Dow Radiology Charges versus Private Charges

MRI PRIVATE
RATES DOWRATES
1 SHOULDER SINGLE PLAIN (WITHOUT CONTRAST) 10000-16000 4500
2 SHOULDER SINGLE WITH CONTRAST 15000-20000 7200
3 ANKLE JOINT SINGLE PLAIN (WITHOUT CONTRAST) 10000-16000 4500
4 ANKLE JOINT SINGLE WITH CONTRAST 15000-20000 7200
5 FOOT PLAIN (WITHOUT CONTRAST) 10000-16000 4500
6 FOOT WITH CONTRAST 15000-20000 7200
7 KNEE SINGLE PLAIN (WITHOUT CONTRAST) 10000-16000 4500
8 KNEE SINGLE WITH CONTRAST 15000-20000 7200
9 FEMUR SINGLE WITH CONTRAST 10000-16000 7200
10 ABDOMEN WITH CONTRAST 15000-20000 7200
11 BREAST WITH CONTRAST 18000-25000 7200
12 MRI HEAD I BRAIN PLAIN 9000-12000 4200
13 MRI HEAD I BRAIN PLAIN & CONTRAST 15000-18000 6600
14 MRI HEAD I BRAIN WITH MRA PLAIN 10000-15000 5500
15 MRI LUMBOSACRAL SPINE SCREENING 3500-4500 1200
16 MRI BRAIN SCREENING 3500-4500 1200

C-T SCAN PRIVATE

RATES DOWRATES
1 ABDOMEN & PELVIS WITH CONTRAST 8000-15000 4400
2 ABDOMEN & PELVIS WITH AND WITHOUT CONTRAST 10000-13000 5500
3 CHEST WITH & WITHOUT CONTRAST 10000-13000 5500
4 CHEST WITH CONTRAST 8000-10000 3900
5 CHEST HIGH RESOLUTION (HRCT) 6000-7000 2800
6 CT PYE - CT KUB 5000-7900 2200
7 CT ANGIOGRAPHY 15000-18000 6600
8 HEAD I BRAIN PLAIN 3500-5000 1500
9 HEAD PLAIN I TRAUMA 45000-6000 1800
10 HEAD I BRAIN WITH & WITHOUT CONTRAST 6000-8000 3000
11 HEAD AND NECK 14000-16000 7200

X-RAY PRIVATE
RATES DOWRATES

1 ANKLE JOINT LEFT (AP/LAT) - 300

2 CHESTPA 350-600 250
3 ELBOW JOINT RIGHT IAP& LAT) 500-700 300
4 ELBOW RIGHT AP 550 250
5 HAND lEFT (APIIAT) 500-700 300
6 PELVIS IAP& LATERAL 550-800 250
7 KNEE RIGHT AP (WEIGHT BEARING) 900-1200 500
8 NECK (AP & LAT) 350-600 250
9 ORBIT RIGHT (AP & LAT) 500-700 300
10 PELVIMETRY (AP & LAT) 750-1100 300
11 SKULL (AP & LAT) 540 250

ULTRA SOUND PRIVATE

RATES DOWRATES
1 ABDOMEN UPPER 1000-1200 400
2 ABDOMEN WHOLE 1400-2000 700
3 AXILLA 900-1200 450
4 BREAST BILATERAL 900-1200 450
5 CHEST 900-1200 450
6 DOPPLER CAROTID BILATERAL 3000-4000 1500
7 DOPPLER PERIPHERY ARTERIAL UNILATERAL 2000 800
8 DOPPLER PERIPHERY VENOUS BILATERAL 3000 1500
9 DOPPLER PERIPHERY VENOUS UNILATERAL 17000 800
10 FOETAL DOPPLER 2000 '800
11 FOETAL WELL BEING (FWB) 800-1200 350
12 FOETAL- ANOMALY SCAN 1800-2500 600
13 GUIDED F.NAC 2000 450
14 KUB U/S 1000-1200 400
15 PELVIS 600-800 450
16 PROSTATE 600-800 400
17 PRE-POST VOID 700-900 400
 Dow Lab Charges versus Private Charges
Private Lab Dowlab Private Lab Dowlab
5.11 Test Name 5.11 Test Name
Rates Rates Rates Rates

1 ABGs - ARTERIAL BLOOD GASES 960 600 56 CK-MB 1290 300

2 Absolute Eosinophil Count 220 150 57 eLOTING TIME 280 130
3 Absolute Value 210 150 58 Crypricipitates 700 500
4 ACTH (ADRENO CORTI CO TROPIC HORMONE) 2900 1350 59 Cortisol 1550 900
5 AFB Culture & Sensitivty 2850 1500 60 CP (Complete Blood Picture) 580 300
6 AFB SMEAR 440 130 61 C-PEPTIDE 2970 1000
7 Albumin 280 140 62 CPK (Creatine Phospho Kinase) 570 200
8 ALKALINE PHOSPHATASE 360 140 63 CREATININE 480 140
9 Alpha Feto Protein ( AFP ) 2580 1200 64 Cross Match only 700 400
10 Amylase 790 230 65 CRP (C-Reactive Protein) 10S0 500
11 ANA PROFILE (ANA,AMMA,A5MA) 1850 1300 66 CSF D/R (Cerebrospinal Fluid) 1040 350
12 ANTI CCP 2650 1500 67 CSF For Cell Count 430 200
13 ANTI ds DNA 1750 1000 68 CSF for Culture & Sensitivity (BACTlC) 1250 650
14 ANTI Gliadin IgA 2060 1000 69 CSF FOR PROTEIN 430 130
15 ANTI Gliadin IgG 2060 1000 70 Culture & Senitivty 1250 600
16 ANTITIG IgA 1380 900 71 CYTOlOGY CSF 2050 1000
17 ANTI TIG IgG 1380 900 72 CYTOLOGY ON BLOCK FOR MALLIGANT CELL 2050 1000
18 APTI 700 400 73 Dengue Antigen 1580 800
19 ASCITIC FLUID D/R 1030 500 74 DENGUE BY PCR 6000 4000
20 ASCITIC FLUID D/R + AFB 1030 600 75 DenguelgA 1580 800
21 Ascitic Fluid DR + ALBUMIN 1200 600 76 Dengue Virus (lgG/lgM) 1580 850
22 ASCITIC flUID FOR PROTIEIN 370 200 77 Dengue Virus IgM (ElISA) 1580 600
23 ASCITIC flUID FOR Triglycerides 400 200 78 Direc Coombs 480 200
24 ASOT (Anti Streptolysin 0 Titer) 850 400 79 DLC TLC (Auto Analyzer) 250 200
25 B-12 (Vitamin B-12) 1470 800 80 EAR SWAB CiS 1250 600
26 BCR/ABL 6000 4000 81 ELECTROlYTES 1070 400
27 Bicarbonate 290 120 82 ESR (Erythrocyte Sedimentation Rate) 210 150
28 Bilirubin (Total and direct) 520 130 83 Estradiol 1650 700
29 BLEEDING TIME 280 120 84 Estrogen Receptor & Progesteron Receptor & Her 2 8S00 3500
30 Block 1 Given to Patinet 500 100 85 FACTOR IX 2000 1500
31 BLOCK FOR IMMUNOHISTOCHEMISTERY 4760 3500 86 FACTOR VIII 2000 1500
32 Blood Culture & Sensitivty (Manual) 1370 400 87 Ferritin 1290 800
33 BLOOD CULTURE BACT/ALERT 1370 600 88 FIBROGEN 1800 1000
34 BLOOD CULTURE BACT/ALERT (SA/SN) 1370 900 89 FLUID D/R 810 450
35 Blood Glucose Fasting 280 120 90 Fluid Differential Count 360 150
36 Blood Glucose Random 280 120 91 FLUID FOR ALBUMIN 360 130
37 Blood Group 500 300 92 FLUID FOR BILIRUBIN 350 120
38 BODY FLUID FOR CiS 1250 600 93 FLUID FOR CREATININE 350 120
39 Bone Marrow Aspiration (No Immune Markers) 1500 1000 94 flUID FOR CYTOLIOGY 2050 1000
40 Bone Marrow Aspiration D/R 1880 1100 95 FLUID FOR TG 360 120
41 Bone Marrow Biopsy (Trephine) 3900 3000 96 FLUID FOR URIC ACID 360 130
42 Bone Marrow Culture 1370 600 97 FLUIDE FOR AMYlASE 350 120
43 Brain Fluid for Cytology 1500 1000 98 FLUIDE FOR LIPASE 450 300
44 BUN (BLOOD UREA NITROGEN) 430 120 99 FNAC With Procedure 2500 1500
45 CA-U5 (Cancer Antigen-125) 3450 1400 100 FNAC Without Procedure 2050 1000
46 CA-15-3 1880 1800 101 FOUCACID 1290 800
47 CALCIUM 450 150 102 FREE T3 1460 500
48 Calcium Creatinine Ratio 600 350 103 FREE T4 1460 500
49 Cardiac Enzyme with CKMB 1350 1000 104 Fresh Frozen Plaza 1800 900
50 CARDIAC ENZYMES 1350 600 105 Fungus Culture 1450 700
51 CBC & ESR 660 400 106 Fungus Direct Smear 520 150
52 CEA (CARCINOEMBRYONIC ANTIGEN) 2940 1400 107 G6PD Qualitative 1760 1100
53 Chikungunya ICT 500 350 108 G6PD Quantitative 2500 1500
54 CHLORIDE 290 120 109 Gamma GT 360 200
55 CHOlESTEROL 420 120 110 GCT (Glucose Challenge Test) GESTATIONAL 590 300
 Dow Lab Charges versus Private Charges
Private Lab DowLab Private Lab DowLab
S.# Test Name S.# Test Name
Rates Rates Rates Rates

111 GCT(Glucose Challenge Test) NON-GESTATIONA 590 300 166 HVS For CIS & Wet Mount 1200 650
112 GENOTYPEMTB DR 3500 2000 167 HVS Smear I Gram Stain I Wet Mount 250 130
113 Gram Stain + AFB Smear (Each) 700 130 168 ICT MALARIA ANTIGEN 950 500
114 Growth Hormone 1550 1000 169 ID-PNH 1800 1200
115 Growth Hormone(Stimulation Test) 9300 3500 170 IgE 1550 700
116 GTT (GESTATIONAL)2Hrs 1180 400 171 IMMUNO MARKER-1 2800 1200
117 GTT (GESTATIONAL)3 Hrs 1370 500 172 IMMUNOHISTO MARKER - PANEL 4760 3500
118 GTT (NON - GESTATIONAL)2Hrs 1180 400 173 Indirect Coombs 500 250
119 HB Electrophoresis 1650 1100 174 LDH (Lactate Dehydrogenase) 430 200
120 Hb% 280 150 175 LDL (Low Density Lipoproteins) 850 250
121 HBA1C (GLYCOSYLATED
HEMOGLOBIN) 1330 600 176 Leishmania LD Bodies 390 250
122 HBsAg 990 450 177 LFT(LIVERFUNCTION TESTS) 1070 700
123 HBsAg (ICT) 500 200 178 Lipase 800 500
124 HBV DNA DETECTIONBY PCR(QUALITATIVE) 5440 2800 179 LIPID PROFILE 1700 700
125 HBV Genotyping 18740 5000 180 Lithium 930 250
126 HCV (ICT) 500 250 181 Liver Abscess D/R 700 350
127 HCV Genotyping 16100 7500 182 LP Fluid D/R (Lumbar Puncture) 900 SOO
128 HCVGenotyping SUBTYPE 1S000 8500 183 Magnessium 750 2S0
129 HCV RNA DETECTIONBY PCR(QUALITATIVE) 6610 2800 184 Mantoux Test (MT) 300 200
130 HDL (HIGH DENSITYLIPOPROTEINS) 430 250 185 MlNJR8lCODCRllJPII\qRED<Bl.~f¥\NEl) 4000 3000
131 Helicobacter Pylori Antibody (CLlA) 1460 800 186 MP (Malarial Parasites) 450 150
132 Hepatitis A Antibody IgG 1620 7S0 187 MTB PCR 4270 2000
133 Hepatitis A Antibody IgM 1700 750 188 N/G Aspiration D/R 900 600
134 Hepatitis B Core Antibody IgM 1700 750 189 Occult Blood (Stool) 180 120
135 HEPATITISB CORETOTAL 1460 750 190 OGTT FORGROWTH HORMONE STIMULATION 9000 5500
136 Hepatitis B Profile 8490 3600 191 Packed Red cells 1600 1000
137 Hepatitis B Surface Antibody 1200 700 192 Pap Smear with Procedure 1560 1000
138 HEPATITISB VIRAL LOAD (Quantitative) 19360 5SOO 193 Para Thyroid Hormone (PTH) 1970 1000
139 Hepatitis Be Antibody 1700 700 194 PCV (Auto Analyzer) 300 150
140 Hepatitis Be Antigen 1700 700 195 PERETONIALFLUID D/R +ALBUMIN 690 600
141 Hepatitis CAntibody 1840 800 196 Peritioneal Fluid D/R 900 500
142 Hepatitis C Virus Viral Load (Quantitative) 1S970 S500 197 Peritioneal Fluid D/R + AFB + GRAM STAIN 900 500
143 Hepatitis Delta Virus Anitbody 1970 800 198 Phosphorus 380 200
144 Hepatitis Delta Virus Viral Load 7700 4500 199 Platelet Count 250 200
145 Hepatitis EVirus Antibody IgG 2130 800 200 PLATELETSAGGREGATIONSTUDIES 2800 2000
146 Hepatitis EVirus Antibody IgM 2130 800 201 Platelets From Single Blood Bag 1600 900
147 HER-2/NEU 2510 1500 202 Platelets Mega Unit From Single Donor 18000 12000
148 HISTOBLOCK2ND OPINION 2800 2000 203 Pleural Fluid D/R 700 500
149 Histopathology Biopsy Large 4350 2500 204 Pleural Fluid O/R + AFB + GRAM STAIN 900 650
150 Histopathology Biopsy Large (Specimen 2) 4350 2500 205 Pleural Fluid for CiS 1080 600
151 Histopathology Biopsy Large (Specimen 3) 8000 2500 206 PLEURALFLUID FOR Cholestrol 280 150
152 Histopathology Biopsy Large (Specimen 4) 8000 2500 207 Pleural Fluid for D/R + Albumin 900 500
153 Histopathology Biopsy Large (Specimen 5) 12000 2500 208 PLEURALFLUID FORPROTEIN 280 150
154 Histopathology Biopsy Large (Specimen 5) 12000 2500 209 PLEURALFLUID FORTg 280 150
155 Histopathology Biopsy Large (Specimen 6) 12000 2500 210 POTASSIUM 370 120
156 Histopathology Biopsy Medium (Specimen 3) 3500 1800 211 Pregnancy Test / HCG 470 200
157 Histopathology Biopsy Small 2260 1000 212 Prostatic Massage CiS 1270 600
158 Histopathology Biopsy Small (Specimen 2) 2260 1000 213 PROTEINA/G RATIO 450 200
159 Histopathology Biopsy Small (Specimen 4) 3500 1800 214 Protein Electrophorsis 1400 1200
160 HIV(ICT) 500 350 215 PROTHOMBIN TIME (PT) 380 225
161 HIV Human Immunodef. Virus Antibody 1800 700 216 PSA(Prostatic Specific Antigen) 2310 800
162 HIV VIRAL LOAD 15000 9000 217 Pus For Cytology 1500 1000
163 HPV-16/18 1920 2000 218 Pus For DR (AFB & GRAM STAIN) 620 130
164 HsCRP 1200 700 219 RA Factor (Rheumatoid Arthritis) SOO 300
165 HSV by PCR 3410 2000 220 RA WITH TITRE 550 400
 Dow Lab Charges versus Private Charges
Private lab Dowlab Private lab Dowlab
S.# Test Name S.# Test Name
Rates Rates Rates Rates

221 RBC COUNT 250 150 276 TRIGLYCERIDES 430 150

222 RBC FOLATE (Profile) 1490 1400 277 Typhidot 1380 500
223 RED CELL ANTIBODY SCREENING 3500 3000 278 UREA 430 150
224 REDUCING SUGAR (STOOL) 250 100
279 Uretheral Smear For Gram Stain 380 100
225 Reticulocytes Count 370 200
280 URIC ACID 480 150
226 RH ANTIBODY TITRE 3500 3000
281 Urinary Protein/ Creatinine Ratio (SPOT SAMPLE) 430 250
227 Rubella IgG 1290 . 650
282 Urine (Micro Albumin) 750 250
228 Rubella IgM 1290 650
283 Urine CIS 1250 600
229 Semen Analysis 13S0 300
230 SERUM BHCG 284 Urine D/R 270 120
1270 700
231 SERUM BHCG (URGENT) 1270 1000 285 Urine For Calcium (SPOT URINE) 620 150

232 SERUM FSH 1200 700 286 Urine For Creatinine (SPOT URINE) 430 lS0

233 SERUM Insulin 2950 800 287 URINE FOR CYTOLOGY lS00 1000
234 Serum Iron 620 250 288 Urine For Ketone Bodies 240 100
235 SERUM LEPTIN 1800 1000 289 Urine For Phosphorus (SPOT URINE) 520 150
236 SERUM LH 1290 600
290 Urine For Protein (SPOT URINE) 520 130
237 SERUM PROGESTERONE 1290 600
291 V.D.R.L 810 300
238 SERUM PROLACTIN 1380 600
292 Vitamin D TOTAL (25-0H) D2+D3 2620 1300
239 Serum Protein 280 150
293 VWF Antigen 1800 1S00
240 SERUM T3 900 400
294 Water Bacteriology 2310 800
241 SERUM T4 1090 400

242 SERUM TESTOSTERONE 295 WBC Count (TLC) 240 200

1410 900
243 SERUM TSH 9S0 450 296 whole Blood 1600 1000

244 SERVICE CHARGES 300 200 297 Widal 830 300

245 SGOT 430 150 298 Haemoglobin Hdetection 300 1S0

246 SGPT 260 150 299 LD Bodies 280 150
247 SHBG (Sex Hormone binding globulin) 1700 900 300 LE Cell 280 lS0
248 SHORT SYNACTEN 4610 4500
301 V.D.R.L 810 300
249 Skin Scraping For Fungal 520 150
302 Vitamin D TOTAL (2S-0H) D2+D3 2620 1300
250 SLIDE 5 GIVEN TO PATIENT 960 500
303 VWF Antigen 1800 1500
251 SLIDES FOR 2ND OPINION 770 400
304 Water Bacteriology 2310 800
252 SLIDES PREPARATION 960 300
305 WBC Count (TLC) 240 200
253 SLIDES PREPARTION FROM BLOCK HISTOPATHLOGY 960 500
254 Sodium 306 whole Blood 1600 1000
290 120

255 SPECIAL STAIN 1 900 307 Widal 830 300

300
256 SPECIAL STAIN 2 1200 600 308 Haemoglobin Hdetection 300 150
257 SPECIAL STAIN 3 1800 900 309 LD Bodies 280 150
258 SPECIAL STAIN 4 2200 1200 310 LE Cell 280 150
259 SPECIAL STAIN 5 2400 1500 311 24 Hours Urine For Calcium 490 250
260 SPECIAL STAIN 6 2600 1800 312 24 Hours Urine for Creatinine 1200 250
261 SPUTUM FOR CYTOLOGY 1500 1000
313 24 Hours Urine For Creatinine Clearance 1200 450
262 SPUTUM FOR D/R (AFB+ GRAM STAIN) 720 150
314 24 Hours Urine For Magnesium 740 250
263 Stool CIS 1250 600
315 24 Hours Urine For Microalbumin 750 350
264 Stool D/R 350 100
316 24 Hours Urine For Phosphorus 490 250
265 Stool For Fat Globules 180 100
266 Stool For pH 317 24 Hours Urine For Protein 490 250
180 100
267 Stool For Reducing Sugar 180 318 24 Hours Urine For Sodium 490 150
100
268 Stool Helicobacter Pylori Antigen 4250 1500 319 24 Hours Urine For Urea 490 150

269 Synovian Fluid for DR 810 500 320 24 Hours Urine For Uric Acid 490 250
270 Throat Swab For CIS 1250 600 321 24 Hours Urine For Uric Acid 490 250
271 Throat Swab For KLB Smear (Gram Stain) 720 200
272 THYROID PROFILE 2260 1200
273 TlBC (Total Iron Binding Capacity) 550 250
274 TLC (WBC) 240 200
275 Transfusion set 300 100