Cghs Treatment Procedure/Investigation List (Bengaluru) : Sr. No. Non-NABH/Non - NABL Rates Nabh/Nabl Rates

CGHS package rate Bengaluru 2014 updated as on 17th May 2021
Sr. No. CGHS TREATMENT Non- NABH/Non- NABH/NABL

PROCEDURE/INVESTIGATION LIST NABL Rates Rates
(Bengaluru)
1 Consultation OPD 135 135

2 Consultation- for Inpatients 270 270
3 Dressings of wounds 45 52
4 Suturing of wounds with local anesthesia 108 124
5 Aspiration Plural Effusion - Diagnostic 120 138
6 Aspiration Plural Effusion - Therapeutic 174 200
7 Abdominal Aspiration - Diagnostic 330 380
8 Abdominal Aspiration - Therapeutic 414 476
9 Pericardial Aspiration 342 393
10 Joints Aspiration 285 329
11 Biopsy Skin 207 239
12 Removal of Stitches 36 41
13 Venesection 124 143
14 Phimosis Under LA 1180 1357
15 Sternal puncture 173 199
16 Injection for Haemorrhoids 373 428
17 Injection for Varicose Veins 315 363
18 Catheterisation 425 500
19 Dilatation of Urethra 450 518
20 Incision & Drainage 378 435
21 Intercostal Drainage 125 144
22 Peritoneal Dialysis 1319 1517
TREATMENT PROCEDURE SKIN
23 Excision of Moles 311 357
24 Excision of Warts 279 321
25 Excision of Molluscum contagiosum 117 135
26 Excision of Venereal Warts 144 166
27 Excision of Corns 126 145
28 I/D Injection Keloid(Intralesional Injection) 97 112
29 Chemical Cautery (s) 99 114
TREATMENT PROCEDURE OPTHALMOLOGY
30 Subconjunctival/subtenon’s injections in one eye
66 76
31 Subconjunctival/subtenon’s injections in both eyes

132 152
32 Pterygium Surgery 5550 6325

33 Conjunctival Peritomy 58 67
34 Conjunctival wound repair or exploration following
3300 3795
blunt trauma
35 Removal of corneal foreign body 115 132
36 Cauterization of ulcer/subconjunctival injection in
69 79
one eye
37 Cauterization of ulcer/subconjunctival injection in
138 159
both eyes
38 Corneal grafting—Penetrating keratoplasty 5750 6613
39 Corneal grafting—Lamellar keratoplasty 5000 5750
40 Cyanoacrylate /fibrin glue application for corneal
690 794
perforation
41 Bandage contact lenses for corneal perforation 414 476
42 Scleral grafting or conjunctival flap for corneal
2300 2645
perforation
43 Keratoconus correction with therapeutic contact
1200 1380
lenses
44 Ultraviolet (UV) radiation for cross-linking for
1800 2070
keratoconus
45 EDTA for band shaped keratopathy 777 893
46 Arcuate keratotomy for astigmatism 2800 3220
47 Re-suturing (Primary suturing) of corneal wound 1035 1191
48 Penetrating keratoplasty with glaucoma surgery 10930 12569
49 Penetrating keratoplasty with vitrectomy 12144 13966
50 Penetrating keratoplasty with IOL implantation 13656 15703
51 DALK- Deep anterior lamellar keratoplasty 15525 17854
52 Keratoprosthesis stage I and II 11500 13225
53 DSAEK- Descemet’s stripping automated endothelial
16675 19176
keratoplasty
54 ALTK- Automated lamellar therapeutic keratoplasty
16500 18975
55 Probing and Syringing of lacrimal sac- in one eye 69 79

56 Probing and Syringing of lacrimal sac- in both eye 138 159
57 Dacryocystorhinostomy—Plain 2875 3306
58 Dacryocystorhinostomy—Plain with intubation
and/or with lacrimal implants 9750 11213
59 Dacryocystorhinostomy—conjunctival with implant

9200 10580
60 Caliculoplasty 2070 2381

61 Dacryocystectomy 1725 1984
62 Punctal plugs for dry eyes 130 150
63 Refraction 36 41
64 Indirect Ophthalmoscopy 60 69
65 Orthoptic check-up- with synoptophore 44 51
66 Lees’ charting or Hess’ charting 100 115
67 Orthoptic exercises 50 58
68 Pleoptic exercises 50 58
69 Perimetry/field test—Goldman 144 166
70 Perimetry/field test— automated 144 166
71 Fluorescein angiography for fundus or iris 920 1058
72 Ultrasound A- Scan 777 893
73 Ultrasound B- Scan 230 265
74 Fundus Photo Test 180 207
75 Indocyanin green angiography 828 952
76 Corneal endothelial cell count with specular
230 265
microscopy
77 Corneal topography 331 381
78 Corneal pachymetry 230 265
79 Auto-refraction 34 40
80 Macular function tests 44 51
81 Potential acuity metry 100 115
82 Laser interferometry 156 179
83 OCT-Optical coherence tomography 1913 2250
84 HRT- Heidelberg’s retinal tomogram 150 173
85 GDx Nerve fibre layer analysis 88 101
86 UBM- Ultrasound bio microscopy 150 173
87 Non Contact tonometry (NCT) 50 58
88 IOP measurement with schiotz 27 32
89 IOP measurement with applation tonometry 50 58
90 Three mirror examination for retina 52 60
91 90 D lens examination 45 52
92 Gonioscopy 52 60
93 Chalazion incision and curettage in one eye 400 460
94 Chalazion incision and curettage in both eyes 431 496
95 Ptosis surgery with fasanella servat procedure 2300 2645
96 Ptosis surgery with LPS resection one lid 5500 6325
97 Ptosis surgery with Sling surgery one lid 6670 7671
98 Ectropion surgery- one lid 1400 1610
99 Ectropion surgery- both lids 2500 2875
100 Epicanthus correction 1550 1783
101 Cantholysis and canthotomy 575 662
102 Entropion surgery- one lid 1380 1587
103 Entropion surgery- both lids 2000 2300
104 Tarsorraphy 650 748
105 Suturing of lid lacerations 1150 1323
106 Lid retraction repair 1700 1955
107 Concretions removal 115 132
108 Bucket handle procedure for lid tumors 345 397
109 Cheek rotation flap for lid tumors 6900 7935
110 Orbitotomy 8050 9258
111 Enucleation 3000 3450
112 Enucleation with orbital implants and artificial 3000 3450
113 Evisceration 3450 3968
114 Evisceration with orbital implants and artificial
5693 6547
prosthesis
115 Telecanthus correction 5175 5951
116 Orbital decompression 5750 6613
117 Exenteration 5750 6613
118 Exenteration with skin grafting 6900 7935
119 Fracture orbital repair 9200 10580
120 Retinal laser procedures 1500 1725
121 Retinal detachment surgery (RDS) 11500 13225
122 Retinal detachment surgery (RDS) with scleral
13800 15870
buckling
123 Buckle removal 1035 1191
124 Silicone oil removal 2800 3220
125 Anterior retinal cryopexy 1046 1202
126 Squint correction for one eye 5000 5750
127 Squint correction for both eyes 7500 8625
128 Trabeculectomy 6900 7935
129 Trabeculotomy 6900 7935
130 Trabeculectomy with Trabeculotomy 10350 11903
131 Trephination 2300 2645
Sr. CGHS TREATMENT Non- NABH/Non- NABH/
No. PROCEDURE/INVESTIGATION LIST NABL Rates NABL Rates
132 Goniotomy 345 397
133 Glaucoma surgery with Glaucoma valves 6900 +valve 7935+ valve
134 Cyclocryotherapy 1150 1323
135 YAG laser iridotomy 1350 1553
136 YAG laser capsulotomy 1093 1257
137 ALT-Argon laser trabeculoplasty 1346 1547
138 PDT-Photodymic therapy 3105 3571
139 TTT- Transpupillary thermal therapy 3000 3450
140 PTK- Phototherapeutic keratectomy 7500 8625
141 Argon/diode laser for retinal detatchment 1035 1200
142 Intralase application for keratoconus 5750 6613
143 EOG- electro-oculogram 850 1000
144 ERG- Electro-retinogram 794 913
145 VEP- visually evoked potential 800 920
146 Vitrectomy- pars plana 11500 13225
147 Intravitreal injections of antibiotics 1150 1323
148 Intravitreal injections of Ranibizumab excluding cost
3000 3450
of drug
149 X Ray orbit 115 132
150 CT orbit and brain 1600 1840
151 MRI- Orbit and brain 3450 3968
152 Dacryocystography 340 391
153 Orbital angio-graphical studies 1350 1553
154 Extracapsular cataract extraction (ECCE) with IOL 3450 3968
155 Small Incision Cataract Surgery (SICS) with IOL 4500 5175
156 Phaco with foldable IOL (silicone and
10781 12398
acrylic)/PMMA IOL
157 Pars plana lensectomy with/without IOL 10350 11903
158 Secondary IOL implantation- AC IOL PC IOL or
6900 7935
scleral fixated IOL
159 Cataract extraction with IOL with capsular tension
13500 15525
rings
160 Optic nerve sheathotomy 7500 8625
161 Iridodialysis repair or papillary reconstruction 5000 5750
162 Iris cyst removal 850 978
163 Lid Abscess incision and Drainage 1530 1760
164 Orbital Abscess incision and Drainage 3000 3450
165 Biopsy (eye) 460 529
166 Paracentesis (eye) 230 265
167 Scleral graft for scleral melting or perforation 2520 2898
168 Amniotic membrane grafting 1100 1265
169 Cyclodiathermy 2300 2645
170 Intraocular foreign body removal 187 215
171 Electrolysis (eye) 230 265
172 Perforating injury repair (eye) 4050 4658
173 Botulinum injection for blepharospasm or squint 2250 2588

TREATMENT PROCEDURE DENTAL PROCEDURES
174 Flap Operation per quadrant 360 414
175 Gingivectomy per quadrant 234 269
176 Reduction & immobilization of fracture- Maxilla
900 1035
Under LA
177 Reduction & immobilization of fracture-Mandible
3150 3623
Under LA
178 Splints/Circummandibular wiring under LA 510 587
179 Splints/Circummandibular wiring under GA 990 1139
180 Internal wire fixation/plate fixation of Maxilla under 3000 3450
181 Internal wire fixation/plate fixation of Maxilla under
4000 4600
GA
182 Internal wire fixation/plate fixation of Mandible
3150 3623
under LA
183 Internal wire fixation/plate fixation of Mandible
3825 4399
under GA
184 Extraction per tooth under LA 80 92
185 Complicated Extraction per Tooth under LA 100 115
186 Extraction of impacted tooth under LA 160 184
187 Extraction in mentally retarded/patients with systemic
diseases/patient with special needs under short term 845 972
GA
188 Cyst & tumour of Maxilla /mandible by enucleation/
244 281
excision/ marsupialisation upto 4 cms under LA
189 Cyst & tumour of Maxilla / mandible by enucleation /
406 467
excision / marsupialisation size more than 4 cms
190 Cyst & tumour of Maxilla/mandible by
enucleation/excision/marsupialisation size more than
1000 1150
4 cms
under GA
191 TM joint ankylosis- under GA 6750 7763
192 Biopsy Intraoral-Soft tissue 337 387
193 Biopsy Intraoral-Bone 374 430
194 Hemi-mandibulectomy with graft 18900 21735
195 Hemi-mandibulectomy without graft 18900 21735
196 Segmental-mandibulectomy with graft 3400 3910
197 Segmental-mandibulectomy without graft 990 1139
198 Maxillectomy- Total with graft 2500 2875
199 Maxillectomy- Total without graft 1950 2243
200 Maxillectomy- partial with graft 3000 3450
201 Maxillectomy- partial without graft 2500 2875
202 Release of fibrous bands & grafting -in (OSMF)
treatment 1500 1725
under GA
203 Pre-prosthetic surgery- Alveoloplasty 500 575
204 Pre-prosthetic surgery - ridge augmentation 1200 1380
205 Root canal Treatment(RCT) Anterior teeth(per tooth) 500 575
206 Root canal Treatment(RCT) Posterior teeth (per 700 805
207 Apicoectomy- Single root 500 575
208 Apicoectomy-Multiple roots 650 748
209 Metal Crown-per unit 500 575
210 Metal Crown with Acrylic facing per unit 700 805
211 Complete single denture-metal based 1500 1725
212 Complete denture- acrylic based per arch 950 1093
213 Removable partial denture-Metal based-upto 3 teeth 700 805
214 Removable partial denture-Metal based-more than 3
900 1035
teeth
215 Removable partial denture-Acrylic based-upto 3 teeth 500 575
216 Removable partial denture-Acrylic based-more than 3
264 304
teeth / Per tooth
217 Amalgam restoration-per tooth 200 230
218 Composite Restoration-per tooth-anterior tooth 250 288
219 Glass Ionomer filling-per tooth 200 230
220 Scaling & polishing 300 345
221 Removable Orthodontics appliance- per Arch 630 725
222 Fixed Orthodontics-per Arch 1150 1323
223 Space maintainers-Fixed 500 575
224 Habit breaking appliances-removable 765 900
225 Habit breaking appliances-Fixed 1500 1725
226 Expansion plate 1000 1150
227 Feeding appliance for cleft palate 1350 1553
228 Maxillo-facial prosthesis (sal/auricular/orbital/facial
3150 3623
lost
229 Functional orthodontic appliances 3000 3450
230 Obturator (Maxillo-facial) 1350 1553
231 Occlusal night guard(splint) 800 920
TREATMENT PROCEDURE ENT
232 Pure Tone Audiogram 172 198
233 Impedence with stepedeal reflex 230 265
234 Short Increment Sensitivity Index (SISI) Tone Decay 132 152
235 Multiple hearing assessment test to Adults 115 132
236 Speech Discrimination Score 90 103
237 Speech Assessment 120 138
238 Speech therapy per session of 30-40 minutes 131 151
239 Cold Calorie Test for Vestibular function 172 198
240 Removal of foreign body From Nose 311 357
241 Removal of foreign body From Ear 207 239
242 Syringing (Ear) 149 172
243 Polyp removal under LA 575 661
244 Polyp removal under GA 850 978
245 Peritonsillar abscess Drainage under LA 1304 1499
246 Myringoplasty 6210 7142
247 Staepedectomy 9200 10580
248 Myringotomy with Grommet insertion 4600 5290
249 Tympanotomy 7763 8927
250 Tympanoplasty 12800 14720
251 Mastoidectomy 13455 15474
252 Otoplasty 16100 18515
253 Labyrinthectomy 13800 15870
254 Skull Base surgery 22500 25875
255 Facial Nerve Decompression 15525 17854
256 Septoplasty 5750 6613
257 Submucous Resection 7314 8411
258 Septo-rhinoplasty 14490 16664
259 Rhinoplasty- Non-cosmetic 11500 13225
260 Fracture Reduction of Nasal Bone 4000 4600
261 Intra nasal Diathermy 1150 1323
262 Turbinectomy 5750 6613
263 Endoscopic Dacryocystorhinostomy (DCR) 13000 14950
264 Endoscopic Surgery ENT 13800 15870
265 Septal Perforation Repair 12420 14283
266 Antrum Puncture 855 984
267 Lateral Rhinotomy 1000 1150
268 Cranio-facial resection 22950 26393
269 Caldwell Luc Surgery (Radical Antrostomy for
9600 11040
maxillary sinus)
270 Angiofibroma Excision 17000 19550
271 Endoscopic Hypophysectomy 19350 22253
272 Endoscopic Optic Nerve Decompression 29498 33922
273 Decompression of Orbit 22950 26393
274 Punch/Wedge biopsy 674 775
275 Tonsillectomy 5000 5750
276 Uvulo-palatoplasty 13500 15525
277 Functional Endoscopic Sinus Surgery (FESS) for
5750 6613
Antrochoanal polyp
278 Functional Endoscopic Sinus Surgery (FESS) for
5750 6613
ethmoidal polyp
279 Polyp removal ear 748 860
280 Polyp removal Nose(Septal polyp) 748 860
281 Mastoidectomy plus Ossiculoplasty including TORP
(Total Ossicular Replacement Prosthesis) or PORP 2415 2777
(Partial Ossicular Replacement Prosthesis)
282 Endolymphatic sac decompression 2875 3306
283 Diagnostic endoscopy under GA 2070 2381
284 Young's operation for Atrophic rhinitis 6900 7935
285 Vidian neurectomy for vasomotor Rhinitis 10350 11903
286 Nasal Packing-anterior 345 397
287 Nasal Packing-posterior 805 926
288 Ranula Excision 6159 7082
289 Tongue Tie excision 1350 1553
290 Sub Mandibular Duct Lithotomy 269 309
291 Adenoidectomy 5640 6486
292 Palatopharyngoplasty 8165 9390
293 Pharyngoplasty 17193 19772
294 Styloidectomy 9200 10580
295 Direct laryngoscopy including Biopsy under GA 4500 5175
296 Oesophagoscopy with foreign body removal from
1620 1863
Oesophagus
297 Bronchoscopy with foreign body (FB) removal 2438 2804
298 Other Major Surgery-ENT 13500 15525
299 Other Minor Surgery-ENT 7650 9000
TREATMENT PROCEDURE FOR HEAD AND NECK
300 Ear Lobe Repair one side 450 518
301 Excision of Pinna for Growth (Squamous/Basal/
Injuries) 3600 4140
Skin Only
302 Excision of Pinna for Growth (Squamous/Basal/
Injuries) 3800 4370
Skin and Cartilage
303 Partial Amputation of Pinna 4050 4658
304 Total Amputation of Pinna 6000 6900
305 Total Amputation & Excision of External Auditory
1500 1725
Meatus
306 Excision of Cystic Hygroma 4658 5356
307 Excision of Cystic Hygroma Extensive 6707 7713
308 Excision of Branchial Cyst 9315 10713
309 Excision of Branchial Sinus 9315 10713
310 Excision of Pharyngeal Diverticulum 10580 12167
311 Excision of Carotid Body-Tumours 11615 13357
312 Operation for Cervical Rib 11250 12938
313 Block Dissection of Cervical Lymph Nodes 13500 15525
314 Pharyngectomy & Reconstruction 15000 17250
315 Operation for Carcinoma Lip - Wedge-Excision 8050 9258
316 Operation for Carcinoma Lip - Vermilionectomy 5758 6622
317 Operation for Carcinoma Lip - Wedge Excision and
9292 10686
Vermilionectomy
318 Estlander Operation (Estlander flap in plastic surgey
7475 8596
of lips)
319 Abbe Operation (Abbe flap in plastic surgery of lips) 8820 10143
320 Cheek Advancement 9775 11241
321 Excision of the Maxilla 19320 22218
322 Excision of mandible-segmental 13973 16069
323 Mandibulectomy 18900 21735
324 Partial Glossectomy 5520 6348
325 Hemiglossectomy 7000 8050
326 Total Glossectomy 20597 23686
327 Combined Mandibulectomy and Neck Dissection
22000 25300
Operation (Commando Operation)
328 Parotidectomy - Superficial 12075 13886
329 Parotidectomy - Total 13500 15525
330 Parotidectomy - Radical 17595 20235
331 Repair of Parotid Duct 11500 13225
332 Removal of Submandibular Salivary gland 8625 9919
333 Hemithyroidectomy 9500 10925
334 Partial Thyroidectomy (lobectomy) 11500 13225
335 Subtotal Thyroidectomy 11748 13510
336 Total Thyroidectomy 17100 19665
337 Resection Enucleation of thyroid Adenoma 10580 12167
338 Total Thyroidectomy and Block Dissection 23805 27376
339 Excision of Lingual Thyroid 15194 17473
340 Excision of Thyroglossal Cyst/Fistula 11903 13688
341 Excision of Parathyroid Adenoma/Carcinoma 21275 24466
342 Laryngectomy 16043 18449
343 Laryngo Pharyngectomy 27000 31050
344 Hyoid Suspension 10350 11903
345 Genioplasty 12000 13800
346 Direct Laryngoscopy including biopsy under GA 4658 5356
347 Phonosurgery 13800 15870
348 Fibreoptic examination of Larynx (FOL) under LA 1649 1940
349 Microlaryngeal Surgery 10350 11903
350 Laryngofissure 15525 17854
351 Tracheal Stenosis Excision 19780 22747
Head and neck cancer
352 Excisional Biopsies 5175 5952
353 Benign Tumour Excisions 8550 9833
354 Temporal Bone subtotal resection 18630 21425
355 Modified Radical Neck Dissection 22770 26186
356 Carotid Body Excision 23400 26910
357 Total Laryngectomy 35273 40564
358 Flap Reconstructive Surgery 37260 42849
359 Parapharyngeal Tumour Excision 35397 40707
360 Other Major Surgery-Head and Neck Cancer 21250 25000
361 Other Minor Surgery-Head and Neck Cancer 5000 5750
TREATMENT PROCEDURE BREAST
362 Drainage of abscess 6000 6900
363 Excision of lumps 6272 7213
364 Local mastectomy-simple 11385 13093
365 Radical mastectomy-formal or modified. 25875 29757
366 Excision of mammary fistula 13973 16069
367 Segmental resection of breast 14490 16664
368 Other Major Surgery-Breast 22500 25875
369 Other Minor Surgery-Breast 5000 5750
TREATMENT PROCEDURE GENERAL SURGERY
370 Injury Of Superficial Soft Tissues 425 500
371 Suturing of small wounds 269 309
372 Secondary suture of wounds 3400 4000
373 Debridement of wounds 450 518
374 Removal Of Foreign Bodies 300 345
Biopsies
375 Excision of Cervical Lymph Node 1725 1984
376 Excision of Axillary Lymph Node 2277 2619
377 Excision of Inguinal Lymph Node 2277 2619
378 Excision Biopsy of Ulcers 1470 1691
379 Excision Biopsy of Superficial Lumps 2898 3333
380 Incision Biopsy of Growths/Ulcers 1470 1691
381 Trucut Needle Biopsy 1395 1605
Sr. CGHS TREATMENT Non- NABH/Non- NABH/NABL
No. PROCEDURE/INVESTIGATION LIST NABL Rates Rates
382 Percutaneous Kidney Biopsy 1470 1691
383 Marrow Biopsy (Open) 954 1097
384 Muscle Biopsy (See CGHS rate code 1724) 1470 1691
385 Scalene Node Biopsy 1350 1553
386 Excision of Sebaceous Cysts 1242 1428
387 Excision of Superficial Lipoma 1739 2000
388 Excision of Superficial Neurofibroma 2380 2800
389 Excision of Dermoid Cysts 2277 2619
390 Haemorrhoidectomy 20720 24375
391 Stappler haemorrhoidectomy 38000 43700
392 keloid excision 1150 1323
393 Varicose vein surgery-Trendelenburg operation with
10000 11500
suturing or ligation
TREATMENT PROCEDURE OESOPHAGUS
394 Atresia of Oesophagus and Tracheo Oesophageal
25875 29757
Fistula
395 Operations for Replacement of Oesophagus by Colon 25000 28750
396 Oesophagectomy for Carcinoma Easophagus 25000 28750
397 Oesophageal Intubation (Mausseau Barbin Tube) 10350 11903
398 Achalasia Cardia Transthoracic 13455 15474
399 Achalasia Cardia Abdominal 12650 14548
400 Oesophago Gastrectomy for mid 1/3 lesion 24495 28169
401 Heller’s Operation 19750 22713
402 Colon-Inter position or Replacement of Oesophagus 22540 25921
403 Oesophago Gastrectomy – Lower Corringers 21390 24599
404 Other Major Surgery-Oesophagus 27625 32500
405 Other Minor Surgery-Oesophagus 5000 5750
TREATMENT PROCEDURE ABDOMEN / GI SURGERY
406 Gastroscopy 1553 1786
407 Gastric & Duodenal Biopsy (Endoscopic) 1944 2236
408 Pyloromyotomy 2800 3220
409 Gastrostomy 7763 8927
410 Simple Closure of Perforated peptic Ulcer 9775 11241
411 Vagotomy Pyleroplasty / Gastro Jejunostomy 13800 15870
412 Duodenojejunostomy 17055 19614
413 Partial/Subtotal Gastrectomy for Carcinoma 20700 23805
414 Partial/Subtotal Gastrectomy for Ulcer 22425 25789
415 Operation for Bleeding Peptic Ulcer 18878 21710
416 Operation for Gastrojejunal Ulcer 18000 20700
417 Total Gastrectomy for Cancer 20131 23151
418 Highly Selective Vagotomy 16767 19283
419 Selective Vagotomy & Drainage 16767 19283
420 Congenital Diaphragmatic Hernia 17078 19639
421 Hiatus Hernia Repair- Abdominal 14490 16664
422 Hiatus Hernia Repair- Transthoracic 16100 18515
423 Exploratory Laparotomy 11385 13093
424 Epigastric Hernia Repair 11385 13093
425 Umbilical Hernia Repair 11385 13093
426 Ventral /incisional Hernia Repair 9264 10653
427 Inguinal Hernia Herniorrhaphy 13352 15354
428 Inguinal Hernia - Hernioplasty 14850 17078
429 Femoral Hernia Repair 16457 18925
430 Rare Hernias Repair (Spigalion, Obturator, Lumbar,
17078 19639
Sciatic)
431 Splenectomy - For Trauma 17078 19639
432 Splenectomy - For Hypersplenism 14490 16664
433 Splenorenal Anastomosis 23000 26450
434 Portocaval Anastomosis 28750 33063
435 Direct Operation on Oesophagus for Portal
22885 26318
Hypertension
436 Mesentericocaval Anastomosis 25450 29268
437 Warren Shunt (Distal Splenorenal Shunt) 28750 33063
438 Pancreatico Duodenectomy (Whipple's procedure) 21735 24995
439 By Pass Procedure for Inoperable Carcinoma of
23000 26450
Pancreas
440 Cystojejunostomy or Cystogastrostomy 14490 16664
441 Cholecystectomy 10292 11836
442 Cholecystectomy & Exploration of CBD 14375 16531
443 Repair of Common Bile Duct (CBD) 13600 16000
444 Operation for Hydatid Cyst of Liver 11902 13687
445 Cholecystostomy 10292 11836
446 Hepatic Resections (Lobectomy /Hepatectomy) 14375 16531
447 Operation on Adrenal Glands - Bilateral 26105 30021
448 Operation on Adrenal Glands - Unilateral 13800 15870
449 Appendicectomy 8108 9324
450 Appendicular Abscess – Drainage 9775 11241
451 Mesenteric Cyst- Excision 11040 12696
452 Peritonioscopy/Laparoscopy 4600 5290
453 Jejunostomy 5750 6613
454 Ileostomy 13869 15950
455 Resection & Anastomosis of Small Intestine 18630 21425
456 Duodenal Diverticulum 18400 21160
457 Operation for Intestinal Obstruction 10350 11903
458 Operation for Intestinal perforation 34200 39330
459 Benign Tumours of Small Intestine 18000 20700
460 Excision of Small Intestine Fistula 19550 22483
461 Operations for GI Bleed 14400 16560
462 Operations for Haemorrhage of Small Intestines 19550 22483
463 Operations of the Duplication of the Intestines 17825 20499
464 Operations for Recurrent Intestinal Obstruction
23000 26450
(Noble
465 Ileosigmoidostomy and related resection 16790 19309
466 Ileotransverse Colostomy and related resection 15111 17378
467 Caecostomy 3903 4488
468 Loop Colostomy Transverse Sigmoid 11799 13569
469 Terminal Colostomy 15525 17854
470 Closure of Colostomy 15732 18092
471 Right Hemicolectomy 13800 15870
472 Left Hemicolectomy 13800 15870
473 Total Colectomy 17250 19838
474 Operations for Volvulus of Large Bowel 24920 28658
475 Operations for Sigmoid Diverticulitis 18630 21425
476 Fissure in Ano with Internal sphinctrectomy with
12420 14283
fissurectomy.
477 Fissure in Ano - Fissurectomy 13800 15870
478 Rectal Polyp-Excision 5658 6507
479 Fistula in Ano - High Fistulectomy 15102 17367
480 Fistula in Ano - Low Fistulectomy 8880 10212
481 Prolapse Rectum - Thiersch Wiring 10350 11903
482 Prolapse Rectum - Rectopexy 5750 6613
483 Prolapse Rectum - Grahams Operation 16560 19044
484 Operations for Hirschsprungs Disease 14260 16399
485 Excision of Pilonidal Sinus (open) 10350 11903
486 Excision of Pilonidal Sinus with closure 10500 12075
487 Abdomino-Perineal Excision of Rectum 18300 21045
488 Anterior Resection of rectum 21000 24150
489 Pull Through Abdominal Resection 17170 19746
490 Retro Peritoneal Tumor Removal 16200 18630
491 Radio ablation of varicose veins 1800 2070
492 Laser ablation of varicose veins 17250 19838
493 Laparoscopic Fundoplication 19300 22195
494 Laparoscopic Splenectomy 25000 28750
495 Laparoscopic Removal of hydatid cyst 16200 18630
496 Laparoscopic treatment of Pseudo Pancreatic cyst 18000 20700
497 Laparoscopic Whipple's operation (Laparoscopic
20000 23000
Pancreatico Duodenectomy
498 Laparoscopic GI bypass operation 22000 25300
499 Laparoscopic Total Colectomy 25000 28750
500 Laparoscopic Hemicolectomy 23000 26450
501 Laparoscopic Anterior Resection (of Intestine/ 20700 23805
502 Laparoscopic Cholecystetomy 18975 21821
503 Laparoscopic Appedicectomy 16200 18630
504 Laparoscopic Hernia inguinal repair 16200 18630
505 Laparoscopic ventral Hernia Repair 15750 18113
506 Laparoscopic Paraumblical Hernia Repair 17500 20125
507 Laparoscopic Adrenelectomy 12000 13800
508 Laparoscopic Nephrectomy 19800 22770
509 Other Major Surgery-Abdomen/GI Surgery 34500 39675
510 Other Minor Surgery-Abdomen/GI Surgery 6000 6900
TREATMENT PROCEDURE ICU/CCU PROCEDURES
511 Coronary Care with Cardiac Monitoring (Room Rent
750 863
extra)
512 Compressed air / piped oxygen /per hour 50 58
513 Ventilator charges (Per day) 531 611
514 Paediatric care for New born (Per day) 186 214
515 Incubator charges (Per day) 345 397
516 Neonatal ICU charges (Per day) 391 450
517 Resuscitation 184 212
518 Exchange Transfusion 265 305
519 Pneupack ventilator in Nursery (Per day) 518 595
TREATMENT PROCEDURE CARDIOVASCULAR AND
CARDIAC SURGERY & INVESTIGATIONS
520 Atrial Septal Defect(ASD) closure 51808 59579

521 Ventricular septal defect (VSD) with graft 51808 59579
522 Tetralogy of Fallot (TOF)
127075 146136
/TAPVC/TCPC/REV/RSOV repair
523 BD Glenn/Left atrium myxoma 80750 95000
524 Senning/Arterial Switch Operation (ASO) with graft 122188 140516
525 Double Switch Operation (DSO) 93254 107241
526 Atrioventricular(AV) canal repair 144900 166635
527 Fontan procedure 152100 174915
528 Conduit repair 169000 194350
529 Coronary Artery Bypass Graft surgery (CABG) 125300 144095
530 Coronary Artery Bypass Graft surgery (CABG) +
169000 194350
Intra-Aortic Balloon Pump (IABP)
531 Coronary Artery Bypass Graft surgery (CABG) +
169000 194350
Valve
532 CABG without bypass. 127500 150000
533 Ascending aorta replacement 130000 149500
534 Double Valve Replacement (DVR) 155422 178735
535 Mitral valve Replacement(MVR)/ Aortic valve
103615 119157
Replacement(AVR)
536 Mitral valve (MV) Repair + Aortic valve (AV) Repair 103615 119157
537 Aorta femoral bypass 52000 59800
538 Blalock-Taussig shunt (BT Shunt) / Coarctation 51980 59777
539 Pulmonary Artery Banding (PA Banding) Septostomy 51980 59777
540 Pericardectomy 42320 48668
541 Congenital cytomegalovirus (CMV)/ patent ductus
46782 53799
arteriosus (PDA)
542 Gunshot injury 51980 59777
543 Heart transplant 248400 285660
544 Balloon coronary angioplasty/PTCA with VCD 80600 92690
545 Balloon coronary angioplasty/PTCA without VCD 80000 92000
546 Rotablation 48875 56206
547 Balloon Valvotomy / Percutaneous transvenous mitral
9238 10624
commissurotomy (PTMC)
548 Cardiac Catheterization (CATH) 10000 11500
549 Aortic Arch Replacement 10350 11903
550 Aortic Dissection 12650 14548
551 Thoraco Abdominal Aneurism Repair 15000 17250
552 Embolectomy 18900 21735
553 Vascular Repair 36000 41400
554 Bentall Repair with Prosthetic Valve 30000 34500
555 Bentall Repair with Biologic Valve 127500 150000
556 Coaractation dilatation 14500 16675
557 Coaractation dilatation with Stenting 18500 21275
558 Temporary cardiac pacing (TPI) Single Chamber 7500 8625
559 Temporary cardiac pacing (TPI) Dual Chamber 8160 9600
560 Permanent pacemaker implantation (PPI)- Single
13800 15870
Chamber
561 Permanent pacemaker implantation- Dual Chamber 19320 22218
562 Permanent pacemaker implantation (PPI)- 34500 39675
563 Automatic implantable cardioverter defibrillator
28750 33063
(AICD) Single Chamber
564 Automatic implantable cardioverter defibrillator
40000 46000
(AICD) Dual Chamber
565 Combo device implantation 36000 41400
566 Diagnostic Electrophysiological studies conventional 4550 5233
567 Ambulatory BP monitoring 587 690
568 External Loop/event recording 2563 3015
569 Radiofrequency (RF) ablation conventional 31500 36225
570 Radiofrequency (RF) ablation Atrial 40500 46575
571 Endomyocardial biopsy 9000 10350
572 Intra aortic balloon pump (IABP) 7820 8993
573 Intra vascular coils 41400 47610
574 Septostomy- Balloon 16150 19000
575 Septostomy- Blade 19550 22483
576 Aortic valve balloon dilatation (AVBD) / pulmonary
48300 55545
valve balloon dilatation (PVBD)
577 Digital subtraction angiography-Peripheral artery 11500 13225
578 Digital subtraction angiography- venogram 11500 13225
579 CT Guided biopsy 1265 1455
580 Sinogram 863 992
581 Peripheral Angioplasty with VCD 11500 13225
582 Peripheral Angioplasty without VCD 11500 13225
583 Renal Angioplasty 54315 63900
584 Intravascular ultrasound (IVUS) 22500 25875
585 Fractional flow reserve (FFR) 12750 15000
586 Holter analysis 850 1000
587 Aortic stent grafting for aortic aneurysm 78500 90275
588 Inferior Vena Cava (IVC) filter implantation 15300 18000
589 ASD/VSD/PDA device closure 36225 41659
590 Electrocardiogram (ECG) 50 58
591 Head--up tilt test (HUTT) 2040 2400
592 2D echocardiography 1080 1242
593 3D echocardiography 1275 1500
594 Fetal Echo 1260 1449
595 2D Transesophageal Echocardiography (TEE) 1403 1650
596 3D Transesophageal Echocardiography (TEE) 1403 1650
597 Stress Echo- exercise 1350 1553
598 Stress Echo- pharmacological 2250 2588
599 Stress Myocardial Perfusion Imaging (MPI)- exercise 1955 2300
600 Stress Myocardial Perfusion Imaging (MPI) -
2500 2875
pharmacological
601 Coronary angiography 11500 13225
602 CT coronary angiography 6030 6935
603 Cardiac CT scan 2272 2613
604 Cardiac MRI 2444 2811
605 Stress Cardiac MRI 3000 3450
606 MR angiography. 5635 6480
607 Cardiac PET 1500 1725
608 Pericardiocentesis 3150 3623
609 Other Major Surgery-Cardiovascular and Cardiac
20000 23000
Surgery & Investigations
610 Other Minor Surgery-Cardiovascular and Cardiac
4250 5000
Surgery & Investigations
TREATMENT PROCEDURE OBSTETRICS AND
GYNAECOLOGY
611 Normal delivery with or without Episiotomy & P. 8000 9200
612 vacuum delivery 8625 9919
613 Forceps Delivery 9200 10580
614 Cesarean Section(CS) 12645 14542
615 Cesarean Hysterectomy 18975 21821
616 Rupture Uterus closure & repair with Tubal Ligation 17250 19838
617 Perforation of Uterus after D/E Laparotomy & 13800 15870
618 Laparotomy for Ectopic pregnancy 12420 14283
619 Laparotomy-peritonitis Lavage and Drainage 11500 13225
620 Salphingo-Oophorectomy/ Oophorectomy
10000 11500
Laparoscopic
621 Ovarian Cystectomy-laparoscopic. 10350 11903
622 Ovarian Cystectomy -laparotomy. 13800 15870
623 Salpingo-Oophorectomy-laparotomy 11520 13248
624 Laparoscopic Broad Ligament Hematoma Drainage
with 6900 7935
repair
625 Exploration of perineal Haematoma & Repair 7200 8280
626 Exploration of abdominal Haematoma (after
laparotomy + 7245 8332
LSCS)
627 Manual Removal of Placenta 3280 3772
628 Examination under anesthesia (EUA) 1000 1150
629 Burst-abdomen Repair 9000 10350
630 Gaping Perineal Wound Secondary Suturing 1656 1904
631 Gaping abdominal wound Secondary Suturing 3450 3968
632 Complete perineal tear-repair 2128 2447
633 Exploration of PPH-tear repair 3500 4025
634 Suction evacuation vesicular mole 4500 5175
635 Suction evacuation Missed abortion/ incomplete
5175 5951
abortion
636 Colpotomy 3450 3968
637 Repair of post-coital tear/ perineal injury 3508 4034
638 Excision of urethral caruncle 3450 3968
639 Shirodhkar/ McDonald stitch 2898 3333
640 Abdominal Hysterectomy with or without salpingo-
15525 17854
oophorectomy
641 Non-descent Vaginal Hysterectomy (NDVH) 15525 17854
642 Vaginal Hysterectomy with repairs (UV Prolapse) 15525 17854
643 Myomectomy -laparotomy 14000 16100
644 Myomectomy -laparoscopic 6325 7274
645 Vaginoplasty 14950 17193
646 Vulvectomy -Simple 9200 10580
647 Vulvectomy-Radical 9200 10580
648 Rectovaginal Fistula (RVF) Repair 18975 21821
649 Manchester Operation 15000 17250
650 Shirodkar’s sling Operation or other sling operations
for 3450 3968
prolapse uterus
651 Laparoscopic sling operations for prolapse uterus 25200 28980
652 Diagnostic Curettage 2484 2857
653 Cervical Biopsy 1620 1863
654 Polypectomy 1518 1746
655 Other-Minor Operation Endometrial 2300 2645
656 Excision Vaginal Cyst/Bartholin Cyst 3450 3968
657 Excision Vaginal Septum 4250 5000
658 Laparoscopy -Diagnostic with chromopertubation and
or 4025 4629
adhesiolysis and drilling
659 Laparoscopy Sterilization 3450 3968
660 Laparoscopically Assisted Vaginal Hysterectomy
22719 26126
(LAVH)
661 Balloon Temponade for Post Partum Haemorrhage
2800 3220
(PPH)
662 Total laparoscopic hysterectomy 25243 29029
663 Laparoscopic treatment of Ectopic pregnancy-
9775 11241
salpingectomy/salpingostomy conservative
664 Conisation of cervix 4025 4629
665 Trachelectomy of cervix for early CA cervix 5500 6325
666 Hysteroscopic cannulation 2588 2975
667 Laparotomy recannalization of Fallopian tubes-
20183 23210
(Tubuloplasty)
668 Laparoscopic recannalization of Fallopian tubes-
18000 20700
(Tubuloplasty)
669 Colposcopy 958 1102
670 Inversion of Uterus – Vaginal Reposition 2500 2875
671 Inversion of Uterus – Abdominal Reposition 2500 2875
672 Laparoscopic Vesicovaginal Fistula (VVF) Repair 25200 28980
673 Abdominal Vesicovaginal Fistula (VVF) Repair 25200 28980
674 Vaginal Vesicovaginal Fistula (VVF) Repair 25200 28980
675 Interventional Ultrasonography- Chorionic villus
880 1012
sampling (CVS)
676 Amniocentesis 880 1012
677 Karyotyping 800 920
678 Thermal balloon ablation. 11500 13225
679 Ultrasonographic myolysis 9264 10653
680 Vaginal Myomectomy 10000 11500
681 Intra Uterine Inseminition 920 1058
682 Intracytoplasmic sperm injection (ICSI) 11500 13225
683 Laparotomy abdominal sacro-colpopexy 15000 17250
684 Vaginal Colpopexy 19800 22770
685 Laparoscopic abdominal sacro-colpopexy 20000 23000
686 Laparotomy pelvic Lymphadenectomy 1200 1380
687 Laparoscopic pelvic Lymphadenectomy 3500 4025
688 Endometrial aspiration cytology/biopsy 513 590
689 Transvaginal sonography (TVS for Follicular
monitioring 414 476
/aspiration)
690 laparoscopic treatment for stress incontinence 13500 15525
691 Transvaginal tapes for Stress incontinence 13500 15525
692 trans-obturator tapes for Stress incontinence 10800 12420
693 Interventional radiographic arterial embolization 18000 20700
694 Diagnostic cystoscopy 2875 3306
695 Staging laparotomy surgery for Carcinoma Ovary 6325 7274
696 Internal Iliac ligation 3393 3902
697 stepwise devascularisation 9200 10580
698 Assisted breech delivery 10925 12564
699 Intra-uterine fetal blood transfusion 21275 24466
700 Hysteroscopy Transcervical Resection of
8500 9775
Endometrium (TCRE)
701 Hysteroscopy Removal of Intra-uterine Contraceptive
7500 8625
Device (IUCD)
702 Hysteroscopy Removal of Septum 9900 11385
703 Hysteroscopy Diagnostic 6750 7763
704 Radical Hysterectomy for Cancer cervix with pelvic
8500 9775
lymphadenectomy
705 Radical Hysterectomy for Cancer endometrium
extending 8500 9775
to cervix with pelvic and para aortic
706 Sterilization Post partum (minilap) 3750 4313
707 Sterilization interval (minilap) 3750 4313
708 Ultrasonography Level II scan/Anomaly Scan 500 575
709 Fetal nuchal Translucency 300 345
710 Fetal Doppler/Umblical Doppler/Uterine Vessel
800 920
Doppler
711 Medical Termination of Pregnancy (MTP)- 1st
2700 3105
Trimester
712 Medical Termination of Pregnancy (MTP) - 2nd
3933 4523
Trimester
713 Quadruple test 1800 2070
714 Biophysical score 600 690
715 Other Major Surgery-Obstetrics and Gynaecology 25200 28980
716 Other Minor Surgery-Obstetrics and Gynaecology 5000 5750
TREATMENT PROCEDURE NEPHROLOGY AND UROLOGY
717 Partial Nephrectomy -open 14594 16782

718 Partial Nephrectomy-Laparoscopic/endoscopic 14490 16664
719 Nephrolithomy -open 10800 12420
720 Nephrolithomy -Laparoscopic/endoscopic 12600 14490
721 Pyelolithotomy-open 13000 14950
722 Pyelolithotomy -Laparoscopic/endoscopic 10580 12167
723 Operations for Hydronephrosis -pyeloplasty open 18400 21160
724 Operations for Hydronephrosis -pyeloplasty
14594 16782
Lap/endoscopic
725 Operations for Hydronephrosis Endopyelotomy
14490 16664
antegrade
726 Operations for Hydronephrosis Endoplyelotomy
10800 12420
retrograde
727 Operations for Hydronephrosis -ureterocalicostomy 12600 14490
728 Operations for Hydronephrosis-Ileal ureter 13000 14950
729 Open Drainage of Perinephric Abscess 10580 12167
730 Percutaneous Drainage of Perinephric Abscess -
Ultrasound 18400 21160
guided
731 Cavernostomy 9775 11500
732 Operations for Cyst of the Kidney -open 10764 12379
733 Operations for Cyst of the Kidney -Lap/endoscopic 12627 14522
734 Ureterolithotomy -open 13248 15235
735 Ureterolithotomy-Lap/Endoscopic 10000 11500
736 Nephroureterectomy open 14490 16664
737 Nephroureterectomy -Lap/Endoscopic 16100 18515
738 Operations for Ureter for -Double Ureters 17100 19665
739 Operations for Ureter -for Ectopia of Single Ureter 16200 18630
740 Operations for Vesicoureteric Reflux (VUR) -Open 16200 18630
741 Operations for Vesicoureteric Reflux (VUR)-
16200 18630
Lap/Endoscopic
742 Operations for Vesicoureteric Reflux (VUR)/ Urinary
18630 21425
incontinence with bulking agents
743 Ureterostomy - Cutaneous 12000 13800
744 Uretero-Colic anastomosis 14400 16560
745 Formation of an Ileal Conduit 17250 19838
746 Ureteric Catheterisation 8278 10950
747 Biopsy of Bladder (Cystoscopic) 2300 2645
748 Cysto-Litholapaxy 10925 12564
749 Operations for Injuries of the Bladder 9000 10350
750 Suprapubic Drainage (Cystostomy/vesicostomy) 5400 6210
751 Simple Cystectomy 15525 17854
752 Diverticulectomy -open 14400 16560
753 Diverticulectomy- Lap/Endoscopic 16560 19044
754 Diverticulectomy -Endoscopic incision of neck 1725 1984
755 Augmentation Cystoplasty 6670 7671
756 Operations for Exstrophy of the Bladder- Single stage
22300 25645
repair
757 Operations for Exstrophy of the Bladder- Multistage
20815 23937
repair
758 Operations for Exstrophy of the Bladder- simple
21420 24633
cystectomy with urinary diversion
759 Repair of Ureterocoel -Open 12420 14283
760 Repair of Ureterocoel -Lap/Endoscopic 14375 16531
761 Repair of Ureterocoel -Endoscopic incision 13000 14950
762 Open Suprapubic Prostatectomy 18630 21425
763 Open Retropubic Prostatectomy 18113 20830
764 Transurethral Resection of Prostate (TURP) 16767 19283
765 Urethroscopy/ Cystopanendoscopy 4140 4761
766 Internal urethrotomy -optical 5750 6613
767 Internal urethrotomy -Core through urethroplasty 11040 12696
768 Urethral Reconstruction -End to end ansatamosis 3450 3968
769 Urethral Reconstruction - substitution urethroplasty
19550 22483
(Transpubic urethroplasty)
770 Abdomino Perineal urethroplasty 12600 14490
771 Posterior Urethral Valve fulguration. 10143 11665
772 Operations for Incontinence of Urine - Male -Open 15525 17854
773 Operations for Incontinence of Urine - Male -Sling 16560 19044
774 Operations for Incontinence of Urine - Male-Bulking
17492 20115
agent
775 Operations for Incontinence of Urine - Female -Open 15525 17854
776 Operations for Incontinence of Urine - Female-Sling 16560 19044
777 Operations for Incontinence of Urine - Female-
17492 20115
Bulking agent
778 Reduction of Paraphimosis 1725 1984
779 Circumcision 3000 3450
780 Meatotomy 2346 2698
781 Meatoplasty 3220 3703
782 Operations for Hypospadias + Chordee Correction 8280 9522
783 Operations for Hypospadias - Second Stage 15000 17250
784 Operations for Hypospadias - One Stage Repair 9200 10580
785 Operations for Crippled Hypospadias 10350 11903
786 Operations for Epispadias _primary repair 11334 13034
787 Operations for Epispadias-crippled epispadias 10247 11784
788 Partial Amputation of the Penis 9688 11141
789 Total amputation of the Penis 10800 12420
790 Orchidectomy-Simple 8798 10117
791 Orchidectomy -Radical 10868 12497
792 Post Radical Orchidectomy retroperitoneal lymph
14000 16100
node
793 Epididymectomy 15938 18750
794 Adreneclectomy Unilateral/Bilateral for Tumour/For
22770 26186
Carcinoma- Open
795 Adreneclectomy Unilateral/Bilateral for Tumour/For
12960 14904
Carcinoma -Lap/Endoscopic
796 Operations for Hydrocele - Unilateral 5865 6745
797 Operations for Hydrocele - Bilateral 8556 9839
798 Operation for Torsion of Testis 11500 13225
799 Micro-surgical Vasovasostomy /Vaso epidedymal
11040 12696
ansatamosis .
800 Operations for Varicocele Unilateral-Microsurgical 7705 8861
801 Operations for Varicocele Palomo’s Unilateral - Lap 9200 10580
802 Operations for Varicocele Bilateral --Microsurgical 12650 14548
803 Operations for Varicocele Bilateral – Lap/ Palomo 14950 17193
804 Block Dissection of ilio-inguinal Nodes - One Side
(For Ca- 5693 6547
Penis)
805 Block Dissection of ilio-inguinal Nodes -Both Sides
(For Ca- 20700 23805
Penis)
806 Excision of Filarial Scrotum 10350 11903
807 Kidney Transplantation (related) 200000 230000
808 Kidney Transplantation (Spousal/ unrelated)
300000 345000
Including
809 ABO incompatible Transplantation 441000 507150
810 Swap Transplantation 382500 446200
811 Kidney Transplant Graft Nephrectomy 53550 63000
812 Donor Nephrectomy (open) 28750 33063
813 Donor Nephrectomy (Laparoscopic) 46000 52900
814 Cadaver Transplantation 74970 86216
815 Kidney Transplant with Native Kidney Nephrectomy
28000 32200
(Related)/ Unilateral
85000 97750
(Related)/ Bilateral
85000 97750
(Spousal/ Unrelated) Unilateral
85000 97750
(Spousal/ Unrelated) Bilateral
819 Post-Transplant Collection drainage for Lymphocele
6800 8000
(open)
6375 7500
(percutaneous)
7650 9000
(Laparoscopic)
822 Arteriovenous Fistula for Haemodialysis 2300 2645
823 Arteriovenous Shunt for Haemodialysis 3500 4025
824 Jugular Catheterization for Haemodialysis 1500 1725
825 Subclavian Catheterization for Haemodialysis 2025 2329
826 One sided (single Lumen) Femoral Catheterization
1000 1150
for
827 Bilateral (single Lumen) Femoral Catheterization for
1500 1725
Haemodialysis
828 Double Lumen Femoral Catheterization for
1665 1915
Haemodialysis
829 Permcath Insertion 2800 3220
830 Arterio venous Prosthetic Graft 1850 2128
831 Single lumen Jugular Catheterization 1500 1725
832 Single lumen Subclavian Catheterization 1530 1800
833 Plasma Exchange/ Plasmapheresis 1553 1786
834 Continuous Ambulatory Peritoneal Dialysis (CAPD)
3150 3623
catheter insertion- Open method
835 Continuous Ambulatory Peritoneal Dialysis (CAPD)
3150 3623
catheter insertion- Schlendinger/ Seldinger method
836 Sustained low efficiency haemodialysis / 1125 1294
Non- NABH / Non-

CGHS TREATMENT PROCEDURE / NABH / NABL
Sr. No. NABL Rates in
INVESTIGATION LIST Rates in Rupee
Rupee
Continuous Veno venous/Arteriovenous
837 2250 2588
Haemofilteration /Hemofilteration
838 Haemodialysis / Hemodialysis for Sero negative cases 1260 1449
839 Haemodialysis / Hemodialysis for Sero Positive cases 1500 1725
840 Acute Peritoneal Dialysis 1305 1501
841 Fistulogram for Arteriovenous Fistula 2500 2875
842 Ultrasound guided kidney Biopsy 850 978
843 Fistula stenosis dilation 3000 3450
844 Slow continuous Ultrafilteration 2250 2588
845 Percutaneous Nephrolithotomy (PCNL) - Unilateral 18000 20700
846 Percutaneous Nephrolithotomy (PCNL) - Bilateral 22500 25875
847 Endoscopic Bulking agent Inject 4050 4658
848 Testicular Biopsy 1955 2248
849 Radical Nephrectomy -Open 15525 17854
850 Radical Nephrectomy -Lap/Endoscopic 18630 21425
851 Radical Nephrectomy plus IV thrombus 20700 23805
852 Radical Nephrectomy plus IV thrombus plus cardiac
23000 26450
bypass.
853 Vesicovaginal Fistula (VVF) Repair (Open) 16000 18400
854 Vesicovaginal Fistula (VVF) Repair (Laparoscopic) 19800 22770
855 Radical Cystectomy -Ileal conduit 16070 18481
856 Radical Cystectomy - continent diversion. 15000 17250
857 Radical Cystectomy – Neo bladder 18000 20700
858 Nephrectomy Simple -Open 10074 11585
859 Nephrectomy Simple-lap/Endoscopic 12593 14482
860 Nephrostomy -Open 10000 11500
861 Nephrostomy -Lap/Endoscopic 10704 12593
862 Ureteric Reimplant for Megaureter/Vesicoureteric
9445 10861
reflux/ ureterocele (open)
863 Ureteric Reimplant for Megaureter/Vesicoureteric
10494 12068
reflux/ ureterocele (Laparoscopic)
864 Partial Cystectomy 12420 14283
865 Transurethral Resection of Prostate (TURP) &
17250 19838
Transurethral Resection of Bladder Tumour (TURBT)
866 Transurethral Resection of Prostate (TURP) with
17000 19550
Cystolithotripsy
867 Closure of Urethral Fistula 9900 11385
868 Orchidopexy - Unilateral -Open 9867 11347
869 Orchidopexy - Unilateral- Lap/Endoscopic 12334 14184
870 Orchidopexy - Bilateral -Open 12282 14124
871 Orchidopexy - Bilateral -Lap/Endoscopic 13050 15008
872 Cystolithotomy -Suprapubic 8798 10117
873 Endoscopic Removal of Stone in Bladder 3450 3968
874 Resection Bladder Neck Endoscopic /Bladder neck
10925 12564
incision/transurethral incision on prostrate
875 Ureteroscopic Surgery 10350 11903
876 Urethroplasty 1st Stage 10925 12564
877 Scrotal Exploration 7700 8855
878 Perineal Urethrostomy 4715 5422
879 Dilatation of Stricture Urethra under G.A. 2000 2300
880 Dilatation of Stricture Urethra under LA 1553 1786
881 Laparoscopic Nephrectomy (Select CGHS rate Code
33350 38353
508 for approved rate)
882 Laparoscopic partial Nephrectomy 10000 11500
883 Laparoscopic pyelolithotomy 12650 14548
884 Laparoscopic Pyeloplasty 9775 11241
885 Laparoscopic surgery for Renal cyst 9775 11241
886 Laparoscopic ureterolithotomy 11500 13225
887 Laparoscopic Nephroureterectomy 13225 15209
888 Extracorporeal Shock Wave Lithotripsy (ESWL) 19550 22483
889 Uroflow Study (Uroflometry) 405 466
890 Urodynamic Study (Cystometry) 480 552
891 Cystoscopy with Retrograde Catheter -Unilateral 2803 3223
892 Cystoscopy with Retrograde Catheter - Bilateral /RGP 4208 4950
893 Cystoscopy with Bladder Biopsy (Cold Cup Biopsy) 3381 3888
894 Voiding-cysto-urethrogram and retrograde
414 476
urethrogram
895 Radical prostatectomy-Open 16043 18449
896 Radical prostatectomy-Laparoscopic 18113 20830
897 Radical prostatectomy- Robotic (Robotic Partial
20125 23144
Nephrectomy)
898 Holmium YAG Prostate Surgery 15000 17250
899 Holmium YAG Optical Internal Urethrotomy (OIU) 4600 5290
900 Holmium YAG Core through internal Urethrotomy 17250 19838
901 Holmium YAG Stone Lithotripsy 10200 12000
902 Green Light laser for prostate 17250 19838
903 Retrograde Intrarenal Surgery (RIRS)/ Flexible
6800 7820
Ureteroscopy
904 Microscopic Vaso-Epididymal Anastomosis (VEA)/
Vasovasostomy (reversal of vasectomy for Infertility
13500 15525
treatment) (Select CGHS rate code 799 for
approved rate)
905 Cystoscopic Botulinum Toxin Injection ( Over active
6800 7820
bladder/ Neurogenic bladder)
906 Peyronie’s disease – Plaque excision with grafting 3400 4000
907 High Intensity Focus Ultrasound (HIFU) (Robotic)
4600 5290
for
908 Prosthetic surgery for urinary incontinence 2300 2645
909 Transrectal Ultrasound (TRUS) guided prostate 575 661
910 Ultrasound Guided Percutaneous Nephrostomy 720 828
911 Other Major Surgery-Nephrology and Urology 15000 17250
912 Other Minor Surgery-Nephrology and Urology 6800 7820
TREATMENT PROCEDURE NEURO-SURGERY
913 Craniotomy and Evacuation of Haematoma -Subdural 50715 58322
914 Craniotomy and Evacuation of Haematoma - 50000 57500
915 Evacuation /Excision of Brain Abscess by craniotomy 40000 46000
916 Excision of Lobe (Frontal Temporal Cerebellum etc.) 41000 47150
917 Excision of Brain Tumours -Supratentorial 39123 44991
918 Excision of Brain Tumours -Infratentorial 45000 51750
919 Surgery of spinal Cord Tumours 40500 46575
920 Ventriculoatrial /Ventriculoperitoneal Shunt (Select
25000 28750
CGHS rate code 938 for approved rates)
921 Twist Drill Craniostomy 4250 5000
922 Subdural Tapping 2456 2824
923 Ventricular Tapping 2967 3412
924 Abscess Tapping 2875 3306
925 Placement of Intracranial pressure (ICP) Monitor 2875 3306
926 Skull Traction Application 2300 2645
927 Lumbar Pressure Monitoring 4000 4600
928 Vascular Malformations 22000 25300
929 Meningo Encephalocoele excision and repair 15000 17250
930 Meningomyelocoele Repair 24995 28744
931 CSF Rhinorrhoea Repair 25875 29757
932 Cranioplasty 24150 27773
933 Anterior Cervical Discectomy 16600 19090
934 Brachial Plexus Exploration and neurotization 15525 17854
935 Median Nerve Decompression 14000 16100
936 Peripheral Nerve Surgery – Major 17250 19838
937 Peripheral Nerve Surgery Minor 8280 9522
938 Ventriculoatrial /Ventriculoperitoneal Shunt 11615 13357
939 Nerve Biopsy 6900 7935
940 Brain Biopsy 5808 6679
941 Anterior Cervical Spine Surgery with fusion 32200 37030
942 Anterio Lateral Decompression of spine 28750 33063
943 Brain Mapping 837 963
944 Cervical or Dorsal or Lumbar Laminectomy 23000 26450
945 Combined Trans-oral Surgery & Craniovertebral
34500 39675
(CV) Junction Fusion
946 Craniovertebral Junction (CVJ) Fusion procedures 30000 34500
947 Depressed Fracture Elevation 25000 28750
948 Lumbar Discectomy 27600 31740
949 Endarterectomy (Carotid) 20000 23000
950 Radiofrequency (RF) Lesion for Trigeminal 11500 13225
951 Spasticity Surgery - 39675 45626
952 Spinal Fusion Procedure 30000 34500
953 Spinal Intra Medullary Tumours 34500 39675
954 Spinal Bifida Surgery Major 18975 21821
955 Spinal Bifida Surgery Minor 15000 17250
956 Stereotaxic Procedures- biopsy/aspiration of cyst 23000 26450
957 Trans Sphenoidal Surgery 30000 34500
958 Trans Oral Surgery 30000 34500
959 Implantation of Deep Brain Stimulation (DBS) -One
31050 35708
electrode
960 Implantation of Deep Brain Stimulation (DBS) -two
36225 41659
electrodes
961 Endoscopic aqueductoplasty 15000 17250
962 Facial nerve reconstruction 30000 34500
963 Carotid stenting 42263 48602
964 Cervical disc arthroplasty 27600 31740
965 Lumbar disc arthroplasty 13800 15870
966 Corpus callostomy for Epilepsy 35000 40250
967 Hemispherotomy for Epilepsy 32200 37030
968 Endoscopic CSF rhinorrhoea repair 30000 34500
969 Burr hole evacuation of chronic subdural haematoma 24150 27773
970 Epilepsy surgery other than at S No. 966 and 967 36225 41659
971 Radiofrequency (RF) lesion for facet joint pain
17250 19838
syndrome
972 Cervical laminoplasty 32000 36800
973 Lateral mass C1-C2 screw fixation 23000 26450
974 Microsurgical decompression for Trigeminal nerve 38000 43700
975 Microsurgical decompression for hemifacial spasm 4646 5343
976 Extracranial-Intracranial Bypass Procedures (EC-IC)
32000 36800
bypass procedures
977 Image guided craniotomy 28980 33327
978 Baclofen pump implantation 39000 44850
979 Programmable Ventriculo-Peritoneal (VP) shunt 25000 28750
980 Endoscopic sympathectomy 15396 17706
981 Lumbar puncture 207 238
982 External ventricular drainage (EVD) 4600 5290
983 Endoscopic 3rd ventriculostomy 40000 46000
984 Endoscopic cranial surgery/Biopsy/aspiration 31536 36266
985 Endoscopic discectomy (Lumbar, Cervical) 35621 40964
986 Aneurysm coiling (Endovascular) 34400 39560
987 Surgery for skull fractures 40000 46000
988 Carpel Tunnel decompression 15000 17250
989 Clipping of intracranial aneurysm 24150 27773
990 Surgery for intracranial Arteriovenous
40000 46000
malformations(AVM)
991 Foramen magnum decompression for Chiari
93750 107813
Malformation
992 Dorsal column stimulation for backache in failed
28750 33063
back
993 Surgery for recurrent disc prolapse/epidural fibrosis 32200 37030
994 Surgery for brain stem tumours 43988 50586
995 Decompressive craniotomy for hemispherical acute
40000 46000
subdural haematoma/brain swelling/large infarct
996 Intra-arterial thrombolysis with Tissue Plasminogen
4600 5290
Activator (TPA) (for ischemic stroke )
997 Stereotactic aspiration of intracerebral haematoma 32545 37427
998 Endoscopic aspiration of intracerebellar haematoma 40000 46000
999 Stereotactic Radiosurgery for brain pathology(X
27560 31694
knife/Gamma ) - ONE session
1000 Stereotactic Radiosurgery for brain pathology(X knife
57500 66125
/Gamma knife -Two or more sessions
1001 Chemotheraphy wafers for malignant brain tumors 14450 16618
1002 Battery Placement for Deep Brain Stimulation (DBS) 22000 25300
1003 Baclofen pump implantation for spasticity 17330 19930
1004 Peripheral Nerve tumor surgery 24000 27600
1005 Surgery Intra Cranial Meningioma 20000 23000
1006 Surgery for Intracranial Schwannoma 35000 40250
1007 Surgery for Gliomas 45000 51750
1008 Surgery for Orbital tumors 40000 46000
1009 Surgery for Cranial (Skull) tumors 38500 44275
1010 Surgery for Scalp Arteriovenous Malformations
25000 28750
(AVMs)
1011 Kyphoplasty 36000 41400
1012 Balloon Kyphoplasty 40000 46000
1013 Lesioning procedures for Parkinson’s disease,
31500 36225
Dystonia etc.
1014 Other Major Surgery-Neuro-surgery 42500 50000
1015 Other Minor Surgery-Neuro-surgery 15300 18000
TREATMENT PROCEDURE PAEDIATRIC SURGERY
1016 Excision of thyroglossal Duct/Cyst 16000 18400
1017 Diaphragmatic Hernia Repair (Thoracic or
17250 19838
Abdominal
1018 Tracheo Oesophageal Fistula (Correction Surgery) 23000 26450
1019 Colon Replacement of Oesophagus 23000 26450
1020 Omphalo Mesenteric Cyst Excision 17250 19838
1021 Omphalo Mesenteric Duct- Excision 15525 17854
1022 Meckels Diverticulectomy 3347 3849
1023 Omphalocele 1st Stage (Hernia Repair) 15525 17854
1024 Omphalocele 2nd Stge (Hernia Repair) 17250 19838
1025 Gastroschisis Repair 16100 18515
1026 Inguinal Herniotomy 12558 14442
1027 Congenital Hydrocele 12000 13800
1028 Hydrocele of Cord 12000 13800
1029 Torsion Testis Operation 15000 17250
1030 Congenital Pyloric Stenosis- operation 13938 16029
1031 Duodenal Atresia Operation 14000 16100
1032 Pancreatic Ring Operation 22425 25789
1033 Meconium Ileus Operation 14500 16675
1034 Malrotation of Intestines Operation 13000 14950
1035 Rectal Biopsy (Megacolon) 9600 11040
1036 Colostomy Transverse 13500 15525
1037 Colostomy Left Iliac 13500 15525
1038 Abdominal Perineal Pull Through (Hirschsprung's
19000 21850
Disease)
1039 Imperforate Anus Low Anomaly -Cut Back Operation 10235 11770
1040 Imperforate Anus Low Anomaly - Perineal Anoplasty 12000 13800
1041 Imperforate Anus High Anomaly -Sacroabdomino
12500 14375
Perineal Pull Through
1042 Imperforate Anus High Anomaly - Closure of 8625 9919
1043 Colostomy
Intussusception Operation 18630 21425
1044 Choledochoduodenostomy for Atresia of Extra
15000 17250
Hepatic Billiary Duct
1045 Operation of Choledochal Cyst 16000 18400
1046 Nephrectomy for -Pyonephrosis 16000 18400
1047 Nephrectomy for - Hydronephrosis 15000 17250
Sr. CGHS TREATMENT
No. PROCEDURE/INVESTIGATION LIST
1048 Nephrectomy for -Wilms Tumour 15000 17250
1049 Paraortic Lymphadenectomy with Nephrectomy for
20000 23000
Wilms Tumour
1050 Sacro-Coccygeal Teratoma Excision 14000 16100
1051 Neuroblastoma Debulking 16000 18400
1052 Neuroblastoma Total Excision 18630 21425
1053 Rhabdomyosarcoma wide Excision 15000 17250
1054 Congenital Atresia & Stenosis of Small Intestine 19000 21850
1055 Meconium ileus (Select CGHS rate code 1033) 16000 18400
1056 Malrotation & Volvulus of the Midgut 15000 17250
1057 Excision of Meckel’s Deverticulum 12000 13800
1058 Other Major Surgery-Paediatric Surgery 27000 31050
1059 Other Minor Surgery-Paediatric Surgery 11050 13000
TREATMENT PROCEDURE BURNS AND PLASTIC SURGERY
1060 Primary Suturing of Wound 300 345
1061 Injection of Keloids - Ganglion 1000 1150
1062 Injection of Keloids - Haemangioma 1150 1323
1063 Free Grafts - Wolfe Grafts 1725 1984
1064 Free Grafts - Thiersch- Small Area 5% 6728 7736
1065 Free Grafts - Large Area 10% 8000 9200
1066 Free Grafts - Very Large Area 20% and above. 9315 10713
1067 Skin Flaps - Rotation Flaps 8970 10316
1068 Skin Flaps - Advancement Flaps 12500 14375
1069 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap 12500 14375
1070 Skin Flaps - Cross Finger 12500 14375
1071 Skin Flaps - Abdominal 9350 11000
1072 Skin Flaps - Thoracic 9350 11000
1073 Skin Flaps - Arm Etc. 11000 12650
1074 Subcutaneous Pedicle Flaps Raising 6900 7935
1075 Subcutaneous Pedicle Flaps Delay 5950 7000
1076 Subcutaneous Pedicle Flaps Transfer 5950 7000
1077 Cartilage Grafting 8625 9919
1078 Reduction of Facial Fractures of Nose 1380 1587
1079 Reduction of Facial Fractures of Maxilla 8000 9200
1080 Reduction of Fractures of Mandible & Maxilla -
7475 8596
Eyelet Splinting
1081 Reduction of Fractures of Mandible & Maxilla - Cast
6900 7935
Metal Splints
1082 Reduction of Fractures of Mandible & Maxilla -
7500 8625
Gunning Splints
1083 Internal Wire Fixation of Mandible & Maxilla 10350 11903
1084 Cleft Lip - repair. 10350 11903
1085 Cleft Palate Repair 12650 14548
1086 Primary Bone Grafting for alveolar cleft in Cleft Lip 11500 13225
1087 Secondary Surgery for Cleft Lip Deformity 10000 11500
1088 Secondary Surgery for Cleft Palate 12650 14548
1089 Reconstruction of Eyelid Defects - Minor 6325 7274
1090 Reconstruction of Eyelid Defects - Major 8500 9775
1091 Plastic Surgery of Different Regions of the Ear - 8050 9258
1092 Plastic Surgery of Different Regions of the Ear - 10350 11903
1093 Plastic Surgery of the Nose - Minor 8050 9258
1094 Plastic Surgery of the Nose - Major 9500 10925
1095 Plastic Surgery for Facial Paralysis (Support with
16100 18515
Reanimation)
1096 Pendulous Breast - Mammoplasty 13000 14950
1097 Underdeveloped Breast Mammoplasty 12000 13800
1098 After Mastectomy (Reconstruction)Mammoplasty 12000 13800
1099 Syndactyly Repair 12750 15000
1100 Dermabrasion Face 11903 13688
1101 upto 30% Burns 1st Dressing 152 175
1102 upto 30% Burns Subsequent Dressing 124 143
1103 30% to 50% Burns 1st Dressing 193 222
1104 30% to 50% Burns Subsequent Dressing 152 175
1105 Extensive Burn -above 50% Frist Dressing 276 317
1106 Extensive Burn -above 50% Subsequent dressing 193 222
TREATMENT PROCEDURE ORTHOPEDICS
1107 Plaster Work 230 270
1108 Fingers (post slab) 233 268
1109 Fingers full plaster 233 268
1110 Colles Fracture - Below elbow 880 1013
1111 Colles Fracture - Full plaster 895 1029
1112 Colles fracture Ant. Or post. slab 360 414
1113 Above elbow full plaster 173 199
1114 Above Knee post-slab 518 288
1115 Below Knee full plaster 173 199
1116 Below Knee post-slab 646 743
1117 Tube Plaster (or plaster cylinder) 720 828
1118 Above knee full plaster 1139 1310
1119 Above knee full slab 1042 1199
1120 Minerva Jacket 2174 2499
1121 Plaster Jacket 1967 2262
1122 Shoulder spica 1955 2248
1123 Single Hip spica 2243 2579
1124 Double Hip spica 2760 3174
1125 Strapping of Finger 179 206
1126 Strapping of Toes 180 207
1127 Strapping of Wrist 207 239
1128 Strapping of Elbow 236 271
1129 Strapping of Knee 345 397
1130 Strapping of Ankle 345 397
1131 Strapping of Chest 414 476
1132 Strapping of Shoulder 500 575
1133 Figure of 8 bandage 466 536
1134 Collar and cuff sling 255 300
1135 Ball bandage 360 414
1136 Application of POP Casts for Upper & Lower Limbs 570 655
1137 Application of Functional Cast Brace 1300 1495
1138 Application of Skin Traction 621 715
1139 Application of Skeletal Tractions 854 982
1140 Bandage & Strappings for Fractures 497 572
1141 Aspiration & Intra Articular Injections 518 595
1142 Application of POP Spices & Jackets 2226 2560
1143 Close Reduction of Fractures of Limb & POP 2340 2691
1144 Reduction of Compound Fractures 2760 3174
1145 Open Reduction & Internal Fixation (ORIF) of
5175 5951
Fingers & Toes
1146 Open Reduction of fracture of Long Bones of Upper /
8050 9258
Lower Limb -Nailing & External Fixation
1147 Open Reduction of fracture of Long Bones of Upper /
9660 11109
Lower Limb -AO Procedures
1148 Tension Band Wirings 5658 6507
1149 Bone Grafting 6601 7591
1150 Excision of Bone Tumours 6900 7935
1151 Excision or other Operations for Scaphoid Fractures 7188 8266
1152 Sequestrectomy & Saucerisation 6900 7935
1153 Sequestrectomy & Saucerizations -Arthrotomy 9971 11467
1154 Multiple Pinning Fracture Neck Femur 11500 13225
1155 Plate Fixations for Fracture Neck Femur 13500 15525
1156 AO Compression Procedures for Fracture Neck 14904 17140
1157 Open Reduction of Fracture Neck Femur Muscle
19500 22425
Pedicle Graft and Internal Fixations
1158 Close Reduction of Dislocations 3174 3650
1159 Open Reduction of Dislocations 3439 3955
1160 Open Reduction & Internal Fixation (ORIF) of
13500 15525
Fracture Dislocation
1161 Neurolysis/Nerve repair 13800 15870
1162 Nerve Repair with Grafting 16675 19176
1163 Tendon with Transplant or Graft 10350 11903
1164 Tendon Lengthening/Tendon repair 8050 9258
1165 Tendon Transfer 3105 3571
1166 Laminectomy Excision Disc and Tumours 4830 5555
1167 Split Osteotomy and Internal Fixations 21735 24996
1168 Anterolateral decompression for tuberculosis/ Costo-
3450 3968
Transversectomy
1169 Antereolateral Decompression and Spine Fusion 19350 22253
1170 Corrective Osteotomy & Internal Fixation- short 13800 15870
1171 Corrective Osteotomy & Internal Fixation- long bones 11040 12696
1172 Arthrodesis of - Minor Joints 10350 11903
1173 Arthrodesis of - Major Joints 10000 11500
1174 Soft Tissue Operations for Congenital Talipes
8050 9258
Equinovarus (CTEV)
1175 Soft Tissue Operations for Polio 6900 7935
1176 Hemiarthroplasty- Hip 19440 22356
1177 Hemiarthroplasty- Shoulder 19440 22356
1178 Operations for Brachial Plexus & Cervical Rib 21735 24996
1179 Amputations - Below Knee 6900 7935
1180 Amputations - Below Elbow 6843 7869
1181 Amputations - Above Knee 8050 9258
1182 Amputations - Above Elbow 6843 7869
1183 Amputations - Forequarter 13225 15209
1184 Amputations -Hind Quarter and Hemipelvectomy 18400 21160
1185 Disarticulations - Major joint 20000 23000
1186 Disarticulations - Minor joint 12650 14548
1187 Arthrography 8280 9522
1188 Arthroscopy - Diagnostic 8568 9853
1189 Arthroscopy-therapeutic: without implant 10000 11500
1190 Arthroscopy-therapeutic: with implant 17250 19838
1191 Soft Tissue Operation on Joints -Small 6900 7935
1192 Soft Tissue Operation on Joints -Large 12150 13973
1193 Myocutaneous and Fasciocutaneous Flap Procedures
18630 21425
for Limbs
1194 Removal of Wires & Screw 1760 2024
1195 Removal of Plates 4140 4761
1196 Total Hip Replacement (THR) 71100 81765
1197 Total Ankle Joint Replacement (TAR) 85860 98739
1198 Total Knee Joint Replacement (TKR) 99000 113850
1199 Total Shoulder Joint Replacement 71100 81765
1200 Total Elbow Joint Replacement 71100 81765
1201 Total Wrist Joint Replacement 90000 103500
1202 Total finger joint replacement 20000 23000
1203 Tubular external fixator 4600 5290
1204 Ilizarov's external fixator 7763 8927
1205 Pelvi-acetabular fracture -Internal fixation 8625 9919
1206 Meniscectomy 12000 13800
1207 Meniscus Repair 10000 11500
1208 Anterior Cruciate Ligament (ACL) Reconstruction 8500 9775
1209 Posterior Cruciate Ligament (PCL) Reconstruction 13500 15525
1210 Knee Collateral Ligament Reconstruction 12500 14375
1211 Bankart Repair Shoulder 11880 13662
1212 Rotator cuff repair / RC repair 1500 1725
1213 Biceps tenodesis 12600 14490
1214 Distal biceps tendon repair 10380 11937
1215 Arthrolysis of knee 12500 14375
1216 Capsulotomy of Shoulder 14220 16353
1217 Conservative Plaster of Paris (POP) 1200 1380
1218 Application for CTEV per sitting 1200 1380
1219 Total Hip Replacement (THR) Revision Stage-I 17000 19550
1220 Total Hip Replacement (THR) Revision Stage-II 50000 57500
1221 Total Knee Replacement (TKR) Revision Stage-I 35000 40250
1222 Total Knee Replacement (TKR) Revision 35000 40250
1223 Illizarov/ external fixation for limb lengthening/
deformity 12500 14375
correction
1224 Discectomy/ Micro Discectomy 12500 14375
1225 Laminectomy 4646 5343
1226 Spinal Fixation Cervical/dorsolumbar/ lumbosacral 16000 18400
1227 Fusion Surgery Cervical/ Lumbar Spine upto 2 Level 22000 25300
1228 Spinal Fusion Surgery Cervical/ Lumbar Spine -More
12000 13800
than 2 Level
1229 Scoliosis Surgery/ Deformity Correction of Spine 22500 25875
1230 Vertebroplasty 12000 13800
1231 Spinal Injections 450 518
1232 Dynamic Hip Screw (DHS) for Fracture Neck Femur 15000 17250
1233 Proximal Femur Nail (PFN) for IT fracture
14000 16100
(Intertrochanteric Fractures)
1234 Spinal Osteotomy 1434 1649
1235 Illizarov’s / External Fixation for Trauma 11700 13455
1236 Soft Tissue Operations for Polio/ Cerebral Palsy 10080 11592
1237 Mini Fixator for Hand/Foot 8100 9315
1238 Other Major Surgery-Orthopedics 38250 45000
1239 Other Minor Surgery-Orthopedics 11411 13425
TREATMENT PROCEDURE PHYSIOTHERAPY
1240 Ultrasonic therapy 78 90
1241 Shortwave Diathermy (SWD) 78 90
1242 Electrical stimulation (therapeutic) 78 90
1243 Muscle testing and diagnostic 71 82
1244 Infrared 70 81
1245 Ultraviolet Therapeutic (UV Therapeutic) dose 58 67
1246 Intermittent Lumbar Traction 78 90
1247 Intermittent Cervical traction 75 86
1248 Wax bath 75 86
1249 Hot pack 70 81
1250 Breathing Exercises & Postural Drainage 50 58
1251 Cerebral Palsy – exercise 50 58
1252 Post – polio exercise 50 58
NUCLEAR MEDICINE / RADIOTHERAPY AND
1253 Cobalt 60 therapy 61200 72000
1254 Cobalt 60 therapy- Radical therapy 61583 70820
1255 Cobalt 60 therapy- Palliative therapy 21994 25294
1256 Linear accelerator 26775 31500
1257 Linear accelerator- Radical therapy 52785 60703
1258 Linear accelerator- Palliative therapy 30792 35411
1259 3D Planning Radiotherapy 4399 5059
1260 2D Planning Radiotherapy 4399 5059
1261 IMRT(Intensity Modulated radiotherapy) 90790 104409
1262 SRT (Stereotactic radiotherapy) 54896 63131
1263 SRS(Stereotactic radio surgery) 80546 92628
1264 IGRT(Image guided radiotherapy) 132314 152161
1265 Respiratory Gating-alongwith Linear accelerator
99000 113850
planning
1266 Electron beam with Linear accelerator 60726 71442
1267 Tomotherapy 71460 82179
NUCLEAR MEDICINE / BRACHYTHERAPY- HIGH
1268 Intracavitary (Brachytherapy) 10557 12141
1269 Interstitial (Brachytherapy) 52785 60703
1270 Intraluminal (Brachytherapy) 8798 10117
1271 Surface mould (Brachytherapy) 4644 5341
1272 Gliadel Wafer (Brachytherapy) 93900 107985
NUCLEAR MEDICINE / CHEMOTHERAPY
1273 Neoadjuvant Chemotherapy 863 992
1274 Adjuvant Chemotherapy 863 992
1275 Concurrent-chemoradiation 920 1058
1276 Single drug Chemotherapy 552 635
1277 Multiple drugs Chemotherapy 897 1032
1278 Targeted therapy 920 1058
1279 Chemoport facility 828 952
1280 PICC line (peripherally inserted Central 828 952
LIST OF PROCEDURES/ TESTS IN
GASTROENTEROLOGY / ENDOSCOPIC PROCEDURES
1281 Upper GI Endoscopy + Lower GI Endoscopy 1553 1786
1282 Diagnostic endoscopy 250 288
1283 Endoscopic biopsy 345 397
1284 Endoscopic mucosal resection 1543 1815
1285 Oesophageal stricture dilatation 1725 1984
1286 Balloon dilatation of achalasia cardia 2588 2975
1287 Foreign body removal 1725 1984
1288 Oesophageal stenting 3000 3450
1289 Band ligation of oesophageal varices 2500 2875
1290 Sclerotherapy of oesophageal varices 2500 2875
1291 Glue injection of varices 2500 2875
1292 Argon plasma coagulation 4025 4629
1293 Pyloric balloon dilatation 2415 2777
1294 Enteranal stenting 3680 4232
1295 Duodenal stricture dilation 990 1139
1296 Single balloon enteroscopy 4000 4600
1297 Double balloon enteroscopy 3500 4025
1298 Capsule endoscopy 4950 5693
1299 Piles banding 1099 1264
1300 Colonic stricture dilatation 2737 3148
1301 Hot biopsy forceps procedures 3000 3450
1302 Colonic stenting 2463 2833
1303 Junction biopsy 1800 2070
1304 Conjugal microscopy 4000 4600
1305 Endoscopic sphincterotomy 2415 2777
1306 Common Bile Duct (CBD) stone extraction 2415 2777
1307 Common Bile Duct (CBD) stricture dilatation 5850 6728
1308 Biliary stenting (plastic and metallic) 4830 5555
1309 Mechanical lithotripsy of CBD stones 8000 9200
1310 Pancreatic sphincterotomy 6375 7500
1311 Pancreatic stricture dilatation 5750 6613
1312 Pancreatic stone extraction 10098 11613
1313 Mechanical lithotripsy of pancreatic stones 11385 13093
1314 Endoscopic cysto gastrostomy 8050 9258
1315 Balloon dilatation of papilla 6210 7142
1316 Ultrasound guided FNAC 575 661
1317 Ultrasound guided abscess Drainage 720 828
1318 Percutaneous Transhepatic Biliary Drainage (PTBD) 1150 1323
1319 Diagnostic angiography 2000 2300
1320 Vascular embolization 15100 17365
1321 Transjugular Intrahepatic Portosystemic Shunt (TIPS) 5400 6210
1322 Inferior vena cava (IVC) Venography and Hepatic
30791 35410
vein (HV) Venography
1323 Muscular stenting 87975 101172
1324 Balloon-occluded Retrograde Intravenous
51750 59513
Obliteration (BRTO)
1325 Portal haemodymic studies 1913 2250
1326 Manometry and PH metry 1451 1707
1327 Oesophageal PH metry 4500 5175
1328 Oesophageal manometry 4500 5175
1329 Small bowel manometry 6120 7200
1330 Anorectal manometry 6120 7200
1331 Colonic manometry 6885 8100
1332 Biliary manometry 6885 8100
1333 Sengstaken blackenesse tube tempode 2588 2975
1334 Lintas machles tube tempode 2875 3306
1335 Faecal / Fecal fat test/ fecal chymotrypsin/ fecal 350 403
1336 Breath tests 270 311
1337 Extracorporeal Shortwave Lithotripsy (ESWL)
37260 42849
(Select CGHS rate code 888 for approved rate)
1338 Liver biopsy 1242 1428
NAME OF INVESTIGATION / DENTAL
1339 Dental IOPA X-ray 50 58
1340 Occlusal X-ray 70 81
1341 OPG X-ray 176 203
NAME OF INVESTIGATION / PULMONARY
1342 Lung Ventilation & Perfusion Scan (V/Q Scan) 3500 4025
1343 Lung Perfusion Scan 2000 2300
NAME OF INVESTIGATION / OSTEOLOGY
1344 Whole Body Bone Scan with SPECT. 3079 3541
1345 Three phase whole body Bone Scan 3079 3541
NAME OF INVESTIGATION / NEUROSCIENCES
1346 Brain Perfusion SPECT Scan with Technetium 99m
8798 10117
radiopharmaceuticals.
1347 Radionuclide Cisternography for CSF leak 3421 4025
NAME OF INVESTIGATION / GASTRO AND
1348 Gastro esophageal Reflux Study (GER Study) 1760 2023
1349 Gastro intestinal Bleed (GloB.) Study with
Technetium 99m 3079 3541
labeled RBCs.
1350 Hepatobiliary Scintigraphy. 2200 2530
1351 Meckel's Scan 1760 2023
1352 Hepatosplenic scintigraphy with Technetium-99m
1683 1980
radiopharmaceuticals
1353 Gastric emptying 1275 1466
NAME OF INVESTIGATION / GENITOURINARY
1354 Renal Cortical Scintigraphy with Technetium 99m
3079 3541
Dimercaptosuccinic acid (DMSA)
1355 Dynamic Renography. 3079 3541
1356 Dynamic Renography with Diuretic. 3079 3541
1357 Dynamic Renography with Captopril 1960 2254
1358 Testicular Scan 1319 1517
NAME OF INVESTIGATION / ENDOCRINOLOGY
1359 Thyroid Uptake measurements with 131-Iodine. 1408 1619
1360 Thyroid Scan with Technetium 99m Pertechnetate. 1319 1517
1361 Iodine-131 Whole Body Scan 2640 3036
1362 Whole Body Scan with MIBG 15836 18211
1363 Parathyroid Scan 4399 5059
NAME OF INVESTIGATION / RADIO-ISOTOPE
THERAPY
1364 131-Iodine Therapy 1530 1800
1365 131-Iodine Therapy <15mCi 3854 4432
1366 131-Iodine Therapy 15-50mCi 4956 5699
1367 131-Iodine Therapy 51-100mCi 12000 13800
1368 131-Iodine Therapy >100mCi 15000 17250
1369 Phosphorus-32 therapy for metastatic bone pain
5000 5750
palliation
1370 Samarium-153 therapy for metastatic bone pain
10450 12018
palliation
1371 Radiosynovectomy with Yttrium 21250 25000
NAME OF INVESTIGATION / CARDIOLOGY
1372 Stress thallium / Myocardial Perfusion Scintigraphy 8505 9781
1373 Rest thallium / Myocardial Perfusion Scintigraphy 7200 8280
1374 Venography 2970 3416
1375 Treadmill Test (TMT) 440 506
1376 Transoesophageal Echocardiography (TEE) 440 506
1377 Lymph angiography 1452 1670
NAME OF INVESTIGATION / TUMOUR IMAGING
1378 Scintimammography. 4320 4968
1379 Indium labelled octreotide Scan 65982 75879
NAME OF INVESTIGATION / PET SCAN
1380 FDG Whole body PET / CT Scan 18475 21246
1381 Brain I Heart FDG PET / CT Scan 13197 15176
1382 Gallium-68 Peptide PET / CT imaging for
Neuroendocrine 13500 15525
Tumor
LABORATORY MEDICINE / CLINICAL PATHOLOGY
1383 Urine routine- pH, Specific gravity, sugar, protein and
33 39
microscopy
1384 Urine Microalbumin 70 81
1385 Stool routine 33 39
1386 Stool occult blood 24 28
1387 Post coital smear examination 30 35
1388 Semen analysis 35 40
LABORATORY MEDICINE / HAEMATOLOGY
1389 Haemoglobin (Hb) 16 19
1390 Total Leucocytic Count (TLC) 30 35
1391 Differential Leucocytic Count (DLC) 30 35
1392 Erythrocyte Sedimentation Rate (ESR) 25 29
1393 Total Red Cell count with MCV,MCH,MCHC,DRW 30 35
1394 Complete Haemogram/CBC, Hb,RBC count and
indices,TLC, DLC, Platelet, ESR, Peripheral smear 122 140
examination
1395 Platelet count 43 50
1396 Reticulocyte count 43 50
1397 Absolute Eosinophil count (AEC) 43 50
1398 Packed Cell Volume (PCV) 13 15
1399 Peripheral Smear Examination 39 44
1400 Smear for Malaria parasite 37 42
1401 Bleeding Time 35 40
1402 Osmotic fragility Test 50 58
1403 Bone Marrow Smear Examination 64 75
1404 Bone Marrow Smear Examination with iron stain 225 259
1405 Bone Marrow Smear Examination and cytochemistry 396 455
1406 Activated partial ThromboplastinTime (APTT) 92 105
1407 Rapid test for malaria(card test) 40 46
1408 WBC cytochemistry for leukemia -Complete panel 99 114
1409 Bleeding Disorder panel- PT, APTT, Thrombin Time
Fibrinogen, D-Dimer/ Fibrinogen Degradation 360 414
Products (FDP)
1410 Factor Assays-Factor VIII 648 750
1411 Factor Assays-Factor IX 612 704
1412 Platelet Function test 50 58
1413 Tests for hypercoagulable states- Protein C, Protein S,
400 460
Antithrombin
1414 Tests for lupus anticoagulant 150 173
1415 Tests for Antiphospholipid antibody IgG, IgM ( for
500 575
cardiolipin and B2 Glycoprotein 1)
1416 Thalassemia studies (Red Cell indices and Hb HPLC) 504 580
1417 Tests for Sickling / Hb HPLC) 69 80
LABORATORY MEDICINE / BLOOD BANK
1418 Blood Group & RH Type 30 35
1419 Cross match 45 52
1420 Coomb’s Test Direct 85 100
1421 Coomb’s Test Indirect 100 115
1422 3 cell panel- antibody screening for pregnant female 160 188
1423 11 cells panel for antibody identification 170 200
1424 Hepatitis B surface antigen (HBsAg) 102 120
1425 Hepatitis C virus (HCV) 128 150
1426 Human immunodeficiency virus- HIV I and II 150 173
1427 Venereal Disease Research Laboratory test (VDRL) 43 50
1428 RH Antibody titer 80 92
1429 Platelet Concentrate 56 64
1430 Random Donor Platelet(RDP)- (Select CGHS rate
115 135
Code 1828 for approved rate)
1431 Single Donor Platelet (SDP- Apheresis)- (Select
150 173
CGHS rate Code 1830 for approved rate)
1432 Routine-H & E 81 94
1433 special stain 65 75
1434 Immunohistochemistry(IHC) 746 863
1435 Frozen section 702 807
1436 Paraffin section 309 355
LABORATORY MEDICINE / CYTOLOGY
1437 Pap Smear 136 160
1438 Body fluid for Malignant cells 135 156
1439 Fine Needle Aspiration Cytology (FNAC) 200 230
NAME OF INVESTIGATION / FLOW CYTOMETRY
1440 Leukemia panel /Lymphoma panel 1400 1610
1441 Paroxysmal Nocturnal Hemoglobinuria (PNH) Panel-
1000 1150
CD55,CD59
LABORATORY MEDICINE / CYTOGENETIC STUDIES
1442 Karyotyping (Select CGHS rate code 677 for
1539 1770
approved rate)
1443 Fluorescent in situ hybridization (FISH) 500 575
LABORATORY MEDICINE / BIO-CHEMISTRY
1444 Blood Glucose Random 22 25
1445 24 hrs urine for Proteins,Sodium, creatinine 50 58
1446 Blood Urea Nitrogen 50 58
1447 Serum Creatinine 50 58
1448 Urine Bile Pigment and Salt 25 29
1449 Urine Urobilinogen 20 23
1450 Urine Ketones 27 32
1451 Urine Occult Blood 32 36
1452 Urine total proteins 18 21
1453 Rheumatoid Factor / Rh Factor test 100 115
1454 Bence Jones protein 42 49
1455 Serum Uric Acid 50 58
1456 Serum Bilirubin total & direct 80 92
1457 Serum Iron 85 100
1458 C reactive Protein (CRP) 100 115
1459 C reactive Protein (CRP) Quantitative 160 184
1460 Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc. 85 100
1461 Albumin. 18 21
1462 Creatinine clearance 80 92
1463 Serum Cholesterol 56 64
1464 Total Iron Binding Capacity (TIBC) 80 92
1465 Glucose (Fasting & PP) 42 49
1466 Serum Calcium –Total 54 63
1467 Serum Calcium –Ionic 40 46
1468 Serum Phosphorus 56 66
1469 Total Protein Albumin/Globulin ratio (A/G Ratio) 50 58
1470 Immunoglobulin G (IgG) 250 288
1471 Immunoglobulin M(IgM) 250 288
1472 Immunoglobulin A(IgA) 250 288
1473 Antinuclear antibody (ANA) 200 230
1474 Anti-double stranded DNA (anti-dsDNA) 327 385
1475 Serum glutamic pyruvic transaminase (SGPT) /
50 57
Alanine Aminotransferase (ALT)
1476 Serum Glutamic oxaloacetic transaminase (SGOT) /
50 57
Aspartate Aminotransferase (AST)
1477 Serum amylase 105 122
1478 Serum Lipase 130 150
1479 Serum Lactate 72 83
1480 Serum Magnesium 100 115
1481 Serum Sodium 50 58
1482 Serum Potassium 50 58
1483 Serum Ammonia 100 115
1484 Anemia Profile 204 240
1485 Serum Testosterone 150 173
1486 Imprint Smear From Endoscopy 240 276
1487 Triglycerides 75 86
1488 Glucose Tolerance Test (GTT) 81 94
1489 Triple Marker. 765 900
1490 Creatine Phosphokinase (CPK)/Creatine Kinase (CK) 90 105
1491 Foetal Haemoglobin (HbF) 77 90
1492 Prothrombin Time (PT) 100 115
1493 Lactate dehydrogenase (LDH) 90 104
1494 Alkaline Phosphatase 54 63
1495 Acid Phosphatase 70 81
1496 CPK MB/CK MB 171 197
1497 CK MB Mass/CPK MB Mass 140 161
1498 Troponin I 100 115
1499 Troponin T 544 640
1500 Glucose-6-Phosphate Dehydrogenase (G6PD) 100 115
1501 Lithium. 119 140
1502 Dilantin (phenytoin). 360 414
1503 Carbamazepine. 373 439
1504 Valproic acid. 270 315
1505 Ferritin (Select CGHS rate code 1517 for approved
250 288
rate)
1506 Blood gas analysis / Arterial Blood Gas (ABG) 120 138
1507 Blood gas analysis / Arterial Blood Gas (ABG) with
414 476
electrolytes
1508 Urine pregnancy test 59 68
1509 Tests for Antiphospholipid antibodies syndrome. 280 322
1510 Glycosylated Haemoglobin (HbA1c) 130 150
1511 Haemoglobin Electrophoresis/ Hb HPLC (Select
100 115
CGHS rate code 1417 for approved rate)
1512 Kidney Function Test (KFT) 203 233
1513 Liver Function Test (LFT) 225 259
1514 Lipid Profile. (Total cholesterol, LDL, HDL,
183 215
Triglycerides)
Nutritional Markers
1515 Serum Iron 85 100
1516 Total Iron Binding Capacity (Select CGHS rate code
85 100
1464 for approved rate)
1517 Serum Ferritin 100 115
1518 Vitamin B12 assay. 225 259
1519 Folic Acid assay. 298 345
1520 Extended Lipid Profile. (Total cholesterol, LDL,
536 616
HDL, Triglycerides Apo A1,Apo B,Lp (a) )
1521 Apolipoprotein A1 (ApoA1) 180 207
1522 Apolipoprotein B (Apo B) 179 206
1523 Lipoprotein A / Lp A 401 461
1524 CD 3,4 and 8 counts 170 200
1525 CD 3,4 and 8 percentage 170 200
1526 Low density lipoprotein (LDL) 56 64
1527 Homocysteine. 387 455
1528 Haemoglobin (Hb) Electrophoresis/ (Select CGHS
396 455
rate code 1417 for approved rate)
1529 Serum Electrophoresis. 198 228
1530 Fibrinogen. 165 190
1531 Chloride. 56 66
1532 Magnesium. 135 156
1533 Gamma-Glutamyl Transpeptidase (GGTP) 81 94
1534 Lipase. 215 248
1535 Fructosamine. 190 224
1536 Beta 2 microglobulin (B2M) /β2 microglobulin 85 100
1537 Catecholamines. 945 1087
1538 Creatinine clearance (Select CGHS Rate Code 1462) 108 124
NAME OF INVESTIGATION / TUMOUR MARKERS
1539 Prostate Specific antigen (PSA)- Total. 281 323
1540 Prostate-specific antigen (PSA) - Free. 375 431
1541 Alpha Fetoprotein (AFP) 293 345
1542 Human chorionic gonadotropin (HCG) 260 299
1543 Cancer Antigen 125 (CA 125) 352 405
1544 Cancer Antigen 19.9 (CA 19.9) 554 637
1545 Cancer Antigen 15.3 (CA 15.3) 536 630
1546 Vanillylmandelic Acid (VMA) 350 403
1547 Calcitonin 500 575
1548 Carcinoembryonic Antigen (CEA) 306 352
OTHERS
1549 Immunofluorescence 150 173
1550 Direct(Skin and kidney Disease) 425 500
1551 Indirect (antids DNA Anti Smith ANCA) 425 500
1552 Calcidiol / 25-hydroxycholecalciferol / Vitamin D3
495 570
assay (Vit D3)
1553 Serum Protein electrophoresis with
270 311
immunofixation electrophoresis (IFE)
1554 BETA-2 Microglobulin assay (Select CGHS rate
90 104
code 1536 for approved rate)
1555 Anti-Cyclic Citrullinated Peptide (Anti CCP) 450 518
1556 Anti-tissue Transglutaminase antibody (Anti TTG
425 500
Antibody)
HORMONES
1557 Serum Erythropoietin 425 500
1558 Adrenocorticotropic Hormone (ACTH) 500 575
1559 T3, T4, TSH 180 207
1560 Triiodothyronine- T3 64 75
1561 Tetraiodothyronine T4 64 75
1562 Thyroid stimulating hormone (TSH) 81 94
1563 Luteinizing hormone (LH) 135 156
1564 Follicle stimulating hormone (FSH) 150 173
1565 Prolactin 150 173
1566 Cortisol 226 266
1567 PTH(Parathormone) 500 575
1568 C-Peptide (C Peptide / Connecting Peptide) 330 380
1569 Insulin. 150 173
1570 Progesterone. 225 259
1571 17 Hydroxyprogesterone (17 OH Progesterone) 396 455
1572 Dehydroepiandrosterone sulfate (DHEAS) 396 455
1573 Androstenedione 600 690
1574 Growth Hormone. 306 352
LABORATORY/ MEDICINE/CLINICAL PATHOLOGY
1575 Thyroid peroxidase antibody (TPO) 300 345
1576 Thyroglobulin. 300 345
1577 Hydatic Serology. 318 374
1578 Anti Sperm Antibodies. 345 406
1579 Hepatitis B Virus (HBV) DNA Qualitative 1989 2300
1580 Hepatitis B Virus (HBV) DNA Quantitative. 1360 1600
1581 Hepatitis C Virus (HCV) RNA Qualitative. 1691 1945
1582 Human papillomaviruse (HPV) Serology 218 251
1583 Rota Virus serology 130 150
1584 PCR for Tuberculosis (TB) 829 975
1585 PCR for Human immunodeficiency virus (HIV) 550 633
1586 Chlamydae antigen 765 880
1587 Chlamydae antibody 238 280
1588 Brucella serology 208 245
1589 Influenza A serology 849 976
USG, X-RAY , CT, MRI, BONE DENSITOMETRY
1590 USG for Obstetrics - Anomalies scan 770 886
1591 Abdomen USG 323 380
1592 Pelvic USG ( prostate, gynae, infertility etc) 255 300
1593 Small parts USG ( scrotum, thyroid , parathyroid etc) 349 410
1594 Neonatal head (Tranfontanellar) 425 489
1595 Neonatal spine 450 518
1596 Contrast enhanced USG 810 932
1597 USG Breast 349 410
1598 USG Hysterosalpingography (HSG) 255 300
1599 Carotid Doppler 765 900
1600 Arterial Colour Doppler 700 805
1601 Venous Colour Doppler 700 805
1602 Colour Doppler, renal arteries/any other organ 720 828
1603 USG guided intervention- FNAC 480 552
1604 USG guided intervention - biopsy 648 745
1605 USG guided intervention - nephrostomy 800 920
X-Ray
1606 Abdomen AP Supine or Erect (One film) 119 140
1607 Abdomen Lateral view (one film) 119 140
1608 Chest PA view (one film) 60 70
1609 Chest Lateral (one film) 60 70
1610 Mastoids: Towne view, oblique views (3 films) 225 259
1611 Extremities, bones & Joints AP & Lateral views (Two
230 270
films)
1612 Pelvis AP (one film) 110 127
1613 Temporomandibular (TM) Joints (one film) 110 127
1614 Abdomen & Pelvis for KUB 128 150
1615 Skull AP & Lateral (2 films) 230 270
1616 Spine AP & Lateral (2 films) 225 259
1617 PNS view (1 film) 110 127
X-ray CONTRAST STUDIES
1618 Barium Swallow 510 600
1619 Barium Upper GI study 800 920
1620 Barium Upper GI study (Double contrast) 900 1035
1621 Barium Meal follow through 935 1100
1622 Barium Enema (Single contrast/double contrast) 850 1000
1623 Small bowel enteroclysis 1020 1200
1624 ERCP (Endoscopic Retrograde Cholangio –
2250 2588
Pancreatography)
1625 General:Fistulography / Sinography/Sialography
/Dacrocystography/ T-Tube cholangiogram 638 750
/Nephrostogram
1626 Percutaneous transhepatic cholangiography (PTC) 1296 1490
1627 Intravenous Pyelography (IVP) 1190 1400
1628 Micturating Cystourethrography (MCU) 680 800
1629 Retrograde Urethrography (RGU) 612 720
1630 Contrast Hystero-Salpingography (HSG) 954 1097
1631 X ray Arthrography 700 805
1632 Cephalography 135 156
1633 Myelography 2475 2847
1634 Diagnostic Digital Subtraction Angiography (DSA) 1749 2011
MAMMOGRAPHY
1635 X ray Mammography 315 370
1636 MRI Mammography 2295 2700
Computed Tomography (CT) Scan
1637 CT Scan Head-Without Contrast 893 1035
1638 CT Scan Head- with Contrast -including CT
1215 1398
angiography
1639 CT Scan Chest - without contrast (for lungs) 1700 2000
1640 CT Scan Lower Abdomen (incl. Pelvis) With 1700 1955
1641 CT Scan Lower Abdomen (Incl. Pelvis) Without
1445 1700
Contrast
1642 CT Scan Whole Abdomen Without Contrast 3000 3450
1643 CT Scan Whole Abdomen With Contrast 4050 4658
1644 Triple Phase CT abdomen 4500 5175
1645 CT Scan angiography abdomen/ Chest 4250 5000
1646 CT Scan Enteroclysis 5400 6210
1647 CT Scan Neck – Without Contrast 1500 1725
1648 CT Scan Neck – With Contrast 1870 2200
1649 CT Scan Orbits - Without Contrast 1190 1400
1650 CT Scan Orbits - With Contrast 1615 1900
1651 CT Scan of Para Nasal Sinuses- Without Contrast 900 1035
1652 CT Scan of Para Nasal Sinuses - With Contrast 1600 1840
1653 CT Scan Spine (Cervical, Dorsal, Lumbar,
1488 1725
Sacral)–without Contrast
1654 CT Scan Temporal bone – without contrast 893 1050
1655 CT Scan- Dental 1275 1500
1656 CT Scan Limbs -Without Contrast 1700 2000
1657 CT Scan Limbs -With Contrast including CT
2028 2385
angiography
1658 CT Guided intervention –FNAC 1200 1380
1659 CT Guided Trucut Biopsy 1200 1380
1660 CT Guided intervention -percutaneous catheter
1305 1535
drainage/tube placement
MRI
1661 MRI Head – Without Contrast 1998 2350
1662 MRI Head – With Contrast 2848 3350
1663 MRI Orbits – Without Contrast 1445 1700
1664 MRI Orbits – With Contrast 2000 2300
1665 MRI Nasopharynx and PNS – Without Contrast 2205 2536
1666 MRI Nasopharynx and PNS – With Contrast 3500 4025
1667 MR for Salivary Glands with Sialography 3000 3450
1668 MRI Neck - Without Contrast 2700 3105
1669 MRI Neck- with contrast 4500 5175
1670 MRI Shoulder – Without contrast 2000 2300
1671 MRI Shoulder – With contrast 2550 3000
1672 MRI shoulder both Joints - Without contrast 2700 3105
1673 MRI Shoulder both joints – With contrast 4000 4600
1674 MRI Wrist Single joint - Without contrast 1913 2250
1675 MRI Wrist Single joint - With contrast 4000 4600
1676 MRI Wrist both joints - Without contrast 2125 2500
1677 MRI Wrist Both joints - With contrast 4500 5175
1678 MRI knee Single joint - Without contrast 2125 2500
1679 MRI knee Single joint - With contrast 4500 5175
1680 MRI knee both joints - Without contrast 2125 2500
1681 MRI knee both joints - With contrast 4500 5175
1682 MRI Ankle Single joint - Without contrast 2125 2500
1683 MRI Ankle single joint - With contrast 4500 5175
1684 MRI Ankle both joints - With contrast 4500 5175
1685 MRI Ankle both joints - Without contrast 2500 2875
1686 MRI Hip - With contrast 2250 2588
1687 MRI Hip – without contrast 2125 2500
1688 MRI Pelvis – Without Contrast 2125 2500
1689 MRI Pelvis – with contrast 4600 5290
1690 MRI Extremities - With contrast 4600 5290
1691 MRI Extremities - Without contrast 2125 2500
1692 MRI Temporomandibular – B/L - With contrast 4000 4600
1693 MRI Temporomandibular – B/L - Without contrast 2125 2500
1694 MR Temporal Bone/ Inner ear with contrast 4000 4600
1695 MR Temporal Bone/ Inner ear without contrast 2500 2875
1696 MRI Abdomen – Without Contrast 2125 2500
1697 MRI Abdomen – With Contrast 4500 5175
1698 MRI Breast - With Contrast 4250 5000
1699 MRI Breast - Without Contrast 2125 2500
1700 MRI Spine Screening - Without Contrast 900 1035
1701 MRI Chest – Without Contrast 2125 2500
1702 MRI Chest – With Contrast 4000 4600
1703 MRI Cervical/Cervico Dorsal Spine – Without 2125 2500
1704 MRI Cervical/ Cervico Dorsal Spine – With Contrast 4000 4600
1705 MRI Dorsal/ Dorso Lumbar Spine - Without Contrast 2125 2500
1706 MRI Dorsal/ Dorso Lumbar Spine – With Contrast 4000 4600
1707 MRI Lumbar/ Lumbo-Sacral Spine – Without 2125 2500
1708 MRI Lumbar/ Lumbo-Sacral Spine – With Contrast 4500 5175
1709 Whole body MRI (For oncological workup) 5100 6000
1710 MR cholecysto-pancreatography (MRCP) 4950 5693
1711 MRI Angiography - with contrast 4500 5175
1712 MR Enteroclysis 2125 2500
BONE DENSITOMETRY (DEXA SCAN)
1713 Dexa Scan Bone Densitometry - Two sites 1500 1725
1714 Dexa Scan Bone Densitometry - Three sites (Spine,
1955 2300
Hip &extremity)
1715 Dexa Scan Bone Densitometry Whole body 2450 2818
NEUROLOGICAL INVESTIGATIONS AND
PROCEDURES
1716 Electroencephalogram (EEG)/ Video EEG 298 350
1717 Electromyography (EMG) 638 750
1718 Nerve Conduction Velocity (NCV) (at least 2 limbs) 638 750
1719 Repititive nerve stimulation (RNS)-Decremental
595 700
response (before and after neostigmine)
1720 Repetitive nerve stimulation (RNS)-Incremental
595 700
response
1721 Somatosensory evoked potentials (SSEP) 638 750
1722 Polysomnography (PSG) / Sleep study 638 750
1723 Brachial plexus study 638 750
1724 Muscle biopsy 383 450
1725 Acetylcholine receptor (AChR) antibody titre 1700 2000
1726 Anti muscle specific receptor tyrosine kinase (Anti
2340 2691
MuSK) antibody titre
1727 Serum copper 450 518
1728 Serum ceruloplasmin 450 518
1729 Urinary copper 450 518
1730 Serum homocysteine 405 466
1731 Serum valproate level 315 362
1732 Serum phenobarbitone level 332 390
1733 Coagulation profile 553 636
1734 Protein C, Protein S, Antithrombin–III (Select CGHS
2160 2484
rate code 1413 for approved rates)
1735 Serum lactate level (Select CGHS rate code 1479
405 466
for approved rate)
CEREBROSPINAL FLUID (CSF)
1736 Basic studies including cell count, protein, sugar,
216 248
gram stain,India Ink preparation and smear for AFP
1737 Special studies 900 1035
1738 PCR for tuberculosis/ Herpes simplex 1080 1242
1739 Bacterial culture and sensitivity 180 207
1740 Mycobacterial culture and sensitivity 180 207
1741 Fungal culture 115 135
1742 Malignant cells 64 75
1743 Anti measles antibody titre (with serum antibody 801 922
1744 Viral culture 255 300
1745 Antibody titre (Herpes simplex, cytomegalo virus,
760 874
flavivirus, zoster varicella virus)
1746 Oligoclonal band 1080 1242
1747 Myelin Basic protein 1768 2080
1748 Lactate (Select CGHS rate code 1479 for approved
298 345
rate)
1749 Cryptococcal antigen 1024 1178
TESTS IN GASTRO-ENTEROLOGY
1750 D xylase test 765 900
1751 Faecal / Fecal fat test/ fecal chymotrypsin/ fecal
765 900
elastase (Select CGHS rate code 1335 for approved
1752 Breath tests (select CGHS rate code 1336 for
1275 1495
approved rate)
1753 H pylori serology for Coeliac disease /Celiac disease 468 653
1754 HBV genotyping 2321 2730
1755 HCV genotyping 4633 5450
TESTS IN ENDOCRINOLOGY ( IN ADDITION TO
THOSE INCLUDED UNDER HORMONES)
1756 Urinary vanillylmandelic acid (VMA) 1350 1553
1757 Urinary metanephrine/Normetanephrine 1024 1178
1758 Urinary free catecholamine 1521 1750
1759 Serum catecholamine 3060 3519
1760 Serum aldosterone 1013 1165
1761 24 Hr urinary aldosterone 828 952
1762 Plasma renin activity 1000 1150
1763 Serum aldosterone/renin ratio 1080 1250
1764 Osmolality urine 128 150
1765 Osmolality serum 128 150
1766 Urinary sodium 72 85
1767 Urinary Chloride 43 50
1768 Urinary potassium 72 85
1769 Urinary calcium 80 94
1770 Thyroid binding globulin 459 540
1771 24 hour urinary free cortisole 200 230
1772 Islet cell antibody 750 863
1773 Glutamic Acid Decarboxylase Autoantibodies test
1197 1377
(GAD antibodies)
1774 Insulin associated antibody 404 464
1775 Insulin-like growth factor-1 (IGF-1) 1450 1668
1776 Insulin-like growth factor binding protein 3 (IGF- 1600 1840
1777 Sex hormone binding globulin 1200 1380
1778 USG guided FNAC thyroid gland 348 410
1779 Estradiol (E2) 208 245
1780 Thyroglobulin antibody 528 608
ADDED W.E.F. 14.01.2020
Non NABH/Non
Sr. CGHS TREATMENT NABH/NABL
NABL Rate in
No. PROCEDURE/INVESTIGATION LIST rates in Rupee
Rupee
Kappa Lambda Light Chains, Free, Serum/ Serum

1781 3500 4025
free light chains (SFLC)
1782 Serum IGE Level 300 345
1783 NT-Pro BNP 1800 2070
2500 Including
1784 2875
CECT Chest (Including CD) CD
6000/- including 6900 Including
1785
MRI-Prostate (Multi-parametric) (Including CD) CD CD
1786 HCV RNA Quantitative 1500 1725
1787 Tacrolimus 2300 2645
Protein Creatinine Ratio (PCR), Urine / Albumen

1788 120 138
Creatinine Ratio (ACR), Urine
1789 Fibroscan Liver 1000 1150

1790 HLA B27 (PCR) 500 575
1791 Mantoux Test 175 200
1792 Procalcitonin 1800 2070
1793 TORCH Test 1120 1288
1794 Intracoronary OCT (AIIMS Rates) 65000 + GST 65000 + GST
23500 + GST 23500 + GST

Fractional Flow Reserve (FFR) Wire cost (AIIMS (WireCost), (WireCost),150
1795
Rates 12750/- 00/--
(Procedure Cost) (Procedure
ADDED W.E.F. 05.06.2020

Sr. CGHS TREATMENT Non- NABH/Non-
NABH/L Rates
No. PROCEDURE/INVESTIGATION LIST NABL Rates
1796 Anti –Smooth Muscle Antibody Test (ASMA) 1241 1460

1797 C ANCA-IFA 1275 1500
1798 P ANCA-IFA 1275 1500
1799 Angiotensin converting enzyme (ACE) 850 1000
Endo bronchial Ultrasound (EBUS) -Trans bronchial
1800 15614 18370
needle aspiration (TBNA) -Using New Needle
1801 Extractable Nuclear Antigens (ENA) - Quantitative 3910 4600
1802 Chromogranin A 4250 5000
1803 Faecal calprotectin (fecal calprotectin) 2320 2730
1804 C3-COMPLEMENT 552 650
1805 C4-COMPLEMENT 552 650
1806 Genexpert Test 880 1035
1807 DJ stent removal 7395 8700
Pulmonary Function Test (PFT) / (Spirometry with
1808 425 500
DLCO)
EUS (Endoscopic Ultrasound) guided FNAC (Using
1809 12750 15000
with Needle)
1810 CT Urography 3825 4500
1811 Video Laryngoscopy 5100 6000
1812 CT Angio-Neck Vessels 5100 6000
1813 H1N1 (RT-PCR) 921 1084
Erythropoietin Level (Select CGHS rate code 1557

1814 See code 1557 See code 1557
for approved rate)
1815 Anti HEV IgM 850 1000

1816 Anti HAV IgM 637 750
1817 HBsAg Quantitative 552 650
1818 Typhidot IgM 340 400
Hepatitis B Core Antibody (HBcAb) Level (Hepatitis
1819 408 480
B Core IgM Antibody)
1820 Anti HBs 552 650
ADDED vide clause 2,5, & 6 of OM F.No. S-11045/36/2012-CGHS (HEC) dated

26.11.2014
1821 Free Triiodothyronine (FT3) 106 125
1822 Free Thyroxine (FT4) 106 125
1823 Widal Test 60 70
1824 Dengue Serology 510 600
1825 Blood component charges - Whole Blood per Unit 1450 1450
1826 Blood component charges - Packed Red Cell per Unit 1450 1450
1827 Blood component charges - Fresh Frozen Plasma 400 400

1828 Platelet Concentrate- Random Donor Platelet (RDP) 400 400
1829 Blood component charges - Cryoprecipitate 200 200
Platelet Concentrate – Single Donor Platelet (SDP)-

1830 11000 11000
Apheresis per unit
CCS Group A Officer of above 40 years of age
1831 2000 2000
–Male, Annual Health Check up
CCS Group A Officer of above 40 years of age
1832 2200 2200
–female, Annual Health Check up
ADDED W.E.F. 07.02.2021
1833 Interleukin 6 (IL6/ IL 6) 1360 1600

High resolution computed Tomography (HRCT
1834 1700 2000
Chest)
1835 Fluid air exchange (per eye) 4250 per eye 5000
1836 C3F8 GAS Injection (per eye) 4250 per eye 5000
1837 Diurnal variation of IOP (per eye) 1275 per eye 1500
1838 Silicone oil injection (per eye) 4250 per eye 5000
1839 Epiretinal Membrane (ERM) Peeling (per eye) 5950 per eye 7000
1840 Epiretinal Membrane (ERM) Removal (per eye) 2550 per eye 3000
1841 Internal limiting membrane (ILM) peeling (per eye) 2550 per eye 3000
1842 Punctoplasty (per eye) 5525 per eye 6500
1843 Punctal plug(Collagen/silicone) (per eye) 3400 per eye 4000

1844 Laser Trabeculoplasty Gonioplasty (both eyes) 13600 both eye 16000 both eye
1845 Eye laser pulse therapy (per eye) 2975 per eye 3500
1846 Glaucoma valve/Glaucoma Ahmed valve 12750 15000
1847 Malyugin Ring 8500 10,000

1848 Globe exploration (eye surgery) 8500 10,000
1849 Scleral Fixation Tissue glue 7140 8400
1850 Fibro optic Nasal Endoscopy 1955 2300
1851 Video Stroboscopy 4675 5500
1852 Video Bronchoscopy with BAL 8500 10,000
Sleep deprived EEG (Rate shall be the same CGHS

1853 rate of EEG/Video EEG) Select CGHS rate code See code 1716 See code 1716
1716

Cghs Treatment Procedure/Investigation List (Bengaluru) : Sr. No. Non-NABH/Non - NABL Rates Nabh/Nabl Rates

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CGHS package rate Bengaluru 2014 updated as on 17th May 2021

Sr. No. CGHS TREATMENT Non- NABH/Non- NABH/NABL

1 Consultation OPD 135 135

31 Subconjunctival/subtenon’s injections in both eyes

32 Pterygium Surgery 5550 6325

55 Probing and Syringing of lacrimal sac- in one eye 69 79

59 Dacryocystorhinostomy—conjunctival with implant

60 Caliculoplasty 2070 2381

173 Botulinum injection for blepharospasm or squint 2250 2588

Sr. CGHS TREATMENT Non- NABH/Non- NABH/

520 Atrial Septal Defect(ASD) closure 51808 59579

717 Partial Nephrectomy -open 14594 16782

Non- NABH / Non-

Kappa Lambda Light Chains, Free, Serum/ Serum

1786 HCV RNA Quantitative 1500 1725

1787 Tacrolimus 2300 2645

Protein Creatinine Ratio (PCR), Urine / Albumen

1789 Fibroscan Liver 1000 1150

1793 TORCH Test 1120 1288

1794 Intracoronary OCT (AIIMS Rates) 65000 + GST 65000 + GST

23500 + GST 23500 + GST

ADDED W.E.F. 05.06.2020

1796 Anti –Smooth Muscle Antibody Test (ASMA) 1241 1460

Erythropoietin Level (Select CGHS rate code 1557

1815 Anti HEV IgM 850 1000

1820 Anti HBs 552 650

ADDED vide clause 2,5, & 6 of OM F.No. S-11045/36/2012-CGHS (HEC) dated

1827 Blood component charges - Fresh Frozen Plasma 400 400

1829 Blood component charges - Cryoprecipitate 200 200

Platelet Concentrate – Single Donor Platelet (SDP)-

ADDED W.E.F. 07.02.2021

1833 Interleukin 6 (IL6/ IL 6) 1360 1600

1842 Punctoplasty (per eye) 5525 per eye 6500

1843 Punctal plug(Collagen/silicone) (per eye) 3400 per eye 4000

1846 Glaucoma valve/Glaucoma Ahmed valve 12750 15000

1847 Malyugin Ring 8500 10,000

Sleep deprived EEG (Rate shall be the same CGHS

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