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Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST (DELHI/NCR) Non- NABH/Non- NABL Rates NABH/NABL Rates 1 Consultation OPD 150 150 2 Consultation- for Inpatients 300 300 3 Dressings of wounds 50 58 4 Suturing of wounds with local anesthesia 108 124 5 Aspiration Plural Effusion - Diagnostic 120 138 6 Aspiration Plural Effusion - Therapeutic 193 222 7 Abdominal Aspiration - Diagnostic 345 397 8 Abdominal Aspiration - Therapeutic 460 529 9 Pericardial Aspiration 380 437 10 Joints Aspiration 317 365 11 Biopsy Skin 230 265 12 Removal of Stitches 36 41 13 Venesection 124 143 14 Phimosis Under LA 1311 1508 15 Sternal puncture 173 199 16 Injection for Haemorrhoids 414 476 17 Injection for Varicose Veins 350 403 18 Catheterisation 83 95 19 Dilatation of Urethra 500 575 20 Incision & Drainage 420 483 21 Intercostal Drainage 125 144 22 Peritoneal Dialysis 1466 1686 TREATMENT PROCEDURE SKIN 23 Excision of Moles 345 397 24 Excision of Warts 310 357 25 Excision of Molluscum contagiosum 130 150 26 Excision of Veneral Warts 160 184 27 Excision of Corns 140 161 28 I/D Injection Keloid 97 112 29 Chemical Cautery (s) 110 127 TREATMENT PROCEDURE OPTHALMOLOGY 30 Subconjunctival/subtenon’s injections in one eyes 69 79 31 Subconjunctival/subtenon’s injections in both eyes 138 158 32 Pterygium Surgery 86 99 33 Conjunctival Peritomy 58 67 34 Conjunctival wound repair or exploration following blunt trauma 115 132 35 Removal of corneal foreign body 115 132 36 Cauterization of ulcer/subconjunctival injection in one eye 69 79 37 Cauterization of ulcer/subconjunctival injection in both eyes 138 159 38 Corneal grafting—Penetrating keratoplasty 5750 6613 39 Corneal grafting—Lamellar keratoplasty 5000 5750 40 Cyanoacrylate /fibrin glue application for corneal perforation 690 794

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Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1 ConsultationOPD 150 1502 Consultation- for Inpatients300 3003 Dressings of wounds 50 584 Suturingof wounds with local anesthesia 108 1245 Aspiration Plural Effusion - Diagnostic120 1386 Aspiration Plural Effusion - Therapeutic193 2227 Abdominal Aspiration - Diagnostic345 3978 Abdominal Aspiration - Therapeutic460 5299 Pericardial Aspiration 380 43710 Joints Aspiration 317 36511 Biopsy Skin230 26512 Removal of Stitches36 4113 Venesection124 14314 Phimosis Under LA1311 150815 Sternal puncture173 19916 Injection for Haemorrhoids414 47617 Injection forVaricose Veins350 40318 Catheterisation83 9519 Dilatation of Urethra500 57520 Incision & Drainage420 48321 Intercostal Drainage 125 14422 Peritoneal Dialysis1466 1686 TREATMENT PROCEDURESKIN23 Excision of Moles345 39724 Excision of Warts310 35725 Excision of Molluscum contagiosum130 15026 Excision of Veneral Warts160 18427 Excision of Corns140 16128 I/D Injection Keloid 97 11229 Chemical Cautery (s)110 127 TREATMENT PROCEDURE OPTHALMOLOGY30 Subconjunctival/subtenons injections in one eyes 69 7931 Subconjunctival/subtenons injections in both eyes 138 15832 Pterygium Surgery 86 9933 Conjunctival Peritomy 58 6734 Conjunctival wound repair or exploration following blunt trauma115 13235 Removal of corneal foreign body 115 13236 Cauterization of ulcer/subconjunctival injection in one eye 69 7937 Cauterization of ulcer/subconjunctival injection in both eyes 138 15938 Corneal graftingPenetrating keratoplasty 5750 661339 Corneal graftingLamellar keratoplasty 5000 575040 Cyanoacrylate /fibrin glue application for corneal perforation 690 794Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 41 Bandage contact lenses for corneal perforation 460 52942 Scleral grafting or conjunctival flap for corneal perforation 2300 264543 Keratoconus correction with therapeutic contact lenses 1200 138044 UV radiation for cross-linking for keratoconus 1800 207045 EDTA for band shaped keratopathy 863 99246 Arcuate keratotomy for astigmatism 2800 322047 Re-suturing (Primary suturing) of corneal wound 1150 132348 Penetrating keratoplasty ---- with glaucoma surgery 12144 1396649 Penetrating keratoplasty --- with vitrectomy 12144 1396650 Penetrating keratoplasty ---- with IOL implantation 13656 1570351 DALK- Deep anterior lamellar keratoplasty 17250 1983852 Keratoprosthesis stage I and II 11500 1322553 DSAEK- Descemets stripping automated endothelial keratoplasty16675 1917654 ALTK- Automated lamellar therapeutic keratoplasty 16500 1897555 Probing and Syringing of lacrimal sac- in one eye 69 7956 Probing and Syringing of lacrimal sac- in both eye 138 15957 DacryocystorhinostomyPlain2875 330658 DacryocystorhinostomyPlainwith intubation and/or with lacrimal implants9750 1121359 Dacryocystorhinostomyconjunctival with implant 9200 1058060 Caliculoplasty 2300 264561 Dacryocystectomy 1725 198462 Punctal plugs for dry eyes 130 15063 Refraction 40 4664 Indirect Ophthalmoscopy 67 7765 Orthoptic check-up- with synoptophore 44 5166 Lees charting or Hess charting 100 11567 Orthoptic exercises 50 5868 Pleoptic exercises 50 5869 Perimetry/field testGoldman 144 16670 Perimetry/field test automated 144 16671 Fluorescein angiography for fundus or iris 920 105872 Ultrasound A- Scan 863 99273 Ultrasound B- Scan 230 26574 Fundus Photo Test 200 23075 Indocyanin green angiography 920 105876 Corneal endothelial cell count with specular microscopy 230 26577 Corneal topography 331 38178 Corneal pachymetry 230 26579 Auto-refraction 35 4080 Macular function tests 44 5181 Potential acuity metry 100 11582 Laser interferometry 173 19983 OCT-Optical coherence tomography 2125 2500Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 84 HRT- Heidelbergs retinal tomogram 150 17385 GDX--- Nerve fibre layer analyzer88 10186 UBM- Ultrasound bio microscopy 150 17387 Non Contact tonometry 50 5888 IOP measurement with schiotz 30 3589 IOP measurement with applation tonometry 50 5890 Three mirror examination for reti 58 6791 90 D lens examination 50 5892 Gonioscopy 58 6793 Chalazion incision and curettage in one eye 400 46094 Chalazion incision and curettage in both eyes 431 49695 Ptosis surgery with fasanella servat procedure 2300 264596 Ptosis surgery with LPS resection one lid 5500 632597 Ptosis surgery with Sling surgery one lid 6670 767198 Ectropion surgery- one lid 1400 161099 Ectropion surgery- both lids 2500 2875100 Epicanthus correction 1550 1783101 Cantholysis and canthotomy 575 662102 Entropion surgery- one lid 1380 1587103 Entropion surgery- both lids 2000 2300104 Tarsorraphy 650 748105 Suturing of lid lacerations 1150 1323106 Lid retraction repair 1700 1955107 Concretions removal 115 132108 Bucket handle procedure for lid tumors 345 397109 Cheek rotation flap for lid tumors 6900 7935110 Orbitotomy 8050 9258111 Enucleation 3000 3450112 Enucleation with orbital implants and artificial prosthesis 3000 3450113 Evisceration 3450 3968114 Evisceration with orbital implants and artificial prosthesis 5693 6547115 Telecanthus correction 5175 5951116 Orbital decompression 5750 6613117 Exenteration 5750 6613118 Exenteration with skin grafting 6900 7935119 Fracture orbital repair 9200 10580120 Retinal laser procedures 1500 1725121 Retinal detachment surgery 11500 13225122 Retinal detachment surgery with scleral buckling 13800 15870123 Buckle removal 1150 1323124 Silicone oil removal 2800 3220125 Anterior retinal cryopexy 1162 1336126 Squint correction for one eye 5000 5750127 Squint correction for both eyes 7500 8625128 Trabeculectomy 6900 7935Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 129 Trabeculotomy 6900 7935130 Trabeculectomy with Trabeculotomy 10350 11903131 Trephition 2300 2645132 Goniotomy 345 397133 Glaucoma surgery with Glaucoma valves 6900+valve 7935 +valve134 Cyclocryotherapy 1150 1323135 YAG laser iridotomy 1500 1725136 YAG laser capsulotomy 1093 1257137 ALT-Argon laser trabeculoplasty 1495 1719138 PDT-Photodymic therapy 3450 3968139 TTT- Transpupillary thermal therapy 3000 3450140 PTK- Phototherapeutic keratectomy 7500 8625141 Argon/diode laser for retinal detatchment 1150 1323142 Intralase application for keratoconus 5750 6613143 EOG- electro-oculogram 900 1035144 ERG- Electro-retinogram 794 913145 VEP- visually evoked potential 800 920146 Vitrectomy- pars plana 11500 13225147 Intravitreal injections- of antibiotics 1150 1323148 Intravitreal injections- of lucentis excluding cost of drug 3000 3450149 X- Ray orbit 115 132150 CT-orbit and brain 173 199151 MRI- Orbit and brain 3450 3968152 Dacryocystography 340 391153 Orbital angio-graphical studies 1500 1725154 ECCE with IOL 3450 3968155 SICS with IOL 5000 5750156 Phaco with foldable IOL (silicone and acrylic)/PMMA IOL 10781 12398157 Pars planalensectomy with/without IOL 10350 11903158 Secondary IOL implantation- AC IOL PC IOL or scleral fixated IOL6900 7935159 Cataract extraction with IOL with capsular tension rings (Cionnis ring)13500 15525160 Optic nerve sheathotomy 7500 8625161 Iridodialysis repair or papillary reconstruction 5000 5750162 Iris cyst removal 850 978163 Lid Abscess incision and Drainage 1700 1955164 Orbital Abscess incision and Drainage 3000 3450165 Biopsy 460 529166 Paracentesis 230 265167 Scleral graft for scleral melting or perforation 2800 3220168 Amniotic membrane grafting 1100 1265169 Cyclodiathermy 2300 2645170 Intraocular foreign body removal 187 215171 Electrolysis 230 265Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 172 Perforating injury repair 4500 5175173 Botulinum injection for blepharospasm or squint 2500 2875 TREATMENT PROCEDURE DENTAL PROCEDURES 174 Flap Operation perquadrant360 414175 Gingivectomy per quadrant 234 269176 Reduction & immobilization of fracture- Maxilla Under LA 900 1035177 Reduction & immobilization of fracture-Mandible Under LA 3500 4025178 splints/Cirucum mandibular wiring under LA 510 587179 splints/Cirucum mandibular wiring under GA 990 1139180 Internal wire fixation/plate fixation ofMaxilla under LA 3000 3450181 Internal wire fixation/plate fixation of Maxilla under GA 4000 4600182 Internal wire fixation/plate fixation of Mandible under LA 3500 4025183 Internal wire fixation/plate fixation ofMandible under GA 4250 4888184 Extraction pertooth under LA 80 92185 Complicated Ext. per Tooth under LA 100 115186 Extraction of impacted tooth under LA160 184187 Extraction in mentally retarded/patients with systemic diseases/patient with special needs under short term GA939 1080188 Cyst & tumour of Maxilla /mandible by enucleation/ excision/ marsupalisation upto 4 cms under LA 244 281189 Cyst & tumour of Maxilla/mandible by enucleation/ excision/ marsupalisationsize more than 4 cms under LA 406 467190 Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupalisation size more than 4 cms under GA1000 1150191 TM joint ankylosis- under GA 7500 8625192 Biopsy Intraoral-Soft tissue 374 430193 Biopsy Intraoral-Bone374 430194 Hemi-mandibulectomy with graft 21000 24150195 Hemi-mandibulectomy withoutgraft 21000 24150196 Segmental-mandibulectomy with graft 3400 3910197 Segmental-mandibulectomy withoutgraft 990 1139198 Maxillectomy- Total with graft 2500 2875199 Maxillectomy- Total without graft 1950 2243200 Maxillectomy- partial with graft 3000 3450201 Maxillectomy- partialwithout graft 2500 2875202 Release of fibrous bands & grafting -in (OSMF) treatment under GA1500 1725203 Pre-prosthetic surgery- Alveoloplasty 500 575204 Pre-prosthetic surgery - ridge augmentation 1200 1380Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 205 Root canal Treatment(RCT) Anterior teeth(per tooth) 500 575206 Root canal Treatment(RCT) Posterior teeth (per tooth) 700 805207 Apicoectomy- Single root 500 575208 Apicoectomy-Multiple roots 650 748209 Metal Crown-per unit 500 575210 Metal Crown with Acrylic facing per unit 700 805211 Complete single denture-metal based 1500 1725212 Complete denture- acrylic based per arch 950 1093213 Removablepartial denture-Metal based-upto 3 teeth 700 805214 Removable partial denture-Metal based-more than 3 teeth 900 1035215 Removable partial denture-Acrylic based-upto 3 teeth 500 575216 Removable partial denture-Acrylic based-more than 3 teeth 264 304217 Amalgum restoration-per tooth 200 230218 Composite Restoration-per tooth-anterior tooth 250 288219 Glas Ionomer-per tooth 200 230220 Scaling & polishing 300 345221 Removable Orthodontics appliance- perArch 700 805222 Fixed Orhtodontics-per Arch 1150 1323223 Space maintainers-Fixed 500 575224 Habit breaking appliances-removable 800 920225 Habit breaking appliances-Fixed 1500 1725226 Expansion plate 1000 1150227 Feeding appliance for cleft palate 1500 1725228 Maxillo-facial prosthesis (sal/auricular/orbital/facial lost part) 3500 4025229 Functional orthodentic appliances 3000 3450230 Obturator (Maxillo-facial) 1500 1725231 Occlusal night guard(splint) 800 920 TREATMENT PROCEDURE ENT232 Pure Tone Audiogram172 198233 Impedence with stepedeal reflex 230 265234 SISI Tone Decay132 152235 Multiple hearing assessment test to Adults115 132236 Speech Discrimination Score90 103237 Speech Assessment120 138238 Speech therapy per session of 30-40 minutes131 151239 Cold Calorie Test for Vestibular function172 198240 Removal of foreign body From Nose345 397241 Removal of foreign body From Ear230 265242 Syringing (Ear) 166 191243 Polyp removal under LA 575 661244 Polyp removal under GA 850 978245 Peritonsillar abscess Drainage under LA1449 1666246 Myringoplasty6900 7935Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 247 Staepedectomy9200 10580248 Myringotomy with Grommet insertion 4600 5290249 Tympanotomy8625 9919250 Tympanoplasty13800 15870251 Mastoidectomy14950 17193252 Otoplasty16100 18515253 Labyrinthectomy13800 15870254 Skull Base surgery25000 28750255 Facial Nerve Decompression17250 19838256 Septoplasty5750 6613257 Submucous Resection7314 8411258 Septo-rhinoplasty16100 18515259 Rhinoplasty- Non-cosmetic 11500 13225260 Fracture Reduction4250 5000261 Intra nasal Diathermy1150 1323262 Turbinectomy5750 6613263 Endoscopic DCR13000 14950264 Endoscopic Surgery13800 15870265 Septal Perforation Repair13800 15870266 Antrum Puncture950 1093267 Lateral Rhinotomy1000 1150268 Cranio-facial resection25500 29325269 Caldwell Luc Surgery10626 12220270 Angiofibroma Excision17000 19550271 Endoscopic Hypophysectomy21500 24725272 Endoscopic Optic Nerve Decompression 32775 37691273 Decompression of Orbit 25500 29325274 Punch/Wedge biopsy 674 775275 Tonsillectomy 5000 5750276 Uvulo-palatoplasty 15000 17250277 FESS for antrochoal polyp 5750 6613278 FESS for ethmoidal polyp 5750 6613279 Polyp removal ear 748 860280 Polyp removal Nose(Septal polyp) 748 860281 Mastoidectomy plus Ossciculoplasty including TORP or PORP2415 2777282 Endolymphatic sac decompression 2875 3306283 Diagnostic endoscopy under GA 2300 2645284 Yonges operation for Atrophic rhinitis 6900 7935285 Vidian neurectomy for vasomotor Rhinitis 10350 11903286 Nasal Packing-anterior 345 397287 Nasal Packing-posterior 805 926288 Ranula Excision6843 7869289 Tongue Tie excision1500 1725290 Sub Mandibular Duct Lithotomy269 309291 Adenoidectomy5640 6486Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 292 Palatopharyngoplasty8165 9390293 Pharyngoplasty17193 19772294 Styloidectomy9200 10580295 Direct laryngoscopy including Biopsy under GA 5000 5750296 Oesophagoscopy/foreign body removal from 1800 2070297 Bronchoscopy with F.B.removal 2438 2804298 Other Major Surgery15000 17250299 Other Minor Surgery 8500 10000 TREATMENT PROCEDURE FOR HEAD AND NECK300 Ear Lobe Repair one side500 575301 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only 4000 4600302 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage 3800 4370303 Partial Amputation of Pinna 4500 5175304 Total Amputation of Pinna 6200 7130305 Total Amputation & Excision of External Auditory Meatus 1500 1725306 Excision of Cystic Hygroma5175 5951307 Excision of Cystic Hygroma Extensive7452 8570308 Excision of Branchial Cyst10350 11903309 Excision of Branchial Sinus10350 11903310 Excision of Pharyngeal Diverticulum10580 12167311 Excision of Carotid Body-Tumours11615 13357312 Operation for Cervical Rib12500 14375313 Block Dissection of Cervical Lymph Nodes15000 17250314 Pharyngectomy & Reconstruction15000 17250315 Operation for Carcinoma Lip - Wedge-Excision8050 9258316 Operation for Carcinoma Lip - Vermilionectomy5758 6622317 Operation for Carcinoma Lip - Wedge Excision and Vermilonectomy 9292 10686318 Estlander Operation7475 8596319 Abbe Operation9800 11270320 Cheek Advancement9775 11241321 Excision of the Maxilla 19320 22218322 Excision of mandible-segmental 15525 17854323 Mandibulectomy 21000 24150324 PartialGlossectomy 5520 6348325 Hemiglossectomy7000 8050326 Total Glossectomy22885 26318327 Commondo Operation22000 25300328 Parotidectomy - Superficial12075 13886329 Parotidectomy -Total 15000 17250330 Parotidectomy -Radical 19550 22483331 Repair of Parotid Duct11500 13225Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 332 Removal of Submandibular Salivary gland8625 9919333 Hemithyroidectomy9500 10925334 Partial Thyroidectomy (lobectomy) 11500 13225335 Subtotal Thyroidectomy13053 15011336 Total Thyroidectomy19000 21850337 Resection Enucleation of thyroid Adenoma10580 12167338 Total Thyroidectomy and Block Dissection26450 30418339 Excision of Lingual Thyroid16882 19414340 Excision of Thyroglossal Cyst/Fistula13225 15209341 Excision of Parathyroid Adenoma/Carcinoma 21275 24466342 Laryngectomy17825 20499343 Laryngo Pharyngectomy30000 34500344 Hyoid Suspension10350 11903345 Genioplasty12000 13800346 Direct Laryngoscopy including biopsy under GA 5175 5951347 Phonosurgery13800 15870348 Fibroptic examition of Larynx under LA1725 1984349 Microlaryngeal Surgery10350 11903350 Laryngofissure17250 19838351 Tracheal Stenosis Excision19780 22747Head and neck cancer352 Excisional Biopsies5750 6613353 Benign Tumour Excisions9500 10925354 Temporal Bonesubtotal resection20700 23805355 Modified Radical Neck Dissection25300 29095356 Carotid Body Excision26000 29900357 Total Laryngectomy39192 45071358 Flap Reconstructive Surgery41400 47610359 Parapharyngeal Tumour Excision39330 45230360 Other Major Surgery21250 25000361 Other Minor Surgery 5000 5750 TREATMENT PROCEDURE BREAST362 Drainage of abscess 6000 6900363 Excision of lumps 6969 8014364 Local mastectomy-simple 12650 14548365 Radical mastectomy-formalor modified. 28750 33063366 Excision of mammary fistula 15525 17854367 Segmental resection of breast 16100 18515368 Other Major Surgery25000 28750369 Other Minor Surgery 5000 5750 TREATMENT PROCEDURE GENERAL SURGERY370 Injury Of Superficial Soft Tissues 425 500371 Suturing of small wounds269 309372 Secondary suture of wounds290 334373 Debridement of wounds450 518Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 374 Removal Of Foreign Bodies 300 345Biopsies375 Excision of Cervical Lymph Node1725 1984376 Excision of Axillary Lymph Node2277 2619377 Excision of Inguinal Lymph Node2277 2619378 Excision Biopsy of Ulcers1470 1691379 Excision Biopsy of Superficial Lumps3220 3703380 Incision Biopsy of Growths/Ulcers1470 1691381 Trucut Needle Biopsy1550 1783382 Percutaneous Kidney Biopsy1470 1691383 Marrow Biopsy (Open)1060 1219384 Muscle Biopsy1470 1691385 Scalene Node Biopsy1350 1553386 Excision of Sebaceous Cysts1242 1428387 Excision of Superficial Lipoma1932 2222388 Excision of Superficial Neurofibroma2500 2875389 Excision of Dermoid Cysts2277 2619390 Haemorrhoidectomy 2500 2875391 Stappler haemorrhoidectomy4025 4629392 keloid excision1150 1323393 Vericose vein surgery;Tendelenburg operation with suturing or ligation.8625 9919 TREATMENT PROCEDURE OESOPHAGUS394 Atresia of Oesophagus and Tracheo Oesophageal Fistula 28750 33063395 Operations for Replacement of Oesophagus by Colon 25000 28750396 Oesophagectomy for Carcinoma Easophagus 25000 28750397 Oesophageal Intubation (Mausseau Barbin Tube) 11500 13225398 Achalasia Cardia Transthoracic14950 17193399 Achalasia Cardia Abdominal12650 14548400 Oesophago Gastrectomy for mid 1/3 lesion24495 28169401 Hellers Operation19750 22713402 Colon-Inter position or Replacement of Oesophagus 22540 25921403 Oesophago Gastrectomy Lower Corringers procedure21390 24599404 Other Major Surgery27625 32500405 Other Minor Surgery 5000 5750 TREATMENT PROCEDURE ABDOMEN / GI SURGERY406 Gastroscopy1725 1984407 Gastric & Duodenal Biopsy (Endoscopic)1950 2243408 Pyloromyotomy2800 3220409 Gastrostomy8625 9919410 Simple Closure of Perforated peptic Ulcer9775 11241411 Vagotomy Pyleroplasty / Gastro Jejunostomy13800 15870412 Duodenojejunostomy18950 21793413 Partial/Subtotal Gastrectomy for Carcinoma23000 26450Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 414 Partial/Subtotal Gastrectomy for Ulcer22425 25789415 Operation for Bleeding Peptic Ulcer20976 24122416 Operation for Gastrojejunal Ulcer19780 22747417 Total Gastrectomy for Cancer22368 25723418 Highly Selective Vagotomy18630 21425419 Selective Vagotomy & Drainage18630 21425420 Congenital Diaphragmatic Hernia18975 21821421 Hiatus Hernia Repair- Abdominal14490 16664422 Hiatus Hernia Repair- Transthoracic16100 18515423 Exploratory Laparotomy12650 14548424 Epigastric Hernia Repair 11385 13093425 Umbilical Hernia Repair 11385 13093426 Ventral /incisionalHerniaRepair 10293 11837427 Inguinal HerniaHerniorraphy14835 17060428 Inguinal Hernia - Hernioplasty16500 18975429 Femoral Hernia Repair 18285 21028430 Rare Hernias Repair (Spigalion, Obturator, Lumbar, Sciatic) 18975 21821431 Splenectomy - For Trauma18975 21821432 Splenectomy - For Hypersplenism14490 16664433 Splenorenal Anastomosis23000 26450434 Portocaval Anastomosis28750 33063435 Direct Operation on Oesophagus for Portal Hypertension 22885 26318436 Mesentericocaval Anastomosis25450 29268437 Warren Shunt28750 33063438 Pancerato Duodenectomy21735 24995439 By Pass Procedure for Inoperable Carcinoma of Pancreas 23000 26450440 Cystojejunostomy or Cystogastrostomy14490 16664441 Cholecystectomy10292 11836442 Cholecystectomy & Exploration of CBD14375 16531443 Repair of CBD13600 16000444 Operation for Hydatid Cyst of Liver11902 13687445 Cholecystostomy10292 11836446 Hepatic Resections (Lobectomy /Hepatectomy) 14375 16531447 Operation on Adrenal Glands - Bilateral26105 30021448 Operation on Adrenal Glands - Unilateral13800 15870449 Appendicectomy8108 9324450 Appendicular Abscess Drainage9775 11241451 Mesenteric Cyst- Excision11040 12696452 Peritonioscopy/Laparoscopy4600 5290453 Jejunostomy5750 6613454 Ileostomy15410 17722455 Resection & Anastomosis of Small Intestine20700 23805456 Duodenal Diverticulum18400 21160Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 457 Operation for Intestinal Obstruction10350 11903458 Operation for Intestinal perforation38000 43700459 Benign Tumours of Small Intestine19550 22483460 Excision of Small Intestine Fistula19550 22483461 Operations for GI Bleed16000 18400462 Operations for Haemorrhage of Small Intestines 19550 22483463 Operations of the Duplication of the Intestines 17825 20499464 Operations for Recurrent Intestinal Obstruction (Noble Plication & Other Operations forAdhesions)23000 26450465 Ilieosigmoidostomy and related resection16790 19309466 Ilieotransverse Colostomy and related resection16790 19309467 Caecostomy3903 4488468 Loop Colostomy Transverse Sigmoid13110 15077469 Terminal Colostomy17250 19838470 Closure of Colostomy17480 20102471 Right Hemi-Colectomy13800 15870472 Left Hemi-Colectomy13800 15870473 Total Colectomy17250 19838474 Operations for Volvulus of Large Bowel24920 28658475 Operations for Sigmoid Diverticulitis18630 21425476 Fissure in Ano with Internal sphinctrectomy with fissurectomy.13800 15870477 Fissure in Ano - Fissurectomy5750 6613478 Rectal Polyp-Excision5658 6507479 Fistula in Ano- High Fistulectomy16780 19297480 Fistula in Ano - Low Fistulectomy9867 11347481 Prolapse Rectum - Theirch Wiring10350 11903482 Prolapse Rectum - Rectopexy5750 6613483 Prolapse Rectum -Grahams Operation18400 21160484 Operations for Hirschsprungs Disease14260 16399485 Excision of Pilonidal Sinus (open)11500 13225486 Excision of Pilonidal Sinus with closure 11500 13225487 Abdomino-Perineal Excision of Rectum18300 21045488 Anterior Resection of rectum21850 25128489 Pull Through Abdominal Resection17170 19746490 Retro Peritoneal Tumor Removal 18000 20700491 Radio ablation of varicose veins1800 2070492 Laser ablation of varicose veins 17250 19838493 Laproscopic Fundoplication19300 22195494 Laproscopic Spleenectomy25000 28750495 Laproscopic Removal of hydatid cyst18000 20700496 Laproscopic treatment of Pseudo Pancreatic cyst18000 20700497 Laproscopic whipples operation20000 23000498 Laproscopic GI bypass operation22000 25300499 Laproscopic Total Colectomy25000 28750500 Laproscopic Hemi Colectomy23000 26450Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 501 Laproscopic Anterior Resection23000 26450502 Laproscopic Cholecystetomy18975 21821503 Laproscopic Appedicectomy18000 20700504 Laproscopic Hernia inguinal repair 18000 20700505 Laproscopic ventral Hernia Repair17500 20125506 Laproscopic Paraumblical Hernia Repair12580 14800507 Laproscopic Adrenelectomy12000 13800508 Laproscopic Nephrectomy 22000 25300509 Other Major Surgery38000 43700510 Other Minor Surgery 6000 6900 TREATMENT PROCEDURE ICU/CCU PROCEDURES (SPECIAL CARE CASES)511 Coronary Care with Cardiac Monitoring (Room Rent extra)750 863512Compressed air / piped oxygen /per hour 50 58513 Ventilator charges (Per day) 531 611514 Paediatric care for New born(Per day) 186 214515 Incubator charges (Per day)345 397516 Neonatal ICU charges (Per day)391 450517 Resuscitation184 212518 Exchange Transfusion265 305519 Pneupack ventilator in Nursery (Per day)575 661 TREATMENT PROCEDURE CARDIOVASCULAR AND CARDIAC SURGERY & INVESTIGATIONS520 ASD Closure 51808 59579521 VSD with graft 51808 59579522 TOF/TAPVC/TCPC/REV/RSOV repair 127075 146136523 B.D.Glenn/Left atrium myxoma 80750 95000524 Senning/ASO with graft 122188 140516525 DSO103615 119157526 AV Canal repair 161000 185150527 Fonten169000 194350528 Conduit repair 169000 194350529 CABG127075 146136530 CABG + IABP 169000 194350531 CABG + Valve. 169000 194350532 CABG without bypass. 140000 161000533 Ascending aorta replacement 130000 149500534 DVR 53000 60950535 MVR/AVR 103615 119157536 MV repair + AV repair 103615 119157537 Aorta femoral bypass 52000 59800538 B.T Shunt/Coaractation 51980 59777539 P.A.Banding septostomy 51980 59777540 Pericardectomy 42320 48668Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 541 CMV/PDA 51980 59777542 Gunshot injury 51980 59777543 Heart transplant 276000 317400544 Balloon coronary angioplasty/PTCA with VCD 80600 92690545 Balloon coronary angioplasty/PTCA without VCD 80000 92000546 Rotablation 48875 56206547 balloon valvotomy/PTMC 10264 11804548 CATH 10000 11500549 Arch Replacement10350 11903550 Aortic Dissection12650 14548551 Thoraco Abdominal Aneurism Repair 15000 17250552 Embolectomy21000 24150553 Vascular Repair 36000 41400554 Bentall Repair with Prosthetic Valve 30000 34500555 Bentall Repair with Biologic Valve 127500 150000556 Coaractation dilatation 14500 16675557 Coaractation dilatation with Stenting 18500 21275558 TPI Single Chamber 7500 8625559 TPI Dual Chamber 8160 9600560 Permanent pacemaker implantation- Single Chamber 13800 15870561 Permanent pacemaker implantation- Dual Chamber 19320 22218562 Permanent pacemaker implantation Biventricular 34500 39675563 AICD implantation Single Chamber 28750 33063564 AICD implantation Dual Chamber 40000 46000565 Combo deviceimplantation 40000 46000566 Diagnostic Electrophysiological studiesconventional 4550 5233567 Ambulatory BP monitoring 587 690568 External Loop/event recording 2848 3350569 RF Ablation conventional 35000 40250570 RF Ablation Atrial Tachycardia/Carto45000 51750571 Endomyocardial biopsy 10000 11500572 IABP7820 8993573 Intra vascular coils46000 52900574 Septostomy- Balloon 16150 19000575 Septostomy- Blade 19550 22483576 AVBD/PVBD 48300 55545577 Digital subtraction angiography-Peripheral artery 11500 13225578 Digital subtraction angiography- venogram 11500 13225579 C.T Guided biopsy 1265 1455580 Sinogram 863 992581 Peripheral Angioplasty with VCD11500 13225582 Peripheral Angioplasty without VCD11500 13225583 Renal Angioplasty60350 71000584 IVUS 25000 28750585 FFR 12750 15000586 Holter analysis 850 1000Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 587 Aortic stent graftingfor aortic aneurysm 78500 90275588 IVC Filter implantation 16129 18548589 ASD/VSD/PDA device closure 36225 41659590 ECG 50 58591 HUTT 2200 2530592 2 D echocardiography1200 1380593 3 D echocardiography 1403 1650594 Fetal Echo 1400 1610595 2 D TEE 1403 1650596 3 D TEE(Transoesophageal echo ) 1403 1650597 Stress Echo-exercise 1500 1725598 Stress Echo- pharmacological 2500 2875599 Stress MPI- exercise 1955 2300600 Stress MPI - pharmacological 2500 2875601 Coronary angiography 11500 13225602 CT coronary angiography 6030 6935603 Cardiac CT scan 2272 2613604 Cardiac MRI 2444 2811605 Stress Cardiac MRI 3000 3450606 MR angiography. 5635 6480607 Cardiac PET 1500 1725608 Pericardiocentesis 3500 4025609 Other Major Surgery20000 23000610 Other Minor Surgery 4250 5000 TREATMENT PROCEDURE OBSTETRICS AND GYNAECOLOGY611 Normal delivery with or without Episiotomy & P. repair8000 9200612 vacuum delivery 8625 9919613 Forceps Delivery 9200 10580614 Cesarean Section14050 16158615 Cesarean Hysterectomy18975 21821616 Rupture Uterus closure & repair with Tubal Ligation17250 19838617 Perforation of Uterus after D/E Laparotomy & Closure 13800 15870618 Laparotomy for Ectopic pregnancy 13800 15870619 Laparotomy-peritonitis Lavage and Drainage 11500 13225620 Salphingo-Oophorectomy/ Oophorectomy Laproscopic 10000 11500621 Ovarian Cystectomy-laparoscopic.10350 11903622 Ovarian Cystectomy -laparotomy.13800 15870623Salpingo-Oophorectomy-laparotomy11520 13248624 Laproscopic Broad Ligament Hematoma Drainage with repair 6900 7935625 Exploration of perineal Haematoma & Repair 8000 9200626 Exploration of abdominal Haematoma(after laparotomy + LSCS)8050 9258627 Manual Removal of Placenta3450 3968628 Examination under anesthesia (EUA) 1000 1150Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 629 Burst-abdomen Repair10000 11500630 Gaping Perineal Wound Secondary Suturing 1656 1904631 Gaping abdominalwound Secondary Suturing 3450 3968632 Complete perineal tear-repair2128 2447633 Exploration of PPH-tear repair3500 4025634 Suction evacuation vesicular mole 5000 5750635 Suction evacuationMissed abortion/ incomplete abortion 5175 5951636 Colpotomy3450 3968637 Repair of post-coital tear/ perineal injury3508 4034638 Excision of urethral caruncle3450 3968639 Shirodhkar/ Mc. Donalds stitch3220 3703640 Abdominal Hysterectomy with or without salpingo-oophorectomy17250 19838641 Vaginal Hysterectomy (NDVH) 17250 19838642 Vaginal Hysterectomy with repairs (UV Prolapse) 17250 19838643 Myomectomy -laparotomy 14000 16100644 Myomectomy -laparoscopic 6325 7274645 Vaginoplasty14950 17193646 Vulvectomy -Simple 9200 10580647 Vulvectomy-Radical9200 10580648 RVFRepair 14000 16100649 Manchester Operation15000 17250650 Shirodkarssling Operation or other sling operations for prolapse uterus3450 3968651 Laparoscopicsling operations for prolapse uterus 28000 32200652 Diagnostic Curettage2484 2857653 Cervical Biopsy 1800 2070654 Polypectomy1518 1746655 Other-Minor Operation Endometrial2300 2645656 Excision Vaginal Cyst/Bartholin Cyst3450 3968657 Excision Vaginal Septum4600 5290658 Laparoscopy -Diagnostic with chromopertubation and or adhesiolysis and drilling4025 4629659 Laparoscopy Sterilization3450 3968660 LAVH 25243 29029661 BalloonTemponade for PPH2800 3220662 Total laparoscopic hysterectomy 25243 29029663 Laparoscopic treatment of Ectopic pregnancy-salpingectomy/salpinostomy conservative9775 11241664 Conisation of cervix 4025 4629665 Trachhelectomy of cervix for early CA cervix 5500 6325666 Hysteroscopic cannulation 2875 3306667 Laparotomy recannalization of Fallopian tubes-(Tubuloplasty) 22425 25789Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 668 Laparoscopic recannalization of Fallopian tubes-(Tubuloplasty)19500 22425669 Colposcopy 958 1102670 Inversion of Uterus Vaginal Reposition2500 2875671 Inversion of Uterus Abdominal Reposition2500 2875672 Laparoscopic VVF Repair28000 32200673 Abdominal VVF Repair28000 32200674 Vaginal VVF Repair28000 32200675 Interventional Ultrasonography (CVS) 880 1012676 Amniocentesis 880 1012677 Karyotyping 800 920678 Thermal balloon ablation. 11500 13225679 Ultrasonographic myolysis 10293 11837680 Vaginal Myomectomy10000 11500681 Intra Uterine Inseminition 920 1058682 ICSI 11500 13225683 Laparotomy abdominal sacro-colpopexy 15000 17250684 Vaginal Colpopexy 22000 25300685 Laparoscopic abdominal sacro-colpopexy 20000 23000686 Laparotomy pelvicLymphadenectomy 1200 1380687 Laparoscopic pelvic Lymphadenectomy 3500 4025688 Endometrial aspiration cytology/biopsy 570 656689 Transvaginal sonography (TVS for Follicular monitioring /aspiration)460 529690 laparoscopic treatment for stress incontinence 15000 17250691 Transvaginal tapes for Stress incontinence 15000 17250692 trans-obturator tapes for Stress incontinence 12000 13800693 Interventional radiographicarterial embolization 18000 20700694 Diagnostic cystoscopy 2875 3306695 Staging laparotomy surgery for CA Ovary 6325 7274696 InternalIliac ligation 3393 3902697 stepwise devascularisation 9200 10580698 Assisted breech delivery 10925 12564699 Intra-uterine fetal blood transfusion 21275 24466700 Hysteroscopy TCRE8500 9775701 Hysteroscopy Removal of IUCD7500 8625702 Hysteroscopy Removal of Septum11000 12650703 Hysteroscopy Diagnostic7500 8625704 RadicalHysterectomy for Cancer cervix with pelvic lymphadenectomy 8500 9775705 RadicalHysterectomy for Cancer endometriumextending to cervix with pelvic and para aortic lymphadenectomy8500 9775706 Sterilization Post partum (minilap) 3750 4313707 Sterilization interval (minilap) 3750 4313708 Ultrasonography Level II scan/Anomaly Scan 500 575Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 709 Fetal nuchal Translucency 300 345710 Fetal Doppler/Umblical Doppler/Uterine Vessel Doppler 850 978711 MTP- 1st Trimester3000 3450712 MTP - 2nd Trimester4370 5026713 Quadruple test 2000 2300714 Biophysical score 600 690715 Other Major Surgery28000 32200716 Other Minor Surgery 5000 5750 TREATMENT PROCEDURE NEPHROLOGY ANDUROLOGY717 Partial Nephrectomy -open 16215 18647718 Partial Nephrectomy-laproscopic/endoscopic14490 16664719 Nephrolithomy -open 12000 13800720 Nephrolithomy -laproscopic/endoscopic14000 16100721 Pyelolithotomy-open 13000 14950722 Pyelolithotomy -laproscopic/endoscopic10580 12167723 Operations for Hydronephrosis -pyeloplasty open 18400 21160724 Operations for Hydronephrosis -pyeloplasty Lap/endoscopic 19000 21850725 Operations for Hydronephrosis Endoplyelotomy antegrade 20000 23000726 Operations for Hydronephrosis Endoplyelotomy retrograde 20000 23000727 Operations for Hydronephrosis -ureterocalicostomy 18000 20700728 Operations for Hydronephrosis-Ileal ureter 18000 20700729 Open Drainage of Perinephric Abscess 8000 9200730 Percutaneous Drainage of Perinephric Abscess -Ultrasound guided5750731 Cavernostomy9775 11500732 Operations for Cyst of the Kidney -open 11960 13754733 Operations for Cyst of the Kidney -Lap/endoscopic 14030 16135734 Ureterolithotomy -open 13248 15235735 Ureterolithotomy-Lap/Endoscopic 10000 11500736 Nephroureterectomy open16100 18515737 Nephroureterectomy -Lap/Endoscopic 16100 18515738 Operations for Ureter for -Double Ureters19000 21850739 Operations for Ureter -for Ectopia of Single Ureter18000 20700740 Operations for Vesico- ureteric Reflux -Open 18000 20700741 Operations for Vesico- ureteric Reflux-Lap/Endoscopic18000 20700742 Operations for Vesico- ureteric Reflux/ Urinary incontinence with bulking agents20700 23805743 Ureterostomy - Cutaneous12000 13800744 Uretero-Colic anastomosis16000 18400745 Formation of an Ileal Conduit17250 19838746 Ureteric Catheterisation690 794747 Biopsy of Bladder (Cystoscopic)2300 2645Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 748 Cysto-Litholapaxy10925 12564749 Operations for Injuries of the Bladder10000 11500750 Suprapubic Drainage (Cystostomy/vesicostomy)6000 6900751 Simple Cystectomy17250 19838752 Diverticulectomy -open 16000 18400753 Diverticulectomy- Lap/Endoscopic18400 21160754 Diverticulectomy -Endoscopic incision of neck 1725 1984755 Augmentation Cystoplasty6670 7671756 Operations for Extrophy of the Bladder- Single stage repair22300 25645757 Operations for Extrophy of the Bladder- Multistage repair 20815 23937758 Operations for Extrophy of the Bladder- simple cystectomy with urinary diversion22500 25875759 Repair of Ureterocoel -Open 13800 15870760 Repair of Ureterocoel -Lap/Endoscopic 14375 16531761 Repair of Ureterocoel -Endoscopic incision 13000 14950762 Open Suprapubic Prostatectomy20700 23805763 Open Retropubic Prostatectomy20125 23144764 Transurethral Resection of Prostate (TURP) 18630 21425765 Urethroscopy/ Cystopanendoscopy 4600 5290766 Internal urethrotomy -optical 5750 6613767 Internal urethrotomy -Core through urethroplasty 11040 12696768 Urethral Reconstruction -End to end ansatamosis 3450 3968769 Urethral Reconstruction - substitution urethroplasty (Transpubic urethroplasty 19550 22483770 Abdomino Perineal urethroplasty 14000 16100771 Posterior Urethral Valve fulguration.11270 12961772 Operations for Incontinence of Urine - Male -Open17250 19838773 Operations for Incontinence of Urine - Male -Sling18400 21160774 Operations for Incontinence of Urine - Male-Bulking agent19435 22350775 Operations for Incontinence of Urine - Female -Open17250 19838776 Operations for Incontinence of Urine - Female-Sling18400 21160777 Operations for Incontinence of Urine - Female-Bulking agent19435 22350778 Reduction of Paraphimosis1725 1984779 Circumcision3000 3450780 Meatotomy2346 2698781 Meatoplasty3220 3703782 Operations for Hypospadias + Chordee Correction9200 10580783 Operations for Hypospadias - Second Stage15000 17250784 Operations for Hypospadias -One Stage Repair9200 10580785 Operations for Crippled Hypospadias 11500 13225786 Operations for Epispadias _primary repair 12593 14482787 Operations for Epispadias-crippled epispadias 11385 13093Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 788 Partial Amputation of the Penis10764 12379789 Total amputation of the Penis12000 13800790 Orchidectomy-Simple9775 11241791 Orchidectomy -Radical 12075 13886792 Post Radical Orchidectomy retroperitoneal lymph node dissection.14000 16100793 Epididymectomy8000 9200794 Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma- Open25300 29095795 Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma -Lap/Endoscopic14375 16531796 Operations for Hydrocele - Unilateral5865 6745797 Operations for Hydrocele - Bilateral8556 9839798 Operation for Torsion of Testis11500 13225799 Micro-surgical Vasovasostomy /Vaso epidedymal ansatamosis.11040 12696800 Operations for Varicocele Unilateral-Microsurgical7705 8861801 Operations for Varicocele Palomos Unilateral - Lap 9200 10580802 Operations for Varicocele Bilateral --Microsurgical12650 14548803 Operations for Varicocele Bilateral Lap/ Palomo 14950 17193804 Block Dissection of ilio-inguinal Nodes - One Side (For Ca-Penis)6325 7274805 Block Dissection of ilio-inguinal Nodes - Both Sides (For Ca-Penis)23000 26450806 Excision of Filarial Scrotum11500 13225807 Kidney Transplantation (related) 3500 4025808 Kidney Transplantation (Spousal/ unrelated) 143000 164450809 ABO incompatible Transplantation 490000 563500810 Swap Transplantation388000 446200811 Kidney Transplant Graft Nephrectomy59500 70000812 Donor Nephrectomy (open) 28750 33063813 Donor Nephrectomy (Laproscopic)46000 52900814 Cadaver Transplantation 83300 95795815 Kidney Transplant with Native Kidney Nephrectomy (Related)/ Unilateral 28000 32200816 Kidney Transplant with Native Kidney Nephrectomy (Related)/ Bilateral85000 97750817 Kidney Transplant with Native Kidney Nephrectomy(Spousal/ Unrelated) Unilateral 85000 97750818 Kidney Transplant with Native Kidney Nephrectomy(Spousal/ Unrelated) Bilateral 85000 97750819 Post-Transplant Collection drainage for Lymphocele (open) 6800 8000820 Post-Transplant Collection drainage for Lymphocele (percutaneous)6800 8000Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 821 Post-Transplant Collection drainage for Lymphocele (Laproscopic)7650 9000822 Arteriovenous Fistula for Haemodialysis 2300 2645823 Arteriovenous Shunt for Haemodialysis 3500 4025824 Jugular Catheterization forHaemodialysis 1500 1725825Subclavian Catheterization forHaemodialysis 2250 2588826 One sided (single Lumen) FemoralCatheterization forHaemodialysis1000 1150827 Bilateral(single Lumen) Femoral Catheterization forHaemodialysis1500 1725828DoubleLumen FemoralCatheterization forHaemodialysis 1850 2128829 Permcath Insertion 2800 3220830 Arterio venous Prosthetic Graft 1850 2128831 Single lumen Jugular Catheterization 1500 1725832 Single lumen Subclavian Catheterization 1700 2000833 Plasma Exchange/ Plasma phresis 1725 1984834 Open method CAPD catheter insertion 3500 4025835Schlendinger method CAPD catheter insertion 3500 4025836 Sustained low efficiency hemodialysis 1250 1438837 Continuous Veno venous/Arteriovenous Hemofilteration 2250 2588838 Hemodialysis for Sero negative cases 1400 1610839 Hemodialysis for SeroPositive cases 1650 1898840 Acute Peritoneal Dialysis 1450 1668841 Fistologram for Arteriovenous Fistula 2500 2875842 Ultrasound guided kidney Biopsy 850 978843 Fistula stenosis dilation 3000 3450844 Slow continuous Ultrafilteration 2500 2875845 PCNL - Unilateral20000 23000846 PCNL - Bilateral25000 28750847 Endoscopic Bulking agentInject4500 5175848 Testicular Biopsy1955 2248849 Radical Nephrectomy -Open17250 19838850 Radical Nephrectomy -Lap/Endoscopic 20700 23805851 Radical Nephrectomy plus IV thrombus 23000 26450852 Radical Nephrectomy plus IV thrombus plus cardiac bypass. 23000 26450853 Vesico Vaginal FistulaRepair (Open) 16000 18400854 Vesico Vaginal FistulaRepair(Laproscopic) 22000 25300855 Radical Cystectomy -Ileal conduit17000 20000856 Radical Cystectomy - continent diversion. 15000 17250857 Radical Cystectomy Neo bladder18500 21275858 Nephrectomy Simple -Open 10074 11585859 Nephrectomy Simple-lap/Endoscopic 12593 14482860 Nephrostomy -Open10000 11500861 Nephrostomy -Lap/Endoscopic 10704 12593Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 862 Ureteric Re- implant for Megaureter/Vesicoureteric reflex/ uterocele (open)10494 12068863 Ureteric Re -implant for Megaureter/Vesicoureteric reflex/ uterocele (Laproscopic)10494 12068864 Partial Cystectomy13800 15870865 TURP & TUR Bladder Tumour17250 19838866 TURPwith Cystolithotripsy17000 19550867 Closure of Urethral Fistula11000 12650868 Orchidopexy - Unilateral -Open9867 11347869 Orchidopexy - Unilateral- Lap/Endoscopic12334 14184870 Orchidopexy - Bilateral -Open12282 14124871 Orchidopexy - Bilateral -Lap/Endoscopic14500 16675872 Cystolithotomy -Suprapubic9775 11241873 Endoscopic Removal of Stone in Bladder3450 3968874 Resection Bladder Neck Endoscopic /Bladderneck incision/transurethral incision on prostrate10925 12564875 Ureteroscopic Surgery 10350 11903876 Urethroplasty 1st Stage10925 12564877 Scrotal Exploration 8556 9839878 Perineal Urethrostomy4715 5422879 Dilatation of Stricture Urethra under G.A.2000 2300880 Dilatation of Stricture Urethra under LA 1725 1984881 Laproscopic Nephrectomy33350 38353882 Laproscopic partial Nephrectomy 10000 11500883 Laproscopic pyelolithotomy12650 14548884 Laproscopic Pyeloplasty 9775 11241885 Laproscopic surgery forRenal cyst 9775 11241886 Laproscopic ureterolithotomy11500 13225887 Laproscopic Nephro ureterotectomy13225 15209888 Lithotripsy Extra corporeal shock wave.19000 21850889 Uroflow Study (Uroflometry) 450 518890 Urodynamic Study (Cystometry)480 552891 Cystoscopy with Retrograde Catheter -Unilateral /RGP 2803 3223892 Cystoscopy with Retrograde Catheter - Bilateral /RGP 4675 5500893 Cystoscopy with Bladder Biopsy (Cold Cup Biopsy) 3381 3888894 Voiding-cysto-urethrogramandretrograde urethrogram (Nephrostogram) 414 476895 Radical prostatectomy-Open17825 20499896 Radical prostatectomy-Laproscopic20125 23144897 Radical prostatectomy- Robotic (Robotic Partial Nephrectomy) 20125 23144898 Hollmium YAG Prostate Surgery15000 17250899 Hollmium YAG OIU 4600 5290900 Hollmium YAG Core Through 17250 19838901 Hollmium YAG Stone Lithotripsy10200 12000902 Green Light laser for prostate17250 19838Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 903 RIRS/ Flexible Ureteroscopy6800 7820904 Microscopic VEA/ Vaso-Vasostomy (for Infertility) 13500 15525905 Cystoscopic Botulinum Toxin Injection ( Over active bladder/ Neurogenic bladder)6800 7820906 Peyronies disease Plaque excision with grafting 3400 4000907 High Intensity Focus Ultrasound (HIFU) (Robotic) for Carcinoma prostrate and renal cell carcinoma4600 5290908 Prosthetic surgery for urinary incontinence 2300 2645909 TRUS guided prostate biopsy575 661910 Ultra sound guided PCN 720 828911 Other Major Surgery15000 17250912 Other Minor Surgery 6800 7820 TREATMENT PROCEDURE NEURO-SURGERY913 Craniotomy and Evacuation of Haematoma -Subdural50715 58322914 Craniotomy and Evacuation of Haematoma -Extradural50000 57500915 Evacuation /Excision of Brain Abscess by craniotomy40000 46000916 Excision of Lobe (Frontal Temporal Cerebellum etc.) 41000 47150917 Excision of Brain Tumours -Supratentorial39123 44991918 Excision of Brain Tumours -Infratentorial45000 51750919 Surgery of spinal Cord Tumours45000 51750920 Ventriculoatrial /Ventriculoperitoneal Shunt 25000 28750921 Twist Drill Craniostomy4250 5000922 Subdural Tapping2456 2824923 Ventricular Tapping2967 3412924 Abscess Tapping2875 3306925 Placement of ICP Monitor - 2875 3306926 Skull Traction Application2300 2645927 Lumber Pressure Monitoring4250 5000928 Vascular Malformations22000 25300929 Meningo Encephalocoele excision and repair 15000 17250930 Meningomyelocoel Repair 24995 28744931 C.S.F. RhinorrhaeaRepair 28750 33063932 Cranioplasty24150 27773933 Anterior Cervical Dissectomy16600 19090934 Brachial Plexus Exploration and neurotization15525 17854935 Median Nerve Decompression14000 16100936 Peripheral Nerve Surgery Major17250 19838937 Peripheral Nerve SurgeryMinor8280 9522938 Ventriculo-Atrial Shunt 11615 13357939 Nerve Biopsy 6900 7935940 Brain Biopsy5808 6679941 Anterior Cervical Spine Surgery with fusion 32200 37030942 Anterio Lateral Decompressionof spine28750 33063943 Brain Mapping837 963944 Cervical or Dorsalor Lumbar Laminectomy23000 26450945 Combined Trans-oral Surgery & CV Junction Fusion34500 39675Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 946 C.V. Junction Fusion procedures 30000 34500947 Depressed Fracture Elevation25000 28750948 Lumbar Discectomy27600 31740949 Endarterectomy(Carotid) 20000 23000950 R.F. Lesion for Trigeminal Neuralgia11500 13225951 Spasticity Surgery - 39675 45626952 Spinal Fusion Procedure30000 34500953 Spinal Intra Medullary Tumours34500 39675954 Spinal Bifida Surgery Major18975 21821955 Spinal Bifida Surgery Minor15000 17250956 Stereotaxic Procedures- biopsy/aspiration of cyst23000 26450957 Trans Sphenoidal Surgery30000 34500958 Trans Oral Surgery30000 34500959 Implantation of DBS -One electrode 34500 39675960 Implantation of DBS -two electrodes 40250 46288961 Endoscopic aqueductoplasty 15000 17250962 Facial nerve reconstruction 30000 34500963 Carotid stenting 42263 48602964 Cervical disc arthroplasty 27600 31740965 Lumbar disc arthroplasty 13800 15870966 Corpus callostomy for Epilepsy35000 40250967 Hemishpherotomy for Epilepsy32200 37030968 Endoscopic CSF rhinorrhea repair 30000 34500969 Burr hole evacuation of chronic subdural haematoma24150 27773970 Epilepsy surgery 36225 41659971 RF lesion for facet joint pain syndrome 17250 19838972 Cervical laminoplasty 32000 36800973 Lateral mass C1-C2 screw fixation 23000 26450974 Microsurgical decompression for Trigeminal nerve38000 43700975 Microsurgical decompression for hemifacial spasm 4646 5343976 IC EC bypass procedures 32000 36800977 Image guided craniotomy 28980 33327978 Baclofen pump implantation39000 44850979 Programmable VP shunt 25000 28750980 Endoscopic sympathectomy 17107 19673981 Lumber puncture 207 238982 External ventricular drainage (EVD) 4600 5290983 Endoscopic 3rd ventriculostomy 40000 46000984 Endoscopic cranial surgery/Biopsy/aspiration31536 36266985 Endoscopic discectomy (Lumbar, Cervical) 35621 40964986 Aneurysm coiling (Endovascular) 34400 39560987 Surgery for skull fractures40000 46000988 Carpel Tunnel decompression 15000 17250989 Clipping of intracranial aneurysm24150 27773990 Surgery for intracranial Arteriovenous malformarions(AVM) 40000 46000Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 991 Foramen magnum decompression for Chari Malformation1100 1265992 Dorsal column stimulation for backache in failed back syndrome28750 33063993 Surgery for recurrent disc prolapse/epidural fibrosis 32200 37030994 Surgery for brain stem tumours 43988 50586995 Decompressive craniotomy for hemishphericalacute subdural haematoma/brain swelling/large infarct40000 46000996 Intra-arterial thrombolysis with TPA (for ischemic stroke ) 4600 5290997 Steriotactic aspiration of intracerebral haematoma 32545 37427998 Endoscopic aspiration of intracerebellar haematoma 40000 46000999 Steriotactic Radiosurgery for brain pathology(X knife/Gamma ) - ONE session27560 316941000 Steriotactic Radiosurgery for brain pathology(X knife / Gamma knife -Twoormore sessions57500 661251001 Chemotheraphy wafers for malignant brain tumors 14450 166181002 Battery Placement for DBS 22000 253001003 Baclofen pump implantation for spasticity 17330 199301004 Peripheral Nerve tumor surgery 24000 276001005 Surgery Intra Cranial Meningioma 20000 230001006 Surgery for Intracranial Schwannoma 35000 402501007 Surgery for Gliomas45000 517501008 Surgery for Orbital tumors40000 460001009 Surgery for Cranial (Skull) tumors38500 442751010 Surgery for Scalp AVMs 25000 287501011 Kyphoplasty40000 460001012 Balloon Kyphoplasty 40000 460001013 Lesioning procedures for Parkinsons disease, Dystonia etc. 35000 402501014 Other Major Surgery42500 500001015 Other Minor Surgery 17000 20000 TREATMENT PROCEDURE PAEDIATRIC SURGERY1016 Excision of thyroglossal Duct/Cyst16000 184001017 Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach)17250 198381018 Tracheo Oesophageal Fistula (Correction Surgery) 23000 264501019 Colon Replacement of Oesophagus23000 264501020 Omphalo Mesenteric Cyst Excision17250 198381021 Omphalo Mesenteric Duct-Excision15525 178541022 Meckels Diverticulectomy3347 38491023 Omphalocele 1st Stage (Hernia Repair)15525 178541024 Omphalocele 2nd Stge (Hernia Repair)17250 198381025 Gastrochisis Repair16100 185151026 Inguinal Herniotomy12558 14442Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1027 Congenital Hydrocele12000 138001028 Hydrocele of Cord12000 138001029 Torsion Testis Operation15000 172501030 Congenital Pyloric Stenosis- operation13938 160291031 Duodenal-Atresia Operation14000 161001032 Pancreatic Ring Operation22425 257891033 Meconium Ileus Operation14500 166751034 Malrotation of Intestines Operation13000 149501035 Rectal Biopsy (Megacolon)9736 111961036 Colostomy Transverse15000 172501037 Colostomy Left Iliac15000 172501038 Abdominal Perineal Pull Through (Hirschaprugis Disease) 19000 218501039 Imperforate Anus Low Anomaly -Cut Back Operation10235 117701040 Imperforate Anus Low Anomaly -Perineal Anoplasty12000 138001041 Imperforate Anus High Anomaly -Sacroabdomino Perineal Pull Through 12500 143751042 Imperforate Anus High Anomaly -Closure of Colostomy8625 99191043 Intususception Operation20700 238051044 Choledochoduodenostomy for Atresia of Extra Hepatic Billiary Duct 15000 172501045 Operation of Choledochal Cyst16000 184001046 Nephrectomy for -Pyonephrosis17000 195501047 Nephrectomy for -Hydronephrosis15000 172501048 Nephrectomy for -Wilms Tumour15000 172501049 Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour20000 230001050 Sacro-Coccygeal Teratoma Excision14000 161001051 NeuroblastomaDebulking16000 184001052 Neuroblastoma Total Excision20700 238051053 Rhabdomyosarcoma wide Excision15000 172501054 Congenital Atresia & Stenosis of Small Intestine 19000 218501055 Muconium ileus16000 184001056 Mal-rotation & Volvulus of the Midgut15000 172501057 Excision of Meckles Deverticulum12000 138001058 Other Major Surgery27000 310501059 Other Minor Surgery 11050 13000 TREATMENT PROCEDURE BURNS AND PLASTIC SURGERY1060 Primary Suturingof Wound300 3451061 Injection of Keloids - Ganglion1099 12641062 Injection of Keloids -Haemangioma1150 13231063 Free Grafts - Wolfe Grafts1725 19841064 Free Grafts - Theirech-Small Area 5%7475 85961065 Free Grafts -Large Area 10%8000 9200Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1066 Free Grafts - Very Large Area 20% and above. 10350 119031067 Skin Flaps - Rotation Flaps8970 103161068 Skin Flaps -Advancement Flaps12500 143751069 Skin Flaps -Direct- cross Leg Flaps- Cross Arm Flap12500 143751070 Skin Flaps - Cross Finger12500 143751071 Skin Flaps - Abdominal9350 110001072 Skin Flaps - Thoracic9350 110001073 Skin Flaps - Arm Etc.11000 126501074 Subcutaneous Pedicle Flaps Raising6900 79351075 Subcutaneous Pedicle Flaps Delay5950 70001076 Subcutaneous Pedicle Flaps Transfer5950 70001077 CartilageGrafting8625 99191078 Reduction of Facial Fractures of Nose1380 15871079 Reduction of Facial Fractures of Maxilla8000 92001080 Reduction of Fractures of Mandible & Maxilla - Eye Let Splinting 7475 85961081 Reduction of Fractures of Mandible & Maxilla - Cast Netal Splints 6900 79351082 Reduction of Fractures of Mandible & Maxilla - Gumming Splints 7500 86251083 Internal Wire Fixation of Mandible & Maxilla 11500 132251084 Cleft Lip - repair. 11500 132251085 Cleft Palate Repair12650 145481086 Primary Bone Grafting for alveolar cleft in Cleft Lip11500 132251087 Secondary Surgery for Cleft Lip Deformity10000 115001088 Secondary Surgery for Cleft Palate12650 145481089 Reconstruction of Eyelid Defects - Minor6325 72741090 Reconstruction of Eyelid Defects - Major8500 97751091 Plastic Surgery of Different Regions of the Ear - Minor 8050 92581092 Plastic Surgery of Different Regions of the Ear - Major10350 119031093 Plastic Surgery of the Nose - Minor8050 92581094 Plastic Surgery of the Nose - Major9500 109251095 Plastic Surgery for Facial Paralysis (Support with Reanimation)16100 185151096 Pendulous Breast - Mammoplasty13000 149501097 Underdeveloped Breast Mammoplasty 12000 138001098 After Mastectomy (Reconstruction)Mammoplasty 12000 138001099 Syndactyly Repair12750 150001100 Dermabrasion Face13225 152091101 upto 30% Burns 1st Dressing152 1751102 upto 30%Burns Subsequent Dressing124 1431103 30% to 50% Burns 1st Dressing193 2221104 30% to 50%Burns Subsequent Dressing152 1751105 Extensive Burn -above 50% Frist Dressing 276 3171106 Extensive Burn -above 50% Subsequent dressing 193 222 TREATMENT PROCEDURE ORTHOPEDICSSr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1107 Plaster Work 255 3001108 Fingers (post slab)259 2981109 Fingers full plaster259 2981110 Colles Fracture - Below elbow978 11251111 Colles Fracture -Full plaster994 11431112 Colles fracture Ant. Or post. slab400 4601113 Above elbow full plaster173 1991114 Above Knee post-slab575 2881115 Below Knee full plaster173 1991116 Below Knee post-slab718 8261117 Tube Plaster (or plaster cylinder)800 9201118 Above knee full plaster1265 14551119 Above knee full slab1158 13321120 Minerva Jacket2415 27771121 Plaster Jacket2185 25131122 Shoulder spica1955 22481123 Single Hip spica2243 25791124 Double Hip spica2760 31741125 Strapping of Finger179 2061126 Strapping ofToes180 2071127 Strapping ofWrist230 2651128 Strapping ofElbow262 3011129 Strapping of Knee345 3971130 Strapping ofAnkle345 3971131 Strapping of Chest460 5291132 Strapping of Shoulder518 5961133 Figure of 8 bandage518 5961134 Collar and cuff sling255 3001135 Ball bandage400 4601136 Application of P.O.P Casts for Upper & Lower Limbs 633 7281137 Application of Functiol Cast Brace1350 15531138 Application of Skin Traction690 7941139 Application of Skeletal Tractions949 10911140 Bandage & Strappings for Fractures552 6351141 Aspiration & Intra Articular Injections575 6611142 Application of P.O.P Spices & Jackets2473 28441143 Close Reduction of Fractures of Limb & P.O.P 2600 29901144 Reduction of Compound Fractures2760 31741145 Open Reduction & Internal Fixation of Fingurs & Toes 5175 59511146 Open Reduction offracture of Long Bones of Upper / Lower Limb -iling & Exterl Fixation 8050 92581147 Open Reduction of fracture of Long Bones of Upper / Lower Limb -AO Procedures 9660 111091148 Tension Band Wirings5658 65071149 Bone Grafting6601 75911150 Excision of Bone Tumours6900 7935Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1151 Excision or other Operations for Scaphoid Fractures 7188 82661152 Sequestrectomy & Saucerisation 6900 79351153 Sequestrectomy & Saucerizations -Arthrotomy9971 114671154 Multiple Pinning Fracture Neck Femur11500 132251155 Plate Fixations for Fracture Neck Femur 13500 155251156 A.O.Compression Procedures for Fracture Neck Femur 16560 190441157 Open Reduction of Fracture Neck Femur Muscle Pedicle Graft and Internal Fixations19500 224251158 Close Reduction of Dislocations3174 36501159 Open Reduction of Dislocations3439 39551160 Open Reduction of Fracture Dislocation & Internal Fixation 13500 155251161 Neurolysis/Nerve repair13800 158701162 Nerve Repair with Grafting16675 191761163 Tendon with Transplant or Graft10350 119031164 Tendon Lengthening/Tendon repair 8050 92581165 Tendon Transfer3105 35711166 Laminectomy Excision Disc and Tumours4830 55551167 Spil Ostectomy and Internal Fixations24150 277731168 Anterolateral decompression for tuberculosis/ Costo-Transversectomy 3450 39681169 Antereolateral Decompression and Spil Fusion 19350 222531170 Corrective Ostectomy & Internal Fixation -short bones 13800 158701171 Corrective Ostectomy & Internal Fixation -long bones11040 126961172 Arthrodesis of - Minor Joints10350 119031173 Arthrodesis of - Major Joints10000 115001174 Soft Tissue Operations for C.T.E.V.8050 92581175 Soft Tissue Operations for Polio 6900 79351176 Hemiarthroplasty- Hip 20000 230001177 Hemiarthroplasty- Shoulder 20000 230001178 Operations for Brachial Plexus & Cervical Rib 24150 277731179 Amputations - Below Knee6900 79351180 Amputations -Below Elbow6843 78691181 Amputations -Above Knee8050 92581182 Amputations -Above Elbow6843 78691183 Amputations -Forequarter13225 152091184 Amputations -Hind Quarter and Hemipelvectomy18400 211601185 Disarticulations -Major joint 20700 238051186 Disarticulations -Minor joint12650 145481187 Arthrography9200 105801188 Arthroscopy -Diagnostic8568 98531189 Arthroscopy-therapeutic: without implant 10000 115001190 Arthroscopy-therapeutic: with implant 17250 198381191 Soft Tissue Operation on JOINTS -SMALL 6900 79351192 Soft Tissue Operation on JOINTS -LARGE 13500 15525Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1193 Myocutaneous and Fasciocutaneous Flap Procedures for Limbs18630 214251194 Removal ofWires & Screw1760 20241195 Removal of Plates 4140 47611196 Total Hip Replacement79000 908501197 Total Ankle Joint Replacement95400 1097101198 Total Knee Joint Replacement110000 1265001199 Total Shoulder Joint Replacement79000 908501200 Total Elbow Joint Replacement79000 908501201 Total Wrist Joint Replacement100000 1150001202 Total finger joint replacement 20000 230001203 Tubular external fixator 4600 52901204 Ilizarov's external fixator 7763 89271205 Pelvi-acetebular fracture -Internal fixation 8625 99191206 Meniscectomy12000 138001207 Meniscus Repair10000 115001208 ACL Reconstruction8500 97751209 PCL Reconstruction13500 155251210 Knee Collateral Ligament Reconstruction12500 143751211 Bencarf Repair Shoulder13200 151801212 RC Repair1500 17251213 Biceps tenodesis14000 161001214 Distal biceps tendon repair 10380 119371215 Arthrolysis of knee12500 143751216 Capsulotomy of Shoulder15800 181701217 Conservative Pop 1200 13801218 Application for CTEV per sitting1200 13801219 Total Hip Replacement Revision Stage-I17000 195501220 Total Hip Replacement Revision Stage-II 50000 575001221 Total Knee Replacement RevisionStage-I35000 402501222 Total Knee Replacement RevisionStage-II 35000 402501223 Illizarov/ external fixation for limb lengthening/ deformity correction12500 143751224 Discectomy/ Micro Discectomy12500 143751225 Laminectomy4646 53431226 Spinal Fixation Cervical/dorsolumbar/ lumbosacral 16000 184001227 Fusion Surgery Cervical/ Lumbar Spineupto2 Level 22000 253001228 More than 2 Level12000 138001229 Scoliosis Surgery/ Deformity Correction of Spine25000 287501230 Vertebroplasty12000 138001231 Spinal Injections450 5181232 DHS for Fracture Neck Femur15000 172501233 Proximal Femoral Nail (PFN for IT Fracture) 14000 161001234 Spinal Osteotomy 1434 16491235 Illizarovs / External Fixation for Trauma13000 149501236 Soft Tissue Operations for Polio/ Cerebral Palsy10557 12420Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1237 Mini Fixator for Hand/Foot9000 103501238 Other Major Surgery38250 450001239 Other Minor Surgery 11883 13980 TREATMENT PROCEDURE PHYSIOTHERAPY1240 Ultrasonic therapy78 901241 S.W. Diathermy78 901242 Electrical stimulation (therapeutic)78 901243 Muscle testing and diagnostic71 821244 Infra red78 901245 U.V. Therapeutic dose58 671246 Intermittent Lumbar Traction78 901247 Intermittent Cervical traction75 861248 Wax bath75 861249 Hot pack78 901250 Breathing Exercises & Postural Drainage50 581251 Cerebral Palsy exercise50 581252 Post polio exercise50 58NUCLEAR MEDICINE / RADIOTHERAPY AND CHEMOTHERAPY1253 Cobalt 60 therapy 63750 750001254 Radical therapy 68425 786891255 Palliative therapy 24438 281041256 Linear accelerator 29750 350001257Radical therapy 58650 674481258 Palliative therapy 34213 393451259 3 D Planning4888 56211260 2 D Planing 4888 56211261IMRT(IntensityModulated radiotherapy) 100878 1160101262SRT (Stereotactic radiotherapy) 60996 701451263 SRS(Stereotactic radio surgery) 80546 926281264 IGRT(Image guided radiotherapy) 147016 1690681265Respiratory Gating-alongwith Linear acceleratorplanning110000 1265001266 Electron beam with Linearaccelerator67473 793801267 Tomotherapy 79400 91310NUCLEAR MEDICINE / BRACHYTHERAPY- HIGH DOSE RADIATION1268 Intracavitory 11730 134901269 Interstitial58650 674481270 Intraluminal 9775 112411271 Surface mould 4644 53411272 GLIADALWAFER 93900 107985NUCLEAR MEDICINE / CHEMOTHARAPY1273 Neoadjuvant 863 9921274 Adjuvant 863 9921275 Concurrent-chemoadiation 920 1058Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1276 Single drug 552 6351277 Multiple drugs 897 10321278 Targeted therapy 920 10581279 Chemoport facility 920 10581280 PICC line (peripherally inserted Central canulisation) 920 1058LIST OF PROCEDURES/ TESTS IN GASTROENTEROLOGY / ENDOSCOPIC PROCEDURES1281 Upper G.I. Endoscopy + Lower G.I. Endoscopy 1725 19841282 Diagnostic endoscopy 250 2881283 Endoscopic biopsy 345 3971284 Endoscopic mucosal resection 1543 18151285 Oesophageal stricture dilatation 1725 19841286 Balloon dilatation of achalasiacardia 2875 33061287 Foreign body removal 1725 19841288 Oesophageal stenting 3000 34501289 Band ligation of oesophageal varices 2500 28751290 Sclerotherapy of oesophageal varices 2500 28751291 Glue injection of varices 2500 28751292 Argon plasma coagulation 4025 46291293 Pyloric balloon dilatation 2415 27771294 Enteranal stenting 3680 42321295 Duodenal stricture dilation 990 11391296 Single balloon enterocopy 4000 46001297 Double balloon enteroscopy 3500 40251298 Capsule endoscopy 4950 56931299 Piles banding 1099 12641300 Colonic stricture dilatation 2737 31481301 Hot biopsy forceps procedures 3000 34501302 Colonic stenting 2737 31481303 Junction biopsy 2000 23001304 Conjugal microscopy 4000 46001305 Endoscopic sphincterotomy 2415 27771306 CBD stone extraction 2415 27771307 CBD stricture dilatation 6500 74751308 Biliary stenting (plastic and metallic) 4830 55551309 Mechanical lithotripsy of CBD stones 8000 92001310 Pancreatic sphincterotomy 6375 75001311 Pancreatic stricture dilatation 5750 66131312 Pancreatic stone extraction 10098 116131313 Mechanical lithotripsy of pancreatic stones 11385 130931314 Endoscopic cysto gastrostomy 8050 92581315 Balloon dilatation of papilla 6900 79351316 Ultrasound guided FNAC 575 6611317 Ultrasound guided abscess Drainage 720 8281318 PTBD1150 1323Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1319 Diagnostic angiography 2000 23001320 Vascular embolization 15100 173651321 TIPS5400 62101322 IVC graphy + hepatic veinography 34212 393441323 Muscular stenting 97750 1124131324 BRTO 57500 661251325 Portal haemodymic studies 1913 22501326 Manometry and PH metry 1612 18971327 Oesophageal PH metry 5000 57501328 Oesophageal manometry 5000 57501329 Small bowel manometry 6800 80001330 Anorectal manometry 6800 80001331 Colonic manometry 7650 90001332 Biliary manometry 7650 90001333 Sengstaken blackenesse tube tempode 2875 33061334 Lintas machles tube tempode 2875 33061335 Fecal fat test/ fecal chymotrypsin/ fecal elastase 350 4031336 Breath tests 300 3451337 Extra corporeal shortwave lithotripsy 41400 476101338 Liver biopsy 1380 1587NAME OF INVESTIGATION / DENTAL1339 Dental IOPA X-ray 50 581340 Occlusal X-ray 78 901341 OPG X-ray 196 225NAME OF INVESTIGATION / PULMONARY1342 Lung Ventilation & Perfusion Scan (V/Q Scan)3600 41401343 Lung Perfusion Scan 2000 2300NAME OF INVESTIGATION / OSTEOLOGY1344 Whole Body Bone Scan with SPECT.3421 39341345 Three phase whole body Bone Scan3421 3934NAME OF INVESTIGATION / NEUROSCIENCES 1346 Brain Perfusion SPECT Scan with Technetium 99m radiopharmaceuticals. 9775 112411347 Radionuclide Cisternography for CSF leak3740 4400NAME OF INVESTIGATION / GASTRO AND HEPATOBILIARY1348Gastro esophageal Reflux Study (G.E.R. Study)1955 22481349 Gastro intestinal Bleed (GloB.) Study with Technetium 99m labeled RBCs. 3421 39341350 Hepatobiliary Scintigraphy.2444 28111351 Meckel's Scan1955 22481352 Hepatosplenic scintigraphy with Technetium-99m radiopharmaceuticals 1870 22001353 Gastric emptying1275 1466NAME OF INVESTIGATION / GENITOURINARYSr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1354 Renal Cortical Scintigraphy with Technetium 99m D.M.S.A.3421 39341355 Dynamic Renography.3421 39341356 Dynamic Renography with Diuretic.3421 39341357 Dynamic Renography with Captopril1960 22541358 Testicular Scan1466 1686NAME OF INVESTIGATION / ENDOCRINOLOGY 1359 Thyroid Uptake measurements with 131-Iodine.1564 17991360 Thyroid Scan with Technetium 99m Pertechnetate.1466 16861361 Lodine-131 Whole Body Scan.2933 33731362 Whole Body Scan with M.I.B.G. 17595 202341363 Parathyroid Scan4888 5621NAME OF INVESTIGATION / RADIO-ISOTOPE THERAPY 1364 131-lodine Therapy1530 18001365 131-lodine Therapy100mCi15000 172501369 Phosphorus-32 therapy for metastatic bone pain palliation5000 57501370 Samarium-153 therapy for metastatic bone pain palliation10450 120181371 Radiosynovectomy with Yttrium21250 25000NAME OF INVESTIGATION / CARDIOLOGY1372 Stress thallium / Myocardial Perfusion Scintigraphy9450 108681373 Rest thallium / Myocardial Perfusion Scintigraphy8000 92001374 Venography3300 37951375 TMT 489 5621376 TEE489 5621377 Lymph angiography 1613 1855NAME OF INVESTIGATION / TUMOUR IMAGING1378 Scintimammography.4800 55201379 Indium lableled octeriotide Scan.73313 84310NAME OF INVESTIGATION / PET SCAN 1380 FDG Whole body PET / CT Scan20528 236071381 Brain I Heart FDG PET / CTScan,14663 168621382 Gallium-68 Peptide PET / CT imaging for Neuroendocrine Tumor 15000 17250LABORATORY MEDICINE / CLINICAL PATHOLOGY1383 Urine routine- pH, Specific gravity, sugar, protein and microscopy 35 401384 Urine-Microalbumin 70 811385 Stool routine35 40Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1386 Stool occult blood24 281387 Post coital smear examination30 351388 Semen analysis35 40LABORATORY MEDICINE / HAEMATOLOGY1389 Haemoglobin (Hb)18 211390 Total Leucocytic Count (TLC)31 361391 Differential Leucocytic Count (DLC)31 361392 E.S.R.25 291393 Total Red Cell count with MCV,MCH,MCHC,DRW 32 371394 Complete Haemogram/CBC, Hb,RBC count and indices,TLC, DLC, Platelet, ESR, Peripheral smear examination 135 1551395 Platelet count48 551396 Reticulocyte count48 551397 Absolute Eosinophil count48 551398 Packed Cell Volume (PCV) 13 151399 Peripheral Smear Examination43 491400 Smear for Malaria parasite41 471401 Bleeding Time 35 401402 Osmotic fragility Test50 581403 Bone Marrow Smear Examination70 811404 Bone Marrow Smear Examination with iron stain 250 2881405 Bone Marrow Smear Examination and cytochemistry 440 5061406Activated partial ThromboplastinTime (APTT) 102 1171407 Rapid test for malaria(card test) 44 511408 WBC cytochemistry for leukemia -Complete panel 110 1271409 Bleeding Disorder panel- PT, APTT, Thrombin Time Fibrinogen, D-Dimer/ FDP400 4601410 Factor Assays-Factor VIII 720 8281411 Factor Assays-Factor IX 680 7821412 Platelet Function test 50 581413 Tests for hypercoagulable states- Protein C, Protein S, Antithrombin400 4601414 Tests for lupus anticoagulant 150 1731415 Tests for Antiphospholipid antibody IgG, IgM ( for cardiolipin and B2 Glycoprotein 1)500 5751416 Thalassemia studies (Red Cell indices and Hb HPLC) 560 6441417Tests for Sickling / Hb HPLC) 77 89LABORATORY MEDICINE / BLOOD BANK1418 Blood Group & RH Type30 351419 Cross match50 581420 Coombs Test Direct90 1041421 Coombs Test Indirect100 1151422 3 cell panel- antibody screening for pregnant female 170 2001423 11 cells panel for antibody identification 170 2001424 HBs Ag 102 120Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1425 HCV 128 1501426 HIV I and II 150 1731427 VDRL 43 501428 RH Antibody titer80 921429 Platelet Concentrate 56 641430 Random Donor Platelet(RDP) 128 1501431 Single Donor Platelet (SDP- Aphresis) 150 173LABORATORY MEDICINE / HISTOPATHOLOGY 1432 Routine-H & E 90 1041433 special stain 65 751434 Immunohistochemistry(IHC) 750 8631435 Frozen section780 8971436 Paraffin section 343 394LABORATORY MEDICINE / CYTOLOGY 1437 Pap Smear150 1731438 Body fluid for Malignant cells150 1731439 FNAC 200 230NAME OF INVESTIGATION /FLOW CYTOMETRY1440 Leukemia panel /Lymphoma panel 1536 17661441 PNH Panel-CD55,CD59 1000 1150LABORATORY MEDICINE / CYTOGENETIC STUDIES 1442 Karyotyping 1539 17701443 FISH 500 575LABORATORY MEDICINE / BIO-CHEMISTRY1444 Blood Glucose Random 24 281445 24 hrs urine for Proteins,Sodium, creatinine 50 581446 Blood Urea Nitrogen54 621447 Serum Creatinine55 631448 Urine Bile Pigment and Salt25 291449 Urine Urobilinogen 20 231450 Urine Ketones30 351451 Urine Occult Blood35 401452 Urine total proteins18 211453 Rheumatoid Factor test 100 1151454 Bence Jones protein47 541455 Serum Uric Acid55 631456 Serum Bilirubin total & direct80 921457 Serum Iron90 1041458 C.R.P.100 1151459 C.R.P Quantitative 160 1841460 Body fluid(CSF/Ascitic Fluid etc.)Sugar, Protein etc. 90 1041461 Albumin. 18 211462 Creatinine clearance. 80 921463 Serum Cholesterol62 71Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1464 Total Iron Binding Capacity80 921465 Glucose (Fasting & PP)47 541466 Serum Calcium Total 60 691467 Serum Calcium Ionic 44 511468 Serum Phosphorus60 691469 Total Protein Alb/Glo Ratio50 581470 IgG. 250 2881471 IgM. 250 2881472 IgA. 250 2881473 ANA. 200 2301474 Ds DNA. 350 4031475 S.G.P.T.55 631476 S.G.O.T.55 631477 Serum amylase117 1351478 Serum Lipase 130 1501479 Serum Lactate 72 831480 Serum Magnesium100 1151481 Serum Sodium50 581482 Serum Potassium50 581483 Serum Ammonia100 1151484 Anemia Profile204 2401485 Serum Testosterone150 1731486 Imprint Smear From Endoscopy240 2761487 Triglyceride 75 861488 Glucose Tolerance Test (GTT)90 1041489 Triple Marker. 800 9201490 C.P.K.100 1151491 Foetal Haemoglobin (HbF)85 1001492 Prothrombin Time (P.T.)110 1271493 L.D.H.100 1151494 Alkaline Phosphatase60 691495 Acid Phosphatase78 901496 CK MB190 2191497 CK MB Mass 140 1611498 Troponin I 100 1151499 Troponin T 600 6901500 Glucose Phosphate Dehydrogenase (G, 6PD) 100 1151501 Lithium. 130 1501502 Dilantin (phenytoin). 400 4601503 Carbamazepine. 400 4601504 Valproic acid. 300 3451505 Feritin. 250 2881506 Blood gas analysis120 1381507 Blood gas analysis with electrolytes460 5291508 Urine pregnancy test65 751509 Tests for Antiphospholipid antibodies syndrome. 280 322Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1510 Hb A1 C 130 1501511 Hb Electrophoresis/ Hb HPLC 100 1151512 Kidney Function Test. 225 2591513 Liver Function Test. 225 2591514 Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides) 200 230Nutritional Markers1515 Serum Iron90 1041516 Total Iron Binding Capacity90 1041517 Serum Ferritin 100 1151518 Vitamin B12 assay. 250 2881519 Folic Acid assay. 300 3451520 Extended Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo B,Lp(a) )595 6841521 Apo A1. 200 2301522 Apo B. 199 2291523 Lp (a). 445 5121524 CD 3,4 and 8 counts 170 2001525 CD 3,4 and 8 percentage 170 2001526 LDL. 62 711527 Homocysteine. 400 4601528 HB Electrophoresis. 440 5061529 Serum Electrophoresis. 220 2531530 Fibrinogen. 165 1901531 Chloride. 60 691532 Magnesium. 150 1731533 GGTP. 90 1041534 Lipase. 239 2751535 Fructosamine. 200 2301536 2 microglobulin 90 1041537 Catecholamines. 1050 12081538 Creatinine clearance. 120 138NAME OF INVESTIGATION /TUMOUR MARKERS1539 PSA- Total. 312 3591540 PSA- Free. 375 4311541 AFP. 300 3451542 HCG. 289 3321543 CA. 125. 391 4501544 CA 19,9. 616 7081545 CA 15.3. 560 6441546 Vinyl Mandelic Acid 350 4031547 Calcitonin 500 5751548 Carcioembryonic antigen(CEA) 340 391OTHERSSr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1549 Immunofluorescence 150 1731550 Direct(Skin and kidney Disease) 425 5001551 Indirect (antids DNA Anti Smith ANCA) 425 5001552 VitD3 assay 550 6331553 Serum Protein electrophoresis with immunofixationelectrophoresis (IFE)300 3451554 BETA-2 Microglobulin assay 100 1151555 Anti cycliocitrullinated peptide (Anti CCP) 450 5181556 Anti tissuetransglutaminase antibody 425 5001557 Serum Erythropoetin425 5001558 ACTH500 575HARMONES1559 T3, T4, TSH 200 2301560 T3 64 751561 T4 64 751562 TSH 90 1041563 LH150 1731564 FSH150 1731565 Prolactin150 1731566 Cortisol250 2881567 PTH(Paratharmone) 500 5751568 C-Peptide. 330 3801569 Insulin. 150 1731570 Progesterone. 225 2591571 17-DH Progesterone. 440 5061572 DHEAS. 440 5061573 Androstendione. 600 6901574 Growth Hormone. 340 3911575 TPO. 300 3451576 Throglobulin. 300 3451577 Hydatic Serology. 318 3741578 Anti Sperm Antibodies. 380 4371579 Qualitative. 2000 23001580 Quantitative. 1500 17251581 Qualitative. 1691 19451582 HPV serology 218 2511583 Rota Virus serology 130 1501584 PCR for TB900 10351585 PCR for HIV 600 6901586 Chlamydae antigen850 9781587 chlamydae antibody 238 2801588 Brucella serology 230 2651589 Influenza A serology 943 1084USG, X-RAY , CT, MRI, BONE DENSITOMETRY1590 USG for Obstetrics - Anomalies scan 323 3801591 Abdomen USG 323 380Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1592 Pelvic USG ( prostate, gynae, infertility etc) 255 3001593 Small parts USG ( scrotum, thyroid , parathyroid etc) 349 4101594 Neonatal head (Tranfontanellar) 425 4891595 Neonatal spine 500 5751596 Contrast enhanced USG 900 10351597 USG Breast 349 4101598 USG Hystero-Salpaingography (HSG) 255 3001599 Carotid Doppler850 10001600 Arterial Colour Doppler706 8301601 Venous Colour Doppler 706 8301602 Colour Doppler, renal arteries/any other organ 800 9201603 USG guided intervention- FNAC 490 5641604 USG guided intervention - biopsy 720 8281605 USG guided intervention - nephrostomy 800 920X-Ray 1606 Abdomen AP Supine or Erect (One film) 128 1501607 Abdomen Lateral view (one film) 128 1501608 Chest PA view (one film) 60 701609 Chest Lateral (one film) 60 701610 Mastoids: Towne view, oblique views (3 films) 250 2881611 Extremities, bones & Joints AP & Lateral views (Two films) 255 3001612 Pelvis A.P (one film) 110 1271613 T. M. Joints (one film) 110 1271614 Abdomen & Pelvis for K. U. B. 128 1501615 Skull A. P. & Lateral (2 films) 255 3001616 Spine A. P. & Lateral (2 films) 250 2881617 PNS view (1 film) 110 127X RAY CONTRAST STUDIES1618 Barium Swallow 510 6001619 Barium Upper GI study800 9201620 Barium Upper GI study (Double contrast) 935 11001621 Barium Meal follow through 935 11001622 Barium Enema (Single contrast/double contrast) 850 10001623 Small bowel enteroclysis 1020 12001624 ERCP (Endoscopic Retrograde Cholangio Pancreatography) 2500 28751625 General :Fistulography /Sinography/Sialography/Dacrocystography/ T-Tube cholangiogram/Nephrostogram638 7501626 Percutaneous transhepatic cholangiography (PTC) 1440 16561627 Intravenous Pyelography (IVP)1190 14001628 Micturating Cystourethrography (MCU) 680 8001629 Retrograde Urethrography (RGU) 680 8001630 Contrast Hystero-Salpingography (HSG) 1020 12001631 X ray - Arthrography 700 805Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1632 Cephalography 150 1731633 Myelography2750 31631634 Diagnostic Digital Subtraction Angiography (DSA)1749 2011MAMMOGRAPHY1635 X-ray Mammography315 3701636 MRI Mammography 2550 3000CT1637 CT Head-Without Contrast 900 10351638 CT Head- with Contrast (+/- CT angiography) 1350 15531639 C. T. Chest - without contrast (for lungs) 1700 20001640 C. T. Scan Lower Abdomen(incl. Pelvis) With Contrast 1700 19551641 C. T. Scan Lower Abdomen( Incl. Pelvis) Without Contrast 1500 17251642 C. T. Scan Whole Abdomen Without Contrast 3000 34501643 C. T. Scan Whole Abdomen With Contrast 4500 51751644 Triple Phase CT abdomen 4500 51751645 CT angiography abdomen/ Chest 4500 51751646 CT Enteroclysis 6000 69001647 C. T. Scan Neck Without Contrast1500 17251648 C. T. Scan Neck With Contrast 1870 22001649 C. T. Scan Orbits - Without Contrast 1190 14001650 C. T. Scan Orbits - With Contrast 1615 19001651 C. T. Scan of Para Nasal Sinuses- Without Contrast 900 10351652 C. T. Scan of Para Nasal Sinuses - With Contrast 1600 18401653 C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)withoutcontrast1500 17251654 CT Temporal bone without contrast 893 10501655 CT - Dental 1275 15001656 C. T. Scan Limbs -Without Contrast 1700 20001657 C. T. Scan Limbs -With Contrast including CT angiography 2253 26501658 C.T. Guided intervention FNAC 1200 13801659 C.T. Guided Trucut Biopsy1200 13801660 C. T. Guided intervention -percutaneous catheter drainage / tube placement1305 1535MRI1661 MRI Head Without Contrast 1998 23501662 MRI Head With Contrast 2848 33501663 MRI Orbits Without Contrast 1445 17001664 MRI Orbits With Contrast 2000 23001665 MRI Nasopharynx and PNS Without Contrast2450 28181666 MRI Nasopharynx and PNS With Contrast 3500 40251667 MR for Salivary Glands with Sialography3000 34501668 MRI Neck - Without Contrast 3000 34501669 MRI Neck- with contrast 5000 57501670 MRI Shoulder Without contrast 2000 2300Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1671 MRI Shoulder With conntrast 2600 30001672 MRI shoulder both Joints - Without contrast 3000 34501673 MRI Shoulder both joints Withcontrast 4000 46001674 MRI Wrist Single joint - Without contrast 2125 25001675 MRI Wrist Single joint - With contrast 4000 46001676 MRI Wrist both joints - Without contrast 2125 25001677 MRI Wrist Both joints - With contrast 5000 57501678 MRI knee Single joint - Without contrast 2125 25001679 MRI knee Single joint - With contrast 5000 57501680 MRI knee both joints - Without contrast 2125 25001681 MRI knee both joints - With contrast 5000 57501682 MRI Ankle Single joint - Without contrast 2125 25001683 MRI Ankle single joint - With contrast 5000 57501684 MRI Ankle both joints - With contrast 5000 57501685 MRI Ankle both joints - Without contrast 2500 28751686 MRI Hip - With contrast 2500 28751687 MRI Hip without contrast 2125 25001688 MRI Pelvis Without Contrast 2125 25001689 MRIPelvis with contrast5000 57501690 MRI Extremities - With contrast 5000 57501691 MRI Extremities - Without contrast 2125 25001692 MRI Temporomandibular B/L- With contrast 4000 46001693 MRI Temporomandibular B/L- Without contrast 2125 25001694 MR Temporal Bone/ Inner ear with contrast4000 46001695 MR Temporal Bone/ Inner ear without contrast 2500 28751696 MRI Abdomen Without Contrast2125 25001697 MRI Abdomen With Contrast 5000 57501698 MRI Breast - With Contrast 4250 50001699 MRI Breast - Without Contrast 2125 25001700 MRI Spine Screening - Without Contrast 1000 11501701 MRI Chest Without Contrast2125 25001702 MRI Chest With Contrast 4000 46001703 MRI Cervical/Cervico Dorsal Spine Without Contrast 2125 25001704 MRI Cervical/ Cervico Dorsal Spine With Contrast4000 46001705 MRI Dorsal/ Dorso Lumbar Spine- Without Contrast 2125 25001706 MRI Dorsal/ Dorso Lumbar Spine With Contrast 4000 46001707 MRI Lumbar/ Lumbo-Sacral Spine Without Contrast 2125 25001708 MRI Lumbar/ Lumbo-Sacral Spine With Contrast 5000 57501709 Whole body MRI (For oncological workup) 5100 60001710 MR cholecysto-pancreatography. 5500 63251711 MRI Angiography - with contrast 5000 57501712 MR Enteroclysis 2125 2500BONE DENSITOMETRY (DEXA SCAN)1713 Dexa Scan Bone Densitometry - Two sites 1500 17251714 Dexa Scan Bone Densitometry - Three sites (Spine, Hip & extremity)2000 2300Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1715 Dexa Scan Bone Densitometry Whole body 2450 2818NEUROLOGICAL INVESTIGATIONS AND PROCEDURES1716 EEG/Video EEG 298 3501717 EMG (Electro myography) 638 7501718 Nerve condition velocity (at least 2 limbs) 638 7501719 Decremental response (before and after neo stigmine) 595 7001720 Incremental response595 7001721 SSEP (Somato sensory evoked potentials) 638 7501722 Poly somnography638 7501723 Brachial plexus study 638 7501724 Muscle biopsy 383 4501725 ACHR anti body titre 1848 21251726 Anti MUSK body titre 2340 26911727 Serum COPPER 500 5751728 Serum ceruloplasmin450 5181729 Urinary copper 500 5751730 Serum homocystine 450 5181731 Serum valproate level 315 3621732 Serum phenol barbitone level 350 4031733 Coagulation profile 553 6361734 Protein C, S anti thrombine III 2400 27601735 Serum lactate level 450 518CSF1736 Basic studies including cell count, protein, sugar, gram stain, India Ink preparation and smear for AFP240 2761737 Special studies1000 11501738 PCR for tuberculosis/ Herpes simplex 1200 13801739 Bacterialculture and sensitivity 200 2301740 Mycobacterial culture and sensitivity 200 2301741 Fungal culture128 1501742 Malignant cells 64 751743 Anti measles antibody titre (with serum antibody titre) 890 10241744 Viral culture 255 3001745 Antibody titre (Herpes simplex, cytomegalo virus, flavivirus, zoster varicella virus)760 8741746 Oligoclonal band 1200 13801747 Myelin Basic protein1871 21521748 Lactate 298 3501749 Crypto coccal antigen 1138 1309TESTS IN GASTRO-ENTEROLOGY1750 D-xylase test850 10001751 Fecal fat test/ fecal chymotrypsin/ fecal elastase 850 10001752 Breath tests 1300 14951753 H pylori serology for ciliac disease 500 7251754 HBV genotyping2500 2875Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (DELHI/NCR)Non- NABH/Non-NABL RatesNABH/NABL Rates 1755 HCV genotyping 4875 5606TESTS IN ENDOCRINOLOGY ( IN ADDITION TO THOSE INCLUDED UNDER HARMONES)1756 Urinary VMA 1500 17251757 Urinary metanephrine/Normetanephrine 1138 13091758 Urinary free catecholamine 1690 19441759 Serum catecholamine 3400 39101760 Serum aldosterone 1125 12941761 24 Hr urinary aldosterone 920 10581762 Plasma renin activity 1000 11501763 Serum aldosterone/renin ratio 1200 13801764 Osmolality urine128 1501765 Osmolality serum 128 1501766 Urinary sodium 80 941767 Urinary Chloride 43 501768 Urinary potassium 80 941769 Urinary calcium 80 941770 Thyroid binding globulin 510 6001771 24 hr. urinary free cotisole 200 2301772 Islet cell antebody 750 8631773 GAD antibody 1330 15301774 Insulin associated antibody 449 5161775 IGF-1 1500 17251776 IGF-BP3 1650 18981777 Sex hormone binding globulin 1333 15331778 USG guided FNAC thyroid gland 387 4551779 E2 208 2451780 Thyro globulin antibody 587 675