JKMEDICITY HOSPITAL Pvt. Ltd. NH1 NARWAL BYE PASS ROAD JAMMU 180015

PRICE LIST EFFECTIVE 01/01/2014

RECEPTION: 0191-2466744/45 LIAISON & PR Mob 9469607512 Email [email protected] GENERAL INFORMATION

ACCOMMODATION CATEGORIES

WARD, NON A/C SINGLE ROOM, A/C SINGLE ROOM AND DELUX ROOM(rates mentioned are that of WARD)

ROOM /BED CHARGES

a) ROOM CHARGES WILL BE FOR 24 Hrs IRRESPECTIVE OF TIME OF ADMISSION/ CHECKING IN. b) IF A PATIENT IS DISCHARGED WITHIN 24Hrs OF ADMISSION,ROOM/BED WILL BE CHARGED FOR ONE FULL DAY. c) 6Hrs AND ABOVE UPTO 24 Hrs OF ADMISSION WIIL BE COUNTED AS ONE DAY. d) FOR STAY LESS THAN 6 Hrs ROOM/BED WILL BE CHARGED AS HALF DAY. e) CHECK OUT TIME IS 12: NOON

SURGICAL & DOCTORS VISIT FEE (HOSPITAL CASES)

a) If more than one surgeon performs different procedures at the same time on a particular patient, the surgical fee for each surgery will be charged in full separately. b) If a surgeon performs more than one surgery (as per categorization in the schedule of charges) at a single opening or incision. The higher one will be charged in full, 1st lesser one will be charged at 50% and the 2nd lesser or more thereafter will be charged at 25%. c) If a surgeon performs more than one surgery with different incisions, the surgical fee for each procedure will be charged in full. d) If a single procedure is perfumed by more than one surgeon, only single fee as per schedule if charges will be charged. e) Surgeon’s Post Operative visits will not be charge for next 3 days including day of surgery. f) PROCEDURE/OTHER CHARGES WILL INCREASE AS PER ACCOMMODATION THAT IS 15% FOR NON AC ROOM 20% FOR AC ROOM AND 30% FOR DELUX ROOM

SHIFTING FROM ONE TO ANOTHER ACCOMMODATION: -

a) In case the patient is shifted from lower to higher category, the charges for surgical procedure/s, doctor/s visits, Nursing Care and any other professional fees will be charged as per the higher category from the date of admission. b) In normal course, shifting from higher category to lower category is not allowed.

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

PRIVATE PATIENT OF VISITING CONSULTANTS: -

The Visits and/or Surgical charge mentioned in this Schedule of Charges and point no. 3 mentioned above will not be applicable to patient admitted by Visiting Consultants as their “PRIVATE PATIENT’. Visiting Consultants are free to charge a differential fee for their Private Patients, but this will be billed and collected by the hospital on their behalf. INDEX S. No. Charging Head Page No.

1 General Information 3 In-Patient Schedule of Charges 2 Room/Bed and Board 4 3 CCU/ICU/Ped. ICU /Post Op. ICU and Board 4 4 Oxygen 4 5 Ventilator 4 6 NNU - Nursery 4 7 Photo Therapy 4 8 Incubator 4 9 Hospital Docto's Fee 4 10 Consultation 4 11 Surgery Fee: General Surgery 5 12 Surgery Fee : Henna Surgery 7 13 Surgery Fee : Breast Surgery 8 14 Surgery Fee : Rectal Surgery 8 15 Surgery Fee: O.B. & Gynae Surgery 9 16 Surgery Fee: Ophthalmology 11 17 Surgery Fee: Orthopedics 12 18 Surgery Fee : Thoracic . 15 19 Surgery Fee : Neuro Surgery 15 20 Surgery Fee : E.N.T. 16 21 Surgery Fee : Vascular 18 22 Surgery Fee: Urology 19 23 Surgery Fee : Plastic Surgery 22 24 Surgery Fee : Pediatric Surgery 24 25 Surgery Fee : Miscellaneous 27 26 Nephrology Services 27 27 Operation Theater Charges 27 28 Anesthesia Charges 27 29 Radiology : BMD 28 30 Radiology: C.T. Scan 28 31 Radiology : Mammography 29 32 Radiology : Ultrasound 29 33 Radiology : X-Ray 30 34 Radiology : Miscellaneous 32 35 Laboratory 33

INDEX S. No CHARGING HEAD Page No 36 Physio-Therapy :IPD 37 Endoscopic Procedures : IPD 38 Exchange Blood Transfusion 39 Treatment : IPD 40 Plastering 41 Dressing 42 Cardiac Monitonng 43 Chemotherapy : IPD 44 Psychotherapy 45 Laser Procedures : IPD 46 Speech & Hearing Test 47 E.C.G : IPD 48 Echocardiography / Carotid Oppler : IPD 49 T.M.T. [Tread Miii Test] 50 Holter MonitoR 51 E.E.0 [Electro Encephalogram] 52 Special Investigation 53 Diet for Attendant 54 Ayurvedic Treatment : IPD 55 Miscellaneous Charges

S. No. DESCRIPTION ACCOMODATION CATEGORY 1:01 ROOM/BED AND BOARD WARD 1000 1 ROOM / BED AND BOARD : PER DAY SINGLE ROOM 2000 NON A/C SINGLE ROOM A/C 3000 DELUX ROOM A/C 4000 2:01 CCU/ICU/PED ICU/ POST OP. ICU AND BOARD CHARGES 1 ICU / CCU CHARGES PER DAY 5000 2 PED. ICU / CHARGES PER DAY 1800 3 2500 4 P. OP. ICU / SEMI ICU AND BOARD CHARGES : PER DAY 4000 Note:- JCU / CCU (Intensive / Coronary Care Unit) / Post-op. ICU and Ped. ICU charges include bed and monitoring charges for all vital parameters. All other service Charges will be as per the category in which the patient is admitted.

3:01 OXYGEN 1 By HOOD/MASK (PER DAT) 500 2 BY NASAL CATHETER (PER DAY) 400 3 BY HOOD MASK (LESS THAN 6 HOURS) 300

4:01 VENTILATOR 1 BI-PAP / C PAP 1500 2 INFANT VENTILATOR 1800 3 VENTILATOR PER DAY 2000

NNU - NURSERY (206) 1500 1 NNU - NURSERY : PER DAY

5:02 PHOTO THERAPY 1 PHOTO THERAPY : DOUBLE - PER DAY 1500 2 PHOTO THERAPY : SINGLE - PER AY 750

5:03 INCUBATOR / OPEN CARE 1 INCUBATOR : PER DAY 2 OPEN CARE: PER DAY/WARMER 1500 3 WARMER CARE : PER DAY 1500

6:01 HOSPITAL DOCTOR’S FEE 1 HOSPITAL DOCTOR'S FEE / MEDICAL CARE PER DAY2 VISITS 1000 2 OPD CONSULTATION AS PER SPECIALTY AND QUALIFICATION 250/325

6:02 CONSULTATION 1 CONSULTATION (EACH) (INDOOR) 500

S. No Description ACCOMODATION CATEGORY

S. No DESCRIPTION 7:01 GENERAL SURGERY 1 ADRENALECTOMY 20000 2 APPENDICECTOMY 12500 3 ASPIRATION OF SUPERFICIAL COLD ABSCESS 2800 4 AXILLARY LYMPH NODE BIOPSY 7900 5 BLOCK DISSECTION NECK 25000 6 CAECOSTOMY 10900 7 CHOLECYSTECTOMY WITH DUCT EXPLORATION 20900 8 COLECTOMY WITH ILEOSTOMY 20900 9 COLOSTOMY 12500 10 COLOSTOMY / ILEOSTOMY CLOSURE 14800 11 DEBRIDEMENT(LARGE) 5700 12 DEBRIDEMENT(MEOIUM) 4500 13 DEBRIDEMENT(SMALL) 3700 14 DELTOID MUSCLE BIOPSY 4600 15 DIAGNOSTIC LAPAROSCOPY ONLY 8000 16 DIAGNOSTIC LAPAROSCOPY WITH BIOPSY 12500 17 DIAGNOSTIC LAPAROSCOPY WITH MULTIPLE BIOPSIES 15000 18 DIVERTICULECTOMY 11500 19 DRAINAGE OF LARGE & DEEP ABSCESS 4600 20 DRAINAGE OF SMALL ABSCESS 2300 21 DRAINAGE OF LARGE INTRA ABDOMINAL ABSCESS 11500 22 DUODENAL DIVERTICULAM 23000 23 EXCISION BIOPSY-SUPERFICIAL LUMPS 6900 24 EXCISION OF CARBUNCLE 13900 25 EXCISION OF DRMOID CYST 10500 26 EXCISION OF GLOMUS TUMOR (WITH OR WITHOUT EXCISION OF NAIL) 8000 27 EXCISION OF LARGE SUPERFICIAL SOFT TISSUE MASS /TUMOUR 13800 28 EXCISION OF MEDIUM SUPERFICIAL SOFT TISSUE MASS/ TUMOUR 10500 29 EXCISION OF MESENTERIC CYST 15000 30 EXCISION OF PILONIDAL SINUS 12700 31 EXCISION OF SEBACEOUS CYST 4600 32 EXCISION OF SMALL INTESTINAL FISTULA 16000 33 EXCISION OF SMALL SUPERFICIAL SOFT TISSUE MASS/TUMOUR 8000 34 EXCISTION OF SUBMANDIBULAR GLAND 9800 35 EXP.LAP.RESECTION OF LIVER SEG EXCISION OF UMBILICAL PORT 25000

EXP. LAPAROTOMY + CHOLEDOCHLTHOMY + CHOLEDUCHO 36 DUODENOSTOMY 25000 37 EXPLORATORY LAPAROTOMY ONLY 10200 38 FASCIOTOMY - MULTIPLE (WITH DRAINAGE OF DISCHARGING SINUS) 13900 39 FASCIOTOMY - REDO 7900 40 FASGIOTOMY - REDO (MULTIPLE) 10500

ACCOMODATION CATEGORY

S. No DESCRIPTION 7:01 GENERAL SURGERY 41 FASCIOTOMY (WITH DRAINAGE OF DISCHARGING SINUS) 9500 42 GASTRECTOMY 19600 43 GASTRECTOMY WITH VAGOTOMY 20600 44 GASTROJEJNOSTOMY 16000 45 GASTROJEJUNOSTOMY WITH VAGOTOMY 18400 46 GASTROSTOMY 11500 47 GLAND BIOPSY 6800 48 HEMI THYROIDECTOMY 16200 49 HEMICOLECTOMY 20700 50 HEMIGLOSSECTOMY 22100 51 HIGHLY SELECTIVE VAGOTOMY 13800 52 ILEOTRANSVERSE COLOSTOMY 17300 53 INTESTINAL OBSTRUCTION 16000 54 INTESTINAL PERFORATION 16000 55 INTESTINAL RESECTION WITH ANASTOMOSIS — MULTIPLE 20700 56 INTESTINAL RESECTION WITH ANASTOMOSIS — SINGLE 16000 57 LAPAROSCOPIC APPENDICECTOMY 14800 58 LAPAROSCOPIC CHOLECYSTECTOMY 16000 59 LAPAROSCOPIC DEROOTING OF NON-HYDATID LIVER CYST 19500 60 LAPAROSCOPIC DRAINAGE OF INTRA-ABDOMINAL COLLECTION 17300 61 LAPAROSCOPIC DRAINAGE OF LIVER ABCESS 18400 62 LAPAROSCOPIC DUODENAL PERFORATION CLOSURE 20800 63 LAPAROSCOPIC GASTRIC PERFORATION CLOSURE 20800 64 LAPAROSCOPIC GASTRO-JEJUNOSTOMY (GJ) 20800 65 LAPAROSCOPIC TRUNCAL VAGOTOMY AND CASTRO JEJUNOSTOMY 22900 66 LAPAROTOMY AND BOWEL RESECTION FOR INTUSSUSCEPTION15900 67 LAPAROTOMY AND CLOSURE OF INTESTINAL PERFORATION 15900 68 LAPAROTOMY AND DIVISION OF INTRA-ABDOMINAL ADHESIONS/BANDS16100 69 LAPAROTOMY AND REDUCTION OF INTUSSUSCEPTION 14800 70 LEFT HEPATECTOMY 25400 71 LEFT LIVER LOBECTOMY . 28600 72 LIGATION OF VARICOSE VEINS: UNILATERAL 12000 73 LUMBAR PUNCTURE IN O.T 2500 74 LYMPH NODE BIOPSY 6000 75 LYSIS OF ADHESION WITH BOWEL RESECTION WITH ANASTOMOSIS 16000 76 LYSIS OF INTESTINAL ADHESION 12500 77 MULTIPLE INTESTINAL RESECTION WITH ANASTOMOSIS 23100 78 NEEDLE ASPIRATION OF ABSCESS 3600 79 OESOPHAGO GASTERCTOMY 25300 80 OMENTECTOMY 13800 81 OPEN CHOLECYSTECTOMY 17300 82 OPEN CHOLECYSTECTOMY WITH CBD EXPLORTION 20000 83 OPERATION FOR PANCREAS 27000 84 PANCREATICO DUODONECTOMY 27000 85 PARATHYROID ADENOMA WITH HEMI THYROIDECTOMY 21000

S. No DESCRIPTION ACCOMODATION CATEGORY

7:01 GENERAL SURGERY 86 PARATHYROIDECTOMY 16000 87 PAROTIDECTOMY 21000 88 PARTAL SUBTOTAL GASTRECTOMY CA./ULCER 21000 89 PYLOROMYOTOMY (RAMSTEDT’S) 13500 90 PYLOROPLASTY WITH VAGOTOMY 15900 91 RADICAL CHOLECYSTECTOMY 25300 92 RECURRENT INTESTINAL OBSTRUCTION 15900 93 REMOVAL OF DEEP FOREIGN BODY-LIMBS 14000 94 REMOVAL OF MESH & TACKERS 12000 95 REMOVAL OF SUPERFICIAL FOREIGN BODY-LIMBS 7900 96 REMOVAL OF SUPERFICIAL FOREIGN BODY-LIMBS -MINOR 4500 97 REPAIR OF COMMON BILE DUCT(C.B.D.) 21000 98 RESUTURING OF WOUNDS - LARGE 6000 99 RESUTURING OF WOUNDS - SMALL 4200 100 SCLEROTHERAPY 5500 101 SECONDARY SUTURING OF ABDOMINAL WALL 9500 102 SIGMOID DIVERTICULUM 17500 103 SPLENECTOMY 18500 104 SUB-TOTAL COLECTOMY 20500 105 SUTURING OF SMALL WOUNDS 3000 106 THYROIDECTOMY TOTAL 21000 107 TOTAL COLECTOMY 21000 108 TOTAL GASTRECTOMY FOR CA 25000 109 TRUCUT NEEDLE BIOPSY 4000 110 TRUNCAL VAGOTOMY AND GASTRO JEJUNOSTOMY 20000 111 TRUNCAL VAGOTOMY AND PYLOROPLASTY 21000

7:02 GROUP : HERNIA SURGERY 001 ABDOMINOPLASTY WITH MESH 19000 002 EPIGASTRIC HERNIA 14000 003 FEMORAL HERNIA 14000 004 HIATUS HERNIA 17500 005 HYDROCELECTOMY BILATERAL 12000 006 HYDROCELECTOMY UNILATERAL 9000 007 INCISIONAL HERNIA REPAIR WITH ABDOMINOPLASTY 25000 008 INCISIONAL HERNIA REPAIR WITH MESH 15900 009 INGUINAL HERNIA-BILATERAL 14000 010 INGUINAL HERNIA-UNILATERAL 12000 011 INGUINAL HERNIA WITH MESH REPAIR: BILATERAL 18500 012 INGUINAL HERNIA WITH MESH REPAIR: UNILATERAL 14000 013 INGUINAL HERNIA WITH ORCHIDECTOMY 14000 014 LAPARASCOPIC TOTAL EXTRA PERITONEAL MESH - (TEP) - UNILATERAL 17500 015 LAPAROSCOPIC EPIGASTRIC HERNIA REPAIR-INLAY MESH 16000 016 LAPAROSCOPIC EPIGASTRIC HERNIA REPAI R-ONLAY MESH 16000

S. No DESCRIPTION ACCOMODATION CATEGORY

7:02 GROUP:HERNIA SURGERY 17 LAPAROSCOPIC FUNDOPLICATION (DOR’S) 19000 18 LAPAROSCOPIC FUNDOPLICATION (NISSEN) 19000 19 LAPAROSCOPIC INGUINAL HERNIORRHAPHY BILATERAL 16500 20 LAPAROSCOPIC INGUINAL HERNIORRHAPHY UNILATERAL 13000 21 LAPAROSCOPIC INGUINAL HERNIORRHAPHY + MESH BILATERAL 21000 22 LAPAROSCOPIC INGUINAL HERNIORRHAPHY + MESH UNILATERAL 16200 23 LAPAROSCOPIC LUMBAR HERINA REPAIR 21000 24 LAPAROSCOPIC TOTAL EXTRA - (TEP) BILATERAL 21000 25 LAPAROSCOPIC UMBILICAL HERNIA REPAIR- ONLAY MESH 17500 26 NISSEN FUNDOPLICATION ANO HIATUS HERNIA REPAIR 19500 27 ORCHIDECTOMY: UNILATERAL OR BILATERAL 11900 28 RECURRENT HERMA (INCISIONAL) BILATERAL 16000 29 RECURRENT HERMA (INCISIONAL) UNILATERAL 14000 30 RECURRENT HERNIA WITH MESH BILATERAL 21000 31 RECURRENT HERNIA WITH MESHUNILATERAL 18500 32 STRANGULATED HERNIA 16000 33 UMBILICAL HERNIA 12000 34 UMBILICAL HERNIA REPAIR WITH MESH 16200 35 VENTRAL HERNIA (INCISIONAL) 14000

7:03 GROUP : BREAST SURGERY 001 BIOPSY OF BREAST 6000 002 EXCISION OF MAMMARY FISTULA 9200 003 EXCISION OF SMALL FIBROADENOMA 7100 004 I.& D. OF BREAST ABSCESS 5300 005 LUMPECTOMY—LARGE 9200 006 LUMPECTOMY—SMALL 7000 007 MASTECTOMY RADICAL WITH AUX. LYMPH NODES 21000 008 MASTECTOMY SIMPLE 13800 009 SEGMENTAL RESECTION OF BREAST 8800 010 WIDE EXGISION BIOPSY OF BREAST 11000

7:04 GROUP: RECTAL SURGERY 001 ABDOMINAL PERINEAL RESECTION FOR CA. RECTUM 28000 002 ANAL DILATATION 6800 003 ANTERIOR RESECTION 19000 004 ANTERIOR RESECTION WITH TOTAL MESORECTAL EXCISION 21000 005 FISSURECTOMY 9500 006 FISTULECTOMY 12000 007 HAEMORRHOIDECTOMY 13000 008 I. & d. OF ISCHIO-RECTAL ABSCESS 7200 009 PERIANAL ABSCESS DRAINAGE 6000 010 RECTAL POLYP EXCISION 4500 011 STAPLED HAEMORRHOIDECTOMY 14000

S. No DESCRIPTION ACCOMODATION CATEGORY

7:05 GROUP : O.B. & GYNAE SURGERY 1 ABDOMINAL 21000 2 ANTERIOR & POSTERIOR COLPORRKAPHY 10000 3 ANTERIOR COLPORRAPHY 8000 4 CAUTERY OF VAGINAL VAULT GRANULOMA 1100 5 CERVICAL EXPLORATlON WITHOUT BIOPSY 3800 6 CERVICAL EXPLORATION WITH BIOPSY 4900 7 COMPLETE PERINEAL TEAR REPAIR 6000 8 CONE BIOPSY OF 7000 9 CRYOSURGERY 7000 10 D. & C. WITH CERVIX BIOPSY 5000 11 D. & C. WITH POLYPECTOMY 5000 12 DIAGNOSTIC LAPROSCOPY & 11000 13 DIAGNOSTIC LAPROSCOPY 9500 DIAGNOSTIC LAPROSCOPY WITH TUBAL MALKING (FOR ECTOPIC 14 PREGNANCY) 14000 15 DILATATION & CURETTAGE (D & C) 4000 16 DILATATION & EVACUATION (D. & E.) 4000 17 DRAINAGE OF ABSCESS BARTHOLINS CYST 5000 18 E U A (EXAMINATION UNDER ANEASTHESIA) 3200 END TO END FALLOPIAN TUBAL RECANALISATION /ANASTOMOSIS 19 — UNILATERAL OR BILATERAL 19000 20 LAPAROSCOPIC CYST ASPIRATION 10000 21 EXCISION LABIAL CYST / BARTHOLINS CYST 10000 22 EXCISION OF VAGINAL WALL CYST 7000 23 FOREIGN BODY REMOVAL FROM 7000 24 FOTHERGILS / MANCHESTER OPERATION FOR 4500 25 HEMATOCOLPOS DRAINAGE / COLPOTOMY 11900 26 HEMATOMA DRAINAGE 5500 27 HYMENECTOMY 4000 28 HYSTEROSCOPIC DIVISION OF THICK SYNECHIAE 4000 29 HYSTEROSCOPIC DIVISION OF THIN SYNECHIAE 12000 30 HYSTEROSCVOPIC POLYPECTOMY 6000 31 HYSTEROSCOPIC REMOVAL OF IUCD 6000 32 HYSTEROSCOPIC REMOVAL 0F RETAINED PRODUCTS OF CONCEPTION 7000 33 HYSTEROSCOPIC RESECTION OF UTEINE SEPTUM 12000 34 HYSTEROSCOPY 4300 35 HYSTEROSCOPY WITH D. & C. 7000 36 14000 37 I & D OF LABIAL ACESS UNILAIERAL OR BILATERAL 4700 38 INTERNAL ILIAC ARTERY LIGATION 11000 39 LS.C.S. 12000 40 LS.C.S. WITH HYSTERECTOMY 18000 41 LSCS WITH PREVIOUS SCAR 18000 42 L.S.C.S. WITH TUBECTOMY 16000 43 LAPAROSCOPIC ADHESIOLYSIS & HYSTEROSCOPY 14000 44 LAPAROSCOFC CYST ASPIRATION 10000 45 LAPAROSCOPIC OVARIAN CYSTECTOMY 14000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:05 GROUP : O.B. & GYNAE SURGERY 46 LAPAROSCOPIC SALPINGOSTOMY FOR ECTOPIC PREGNANCY 14000 47 LAPAROSCOPIC FOR ECTOPIC PREGNANCY 14000 48 LAPAROSCOPIC SALPINGO- 14000 49 LAPAROSCOPY&HYSTEROSCOPY WITH OVARIAN BIOPSY 11900 50 LAPAROSCOPY &HYSTEROSCOPY WITH OVARIAN DRILLING 11900 51 LAPAROSOPY WITH OVARIAN BIOPSY 11900 52 LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY(LAVH) 21000 53 LAPROTOM & REPOSITIONING OF (HALLTENSTECH) 16200 54 LAPROTOMY OF ECTOPIC PREGNANCY 14000 55 LAPROTOMY FOR TWISTED OVARIAN 14000 56 MAC DONALD STITCH / CERVICAL ENCIRCLAGE 5900 57 MANUAL REMOVAL OF PLACENTA . 4000 58 MANJAL REMOVAL OF PLACENIA IN OT 5000 59 MYOMECTOMY 17000 60 NON DESCENT VAGINAL HYSTERECTOMY 21000 61 OOPHRECTOMY/SALPINGECTOMY 11000 62 OVARECTOMY 11000 63 OVARIAN CYST ASPIRATION WITH BIOPSY-BILATERAL . 12500 64 OVARIAN CYST ASPIRATION WITH BIOPSY-UNILATERAL 9900 65 OVARIAN CYSTASPIRATION WITHOUT BIOPSY-BILATERAL . 9900 66 OVARIAN CYST ASPIRATION WITHOUT BIOPSY-UNILATERAL 8200 67 OVARIAN CYSTECTOMY 11000 68 PANHYSTERECTOMYITAH WITH BSO 22000 69 PURANDARE’S SLING OPERATION FOR PROLAPSE . 12500 70 RADICAL HYSTERECTOMY FOR MALIGNANCY / WERTHEIM’S 23900 71 ADICAL 22000 72 REPAIR OF REGTOVAGINAL FISTULA(RVF) 12000 73 REIAIR OF VESICO-VAGINAL FISTULA 21000 74 REPOSITIONING OF INVERTED UTERUS (UTERINE INVERSION) 6000 75 RESUTURG OF ABDOMINAL WOUND — MAJOR 4900 76 RESUTUFNG OF EPISIOTOMY WOUND 4200 77 RESUTU RING OF ABDOMINAL WOUND — MINOR 3000 78 SALPINGO-OOPHRECTOMY 11000 79 SHIRODHKAR SUTURE 6000 80 SIMPLE VULVECTOMY 17500 81 SUCTION AND EVACUATION 4000 82 VAGINAL EXPLORATION WITH REMOVAL OF RING PESSARY 4000 83 VAGINAL HYSTERWCTROMY WITH VAGUINAL AND PELVIC FLOOR REPAIR 21000 84 VAGINOLASTY 21000 85 VAULT PROLASE REPAIR - ABDOMINAL COLPOSUSPENSION 19000 86 VAULT PROLASE REPAIR - AVAGINAL ROUTE 19000 87 VULVAL BIOPSY 3200 88 WEDGE RESECTION OF 11000

07:05A DELIVERY 1 NORMAL DELIVERY 9000 2 FORCEPS DELIVERY 10000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:06 GROUP : OPHTHALMOLOGY SURGERY 1 AC WASH 6000 2 BLEPHAROPLASTY FOR ECTROPKN (WITH GRAFTING) 13700 3 BLEPHAROPLASTY FOR ECTROPION (WITHOUT GRAFTING) 8500 4 BLEPHAROPLASTY FOR ENTROPION (WITHOUT GRAFTING) 8500 5 CAPSULOTOMY 7000 6 CATARACT EXTRACTiON / GLAUCOMA 12500 7 CATARACT EXTRACTION WITH I.O.L.IMPLANTATION 15000 8 CONJ. TEAR 4500 9 CORNEAL GRAFTING 17000 10 CRYOPEXY / CYCLOCRYO: BILATERAL 7000 11 CRYOPEXY/CYCLOCRYO: UNILATERAL 4700 12 CYSTS LID CONJ. 3000 13 DACRQCYSTORHINOSTOMY 12000 14 ENDOSCOPIC DACROCYSTORHINOSTOMY 17500 15 ENUCLEATION / EVICERATION OF EYES (WTHOUT IMPLANT) 7000 16 ENUCLEATION / EVICERATION WITH IMPLANT 12000 17 EPICANTHUS+TELECANTHUS CORRECTION 15000 18 EPICANTHUS CORRECTION 8900 19 EXAMINATION UNDER G A 2500 20 EXENTRATION OF ORBIT + SOCKET REPAIR 15000 21 EXTRACTION OF CHALAZION 3000 22 INTRA-OCULAR FOREIGN BODY REMOVAL 16000 23 LID INJURY MAJOR 8200 24 LID INJURY MINOR 6000 25 LID TUMORS EXCISION AND REPAIR-WITH GRAFTING 13500 26 LID TUMORS EXCISON AND REPAIR -WITHOUT GRAFTING 9500 27 MAJOR RECONSTRUCTIVE SURGERY 16000 28 NEEDLING & ASPIRATION 2400 29 PERFORATING INJURY REPAIR 14000 30 PHACOEMULSIFICATION WITH I.OL. IMPLANTATION 17000 31 PROBING & SYRINGING OF NASO-LACRIMAL DUCT 2500 32 PTERYGIUM SURGERY WITH GRAFTING 7000 33 PTERYGIUM SURGERY WITHOUT GRAFTING 4000 34 PTOSIS 12000 35 RETINAL DETACHMENT SURGERY 16700 36 RETINAL DETACHMENT WITH VITRECTOMY 19000 37 SECONDARY I.O.L. IMPLANTATION 11900 38 SOCKET RECONSTRUCTION 16000 39 SQUINT CORRECTION: UPTO 2-MUSCLES / VERTICAL MUSCLES 13900 40 SQUINT CORRECTION: UPTO 2-MUSCLES / HORIZONTAL MUSCLES 12000 41 TARSORRHPHY 4000 42 TRABECULECTOMY 12000 43 TUMOR OF IRIS 16000 44 VITRECTOMY 17000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:07 GROUP : ORTHOPEDICS SURGERY - LOWE LIMB 1 ACETABULAR RECONSTRUCTION 22700 2 ADJUSTMENT OF EXTERNAL FIXATOR 10000 3 AMPUTATION THROUGH FEMUR &TIBIA 14000 4 AMPUTATION THROUGH SMALL BONES/DIGITS 7900 5 ARTHRODESIS : ANKLE 18500 6 ARTHRODESIS: KNEE 18500 7 ARTHRODESIS OF HIP 22000 8 ARTHROTOMY: HIP/KNEE/SHOULDER 11000 9 ARTHRQTOMY: OTHER SMALL JOINTS 9900 10 BIOPSY: BONES 7500 11 C.D.H (OPENREDUCTION) 22000 12 C.D.H. (RED. & SPICA) 13000 13 C.R.I.F. WITH K. WIRE 11000 14 CLOSED REDUCTION 7500 CLOSED REDUCTION WITH ELEVATION AND CANNULATED SCREW FIXATION TIBIAL 15 /FEMORAL CONDYLER 14000 16 CLUB FOOT RELEASE (CTEV) :BILATERAL 25000 17 CLUBFOOT RELEASE (CTEV): UNILATERAL 14000 18 CONDYLAR PLATING/D.C.S 19000 19 CORE DECOMPRESSION AND FIBULAR GRAFTING FOR AVN I NON-UNION 19500 20 HIPWITHRXATIO 18000 CORE DECOMPRESSION AND FIBULAR GRAFTING FOR A.VN I NON-UNION HIP 21 WITHOUT FIXATION . 22 DIAGNOSTIC ARTHROSCOPY 14000 23 DISARTICULATION-KNEE/ANKLE 13000 24 DISARTICULATION THROUGH HIP 19000 25 DRAINAGE HIP/KNEE/ANKLE/SPINE 7500 26 DYNAMISATION OF I.M:NAIL 3500 27 EXCISION ;NAIL & NAIL BED/GANGLION . 7200 28 EXTERNAL FIXATION - LONG BONES & PELVIS 14800 29 FAILED CLUB FOOT FIXATOR CORRECTION 17000 30 FASCIOTOMY— FOOT 13200 31 FASCIOTOMY—THREE COMPARTMENT LEG 15000 32 FIXATION & PLATING - PELVIC 18000 33 HALLUX VALGUS/VARUS 11200 34 HEMIARTHROPLASTY WITH OR WITHOUT CEMENTING 25000 35 INTERLOCKING NAILING 25000 36 ISOLATED GRAFTING - MINOR/CORE HARVESTING . 7200 37 LIMB LENGTHNING WITH INSTRUMENTION 22000 38 IMAJOR RECONSTRUCTION: NERVEJTENDONS (MORE THAN 3) 21000 39 MENISCECTOMY 12500 40 MINOR EXCISION OF SWELLING/TUMOR WITH OR WITHOUT BIOPSY 7200 41 MINOR PROCEDURES IN FOOT 7500 42 MINOR RECONSTRUCTION: NERVES/TENDONS 15500 43 MUSCLE PEDICLE GRAFTING 22500 44 O.R.I.F ANKLE-BIMALLEOLAR FIXATION 15000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:07 GROUP : ORTHOPEDICS SURGERY - LOWER LIMB 45 O.R.I.F. ANKLE - TRIMAZLEOLAR FIXATION 21000 46 O.R.L.F. WITH K WIRE 12000 47 O.R.I.F. WITH DHS 20000 48 O.R.I.F. WITH K.NAILING / FLAG NAIL / RE-CONSTRUCTION NAIL 20000 49 O.R.I.F. WITH PLATING 18000 50 O.R.I.F. WITH PLATING (BOTHONES) 21000 51 O.R.I.F.WITH PLATING AND BONE GRAFTING 21000 52 O.R.I.R WITH PLATING AND BONE GRAFTING (BOTH BONES) 25000 53 OR.I.F. WITH SCREWS 12000 54 OPEN/ARTHROSCOPIC ANT. C. LIGAMENT RECONSTRUCTION 27000 55 OPERATIVE ARTH ROSCOPY / QUADRICEPSPLASTY 18000 56 OSTEOMYELITIS - LONG BONES 15000 57 OSTEOMYELITIS - SMALL BONES 11000 58 OSTEOTOMY: MID FOOT 16000 59 OSTEOTOMY AROUND HIP 19000 60 PATELLECTOMY 12000 61 PELVICOSTEOTOMIES 19000 62 PERCUTANEOUS TENOTOMY (3 OR LESS) 8000 63 PERCUTANEOUS TENOTOMY (MORE THAN 3) 10000 64 PSOAS/PARA VERTEBRAL ABSCESS 10000 65 REMOVAL OF IMPLANTS : MAJOR 8000 66 REMOVAL OF IMPLANTS : MINOR 5500 67 RE-SURFACING OF PATELLA 18000 68 REVISION ARTHROPLASTY - HIP/KNEE 37000 69 SEQUESTRECTOMY - LONG BONES 15000 70 SEQUESTRECTOMY - SMALL BONES 9500 71 SKELETAL TRACTION (IN O-T) 5000 72 SKIN GRAFTING - MAJOR 14000 73 SKIN GRAFTING - MINOR 9000 74 SYNOVECTOMY: HIP/KNEE)SHOULDERIWRIST 12500 75 SYNOVECTOMY : OTHER SMALL JOINTS 11000 76 TARGETTED DELIVERY OF STEROID 3200 77 TENDON ACHILLES/REPAIR & RECONSTRUCTION 12000 78 TENDON TRANSFERS : ANKLE/FOOT 15000 79 TENDON TRANSFERS AROUND KNEE 15000 80 TENSION BAND WIRING 13000 81 TENSION BAND WIRING: ISOLATED MED. MALLEOLUS 13000 82 TENSION BAND WIRING: PATELLA 13000 83 TENSION BAND WIRING / ENCIRCLAGE WIRING 13000 84 TIBIAL PLATEAU ELEVATION & FIXATION (I GRAFTING) 19000 85 TIBAL/FEMORAL OESTEOTOMIES 19000 86 TOTAL HIP REPLACEMENT 35000 87 TOTAL KNEE REPLACEMENT 35000 88 TRIPLE ARTHRODESIS - FOOT 19000 89 TUMOR EXCISION & RECONSTRUCTION (MAJOR) 23000 90 WOUND DEBRIDEMENT & TOILETTING 7500

S. No DESCRIPTION ACCOMODATION CATEGORY

91 ANTEROLATERAL DECOMPRESSIONS 23000 92 CERVICAL VERTIBRECTOMY 33000 93 LAMINECTOMY (LUMBAR/CERVICAL) / DISCECTOMY 28000 94 POSTEIOR/ANTERIOR FUSION & INSTRUMENTATION 30000 95 POSTEIORIANTERIQR FUSION ONLY 24000

7:07 GROUP : ORTHOPEDICS SURGERY - UPPER LIMB 96 ARTHRODESIS OF MAJOR JOINTS 18000 97 ARTHRODESIS OF MINOR JOINTS 7500 98 ARTHROSCOPIC REPAIR SHOULDER-RECURRENT DISLOCATION 22500 99 ARTHRQSOOPY SHOULDER - DIAGNIOSTIC . 16000 100 BONE GRAFTING-SMALL 11000 101 C R I F WITh K.WIRE 10000 102 CARPAL TUNNEL DECOMPRESSION 11000 103 CLOSED REDUCTION 8000 104 DISARTICULATION - SHOULDER 18000 105 EXCISION HEAD OF RADIUS/LOWER END ULNA 11000 106 EXCISION OF BURSA 8000 107 EXTERNAL FIXATIONS/ILIAZAROV TECHNIQUE 18000 108 FASCIOTOMY- FOREARM 12500 109 MAJOR AMPUTATIONS 14000 110 MANIPULATIONUNDERANESTHESIA(MUA.) 7500 111 MINOR AMPUTATIONS 7500 112 MINOR PROCEbURES-GANGLION/NAIL REMOVAL 15000 113 O R I F WITH KWIRE FIXATION 11000 114 O R I F WITH NAILING 15000 115 O.R.LF. WITH NAILING/PLAT1N WITH BONE GRAFT 19000 116 OPEN REDUCTION WITH PLATING 15000 117 O.R.I.F. WITH PLATING (BOTH BONES) 20000 118 O.R.I.F. WITH PLATING WITH BONE GRAFT (BOTH BONE) 21000 119 OSTEOTOMY AND CORRECTIVE SURGERY 18000 120 PUTTI PLATE RECONSTRUCTION OF SHOULDER 19000 121 RECONSTRUCTION OF JOINTS 17000 122 REPAIR OF TENDONS -3 OR LESS 13000 123 REPAIR OFTENDONS-MORETHAN 3 TENDONS 20000 124 TENDON TRANSFER & REPAIR 15000 125 TENDON TRANSFER MULTIPLE 19000 126 TENSION BAND WIRING 13000 127 TOTAL REPLACEMENT-ELBOW/WRIST JOINT 29000 128 TOTAL REPLACEMENT-SHOULDER 17000 129 TRIGGER THUMB 7500 130 TRIPLE ARTHRODESIS SHOULDER / ELBOW / WRIST 19000 131 ULNAR NERVE TRANSFER 16500 132 WOUND DEBRIDEMENT AND TOILETTING 7500

S. No DESCRIPTION ACCOMODATION CATEGORY \ 1 BRONCHOSCOPY WITH OR WITHOUT F B REMOVAL / BIOPSY 7500 2 CHEST ASPIRATION 4000 3 DECORTICATION THORACOTOMY - EX.TUMOR 23500 4 DECORTICATION WITH LOBECTOMY 30000 5 EXPLORATORY THORACOTOMY 15000 6 HIATUS OR DIAPHRAGMATIC HERMA 22000 7 INTERCOSTAL DRAINAGE 7500 8 LOBECTOMY - WEDGE, SEGMENT/LOBE 25000 9 MEDIASTINAL LYMPHNODE EXCISION & BIOPSY 12000 10 MEDIASTINAL TUMOR EXCISION 23500 11 OESOPHAGOSCOPY WLTH F.B.REMOVAL 8000 12 OPEN BIOPSY- PLEURA/LUNG 12500 13 PERICARDECTOMY 21000 14 PERICARDIAL ASPIRATION 7500 15 PERICARDIOSTOMY 19000 16 PLEURAL ASPIRATION 2500 17 PLEURAL\NEEDLE BIOPSY- PLEURA/LUNG 7500 18 PLEURODESIS EACH SITTING 2800 19 PNEUMENECTOMY 30000 20 RECONSTRUCTION OF PERIPHERAL VASCULAR INJURY 25000 21 REMOVAL OF FOREIGN BODY (BULLET)— CHEST / SHOULDER 28000 22 RIB RESECTION AND DRAINAGE 15000 23 SCALENE NODE BIOPSY 22000 24 SURGERY FOR PORTAL HYPERTENSION 19000 25 FHORACOTOMY WITH LIGATION OF PDA

7:09 GROUP : NEURO SURGERY 1 BURR HOLES FOR CH SDH/ABSCESS 27000 2 CERViCAL TRACTION (IN O.T.) 3200 3 CORPECTOMY 34000 4 CRANIOPLASTY 27000 5 CRANIOTOMY A.V.MALFORMATION 40000 6 CRANIOTOMY - ABSCESS/CYSTS 35000 7 CRANIOTOMY - ACOUSTIC NEUROMA 35000 8 CRANIOTOMY-ANEURYSM 40000 9 CRANIOTOMY - BRAIN STEM TUMOR 35000 10 CRANIOTOMY - CONTUSIONS 29000 11 CRANIOTOMY - CRANIOPHARYGIOMA 34000 12 CRANIOTOMY - EXTRADUAL HEMATOMA 29500 13 CRANIOTOMY - FOR CSF RHINORRHEA 35000 14 CRANIOTOMY - INTRACEREBRAL HEMATOMA 30000 15 CRANIOTOMY - PITUITARY TUMOR 35000 16 CRANIOTOMY - POST FOSSA TUMOR 35000 17 CRANIOTOMY - SUBDURAL HEMATOMA 30500 18 CRANIOTOMY - TEMPORAL CRANIOTOMY 30500

S. No DESCRIPTION ACCOMODATION CATEGORY 7:09 GROUP : NEURO SURGERY 19 CRANIOTOMY - VASCULAR TUMOR 34000 20 DECOM’PRESSIVE CRANIOTOMY 34000 21 DISCECTOMY (CERVICAL/DORSAL/MICRO-II LEVELS) 24000 22 ENDODSCOPIC SURGERY 41000 23 LAMINECTOMY (LUMBAR) 24500 24 MICRODICECTOMY -MORE THAN VII LEVELS 27000 25 NEUCLEOPLASTY 23500 26 NEURO-ENDOSCOPIC SKULL ASE SURGERY 34000 27 OPERATION FOR CANAL STENOSIS (LUMBAR/CERVICAL) 27000 28 PERIPHERAL NERVE SURGERY 24000 29 REPAIR OF ENCEPHALELE 20000 30 REPAIR OF MENINGOCELE 20000 31 REPAIR OF MENINGOMYLOCELE 20000 32 REVISION OF SHUNT 18500 33 SHUNT FOR HYDRO CEPHALUS 18500 34 SPINAL DYSRAPHISM V 27000 35 SPINAL INSTRUMENTATION 34000 36 SPINAL TUMOR/HEMATOMA/ABSCESS 34000 37 SURGERY FOR CRANIOSYNOSTOSIS 27000 38 TRANS SPHENOIDAL PITUITARY / SELLAR SURGERY 34000 39 UNLOCKING OF FACET JOINT 2500 40 VENTRIC TAP 5000 41 VENTRICULO AURICULAR SHUNT 19000 42 VERTEBROPLASTY 27000

7:10 GROUP : E.N.T SURGERY 1 ABSCESS TONSILLECTOMY - I. &D. 8000 2 ADENO-TONSILLECTOMY 10000 3 ADENOIDECTOMY 7500 4 ANGIOFIBROMA REMOVAL 21000 5 ANT. NASAL PACK (WITH PACK REMOVAL) 3200 6 ANTERIOR WITH POST. NASAL PACKING WITH REMOVAL 6000 7 ANTRAL POLYPECTOMY 6000 8 ANTRAL WASH: UNILATERAL OR BILATERAL 4000 9 BIOPSY CHEEK OR TONGUE: UNILATERAL OR BILATERAL 4900 10 BRONCHOSCOPY WITH OR WITHOUT F.B.REMOVAL / BIOPSY 7500 11 CALDWELL LUC: BILATERAL 10000 12 CALDWELL LUC: UNILATERAL 7500 13 CAUTERY PATCHING EAR 4000 14 CHANGE OF TRACHEOSTOMY TUBE 1500 15 COCHLEAR IMPLANT 36000 16 DIAGNOSTIC NASAL ENDOSCOPY 2500 17 ENDOLYMPHATIC SAC DECOMPRESSION 22000 18 ENDOSCOPIC CHOANAL ATRESIA REPAIR B/L 25000 19 ENDOSCOPIC CSF RHINORRHEA REPAIR 21000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:10 GROUP : E.N.T. SURGERY 20 ENDOSCOPIC DACROCYSTORHINOSTOMY 17500 21 ETHMOIDECTOMY(EXTERNAL) 14000 22 EXCISION OF PALATIAL GROWTH WITH FLAP REPAIR 20000 23 EXCISION THYROGLOSSAL CYST 9500 24 EXTENDED TRANS LABYRINTHINEA PPROACH 26000 25 FACIAL NERVE DECQMPRESSJON OR GRAFTING 24000 26 FACIAL REANIMATION PROCEDURE- LID LOADING 14000 27 FACIAL REANIMATIONPROCEDURE-TEMPORALIS TRANSFER 16500 28 FESS - LIMITED 8200 29 FESS—EXTENDED 18200 30 FESS: BILATERAL 16000 31 FESS: UNILATERAL 10000 32 FOREIGN BODY REMOVAL - EAR/NOSE/THROAT 3500 33 FRACTURE NASAL BONES 7500 34 HEMATOMA PINNA BILATERAL 6500 35 HEMATOMAPINNA:UNILATERAL 4000 36 I.& D.OF PARA ABSCESS 9000 37 I. & D. OF THYROGLOSSAL CYST 22000 38 I. & D. QUINCY 3200 39 I. & D. TONSILIAR ABSCESS: UNILATERAL OR BILATERAL 6000 40 LARYNGECTOMY (TOTAL) 22000 41 LARYNGOSCOPY - DIRECT 3200 42 LARYNGOSCOPY - FIBER OPTIC 6000 43 LATERAL RHINOTOMY 17000 44 LYMPH NODE BIOPSY 6000 45 MASTOIDECTOMY (MODIFIED) 17000 46 MASTOIDECTOMY WITH TYMPANOPLASTY 22000 47 MAXILLARY SINUS SURGERY 8500 48 MICRO LARYNGEAL SURGERY 10000 49 MICRO LARYNGOSCOPY WITH BIOPSY 6000 50 MICROSCOPIC EXAMINATION (E U M) 2000 51 MYRINGOPLASTY 12000 52 MYRINGOTOMY WITH OR WITHOUT GROMMET: BILATERAL 7500 53 MYRINGOTOMY WITH OR WITHOUT GROMMET: UNILATERAL 4000 54 NASAL CAUTERY IN EPISTAXIS 4000 55 NASAL ENDOSCOPIC CAUTERISATION FOR EPISTAXIS 6500 56 NASAL POLYPECTOMY: BILATERAL 9000 57 NASAL POLYPECTOMY: UNILATERAL 6500 58 OESOPHAGOSCOPY WITH F.BODY REMOVAL + BIOPSY 7200 59 OSSICULOPLASTY / TYMPANOTOMY 19000 60 POSTERIOR NASAL PACK (WITH PACK REMOVAL) 4500 61 PRE AURICULAR SINUS: BILATERAL 10000 62 PRE AURICULAR SINUS: UNILATERAL 9000 63 RHINOPLASTY 14000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:10 GROUP : E.N.T SURGERY 64 S M R 8500 65 SEPTOPLASTY 7000 66 SEPTOPLASTY WTH S.M.D. 9000 67 SEPTORHINOPLASTY 16500 68 SMD 4000 69 SPLIT EAR LOBULE: BILATERAL 4000 70 SPLIT EAR LOBULE: UNILATERAL 2500 71 STAPEDECTOMY 18000 72 STYLOIDECTOMY: BILATERAL 14000 73 STLOIDECTOMY: UNILATERAL 8500 74 THYROPLASTY 12000 75 THYROPLASTY WITH ARYTENOID - ABDUCTION/ADDUCTION 14500 76 TONSILLETQMY 7500 77 TRACHEOSTOMY 9000 78 TURBINECTOMY BILATERAL 7000 79 TURBINECTOMY: UNILATERAL 4300 80 TYMPANOPLASTY 15000 81 VOCAL CORD LATERLIZATION 8500 82 YOUNG OPERATION 10000

7:11 GROUP : VASCULAR SURGERY 1 ABDOMINALANEURYSM 28000 2 AORTO-FEMORAL BYPASS 26000 3 BRACHIAL ARTERY REPAIR WITH GRAFT 28000 4 CAROTID ENDARTERECTOMY 26000 5 CERVICAL RIB EXCISION 17900 6 CERVICOTHORACIC SYMPATHECTOMY 17900 7 CLOSURE OF A.V. FISTULA 15500 8 CLOT EVACUATION 5000 9 ENBARTERECTOMY OF PERIPHERAL VESSELS 26000 10 EXCI.ON OF A.V. MALFORMATION 18000 11 EXCISION OF HAEMANGIOMA - MAJOR 20000 12 EXCISION OF HAEMANGIOMA - MEDIUM 15500 13 EXCISION OF HAEMANGIOMA - MINOR 10000 14 FEMORAL EMBOLECTOMY: BILATERAL 29000 15 FEMORAL EMBOLECTOMY: UNILATERAL 22000 16 FEMORO-FEMORAL CROSS OVER GRAFT 30000 17 FEMORO -POPLITEAL BYPASS WITH VEIN/GRAFT 30000 18 FEMORO -POPLITEAL BYPASS 26000 19 HEPATIC RESECTION (LOBECTOMY) 20000 20 ILLIAC ARTER (ANRURYSM 29000 21 LIGATION OF FEMORAL S.F. JUNCTION 18000 22 LUMBAR SYMPATHECTOMY: UNILATERAL 12000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:11 GROUP : VASCULAR SURGERY 25 PERIPHERAL ANEURYSM REPAIR 21000 26 PERMANENT PACING 13000 27 TEMPORARY PACING 7500 28 THROMBO ENDARTERETOMY AORTA 25000 29 VARICOSE VEINS 19000 30 VENOUS RECONSTRUCTION 19000

7:12 GROUP : UROLOGY SURGERY 1 ADRENELEGTOMY OPEN 19000 2 AMPUTATION OF PENIS - PARTIAL 12000 3 AMPUTATION OF PENIS - TOTAL 18000 4 AUGMENTATION CYSTOPLASTY 22000 5 BASKETING 11000 6 BLADDERV NECK INCISION 12000 7 BLADDER NECK RECONSTRUCTION 27000 BUCCAL MUCOSAL GRAFT ( BILATERAL OR UNILATERAL) URETHROPLASTY OR 8 SUBSTITUTION URETHROPLASTY 21000 9 CHORDEE WITHOUT HYPOSPADIAS 12000 10 CIRCUMCISION 6500 11 CLOSURE OF URETHRAL FISTULA 11000 12 COMBINATION OF T.U.R.P. + STONE OR TUMOR 26000 13 COMBINATION OF T.UR.P. + B.N.I 21000 14 CYSTOLITHOTOMY 11000 15 CYSTOLITHOTRIPSY/CYSTOLITHALOPEXY 11000 16 CYSTOSCOPY + CLOT EVACUATIONWITH FULGRATTON 6500 17 CYSTOSCOPY (DIAGNOSTIC) 5000 18 CYSTOSCOPY WITH BIOPSY/CATHERISATION 6500 19 CYSTOSCOPY WITH BLADDER BIOSPY OR R.G.P. 6500 20 CYSTOSTOMY (SUPRAPUBIC) 7500 21 D.J.STENTING: BILATERAL 11000 22 D.J.STENTING: UNILATERAL 8000 23 DEROOFING PROSTATIC ABSCESS 12000 24 ENDOPYELOTOMY- PGN OR URS. 20000 25 ENDOSCOPI CORRECTION OF REFLUX: UNILATERAL OR BILATERAL 12000 26 ENDOSCOPIC DILATATION OF URETERAL STRICTURE 17000 27 ENDOSCOPIC REMOVAL OF URETHRAL STONE 11000 28 ENDOSCOPIC VENTRO-SUSPENSION FOR STRESS/TVT/TOT 17000 29 EPIDIDYMAL CYSY 9000 30 EPIDYDMECTOMY-BILATERAL 12000 31 EPIDYDMECTOMY-UNILATERAL 9000 32 EXCISION OF GROWTH PENIS 11000 33 EXPLORATORY SCROTOTOMY 11000 34 EXTROPHYIEPISPADIAS REPAIR 29000 35 FRENULOPLASTY 9000 36 HYPOSPADIAS REPAIR — 1ST STAGE 12000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:12 GROUP : UROLOGY SURGERY 37 HYPOSPADIAS REPAIR—2ND STAGE 11000 38 HYPOSPADIAS REPAIR — SINGLE STAGE . 18000 39 ILEO — INGUINAL LYMPHADENECTOMY UNILATERAL 18000 40 ILEO — INGUINAL LYMPHADENECTOMY BILATERAL 25000

41 INTRAVESICAL INJECTION OF BOTULINUM TOXIN FOR O.A.B. (OVER ACTIVE BLADDER) 10000 42 ISTHAMECTOMY WITH NEPHROPEXY 18000 43 LAPAROSCOPIC ADRENALECTOMY 23000 44 LAPAROSCOPIC ASSISTED PCNL 21000 45 LAPAROSCOPIC RADICAL NEPHRECTOMY 23000 46 LAPAROSCOPIC SIMPLE NEPHRECTOMY 20000 47 LAPAROSCOPIC URETEROLITHOTOMY 20000 48 MEATOPLASTY 5000 49 MEATOTOMY 3500 50 NEEDLE ASPIRATION OF PROSTATE 3500 51 NEEDLE BIOPSY OF PROSTATE 3500 52 NEPHRECTOMY 20000 53 NEPHRECTOMY (RADICAL) 26000 54 NEPHRECTOMY (SIMPLE OR PARTIAL) 20000 55 NEPHRECTOMY RENAL TUMOR 23000 56 NEPHROLITHOTOMY(ANATROPHIC) 19000 57 NEPHROPEXY FOR PTOTIC KIDNEY 12000 58 NEPHROSTOMY-OPEN 13000 59 NEPHROSTOMY - PERCUTANEOUS (P C N) 11000 60 NEPHROURETERECTOMY 26000 61 OPERATION FOR DOUBLE URETER 21000 62 OPERATIONFORECTOPIC URETER 22000 63 OPERATION FOR INJURY OF BLADDER 15500 64 OPERATION FOR MEGA URETER . 18000 65 OPTICAL INTERNAL URETHROTOMY 12000 66 ORCHIDECTOMY - UNILATERAL OR BILATERAL 11000 67 ORCHIOPEXY OR ORCHIDOPEXY : BILATERAL 17000 68 ORCHIOPEXY OR ORCHIDOPEXY : UNILATERAL 12000 69 PARTIAL CYSTECTOMY 20000 70 PCNL—BILATERAL 25000 71 PCNL—UNILATERAL 22000 72 PCNL-MULTIPLEPUNCTURE 25000 73 PERQUTANEOUS CYSTOLITHOTRIPSY (PCLT) 12000 74 PERINEAL URTHROSTOMY 7500 75 PERINEPHRIC ABSCESS DRAINAGE-OPEN 10000 76 PERINEPHRIC ABSCESS DRAINAGE-PERCUTANEOUS 7500 77 PROSTATIC BIOPSY 4000 78 PYELOLITHOTOMY 17000 79 PYELOLITHOTOMY WITH OR WITHOUT R.G.T 19000 80 RADICAL CYSTECTOMY WITH NEOBLADDER 27000 81 RADICAL CYSTOPROSTATECTOMY 27000 82 RADICAL RETROPUBLIC PROSTATECTOMY 26000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:12 GROUP : UROLOGY SURGERY 83 RADICALTOTAL CYSTECTOMY WITH URINARY DIVERSION 27000 84 RECTO-URETHERAL FISTULA - POST SAGGITAL REPAIR 27000 85 RELOOK PCNL 6500 86 REMOVAL OF D.J.STENT 4000 87 REPAIR OF URETHRAL INJURY 17000 88 REPAIR O V.V. FISTULA 26000 89 RGP WITH SCLERO THERAPY FOR CHYLURIA 9000 90 RPLND (RETRO- PERITONEAL LYMPHNODE DISSECTION) 21000 91 SEPARATION AND DISSECTION OF BLADDER 10000 92 SUPRAPUBIC DRAINAGE (CLOSED) 6500 93 SUPRAPUBIC DRAINAGE (OPEN) 6500 94 SUPRAPUBIC / LASER PROSTATECTOMY 17000 95 SURGERY FOR PEYRONIS DISEASE 18000 96 SURGERY FOR PRIAPISM 18000 97 SURGERY FOR RECTOURETHRAL FISTULA 25000 98 T U.R E D (TRANS URETHRALRESECTION OP EJACULATING DUCT) . 12000 99 TU R - BLADDER TUMOR 19000 100 T.U.R. - POSTERIOR URETHRAL VALVES 13000 101 TUR -PROSTATE 19000 102 T.U.R.-PROSTATEWITHT.U.E.V.P . ... 19000 103 TESTICULAR BIOPSY 5000 104 TRANS URETERO URETEROSTOMY 19000 105 TRANS URETHRAL ELECTRO VAPOUIZATION OF PROSTATE 19000 106 TROCAR CYSTOSTOMY 7500 107 URETERIC CATHETERISATION - UNILATERAL OR BILATERAL 6000 108 URETERO URETEROSTOMY 14000 109 URETEROINTESTINAL DI VERSON/RE-IMPLANTATION OF URETER 23000 110 URETEROLITHOTOMY 13000 111 URETEROLYSIS FOR RETROPERITONEAL FIBROSIS 18000 112 URETERONEOCYSTOSTOMY WITH BOARI FLAP 18000 113 IJRETERONEOEYSTOSTOMY BILATERAL 24000 114 URETERONEOEYSTQSTQMY: UNILATERAL 19000 115 URETEROPLASTY WITH ILEAL REPOSITION 18000 116 URETEROSCOPIC LITHOTRIPSY 17000 117 URETEROSCOPIC STONE REMOVAL 14000 118 URETEROSCOPIC URETEROTOMY 17000 119 URETEROSCOPY : DIAGNOSTIC 9000 120 URETHRAL DILATATION 3500 121 URETHROPLASTY - 1ST STAGE 12500 122 URETHROPLASTY - 2ND STAGE 11000 123 URETHROPLASTY FOR POSTERIOR URTHRAL DISTRACTION DEFECT 25000 124 VARICOLECTOMY BILATERAL 14000 125 VARICOLECTOMY LAPAROSCOPIC 11000 126 VARICOLECTOMY OPEN MICROSURGICAL 11000 127 VARICOLECTOMY UNILATERAL 11000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:12 GROUP : UROLOGY SURGERY 128 VASOEPIDIDYMAL ANASTOMOSIS 21000 129 VASOVASAL ANASTOMOSIS 17000 130 Y.V.PLASTY OF BLADDER NECK 17000

7:13 GROUP : PLASTIC SURGERY 1 ABDOMINOPLASTY 19000 2 ABDOMINOPLASTY WITH LIPOSUCTION (COSMETIC) 25000 3 BAT EAR BILATERAL 17000 4 BLEPHEROPLASTY FOUR LIDS 25000 5 BLEPHEROPLASTY TWO LIDS 20000 6 BREAST AUGMENTATION(IMPLANT): BILATERAL 25000 7 BREAST AUGMENTATION (IMPLANT) UNILATERAL 17000 8 BREAST AUGMENTATION BY FLAP 28000 9 BREAST REDUCTION-: BILATERAL 25000 10 BREAST REDUCTION UNILATERAL 17000 11 CHEMICAL PEELING 20000 12 CLEFT LIP CASEV RHINOPLASTY 25000 13 CLEFT LIP NOSTRIL 19000 14 CLEFT LIP/PALATE: BILATERAL 21000 15 EFT LIP/PALATE: UNILATERAL 17000 16 CLEFT PALATE & LIP: BILATERAL 25000 17 CLEFT PALATE&LIP UNILATERAL 20000 18 CLEFT PALATE FISTULA WITH FLAP 20000 19 CLEFT PALATE WITH PHARYNGOPLASTY 20000 20 CLEFT PALATE-FISTULA SIMPLE 12000 21 COMPLICATED SCAR FACE/MULTIPLE SCARS 19000 22 CONTRACTURE RELEASEWITH FLAP & SKINGRAFT 25000 23 CONTRACTURE RELEASE WITH SKIN GRAFT MORE FINGERS 24000 24 CONTRACTURE RELEASE WITH SKIN GRAFT ONE FINGER 17000 25 CYST OR GANGLION MULTIPLE 12000 26 DERMABRASION FACE 14000 27 DETACHMENT OF FLAP 12000 28 DISTRACTION OSTEOGENESIS MANDIBLE OR MAXILLA 25000 29 DRESSING - MAJOR 5000 30 DRESSING-MEDIUM 3500 31 DRESSING-MINOR 2500 32 EAR LOBULE KELOID: BILATERAL 9000 33 EAR LOBULE KELOID: UNILATERAL 7500 34 EXCISION OF CYST - MULTIPLE 9000 35 EXCISION OF CYST - SINGLE 5000 36 EXCISION OF MOLE -FACE 5000 37 EXTRA DIGIT EXCISION 9000 38 EYE LIDS -PTOSIS: UNILATERAL 12000 39 EYE LIDS PARTIAL EXCISION & REPAIR WITH SKIN GRAFT & FLAP 18000 40 EYE LIDS FOLD RECONSTRUCTION 18000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:13 GROUP : PLASTIC SURGERY 41 EYE LIDS TUMOR EXCISION & REPAIR WITH SKIN GRAFT & FLAP 18000 42 EYE LIDS- PTOSIS : BILATERAL 17000 43 FACE LIFT WITH OR WITHOUT NECK LIFT (COSMETIC) 27000 44 FACE MOLE OR CYST EXCISION - MULTIPLE 14000 45 FASCIO CUTANEOUS FLAP REPAIR-LARGE 19000 46 FASCIO CUTANEOUS FLAP REPAIR- MEDIUM 14000 47 FASCIO CUTANEOUS FLAP REPAIR - SMALL 9000 48 FASCIO CUTANEOUS FLAPWITH SKIN GRAFT -LARGE 25000 49 FASCIO CUTANEOUS FLAP WITH SKIN GRAFT - MEDIUM 17000 50 FASCIO CUTANEOUS FLAP WITH SKiN GRAFT - SMALL 11000 51 FAT OR FULL THICKNESS GRAFT - LARGE 17000 52 FAT OR FULL THICKNESS GRAFT - SMALL 10000 53 FRACTURE FLOOR OF ORBIT 17000 54 FRACTURE MANDIBLE + MAX1LLA + ORBIT + NOSE 25000 55 FRACTURE MANDIBLE OR MAXILLA A.O 12000 56 FRENULOPLASTY 9000 57 HAND - TENDON REPAIR (MAGNIFICATION) MULTIPLE 23000 58 HAND -TENDON WITH NERVE REPAIR (MAGNIFICATION) 20000 59 HYPOSPADIAS - CHORDEE CORRECTIONS 12000 60 HYPOSPADIAS - MEATOTOMY 5000 61 HYPOSPADIAS - URETHRA RECONSTRUCTION 20000 62 INTRAVELAR VELOPLASTY 21000 63 JOINT REPLACEMENT (MINOR) 14000 64 LARGE SCAR EXCISION 12000 65 UPOSUCTION - LARGE AREA 19000 66 LIPOSUCTION - SMALL AREA 12000 67 LOCAL FLAP - LARGE 15000 68 LOCAL FLAP - MEDIUM 11000 69 LOCAL FLAP - MINOR 7500 70 LOCAL FLAP/CROSS FINGER FLAP 17000 71 MALAR FRACTURE - CLOSED 12000 72 MALAR FRACTURE - MINI INTERNAL FIXATION 17000 73 MANDIBLE WIRING 12500 74 MINOR CORRECTION ON CLEFT LIP 11000 75 NASAL FRACTURE - CLOSED 7500 76 NASAL FRACTURE WiTH COMPOUND WOUND 12000 77 NERVE GRAFT (UNDER MAGNIFICATION) 25000 78 NERVE REPAIR (MULTIPLE) 25000 79 NERVE REPAIR (SINGLE) 19000 80 NERVE REPLANTATION (UNDER MAGNIFICATION) 28000 81 NOSE TIP RHINOPLASTY 12000 82 PHARYNGOPLASTY 17000 83 PREAURICULAR SINUS : BILATERAL 9000 84 PREAURICULAR SINUS : UNILATERAL 7500 85 RADIAL CLUB HAND CORRECTION 22000 86 RECONSTRUCTION OF EAR DEFORMITY - STAGE-1 22000

S. No DESCRIPTION ACCOMODATION CATEGORY 7:13 GROUP : PLASTIC SURGERY 87 RECONSTRUCTlON OF EAR DEFORMITY-STAGE-ll 19000 88 RECONSTRUCTION OF EAR DEFORMITY - STAGEIH 16000 89 RELEASE OF TONGUE TIE 5000 90 RELEASE OF TONGUE TIE -Z PLASTY REPAIR 9000 91 REPAIR OFLIP - BILATERAL 12000 92 REPAIR OF LIP - UNILATERAL 16000 93 REPAIR OF MVE THAN ONE FINGER 12000 94 REPAIR OF MORE THAN ONE FINGER 9000 95 REPAIR OF ONE FINGER 7500 96 REPAIR OF PINNA 7500 97 RHINOPLASTY (COSMETIC) 23000 98 SECONDARY DEFORMITY - CLEFT LIP/PALATE/NOSE 21000 99 SEPTO-RHINOPLASTY 16000 100 SIMPLE SCAR EXCISION 10000 101 SIMPLE Z PLASTY ANYWHERE 9000 102 SKIN GRAFTING -LARGE/EXTENSIVE 19000 103 SKIN GRAFTING - MEDIUM 15000 104 SKIN GRAFTING - SMALL V 9000 105 SMALL NAEVUS - SINGLE 7500 106 SPLIT EAR LOBULES: BILATERAL 5500 107 SPLIT EAR LOBULES: UNILATERAL 5000 108 SYNDATYLE FINGERS: MORE THAN ONE WEB 22000 109 SYNDACTYLE FINGERS ONE WEB 19000 110 T.M. JOINTAN(YLOSISWITHRIBGRAFT 25000 111 TM JOINTANKYLOSISICONDYLECTOMY UNILATERAL 19000 112 TENDON TRANSFER (MULTIPLE) 19000 113 TENDON TRANSFER(SINGLE) 14000 114 TISSUE EXPANDER (INSERTION) 19000 115 VAGINOLASW WITH SKIN GRAFT AND FLAP 25000 116 VAS RECANALISATION (MAGNIFICATION) 19000 117 WOUND REPAIR - FACE/HAND/LIMBS - LARGE 14000 118 WOUND REPAIR-FACE/HAND/LIMBS-MEDIUM 7500 119 WOUND REPAIR - FACE/HAND/LIMBS MULTIPLE 19000 120 WOUND REPAIR - FACE/HAND/LIMBS - SMALL 5000 121 Z PLASTY - SCAR EXCISION WITH OR WITHOUT SKINGRAFT 17000

7:14 GROUP : PEDIATRIC SURGERY 1 ABDOMINOPERINEAL PULL THROUGH / PSARP 25000 2 ANAL DILATATION 6500 3 ANORECTAL MYOMECTOMY 13000 4 APPENDECTOMY 14000 5 AXILLARY LYMPH NODE BIOPSY 7500 6 BILIARY ATRESIA/CHOLEDOCHAL CYST 26000 7 BRONCHOSCOPY DIAGNOSTIC/FB/BIOPSY 9000 8 CATHETERISATION AND MCU 3500

S. No DESCRIPTION ACCOMODATION CATEGORY 7:14 GROUP : PEDIATRIC SURGERY 9 CERVICAL LYMPH NODE IN NEONATE 2500 10 CERVICAL LYMPH NODE.BIOPSY 6500 11 CHEST ASPIRATION 3000 12 CHEST TUBE INSERTION 7500 13 CHEST TUBE MANIPULATION 1000 14 COLOSTOMY/ILEOSTOMY CLOSURE 18000 15 COLOSTOMY/ILEOSTOMY/JEJUNOSTOMY 12000 16 COMPLETE DECOCATION/QPEN/THORACOSCOPIC 22000 17 CYSTIC HYGROMA - MAJOR 22000 18 CYSTIC HYGROMA MINOR EXCISION/SCLEROTHERAPY 12000 19 CYSTOMGASTROSTOMY 17000 20 DIAGNOSTIC LAPROSCOPY 10000 21 DIAPHRAGMATIC HERNIA / EVENTRATION 25000 22 DRAINAGE OF DEEP/LARGE ABCESS 6500 23 DRAINAGE OF SMALL ABCESS 5000 24 DRESSING—SMALL 2500 25 DRESSING LARGE 3500 26 ESOPHAGOSCOPY / FB 6500 27 ESPOHAGEAL DILATATION 5000 28 EXCISION BIOPSY SUP.LUMP/SEB CYST 7500 29 EXCISION BRANCHIALSINUS/FISTULA 12000 30 EXCISION OF EXTRA DIGIT - (IN NEONATE CASES) 5500 31 EXCISION OF RETRO-PERITONEAL TUMOR 25000 32 EXCISION THYROGLOSSAL CYSTIFISTIJLA 12000 33 EXPLORATORY LAPROTOMY 10000 34 EXPLORATORY LAPROTOMY WITH MULTIPLE BIOPSIES 14000 35 FUNDOPLICATION 17000 36 GASTROSCHISIS 22000 37 GASTROSTOMY 12500 38 HYDROCOELE BILAT 14000 39 HYDROCOELE UNILAT 10000 40 INGUINAL HERNIA IN NEONATE BILAT 17000 41 INGUINAL HERNIA IN NEONATE UNILAT 12500 42 INGUINAL HERNIA REPAIR BILAT 14500 43 INGIJINALHERNIAREPAIRUNILAT 11000 44 INTESTINAL FISTULA 21000 45 INTESTINAL OBSTRUCTION 17000 46 INTUSSUSCEPTION AND RESECTON ANASTMOSIS 17000 47 INTUSSUCEPTION REDUCTION (XRAY OR OPERATIVE) 12500 48 KIDNEY BIOPSY 10000 49 LAPROSCOPIC APPENDICECTOMY 15000 50 LIVER ABCESS ASPIRATION 5000 51 LIVER ABCESS ASPIRATION MULTIPLE 7500 52 LIVER BIOPSY CLOSED 3000 53 LOBECTOMY 22000 54 LYSIS OF INTESTINAL ADHESIONS 14500

S. No DESCRIPTION ACCOMODATION CATEGORY 7:14 GROUP : PEDIATRIC SURGERY 55 MALROTATION INTESTINE 18000 56 MESENTERIC CYST/DUPLICATON 18000 57 MULTIPLE POLYPS 12000 58 MULTIPL RESECTION ANASTMOSIS 25000 59 NEONATAL INTSTINAL OBSTRUCTION /ATRESIA 22000 60 OBPHALOCOELE MAJOR/GASTROSCHISIS 22000 61 OBSTRUCTEDISTRANGULATED HERNIA 17000 62 OESOPHAGOSTOMY 17000 63 OMPHALOCOELE MINOR 14500 64 ORCHIDOPEXY BILAT 19500 65 ORCHIDOPEXY UNILAT 14000 66 PARAVERTIBRAL ABCESS 12000 67 PARTIAL DECORTICATION / RIB RESECTIQN 14000 68 PERINEAL ANOPLASTY 12000 69 PERITONEAL ASPIRATION 3000 70 PERITONEAL DRAINAGE 3500 71 PNEUMONECTOMY 22000 72 PULL THROUGH FOR HIRSCHPRUNGS 25000 73 PYELOPLASTY 24000 74 PYLORMYOTOMY 14500 75 RADIAL ARTERY CATH 3500 76 RECTAL POLYP 7500 77 RECTAL SUCTION BIOPSY/OPEN BIOPSY 6500 78 RECURRENT INTESTINAL OBSTRUCTION 18000 79 RESECTLON AND ANASIMOSIS INTESTINE 19500 80 RETRO PERITONEAL ABCESS / HAEMATOMA 14500 81 SCLEROTHERAPY RECTAL PROLAPSE /HAEMANGIOMA 6500 82 SIGMOIDOSCOPY 4000 83 SOFT TISSUE TUMOR (LARGE) 12000 84 SOFT TISSUE TUMOR (SMALL) 7500 85 SPLEENECTOMY 19500 86 SUTURING MULTIPLE WOUND 6500 87 SUTURING OF WOUND 4000 88 TONGUE TIE EXCISiON 4000 89 TRACHEOESOPHAGEAL FISTULA (T.O.F.) 25000 90 UMBILICAL /EPIGASTRIC HERNIA 11000 91 UMBILICAL CATH ARTERIAL 3500 92 UMBILICAL CATH VENOUS 3500 93 UMBILICAL GRANULOMA 3500 94 URACHUS EXCISION 12500 95 V Y PLASTY TONGUE TIE 7500 96 VARICOCOELE 12500 97 VENESECTION / CENTRAL LINE 3000 98 VITELLINE DUCT EXCISION 12500

S. No DESCRIPTION ACCOMODATION CATEGORY

7:15 GROUP: MISCELLANEOUS SURGERY 001 PERITONEOSCOPY—BIOPSY 5000 002 SIGMOIDOSCOPY 4000 003 ECT 3500 004 EPIDURAL INJECTION 2500

7:16 GROUP : NEPHROLOGY SERVICES

7:16A NEPHROLOGY SURGERY / PROCEDURES 001 A.V FISTULA FOR DIALYSIS 12000 002 AV.GRAFT FOR VASCULAR ACCESS FOR HAEMODIALYSIS 22000 003 CAPD CATHETER PLACEMENT 10000 004 CAPD CATHETER REMOVAL 5500

DIALYSIS (IN PATIENT) 7:16B HAEMODIALYSIS

001 HAEMODIALYSIS [PROEESSIONAL CHARGES] 1500 002 HAEMODIALYSIS (ICU-BEDSIDE) 2500 003 SLED (Sustained Low Efficiency Dialysis) 3000 004 EMERGENCY HAEMODIALYSIS 2200

NOTE:- HAEMODJALYSIS CHARGES INCLUDES PROFESSIONAL FEE OF NEPHROLOGIST FOR HAEMODIALYSIS ONLY. HOWEVER, IT

7:16C OTHER PROCEDURES 001 PERITONEAL DIALYSIS 3300 002 FEMORAL CATHETERISATION 1800 003 SUBCLAVIAN CANNULATION / JAGULAR CATHETERISATION 3200 004 KIDNEY BIOPSY 3200

OPERATION THEATER (O.T.) CHARGES 7:01 MINOR OT 1500/= 8:01 The charges for ‘Operation Theater for Delivery cases’ will be 5000/= 9:01 The charges for ‘Operation Theater’ for surgeries will be 5000/= 9.02 MODULAR OT 8000 10:01 ANAESTHESIA 001 General or Regional Anaesthesia 5000 002 Local Anaesthesia with stand by 2000 003 Local Anaesthesia 2000 004 Anaesthesia outside Operating Room 2000

Other specific type of Anaesthesia Charges 10:02 0bst. (Epidural) Anesthesia Upto 1 Hour 2000 10:03 Anesthesia for Endosc copy - Flat Rate 1500 10:04 TOP - UP of Epidural Anesthesia (Each Time) 750 10:05 Nursing Charges Per Day 300 10:06 Nursing Charges Per Day in ICU/NICU 1000

RADIOLOGY

S. No. DESCRIPTION ACCOMODATION CATEGORY

11:01 GROUP : BMD OUT SOURCED 1 BMD—PELVIS (BOTH HIPS) AS PER ACTULAS 2 BMD - SINGLE HIP FROM Sno 1 TO 06 3 BMD - WHOLE BODY 4 BMD - SPINE 5 BMD - SPINE + PELVIS 6 BMD - SPINE + SINGLE HIP

11:02 GROUP : C.T. SCAN 1 3D 2 ANGIO - ABDOMINAL 3 ANGIO - CEREBRAL 4 ANGIO - RENAL 5 ANGIO - PERIPHERAL 6 ANGIO - ABDOMEN AORTA 7 ANGlO - UPPER ABDOMEN (DUAL PHASE LIVER) 8 ANGlO - WHOLE ABDOMEN (DUAL PHASE LIVER) 9 C4 TO C7 - 4 VERTEBRAE 3300 10 EVERY ADDITIONAL VERTEBRA 700 11 EXTRA FOR EMERGENCY CASESE [*] 550 12 EXTRA FORM M.L.C. CASES 550 13 EXTREMITIES 3100 14 FACE- CT 15 GUIDANCE BIOPSY (LAB.& DISPOSABLES EXTRA) - CT 16 GUIDED ASPIRATION (LAB. & DISPOSABLES EXTRA )-CT 17 GUIDED F.N.A.C. (LAB. & DISPOSABLES EXTRA) 18 HEAD - PLAIN 1800 19 HEAD - PLAIN + CONTRAST (CONTRAST CHARGE EXT.) 2800 20 HEAD NCCT 1800 21 HEAD NECT 1800 22 HEAD & NECK/FACE-CT 3800 23 HRCT THORAX FULL 4400 24 KUB - PLAIN : CT 4400 25 KUB PLAIN + CONTRAST 5500 26 L3 TO S1 - 4 VERTEBRAE 3500 27 LARYNX 2900 28 LOWER ABDOMEN - CT 3800 29 LOWER THORAX + UPPER ABDOMEN-CT 6600 30 LOWER THORAX / CHEST 3100 31 MISCELLANEOUS [ANKLE/HIP/WRIST ETC.] 2400 32 NECK - CT 3100 33 ORBIT 3100 34 PITUITARY GLAND 2400 S. No. DESCRIPTION ACCOMODATION CATEGORY 11:02 GROUP : CT SCAN 35 PNS AXIAL + CORONAL + SAGITAL 3500 36 PNS FULL 2200 37 PULMONARY ANGIOGRAPHY 6600 38 TEMPORAL BONE [IAM] 3300 39 THORAX / CHEST - CT 3700 40 UPPER ABDOMEN - CT 3800

41 UPPER THORAX 2900 42 VIRTUAL COLONOSCOPY 43 WHOLE ABDOMEN - PLAIN + CONTRAST — CT 6600 44 WHOLE ABDOMEN - DIRECT CONTRAST 5500 45 LIVER —TRIPPLE PHASE 5500 NOTE: [*] Emergency charges is extra for scans done between 5:00pm to 8:00 am or

11:03 GROUP : MAMMOGRAPHY OUT SOURCED 1 MAMMOGRAPHY [BILATERAL] AS PER ACTULAS 2 MAMMOGRAPHY [ONE SIDE]

11:04 GROUP : ULTRASOUND 1 ABDOMINAL - SINGLE ORGAN 500 2 BREAST - U/S 500 3 CHEST - U/S 500 4 EMERGENCY (ON CALL) CHARGE [**] 1000 5 EYES - U/S 550 6 FOLLICULAR / OVALUTION STUDIES 1500 7 GALL BLADDER 500 8 GUIDED ASPIRATION IN O.T. - U/S 9 GUIDED ASPIRATION - U/S 10 GUIDED BIOPSY - U/S 11 GUIDED MULTI ORGAN ASPIRATION - U/S 12 KIDNEY - U/S 500 13 KUB- U/S 850 14 LIVER - U/S 500 15 LOWER ABDOMEN - U/S. 500 16 MUSCULAR SKELETON - SONOGRAPHY 700 17 NEONATAL HEAD - U/S 750 18 OBS LEVEL II - 3D/4D (U/S) 19 OBS LEVEL II - 3D/4D (U/S) (TWIN PREG.) 20 OBS WITH DOPPLER 21 OBS WITH DOPPER (TWIN PREG.) 22 OBS. + B.P.P. 23 OBS. + B.P.P. (TWIN PREG.) . 24 OBS. + B.P.P. + DOPPLER 25 OBS. + B.P.P. + DOPPLER (TWIN PREG.) 26 OBS. + T.V.S. (7 WEEKS) 27 OBS. ULTRASOUND EACH S. No. DESCRIPTION ACCOMODATION CATEGORY 11:04 GROUP : ULTRASOUND 28 OBS.ULTRASOUND EACH (TWIN REG;) 1200 29 PELVIS + T.V.S. -U/S 900 30 PELVIS - U/S 800 31 PORTALBE CHARGES (ULTRASOUND) 300 32 RENAL DOPPLER -U/S 2000 33 SCROTUM/TESTIS V .. 800 34 SCROTUM I TESTIS DOPPLER . V 1550 35 SPLEEN U/S V 550 36 THYROID-U/S . V .. 660 37 TRANSRECTAL 900 38 TVS EXTRA PAYMENT 150 39 UPPER ABDOMEN + BPP + DOPPLER 1650 40 UPPER ABOMEN + PLEURAL SPACE - U/S 850 41 UPPER ABDOMEN DOPPLER -U/ 1300 42 UPPER ABDOMEN - U/S 850 43 WHOLE ABDOMEN + BPP + DOPPLER -U/S 1800 44 WHOLE ABDOMEN . DOPPLER -U/S . 1650 45 WHOLE ABDOMEN + TVS -U/S 1300 46 WHOLE ABDOMEN + OBS: (ABOVE 10 WEKS) 1300

47 WHOLE ABDOMEN + OBS. (UPTO 10 WEEKS) 1100 48 WHOLE ABDOMEN -U/S 750 49 POST VOID RESIDU (PVR) 250 50 FOETAL ECHO 2000 51 PENILE DOPPLER 1300 NOTE: [**] Emergency charges is extra for scans done between 8:00pm to 8:00 am or on holidays. 11:05 GROUP : XRAY 001 ABDOMEN ERECT & SUPINE 440 002 ADDITIONAL VIEWS FOR ANY REGION 220 003 ANKLE AP & LAT 330 004 ANKLE AP BOTH 220 005 ANKLE LAT AXIAL 330 006 ANKLE LATERAL BOTH 330 007 APICOGRAM 220 008 ARM (HUMERUS) AP & LAT 330 009 BA. ENEMA 2700 010 BA. ENEMA (DOUBLE CONTRAST) 3300 011 BA. MEAL FOLLOW THROUGH 2500 012 BA. MEAL U.G.I.T. 1750 013 BA. SWALLOW / OESOPHAGOGRAPHY 1100 014 CERVICAL SPINE EXTENSION / FLEXION 440 015 CERVICAL SPINE / NECK AP LATERAL 440 016 CHEST (SINGLE VIEW) 220 017 CHEST (2 VIEW) 440 S. No DESCRIPTION ACCOMODATION CATEGORY 11:05 GROUP : XRAY 018 COCCYX AP LATERAL 440 019 COLOGRAM WITH BARIUM OR GASTROGRAFFIN 1750 020 DEPTT. SCREENING / FLUROSCOPY 021 DORSO - LUMBAR SPINE AP+LATRAL 440 022 ELBOW AP & LAT 400 023 FEMUR AP & LAT 440 024 FISTULOGRAM/SINOGRAM - 025 FOOT AP & OBLIQUE 330 026 FOOT AP LATERAL BOTH 660 027 FOREARM AP & LAT 330 028 GASTROGRAFFIN SWALLOW 029 GASTROGRAFFIN FOLLOW THROUGH 030 HAND (FINGERS) AP + OBLIQUE 400 031 HANDS AP BOTH 400 032 HIPAP 200 033 HIP AP & LAT 400 034 HIP LATERAL 200 035 HSG 1350 036 IVP 2200 037 IVP + MCU 2650 038 KNEE AP. LATERAL AXIAL BOTH 660 039 KNEE AP & LAT 330 040 KNEE AP & LAT AXIAL 440 041 KNEE AP BOTH 220 042 KNEE AP LATERAL BOTH 500 043 KUBIABDOMEN (SINGLE VIEW) -XRAY 220 044 LEG AP & LAT 440 045 LS SPINE AP LATERAL 550 046 MANDIBLE 220 047 MANDIBLE 3 VIEWS 660 048 MANDIBLE BOTH OBLIQUE 440 049 MASTOIDS (TOWNS + 2 LATERAL OBLIQUE) 3 VIEWS 660 050 MCU 1650 051 NASAL BONE 220 052 NASOPHARAYNX / ADENOIDS 1900 053 NEPHROSTOGRAM 1350 054 OESOPHAGEAL DILATION UNDER FLUROSCOPY 220 055 PELVIS AP 330 056 PER ORBITAL VIEW / IAM 220 057 PNS 330 058 PORTABLE ABDOMEN PER EXPOSER 220 059 PORTABLE ABDOMEN ERECT/SUPINE 330 060 PORTABLE CHEST 660 061 PORTABLE EXTREMITIES PER EXPOSER 330 062 PORTABLE SKULL PER EXPOSER 330 S. No DESCRIPTION ACCOMODATION CATEGORY

063 PORTABLE SPINE PER EXPOSER 330 064 PORTABLE X-RAY (PER EXPOSER) 330 065 RADIOLOGY CHARGES FOR INTUSSUSCEPTION 2000 066 RGP -RETROGRADE PYELOGRAM 1550 067 RGU + M.C.U. 1750 068 RCU / ASCENDING URETHROGRAM 1450 069 SACRO - COCCYX AP LATERAL 440 070 SCAPULA AP 220 071 SCAPULA AP LATERAL 440 072 SCREENING (ABOVE 15 MTS.) 1500 073 SCREENING (UPTO 15 MTS.) 1100 074 SCREENING FOR ERCP / EPT . 1100 075 SHOULDER - AP 220 076 SHOULDER AXIAL 220 077 SI JOINT PA + BOTH OBL 660 078 SI JOINT PA/SACRO ILIAC JOINT 220 079 SIALOGRAPHY 1100 080 SKULL : ANY SINGLE VIEW 220 081 SKULL AP & LATERAL 440 082 SPINE (2 VIEWS) 440 083 SPINE (SINGLE VIEW) 220 084 STYLOID PROCESS (SINGLE VIEW) 220 085 THIGH 220 086 TM JOINTS (BILATERAL) 660 087 TTC 1350 088 VENOGRAPHY / PHLEBOGRAPHY (1 SIDE) 2100 089 VENOGRAPHY / PHLEBOGRAPHY (BILATERAL) 4200 090 WRIST AP & LAT 330 091 WRIST AP BOTH 220 092 XRAY PER EXPOSER 220 093 WRIST AP & LAT + OBLIQUE 500

COST OF DYE / CONTRAST EXTRA WHEREVER APPLICABLE

11:06 MISCELLANEOUS CHARGES 1 CT DVD / CD 200 2 DUPLICATE X-RAY-ULTRA SOUND/C.T FILM : PER FILM 200 LABORATORY S. No DESCRIPTION ACCOMODATION CATEGORY 12.01 001 RBS - RANDOM BLOOD SUGAR 70 LABORATORY TESTS 002 UREA 100 ARE IN HOUSE AND ALSO 003 CREATININE 100 OUT SOURCED 004 CALCIUM 130 PRICES FOR OUT SOURCED 005 PHOSPORUS (INORGANIC PHSO) 130 TESTS AS PER ACTULAS 006 AMYLASE 250 SEPRATE LIST CAN BE SUB MITTED 007 GTT - GLUCOSE TOLERANCE TEST 430 008 URIC ACID - SERUM 120 009 FDP (FIBRIN/FIBRINOGEN DEGRADATION PRODUCT) 930 010 FLUID ALBUMIN 90 011 CALCIUM / CREATININE RATION - URINE FASTING 200 012 PROTEIN / CREATININE RATION - URINE FASTING 200 013 GCT - GLUCOSE CHALLENGE TEST 100 014 PPS - AFTER GLUCOSE 100 015 TOTAL/SERUM PROTEIN (TP, ALB, GLOB, A/G) 120 016 PT (PRO TIME) 160 017 BILIRUBIN (DIRECT, INDIRECT, TOTAL) 140 018 ALKANINE P TASTE - ALP 130 019 SGPT/ALT 120 020 SGOT/AST 120 021 022 PLASMA FIBRINOGEN 610 023 APTT 220 024 TROPONIN T (TROP.T) 900 025 SODIUM (NA+) ONLY 130 026 POTASSIUM (K+) ONLY 130 027 SODIUM & POTASSIUM 240 028 CHLORIDE (CL-) 130 029 BICARBONATE (HCO3-) 130 030 ABG - ARTILLARY BLOOD GAS 1000 031 CHOLESTEROL - SERUM 140 032 HDL CHOLESTROL - DIRECT 200 033 TRIGLYCERIDES 220 034 LIPID PROFILE 500 035 CPK 210 036 CPK(MB) 320 037 CHOLESTEROL - FLUID 140 038 LDH FLUID 240 039 ELECTROLYTES SERUM 320 040 LIPASE SERUM 360 041 GAMMA GT/GGT/GGTP 190 042 LDH-SERUM 240 043 MAGNESIUM -SERUM 230 044 SODIUM-URINE RANDOM SPECIMEN 130 S. No DESCRIPTION ACCOMODATION CATEGORY 12:01 GROUP CLINICAL CHEMISTRY & HORMONES 045 AMYLASE-URINE OUT SOURCED 046 D-DIMER TEST CHARGES AS PER 047 FT 3 - FREE T3 ACTULAS 048 FT 4 - FREE T4 049 TSH 050 FT3, FT4 & TSH (TOGETHER) 051 FT3 & FT4 (TOGETHER) 052 CORTISOL -SERUM 053 PROLACTIN -SERUM . 054 FSH 055 LH 056 PSA - PROSTATE SPECIFIC ANTIGEN 057 FERRITIN 058 FBS - FASTING BLOOD SUGAR V 059 PPS (POST PRANDIAL SUGAR) 060 SBR - BILIRUBIN TOTAL (MICRO METHOD) 061 ADA 062 CALCIUM - MICRO METHOD 063 PPS AFTER BREAKFAST 064 PPS AFTER LUNCH 065 PPS AFTER DINNER 066 URINE FOR CREATININE 067 NEONATAL TSH SCREEN (NEC TSH) 068 FBS AND PPS 069 SERUM ALBUMIN 070 CBG - CAPILLARY BLOOD GAS 071 CRP 072 HCG WITH LIPIDS 073 ALPHA FETO PROTEIN 074 BHCG (TUMOR MARKER) 075 E3 -ESTRIOL 076 VITAMIN B12 077 FOLATE 078 FOLATE & VITAMIN B12 079 CA 125 080 TRIPLE TEST 081 DUAL TEST 082 PH - CORD BLOOD

12:02 GROUP CYTOPATHOLOGY OUT SOURCED 001 PAPANICULA SMER AS PER ACTULAS 002 FLUIDS FOR MALIGNANT CYTOLOGY 003 CSF FOR MALIGNANT CYTOLOGY 004 FNAC 005 FNAC - CT/US GUIDED S. No DESCRIPTION ACCOMODATION CATEGORY 12:03 GROUP : HEMATOLOGY 001 HB (HEMOGLOBIN) 90 002 TLC (WBC COUNT) 90 003 MALARIAL PARASITES (MP) 250 004 PERIPHERAL SMEAR 150 005 RBC COUNT 100 006 HEMATOCRIT (HCT/PCV) 100 007 CBC (COMPLETE BLOOD COUNT) 280 008 TLC & IDLC 160 009 RED CELL INDICES 220 010 ESR 100 011 MCH 100 012 MCHC 100 013 DLC 110 014 CBC & MP (TOGETHER) 330 015 CBC & PS (TOGETHER) 330 016 GASTRIC LAVAGVE FOR PMNS 90 017 MCV 100 018 RETIC COUNT 200 019 EOSINOPHIL COUNT 140 020 CLOT RETRACTION 90 021 BT—BLEEDING TIME 60 022 SICKLE CELL PREP. 120 023 PLATELET COUNT 120 024 RBC FRAGILITY 320 025 FILARIAL PREP. 220 026 BONE MARROW EXAMINATION 650 027 FALCIPARUM & PLASMODIUM VIVAX TEST (F&V) 300 028 BONE MARROW IRON STAINING 200 029 KALA - AZAR DETECT 360 030 BONE MARRROW (ASPIRATION AND EXAMINATION) 870 031 FILARIAL ANTIGEN 520 032 CBC & MP WITH F&V 400

12:04 GROUP : SPECIAL HEMATOLOGY OUT SOURCED 1 GLYCOSYLATED HB/HB 1AC AS PER ACTULAS 2 FETAL HB 3 G6 PD (CONFIRMATORY) 4 HB ELECTROPHORESIS 5 G6 PD SCREENING (SCREENING + CONFIRMATORY) 6 SERUM IRON 7 SERUM IRON & TIBC

12:05 GROUP HISTOPATHOLOGY OUT SOURCED AS PER ACTULAS 1 FROZEN SECTION WITH BIOPSY SPECIMEN 2 TISSUE FOR GROSS/DOCUMENTATION ONLY 3 SLIDE FOR HISTOPATHOLOGY 4 BLOCK FOR HISTOPATHOLOGY

S. No DESCRIPTION ACCOMODATION CATEGORY 12:05 GROUP HISTOPATHOLOGY 5 TISSUE -SMALL FOR HISTOPATHOLOGY OUT SOURCED AS 6 TISSUE - MEDIUM FOR HISTOPATHOLOGY OPER ACTULAS 7 TISSUE - LARGE FOR HISTOPATHOLOGY

12:06 GROUP : MICROBIOLOGY OUT SOURCED 1 CULTURE - BLOOD-ROUTINE AS PER ACTULAS 2 CULTURE & SENSITIVITY - MISC. 3 STOOL FOR CHOLERA (HANGING DROP 4 GRAMS STAIN 5 FUNGUS PREP. KOH PREP 6 TRICHOMONAS (VAGINAL SWAB, WET PREP) 7 DIPHTHERIA SMEAR 8 AFB - SMEAR MISC SPECIMEM 9 RAPID UREASE. TEST .--. . 10 CRYPTOCOCUS-SMEAR-CSF 11 FUNGUS CULTURE 12 CULTURE & SENSITIVITY 13 AFB CULTURE - MISC (MYCOBACTERIUM) 14 CULTURE- BLOOD -RAPID 15 WET SMEAR FOR TROPHOZOITES 16 CULTURE & SENSITIVITY - STOOL 17 CULTURE & SENSITIVITY - PUS 18 CULTURE &SENSITIVITY- HVS 19 CULTURE & SENSITIVITY THROAT SWAB 20 CULTURE & SENSITIVITY - CSF 21 CULTURE & SENSITIVITY- EAR SWAB 22 AFB -SPUTUM (SAMPLE I) 23 AFB-URINE (SAMPLE I) 24 AFB CULTURE - SPUTUM (MYCOBACTERIUM) 25 AFB CULTURE - URINE (MYCOBATERIUM) 26 AFB CULTURE- PUS (MYCOBACTERIUM) 27 AFB CULTURE - FLUIDS (MYCOBACTERIUM) 28 MTB/MOT IDENTIFICATION 29 SMEAR FOR FUNGUS 30 CULTURE & SENSIT- SPUTUM 31 AFB -SPUTUM (SAMPLE II) 32 FB -SPUTUM(SAMPLE III) 33 AFB - URINE (SAMPLE II) 34 AFB - URIN (SAMPLE Ill) 35 URETHERAL SMEAR G.C 36 CULTURE OTHERS RAPID 37 CRYPTOSPORIDUM - ZN STAIN 38 PNEUMOCYSTIC - GRAM STAIN

S. No DESCRIPTION ACCOMODATION CATEGORY 12:07 GROUP : MISCELLANEOUS LAB INVESTIGATION OUT SOURCED AND 1 FLUID - ROUTINE EXAMINATION INHOUSE AS PER ACTUALS 2 CSF - (SPINAL FLUID) - ROUTINE 3 SEMEN ANALYSIS 4 CT (POST COITAL TEST) 5 C.S.F. ROUTINE WITH SMEAR FOR CRYPTOCOCCUS 6 GA FOR OCCULT BLOOD 7 FLUID FOR CRYSTALS 8 STONE ANALYSIS (OTHERS) 9 URINARY CALCULI (STONE FOR CHEMICAL ANALYSIS) 10 FLUID FOR SUGAR

12:08 GROUP : PARASITOLOGY 1 STOOL ROUTINE EXAMINATION 100 2 STOOL OCCULT BLOOD 70 3 ‘STOOL FOR PH 60 4 STOOL RELUING SUBSTANCES 70 5 STOOL FOR WBC/HPF 60 6 STOOL/PUS AMOEBA 60 7 ROTAVIRUS 360

12:09 GROUP : SEROLOGY 1 VDRL 110 2 WIDAL 200 3 HBS AG (HEPATITIS B SURFACE ANTIGEN) 320 4 ASO (ASLO) TEST 160 5 ANF/ANA 540 6 CRP(LATEX) 110 7 PREGNANCY TEST 120 8 VDRL IN DILUTION 200 9 HIV TEST 400 10 TORCH TEST (IGM) 1120 11 TOXOPLASMA (IGM) 440 12 RUBELLA (IGM) 440 13 CYTOMEGALOVIRUS (CMV) (1GM) 440 14 HERPES - II (IGM) 440 15 HEPATITIS - C (HCV) 580 16 HEPATITIS - A (HAV) 750 17 HEPATITIS - E (HEV) 1050 18 DS DNA (DOUBL STRANDED DNA) 750 19 TORCH TEST (IGG) 1120 20 TOXOPLASMA (IGG) 440 21 RUBELLA (IGG) 440 22 CYTOMEGALOVIRUS (CMV) (IGG) 440 23 HERPES - II (IGG) 440 24 BACTERIAL ANTIGEN (5 TESTS) 2100 25 DENGUE SEROLOGY 950

S. No DESCRIPTION ACCOMODATION CATEGORY 12:09 GROUP : SEROLOGY 26 DENGUE ANTIGEN OUT SOURCED AS PER ACTUALS 27 CHIKUNGUNYA 28 HCG (MATERNAL) 29 RA FACTOR 30 ANTI CCP 31 TTG 32 PRO-CALCITONIN 33 ANTI HBS 34 INFLUENZA A & B RAPID SREENING TEST

12:10 GROUP : URINALYSIS OUT SOURCED 1 URINE ROUTINE EXAMINATION AS PER ACTUALS 2 ALBUMIN AND SUGAR 3 ACETONE 4 URINE FOR HEMOGLOBIN 5 URINE FOR MYOGLOBIN 6 URINE FOR SP. GRAVITY 7 URINE FOR PH 8 URINE FOR CHYLE 9 APT TEST 10 URINE FOR ALBUMIN 11 URINE FOR SUGAR 12 URINE FOR PORPHOBILINOGEN 13 BILE PIGMENT 14 UROBILINOGEN 15 BENCE JONES PROTEIN 16 24 HR. URINARY ALBUMIN (QUANTITATIVE) 17 URINE OCCULT BLOOD 18 URINE FOR REDUCING SUBSTANCES 19 24 HR. URINARY URIC ACID 20 24 HR. URINARY CALCIUM 21 24 HR. URINARY SODIUM 22 24 HR: URINARY POtASSIUM 23 24 HR. URINARY PHOSPHORUS 24 CREATININE CLEARANCE

12:11 BLOOD BANK BACK UP FROM 1 CROSS MATCHING GOVT MED COLLAGE 2 GROUP & TYPING JAMMU 3 RELATIVE DONATED BLOOD: PROC. CHARGES 4 WHOLE BLOODI/RED CELLS :HOSPITAL- PROCESSING 5 OTHER BLOOD BANKS: BLOOD ISSUE 6 FFP - DONATED - PROCESSING 7 FFP - HOSPITAL - PROCESSING 8 FFP - PEDIATRIC HOSPITAL - PROCESSING

S. No DESCRIPTION ACCOMODATION CATEGORY 12:11 BLOOD BANK 9 FFP - PAEOIATRIC - DONATED - POCESSING AS PER GOVT GUID LINES 10 RAPID DONOR TESTING AT PRESENT BACK UP FROM 11 PLATELET CONCEN. (RD) - DONATED: PROCESSING GOVT. MEDICAL COLLAGE JAMMU 12 PLATELET CONCEN (RD) HOSPITAL : PROCESSING 13 DU FACTOR 14 DIRECT COOMBS 15 INDIRECT COOMBS 16 RH ANTI BODY TITRE 17 REPLACEMENT FFP 18 REPLACEMENT FFP PEDIATRICS 19 REPLACEMENT PLATELET CONCENTRA 20 REPLACEMENT WHOLE BLOOD 21 COLD AGGLUTININS 22 VENESECTION PROCEDURE 23 PLATELET APHERESIS 24 TRANSFER BAGS

PHYSlO - THERAPY 13:01 RATES OF PHYSICAL THERAPY TREATMENT UNDER PROCEESS OF OPENING 1 CONSULTATION (PHYSIOTHERAPY) AS PRESENT OUT SOURCED 2 INFRA RED RAY THERAPY (SINGLE) AS PER ACTUALS 3 INFRA RED RAY THERAPY (MULTIPLE) 4 STEAM PACKS (SINGLE) 5 STEAM PACKS (MULTIPLE) 6 WAX BATH (SINGLE AREA) 7 WAX BATH (TWO AREAS) 8 WAX BATH (MORE THAN TWO AREAS) 9 COLD PACK (SINGLE) 10 COLD PACK (MULTIPLE) 11 ULTRA VIOLET THERAPY (SINGLE) 12 ULTRA VIOLET THERAPY (MULTIPLE) 13 TENS (SINGLE) 14 TENS (MULTIPLE) 15 SHORT WAVE DIATHERMY (SINGLE AREA) 16 SHORT WAVE DIATHERMY (TWO AREAS) 17 ULTRA SONIC THERAPY (SINGLE AREA) 18 ULTRA SONIC THERAPY (TWO AREAS) 19 ULTRA SONIC THERAPY ( MORE THAN TWO AREAS) 20 CERVICAL TRACTION 21 LUMBAR TRACTION 22 CPM - CONTINUOUS PASSIVE MOVEMENT (SINGLE AREA) 23 CPM - CONTINUOUS PASSIVE MOVEMENT (TWO AREAS) 24 PULSED S.W.D. (SINGLE AREA) 25 PULSED S.W.D. (TWO AREAS) S. No DESCRIPTION ACCOMODATION CATEGORY 13:01 RATES OF PHYSICAL THERAPY TREATMENT 26 CONTRAST BATH (SINGLE) SAME AS ABOVE 27 CONTRAST BATH (MULTIPLE) 28 STIMULATION (NEURO-MUSCULAR) SINGLE 29 STIMULATION (NEURO-MUSCULAR) MULTIPAL 30 INTERFERENTIAL THERAPY (SINGLE AREA) 31 INTERFERENTIAL THERAPY (TWO AREAS) 32 INTERFERENTIAL THERAPY (MORE THAN TWO AREAS) 33 LASER - INFRA RED : POINT (SINGLE AREA) 34 LASER - INFRA RED POINT (MULTIPLE AREA) 35 LASER - INERA RED: SCAN (SINGLE AREA) 36 LASER - INFRA RED : SCAN (MULTIPLE AREA) 37 MANUAL MUSCLE TESTING (SINGLE) 38 MANUAL MIISCLEJESTLNG (.MULTJPLE) 39 ELECTRICAL MUSCLE TESTING (SINGLE) 40 ELECTRICAL MUSCLE TESTING (MULTIPLE) 41 EMG BlO - FEEDBACK (SINGLE) 42 EMG BIO-FEEDBACK (MULTIPLE) 43 (INFRARED SAUNA 44 BREATHING EXERCISE 45 POST OP.CHEST PHYSIO - THERAPY 46 CHEST PHYSIO - THERAPY (SINGLE) 47 SIMPLE EXERCISE 48 EXERCISES — REHABILITATION 49 EXTENSIVE EXERCISE 50 EXERCISE : TEACHING ONLY 51 SUSPENSION THERAPY 52 TILT TABLE THERAPY 53 GAIT TRAINING 54 NEURO - DEVELOPMENTAL THERAPY 55 EXERCISES - MOBILIZATION (SINGLE) 56 ANTE-NATAL EXERCISES PER SITTING 57 POST NATAL EXERCISES (ALL SESSIONS) (MULTIPLE) 58 ANTENATAL EXERCISE - PACKAGE 59 PACKAGE FOR PEDIATRIC/CHRONIC CASES (20 SESSIONS) PACKAGE FOR JOINT MOBILISATION WITH ONE HOT/ELECTRO - 60 THERAPY MODALITY (20 SESSIONS) 61 COMPRESSION THERAPY (SINGLE) 62 COMPRESSION THERAPY (MULTIPLW) 63 NUGABEST 64 LONG WAVE DIATHERMY (SINGLE AREA) 65 LONG WAVE DIATHERMY (TWO AREAS) 66 LONG WAVE DIATHERMY (MORE THAN TWO AREAS) 67 MICROWAVE DIATHERMY (SINGLE AREA) 68 MICROWAVE DIATHERMY (TWO AREAS)

ENDOSCOPIC PROCEDURES 14:01 ENDOSCOPIC PROCEDURES (FLAT RATES) 1 ENDOSCOPY UPPER G.I. 3000 2 EST - ENDOSCOPIC SCLEROTHERAPY 7000 3 FOREIGN BODY REMOVAL 7500 4 COLONOSCOPY - 1 3500 5 COLONOSCOPY - 2 5000 6 POLYPECTOMY 12000 7 OESOPHAGEAL ACHALASIA 5000 8 DILATATION 8000 9 ERCP - ENDOSCOPY 8000 10 PAPILLOTOMY WITH STONE EXTRACTION 13000 11 EVL - ENDOSCOPIC VARICES LIGATION 8000 12 PERCUTANEOUS ENDOSCOPIC GASTROTOMY - PEG 9000 13 THERAPEUTIC ERCP 12500 14 EPT - STONE EXTRACTION 12500 15 OESOPHAGEAL METAL STENT PLACEMENT 12500 16 UGIE & APC 9500 17 COLONOSCOPY & APC 12000

NOTE: he above procedures fee will be levied as Equipment charges”. The charges for “disposables” and “laboratory” will be extra.

15:01 EXCHANGE BLOOD TRANSFUSION (FLAT RATE) AS PER GOVT GUIDE LINES 1 EXCHANGE TRANSFUSION (FLAT RATE) EACH TIME 2 EXCHANGE PLASMA TRANSFUSION (FLAT RATE) EACH TIME

S. No DESCRIPTION ACCOMODATION CATEGORY 16:01 TREATMENT 1 ANAL DILATATION 2 ASCITIC FLUID ASPIRATION /PARACENTESIS 3 BIOPSY OF BONE 4 BIOPSY OF LIVER 5 BIOPSY OF MUSCLE 6 BIOPSY OF SKIN 7 BONE MARROW ASPIRATION /STERNAL PUNCTURE 8 CAVAFIX INTRODUCTION 9 CUT DOWN / VENESECTION 10 CENTRAL VENOUS PRESSURE LI NE [CETROFIX] INSERTION 11 12 ENDOTRACHEAL INTUBATION 13 INCIDENTAL ABORTION IN WARD 14 INCISION & DRAINAGE OF ABSCESS 15 INTER COSTAL (TUBE) DRAINAGE 16 LUMBAR PUNCTURE 17 MINOR SURGICAL PROCEDURE IN WARD 18 MINOR SUTURING 19 NASAL PACKING + PACK REMOVAL 20 NON STRESS MONITORING [PER TWO HOURS] 21 NON STRESS TEST [NST] 22 PLEURAL FLUID ASPIRATION /THORACENTESIS 23 TEMPORARY PACING IN WARD 24 URETHERAL DILATATION

16:02 TREATMENT (SPOT INVESTIGATIONS) 1 MONTOUX TEST 2 RBS DONE WITH GLUCOMETER 3 URINE FOR ACETONE 4 URINE FOR SUGAR / ALBUMIN

16:03 SPECIAL NURSING PROCEDURES 1 SKIN / PELVIC TRACTION APPLICATION 1500

16:04 SPECIAL NURSING PROCEDURE 1 NEBULIZATION 200 2 LACTODEX MILK PER DAY(COST OF MILK EXTRA) 200

16:05 PLASTERING 1 PLASTERING : BODY CAST 5500 2 PLASTERING : F0OT/ARM/HAND 2500 3 PLASTERING : HIP 4000 4 PLASTERING : LEG 2500 NOTE: MATERIAL COST WILL BE EXTRA

S. No DESCRIPTION ACCOMODATION CATEGORY 17:01 DRESSING 1 DRESSING - MINOR 150 2 DRESSING - MEDIUM 300 3 DRESSING - MAJOR AS PER AREA OF WOUND NOTE: MATERIAL COST WILL BE EXTRA

18:01 CARDIAC MONITORING PER DAY CARDIAC MONITORING : PER DAY 1000 WHEN MONITORED IN WARD/ISOLUTION.

19:01 CHEMOTHERAPY PROCEDURE CHARGES 1 DAY CARE CHARGES (OPD BASIS) 2000 2 IF INDOOR ROOM RENT + CHEMO CHARGES ROOM RENT + 1000 ROOM RENT AS PER ACCOMODATION AVAILED

20:01 PSYCHOTHERAPY 1 PSYCH0THERAPY - SH0RT SESSI0N OUT SOURCED 2 PSYCHOTHERAPY - FULL SESSION OUT SOURCED

21:01 LASER PROCEDURES UNDER NEW OPENING 1 AUTOPERIMETRY 2 COLOUR PHOTOS 3 FUNDUS FLURESIEN ANGIOGRAPHY [SUPPLIES EXTRA] 4 LASER PERIPHERAL IRIDVECTOMY 5 LASER PHOTOCOAGULATION 6 LASER PHOTOCOAGULATION - LATTICE & HOLES 7 LASER PHOTOCOAGULATION - R. 0. P. 8 OCT 9 YAG CAPSULOTOMY .

22:01 SPEECH & HEARING TEST OUT SOURCED 1 AC BERA 2 ASSR 3 BC BERA 4 COCHLEAR IMPLANT COUNSELING 5 DIAGNOSTIC OAE-TEOAE/DOAE 6 ECOCH G 7 IMPEDANCE 8 PTA/BOA/FFT 9 SCREENING OAE 10 SPECIAL TESTS ABLB/SISI/TD 11 SPEECH-ITHERAPY (CONSULTATION-EACH SESSION)

S. No DESCRIPTION ACCOMODATION CATEGORY

ECG (ELECTRO CARDIOGRAM ECG (ELECTRO CARDIOGRAM) (EACH) 100

ECHOCARDIOGRAPHY / CAROTID DOPPLER AT PRESENT OUT SOURCED ARTERY DOPPLER - LOWER LIMB AS PER ACTUALS ARTERY DOPPLER - UPPER LIMB DOPPLER STUDY ECHOCARDIOGRAPHY VENOUS DOPPLER - LOWER LIMB VENOUS DOPPLER - UPPER LIMB

T.M.T. (TREAD MILL TEST) 1 TREAD MILL TEST (EACH) 1800

HOLTER MONITOR 1 HOLTER MONITORING 1800

E.EG. (ELECTRO ENCEPHALOGRAMS) 1 E.E.G. (ELECTRO ENCEPHALOGRAPHY) OUT SOURCED

SPECIAL INVESTIGATIONS 1 P.F.T. (PULMONARY FUNCTION TEST) 600 2 UR0 - FLOWMETRY 600