CGHS TREATMENT

NON-NABH / NON-NABL NABH / NABL

SR PROCEDURE/INVESTIGATION LIST
1 Consultation OPD 135 135
2 Consultation- for Inpatients 270 270
3 Dressings of wounds 50 58
4 Suturing of wounds with local anesthesia 108 124
5 Aspiration Plural Effusion - Diagnostic 120 138
6 Aspiration Plural Effusion - Therapeutic 193 222
7 Abdominal Aspiration - Diagnostic 345 397
8 Abdominal Aspiration - Therapeutic 460 529
9 Pericardial Aspiration 380 437
10 Joints Aspiration 317 365
11 Biopsy Skin 230 265
12 Removal of Stitches 36 41
13 Venesection 124 143
14 Phimosis Under LA 1311 1508
15 Sternal puncture 173 199
16 Injection for Haemorrhoids 414 476
17 Injection for Varicose Veins 350 403
18 Catheterisation 425 500
19 Dilatation of Urethra 500 575
20 Incision & Drainage 420 483
21 Intercostal Drainage 125 144
22 Peritoneal Dialysis 1319 1517
TREATMENT PROCEDURE SKIN
23 Excision of Moles 345 397
24 Excision of Warts 310 357
25 Excision of Molluscum contagiosum 130 150
26 Excision of Veneral Warts 160 184
27 Excision of Corns 140 161
28 I/D Injection Keloid 97 112
29 Chemical Cautery (s) 110 127
TREATMENT PROCEDURE OPTHALMOLOGY
Subconjunctival/subtenon’s injections in one
69 79
30 eyes
Subconjunctival/subtenon’s injections in both
138 158
31 eyes
32 Pterygium Surgery 5500 6325
33 Conjunctival Peritomy 58 67
Conjunctival wound repair or exploration
3300 3795
34 following blunt trauma
35 Removal of corneal foreign body 115 132
Cauterization of ulcer/subconjunctival injection
69 79
36 in one eye
Cauterization of ulcer/subconjunctival injection
138 159
37 in both eyes
38 Corneal grafting—Penetrating keratoplasty 5750 6613
39 Corneal grafting—Lamellar keratoplasty 5000 5750

CGHS PUNE 1 of 46
 Cyanoacrylate /fibrin glue application for
690 794
40 corneal perforation
Bandage contact lenses for corneal perforation 414 476
41
Scleral grafting or conjunctival flap for corneal
2300 2645
42 perforation
Keratoconus correction with therapeutic
1200 1380
43 contact lenses
UV radiation for cross-linking for keratoconus 1800 2070
44
45 EDTA for band shaped keratopathy 863 992
46 Arcuate keratotomy for astigmatism 2800 3220
Re-suturing (Primary suturing) of corneal
1150 1323
47 wound
Penetrating keratoplasty ---- with glaucoma
12144 13966
48 surgery
Penetrating keratoplasty --- with vitrectomy 12144 13966
49
Penetrating keratoplasty ---- with IOL
13656 15703
50 implantation
51 DALK- Deep anterior lamellar keratoplasty 15525 17854
52 Keratoprosthesis stage I and II 11500 13225
DSAEK- Descemet’s stripping automated
15008 17258
53 endothelial keratoplasty
ALTK- Automated lamellar therapeutic
14850 17078
54 keratoplasty
Probing and Syringing of lacrimal sac- in one
69 79
55 eye
Probing and Syringing of lacrimal sac- in both
138 159
56 eye
57 Dacryocystorhinostomy—Plain 2875 3306
Dacryocystorhinostomy—Plain with intubation
9750 11213
58 and/or with lacrimal implants
Dacryocystorhinostomy—conjunctival with
9200 10580
59 implant
60 Caliculoplasty 2300 2645
61 Dacryocystectomy 1725 1984
62 Punctal plugs for dry eyes 130 150
63 Refraction 40 46
64 Indirect Ophthalmoscopy 67 77
65 Orthoptic check-up- with synoptophore 44 51
66 Lees’ charting or Hess’ charting 90 104
67 Orthoptic exercises 50 58
68 Pleoptic exercises 50 58
69 Perimetry/field test—Goldman 144 166
70 Perimetry/field test— automated 144 166
71 Fluorescein angiography for fundus or iris 920 1058
72 Ultrasound A- Scan 777 893
73 Ultrasound B- Scan 230 265
74 Fundus Photo Test 200 230

CGHS PUNE 2 of 46
 75 Indocyanin green angiography 920 1058
Corneal endothelial cell count with specular
230 265
76 microscopy
77 Corneal topography 331 381
78 Corneal pachymetry 230 265
79 Auto-refraction 35 40
80 Macular function tests 44 51
81 Potential acuity metry 100 115
82 Laser interferometry 173 199
83 OCT-Optical coherence tomography 1913 2250
84 HRT- Heidelberg’s retinal tomogram 150 173
85 GDX--- Nerve fibre layer analyzer 88 101
86 UBM- Ultrasound bio microscopy 150 173
87 Non Contact tonometry 50 58
88 IOP measurement with schiotz 27 32
IOP measurement with applation tonometry 50 58
89
90 Three mirror examination for reti 52 60
91 90 D lens examination 50 58
92 Gonioscopy 52 60
Chalazion incision and curettage in one eye 400 460
93
Chalazion incision and curettage in both eyes 431 496
94
Ptosis surgery with fasanella servat procedure 2300 2645
95
96 Ptosis surgery with LPS resection one lid 5500 6325
97 Ptosis surgery with Sling surgery one lid 6670 7671
98 Ectropion surgery- one lid 1400 1610
99 Ectropion surgery- both lids 2500 2875
100 Epicanthus correction 1550 1783
101 Cantholysis and canthotomy 575 662
102 Entropion surgery- one lid 1380 1587
103 Entropion surgery- both lids 2000 2300
104 Tarsorraphy 650 748
105 Suturing of lid lacerations 1150 1323
106 Lid retraction repair 1700 1955
107 Concretions removal 115 132
108 Bucket handle procedure for lid tumors 345 397
109 Cheek rotation flap for lid tumors 6210 7142
110 Orbitotomy 7245 8332
111 Enucleation 3000 3450
Enucleation with orbital implants and artificial
3000 3450
112 prosthesis
113 Evisceration 3450 3968
Evisceration with orbital implants and artificial
5124 5892
114 prosthesis
115 Telecanthus correction 4658 5356
116 Orbital decompression 5175 5952
117 Exenteration 5175 5952

CGHS PUNE 3 of 46
 118 Exenteration with skin grafting 6210 7142
119 Fracture orbital repair 8280 9522
120 Retinal laser procedures 1350 1553
121 Retinal detachment surgery 11500 13225
Retinal detachment surgery with scleral
13800 15870
122 buckling
123 Buckle removal 1150 1323
124 Silicone oil removal 2800 3220
125 Anterior retinal cryopexy 1162 1336
126 Squint correction for one eye 5000 5750
127 Squint correction for both eyes 6750 7763
128 Trabeculectomy 6750 7763
129 Trabeculotomy 6750 7763
130 Trabeculectomy with Trabeculotomy 9315 10713
131 Trephition 2300 2645
132 Goniotomy 345 397
133 Glaucoma surgery with Glaucoma valves 6750 7763
134 Cyclocryotherapy 1150 1323
135 YAG laser iridotomy 1350 1553
136 YAG laser capsulotomy 984 1131
137 ALT-Argon laser trabeculoplasty 1346 1547
138 PDT-Photodymic therapy 3450 3968
139 TTT- Transpupillary thermal therapy 3000 3450
140 PTK- Phototherapeutic keratectomy 6750 7763
141 Argon/diode laser for retinal detatchment 1150 1323
142 Intralase application for keratoconus 5175 5952
143 EOG- electro-oculogram 810 932
144 ERG- Electro-retinogram 794 913
145 VEP- visually evoked potential 720 828
146 Vitrectomy- pars plana 11500 13225
147 Intravitreal injections- of antibiotics 1150 1323
Intravitreal injections- of lucentis excluding
3000 3450
148 cost of drug
149 X- Ray orbit 115 132
150 CT-orbit and brain 1600 1840
151 MRI- Orbit and brain 3450 3968
152 Dacryocystography 340 391
153 Orbital angio-graphical studies 1500 1725
154 ECCE with IOL 3450 3968
155 SICS with IOL 5000 5750
Phaco with foldable IOL (silicone and
10781 12398
156 acrylic)/PMMA IOL
157 Pars plana lensectomy with/without IOL 9315 10713
Secondary IOL implantation- AC IOL PC IOL or
6210 7142
158 scleral fixated IOL
Cataract extraction with IOL with capsular
12150 13973
159 tension rings (Cionni’s ring)
160 Optic nerve sheathotomy 7500 8625
Iridodialysis repair or papillary reconstruction 5000 5750
161

CGHS PUNE 4 of 46
 162 Iris cyst removal 850 978
163 Lid Abscess incision and Drainage 1700 1955
164 Orbital Abscess incision and Drainage 3000 3450
165 Biopsy 460 529
166 Paracentesis 230 265
Scleral graft for scleral melting or perforation 2800 3220
167
168 Amniotic membrane grafting 1100 1265
169 Cyclodiathermy 2300 2645
170 Intraocular foreign body removal 187 215
171 Electrolysis 230 265
172 Perforating injury repair 4500 5175
Botulinum injection for blepharospasm or
2500 2875
173 squint
TREATMENT PROCEDURE DENTAL
PROCEDURES
174 Flap Operation per quadrant 360 414
175 Gingivectomy per quadrant 234 269
Reduction & immobilization of fracture- Maxilla
900 1035
176 Under LA
Reduction & immobilization of fracture-
3500 4025
177 Mandible Under LA
splints/Cirucum mandibular wiring under LA 510 587
178
splints/Cirucum mandibular wiring under GA 990 1139
179
Internal wire fixation/plate fixation of Maxilla
3000 3450
180 under LA
Internal wire fixation/plate fixation of Maxilla
4000 4600
181 under GA
Internal wire fixation/plate fixation of
3500 4025
182 Mandible under LA
Internal wire fixation/plate fixation of
4250 4888
183 Mandible under GA
184 Extraction per tooth under LA 80 92
185 Complicated Ext. per Tooth under LA 100 115
186 Extraction of impacted tooth under LA 160 184
Extraction in mentally retarded/patients with
systemic diseases/patient with special needs 939 1080
187 under short term GA
Cyst & tumour of Maxilla /mandible by
enucleation/ excision/ marsupalisation upto 4 244 281
188 cms under LA
Cyst & tumour of Maxilla/mandible by
enucleation/ excision/ marsupalisation size 406 467
189 more than 4 cms under LA
Cyst & tumour of Maxilla/mandible by
enucleation/excision/marsupalisation size 1000 1150
190 more than 4 cms under GA
191 TM joint ankylosis- under GA 7500 8625

CGHS PUNE 5 of 46
 192 Biopsy Intraoral-Soft tissue 374 430
193 Biopsy Intraoral-Bone 374 430
194 Hemi-mandibulectomy with graft 21000 24150
195 Hemi-mandibulectomy without graft 21000 24150
196 Segmental-mandibulectomy with graft 3400 3910
197 Segmental-mandibulectomy without graft 990 1139
198 Maxillectomy- Total with graft 2500 2875
199 Maxillectomy- Total without graft 1950 2243
200 Maxillectomy- partial with graft 3000 3450
201 Maxillectomy- partial without graft 2500 2875
Release of fibrous bands & grafting -in (OSMF)
1500 1725
202 treatment under GA
203 Pre-prosthetic surgery- Alveoloplasty 500 575
Pre-prosthetic surgery - ridge augmentation 1200 1380
204
Root canal Treatment(RCT) Anterior teeth(per
500 575
205 tooth)
Root canal Treatment(RCT) Posterior teeth (per
700 805
206 tooth)
207 Apicoectomy- Single root 500 575
208 Apicoectomy-Multiple roots 650 748
209 Metal Crown-per unit 500 575
210 Metal Crown with Acrylic facing per unit 700 805
211 Complete single denture-metal based 1500 1725
212 Complete denture- acrylic based per arch 950 1093
Removable partial denture-Metal based-upto 3
700 805
213 teeth
Removable partial denture-Metal based-more
900 1035
214 than 3 teeth
Removable partial denture-Acrylic based-upto
500 575
215 3 teeth
Removable partial denture-Acrylic based-more
264 304
216 than 3 teeth
217 Amalgum restoration-per tooth 200 230
Composite Restoration-per tooth-anterior
250 288
218 tooth
219 Glas Ionomer-per tooth 200 230
220 Scaling & polishing 300 345
Removable Orthodontics appliance- per Arch 700 805
221
222 Fixed Orhtodontics-per Arch 1150 1323
223 Space maintainers-Fixed 500 575
224 Habit breaking appliances-removable 800 920
225 Habit breaking appliances-Fixed 1500 1725
226 Expansion plate 1000 1150
227 Feeding appliance for cleft palate 1500 1725
Maxillo-facial prosthesis
3500 4025
228 (sal/auricular/orbital/facial lost part)
229 Functional orthodentic appliances 3000 3450
230 Obturator (Maxillo-facial) 1500 1725

CGHS PUNE 6 of 46
 231 Occlusal night guard(splint) 800 920
TREATMENT PROCEDURE ENT
232 Pure Tone Audiogram 172 198
233 Impedence with stepedeal reflex 230 265
234 SISI Tone Decay 132 152
235 Multiple hearing assessment test to Adults 115 132
236 Speech Discrimination Score 90 103
237 Speech Assessment 120 138
Speech therapy per session of 30-40 minutes 131 151
238
239 Cold Calorie Test for Vestibular function 172 198
240 Removal of foreign body From Nose 345 397
241 Removal of foreign body From Ear 230 265
242 Syringing (Ear) 166 191
243 Polyp removal under LA 518 595
244 Polyp removal under GA 850 978
245 Peritonsillar abscess Drainage under LA 1449 1666
246 Myringoplasty 6900 7935
247 Staepedectomy 9200 10580
248 Myringotomy with Grommet insertion 4600 5290
249 Tympanotomy 7763 8927
250 Tympanoplasty 13000 14950
251 Mastoidectomy 14950 17193
252 Otoplasty 16100 18515
253 Labyrinthectomy 13800 15870
254 Skull Base surgery 25000 28750
255 Facial Nerve Decompression 17250 19838
256 Septoplasty 5750 6613
257 Submucous Resection 7314 8411
258 Septo-rhinoplasty 16100 18515
259 Rhinoplasty- Non-cosmetic 11500 13225
260 Fracture Reduction 4250 5000
261 Intra nasal Diathermy 1150 1323
262 Turbinectomy 5750 6613
263 Endoscopic DCR 13000 14950
264 Endoscopic Surgery 13800 15870
265 Septal Perforation Repair 13800 15870
266 Antrum Puncture 950 1093
267 Lateral Rhinotomy 1000 1150
268 Cranio-facial resection 25500 29325
269 Caldwell Luc Surgery 10626 12220
270 Angiofibroma Excision 17000 19550
271 Endoscopic Hypophysectomy 21500 24725
272 Endoscopic Optic Nerve Decompression 32775 37691
273 Decompression of Orbit 25500 29325
274 Punch/Wedge biopsy 674 775
275 Tonsillectomy 5000 5750
276 Uvulo-palatoplasty 15000 17250
277 FESS for antrochoal polyp 5750 6613
278 FESS for ethmoidal polyp 5750 6613

CGHS PUNE 7 of 46
 279 Polyp removal ear 748 860
280 Polyp removal Nose(Septal polyp) 748 860
Mastoidectomy plus Ossciculoplasty including
2415 2777
281 TORP or PORP
282 Endolymphatic sac decompression 2875 3306
283 Diagnostic endoscopy under GA 2300 2645
284 Yonges operation for Atrophic rhinitis 6900 7935
285 Vidian neurectomy for vasomotor Rhinitis 10350 11903
286 Nasal Packing-anterior 345 397
287 Nasal Packing-posterior 805 926
288 Ranula Excision 6843 7869
289 Tongue Tie excision 1500 1725
290 Sub Mandibular Duct Lithotomy 269 309
291 Adenoidectomy 5640 6486
292 Palatopharyngoplasty 8165 9390
293 Pharyngoplasty 17193 19772
294 Styloidectomy 9200 10580
Direct laryngoscopy including Biopsy under GA 5000 5750
295
Oesophagoscopy/foreign body removal from 1800 2070
296
297 Bronchoscopy with [Link] 2438 2804
298 Other Major Surgery 15000 17250
299 Other Minor Surgery 8500 10000
TREATMENT PROCEDURE FOR HEAD AND
NECK
300 Ear Lobe Repair one side 500 575
Excision of Pinna for Growth (Squamous/Basal/
4000 4600
301 Injuries) Skin Only
Excision of Pinna for Growth (Squamous/Basal/
3800 4370
Injuries) Skin and Cartilage
302
303 Partial Amputation of Pinna 4500 5175
304 Total Amputation of Pinna 6200 7130
Total Amputation & Excision of External
1500 1725
305 Auditory Meatus
306 Excision of Cystic Hygroma 5175 5951
307 Excision of Cystic Hygroma Extensive 7452 8570
308 Excision of Branchial Cyst 10350 11903
309 Excision of Branchial Sinus 10350 11903
310 Excision of Pharyngeal Diverticulum 10580 12167
311 Excision of Carotid Body-Tumours 11615 13357
312 Operation for Cervical Rib 12500 14375
313 Block Dissection of Cervical Lymph Nodes 15000 17250
314 Pharyngectomy & Reconstruction 15000 17250
Operation for Carcinoma Lip - Wedge-Excision 8050 9258
315
Operation for Carcinoma Lip - Vermilionectomy 5758 6622
316

CGHS PUNE 8 of 46
 Operation for Carcinoma Lip - Wedge Excision
9292 10686
317 and Vermilonectomy
318 Estlander Operation 7475 8596
319 Abbe Operation 9800 11270
320 Cheek Advancement 9775 11241
321 Excision of the Maxilla 19320 22218
322 Excision of mandible-segmental 15525 17854
323 Mandibulectomy 20035 23040
324 Partial Glossectomy 5520 6348
325 Hemiglossectomy 7000 8050
326 Total Glossectomy 22885 26318
327 Commondo Operation 22000 25300
328 Parotidectomy - Superficial 12075 13886
329 Parotidectomy - Total 15000 17250
330 Parotidectomy - Radical 19550 22483
331 Repair of Parotid Duct 11500 13225
332 Removal of Submandibular Salivary gland 8625 9919
333 Hemithyroidectomy 9500 10925
334 Partial Thyroidectomy (lobectomy) 11500 13225
335 Subtotal Thyroidectomy 13053 15011
336 Total Thyroidectomy 19000 21850
337 Resection Enucleation of thyroid Adenoma 10580 12167
338 Total Thyroidectomy and Block Dissection 26450 30418
339 Excision of Lingual Thyroid 16882 19414
340 Excision of Thyroglossal Cyst/Fistula 13225 15209
Excision of Parathyroid Adenoma/Carcinoma 21275 24466
341
342 Laryngectomy 17825 20499
343 Laryngo Pharyngectomy 30000 34500
344 Hyoid Suspension 10350 11903
345 Genioplasty 12000 13800
Direct Laryngoscopy including biopsy under GA 5175 5951
346
347 Phonosurgery 12950 14893
348 Fibroptic examition of Larynx under LA 1725 1984
349 Microlaryngeal Surgery 10350 11903
350 Laryngofissure 17250 19838
351 Tracheal Stenosis Excision 19780 22747
Head and neck cancer
352 Excisional Biopsies 5500 6325
353 Benign Tumour Excisions 9500 10925
354 Temporal Bone subtotal resection 20700 23805
355 Modified Radical Neck Dissection 25300 29095
356 Carotid Body Excision 26000 29900
357 Total Laryngectomy 39192 45071
358 Flap Reconstructive Surgery 41400 47610
359 Parapharyngeal Tumour Excision 39330 45230
360 Other Major Surgery 21250 25000
361 Other Minor Surgery 5000 5750
TREATMENT PROCEDURE BREAST

CGHS PUNE 9 of 46
 362 Drainage of abscess 5400 6210
363 Excision of lumps 6272 7213
364 Local mastectomy-simple 12650 14548
365 Radical mastectomy-formal or modified. 28750 33063
366 Excision of mammary fistula 15525 17854
367 Segmental resection of breast 16100 18515
368 Other Major Surgery 25000 28750
369 Other Minor Surgery 5000 5750
TREATMENT PROCEDURE GENERAL SURGERY
370 Injury Of Superficial Soft Tissues 425 500
371 Suturing of small wounds 269 309
372 Secondary suture of wounds 3400 4000
373 Debridement of wounds 450 518
374 Removal Of Foreign Bodies 300 345
Biopsies
375 Excision of Cervical Lymph Node 1725 1984
376 Excision of Axillary Lymph Node 2277 2619
377 Excision of Inguinal Lymph Node 2277 2619
378 Excision Biopsy of Ulcers 1470 1691
379 Excision Biopsy of Superficial Lumps 2898 3333
380 Incision Biopsy of Growths/Ulcers 1470 1691
381 Trucut Needle Biopsy 1550 1783
382 Percutaneous Kidney Biopsy 1470 1691
383 Marrow Biopsy (Open) 1060 1219
384 Muscle Biopsy 1470 1691
385 Scalene Node Biopsy 1350 1553
386 Excision of Sebaceous Cysts 1242 1428
387 Excision of Superficial Lipoma 1932 2222
388 Excision of Superficial Neurofibroma 2500 2875
389 Excision of Dermoid Cysts 2277 2619
390 Haemorrhoidectomy 20720 24375
391 Stappler haemorrhoidectomy 38000 43700
392 keloid excision 1150 1323
Vericose vein surgery;Tendelenburg operation
10000 11500
393 with suturing or ligation.
TREATMENT PROCEDURE OESOPHAGUS
Atresia of Oesophagus and Tracheo
28750 33063
394 Oesophageal Fistula
Operations for Replacement of Oesophagus by
25000 28750
395 Colon
Oesophagectomy for Carcinoma Easophagus 22500 25875
396
Oesophageal Intubation (Mausseau Barbin
11500 13225
397 Tube)
398 Achalasia Cardia Transthoracic 14950 17193
399 Achalasia Cardia Abdominal 12650 14548
400 Oesophago Gastrectomy for mid 1/3 lesion 24495 28169
401 Heller’s Operation 19750 22713

CGHS PUNE 10 of 46
 Colon-Inter position or Replacement of
22540 25921
402 Oesophagus
Oesophago Gastrectomy – Lower Corringers
21390 24599
403 procedure
404 Other Major Surgery 25000 29250
405 Other Minor Surgery 5000 5750
TREATMENT PROCEDURE ABDOMEN / GI
SURGERY
406 Gastroscopy 1725 1984
407 Gastric & Duodenal Biopsy (Endoscopic) 1950 2243
408 Pyloromyotomy 2800 3220
409 Gastrostomy 8625 9919
410 Simple Closure of Perforated peptic Ulcer 9775 11241
Vagotomy Pyleroplasty / Gastro Jejunostomy 13800 15870
411
412 Duodenojejunostomy 18950 21793
Partial/Subtotal Gastrectomy for Carcinoma 23000 26450
413
414 Partial/Subtotal Gastrectomy for Ulcer 22425 25789
415 Operation for Bleeding Peptic Ulcer 20976 24122
416 Operation for Gastrojejunal Ulcer 19780 22747
417 Total Gastrectomy for Cancer 22368 25723
418 Highly Selective Vagotomy 18630 21425
419 Selective Vagotomy & Drainage 18630 21425
420 Congenital Diaphragmatic Hernia 18975 21821
421 Hiatus Hernia Repair- Abdominal 14490 16664
422 Hiatus Hernia Repair- Transthoracic 16100 18515
423 Exploratory Laparotomy 12650 14548
424 Epigastric Hernia Repair 11385 13093
425 Umbilical Hernia Repair 11385 13093
426 Ventral /incisional Hernia Repair 10293 11837
427 Inguinal Hernia Herniorraphy 14835 17060
428 Inguinal Hernia - Hernioplasty 16500 18975
429 Femoral Hernia Repair 18285 21028
Rare Hernias Repair (Spigalion, Obturator,
18975 21821
430 Lumbar, Sciatic)
431 Splenectomy - For Trauma 18975 21821
432 Splenectomy - For Hypersplenism 14490 16664
433 Splenorenal Anastomosis 23000 26450
434 Portocaval Anastomosis 28750 33063
Direct Operation on Oesophagus for Portal
22885 26318
435 Hypertension
436 Mesentericocaval Anastomosis 25450 29268
437 Warren Shunt 28750 33063
438 Pancerato Duodenectomy 21735 24995
By Pass Procedure for Inoperable Carcinoma of
23000 26450
439 Pancreas
440 Cystojejunostomy or Cystogastrostomy 14490 16664
441 Cholecystectomy 10292 11836
442 Cholecystectomy & Exploration of CBD 14375 16531

CGHS PUNE 11 of 46
 443 Repair of CBD 13600 16000
444 Operation for Hydatid Cyst of Liver 11902 13687
445 Cholecystostomy 10292 11836
Hepatic Resections (Lobectomy /Hepatectomy) 14375 16531
446
447 Operation on Adrenal Glands - Bilateral 26105 30021
448 Operation on Adrenal Glands - Unilateral 13800 15870
449 Appendicectomy 8108 9324
450 Appendicular Abscess – Drainage 9775 11241
451 Mesenteric Cyst- Excision 11040 12696
452 Peritonioscopy/Laparoscopy 4600 5290
453 Jejunostomy 5750 6613
454 Ileostomy 15410 17722
Resection & Anastomosis of Small Intestine 20700 23805
455
456 Duodenal Diverticulum 18400 21160
457 Operation for Intestinal Obstruction 10350 11903
458 Operation for Intestinal perforation 38000 43700
459 Benign Tumours of Small Intestine 19550 22483
460 Excision of Small Intestine Fistula 19550 22483
461 Operations for GI Bleed 16000 18400
Operations for Haemorrhage of Small
19550 22483
462 Intestines
Operations of the Duplication of the Intestines 17825 20499
463
Operations for Recurrent Intestinal Obstruction
(Noble Plication & Other Operations for 23000 26450
464 Adhesions)
465 Ilieosigmoidostomy and related resection 16790 19309
Ilieotransverse Colostomy and related
16790 19309
466 resection
467 Caecostomy 3903 4488
468 Loop Colostomy Transverse Sigmoid 13110 15077
469 Terminal Colostomy 17250 19838
470 Closure of Colostomy 17480 20102
471 Right Hemi-Colectomy 13800 15870
472 Left Hemi-Colectomy 13800 15870
473 Total Colectomy 17250 19838
474 Operations for Volvulus of Large Bowel 24920 28658
475 Operations for Sigmoid Diverticulitis 18630 21425
Fissure in Ano with Internal sphinctrectomy
12420 14283
476 with fissurectomy.
477 Fissure in Ano - Fissurectomy 13800 15870
478 Rectal Polyp-Excision 5658 6507
479 Fistula in Ano - High Fistulectomy 16780 19297
480 Fistula in Ano - Low Fistulectomy 9867 11347
481 Prolapse Rectum - Theirch Wiring 10350 11903
482 Prolapse Rectum - Rectopexy 5750 6613
483 Prolapse Rectum - Grahams Operation 18400 21160
484 Operations for Hirschsprungs Disease 14260 16399

CGHS PUNE 12 of 46
 485 Excision of Pilonidal Sinus (open) 11500 13225
486 Excision of Pilonidal Sinus with closure 10350 11903
487 Abdomino-Perineal Excision of Rectum 18300 21045
488 Anterior Resection of rectum 21850 25128
489 Pull Through Abdominal Resection 17170 19746
490 Retro Peritoneal Tumor Removal 18000 20700
491 Radio ablation of varicose veins 1800 2070
492 Laser ablation of varicose veins 17250 19838
493 Laproscopic Fundoplication 19300 22195
494 Laproscopic Spleenectomy 25000 28750
495 Laproscopic Removal of hydatid cyst 18000 20700
Laproscopic treatment of Pseudo Pancreatic
18000 20700
496 cyst
497 Laproscopic whipples operation 20000 23000
498 Laproscopic GI bypass operation 22000 25300
499 Laproscopic Total Colectomy 25000 28750
500 Laproscopic Hemi Colectomy 23000 26450
501 Laproscopic Anterior Resection 23000 26450
502 Laproscopic Cholecystetomy 18975 21821
503 Laproscopic Appedicectomy 18000 20700
504 Laproscopic Hernia inguinal repair 18000 20700
505 Laproscopic ventral Hernia Repair 17500 20125
506 Laproscopic Paraumblical Hernia Repair 17500 20125
507 Laproscopic Adrenelectomy 12000 13800
508 Laproscopic Nephrectomy 22000 25300
509 Other Major Surgery 34200 39330
510 Other Minor Surgery 6000 6900
TREATMENT PROCEDURE ICU/CCU
PROCEDURES (SPECIAL CARE CASES)
Coronary Care with Cardiac Monitoring (Room
750 863
511 Rent extra)
512 Compressed air / piped oxygen /per hour 50 58
513 Ventilator charges (Per day) 531 611
514 Paediatric care for New born (Per day) 186 214
515 Incubator charges (Per day) 345 397
516 Neonatal ICU charges (Per day) 391 450
517 Resuscitation 184 212
518 Exchange Transfusion 265 305
519 Pneupack ventilator in Nursery (Per day) 575 661
TREATMENT PROCEDURE CARDIOVASCULAR
AND CARDIAC SURGERY & INVESTIGATIONS
520 ASD Closure 51808 59579
521 VSD with graft 51808 59579
522 TOF/TAPVC/TCPC/REV/RSOV repair 127075 146136
523 [Link]/Left atrium myxoma 80750 95000
524 Senning/ASO with graft 109969 126464
525 DSO 93254 107241
526 AV Canal repair 161000 185150
527 Fonten 168000 193200

CGHS PUNE 13 of 46
 528 Conduit repair 168000 193200
529 CABG 127075 146136
530 CABG + IABP 169000 194350
531 CABG + Valve. 169000 194350
532 CABG without bypass. 140000 161000
533 Ascending aorta replacement 130000 149500
534 DVR 155422 178735
535 MVR/AVR 103615 119157
536 MV repair + AV repair 103615 119157
537 Aorta femoral bypass 52000 59800
538 B.T Shunt/Coaractation 51980 59777
539 [Link] septostomy 51980 59777
540 Pericardectomy 42320 48668
541 CMV/PDA 51980 59777
542 Gunshot injury 51980 59777
543 Heart transplant 276000 317400
Balloon coronary angioplasty/PTCA with VCD 80600 92690
544
Balloon coronary angioplasty/PTCA without
77000 88550
545 VCD
546 Rotablation 45000 51750
547 balloon valvotomy/PTMC 10264 11804
548 CATH 10000 11500
549 Arch Replacement 10350 11903
550 Aortic Dissection 12650 14548
551 Thoraco Abdominal Aneurism Repair 15000 17250
552 Embolectomy 21000 24150
553 Vascular Repair 36000 41400
554 Bentall Repair with Prosthetic Valve 30000 34500
555 Bentall Repair with Biologic Valve 127500 150000
556 Coaractation dilatation 14500 16675
557 Coaractation dilatation with Stenting 18500 21275
558 TPI Single Chamber 7500 8625
559 TPI Dual Chamber 8160 9600
Permanent pacemaker implantation- Single
13800 15870
560 Chamber
Permanent pacemaker implantation- Dual
19320 22218
561 Chamber
Permanent pacemaker implantation
34500 39675
562 Biventricular
563 AICD implantation Single Chamber 28750 33063
564 AICD implantation Dual Chamber 40000 46000
565 Combo device implantation 40000 46000
Diagnostic Electrophysiological studies
4550 5233
566 conventional
567 Ambulatory BP monitoring 587 690
568 External Loop/event recording 2563 3015
569 RF Ablation conventional 35000 40250
570 RF Ablation Atrial Tachycardia/Carto 45000 51750
571 Endomyocardial biopsy 10000 11500

CGHS PUNE 14 of 46
 572 IABP 7820 8993
573 Intra vascular coils 42000 48300
574 Septostomy- Balloon 16150 19000
575 Septostomy- Blade 19550 22483
576 AVBD/PVBD 43470 49991
Digital subtraction angiography-Peripheral
11500 13225
577 artery
578 Digital subtraction angiography- venogram 11500 13225
579 C.T Guided biopsy 1265 1455
580 Sinogram 863 992
581 Peripheral Angioplasty with VCD 11500 13225
582 Peripheral Angioplasty without VCD 11500 13225
583 Renal Angioplasty 54315 63900
584 IVUS 22500 25875
585 FFR 12750 15000
586 Holter analysis 850 1000
587 Aortic stent grafting for aortic aneurysm 78500 90275
588 IVC Filter implantation 16129 18548
589 ASD/VSD/PDA device closure 36225 41659
590 ECG 50 58
591 HUTT 1980 2277
592 2 D echocardiography 1125 1294
593 3 D echocardiography 1275 1485
594 Fetal Echo 1400 1610
595 2 D TEE 1403 1650
596 3 D TEE(Transoesophageal echo ) 1403 1650
597 Stress Echo- exercise 1500 1725
598 Stress Echo- pharmacological 2500 2875
599 Stress MPI- exercise 1955 2300
600 Stress MPI - pharmacological 2500 2875
601 Coronary angiography 11500 13225
602 CT coronary angiography 6030 6935
603 Cardiac CT scan 2272 2613
604 Cardiac MRI 2444 2811
605 Stress Cardiac MRI 3000 3450
606 MR angiography. 5500 6325
607 Cardiac PET 1500 1725
608 Pericardiocentesis 3500 4025
609 Other Major Surgery 20000 23000
610 Other Minor Surgery 4250 5000
TREATMENT PROCEDURE OBSTETRICS AND
GYNAECOLOGY
Normal delivery with or without Episiotomy &
8000 9200
611 P. repair
612 vacuum delivery 8625 9919
613 Forceps Delivery 9200 10580
614 Cesarean Section 14050 16158
615 Cesarean Hysterectomy 18975 21821
Rupture Uterus closure & repair with Tubal
17250 19838
616 Ligation

CGHS PUNE 15 of 46
 Perforation of Uterus after D/E Laparotomy &
13800 15870
617 Closure
618 Laparotomy for Ectopic pregnancy 13800 15870
Laparotomy-peritonitis Lavage and Drainage 11500 13225
619
Salphingo-Oophorectomy/ Oophorectomy
10000 11500
620 Laproscopic
621 Ovarian Cystectomy-laparoscopic. 10350 11903
622 Ovarian Cystectomy -laparotomy. 13800 15870
623 Salpingo-Oophorectomy-laparotomy 11520 13248
Laproscopic Broad Ligament Hematoma
6900 7935
624 Drainage with repair
Exploration of perineal Haematoma & Repair 8000 9200
625
Exploration of abdominal Haematoma (after
8050 9258
626 laparotomy + LSCS)
627 Manual Removal of Placenta 3450 3968
628 Examination under anesthesia (EUA) 1000 1150
629 Burst-abdomen Repair 10000 11500
630 Gaping Perineal Wound Secondary Suturing 1656 1904
Gaping abdominal wound Secondary Suturing 3450 3968
631
632 Complete perineal tear-repair 2128 2447
633 Exploration of PPH-tear repair 3500 4025
634 Suction evacuation vesicular mole 5000 5750
Suction evacuation Missed abortion/
5175 5951
635 incomplete abortion
636 Colpotomy 3450 3968
637 Repair of post-coital tear/ perineal injury 3508 4034
638 Excision of urethral caruncle 3450 3968
639 Shirodhkar/ Mc. Donald’s stitch 3220 3703
Abdominal Hysterectomy with or without
17250 19838
640 salpingo-oophorectomy
641 Vaginal Hysterectomy (NDVH) 17250 19838
Vaginal Hysterectomy with repairs (UV
17250 19838
642 Prolapse)
643 Myomectomy -laparotomy 14000 16100
644 Myomectomy -laparoscopic 6325 7274
645 Vaginoplasty 14950 17193
646 Vulvectomy -Simple 9200 10580
647 Vulvectomy-Radical 9200 10580
648 RVF Repair 18975 21821
649 Manchester Operation 15000 17250
Shirodkar’s sling Operation or other sling
3450 3968
650 operations for prolapse uterus
Laparoscopic sling operations for prolapse
28000 32200
651 uterus
652 Diagnostic Curettage 2484 2857
653 Cervical Biopsy 1800 2070
654 Polypectomy 1518 1746

CGHS PUNE 16 of 46
 655 Other-Minor Operation Endometrial 2300 2645
656 Excision Vaginal Cyst/Bartholin Cyst 3450 3968
657 Excision Vaginal Septum 4600 5290
Laparoscopy -Diagnostic with
chromopertubation and or adhesiolysis and 4025 4629
658 drilling
659 Laparoscopy Sterilization 3450 3968
660 LAVH 22719 26126
661 Balloon Temponade for PPH 2800 3220
662 Total laparoscopic hysterectomy 25243 29029
Laparoscopic treatment of Ectopic pregnancy-
9775 11241
salpingectomy/salpinostomy conservative
663
664 Conisation of cervix 4025 4629
Trachhelectomy of cervix for early CA cervix 5500 6325
665
666 Hysteroscopic cannulation 2875 3306
Laparotomy recannalization of Fallopian tubes-
22425 25789
667 (Tubuloplasty)
Laparoscopic recannalization of Fallopian tubes-
19500 22425
668 (Tubuloplasty)
669 Colposcopy 958 1102
670 Inversion of Uterus – Vaginal Reposition 2500 2875
Inversion of Uterus – Abdominal Reposition 2500 2875
671
672 Laparoscopic VVF Repair 28000 32200
673 Abdominal VVF Repair 28000 32200
674 Vaginal VVF Repair 25200 28980
675 Interventional Ultrasonography (CVS) 880 1012
676 Amniocentesis 880 1012
677 Karyotyping 800 920
678 Thermal balloon ablation. 11500 13225
679 Ultrasonographic myolysis 10293 11837
680 Vaginal Myomectomy 10000 11500
681 Intra Uterine Inseminition 920 1058
682 ICSI 11500 13225
683 Laparotomy abdominal sacro-colpopexy 15000 17250
684 Vaginal Colpopexy 22000 25300
685 Laparoscopic abdominal sacro-colpopexy 20000 23000
686 Laparotomy pelvic Lymphadenectomy 1200 1380
687 Laparoscopic pelvic Lymphadenectomy 3500 4025
688 Endometrial aspiration cytology/biopsy 570 656
Transvaginal sonography (TVS for Follicular
460 529
689 monitioring /aspiration)
laparoscopic treatment for stress incontinence 15000 17250
690
691 Transvaginal tapes for Stress incontinence 15000 17250
trans-obturator tapes for Stress incontinence 12000 13800
692

CGHS PUNE 17 of 46
 Interventional radiographic arterial
18000 20700
693 embolization
694 Diagnostic cystoscopy 2875 3306
695 Staging laparotomy surgery for CA Ovary 6325 7274
696 Internal Iliac ligation 3393 3902
697 stepwise devascularisation 9200 10580
698 Assisted breech delivery 10925 12564
699 Intra-uterine fetal blood transfusion 19148 22019
700 Hysteroscopy TCRE 8500 9775
701 Hysteroscopy Removal of IUCD 7500 8625
702 Hysteroscopy Removal of Septum 11000 12650
703 Hysteroscopy Diagnostic 7500 8625
Radical Hysterectomy for Cancer cervix with
8500 9775
704 pelvic lymphadenectomy
Radical Hysterectomy for Cancer endometrium
extending to cervix with pelvic and para aortic 8500 9775
705 lymphadenectomy
706 Sterilization Post partum (minilap) 3750 4313
707 Sterilization interval (minilap) 3750 4313
Ultrasonography Level II scan/Anomaly Scan 500 575
708
709 Fetal nuchal Translucency 300 345
Fetal Doppler/Umblical Doppler/Uterine Vessel
850 978
710 Doppler
711 MTP- 1st Trimester 3000 3450
712 MTP - 2nd Trimester 4370 5026
713 Quadruple test 2000 2300
714 Biophysical score 600 690
715 Other Major Surgery 25200 28980
716 Other Minor Surgery 5000 5750
TREATMENT PROCEDURE NEPHROLOGY AND
UROLOGY
717 Partial Nephrectomy -open 16215 18647
Partial Nephrectomy-laproscopic/endoscopic 14490 16664
718
719 Nephrolithomy -open 12000 13800
720 Nephrolithomy -laproscopic/endoscopic 14000 16100
721 Pyelolithotomy-open 13000 14950
722 Pyelolithotomy -laproscopic/endoscopic 10580 12167
Operations for Hydronephrosis -pyeloplasty
18400 21160
723 open
Operations for Hydronephrosis -pyeloplasty
19000 21850
724 Lap/endoscopic
Operations for Hydronephrosis
20000 23000
725 Endoplyelotomy antegrade
Operations for Hydronephrosis
20000 23000
726 Endoplyelotomy retrograde
Operations for Hydronephrosis -
18000 20700
727 ureterocalicostomy
728 Operations for Hydronephrosis-Ileal ureter 18000 20700

CGHS PUNE 18 of 46
 729 Open Drainage of Perinephric Abscess 8000 9200
Percutaneous Drainage of Perinephric Abscess -
5750 5000
730 Ultrasound guided
731 Cavernostomy 9775 11500
732 Operations for Cyst of the Kidney -open 11960 13754
Operations for Cyst of the Kidney -
14030 16135
733 Lap/endoscopic
734 Ureterolithotomy -open 13248 15235
735 Ureterolithotomy-Lap/Endoscopic 10000 11500
736 Nephroureterectomy open 16100 18515
737 Nephroureterectomy -Lap/Endoscopic 16100 18515
738 Operations for Ureter for -Double Ureters 19000 21850
Operations for Ureter -for Ectopia of Single
18000 20700
739 Ureter
Operations for Vesico- ureteric Reflux-Open 18000 20700
740
Operations for Vesico- ureteric Reflux-
18000 20700
741 Lap/Endoscopic
Operations for Vesico- ureteric Reflux/ Urinary
20700 23805
742 incontinence with bulking agents
743 Ureterostomy - Cutaneous 12000 13800
744 Uretero-Colic anastomosis 16000 18400
745 Formation of an Ileal Conduit 17250 19838
746 Ureteric Catheterisation 8278 10950
747 Biopsy of Bladder (Cystoscopic) 2300 2645
748 Cysto-Litholapaxy 10925 12564
749 Operations for Injuries of the Bladder 10000 11500
Suprapubic Drainage
6000 6900
750 (Cystostomy/vesicostomy)
751 Simple Cystectomy 17250 19838
752 Diverticulectomy -open 16000 18400
753 Diverticulectomy- Lap/Endoscopic 18400 21160
Diverticulectomy -Endoscopic incision of neck 1725 1984
754
755 Augmentation Cystoplasty 6670 7671
Operations for Extrophy of the Bladder- Single
22300 25645
756 stage repair
Operations for Extrophy of the Bladder-
20815 23937
757 Multistage repair
Operations for Extrophy of the Bladder- simple
22500 25875
758 cystectomy with urinary diversion
759 Repair of Ureterocoel -Open 13800 15870
760 Repair of Ureterocoel -Lap/Endoscopic 14375 16531
761 Repair of Ureterocoel -Endoscopic incision 13000 14950
762 Open Suprapubic Prostatectomy 20700 23805
763 Open Retropubic Prostatectomy 20125 23144
764 Transurethral Resection of Prostate (TURP) 18630 21425
765 Urethroscopy/ Cystopanendoscopy 4600 5290
766 Internal urethrotomy -optical 5750 6613

CGHS PUNE 19 of 46
 Internal urethrotomy -Core through
11040 12696
767 urethroplasty
Urethral Reconstruction -End to end
3450 3968
768 ansatamosis
Urethral Reconstruction - substitution
19550 22483
769 urethroplasty (Transpubic urethroplasty
770 Abdomino Perineal urethroplasty 14000 16100
771 Posterior Urethral Valve fulguration. 11270 12961
Operations for Incontinence of Urine - Male -
17250 19838
772 Open
Operations for Incontinence of Urine - Male -
18400 21160
773 Sling
Operations for Incontinence of Urine - Male-
19435 22350
774 Bulking agent
Operations for Incontinence of Urine - Female -
17250 19838
775 Open
Operations for Incontinence of Urine - Female-
18400 21160
776 Sling
Operations for Incontinence of Urine - Female-
19435 22350
777 Bulking agent
778 Reduction of Paraphimosis 1725 1984
779 Circumcision 3000 3450
780 Meatotomy 2346 2698
781 Meatoplasty 3220 3703
Operations for Hypospadias + Chordee
9200 10580
782 Correction
783 Operations for Hypospadias - Second Stage 15000 17250
Operations for Hypospadias - One Stage Repair 9200 10580
784
785 Operations for Crippled Hypospadias 11500 13225
786 Operations for Epispadias _primary repair 12593 14482
Operations for Epispadias-crippled epispadias 11385 13093
787
788 Partial Amputation of the Penis 10764 12379
789 Total amputation of the Penis 12000 13800
790 Orchidectomy-Simple 9775 11241
791 Orchidectomy -Radical 12075 13886
Post Radical Orchidectomy retroperitoneal
14000 16100
792 lymph node dissection.
793 Epididymectomy 15938 18750
Adreneclectomy Unilateral/Bilateral for
25300 29095
794 Tumour/For Carcinoma- Open
Adreneclectomy Unilateral/Bilateral for
14375 16531
795 Tumour/For Carcinoma -Lap/Endoscopic
796 Operations for Hydrocele - Unilateral 5865 6745
797 Operations for Hydrocele - Bilateral 8556 9839
798 Operation for Torsion of Testis 11500 13225
Micro-surgical Vasovasostomy /Vaso
11040 12696
799 epidedymal ansatamosis.

CGHS PUNE 20 of 46
 Operations for Varicocele Unilateral-
7705 8861
800 Microsurgical
Operations for Varicocele Palomo’s Unilateral -
9200 10580
801 Lap
Operations for Varicocele Bilateral --
12650 14548
802 Microsurgical
Operations for Varicocele Bilateral – Lap/
14950 17193
803 Palomo
Block Dissection of ilio-inguinal Nodes - One
6325 7274
804 Side (For Ca-Penis)
Block Dissection of ilio-inguinal Nodes - Both
23000 26450
805 Sides (For Ca-Penis)
806 Excision of Filarial Scrotum 11500 13225
Kidney Transplantation (related)- including
200000 230000
807 immunosuppresants
Kidney Transplantation (Spousal/ unrelated)-
300000 345000
808 Including immunosuppresants
809 ABO incompatible Transplantation 441000 507150
810 Swap Transplantation 349200 401580
811 Kidney Transplant Graft Nephrectomy 53550 63000
812 Donor Nephrectomy (open) 28750 33063
813 Donor Nephrectomy (Laproscopic) 46000 52900
814 Cadaver Transplantation 83300 95795
Kidney Transplant with Native Kidney
28000 32200
815 Nephrectomy (Related)/ Unilateral
Kidney Transplant with Native Kidney
85000 97750
816 Nephrectomy (Related)/ Bilateral
Kidney Transplant with Native Kidney
85000 97750
Nephrectomy (Spousal/ Unrelated) Unilateral
817
Kidney Transplant with Native Kidney
85000 97750
Nephrectomy (Spousal/ Unrelated) Bilateral
818
Post-Transplant Collection drainage for
6800 8000
819 Lymphocele (open)
Post-Transplant Collection drainage for
6800 8000
820 Lymphocele (percutaneous)
Post-Transplant Collection drainage for
7650 9000
821 Lymphocele (Laproscopic)
822 Arteriovenous Fistula for Haemodialysis 2070 2381
823 Arteriovenous Shunt for Haemodialysis 3150 3623
824 Jugular Catheterization for Haemodialysis 1500 1725
Subclavian Catheterization for Haemodialysis 2250 2588
825
One sided (single Lumen) Femoral
1000 1150
826 Catheterization for Haemodialysis
Bilateral (single Lumen) Femoral
1500 1725
827 Catheterization for Haemodialysis
Double Lumen Femoral Catheterization for
1850 2128
828 Haemodialysis

CGHS PUNE 21 of 46
 829 Permcath Insertion 2800 3220
830 Arterio venous Prosthetic Graft 1850 2128
831 Single lumen Jugular Catheterization 1500 1725
832 Single lumen Subclavian Catheterization 1700 2000
833 Plasma Exchange/ Plasma phresis 1725 1984
834 Open method CAPD catheter insertion 3500 4025
Schlendinger method CAPD catheter insertion 3500 4025
835
836 Sustained low efficiency hemodialysis 1250 1438
Continuous Veno venous/Arteriovenous
2025 2329
837 Hemofilteration
838 Hemodialysis for Sero negative cases 1400 1610
839 Hemodialysis for Sero Positive cases 1650 1898
840 Acute Peritoneal Dialysis 1450 1668
841 Fistologram for Arteriovenous Fistula 2500 2875
842 Ultrasound guided kidney Biopsy 850 978
843 Fistula stenosis dilation 2700 3105
844 Slow continuous Ultrafilteration 2250 2588
845 PCNL - Unilateral 20000 23000
846 PCNL - Bilateral 25000 28750
847 Endoscopic Bulking agent Inject 4500 5175
848 Testicular Biopsy 1955 2248
849 Radical Nephrectomy -Open 17250 19838
850 Radical Nephrectomy -Lap/Endoscopic 20700 23805
851 Radical Nephrectomy plus IV thrombus 23000 26450
Radical Nephrectomy plus IV thrombus plus
23000 26450
852 cardiac bypass.
853 Vesico Vaginal Fistula Repair (Open) 16000 18400
854 Vesico Vaginal Fistula Repair (Laproscopic) 22000 25300
855 Radical Cystectomy -Ileal conduit 17000 20000
856 Radical Cystectomy - continent diversion. 15000 17250
857 Radical Cystectomy – Neo bladder 18500 21275
858 Nephrectomy Simple -Open 10074 11585
859 Nephrectomy Simple-lap/Endoscopic 12593 14482
860 Nephrostomy -Open 10000 11500
861 Nephrostomy -Lap/Endoscopic 10704 12593
Ureteric Re- implant for
Megaureter/Vesicoureteric reflex/ uterocele 10494 12068
862 (open)
Ureteric Re -implant for
Megaureter/Vesicoureteric reflex/ uterocele 10494 12068
863 (Laproscopic)
864 Partial Cystectomy 13800 15870
865 TURP & TUR Bladder Tumour 17250 19838
866 TURP with Cystolithotripsy 17000 19550
867 Closure of Urethral Fistula 11000 12650
868 Orchidopexy - Unilateral -Open 9867 11347
869 Orchidopexy - Unilateral- Lap/Endoscopic 12334 14184
870 Orchidopexy - Bilateral -Open 12282 14124
871 Orchidopexy - Bilateral -Lap/Endoscopic 14500 16675

CGHS PUNE 22 of 46
 872 Cystolithotomy -Suprapubic 9775 11241
873 Endoscopic Removal of Stone in Bladder 3450 3968
Resection Bladder Neck Endoscopic /Bladder
neck incision/transurethral incision on 10925 12564
874 prostrate
875 Ureteroscopic Surgery 10350 11903
876 Urethroplasty 1st Stage 10925 12564
877 Scrotal Exploration 8556 9839
878 Perineal Urethrostomy 4715 5422
879 Dilatation of Stricture Urethra under G.A. 2000 2300
880 Dilatation of Stricture Urethra under LA 1725 1984
881 Laproscopic Nephrectomy 33350 38353
882 Laproscopic partial Nephrectomy 10000 11500
883 Laproscopic pyelolithotomy 12650 14548
884 Laproscopic Pyeloplasty 9775 11241
885 Laproscopic surgery for Renal cyst 9775 11241
886 Laproscopic ureterolithotomy 11500 13225
887 Laproscopic Nephro ureterotectomy 11903 13688
888 Lithotripsy Extra corporeal shock wave. 19550 22483
889 Uroflow Study (Uroflometry) 420 483
890 Urodynamic Study (Cystometry) 450 518
Cystoscopy with Retrograde Catheter -
2803 3223
891 Unilateral /RGP
Cystoscopy with Retrograde Catheter - Bilateral
4208 4950
892 /RGP
Cystoscopy with Bladder Biopsy (Cold Cup
3381 3888
893 Biopsy)
Voiding-cysto-urethrogram and retrograde
414 476
894 urethrogram (Nephrostogram)
895 Radical prostatectomy-Open 17825 20499
896 Radical prostatectomy-Laproscopic 20125 23144
Radical prostatectomy- Robotic (Robotic Partial
20125 23144
897 Nephrectomy)
898 Hollmium YAG Prostate Surgery 15000 17250
899 Hollmium YAG OIU 4600 5290
900 Hollmium YAG Core Through 15525 17854
901 Hollmium YAG Stone Lithotripsy 10200 12000
902 Green Light laser for prostate 17250 19838
903 RIRS/ Flexible Ureteroscopy 6800 7820
Microscopic VEA/ Vaso-Vasostomy (for
13500 15525
904 Infertility)
Cystoscopic Botulinum Toxin Injection ( Over
6800 7820
905 active bladder/ Neurogenic bladder)
Peyronie’s disease – Plaque excision with
3400 4000
906 grafting
High Intensity Focus Ultrasound (HIFU)
(Robotic) for Carcinoma prostrate and renal 4600 5290
907 cell carcinoma
908 Prosthetic surgery for urinary incontinence 2300 2645
909 TRUS guided prostate biopsy 575 661

CGHS PUNE 23 of 46
 910 Ultra sound guided PCN 720 828
911 Other Major Surgery 15000 17250
912 Other Minor Surgery 6800 7820
TREATMENT PROCEDURE NEURO-SURGERY
Craniotomy and Evacuation of Haematoma -
50715 58322
913 Subdural
Craniotomy and Evacuation of Haematoma -
50000 57500
914 Extradural
Evacuation /Excision of Brain Abscess by
40000 46000
915 craniotomy
Excision of Lobe (Frontal Temporal Cerebellum
41000 47150
916 etc.)
917 Excision of Brain Tumours -Supratentorial 39123 44991
918 Excision of Brain Tumours -Infratentorial 45000 51750
919 Surgery of spinal Cord Tumours 45000 51750
Ventriculoatrial /Ventriculoperitoneal Shunt 25000 28750
920
921 Twist Drill Craniostomy 4250 5000
922 Subdural Tapping 2456 2824
923 Ventricular Tapping 2967 3412
924 Abscess Tapping 2875 3306
925 Placement of ICP Monitor - 2875 3306
926 Skull Traction Application 2300 2645
927 Lumber Pressure Monitoring 4250 5000
928 Vascular Malformations 22000 25300
Meningo Encephalocoele excision and repair 15000 17250
929
930 Meningomyelocoel Repair 24995 28744
931 C.S.F. Rhinorrhaea Repair 28750 33063
932 Cranioplasty 24150 27773
933 Anterior Cervical Dissectomy 16600 19090
Brachial Plexus Exploration and neurotization 15525 17854
934
935 Median Nerve Decompression 14000 16100
936 Peripheral Nerve Surgery – Major 17250 19838
937 Peripheral Nerve Surgery Minor 8280 9522
938 Ventriculo-Atrial Shunt 11615 13357
939 Nerve Biopsy 6900 7935
940 Brain Biopsy 5808 6679
941 Anterior Cervical Spine Surgery with fusion 32200 37030
942 Anterio Lateral Decompression of spine 28750 33063
943 Brain Mapping 837 963
944 Cervical or Dorsal or Lumbar Laminectomy 23000 26450
Combined Trans-oral Surgery & CV Junction
34500 39675
945 Fusion
946 C.V. Junction Fusion procedures 30000 34500
947 Depressed Fracture Elevation 25000 28750
948 Lumbar Discectomy 27500 31625
949 Endarterectomy (Carotid) 20000 23000

CGHS PUNE 24 of 46
 950 R.F. Lesion for Trigeminal Neuralgia 11500 13225
951 Spasticity Surgery - 39675 45626
952 Spinal Fusion Procedure 27000 31050
953 Spinal Intra Medullary Tumours 34500 39675
954 Spinal Bifida Surgery Major 18975 21821
955 Spinal Bifida Surgery Minor 15000 17250
Stereotaxic Procedures- biopsy/aspiration of
23000 26450
956 cyst
957 Trans Sphenoidal Surgery 30000 34500
958 Trans Oral Surgery 30000 34500
959 Implantation of DBS -One electrode 34500 39675
960 Implantation of DBS -two electrodes 40250 46288
961 Endoscopic aqueductoplasty 15000 17250
962 Facial nerve reconstruction 30000 34500
963 Carotid stenting 42263 48602
964 Cervical disc arthroplasty 27600 31740
965 Lumbar disc arthroplasty 13800 15870
966 Corpus callostomy for Epilepsy 35000 40250
967 Hemishpherotomy for Epilepsy 32200 37030
968 Endoscopic CSF rhinorrhea repair 30000 34500
Burr hole evacuation of chronic subdural
24150 27773
969 haematoma
970 Epilepsy surgery 36225 41659
971 RF lesion for facet joint pain syndrome 17250 19838
972 Cervical laminoplasty 32000 36800
973 Lateral mass C1-C2 screw fixation 23000 26450
Microsurgical decompression for Trigeminal
38000 43700
974 nerve
Microsurgical decompression for hemifacial
4646 5343
975 spasm
976 IC EC bypass procedures 32000 36800
977 Image guided craniotomy 28980 33327
978 Baclofen pump implantation 39000 44850
979 Programmable VP shunt 25000 28750
980 Endoscopic sympathectomy 17107 19673
981 Lumber puncture 207 238
982 External ventricular drainage (EVD) 4400 5060
983 Endoscopic 3rd ventriculostomy 36000 41400
Endoscopic cranial surgery/Biopsy/aspiration 31536 36266
984
985 Endoscopic discectomy (Lumbar, Cervical) 35621 40964
986 Aneurysm coiling (Endovascular) 34400 39560
987 Surgery for skull fractures 40000 46000
988 Carpel Tunnel decompression 15000 17250
989 Clipping of intracranial aneurysm 24150 27773
Surgery for intracranial Arteriovenous
40000 46000
990 malformarions(AVM)
Foramen magnum decompression for Chari
93750 107813
991 Malformation

CGHS PUNE 25 of 46
 Dorsal column stimulation for backache in
28750 33063
992 failed back syndrome
Surgery for recurrent disc prolapse/epidural
32200 37030
993 fibrosis
994 Surgery for brain stem tumours 43988 50586
Decompressive craniotomy for hemishpherical
acute subdural haematoma/brain 40000 46000
995 swelling/large infarct
Intra-arterial thrombolysis with TPA (for
4600 5290
996 ischemic stroke )
Steriotactic aspiration of intracerebral
32545 37427
997 haematoma
Endoscopic aspiration of intracerebellar
40000 46000
998 haematoma
Steriotactic Radiosurgery for brain pathology(X
27560 31694
999 knife/Gamma ) - ONE session
Steriotactic Radiosurgery for brain pathology(X
57500 66125
knife / Gamma knife -Two or more sessions
1000
Chemotheraphy wafers for malignant brain
14450 16618
1001 tumors
1002 Battery Placement for DBS 22000 25300
1003 Baclofen pump implantation for spasticity 17330 19930
1004 Peripheral Nerve tumor surgery 24000 27600
1005 Surgery Intra Cranial Meningioma 20000 23000
1006 Surgery for Intracranial Schwannoma 35000 40250
1007 Surgery for Gliomas 45000 51750
1008 Surgery for Orbital tumors 36000 41400
1009 Surgery for Cranial (Skull) tumors 38500 44275
1010 Surgery for Scalp AVM’s 25000 28750
1011 Kyphoplasty 40000 46000
1012 Balloon Kyphoplasty 40000 46000
Lesioning procedures for Parkinson’s disease,
35000 40250
1013 Dystonia etc.
1014 Other Major Surgery 38250 45000
1015 Other Minor Surgery 15300 18000
TREATMENT PROCEDURE PAEDIATRIC
SURGERY
1016 Excision of thyroglossal Duct/Cyst 16000 18400
Diaphragmatic Hernia Repair (Thoracic or
17250 19838
1017 Abdominal Approach)
Tracheo Oesophageal Fistula (Correction
23000 26450
1018 Surgery)
1019 Colon Replacement of Oesophagus 23000 26450
1020 Omphalo Mesenteric Cyst Excision 17250 19838
1021 Omphalo Mesenteric Duct- Excision 15525 17854
1022 Meckels Diverticulectomy 3347 3849
1023 Omphalocele 1st Stage (Hernia Repair) 15525 17854
1024 Omphalocele 2nd Stge (Hernia Repair) 17250 19838
1025 Gastrochisis Repair 14490 16664

CGHS PUNE 26 of 46
 1026 Inguinal Herniotomy 12558 14442
1027 Congenital Hydrocele 10800 12420
1028 Hydrocele of Cord 12000 13800
1029 Torsion Testis Operation 15000 17250
1030 Congenital Pyloric Stenosis- operation 13938 16029
1031 Duodenal- Atresia Operation 14000 16100
1032 Pancreatic Ring Operation 22425 25789
1033 Meconium Ileus Operation 14500 16675
1034 Malrotation of Intestines Operation 13000 14950
1035 Rectal Biopsy (Megacolon) 9736 11196
1036 Colostomy Transverse 15000 17250
1037 Colostomy Left Iliac 15000 17250
Abdominal Perineal Pull Through
19000 21850
1038 (Hirschaprugis Disease)
Imperforate Anus Low Anomaly -Cut Back
10235 11770
1039 Operation
Imperforate Anus Low Anomaly - Perineal
12000 13800
1040 Anoplasty
Imperforate Anus High Anomaly -
12500 14375
1041 Sacroabdomino Perineal Pull Through
Imperforate Anus High Anomaly - Closure of
8625 9919
1042 Colostomy
1043 Intususception Operation 20700 23805
Choledochoduodenostomy for Atresia of Extra
15000 17250
1044 Hepatic Billiary Duct
1045 Operation of Choledochal Cyst 16000 18400
1046 Nephrectomy for -Pyonephrosis 17000 19550
1047 Nephrectomy for - Hydronephrosis 15000 17250
1048 Nephrectomy for -Wilms Tumour 13500 15525
Paraortic Lymphadenoctomy with
20000 23000
1049 Nephrectomy for Wilms Tumour
1050 Sacro-Coccygeal Teratoma Excision 14000 16100
1051 Neuroblastoma Debulking 16000 18400
1052 Neuroblastoma Total Excision 20700 23805
1053 Rhabdomyosarcoma wide Excision 15000 17250
Congenital Atresia & Stenosis of Small Intestine 19000 21850
1054
1055 Muconium ileus 16000 18400
1056 Mal-rotation & Volvulus of the Midgut 15000 17250
1057 Excision of Meckle’s Deverticulum 12000 13800
1058 Other Major Surgery 25000 28750
1059 Other Minor Surgery 11050 13000
TREATMENT PROCEDURE BURNS AND PLASTIC
SURGERY
1060 Primary Suturing of Wound 300 345
1061 Injection of Keloids - Ganglion 1099 1264
1062 Injection of Keloids - Haemangioma 1150 1323
1063 Free Grafts - Wolfe Grafts 1725 1984
1064 Free Grafts - Theirech- Small Area 5% 7475 8596
1065 Free Grafts - Large Area 10% 8000 9200

CGHS PUNE 27 of 46
 Free Grafts - Very Large Area 20% and above. 10350 11903
1066
1067 Skin Flaps - Rotation Flaps 8970 10316
1068 Skin Flaps - Advancement Flaps 12500 14375
Skin Flaps - Direct- cross Leg Flaps- Cross Arm
12500 14375
1069 Flap
1070 Skin Flaps - Cross Finger 11250 12938
1071 Skin Flaps- Abdominal 8625 9919
1072 Skin Flaps - Thoracic 8625 9919
1073 Skin Flaps - Arm Etc. 9900 11385
1074 Subcutaneous Pedicle Flaps Raising 6900 7935
1075 Subcutaneous Pedicle Flaps Delay 5950 7000
1076 Subcutaneous Pedicle Flaps Transfer 5950 7000
1077 Cartilage Grafting 8625 9919
1078 Reduction of Facial Fractures of Nose 1380 1587
1079 Reduction of Facial Fractures of Maxilla 8000 9200
Reduction of Fractures of Mandible & Maxilla -
7475 8596
1080 Eye Let Splinting
Reduction of Fractures of Mandible & Maxilla -
6900 7935
1081 Cast Netal Splints
Reduction of Fractures of Mandible & Maxilla -
7500 8625
1082 Gumming Splints
Internal Wire Fixation of Mandible & Maxilla 11500 13225
1083
1084 Cleft Lip - repair. 11500 13225
1085 Cleft Palate Repair 12650 14548
Primary Bone Grafting for alveolar cleft in Cleft
11500 13225
1086 Lip
1087 Secondary Surgery for Cleft Lip Deformity 10000 11500
1088 Secondary Surgery for Cleft Palate 11385 13093
1089 Reconstruction of Eyelid Defects - Minor 6000 6900
1090 Reconstruction of Eyelid Defects - Major 8500 9775
Plastic Surgery of Different Regions of the Ear -
8050 9258
1091 Minor
Plastic Surgery of Different Regions of the Ear -
10350 11903
1092 Major
1093 Plastic Surgery of the Nose - Minor 7800 8970
1094 Plastic Surgery of the Nose - Major 9500 10925
Plastic Surgery for Facial Paralysis (Support
16100 18515
1095 with Reanimation)
1096 Pendulous Breast - Mammoplasty 13000 14950
1097 Underdeveloped Breast Mammoplasty 12000 13800
After Mastectomy
12000 13800
1098 (Reconstruction)Mammoplasty
1099 Syndactyly Repair 12750 15000
1100 Dermabrasion Face 13225 15209
1101 upto 30% Burns 1st Dressing 152 175
1102 upto 30% Burns Subsequent Dressing 124 143
1103 30% to 50% Burns 1st Dressing 193 222
1104 30% to 50% Burns Subsequent Dressing 152 175

CGHS PUNE 28 of 46
 1105 Extensive Burn -above 50% Frist Dressing 276 317
Extensive Burn -above 50% Subsequent
174 200
1106 dressing
TREATMENT PROCEDURE ORTHOPEDICS
1107 Plaster Work 255 300
1108 Fingers (post slab) 259 298
1109 Fingers full plaster 259 298
1110 Colles Fracture - Below elbow 978 1125
1111 Colles Fracture - Full plaster 994 1143
1112 Colles fracture Ant. Or post. slab 400 460
1113 Above elbow full plaster 173 199
1114 Above Knee post-slab 575 288
1115 Below Knee full plaster 173 199
1116 Below Knee post-slab 718 826
1117 Tube Plaster (or plaster cylinder) 800 920
1118 Above knee full plaster 1265 1455
1119 Above knee full slab 1158 1332
1120 Minerva Jacket 2415 2777
1121 Plaster Jacket 2185 2513
1122 Shoulder spica 1955 2248
1123 Single Hip spica 2243 2579
1124 Double Hip spica 2760 3174
1125 Strapping of Finger 179 206
1126 Strapping of Toes 180 207
1127 Strapping of Wrist 230 265
1128 Strapping of Elbow 262 301
1129 Strapping of Knee 345 397
1130 Strapping of Ankle 345 397
1131 Strapping of Chest 460 529
1132 Strapping of Shoulder 518 596
1133 Figure of 8 bandage 518 596
1134 Collar and cuff sling 250 288
1135 Ball bandage 400 460
Application of P.O.P Casts for Upper & Lower
633 728
1136 Limbs
1137 Application of Functiol Cast Brace 1350 1553
1138 Application of Skin Traction 690 794
1139 Application of Skeletal Tractions 949 1091
1140 Bandage & Strappings for Fractures 552 635
1141 Aspiration & Intra Articular Injections 575 661
1142 Application of P.O.P Spices & Jackets 2473 2844
Close Reduction of Fractures of Limb & P.O.P 2600 2990
1143
1144 Reduction of Compound Fractures 2760 3174
Open Reduction & Internal Fixation of Fingurs
5175 5951
1145 & Toes
Open Reduction offracture of Long Bones of
8050 9258
Upper / Lower Limb -iling & Exterl Fixation
1146

CGHS PUNE 29 of 46
 Open Reduction of fracture of Long Bones of
9660 11109
1147 Upper / Lower Limb -AO Procedures
1148 Tension Band Wirings 5658 6507
1149 Bone Grafting 6601 7591
1150 Excision of Bone Tumours 6900 7935
Excision or other Operations for Scaphoid
7188 8266
1151 Fractures
1152 Sequestrectomy & Saucerisation 6900 7935
Sequestrectomy & Saucerizations -Arthrotomy 9971 11467
1153
1154 Multiple Pinning Fracture Neck Femur 11500 13225
1155 Plate Fixations for Fracture Neck Femur 13500 15525
[Link] Procedures for Fracture Neck
16560 19044
1156 Femur
Open Reduction of Fracture Neck Femur
19500 22425
1157 Muscle Pedicle Graft and Internal Fixations
1158 Close Reduction of Dislocations 3174 3650
1159 Open Reduction of Dislocations 3439 3955
Open Reduction of Fracture Dislocation &
13500 15525
1160 Internal Fixation
1161 Neurolysis/Nerve repair 13800 15870
1162 Nerve Repair with Grafting 16675 19176
1163 Tendon with Transplant or Graft 10350 11903
1164 Tendon Lengthening/Tendon repair 8050 9258
1165 Tendon Transfer 3105 3571
1166 Laminectomy Excision Disc and Tumours 4830 5555
1167 Spil Ostectomy and Internal Fixations 24150 27773
Anterolateral decompression for tuberculosis/
3450 3968
1168 Costo-Transversectomy
Antereolateral Decompression and Spil Fusion 19350 22253
1169
Corrective Ostectomy & Internal Fixation -
13800 15870
1170 short bones
Corrective Ostectomy & Internal Fixation - long
11040 12696
1171 bones
1172 Arthrodesis of - Minor Joints 10350 11903
1173 Arthrodesis of - Major Joints 10000 11500
1174 Soft Tissue Operations for C.T.E.V. 8050 9258
1175 Soft Tissue Operations for Polio 6900 7935
1176 Hemiarthroplasty- Hip 20000 23000
1177 Hemiarthroplasty- Shoulder 20000 23000
Operations for Brachial Plexus & Cervical Rib 24150 27773
1178
1179 Amputations - Below Knee 6900 7935
1180 Amputations - Below Elbow 6843 7869
1181 Amputations - Above Knee 8050 9258
1182 Amputations - Above Elbow 6843 7869
1183 Amputations - Forequarter 13225 15209
Amputations -Hind Quarter and
18400 21160
1184 Hemipelvectomy

CGHS PUNE 30 of 46
 1185 Disarticulations - Major joint 20700 23805
1186 Disarticulations - Minor joint 12650 14548
1187 Arthrography 9200 10580
1188 Arthroscopy - Diagnostic 8568 9853
1189 Arthroscopy-therapeutic: without implant 10000 11500
1190 Arthroscopy-therapeutic: with implant 17250 19838
1191 Soft Tissue Operation on JOINTS -SMALL 6900 7935
1192 Soft Tissue Operation on JOINTS -LARGE 13500 15525
Myocutaneous and Fasciocutaneous Flap
18630 21425
1193 Procedures for Limbs
1194 Removal of Wires & Screw 1760 2024
1195 Removal of Plates 4140 4761
1196 Total Hip Replacement 73500 84525
1197 Total Ankle Joint Replacement 85860 98739
1198 Total Knee Joint Replacement 99000 113850
1199 Total Shoulder Joint Replacement 71100 81765
1200 Total Elbow Joint Replacement 71100 81765
1201 Total Wrist Joint Replacement 90000 103500
1202 Total finger joint replacement 20000 23000
1203 Tubular external fixator 4600 5290
1204 Ilizarov's external fixator 7763 8927
1205 Pelvi-acetebular fracture -Internal fixation 8625 9919
1206 Meniscectomy 12000 13800
1207 Meniscus Repair 10000 11500
1208 ACL Reconstruction 8500 9775
1209 PCL Reconstruction 13500 15525
1210 Knee Collateral Ligament Reconstruction 12500 14375
1211 Bencarf Repair Shoulder 11880 13662
1212 RC Repair 1500 1725
1213 Biceps tenodesis 14000 16100
1214 Distal biceps tendon repair 10380 11937
1215 Arthrolysis of knee 12500 14375
1216 Capsulotomy of Shoulder 15800 18170
1217 Conservative Pop 1200 1380
1218 Application for CTEV per sitting 1200 1380
1219 Total Hip Replacement Revision Stage-I 17000 19550
1220 Total Hip Replacement Revision Stage-II 50000 57500
1221 Total Knee Replacement Revision Stage-I 35000 40250
1222 Total Knee Replacement Revision Stage-II 35000 40250
Illizarov/ external fixation for limb lengthening/
12500 14375
1223 deformity correction
1224 Discectomy/ Micro Discectomy 11250 12938
1225 Laminectomy 4646 5343
Spinal Fixation Cervical/dorsolumbar/
16000 18400
1226 lumbosacral
Fusion Surgery Cervical/ Lumbar Spine upto 2
22000 25300
1227 Level
1228 More than 2 Level 12000 13800
Scoliosis Surgery/ Deformity Correction of
25000 28750
1229 Spine

CGHS PUNE 31 of 46
 1230 Vertebroplasty 12000 13800
1231 Spinal Injections 450 518
DHS ( Dynamic hip screw) for Fracture Neck
15000 17250
1232 Femur
1233 Proximal Femoral Nail (PFN for IT Fracture) 14000 16100
1234 Spinal Osteotomy 1434 1649
1235 Illizarov’s / External Fixation for Trauma 11700 13455
Soft Tissue Operations for Polio/ Cerebral Palsy 9501 11178
1236
1237 Mini Fixator for Hand/Foot 9000 10350
1238 Other Major Surgery 34425 40500
1239 Other Minor Surgery 11883 13980
TREATMENT PROCEDURE PHYSIOTHERAPY
1240 Ultrasonic therapy 78 90
1241 S.W. Diathermy 78 90
1242 Electrical stimulation (therapeutic) 78 90
1243 Muscle testing and diagnostic 71 82
1244 Infra red 78 90
1245 U.V. Therapeutic dose 58 67
1246 Intermittent Lumbar Traction 78 90
1247 Intermittent Cervical traction 75 86
1248 Wax bath 75 86
1249 Hot pack 78 90
1250 Breathing Exercises & Postural Drainage 50 58
1251 Cerebral Palsy – exercise 50 58
1252 Post – polio exercise 50 58
NUCLEAR MEDICINE / RADIOTHERAPY AND
CHEMOTHERAPY
1253 Cobalt 60 therapy 57375 67500
1254 Radical therapy 61583 70820
1255 Palliative therapy 24438 28104
1256 Linear accelerator 29750 35000
1257 Radical therapy 52785 60703
1258 Palliative therapy 30792 35411
1259 3 D Planning 4888 5621
1260 2 D Planing 4888 5621
1261 IMRT(Intensity Modulated radiotherapy) 100878 116010
1262 SRT (Stereotactic radiotherapy) 60996 70145
1263 SRS(Stereotactic radio surgery) 80546 92628
1264 IGRT(Image guided radiotherapy) 147016 169068
Respiratory Gating-alongwith Linear
110000 126500
1265 accelerator planning
1266 Electron beam with Linear accelerator 60726 71442
1267 Tomotherapy 71460 82179
NUCLEAR MEDICINE / BRACHYTHERAPY- HIGH
DOSE RADIATION
1268 Intracavitory 11730 13490
1269 Interstitial 52785 60703
1270 Intraluminal 9775 11241

CGHS PUNE 32 of 46
 1271 Surface mould 4644 5341
1272 GLIADAL WAFER 92000 105800
NUCLEAR MEDICINE / CHEMOTHARAPY
1273 Neoadjuvant 863 992
1274 Adjuvant 863 992
1275 Concurrent-chemoadiation 920 1058
1276 Single drug 552 635
1277 Multiple drugs 807 929
1278 Targeted therapy 920 1058
1279 Chemoport facility 920 1058
PICC line (peripherally inserted Central
920 1058
1280 canulisation)
LIST OF PROCEDURES/ TESTS IN
GASTROENTEROLOGY / ENDOSCOPIC
PROCEDURES
Upper G.I. Endoscopy + Lower G.I. Endoscopy 1725 1984
1281
1282 Diagnostic endoscopy 250 288
1283 Endoscopic biopsy 345 397
1284 Endoscopic mucosal resection 1543 1815
1285 Oesophageal stricture dilatation 1725 1984
1286 Balloon dilatation of achalasia cardia 2875 3306
1287 Foreign body removal 1725 1984
1288 Oesophageal stenting 3000 3450
1289 Band ligation of oesophageal varices 2500 2875
1290 Sclerotherapy of oesophageal varices 2500 2875
1291 Glue injection of varices 2500 2875
1292 Argon plasma coagulation 4025 4629
1293 Pyloric balloon dilatation 2415 2777
1294 Enteranal stenting 3680 4232
1295 Duodenal stricture dilation 990 1139
1296 Single balloon enterocopy 4000 4600
1297 Double balloon enteroscopy 3500 4025
1298 Capsule endoscopy 4950 5693
1299 Piles banding 1099 1264
1300 Colonic stricture dilatation 2737 3148
1301 Hot biopsy forceps procedures 3000 3450
1302 Colonic stenting 2737 3148
1303 Junction biopsy 2000 2300
1304 Conjugal microscopy 4000 4600
1305 Endoscopic sphincterotomy 2415 2777
1306 CBD stone extraction 2415 2777
1307 CBD stricture dilatation 6500 7475
1308 Biliary stenting (plastic and metallic) 4830 5555
1309 Mechanical lithotripsy of CBD stones 8000 9200
1310 Pancreatic sphincterotomy 6375 7500
1311 Pancreatic stricture dilatation 5750 6613
1312 Pancreatic stone extraction 10098 11613
1313 Mechanical lithotripsy of pancreatic stones 11385 13093
1314 Endoscopic cysto gastrostomy 8050 9258

CGHS PUNE 33 of 46
 1315 Balloon dilatation of papilla 6900 7935
1316 Ultrasound guided FNAC 575 661
1317 Ultrasound guided abscess Drainage 720 828
1318 PTBD 1150 1323
1319 Diagnostic angiography 2000 2300
1320 Vascular embolization 15100 17365
1321 TIPS 5400 6210
1322 IVC graphy + hepatic veinography 34212 39344
1323 Muscular stenting 97750 112413
1324 BRTO 57500 66125
1325 Portal haemodymic studies 1913 2250
1326 Manometry and PH metry 1612 1897
1327 Oesophageal PH metry 5000 5750
1328 Oesophageal manometry 5000 5750
1329 Small bowel manometry 6800 8000
1330 Anorectal manometry 6800 8000
1331 Colonic manometry 7650 9000
1332 Biliary manometry 7650 9000
1333 Sengstaken blackenesse tube tempode 2875 3306
1334 Lintas machles tube tempode 2875 3306
Fecal fat test/ fecal chymotrypsin/ fecal
350 403
1335 elastase
1336 Breath tests 300 345
1337 Extra corporeal shortwave lithotripsy 37260 42849
1338 Liver biopsy 1242 1428
NAME OF INVESTIGATION / DENTAL
1339 Dental IOPA X-ray 50 58
1340 Occlusal X-ray 78 90
1341 OPG X-ray 176 203
NAME OF INVESTIGATION / PULMONARY
Lung Ventilation & Perfusion Scan (V/Q Scan) 3400 3910
1342
1343 Lung Perfusion Scan 2000 2300
NAME OF INVESTIGATION / OSTEOLOGY
1344 Whole Body Bone Scan with SPECT. 3079 3541
1345 Three phase whole body Bone Scan 3079 3541
NAME OF INVESTIGATION / NEUROSCIENCES
Brain Perfusion SPECT Scan with Technetium
8798 10117
1346 99m radiopharmaceuticals.
1347 Radionuclide Cisternography for CSF leak 3400 3960
NAME OF INVESTIGATION / GASTRO AND
HEPATOBILIARY
Gastro esophageal Reflux Study (G.E.R. Study) 1760 2023
1348
Gastro intestinal Bleed (GloB.) Study with
3079 3541
1349 Technetium 99m labeled RBCs.
1350 Hepatobiliary Scintigraphy. 2200 2530
1351 Meckel's Scan 1760 2023

CGHS PUNE 34 of 46
 Hepatosplenic scintigraphy with Technetium-
1870 2200
1352 99m radiopharmaceuticals
1353 Gastric emptying 1275 1466
NAME OF INVESTIGATION / GENITOURINARY
Renal Cortical Scintigraphy with Technetium
3079 3541
1354 99m D.M.S.A.
1355 Dynamic Renography. 3400 3910
1356 Dynamic Renography with Diuretic. 3400 3910
1357 Dynamic Renography with Captopril 1960 2254
1358 Testicular Scan 1319 1517
NAME OF INVESTIGATION / ENDOCRINOLOGY
Thyroid Uptake measurements with 131-
1408 1619
1359 Iodine.
Thyroid Scan with Technetium 99m
1319 1517
1360 Pertechnetate.
1361 Lodine-131 Whole Body Scan. 2640 3036
1362 Whole Body Scan with M.I.B.G. 15836 18211
1363 Parathyroid Scan 4399 5059
NAME OF INVESTIGATION / RADIO-ISOTOPE
THERAPY
1364 131-lodine Therapy 1377 1620
1365 131-lodine Therapy <15mCi 3854 4432
1366 131-lodine Therapy 15-50mCi 4956 5699
1367 131-lodine Therapy 51-100mCi 12000 13800
1368 131-lodine Therapy >100mCi 15000 17250
Phosphorus-32 therapy for metastatic bone
5000 5750
1369 pain palliation
Samarium-153 therapy for metastatic bone
10450 12018
1370 pain palliation
1371 Radiosynovectomy with Yttrium 21250 25000
NAME OF INVESTIGATION / CARDIOLOGY
Stress thallium / Myocardial Perfusion
8505 9781
1372 Scintigraphy
Rest thallium / Myocardial Perfusion
7650 8798
1373 Scintigraphy
1374 Venography 2975 3500
1375 TMT 489 562
1376 TEE 440 506
1377 Lymph angiography 1452 1670
NAME OF INVESTIGATION / TUMOUR
IMAGING
1378 Scintimammography. 4320 4968
1379 Indium lableled octeriotide Scan. 65982 75879
NAME OF INVESTIGATION / PET SCAN
1380 FDG Whole body PET / CT Scan 19000 21850
1381 Brain I Heart FDG PET / CTScan, 13197 15176
Gallium-68 Peptide PET / CT imaging for
14450 16618
1382 Neuroendocrine Tumor

CGHS PUNE 35 of 46
 LABORATORY MEDICINE / CLINICAL
PATHOLOGY
Urine routine- pH, Specific gravity, sugar,
35 40
1383 protein and microscopy
1384 Urine-Microalbumin 70 81
1385 Stool routine 35 40
1386 Stool occult blood 24 28
1387 Post coital smear examination 30 35
1388 Semen analysis 35 40
LABORATORY MEDICINE / HAEMATOLOGY
1389 Haemoglobin (Hb) 18 21
1390 Total Leucocytic Count (TLC) 31 36
1391 Differential Leucocytic Count (DLC) 31 36
1392 E.S.R. 25 29
Total Red Cell count with
32 37
1393 MCV,MCH,MCHC,DRW
Complete Haemogram/CBC, Hb,RBC count and
indices, TLC, DLC, Platelet, ESR, Peripheral 135 155
1394 smear examination
1395 Platelet count 48 55
1396 Reticulocyte count 48 55
1397 Absolute Eosinophil count 48 55
1398 Packed Cell Volume (PCV) 13 15
1399 Peripheral Smear Examination 43 49
1400 Smear for Malaria parasite 41 47
1401 Bleeding Time 35 40
1402 Osmotic fragility Test 50 58
1403 Bone Marrow Smear Examination 70 81
Bone Marrow Smear Examination with iron
225 259
1404 stain
Bone Marrow Smear Examination and
440 506
1405 cytochemistry
Activated partial ThromboplastinTime (APTT) 92 105
1406
1407 Rapid test for malaria(card test) 40 46
WBC cytochemistry for leukemia -Complete
110 127
1408 panel
Bleeding Disorder panel- PT, APTT, Thrombin
400 460
1409 Time Fibrinogen, D-Dimer/ FDP
1410 Factor Assays-Factor VIII 648 750
1411 Factor Assays-Factor IX 612 704
1412 Platelet Function test 50 58
Tests for hypercoagulable states- Protein C,
400 460
1413 Protein S, Antithrombin
1414 Tests for lupus anticoagulant 150 173
Tests for Antiphospholipid antibody IgG, IgM (
450 518
1415 for cardiolipin and B2 Glycoprotein 1)
Thalassemia studies (Red Cell indices and Hb
560 644
1416 HPLC)

CGHS PUNE 36 of 46
 1417 Tests for Sickling / Hb HPLC) 69 80
LABORATORY MEDICINE / BLOOD BANK - see
Annexure also
1418 Blood Group & RH Type 30 35
1419 Cross match 50 58
1420 Coomb’s Test Direct 90 104
1421 Coomb’s Test Indirect 100 115
3 cell panel- antibody screening for pregnant
170 200
1422 female
1423 11 cells panel for antibody identification 170 200
1424 HBs Ag 102 120
1425 HCV 128 150
1426 HIV I and II 150 173
1427 VDRL 43 50
1428 RH Antibody titer 80 92
1429 Platelet Concentrate 400 400
1430 Random Donor Platelet(RDP) 400 400
1431 Single Donor Platelet (SDP- Aphresis) Upto 11000 Upto 11000
LABORATORY MEDICINE / HISTOPATHOLOGY
1432 Routine-H & E 90 104
1433 special stain 65 75
1434 Immunohistochemistry(IHC) 750 863
1435 Frozen section 780 897
1436 Paraffin section 309 355
LABORATORY MEDICINE / CYTOLOGY
1437 Pap Smear 150 173
1438 Body fluid for Malignant cells 150 173
1439 FNAC 200 230
NAME OF INVESTIGATION / FLOW
CYTOMETRY
1440 Leukemia panel /Lymphoma panel 1536 1766
1441 PNH Panel-CD55,CD59 1000 1150
LABORATORY MEDICINE / CYTOGENETIC
STUDIES
1442 Karyotyping 1539 1770
1443 FISH 495 569
LABORATORY MEDICINE / BIO-CHEMISTRY -
see also Annexure
1444 Blood Glucose Random 24 28
1445 24 hrs urine for Proteins,Sodium, creatinine 50 58
1446 Blood Urea Nitrogen 54 62
1447 Serum Creatinine 55 63
1448 Urine Bile Pigment and Salt 25 29
1449 Urine Urobilinogen 20 23
1450 Urine Ketones 30 35
1451 Urine Occult Blood 35 40
1452 Urine total proteins 18 21
1453 Rheumatoid Factor test 100 115
1454 Bence Jones protein 47 54

CGHS PUNE 37 of 46
 1455 Serum Uric Acid 55 63
1456 Serum Bilirubin total & direct 80 92
1457 Serum Iron 90 104
1458 C.R.P. 100 115
1459 C.R.P Quantitative 160 184
Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein
90 104
1460 etc.
1461 Albumin. 18 21
1462 Creatinine clearance. 80 92
1463 Serum Cholesterol 62 71
1464 Total Iron Binding Capacity 80 92
1465 Glucose (Fasting & PP) 47 54
1466 Serum Calcium –Total 60 69
1467 Serum Calcium –Ionic 44 51
1468 Serum Phosphorus 60 69
1469 Total Protein Alb/Glo Ratio 50 58
1470 IgG. 250 288
1471 IgM. 250 288
1472 IgA. 250 288
1473 ANA. 200 230
1474 Ds DNA. 350 403
1475 S.G.P.T. 55 63
1476 S.G.O.T. 55 63
1477 Serum amylase 105 122
1478 Serum Lipase 130 150
1479 Serum Lactate 72 83
1480 Serum Magnesium 100 115
1481 Serum Sodium 50 58
1482 Serum Potassium 50 58
1483 Serum Ammonia 100 115
1484 Anemia Profile 204 240
1485 Serum Testosterone 150 173
1486 Imprint Smear From Endoscopy 240 276
1487 Triglyceride 75 86
1488 Glucose Tolerance Test (GTT) 90 104
1489 Triple Marker. 800 920
1490 C.P.K. 100 115
1491 Foetal Haemoglobin (HbF) 85 100
1492 Prothrombin Time (P.T.) 110 127
1493 L.D.H. 100 115
1494 Alkaline Phosphatase 60 69
1495 Acid Phosphatase 78 90
1496 CK MB 190 219
1497 CK MB Mass 140 161
1498 Troponin I 100 115
1499 Troponin T 600 690
Glucose Phosphate Dehydrogenase (G, 6PD) 100 115
1500
1501 Lithium. 130 150
1502 Dilantin (phenytoin). 400 460

CGHS PUNE 38 of 46
 1503 Carbamazepine. 400 460
1504 Valproic acid. 270 315
1505 Feritin. 250 288
1506 Blood gas analysis 120 138
1507 Blood gas analysis with electrolytes 414 476
1508 Urine pregnancy test 65 75
Tests for Antiphospholipid antibodies
280 322
1509 syndrome.
1510 Hb A1 C 130 150
1511 Hb Electrophoresis/ Hb HPLC 100 115
1512 Kidney Function Test. 225 259
1513 Liver Function Test. 225 259
Lipid Profile.( Total
200 230
1514 cholesterol,LDL,HDL,treigylcerides)
Nutritional Markers
1515 Serum Iron 90 104
1516 Total Iron Binding Capacity 90 104
1517 Serum Ferritin 100 115
1518 Vitamin B12 assay. 225 259
1519 Folic Acid assay. 300 345
Extended Lipid Profile.( Total
cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo 595 684
1520 B,Lp(a) )
1521 Apo A1. 180 207
1522 Apo B. 179 206
1523 Lp (a). 401 461
1524 CD 3,4 and 8 counts 170 200
1525 CD 3,4 and 8 percentage 153 180
1526 LDL. 62 71
1527 Homocysteine. 400 460
1528 HB Electrophoresis. 396 455
1529 Serum Electrophoresis. 220 253
1530 Fibrinogen. 165 190
1531 Chloride. 60 69
1532 Magnesium. 150 173
1533 GGTP. 90 104
1534 Lipase. 239 275
1535 Fructosamine. 200 230
1536 β2 microglobulin 85 100
1537 Catecholamines. 1050 1208
1538 Creatinine clearance. 120 138
NAME OF INVESTIGATION / TUMOUR
MARKERS
1539 PSA- Total. 281 323
1540 PSA- Free. 375 431
1541 AFP. 293 345
1542 HCG. 289 332
1543 CA. 125. 352 405
1544 CA 19,9. 554 637
1545 CA 15.3. 536 630

CGHS PUNE 39 of 46
 1546 Vinyl Mandelic Acid 350 403
1547 Calcitonin 500 575
1548 Carcioembryonic antigen(CEA) 306 352
OTHERS
1549 Immunofluorescence 150 173
1550 Direct(Skin and kidney Disease) 425 500
1551 Indirect (antids DNA Anti Smith ANCA) 425 500
1552 VitD3 assay 550 633
Serum Protein electrophoresis with
270 311
1553 immunofixationelectrophoresis (IFE)
1554 BETA-2 Microglobulin assay 90 104
1555 Anti cycliocitrullinated peptide (Anti CCP) 450 518
1556 Anti tissuetransglutaminase antibody 425 500
1557 Serum Erythropoetin 425 500
1558 ACTH 500 575
HARMONES - See also Annexure
1559 T3, T4, TSH 200 230
1560 T3 64 75
1561 T4 64 75
1562 TSH 90 104
1563 LH 135 156
1564 FSH 135 156
1565 Prolactin 150 173
1566 Cortisol 250 288
1567 PTH(Paratharmone) 500 575
1568 C-Peptide. 330 380
1569 Insulin. 150 173
1570 Progesterone. 225 259
1571 17-DH Progesterone. 400 460
1572 DHEAS. 400 460
1573 Androstendione. 600 690
1574 Growth Hormone. 306 352
1575 TPO. 300 345
1576 Throglobulin. 300 345
1577 Hydatic Serology. 318 374
1578 Anti Sperm Antibodies. 380 437
1579 Qualitative. 1900 2185
1580 Quantitative. 1360 1600
1581 Qualitative. 1691 1945
1582 HPV serology 218 251
1583 Rota Virus serology 130 150
1584 PCR for TB 900 1035
1585 PCR for HIV 600 690
1586 Chlamydae antigen 850 978
1587 chlamydae antibody 238 280
1588 Brucella serology 230 265
1589 Influenza A serology 943 1084
USG, X-RAY , CT, MRI, BONE DENSITOMETRY
1590 USG for Obstetrics - Anomalies scan 770 886

CGHS PUNE 40 of 46
 1591 Abdomen USG 300 345
1592 Pelvic USG ( prostate, gynae, infertility etc) 255 300
Small parts USG ( scrotum, thyroid ,
349 410
1593 parathyroid etc)
1594 Neonatal head (Tranfontanellar) 425 489
1595 Neonatal spine 500 575
1596 Contrast enhanced USG 900 1035
1597 USG Breast 314 369
1598 USG Hystero-Salpaingography (HSG) 255 300
1599 Carotid Doppler 850 1000
1600 Arterial Colour Doppler 706 830
1601 Venous Colour Doppler 706 830
Colour Doppler, renal arteries/any other organ 800 920
1602
1603 USG guided intervention- FNAC 490 564
1604 USG guided intervention - biopsy 720 828
1605 USG guided intervention - nephrostomy 800 920
X-Ray
1606 Abdomen AP Supine or Erect (One film) 128 147
1607 Abdomen Lateral view (one film) 128 147
1608 Chest PA view (one film) 60 70
1609 Chest Lateral (one film) 60 70
Mastoids: Towne view, oblique views (3 films) 250 288
1610
Extremities, bones & Joints AP & Lateral views
255 300
1611 (Two films)
1612 Pelvis A.P (one film) 110 127
1613 T. M. Joints (one film) 110 127
1614 Abdomen & Pelvis for K. U. B. 128 147
1615 Skull A. P. & Lateral (2 films) 255 300
1616 Spine A. P. & Lateral (2 films) 250 288
1617 PNS view (1 film) 110 127
X RAY CONTRAST STUDIES
1618 Barium Swallow 510 600
1619 Barium Upper GI study 720 828
1620 Barium Upper GI study (Double contrast) 842 990
1621 Barium Meal follow through 935 1100
Barium Enema (Single contrast/double
850 1000
1622 contrast)
1623 Small bowel enteroclysis 1020 1200
ERCP (Endoscopic Retrograde Cholangio –
2500 2875
1624 Pancreatography)
General :Fistulography
/Sinography/Sialography/Dacrocystography/ T- 638 750
1625 Tube cholangiogram/Nephrostogram
Percutaneous transhepatic cholangiography
1440 1656
1626 (PTC)
1627 Intravenous Pyelography (IVP) 1190 1400
1628 Micturating Cystourethrography (MCU) 680 800
1629 Retrograde Urethrography (RGU) 680 800

CGHS PUNE 41 of 46
 1630 Contrast Hystero-Salpingography (HSG) 1020 1200
1631 X ray - Arthrography 700 805
1632 Cephalography 150 173
1633 Myelography 2750 3163
Diagnostic Digital Subtraction Angiography
1749 2011
1634 (DSA)
MAMMOGRAPHY
1635 X-ray Mammography 315 370
1636 MRI Mammography 2550 3000
CT
1637 CT Head-Without Contrast 900 1035
CT Head- with Contrast (+/- CT angiography) 1350 1553
1638
1639 C. T. Chest - without contrast (for lungs) 1700 2000
C. T. Scan Lower Abdomen(incl. Pelvis) With
1700 1955
1640 Contrast
C. T. Scan Lower Abdomen( Incl. Pelvis)
1500 1725
1641 Without Contrast
C. T. Scan Whole Abdomen Without Contrast 3000 3450
1642
1643 C. T. Scan Whole Abdomen With Contrast 4500 5175
1644 Triple Phase CT abdomen 4050 4658
1645 CT angiography abdomen/ Chest 4500 5175
1646 CT Enteroclysis 6000 6900
1647 C. T. Scan Neck – Without Contrast 1500 1725
1648 C. T. Scan Neck – With Contrast 1870 2200
1649 C. T. Scan Orbits - Without Contrast 1190 1400
1650 C. T. Scan Orbits - With Contrast 1615 1900
C. T. Scan of Para Nasal Sinuses- Without
900 1035
1651 Contrast
C. T. Scan of Para Nasal Sinuses - With
1600 1840
1652 Contrast
C. T. Spine (Cervical, Dorsal, Lumbar,
1500 1725
1653 Sacral)–without contrast
1654 CT Temporal bone – without contrast 893 1050
1655 CT - Dental 1275 1500
1656 C. T. Scan Limbs -Without Contrast 1700 2000
C. T. Scan Limbs -With Contrast including CT
2253 2650
1657 angiography
1658 C.T. Guided intervention –FNAC 1200 1380
1659 C.T. Guided Trucut Biopsy 1200 1380
C. T. Guided intervention -percutaneous
1305 1535
1660 catheter drainage / tube placement
MRI
1661 MRI Head – Without Contrast 1998 2350
1662 MRI Head – With Contrast 2848 3350
1663 MRI Orbits – Without Contrast 1445 1700
1664 MRI Orbits – With Contrast 2000 2300
MRI Nasopharynx and PNS – Without Contrast 2450 2818
1665

CGHS PUNE 42 of 46
 1666 MRI Nasopharynx and PNS – With Contrast 3500 4025
1667 MR for Salivary Glands with Sialography 3000 3450
1668 MRI Neck - Without Contrast 3000 3450
1669 MRI Neck- with contrast 5000 5750
1670 MRI Shoulder – Without contrast 2000 2300
1671 MRI Shoulder – With conntrast 2600 3000
MRI shoulder both Joints - Without contrast 3000 3450
1672
1673 MRI Shoulder both joints – With contrast 4000 4600
1674 MRI Wrist Single joint - Without contrast 2125 2500
1675 MRI Wrist Single joint - With contrast 4000 4600
1676 MRI Wrist both joints - Without contrast 2125 2500
1677 MRI Wrist Both joints - With contrast 5000 5750
1678 MRI knee Single joint - Without contrast 2125 2500
1679 MRI knee Single joint - With contrast 5000 5750
1680 MRI knee both joints - Without contrast 2125 2500
1681 MRI knee both joints - With contrast 5000 5750
1682 MRI Ankle Single joint - Without contrast 2125 2500
1683 MRI Ankle single joint - With contrast 5000 5750
1684 MRI Ankle both joints - With contrast 5000 5750
1685 MRI Ankle both joints - Without contrast 2500 2875
1686 MRI Hip - With contrast 2500 2875
1687 MRI Hip – without contrast 2125 2500
1688 MRI Pelvis – Without Contrast 2125 2500
1689 MRI Pelvis – with contrast 5000 5750
1690 MRI Extremities - With contrast 5000 5750
1691 MRI Extremities - Without contrast 2125 2500
MRI Temporomandibular – B/L - With contrast 4000 4600
1692
MRI Temporomandibular – B/L - Without
2125 2500
1693 contrast
MR Temporal Bone/ Inner ear with contrast 4000 4600
1694
MR Temporal Bone/ Inner ear without contrast 2500 2875
1695
1696 MRI Abdomen – Without Contrast 2125 2500
1697 MRI Abdomen – With Contrast 5000 5750
1698 MRI Breast - With Contrast 4250 5000
1699 MRI Breast - Without Contrast 2125 2500
1700 MRI Spine Screening - Without Contrast 1000 1150
1701 MRI Chest – Without Contrast 2125 2500
1702 MRI Chest – With Contrast 4000 4600
MRI Cervical/Cervico Dorsal Spine – Without
2125 2500
1703 Contrast
MRI Cervical/ Cervico Dorsal Spine – With
4000 4600
1704 Contrast
MRI Dorsal/ Dorso Lumbar Spine - Without
2125 2500
1705 Contrast
MRI Dorsal/ Dorso Lumbar Spine – With
4000 4600
1706 Contrast

CGHS PUNE 43 of 46
 MRI Lumbar/ Lumbo-Sacral Spine – Without
2125 2500
1707 Contrast
MRI Lumbar/ Lumbo-Sacral Spine – With
5000 5750
1708 Contrast
1709 Whole body MRI (For oncological workup) 5100 6000
1710 MR cholecysto-pancreatography. 5000 5750
1711 MRI Angiography - with contrast 5000 5750
1712 MR Enteroclysis 2125 2500
BONE DENSITOMETRY (DEXA SCAN)
1713 Dexa Scan Bone Densitometry - Two sites 1500 1725
Dexa Scan Bone Densitometry - Three sites
2000 2300
1714 (Spine, Hip & extremity)
1715 Dexa Scan Bone Densitometry Whole body 2450 2818
NEUROLOGICAL INVESTIGATIONS AND
PROCEDURES
1716 EEG/Video EEG 298 350
1717 EMG (Electro myography) 638 750
Nerve conduction velocity (at least 2 limbs) 638 750
1718
Decremental response (before and after neo
595 700
1719 stigmine)
1720 Incremental response 595 700
1721 SSEP (Somato sensory evoked potentials) 638 750
1722 Poly somnography 638 750
1723 Brachial plexus study 638 750
1724 Muscle biopsy 383 450
1725 ACHR anti body titre 1848 2125
1726 Anti MUSK body titre 2340 2691
1727 Serum COPPER 500 575
1728 Serum ceruloplasmin 450 518
1729 Urinary copper 500 575
1730 Serum homocystine 405 466
1731 Serum valproate level 315 362
1732 Serum phenol barbitone level 332 390
1733 Coagulation profile 553 636
1734 Protein C, S anti thrombine – III 2160 2484
1735 Serum lactate level 450 518
CSF
Basic studies including cell count, protein,
sugar, gram stain, India Ink preparation and 240 276
1736 smear for AFP
1737 Special studies 900 1035
1738 PCR for tuberculosis/ Herpes simplex 1080 1242
1739 Bacterial culture and sensitivity 200 230
1740 Mycobacterial culture and sensitivity 200 230
1741 Fungal culture 128 150
1742 Malignant cells 64 75
Anti measles antibody titre (with serum
801 922
1743 antibody titre)
1744 Viral culture 255 300

CGHS PUNE 44 of 46
 Antibody titre (Herpes simplex, cytomegalo
760 874
1745 virus, flavivirus, zoster varicella virus)
1746 Oligoclonal band 1200 1380
1747 Myelin Basic protein 1684 1937
1748 Lactate 298 345
1749 Crypto coccal antigen 1024 1178
TESTS IN GASTRO-ENTEROLOGY
1750 D-xylase test 765 900
Fecal fat test/ fecal chymotrypsin/ fecal
850 1000
1751 elastase
1752 Breath tests 1170 1346
1753 H pylori serology for ciliac disease 500 653
1754 HBV genotyping 2500 2875
1755 HCV genotyping 4875 5606
TESTS IN ENDOCRINOLOGY ( IN ADDITION TO
THOSE INCLUDED UNDER HARMONES)
1756 Urinary VMA 1350 1553
1757 Urinary metanephrine/Normetanephrine 1138 1309
1758 Urinary free catecholamine 1690 1944
1759 Serum catecholamine 3060 3519
1760 Serum aldosterone 1013 1190
1761 24 Hr urinary aldosterone 920 1058
1762 Plasma renin activity 1000 1150
1763 Serum aldosterone/renin ratio 1200 1380
1764 Osmolality urine 128 150
1765 Osmolality serum 128 150
1766 Urinary sodium 80 94
1767 Urinary Chloride 43 50
1768 Urinary potassium 80 94
1769 Urinary calcium 80 94
1770 Thyroid binding globulin 510 600
1771 24 hr. urinary free cotisole 200 230
1772 Islet cell antebody 750 863
1773 GAD antibody 1330 1530
1774 Insulin associated antibody 405 466
1775 IGF-1 1350 1553
1776 IGF-BP3 1485 1708
1777 Sex hormone binding globulin 1333 1533
1778 USG guided FNAC thyroid gland 387 455
1779 E2 208 245
1780 Thyro globulin antibody 587 675
ADDITIONAL PROCEDURES/INVESTIGATIONS AS INCLUDED ON THE BASIS
OF CGHS OMs FROM TIME TO TIME
Serum Electrolytes 160 160
CK-MB 60 190
Nebulization 75 75
Dengue Serology 510 600
DES 23625 23625
Serum IGE Level 300 345

CGHS PUNE 45 of 46
 Protein creatinine ratio urine 120 138
Secondary suture of wounds 3400 4000
Widal Test 60 60
FT3 106 106
FT4 106 106
Whole Blood 1450 1450
Fresh Frozen Plasma 400 400
Packed Red Cell 1450 1450
RDP/Platelet concentrate 400 400
Packed red cell 1450 1450
Cryoprecipitate 200 200
Platelet concentrate/SDP 11000 11000
Kappa Lambda Light chains, Free serum 3500 4025
Spirometry /PFT 300 345
Procalcitonin 1800 2070
Intracoronary OCT (AIIMS RATES)+GST 65000 65000
NT Pro BNP 1800 2070
CECT Chest including CD 2500 2875
MRI Prostate(Multi Parametric)including CD 6000 6900
HCV RNA Quantitative 1500 1725
Tacrolimus 2300 2645
Fibroscan liver 1000 1150
HLA B27(PCR) 500 575
Montoux test 175 201
Torch Test 1120 1288
FFR WIRE COST(AIIMS RATES)+GST 23500 23500

CGHS PUNE 46 of 46