PURWANCHAL NAGARIK SAMITY DIAGNOSTIC PRICE LIST CLINICAL PATHOLOGY SL.NO NAME OF THE ITEM RATE 1 24 hrs. Urinary Protein 80.00 2 Seminal analysis 60.00 3 Stool concentration method for ova 30.00 4 Stool for OBT(Occult Blood Test) 20.00 5 Stool for Reducing substance 20.00 6 Stool pH 20.00 7 Stool RE(Routine Examination) 30.00 8 Urine for Acetone/Ketonebody 20.00 9 Urine for Bence Jones Protein 30.00 10 Urine for Bile Salt/ Bile Pigment 20.00 11 Urine for OBT (Occult Blood Test) 20.00 12 Urine for Porphobilinogen/Urobilinogen 20.00 13 Urine for Protein/Albumin 20.00 14 Urine for Reducing substance 20.00 15 Urine for Sugar 30.00 16 Urine RE(Routine Examination) 30.00 HAEMATOLOGY 1 Abnormal cell 25.00 2 Absolute eosinophil count 25.00 3 Absolute neutrophil count 25.00 4 Absolute neutrophil count 25.00 5 APTT/Activated Partial Thromboplastin time 105.00 6 Band Cell 25.00 7 Bone Marrow Aspiration Cytology 400.00 8 BT(Bleeding Time) & CT(Clotting Time) 25.00 9 Complete Haemogram 100.00 10 Coombs Test Direct 60.00 11 DC(Differential Count) 25.00 12 ESR(Erythrocyte Sedimentation Rate) 25.00 13 G6PD Qualitative/Quantitative 205.00 14 Hb(Haemoglobin) & MP 40.00 15 Hb(Haemoglobin) 25.00 16 HbA(Glycosylated Haemoglobin) 310.00 17 LE Cell Study 35.00 18 MCH(Mean Corpuscular Haemoglobin) 25.00 19 MCHC(Mean Corpuscular Haemoglobin Concentration) 25.00 20 MCV(Mean Corpuscular Volume) 25.00 21 MF(Microfilaria) 35.00 22 MP(Malaria Parasites) 25.00 23 PCV(Packed Cell Volume) 25.00 24 Platelet/Thrombocyte Count 25.00 25 Prothrombin Time(PT) with INR 70.00 26 RBC Count 25.00 27 RBC Morphology 25.00 28 Reticulocyte Count 35.00 29 TC & DC 30.00 30 TC(Total Leucocyte Count) 25.00 31 TC, DC & ESR 45.00 32 TC ,DC,Hb 45.00 33 TC, DC & MP 50.00 34 TC,DC, ESR & MP 60.00 35 TC, DC ESR, Hb & MP 60.00 36 TC,DC,ESR, Hb & Platelet Count 60.00 37 TC,DC, Hb & MP 60.00 38 TC,DC,Hb & ESR 50.00 39 Toxic Granules 25.00 SEROLOGY 1 A,B,O (Blood Group) & Rh factor 40.00 2 Aldehyde Test 40.00 3 ASO(Anti Streptolysin-O) Test 220.00 4 Chikungunya IgG & IgM 400.00 5 CRP(C-Reactive Protein) Test 140.00 6 Dengue- IgG 400.00 7 Dengue- IgM 400.00 8 Dengue- NS1 500.00 9 HBsAg(Australia Antigen) 110.00 10 HCV Rapid Test 300.00 11 HIV 1 & 2 Antibodies 250.00 12 Malaria Pf & Pv Antigen 320.00 13 Mantoux Test(PPD 5 TU & 10 TU) 45.00 14 P. falciparum Antigen 150.00 15 Pregnancy Test/Pregcolor Test 70.00 16 RPR(Rapid Plasma Reagin) VDRL 50.00 17 RF(Rheumatoid Factor) Test 160.00 18 Widal Test(Slide method) 60.00 MICROBIOLOGY 1 Antibiotic Sensitivity 50.00 2 Eye Swab Culture 60.00 3 Gram Stain, Miscellaneous 40.00 4 Pus Culture 60.00 5 Sputum Culture 60.00 6 Sputum for AFB/Z-N 100.00 7 Stool Culture 60.00 8 Throat Swab Culture 60.00 9 Throat Swab for KLB 30.00 10 Urethral Smear for GND 30.00 11 Urethral Smear for Gram Stain 30.00 12 Urine Culture 60.00 13 Wound Swab Culture 60.00 BIOCHEMISTRY 1 24 hrs. Urinary Creatinine 110.00 2 24 hrs. Urinary Uric Acid 50.00 3 Albumin & Globulin 100.00 4 ALP(Alkaline Phosphatase) 60.00 5 Bilirubin Total, Direct & Indirect 60.00 6 BUN(Blood Urea Nitrogen) 40.00 7 CPK(Creatine Phospho Kinase) 160.00 8 Ca(Calcium) 60.00 9 Cardiac Enzyme 600.00 10 CI(Chloride) 80.00 11 CPK-MB 250.00 12 Creatinine 40.00 13 Electrolytes(Na,K,CI & HCO) 300.00 14 GGT(Gamma GT) 100.00 15 Glucose Fasting 30.00 16 Glucose PP(Post Prandial) 30.00 17 Glucose Random 30.00 18 GTT(Glucose Tolerance Test) 200.00 19 HBDH(LDH-1) 150.00 20 HCO, (bIcarbonate) 110.00 21 HDL- Cholesterol 100.00 22 Inorganic Phosphorus/Phosphate 70.00 23 K (Potassium) 80.00 24 LDH(Lactate Dehydrogenase) 150.00 25 LDL- Cholesterol 110.00 26 Lipase 250.00 27 Lipid Profile 370.00 28 LFT(Liver Function Test) with GGT 280.00 29 Mg(Magnesium) 60.00 30 Na(Sodium) 80.00 31 NPN(Non Protein Nitrogen) 30.00 32 Serum Amylase 200.00 33 SGOT/AST 50.00 34 SGPT/ALT 50.00 35 Total Cholesterol 50.00 36 Total Protein & Albumin with A-G ratio 100.00 37 Triglycerides 100.00 38 Urea 40.00 39 Uric Acid 50.00 40 VLDL-Cholesterol 100.00 HISTOPATHOLOGY & CYTOLOGY 1 Biopsy Per Slide 200.00 2 FNAC( Fine Niddle Aspiration Cytology) 250.00 3 PAP Stain for Malignant Cells,Cervical Smear 300.00 4 PAP Stain for Malignant Cells, Miscellaneous 60.00 5 Scraped Cytology 60.00 HORMONES 1 FSH(Follicle Stimulating Hormone) 200.00 2 F-T3 (Free T3) 210.00 3 F-T4 (Free T4) 210.00 4 LH(Lutenising Hormone) 260.00 5 PRL(Prolactin) 200.00 6 T3(Total Tri-iodothyronine) 150.00 7 T3, T4 & TSH 350.00 8 T4 (Total Thyroxine) 150.00 9 TSH(Thyroid Stimulating Hormone) 150.00 SPECIAL TESTS 1 17-OH Plrogesterone 550.00 2 ACL-A(Anti Cardiolipin Antibody IgA) 325.00 3 ACL-G (Anti Cardiolipin Antibody IgG 325.00 4 ACL-M (Anti Cardiolipin Antibody IgM) 325.00 5 Anti Chlamydia Antibody IgG 400.00 6 Anti Chlamydia Antibody IgM 400.00 7 Anti Cyelie Citrullinated Peptide Antibody 600.00 8 Alpha Feto Protein 475.00 9 AHBe-T(Anti Hepatitis B Envelope Antigen-Total) 400.00 10 Hepatitis C Virus Antibody Total 350.00 11 Anti Microsomal Antibody 375.00 12 Anti Nuclear Antibody 300.00 13 A4(Androstenedione) 625.00 14 Anti Phospolipid Antibody IgG 450.00 15 Anti Phospolipid Antibody IgM 450.00 16 APO-A1(Apolipoprotien A1)) 335.00 17 APO-B(Apolipoprotien B) 335.00 18 Anti Sperm Antibody 525.00 19 Anti Thyroglobulin Antibody 375.00 20 B-hCG(Beta Human Chorionic Gonadotropin) 325.00 21 CA 125 (Ovarian Cancer Marker) 550.00 22 CA 15.3 (Breast Cancer Marker) 550.00 23 CA 19.9 (Pancreatic Cancer Marker) 550.00 24 Complement 3 400.00 25 Complement 4 400.00 26 ANCA- PR3/e-ANCA 600.00 27 Carbamazepine/Tegretol 400.00 28 Cd4 & T Helper Cells Percentage of CD3 950.00 29 Carcino Embryonic Antigen 345.00 30 CMV(Cytomegalovirus) IgG 225.00 31 CMV(Cytomegalovirus) IgM 225.00 32 Cortisol 345.00 33 DHEA-S(Dehydroepiandrosterone Sulphate) 375.00 34 Anti-ds DNA 345.00 35 Estradiol/Estrogen 265.00 36 Estriol 425.00 37 HBeAg(Hepatitis B Envelope Antigen) 425.00 38 Folic Acid/Folate 325.00 39 Free Prostate Specific Antigen 500.00 40 Free Testosterone 550.00 41 Anti Hepatitis A Virus(HAV)- IgM 550.00 42 Anti Hepatitis A Virus(HAV)- Total 450.00 43 HLA-B-27 Typing 850.00 44 AHBc-IgM(Anti Hepatitis B core Antigen-IgM) 400.00 45 AHBc-T(Anti Hepatitis B Core Antigen-Total 400.00 46 AHBc-T(Anti Hepatitis B Surface Antigen-Total 400.00 47 HSV (Herpes Simplex Virus) IgG 250.00 48 HSV (Herpes Simplex Virus) IgM 250.00 49 Anti Hepatitis E Virus (HEV) IgM 525.00 50 Human Growth Hormone 325.00 51 Homocystine 800.00 52 PAP(Papaniculaou), Smear 200.00 53 HSV-1(Herpes Simples Virus I) IgG 250.00 54 HSV-II(Herpes Simplex Virus I) IgM 250.00 55 HSV-II(Herpes Simplex Virus II) IgG 250.00 56 HSV-II(Herpes Simplex Virus II) IgM 250.00 57 IgA (Immunoglobulin A) 425.00 58 IgG (Immunoglobulin G 450.00 59 IgM(Immunoglobulin M) 450.00 60 Iron 125.00 61 Leptospira IgM 425.00 62 Lipoprotein-a 345.00 63 ANCA-MPO/p-ANCA 600.00 64 Phenytoin/Dilantin/Eptoin 400.00 65 Progesterone 275.00 66 Intact Parathyroid Hormone 550.00 67 Rubella- IgG 275.00 68 Rubella-IgM 275.00 69 Sex Hormone Binding Globulin 475.00 70 Anti Tuberculosis(TB)- IgA 250.00 71 Anti Tuberculosis(TB)- IgG 250.00 72 Anti Tuberculosis(TB)- IgM 250.00 73 Testosterone 425.00 74 Thyroglobulin 375.00 75 Total Iron Binding Capacity 225.00 76 Treponema Pallidum Haemagglutination Assay 100.00 77 Tissue Transglutaminase-IgA 400.00 78 Toxoplasma Gondii(TOXO) IgG 275.00 79 Toxoplasma Gondii(TOXO) IgM 275.00 80 Microalbumin, Urine 200.00 81 Valproic Acid 450.00 82 Hemoglobin Alkaline & Acid Electrophoresis 400.00 83 Serum Protein Electrophoresis 325.00 84 Western Blot 1525.00 MISCELLANEOUS 1 Ferritin 350.00 2 Insulin 350.00 3 PSA(Prostate Specific Antigen), Total 260.00 4 Total IgE(Immunoglobulin E) 300.00 5 Vitamin B12/ Cyanocobalamin 370.00 6 25-OH Vitamin D3 650.00 CONTRAST RADIOGRAPHY 1 Ascending Urethrogram{Doctor's visit & Dye extra) 300.00 2 Barium Meal Follow Through 700.00 3 Barium Meal Stomach & Duodenum 400.00 4 Barium Swallow of Oesophagus 400.00 5 HSG(Hysterosalpingogram)[Doctor's visit & Dye extra] 1100.00 6 ICR (Barium Meal Ileocaecal Region) 400.00 7 MCU (Micturating Cystourethrogram) 300.00 8 Memography(Left/Rifht) 250.00 SKULL RADIOGRAPHY 1 IOPA(Intra Oral Peri Apical) [per film] 40.00 2 Left/Right Mandibular AP/LAT 150.00 3 Left/Right Mastoid AP/LAT 150.00 4 Left/Right Scapula AP/LAT 150.00 5 Left/Right Temporo Mandibular Joint(Open & Close) 150.00 6 Nasal Bone LAT 150.00 7 PNS(Para Nasal Sinus) OM/LAT 220.00 8 Skull AP/LAT 150.00 SPINE RADIOGRAPHY 1 Cervical Spine AP/LAT 150.00 2 Cervical Spine Extension/Flexion 150.00 3 Coccyx AP/LAT 150.00 4 Conedown Sacroilliac Joint AP/LAT 150.00 5 Dorsal/Thoracic Spine AP/LAT 150.00 6 Dorsi Lumber/Thoraco Lumber Spine AP/LAT 260.00 7 Lumber Spine AP/LAT 150.00 8 Sacroilliac Joint AP/OBL 260.00 9 Sacrum & Coccyx AP/LAT 150.00 10 Sacrum AP/LAT 150.00 11 Whole Spine AP/LAT 600.00 RADIOGRAPHY(UPPER EXTREMITY) 1 Abdomen AP/LAT 220.00 2 Chest AP/LAT/ OBL/PA(Each view) 110.00 3 Left/Right Arm AP/LAT 150.00 4 Left/Right Clavicle & Shoulder Joint AP/LAT 150.00 5 Left/Right Clavicle AP/LAT 150.00 6 Left/Right Clavicle Inferior & Superior 150.00 7 Left/Right Elbow AP/LAT 150.00 8 Left/Right Forearm/Humerus AP/LAT 150.00 9 Left/Right Hand AP/LAT 150.00 10 Left/Right Shoulder AP/LAT/Axial 260.00 11 Left/Right Shoulder Joint AP/LAT 150.00 12 Left/Right Wrist AP/LAT/OBL 260.00 13 Left/Right Wrist with Hand/Forearm AP/LAT 150.00 14 Soft Tissue Forearm/Humerus AP/LAT 150.00 15 Soft Tissue Neck AP/LAT 150.00 16 Soft Tissue Neck AP/LAT 150.00 RADIOGRAPHY(LOWER EXTREMITY) 1 Bones(Two views in single plate) 150.00 2 Coccys AP/LAT 150.00 3 KUB(Kidney, Ureter & Bladder) 220.00 4 Left/Right Foot AP/LAT 150.00 5 Left/Right Ankle Joint AP/LAT 150.00 6 Left/Right Calcaneum LAT/Axial 150.00 7 Left/Right Femur/Thaigh AP/LAT 150.00 8 Left/Right Foot/(Toe) AP/OBL 150.00 9 Left/Right Heel AP/LAT/ Axial 260.00 10 Left/Right Hip AP/LAT 150.00 11 Left/Right Knee Joint AP/LAT 150.00 12 Left/Right Leg with Ankle AP/LAT 150.00 13 Left/Right Leg with Knee AP/LAT 150.00 14 Left/Right Tibia Fibula/Leg AP/LAT 150.00 15 Pelvis AP/OBL 220.00 16 Pelvis with Both Hip AP 110.00 ABDOMINAL SONOGRAPHY 1 Follicular Study 650.00 2 Hepato-Biliary system(Liver,Gallbladder & Pancreas) 330.00 3 KUB(Kidney, Ureter & Bladder) 330.00 4 KUBP(Kidney, Ureter & Bladder & Pelvis) 330.00 5 KUBP(Kidney, Ureter & Bladder & Prostate) 330.00 6 Lower Abdomen 330.00 7 lower Abdomen Screening 170.00 8 Pelvis 330.00 9 Pelvis Screening 170.00 10 Pelvis with TVS 530.00 11 Pregnancy 330.00 12 Pregnancy Screening 530.00 13 Pregnancy with TVS 530.00 14 Upper Abdomen 330.00 15 Upper Abdomen Screening 170.00 16 Whole Abdomen 580.00 17 Whole Abdomen Screening 300.00 HIGH RESOLUTION SONOGRAPHY 1 High Resolution Sonography(Single Joint) 530.00 2 Ankle, Hip, Knee, Shoulder etc 530.00 3 High Resolution Sonography(Single Small Organ/Body part) 530.00 4 Breast, Eye,Orbit, Penis, Scrotum, Testis etc 530.00 5 High Resolution Sonography Muscle(Single site) 530.00 6 High Resolution Sonography Neonatal Brain 530.00 7 High Resolution Sonography Thorax/Chest 530.00 DOPPLER STUDY 1 Carotid Doppler Study 1150.00 2 Doppler Study, Neck 700.00 3 Doppler Study, Renal Vessel System 1150.00 4 Echo-Cardiography Plain 450.00 5 Echo-Cardiography Doppler Study 6 FNAC(USG Guided Fine Niddle Aspiration Cytology) 7 Peripheral Doppler Study(Arterial/Venous System)Both Right & Left Limb 2200.00 8 Peripheral Doppler Study(Arterial/Venous System) Right & Left Lowre Limb 1100.00 9 Peripheral Doppler Study(Arterial/Venous System) Right & Left Upper Limb 1100.00 10 Pregnancy Doppler Study 530.00 11 Pregnancy with Anomaly Scan 670.00 12 Splenoportal Doppler Study 1000.00 13 USG Anomaly Scan 670.00 750.00 750.00 MISCELLANEOUS 1 ECG(Electrocardiogram) 60.00 2 Endoscopy Upper Gastro Intestine(GI) 400.00 3 Endoscopy Routine 50.00 4 Master Check-up 800.00
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