INDEX

Sl.No.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 CARDIOLOGY CARDIO VASCULAR & THORACIC SURGERY DENTAL DERMATOLOGY ENDOSCOPY ENT FEMALE INFERTILITY GYNECOLOGY IMAGING SCIENCES INTENSIVE RESPIRATORY CARE UNIT MEDICINE MEDICAL ONCOLOGY NUCLEAR MEDICINE NEPHROLOGY NEURO SURGERY OPTHAMOLOGY ORTHOPAEDICS & TRAUMATOLOGY PAIN CLINIC PATHOLOGY PEADIATRIC RADIATION ONCOLOGY SURGICAL GASTEROENTEROLOGY SURGICAL ONCOLOGY UROLOGY & ANDROLOGY

Department

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Operation/Procedure CARDIOLOGY Angiogram Coronary Angioplasty (Balloon) Coronary Angioplasty with stent ( depending upon the stent) Peripheral Angiogram peripheral Angioplasty(Balloon) Peripheral Angioplasty with Stent Renal Angiogram Renal Angioplasty Aortogram Right Heart Cathererisation Temporary Pacemaker Permanent Pacemaker(Single chamber) Permanent Pacemaker (Double chamber) Balloon Mitral Valvotomy Pericardial Tapping Carotid Angiogram Subclavian Angiogram Embolization (Temporary-Gelform) Embolization (Permanent coils) PDA Coil Closure PDA Device Closure ASD Devise Closure Balloon Pulmonary Valvotomy Carotid Angioplasty General Ward

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Operation/Procedure CARDIO VASCULAR & THORACIC SURGERY Vascular Surgery Arterio Veous Fistula Haemo dialysis Vein interposition Graft Between SCA &BA Haemangioma Excission Bilateral Exteral arterly emboloectomy/Bifur Grafting Femoro Popliteal Bypass Endartrectomy RT Brachial & Radial artery Endartrectomy Pseudo aersm of limb arteries repair Aortic Anerysm arch Thoracic /Abd Thoracic Abd Thorasic Surgery Lobectomy Debulking of the tumor Explorative Thoracotomy Plication of Emphysema of lung Excission of Ling Cysts Pneumonectomy Procedure Operation Charges Pre-Post Transplant Care CARDIO THORACIC SURGERY - PACKAGE Coronary Artery By-pass Graft Surgery Closure of ASD Closur of VSD TOF Repair PDA Ligation CMV Valve Replacement General Ward Cubicle

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Operation/Procedure DENTAL IP-Procedure Biopsy Excision Biopsy Incision & Drainage Sequstrectomy Impaction Corticotomy ORIF Symphysis Fracture Mandible Anglefracture Parasymphysis Fracture Mandible Bilateral Angle Fracture Bilateral Parasymphysis Fracture Communited Mandible Fracture Zygomatic Maxillary Complex Fracture Bilateral Zygomatic Maxilary Complex Fracture Lefort - I Fracture Lefort -II Fracture Lefort - III Fracture Pan Facial Fracture Coronoidectomy Inter Maxilary Fixation Suspension Wiring S S Wiring S S Wiring & Arch Bar Fixation Hemi Mandibullecomy Hemi Mandibullectomy & Immediate Reconstruction Hemi Maxillectomy / Total Maxillectomy Gap Arthroplasty Gap Arthroplasty with CCG Gap Arthroplasty with CCG & Temporalis Flap Plate Charges 4 Hole 5 Hole 6 Hole Mesh 2 x 4 Hole General Ward Cubicle

2 x 6 Hole 3 x 4 Hole 3 x 6 Hole Mandibular Reconstruction Plate Plate Removal Symphysis Fracture LA Symphysis Fracture GA Parasymphysis Fracture LA Parasymphysis Fracture GA Anglle fracture LA Anglefracture GA Bilateral Parasymphysis Fracture GA Billateral Angle Body / Fracture Lefort - I Fracture Lefort - II Fracture Lefort - III Fracture Pan Facial Fracture Cosmetic Surgery Maxilary Anterior Segmental Osteotomy Mandible - Anterior Sub Apical Segmental Osteotomy Bimax Frenectomy Flap Surgery Vesibloplasty Pre prosthetic Surgery Alveoloplasty Alveoloplasty with Bone Grafting Cyst Enucleation Flap with Bone Graft OP Procedure Restoration Amalgam Restoration Class -I Amalgam Restoration Class -II GIC Restoration Anterior Ketal Molar Restoration Composite Restoration (Anterior) Composite Restoration (Posterior) Temporary Restoration Gold Inlays / Onlays Sandwich Restoration Extraction Single Tooth

Extraction for Single (Open Mehod) Coronoplasty Scaling Root Canal Treatment (5 Sittings) Hemi Section & Remodeling Porcelain Bridge (Per Unit) Apicectomy / Tooth Splinting Bleaching (Per Sitting) Dental Jewellary (Per Tooth) Dentures: Removable Partial Denture (Per Tooth) Single Complete Denture Complete Dentures (Upper & Lower) Fixed Partial Dentures (Acrylic) Per Unit Acrylic with Metal (Per Unit) Fixed Aprtial Dentures (Vitallium) Per Unit Fixed Aprtial Dentures (Porcelain) Per Unit Implants (Exclusive of Crown) Per Unit Appliances : Ortho Fixed (For Entire Treatment Period) Ortho Removable Appliances Habit Breaking Appliances Maxilalrypansion Appliances Obturator (Adult) Obturator with Baloon Obturator / Feeding Place (Babies)

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Operation/Procedure DERMOTOLOGY Skin Biopsy Puva Therapy (Per Sitting) Epilation (Hair Removal) Per Sitting Diote - Laser (Hair Removal) Package for Doide - Laser (Hair Removal) (Depending up on the Area) Punch Grafting (melanocyte Transfer) Electro Cautery Cyro Cautery Chemical Cautery Hair Transplantation General Ward Cubicle Special Room

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Operation/Procedure Amount ENDOSCOPY Exclusive of Medicine, Material Cost, Investigation, OT Replacement UGI Endoscopy ERCP Stending Sclerotherapy Dilatation Laser Luminisation Colonoscopy Sigmoidoscopy Bronchoscopy Banding (Piles) Oesophageal Stending Esophageal Banding Fundal Varix (Glue Inj) Polypectomy Argon Plasma Coagulation - APC Ulcer Injection PEG Achalasia Cardia Baloon Dilatation Endo Loop Heat Probe Coagulation Biliary or Pancreatic Stent Removal

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Operation/Procedure E.N.T EAR Consultant Visit / Day LA Ear Lope Repair LA Grommet Insertion LA Myringoplasty (Ga+1000) LA Stapedectomy (GA+1000) GA Mastoidectomy & Tympanoplasty LA Incision & Drainage (Perichondritis of Ear) LA Auricular Cyst Excision GA Other Minor Procedures Foreign Body Removal GA NOSE Septal Abcess I & D GA SMR (GA+1000) LA Septoplasty (GA+1000) LA Fess LA or GA Fess/Septplasty/SMR/SMDC/Inferior Tumour LA or GA Endoscopic DCR LA or GA Endoscopic Polypectomy LA or GA SMDC LA Nasal Bone Reduction LA or GA Foreign Body (NSOE) Removal GA Medical Maxillectomy & Lateralrhinotomy GA Total Maxillectomy GA Septo Rhinoplasty GA Endoscopic Excision (Rhinosporidiosis) LA or GA Squamous papilloma (Bleeding Polypus) LA Minor Tumours (GA+1000) Endoscpoic Biopsy LA JNA Excision GA Endoscopic Cautery for Epistaxis Cald Well - LUC GA Inferior Turbinectomy LA or GA Synechiae Release LA Throat & Neck Tonsillectomy GA DL Scopy & Biopsy (GA+1000) General Ward Cubicle

Micro laryngeal Surgery Tracheostomy Foreign Body oesophagus Foreign Body Bronchus Total Laryngectomy Neck Dissection TG Cyst Excision Sub Mandibular Gland Excision Thyroidectomy Tongue Tie Release Lymphnode Biopsy (GA+1000) Hard Palate Tumours Excision UPPP Phonosurgery (Vocal Cord Lateralizatioj / V Out Patient Procedures : Diagnostic Nasal Endoscopy Antral Puncture Examination under Microscope & Suction Clearance Foreign Body (Nose & Ear) Removal as Out patient Ward procedures : Mastiod Dressing & Other Dressings Nose Packing / Removal

GA LA GA LA GA GA GA GA GA GA LA GA GA GA

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Operation/Procedure FEMALE INFERTILITY Major Surgeries D. Laparoscopy D. Hysteroscopy Hyst Septal Resection Hyst Myomectomy Tubal Cannulation Tubal Surgery Hyst Polypectomy Lap. PCO Puncture Lap. Adhesiolysis lap. Choclate Cyst Removal Lap. Myomectomy heromopertubation Lap. Cystectomy Laparotomy - Mymemectomy laparotomy - Tubal Surgery OPD Surgery FMS IUI - D IUI - H HSG Dilation Sono Salpingogram D&C Cyst Aspiration TVS Papsmear EB Counselling General Ward Cubicle Special Room

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Operation/Procedure OBTETRICS & GYNEACOLOGY Abdomoinal Hysterectomy LAVH Wertheim's Hysterectomy LSCS D. Lap and Hysteroscopy Ovarian Cystectomy Laparotomy & Proceed Vaginal Hysterectomy Exploration of Hematoma Laparoscopy & Proceed Perineal Tear Repair Cervical Encirclage Natural Episiotomy (Delivery) General Ward Cubicle

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Operation/Procedure IMAGING SCIENCES Angiogram (Perpharal / Renal / Carotid) PTBD Perpheral Angio Plast Peripheral Angio Plast & Stenting Renal Angioplasty & Stenting Single Side Carotid Angioplasty & Stenting CT Guided procedures Ultra Sound Guided procedures General Ward Cubicle

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Operation/Procedure General Ward Cubicle Special Room INTENSIVE RESPIRATORY CARE UNIT Intubnation /CPR Central Veneous Cannulations Inter Costal Drainage (ICD) Percutaneous Tracheostomy Branchoscopy Charges Ventilation Non Invasive CPAP Ventilation Per Day Mechanical Ventilation Per Day Transport Ventolator Per Day Arterial Blood Gen Analysis For Hospital For Outsider IRCU Bed Charges Oxygen Central Line to Ventolator Per Hour T' Piece, Face Mask Nasal Per Hour IRCU - Treatment Charges Per Day Anaesthesia Opinion Charges

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Operation/Procedure MEDICINE Treatment Charges Bone Marrow LP Procedure ICE (Inter Costal Drainage) Pleural Aspiration Diagnostic Tapping Biopsy Biopsy (Liver) Intra Articular Injection Ultra Sound Guided Scan FNAC Pleural Biopsy Ascitic Fluid tapping General Ward Cubicle Special Room

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Operation/Procedure MEDICAL ONCOLOGY Pap Smear FNAC Biopsy under Local Anasthesia Biopsy under General Anasthesia Bone Marrow aspirations Lumbar Puncture Pleural aspiration per session Ascitic Fluid Tapping per session TRU Cut Biopsy Intra-thecal Chemotherapy Administration Day Care Chemotherapy(OP) IP Chemotherapy General Ward Cubicle Special Room

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Operation/Procedure NUCLEAR MEDICINE 1-131 Whold body Scan -Ca Thyroid (Incl of Medicine and Scan after 2 days) 1-131 Therapy - Single Dose Incl of Cost Medicine, Room Rent & Post Therapy Sacn after 7 Days. 1-131 Therapy - Double Dose 1-131 Therapy - Triple Dose 1-131 Low Dose - Toxicosis - Single 1-131 Low Dose - Toxicosis Double 1-131 Low Dose - Toxicosis - Triple 32P Bone Pain Palliation Thearapy General Ward Cubicle Special Room

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Operation/Procedure NEPHROLOGY Renal Transplantation Peritonial Dialysis Haemo Dialysis Cathetarization (Inernal JV Gular Subclavian) Femoral Cathetarization Cavh Procedure Renal Biopsy CAPD Cathetarization AV Fistula Consltation Charges Aspiration COMPREHENSIVE TRANSPLANT PACKAGE (Pre Transplant, Dialysis, Surgery, Post Transplant, Donor Workup, Room Rent, Lab Charges) (Excluding Immuno Supressive Drugs) General Ward Cubicle

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Operation/Procedure NEURO SURGERY VP Stunt BIL Burrhole of Subdural Haematoma / Extra Dural Haematoma Trauma Single Side Craniotomy / Craniectomy Trauma - Double Side Spontaneous Intra Cerebral Haematoma Craniotomy Tumour - Supratentorial - Glioma Tumour - Supratentorial - Meningioma Tumour - Infra Tentorial Endoscopic Pituitary Surgery Skull Base Tumour Spinal Tumour - Intramedullary Spinal Tumour - Intradural Lumbar Disc Anterior Cervical Laminectomy Chiari Malformation Myelo Menigocoel General Ward Cubicle

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Operation/Procedure OPHTHALMOLOGY Phaco Emulsification & IOL Impalnt Extra Capsular Cataract Extration with IOL Trabeculectomy Trabeculectomy and Extra Capsular Cataract Extraction Pterygium Excision Surgery for Cogenital Cataract Vitrectomy Squint Surgery (Horizontal) Repair of Ocular Trauma For Risk Cases General Ward Cubicle

On Assesment Rs.1000 Extra

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n Assesment

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Operation/Procedure ORTHOPAEDICS & TRAUMATOLOGY DCP - Femur K Nailing - Femur Extenral Fixation - Femur Llizarov Fixation - Femur Non Union Femur - Fixation GK Nailing - Femur HIP DHS Fixation Excision Arthroplasty Hemireplacement Hemireplacement with Cement Bipolar Artroplasty Non Union Fracture Neck Femur DCP - Tibia Nailing - Tibia External Fixation - Tibia Lizarov Fixation - Tibia Non Union Tibia Conylar Fractures Diagnostic Arthroplasty Arthroscopy Lavage Instrumentation of Spine Laminectomy and Disectomy Hemilaminectomy Posterior Spinal Fusion Spine Fracture Fixation Forearm Single Bone Fracture Fixation Both Bone Fracture Fixation Fixation Both Bone & Grafting Nailing - Both Bone Non- Union Both Bones Spine Decompression for Canal Stenosis Cervical Laminectomy
Anterior Cervical Surgery Grafting with Instrumentation

General Ward

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Special Room

Special Intra Articular Injection Ganglion Exiscion Biopsy - Minor Boipsy - Major Bone Grafting - Minor Bone Grafting - Major Skin Grafting - Minor Skin Grafting - Major Implant Removal - Minor Implant Removal - Major Amputations Forefoot Below Knee Disarticulation Through Knee Disarticulation HIP Below Elbow Disarticulation Through Wrist

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Operation/Procedure PAIN CLINIC Tens (Each Sitting) T P Inj. (Each Inj.) Epidural Steroid Inj. Neurolytic Bocks IV Infusion (Lignocaine) (For Diabetic Neuropathy - for Full Course) Post O P Pain Relief (Rates as decided by HOD of Pain Clinic) Infusion Pump (Per Day) Subcutaneous (Per Day) General Ward Cubicle

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Operation/Procedure PATHOLOGY Small Biopsies (Punch, Truct, OGD) Small Biopsies (Morethan Bottles) 2-6 Small Biopsies (6-10 Bottles) Excision or Resected Spicimen (Depend on Size) Pap Smear Special Stain Per Stain Malignant Cell or Cytology FNCA Tzank Smear & EPS Smear each Immunohisto Chemistry (IHC) HPV Slide & Block Review Charges General Ward Cubicle

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Operation/Procedure PAEDIATRIC Lumbar Puncture Intubation Bone Marrow ICD Exchange Trqansfusion Surfactant Therapy Cut Down General Ward Cubicle Special Room

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Operation/Procedure RADIATION ONCOLOGY Pap Smear FNAC Biopsy under Local Aneasthesia Biopsy under General Aneasthesia Bone Marrow Aspirations Lumbar Puncture Pleural Aspiration per Session Ascitic Fliud Tapping per Session Radiation Therapy Charges RT Planning Charges IP RT Charges for IP - Simple Field Per Sitting RT Charges for IP - Complex Field Per Sitting RT Planning Charges OP RT Charges for OP - Simple Field Per Sitting RT Charges for OP - Complex Field per Sitting Short acting General Anaesthesia for RT per Sitting Mould Procedure + Material Charges Brachytheraphy for Cancer of the Uterine Cervi undergeneal anaesthesia done in gynaecology OT Dobbies Application (BRACHYTHERAPY) done in Brachytherapy Ward General Ward Cubicle

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Operation/Procedure
(exclusive of Medicine ,Material cost ,Investigation,OT Replacement)

General Ward

Cubicle

SURGICAL GASTEROENTEROLOGY Laparoscopic Cholecystectomy laparoscopic Appendiectomy Herniorraphy Anterior Resection Gastrectomy LR-Shunt Laparoscopic CBD exploration Total Thyroictomy Hemicolectomy Colostomy Closure Liver Resection Whipples Operation Oesophagectomy Splenectomy Fistulectomy Rt. Hemithyroidectomy Lap. TEP Repair (Hernia) FNAC Hemorroidectomy Sphincterotomy

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Operation/Procedure SURGICAL ONCOLOGY Minor Surgeris TRU Cut Biopsy Wedge Biopsy Excosion Biopsy Lymphnode Biopsy Major Surgeries Lumpectomy Microdochetomy BSO Simple Mastectomy Lumpectomy+Axilary Clearance Modified Radical Mastectomy Hemi Thyroidectomy Total Thyroidectomy Completion Thyroidectomy Superficial Parotidectomy Feeding Jejunostomy Wide Excision for Soft tissue tumour Total Parotidectomy Composite Resection for CA Tongue Composite Resection for CA Cheek/Alveolus Partial Maxillectomy Total Maxillectomy Hemi Glossectomy Reconstruction with SSG Reconstruction with Flaps Supraomohyoid Neck Dissection Radical Neck Dissection Modified Radical Neck Dissection Total Larynectomy Total Laryno Pharyngo Oesophagectomy with PMMC flap Total Laryno Pharyngo Oesophagectomy with Gastric Pullup Wertheims Hystrectomy TAH with BSO Ovarian Staging Laparotomy General Ward Cubicle

Radical Vulvectomy

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Operation/Procedure UROLOGY & ANDROLOGY Bladder Stone Removal Ureteric Stone Removal Lithotripsy (Unstendted) Lithotripsy + DJS Pyeololithotomy PCNL (Single Stone) PCNL (Staghom Calculus) TURP/TURBT EIU Chordee Correction Lap.Orchidopexy (Single) Lap.Orchidopexy (B/L) Open Orchidopexy Lap. Pyeloplasty Open Pyeloplasty Orchidectomy (Single) Hydrocele (Single) Radical Nephrectomy (Lap) Radical Nephrectomy (Open) Nephrectomy (Lap) Nephrectomy (Open) Buccal Uerthropalsty Ureteric Reimplantation (Single) Radical Cystectomy Circucision Endoscopic Calibration Cystometrogram (CMG) AUG DJS Removal Metabolic Workup Test ANDROLOGY Penine Prosthesis (Excluding Prosthesis Cahrges) Varicocele (Single) Varicocele (Bilateral) General Ward Cubicle

Testicular Biopsy Rigisacan (1 Day) ICICVAD Scopy Massage Penile Prosthesis (Excluding Material Cost) Varicocele Unilateral Bilateral Vasovasectomy Tesicular Biopsy Unilateral Bilateral Rigiscan Evaluation Inracavernous Injection Therapy Bilateral Gynaecomastia Scopy Massage Electro Ejaculation Cystoscopy & Biopsy Cystocopy CMG & Scopy AUG Scopy Urethral Stone Removal Bladder Stone Removal Ureteric Stone Removal DJ Stenting Lithotripsy (Unstented) Lithotripsy + DJ Stenting PCNL (Single Stone) PCNL (Staghorn Stone) Pyelolithotomy Nephrolithotomy Radical Cystectomy Partial Cystectomy Vesico Vaginal Fistula Repair Radical Nephrectomy - Open Radical Nephrectomy - Lap. Nephrectomy - Open Nephrectomy - Lap. Partial Nephrectomy - Pelvic Node Dissection Single Side Both Side Inguinal Node Dissection Single Side

Both Side Bladder Reconstruction neo bladder / Augumentation Ureteric reimplantation / Uretero Ureterostomy Single Side Both Side Buccal Mucosal Urethroplasty Nephrouretectomy Cutenous Urethrostomy

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tion / Uretero Ureterostomy