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CITILAB New Rate List 04-04-2023

This document contains a list of 134 medical tests with their corresponding rates. It provides the test name and rate for each test in a table format across 4 pages.

Uploaded by

Haroon Rashid
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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0% found this document useful (0 votes)
63 views34 pages

CITILAB New Rate List 04-04-2023

This document contains a list of 134 medical tests with their corresponding rates. It provides the test name and rate for each test in a table format across 4 pages.

Uploaded by

Haroon Rashid
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 34

Rate List (04-04-2023) 1 of 34

S. No. Test Name Rate


1 17 OH Progesterone 3450

2 24 Hrs Urine Container 280

3 Absolute Eosinophil Count 550

4 Absolute Neutrophil Count 550

5 Absolute Values 550

6 AC CO 3000

7 ACE (Angiotensin Converting Enzyme) 4500

8 Acetylcholine Receptor Antibody (Serum) 12300

9 ACTH 5500

10 Active B-12 2000

11 ADA in Ascitic Fluid 3300

12 ADA in CSF 3300

13 ADA in Pericardial Fluid 3300

14 ADA in Peritoneal Fluid 3300

15 ADA in Pleural Fluid 3300

16 ADA in Serum 3300

17 ADA in Synovial Fluid 3300

18 Adenovirus 1500

19 AFB ( ZN ) Stain - Ascitic Fluid 600

20 AFB ( ZN ) Stain - CSF 600

21 AFB ( ZN ) Stain - Endometrial Curettings 600

22 AFB ( ZN ) Stain - Pleural Fluid 600

23 AFB ( ZN ) Stain - Pus 600

24 AFB ( ZN ) Stain - Sputum 600

25 AFB ( ZN ) Stain - Sputum [Day 1] 600

26 AFB ( ZN ) Stain - Sputum [Day 2] 600

27 AFB ( ZN ) Stain - Sputum [Day 3] 600

28 AFB ( ZN ) Stain - Stool 600

29 AFB ( ZN ) Stain - Tissue 600

30 AFB ( ZN) Stain - Urine 600

31 AFB ( ZN) Stain - Wound Swab 600

32 AFB Culture - Ascitic Fluid 3300

33 AFB Culture - CSF 3300

34 AFB Culture - Endometrial Curettings 3300


Rate List (04-04-2023) 2 of 34

S. No. Test Name Rate


35 AFB Culture - Knee Joint Fluid 3300

36 AFB Culture - Pleural Fluid 2000

37 AFB Culture - Pus 2000

38 AFB Culture - Sputum 2000

39 AFB Culture - Sputum [Day 1] 2000

40 AFB Culture - Sputum [Day 2] 2000

41 AFB Culture - Sputum [Day 3] 2000

42 AFB Culture - Tissue 2000

43 AFB Culture - Urine 2000

44 AFB Culture - Wound Swab 2000

45 Air Sample by Air Sampler 1850

46 Albumin ( 24 Hrs Urine ) 1000

47 Albumin (Serum) 550

48 Albumin Creatinine Ratio 1150

49 Albumin Globulin Ratio ( A.G. Ratio ) 1000

50 Albumin in Urine (with value) 500

51 Alcohol in Blood 3650

52 Alcohol in Urine 2800

53 Aldolase 1750

54 Aldosterone 5500

55 Alkaline Phosphatase 550

56 Allergy in Food 7150

57 Allergy in Inhalation 7150

58 Alpha Feto Protein 2550

59 Alpha-1 Antitrypsin 3000

60 ALT 600

61 Ammonia 1300

62 Amoeba Test 2100

63 Amphetamine 2200

64 Amylase ( Serum ) 1100

65 Amylase ( Urine ) 1100

66 Amylase Creatinine Ratio 1450

67 ANA (Anti Nuclear Antibody) IgG 2450

68 ANA (Anti Nuclear Antibody) Profile 6250


Rate List (04-04-2023) 3 of 34

S. No. Test Name Rate


69 Anaemia Typing 500

70 ANCA-C 5350

71 ANCA-P (IgG) 5350

72 Anemia Profile See List

73 Anemia Profile (Deluxe) See List

74 Anesthetist Fee CT/MRI 3000

75 Anesthetist Fee CT/MRI with Contrast 3550

76 ANF (Anti DNA ) 1000

77 Anti Cardiolipin Antibody IgG 4000

78 Anti Cardiolipin Antibody IgM 4000

79 Anti CCP (Cyclic Citrullinated Peptide) 3150

80 Anti DGP (Deamidated Gliadin Peptide) IgA 1700

81 Anti DGP (Deamidated Gliadin Peptide) IgG 2200

82 Anti ds DNA 2400

83 Anti Endomysial Ab (IgA) 2800

84 Anti Gliadin Antibody (IgA) 2900

85 Anti Gliadin Antibody (IgG) 2900

86 Anti Mitochondrial Antibody 4000

87 Anti Mullerian Hormone (AMH) 4500

88 Anti Phospholipid Antibody IgG 3400

89 Anti Phospholipid Antibody IgM 3400

90 Anti Smooth Muscle Antibody 4700

91 Anti Sperm Antibody (Husband) 2750

92 Anti Sperm Antibody (Wife) 2750

93 Anti Thrombin III 5400

94 Anti Thyroglobulin (TG) Antibodies 1600

95 Anti TPO Antibodies 1600

96 Antibody Screening 1450

97 APTT 1000

98 Arsenic Levels in Water (Boring, Well, Water Supply etc.) 1100

99 Ascitic Fluid C/S 2000

100 Ascitic Fluid for Albumin 500

101 Ascitic Fluid for Amylase 1050

102 Ascitic Fluid for Creatinine 550


Rate List (04-04-2023) 4 of 34

S. No. Test Name Rate


103 Ascitic Fluid for LDH 600

104 Ascitic Fluid for Protein 500

105 Ascitic Fluid for Sugar 450

106 Ascitic Fluid for Urea 550

107 Ascitic Fluid R/E 1200

108 ASO Titer 1100

109 AST (SGOT) 600

110 Audiometry 1200

111 Autoimmune Basic Profile (ANA,dsDNA,R.A.Factor) 5000

112 Autoimmune Extended Profile (ANA-Pr,dsDNA,RAF,Phoslpd) 13500

113 Autoimmune Hepatitis Profile (LKM,Mitochond,ANA,ASMA,IgG) 10000

114 Autoimmune Liver Profile (LKM,Mitochond,ANA,ASMA,IgG) 10000

115 BT 550

116 BT & CT 850

117 Barr Body Test 2700

118 Basic Nutritional Profile See List

119 Bence Jones Proteins 650

120 Beta HCG 2000

121 Beta-2-Microglobulin 6100

122 Bicarbonate 600

123 Bilirubin T, D & I 1100

124 Bilirubin Total 650

125 BK - CP (For Dengue) 100

126 BK - Dengue Antibodies (IgG) 1800

127 BK - Dengue Antibodies (IgM) 1800

128 BK - NS1 (Dengue Virus) ELISA 1800

129 Blocks for 2nd Opinion brought by patient 1100

130 BLOCKS given to patient for review 1100

131 Blood Cross Match 1300

132 Blood Culture 2700

133 Blood Culture Bottle 400

134 Blood Gases 2000

135 Blood Gases (Venous) 2000

136 Blood Grouping 500


Rate List (04-04-2023) 5 of 34

S. No. Test Name Rate


137 Blood Indices 450

138 BMP (BSR, ALT, Ca Ion, Urea, Cr, HCO3, Electro) 3800

139 Bone Marrow ( Aspiration ) 4250

140 Bone Marrow ( CP-ESR ) 600

141 Bone Marrow ( Trephine Biopsy ) 4850

142 Bone Marrow for Culture 2000

143 Breast Milk C/S Left 2000

144 Breast Milk C/S Right 2000

145 Breast Milk R/E Left 2000

146 Breast Milk R/E Right 2000

147 Brucella Antigen (Titer) 1200

148 Brucella IgG 650

149 Brucella IgM 650

150 BUN 600

151 C-Peptide 3750

152 C-Reactive Protein 1800

153 C3 2300

154 C4 2300

155 CA 15-3 3900

156 CA 19-9 3700

157 CA-125 3300

158 Calcium ( 24 Hrs Urine ) 950

159 Calcium ( Ionized ) 850

160 Calcium ( Serum ) 650

161 Calcium Creatinine Ratio 1100

162 Cannabis 2700

163 Carbamazepine (Tegretol) 2800

164 Cardiac Enzymes ( CKMB, Myoglobin, Trop-I ) 4000

165 Cardiac Profile (Basic) See List

166 Cardiac Profile (Premium) See List

167 CEA 4000

168 Centaurus Mall Medical 700

169 Ceruloplasmin 3100

170 Chem-7 4400


Rate List (04-04-2023) 6 of 34

S. No. Test Name Rate


171 Chloride ( 24 Hrs Urine ) 1250

172 Chloride ( Serum ) 1000

173 Chloride ( Urine Spot ) 750

174 Cholesterol 600

175 Cholinesterase 3200

176 Citrate ( 24 Hrs Urine ) 3000

177 CK ( Creatine Kinase ) 600

178 CKMB 1600

179 Clotting Profile ( PT/APTT/FDP/Fib/Plat ) 4600

180 Comprehensive Metabolic Panel (CMP) 10000

181 Conjunctival Fluid C/S 1850

182 Coombs Test (Direct & Indirect) 1500

183 Coombs Test (Direct) 800

184 Coombs Test (Indirect) 800

185 Copper ( Urine Spot ) 3200

186 Copper (24 Hours Urine) 3200

187 Copper (Serum) 2450

188 Coronavirus ( COVID-19 ) Antigen 3000

189 Coronavirus ( COVID-19 ) IgG & IgM 2500

190 Coronavirus ( COVID-19 ) PCR Home Sampling 1000

191 Coronavirus ( SARS - COV-2 ) Variant 4500

192 Coronavirus (COVID-19) PCR 4500

193 Coronavirus (SARS-COV-2 Antibodies) IgG 1800

194 Coronavirus (SARS-COV-2 Antibodies) IgM 800

195 Cortisol ( 24 Hours Urine ) 2000

196 Cortisol (Evening) 1950

197 Cortisol (Morning) 1950

198 CP ( Complete Blood Picture ) 900

199 CP (For Dengue) 90

200 CP Bottle 100

201 CPK 600

202 Creatinine ( 24 Hrs Urine ) 1000

203 Creatinine ( Serum ) 600

204 Creatinine ( Urine ) 600


Rate List (04-04-2023) 7 of 34

S. No. Test Name Rate


205 Creatinine Clearance 1300

206 Creatinine in Drain Fluid 500

207 CRP ( C-Reactive Protein ) High Sensitive Test 2000

208 Crystals for Synovial Fluid 130

209 CSF Culture 1850

210 CSF for TLC 500

211 CSF R/E 1300

212 CT (Clotting Time) 450

213 CT Scan / MRI Duplicate Film (14 x 17 Size) 850

214 CT Scan / MRI Duplicate Film (14 x 17 Size) Qty 2 1700

215 CT Scan / MRI Duplicate Film (14 x 17 Size) Qty 4 3400

216 CT Scan Abdomen 9100

217 CT Scan Abdomen with contrast 12100

218 CT Scan Abdomen, Pelvis 11700

219 CT Scan Abdomen, Pelvis with contrast 15000

220 CT Scan Angiography Brain 14000

221 CT Scan Ankle Left 7250

222 CT Scan Ankle Left with contrast 10300

223 CT Scan Ankle Right 7250

224 CT Scan Ankle Right with contrast 10300

225 CT Scan Bones (3D Reconstruction) any single bone 7850

226 CT Scan Bones (3D Reconstruction) any single bone with contrast 11000

227 CT Scan Brain 7250

228 CT Scan Brain + IAM 7850

229 CT Scan Brain + IAM with contrast 11000

230 CT Scan Brain + Orbit 7250

231 CT Scan Brain + Orbit with contrast 10300

232 CT Scan Brain + PNS 8500

233 CT Scan Brain + PNS with contrast 11600

234 CT Scan Brain with 3D Construction 7850

235 CT Scan Brain with contrast 10300

236 CT Scan Cervical Spine 7250

237 CT Scan Cervical Spine (3D Reconstruction) 8500

238 CT Scan Cervical Spine (3D Reconstruction) with contrast 11600


Rate List (04-04-2023) 8 of 34

S. No. Test Name Rate


239 CT Scan Cervico-Thoracic Spine (3D Reconstruction) 11600

240 CT Scan Cervico-Thoracic Spine (3D Reconstruction) with contrast 14500

241 CT Scan Chest 9100

242 CT Scan Chest (HRCT) 9100

243 CT Scan Chest (HRCT) with contrast 12100

244 CT Scan Chest with contrast 12100

245 CT Scan Contrast 5000

246 CT Scan Dorsal Spine 8500

247 CT Scan Dorsal Spine with contrast 11600

248 CT Scan Ear Left 7250

249 CT Scan Ear Left with contrast 10300

250 CT Scan Ear Right 7250

251 CT Scan Ear Right with contrast 10300

252 CT Scan Elbow (3D Reconstruction) Left 7250

253 CT Scan Elbow (3D Reconstruction) Left with contrast 11000

254 CT Scan Elbow (3D Reconstruction) Right 7250

255 CT Scan Elbow (3D Reconstruction) Right with contrast 11000

256 CT Scan Elbow Left 7250

257 CT Scan Elbow Left with contrast 10300

258 CT Scan Elbow Right with contrast 10300

259 CT Scan Elbow Ritht 7250

260 CT Scan Face (3D Reconstruction) 7250

261 CT Scan Face (3D Reconstruction) with contrast 11000

262 CT Scan Foot Left 7150

263 CT Scan Foot Left with contrast 7150

264 CT Scan Foot Right 7150

265 CT Scan Foot Right with contrast 7150

266 CT Scan for Reporting 1000

267 CT Scan Head & Neck 7850

268 CT Scan Head & Neck with contrast 11000

269 CT Scan Hip Joint Left 7850

270 CT Scan Hip Joint Left with contrast 11600

271 CT Scan Hip Joint Right 7850

272 CT Scan Hip Joint Right with contrast 11600


Rate List (04-04-2023) 9 of 34

S. No. Test Name Rate


273 CT Scan IAM (Internal Auditory Meatus) 7250

274 CT Scan IAM (Internal Auditory Meatus) with contrast 11000

275 CT Scan Joints (3D Reconstruction) any single joint 7250

276 CT Scan Joints (3D Reconstruction) any single joint with contrast 11000

277 CT Scan Knee Left 7250

278 CT Scan Knee Left with contrast 10300

279 CT Scan Knee Right 7250

280 CT Scan Knee Right with contrast 10300

281 CT Scan KUB 9100

282 CT Scan KUB (3D Reconstruction) 9100

283 CT Scan KUB (3D Reconstruction) with contrast 12100

284 CT Scan KUB with Contrast 12100

285 CT Scan Larynx 7250

286 CT Scan Larynx with contrast 10300

287 CT Scan Lumbar Spine 8500

288 CT Scan Lumbar Spine (3D Reconstruction) 8500

289 CT Scan Lumbar Spine (3D Reconstruction) with contrast 11600

290 CT Scan Lumbar Spine with contrast 11600

291 CT Scan Lumbo-Sacral Spine (3D Reconstruction) 8500

292 CT Scan Lumbo-Sacral Spine (3D Reconstruction) with contrast 11600

293 CT Scan Mastoid / Petrous (Axial & Coronal) 7250

294 CT Scan Mastoid / Petrous (Axial & Coronal) with contrast 11000

295 CT Scan Mastoid / Petrous (Axial / Coronal) 7250

296 CT Scan Mastoid / Petrous (Axial / Coronal) with contrast 11000

297 CT Scan Neck 7250

298 CT Scan Neck (3D Reconstruction) 7250

299 CT Scan Neck (3D Reconstruction) with contrast 10300

300 CT Scan Neck with contrast 10300

301 CT Scan Only with contrast 4850

302 CT Scan Orbits (Axial & Coronal) 7250

303 CT Scan Orbits (Axial & Coronal) with contrast 11000

304 CT Scan Orbits (Axial / Coronal) 7250

305 CT Scan Orbits (Axial / Coronal) with contrast 11000

306 CT Scan Pelvimetery 6700


Rate List (04-04-2023) 10 of 34

S. No. Test Name Rate


307 CT Scan Pelvis 9100

308 CT Scan Pelvis with contrast 12100

309 CT Scan PNS (Axial & Coronal) 7250

310 CT Scan PNS (Axial & Coronal) with contrast 11000

311 CT Scan PNS (Axial / Coronal) 7250

312 CT Scan PNS (Axial / Coronal) with contrast 11000

313 CT Scan report on outside Film 2100

314 CT Scan Shoulder Left 7250

315 CT Scan Shoulder Left with contrast 10300

316 CT Scan Shoulder Right 7250

317 CT Scan Shoulder Right with contrast 10300

318 CT Scan Thoracic Spine (3D Reconstruction) 8500

319 CT Scan Thoracic Spine (3D Reconstruction) with contrast 12100

320 CT Scan Thoraco-Lumbar Spine (3D Reconstruction) 10300

321 CT Scan Thoraco-Lumbar Spine (3D Reconstruction) with contrast 14000

322 CT Scan Tibia Fibula Leg Left 7250

323 CT Scan Tibia Fibula Leg Left with contrast 10300

324 CT Scan Tibia Fibula Leg Right 7250

325 CT Scan Tibia Fibula Leg Right with contrast 10300

326 CT Scan Triphasic Liver/Abdomen with contrast 18200

327 CT Scan Whole Spine (3D Reconstruction) 18700

328 CT Scan Whole Spine (3D Reconstruction) with contrast 22000

329 CT Scan Wrist Left 7250

330 CT Scan Wrist Left with contrast 10300

331 CT Scan Wrist Right 7250

332 CT Scan Wrist Right with contrast 10300

333 Culture Aerobic 1850

334 Culture for Vibrio Cholerae 1850

335 CVP Line Tip for Culture 2000

336 Cyclosporin ( C - 0 ) (Trough Level 12 hrs after medicine) 9200

337 Cyclosporin ( C - 2 ) (2 hrs after medicine) 9200

338 Cystic Fluid C/S 1850

339 Cytology 2100

340 Cytology (Ascitic Fluid) 2100


Rate List (04-04-2023) 11 of 34

S. No. Test Name Rate


341 Cytology (CSF) 2100

342 Cytology (Cystic Fluid) 2100

343 Cytology (Joint Fluid) 2100

344 Cytology (Pap Smear) 2100

345 Cytology (Peritoneal Fluid) 2100

346 Cytology (Pleural Fluid) 2100

347 Cytology (Sputum) 2100

348 Cytology (Urine) 2100

349 Cytology FNAC 3400

350 Cytology Slides for 2nd Opinion brought by patient 1300

351 CYTOLOGY SLIDES given to patient for review 1100

352 Cytomegalovirus IgG ( CMV IgG ) 1700

353 Cytomegalovirus IgM ( CMV IgM ) 2000

354 D-dimer 2700

355 Dengue Antibodies (IgG) 1500

356 Dengue Antibodies (IgM) 1500

357 Dexa Scan 3000

358 DHEASO4 2700

359 Diabetic Profile See List

360 Diabetic Profile (Premium) See List

361 Digoxin 2800

362 Dilantin ( Phenytoin Na ) 2450

363 Direct Bilirubin 500

364 DLC 650

365 DNA S Test (England) 12000

366 DNA Test (GTLDNA) 4000

367 DNA Test (UK) 8000

368 Doppler (Arm Arteries) 4250

369 Doppler (Arm Veins) 4250

370 Doppler (Both Legs) 7250

371 Doppler (Both Limbs) 7250

372 Doppler (Carotid Arteries) 4250

373 Doppler (Fetus) 4250

374 Doppler (Leg Arteries) 4250


Rate List (04-04-2023) 12 of 34

S. No. Test Name Rate


375 Doppler (Leg Veins - Deep - DVT) 4250

376 Doppler (Liver) 4250

377 Doppler (Renal Arteries) 4250

378 Doppler (Scrotum) 4250

379 Doppler (Vancose Veins - Superficial) 4250

380 Doppler for Micro Calcification 4850

381 Doppler for Micro Circulation 4850

382 Doppler Study 4250

383 Ear Swab Culture ( Left ) 1700

384 Ear Swab Culture ( Right ) 1700

385 EBV ( Epstein-Barr Virus ) 1200

386 ECG 900

387 Echocardiography 3000

388 Electrolytes ( Serum ) 1150

389 Electrolytes ( Urine ) 1150

390 ENA (Extractable Nuclear Antigen) Profile 6250

391 ER 5350

392 ER / PR 10500

393 ER / PR / HER2/neu 14000

394 ESR 400

395 Estradiol 1850

396 ETT Tip for Culture 2000

397 Eye Sight 500

398 Factor IX 4400

399 Factor V 7700

400 Factor V Leiden Motation 6500

401 Factor VIII 4400

402 Factor X 5500

403 Factor XI 5500

404 Fat Globules in Stool 650

405 Fat Globules in Urine 650

406 FDP 1950

407 Fecal Calprotectin 4400

408 Female Hormonal Profile (Basic) See List


Rate List (04-04-2023) 13 of 34

S. No. Test Name Rate


409 Female Hormonal Profile (Premium) See List

410 Female Hormonal Profile (Premium+) See List

411 Ferritin (Serum) 1700

412 Fibrinogen Level 1250

413 Fluid Culture 1750

414 Fluid for Amylase 1050

415 Fluid for Cells Count 500

416 Fluid for Crystals 400

417 Fluid for LDH 600

418 Fluid for Lipase 1100

419 Fluid for pH 400

420 Fluid for Protein 500

421 Fluid for RBC 500

422 Fluid for Sugar 450

423 Fluid R/E 1200

424 FNAC 3400

425 FNAC (By Female Pathologist) 3400

426 FNAC - 1 3400

427 FNAC - 2 3400

428 Foleys Catheter Tip for Culture 2000

429 Folic Acid 1850

430 Fractional Excretion of Amylase (FE AMYLASE) 1600

431 Fractional Excretion of Bicarbonate (FE-HCO3) 2450

432 Fractional Excretion of Calcium (FE-Ca) 2450

433 Fractional Excretion of Magnesium (FE-Mg) 2450

434 Fractional Excretion of Phosphate (FE-PO4) 2450

435 Fractional Excretion of Potassium (FE-K) 2450

436 Fractional Excretion of Sodium (FE-Na) 2450

437 Fractional Excretion of Urea (FE-Urea) 2450

438 Free PSA 7000

439 FSH 1850

440 FT3 2100

441 FT4 1850

442 Fungus Culture 1850


Rate List (04-04-2023) 14 of 34

S. No. Test Name Rate


443 G6PD 1700

444 Gall Bladder Stone C/S 1850

445 Gamma GT 600

446 Gastrin 5300

447 GCT ( Glucose Challenge Test ) 650

448 GeneXpert PCR For MTB/RIF 6000

449 GFR (Glomerular Filtration Rate) 500

450 Gram Stain 450

451 Growth Hormone ( After Stimulation ) 2000

452 Growth Hormone ( Basal ) 2000

453 GTT 1 ( 1 ) 450

454 GTT 1 ( F ) 450

455 GTT 2 ( 1 ) 450

456 GTT 2 ( 2 ) 450

457 GTT 2 ( F ) 450

458 GTT 3 ( 1 ) 450

459 GTT 3 ( 2 ) 450

460 GTT 3 ( 3 ) 450

461 GTT 3 ( F ) 450

462 H. Pylori Antibody (IgG) 2000

463 H. Pylori Antibody (IgM) 2000

464 H. Pylori Antigen in Stool 4000

465 Haematocrit 400

466 Haemoglobin ( Hb ) 400

467 Haemoglobin F ( HbF ) 2450

468 Haemoglobinuria (HB in Urine) 400

469 Hams Test 1600

470 Haptoglobin 1900

471 HAV IgM 2300

472 Hb Electrophoresis ( CP ) 1100

473 Hb Electrophoresis ( RBC Morphology ) 1300

474 HbA1c ( Glycated Haemoglobin ) 1850

475 HBcAb IgM 3850

476 HBcAb Total 3300


Rate List (04-04-2023) 15 of 34

S. No. Test Name Rate


477 HBeAb 4250

478 HBeAg 4250

479 HBSAB (Hepatitis B Surface Antibodies) 1750

480 HBsAg 1600

481 HBV PCR Qualitative 8500

482 HBV PCR Quantitative 14000

483 HCV Antibody 2600

484 HCV Genotype 14000

485 HCV PCR Qualitative 8000

486 HCV PCR Quantitative 13100

487 HDL Cholesterol 600

488 HDV PCR Quantitative 13000

489 Height - Weight 400

490 Hep B 850

491 Hep C 850

492 Hepatitis B Profile 10350

493 Hepatitis Delta Virus Antibody 3100

494 HER2/neu 5350

495 HEV IgM 2900

496 Histopathology ( Small ) 2800

497 Histopathology Large 3650

498 Histopathology Large-1 3650

499 Histopathology Large-2 3650

500 Histopathology Small-1 2800

501 Histopathology Small-2 2800

502 HIV (Combo I & II Antibody/Antigen) 2300

503 HIV (Human Immunodeficiency Virus) Antibody 850

504 HLA B-27 11600

505 HLA Typing Total 35500

506 HOMA - IR (Glucose Fasting, Insulin Fasting) 3300

507 Home Sampling ( LD ) 1000

508 Home Sampling ( SD ) 500

509 Homocysteine Level 1800

510 HSV (Herpes Simplex Virus) IgG 1950


Rate List (04-04-2023) 16 of 34

S. No. Test Name Rate


511 HSV (Herpes Simplex Virus) IgM 1950

512 HSV IgG in CSF 1850

513 HSV IgM in CSF 1850

514 HVS Culture 1850

515 Hydatid Cyst ( Echinococcus ) IgG 2750

516 Ice Pack 200

517 ICT MP ( Malarial Parasite ) 1200

518 ICT TB / MicoDot / TB Dot 1300

519 IFA (Intrinsic Factor Antibody) 5300

520 IgA 1800

521 IgE 2450

522 IgG 1500

523 IgG C 1800

524 IgG C Home Sampling 500

525 IgG II Quant 2500

526 IgG4 (Immunoglobulin G4) 6500

527 IgM 1500

528 IgM C 800

529 Immature Platelet Fraction (IPF) 650

530 Immunohistochemistry 16000

531 Importance Profile See List

532 Importance Profile (Premium) See List

533 India Ink Preparation for Fungus 850

534 Indirect Bilirubin 500

535 Infectious Mononucleosis 1100

536 Infertility Profile 10700

537 Infertility Profile (Advance) See List

538 Infertility Profile (Basic) See List

539 Insulin 4800

540 Insulin Glucose Ratio 3200

541 Insulin like Growth Factor (IGF-1) 10000

542 Interleukin 6 (IL-6) 4850

543 Iran Embassy 650

544 Iraq Embassy 1000


Rate List (04-04-2023) 17 of 34

S. No. Test Name Rate


545 Iron 850

546 Iron & TIBC 1600

547 IUCD ( Intrauterine Contraceptive Device ) Culture 2000

548 K.E ( ALT,AST,HBsAg & VDRL ) 1200

549 KAPPA Light Chain 5200

550 Ketones in Blood 400

551 Ketones in Urine 400

552 KOH Preparation ( Fungal Stain ) 850

553 KOH Preparation ( Fungus ) 850

554 Lactate Level ( Lactic Acid ) 2000

555 LAMBDA Light Chain 4800

556 LDH (serum) 600

557 LDL Cholesterol 850

558 LE Cells 850

559 Leishmania ( Smear ) 850

560 Leishmania Antibody 1750

561 LFT 1900

562 LFT SP 1900

563 LH ( Luteinizing Hormone ) 1850

564 Lights Criteria 1950

565 Lipase 1300

566 Lipid Profile 2000

567 Lipid Profile SP 2000

568 Lithium 2100

569 LKM Antibody 3300

570 Lupus Anticoagulant 5350

571 Magnesium ( 24 Hrs Urine ) 1100

572 Magnesium ( Serum ) 1000

573 Mammography 4850

574 Mantoux / Tuberculin PPD / Sclavo 650

575 Marriott Medical (Bl.Group,HbSAg,HCV,HIV,UrineR/E,VDRL) 400

576 Marriott Medical (LFT) 700

577 Metanephrines in Blood 4500

578 Microalbumin in 24 hrs Urine 1150


Rate List (04-04-2023) 18 of 34

S. No. Test Name Rate


579 Microalbumin in Urine (Spot) 1150

580 Microfilariae 550

581 Milk Analysis ( Buffalo ) 3000

582 Milk Analysis ( Cow ) 3000

583 Milk Analysis ( UHT Milk Pack ) 3000

584 Milk Culture ( Buffalo Milk ) 1200

585 Milk Culture ( Cow Milk ) 1200

586 Milk Culture ( Pasteurized Milk Pack ) 1200

587 Milk Culture ( UHT Milk Pack ) 1200

588 Mono Spot Test (Serum) 1200

589 Mononucleosis Rapid Test 950

590 Morphine 1700

591 MP ( Malarial Parasite ) 550

592 MRCP (Magnetic Resonance Cholangiopancreatography) 9700

593 MRI Abdomen 11600

594 MRI Abdomen with Contrast 15650

595 MRI Ankle Left 11600

596 MRI Ankle Left with contrast 15650

597 MRI Ankle Right 11600

598 MRI Ankle Right with contrast 15650

599 MRI Brain 11600

600 MRI Brain MRA 9700

601 MRI Brain MRV 9700

602 MRI Brain with contrast 14000

603 MRI Cervical Spine 11000

604 MRI Cervical Spine with contrast 15100

605 MRI Contrast 5500

606 MRI Dorsal Spine 11000

607 MRI Dorsal Spine with contrast 15100

608 MRI Dorso - Lumbar Junction 11600

609 MRI Dorso - Lumbar Junction with contrast 15750

610 MRI Ear/IAM 's 11600

611 MRI Ear/IAM 's with contrast 15750

612 MRI Elbow Left 11600


Rate List (04-04-2023) 19 of 34

S. No. Test Name Rate


613 MRI Elbow Left with contrast 15750

614 MRI Elbow Right 11600

615 MRI Elbow Right with contrast 15750

616 MRI Fistula Peri Anal 11600

617 MRI Fistula Peri Anal with contrast 15750

618 MRI Foot Left 11600

619 MRI Foot Left with contrast 15750

620 MRI Foot Right 11600

621 MRI Foot Right with contrast 15750

622 MRI Forearm 11600

623 MRI Forearm with contrast 15750

624 MRI Hand Left 11600

625 MRI Hand Left with contrast 15750

626 MRI Hand Right 11600

627 MRI Hand Right with contrast 15750

628 MRI Humerus 11600

629 MRI Humerus with contrast 15750

630 MRI Knee Left 11600

631 MRI Knee Left with contrast 15750

632 MRI Knee Right 11600

633 MRI Knee Right with contrast 15750

634 MRI Lumbar Spine 11000

635 MRI Lumbar Spine with contrast 15100

636 MRI MRA specific area 11600

637 MRI MRV specific area 11600

638 MRI Neck Soft Tissues 11600

639 MRI Neck Soft Tissues with contrast 15750

640 MRI Orbit 11600

641 MRI Orbit with contrast 15750

642 MRI Pelvis ( Hip Joints ) 11600

643 MRI Pelvis (Hip Joints) with contrast 15750

644 MRI Pitutary Fossa 11600

645 MRI Pitutary Fossa with contrast 15750

646 MRI PNS 9700


Rate List (04-04-2023) 20 of 34

S. No. Test Name Rate


647 MRI PNS with contrast 13300

648 MRI Shoulder Left 11600

649 MRI Shoulder Left with contrast 15750

650 MRI Shoulder Right 11600

651 MRI Shoulder Right with contrast 15750

652 MRI Sinuses 11600

653 MRI Sinuses with contrast 15750

654 MRI Thigh (Femur) 11600

655 MRI Thigh (Femur) with contrast 15750

656 MRI Tiba/leg 11600

657 MRI Tiba/leg with contrast 15750

658 MRI Wrist Left 11600

659 MRI Wrist Left with contrast 15750

660 MRI Wrist Right 11600

661 MRI Wrist Right with contrast 15750

662 Muscle Enzymes 2700

663 Myoglobin 1000

664 Nasal Secretions for Glucose 450

665 Nasal Swab for Culture 1600

666 Nipple Discharge C/S Left 1600

667 Nipple Discharge C/S Right 1600

668 NS1 (Dengue Virus) ELISA 1500

669 Obesity Profile See List

670 Occult Blood 450

671 OPG Digital 2450

672 Opiates 2300

673 Osmolality in Serum 1800

674 Osmolality in Urine 1600

675 Osmotic Fragility 1850

676 Osteoporosis Profile See List

677 OT AC Culture 1850

678 OT Anesthesia Machine Culture 1850

679 OT Floor Culture 1850

680 OT Light Culture 1850


Rate List (04-04-2023) 21 of 34

S. No. Test Name Rate


681 OT Suction Pump Culture 1850

682 OT Table Culture 1850

683 OT Trolley Culture 1850

684 OT Wall Culture 1850

685 Oxalate ( 24 Hrs Urine ) 3800

686 Pap Smear 1300

687 Parathyroid Hormone (PTH) 3300

688 PCR for Thalassaemia 4450

689 PCT ( Procalcitonin ) 4700

690 Pericardial Fluid C/S 1600

691 Pericardial Fluid R/E 1200

692 Peritoneal Fluid C/S 1600

693 Peritoneal Fluid R/E 1200

694 PF ( CP-ESR ) 800

695 PF ( RBC Morphology ) 550

696 PFT ( Pulmonary Function Test ) 2200

697 Phenobarbitone 2800

698 Phenytoin Level 2800

699 Phosphorous 600

700 PIH Profile (LFT, RFT, PT, Urine R/E) 4250

701 Pilot Medical Profile (CP,Ur TLC,Alcohol,Lactate,Glucose) 10000

702 Pituitary Function Test (TSH, GH (B & A.S), Prolactin) 6100

703 Plasma Glucose ( Fasting ) 450

704 Plasma Glucose ( Random ) 450

705 Plasma Glucose ( Random ) After Dinner 450

706 Plasma Glucose ( Random ) After Lunch 450

707 Plasma Glucose ( Random ) Before Dinner 450

708 Plasma Glucose ( Random ) Before Lunch 450

709 Plasma Glucose (2 hrs after Meal) 450

710 Plasma Glucose 1 hr Post Meal (Pregnancy) 450

711 Platelet Count 450

712 Pleural Fluid C/S 1600

713 Pleural Fluid for Albumin 500

714 Pleural Fluid for LDH 600


Rate List (04-04-2023) 22 of 34

S. No. Test Name Rate


715 Pleural Fluid R/E 1200

716 Post Coital Test 1550

717 Potassium ( 24 Hrs Urine ) 1250

718 Potassium ( Serum ) 1000

719 Potassium ( Urine Spot ) 750

720 Potassium Creatinine Ratio 1150

721 PR 5350

722 Pregnancy in High Dilution 1700

723 Pregnancy Profile See List

724 Pregnancy Test 700

725 Pro BNP (B-type Natriuretic Peptide) STAT 5000

726 Progesterone 2000

727 Prolactin 2000

728 Prostatic Swab Stick for Culture 1850

729 Protein ( 24 Hrs Urine ) 950

730 Protein C 5400

731 Protein Creatinine Ratio 1150

732 Protein Electrophoresis ( Serum ) 1850

733 Protein Electrophoresis ( Urine ) 1850

734 Protein in Urine (Spot) 450

735 Protein S 5500

736 PSA 1800

737 PT 950

738 PT Bottle 100

739 Pus Culture 2450

740 PUS R/E 1200

741 R.A. Factor 1200

742 R.B.C. Count 450

743 R.B.C. Morphology 450

744 R.B.C. Morphology in Urine 450

745 Rapid Test 4500

746 Reducing Substances in Stool 650

747 Reducing Substances in Urine 650

748 Renin Level 6200


Rate List (04-04-2023) 23 of 34

S. No. Test Name Rate


749 Reticulocyte Count 450

750 RFT 1500

751 RFT SP 1500

752 Rh Antibody Titer 1050

753 Rheumatology Profile See List

754 Rubella IgG 1550

755 Rubella IgM 1800

756 S. Globulin 750

757 S. Thyroglobulin level 2700

758 S.G.O.T (AST) 600

759 SAAG (Serum Ascites Albumin Gradient) 850

760 Semen Analysis 2450

761 Semen Culture 1850

762 Serum Protein 500

763 Sex Hormones Binding Globulin 4000

764 Sickle Test 650

765 Smear for Ova 650

766 Sodium ( 24 Hrs Urine ) 1250

767 Sodium ( Serum ) 1000

768 Sodium ( Urine Spot ) 750

769 Sputum Culture 1750

770 Sputum R/E 1250

771 Stone Analysis ( Renal ) 3000

772 Stone Analysis ( U-Bladder ) 3000

773 Stone Analysis ( Ureteric ) 3000

774 Stool Culture 1750

775 Stool for pH 400

776 Stool R/E 450

777 Stool R/E (Day-1) 450

778 Stool R/E (Day-2) 450

779 Stool R/E (Day-3) 450

780 Swine Flu (Influenza Virus) 2750

781 Synovial Fluid C/S 2000

782 Synovial Fluid R/E 1250


Rate List (04-04-2023) 24 of 34

S. No. Test Name Rate


783 Syphilis TP (TPHA) 1300

784 T3 1450

785 T4 1450

786 Tacrolimus (Before Medicine) 8500

787 Tacrolimus (Trough 12 hours levels) 8500

788 TB by Elisa (IgG & IgM) 1700

789 TB Gold Plus 8650

790 TB PCR 6100

791 TCS Charges 200

792 Testosterone 1850

793 Throat Swab Culture 1600

794 Thrombophilia Profile (Prot. C, Prot. S, Anti Thrombin) 14500

795 Thyroid Antibodies 3450

796 Thyroid Function Test ( T3 , T4 , TSH ) 3700

797 Thyroid Profile (Basic) See List

798 Thyroid Profile (Premium) See List

799 TIBC 850

800 Tissue for Culture 1600

801 Tissue Transglutaminase Antibody (tTG IgA) 2800

802 Tissue Transglutaminase Antibody (tTG IgG) 2450

803 TLC 400

804 Torch IgG 5100

805 Torch IgM 5100

806 Total Bile Acid (TBA) 3000

807 Total Protein 500

808 Toxoplasma IgG 1550

809 Toxoplasma IgM 1800

810 TPHA (Syphilis TP) 1300

811 Tracheal Tube Tip for Culture 1600

812 Triglyceride 650

813 Trop-T Test 1950

814 Troponin I (High Sensitive)Test 2000

815 TSH 1450

816 Typhidot (IgM & IgG) 1500


Rate List (04-04-2023) 25 of 34

S. No. Test Name Rate


817 Ultrasound Abdomen 2600

818 Ultrasound Abdomen & Pelvis 2900

819 Ultrasound Abdomen + KUB 2900

820 Ultrasound Anomaly Scan 2900

821 Ultrasound Anomaly Scan (Twin) 5500

822 Ultrasound Ascitic Fluid for Tapping 4000

823 Ultrasound Axilla Left 2900

824 Ultrasound Axilla Right 2900

825 Ultrasound Brain 2600

826 Ultrasound Breast Both 4000

827 Ultrasound Breast Single 2600

828 Ultrasound Chest 2600

829 Ultrasound Fast Scan 2600

830 Ultrasound Fibroscan (Shearwave /Elastography) 5500

831 Ultrasound FWB 2600

832 Ultrasound FWB (Twin) 4000

833 Ultrasound Guided Aspiration 6100

834 Ultrasound Guided FNAC / Biopsy 6100

835 Ultrasound Hepatobilliary 2600

836 Ultrasound Inguinal Region (For Hernia) as single region study 2600

837 Ultrasound Knee 2600

838 Ultrasound Knee Joint Fluid for Tapping 4000

839 Ultrasound KUB (Urinary Tract) 2600

840 Ultrasound KUB Pre and Post Void 2600

841 Ultrasound Musculoskeletal (MS) 4000

842 Ultrasound Neck 2600

843 Ultrasound Pelvis 2600

844 Ultrasound Penis 2600

845 Ultrasound Peritoneal Fluid for Tapping 4000

846 Ultrasound Pleural Fluid for Tapping 4000

847 Ultrasound Scrotum 2600

848 Ultrasound Shearwave /Elastography for Liver (Fibroscan) 5500

849 Ultrasound Stain Elastography for Breast 5500

850 Ultrasound Stain Elastography for Thyroid 5500


Rate List (04-04-2023) 26 of 34

S. No. Test Name Rate


851 Ultrasound Swelling 2600

852 Ultrasound Thyroid 2600

853 Ultrasound Transvaginal Sonogram (TVS) 3300

854 Urea (Serum) 550

855 Urea Breath Test 5000

856 Urea in Drain Fluid 450

857 Urethral Swab for Culture 1750

858 Urethral Swab for Gram Stain 650

859 Uric Acid 600

860 Uric Acid ( 24 Hrs Urine ) 950

861 Urine Bile Pigment 400

862 Urine Bile Salt 300

863 Urine Bile Salt & Bile Pigment 650

864 Urine Bottle 100

865 Urine C/S 1850

866 Urine Dip Stick 400

867 Urine for Metabolic Screening 2200

868 Urine Microscopy 450

869 Urine pH 300

870 Urine Phosphorous ( 24 Hrs ) 950

871 Urine R/E 500

872 Urine Specific Gravity 400

873 Urine Sugar 400

874 Urine TLC ( Ten Drugs ) 5350

875 Urine Urea ( 24 Hrs Urine ) 1000

876 Vaccine Chicken Pox (1 - 12 years) 2800

877 Vaccine Chicken Pox (more than 12 yrs) 2800

878 Vaccine Flu 2100

879 Vaccine Hepatitis B ( Adult ) 1050

880 Vaccine Hepatitis B ( Child ) 750

881 Vaccine Meningitis 1400

882 Vaccine MMR (Priorix) 1000

883 Vaccine Polio ( Imovax ) 900

884 Vaccine Typhoid 600


Rate List (04-04-2023) 27 of 34

S. No. Test Name Rate


885 Valproic Acid (Epilim) 2000

886 VDRL 1000

887 VDRL with Titer 1100

888 Ventricular (CSF) Tap R/E 1300

889 Vibrio Cholerae Microscopy 450

890 Vitamin D 3750

891 VMA (24 Hrs Urine) 3500

892 VZV (Varicella Zoster Virus) 2900

893 Water Analysis (Chemical + Culture + TDS + Arsenic) 7000

894 Water Culture 3650

895 Water Culture ( 2 Parameters ) 7250

896 Water Culture ( 4 Parameters ) 14500

897 Water for Arsenic Level 1100

898 Water for Chemical Analysis 3000

899 Water for Clostridium Perfringens 7150

900 Water for pH 400

901 Water for T.D.S 850

902 Widal Test 1000

903 Wound Swab C/S 1600

904 X-Ray Abdomen Dercubitus View 1100

905 X-Ray Abdomen Erect 1100

906 X-Ray Abdomen Lying 1100

907 X-Ray Adenoid 1100

908 X-Ray Ankle Joint Both AP View 1100

909 X-Ray Ankle Joint Both AP & LAT View 2000

910 X-Ray Ankle Joint Both LAT View 1100

911 X-Ray Ankle Joint Left AP View 1100

912 X-Ray Ankle Joint Left AP & LAT View 1100

913 X-Ray Ankle Joint Left LAT View 1100

914 X-Ray Ankle Joint Right AP & LAT View 1100

915 X-Ray Ankle Joint Right AP View 1100

916 X-Ray Ankle Joint Right LAT View 1100

917 X-Ray Antigrade Urography 6500

918 X-Ray Barium Enema 7150


Rate List (04-04-2023) 28 of 34

S. No. Test Name Rate


919 X-Ray Barium Follow Through 7150

920 X-Ray Barium Meal Follow Through (Small Bowal) 7150

921 X-Ray Barium Meal UGIT 7150

922 X-Ray Barium Swallow 5150

923 X-Ray Big Toe AP View 1100

924 X-Ray Big Toe AP & LAT View 1100

925 X-Ray Big Toe LAT View 1100

926 X-Ray Boneage 11 to 15 Years - Left Wrist AP Right Elbow 2000

927 X-Ray Boneage 16 to 20 Years - Right Shoulder + Pelvis AP 2000

928 X-Ray Boneage Above 25 Years Skull AP Lat+Pelvis AP+ 4400

929 X-Ray Boneage Upto 11 Years - Left Wrist AP View 1100

930 X-Ray Cervical Spine AP View 1100

931 X-Ray Cervical Spine AP & LAT View 2000

932 X-Ray Cervical Spine both Oblique View 2000

933 X-Ray Cervical Spine LAT View 1100

934 X-Ray Cervical Spine Left Oblique View 1100

935 X-Ray Cervical Spine Right Oblique View 1100

936 X-Ray Chest AP View 1100

937 X-Ray Chest Apical View 1100

938 X-Ray Chest Decubitus View 1100

939 X-Ray Chest Left AP View 1100

940 X-Ray Chest Left LAT View 1100

941 X-Ray Chest PA View 1100

942 X-Ray Chest Right AP View 1100

943 X-Ray Chest Right LAT View 1100

944 X-Ray Clavicle AP View 1100

945 X-Ray Coccyx Spine AP & LAT View 2000

946 X-Ray Coccyx Spine AP View 1100

947 X-Ray Coccyx Spine Lat View 1100

948 X-Ray Cone Down View of L5 S1 AP & LAT View 2000

949 X-Ray Cone Down view of L5 S1 LAT View 1100

950 X-Ray Cysto-Urethrogram 8800

951 X-Ray Dorso Lumbar Spine AP & LAT View 2000

952 X-Ray Dorso Lumbar Spine AP View 1100


Rate List (04-04-2023) 29 of 34

S. No. Test Name Rate


953 X-Ray Dorso Lumbar Spine LAT View 1100

954 X-Ray Elbow Joint Both AP & LAT View 2000

955 X-Ray Elbow Joint Both AP View 1100

956 X-Ray Elbow Joint Both LAT View 1100

957 X-Ray Elbow Joint Left AP & LAT View 1100

958 X-Ray Elbow Joint Left AP View 1100

959 X-Ray Elbow Joint Left LAT View 1100

960 X-Ray Elbow Joint Right AP & LAT View 1100

961 X-Ray Elbow Joint Right AP View 1100

962 X-Ray Elbow Joint Right LAT View 1100

963 X-Ray Femur Left AP & LAT View 2000

964 X-Ray Femur Left AP View 1100

965 X-Ray Femur Left LAT View 1100

966 X-Ray Femur Right AP & LAT View 2000

967 X-Ray Femur Right AP View 1100

968 X-Ray Femur Right LAT View 1100

969 X-Ray Film (10 x 12 Size) 700

970 X-Ray Film (14 x 17 Size) 950

971 X-Ray Finger Left AP & LAT View 1100

972 X-Ray Finger Left AP View 1100

973 X-Ray Finger Left LAT View 1100

974 X-Ray Finger Right AP & LAT View 1100

975 X-Ray Finger Right AP View 1100

976 X-Ray Finger Right LAT View 1100

977 X-Ray Fistulogram / Sinogram 7700

978 X-Ray Foot Both AP & LAT View 2000

979 X-Ray Foot Both AP View 1100

980 X-Ray Foot Both LAT View 1100

981 X-Ray Foot Left AP & LAT View 1100

982 X-Ray Foot Left AP View 1100

983 X-Ray Foot Left LAT View 1100

984 X-Ray Foot Right AP & LAT View 1100

985 X-Ray Foot Right AP View 1100

986 X-Ray Foot Right LAT View 1100


Rate List (04-04-2023) 30 of 34

S. No. Test Name Rate


987 X-Ray Forearm R/U Both AP & LAT View 2000

988 X-Ray Forearm R/U Both AP View 1100

989 X-Ray Forearm R/U Both LAT View 1100

990 X-Ray Forearm R/U Left AP & LAT View 1100

991 X-Ray Forearm R/U Left AP View 1100

992 X-Ray Forearm R/U Left LAT View 1100

993 X-Ray Forearm R/U Right AP & LAT View 1100

994 X-Ray Forearm R/U Right AP View 1100

995 X-Ray Forearm R/U Right LAT View 1100

996 X-Ray Gastrographin Follow Through 9250

997 X-Ray Hand Both AP & LAT View 2000

998 X-Ray Hand Both AP View 1100

999 X-Ray Hand Both LAT View 1100

1000 X-Ray Hand Left AP & LAT View 1100

1001 X-Ray Hand Left AP View 1100

1002 X-Ray Hand Left LAT View 1100

1003 X-Ray Hand Right AP & LAT View 1100

1004 X-Ray Hand Right AP View 1100

1005 X-Ray Hand Right LAT View 1100

1006 X-Ray Heel / Calcaneus Both AP & LAT View 2000

1007 X-Ray Heel / Calcaneus Both AP View 1100

1008 X-Ray Heel / Calcaneus Both LAT View 1100

1009 X-Ray Heel / Calcaneus Left AP & LAT View 1100

1010 X-Ray Heel / Calcaneus Left AP View 1100

1011 X-Ray Heel / Calcaneus Left LAT View 1100

1012 X-Ray Heel / Calcaneus Right AP & LAT View 1100

1013 X-Ray Heel / Calcaneus Right AP View 1100

1014 X-Ray Heel / Calcaneus Right LAT View 1100

1015 X-Ray Hip Joint Both AP & LAT View 2200

1016 X-Ray Hip Joint Both AP View 1200

1017 X-Ray Hip Joint Both LAT View 1200

1018 X-Ray Hip Joint Left AP & LAT View 2000

1019 X-Ray Hip Joint Left AP View 1100

1020 X-Ray Hip Joint Left LAT View 1100


Rate List (04-04-2023) 31 of 34

S. No. Test Name Rate


1021 X-Ray Hip Joint Right AP & LAT View 2000

1022 X-Ray Hip Joint Right AP View 1100

1023 X-Ray Hip Joint Right LAT View 1100

1024 X-Ray HSG (Hysterosalpingogram) 7250

1025 X-Ray Humurus Left AP & LAT View 1100

1026 X-Ray Humurus Left AP View 1100

1027 X-Ray Humurus Left LAT View 1100

1028 X-Ray Humurus Right AP & LAT View 1100

1029 X-Ray Humurus Right AP View 1100

1030 X-Ray Humurus Right LAT View 1100

1031 X-Ray I.A.M 1100

1032 X-Ray IVU/IVP 7700

1033 X-Ray Knee Both AP & LAT View ( Standing ) 2000

1034 X-Ray Knee Both AP View ( Standing ) 1100

1035 X-Ray Knee Both LAT View ( Standing ) 1100

1036 X-Ray Knee Joint Both AP & LAT View 2000

1037 X-Ray Knee Joint Both AP View 1100

1038 X-Ray Knee Joint Both LAT View 1100

1039 X-Ray Knee Joint Left AP & LAT View 1100

1040 X-Ray Knee Joint Left AP View 1100

1041 X-Ray Knee Joint Left LAT View 1100

1042 X-Ray Knee Joint Right AP & LAT View 1100

1043 X-Ray Knee Joint Right AP View 1100

1044 X-Ray Knee Joint Right LAT View 1100

1045 X-Ray Knee Skyline Left 1100

1046 X-Ray Knee Skyline Right 1100

1047 X-Ray KUB 1100

1048 X-Ray L.S Spine AP & LAT View) 2000

1049 X-Ray L.S Spine AP View 1100

1050 X-Ray L.S Spine both Oblique View 2000

1051 X-Ray L.S Spine LAT 1100

1052 X-Ray L.S Spine Left Oblique View 1100

1053 X-Ray L.S Spine Right Oblique View 1100

1054 X-Ray Left Leg 1100


Rate List (04-04-2023) 32 of 34

S. No. Test Name Rate


1055 X-Ray Loopogram/Colotogram 7800

1056 X-Ray Lordotic-Dicubatus 1100

1057 X-Ray Mandible Oblique / AP 2000

1058 X-Ray Mastoid Both AP View 2000

1059 X-Ray Mastoid Both LAT View 2000

1060 X-Ray Mastoid Comparison 2000

1061 X-Ray MCUG 7150

1062 X-Ray Nasal bone AP View 1100

1063 X-Ray Nasal bone LAT View 1100

1064 X-Ray Nasopharynix AP View 1100

1065 X-Ray Nasopharynix LAT View 1100

1066 X-Ray Neck AP & LAT View 2000

1067 X-Ray Neck AP View 1100

1068 X-Ray Neck for Adenoids 1100

1069 X-Ray Neck LAT View 1100

1070 X-Ray Nephrostogram 7150

1071 X-Ray Orbit AP View 1100

1072 X-Ray Orbit both Oblique View 2000

1073 X-Ray Orbit Left Oblique View 1100

1074 X-Ray Orbit PA View 1100

1075 X-Ray Orbit Right Oblique View 1100

1076 X-Ray Pelvimetery 3500

1077 X-Ray Pelvis AP & LAT View 2000

1078 X-Ray Pelvis AP View 1100

1079 X-Ray Pelvis Frag View 1100

1080 X-Ray Pelvis LAT View 1100

1081 X-Ray Penis AP & LAT View 2000

1082 X-Ray Pituitary Fossa / Turcica 1100

1083 X-Ray PNS (Single View) 1100

1084 X-Ray PNS 3 View 2200

1085 X-Ray PNS Lateral 1100

1086 X-Ray PNS/AP 1100

1087 X-Ray Portable Service Rate 5500

1088 X-Ray Post Nasal Space for adenoide 1100


Rate List (04-04-2023) 33 of 34

S. No. Test Name Rate


1089 X-Ray Pututary Fossa 1100

1090 X-Ray Right Leg 1100

1091 X-Ray RUG 7150

1092 X-Ray RUG + Antigrade Urethrogram 8500

1093 X-Ray S.I. Joint 1100

1094 X-Ray Sacrococcygeal Spine AP & LAT View 2000

1095 X-Ray Sacrococcygeal Spine AP View 1100

1096 X-Ray Sacrococcygeal Spine LAT View 1100

1097 X-Ray Salatrosica 1100

1098 X-Ray Scanogram 3200

1099 X-Ray Scapulla AP 1100

1100 X-Ray Scapulla Oblique 1100

1101 X-Ray Shoulder Left AP & LAT View 2000

1102 X-Ray Shoulder Left AP View 1100

1103 X-Ray Shoulder Left LAT View 1100

1104 X-Ray Shoulder Right AP & LAT View 2000

1105 X-Ray Shoulder Right AP View 1100

1106 X-Ray Shoulder Right LAT View 1100

1107 X-Ray Sialography / Sialogram 5150

1108 X-Ray Sinogram 7700

1109 X-Ray Skull AP & LAT View 2000

1110 X-Ray Skull AP View 1100

1111 X-Ray Skull LAT View 1100

1112 X-Ray Sternum Lat View 1100

1113 X-Ray T-Tube Cholangiogram 7800

1114 X-Ray Thoracic Inlet 1100

1115 X-Ray Thoracic Spine AP & LAT View 2000

1116 X-Ray Thoracic Spine AP View 1100

1117 X-Ray Thoracic Spine LAT View 1100

1118 X-Ray Thoraco Lumber Spine AP & LAT View 2000

1119 X-Ray Thoraco Lumber Spine AP View 1100

1120 X-Ray Thoraco Lumber Spine LAT View 1100

1121 X-Ray Thumb Left AP & LAT View 1100

1122 X-Ray Thumb Left AP View 1100


Rate List (04-04-2023) 34 of 34

S. No. Test Name Rate


1123 X-Ray Thumb Left LAT View 1100

1124 X-Ray Thumb Right AP & LAT View 1100

1125 X-Ray Thumb Right AP View 1100

1126 X-Ray Thumb Right LAT View 1100

1127 X-Ray Tibia Fibula Leg Left AP & LAT View 1100

1128 X-Ray Tibia Fibula Leg Left AP View 1100

1129 X-Ray Tibia Fibula Leg Left LAT View 1100

1130 X-Ray Tibia Fibula Leg Right AP & LAT View 1100

1131 X-Ray Tibia Fibula Leg Right AP View 1100

1132 X-Ray Tibia Fibula Leg Right LAT View 1100

1133 X-Ray TM Joint Left 1100

1134 X-Ray TM Joint Right 1100

1135 X-Ray Urethrogram 7800

1136 X-Ray Wrist Scaphoid 1100

1137 X-Ray Wrist Joint Both AP & LAT View 2000

1138 X-Ray Wrist Joint Both AP View 1100

1139 X-Ray Wrist Joint Both LAT View 1100

1140 X-Ray Wrist Left AP & LAT View 1100

1141 X-Ray Wrist Left AP View 1100

1142 X-Ray Wrist Left LAT View 1100

1143 X-Ray Wrist Right AP & LAT View 1100

1144 X-Ray Wrist Right AP View 1100

1145 X-Ray Wrist Right LAT View 1100

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