Schedule of Charges of ARAVALI HOSPITAL,UDAIPUR. - Finance ...

344 1996 Innovative Systems in Silicon Conference(U, - dx)x=dx+xx

• 3 hours grace time is granted on the day of discharge.• In the event of a bed transfer during the course of treatment, the higher Category ofbed charges and other procedure, Doctor Visit, surgery will be applicable on the day oftransfer.• The charges are for visits from 8 am to 8 pm.• Two visits per day will be charged (Irrespective of number of visit).• Any visit after 10 pm will be treated as Emergency visit.6

Charges for Department of MedicineCode No.ProceduresRates1020 a. Ryle’s Tube Insertion Rs.400/-1020 b. Urinary Catheterisation Rs.400/-1021. Endotracheal Intubation Rs.1000/-1022. Upper G.I. Endoscopy Rs.1500/-1023. Central Venous Catheterisation Rs.1200/-1024. Ascitis Tap Rs.500/-1025. Pleural effusion Drainage Rs.500/-1026. F.N.A.C. Rs 200/-1027. Lumbar Puncture Rs 1000/-1028. Code Blue (Resuscitation) Rs 1000/-1029. Cardiac monitor charges (if used other then ICU) Rs.400/-1030. Suction Apparatus Charges (Per day) Rs.300/-1031. Ambulance Charges (in city) Rs. 300/-1032. Nebulizer charges Rs. 50/- each time1033. Steam Inhalation Rs. 50/- each time7

1034. Blood transfusion per unit Rs. 400/-1035. Chemotherapy Rs. 1000/-1036. Infusion pump charges Rs. 400/-1037. Pulse Oxymeter charges Rs. 100/-1038. Hot Sitz Bath 100/-1039. Blood Sugar By Glucometer 50/-1040. Enema 200/-1041. Chemical Cauterization 450/-1042. X-Ray Bed Side 400/-1043. U. S. G. Upper Abdomen (Bed Side ) 850/-1044. U. S. G. Lower Abdomen (Bed Side ) 850/-1045. E. C. G. Bed Side 150/-1046. Arterial Line 1000/-1047. Stomach Wash (Poisoning) 1500/-1048. C. V. P. Monitoring 200/-1049. Cryo Surgery For Warts 1500/-1050. Colostomy Stoma Care 100/-1051. Chest Strapping 300/-8

1050. IUCD Insertion 150/-1053. IUCD Removal 100/-1054.Health Check upsa. Lifestyle Rs. 800/-b. Deluxe Rs. 1500/-c. Elite Rs. 3500/-1055.1056.1057.ICU Charges 2500/-Ventilator Charges 2500/-Intensivist Charges 500/-9

Billing of Surgery Only for RCDF ChargesS.No. Category Surgeon’sChargesAnesthetistChargesOT ChargesTotalMinor1 Economy 750 248 802 1800Semi Deluxe 975 322 1043 2340Exe. Deluxe 1275 421 1364 3060Intermediate (A)1 Economy 1250 413 1337 3000Semi Deluxe 1625 536 1739 3900Exe. Deluxe 2125 701 2274 5100Intermediate (B)1 Economy 1875 619 2006 4500Semi Deluxe 2438 804 2608 5850Exe. Deluxe 3188 1052 3410 7650Major (A)1 Economy 2917 963 3121 7000Semi Deluxe 3792 1251 4057 9100Exe. Deluxe 4959 1636 5305 1190010

Major (B)1 Economy 4167 1375 4458 10000Semi Deluxe 5417 1788 5795 13000Exe. Deluxe 7084 2338 7578 17000Major Plus1 Economy 5209 1719 5572 12500Semi Deluxe 6771 2235 7244 16250Exe. Deluxe 8855 2922 9473 21250Supra Major1 Economy 8334 2750 8916 20000Semi Deluxe 10834 3575 11591 26000Exe. Deluxe 14168 4675 15157 34000Supra Major Plus1 Economy 12501 4125 13374 30000Semi Deluxe 16251 5363 17386 39000Exe. Deluxe 21252 7013 22735 51000Anesthesia Services• Pre Anesthesia Checkup Rs. 300/-Other Information• Consumables, Drugs, Medicines, Implants etc., during the course of treatment will becharged additionally on the basis of actual usage.11

SURGERY TARIFFGENERAL SURGERYOPD PROCEDURES – SUB MINOR (From Rs. 250 to 750)‣ NAIL EXTRACTION‣ SUTURING OF WOUND UP TO 5 CM‣ PARONYCHIA‣ FLATUS TUBE PASSING‣ SEBACEOUS CYST REMOVAL SOLITARY‣ I&D ABCESS‣ TAPPING HYDROCELE‣ RECTAL BIOPSY‣ RYLES TUBE INSERTION + STOMACH WASH‣ URETHRAL CATHETERISATIONMINOR‣ URETHRAL DILATION‣ TESTICULAR BIOPSY‣ DORSAL SHIFTING OF PREPUCE‣ MINOR FOREIGN BODY REMOVAL‣ SCLEROTHERAPY OF PILES (PILES INJ.)‣ LORDS PROCEDURE (ANAL DILATION)‣ PALMER ABCESS WITH LOW DRAINAGE‣ TONGUE TIE EXCISION‣ STRAPPING FOR RIB FRACTURE‣ ASPIRATION EMPYSEMA12

‣ CHANGE OF DRESSING IN 20% BURN‣ ORAL BIOPSY (TONGUE, LIP, CHIN)‣ SCLEROTHERAPY FOR VARICOSE VEIN‣ SINOGRAM‣ VASECTOMY‣ CIRCUMCISION‣ VENESECTION‣ SUTURING OF WOUND MORE THAN 5 CMINTERMEDIATE A‣ SOLITARY LYMPHNODE NECK/ AXILA EXCISION BIOPSY‣ CARBUNCLE : EXCISION & DRAINAGE‣ AMPUTATION OF A GANGRENOUS FINGER/TOE‣ RECTAL POLYPECTOMY‣ LIPOMA‣ NEUROFIBROMA‣ DERMOID‣ INTERCOSTAL DRAINAGE OF EMPYEMA OF WOUND‣ DIAGNOSTIC GASTROSCOPY‣ ASPIRATION OF LIVER ABCESSINTERMEDIATE B‣ EXTRACTION OF PAROTID DUCT CALCULUS‣ NECROTISING FASCITIS I & D‣ DIAGNOSTIC COLONOSCOPY‣ SCLEROTHERAPY OESOPHAGEAL‣ MULTIPLE LYMPHNODE EXCISION‣ DRAINAGE OF APPENDICULAR ABCESS‣ EXCISION RANULA13

‣ COMPLICATED FOREIGN BODY REMOVAL DEEP‣ RUBBER BINDING OF PILES‣ SPHINCTERECTOMY / FISSURECTOMY‣ THIERSCHES OPERATION FOR RECTAL PROLAPSE‣ FISTULA IN ANO / HORSE SHOE FISTULA‣ CRYOSURGERY FOR PILES‣ FIBROADENOMA / FIBROADENOSIS BREAST EXCISION BIOPSYMAJOR A‣ RELEASE OF CONTRACTURE‣ AMPUTATION‣ SKIN GRAFTING (6*3)‣ TUMORS GUMS EXCISION‣ ORCHIDECTOMY IN TORSION TESTIS‣ HERNIORHAPHY‣ UMBILICAL / EPIGASTRIC HERNIA‣ APPENDICECTOMY OPEN‣ PERIANAL FISTULA (HIGH - LEVEL)‣ PERIANAL SINUS‣ PARTIAL AMPUTATION OF PENIS‣ SUPRAPUBIC CYSTOSTOMY‣ PRE AURICULAR SINUS EXCISION‣ PILONIDAL SINUS (OPEN)‣ CONVENTIONAL HAEMORRHOIDECTOMY (EXCISION+LIGATION)‣ VARICOCELETOMY UNILATERAL‣ RANULA EXCISION‣ PILONIDAL SINUS (CLOSED)MAJOR B14

‣ VARICOSE VEIN LIGATION & STRAPPING‣ BELOW KNEE AMPUTATION‣ BRACHIAL CYST‣ BLOCK DISSECTION OF NECK‣ THYROGLOSAL CYST‣ SKIN GRAFT MORE THAN (6*3)‣ BILATERAL ORCHIOPEXY FOR UNDESCENDED TESTIS‣ HERNIOPLASTY MESH REPAIR‣ CHOLECYSTECTOMY (OPEN)‣ SUBMANDIBULAR SALIVARY TUMOUR‣ BRACHIAL CYST‣ CHOLECYSTECTOMY & T TUBE DRAINAGEMAJOR PLUS‣ LUMBAR SYMPHATHECTOMY‣ CYSTIC HYGROMA‣ PARATHYROID ADENOMA‣ MESENTRIC CYST‣ BILAT UNDESCENDED TESTIS (EXPLORATION + ORCHIOPEXY)‣ HEMITHYROIDECTOY‣ PYELO LITHOTOMY‣ COLOSTOMY FOR CA COLON/RECTUM‣ CHOLECYSTECTOMY (LAPAROSCOPIC)‣ DIAGNOSTIC LAPROTOMY (APPENDECTOMY)‣ EXPL LAP (MESENTRIC LYMPHNODE BIOPSY)‣ EXPL LAP (OVARAIN CYSTECTOMY)‣ EXPL LAP (MECKKELS DIVERTICULITIS)‣ SECTOR MASTECTOMY FOR CA BREAST15

‣ AMPUTATION OF THIGH (SITE OF INFECTION)‣ MENINGOCELE‣ PERFORATED PEPTIC ULCER/ BLEEDING ULCER/BLEEDING ULCER‣ THYROID LOBE (LOBECTOMY)SUPRA MAJOR‣ SUBTOTAL THYROIDECTOMY‣ CERVICAL SYMPATHECTOMY‣ CERVICAL RIB SCALENOTOMY‣ ABDOMINAL RECTOPEXY FOR PROLAPSE RECTUM‣ TOTAL AMPUTATION OF PENIS‣ STRANGULATED / OBSTRUCTED HERNIA WITH RESECTION‣ RESECTION OR ANASTOMOSIS OF INTESTINE‣ HEMICOLECTOMY‣ BYPASS OPERATION‣ GASTROJEJUNOSTOMY‣ NEPHRECTOMY‣ EXCLUSIVE SKIN GRAFT‣ MRM (MODIFIED RADICAL MASTECTOMY)‣ EXPL LAP RESECTION ANASTOMOSIS‣ EXLP LAP (MESENTRIC TUMOUR)‣ EXLP LAP (INTESTINAL OBSTUCTION)‣ SPLENECTOMY‣ RADICAL MASTECTOMYSUPRA MAJOR PLUS‣ PARTIAL GASTRECTOMY‣ PANCREATIC PSEUDO CYST (EXCISION / INTERNAL DRAINAGE)16

‣ HYDATID CYST LIVER (EXCISION)‣ ABDOMINAL PERINEAL DISSECTION FOR CA‣ MEGACOLON OPEARATION‣ TOTAL COLECTOMY + LYMPHNODE BLOCK DISSECTION‣ HAEMOPERITONEUMORTHOPEDICS AND SPINE SURGERYMINOR‣ REDUCTION CAST (RADIUS / ULNA, WRIST, HAND, ANKLE, FOOT, FRACTURES)‣ JOINT DISLOCATION (HAND,WRIST, ELBOW, ANKLE, FOOT)- CLOSED REDUCTION CTEV CAST‣ REMOVAL OF K – WIRES AND SMALL FIXATOR‣ MANIPULATION UNDER ANAESTHESIA‣ INCISION AND DRAINAGE‣ INTRA- ARTICULAR INJECTIONS‣ EPIDURAL INJECTIONSINTERMEDIATE A‣ REDUCTION CAST (FEMUR AND TIBIA FRACTURES)‣ JOINT DISLOCATION (SHOULDER, HIP, KNEE) – CLOSED REDUCTION‣ TRIGGER FINGER RELEASE‣ DE QUERVAINS RELEASE‣ CLOSED REDUCTION AND K WIRING (WRIST)‣ GANGLION EXCSIONINTERMEDIATE B17

‣ CLOSED REDUCTION AND K WIRING (SHOULDER, ELBOW, HAND, FOOT)‣ JOINT BIOPSY(KNEE, ELBOW, WRIST, ANKLE)‣ SINGLE TENDON SUTURING‣ BONE GRAFT HARVESTING‣ BONE CURETTAGE‣ VERTEBRAL BODY BIOPSYMAJOR A‣ JOINT BIOPSY(HIP,SHOULDER)‣ HAND AND FOOT AMPUTATIONS‣ SKIN GRAFTING‣ MINOR DEBRIDEMENTS‣ RADIAL HEAD EXCISION‣ DIAGNOSTIC KNEE ARTHROSCOPY‣ SEQUESTRECTOMY‣ SYNOVECTOMY(PARTIAL)MAJOR B‣ TA REPAIR‣ TRANSPOSITION OF NERVE‣ FASCIOTOMY (FOREARM AND LEG)‣ CARPAL TUNNEL RELEASE‣ ULNAR NERVE DECOMPRESSION‣ COMMON PERONEAL NERVE DECOMPRESSION‣ AMPUTATIONS (BELOW KNEE, KNEE AND ELBOW DESARTICULATION, BELOW ELBOW)‣ PATELLECTOMY / PATELLA TBW‣ EXTERNAL FIXATORS (UPPER LIMB)‣ REMOVAL OF NAILS / PLATES‣ MEDIAL MALLEOLUS / OLECRENON TENSION BAND WIRING‣ SYNOVECTOMY (TOTAL)‣ TENDON GRAFTING (SINGLE)‣ TENOLYSISMAJOR PLUS18

‣ AMPUTATIONS (ABOVE KNEE, ABOVE ELBOW)‣ CLOSED TIBIA / FEMUR / HUMERUS NAILING (SIMPLE CLOSED FRACTURES)‣ DHS / PFN‣ NECK FEMUR CC SCREW FIXATION‣ CTEV (PMR, JESS FIXATION)‣ ARTHRODESIS (KNEE, FOOT, ANKLE, WRIST)‣ MAJOR SKIN GRAFT‣ MAJOR DEBRIDEMENT‣ ORIF RADIUS / ULNA / HUMERUS‣ ORIF TIBIAL CONDYLE‣ OPEN LUMBAR DISCECTOMY‣ LUMBAR DECOMPRESSIVE LAMINECTOMY – SINGLE LEVEL‣ DIAGNOSTIC SHOULDER / ANKLE ARTHROSCOPY‣ MANDIBLE ORIF – SIMPLE‣ ORIF – PROXIMAL HUMERUS‣ EXTERNAL FIXATORS (LOWER LIMB)SUPRA MAJOR‣ ARTHRODESIS (HIP, SHOULDER)‣ LUMBAR DECOMPRESSIVE LAMINECTOMY MORE THAN ONE LEVEL‣ MICRO – ENDOSCOPIC LUMBAR DISCECTOMY‣ SINGLE LEVEL CERICAL DISCECTOMY WITHOUT INSTRUMENTATION‣ CDH / DDH OSTEOTOMIES‣ NAILING OF FEMUR \ TIBIA\ HUMERUS (SEGMENAL, COMPLEX OR OPEN FRACTURES)‣ BIPOLAR HIP ARTHROPLASTY WITH CEMENT‣ ACL / PCL RECONSTRUCTION‣ ORIF OF COMPLEX FRACTURES‣ MENISCAL REPAIR‣ QUADRICEPSPLASTY‣ PERTHE’S DISEASE‣ TENDON TRANSFERS‣ INTRAARTICULAR FRACTURES OF ANKLE / SHOULDER / ELBOW / WRIST / KNEE‣ FORE QUARTER / HIND QUARTER AMPUTATION‣ SCFE SURGERY‣ COMPLEX CTEV SURGERIES‣ SURGERIES FOR RECURRENT DISLOCATIONS SHOULDER‣ TRIPLE FUSION‣ MOSAIC PLASTY‣ CURRETTAGE AND BONE GRAFTING OF TUMOURS / TUMOUR EXCISION‣ COMPLEX HAND INJURIES‣ EXTERNAL FIXATOR – PELVIS19

‣ OSTEOTOMY AROUND MAJOR JOINTS‣ RCT REPAIR AND SUBACROMIAL DECOMPRESSION‣ VERTEBROPLASTY (ONE LEVEL)‣ IMF WIRINGSUPRA MAJOR PLUS‣ SPINAL CORD INTRADURAL TUMOR‣ CV JUNCTION LESION – TRANSORAL , TRANSARTICULAR, O- C2 FUSION‣ ODONTOID SCREW PLACEMENT‣ POSTERIOR LUMBAR INTERBODY FUSION (PLIF,TLIF)‣ SPINAL FUSION WITH INSTRUMENTATION‣ ANTEROLATERAL DECOMPRESSION‣ ANTERIOR LUMBAR INTERBODY FUSION‣ CERVICAL DISCECTOMY + BONE GRAFT + PLATE‣ RECURRENT DISC / STENOSIS‣ TETHERED CORD RELEASE‣ DEFORMITY CORRECTION – SCOLIOSIS, KYPHOSIS‣ ANTERIOR RELEASE IN DEFORMITY‣ BRACHIAL PLEXUS EXPLORATION AND REPAIR‣ REVISION SURGERY FOR NON-UNION / MALUNITED FRACTURES‣ COMPLEX PAEDIATRIC SURGERIES‣ SINGLE APPROACH FIXATION OF FRACTURE ACETABULUM‣ COMPLEX INTRA ARTICULAR FIXATIONS‣ COMPLEX KNEE LIGAMENT SURGERIES‣ ILIZAROV FIXATION / COMPLEX EXTERNAL FIXATORS‣ CONVERSION OF AMR / DHS TO THR‣ SPINAL TRAUMA‣ SPONDYLOLISTHESIS CORRECTION‣ CERVICAL LAMINECTOMY / LAMINOPLASTY‣ MUSCULOCUTANEOUS FREE FLAPS‣ COMPLEX FACE INJURIES‣ ARTIFICIAL DISC REPLACEMENT‣ VERTEBROPLASTY (TWO OR MORE LEVELS)MAS (MINIMAL ACCESS SURGERY)MINOR‣ I & DINTERMEDIATE B20

‣ FEEDING JEJUNOSTOMY‣ ILEOSTOMY‣ COLOSTOMY‣ HAEMORRHOIEDCTOMY TRADITIONALMAJOR B‣ ILEOSTOMY CLOSURE‣ COLOSTOMY CLOSURE‣ STAGING LAPAROTOMY‣ APPENDICETOMY (LAPROSCOPIC)MAJOR PLUS‣ CHOLECYSTECTOMY (LAPAROSCOPIC)‣ GASTROJEJUNOSTOMY‣ PARTIAL GASTRECTOMY‣ ERCPSUPRA MAJOR‣ EXPL LAP FOR ACUTE ABDOMEN‣ SMALL BOWEL BYPASS‣ COLONIC BYPASS SINGLE‣ FUNDOPLICATION‣ HELLERS MYOTOMY‣ TOTAL GASTRECTOMY‣ SPLENECTOMY‣ CBD EXPLORATION‣ EXCISION OF CHOLEDOCHAL CYST‣ HEPATICO JEJUNOSTOMY‣ PANCREATIC FISULA CLOSURE‣ LATERAL PANCRETICO JEJUNOSTOMY (PEUSTOWS PROCEDURE)‣ SUB TOTAL COLESTOMY WITH ILEOSTOMY‣ REVISION COLECTOMY21

‣ DIAGNOSTIC CYSTO URETHROSCOPY (GRADE A)‣ VASOGRAPHY‣ CIRCUMCISSION (GRADE C)‣ CHANGE OF PCN (GRADE A)‣ VASECTOMY (GRADE A)‣ USG GUIDED DRAINAGE (OTHER AREA) GRADE B‣ TESTICULAR BIOPSYMAJOR A‣ VIU 1 (< 1 CM) GRADE A‣ CYSTO RGP (U/L) GRADE B‣ CYSTO RGP (U/L) GRADE C‣ CYSTO RGP +DJ STENING (U\L) GRADE A‣ URS PUSH (GRADE A)‣ SUPRAPUBIC CYSTOLITHOTRITY< 2CM (GRADE A)‣ MEATOMY MEATOPLASTY‣ VASECTOMY (GRADE B)‣ CHANGE OF PCN (DIFFICULT) (GRADE B)‣ CYTOSCOPY BLADDER , ETC BIOPSY(COLD CUP)(GRADE A)‣ CYSTO RGP(U\L) (GRADE A)‣ USG GUIDED DRAINAGE (GRADE A)‣ CYSTOLITHOLAPAXY (GRADE A)‣ HYDROCOELE‣ CLOT EVACUATION

‣ MEATOPLASTY(GRADE B)‣ SUPRAPUBIC CYSTOLITHOTRITY

‣ VVF + AUGMENTATION‣ PARTIAL CYSTECTOMY‣ SIMPLE CYSTECTOMY‣ RADICAL CYSTECTOMY+ILEAL CONDUIT‣ TUR BT LARGE‣ INCONTINENCE SURGERY MALE‣ FIRST STAGE URETHROPLASTY‣ INTRAVESICAL BCG INSTILATION‣ PEYRONNIES DISEASE SURGERY‣ URETHERECTOMY+DIVERSION‣ U\L PERCUTANEOUS NEPHROSTOMY(PCN) DIFFICULT‣ U\L PERCUTANEOUS NEPHROSTOMY(PCN) EMERGENCY‣ ANTEGRADE PYELOGRAPHY (GRADE B)‣ TRANSURETHERAL CYSTOLITHOTRITY

‣ PCL (MULTIPLE STONES, GRADE C)‣ LAPAROSCOPIC SIMPLE NEPHRECTOMY(GRADE A)‣ LAPAROSCOPIC NEPHRECTOMY(GRADE B)‣ LAP RADIAL NEPHRECTOMY(GRADE A)‣ LAP RADIAL NEPHRECTOMY(GRADE B)‣ LAP PARTIAL NEPHRECTOMY‣ MILINS PROSTATECTOMY‣ RADICAL PROSTATECTOMY‣ RENAL CYST DECORTICATION(LAP)‣ URETHERAL REIMPLANTATION (OPERATED )(GRADE B)‣ URETHERAL REIMPLANTATION(REDO)(GRADE C)‣ HYPOSPADIAS SNODGRASS PROCEDURE‣ ORCHIIECTOMY(RADICAL HIGH)‣ PSOAS HITCH‣ ORCHIOPEXY (REDO) (GRADE C)‣ SECOND STAGE URETHROPLASTY‣ HYPOSPADIAS ASOPAS PROCEDURE‣ TURP / TUIP / BNI (50-80 GM, GRADE C)‣ LAPAROSCOPY ORCHIOPEXY U/L‣ TOTAL AMPUTATION OF PENIS‣ NEPHRECTOMY DIFFICULT (GRADE B)‣ PARTIAL NEPHRECTOMY‣ URETEROCALICOSTOMY‣ VESICO CALICOSTOMY‣ BOARI SPIRAL FLAP (GRADE B)‣ NEPHRO URETERECTOMY‣ URETERO URITEROSTOMY (RCU)‣ DIVERTIULECTOMY‣ DIVERTICULECTOMY+ URETERIC REIMPLANT‣ ADRENALECTOMY (B) (GRADE A)‣ VVA‣ INCONTINENCE SURGERY FEMALE (GRADE B)‣ PRIAPISM SHUNT SURGERYSUPRA MAJOR PLUS‣ URETHROPLASTY SUBSTITUTION SMALL‣ URETHROPLASTY SUBSTITUTION LARGE‣ URETHROPLASTY SUBSTITUTION TRANSPUBIC VIRGIN‣ PCNL (STAGHORN, GARDE D)‣ LAP PYELOPLASTY‣ LAP URETEROSTOMY‣ LAP NEPHRO URETERECTOMY26

‣ LAP RADICAL PROSTATECTOMY‣ LAP MILINS PROSTATECTOMY‣ LAP PARTIAL CYSTECTOMY‣ LAP DIVERTICULECTOMY‣ LAP ADRENALECTOMY‣ RADICAL NEPHERCTOMY (IVC+) (GRADE C)‣ ANATROPHIC NEPHROLITHOTOMY‣ URETEROLYSIS RPF‣ URETEROLYSIS + OMENTAL WRAP(RPF)‣ ILEAL URETER‣ RADICAL CYSTECTOMY + NEOBLADDER‣ VVF (GRADE B)‣ UVF‣ ADRENALECTOMY (M) (GRADE B)‣ VEA‣ PRIAPISM SHUNT SURGERY‣ URETHROPLASTY SMALL END TO END‣ LAP URETEROLITHOTOMY‣ AV FISTULA SAPHENOUS VEIN TRANSPOSITION‣ RADICAL NEPHRECTOMY (GRADE A)‣ RADICAL NEPHRECTOMY(>4cm)(GRADE B)‣ AUGMENTATION CYSTOPLASTY‣ AV FISTULA COLSURE (COMPLICATED)(GRADE B)‣ URETHROPLASTY TRANSPUBIC POERATED‣ URETHROPLASTY TRANSPUBIC REDOEAR, NOSE (Para nasal sinuses), ORAL CAVITY, NECK & THROAT:MINOR‣ LOBULE REPAIR – ONE- BOTH‣ PAPER PATCHING‣ ABDUCTOR PARALYSIS & WASH OUT UNILATERAL‣ BIOPSY NASAL MASS‣ BIOPSY ANTRUM‣ SEPTAL HAEMATOMA DRAINAGE‣ SEPTAL ABSCESS DRAINAGE‣ ACRYLIC IMPLANT UNILATERAL UNDER L.A.‣ YOUNG’S OPERATION UNDER L.A.27

‣ ANTERIOR NASAL PACKING UNILATERAL‣ BIOPSY ORAL CAVITY UNDER L.A.‣ CYST EXCISION LIP‣ SYNECHIA RELEASE UNILATERAL‣ ELECTRIC CAUTERIZATION UNDER L.A.‣ CHEMICAL CAUTERIZATION UNDER L.A.‣ L.N. BIOPSY NECK UNDER L.A.INTERMEDIATE (A)‣ FOREIGN BODY REMOVAL UNDER G.A.‣ ABDUCTOR PARALYSIS & WASH OUT BILATERAL‣ ANTERIOR NASAL PACKING BILATERAL‣ TONGUE TIE RELEASE UNDER G.A.INTERMEDIATE (B)‣ POSTERIOR NASAL PACKING‣ SYNECHIA RELEASE BILATERAL‣ POLYPECTOMY UNDER L.A.‣ POLYPECTOMY UNDER G.A.‣ HAEMATOMA PINNA‣ KERATOSIS OBTURANS SUCTION CLEARANCE UNDER L.A.‣ KERATOSIS OBTURANS SUCTION CLEARANCE UNDER G.A.‣ PERICHONDRITIS PINNA DEBRIDEMENT‣ CYST EXCISION PINNA UNDER L.A.‣ GROMMET INSERTION UNDER G.A.‣ SUBMANDIBULAR DUCT CALCULI REMOVAL‣ I & D PERITONSILLAR ABSCESS‣ BIOPSY LARYNGO-PHARYNX UNDER L.A.‣ L.N. BIOPSY NECK UNDER G.A.‣ TRACHEOSTOMY‣ FB LARYNX‣ FB PHARYNX‣ I & D RETROPHARYNGEAL ABSCESS‣ I & D PHARYNGEAL ABSCESS‣ LUDWIG’S ANGINAMAJOR28

‣ TYMPANOPLASTY UNDER G.A.‣ PRE-AURICULAR SINUS AND CYST EXCISION‣ I & D POST AURICULAR ABSCESS‣ EXPLORATORY TYMPANOTOMY‣ STAPEDECTOMY‣ REVISION MRM‣ MEATOPLASTY‣ SEPTOPLASTY UNDER G.A.‣ RHINOPLASTY‣ DERMOID CYST EXCISION NOSE‣ DENTIGEROUS CYST EXCISION‣ # NASAL BONE REDUCTION‣ ANTRO-CHOANAL POLYP‣ SUBMANDULAR GLAND EXCISION‣ PAROTID SURGERY‣ PALATE REPAIR (SOFT)‣ FB OESOPHAGUS (COMPLICATED)‣ SUBLINGUAL DERMOID‣ TONSILECTOMYMAJOR PLUS‣ COMBINED APPROACH TYMPANOPLASTY‣ OSTEOMA EXCISION‣ SEPTORHINOPLASTY‣ CALDWELL LUC OPERATION‣ FESS FOR CH. SINUSITIS UNILATERAL‣ ETHMOID POLYPUS‣ ADENOTONSILECTOMY‣ PALATE REPAIR ( HARD )‣ BENIGN TUMOR EXCISION ORAL CAVITY‣ PAROTID SURGERY ( COMPLICATED )‣ BRANCHIAL CYST / SINUS EXCISION‣ THYROGLOSSAL CYST/ SINUS EXCISION‣ THYROID LOBECTOMYSUPRA MAJOR‣ MODIFIED RADICAL MASTOIDECTOMY‣ FESS FOR CH. SINUSITIS BILATERAL‣ RHINOSPORIDIOSIS EXCISION‣ RHINOSCLEROMA EXCISION29

‣ THYROID EXCISIONSUPRA MAJOR PLUS‣ MRM WITH OSSICULOPLASTY‣ MRM WITH INTRA CRANIAL COMPLICATIONGYNECOLOGY AND OBSTETRICSMINOR‣ MISSED ABORTION‣ INCOMPLETE ABORTION‣ DILATATION AND CURETTAGE (D & C)‣ CERVIX BIOPSY‣ CERVIX CAUTERISATION‣ MENSTURAL REGULATION‣ M T P (LESS THAN 10 WEEKS)INTERMEDIATE (B)‣ M T P (10 TO 12 WEEKS)‣ CONE BIOPSY‣ CERVICAL CIRCLAGE‣ CERVICAL REPAIRS‣ BARTHOLIN’S CYST EXCISION‣ PERINEAL REPAIRS‣ A.P. REPAIRSMAJOR (B)‣ COMPLETE PERINEAL TEAR‣ OVARIAN CYSTECTOMY‣ TUBAL LIGATIONMAJOR PLUS30

‣ HYSTERECTOMY‣ MYOMECTOMY (FIBROID)‣ CAESAREANSUPRA MAJOR‣ TOTAL ABDOMINAL HYSTERECTOMY‣ TUBOPLASTY‣ WERTHIEM’S OPERATION‣ VAGINAL HYSTERECTOMYNOTE:‣ Since the list of surgeries is very exhaustive, we have provided the list of surgeriescommonly needed by the patients. In case the procedure required is not present inthe list, the charges shall be provided as and when needed.‣ Image intensifier (IITV/C-arm) charges will be Rs. 1500/- per hour, if used in anyprocedure.‣ Implants will be charged on actual.‣ Consumables, Drugs, Medicines, Implants etc., during the course of treatment will becharged additionally on the basis of actual usage.HEALTH CHECK-UP: -COMPREHENSIVE HEALTH CHECK-UP: Package Price - Rs. 3,500/-‣ Clinical Examination by Physician and Gynaecological Check up for women.‣ Complete Haemogram.‣ Blood Sugar F & PP31

‣ Blood Group.‣ Blood Urea.‣ Serum Creatinine.‣ Serum Uric Acid.‣ Lipid Profile.‣ Liver Function Test.‣ Urine R/E.‣ Stool R/E.‣ Stool for occult blood.‣ HBsAg.‣ Pap Smear for ladies‣ ECG.‣ TMT.‣ 2-D ECHO.‣ Glycosylated Hb (HbA1c)‣ TSH.‣ Ultrasound whole abdomen.‣ X-ray chest PA View.‣ Cervical Spine – lat view (or any other optional X-ray)STANDARD HEALTH CHECK-UP: Package Price - Rs. 1,500/-‣ Clinical Examination by Physician.‣ HDL / LDL / VLDL.‣ Complete Haemogram.‣ Blood Group.‣ Blood Sugar F & PP‣ Urine Routine.‣ Stool Routine.‣ Serum Cholesterol.‣ Triglycerides.‣ X-Ray Chest.‣ ECG.‣ SGOT / SGPT.‣ Alkaline Phosphatase.‣ Urea.‣ Uric Acid.‣ Serum Creatinine.‣ Calcium.‣ Phosphorus.32

‣ CPK.‣ Bilirubin.‣ Total Proteins.‣ A/G Ratio.‣ TSH.‣ Gynaecological examination and Pap smear test (For Women).PRIMARY HEALTH CHECK-UP: Package Price - Rs. 800/-‣ Clinical Examination by Physician.‣ Complete Haemogram.‣ Urine R/E.‣ Total Proteins.‣ Blood Sugar Random.‣ Alkaline Phosphatase.‣ Blood Group.‣ Blood Urea.‣ A/G Ratio.‣ SGOT / SGPT.‣ Total Cholesterol.‣ ECG.‣ X-ray Chest PA View.‣ Bilirubin.RATE LIST OF INVESTIGATIONSHAEMATOLOGYRATESHB% : 30/-ESR : 20/-TLC : 20/-DLC : 20/-TLC, DLC : 40/-TLC, DLC, HB, ESR : 80/-CBC (Automated)[Hb, TLC, DLC, ESR, PC, PCV, TRBC] : 200/-33

HB, TLC, DLC, ESR, MP : 100/-TLC, DLC, HB, ESR, PBF : 150/-M.P. : 30/-PBF : 100/-PCV : 30/-PLATELET COUNT : 50/-TRBC : 20/-RETICULOCYTE COUNT : 40/-ARNETH COUNT : 30/-B.T. C.T. : 60/-C.R.T. : 50/-L. E. CELL : 60/-T.E.C. & V.E.C. (EACH) : 20/-PROTHROMBIN TIME / PTT : 100/- & 200/-M. P. BY QBC : 150/-BONE MARROW EXAMINATION : 300/-FETAL HAEMOGLOBIN : 150/-G6PD : 350/-BLOOD GROUP : 50/-MCV/MCHC/MCH: 60/- EACHSICKLING TEST : 100/-OSMOTIC FRAGILITY : 150/-34

BIOCHEMISTRYSUGAR : 50/-UREA : 70/-CREATININE : 90/-CHOLESTEROL : 70/-TRIGLYCERIDES : 120/-HDL-CHOLESTEROL : 120/-LDL-CHOLESTEROL : 120/-LIPID PROFILE : 400/-SGOT : 70/-SGPT : 70/-BILIRUBIN TOTAL : 60/-BILIRUBIN TOTAL/DIRECT/INDIRECT : 120/-ALKALINE PHOSPHATESE : 70/-ACID PHOSPHATESE : 130/-TOTAL PROTEIN : 100/-TOTAL PROTEIN/A.G. RATIO : 120/-ALBUMIN : 50/-CALCIUM : 100/-INORGANIC PHOSPHORUS : 70/-URIC ACID : 70/-CPK : 180/-CK-MB : 180/-35

LDH : 150/-AMYLASE : 180/-SODIUM : 150/-POTTASIUM : 150/-CHLORIDE : 150/-GTT : 250/-GLYCOSYLATED HAEMOGLOBIN : 400/-IRON : 300/-TIBC : 300/-SEROLOGICAL TESTWIDAL : 70/-VDRL : 70/-TPHA : 150/-ASLO : 100/-CRP : 150/-HBsAg : 150/-HBsAg BY ELISA : 300/-RA TEST : 100/-BLOOD GROUPING : 50/-BLOOD TYPHI DOT : 300/-COOMB’S TEST : 300/-COOMB’S TEST DIRECT : 150/-36

COOMB’S TEST INDIRECT : 150/-ELISA PREGNANCY TEST : 100/-URINEURINE R/M : 60/-URINE R/M WITH BS/BP : 50/-BILE SALT/BILE PIGMENT : 30/-ACETONE (KETONE BODIES) : 30/-ALBUMIN/SUGAR : 20/-MICROSCOPIC (ONLY) : 30/-MICRO ALBUMINERIA (MICRAL) : 150/-UROBILINOGEN : 60/-BENCE JONES PROTEIN : 40/-24 HRS URINE FOR PROTEIN : 150/-SP GRAVITY/PH : 20/- EACHSTOOLSTOOL R/M : 60/-OCCULT BLOOD : 20/-SUGAR : 20/-FLUID/SPUTUMA.F.B : 50/-GRAM’S STAIN : 50/-37

FLUID ANALYSIS & CYTOLOGY : 150/-(CSF, PLEURAL, ASCITIC, PERICARDIAL, SPUTUM)SEMEN ANALYSIS : 100/-MICROBIOLOGYCULTURE/SENSITIVITYURINE, PUS, SPUTUM : 150/-FULGAL : 150/-BLOOD (Conventional) : 300/- Bactac: 800/-CYTOLOGYF.N.A.C. : 200/-PAP’S SMEAR EXAMINATION : 200/-OTHERSSKIN SCRAPING FOR FUNGUS : 60/-E.C.G. / E.C.G. AT RESIDENCE : 100/- & 300/-EEG : 600/-PURE TONE AUDIOMETERY : 300/-M. T. : 50/-BIOPSYSMALL BLOCK : 200/-MEDIUM BLOCK : 350/-LARGE BLOCK : 500/-ULTRASONOGRAPHYUPPER ABDOMEN : 400/-38

LOWR ABDOMEN : 400/-WHOLE ABDOMEN : 700/-FOLLICULAR STUDY : 700/-FOLLICULAR STUDY ONE DAY : 200/-USG SCREENING/PROCEDURE : 350/-USG (SMALL PARTS) : 600/-RADIOLOGICALX- Ray : 200/-I.V.P. (14 X 17 SIZE 6 FILMS) : 1200/-I.V.P. (14 X 17 SIZE 4 FILMS) : 900/-I.V.P. (14 X 17 SIZE 2 FILMS) : 500/-I.V.P. (12 X 15 SIZE 4 FILMS) : 650/-BARIUM MEAL (2 FILMS) : 600/-BARIUM MEAL (3 FILMS) : 800/-BARIUM SWALLOW (2 FILMS) : 450/-BARIUM SWALLOW (1 FILMS) : 300/-BARIUM MEAL ILEOCECAL : 400/-BARIUM MEAL WITH FOLLOW THROUGH (3 FILMS) : 750/-BARIUM MEAL WITH FOLLOW THROUGH (6 FILMS) : 1350/-BARIUM MEAL WITH SWALLOW : 900/-BARIUM ENEMA (3 FILMS) : 1200/-BARIUM ENEMA WITH AIR CONTRAST : 1350/-39

HSG WITHOUT DYE : 1200/-HSG WITH DYE : 1500/-MYELOGRAPHY : 1500/-DENTAL : 100/-OCCLUSAL VIEW : 150/-CYSTOURETHROGRAM (2 FILMS) : 500/-SINOGRAM (2 FILMS) WITHOUT DYE : 350/-SINOGRAM (2 FILMS) WITH DYE : 600/-LOOPOGRAM (PER FILM) : 250/-SPECIAL INVESTIGATIONSA.N.C.A-C/ANCA-P : 600/- EACHACTH : 600/-AFP : 400/-ALDOSTERONE : 600/-ALPHA 1 ANTITRIPSIN : 600/-AMMONIA (HEPARINISED PLASMA) : 600/-AMOEBIOSIS IgG & Igm : 450/-ANA PROFILE : 2000/-ANA/ANA WESTERN BLOT : 400/- & 1400/-ANDROSTENDION : 400/-ANGIOTENSIN CONVERTING ENZYME (ACE) : 900/-ANTI CARDIOLIPIN ANTIBODY (IgG/IgM) : 700/-40

ANTI DSDNA : 400/-ANTI HAV IgM (hepatitia-A) : 450/-ANTI HBc IgG (hepatitis-B) : 450/-ANTI HBc IgM (hepatitis-B) : 450/-ANTI HbeAg (hepatitis-B) : 450/-ANTI HBs (hepatitis-B) : 450/-ANTI HCV IgG (hepatitis-C) : 450/-ANTI HEV IgM (hepatitis-E) : 700/-ANTI MICROSOMAL ANTIBODY : 350/-ANTI PHOSPHOLIPID-AB (IgG/IgM) : 700/-ANTI SPERM ANTIBODY (ELISA) : 450/-ANTI THROMBIN-III (PT TUBE) : 900/-ANTI THYROGLOBULIN ANTIBODY : 350/-ANTI THYROID ANTIBODY : 700/-APOLIPOPROTEIN – A1 + B : 600/-APOLIPOPROTEIN – A1 : 300/-APOLIPOPROTEIN – B : 300/-ASPERGILLUS IgM/IgG : 800/-BETA – 2 MICROGLOBULIN : 800/-BETA HCG : 350/-BRUCELLA IgG, IgM : 300/-C- PEPTIDE : 700/-Ca 15.3 : 400/-41

Ca.125, Ca.53, Ca.19.9 : 600 EACHCALCITONIN TEST : 700/-CARBEZAPAMINE : 500/-CD-4 &CD8 (FOR HIV PATIENT) : 1800/-CEA (CARCINO EMBRYONIC ANTIGEN) : 400/-CHLAMYDIA ANTI BODY (IgG/IgM) : 900/-CMV : 500/-COMPLIMENT C3 : 300/-COMPLIMENT C4 : 300/-COOMB’S TEST DIRECT/INDIRECT : 300/-COPPER/CERULOPLASMIN/HEPATAGLOBIN) : 500/- EACHCORTISOL : 400/-CSF FOR GLYPTOCOCCAL ANTIGEN : 800/-CYSTICERCOSIS : 400/-D.DIMER (Na. CITRATED) : 450/-D.XYLOSE (After 5gm Xylose Powder) 5 hours : 600/- UrineDHEA- S : 400/-DIAZEPAM : 450/-DIGOXIN : 350/-DIHYDRO TESTOSTERONE : 600/-DILANTIN : 500/-ECHIMOCOCCUS : 500/-ESTRADIOL (ESTROGEN) (E-2) : 300/-42

ESTRIOL (E-3) : 300/-FDP (CITRATED P.T. TUBE) : 450/-FERRITIN : 400/-FIBRINOGEN (Na. CITRATED) : 300/-FOLIC ACID : 500/-FREE PSA : 350/-FOOD MIX ALLERGY/POLLEN : 1800/-FREE T3 : 300/-FREE T4 : 300/-FREE TESTESTRONE : 350/-FSH : 300/-GAMMA G.T. : 200/-GASTRIN : 500/-GH STIMULATION : 1000/-GLYCOSYLATED HB (HBA1-C) : 400/-GROWTH HORMONE : 500/-H. PYLORI IgG, IgM : 400/-HB ELECTROPHORESIS : 500/-HBA2 : 450/-HbeAg : 450/-HBsAg (ELISA) : 300/-HERPES (HSV) : 500/-HIV (WESTERN BLOT) : 1600/-43

HIV1 & 2 : 300/-HLAB – 27 : 1500/-HOMOCYSTINE : 1100/-HYDROXY PROGESTERONE - 17 : 400/-IGF BP1 : 750/-IGF BP3 : 750/-IMMUNOGLOBULIN(IgA, IgE, IgM, IgG) : 350/- EACHINSULIN Ab : 350/-INSULIN : 350/-IRON/TIBC : 300/- EACHL.A. TITRE (LUPUS ANTICOAGULANT) : 400/-LH : 300/-LIPASE : 300/-LIPOPROTEIN : 600/-LITHIUM : 250/-MAETH HAEMOGLOBIN : 150/-MAGNESIUM : 150/-MEASLES ANTIBODY (IgG/IgM) : 500/-MITOCHONDRIAL ANTIBODY : 500/-MUMPS (IgG/IgM) : 500/-MYCOLPLASMA (IgG/IgM) : 300/- EACHOSTEOCALCIN : 600/-OVARIAN Ab : 400/-44

PAPPA-A : 500/-PARA THYROID HORMONE : 600/-PARATHYROID PROFILE : 1500/-PHENOBARBITONE : 500/-PHOSPHOLIPIDS (A.G. TOTAL) : 300/- EACHPHOSPHORUS : 200/-PROGESTERONE : 300/-PROLACTIN : 300/-PROTEIN ELECTROPOROSIS : 500/-PROTEIN-C/PROTEIN-S : 400/- EACHPSA (PROSTATIC SPECIFIC ANTIGEN) : 400/-RUBELLA : 500/-T3, T4, TSH : 450/-T3 : 150/-T4 : 150/-TSH : 150/-TESTOSTERONE : 300/-THYPHOID BINDING GLOBULIN (TBG) : 600/-THYROID BINDING GLOBULIN : 400/-TORCH : 1600/-TOTAL IMMUNOGLOBULINS : 350/- EACHTOXOPLASMOSIS : 450/-TRIPPLE TEST (AFP, BCG, E3) : 1000/-45

TROP-T : 800/-TRUST MIX/NON VEG : 400/-TSH : 150/-TUBERCULOSIS IgG, IgM, IgA : 300 EACHTYPHOID DOT (IgG/IgM) : 250/-URINARY VMA : 600/-URINE FREE CORTISOL : 250/-VALPORIC ACID/SODIUM VALPORATE : 500/-VIT – D : 900/-VIT-B12 : 800/-Rate list of Colour Doppler StudiesEcho Cardiography Rs. 1350/-Peripheral Vascular Studies Rs. 1800/-Carotid Vascular Studies Rs. 1800/-Abdominal Vascular Studies Rs. 1800/-Obstetric Vascular studies Rs. 1800/-Trans vaginal & Trans Rectal vascular studies Rs. 1800/-CONVENTIONAL CT SCAN CHARGES46

BRAIN NON-CONTRAST Rs. 1900/-BRAIN WITH CONTRAST Rs. 2400/-ORBIT NON-CONTRAST Rs. 2400/-ORBIT PLAIN & CONTRAST Rs. 2900/- (1)Rs. 3200/- (2)P.N.S. NON-CONTRAST Rs. 2400/-P.N.S. PLAIN WITH CONTRAST Rs. 2900/-(1)Rs. 3200/- (2)NECK WITH CONTRAST Rs. 3600/- (2)THORAX WITH CONTRAST Rs. 3600/- (2)ABDOMEN WITH CONTRAST Rs. 3600/- (2)PELVIS WITH CONTRAST Rs. 3600/- (2)SPINE – FOR THREE VEREBRAE Rs. 2400/-FOR EVERY ADDITIONAL VERTEBRAERs. 300/- EACHCERVICAL SPINE Rs. 3000/-L. S. SPINE Rs. 3000/-C. T. MYELOGRAPHY Rs. 3600/- + CONTRASTHIP JOINTS NON-CONTRAST Rs. 3000/-KNEE JOINTS NON-CONTRAST Rs. 3000/-EXTRA FILMRs. 350/- EACH• Emergency Charges Rs. 600/- Extra (7.00 pm To 9.00 am)47

CHARGES OF MULTI-SLICE SPIRAL C. T. SCANBRAIN NON-CONTRAST Rs. 1900/-BRAIN WITH CONTRAST Rs. 2400/-CT SCAN BRAIN WITH PERFUSION STUDY Rs. 4800/-NEURO CT SCANRs. 10,800/-+1800 contrastORBIT NON-CONTRAST Rs. 2400/-ORBIT PLAIN & CONTRASTRs. 3300/- TWO FILMP.N.S. NON-CONTRAST Rs. 2400/-P.N.S. PLAIN WITH CONTRASTRs. 3300/- TWO FILMNECK WITH CONTRASTTHORAX WITH CONTRASTABDOMEN WITH CONTRASTPELVIS WITH CONTRASTABDOMEN & PELVIS WITH CONTRASTSPINE – FOR THREE VEREBRAEFOR EVERY ADDITIONAL VERTEBRAECERVICAL SPINERs. 4200/- TWO FILMRs. 4200/- TWO FILMRs. 4200/- TWO FILMRs. 4200/- TWO FILMRs. 6600/- TWO FILMRs. 2400/- + 1200 extra for 3DRs. 300/- each + 1200 extra for 3DRs. 3000/- + 1200 extra for 3DL. S. SPINE Rs. 3000/- + 1200 extra for 3DC. T. MYELOGRAPHY Rs. 3600/- + CONTRASTHIP JOINTS NON-CONTRASTKNEE JOINTS NON-CONTRASTRs. 3000/- + 1200 extra for 3DRs. 3000/- + 1200 extra for 3DEXTRA FILMRs. 350/- EACHCT ANGIOGRAPHY (ONE SMALL REGION) Rs. 6000/- + contrast extra 1800/-(ONE LARGE REGION) Rs. 12000/-+contrast extra 1800/-CT GUIDED FNAC/BIOPSY Rs. 4200/-48

CT SCAN OF MASTOID WITH 3D STUDY Rs. 3500/-CT ENDOSCOPY Rs. 6000/- + contrast extra 1800/-NOTE: For non-ionic contrast Rs. 600/- extra will be charged for brain studies & Rs.1200/-extra will be charged for neck / thorax / abdomen / pelvis studies.• Emergency Charges Rs. 600/- Extra (7.00 pm To 9.00 am)Rate list of M. R. I. (Magnetic Resonance Imaging)BrainRs. 5000/- onlyOrbit Rs. 5000/-Neck Rs. 5000/-Cervical Spine Rs. 5000/-Dorsal Spine Rs. 5000/-Lumbo Sacral Spine Rs. 5000/-Thorax Rs. 5000/-Abdomen Rs. 5000/-Pelvis Rs. 5000/-Joints – TM Rs. 5000/-– Shoulder Rs. 5000/-– Elbow Rs. 5000/-– Wrist Rs. 5000/-49

– Hip Rs. 5000/-– Knee Rs. 5000/-– Ankle Rs. 5000/-MRCP Rs. 5000/-M. R. ANGIOGRAPHY Rs. 5000/-• Rs. 3000/- will be charged extra if contrast is needed.• EMERGENCY CHARGES RS. 600/- EXTRA (7.00 P.M. TO 9.00 A.M.)Videogastroscopy Rs. 1500/-Videocolonoscopy Rs. 3000/-Bronchoscopy Rs. 3000/-Panoramic Dental X-rayCephalogramRs. 500/- per filmRs. 500/- per filmMammography (Computerized digital):Per BreastBoth BreastsRs. 700/- per breastRs. 1400/- both breastsBone Densitometery test:Dual Femur region Rs. 1200/-AP Spine Rs. 1200/-50

Lateral Spine Rs. 1200/-Lateral Vertebral Assessment Rs. 1200/-Wrist & Distral radius Rs. 1200/-Whole body analysis for Bone Rs. 1800/-(Mineral Content, Lean Mass & Total Fat)TREAD MILL TEST Rs. 800/-E.E.G. Rs. 950/-PFT Rs. 600/-SPECIAL PACKAGE RATE LIST FOR RCDFS.No.Procedures NameGeneralWardSingleRoomDeluxe RoomE.N.T.P1 Adenoidectomy 15000 25000 35000P2 Antral Wash/Puncture 8000 15000 20000P3 DNS Repair 15000 25000 35000P4 FESS 25000 30000 35000P5 Mastoidectomy 20000 35000 40000P6 Tympanoplasty 15000 25000 3500051

P7 Septoplasty 15000 25000 35000P8 Tonsillectomy 15000 25000 35000P9 Tonsillectomy & adenoidectomy 20000 30000 35000General SurgeryP10 Amputation Minor (Toes, Digits) 5000 15000 18000P11 Amputation Above Knee 20000 30000 35000P12 Amputation Below Knee 15000 25000 35000P13 Amputation Above Elbow 15000 20000 25000P14 Amputation Below Elbow 12000 17000 22000P15 Appendicectomy Open 15000 20000 25000P16 Appendicectomy Laparoscopic 20000 30000 35000P17 Cholecystectomy Open 20000 30000 35000P18 Cholecystectomy Laparoscopic 25000 35000 40000P19 Circumcision 3000 5000 7000P20 Fissure Dilation 4000 8000 12000P21 Fissure High Fistulectomy 12000 17000 22000P22 Fistula Low Fistulectomy 10000 12000 15000P23 Fissurectomy Sphincterotomy 12000 17000 2200052

P24 Haemorrhoidectomy 12000 15000 18000P25 Hernia Simple 15000 15000 18000P26 Hernia Femoral/Inguinal unilateral 20000 25000 35000P27 Hernia Femoral/Inguinal Bilateral 35000 40000 45000P28 Hernia Complicated 35000 40000 45000P29 Herniorraphy 20000 25000 35000P30 Incisional Hernia – Mesh Repair 35000 40000 45000P31 Hernia Laparoscopic 30000 40000 45000P32 Laparotomy Emergency 35000 40000 45000P33 Laparotomy Routine 25000 30000 35000P34 Lymphnode Biopsy under LA 1200 1500 1800P35 Lymphnode Biopsy under GA 3000 5000 7000P36 Lipoma LA 2000 3000 5000P37 Lipoma GA 5000 7000 9000P38 Perineal Abscess 8000 10000 12000P39 Pilonidal Sinus 12000 15000 18000P40 Radial Mastectomy Modified 40000 45000 50000P41 Breast Lumpectomy 12000 15000 1800053

P42 Simple Mastectomy 25000 30000 35000P43 Thyroidectomy Hemi 20000 25000 35000P44 Thyroidectomy Total 30000 35000 40000P45 Varicose veins stripping unilateral 20000 25000 35000P46 Varicose veins stripping bilateral 35000 40000 45000OBSTETRICS & GYNECOLOGYP47 Normal Delivery 10000 15000 20000P48 Forcep Delivery 12000 18000 24000P49 LSCS 25000 35000 40000P50 D&C 4000 6000 8000P51 Hystrectomy BSO open 25000 35000 40000P52 Hysterectomy Abdominal 30000 40000 45000P53 Hysterectomy Vaginal 35000 40000 45000P54 Oopherectomy 20000 30000 35000OPTHALMOLOGYP55 Cataract Phaco 20000 25000 30000P56 Cataract Multifocal IOL 30000 35000 40000P57 Cataract Unifocal 25000 30000 3500054

P58 Cataract Foldable Cataract Acrylic 35000 40000 45000ORTHOPAEDICSP59 Arthroscopy 25000 30000 35000P60 Arthroscopic Surgery 35000 40000 45000P61 Carpel Tunnel Release 12000 15000 18000P62 Closed Reduction Minor 6000 9000 12000P63 Closed Reduction Major 9000 12000 15000P64 Implant Removal Minor 6000 9000 12000P65 Implant Removal Major 9000 12000 15000P66 Open Reduction Minor 12000 15000 18000P67 Open Reduction Major 20000 22000 25000P68 Internal Fixation of Fracture Minor 12000 15000 18000P69 Internal Fixation of Fracture Major 25000 30000 35000P70 Knee Ligament Reconstruction 40000 45000 50000P71 Laminectomy 40000 45000 50000P72 Laminectomy & Diseectomy 45000 50000 60000P73 ORIF 25000 30000 40000P74 Reduction of Fracture under GA 6000 9000 1200055

P75 Total Knee Replacement 90000 110000 135000P76 Total Hip Replacement 80000 100000 125000UROLOGY & NEPHROLOGYP77 AV Fistula 15000 20000 25000P78 AV Graft 30000 35000 40000P79 Removal of Calculi (URS) 25000 35000 40000P80 TURP 25000 35000 40000P81 Hydrocelectomy Unilateral 15000 20000 25000P82 Hydrocelectomy Bilateral 25000 30000 35000P83 Vaticocelectomy 15000 20000 2500056

STANDARD PACKAGE RATE LISTS.No.Procedures NameGeneralWardSingleRoomDeluxe RoomE.N.T.P1 Adenoidectomy 20000 25000 35000P2 Antral Wash/Puncture 10000 15000 20000P3 DNS Repair 20000 25000 35000P4 FESS 25000 30000 35000P5 Mastoidectomy 30000 35000 4000057

P6 Tympanoplasty 20000 25000 35000P7 Septoplasty 20000 25000 35000P8 Tonsillectomy 20000 25000 35000P9 Tonsillectomy & adenoidectomy 25000 30000 35000General SurgeryP10 Amputation Minor (Toes, Digits) 10000 15000 18000P11 Amputation Above Knee 25000 30000 35000P12 Amputation Below Knee 20000 25000 35000P13 Amputation Above Elbow 15000 20000 25000P14 Amputation Below Elbow 12000 17000 22000P15 Appendicectomy Open 15000 20000 25000P16 Appendicectomy Laparoscopic 25000 30000 35000P17 Cholecystectomy Open 25000 30000 35000P18 Cholecystectomy Laparoscopic 30000 35000 40000P19 ERCP 25000 30000 35000P20 Circumcision 3000 5000 7000P21 Fissure Dilation 4000 8000 12000P22 Fissure High Fistulectomy 12000 17000 2200058

P23 Fistula Low Fistulectomy 10000 12000 15000P24 Fissurectomy Sphincterotomy 12000 17000 22000P25 Haemorrhoidectomy 12000 15000 18000P26 Hernia Simple 12000 15000 18000P27 Hernia Femoral/Inguinal unilateral 20000 25000 35000P28 Hernia Femoral/Inguinal Bilateral 35000 40000 45000P29 Hernia Complicated 35000 40000 45000P30 Herniorraphy 20000 25000 35000P31 Incisional Hernia – Mesh Repair 35000 40000 45000P32 Hernia Laparoscopic 35000 40000 45000P33 Laparotomy Emergency 35000 40000 45000P34 Laparotomy Routine 25000 30000 35000P35 Lymphnode Biopsy under LA 1200 1500 1800P36 Lymphnode Biopsy under GA 3000 5000 7000P37 Lipoma LA 2000 3000 5000P38 Lipoma GA 5000 7000 9000P39 Perineal Abscess 8000 10000 12000P40 Pilonidal Sinus 12000 15000 1800059

P41 Radial Mastectomy Modified 40000 45000 50000P42 Breast Lumpectomy 12000 15000 18000P43 Simple Mastectomy 25000 30000 35000P44 Thyroidectomy Hemi 20000 25000 35000P45 Thyroidectomy Total 30000 35000 40000P46 Varicose veins stripping unilateral 20000 25000 35000P47 Varicose veins stripping bilateral 35000 40000 45000OBSTETRICS & GYNECOLOGYP48 Normal Delivery 12000 15000 20000P49 Forcep Delivery 15000 18000 24000P50 LSCS 25000 35000 40000P51 D&C 4000 6000 800052 Hystrectomy BSO open 25000 35000 40000P53 Hysterectomy Abdominal 35000 40000 45000P54 Hysterectomy Vaginal 35000 40000 45000P55 Oopherectomy 25000 30000 35000OPTHALMOLOGYP56 Cataract Phaco 20000 25000 3000060

P57 Cataract Multifocal IOL 30000 35000 40000P58 Cataract Unifocal 25000 30000 35000P59 Cataract Foldable Cataract Acrylic 35000 40000 45000ORTHOPAEDICSP60 Arthroscopy 25000 30000 35000P61 Arthroscopic Surgery 35000 40000 45000P62 Carpel Tunnel Release 12000 15000 18000P63 Closed Reduction Minor 6000 9000 12000P64 Closed Reduction Major 9000 12000 15000P65 Implant Removal Minor 6000 9000 12000P66 Implant Removal Major 9000 12000 15000P67 Open Reduction Minor 12000 15000 18000P68 Open Reduction Major 20000 22000 25000P69 Internal Fixation of Fracture Minor 12000 15000 18000P70 Internal Fixation of Fracture Major 25000 30000 35000P71 Knee Ligament Reconstruction 40000 45000 50000P72 Laminectomy 40000 45000 50000P73 Laminectomy & Diseectomy 45000 50000 6000061

P74 ORIF 25000 30000 40000P75 Reduction of Fracture under GA 6000 9000 12000P76 Total Knee Replacement 90000 110000 135000P77 Total Hip Replacement 80000 100000 125000UROLOGY & NEPHROLOGYP78 AV Fistula 15000 20000 25000P79 AV Graft 30000 35000 40000P80 Removal of Calculi 30000 35000 40000P81 TURP 30000 35000 40000P82 Hydrocelectomy Unilateral 15000 20000 25000P83 Hydrocelectomy Bilateral 25000 30000 35000P84 Vaticocelectomy 15000 20000 25000Authorised SignatoryAravali Hospital Private Limited,Udaipur62