6 38214/2020/ESTT-NE_HRSarvodaya Hospital & Research Centre SOC 2018 - 19 Sno. Department Number of Services 1 Administration 3 2 Audiology 9 3 Blood Bank 10 4 Cardiology 45 5 CTVS 57 6 Dental 163 7 Dermatology 20 8 Diabetci Lab 4 9 ENT 163 10 Gastroentrology 46 11 General Procedure 39 12 General Surgery 226 13 Interventional Radiology 31 14 Laboratory 898 15 Medical Procedure 23 16 Neonatology 15 17 Nephrology 28 18 Neuro Surgery 165 19 Neurology 27 20 Obstetrics & Gynae 110 21 Surgical Oncology 154 22 Medical Oncology 27 23 Radiation Oncology 56 24 Nuclear Medicine 35 25 Opthalmology 108 26 Orthopaedics 278 27 Pain Clinic 14 28 Physiotheraphy 54 29 Plastic Surgery 443 30 Pulmonology 38 31 Radiology 519 32 Urology 219 33 Vaccination 34 Billing Cycle & Policy 1. Room Charge will be charge according to check out time will be 12 Noon. 2. Grace Period will be 2 Hours fof Discharging Patient. 7 3. Patient Bed Transfer - The higher bed category of the bed transfer day will be charged 38214/2020/ESTT-NE_HR4. 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. 5. If two or more Surgeries are Performed at same timeon the same area, Then the Frist Surgery will be Charge 100% & Second will Be Charge 60% & Then 50% will be charged for the Third and subsequent surgery (lower charged). 6. All unplanned and emergency surgeries performed from 8 PM to 8 AM Or Any Pubic Holiday shall be charged 25% additional emergency charges on corresponding rates. 7. Day care room charges will be Rs. 1500 applicable up to 8 hours and if stay exceeds more than 8 hours then Full Day Room rent will be charged as per opted room category. 8. If The Patient is in MICU/SICU, Two Visits for the Admitting Doctor as per bed Category and One visit Rs 750 for Intensive Care Team Per day will be charged. 9. Emergency Timing will be 8 PM to 8 AM or Any Public Holiday. 10. If any Surgery Procedure done between Emergency Timing then 25% Extra will be Charge (Normal Procedure Charge + 25% Extra). 11. Emergency Consultation will be charge 100% Extra Charges ( Normal Charges + 100% Extra). Room Tariff Visit Charges Emergency Visit Charges Ward Bed Charge Super Specialist Specialist Super Specialist Specialist General Ward 2700 550 600 1100 1200 Semi Private 4100 650 700 1300 1400 Single Room 6800 700 800 1400 1600 Suite Room 9600 750 800 1500 1600 Presidential Suite 15000 800 900 1600 1800 HDU 4500 650 700 1300 1400 Labour Delivery Room 5500 650 700 1300 1400 PICU 5500 750 800 1500 1600 NICU 5900 750 800 1500 1600 MICU/ CCU 8350 750 800 1500 1600 SICU /CTVS 8350 750 800 1500 1600 Day Care 1500 400 450 800 900 Minimum Advance at The Time Of Admission Sno. Bed Category Advance 1 ICU 30000 2 General Ward 10000 3 Semi Private 15000 4 Single Room 20000 5 Suite Room 25000 6 Elective Surgery 100% of the Estimate / Package rate Administration Charges Service General Twin Single Suite Department Service Name OPD Code Ward Sharing Room Room Administration RC001 File Charges 300 300 300 300 300 Administration RC002 Diet Consultation 300 300 300 300 300 Administration RC003 MLC Charges 1300 1300 1300 1300 1300 Administration RC004 Medical Supervision 350 350 350 350 350 Audiology Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Audiology AD002 Pure Tone Audiometry ( PTA ) 1058 1058 1219 1380 1541 Audiology AD003 Otoaoustic Emissions (OAE) 1610 1610 1852 2093 2335 Audiology AD004 Speech Therapy (Assessment) 679 679 782 886 989 Audiology AD005 Hearing - Aid Trail 495 495 575 644 725 Audiology AD006 Cochlear Implant - Pre Op Evaluation 8050 8050 9258 10465 11673 Audiology AD007 Neonatal ABR 3163 3163 3646 4117 4589 Audiology AD008 Speech Therapy (Procedure Charges Of 1 Sessions) 3393 3393 3910 4416 4922 Audiology AD009 Speech Therapy Per Session Of 30-40Minutes 633 633 736 828 920 IP Packages Service Length Of Stay Twin Single Suite Department Service Name General Ward Code ICU Ward Sharing Room Room Audiology AD001 Cochlear Implant - Surgery 0 2 73025 84065 94990 105915 Package Includes:- Room Rent as specified , Basic Investigation, Professional Fees of Treating consultant, Ot Charges , Anesthesia Charges & Routine Drugs & consumables. Package excludes:- Extra Stay, Cross consultation, Other Procedure, Professional Fee of other consultant & Cost of Implant. Basic Investigations Include:- CBC, Lft, Kft, Blood Sugar , Chest X - Ray, ECG, HIV, PT, APTT, Hbsag, Hcv, Viral Marker. 8 Note :- The Package Inclusions & Exclusions Will Be Discussed In Detail at The Time Of Patient / Attendant Counselling 38214/2020/ESTT-NE_HR Blood Bank Services Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Blood Bank BD001 Whole Blood Processing Charges 1500 1500 1500 1500 1500 Blood Bank BD002 Packed Red Blood Cells (PRBC) Processing Charges 1500 1500 1500 1500 1500 Blood Bank BD003 Leukodepleted PRBC Processing Charges 2500 2500 2500 2500 2500 Blood Bank BD004 FFP (Fresh Frozen Plasma) Processing Charges 400 400 400 400 400 Blood Bank BD005 PLC (Platelet Concentrate) Processing Charges 400 400 400 400 400 Blood Bank BD006 Platelet Apheresis (SDPC) Processing Charges 11000 11000 11000 11000 11000 Blood Bank BD007 Blood Letting 700 700 700 700 700 Blood Bank BD008 Donor Grouping 130 130 130 130 130 Blood Bank BD009 Rapid Screening 1100 1100 1100 1100 1100 Blood Bank BD010 Cross Matching 621 621 725 817 909 CARDIOLOGY Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Cardiology CD030 Pericardial Tapping 12650 14605 16445 18400 Cardiology CD032 Visipaque Charges extra 1725 1725 2070 2300 2530 Cardiology CD033 2D ECHO 2691 2691 3105 3508 3910 Cardiology CD034 2D ECHO for LV function 1610 1610 1852 2093 2335 Cardiology CD035 Neonatal ECHO 3738 3738 4301 4865 5428 Cardiology CD036 Peadiatric ECHO By Consultant In Opd 4025 4025 4635 5233 5842 Cardiology CD037 ECHO Portable 3623 3623 4175 4715 5256 Cardiology CD038 Stress ECHO With TMT 3680 3680 4232 4784 5336 Cardiology CD039 Dobutamine Stress ECHO (DSE) 4485 4485 5164 5831 6509 Cardiology CD040 Trans Oesophagous ECHO Cardiography (TEE) 4485 4485 5164 5831 6509 Cardiology CD041 ECG 345 345 403 449 506 Cardiology CD042 Holter Monitor 24 Hour 2691 2691 3105 3508 3910 Cardiology CD043 Holter Monitor 48 Hour 4485 4485 5164 5831 6509 Cardiology CD044 Ambulatory BP 2530 2530 2910 3289 3669 Cardiology CD045 TMT 2300 2300 2645 2990 3335 IP Packages Length Of Stay General Twin Single Suite Department Item Code Service Name ICU Ward Ward Sharing Room Room Cardiology CD001 Day Care Coronary Angiography 0 Day Care 11500 Cardiology CD002 Coronary Angiography 0 1 14950 17250 19435 21735 Cardiology CD003 Check Angiography 0 1 11500 13225 14950 16675 Cardiology CD004 Angiography Renal 0 1 14950 17250 19435 21735 Cardiology CD005 Angiography Carotid/Peripheral 0 1 14950 17250 19435 21735 Cardiology CD006 Digital Substraction Angiography ( DSA ) 0 1 27025 31165 35190 39215 Cardiology CD007 Coronary Angiography With Coronary Angioplasty 1 2 149500 171925 194350 216775 Cardiology CD008 Coronary Angioplasty 1 2 149500 171925 194350 216775 Cardiology CD009 Second Stage Angioplasty 1 1 69000 79350 89700 100050 Cardiology CD010 POBA (Baloon Angioplasty) 1 1 149500 171925 194350 216775 Cardiology CD011 Angioplasty Peripheral 1 1 143750 165370 186875 208495 Cardiology CD012 Angioplasty Carotid 1 2 115000 132250 149500 166750 Cardiology CD013 Angioplasty Renal 1 1 115000 132250 149500 166750 Cardiology CD014 Coronary Angiography With FFR 0 1 40250 46345 52325 58420 Cardiology CD015 Fractional Flow Rate Study (FFR) 0 1 28750 33120 37375 41745 Cardiology CD016 PTCA With Rotabilation 1 2 212750 244720 276575 308545 Cardiology CD017 Complex PTCA/ Multi Vessel PTCA 1 2 184000 211600 239200 266800 Cardiology CD018 Pacemaker - Single Chamber 1 1 57500 66125 74750 83375 Cardiology CD019 Pacemaker - Double Chamber 1 1 80500 92575 104650 116725 Cardiology CD020 AICD - Single Chamber 1 1 69000 79350 89700 100050 Cardiology CD021 AICD - Double Chamber 1 1 88550 101890 115115 128455 Cardiology CD022 Combo Device CRT -D 1 1 103500 119025 134550 150075 Cardiology CD023 CRT -P 1 1 92000 105800 119600 133400 Cardiology CD024 EPS (Diagnostic) 0 1 34500 39675 44850 50025 Cardiology CD025 EPS with RFA (2D) 1 1 92000 105800 119600 133400 Cardiology CD026 EPS with RFA (3D) 1 1 115000 132250 149500 166750 Cardiology CD027 Device Closar (ASD/VSD/PDA) 0 1 115000 132250 149500 166750 Cardiology CD028 BMV 0 1 115000 132250 149500 166750 Cardiology CD029 IVC Filter 0 1 59455 68425 77395 86250 Cardiology CD031 Temporary Pacemaker Implantation (TPI) 0 1 34500 39675 44850 50025 Package Includes:- Room rent as specified, cath lab charges, Professional fees of cardiologist, basic Investigations , disposables in Cath Lab and Non Ionic Dye , Cost of Aggramed & cost of medicine & consumables. 9 Package excludes:- Stent Cost , implant cost, Gp IIb/ IIIa inhibitor, Other devices like Rota & Atherectomy equipment , additional stay, Professional charges of other 38214/2020/ESTT-NE_HRconsultants, any additional procedure/investigation and consumables. Basic Investigations Include :- CBC, Lft, Kft, Blood Sugar , Chest X - Ray, ECG, HIV, PT, APTT, Hbsag, Hcv, Echo Only One Ecg , One Chest X - Ray & Only One Blood Sugar is Part of Package for CD001 to CD006. Echo is not part of Package for the same. Note :- The Package Inclusions & Exclusions Will Be Discussed