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Page 1: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for
Page 2: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for
Page 3: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for
Page 4: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for
Page 5: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for
Page 6: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for
Page 7: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for

CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

HospitalsOPD

1 Consultation OPD 58 50 2402 Consultation- for Inpatients 58 50 2403 Dressings of wounds 58 504 Suturing of wounds with local anesthesia 115 1005 Aspiration Plural Effusion - Diagnostic 173 1506 Aspiration Plural Effusion - Therapeutic 193 1687 Abdomil Aspiration - Diagnostic 345 3008 Abdomil Aspiration - Therapeutic 460 4009 Pericardial Aspiration 380 330

10 Joints Aspiration 317 27611 Biopsy Skin 230 20012 Removal of Stitches 41 3613 Venesection 124 10814 Phimosis Under LA 1311 114015 Sterl puncture 173 15016 Injection for Haemorrhoids 414 36017 Injection for Varicose Veins 288 25018 Catheterisation 83 7219 Dilatation of Urethra 460 40020 Incision & Draige 288 25021 Intercostal Draige 125 10622 Peritoneal dialysis 1074 934

Skin23 Excision of Moles 345 30024 Excision of Warts 310 26425 Excision of Molluscumcontagiosum 130 11126 Excision of Veneral Warts 160 13627 Excision of Corns 140 11928 I/D Injection Keloid of Acne 97 8429 Chemical Cautery (s) 110 96

Opthalmology30 Subconjunctival/subtenon’s injections in one eyes 63 5531 Subconjunctival/subtenon’s injections in both eyes 127 11032 Pterygium surgeries 86 7533 Conjunctival peritomy 58 5034 Conjunctival wound repair or exploration following blunt

trauma115 100

35 Removal of corneal foreign body 115 10036 Cauterization of ulcer/subconjunctival injection in one eye 63 55

37 Cauterization of ulcer/subconjunctival injection in both eyes

127 110

38 Corneal grafting—Penetrating keratoplasty 5750 500039 Corneal grafting—Lamellar keratoplasty 5750 500040 Cyanoacrylate /fibrin glue application for corneal

perforation690 600

41 Bandage contact lenses for corneal perforation 460 40042 Scleral grafting or conjunctival flap for corneal perforation 2300 2000

43 Keratoconus correction with therapeutic contact lenses 1380 1200

44 UV radiation for cross-linking for keratoconus 2300 200045 EDTA for band shaped keratopathy 207 180

Page 8: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for

CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals46 Arcuate keratotomy for astigmatism 2875 250047 Re-suturing (Primary suturing) of corneal wound 1150 100048 Penetrating keratoplasty ---- with glaucoma surgery 14950 1300049 Penetrating keratoplasty --- with vitrectomy 12144 1056050 Penetrating keratoplasty ---- with IOL implantation 3450 300051 DALK- Deep anterior lamellar keratoplasty 10925 950052 Keratoprosthesis stage I and II 11500 1000053 DSAEK- Descemet’s stripping automated endothelial

keratoplasty18975 16500

54 ALTK- Automated lamellar therapeutic keratoplasty 16675 1450055 Probing and Syringing of lacrimal sac- in one eye 69 6056 Probing and Syringing of lacrimal sac- in both eye 138 12057 Dacryocystorhinostomy—Plain 1725 150058 Dacryocystorhinostomy—Plain with intubation and/or with

lacrimal implants8050 7000

59 Dacryocystorhinostomy—conjunctival with implant 8223 715060 Caliculoplasty 2300 200061 Dacryocystectomy 1725 150062 Punctal plugs for dry eyes 575 50063 Refraction 41 3664 Indirect ophthalmoscopy 52 4565 Orthoptic check-up- with synoptophore 44 3866 Lees’ charting or Hess’ charting 109 9567 Orthoptic exercises 58 5068 Pleoptic exercises 58 5069 Perimetry/field test—Goldman 144 12570 Perimetry/field test— automated 144 12571 Fluorescein angiography for fundus or iris 822 71572 Ultrasound A- Scan 173 15073 Ultrasound B- Scan 288 25074 Indocyanin green angiography 656 57075 Corneal endothelial cell count with specular micropscopy 230 200

76 Corneal topography 328 28577 Corneal pachymetry 230 20078 Auto-refraction 35 3079 Macular function tests 58 5080 Potential acuity metry 109 9581 Laser interferometry 109 9582 OCT- Optical coherence tomography 345 30083 HRT- Heidelberg’s retil tomogram 173 15084 GDX--- Nerve fibre layer alyzer 138 12085 UBM- Ultrasound biomicroscopy 230 20086 Non Contact tonometry 52 4587 IOP measurement with schiotz 35 3088 IOP measurement with applation tonometry 52 4589 Three mirror examition for reti 58 5090 90 D lens examition 58 5091 Gonioscopy 58 5092 Chalazion incision and curettage in one eye 414 36093 Chalazion incision and curettage in both eyes 442 38494 Ptosis surgery with fasanella servat procedure 2300 200095 Ptosis surgery with LPS resection 6325 550096 Ptosis surgery with Sling surgery 6900 6000

Page 9: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for

CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals97 Ectropion surgery- one lid 1725 150098 Ectropion surgery- both lids 3450 300099 Epicanthus correction 2300 2000

100 Cantholysis and canthotomy 575 500101 Entropion surgery- one lid 1380 1200102 Entropion surgery- both lids 2760 2400103 Tarsorraphy 700 595104 Suturing of lid lacerations 1150 1000105 Lid retraction repair 1725 1500106 Concretions removal 115 100107 Bucket handle procedure for lid tumors 345 300108 Cheek rotation flap for lid tumors 6325 5500109 Orbitotomy 8050 7000110 Enucleation 3450 3000111 Enucleation with orbital implants and artificial prosthesis 3450 3000

112 Evisceration 3450 3000113 Evisceration with orbital implants and artificial prosthesis 5693 4950

114 Telecanthus correction 2530 2200115 Orbital decompression 5750 5000116 Exenteration 6325 5500117 Exenteration with skin grafting 5750 5000118 Fracture orbital repair 6325 5500119 Retil laser procedures 1380 1200120 Retil detachment surgery 11500 10000121 Retil detachment surgery with scleral buckling 13800 12000122 Buckle removal 1150 1000123 Silicone oil removal 2530 2200124 Anterior retil cryopexy 1162 1010125 Squint correction for one eye 700 595126 Squint correction for both eyes 1400 1190127 Trabeculectomy 6900 6000128 Trabeculotomy 6900 6000129 Trabeculectomy with Trabeculotomy 2300 2000130 Trephition 2300 2000131 Goniotomy 345 300132 Glaucoma surgery with Glaucoma valves 2300 2000133 Cyclocryotherapy 1150 1000134 YAG laser iridotomy 633 550135 YAG laser capsulotomy 633 550136 ALT-Argon laser trabeculoplasty 1639 1425137 PDT-Photodymic therapy 3450 3000138 TTT- Transpupillary thermal therapy 2530 2200139 PTK- Phototherapeutic keratectomy 3795 3300140 Argon/diode laser for reti 1035 900141 Intralase application for keratoconus 5750 5000142 EOG- electro-oculogram 920 800143 ERG- Electrio-retinogram 794 690144 VEP- visually evoked potential 920 800145 Vitrectomy- pars pla 5750 5000146 Intravitreal injections- of antibiotics 1150 1000147 Intravitreal injections- of avastin 3450 3000148 Intravitreal injections- of lucentis 3450 3000

Page 10: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for

CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals149 X- Ray orbit 115 100150 CT-orbit and brain 173 150151 MRI- Orbit and brain 3450 3000152 Dacryocystography 340 289153 Orbital angio-graphical studies 1500 1500154 ECCE with IOL 5750 5000155 SICS with IOL 840 714156 Phaco with foldable IOL (silicone and acrylic)/PMMA IOL 10781 9375

157 Pars pla lensectomy with/without IOL 9200 8000158 Secondary IOL implantation- AC IOL PC IOL or scleral

fixated IOL6900 6000

159 Cataract extraction with IOL with capsular tension rings (Cionni’s ring)

10925 9500

160 Optic nerve sheathotomy 8223 7150161 Iridodialysis repair or papillary reconstruction 2875 2500162 Iris cyst removal 863 750163 Lid Abscess incision and draige 575 500164 Orbital Abscess incision and draige 1093 950165 Biopsy 460 400166 Paracentesis 230 200167 Scleral graft for scleral melting or perforation 2875 2500168 Amniotic membrane grafting 1150 1000169 Cyclodiathermy 1265 1100170 Intraocular foreign body removal 187 163171 Electrolysis 230 200172 Perforating injury repair 4600 4000173 Botulinum injection for blepharospasm or squint 1955 1700

Dental Procedures 174 Flap Operation per quadrant 414 360175 Gingivectomy per quadrant 269 234176 Reduction & immobilasation of fracture- Maxilla Under LA 1380 1200

177 Reduction & immobilasation of fracture-Mandible Under LA

1725 1500

178 splints/Cirucum mandibular wiring under LA 587 510179 splints/Cirucum mandibular wiring under GA 1139 990180 Interl wire fixation/plate fixation of Maxilla under LA 2875 2500181 Interl wire fixation/plate fixation of Maxilla under GA 4600 4000182 Interl wire fixation/plate fixation of Mandible under LA 920 800183 Interl wire fixation/plate fixation of Mandible under GA 1150 1000184 Extraction per tooth under LA 92 80185 Complicated Ext. per Tooth under LA 115 100186 Extraction of impacted tooth under LA 184 160187 Extraction in mentally retarded/patients with systemic

diseases/patient with special needs under short term GA

403 350

188 Cyst & tumour of Maxilla /mandible by

enucleation/excision/marsupalisation upto 4 cms under LA

281 244

189 Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupalisation size more than 4 cms under LA

467 406

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals190 Cyst & tumour of Maxilla/mandible by

enucleation/excision/marsupalisation size more than 4 cms under GA

1150 1000

191 TM joint ankylosis- under GA 2300 2000192 Biopsy Intraoral-Soft tissue 430 374193 Biopsy Intraoral-Bone 430 374194 Hemi-mandibulectomy with graft 5693 4950195 Hemi-mandibulectomy without graft 3335 2900196 Segmental-mandibulectomy with graft 4543 3950197 Segmental-mandibulectomy without graft 1139 990198 Maxillectomy- Total with graft 2875 2500199 Maxillectomy- Total without graft 2243 1950200 Maxillectomy- partial with graft 3450 3000201 Maxillectomy- partial without graft 2875 2500202 Release of fibrous bands & grafting -in (OSMF) treatment

under GA1725 1500

203 Pre-prosthetic surgery- Alveoloplasty 575 500204 Pre-prosthetic surgery - ridge augmentation 863 750205 Root cal Treatment(RCT) Anterior teeth 575 500206 Root cal Treatment(RCT) Posterior teeth 805 700207 Apicoectomy- Single root 575 500208 Apicoectomy-Multiple roots 748 650209 Metal Crown-per unit 575 500210 Metal crown with Acrylic facing per unit 805 700211 Complete single denture-metal based 1725 1500212 Complete denture- acrylic based per arch 1093 950213 Removable partial denture-Metal based-upto 3 teeth 805 700214 Removable partial denture-Metal based-more than 3 teeth 1035 900

215 Removable partial denture-Acrylic based-upto 3 teeth 575 500216 Removable partial denture-Acrylic based-more than 3

teeth310 264

217 Amalgum restoration-per tooth 173 150218 Composite Restoration-per tooth-anterior tooth 288 250219 Glas Ionomer-per tooth 230 200220 Scaling & polishing 311 270221 Removable Orthodontics appliance- per Arch 805 700222 Fixed Orhtodontics-per Arch 1380 1200223 Space maintainers-Fixed 575 500224 Habit breaking appliances-removable 403 350225 Habit breaking appliances-Fixed 1725 1500226 Expansion plate 1150 1000227 Feeding appliance for cleft palate 403 350228 Maxillo-facial prosthesis (sal/auricular/orbital/facial lost

part)1725 1500

229 Functiol orthodentic appliances 3450 3000230 Obturator (Maxillo-facial) 403 350231 Occlusal night guard(splint) 805 700

E.N.T.Head and NeckENT

232 Pure Tone Audiogram 145 126.5233 Impedence with stepedeal reflex 230 200234 SISI Tone Decay 135 115235 Multiple hearing assessment test to Adults 115 100

Page 12: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for

CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals236 Speech Discrimition Score 76 66237 Speech Assessment 138 120238 Speech therapy per session of 30-40 minutes 131 114239 Cold Calorie Test for Vestibular function 173 150240 Removal of foreign body From Nose 253 220241 Removal of foreign body From Ear 230 200242 Syringing (Ear) 139 121243 Polyp removal under LA 575 500244 Polyp removal under GA 1150 1000245 Peritonsillar abscess draige under LA 621 540246 Myringoplasty 6900 6000247 Staepedectomy 9200 8000248 Myringotomy with Grommet insertion 4600 4000249 Tympanotomy 8625 7500250 Tympanoplasty 13800 12000251 Mastoidectomy 11799 10260252 Otoplasty 16100 14000253 Labyrinthectomy 13800 12000254 Skull Base surgery 24840 21600255 Facial Nerve Decompression 9501 8262256 Septoplasty 5750 5000257 Submucous Resection 7314 6360258 Septo-rhinoplasty 6210 5400259 Rhinoplasty- Non-cosmetic 11500 10000260 Fracture Reduction 5750 5000261 Intra sal Diathermy 1150 1000262 Turbinectomy 5750 5000263 Endoscopic DCR 13248 11520264 Endoscopic Surgery 13800 12000265 Septal Perf. Repair 13800 12000266 Antrum Puncture 966 840267 Lateral Rhinotomy 1150 1000268 Cranio-facial resection 8050 7000269 Caldwell Luc Surgery 9200 8000270 Angiofibroma Excision 18400 16000271 Endoscopic Hypophysectomy 17250 15000272 Endoscopic Optic Nerve Decompression 17250 15000273 Decompression of Orbit 17250 15000274 Punch/Wedge biopsy 497 432275 Tonsillectomy 6900 6000276 Uvulo-palatoplasty 11500 10000277 FESS for antrochoal polyp 5750 5000278 FESS for ethmoidal polyp 5750 5000279 Polyp removal ear 748 650280 Polyp removal Nose(Septal polyp) 748 650281 Mastoidectomy plus Ossciculoplasty including TORP or

PORP2415 2100

282 Endolymphatic sac decompression 2875 2500283 Diagnostic sal endoscopy under GA 2300 2000284 Yonges operation for Atrophic rhinitis 6900 6000285 Vidian neurectomy for vasomotor Rhinitis 10350 9000286 sal Packing-anterior 345 300287 sal Packing-posterior 805 700288 Ranula Excision 3726 3240

Page 13: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for

CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals289 Tongue Tie excision 1725 1500290 Sub Mandibular Duct Lithotomy 275 234291 Adenoidectomy 6486 5640292 Palatopharyngoplasty 8165 7100293 Cleft Palate repair at S. No. 1028

294 Pharyngoplasty 17193 14950295 Styloidectomy 9200 8000296 Direct laryngoscopy including Biopsy under GA 994 864297 oesophagoscopy/foreign body removal from 398 346298 Bronchoscopy with F.B.removal 1863 1620

Head and Neck299 Ear Lobe Repair one side 566 492300 Excision of Pin for Growth (Squamous/Basal/ Injuries) Skin

Only 3450 3000

301 Excision of Pin for Growth (Squamous/Basal/ Injuries) Skin and Cartilage

5290 4600

302 Partial Amputation of Pin 5750 5000303 Total Amputation of Pin 7130 6200304 Total Amputation & Excision of Exterl Auditory Meatus 1725 1500

305 Excision of Cystic Hygroma 3450 3000306 Excision of Cystic Hygroma Extensive 3450 3000307 Excision of Branchial Cyst 4347 3780308 Excision of Branchial Sinus 4347 3780309 Excision of Pharyngeal Diverticulum 10580 9200310 Excision of Carotid Body-Tumours 7073 6150311 Operation for Cervical Rib 4595 3996312 Block Dissection of Cervical Lymph Nodes 3450 3000313 Pharyngectomy & Reconstruction 15500 13175314 Operation for Carcinoma Lip - Wedge-Excision 8050 7000315 Operation for Carcinoma Lip - Vermilionectomy 8050 7000316 Operation for Carcinoma Lip - Wedge Excision and

Vermilonectomy 9660 8400

317 Estlander Operation 7475 6500318 Abbe Operation 5589 4860319 Cheek Advancement 9775 8500320 Excision of the Maxilla 19320 16800321 Excision of mandible-segmental 10805 9396322 Mandibulectomy 10557 9180323 Partial Glossectomy 5520 4800324 Hemiglossectomy 9936 8640325 Total Glossectomy 13848 12042326 Commondo Operation 23000 20000327 Parotidectomy - Superficial 17250 15000328 Parotidectomy - Total 9936 8640329 Parotidectomy - Radical 11178 9720330 Repair of Parotid Duct 11500 10000331 Removal of Submandibular Salivary gland 8625 7500332 Hemithyroidectomy 9315 8100333 Partial Thyroidectomy (lobectomy) 11500 10000334 Subtotal Thyroidectomy 9936 8640335 Total Thyroidectomy 9936 8640336 Resection Enucleation of thyroid Adenoma 10580 9200

Page 14: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for

CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals337 Total Thyroidectomy and Block Dissection 4600 4000338 Excision of Lingual Thyroid 2484 2160339 Excision of Thyroglossal Cyst/Fistula 11178 9720340 Excision of Parathyroid Adenoma/Carcinoma 21275 18500341 Laryngectomy 11178 9720342 Laryngo Pharyngectomy 17825 15500343 Hyoid Suspension 10350 9000344 Genioplasty 19550 17000345 Direct Laryngoscopy including biopsy under GA At S.No.296346 Phonosurgery 13800 12000347 Fibroptic examition of Larynx under LA 1490 1296348 Microlaryngeal Surgery 10350 9000349 Laryngofissure 2732 2376350 Tracheal Stenosis Excision 19780 17200

Head and neck cancer351 Excisiol Biopsies 789 686352 Benign Tumour Excisions 1074 934353 Temporal Bone subtotal resection 9200 8000354 Modified Radical Neck Dissection 1242 1080355 Carotid Body Excision 28750 25000356 Total Laryngectomy 14904 12960357 Flap Reconstructive Surgery 1387 1206358 Parapharyngeal Tumour Excision 11178 9720359 Breast 9191 7992360 Draige of abscess 6325 5500361 Excision of lumps 2515 2187362 Local mastectomy-simple 6210 5400363 Radical mastectomy-formal or modified. 9936 8640364 Excision of mammary fistula 6900 6000365 Segmental resection of breast 16100 14000

General surgeryInjury Of Superficial Soft Tissues

366 Suturing of small wounds 269 234367 Secondary suture of wounds 288 250368 Debridement of wounds 414 360369 Removal Of Foreign Bodies 288 250

Biopsies370 Excision Cervical Lymph Node 1490 1296371 Excision Axillary Lymph Node 1490 1296372 Excision of Inguil Lymph Node 1490 1296373 Excision Biopsy of Ulcers 789 686374 Excision Biopsy of Superficial Lumps 789 686375 Incision Biopsy of Growths/Ulcers 1500 1275376 Trucut Needle Biopsy 789 686377 Percutaneous Kidney Biopsy 1500 1275378 Marrow Biopsy (Open) 789 686379 Muscle Biopsy 1500 1275380 Scalene Node Biopsy 1323 1150381 Excision of Sebaceous Cysts 869 756382 Excision of Superficial Lipoma 745 648383 Excision of Superficial Neurofibroma 869 756384 Excision of Dermoid Cysts 869 756385 Haemorrhoidectomy 2645 2300386 Stapler haemorrhoidectomy 4025 3500

Page 15: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for

CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals387 keloid excision 1150 1000388 Vericose vein surgery;Tendelenburg operation with

suturing or ligation.4347 3780

Oesophagus389 Atresia of Oesophagus and Tracheo Oesophageal Fistula 28750 25000

390 Operations for Replacement of Oesophagus by Colon 25300 22000391 Oesophagectomy for Carcinoma Easophagus 24840 21600392 Oesophageal Intubation (Mausseau Barbin Tube) 3450 3000393 Achalasia Cardia Transthoracic 12650 11000394 Achalasia Cardia Abdomil 14950 13000395 Oesophago Gastrectomy for mid 1/3 lesion 24495 21300396 Heller’s Operation 19780 17200397 Colon-Inter position or Replacement of Oesophagus 22540 19600398 Oesophago Gastrectomy – Lower Corringers procedure 21390 18600

Abdomen399 Gastroscopy 1725 1500400 Gastric & Duodel Biopsy (Endoscopic) 1863 1620401 Pyloromyotomy 3105 2700402 Gastrostomy 5750 5000403 Simple Closure of Perforated peptic Ulcer 9775 8500404 Vagotomy Pyleroplasty / Gastro Jejunostomy 7452 6480405 Duodenojejunostomy 9936 8640406 Partial/Subtotal Gastrectomy for Carcinoma 14904 12960407 Partial/Subtotal Gastrectomy for Ulcer 22425 19500408 Operation for Bleeding Peptic Ulcer 17250 15000409 Gastrojejunostomy & Vagotomy 7452 6480410 Operation for Gastrojejul Ulcer 17250 15000411 Total Gastrectomy for Cancer 14904 12960412 Highly Selective Vagotomy 6831 5940413 Selective Vagotomy & Draige 6831 5940414 Congenital Diaphragmatic Hernia 18400 16000415 Hiatus Hernia Repair- Abdomil 14490 12600416 Hiatus Hernia Repair- Transthoracic 16100 14000417 Exploratory Laparotomy 5589 4860418 Epigastric Hernia Repair 4968 4320419 Umbilical Hernia Repair 4968 4320420 Ventral /incisiol Hernia Repair 1242 1080421 Inguil Hernia Herniorraphy 4968 4320422 Inguil Hernia - Hernioplasty 12420 10800423 Femoral Hernia Repair 4968 4320424 Rare Hernias Repair (Spigalion Obturator Lumbar Sciatic) 4968 4320

425 Splenectomy - For Trauma 9936 8640426 Splenectomy - For Hypersplenism 9936 8640427 Splenorel Astomosis 0 20000428 Portocaval Astomosis 0 26900429 Direct Operation on Oesophagus for Portal Hypertension 22885 19900

430 Mesentericocaval Astomosis 0 25000431 Warren Shunt 0 25000432 Pancerato Duodenectomy 21735 18900

Page 16: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for

CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals433 By Pass Procedure for Inoperable Carcinoma of Pancreas 23000 20000

434 Cystojejunostomy or Cystogastrostomy 14490 12600435 Cholecystectomy 8694 7560436 Cholecystectomy & Exploration of CBD 10557 9180437 Repair of CBD 17250 15000438 Operation for Hydatid Cyst of Liver 11903 10350439 Cholecystostomy 3726 3240440 Hepatic Resections (Lobectomy /Hepatectomy) 14375 12500441 Operation on Adrel Glands - Bilateral 26105 22700442 Operation on Adrel Glands - Unilateral for Tumour 12420 10800443 Appendicectomy 3726 3240444 Appendicular Abscess – Draige 3726 3240445 Mesenteric Cyst- Excision 7452 6480446 Peritonioscopy/Laparoscopy 4600 4000447 Jejunostomy 3416 2970448 Ileostomy 3416 2970449 Resection & Astomosis of Small Intestine 7452 6480450 Duodel Diverticulum 18400 16000451 Operation for Intestil Obstruction 7452 6480452 Operation for Intestil perforation 7452 6480453 Benign Tumours of Small Intestine 7452 6480454 Excision of Small Intestine Fistual 19550 17000455 Operations for Haemorrhage of Small Intestines 19550 17000456 Operations of the Duplication of the Intestines 17825 15500457 Operations for Recurrent Intestil Obstruction (Noble

Plication & Other Operations for Adhesions)23000 20000

458 Ilieosigmoidostomy 7452 6480459 Ilieotransverse Colostomy 7452 6480460 Caecostomy 3416 2970461 Loop Colostomy Transverse Sigmoid 3416 2970462 Termil Colostomy 4968 4320463 Closure of Colostomy 4968 4320464 Right Hemi-Colectomy 8694 7560465 Left Hemi-Colectomy 8694 7560466 Total Colectomy 17250 15000467 Operations for Volvulus of Large Bowel 24921 21670468 Operations for Sigmoid Diverticulitis 18630 16200469 Fissure in Ano with interl sphinctrectomy with

fissurectomy.3105 2700

470 Fissure in Ano - Fissurectomy 3105 2700471 Rectal Polyp-Excision 5658 4920472 Operation of Haemorrhoids -Lords procedure 1580 1343473 Fistula in Ano - High Fistulectomy 3726 3240474 Fistula in Ano - Low Fistulectomy 3726 3240475 Prolapse Rectum - Theirch Wiring 10350 9000476 Prolapse Rectum - Rectopexy 5750 5000477 Prolapse Rectum - Grahams Operation 18400 16000478 Operations for Hirschsprungs Disease 14260 12400479 Excision of Pilonidal Sinus 2795 2430480 Abdomino-Perineal Excision of Rectum 19872 17280481 Anterior Resection of rectum 19872 17280482 Pull Through Abdomil Resection 17710 15400483 Operations for Neuroblastoma 14600 12410

Page 17: medical-reimbursement-railway.webnode.in... · CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for NABH AcccreditedHo sp Rates for Non NABH Hospitals Rates for

CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

HospitalsICU/CCU procedures (Special Care Cases)

484 Corory Care with Cardiac Monitoring including ECG & Diet 1250 1063 3200

485 Compressed air / piped oxygen 58 50 1300486 Ventilator charges 560 476 1000487 Paediatric care for New born per day 190 162 1795488 Incubator charges (Per day) 345 300 1200489 Neotal ICU charges (Per day) 400 340 1795490 Resuscitation 184 160 880491 Exchange Transfusion 265 230 500492 Pneupack ventilator in Nursery (Per day) 575 500 1200

Cardiovascular and cardiac surgery & investigations

493 ASD Closure 53000 45050 53000494 VSD with graft 53000 45050 53000495 TOF/TAPVC/TCPC/REV/VSOV repair 130000 110500 168000496 V.D.Glenn/Left atrium myxoma 100000 85000 100000497 Senning/ASO with graft 125000 106250 201465498 DSO 16100 14000 168000499 AV Cal repair 161000 140000 168000500 Fonten 169050 147000 168000501 Conduit repair 169050 147000 168000502 CABG 130000 110500 150000503 CABG + IABP 169050 147000 200000504 CABG +I valve. 169050 147000 223245505 Asending aorta replacement 165000 140250 165000506 DVR 130000 110500 201465507 MVR/AVR 53000 45050 53000508 MV repair + AV repair 106000 90100 106000509 Aorta femoral bypass 56810 49400 110600510 B.T Shunt/Coaractation 51980 45200 100000511 P.A.Banding septostomy 51980 45200 123500512 Pericardictomy 42320 36800 93500513 CMV/PDA 51980 45200 70000514 CABG without bypass. 149500 130000 155000515 Gunshot injury 51980 45200 60000516 Heart transplant 276000 240000517 Balloon corory angioplasty/PTCA 92000 80000 95000518 Intra corory stenting 57500 50000 115000519 Direct stenting 69000 60000 95000520 Directiol atherectomy 97750 85000 120000521 Rotablation 28750 25000 50000522 balloon valvotomy/PTMC 10500 8925 49005523 CART 10350 9000 14500524 CATH 10350 9000 14500525 Coaractation dilatation 12650 11000 18400526 Permanent pacemaker implantation-VVI 13800 12000 32670527 Permanent pacemaker implantation- DDD 19320 16800 38115528 Permanent pacemaker implantation Biventricular 34500 30000 38115529 AICD implantation 28750 25000 49005530 Combo device implantation 48300 42000531 Electrophysiological studies. 11500 10000 15000532 Endomyocardial biopsy 3450 3000533 IABP 8000 6800 35000

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals534 Intra vascular coils one coil( additiol coil charges extra) 13776 11979 11979

535 R.F.ablation 30000 25500 42000536 Septostomy 20000 17000 19058537 AVBD/PVBD 46000 40000 81510538 Digital substraction angiography-Pheripheral artery 11500 10000 11000539 Digital substraction angiography- venogram 11500 10000540 Venous DSA 5260 4574 4574541 C.T Guided biopsy 1265 1100 5980542 Sinogram 748 650 1200543 Cine -Barium 2070 1800 2000544 CT guided PTA 2300 2000545 DSA + PTA 8050 7000 17100546 Embolisation 11500 10000547 IVUS 23000 20000548 Vascular stent 42000 35700 54450549 Aortic stent graft for aortic aneurysm 62618 54450 54450550 IVC Filter 13776 11979 11979551 ASD/VSD/PDA closure device 36225 31500 54450552 ECG Listed under

Investigations

553 TMT Listed under Investigations

554 echocardiography echo adultHolter alysis 1265 1100 1300555 TEE(Transoesophageal echo 1725 1500 2425556 Stress Echo -erercise 1725 1500 2000557 Stress Echo- Dobutamine 2300 2000 2000558 Stress Thallium - exrercise 2500 2125 3000559 Stress Thallium - pharmacological 3000 2550 3000560 Corory angiography 11500 10000 14500561 CT corory angiography 7245 6300 7650562 Cardiac CT scan 2325 1976 2325563 Cardiac MRI 2500 2125 2500564 MR angiography. 5260 4573.8 4573.8

Obstetrics and Gyecology565 Normal delivery or with Episiotomy & P. repair 8625 7500566 vaccum delivery 8625 7500567 Low Forceps 9200 8000568 Low midcavity forceps 9200 8000569 Cesarean Section 17250 15000570 Cesarean Hysterectomy 18975 16500571 Rupture Uterus closure & repair with Tubal Ligation 17250 15000572 Perforation of Uterus after D/E Laparotomy & Closure 13800 12000573 Laparotomy for Ectopic Rupture 13800 12000574 Laparotomy-peritonitis Lavage and Draige 11500 10000575 Laparotomy-failed laparoscopy to explore 5750 5000576 Salphingectomy 10350 9000577 Salphingo-Oophorectomy 13800 12000578 Ovarean Cystectomy-laparoscopic. 13800 12000579 Ovarean Cystectomy -laparotomy. 13800 12000580 Ophorectomy-laparoscopic 4037 3510581 Oophorectomy-laparotomy 4037 3510

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals582 Broad Ligment Haemotoma Draige 6900 6000583 Exploration of perineal Haematoma & Resuturing of

Episiotomy 8280 7200

584 Exploration of abdomil Haematoma (after laparotomy + LUCS)

8050 7000

585 Interl podalic version and breech extraction 4140 3600586 Manual Removal of Placenta 2300 2000587 3rd stage Complication from extra-institutiol delivery etc 4140 3600

588 Examition under aesthesia 745 648589 Burst-abdomen Repair 10350 9000590 Gaping Pareneal Wound Secondary Suturing 1656 1440591 Gaping abdomil wound Secondary Suturing 2300 2000592 Complete perineal tear-repair 2128 1850593 Exploration of PPH-tear repair 3565 3100594 Destructive Operation 9200 8000595 Suction evacuation vesicular mole Missed abortion D/E 5175 4500

596 Colpotomy-draige P/V needling EUA 3450 3000597 Repair of post-coital tear perineal injury 3508 3050598 Excision of urethral caruncle 3450 3000599 Shirodhkar Mc. Dolds stich 690 600600 Abdomil Hysterectomy 13973 12150601 Vagil Hysterectomy 13973 12150602 Myomectomy -laparotomy 14375 12500603 Myomectomy -laparoscopic 6325 5500604 Vaginoplasty 14950 13000605 Laparotomy for Ectopic Pregncy 6325 5500606 Vulvectomy -Simple 7700 6696607 Vulvectomy-Radical 9200 8000608 RVF Repair 11500 10000609 Manchester Operations 15525 13500610 Perineorrhaphy 9200 8000611 Colporrhaphy with mesh. 16388 14250612 Colporrhaphy without mesh. 13800 12000613 Enterocoel repair 11500 10000614 Shirodkar’s sling Operation or other sling operations for

prolapse uterus3450 3000

615 Laparoscopic sling operations for prolapse uterus 3450 3000616 Diagnostic Curettage 932 810617 Fractiol Curettage 932 810618 D & C and Cervical Biopsy 932 810619 Polypectomy 1518 1320620 Other-Minor Operation Endometrial 2300 2000621 Excision Vagil Cyst/Burtholin Cyst 3450 3000622 Excision Vagil Septum 3450 3000623 Laparoscopy -Diagnostic with chromopertubation 4025 3500624 Laparoscopy Sterilisation 3450 3000625 Laparoscopy Operative 5750 5000626 Laparoscopy LAVH 10350 9000627 Total laparscopic hysterectomy 25243 21950628 Drilling of Overy 6325 5500629 Laparascopic treatment of Ectopic pregncy-salpingectomy 9775 8500

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals630 Laparotomy treatment of Ectopic pregncy. 14605 12700631 Conisation of cervix 4025 3500632 Trachleorraphy of cervix for early CA cervix 7130 6200633 Hysteroscopic cannulation 2875 2500634 Laparotomy recannulation of Fellopian tubes-

(Tubuloplasty)17250 15000

635 Laparoscopic recannulation of Fellopian tubes-(Tubuloplasty)

17250 15000

636 Colposcopy 980 833637 LEETZ(Large Loop Excision of Transformation Zone) 5980 5200638 Loop Electro Surgical procedures. 2300 2000639 Chorionic Villi sampling 1208 1050640 Interventiol Ultrasonography 1000 850641 Amneocentosis 1035 900642 Karyotyping Listed under

Investigations

643 Hysteroscopic endometrial ablation 15525 13500644 Thermal ballon ablation. 11500 10000645 Ultrasonographic myolysis 10293 8950646 Laparoscopic cystectomy 5750 5000647 Intra Uterine Insemition 920 800648 ICSI 11500 10000649 Anti Retroviral Therapy. 4600 4000650 Laparotomy abdomil scaro-colpopexy 23000 20000651 Laparotomy Vault suspension 16675 14500652 Laparscopic abdomil scaro-colpopexy 24035 20900653 Laparoscopic Vault suspension 20125 17500654 Laparotomy radical Lymphedenectomy 23000 20000655 Laparoscopic radical Lymphedenectomy 27600 24000656 Pap smear Listed under

Investigations

657 Endometrial aspiration cytology 575 500658 Transvagil sonography (TVS for Follicular

monitioringaspiration)460 400

659 laparoscopic treatment for stress incontinence 1150 1000660 Transvagil tubes for Stress incontinence 1150 1000661 trans-obturator tubes for Stress incontinence 11500 10000662 Interventiol radiographic arterial embolisation 18343 15950663 Diagnosticcystoscopy 2875 2500664 Staging laparotomy surgery for CA Overy 6325 5500665 Interl Iliac ligation 3393 2950666 stepwise devascularisation 9200 8000667 Assisted breech delivery 10925 9500668 Cordocentesis 2990 2600669 Intra-uterine fetal blood transfusion 13915 12100670 Hysteroscopy TCRE 11500 10000671 Hysteroscopy Removal of IUCD 8050 7000672 Hysteroscopy Removal of Septum 5750 5000673 Hysteroscopy Diagnostic 1725 1500674 Werthimas Hystrectomy for Cancer cervix 13973 12150675 Sterilisation Post ertum 4140 3600676 Sterilisation Intravagil 4025 3500

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals677 Abortion- D & C 2300 2000678 Abortion- Evacuation 3036 2640679 MTP- 1st Trimester 3036 2640680 MTP - 2nd Trimester 4370 3800681 Triple test 1656 1440682 Quadriple test 2013 1750683 Biophysical score 575 500684 Fetal nuechal translucency 345 300685 HPV testing 575 500686 BLCG 400

Nephrology and Urology.687 Partial Nephrectomy -open 10805 9396 35000688 Partial Nephrectomy-laproscopic/endoscopic 14490 12600 57500689 Nephrolithomy -open 13662 11880 35000690 Nephrolithomy -laproscopic/endoscopic 16100 14000 65000691 Pyelolithotomy-open 14950 13000 35000692 Pyelolithotomy -laproscopic/endoscopic 10580 9200 45000693 Operations for Hydronephrosis -pyeloplasty open 18400 16000 42500694 Operations for Hydronephrosis -pyeloplasty

Lap/endoscopic20700 18000 50000

695 Operations for Hydronephrosis Endoplyelotomy antegrade 20125 17500 48000

696 Operations for Hydronephrosis Endoplyelotomy retrograde 20269 17625 48000

697 Operations for Hydronephrosis -ureterocalicostomy 18400 16000 48000698 Operations for Hydronephrosis-Ileal ureter 20269 17625 48000699 Open Draige of Perinephric Abscess 9200 8000 25000700 Percutaneous Draige of Perinephric Abscess -Ultrasound

guided3105 2700 18000

701 Cavernostomy 11500 10000 25000702 Operations for Cyst of the Kidney -open 11960 10400 35000703 Operations for Cyst of the Kidney -Lap/endoscopic 14030 12200 50000704 Ureterolithotomy -open 13386 11640 29940705 Ureterolithotomy-Lap/Endoscopic 10580 9200 30750706 Nephroureterectomy open 13386 11640 45000707 Nephroureterectomy -Lap/Endoscopic 16100 14000 78000708 Operations for Ureter for -Double Ureters 19550 17000 45000709 Operations for Ureter -for Ectopia of Single Ureter 20700 18000 32500710 Operations for Vesico- ureteric Reflux -Open 17250 15000 32500711 Operations for Vesico- ureteric Reflux-Lap/Endoscopic 20700 18000 65000712 Operations for Vesico- ureteric Reflux-with bulking agents 20700 18000 27500

713 Ureterostomy - Cutaneous 13800 12000 32000714 Uretero-Colic astomosis 17250 15000 27500715 Formation of an Ileal Conduit 17250 15000 32000716 Ureteric Catheterisation 690 600 8500717 Biopsy of Bladder (Cystoscopic) 2300 2000 9625718 Diathermy Destruction of Bladder Neoplasm 8625 7500 9625719 Cysto-Litholapexy 10925 9500 23770720 Operations for Injuries of the Bladder 11500 10000 40000721 Suprapubic Draige (Cystostomy/vesicostomy) 3450 3000 19740722 Simple Cystectomy 2300 2000 44770723 Diverticulectomy -open 9200 8000 46310724 Diverticulectomy- Lap/Endoscopic 18400 16000 30870

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals725 Diverticulectomy -Endoscopic incision of neck 1725 1500 27180726 Augmentation Cystoplasty 6670 5800 52500727 Operations for Extrophy of the Bladder- Single stage repair 22301 19392 75000

728 Operations for Extrophy of the Bladder- Multistage repair 20815 18100 74850

729 Operations for Extrophy of the Bladder- simple cystectomy with uriry diversion

23000 20000 74850

730 Repair of Ureterocoel -Open 13800 12000 37500731 Repair of Ureterocoel -Lap/Endoscopic 14375 12500 50000732 Repair of Ureterocoel -Endoscopic incision 13570 11800 31000733 Open Suprapubic Prostatectomy 5750 5000 27600734 Open Retropubic Prostatectomy 5750 5000 29000735 Transurethral Resection of Prostate (TURP) 11178 9720 35000736 Urethroscopy/ Cystopanendoscopy 3105 2700 11940737 Interl urethrotom -optical 5750 5000 25620738 Interl urethrotomy -Core through urethroplasty 11040 9600 38500739 Urethral Reconstruction -End to end ansatamosis 3450 3000 37500740 Urethral Reconstruction - substitution urethroplasty 19550 17000 42500741 Posterior Urethal Valvu fulguration. 11270 9800 32500742 Operations for Incontinence of Urine - Male -Open 17250 15000 37500743 Operations for Incontinence of Urine - Male -Sling 18400 16000 37500744 Operations for Incontinence of Urine - Male-Bulking agent 19435 16900 37500

745 Operations for Incontinence of Urine - Female -Open 17250 15000 37500746 Operations for Incontinence of Urine - Female-Sling 18400 16000 37500747 Operations for Incontinence of Urine - Female-Bulking

agent 19435 16900 37500

748 Reduction of Paraphimosis 1725 1500 5950749 Circumcision 1490 1296 9500750 Meatotomy 2346 2040 5250751 Meatoplasty 3220 2800 9500752 Operations for Hypospadias + Chordee Correction 1208 1050 38000753 Operations for Hypospadias - Second Stage 17250 15000 38500754 Operations for Hypospadias - One Stage Repair 12075 10500 35000755 Operations for Crippled Hypospadias 12593 10950 42500756 Operations for Epispadias _primary repair 12593 10950 38500757 Operations for Epispadias-crippled epispaedias 11385 9900 54000758 Partial Amputation of the Penis 4968 4320 16500759 Total amputation of the Penis 7700 6696 27500760 Orchidectomy-Simple 5465 4752 16000761 Orchidectomy -Radical 8197 7128 28000762 Orchidectomy -Post orchidectomy retroperitoneal lynpy

node dissection.12420 10800 60000

763 Epididymectomy 11270 9800 16000764 Adreneclectomy Unilateral/Bilateral for Tumour/For

Carcinoma- Open12420 10800 50750

765 Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma -Lap/Endoscopic

12420 10800 75000

766 Operations for Hydrocele - Unilateral 5865 5100 10500767 Operations for Hydrocele - Bilateral 8556 7440 12500768 Vasectomy (Should be free for Family Welfare) 14330769 Operation for Torsion of Testis 11500 10000 21000

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals770 Micro-surgical Vasovasostomy /Vaso epidedymal

ansatamosis.11040 9600 27500

771 Operations for Varicocele Palomo’s Unilateral-Microsurgical

7705 6700 27500

772 Operations for Varicocele Palomo’s Unilateral - Lap/Endoscopic

9200 8000 27500

773 Operations for Varicocele Palomo’s Bilateral --Microsurgical

12650 11000 35000

774 Operations for Varicocele Palomo’s Bilateral - Lap/Endoscopic

14950 13000 39000

775 Block Dissection of Inguil Nodes - One Side 6325 5500 28500776 Block Dissection of Inguil Nodes - Both Sides 14904 12960 32500777 Excision of Filarial Scrotum 11500 10000 20000778 Emergency Dialysis Femoral Puncture 932 810 990779 Emergency Dialysis Subclavian Puncture 1162 1010 1830780 Fistula/Shunt at S.No.1287 4040 12000781 Dialysis Femoral Catheterisation Bilateral 1150 1000 1500782 Haemo Dialysis-For sero negative cases at S.No.1289 960 1050783 Haemo Dialysis -FOR SERO POSITIVE CASES at S.No.1290 1200 1430784 Double Lumen Sub Clavian Catheter at S.No.1291 1400 2310785 Continuous Arterio Venus Haemofiltration at S.No. 1292 3000 20000

786 Subclavian Access at S.No. 1280 1050 1830

787 Femoral Access at S.No. 1279 900 990

788 Plasma Exchange at S.No.1293 1450 9700789 Donor Nephrectomy -Open 28750 25000 49000790 Donor Nephrectomy-Lap/Endoscopic 46000 40000 75000791 Rel Transplantation 115000 100000 300000792 Lymphocoel Post transplant 5750 5000 5000793 Transplant Nephrectomy 23000 20000 60000794 Bilateral Nephrouretectomy (tive) 21850 19000 87500795 Vascular Prosthetic Graft 27600 24000 39000796 CAPD 2415 2100 18287.5797 PCNL - Unilateral 21850 19000 50000798 PCNL - Bilateral 28750 25000 80000799 Endoscopic Bulking agent Inject 4600 4000 42000800 Testicular Biopsy 1955 1700 6500801 Gil-Verner’s Extended Pyelolithotomy 3500 2975 3500802 Radical Nephrectomy Nephrectomy -Open 12420 10800 65000803 Radical Nephrectomy Nephrectomy -Lap/Endoscopic 12420 10800 65000804 Radical Nephrectomy plus IV thrombus 12420 10800 65000805 Radical Nephrectomy plus IV thrombus plus cardiac

bypass.23000 20000 175000

806 Vasico Vagil Fistula Repair 17250 15000 49000807 Radical Cystectomy -Ileal conduit 15401 13392 65000808 Radical Cystectomy - continent diversion. 16560 14400 87500809 Nephrectomy Simple -Open 10074 8760 42000810 Nephrectomy Simple-ap/Endoscopic 11500 10000 60000811 Nephrostomy -Open 10074 8760 28000812 Nephrostomy -Lap/Endoscopic 12593 10950 17500813 Ureteric Reimplant for MegaureterVesicoureteric

reflexuterocoel10494 9125 32500

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals814 Ureteric Reimplant 10494 9125 32500815 Partial Cystectomy 7700 6696 31500816 TURP & TUR Bladder Tumour 17250 15000 42000817 TURP with Cystolithotripsy 19090 16600 35000818 Closure of Urethral Fistula 11178 9720 37500819 Orchidopexy - Unilateral -Open 9867 8580 17500820 Orchidopexy - Unilateral- Lap/Endoscopic 12334 10725 35000821 Orchidopexy - Bilateral -Open 12282 10680 26250822 Orchidopexy - Bilateral -Lap/Endoscopic 15353 13350 40000823 Cystolithotomy -Suprapubic 9775 8500 15000824 Endoscopic Removal of Stone in Bladder 3450 3000 23800825 Resection Bladder Neck Endoscopic /Bladden neck

incision/transurethral incision on prostrate10925 9500 27300

826 Ureteroscopic Surgery 10350 9000 25000827 Urethroplasty 1st Stage 10925 9500 25000828 Exploratory Scrototomy 8556 7440 17500829 Perineal Urethrostomy 4715 4100 25000830 Dilatation of Stricture Urethra under G.A. 745 648 5400831 Dilatation of Stricture Urethra under LA 745 648 2500832 Retroperitoneoscopy Nephrectomy 33350 29000 54330833 Retroperitoneoscopy partial Nephrectomy 13225 11500 65000834 Retroperitoneoscopic nephrolithotomy 12075 10500 65000835 Retroperitoneoscopic pyelolithotomy 12650 11000 60000836 Retroperitoneoscopic operation for Hyderonephrosis 12305 10700 70000837 Retroperitoneoscopic surgery for Rel cyst 9775 8500 50000838 Retroperitoneoscopic ureterolithotomy 11500 10000 50000839 Retroperitoneoscopic Nephroureteroectomy 13225 11500 54000840 Laproscopy aassisted orchidopexy 8625 7500 42500841 Laproscopic operation for varicocele 7533 6550 35000842 Lithotripsy Extra corporeal shock wave. 23000 20000 25000843 Uroflow Study (Micturometry) 460 400 500844 Urodymic Study (Cystometry) 552 480 4125845 Cystoscopy with Retrograde Catheter -Unilateral /RGP 2803 2437 9000846 Cystoscopy with Retrograde Catheter - Bilateral /RGP 5589 4860 12000847 Cystoscopy with Bladder Biopsy 3381 2940 12500848 Voiding-cysto-urethrogram and retrograde urethrogram 414 360 2500

849 Radical prostratectomy-Open 14904 12960 75000850 Radical prostratectomy-Laproscopic 14904 12960 95000851 Radical prostratectomy- Robotic 14904 12960 220100852 Hilioum Laser Prostrate surgery/ Optical Interl

urethrotomy/Core through/Stone lithotrypsy/Bladder tumour

17250 15000 65000

853 High Intensity Focus Ultrasound (HIFU) Robotic for Carcinoma prostrate and rel cell carcinoma

4600 4000 220100

854 Prosthetic surgery for uriry incontinence 2300 2000 87500855 Ultra sound guided Biopsy 575 500 4000

Neuro-surgery856 Craniotomy and Evacuation of Haematoma -Subdural 24840 21600 64130857 Craniotomy and Evacuation of Haematoma -Extradural 24840 21600 64130858 Evacuation /Excision of Brain Abscess by craniotomy 24840 21600 83435859 Excision of Lobe (Frontal Temporal Cerebellum etc.) 54395 47300 83435860 Excision of Brain Tumours -Supratentotial 54395 47300 87560861 Excision of Brain Tumours -Infratentorial 54395 47300 94050

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals862 Surgery of spil Cord Tumours 28750 25000 76560863 Ventriculoatrial /Ventriculoperitoneal Shunt 27600 24000 50270864 Twist Drill Craniostomy 5750 5000 29260865 Subdural Tapping 2456 2136 25000866 Ventricular Tapping 2967 2580 21000867 Abscess Tapping 2967 2580 25000868 Placement of ICP Monitor - 2875 2500 25000869 Urokise Therepy for ICH - 1380 1200 25000870 Skull Traction Application 1150 1000 3100871 Lumber Pressure Monitoring 1150 1000 20000872 Vascular Malformations 23000 20000 29000873 Theco-peritoneal Shunt 12650 11000 20000874 Meningo Encephalocoeleexcision and repair 34500 30000 63000875 Meningomyelocoel 34500 30000 48000876 C.S.F. Rhinorrhaea 3450 3000 75000877 Cranioplasty 24150 21000 63000878 Posterior Cervical Dissectomy 22301 19392 65000879 Anterior Cervical Dissectomy 16618 14450 65000880 Brachial Plexus Exploration Microsuturing 15525 13500 60000881 Median Nerve Decompression 15180 13200 25000882 Peripheral Neurectomy (Tirgemil) 15180 13200 25000883 Trigemil Rhiotomy 15525 13500 59500884 Cranial Nerve Astomosis 11500 10000 18000885 Peripheral Nerve Surgery – Major 18400 16000 70000886 Peripheral Nerve Surgery Minor 8280 7200 52500887 Ventriculo-Atrial Shunt (without valve) 13386 11640 120000888 Nerve Biopsy 5750 5000 15000889 Brain Biopsy 5750 5000 35000890 Anterior Cervical Spine Surgery with fusion 32200 28000 77000891 Anterior Lateral Decompression of spine 28750 25000 79860892 Brain Mapping 985 837 985893 Cervical or Dorsal or Lumbar Laminectomy 14904 12960 63000894 Combined Trans-oral Surgery & CV Junction Fusion 46000 40000 145000895 C.V. Junction Fusion procedures 32200 28000 85360896 Depressed Fracture 28750 25000 45000897 Discectomy 23000 20000 63000898 Endarterectomy 23000 20000 70000899 R.F. Lesion for Trigemil Neuralgia - 11500 10000 17000900 Spasticity Surgery - 39675 34500 79860901 Spil Fusion Procedure 34500 30000 70000902 Spil Intra Medullary Tumours 34500 30000 100000903 Spil Bifida Surgery Major 18975 16500 71940904 Spi Bifida Surgery Minor 18975 16500 60000905 Stereotaxic Procedures- biopsy/aspiration 23000 20000 65120906 Trans Sphenoidal Surgery 40250 35000 77990907 Trans Oral Surgery 37375 32500 88110908 Implantation of DBS -One electrode 34500 30000 166310909 Implantation of DBS -two electrodes 40250 35000 166310910 Endoscopic adueductoplasty 16100 14000 75240911 Facial nerve reconstruction 40250 35000 55000912 Recanelisation of venous sinuses 20700 18000 120000913 Carotid stenting 51980 45200 150000914 Cervical disc arthroplasty 27600 24000 75000915 Lumbar disc arthroplasty 13800 12000 75000

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals916 Corpus callosectomy 40250 35000 97350917 Hemishpherectomy 32200 28000 97350918 Endoscopic CSF rhinorrhea rapair 28750 25000 63000919 Burr hole evacuation of chronic subdural haematoma 24150 21000 35000920 Microsurgical excision of Acoustic tomour 39100 34000 124960921 Microsurgical excision of meningomas 39100 34000 122500922 Epilepsy surgery 51980 45200 102850923 RF lesion for facet pain syndrome 17250 15000 31570924 Cervical laminoplasty 32200 28000 50000925 Lateral mass C1-C2 screw fixation 32200 28000 60000926 Microsurgical decompression for Trigemil nerve 43700 38000 71115927 Cerebellar stimulation for hemifacial spasm 34500 30000 140000928 Cerebellar stimulation for other cranial nerve neuralgia 34500 30000 160000929 IC EC bypass procedures 51980 45200 121660930 Steriotactic guided craniotomy 51980 45200 110110931 Baclofen pump implantation lesioning for movement

disorder including Parkinsonism28750 25000 98000

932 Programmable VP shunt 28750 25000 87500933 Endoscopic sympathectomy 3450 3000 17500934 Lumber puncture 207 180 2000935 Exterl ventricular draige 4600 4000 10000936 Image guided surgeryExcision of tethored 40250 35000 80000937 Endoscopic 3rd ventriculostomy 40250 35000 75240938 Endoscopic cranial surgery/Biopsy/aspiration/aneurysm

coiling 51980 45200 75240

939 Endoscopic discectomy 46000 40000 90000940 Aneurysm coiling 45885 39900 175000941 Endoscopic spil procedure- aneurysm coiling 46000 40000 75240942 Surgery for groving skull fractures-aneurysm coiling 45885 39900 75000943 carpel Tunnel decompression 11500 10000 25000944 Clipping of intracranial aneurysm with use of stent 46000 40000 109230945 Surgery for intracranial Arteriovenous

malformarions(AVM)43988 38250 97350

946 Endovascular procedure/embolisation 28750 23800 28000947 4 vessels cerebral angiography 11500 10000 10000948 Foramen magnum decompression 28750 25000 66990949 Foramen magnum decompression with

syringosubarachnoid shunt51980 45200 98000

950 Dorsal column stimulation for bachache in failed back syndrome

28750 25000 145410

951 Surgery for recurrent disc prolapse/epidural fibrosis 32200 28000 87500952 Surgery for brain stem tumours 43988 38250 79860953 Programmable shunts 28750 25000 87500954 Decompressive cranectomy for hemishpherical acute

subdural haematoma/brain swelling/large infarct46000 40000 66990

955 Intra arterial thrombolysis with tPA for ischemic stroketTpa-activated thromboplastin)

4600 4000 42000

956 steriotactic aspiration of intracerebral haematoma 43988 38250 70000957 Endoscopic aspiration of intracerebellar haematoma 51980 45200 70000958 Steriotactic Radiosurgery for brain pathology(X

kinfe/Gamma knife - ONE session57500 50000 210000

959 Steriotactic Radiosurgery for brain pathology(X kinfe/Gamma knife -Two or more sessions

57500 50000 210000

960 Chemotheraphy wafers for malignt brain tumours 19550 14450 25000

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

HospitalsPaediatric surgery

961 Excision of thyroglossal Duct/Cyst 16100 14000962 Diaphragmatic Hernia Repair (Thoracic or Abdomil

Approach)17250 15000

963 Tracheo Oesophageal Fistula (Correction Surgery) 25300 22000964 Colon Replacement of Oesophagus 23000 20000965 Omphalo Mesenteric Cyst Excision 17250 15000966 Omphalo Mesenteric Duct- Excision 15525 13500967 Meckels Diverticulectomy 2910 2910968 Omphalocele 1st Stage (Hernia Repair) 15525 13500969 Omphalocele 2nd Stge (Hernia Repair) 17250 15000970 Gastrochisis Repair 16100 14000971 Inguil Herniotomy 12558 10920972 Congenital Hydrocele 12558 10920973 Hydrocele of Cord 12558 10920974 Torsion Testis Operation 15525 13500975 Congenital Pyloric Stenosis- operation 13938 12120976 Duodel- Atresia Operation 14375 12500977 Pancreatic Ring Operation 28750 25000978 Meconium Ileus Operation 17250 15000979 Malrotation of Intestines Operation 17250 15000980 Rectal Biopsy (Megacolon) 9200 8000981 Colostomy Transverse 4968 4320982 Colostomy Left Iliac 4968 4320983 Abdomil Perineal Pull Through (Hirschaprugis Disease) 20700 18000

984 Imperforate Anus Low Anomaly -Cut Back Operation 10235 8900985 Imperforate Anus Low Anomaly - Perineal Anoplasty 13800 12000986 Imperforate Anus High Anomaly -Sacroabdomino Perineal

Pull Through 20700 18000

987 Imperforate Anus High Anomaly - Closure of Colostomy 4968 4320

988 Intususception Operation 20700 18000989 Choledochoduodenostomy for Atresia of Extra Hepatic

Billiary Duct 9936 8640

990 Operation of Choledochal Cyst 20700 18000991 Nephrectomy for -Pyonephrosis 12420 10800992 Nephrectomy for - Hydronephrosis 12420 10800993 Nephrectomy for -Wilms Tumour 7180 7180994 Paraortic Lymphadenoctomy with Nephrectomy for Wilms

Tumour12420 10800

995 Sacro-Coccygeal Teratoma Excision 13662 11880996 Neuroblastoma Debulking 13662 11880997 Neuroblastoma Total Excision 13662 11880998 Rhabdomyosarcoma wide Excision 13662 11880999 Congenital Atresia & Stenosis of Small Intestine 23000 20000

1000 Muconium ileus 17250 150001001 Mal-rotation & Volvulus of the Midgut 19182 166801002 Excision of Meckle’s Deverticulum 15755 13700

Burns and Plastic surgery1003 Primary Suturing of Wound 745 6481004 Injection of Keloids - Ganglion 1265 11001005 Injection of Keloids - Haemangioma 1725 15001006 Free Grafts - Wolfe Grafts 6555 5700

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals1007 Free Grafts - Theirech- Small Area 5% 2174 18901008 Free Grafts - Large Area 10% 3726 32401009 Free Grafts - Very Large Area 20% and above. 4471 38881010 Skin Flaps - Rotation Flaps 8970 78001011 Skin Flaps - Advancement Flaps 11799 102601012 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap 11799 102601013 Skin Flaps - Cross Finger 11799 102601014 Skin Flaps - Abdomil 13225 115001015 Skin Flaps - Thoracic 13225 115001016 Skin Flaps - Arm Etc. 11799 102601017 Subcutaneous Pedicle Flaps Raising 6900 60001018 Subcutaneous Pedicle Flaps Delay 7475 65001019 Subcutaneous Pedicle Flaps Transfer 8625 75001020 Cartilate Grafting 8625 75001021 Reduction of Facial Fractures of Nose 1380 12001022 Reduction of Facial Fractures of Maxilla 12420 108001023 Reduction of Fractures of Mandible & Maxilla - Eye Let

Splinting 7475 6500

1024 Reduction of Fractures of Mandible & Maxilla - Cast Netal Splints

6900 6000

1025 Reduction of Fractures of Mandible & Maxilla - Gumming Splints

7820 6800

1026 Interl Wire Fixation of Mandible & Maxilla 11500 100001027 Cleft Lip - repair. 12650 110001028 Cleft Palate Repair 13225 115001029 Primary Bone Grafting for alveolar cleft in Cleft Lip 11500 100001030 Secondary Surgery for Cleft Lip Deformity 11178 97201031 Secondary Surgery for Cleft Palate 12650 110001032 Reconstruction of Eyelid Defects - Minor 6325 55001033 Reconstruction of Eyelid Defects - Major 11178 97201034 Plastic Surgery of Different Regions of the Ear - Minor 8050 70001035 Plastic Surgery of Different Regions of the Ear - Major 10350 90001036 Plastic Surgery of the Nose - Minor 8050 70001037 Plastic Surgery of the Nose - Major 11178 97201038 Plastic Surgery for Facial Paralysis (Support with

Reanimation)18400 16000

1039 Pendulous Breast - Mammoplasty 18630 162001040 Underdeveloped Breast Mammoplasty 16675 145001041 After Mastectomy (Reconstruction)Mammoplasty 16675 145001042 Syndactyly Repair 16675 145001043 Dermabrasion Face 13225 115001044 upto 30% Burns 1st Dressing 152 1321045 upto 30% Burns Subsequent Dressing 124 1081046 30% to 50% Burns 1st Dressing 193 1681047 30% to 50% Burns Subsequent Dressing 152 1321048 Extensive Burn -above 50% Frist Dressing 276 2401049 Extensive Burn -above 50% Subsequent dressing 193 168

Orthopedics Plaster Work

1050 Fingers (post slab) 259 2251051 Fingers full plaster 259 2251052 Colles Fracture - Below elbow 1150 10001053 Colles Fracture - Full plaster 994 8641054 Colles fracture Ant. Or post. slab 920 800

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals1055 Above elbow full plaster 173 1501056 Above Knee post-slab 718 6241057 Below Knee full plaster 173 1501058 Below Knee post-slab 718 6241059 Tube Plaster (or plaster cylinder) 978 8501060 Above knee full plaster 1840 16001061 Above knee full slab 1380 12001062 Minerva Jacket 2415 21001063 Plaster Jacket 2185 19001064 Shoulder spica 1955 17001065 Single Hip spica 2243 19501066 Double Hip spica 2760 2400

Strapping1067 Strapping of Finger 179 1561068 Strapping of Toes 179 1561069 Strapping of Wrist 262 2281070 Strapping of Elbow 262 2281071 Strapping of Knee 345 3001072 Strapping of Ankle 345 3001073 Strapping of Chest 380 3301074 Strapping of Shoulder 380 3301075 Figure of 8 bandage 380 3301076 Collar and cuff sling 345 3001077 Ball bandage 253 2201078 Application of P.O.P Casts for Upper & Lower Limbs 1093 9501079 Application of Functiol Cast Brace 1380 12001080 Application of Skin Traction 690 6001081 Application of Skeletal Tractions 949 8251082 Bandage & Strappings for Fractures 552 4801083 Aspiration & Intra Articular Injections 575 5001084 Application of P.O.P Spices & Jackets 2473 21501085 Close Reduction of Fractures of Limb & P.O.P 2760 24001086 Reduction of Compound Fractures 2760 24001087 Open Reduction & Interl Fixation of Fingurs & Toes 5520 48001088 Open Reduction offracture of Long Bones of Upper /

Lower Limb -iling & Exterl Fixation 9660 8400

1089 Open Reduction of fracture of Long Bones of Upper / Lower Limb -AO Procedures

9660 8400

1090 Tension Band Wirings 5658 49201091 Bone Grafting 8280 72001092 Excision of Bone Tumours 6900 60001093 Excision or other Operations for Scaphoid Fractures 7188 62501094 Sequestrectomy & Saucerisation 6900 60001095 Sequestrectomy & Saucerizations -Arthrotomy 10235 89001096 Multiple Pinning Fracture Neck Femur 11500 100001097 il Plate Fixations for Fracture Neck Femur 16100 140001098 A.O.Compression Procedures for Fracture Neck Femur 16560 14400

1099 Open Reduction of Fracture Neck Femur Muscle Pedicle Graft and Interl Fixations

19550 17000

1100 Close Reduction of Dislocations 3174 27601101 Open Reduction of Dislocations 3439 29901102 Open Reduction of Fracture Dislocation & Interl Fixation 13800 12000

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals1103 Neurolysis/Nerve repair 13800 120001104 Nerve Repair with Grafting 18975 165001105 Tendon with Transplant or Graft 10350 90001106 Tendon Lengthening/Tendon repair 8050 70001107 Tendon Transfer 3105 27001108 Laminectomy Excision Disc and Tumours 4830 42001109 Spil Ostectomy and Interl Fixations 24150 210001110 Anterolateral decompression for tuberculosis/ Costo-

Transversectomy 3450 3000

1111 Antereolateral Decompression and Spil Fusion 26450 230001112 Corrective Ostectomy & Interl Fixation - short bones 13800 120001113 Corrective Ostectomy & Interl Fixation - long bones 11040 96001114 Arthrodesis of - Minor Joints 10350 90001115 Arthrodesis of - Major Joints 11040 96001116 Soft Tissue Operations for C.T.E.V. 8050 70001117 Soft Tissue Operations for Polio 6900 60001118 Hemiarthroplasty- Hip 18630 162001119 Hemiarthroplasty- Shoulder 18630 162001120 Operations for Brachial Plexus & Cervical Rib 24150 210001121 Amputations - Below Knee 6900 60001122 Amputations - Below Elbow 6843 59501123 Amputations - Above Knee 8073 70201124 Amputations - Above Elbow 6843 59501125 Amputations - Forequarter 14950 130001126 Amputations -Hind Quarter and Hemipelvectomy 18400 160001127 Disarticulations - Major joint 20700 180001128 Disarticulations - Minor joint 12650 110001129 Arthrography 9200 80001130 Arthroscopy - Diagnostic 8568 74501131 Arthroscopy-therapeutic: without implant 11500 100001132 Arthroscopy-therapeutic: with implant 17250 150001133 Soft Tissue Operation on JOINTS -SMALL 6900 60001134 Soft Tissue Operation on JOINTS -LARGE 16560 144001135 Myocutaneous and Fasciocutaneous FlaP Procedures for

Limbs18630 16200

1136 Removal of Wires & Screw 1800 15301137 Removal of Plates/IL 4140 36001138 Total Hip Replacement 18630 16200 1035001139 Total Ankle Joint Replacement 112125 97500 1121251140 Total Knee Joint Replacement 126500 110000 1265001141 Total Shoulder Joint Replacement 19550 17000 195501142 Total Elbow Joint Replacement 19550 17000 195501143 Total Wrist Joint Replacement 115000 100000 1150001144 Total finger joint replacement 23000 20000 230001145 Tubular exterl fixator 4600 40001146 Ilizarov's exterl fixator 7763 67501147 Pelvi-acetebular fracture -interl fixation 8625 7500

Physiotherapy1148 Ultrasonic therapy 78 681149 S.W. Diathermy 78 681150 Electrical stimulation (therapeutic) 78 681151 Muscle testing and diagnostic 78 681152 Infra red 52 451153 U.V. Therapeutic dose 78 68

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals1154 Intermittent Lumbar Traction 72 631155 Intermittent Cervical traction 72 631156 Wax bath 78 681157 Hot pack 29 251158 Breathing Exercises & Postural Draige 58 501159 Cerebral Palsy – exercise 58 501160 Post – polio exercise 58 50

Nuclear Medicine. RADIO-ISOTOPE THERAPY131-lodine Therapy 5589 4860 8300

1161 131-lodine Therapy <15mCi 5130 4361 51301162 131-lodine Therapy 15-50mCi 10557 9180 188001163 131-lodine Therapy 51-100mCi 15000 12750 188001164 131-lodine Therapy >100mCi 12420 10800 217001165 Phosphorus-32 therapy for metastatic bone pain palliation 7130 6061 7130

1166 Samarium-153 therapy for metastatic bone pain palliation 10690 9087 10690

1167 Radiosynovectomy with Yttrium Radiotherapy and ChemotherapyCobalt 60 therapy

1168 Radical therapy 595001169 Palliative therapy 21250

Linear accelerator1170 Radical therapy 39531 34375 343751171 Palliative therapy 7906 6875 68751172 3 D Planning 3163 2750 27501173 2 D Planing 5000 4250 65301174 IMRT(Intensity Modulated radiotherapy) 103200 87720 1000001175 SRT (Stereotactic radiotherapy) 62400 53040 780001176 SRS(Stereotactic radio surgery) 82400 70040 1000001177 IGRT(Image guided radiotherapy) 115000 100000 1000001178 Respiratory Gating-alongwith Linear accelerator planning 31625 27500

1179 Electron beam with Linear accelerator 89060 75701 890601180 Tomotherapy

Brachytherapy- High Dose radiation 6900 6000 60001181 Intracavitory 8625 7500 75001182 Interstitial 6900 6000 60001183 Intralumil 6900 6000 60001184 Surface moul 4750 4038 47501185 GLIADAL WAFER 107830 91656 107830

Chemotharapy 6325 5500 55001186 Neoadjuvant 863 750 19601187 Adjuvant 863 750 19601188 Concurrent-chemoadiation 920 800 14301189 Single drug 552 480 5901190 Multiple drugs 897 780 13451191 Targeted therapy 920 800 8251192 Chemoport facility 920 800 31401193 PICC line (peripherally inserted Central canulisation) 920 800 2000

List of procedures/ tests in Gastroenterology 920 800A) Endoscopic proceduresa. Upper G.I. Endoscopy + Lower G.I. Endoscopy 1725 1500 1500

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals1194 a. Diagnostic endoscopy 600 510 20001195 b. Endoscopic biopsy 345 300 38001196 c. Endoscopic mucosal resection 1863 1620 01197 d. Oesophageal stricture dilatation 1725 1500 42801198 e. Balloon dilatation of achalasia cardia 2875 2500 60001199 f. Foreign body removal 1725 1500 44651200 g. Oesophageal stenting 3450 3000 91151201 h. Band ligation of oesophageal varices 2875 2500 44651202 i. Sclerotherapy of oesophageal varices 2737 2380 38001203 j. Glue injection of varices 2737 2380 50001204 k. Argon plasma coagulation 4025 3500 118801205 l. Pyloric balloon dilatation 2415 2100 65301206 m. Enteral stenting 3680 3200 90751207 n. Duodel stricture dilation 2415 2100 42801208 o. Single balloon enterocopy 4600 4000 150001209 p. Double balloon enteroscopy 4000 3400 396001210 q. Capsule endoscopy 5175 4500 100001211 r. Polypectomy 1518 1320 45651212 s. Piles banding 1125 956 11251213 t. Colonic stricture dilatation 2737 2380 42801214 u. Hot biopsy forceps procedures 4025 35001215 v. Colonic stenting 2737 2380 150801216 w. Junction biopsy 2300 20001217 x. rrow band imaging 3450 3000 35601218 y. Conjugal microscopy 4600 4000

b. ERCP 9200 8000 90751219 a. Diagnostic ERCP 5750 5000 66801220 b. Endoscopic sphincterotomy 2415 2100 130601221 c. CBD stone extraction 2415 2100 150001222 d. CBD stricture dilatation 7935 6900 130601223 e. Biliary stenting (plastic and metallic) 4830 4200 140251224 f. Mechanical lithotripsy of CBD stones 8050 7000 103301225 g. Pancreatic sphincterotomy 8050 7000 103301226 h. Pancreatic stricture dilatation 5750 5000 103301227 i. Pancreatic stone extraction 10350 9000 103301228 j. Mechanical lithotripsy of pancreatic stones 11385 9900 130601229 k. Endoscopic cysto gastrostomy 8050 7000 117601230 l. Balloon dilatation of papilla 6900 6000 13060

B. Endoscopic ultrasound 690 600 6001231 a. Diagnostic ultrasound 575 500 10451232 b. Colored doplar Listed under

Investigations

1233 c. Ultrasound guided FC 575 500 9701234 d. Ultrasound guided abscess draige 575 500 9701235 e. PTBD 2875 2500 50001236 f. Biliary stenting at S.No.1223

C. Angiography 11500 10000 145001237 a. Diagnostic angiography 1495 1300 168601238 b. Vascular embolization 35630 30286 330001239 c. TIPS 4106 3035 220001240 d. Trans jugular liver biopsy 6843 5950 275001241 e. IVC graphy + hepatic veinography 35000 29750 385001242 f. Balloon angioplasty 97750 85000 112810

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals1243 g. Muscular stenting 97750 850001244 h. BRTO 74750 650001245 i. Portal haemodymic studies 1725 1500

D. Manometry and PH metry1246 a. Oesophageal PH metry1247 b. Oesophageal manometry1248 c. Small bowel manometry1249 d. Anorectal manometry1250 e. Colonic manometry1251 f. Biliary manometry1252 E. Sengstaken blackenesse tube tempode 2875 25001253 F. Lintas machles tube tempode 2875 2500

G. Bichemistry Serology and Molecular biology1254 a. D-xylase test Listed under

Investigations

1255 b. Fecal fat test/ fecal chymotrypsin/ fecal elastase Listed under Investigations

1256 c. Breath tests Listed under Investigations

1257 d. H pylori serology for ciliac disease Listed under Investigations

1258 e. HBV genotyping Listed under Investigations

1259 f. HCV genotyping Listed under Investigations

H. Extra corporeal shortwave lithotripsy 41400 36000 140251268 a. CBD stones 633 550 189751268 b. Pancreatic duct stones 3500 3500 35001270 I. Liver biopsy 1380 1200 2490

Nephrological procedures1271 Interl jugular cannulization 5170 1150 17001272 Renal Biopsy 20625 1380 20401273 Transplant Biopsy 20625 2300 33301274 Acute P.D. catheterization 8937.5 1725 61801275 Cont. Rel Replacement Therapy 48125 8250 481251276 SLED (Slow Efficiency Dialysis) 8250 1610 82501277 Permacath Insertion 34375 1150 343751278 CAPD ( Insertion and Removal ) 20625 2600 123501279 Femoral Access 3630 886 9901280 Subclavian Access 1725 18301281 Partial Nephrectomy at S.No.6871282 Nephrolithotomy- Laproscopic/endoscopic at S.No.6901283 Pyelolithotomy-laproscopic/ endoscopic at S.No.6921284 pyeloplasty -Lap/ Endoscopic 103125 11250 350001285 Ureterolithotomy- Lap/ Endoscopic at S.No.7051286 Formation of an illeal conduit at S.No.7151287 Fistula/shunt 34100 5575 85001288 Dialysis Femoral Catheterization Bilateral 1380 5000

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CGHS BENGALURU 2010 RATES S.No. NAME OF THE TREATMENT PROCEDURE Rates for

NABH AcccreditedHosp

Rates for

Non NABH

Hospitals

Rates for

Super Spl.

Hospitals1289 Haemodialysis- For Sero negative cases 1430 1208 14301290 Haemodialysis- For Sero positive cases 1430 1466 14301291 Double luman sub clavian catheter 1932 18001292 Continuous Arterio Venous Haemofiltration 48812.5 1725 475001293 Plasma Exchange 48125 2875 285001294 Donor nephrectomy- Open at S.No.7891295 Donor nephrectomy- Lap/ endoscopic at S.No.7901296 Rel Transplantation at S.No. 7911297 Lymphocoel Post Transplant at S.No.7921298 Transplant Nephrectomy at S.No. 793