LIST OF HEALTH CARE ORGANIZATIONS (HCOs) EMPANELLED UNDER CGHS JABALPUR
WEF 17.11.2014 AS PER OFFICE MEMORANDUM NO. 6-8/14-ESTT/CGHS/JBP DATED 17.11.2014
HOSPITALS: - JABALPUR
Sr. Name of the
Address & Tel. No.
NABH
Facilities Empanelled for
No Hospitals
Accredited
NonNABH
Joint Replacement, Neurology, Neuro
1. Aditya Super
Opp.Little Kingdom
Surgery, Arthroscopy, Uro Surgery, GI
Speciality Hospital
School, MLB School NONSurgery, Gastroenterology, Gen. Surgery,
& Trauma Centre
Road Napier Town, NABH
Oncology,Chemotherapy Medicine, Obst.&
Jabalpur
Gynae. Dentistry, Opthalmology,
ENT,
Tel.4218312-13
Dermatology,Physiotherapy,Diagn./ Imaging
2. Anant Nursing
Home Pvt. Ltd.
Madan Mahal
Railway Station Road
Wright Town,
Jabalpur.
Tel.0761-2411961-62,
4006494/96
3. Ashish Hospital
1309 Napier Town
Jabalpur
Tel. 2401637, 2410535
NONNABH
4. Bombay Hospital &
Research Centre
Gole Bazar, Jabalpur.
Tel.No.2410202,
2412110, 4007317
NONNABH
5. Central India
Kidney Hospital
1572 Wright Town
Jabalpur Tel.No.
2410222, 4078520
Opp. Hero Honda
Show Room Near 2nd
Bridge Nagrath
Chowk Jabalpur
Tel. 2625171-72
6. City Hospital &
Research Centre
Pvt. Ltd.
NONNABH
NONNABH
NONNABH
General Medicine & Oncology, Gynae &
Obst, Orthopaedics & Joint Replacement
Geneneral Surgery, Endoscopic & Lapro.
Procedures, Neurology & Neuro surgery
Gastroentrology, ENT, Eye, Oncology
Surgery, Chemotherapy, Physiotherapy.
General Medicine, Gynae & Obst.,
General Surgery, Orthopaedics & Joint
Replacement, Endoscopics/Laproscopic
procedures,NeuroSurgery, ENT, Dental,
Gastroenterology,Eye, Oncology(Surgery,
Chemotherapy)Physiotherapy,
Diagnostics & Imaging.
General Medicine, Gynae & Obst.,
Orthopaedic & Joint Replacement, Gen.
Surgery, Eye, Endoscopic/Laparoscopic
Surgical procedures, Neuro Surgery,
Paediatric,Dental, ENT, Neonetology
Gastroenterology,
Dialysis
units
Fresineous with CRRT mode, Cancer
Treatment (Surgery, Chemotherapy)&
GI Surgery, Diagnostic & Imaging.
Nephrology
(Dialysis,
Lithotripsy)
Urology.
Interventional
Cardiology,
CTVS,
Orthopaedics
Joint
Replacement,
Nephrology incl. Renal Transplant &
Haemodialysis, Urology, Urosurgery,
Oncology, Onco surgery, Chemo therapy,
Radiotherapy, ENT, Neuro Surgery
Gynae,
Gastroenterology,Endoscopy,
Gen. Medicine, General & Laparoscopic
Surgery,
Dermatology,
Paediatrics,
Opthalmology, Dental
Physiotherapy,
Diagn & Imaging including CT.
7. City Hospital &
Research Centre
Pvt. Ltd.
Agha Chowk
Baldeobag Jabalpur
Tel. 2411003
8.
Dube Surgical &
Dental Hospital
9.
Jabalpur Hospital & Russel Chowk,
Jabalpur.
Research Centre
Ghamapur Chowk
Jabalpur
Tel.2622919
NONNABH
NONNABH
Tel.No.2450761-62
NONNABH
NONNABH
10.
Jamdar Hospital
Pvt. Ltd.
Gole Bazar Jabalpur
Te.No.2312133,
2312538 , 2402133
11.
Mahakoshal
Hospital
Opp. Gate No. 03
NONWright Town
NABH
Stadium Jabalpur
Tel. 2401909, 2610480,
4064780
Orthopaedics,Nephrology(Haemodialysis)
Urology & Urosurgery, Neurosurgery,
Oncology(Chemotherapy) Oncosurgery,
Gastroenterology incl. GI Surgery, ENT,
Gynae, General Medicine, General
Surgery,
Ophthalmology,
Dental,
Paediatrics, Dermatology, Endoscopic &
Laparoscopic Surgery, Physiotherapy,
Diagnostics & Radiology.
General Surgery & Dental only.
Interventional Cardio Cath procedures,
Cardiovascular and Thoracic surgery
procedures, Non-Invasive Cardiology
procedures,Internal medicine, Neurology,
Neurosurgery, Paediatric Neonatology,
Paediatric Surgery, Urology, Lithotripsy,
Nephrology & Haemodialysis, General
Surgery & Laparoscopic Surgery,
Orthopaedic & Joint Replacement
Surgery, Dental Oral & Maxillofacial
Surgery,Gynaecology & Obstetrics, ENT,
Ophthalmology IOL Implantation, Skin
and VD, Gastro & Lap & Endoscopic
Surgeries, GI Surgery, Radiology &
Imaging & CT Scan, Pathology & Blood
Bank, Medical Oncology Chemotherapy,
Oncosurgery, Physiotherapy.
Orthopaedics procedures and Joint
Replacement, Gynae & Obst., General
Medicines, Gen. Surgery, Neurosurgery,
Gastroenterology,
Dental,
ENT,
Physiotherapy, Diagnostics, Radiology &
Imaging.
Medicine, Gen. & Endoscopic Surgery,
Opthalmology,
Gynae
&
Obst.,
Neurosurgery, Oncology, OncoSurgery,
Paediatrics,Urology,Lithotripsy,Orthopae
dics, GI
Surgery,
Chemotherapy,
Nephrology including Dialysis, ENT,
Physiotherapy, Diagnostics & Imaging.
12.
Marble City
Hospital &
Research Centre
Parsi Anjuman,
Bhanwartal
Extension, Near
Rani Durgawati
Museum, Napier
Town, Jabalpur
Tel. 2450530 -33
Metro Hospital &
Cancer Research
Centre (A Unit of
Satya Sai Cancer
Society)
Kuchaini Parisar,
Near Damoh Naka
Bus Stand, Jabalpur.
Tel. No. 2641661,
4062000.
NONNABH
National Hospital
703 GoleGazar
Jabalpur
Tel.No.2412612,24146
12,2411100, 4016398
NONNABH
Sanjeevan Hosp. &
Research Centre
Ram Nagar Adhartal
Jabalpur
Tel.No.2461340,
2496627
NONNABH
16.
Seth Mannulal
Jagannathdas Trust
Hospital & R.C.
Dixitpura Jabalpur,
Tel.No.2650632,
2653973
NONNABH
17.
Swastik
Multispeciality
Hospital & R.C.
ITI Road, Interstate
Bus Terminal
Dindayal Chowk
Jabalpur
Tel.2640638-639
NONNABH
13.
14.
15.
NONNABH
Medicine Gen.Surgery incl. Endoscopic/
Laparoscopic
procedure,
Urology,
Gastroenterology
&
GI
Surgery,
Nephrology incl. Dialysis, Gynae & Obst.,
Ophthalmology,Paediatrics, Dermatology
Dental , ENT, Ortho including Joint
Replacement,
Physiotherapy,
Neuro
surgery, Vascular Surgery, Onco surgery
incl. Chemotherapy, Diagn. & Radiology.
Gen. Medicine, Gen. Surgery, Endoscopic
Laparoscopic surgery, Neuro Surgery,
Urology,Uro Surgery, Oncology & Onco
Surgery, Radio Therapy, Orthopaedic
Surgery
incl.
Joint
Replacement/
Aurhroscopy,Opthalmology,Obst. Gynae,
Dental Surgery, ENT, Cardiology incl.
intervention Cardiology, Cardiothorasic
& Cardiovascular surgery Paediatrics/
Neonatology,GISurg., Gastroenterology,
Nephrology incl. Dialysis, Physiotherapy,
Diagn. & Imaging incl. CT.
PoisoningT/T,Neurology&Neuro Surgery,
Nephrology, Urology, Gastroenterology
Surgery, Haematology, Medicine, Gen.
Surgery, Orthopaedic, Paediatric, Gynae
& Obst., ENT, Oncology/Oncosurgery,
Ophthalmology, Laproscopic Surgery,
Urology, Diagnostic & Imaging.
Gen. Medicine, Gynae & Obst., Ortho &
Joint Replacement, Gen. Surgery,
Endo./Lap. Procedures, Neuro surgery,
Gastroenterology Surgery, Dental, Eye,
ENT Cancer treatment(Surgery &
Chemo),Physiotherapy,Diagn.& Imaging.
Gen. Surgery Obst & Gynae, Medicine,
Paediatrics, Ophthalmology, ENT, Neuro
logy, Neurosurgery, Urology (TURP),
Orthopaedic
Surgery
incl.
Joint
Replacement, Dental, GI Surgery Lap. &
Endoscopic Surgery, Physiotherapy,
Pathology, Radiology.
General Medicine, Paediatric, Gynae &
Obst. Orthopaedics & Joint Replacement,
General Surgery, Eye, ENT GI Surgery,
Endo./Laparoscopic procedures Neuro
surgery, Dental, Gastroenterology, Onco
Surgery,Chemo) Diagnostics & Imaging
EXCLUSIVE EYE CENTRES:- JABALPUR
Sr.
No
.
Name of the
Hospitals
1.
Batalia Eye Hospital Near Clock Tower Jabalpur
Tel No. 0761-2622136
2.
Chhavi Eye Hospital 2567, Near Telecom Factory Gate
No.2 Madan Mahal Station Road,
Wright Town Jabalpur Tel 07612414227
Drishti Eye Hospital Prem Nagar, Nagpur Road
Jabalpur
Tel. No. 2426032, 4008100
NonNABH
All available Eye Facilities
NonNABH
All Available Eye Facilities
4.
Husain Eye Care
Centre
NonNABH
All Available Eye Facilities
5.
Janjyoti Super
Speciality Eye
Hospital
NonNABH
All Available Eye Facilities
6.
Vasan Eye Care
Hospital (A unit of
vasan Health Care
Pvt. Ltd)
NonNABH
All Available Eye Facilities
3.
Address & Tel. No.
1047, Napier Town Gitanjali
School Road Near Fourth Bridge
Jabalpur
Tel No. 0761- 2451279,4036452
1051- Golebazar. Near
Kesharwani college, Ranital
Jabalpur
Tel.- 0761-2404608, 4007033
811, Napier Town, Bhanwartal
Garden Road, Jabalpur Tel No.
0761-3989000,3059947
NABH
Facilities Empanelled for
Accredited
/NonNABH
NonAll available Eye Facilities
NABH
DIAGNOSTIC CENTRES :- JABALPUR
Sr.
No
Name of the
Hospitals
Address & Tel. No.
1.
BSR Diagnostics
Ltd
2.
Charak Diagnostic
& Research Centre
3.
Delhi MRI Centre
House No.-639(Plot No.-878/1-B),
Napier Town, Jabalpur Tel No.
0761-2450181
1 Civic Centre, Prabhu-Vandana
Building, Marhatal Jabalpur Tel
No. 0761-2404889, 2451889,
2415889
2243, Near Prem Mandir Wright
Town Jabalpur Tel. No. 07614017878, 4015868
4.
M P MRI andCT
NSCB Medical College Jabalpur
Scan Centre (Unit of Tel No. 0761-4027200
Sanya Hospital &
Diagnostic Pvt. Ltd )
NABH
Facilities Empanelled for
Accredited
/NonNABH
NonECG, USG, Color
NABH
Doppler, CT Scan, MRI, X
ray,
NonCT Scan & MRI
NABH
,USG,Color Doppler
NonNABH
NonNABH
Nuclear Medicine
(osteology, neurosciences,
gastro & hepato biliary,
genitor urinary,
endocrinology, radio
isotope therapy, stress/rest
thallium)
CT Scan & MRI
EXCLUSIVE DENTAL CLINICS:- JABALPUR
Sr. Name of the Hospitals
No.
Address & Tel. No.
1.
Adhunik Dental Clinic
2.
Deshmukh Dental
Clinic
3.
Shubham Dental Clinic
4.
Vaishali Dental Care
B/10 shyam Arcade
Malwiya Chowk
Jabalpur Tel .07612413829
Russel Chowk, Napier
Town, Jabalpur
Tel. No. 0761-6537733
Near Jain Mandir Ranjhi
Jabalpur Tel No. 07614001600 Mo. 9300161600
263/7 Sadar Jabalpur
Tel. No. 0761-2622444
NABH
Accredited/
Non-NABH
Non-NABH
Facilities Empanelled for
NABH
Accredited
All Available Dental Facilities
Non-NABH
All Available Dental Facilities
Non-NABH
All Available Dental Facilities
All Available Dental Facilities
CGHS TREATMENT PROCEDURE/
S.No.
INVESTIGATION LIST FOR JABALPUR
Non NABH/
Non NABL
Rates
NABH/
NABL
RATES
1
2
3
4
Consultation OPD
Consultation- for Inpatients
Dressings of wounds
Suturing of wounds with local anesthesia
135
270
50
108
135
270
58
124
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Aspiration Plural Effusion - Diagnostic
Aspiration Plural Effusion - Therapeutic
Abdominal Aspiration - Diagnostic
Abdominal Aspiration - Therapeutic
Pericardial Aspiration
Joints Aspiration
Biopsy Skin
Removal of Stitches
Venesection
Phimosis Under LA
Sternal puncture
Injection for Haemorrhoids
Injection for Varicose Veins
Catheterisation
Dilatation of Urethra
Incision & Drainage
Intercostal Drainage
Peritoneal Dialysis
TREATMENT PROCEDURE SKIN
Excision of Moles
Excision of Warts
Excision of Molluscum contagiosum
Excision of Veneral Warts
Excision of Corns
I/D Injection Keloid
Chemical Cautery (s)
TREATMENT PROCEDURE OPTHALMOLOGY
Subconjunctival/subtenon’s injections in one eyes
Subconjunctival/subtenon’s injections in both eyes
Pterygium Surgery
Conjunctival Peritomy
Conjunctival wound repair or exploration following
blunt trauma
120
193
345
460
380
317
230
36
124
1180
173
414
350
83
500
378
125
1466
138
222
397
529
437
365
265
41
143
1357
199
476
403
95
575
435
144
1686
345
310
130
160
140
97
100
397
357
150
184
161
112
115
69
138
86
58
115
79
159
99
67
132
Removal of corneal foreign body
115
132
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
Cauterization of ulcer/subconjunctival injection in
one eye
Cauterization of ulcer/subconjunctival injection in
both eyes
Corneal grafting—Penetrating keratoplasty
Corneal grafting—Lamellar keratoplasty
Cyanoacrylate /fibrin glue application for corneal
perforation
Bandage contact lenses for corneal perforation
Scleral grafting or conjunctival flap for corneal
perforation
Keratoconus correction with therapeutic contact
lenses
UV radiation for cross-linking for keratoconus
EDTA for band shaped keratopathy
Arcuate keratotomy for astigmatism
Re-suturing (Primary suturing) of corneal wound
Penetrating keratoplasty ---- with glaucoma surgery
Penetrating keratoplasty --- with vitrectomy
Penetrating keratoplasty ---- with IOL implantation
DALK- Deep anterior lamellar keratoplasty
Keratoprosthesis stage I and II
DSAEK- Descemet’s stripping automated
endothelial keratoplasty
69
79
138
159
5750
5000
690
6613
5750
794
414
2070
476
2381
1200
1380
1800
777
2800
1035
10930
11000
12290
15525
10350
15008
2070
894
3220
1190
12570
12650
14134
17854
11903
17259
54
55
56
57
58
ALTK- Automated lamellar therapeutic keratoplasty
Probing and Syringing of lacrimal sac- in one eye
Probing and Syringing of lacrimal sac- in both eye
Dacryocystorhinostomy—Plain
Dacryocystorhinostomy—Plain with intubation
and/or with lacrimal implants
14850
69
138
2588
8775
17078
79
159
2976
10091
59
60
61
62
63
64
65
66
67
68
69
70
71
Dacryocystorhinostomy—conjunctival with implant
Caliculoplasty
Dacryocystectomy
Punctal plugs for dry eyes
Refraction
Indirect Ophthalmoscopy
Orthoptic check-up- with synoptophore
Lees’ charting or Hess’ charting
Orthoptic exercises
Pleoptic exercises
Perimetry/field test—Goldman
Perimetry/field test— automated
Fluorescein angiography for fundus or iris
8280
2070
1553
130
40
67
44
90
50
50
144
144
828
9522
2381
1786
150
46
77
51
104
58
58
166
166
952
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
Ultrasound A- Scan
Ultrasound B- Scan
Fundus Photo Test
Indocyanin green angiography
Corneal endothelial cell count with specular
microscopy
Corneal topography
Corneal pachymetry
Auto-refraction
Macular function tests
Potential acuity metry
Laser interferometry
OCT-Optical coherence tomography
HRT- Heidelberg’s retinal tomogram
GDX--- Nerve fibre layer analyzer
UBM- Ultrasound bio microscopy
Non Contact tonometry
IOP measurement with schiotz
IOP measurement with applation tonometry
Three mirror examination for reti
90 D lens examination
Gonioscopy
Chalazion incision and curettage in one eye
Chalazion incision and curettage in both eyes
Ptosis surgery with fasanella servat procedure
Ptosis surgery with LPS resection one lid
Ptosis surgery with Sling surgery one lid
Ectropion surgery- one lid
Ectropion surgery- both lids
Epicanthus correction
Cantholysis and canthotomy
Entropion surgery- one lid
Entropion surgery- both lids
Tarsorraphy
Suturing of lid lacerations
Lid retraction repair
Concretions removal
Bucket handle procedure for lid tumors
Cheek rotation flap for lid tumors
Orbitotomy
Enucleation
Enucleation with orbital implants&artificial prosthesis
777
207
200
920
230
894
238
230
1058
265
298
230
35
44
100
173
1913
150
88
150
50
30
50
52
50
58
400
431
2300
5500
6003
1400
2500
1550
575
1380
2000
650
1150
1700
115
345
6210
7245
3000
2700
343
265
40
51
115
199
2200
173
101
173
58
35
58
60
58
67
460
496
2645
6325
6903
1610
2875
1783
661
1587
2300
748
1323
1955
132
397
7142
8332
3450
3105
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
Evisceration
Evisceration with orbital implants and artificial
prosthesis
Telecanthus correction
Orbital decompression
Exenteration
Exenteration with skin grafting
Fracture orbital repair
Retinal laser procedures
Retinal detachment surgery
Retinal detachment surgery with scleral buckling
Buckle removal
Silicone oil removal
Anterior retinal cryopexy
Squint correction for one eye
Squint correction for both eyes
Trabeculectomy
Trabeculotomy
Trabeculectomy with Trabeculotomy
Trephition
Goniotomy
Glaucoma surgery with Glaucoma valves
Cyclocryotherapy
YAG laser iridotomy
YAG laser capsulotomy
ALT-Argon laser trabeculoplasty
PDT-Photodymic therapy
TTT- Transpupillary thermal therapy
PTK- Phototherapeutic keratectomy
Argon/diode laser for retinal detatchment
Intralase application for keratoconus
EOG- electro-oculogram
ERG- Electro-retinogram
VEP- visually evoked potential
Vitrectomy- pars plana
Intravitreal injections- of antibiotics
Intravitreal injections- of lucentis excluding cost of
drug
X- Ray orbit
CT-orbit and brain
MRI- Orbit and brain
Dacryocystography
3105
5124
4658
5175
5500
6210
8280
1350
10350
12420
1050
2520
1162
4500
6750
6210
6210
9315
2070
345
6210+valves
1150
1350
984
1346
3105
2700
6750
1035
5175
810
794
800
10350
1150
3000
104
173
3105
340
3571
5893
5357
5951
6325
7142
9522
1553
11903
14283
1208
2898
1336
5175
7763
7142
7142
10712
2381
397
7142+valves
1323
1553
1132
1548
3571
3105
7763
1190
5951
932
913
920
11903
1323
3450
120
199
3571
391
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
Orbital angio-graphical studies
ECCE with IOL
SICS with IOL
Phaco with foldable IOL (silicone and
acrylic)/PMMA IOL
Pars plana lensectomy with/without IOL
Secondary IOL implantation- AC IOL PC IOL or
scleral fixated IOL
Cataract extraction with IOL with capsular tension
rings (Cionni’s ring)
Optic nerve sheathotomy
Iridodialysis repair or papillary reconstruction
Iris cyst removal
Lid Abscess incision and Drainage
Orbital Abscess incision and Drainage
Biopsy
Paracentesis
Scleral graft for scleral melting or perforation
Amniotic membrane grafting
Cyclodiathermy
Intraocular foreign body removal
Electrolysis
Perforating injury repair
Botulinum injection for blepharospasm or squint
TREATMENT PROCEDURE DENTAL
PROCEDURES
Flap Operation per quadrant
Gingivectomy per quadrant
Reduction & immobilization of fracture- Maxilla
Under LA
Reduction & immobilization of fracture-Mandible
Under LA
splints/Cirucum mandibular wiring under LA
splints/Cirucum mandibular wiring under GA
Internal wire fixation/plate fixation of Maxilla
under LA
Internal wire fixation/plate fixation of Maxilla under
GA
Internal wire fixation/plate fixation of Mandible
under LA
Internal wire fixation/plate fixation of Mandible
under GA
Extraction per tooth under LA
Complicated Ext. per Tooth under LA
1500
3450
4500
9703
1725
3968
5175
11158
10350
6900
11903
7935
13500
15525
7500
4500
850
1530
3000
460
230
2800
1100
2070
187
230
4500
2500
8625
5175
978
1760
3450
529
265
3220
1265
2381
215
265
5175
2875
360
234
900
414
269
1035
3150
3623
510
990
2700
587
1139
3105
3600
4140
3150
3623
3825
4399
80
100
92
115
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
160
845
184
972
244
281
406
467
1000
1150
6750
374
7763
430
374
18900
18900
3060
990
2500
1950
3000
2500
1500
430
21735
21735
3519
1139
2875
2243
3450
2875
1725
500
1080
500
575
1242
575
650
748
500
585
500
630
1500
950
700
900
575
673
575
725
1725
1093
805
1035
Removable partial denture-Acrylic based-more than 3 teeth
450
264
518
304
Amalgum restoration-per tooth
200
230
Extraction of impacted tooth under LA
Extraction in mentally retarded/patients with
systemic diseases/patient with special needs under
short term GA
Cyst & tumour of Maxilla /mandible by enucleation/
excision/ marsupalisation upto 4 cms under LA
Cyst & tumour of Maxilla/mandible by enucleation/
excision/ marsupalisation size more than 4 cms
under LA
Cyst & tumour of Maxilla/mandible by enucleation/
excision/marsupalisation size more than 4 cms under
GA
TM joint ankylosis- under GA
Biopsy Intraoral-Soft tissue
Biopsy Intraoral-Bone
Hemi-mandibulectomy with graft
Hemi-mandibulectomy without graft
Segmental-mandibulectomy with graft
Segmental-mandibulectomy without graft
Maxillectomy- Total with graft
Maxillectomy- Total without graft
Maxillectomy- partial with graft
Maxillectomy- partial without graft
Release of fibrous bands & grafting -in (OSMF)
treatment under GA
Pre-prosthetic surgery- Alveoloplasty
Pre-prosthetic surgery - ridge augmentation
Root canal Treatment(RCT) Anterior teeth(per
tooth)
Root canal Treatment(RCT) Posterior teeth (per
tooth)
Apicoectomy- Single root
Apicoectomy-Multiple roots
Metal Crown-per unit
Metal Crown with Acrylic facing per unit
Complete single denture-metal based
Complete denture- acrylic based per arch
Removable partial denture-Metal based-upto 3 teeth
Removable partial denture-Metal based-more than 3
teeth
Removable partial denture-Acrylicbased-upto 3teeth
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
Composite Restoration-per tooth-anterior tooth
Glas Ionomer-per tooth
Scaling & polishing
Removable Orthodontics appliance- per Arch
Fixed Orhtodontics-per Arch
Space maintainers-Fixed
Habit breaking appliances-removable
Habit breaking appliances-Fixed
Expansion plate
Feeding appliance for cleft palate
Maxillo-facial prosthesis (sal/auricular/orbital/facial
lost part)
Functional orthodentic appliances
Obturator (Maxillo-facial)
Occlusal night guard(splint)
TREATMENT PROCEDURE ENT
Pure Tone Audiogram
Impedence with stepedeal reflex
SISI Tone Decay
Multiple hearing assessment test to Adults
Speech Discrimination Score
Speech Assessment
Speech therapy per session of 30-40 minutes
Cold Calorie Test for Vestibular function
Removal of foreign body From Nose
Removal of foreign body From Ear
Syringing (Ear)
Polyp removal under LA
Polyp removal under GA
Peritonsillar abscess Drainage under LA
Myringoplasty
Staepedectomy
Myringotomy with Grommet insertion
Tympanotomy
Tympanoplasty
Mastoidectomy
Otoplasty
Labyrinthectomy
Skull Base surgery
Facial Nerve Decompression
Septoplasty
Submucous Resection
225
180
270
650
1150
500
720
1350
900
1350
3150
259
207
311
748
1323
575
828
1553
1035
1553
3623
2700
1350
720
3105
1553
828
172
220
132
115
90
120
130
155
311
230
156
550
780
1304
6210
9000
4140
7763
12420
13455
14490
12420
22500
15525
5750
6583
198
253
152
132
104
138
150
178
358
265
179
633
897
1500
7142
10350
4761
8927
14283
15473
16664
14283
25875
17854
6613
7570
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
Septo-rhinoplasty
Rhinoplasty- Non-cosmetic
Fracture Reduction
Intra nasal Diathermy
Turbinectomy
Endoscopic DCR
Endoscopic Surgery
Septal Perforation Repair
Antrum Puncture
Lateral Rhinotomy
Cranio-facial resection
Caldwell Luc Surgery
Angiofibroma Excision
Endoscopic Hypophysectomy
Endoscopic Optic Nerve Decompression
Decompression of Orbit
Punch/Wedge biopsy
Tonsillectomy
Uvulo-palatoplasty
FESS for antrochoal polyp
FESS for ethmoidal polyp
Polyp removal ear
Polyp removal Nose(Septal polyp)
Mastoidectomy plus Ossciculoplasty including
TORP or PORP
14490
10350
4250
1150
5175
11700
12420
12420
950
1000
22950
9563
15300
20800
29498
22950
674
4500
13500
5750
5750
673
673
2415
16664
11903
4888
1323
5951
13455
14283
14283
1093
1150
26393
10997
17595
23920
33923
26393
775
5175
15525
6613
6613
774
774
2777
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
Endolymphatic sac decompression
Diagnostic endoscopy under GA
Yonges operation for Atrophic rhinitis
Vidian neurectomy for vasomotor Rhinitis
Nasal Packing-anterior
Nasal Packing-posterior
Ranula Excision
Tongue Tie excision
Sub Mandibular Duct Lithotomy
Adenoidectomy
Palatopharyngoplasty
Pharyngoplasty
Styloidectomy
Direct laryngoscopy including Biopsy under GA
Oesophagoscopy/foreign body removal from
Bronchoscopy with F.B.removal
2875
2070
6210
9315
330
725
6159
1350
269
5076
8165
15474
8280
4500
1800
2438
3306
2381
7142
10712
380
834
7083
1553
309
5837
9390
17795
9522
5175
2070
2804
298
299
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE FOR HEAD AND
NECK
Ear Lobe Repair one side
Excision of Pinna for Growth (Squamous/Basal/
Injuries) Skin Only
15000
8500
17250
9775
450
3600
518
4140
302
Excision of Pinna for Growth (Squamous/Basal/
Injuries) Skin and Cartilage
3800
4370
303
304
305
Partial Amputation of Pinna
Total Amputation of Pinna
Total Amputation & Excision of External Auditory
Meatus
Excision of Cystic Hygroma
Excision of Cystic Hygroma Extensive
Excision of Branchial Cyst
Excision of Branchial Sinus
Excision of Pharyngeal Diverticulum
Excision of Carotid Body-Tumours
Operation for Cervical Rib
Block Dissection of Cervical Lymph Nodes
Pharyngectomy & Reconstruction
Operation for Carcinoma Lip - Wedge-Excision
Operation for Carcinoma Lip - Vermilionectomy
Operation for Carcinoma Lip - Wedge Excision and
Vermilonectomy
4160
5580
1500
4784
6417
1725
4658
7452
9315
9315
9522
11615
12500
15000
15000
7245
5182
8363
5357
8570
10712
10712
10950
13357
14375
17250
17250
8332
5959
9617
7475
8820
8798
17388
13973
18900
5420
6300
20597
19800
11200
14250
17595
10350
7763
8550
8596
10143
10118
19996
16069
21735
6233
7245
23687
22770
12880
16388
20234
11903
8927
9833
300
301
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
Estlander Operation
Abbe Operation
Cheek Advancement
Excision of the Maxilla
Excision of mandible-segmental
Mandibulectomy
Partial Glossectomy
Hemiglossectomy
Total Glossectomy
Commondo Operation
Parotidectomy - Superficial
Parotidectomy - Total
Parotidectomy - Radical
Repair of Parotid Duct
Removal of Submandibular Salivary gland
Hemithyroidectomy
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
Partial Thyroidectomy (lobectomy)
Subtotal Thyroidectomy
Total Thyroidectomy
Resection Enucleation of thyroid Adenoma
Total Thyroidectomy and Block Dissection
Excision of Lingual Thyroid
Excision of Thyroglossal Cyst/Fistula
Excision of Parathyroid Adenoma/Carcinoma
Laryngectomy
Laryngo Pharyngectomy
Hyoid Suspension
Genioplasty
Direct Laryngoscopy including biopsy under GA
Phonosurgery
Fibroptic examition of Larynx under LA
Microlaryngeal Surgery
Laryngofissure
Tracheal Stenosis Excision
Head and neck cancer
Excisional Biopsies
Benign Tumour Excisions
Temporal Bone subtotal resection
Modified Radical Neck Dissection
Carotid Body Excision
Total Laryngectomy
Flap Reconstructive Surgery
Parapharyngeal Tumour Excision
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE BREAST
Drainage of abscess
Excision of lumps
Local mastectomy-simple
Radical mastectomy-formal or modified.
Excision of mammary fistula
Segmental resection of breast
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE GENERAL
SURGERY
Injury Of Superficial Soft Tissues
Suturing of small wounds
10350
13053
17100
9522
23805
15194
11903
19148
17825
27000
9315
12000
4658
12420
1553
9315
15525
17802
11903
15011
19665
10950
27376
17473
13688
22020
20499
31050
10712
13800
5357
14283
1786
10712
17854
20472
5175
8550
18630
22770
23400
35273
37260
35397
21250
5000
5951
9833
21425
26186
26910
40564
42849
40707
24438
5750
5400
6272
11385
25875
13973
14490
24750
5000
6210
7213
13093
29756
16069
16664
28463
5750
425
269
489
309
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
Secondary suture of wounds
Debridement of wounds
Removal Of Foreign Bodies
Biopsies
Excision of Cervical Lymph Node
Excision of Axillary Lymph Node
Excision of Inguinal Lymph Node
Excision Biopsy of Ulcers
Excision Biopsy of Superficial Lumps
Incision Biopsy of Growths/Ulcers
Trucut Needle Biopsy
Percutaneous Kidney Biopsy
Marrow Biopsy (Open)
Muscle Biopsy
Scalene Node Biopsy
Excision of Sebaceous Cysts
Excision of Superficial Lipoma
Excision of Superficial Neurofibroma
Excision of Dermoid Cysts
Haemorrhoidectomy
Stappler haemorrhoidectomy
keloid excision
Vericose vein surgery;Tendelenburg operation with
suturing or ligation.
TREATMENT PROCEDURE OESOPHAGUS
Atresia of Oesophagus and Tracheo Oesophageal
Fistula
Operations for Replacement of Oesophagus by
Colon
Oesophagectomy for Carcinoma Easophagus
Oesophageal Intubation (Mausseau Barbin Tube)
Achalasia Cardia Transthoracic
Achalasia Cardia Abdominal
Oesophago Gastrectomy for mid 1/3 lesion
Heller’s Operation
Colon-Inter position or Replacement of Oesophagus
Oesophago Gastrectomy – Lower Corringers
procedure
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE ABDOMEN / GI
SURGERY
290
450
300
334
518
345
1553
2049
2049
1470
2898
1470
1550
1470
1060
1470
1215
1242
1850
2250
2049
2500
4025
1150
8625
1786
2356
2356
1691
3333
1691
1783
1691
1219
1691
1397
1428
2128
2588
2356
2875
4629
1323
9919
29756
25875
28175
24500
24500
10350
13455
12650
24495
19750
22540
19750
27625
5000
28175
11903
15473
14548
28169
22713
25921
22713
31769
5750
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
Gastroscopy
Gastric & Duodenal Biopsy (Endoscopic)
Pyloromyotomy
Gastrostomy
Simple Closure of Perforated peptic Ulcer
Vagotomy Pyleroplasty / Gastro Jejunostomy
Duodenojejunostomy
Partial/Subtotal Gastrectomy for Carcinoma
Partial/Subtotal Gastrectomy for Ulcer
Operation for Bleeding Peptic Ulcer
Operation for Gastrojejunal Ulcer
Total Gastrectomy for Cancer
Highly Selective Vagotomy
Selective Vagotomy & Drainage
Congenital Diaphragmatic Hernia
Hiatus Hernia Repair- Abdominal
Hiatus Hernia Repair- Transthoracic
Exploratory Laparotomy
Epigastric Hernia Repair
Umbilical Hernia Repair
Ventral /incisional Hernia Repair
Inguinal Hernia Herniorraphy
Inguinal Hernia - Hernioplasty
Femoral Hernia Repair
Rare Hernias Repair(Spigalion, Obturator,
Lumbar,Sciatic)
Splenectomy - For Trauma
Splenectomy - For Hypersplenism
Splenorenal Anastomosis
Portocaval Anastomosis
Direct Operation on Oesophagus for Portal
Hypertension
Mesentericocaval Anastomosis
Warren Shunt
Pancerato Duodenectomy
By Pass Procedure for Inoperable Carcinoma of
Pancreas
Cystojejunostomy or Cystogastrostomy
Cholecystectomy
Cholecystectomy & Exploration of CBD
Repair of CBD
Operation for Hydatid Cyst of Liver
1553
1755
2800
8625
9250
13250
17055
20700
20183
18878
17802
22368
16767
16767
17078
14250
14490
12650
10247
11385
10293
14835
16500
16457
17078
1786
2018
3220
9919
10638
15238
19613
23805
23210
21710
20472
25723
19282
19282
19640
16388
16664
14548
11784
13093
11837
17060
18975
18926
19640
17078
13450
22250
25875
19640
15468
25588
29756
24668
21450
25450
28750
21735
23000
29268
33063
24995
26450
14490
10292
14375
13600
11902
16664
11836
16531
15640
13687
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
Cholecystostomy
Hepatic Resections (Lobectomy /Hepatectomy)
Operation on Adrenal Glands - Bilateral
Operation on Adrenal Glands - Unilateral
Appendicectomy
Appendicular Abscess – Drainage
Mesenteric Cyst- Excision
Peritonioscopy/Laparoscopy
Jejunostomy
Ileostomy
Resection & Anastomosis of Small Intestine
Duodenal Diverticulum
Operation for Intestinal Obstruction
Operation for Intestinal perforation
Benign Tumours of Small Intestine
Excision of Small Intestine Fistula
Operations for GI Bleed
Operations for Haemorrhage of Small Intestines
Operations of the Duplication of the Intestines
Operations for Recurrent Intestinal Obstruction
(Noble Plication & Other Operations for
Adhesions)
Ilieosigmoidostomy and related resection
Ilieotransverse Colostomy and related resection
Caecostomy
Loop Colostomy Transverse Sigmoid
Terminal Colostomy
Closure of Colostomy
Right Hemi-Colectomy
Left Hemi-Colectomy
Total Colectomy
Operations for Volvulus of Large Bowel
Operations for Sigmoid Diverticulitis
Fissure in Ano with Internal sphinctrectomy with
fissurectomy.
Fissure in Ano - Fissurectomy
Rectal Polyp-Excision
Fistula in Ano - High Fistulectomy
Fistula in Ano - Low Fistulectomy
Prolapse Rectum - Theirch Wiring
Prolapse Rectum - Rectopexy
Prolapse Rectum - Grahams Operation
10292
14375
26105
13500
8108
9775
10250
4500
5175
13869
18630
16560
10350
34200
17595
17595
14500
17595
17825
22750
11836
16531
30021
15525
9324
11241
11788
5175
5951
15949
21425
19044
11903
39330
20234
20234
16675
20234
20499
26163
15250
15111
3903
11799
15525
15732
13800
13800
15525
24920
18630
12420
17538
17378
4488
13569
17854
18092
15870
15870
17854
28658
21425
14283
5750
5658
15102
9867
10000
5750
16560
6613
6507
17367
11347
11500
6613
19044
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
Operations for Hirschsprungs Disease
Excision of Pilonidal Sinus (open)
Excision of Pilonidal Sinus with closure
Abdomino-Perineal Excision of Rectum
Anterior Resection of rectum
Pull Through Abdominal Resection
Retro Peritoneal Tumor Removal
Radio ablation of varicose veins
Laser ablation of varicose veins
Laproscopic Fundoplication
Laproscopic Spleenectomy
Laproscopic Removal of hydatid cyst
Laproscopic treatment of Pseudo Pancreatic cyst
Laproscopic whipples operation
Laproscopic GI bypass operation
Laproscopic Total Colectomy
Laproscopic Hemi Colectomy
Laproscopic Anterior Resection
Laproscopic Cholecystetomy
Laproscopic Appedicectomy
Laproscopic Hernia inguinal repair
Laproscopic ventral Hernia Repair
Laproscopic Paraumblical Hernia Repair
Laproscopic Adrenelectomy
Laproscopic Nephrectomy
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE ICU/CCU
PROCEDURES (SPECIAL CARE CASES)
Coronary Care with Cardiac Monitoring (Room
Rent extra)
Compressed air / piped oxygen /per hour
Ventilator charges (Per day)
Paediatric care for New born (Per day)
Incubator charges (Per day)
Neonatal ICU charges (Per day)
Resuscitation
Exchange Transfusion
Pneupack ventilator in Nursery (Per day)
TREATMENT PROCEDURE
CARDIOVASCULAR AND CARDIAC
SURGERY & INVESTIGATIONS
14260
11500
11500
16470
21850
17170
18000
1800
17250
17370
22500
16200
16200
18000
19800
22500
20700
20700
18200
18000
17700
17500
12580
12000
22000
34200
6000
16399
13225
13225
18941
25128
19746
20700
2070
19838
19976
25875
18630
18630
20700
22770
25875
23805
23805
20930
20700
20355
20125
14467
13800
25300
39330
6900
750
863
45
531
186
311
391
184
265
575
52
611
214
358
450
212
305
661
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
ASD Closure
VSD with graft
TOF/TAPVC/TCPC/REV/RSOV repair
B.D.Glenn/Left atrium myxoma
Senning/ASO with graft
DSO
AV Canal repair
Fonten
Conduit repair
CABG
CABG + IABP
CABG + Valve.
CABG without bypass.
Ascending aorta replacement
DVR
MVR/AVR
MV repair + AV repair
Aorta femoral bypass
B.T Shunt/Coaractation
P.A.Banding septostomy
Pericardectomy
CMV/PDA
Gunshot injury
Heart transplant
Balloon coronary angioplasty/PTCA with VCD
Balloon coronary angioplasty/PTCA without VCD
Rotablation
balloon valvotomy/PTMC
CATH
Arch Replacement
Aortic Dissection
Thoraco Abdominal Aneurism Repair
Embolectomy
Vascular Repair
Bentall Repair with Prosthetic Valve
Bentall Repair with Biologic Valve
Coaractation dilatation
Coaractation dilatation with Stenting
TPI Single Chamber
TPI Dual Chamber
Permanent pacemaker implantation- Single Chamber
51808
51808
127075
80750
122188
103615
161000
169000
169000
127075
169000
169000
140000
130000
53000
103615
103615
52000
51980
51980
42320
51980
51980
248400
75000
72000
46500
10264
9500
10350
12650
15000
21000
36000
30000
114750
14500
18500
6750
8160
13800
59579
59579
146136
92863
140516
119157
185150
194350
194350
146136
194350
194350
161000
149500
60950
119157
119157
59800
59777
59777
48668
59777
59777
285660
86250
82800
53475
11804
10925
11903
14548
17250
24150
41400
34500
131963
16675
21275
7763
9384
15870
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
Permanent pacemaker implantation- Dual Chamber
Permanent pacemaker implantation Biventricular
AICD implantation Single Chamber
AICD implantation Dual Chamber
Combo device implantation
Diagnostic Electrophysiological studies
conventional
Ambulatory BP monitoring
External Loop/event recording
RF Ablation conventional
RF Ablation Atrial Tachycardia/Carto
Endomyocardial biopsy
IABP
Intra vascular coils
Septostomy- Balloon
Septostomy- Blade
AVBD/PVBD
Digital subtraction angiography-Peripheral artery
Digital subtraction angiography- venogram
C.T Guided biopsy
Sinogram
Peripheral Angioplasty with VCD
Peripheral Angioplasty without VCD
Renal Angioplasty
IVUS
FFR
Holter analysis
Aortic stent grafting for aortic aneurysm
IVC Filter implantation
ASD/VSD/PDA device closure
ECG
HUTT
2 D echocardiography
3 D echocardiography
Fetal Echo
2 D TEE
3 D TEE(Transoesophageal echo )
Stress Echo- exercise
Stress Echo- pharmacological
Stress MPI- exercise
Stress MPI - pharmacological
Coronary angiography
19320
34500
28750
40000
40000
4550
587
2848
35000
45000
9500
7820
41400
14535
17595
43470
10350
10350
1265
777
11500
11500
54315
25000
12750
850
78500
16129
36225
50
1980
1080
1403
1260
1403
1403
1350
2250
1760
2250
11000
22218
39675
33063
46000
46000
5233
675
3275
40250
51750
10925
8993
47610
16715
20234
49991
11903
11903
1455
894
13225
13225
62462
28750
14663
978
90275
18548
41659
58
2277
1242
1613
1449
1613
1613
1553
2588
2024
2588
12650
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
CT coronary angiography
Cardiac CT scan
Cardiac MRI
Stress Cardiac MRI
MR angiography.
Cardiac PET
Pericardiocentesis
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE OBSTETRICS AND
GYNAECOLOGY
Normal delivery with or without Episiotomy & P.
repair
vacuum delivery
Forceps Delivery
Cesarean Section
Cesarean Hysterectomy
Rupture Uterus closure & repair with Tubal Ligation
Perforation of Uterus after D/E Laparotomy &
Closure
Laparotomy for Ectopic pregnancy
Laparotomy-peritonitis Lavage and Drainage
Salphingo-Oophorectomy/ Oophorectomy
Laproscopic
Ovarian Cystectomy-laparoscopic.
Ovarian Cystectomy -laparotomy.
Salpingo-Oophorectomy-laparotomy
Laproscopic Broad Ligament Hematoma Drainage
with repair
Exploration of perineal Haematoma & Repair
Exploration of abdominal Haematoma (after
laparotomy + LSCS)
Manual Removal of Placenta
Examination under anesthesia (EUA)
Burst-abdomen Repair
Gaping Perineal Wound Secondary Suturing
Gaping abdominal wound Secondary Suturing
Complete perineal tear-repair
Exploration of PPH-tear repair
Suction evacuation vesicular mole
Suction evacuation Missed abortion/ incomplete
abortion
Colpotomy
6030
2272
2444
3000
5635
1500
3150
20000
4250
6935
2613
2811
3450
6480
1725
3623
23000
4888
8677
7545
7763
8280
14050
18200
17250
13200
13800
10350
8927
9522
16158
20930
19838
15180
15870
11903
11500
10000
9315
13800
11520
6900
10712
15870
13248
7935
8000
8050
9200
9258
3450
950
10000
1656
3105
2050
3150
4500
3968
1093
11500
1904
3571
2358
3623
5175
5951
5175
3210
3692
637
638
639
640
Repair of post-coital tear/ perineal injury
Excision of urethral caruncle
Shirodhkar/ Mc. Donald’s stitch
Abdominal Hysterectomy with or without salpingooophorectomy
3200
3105
3220
17250
3680
3571
3703
19838
641
642
643
644
645
646
647
648
649
650
Vaginal Hysterectomy (NDVH)
Vaginal Hysterectomy with repairs (UV Prolapse)
Myomectomy -laparotomy
Myomectomy -laparoscopic
Vaginoplasty
Vulvectomy -Simple
Vulvectomy-Radical
RVF Repair
Manchester Operation
Shirodkar’s sling Operation or other sling
operations for prolapse uterus
17250
17250
12600
6325
14500
8280
9200
14000
15000
3450
19838
19838
14490
7274
16675
9522
10580
16100
17250
3968
651
652
653
654
655
656
657
658
Laparoscopic sling operations for prolapse uterus
Diagnostic Curettage
Cervical Biopsy
Polypectomy
Other-Minor Operation Endometrial
Excision Vaginal Cyst/Bartholin Cyst
Excision Vaginal Septum
Laparoscopy -Diagnostic with chromopertubation
and or adhesiolysis and drilling
25200
2250
1800
1518
2300
3450
4600
3950
28980
2588
2070
1746
2645
3968
5290
4543
659
660
661
662
663
Laparoscopy Sterilization
LAVH
Balloon Temponade for PPH
Total laparoscopic hysterectomy
Laparoscopic treatment of Ectopic pregnancysalpingectomy/salpinostomy conservative
3450
22719
2800
22719
9775
3968
26127
3220
26127
11241
664
665
666
667
Conisation of cervix
Trachhelectomy of cervix for early CA cervix
Hysteroscopic cannulation
Laparotomy recannalization of Fallopian tubes(Tubuloplasty)
Laparoscopic recannalization of Fallopian tubes(Tubuloplasty)
4025
5500
2875
20183
4629
6325
3306
23210
19500
22425
Colposcopy
Inversion of Uterus – Vaginal Reposition
Inversion of Uterus – Abdominal Reposition
Laparoscopic VVF Repair
862
2500
2500
25200
991
2875
2875
28980
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
Abdominal VVF Repair
Vaginal VVF Repair
Interventional Ultrasonography (CVS)
Amniocentesis
Karyotyping
Thermal balloon ablation.
Ultrasonographic myolysis
Vaginal Myomectomy
Intra Uterine Inseminition
ICSI
Laparotomy abdominal sacro-colpopexy
Vaginal Colpopexy
Laparoscopic abdominal sacro-colpopexy
Laparotomy pelvic Lymphadenectomy
Laparoscopic pelvic Lymphadenectomy
Endometrial aspiration cytology/biopsy
Transvaginal sonography (TVS for Follicular
monitioring /aspiration)
25200
25200
880
880
720
10350
9264
10000
920
10350
15000
20000
19250
1200
3500
513
460
28980
28980
1012
1012
828
11903
10654
11500
1058
11903
17250
23000
22138
1380
4025
590
529
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
laparoscopic treatment for stress incontinence
Transvaginal tapes for Stress incontinence
trans-obturator tapes for Stress incontinence
Interventional radiographic arterial embolization
Diagnostic cystoscopy
Staging laparotomy surgery for CA Ovary
Internal Iliac ligation
stepwise devascularisation
Assisted breech delivery
Intra-uterine fetal blood transfusion
Hysteroscopy TCRE
Hysteroscopy Removal of IUCD
Hysteroscopy Removal of Septum
Hysteroscopy Diagnostic
Radical Hysterectomy for Cancer cervix with pelvic
lymphadenectomy
13500
13500
10800
16200
2588
6325
3393
9200
9833
19148
7650
7000
9900
6750
8500
15525
15525
12420
18630
2976
7274
3902
10580
11308
22020
8798
8050
11385
7763
9775
705
Radical Hysterectomy for Cancer endometrium
extending to cervix with pelvic and para aortic
lymphadenectomy
Sterilization Post partum (minilap)
Sterilization interval (minilap)
Ultrasonography Level II scan/Anomaly Scan
Fetal nuchal Translucency
Fetal Doppler/UmblicalDoppler/UterineVesselDoppler
8500
9775
3750
3750
500
300
765
4313
4313
575
345
880
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
MTP- 1st Trimester
MTP - 2nd Trimester
Quadruple test
Biophysical score
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE NEPHROLOGY
AND UROLOGY
Partial Nephrectomy -open
Partial Nephrectomy-laproscopic/endoscopic
Nephrolithomy -open
Nephrolithomy -laproscopic/endoscopic
Pyelolithotomy-open
Pyelolithotomy -laproscopic/endoscopic
Operations for Hydronephrosis -pyeloplasty open
Operations for Hydronephrosis -pyeloplasty
Lap/endoscopic
Operations for Hydronephrosis Endoplyelotomy
antegrade
Operations for Hydronephrosis Endoplyelotomy
retrograde
Operations for Hydronephrosis -ureterocalicostomy
Operations for Hydronephrosis-Ileal ureter
Open Drainage of Perinephric Abscess
Percutaneous Drainage of Perinephric Abscess Ultrasound guided
Cavernostomy
Operations for Cyst of the Kidney -open
Operations for Cyst of the Kidney -Lap/endoscopic
Ureterolithotomy -open
Ureterolithotomy-Lap/Endoscopic
Nephroureterectomy open
Nephroureterectomy -Lap/Endoscopic
Operations for Ureter for -Double Ureters
Operations for Ureter -for Ectopia of Single Ureter
Operations for Vesico- ureteric Reflux -Open
Operations for Vesico- ureteric RefluxLap/Endoscopic
Operations for Vesico- ureteric Reflux/ Urinary
incontinence with bulking agents
Ureterostomy - Cutaneous
Uretero-Colic anastomosis
Formation of an Ileal Conduit
3000
4250
1800
600
25200
5000
3450
4888
2070
690
28980
5750
14594
13041
12000
12600
13000
10580
18400
19000
16783
14997
13800
14490
14950
12167
21160
21850
19500
22425
19550
22483
18000
16200
7200
5750
20700
18630
8280
6613
9775
11960
12627
13248
10000
16100
15250
17100
18000
18000
11241
13754
14521
15235
11500
18515
17538
19665
20700
20700
20700
18000
18630
21425
12000
16000
15525
13800
18400
17854
746
747
748
749
750
751
752
753
754
755
756
794
2645
12564
10350
6900
19838
18400
19044
1984
7671
23081
Ureteric Catheterisation
Biopsy of Bladder (Cystoscopic)
Cysto-Litholapaxy
Operations for Injuries of the Bladder
Suprapubic Drainage (Cystostomy/vesicostomy)
Simple Cystectomy
Diverticulectomy -open
Diverticulectomy- Lap/Endoscopic
Diverticulectomy -Endoscopic incision of neck
Augmentation Cystoplasty
Operations for Extrophy of the Bladder- Single stage
repair
Operations for Extrophy of the Bladder- Multistage
repair
Operations for Extrophy of the Bladder- simple
cystectomy with urinary diversion
690
2300
10925
9000
6000
17250
16000
16560
1725
6670
20070
20815
20250
23288
759
760
761
762
763
764
765
766
767
768
769
Repair of Ureterocoel -Open
Repair of Ureterocoel -Lap/Endoscopic
Repair of Ureterocoel -Endoscopic incision
Open Suprapubic Prostatectomy
Open Retropubic Prostatectomy
Transurethral Resection of Prostate (TURP)
Urethroscopy/ Cystopanendoscopy
Internal urethrotomy -optical
Internal urethrotomy -Core through urethroplasty
Urethral Reconstruction -End to end ansatamosis
Urethral Reconstruction - substitution urethroplasty
(Transpubic urethroplasty
12420
12938
13000
19950
20125
16767
4140
5750
9936
3450
17595
14283
14879
14950
22943
23144
19282
4761
6613
11426
3968
20234
770
771
772
773
774
Abdomino Perineal urethroplasty
Posterior Urethral Valve fulguration.
Operations for Incontinence of Urine - Male -Open
Operations for Incontinence of Urine - Male -Sling
Operations for Incontinence of Urine - MaleBulking agent
Operations for Incontinence of Urine - Female Open
Operations for Incontinence of Urine - Female-Sling
Operations for Incontinence of Urine - FemaleBulking agent
Reduction of Paraphimosis
Circumcision
Meatotomy
Meatoplasty
14000
11270
17250
18250
18250
16100
12961
19838
20988
20988
757
758
775
776
777
778
779
780
781
23937
19838
17250
16560
17492
19044
20116
1725
2950
2346
2898
1984
3393
2698
3333
782
783
784
785
786
787
788
789
790
791
792
Operations for Hypospadias + Chordee Correction
Operations for Hypospadias - Second Stage
Operations for Hypospadias - One Stage Repair
Operations for Crippled Hypospadias
Operations for Epispadias _primary repair
Operations for Epispadias-crippled epispadias
Partial Amputation of the Penis
Total amputation of the Penis
Orchidectomy-Simple
Orchidectomy -Radical
Post Radical Orchidectomy retroperitoneal lymph
node dissection.
8280
14250
9200
11500
12593
11385
10764
12000
9775
12075
14000
9522
16388
10580
13225
14482
13093
12379
13800
11241
13886
16100
793
794
Epididymectomy
Adreneclectomy Unilateral/Bilateral for Tumour/For
Carcinoma- Open
Adreneclectomy Unilateral/Bilateral for Tumour/For
Carcinoma -Lap/Endoscopic
8000
24750
9200
28463
14375
16531
Operations for Hydrocele - Unilateral
Operations for Hydrocele - Bilateral
Operation for Torsion of Testis
Micro-surgical Vasovasostomy /Vaso epidedymal
ansatamosis.
Operations for Varicocele Unilateral-Microsurgical
Operations for Varicocele Palomo’s Unilateral - Lap
Operations for Varicocele Bilateral --Microsurgical
Operations for Varicocele Bilateral – Lap/ Palomo
Block Dissection of ilio-inguinal Nodes - One Side
(For Ca-Penis)
5865
8556
10350
11040
6745
9839
11903
12696
7705
9200
12650
14950
6325
8861
10580
14548
17193
7274
805
Block Dissection of ilio-inguinal Nodes - Both Sides
(For Ca-Penis)
20700
23805
806
807
808
809
810
811
812
813
814
815
Excision of Filarial Scrotum
Kidney Transplantation (related)
Kidney Transplantation (Spousal/ unrelated)
ABO incompatible Transplantation
Swap Transplantation
Kidney Transplant Graft Nephrectomy
Donor Nephrectomy (open)
Donor Nephrectomy (Laproscopic)
Cadaver Transplantation
Kidney Transplant with Native Kidney
Nephrectomy (Related)/ Unilateral
10350
3500
143000
441000
350000
59500
28750
46000
83300
28000
11903
4025
164450
507150
402500
68425
33063
52900
95795
32200
795
796
797
798
799
800
801
802
803
804
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
Kidney Transplant with Native Kidney
Nephrectomy (Related)/ Bilateral
Kidney Transplant with Native Kidney
Nephrectomy (Spousal/ Unrelated) Unilateral
Kidney Transplant with Native Kidney
Nephrectomy (Spousal/ Unrelated) Bilateral
Post-Transplant Collection drainage for Lymphocele
(open)
Post-Transplant Collection drainage for Lymphocele
(percutaneous)
Post-Transplant Collection drainage for Lymphocele
(Laproscopic)
85000
97750
85000
97750
85000
97750
6800
7820
6800
7820
7650
8798
Arteriovenous Fistula for Haemodialysis
Arteriovenous Shunt for Haemodialysis
Jugular Catheterization for Haemodialysis
Subclavian Catheterization for Haemodialysis
One sided (single Lumen) Femoral Catheterization
for Haemodialysis
Bilateral (single Lumen) Femoral Catheterization
for Haemodialysis
2300
3500
1500
2250
1000
2645
4025
1725
2588
1150
1500
1725
Double Lumen Femoral Catheterization for
Haemodialysis
Permcath Insertion
Arterio venous Prosthetic Graft
Single lumen Jugular Catheterization
Single lumen Subclavian Catheterization
Plasma Exchange/ Plasma phresis
Open method CAPD catheter insertion
Schlendinger method CAPD catheter insertion
Sustained low efficiency hemodialysis
Continuous Veno venous/Arteriovenous
Hemofilteration
Hemodialysis for Sero negative cases
Hemodialysis for Sero Positive cases
Acute Peritoneal Dialysis
Fistologram for Arteriovenous Fistula
Ultrasound guided kidney Biopsy
Fistula stenosis dilation
Slow continuous Ultrafilteration
PCNL - Unilateral
PCNL - Bilateral
Endoscopic Bulking agent Inject
Testicular Biopsy
1850
2128
2800
1850
1500
1700
1725
3500
3500
1250
3220
2128
1725
1955
1984
4025
4025
1438
2588
2250
1400
1600
1450
2250
850
3000
2500
18750
25000
4500
1890
1610
1840
1668
2588
978
3450
2875
21563
28750
5175
2174
Radical Nephrectomy -Open
Radical Nephrectomy -Lap/Endoscopic
Radical Nephrectomy plus IV thrombus
Radical Nephrectomy plus IV thrombus plus
cardiacbypass
Vesico Vaginal Fistula Repair (Open)
Vesico Vaginal Fistula Repair (Laproscopic)
Radical Cystectomy -Ileal conduit
Radical Cystectomy - continent diversion.
Radical Cystectomy – Neo bladder
Nephrectomy Simple -Open
Nephrectomy Simple-lap/Endoscopic
Nephrostomy -Open
Nephrostomy -Lap/Endoscopic
Ureteric Re- implant for Megaureter/Vesicoureteric
reflex/ uterocele (open)
17250
20700
23000
20700
19838
23805
26450
23805
16000
22000
17000
15000
18500
10074
12593
10000
10704
10494
18400
25300
19550
17250
21275
11585
14482
11500
12310
12068
863
Ureteric Re -implant for Megaureter/Vesicoureteric
reflex/ uterocele (Laproscopic)
10494
12068
864
865
866
867
868
869
870
871
872
873
874
Partial Cystectomy
TURP & TUR Bladder Tumour
TURP with Cystolithotripsy
Closure of Urethral Fistula
Orchidopexy - Unilateral -Open
Orchidopexy - Unilateral- Lap/Endoscopic
Orchidopexy - Bilateral -Open
Orchidopexy - Bilateral -Lap/Endoscopic
Cystolithotomy -Suprapubic
Endoscopic Removal of Stone in Bladder
Resection Bladder Neck Endoscopic /Bladder neck
incision/transurethral incision on prostrate
12420
17250
17000
11000
9867
12334
12282
14500
9775
3450
10925
14283
19838
19550
12650
11347
14184
14124
16675
11241
3968
12564
875
876
877
878
879
880
881
882
883
884
885
886
Ureteroscopic Surgery
Urethroplasty 1st Stage
Scrotal Exploration
Perineal Urethrostomy
Dilatation of Stricture Urethra under G.A.
Dilatation of Stricture Urethra under LA
Laproscopic Nephrectomy
Laproscopic partial Nephrectomy
Laproscopic pyelolithotomy
Laproscopic Pyeloplasty
Laproscopic surgery for Renal cyst
Laproscopic ureterolithotomy
10350
10925
7950
4715
2000
1553
30015
10000
12650
9775
9775
11500
11903
12564
9143
5422
2300
1786
34517
11500
14548
11241
11241
13225
849
850
851
852
853
854
855
856
857
858
859
860
861
862
887
888
889
890
15209
21850
518
552
3223
Laproscopic Nephro ureterotectomy
Lithotripsy Extra corporeal shock wave.
Uroflow Study (Uroflometry)
Urodynamic Study (Cystometry)
Cystoscopy with Retrograde Catheter -Unilateral
/RGP
Cystoscopy with Retrograde Catheter - Bilateral
/RGP
Cystoscopy with Bladder Biopsy (Cold Cup Biopsy)
Voiding-cysto-urethrogram and retrograde
urethrogram (Nephrostogram)
13225
19000
450
480
Radical prostatectomy-Open
Radical prostatectomy-Laproscopic
17825
20125
Radical prostatectomy- Robotic (Robotic Partial
Nephrectomy)
Hollmium YAG Prostate Surgery
Hollmium YAG OIU
Hollmium YAG Core Through
Hollmium YAG Stone Lithotripsy
Green Light laser for prostate
RIRS/ Flexible Ureteroscopy
Microscopic VEA/ Vaso-Vasostomy (for Infertility)
Cystoscopic Botulinum Toxin Injection ( Over
active bladder/ Neurogenic bladder)
18113
15000
4600
17250
10200
17250
6800
13500
6800
17250
5290
19838
11730
19838
7820
15525
7820
906
907
Peyronie’s disease – Plaque excision with grafting
High Intensity Focus Ultrasound (HIFU) (Robotic)
for Carcinoma prostrate and renal cell carcinoma
3400
4140
3910
4761
908
909
910
911
912
Prosthetic surgery for urinary incontinence
TRUS guided prostate biopsy
Ultra sound guided PCN
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE NEURO-SURGERY
Craniotomy and Evacuation of Haematoma Subdural
Craniotomy and Evacuation of Haematoma Extradural
Evacuation /Excision of Brain Abscess by
craniotomy
Excision of Lobe (Frontal Temporal Cerebellum
etc.)
Excision of Brain Tumours -Supratentorial
Excision of Brain Tumours -Infratentorial
2070
575
720
15000
6800
2381
661
828
17250
7820
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
913
914
915
916
917
918
2803
4839
4208
3043
414
3499
476
20499
23144
20830
52491
45644
51750
45000
46000
40000
47150
41000
35211
45000
40493
51750
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
941
942
943
944
945
946
947
948
949
950
951
952
953
954
955
956
957
958
959
Surgery of spinal Cord Tumours
Ventriculoatrial /Ventriculoperitoneal Shunt
Twist Drill Craniostomy
Subdural Tapping
Ventricular Tapping
Abscess Tapping
Placement of ICP Monitor Skull Traction Application
Lumber Pressure Monitoring
Vascular Malformations
Meningo Encephalocoele excision and repair
Meningomyelocoel Repair
C.S.F. Rhinorrhaea Repair
Cranioplasty
Anterior Cervical Dissectomy
Brachial Plexus Exploration and neurotization
Median Nerve Decompression
Peripheral Nerve Surgery – Major
Peripheral Nerve Surgery Minor
Ventriculo-Atrial Shunt
Nerve Biopsy
Brain Biopsy
Anterior Cervical Spine Surgery with fusion
Anterio Lateral Decompression of spine
Brain Mapping
Cervical or Dorsal or Lumbar Laminectomy
Combined Trans-oral Surgery & CV Junction
Fusion
C.V. Junction Fusion procedures
Depressed Fracture Elevation
Lumbar Discectomy
Endarterectomy (Carotid)
R.F. Lesion for Trigeminal Neuralgia
Spasticity Surgery Spinal Fusion Procedure
Spinal Intra Medullary Tumours
Spinal Bifida Surgery Major
Spinal Bifida Surgery Minor
Stereotaxic Procedures- biopsy/aspiration of cyst
Trans Sphenoidal Surgery
Trans Oral Surgery
Implantation of DBS -One electrode
45000
25000
4250
2456
2967
2875
2875
2070
4250
22000
15000
24995
28750
24150
16600
14250
14000
15525
8280
11615
6900
5808
32200
25875
837
23000
31500
30000
25000
27600
20000
11500
35708
30000
34250
18975
15000
23000
27000
30000
34500
51750
28750
4888
2824
3412
3306
3306
2381
4888
25300
17250
28744
33063
27773
19090
16388
16100
17854
9522
13357
7935
6679
37030
29756
963
26450
36225
34500
28750
31740
23000
13225
41064
34500
39388
21821
17250
26450
31050
34500
39675
960
961
962
963
964
965
966
967
968
Implantation of DBS -two electrodes
Endoscopic aqueductoplasty
Facial nerve reconstruction
Carotid stenting
Cervical disc arthroplasty
Lumbar disc arthroplasty
Corpus callostomy for Epilepsy
Hemishpherotomy for Epilepsy
Endoscopic CSF rhinorrhea repair
Burr hole evacuation of chronic subdural
haematoma
Epilepsy surgery
RF lesion for facet joint pain syndrome
Cervical laminoplasty
Lateral mass C1-C2 screw fixation
Microsurgical decompression for Trigeminal nerve
Microsurgical decompression for hemifacial spasm
IC EC bypass procedures
Image guided craniotomy
Baclofen pump implantation
Programmable VP shunt
Endoscopic sympathectomy
Lumber puncture
External ventricular drainage (EVD)
Endoscopic 3rd ventriculostomy
Endoscopic cranial surgery/Biopsy/aspiration
Endoscopic discectomy (Lumbar, Cervical)
Aneurysm coiling (Endovascular)
Surgery for skull fractures
Carpel Tunnel decompression
Clipping of intracranial aneurysm
Surgery for intracranial Arteriovenous
malformarions(AVM)
Foramen magnum decompression for Chari
Malformation
Dorsal column stimulation for backache in failed
back syndrome
40250
15000
27000
38037
27600
13800
31500
29950
30000
993
Surgery for recurrent disc prolapse/epidural fibrosis
32200
994
995
Surgery for brain stem tumours
Decompressive craniotomy for hemishpherical
acute subdural haematoma/brain swelling/large
infarct
Intra-arterial thrombolysis with TPA(for ischemic strok
43988
40000
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990
991
992
996
24150
36225
17250
32000
23000
38000
4646
32000
28980
39000
25000
17107
207
4600
36000
31536
35621
30960
36000
13500
22750
36000
46288
17250
31050
43743
31740
15870
36225
34443
34500
27773
41659
19838
36800
26450
43700
5343
36800
33327
44850
28750
19673
238
5290
41400
36266
40964
35604
41400
15525
26163
41400
1265
1100
28750
4600
33063
37030
50586
46000
5290
32545
40000
27560
37427
46000
31694
1000 Steriotactic Radiosurgery for brain pathology(X
knife / Gamma knife -Two or more sessions
57500
66125
1001
1002
1003
1004
1005
1006
1007
1008
1009
1010
1011
1012
1013
Chemotheraphy wafers for malignant brain tumors
Battery Placement for DBS
Baclofen pump implantation for spasticity
Peripheral Nerve tumor surgery
Surgery Intra Cranial Meningioma
Surgery for Intracranial Schwannoma
Surgery for Gliomas
Surgery for Orbital tumors
Surgery for Cranial (Skull) tumors
Surgery for Scalp AVM’s
Kyphoplasty
Balloon Kyphoplasty
Lesioning procedures for Parkinson’s disease,
Dystonia etc.
1014 Other Major Surgery
1015 Other Minor Surgery
TREATMENT PROCEDURE PAEDIATRIC
SURGERY
14450
19800
17330
21600
20000
35000
45000
40000
38500
25000
36000
36000
35000
16618
22770
19930
24840
23000
40250
51750
46000
44275
28750
41400
41400
40250
42500
17000
48875
19550
1016 Excision of thyroglossal Duct/Cyst
1017 Diaphragmatic Hernia Repair (Thoracic or
Abdominal Approach)
14450
17250
16618
1018
1019
1020
1021
1022
1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
20700
20700
17250
15525
3012
15525
15525
16000
12558
12000
12000
13500
13938
14000
20183
23805
23805
19838
17854
3464
17854
17854
18400
14442
13800
13800
15525
16029
16100
23210
997
998
999
Steriotactic aspiration of intracerebral haematoma
Endoscopic aspiration of intracerebellar haematoma
Steriotactic Radiosurgery for brain pathology(X
knife/ Gamma ) - ONE session
Tracheo Oesophageal Fistula (Correction Surgery)
Colon Replacement of Oesophagus
Omphalo Mesenteric Cyst Excision
Omphalo Mesenteric Duct- Excision
Meckels Diverticulectomy
Omphalocele 1st Stage (Hernia Repair)
Omphalocele 2nd Stge (Hernia Repair)
Gastrochisis Repair
Inguinal Herniotomy
Congenital Hydrocele
Hydrocele of Cord
Torsion Testis Operation
Congenital Pyloric Stenosis- operation
Duodenal- Atresia Operation
Pancreatic Ring Operation
19838
1033
1034
1035
1036
1037
1038
1039
1040
1041
Meconium Ileus Operation
Malrotation of Intestines Operation
Rectal Biopsy (Megacolon)
Colostomy Transverse
Colostomy Left Iliac
Abdominal Perineal Pull Through (Hirschaprugis
Disease)
Imperforate Anus Low Anomaly -Cut Back
Operation
Imperforate Anus Low Anomaly - Perineal
Anoplasty
Imperforate Anus High Anomaly -Sacroabdomino
Perineal Pull Through
14500
13000
8762
13500
13500
16675
14950
10076
15525
15525
19665
17100
11213
9750
13800
12000
12500
14375
9919
Imperforate Anus High Anomaly - Closure of
1042 Colostomy
1043 Intususception Operation
1044 Choledochoduodenostomy for Atresia of Extra
Hepatic Billiary Duct
8625
18630
15000
21425
17250
1045
1046
1047
1048
1049
Operation of Choledochal Cyst
Nephrectomy for -Pyonephrosis
Nephrectomy for - Hydronephrosis
Nephrectomy for -Wilms Tumour
Paraortic Lymphadenoctomy with Nephrectomy for
Wilms Tumour
16000
17000
15000
13500
18350
18400
19550
17250
15525
21103
1050
1051
1052
1053
1054
1055
1056
1057
1058
1059
Sacro-Coccygeal Teratoma Excision
Neuroblastoma Debulking
Neuroblastoma Total Excision
Rhabdomyosarcoma wide Excision
Congenital Atresia & Stenosis of Small Intestine
Muconium ileus
Mal-rotation & Volvulus of the Midgut
Excision of Meckle’s Deverticulum
Other Major Surgery
Other Minor Surgery
14000
15000
18630
15000
17100
14400
13500
12000
24300
10000
16100
17250
21425
17250
19665
16560
15525
13800
27945
11500
1060
1061
1062
1063
1064
1065
1066
TREATMENT PROCEDURE BURNS AND
PLASTIC SURGERY
Primary Suturing of Wound
Injection of Keloids - Ganglion
Injection of Keloids - Haemangioma
Free Grafts - Wolfe Grafts
Free Grafts - Theirech- Small Area 5%
Free Grafts - Large Area 10%
Free Grafts - Very Large Area 20% and above.
300
1099
1150
1725
7475
8000
10350
345
1264
1323
1984
8596
9200
11903
1067 Skin Flaps - Rotation Flaps
1068 Skin Flaps - Advancement Flaps
Skin Flaps - Direct- cross Leg Flaps- Cross Arm
1069 Flap
1070 Skin Flaps - Cross Finger
1071 Skin Flaps - Abdominal
1072 Skin Flaps - Thoracic
1073 Skin Flaps - Arm Etc.
1074 Subcutaneous Pedicle Flaps Raising
1075 Subcutaneous Pedicle Flaps Delay
1076 Subcutaneous Pedicle Flaps Transfer
1077 Cartilage Grafting
1078 Reduction of Facial Fractures of Nose
1079 Reduction of Facial Fractures of Maxilla
1080 Reduction of Fractures of Mandible & Maxilla - Eye
Let Splinting
1081 Reduction of Fractures of Mandible & Maxilla Cast Netal Splints
8970
12500
10316
14375
14375
12500
12500
9350
9350
11000
6900
5355
5355
8625
1380
7200
7475
14375
10753
10753
12650
7935
6158
6158
9919
1587
8280
8596
6900
7935
1082 Reduction of Fractures of Mandible & Maxilla Gumming Splints
7500
8625
1083
1084
1085
1086
1087
1088
1089
1090
Internal Wire Fixation of Mandible & Maxilla
Cleft Lip - repair.
Cleft Palate Repair
Primary Bone Grafting for alveolar cleft in Cleft Lip
Secondary Surgery for Cleft Lip Deformity
Secondary Surgery for Cleft Palate
Reconstruction of Eyelid Defects - Minor
Reconstruction of Eyelid Defects - Major
Plastic Surgery of Different Regions of the Ear Minor
Plastic Surgery of Different Regions of the Ear Major
Plastic Surgery of the Nose - Minor
Plastic Surgery of the Nose - Major
Plastic Surgery for Facial Paralysis (Support with
Reanimation)
10350
10350
12650
11500
10000
11385
6325
8500
11903
11903
14548
13225
11500
13093
7274
9775
9258
10350
8050
9500
16100
9258
10925
18515
Pendulous Breast - Mammoplasty
Underdeveloped Breast Mammoplasty
After Mastectomy (Reconstruction)Mammoplasty
Syndactyly Repair
Dermabrasion Face
upto 30% Burns 1st Dressing
13000
12000
12000
12750
13225
150
14950
13800
13800
14663
15209
173
1091
1092
1093
1094
1095
1096
1097
1098
1099
1100
1101
8050
11903
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
1116
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
1135
1136
1137
1138
1139
1140
1141
upto 30% Burns Subsequent Dressing
30% to 50% Burns 1st Dressing
30% to 50% Burns Subsequent Dressing
Extensive Burn -above 50% Frist Dressing
Extensive Burn -above 50% Subsequent dressing
TREATMENT PROCEDURE ORTHOPEDICS
Plaster Work
Fingers (post slab)
Fingers full plaster
Colles Fracture - Below elbow
Colles Fracture - Full plaster
Colles fracture Ant. Or post. slab
Above elbow full plaster
Above Knee post-slab
Below Knee full plaster
Below Knee post-slab
Tube Plaster (or plaster cylinder)
Above knee full plaster
Above knee full slab
Minerva Jacket
Plaster Jacket
Shoulder spica
Single Hip spica
Double Hip spica
Strapping of Finger
Strapping of Toes
Strapping of Wrist
Strapping of Elbow
Strapping of Knee
Strapping of Ankle
Strapping of Chest
Strapping of Shoulder
Figure of 8 bandage
Collar and cuff sling
Ball bandage
Application of P.O.P Casts for Upper & Lower
Limbs
Application of Functiol Cast Brace
Application of Skin Traction
Application of Skeletal Tractions
Bandage & Strappings for Fractures
Aspiration & Intra Articular Injections
124
193
152
276
193
143
222
175
317
222
255
250
250
880
895
400
173
575
173
718
800
1139
1042
2174
1967
1760
2019
2484
179
180
230
262
345
345
450
518
466
230
360
293
288
288
1012
1029
460
199
661
199
826
920
1310
1198
2500
2262
2024
2322
2857
206
207
265
301
397
397
518
596
536
265
414
656
570
1300
690
949
552
518
1495
794
1091
635
596
2560
2990
3174
5951
1142 Application of P.O.P Spices & Jackets
1143 Close Reduction of Fractures of Limb & P.O.P
1144 Reduction of Compound Fractures
Open Reduction & Internal Fixation of Fingurs &
1145 Toes
1146 Open Reduction offracture of Long Bones of Upper
/ Lower Limb -iling & Exterl Fixation
2226
2600
2760
5175
8050
9258
1147 Open Reduction of fracture of Long Bones of Upper
/ Lower Limb -AO Procedures
9660
11109
1148
1149
1150
1151
1152
1153
1154
1155
5658
6601
6900
7188
6900
8974
11500
13500
6507
7591
7935
8266
7935
10320
13225
15525
19044
1156
1157
1158
1159
1160
1161
1162
1163
1164
1165
1166
1167
1168
Tension Band Wirings
Bone Grafting
Excision of Bone Tumours
Excision or other Operations for Scaphoid Fractures
Sequestrectomy & Saucerisation
Sequestrectomy & Saucerizations -Arthrotomy
Multiple Pinning Fracture Neck Femur
Plate Fixations for Fracture Neck Femur
A.O.Compression Procedures for Fracture Neck
Femur
Open Reduction of Fracture Neck Femur Muscle
Pedicle Graft and Internal Fixations
Close Reduction of Dislocations
Open Reduction of Dislocations
Open Reduction of Fracture Dislocation & Internal
Fixation
Neurolysis/Nerve repair
Nerve Repair with Grafting
Tendon with Transplant or Graft
Tendon Lengthening/Tendon repair
Tendon Transfer
Laminectomy Excision Disc and Tumours
Spil Ostectomy and Internal Fixations
Anterolateral decompression for tuberculosis/ CostoTransversectomy
1169 Antereolateral Decompression and Spil Fusion
Corrective Ostectomy & Internal Fixation - short
1170 bones
Corrective Ostectomy & Internal Fixation - long
1171 bones
1172 Arthrodesis of - Minor Joints
1173 Arthrodesis of - Major Joints
1174 Soft Tissue Operations for C.T.E.V.
1175 Soft Tissue Operations for Polio
16560
19500
22425
3174
3439
13500
3650
3955
15525
13000
16675
10350
8050
3105
4830
24150
3450
14950
19176
11903
9258
3571
5555
27773
3968
17415
20027
14950
13000
12696
11040
10350
9000
8050
6900
11903
10350
9258
7935
1176
1177
1178
1179
1180
1181
1182
1183
1184
1185
1186
1187
1188
1189
1190
1191
1192
1193
Hemiarthroplasty- Hip
Hemiarthroplasty- Shoulder
Operations for Brachial Plexus & Cervical Rib
Amputations - Below Knee
Amputations - Below Elbow
Amputations - Above Knee
Amputations - Above Elbow
Amputations - Forequarter
Amputations -Hind Quarter and Hemipelvectomy
Disarticulations - Major joint
Disarticulations - Minor joint
Arthrography
Arthroscopy - Diagnostic
Arthroscopy-therapeutic: without implant
Arthroscopy-therapeutic: with implant
Soft Tissue Operation on JOINTS -SMALL
Soft Tissue Operation on JOINTS -LARGE
Myocutaneous and Fasciocutaneous Flap Procedures
for Limbs
18000
18000
24150
6900
6843
8050
6843
13225
18400
18630
12650
8280
7711
9000
15525
6900
13500
18630
20700
20700
27773
7935
7869
9258
7869
15209
21160
21425
14548
9522
8868
10350
17854
7935
15525
21425
1194
1195
1196
1197
1198
1199
1200
1201
1202
1203
1204
1205
1206
1207
1208
1209
1210
1211
1212
1213
1214
1215
Removal of Wires & Screw
Removal of Plates
Total Hip Replacement
Total Ankle Joint Replacement
Total Knee Joint Replacement
Total Shoulder Joint Replacement
Total Elbow Joint Replacement
Total Wrist Joint Replacement
Total finger joint replacement
Tubular external fixator
Ilizarov's external fixator
Pelvi-acetebular fracture -Internal fixation
Meniscectomy
Meniscus Repair
ACL Reconstruction
PCL Reconstruction
Knee Collateral Ligament Reconstruction
Bencarf Repair Shoulder
RC Repair
Biceps tenodesis
Distal biceps tendon repair
Arthrolysis of knee
1760
4140
79000
85860
99000
79000
79000
90000
18000
4600
7763
7763
12000
10000
8500
13500
12500
13200
1500
12600
10380
12500
2024
4761
90850
98739
113850
90850
90850
103500
20700
5290
8927
8927
13800
11500
9775
15525
14375
15180
1725
14490
11937
14375
1216
1217
1218
1219
1220
1221
1222
1223
Capsulotomy of Shoulder
Conservative Pop
Application for CTEV per sitting
Total Hip Replacement Revision
Stage-I
Total Hip Replacement Revision
Stage-II
Total Knee Replacement Revision Stage-I
Total Knee Replacement Revision Stage-II
Illizarov/ external fixation for limb lengthening/
deformity correction
1224 Discectomy/ Micro Discectomy
1225 Laminectomy
1226 Spinal Fixation Cervical/dorsolumbar/ lumbosacral
Fusion Surgery Cervical/ Lumbar Spine upto 2
1227 Level
1228 More than 2 Level
1229 Scoliosis Surgery/ Deformity Correction of Spine
1230 Vertebroplasty
1231 Spinal Injections
1232 DHS for Fracture Neck Femur
1233 Proximal Femoral Nail (PFN for IT Fracture)
1234 Spinal Osteotomy
1235 Illizarov’s / External Fixation for Trauma
1236 Soft Tissue Operations for Polio/ Cerebral Palsy
1237 Mini Fixator for Hand/Foot
1238 Other Major Surgery
1239 Other Minor Surgery
TREATMENT PROCEDURE PHYSIOTHERAPY
1240 Ultrasonic therapy
1241 S.W. Diathermy
1242 Electrical stimulation (therapeutic)
1243 Muscle testing and diagnostic
1244 Infra red
1245 U.V. Therapeutic dose
1246 Intermittent Lumbar Traction
1247 Intermittent Cervical traction
1248 Wax bath
1249 Hot pack
1250 Breathing Exercises & Postural Drainage
1251 Cerebral Palsy – exercise
1252 Post – polio exercise
NUCLEAR MEDICINE / RADIOTHERAPY AND
CHEMOTHERAPY
15800
1080
1200
17000
45000
35000
34500
12500
18170
1242
1380
19550
51750
40250
39675
14375
12500
4646
16000
14375
5343
18400
22943
19950
12000
25000
10800
450
15000
14000
1434
13000
10557
9000
34425
11883
75
75
75
71
75
58
75
75
75
75
50
50
50
13800
28750
12420
518
17250
16100
1649
14950
12141
10350
39589
13665
86
86
86
82
86
67
86
86
86
86
58
58
58
1253
1254
1255
1256
1257
1258
1259
1260
1261
1262
1263
1264
1265
1266
1267
1268
1269
1270
1271
1272
1273
1274
1275
1276
1277
1278
1279
1280
1281
1282
1283
1284
1285
1286
1287
Cobalt 60 therapy
Radical therapy
Palliative therapy
Linear accelerator
Radical therapy
Palliative therapy
3 D Planning
2 D Planing
IMRT(Intensity Modulated radiotherapy)
SRT (Stereotactic radiotherapy)
SRS(Stereotactic radio surgery)
IGRT(Image guided radiotherapy)
Respiratory Gating-alongwith Linear accelerator
planning
Electron beam with Linear accelerator
Tomotherapy
NUCLEAR MEDICINE / BRACHYTHERAPYHIGH DOSE RADIATION
Intracavitory
Interstitial
Intraluminal
Surface mould
GLIADAL WAFER
NUCLEAR MEDICINE / CHEMOTHARAPY
Neoadjuvant
Adjuvant
Concurrent-chemoadiation
Single drug
Multiple drugs
Targeted therapy
Chemoport facility
PICC line(peripherally inserted Central canulisation)
LIST OF PROCEDURES/ TESTS IN
GASTROENTEROLOGY/ENDOSCOPIC
PROCEDURES
Upper G.I. Endoscopy + Lower G.I. Endoscopy
Diagnostic endoscopy
Endoscopic biopsy
Endoscopic mucosal resection
Oesophageal stricture dilatation
Balloon dilatation of achalasia cardia
Foreign body removal
57375
61583
21994
26775
58650
34213
4888
4888
100878
60996
75000
135000
65981
70820
25293
30791
67448
39345
5621
5621
116010
70145
86250
155250
126500
110000
67473
71460
77594
82179
11730
55000
9775
4644
84510
13490
63250
11241
5341
97187
863
777
920
500
807
828
900
828
992
894
1058
575
928
952
1035
952
1725
250
345
1389
1725
2875
1553
1984
288
397
1597
1984
3306
1786
1288
1289
1290
1291
1292
1293
1294
1295
1296
1297
1298
1299
1300
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1311
1312
1313
1314
1315
1316
1317
1318
1319
1320
1321
1322
1323
1324
1325
1326
1327
1328
Oesophageal stenting
Band ligation of oesophageal varices
Sclerotherapy of oesophageal varices
Glue injection of varices
Argon plasma coagulation
Pyloric balloon dilatation
Enteranal stenting
Duodenal stricture dilation
Single balloon enterocopy
Double balloon enteroscopy
Capsule endoscopy
Piles banding
Colonic stricture dilatation
Hot biopsy forceps procedures
Colonic stenting
Junction biopsy
Conjugal microscopy
Endoscopic sphincterotomy
CBD stone extraction
CBD stricture dilatation
Biliary stenting (plastic and metallic)
Mechanical lithotripsy of CBD stones
Pancreatic sphincterotomy
Pancreatic stricture dilatation
Pancreatic stone extraction
Mechanical lithotripsy of pancreatic stones
Endoscopic cysto gastrostomy
Balloon dilatation of papilla
Ultrasound guided FNAC
Ultrasound guided abscess Drainage
PTBD
Diagnostic angiography
Vascular embolization
TIPS
IVC graphy + hepatic veinography
Muscular stenting
BRTO
Portal haemodymic studies
Manometry and PH metry
Oesophageal PH metry
Oesophageal manometry
3000
2500
2500
2500
4025
2415
3680
990
4000
3500
4950
1099
2737
3000
2737
2000
4000
2415
2415
6500
4830
8000
6375
5750
10098
11385
8050
6900
575
650
1150
2000
15000
5400
30791
87975
51750
1913
1612
5000
5000
3450
2875
2875
2875
4629
2777
4232
1139
4600
4025
5693
1264
3148
3450
3148
2300
4600
2777
2777
7475
5555
9200
7331
6613
11613
13093
9258
7935
661
748
1323
2300
17250
6210
35410
101171
59513
2200
1854
5750
5750
1329
1330
1331
1332
1333
1334
1335
1336
1337
1338
Small bowel manometry
Anorectal manometry
Colonic manometry
Biliary manometry
Sengstaken blackenesse tube tempode
Lintas machles tube tempode
Fecal fat test/ fecal chymotrypsin/ fecal elastase
Breath tests
Extra corporeal shortwave lithotripsy
Liver biopsy
NAME OF INVESTIGATION / DENTAL
Dental IOPA X-ray
Occlusal X-ray
OPG X-ray
NAME OF INVESTIGATION / PULMONARY
Lung Ventilation & Perfusion Scan (V/Q Scan)
Lung Perfusion Scan
NAME OF INVESTIGATION / OSTEOLOGY
Whole Body Bone Scan with SPECT.
Three phase whole body Bone Scan
NAME OF INVESTIGATION /
NEUROSCIENCES
Brain Perfusion SPECT Scan with Technetium 99m
radiopharmaceuticals.
6120
6120
6885
6885
2875
2875
350
300
37260
1380
7038
7038
7918
7918
3306
3306
403
345
42849
1587
50
78
196
58
90
225
3240
1800
3726
2070
3421
3421
3934
3934
9500
10925
1347 Radionuclide Cisternography for CSF leak
NAME OF INVESTIGATION / GASTRO AND
HEPATOBILIARY
3740
4301
1348 Gastro esophageal Reflux Study (G.E.R. Study)
1349 Gastro intestinal Bleed (GloB.) Study with
Technetium 99m labeled RBCs.
1955
3421
2248
3934
1350 Hepatobiliary Scintigraphy.
1351 Meckel's Scan
2444
1955
2811
2248
1352 Hepatosplenic scintigraphy with Technetium-99m
radiopharmaceuticals
1353 Gastric emptying
1870
2151
1275
1466
3421
3934
3421
3421
1960
3934
3934
2254
1339
1340
1341
1342
1343
1344
1345
1346
1354
1355
1356
1357
NAME OF INVESTIGATION /
GENITOURINARY
Renal Cortical Scintigraphy with Technetium 99m
D.M.S.A.
Dynamic Renography.
Dynamic Renography with Diuretic.
Dynamic Renography with Captopril
1358 Testicular Scan
NAME OF INVESTIGATION /
ENDOCRINOLOGY
1359 Thyroid Uptake measurements with 131-Iodine.
1360 Thyroid Scan with Technetium 99m Pertechnetate.
1361 Lodine-131 Whole Body Scan.
1362 Whole Body Scan with M.I.B.G.
1363 Parathyroid Scan
1364
1365
1366
1367
1368
1369
1370
1371
1372
1373
1374
1375
1376
1377
1378
1379
1380
1381
1382
NAME OF INVESTIGATION / RADIO-ISOTOPE
THERAPY
131-lodine Therapy
131-lodine Therapy <15mCi
131-lodine Therapy 15-50mCi
131-lodine Therapy 51-100mCi
131-lodine Therapy >100mCi
Phosphorus-32 therapy for metastatic bone pain
palliation
Samarium-153 therapy for metastatic bone pain
palliation
Radiosynovectomy with Yttrium
NAME OF INVESTIGATION / CARDIOLOGY
Stress thallium / Myocardial Perfusion Scintigraphy
Rest thallium / Myocardial Perfusion Scintigraphy
Venography
TMT
TEE
Lymph angiography
NAME OF INVESTIGATION / TUMOUR
IMAGING
Scintimammography.
Indium lableled octeriotide Scan.
NAME OF INVESTIGATION / PET SCAN
FDG Whole body PET / CT Scan
Brain I Heart FDG PET / CTScan,
Gallium-68 Peptide PET / CT imaging for
Neuroendocrine Tumor
LABORATORY MEDICINE / CLINICAL
PATHOLOGY
1383 Urine routine- pH, Specific gravity, sugar, protein
and microscopy
1384 Urine-Microalbumin
1385 Stool routine
1386 Stool occult blood
1466
1686
0
1564
1466
2933
15836
4888
1799
1686
3373
18211
5621
1530
3854
4956
12000
15000
1760
4432
5699
13800
17250
5750
5000
12018
10450
19125
21994
9450
8000
3300
489
489
1613
10868
9200
3795
562
562
1855
4800
72000
5520
82800
20528
14663
15000
23607
16862
17250
35
40
63
35
24
72
40
28
1387 Post coital smear examination
1388 Semen analysis
LABORATORY MEDICINE / HAEMATOLOGY
1389 Haemoglobin (Hb)
1390 Total Leucocytic Count (TLC)
1391 Differential Leucocytic Count (DLC)
1392 E.S.R.
Total Red Cell count with
1393 MCV,MCH,MCHC,DRW
1394 Complete Haemogram/CBC, Hb,RBC count and
indices, TLC, DLC, Platelet, ESR, Peripheral smear
examination
1395 Platelet count
1396 Reticulocyte count
1397 Absolute Eosinophil count
1398 Packed Cell Volume (PCV)
1399 Peripheral Smear Examination
1400 Smear for Malaria parasite
1401 Bleeding Time
1402 Osmotic fragility Test
1403 Bone Marrow Smear Examination
1404 Bone Marrow Smear Examination with iron stain
Bone Marrow Smear Examination and
1405 cytochemistry
1406 Activated partial ThromboplastinTime (APTT)
1407 Rapid test for malaria(card test)
1408 WBC cytochemistry for leukemia -Complete panel
1409 Bleeding Disorder panel- PT, APTT, Thrombin
Time Fibrinogen, D-Dimer/ FDP
1410
1411
1412
1413
Factor Assays-Factor VIII
Factor Assays-Factor IX
Platelet Function test
Tests for hypercoagulable states- Protein C, Protein
S, Antithrombin
1414 Tests for lupus anticoagulant
1415 Tests for Antiphospholipid antibody IgG, IgM ( for
cardiolipin and B2 Glycoprotein 1)
1416
1417
1418
1419
Thalassemia studies (Red Cell indices and Hb
HPLC)
Tests for Sickling / Hb HPLC)
LABORATORY MEDICINE / BLOOD BANK
Blood Group & RH Type
Cross match
30
35
35
40
18
31
31
25
21
36
36
29
37
32
135
43
48
48
13
43
40
35
45
70
250
155
49
55
55
15
49
46
40
52
81
288
455
396
102
44
110
400
117
51
127
460
720
680
50
400
828
782
58
460
150
450
173
518
644
560
77
89
30
50
35
58
Coomb’s Test Direct
Coomb’s Test Indirect
3 cell panel- antibody screening for pregnant female
11 cells panel for antibody identification
HBs Ag
HCV
HIV I and II
VDRL
RH Antibody titer
Platelet Concentrate
Random Donor Platelet(RDP)
Single Donor Platelet (SDP- Aphresis)
LABORATORY MEDICINE /
HISTOPATHOLOGY
Routine-H & E
special stain
Immunohistochemistry(IHC)
Frozen section
Paraffin section
LABORATORY MEDICINE / CYTOLOGY
Pap Smear
Body fluid for Malignant cells
FNAC
NAME OF INVESTIGATION / FLOW
CYTOMETRY
90
100
170
170
102
120
135
43
80
56
115
135
104
115
196
196
117
138
155
49
92
64
132
155
90
65
675
702
309
104
75
776
807
355
150
150
200
173
173
230
1440 Leukemia panel /Lymphoma panel
1536
1766
1441 PNH Panel-CD55,CD59
LABORATORY MEDICINE / CYTOGENETIC
STUDIES
1442 Karyotyping
1443 FISH
1000
1150
1539
500
1770
575
24
50
54
55
25
20
30
35
18
100
28
58
62
63
29
23
35
40
21
115
1420
1421
1422
1423
1424
1425
1426
1427
1428
1429
1430
1431
1432
1433
1434
1435
1436
1437
1438
1439
1444
1445
1446
1447
1448
1449
1450
1451
1452
1453
LABORATORY MEDICINE / BIO-CHEMISTRY
Blood Glucose Random
24 hrs urine for Proteins,Sodium, creatinine
Blood Urea Nitrogen
Serum Creatinine
Urine Bile Pigment and Salt
Urine Urobilinogen
Urine Ketones
Urine Occult Blood
Urine total proteins
Rheumatoid Factor test
1454
1455
1456
1457
1458
1459
1460
1461
1462
1463
1464
1465
1466
1467
1468
1469
1470
1471
1472
1473
1474
1475
1476
1477
1478
1479
1480
1481
1482
1483
1484
1485
1486
1487
1488
1489
1490
1491
1492
1493
1494
Bence Jones protein
Serum Uric Acid
Serum Bilirubin total & direct
Serum Iron
C.R.P.
C.R.P Quantitative
Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein
etc.
Albumin.
Creatinine clearance.
Serum Cholesterol
Total Iron Binding Capacity
Glucose (Fasting & PP)
Serum Calcium –Total
Serum Calcium –Ionic
Serum Phosphorus
Total Protein Alb/Glo Ratio
IgG.
IgM.
IgA.
ANA.
Ds DNA.
S.G.P.T.
S.G.O.T.
Serum amylase
Serum Lipase
Serum Lactate
Serum Magnesium
Serum Sodium
Serum Potassium
Serum Ammonia
Anemia Profile
Serum Testosterone
Imprint Smear From Endoscopy
Triglyceride
Glucose Tolerance Test (GTT)
Triple Marker.
C.P.K.
Foetal Haemoglobin (HbF)
Prothrombin Time (P.T.)
L.D.H.
Alkaline Phosphatase
47
55
80
81
100
160
90
18
80
60
80
47
60
44
60
50
225
225
225
200
350
55
55
117
130
65
100
50
50
90
204
150
240
75
90
800
100
85
110
90
60
54
63
92
93
115
184
104
21
92
69
92
54
69
51
69
58
259
259
259
230
403
63
63
135
150
75
115
58
58
104
235
173
276
86
104
920
115
98
127
104
69
1495
1496
1497
1498
1499
1500
1501
1502
1503
1504
1505
1506
1507
1508
1509
1510
1511
1512
1513
1514
1515
1516
1517
1518
1519
1520
1521
1522
1523
1524
1525
1526
1527
1528
1529
1530
1531
1532
Acid Phosphatase
CK MB
CK MB Mass
Troponin I
Troponin T
Glucose Phosphate Dehydrogenase (G, 6PD)
Lithium.
Dilantin (phenytoin).
Carbamazepine.
Valproic acid.
Feritin.
Blood gas analysis
Blood gas analysis with electrolytes
Urine pregnancy test
Tests for Antiphospholipid antibodies syndrome.
Hb A1 C
Hb Electrophoresis/ Hb HPLC
Kidney Function Test.
Liver Function Test.
Lipid Profile.( Total
cholesterol,LDL,HDL,treigylcerides)
Nutritional Markers
Serum Iron
Total Iron Binding Capacity
Serum Ferritin
Vitamin B12 assay.
Folic Acid assay.
Extended Lipid Profile.( Total
cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo
B,Lp(a) )
Apo A1.
Apo B.
Lp (a).
CD 3,4 and 8 counts
CD 3,4 and 8 percentage
LDL.
Homocysteine.
HB Electrophoresis.
Serum Electrophoresis.
Fibrinogen.
Chloride.
Magnesium.
78
190
140
100
600
100
130
400
400
300
250
120
460
60
280
130
100
203
225
90
219
161
115
690
115
150
460
460
345
288
138
529
69
322
150
115
233
259
230
200
90
90
100
250
300
550
104
104
115
288
345
633
200
199
445
170
170
62
360
440
220
165
60
150
230
229
512
196
196
71
414
506
253
190
69
173
1533
1534
1535
1536
1537
1538
1539
1540
1541
1542
1543
1544
1545
1546
1547
1548
1549
1550
1551
1552
1553
1554
1555
1556
1557
1558
1559
1560
1561
1562
1563
1564
1565
1566
1567
1568
1569
GGTP.
Lipase.
Fructosamine.
β2 microglobulin
Catecholamines.
Creatinine clearance.
NAME OF INVESTIGATION / TUMOUR
MARKERS
PSA- Total.
PSA- Free.
AFP.
HCG.
CA. 125.
CA 19,9.
CA 15.3.
Vinyl Mandelic Acid
Calcitonin
Carcioembryonic antigen(CEA)
OTHERS
Immunofluorescence
Direct(Skin and kidney Disease)
Indirect (antids DNA Anti Smith ANCA)
VitD3 assay
Serum Protein electrophoresis with
immunofixationelectrophoresis (IFE)
90
239
200
90
945
120
104
275
230
104
1087
138
300
375
270
260
391
616
560
315
500
340
135
383
383
550
270
345
431
311
299
450
708
644
362
575
391
0
155
440
440
633
311
BETA-2 Microglobulin assay
Anti cycliocitrullinated peptide (Anti CCP)
Anti tissuetransglutaminase antibody
Serum Erythropoetin
ACTH
HARMONES
T3, T4, TSH
T3
T4
TSH
LH
FSH
Prolactin
Cortisol
PTH(Paratharmone)
C-Peptide.
Insulin.
100
450
383
383
450
115
518
440
440
518
200
64
64
90
150
150
150
250
500
330
150
230
74
74
104
173
173
173
288
575
380
173
1570
1571
1572
1573
1574
1575
1576
1577
1578
1579
1580
1581
1582
1583
1584
1585
1586
1587
1588
1589
1590
1591
1592
1593
1594
1595
1596
1597
1598
1599
1600
1601
1602
1603
1604
1605
1606
1607
Progesterone.
17-DH Progesterone.
DHEAS.
Androstendione.
Growth Hormone.
TPO.
Throglobulin.
Hydatic Serology.
Anti Sperm Antibodies.
Qualitative.
Quantitative.
Qualitative.
HPV serology
Rota Virus serology
PCR for TB
PCR for HIV
Chlamydae antigen
chlamydae antibody
Brucella serology
Influenza A serology
USG, X-RAY , CT, MRI, BONE
DENSITOMETRY
USG for Obstetrics - Anomalies scan
Abdomen USG
Pelvic USG ( prostate, gynae, infertility etc)
Small parts USG ( scrotum, thyroid , parathyroid
etc)
Neonatal head (Tranfontanellar)
Neonatal spine
Contrast enhanced USG
USG Breast
USG Hystero-Salpaingography (HSG)
Carotid Doppler
Arterial Colour Doppler
Venous Colour Doppler
Colour Doppler, renal arteries/any other organ
USG guided intervention- FNAC
USG guided intervention - biopsy
USG guided intervention - nephrostomy
X-Ray
Abdomen AP Supine or Erect (One film)
Abdomen Lateral view (one film)
225
440
440
600
340
300
300
286
342
2000
1500
1691
218
130
900
600
765
238
230
943
259
506
506
690
391
345
345
329
393
2300
1725
1945
251
150
1035
690
880
274
265
1084
300
323
255
345
371
293
401
349
425
500
810
349
255
800
706
706
800
490
720
800
489
575
932
401
293
920
812
812
920
564
828
920
128
128
147
147
1608
1609
1610
1611
1612
1613
1614
1615
1616
1617
1618
1619
1620
1621
1622
1623
1624
1625
1626
1627
1628
1629
1630
1631
1632
1633
1634
1635
1636
1637
1638
1639
1640
1641
Chest PA view (one film)
Chest Lateral (one film)
Mastoids: Towne view, oblique views (3 films)
Extremities, bones & Joints AP & Lateralviews(Two
films)
Pelvis A.P (one film)
T. M. Joints (one film)
Abdomen & Pelvis for K. U. B.
Skull A. P. & Lateral (2 films)
Spine A. P. & Lateral (2 films)
PNS view (1 film)
X RAY CONTRAST STUDIES
Barium Swallow
Barium Upper GI study
Barium Upper GI study (Double contrast)
Barium Meal follow through
Barium Enema (Single contrast/double contrast)
Small bowel enteroclysis
ERCP (Endoscopic Retrograde Cholangio
Pancreatography)
General :Fistulography /Sinography/Sialography/
Dacrocystography/T-Tube
cholangiogram/Nephrostogram
Percutaneous transhepatic cholangiography (PTC)
Intravenous Pyelography (IVP)
Micturating Cystourethrography (MCU)
Retrograde Urethrography (RGU)
Contrast Hystero-Salpingography (HSG)
X ray - Arthrography
Cephalography
Myelography
Diagnostic Digital Subtraction Angiography (DSA)
MAMMOGRAPHY
X-ray Mammography
MRI Mammography
CT
CT Head-Without Contrast
CT Head- with Contrast (+/- CT angiography)
C. T. Chest - without contrast (for lungs)
C. T. Scan Lower Abdomen(incl. Pelvis) With
Contrast
C. T. Scan Lower Abdomen( Incl. Pelvis) Without
Contrast
60
60
225
250
69
69
259
288
110
110
128
255
250
110
127
127
147
293
288
127
500
720
842
842
765
918
2250
575
828
968
968
880
1056
2588
638
734
1296
1190
680
612
1020
700
150
2475
1749
1490
1369
782
704
1173
805
173
2846
2011
315
2550
362
2933
900
1350
1700
1035
1553
1955
1955
1700
1500
1725
1642
1643
1644
1645
1646
1647
1648
1649
1650
1651
1652
1653
C. T. Scan Whole Abdomen Without Contrast
C. T. Scan Whole Abdomen With Contrast
Triple Phase CT abdomen
CT angiography abdomen/ Chest
CT Enteroclysis
C. T. Scan Neck – Without Contrast
C. T. Scan Neck – With Contrast
C. T. Scan Orbits - Without Contrast
C. T. Scan Orbits - With Contrast
C. T. Scan of Para Nasal Sinuses- Without Contrast
C. T. Scan of Para Nasal Sinuses - With Contrast
C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)–
without contrast
CT Temporal bone – without contrast
CT - Dental
C. T. Scan Limbs -Without Contrast
C. T. Scan Limbs -With Contrast including
CTangiography
1658 C.T. Guided intervention –FNAC
1659 C.T. Guided Trucut Biopsy
1660 C. T. Guided intervention -percutaneous catheter
drainage / tube placement
1654
1655
1656
1657
1661
1662
1663
1664
1665
1666
1667
1668
1669
1670
1671
1672
1673
1674
1675
1676
1677
1678
1679
MRI
MRI Head – Without Contrast
MRI Head – With Contrast
MRI Orbits – Without Contrast
MRI Orbits – With Contrast
MRI Nasopharynx and PNS – Without Contrast
MRI Nasopharynx and PNS – With Contrast
MR for Salivary Glands with Sialography
MRI Neck - Without Contrast
MRI Neck- with contrast
MRI Shoulder – Without contrast
MRI Shoulder – With conntrast
MRI shoulder both Joints - Without contrast
MRI Shoulder both joints – With contrast
MRI Wrist Single joint - Without contrast
MRI Wrist Single joint - With contrast
MRI Wrist both joints - Without contrast
MRI Wrist Both joints - With contrast
MRI knee Single joint - Without contrast
MRI knee Single joint - With contrast
3000
4125
4500
4500
5400
1500
1870
1190
1615
900
1600
1500
3450
4744
5175
5175
6210
1725
2151
1369
1857
1035
1840
1725
893
1275
1700
2253
1027
1466
1955
2591
1200
1200
1175
1380
1380
1351
1998
2848
1445
2000
2450
3500
3000
3000
5000
2000
2600
3000
4000
2125
4000
2125
5000
2125
5000
2298
3275
1662
2300
2818
4025
3450
3450
5750
2300
2990
3450
4600
2444
4600
2444
5750
2444
5750
1680
1681
1682
1683
1684
1685
1686
1687
1688
1689
1690
1691
1692
1693
1694
1695
1696
1697
1698
1699
1700
1701
1702
MRI knee both joints - Without contrast
MRI knee both joints - With contrast
MRI Ankle Single joint - Without contrast
MRI Ankle single joint - With contrast
MRI Ankle both joints - With contrast
MRI Ankle both joints - Without contrast
MRI Hip - With contrast
MRI Hip – without contrast
MRI Pelvis – Without Contrast
MRI Pelvis – with contrast
MRI Extremities - With contrast
MRI Extremities - Without contrast
MRI Temporomandibular – B/L - With contrast
MRI Temporomandibular – B/L - Without contrast
MR Temporal Bone/ Inner ear with contrast
MR Temporal Bone/ Inner ear without contrast
MRI Abdomen – Without Contrast
MRI Abdomen – With Contrast
MRI Breast - With Contrast
MRI Breast - Without Contrast
MRI Spine Screening - Without Contrast
MRI Chest – Without Contrast
MRI Chest – With Contrast
MRI Cervical/Cervico Dorsal Spine – Without
Contrast
MRI Cervical/ Cervico Dorsal Spine – With
Contrast
MRI Dorsal/ Dorso Lumbar Spine - Without
Contrast
MRI Dorsal/ Dorso Lumbar Spine – With Contrast
MRI Lumbar/ Lumbo-Sacral Spine – Without
Contrast
MRI Lumbar/ Lumbo-Sacral Spine – With Contrast
Whole body MRI (For oncological workup)
MR cholecysto-pancreatography.
MRI Angiography - with contrast
MR Enteroclysis
BONE DENSITOMETRY (DEXA SCAN)
2125
5000
2125
5000
5000
2500
2500
2125
2125
5000
5000
2125
4000
2125
4000
2500
2125
5000
4250
2125
1000
2125
4000
1713 Dexa Scan Bone Densitometry - Two sites
1714 Dexa Scan Bone Densitometry - Three sites (Spine,
Hip & extremity)
1350
1800
1715 Dexa Scan Bone Densitometry Whole body
2205
1703
1704
1705
1706
1707
1708
1709
1710
1711
1712
2444
5750
2444
5750
5750
2875
2875
2444
2444
5750
5750
2444
4600
2444
4600
2875
2444
5750
4888
2444
1150
2444
4600
2444
2125
4600
4000
2444
2125
4000
2125
5000
5100
4950
5000
2125
4600
2444
5750
5865
5693
5750
2444
0
1553
2070
2536
1716
1717
1718
1719
1720
1721
1722
1723
1724
1725
1726
1727
1728
1729
1730
NEUROLOGICAL INVESTIGATIONS AND
PROCEDURES
EEG/Video EEG
EMG (Electro myography)
Nerve condition velocity (at least 2 limbs)
Decremental response (before and after neo
stigmine)
Incremental response
SSEP (Somato sensory evoked potentials)
Poly somnography
Brachial plexus study
Muscle biopsy
ACHR anti body titre
Anti MUSK body titre
Serum COPPER
Serum ceruloplasmin
Urinary copper
Serum homocystine
298
638
638
595
595
638
638
638
383
1663
2106
450
405
450
405
343
734
734
684
1731 Serum valproate level
284
684
734
734
734
440
1912
2422
518
466
518
466
327
1732 Serum phenol barbitone level
315
362
1733 Coagulation profile
498
573
1734 Protein C, S anti thrombine – III
2160
2484
1735 Serum lactate level
CSF
1736 Basic studies including cell count, protein, sugar,
gram stain, India Ink preparation and smear for AFP
405
466
240
276
1737
1738
1739
1740
1741
1742
Special studies
PCR for tuberculosis/ Herpes simplex
Bacterial culture and sensitivity
Mycobacterial culture and sensitivity
Fungal culture
Malignant cells
Anti measles antibody titre (with serum antibody
1743 titre)
1744 Viral culture
1745 Antibody titre (Herpes simplex, cytomegalo virus,
flavivirus, zoster varicella virus)
1000
1080
180
200
128
64
1150
1242
207
230
147
74
1024
890
255
760
293
874
1746
1747
1748
1749
1200
1871
298
1138
1380
2152
343
1309
Oligoclonal band
Myelin Basic protein
Lactate
Crypto coccal antigen
1750
1751
1752
1753
1754
1755
TESTS IN GASTRO-ENTEROLOGY
D-xylase test
Fecal fat test/ fecal chymotrypsin/ fecal elastase
Breath tests
H pylori serology for ciliac disease
HBV genotyping
HCV genotyping
850
850
1300
500
2500
4875
978
978
1495
575
2875
5606
1756
1757
1758
1759
1760
1761
1762
1763
1764
1765
1766
1767
1768
1769
1770
1771
1772
1773
1774
1775
1776
1777
1778
1779
1780
TESTS IN ENDOCRINOLOGY ( IN ADDITION
TO THOSE INCLUDED UNDER HARMONES)
Urinary VMA
Urinary metanephrine/Normetanephrine
Urinary free catecholamine
Serum catecholamine
Serum aldosterone
24 Hr urinary aldosterone
Plasma renin activity
Serum aldosterone/renin ratio
Osmolality urine
Osmolality serum
Urinary sodium
Urinary Chloride
Urinary potassium
Urinary calcium
Thyroid binding globulin
24 hr. urinary free cotisole
Islet cell antebody
GAD antibody
Insulin associated antibody
IGF-1
IGF-BP3
Sex hormone binding globulin
USG guided FNAC thyroid gland
E2
Thyro globulin antibody
1350
1138
1690
3060
1013
828
900
1080
128
128
80
43
80
80
510
200
675
1330
449
1350
1485
1200
387
208
587
1553
1309
1944
3519
1165
952
1035
1242
147
147
92
49
92
92
587
230
776
1530
516
1553
1708
1380
445
239
675
-------------------------------------------------------------------------------------------------------------------------------
AGREEMENT
BETWEEN
ADDITIONAL DIRECTOR, CGHS
AND
…………………………………Name of the City (except Mumbai)
This Agreement is made on the ________ day of _________, 2014 between the President of
India acting through ADDITIONAL DIRECTOR, Central Government Health Scheme, Ministry of
Health & F.W., Government of India having its office at Nirman Bhawan, New Delhi (hereinafter
called CGHS, which expression shall, unless repugnant to the context or meaning thereof, be
deemed to mean and include its successors and assigns) of the First Part
AND
……………………………………….. (Name of the Hospital with Address) of the Second Part.
WHEREAS, the Central Government Health Scheme is providing comprehensive medical care
facilities to the Central Government Employees / Pensioners and such other categories of
beneficiaries as are decided from time to time.
AND WHEREAS, CGHS proposes to provide treatment facilities and diagnostic facilities to the
Beneficiaries in the Private empanelled Hospitals, exclusive eye hospitals/centres, exclusive
dental clinics, Diagnostic Laboratories/ Imaging centres in -------------(Name of City)
AND WHEREAS, (Name of the Hospitals, Exclusive Eye Hospitals/ Centres, Exclusive Dental
Clinics and Diagnostic Laboratories/ Imaging Centers) has agreed to give the following
treatment / diagnostic facilities to the CGHS Beneficiaries in the Health Care Organization at the
rates offered by CGHS:
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………
NOW, THEREFORE, IT IS HEREBY AGREED between the Parties as follows:
1. DEFINITIONS & INTERPRETATIONS
1.1 The following terms and expressions shall have the following meanings for
purposes of this Agreement:
1.1.1 “Agreement” shall mean this Agreement and all Schedules, supplements,
appendices, appendages and modifications thereof made in accordance
with the terms of this Agreement.
1.1.2 “Benefit” shall mean the extent or degree of service the beneficiaries are
entitled to receive as per the rules on the subject.
1.1.3 “Bill Clearing Agency “(BCA) means the agency appointed by CGHS for
processing of Data/ Bills of all CGHS beneficiaries (both serving and
pensioner) attending the empanelled Private Hospitals and for making
payment.
1.1.4 “Card” shall mean the CGHS Card, issued by any competent authority, of
any CGHS city.
1.1.5 “Card Holder” shall mean a person having a CGHS Card .
1.1.6 “CGHS Beneficiary” shall mean a person who is eligible for coverage of
CGHS and hold a valid CGHS card for the benefit.
1.1.7 “Coverage” shall mean the types of persons to be eligible as the
beneficiaries of the Scheme to health services provided under the
Scheme, subject to the terms, conditions and limitations.
1.1.8 “Diagnostic Center” shall mean the (Name of the Diagnostic Center)
performing tests / investigations
1.1.9 “ Imaging Centre” shall mean the (Name of the Imaging Centre)
performing X-ray , CT Scan, MRI, USG, etc.,
1.1.10 “Emergency” shall mean any condition or symptom resulting from any
cause, arising suddenly and if not treated at the early convenience, be
detrimental to the health of the patient or will jeopardize the life of the patient.
1.1.11 “Empanelment” shall mean the hospitals, exclusive eye hospitals/centres,
exclusive dental clinics, Diagnostic Laboratories/ Imaging centres
authorized by the CGHS for treatment/ investigation purposes for a
particular period.
1.1.12 “Hospital” shall mean the (Name of the Hospital) while performing under
this Agreement providing medical investigation, treatment and the
healthcare of human beings.
1.1.13 “De-recognition of Hospital” shall mean debarring the hospital on account
of adopting unethical practices or fraudulent means in providing medical
treatment to or not following the good industry practices of the health care
for the CGHS beneficiaries after following certain procedure of inquiry
1.1.14 “Party” shall mean either the CGHS or the Hospital and “Parties” shall
mean both the CGHS and the Hospital .
1.1.15 “CGHS “Package Rate” shall mean all inclusive – including lump sum
cost of inpatient treatment / day care / diagnostic procedure for which a
CGHS beneficiary has been permitted by the competent authority or for
treatment under emergency from the time of admission to the time of
discharge including (but not limited to) – (i) Registration charges, (ii)
Admission charges, (iii) Accommodation charges including patients diet,
(iv) Operation charges, (v) Injection charges, (vi) Dressing charges, (vii)
Doctor / consultant visit charges, (viii) ICU / ICCU charges, (ix) Monitoring
charges, (x) Transfusion charges and Blood processing charges (xi)Pre
Anesthetic checkup and Anesthesia charges, (xii) Operation theatre
charges, (xiii) Procedural charges / surgeon‟s fee, (xiv) Cost of surgical
disposables and all sundries used during hospitalization, (xv) Cost of
medicines and consumables (xvi) Related routine and essential
investigations (xvii) Physiotherapy charges etc. (xviii) Nursing care
charges etc.
Package rates also include two pre-operative consultations and two postoperative
consultations.
Cost of Implants / stents / grafts is reimbursable in addition to package
rates as per CGHS ceiling rates or as per actual, whichever is lower.
In case a beneficiary demands a specific Brand of Stent / Implant and
give his consent in writing, the difference in cost over and above the
ceiling rate may be charged from the beneficiary, which is nonreimbursable.
During In-patient treatment of the CGHS beneficiary, the hospital will not
ask the beneficiary or his / her attendant to purchase separately the
medicines / sundries / equipment or accessories from outside and will
provide the treatment within the package rate, fixed by the CGHS which
includes the cost of all the items.
However, the following items are not admissible for reimbursement:
Toiletries
Sanitary napkins
Talcum powder
Mouth fresheners
In cases of conservative treatment / where there is no CGHS package
rate, calculation of admissible amount would be done item wise as per
CGHS rates or as per AIIMS rates , if there is no CGHS rate for a
particular item.
Package rates envisage up to a maximum duration of indoor treatment as
follows:
Upto 12 days for Specialized (Super Specialties) treatment
Upto 7 days for other Major Surgeries
Upto 3 days for / Laparoscopic surgeries / elective Angioplasty /
normal deliveries and
1 day for day care / Minor (OPD) surgeries.
However, if the beneficiary has to stay in the hospital for his / her
recovery for a period more than the period covered in package rate, in
exceptional cases, supported by relevant medical records and certified as
such by hospital, the additional reimbursement may be allowed, which
shall be limited to accommodation charges as per entitlement ,
investigations charges at approved rates, doctors visit charges (not more
than 2 visits per day per visit by specialists / consultants) and cost of
medicines for additional stay).
No additional charge on account of extended period of stay shall be
allowed if that extension is due to infection on the consequences of
surgical procedure/ faulty investigation procedure etc.
The empanelled health Care Organization cannot charge more than
CGHS approved rates when a patient is admitted with valid CGHS Card
with prior permission or under emergency. In case of any instance of
overcharging the overcharged amount over and above CGHS rate
(except inadmissible items and difference paid due to implant/stent of a
specific brand chosen by CGHS beneficiary) shall be paid to the
beneficiary and shall be recovered from the pending bills of the hospital.
If any empanelled health care Organization charges from CGHS
beneficiary for any expenses incurred over and above the package rates
vis-à-vis medicine, consumables, sundry equipment and accessories etc.,
which are purchased from external sources, based on specific
authorization of treating doctor / staff of the concerned hospital and if
they are not falling under the list of non-admissible items, reimbursement
shall be made to the beneficiary and the amount shall be recovered from
the pending bills of hospitals.
1.1.16.“BCA” shall mean a Third Party Administrator authorized by CGHS to
process the medical reimbursement claims or to carry out medical audit.
Annexures-I shall be deemed to be an integral part of this Agreement.
The terms and conditions stipulated in the tender document shall be read as part
of this agreement.
2. DURATION OF AGREEMENT
The Agreement shall remain in force for a period of 2 years or till it is modified or
revoked, whichever is earlier. The Agreement may be extended for another year subject
to fulfillment of all the terms and conditions of this Agreement and with mutual consent of
both parties.
3. CONDITIONS FOR PROVIDING TREATMENT/SERVICES
A. GENERAL CONDITIONS
The hospitals, Exclusive Eye hospitals/centres, Exclusive Dental Clinics and Diagnostic
centres shall be empanelled for all facilities/services available in the health care
organization as approved by NABH/NABL/QCI and shall not be empanelled for
selected specialties/ facilities.
The Hospitals, Exclusive Eye Hospitals/centres, Exclusive Dental clinics, Diagnostic Laboratories/ Imaging
Centres shall investigate / treat the CGHS beneficiaries only for the condition for which
they are referred with due authorization letter.
In case of unforeseen emergencies of these patients during admission for approved
procedure, „provisions of emergency treatment‟ shall be applicable.
It is agreed that CGHS beneficiaries shall be attended to on priority.
CGHS has the right to monitor the treatment provided in the Private Hospitals, exclusive
eye hospitals/centres, exclusive dental clinics, Diagnostic Laboratories/ Imaging centres.
A. AUTHORISATION LETTER FOR TREATMENT
The treatment/procedure shall be performed on the basis of the authorization letter
issued by the Chief Medical Officer of the concerned CGHS dispensary in case of
pensioners and by the administrative department / Ministry in case of serving employees
and on the production of a valid CGHS card by the beneficiary.
B. INVESTIGATIONS PRIOR TO ADMISSION
All investigations regarding fitness for the surgery will be done prior to the admission for
any elective procedure and are part of package.
C. ADDITIONAL PROCEDURES/INVESTIGATIONS
For any material / additional procedure / investigation other than the condition for which
the patient was initially permitted, would require the permission of the competent
authority except under emergency.
D. PROCEDURE WHERE REFERRED CASE NEEDS TREATMENT IN A SPECIALITY(s)
WHICH ARE NOT AVAILABLE IN THE HOSPITAL
The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging shall not
undertake treatment of referred cases in specialties which are not available in the
hospital. But it will provide necessary treatment to stabilize the patient and transport the
patient safely to nearest recognized hospital under intimation to CGHS authorities.
However in such cases the Hospital will charge as per the CGHS rates only for the
treatment provided.
E. CHANGES IN INFRASTRUCTURE/STAFF TO BE NOTIFIED TO CGHS
The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall
immediately communicate to Additional Director / Joint Director of CGHS of concerned
city about any change in the infrastructure /Shifting of premises. The empanelment will
be temporarily withheld in case of shifting of the facility to any other location without prior
permission of CGHS. The new establishment of the same Hospital shall attract a fresh
inspection, at the prescribed fee, for consideration of continuation of empanelment.
F. ANNUAL REPORT
The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging will submit
an annual report regarding number of referrals received, admitted CGHS beneficiaries,
bills submitted to the CGHS and payment received, details of monthly report submitted
to the Additional Directors / Joint Additional Directors of CGHS of concerned City.
Annual audit report of the hospitals will also be submitted along with the statement.
The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging shall
submit all the medical records in digital format.
G. EMR / EHR
The empanelled health Care Organizations (except eye hospital/centre, dental clinics,
Diagnostic Labs/Imaging Centres) shall have to implement Electronic Medical Records
and EHR as per the standards and guidelines approved by Ministry of Health & Family
Welfare within one year of its empanelment.
H. EMPANELMENT WITH AUTONOMOUS BODIES
All empanelled hospitals/ diagnostic centres/ exclusive eye centres/ exclusive dental
clinics shall also agree for empanelment with any autonomous body/ public sector
undertaking on same terms & conditions as with CGHS, on recommendation of Ministry
of Health & Family Welfare.
I. MEETINGS
Authorized signatory / representative of the empanelled health care organizations shall
attend the periodic meetings held by Additional Director / A.D. / J.D. / Department /
Establishment of CGHS required in connection with improvement of working conditions
and for redressal of grievances.
J. INSPECTIONS
During the visit by Additional Director / Joint Director/ CMO In-charge of the dispensary
or any other authorized representative of the Ministry of Health / Additional Directorate
General of Health Services / concerned Department, including BCA, the empanelled
health care organization‟s authorities will cooperate in carrying out the inspection.
K. AID TO PUBLIC HEALTH AUTHORITIES
In case of any natural disaster / epidemic, the empanelled health care organizations
shall fully cooperate with the Ministry of Health / Additional Directorate General of Health
Services, Additional Director / Joint Director of CGHS of concerned city and will convey /
reveal all the required information, apart from providing treatment.
L. NO COMMERCIAL PUBLICITY
The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre will
not make any commercial publicity projecting the name of CGHS / Ministry of Health &
F.W. or Government of India. However, the fact of empanelment under CGHS shall be
displayed at the premises of the empanelled health Care Organization indicating that the
charges will be as per CGHS approved rates.
M. AGREE FOR CONDUCTING ANNUAL HEALTH CHECK-UP FOR GROUP ‘A’
CENTRAL GOVERNMENT OFFICERS AGED ‘40’ AND ABOVE AND FOR OTHER
CATEGORIES OF CGHS BENEFICIARIES AS SPECIFIED BY GOVERNMENT.
The Hospital shall agree for conducting all investigations / diagnostic tests /
consultations etc of the Central Civil Services Group „A‟ officers of above 40 years of age
and other categories of CGHS beneficiaries as specified by government from time to
time as per the prescribed protocol, subject to the condition that the hospital shall not
charge more than Rs.2000/- for conducting the prescribed medical examination of the
male officers and Rs.2200/- for female officers of Central Government who come to the
hospital/ institution with the requisite permission letter from their Department/ Ministry /
competent authority.
4. TREATMENT IN EMERGENCY
The following ailments may be treated as emergency which is illustrative only and not
exhaustive, depending on the condition of the patient:
Acute Coronary Syndromes (Coronary Artery Bye-pass Graft / Percutaneous,
Transluminal Coronary Angioplasty) including Myocardial Infarction, Unstable
Angina, Ventricular Arrhythmias, Paroxysmal Supra Ventricular Tachycardia,
Cardiac Temponade, Acute Left Ventricular Failure / Severe Congestive
Cardiac Failure, Accelerated Hypertension, Complete Heart Block and Stoke
Adam attack, Acute Aortic Dissection.
Acute Limb Ischemia, Rupture of Aneurysm, Medical and Surgical shock and
peripheral circulatory failure.
Cerebro-Vascular attack-Stokes, Sudden unconsciousness, Head injury,
Respiratory failure, decompensated lung disease, Cerebro-Meningeal
Infections, Convulsions, Acute Paralysis, Acute Visual loss.
Acute Abdomen pain.
Road Traffic Accidents / with injuries including fall. Severe
Hemorrhage due to any cause.
Acute poisoning.
Acute Renal Failure.
Acute abdomen pain in female including acute Obstetrical and Gynecological
emergencies.
Electric shock.
Any other life threatening condition.
In emergency the hospital will not refuse admission or demand an advance
payment from the beneficiary or his family member and will provide credit facilities to
the patient whether the patient is a serving employee or a pensioner availing CGHS
facilities, on production of a valid CGHS card and the hospital shall submit the bill for
reimbursement to the concerned Deptt. / Ministry / CGHS. The refusal to provide the
treatment to bonafide CGHS Beneficiaries in emergency cases and other eligible
categories of beneficiaries on credit basis, without valid ground, would attract
disqualification for continuation of empanelment.
The nature and appropriateness of the emergency is subject to verification, which may
be verified, inspected or medically audited by the nominated authority on random basis
at its own discretion.
The Hospital will intimate all instances of patients admitted as emergencies without
prior permission to the CGHS authorities / BCA appointed by CGHS within the
prescribed time.
5. ENTITLEMENTS FOR VARIOUS TYPES OF WARDS
CGHS beneficiaries are entitled to facilities of private, semi-private or general ward
depending on their pay drawn in pay band/ pension. These entitlements are amended
from time to time and the latest order in this regards needs to be followed. The
entitlement is as follows:S. No. Pay drawn in pay band/Basic Pension Entitlement
1. Upto Rs. 13,950/- General Ward
2. Rs. 13,960/- to 19,530/- Semi-Private
Ward
3. Rs. 19,540/- and above Private Ward
a. Private ward is defined as a hospital room where single patient is
accommodated and which has an attached toilet (lavatory and bath). The
room should have furnishings like wardrobe, dressing table, bed-side table,
sofa set, carpet, etc. as well as a bed for attendant. The room has to be airconditioned.
b. Semi Private Ward is defined as a hospital room where two to three patients
are accommodated and which has attached toilet facilities and necessary
furnishings.
c. General ward is defined as a hall that accommodates four to ten patients.
Treatment in higher Category of accommodation than the entitled category is not
permissible.
6. APPROVED RATES TO BE CHARGED
The empanelled health care organization shall charge from the CGHS beneficiary as
per the rates for a particular procedure / package deal as prescribed by the CGHS and
attached as Annexure (rate list), which shall be an integral part of this Agreement. The
rates notified by CGHS shall also be available on web site of Ministry of Health & F.W.
at http://msotransparent.nic.in/cghsnew/index.asp
The package rate will be calculated as per the duration specified in the tender
document. No additional charge on account of extended period of stay shall be
allowed if, that extension is due to infection on the consequences of surgical procedure
or due to any improper procedure and is not justified.
The rate being charged will not be more than what is being charged for same
procedure from other (non-CGHS) patients or Organizations. An authenticated list of
rates being charged from other non-CGHS Organizations will also be supplied to
CGHS within 30 days of this Agreement.
The procedure and package rates for any diagnostic investigation, surgical procedure
and other medical treatment for CGHS beneficiary under this Agreement shall not be
increased during the validity period of this Agreement.
The empanelled health care organization agrees that during the In-patient treatment of
the CGHS beneficiary, the Hospital will not ask the beneficiary or his attendant to
purchase separately the medicines / sundries / equipment or accessories from outside
and will provide the treatment within the package deal rate, fixed by the CGHS which
includes the cost of all the items. Appropriate action, including removal from CGHS
empanelment and / or termination of this Agreement, may be initiated on the basis of a
complaint, medical audit or inspections carried out by CGHS teams / appointed BCA.
The hospital/ diagnostic centres shall agree to charge CGHS rates to Central
Government Employees / Pensioners on production of valid I-Card / Documentary
proof , even though treatment is not sought as CGHS beneficiary.
7. MODE OF PAYMENT FOR TREATMENT OF BENEFICIARIES
For serving employees (other than CGHS/ DGHS /Ministry of H&FW), the payment will
be made by the patient and he/she will claim reimbursement from his/her office subject
to the approved ceiling rates.
In respect of the following categories of beneficiaries, treatment / procedures/services
shall be undertaken/provided on credit: No payment shall be sought from them and the
bills should be submitted to the BCA / Office of the Additional / Joint Additional Director,
CGHS of the concerned city.
o Pensioners,
o Ex-Members of Parliament,
o Sitting Members of Parliament
o Freedom Fighters,
o Serving CGHS/DGHS / Ministry of H&FW employees,
o Such other categories of CGHS cardholders as notified by the Government.
8. BILL CLEARING AGENCY (BCA)
Bill clearing Agency (BCA) would charge a processing fee @ 2% of claimed amount
and service tax thereon with a minimum of Rs.12.50/- and maximum of Rs. 750/- per
bill. CGHS reserves the right to revise these charges from time to time‟
9. NOTIFICATION OF NODAL OFFICERS
Empanelled health care Organizations shall notify two Nodal officers for CGHS
beneficiaries, one of them being of the rank of Deputy MS/Addl. MS, who can be
contacted by CGHS beneficiaries in case of any eventuality.
10. INFORMATION TO BE PROVIDED TO THE BCA BY HOSPITALS
EMERGENCY ADMISSIONS
The Hospital will intimate to the BCA and to CGHS within two(2) hours of such
admission and the BCA will respond with due authorization in four (4) hours.
Treatment in no case would be delayed or denied because authorization by the BCA is
only confirmation of the e-workflow in respect of such patient. Post discharge, the
hospital would upload bills and other documents as per requirement of CGHS within
seventy two (72) hours.
REFERRED ADMISSIONS
Where the CGHS beneficiary visits the hospital with a proper referral and authorization
letter, the hospital will verify and submit information of admission to the BCA and to
CGHS online. The BCA would respond with an authorization within four (4) hours. Post
discharge, the hospital would upload bills and other documents as per requirement of
CGHS within seventy two(72) hours.
11. SUBMISSION OF BILLS TO BILL CLEARING AGENCY
In case of Pensioners, etc., where credit bills are sent to CGHS, the Private
Empanelled health care Organizations shall submit the physical bill as well as
electronic bill to the Bill Clearing Agency for processing of bills.
In case of serving employees the electronic bill and details shall be submitted to Bill
Clearing Agency where as physical Bill shall be submitted to concerned department/
serving employee for payment.
The Data and electronic bills in respect of Serving employees shall be utilized for
medical audit and statistical purposes.
12. PROCESSING OF CLAIMS/BILLS BY THE BCA
Bill Clearing Agency (BCA) shall make provisional payment of 70% of the claimed
amount on submission of physical bills within a maximum period of „5‟ working days and
balance admissible amount after due scrutiny within a maximum period of 30 days.
Recoveries, if any, will be affected from future bills of hospitals, exclusive Eye hospitals /
Centres, exclusive Dental Clinics, Cancer Hospitals/units and diagnostic centres as the
case may be.
The BCA during the course of the auditing will restrict the claims as per CGHS rules and
regulations. BCA will also examine in terms of
(a) Appropriateness of treatment including screening of patients records to identify
unnecessary admissions and unwarranted treatments
(b) Whether the planned treatment is shown as emergency treatment
(c) Whether the diagnostic medical or surgical procedures that were not required
were conducted by hospital including unnecessary investigations
(d) Maintaining database of such information of CGHS beneficiaries for future use.
(e) Whether the treatment procedures have been provided as per the approved
rates and the packages.
(f) Whether procedures performed were only those for which permission has been
granted
The BCA shall record their findings and intimate the same to the Private Hospital
concerned with a copy endorsed to CGHS authority of the city. The payment of the
bill/claim to the Private Hospital concerned will be made directly by the BCA after
receipt of the physical bills in respect of CGHS pensioner beneficiaries, etc.
13. MEDICAL AUDIT OF BILLS
There shall be a continuous Medical Audit of the services provided by the empanelled
Private Hospital.
14. DUTIES AND RESPONSIBILITIES OF EMPANELLED HEALTH CARE
ORGANIZATIONS
It shall be the duty and responsibility of the empanelled Hospital, Exclusive Eye centre,
Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Laboratory/ Imaging Centre at all times, to
obtain, maintain and sustain the valid registration, recognition and high quality and
standard of its services and healthcare and to have all statutory / mandatory licenses,
permits or approvals of the concerned authorities under or as per the existing laws”.
15. NON ASSIGNMENT
The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/
Imaging Centre shall not assign, in whole or in part, its obligations to perform under the
agreement, except with the CGHS‟s prior written consent at its sole discretions and on
such terms and conditions as deemed fit by the CGHS. Any such assignment shall not
relieve the Hospital/ Eye centre/Dental clinic/ Diagnostic Centre from any liability or obligation
under this agreement
16. EMPANELLED HEALTH CARE ORGANIZATION’S INTEGRITY AND OBLIGAITONS
DURING AGREEMENT PERIOD
The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/
Imaging Centre is responsible for and obliged to conduct all contracted activities in
accordance with the Agreement using state-of-the-art methods and economic
principles and exercising all means available to achieve the performance specified in
the Agreement. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/
Imaging Centre is obliged to act within its own authority and abide by the directives issued
by the CGHS. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/
Imaging Centre is responsible for managing the activities of its personnel and will hold
itself responsible for their misdemeanors, negligence, misconduct or deficiency in
services, if any.
17. PERFORMANCE BANK GUARANTEE (PBG)
Health Care Organizations that are recommended for empanelment after the initial
assessment shall also have to furnish a performance Bank Guarantee valid for a period
of 30 months i.e. six month beyond empanelment period to ensure efficient service and
to safeguard against any default:
Hospitals/Cancer Units Rs. 10.00 lac
Eye Centres Rs.2.00 lac
Dental Clinics Rs.2.00 lac
Diagnostic Centres Rs. 2.00.lac
(PBG for charitable Organizations would be 50% of above amount)
In case of health Care Organizations already empanelled under CGHS they shall
submit a new Performance Bank Guarantee after the validity of the existing
performance guarantee is over.
18. FORFEITURE OF PERFORMANCE BANK GUARANTEE AND REMOVAL FROM
LIST OF EMPANELLED ORGANIZATIONS
In case of any violation of the provisions of the MOA by the health care Organizations
empanelled under CGHS such as:
1. refusal of service,
2. undertaking unnecessary procedures,
3. prescribing unnecessary drugs/tests
4. over billing,
5. reduction in staff/ infrastructure/ equipment etc. after the hospital/ has been empanelled.
6. Non submission of the report, habitual late submission or submission incorrect data in
the report
7. refusal of credit to eligible beneficiaries and direct charging from them.
8. if not recommended by NABH/NABL/QCI at any stage
9. Discrimination against CGHS beneficiaries vis-à-vis general patients
The amount of Performance Bank Guarantee will be forfeited and the CGHS shall have
the right to de-recognize the health Care Organization as the case may be. Such
action could be initiated on the basis of a complaint, medical audit or inspections
carried out by CGHS teams at random.
The decision of the CGHS will be final.
19. LIQUIDATED DAMAGES
a. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging
Centre shall provide the services as per the requirements specified by the CGHS
in terms of the provisions of this Agreement. In case of initial violation of the
provisions of the Agreement by the Hospital such as refusal of service or direct
charging from the CGHS Beneficiaries or defective service and negligence, the
amount equivalent to 15% of the amount of Performance Bank Guarantee will be
charged as agreed Liquidated Damages by the CGHS, however, the total
amount of the Performance Bank Guarantee will be maintained intact being a
revolving Guarantee.
b. In case of repeated defaults by the Hospital, Exclusive Eye centre, Exclusive Dental clinic,
Diagnostic Laboratory/ Imaging Centre , the total amount of Performance Bank
Guarantee will be forfeited and action will be taken for removing the Health Care
Organization from the empanelment of CGHS as well as termination of this
Agreement
c. For over-billing and unnecessary procedures, the extra amount so charged will
be deducted from the pending / future bills of the Hospital, Exclusive Eye centre,
Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre and the CGHS shall have the
right to issue a written warning to the health Care Organization not to do so in
future. The recurrence, if any, will lead to the stoppage of referral to that
particular Health care Organization or De-recognition from CGHS.
20. TERMINATION FOR DEFAULT
The CGHS may, without prejudice to any other remedy for breach of Agreement, by
written notice of default sent to the Hospital terminate the Agreement in whole or part:
If the empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/
Imaging Centre fails to provide any or all of the services for which it has been empanelled
within the period(s) specified in the Agreement, or within any extension thereof if
granted by the CGHS pursuant to Condition of Agreement or If the Health Care
Organization fails to perform any other obligation(s) under the Agreement.
If the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre in
the judgment of the CGHS has engaged in corrupt or fraudulent practices in competing
for or in executing the Agreement.
In case of any wrong doings as specified in Memorandum of Agreement by one
hospital / centre / clinic / lab of a particular group , CGHS reserves the right to remove
all empanelled hospitals / centres/ clinics/labs of that particular groups from its
empanelled list of hospitals.
21. INDEMNITY
The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/
Imaging Centre shall at all times, indemnify and keep indemnified CGHS / the
Government against all actions, suits, claims and demands brought or made against it
in respect of anything done or purported to be done by the Health Care Organization in
execution of or in connection with the services under this Agreement and against any
loss or damage to CGHS / the Government in consequence to any action or suit being
brought against the CGHS / the Government, along with (or otherwise), Health Care
Organization as a Party for anything done or purported to be done in the course of the
execution of this Agreement. The Health Care Organization will at all times abide by
the job safety measures and other statutory requirements prevalent in India and will
keep free and indemnify the CGHS from all demands or responsibilities arising from
accidents or loss of life, the cause or result of which is the Hospital negligence or
misconduct.
The Health care Organization will pay all indemnities arising from such incidents
without any extra cost to CGHS and will not hold the CGHS responsible or obligated.
CGHS / the Government may at its discretion and shall always be entirely at the cost of
the Health Care Organization defend such suit, either jointly with the Health Care
Organization enter or singly in case the latter chooses not to defend the case
22. ARBITRATION
If any dispute or difference of any kind whatsoever (the decision whereof is not herein
otherwise provided for) shall arise between the CGHS and the Hospital, Exclusive Eye
centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre upon or in relation to or in
connection with or arising out of the Agreement, shall be referred to for arbitration by
the Additional Secretary & Director General, CGHS ,Ministry of Health & FW,
Government of India, who will give written award of his decision to the Parties. The
decision of the Additional Secretary & Director General, CGHS will be final and binding.
The provisions of the Arbitration and Conciliation Act, 1996 shall apply to the arbitration
proceedings. The venue of the arbitration proceedings shall be at Delhi / New Delhi.
23. MISCELLANEOUS
Nothing under this Agreement shall be construed as establishing or creating
between the Parties any relationship of Master and Servant or Principal and
Agent between the CGHS and the Health Care Organization. The Health care
Organization shall work or perform their duties under this Agreement or otherwise.
The Health care Organization agrees that any liability arising due to any default
or negligence in not represent or hold itself out as agent of the CGHS.
The CGHS will not be responsible in any way for any negligence or misconduct
of the Health Care Organization and its employees for any accident, injury or
damage sustained or suffered by any CGHS beneficiary or any third party
resulting from or by any operation conducted by and on behalf of the Hospital or
in the course of doing its performance of the medical services shall be borne
exclusively by the hospital who shall alone be responsible for the defect and / or
deficiencies in rendering such services.
The Hospital/ Exclusive Eye centre/Exclusive Dental clinic/ Diagnostic Laboratory/ Imaging Centre
shall notify the Government of any material change in their status and their
shareholdings or that of any Guarantor of the in particular where such change
would have an impact on the performance of obligation under this Agreement.
This Agreement can be modified or altered only on written agreement signed by
both the parties.
Should the Hospital/ Exclusive Eye centre/Exclusive Dental clinic/ Diagnostic Laboratory/
Imaging Centre get wound up or partnership is dissolved, the CGHS shall have the
right to terminate the Agreement. The termination of Agreement shall not relieve
the hospital or their heirs and legal representatives from the liability in respect of
the services provided by the Health care Organization during the period when the
Agreement was in force.
The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging
Centre shall bear all expenses incidental to the preparation and stamping of this
agreement.
24. OTHER SERVICES TO BE PROVIDED
The empanelled Private Health Care Organization will, on the request of CGHS, agree
to provide training to CGHS medical, Para-medical and nursing staff.
25. EXIT FROM THE PANEL
The Rates fixed by the CGHS shall continue to hold good unless revised by CGHS. In
case the notified rates are not acceptable to the empanelled health care
Organizations, or for any other reason, the health care Organization no longer wishes
to continue on the list under CGHS, it can apply for exclusion from the panel by giving
one month notice. Patients already admitted shall continue to be treated.
26. NOTICES
26.1 Any notice given by one party to the other pursuant to this Agreement shall be sent to
other party in writing by registered post or by facsimile and confirmed by original copy by
post to the other Party‟s address as below.
CGHS: Additional Director CGHS, Ministry of Health & FW, Government of India, Nirman
Bhawan, New Delhi.
Hospital with address:
(………………………………………………………………………)
26.2 A notice shall be effective when served or on the notice‟s effective date, whichever is
later. Registered communication shall be deemed to have been served even if it
returned with remarks like refused, left, premises locked, etc.
IN WITNESSES WHEREOF, the parties have caused this Agreement to be signed and
executed on the day, month and the year first above mentioned.
Signed by
Additional Director, Central Government Health Scheme
Ministry of Health & Family Welfare, Government of India
For and on behalf of
The President of India
In the Presence of
(Witnesses)
1.
2.
Signed by
For and on behalf of (Hospital )
Duly authorized vide Resolution No. ……… dated …….
of (name of Hospital )
In the presence of
(Witnesses)
1.
2.

CURRICULUM VITAE Name: Robert Hon Kwong Mak Address

USANZ New Zealand Section Meeting 2014 | Genito

Schedule_files/Ayu Sastra 2014 Schedule

KASGANJ DISTRICT