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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non- NABH /Non-NABL CGHS Rates NABH /NABL 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 193 222 6 Aspiration Plural Effusion - Therapeutic 120 138 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 41 Bandage contact lenses for corneal perforation 460 529 42 Scleral grafting or conjunctival flap for corneal perforation 2300 2645 43 Keratoconus correction with therapeutic contact lenses 1200 1380 44 UV radiation for cross-linking for keratoconus 1800 2070
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CGHS DELHI Rates 2014 - 2 · 2016. 3. 15. · 52 Keratoprosthesis stage I and II 11500 13225 53 DSAEK- Descemet’s stripping automated ... 76 Corneal endothelial cell count with

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Page 1: CGHS DELHI Rates 2014 - 2 · 2016. 3. 15. · 52 Keratoprosthesis stage I and II 11500 13225 53 DSAEK- Descemet’s stripping automated ... 76 Corneal endothelial cell count with

Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1 Consultation OPD 150 1502 Consultation- for Inpatients 300 3003 Dressings of wounds 50 584 Suturing of wounds with local anesthesia 108 1245 Aspiration Plural Effusion - Diagnostic 193 2226 Aspiration Plural Effusion - Therapeutic 120 1387 Abdominal Aspiration - Diagnostic 345 3978 Abdominal Aspiration - Therapeutic 460 5299 Pericardial Aspiration 380 43710 Joints Aspiration 317 36511 Biopsy Skin 230 26512 Removal of Stitches 36 4113 Venesection 124 14314 Phimosis Under LA 1311 150815 Sternal puncture 173 19916 Injection for Haemorrhoids 414 47617 Injection for Varicose Veins 350 40318 Catheterisation 83 9519 Dilatation of Urethra 500 57520 Incision & Drainage 420 48321 Intercostal Drainage 125 14422 Peritoneal dialysis 1466 1686

TREATMENT PROCEDURE SKIN23 Excision of Moles 345 39724 Excision of Warts 310 35725 Excision of Molluscum contagiosum 130 15026 Excision of Veneral Warts 160 18427 Excision of Corns 140 16128 I/D Injection Keloid 97 11229 Chemical Cautery (s) 110 127

TREATMENT PROCEDURE OPTHALMOLOGY30 Subconjunctival/subtenon’s injections in one eyes 69 7931 Subconjunctival/subtenon’s injections in both eyes 138 15832 Pterygium surgery 86 9933 Conjunctival peritomy 58 6734 Conjunctival wound repair or exploration following blunt

trauma115 132

35 Removal of corneal foreign body 115 13236 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 661339 Corneal grafting—Lamellar keratoplasty 5000 575040 Cyanoacrylate /fibrin glue application for corneal

perforation690 794

41 Bandage contact lenses for corneal perforation 460 52942 Scleral grafting or conjunctival flap for corneal perforation 2300 2645

43 Keratoconus correction with therapeutic contact lenses 1200 1380

44 UV radiation for cross-linking for keratoconus 1800 2070

Page 2: CGHS DELHI Rates 2014 - 2 · 2016. 3. 15. · 52 Keratoprosthesis stage I and II 11500 13225 53 DSAEK- Descemet’s stripping automated ... 76 Corneal endothelial cell count with

Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

45 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- Descemet’s stripping automated endothelial

keratoplasty16675 19176

54 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 Dacryocystorhinostomy—Plain 1725 198458 Dacryocystorhinostomy—Plain with intubation and/or

with lacrimal implants9750 11213

59 Dacryocystorhinostomy—conjunctival with implant 9200 1058060 Caliculoplasty 2300 264561 Dacryocystectomy 2875 330662 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 test—Goldman 144 16670 Perimetry/field test— automated 144 16671 Fluorescein angiography for fundus or iris 863 99272 Ultrasound A- Scan 150 17373 Ultrasound B- Scan 230 26574 Fundus Photo Test 200 23075 Indocyanin green angiography 920 105876 Corneal endothelial cell count with specular microscopy 230 265

77 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 250084 HRT- Heidelberg’s retinal tomogram 150 17385 GDX--- Nerve fibre layer analyzer 88 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 400 173

Page 3: CGHS DELHI Rates 2014 - 2 · 2016. 3. 15. · 52 Keratoprosthesis stage I and II 11500 13225 53 DSAEK- Descemet’s stripping automated ... 76 Corneal endothelial cell count with

Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

94 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 460102 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 3450110 Orbitotomy 8050 9258111 Enucleation 3000 3450112 Enucleation with orbital implants and artificial prosthesis 3000 3450

113 Evisceration 3450 3968114 Evisceration with orbital implants and artificial prosthesis 5693 6547

115 Telecanthus correction 5175 5951116 Orbital decompression 5750 6613117 Exenteration 6900 7935118 Exenteration with skin grafting 5750 6613119 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 retina l cryopexy 1162 1336126 Squint correction for one eye 5000 5750127 Squint correction for both eyes 7500 8625128 Trabeculectomy 6900 7935129 Trabeculotomy 6900 7935130 Trabeculectomy with Trabeculotomy 10350 11903131 Trephition 2300 2645132 Goniotomy 345 397133 Glaucoma surgery with Glaucoma valves 6900+valve 2645134 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 1035

Page 4: CGHS DELHI Rates 2014 - 2 · 2016. 3. 15. · 52 Keratoprosthesis stage I and II 11500 13225 53 DSAEK- Descemet’s stripping automated ... 76 Corneal endothelial cell count with

Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

144 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 avastin including cost of drug 3450 3968

149 Intravitreal injections- of lucentis including cost of drug 3000 3450

150 X- Ray orbit 115 132151 CT-orbit and brain 173 199152 MRI- Orbit and brain 3450 3968153 Dacryocystography 340 391154 Orbital angio-graphical studies 1500 1725155 ECCE with IOL 3450 3968156 SICS with IOL 5000 920157 Phaco with foldable IOL (silicone and acrylic)/PMMA IOL 10781 12398

158 Pars plana lensectomy with/without IOL 10350 11903159 Secondary IOL implantation- AC IOL PC IOL or scleral

fixated IOL6900 7935

160 Cataract extraction with IOL with capsular tension rings (Cionni’s ring)

13500 15525

161 Optic nerve sheathotomy 7500 8625162 Iridodialysis repair or papillary reconstruction 5000 5750163 Iris cyst removal 850 978164 Lid Abscess incision and Drainage 1700 1955165 Orbital Abscess incision and Drainage 3000 3450166 Biopsy 460 529167 Paracentesis 230 265168 Scleral graft for scleral melting or perforation 2800 3220169 Amniotic membrane grafting 1100 1265170 Cyclodiathermy 2300 2645171 Intraocular foreign body removal 187 215172 Electrolysis 230 265173 Perforating injury repair 4500 5175174 Botulinum injection for blepharospasm or squint 2500 2875

TREATMENT PROCEDURE DENTAL PROCEDURES 175 Flap Operation per quadrant 360 414176 Gingivectomy per quadrant 234 269177 Reduction & immobilization of fracture- Maxilla Under LA 900 1035

178 Reduction & immobilization of fracture-Mandible Under LA

3500 4025

179 splints/Cirucum mandibular wiring under LA 510 587180 splints/Cirucum mandibular wiring under GA 990 1139181 Internal wire fixation/plate fixation of Maxilla under LA 3000 3450

182 Internal wire fixation/plate fixation of Maxilla under GA 4000 4600

183 Internal wire fixation/plate fixation of Mandible under LA 3500 4025

Page 5: CGHS DELHI Rates 2014 - 2 · 2016. 3. 15. · 52 Keratoprosthesis stage I and II 11500 13225 53 DSAEK- Descemet’s stripping automated ... 76 Corneal endothelial cell count with

Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

184 Internal wire fixation/plate fixation of Mandible under GA 4250 4888

185 Extraction per tooth under LA 80 92186 Complicated Ext. per Tooth under LA 100 115187 Extraction of impacted tooth under LA 160 184188 Extraction in mentally retarded/patients with systemic

diseases/patient with special needs under short term GA939 1080

189 Cyst & tumour of Maxilla /mandible by enucleation/ excision/ marsupalisation upto 4 cms under LA

244 281

190 Cyst & tumour of Maxilla/mandible by enucleation/ excision/ marsupalisation size more than 4 cms under LA

406 467

191 Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupalisation size more than 4 cms under GA

1000 1150

192 TM joint ankylosis- under GA 7500 8625193 Biopsy Intraoral-Soft tissue 374 430194 Biopsy Intraoral-Bone 374 430195 Hemi-mandibulectomy with graft 4250 4888196 Hemi-mandibulectomy without graft 2550 2933197 Segmental-mandibulectomy with graft 3400 3910198 Segmental-mandibulectomy without graft 990 1139199 Maxillectomy- Total with graft 2500 2875200 Maxillectomy- Total without graft 1950 2243201 Maxillectomy- partial with graft 3000 3450202 Maxillectomy- partial without graft 2500 2875203 Release of fibrous bands & grafting -in (OSMF) treatment

under GA1500 1725

204 Pre-prosthetic surgery- Alveoloplasty 500 575205 Pre-prosthetic surgery - ridge augmentation 1200 1380206 Root canal Treatment(RCT) Anterior teeth(per tooth) 500 575

207 Root canal Treatment(RCT) Posterior teeth (per tooth) 700 805

208 Apicoectomy- Single root 500 575209 Apicoectomy-Multiple roots 650 748210 Metal Crown-per unit 500 575211 Metal crown with Acrylic facing per unit 700 805212 Complete single denture-metal based 1500 1725213 Complete denture- acrylic based per arch 950 1093214 Removable partial denture-Metal based-upto 3 teeth 700 805

215 Removable partial denture-Metal based-more than 3 teeth 900 1035

216 Removable partial denture-Acrylic based-upto 3 teeth 500 575

217 Removable partial denture-Acrylic based-more than 3 teeth

264 304

218 Amalgum restoration-per tooth 200 230219 Composite Restoration-per tooth-anterior tooth 250 288

Page 6: CGHS DELHI Rates 2014 - 2 · 2016. 3. 15. · 52 Keratoprosthesis stage I and II 11500 13225 53 DSAEK- Descemet’s stripping automated ... 76 Corneal endothelial cell count with

Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

220 Glas Ionomer-per tooth 200 230221 Scaling & polishing 300 345222 Removable Orthodontics appliance- per Arch 700 805223 Fixed Orhtodontics-per Arch 1150 1323224 Space maintainers-Fixed 500 575225 Habit breaking appliances-removable 800 920226 Habit breaking appliances-Fixed 1500 1725227 Expansion plate 1000 1150228 Feeding appliance for cleft palate 1500 1725229 Maxillo-facial prosthesis (sal/auricular/orbital/facial lost

part)3500 4025

230 Functional orthodentic appliances 3000 3450231 Obturator (Maxillo-facial) 1500 1725232 Occlusal night guard(splint) 800 920

TREATMENT PROCEDURE ENT234 Pure Tone Audiogram 172 198235 Impedence with stepedeal reflex 230 265236 SISI Tone Decay 132 152237 Multiple hearing assessment test to Adults 115 132238 Speech Discrimination Score 90 103239 Speech Assessment 120 138240 Speech therapy per session of 30-40 minutes 131 151241 Cold Calorie Test for Vestibular function 172 198242 Removal of foreign body From Nose 345 397243 Removal of foreign body From Ear 230 265244 Syringing (Ear) 166 191245 Polyp removal under LA 575 661246 Polyp removal under GA 850 978247 Peritonsillar abscess Drainage under LA 1449 1666248 Myringoplasty 6900 7935249 Staepedectomy 9200 10580250 Myringotomy with Grommet insertion 4600 5290251 Tympanotomy 8625 9919252 Tympanoplasty 13800 15870253 Mastoidectomy 14950 17193254 Otoplasty 16100 18515255 Labyrinthectomy 13800 15870256 Skull Base surgery 25000 28750257 Facial Nerve Decompression 17250 19838258 Septoplasty 5750 6613259 Submucous Resection 7314 8411260 Septo-rhinoplasty 16100 18515261 Rhinoplasty- Non-cosmetic 11500 13225262 Fracture Reduction 4250 5000263 Intra nasal Diathermy 1150 1323264 Turbinectomy 5750 6613265 Endoscopic DCR 13000 14950266 Endoscopic Surgery 13800 15870267 Septal Perforation Repair 13800 15870268 Antrum Puncture 950 1093269 Lateral Rhinotomy 1000 1150270 Cranio-facial resection 25500 29325

Page 7: CGHS DELHI Rates 2014 - 2 · 2016. 3. 15. · 52 Keratoprosthesis stage I and II 11500 13225 53 DSAEK- Descemet’s stripping automated ... 76 Corneal endothelial cell count with

Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

271 Caldwell Luc Surgery 10626 12220272 Angiofibroma Excision 17000 19550273 Endoscopic Hypophysectomy 21500 24725274 Endoscopic Optic Nerve Decompression 32775 37691275 Decompression of Orbit 25500 29325276 Punch/Wedge biopsy 674 775277 Tonsillectomy 5000 5750278 Uvulo-palatoplasty 15000 17250279 FESS for antrochoal polyp 5750 6613280 FESS for ethmoidal polyp 5750 6613281 Polyp removal ear 748 860282 Polyp removal Nose(Septal polyp) 748 860283 Mastoidectomy plus Ossciculoplasty including TORP or

PORP2415 2777

284 Endolymphatic sac decompression 2875 3306285 Diagnostic endoscopy under GA 2300 2645286 Yonges operation for Atrophic rhinitis 6900 7935287 Vidian neurectomy for vasomotor Rhinitis 10350 11903288 nasal Packing-anterior 345 397289 nasal Packing-posterior 805 926290 Ranula Excision 6843 7869291 Tongue Tie excision 1500 1725292 Sub Mandibular Duct Lithotomy 269 309293 Adenoidectomy 5640 6486294 Palatopharyngoplasty 8165 9390295 Pharyngoplasty 17193 19772296 Styloidectomy 9200 10580297 Direct laryngoscopy including Biopsy under GA 5000 5750298 Oesophagoscopy/foreign body removal from 1800 2070299 Bronchoscopy with F.B.removal 2438 2804300 Other Major Surgery 15000 17250301 Other Minor Surgery 8500 10000

TREATMENT PROCEDURE FOR HEAD AND NECK302 Ear Lobe Repair one side 500 575303 Excision of Pinna for Growth (Squamous/Basal/ Injuries)

Skin Only 4000 4600

304 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage

3800 4370

305 Partial Amputation of Pinna 4500 5175306 Total Amputation of Pinna 6200 7130307 Total Amputation & Excision of External Auditory Meatus 1500 1725

308 Excision of Cystic Hygroma 5175 5951309 Excision of Cystic Hygroma Extensive 7452 8570310 Excision of Branchial Cyst 10350 11903311 Excision of Branchial Sinus 10350 11903312 Excision of Pharyngeal Diverticulum 10580 12167313 Excision of Carotid Body-Tumours 11615 13357314 Operation for Cervical Rib 12500 14375315 Block Dissection of Cervical Lymph Nodes 15000 17250316 Pharyngectomy & Reconstruction 15000 17250317 Operation for Carcinoma Lip - Wedge-Excision 8050 9258

Page 8: CGHS DELHI Rates 2014 - 2 · 2016. 3. 15. · 52 Keratoprosthesis stage I and II 11500 13225 53 DSAEK- Descemet’s stripping automated ... 76 Corneal endothelial cell count with

Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

318 Operation for Carcinoma Lip - Vermilionectomy 5758 6622319 Operation for Carcinoma Lip - Wedge Excision and

Vermilonectomy 9292 10686

320 Estlander Operation 7475 8596321 Abbe Operation 9800 11270322 Cheek Advancement 9775 11241323 Excision of the Maxilla 19320 22218324 Excision of mandible-segmental 15525 17854325 Mandibulectomy 21000 24150326 Partial Glossectomy 5520 6348327 Hemiglossectomy 7000 8050328 Total Glossectomy 22885 26318329 Commondo Operation 22000 25300330 Parotidectomy - Superficial 15000 17250331 Parotidectomy - Total 12075 13886332 Parotidectomy - Radical 19550 22483333 Repair of Parotid Duct 11500 13225334 Removal of Submandibular Salivary gland 8625 9919335 Hemithyroidectomy 9500 10925336 Partial Thyroidectomy (lobectomy) 11500 13225337 Subtotal Thyroidectomy 13053 15011338 Total Thyroidectomy 19000 21850339 Resection Enucleation of thyroid Adenoma 10580 12167340 Total Thyroidectomy and Block Dissection 26450 30418341 Excision of Lingual Thyroid 16882 19414342 Excision of Thyroglossal Cyst/Fistula 13225 15209343 Excision of Parathyroid Adenoma/Carcinoma 21275 24466344 Laryngectomy 30000 34500345 Laryngo Pharyngectomy 17825 20499346 Hyoid Suspension 10350 11903347 Genioplasty 12000 13800348 Direct Laryngoscopy including biopsy under GA 5175 5951349 Phonosurgery 13800 15870350 Fibroptic examition of Larynx under LA 1725 1984351 Microlaryngeal Surgery 10350 11903352 Laryngofissure 17250 19838353 Tracheal Stenosis Excision 19780 22747354 Head and neck cancer 0355 Excisional Biopsies 5750 6613356 Benign Tumour Excisions 9500 10925357 Temporal Bone subtotal resection 20700 23805358 Modified Radical Neck Dissection 25300 29095359 Carotid Body Excision 26000 29900360 Total Laryngectomy 39192 45071361 Flap Reconstructive Surgery 41400 47610362 Parapharyngeal Tumour Excision 39330 45230363 Other Major Surgery 21250 25000364 Other Minor Surgery 5000 5750

TREATMENT PROCEDURE BREAST365 Drainage of abscess 6000 6900366 Excision of lumps 6969 8014367 Local mastectomy-simple 12650 14548

Page 9: CGHS DELHI Rates 2014 - 2 · 2016. 3. 15. · 52 Keratoprosthesis stage I and II 11500 13225 53 DSAEK- Descemet’s stripping automated ... 76 Corneal endothelial cell count with

Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

368 Radical mastectomy-formal or modified. 28750 33063369 Excision of mammary fistula 15525 17854370 Segmental resection of breast 16100 18515371 Other Major Surgery 25000 28750372 Other Minor Surgery 5000 5750

TREATMENT PROCEDURE GENERAL SURGERY373 Injury Of Superficial Soft Tissues 425 500374 Suturing of small wounds 269 309375 Secondary suture of wounds 290 334376 Debridement of wounds 450 518377 Removal Of Foreign Bodies 300 345

Biopsies378 Excision of Cervical Lymph Node 1725 1984379 Excision of Axillary Lymph Node 2277 2619380 Excision of Inguinal Lymph Node 2277 2619381 Excision Biopsy of Ulcers 1470 1691382 Excision Biopsy of Superficial Lumps 3220 3703383 Incision Biopsy of Growths/Ulcers 1470 1691384 Trucut Needle Biopsy 1550 1783385 Percutaneous Kidney Biopsy 1470 1691386 Marrow Biopsy (Open) 1060 1219387 Muscle Biopsy 1470 1691388 Scalene Node Biopsy 1350 1553389 Excision of Sebaceous Cysts 1242 1428390 Excision of Superficial Lipoma 1932 2222391 Excision of Superficial Neurofibroma 2500 2875392 Excision of Dermoid Cysts 2277 2619393 Haemorrhoidectomy 2500 2875394 Stappler haemorrhoidectomy 4025 4629395 keloid excision 1150 1323396 Vericose vein surgery;Tendelenburg operation with

suturing or ligation.8625 9919

TREATMENT PROCEDURE OESOPHAGUS397 Atresia of Oesophagus and Tracheo Oesophageal Fistula 28750 33063

398 Operations for Replacement of Oesophagus by Colon 25000 28750

399 Oesophagectomy for Carcinoma Easophagus 25000 28750400 Oesophageal Intubation (Mausseau Barbin Tube) 11500 13225

401 Achalasia Cardia Transthoracic 12650 14548402 Achalasia Cardia Abdominal 14950 17193403 Oesophago Gastrectomy for mid 1/3 lesion 24495 28169404 Heller’s Operation 19750 22713405 Colon-Inter position or Replacement of Oesophagus 22540 25921

406 Oesophago Gastrectomy – Lower Corringers procedure 21390 24599

407 Other Major Surgery 27625 32500408 Other Minor Surgery 5000 5750

TREATMENT PROCEDURE ABDOMEN / GI SURGERY409 Gastroscopy 1725 1984

Page 10: CGHS DELHI Rates 2014 - 2 · 2016. 3. 15. · 52 Keratoprosthesis stage I and II 11500 13225 53 DSAEK- Descemet’s stripping automated ... 76 Corneal endothelial cell count with

Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

410 Gastric & Duodenal Biopsy (Endoscopic) 1950 2243411 Pyloromyotomy 2800 3220412 Gastrostomy 8625 9919413 Simple Closure of Perforated peptic Ulcer 9775 11241414 Vagotomy Pyleroplasty / Gastro Jejunostomy 13800 15870415 Duodenojejunostomy 18950 21793416 Partial/Subtotal Gastrectomy for Carcinoma 23000 26450417 Partial/Subtotal Gastrectomy for Ulcer 22425 25789418 Operation for Bleeding Peptic Ulcer 20976 24122419 Gastrojejunostomy & Vagotomy 19780 22747420 Operation for Gastrojejunal Ulcer 19780 22747421 Total Gastrectomy for Cancer 22368 25723422 Highly Selective Vagotomy 18630 21425423 Selective Vagotomy & Drainage 18630 21425424 Congenital Diaphragmatic Hernia 18975 21821425 Hiatus Hernia Repair- Abdominal 14490 16664426 Hiatus Hernia Repair- Transthoracic 16100 18515427 Exploratory Laparotomy 12650 14548428 Epigastric Hernia Repair 11385 13093429 Umbilical Hernia Repair 11385 13093430 Ventral /incisional Hernia Repair 10293 11837431 Inguinal Hernia Herniorraphy 14835 17060432 Inguinal Hernia - Hernioplasty 16500 18975433 Femoral Hernia Repair 18285 21028434 Rare Hernias Repair (Spigalion, Obturator, Lumbar, Sciatic) 18975 21821

435 Splenectomy - For Trauma 18975 21821436 Splenectomy - For Hypersplenism 14490 16664437 Splenorenal Anastomosis 23000 26450438 Portocaval Anastomosis 28750 33063439 Direct Operation on Oesophagus for Portal Hypertension 22885 26318

440 Mesentericocaval Anastomosis 25450 29268441 Warren Shunt 28750 33063442 Pancerato Duodenectomy 21735 24995443 By Pass Procedure for Inoperable Carcinoma of Pancreas 23000 26450

444 Cystojejunostomy or Cystogastrostomy 14490 16664445 Cholecystectomy 10292 11836446 Cholecystectomy & Exploration of CBD 14375 16531447 Repair of CBD 13600 16000448 Operation for Hydatid Cyst of Liver 11902 13687449 Cholecystostomy 10292 11836450 Hepatic Resections (Lobectomy /Hepatectomy) 14375 16531451 Operation on Adrenal Glands - Bilateral 26105 30021452 Operation on Adrenal Glands - Unilateral 13800 15870453 Appendicectomy 8108 9324454 Appendicular Abscess – Drainage 9775 11241455 Mesenteric Cyst- Excision 11040 12696456 Peritonioscopy/Laparoscopy 4600 5290457 Jejunostomy 5750 6613458 Ileostomy 15410 17722

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

459 Resection & Anastomosis of Small Intestine 20700 23805460 Duodenal Diverticulum 18400 21160461 Operation for Intestinal Obstruction 10350 11903462 Operation for Intestinal perforation 7762 8926463 Benign Tumours of Small Intestine 19550 22483464 Excision of Small Intestine Fistula 19550 22483465 Operations for GI Bleed 16000 18400466 Operations for Haemorrhage of Small Intestines 19550 22483467 Operations of the Duplication of the Intestines 17825 20499468 Operations for Recurrent Intestinal Obstruction (Noble

Plication & Other Operations for Adhesions)23000 26450

469 Ilieosigmoidostomy and related resection 16790 19309470 Ilieotransverse Colostomy and related resection 16790 19309471 Caecostomy 3903 4488472 Loop Colostomy Transverse Sigmoid 13110 15077473 Terminal Colostomy 17250 19838474 Closure of Colostomy 17480 20102475 Right Hemi-Colectomy 13800 15870476 Left Hemi-Colectomy 13800 15870477 Total Colectomy 17250 19838478 Operations for Volvulus of Large Bowel 24920 28658479 Operations for Sigmoid Diverticulitis 18630 21425480 Fissure in Ano with Internal sphinctrectomy with

fissurectomy.5750 6613

481 Fissure in Ano - Fissurectomy 13800 15870482 Rectal Polyp-Excision 5658 6507483 Operation of Haemorrhoids -Lords procedure 1343 1544484 Fistula in Ano - High Fistulectomy 16780 19297485 Fistula in Ano - Low Fistulectomy 9867 11347486 Prolapse Rectum - Theirch Wiring 10350 11903487 Prolapse Rectum - Rectopexy 5750 6613488 Prolapse Rectum - Grahams Operation 18400 21160489 Operations for Hirschsprungs Disease 14260 16399490 Excision of Pilonidal Sinus (open) 11500 13225491 Excision of Pilonidal Sinus with closure 11500 13225492 Abdomino-Perineal Excision of Rectum 18300 21045493 Anterior Resection of rectum 21850 25128494 Pull Through Abdominal Resection 17170 19746495 Retro Peritoneal Tumor Removal 18000 20700496 Radio ablation of varicose veins 1800 2070497 Laser ablation of varicose veins 17250 19838498 Laproscopic Fundoplication 19300 22195499 Laproscopic Spleenectomy 25000 28750500 Laproscopic Removal of hydatid cyst 18000 20700501 Laproscopic treatment of Pseudo Pancreatic cyst 18000 20700

502 Laproscopic whipples operation 20000 23000503 Laproscopic GI bypass operation 22000 25300504 Laproscopic Total Colectomy 25000 28750505 Laproscopic Hemi Colectomy 23000 26450506 Laproscopic Anterior Resection 23000 26450

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

507 Laproscopic Cholecystetomy 18975 21821508 Laproscopic Appedicectomy 18000 20700509 Laproscopic Hernia inguinal repair 18000 20700510 Laproscopic ventral Hernia Repair 17500 20125511 Laproscopic Paraumblical Hernia Repair 12580 14800512 Laproscopic Adrenelectomy 12000 13800513 Laproscopic Nephrectomy 22000 25300514 Other Major Surgery 38000 43700515 Other Minor Surgery 6000 6900

TREATMENT PROCEDURE ICU/CCU PROCEDURES (SPECIAL CARE CASES)

516 Coronary Care with Cardiac Monitoring including ECG & Diet (Accomodation charges as per ward entitlement extra)

750 863

517 Compressed air / piped oxygen /per hour 50 58518 Ventilator charges/day 531 611519 Paediatric care for New born per day 186 214520 Incubator charges (Per day) 345 397521 Neonatal ICU charges (Per day) 391 450522 Resuscitation 184 212523 Exchange Transfusion 265 305524 Pneupack ventilator in Nursery (Per day) 575 661

TREATMENT PROCEDURE CARDIOVASCULAR AND CARDIAC SURGERY & INVESTIGATIONS

525 ASD Closure 51808 59579526 VSD with graft 51808 59579527 TOF/TAPVC/TCPC/REV/RSOV repair 127075 146136528 B.D.Glenn/Left atrium myxoma 80750 95000529 Senning/ASO with graft 122188 140516530 DSO 16100 18515531 AV Canal repair 161000 185150532 Fonten 169000 194350533 Conduit repair 169000 194350534 CABG 127075 146136535 CABG + IABP 169000 194350536 CABG + Valve. 169000 194350537 CABG without bypass. 140000 161000538 Ascending aorta replacement 130000 149500539 DVR 53000 60950540 MVR/AVR 51808 59579541 MV repair + AV repair 103615 119157542 Aorta femoral bypass 52000 59800543 B.T Shunt/Coaractation 51980 59777544 P.A.Banding septostomy 51980 59777545 Pericardectomy 42320 48668546 CMV/PDA 51980 59777547 Gunshot injury 51980 59777548 Heart transplant 276000 317400549 Balloon coronary angioplasty/PTCA with VCD 80600 92690

550 Balloon coronary angioplasty/PTCA without VCD 80000 92000

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

551 Intra coronary stenting 88000 101200552553 Rotablation 48875 56206554 balloon valvotomy/PTMC 10264 11804555 CATH 10000 11500556 Arch Replacement 10350 11903557 Aortic Dissection 12650 14548558 Thoraco Abdominal Aneurism Repair 15000 17250559 Embolectomy 21000 24150560 Vascular Repair 36000 41400561 Bentall Repair with Prosthetic Valve 30000 34500562 Bentall Repair with Biologic Valve 127500 150000563 Coaractation dilatation 14500 16675564 Coaractation dilatation with Stenting 18500 21275565 TPI Single Chamber 7500 8625566 TPI Dual Chamber 8160 9600567 Permanent pacemaker implantation- Single Chamber 13800 15870

568 Permanent pacemaker implantation- Dual Chamber 19320 22218569 Permanent pacemaker implantation Biventricular 34500 39675570 AICD implantation Single Chamber 28750 33063571 AICD implantation Dual Chamber 40000 46000572 Combo device implantation 40000 46000573 Diagnostic Electrophysiological studies conventional 4550 5233

574 Diagnostic Electrophysiological studies 3D/Carto 4575 5261575 Ambulatory BP monitoring 587 690576 External Loop/event recording 2848 3350577 RF Ablation conventional 35000 40250578 RF Ablation Atrial Tachycardia/Carto 45000 51750579 Endomyocardial biopsy 10000 11500580 IABP+ (cost of Ballon at AIIMS rate) 7820 8993581 Intra vascular coils 46000 52900582 Septostomy- Balloon 19550 22483583 Septostomy- Blade 16150 19000584 AVBD/PVBD 48300 55545585 Digital subtraction angiography-Peripheral artery 11500 13225

586 Digital subtraction angiography- venogram 11500 13225587 Percutaneous valve replacement 12500 14375588 C.T Guided biopsy 1265 1455589 Sinogram 863 992590 Peripheral Angioplasty with VCD 11500 13225591 Peripheral Angioplasty without VCD 11500 13225592 Renal Angioplasty 60350 71000593 Carotid Angioplasty 63750 75000594 IVUS 25000 28750595 FFR 12750 15000596 ICE 332 390597 Holter analysis 850 1000598 Aortic stent grafting for aortic aneurysm 78500 90275599 IVC Filter implantation 16129 18548

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

600 ASD/VSD/PDA device closure 36225 41659601 ECG 50 58602 HUTT 2200 2530603 2 D echocardiography 1200 1380604 3 D echocardiography 1403 1650605 Fetal Echo 1400 1610606 2 D TEE 1403 1650607 3 D TEE(Transoesophageal echo ) 1403 1650608 Stress Echo- exercise 1500 1725609 Stress Echo- pharmacological 2500 2875610 Stress MPI- exercise 1955 2300611 Stress MPI - pharmacological 2500 2875612 Coronary angiography 11500 13225613 CT coronary angiography 6030 6935614 Cardiac CT scan 2272 2613615 Cardiac MRI 2444 2811616 Stress Cardiac MRI 3000 3450617 MR angiography. 5635 6480618 Cardiac PET 1500 1725619 Pericardiocentesis 3500 4025620 Other Major Surgery 4250 5000621 Other Minor Surgery 20000 23000

TREATMENT PROCEDURE OBSTETRICS AND GYNAECOLOGY

622 Normal delivery with or without Episiotomy & P. repair 8000 9200

623 vacuum delivery 8625 9919624 Forceps Delivery 9200 10580625 Cesarean Section 14050 16158626 Cesarean Hysterectomy 18975 21821627 Rupture Uterus closure & repair with Tubal Ligation 17250 19838628 Perforation of Uterus after D/E Laparotomy & Closure 13800 15870

629 Laparotomy for Ectopic pregnancy 13800 15870630 Laparotomy-peritonitis Lavage and Drainage 11500 13225631 Salphingo-Oophorectomy/ Oophorectomy Laproscopic 10000 11500

632 Ovarian Cystectomy-laparoscopic. 10350 11903633 Ovarian Cystectomy -laparotomy. 13800 15870634 Salpingo-Oophorectomy-laparotomy 11520 13248635 Laproscopic Broad Ligament Hematoma Drainage with

repair6900 7935

636 Exploration of perineal Haematoma & Repair 8000 9200637 Exploration of abdominal Haematoma (after laparotomy +

LSCS)8050 9258

638 Manual Removal of Placenta 3450 3968639 Examination under anesthesia (EUA) 1000 1150640 Burst-abdomen Repair 10000 11500641 Gaping Perineal Wound Secondary Suturing 1656 1904642 Gaping abdominal wound Secondary Suturing 3450 3968643 Complete perineal tear-repair 2128 2447644 Exploration of PPH-tear repair 3500 4025

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

645 Suction evacuation vesicular mole 5000 5750646 Suction evacuation Missed abortion/ incomplete abortion 5175 5951

647 Colpotomy 3450 3968648 Repair of post-coital tear/ perineal injury 3508 4034649 Excision of urethral caruncle 3450 3968650 Shirodhkar/ Mc. Donald’s stitch 3220 3703651 Abdominal Hysterectomy with or without salpingo-

oophorectomy17250 19838

652 Vaginal Hysterectomy (NDVH) 17250 19838653 Vaginal Hysterectomy with repairs (UV Prolapse) 17250 19838654 Myomectomy -laparotomy 14000 16100655 Myomectomy -laparoscopic 6325 7274656 Vaginoplasty 14950 17193657 Vulvectomy -Simple 9200 10580658 Vulvectomy-Radical 9200 10580659 RVF Repair 14000 16100660 Manchester Operation 15000 17250661 Shirodkar’s sling Operation or other sling operations for

prolapse uterus3450 3968

662 Laparoscopic sling operations for prolapse uterus 3450 3968663 Diagnostic Curettage 2484 2857664 Cervical Biopsy 1800 2070665 Polypectomy 1518 1746666 Other-Minor Operation Endometrial 2300 2645667 Excision Vaginal Cyst/Bartholin Cyst 3450 3968668 Excision Vaginal Septum 4600 5290669 Laparoscopy -Diagnostic with chromopertubation and or

adhesiolysis and drilling4025 4629

670 Laparoscopy Sterilization 3450 3968671 LAVH 10350 11903672 Balloon Temponade for PPH 2800 3220673 Total laparoscopic hysterectomy 25243 29029674 Laparoscopic treatment of Ectopic pregnancy-

salpingectomy/salpinostomy conservative9775 11241

675 Conisation of cervix 4025 4629676 Trachhelectomy of cervix for early CA cervix 5500 6325677 Hysteroscopic cannulation 2875 3306678 Laparotomy recannalization of Fallopian tubes-

(Tubuloplasty)22425 25789

679 Laparoscopic recannalization of Fallopian tubes-(Tubuloplasty)

1200 1380

680 Colposcopy 958 1102681 Inversion of Uterus – Vaginal Reposition 2500 2875682 Inversion of Uterus – Abdominal Reposition 2500 2875683 Laparoscopic VVF Repair 2700 3105684 Abdominal VVF Repair 4500 5175685 Vaginal VVF Repair 6500 7475686 Interventional Ultrasonography (CVS) 880 1012687 Amniocentesis 880 1012688 Karyotyping 800 920

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

689 Thermal balloon ablation. 11500 13225690 Ultrasonographic myolysis 10293 11837691 Vaginal Myomectomy 10000 11500692 Intra Uterine Inseminition 920 1058693 ICSI 11500 13225694 Laparotomy abdominal sacro-colpopexy 15000 17250695 Vaginal Colpopexy 22000 25300696 Laparoscopic abdominal sacro-colpopexy 20000 23000697 Laparotomy pelvic Lymphadenectomy 1200 1380698 Laparoscopic pelvic Lymphadenectomy 3500 4025699 Endometrial aspiration cytology/biopsy 570 656700 Transvaginal sonography (TVS for Follicular monitioring

/aspiration)460 529

701 laparoscopic treatment for stress incontinence 5000 5750702 Transvaginal tapes for Stress incontinence 15000 17250703 trans-obturator tapes for Stress incontinence 12000 13800704 Interventional radiographic arterial embolization 18000 20700705 Diagnostic cystoscopy 2875 3306706 Staging laparotomy surgery for CA Ovary 6325 7274707 Internal Iliac ligation 3393 3902708 stepwise devascularisation 9200 10580709 Assisted breech delivery 10925 12564710 Intra-uterine fetal blood transfusion 21275 24466711 Hysteroscopy TCRE 8500 9775712 Hysteroscopy Removal of IUCD 7500 8625713 Hysteroscopy Removal of Septum 11000 12650714 Hysteroscopy Diagnostic 7500 8625715 Radical Hysterectomy for Cancer cervix with pelvic

lymphadenectomy 8500 9775

716 Radical Hysterectomy for Cancer endometrium extending to cervix with pelvic and para aortic lymphadenectomy

8500 9775

717 Sterilization Post partum (minilap) 3750 4313718 Sterilization interval (minilap) 3750 4313719 Ultrasonography Level II scan/Anomaly Scan 500 575720 Fetal nuchal Translucency 300 345721 Fetal Doppler/Umblical Doppler/Uterine Vessel Doppler 850 978

722 MTP- 1st Trimester 3000 3450723 MTP - 2nd Trimester 4370 5026724 Triple test 1500 1725725 Quadruple test 2000 2300726 Biophysical score 600 690727 HPV testing 575 661728 B-HCG 340 391729 Other Major Surgery 28000 32200730 Other Minor Surgery 5000 5750

TREATMENT PROCEDURE NEPHROLOGY AND UROLOGY

731 Partial Nephrectomy -open 16215 18647732 Partial Nephrectomy-laproscopic/endoscopic 14490 16664733 Nephrolithomy -open 12000 13800

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

734 Nephrolithomy -laproscopic/endoscopic 14000 16100735 Pyelolithotomy-open 13000 14950736 Pyelolithotomy -laproscopic/endoscopic 10580 12167737 Operations for Hydronephrosis -pyeloplasty open 18400 21160738 Operations for Hydronephrosis -pyeloplasty

Lap/endoscopic19000 21850

739 Operations for Hydronephrosis Endoplyelotomy antegrade 20000 23000

740 Operations for Hydronephrosis Endoplyelotomy retrograde

20000 23000

741 Operations for Hydronephrosis -ureterocalicostomy 18000 20700742 Operations for Hydronephrosis-Ileal ureter 18000 20700743 Open Drainage of Perinephric Abscess 8000 9200744 Percutaneous Drainage of Perinephric Abscess -Ultrasound

guided5750

745 Cavernostomy 9775 11500746 Operations for Cyst of the Kidney -open 11960 13754747 Operations for Cyst of the Kidney -Lap/endoscopic 14030 16135748 Ureterolithotomy -open 13248 15235749 Ureterolithotomy-Lap/Endoscopic 10000 11500750 Nephroureterectomy open 16100 18515751 Nephroureterectomy -Lap/Endoscopic 16100 18515752 Operations for Ureter for -Double Ureters 19000 21850753 Operations for Ureter -for Ectopia of Single Ureter 18000 20700754 Operations for Vesico- ureteric Reflux -Open 18000 20700755 Operations for Vesico- ureteric Reflux-Lap/Endoscopic 18000 20700

756 Operations for Vesico- ureteric Reflux/ Urinary incontinence with bulking agents

20700 23805

757 Ureterostomy - Cutaneous 12000 13800758 Uretero-Colic anastomosis 16000 18400759 Formation of an Ileal Conduit 17250 19838760 Ureteric Catheterisation 690 794761 Biopsy of Bladder (Cystoscopic) 2300 2645762 Cysto-Litholapaxy 10925 12564763 Operations for Injuries of the Bladder 10000 11500764 Suprapubic Drainage (Cystostomy/vesicostomy) 6000 6900765 Simple Cystectomy 17250 19838766 Diverticulectomy -open 16000 18400767 Diverticulectomy- Lap/Endoscopic 18400 21160768 Diverticulectomy -Endoscopic incision of neck 1725 1984769 Augmentation Cystoplasty 6670 7671770 Operations for Extrophy of the Bladder- Single stage repair 22300 25645

771 Operations for Extrophy of the Bladder- Multistage repair 20815 23937

772 Operations for Extrophy of the Bladder- simple cystectomy with urinary diversion

22500 25875

773 Repair of Ureterocoel -Open 13800 15870774 Repair of Ureterocoel -Lap/Endoscopic 14375 16531775 Repair of Ureterocoel -Endoscopic incision 13000 14950776 Open Suprapubic Prostatectomy 20700 23805

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

777 Open Retropubic Prostatectomy 20125 23144778 Transurethral Resection of Prostate (TURP) 18630 21425779 Urethroscopy/ Cystopanendoscopy 4600 5290780 Internal urethrotomy -optical 5750 6613781 Internal urethrotomy -Core through urethroplasty 11040 12696782 Urethral Reconstruction -End to end ansatamosis 3450 3968783 Urethral Reconstruction - substitution urethroplasty

(Transpubic urethroplasty 19550 22483

784 Abdomino Perineal urethroplasty 14000 16100785 Posterior Urethral Valve fulguration. 11270 12961786 Operations for Incontinence of Urine - Male -Open 17250 19838787 Operations for Incontinence of Urine - Male -Sling 18400 21160788 Operations for Incontinence of Urine - Male-Bulking agent 19435 22350

789 Operations for Incontinence of Urine - Female -Open 17250 19838

790 Operations for Incontinence of Urine - Female-Sling 18400 21160791 Operations for Incontinence of Urine - Female-Bulking

agent 19435 22350

792 Reduction of Paraphimosis 1725 1984793 Circumcision 3000 3450794 Meatotomy 2346 2698795 Meatoplasty 3220 3703796 Operations for Hypospadias + Chordee Correction 1208 1389797 Operations for Hypospadias - Second Stage 15000 17250798 Operations for Hypospadias - One Stage Repair 9200 10580799 Operations for Crippled Hypospadias 11500 13225800 Operations for Epispadias _primary repair 12593 14482801 Operations for Epispadias-crippled epispadias 11385 13093802 Partial Amputation of the Penis 10764 12379803 Total amputation of the Penis 12000 13800804 Orchidectomy-Simple 9775 11241805 Orchidectomy -Radical 12075 13886806 Post Radical Orchidectomy retroperitoneal lymph node

dissection.14000 16100

807 Epididymectomy 8000 9200808 Adreneclectomy Unilateral/Bilateral for Tumour/For

Carcinoma- Open25300 29095

809 Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma -Lap/Endoscopic

14375 16531

810 Operations for Hydrocele - Unilateral 5865 6745811 Operations for Hydrocele - Bilateral 8556 9839812 Vasectomy (Should be free for Family Welfare) 6230 7165813 Operation for Torsion of Testis 11500 13225814 Micro-surgical Vasovasostomy /Vaso epidedymal

ansatamosis.11040 12696

815 Operations for Varicocele Unilateral-Microsurgical 7705 8861816 Operations for Varicocele Palomo’s Unilateral - Lap 9200 10580817 Operations for Varicocele Bilateral --Microsurgical 12650 14548818 Operations for Varicocele Bilateral – Lap/ Palomo 14950 17193819 Block Dissection of ilio-inguinal Nodes - One Side (For Ca-

Penis)6325 7274

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

820 Block Dissection of ilio-inguinal Nodes - Both Sides (For Ca-Penis)

23000 26450

821 Excision of Filarial Scrotum 11500 13225822 Kidney Transplantation (related) 3500 4025823 Kidney Transplantation (Spousal/ unrelated) 143000 164450824 ABO incompatible Transplantation 490000 563500825 Swap Transplantation 388000 446200826 Kidney Transplant Graft Nephrectomy 59500 70000827 Donor Nephrectomy (open) 28750 33063828 Donor Nephrectomy (Laproscopic) 46000 52900829 Cadaver Transplantation 83300 95795830 Kidney Transplant with Native Kidney Nephrectomy

(Related)/ Unilateral 28000 32200

831 Kidney Transplant with Native Kidney Nephrectomy (Related)/ Bilateral

85000 97750

832 Kidney Transplant with Native Kidney Nephrectomy (Spousal/ Unrelated) Unilateral

85000 97750

833 Kidney Transplant with Native Kidney Nephrectomy (Spousal/ Unrelated) Bilateral

85000 97750

834 Post-Transplant Collection drainage for Lymphocele (open) 6800 8000

835 Post-Transplant Collection drainage for Lymphocele (percutaneous)

6800 8000

836 Post-Transplant Collection drainage for Lymphocele (Laproscopic)

7650 9000

837 Arteriovenous Fistula for Haemodialysis 2300 2645838 Arteriovenous Shunt for Haemodialysis 3500 4025839 Jugular Catheterization for Haemodialysis 1500 1725840 Subclavian Catheterization for Haemodialysis 2250 2588841 One sided (single Lumen) Femoral Catheterization for

Haemodialysis1000 1150

842 Bilateral (single Lumen) Femoral Catheterization for Haemodialysis

1500 1725

843 Double Lumen Femoral Catheterization for Haemodialysis

1850 2128

844 Permcath Insertion 2800 3220845 Arterio venous Prosthetic Graft 1850 2128846 Single lumen Jugular Catheterization 1500 1725847 Single lumen Subclavian Catheterization 1700 2000848 Plasma Exchange/ Plasma phresis 1725 1984849 Open method CAPD catheter insertion 3500 4025850 Schlendinger method CAPD catheter insertion 3500 4025851 Sustained low efficiency hemodialysis 1250 1438852 Continuous Veno venous/Arteriovenous Hemofilteration 2250 2588

853 Hemodialysis for Sero negative cases 1400 1610854 Hemodialysis for Sero Positive cases 1650 1898855 Acute Peritoneal Dialysis 1450 1668856 Fistologram for Arteriovenous Fistula 2500 2875857 Ultrasound guided kidney Biopsy 850 978858 Fistula stenosis dilation 3000 3450859 Slow continuous Ultrafilteration 2500 2875

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

860 PCNL - Unilateral 20000 23000861 PCNL - Bilateral 25000 28750862 Endoscopic Bulking agent Inject 4500 5175863 Testicular Biopsy 1955 2248864 Radical Nephrectomy -Open 17250 19838865 Radical Nephrectomy -Lap/Endoscopic 20700 23805866 Radical Nephrectomy plus IV thrombus 23000 26450867 Radical Nephrectomy plus IV thrombus plus cardiac

bypass.23000 26450

868 Vesico Vaginal Fistula Repair (Open) 16000 18400869 Vesico Vaginal Fistula Repair (Laproscopic) 22000 25300870 Radical Cystectomy -Ileal conduit 17000 20000871 Radical Cystectomy - continent diversion. 15000 17250872 Radical Cystectomy – Neo bladder 18500 21275873 Nephrectomy Simple -Open 10074 11585874 Nephrectomy Simple-lap/Endoscopic 12593 14482875 Nephrostomy -Open 10000 11500876 Nephrostomy -Lap/Endoscopic 10704 12593877 Ureteric Re- implant for Megaureter/Vesicoureteric reflex/

uterocele (open)10494 12068

878 Ureteric Re -implant for Megaureter/Vesicoureteric reflex/ uterocele (Laproscopic)

10494 12068

879 Partial Cystectomy 13800 15870880 TURP & TUR Bladder Tumour 17250 19838881 TURP with Cystolithotripsy 17000 19550882 Closure of Urethral Fistula 11000 12650883 Orchidopexy - Unilateral -Open 9867 11347884 Orchidopexy - Unilateral- Lap/Endoscopic 12334 14184885 Orchidopexy - Bilateral -Open 12282 14124886 Orchidopexy - Bilateral -Lap/Endoscopic 14500 16675887 Cystolithotomy -Suprapubic 9775 11241888 Endoscopic Removal of Stone in Bladder 3450 3968889 Resection Bladder Neck Endoscopic /Bladder neck

incision/transurethral incision on prostrate10925 12564

890 Ureteroscopic Surgery 10350 11903891 Urethroplasty 1st Stage 10925 12564892 Scrotal Exploration 8556 9839893 Perineal Urethrostomy 4715 5422894 Dilatation of Stricture Urethra under G.A. 2000 2300895 Dilatation of Stricture Urethra under LA 1725 1984896 Laproscopic Nephrectomy 33350 38353897 Laproscopic partial Nephrectomy 10000 11500898 Laproscopic pyelolithotomy 12650 14548899 Laproscopic Pyeloplasty 9775 11241900 Laproscopic surgery for Renal cyst 9775 11241901 Laproscopic ureterolithotomy 11500 13225902 Laproscopic Nephro ureterotectomy 13225 15209903 Lithotripsy Extra corporeal shock wave. 19000 21850904 Uroflow Study (Uroflometry) 450 518905 Urodynamic Study (Cystometry) 480 552906 Cystoscopy with Retrograde Catheter -Unilateral /RGP 2803 3223

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

907 Cystoscopy with Retrograde Catheter - Bilateral /RGP 4675 5500

908 Cystoscopy with Bladder Biopsy (Cold Cup Biopsy) 3381 3888909 Voiding-cysto-urethrogram and retrograde urethrogram

(Nephrostogram) 414 476

910 Radical prostatectomy-Open 17825 20499911 Radical prostatectomy-Laproscopic 20125 23144912 Radical prostatectomy- Robotic (Robotic Partial

Nephrectomy) 20125 23144

913 Hollmium YAG Prostate Surgery 1725 1984914 Hollmium YAG OIU 4600 5290915 Hollmium YAG Core Through 17250 19838916 Hollmium YAG Stone Lithotripsy 10200 12000917 Green Light laser for prostate 17250 19838918 RIRS/ Flexible Ureteroscopy 6800 7820919 Microscopic VEA/ Vaso-Vasostomy (for Infertility) 13500 15525920 Cystoscopic Botulinum Toxin Injection ( Over active

bladder/ Neurogenic bladder)6800 7820

921 Peyronie’s disease – Plaque excision with grafting 3400 4000922 High Intensity Focus Ultrasound (HIFU) (Robotic) for

Carcinoma prostrate and renal cell carcinoma4600 5290

923 Prosthetic surgery for urinary incontinence 2300 2645924 TRUS guided prostate biopsy 575 661925 Ultra sound guided PCN 720 828926 Other Major Surgery 15000 17250927 Other Minor Surgery 6800 7820

TREATMENT PROCEDURE NEURO-SURGERY928 Craniotomy and Evacuation of Haematoma -Subdural 50715 58322

929 Craniotomy and Evacuation of Haematoma -Extradural 50000 57500

930 Evacuation /Excision of Brain Abscess by craniotomy 40000 46000

931 Excision of Lobe (Frontal Temporal Cerebellum etc.) 41000 47150

932 Excision of Brain Tumours -Supratentorial 39123 44991933 Excision of Brain Tumours -Infratentorial 45000 51750934 Surgery of spinal Cord Tumours 45000 51750935 Ventriculoatrial /Ventriculoperitoneal Shunt 25000 28750936 Twist Drill Craniostomy 4250 5000937 Subdural Tapping 2456 2824938 Ventricular Tapping 2967 3412939 Abscess Tapping 2875 3306940 Placement of ICP Monitor - 2875 3306941 Skull Traction Application 2300 2645942 Lumber Pressure Monitoring 4250 5000943 Vascular Malformations 22000 25300944 Meningo Encephalocoele excision and repair 15000 17250945 Meningomyelocoel Repair 24995 28744946 C.S.F. Rhinorrhaea Repair 28750 33063947 Cranioplasty 24150 27773948 Anterior Cervical Dissectomy 16600 19090

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

949 Brachial Plexus Exploration and neurotization 15525 17854950 Median Nerve Decompression 14000 16100951 Peripheral Nerve Surgery – Major 17250 19838952 Peripheral Nerve Surgery Minor 8280 9522953 Ventriculo-Atrial Shunt 11615 13357954 Nerve Biopsy 6900 7935955 Brain Biopsy 5808 6679956 Anterior Cervical Spine Surgery with fusion 32200 37030957 Anterio Lateral Decompression of spine 28750 33063958 Brain Mapping 837 963959 Cervical or Dorsal or Lumbar Laminectomy 23000 26450960 Combined Trans-oral Surgery & CV Junction Fusion 34500 39675961 C.V. Junction Fusion procedures 30000 34500962 Depressed Fracture Elevation 25000 28750963 Lumbar Discectomy 27600 31740964 Endarterectomy (Carotid) 20000 23000965 R.F. Lesion for Trigeminal Neuralgia 11500 13225966 Spasticity Surgery - 39675 45626967 Spinal Fusion Procedure 30000 34500968 Spinal Intra Medullary Tumours 34500 39675969 Spinal Bifida Surgery Major 18975 21821970 Spinal Bifida Surgery Minor 15000 17250971 Stereotaxic Procedures- biopsy/aspiration of cyst 23000 26450972 Trans Sphenoidal Surgery 30000 34500973 Trans Oral Surgery 30000 34500974 Implantation of DBS -One electrode 34500 39675975 Implantation of DBS -two electrodes 40250 46288976 Endoscopic aqueductoplasty 15000 17250977 Facial nerve reconstruction 30000 34500978 Carotid stenting 42263 48602979 Cervical disc arthroplasty 27600 31740980 Lumbar disc arthroplasty 13800 15870981 Corpus callostomy for Epilepsy 35000 40250982 Hemishpherotomy for Epilepsy 32200 37030983 Endoscopic CSF rhinorrhea repair 30000 34500984 Burr hole evacuation of chronic subdural haematoma 24150 27773

985 Epilepsy surgery 36225 41659986 RF lesion for facet joint pain syndrome 17250 19838987 Cervical laminoplasty 32000 36800988 Lateral mass C1-C2 screw fixation 23000 26450989 Microsurgical decompression for Trigeminal nerve 38000 43700990 Microsurgical decompression for hemifacial spasm 4646 5343991 IC EC bypass procedures 32000 36800992 Image guided craniotomy 28980 33327993 Baclofen pump implantation 39000 44850994 Programmable VP shunt 25000 28750995 Endoscopic sympathectomy 17107 19673996 Lumber puncture 207 238997 External ventricular drainage (EVD) 4600 5290998 Endoscopic 3rd ventriculostomy 40000 46000999 Endoscopic cranial surgery/Biopsy/aspiration 31536 36266

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1000 Endoscopic discectomy (Lumbar, Cervical) 35621 409641001 Aneurysm coiling (Endovascular) 34400 395601002 Surgery for skull fractures 40000 460001003 Carpel Tunnel decompression 15000 172501004 Clipping of intracranial aneurysm 24150 277731005 Surgery for intracranial Arteriovenous

malformarions(AVM)40000 46000

1006 Foramen magnum decompression for Chari Malformation 1100 1265

1007 Dorsal column stimulation for backache in failed back syndrome

28750 33063

1008 Surgery for recurrent disc prolapse/epidural fibrosis 32200 37030

1009 Surgery for brain stem tumours 43988 505861010 Decompressive craniotomy for hemishpherical acute

subdural haematoma/brain swelling/large infarct40000 46000

1011 Intra-arterial thrombolysis with TPA (for ischemic stroke ) 4600 5290

1012 Steriotactic aspiration of intracerebral haematoma 32545 374271013 Endoscopic aspiration of intracerebellar haematoma 40000 46000

1014 Steriotactic Radiosurgery for brain pathology(X knife/Gamma ) - ONE session

57500 66125

1015 Steriotactic Radiosurgery for brain pathology(X knife / Gamma knife -Two or more sessions

27560 31694

1016 Chemotheraphy wafers for malignant brain tumors 14450 166181017 Battery Placement for DBS 22000 253001018 Baclofen pump implantation for spasticity 17330 199301019 Peripheral Nerve tumor surgery 24000 276001020 Surgery Intra Cranial Meningioma 20000 230001021 Surgery for Intracranial Schwannoma 35000 402501022 Surgery for Gliomas 45000 517501023 Surgery for Orbital tumors 40000 460001024 Surgery for Cranial (Skull) tumors 38500 442751025 Surgery for Scalp AVM’s 25000 287501026 Kyphoplasty 40000 460001027 Balloon Kyphoplasty 40000 460001028 Lesioning procedures for Parkinson’s disease, Dystonia etc. 35000 40250

1029 Other Major Surgery 42500 500001030 Other Minor Surgery 17000 20000

TREATMENT PROCEDURE PAEDIATRIC SURGERY1031 Excision of thyroglossal Duct/Cyst 16000 184001032 Diaphragmatic Hernia Repair (Thoracic or Abdominal

Approach)17250 19838

1033 Tracheo Oesophageal Fistula (Correction Surgery) 23000 264501034 Colon Replacement of Oesophagus 23000 264501035 Omphalo Mesenteric Cyst Excision 17250 198381036 Omphalo Mesenteric Duct- Excision 15525 178541037 Meckels Diverticulectomy 3347 38491038 Omphalocele 1st Stage (Hernia Repair) 15525 17854

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1039 Omphalocele 2nd Stge (Hernia Repair) 17250 198381040 Gastrochisis Repair 16100 185151041 Inguinal Herniotomy 12558 144421042 Congenital Hydrocele 12000 138001043 Hydrocele of Cord 12000 138001044 Torsion Testis Operation 15000 172501045 Congenital Pyloric Stenosis- operation 13938 160291046 Duodenal- Atresia Operation 14000 161001047 Pancreatic Ring Operation 22425 257891048 Meconium Ileus Operation 14500 166751049 Malrotation of Intestines Operation 13000 149501050 Rectal Biopsy (Megacolon) 9736 111961051 Colostomy Transverse 15000 172501052 Colostomy Left Iliac 15000 172501053 Abdominal Perineal Pull Through (Hirschaprugis Disease) 19000 21850

1054 Imperforate Anus Low Anomaly -Cut Back Operation 10235 11770

1055 Imperforate Anus Low Anomaly - Perineal Anoplasty 12000 13800

1056 Imperforate Anus High Anomaly -Sacroabdomino Perineal Pull Through

12500 14375

1057 Imperforate Anus High Anomaly - Closure of Colostomy 8625 9919

1058 Intususception Operation 20700 238051059 Choledochoduodenostomy for Atresia of Extra Hepatic

Billiary Duct 15000 17250

1060 Operation of Choledochal Cyst 16000 184001061 Nephrectomy for -Pyonephrosis 17000 195501062 Nephrectomy for - Hydronephrosis 15000 172501063 Nephrectomy for -Wilms Tumour 8257 94961064 Paraortic Lymphadenoctomy with Nephrectomy for Wilms

Tumour20000 23000

1065 Sacro-Coccygeal Teratoma Excision 14000 161001066 Neuroblastoma Debulking 16000 184001067 Neuroblastoma Total Excision 20700 238051068 Rhabdomyosarcoma wide Excision 15000 172501069 Congenital Atresia & Stenosis of Small Intestine 19000 218501070 Muconium ileus 16000 184001071 Mal-rotation & Volvulus of the Midgut 15000 172501072 Excision of Meckle’s Deverticulum 12000 138001073 Other Major Surgery 27000 310501074 Other Minor Surgery 11050 13000

TREATMENT PROCEDURE BURNS AND PLASTIC SURGERY

1075 Primary Suturing of Wound 300 3451076 Injection of Keloids - Ganglion 1099 12641077 Injection of Keloids - Haemangioma 1150 13231078 Free Grafts - Wolfe Grafts 1725 19841079 Free Grafts - Theirech- Small Area 5% 7475 85961080 Free Grafts - Large Area 10% 8000 92001081 Free Grafts - Very Large Area 20% and above. 10350 11903

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1082 Skin Flaps - Rotation Flaps 8970 103161083 Skin Flaps - Advancement Flaps 12500 143751084 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap 12500 14375

1085 Skin Flaps - Cross Finger 12500 143751086 Skin Flaps - Abdomil 9350 110001087 Skin Flaps - Thoracic 9350 110001088 Skin Flaps - Arm Etc. 11000 126501089 Subcutaneous Pedicle Flaps Raising 6900 79351090 Subcutaneous Pedicle Flaps Delay 5950 70001091 Subcutaneous Pedicle Flaps Transfer 5950 70001092 Cartilate Grafting 8625 99191093 Reduction of Facial Fractures of Nose 1380 15871094 Reduction of Facial Fractures of Maxilla 8000 92001095 Reduction of Fractures of Mandible & Maxilla - Eye Let

Splinting 7475 8596

1096 Reduction of Fractures of Mandible & Maxilla - Cast Netal Splints

6900 7935

1097 Reduction of Fractures of Mandible & Maxilla - Gumming Splints

7500 8625

1098 Internal Wire Fixation of Mandible & Maxilla 11500 132251099 Cleft Lip - repair. 12650 145481100 Cleft Palate Repair 11500 132251101 Primary Bone Grafting for alveolar cleft in Cleft Lip 11500 132251102 Secondary Surgery for Cleft Lip Deformity 10000 115001103 Secondary Surgery for Cleft Palate 12650 145481104 Reconstruction of Eyelid Defects - Minor 6325 72741105 Reconstruction of Eyelid Defects - Major 8500 97751106 Plastic Surgery of Different Regions of the Ear - Minor 8050 9258

1107 Plastic Surgery of Different Regions of the Ear - Major 10350 11903

1108 Plastic Surgery of the Nose - Minor 8050 92581109 Plastic Surgery of the Nose - Major 9500 109251110 Plastic Surgery for Facial Paralysis (Support with

Reanimation)16100 18515

1111 Pendulous Breast - Mammoplasty 13000 149501112 Underdeveloped Breast Mammoplasty 12000 138001113 After Mastectomy (Reconstruction)Mammoplasty 12000 138001114 Syndactyly Repair 12750 150001115 Dermabrasion Face 13225 152091116 upto 30% Burns 1st Dressing 152 1751117 upto 30% Burns Subsequent Dressing 124 1431118 30% to 50% Burns 1st Dressing 193 2221119 30% to 50% Burns Subsequent Dressing 152 1751120 Extensive Burn -above 50% Frist Dressing 276 3171121 Extensive Burn -above 50% Subsequent dressing 193 222

TREATMENT PROCEDURE ORTHOPEDICS1122 Plaster Work 255 3001123 Fingers (post slab) 259 2981124 Fingers full plaster 259 2981125 Colles Fracture - Below elbow 978 1125

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1126 Colles Fracture - Full plaster 994 11431127 Colles fracture Ant. Or post. slab 400 4601128 Above elbow full plaster 173 1991129 Above Knee post-slab 575 2881130 Below Knee full plaster 173 1991131 Below Knee post-slab 718 8261132 Tube Plaster (or plaster cylinder) 800 9201133 Above knee full plaster 1265 14551134 Above knee full slab 1158 13321135 Minerva Jacket 2415 27771136 Plaster Jacket 2185 25131137 Shoulder spica 1955 22481138 Single Hip spica 2243 25791139 Double Hip spica 2760 31741140 Strapping of Finger 179 2061141 Strapping of Toes 180 2071142 Strapping of Wrist 230 2651143 Strapping of Elbow 262 3011144 Strapping of Knee 345 3971145 Strapping of Ankle 345 3971146 Strapping of Chest 460 5291147 Strapping of Shoulder 518 5961148 Figure of 8 bandage 518 5961149 Collar and cuff sling 255 3001150 Ball bandage 400 4601151 Application of P.O.P Casts for Upper & Lower Limbs 633 7281152 Application of Functiol Cast Brace 1350 15531153 Application of Skin Traction 690 7941154 Application of Skeletal Tractions 949 10911155 Bandage & Strappings for Fractures 552 6351156 Aspiration & Intra Articular Injections 575 6611157 Application of P.O.P Spices & Jackets 2473 28441158 Close Reduction of Fractures of Limb & P.O.P 2600 29901159 Reduction of Compound Fractures 2760 31741160 Open Reduction & Internal Fixation of Fingurs & Toes 5175 5951

1161 Open Reduction offracture of Long Bones of Upper / Lower Limb -iling & Exterl Fixation

8050 9258

1162 Open Reduction of fracture of Long Bones of Upper / Lower Limb -AO Procedures

9660 11109

1163 Tension Band Wirings 5658 65071164 Bone Grafting 6601 75911165 Excision of Bone Tumours 6900 79351166 Excision or other Operations for Scaphoid Fractures 7188 82661167 Sequestrectomy & Saucerisation 6900 79351168 Sequestrectomy & Saucerizations -Arthrotomy 9971 114671169 Multiple Pinning Fracture Neck Femur 11500 132251170 Plate Fixations for Fracture Neck Femur 13500 155251171 A.O.Compression Procedures for Fracture Neck Femur 16560 19044

1172 Open Reduction of Fracture Neck Femur Muscle Pedicle Graft and Internal Fixations

19500 22425

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1173 Close Reduction of Dislocations 3174 36501174 Open Reduction of Dislocations 3439 39551175 Open Reduction of Fracture Dislocation & Internal Fixation 13500 15525

1176 Neurolysis/Nerve repair 13800 158701177 Nerve Repair with Grafting 16675 191761178 Tendon with Transplant or Graft 10350 119031179 Tendon Lengthening/Tendon repair 8050 92581180 Tendon Transfer 3105 35711181 Laminectomy Excision Disc and Tumours 4830 55551182 Spil Ostectomy and Internal Fixations 24150 277731183 Anterolateral decompression for tuberculosis/ Costo-

Transversectomy 3450 3968

1184 Antereolateral Decompression and Spil Fusion 19350 222531185 Corrective Ostectomy & Internal Fixation - short bones 13800 15870

1186 Corrective Ostectomy & Internal Fixation - long bones 11040 12696

1187 Arthrodesis of - Minor Joints 10350 119031188 Arthrodesis of - Major Joints 10000 115001189 Soft Tissue Operations for C.T.E.V. 8050 92581190 Soft Tissue Operations for Polio 6900 79351191 Hemiarthroplasty- Hip 20000 230001192 Hemiarthroplasty- Shoulder 20000 230001193 Operations for Brachial Plexus & Cervical Rib 24150 277731194 Amputations - Below Knee 6900 79351195 Amputations - Below Elbow 6843 78691196 Amputations - Above Knee 8050 92581197 Amputations - Above Elbow 6843 78691198 Amputations - Forequarter 13225 152091199 Amputations -Hind Quarter and Hemipelvectomy 18400 211601200 Disarticulations - Major joint 20700 238051201 Disarticulations - Minor joint 12650 145481202 Arthrography 9200 105801203 Arthroscopy - Diagnostic 8568 98531204 Arthroscopy-therapeutic: without implant 10000 115001205 Arthroscopy-therapeutic: with implant 17250 198381206 Soft Tissue Operation on JOINTS -SMALL 6900 79351207 Soft Tissue Operation on JOINTS -LARGE 13500 155251208 Myocutaneous and Fasciocutaneous FlaP Procedures for

Limbs18630 21425

1209 Removal of Wires & Screw 1760 20241210 Removal of Plates/IL 4140 47611211 Total Hip Replacement 79000 908501212 Total Ankle Joint Replacement 95400 1097101213 Total Knee Joint Replacement 110000 1265001214 Total Shoulder Joint Replacement 79000 908501215 Total Elbow Joint Replacement 79000 908501216 Total Wrist Joint Replacement 100000 1150001217 Total finger joint replacement 20000 230001218 Tubular external fixator 4600 52901219 Ilizarov's external fixator 7763 8927

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1220 Pelvi-acetebular fracture -Internal fixation 8625 99191221 Meniscectomy 12000 138001222 Meniscus Repair 10000 115001223 ACL Reconstruction 8500 97751224 PCL Reconstruction 13500 155251225 Knee Collateral Ligament Reconstruction 12500 143751226 Bencarf Repair Shoulder 13200 151801227 RC Repair 1500 17251228 Biceps tenodesis 14000 161001229 Distal biceps tendon repair 10380 119371230 Arthrolysis of knee 12500 143751231 Capsulotomy of Shoulder 15800 181701232 Conservative Pop 1200 13801233 Application for CTEV per sitting 1200 13801234 Total Hip Replacement Revision Stage-I 17000 195501235 Total Hip Replacement Revision Stage-II 50000 575001236 Total Knee Replacement Revision Stage-I 35000 402501237 Total Knee Replacement Revision Stage-II 35000 402501238 Illizarov/ external fixation for limb lengthening/ deformity

correction 12500 14375

1239 Discectomy/ Micro Discectomy 12500 143751240 Laminectomy 4646 53431241 Spinal Fixation Cervical/dorsolumbar/ lumbosacral 16000 184001242 Fusion Surgery Cervical/ Lumbar Spine upto 2 Level 22000 25300

1243 More than 2 Level 12000 138001244 Scoliosis Surgery/ Deformity Correction of Spine 25000 287501245 Vertebroplasty 12000 138001246 Spinal Injections 450 5181247 DHS for Fracture Neck Femur 15000 172501248 Proximal Femoral Nail (PFN for IT Fracture) 14000 161001249 Spinal Osteotomy 1434 16491250 Illizarov’s / External Fixation for Trauma 13000 149501251 Soft Tissue Operations for Polio/ Cerebral Palsy 10557 124201252 Mini Fixator for Hand/Foot 9000 103501253 Other Major Surgery 38250 450001254 Other Minor Surgery 11883 13980

TREATMENT PROCEDURE PHYSIOTHERAPY1255 Ultrasonic therapy 78 901256 S.W. Diathermy 78 901257 Electrical stimulation (therapeutic) 78 901258 Muscle testing and diagnostic 71 821259 Infra red 78 901260 U.V. Therapeutic dose 58 671261 Intermittent Lumbar Traction 78 901262 Intermittent Cervical traction 75 861263 Wax bath 75 861264 Hot pack 78 901265 Breathing Exercises & Postural Drainage 50 581266 Cerebral Palsy – exercise 50 581267 Post – polio exercise 50 58

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

NUCLEAR MEDICINE / RADIOTHERAPY AND CHEMOTHERAPY

1268 Cobalt 60 therapy 63750 750001269 Radical therapy 68425 786891270 Palliative therapy 24438 281041271 Linear accelerator 29750 350001272 Radical therapy 58650 674481273 Palliative therapy 34213 393451274 3 D Planning 4888 56211275 2 D Planing 4888 56211276 IMRT(Intensity Modulated radiotherapy) 100878 1160101277 SRT (Stereotactic radiotherapy) 60996 701451278 SRS(Stereotactic radio surgery) 80546 926281279 IGRT(Image guided radiotherapy) 147016 1690681280 Respiratory Gating-alongwith Linear accelerator planning 110000 126500

1281 Electron beam with Linear accelerator 67473 793801282 Tomotherapy 79400 91310

NUCLEAR MEDICINE / BRACHYTHERAPY- HIGH DOSE RADIATION

1283 Intracavitory 11730 134901284 Interstitial 58650 674481285 Intraluminal 9775 112411286 Surface mould 4644 53411287 GLIADAL WAFER 93900 107985

NUCLEAR MEDICINE / CHEMOTHARAPY1288 Neoadjuvant 863 9921289 Adjuvant 863 9921290 Concurrent-chemoadiation 920 10581291 Single drug 552 6351292 Multiple drugs 897 10321293 Targeted therapy 920 10581294 Chemoport facility 920 10581295 PICC line (peripherally inserted Central canulisation) 920 1058

LIST OF PROCEDURES/ TESTS IN GASTROENTEROLOGY / ENDOSCOPIC PROCEDURES

1296 Upper G.I. Endoscopy + Lower G.I. Endoscopy 1725 19841297 Diagnostic endoscopy 250 2881298 Endoscopic biopsy 345 3971299 Endoscopic mucosal resection 1543 18151300 Oesophageal stricture dilatation 1725 19841301 Balloon dilatation of achalasia cardia 2875 33061302 Foreign body removal 1725 19841303 Oesophageal stenting 3000 34501304 Band ligation of oesophageal varices 2500 28751305 Sclerotherapy of oesophageal varices 2500 28751306 Glue injection of varices 2500 28751307 Argon plasma coagulation 4025 46291308 Pyloric balloon dilatation 2415 27771309 Enteranal stenting 3680 42321310 Duodenal stricture dilation 990 1139

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1311 Single balloon enterocopy 4000 46001312 Double balloon enteroscopy 3500 40251313 Capsule endoscopy 4950 56931314 Piles banding 1099 12641315 Colonic stricture dilatation 2737 31481316 Hot biopsy forceps procedures 3000 34501317 Colonic stenting 2737 31481318 Junction biopsy 2000 23001319 Conjugal microscopy 4000 46001320 Endoscopic sphincterotomy 2415 27771321 CBD stone extraction 2415 27771322 CBD stricture dilatation 6500 74751323 Biliary stenting (plastic and metallic) 4830 55551324 Mechanical lithotripsy of CBD stones 8000 92001325 Pancreatic sphincterotomy 6375 75001326 Pancreatic stricture dilatation 5750 66131327 Pancreatic stone extraction 10098 116131328 Mechanical lithotripsy of pancreatic stones 11385 130931329 Endoscopic cysto gastrostomy 8050 92581330 Balloon dilatation of papilla 6900 79351331 Ultrasound guided FNAC 575 6611332 Ultrasound guided abscess Drainage 720 8281333 PTBD 1150 13231334 Diagnostic angiography 2000 23001335 Vascular embolization 15100 173651336 TIPS 5400 62101337 IVC graphy + hepatic veinography 34212 393441338 Muscular stenting 97750 1124131339 BRTO 57500 661251340 Portal haemodymic studies 1913 22501341 Manometry and PH metry 1612 18971342 Oesophageal PH metry 5000 57501343 Oesophageal manometry 5000 57501344 Small bowel manometry 6800 80001345 Anorectal manometry 6800 80001346 Colonic manometry 7650 90001347 Biliary manometry 7650 90001348 Sengstaken blackenesse tube tempode 2875 33061349 Lintas machles tube tempode 2875 33061350 Fecal fat test/ fecal chymotrypsin/ fecal elastase 350 403

1351 Breath tests 300 3451352 Extra corporeal shortwave lithotripsy 41400 476101353 Liver biopsy 1380 1587

NAME OF INVESTIGATION / DENTAL1354 Dental IOPA X-ray 50 581355 Occlusal X-ray 78 901356 OPG X-ray 196 225

NAME OF INVESTIGATION / PULMONARY1357 Lung Ventilation & Perfusion Scan (V/Q Scan) 3600 41401358 Lung Perfusion Scan 2000 2300

NAME OF INVESTIGATION / OSTEOLOGY

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1359 Whole Body Bone Scan with SPECT. 3421 39341360 Three phase whole body Bone Scan 3421 3934

NAME OF INVESTIGATION / NEUROSCIENCES 1361 Brain Perfusion SPECT Scan with Technetium 99m

radiopharmaceuticals. 9775 11241

1362 Radionuclide Cisternography for CSF leak 3740 4400NAME OF INVESTIGATION / GASTRO AND HEPATOBILIARY

1363 Gastro esophageal Reflux Study (G.E.R. Study) 1955 22481364 Gastro intestinal Bleed (GloB.) Study with Technetium 99m

labeled RBCs. 3421 3934

1365 Hepatobiliary Scintigraphy. 2444 28111366 Meckel's Scan 1955 22481367 Hepatosplenic scintigraphy with Technetium-99m

radiopharmaceuticals 1870 2200

1368 Gastric emptying 1275 1466NAME OF INVESTIGATION / GENITOURINARY

1369 Renal Cortical Scintigraphy with Technetium 99m D.M.S.A. 3421 3934

1370 Dynamic Renography. 3421 39341371 Dynamic Renography with Diuretic. 3421 39341372 Dynamic Renography with Captopril 1960 22541373 Testicular Scan 1466 1686

NAME OF INVESTIGATION / ENDOCRINOLOGY 1374 Thyroid Uptake measurements with 131-Iodine. 1564 17991375 Thyroid Scan with Technetium 99m Pertechnetate. 1466 16861376 Lodine-131 Whole Body Scan. 2933 33731377 Whole Body Scan with M.I.B.G. 17595 202341378 Parathyroid Scan 4888 5621

NAME OF INVESTIGATION / RADIO-ISOTOPE THERAPY

1379 131-lodine Therapy 1530 18001380 131-lodine Therapy <15mCi 3854 44321381 131-lodine Therapy 15-50mCi 4956 56991382 131-lodine Therapy 51-100mCi 12000 138001383 131-lodine Therapy >100mCi 15000 172501384 Phosphorus-32 therapy for metastatic bone pain palliation 5000 5750

1385 Samarium-153 therapy for metastatic bone pain palliation 10450 12018

1386 Radiosynovectomy with Yttrium 21250 25000NAME OF INVESTIGATION / CARDIOLOGY

1387 Stress thallium / Myocardial Perfusion Scintigraphy 9450 108681388 Rest thallium / Myocardial Perfusion Scintigraphy 8000 92001389 Venography 3300 37951390 TMT 489 5621391 TEE 489 5621392 Lymph angiography 1613 1855

NAME OF INVESTIGATION / TUMOUR IMAGING 1393 Scintimammography. 4800 55201394 Indium lableled octeriotide Scan. 73313 84310

NAME OF INVESTIGATION / PET SCAN

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NABH /Non-NABL

CGHS Rates

NABH /NABL

1395 FDG Whole body PET / CT Scan 20528 236071396 Brain I Heart FDG PET / CTScan, 14663 168621397 Gallium-68 Peptide PET / CT imaging for Neuroendocrine

Tumor 15000 17250

LABORATORY MEDICINE / CLINICAL PATHOLOGY1398 Urine routine- pH, Specific gravity, sugar, protein and

microscopy 35 40

1399 Urine-Microalbumin 70 811400 Stool routine 35 401401 Stool occult blood 24 281402 Post coital smear examination 30 351403 Semen analysis 35 40

LABORATORY MEDICINE / HAEMATOLOGY1404 Haemoglobin (Hb) 18 211405 Total Leucocytic Count (TLC) 31 361406 Differential Leucocytic Count (DLC) 31 361407 E.S.R. 25 291408 Total Red Cell count with MCV,MCH,MCHC,DRW 32 371409 Complete Haemogram/CBC, Hb,RBC count and indices,

TLC, DLC, Platelet, ESR, Peripheral smear examination 135 155

1410 Platelet count 48 551411 Reticulocyte count 48 551412 Absolute Eosinophil count 48 551413 Packed Cell Volume (PCV) 13 151414 Peripheral Smear Examination 43 491415 Smear for Malaria parasite 41 471416 Bleeding Time 35 401417 Osmotic fragility Test 50 581418 Bone Marrow Smear Examination 70 811419 Bone Marrow Smear Examination with iron stain 250 2881420 Bone Marrow Smear Examination and cytochemistry 440 506

1421 Activated partial ThromboplastinTime (APTT) 102 1171422 Rapid test for malaria(card test) 44 511423 WBC cytochemistry for leukemia -Complete panel 110 1271424 Bleeding Disorder panel- PT, APTT, Thrombin Time

Fibrinogen, D-Dimer/ FDP400 460

1425 Factor Assays-Factor VIII 720 8281426 Factor Assays-Factor IX 680 7821427 Platelet Function test 50 581428 Tests for hypercoagulable states- Protein C, Protein S,

Antithrombin400 460

1429 Tests for lupus anticoagulant 150 1731430 Tests for Antiphospholipid antibody IgG, IgM ( for

cardiolipin and B2 Glycoprotein 1)500 575

1431 Thalassemia studies (Red Cell indices and Hb HPLC) 560 6441432 Tests for Sickling / Hb HPLC) 77 89

LABORATORY MEDICINE / BLOOD BANK1433 Blood Group & RH Type 30 351434 Cross match 50 581435 Red cell concentrate 35 40

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NABH /Non-NABL

CGHS Rates

NABH /NABL

1436 Coomb’s Test Direct 90 1041437 Coomb’s Test Indirect 100 1151438 Single Cell 115 1351439 3 cell panel- antibody screening for pregnant female 170 200

1440 11 cells panel for antibody identification 170 2001441 Serology 383 4501442 HBs Ag 102 1201443 HCV 128 1501444 HIV I and II 150 1731445 VDRL 43 501446 RH Antibody titer 80 921447 Platelet Concentrate 56 641448 Random Donor Platelet(RDP) 128 1501449 Single Donor Platelet (SDP- Aphresis) 150 173

LABORATORY MEDICINE / HISTOPATHOLOGY 1450 Routine-H & E 90 1041451 special stain 65 751452 Immunohistochemistry(IHC) 750 8631453 Frozen section 780 8971454 Paraffin section 343 394

LABORATORY MEDICINE / CYTOLOGY 1455 Pap Smear 150 1731456 Body fluid for Malignant cells 150 1731457 FNAC 200 2301458 special stain on cytology 80 92

NAME OF INVESTIGATION / FLOW CYTOMETRY1459 Leukemia panel /Lymphoma panel 1536 17661460 PNH Panel-CD55,CD59 1000 1150

LABORATORY MEDICINE / CYTOGENETIC STUDIES 1461 Karyotyping 1539 17701462 FISH 500 5751463 PCR 1500 1725

LABORATORY MEDICINE / BIO-CHEMISTRY1464 Blood Glucose Random 24 281465 24 hrs urine for Proteins,Sodium, creatinine 50 581466 Blood Urea Nitrogen 54 621467 Serum Creatinine 55 631468 Quantitative Albumin/Sugar 20 231469 Urine Bile Pigment and Salt 25 291470 Urine Urobilinogen 20 231471 Urine Ketones 30 351472 Urine Occult Blood 35 401473 Urine total proteins 18 211474 Rheumatoid Factor test 100 1151475 Bence Jones protein 47 541476 Serum Uric Acid 55 631477 Serum Bilirubin total & direct 80 921478 Serum Iron 90 1041479 C.R.P. 100 1151480 C.R.P Quantitative 160 184

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1481 Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc. 90 104

1482 Albumin. 18 211483 Creatinine clearance. 80 921484 Serum Cholesterol 62 711485 Total Iron Binding Capacity 80 921486 Glucose (Fasting & PP) 47 541487 Serum Calcium –Total 60 691488 Serum Calcium –Ionic 44 511489 Serum Phosphorus 60 691490 Total Protein Alb/Glo Ratio 50 581491 IgG. 250 2881492 IgM. 250 2881493 IgA. 250 2881494 ANA. 200 2301495 Ds DNA. 350 4031496 S.G.P.T. 55 631497 S.G.O.T. 55 631498 Serum amylase 117 1351499 Serum Lipase 130 1501500 Serum Lactate 72 831501 Serum Magnesium 100 1151502 Serum Sodium 50 581503 Serum Potassium 50 581504 Serum Ammonia 100 1151505 Anemia Profile 204 2401506 Serum Testosterone 150 1731507 Imprint Smear From Endoscopy 240 2761508 Triglyceride 75 861509 Glucose Tolerance Test (GTT) 90 1041510 Triple Marker. 800 9201511 C.P.K. 100 1151512 Foetal Haemoglobin (HbF) 85 1001513 Prothrombin Time (P.T.) 110 1271514 L.D.H. 100 1151515 Alkaline Phosphatase 60 691516 Acid Phosphatase 78 901517 CK MB 190 2191518 CK MB Mass 140 1611519 Troponin I 100 1151520 Troponin T 600 6901521 Glucose Phosphate Dehydrogenase (G, 6PD) 100 1151522 Lithium. 130 1501523 Dilantin (phenytoin). 400 4601524 Carbamazepine. 400 4601525 Valproic acid. 300 3451526 Feritin. 250 2881527 Blood gas analysis 460 5291528 Blood gas analysis with electrolytes 120 1381529 Urine pregnancy test 65 751530 Tests for Antiphospholipid antibodies syndrome. 280 322

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1531 Hb A1 C 130 1501532 Hb Electrophoresis/ Hb HPLC 100 1151533 Kidney Function Test. 225 2591534 Liver Function Test. 225 2591535 Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides) 200 230

1536 Nutritional Markers 277 3191537 Serum Iron 90 1041538 Total Iron Binding Capacity 90 1041539 Serum Ferritin 100 1151540 Vitamin B12 assay. 250 2881541 Folic Acid assay. 300 3451542 Extended Lipid Profile.( Total

cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo B,Lp(a) )98 113

1543 Apo A1. 200 2301544 Apo B. 199 2291545 Lp (a). 445 5121546 CD 3,4 and 8 counts 170 2001547 CD 3,4 and 8 percentage 170 2001548 LDL. 62 711549 Homocysteine. 400 4601550 HB Electrophoresis. 440 5061551 Serum Electrophoresis. 220 2531552 Fibrinogen. 165 1901553 Chloride. 60 691554 Magnesium. 150 1731555 GGTP. 90 1041556 Lipase. 239 2751557 Fructosamine. 200 2301558 β2 microglobulin 90 1041559 Catecholamines. 1050 12081560 Creatinine clearance. 120 138

NAME OF INVESTIGATION / TUMOUR MARKERS1561 PSA- Total. 312 3591562 PSA- Free. 375 4311563 AFP. 300 3451564 HCG. 120 1381565 CA. 125. 391 4501566 CA 19,9. 616 7081567 CA 15.3. 560 6441568 Vinyl Mandelic Acid 350 4031569 Calcitonin 300 3451570 Carcioembryonic antigen(CEA) 340 391

OTHERS1571 Immunofluorescence 150 1731572 Direct(Skin and kidney Disease) 425 5001573 Indirect (antids DNA Anti Smith ANCA) 425 5001574 VitD3 assay 550 6331575 Serum Protein electrophoresis with

immunofixationelectrophoresis (IFE)300 345

1576 BETA-2 Microglobulin assay 100 115

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1577 Anti cycliocitrullinated peptide (Anti CCP) 450 5181578 Anti tissuetransglutaminase antibody 425 5001579 Serum Erythropoetin 425 5001580 ACTH 500 5751581 Beta HCG 120 138

HARMONES1582 T3, T4, TSH 200 2301583 T3 64 751584 T4 64 751585 TSH 90 1041586 LH 150 1731587 FSH 150 1731588 Prolactin 150 1731589 Cortisol 250 2881590 Enteropoetin 500 5751591 PTH(Paratharmone) 500 5751592 Calcitonin 140 1611593 C-Peptide. 330 3801594 Insulin. 150 1731595 Progesterone. 225 2591596 17-DH Progesterone. 440 5061597 DHEAS. 440 5061598 Androstendione. 600 6901599 Growth Hormone. 340 3911600 TPO. 300 3451601 Throglobulin. 300 3451602 Hydatic Serology. 318 3741603 Anti Sperm Antibodies. 380 4371604 HBV DNA 1434 16871605 Qualitative. 2000 23001606 Quantitative. 1500 17251607 HCV RNA 1437 16901608 Qualitative. 1691 19451609 HPV serology 218 2511610 Rota Virus serology 130 1501611 PCR for TB 900 10351612 PCR for HIV 600 6901613 Chlamydae antigen 850 9781614 chlamydae antibody 238 2801615 Brucella serology 230 2651616 Influenza A serology 943 1084

USG, X-RAY , CT, MRI, BONE DENSITOMETRY1617 USG for Obstetrics - Anomalies scan 323 3801618 Abdomen USG 323 3801619 Pelvic USG ( prostate, gynae, infertility etc) 255 3001620 Small parts USG ( scrotum, thyroid , parathyroid etc) 349 4101621 Neonatal head (Tranfontanellar) 425 4891622 Neonatal spine 500 5751623 Contrast enhanced USG 900 10351624 USG Breast 349 4101625 USG Hystero-Salpaingography (HSG) 255 3001626 Carotid Doppler 850 1000

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1627 Arterial Colour Doppler 706 8301628 Venous Colour Doppler 706 8301629 Colour Doppler, renal arteries/any other organ 800 9201630 USG guided intervention-aspiration 387 4451631 USG guided intervention- FNAC 490 5641632 USG guided intervention - biopsy 720 8281633 USG guided intervention - nephrostomy 800 9201634 USG guided intervention percutaneous catheter drainage/

tube placement700 805

X-Ray 1635 Abdomen AP Supine or Erect (One film) 128 1501636 Abdomen Lateral view (one film) 128 1501637 Chest PA view (one film) 60 701638 Chest Lateral (one film) 60 701639 Mastoids: Towne view, oblique views (3 films) 250 2881640 Extremities, bones & Joints AP & Lateral views (Two films) 255 300

1641 Pelvis A.P (one film) 110 1271642 T. M. Joints (one film) 110 1271643 Abdomen & Pelvis for K. U. B. 128 1501644 Skull A. P. & Lateral (2 films) 255 3001645 Spine A. P. & Lateral (2 films) 250 2881646 PNS view (1 film) 110 127

X RAY CONTRAST STUDIES1647 Barium Swallow 510 6001648 Barium Upper GI study 800 9201649 Barium Upper GI study (Double contrast) 935 11001650 Barium Meal follow through 935 11001651 Barium Enema (Single contrast/double contrast) 850 10001652 Small bowel enteroclysis 1020 12001653 ERCP (Endoscopic Retrograde Cholangio –

Pancreatography)2500 2875

1654 General :Fistulography /Sinography/Sialography/Dacrocystography/ T-Tube cholangiogram/Nephrostogram

638 750

1655 Percutaneous transhepatic cholangiography (PTC) 1440 16561656 Intravenous Pyelography (IVP) 1190 14001657 Micturating Cystourethrography (MCU) 680 8001658 Retrograde Urethrography (RGU) 680 8001659 Contrast Hystero-Salpingography (HSG) 1020 12001660 X ray - Arthrography 700 8051661 Cephalography 150 1731662 Myelography 2750 31631663 Diagnostic Digital Subtraction Angiography (DSA) 1749 2011

MAMMOGRAPHY1664 X-ray Mammography 315 3701665 Ultrasound Mammography 425 5001666 MRI Mammography 2550 3000

CT1667 CT Head-Without Contrast 900 10351668 CT Head- with Contrast (+/- CT angiography) 1350 15531669 C. T. Chest - without contrast (for lungs) 1700 2000

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1670 C. T. Chest - with contrast (+/- CT angiography) 2500 28751671 C. T. Scan Abdomen Including Pelvis With Contrast 1700 19551672 C. T. Scan Abdomen Including Pelvis Without Contrast 1500 1725

1673 C. T. Scan Whole Abdomen Without Contrast 3000 34501674 C. T. Scan Whole Abdomen With Contrast 4500 51751675 Triple Phase CT abdomen 1200 13801676 CT angiography abdomen/ Chest 4500 51751677 CT Enteroclysis 6000 69001678 C. T. Scan Neck – Without Contrast 1500 17251679 C. T. Scan Neck – With Contrast 1870 22001680 C. T. Scan Orbits - Without Contrast 1190 14001681 C. T. Scan Orbits - With Contrast 1615 19001682 C. T. Scan of Para Nasal Sinuses- Without Contrast 900 10351683 C. T. Scan of Para Nasal Sinuses - With Contrast 1600 18401684 C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)–without

contrast1500 1725

1685 CT Temporal bone – without contrast 893 10501686 CT - Dental 1275 15001687 C. T. Scan Limbs -Without Contrast 1700 20001688 C. T. Scan Limbs -With Contrast including CT angiography 2253 2650

1689 C.T. Guided intervention –FNAC 1200 13801690 C.T. Guided Trucut Biopsy 1200 13801691 C. T. Guided intervention -percutaneous catheter

drainage / tube placement1305 1535

MRI1692 MRI Head – Without Contrast 1998 23501693 MRI Head – With Contrast 2848 33501694 MRI Orbits – Without Contrast 1445 17001695 MRI Orbits – With Contrast 4000 46001696 MRI Nasopharynx and PNS – Without Contrast 2450 28181697 MRI Nasopharynx and PNS – With Contrast 5000 57501698 MR for Salivary Glands with Sialography 3000 34501699 MRI Neck - Without Contrast 5000 57501700 MRI Neck- with contrast 3000 34501701 MRI Shoulder – With contrast 2125 25001702 MRI Shoulder – Without contrast 2125 25001703 MRI shoulder both Joints - Without contrast 2125 25001704 MRI Shoulder both joints – With contrast 5000 57501705 MRI Wrist Single joint - Without contrast 2125 25001706 MRI Wrist Single joint - With contrast 4000 46001707 MRI Wrist both joints - Without contrast 2125 25001708 MRI Wrist Both joints - With contrast 5000 57501709 MRI knee Single joint - Without contrast 2125 25001710 MRI knee Single joint - With contrast 5000 57501711 MRI knee both joints - Without contrast 2125 25001712 MRI knee both joints - With contrast 5000 57501713 MRI Ankle Single joint - Without contrast 2125 25001714 MRI Ankle single joint - With contrast 5000 57501715 MRI Ankle both joints - With contrast 5000 57501716 MRI Ankle both joints - Without contrast 2500 2875

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1717 MRI Hip - With contrast 2125 25001718 MRI Hip – without contrast 2500 28751719 MRI Pelvis – Without Contrast 2125 25001720 MRI Pelvis – with contrast 5000 57501721 MRI Extremities - With contrast 5000 57501722 MRI Extremities - Without contrast 2125 25001723 MRI Temporomandibular – B/L - With contrast 4000 46001724 MRI Temporomandibular – B/L - Without contrast 2125 2500

1725 MR Temporal Bone/ Inner ear with contrast 4000 46001726 MR Temporal Bone/ Inner ear without contrast 2500 28751727 MRI Abdomen – Without Contrast 2125 25001728 MRI Abdomen – With Contrast 5000 57501729 MRI Breast - With Contrast 4250 50001730 MRI Breast - Without Contrast 2125 25001731 MRI Spine Screening - Without Contrast 1000 11501732 MRI Chest – Without Contrast 2125 25001733 MRI Chest – With Contrast 4000 46001734 MRI Cervical/Cervico Dorsal Spine – Without Contrast 2125 2500

1735 MRI Cervical/ Cervico Dorsal Spine – With Contrast 4000 46001736 MRI Dorsal/ Dorso Lumbar Spine - Without Contrast 2125 25001737 MRI Dorsal/ Dorso Lumbar Spine – With Contrast 4000 46001738 MRI Lumbar/ Lumbo-Sacral Spine – Without Contrast 2125 2500

1739 MRI Lumbar/ Lumbo-Sacral Spine – With Contrast 5000 57501740 Whole body MRI (For oncological workup) 5100 60001741 MR cholecysto-pancreatography. 5500 63251742 MRI Angiography - with contrast 5000 57501743 MR Enteroclysis 2125 2500

BONE DENSITOMETRY (DEXA SCAN)1744 Dexa Scan Bone Densitometry - Two sites 1500 17251745 Dexa Scan Bone Densitometry - Three sites (Spine, Hip &

extremity)2000 2300

1746 Dexa Scan Bone Densitometry Whole body 2450 2818NEUROLOGICAL INVESTIGATIONS AND PROCEDURES

1747 EEG/Video EEG 298 3501748 EMG (Electro myography) 638 7501749 Nerve condition velocity (at least 2 limbs) 638 7501750 Decremental response (before and after neo stigmine) 595 700

1751 Incremental response 595 7001752 SSEP (Somato sensory evoked potentials) 638 7501753 Poly somnography 638 7501754 Brachial plexus study 638 7501755 Muscle biopsy 383 4501756 ACHR anti body titre 1848 21251757 Anti MUSK body titre 2340 26911758 Serum COPPER 500 5751759 Serum ceruloplasmin 450 5181760 Urinary copper 500 5751761 Serum homocystine 450 518

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1762 Serum valproate level 315 3621763 Serum phenol barbitone level 350 4031764 Coagulation profile 553 6361765 Protein C, S anti thrombine – III 2400 27601766 Serum lactate level 450 518

CSF1767 Basic studies including cell count, protein, sugar, gram

stain, India Ink preparation and smear for AFP240 276

1768 Special studies 1000 11501769 PCR for tuberculosis/ Herpes simplex 1200 13801770 Bacterial culture and sensitivity 200 2301771 Mycobacterial culture and sensitivity 200 2301772 Fungal culture 128 1501773 Malignant cells 64 751774 Anti measles antibody titre (with serum antibody titre) 890 1024

1775 Viral culture 255 3001776 Antibody titre (Herpes simplex, cytomegalo virus,

flavivirus, zoster varicella virus)760 874

1777 Oligoclonal band 1200 13801778 Myelin Basic protein 1871 21521779 Lactate 298 3501780 Crypto coccal antigen 1138 1309

TESTS IN GASTRO-ENTEROLOGY1781 D-xylase test 850 10001782 Fecal fat test/ fecal chymotrypsin/ fecal elastase 850 10001783 Breath tests 1300 14951784 H pylori serology for ciliac disease 500 7251785 HBV genotyping 2500 28751786 HCV genotyping 4875 5606

TESTS IN ENDOCRINOLOGY ( IN ADDITION TO THOSE INCLUDED UNDER HARMONES)

1787 Urinary VMA 1500 17251788 Urinary metanephrine/Normetanephrine 1138 13091789 Urinary free catecholamine 1690 19441790 Serum catecholamine 3400 39101791 Serum aldosterone 1125 12941792 24 Hr urinary aldosterone 920 10581793 Plasma renin activity 1000 11501794 Serum aldosterone/renin ratio 1200 13801795 Osmolality urine 128 1501796 Osmolality serum 128 1501797 Urinary sodium 80 941798 Urinary Chloride 43 501799 Urinary potassium 80 941800 Urinary calcium 80 941801 Anti TPO antibody 385 4431802 Thyroid binding globulin 510 6001803 Serum cotisole 266 3061804 24 hr. urinary free cotisole 200 2301805 Islet cell antebody 750 8631806 GAD antibody 1330 1530

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Sr. No. CGHS PROCEDURES/TREATMENT PROCEDURE OPD CGHS Rates Non-

NABH /Non-NABL

CGHS Rates

NABH /NABL

1807 Insulin associated antibody 449 5161808 IGF-1 1500 17251809 IGF-BP3 1650 18981810 Sex hormone binding globulin 1333 15331811 USG guided FNAC thyroid gland 387 4551812 FT3 100 1151813 FT4 100 1151814 FT4/TSH 85 1001815 FT3/FT4/TSH 275 3161816 E2 208 2451817 Thyro globulin antibody 587 675