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I-".~F.No. Misc.1002/2006/CGHS(R&H)1 CGHS(p)Government of India

Ministry of Health & Family WelfareDepartment of Health & Family Welfare

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Maufana Azad Road, Nirman BhawanNew De/hi 110 108 dated the r" February, 2013.

OFFICE MEMORANDUM

Subject: Revision of Ceiling Rates for Coronary AngiopJasty and Coronary AngiopJastywith Balloon for CGHS beneficiaries .

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With reference to the above mentioned subject the undersigned is directed to drawattention to the Office Memorandum No. 8.11011123/2009 IHospital Cell dated 17.08.2010 andother Office Memoranda issued subsequently whereby the CGHS package rates for CoronaryAngioplasty were fixed by the Government for empanelled hospitals under CGHS in' Delhi andNCR and other CGHS cities and to state that in supersession of the earlier CGHS rates ceilingrates the following ceiling rates are approved for reimbursement to CGHS beneficiaries/CGH8empanelied hospitals as per the details given below:

Coronary AngioplastyCoronary Anglop\asty with Balloon

: Rs.50, 000/- (for semi-private ward): Rs.55, 000/- (for semi-private ward)

Reimbursement to beneficiaries /ernpanelled hospitals shall be limited to ceiling rate oras per actuals, whichever is lower. The other terms and conditions as regards to CGHSpackage rates remain unchanged.

2. The revised rates shall come into force from the date of issue and shall be in force tillfurther orders .

3. This issues with the concurrence of Integrated Finance Division vide Note dated20/12/2012 of AS & FA

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(RAVI KANT)UNDER SECRETARY TO GOVERNMENT OF INDIA

Te1.No.23061141

COP)' to'1. All private hospitals ernpanelled with CGHS for cardio-thoracic and cardiovascular

surgeries2. All Ministries 1Departments. Government of h"ii8 .3. Director, CGHS, Nirman Bhawan, New De ":~

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F.No. l\.t1isc.1002/2006/CGHS(R&H)! CGHS (PiGovernment of India

Ministry of Health & Family WelfareDepartment of /-lealt/7 & Family Welfare

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MaulanEl Aza<i Roed, Nitmen BIlawal1New Delhi 110 108 dated the 7"i February. 2013.

OFFICE MEMORANDUM

• Subject: Revision of Ceiling Rates for Stainless Steel Bare Metal Coronary Stents forCGHS/CS(MA) beneficiaries.

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.' With reference to the above mentioned subject the undersigned is directed to drawattention to the Office Memorandum of even No. dated 31.10.2011 and to state that the ceilingrates for reimbursement of Stainless steel bare metal coronary stents for CGHSI CS(MJI.)beneficiaries as mentioned at para (1) (2) (i) of the said order are hereby revised and the newceiling rates for reimbursement to CGHS/CS(MA) beneficiaries are fixed as under:

STAINLESS STEEL BARE METAL CORONARY STENTS R.s. ':0, OOOi-.>:

Reimbursement to beneficiaries lernpanelled hospitals shall be limitec to ceiling rate oras per actual. whichever is lower.

2. The revised rates shall come into force from the date of issue of this OM and shall be WIforce till further orders.

3, Revised rates in respect of other categories of stents will be issued separately and otherconditions as mentioned in the OM dated 31.10.2011 shall continue to be in force till furtherorders.

4. This issues with the concurrence of Integrated Finance Division vide Note dated20/12/2012 of AS & FA.••

(R/WI Kl\NT)Under Secretary to the Government Of Indio

Te1.No.230ni14'i

Copy to:

1. All private hospitals ernpanelled with CGHS for cardio-thoracic anti cardiovasculaisurgeries

2. All Ministries! Departments, Government of India3. Director, CGHS. Nirman Bhawan, New Delhi

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IMlMw

F.No. Misc. 1002/2006/CGHS(R&H)1 CGHS(P)Government of India

Ministry of Health & Family WelfareDepartment of Health & Family Welfare

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Maulana Azad Road, Nirman BhawanNew Delhi 110 108 dated the zr' February, 2013.

OFFICE MEMORANDUM

Stbject: Revision of Ceiling Rates and guidelines for various Coronary Stents forCGHS/CS(MA) beneficiaries.

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With reference to the above mentioned subject the undersigned is directed to drawabntion to the Office Memorandum of even number dated 31.10.2011 and to state that ceilingnhs for all DCGI approved Coronary Stents have been revised In super cession of the OfficeNenorandum of even No. dated 31.10.2011 of the Ministry of Health & Family Welfare as perIneceiling rates mentioned below:

S.No. Type of Coronary Stents Ceiling Rate1. DRUG ELUTING All DCGI and FDA approved Drug

CORONARY STENTS Eluting StentsRs.25,OOOI-

All DCGI and CE approved DrugEluting Stents

All DCGI approved Drug ElutingStents

2. BARE METAL COBALT STENTS (includingCORONARY STENTS Coated and other Stents) Rs.12,0001-

All DCGI and FDA approvedAll DCGI and CE approvedAll DCGI approved

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3. BARE METAL Rs.10,OOO/-the rates were already notified vide OM of evenSTAINLESS STELL number dated r: February 2013STENTS

Reimbursement to beneficiaries /empanelled hospitals shall be allowed subject to theceiling rates or actuals, whichever are lower.

Contd .... 21-

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2. Coronary Stents shall be permitted on the advice of Govt. Specialist, of which not morethan two shall be of Drug Eluting Stents( in any o~ the coronary stents as per the decision oftreating specialist). Permission shall be granted as per the laid down procedure. If more thantwo drug eluting stents are implanted in an empanelled hospital and no written informedconsent was obtained from the beneficiary that he/she would bear the difference in costbetween the DES and Bare Metal Stent, and the hospital has charged this amount from thebeneficiary, the additional amount shall be paid to the beneficiary and shall be deducted fromthe pending bills of hospitals.

3. It is essential for the empanelled hospitals to quote the Batch number when a coronary/vascular stent of any type is implanted in the case of a CGHS/CS (MA) beneficiary and alsoenclose a copy of the relevant invoices pertaining to the procurement of the stents by thehospitals. In addition to this, the outer pouch of the Stent packet along with the sticker on it onwhich details of the stent are printed shall also be enclosed with the medical bill for claimingreimbursement from the Govt. In case of treatment from a private non-empanelled hospital,where the treatment was taken in an emergency, it is the responsibility of the beneficiary toobtain the batch number, invoice and outer pouches of the stent(s) before the submission ofthe medical claim to CGHS/ concerned department, as the case may be.

4. The empanelled hospital shall submit a self certified undertaking that the hospital hasnot charged the CGHS / CS (MA) beneficiary more than the rate at which the stent has beenprocured by the hospital and in case of any detection and establishment that the hospital hasovercharged, the hospital shall be removed from the list of hospitals empanelled under CGHSwithout any further notice. .

5. UTI-ITSL, while processing the hospital bills of coronary / vascular stents shall ensurethat the hospitals have enclosed copies of the relevant invoices pertaining to the procurementof the stents by the hospitals and the outer pouch of-the srent packet along with the sticker onit on which details of the stent are printed and that the 'prescribed rates and the guidelineshave. been followed, before making 'provisional payments to the hospitals.

6. The revised rates and guidelines shall come intoforce from the' date of issue and shallbe in force till they are revised. .

7. This issues with the concurrence of Integrated Finance Division vide Note dated20.12.2012 of AS&FA, Min. of H&FW.

(RAVI KANT)UNDER SECRETARY TO GOVERNMENT OF INDIA

Te1.No.23061441

Copy to:1. All Ministries / Departments, Government of India2. Director, CGHS, Nirman Bhawan. New Delhi3. Addl.DDG (HQ)/AII Additional Directors /Joint Directors of CGHS cities outside Delhi4. Additional Director (Hdqrs) / Additional Director (SZ)/(CZ)/(EZ)/(NZ), CGHS, New Delhi5. JD(HQ) / JD (Grievance)/JD(R&H), CGHS, Bikaner House, New Delhi

Contd .... 3/-

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6. All Pay & Accounts Officers under CGHS7. CGHS -I/CGHS-II/CGHS-III/CGHS-IV, Directorate General of CGHS, Nirman Shawano

New Delhi8. Estt.l/Estt.II/Estt.lII/Estt.IV Sections, M/o Health & Family Welfare9. Admn.1 I Admn.1I Sections of Dte.GHS10. Rajya Sabha I Lok Sabha Secretariat11. Registrar, Supreme Court of India12. U.P.S.C. Dholpur House, Shahjahan Road, New Delhi13. Integrated Finance Division, Ministry of Health & FW, Nirman Shawan, New Delhi14. Deputy Secretary (Civil Service News), Department of Personnel & Training,

5th Floor, Sardar Patel Shawan, New Delhi.15. PPS to Secretary (H&FW)I Secretary (AYUSH) I Secretary (AIDS Control) I

Secretary (HR), Ministry of Health & Family Welfare, New Delhi16. PPS to DGHS I AS (H) IAS & DG (CGHS) IAS&MD,NRHM/AS&FA, MOHFW,

Nirman Shawan, New Delhi'17. Swamy Publishers (P) Ltd., P. S. No. 2468, R. A. Puram, Chennai-600028.18. Shri Umraomal Purohit, Secretary, Staff Side, National Council (JCM),13-C, Ferozshah

Road, New Delhi19. All Staff Side Members of National Council (JCM) (as per list)20. Office of the Comptroller & Auditor General of India, 10, Sahadur Shah Zafar Marg, New

Delhi21. All Offices I Sections I Desks in the Ministry22. UTI-ITSL,1S3/1, First floor, Old Madras Road, Ulsoor, Sengaluru- 560008.23. Sr. Technical Director, NIC, MOHFW, Nirman Shawan, New Delhi

with the request to upload this OM on the CGHS website. -24. All CGHS empanelled private hospitals for strict compliance25. Guard File

Dental Centres •S.NO Name Details

1 Gupta Dental Centre General Dentistry, special dental proceduresA-10, Hospital Road, Jangpura - A, New Delhi and diagnostic procedures(Non-CGHS)

2Dr Chhabras Dental Clinic Dental clinic for all available facilities(Non-1097, Sector-4, Gurgaon CGHS)Leela Dental Clinic Dental clinic for all available facilities(Non-

3 B-39 Main Road CGHS)Majlis Park, DelhiDr. Shweta's Dental Clinic Dental clinic for all available facilities(Non-

4 0-42, Kalkaji CGHS)New DelhiHi-tech Dental Dental clinic for all available facilities(Non-

5 2863/5, 1st floor, Chuna MandiPahar Ganj, New Delhi CGHS)Navneesh Dental Clinic

6Unit No.2 Dental clinic for all available facilities(Non-Begum Zaidi, Market, Moti Bagh CGHS)Part-1, New Delhi

7Precision Dental Care Dental clinic for all available facilities(Non-C-159, Sarita Vihar, New Delhi CGHS)Singh's Dental Hospital Dental clinic for all available facilities(Non-

8 30-34 Sewak Park, Opp. Metro Pillar No. 771CGHS)Dwarka

Balaji Multi Speciality Dental Centre Dental clinic for all available facilities(Non-9 Shop No. 47, B-2 Market, Paschim Vihar, New

Delhi CGHS)Muskan Dental Care Dental clinic for all available facilities(Non-

10 11/26 West Patel NagarNew Delhi CGHS)

Dr. Rajat AilwadiDental clinic for all available facilities(Non-

11 Rx mulitispeciality2649, Basement, Hudson Line, GTS Nagar, Delhi CGHS)

Diagnostic CentresS.NO Name Details

1 Delhi Institute for Functional Imaging Diagnostic centre for nuclear medicine(Non-K-16, South Ex., Part - I, New Delhi CGHS)Delhi MRI and CT Scan Centre, Aashlok Hospital25-A, Siock AS, Community Center, SafdarjungEnclave,

2 New DelhiCT scan and Ultrasonography only(CGHS)[Now known as Piramal Diagnostic Services-

Delhi MR & CT Aashlok Hospital25 A Siock AS, Community Centre, SafdarjungEnclave, New Delhi

Delhi MRI Scan CentreM-2, Hauz Khas, New Delhi [Now known as

3 Piramal Diagnostic Services - Delhi MRI, M 2 MRI, X-ray, Sone Densityometry, USG/ColourHauz Khas Doppler(CGHS)Aurobindo Marg, Near ASN Amro bank, NewDelhi

Dewan Chand Satypal Aggarwal Imaging &Radiological diagnosis and imaging services(MRI, CT scan, Mammography, USG/Colour

4 Research CentreDoppler, X-ray, Bone Densityometry)- Non10-S, K.G. Marg, New Delhi

CGHSDr. Anand Imaging & Neurologial Research

Imaging services including MRI, CT scanCentre5G-14, Preet Vihar Ultrasonography/Colour Doppler

Vikas Marg, Delhi - 92 X ray and mammography(Non-CGHS)

6Dr. Lal Path Labs Pvt. Ltd Laboratory (Clinical pathology, BiochemistryEskay House, 54 Hanuman Road, New Delhi and Microbiology)-CGHSDr. P. Bhasin Pathlabs Pvt. Ltd Diagnostic centre [ USG/Colour Doppler, Bone

7 S 13, Greater Kailash Part I Densitometry, Echocardiography, TMT, PFTNew Delhi and Urofiowmetryj- Non CGHS

Focus Imaging and Research CentreUSG 1 Colour Doppler, CT Scan,

8 Mammography, Bone densitometry and X-C-10 Green Park Extn. New Delhi

Ray(CGHS)

9Focus Imaging and Research Centre Pvt. Ltd., Diagnostic purposes [MRI, CT, EEG, EMG andH-10 Green Park Extension. New Delhi NCV]- CGHS

10Goyal MRI and Diagnostic Centre Laboratory services and imaging services inB-1/12, Safdarjung Enclave, New Delhi MRI and USG/Colour Doppler(NOn- CGHS)

11Green Park Diagnostics, (1st Floor)

Laboratory services(Non-CGHS)G-43, Green Park, Main Market, New DelhiMahajan Imaging Centre MRI, CT scan, USG/Colour Doppler,

12 K-18, Hauz Khas Enclave, mammography, X-ray and BoneNew Delhi Densitometry(CGHS)Mahajan Imaging Centre

13(Jaipur Golden Hospital) CT scan, Bone Densitometry and USG(Non-2, Institutional Area, Sector-3, CGHS)Rohini, Delhi

City- X- Ray & Scan Clinic Pvt. Ltd.X-ray, Ultrasound, Mammography, Bone

14 Densitometry, Color Doppler, ECHO and allA-12, Vikaspuri, New Delhi-18

Laboratory Investigations( Non -CGHS)MRI, CT Scan, X-ray, OPG, Ultrasound, Color

15City- X- Ray & Scan Clinic Pvt. Ltd. Doppler, ECHO, Holter, TMT, EEG, EMG, PFT,4 B/7 Tilak Nagar, New Delhi NCV and all laboratory investigations(Non-

CGHS\

16Dr. Lal Path Labs Pvt. Ltd

All Lab. Tests(CGHS)54 Eskay House, Hanuman Road, New DelhiDelhi Heart Hospital Laboratory investigations, Radiology-Ultrasound

17 176 Jagriti Enclave, Vikas Marg Extension, Delhi-92 invest(Non-CGHS)

MRI Scan, CT Scan, Ultrasound, Color Doppler,

18 Ganesh Diagnostic & Imaging Centre Pvt. Ltd. ECHO, ECG, EMG, NCV, BERA, PET-CT,109, Pocket A-1, Sec-8, Rohini, Delhi Digital x-ray, Dexa-Bone-Densitometry,

Laboratory(Non-CGHS)

19 Clinical Laboratory Laboratory investigations, x-ray, USG, ECHO,E-13/9 Vasant Vihar, New Delhi CT Scan, OPG(Non-CGHS)

20 Dr. S.s. Doda's Ultra sound centreRadiology(Non-CGHS)23-B Main Pusa Road, New Delhi

21 Dr.Lal Pathology Lab., New Friends Colony, N. D- CGHS rates only for Lab. Services & non-65 CGHS for Ultrasound,X-ray, TMT,ECG etc.

MRI Scan, CT Scan, Ultrasound, Color Doppler,

22 Ganesh MRI Centre Pvt. Ltd Echo, ECG, EMG, NCV, BERA, PET- CT,CS/Oct- 7, Sec-8, Rohini, Delhi-85 Nuclear Medicine, Digital X-ray, Dexa-Bone-

Densitometry, Laboratory(Non CGHS)

C 15 MRI Diagnostic and Research Centre, MRI CT Scan, X-rays, Ultrasound, ECHO, ECG,23

C-15, Green Park Extension, New Delhi-16 Mammography, Bone Densitometry, OPG(NonCGHS\

24 Janta X-ray Clinic, Laboratory Investigations Radiology(Non-A-6 Vikas puri, New Delhi-18 CGHS)Mahajan Imaging Pvt. Ltd,

MRI, CT , X Ray Utlra Sound, Bone25 Hauz Khas Enclave,New Delhi-16 Densitometry, Mammography, CBCT(CGHS)

M81, Multislice CT Scan,

Ltd.Echocardiography/TMT, Dentascan, Colour

Focus Imaging & Research Centre Pvt. Doppler, 40 Ultrasound, Digital X-ray Digital26 3/8, Asaf Ali Road Mammography, Dexa-Bone Densitometry,

New Delhi Video ECG/EEG/NCV, EMGNEP(Non-

CGHS)Focus Imaging & Research Centre Pvt. Ltd. Laboratory services, X-ray, Ultrasound, color

27 7/1-4 Yusuf Sarai Aurbindo MargDoppler, Urofiometry(CGHS)

New DelhiDiwan Chand Medical Services Pvt. Ltd MRI, CT-Scan, Ultra-Sound, Color Doppler, X-

28 A-2, Kirti Nagar (Near Metro Pillar No. 328)Ray(Non-CGHS)New Delhi-11 0015

29Mahajan Imaging Centre ( A Unit of Mahajan

Lab.services (Non-CGHS)lmaqlnq Pvt. Ltd.)Rajender Nagar, New DelhiSrivastava MRI and Imaging Centre

30 Pkt-B LSC Market, Mayur Vihar -2 Laboratory Facilities(Non-CGHS)Delhi -110091

Eye HospitalsS.NO Name Details

Centre for sightCataracUGlaucoma, Retinal - Medical - vitreo-retinal surgery, Strabismus, Occuloplasty and

1 Safdarjung Enclave & also Centre for Sight at Adnexa and other specialisedFortis Escort Hospital, Okhla ,New Delhi-25.

treatment(CGHS)

Chaudhary Eye Centre & Laser VisionCGHS on CataracUGlaucoma, Retinal - Medical

- vitreo- retinal surgery, Strabismus,2 4802 Bharat Ram Road, 24 Darya Ganj Occuloplasty and Adnexa and other specialised

New Delhi 110002treatment except corneal transplant(CGHS)

CataracUGlaucoma, Retinal - Medical - vitreo-

3 ICARE Eye Hospital & Post Graduate Institute retinal surgery, Strabismus, Occuloplasty andE-3A, Sector 26,Noida 201301 Adnexa and other specialised treatment (Non-

CGHS)Venu Eye Institute & Research Centre

CataracUGlaucoma, Retinal - Medical - vitreo-retinal surgery, Strabismus, Occuloplasty and

4 1/31 Sheikh Sarai Institutional Area, New Delhi Adnexa and other specialised treatment except110017

orbital surgery(Non CGHS)

5 Khanna Eye Centre Eye Centre for All Available Facilities(Non-E-368 Nirman Vihar, Vikas Marg- Delhi-92 CGHS)

6 Vision Eye Centre Eye Centre for All Available Facilities(Non-12/27 West Patel Nagar, New Delhi CGHS)

7 Eye 7 Chaudhary Eye Centre & Laser VisionEye Centre for All Available Facilities(CGHS)34, Ring Road, Lajpat Nagar-Iv, ND-24

Aster Eye Care (OM Eye Care, Delhi Pvt Ltd)Eye Centre for all available Facilities(Non-8 5-E/08 B.P. NIT, Near Neelam Chowk, Railway

Road Faridabad CGHS)

9 Venu Eye Institute & Research Centre Eye Centre for All Available Facilities(NON-Dhankot, Gurgaon CGHS)Shroff Eye Centre110- Commercial Plaza, Radisson Suites, Behind

Eye Centre for all available Facilities(Non-10 Ansal's Time SquareBuilding, B- Block Sushant Lok Phase - I, Sector- CGHS)27, Gurgaon

11 Spectra Eye (A Unit of RC Health Care Pvt.Ltd.) Eye Centre for All Available Facilities(Non-E-82 A, Greater Kailash, Part- 1, New Delhi CGHS)Vision Eye Centre

Eye Centre for All Available Facilities(Non-12 19, Siri Fort RoadNew Delhi CGHS)

13 Eye care Centre F-182, Dilshad Colony Delhi- Eye Centre for All Available Facilities(Non-110095 CGHS)

14 Dr. Shroffs Charity Eye Hospital 5027, KedarEye Centre for All Available Facilities(CGHS)Nath Road, Daryaganj, New Delhi

15Banarsidas Chandiwala Estate, Maa All available IPD & OPD eye treatment onAnanadmaye Marg Kalka Ji, New Delhi-19 CGHS rates

16 Sujan Mohinder Hospital,N.F.C.,New DelhiAll available IPD & OPD eye treatment on

Non- CGHS rates

HospitalsS.NO Name Details

1Bansal Hospital A 1, New Friends Colony CGHS/Cashiess Facilities on all availableNew Delhi 110065 IPD & OPD facilities

Batra Hospital and Medical Research Centre CGHS & CashlesS(IPD) facility on

2 1, Tughalkabad Institutional Area, Mehrauli, Cardiac,Joint Replacement, Gastroenterology,

Badarpur Road, New Delhi Nephrology, Dialysis, Neuro Surgery andOncology with CT/MRI

3Delhi Heart & Lung Institute, 3MM - II Cardiology & Cardiothoracic VascularPanchkuian Road, New Delhi- 110055 Surgery(Non-CGHS rates)

General Medicine, General Surgery, OBS &Gynae, Paediatrics, Gastroenterology and GI

surgery, Endoscopy/Laparoscopy, Orthopedicsincluding Joint Replacement, Cardiology &

4 Dr. B.L. Kapur Memorial Hospital Cardiothoracic Surgery, Urology, Nephrology,Dialysis, Neurology, Neuro Surgery, ENT, Eye,

Dental,

Medical/Surgical & Radiation Oncology(Non-

CGHS)

Escorts Heart Institute & Research Centre Ltd.Cardiological services & Surgeries,Orthopaedic

5Okhla Road, New Delhi

& Jt. Replacments on CGHS rates/Cashlessfacility. 20% on other IPD & OPD services

6Fortis Hospital Orthopedics and Cardiology CardiothoracicAll Delhi and NCR Branchs Surgery

General purpose and specialised purposeG. M. Modi Hospital & Research Center for (Neurosurgery, urology, nephrology, GI surgery,

7 Medical Sciences Orthopaedics including arthroscopic surgeryMandir Marg Near Press Enclave and joint replacement, paediatrics, endoscopicSaket, New Delhi and laproscopic surgery, ENT, Dental and

ophthalmology on Non-CGHS rates

Orthopaedics(Knee& Joint Replacement),

Indraprastha Apollo Hospital Cardioloyg & Cardiac Surgeries, Dialysis &8

Sarita Vihar Renal Transplant, Oncoloyas well as 10%

Discount on other IPD & OPD Services(Nonr.r.a ..I~\

Orthopaedics, Orthopaedic surgery [ including

9 Indian Spinal Injuries Centre arthroscopic surgery and jointSector C, Vasant Kunj, New Delhi 110070 replacementjLithotripsy and Endoscopic

surgery(Non-CGHS rates)

Laproscopic/ Endoscopic procedures,Gynecology & Obsterics, Orthopedic surgery

10 Jeewan Nursing Home & Hospital with Joint Replacement, General Surgery,2-B Pusa Road, Karol Bagh, New Delhi Neurology, Nephrology (Including Dialysis),

Gatroenerology, Neurologery, Paediatrics,Urology and Diagnostics(Non-CGHS rates)

LaproscopiC/ Endoscopic procedures,Gynecology & Obsterics, Orthopedic surgery

Jeewan Mala Hospitalwith Joint Replacement, General Medicine,

1167/1 New Rohtak Road, New Delhi Surgery, Neurology, Nephrology (Including

Dialysis), Dental, Eye, ENT, Gastroenerology,Neurologery, Paediatrics, Urology and

Diagnostics(Non-CGHS)Kukreja Hospital & Heart Centre, Specialised services in Cardiological

12 Vishal Enclave, Rajouri Garden, New Delhi investigation, Laproscopic surgery and IOLImplant..(Non-CGHS)

Laproscopic! Endoscopic procedures,Gynecology & Obsterics, Orthopedic surgery

Kalyani Hospital Pvt Ltd. with Joint Replacement, General Medicine,13 Mehrauli Road Surgery, Neurology, Nephrology (Including

Gurgaon Dialysis), Dental, Eye, ENT, Gastroenerology,Neurologery, Paediatrics, Urology and

Diagnostics(Non-CGHS)Laproscopic! Endoscopic procedures,

Gynecology & Obsterics, Orthopedic surgeryKhandelwal Hospital & Urology Centre with Joint Replacement, General Medicine,

14 8-16, East Krishna Nagar, Main Swaran Cinema Surgery, Neurology, Nephrology (IncludingRoad, Delhi Dialysis), Dental, Eye, ENT, Gastroenerology,

Neurologery, Paediatrics, Urology andDiagnostics(Non-CGHS)

General Medicine, LaparoscopiclEndoscopic

Kukreja HospitalSurgery, General surgery, Orthopedic surgery

15 Acharya Niketan, Mayur Vihar, Phase-Iwith Joint replacement, Paediatrics & Gynae &

New DelhiObst, Eye, ENT, Urology, Nephrology,

Gastroenterology, Neurology anddiaanostics(Non-CGHS)

Lions Kidney Hospital & Urology Research

16Institute Super-speciality in Urology including dialysisNew Friends Colony and Iithotripsy(Non-CGHS )New Delhi

17Metro Heart Institute Cardiological services including Cardio-thoracicSector-12 Noida surgery(Non-CGHS ).

18Metro Heart Institue Cardiology & Cardiovascular Surgery andSector 16A, Faridabad Pulmonary Function Test(Non-CGHS)

19Metro Hospital & Heart Institute Cardiology & Cardiothoracic Vascular14 Rina road, Laioat Nagar, New Delhi Suraery(Non-CGHS rates)

General and specialised purposes forMaharaja Agrasen Hospital cardiological investigatoins, cardio-thoracic

20 West Punjabi Bagh surgery,New Delhi TURP, IOL implant and joint replacement(Non

CGHS\cardiovascular cardiothoracic

Max Devki Devi Heart & Vascular Institutesurgery,Orthopaedic & Oncology on CGHS

21Saket, New Delhi

rates + Cashless facility & on IPD &OPD available services there is 15%

Disc.General and specialised purpose for

22Mata Chandan Devi Hospital Haemodialysis, Lithotripsy, TURP,C-1 Janakpuri, New Delhi 110058 Laptroscopic Surgery, IOL implant and joint

replacement(CGHS rates)

23 MAX Hospital Super-speciality in Orthopaedic surgery

All Group in DelhilNCR including joint replacement and arthroscopicsurgery

Medanta Medicity Inerventional Cardiology & Cardiothoraic

24 Sector -38 Surgery & Joint Replacement(15% Disc.), 10%

Gurgaon Disc on Cancer And 15% Disc on room rent& laboratorv services

Max Super Speciality Hospital(A Unit of Balaji Medical & Diagnostic Research

CGHS on Orthopedics including Joint25 Centre)

Replacement, Cardiology & Cardiothoracic

108-A, Indraprastha Extension, Patparganj, Delhi- Surgery, Oncology.

110092Cardiology & Cardiothoracic Surgery, Jt.

26 Moolchand Hospital Replacement,Opthamology,Nephrology,

Lajpat Nagar Med.Oncology & ENT on CGHS ratesICashless(IPD) facility & on others IPD &

OPD there is 20%.National Heart Institute

27 49 Community Centre, East of Kailash Cardiology & Cardiovascular Surgery(CGHS

New Delhi rates) & on others 20% Disc.on IPD & OPD

Orthonova Hospital Orthopaedic surgery including arthroscopic28 C-S/24 Safdarjung Enclave

surgery and joint replacement(Non-CGHS)New Delhi- 110029

Cardiological investigatioCardio- Thoracic

Orthonova Hospitalsurgery, Renal Transplantation,

29 haemodialysis,Laproscopic surgery, IOL implantC-S/S9, S.D.A. Opp Main liT Gate, New Delhi- 16 and Joint replacement and diagnostic services

(Non- CGHS)

Park HospitalGeneral purpose and Super-speciality in

Cardiology, Cardiovascular and Cardiothoracic30

12, Chowkandi, Outer Ring Road Surgery and Diagnostic services [ ClinicalWest Delhi (Near Kesavpur Depot) Pathlogoy, Clinical Biochemistry and X- ray]-New Delhi Non-CGHS

Prakash Hospital General and specialised purpose for31 T-12, 12-A, 12-B, Sector-33 Laproscopic surgery, Lithotripsy, Turp, IOL

Noida Joint replacement(CGHS rates)Interventional Cardiology & Cardiothoracic

Surgery, Laparoscopic/Endoscopic procedures,Gynecology, Orthopedic surgery

with Joint replacement, General Medicine,

32Pushpanjali Crosslay Hospital Neurology, Nephrology (Including Dialsis),W-3, Sector-1, Vaishali, Ghazaiabd Gastroenterology, Neurosurgery, Paediatrix,

Urology, General Surgery, Neurosurgery,Dental, Eye, ENT and diagnostics Cancer

(surgery, Chemotherapy & Radiotherapy)- NonCGHS

33Primus Super Specialty Hospital Orthopedics including Arthroscopy and JointChanakyapuri, New Delhi Replacement(only 15 % Discount)

Cardiology & Cardiothoracic Surgery GeneralMedicine, General Surgery, Obstetrics and

Gynecology, Pediatrics, ENT, Ophthalmology,Paras Hospital Endoscopy Surgery, Dental, Gastrointestinal

34 C-1, Sushant Lok, Phase-1, Sector-43, Gurgaon- Surgery, Orthopedic surgery with Joint122002 replacement, Urology, nephrology including

dialysis, neurology and neurosurgery, Medicaland surgical oncology and diagnostics(Non-

. CGHS)

General and specialised purpose for

Rockland HospitalLaproscopic surgery and Joint replacement andsuper-speciality in Urology [ Including Dialysis,

3S B-33-34, Qutub Institutional Area Lithotripsy and Renal Transplant]New Delhi Diagnostic services for CT, Mammography,

USG/Colour Doppler and X-Ray(Non-CGHS)

Invervention Cardiology & CardiothoracicSurgery, General Medicine, General Surgery,

RLKC Hospital & Metro Heart InstituteObstetrics and Gynecology, Pediatrics, ENT,

36Pandav Nagar, Naraina Road, New Delhi

Ophthalmology, Endoscopy Surygery with Jointreplacement, Urology, nephrology, neurologyand neurosurgery and diagnostics(Non-

CGHS)R G Stone Urology Laparoscopy Hospital

General Surgery, Laparoscopic/EndoscopicA-6 Nehru Ground Neelam Bata Road, NIT37Faridabad, Haryana-121001 Surgery, Gynae & Obt, Urology and Nephrology

on CGHS rates but no Cashless facility)

General Purpose, IOL Implants

Sheetal Hospital and Eye Institute(Ophthalmology), Diagnostic Procedures &

38 Investigations - Lab, X-ray,New Railway Road, Gurgaon

ESG, USG, ECHO, Colour Doppler(Non-CGHS)

General and specialised services forCardiological investigation

39St. Stephen's Hopsital Cardio- Thoracic surgery, RenalTis Hazari, New Delhi Transplantation, haemodialysis

Laproscopic surgery, IOL implant and Jointreplacement(NON-CGHS)

Multi- speciality (General purpose); Cardiology

Sri Balaji Action Medical Institute& Cardiovascular Surgery

40 Specialised Orthopaedic surgery & JointA-4 Pachim Vihar, Delhi - 110063

Replacement(CGHS & Cashless on cardiac &Oncoloqv)

General purpose and specialised purpose(Neurosurgery, Orthopaedics including

Sumitra Hospital arthroscopic surgery and joint replacement,41 A 119A Sector 35 endoscopic and laproscopic

Noida surgery, Gastroenterology & GI surgery,paediatrics & paediatrics surgery, ENT, Dental

and ophthalmology)- Non CGHS

42Sanjeevan Medical Research Centre (P) Ltd Super-speciality in Urology including dialysis4869/24 Ansari Road, Darya Ganj, Delhi 110002 and lithotripsy(CGHS)

Multi-speciality General Purpose andSpecialised purpose in Neurology and

Sunder Lal Jain Charitable Hospital Neurosurgery, Urology including dialysis,43

Ashok Vihar Phase III, Delhi Orthopaedic surgery including joint replacementand arthroscopic surgery, Gastroenterology and

GI surgery, Paediatrics and PaediatrixSurg(NON- CGHS)

Cardiology, cardiothoracic surgery,Laparoscopic/Endoscopic Surgery, Neurology,

Kalra Hospital SRCNC Pvt. Ltd. Neurosurgery, Gatroenterology, Nephrology

44 A-4, 5 & 6 Tulsi Dass Kalra Marg including Dialysis, Urology, Orthopedics

Kirti Nagar, New Delhi including Joint Replacement, General Surgery,General Medicine, Medical and surgical

oncology, Eye, ENT, Dental, Obstetrics andGynecology and Diagnostic(Non-CGHS)

General purpose including ENT, Dental andTirath Ram Shah Charitable Hospitals Ophthalmology and speciafised purpose in

45 Sawhney Marg haemodialysis, TURP, Laparoscopic surgery,Rajpur Road, New Delhi Gastro-enterology and GI Endoscopy(NON-

CGHS\General Medicine, General Surgery, Obstetrics

and Gynecology, Pediatrics, Dental,Ophthalmology, ENT, Cardiology, Dental

Kailash Hospital Ltd, Ophtthalmology, ENT, Cardiology Dental,46

Noida/Greater Noida Gastrointestinal Surgery, Orthopedic surgerywith Joint replacement, Nephrology includingdialysis & Urology Laparoscopic/ EndoscopicSurgery, Medical and surgical oncology and

diagnostics(Non-CGHS)General Medicine, General Surgery, Dental,

Vinayak Hospital Eye, ENT, General and Laparoscopic Surgery,47

NH-1, Sector-27, Atta, Noida Nephrology, Obstetrics and Gynecology,Neurology/ Neurosurgery, Orthopedic

Surgery(Non-CGHS)

General and Specialised purpose for

Yashoda Hospital and Research Centre laparoscopic surgery, IOL implant and Joint48

III-M, Nehru Nagar, Ghaziabad replacement. Diagnostic services in laboratorymedicine and imaging (Mammography,USG/Colour Doppler)- Non CGHS

Multi- speciality General purpose andSpecialised purpose [Orthopaedic surgeryincluding joint replacement, Neurology &

49Yashoda Super Speciality Hospital Neurosurgery, Gastroenterology, OncologyH 1, Kaushambi, Ghaziabad, U.P (surgical and medical), Endoscopic and

Endoscopic/Laproscopic surgeryJ( NON-CGHS

50Jamia Hamdard (Hakeem Abdul Hameed CGHS rates for all available IPD & OPDCenetary Hosp), Hamdard Nagar, New Delhi- 62 services

Delhi ENT Hospital & Research Centre, FC- CGHS rates for all available ENT IPD & OPD51 33/13, Jasola Institutuional Area, New Delhi -25

services

AI Shifa Multi Speicality Hospital, Abdul Fazal Non-CGHS rates on all their IPD & OPD52 Enclave, New Delhi -25

services

Vimhans, Vidyasagar Institute for Mental Health, Non-CGHS rates on all available IPD & OPD53 Neuro & Allied Scienecs, New Delhi -65

treatment

Jeewan Hospital & Nursing Home, Gate NO.1 & CGHS rates on all available IPD & OPD54 2,Jeewan Nagar, New Delhi- 14

treatment & Cashless only on IPD

55Non-CGHS On all available IPD & OPD

Holy Family Hospital, Okhla, ND.-25 treatment

Medical AttendantsS.NO Name Address

1 Dr. Mrs.) Bharti Sinha 12-A, W.EA Karol B1!9.h,New Delhi2 Dr. Mrs.) Jaddish Trikha G·1/13, Mal~a N1!9.ar,New Delhi3 Dr. Mrs.) Lata Sood 9, Rajpura Road, Delhi4 Dr. Mrs.) Parveen Chadd a B-7/4C, Mayur Vihar, Phase-III Delhi-915 Dr. (Mrs.) Poonam Sharma 69, Khan Market, New Delhi

6 Dr. (Mrs.) Radha Rao A-2/99 A.M.I.G. Flats, Paschim Vihar, N. Delhi

7 Dr. (Mrs.) Raka Sinqh Vaishali, Ghaziabad (UP)8 Dr. (Mrs.) Safia Qureshi 243, Kucha Mir Ashiq, Chawri Bazar, Delhi9 Dr. (Mrs.) Urmila Batra 9652, Islam Gnai, Azad Market, Delhi10 Dr. (Mrs.) V. Sundaravatti F-31, A.N.I.G. Flats, Hari Nagar, New Delhi11 Dr. A. R Gupta 149, DDA Flats, Hauz Khaz, New Delhi12 Dr. Abdul Hannan Qureshi 256, Kucha Mir Ashiq, Chawri Bazar, Delhi-6

13 Dr. Ajay Kumar Delhi MCGP Clinic 12/92, Geeta Colony, Delhi

14 Dr. Ajay Kumar Rastogi Jaipuria Sunrise Plaza, SC-176, UGF,Indir~uram, Ghaziabad

15 Dr. Ashmi Rijhwani JP-38, Pitampura, Delhi16 Dr. Ashok Kumar Jindia B-36/G-III, Dilshad Garden, Delhi17 Dr. B.P. Singh 669, Sector 29, Noida{UPl18 Dr. G.N. Suchwani 22/7, Shakti Nagar, Delhi19 Dr. Gulshan Kumar Ghai E-86 A, Vishnu Vihar, N. Delhi20 Dr. Harish Takkar M-2, Kalkaji, New Delhi-1921 Dr. Jaideep Rohtagi Child Welfare Clinic, Nai Sarak, Delhi-622 Dr. K. Anil Khera 305, Rai Sahib Qrs. Masjid Mot, New Delhi.23 Dr. K. Jayaraman 78 A, Pocket B, Mayur Vihar, Delhi24 Dr. K.B. Bhatia 83, Saini Enclave, Delhi-9225 Dr. K.B. Rohtagi R-205, Greater Kailash, Part-I, New Delhi

26 Dr. K.K. Yadav 180, Keshav Block, Guru Ram Dass Nagar,Delhi

27 Dr. K.R Singh Sector 12/905, RK. Puram, New Delhi28 Dr. Krishna Avtar Gupta 234 Picket 2, PaschimPuri, New Delhi29 Dr. MK Dogra 64/Sector 14, Faridabad30 Dr. Mala Bhattacharjee 647, Sector-5, Vaishali, Ghaziabad31 Dr. Manoj Kumar Sharma Sarawati Vihar, New Delhi32 Dr. Mirza Hasrat 987, Bazar Chitli Qabar, Jama Masjid, Delhi33 Dr. Mohinder Kumar Tayagi 1/30 A, Mehrauli, New Delhi34 Dr. Moinuddin Bagai 2177, Gali Addan, Pahari Bhojla, Delhi-6

35 Dr. N.K. Gupta 16/59, Trilok Puri, Delhi-9136 Dr. Promod Bbassu 2143, Roadgran, Lal Kuan, Delhi-637 Dr. R.K Luthria 13-A, Pocket-I Mayur Vihar, Delhi38 Dr. Rakesh Kumar, MBBS 0-20, Moti Nagar, New Delhi39 Dr. Ramesh Dhawan, A.S.B 118 A, janakpuri, New Delhi-5640 Dr. Ramesh Raina 275, South Ext. Appt. Pul Pehladpuri41 Dr. Ravinder Dogra K-113, B42 Dr. S.C. Singhal C-4F/1, JanakQuri, New Delhi-5843 Dr. S.K. Bansal Seelampur Market, New Seelampur, Delhi-5344 Dr. Sadullah Jaitpur, Badarpur, New Delhi45 Dr. Sarvosh Kumar 1393, Bazaar Gulian, Jama Masjid, Delhi-6

46 Dr. Srinivasan No-4, DDA Shopping Centre, Pocket-III, MayurVihar, Phase-I, Delhi-110091

47 Dr. Suman Kirti 60 Anand Lok, New Delhi-4948 Dr. Surender Singh, MBBS 39, Raja Garden, New Delhi49 Dr. T.N. Bhan Kashmeri Gate, Delhi50 Dr. V.S. Chaudhari A-188, Sector 19, Noida

DETAIL REG. OPD & IPD FOR PENSIONERS/FAMIL Y PENSIONERSS.NO I Name 1 Detail

I ( FOR OPO SERVICESl I1 Ansari Health Centre, JMI, New Deihl - 252 Holy Family Hospital, Okhla, New Delhi - 253 Fortis Escorts Hospital, Okhla, New Delhi-254 Max Super Speciality Hospital,Saket, N.D.

For all treatment.Non-CGHS rates for all available treatment.Only for Cardiac, Orthopaediac & Eye treatmentOnly for Cardiac,Joint Replacment & Oncology

( FOR IPO SERVICES )

1. All panelled hospitals shown in the lists for regular employees.

__ ..•.'__ .h~~ .""._~'.h•.•..._.~.__ .:"'_ •• ~· ••_

••...6i....••.•;.:.k~...;., ""'~- •.•.~=.=>~.::.;;;.

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NASH Non-Accredited NASHHospitals Hospitals Spl.Hospitals

512 Pericardictomy 42320 36800 42320513 CMV/PDA 51980 45200 51980514 CABG without bypass. 149500 130000 149500515 Gunshot injury 51980 45200 51980516 Heart transplant 276000 240000 276000517 Balloon corory angioplasty/PTCA 97750 85000 97750518 Intra corory stenting - 97750 85000 97750519 Direct stenting 92000 80000 92000520 Directiol atherectomy 97750 85000 97750521 Rotablation 50000 42500 50000522 balloon valydtomy/PTMC 10500 8925 10500523 CART V 10350 9000 10350524 CATH 10350 9000 10350525 Coaractation dilatation 12650 11000 12650526 Permanent pacemaker implantation-VVI 13800 12000 13800527 Permanent pacemaker implantation- ODD 19320 16800 19320528 Permanent pacemaker implantation Biventricular 34500 30000 34500529 AICD implantation 28750 25000 28750530 Combo device implantation 48300 42000 48300531 Electrophysiological studies. 11500 10000 11500532 Endomyocardial biopsy 11500 10000 . 11500533 IABP 8000 6800 8000534 Intra vascular coils one coil( additiol coil charges extra) 46000 40000 46000

535 R.F.ablation 30000 25500 30000536 Septostomy 20000 17000 20000537 AVBD/PVBD 48300 42000 48300538 Diqital substraction angiography-Pheripheral artery 11500 10000 11500539 DiQital substraction angiography~ venogram 11500 10000 11500540 Venous DSA / 11500 10000 11500541 C.T Guided biopsy \/ 1265 1100 1265542 Sinogram 863 750 .863543 Cine -Barium 2070 1800 2070544 CT cuided PTA 2300 2000 2300545 DSA + PTA 13800 12000 13800546 Embolisation 28750 25000 28750547 IVUS 33960 28866 33960548 Vascular stent 42000 35700 42000549 Aortic stent graft for aortic aneurysm 86250 75000 86250550 IVC Filter 16500 14025 16500551 ASDNSD/PDA closure device 36225 31500 36225552 ECG Listed under

Investiaations553 TMT Listed under

Investiaatlons (/

554 echocardiography echo adultl-iolter alysis 1265 1100 1265555 TEE(Transoesophageal acho, 1725 -: 1500 / 1725556 Stress Echo -erercise .; I . 1955 IV 1700 ./ 1955557 Stress Echo- Dobutamine d / 2~30 2200 2530558 Stress Thallium - exrercise .- / 2500 2125 2500559 Stress Thallium - pharmacological .( 3000 2550 3000560 Corory anciooraohv " -, 11500 '-" 10000 11500561 CT eorory angiography 7245 ' 6300 7245562 Cardiac CT scan 2325 1976 2325563 Cardiac MRI 2500 2125 2500564 MR angiography. 5635 4900 5635

Obstc~trics'and G.ye-to!t)gy,!" ·51#:""'i

. I

Rates forNABH

Rates for Rates for Supe

I

\

No: S.11011/23/2009·CGHS D.II/Hospital Cell (Part I)Government of India

Ministry of Health & Family WelfareDepartment of Health & Family Welfare

*************

Maulana Azad Road, Nirman BhawanNew Delhi 110 108 dated the 1th August, 2010

OFFICE MEMORANDUM

Subject: Fresh empanelment of private hospitals and revision of packagerates applicable under CGHS, Delhi.

The undersigned is directed to state that CGHS had initiated action for freshempanelment of private hospitals under CGHS, Delhi (which covers areas in Delhi,Faridabad, Gurgaon, Ghaziabad and NaiDA) and also for the revision of packagerates (which were fixed in 2006), to be paid to hospitals, by floating tender for thesame. On the basis of the responses received rates for various procedures Jtreatments have been arrived at and have been uploaded in the website of CGHS:www.mohfw.nic.in\cghsnew\index.asp and can be downloaded.

2. In order that CGHS beneficiaries get treatment from well maintained and runhospitals, it has been decided to have differential rates of reimbursements, as perdetails given in the enclosed rates list. The principle followed for the differentialpackage rates being:

(i) where L-1 rates were arrived at on the basis of rates quoted by non-NASH accredited hospitals / super-speciality hospitals, NASH accreditedhospitals will be entitled to reimbursement of certain percentage ofadditional amount over and above the L-1 rates;

(ii) where L- 1 rates were arrived at on the basis of rates quoted by NASHaccredited hospitals, then non-NASH accredited hospitals would beentitled to an amount lower by certain percentage than thereimbursement made to NASH accredited hospitals at L-1 rates; and

(ili) Rates for super-speciality hospitals have been identified separately andnotified in the rate list put on the website of the CGHS. Super-specialityhospitals covered under this category are:

(1) Cardiology & Cardio-thoracic surgery

(2) Joint replacement surgery made under orthopaedics

(3) Nephrology & Urology including renal transplantation;

(4) Endocrinology;

(5) Neurosurgery;

(6) Gastro-enterology & GI surgery; and

(7) Oncology

3.1 "Package Rate" shall mean and include lump sum cost of inpatient treatment Jday care J diagnostic procedure for which a CGHS beneficiary has been permitted bythe competent authority or for treatment under emergency from the time of admissionto the time of discharge including (but not limited to) - (i) Registration charges, (ii)Admission charges, (iii) Accommodation charges including patients diet, (IV)Operation charges, (v) Injection charges, (vi) Dressing charges, (vii) Doctor Iconsultant visit charges, (viii) ICU I ICCU charges, (ix) Monitoring charges, (x)Transfusion charges, (xi) Anesthesia charges, (xii) Operation theatre charges, (xiii)Procedural charges I surgeon's fee, (xiv) Cost of surgical disposables and all sundriesused during hospitalization, (xv) Cost of medicines, (xvi) Related routine and essentialinvestigations, (xvii) Physiotherapy charges etc. (xviii) Nursing care and charges for itsservices.

(b) Cost of Implants I stents I grafts is reimbursable in addition to package ratesas per CGHS ceiling rates for Implants / stents / grafts or as per actual, in case thereis no CGHS prescribed ceiling rates.

(c) Treatment charges for new born baby are separately reimbursable in additionto delivery chares for mother.

d) The hospitals empanelled under CGHS shall not charge more than thepackage rates I rates.

3.2 Package rates envisage upto a maximum duration of indoor treatment asfollows:

12 days for Specialised (Super Specialties) treatment;

7 days for other Major Surgeries;

3 days for Laparoscopic surgeries / normal deliveries; and

1 day for day care I Minor (OPO) surgeries.

3.3 However, if the beneficiary has to stay in the hospital for his / her recovery fora period more than the period covered in package rate, in exceptional cases,supported by relevant medical records and certified as such by hospital, theadditional reimbursement shall be limited to accommodation charges as perentitlement. investigations charges at approved rates, and doctors visit charges (notmore than 2 visits per day per visit by specialists I consultants) and cost of medicinesfor additional stay).

3.4 No additional charge on account of extended period of stay shall be allowed ifthat extension is due to infection on the consequences of surgical procedure or due toany improper procedure and is not justified.

4.1 CGHS beneficiaries are entitled to facilities of private, semi-private or generalward depending on their basic pay / pension. The entitlement is as follows:-

2.

3.

4.2 The package rates for semi-private ward.

4.3 It has now been decided that the CGHS beneficiaries taking treatment in theempanelled hospitals will be entitled for reimbursement /treatment on credit as per thepackage rates / rates. The package rates are for semi-private ward. If the beneficiaryis entitled for general ward there will be a decrease of 10% in the rates; for privateward entitlement there will be an increase of 15%. However, the rates shall be samefor investigation irrespective of entitlement, whether the patient is admitted or not andthe test per se does not require admission to hospital.

4,4 A hospital empanelled under CGHS, whose normal rates for treatmentprocedure I test are lower than the CGHS prescribed rates shall charge as per therates charged by them for that procedure / treatment from a non-CGHS beneficiaryand will furnish a certificate to the effect that the rates charged from CGHSbeneficiaries are not more than the rates charged by them from non-CG HSbeneficiaries.

5.1 Private ward is defined as a hospital room where single patient isaccommodated and which has an attached toilet (lavatory and bath). The room shouldhave furnishings like wardrobe, dressing table, bed-side table, sofa set, carpet, etc. aswell as a bed for attendant. The room has to be air-conditioned.

5.2 Semi Private ward is defined as a hospital room where two to three patients areaccommodated and which has attached toilet facilities and necessary furnishings.

5.3 General ward is defined as halls that accommodate four to ten patients.

5,4 Normally treatment in higher category of accommodation than the entitledcategory is not permissible. However, in case of an emergency when the entitledcategory accommodation is not available, admission in the immediate higher categorymay be allowed till the entitled category accommodation becomes available.However, if a particular hospital does not have the ward as per entitlement ofbeneficiary, then the hospital can only bill as per entitlement of the beneficiary eventhough the treatment was given in higher type of ward.

6.1 In case of non-emergencies, the beneficiary shall have the option ofavailing specific treatment I investigation from any of the empanelled hospitals of his /her choice (provided the hospital is empanelled for that treatment procedure I test),

after the same has been advised by CGHS lather Government Specialist I CMOin-charge and permission is obtained from the competent authority.

6.2 CGHS beneficiaries have, so far, been given the option to get themselvestreated in any hospital of their choice. However, in view of the increased outgo ongetting treatment in super-speciality hospitals, it has now been decided that CGHSbeneficiaries desirous of getting treated in super-speciality hospitals, in non-emergency conditions, prior approval of the concerned Additional Director, CGHSwould have to be obtained.

6.3 Permission for treatment, other than those covered by para 6.2 above, isgranted by CMO in-charge / Additional Director / Joint Director, CGHS in case ofpensioners, former Governors, former Vice-Presidents, ex-MPs, Freedom Fighters,etc., and by Rajya Sabha / Lok Sabha Secretariat as the case may be in case ofsitting Members of Parliament, concerned Ministry / Department / Organisation in caseof serving Government employees, serving employees and pensioners of autonomousbodies covered under CGHS.

7. The empanelled hospitals shall honour permission letter issued by competentauthority and provide treatment / investigation facilities as specified in the permissionletter.

8.1 Hospitals shall provide credit facility to the following categories of CGHSbeneficiaries (including dependant family members, whose names are entered onCGHS Card) on production of valid permission letter:• Members of Parliament;• Pensioners of Central Government drawing pension from central estimates;• former Vice-presidents, Former Governors and former Prime Ministers;• Ex-Members of Parliament;• Freedom Fighters;• serving CGHS employees;• serving employees of Ministry of Health & Family Welfare (including attached /

subordinate offices under the Ministry of Health & Family Welfare); and• such other categories of CGHS cardholders as notified by the Government.

8.2 Bills should be submitted to the Office of the Rajya Sabha Secretariat / LokSabha Secretariat in case of sitting Members of Parliament and to Additional Director,CGHS (Hqrs), Delhi, in case of other beneficiaries enlisted above, once in a month.

8.3 The hospitals shall extend credit facility to the above categories of CGHSbeneficiaries under emergency / with prior permission irrespective of the CGHS citywhere they are registered and send the bill to Additional Director, CGHS (Hqrs), Delhi.

8.4 Bills of serving employees of the Ministry of Health & Family Welfare and theemployees if attached / subordinate offices under the Ministry of Health & FamilyWelfare will be sent directly to the office / officer which / who referred the patients tothe hospitals.

8.5 In case of emergencies empanelled hospitals shall not refuse admission nordemand payment from CGHS beneficiaries on production of valid CGHS card, issuedby competent authority of any CGHS City.

8.6 Reimbursement in case of pensioners, former Governors, former Vice-Presidents, ex-MPs , Freedom Fighters, etc., is made by CGHS and by Rajya SabhaSecretariat I Lok Sabha Secretariat in case of sitting Members of Parliament and byconcerned Ministry I Departmentl Organisation in case of serving Govt. employees,serving employees and pensioners of autonomous bodies covered under CGHS.

8.7 Serving Central Government employees and their dependent family members notcovered by the CGHS will not be denied treatment at package rates if they approachthe hospitals with a proper referral letter from the Ministry / Department in which theyare working, after verifying the genuineness of the employee by production of his / hervalid identify card issued by the appropriate authority.

8.8 Serving Central Government employees and their dependent family members notcovered by the CGHS will not be denied treatment at package rates if they approachthe hospitals in emergency condition to the patient. The treatment will given afterverifying the genuineness of the employee by production of his / her valid identify cardissued by the appropriate authority.

9 During In-patient treatment of the CGHS beneficiary, the hospital will not ask thebeneficiary or his f her attendant to purchase separately the medicines / sundries Jequipment or accessories from outside and will provide the treatment within thepackage rate, fixed by the CGHS which includes the cost of all the items.

10 In case of treatment taken in emergency in any non-em panelled privatehospitals, reimbursement shall be considered by competent authority at CGHSprescribed packages I rates only.

11 If one or more minor procedures form part of a major treatment procedure, thenpackage charges would be permissible for major procedure and only at 50% ofcharges for minor procedure.

12 Any legal liability arisinq out of such services, responsibility solely rests on thehospital and shall be dealt with by the concerned empanelled hospital themselves.

13 This Office Memorandum supercedes all earlier instructions relating toempanelment of hospitals for specialised and general purpose treatment andinvestigations for Delhi, Faridabad, Ghaziabad, Gurgaon and NOIDA areas.

14 This issues with the concurrence of Internal Finance Division in the Ministry ofHealth & Family Welfare, vide Dy. No: AS & FA 12457/2010 dated the 16th August,2010.

15 The revised rates will come into effect from 1st September, 2010.

16 A copy of this Office Memorandum along with rate list and a copy of MOA areplaced on the internet at http://mohfw.nic.in/cghsnew/index.asp.

~ ..:~~\, '{J\ (/

,[R Ravi]Director

[Tel: 23063483]

To

1 All Ministries / Departments, Government of India2 Director, CGHS, Nirman Bhawan, New Delhi3 All Additional Directors IJoint Directors of CGHS cities outside Delhi4 All Pay & Accounts Officers under CGHS5 Additional Director (Hqrs) 1Additional Director (SZ), CGHS, New Delhi6 JD (Gr.)/JD(R&H), CGHS Delhi7 CGHS Desk-llDesk-II/CGHS-I/CGHS-II, Dte.GHS, Nirman Bhawan. New Delhi8 EstUI Estt.1I1Estt.llil Estt.lV Sections, Ministry of Health & Family Welfare9 Admn.11 Admn.11Sections of Dte.GHS10 Rajya Sabha / Lok Sabha Secretariat11 Registrar, Supreme Court of India IPunjab & Haryana High Court, Chandigarh12 U.P.S.C.13 Finance Division14 Deputy Secretary (Civil Service News), Department of Personnel & Training,

s" Floor, Sardar Patel Bhawan, New Delhi.15 PPS to Secretary (H&FW)/ Secretary (AYUSH)I Secretary(HR)!

Secretary(AIDS Control), Ministry of Health & Family Welfare16 PPS to DGHS I AS&FA / AS(H) / AS&MD, NRHM17 Swamy Publishers (P) Ltd., P. B. No. 2468, R. A. Puram, Chennai 600028.18 Shri Umraomal Purohit, Secretary, Staff Side, 13-C, Ferozshah Road, New

Delhi19 All Staff Side Members of National Council (JCM) (as per list attached)20 Office of the Comptroller & Auditor General of India, 10 Bahadur Shah Zafar

Marg, New Delhi21 All Offices I Sections I Desks in the Ministry22 Sr. Technical Director, NIC, MOHFW, Nirman Bhawan, New Delhi with the

request to upload on the website of the CGHS.23 Office Order folder24 Guard File

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NABH Non-Accredited NABHHospitals Hospitals Spl.Hospltals

GPO ,.,.'",'" .... ,;" ..... , . .. .>.- <

1 Consultation OPD 58 50 2402 Consultation- for Inpatients 72 63 2403 Dressings of wounds 58 504 Suturing of wounds with local anesthesia 124 1085 Aspiration Plural Effusion - Diagnostic 193 1686 Aspiration Plural Effusion - Therapeutic 193 1687 Abdomil Aspiration - Diagnostic 345 3008 Abdomil Aspiration - Therapeutic 460 4009 Pericardial Aspiration 380 330

10 Joints Aspiration 317 27611 Biopsy Skin 230 20012 Removal of Stitches 41 3613 Venesection 124 10814 Phimosis Under LA 1311 114015 Sterl puncture 173 15016 Injection for Haemorrhoids 414 36017 Injection for Varicose Veins 414 36018 Catheterisation 83 7219 Dilatation of Urethra 575 50020 Incision & Draige 483 42021 Intercostal Draige 125 10622 Peritoneal dialysis 1466 1275

Skin "" "23 Excision of Moles 345 30024 Excision of Warts 310 26425 Excision of Molluscumcontagiosum 130 11126 Excision of Veneral Warts 160 13627 Excision of Corns 140 11928 I/O Injection Keloid of Acne 97 8429 Chemical Cautery (s) 110 96

QpthalmoloQY .30 Subconjunctival/subtenon's injections in one eyes 69 6031 Subconjunctival/subtenon's injections in both eyes 138 12032 Pterygium surgeries 86 7533 Conjunctival peritomy 58 5034 Conjunctival wound repair or exploration following blunt 115 100

trauma35 Removal of corneal foreign body 115 10036 Cauterization of ulcer/subconjunctival injection in one eye 69 60

37 Cauterization of ulcer/subconjunctival injection in both 138 120eyes

38 Corneal grafting-Penetrating keratoplasty 5750 500039 Corneal grafting-Lamellar keratoplasty 5750 500040 Cyanoacrylate /fibrin glue application for corneal 690 600

Iperforation41 Bandage contact lenses for corneal perforation 460 40042 Scleral grafting or conjunctival flap for corneal perforation 2300 2000

43 Keratoconus correction with therapeutic contact lenses 1380 1200

44 UV radiation for cross-linking for keratoconus 2300 200045 EDT A for band shaped keratopathy 863 75046 Arcuate keratotomy for astigmatism 2875 250047 He-suturinq (Primary suturing) of corneal wound 1150 100048 Penetrating keratoplasty ---- with glaucoma surgery 16100 14000

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNASH Non-Accredited NASHHospitals Hospitals Spl.Hospitals

49 Penetratinq keratoplasty --- with vitrectomy 12144 1056050 Penetratinq keratoplasty ---- with IOL implantation 3450 300051 DALK- Deep anterior lamellar keratoplastv 17250 1500052 Keratoprosthesis stage I and II 11500 1000053 DSAEK- Descemet's stripping automated endothelial 21275 18500

keratoplasty54 AL TK- Automated lamellar therapeutic keratoplastv 16675 1450055 Probinq and Svrinqinq of lacrimal sac- in one eve 69 6056 Probina and Svrinaina of lacrimal sac- in both eve 138 12057 Dacryocystorhinostomy-Plain 1725 150058 Dacryocystorhinostomy-Plain with intubation and/or with 9775 8500

lacrimal implants59 Dacryocvstorhinostomy--conjunctival with implant 9775 850060 Callculoplastv 2300 200061 Dacryocystectomy 2875 250062 Punctal plugs for dry eves 575 50063 Refraction 41 3664 Indirect ophthalmoscopy 104 9065 Orthoptic check-up- with synoptophore 44 3866 Lees' charting or Hess' chartina 115 10067 Orthoptic exercises 58 5068 Pleoptic exercises 58 5069 Perimetry/field test-Goldman 144 12570 Perimetrv/field test- automated 144 12571 Fluorescein anclcoraohv for fundus or iris 1104 96072 Ultrasound A- Scan 173 15073 Ultrasound 8- Scan 288 25074 Indocyanin qreen angiography 920 80075 Corneal endothelial cell count with specular micropscopy 230 200

76 Corneal topoqraphv 331 28877 Corneal pachymetry 230 20078 Auto-refraction 35 3079 Macular function tests 58 5080 Potential acuity metrv 115 10081 Laser interferometry 230 20082 OCT- Optical coherence tomography 345 30083 HRT- Heldelberq's relil tornoqrarn 173 15084 GDX--- Nerve fibre layer alvzer 138 12085 UBM- Ultrasound biomicroscopy 230 20086 Non Contact tonometry 58 5087 lOP measurement with schiotz 35 3088 lOP measurement with applation tonometry 58 5089 Three mirror examition for reti 58 5090 90 D lens examition 58 5091 Gonloscopv 58 5092 Chalazion incision and curettage in one eve 414 36093 Chalazion incision and curettaae in both eves 442 38494 Ptosis surgery with fasanella servat procedure 2300 200095 Ptosis surgery with LPS resection 6843 595096 Ptosis surcerv with Slinq suraerv 6900 600097 Ectropion surgery- one lid 1725 150098 Ectropion suroerv- both lids 3450 300099 Epicanthus correction 2300 2000

100 Cantholysis and canthotomy 575 500101 Entropion suroerv- one lid 1380 1200102 Entropion surgery- both lids 2760 2400

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNABH Non-Accredited NABHHospitals Hospitals Spl.Hospitals

103 Tarsorraohv 700 595

104 Suturinq of lid lacerations 1150 1000

105 Lid retraction repair 1725 1500106 Concretions removal 115 100

107 Bucket handle procedure for lid tumors 345 300108 Cheek rotation flap for lid tumors 6900 6000109 Orbitotomy 8050 7000

110 Enucleation 3450 3000111 Enucleation with orbital implants and artificial prosthesis 3450 3000

112 Evisceration 3450 3000113 Evisceration with orbital implants and artificial prosthesis 5693 4950

114 Telecanthus correction 5175 4500115 Orbital decompression 5750 5000116 Exenteration 6900 6000117 Exenteration with skin grafting 5750 5000118 Fracture orbital repair 9200 8000119 Retillaser procedures 1668 1450120 Retil detachment surcerv 11500 10000121 Retil detachment suraerv with scleral bucktlnq 13800 12000122 Buckle removal 1150 1000123 Silicone oil removal 2875 2500124 Anterior retil crvooexv 1162 1010125 Squint correction for one eve 700 595126 Squint correction for both eyes 1400 1190127 Trabeculectomy 6900 6000128 Trabeculotomy 6900 6000129 Trabeculectomy with Trabeculotomy 2300 2000130 Trephition 2300 2000131 Goniotomy 345 300132 Glaucoma surcerv with Glaucoma valves 2300 2000133 cvclocrvotheraov 1150 1000134 YAG laser iridotomy 1725 1500135 YAG laser caosulotornv 1093 950136 AL T'Aroon laser trabeculoolastv 1725 1500137 PDT-Photodymic therapy 3450 3000138 TTT- Transouolllarv thermal therapy 3450 3000139 PTK- Phototherapeutic keratectomy 8050 7000140 Arnon/diode laser for reti 1150 1000141 Intralase application for keratoconus 5750 5000142 EOG- electro-oculoqrarn 920 800143 ERG- Electrio-retinoqram 794 690144 VEP- visually evoked potential 920 800145 Vltrectornv- pars pia 5750 5000146 Intravitreal injections- of antibiotics 1150 1000147 Intravitreal lnlectlons- of avastin 3450 3000148 Intravitreal injections- of lucentis 3450 3000149 X- Ray orbit 115 100150 CT-orbit and brain 173 150151 MRI- Orbit and brain 3450 3000152 Dacrvocvstoqraohv 340 289153 Orbital angio-graphical studies 1500 1500154 ECCE with IOL 5750 5000155 SICS with IOL 840 714156 Phaco with foldable IOL (silicone and acrylic)/PMMA IOL 10781 9375

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNABH Non-Accredited NABHHospitals Hospitals Sol.Hospitals

157 Pars pia lensectomy with/without IOL 11500 10000

158 Secondary IOL implantation- AC IOL PC IOL or scleral 6900 6000fixated IOL

159 Cataract extraction with IOL with capsular tension rings 13800 12000i(Cionni's rlnc)

160 Optic nerve sheathotomy 11500 10000161 Iridodialysis repair or papillary reconstruction 5693 4950162 Iris cyst removal 863 750163 Lid Abscess incision and draiqe 1725 1500164 Orbital Abscess incision and draige 3220 2800165 Biopsy 460 400166 Paracentesis 230 200167 Scleral qratt for scleral melting or perforation 2875 2500168 Amniotic membrane orattino 1150 1000169 Cyclodiathermy 2300 2000170 Intraocular foreign body removal 187 163171 Electrolysis 230 200172 Perforating injury repair 4600 4000173 Botulinum injection for blepharospasm or squint 2933 2550

DelltalProC:edures,,;, ,/" ,'" ;/

174 Flap Operation per quadrant 414 360175 Gingivectomy per quadrant 269 234176 Reduction & immobilasation of fracture- Maxilla Under LA 1380 1200

177 Reduction & immobilasation of fracture-Mandible Under LA 1725 1500

178 splints/Cirucum mandibular wirinq under LA 587 510179 splints/Cirucum mandibular wiring under GA 1139 990180 Interl wire fixation/plate fixation of Maxilla under LA 3450 3000181 Interl wire fixation/plate fixation of Maxilla under GA 4600 4000182 Interl wire fixation/plate fixation of Mandible under LA 4600 4000183 Interl wire fixation/plate fixation of Mandible under GA 5750 5000184 Extraction per tooth under LA 92 80185 Complicated Ext. per Tooth under LA 115 100186 Extraction of impacted tooth under LA 184 160187 Extraction in mentally retarded/patients with systemic 1105 939

diseases/patient with special needs under short term GA188 Cyst & tumour of Maxilla /mandible by 281 244

enucleation/excision/marsupalisation upto 4 cms under LA189 Cyst & tumour of Maxilla/mandible by 467 406

enucleation/excision/marsupalisation size more than 4cms under LA

190 Cyst & tumour of Maxilla/mandible by 1150 1000enucleation/excision/marsupalisation size more than 4 cmsunder GA

191 TM joint ankylosis- under GA 9775 8500192 Biopsy Intraoral-Soft tissue 430 374193 Biopsy Intraoral-Bone 430 374194 Hemi-mandibulectomy with qraft 5693 4950195 Hemi-mandibulectomy without graft 3335 2900196 Segmental-mandibulectomy with craft 4543 3950197 Segmental-mandibulectomy without qraft 1139 990198 Maxillectomy- Total with craft 2875 2500199 Maxillectomy- Total without graft 2243 1950200 Maxillectomy- partial with qraft 3450 3000

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Su per

NABH Non-Accredited NABHHospitals Hospitals set.Hospitals

201 Maxillectomy- partial without qratt 2875 2500

202 Release of fibrous bands & grafting -in (OSMF) treatment 1725 1500under GA

203 Pre-prosthetic surgery- Alveoloplasty 575 500204 Pre-prosthetic surgery - ridge augmentation 1500 1275

205 Root cal Treatment(RCT) Anterior teeth 575 500206 Root cal Treatment(RCT) Posterior teeth 805 700207 Apicoectomy- Single root 575 500208 Apicoectomy-Multiple roots 748 650209 Metal Crown-per unit 575 500210 Metal crown with Acrylic facing per unit 805 700211 Complete sinqle denture-metal based 1725 1500212 Complete denture- acrylic based per arch 1093 950213 Removable partial denture-Metal based-unto 3 teeth 805 700214 Removable partial denture-Metal based-more than 3 teeth 1035 900

215 Removable partial denture-Acrylic based-unto 3 teeth 575 500216 Removable partial denture-Acrylic based-more than 3 teeth 310 264

217 Arnalourn restoration-per tooth 230 200218 Composite Restoration-per tooth-anterior tooth 288 250219 Glas lonorner-per tooth 230 200220 Scaling & polishing 345 300221 Removable Orthodontics appliance- per Arch 805 700222 Fixed Orhtodontics-per Arch 1380 1200223 Space maintainers-Fixed 575 500224 Habit breaking appliances-removable 920 800225 Habit breaking appliances-Fixed 1725 1500226 Expansion plate 1150 1000227 Feeding appliance for cleft palate 1725 1500228 Maxillo-facial prosthesis (sallauricular/orbital/facial lost 4025 3500

Ipart)229 Functiol orthodentic appliances 3450 3000230 Obturator (Maxillo-facial) 1725 1500231 Occlusal night guard(splint) 920 800

E.N.T.Head and Necl< < «

ENT :1.<" ." t:

232 Pure Tone Audiogram 173 150233 lrnpedence with stepedeal reflex 230 200234 SISI Tone Decay 135 115235 Multiple hearing assessment test to Adults 115 100236 Speech Discrimition Score 90 78237 Speech Assessment 138 120238 Speech therapy per session of 30-40 minutes 131 114239 Cold Calorie Test for Vestibular function 173 150240 Removal of foreign body From Nose 345 300241 Removal of foreign body From Ear 230 200242 Syringing (Ear) 166 144243 Polyp removal under LA 575 500244 Polyp removal under GA 1150 1000245 Peritonsillar abscess draige under LA 1449 1260246 Myringoplasty 6900 6000247 Staepedectomy 9200 8000248 Myringotomy with Grommet insertion 4600 4000249 Tympanotomy 8625 7500250 Tympanoplasty 13800 12000251 Mastoidectomy 14950 13000

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNASH Non-Accredited NASHHospitals Hospitals Spl.Hospitals

252 Otoplasty 16100 14000253 Labyrinthectomy 13800 12000254 Skull Base surgElry 26450 23000255 Facial Nerve Decompression 17250 15000256 seotoolastv 5750 5000257 Submucous Resection 7314 6360258 Septo-rhinoplasty 16100 14000259 Rhinoplasty- Non-cosmetic 11500 10000260 Fracture Reduction 5750 5000261 Intra sal Diathermy 1 '150 1000262 Turbinectomy 5750 5000263 Endoscopic DCR 13248 11520264 Endoscopic Surgery 13800 12000265 Septal Perf. Repair 13800 12000266 Antrum Puncture 966 840267 Lateral Rhinotomy 1150 1000268 Cranio-facial resection 26450 23000269 Caldwell Luc Surqerv 10626 9240270 Anqiofibroma Excision 18400 16000271 Endoscopic Hypophysectomy 23000 20000272 Endoscopic Optic Nerve Decompression 32775 28500273 Decompression of Orbit 26450 23000274 PunchIWedge biopsy 674 586275 Tonsillectomy 6900 6000276 Uvulo-palatoplasty 17250 15000277 FESS for antrochoal polyp 5750 5000278 FESS for ethmoidal polyp 5750 5000279 Polyp removal ear 748 650280 Polyp removal Nose(Septal polyp) 748 650281 Mastoidectomy plus Ossciculoplasty including TORP or 2415 2100

PORP282 Endolvrnphatic sac decompression 2875 2500283 Diaqnostic sal endoscopy under GA 2300 2000284 Yonges operation for Atrophic rhinitis 6900 6000285 Vidian neurectomy for vasomotor Rhinitis 10350 9000286 sal Packing-anterior 345 300287 sal Packing-posterior 805 700288 Ranula Excision 6843 5950289 Tongue Tie excision 1725 1500290 Sub Mandibular Duct Lithotomy 275 234291 Adenoidectomy 6486 5640292 Palatooharvnooplastv 8165 7100293 Cleft Palate repair at S. No.1 028294 Pharvnqoclastv 17193 14950295 Styloidectomy 9200 8000296 Direct laryngoscopy including Biopsy under GA 5175 4500297 oesophagoscopy/foreign body removal from 1858 1616298 Bronchoscopy with F.B.removal 2804 2438

Head'<lndtN~ck .'299 Ear Lobe Repair one side 566 492300 Excision of Pin for Growth (Squamous/Basal/ Injuries) Skin 4025 3500

Only301 Excision of Pin for Growth (Squamous/Basal! Injuries) Skin 5290 4600

and Cartilage302 Partial Amputation of Pin 5750 5000303 Total Amputation of Pin 7130 6200

.'

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNABH Non-Accredited NABHHospitals Hospitals Sol.Hospitals

304 Total Amputation & Excision of Exterl Auditory Meatus 1725 1500

305 Excision of Cystic Hygroma 5175 4500

306 Excision of Cystic Hvqrorna Extensive 7452 6480307 Excision of Branchial Cyst 10350 9000308 Excision of Branchial Sinus 10350 9000309 Excision of Pharyngeal Diverticulum 10580 9200310 Excision of Carotid Body-Tumours 13500 11475311 Operation for Cervical Rib 13500 11475312 Block Dissection of Cervical Lymph Nodes 15500 13175

313 Pharyngectomy & Reconstruction 15500 13175314 Operation for Carcinoma Lip - Wedce-Excision 8050 7000315 Operation for Carcinoma Lip - Vermilionectomy 8050 7000316 Operation for Carcinoma Lip - Wedge Excision and 9660 8400

Vermilonectomy317 Estlander Operation 7475 6500318 Abbe Operation 11500 10000319 Cheek Advancement 9775 8500320 Excision of the Maxilla 19320 16800321 Excision of mandible-segmental 15525 13500322 Mandibulectomy 21074 18325323 Partial Glossectomy 5520 4800324 Hemiglossectomy 11500 10000325 Total Glossectomy 22885 19900326 Commondo Operation 23000 20000327 Parotidectomy - Superficial 17250 15000328 Parotidectomy - Total 12075 10500329 Parotidectomy - Radical 19550 17000330 Repair of Parotid Duct 11500 10000331 Removal of Submandibular Salivary eland 8625 7500332 Hemithyroidectomy 12650 11000333 Partial Thyroidectomy (lobectomy) 11500 10000334 Subtotal Thyroidectomy 13053 11350335 Total Thyroidectomy 19550 17000336 Resection Enucleation of thyroid Adenoma 10580 9200337 Total Thyroidectomy and Block Dissection 26450 23000338 Excision of Linaual Thyroid 17270 14680339 Excision of Thvroolossal Cyst/Fistula 13225 11500340 Excision of Parathyroid Adenoma/Carcinoma 21275 18500341 Larvncectornv 31050 27000342 Laryngo Pharyngectomy 17825 15500343 Hyoid Suspension 10350 9000344 Genioplasty 19550 17000345 Direct Laryngoscopy including biopsy under GA At S.No.296346 Phonosurgery 13800 12000347 Fibroptic examition of Larynx under LA 1725 1500348 Microlaryngeal Surgery 10350 9000349 l.arvnooflssure 17250 15000350 Tracheal Stenosis Excision 19780 17200

Head and neck 'cancer351 Excisiol Biopsies 5750 5000352 Benign Tumour Excisions 11270 9800353 Temporal Bone subtotal resection 20700 18000354 Modified Radical Neck Dissection 25300 22000355 Carotid Body Excision 28750 25000356 Total Laryngectomy 39192 34080357 Flap Reconstructive Surqerv 41400 36000

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NABH Non-Accredited NABHHospitals Hospitals Spl.Hospitals

358 Parapharyngeal Tumour Excision 39330 34200359 Breast 28750 25000360 Draige of abscess 6325 5500361 Excision of lumps 9775 8500362 Local mastectomy-simple 12650 11000363 Radical mastectomy-formal or modified. 28750 25000364 Excision of mammary fistula 15525 13500365 Segmental resection of breast 16100 14000

General surnerv c' ,

Injury Of Superficial Soft Tissues366 sutunno of small wounds 269 234367 Secondary suture of wounds 288 250368 Debridement of wounds 414 360369 Removal Of Foreign Bodies 288 250

Biopsies370 Excision Cervical Lymph Node 1725 1500371 Excision Axillary Lymph Node 2277 1980372 Excision of lnouil Lymph Node 2277 1980373 Excision Biopsy of Ulcers 1500 1275374 Excision Biopsy of Superficial Lumps 3220 2800375 Incision Biopsy of Growths/Ulcers 1500 1275376 Trucut Needle Biopsy 1725 1500377 Percutaneous Kidney Biopsy 1500 1275378 Marrow Biopsy (Open) 1725 1275379 Muscle Biopsy 1500 1275380 Scalene Node Biopsy 1323 1150381 Excision of Sebaceous Cysts 1242 1080382 Excision of Superficial Lipoma 1932 1680383 Excision of Superficial Neurofibroma 2645 2300384 Excision of Dermoid Cysts 2277 1980385 Haemorrhoidectomy 2645 2300386 Stapler haemorrhoidectomy 4025 3500387 keloid excision 1150 1000388 Vericose vein surgery;Tendelenburg operation with 8625 7500

suturing or ligation.Oesophaqus , " ,<",/,,,,. 0', ... : .

389 Atresia of Oesophagus and Tracheo Oesophageal Fistula 28750 25000

390 Operations for Replacement of Oesophagus by Colon 25300 22000391 Oesophagectomy for Carcinoma Easophagus 25300 22000392 Oesophageal Intubation (Mausseau Barbin Tube) 11500 10000393 Achalasia Cardia Transthoracic 12650 11000394 Achalasia Cardia Abdomil 14950 13000395 Oesophaoo Gastrectomy for mid 1/3lesion 24495 21300396 Heller's Operation 19780 17200397 Colon-Inter position or Replacement of Oesophaous 22540 19600398 Oesophago Gastrectomy - Lower Corringers procedure 21390 18600

Abdomen ..399 Gastroscopy 1725 1500400 Gastric & Duodel Biopsy (Endoscopic) 2243 1950401 Pyloromyotomy 3105 2700402 Gastrostomy 8625 7500403 Simple Closure of Perforated peptic Ulcer 9775 8500404 Vagotomy Pyleroplasty / Gastro Jejunostomy 13800 12000405 Duodenojejunostomy 20700 18000406 Partial/Subtotal Gastrectomy for Carcinoma 23000 20000

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNABH Non-Accredited NABHHospitals Hospitals Spl.Hospitals

407 Partial/Subtotal Gastrectomy for Ulcer 22425 19500408 Operation for Bleedinq Peptic Ulcer 20976 18240409 Gastrojejunostomy & Vaootornv 19780 17200410 Operation for Gastroieiul Ulcer 19780 17200411 Total Gastrectomy for Cancer 22368 19450412 Highly Selective Vaqotomv 18630 16200413 Selective Vaqotomv & Dralce 18630 16200414 Conqenltal Diaphragmatic Hernia 18975 16500415 Hiatus Hernia Repair- Abdomil 14490 12600416 Hiatus Hernia Repair- Transthoracic 16100 14000417 Exploratory Laparotomy 12650 11000418 Epiqastrlc Hernia Repair 11385 9900419 Umbilical Hernia Repair 11385 9900420 Ventral /incisiol Hernia Repair 10293 8950421 Inquil Hernia Herniorraphy 14835 12900422 lnquil Hernia - Hernioplasty 17135 14900423 Femoral Hernia Repair 18285 15900424 Rare Hernias Repair (Spigalion Obturator Lumbar Sciatic) 22885 19900

425 Splenectomy - For Trauma 18975 16500426 Splenectomy - For Hypersplenism 14490 12600427 Splenorel Astomosis 23000 20000428 Portocaval Astomosis 30935 26900429 Direct Operation on Oesophagus for Portal Hypertension 22885 19900

430 Mesentericocaval Astomosis 28750 25000431 Warren Shunt 28750 25000432 Pancerato Duodenectomy 21735 18900433 By Pass Procedure for Inoperable Carcinoma of Pancreas 23000 20000

434 Cystojejunostomy or Cvstoqastrostomv 14490 12600435 Cholecystectomy 10293 8950436 Cholecystectomy & Exploration of CBD 13800 12000437 Repair of CBD 17250 15000438 Operation for Hydatid Cyst of Liver 11903 10350439 Cholecystostomy 10293 8950440 Hepatic Resections (Lobectomy IHepatectomy) 14375 12500441 Operation on Adrel Glands - Bilateral 26105 22700442 Operation on Adrel Glands - Unilateral for Tumour 13800 12000443 Appendicectomy 8108 7050444 Appendicular Abscess - Draige 9775 8500445 Mesenteric Cyst- Excision 11040 9600446 Peritonioscopy/Laparoscopy 4600 4000447 Jejunostomy 5750 5000448 Ileostomy 15410 13400449 Resection & Astomosis of Small Intestine 20700 18000450 Duodel Diverticulum 18400 16000451 Operation for Intestil Obstruction 10350 9000452 Operation for Intestil perforation 7763 6750453 Beniqn Tumours of Small Intestine 19550 17000454 Excision of Small Intestine Fistual 19550 17000455 Operations for Haemorrhaqe of Small Intestines 19550 17000456 Operations of the Duplication of the Intestines 17825 15500457 Operations for Recurrent Intestil Obstruction (Noble 23000 20000

Plication & Other Operations for Adhesions)458 llleosicmoldostomv 16790 14600459 lIieotransverse Colostomy 16790 14600

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNASH Non-Accredited NASHHospitals Hospitals Spl.Hospltals

460 Caecostomy 3903 3394461 Loop Colostomy Transverse Siqrnoid 13110 11400462 Termil Colostomy 17250 15000463 Closure of Colostomy 17480 15200464 Right Hemi-Colectomy 13800 12000465 Left Hemi-Colectomy 13800 12000466 Total Colectomy 17250 15000467 Operations for Volvulus of Large Bowel 24921 21670468 Operations for Siqmoid Diverticulitis 18630 16200469 Fissure in Ano with interl sphinctrectomy with fissurectomy. 5750 5000

470 Fissure in Ano - Fissurectomy 13800 12000471 Rectal Polyp-Excision 5658 4920472 Operation of Haemorrhoids -Lords procedure 1580 1343473 Fistula in Ano - High Fistulectomy 16781 14592474 Fistula in Ano - Low Fistulectomy 9867 8580475 Prolapse Rectum - Theirch Wiring 10350 9000476 Prolapse Rectum - Rectopexy 5750 5000477 Prolapse Rectum - Grahams Operation 18400 16000478 Operations for Hirschsprunqs Disease 14260 12400479 Excision of Pilonidal Sinus 11500 10000480 Abdomino-Perineal Excision of Rectum 21850 19000481 Anterior Resection of rectum 21850 19000482 Pull Through Abdomil Resection 17710 15400483 Operations for Neuroblastoma 14600 12410

ICUICCU procedures (Special Care Cases)484 Corory Care with Cardiac Monitoring including ECG & Diet 1250 1063 3890

485 Compressed air I piped oxygen 58 50 1300486 Ventilator charqes 560 476 2090487 Paediatric care for New born per day 190 162 1795488 Incubator charges (Per day) 345 300 1200489 Neotal ICU charges (Per day) 400 340 1795490 Resuscitation 184 160 880491 Exchange Transfusion 265 230 880492 Pneupack ventilator in Nursery (Per day) 575 500 1200

C~rdiovll.sc.ularand,cll.rdiac surg~ry & tnvesttqattons

493 ASD Closure 53000 45050 53000494 VSD with graft 53000 45050 53000495 TOFITAPVCITCPC/REVIVSOV repair 130000 110500 130000496 V.D.Glenn/Left atrium myxoma 100000 85000 100000497 Senning/ASO with graft 125000 106250 125000498 DSO 16100 14000 16100499 AV Cal repair 161000 140000 161000500 Fonten 169050 147000 169050501 Conduit repair 169050 147000 169050502 CABG 130000 110500 130000503 CABG + IABP 169050 147000 169050504 CABG +1valve. 169050 147000 169050505 Asendinq aorta replacement 165000 140250 165000506 DVR 130000 110500 130000507 MVR/AVR 53000 45050 53000508 MV repair + AV repair 106000 90100 106000509 Aorta femoral bypass 56810 49400 56810510 B.T ShuntlCoaractation 51980 45200 51980511 P.A.Banding septostomy 51980 45200 51980

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NABH Non-Accredited NABHHospitals Hospitals Spl. Hospitals

512 Pericardictomv 42320 36800 42320513 CMV/PDA 51980 45200 51980514 CABG without bypass. 149500 130000 149500515 Gunshot injury 51980 45200 51980516 Heart transplant 276000 240000 276000517 Balloon corory angioplastv/PTCA J=e.h . ')0 \ '3 v - -518 Intra cororv stentinq r:-eh. '20 13 - ~.

519 Direct stenting -~h. 2DY-i .. - --- -- -

520 Directiol atherectomy 97750 85000 97750521 Rotablation 50000 42500 50000522 balloon valvotomv/PTMC 10500 8925 10500523 CART 10350 9000 10350524 CATH 10350 9000 10350525 Coaractation dilatation 12650 11000 12650526 Permanent pacemaker implantation-VVI 13800 12000 13800527 Permanent pacemaker implantation- DDD 19320 16800 19320528 Permanent pacemaker implantation Biventricular 34500 30000 34500529 AICD implantation 28750 25000 28750530 Combo device implantation 48300 42000 48300531 Electrophysiological studies. 11500 10000 11500532 Endomvocardial biopsy 11500 10000 11500533 IABP 8000 6800 8000534 Intra vascular coils one coil( additiol coil charges extra) 46000 40000 46000

535 R.F.ablation 30000 25500 30000536 seotostomv 20000 17000 20000537 AVBD/PVBD 48300 42000 48300538 Digital substraction anqioqraphy-Pherlpheral artery 11500 10000 11500539 Diqltal substraction anclocraohv- venocrarn 11500 10000 11500540 Venous DSA 11500 10000 11500541 C.T Guided biopsy 1265 1100 1265542 Slnoqrarn 863 750 863543 Cine -Barlum 2070 1800 2070544 CT qulded PTA 2300 2000 2300545 DSA + PTA 13800 12000 13800546 Embolisation 28750 25000 28750547 IVUS 33960 28866 33960548 Vascular stent 42000 35700 42000549 Aortic stent oratt for aortic aneurysm 86250 75000 86250550 IVC Filter 16500 14025 16500551 ASDNSD/PDA closure device 36225 31500 36225552 ECG Listed under

Investiaations553 TMT Listed under

Investiaations554 echocardioqraohv echo adultHolter alvsls 1265 1100 1265555 TEE(Transoesophageal echo 1725 1500 1725556 Stress Echo -erercise 1955 1700 1955557 Stress Echo- Dobutamine 2530 2200 2530558 Stress Thallium - exrercise 2500 2125 2500559 Stress Thallium - pharrnacoloqlcal 3000 2550 3000560 Cororv anclooraohv 11500 10000 11500561 CT corory anclcoraonv 7245 6300 7245562 Cardiac CT scan 2325 1976 2325563 Cardiac MRI 2500 2125 2500564 MR anolooraphv. 5635 4900 5635

Obstetrics and Gvecoloav . ,~.. :' ., ..

t(ev \sed (~HS Ro.1-e Lis+

·-.

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NABH Non-Accredited NABHHospitals Hospitals Spl.Hospitals

565 Normal delivery or with Episiotomy & P. repair 8625 7500566 vaccum delivery 8625 7500567 Low Forceps 9200 8000568 Low midcavity forceps 9200 8000569 Cesarean Section 17250 15000570 Cesarean Hysterectomy 18975 16500571 Rupture Uterus closure & repair with Tubal Ligation 17250 15000572 Perforation of Uterus after DIE Laparotomy & Closure 13800 12000573 Laparotomy for Ectopic Rupture 13800 12000574 Laparotomy-peritonitis Lavage and Draige 11500 10000575 Laparotomy-failed laparoscopy to explore 5750 5000576 Salphinqectomy 10350 9000577 Salphingo-Oophorectomy 13800 12000578 Ovarean Cvstectornv-laparoscopic. 13800 12000579 Ovarean Cystectomy -laparotorny, 13800 12000580 Ophorectomy-Iaparoscopic 9200 8000581 Oophorectomy-laparotomy 9200 8000582 Broad Ligment Haemotoma Drai!le 6900 6000583 Exploration of perineal Haematoma & Resuturing of 8280 7200

Episiotomy584 Exploration of abdomil Haematoma (after laparotomy + 8050 7000

LUCS)585 Interl podalic version and breech extraction 4140 3600586 Manual Removal of Placenta 3450 3000587 3rd stage Complication from extra-institutiol deliveryetc 4140 3600

588 Examition under aesthesia 1150 1000589 Burst-abdomen Repair 10350 9000590 Gaping Pareneal Wound Secondary Suturing 1656 1440591 Gaping abdomil wound Secondary Suturing 3450 3000592 Complete perineal tear-repair 2128 1850593 Exploration of PPH-tear repair 3565 3100594 Destructive Operation 9200 8000595 Suction evacuation vesicular mole Missed abortion DIE 5175 4500

596 Colpotomy-draige PN needling EUA 3450 3000597 Repair of post-coital tear perineal injury 3508 3050598 Excision of urethral caruncle 3450 3000599 Shirodhkar Mc. Ooids stich 3220 2800600 Abdomil Hysterectomy 17250 15000601 Vagil Hysterectomy 17250 15000602 Myomectomy -laparotomy 14375 12500603 Myomectomy -laparoscopic 6325 5500604 Vaginoplasty 14950 13000605 Laparotomy for Ectopic Preqncv 6325 5500606 Vulvectomy -Simple 9200 8000607 Vulvectomy-Radical 9200 8000608 RVF Repair 18975 16500609 Manchester Operations 15525 13500610 Perineorrhaphy 14950 13000611 Colporrhaphy with mesh. 16388 14250612 Colporrhaphy without mesh. 13800 12000613 Enterocoel repair 11500 10000614 Shirodkar's sling Operation or other sling operations for 3450 3000

[prolapse uterus615 Laparoscopic sling operations for prolapse uterus 3450 3000616 Diagnostic Curettage 2484 2160

'.

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNASH Non-Accredited NASHHospitals Hospitals Spl.Hospitals

617 Fractiol Curettage 2760 2400618 o & C and Cervical Biopsy 3163 2750619 Polypectomy 1518 1320620 Other-Minor Operation Endometrial 2300 2000621 Excision VaQiI CysVBurtholin Cyst 3450 3000622 Excision Vaoil Septum 4600 4000623 Laparoscopy -Diaqnostlc with chromopertubation 4025 3500624 Laparoscopy Sterilisation 3450 3000625 Laparoscopy Operative 5750 5000626 Laparoscopy LAVH 10350 9000627 Total laoarscooic hysterectomy 25243 21950628 Drillinq of Overy 6325 5500629 Laparascopic treatment of Ectopic pregncy-salpingectomy 9775 8500

630 Laparotomy treatment of Ectopic pregncy. 14605 12700631 Conisation of cervix 4025 3500632 Trachleorraphy of cervix for early CA cervix 7130 6200633 Hysteroscopic cannulation 2875 2500634 Laparotomy recannulation of Fellopian tubes- 17250 15000

I (Tubuloptastv)635 Laparoscopic recannulation of Fellopian tubes- 22425 19500

I(Tubuloplastv)636 Colposcopy 980 833637 LEETZ(LarQe Loop Excision of Transformation Zone) 5980 5200638 Loop Electro Surgical procedures. 5980 5200639 Chorionic Villi sampling 1208 1050640 Interventiol Ultrasonooraphv 1000 850641 Amneocentosis 1035 900642 Karyotyping Listed under

Investiaations643 Hysteroscopic endometrial ablation 15525 13500644 Thermal ballon ablation. 11500 10000645 Ultrasonooraphic rnyolysis 10293 8950646 Laparoscopic cystectomy 5750 5000647 Intra Uterine Insemition 920 800648 ICSI 11500 10000649 Anti Retroviral Therapy. 17078 14850650 Laparotomy abdomil scaro-colpopexy 23000 20000651 Laparotomy Vault suspension 16675 14500652 Laparscoplc abdomil scaro-colpopexv 24035 20900653 Laparoscopic Vault suspension 20125 17500654 Laparotomy radical l.vrnohedenectomv 23000 20000655 l.aparoscopic radical Lymphedenectomy 27600 24000656 Pap smear Listed under

Investiaations657 Endometrial aspiration cvtolocv 575 500658 Transvagil sonography (TVS for Follicular 460 400

monitiorino aspiration)659 laparoscopic treatment for stress incontinence 5750 5000660 Transvagil tubes for Stress incontinence 17595 15300661 trans-obturator tubes for Stress incontinence 11500 10000662 Interventiol radlooraohlc arterial embolisation 18343 15950663 Diagnosticcystoscopy 2875 2500664 Staaing laparotomy surgery for CA Overy 6325 5500665 Interilliac liqatlon 3393 2950666 stepwise devascularisation 9200 8000667 Assisted breech delivery 10925 9500

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NASH Non-Accredited NASHHospitals Hospitals Spl.Hospitals

668 Cordocentesis 2990 2600669 Intra-uterine fetal blood transfusion 23000 20000670 Hysteroscopy TCRE 11500 10000671 Hysteroscopy Removal of IUCD 8050 7000672 Hysteroscopy Removal of Septum 11385 9900673 Hysteroscopy Diacnostic 7475 6500674 Werthimas Hystrectomy for Cancer cervix 26450 23000675 Sterilisation Post ertum 4140 3600676 Sterilisation Intravagil 4025 3500677 Abortion- D & C 2300 2000678 Abortion- Evacuation 3036 2640679 MTP- 1st Trimester 3036 2640680 MTP - 2nd Trimester 4370 3800681 Triple test 1656 1440682 Quadriple test 2530 2200683 BioPtlysical score 690 600684 Fetal nuechal translucency 345 300685 HPV testlnq 575 500686 BLCG 460 400

NephroloQV and ,UroloQv.687 Partial Nephrectomy -open 16215 14100 35000688 Partial Nephrectomy-larxoscoQic/endoscopic 14490 12600 57500689 Nephrolithomy -open 16100 14000 35000690 Nephrolithomy -Iaproscopic/endoscopic 16100 14000 65000691 Pyelolithotomy-open 14950 13000 35000692 Pyelolithotomy -Iaproscopic/endoscopic 10580 9200 65000693 Operations for Hydronephrosis -pyeloQiasty open 18400 16000 42500694 Operations for Hydronephrosis -pyeloplasty 20700 180,00 75000

Lap/endoscopic695 Operations for Hydronephrosis Endopiyelotomy antegrade 20125 17500 48000

696 Operations for Hydronephrosis Endoplyelotomy retrograde 20269 17625 48000

697 Operations for Hydronephrosis -ureterocalicostomy 18400 16000 48000698 Operations for Hydronephrosis-Ileal ureter 20269 17625 48000699 Open Draiqe of Perinephric Abscess 9200 8000 25000700 Percutaneous Draige of Perinephric Abscess -Ultrasound 5750 5000 18500

guided701 Cavernostomy 11500 10000 25000702 Operations for Cyst of the Kidney -open 11960 10400 35000703 Operations for Cyst of the Kidney -Lap/endoscopic 14030 12200 57830704 Ureterolithotomy -open 13386 11640 29940705 Ureterolithotomy-Lap/Endoscopic 10580 9200 30750706 Nephroureterectomyopen 13386 11640 45000707 Nephroureterectomy -Lap/Endoscopic 16100 14000 78000708 Operations for Ureter for -Double Ureters 19550 17000 45000709 Operations for Ureter -for Ectopia of Sinole Ureter 20700 18000 32500710 Operations for Vesico- ureteric Reflux -Open 20700 18000 32500711 Operations for Vesico- ureteric Reflux-Lap/Endoscopic 20700 18000 65000712 Operations for Vesico- ureteric Reflux-with bulking agents 20700 18000 27500

713 Ureterostomy - Cutaneous 13800 12000 32000714 Uretero-Colic astomosis 17250 15000 27500715 Formation of an Ileal Conduit 17250 15000 32000716 Ureteric Catheterisation 690 600 8500717 Biopsy of Bladder (Cystoscopic) 2300 2000 12500718 Diathermy Destruction of Bladder Neoplasm 8625 7500 27500

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NASH Non-Accredited NASHHospitals Hospitals Spl. Hospitals

719 Cysto·Litholapexy 10925 9500 23770720 Operations for Injuries of the Bladder 11500 10000 52500721 Suprapubic Draige (Cystostomy/vesicostomy) 6900 6000 19740722 Simple Cystectomy 17250 15000 44770723 Diverticulectomy -open 17250 15000 46310724 Diverticulectomy- Lap/Endoscopic 18400 16000 30870725 Diverticulectomy -Endoscopic incision of neck 1725 1500 27180726 Augmentation Cystoplasty 6670 5800 52500727 Operations for Extrophy of the Bladder- Single stage repair 22301 19392 75000

728 Operations for Extrophy of the Bladder- Multistage repair 20815 18100 74850

729 Operations for Extrophy of the Bladder- simple cystectomy 23000 20()00 74850with uriry diversion

730 Repair of Ureterocoel -Open 13800 12000 37500731 Repair of Ureterocoel -Lap/Endoscopic 14375 12500 61950732 Repair of Ureterocoel -Endoscopic incision 13570 11800 31000733 Open Suprapubic Prostatectomy 20700 18000 27600734 Open Retropubic Prostatectomy 20125 17500 29000735 Transurethral Resection of Prostate (TURP) 18630 16200 35000736 Urethroscopy/ Cystopanendoscopy 4600 4000 11940737 Interl urethrotom -optical 5750 5000 25620738 Interl urethrotomy -Core through urethroplasty 11040 9600 38500739 Urethral Reconstruction -End to end ansatamosis 3450 3000 37500740 Urethral Reconstruction - substitution urethroplasty 19550 17000 42500741 Posterior Urethal Valvu fulguration. 11270 9800 32500742 Operations for Incontinence of Urine - Male -Open 17250 15000 37500743 Operations for Incontinence of Urine - Male -Sling 18400 16000 37500744 Operations for Incontinence of Urine - Male-Bulking agent 19435 16900 37500

745 Operations for Incontinence of Urine - Female -Open 17250 15000 37500746 Operations for Incontinence of Urine - Female-Sling 18400 16000 37500747 Operations for Incontinence of Urine - Female-Bulking 19435 16900 37500

agent748 Reduction of Paraphimosis 1725 1500 5950749 Circumcision 4025 3500 9500750 Meatotomy 2346 2040 5250751 Meatoplasty 3220 2800 9500752 Operations for Hypospadias + Chordee Correction 1208 1050 38000753 Operations for Hypospadias - Second Stage 17250 15000 38500754 Operations for Hypospadias - One Stage Repair 12075 10500 38000755 Operations for Crippled Hypospadias 12593 10950 42500756 Operations for Epispadias _primary repair 12593 10950 38500757 Operations for Epispadias-crip.Qied epispaedias 11385 9900 65000758 Partial Amputation of the Penis 10764 9360 16500759 Total amputation of the Penis 16100 14000 27500760 Orchidectomy-Simple 9775 8500 16000761 Orchidectomy -Radical 12075 10500 28000762 Orchidectomy -Post orchidectomy retroperitoneallynpy 15985 13900 68500

node dissection.763 Epididymectomy 11270 9800 16000764 Adreneclectomy Unilateral/Bilateral for Tumour/For 25300 22000 50750

Carcinoma- Open765 Adreneclectomy Unilateral/Bilateral for Tumour/For 14375 12500 75000

Carcinoma -Lap/Endoscopic766 Operations for Hydrocele - Unilateral 5865 5100 10500767 Operations for Hydrocele - Bilateral 8556 7440 12500

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNASH Non-Accredited NASHHospitals Hosoitals Sol. Hospitals

768 Vasectomy (Should be free for Family Welfare) 0 0 14330

769 Operation for Torsion of Testis 11500 10000 21000

770 Micro-surgical Vasovasostomy Naso epidedymal 11040 9600 27500

ansatamosis.771 Operations for Varicocele Palomo's Unilateral- 7705 6700 27500

Microsuraical772 Operations for Varicocele Palomo's Unilateral - 9200 8000 27500

Lap/Endoscopic773 Operations for Varicocele Palomo's Bilateral -- 12650 11000 35000

Microsurgical774 Operations for Varicocele Palomo's Bilateral - 14950 13000 39000

Lap/Endoscopic775 Block Dissection of Inguil Nodes - One Side 6325 5500 28500

776 Block Dissection of lnqull Nodes - Both Sides 23000 20000 32500777 Excision of Filarial Scrotum 11500 10000 20000

778 Emergency Dialysis Femoral Puncture 932 810 990779 Emerqency Dialysis Subclavian Puncture 1162 1010 1830780 Fistula/Shunt at S.No.1287781 Dialysis Femoral Catheterisation Bilateral 1150 1000 1500782 Haemo Dialysis-For sero negative cases at S.No.1289783 Haemo Dialysis -FOR SERO POSITIVE CASES at S.No.1290784 Double Lumen Sub Clavian Catheter at S.No.1291785 Continuous Arterio Venus Haemofiltration at S.No. 1292786 Subclavian Access at S.No. 1280787 Femoral Access at S.No. 1279788 Plasma Exchange at S.No.1293789 Donor Nephrectomy -Open 28750 25000 49000790 Donor Nephrectomy-Lap/Endoscopic 46000 40000 75000791 Rei Transplantation 115000 100000 300770792 Lymphocoel Post transplant 5750 5000 5000793 Transplant Nephrectomy 23000 20000 87500794 Bilateral Nephrouretectomy (tive) 21850 19000 87500795 Vascular Prosthetic Graft 27600 24000 50750796 CAPD 2415 2100 28000797 PCNL - Unilateral 21850 19000 59500798 PCNL - Bilateral 28750 25000 89250799 Endoscopic Bulking agent Inject 4600 4000 42000800 Testicular Blopsv 1955 1700 6500801 GiI-Verner's Extended Pyelolithotomy 3500 2975 3500802 Radical Nephrectomy Nephrectomy -Ooen 17250 15000 65000803 Radical Nephrectomy Nephrectomy -Lap.Endoscopic 20700 18000 65000804 Radical Nephrectomy plus IV thrombus 23000 20000 65000805 Radical Nephrectomy plus IV thrombus plus cardiac 23000 20000 175000

bypass.806 Vasico Vagil Fistula Repair 17250 15000 49000807 Radical Cystectomy -Ileal conduit 24150 21000 65000808 Radical Cystectomy - continent diversion. 16560 14400 87500809 Nephrectomy Simple -Open 10074 8760 42000810 Nephrectomy Simple-ap/Endoscopic 11500 10000 65000811 Nephrostomv -Ooen 10074 8760 28000812 Nephrostomy -Lap/Endoscopic 12593 10950 17500813 Ureteric Reimplant for MegaureterVesicoureteric 10494 9125 32500

reflexuterocoel814 Ureteric Reimplant 10494 9125 32500815 Partial Cystectomy 13800 12000 31500816 TURP & TUR Bladder Tumour 17250 15000 42000817 TURP with Cystolithotripsy 19090 16600 35000

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NABH Non-Accredited NABHHospitals Hospitals Spl.Hospltats

818 Closure of Urethral Fistula 11178 9720 37500819 Orchidopexy - Unilateral -Open 9867 8580 17500820 Orchidopexy - Unilateral- Lap/Endoscopic 12334 10725 35000821 Orchidopexy - Bilateral -Open 12282 10680 26250822 Orchidopexy - Bilateral -Lap/Endoscoplc 15353 13350 45000823 Cystolithotomy -Suprapublc 9775 8500 15000824 Endoscopic Removal of Stone in Bladder 3450 3000 23800825 Resection Bladder Neck Endoscopic /Bladden neck 10925 9500 27300

incision/transurethral incision on prostrate826 Ureteroscopic Surgery 10350 9000 25000827 Urethroplasty 1st Stage 10925 9500 25000828 Exploratory Scrototomy 8556 7440 17500829 Perineal Urethrostomy 4715 4100 25000830 Dilatation of Stricture Urethra under G.A. 2358 2050 5400831 Dilatation of Stricture Urethra under LA 1725 1500 2500832 Retroperitoneoscopy Nephrectomy 33350 29000 54330833Hetroperitoneoscopy partial Nephrectomy 13225 11500 65000834 Retroperitoneoscopic nephrolithotomy 12075 10500 65000835 Retroperitoneoscopic pyelolithotomy 12650 11000 61690836 Retroperitoneoscopic operation for Hvderonephrosis 12305 10700 80000837 Retroperitoneoscopic surgery for Rei cyst 9775 8500 61950838 Retroperitoneoscopic ureterolithotomy 11500 10000 57430839 Retroperitoneoscopic Nephroureteroectomy 13225 11500 78730840 Laproscopy aassisted orchidopexy 8625 7500 42500841 l.aproscopic operation for varicocele 7533 6550 35000842 Lithotripsy Extra corporeal shock wave. 23000 20000 95000843 Uroflow Study (Micturometry) 460 400 950844 Urodvmlc Study (Cvstornetrv) 552 480 5700845 Cystoscopy with Retrograde Catheter -Unllateral /RGP 2803 2437 9000846 Cystoscopy with Retrograde Catheter - Bilateral /RGP 5589 4860 12000847 Cystoscopy with Bladder Biopsy 3381 2940 12500848 Voiding-cysto-urethrogram and retrograde urethrogram 414 360 3670

849 Radical orostratectornv-Ooen 17825 15500 75000850 Radical prostratectomy-Laproscopic 20125 17500 95000851 Radical prostratectorny- Robotic 20125 17500 220100852 Hilioum Laser Prostrate surgery/ Optical Interl 17250 15000 65000

urethrotomy/Core through/Stone lithotrypsy/Bladdertumour

853 High Intensity Focus Ultrasound (HIFU) Robotic for 4600 4000 220100Carcinoma prostrate and rei cell carcinoma

854 Prosthetic surgery for uriry incontinence 2300 2000 87500855 Ultra sound guided Biopsy 575 500 4600

Nimro,surQery , .'856 Craniotomy and Evacuation of Haematoma -Subdural 50715 441QO 85000857 Craniotomy and Evacuation of Haematoma -Extradural 50715 44100 85000858 Evacuation /Excision of Brain Abscess by craniotomy 54395 47300 110000859 Excision of Lobe (Frontal Temporal Cerebellum etc.) 54395 47300 105000860 Excision of Brain Tumours -Supratentotial 54395 47300 110000861 Excision of Brain Tumours -Infratentorial 54395 47300 110000862 Surgery of spll Cord Tumours 54395 47300 80000863 Ventriculoatrial Nentriculoperitoneal Shunt 27600 24000 58000864 Twist Drill Craniostomy 5750 5000 30000865 Subdural Tapping 2456 2136 25000866 Ventricular Tapping 2967 2580 21000867 Abscess Tapping 2967 2580 25000868 Placement of ICP Monitor - 2875 2500 25000

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NASH Non-Accredited NASHHospitals Hospitals Spl. Hospitals

869 Urokise Therepy for ICH - 1380 1200 25000870 Skull Traction Application 3100 2635 3100871 Lumber Pressure Monitoring 5750 5000 45650872 Vascular Malformations 23000 20000 126000873 Theco-peritoneal Shunt 12650 11000 21000874 Meningo Encephalocoeleexcision and repair 34500 30000 63000875 Meningomyelocoel 34500 30000 48000876 C.S.F. Rhinorrhaea 28750 25000 75000877 Cranioplasty 24150 21000 63000878 Posterior Cervical Olssectomv 22301 19392 65000879 Anterior Cervical Dissectomy 16618 14450 65000880 Brachial Plexus Exploration Microsuturing 15525 13500 65000881 Median Nerve Decompression 15180 13200 52500882 Peripheral Neurectomy (Tlrqemil) 15180 13200 59500883 Trigemil Rhiotomy 15525 13500 59500884 Cranial Nerve Astomosis 11500 10000 98000885 Peripheral Nerve Surgery - Major 18400 16000 70000886 Peripheral Nerve Surgery Minor 8280 7200 52500887 Ventriculo-Atrial Shunt (without valve) 13386 11640 125050888 Nerve Biopsy 6900 6000 24500889 Brain Biopsy 7475 6500 35000890 Anterior Cervical Spine Surgery with fusion 32200 28000 77000891 Anterior Lateral Decompression of spine 28750 25000 87500892 Brain Mapping 985 837 985893 Cervical or Dorsal or Lumbar Laminectomy 23000 20000 63000894 Combined Trans-oral Surgery & CV Junction Fusion 46000 40000 145000895 C.V. Junction Fusion procedures 32200 28000 91000896 Depressed Fracture 28750 25000 45000897 Discectomy 27600 24000 63000898 Endarterectomy 23000 20000 70000899 R.F. Lesion for Trigemil Neuralgia - 11500 10000 50260900 Spasticity Surgery - 39675 34500 137200901 Spil Fusion Procedure 34500 30000 70000902 Spil Intra Medullary Tumours 34500 30000 110000903 Spil Bifida Surgery Major 18975 16500 98000904 Spi Bifida Surgery Minor 18975 16500 87500905 Stereotaxic Procedures- biopsy/aspiration 23000 20000 194840906 Trans Sphenoidal Surgery 40250 35000 105000907 Trans Oral Surgery 37375 32500 157500908 Implantation of DBS -One electrode 34500 30000 166310909 Implantation of DBS -two electrodes 40250 35000 166310910 Endoscopic adueductoplasty 16100 14000 179900911 Facial nerve reconstruction 40250 35000 55000912 Recanelisation of venous sinuses 27600 24000 140000913 Carotid stenting 51980 45200 157800914 Cervical disc arthroplasty 27600 24000 95000915 Lumbar disc arthroplasty 13800 12000 95000916 Corpus callosectomy 40250 35000 157500917 Hemishpherectomy 32200 28000 175000918 Endoscopic CSF rhinorrhea rapair 39100 34000 63000919 Burr hole evacuation of chronic subdural haematoma 24150 21000 52500920 Microsurgical excision of Acoustic tomour 39100 34000 157500921 Microsurgical excision of rneninqornas 39100 34000 122500922 Epilepsy surgery 51980 45200 194840923 RF lesion for facet pain syndrome 17250 15000 120630924 Cervicallaminoplasty 32200 28000 98000925 Lateral mass C1-C2 screw fixation 32200 28000 105000

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNASH Non-Accredited NASHHospitals Hospitals ser Hospitals

926 MicrosurQical decompression for Triqernil nerve 43700 38000 122500

927 Cerebellar stimulation for hemifacial spasm 34500 30000 166310928 Cerebellar stimulation for other cranial nerve neuralgia 34500 30000 166310929 IC EC bypass procedures 51980 45200 122500930 Steriotactic guided craniotomy 51980 45200 157500931 Baclofen pump implantation lesioning for movement 46000 40000 98000

disorder including Parkinsonism932 Programmable VP shunt 28750 25000 87500933 Endoscopic sympathectomy 17500 14875 17500934 Lumber puncture 207 180 2400935 Exterl ventricular draiqe 4600 4000 17500936 lrnaqe quided surgeryExcision of tethored 40250 35000 140000937 Endoscopic 3rd ventriculostomy 40250 35000 105000938 Endoscopic cranial surgery/Biopsy/aspiration/aneurysm 51980 45200 166310

coiling939 Endoscopic discectomy 46000 40000 157500940 Aneurysm coiling 45885 39900 175000941 Endoscopic spil procedure- aneurysm colllnq 46000 40000 157500942 Surgery for orovino skull fractures-aneurysm coillno 45885 39900 98000943 carpel Tunnel decompression 20700 18000 35000944 Clippinq of intracranial aneurysm with use of stent 56810 49400 175000945 Surgery for intracranial Arteriovenous malformarions(AVM) 43988 38250 126000

946 Endovascular procedure/embolisation 32200 23800 28000947 4 vessels cerebral anqioqraphy 13800 12000 28000948 Foramen maonum decompression 28750 25000 87500949 Foramen magnum decompression with 51980 45200 98000

syrinoosubarachnoid shunt950 Dorsal column stimulation for bachache in failed back 28750 25000 145410

syndrome951 Suroery for recurrent disc prolapse/epidural fibrosis 32200 28000 87500952 surcerv for brain stem tumours 43988 38250 175000953 Proqrarnmable shunts 28750 25000 87500954 Decompressive cranectomy for hemishpherical acute 51980 45200 98000

subdural haematomalbrain swellinp/laroe infarct955 Intra arterial thrombolysis with tPA for ischemic stroketTpa- 4600 4000 42000

activated thromboplastin)956 steriotactic aspiration of intracerebral haematoma 43988 38250 70000957 Endoscopic aspiration of intracerebellar haematoma 51980 45200 70000958 Steriotactic Radiosurgery for brain pathology(X 57500 50000 210000

kinfe/Gamma knife - ONE session959 Steriotactic Radiosurgery for brain pathology(X 57500 50000 210000

kinfe/Gamma knife -Two or more sessions960 Chemotheraphy wafers for rnaliqnt brain tumours 19550 14450 25000

Paediatric s~rger.v'.;,· .. ,

961 Excision of thvroqlossal Duct/Cyst 16100 14000962 Diaphragmatic Hernia Repair (Thoracic or Abdomil 17250 15000

Approach)963 Tracheo Oesophaoeal Fistula (Correction Surcervi 25300 22000964 Colon Replacement of Oesophaqus 23000 20000965 Ornnhalo Mesenteric Cyst Excision 17250 15000966 Omphalo Mesenteric Duct- Excision 15525 13500967 Meckels Diverticulectomy 2910 2910968 Omphalocele 1st Staqe (Hernia Repair) 15525 13500969 Omphalocele 2nd Stge (Hernia Repair) 17250 15000970 Gastrochisis Repair 16100 14000971 Inquil Herniotomy 12558 10920

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NASH Non-Accredited NASHHospitals Hospitals Spl.Hospitals

972 Conqenltal Hydrocele 12558 10920973 Hydrocele of Cord 12558 10920974 Torsion Testis Operation 15525 13500975 Congenital Pyloric Stenosis- operation 13938 12120976 Duodel- Atresia Operation 14375 12500977 Pancreatic Rinq Operation 28750 25000978 Meconium Ileus Operation 17250 15000979 Malrotation of Intestines Operation 17250 15000980 Rectal Biopsy (Meqacolon) 9960 8466981 Colostomy Transverse 17250 15000982 Colostomy Left Iliac 17250 15000983 Abdomil Perineal Pull Through (Hirschaprugis Disease) 20700 18000

984 Imperforate Anus Low Anomaly -Cut Back Operation 10235 8900985 Imperforate Anus Low Anomaly - Perineal Anoplasty 13800 12000986 Imperforate Anus High Anomaly -Sacroabdomino Perineal 20700 18000

Pull Through987 Imperforate Anus High Anomaly - Closure of Colostomy 8625 7500

988 tntususceotion Operation 20700 18000989 Choledochoduodenostomy for Atresia of Extra Hepatic 20700 18000

Billiary Duct990 Operation of Choledochal Cyst 20700 18000991 Nephrectomy for -Pyonephrosis 20700 18000992 Nephrectomy for - Hydronephrosis 20700 18000993 Nephrectomy for -Wilms Tumour 7180 7180994 Paraortic Lymphadenoctomy with Nephrectomy for Wilms 23000 20000

Tumour995 Sacro-Coccyqeal Teratoma Excision 17250 15000996 Neuroblastoma Debulking 17480 15200997 Neuroblastoma Total Excision 20700 18000998 Rhabdomyosarcoma wide Excision 21563 18750999 Congenital Atresia & Stenosis of Small Intestine 23000 20000

1000 Muconium ileus 17250 150001001 Mal-rotation & Volvulus of the Midgut 19182 166801002 Excision of Meckle's Deverticulum 15755 13700

B~rnsand Plasticsurgs..y '" >",' ,;,:i,1003 Primary Suturlnq of Wound 3450 30001004 Injection of Keloids - Ganglion 1380 12001005 Injection of Keloids - Haemangioma 2300 20001006 Free Grafts - Wolfe Grafts 6555 57001007 Free Grafts - Theirech- Small Area 5% 7475 65001008 Free Grafts - Large Area 10% 8625 75001009 Free Grafts - Very Laroe Area 20% and above. 10350 90001010 Skin Flaps - Rotation Flaps 8970 78001011 Skin Flaps - Advancement Flaps 12650 110001012 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap 13225 115001013 Skin Flaps- Cross Finger 13225 115001014 Skin Flaps- Abdomil 13225 115001015 Skin Flaps- Thoracic 13225 115001016 Skin Flaps- Arm Etc. 14375 125001017 Subcutaneous Pedicle Flaps RaisinQ 6900 60001018 Subcutaneous Pedicle Flaps Delay 7475 65001019 Subcutaneous Pedicle Flaps Transfer 8625 75001020 Cartilate Grafting 8625 75001021 Reduction of Facial Fractures of Nose 1380 12001022 Reduction of Facial Fractures of Maxilla 12420 10800

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNABH Non-Accredited NABHHospitals Hospitals Spl.Hospitals

1023 Reduction of Fractures of Mandible & Maxilla - Eye Let 7475 6500

Solintlno1024 Reduction of Fractures of Mandible & Maxilla - Cast Netal 6900 6000

Splints1025 Reduction of Fractures of Mandible & Maxilla - Gumming 7820 6800

Splints1026 Interl Wire Fixation of Mandible & Maxilla 11500 100001027 Cleft Lip - repair. 12650 110001028 Cleft Palate Repair 13225 11500

1029 Primary Bone Graftina for alveolar cleft in Cleft Lip 11500 100001030 Secondary Surqerv for Cleft Lip Deformity 11178 9720

1031 Secondary Suraerv for Cleft Palate 12650 110001032 Reconstruction of Eyelid Defects - Minor 6325 55001033 Reconstruction of Eyelid Defects - Major 11178 97201034 Plastic Surqerv of Different Reqions of the Ear - Minor 8050 70001035 Plastic Surgery of Different Reaions of the Ear - Major 10350 90001036 Plastic Surqerv of the Nose - Minor 8050 70001037 Plastic Surgery of the Nose - Maior 11178 97201038 Plastic Surgery for Facial Paralysis (Support with 18400 16000

Reanimation)1039 Pendulous Breast - Mammoplasty 18630 162001040 Underdeveloped Breast Mammoplasty 16675 145001041 After Mastectomy (Reconstruction)Mammoplasty 16675 145001042 Syndactyly Repair 16675 145001043 Dermabrasion Face 13225 115001044 upto 30% Burns 1st Dressina 152 1321045 upto 30% Burns Subsequent Dressing 124 1081046 30% to 50% Burns 1st Dressina 193 1681047 30% to 50% Burns Subsequent Dressing 152 1321048 Extensive Burn -above 50% Frist Dressing 276 2401049 Extensive Burn -above 50% Subsequent dressing 193 168

Orthopedics ,..y

Plaster Work1050 Flnqers (post slab) 259 2251051 Fingers full plaster 259 2251052 Colles Fracture - Below elbow 1150 10001053 Colles Fracture - Full plaster 994 8641054 Calles fracture Ant. Or post. slab 920 8001055 Above elbow full plaster 173 1501056 Above Knee post-slab 718 6241057 Below Knee full plaster 173 1501058 Below Knee post-slab 718 6241059 Tube Plaster (or plaster cylinder) 978 8501060 Above knee full plaster 1840 16001061 Above knee full slab 1380 12001062 Minerva Jacket 2415 21001063 Plaster Jacket 2185 19001064 Shoulder spica 1955 17001065 Sinqle Hip spica 2243 19501066 Double Hip spica 2760 2400

Strappina 0 01067 Straoolno of Finaer 179 1561068 Strappinq of Toes 179 1561069 Straoolno of Wrist 262 2281070 Strapolnq of Elbow 262 2281071 Strapping of Knee 345 3001072 Straopino of Ankle 345 300

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NASH Non-Accredited NASHHospitals Hospitals Spl.Hospitals

1073 Strapping of Chest 489 425

1074 Strapping of Shoulder 518 450

1075 Fiaure of 8 bandage 518 450

1076 Collar and cuff slina 345 3001077 Ball bandage 403 350

1078 Application of P.O.P Casts for Upper & Lower Limbs 1093 9501079 Application of Functiol Cast Brace 1380 12001080 Application of Skin Traction 690 6001081 Application of Skeletal Tractions 949 825

1082 Bandage & Strappings for Fractures 552 4801083 Aspiration & Intra Articular Injections 575 5001084 Application of P.O.P Spices & Jackets 2473 21501085 Close Reduction of Fractures of Limb & P.O.P 2760 24001086 Reduction of Compound Fractures 2760 24001087 Open Reduction & Interl Fixation of Fingurs & Toes 5520 48001088 Open Reduction offracture of Long Bones of Upper / 9660 8400

Lower Limb -llinq & Exterl Fixation1089 Open Reduction of fracture of Long Bones of Upper / 9660 8400

Lower Limb -AO Procedures1090 Tension Band Wirings 5658 49201091 Bone Grafting 8280 72001092 Excision of Bone Tumours 6900 60001093 Excision or other Operations for Scaphoid Fractures 7188 62501094 Sequestrectomy & Saucerisation 6900 60001095 Sequestrectomy & Saucerizations -Arthrotomy 10235 89001096 Multiple Pinning Fracture Neck Femur 11500 100001097 iI Plate Fixations for Fracture Neck Femur 16100 140001098 A.O.Compression Procedures for Fracture Neck Femur 16560 14400

1099 Open Reduction of Fracture Neck Femur Muscle Pedicle 19550 17000Graft and Interl Fixations

1100 Close Reduction of Dislocations 3174 27601101 Open Reduction of Dislocations 3439 29901102 Open Reduction of Fracture Dislocation & Interl Fixation 13800 12000

1103 Neurolysis/Nerve repair 13800 120001104 Nerve Repair with Grafting 18975 165001105 Tendon with Transplant or Graft 10350 90001106 Tendon Lengthening/Tendon repair 8050 70001107 Tendon Transfer 3105 27001108 Laminectomy Excision Disc and Tumours 4830 42001109 Spil Ostectomy and Interl Fixations 24150 210001110 Anterolateral decompression for tuberculosis/ Costo- 3450 3000

Transversectomy1111 Antereolateral Decompression and Soil Fusion 26450 230001112 Corrective Ostectomy & Interl Fixation - short bones 13800 120001113 Corrective Ostectomy & Interl Fixation - long bones 11040 96001114 Arthrodesis of - Minor Joints 10350 90001115 Arthrodesis of - Major Joints 11040 96001116 Soft Tissue Operations for C.T.E.V. 8050 70001117 Soft Tissue Operations for Polio 6900 60001118 Herniarthroolastv- Hip 20125 175001119 Hemiarthroplasty- Shoulder 20125 175001120 Operations for Brachial Plexus & Cervical Rib 24150 210001121 Amputations - Below Knee 6900 60001122 Amputations - Below Elbow 6843 59501123 Amputations - Above Knee 10580 9200

CGHS DELHI 2010 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NABH Non-Accredited NABHHospitals Hospitals sct.Hosottats

1124 Amputations - Above Elbow 6843 59501125 Amputations - Forequarter 14950 130001126 Amputations -Hind Quarter and Hemipelvectomy 18400 160001127 Disarticulations - Maier ioint 20700 180001128 Disarticulations - Minor joint 12650 110001129 Arth rog raphy 9200 80001130 Arthroscopy - Diagnostic 8568 74501131 Arthroscopy-therapeutic: without implant 11500 100001132 Arthroscopy-therapeutic: with implant 17250 150001133 Soft Tissue Operation on JOINTS -SMALL 6900 60001134 Soft Tissue Operation on JOINTS -LARGE 16560 144001135 Myocutaneous and Fasciocutaneous FlaP Procedures for 18630 16200

Limbs1136 Removal of Wires & Screw 1800 15301137 Removal of Plates/lL 4140 36001138 Total Hip Replacement 103500 90000 1035001139 Total Ankle Joint Replacement 112125 97500 1121251140 Total Knee Joint Replacement 126500 110000 1265001141 Total Shoulder Joint Replacement 19550 17000 195501142 Total Elbow Joint Replacement 19550 17000 195501143 Total Wrist Joint Replacement 115000 100000 1150001144 Total finger joint replacement 23000 20000 230001145 Tubular exlerl fixator 4600 40001146 llizarov's exterl fixator 7763 67501147 Pelvi-acetebular fracture -interl fixation 8625 7500

Physiotherapy1148 Ultrasonic therapy 78 681149 S.w. Diathermy 78 681150 Electrical stimulation (therapeutic) 78 681151 Muscle testing and diagnostic 78 681152 Infra red 71 621153 U.V. Therapeutic dose 78 681154 Intermittent Lumbar Traction 78 681155 Intermittent Cervical traction 78 681156 Wax bath 78 681157 Hot pack 78 681158 Breathing Exercises & Postural Draige 58 501159 Cerebral Palsy - exercise 58 501160 Post- polio exercise 58 50

Nuclear Medicine.' 0 0RADIO~ISOTOPE'THgRAPY ,;, 0 0131-lodine Therapy 8300 7055 8300

1161 131-lodine Therapy <15mCi 5130 4361 51301162 131-lodine Therapy 15-50mCi 12000 10200 188001163 131-lodine Therapy 51-1 OOmCi 15000 12750 188001164 131-lodine Therapy> 1OOmCi 18000 15300 217001165 Phosphorus-32 therapy for metastatic bone pain palliation 7130 6061 7130

1166 Samarium-153 therapy for metastatic bone pain palliation 10690 9087 10690

1167 Radiosynovectomy with YttriumRadiotherapv'cind Chemotherapy';Cobalt 60 therapy " ,t .,f"

1168 Radical therapy 70000 595001169 Palliative therapy 25000 21250

Linearacceleratqr -. ,:1170 Radical therapy 60000 51000 95000

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNABH Non-Accredited NABHHospitals Hospitals Sol. Hospitals

1171 Palliative therapy 35000 29750 475001172 3 D Planning 5000 4250 89101173 2 D Planing 5000 4250 65301174 IMRT(lntensity Modulated radlotheraov) 103200 87720 1290001175 SRT (Stereotactic radiotherapy) 62400 53040 780001176 SRS(Stereotactic radio surgery) 82400 70040 1030001177 IGRT(lmage guided radiotherapy) 150400 127840 1880001178 Respiratory Gating-alongwith Linear accelerator planning 125000 106250

1179 Electron beam with Linear accelerator 89060 75701 890601180 Tomotherapy

BrachYfherapy- Hiqh'Dose radiation ..1181 Intracavitory 12000 10200 237501182 Interstitial 60000 51000 1078301183 lntralumll 10000 8500 142501184 Surface moul 4750 4038 47501185 GLiADAL WAFER 107830 91656 107830

Cliemcitharapy' ,0', ,/ ,,<,

1186 Neoadjuvant 863 750 19601187 Adjuvant 863 750 19601188 Concurrent-chemoadiation 920 800 14301189 Single drug 552 480 5901190 Multiple drugs 897 780 13451191 Targeted therapy 920 800 13101192 Chemoport facility 920 800 31401193 PICC line (peripherally inserted Central canullsation) 920 800 2000

List of proceduresi tests in GastroenterologyA) Endoscopic proceduresa, Upper G,L Endoscopy + Lower G,I, Endoscoov 1725 1500 6670

1194 a, Diagnostic endoscopy 600 510 24801195 b, Endoscopic biopsy 345 300 38001196 c. Endoscopic mucosal resection 1898 16501197 d. Oesophageal stricture dilatation 1725 1500 42801198 e, Balloon dilatation of achalasia cardia 2875 2500 653011991. Foreign body removal 1725 1500 44651200III Oesophageal stenting 3450 3000 91151201 h. Band ligation of oesophageal varices 2875 2500 44651202 L Sclerotherapy of oesophageal varices 2737 2380 38001203 '. Glue injection of varices 2737 2380 50001204 k. Argon plasma coaculatlon 4025 3500 118801205 L Pyloric balloon dilatation 2415 2100 65301206 m. Enteral stenting 3680 3200 744601207 n. Duodel stricture dilation 2415 2100 42801208 o. Slnqle balloon enterocopy 4600 40001209[p. Double balloon enteroscopy 4000 34001210lc. Capsule endoscopy 5175 45001211 r. Polypectomy 1518 1320 60001212 s. Piles bandlnq 1125 956 11251213 t. Colonic stricture dilatation 2737 2380 42801214 u. Hot biopsy forceps procedures 4025 35001215 v. Colonic stenting 2737 2380 150801216 w. Junction biopsy 2300 20001217 x. rrow band imaging 3450 3000 356012181y· Conjugal microscopy 4600 4000

b. ERCP1219 a. Diagnostic ERCP 5750 5000 66801220 b. Endoscopic sphincterotomy 2415 2100 13060

CGHS DELHI 201.0 RATESS.No. Name of Treatment Procedure Rates for Rates for Rates for Super

NASH Non-Accredited NASHHospitals Hospitals Spl,Hospitals

1221 c. CBO stone extraction 2415 2100 20540

1222 d. CBO stricture dilatation 7935 6900 13060

1223 e, Biliary stentinq (plastic and metallic) 4830 4200 15080

1224 f. Mechanical lithotripsy of CBO stones 8050 7000 10330

1225 Ig· Pancreatic sphincterotomy 8050 7000 10330

1226 h. Pancreatic stricture dilatation 5750 5000 103301227 i. Pancreatic stone extraction 10350 9000 103301228 '. Mechanical lithotripsy of pancreatic stones 11385 9900 130601229 k. Endoscopic cysto gastrostomy 8050 7000 117601230 I. Balloon dilatation of papilla 6900 6000 13060

B. Endoscopic ultrasound1231 a. Diaqnostic ultrasound 575 500 10451232 b. Colored doplar Listed under

Investiaations1233 c. Ultrasound quided FC 575 500 9701234 d. Ultrasound quided abscess dralqe 575 500 9701235 e, PTBO 2875 2500 296901236 f. Biliary stentinc at S.No.1223

C. Anqiooraohv 11500 10000 145001237 a. Oiagnostic anclocraohv 1495 1300 168601238 b. Vascular embolization 35630 30286 356301239 c. TIPS 4106 3035 4286901240 d. Trans jugular liver biopsy 6843 5950 942901241 e. IVC craohv + hepatic velnoqraohv 35000 297501242 f. Balloon angioplasty 97750 85000 1128101243 Q. Muscular stentinq 97750 850001244 h. BRTO 74750 650001245 i. Portal haemodymic studies 1725 1500

D. Manometry and PH metry1246 a. Oesoohaoeal PH metry1247 b. Oesophageal manometry1248 c. Small bowel manometry1249 d. Anorectal manometry1250 e. Colonic manometry1251 f. Biliary manometry1252 E. Sengstaken blackenesse tube tempode 2875 25001253 F. Lintas machles tube tempode 2875 2500

G. Bichemistry Seroloqv and Molecular bloloov1254 a. O-xylase test Listed under

Investiaations1255 b. Fecal fat test/ fecal chymotrypsin/ fecal elastase Listed under

Investiaations1256 c. Breath tests Listed under

Investiaations1257 d. H pylori serology for ciliac disease Listed under

Investiaations1258 e, HBV genotyping Listed under

Investiaations1259 f. HCV genotyping Listed under

InvestiaationsH. Extra corporeal shortwave lithotripsy 41400 36000

1268 a, CSO stones 633 5501268 b, Pancreatic duct stones 10330 87811270 I. Liver biopsy 1380 1200 2490

Nephroloi:!ic:a)prdeedures1271 Interl jugular cannulization 1208 1050 17001272 Rei Biopsy 1380 1200 2040

CGHS DELHI 2010 RATES

S.No. Name of Treatment Procedure Rates for Rates for Rates for SuperNABH Non-Accredited NABHHospitals Hospitals Spl.Hospitals

1273 Transplant Biopsy 2300 2000 33301274 Acute p.o. catheterization 1725 1500 61801275 Cont. Rei Replacement Therapy 17250 150001276 SLED (Slow Efficiency Dialysis) 1610 14001277 Permacath Insertion 2300 20001278 CAPO ( Insertion and Removal) 2600 2261 123501279 Femoral Access 886 770 9901280 Subclavian Access 1725 1500 18301281 Partial Nephrectomy at S.No.6871282 Nephrolithotomy- Laproscopic/endoscopic at S.No.6901283 Pyelolithotomy-Iaproscopic/ endoscopic at S.No.6921284 pyeloplasty -Lap/ Endoscopic 11250 9563 350001285 Ureterolithotomy- Lap/ Endoscopic at S.No.7051286 Formation of an illeal conduit at S.No.7151287 Fistula/shunt 5575 4848 85001288 Dialysis Femoral Catheterization Bilateral 1380 1200 50001289 Haemodialysis- For Sero negative cases 1208 1050 28501290 Haemodialysis- For Sero positive cases 1466 1275 28501291 Double luman sub ciavian catheter 1932 1680 18001292 Continuous Arterio Venous Haemofiltration 1725 1500 475001293 Plasma Exchange 2875 2500 285001294 Donor nephrectomy- Open at S.No.7891295 Donor nep_hrectomy- Lap/ endoscopic at S.No.7901296 Rei Transplantation at S.No. 7911297 Lymphocoel Post Transplant at S.No.7921298 Transplant Nephrectomy at S.No. 793

)

CGHSDElHI 2010 RATES LIST

.t~R.6MPANELLED DIAGNOSTIC LABORATORIESAND IMAGING CENTRES

S·No. NAME OF INVESTIGATION For Delhi NABL Accredited For Delhi Non

. NABL in

in Rupees Rupees[j~NrAL ': ".. ., .~

1 DentaiiOPA x-rav 70 602 Occlusal X-ray 80 683 OPGx-rav 200 170

PULMONARY .< " .•• •. c .• : :":' . ...... ~;. : -

4 lung Ventilation & Perfusion Scan (V/Q Scan) 5,000 4,2505 lung Perfusion Scan 3,000 2,550

OSTEOlOG,(.' -..6 Whole Body Bone Scan with SPECT. 3,500 2,9757 Three phase whole body Bone Scan 3,500 2,975

NEUROSCIENCES.' .. .... -

8 Brain Perfusion SPECTScan with Technetium 99m radiopharmaceuticals. 10,000 8,5009 Radionuclide Cisternography for CSFleak 5,000 4,250

GASTIWANbHEeATOBILIARY. -: ". -

10 Gastro esophageal Reflux Study (G.E.R.Study) 2,000 1,70011 Gastro intestinal Bleed (GloB.) Study with Technetium 99m labeled RBCs. 3,500 2,97512 Hepatobiliary Scintigraphy. 2,500 2,12513 Meckel's Scan 2,000 1,70014 Hepatosplenic sclntlgraphv with Technetium-99m radiopharmaceuticals 2,500 2,12515 Gastric emptying 1,500 1,275

GENITOURI~ARY .-' . ;..< --~",. -

16 Renal Cortical Scintigraphy with Technetium 99m D.M.S.A. 3,500 2,97517 Dynamic Renography. 3,500 2,97518 Dynamic Renography with Diuretic. 3,500 2,97519 Dynamic Renography with Captopril 4,500 3,82520 Testicular Scan 1,500 1,275

,ENDOCRINQl;OGYi,i ',' . , " -21 Thyroid Uptake measurements with 131-lodine. 1,600 1,36022 Thyroid Scanwith Technetium 99m Pertechnetate. 1,500 1,27523 lodine-131 Whole Body Scan. 3,000 2,55024 Whole Body Scan with M.I.B.G. 18,000 15,30025 Parathyroid Scan 5,000 4,250

RADIO-ISOTbpETHERAPJ . " .... :-

26 131-lodine Therapy listed under Treatment27 131-lodine Therapy <1smCi listed under Treatment28 131-lodine Therapy ls-s0mCi listed under Treatment29 131-lodine Therapy sl-100mCi listed under Treatment30 131-lodine Therapy >100mCi listed under Treatment31 Phosphorus-32 therapy for metastatic bone pain palliation listed under Treatment32 Samarium-153 therapy for metastatic bone pain palliation listed under Treatment33 Radiosynovectomy with Yttrium listed under Treatment

CAR'OIOlOGY :: -34 Stress thallium / Myocardial Perfusion Scintigraphy 9,900 8,41535 Rest thallium / Myocardial Perfusion Scintigraphy 9,900 8,41536 Venography 3,500 2,97537 ECG 50 43

38 STRESSECHO-DOBUTAMINE Listed under Treatment

39 STRESSECHO-EXERCISE 1,650 1,403

40 TMT 500 425

41 TEE 500 425

42 Lymph angiography 1,650 1,403Tl!.tY10U R;trytAGING':'" ,."•.•..•..•....•....• x',},':' ',' ..,. '. ,," .. .. -",' :<:: .;

".,

43 Scintimammography. 5,000 4,250

44 Indium lableled octeriotide Scan. 75,000 63,750

PETSCAN >;.'., J',"".. ": . -

~.'. -

45 FOGWhole body PET/ CTScan 21,000 17,850

46 Brain I Heart FOGPET/ CTScan, 15,000 12,750

47 Gallium-68 Peptide PET/ CT imaging for Neuroendocrine Tumor 17,000 14,450

48 Non-FOGPET/ CTScan - -laboratory Medlclne,": .:

.. '"

-.. .~Clinical Pat;hoI0gy;>, " ./ ' .,'" , ...... -

49 Urine routine- pH,specific gravity,sugar,protein and microscopy 39 3350 24 hrs urine for Proteins,sodium,creatinine 100 8551 Urine-Microalbumin 150 12852 Quantitative Albumin/Sugar 24 2053 Urine Bile Pigment and Salt 35 3054 Urine Urobilinogen 35 3055 Urine Ketones 35 3056 Urine Occult Blood 35 3057 Urine total proteins 21 1858 Bence Jones protein 48 4159 Stool routine 39 3360 Stool occult blood 35 3061 Post coital smear examination 100 8562 semen analysis 80 6863 Body fluid (CsF/Ascitic Fluid etc.)Sugar, Protein etc. 100 8564 Albumin. 21 1865 Creatinine clearance. 160 136

Haematology '~i"'llr£ ....•.: ." -66 Haemoglobin (Hb) 19 1667 Total Leucocytic Count (TLC) 32 2768 Differential Leucocytic Count (DLC) 32 2769 E.5,R. 35 3070 Total Red Cell count with MCV,MCH,MCHC,DRW 35 3071 Complete Haemogram -Hb,RBCcount and indices, TLC,DLC,Platelet, ESR, 138 11772 Platelet count 50 4273 Reticulocyte count 49 4274 Absolute Eosinophil count 50 4275 Packed Cell Volume (PCV) 35 3076 Peripheral Smear Examination 44 3777 Smear for Malaria parasite 42 3678 Bleeding & Clotting Time 48 4179 Clot Retraction Time 35 3080 R.B.C.Fragility Test 60 5181 L.E.Cell 77 6582 Foetal Haemoglobin (Hb-F) 154 13183 Prothrombin Time (P.T.) 119 10184 Bone Marrow Smear Exmination 75 64

85 Bone Marrow Smear Exmination with iron stain 256 218

86 Bone Marrow Smear Exmination and cytochemistry where required. 665 565

87 Partial Thromboplastin 105 89

88 Glucose Phosphate Dehydrogenase (G, 6PD) 250 213

89 Rapid test for malaria(card test) 44 37

90 WBC cytochemistry for leukemia -Conmplete panel 890 757

91 Bleeding Disorder panel-BT,CT,Platetlet count.Aj'Tl'.extended & Dic 700 595

92 Factro Assays-Factor VIII 750 638

93 Factor Assays-Factor IX 700 595

94 Factro Assays-other Factors 2,763 2,348

Anti CarOioHpinAntfbooies: ,·'C· -95 IgG. 260 221

96 IgM. 260 221

97 IgA. 260 221J\n~iPho~p/1oljpid·Ci.qtibbdie,s.• ':;,h\! )" ,:.:Z~':;. .

-

98 IgG. 260 221

99 IgM. 260 221100 IgA. 260 221101 Thalessemia studies 700 595102 Hb Electrophoresis 455 387103 Sickling studies 77 65

Nu~dti6nat.~arkers'}. . 'f;,;;,o·t\ yr,.'. ,>. ,;,. '". .>' '·;>'Y~., .t ' .. ..~' .; -

104 Serum Iron 100 85105 Total Iron Binding Capacity 100 85106 Vitamin B.12. 256 218107 Folic Acid. 350 298108 HDLCholestrol 100 85

Blood Bank .•. ." .~;:; ...... .. • c·

109 Blood Group & RHOType 33 28110 Cross match 60 51111 Packed cell preparation 40 34112 Coomb's Test Direct 100 85113 Coomb's Test Indirect 119 101114 Australia Antigen 120 102115 RHO,Antibody titer 119 101116 Blood Components-PRO 2,800 2,380117 Blood Components -Fresh Frozen Plasma 3,800 3,230118 Blood Components-Cryoprecipitate 488 414

Histopathology'" ".,. . ..... .. ". ".119 Routine-H & E 100 85120 special stain 100 85121 Immunohistochemistry(IHC) 878 746122 Frozen section 1,500 1,275123 Paraffin section 350 298

Cvtologv,..

;,; ". '.:;;.;"."': .... ..124 PapSmear 160 136125 Vaginal Cytology for Hormonal evaluation 160 136126 Body fluid for Malignant cells 200 170127 FNAC 250 213128 special stain on cytology 90 77

Flowcvtornetrv -129 Leukemia panel/Lymphoma panel 3,575 3,039

130 CDCount: CD3,CD4,CD8 1,000 850

131 PNHPanel-CD55,CD59 1,450 1,233

f::Y1:og~r'1~tjfis;,,'·i;,)·;, ',>; :,GJ::.t""'j'"h .... , .. .. '. -132 karyotyping 2,200 1,870

Tur:nolJr'!;har,kers. ,.•...

,,""S'! "0 -

133 PSA-Total. 319 271

134 PSA-Free. 450 383

135 AFP. 345 293

136 HCG. 340 289

137 CA. 125. 400 340138 CA 19,9. 630 536139 CA 5,3. 630 536140 Carcioembryonic antigen(CEA) 350 298

Blo-Cheri)ist!Y';,<E ..'; c:: ,','" >. -

141 Blood Glucose Random 25 21142 Blood Urea Nitrogen 55 47143 Serum Creatinine 56 48144 Serum Uric Acid 56 48145 Serum Bilirubin total & direct - -

146 Serum Iron 100 85147 Serum Cholesterol 63 54148 Total Iron Binding Capacity 100 85149 Glucose (Fasting & PP) 48 41150 Serum Calcium -Total 63 54151 Serum Calcium -lonic 45 38152 Serum Phosphorus 66 56153 Total Protein Alb/Glo Ratio 70 60154 S.G.P.T. 56 48155 S.G.O.T. 56 48156 Serum amylase 120 102157 Serum Electrolyte 140 119158 Triglyceride 95 81159 Glucose Tolerance Test (GTI) 100 85160 C.P.K. 105 89161 L.D.H. 132 112162 Alkaline Phosphatase 63 54163 Acid Phosphatase 80 68164 CKMB 196 167165 Lithium. 140 119166 Dilantin (phenytoin). 439 373167 Carbamazepine. 439 373168 Valproic acid. 315 268169 Feritin. 315 268170 Blood gas analysis 470 400171 Blood gas analysis with electrolytes 151 129172 Urine pregnancy test 69 58173 HbA1 C 165 140174 Kidney Function Test. 261 222175 Liver Function Test. 275 234176 Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides) 215 182177 Extended Lipid Profile.] Total cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo 700 595178 ApoA1. 203 173

)

179 Apo B. 203 173

180 Lp (a). 455 387

181 LDL. 63 54

182 Homocysteine. 455 387

183 HB Electrophoresis. 450 383184 Serum Electrophoresis. 300 255185 Fibrinogen. 400 340186 Chloride. 66 56187 Magnesium. 154 131188 GGTP. 100 85189 Lipase. 245 208190 Fructosamine. 224 190191 ~2 microglobulin 100 85192 Albumin. 21 18i93 Catecholamines. 1,400 1)90194 Creatinine clearance. 160 136

!1!?r:rn~hi?~il}t;s{;lii;12;L;.;!:"> ;·x";"}"., "";;;:"52" ';'/" ". " , -".. ,;. "195 T3, T4, TSH 213 181196 T3 75 64197 T4 75 64198 TSH 125 106199 LH 188 159200 FSH 188 159201 Prolactin 188 159202 Cortisol 266 226203 Enteropoetin 693 589204 PTH(Paratharmone) 618 525205 Calcitonin 840 7L4206 C-Peptide. 400 34-0207 Insulin. 325 276208 Progesterone. 266 226209 17-DH Progesterone. 450 383210 DHEAS. 450 383211 Androstendione. 770 655212 Growth Hormone. 350 298213 TPO. 385 327214 Throglobulin. 400 340

t0il;rob.i616gY&'S~'~6)Bgy.;:';'.J; ";i,';;r ,c ..

215 Smear gram-strain examination 48 4:1216 Sputum smear A.F.B. stain 56 48217 Vaginal Smear Examination 80 68218 Direct smear and stain examination for cryptosporidium 100 85219 Direct smear and stain examination for P.Carcinei 100 85220 lCB Count for mycology 150 128221 lCB Count for others 300 255222 V.D.R.l. 50 42223 TPHA test 210 179224 Widal test 70 61)225 Rheumatoid Factor test 105 8~226 Culture & Sensitivity -bacterial 100 8>-227 Culture & Sensitivity -Mycobacterial 200 171J228 Culture & Sensitivity -mycology 200 171J

229 C.R.P. 120 102

230 C.R.PQuantative 200 170

231 ASOTiter 143 122

232 Quantitative H.C.G. 80 68

233 Blood culture & sensitivity- manual 160 136

234 Blood culture & sensitivity-automated 300 255

235 Vibro cholera culture 300 255

236 Rapid Blood Culture. 468 397

237 Rapid AFBCulture. 420 357

238 C.3. 250 213

239 C.4. 250 213

240 IgG. 260 221

141 IgM. 260 221

242 IgA. 260 221

243 ANA. 320 272

244 DsDNA. 385 327

245 PANCA. 800 680246 CANCA. 770 655

Infectuous disease serology "it :~L':« .~. ,. " -

247 HAV. 553 470248 HbSAg- Elisa. 147 125249 Anti HBS. 300 255250 Anti HBCTotal. 490 417251 Anti HBCIgM. 488 414252 HbeAg. 423 359253 Anti Hbe. 450 383254 Anti- HCV. 400 340255 Anti- HEV. 618 525256 Triple Marker. 900 765

TORCH. , .. .". .. ...•. -- ." .. ,. -

257 IgG. 260 221258 IgM. 260 221

Toxoplasmosis. .is!e!' ../~;i ."./.&::;;~,. ~ ",'?:_. ,.\:. -

259 IgG. 260 221260 IgM. 260 221

CMV(Cytomegalovirus) •. -":'"-

261 IgG. 260 221262 IgM. 260 221

'HSV:F ',,' " j'. ;I'" .'

'.I ., ,'" -

263 IgG. 260 221264 IgM. 260 221265 IgE. 400 340

Tuberculosis.' .. ,.". ., .. s '. -266 TB IgG. 280 238267 TB IgM. 280 238268 TB IgA. 280 238

Rubella '(J; , "', '.'" . .. .'., '

" .-..... ,

269 IgG 200 170270 IgM 200 170271 IgA 250 213272 Dengue Serology. 600 510273 Cysticercosis. 500 425

274 Hydatic Serology. 374 318

275 Anti Sperm Antibodies. 406 345

IHeVl)N~!fl<f~'2:jt1S'i'6~;;:::- ... < ....•..•. ';;: .. ,';, ;,":" ......•..........•......•......................... -276 Qualitative. 2,340 1,989277 Quantitative. 1,600 1,360

HCVRNA./iV ' .o'.' .~.' -;

278 Qualitative. 2,340 1,989279 HPVserology -

280 Rota Virus serology 163 138281 PCRforTB 975 829282 PCRfor HIV 630 536283 Chlamydae antigen 900 765284 chlamydae antibody 280 238285 Brucella serology 245 208286 Influenza A serology 943 801

USG,X-ray}ct:,I'JiRI, Bone Densitometry..'. '., -

287 USGfor Obstetrics - Anomalies scan 380 323288 Abdomen USG 300 255289 Pelvic USG( prostate, gynae, infertility etc) 300 255290 Small parts USG( scrotum, thyroid, parathyroid etc) 410 349291 Neonatal head (Tranfontanellar) 500 425292 Neonatal spine 500 425293 Contrast enhanced USG 1,000 850294 USGBreast 410 349295 USGHystero-Salpaingography (HSG) 300 255296 Colour Doppler, Carotid artery 1,000 850297 Colour Doppler, Peripheral Artery/Veins 830 706298 Colour doppler, renal arteries/any other organ 1,000 850299 USGguided intervention-aspiration 500 425300 USGguided intervention- FNAC 700 595301 USGguided intervention - biopsy Listed under Treatment302 USGguided intervention - nephrostomy 875 744

X-Ray' :i~'.Y ;; .. -303 Abdomen APSupine or Erect (One film) 150 128304 Abdomen Lateral view (one film) 150 128305 Pelvimetry 150 128306 Chest PAview (one film) 70 60307 Chest Lateral (one film) 70 60308 Mastoids: Towne view, oblique views (3 films) 300 255309 Extremities, bones & Joints AP & Lateral views (Two films) 300 255310 PelvisA.P (one film) 150 128311 T. M. Joints (one film) 150 128312 Abdomen & Pelvis for K. U. B. 150 128313 Skull A. P.& Lateral (2 films) 300 255314 Spine A. P. & Lateral (2 films) 300 255315 PNSview (1 film) 150 128

X ray Contrast studies -316 Barium Swallow 600 510317 Barium Upper GI study 1,000 850318 Barium Upper GI study (Double contrast) 1,100 935319 Barium Meal follow through 1,100 935320 Barium Enema (Single contrast/double contrast) 1,000 850

321 Small bowel enteroclysis 1,200 1,020

322 ERCP(Endoscopic Retrograde Cholangio - Pancreatography) 6,010 5,109

323 General :Fistulography /Sinography/Sialography/Dacrocystography/ T-Tube 750 638

324 Percutaneous transhepatic cholangiography (PTC) 1,500 1,275

325 Intravenous Pyelography (IVP) 1,400 1,190

326 Micturating Cystourethrography (MCU) 800 680

327 Retrograde Urethrography (RGU) 800 680

328 Contrast Hystero-Salpingography (HSG) 1,200 1,020329 X ray - Arthrography 2,400 2,040

330 Cephalography 150 128

331 Myelography 3,500 2,975332 Digital Subtraction Angiography (DSA) - Cerebral arteries 22,000 18,700333 Digital Subtraction Angiography (DSA) - Peripheral Artery/arteries 9,000 7,650334 Digital Subtraction Angiography (DSA) - abdomen - -

335 Digital Subtraction Angiography (DSA) - chest - -I '¥tf' , '!M!l!ts ~t>:,;J3:h,;{Fi3:j{"i;i;;; '", .•.•••.);,j:i,;j';ii 11t.2,j,;;,.::;i>.·X,-:,,· ,.....• .•. ,

-

336 X-ray Mammography 500 425337 Ultrasound Mammography 500 425338 MRI Mammography 3,000 2,550

!~1.'S(j;;;lf!:~;r ;j;1:: "",',:,'// ....'<f:;Xi,·;T:';,' .:;;......~\ .,;,;:"':"'>"L;.~

-

339 CTHead-Without Contrast 1,050 893340 CTHead- with Contrast (+/- CTangiography) 1,350 1,148341 C.T. Chest - without contrast (for lungs) 2,000 1,700342 C.T. Chest - with contrast (+/- CTangiography) 2,500 2,125343 C.T. Scan Upper Abdomen Without Contrast 1,700 1,445344 C.T. Scan Upper Abdomen With Contrast 2,400 2,0110345 C.T. Scan Lower Abdomen Without Contrast 1,700 1,445346 c. T. Scan lower Abdomen With Contrast 2,400 2,OtlO347 C.T. ScanWhole Abdomen Without Contrast 3,300 2,8[)5348 C.T. ScanWhole Abdomen With Contrast 4,500 3,8l5349 CTangiography abdomen 5,000 4,2>0350 CTenteroclysis 7,500 6,3T5351 C.T. Scan Neck (Thyroid, parathyroid, Soft Tissues) - Without Contrast 1,800 l,5~0352 C.T. Scan Neck - With Contrast 2,200 1,870353 C.T. Scan Orbits - Without Contrast 1,400 1,190354 C.T. ScanOrbits - With Contrast 1,900 1,615355 C.T. Scan of Para Nasal Sinuses- Without Contrast 1,250 l,OE3356 C.T. Scan of Para Nasal Sinuses - With Contrast 2,100 1,7~5357 C.T. Spine (Cervical, Dorsal, Lumbar, SacraI)-without contrast 1,750 1,4~358 CTTemporal bone - without contrast 1,050 893359 CT- Dental 1,500 1,275360 c. T. Scan Limbs -Without Contrast 2,000 1,7(0361 C.T. Scan Limbs -With Contrast including CTangiography 2,650 2,253362 C.T.Guided intervention - Biopsy /FNAC 1,500 1,275363 c. T. Guided intervention -percutaneous catheter drainage / tube placement 1,535 1,3(6

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364 MRI Head - Without Contrast 2,350 1,993365 MRI Head - With Contrast 3,350 2,843366 MRIOrbits Without Contrast 1,700 l,4L1S367 MRI Orbits - With Contrast 5,000 4,25::1368 MRI Nasopharynx and PNS- Without Contrast 2,500 2,12);369 MRI Nasopharynx and PNS With Contrast 5,000 4,25»

370 MRI Neck - Without Contrast 2,400 2,040

371 MRI Neck- with contrast 5,000 4,250

372 MRI Shoulder - With contrast 2,500 2,125

373 MRI Shoulder - Without contrast 3,000 2,550

374 MRI shoulder both Joints - Without contrast 2,500 2,125

375 MRI Shoulder both joints - With contrast 5,000 4,250

376 MRI Wrist Single joint - Without contrast 2,500 2,125

377 MRI Wrist Single joint - With contrast 5,000 4,250378 MRI Wrist both joints - Without contrast 2,500 2,125379 MRI Wrist Both joints - With contrast 5,000 4,250380 MRI knee Single joint - Without contrast 2,500 2,125381 MRI knee Single joint - With contrast 5,000 4,250382 MRI knee both joints - Without contrast 2,500 2,125383 MRI knee both joints - With contrast 5,000 4,250384 MRI Ankle Single joint - Without contrast 2,500 2,125385 MRI Ankle single joint - With contrast 5,000 4,250386 MRI Ankle both joints - With contrast 2,500 2,125387 MRI Ankle both joints - Without contrast 3,000 2,550388 MRI Hip - With contrast 2,500 2,125389 MRI Hip - without contrast 3,000 2,550390 MRI Pelvis - Without Contrast 2,500 2,125391 MRI Pelvis - with contrast 5,000 4,250392 MRI Extremities - With contrast 5,000 4,250393 MRI Extremities - Without contrast 2,500 2,125394 MRI Temporomandibular - Single Joint - With contrast 5,000 4,250395 MRI Temporomandibular - Single Joint - Without contrast 2,500 2,125396 MRI Temporomandibular Double Joint - With contrast 5,000 4,250397 MRI Temporomandibular Double Joint - Without contrast 2,500 2,125398 MRI Abdomen - Without Contrast 2,500 2,125399 MRI Abdomen - With Contrast 5,000 4,250400 MRI Breast - With Contrast 5,000 4,250401 MRI Breast - Without Contrast 2,500 2,125402 MRI Spine Screening - Without Contrast 1,000 850403 MRI Chest - Without Contrast 2,500 2,125404 MRI Chest - With Contrast 5,000 4,250405 MRI Cervical Spine - Without Contrast 2,500 2,125406 MRI Cervical Spine - With Contrast 5,000 4,250407 MRI Dorsal Spine - Without Contrast 2,500 2,125408 MRI Dorsal Spine - With Contrast 5,000 4,250409 MRI Lumbar Spine - Without Contrast 2,500 2,125410 MRI Lumbar Spine - With Contrast 5,000 4,250411 Whole body MRI (For oncological workup) 6,000 5,100412 MRI Angiography - Without Contrast 1,200 1,020413 MRI Angiography - With Contrast 5,000 4,250414 MR cholecysto-pancreatography, 2,500 2,125415 MR Enteroclysis 2,500 2,125

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416 Bone Densitometry - Single Site 1,000 850417 Bone Densitometry - Two sites 1,800 1,530418 Bone Densitometry - Three sites (Spine, Hip & extremity) 2,300 1,955419 Bone Densitometry Whole body 2,950 2,508

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420 EEG/Video EEG 350 298

421 EMG (Electro myography) 750 638

422 Nerve condition velocity (at least 2 limbs) 750 638

423 Decremental response (before and after neo stigmine) 700 595

424 Incremental response 700 595

425 SSEP(Somato sensory evoked potentials) 750 638

426 Poly somnography 750 638427 Brachial plexus study 750 638

428 Muscle biopsy 450 383

429 ACHRanti body titre 8,500 7,225

430 Anti MUSK body titre 9,500 8,075431 Serum COPPER 600 510432 Serum ceruloplasmin 618 525433 Urinary copper 600 510434 Serum homocystine 455 387435 Serum valproate level 439 373436 Serum phenol barbitone level 390 332437 Coagulation profile 650 553438 Protein C,Santi thrombine - III 5,558 4,724439 Serum lactate level 540 459

<f,!'i.:>tJry";' 'U. ,,?'k?? "", ·::t"",,:'" ,: " "" " -440 a. Basicstudies including cell count, protein, sugar, gram stain, India Ink 240 204441 b. Special studies 1,200 1,020442 PCRfor tuberculosis/ Herpes simplex 1,229 1,044443 Bacterial culture and sensitivity 200 170444 Mycobacterial culture and sensitivity 200 170445 Fungal culture 150 128446 Malignant cells 75 64447 Anti measles antibody titre (with serum antibody titre) 1,230 1,046448 Viral culture 300 255449 Antibody titre (Herpes simplex, cytomegalo virus, flavivirus, zoster varicella 2,275 1,934450 'Oligoclonal band 1,500 1,275451 Myelin Basic protein 5,040 4,284452 Lactate 350 298453 Crypto coccal antigen 1,138 967

;nEsts '1t'J;'GA~TBC?:;ENt~,R6EGG\' "")'. -454 a. D-xylase test 1,200 1,020455 b. Fecal fat test/ fecal chymotrypsin/ fecal elastase 1,200 1,020456 c. Breath tests 1,500 1,275457 d. H pylori serology for ciliac disease 550 468458 e. HBVgenotyping 2,730 2,321459 f. HCVgenotyping 5,450 4,633

Tests ip' End.ocrinhlbgy ;('ip'<j,<Jditidh~o.t't\ose inctud,~dunperHarmon~sJ '. -460 UrinaryVMA 1,500 1,275461 Urinary metanephrine/Normetanephrine 1,138 967462 Urinary free catecholamine 1,690 1,437463 Serum catecholamine 3,500 2,975464 Serum aldosterone 1,200 1,020465 24 Hr urinary aldosterone 920 782466 Plasma renin activity 1,235 1,050467 Serum aldosterone/renin ratio 1,250 1,063468 Osmolality urine 150 128

469 Osmolality serum 150 128470 Urinary sodium 94 79471 Urinary Chloride 50 43472 Urinary potassium 94 79473 Urinary calcium 94 79474 Anti TPO ante body 400 340475 Thyroid binding globulin 600 510476 Serum cotisole 300 255477 24 hr urinary free cotisole 400 340478 Islet cell antebody 1,015 863479 GADantibody 1,330 1,131480 Insulin associated antibody 449 381481 IGF-l 2,015 1,713482 IGF-BP3 1,788 1,519483 Sex hormone binding globulin 1,333 1,133484 USGguided FNACthyroid gland 455 387485 FT3 125 106486 FT4 125 106487 FT4/TSH 100 85488 FT3/FT4/TSH 300 255489 E2 245 208490 Thyro globulin antibody 700 595