Hyst, Bilateral Pelvic Lymphadenectomy & Para- OG2057 33,396 49,092 49,092 61,449 61,449 Aortic L N Sampling +/- Bso Lap, Radical Hyst<250Gms, Bilat Pelviic L Ectomy & P-Aortic L OG2058 33,396 49,092 49,092 61,449 61,449 N Sampling +/- Bso Lap, Supracervical Hyst, For Uterus > 250-500 G; With OG2059 25,933 38,121 38,121 47,716 47,716 Removal Of Tube(S) / Ovary(S) / Moderate Adhes Lap, Supracervical Hyst, For Uterus >500 G; With Removal Of OG2060 25,933 38,121 38,121 47,716 47,716 Tube(S) / Ovary(S)/With Severe Lap, Supracervical Hyst, Uterus 250 G Or Less; With Removal OG2061 25,933 38,121 38,121 47,716 47,716 Of Tube(S) &/Or Ovary(S) / Adhesiolysis OG2062 Lap. Assisted Vaginal Hysterectomy (Lavh) 20,999 30,869 30,869 38,638 38,638 OG2063 Lap. Ectopic Pregnancy / Tubal Surgery 12,650 18,596 18,596 23,276 23,276

OG2064 Lap. Hysteroplasty, Repair Of Uterine Anomaly (Strassman 19,355 28,451 28,451 35,612 35,612 Type) / Unification Of Double Uterine Horns Lap. Myomectomy, Excision; 5 Or More Intramural Myomas/ OG2065 16,066 23,616 23,616 29,561 29,561 Intramural Myomas Total Weight >250 G OG2066 Lap. Oopherectomy Bilateral 12,777 18,781 18,781 23,509 23,509 OG2067 Lap. Ovarian Cystectomy Multiple 14,548 21,385 21,385 26,767 26,767 Lap/ Vaginal Treatment Of Ectopic Pregnancy; With OG2068 12,650 18,596 18,596 23,276 23,276 Salpingectomy &/Or Oophorectomy Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room OG2069 LAP/VAG treatment of ectopic with oophorectomy 12,650 18,596 18,596 23,276 23,276 Lap/Vaginal Wedge Resection or Bisection of Ovary, OG2070 12,650 18,596 18,596 23,276 23,276 Unilateral OG2071 Laparoscopic Myomectomy 16,066 23,616 23,616 29,561 29,561 OG2072 Laparoscopic Tubotubal Anastomosis 16,066 23,616 23,616 29,561 29,561 OG2073 Laparoscopic Tubouterine Implantation 19,355 28,451 28,451 35,612 35,612 Laparoscopic,Supracervical Hysterectomy, For Uterus >500 OG2074 25,933 38,121 38,121 47,716 47,716 G Laparoscopic,Supracervical Hysterectomy, For Uterus 250- OG2075 25,933 38,121 38,121 47,716 47,716 500 G Laparoscopy, Surgical, Colpopexy (Suspension Of Vaginal OG2076 16,066 23,616 23,616 29,561 29,561 Apex) OG2077 Laparotomy Gyn Endometriosis 17,078 25,104 25,104 31,423 31,423 OG2078 22,138 32,542 32,542 40,733 40,733 Laparotomy Gyn Extensive Endometriosis (Frozen Pelvis) OG2079 Laparotomy Gyn Oopherectomy Bilateral 13,156 19,339 19,339 24,207 24,207 OG2080 Laparotomy Gyn Salpingo Oopherectomy Bilateral 13,156 19,339 19,339 24,207 24,207 OG2081 Laparotomy Gyn Twisted Ovarian Cyst 13,156 19,339 19,339 24,207 24,207 OG2082 Lavh (Uterus 500 G) 22,138 32,542 32,542 40,733 40,733 Lavh, For Uterus >500 G /+/- Bso Or Moderate Adhesiolysis OG2083 24,668 36,261 36,261 45,388 45,388 / Removal To Mass OG2084 Lavh, For Uterus >500 G ; +/- Bso / Mild Adhesiolysis 22,138 32,542 32,542 40,733 40,733 OG2085 Lavh, For Uterus >500 G +/- Bso Severe Adhesiolysis 27,577 40,538 40,538 50,742 50,742 OG2086 24,668 36,261 36,261 45,388 45,388 Lavh, For Uterus 250 G Or Less; /+/- Bso Severe Adhesiolysis Lavh, For Uterus 250 G Or Less; /+/- Bso Or Moderate OG2087 22,138 32,542 32,542 40,733 40,733 Adhesiolysis / Removal To Mass OG2088 22,138 32,542 32,542 40,733 40,733 Lavh, For Uterus 250 G Or Less; +/- Bso / Mild Adhesiolysis Lavh, For Uterus 250-500 G /+/- Bso Or Moderate OG2089 24,668 36,261 36,261 45,388 45,388 Adhesiolysis / Removal To Mass OG2090 Lavh, For Uterus 250-500 G ; +/- Bso / Mild Adhesiolysis 22,138 32,542 32,542 40,733 40,733 OG2091 Lavh, For Uterus 250-500 G +/- Bso Severe Adhesiolysis 27,577 40,538 40,538 50,742 50,742 OG2093 Lscs (previous lscs birth) 20,999 30,869 30,869 38,638 38,638 OG2094 Lscs after trial of vaginal delivery 20,999 30,869 30,869 38,638 38,638 OG2095 Lscs Twin Pregnancy 25,300 37,191 37,191 46,552 46,552 OG2096 Manchester / Forthergil Procedure 14,927 21,943 21,943 27,466 27,466 OG2097 Myomectomy Abdominal 21,252 31,240 31,240 39,104 39,104 Ndvh (Non Descent Vaginal Hyst. 250-500Gm With OG2098 24,668 36,261 36,261 45,388 45,388 Moderate Adhesiolysis Ndvh (Non Descent Vaginal Hyst. 250-500Gm With Severe OG2099 27,577 40,538 40,538 50,742 50,742 Adhesiolysis Ndvh (Non Descent Vaginal Hyst. More Than 500 Gms + Bso OG2100 24,668 36,261 36,261 45,388 45,388 / Mild Adhesiolysis OG2101 Ndvh (Non Desecent Vaginal Hyst.< Than 250Gm 22,138 32,542 32,542 40,733 40,733 OG2102 Ndvh(Non Descent Vaginal Hyst.>Than 250Gm 24,668 36,261 36,261 45,388 45,388 Ndvh (Non Descent Vaginal Hyst500 Gms Or Previous 2 Or More Cs/Abdomino Pelvic OG2106 30,360 44,629 44,629 55,862 55,862 Procedure Severe Adhesiolysis NDVH 250-500Gm Previous 1Cs/Abdominal OG2107 27,577 40,538 40,538 50,742 50,742 Procedure/Nulliparous Removal Of Ovarian Mass Ndvh>500 Or Gms+ Previous 2 Or More Cs / Procedure Or OG2108 33,396 49,092 49,092 61,449 61,449 Moderate Adhesiolysis /+ to Mass OG2109 Non Desent Vaginal Hysterectomy 22,138 32,542 32,542 40,733 40,733 OG2110 Operative Hysteroscopy Septum Division 17,078 25,104 25,104 31,423 31,423 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room OG2111 Operative Hysteroscopy Synaechae Removal 14,548 21,385 21,385 26,767 26,767 OG2112 Purandares Sling 17,963 26,406 26,406 33,052 33,052 OG2113 Radical Hysterctomy For Ca Body Of Uterus 44,275 65,084 65,084 81,466 81,466 Radical Hysterectomy Plus Omentectomy For Ovarian OG2114 44,275 65,084 65,084 81,466 81,466 Malignancy Radical Trachelectomy, Bilat Pelvic Lymph. & Para-Aortic L N OG2115 38,962 57,274 57,274 71,690 71,690 Sampling +/- Removal Of Tube(S)/Ovary(S OG2116 Rectovaginal Fistulas Repair Third Degree 14,927 21,943 21,943 27,466 27,466 Resect Ovarian/ Tubal/ Primary Peritoneal Malig BSO & OG2117 38,962 57,274 57,274 71,690 71,690 Omentec Resection Ovarian/ Tubal / Primary Peritoneal Malignancy OG2118 22,138 32,542 32,542 40,733 40,733 With Bso & Omentectomy Resection Ovarian/ Tubal/ Primary Peritoneal Malignancy OG2119 30,360 44,629 44,629 55,862 55,862 With BSO & Omentectomy Resection Recurrent Ovarian/Tubal/ Pri. Peritoneal/ Uterine OG2120 38,962 57,274 57,274 71,690 71,690 Malignancy+Omentectomy OG2121 Resuspension Of Post Hysterectomy Vault Prolapse 27,198 39,980 39,980 50,043 50,043 OG2122 Salphingectomy Unilateral 13,156 19,339 19,339 24,207 24,207 OG2123 Salpingostomy (Salpingoneostomy) 13,156 19,339 19,339 24,207 24,207 OG2124 Sub Total Hysterectomy 14,927 21,943 21,943 27,466 27,466 Supracervical Abdominal Hyst, 250-500Gms (Subtotal), + OG2125 14,927 21,943 21,943 27,466 27,466 Removal Of Tube(S)/ Removal Of Ovary(S) Supracervical Abdominal Hyst. >500 (Subtotal), + Removal OG2126 15,813 23,244 23,244 29,095 29,095 Of Tube(S)/ Removal Of Ovary(S) Supracervical Abdominal Hyst/ <250 Gms(Subtotal), + OG2127 14,927 21,943 21,943 27,466 27,466 Removal Of Tube(S)/ Removal Of Ovary(S) Supracervical Abdominal Hysterectomy (Subtotal), 250-500 OG2128 14,927 21,943 21,943 27,466 27,466 Gms OG2129 14,927 21,943 21,943 27,466 27,466 Supracervical Abdominal Hysterectomy(Subtotal),>500 Gms Surgery For Ectopic Tubal / Ovarian+ Salpingectomy &/Or OG2130 13,156 19,339 19,339 24,207 24,207 Oophorectomy, Abdominal Or Vaginal Surgical Treatment Of Ectopic Pregnancy; Abdominal OG2131 13,156 19,339 19,339 24,207 24,207 Pregnancy Surgical Treatment Of Ectopic Pregnancy; Interstitial, OG2132 17,457 25,662 25,662 32,121 32,121 Uterine Pregnancy Requiring Total Hyst, Surgical Treatment Of Ectopic Pregnancy; Interstitial, OG2133 17,457 25,662 25,662 32,121 32,121 Uterine Pregnancy+Partial Resection Of Uterus Total Abdominal Hyst +/- Removal Of Tube(S)/ Ovary(S); OG2134 22,138 32,542 32,542 40,733 40,733 With Colpo-Urethrocystopexy (Eg, Burch) OG2135 Total Abdominal Hysterectomy (Obs Gya) 14,927 21,943 21,943 27,466 27,466 OG2136 Total Abdominal Hysterectomy uterus < 250gms 14,927 21,943 21,943 27,466 27,466 Total Abdominal Hysterectomy, + Removal Of Tube(S)/ OG2137 15,813 23,244 23,244 29,095 29,095 Ovary(S) Total Lap. Hyst. With Extensive Dense Adhesions Involving OG2138 33,396 49,092 49,092 61,449 61,449 Bowel & Bladder Muscle / Mucosa

OG2139 Total Lap. Hyst. With More Than 500 Gms/ With Moderate 33,396 49,092 49,092 61,449 61,449 Adhesions/Involving Bowel & Bladder Serosa R Total Lap.c Hyst.With Extensive Dense Adhesions Involving OG2140 33,396 49,092 49,092 61,449 61,449 Bowel & Bladder Muscle/Mucosa Total Lapradical Hyst(Tlh) Bilat Pelviic L Ectomy & P-Aortic L OG2143 33,396 49,092 49,092 61,449 61,449 N Sampling +/- Bso OG2144 27,577 40,538 40,538 50,742 50,742 Total Laproscopic Hysterectomy With Less Than 250 Gms OG2145 Total Valvectomy With Desection Of Nodes 32,890 48,348 48,348 60,518 60,518 OG2146 Transcervical Resection Of Endometrium 15,054 22,129 22,129 27,698 27,698 Transperineal Closure Rectovaginal Fistula; Perineal Body OG2147 15,054 22,129 22,129 27,698 27,698 Reconstruction,+/- Levator Plication OG2148 Transvaginal Hydrolaparoscopy Operative level 4 14,927 21,943 21,943 27,466 27,466 OG2149 Tuboplasty (Oper Microscopy) Bilateral 30,360 44,629 44,629 55,862 55,862 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room OG2150 Tuboplasty (Oper Microscopy) Unilateral 24,668 36,261 36,261 45,388 45,388 OG2151 Tubotubal Anastomosis 15,813 23,244 23,244 29,095 29,095 OG2152 Tubouterine Implantation 15,813 23,244 23,244 29,095 29,095 Vag. Hyst, >500 G; With Colpo-Urethrocystopexy Type, OG2153 33,396 49,092 49,092 61,449 61,449 Pereyra Type) +/- Endoscopic Control/ Severe Ad Vag. Hyst, For descebded Uterus >500 G; Without Removal OG2154 27,577 40,538 40,538 50,742 50,742 of Tube(S) &/Or Ovary(S),+Repair Of Enteroce Vag. Hyst, For Uterus >500 G; +Removal Of Tube(S) &/Or OG2155 30,360 44,629 44,629 55,862 55,862 Ovary(S),+ Repair Of Enterocele / Moderate Ad Vag. Myom, of Uterus, 1 To 4 Myoma/ Total Weight of = > OG2156 16,066 23,616 23,616 29,561 29,561 500 G +/- Removal of Surface Myomas Vag. Myom, of Uterus, 1 To 4 Myoma/ Total Weight of = 250- OG2157 14,927 21,943 21,943 27,466 27,466 500 G +/- Removal of Surface Myomas Vag. Myom, of Uterus, 1 To 4 Myoma/Total Weight of = < OG2158 13,915 20,455 20,455 25,604 25,604 250 G +/- Removal of Surface Myomas Vaginal Delivery Only, After Previous Cesarean (+/- OG2159 16,066 23,616 23,616 29,561 29,561 Episiotomy &/Or Forceps / Vaccum) OG2160 14,927 21,943 21,943 27,466 27,466 Vaginal Hyst, For descended Uterus < 250 G;+ A/P repair Vaginal Hyst, For Descended Uterus 250-500 G; With OG2161 19,355 28,451 28,451 35,612 35,612 Removal Of Tube(S) &/Or Ovary(S)/Mild Adh. Vaginal Hyst, For Descended Uterus 250-500 G; With OG2162 22,138 32,542 32,542 40,733 40,733 Removal Of Tube(S) &/Or Ovary(S)/Moderate Adh. Vaginal Hyst, For Descended Uterus 250-500 G; With OG2163 24,668 36,261 36,261 45,388 45,388 Removal Of Tube(S) &/Or Ovary(S)/Severe Adh. Vaginal Hyst, For Uterus 250 G Or Less With Anterior / OG2164 14,927 21,943 21,943 27,466 27,466 Posterior Repair Vaginal Hyst, For Uterus Greater Than 250 G; With Repair Of OG2165 19,355 28,451 28,451 35,612 35,612 Enterocele Vaginal Hyst, With Total Or Partial Vaginectomy; With Repair OG2166 17,078 25,104 25,104 31,423 31,423 Of Enterocele OG2167 Vaginal Hyst,Uterus 250 G Or Less; Colpo-Urethrocystopexy (Marshall- 19,355 28,451 28,451 35,612 35,612 OG2168 Vaginal Hysterectomy, For Uterus 250 G 13,915 20,455 20,455 25,604 25,604 Vaginal Hysterectomy, For Uterus 250 G Or Less;With Repair OG2169 14,927 21,943 21,943 27,466 27,466 Of Enterocele

OG2170 24,668 36,261 36,261 45,388 45,388 Vaginal Hysterectomy, Radical (Schauta Type Operation) OG2171 14,927 21,943 21,943 27,466 27,466 Vaginal Hysterectomy, With Total Or Partial Vaginectomy

OG2172 22,138 32,542 32,542 40,733 40,733 Vaginectomy (Partial); Removal Paravaginal Tissue (Radical) Vaginectomy, Complete Removal Of Vaginal Wall+ Removal OG2173 22,138 32,542 32,542 40,733 40,733 Of Paravaginal Tissue OG2174 Vault Repair 17,457 25,662 25,662 32,121 32,121 OG2175 Vesicovaginal Fistula (Wf)(Gyn) 14,927 21,943 21,943 27,466 27,466 Vh + Biopsy, Single Or Multiple, Or Local Excis.Of Lesion,+/- OG2176 14,927 21,943 21,943 27,466 27,466 Fulguration (Sep.Proc.)/Mild Adhesiiol OG2177 Vulvectomy, Radical, Complete 14,927 21,943 21,943 27,466 27,466 Vulvectomy, Radical, Complete; With Unilateral OG2178 24,668 36,261 36,261 45,388 45,388 Inguinofemoral Lymphadenectomy Vulvectomy, Radical, Partial; With Bilateral Inguinofemoral OG2179 16,066 23,616 23,616 29,561 29,561 Lymphadenectomy Vulvectomy, Radical, Partial; With Unilateral Inguinofemoral OG2180 14,927 21,943 21,943 27,466 27,466 Lymphadenectomy Vulvectomy,Radical,Complete,With OG2181 38,962 57,274 57,274 71,690 71,690 Inguinofemoral,Iliac,&Pelvic Lymphadenectomy ONCO SURGERY Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room OS1001 Abdominal Wall Tumor With Meshplasty 25,553 37,563 37,563 47,018 47,018 OS1002 Breast Conservation Surgery ( ONCO) 22,138 32,542 32,542 40,733 40,733 OS1003 Breast Limp Excision 12,903 18,967 18,967 23,742 23,742 OS1004 Breast Mrm/Rm 19,608 28,823 28,823 36,078 36,078 OS1005 Chemoport Flushing 1,898 2,789 2,789 3,491 3,491 OS1006 Chemoport Insertion 6,958 10,228 10,228 12,802 12,802 OS1007 Chemoport Placement 12,650 18,596 18,596 23,276 23,276 OS1008 Chemoport Removal/Adjustment 3,795 5,579 5,579 6,983 6,983 OS1009 Chest Wall Excision With Thoracoplasty 28,463 41,840 41,840 52,371 52,371 OS1011 Commando Surgery 25,300 37,191 37,191 46,552 46,552 OS1012 Eva 6,325 9,298 9,298 11,638 11,638 OS1013 Functional/Sohd/Limited Neck Dissection 17,710 26,034 26,034 32,586 32,586 OS1014 Hemi Scrotectomy 10,753 15,806 15,806 19,785 19,785 OS1015 Hemicolectomy 23,403 34,402 34,402 43,061 43,061 OS1016 Hemiglossectomy 18,975 27,893 27,893 34,914 34,914 OS1017 Hepaticoieimostomy/Biopsy 25,300 37,191 37,191 46,552 46,552 OS1018 Hilar Chdangiocarcinoma 32,637 47,976 47,976 60,052 60,052 OS1019 Hysterectomy Radical For Cancer 23,403 34,402 34,402 43,061 43,061 OS1020 Illeoinguinal Lymph Node Dissection 22,770 33,472 33,472 41,897 41,897 OS1021 Inferior Vena Cava Tumor Thrambectomy 23,403 34,402 34,402 43,061 43,061 OS1022 Inguinal Lymph Node Dissection 12,903 18,967 18,967 23,742 23,742 OS1023 Internal Artery Ligation B/L 17,710 26,034 26,034 32,586 32,586 OS1024 Laryngectomy Total 28,842 42,398 42,398 53,069 53,069 OS1025 Lemkoplakia Excision Biopsy 6,325 9,298 9,298 11,638 11,638 OS1026 Liver Wedge Resection 19,481 28,637 28,637 35,845 35,845 OS1027 Lobectomy/Segmentectomy Liver 25,553 37,563 37,563 47,018 47,018 OS1028 Mandibulectomy 19,481 28,637 28,637 35,845 35,845 OS1029 Mediastinotomy 13,915 20,455 20,455 25,604 25,604 OS1030 Metastatectomy Lung Multiple/Single 19,481 28,637 28,637 35,845 35,845 OS1031 Oesophagectomy With Colonic Bypass 40,480 59,506 59,506 74,483 74,483 OS1032 Oesophagectomy With Gastric Pull Up 31,625 46,489 46,489 58,190 58,190 OS1033 Omentectomy 18,469 27,149 27,149 33,983 33,983 OS1034 Ovarian Laprotomy For Ovarian Cancer 30,360 44,629 44,629 55,862 55,862 OS1035 Parathyroidectomy 16,445 24,174 24,174 30,259 30,259 OS1036 Pelvic Exenteration Total 37,950 55,787 55,787 69,828 69,828 OS1037 Pelvic Lymph Node Dissection B/L 19,481 28,637 28,637 35,845 35,845 OS1038 Pelvic Lymph Node Dissection U/L 15,433 22,687 22,687 28,397 28,397 OS1039 Picc Line (Central Line Dress) 253 372 372 466 466 OS1040 Picc Line Insertion 5,060 7,438 7,438 9,310 9,310 OS1041 Picc Line Removal 633 930 930 1,164 1,164 OS1042 Picc Line Repair 633 930 930 1,164 1,164 OS1043 Radical Cholecystectomy 29,095 42,770 42,770 53,535 53,535 OS1044 Radical Cholecystectomy with Biliary Anastamotis 31,625 46,489 46,489 58,190 58,190 OS1045 Radical Nephrectomy 28,842 42,398 42,398 53,069 53,069 OS1046 Radical Parotidectomy With Neck Disection 23,403 34,402 34,402 43,061 43,061 OS1047 Resection Of Retro Peritoneal Mass 17,078 25,104 25,104 31,423 31,423 OS1048 Seroma Aspiration 1,898 2,789 2,789 3,491 3,491 OS1049 Soft Tissue Sarcoma, Widelocal Excision 15,813 23,244 23,244 29,095 29,095 OS1050 Thymectomy / Mediastinal Mass Excision 28,842 42,398 42,398 53,069 53,069 OS1051 Total Thyroidectomy With Neck Dissection 25,553 37,563 37,563 47,018 47,018 OS1052 Tripple Bypass For Pancreas 25,553 37,563 37,563 47,018 47,018 OS1053 Wide Excision Of Malignant Ulcer 7,590 11,157 11,157 13,966 13,966 OS1054 Telescopic Examination 1,100 1,617 1,617 2,024 2,024 OPTHALMOLOGY Service Charges ( Rs.) Code Service name INVESTIGATION OP1001 A Scan Biometry ( One Eye) 600 OP1002 Autoperimetry (Both Eyes) 2,200 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) 5,000 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 ) 25,000 OP2003 Chalazian 5,000 OP2004 Corneal Foreign Body Removal 1,000 OP2005 Corneal Grafting 80,000 OP2006 Corneal Repairs 18,000 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 16,000 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 25,000 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 18,000 Pan Retinal Photocogulation for Diabetic Retinopathy (per OP2024 sitting) 3,000 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 40,000 OP2030 Punctum Plugs 5,000 OP2033 Retinal Detachment 30,000 OP2034 ROP Screening (Both Eyes) 2,000 OP2035 SO Removal 12,000 OP2036 Squint Correction( Both eyes) 50,000 OP2037 Squint Correction (one eye) 27,000 OP2038 Suonjuntial Injetion/S.Tenon’s 700 OP2039 Syringing 300 OP2040 Toric ICL 125,000 OP2041 Trabeculectomy 25,000 OP2042 Vitrectomy with PFCL (Laser+Buckle additional) 38,000 OP2043 Vitrectomy with SOI 30,000 Vitrectomy without SOI (Laser+Buckle+Membrane peeling OP2044 additional) 68,000 OP2045 Yag Laser Capsulotomy 3,500 OP2046 Yag Laser Iridotomy 4,500 Service Charges ( Rs.) Code Service name Cataract Operation with no injection, no stich-Phaco technique OP2053 Acceralated C3R (Corneal Collagen Cross Linking with 75,000 OP2054 Acceralated C3R (Corneal Collagen Cross Linking with 40,000 OP2055 Rop Laser (One Eye) 40,000 OP2056 Endolaser 9,380 OP2057 Gas Injection (C3F8) 13,400 OP2058 Air Fluid Exchange 6,700 OP2059 ILM/ERM Peeking 9,380 OP2060 Keratoplasty ( International Patient) 1,00,000 OP2061 Scleral Laceration Exploration & Repair 30,000

Service Service Name stay day OPD/ four Two bed Single Deluxe room OP2062 CATARACT 22000 27500 33000 38500 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

OPD/ four Single Ortho packages Days Two bed Deluxe room VIP Suite bed room OR3001 Total Knee replacement (U/L) 6 140,000 145,000 170,000 210,000 255,000 OR3002 Total Knee replacement (B/L) 7 215,000 235,000 275,000 315,000 390,000 OR3003 Total hip replacement (U/L) 6 140,000 145,000 170,000 210,000 255,000 OR3004 Total hip replacement (B/L) 7 215,000 235,000 275,000 315,000 390,000 Package Includes: Stay up to (6 days for knee/hip U/L, 7 days for knee B/L, 7 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. Limits- 1. Drugs and OT Consumables upto Rs. 50,000 ( knee / Hip (unilateral)). 2. Drugs and OT Consumables upto Rs. 65,000 (knee/ Hip (bilateral)). Minor procedure/surgery OR1001 Above Elbow Plaster 2,530 3,719 3,719 4,655 4,655 OR1002 Adductor Tenotomy & Obturator Neurectomy 9,614 14,133 14,133 17,690 17,690 OR1003 Amputation Of Digits - Single 7,590 11,157 11,157 13,966 13,966 OR1004 Amputation Of Digits Multiple 9,488 13,947 13,947 17,457 17,457 OR1005 Amputations-Below Knee 9,488 13,947 13,947 17,457 17,457 OR1006 Application Of Functional Cast Brace 1,898 2,789 2,789 3,491 3,491 OR1007 Arthoscopic Lose Body Removal 12,018 17,666 17,666 22,112 22,112 OR1008 Arthrodesis Of Small Joints - Hand 12,018 17,666 17,666 22,112 22,112 OR1009 Arthrotomy Ankle 12,018 17,666 17,666 22,112 22,112 OR1010 Biopsy Bone 7,211 10,599 10,599 13,267 13,267 OR1011 Biopsy Muscle (Deep) 5,946 8,740 8,740 10,940 10,940 OR1012 Bone Grafting 12,018 17,666 17,666 22,112 22,112 OR1013 Carpal Tunnel Decompression (Ortho) 12,018 17,666 17,666 22,112 22,112 OR1014 Cervical Traction (Spine) 1,012 1,488 1,488 1,862 1,862 OR1016 Closed Reduction Of Fractures And Pop Application 9,614 14,133 14,133 17,690 17,690 OR1017 Closed Reduction Of Joint Dislocation 7,211 10,599 10,599 13,267 13,267 OR1018 Closed Reduction Of Small Joints - IP 5,946 8,740 8,740 10,940 10,940 OR1019 Closed Reduction Of Small Joints - MP 5,946 8,740 8,740 10,940 10,940 OR1020 Closed Reduction Of Small Joints - MTP 5,946 8,740 8,740 10,940 10,940 OR1021 Colles Fracture Closed Reduction And Pop Cast 5,946 8,740 8,740 10,940 10,940 OR1022 Compartment Syndrome - Leg/Foot/Thigh/Forearm 11,385 16,736 16,736 20,948 20,948 OR1023 Contracture Release 10,120 14,876 14,876 18,621 18,621 OR1024 Corrective Lesser Toe Surgery 7,211 10,599 10,599 13,267 13,267 OR1025 Corrective Surgery Greater Toe 10,753 15,806 15,806 19,785 19,785 OR1026 CTEV - Manipulation And Corrective Cast 3,163 4,649 4,649 5,819 5,819 OR1027 CTEV - Manipulation And Corrective Cast B/L 5,060 7,438 7,438 9,310 9,310 OR1028 De Querveins Release 4,807 7,066 7,066 8,845 8,845 OR1029 Diagnostic Arthroscopy - Knee 12,018 17,666 17,666 22,112 22,112 OR1030 Drainage Abscess (Incision & Drainage) 6,072 8,926 8,926 11,172 11,172 OR1032 Excision Head Of Radius 10,120 14,876 14,876 18,621 18,621 OR1033 Excision Of Accessory Navicular 9,614 14,133 14,133 17,690 17,690 OR1034 Excision Of Bone Tumors 10,753 15,806 15,806 19,785 19,785 OR1035 Excision Of Bursa / Bakers Cyst 10,120 14,876 14,876 18,621 18,621 OR1036 Excision Of Fibula 9,488 13,947 13,947 17,457 17,457 OR1037 Excision Of Ganglion 8,602 12,645 12,645 15,828 15,828 OR1038 Excision Of Lower End Ulna 9,488 13,947 13,947 17,457 17,457 OR1039 Fasciotomy - Forearm 9,614 14,133 14,133 17,690 17,690 OR1040 Fasciotomy - Leg 9,614 14,133 14,133 17,690 17,690 OR1041 Hamstring Release 9,614 14,133 14,133 17,690 17,690 OR1042 Ingrowing Toe Nail Excision (Multiple) 6,325 9,298 9,298 11,638 11,638 OR1043 Injection Intra Articular (In OT) 1,518 2,231 2,231 2,793 2,793 OR1044 Injection Intra Articular (Opd/Bedside) 1,265 1,860 1,860 2,328 2,328 OR1045 Joint Aspiration In OT 1,518 2,231 2,231 2,793 2,793 OR1046 K-Wire Fixation Of Single Bones - Foot 8,223 12,087 12,087 15,129 15,129 OR1047 K-Wire fixation Of Single Bones- Hand 8,223 12,087 12,087 15,129 15,129 OR1048 Manipulation Of Joints 4,807 7,066 7,066 8,845 8,845 OR1049 Manipulation Of Joints - Elbow 4,807 7,066 7,066 8,845 8,845 Service OPD/ four Single stay day Two bed Deluxe room VIP Suite Code Service Name bed room OR1050 Manipulation Of Joints - Knee 4,807 7,066 7,066 8,845 8,845 OR1051 Manipulation Of Joints - Shoulder 4,807 7,066 7,066 8,845 8,845 OR1053 Orif Long Bones Of Upper \Lower limb Procedure 18,975 27,893 27,893 34,914 34,914 OR1054 Orif Small Bones (K-Wire) 9,488 13,947 13,947 17,457 17,457 OR1055 Osteomyelitis - Surgical Decompression 12,018 17,666 17,666 22,112 22,112 OR1056 Pelvic Traction 2,024 2,975 2,975 3,724 3,724 OR1057 6,325 9,298 9,298 11,638 11,638 Percutaneous K\ Screw - Wire Fixation Under C- Arm - Minor OR1058 12,018 17,666 17,666 22,112 22,112 Percutaneous K\ Screw - Wire Fixation Under C- Arm Major OR1059 POP Above Elbow Cast Application 3,289 4,835 4,835 6,052 6,052 OR1060 POP Above Elbow Slab Application 2,657 3,905 3,905 4,888 4,888 OR1061 POP Above Knee Cast Application 3,795 5,579 5,579 6,983 6,983 OR1062 POP Above Knee Slab Application 3,289 4,835 4,835 6,052 6,052 POP Application - With Closed Reduction Of Fracture Under OR1063 4,807 7,066 7,066 8,845 8,845 LA OR1064 Major Joint Interposition Arthroplasty 18,975 27,893 27,893 34,914 34,914 OR1065 POP Below Elbow Cast Application 2,024 2,975 2,975 3,724 3,724 OR1066 POP Below Elbow Slab Application 1,392 2,046 2,046 2,560 2,560 OR1067 POP Below Knee Cast Application 2,657 3,905 3,905 4,888 4,888 OR1068 POP Below Knee Slab Application 2,024 2,975 2,975 3,724 3,724 OR1069 POP Hip Spica Application Single 6,072 8,926 8,926 11,172 11,172 OR1070 POP Removal 506 744 744 931 931 OR1071 POP Shoulder Spica Application 6,072 8,926 8,926 11,172 11,172 OR1072 Primary Nerve Repair 10,120 14,876 14,876 18,621 18,621 OR1073 Pulled Elbow Manipulation 835 1,227 1,227 1,536 1,536 OR1074 Readjustment Of Fixator 6,072 8,926 8,926 11,172 11,172 OR1075 Removal Of Exostosis 10,120 14,876 14,876 18,621 18,621 OR1076 Removal Of Fixator 1,898 2,789 2,789 3,491 3,491 OR1077 Removal Of Fixator In OT Under GA 4,807 7,066 7,066 8,845 8,845 OR1078 Removal Of Implants - Long Bones - Upper Limb 10,120 14,876 14,876 18,621 18,621 OR1079 Removal Of Implants - Long Bones Lower Limb 10,120 14,876 14,876 18,621 18,621 OR1080 1,898 2,789 2,789 3,491 3,491 Removal Of K-Wire / Screw Removal/Nail Dynamization OR1081 Secondary Closure Of Wound 4,807 7,066 7,066 8,845 8,845 OR1082 Skeletal Traction 1,898 2,789 2,789 3,491 3,491 OR1083 Skeletal Traction Under GA 4,681 6,880 6,880 8,612 8,612 OR1084 Skin Grafting 10,120 14,876 14,876 18,621 18,621 OR1085 Skull Traction 8,349 12,273 12,273 15,362 15,362 OR1086 Strapping Figure Of 8 Bandages 1,265 1,860 1,860 2,328 2,328 OR1087 Tendon Repair - Foot 9,614 14,133 14,133 17,690 17,690 OR1088 Tendon Repair - Hand 9,614 14,133 14,133 17,690 17,690 OR1089 Trigger Finger Release 4,681 6,880 6,880 8,612 8,612 OR1090 Wound Debridement (Ortho) Minor 1,898 2,789 2,789 3,491 3,491 OR1091 Wound Debridement (Ortho) Major 4,681 6,880 6,880 8,612 8,612 OR1092 Wound Debridement (Ortho) Extensive 7,590 11,157 11,157 13,966 13,966 Major Surgery - OR2001 Acetabular / Pelvic Fixation 29,095 42,770 42,770 53,535 53,535 OR2002 Accetabulum With Hip Dislocation 29,095 42,770 42,770 53,535 53,535 OR2003 Fracture Pelvic Fix Application 18,975 27,893 27,893 34,914 34,914 Acromioplasty - Sub Acromial Decompression & Excision Of OR2004 18,975 27,893 27,893 34,914 34,914 Lateral End Of Clavicle OR2005 All Reconstructions 15,813 23,244 23,244 29,095 29,095 OR2006 Amputation - Fore Quarter 24,035 35,331 35,331 44,224 44,224 OR2007 Amputation - Hind Quarter 29,095 42,770 42,770 53,535 53,535 OR2008 Amputation -AE 15,180 22,315 22,315 27,931 27,931 OR2009 Amputation -AK 15,180 22,315 22,315 27,931 27,931 OR2010 Amputation -BE 12,650 18,596 18,596 23,276 23,276 OR2011 Amputation -BK 12,650 18,596 18,596 23,276 23,276 OR2014 Ao Compression Procedure For Facture Neck Femur 22,770 33,472 33,472 41,897 41,897 OR2015 Arthrodesis Of Major Joints - Hip 26,565 39,051 39,051 48,880 48,880 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room OR2016 Arthrodesis Of Major Joints - Knee 24,035 35,331 35,331 44,224 44,224 OR2017 Arthrodesis Of Major Joints - Pantalar 24,035 35,331 35,331 44,224 44,224 OR2018 Arthrodesis Of Major Joints - Shoulder 24,035 35,331 35,331 44,224 44,224 OR2019 Arthrodesis Of Major Joints Elbow 24,035 35,331 35,331 44,224 44,224 OR2020 Arthrodesis Of Small Joints - Foot 15,180 22,315 22,315 27,931 27,931 OR2021 Arthroscopic Acl Reconstruction 29,095 42,770 42,770 53,535 53,535 OR2022 Arthroscopic Acromioplasty 24,035 35,331 35,331 44,224 44,224 OR2023 Arthroscopic And Osseochondral Fracture/Lesion Fix 24,035 35,331 35,331 44,224 44,224 OR2024 Arthroscopic Excision Of Cyst 18,343 26,963 26,963 33,750 33,750 OR2025 Arthroscopic Joint Debridement 14,548 21,385 21,385 26,767 26,767 OR2026 Arthroscopic Meniscal Repair 30,360 44,629 44,629 55,862 55,862 OR2027 Arthroscopic Menisectomy 17,710 26,034 26,034 32,586 32,586 OR2028 Arthroscopic Pcl Reconstruction 36,053 52,997 52,997 66,337 66,337 OR2029 Arthroscopic Synovectomy Knee 24,035 35,331 35,331 44,224 44,224 OR2030 Arthroscopic Synovectomy Shoulder 24,035 35,331 35,331 44,224 44,224 OR2031 Arthroscopic Synovectomy Wrist 18,343 26,963 26,963 33,750 33,750 OR2032 Arthroscopy - Therapeutic : Without Implant 15,180 22,315 22,315 27,931 27,931 OR2033 Arthroscopy-Therapeutic With Implant 22,770 33,472 33,472 41,897 41,897 OR2034 Arthrotomy Hip 13,915 20,455 20,455 25,604 25,604 OR2035 Arthrotomy Knee 13,915 20,455 20,455 25,604 25,604 OR2036 Arthrotomy Wrist 13,915 20,455 20,455 25,604 25,604 OR2037 Bipolar Arthroplasty 22,770 33,472 33,472 41,897 41,897 OR2038 Bone Grafting For Fracture Non Union 14,548 21,385 21,385 26,767 26,767 OR2039 Change Of Tibial Articular Height 17,710 26,034 26,034 32,586 32,586 OR2040 Closed Nailing Of Long Bones - Humerus 18,975 27,893 27,893 34,914 34,914 OR2041 Closed Nailing Of Long Bones - Tibia/Fibula 18,975 27,893 27,893 34,914 34,914 OR2042 Closed Nailing Of Long Bones - Ulna/Radius 18,975 27,893 27,893 34,914 34,914 OR2043 Closed Nailing Of Long Bones Femur 18,975 27,893 27,893 34,914 34,914 Closed Reduction Percutaneous K Wire And Above Elbow OR2044 13,915 20,455 20,455 25,604 25,604 Cast For Supracondylar Frontine

OR2046 35,420 52,067 52,067 65,173 65,173 Complex Knee Ligament Reconstruction And Stabilisation OR2049 Core Decompression 13,915 20,455 20,455 25,604 25,604 OR2050 Core Decompression/Fibular Sturt Graft 22,770 33,472 33,472 41,897 41,897 OR2052 Corticotomy Plus Bone Peg Fixation 17,710 26,034 26,034 32,586 32,586 OR2054 Cross Finger Flaps 15,813 23,244 23,244 29,095 29,095 OR2055 Ctev (Club Foot) Corrective Bone Surgery 22,770 33,472 33,472 41,897 41,897 OR2056 Curretage Of Tumor And Bone Grafting 20,873 30,683 30,683 38,405 38,405 OR2059 Diagnostic Arthroscopy - Ankle 15,180 22,315 22,315 27,931 27,931 OR2060 Diagnostic Arthroscopy - Hip 17,710 26,034 26,034 32,586 32,586 OR2061 Diagnostic Arthroscopy-Shoulder 15,180 22,315 22,315 27,931 27,931 OR2062 Diagnostic Arthroscopy - Wrist 15,180 22,315 22,315 27,931 27,931 OR2063 Difficult And Complex Fracture Fixation 26,565 39,051 39,051 48,880 48,880 OR2064 Disarticulation - Ankle 14,548 21,385 21,385 26,767 26,767 OR2065 Disarticulation - Elbow 15,180 22,315 22,315 27,931 27,931 OR2066 Disarticulation - Hip 24,035 35,331 35,331 44,224 44,224 OR2068 Excision Of Bone Tumors - Deep 18,975 27,893 27,893 34,914 34,914 OR2069 External Fixator For Fracture Long Bones Upper Limb 14,548 21,385 21,385 26,767 26,767 OR2070 External Fixator For Fracture long Bones Lower Limb 18,975 27,893 27,893 34,914 34,914 OR2071 Fixation Aeromio Cervicular Joint Dislocation 17,710 26,034 26,034 32,586 32,586 OR2072 22,770 33,472 33,472 41,897 41,897 Fixation Of Fracture Around Hip-D.H.S./Cannulated Screw OR2075 Fusion - Sub Talar 24,035 35,331 35,331 44,224 44,224 OR2076 Fusion - Tripple Arthrodesis 27,830 40,910 40,910 51,207 51,207 OR2077 Girdlestone Arthroplasty 15,180 22,315 22,315 27,931 27,931 OR2078 Ilizarov & Complex External Fixator 24,035 35,331 35,331 44,224 44,224 OR2079 Infected Tka First Stage 18,975 27,893 27,893 34,914 34,914 OR2080 Infected Tka Joint Debridement + Poly Exchange 18,975 27,893 27,893 34,914 34,914 OR2081 Infected Tka Second Stage 31,625 46,489 46,489 58,190 58,190 OR2082 Jpatellar Realignment Procedure 18,975 27,893 27,893 34,914 34,914 OR2083 K Wire Fixation Multiple (Foot And Hand) 13,915 20,455 20,455 25,604 25,604 OR2087 Local Flaps 15,180 22,315 22,315 27,931 27,931 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room OR2088 Major Tendon Transfers 18,975 27,893 27,893 34,914 34,914 OR2091 Microvascular Free Flap(Plastic) 35,420 52,067 52,067 65,173 65,173 OR2092 Mosaic Plasty -Knee 29,095 42,770 42,770 53,535 53,535 OR2093 29,095 42,770 42,770 53,535 53,535 Multiple Hand Fracture And Tendon Injuries With Skin Loss OR2094 Multiple Hand Fracture Without Skin Loss 18,975 27,893 27,893 34,914 34,914 OR2095 Nerve Decompression (Ortho) 12,650 18,596 18,596 23,276 23,276 Open Reduction Of Joint Dislocation (Major) OR2096 18,975 27,893 27,893 34,914 34,914 Hip,Elbow,Knee,Shoulder OR2097 Open Reduction Of Joint Dislocation (Minor) 13,915 20,455 20,455 25,604 25,604 Open Reduction With Internal Fixation With Bone Grafting OR2098 22,770 33,472 33,472 41,897 41,897 Major Open Reduction With Internal Fixation With Bone Grafting OR2099 12,650 18,596 18,596 23,276 23,276 Minor OR2100 Open Synovectomy - Wrist 13,915 20,455 20,455 25,604 25,604 OR2101 Open Synovectomy -Knee 13,915 20,455 20,455 25,604 25,604 OR2102 ORIF - Periprosthetic Fractures 25,300 37,191 37,191 46,552 46,552 OR2103 ORIF Bimalleolar Fracture Ankle 18,975 27,893 27,893 34,914 34,914 OR2104 ORIF Both Bone Forearm 22,770 33,472 33,472 41,897 41,897 OR2105 ORIF Fracture Claceneum 18,975 27,893 27,893 34,914 34,914 OR2106 ORIF Fracture Clavicle 17,710 26,034 26,034 32,586 32,586 OR2107 ORIF Fracture Lateral Malleolus 12,650 18,596 18,596 23,276 23,276 OR2108 ORIF Fracture Lower End Radius 18,975 27,893 27,893 34,914 34,914 OR2109 ORIF Fracture Medial Malleolus 12,650 18,596 18,596 23,276 23,276 OR2110 ORIF Fracture Olecranon 15,180 22,315 22,315 27,931 27,931 OR2111 ORIF Fracture Patella 15,180 22,315 22,315 27,931 27,931 OR2112 ORIF Fracture Radial Head 15,180 22,315 22,315 27,931 27,931 OR2113 ORIF Fracture Scaphoid 18,975 27,893 27,893 34,914 34,914 OR2114 ORIF Fracture Supracondylar Humerus 15,180 22,315 22,315 27,931 27,931 OR2115 ORIF Fracture Talus 18,343 26,963 26,963 33,750 33,750 OR2116 ORIF Single Bone Forearm 13,915 20,455 20,455 25,604 25,604 OR2117 Osteotomy - Around Hip 17,710 26,034 26,034 32,586 32,586 OR2118 Osteotomy - Calcaneal 13,915 20,455 20,455 25,604 25,604 OR2119 Osteotomy - French 13,915 20,455 20,455 25,604 25,604 OR2120 Osteotomy - High Tibial 17,710 26,034 26,034 32,586 32,586 OR2121 Paediatric Hip Surgery - Open Reduction Of CDH 29,095 42,770 42,770 53,535 53,535 OR2122 Paediatric Hip Surgery - Perthes/ SCFE/ Open Reduction Of 29,095 42,770 42,770 53,535 53,535 OR2123 Paediatric Hip Surgery - SCFE 29,095 42,770 42,770 53,535 53,535 OR2124 Patella Replacement 17,710 26,034 26,034 32,586 32,586 OR2125 Patellectomy 13,915 20,455 20,455 25,604 25,604 OR2128 Total Joint Replacement - Unilateral - Elbow 30,360 44,629 44,629 55,862 55,862 OR2131 Total Joint Replacement - Unilateral - Wrist 30,360 44,629 44,629 55,862 55,862 OR2132 Total Joint Replacement Unilateral - Ankle 30,360 44,629 44,629 55,862 55,862 OR2133 Total Joint Replacement-Unilateral - Shoulder 30,360 44,629 44,629 55,862 55,862 OR2134 Total Joint Replacement - Bilateral - Elbow 55,660 81,820 81,820 102,414 102,414 OR2137 Total Joint Replacement - Bilateral - Wrist 55,660 81,820 81,820 102,414 102,414 OR2138 Total Joint Replacement Bilateral - Ankle 55,660 81,820 81,820 102,414 102,414 OR2139 Total Joint Replacement-Bilateral - Shoulder 55,660 81,820 81,820 102,414 102,414 OR2140 Quadriceps Plasty Without Arthroscopy 17,963 26,406 26,406 33,052 33,052 OR2141 Recurrent Dislocation Patella Stabilization - (Open Method) 18,975 27,893 27,893 34,914 34,914 OR2142 Recurrent Dislocation Stabilization - Shoulder/Elbow 29,095 42,770 42,770 53,535 53,535 OR2143 Recurrent Dislocation Stabilization - Shoulder/Elbow (Open 22,770 33,472 33,472 41,897 41,897 OR2144 Removal Of Cyst/ Loose Body From Knee 17,710 26,034 26,034 32,586 32,586 OR2145 Removal Of Fracture Fragment - Hip 18,975 27,893 27,893 34,914 34,914 OR2146 Repair Of Multiple Tendons Of Hand 18,975 27,893 27,893 34,914 34,914 OR2147 Resurface Hip Arthroplasty Unilateral 37,950 55,787 55,787 69,828 69,828 OR2148 Revision THR (One Stage) 37,950 55,787 55,787 69,828 69,828 OR2149 Revision TKR (One Stage) 37,950 55,787 55,787 69,828 69,828 OR2150 Rotation Flaps 17,710 26,034 26,034 32,586 32,586 OR2151 Rotator Cuff Repair - Open With Sub Acromial 18,975 27,893 27,893 34,914 34,914 OR2153 Sequestractomy & Saucerization - Arthrotomy 13,915 20,455 20,455 25,604 25,604 OR2154 Shoulder Arthroscopy. Rotator Cuff Repair 35,420 52,067 52,067 65,173 65,173 OR2155 Single Nerve Repair - Major Nerve 15,180 22,315 22,315 27,931 27,931 OR2156 Single Tendon Grafting 13,915 20,455 20,455 25,604 25,604 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room OR2157 Small Joint Replacement 18,975 27,893 27,893 34,914 34,914 OR2158 Soft Tissue Operation of Joints -Large 22,138 32,542 32,542 40,733 40,733 OR2163 Cavitatory Tumor Resection & Graft 21,505 31,612 31,612 39,569 39,569 OR2164 Unicompartment Knee Replacement - Unilateral 29,095 42,770 42,770 53,535 53,535 OR2165 Vascular Repair Artery & Vien 22,770 33,472 33,472 41,897 41,897 OR2166 Vascular Repair With Vien Grafts 30,360 44,629 44,629 55,862 55,862 OR2167 Large Tumor Resection With Mega Prosthetic Replacement 44,275 65,084 65,084 81,466 81,466 OR2168 Large Tumor Resection With Mega Prosthetic 50,600 74,382 74,382 93,104 93,104 OR2169 ORIF complex fracture upper limb 18,975 27,893 27,893 34,914 34,914 OR2170 ORIF complex fracture Lower limb 22,770 33,472 33,472 41,897 41,897

PAIN CLINIC Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room PC1001 Epidural Steroid Injection/Arterial Line 5,693 8,368 8,368 10,474 10,474 PC1002 Intracostal Block For Pain Relief 1,581 2,324 2,324 2,910 2,910 PC1003 Peripheral Nerve Block 2,530 3,719 3,719 4,655 4,655 PC1004 Re Injection Of Trigeminal N Within Seven Days 1,265 1,860 1,860 2,328 2,328 PC1005 Stellate Ganglion Block 1,581 2,324 2,324 2,910 2,910 PC1006 Trigeminal N 12,650 18,596 18,596 23,276 23,276 PAEDIATRIC Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room Investigation PD1001 ABG Sampling 759 1,116 1,116 1,397 1,397 PD1002 Oto Acountic Emission 1,012 1,488 1,488 1,862 1,862 PAEDIATRIC PROCEDURES - PD2001 Abscess Incision & Drainage Large 5,060 7,438 7,438 9,310 9,310 PD2002 Arterial Line 3,795 5,579 5,579 6,983 6,983 PD2003 Cpap Procedure Charges 1,898 2,789 2,789 3,491 3,491 PD2004 Cvp Line 3,795 5,579 5,579 6,983 6,983 PD2005 Et Intubation 1,518 2,231 2,231 2,793 2,793 PD2006 Exchange Transfusion With Total Double Volume 9,488 13,947 13,947 17,457 17,457 PD2007 Foetal Monitoring CTG 961 1,413 1,413 1,769 1,769 PD2008 Initiation Of Ventilation (One Time Charge) 3,795 5,579 5,579 6,983 6,983 PD2009 Nasotracheal Et Intubation 1,518 2,231 2,231 2,793 2,793 PD2010 Neonatal Attendence At Delivery 3,025 4,447 4,447 5,566 5,566 PD2011 Pain Relief & IU Section 2,530 3,719 3,719 4,655 4,655 PD2012 Partial Exchange Transfusion 4,428 6,508 6,508 8,147 8,147 PD2013 Rt Insertion 949 1,395 1,395 1,746 1,746 PD2014 Surfectant Therapy 4,428 6,508 6,508 8,147 8,147 PD2015 Umblical Arterial/Venous Catherization 3,163 4,649 4,649 5,819 5,819 PD2016 Phototherapy 1,139 1,674 1,674 2,095 2,095 PAEDIATRIC SURGERY - PD3001 Abdominoperineal Pull Through (Duhamels) 17,710 26,034 26,034 32,586 32,586 PD3002 Abscess Incision & Drainage 2,657 3,905 3,905 4,888 4,888 PD3003 Anal Dilatation 2,530 3,719 3,719 4,655 4,655 PD3004 Anal Transposition For Ectopic Anus 8,476 12,459 12,459 15,595 15,595 PD3005 Antireflux Surgery (Fundoplication) 17,710 26,034 26,034 32,586 32,586 PD3006 Appendicetomy 9,867 14,504 14,504 18,155 18,155 PD3007 Biliary Atresia (Asais Portoenterostomy) 24,668 36,261 36,261 45,388 45,388 PD3008 Biopsy Rectal 3,669 5,393 5,393 6,750 6,750 PD3009 Bladder Exostrophy Repair (Bladder Turn In) 24,668 36,261 36,261 45,388 45,388 PD3010 Bladder Exostrophy Repair Complete Repair 27,198 39,980 39,980 50,043 50,043 PD3011 Branchial Fistula 12,397 18,224 18,224 22,810 22,810 PD3012 Bronchoscopy With Foreign Body Removal 7,590 11,157 11,157 13,966 13,966 PD3013 Choledochal Cyst Excision 24,668 36,261 36,261 45,388 45,388 PD3014 Chordee Correction 8,476 12,459 12,459 15,595 15,595 PD3015 Circumcision 5,693 8,368 8,368 10,474 10,474 PD3016 Cleft Lip Repair 13,915 20,455 20,455 25,604 25,604 PD3017 Cleft Palate Repair (Complete Cleft) 13,915 20,455 20,455 25,604 25,604 PD3018 Cleft Palate Repair (Incomplete Cleft) 16,445 24,174 24,174 30,259 30,259 PD3019 Clitorovaginoplasty (Feminizing Genitoplasty) 27,198 39,980 39,980 50,043 50,043 PD3020 Colostomy & Multiple Colonic Biopsies 13,915 20,455 20,455 25,604 25,604 PD3021 Colostomy 15,180 22,315 22,315 27,931 27,931 PD3022 Colostomy Closure 10,753 15,806 15,806 19,785 19,785 PD3023 Congenital Diaphragmatic Hernia 27,198 39,980 39,980 50,043 50,043 PD3024 Cystolithotomy 8,223 12,087 12,087 15,129 15,129 PD3025 Cystoscopic Fulguration Of Posterior Urethral Valves 13,915 20,455 20,455 25,604 25,604 PD3026 Dep Seated Abscess Drainage 6,072 8,926 8,926 11,172 11,172 PD3027 Diaphragm Eventeration Repair 20,240 29,753 29,753 37,242 37,242 PD3028 Epispadias Repair 13,915 20,455 20,455 25,604 25,604 PD3029 Esophageal Atresia With Tef (Primary Repair) 27,198 39,980 39,980 50,043 50,043 PD3030 Esophageal Replacement Surgery (Gastric Pull -Up) 27,198 39,980 39,980 50,043 50,043 PD3031 Esophagostomy & Gastrotomy 12,144 17,852 17,852 22,345 22,345 PD3032 Excision Cyst / Tumour Benign Small 4,807 7,066 7,066 8,845 8,845 PD3033 Excision Of Tumor 6,072 8,926 8,926 11,172 11,172 PD3034 Excision Scrococcygeal Teratoma 20,240 29,753 29,753 37,242 37,242 PD3035 Excision Wide Rhabdomyosarcoma 20,240 29,753 29,753 37,242 37,242 PD3036 Exomphalos 24,668 36,261 36,261 45,388 45,388 PD3037 Gastroschisis Repair 24,668 36,261 36,261 45,388 45,388 PD3038 Gastrostomy 8,223 12,087 12,087 15,129 15,129 PD3039 Hemicolectomy Unilateral 10,120 14,876 14,876 18,621 18,621 PD3040 Hemi-Nephroureterectomy 21,505 31,612 31,612 39,569 39,569 PD3041 Hernia Epigastric 9,614 14,133 14,133 17,690 17,690 PD3042 Hernia Inguinal Bilateral 13,915 20,455 20,455 25,604 25,604 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room PD3043 Hernia Inguinal unilateral 10,120 14,876 14,876 18,621 18,621 PD3044 Hernia Umbilical 9,614 14,133 14,133 17,690 17,690 PD3045 Intussusception Reduction 12,397 18,224 18,224 22,810 22,810 PD3046 Laparotomy 9,614 14,133 14,133 17,690 17,690 PD3048 Liver Hydatid 18,343 26,963 26,963 33,750 33,750 PD3049 Lymph Node Biopsy 6,072 8,926 8,926 11,172 11,172 PD3050 Malrotation Of Intestine 12,144 17,852 17,852 22,345 22,345 PD3051 Meatotomy 2,530 3,719 3,719 4,655 4,655 PD3052 Meckels Diverticulectomy 11,006 16,178 16,178 20,250 20,250 PD3053 Neonatal Intestinal Atresia 16,192 23,802 23,802 29,793 29,793 PD3054 Nephrectomy / Nephroureterectomy 16,192 23,802 23,802 29,793 29,793 PD3055 Nephrostomy Open 15,180 22,315 22,315 27,931 27,931 PD3056 Nephrostomy Percutaneous 6,452 9,484 9,484 11,871 11,871 PD3057 Orchidopexy Bilateral 14,548 21,385 21,385 26,767 26,767 PD3058 Orchidopexy Unilateral 10,120 14,876 14,876 18,621 18,621 PD3059 Ovarian Cystectomy 13,915 20,455 20,455 25,604 25,604 PD3060 Pediatric Bronchoscopy - Diagnostic 10,120 14,876 14,876 18,621 18,621 PD3061 Pediatric Bronchoscopy - Removal Of Foreign Body 12,650 18,596 18,596 23,276 23,276 PD3062 Posterior Sagittal Anorctoplasty 26,565 39,051 39,051 48,880 48,880 PD3063 Prepucial Adhesions Deduction 2,214 3,254 3,254 4,073 4,073 PD3064 Pulmonary Hydatid 20,240 29,753 29,753 37,242 37,242 PD3065 Pyelolithotomy 11,132 16,364 16,364 20,483 20,483 PD3066 Pyeloplasty 15,939 23,430 23,430 29,328 29,328 PD3067 Pyloric Stenosis (Pyloromyotomy) 11,006 16,178 16,178 20,250 20,250 PD3068 Rectal Polyp 6,072 8,926 8,926 11,172 11,172 PD3069 Rescetion & Anastamosis Of Intestine 13,915 20,455 20,455 25,604 25,604 PD3070 Rigid Bronchoscopy (Paed) 7,590 11,157 11,157 13,966 13,966 PD3071 Spina Bifida Repair (Large) 17,457 25,662 25,662 32,121 32,121 PD3072 Spina Bifida Repair (Small) 13,915 20,455 20,455 25,604 25,604 PD3073 Splenectomy 13,915 20,455 20,455 25,604 25,604 PD3074 Suprapubic Cystostomy 8,223 12,087 12,087 15,129 15,129 PD3075 Syndactyly Release 13,915 20,455 20,455 25,604 25,604 PD3076 Thoracotomy & Cyst Excision 20,240 29,753 29,753 37,242 37,242 PD3077 Thoracotomy & Decortication 16,445 24,174 24,174 30,259 30,259 PD3078 Thoracotomy Lobectomy 20,240 29,753 29,753 37,242 37,242 PD3079 Throcotomy Pneumonectomy 27,198 39,980 39,980 50,043 50,043 PD3080 Thyroglossal Cyst 10,753 15,806 15,806 19,785 19,785 PD3081 Torsion Testis 9,488 13,947 13,947 17,457 17,457 PD3082 Torticollis Release 12,397 18,224 18,224 22,810 22,810 PD3083 Ureteric Reimplantation - Bilateral 24,668 36,261 36,261 45,388 45,388 PD3084 Ureteric Reimplantation - Unilateral 16,445 24,174 24,174 30,259 30,259 PD3085 Ureterostomy Bilateral 13,915 20,455 20,455 25,604 25,604 PD3086 Ureterostomy Unilateral 10,753 15,806 15,806 19,785 19,785 PD3087 Urethral Dilatation 2,530 3,719 3,719 4,655 4,655 PD3088 Urethral Fistula Repair 16,445 24,174 24,174 30,259 30,259 PD3089 Urethroplasty Second stage Correction 20,240 29,753 29,753 37,242 37,242 PD3090 Urethroplasty Single Stage Distal Hypospadias 20,240 29,753 29,753 37,242 37,242 PD3091 Urethroplasty Single Stage Mid/Pros Hypospadias 24,668 36,261 36,261 45,388 45,388 PD3092 Ventriculo - Peritoneal Shunt Placement 13,915 20,455 20,455 25,604 25,604 PD3093 Vesicostomy 10,753 15,806 15,806 19,785 19,785 PD3094 Vilms Tumour / Neuroblastoma Excision 21,505 31,612 31,612 39,569 39,569 PHYSIOTHERAPY Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room PT1001 Antenatal Classes 1,210 1,780 1,780 2,230 2,230 PT1002 Combination Therapy Upto Two Modalities 460 680 680 850 850 PT1003 Combination Therapy Upto Three Modalities 670 980 980 1,230 1,230 PT1004 Combination Therapy Upto Five Modalities 1,090 1,600 1,600 2,010 2,010 PT1005 Combination Therapy Upto Four Modalities 850 1,250 1,250 1,560 1,560 PT1006 Continous Passive Mobilizer 240 350 350 440 440 PT1007 Exercise Thetrapy+ Chest Therapy 240 350 350 440 440 PT1008 Exercises Teaching 240 350 350 440 440 PT1009 Exercises Therapy Upto 15 Min 360 530 530 660 660 PT1010 Exercises Therapy Up To 30 Mins 480 710 710 880 880 PT1011 Exercises Therapy Up To 45 Mins 540 790 790 990 990 PT1012 Gym Charges Three Months 3,030 4,450 4,450 5,580 5,580 PT1013 Gym Charges One Month 1,210 1,780 1,780 2,230 2,230 PT1014 Gym Charges One Year 9,080 13,350 13,350 16,710 16,710 PT1015 Hot/Cold Packs 240 350 350 440 440 PT1016 Interferential Therapy 240 350 350 440 440 PT1017 Isokinetics 240 350 350 440 440 PT1018 Laser Unit/ Biofeed Back 270 400 400 500 500 PT1019 Muscle Stimulator 240 350 350 440 440 PT1020 Paraffin Wax Bath 240 350 350 440 440 PT1021 Physiotherapy At Home (10 Visits) 7,260 10,670 10,670 13,360 13,360 PT1022 Physiotherapy At Home (20 Visits) 12,100 17,790 17,790 22,260 22,260 PT1023 Physiotherapy At Home (30 Visits) 18,150 26,680 26,680 33,400 33,400 PT1024 Physiotherapy Charges 240 350 350 440 440 PT1025 Physiotherapy Consult 360 530 530 660 660 PT1026 Physiotherapy Emergency Visit 730 1,070 1,070 1,340 1,340 PT1027 Physiotherapy Neuro Surgery 730 1,070 1,070 1,340 1,340 PT1028 Post Natal Exercises 360 530 530 660 660 PT1029 Pre Natal Exercises 360 530 530 660 660 PT1030 Short Wave Diathermy 240 350 350 440 440 PT1031 Tens/Muscle Stimulation 240 350 350 440 440 PT1032 Traction 240 350 350 440 440 PT1033 Ultra Violet LR 240 350 350 440 440 PT1034 Ultrasound 240 350 350 440 440 PT1035 Vaccum Therapy 330 490 490 610 610 PLASTIC SURGERY Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room Minor Surgery/Procedure PS1001 Alar Adjustment (Nose) Both 9,900 14,553 14,553 18,216 18,216 PS1002 Alar Adjustment (Nose) Single 8,415 12,370 12,370 15,484 15,484 PS1003 Alveolar fracture- closed reduction 7,920 11,642 11,642 14,573 14,573 PS1004 Alveolar fracture- open reduction 11,880 17,464 17,464 21,859 21,859 PS1005 Arch bar application 11,756 17,282 17,282 21,632 21,632 PS1006 Arch Bar Removal 3,094 4,548 4,548 5,693 5,693 PS1007 Arthrodesis of hand & foot bone(s) 11,880 17,464 17,464 21,859 21,859 PS1008 Arthroscopic median nerve decompression 9,653 14,189 14,189 17,761 17,761 PS1009 Blepharoplasty upper /lower lid for ectropion (single eye) 9,653 14,189 14,189 17,761 17,761 PS1011 Botox per unit (cost of botox additional) 149 218 218 273 273 PS1012 Burn Dressing (Large ) 9,281 13,643 13,643 17,078 17,078 PS1013 Burn Dressing (Medium ) 4,331 6,367 6,367 7,970 7,970 PS1014 Burn Dressing (small ) 2,228 3,274 3,274 4,099 4,099 PS1015 Burn Grafting Small 9,900 14,553 14,553 18,216 18,216 PS1016 Chemical peel of face 2,475 3,638 3,638 4,554 4,554 PS1017 Chordee correction 11,138 16,372 16,372 20,493 20,493 PS1018 Circumcision Hypospadias repair 9,776 14,371 14,371 17,988 17,988 PS1019 Closed reduction of fracture scaphoid 11,138 16,372 16,372 20,493 20,493 PS1020 Contracture release for camptodactyly single finger 11,880 17,464 17,464 21,859 21,859 PS1021 Correction of simple bifid thumb/ finger 9,653 14,189 14,189 17,761 17,761 PS1022 Correction of simple bifid toe 9,653 14,189 14,189 17,761 17,761 PS1023 Cubital tunnel release 9,653 14,189 14,189 17,761 17,761 PS1024 Debridement Extensive 11,880 17,464 17,464 21,859 21,859 PS1025 Debridement Foot and ankle 7,673 11,279 11,279 14,117 14,117 PS1026 Debridement for hand injuries 7,920 11,642 11,642 14,573 14,573 PS1027 Debridement Large 7,549 11,097 11,097 13,890 13,890 PS1028 Debridement Small 5,198 7,640 7,640 9,563 9,563 PS1029 Debridement Thigh and knee 7,673 11,279 11,279 14,117 14,117 PS1030 Delay of flap 4,950 7,277 7,277 9,108 9,108 PS1031 Dermabraison post-injury 9,653 14,189 14,189 17,761 17,761 PS1032 Dermabrasion partial face 11,880 17,464 17,464 21,859 21,859 PS1033 Dermofat graft-large 11,385 16,736 16,736 20,948 20,948 PS1034 Dermofat graft-small 9,653 14,189 14,189 17,761 17,761 PS1035 Distractor/ jess application for fracture proximal phalynx 11,880 17,464 17,464 21,859 21,859 PS1036 Distractor/jess application for metacarpal fracture 11,880 17,464 17,464 21,859 21,859 PS1037 Dorsal slit of prepuce 4,950 7,277 7,277 9,108 9,108 PS1038 Drainage of subungual haematoma 4,950 7,277 7,277 9,108 9,108 PS1039 Dressing in OT- major 6,806 10,005 10,005 12,524 12,524 PS1040 Dressing in OT-minor/suture removal 2,042 3,002 3,002 3,757 3,757 PS1041 Dressing In Ward /OPD (Large) 2,042 3,002 3,002 3,757 3,757 PS1042 Dressing In Ward /OPD (Medium) 1,238 1,819 1,819 2,277 2,277 PS1043 Dressing In Ward /OPD (Small) 619 910 910 1,139 1,139 PS1044 Ear Lobule Repair Single 3,713 5,457 5,457 6,831 6,831 PS1045 Ear Lobule Repair Both Sides 5,569 8,186 8,186 10,247 10,247 PS1046 Epicanthus correction 11,880 17,464 17,464 21,859 21,859 PS1047 Exc of carbuncle 9,653 14,189 14,189 17,761 17,761 PS1048 Exc of extra digit (Excluding thumb) 9,653 14,189 14,189 17,761 17,761 PS1049 Exc of extremity lesion+z-plasty of other adjacent tissue tran 11,880 17,464 17,464 21,859 21,859 PS1050 Exc of ganglion 9,653 14,189 14,189 17,761 17,761 PS1051 Exc of hand/foot lesion + z-plasty/other adjacent tissue tran 8,663 12,734 12,734 15,939 15,939 PS1052 Exc of head & neck lesion + z-plasty/other adjacent tissue 9,653 14,189 14,189 17,761 17,761 PS1053 Exc of multiple cysts 11,880 17,464 17,464 21,859 21,859 PS1054 Exc of pilonidal sinus + out primary CLSR 11,880 17,464 17,464 21,859 21,859 PS1055 Exc of scalp lesion + z-plasty/other adjacent tissue tran 10,519 15,463 15,463 19,355 19,355 PS1056 Exc of skin lesion- face (less than 2cm) 9,653 14,189 14,189 17,761 17,761 PS1057 Exc of trunk lesion + z-plasty/other adjacent tissue tran 11,880 17,464 17,464 21,859 21,859 PS1058 Excision Of Mole/Cyst 5,569 8,186 8,186 10,247 10,247 PS1059 Expander inflation 743 1,091 1,091 1,366 1,366 PS1060 Expander insertion > 3 (for additional per expander) 3,094 4,548 4,548 5,693 5,693 PS1061 Eyelid Wedge Resection & Reconstruction 11,880 17,464 17,464 21,859 21,859 PS1062 Face Scar Simple 11,756 17,282 17,282 21,632 21,632 PS1063 Facial Bones Close Fracture Nose 9,900 14,553 14,553 18,216 18,216 PS1064 Facial Bones Mandible Fracture Closed Reduction 11,880 17,464 17,464 21,859 21,859 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room PS1065 Filler / area (excluding cost) 4,950 7,277 7,277 9,108 9,108 PS1066 Flap insetting (small) 7,054 10,369 10,369 12,979 12,979 PS1067 Groin /abdominal flap cover for hand injurie-small (Sl fl) 11,880 17,464 17,464 21,859 21,859 PS1068 Hair transplant (per graft) 44 65 65 81 81 PS1069 Hand Surgery - Nail Bed Injury - One Finger 9,281 13,643 13,643 17,078 17,078 PS1070 Hand Surgery Repair & Graft 8,663 12,734 12,734 15,939 15,939 PS1071 Head and neck repair-simple 8,663 12,734 12,734 15,939 15,939 PS1072 Hemangioma (Excision Small) 11,138 16,372 16,372 20,493 20,493 PS1073 Intralesional injection (in OT) 2,846 4,184 4,184 5,237 5,237 PS1074 Jaw cyst Exc- simple/unilocular 9,653 14,189 14,189 17,761 17,761 PS1075 Kenacort injection 743 1,091 1,091 1,366 1,366 PS1076 K-wire fixation for fracture distal phalynx 9,653 14,189 14,189 17,761 17,761 PS1077 K-wire fixation for fracture middle phalynx 9,653 14,189 14,189 17,761 17,761 PS1078 K-wire fixation for fracture proximal phalynx 9,653 14,189 14,189 17,761 17,761 PS1079 K-wire fixation for metacarpal fracture 11,880 17,464 17,464 21,859 21,859 PS1080 K-wire fixation of fracture scaphoid 11,880 17,464 17,464 21,859 21,859 PS1081 Labial fold excision 11,880 17,464 17,464 21,859 21,859 PS1082 Lacerated Wound (Other Than Face And Finger) Large 11,880 17,464 17,464 21,859 21,859 PS1083 Lacerated Wound Face Simple very large 8,663 12,734 12,734 15,939 15,939 PS1084 Lacerated Wound Face Simple Large 7,549 11,097 11,097 13,890 13,890 PS1085 Lacerated Wound Face Simple Medium 4,579 6,731 6,731 8,425 8,425 PS1086 Lacerated Wound Face Simple Small 3,094 4,548 4,548 5,693 5,693 PS1087 Lacerated Wound Finger Simple Small 2,475 3,638 3,638 4,554 4,554 PS1088 Lacerated Wound Finger Single Large 5,259 7,731 7,731 9,677 9,677 PS1089 Lid entropion correction- both eyes 9,653 14,189 14,189 17,761 17,761 PS1090 Lid entropion correction- single eye 7,920 11,642 11,642 14,573 14,573 PS1091 Local head and neck flap- small 11,880 17,464 17,464 21,859 21,859 PS1092 Local transposition flap- small 9,653 14,189 14,189 17,761 17,761 PS1093 Midline etching 9,653 14,189 14,189 17,761 17,761 PS1094 MRI JOINT extra ARTHROGRAPHY 11,880 17,464 17,464 21,859 21,859 PS1096 Nasal bone fracture- closed reduction + out manipulation 7,920 11,642 11,642 14,573 14,573 PS1097 Nasal pack removal 1,980 2,911 2,911 3,643 3,643 PS1098 Naso-maxillary fracture (lefort ii)- closed reduction 9,653 14,189 14,189 17,761 17,761 PS1099 Nerve biopsy 4,950 7,277 7,277 9,108 9,108 PS1100 Percutaneous reduction of malar fracture 10,519 15,463 15,463 19,355 19,355 PS1101 Pressure Sore Skin Graft Only 9,900 14,553 14,553 18,216 18,216 PS1102 Radial club hand- distractor/external fixator application 11,880 17,464 17,464 21,859 21,859 PS1103 Radiofrequency ablation Additional moles 965 1,419 1,419 1,776 1,776 PS1104 Radiofrequency ablation Two moles 5,569 8,186 8,186 10,247 10,247 PS1105 Reconstructive rhinoplasty -forehead flap (stage 2 of 2 ) 11,880 17,464 17,464 21,859 21,859 PS1106 Reimplantation each additional finger (after two fingers) 9,653 14,189 14,189 17,761 17,761 PS1107 Removal Of Implants (Mandible) 8,044 11,824 11,824 14,801 14,801 PS1108 Repair of lid coloboma 9,653 14,189 14,189 17,761 17,761 PS1109 Screw fixation of fracture scaphoid 11,880 17,464 17,464 21,859 21,859 PS1110 Shortening and CLSR of finger stump 9,653 14,189 14,189 17,761 17,761 PS1111 Skin graft for head and neck-small 9,653 14,189 14,189 17,761 17,761 PS1112 Skin grafting -minor 8,044 11,824 11,824 14,801 14,801 PS1113 Small multiple lacerations 7,920 11,642 11,642 14,573 14,573 PS1114 Tarsorrhaphy 2,846 4,184 4,184 5,237 5,237 PS1115 Tarsorrhaphy release 965 1,419 1,419 1,776 1,776 PS1116 Tendon transfer for polio 10,519 15,463 15,463 19,355 19,355 PS1117 Tendon transfer for median nerve injuries (opponensplasty) 9,653 14,189 14,189 17,761 17,761 PS1118 Tendon transfer for radial nerve injuries - single 9,653 14,189 14,189 17,761 17,761 PS1119 Tenolysis of flexor/ extensor tendons- single 9,653 14,189 14,189 17,761 17,761 PS1120 Tm joint dislocation- closed reduction 11,880 17,464 17,464 21,859 21,859 PS1121 Trigger finger release 7,920 11,642 11,642 14,573 14,573 PS1122 V-y flap cover of amputation stump 11,880 17,464 17,464 21,859 21,859 PS1123 Zimmer splint application for one finger 9,653 14,189 14,189 17,761 17,761 PS1124 Botox Injection (50 Units) 2750 4,043 4,043 5,060 5,060 PS1125 Botox Injection (100 Units) 5500 8,085 8,085 10,120 10,120 PS1126 Filler 0.5 Ml 2750 4,043 4,043 5,060 5,060 PS1127 Avulsed Facial Wound (Small) 6600 9,702 9,702 12,144 12,144 PS1128 Avulsed Facial Wound (Medium) 11000 16,170 16,170 20,240 20,240 PS1129 Avulsed Facial Wound (Large) 13750 20,213 20,213 25,300 25,300 PS1130 Complex Wound Management (Cat A) 550 809 809 1,012 1,012 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room PS1131 Complex Wound Management (Cat B) 1100 1,617 1,617 2,024 2,024 PS1132 Complex Wound Management (Cat C) 1650 2,426 2,426 3,036 3,036 PS1133 Complex Wound Management (Cat D) 2750 4,043 4,043 5,060 5,060 PS1134 Complex Wound Management (Cat E) 4950 7,277 7,277 9,108 9,108 PS1135 Complex Wound Management (Cat F) 7150 10,511 10,511 13,156 13,156 PS1136 Complex Wound Management (Cat G) 8800 12,936 12,936 16,192 16,192 PS1137 Complex Wound Management (Cat H) 11000 16,170 16,170 20,240 20,240 Major Surgery - PS2001 Abdominoplasty 24,750 36,383 36,383 45,540 45,540 PS2002 Abdominoplasty + limited incision 18,563 27,287 27,287 34,155 34,155 PS2003 Abdominoplasty with liposuction 28,463 41,840 41,840 52,371 52,371 PS2004 Alt perforator free flap 38,363 56,393 56,393 70,587 70,587 PS2005 Alveolar bone gr 17,325 25,468 25,468 31,878 31,878 PS2006 Ao plating for fracture distal phalynx 12,375 18,191 18,191 22,770 22,770 PS2007 Ao plating for fracture middle phalynx 12,375 18,191 18,191 22,770 22,770 PS2008 Ao plating for fracture proximal phalynx 12,375 18,191 18,191 22,770 22,770 PS2009 Ao plating for metacarpal fracture 12,375 18,191 18,191 22,770 22,770 PS2010 Augmentation phalloplasty free flap 48,263 70,946 70,946 88,803 88,803 PS2011 AV Fistula High 17,325 25,468 25,468 31,878 31,878 PS2012 AV Fistula Low 12,375 18,191 18,191 22,770 22,770 PS2013 B/L sagittal split osteotomy-advancement 34,650 50,936 50,936 63,756 63,756 PS2014 B/L sagittal split osteotomy-setback 34,650 50,936 50,936 63,756 63,756 PS2015 Baggy Eyelids Bilateral 23,513 34,563 34,563 43,263 43,263 PS2016 Baggy Eyelids Unilateral 18,563 27,287 27,287 34,155 34,155 PS2017 Belt lipectomy 34,650 50,936 50,936 63,756 63,756 PS2018 Blepharoplasty upper lid 17,325 25,468 25,468 31,878 31,878 PS2019 Blepharoplasty upper lid for ectropion (both eyes) 13,613 20,010 20,010 25,047 25,047 PS2020 Blepharpplasty lower lid for entropion (both eyes) 13,613 20,010 20,010 25,047 25,047 PS2021 Brachial plexus exploration & nerve transfer/neurotization 23,513 34,563 34,563 43,263 43,263 PS2022 Brachial plexus exploration + nerve gr 38,363 56,393 56,393 70,587 70,587 PS2023 Brachial plexus exploration and nerve repair 23,513 34,563 34,563 43,263 43,263 PS2024 Brachial plexus repair- neurolysis 23,513 34,563 34,563 43,263 43,263 PS2025 Brachioplasty / arm lift 21,038 30,925 30,925 38,709 38,709 PS2026 Breast augmentation 23,513 34,563 34,563 43,263 43,263 PS2027 Breast augmentation -dual plane 25,988 38,202 38,202 47,817 47,817 PS2028 Brow/ forehead lift 18,563 27,287 27,287 34,155 34,155 PS2029 Burn Grafting Extensive 28,463 41,840 41,840 52,371 52,371 PS2030 Burn Grafting large 24,750 36,383 36,383 45,540 45,540 PS2031 Burn Grafting medium 14,850 21,830 21,830 27,324 27,324 PS2032 Burns contracture release- multiple fingers/ extensive 23,513 34,563 34,563 43,263 43,263 PS2033 Burns contracture release-one finger/toe/minor 13,613 20,010 20,010 25,047 25,047 PS2034 Burns contracture release-two fingers/toes/medium 18,563 27,287 27,287 34,155 34,155 PS2035 Buttock implant 21,038 30,925 30,925 38,709 38,709 PS2036 Button hole deformity correction - multiple fingers 23,513 34,563 34,563 43,263 43,263 PS2037 Button hole deformity correction- two fingers 21,038 30,925 30,925 38,709 38,709 PS2038 Button hole deformity correction-single finger 17,325 25,468 25,468 31,878 31,878 PS2039 Calf implant 18,563 27,287 27,287 34,155 34,155 PS2040 Carpal tunnel release operation + guyons canal release 13,613 20,010 20,010 25,047 25,047 PS2041 Carpal tunnel release operation + opponensplasty 23,513 34,563 34,563 43,263 43,263 PS2042 Carpal tunnel release operation + synovectomy 21,038 30,925 30,925 38,709 38,709 PS2043 Centralisation of chin 17,325 25,468 25,468 31,878 31,878 PS2044 Chin augmentation- multiple sliding osteotomies 13,613 20,010 20,010 25,047 25,047 PS2045 Chin augmentation- osteotomy + bone graft 21,038 30,925 30,925 38,709 38,709 PS2046 Chin augmentation- prosthetic/allograft 17,325 25,468 25,468 31,878 31,878 PS2047 Chin augmentation- single sliding osteotomy 18,563 27,287 27,287 34,155 34,155 PS2048 Chin reduction 21,038 30,925 30,925 38,709 38,709 PS2049 Cleft lip + anterior palate repair B/L 24,750 36,383 36,383 45,540 45,540 PS2050 Cleft lip + anterior palate repair U/L 21,038 30,925 30,925 38,709 38,709 PS2051 Cleft Lip Bilateral (Complete) (Plastic) 22,275 32,744 32,744 40,986 40,986 PS2052 Cleft Lip Bilateral (Incomplete) (Plastic) 17,325 25,468 25,468 31,878 31,878 PS2053 Cleft Lip Unilateral (Complete) (Plastic) 17,325 25,468 25,468 31,878 31,878 PS2054 Cleft Lip Unilateral (Incomplete) (Plastic) 15,469 22,739 22,739 28,463 28,463 PS2055 Cleft Palate (Complete) (Plastic) 18,563 27,287 27,287 34,155 34,155 PS2056 Cleft Palate (Soft Palate) (Plastic) 17,325 25,468 25,468 31,878 31,878 PS2057 Cleft Palate Fistula (Plastic Surg) 19,800 29,106 29,106 36,432 36,432 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room PS2058 Closed aesthetic rhinoplasty 18,563 27,287 27,287 34,155 34,155 PS2059 Coccygeal Bdsr Exc + flap CLSR 21,038 30,925 30,925 38,709 38,709 PS2060 Coccygeal Bdsr Exc + primary CLSR 17,325 25,468 25,468 31,878 31,878 PS2061 Composite graft (medium) 18,563 27,287 27,287 34,155 34,155 PS2062 Composite Graft (Large) 19,800 29,106 29,106 36,432 36,432 PS2063 Composite graft (small) 15,469 22,739 22,739 28,463 28,463 PS2064 Contracture release for camptodactyly multiple fingers 21,656 31,835 31,835 39,848 39,848 PS2065 Contracture release of camptodactyly two fingers 13,613 20,010 20,010 25,047 25,047 PS2066 Contracture release of lips 17,325 25,468 25,468 31,878 31,878 PS2067 Contracture release of neck 23,513 34,563 34,563 43,263 43,263 PS2068 Contracture release + tendon transfer for camptodactyly 2 18,563 27,287 27,287 34,155 34,155 PS2069 Contracture release + tendon transfer for camptodactyly 1 13,613 20,010 20,010 25,047 25,047 PS2070 Contracture release+tendon transfer for camptodactyly 27,225 40,021 40,021 50,094 50,094 PS2071 Correction of complex bifid thumb (wassal type 1) 12,375 18,191 18,191 22,770 22,770 PS2072 Correction of complex bifid thumb (wassal type 2) 14,850 21,830 21,830 27,324 27,324 PS2073 Correction of complex bifid thumb (wassal type 3) 17,325 25,468 25,468 31,878 31,878 PS2074 Correction of complex bifid thumb (wassal type 4) 18,563 27,287 27,287 34,155 34,155 PS2075 Correction of complex bifid thumb (wassal type 5) 21,656 31,835 31,835 39,848 39,848 PS2076 Correction of complex bifid thumb (wassal type 6) 21,038 30,925 30,925 38,709 38,709 PS2077 Correction of inverted nipple- B/L 23,513 34,563 34,563 43,263 43,263 PS2078 Correction of inverted nipple- U/L 13,613 20,010 20,010 25,047 25,047 PS2079 Correction of macrostomia U/L 12,375 18,191 18,191 22,770 22,770 PS2080 Correction of mallet finger 12,375 18,191 18,191 22,770 22,770 PS2081 Correction of mallet finger- extensor tendon repair 18,563 27,287 27,287 34,155 34,155 PS2082 Correction of mallet finger- tendon repair + k-wiring 19,800 29,106 29,106 36,432 36,432 PS2083 Correction of microstomia B/L 18,563 27,287 27,287 34,155 34,155 PS2084 Corrective Rhinoplasty (Plastic Surg) 28,463 41,840 41,840 52,371 52,371 PS2085 Cranioplasty with bone graft 28,463 41,840 41,840 52,371 52,371 PS2086 Cranioploasty with implant 23,513 34,563 34,563 43,263 43,263 PS2087 Craniostenosis (MCS)-reconstruction of cranial vault 45,788 67,308 67,308 84,249 84,249 PS2088 Craniostenosis (MSC)-reconstruction of cranial vault & BG 37,125 54,574 54,574 68,310 68,310 PS2089 Craniostenosis (SCS)- reconstruction of cranial vault 29,700 43,659 43,659 54,648 54,648 PS2090 Craniostenosis (SCS)-reconstruction of cranial vault & BG 34,650 50,936 50,936 63,756 63,756 PS2091 Cross lip pedicle flap (abbe estlander) 17,325 25,468 25,468 31,878 31,878 PS2092 CT UROGRAPHY 13,613 20,010 20,010 25,047 25,047 PS2093 David chuangs muscle transfer procedure 34,650 50,936 50,936 63,756 63,756 PS2094 Dcia flap 38,363 56,393 56,393 70,587 70,587 PS2095 Debulking of macrodactyly 23,513 34,563 34,563 43,263 43,263 PS2096 Dermabrasion full face 18,563 27,287 27,287 34,155 34,155 PS2097 Diep flap 38,363 56,393 56,393 70,587 70,587 PS2098 Digital nerve graft 18,563 27,287 27,287 34,155 34,155 PS2099 Digital nerve repair 15,469 22,739 22,739 28,463 28,463 PS2100 Dimple creation B/L 18,563 27,287 27,287 34,155 34,155 PS2101 Dimple creation U/L 13,613 20,010 20,010 25,047 25,047 PS2102 Dorsal dermodesis for nail bed injuries 13,613 20,010 20,010 25,047 25,047 PS2103 Ear Deformity Bat Ears (Plastic) 17,325 25,468 25,468 31,878 31,878 PS2104 Ectropion (Both) (Plasitc Surg) 17,449 25,650 25,650 32,106 32,106 PS2105 Ectropion (Upper Eyelid) (Plasti Surg) 12,375 18,191 18,191 22,770 22,770 PS2106 Endoscopic face lift 37,125 54,574 54,574 68,310 68,310 PS2107 Endoscopic brow/ forehead lift 23,513 34,563 34,563 43,263 43,263 PS2108 Endoscopic gynaecomastia Exc - B/L 18,563 27,287 27,287 34,155 34,155 PS2109 Endoscopic gynaecomsatia Exc- U/L 13,613 20,010 20,010 25,047 25,047 PS2110 Epicanthus & telecanthus correction 13,613 20,010 20,010 25,047 25,047 PS2111 Exc of extra digit + ligament reconstruction (Exclud. thumb) 17,325 25,468 25,468 31,878 31,878 PS2112 Exc of L superfic soft tissue mas/tumor Exclude 17,325 25,468 25,468 31,878 31,878 PS2113 Exc of M superfic soft tissue mas/tumor Exclude 13,613 20,010 20,010 25,047 25,047 PS2114 Exc of neuroma- major nerve 21,038 30,925 30,925 38,709 38,709 PS2115 Exc of neuroma-minor nerve 13,613 20,010 20,010 25,047 25,047 PS2116 Exc of pilonidal sinus + flap cover 18,563 27,287 27,287 34,155 34,155 PS2117 Exc of pilonidal sinus + primary CLSR 13,613 20,010 20,010 25,047 25,047 PS2118 Exc of scar/ lesion/wound and skin gr-major 27,225 40,021 40,021 50,094 50,094 PS2119 Exc of scar/ lesion/wound and skin gr-medium 18,563 27,287 27,287 34,155 34,155 PS2120 Exc of scar/ lesion/wound and skin gr-minor 13,613 20,010 20,010 25,047 25,047 PS2121 Exc of skin lesion-face (more than 2cm) 13,613 20,010 20,010 25,047 25,047 PS2122 Exc of supernumerary/ breast/nipple 13,613 20,010 20,010 25,047 25,047 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room PS2123 Excision of keloid ear lobule 13,613 20,010 20,010 25,047 25,047 PS2124 Expander insertion -two 17,325 25,468 25,468 31,878 31,878 PS2125 Expander insertion-single 13,613 20,010 20,010 25,047 25,047 PS2126 Expander insertion-three 21,656 31,835 31,835 39,848 39,848 PS2127 Expander removal & contouring - multiple 27,225 40,021 40,021 50,094 50,094 PS2128 Expander removal & contouring - single 18,563 27,287 27,287 34,155 34,155 PS2129 Exploration & repair f popliteal arterial injur prmry repair 16,088 23,649 23,649 29,601 29,601 PS2130 Exploration & repair f radial arterial injury prmry repair 16,088 23,649 23,649 29,601 29,601 PS2131 Exploration & repair f radial arterial injury- use vein ptch 16,706 24,558 24,558 30,740 30,740 PS2132 Exploration & repair f popliteal arterial injury use vein gr 27,225 40,021 40,021 50,094 50,094 PS2133 Exploration & repair f popliteal arterial injury use vein ptch 16,706 24,558 24,558 30,740 30,740 PS2134 Exploration & repair f radial arterial injury- use vein gr 27,225 40,021 40,021 50,094 50,094 PS2135 Extended parotidectomy 22,275 32,744 32,744 40,986 40,986 PS2136 Extensor tendon repair (zone-1) 13,613 20,010 20,010 25,047 25,047 PS2137 Extensor tendon repair (zone-2) - two tendons 17,325 25,468 25,468 31,878 31,878 PS2138 Extensor tendon repair (zone-2) -single tendon 13,613 20,010 20,010 25,047 25,047 PS2139 Extensor tendon repair (zone-3) - multiple tendons 21,656 31,835 31,835 39,848 39,848 PS2140 Extensor tendon repair (zone-3) - single tendon 13,613 20,010 20,010 25,047 25,047 PS2141 Extensor tendon repair (zone-3) - two tendons 16,088 23,649 23,649 29,601 29,601 PS2142 Extensor tendon repair (zone-4) - multiple tendons 21,656 31,835 31,835 39,848 39,848 PS2143 Extensor tendon repair (zone-4) - single tendon 13,613 20,010 20,010 25,047 25,047 PS2144 Extensor tendon repair (zone-4) - two tendons 16,088 23,649 23,649 29,601 29,601 PS2145 Extensor tendon repair (zone-5) - multiple tendons 22,894 33,654 33,654 42,125 42,125 PS2146 Extensor tendon repair (zone-5) - single tendon 13,613 20,010 20,010 25,047 25,047 PS2147 Extensor tendon repair (zone-5) - two tendons 16,088 23,649 23,649 29,601 29,601 PS2148 Extensor tendon repair (zone-6) - multiple tendons 21,656 31,835 31,835 39,848 39,848 PS2149 Extensor tendon repair (zone-6) - single tendon 13,613 20,010 20,010 25,047 25,047 PS2150 Extensor tendon repair (zone-6) - two tendons 16,088 23,649 23,649 29,601 29,601 PS2151 Eye Lid Reconstruction - Partial (Plastic Surg) 13,613 20,010 20,010 25,047 25,047 PS2152 Eye Lid Reconstruction - Total (Plastic Surg) 21,656 31,835 31,835 39,848 39,848 PS2153 Face (thread lift) 18,563 27,287 27,287 34,155 34,155 PS2154 Face lift- classic operation 23,513 34,563 34,563 43,263 43,263 PS2155 Face lift- facial suspension 17,325 25,468 25,468 31,878 31,878 PS2156 Face lift- mid face 22,894 33,654 33,654 42,125 42,125 PS2157 Face lift- minimum scar 22,894 33,654 33,654 42,125 42,125 PS2158 Face lift- with smas 23,513 34,563 34,563 43,263 43,263 PS2159 Face Scar Complicated And Large 21,656 31,835 31,835 39,848 39,848 PS2160 Face Scar Medium 13,613 20,010 20,010 25,047 25,047 PS2161 Facial bi-partition for hypertelorism 47,025 69,127 69,127 86,526 86,526 PS2162 Facial Bones Compound Fracture Nose 14,850 21,830 21,830 27,324 27,324 PS2163 Facial Bones Frontal Bone Fracture Bilateral 16,706 24,558 24,558 30,740 30,740 PS2164 Facial Bones Frontal Bone Fracture Unilateral 13,613 20,010 20,010 25,047 25,047 PS2165 Facial Bones Malar Fracture Open Reduction (Orif) 17,325 25,468 25,468 31,878 31,878 PS2166 Facial Bones Mandibile Fracture Open Reduction (Orif) 17,325 25,468 25,468 31,878 31,878 PS2167 Facial Bones Maxillary Fracture Closed Reduction 18,563 27,287 27,287 34,155 34,155 PS2168 Facial Bones Maxillary Fracture/ Orbital Floor Fracture (Orif) 24,131 35,473 35,473 44,402 44,402 PS2169 Facial reanimation 47,025 69,127 69,127 86,526 86,526 PS2170 Fascia latal sling surgery (eye) 17,325 25,468 25,468 31,878 31,878 PS2171 Fasciocutaneous Flaps (Large) (Plastic) 21,038 30,925 30,925 38,709 38,709 PS2172 Fasciocutaneous Flaps (Small) (Plastic) 13,613 20,010 20,010 25,047 25,047 PS2173 Fat injection 27,225 40,021 40,021 50,094 50,094 PS2174 Fibular osteocutaneous free flap for long bones 39,600 58,212 58,212 72,864 72,864 PS2175 First web release for cleft hand 17,325 25,468 25,468 31,878 31,878 PS2176 Flap Reconstructive Surgery 47,025 69,127 69,127 86,526 86,526 PS2177 Flap Vaginoplasty 30,938 45,478 45,478 56,925 56,925 PS2178 Flexor tendon repair (zone-1) 13,613 20,010 20,010 25,047 25,047 PS2179 Flexor tendon repair (zone-2) - two tendons 18,563 27,287 27,287 34,155 34,155 PS2180 Flexor tendon repair (zone-2) -single tendon 13,613 20,010 20,010 25,047 25,047 PS2181 Flexor tendon repair (zone-3) - multiple tendons 22,894 33,654 33,654 42,125 42,125 PS2182 Flexor tendon repair (zone-3) - two tendons 16,088 23,649 23,649 29,601 29,601 PS2183 Flexor tendon repair (zone-3) - single tendon 13,613 20,010 20,010 25,047 25,047 PS2184 Flexor tendon repair (zone-4) - multiple tendons 22,894 33,654 33,654 42,125 42,125 PS2185 Flexor tendon repair (zone-4) - single tendon 13,613 20,010 20,010 25,047 25,047 PS2186 Flexor tendon repair (zone-4) - two tendons 16,088 23,649 23,649 29,601 29,601 PS2187 Flexor tendon repair (zone-5) - multiple tendons 22,894 33,654 33,654 42,125 42,125 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room PS2188 Flexor tendon repair (zone-5) - single tendon 13,613 20,010 20,010 25,047 25,047 PS2189 Flexor tendon repair (zone-5) - two tendons 16,088 23,649 23,649 29,601 29,601 PS2190 Flexor tendon repair (zone-6) - multiple tendons 22,894 33,654 33,654 42,125 42,125 PS2191 Flexor tendon repair (zone-6) - single tendon 13,613 20,010 20,010 25,047 25,047 PS2192 Flexor tendon repair (zone-6) - two tendons 16,088 23,649 23,649 29,601 29,601 PS2193 Forehead (thread lift) 18,563 27,287 27,287 34,155 34,155 PS2194 Free fibular flap 38,363 56,393 56,393 70,587 70,587 PS2195 Free microvascular/ joint transfer 39,600 58,212 58,212 72,864 72,864 PS2196 Free perforator flap transfer 38,363 56,393 56,393 70,587 70,587 PS2197 Free phalangeal/ bone transfer for brachydactyly 15,469 22,739 22,739 28,463 28,463 PS2198 Free style free flap 38,363 56,393 56,393 70,587 70,587 PS2199 Full thickness skin gr for finger tip injuries 18,563 27,287 27,287 34,155 34,155 PS2200 Functioning free muscle transfer 47,025 69,127 69,127 86,526 86,526 PS2201 Functioning free muscle transfer- gracilis muscle 48,263 70,946 70,946 88,803 88,803 PS2202 Functioning free muscle transfer- latisimus dorsi muscle 48,263 70,946 70,946 88,803 88,803 PS2203 Gracilis muscle/myocutaneous flap-free 30,938 45,478 45,478 56,925 56,925 PS2204 Gracilis muscle/myocutaneous flap-pedicle 18,563 27,287 27,287 34,155 34,155 PS2205 Groin /abdominal flap cover for hand injurie-large (Sl fl) 16,088 23,649 23,649 29,601 29,601 PS2206 Groin /abdominal flap cover for hand injurie-medium (Sl fl) 13,613 20,010 20,010 25,047 25,047 PS2207 Groin/abdominal flap cover for hand injurie-large (2 fl) 18,563 27,287 27,287 34,155 34,155 PS2208 Groin/abdominal flap cover for hand injurie-large (mltpl fl) 22,894 33,654 33,654 42,125 42,125 PS2209 Groin/abdominal flap cover for hand injurie-medium (2 fl) 15,469 22,739 22,739 28,463 28,463 PS2210 Groin/abdominal flap cover for hand injurie-medium(mltpl 18,563 27,287 27,287 34,155 34,155 PS2211 Groin/abdominal flap cover for hand injurie-small (2 fl) 13,613 20,010 20,010 25,047 25,047 PS2212 Groin/abdominal flap cover for hand injurie-small (mltpl fl) 15,469 22,739 22,739 28,463 28,463 PS2213 Groin perforator free flap 38,363 56,393 56,393 70,587 70,587 PS2214 Gynaecomastia Exc-U/L 13,613 20,010 20,010 25,047 25,047 PS2215 Gynaecomsatia Exc- B/L 18,563 27,287 27,287 34,155 34,155 PS2216 Hair graft eyebrow/scar/moustache 13,613 20,010 20,010 25,047 25,047 PS2217 Hand Surgery - Nail Bed Injurymultiple (Plastic Surg.) 13,613 20,010 20,010 25,047 25,047 PS2218 Hand Surgery - Pulp Injury With Flapcover (Plastic Surg.) 12,375 18,191 18,191 22,770 22,770 PS2219 Hand Surgery - Pulp Injury With Graft (Plastic Surg.) 12,375 18,191 18,191 22,770 22,770 PS2220 Hand Surgery Extra Digit (Plastic) 12,375 18,191 18,191 22,770 22,770 PS2221 Hand Surgery Repair With Flap (Plastic) 17,325 25,468 25,468 31,878 31,878 PS2222 Hand Surgery Syndactyly Multiple (Plastic) 21,038 30,925 30,925 38,709 38,709 PS2223 Hand Surgery Syndactyly Single (Plastic Surg.) 14,850 21,830 21,830 27,324 27,324 PS2224 Head and neck repair- complex 17,325 25,468 25,468 31,878 31,878 PS2225 Hemangioma (Excision Large)(Plastic Surg.) 18,563 27,287 27,287 34,155 34,155 PS2226 Hemangioma (Excision Medium) (Plastic Surg.) 14,850 21,830 21,830 27,324 27,324 PS2227 Hemangioma (Extensive) (Plastic Surg.) 33,413 49,116 49,116 61,479 61,479 PS2228 Hypospadias Reconstruction (1st Stage) 13,613 20,010 20,010 25,047 25,047 PS2229 Hypospadias Reconstruction (2Nd Stage) 18,563 27,287 27,287 34,155 34,155 PS2230 Hypospadias Reconstruction Single Stage 23,513 34,563 34,563 43,263 43,263 PS2231 Iliac crest osteocutaneous free flap 38,363 56,393 56,393 70,587 70,587 PS2232 Ischial Bdsr Exc + primary CLSR B/L 23,513 34,563 34,563 43,263 43,263 PS2233 Ischial Bdsr Exc + primary CLSR U/L 17,325 25,468 25,468 31,878 31,878 PS2234 Ischial Bdsr Exc + skin gr B/L 23,513 34,563 34,563 43,263 43,263 PS2235 Ischial Bdsr Exc + skin gr U/L 21,656 31,835 31,835 39,848 39,848 PS2236 Ischial Bdsr Exc+myocutaneous/muscle fl CLSR U/L 17,325 25,468 25,468 31,878 31,878 PS2237 Ischial Bdsr Exci. + myocuta./muscle flap CLSR B/L 23,513 34,563 34,563 43,263 43,263 PS2238 Jaw cyst or tumour Exc and bone gr 17,325 25,468 25,468 31,878 31,878 PS2239 Jaw cyst tumour-radical resection 15,469 22,739 22,739 28,463 28,463 PS2240 Jaw cyst/tumour resection&reconstruction of jaw+free fib fl 49,500 72,765 72,765 91,080 91,080 PS2241 Krukenbergs operation 15,469 22,739 22,739 28,463 28,463 PS2242 Lacerated Wound (Other Than Face And Finger) Multiple 16,706 24,558 24,558 30,740 30,740 PS2243 Large Multiple Wounds Face Simple 18,563 27,287 27,287 34,155 34,155 PS2244 Lateral artery flap 30,938 45,478 45,478 56,925 56,925 PS2245 Latissimus dorsi flap-free 30,938 45,478 45,478 56,925 56,925 PS2246 Latissimus dorsi flap-pedicle 18,563 27,287 27,287 34,155 34,155 PS2247 Lefort i osteotomy + advancement 33,413 49,116 49,116 61,479 61,479 PS2248 Lefort i osteotomy + application of distractor 33,413 49,116 49,116 61,479 61,479 PS2249 Lefort i osteotomy + impaction/ intrusion 30,938 45,478 45,478 56,925 56,925 PS2250 Lefort iii (extracranial) advancement 38,363 56,393 56,393 70,587 70,587 PS2251 Lefort iii (intracranial) advancement- monobloc 38,363 56,393 56,393 70,587 70,587 PS2252 Lefort iii + lefort i advancement 38,363 56,393 56,393 70,587 70,587 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room PS2253 Lefort iii complicated fracture- open reduction (orif) 24,750 36,383 36,383 45,540 45,540 PS2254 Lefort iii fracture (complicated-open reduction + bg (orif) 30,938 45,478 45,478 56,925 56,925 PS2255 Lefort iii osteotomy + application of distractor 38,363 56,393 56,393 70,587 70,587 PS2256 Lid tumour Exc and repair+ skin/mucosal gr/fl construction 13,613 20,010 20,010 25,047 25,047 PS2257 Ligament reconstruction for hypoplastic thumb 16,088 23,649 23,649 29,601 29,601 PS2258 Lip reconstuction + multiple flaps 23,513 34,563 34,563 43,263 43,263 PS2259 Lip reconstuction + singleflaps 21,656 31,835 31,835 39,848 39,848 PS2260 Lip reduction 18,563 27,287 27,287 34,155 34,155 PS2261 Lipectomy 12,375 18,191 18,191 22,770 22,770 PS2262 Lipectomy (Abdomen) (Plastic Surg.) 16,706 24,558 24,558 30,740 30,740 PS2263 Lipoinjection > 20ml 23,513 34,563 34,563 43,263 43,263 PS2264 Lipoinjection 10 - 20ml 18,563 27,287 27,287 34,155 34,155 PS2265 Lipoinjection Upto 10ml 13,613 20,010 20,010 25,047 25,047 PS2266 Liposuction (Large) (Plastic Surg.) 24,750 36,383 36,383 45,540 45,540 PS2267 Liposuction (Medium) (Plastic Surg.) 17,325 25,468 25,468 31,878 31,878 PS2268 Liposuction (Small) (Plastic Surg.) 12,375 18,191 18,191 22,770 22,770 PS2269 Liposuction and Exc of gynaecomastia -B/L 23,513 34,563 34,563 43,263 43,263 PS2270 Liposuction and Exc of gynaecomastia -U/L 17,325 25,468 25,468 31,878 31,878 PS2271 Local head and neck flap-large 17,325 25,468 25,468 31,878 31,878 PS2272 Local head and neck flap-medium 13,613 20,010 20,010 25,047 25,047 PS2273 Local transposition flap-large 17,325 25,468 25,468 31,878 31,878 PS2274 Local transposition flap-medium 13,613 20,010 20,010 25,047 25,047 PS2275 Long bone - Free Fibula 38,363 56,393 56,393 70,587 70,587 PS2276 Lump/Tumour Excision With Cover (Large) (Plastic Surg.) 22,275 32,744 32,744 40,986 40,986 PS2277 Lump/Tumour Excision With Cover (Medium) (Plastic Surg.) 16,088 23,649 23,649 29,601 29,601 PS2278 Lump/Tumour Excision With Cover (Small) (Plastic Surg.) 12,375 18,191 18,191 22,770 22,770 PS2279 Lymphaticovenous shunt 27,225 40,021 40,021 50,094 50,094 PS2280 Lympho venous anastomosis i 24,750 36,383 36,383 45,540 45,540 PS2281 Lympho venous anastomosis ii 37,125 54,574 54,574 68,310 68,310 PS2282 Lympho venous anastomosis iii 49,500 72,765 72,765 91,080 91,080 PS2283 Lympho venous anastomosis iv 61,875 90,956 90,956 113,850 113,850 PS2284 Malar reduction 22,275 32,744 32,744 40,986 40,986 PS2285 Malar/ cheek implant 17,325 25,468 25,468 31,878 31,878 PS2286 Mammoplasty Reduction (Plastic) 37,125 54,574 54,574 68,310 68,310 PS2287 Mandible fracture- percutaneous reduction/ external 13,613 20,010 20,010 25,047 25,047 PS2288 Mandible Reconstruction By Bone Flap (Plastic Surg.) 43,313 63,669 63,669 79,695 79,695 PS2289 Mandible Reconstruction By Bone Graft (Plastic Surg.) 33,413 49,116 49,116 61,479 61,479 PS2290 Mandible Reconstruction By Plate (Cost Of Plate Separate) 27,225 40,021 40,021 50,094 50,094 PS2291 Mandible reonstruction + implant 18,563 27,287 27,287 34,155 34,155 PS2292 Mandibular condylar fracture/open reduction 17,325 25,468 25,468 31,878 31,878 PS2293 Maxillary lefort i fr. (complicated)- open reduction (orif) 16,088 23,649 23,649 29,601 29,601 PS2294 Maxillary lefort i fr. (complicated) open reduction+bg (orif) 18,563 27,287 27,287 34,155 34,155 PS2295 Maxillary lefort i fracture - open reduction (orif) 13,613 20,010 20,010 25,047 25,047 PS2296 Maxillary reconstruction +out bone graft 13,613 20,010 20,010 25,047 25,047 PS2297 Maxillary reconstruction(complicated) + bone graft 17,325 25,468 25,468 31,878 31,878 PS2298 Maxillo-mandibular cyst enucleation/ marsupialisation 13,613 20,010 20,010 25,047 25,047 PS2299 Median nerve graft 27,225 40,021 40,021 50,094 50,094 PS2300 Median nerve repair 18,563 27,287 27,287 34,155 34,155 PS2301 Medpore ear reconstruction B/L 47,025 69,127 69,127 86,526 86,526 PS2302 Medpore ear reconstruction U/L 33,413 49,116 49,116 61,479 61,479 PS2303 Microtia First Stage (Plastic Surg.) 23,513 34,563 34,563 43,263 43,263 PS2304 Microtia Second Stage (Plastic Surg.) 19,800 29,106 29,106 36,432 36,432 PS2305 Microtia Third Stage (Plastic Surg.) 13,613 20,010 20,010 25,047 25,047 PS2306 Microvascular Repair (Plastic Surg.) 22,275 32,744 32,744 40,986 40,986 PS2307 Mid face lift + lowerlid blepharoplasty 23,513 34,563 34,563 43,263 43,263 PS2308 Mucosal graft for urethra 13,613 20,010 20,010 25,047 25,047 PS2309 Myocutaneous Flap (Large) (Plastic Surg.) 21,656 31,835 31,835 39,848 39,848 PS2310 Myocutaneous Flap (Small) (Plastic Surg.) 16,706 24,558 24,558 30,740 30,740 PS2311 Nail bed reconstruction- multiple fingers 22,894 33,654 33,654 42,125 42,125 PS2312 Nail bed reconstruction- single finger 13,613 20,010 20,010 25,047 25,047 PS2313 Nail bed reconstruction- two fingers 18,563 27,287 27,287 34,155 34,155 PS2314 Nail bed repair- two nail beds 12,375 18,191 18,191 22,770 22,770 PS2315 Nasal bone fracture (simple)- open reduction 13,613 20,010 20,010 25,047 25,047 PS2316 Nasal Tip Correction (Plastic) 14,850 21,830 21,830 27,324 27,324 PS2317 Nasalbone Grafting (Plastic Surg.) 12,375 18,191 18,191 22,770 22,770 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room PS2318 Naso-ethmoid fracture -open reduction + fixation (orif) 16,088 23,649 23,649 29,601 29,601 PS2319 Naso-ethmoid fracture -open reduction +out fixation 13,613 20,010 20,010 25,047 25,047 PS2320 Naso-maxilary cmplicatd fr.(lefort ii)-openreduction(orif+bg 27,225 40,021 40,021 50,094 50,094 PS2321 Naso-maxillary cmplicatd fr.(lefort ii)-open reduction(orif) 24,750 36,383 36,383 45,540 45,540 PS2322 Naso-maxillary fracture (lefort ii)- open reduction(orif) 22,275 32,744 32,744 40,986 40,986 PS2323 Neck (thread lift) 18,563 27,287 27,287 34,155 34,155 PS2324 Neo-umbiloplasty 16,706 24,558 24,558 30,740 30,740 PS2325 Nerve exploration +neurolysis for median nerve 13,613 20,010 20,010 25,047 25,047 PS2326 Nerve Grafting Single (Plastic Surg.) 24,750 36,383 36,383 45,540 45,540 PS2327 Nerve grafting Three grafts 47,025 69,127 69,127 86,526 86,526 PS2328 Nerve grafting Two grafts 38,363 56,393 56,393 70,587 70,587 PS2329 Nerve Repair Multiple (Peripheral) (Plastic Surg.) 29,700 43,659 43,659 54,648 54,648 PS2330 Nerve transfer Double 38,363 56,393 56,393 70,587 70,587 PS2331 Nerve transfer Single 27,225 40,021 40,021 50,094 50,094 PS2332 Nerve transfer Triple 47,025 69,127 69,127 86,526 86,526 PS2333 Neurolysis of lateral popliteal nerve 22,894 33,654 33,654 42,125 42,125 PS2334 Neurovascular island flap-free 37,125 54,574 54,574 68,310 68,310 PS2335 Neurovascular island flap-pedicle 21,656 31,835 31,835 39,848 39,848 PS2336 Nipple reconstruction-B/L 18,563 27,287 27,287 34,155 34,155 PS2337 Nipple reconstruction-U/L 13,613 20,010 20,010 25,047 25,047 PS2338 Oblique triangular flap for finger tip injuries 16,088 23,649 23,649 29,601 29,601 PS2339 On-top plasty / pollicization 22,894 33,654 33,654 42,125 42,125 PS2340 Open reduction and ligament repair of wrist 16,088 23,649 23,649 29,601 29,601 PS2341 Open tip composite rhinoplasty 27,225 40,021 40,021 50,094 50,094 PS2342 Orbital blow out fr.-open reduction + alloplastic implant 17,325 25,468 25,468 31,878 31,878 PS2343 Orbital blow out fracture-open reduction + bone graft 21,038 30,925 30,925 38,709 38,709 PS2344 Orbital complicated fracture-open reduction 17,325 25,468 25,468 31,878 31,878 PS2345 Orbital simple fracture-open reduction 13,613 20,010 20,010 25,047 25,047 PS2346 Orbtal repositioning for hypertelori ext.cranial approach+bg 47,025 69,127 69,127 86,526 86,526 PS2347 Orbtal repositioning for hypertelori-extcran&intcran appr 47,025 69,127 69,127 86,526 86,526 PS2348 Orbtal repositioning for hypertelori-extcran&intcran 49,500 72,765 72,765 91,080 91,080 PS2349 Orbtal repositioning for hypertelorism ext.cranial approach 44,550 65,489 65,489 81,972 81,972 PS2350 Orif and bone gr for non-union of scaphoid 17,325 25,468 25,468 31,878 31,878 PS2351 Orif and vascularisd bone gr for non-union of scaphoid 33,413 49,116 49,116 61,479 61,479 PS2352 Osteotomy for metacarpal malunion 16,088 23,649 23,649 29,601 29,601 PS2353 Osteotomy for phalangeal malunion 13,613 20,010 20,010 25,047 25,047 PS2354 Other Bdsr Exc + myocutaneous flap CLSR 23,513 34,563 34,563 43,263 43,263 PS2355 Other Bdsr Exc + primary CLSR 16,706 24,558 24,558 30,740 30,740 PS2356 Other Bdsr Exc + skin flap CLSR 21,656 31,835 31,835 39,848 39,848 PS2357 Other Bdsr Exc + skin gr 21,656 31,835 31,835 39,848 39,848 PS2358 Otoplasty for acquired ear deformity B/L 21,656 31,835 31,835 39,848 39,848 PS2359 Otoplasty for acquired ear deformity U/L 17,325 25,468 25,468 31,878 31,878 PS2360 Otoplasty for bat ears B/L 21,656 31,835 31,835 39,848 39,848 PS2361 Otoplasty for bat ears U/L 13,613 20,010 20,010 25,047 25,047 PS2362 Otoplasty for lop ears U/L 12,375 18,191 18,191 22,770 22,770 PS2363 Palatal fistula CLSR Famm flap 23,513 34,563 34,563 43,263 43,263 PS2364 Palatal fistula CLSR Mucosal flap 18,563 27,287 27,287 34,155 34,155 PS2365 Palatal fistula CLSR Tongue flap 18,563 27,287 27,287 34,155 34,155 PS2366 Parascapular flap 30,938 45,478 45,478 56,925 56,925 PS2367 Pedicle flap over of amputation stump 13,613 20,010 20,010 25,047 25,047 PS2368 Pedicled flap - medium 17,325 25,468 25,468 31,878 31,878 PS2369 Pedicled omental transfer for sternal wound 18,563 27,287 27,287 34,155 34,155 PS2370 Penile lengthening 21,656 31,835 31,835 39,848 39,848 PS2371 Penile Surgery (Erectile Dysfuction - Inflatable) 28,463 41,840 41,840 52,371 52,371 PS2372 Penile Surgery (Erectile Dysfunction - Malleable) 24,131 35,473 35,473 44,402 44,402 PS2373 Perforator pedicle flap 21,656 31,835 31,835 39,848 39,848 PS2374 Peri-areolar breast lift/ mastopexy 22,894 33,654 33,654 42,125 42,125 PS2375 Pharyngeal flap pharyngoplasty 18,563 27,287 27,287 34,155 34,155 PS2376 Pollicization for hypoplastic thumb 37,125 54,574 54,574 68,310 68,310 PS2377 Post bariatric surgery Reverse thigh lift 27,225 40,021 40,021 50,094 50,094 PS2378 Post bariatric surgery Thighplasty 23,513 34,563 34,563 43,263 43,263 PS2379 Post bariatric surgery Upper body lift 33,413 49,116 49,116 61,479 61,479 PS2380 Pressure Sore Major (Plastic Surg.) 19,800 29,106 29,106 36,432 36,432 PS2381 Pressure Sore Medium (Plastic Surg.) 18,563 27,287 27,287 34,155 34,155 PS2382 Pressure Sore Minor (Plastic Surg.) 12,375 18,191 18,191 22,770 22,770 Service OPD/ four Single Two bed Deluxe room VIP Suite Code Service Name bed room PS2383 Proximal row carpectomy 17,325 25,468 25,468 31,878 31,878 PS2384 Ptosis (Plastic) 15,469 22,739 22,739 28,463 28,463 PS2385 Radial artery flap -pedicle 18,563 27,287 27,287 34,155 34,155 PS2386 Radial artery flap-free 38,363 56,393 56,393 70,587 70,587 PS2387 Radial artery forearm free flp 22,894 33,654 33,654 42,125 42,125 PS2388 Radial club hand- centralisation radialisation 17,325 25,468 25,468 31,878 31,878 PS2389 Radial club hand- osteotomy of ulna 23,513 34,563 34,563 43,263 43,263 PS2390 Radial club hand-free epiphysis/fibula transfer 39,600 58,212 58,212 72,864 72,864 PS2391 Radial collateral ligament reconstruction of thumb 17,325 25,468 25,468 31,878 31,878 PS2392 Radial collateral ligament repair of thumb 13,613 20,010 20,010 25,047 25,047 PS2393 Radial nerve graft 27,225 40,021 40,021 50,094 50,094 PS2394 Radial nerve repair 18,563 27,287 27,287 34,155 34,155 PS2395 Radiofrequency ablation Single mole 13,613 20,010 20,010 25,047 25,047 PS2396 Ray resectiion for macrodactyly 18,563 27,287 27,287 34,155 34,155 PS2397 Reconstructive + cartilage graft 27,225 40,021 40,021 50,094 50,094 PS2398 Reconstructive rhinoplasty-forehead flap (single stage) 21,038 30,925 30,925 38,709 38,709 PS2399 Reconstructive rhinoplasty-forehead flap(stg 1 of 2 ) 17,325 25,468 25,468 31,878 31,878 PS2400 Redo palatoplasty 18,563 27,287 27,287 34,155 34,155 PS2401 Reduction mammoplasty-U/L 17,325 25,468 25,468 31,878 31,878 PS2402 Reimplantation of fingers- four or more fingers 27,225 40,021 40,021 50,094 50,094 PS2403 Reimplantation of fingers- three fingers 27,225 40,021 40,021 50,094 50,094 PS2404 Reimplantation of upper limb at palm level 39,600 58,212 58,212 72,864 72,864 PS2405 Reimplantation of upper limb at upper arm level 39,600 58,212 58,212 72,864 72,864 PS2406 Removal And Flap Insetting (Large) 27,225 40,021 40,021 50,094 50,094 PS2407 Removal of breast implant 17,325 25,468 25,468 31,878 31,878 PS2408 Repair of lacrimal canaliculi 13,613 20,010 20,010 25,047 25,047 PS2409 Repair of lid coloboma + skin/mucosal gr/flap construction 13,613 20,010 20,010 25,047 25,047 PS2410 Repair of lid injuries 13,613 20,010 20,010 25,047 25,047 PS2411 Repair of lid injuries + flaps or grafts 15,469 22,739 22,739 28,463 28,463 PS2412 Repair of oro-antral fistula 13,613 20,010 20,010 25,047 25,047 PS2413 Replantation Hand 37,125 54,574 54,574 68,310 68,310 PS2414 Replantation Multiple Fingers 33,413 49,116 49,116 61,479 61,479 PS2415 Replantation One Finger 28,463 41,840 41,840 52,371 52,371 PS2416 Replantation Other Parts 37,125 54,574 54,574 68,310 68,310 PS2417 Revascularisation of finger -single 12,375 18,191 18,191 22,770 22,770 PS2418 Revascularisation of upper limb at forearm level 24,750 36,383 36,383 45,540 45,540 PS2419 Revascularization of fingers- four or more fingers 24,750 36,383 36,383 45,540 45,540 PS2420 Revascularization of fingers- three fingers 24,750 36,383 36,383 45,540 45,540 PS2421 Revascularization of fingers-two fingers 24,750 36,383 36,383 45,540 45,540 PS2422 Revascularization of upper limb at palm level 24,750 36,383 36,383 45,540 45,540 PS2423 Revascularization of upper limb at upper arm level 24,750 36,383 36,383 45,540 45,540 PS2424 Revascularization of upper limb at wrist level 24,750 36,383 36,383 45,540 45,540 PS2425 Reverse abdominoplasty/ torsoplasty 24,750 36,383 36,383 45,540 45,540 PS2426 Reverse dermal cross finger flap for finger tip injuries 17,325 25,468 25,468 31,878 31,878 PS2427 Segmental mandibular osteotomy (multiple) 23,513 34,563 34,563 43,263 43,263 PS2428 Segmental mandibular osteotomy (single) 18,563 27,287 27,287 34,155 34,155 PS2429 Segmental maxillary osteotomy (multiple) 23,513 34,563 34,563 43,263 43,263 PS2430 Segmental maxillary osteotomy (single) 18,563 27,287 27,287 34,155 34,155 PS2431 Single stage proximal Hypospadias repair 27,225 40,021 40,021 50,094 50,094 PS2432 Skin graft for head and neck- large 17,325 25,468 25,468 31,878 31,878 PS2433 Skin graft of amputation stump 16,706 24,558 24,558 30,740 30,740 PS2434 Skin grafting-major 18,563 27,287 27,287 34,155 34,155 PS2435 Snow-litters procedure for cleft hand 23,513 34,563 34,563 43,263 43,263 PS2436 Sphincter pharyngoplasty 18,563 27,287 27,287 34,155 34,155 PS2437 Split skin grafting-medium 12,375 18,191 18,191 22,770 22,770 PS2438 Sternomastoid release bipolar 18,563 27,287 27,287 34,155 34,155 PS2439 Sternomastoid release unipolar 13,613 20,010 20,010 25,047 25,047 PS2440 Superficial parotidectomy 16,706 24,558 24,558 30,740 30,740 PS2441 Superficial parotidectomy for recurrent tumour 16,706 24,558 24,558 30,740 30,740 PS2442 Swan neck deformity correction- multiple fingers 22,894 33,654 33,654 42,125 42,125 PS2443 Swan neck deformity correction- single finger 17,325 25,468 25,468 31,878 31,878 PS2444 Swan neck of deformity correction- two fingers 21,656 31,835 31,835 39,848 39,848 PS2445 Tendon gr - stage 1 17,325 25,468 25,468 31,878 31,878 PS2446 Tendon gr - stage 2 22,894 33,654 33,654 42,125 42,125 PS2447 Tendon transfer for median nerve injuries-multiple 13,613 20,010 20,010 25,047 25,047 Service Service Name OPD/ four Two bed Single Deluxe room VIP Suite PS2448 Tendon transfer for radial nerve injuries- multiple 13,613 20,010 20,010 25,047 25,047 PS2449 Tendon transfer for ulnar nerve injuries- multiple 13,613 20,010 20,010 25,047 25,047 PS2450 Tendon Transfer Single (Plastic Surg.) 21,656 31,835 31,835 39,848 39,848 PS2451 Thenar flap for finger tip injuries 17,325 25,468 25,468 31,878 31,878 PS2452 Thoracic pedicle flap 17,325 25,468 25,468 31,878 31,878 PS2453 Tm joint dislocation (cmplicatd)-closed red./imf(arch bars) 17,325 25,468 25,468 31,878 31,878 PS2454 Tm joint dislocation-open reduction 17,325 25,468 25,468 31,878 31,878 PS2455 Toe transfer- great toe 47,025 69,127 69,127 86,526 86,526 PS2456 Toe transfer- second toe 47,025 69,127 69,127 86,526 86,526 PS2457 Total parotidectomy 22,275 32,744 32,744 40,986 40,986 PS2458 Total parotidectomy (+ nerve gr) 27,225 40,021 40,021 50,094 50,094 PS2459 Total parotidectomy (nerve preserving) 22,275 32,744 32,744 40,986 40,986 PS2460 Total parotidectomy for recurrent tumour (+ nerve gr) 27,225 40,021 40,021 50,094 50,094 PS2461 Total parotidectomy for recurrent tumour (nerve 22,275 32,744 32,744 40,986 40,986 PS2462 Transverse etching (abdominal) 15,469 22,739 22,739 28,463 28,463 PS2463 Trapezius muscle transfer 23,513 34,563 34,563 43,263 43,263 PS2464 Triceps to biceps muscle transfer 23,513 34,563 34,563 43,263 43,263 PS2465 Trochanteric Bdsr Exc + primary CLSR B/L 21,656 31,835 31,835 39,848 39,848 PS2466 Trochanteric Bdsr Exc + primary CLSR U/L 17,325 25,468 25,468 31,878 31,878 PS2467 Trochanteric Bdsr Exc + skin flap CLSR B/L 23,513 34,563 34,563 43,263 43,263 PS2468 Trochanteric Bdsr Exc + skin flap CLSR U/L 21,656 31,835 31,835 39,848 39,848 PS2469 Trochanteric Bdsr Exc + skin gr B/L 27,225 40,021 40,021 50,094 50,094 PS2470 Trochanteric Bdsr Exc + skin gr U/L 21,656 31,835 31,835 39,848 39,848 PS2471 Trochanteric Bdsr Exc+myocutaneous fl CLSRB/L 27,225 40,021 40,021 50,094 50,094 PS2472 Trochanteric Bdsr Exc+myocutaneous fl CLSRU/L 21,656 31,835 31,835 39,848 39,848 PS2473 Ulnar artery forearm free flap 22,894 33,654 33,654 42,125 42,125 PS2474 Ulnar collateral ligament reconstruction of thumb 15,469 22,739 22,739 28,463 28,463 PS2475 Ulnar collateral ligament repair of thumb 12,375 18,191 18,191 22,770 22,770 PS2476 Ulnar nerve graft 27,225 40,021 40,021 50,094 50,094 PS2477 Ulnar nerve repair 18,563 27,287 27,287 34,155 34,155 PS2478 Upper extremity 47,025 69,127 69,127 86,526 86,526 PS2479 Vaginal tightening + perineorraphy 27,225 40,021 40,021 50,094 50,094 PS2480 Vanginoplasty 21,656 31,835 31,835 39,848 39,848 PS2481 V-y advancement flap for finger tip injuries 16,088 23,649 23,649 29,601 29,601 PS2482 Wide Exc of lesion in head and neck-major 21,656 31,835 31,835 39,848 39,848 PS2483 Wide Exc of lesion in head and neck-minor 12,375 18,191 18,191 22,770 22,770 PS2484 Zimmer splint application for multiple fingers 13,613 20,010 20,010 25,047 25,047 PS2485 Hymenoplasty 11,000 16,170 16,170 20,240 20,240 PS2486 Mastopexy (Breast Lift) 13,750 20,213 20,213 25,300 25,300 PS2487 Male Breast Reduction 11,000 16,170 16,170 20,240 20,240 COSMETIC SURGERY Service Service Name Type Package CS1001 Liposuction < 1 Lit 45000+ Room Rent CS1002 Liposuction 1 - 3 lit 60000+ Room Rent CS1003 Liposuction > 3 Lit 75000 + Room Rent CS1004 Breast Augmentation 60000 + Room Rent + Cost of Implant CS1005 Breast Reduction 75000+ Room Rent CS1006 Breast Lift 60000+ Room Rent CS1007 Tummy Tuck 75000 + Room Rent + Cost of Mesh( If required) CS1008 Tummy Tuck + Liposuction 100000 + Room Rent + Cost of Mesh( If required) CS1009 Rhinoplasty 60000 + Room Rent + Implant (If Required) CS1010 Facial Augmentation 50000 + Room Rent + Inplant CS1011 Face Lift 120000 + Room rent CS1012 Vaginoplasty 55000 + Room Rent CS1013 Hair Transplant Package 60000 PSYCHIATRY & CLINICAL PSYCOLOGY Service Charges ( Rs.) Code Service Name CONSULTATION PY1003 Psychotherapy Consultation 1,250 PY1007 Psychotherapy Consultation On Sunday 1,875 PY1008 Psychotherapy Family Therapy 1,500 PY1009 Psychotherapy Family Therapy On Sunday 2,250 PY1010 Psychiatry First Consultation 1,000 PY1011 Psychiatry Follow Up Consultation 800 PY1012 Psychiatry Long Consultation 1,500 PSYCHOMETRY PROCEDURES PY2001 Assessment of relationship and conflict (2 session) 3,000 PY2003 ECT 2,300 PY2004 Intelligence Testing (2 Session) 3,500 PY2007 Memory Testing (1 Session) 3,000 PY2008 Neuropsychological Assessment (3 Session) 5,250 PY2009 Personality Assessment (2 Session) 3,000 PY2010 Pre-Academic Skills(1 Session) 2,500 PY2011 Psycho- Diagnostics (2 Session) 4,000 PY2012 Specific Learning Disability(2 Session) 4,500 Biofeedback Therapy ( For Tension, Headache, Migraine, Panic attack, Writer's cramp etc.) PY3001 Neuro disorder (Single session) 2,500 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/ four Two bed Single bed Deluxe room VIP Suite Code Service Name bed RM1001 Bronchopleural Fistula 20,873 30,683 30,683 38,405 38,405 RM1002 Bronchoscopy 5,693 8,368 8,368 10,474 10,474 RM1003 Bronchoscopy With B.A.L (Lavage) With Biopsy 7,590 11,157 11,157 13,966 13,966 RM1004 Bronchoscopy With B.A.L (Lavage) 6,325 9,298 9,298 11,638 11,638 RM1005 Bronchoscopy With TBLB (Transbronchial Lung Biopsy) 6,958 10,228 10,228 12,802 12,802 RM1006 Decortication Lung 20,240 29,753 29,753 37,242 37,242 RM1007 Diagnostics Thoracoscopy 7,590 11,157 11,157 13,966 13,966 RM1008 Intercostal Drainage 5,060 7,438 7,438 9,310 9,310 RM1009 Intercostal Drainage For Pneumothorax 5,693 8,368 8,368 10,474 10,474 RM1010 Lobectomy 21,505 31,612 31,612 39,569 39,569 RM1011 Lung Biopsy Open 7,590 11,157 11,157 13,966 13,966 RM1012 Mediastinal Mass Excision 22,770 33,472 33,472 41,897 41,897 RM1013 PFT ( Pulmonary Function Test) 1,075 1,581 1,581 1,978 1,978 Pleurectomy & Excision Of Empyema Without Lung RM1014 20,240 29,753 29,753 37,242 37,242 Resection RM1015 Pleurodesis Chemical 2,530 3,719 3,719 4,655 4,655 RM1016 Pleurodesis Talk Insuffolation 3,795 5,579 5,579 6,983 6,983 RM1017 Pleural biopsy 3,163 4,649 4,649 5,819 5,819 RM1018 Pleural Taping Diagnostic 822 1,209 1,209 1,513 1,513 RM1019 Pleural Taping Therapeutic 2,783 4,091 4,091 5,121 5,121 RM1020 Pneumonectomy 25,300 37,191 37,191 46,552 46,552 RM1021 Rib Resection & Drainage 10,120 14,876 14,876 18,621 18,621 RM1022 Sleep Study 15,180 22,315 22,315 27,931 27,931 RM1023 Split Night Study 22,770 33,472 33,472 41,897 41,897 RM1024 Thoracoplasty & Apicolysis 18,975 27,893 27,893 34,914 34,914 RM1025 Thoracotomy Exploratory 18,975 27,893 27,893 34,914 34,914 RM1026 Titration Study 10,120 14,876 14,876 18,621 18,621 RM1027 Video Assited Thorcoscopy Therapeutic 22,770 33,472 33,472 41,897 41,897 SPINE Service OPD Code Service Name Spine OP packages SP1001 Nerve Blocks ( Level one ) 7,000 SP1002 Nerve Blocks ( Level Two ) 10,000 SP1003 Nerve Blocks ( Level Three or more ) 14,000 Package Includes: Doctor fee, Minor OT charges, Equipment charges and Routine drugs and consumables Stay Four bed Two bed Single bed Deluxe room VIP Suite Spine IP packages days SP2001 Endoscopic Discectomy (one level) 1 154,000 200,000 221,000 263,000 294,000 SP2002 Endoscopic Discectomy (two level/Biportal) 1 231,000 289,000 326,000 368,000 420,000 SP2003 Endoscopic Spine Fusion (one level) 2 215,000 273,000 315,000 362,000 415,000 SP2004 Fenestration (one level) 2 90,000 105,000 116,000 137,000 158,000 SP2005 Fenestration (two level) 2 110,000 126,000 142,000 158,000 189,000 SP2006 Intersegmental Decompression (one level) 4 193,000 210,000 242,000 284,000 315,000 SP2007 Intersegmental Decompression (two levels) 4 220,000 242,000 273,000 315,000 368,000 SP2008 Laminectomy (one level) 2 80,000 95,000 109,000 126,000 142,000 SP2009 Laminectomy (two and more levels) 3 102,000 121,000 139,000 158,000 184,000 SP2010 Microdiscectomy (one level) 3 132,000 158,000 179,000 200,000 231,000 SP2011 Microdiscectomy (Two level) 3 176,000 200,000 221,000 257,000 294,000 SP2012 Microdiscectomy (three level and above) 3 215,000 273,000 315,000 362,000 415,000 SP2013 Spinal Instrumentation (one/two level) 5 176,000 205,000 231,000 268,000 305,000 SP2014 Spinal Instrumentation (three or more levels) 5 220,000 242,000 273,000 315,000 368,000 SP2015 TLIF (one level) 4 193,000 210,000 242,000 284,000 315,000 SP2016 TLIF (two or more level) 5 220,000 242,000 273,000 315,000 368,000 Package Includes: Stay as mentioned, Surgeon fee, OT charges, anesthesia charge, basic Investigations , Routine drugs and consumables , Equipment charges & 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. tisseal/tissue patch etc.

Service Four bed Two bed Single bed Deluxe room VIP Suite Code Procedure/surgery SP3001 Antero Lateral Decompression and reconstruction 47,850 70,340 70,340 88,044 88,044 SP3002 Bone Flap Removel 33,550 49,319 49,319 61,732 61,732 SP3003 Bone Grafting Any Site Medium 8,470 12,451 12,451 15,585 15,585 SP3004 Bone Grafting only( in Non Union)Large 10,670 15,685 15,685 19,633 19,633 SP3005 Carpal Tunnel Syndrome 25,300 37,191 37,191 46,552 46,552 SP3006 Cervical Decompressive Laminectomy 33,550 49,319 49,319 61,732 61,732 SP3007 66,000 97,020 97,020 121,440 121,440 Combined anterior & posterior procedure for spine anomaly SP3008 CT guided Nerve Root Block (one level) 8,470 12,451 12,451 15,585 15,585 SP3009 CT guided Nerve Root Block (Two level) 11,550 16,979 16,979 21,252 21,252 SP3010 Decompressive Laminectomy (1 or 2 levels) 22,550 33,149 33,149 41,492 41,492 SP3011 Decompressive Laminectomy (3 or more levels) 28,270 41,557 41,557 52,017 52,017 SP3012 Discography (One Level) 3,630 5,336 5,336 6,679 6,679 SP3013 Discography (Two Level) 5,500 8,085 8,085 10,120 10,120 SP3014 Discography (Three Level and above) 8,470 12,451 12,451 15,585 15,585 SP3015 Endoscopic cervical disectomy 49,500 72,765 72,765 91,080 91,080 SP3016 Endoscopic cervical disectomy with fusion 63,250 92,978 92,978 116,380 116,380 SP3017 Epidural Steroid Injection 2,750 4,043 4,043 5,060 5,060 SP3018 Facetal Injection (Single level) 2,750 4,043 4,043 5,060 5,060 SP3019 Facetal Injection (Mutiple Level) 4,950 7,277 7,277 9,108 9,108 SP3020 Fibular Strut Grafting 12,100 17,787 17,787 22,264 22,264 SP3021 Interlaminar Fenestration spine 22,000 32,340 32,340 40,480 40,480 SP3022 Kyphoplasty One Level 33,550 49,319 49,319 61,732 61,732 SP3023 Kyphoplasty Two Level 45,100 66,297 66,297 82,984 82,984 SP3024 Kyphoplasty Three Level and above 49,500 72,765 72,765 91,080 91,080 SP3025 LCS Decompression 28,050 41,234 41,234 51,612 51,612 SP3026 Manipulations skull traction 4,510 6,630 6,630 8,298 8,298 SP3027 Microdisectomy & artificial disc replacement (One level) 47,850 70,340 70,340 88,044 88,044 SP3028 Microdisectomy & artificial disc replacement (Two level) 54,450 80,042 80,042 100,188 100,188 Service Four bed Two bed Single bed Deluxe room VIP Suite Code Procedure/surgery SP3029 Microdisectomy & artificial disc replacement (Three level) 58,850 86,510 86,510 108,284 108,284 SP3030 Microscopic Intersegmental Decompression One Level 47,850 70,340 70,340 88,044 88,044 SP3031 Microscopic Intersegmental Decompression Two Level 54,450 80,042 80,042 100,188 100,188 SP3032 Minerva Jacket Application 11,550 16,979 16,979 21,252 21,252 SP3033 Nerve Root Block one Level 3,630 5,336 5,336 6,679 6,679 SP3034 Nerve Root Block Three Level 8,470 12,451 12,451 15,585 15,585 SP3035 Nerve Root Block Two Level 5,500 8,085 8,085 10,120 10,120 SP3036 Nerve root entrapment release 8,800 12,936 12,936 16,192 16,192 SP3037 Percutaneous CT guided biopsy 11,550 16,979 16,979 21,252 21,252 Percutaneous Transforaminal Endoscopic Spinal Fusion ( SP3038 54,450 80,042 80,042 100,188 100,188 One Level) SP3039 Percutaneous Endoscopic Spinal Fusion ( Two Levels) 66,000 97,020 97,020 121,440 121,440 SP3040 Percutaneous Fluoroscopic guided biopsy 8,470 12,451 12,451 15,585 15,585 SP3041 49,500 72,765 72,765 91,080 91,080 Percutaneous Spinal fracture stabilization with pedicle screws SP3042 Percutaneous Endoscopy Disectomy (Level I) 63,800 93,786 93,786 117,392 117,392 SP3043 Percutaneous Endoscopy Disectomy (Level II) 82,500 121,275 121,275 151,800 151,800 SP3044 Posterior vertebral column resection with instrumentation 54,450 80,042 80,042 100,188 100,188 SP3045 Postero lateral fusion Spondylolisthesis 33,550 49,319 49,319 61,732 61,732 SP3046 Posteroior decompression with fusion 25,300 37,191 37,191 46,552 46,552 SP3047 Revision Surgery for Lumbar / Cervical Disc Disease 58,850 86,510 86,510 108,284 108,284 SP3048 Sacroiliac Joint injection ( Bilateral) 6,820 10,025 10,025 12,549 12,549 SP3049 Sacroiliac Joint injection ( Unilateral) 4,510 6,630 6,630 8,298 8,298 SP3050 Scoliosis AP release instrumentation spine 63,800 93,786 93,786 117,392 117,392 SP3051 Scoliosis anteroposterior release spine with cast 49,500 72,765 72,765 91,080 91,080 SP3052 Scoliosis correction Posterior - spine 63,800 93,786 93,786 117,392 117,392 SP3053 Spinal Dysraphism 47,850 70,340 70,340 88,044 88,044 SP3054 Spinal Fracture posterior fixation 33,550 49,319 49,319 61,732 61,732 SP3055 Spinal Fracture posterior fixation with fusion 45,100 66,297 66,297 82,984 82,984 SP3056 Spinal jacket application 6,820 10,025 10,025 12,549 12,549 SP3057 Spinal Tumor 47,850 70,340 70,340 88,044 88,044 SP3058 Trans Oral Decompression For CV Junction Anomaly 47,850 70,340 70,340 88,044 88,044 SP3059 Translaminar Microdisectomy One Level 45,100 66,297 66,297 82,984 82,984 SP3060 Translaminar Microdisectomy Two Level 54,450 80,042 80,042 100,188 100,188 SP3061 Translaminar Microdisectomy Three Level 58,850 86,510 86,510 108,284 108,284 SP3062 Vertebral column resection 63,250 92,978 92,978 116,380 116,380 SP3063 Vertebral Instrumentation 58,850 86,510 86,510 108,284 108,284 SP3064 Vertebroplasty One Level 25,300 37,191 37,191 46,552 46,552 SP3065 Vertebroplasty Two Level 30,800 45,276 45,276 56,672 56,672 SP3066 Vertebroplasty Three Level and above 39,600 58,212 58,212 72,864 72,864 SP3067 Removal of spinal cord stimulator minor 22,550 33,149 33,149 41,492 41,492 SP3068 Removal of spinal cord stimulator major 33,550 49,319 49,319 61,732 61,732 SP3069 Implant removal minor 7,700 11,319 11,319 14,168 14,168 SP3070 Implant removal major 25,300 37,191 37,191 46,552 46,552 SP3071 Implant repositioning minor 3,850 5,660 5,660 7,084 7,084 SP3072 Implant repositioning major 13,750 20,213 20,213 25,300 25,300 SP3073 Re exploration of spine surgery minor 2,200 3,234 3,234 4,048 4,048 SP3074 Re exploration of spine surgery major 12,650 18,596 18,596 23,276 23,276 SP3075 Release of tethered cord 28,050 41,234 41,234 51,612 51,612 SP3076 Fusion surgery minor 11,000 16,170 16,170 20,240 20,240 SP3077 Fusion surgery major 27,500 40,425 40,425 50,600 50,600 UROLOGY Service OPD/ four Two bed Single bed Deluxe room VIP Suite Code Service Name bed Minor Surgery/Procedures UR1001 A V Fistula 8,855 13,017 13,017 16,293 16,293 UR1002 Capd Catheter Insertion 7,590 11,157 11,157 13,966 13,966 UR1003 Capd Catheter Removal 7,590 11,157 11,157 13,966 13,966 UR1004 Catheterization 1,265 1,860 1,860 2,328 2,328 UR1005 Catheter Removal 253 372 372 466 466 UR1006 Chordee Correction 8,223 12,087 12,087 15,129 15,129 UR1007 Circumcision 5,693 8,368 8,368 10,474 10,474 UR1008 Cmg +Uroflowmetry 5,693 8,368 8,368 10,474 10,474 UR1009 Cmg+Emg 5,693 8,368 8,368 10,474 10,474 UR1010 Cmg+Emg+Uroflowmetry 6,325 9,298 9,298 11,638 11,638 UR1011 Cystolithotomy Suprapubic 8,476 12,459 12,459 15,595 15,595 UR1012 Cystometery (Bedside) 3,163 4,649 4,649 5,819 5,819 UR1013 Cystometrogram (Cmg) 4,807 7,066 7,066 8,845 8,845 UR1014 Cystoscopic Clot Evacuation 6,325 9,298 9,298 11,638 11,638 UR1015 Cystoscopic Removal Of Foreign Bodies 7,590 11,157 11,157 13,966 13,966 UR1016 Cystoscopic Uretheral Alignment 11,385 16,736 16,736 20,948 20,948 UR1017 Cystoscopy Diagnostic 4,428 6,508 6,508 8,147 8,147 UR1018 Cystoscopy With Bladder Biopsy 5,693 8,368 8,368 10,474 10,474 UR1019 Cystoscopy With Retrograde Catheterisation Bilateral 7,590 11,157 11,157 13,966 13,966 UR1020 Cystoscopy With Retrograde Catheterisation Unilateral 6,325 9,298 9,298 11,638 11,638 UR1021 Debridement Of Fronier Gangrene 10,120 14,876 14,876 18,621 18,621 UR1022 Dilatation Of Stricture Urethra Under GA 3,163 4,649 4,649 5,819 5,819 UR1023 Dilation Of Stricture Urethra Without Anesthesia 1,898 2,789 2,789 3,491 3,491 UR1024 Dj Stent Removal Bilateral 3,163 4,649 4,649 5,819 5,819 UR1025 Dj Stent Removal Unilateral 2,530 3,719 3,719 4,655 4,655 UR1026 Dj Stenting Bilateral 9,488 13,947 13,947 17,457 17,457 UR1027 Dj Stenting Unilateral 8,223 12,087 12,087 15,129 15,129 UR1028 Drainage Of Scrotal Abscess 5,693 8,368 8,368 10,474 10,474 UR1029 Endoscopic Removal Of Stone In Bladder 11,385 16,736 16,736 20,948 20,948 UR1030 Endoscopic ureterocele incision U/L 10,120 14,876 14,876 18,621 18,621 UR1031 Excision Of Epididymis 10,120 14,876 14,876 18,621 18,621 UR1032 Excision Of Spermatocoele 7,590 11,157 11,157 13,966 13,966 UR1033 Exploratory Scrototomy 5,060 7,438 7,438 9,310 9,310 UR1034 Frenuloplasty 2,530 3,719 3,719 4,655 4,655 UR1035 Hydrocele U/L 6,325 9,298 9,298 11,638 11,638 UR1036 Intravasical Bcg Injection 1,265 1,860 1,860 2,328 2,328 UR1038 Lymph Node Biopsy 3,163 4,649 4,649 5,819 5,819 UR1039 Meatoplasty 8,855 13,017 13,017 16,293 16,293 UR1040 Meatotomy (Adult) 3,163 4,649 4,649 5,819 5,819 UR1041 Needle Aspiration (Renal Cyst) 7,590 11,157 11,157 13,966 13,966 UR1042 Nephrostomy (Open) 10,120 14,876 14,876 18,621 18,621 UR1043 Nephrostomy (Percutaneous) 10,120 14,876 14,876 18,621 18,621 UR1044 Non Scalpel Vasectomy 7,590 11,157 11,157 13,966 13,966 UR1045 Optical Urethrotomy 10,753 15,806 15,806 19,785 19,785 UR1046 Orchidectomy Unilateral (Uro) 8,855 13,017 13,017 16,293 16,293 UR1047 Orchidectomy Bilateral (Uro) 11,385 16,736 16,736 20,948 20,948 UR1048 Orchidopexy Unilateral 10,120 14,876 14,876 18,621 18,621 UR1049 Para Phimosis 3,289 4,835 4,835 6,052 6,052 UR1050 Penile Injection With Or Without Teaching Sessions 2,530 3,719 3,719 4,655 4,655 UR1051 Percutaneous Cystolithotomy (Pccl) 11,132 16,364 16,364 20,483 20,483 UR1052 Percutaneous Kidney 6,325 9,298 9,298 11,638 11,638 UR1053 Perineal Urethrostomy 13,915 20,455 20,455 25,604 25,604 UR1054 R.G.P B/L 6,325 9,298 9,298 11,638 11,638 UR1055 R.G.P U/L 5,060 7,438 7,438 9,310 9,310 UR1056 Resection Bladder Neck Endoscopic 11,385 16,736 16,736 20,948 20,948 UR1057 Scrotal Cyst Excision 7,590 11,157 11,157 13,966 13,966 UR1058 Semino Vesiculogram 4,048 5,951 5,951 7,448 7,448 UR1059 Sildinafil essection test 1,265 1,860 1,860 2,328 2,328 UR1060 Sting Endoscopic Surgery Bilateral 10,120 14,876 14,876 18,621 18,621 Service OPD/ four Two bed Single bed Deluxe room VIP Suite Code Service Name bed UR1061 Suprapubic Drainage ( Cystostomy ) 5,060 7,438 7,438 9,310 9,310 UR1062 Testicular Biopsy 3,795 5,579 5,579 6,983 6,983 UR1063 Trans Rectal Prostate Biopsy 3,795 5,579 5,579 6,983 6,983 UR1064 Trans Rectal Trus Guided Prostate Biopsy 4,428 6,508 6,508 8,147 8,147 UR1065 Trocar Cystostomy 4,428 6,508 6,508 8,147 8,147 UR1066 Ureteral Reimplantation U/L 11,385 16,736 16,736 20,948 20,948 UR1067 Uretrolithotomy 11,385 16,736 16,736 20,948 20,948 UR1068 Uroflowmetry 886 1,302 1,302 1,629 1,629 UR1069 Vasectomy 5,566 8,182 8,182 10,241 10,241 UR1070 Bladder Neck Incision 11,385 16,736 16,736 20,948 20,948 UR1071 Dorsal Slit 3,795 5,579 5,579 6,983 6,983 UR1072 Genito Urinary Injury Repair 10,120 14,876 14,876 18,621 18,621 UR1073 Hormonal Injection For Ca Prostate 1,012 1,488 1,488 1,862 1,862 UR1074 Intravesical Medicine Instillation 1,265 1,860 1,860 2,328 2,328 UR1075 Nephrostomy Change 1,265 1,860 1,860 2,328 2,328 UR1076 Posterior Urethral Valve Fulguration 11,385 16,736 16,736 20,948 20,948 UR1077 Torsion Testis (Unilateral) 9,488 13,947 13,947 17,457 17,457 UR1078 Urethral Stone Removal 11,385 16,736 16,736 20,948 20,948 UR1079 Vesicostomy 10,753 15,806 15,806 19,785 19,785 MAJOR SURGERY UR2001 Abscess Drainage Perinephric 12,650 18,596 18,596 23,276 23,276 UR2002 Adrenalectomy Bilateral 27,830 40,910 40,910 51,207 51,207 UR2003 Adrenalectomy Unilateral 18,975 27,893 27,893 34,914 34,914 UR2004 Andreson Hynes Pyeloplasty 16,445 24,174 24,174 30,259 30,259 UR2005 Bladder Diverticulectomy Excision 18,975 27,893 27,893 34,914 34,914 UR2006 Bladder Injury Repair 12,650 18,596 18,596 23,276 23,276 UR2007 Bladder Stone Removal 12,650 18,596 18,596 23,276 23,276 UR2008 Botox inj. 13,915 20,455 20,455 25,604 25,604 UR2009 Buccal Mucosel Urethroplasty 22,770 33,472 33,472 41,897 41,897 UR2010 Closure Fo Urethral Fistula 15,180 22,315 22,315 27,931 27,931 UR2011 Cystectomy Partial (Bladder) 12,650 18,596 18,596 23,276 23,276 UR2012 Cystectomy Radical 25,300 37,191 37,191 46,552 46,552 UR2013 Cystectomy Radical With Uretrosigmoidostomy 29,095 42,770 42,770 53,535 53,535 UR2014 Cystectomy Radical With Continent Diversion 37,950 55,787 55,787 69,828 69,828 UR2015 Cystectomy Radical With Ileal Conduit 31,625 46,489 46,489 58,190 58,190 UR2016 Cystectomy Total (Bladder Removal) 25,300 37,191 37,191 46,552 46,552 UR2017 Endopyelotomy 20,240 29,753 29,753 37,242 37,242 UR2018 Epispadias Repair 18,975 27,893 27,893 34,914 34,914 UR2019 Exystropy Repair (Urology) 18,975 27,893 27,893 34,914 34,914 UR2020 Gil Vernit Extended Pyelolithotomy 16,445 24,174 24,174 30,259 30,259 UR2021 Cytoplasty Augmentation 22,770 33,472 33,472 41,897 41,897 UR2022 Inguinal Lymph Node Dissection B/L 18,975 27,893 27,893 34,914 34,914 UR2023 Inguinal Lymph Node Dissection U/L 12,650 18,596 18,596 23,276 23,276 UR2024 Kidney Injury Repair 15,180 22,315 22,315 27,931 27,931 UR2025 Lap Adnenolectomy B/L 37,950 55,787 55,787 69,828 69,828 UR2026 Lap Adnenolectomy U/L 25,300 37,191 37,191 46,552 46,552 UR2027 Lap Nephrectomy 25,300 37,191 37,191 46,552 46,552 UR2028 Lap Orchidopexy/Orchidectomy 18,975 27,893 27,893 34,914 34,914 UR2029 Lap Renal Cyst Excision 17,710 26,034 26,034 32,586 32,586 UR2030 Lap Uretero Lithotomy/Pyelolithotomy 15,180 22,315 22,315 27,931 27,931 UR2031 Lap. Nephro - Ureterectomy 41,745 61,365 61,365 76,811 76,811 UR2032 Lap. Pyeloplasty 25,300 37,191 37,191 46,552 46,552 UR2033 Lap. Radical Cystectomy 56,925 83,680 83,680 104,742 104,742 UR2034 Lap. Radical Nephrectomy 31,625 46,489 46,489 58,190 58,190 UR2035 Lap. Radical Prostatectomy 50,600 74,382 74,382 93,104 93,104 UR2043 Micro Ligation Of Varicocele 13,915 20,455 20,455 25,604 25,604 UR2044 Nephrectomy (Simple) 15,180 22,315 22,315 27,931 27,931 UR2045 Nephrectomy Complicated Tumor Or Adhesions 20,240 29,753 29,753 37,242 37,242 UR2046 Nephrectomy Nephroureterectomy (Radical) 25,300 37,191 37,191 46,552 46,552 UR2047 Nephrolithotomy 16,445 24,174 24,174 30,259 30,259 UR2048 Nesbits Procedure 17,710 26,034 26,034 32,586 32,586 Service OPD/ four Two bed Single bed Double Bed VIP Suite Code Service Name bed UR2049 Orchidopexy Bilateral 14,548 21,385 21,385 26,767 26,767 UR2050 Partial Nephrectomy 25,300 37,191 37,191 46,552 46,552 UR2051 PCNL (Percutaneous Nephrolithotomy) 22,770 33,472 33,472 41,897 41,897 UR2052 PCNL with Endopylerotomy 27,830 40,910 40,910 51,207 51,207 UR2053 Pelvic Floor Repair 18,975 27,893 27,893 34,914 34,914 UR2054 Pelvicflor Repair-Mesh (Anterior) 18,975 27,893 27,893 34,914 34,914 UR2055 Pelvicflor Repair-Mesh (Posterior) 21,505 31,612 31,612 39,569 39,569 UR2056 Pelvicflor Repair-Mesh (Total) 31,625 46,489 46,489 58,190 58,190 UR2057 Penile Posthesis (Inflatable) 37,950 55,787 55,787 69,828 69,828 UR2058 Penile Posthesis (Semimaleable) 25,300 37,191 37,191 46,552 46,552 UR2059 Penis Fracture Repair 12,650 18,596 18,596 23,276 23,276 UR2060 Penis Partial Amputation (Uro) 13,915 20,455 20,455 25,604 25,604 UR2061 Penis Total Amputation (Uro) 18,975 27,893 27,893 34,914 34,914 UR2062 Perineal End Of End Urethroplasty 18,975 27,893 27,893 34,914 34,914 UR2063 Prostatectomy Open 18,975 27,893 27,893 34,914 34,914 UR2064 Prostatic Stenting 18,975 27,893 27,893 34,914 34,914 UR2065 Pyelolithotomy 16,445 24,174 24,174 30,259 30,259 UR2066 Radical Prostatectomy 34,155 50,208 50,208 62,845 62,845 UR2067 Retrograde Intrarenal Surgery (Rirs) 21,505 31,612 31,612 39,569 39,569 UR2068 Retroperitoneal Tumor excision 26,565 39,051 39,051 48,880 48,880 UR2069 Rplnd 27,830 40,910 40,910 51,207 51,207 UR2070 Sling Surgery For Incontinence 17,710 26,034 26,034 32,586 32,586 UR2071 Substitution Urethroplasty 31,625 46,489 46,489 58,190 58,190 UR2072 Transpubic Urethroplasty 37,950 55,787 55,787 69,828 69,828 UR2073 Transurethral Resection Of Bladder Tumor 17,710 26,034 26,034 32,586 32,586 UR2074 Transurethral Resection Of Prostate (Turp) 17,710 26,034 26,034 32,586 32,586 UR2075 Ureter Uretrostomy 18,975 27,893 27,893 34,914 34,914 UR2076 Uretero Sigmoid Diversion 18,975 27,893 27,893 34,914 34,914 UR2077 Ureteroscopic Removal Of Stone 15,180 22,315 22,315 27,931 27,931 UR2078 Ureteral Reimplantation B/L 18,975 27,893 27,893 34,914 34,914 UR2079 Urethroplasty First Stage 12,650 18,596 18,596 23,276 23,276 UR2080 Urethroplasty One Stage Procedure 20,240 29,753 29,753 37,242 37,242 UR2081 Urethroplasty Second Stage 15,180 22,315 22,315 27,931 27,931 UR2082 Uretro Calicostomy 31,625 46,489 46,489 58,190 58,190 UR2083 Urs+Dj Stenting(Uni)+Cystoscopy Diag 20,240 29,753 29,753 37,242 37,242 UR2084 Vaso Epididymostomy 12,650 18,596 18,596 23,276 23,276 UR2085 Vaso Epididymostomy (Under Microscope) 17,710 26,034 26,034 32,586 32,586 UR2086 Vasovasostomy (Under Microscope) 15,180 22,315 22,315 27,931 27,931 UR2087 Vesicovaginal Fistula 22,770 33,472 33,472 41,897 41,897 UR2088 Magpi 17,710 26,034 26,034 32,586 32,586 UR2089 Mitrofanoff 25,300 37,191 37,191 46,552 46,552 UR2090 Nephrectomy Radical 28,842 42,398 42,398 53,069 53,069 UR2091 Peyronniee Plague Excision & Vein Grafting 20,240 29,753 29,753 37,242 37,242 UR2092 Tip Urethroplasty 18,975 27,893 27,893 34,914 34,914 UR2093 Ureterolysis (Unilateral) 15,180 22,315 22,315 27,931 27,931 UR2094 Urethroplasty Distal Hypospadias 20,240 29,753 29,753 37,242 37,242 UR2095 Urethroplasty Mid Proximal Hypospadias 24,668 36,261 36,261 45,388 45,388 UR2096 Webbed Penis Release 18,975 27,893 27,893 34,914 34,914 Lithotripcy Package UR2039 Lithotripcy Level I 16,500 21,945 24,750 28,875 33,000 UR2040 Lithotripcy Level II 24,750 UR2041 Lithotripcy Level III 31,900 UR2042 Lithotripcy Level IV 39,600 The package include Surgeon fee, OT charges and equipment charges only. Any room rent/ investigation/ Anesthesia/ pharmacy and Laser equipment charge UR1037 Laser Level-1 6,600 UR2036 Laser Level-2 13,200 UR2037 Laser Level-3 19,800 UR2038 Laser Level-4 26,400 REGISTRATION Service Charges ( Rs.) code Service name RG 1001 Registration Fee 100 RG1002 Mommy'S First Card Registration 2,000 RG1003 *Senior Citizen Card (Single) 500 RG 1004 *Senior Citizen Card (Couple) 800 ROOM CHARGES Service Charges ( Rs.) code Service name RC1001 Alpha Bed Charges (Per Day) 200 RC1002 Attendent Room Charges as per bed occupied RC1003 Extra Nursing Care (12 Hours) 1,200 RC1004 Syringe Pump / Infusion Pump 400 RC1005 Pneumatic Ripple Air Bed(Per day) 300 MONITORING Service Charges ( Rs.) code Service name MC1001 Cardiac Monitoring < 8 Hours 600 MC1002 Cardiac Monitoring > 8 Hours 1,100 MC1003 IABP monitoring per day 2,000 MC1004 ICP Monitoring 2,500 MRD Service Charges ( Rs.) code Service name MR1001 Administrative /MRD Charges 500 MR1002 Mortuary Sheet 350 NEBULIZATION Service Charges ( Rs.) code Service name NC1001 Nebulization 300 OXYGEN Service Charges ( Rs.) code Service name OC1001 Oxygen Charge (Per Hour) 40 OC1002 Oxygen Charges Per Day 100 EQUIPMENT CHARGES Service Charges ( Rs.) code Service name MS4001 Harmonic 6,000 MS4002 Laparoscope Charges 3,500 MS4003 C Arm 1,200 MS4004 Dvt Pump/ Pneumatic per day 600 MS4005 Cpap Per Day 1,100 MS4006 Bipap Charges (Per Day) 1,500 MS4007 Hysteroscope/Cystoscope/ Ureteroscope/ Endoscope 1,200 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 MS4012 Computer Navigation (Ortho) 10,000 MS4013 Difficult Airway Tool MS4014 Cordless Ultrasonic Device 10,000 MS4015 Morcellator (Small Specimen) 5,000 MS4016 Morcellator (Large Specimen) 8,000 MS4017 Advance Ligasure 10,000 MS4018 Endoscope (Urology) 3,500 VACCINATION Service Charges ( Rs.) code Service name VC1001 Vaccination Charge For New Born Baby 50 PROCEDURES Service Charges ( Rs.) code Service name PR1001 Injection Charges (Im/Iv) 110 PR1002 Arrhythmia Control 3,150 PR1003 Aspiration Abscess 1,560 PR1004 Aspiration Biopsy 1,560 PR1005 Aspiration Bone Marrow (Procedure) 1,060 PR1006 Aspiration Cold Abscess 1,890 PR1007 Aspiration Liver Abscess 2,990 PR1008 Aspiration Peritoneal Fluid (Diagnostic) 690 PR1009 Aspiration Peritoneal Fluid (Therapeutic) 2,300 PR1010 Aspiration Pleural Fluid (Diagnostic) 690 Service Charges ( Rs.) code Service name PR1011 Aspiration Pleural Fluid (Therapeutic) 2,300 PR1012 Biopsy Bone Marrow (Procedure) 3,510 PR1013 Biopsy Liver 2,990 PR1014 Biopsy Mucosa 2,120 PR1015 Biopsy Nerve 5,450 PR1016 Biopsy True Cut Needle 1,570 PR1017 Biopsy Ulcer In Opd/Ward 1,570 PR1018 Clw Suturing 4,240 PR1019 Clw Suturing Face Multiple Layer 1,570 PR1020 Clw Suturing Face Single Layer 1,090 PR1021 Clw Suturing Lower /Upper Limb Multiple Layer 970 PR1022 Clw Suturing Lower /Upper limb Single Layer 610 PR1023 Debridement Of Wound Large 2,070 PR1024 Debridement Of Wound Medium 1,560 PR1025 Debridement Of Wound Small 1,080 PR1026 Dressing (Large) 730 PR1027 Dressing (Medium) 540 PR1028 Dressing (Small) 360 PR1029 Enema Administration 330 PR1030 EUA (Examination Under Anaesthesia) 2,000 PR1031 Exchange Transfusion 4,320 PR1032 FNAC - Procedure 620 PR1033 Gastric Lavage 1,210 PR1034 Ingrowing Toe Nail Removal In Opd/Ward 1,820 PR1035 Piercing Pinna - Bilateral 1,690 PR1036 Piercing Pinna - Unilateral 1,090 PR1037 Reinjection For Heamorrohoids 810 PR1038 Streptokinase Injection Procedure 3,150 PR1039 Suturing < 6 Stiches 850 PR1040 Suturing > 6 Stiches 2,180 PR1041 Venesection 1,090 PR1042 Single agent bisphosphonate administration 790 PR1043 Biological agent / Immunotherapy 4,840 VASCULAR SURGERY Service Double Four Bed code Service Name Bed Single Bed Deluxe Vip Suite VS1001 Abdominal Arotic Aneurysm Repair - Evar 55,000 80,850 80,850 101,200 101,200 VS1002 Endarteractomy - Any Peripheral Vessel 41,800 61,446 61,446 76,912 76,912 VS1003 Wound Healing Therapy - Per Hour 1,760 2,587 2,587 3,238 3,238 VS1004 Carotid Body Tumour Excision With Shunt 33,550 49,319 49,319 61,732 61,732 VS1005 Diabetic Foot Vascular Assessment Procedure 1,650 2,426 2,426 3,036 3,036 VS1006 Injection Sclrotherapy - Per Sitting 1,980 2,911 2,911 3,643 3,643 VS1007 Ultrasonic Assisted Wound Debridement 1,320 1,940 1,940 2,429 2,429 VS1008 Fem - Fem Cross Over Graft 33,000 48,510 48,510 60,720 60,720 VS1009 Fistulas For Hemodialysis 9,350 13,745 13,745 17,204 17,204 VS1010 Carotid Body Tumor Excision 33,550 49,319 49,319 61,732 61,732 VS1011 Cervical Rib Excision 36,300 53,361 53,361 66,792 66,792 VS1012 Femoral Embolectomy - Bilateral 49,500 72,765 72,765 91,080 91,080 VS1013 Femoral Embolectomy - Unilateral 38,500 56,595 56,595 70,840 70,840 VS1014 Femoro Popliteal Bypass With Synthetic Graft 44,000 64,680 64,680 80,960 80,960 VS1015 Femoro Popiliteal Bypass With Autogenous Vein 49,500 72,765 72,765 91,080 91,080 VS1016 Lieno Renal / Proto Caval / Mesocaval Shunt 44,110 64,842 64,842 81,162 81,162 VS1017 Esophageal Varices Ligation 44,110 64,842 64,842 81,162 81,162 VS1018 Aorto Bifemoral Bypass Without Endarterectomy 49,500 72,765 72,765 91,080 91,080 VS1019 Lumbar Sympathectomy 22,000 32,340 32,340 40,480 40,480 VS1020 Popliteal Artery Entrapment Management 38,500 56,595 56,595 70,840 70,840 VS1021 Peripheral Arterial Aneurysm Repair 44,000 64,680 64,680 80,960 80,960 VS1022 Peripheral Vascular Injury Repair 44,000 64,680 64,680 80,960 80,960 VS1023 Profundaplasty Using Patch 44,000 64,680 64,680 80,960 80,960 VS1024 Thoracic Aneurysms Resection + Grafting 55,000 80,850 80,850 101,200 101,200 VS1025 Subclavian Artery Bypass 38,500 56,595 56,595 70,840 70,840 VS1026 Arterial Thromboendarterectomy 41,250 60,638 60,638 75,900 75,900

VS1027 Femoral + Popliteal Thrombo Embolectomy - Unilateral 44,000 64,680 64,680 80,960 80,960 VS1028 Varicose Vein Surgery - Both Legs 36,520 53,684 53,684 67,197 67,197 VS1029 Aorto Iliac Bypass 49,500 72,765 72,765 91,080 91,080 VS1030 Varicose Vein Surgery - Single Leg 25,740 37,838 37,838 47,362 47,362 VS1031 Femoro Distal Bypass 49,500 72,765 72,765 91,080 91,080 VS1032 Thoracic Outlet Syndrome Surgery 38,500 56,595 56,595 70,840 70,840 VS1033 Femoral Arteriogram On Table 10,450 15,362 15,362 19,228 19,228 VS1034 Other Arterial Bypass Surgery With Vein 49,500 72,765 72,765 91,080 91,080 VS1035 Other Arterial Bypass Surgery With Synthetic Graft 44,000 64,680 64,680 80,960 80,960 VS1036 Superior Vena Cava Bypass 49,500 72,765 72,765 91,080 91,080 VS1037 Inferior Vena Cava Bypass 49,500 72,765 72,765 91,080 91,080 VS1038 Palma Dale Procedure 38,500 56,595 56,595 70,840 70,840 VS1039 Iliac Vein Bypass 38,500 56,595 56,595 70,840 70,840 VS1040 Axillo Femoral Bypass 38,500 56,595 56,595 70,840 70,840 VS1041 Femoral Vein Valvuloplasty 38,500 56,595 56,595 70,840 70,840 VS1042 Axillary Vein Transfer 38,500 56,595 56,595 70,840 70,840 VS1043 Diabetic Foot Debridement 11,000 16,170 16,170 20,240 20,240 VS1044 Omental Transfer 33,000 48,510 48,510 60,720 60,720 VS1045 Venous Thrombectomy 27,500 40,425 40,425 50,600 50,600 VS1046 Varicose Veins ( Open Surgery ) - Bilateral 36,520 53,684 53,684 67,197 67,197 VS1047 Varicose Veins ( Open Surgery ) - Unilateral 25,740 37,838 37,838 47,362 47,362 VS1048 Chemoport Insertion 11,000 16,170 16,170 20,240 20,240 VS1049 Chemoport Removal 5,500 8,085 8,085 10,120 10,120 VS1050 Hickman Line Insertion 11,000 16,170 16,170 20,240 20,240 VS1051 Carotico Brachial Bypass - Graft Sythethetic 38,500 56,595 56,595 70,840 70,840 VS1052 Permacath Placement / Insertion 12,100 17,787 17,787 22,264 22,264 VS1053 Aorto Bifemoral Bypass + Endarterectomy 55,000 80,850 80,850 101,200 101,200 VS1054 Laparoscopic Aorto - Distal Vascular Anastomosis 25,740 37,838 37,838 47,362 47,362 VS1055 Axillary - Brachial Bypass With Synthetic Graft 44,000 64,680 64,680 80,960 80,960 VS1056 Extra - Anatomical Bypass 38,500 56,595 56,595 70,840 70,840 Extra - Anatomical Axillo - Bifemoral Bypass ( Bilateral ) With VS1057 Synthetic Grafting 41,250 60,638 60,638 75,900 75,900 VS1058 Cartoid - Axillary Bypass With Synthetic Grafting 41,250 60,638 60,638 75,900 75,900 VS1059 Femoro - Popliteal Bypass With Reversed Lsv 49,500 72,765 72,765 91,080 91,080

Service Double Four Bed code Service Name Bed Single Bed Deluxe Vip Suite VS1060 Arterial Endarterectomy With Ptfe / Vein Patch Plasty 44,000 64,680 64,680 80,960 80,960 VS1061 Carotid Endartertctomy Eversion 44,000 64,680 64,680 80,960 80,960 VS1062 Carotid Bypass Graft 41,250 60,638 60,638 75,900 75,900 Axillary Arterial Injury ( Exploration + Repair ) - Primary VS1063 Repair 44,000 64,680 64,680 80,960 80,960

VS1064 Arterial Injury ( Exploration + Repair ) - Using Vein Graft 44,000 64,680 64,680 80,960 80,960

VS1065 Traumatic Bleeding Arterial Injury ( Exploration + Ligation ) 44,000 64,680 64,680 80,960 80,960 VS1066 Open Aortic Aneurysm Repair 55,880 82,144 82,144 102,819 102,819 Ruptured Infra Renal Abdominal Aoritc Aneurysm Repair - VS1067 Aorto Bi-Iliac Bypass Graft 66,000 97,020 97,020 121,440 121,440 Chronic Total Occlusion ( Cto ) Recanalisation - Single VS1068 Segment 29,260 43,012 43,012 53,838 53,838 Chronic Total Occlusion ( Cto ) Recanalisation With VS1069 Patch Plasty 29,260 43,012 43,012 53,838 53,838 VS1070 Endovascular Aneurysm Repair 143,000 210,210 210,210 263,120 263,120 VS1071 Angio Embolisation ( Minor ) 28,930 42,527 42,527 53,231 53,231 VS1072 Peripheral Angioplasty ( Vascular ) 28,930 42,527 42,527 53,231 53,231 VS1073 Carotid Endartrectomy 55,880 82,144 82,144 102,819 102,819 VS1074 Endoluminal Bypass 28,930 42,527 42,527 53,231 53,231 VS1075 Angio Embolisation ( Major ) 28,930 42,527 42,527 53,231 53,231 VS1076 A.V.Fistula Salvage 10,450 15,362 15,362 19,228 19,228

VS1077 Chronic Total Occlusion ( Cto ) Recanalisation - Multi Level 29,260 43,012 43,012 53,838 53,838 VS1078 Cto Subinitmal Recanalisation - Focal 29,260 43,012 43,012 53,838 53,838 VS1079 Vascular Malformation Excision - Minor 5,500 8,085 8,085 10,120 10,120 VS1080 Vascular Malformation Excision - Intermediate 16,500 24,255 24,255 30,360 30,360 VS1081 Vascular Malformation Excision - Major 27,500 40,425 40,425 50,600 50,600 VS1082 Ivc Filter Insertion 24,420 35,897 35,897 44,933 44,933 VS1083 Foreign Body Tumour Removal 10,450 15,362 15,362 19,228 19,228 VS1084 Cervical Sympathectomy 20,900 30,723 30,723 38,456 38,456 VS1085 Hickman Line Removal 6,600 9,702 9,702 12,144 12,144 VS1086 Thrombolysis Intra Arterial 11,000 16,170 16,170 20,240 20,240 VS1087 Peripheral Angiography ( Vascular ) 10,450 15,362 15,362 19,228 19,228 VS1088 Vein Injury Repair - With Interposition Graft 33,000 48,510 48,510 60,720 60,720 VS1089 Major Vascular Repair - With Interposition Graft 38,500 56,595 56,595 70,840 70,840 VS1090 Decompression Fasciotomy 19,250 28,298 28,298 35,420 35,420 VS1091 Vein Exploration 5,500 8,085 8,085 10,120 10,120 VS1092 A V Fistula Revision 5,500 8,085 8,085 10,120 10,120 VS1093 Diabetic Foot Debridement - Small 1,760 2,587 2,587 3,238 3,238 VS1094 Diabetic Foot Debridement - Medium 3,300 4,851 4,851 6,072 6,072 VS1095 Congenital A.V. Fistula Repair 34,100 50,127 50,127 62,744 62,744 VS1096 Diabetic Foot Debridement - Large 5,500 8,085 8,085 10,120 10,120 VS1097 Toe Amputation 8,250 12,128 12,128 15,180 15,180 VS1098 Foot Amputation 19,250 28,298 28,298 35,420 35,420 VS1099 Above Knee Amputation 34,100 50,127 50,127 62,744 62,744 VS1100 Below Knee Amputation 27,500 40,425 40,425 50,600 50,600 VS1101 Small Artery Aneurysm Repair 14,740 21,668 21,668 27,122 27,122 VS1102 Ivc Filter Removal 20,900 30,723 30,723 38,456 38,456 VS1103 Venous Thermal Ablation - Unilateral 77,000 113,190 113,190 141,680 141,680 VS1104 Venous Thermal Ablation - Bilateral 93,500 137,445 137,445 172,040 172,040 VS1105 Venous Thermal Ablation With Rfa - Unilateral 93,500 137,445 137,445 172,040 172,040 VS1106 Fistulas For Hemodialysis Low Level 13,200 19,404 19,404 24,288 24,288 VS1107 Fistulas For Hemodialysis High Level 18,150 26,681 26,681 33,396 33,396 VS1108 Peripheral Haemangioma Sclerotherapy Distal 1,430 2,102 2,102 2,631 2,631 Peripheral Haemangioma Sclerotherapy / Embolisation VS1109 (Trans-Arterial) 20,350 29,915 29,915 37,444 37,444 VS1110 Peripheral Trauma Interventional 20,350 29,915 29,915 37,444 37,444 VS1111 Thrombolysis Of Deep Venous 25,850 38,000 38,000 47,564 47,564 VS1112 Peripheral Arterial Thrombolysis 25,850 38,000 38,000 47,564 47,564 VS1113 Basilic Vein Transposition 38,500 56,595 56,595 70,840 70,840

Service Double Service Name Four Bed Code Bed Single Bed Deluxe Vip Suite VS1114 Brachio-Basilic Vein Loop, Av Grafting 33,000 48,510 48,510 60,720 60,720 VS1115 Brachio-Axillary/Basilic Vein Av Grafting 33,000 48,510 48,510 60,720 60,720 VS1116 Gsv Translocation For A.V. Access 38,500 56,595 56,595 70,840 70,840 VS1117 Ligation Of Ruptured A.V Fistula 12,100 17,787 17,787 22,264 22,264 VS1118 Repair Of A.V Fistula Aneurysms 13,090 19,242 19,242 24,086 24,086 VS1128 Ivc Membraniotomy & Angioplasty Stenting 20,900 30,723 30,723 38,456 38,456 VS1120 Carotid Angioplasty/ Stenting 49,500 72,765 72,765 91,080 91,080 VS1121 Aortic Angioplasty/ Stenting 30,250 44,468 44,468 55,660 55,660 VS1122 Aortic Stent Graft, Endoleak/Embolisation 30,250 44,468 44,468 55,660 55,660 VS1123 Carotid Angiogram 10,450 15,362 15,362 19,228 19,228 VS1124 Central Venogram/Arm Venogram/Diagnostic 11,550 16,979 16,979 21,252 21,252 VS1125 Arterial Embolization 28,930 42,527 42,527 53,231 53,231 VS1126 Gi Bleed Embolization 17,490 25,710 25,710 32,182 32,182 VS1127 Peripheral Artery Intervention Angioplasty/Stenting 17,490 25,710 25,710 32,182 32,182 VS1128 Vascular Prosthetic Graft For Av Access 33,000 48,510 48,510 60,720 60,720 VS1129 Intraarterial Thrombolysis 39,380 57,889 57,889 72,459 72,459 VS1130 Iliac Angioplasty/ Stenting 23,100 33,957 33,957 42,504 42,504 VS1131 Peripheral Angiography/Diagnostic One Limb 10,450 15,362 15,362 19,228 19,228 VS1132 Peripheral Angioplasty With Stent One Limb 25,850 38,000 38,000 47,564 47,564 VS1133 Peripheral Angioplasty Without Stent One Limb 20,350 29,915 29,915 37,444 37,444 VS1134 Prema Cath Removal 6,600 9,702 9,702 12,144 12,144 Blood Bank Service OP CHARGES IP CHARGES Code Service Name BD1001 Antibody Screening 250 250 BD1002 Apheresis Platelets 11,400 11,400 BD1003 Cross Matching Charges & Blood Grouping 600 600 BD1004 Donor Screening For apheresis 600 600 BD1005 Whole Blood - Processing Charges 2,900 2,900 BD1006 Fresh Frozen Plasma 1,600 1,600 BD1007 Packed Cell 2,400 2,400 BD1008 Packed Cell (Leukoreduced) 2,700 2,700 BD1009 1,600 1,600 Platelet Concentrates (Processing Charges) BD1010 Polycythaemia Phlebotomy 600 600 BD1011 Therapeutic Phlebotomy 350 350 BD1012 Subsequent Pack 250 250 BD1013 Thermocol packing Charges 100 100 BD1014 Donor Security Deposit (Refundable) 2,000 2,000 BD1015 Apheresis Platelets (Processing Charges) 10,800 10,800

CARDIOLOGY INVESTIGATION Service OP CHARGES IP CHARGES Code Service Name CI1001 ECG 250 300 CI1002 ECG Bedside 320 380 CI1003 Echo Doppler 2,420 2,900 CI1004 Echo Doppler (Bed Side) 2,790 3,350 CI1005 Echo Fetal 2,790 3,350 CI1006 Echo (Paediatrics / Neonatal ) 3,810 4,570 CI1007 Echo Screening 1,580 1,900 CI1008 Echo Stress 3,560 4,270 CI1009 Echo Stress (Dobutamine) 4,450 5,340 CI1010 Echo Trans Esophageal 3,180 3,820 CI1011 Holter Analysis 1,910 2,290 CI1012 Tilt Test 3,430 4,120 CI1013 TMT 1,790 2,150 CI1014 BP Ambulatory 1,450 1,740

LABORATORY SERVICES Service OP CHARGES IP CHARGES Code Service Name BIOCHEMISTRY LB1001 Adenosine Deaminase (ADA) 640 770 LB1002 Alkaline Phosphatase 190 230 LB1003 Amylase 440 530 LB1004 Anti Streprolysin-O\ Aslo\ Aso Titre 610 730 LB1005 Arterial Blood Gas Analysis 780 940 LB1006 Ascitic Fluid Analysis - Sugar/Glucose And Protein 460 550 LB1007 Bilirubin Total And Direct 280 340 LB1008 Blood Sugar (Random) 120 140 LB1009 Blood Sugar 2 Hr. Pp 120 140 LB1010 Blood Sugar Fasting 120 140 LB1011 Calcium 180 220 LB1012 Chloride 200 240 LB1013 Cholesterol 150 180 LB1014 C-Reactive Proteins (CRP) 640 770 LB1015 Creatinine 160 190 LB1016 Creatinine Kinase (CPK) 280 340 LB1017 Creatinine Kinase MB 410 490 LB1018 Electrolytes (NA\K\Cl) 410 490 LB1019 Fluid Amylase 380 460 LB1020 G - 6 Pd Deficiency Test 890 1,070 LB1021 Ggtp (Gamma Gt) 220 260 LB1022 Glucose Challenge Test (GCT) 110 130 LB1023 Glucose Tolerance Test (75 Gram Glucose) 440 530 LB1024 Glucose Tolerance Test (Gestation 100 Gram Glucose) 440 530 LB1025 Glycosylated Haemoglobin 830 1,000 LB1026 HDL Cholesterol 250 300 LB1027 Iron And Total Iron Binding Capacity 780 940 LB1028 Lactate, Plasma 960 1,150 LB1029 LDH Total (Serum) 380 460 LB1030 Lipase 660 790 LB1031 Lipid Profile 950 1,140 LB1032 Liver Function Test Profile 840 1,010 LB1033 Magnesium Serum 500 600 LB1034 Microalbuminuria (MAU) 550 660 LB1035 Other Fluid Analysis - LDH 380 460 LB1036 Phosphorus 170 200 LB1037 Pleural Fluid Analysis - LDH 380 460 LB1038 Pleural Fluid Analysis - Sugar/Glucose and Protein 460 550 LB1039 Potassium 190 230 LB1040 Renal Profile 1,210 1,450 LB1041 Rheumatoid Factor Assay 640 770 LB1042 Serum Osmolality 700 840 LB1043 Serum Albumin 130 160 LB1044 SGOT- Aspartate Amino Transferase 180 220 LB1045 SGPT- Alanine Amino Transferase 180 220 LB1046 Sodium 190 230 LB1047 Total Proteins With Albumin\Globulin\A/G 280 340 LB1048 Triglycerides 280 340 LB1049 Troponin-I (Qualitative) 1,270 1,520 LB1050 Troponin-T 1,270 1,520 LB1051 Urea 160 190 LB1052 Uric Acid 160 190 LB1053 Urinary Calcium - Spot 230 280 LB1054 Urinary Calcium 24 Hrs. 230 280 LB1055 Urinary Chloride 24 Hrs. 230 280 LB1056 Urinary Chloride (Spot Sample) 230 280 LB1057 Urinary Creatinine - Spot 230 280 LB1058 Urinary Creatinine 24 Hrs. 230 280 LB1059 Urinary Potassium 24 Hrs. 230 280 LB1060 Urinary Potassium (Spot Sample) 230 280 LB1061 Urinary Protein 24 Hrs. 250 300 LB1062 Urinary Protein(Spot) 250 300 LB1063 Urinary Uric Acid 24 Hrs. 280 340 LB1064 Urine For Sodium (Spot Sample) 250 300 LB1065 Urine Protein/Creatinine Ratio 440 530

Service OP CHARGES IP CHARGES Code Service Name LB1066 Venous Blood Gas 790 950 LB1067 Abg/Elec/Met 1,520 1,820 LB1068 Renal Profile 1 1,210 1,450 LB1069 Urea (Post Dialysis) 160 190 CLINICAL PATHOLOGY - LB2001 Ascitic Fluid - Cell Type\ Cell Count\ Albumin 500 600 LB2002 Bal For Cytology (Cell Count & Cell Type) 380 460 LB2003 Csf Analysis Cell Type\ Cell Count\ Glucose\ Protein 570 680 LB2004 Haemoglobin,Urine 190 230 LB2005 Occult Blood 130 160 LB2006 Other Fluid Analysis - Cell Type And Cell Count 500 600 LB2007 Pleural Fluid Analysis - Cell Type And Cell Count\ 500 600 LB2008 Semen Analysis 530 640 LB2009 Stool For Occult Blood 130 160 LB2010 Stool For Reducing Substance 130 160 LB2011 Stool Ph 130 160 LB2012 Stool Routine And Microscopy. 190 230 LB2013 Urinary Bence Jones Proteins 380 460 LB2014 Urine Albumin 130 160 LB2015 Urine For Bile Pigment 130 160 LB2016 Urine For Bile Salt 130 160 LB2017 Urine For Fat Globules 130 160 LB2018 Urine For Haematuria 130 160 LB2019 Urine For Specific Gravity 130 160 LB2020 Urine Ketone 130 160 LB2021 Urine Pregnancy Test 250 300 LB2022 Urine Routine And Microscopy. 160 190 LB2023 Urine Sugar Fasting 130 160 LB2024 Urine Sugar Pp 130 160 LB2025 Urine Sugar Random 130 160 LB2026 IUI-Semen Prepartion 1,960 2,350 CYTOLOGY - - LB3001 Fluid Analysis - Cytology For Malignant Cell 830 1,000 LB3002 Ascitic Fluid Analysis - Cytology For Malignant Cell 830 1,000 LB3003 Cytology For Nipple Discharge 830 1,000 LB3004 Extra Slide 190 230 LB3005 Fine Needle Aspiration Cytology (FNAC) 890 1,070 LB3006 Malignant Cells (Ganga Ram Hospitals) 890 1,070 LB3007 Pap Smear 640 770 LB3008 Pleural Fluid Analysis - Cytology For Malignant Cell 830 1,000 LB3009 Slides For Review 700 840 LB3010 Sputum For Malignant Cells And Cytology 830 1,000 LB3011 Tzank Smear 250 300 LB3012 Urine Cytology for Malignant Cells 830 1,000 HAEMATOLOGY - - LB4001 Absolute Eosinophil Count 160 190 LB4002 Blood Group And Rh Factor 190 230 LB4003 Coagulation Profile 1,970 2,360 LB4004 Complete Blood Count -CBC(HB\TLC\PCV\RBC\Platelet) 450 540 LB4005 Complete Heamogram\ Peripherial Smear And ESR 480 580 LB4006 Coombs Test Direct 440 530 LB4007 Coombs Test Indirect 480 580 LB4008 Ddimer 1,550 1,860 LB4009 DLC 160 190 LB4010 ESR 110 130 LB4011 FDP 910 1,090 LB4012 Haemoglobin Estimation 160 190 LB4013 Le Cells 280 340 LB4014 Malaria Antigen (Rapid Test For Malaria) 770 920 LB4015 Malarial Parasite 160 190 LB4016 Partial Thromboplastin Time (APTT) 500 600 LB4017 PCV 160 190 LB4018 Peripheral Smear Examination 220 260 LB4019 Platelet Count 160 190 LB4020 Prothrombin Time (With Inr) 420 500 LB4021 RBC Count 130 160 LB4022 Reticulocyte Count 230 280 LB4023 Sickle Cell Test 130 160 LB4024 TLC 160 190

Service OP CHARGES IP CHARGES Code Service Name HISTOPATHOLOGY - - LB5001 Biopsy Large 1,650 1,980 LB5002 Biopsy Neuropathology 1,530 1,840 LB5003 Histo Biopsy Extra Slide 190 230 LB5004 Histo Biopsy Small Specimens 1,020 1,220 LB5005 Histo Biopsy Medium Specimens 1,270 1,520 LB5006 Histo Biopsy Review Of Slide 700 840 LB5007 Histo Block For Review (Ganga Ram) 1,270 1,520 LB5008 Immunohistochemistry > Three Markers 6,480 7,780 LB5009 Immunohistochemistry - Three Markers 5,590 6,710 LB5010 Immunohistochemistry - Two Markers 3,810 4,570 LB5011 Immunohistochemistry-One Marker 1,910 2,290 LB5012 Immunohistochemistry Er/Pr 3,180 3,820 LB5013 Immunohistochemistry Her-2-Neu 1,650 1,980 LB5014 Ganga Ram Extra Slide 700 840 MICROBIOLOGY - LB6001 Ascitic Fluid Analysis - AFB Stain 320 380 LB6003 Ascitic Fluid Analysis - Gram'S Stain 320 380 LB6004 Bal For Culture And Sensitivity 480 580 LB6006 Body Fluid Culture (Bactec) 1,270 1,520 LB6007 Cathetertip Culture & Sensitivity 680 820 LB6008 Central Line Tip For Culture & Sensitivity 680 820 LB6009 Conjuctival Swab For C & S 680 820 LB6011 Culture And Sensitivity(Other Specimen) 680 820 LB6012 Cvp Line Tip For Culture & Sensitivity 680 820 LB6013 Ear Discharge C And S 680 820 LB6014 Ear Swab C+S 680 820 LB6015 Et Secretions For Culture & Sensitivity 840 1,010 LB6016 Et Tip For Culture & Sensitivity 840 1,010 LB6017 Eye Swab Culture And Sensitivity 680 820 LB6018 Foleys Catheter Tip For Culture & Sensitivity 680 820 LB6019 High Vaginal Swab Culture And Sensitivity 680 820 LB6020 India Ink 320 380 LB6021 Koh Staining (Small Specimen) 320 380 LB6022 Mantoux / PPD/ Tuberculin Test 130 160 LB6023 Nail Clipping For Fungus 320 380 LB6024 Nasal Swab For Culture & Sensitivity 680 820 LB6026 Pleural Fluid Analysis - Afb Stain 320 380 LB6028 Pleural Fluid Analysis - Gram'S Stain 320 380 LB6029 Pus C And S 680 820 LB6030 Semen C And S 680 820 LB6031 Smear For AFB Staining 320 380 LB6032 Smear For Fungus 320 380 LB6033 Smear For Gram Staining 320 380 LB6034 Sputum C And S 680 820 LB6035 Sputum For AFB Smear 320 380 LB6036 Stool C/S 680 820 LB6037 Stool For Hanging Drop 190 230 LB6038 Throat Swab C And S 680 820 LB6039 Tip C And S 680 820 LB6040 Tissue For Culture & Sensitivity 680 820 LB6041 Tracheal Secretions For Culture & Sensitivity 840 1,010 LB6042 Urine C And S 680 820 LB6043 Urine For AFB Smear 320 380 LB6044 Widal Test 250 300 LB6045 Wound Swab C+S 680 820 LB6046 Fungal Culture test 1,210 1,450 LB6047 Smear for Microscopy 380 460 LB6048 Other Fluid C And S (Bact/Alert) 1,270 1,520 LB6049 Pleural Fluid C And S (Bact/Alert) 1,270 1,520 LB6050 Ascitic Fluid C And S (Bact/Alert) 1,270 1,520 LB6051 Csf C And S (Bact/Alert) 1,270 1,520 LB6052 Blood C And S (Bact/Alert) 1,270 1,520 LB6053 Blood C And S (Peripheral Line) (Bact/Alert) 1,270 1,520 LB6054 Bal For Culture And Sensitivity (Bact/Alert) 840 1,010 LB6055 Synovial Fluid C And S 1,270 1,520 LB6056 Knee Aspiration Fluid C And S 1,270 1,520

Service OP CHARGES IP CHARGES Code Service Name SEROLOGY/IMMUNOLOGY - - LB7001 Antibody To Hepatitis C Virus (ECI) 1,400 1,680 LB7002 Antibody To Hepatitis C Virus (Rapid) 500 600 LB7003 Beta Hcg Cancer Marker 770 920 LB7004 Chickun Guniya Serology 1,020 1,220 LB7005 Dengue Ns1 Antigen 1,270 1,520 LB7006 Dengue Serology (Ig M & Ig G) 1,270 1,520 LB7007 Ferritin 790 950 LB7008 Free T3 460 550 LB7009 Free T4 460 550 LB7010 FSH - Follicle Stimulating Hormone 550 660 LB7011 HCG - Beta Specific 770 920 LB7012 Hepatitis B Surface Antigen (ECI) 770 920 LB7013 Hepatitis B Surface Antigen (Rapid) 640 770 LB7014 HIV I & Ii Antibody (Rapid) 530 640 LB7015 HIV I + II Antibody (ECI) 830 1,000 LB7016 LH - Leuteinizing Hormone 550 660 LB7017 Needle Stick Injury Panel 3,180 3,820 LB7018 Pre Dailysis Screen 1,910 2,290 LB7019 Procalcitonin (Qualitative) 3,500 4,200 LB7020 Prolactin 640 770 LB7021 PSA Total (Prostate Specific Antigen- Cancer Marker) 890 1,070 LB7022 RPR Test 140 170 LB7023 Thyroid Profile 1,140 1,370 LB7024 Troponin I (Quantitative) 1,910 2,290 LB7025 TSH (Ultrasensitive) 440 530 LB7026 Typhoid Igm 500 600 LB7027 Vitamin B12 1,330 1,600 LB7028 CA-125 1,590 1,910 LB7029 Rubella IgG 640 770 LB7030 Total IgE 890 1,070 LB7031 HAV IgM 1,400 1,680 LB7032 Cortisol AM 890 1,070 LB7033 Cortisol PM 890 1,070 LB7034 Cortisol Urine 890 1,070 LB7035 CEA 1,020 1,220 LB7036 25 Hydroxy Vitamin D-Total 1,910 2,290 LB7037 Cryptococcus Antigen, CSF 2,040 2,450 LB7038 Cryptococcus Antigen, Serum 2,040 2,450 LB7039 Pre Dailysis Screen (Rapid Card) 1,270 1,520 LB7040 PTH ( Para thyroid Harmone) Intact with Calcium 1,970 2,360 LB7041 Procalcitonin (Quanititive) 3,700 4,440 LB7043 NT-Probnp 2,670 3,200 LB7044 C Difficile Toxin A & Toxin B 2,580 3,100 Lab panel - - LB8001 Blood Culture ( Paired ) 1,910 2,290 LB8002 Blood Culture With Urine Culture And Bal 2,790 3,350 LB8003 Blood Culture With Urine Culture And Tracheal Culture 2,790 3,350 LB8004 Blood Culture With Urine Culture And Et Secretion 2,790 3,350 LB8005 Blood Culture With Urine Culture And Sputum Culture 2,790 3,350 -

Radiology Service OP CHARGES IP CHARGES Code Service Name Bone densitometry RD1001 Bone Densitometry Hip 3,120 3,740 RD1002 Bone Densitometry Hip & Spine 4,360 5,230 RD1003 Bone Densitometry Spine Study 3,120 3,740 RD1004 Bone Densitometry Whole body 4,610 5,530 CT SCAN - RD2001 CT-Whole Abdomen Plain 7,380 8,860 RD2002 CT-Whole Abdomen With Contrast 10,040 12,050 RD2003 CT-Upper Abdomen Plain 4,450 5,340 RD2004 CT-Upper Abdomen With Contrast 6,340 7,610 RD2005 CT-Abdomen-Dual Phase CT For Liver 7,610 9,130 RD2006 CT-Abdomen-Pelvis/Lower Abdomen plain 5,710 6,850 RD2007 CT-Abdomen -Pelvis/Lower Abdomen With Contrast 6,990 8,390 RD2008 CT-Angiography - Cerebral 8,880 10,660 RD2009 CT-Angiography-Localised 8,880 10,660 RD2010 CT-Angiography-Carotid Artery 8,880 10,660 RD2011 CT-Angiography-Peripheral/Extremeties 8,880 10,660 RD2012 CT-Angiography-Abd Aorta 8,880 10,660 RD2013 CT-Angiography-Pulmonary 8,880 10,660 RD2014 CT-Angiography-Renal Retery 8,880 10,660 RD2015 CT-Arthrography Screening 1,910 2,290 RD2016 CT-Chest & Whole Abdomen With Contrast 12,690 15,230 RD2017 CT-Chest With Contrast 6,470 7,760 RD2018 CT-Chest plain 4,690 5,630 RD2019 CT-Chest Plain with HRCT 5,500 6,600 RD2026 CT-Head Plain 2,880 3,460 RD2027 CT-Head Contrast 4,500 5,400 RD2028 CT-head - Iam/Temporal Bone 5,500 6,600 RD2029 CT-head -Cisternography 8,000 9,600 RD2030 CT-head -Contrast (Non-Ionic) 5,080 6,100 RD2031 CT-head Pitutary- Sella Contrast 6,500 7,800 RD2032 CT-head-Pituitary-Sella 4,450 5,340 RD2033 CT-Joints Plain 5,080 6,100 RD2034 CT-Joints Contrast 6,990 8,390 RD2035 CT-Joints With 3D 7,500 9,000 RD2036 CT-Kub (Plain) 4,580 5,500 RD2037 CT-Maxillo-Facial Trauma 3D 7,500 9,000 RD2038 CT-Neck & Chest With Contrast 10,240 12,290 RD2039 CT-Neck Plain 4,040 4,850 RD2040 CT-Neck/Pharynx/Larynx (Contrast) 6,470 7,760 RD2041 CT-neuro( Follow Up) 1,290 1,550 RD2042 CT-neuro( Limited Window) 1,040 1,250 RD2043 CT-neuro( Repeat) 1,950 2,340 RD2044 CT-Orbits Coronal & Axial 5,500 6,600 RD2045 CT-Pns Axial & Coronal With Contrast 6,470 7,760 RD2046 CT-Pns Axial & Coronal plain 4,000 4,800 RD2048 CT-Posterior Fossa 3,180 3,820 RD2049 CT-Procedures-Diagnostic Aspiration 3,240 3,890 RD2053 CT-Spine-Cervical 5,080 6,100 RD2054 CT-Spine-Lumbar/Dorsal Spine 5,080 6,100 RD2055 CT-Spine-Lumbosacral Spine (Plain) 5,080 6,100 RD2056 CT-Spine-Myelography 6,340 7,610 RD2057 CT-Spine-Thoracis (5 Vertebrae) 4,450 5,340 RD2058 CT-Spine-With Contrast 6,990 8,390 RD2059 CT-Urography 9,000 10,800 RD2076 CT-Colonography 11,000 13,200 RD2077 CT-Broncoscopy 9,440 11,330 RD2078 CT-Cornoray Angio 13,630 16,360

Service OP CHARGES IP CHARGES Code Service Name RD2079 CT-Brain Perfusion 8,390 10,070 RD2080 CT-Carotid Angio 12,580 15,100 RD2081 CT-Brain & Neck Angio 14,680 17,620 RD2082 CT-Enterography 11,000 13,200 RD2083 CT-Dental 3,150 3,780 RD2084 CT-Brain Angio 9,970 11,960 RD2085 CT-Neck Angio 9,970 11,960 RD2086 CT- Scanogram for Femoral Anteversion 5,240 6,290 RD2087 CT- Enteroclysis 14,000 16,800 RD2088 CT- Chest Contrast with HRCT 7,090 8,510 RD2089 CT- Guided FNAC 3,000 3,600 RD2090 CT- Guided Biopsy 7,000 8,400 RD2091 CT - Sinogram 5,000 6,000 RD2092 CT - CD/DVD Charges 470 560 RD2093 CT - Extra Film 390 470 Mammography - - RD3001 X-Ray Mammography Bilateral 1,910 2,290 RD3002 X-Ray Mammography Unilateral 1,020 1,220 MRI RD4002 MR Spectroscopy 7,550 9,060 RD4003 MR Angio Brain 6,990 8,390 RD4004 MR angio Neck Vessels 6,990 8,390 RD4005 MRCP 8,300 9,960 RD4007 MRI Brain Plain 8,390 10,070 RD4008 MRI Brain Posterior Fossa 7,610 9,130 RD4009 MRI Brain Screening 3,800 4,560 RD4010 MRI Brain With Angiography 12,400 14,880 RD4011 MRI Brain With Contrast 10,870 13,040 RD4012 MRI Brain With Functional 14,680 17,620 RD4013 MRI Brain With Spectroscopy 12,690 15,230 RD4014 MRI Cardiac 12,000 14,400 RD4015 MRI Chest / Thorax Without Contrast 8,220 9,860 RD4018 MRI Nasopharynx/Larynx Plain 8,300 9,960 RD4020 MRI Orbits Without Contrast 8,300 9,960 RD4022 MRI Renal Angio 8,300 9,960 RD4023 MRI Screening 3,800 4,560 RD4024 MRI Single Joint 8,000 9,600 RD4025 MRI Single Part - Musculo Skeletal 8,000 9,600 RD4026 MRI Spine Cervical without Contrast 8,300 9,960 RD4027 MRI Spine Dorsal 8,300 9,960 RD4028 MRI Spine Dorsal With Cont 12,080 14,500 RD4029 MRI Spine Dorsolumbar 8,470 10,160 RD4030 MRI Spine Lumbar Without Contrast 8,300 9,960 RD4031 MRI Whole Spine Screening 4,000 4,800 RD4032 MRI Lower Abdomen 8,470 10,160 RD4033 MRI Upper Abdomen 8,470 10,160 RD4034 MRI Whole Abdomen 11,420 13,700 RD4035 MRI Contrast Charges 3,800 4,560 RD4036 MRI CD/DVD CHARGES 470 560 RD4037 MRI Extra Film 390 470 RD4038 MRI Cervical Spine Screening 2,500 3,000 RD4039 MRI Dorsal Spine Screening 2,500 3,000 RD4040 MRI Brain with Perfusion Imaging 14,500 17,400 RD4041 MR Myelogram 7,280 8,740 RD4043 MRI Angio Abdomen With Contrast 14,530 17,440 RD4044 MRI Angio Abdomen Without Contrast 10,910 13,090 RD4045 MRI Angio Head With Contrast 12,080 14,500 RD4046 MRI Angio Head Without Contrast 7,550 9,060 RD4047 MRI Angio Neck With Contrast 11,330 13,600 RD4048 MRI Angio Neck Without Contrast 7,550 9,060 RD4051 MRI Arthrography 8,300 9,960

Service OP CHARGES IP CHARGES Code Service Name RD4052 MRI Both Hip ( Dynamic Study) 7,550 9,060 RD4053 MRI Brachial Plexus Single 8,300 9,960 RD4054 MRI Brachial Plexus Two 15,080 18,100 RD4055 MRI Brain Screening 3,590 4,310 RD4056 MRI Brain With Angio With Contrast 16,170 19,400 RD4057 MRI Brain With Contrast With Spectroscopy 13,720 16,460 RD4058 MRI Nasopharynx& Pns Without Contrast 8,220 9,860 RD4059 MRI Nasopharynx& Pns With Contrast 11,330 13,600 RD4060 MRI Cartilage Mapping 8,300 9,960 RD4061 MRI Chest / Thorax With Contrast 12,080 14,500 RD4062 MRI Csf Flow Study 8,300 9,960 RD4063 MRI Lumbar Spine & Si Joints 10,570 12,680 RD4064 MRI Mammography 7,550 9,060 RD4065 MRI Mammography With Contrast 11,330 13,600 RD4066 MRI Marrow Screening 5,280 6,340 RD4067 MRI Venography 7,550 9,060 RD4068 MRI Myocardial Viability 9,560 11,470 RD4069 MRI Neck Without Contrast 8,300 9,960 RD4070 MRI Neck With Contrast 12,080 14,500 RD4071 MRI Optic Nerve 8,300 9,960 RD4072 MRI Orbits With Contrast 12,080 14,500 RD4073 MRI Pelvimetry/ Placental Localisation 4,340 5,210 RD4074 MRI Pitutary Fossa 8,300 9,960 RD4075 MRI PNS 8,300 9,960 RD4076 MRI Renal Angio With Contrast 12,080 14,500 RD4077 MRI Single Extremity 10,060 12,070 RD4078 MRI Spine Cervical With Contrast 12,080 14,500 RD4079 MRI Spine Lumbar With Contrast 12,080 14,500 RD4085 MRI Hip Without Contrast 9,700 11,640 RD4086 MRI Hip With Contrast 12,080 14,500 RD4087 MRI Pelvis Wthout Contrast 8,010 9,610 RD4088 MRI Pelvis Wth Contrast 11,330 13,600 RD4089 MRI Extremities With Contrast 12,080 14,500 RD4093 MRI Abdomen Without Contrast 11,330 13,600 RD4094 MRI Abdomen With Contrast 15,080 18,100 RD4097 MRI Angiography With Contrast 12,080 14,500 RD4098 MRI Cholecysto- Pancreatography 8,300 9,960 RD4099 MRI Enteroclysis 15,000 18,000 RD4100 MRI Spine One Part + Screening Whole Spine 10,890 13,070 RD4101 MRI Thyroid 8,300 9,960 RD4103 MRI Urography 16,340 19,610 RD4104 MRI Whole Body (For Oncological Workup) 16,340 19,610 RD4105 MRI Whole Body With Contrast 20,110 24,130 RD4106 MRI Whole Body Screening For Metastasis 15,000 18,000 RD4107 MRI Angio Single Upper Limb 11,740 14,090 RD4108 MRI Angio Both Upper Limb 14,890 17,870 RD4109 MRI Angio Single Lower Limb 11,740 14,090 RD4110 MRI Angio Both Lower Limb 14,890 17,870 RD4111 MRI Peripheral Angio 14,890 17,870 RD4113 MRI B/L Breast Plain 11,550 13,860 RD4114 MRI B/L Breast With Contrast 15,330 18,400 RD4115 MRI Fistulogram 9,000 10,800 RD4116 MRI Navigation Without Contrast 3,680 4,420 RD4117 MRI Navigation With Contrast 7,230 8,680 RD4118 MRI Brain + Navigation + Contrast 15,420 18,500 RD4119 MRI Brain + Navigation Plain 12,060 14,470 RD4120 MRI Brain + Navigation + Contrast + Film 17,930 21,520 RD4121 MRI Venogram Plain 7,550 9,060 RD4123 MRI Functional 17,150 20,580 RD4124 MRI Tractrography 8,330 10,000 RD4125 MRI Brain + Tractography 12,580 15,100

Service OP CHARGES IP CHARGES Code Service Name RD4126 MRI Mp MRI Prostate (Multi Parametric) 15,000 18,000 RD4127 MRI Venography With Contrast 10,980 13,180 RD4128 MRI Cisternography 10,780 12,940 RD4129 MRI Deficography 14,000 16,800 RD4130 MRI Enterography 12,000 14,400 ULTRASOUND RD5001 Ultra Sound 4D For Anomalies 3,180 3,820 RD5002 Ultra Sound 4D Pregnancy 3,180 3,820 RD5003 Ultra Sound Brain 1,020 1,220 RD5004 Ultra Sound Breast Unilateral 1,020 1,220 RD5005 Ultra Sound Breast Bilateral 1,640 1,970 RD5006 Ultra Sound Carotid Doppler (Screening) 2,540 3,050 RD5007 Ultra Sound Chest 1,140 1,370 RD5008 Ultra Sound Color Doppler - Both Limbs - Arterial 4,450 5,340 RD5009 Ultra Sound Color Doppler - Both Limbs - Venous 4,450 5,340 RD5010 Ultra Sound Color Doppler - Local Swelling 2,790 3,350 RD5011 Ultra Sound Color Doppler- Abdominal Aorta 2,790 3,350 RD5012 Ultra Sound Color Doppler- Carotids 2,790 3,350 RD5013 Ultra Sound Color Doppler- Obstetrics 3,180 3,820 RD5014 2,790 3,350 Ultra Sound Color Doppler- Peripheral Arterial One Limb Ultra Sound Color Doppler Peripheral Venous One RD5015 1,270 1,520 Limb(Screening) RD5016 Ultra Sound Color Doppler Renal (One Side) 2,540 3,050 RD5017 Ultra Sound Color Doppler Vascular (Portable/Bedside) 3,180 3,820 RD5018 Ultra Sound Color Doppler Venous (One Limb) 2,540 3,050 RD5019 Ultra Sound Color Doppler-Penile Doppler 3,180 3,820 RD5020 2,790 3,350 Ultra Sound Color Doppler-Peripheral Venous One Limb RD5021 Ultra Sound Pelvis Doppler 1,910 2,290 RD5022 Ultra Sound Renal Doppler 2,790 3,350 RD5023 Ultra Sound Scrotal Doppler 2,790 3,350 RD5024 Ultra Sound Color Doppler-Splenoportal Axis 2,790 3,350 RD5025 Ultra Sound Extremity/Joint 1,270 1,520 RD5026 Ultra Sound Fetal Growth Monitoring 2,540 3,050 RD5027 Ultra Sound Follicle Monitoring 1 Days 380 460 RD5028 Ultra Sound Follicle Monitoring 6 Days 1,910 2,290 RD5029 Ultra Sound for MTP 1,910 2,290 RD5030 Ultra Sound Kub 1,270 1,520 RD5031 Ultra Sound Kub & PVR 1,650 1,980 RD5032 Ultra Sound Kub & Scrotum 3,180 3,820 RD5033 Ultra Sound Lower Abdomen/Pelvis 1,270 1,520 RD5034 Ultra Sound Neck 1,270 1,520 RD5035 Ultra Sound Obstetrics (Level-I) 1,770 2,120 RD5036 Ultra Sound Obstetrics (Level-II) 2,790 3,350 RD5037 Ultra Sound Orbits 1,270 1,520 RD5038 Ultra Sound Pelvis & Scrotum 2,540 3,050 RD5039 Ultra Sound Pelvis-Transabdominal 1,270 1,520 RD5040 Ultra Sound Pelvis-Transvaginal 2,540 3,050 RD5041 Ultra Sound Pregnancy With Color Doppler 3,810 4,570 RD5042 Ultra Sound Scrotum 2,290 2,750 RD5043 Ultra Sound Sono Salpingogram 2,540 3,050 RD5044 Ultra Sound Thyroid 1,270 1,520 RD5045 Ultra Sound Transrectal 1,910 2,290 RD5046 Ultra Sound Upper Abdomen 1,390 1,670 RD5047 Ultra Sound Whole Abdomen 2,030 2,440 RD5048 Ultrasound Screening 770 920 RD5049 Us Guidance For D&C ( portable charge included) 1,270 1,520 RD5050 Us Guided Biopsy ( needle cost additional) 3,180 3,820 RD5051 Us Guided Catheter Placement 3,810 4,570 RD5052 Us Guided FNAC/Diagnostic Aspiration 1,910 2,290 RD5053 Usg Abdomen With Tvs 2,540 3,050

Service OP CHARGES IP CHARGES Code Service Name X-RAY - - RD6001 X-Ray Abdomen - Decubitus 380 460 RD6002 X-Ray Abdomen - Erect 410 490 RD6003 X-Ray Abdomen - Other 380 460 RD6004 X-Ray Abdomen - Supine 460 550 RD6005 X-Ray Abdomen-Ap 410 490 RD6006 X-Ray Ankle Joint Ap & Lat 640 770 RD6007 X-Ray Arm Ap Only 320 380 RD6008 X-Ray Arm Ap & Lat 640 770 RD6009 X-Ray Barium Enema (Dc) 4,450 5,340 RD6010 X-Ray Barium Meal Follow Through 4,770 5,720 RD6011 X-Ray Barium Swallow 1,910 2,290 RD6012 X-Ray Both Ankle Joint - Lateral 640 770 RD6013 X-Ray Both Knee Joints Ap & Lat 1,140 1,370 RD6014 X-Ray Calcaneum -Ap & Axial 640 770 RD6015 X-Ray Chest -Ap 320 380 RD6016 X-Ray Chest -Decubitus (Right/Left) 320 380 RD6017 X-Ray Chest Lateral (Right/Left) 320 380 RD6018 X-Ray Chest -Other - One View 320 380 RD6019 X-Ray Chest -Pa 410 490 RD6020 X-Ray Chest-Oblique (For Ribs) 320 380 RD6021 X-Ray Clavicle / Acromio -Clav Jt (Right/Left) 320 380 RD6022 X-Ray Coccyx Ap & Lat 640 770 RD6023 X-Ray Colostomy Study 2,790 3,350 RD6024 X-Ray Cystography 2,540 3,050 RD6025 X-Ray Digits-Ap &Lat 760 910 RD6026 X-Ray Elbow Joint -Ap & Lat 760 910 RD6027 X-Ray Femur Ap Only 320 380 RD6028 X-Ray Femur Lat Only 320 380 RD6029 X-Ray Femur-Ap & Lat 640 770 RD6030 X-Ray Fistulography 2,540 3,050 RD6031 X-Ray Fluoroscopy 1,910 2,290 RD6032 X-Ray Foot - Any Other 1 View 320 380 RD6033 X-Ray Foot-Ap & Lat 640 770 RD6034 X-Ray For Tm Joints -Open & Close Mouth Both Side 1,270 1,520 RD6035 X-Ray For Tm Joints -Open & Close Mouth One Side 640 770 RD6036 X-Ray Forearm Ap 320 380 RD6037 X-Ray Forearm -Ap & Lat 640 770 RD6038 X-Ray Gastrografin Study 2,540 3,050 RD6039 X-Ray Hand Ap 320 380 RD6040 X-Ray Hands -Ap & Lat 640 770 RD6041 X-Ray Hands Ap & Obl 760 910 RD6042 X-Ray Hip joint Ap 320 380 RD6043 X-Ray Hip Joint -Ap & Lat 640 770 RD6044 X-Ray Hip joint Lateral 320 380 RD6045 X-Ray Humerus -Ap & Lat 640 770 RD6046 Hystero -Salpingography 2,860 3,430 RD6047 X-Ray Invertogram 320 380 RD6048 X-Ray Ivp (Non-Ionic Contrast) 3,810 4,570 RD6049 X-Ray Ivp + Mcu Film 4,130 4,960 RD6050 X-Ray Knee Joint - Ap & Lat 640 770 RD6051 X-Ray Knee Joints Ap Only 410 490 RD6052 X-Ray Knee Joints Lat Only 320 380 RD6053 X-Ray Kub 320 380 RD6054 X-Ray Leg - Ap & Lat 760 910 RD6055 X-Ray Leg Lat Only 320 380 RD6056 X-Ray Mastoids (One Side) 320 380 RD6057 X-Ray Micturating Cystography 2,540 3,050 RD6058 X-Ray Nasal Bones 640 770 RD6059 X-Ray Neck - For Soft Tissues -Lat 320 380 RD6060 X-Ray Nephrostogram 2,040 2,450 RD6061 X-Ray Pelvis -Ap 410 490 RD6062 X-Ray Pelvis-Ap Incl Both Hip Joints 460 550 RD6063 X-Ray Pns-Waters View 320 380

Service OP CHARGES IP CHARGES Code Service Name RD6064 X-Ray Retrograde Urethrography 2,670 3,200 RD6065 X-Ray Sacro-Iliac Joints- Obl 320 380 RD6066 X-Ray Sacro-Iliac Joints-ap 320 380 RD6067 X-Ray Scapula Ap & Lat 640 770 RD6068 X-Ray Sella (Pituitary Fossa) 320 380 RD6069 X-Ray Shoulder Joint-Ap 320 380 RD6070 X-Ray Shoulder Joint-Ap & Axial 640 770 RD6071 X-Ray Sialography Unilateral 1,270 1,520 RD6072 X-Ray Sialography Bilateral 1,910 2,290 RD6073 X-Ray Single Film 320 380 RD6074 X-Ray Sinography 1,910 2,290 RD6075 X-Ray Skull -Any 2 Views 640 770 RD6076 X-Ray Skull For Styloid Process 320 380 RD6077 X-Ray Skull Lat 320 380 RD6078 X-Ray Skull Oblique 320 380 RD6079 X-Ray Skull-Ap & Lat 640 770 RD6080 X-Ray Small Bowel Enema 5,720 6,860 RD6081 X-Ray Special Views- For Mandible Ap & Oblique 640 770 RD6082 X-Ray Special Views For Orbits 640 770 RD6083 X-Ray Special Views-For Iam 640 770 RD6084 X-Ray Special Views-For Jugular Foramen 320 380 RD6085 X-Ray Special Views-For Mastoids 640 770 RD6086 X-Ray Spine Dorsal Ap 320 380 RD6087 X-Ray Spine-Cervical Ap 320 380 RD6088 X-Ray Spine-Cervical Ap & Lat 760 910 RD6089 X-Ray Spine-Cervical Both Obl 640 770 RD6090 X-Ray Spine-Cervical Flex & Ext 640 770 RD6091 X-Ray Spine-Cervical Lat 320 380 RD6092 X-Ray Spine-Cervico-Thoracic Ap & Lat 640 770 RD6093 X-Ray Spine-Cv Junction 2 Views 640 770 RD6094 X-Ray Spine-Lumbar Ap 320 380 RD6095 X-Ray Spine-Lumbar Ap & Lat 760 910 RD6096 X-Ray Spine-Lumbar -Both Obl 640 770 RD6097 X-Ray Spine-Lumbar Lat 320 380 RD6098 X-Ray Spine-Lumbo-Sacral Ap & Lat 640 770 RD6099 X-Ray Spine-Lumbo-Sacral Flex & Ext 800 960 RD6100 X-Ray Spine-Thoracic Ap & Lat 640 770 RD6101 X-Ray Spine-Thoraco-Lumbar Ap & Lat 640 770 RD6102 X-Ray Sterno-Clavicular Joint-Both Obliques 640 770 RD6103 X-Ray Sternum Ap & Lat 640 770 RD6104 X-Ray Sternum Lat 320 380 RD6105 X-Ray Sternum Lat & Obl 640 770 RD6106 X-Ray Styloid Process 320 380 RD6107 X-Ray T- Tube Cholangiogram 1,910 2,290 RD6108 X-Ray Thigh Ap & Lat 640 770 RD6109 X-Ray Thigh Ap Only 320 380 RD6110 X-Ray Upper Gi Series 3,560 4,270 RD6111 X-Ray Wirst Joint -Any 3 Views 640 770 RD6112 X-Ray Wrist Joint- 1 View 320 380 RD6113 X-Ray Wrist Joint-Any 2 Views 640 770 RD6114 X-Ray Wrist Joint-Ap & Lat 640 770 Others - - RD7001 Anaesthesia/Sedation For Radiology 1,270 1,520 RD7002 Emergency Charges - Radiology 690 830 RD2060 CT (CD charges)/(Extra Film) 350 420 RD2061 CT-Contrast-Charges Non-Ionic 100 Cc 2,310 2,770 RD2062 CT-Contrast-Charges Non-Ionic 50Cc (300Mg) 1,160 1,390 RD2063 CT-Contrast charges -Visipaque 3,230 3,880 RD4035 MRI Contrast Charges 3,880 4,660 RD4036 MRI (CD charges) 390 470 RD4037 MRI Extra Charges 390 470 RD5054 Portable machine charges for US 580 700 RD5055 Ultra Sound (CD charges)/(Extra Film) 230 280 RD6115 X-Ray Portable machine charges 180 220 RD6116 X-Ray (CD charges)/(Extra Film) 140 170

124.24% 181.82% - -

140.63% 203.13% 135.42% 197.92% - -

- -