References - Maharashtra Rules...G.T. Hospital Compound. I 01h Floor. New Mantralaya, Mumbai 400 00 I Dated- 211h May, 2020 3. The Maharashtra Essential service Maintenance (Amendment)

NOTIFICATION

References: 1. The Epidemic Diseases Act, 1897 2. The Disaster Management Act, 2005

No. CORONA-2020/C.R.97/Aro-5 Public Health Department G.T. Hospital Compound . I 01

h Floor. New Mantralaya , Mumbai 400 00 I Dated- 21 1

h May, 2020

3. The Maharashtra Essential service Maintenance (Amendment) Act, 20 1 I 4 . The Maharashtra Nursing Home (Amendment) Act 2006 5. Bombay Public Trusts Act, 1950 (for short 'B.P.T. Act' ) 6. Public Health Department Notification No. CORONA-2020/C.R.97/Aro-5

Dated 30 April, 2020

Whereas the State Government is satisfied that the State of Maharashtra is threatened with the spread of Covid-19 epidemic, already declared as a pandemic by World Health Organization;

Whereas the public Charitable Trusts registered under the provisions of the Bombay Public Trusts Act, 1950 (for short 'B. P. T. Act') which are running Charitable Hospitals, including nursing homes or maternity homes, dispensaries or any other center for medical relief and whose annual expenditure exceeds Rs. 5 Lacs are "State aided public trust" within the meaning of clause 4 of section 41AA;

Whereas The public Charitable Trust covered by aforesaid paragraph are under legal obligation to reserve and earmark 10% of the total number of operational beds for indigent patients and provide medical treatment to the indigent patients free of cost and reserve and earmark 10% of the total number of operational beds at concessional rate to the weaker section patients as per the provisions of section 41AA of the B.P.T. Act;

Whereas a large number of persons including those affected by Covid-19 are in need of treatment and various Hospitals, Nursing Homes, Dispensaries (hereinafter referred as Healthcare Providers) registered under Bombay Nursing Home (Amendment) Act, 2006 are treating such patients;

Whereas many Healthcare Providers in Mumbai, Thane, Navi Mumbai, Panvel and Pune have specific agreements/ understanding with General Insurance Public Sector Associations (GIPSA) as a member of Preferred Private Network

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(PPN) regarding rates of various treatment packages and some Healthcare Providers in Mumbai are not part of GIPSA- PPN~

Whereas many Health care Providers situated in State of Maharashtra are not part of GIPSA- PPN and have their own specific agreements/ understanding with various Third Party Administrators (TPA) regarding rates of various treatment packages and each Healthcare Provider may have different rates for same treatment packages among various TP As operating in that Health care Provider~

Whereas some hospi tals in the State of Maharashtra are neither part of GIPSA- PPN nor hav ing agreements/ understanding with any TPA;

Whereas expenses towards treatment of persons insured for IRDA approved healthcare products treated in GIPSA- PPN or network of hospitals empanel led by various TPAs at specific package rates agreed by them are borne by the insurer. However the persons who are not covered by any health insurance product or who have exhausted their hea lth insurance cover are being charged exorbitantly causing hardship to public in general during the pandemic situation;

Whereas large number grievances regarding exorbitant amount of money being charged by the Healthcare Providers registered under Bombay Nursing Home (Amendment) Act, 2006 causing hardship to the public in general during the COVI0-19 pandemic are received;

Whereas section 2 (a) (iii) of the Maharashtra Essential Services Maintenance Act, 2005 defines any service connected with the maintenance of Public Health and Sanitation including hospitals and Dispensaries as Essential Service;

Hence, Now Government of Maharashtra has decided to amend the notification No. CORONA-2020/C. R.97/Aro-5 Dated 30 April, 2020 and issue the addendum and modification to the extent mentioned below:

Therefore, in exercise of the powers conferred as per the enabling provisions of all the above referred Acts, to redress the grievances regarding exorbitant amount of money charged by Healthcare Providers from the patients who are not covered by any health insurance product or any bilateral agreement I M O V between any hospital and private corporate group and w ho have exhausted their such health insurance cover, all the Healthcare Providers functioning in the State of Maharashtra are hereby directed that:

I ) The Charitable Trusts registered under the provisions of the B.P.T. Act which are running Charitable Hospitals, including nursing home or maternity home, dispensaries or any other center for medical relief shall make all

possible efforts to discharge their obligations as per provisions of section 41AA of the B.P.T. Act before applying any charges to any eligible patient.

2) Healthcare providers shall make all attempts to increase their bed capacity [subject to norms prescribed in The Maharashtra Nursing Home (Amendment) Act 2006] to accommodate maximum number of patients. 80% of total operational bed capacity (excluding beds of PICU, NICU, day care, maintenance hemodialysis) will be regulated by rates prescribed below. This applies to both Isolation and Non Isolation beds. That means 80% of Isolation beds available with any Healthcare provider under this notification should be regulated by State Govt./District Collectors/Municipal Commissioners and so also the 80% of Non Isolation beds. Healthcare Providers may charge their rack rates to the remaining 20% beds.

3) Patients belonging to both categories (80% and 20%) can take treatment in NICU, PICU, daycare and hemodialysis at the respective applicable rates on first come first serve basis.

4) For Covid Patients treated at any of the Hospitals/Nursing homes/Clinics covered under this notification across Maharashtra, rates shall not be more than rates prescribed in Annexure-C. For non-Covid patients rates will be as per Annexure-A read with Annexure-B (if applicable).

5) There shall be no difference in the quality of treatment being meted out to patients treated against 80% beds (regulated beds) or 20% beds.

6) The Healthcare Providers situated in Mumbai, Pune, Navi Mumbai, Panvel, Thane having agreements/ understanding as member of GTPSA- PPN are prohibited from charging more amount than that applicable to lowest bed category irrespective of availability of bed in the lowest category agreed in their respective GIPSA-PPN agreement/ understanding.

7) Many Healthcare Providers are not a part of GTPSA-PPN and have agreements/ understandings with various Third Party Administrators (TP As) pertaining to package rates for different treatments. Such Healthcare Providers having different package rates for similar treatment with different TP As shall provide the treatment at lowest package rate prevailing among different TPAs in its facility.

8) Healthcare providers who are not a part of GIPSA-PPN or who do not have any agreement with TPA will not charge more than the rates prescribed in Annexure-A read with Annexure-B as per location and bed strength. These rates shall be different depending upon location of the hospitals (Districts) and number of operational beds. The maximum rates are prescribed as per Annexure-A. The applicable rates for particular hospital depending on its

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location and bed capacity are as per Annexure-B. lllustration I- For a particular package Hospitals with more than 100 beds in Mumbai, Mumbai Suburban, Thane, Pal ghar shall not charge more than I 00% of the rate prescribed in Annexure A. However Hospitals with more than 100 bed capacity in Pune shall not charge more than 85% of the rate prescribed in Annexure A. Illustration II- For a particular package Hospitals in Pune with 99 to 50 bed capacity shall not charge more than 76.5% of the package rate while Hospitals in Pune city with less than 49 bed capacity shall not charge more than 68% of the prescribed package rate as per Annexure-A.

9) Items/Services including Intraocular Lenses (IOL), pacemaker, 011ho prosthesis, stents, staplers, Guide-wire Catheter, balloon, medical implants, PPE kit etc. which are not part of GIPSA-PPN or TPA package rates, shall not be charged more than 10 percent markup on Net Procurement cost incurred. If any of the items mentioned here are used for more than one patient then the prescribed cost may be divided among such patients.

I 0) The Healthcare Providers shall display at a prominent place number of permitted beds [permitted as per The Maharashtra Nursing Home (Amendment) Act 2006 ], operational beds status of availability of beds as per section 4 I AA of the B.P.T. Act, 80:20 division of beds i.e. numbers of beds regulated under this notification against which patients as referred by respective District Collectors and Municipal Commissioner would be admitted as well as number of unregulated beds and status of occupancy against all beds in regulated (80%) and non-regulated (20%) category.

I I) Healthcare Providers shall display at prominent place the details of rates applicable as per this notification. It is the duty of the concerned Healthcare Provider to explain to the patient/ relatives of the patient details of all types of charges. The Healthcare Provider shall provide this information to Competent Authorities (respective Municipal Commissioner/ District Collector) at a frequency prescribed by them. Municipal Commissioners and District Collectors are advised to develop an online digital platform to update and disseminate occupancy position of beds in various categories.

12) The package rate fi xed in this Notification for charging patients is inclusive of Doctors ' fees & the Healthcare Provider concerned has the right to call such of its visiting Doctors to render the required services & pay such amount as it decides for the said services out of the package amount so charged. Any denial by the doctors will attract penal action under various Statutes referred to in this Notification including cancellation of MMC Registration.

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13) Nursing and other support staff working in the Healthcare Provider shall give full support and extend wholehearted cooperation for the smooth functioning of the Healthcare Provider which comes under Maharashtra Essential Services Maintenance Act, 2005. Any group or union activities against the smooth function of the Healthcare Provider will attract penal provisions under the said Act.

14) Healthcare providers may levy additional charges of not more than five percent (5%) on total bill excluding items mentioned in direction 9 above.

15) The rates prescribed at Annexure A are available for non-Covid patients. For Covid patients rates prescribed as per annexure C shall be applicable. The rates in Annexure-C shall apply to Covid positive or suspected Covid positive patients referred by competent authorities against regulated beds (80% of total Isolation beds) in each of the healthcare provider.

Therefore for implementation of the above provisions, the competent authority at the State level shall be the Chief Executive Officer, State Health Assurance Society, Public Health Department, The competent authority at District Level (for areas excluding Municipal Corporations) shall be District Collector and in Municipal Corporation areas the concerned Municipal Commissioner shall be competent authority to take appropriate action as provided in The Epidemic Diseases Act, 1897, The Disaster Management Act, 2005, The Maharashtra Essential Service Maintenance (Amendment) Act 2011, The Mumbai Nursing Home (Amendment) Act 2006, The Bombay Nursing Home Registration (Amendment) Act, 2006 and The Bombay Public Trusts Act, I 950 for any violation of these directions.

This notification shall come in effect immediately and would remam m operation till 31 st August, 2020.

By order and in the name of Governor ofMaharashtra,

(D~~~~n-Principal Secretary to Government

1. Principal Secretary to Hon 'ble Governor, Rajbhavan, Mumbai

2. Principal Secretary to Hon 'ble Chief Minister, Mantralaya, Mumbai

3. Principal Secretary to Hon 'ble Deputy Chief Minister, Mantralaya, Mumbai

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4. Hon'ble Minister (Health & Family Welfare), Mantralaya, Mumbai

5. Hon ' ble Minister of State (Health & Family Welfare), Mantralaya, Mumbai

6. Chief Secretary, Mantralaya, Mumbai

7. Additional Chief Secretary/ Principal Secretary/ Secretary (All),

Mantralaya, Mumbai

8. Secretary, Maharashtra Legislature Secretariat, Vidhan Bhavan, Mumbai

9. Commissioner (Health Services) & Mission Director, NHM, Mumbai

I 0. Charity Commissioner, M.S. Mumbai

II. Chief Executive Officer, State Health Assurance Society, Worli, Mumbai

12.All Divisional Commissioners

13. All District Collectors

14.All Municipal Commissioners

15. All Chief Executive Officers, Zilla Pari shad

16. Director, Health Services- I/ II, Mumbai/Pune

17.Additional Director, Health Services (All)

18.Joint Director, Health Services (All)

19.Deputy Directors, Health Services (All)

20.Civil Surgeons (All) 2I.District Health Officers (All)

22.District Malaria Officers (All)

23.Deputy Secretary to Chief Secretary, Mantralaya, Mumbai

24.All Joint I Deputy Secretary, Public Health Department

25.PA to Principal Secretary, Public Health Department

26.All Section Officers, Public Health Department

27.Select File: Aarogy-5

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ANNEXURE-A

r··· ------ -------------------------------------------------------------------------------------------------------------------------------------------- --------- -------------- - -----------: I I

I Schedule of Rates Applicable for Hospitals Which are ! I Not Part ofGIPSA PPN Situated in Mumbai i t···------- ···· -----------------------------------------------·-···· ···r -·-·----------------------- -------------------------- ---- ---- -- ---- · -- --------------: 1 L1 i Doctor's fee, OT charges, Anasthetic Charges, Drugs, ! ! I Investigations, Professional charges, Room rents, Nursing & ! j j administrative charges j

!-----------------------------------c2·------------------ ----- --------·r···;~-~~-;~~~-~;~~~-:-~~~-~-;-~~-~-~~-~~-i~:-~~-~~~~: - ~t~-~;ers:~~-i~~-~;~~--l

! j Catheter,Baloon j i ---------------------- -------------------------- ------i --- ------------------ -- ----! ! L3 ! Assays, high end hormonal studies, SPECT, A scans,etc. ! L .. -------------------------------------------------------------------.l---------------------------·-·-----------------------------·---·-·-·--·--- ----------- -- -_____________ _________ J ! L4 ! Laproscopy/abdominal/vaginal/laser etc ! :················-··---------------------------------------"t---------------;------------------ ------.------------------------------r·-------------------- --------------; ! i ! INCLUSIONS ! EXCLUSIONS ! GEN i l-ci-Roio_L_o<iv·----------------------------------·---------~--------------·t··-------------- --------- -----t· ·-----------------------·- ---- --:------- - ------- ----------------! i ---------------------------------------------- ---------------------------~-----------------l.------------------------------+----- ----------------------------~---------------------·----------------1

Angiography, includes cost of the ! i Ll,L2,L3,L4 i ! i dye(Excluding ,Guidewire ,Catheter) ! ! i ! 12,000 i A~iiio-r;ia5i-v(E~ci~-Cii~-g-·scii00~- : - ---- -··r·-------------r·---Lit:2;-L3-:L.-4·----r-i2--(Additional r---- ------------- ----~

Guidewire, Catheter) ! ! ! stent) ! 1 20 000 i ----------------------------------------------------------------------- l-----------------1-------------------- --------l-------------------------------- ~---------------------~-----~------ ----! Angiography with i ! Ll,L3,L4 ! L2 ! i

! Angioplasty(Excluding Baloon ! j ! j i j ,Guidewire ,Catheter) j ! j ! 1,26,000 ! ' : : : : : i-cA·sc;·-----------------------------------------------------r-··--------r··----iiX3~L:4 ____ T ______________________________ f ______ --- ----------------------:

i ! l i ! 3,2 3,640 ! t---------------------------------------------------------------------1------------t-------------------------+-----------------------------t··------- - ---------------------: i Valve Replacement ! ! Ll L2 L3 L4 ! L2 {Additional I i I ! ! I I I ! l ! i i ! ! valve) ! 3 23 640 ! t-----------------------------------------------------------------------L---------------~-----------------------------___._--------------------------------L------------------L----~----------1 ! Temporary Pacemaker Implantation i ! Ll L3 L4 i L2 l 31 320 i }-- ------ ------------------------- ----------------------------------------i- ----------------~------------:·--- -~----------·-~------------ ---- -- - --------------}-------------------- - ------!·--- ------l i Permanent Pacemaker Implantation ! i L1 L3 L4 i L2 1 ! • ' ' I I ' I '

l ! i ! : 1 38 121 ! t··ovR:·o~~-b-i~--v~-i~-~--R"~-pi~-~~-~-~-~t·---------- ---- ----·j··---------------r---------LiiiL4--- -----t··-- - ---------L2·--------------r---------------------~-----! _________ i i I I i l i ! I I I I 3,71, 768 I ,----------------------------------------------------------------------1-----------------~-------------------------------+----------------------------·----~---·----------------------------------:

1 EPS and RFA ! I Ll,L3,L4 j L2 1 78,300 i t----------------------------------------------------------------------··i··---------------r------------------------- ---+--------------------------------r-------------------------------------1 I ENT ' ' ' ' ' ! ! ! i ! ! 1------------------------------- -------------------------------- --------+-------------- -•----- ------------------------~-----------------------------·r·----------------------------------: j Tonsillectomy/Adenoidectomy (Laser and j j Ll,L2,L3,L4 ! i i ; (oblation) i ! ; i 62,100 ! :-------------------------------------------------------------------------L --------------l--------------------------L-------------------------------i-------------- ---------------------! ! Adenotonsillectomy ! Ll,L2,L3,L4 ! ! ! i i ! i !

: I I i 4500 ! I

! extra for ! i 90 977 i I ' ' I !1:11 1 Coblat 1on j j

i j l : I I I I I f----------------------- ---- --------------------------------------------l-----------------~------------- ------------------L - -------- ------------------------! ------ ------------------------------! 1 Tympanoplasty ! j L1,L2,L3,L4 i l 81,869 j 1--------------------------------------------------------------------------+ ---------------+ ------------------------------+------------------------------- f--------------------------------------1 l .. ~~~-~~~~:~~~-~x ___________________________ _____________________ L ________________ l ______ ~-~-~~~~~~~-~-~-- -- -l ________ _________________________ L__ ____ ---· ---~-~~-!~-~~-~--~

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···------------· ···---------------------------------- ~- ·--r----- • ·--- --,-- --------- - --------------··r·------------ -----------------T·--------------------------------1 Mastoidectomy & Tympanoplasty ll,L2,L3,L4 i i '

_______ ..[__ ------------------------- l i 1,54,629 : ' FESS-WiT_H __ S.EPTOPLASTY_&_t~-~bi~~~t~my : Ll, L2': L:3;-L4------ j ·-------------------------------T·----------------~-~;--~~;-l

__ 9E P<?!Y.P~~!~r:!:'Y!.~.<?.~~-~-<?.P!~~-~Y.: . .l!L'!!~!_e!a_l _______ ~----------------~--------------------------------i---------------------------------~--------------~----: _________ ~ FESS WITH SEPTOPLASTY & turbinectomy : J Ll,L2,L3,L4 ! j

1 40 448 .

- or p o !Y.P~~!? r:.'Y .9L~.<?.~~-h.~P.!~?.!Y.: .. ~!!~~-~! a_l _____ ~---------------+--- ------------- -- ------------1---------------------------------i-------------------~ . -- ~--------- ~ Cort1cal Mastoidectomy with j · Ll,L2,L3,L4 : i l mynngoplasty i ; l 1,13,022 i

- -------:.--------------.. -------------------------------;-------------------------------,_ _________________ -----------~ ,--p-ent~~~jjj~-~-~-bs-~~~~-d-~-~~~g~-(·d-~y-~~re) i Ll,L2,L3,L4 j j 48,956 i r--- -- ------------ - -------------------- ------------- ·+------· -----+---------- ------------------ -- 1------------- ----- ---------------+---------------------- --------------j ' Microlaryngeal surgeries for cysts and i i Ll,L2,L3,L4 ! ! !

: I : -polyps I ! i 1,11,056 ·

.--------- --------------------- --------------······ -----------·····------.. --------···-···-1·-------- ---------------------:--------------------------------+--------------------- -------1 Mynngotomy w1th grommet 1nsert1on j : Ll,L2,L3,L4 ! i 43,677 i

'-------- ·------·-··· ··------------------------- ·---------------- . ·-- -~------------·---..;--------------- ---------------- ·----------------------------------r------------------------------------4 , GENERAL SURGERY ! ! ! i i ,. ............................................. - •. -................................. - --------L . .................... i-----·-·---- ·-·----------- --t---------------- ····-----------1---------······------------------- --~

haemorrh01dectomy (stapler/ tackers ! Ll ,L3,L4 i L2 ! 56,862 '

---~~~-~u_de~)___________ --------------- __ -----------------------t----------------;-------------- -------- -------!------------- ---- -- ---------- ~--------------------- ----- -------<

; haemorrhoidectomy + fissurectomy j ! Ll, L3,L4 f L2 j 78,870 : _j_s !~P.J~!.l~~~~~~~-~-~~~9~9)______ _____ _____ _ _ __ ------~---------_______ j __ ------------- --______________ _J ___ --------------- - -----------.l-----------------------------------j

f1ssurectomy and fissure dilatation ! ! Ll ,L2,L3,L4 ! j 55,493 i ----- --- - -------------- --------------------------------- - -------+--------------4------------ ------------------1-----------------------------+----------------------------;

h1gh end fistulectomy j · Ll,L2,L3,L4 i j 68,234 j -- ------------------- -----------------------------------------:----------------~---------- - ------------ -----~------- --------------------------:------------------------------------ :

low end fistulectomy ! Ll,L2, L3,L4 j ! 68,234 i appendectomy -LAP -:--- Ll,L2,L3;L4--- . ------- - - ------y--------- ----------92,559 :

::~~:~-~-~:~:~~:~~~y-~~~~~::::::::::::::::::::::::_:~_:_:_:::::;::::::::::::::_:j::::::~~~-L2:_~~;~~::::~1:::::::::::::::::::::::::::::::::t:::==:::::::::::::=~~~§i~=1 Cholecystectomy (LAP) · J Ll,L2,L3 1 ! 92,559 !

---------- ----------------- - ------------------------- ---------------- ---i.----------------~------------- ·--------------t---------------------------------+---------------------------------i Cholecystectomy (open) : Ll,L2,L3,L4 j j 78,675 ,

---Ex~ isi~~--~Tpiionid~i-~i-~u~- with FLAP --------:·----------------------- L-l, Li',i'3·-----·r··----------------------------·r··------- ---------~~-;·;~-:

COVER i i ! I ---------·-------------------------------------------------------- ---------1'-----------------.. ------- .. ...... ·---------------t-----------------·---------------+------------------------ -- -------..-:

Exc1s1on of pilon1dal sinus With j ; Ll,L2,L3,L4 j ! 51,071 ,

~_pnm_~-~-~~-<?.~_l:'Ee ------------------- ------------------ ---- ; _____________ )__ __________ -------------- - -1--------------------------------~---------------------------------j mastectomy(s1mple) without fs l i Ll,L2,L3,L4 ! ! 87, 188 i

'_____ ------------------· --------------------- ----------------- - -- ·---~----------·--· --1-- ---------------------- - ------- t ---- ----- ------------------- ------t-----------------------------------i

mastectomy(rad1cal) or Mod1f1ed Rad1cal j · Ll ,L2,L3,L4 j j 14

5948 j

---~~ste_~~-?-~Y.-.~~~-~-!? _________________________________________ ~-- -------------•----------- _ ------------------+------------------------------~------------ - ----------------~ thyroidectomy ! Ll ,L2,L3,L4 ! ! · (Tota l/Subtotal/Enucleation/ Partial/ l J i 180168 l

,. __ Lingu~~~~-~~-~-r"!:l-~~-~~~y_____________ --~- ---------------,--------------- ..... _ ----------l---------------------------------.!-------------------------- -- - ------~ mgumal/ femoral hern1oplasty-un1lateral ( Ll,L2,L3,L4 i. :.: 92,559 i mesh mcluded)(Mesh Cost-7000 mcluded )

~-;~::~~~~~~;:)~\~~~~~~~~~t~;~~~t~-~~i--------r --- --- ___ T _______ t:i:L2-:L'3 ______ -r---------- -------------------r---------------------------------1 : : 106, 142 __ !ncluded_)_ _ : :

umbllcalhernioplasty (mesh mcluded) Ll,L2,L3 i -------- T-------i ! 91,506 l

'g~{~;~~~!:~ii~~~~~:l~:h•;: t j- Li,l2:L3 - -! ·--- ... - - r·-------~~::~:-: ' ! ~-j!-!_~!iflca!!~0.J~-~s_h __ ~~?-~_:_?ggg __ i_n_~!!-!_g_~_~)- --·----------------r-------- .... ___________ --- ~ ------------------------------- --+- ------------------------ - ·---------:

C1rcummion ( day care) Ll,L2,L3 ! ! 36,013 i

per1a na i -~b-~~;~-s - . _::::::::·:·:::==:::::::::::::::::=::·::::::::::::=~:::::::_:~~~:~~~:~~;:~~::::::l::::::::::::::::::=~::=::=:=::::::==::::::::=:j~~ 4 9 3 - ·

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r----------------------------------------------------··o· ·------;--------------- ----·-··;-----------------------------l·---------------- -------------------;

! breast lumpectomy ! ! ll,L2,L3, L4 ! ! 78,659 j

l:~?.:~~~~~~~~~-~~-~~~~~~::=:::::::::::::~~~::~:::::~:::::I:::~:r:~~~:~~~:~~;~~~:::r:::::::::::::=:::::::~:::~r::::::::::=~ ___ ::§~;~:~~] i hydrocele i i Ll,L2,L3, L4 i ! 43 805 i ~----------------------------------------------- ------------------- ---------l---------l--------------- ------------1------------------------------j------------- ·---------~---------1 ! right or left hemicolectomy ! ! Ll,L2,L3, L4 ! l 2 47 455 ! L---------------------------------------------- -------------------------------~---------~-------------------------l..-------------------------------! ............. - .. ! ...... '----------1 ! resection and anastomosis of sma ll intestine i ! ll,L2,L3,L4 i i ! ! (si ngle ) ! ! ! ! 159845 ! t ______________________________________________________________________ l ________ L_ _____________________ j __________________________ j _____________________________________ 1

l Note: All General Surgeries with or wothout adhenolysis are within same package. For l 1

Exploratory Laprotomy procedure only, Rs. 7000 can be fixed. For Hernia, laproscopic surgeries i

r~~TETR~~~·-~~=~-=-=~===:3':";"::~=~==·-~eriesr=·~-:~=g~~=~·- =r::~:::::::_::::=::J ! Normal delivery (with well baby care) i l Ll,L2,L3,L4 j ! 75000 ! ~ ·-------------------------------------- --- -- - - - -1-------· ~------------------------ 1 -------------------------------1--- -- - ------- - ----t ! LSCS ( w1th well baby care) ! ! Ll,L2,L3,L4 l I 86250 j r--- --------------------------------------- ---------1---------~----------------------+-----------------------------~-------------------------------------~

i LAVH l l Ll,L2,L3,L4 ! ! 1,17,783 ! :..------------------------------------------------------------------.!- --------!.----- ---- -----------------.!.~------ ---------------------:---·-------- -------------------~ ~ TAH + BSO + ADHESIOLYSIS (LAP) J J Ll,L2, L3,L4 l ~ 1,17,783 l r-:r:.;:i-i--~-sso-:-A.-o-i-i"Esiol_vsis_(_o_PENi _________ T ________ r ___ i:1:i2-:L3:tx--r--·--------------------------1------------- -- i,-o6:oo5--1 r-------------------------------------------------------------------------1---------t-------------------------1--------------------------------•------------- ---------------------1 ! Hysterectomy with Pelvic Floor Repair (PFR) ! ! Ll,L2, L3,L4 j j 1,35,999 ! ~-------------------------------------------- ---- --------------------------j---------t--------------------- ----t--------------------------------1--------------· ·------- --------------; ! Instrumental delivery ! ! Ll,L2,L3,L4 ! ! ! j (including well baby care) i j i i 86,250 j

~-------------------------------------------- ------- -----------------+--------f----------------------+----------------------------i--------------------------------------1 ! ovarian cystectomy Lap ! ! Ll,L2,L3,L4 ! ! 89 010 ! ' ' ' ' . , '

[:~:~~~!~~-~-y~~cto~-y~-=~::~~~~::~:::~~:~:::::I:::::::r:~~~~Ti:~~~~:::r~:::~~::~~::=~:~~~~:~:~c:::::::::::::::::::j_~:~Qi9J i dilatation and curettage ( D & C) (DAY CARE) j i Ll,L2,L3,L4 l ! 35,397 ! ~------ -------------------------------,---------1------------------,---------------------~-------------------------------~

! Vaginal vault prolapse repair ! ! Ll,L2,L3,L4 : ! 117 783 l ~- - - -·-----------------------------------------------------------1---------f------------------------+--------------- ------- -t----------- I I -----1 I Myomectomy (Lap /Open) j j Ll,L2,L3,L4 j j 99,567 j ~-oPTHALM-oLoGY -------------------r--------r-------------------~---------------------r---------------------------------1

~~~-~~t~~~~t-TE~~i~di~9-i~~~~-i>-h-~-~~---------------------:-------~------Li,-i:3-,i4 ______ i ____________ L_2--------------~----------------- --------------- -----~ I , , , .

i i ! i i 25 000 ! f-------------- -------------------------------------------------------------+-------- ~-----------------------1------------ -------------------j---------------------------! __________ j J cataract ( Excluding lens)-MICS with unifocal 1 j Ll,L3,L4 j L2 i ! I lens l i i i 2 5 000 i ~--------------------------------------------------------------------------~---------f---------------- ----------~--------------------------- ----1-----------------·--· _____ ! __________ i ! Vitrectomy (SIMPLE) ! j Ll,L2,L3,L4 j i l : I l : l I

l l ! l ! 42 000 i ~--------------------------------------------------------------------~---------~------------------------~-------------------------------~----------------- _________ ! __________ ~ i Vitrectomy with gas temponade ! j Ll,L2, L3,L4 ! i ! ! I : l I l

i i i i i 42,000 i f Vitr~~t~~y-~ith- ~iiic~-n-~-t~~p~n-~-de - -1-- -- [ Ll l2,-i:3~L4---r-------------------------r- --------------1 I , ' , ' ,

i ! ! ! ! 77 000 ! f.-.----------- --------------------i-------f------------------i-----------------------------1---------- _______ _! ________ -! I Vitrectomy -membrane peeling-endolaser- ! ! Ll,L2,L3,L4 ! ! l ! gas/ silicone tamponade ! ! ! I 77 000 ! ' ' ' ' I I ' ------.--------------------------------------------------------------------1·--------r------------------------t---------------------------t---- - -------------------------------~

! V1trectomy (sutureless) +membrane peeling- I i Ll, L2,L3,L4 j j i j endolaser-gas/silicone tamponade I I ! ! 77 000 i • I I , , , L-------------------------------------------------------------------J _________ l __________________________ J __ ·-------------------------__.1-------------------······!·---------J

ir~b~~~i~~-t~~y-~t-th-MMc·T~il~-~r~~-ra~ii·----·-·r··-- -~----Li:L2:"L3-X4·-·r--·---------------------------r··--------3io-aa··-------- --!

. ------ ·--------------- - ---------------- ·-------· ----- -- ·-- -- ·------ --~ --------+------------· ·-------------~------------------------------~ ------------------------------------! i Trabeculectomy with ologen i i L1,L2, L3, L4 i i 33,000 i t •. - ----------------------------------------------- ---- --- ---·---------- ----~-------- +----------------- ----------~---------- -------------·--------+------------------------- ------------ -: i Rettnal Detachment-scleral buckltng ! ! Ll,L2,L3,L4 : ! 66 000 !

o I I I f I

;---- ---------------- ------------------ ----------------- ------------r-------·t---- --------------------~-----------------------------r---------------- ---------------------:

. OR-Corneal Collagen Cross Ltnking wtth ! ! Ll, L2, L3,L4 ; ! 38,000 ! i Riboflavin ! ! i ! ! L~-~~~~~~~~-~~~::::::::::: __ :_:_:_:::::::::·: .. _ ~---:::::::::::t _____ _r::::::· ______________ :r::::::::::: ___ : ___ ::·:~::::::r: ________________________________ ::::i : total knee replacement- unilateral : ! L1,L3, L4 ! L2 ! 160,000 ! t--- - ---------------- ---------------- -- ------------. ----- ----------t-------·t------------- -----------·------------------------------+----------------------------------: : total knee replacement- btlateral ! ! Ll,L3,L4 ! L2 !· 240000 ! ~ . -------------------------------- _ ---------------t--------L--------- -------- ---- ---L - -------------------------------~--------·-----------------------------l i htp-~~p-l~~~~~~ t unilateral (Unipolar) j ! L1,L3,L4 ! L2 j 181,953 ! ' ---------------------------------- ----------------~--------~-----------------------~-------------------------------..!.---------------------------- ··--------: ... htp-~~pi~~~~~~t bilateral (Btpolar) j j L1,L3, L4 i L2 i 272930 j ' ·----------- - . ------------ ----- ------------- ·----------------~---------1--- ---- ------------------+--------------------- --------+---------·-------------------- -----: ! fracture neck femur i l Ll,L3,L4 l L2 ! 172 328 ! : -- ·----------- ·------------------··. --. -----------~· ·-----i----------· --------------t---- ------------- ··· · ··-------+------------------~----- ------------- -1

Hem1arthroplasty 1 j Ll,L3,L4 j L2 j 191,268 ! · i~~~~--;h~tr·i~~~i~~-~-~;;r~~;~-~-~-~~;dd-1~/di~t~-,- -- --,·-------~-----i:i·L·3:i:4·-----~--------------i:2 _____________ T __________ i7i2_5_9 ___ ------~

: t;b;~-r~-~~t-~-~~-;;~;-~i~~i----- ----------- --------· --------- ··-r··---·-r··-Li "L-3:i:4 ____ T _____________ i:i ____________ T ________ is-9:asa·---------~

i Untcondylarlmiddleldistai-ORIFI ORIF j j ! i ! i· --- ------------ ·----------------· ---------------- -----------------~--------+----------- ·-------------i--------------------------------+-------------------------------------1

ttbta fracture proximal Btcondylar-ORIFI ORIF j j Ll,L3, L4 ' L2 j 165,600 j :· a-n-kl~--i~~~-t~r~~O"R:iF-/o-Ri-F ~ith-~~-~~~srr·s·w·----··r··---T·-- -i:iC~ix··· · -;--·---------- -i:i------------r·--------134:sso ___________ ! t--~rth·;~d~~-i-~-~--~;i-~t~~~ki~s~-b-t~,-~-~--- ----------··t··-··t··-i:iiii:4·---·-t··------------i:i -------------r---------i i 4:sso _______ ____ ! ·-- ------------------- ----------------------------- -- -- ---------+-------t-------- - -----------+-------------------- ·--------+·------------------------------··----: ; Hand or Foot fractures -wtth plates or screws j J Ll,L3,L4 : L2 ! 143,658 l I · - f --- ~- ------- I ·-------- ·· -----+----- ------------ · I i calcaneal fracture- wtth plates ; i L1,L3, L4 l L2 ! 143 658 ! ~- ·-- ------------- ---- ---------------------------- -- ----- ------t--------+----------·---------------t----· --------------------------+------------------~ ----- --------------! ; Open Reductton and Internal Fixation of : i L1,L3,L4 ! L2 i 195,305 ! . shoulder I humerous ! ! J :

[ Open Reductton and Internal Fixatton of ... -----r L1,L3, L4·-··--r-·· L2 1 -------- i72:328 _____ ,

i elbow ! l l : I ----·····-------- ----·-··-------------------·········· -------···········•·······+················---------+·······-------------·······----+------······················--------·-l · Open Reductton and Internal Fixation- , L1,L3, L4 ! L2 l 172 328 '

fracture of both bones forearm · j j ' ... ------------- ·----------------- - --------·--------•-------------------------f-------------------------------+------------------------------------i

: Open Reductton and Internal Fiaxatton - Ll, L3, L4 ! L2 ! 172,328 ! fracture of single born forearmlwnst j _L_________ J

· --~-ca~~~!-~--~~~~~~:-~--~i-~~~-~~-~-- __ ______________ ·--- - - -----·------j·----~~~-~3-~~~----:--------------~~------------ --l---------~~-~~-~~-~--- _______ j : Arthroscopic debndement and Stnovectomy j j Ll,L3, L4 j L2 j 118,197 j ~---· --------------· - ---------------------------------· .. ·---------------~--------+------------.. ··-----------~---------------- ----------------+--------------------------------------1

: shoulder-arthroscopy bankart repatr j ! L1,L3, L4 ! L2 ! 117,783 ! i- -- ---------------------------------------- ---------- --- ------------·--------+-----------·--------------;-------------------------------+------------------------------------: , shoulder-arthroscopy I open- sub acromtal ! ! L1,L3,L4 , L2 ! 164,669 i i decompresston l ! ! ! i

: Ac-~:~~:~~-~:~~-~u~~~~~:!.~~~~~~---::::::::::::::::::::::::::::::::t::::::::t=:~i~:~:~~~~:::J::::~::·::::=~~:::·· ::::::::1:::::::::::::~?:~~:!:::::::::::::! . MCL reconstructton/repatr i l Ll,L3, L4 i L2 ; 97097 i f- -- ·----------- ···--·------------· ---· ------------ ·---------f- -----~------------- -----------·--------------------------------+--------------------------------------< i ACL & PCL reconstructton /repatr i j Ll,L3,L4 i L2 j 14 7180 ! ·---- -------------- -------------- - ----------- --·-··--·------ - -----t---·----1--------------------------t ---------- ------- - --------------+------------------------------------ --~

Lamtnectomyldtsectomy ' ! Ll, L3,L4 ! L2 ! 178227 i I I " I ----------- --- ·---- --------------------·----------------.. ·-------..... ------------------------------------------------· ----....... ·-----------------------------------:

stabtltzatton of ce~i-~~~ sptne i j L1,L3, L4 i L2 j 213521 ! ·------·--------------------------------------------------------- ·--------------.. --------.:...--- ----------------------~---------------- ----------------~ ---- ------------------- --------------: · thoraco I lumbar global ftxation/bone graft j i L1,L3,L4 j L2 j 144,383 ! ~------· ·-------------- ·-- ·----------------·- ···--·--- · · ---· ·-· ·-----------~--------..;...----- -- --------· ----------~---------------- ----------------4 ---- ----------------------------------.

: thoraco I lumbar - antenor : ! L1,L3, L4 ! L2 l 144,383 ! . ~~-t~~-~-?-~Y. .. ~!x_a~~~~L~-~~~-9!.~!~----- - -------------------·f - -------~------- _ _ _________ : __________________ ------------~---------------------------- ____ ) i carpel tunnel release- untlateral , ! Ll,L2,L3, L4 , i 58,740 : ~ . .. ·········-----......... ····-·-· .. .. ...... ....... .. . . .......... ... . . . . . . .. l . ....... .J....... .. .• ·-----------L _ ••••• ------------- •• - -----------1

--------·· -·······-----····· ••••••••••• •

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~-~~;p~iw~nel7~~~~-~-~-t;ii~i~~i-------------------·-·:······--;--·i:i~L.2~L3,i:4--T-------------------······;····-------75 45_2 ____ ------~ ~-------- -----------------------------------------------------------~--------~- - ---------------------+------ ------------------------!-------· -------- ' -------------------i ! close reduction of fractures I dislocations i ! Ll,L2, L3, L4 i ! 79,488 i u .. 9.~.Y..5:~!.E:L ______________________________________________ J _______ L. ______________________ J_ _______________________ ;____________ ___ -------------------1 i Implant removal of small bones i i Ll,L2,L3,L4 ! j 56,822 ! ~--·····---------------------- ---------------------------------------------i---------~-----------------------+--···-·····-----------------j··········------·····-···-····-------i ! implant removal of large bones ! ! Ll,L2,L3,L4 ! ! 74,520 !

t:~~£:~:~:~:~~~~-:~:~~:~~~~~:::::::~:::~:::::::::::::~::::::t_:::::.t_ __ ~~~:~~~:~~~~~:::L::.:::.:::~::~::::::.: ___ : _ _t ____________ ~_!!_~§L::::::::::J i bone grafting for non union of small bones j ! Ll , L3,L4 ! L2 i 108,261 ! 1--······-···-----·-·······-···-------------·········-···-·········-···-·+·······+·······-·············-··+---------············-····-l·············· ·······-···--·········-~ j bone grafting for non union of large bones i ! Ll, L3,L4 ! L2 j 127,305 ! ~--------------------------------------------------- ------------- -----------1---------t------------------------t---------------------------t--------------------------------------~

! Acetabular fracture fixat ion j j Ll ,L3, L4 i L2 l 200,480 j r·;;~-~~~-fr~-~t~~-~~-~;t~;~~i·fi;~ti~~-----------------------T·····-r-···Lii3~L.4----r··----------L.2"-------r··········i9s·,-a98" __________ 1 ' , ' , I , i ~~-C:i~~-ti~~-;"t-d"i~i;~~t~~-~-~-~--GA"·------------------------:--------~ . C1·,-Li",-L3,-i:4--t ---- --- . ---------- .. l . 69 863 ----1 t 1 o o t I I

~------------------------ ----------------------~---------~---------------;-------------------------·---------------- - -- ---------· ·----~ ! Amputation of Digit -single ! i Ll,L2, L3,L4 ! i 55 890 i ~-------------------~-----------------------------------~---------t----------------------1-------------------------1---------- ---~ -------------------1 j Amputation of Digit -multiple j j Ll,L2, L3,L4 j i 95, 220 j ~--------------------·-··--·····-···-··-·····------r········r···············--------~---·····-··-····--·····-:············- -- ········-······: ! Amputation above elbow/ knee ! ! Ll ,L2, L3,L4 ! ! 182,885 ! t·A~p~t~ti~~-b~~~;;;-~~b-~;;;Tk~~~--------------------1·--------r ---i:1~i2-:L3:L4 ___ t ________________________ 1 ___________ isa·:a7s __________ i ~---······-·-···········-········-------------·-··········-·······---~---------1------------········-····4-------------··············l·······-···············--------------4 ! Small Wound Debridement (Day Care) ! ! Ll,L2, L3,L4 i i 68 000 ! ~--····-····-·--·····-··················-·············-······-------·····+········t··················-------i--------- ···················--l················· '···················-i i Large Wound Debridement ! ! Ll,L2, L3,L4 i i 82,386 ! !-;:~~d-~~-R~;;~;~-~M~Iti-pl~------------------------------------i·········t···i:i~i2-;L3:i:4---t··--------··················-j············g-2~-2i9·-----------i ~-- -·······-·-······-·······-······--·-·······--······-··············-···- +- f • -----------------~--- ·····--------·-··········· i .... . - ·····--j ! Tendon reconstrucation ! ! Ll,L2, L3,L4 ! 1 113,022 ; ~-----------·-·······-···-·········--------------------------·····-~---······;·······-········-------~---·············-···-·-·········l·······-·-·····················------~ l UROLOGY AND NEPHROLOGY j j j j i ~--········· ·-·· ···-·······--------------·-·····----------·····+········1· ·········---------------+--···········-·-···-·········-l-·· ......... -················· -~

j PCNL -unilateral j j Ll,L2, L3, L4 j j 129,272 j l"'-------------------~-------------------------------1·--------t----------------------~-------------------------·-f·------------------ - ··----------------1

L~-~~-~-~!~~~-~~~-~--------------------------------------------_l ______ L._~~:-~-~:-~~~-~~-j__ _____________________ L____ _ 15 8_,_ ~ ?.~ ________ _; l prostate removal- TURP i i Ll ,L2,L3 l i 121209 ! !.. - .• ··-·· ··-------------------------------------------------.!-- --- t •. ------------------!---- ····-·-··--------------- :... . -~ i prostate removal- OPEN ! ! Ll, L2, L3 i i 133 330 i ~-----------------------------------------------------i---------~--------------------i------------------------f--------------- !. --------------~ ! prostat removal- HOLMIUM/DIODE i ! Ll, L3, L4 ! L2 i 129,375 i :----------------------------------------------------------1--------~---------------------{------------------------f---------------- ·-------------------~

i meatotomy (day care) ! i Ll,L2,L3, L4 ! i 35 294 i I I I I I / t

[:~~~~~~-i-~-~~~~:~~~~~~~~~~~~~~~~~L::~~:::::::::~::~::::::r:::::::r:~~~:~~~:~~~~~:::r~::=:::::=:~:::::::::::::=r:::::::::::::~;~~~:::::::::::::J ! renal transplant surgery i i Ll ,L2,L3, L4 ! i NA i ~-~~!!.!~~!~~-i~!:~-~~~-~E!.~!.9.~~----------·-···········-·-····-~-------.l.----·················----~----------------··········· · ··l---··········- . -········· ········· -~ i DJ stent removal (day care) i ! Ll, L2, L3, L4 ! ! 36,225 ! ~--················-···--------------------------·········-········- ~-------- - ~---··-··-···------------+---·························---~---············· ·-·· .. ·······-------< I cystoscopy (therapeutic) i I Ll,L2,L3,L4 ! ! 60,548 ! l------------------------------------------------------------------------4---------~--------------------------1-------------------------------~-------------------------------------1

i cystoscopy urs with DJ stenting unilateral i i Ll,L2, L3,L4 i ! 70 000 ! ~---------------------------·-··-··-··-·············-···········-·-······j·········t····---------·····-··-~---·······-····------········-l---·············· !··········-······· -~ I nephrectomy Open 1 I Ll,L2,L3,L4 i i 145 418 i L----------------------------------------------------------------__:·-----L----------------------L---------------------------l------------------!----------------1 j nephrectomy Lap ! ! Ll,L2, L3,L4 ! i 167 230 i :...-------------------------------------------------------------------- --1---------~---------------------!..----------------------------!----------------!·-----------------~ i nephrolithotomy I pyelolithotomy i j Ll,L2, L3, L4 j i 134, 964 l r---- ----------·-····-·····-··-------i·······-·1········-········------~---------········-··+···················----------------~ i orchidectomy-unilateral 1 i Ll, L2,L3, L4 ! i 68,000 i ~--·····-···-··-···-·····-········--------·-·······-···········-·-·····+········1···----------------+------·-·····-·- -···········~-----------····· - -·-····-·····----~

! orchidectomy-bilateral i ! Ll, L2,L3,L4 ! l 92,840 ! ~--·-······----------------------------··-··--·----·-······1·-·······t··········-··-····----1------------------------l---··················-······ ····------l j ESWL-Extra Corporeal Shock wave lithotripsy j j Ll, L2,L3, L4 j j 33,327 j

LL<!~.Y..£~!-~J __________________________________________________ L _____ j ______________________ __ _l. ________________________ ______ L ___________________________________ j

I

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;--uR·s--iT;;~~p~~t-i~--------------------------------------------------·r··-----T-ii:t:2:L3-~-l.-4_T ___________________ _______ ____ T ______________________ 6i89i-! ·--N-eu.R:osu-RGE-Fiv·------------------------------ -------------~-------·-:---- -------------------·-r·-------------------------------~-- ------- --------------------- ---- ----~

· --VP-~h~~t-~-~-g---------------------------------------------------- -·r··--··r Li-:ti-Lii4···:··----L2--(;d·d;;;~n~;-·· ~------------------~~-~--~~-~--:

: I : Shuntl 1 1

: f------- •• ••• ····------········-···-·····················- ·-······+·-····-+-·· ---------···········•········--··········-···········+··-·······-·············--------------: i Craniotomy with evacuat ion of Haemotoma i i L11L21L31L4 ! i 2861281 i ~. --------- ······----------······ ······-······---..... .. ········t········t········ ······-·-···-····t·········-----·········· ········:------------·············---------····:

Decompressive Cran1ectomy i i Ll1L21L31L4 : ! !

~ ~~§~~~~~~~~~~~:~~~,~~~~~ ~~ = J:~El~~~~.~~ :r::: ~:::::J :~=~~.~i~ i : varicose veins (laser or Rad1o i 1

1 L11L21L31L4 i !

305 i

' ' ' I 127 ' i frequency Ablation) : : ! l 1 j 1··-······-··-··-·········-···------···············-···············-··--l--······t---·--·-----------······t-····----------------------·+·--······················-··········-l ! SURGICAL ONCOLOGY ! ~ ! ! :

[:::::~::~:~;~,::~;;~~~:~~~~ .--::~ ~-~~~I~:;~:;~:.:~~~: ~ :::~~:r ~::::~:~~~~~~:1 Sacrectomy ! ! 1671000 :

i i ~----------- -- :

! Abdom' o:::ioe~Res:ct':~ · .. : .. J:.t1:~2:~~~-4-+-·--·········--L.. . --~~~,~~~ ~ Amputat1on for soft t1ssue/Bone Tumours i i Lll l 21L31L4 ; ! 99 000 i

: : I : I :

........ ;.--------+-- -·-----------------r----- -------------------------+-------------------------------------: i i L11L21L31L4 . ! i i i ! 1671000 ! i ! ! !

Anteno~-R-~-~~~1;~~----- --- ---- --------------- • ·· ·--- ----~--------y '"L1:L2~-Li:l"4. ·--------------------·········r----------------------------------: i ! i 1671000 : I

~--- ·--·-- .. ------------- · ----~--- --- · - ,. - ---------- ---- .. --+-------------·-: Axillary Dissection ! i Lll l 21 L31L4 ~ ! 57 500 ' I I t I I , •

f---------············-----------················---------·· · ·········-·····---+······+············----·········+··········-················ ····+·····························--······ -i i Adrenalectomy i i L11L21L31L4 i i 1671000 i ~------------- ···------------------------------------------ ----------------- ---~-----···t· ·------------------·-··t··------------------------------t--------------------------------------:

Bilateral Orchidectomy ! : L11L21L31L4 i i 571500 i ............. . .. ------------ ....... ·····-···-·····················+······-+·····------------- .. ·1······--------------············+--------················-----------:

Bilateral Pelvtc Lymph Node i i Lll l 21 L31L4 j I 991000 !

}- g!.s..~~-~!!9.r:.(~~~~-!J.L ........................... -- ------------f-------+ -----·------------------f------------------------··------f--------------------------------------! . Bilateral Pelvic Lymph Node ! : Lll l 21 L31L4 ! ! 167 000 !

,_gj.s._~-~S!!9.r:.t~~~~g).J.C?rS.~-~_r:~~?-~ -~la_9de~--------..l-------.l-----·-····-··········-..l ................................ L-------- ----------------- ~---------~ Bone Resection j : L11L21L31 L4 . ! 1671000 :

>······· . ------------ ........... ·······----- ----- • -------- ----}-------+· ..... ······--------·+·············----------------+------------···············---------: . Breast Reconstruction i : L11L2,L31L4 i 167 000 : 1--------- .. ·····----------········ ·······------ ···· ··· -·····----------~--------+----·-·····-············+························-······+··········· -·····-·----···-~---- ------! ! Chest Wall Resect1on i ! L11L21L31L4 i j 1141000 ! :---·········· .. ··---------······· .... ·····------············ . ······-··-·t········t- ·····-····-·············t································-:-······--------··············----------! ! Chest Wall Resect1on +ReconstructiOn i i L11L21L31L4 ! ! 1671000 i

.'--closure of colostomy T-------T Lli L21 L3~'L-4 i ···----------- :-·---------- 167-·aa·o '

I I I ,

~ --------· --- - ------ -------- --------- ., __ __________________ - .... ----~--------~-- ........ -----------------T---------------------- - ---------+-----~-------------~-------------.;

Closure Of Ileostomy i i Ll1L21L31L4 ! i 167 000 }---------------- ·----------------------- ----------------- --------------------~--------~--- -- ---------------·-------------------------------+---------------------------! _________ _ ! Colectomy Any Type i ! L11L21L31L4 i i 167 000 : ~--· --------------------------------------------------------- -------- ----------~--------+---------------------------~--------------- -----------------+---------------------------! ............. ; i Colostomy 1

; Llll21L31 L4 j i 571500 i ·--~~::~:~t~~~~:::~-~-:: R~~~~~-t~~~ti;~- :::::::r··----~--~~-:~~:-~:-:·~-:-·:··-----------------------------T:::::=::::::::··----!-~~:~~~--~ l ..... ............ ................................ . ................. - ............. L ......... .J. . ••• ...... . ........... L ••··· ··---------··· ,. • • .. 1.. ....... . ....... .•• ······-------- '

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rt~~1i~~~~~~:~~~~~~ ~::=~:~-~::~::tj if:ffit~:~rt::- >~~~~I:_:~:: ~ ~i~~~ j -F~-;equarter Amputation j j Ll,L2,L3,L4 j j 57,500 ! ~------------------------------------------------------------------+--------f-------------------------+-------------------------------1 ------- -------------------------------j l Full Thickness Bucca l Mucosal Resection & l [ Ll ,L2,L3,L4 [ [ 57,500 j

: Reconstruction ! i i i i

t:~~~~~~~~~~~~~~~~!i~~~~~~~~~~~~~~=~~~~~~~~~~~~~~~~~~~~~r:~~~~~r~~~~~~~~~~~;~~~::r~:::~::~~:::~:~~::::::::::::~r:::::::::::::::::::·::~:?~~:~~] i GastroJejunostomy ! i Ll,L2,L3,L4 i ! 57,500 ! L---------------------------- --------------------------------------------------1---------~----- ---------------------+-------------- -------------- ---i----------------------------------- --1 ! Gastrostomy ! ! Ll,L2,L3,L4 ! ! 57,500 i

l tf.~~_j~;~:~~~:~:_:~~:~~~:=~~LI~1~ L~~~~:~~-I -~~~=~J~~--:- ~: ~~;._;~iJ ! - -H~~iglossectomy i i Ll,L2,L3,L4 J ! 5 7,500 !

t::~~~!~~~~:~:~:~:~~~~~i:::~:::::::::::::~:::::::::::::~::::::t:::::::: t:::~~;:~:~~:~~~~~::t::::::=:::::~:::::::::::::::t::::::::::::::: :::::~?:~~:~9::l J Hemipelvectomy J J L1,L2,L3,L4 J [ 57,500 [ l------------------------------------------------------------------~--------~------------ --------------1-------------------------------,.-----------------~--- -----------------.,

J High Orchidectomy J J L1,L2,L3,L4 J i 57,500 J

["ii~~~t~0!::::::::=:::::::::::::~::::::::: ::::~:~::::::::::~:::::I::::::::r:::~~;:q~~~;~~::I::::::::::::::~:::::::::::::J::·:-::-------------::~:!~~:~~:] !-ii~~;;~nsverse Colostomy i ! Ll,L2,L3,L4 J ! 57,500 J

t~~~:0~~~~~~:~:~~~~~~~-;~~~:~~~~~::~~~~=::]:::::::I::~~~:~~~~~;~~:::t:::::::::::::~::::::::::::J::::::::::::::: ::::::::~?:~~:~9::J J Intercostal Drainage(ICD) J J Ll,L2,L3,L4 J J 57,500 J

~---------- ---------------------------------------------------------------+--------t -------------------------+-----------------------------t--- ----------------------------------i

J Internal Hemipelvectomy j ! Ll,L2,L3,L4 J i 167,000 j

l~~~~~~~~~g~~g~~~~~-~:=-~~-EJ ~~~HH~~:c:~~:~=~~I~ ~ ]~~;~~~] j Limb Salvage Surgery With Custom Made j j Ll,L2,L3,L4 [ l 167 OOO J

~-£'_r_~~-~~~~J~------------------------------------------------------------~-- -------;------------------ --------~-------------- -----------------!---------- ----------------'----------j j Limb Salvage Surgery With Modular j j L1,L2,L3,L4 j j 167,000 l L Prosth~~J~------------------------------------------------------j_ ________ [_ _________________________ j _______________________________ j _______________ _______________________ i ! -i:i~b-Salvage Surgery Without Prosthesis i ! Ll,L2,L3,L4 i j 167,000 ! ~ --------------------------------------------------------~---------!.----------------------- ---..:------------------------------~----------------------------------- ---..:

J -L~~-p-ectomy Breast j J Ll ,L2,L3,L4 ! ! 114,000 ! :------------------------------------------------------------------------------i---------~---------------------------:-----------------------------~-------------------------------- ------4

! Lung Cancer Lobectomy ! ! Ll,L2,L3,L4 ! i 167 000 i ~---------------------------------------------------------- ------------~------i---------t----------------------- ---~--------------------------------t ------------------------- ---1--------- -i i Lung Cancer Pnumenectomy ! i Ll,L2,L3,L4 i i 167 000 ! ~-- -------------------------------------------- -·---------· ------------------- ~---------t- ---------------------·- ~ -- - ------------- -------------!---------------- , 1 ! Lung Metastatectomy. Multiple ! ! L1,L2,L3,L4 ! i 167,000 j ~----- -------- ----------------------------------------------------- -------- ---- 1---------f-------------------------+--------------------------- i ----------------- -------------------1 ! Lung Metastatectomy. Sol itary j ! L1,L2,L3,L4 i i 167,000 i

t::~:~:~~!~~:~~~~~~~~~~~~i:::::::~::~:::::::::::::~::::J::::::::t:::~~;:~~~:~~;~~:::I~:~:~::~:::~:=:=~::~:~]::::::::::::::::::j:~i~~:~~:l l Maxillectomy + Infratemporal Fossa ! l Ll,L2,L3,L4 l l 114,000 j : Clearance : : : : :

t::~:~~~~~~~~~~~~~~~~~~::~~~~~~~~~~:~:::=::~~::::::t:::::::t:::~~;:~~~~~~~~:::[:::::::~=:~:~::::~~~::I::::::::::::::::::::!~~~9Q9::l ! Maxillectomy Any Type i ! Ll,L2,L3,L4 ! ! 99 000 ! ~------- -------------------------------------------------------------------1-- -------~- -------------------------1------------------------- --------i----------------------------'----------1 ! Mediastinal Tumour Resection ! ! Ll,L2,L3,L4 ! ! 167 000 i 1 1 + 1 1 I 1

r-r~-i-~~~v~~~~-~~~R;~-~~~-t~~~t;~-~----------------------------r------T--t:1:i2-;L3:t:4-- -1-- -------------- -- ----------~ ---------- --167:o-oo--i r-------------------------------------------------------------------------... ----------r------------------------...--------------------------------,-------------------------------------, ! Mastectomy Any Type ! ! Ll,L2,L3,L4 ! ! 143 000 i ' ' ' ' ' I ' ~-----------------------------------------------------------------------+-------+---- ------------- - -----+-----------------------------1--------------- ------------- ----------j

j Myocutaneous I Cutaneous Flap j j Ll,L2,L3,L4 j j 143,000 j L ----------------•••••-••••••••••••••••••••••••••••-•••• • ••••••••-•••• ••.J ••••••••• l. ••••••••••••••••• ·-·•••••--'• - ••••• •••••• • • -•••••••••••••-.0.•••••••••••••••••••••••••••••••••••• ••-J

~··•"' '""

Ne~k-Di-~~;ct;;~·A",:;y··-rYP~ -------- ------------------------··;········y-·"LiLi~-Li"L4·T·--------- -------- ·············r·············-----143,ooo

:··Neph~~-~-;;(~~~~t~·;;;y--F~~;; ·:r;~~~iii;~ai·c~i;··----··-r····-··r"L·i:Li:-l"i-i.4-- r· ····---------------··--·------1------···-·-------~~~-~~-~--~

· Carcinima Of Renal Pelvis i i ! i ' : f ••.•.••••••••••••••. ---------------------------------- -- ·-----------------~---·---+----------·-··-----------+-····--------------·-----------+--------- --------------------- -----1 ' Oesophagectomy With Three Field j j L1,L2,L3,L4 ; j 143,000 j

~Y!!..'P.~~-~~~~~~~!!..11... ............................. ·--------------~--------i---------------------------i-------------- --·-···---------- -i----------------·- -----·----------···-1 Oesophagectomy Wtth Two Fteld j j Ll,L2,L3,L4 j j 143 000 l

' ' I ' ' : Ly_~-~~~-~~~~~!~!!..1):' __________________________ .... _____________ J. ...... L-----------------------i--------------------------------L----------------------·····---------! Orbital Exenteration ! j Ll, L2,L3,L4 ! j 143,000 !

~ --------------------· --------------------------------------------------·t·------t------------------------t-----------------------------t·-----~---------------------------;

i Other Bypasses-Pancreas i i Ll,L2,L3,L4 i i 143,000 ! f------------- -----········ -·-.--· -··············----- -------···········---------~----- ···t·············-------------~---···--------------············t············--------------······------: : Other Cystectomtes i ! Ll,L2 ,L3,L4 ! ! 143,000 !

L p~j~-t~~-t;~y·A~y--T~~~:::::~:~-:-~:::::~::::_~_::::::::::::::~:::::::::::~:~~~~:~~~:~~::r::~~::::::::::::::::::~:::::r:::::::~~~~::::J.~~~Q~~:J . P~r~thy~~id·~~-to~y -- j Ll,L2,L3,L4 ! ! 143,000 :

·---------------------------------------·----------------- ·-------------t--------4---------------------------} ---------------------------~----+------- ------------ ----------------- --:

Parttal Nephrectomy j j Ll,L2,L3,L4 j j 143,000 j ------------------- --·----·---···-·-----·-····························+······+--------·-----··········+·-----········--------·········+········------·········------------·-:

Parttal Penectomy ! : Ll,L2,L3,L4 : j 143,000 ! f Radtcal Cholecystectomy r ···r·Ll,L2,L3-,i4-··r ----r······· ------l43 000--l t_ . --------------------------------------------------------------------------r--------+----------- --------------r--------------------------------+-------------------------· .!.. ------: i Radteal Cystectomy ! ! Ll,L2,L3,L4 ! ! 143,000 !

~--Ra~~~~:~:~~~~:~:~~~~~::~:::::::::::::::::--~~~·:::::::::::::::r::::::::r:~:~~~~:-~~~:~:~:::;::::::::::::::::·:::::::::::::::r:::::::~:::::::::::~~~~Qg:~::; Radical Prostatectomy l ! Ll,L2,L3, L4 ! ! 143,000 j ·-· ----------------------------------- ----------------· -- ···- ---------~--------+--------------------------t----------- ----------------------t--------------- ----------------------: Radical Vagmectomy + Reconstruction ! ! L1,L2,L3,L4 ! j 143,000 ! Resection Of Nasopharyngeal Tumour -------- ~ ·-· ·:··LiL2, L3,LX "! --- .. ------------··· r ········----- ""14i"oo"o ·:

r::~~~-~:~~i~:~:?~-~~~~~~~~~~:~~~~:~::~:~:~~~~-~::::::::::::::r::::::r:~:~~:~~~~~~:~~r:::::::::~:::::::::::::::::::r::::::::::::::::::::~~:~~:~Q:~::: 1 Q.esection With Reconstruction of Abdominal l ! Ll,L2,L3,L4 ! ! 143,000 ! . 'v'{~!! .~~~9_ur --------···· ... --- .... - ----- ----- ...•....... .L ... ------·-----------·-l.. .............................. l. .............. -----------·····---i

RetroPeritoneal Lymph Node Dtssectton . ! L1,L2, L3,L4 ! ! 143 000 ! ~ ~P.!~~--~~--~-~!:!.9.!.~~-~.9}D.9.................. ····-···---------~------··+·---·---- ----·----------~·········---------·-········----+--------·-···-------------· ~- ........ j ' Retro Pentoneal Lymph Node j j Ll,L2, L3,L4 : j

143 000 j

. Dtssection(RPLND) (For Residual Dtsease) ! i : : ' : ,_ -- ·····----------·· ···························--------·-- ..... ········+------·t-··--·------- -------------·-----··--------------------------t- -----·-·····------------ -- ------: j Sacral Resectton i j Ll,L2,L3,L4 ! ! 143,000 ! ·-- --- -------- ------------------ ---------------------------------------.. ·- ------ ------ ·-------·----------o.-----------------------------------------------------------------------· ! Salp;~o Oophorectomy i ! Ll,L2,L3,L4 ! ! 143,000 ! ;. . ----------------- ·------------------ ·----------------· -- ----------------~- ------..:----------- ·--------------~-------------------------------+------------------------------·------:

! Segmental Mandibulectomy j ; Ll,L2, L3,L4 i ! 143,000 , ~-------------------- --------------- ------- - ----··-·------ ---- -----~-·-----+----------------------~---------------------~---------+---------------------------------:

: Segmentectomy ! j Ll,L2,L3,L4 ! j 143,000 : l Shoulder Gtrdle Resection -----··r··- r···LiL2,L3,L4··r····--- -··-······---- ·r ··-----·-----------143,00-0 ;

: s.~:~:~::~~~~~~~:~:~~~~~~~~~~::.::::::::::::=::::::::::::::::r::::::r:::~:~:~~~~~~:~:~::r:::::::~::::::::::::::~::::::r:::::::::::::~::~:~~:~~~-~:Q:: l Sktn Tumours Wide ExCISIOn : l Ll ,L2,L3,L4 j i 143,000 l r··sk;~--r~~~~;~· w;d·;·E·~-~;~i·;~-~--R:;~-~~~t~~~ti~~-··r······-·tii,-i:2·, ·L3-;L:4 ___ j ________________ ________________ i ____________________ 143--ao·a -·i

. . . ' ' ·--·····----------- .... ··------------·-·· ... --------- ----------··f·· ··---+---------··. ---------+·······························+-------------·······-·······-----·-···: Sleeve Resectton ; . Ll,L2,L3, L4 : i 143,000 j

: si~-~:~~::~~-~~~t;~~::~~::~~~~ -(~~~~~::··· ~ ... :::::::::::::·r:~:::::r:::~:~:~~i~:~~~:~:~:::t::::::::::::::::::::::::::::::::r:::::::::::::::::~:!~:~~:~g:~:J ! Small Bowel Resection j j Ll, L2,L3,L4 j ! 143,000 ! ; - ·····--------· --·---------------------------------- -------------~--------4------------·--------------~----------------------·--------+-- -------------------------·----------:

i Splenectomy j j Ll,L2,L3,L4 : j 143,000 j I·· ...................................................... ······················1·······+-------- ················+·······························+···················------·-··········1 i Submandibular Gland Exctston i [ Ll,l2,l3, L4 ! i 143 000 f

~ ·-----------------------------------------·----------------- ..... ···------------t--------+-------- ----- ------------~----------·----------------- ----+---------------------------! .......... : i Subtotal Temporal Bone Resection i ! Ll,L2,L3,L4 ! i 143,000 !

f··s~-~~~i.~~-r _c~:~~~!i:~~-~~~~~:~~~9~ _::.:::~::·:-~:::::!:::~:i~~2~~~~:~:~:::l::::::::::::::::::::·:~~::::::!:::::::::::::~:::::!~~~qg~::1

~AJ\ \. -l~'al!e I~ of 18

[~~~~~]~:~~~~y-A~y-Typ~-----=:===:=::::==::::~::]::=::=}::::~~~~~~~~~~==:=::=:==~:::::~~~:::~:~I:: ___ ~-~-~ _____ !~:~:~g:QQ:: 0

Total Abdominal Hysterectomy(TAH} + ! ! Ll,L2,L3,L4 143,000 i : Bilateral Salpingo Ophorectomy (BSO} + ! ! i ! Bilateral Pelvic Lymph Node Dissection ! i 0 l u_~_f?-~_~_'?)_~ _ _Q_r:}_~-~-~~~-~~~y __________________________________ j__ ______ J __________________________ ~------·---·-------·-·--------L----------- _______ _______________ J ! Total Exenteration ! i Ll,L2,L3,L4 ! 143 000 i ~~·-·······--·-----------------------------------------------·------------1---------~----------------------------..--·-----··-------------·----·-~··-·-··-···-··--------------~------- --~ i Total Exenteration ! i Ll,L2,L3,L4 : 143,000 j !--------------------------------------------------------------------1------··+·---··--·------- -------------------------------- ---·-----~----------------------------·--·-----~ ! Total Glossectomy + Reconstruction ! l Ll,L2,L3,L4 , 143,000 !

i~::~~~~~~~:~i:~-~~2~~~:::===:=::::=:=:::===:=:1:::::::r::::~~~-~~:-~~;~~::=:=:::==:=:::::=::~~-=---:____________ ---~-~j-~~:~~::] i Oesophagectomy Any Type j j Ll,L2,L3,L4 143,000 j ~-----·----------------------------------------j-----·-;-----------------------~------------------·--·------------ ----·--------------1 ! Parotidectomy Any Type ! ! L1,L2,L3,L4 143,000 j

c;_~~:;~~~~~~~~,~··~~ -:~~~:==:~~:~:::J::F ~~~~~:~~F:~~-~~=::~=~:~ :::~~·· ·: f1~:~~~ ~ l Total Temporal Bone Resection ! ! Ll,L2,L3,L4 ; 143 000 i i---------------------------------------------------------------------j---------t--------------------+----·---------------·---;-----------·-·-·-----·------~---------i i Tracheal Resection 1 ! Ll,L2,L3,L4 : 143 000 i ~·-··-·---·----------------------------------------------------1-------~-------·-·---········---·-.f.-----------------------------·----------------------------~---------~ ! Tracheal Resection i i Ll,L2,L3,L4 i

0 143,000 j

~-------------------------------------------------------------------------1---------t----------------------------+------------------------------- · ----------------- ---------------------"1

! Tracheostomy I i Ll,L2,L3,L4 : o 27,700 i ~-----------------------------------------------------------------------i---------~---------------------------+------------------------------~--------------------------------------i i Tripple Bypass i ! Ll,L2,L3,L4 i ! 143,000 !

[~:~~~~~:~~~~~~~:~~:::~::~~:::::=::~::::::::::~:::::~::~::::=:::J:::::::::r::::~~~:~:~~:~~~~~::::r::::::::::::=:::::::::::::~:::;:::::::::::::: ---:::!~~~~:§~::] ! Vulvectomy ! i Ll,L2,L3,L4 ! , 143,000 i 1----------------------------------·---·----------·---·----------------------l---------~---------------·---·---··--·---------------------------·---------·---· - ·-----------------· ! Wh1pples Any Type i I Ll,L2,L3,L4 ! i 143,000 j r·---·---------------·---·---------·---------------------------------------·--------+------------------·---------.:..---------------------------·-------------·· ____________________ , 1 Wide Excision + Reconstruction soft i i Ll,L2,L3,L4 o '

i tissue/ Bone Tumours ! ! ' 143•000 l

rwi_d_~-E-~~;~~-~~-f~~-t~~~-~-;------------------------r-----r--t:i~i2-:c3:i:4·-----------------------------·;·--------------- --i~~-:aoo--1

i Wide E~~isio-n -~t·a-;~-~-~t--i~;:r~~-;~;---------------r-·--r --iiL2;L3;i.4··-·.,----------------·---· 0 143 ooo : i----·---------·-------------------------------1------·-·f---------------·----------;----------------------i----·---------------------~--------·~ ! Wide Excision soft tissue/Bone Tumours i ! L1,L2,L3,L4 · ! 99 000 ! ~-----------------------------------------------1---------~------------------------- -··7··---------------------l--------------------------~---------1 j Oesophageal stenting including stent cost j j L1,L2,L3,L4 , i 167,000 j

jE~~~i;~-~~~-;-i-r;~~;;;!;~-~;~pi~~~(o!h~~------- 1·--·-·---1----L:i~-6;L-3;i:4---.--------------------------·r·---·-------- ----~~;-~-~~--1

i than Neck of Pancreas} i 1 : i ' i ~-------------------------------------------------------------·------j--------+--·---·-------------------------------------------------1-· ··-·----·-·-----·---·---------------j ! CONSERVATIVE PACKAGES j j : : j

jc_h_~-;9;~-i~~-i-c-u-~iih~-~-t-~;~!ii;w~--0i-~~t--------r-----T---------------------------·-----·------------------·-·-----·· ------------------------------ -------1

! covered under earlier packages} Per Day : ! This includes - 7,500 ! ! i ! Monitoring & : 1---------------------------------------------------------------------------i---------l 1---------------·------------- ··------~ ! Charges for ICU wi th ventila tor (if not ! ! Investigations ! i covered under earlier packages} Per Day ! i Drugs 9,000 i ! ! i Consultations r-----------------------------------------------·-·i··------1 Bed charges ·---------------------·-··-------------.. j I :

! ! ! nursing 00

::

i ! i charges

! j meals .i111

':,: i i Procedures i i like Ryles tube I o. • l ! msert1on,

! j urinary tract !,':,

0

i ! Catheterization I l I ! ! ________________________________________________ ___________________________ ,! ________ 1 ____________________________ ~---------------------------------·---------------------------------~

~-··"'' "

i Packages are walk-in ; walkout packages for patients unless specified otherwise(Complicated i cases) for the procedures where implants are to be charged extra.

t··-rh·~--p~~-k-~c~~-T.:;~i~d"~~-~-~;;-~-~t-~¥;-;;;·;;t·i·.:;~-t~~t~·:·~~~t:i~-;-di~-c~~~-ti~~;-a:r·~h~;c~-~;--s-~;c~~~~-i;~~;----------:

i Anaesthesia, Dr's visit fees (admitting Doctor) and medicines/consumables. Package include i length of stay as applicable under agreed GIPSA I TPA I Corporate Tie Up Packages. In case patient

is requied to syat in hospital beyond agreed length of stay under such packages then extended period shall be charged as per day basis calculated on pro rata basis as may be applicable.

~-- ............................................................................. , ... _, _________________________________________________________________________ _________ ____________ __ _

i In cases of multiple surgeries major surgery will be approved 100%, 2nd surgery@ 50% of package j and 3rd surgery@ 25% of agreed package. Multiple surgeries shall imply surgeries done in one : sitting ,in same incision and same speciality. ~- .•. ·-------- -~-- ------------ - --------------- - --- --------- -------------- ------------------ ----------------------------------------------------------------,

j Blood/Blood products will be charged as per actuals as per direction 9. f-------------- -------- ------------------- ·-· ----------- -- ........... ------------ ... --------------- ................................................ ! : Investigations do not include high end tests such as CT, MRI, Radiation, Stress Test, liver l

! ~- ~~~~i-~~~-~-~-~~-~~-~-~~~--~~!-~-~--~!!_l __ ~~--~-~~~~~~--~~--~~~-~-~~~-~~-~~~-~-~-~!~-~-~--~~-~-~-~~~~--~-~~-~-~-------------- --------------·1 : Pre-Operative investigation are included in package amount. Investigation included in packages- ! ' CBC, Urine Routine, HIV Spot, Anti HCV, HbsAG, Serum Creatinine, Usg, 2D Echo, X-ray and ECG. ~

r· "it H~~pit~i·;~~k·;~t~~-~~-;;·.:;·3i--o~~-. ioi9.to~~d--to-b~--i~~-;~-tii-~~-~-t;;;~;;·;n·~n-ii~~ed'~~i-;~-iii·e~--io~-;~---~

i rates will be applicable. J

: No·~~;;,-i·~-~~ -~-h~·;;~·i·s·~;~-h~~;~~--~-~-~~~-~~~~ ~-h~~;~-~-ijj·b·~-~~-~jj~~-bj~~----------------------------------------------------~

l'a~:e 16 of 18

ANNEXURE-B ,----------------------------------------------------------------------------------------------------------------------------------------------, i I

i Following are the rates in percentages, applicable to different districts and various category i I of hospitals based on which rates In annexure A would be calculated for those health care i i providers which are not part of GIPSA-PPN or do not have agreement with any TPA ! ~--•••••••·-------------------•·•••••••••-•••••••••••••••••••••T••••••••••••·-••••••••••••·-,----------------------------------··-r··--------------------····••••••••••••••••••••••••••••••4

i Name of District ! >100 beds i 99 to SO beds ! l ess than SO beds i i------------------------------------------------------------------~ ---- ------------------------- t -------------------------------------+----------- ---- ------------------------------------------4

j Mumbai City ! 100 ! 90.0 ! 80.0 ! r··M~-~-b"~i·s~-t;~-~t;~-~----------------------------r---------iaa·---------r-------------9-o:a·--·-·--------T------------------·-----8o:a·------------------------1

f--------------- -----------·-··------- --· -··--- --·········---··+··-·-----------------------+------------------------·---· ---- -+---------------------------- ----------------------j l Pune i 85 l 76.5 l 68.0 l

t:~~:~~:~~~~i~:~:::::::::::::~:::::::::::::::::::::::t::::~::::?:~:::::::::::I::::::::::::::§:!:~:::::::::~::::r::::::::::::::~::: :::~~~:~::::::::::: ::::::::::::::J ! Akola : 70 l 63.0 i 56.0 l i-:A~-~~~-~-t~~----------------------------------------------~------------7·a·----- ------:- --------------6-3:a·--------- ---·-t··------------------ ----5-6:a···---------------------1 "---------------------------------------------------------------t-----------------------------•-------------------------·------------+----------------------------········---------------------i

l-~~~~~-~-~-~-~-~: _______________________________________ _i ____________ ~-~------------; _______________ ?_~:~---------------1-------------------------~-~:~------- ---------· --·-----j ! Beed. ! 70 ! 63.0 i 56.0 ! r--sh~-~d~-~~~-------------------------------- -------- -----!-----------·-:;a··----------r--------------6-3:a··-------------r----------------------- :s·6:a··--- --------------------1

f-··········----------------------------------------------------1-----------------------------l--------------···-···········---------+---------------------------··········· ...... ·········---!

! Buldhana. ! 70 ! 63.0 ! 56.0 !

r::~f:~~~e:~T:::·::=:::·::::==:::::::·:::==:::r::::::::::~:~:::::::::::r:::::::::::::::~~~:::::::::::::::r::-·::::::::::::::::::I~~~-:------ --:- -·-::·:::::: :1 r·c;~-d~hi~~ii·-------------------------------------------r·---------7-a·----------r-------------6io ______________ T ____________________ ____ s_6:a·------------------------1 f-·-··------------------------------------------------------------+---------------------------+-----------------------------·-------+---------------------------------------------------···---{ i Gondia i 70 ! 63.0 ! 56.0 ! ~-------------------------------------------------------------!--------------- --------------l-----·---------------------------------L-- -------- --------------------------- --------------------J

! Hingoli i 70 ! 63.0 ! 56.0 i f------------------------------------------------------------1---------------------------+ -----------------------------------+---------------------------------------------------------i i Jalgaon : 75 l 67.5 i 60.0 i ~-J-~~~-~---------------------------------------------------- ; -----------7-a ___________ T ____________ 6io---------------r----------------------s-6:a·------------------------1 }-------------------------------------------------------------+--------------------------+ ---------------------------------+------------------------------------------·--------------{ ! Kohlapur ! 75 i 67.5 i 60.0 i :.--------------------- ------------------------------------ --------l----------------------------~---- ---------------------------------..:..-------------------------------------- -------------------~

i Latur i 75 ; 67.5 i 60.0 i ~---------------------------------------------------------------t-----------------------------i--------------------------------------+ -----------------------------------------·------------1 i Nagpur i 75 i 67.5 i 60.0 l :.- --- -------------------------------------- ------------------------~ ------- ------- . ---- --- ---; --------------------------------------..:..------ - - -. --------------------------------- . -- ~

! Nanded ! 75 ! 67.5 ! 60.0 ! :-----------------------------------------------------------------t---------------------------·-t------ --------------------------------t----------- ----------------------------------------------~

i Nandurbar ! 70 i 63.0 i 56.0 i

t::~:~:~E~~::~:::::::::::::::::::::::::::::::::::::::::::=::t::::::::::::?:~::::::::::::t:::::::::::::::~!:~:::::::::::::::t::::::::::::::::::::::::~~:~::::::::::: ::::::::::::::l i Osmanabad i 70 i 63.0 i 56.0 ! l-----------------------------------------------------------------~----------------------~ ------------------------------- -----+-------------------------------- -------------------------4

i Parbhani i 70 i 63.0 i 56.0 i

[::~~~~~:~::::::::::::::::::::::::::::::::::::::::::::::::::t=::::==!~:::::::::::I::::::::::::~§:!:~:::::.:::::::::r:::::::::::::::::::::::::~:~:~:::::::::::::::::::::::::1 , Ratnagiri i 75 : 67.5 l 60.0 i :....-------------------------- --------------------------------------~-----------------------------!--------------------------------------.!.------------- ------------------------------------------~

! Sangli ! 70 i 63.0 ! 56.0 ! f----------------------------------------------------------------+---------------------------+-------------------------------------+--------------------------------------------------------·i ! Satara i 75 i 67.5 i 60.0 i !·s·i-~d·h-~d-~~g------------------- ------------ ------- -----:--- ---------7·a·-----------r------------6io---------------r------------------------s-6:a··----------------------- 1

~--- ---- ------------------------------------------------------- t---------------------------+---------------------- ---------------+---- -----------------------------------------------------i

! Solapur i 75 ! 67.5 i 60.0 !

ANNEXURE-C

·---------· ·-----------· - ··------- ---------· - ···-----------· . -~----·

Maximum rates which can be charged to Covid patient i i (Applicable throughout Maharashtra for all Health Care Providers) i ~ --------------------- -------,------------------- ---------------,------------ ------------------ ---- ------------;----------------------·--------------- ------------------- ----------J

: Package i Rate in INR i l !

_ ___ _ _ L_ ~~-r~~~ _ L ln:l~-"::s ____ ~ ----- ~~:~~:~-~ns _ ____ _I

C~h~;u0rr~;t· n+ees 111111

! 4000 i ~h~~/t:~!~:e~- I ~o~p~ot include -1

Investigations like · 2) I nterventional Procedures j

CBC. Urine like, but not limited to, i Isolation l : Routine, HIV Spot Central Line insertion, i

"------ --------- ····+-------···· ·--------· ···· ------1 Anti HCV. Hbs Charges i 7500 i A S Chemoport Insertion, c JCU 1

: g, erum bronchoscopic procedures, JOr ! · Creatinine, USG, without ! ! 20 Echo, X-ray. biopsies, ascitic/pleural

venti Ia tor : ! ECG,Drugs tapping, etc, which may be

' I ~ol_:ti()~---,1. - - ' ~~~sc~~~~~;s ~~a;y~: ~~e~h~~~~k rate as Charges 9000 -···---1 nursing charges 3) COVlD testing- to be for ICU : meals done as per actual cost as

with ! Procedures like per direction 9. ventilator Ryles tube 4) High end drugs like

+ ! insertion, urinary Immunoglobuli ns , Isolation tract Meropenem, Parentral

: Catheterization Nutrition, Tocilizumab, etc-

to be charged at MRP as per direction 9. 5) High end investigations like CT scan, MRI, PET scan or any lab investigation not included in the previous

; column - to be charges at j rack rates of hospital as on i 3 I st Dec 20 I 9.

! :.._ _ ___________________________ ,! ________________________ ., ----------~- --··· --------- ---------·----------- ......... l _______________________ .,. ______________________________________ _____ !

Page 18 of 18