CGHS package rate Delhi & NCR 2014

CITY : CGHS TVM

CGHS TREATMENT Non-
Sr. NABH/NABL
PROCEDURE/INVESTIGATION LIST NABH/Non-
No. Rates
(DELHI/NCR) NABL Rates

1 Consultation OPD 150 150

2 Consultation- for Inpatients 300 300

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 1466 1686

 Non- NABH/NABL
TREATMENT PROCEDURE SKIN NABH/Non- rates in Rupee

23 Excision of Moles 345 397

24 Excision of Warts 310 357

25 Excision of Molluscum contagiosum 130 150

26 Excision of Venereal Warts 160 184

27 Excision of Corns 140 161

28 I/D Injection Keloid(Intralesional Injection) 97 112

29 Chemical Cautery (s) 110 127

Non- NABH/NABL
TREATMENT PROCEDURE OPTHALMOLOGY NABH/Non- rates in Rupee

30 Subconjunctival/subtenon’s injections in one eye 60 69

31 Subconjunctival/subtenon’s injections in both eyes 120 138

32 Pterygium Surgery 5500 6325

33 Conjunctival Peritomy 50 58

Conjunctival wound repair or exploration following

34 3300 3795
blunt trauma

35 Removal of corneal foreign body 100 115

Cauterization of ulcer/subconjunctival injection in

36 60 69
one eye
Cauterization of ulcer/subconjunctival injection in
37 120 138
both eyes

38 Corneal grafting—Penetrating keratoplasty 5000 5750

39 Corneal grafting—Lamellar keratoplasty 5000 5750

Cyanoacrylate /fibrin glue application for corneal

40 600 690
perforation

41 Bandage contact lenses for corneal perforation 400 460

Scleral grafting or conjunctival flap for corneal

42 500 575
perforation
Keratoconus correction with therapeutic contact
43 1200 1380
lenses
Ultraviolet (UV) radiation for cross-linking for
44 1800 2070
keratoconus

45 EDTA for band shaped keratopathy 750 863

46 Arcuate keratotomy for astigmatism 2500 2875

47 Re-suturing (Primary suturing) of corneal wound 1000 1150

48 Penetrating keratoplasty with glaucoma surgery 10000 11500

49 Penetrating keratoplasty with vitrectomy 10560 12144

50 Penetrating keratoplasty with IOL implantation 13656 15703

51 DALK- Deep anterior lamellar keratoplasty 15000 17250

52 Keratoprosthesis stage I and II 10000 11500

DSAEK- Descemet’s stripping automated

53 16675 19176
endothelial keratoplasty
ALTK- Automated lamellar therapeutic
54 14500 16675
keratoplasty

55 Probing and Syringing of lacrimal sac- in one eye 60 69

56 Probing and Syringing of lacrimal sac- in both eye 120 138

57 Dacryocystorhinostomy—Plain 1500 1725

Dacryocystorhinostomy—Plain with intubation

58 7500 8625
and/or with lacrimal implants

59 Dacryocystorhinostomy—conjunctival with implant 8000 9200

60 Caliculoplasty 2000 2300

61 Dacryocystectomy 1725 1984

62 Punctal plugs for dry eyes 130 150

63 Refraction 36 41

64 Indirect Ophthalmoscopy 67 77

65 Orthoptic check-up- with synoptophore 38 44

66 Lees’ charting or Hess’ charting 100 115

67 Orthoptic exercises 50 58

68 Pleoptic exercises 50 58

69 Perimetry/field test—Goldman 125 144

70 Perimetry/field test— automated 125 144

71 Fluorescein angiography for fundus or iris 960 1104

72 Ultrasound A- Scan 150 173

73 Ultrasound B- Scan 230 265

74 Fundus Photo Test 200 230

75 Indocyanin green angiography 200 230

Corneal endothelial cell count with specular

76 230 265
microscopy

77 Corneal topography 200 230

78 Corneal pachymetry 30 35

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 2125 2500

84 HRT- Heidelberg’s retinal tomogram 120 138

85 GDx Nerve fibre layer analysis 88 101

86 UBM- Ultrasound bio microscopy 50 58

87 Non Contact tonometry (NCT) 30 35

88 IOP measurement with schiotz 30 35

89 IOP measurement with applation tonometry 50 58

90 Three mirror examination for retina 50 58

91 90 D lens examination 50 58

92 Gonioscopy 50 58

93 Chalazion incision and curettage in one eye 300 345

94 Chalazion incision and curettage in both eyes 384 442

95 Ptosis surgery with fasanella servat procedure 2000 2300

96 Ptosis surgery with LPS resection one lid 5000 5750

97 Ptosis surgery with Sling surgery one lid 6000 6900

98 Ectropion surgery- one lid 1400 1610

99 Ectropion surgery- both lids 2500 2875

100 Epicanthus correction 1550 1783

101 Cantholysis and canthotomy 500 575

102 Entropion surgery- one lid 1200 1380

103 Entropion surgery- both lids 2000 2300

104 Tarsorraphy 650 748

105 Suturing of lid lacerations 1000 1150

106 Lid retraction repair 1500 1725

107 Concretions removal 100 115

108 Bucket handle procedure for lid tumors 300 345

109 Cheek rotation flap for lid tumors 6000 6900

110 Orbitotomy 7000 8050

111 Enucleation 2000 2300

Enucleation with orbital implants and artificial

112 3000 3450
prosthesis

113 Evisceration 2000 2300

Evisceration with orbital implants and artificial

114 4950 5693
prosthesis

115 Telecanthus correction 4500 5175

116 Orbital decompression 5000 5750

117 Exenteration 6000 6900

118 Exenteration with skin grafting 5000 5750

119 Fracture orbital repair 9200 10580

120 Retinal laser procedures 1450 1668

121 Retinal detachment surgery (RDS) 10000 11500

Retinal detachment surgery (RDS) with scleral

122 12000 13800
buckling

123 Buckle removal 1000 1150

124 Silicone oil removal 2500 2875

125 Anterior retinal cryopexy 1010 1162

126 Squint correction for one eye 2000 2300

127 Squint correction for both eyes 4000 4600

128 Trabeculectomy 6000 6900

129 Trabeculotomy 6000 6900

130 Trabeculectomy with Trabeculotomy 6000 6900

131 Trephination 2300 2645

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

132 Goniotomy 345 397

2000 (+ 2300 ( +
133 Glaucoma surgery with Glaucoma valves
Valve) Valve)

134 Cyclocryotherapy 1000 1150

135 YAG laser iridotomy 1500 1725

136 YAG laser capsulotomy 950 1093

137 ALT-Argon laser trabeculoplasty 1495 1719

138 PDT-Photodymic therapy 3000 3450

139 TTT- Transpupillary thermal therapy 3000 3450

140 PTK- Phototherapeutic keratectomy 7000 8050

141 Argon/diode laser for retinal detatchment 1000 1150

142 Intralase application for keratoconus 5750 6613

143 EOG- electro-oculogram 900 1035

144 ERG- Electro-retinogram 794 913

145 VEP- visually evoked potential 800 920

146 Vitrectomy- pars plana 5000 5750

147 Intravitreal injections of antibiotics 1000 1150

Intravitreal injections of Ranibizumab excluding

148 3000 3450
cost of drug

149 X Ray orbit 100 115

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 Extracapsular cataract extraction (ECCE) with IOL 3450 3968

155 Small Incision Cataract Surgery (SICS) with IOL 5000 5750

Phaco with foldable IOL (silicone and

156 9375 10781
acrylic)/PMMA IOL

157 Pars plana lensectomy with/without IOL 10000 11500

Secondary IOL implantation- AC IOL PC IOL or

158 6000 6900
scleral fixated IOL
Cataract extraction with IOL with capsular tension
159 rings 9000 10350

160 Optic nerve sheathotomy 7500 8625

161 Iridodialysis repair or papillary reconstruction 4950 5693

162 Iris cyst removal 750 863

163 Lid Abscess incision and Drainage 200 230

164 Orbital Abscess incision and Drainage 2800 3220

165 Biopsy (eye) 300 345

166 Paracentesis (eye) 200 230

167 Scleral graft for scleral melting or perforation 2500 2875

168 Amniotic membrane grafting 1100 1265

169 Cyclodiathermy 2300 2645

170 Intraocular foreign body removal 187 215

171 Electrolysis (eye) 200 230

172 Perforating injury repair (eye) 4000 4600

173 Botulinum injection for blepharospasm or squint 2500 2875

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee
TREATMENT PROCEDURE DENTAL
PROCEDURES

174 Flap Operation per quadrant 360 414

175 Gingivectomy per quadrant 234 269

Reduction & immobilization of fracture- Maxilla

176 900 1035
Under LA
Reduction & immobilization of fracture-Mandible
177 1825 2099
Under LA

178 Splints/Circummandibular wiring under LA 510 587

179 Splints/Circummandibular wiring under GA 990 1139

Internal wire fixation/plate fixation of Maxilla

180 1825 2099
under LA
Internal wire fixation/plate fixation of Maxilla
181 4000 4600
under GA
Internal wire fixation/plate fixation of Mandible
182 2820 3243
under LA
Internal wire fixation/plate fixation of Mandible
183 4250 4888
under GA

184 Extraction per tooth under LA 80 92

185 Complicated Extraction per Tooth under LA 100 115

186 Extraction of impacted tooth under LA 160 184

Extraction in mentally retarded/patients with

187 systemic 939 1080

Cyst & tumour of Maxilla /mandible by

188 enucleation/ 244 281

Cyst & tumour of Maxilla / mandible by

189 enucleation / excision / marsupialisation size more 406 467

Cyst & tumour of Maxilla/mandible by

190 enucleation/excision/marsupialisation size more 1000 1150

191 TM joint ankylosis- under GA 7500 8625

192 Biopsy Intraoral-Soft tissue 374 430

193 Biopsy Intraoral-Bone 374 430

194 Hemi-mandibulectomy with graft 15920 18308

195 Hemi-mandibulectomy without graft 11800 13570

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)

202 treatment 1500 1725

203 Pre-prosthetic surgery- Alveoloplasty 500 575

204 Pre-prosthetic surgery - ridge augmentation 1200 1380

Root canal Treatment(RCT) Anterior teeth(per

205 500 575
tooth)
Root canal Treatment(RCT) Posterior teeth (per
206 700 805
tooth)

207 Apicoectomy- Single root 500 575

208 Apicoectomy-Multiple roots 650 748

209 Metal Crown-per unit 500 575

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

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

213 Removable partial denture-Metal based-upto 3 teeth 700 805

Removable partial denture-Metal based-more than 3

214 900 1035
teeth
Removable partial denture-Acrylic based-upto 3
215 500 575
teeth
Removable partial denture-Acrylic based-more than
216 264 304
3 teeth / Per tooth
217 Amalgam restoration-per tooth 200 230

218 Composite Restoration-per tooth-anterior tooth 250 288

219 Glass Ionomer filling-per tooth 200 230

220 Scaling & polishing 300 345

221 Removable Orthodontics appliance- per Arch 700 805

222 Fixed Orthodontics-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 (sal/auricular/orbital/facial

228 lost 3500 4025

229 Functional orthodontic appliances 3000 3450

230 Obturator (Maxillo-facial) 1500 1725

231 Occlusal night guard(splint) 800 920

Sr. Non- NABH/NABL

TREATMENT PROCEDURE ENT NABH/Non-
No. rates in Rupee

232 Pure Tone Audiogram 172 198

233 Impedence with stepedeal reflex 230 265

Short Increment Sensitivity Index (SISI) Tone

234 132 152
Decay

235 Multiple hearing assessment test to Adults 115 132

236 Speech Discrimination Score 90 104

237 Speech Assessment 120 138

238 Speech therapy per session of 30-40 minutes 131 151

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 575 661

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 8625 9919

250 Tympanoplasty 13800 15870

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 of Nasal Bone 4250 4888

261 Intra nasal Diathermy 1150 1323

262 Turbinectomy 5750 6613

263 Endoscopic Dacryocystorhinostomy (DCR) 13000 14950

264 Endoscopic Surgery ENT 13800 15870

265 Septal Perforation Repair 13800 15870

266 Antrum Puncture 950 1093

267 Lateral Rhinotomy 1000 1150

268 Cranio-facial resection 25500 29325

Caldwell Luc Surgery (Radical Antrostomy for

269 10626 12220
maxillary sinus)

270 Angiofibroma Excision 17000 19550

271 Endoscopic Hypophysectomy 525 604

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

Functional Endoscopic Sinus Surgery (FESS) for

277 5750 6613
Antrochoanal polyp
Functional Endoscopic Sinus Surgery (FESS) for
278 5750 6613
ethmoidal polyp

279 Polyp removal ear 748 860

280 Polyp removal Nose(Septal polyp) 748 860

Mastoidectomy plus Ossiculoplasty including

281 TORP (Total Ossicular Replacement Prosthesis) or 2415 2777
PORP (Partial Ossicular Replacement Prosthesis)

282 Endolymphatic sac decompression 2875 3306

283 Diagnostic endoscopy under GA 2300 2645

284 Young's 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

295 Direct laryngoscopy including Biopsy under GA 5000 5750

Oesophagoscopy with foreign body removal from

296 1800 2070
Oesophagus

297 Bronchoscopy with foreign body (FB) removal 2438 2804

298 Other Major Surgery-ENT 15000 17250

299 Other Minor Surgery-ENT 8500 9775

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee
TREATMENT PROCEDURE FOR HEAD AND
NECK

300 Ear Lobe Repair one side 500 575

Excision of Pinna for Growth (Squamous/Basal/

301 Injuries) 4000 4600

Excision of Pinna for Growth (Squamous/Basal/

302 Injuries) 3800 4370

303 Partial Amputation of Pinna 4500 5175

304 Total Amputation of Pinna 6200 7130

Total Amputation & Excision of External Auditory

305 1500 1725
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

315 Operation for Carcinoma Lip - Wedge-Excision 8050 9258

316 Operation for Carcinoma Lip - Vermilionectomy 5758 6622

Operation for Carcinoma Lip - Wedge Excision and

317 9292 10686
Vermilionectomy
Estlander Operation (Estlander flap in plastic
318 7475 8596
surgey of lips)
Abbe Operation (Abbe flap in plastic surgery of
319 9800 11270
lips)

320 Cheek Advancement 9775 11241

321 Excision of the Maxilla 19320 22218

322 Excision of mandible-segmental 15525 17854

323 Mandibulectomy 21000 24150

324 Partial Glossectomy 5520 6348

325 Hemiglossectomy 7000 8050

326 Total Glossectomy 22885 26318

Combined Mandibulectomy and Neck Dissection

327 22000 25300
Operation (Commando Operation)

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

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

340 Excision of Thyroglossal Cyst/Fistula 13225 15209

341 Excision of Parathyroid Adenoma/Carcinoma 21275 24466

342 Laryngectomy 17825 20499

343 Laryngo Pharyngectomy 30000 34500

344 Hyoid Suspension 10350 11903

345 Genioplasty 12000 13800

346 Direct Laryngoscopy including biopsy under GA 5175 5951

347 Phonosurgery 13800 15870

348 Fibreoptic examination of Larynx (FOL) under LA 1725 1984

349 Microlaryngeal Surgery 10350 11903

350 Laryngofissure 17250 19838

351 Tracheal Stenosis Excision 19780 22747

Sr. Non- NABH/NABL

Head and neck cancer NABH/Non-
No. rates in Rupee

352 Excisional Biopsies 5750 6613

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-Head and Neck Cancer 21250 24438

361 Other Minor Surgery-Head and Neck Cancer 5000 5750

Sr. Non- NABH/NABL

TREATMENT PROCEDURE BREAST NABH/Non-
No. rates in Rupee

362 Drainage of abscess 6000 6900

363 Excision of lumps 6969 8014

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-Breast 25000 28750

369 Other Minor Surgery-Breast 5000 5750

TREATMENT PROCEDURE GENERAL

SURGERY

370 Injury Of Superficial Soft Tissues 425 489

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 400 460

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 3220 3703

380 Incision Biopsy of Growths/Ulcers 1470 1691

381 Trucut Needle Biopsy 1550 1783

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee
382 Percutaneous Kidney Biopsy 1470 1691

383 Marrow Biopsy (Open) 1060 1219

384 Muscle Biopsy (See CGHS rate code 1724) 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

Varicose vein surgery-Trendelenburg operation

393 10000 11500
with suturing or ligation
Sr. Non- NABH/NABL
TREATMENT PROCEDURE OESOPHAGUS NABH/Non-
No. rates in Rupee
Atresia of Oesophagus and Tracheo Oesophageal
394 28750 33063
Fistula
Operations for Replacement of Oesophagus by
395 25000 28750
Colon

396 Oesophagectomy for Carcinoma Easophagus 25000 28750

397 Oesophageal Intubation (Mausseau Barbin Tube) 11500 13225

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

Colon-Inter position or Replacement of

402 22540 25921
Oesophagus
Oesophago Gastrectomy – Lower Corringers
403 21390 24599
procedure

404 Other Major Surgery-Oesophagus 27625 31769

405 Other Minor Surgery-Oesophagus 5000 5750

Sr. TREATMENT PROCEDURE ABDOMEN / GI Non- NABH/NABL
No. SURGERY NABH/Non- rates in Rupee

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

411 Vagotomy Pyleroplasty / Gastro Jejunostomy 13800 15870

412 Duodenojejunostomy 18950 21793

413 Partial/Subtotal Gastrectomy for Carcinoma 23000 26450

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

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

424 Epigastric Hernia Repair 11385 13093

425 Umbilical Hernia Repair 11385 13093

426 Ventral /incisional Hernia Repair 10293 11837

427 Inguinal Hernia Herniorrhaphy 14835 17060

428 Inguinal Hernia - Hernioplasty 16500 18975

429 Femoral Hernia Repair 18285 21028

Rare Hernias Repair (Spigalion, Obturator, Lumbar,

430 18975 21821
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

435 22885 26318
Hypertension

436 Mesentericocaval Anastomosis 25450 29268

437 Warren Shunt (Distal Splenorenal Shunt) 28750 33063

438 Pancreatico Duodenectomy (Whipple's procedure) 21735 24995

By Pass Procedure for Inoperable Carcinoma of

439 23000 26450
Pancreas

440 Cystojejunostomy or Cystogastrostomy 14490 16664

441 Cholecystectomy 10292 11836

442 Cholecystectomy & Exploration of CBD 14375 16531

443 Repair of Common Bile Duct (CBD) 13600 15640

444 Operation for Hydatid Cyst of Liver 11902 13687

445 Cholecystostomy 10292 11836

446 Hepatic Resections (Lobectomy /Hepatectomy) 14375 16531

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

455 Resection & Anastomosis of Small Intestine 20700 23805

456 Duodenal Diverticulum 18400 21160

457 Operation for Intestinal Obstruction 10350 11903

458 Operation for Intestinal perforation 42350 48703

459 Benign Tumours of Small Intestine 19550 22483

460 Excision of Small Intestine Fistula 19550 22483

461 Operations for GI Bleed 16000 18400

462 Operations for Haemorrhage of Small Intestines 19550 22483

463 Operations of the Duplication of the Intestines 17825 20499

Operations for Recurrent Intestinal Obstruction

464 (Noble 23000 26450

465 Ileosigmoidostomy and related resection 16790 19309

466 Ileotransverse Colostomy and related resection 16790 19309

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

467 Caecostomy 3903 4488

468 Loop Colostomy Transverse Sigmoid 13110 15077

469 Terminal Colostomy 17250 19838

470 Closure of Colostomy 17480 20102

471 Right Hemicolectomy 13800 15870

472 Left Hemicolectomy 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 with

476 13800 15870
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 - Thiersch Wiring 10350 11903

482 Prolapse Rectum - Rectopexy 5750 6613

483 Prolapse Rectum - Grahams Operation 18400 21160

484 Operations for Hirschsprungs Disease 14260 16399

485 Excision of Pilonidal Sinus (open) 11500 13225

486 Excision of Pilonidal Sinus with closure 11500 13225

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 Laparoscopic Fundoplication 19300 22195

494 Laparoscopic Splenectomy 25000 28750

495 Laparoscopic Removal of hydatid cyst 18000 20700

496 Laparoscopic treatment of Pseudo Pancreatic cyst 18000 20700

Laparoscopic Whipple's operation (Laparoscopic

497 20000 23000
Pancreatico Duodenectomy

498 Laparoscopic GI bypass operation 22000 25300

499 Laparoscopic Total Colectomy 25000 28750

500 Laparoscopic Hemicolectomy 23000 26450

Laparoscopic Anterior Resection (of Intestine/

501 23000 26450
Rectum)

502 Laparoscopic Cholecystetomy 18975 21821

503 Laparoscopic Appedicectomy 18000 20700

504 Laparoscopic Hernia inguinal repair 18000 20700

505 Laparoscopic ventral Hernia Repair 17500 20125

506 Laparoscopic Paraumblical Hernia Repair 17500 20125

507 Laparoscopic Adrenelectomy 12000 13800

508 Laparoscopic Nephrectomy 22000 25300

509 Other Major Surgery-Abdomen/GI Surgery 38000 43700

510 Other Minor Surgery-Abdomen/GI Surgery 6000 6900

Sr. TREATMENT PROCEDURE ICU/CCU Non- NABH/NABL

No. PROCEDURES NABH/Non- rates in Rupee
Coronary Care with Cardiac Monitoring (Room
511 750 863
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

Sr. TREATMENT PROCEDURE Non- NABH/NABL

No. CARDIOVASCULAR AND NABH/Non- rates in Rupee

520 Atrial Septal Defect(ASD) closure 51808 59579

521 Ventricular septal defect (VSD) with graft 51808 59579

Tetralogy of Fallot (TOF)

522 127075 146136
/TAPVC/TCPC/REV/RSOV repair

523 BD Glenn/Left atrium myxoma 80750 92863

Senning/Arterial Switch Operation (ASO) with

524 122188 140516
graft

525 Double Switch Operation (DSO) 119157 137031

526 Atrioventricular(AV) canal repair 161000 185150

527 Fontan procedure 169000 194350

528 Conduit repair 169000 194350

529 Coronary Artery Bypass Graft surgery (CABG) 127075 146136

Coronary Artery Bypass Graft surgery (CABG) +

530 169000 194350
Intra-Aortic Balloon Pump (IABP)
Coronary Artery Bypass Graft surgery (CABG) +
531 169000 194350
Valve

532 CABG without bypass. 140000 161000

533 Ascending aorta replacement 130000 149500

534 Double Valve Replacement (DVR) 155422 178735

Mitral valve Replacement(MVR)/ Aortic valve

535 119157 137031
Replacement(AVR)
Mitral valve (MV) Repair + Aortic valve (AV)
536 103615 119157
Repair

537 Aorta femoral bypass 52000 59800

538 Blalock-Taussig shunt (BT Shunt) / Coarctation 51980 59777

Pulmonary Artery Banding (PA Banding)

539 51980 59777
Septostomy

540 Pericardectomy 42320 48668

Congenital cytomegalovirus (CMV)/ patent ductus

541 51980 59777
arteriosus (PDA)

542 Gunshot injury 51980 59777

543 Heart transplant 276000 317400

544 Balloon coronary angioplasty/PTCA with VCD 75000 86250

545 Balloon coronary angioplasty/PTCA without VCD 70000 80500

546 Rotablation 48875 56206

Balloon Valvotomy / Percutaneous transvenous

547 10264 11804
mitral commissurotomy (PTMC)

548 Cardiac Catheterization (CATH) 10000 11500

549 Aortic 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 146625

556 Coaractation dilatation 14500 16675

557 Coaractation dilatation with Stenting 18500 21275

558 Temporary cardiac pacing (TPI) Single Chamber 7500 8625

559 Temporary cardiac pacing (TPI) Dual Chamber 8160 9384

Permanent pacemaker implantation (PPI)- Single

560 13800 15870
Chamber

561 Permanent pacemaker implantation- Dual Chamber 19320 22218

Permanent pacemaker implantation (PPI)-

562 34500 39675
Biventricular
Automatic implantable cardioverter defibrillator
563 28750 33063
(AICD) Single Chamber
Automatic implantable cardioverter defibrillator
564 40000 46000
(AICD) Dual Chamber

565 Combo device implantation 40000 46000

Diagnostic Electrophysiological studies

566 4550 5233
conventional

567 Ambulatory BP monitoring 587 675

568 External Loop/event recording 2848 3275

569 Radiofrequency (RF) ablation conventional 35000 40250

Radiofrequency (RF) ablation Atrial

570 45000 51750
Tachycardia/Carto

571 Endomyocardial biopsy 10000 11500

572 Intra aortic balloon pump (IABP) 7820 8993

573 Intra vascular coils 46000 52900

574 Septostomy- Balloon 16150 18573

575 Septostomy- Blade 19550 22483

 Aortic valve balloon dilatation (AVBD) /
576 48300 55545
pulmonary valve balloon dilatation (PVBD)

577 Digital subtraction angiography-Peripheral artery 11500 13225

578 Digital subtraction angiography- venogram 11500 13225

579 CT 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 60350 69403

584 Intravascular ultrasound (IVUS) 25000 28750

585 Fractional flow reserve (FFR) 5000 5750

586 Holter analysis 850 978

587 Aortic stent grafting for aortic aneurysm 78500 90275

588 Inferior Vena Cava (IVC) filter implantation 16129 18548

589 ASD/VSD/PDA device closure 36225 41659

590 Electrocardiogram (ECG) 50 58

591 Head--up tilt test (HUTT) 2200 2530

592 2D echocardiography 1200 1380

593 3D echocardiography 1403 1613

594 Fetal Echo 1400 1610

595 2D Transesophageal Echocardiography (TEE) 1403 1613

596 3D Transesophageal Echocardiography (TEE) 1403 1613

597 Stress Echo- exercise 1500 1725

598 Stress Echo- pharmacological 2500 2875

Stress Myocardial Perfusion Imaging (MPI)-

599 1955 2248
exercise
Stress Myocardial Perfusion Imaging (MPI) -
600 2500 2875
pharmacological
Sr. CGHS TREATMENT Non- NABH/NABL
No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

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. 5635 6480

607 Cardiac PET 1500 1725

608 Pericardiocentesis 3500 4025

Other Major Surgery-Cardiovascular and Cardiac

609 20000 23000
Surgery & Investigations
Other Minor Surgery-Cardiovascular and Cardiac
610 4250 4888
Surgery & Investigations
Sr. TREATMENT PROCEDURE OBSTETRICS Non- NABH/NABL
No. AND NABH/Non- rates in Rupee
Normal delivery with or without Episiotomy & P.
611 8000 9200
repair

612 vacuum delivery 8625 9919

613 Forceps Delivery 9200 10580

614 Cesarean Section(CS) 14050 16158

615 Cesarean Hysterectomy 18975 21821

Rupture Uterus closure & repair with Tubal

616 17250 19838
Ligation
Perforation of Uterus after D/E Laparotomy &
617 13800 15870
Closure

618 Laparotomy for Ectopic pregnancy 13800 15870

619 Laparotomy-peritonitis Lavage and Drainage 11500 13225

Salphingo-Oophorectomy/ Oophorectomy
620 10000 11500
Laparoscopic

621 Ovarian Cystectomy-laparoscopic. 10350 11903

622 Ovarian Cystectomy -laparotomy. 13800 15870

623 Salpingo-Oophorectomy-laparotomy 11520 13248

 Laparoscopic Broad Ligament Hematoma Drainage
624 with 6900 7935

625 Exploration of perineal Haematoma & Repair 8000 9200

Exploration of abdominal Haematoma (after

626 laparotomy + 8050 9258

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

631 Gaping abdominal wound Secondary Suturing 3450 3968

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/ incomplete

635 5175 5951
abortion

636 Colpotomy 3450 3968

637 Repair of post-coital tear/ perineal injury 3508 4034

638 Excision of urethral caruncle 3450 3968

639 Shirodhkar/ McDonald stitch 3220 3703

Abdominal Hysterectomy with or without salpingo-

640 17250 19838
oophorectomy

641 Non-descent Vaginal Hysterectomy (NDVH) 17250 19838

642 Vaginal Hysterectomy with repairs (UV Prolapse) 17250 19838

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 Rectovaginal Fistula (RVF) Repair 18975 21821

649 Manchester Operation 15000 17250

Shirodkar’s sling Operation or other sling

650 operations for 3450 3968

651 Laparoscopic sling operations for prolapse uterus 32200 37030

652 Diagnostic Curettage 2484 2857

653 Cervical Biopsy 1800 2070

654 Polypectomy 1518 1746

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

658 and or 4025 4629

659 Laparoscopy Sterilization 3450 3968

Laparoscopically Assisted Vaginal Hysterectomy

660 54000 62100
(LAVH)
Balloon Temponade for Post Partum Haemorrhage
661 2800 3220
(PPH)

662 Total laparoscopic hysterectomy 25243 29029

Laparoscopic treatment of Ectopic pregnancy-

663 9775 11241
salpingectomy/salpingostomy conservative

664 Conisation of cervix 4025 4629

665 Trachelectomy of cervix for early CA cervix 5500 6325

666 Hysteroscopic cannulation 2875 3306

Laparotomy recannalization of Fallopian tubes-

667 22425 25789
(Tubuloplasty)
Laparoscopic recannalization of Fallopian tubes-
668 45980 52877
(Tubuloplasty)

669 Colposcopy 958 1102

670 Inversion of Uterus – Vaginal Reposition 2500 2875

671 Inversion of Uterus – Abdominal Reposition 2500 2875

672 Laparoscopic Vesicovaginal Fistula (VVF) Repair 32200 37030

673 Abdominal Vesicovaginal Fistula (VVF) Repair 32200 37030

674 Vaginal Vesicovaginal Fistula (VVF) Repair 32200 37030

Interventional Ultrasonography- Chorionic villus

675 880 1012
sampling (CVS)

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 Intracytoplasmic sperm injection (ICSI) 11500 13225

683 Laparotomy abdominal sacro-colpopexy 15000 17250

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

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

689 monitioring 460 529

690 laparoscopic treatment for stress incontinence 15000 17250

691 Transvaginal tapes for Stress incontinence 15000 17250

692 trans-obturator tapes for Stress incontinence 12000 13800

693 Interventional radiographic arterial embolization 18000 20700

694 Diagnostic cystoscopy 2875 3306

695 Staging laparotomy surgery for Carcinoma 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 21275 24466

Hysteroscopy Transcervical Resection of

700 8500 9775
Endometrium (TCRE)
Hysteroscopy Removal of Intra-uterine
701 7500 8625
Contraceptive Device (IUCD)

702 Hysteroscopy Removal of Septum 11000 12650

703 Hysteroscopy Diagnostic 7500 8625

Radical Hysterectomy for Cancer cervix with pelvic

704 8500 9775
lymphadenectomy
Radical Hysterectomy for Cancer endometrium
705 extending 8500 9775

706 Sterilization Post partum (minilap) 3750 4313

707 Sterilization interval (minilap) 3750 4313

708 Ultrasonography Level II scan/Anomaly Scan 500 575

709 Fetal nuchal Translucency 300 345

Fetal Doppler/Umblical Doppler/Uterine Vessel

710 850 978
Doppler
Medical Termination of Pregnancy (MTP)- 1st
711 3000 3450
Trimester
Medical Termination of Pregnancy (MTP) - 2nd
712 4370 5026
Trimester

713 Quadruple test 2000 2300

714 Biophysical score 600 690

715 Other Major Surgery-Obstetrics and Gynaecology 28000 32200

716 Other Minor Surgery-Obstetrics and Gynaecology 5000 5750

Sr. TREATMENT PROCEDURE NEPHROLOGY Non- NABH/NABL

No. AND UROLOGY NABH/Non- rates in Rupee

717 Partial Nephrectomy -open 16215 18647

718 Partial Nephrectomy-Laparoscopic/endoscopic 14490 16664

719 Nephrolithomy -open 12000 13800

720 Nephrolithomy -Laparoscopic/endoscopic 14000 16100

721 Pyelolithotomy-open 13000 14950

722 Pyelolithotomy -Laparoscopic/endoscopic 10580 12167

723 Operations for Hydronephrosis -pyeloplasty open 18400 21160

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee
Operations for Hydronephrosis -pyeloplasty
724 19000 21850
Lap/endoscopic
Operations for Hydronephrosis Endopyelotomy
725 20000 23000
antegrade
Operations for Hydronephrosis Endoplyelotomy
726 20000 23000
retrograde

727 Operations for Hydronephrosis -ureterocalicostomy 18000 20700

728 Operations for Hydronephrosis-Ileal ureter 18000 20700

729 Open Drainage of Perinephric Abscess 8000 9200

Percutaneous Drainage of Perinephric Abscess -

730 Ultrasound 5750 6613

731 Cavernostomy 9775 11241

732 Operations for Cyst of the Kidney -open 11960 13754

733 Operations for Cyst of the Kidney -Lap/endoscopic 14030 16135

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

739 Operations for Ureter -for Ectopia of Single Ureter 18000 20700

740 Operations for Vesicoureteric Reflux (VUR) -Open 18000 20700

Operations for Vesicoureteric Reflux (VUR)-

741 18000 20700
Lap/Endoscopic
Operations for Vesicoureteric Reflux (VUR)/
742 20700 23805
Urinary 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

750 Suprapubic Drainage (Cystostomy/vesicostomy) 6000 6900

751 Simple Cystectomy 17250 19838

752 Diverticulectomy -open 16000 18400

753 Diverticulectomy- Lap/Endoscopic 18400 21160

754 Diverticulectomy -Endoscopic incision of neck 1725 1984

755 Augmentation Cystoplasty 6670 7671

Operations for Exstrophy of the Bladder- Single

756 22300 25645
stage repair
Operations for Exstrophy of the Bladder-
757 20815 23937
Multistage repair
Operations for Exstrophy of the Bladder- simple
758 22500 25875
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

767 Internal urethrotomy -Core through urethroplasty 11040 12696

768 Urethral Reconstruction -End to end ansatamosis 3450 3968

Urethral Reconstruction - substitution urethroplasty

769 19550 22483
(Transpubic urethroplasty)

770 Abdomino Perineal urethroplasty 14000 16100

771 Posterior Urethral Valve fulguration. 11270 12961

772 Operations for Incontinence of Urine - Male -Open 17250 19838

773 Operations for Incontinence of Urine - Male -Sling 18400 21160

Operations for Incontinence of Urine - Male-

774 19435 22350
Bulking agent
Operations for Incontinence of Urine - Female -
775 17250 19838
Open
Operations for Incontinence of Urine - Female-
776 18400 21160
Sling
Operations for Incontinence of Urine - Female-
777 19435 22350
Bulking agent

778 Reduction of Paraphimosis 1725 1984

779 Circumcision 3000 3450

780 Meatotomy 2346 2698

781 Meatoplasty 3220 3703

782 Operations for Hypospadias + Chordee Correction 10580 12167

783 Operations for Hypospadias - Second Stage 15000 17250

784 Operations for Hypospadias - One Stage Repair 9200 10580

785 Operations for Crippled Hypospadias 11500 13225

786 Operations for Epispadias _primary repair 12593 14482

787 Operations for Epispadias-crippled epispadias 11385 13093

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 lymph

792 node 14000 16100

793 Epididymectomy 15938 18750

Adreneclectomy Unilateral/Bilateral for

794 Tumour/For 25300 29095

Adreneclectomy Unilateral/Bilateral for

795 Tumour/For 14375 16531
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 epidedymal

799 11040 12696
ansatamosis .

800 Operations for Varicocele Unilateral-Microsurgical 7705 8861

Operations for Varicocele Palomo’s Unilateral -

801 9200 10580
Lap

802 Operations for Varicocele Bilateral --Microsurgical 12650 14548

803 Operations for Varicocele Bilateral – Lap/ Palomo 14950 17193

Block Dissection of ilio-inguinal Nodes - One Side

804 (For Ca- 6325 7274

Block Dissection of ilio-inguinal Nodes -Both Sides

805 (For Ca- 23000 26450

806 Excision of Filarial Scrotum 11500 13225

807 Kidney Transplantation (related) 200000 230000

Kidney Transplantation (Spousal/ unrelated)

808 Including 300000 345000

809 ABO incompatible Transplantation 490000 563500

810 Swap Transplantation 388000 446200

811 Kidney Transplant Graft Nephrectomy 59500 68425

812 Donor Nephrectomy (open) 28750 33063

813 Donor Nephrectomy (Laparoscopic) 46000 52900

814 Cadaver Transplantation 83300 95795

Kidney Transplant with Native Kidney

815 Nephrectomy 28000 32200

Kidney Transplant with Native Kidney

816 Nephrectomy 85000 97750

Kidney Transplant with Native Kidney

817 Nephrectomy 85000 97750

Kidney Transplant with Native Kidney

818 Nephrectomy 85000 97750

Post-Transplant Collection drainage for

819 6800 7820
Lymphocele (open)
Post-Transplant Collection drainage for
820 Lymphocele 6800 7820
 Post-Transplant Collection drainage for
821 Lymphocele 7650 8798

822 Arteriovenous Fistula for Haemodialysis 2300 2645

823 Arteriovenous Shunt for Haemodialysis 3500 4025

824 Jugular Catheterization for Haemodialysis 1500 1725

825 Subclavian Catheterization for Haemodialysis 2250 2588

One sided (single Lumen) Femoral Catheterization

826 for 1000 1150

Bilateral (single Lumen) Femoral Catheterization

827 for 1500 1725

Double Lumen Femoral Catheterization for

828 1850 2128
Haemodialysis

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 1955

833 Plasma Exchange/ Plasmapheresis 1500 1725

Continuous Ambulatory Peritoneal Dialysis

834 3500 4025
(CAPD) catheter insertion- Open method
Continuous Ambulatory Peritoneal Dialysis
835 (CAPD) catheter insertion- Schlendinger/ Seldinger 3500 4025

Sustained low efficiency haemodialysis /

836 1250 1438
hemodialysis
Sr. CGHS TREATMENT PROCEDURE / Non- NABH/NABL
No. INVESTIGATION LIST (DELHI/NCR) NABH/Non- rates in Rupee
Continuous Veno venous/Arteriovenous
837 2250 2588
Haemofilteration /Hemofilteration
Haemodialysis / Hemodialysis for Sero negative
838 1400 1610
cases
Haemodialysis / Hemodialysis for Sero Positive
839 1650 1898
cases

840 Acute Peritoneal Dialysis 1450 1668

841 Fistulogram for Arteriovenous Fistula 2500 2875

842 Ultrasound guided kidney Biopsy 850 978

843 Fistula stenosis dilation 3000 3450

844 Slow continuous Ultrafilteration 2500 2875

845 Percutaneous Nephrolithotomy (PCNL) - Unilateral 20000 23000

846 Percutaneous Nephrolithotomy (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

852 23000 26450
cardiac bypass.

853 Vesicovaginal Fistula (VVF) Repair (Open) 16000 18400

854 Vesicovaginal Fistula (VVF) Repair (Laparoscopic) 22000 25300

855 Radical Cystectomy -Ileal conduit 17000 19550

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 12310

Ureteric Reimplant for Megaureter/Vesicoureteric

862 10494 12068
reflux/ ureterocele (open)
Ureteric Reimplant for Megaureter/Vesicoureteric
863 10494 12068
reflux/ ureterocele (Laparoscopic)

864 Partial Cystectomy 13800 15870

Transurethral Resection of Prostate (TURP) &

865 Transurethral Resection of Bladder Tumour 17250 19838

Transurethral Resection of Prostate (TURP) with

866 17000 19550
Cystolithotripsy

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

872 Cystolithotomy -Suprapubic 9775 11241

873 Endoscopic Removal of Stone in Bladder 3450 3968

Resection Bladder Neck Endoscopic /Bladder neck

874 10925 12564
incision/transurethral incision on 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

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

880 Dilatation of Stricture Urethra under LA 1725 1984

Laparoscopic Nephrectomy (Select CGHS rate

881 33350 38353
Code 508 for approved rate)

882 Laparoscopic partial Nephrectomy 10000 11500

883 Laparoscopic pyelolithotomy 12650 14548

884 Laparoscopic Pyeloplasty 9775 11241

885 Laparoscopic surgery for Renal cyst 9775 11241

886 Laparoscopic ureterolithotomy 11500 13225

887 Laparoscopic Nephroureterectomy 13225 15209

888 Extracorporeal Shock Wave Lithotripsy (ESWL) 19550 22483

889 Uroflow Study (Uroflometry) 450 518

890 Urodynamic Study (Cystometry) 480 552

Cystoscopy with Retrograde Catheter -Unilateral

891 2803 3223
/RGP
Cystoscopy with Retrograde Catheter - Bilateral
892 4675 5376
/RGP
Cystoscopy with Bladder Biopsy (Cold Cup
893 3381 3888
Biopsy)
 Voiding-cysto-urethrogram and retrograde
894 urethrogram 414 476

895 Radical prostatectomy-Open 17825 20499

896 Radical prostatectomy-Laparoscopic 20125 23144

Radical prostatectomy- Robotic (Robotic Partial

897 20125 23144
Nephrectomy)

898 Holmium YAG Prostate Surgery 17250 19838

899 Holmium YAG Optical Internal Urethrotomy (OIU) 4600 5290

900 Holmium YAG Core through internal Urethrotomy 17250 19838

901 Holmium YAG Stone Lithotripsy 10200 11730

902 Green Light laser for prostate 17250 19838

Retrograde Intrarenal Surgery (RIRS)/ Flexible

903 6800 7820
Ureteroscopy
Microscopic Vaso-Epididymal Anastomosis
904 (VEA)/ Vasovasostomy (reversal of vasectomy for 13500 15525

Cystoscopic Botulinum Toxin Injection ( Over

905 active 6800 7820

906 Peyronie’s disease – Plaque excision with grafting 3400 3910

High Intensity Focus Ultrasound (HIFU) (Robotic)

907 for 4600 5290

908 Prosthetic surgery for urinary incontinence 2300 2645

Transrectal Ultrasound (TRUS) guided prostate

909 575 661
biopsy
Ultrasound Guided Percutaneous Nephrostomy
910 720 828
(PCN)

911 Other Major Surgery-Nephrology and Urology 15000 17250

912 Other Minor Surgery-Nephrology and Urology 6800 7820

Sr. TREATMENT PROCEDURE NEURO- Non- NABH/NABL

No. SURGERY NABH/Non- rates in Rupee
Craniotomy and Evacuation of Haematoma -
913 50715 58322
Subdural
Craniotomy and Evacuation of Haematoma -
914 50000 57500
Extradural
Evacuation /Excision of Brain Abscess by
915 40000 46000
craniotomy
Excision of Lobe (Frontal Temporal Cerebellum
916 41000 47150
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 (Select

920 See code 938 See code 938
CGHS rate code 938 for approved rates)

921 Twist Drill Craniostomy 4250 4888

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

922 Subdural Tapping 2456 2824

923 Ventricular Tapping 2967 3412

924 Abscess Tapping 2875 3306

925 Placement of Intracranial pressure (ICP) Monitor 2875 3306

926 Skull Traction Application 2300 2645

927 Lumbar Pressure Monitoring 4250 4888

928 Vascular Malformations 22000 25300

929 Meningo Encephalocoele excision and repair 15000 17250

930 Meningomyelocoele Repair 24995 28744

931 CSF Rhinorrhoea Repair 28750 33063

932 Cranioplasty 24150 27773

933 Anterior Cervical Discectomy 16600 19090

934 Brachial Plexus Exploration and neurotization 15525 17854

935 Median Nerve Decompression 14000 16100

936 Peripheral Nerve Surgery – Major 17250 19838

937 Peripheral Nerve Surgery Minor 8280 9522

938 Ventriculoatrial /Ventriculoperitoneal 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 & Craniovertebral

945 34500 39675
(CV) Junction Fusion

946 Craniovertebral Junction (CVJ) Fusion procedures 30000 34500

947 Depressed Fracture Elevation 25000 28750

948 Lumbar Discectomy 27600 31740

949 Endarterectomy (Carotid) 20000 23000

Radiofrequency (RF) Lesion for Trigeminal

950 11500 13225
Neuralgia

951 Spasticity Surgery - 39675 45626

952 Spinal Fusion Procedure 30000 34500

953 Spinal Intra Medullary Tumours 34500 39675

954 Spinal Bifida Surgery Major 18975 21821

955 Spinal Bifida Surgery Minor 15000 17250

956 Stereotaxic Procedures- biopsy/aspiration of cyst 23000 26450

957 Trans Sphenoidal Surgery 30000 34500

958 Trans Oral Surgery 30000 34500

Implantation of Deep Brain Stimulation (DBS) -

959 34500 39675
One electrode
Implantation of Deep Brain Stimulation (DBS) -two
960 40250 46288
electrodes

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 Hemispherotomy for Epilepsy 32200 37030

968 Endoscopic CSF rhinorrhoea repair 30000 34500

Burr hole evacuation of chronic subdural

969 24150 27773
haematoma

970 Epilepsy surgery other than at S No. 966 and 967 36225 41659

Radiofrequency (RF) lesion for facet joint pain

971 17250 19838
syndrome

972 Cervical laminoplasty 32000 36800

973 Lateral mass C1-C2 screw fixation 23000 26450

974 Microsurgical decompression for Trigeminal nerve 38000 43700

975 Microsurgical decompression for hemifacial spasm 4646 5343

Extracranial-Intracranial Bypass Procedures (EC-

976 32000 36800
IC) bypass procedures

977 Image guided craniotomy 28980 33327

978 Baclofen pump implantation 39000 44850

979 Programmable Ventriculo-Peritoneal (VP) shunt 25000 28750

980 Endoscopic sympathectomy 17107 19673

981 Lumbar puncture 207 238

982 External ventricular drainage (EVD) 4600 5290

983 Endoscopic 3rd ventriculostomy 40000 46000

984 Endoscopic cranial surgery/Biopsy/aspiration 31536 36266

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

990 40000 46000
malformations(AVM)
Foramen magnum decompression for Chiari
991 93750 107813
Malformation
 Dorsal column stimulation for backache in failed
992 back 28750 33063

993 Surgery for recurrent disc prolapse/epidural fibrosis 32200 37030

994 Surgery for brain stem tumours 43988 50586

Decompressive craniotomy for hemispherical acute

995 40000 46000
subdural haematoma/brain swelling/large infarct
Intra-arterial thrombolysis with Tissue Plasminogen
996 4600 5290
Activator (TPA) (for ischemic stroke )

997 Stereotactic aspiration of intracerebral haematoma 32545 37427

998 Endoscopic aspiration of intracerebellar haematoma 40000 46000

Stereotactic Radiosurgery for brain pathology(X

999 27560 31694
knife/Gamma ) - ONE session
Stereotactic Radiosurgery for brain pathology(X
1000 57500 66125
knife /Gamma knife -Two or more sessions

1001 Chemotheraphy wafers for malignant brain tumors 14450 16618

Battery Placement for Deep Brain Stimulation

1002 22000 25300
(DBS)

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 40000 46000

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

1009 Surgery for Cranial (Skull) tumors 38500 44275

Surgery for Scalp Arteriovenous Malformations

1010 25000 28750
(AVMs)

1011 Kyphoplasty 40000 46000

1012 Balloon Kyphoplasty 40000 46000

Lesioning procedures for Parkinson’s disease,

1013 35000 40250
Dystonia etc.

1014 Other Major Surgery-Neuro-surgery 42500 48875

1015 Other Minor Surgery-Neuro-surgery 17000 19550

Sr. TREATMENT PROCEDURE PAEDIATRIC Non- NABH/NABL
No. SURGERY NABH/Non- rates in Rupee

1016 Excision of thyroglossal Duct/Cyst 16000 18400

Diaphragmatic Hernia Repair (Thoracic or

1017 Abdominal 17250 19838

1018 Tracheo Oesophageal Fistula (Correction Surgery) 23000 26450

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 Gastroschisis Repair 16100 18515

1026 Inguinal Herniotomy 12558 14442

1027 Congenital Hydrocele 12000 13800

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) 6050 6958

1036 Colostomy Transverse 15000 17250

1037 Colostomy Left Iliac 15000 17250

Abdominal Perineal Pull Through (Hirschsprung's

1038 19000 21850
Disease)
Imperforate Anus Low Anomaly -Cut Back
1039 10235 11770
Operation
 Imperforate Anus Low Anomaly - Perineal
1040 12000 13800
Anoplasty
Imperforate Anus High Anomaly -Sacroabdomino
1041 12500 14375
Perineal Pull Through
Imperforate Anus High Anomaly - Closure of
1042 8625 9919
Colostomy

1043 Intussusception Operation 20700 23805

Choledochoduodenostomy for Atresia of Extra

1044 15000 17250
Hepatic Billiary Duct

1045 Operation of Choledochal Cyst 16000 18400

1046 Nephrectomy for -Pyonephrosis 17000 19550

1047 Nephrectomy for - Hydronephrosis 15000 17250

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

1048 Nephrectomy for -Wilms Tumour 48400 55660

Paraortic Lymphadenectomy with Nephrectomy for

1049 20000 23000
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

1054 Congenital Atresia & Stenosis of Small Intestine 19000 21850

1055 Meconium ileus (Select CGHS rate code 1033) See code 1033 See code 1033

1056 Malrotation & Volvulus of the Midgut 15000 17250

1057 Excision of Meckel’s Deverticulum 12000 13800

1058 Other Major Surgery-Paediatric Surgery 27000 31050

1059 Other Minor Surgery-Paediatric Surgery 11050 12708

Sr. TREATMENT PROCEDURE BURNS AND Non- NABH/NABL

No. PLASTIC SURGERY NABH/Non- rates in Rupee

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 - Thiersch- Small Area 5% 7475 8596

1065 Free Grafts - Large Area 10% 2420 2783

1066 Free Grafts - Very Large Area 20% and above. 10350 11903

1067 Skin Flaps - Rotation Flaps 8970 10316

1068 Skin Flaps - Advancement Flaps 12500 14375

Skin Flaps - Direct- cross Leg Flaps- Cross Arm

1069 12500 14375
Flap

1070 Skin Flaps - Cross Finger 12500 14375

1071 Skin Flaps - Abdominal 9350 10753

1072 Skin Flaps - Thoracic 9350 10753

1073 Skin Flaps - Arm Etc. 11000 12650

1074 Subcutaneous Pedicle Flaps Raising 6900 7935

1075 Subcutaneous Pedicle Flaps Delay 5950 6843

1076 Subcutaneous Pedicle Flaps Transfer 5950 6843

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 -

1080 7475 8596
Eyelet Splinting
Reduction of Fractures of Mandible & Maxilla -
1081 6900 7935
Cast Metal Splints
Reduction of Fractures of Mandible & Maxilla -
1082 7500 8625
Gunning Splints

1083 Internal Wire Fixation of Mandible & Maxilla 11500 13225

1084 Cleft Lip - repair. 11500 13225

1085 Cleft Palate Repair 12650 14548

Primary Bone Grafting for alveolar cleft in Cleft

1086 11500 13225
Lip

1087 Secondary Surgery for Cleft Lip Deformity 10000 11500

1088 Secondary Surgery for Cleft Palate 12650 14548

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

1089 Reconstruction of Eyelid Defects - Minor 6325 7274

1090 Reconstruction of Eyelid Defects - Major 8500 9775

Plastic Surgery of Different Regions of the Ear -

1091 8050 9258
Minor
Plastic Surgery of Different Regions of the Ear -
1092 10350 11903
Major

1093 Plastic Surgery of the Nose - Minor 8050 9258

1094 Plastic Surgery of the Nose - Major 9500 10925

Plastic Surgery for Facial Paralysis (Support with

1095 16100 18515
Reanimation)

1096 Pendulous Breast - Mammoplasty 13000 14950

1097 Underdeveloped Breast Mammoplasty 12000 13800

1098 After Mastectomy (Reconstruction)Mammoplasty 12000 13800

1099 Syndactyly Repair 12750 14663

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

1105 Extensive Burn -above 50% Frist Dressing 276 317

1106 Extensive Burn -above 50% Subsequent dressing 193 222

Sr. Non- NABH/NABL

TREATMENT PROCEDURE ORTHOPEDICS NABH/Non-
No. rates in Rupee

1107 Plaster Work 255 293

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 288 331

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 255 293

1135 Ball bandage 400 460

 Application of POP Casts for Upper & Lower
1136 633 728
Limbs

1137 Application of Functional 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 POP Spices & Jackets 2473 2844

1143 Close Reduction of Fractures of Limb & POP 2600 2990

1144 Reduction of Compound Fractures 2760 3174

Open Reduction & Internal Fixation (ORIF) of

1145 5175 5951
Fingers & Toes
Open Reduction of fracture of Long Bones of
1146 8050 9258
Upper / Lower Limb -Nailing & External Fixation
Open Reduction of fracture of Long Bones of
1147 9660 11109
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

1151 7188 8266
Fractures

1152 Sequestrectomy & Saucerisation 6900 7935

1153 Sequestrectomy & Saucerizations -Arthrotomy 9971 11467

1154 Multiple Pinning Fracture Neck Femur 11500 13225

1155 Plate Fixations for Fracture Neck Femur 13500 15525

AO Compression Procedures for Fracture Neck

1156 16560 19044
Femur
Open Reduction of Fracture Neck Femur Muscle
1157 19500 22425
Pedicle Graft and Internal Fixations

1158 Close Reduction of Dislocations 3174 3650

1159 Open Reduction of Dislocations 3439 3955

Open Reduction & Internal Fixation (ORIF) of

1160 13500 15525
Fracture Dislocation
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 Split Osteotomy and Internal Fixations 24150 27773

Anterolateral decompression for tuberculosis/

1168 Costo- 3450 3968

1169 Antereolateral Decompression and Spine Fusion 19350 22253

Corrective Osteotomy & Internal Fixation- short

1170 13800 15870
bones
Corrective Osteotomy & Internal Fixation- long
1171 11040 12696
bones

1172 Arthrodesis of - Minor Joints 10350 11903

1173 Arthrodesis of - Major Joints 10000 11500

Soft Tissue Operations for Congenital Talipes

1174 8050 9258
Equinovarus (CTEV)

1175 Soft Tissue Operations for Polio 6900 7935

1176 Hemiarthroplasty- Hip 20000 23000

1177 Hemiarthroplasty- Shoulder 20000 23000

1178 Operations for Brachial Plexus & Cervical Rib 24150 27773

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

1184 Amputations -Hind Quarter and Hemipelvectomy 18400 21160

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

1193 18630 21425
Procedures for Limbs

1194 Removal of Wires & Screw 1760 2024

1195 Removal of Plates 4140 4761

1196 Total Hip Replacement (THR) 79000 90850

1197 Total Ankle Joint Replacement (TAR) 95400 109710

1198 Total Knee Joint Replacement (TKR) 110000 126500

1199 Total Shoulder Joint Replacement 79000 90850

1200 Total Elbow Joint Replacement 79000 90850

1201 Total Wrist Joint Replacement 100000 115000

1202 Total finger joint replacement 20000 23000

1203 Tubular external fixator 4600 5290

1204 Ilizarov's external fixator 7763 8927

1205 Pelvi-acetabular fracture -Internal fixation 8625 9919

1206 Meniscectomy 12000 13800

1207 Meniscus Repair 10000 11500

1208 Anterior Cruciate Ligament (ACL) Reconstruction 8500 9775

1209 Posterior Cruciate Ligament (PCL) Reconstruction 13500 15525

1210 Knee Collateral Ligament Reconstruction 12500 14375

1211 Bankart Repair Shoulder 13200 15180

1212 Rotator cuff repair / 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 Plaster of Paris (POP) 1200 1380

1218 Application for CTEV per sitting 1200 1380

1219 Total Hip Replacement (THR) Revision Stage-I 17000 19550

1220 Total Hip Replacement (THR) Revision Stage-II 50000 57500

1221 Total Knee Replacement (TKR) Revision Stage-I 35000 40250

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

1222 Total Knee Replacement (TKR) Revision 35000 40250

Illizarov/ external fixation for limb lengthening/

1223 deformity 12500 14375

1224 Discectomy/ Micro Discectomy 12500 14375

1225 Laminectomy 4646 5343

1226 Spinal Fixation Cervical/dorsolumbar/ lumbosacral 16000 18400

Fusion Surgery Cervical/ Lumbar Spine upto 2

1227 22000 25300
Level
Spinal Fusion Surgery Cervical/ Lumbar Spine -
1228 12000 13800
More than 2 Level

1229 Scoliosis Surgery/ Deformity Correction of Spine 25000 28750

1230 Vertebroplasty 12000 13800

1231 Spinal Injections 450 518

Dynamic Hip Screw (DHS) for Fracture Neck

1232 15000 17250
Femur
Proximal Femur Nail (PFN) for IT fracture
1233 14000 16100
(Intertrochanteric Fractures)

1234 Spinal Osteotomy 1434 1649

1235 Illizarov’s / External Fixation for Trauma 13000 14950

1236 Soft Tissue Operations for Polio/ Cerebral Palsy 10557 12141

1237 Mini Fixator for Hand/Foot 9000 10350

1238 Other Major Surgery-Orthopedics 38250 43988

1239 Other Minor Surgery-Orthopedics 11883 13665

Sr. TREATMENT PROCEDURE Non- NABH/NABL

No. PHYSIOTHERAPY NABH/Non- rates in Rupee

1240 Ultrasonic therapy 78 90

1241 Shortwave Diathermy (SWD) 78 90

1242 Electrical stimulation (therapeutic) 78 90

1243 Muscle testing and diagnostic 71 82

1244 Infrared 78 90

1245 Ultraviolet Therapeutic (UV 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

Sr. NUCLEAR MEDICINE / RADIOTHERAPY Non- NABH/NABL

No. AND NABH/Non- rates in Rupee

1253 Cobalt 60 therapy 63750 73313

1254 Cobalt 60 therapy- Radical therapy 68425 78689

1255 Cobalt 60 therapy- Palliative therapy 24438 28104

1256 Linear accelerator 29750 34213

1257 Linear accelerator- Radical therapy 58650 67448

1258 Linear accelerator- Palliative therapy 34213 39345

1259 3D Planning Radiotherapy 4888 5621

1260 2D Planning Radiotherapy 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 accelerator

1265 110000 126500
planning

1266 Electron beam with Linear accelerator 67473 77594

1267 Tomotherapy 79400 91310

Sr. NUCLEAR MEDICINE / BRACHYTHERAPY- Non- NABH/NABL

No. HIGH NABH/Non- rates in Rupee

1268 Intracavitary (Brachytherapy) 11730 13490

1269 Interstitial (Brachytherapy) 58650 67448

1270 Intraluminal (Brachytherapy) 9775 11241

1271 Surface mould (Brachytherapy) 4644 5341

1272 Gliadel Wafer (Brachytherapy) 93900 107985

Sr. Non- NABH/NABL

NUCLEAR MEDICINE / CHEMOTHERAPY NABH/Non-
No. rates in Rupee

1273 Neoadjuvant Chemotherapy 863 992

1274 Adjuvant Chemotherapy 863 992

1275 Concurrent-chemoradiation 920 1058

1276 Single drug Chemotherapy 552 635

1277 Multiple drugs Chemotherapy 897 1032

1278 Targeted therapy 920 1058

1279 Chemoport facility 920 1058

PICC line (peripherally inserted Central

1280 920 1058
Cannulisation)
Sr. LIST OF PROCEDURES/ TESTS IN Non- NABH/NABL
No. GASTROENTEROLOGY / ENDOSCOPIC NABH/Non- rates in Rupee

1281 Upper GI Endoscopy + Lower GI Endoscopy 1725 1984

1282 Diagnostic endoscopy 250 288

1283 Endoscopic biopsy 345 397

1284 Endoscopic mucosal resection 1543 1774

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 enteroscopy 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

Sr. CGHS TREATMENT Non- NABH/NABL
No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

1305 Endoscopic sphincterotomy 2415 2777

1306 Common Bile Duct (CBD) stone extraction 2415 2777

1307 Common Bile Duct (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 7331

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

1315 Balloon dilatation of papilla 6900 7935

1316 Ultrasound guided FNAC 575 661

1317 Ultrasound guided abscess Drainage 720 828

Percutaneous Transhepatic Biliary Drainage

1318 1150 1323
(PTBD)

1319 Diagnostic angiography 2000 2300

1320 Vascular embolization 15100 17365

Transjugular Intrahepatic Portosystemic Shunt

1321 5400 6210
(TIPS)
Inferior vena cava (IVC) Venography and Hepatic
1322 34212 39344
vein (HV) Venography

1323 Muscular stenting 97750 112413

Balloon-occluded Retrograde Intravenous

1324 57500 66125
Obliteration (BRTO)

1325 Portal haemodymic studies 1913 2200

1326 Manometry and PH metry 1612 1854

1327 Oesophageal PH metry 5000 5750

1328 Oesophageal manometry 5000 5750

1329 Small bowel manometry 6800 7820

1330 Anorectal manometry 6800 7820

1331 Colonic manometry 7650 8798

1332 Biliary manometry 7650 8798

1333 Sengstaken blackenesse tube tempode 2875 3306

1334 Lintas machles tube tempode 2875 3306

Faecal / Fecal fat test/ fecal chymotrypsin/ fecal

1335 350 403
elastase

1336 Breath tests 300 345

Extracorporeal Shortwave Lithotripsy (ESWL)

1337 41400 47610
(Select CGHS rate code 888 for approved rate)

1338 Liver biopsy 1380 1587

Sr. Non- NABH/NABL

NAME OF INVESTIGATION / DENTAL NABH/Non-
No. rates in Rupee

1339 Dental IOPA X-ray 50 58

1340 Occlusal X-ray 78 90

1341 OPG X-ray 196 225

Sr. Non- NABH/NABL

NAME OF INVESTIGATION / PULMONARY NABH/Non-
No. rates in Rupee

1342 Lung Ventilation & Perfusion Scan (V/Q Scan) 3600 4140

1343 Lung Perfusion Scan 2000 2300

Sr. Non- NABH/NABL

NAME OF INVESTIGATION / OSTEOLOGY NABH/Non-
No. rates in Rupee

1344 Whole Body Bone Scan with SPECT. 3421 3934

1345 Three phase whole body Bone Scan 3421 3934

Sr. NAME OF INVESTIGATION / Non- NABH/NABL

No. NEUROSCIENCES NABH/Non- rates in Rupee
Brain Perfusion SPECT Scan with Technetium 99m
1346 9775 11241
radiopharmaceuticals.
Sr. CGHS TREATMENT Non- NABH/NABL
No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

1347 Radionuclide Cisternography for CSF leak 3740 4301

Sr. NAME OF INVESTIGATION / GASTRO AND Non- NABH/NABL

No. HEPATOBILIARY NABH/Non- rates in Rupee
1348 Gastro esophageal Reflux Study (GER Study) 1955 2248

Gastro intestinal Bleed (GloB.) Study with

1349 Technetium 99m 3421 3934

1350 Hepatobiliary Scintigraphy. 2444 2811

1351 Meckel's Scan 1955 2248

Hepatosplenic scintigraphy with Technetium-99m

1352 1870 2151
radiopharmaceuticals

1353 Gastric emptying 1275 1466

Sr. NAME OF INVESTIGATION / Non- NABH/NABL

No. GENITOURINARY NABH/Non- rates in Rupee
Renal Cortical Scintigraphy with Technetium 99m
1354 3421 3934
Dimercaptosuccinic acid (DMSA)

1355 Dynamic Renography. 3421 3934

1356 Dynamic Renography with Diuretic. 3421 3934

1357 Dynamic Renography with Captopril 1960 2254

1358 Testicular Scan 1466 1686

Sr. NAME OF INVESTIGATION / Non- NABH/NABL

No. ENDOCRINOLOGY NABH/Non- rates in Rupee

1359 Thyroid Uptake measurements with 131-Iodine. 1564 1799

1360 Thyroid Scan with Technetium 99m Pertechnetate. 1466 1686

1361 Iodine-131 Whole Body Scan 2933 3373

1362 Whole Body Scan with MIBG 17595 20234

1363 Parathyroid Scan 800 920

Sr. NAME OF INVESTIGATION / RADIO- Non- NABH/NABL

No. ISOTOPE NABH/Non- rates in Rupee

1364 131-Iodine Therapy 1530 1760

1365 131-Iodine Therapy <15mCi 3854 4432

1366 131-Iodine Therapy 15-50mCi 4956 5699

1367 131-Iodine Therapy 51-100mCi 12000 13800

1368 131-Iodine Therapy >100mCi 15000 17250

Phosphorus-32 therapy for metastatic bone pain

1369 5000 5750
palliation
 Samarium-153 therapy for metastatic bone pain
1370 10450 12018
palliation

1371 Radiosynovectomy with Yttrium 21250 24438

Sr. NAME OF INVESTIGATION / Non- NABH/NABL

No. CARDIOLOGY NABH/Non- rates in Rupee

1372 Stress thallium / Myocardial Perfusion Scintigraphy 9450 10868

1373 Rest thallium / Myocardial Perfusion Scintigraphy 8000 9200

1374 Venography 3300 3795

1375 Treadmill Test (TMT) 489 562

1376 Transoesophageal Echocardiography (TEE) 489 562

1377 Lymph angiography 1613 1855

Sr. NAME OF INVESTIGATION / TUMOUR Non- NABH/NABL

No. IMAGING NABH/Non- rates in Rupee

1378 Scintimammography. 4800 5520

1379 Indium labelled octreotide Scan 73313 84310

Sr. CGHS TREATMENT

No. PROCEDURE/INVESTIGATION LIST
Non- NABH/NABL
NAME OF INVESTIGATION / PET SCAN NABH/Non- rates in Rupee

1380 FDG Whole body PET / CT Scan 20528 23607

1381 Brain I Heart FDG PET / CT Scan 14663 16862

Gallium-68 Peptide PET / CT imaging for

1382 Neuroendocrine 15000 17250

Sr. LABORATORY MEDICINE / CLINICAL Non- NABH/NABL

No. PATHOLOGY NABH/Non- rates in Rupee
Urine routine- pH, Specific gravity, sugar, protein
1383 and 35 40

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

Sr. LABORATORY MEDICINE / Non- NABH/NABL

No. HAEMATOLOGY NABH/Non- rates in Rupee
1389 Haemoglobin (Hb) 18 21

1390 Total Leucocytic Count (TLC) 15 17

1391 Differential Leucocytic Count (DLC) 15 17

1392 Erythrocyte Sedimentation Rate (ESR) 20 23

Total Red Cell count with

1393 30 35
MCV,MCH,MCHC,DRW
Complete Haemogram/CBC, Hb,RBC count and
1394 indices,TLC, DLC, Platelet, ESR, Peripheral smear 135 155

1395 Platelet count 30 35

1396 Reticulocyte count 45 52

1397 Absolute Eosinophil count (AEC) 25 29

1398 Packed Cell Volume (PCV) 13 15

1399 Peripheral Smear Examination 32 37

1400 Smear for Malaria parasite 30 35

1401 Bleeding Time 10 12

1402 Osmotic fragility Test 50 58

1403 Bone Marrow Smear Examination 70 81

1404 Bone Marrow Smear Examination with iron stain 250 288

Bone Marrow Smear Examination and

1405 440 506
cytochemistry

1406 Activated partial ThromboplastinTime (APTT) 102 117

1407 Rapid test for malaria(card test) 44 51

1408 WBC cytochemistry for leukemia -Complete panel 110 127

Bleeding Disorder panel- PT, APTT, Thrombin

1409 Time 400 460

1410 Factor Assays-Factor VIII 720 828

1411 Factor Assays-Factor IX 680 782

1412 Platelet Function test 50 58

Tests for hypercoagulable states- Protein C, Protein

1413 S, 400 460
1414 Tests for lupus anticoagulant 150 173

Tests for Antiphospholipid antibody IgG, IgM ( for

1415 500 575
cardiolipin and B2 Glycoprotein 1)
Sr. CGHS TREATMENT Non- NABH/NABL
No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee
Thalassemia studies (Red Cell indices and Hb
1416 200 230
HPLC)

1417 Tests for Sickling / Hb HPLC) 77 89

Sr. Non- NABH/NABL

LABORATORY MEDICINE / BLOOD BANK NABH/Non-
No. rates in Rupee

1418 Blood Group & RH Type 30 35

1419 Cross match 30 35

1420 Coomb’s Test Direct 90 104

1421 Coomb’s Test Indirect 97 112

1422 3 cell panel- antibody screening for pregnant female 170 196

1423 11 cells panel for antibody identification 170 196

1424 Hepatitis B surface antigen (HBsAg) 102 117

1425 Hepatitis C virus (HCV) 128 147

1426 Human immunodeficiency virus- HIV I and II 100 115

1427 Venereal Disease Research Laboratory test (VDRL) 43 49

1428 RH Antibody titer 80 92

1429 Platelet Concentrate 56 64

Random Donor Platelet(RDP)- (Select CGHS rate

1430 See code 1828 See code 1828
Code 1828 for approved rate)
Single Donor Platelet (SDP- Apheresis)- (Select
1431 See code 1830 See code 1830
CGHS rate Code 1830 for approved rate)

1432 Routine-H & E 90 104

1433 special stain 65 75

1434 Immunohistochemistry(IHC) 750 863

1435 Frozen section 150 173

1436 Paraffin section 270 311

 Non- NABH/NABL
LABORATORY MEDICINE / CYTOLOGY NABH/Non- rates in Rupee

1437 Pap Smear 100 115

1438 Body fluid for Malignant cells 80 92

1439 Fine Needle Aspiration Cytology (FNAC) 200 230

Sr. NAME OF INVESTIGATION / FLOW Non- NABH/NABL

No. CYTOMETRY NABH/Non- rates in Rupee

1440 Leukemia panel /Lymphoma panel 1536 1766

Paroxysmal Nocturnal Hemoglobinuria (PNH)

1441 1000 1150
Panel-CD55,CD59
Sr. LABORATORY MEDICINE / CYTOGENETIC Non- NABH/NABL
No. STUDIES NABH/Non- rates in Rupee
Karyotyping (Select CGHS rate code 677 for
1442 See code 677 See code 677
approved rate)

1443 Fluorescent in situ hybridization (FISH) 500 575

Sr. Non- NABH/NABL

LABORATORY MEDICINE / BIO-CHEMISTRY NABH/Non-
No. rates in Rupee

1444 Blood Glucose Random 24 28

1445 24 hrs urine for Proteins,Sodium, creatinine 50 58

1446 Blood Urea Nitrogen 50 58

1447 Serum Creatinine 50 58

1448 Urine Bile Pigment and Salt 20 23

1449 Urine Urobilinogen 20 23

1450 Urine Ketones 15 17

1451 Urine Occult Blood 25 29

1452 Urine total proteins 18 21

1453 Rheumatoid Factor / Rh Factor test 80 92

1454 Bence Jones protein 47 54

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

1455 Serum Uric Acid 55 63

1456 Serum Bilirubin total & direct 50 58

1457 Serum Iron 80 92

1458 C reactive Protein (CRP) 90 104

1459 C reactive Protein (CRP) Quantitative 160 184

Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein

1460 75 86
etc.

1461 Albumin. 18 21

1462 Creatinine clearance 80 92

1463 Serum Cholesterol 50 58

1464 Total Iron Binding Capacity (TIBC) 56 64

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 Albumin/Globulin ratio (A/G Ratio) 50 58

1470 Immunoglobulin G (IgG) 250 288

1471 Immunoglobulin M(IgM) 250 288

1472 Immunoglobulin A(IgA) 250 288

1473 Antinuclear antibody (ANA) 200 230

1474 Anti-double stranded DNA (anti-dsDNA) 350 403

Serum glutamic pyruvic transaminase (SGPT) /

1475 55 63
Alanine Aminotransferase (ALT)
Serum Glutamic oxaloacetic transaminase (SGOT) /
1476 55 63
Aspartate Aminotransferase (AST)

1477 Serum amylase 100 115

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 204 235

1485 Serum Testosterone 150 173

1486 Imprint Smear From Endoscopy 240 276

1487 Triglycerides 75 86

1488 Glucose Tolerance Test (GTT) 90 104

1489 Triple Marker. 800 920

Creatine Phosphokinase (CPK)/Creatine Kinase

1490 100 115
(CK)

1491 Foetal Haemoglobin (HbF) 40 46

1492 Prothrombin Time (PT) 96 110

1493 Lactate dehydrogenase (LDH) 100 115

1494 Alkaline Phosphatase 60 69

1495 Acid Phosphatase 78 90

1496 CPK MB/CK MB 100 115

1497 CK MB Mass/CPK MB Mass 140 161

1498 Troponin I 100 115

1499 Troponin T 600 690

1500 Glucose-6-Phosphate Dehydrogenase (G6PD) 100 115

1501 Lithium. 130 150

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

1502 Dilantin (phenytoin). 400 460

1503 Carbamazepine. 400 460

1504 Valproic acid. 300 345

Ferritin (Select CGHS rate code 1517 for

1505 See Code 1517 See Code 1517
approved rate)
1506 Blood gas analysis / Arterial Blood Gas (ABG) 138 159

Blood gas analysis / Arterial Blood Gas (ABG) with

1507 151 174
electrolytes

1508 Urine pregnancy test 65 75

1509 Tests for Antiphospholipid antibodies syndrome. 280 322

1510 Glycosylated Haemoglobin (HbA1c) 130 150

Haemoglobin Electrophoresis/ Hb HPLC (Select

1511 See code 1417 See code 1417
CGHS rate code 1417 for approved rate)

1512 Kidney Function Test (KFT) 225 259

1513 Liver Function Test (LFT) 225 259

Lipid Profile. (Total cholesterol, LDL, HDL,

1514 200 230
Triglycerides)

Nutritional Markers

1515 Serum Iron 80 92

Total Iron Binding Capacity (Select CGHS rate

1516 See code 1464 See code 1464
code 1464 for approved rate)

1517 Serum Ferritin 100 115

1518 Vitamin B12 assay. 250 288

1519 Folic Acid assay. 300 345

Extended Lipid Profile. (Total cholesterol, LDL,

1520 595 684
HDL, Triglycerides Apo A1,Apo B,Lp (a) )

1521 Apolipoprotein A1 (ApoA1) 200 230

1522 Apolipoprotein B (Apo B) 199 229

1523 Lipoprotein A / Lp A 445 512

1524 CD 3,4 and 8 counts 170 196

1525 CD 3,4 and 8 percentage 170 196

1526 Low density lipoprotein (LDL) 60 69

1527 Homocysteine. 400 460

Haemoglobin (Hb) Electrophoresis/ (Select CGHS

1528 See code 1417 See code 1417
rate code 1417 for approved rate)

1529 Serum Electrophoresis. 220 253

1530 Fibrinogen. 165 190

1531 Chloride. 60 69

1532 Magnesium. 150 173

1533 Gamma-Glutamyl Transpeptidase (GGTP) 90 104

1534 Lipase. 239 275

1535 Fructosamine. 200 230

1536 Beta 2 microglobulin (B2M) /β2 microglobulin 90 104

1537 Catecholamines. 1050 1208

Creatinine clearance (Select CGHS Rate Code

1538 See code 1462 See code 1462
1462)
NAME OF INVESTIGATION / TUMOUR
MARKERS

1539 Prostate Specific antigen (PSA)- Total. 312 359

1540 Prostate-specific antigen (PSA) - Free. 375 431

1541 Alpha Fetoprotein (AFP) 300 345

1542 Human chorionic gonadotropin (HCG) 289 332

Sr. CGHS TREATMENT Non-

No. PROCEDURE/INVESTIGATION LIST NABH/Non-

1543 Cancer Antigen 125 (CA 125) 391 450

1544 Cancer Antigen 19.9 (CA 19.9) 616 708

1545 Cancer Antigen 15.3 (CA 15.3) 560 644

1546 Vanillylmandelic Acid (VMA) 350 403

1547 Calcitonin 500 575

1548 Carcinoembryonic Antigen (CEA) 340 391

OTHERS

1549 Immunofluorescence 150 173

1550 Direct(Skin and kidney Disease) 425 489

1551 Indirect (antids DNA Anti Smith ANCA) 425 489

 Calcidiol / 25-hydroxycholecalciferol / Vitamin D3
1552 550 633
assay (Vit D3)
Serum Protein electrophoresis with
1553 300 345
immunofixation electrophoresis (IFE)
BETA-2 Microglobulin assay (Select CGHS rate
1554 See code 1536 See code 1536
code 1536 for approved rate)

1555 Anti-Cyclic Citrullinated Peptide (Anti CCP) 143 164

Anti-tissue Transglutaminase antibody (Anti TTG

1556 425 489
Antibody)

HORMONES

1557 Serum Erythropoietin 425 489

1558 Adrenocorticotropic Hormone (ACTH) 500 575

1559 T3, T4, TSH 200 230

1560 Triiodothyronine- T3 64 74

1561 Tetraiodothyronine T4 64 74

1562 Thyroid stimulating hormone (TSH) 90 104

1563 Luteinizing hormone (LH) 150 173

1564 Follicle stimulating hormone (FSH) 150 173

1565 Prolactin 150 173

1566 Cortisol 250 288

1567 PTH(Parathormone) 500 575

1568 C-Peptide (C Peptide / Connecting Peptide) 330 380

1569 Insulin. 150 173

1570 Progesterone. 225 259

1571 17 Hydroxyprogesterone (17 OH Progesterone) 400 460

1572 Dehydroepiandrosterone sulfate (DHEAS) 440 506

1573 Androstenedione 600 690

1574 Growth Hormone. 340 391

LABORATORY/ MEDICINE/CLINICAL Non- NABH/NABL

PATHOLOGY NABH/Non- rates in Rupee
1575 Thyroid peroxidase antibody (TPO) 300 345

1576 Thyroglobulin. 300 345

1577 Hydatic Serology. 318 366

1578 Anti Sperm Antibodies. 380 437

1579 Hepatitis B Virus (HBV) DNA Qualitative 2000 2300

1580 Hepatitis B Virus (HBV) DNA Quantitative. 1500 1725

1581 Hepatitis C Virus (HCV) RNA Qualitative. 1691 1945

1582 Human papillomaviruse (HPV) Serology 218 251

1583 Rota Virus serology 130 150

1584 PCR for Tuberculosis (TB) 900 1035

1585 PCR for Human immunodeficiency virus (HIV) 600 690

1586 Chlamydae antigen 500 575

Sr. CGHS TREATMENT Non- NABH/NABL

No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

1587 Chlamydae antibody 238 274

1588 Brucella serology 230 265

1589 Influenza A serology 943 1084

Sr. USG, X-RAY , CT, MRI, BONE Non- NABH/NABL

No. DENSITOMETRY NABH/Non- rates in Rupee

1590 USG for Obstetrics - Anomalies scan 770 886

1591 Abdomen USG 300 345

1592 Pelvic USG ( prostate, gynae, infertility etc) 255 293

Small parts USG ( scrotum, thyroid , parathyroid

1593 349 401
etc)

1594 Neonatal head (Tranfontanellar) 425 489

1595 Neonatal spine 495 569

1596 Contrast enhanced USG 900 1035

1597 USG Breast 349 401

1598 USG Hysterosalpingography (HSG) 255 293

1599 Carotid Doppler 850 978

1600 Arterial Colour Doppler 706 812

1601 Venous Colour Doppler 706 812

1602 Colour Doppler, renal arteries/any other organ 800 920

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) 90 104

1608 Chest PA view (one film) 60 69

1609 Chest Lateral (one film) 60 69

1610 Mastoids: Towne view, oblique views (3 films) 250 288

Extremities, bones & Joints AP & Lateral views

1611 255 293
(Two films)

1612 Pelvis AP (one film) 90 104

1613 Temporomandibular (TM) Joints (one film) 110 127

1614 Abdomen & Pelvis for KUB 90 104

1615 Skull AP & Lateral (2 films) 180 207

1616 Spine AP & Lateral (2 films) 180 207

1617 PNS view (1 film) 90 104

X-ray CONTRAST STUDIES

1618 Barium Swallow 500 575

1619 Barium Upper GI study 650 748

1620 Barium Upper GI study (Double contrast) 935 1075

1621 Barium Meal follow through 935 1075

1622 Barium Enema (Single contrast/double contrast) 750 863

1623 Small bowel enteroclysis 1020 1173

ERCP (Endoscopic Retrograde Cholangio –

1624 2500 2875
Pancreatography)
General:Fistulography / Sinography/Sialography
1625 /Dacrocystography/ T-Tube cholangiogram 638 734

1626 Percutaneous transhepatic cholangiography (PTC) 1440 1656

Sr. CGHS TREATMENT

No. PROCEDURE/INVESTIGATION LIST

1627 Intravenous Pyelography (IVP) 1000 1150

1628 Micturating Cystourethrography (MCU) 680 782

1629 Retrograde Urethrography (RGU) 680 782

1630 Contrast Hystero-Salpingography (HSG) 1020 1173

1631 X ray Arthrography 700 805

1632 Cephalography 150 173

1633 Myelography 2750 3163

1634 Diagnostic Digital Subtraction Angiography (DSA) 1749 2011

MAMMOGRAPHY

1635 X ray Mammography 315 370

1636 MRI Mammography 2550 2933

Computed Tomography (CT) Scan

1637 CT Scan Head-Without Contrast 900 1035

CT Scan Head- with Contrast -including CT

1638 1350 1553
angiography

1639 CT Scan Chest - without contrast (for lungs) 1700 1955

CT Scan Lower Abdomen (incl. Pelvis) With

1640 1700 1955
Contrast
CT Scan Lower Abdomen (Incl. Pelvis) Without
1641 1500 1725
Contrast

1642 CT Scan Whole Abdomen Without Contrast 3000 3450

1643 CT Scan Whole Abdomen With Contrast 4500 5175

1644 Triple Phase CT abdomen 5175 5951

1645 CT Scan angiography abdomen/ Chest 4500 5175

1646 CT Scan Enteroclysis 5400 6210

1647 CT Scan Neck – Without Contrast 1500 1725

1648 CT Scan Neck – With Contrast 1870 2151

1649 CT Scan Orbits - Without Contrast 1190 1369

1650 CT Scan Orbits - With Contrast 1615 1857

1651 CT Scan of Para Nasal Sinuses- Without Contrast 900 1035

1652 CT Scan of Para Nasal Sinuses - With Contrast 210 242

CT Scan Spine (Cervical, Dorsal, Lumbar,

1653 1500 1725
Sacral)–without Contrast

1654 CT Scan Temporal bone – without contrast 893 1027

1655 CT Scan- Dental 1275 1466

1656 CT Scan Limbs -Without Contrast 1700 1955

CT Scan Limbs -With Contrast including CT

1657 2253 2591
angiography

1658 CT Guided intervention –FNAC 1200 1380

1659 CT Guided Trucut Biopsy 1200 1380

CT Guided intervention -percutaneous catheter

1660 1305 1501
drainage/tube placement

MRI

1661 MRI Head – Without Contrast 1998 2298

1662 MRI Head – With Contrast 2848 3275

1663 MRI Orbits – Without Contrast 1445 1662

1664 MRI Orbits – With Contrast 2000 2300

1665 MRI Nasopharynx and PNS – Without Contrast 2450 2818

1666 MRI Nasopharynx and PNS – With Contrast 3500 4025

Sr. CGHS TREATMENT Non- NABH/NABL
No. PROCEDURE/INVESTIGATION LIST NABH/Non- rates in Rupee

1667 MR for Salivary Glands with Sialography 3000 3450

1668 MRI Neck - Without Contrast 2400 2760

1669 MRI Neck- with contrast 5000 5750

1670 MRI Shoulder – Without contrast 2000 2300

1671 MRI Shoulder – With contrast 2600 2990

1672 MRI shoulder both Joints - Without contrast 2500 2875

1673 MRI Shoulder both joints – With contrast 4000 4600

1674 MRI Wrist Single joint - Without contrast 2125 2444

1675 MRI Wrist Single joint - With contrast 4000 4600

1676 MRI Wrist both joints - Without contrast 2125 2444

1677 MRI Wrist Both joints - With contrast 5000 5750

1678 MRI knee Single joint - Without contrast 2125 2444

1679 MRI knee Single joint - With contrast 5000 5750

1680 MRI knee both joints - Without contrast 2125 2444

1681 MRI knee both joints - With contrast 5000 5750

1682 MRI Ankle Single joint - Without contrast 2125 2444

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 2444

1688 MRI Pelvis – Without Contrast 2125 2444

1689 MRI Pelvis – with contrast 5000 5750

1690 MRI Extremities - With contrast 5000 5750

1691 MRI Extremities - Without contrast 2125 2444

1692 MRI Temporomandibular – B/L - With contrast 4000 4600

1693 MRI Temporomandibular – B/L - Without contrast 2125 2444

1694 MR Temporal Bone/ Inner ear with contrast 4000 4600

1695 MR Temporal Bone/ Inner ear without contrast 2500 2875

1696 MRI Abdomen – Without Contrast 2125 2444

1697 MRI Abdomen – With Contrast 5000 5750

1698 MRI Breast - With Contrast 4250 4888

1699 MRI Breast - Without Contrast 2125 2444

1700 MRI Spine Screening - Without Contrast 1000 1150

1701 MRI Chest – Without Contrast 2125 2444

1702 MRI Chest – With Contrast 4000 4600

MRI Cervical/Cervico Dorsal Spine – Without

1703 2125 2444
Contrast
MRI Cervical/ Cervico Dorsal Spine – With
1704 4000 4600
Contrast
MRI Dorsal/ Dorso Lumbar Spine - Without
1705 2125 2444
Contrast

1706 MRI Dorsal/ Dorso Lumbar Spine – With Contrast 4000 4600

MRI Lumbar/ Lumbo-Sacral Spine – Without

1707 2125 2444
Contrast

1708 MRI Lumbar/ Lumbo-Sacral Spine – With Contrast 5000 5750

1709 Whole body MRI (For oncological workup) 5100 5865

1710 MR cholecysto-pancreatography (MRCP) 2500 2875

1711 MRI Angiography - with contrast 5000 5750

1712 MR Enteroclysis 2125 2444

BONE DENSITOMETRY (DEXA SCAN)

Sr. CGHS TREATMENT Non-

No. PROCEDURE/INVESTIGATION LIST NABH/Non-

1713 Dexa Scan Bone Densitometry - Two sites 1500 1725

 Dexa Scan Bone Densitometry - Three sites (Spine,
1714 2000 2300
Hip &extremity)

1715 Dexa Scan Bone Densitometry Whole body 2450 2818

NEUROLOGICAL INVESTIGATIONS AND

PROCEDURES

1716 Electroencephalogram (EEG)/ Video EEG 298 343

1717 Electromyography (EMG) 638 734

Nerve Conduction Velocity (NCV) (at least 2

1718 638 734
limbs)
Repititive nerve stimulation (RNS)-Decremental
1719 595 684
response (before and after neostigmine)
Repetitive nerve stimulation (RNS)-Incremental
1720 595 684
response

1721 Somatosensory evoked potentials (SSEP) 638 734

1722 Polysomnography (PSG) / Sleep study 638 734

1723 Brachial plexus study 638 734

1724 Muscle biopsy 375 431

1725 Acetylcholine receptor (AChR) antibody titre 1848 2125

Anti muscle specific receptor tyrosine kinase (Anti

1726 2340 2691
MuSK) antibody titre

1727 Serum copper 360 414

1728 Serum ceruloplasmin 250 288

1729 Urinary copper 405 466

1730 Serum homocysteine 450 518

1731 Serum valproate level 315 362

1732 Serum phenobarbitone level 350 403

1733 Coagulation profile 245 282

Protein C, Protein S, Antithrombin–III (Select

1734 See code 1413 See code 1413
CGHS rate code 1413 for approved rates)
Serum lactate level (Select CGHS rate code 1479
1735 See code 1479 See code 1479
for approved rate)

CEREBROSPINAL FLUID (CSF)

Basic studies including cell count, protein, sugar,

1736 135 155
gram stain,India Ink preparation and smear for AFP
1737 Special studies 1000 1150

1738 PCR for tuberculosis/ Herpes simplex 1200 1380

1739 Bacterial culture and sensitivity 125 144

1740 Mycobacterial culture and sensitivity 125 144

1741 Fungal culture 128 147

1742 Malignant cells 64 74

Anti measles antibody titre (with serum antibody

1743 890 1024
titre)

1744 Viral culture 125 144

Antibody titre (Herpes simplex, cytomegalo virus,

1745 760 874
flavivirus, zoster varicella virus)

1746 Oligoclonal band 1200 1380

1747 Myelin Basic protein 200 230

Lactate (Select CGHS rate code 1479 for

1748 See code 1479 See code 1479
approved rate)

1749 Cryptococcal antigen 1138 1309

TESTS IN GASTRO-ENTEROLOGY

1750 D xylase test 850 978

Faecal / Fecal fat test/ fecal chymotrypsin/ fecal

1751 elastase (Select CGHS rate code 1335 for See code 1335 See code 1335

Breath tests (select CGHS rate code 1336 for

1752 See code 1336 See code 1336
approved rate)
Sr. CGHS TREATMENT
No. PROCEDURE/INVESTIGATION LIST
H pylori serology for Coeliac disease /Celiac
1753 420 483
disease

1754 HBV genotyping 2500 2875

1755 HCV genotyping 4230 4865

TESTS IN ENDOCRINOLOGY ( IN ADDITION

TO

1756 Urinary vanillylmandelic acid (VMA) 765 880

1757 Urinary metanephrine/Normetanephrine 1138 1309

1758 Urinary free catecholamine 1690 1944

1759 Serum catecholamine 3000 3450

1760 Serum aldosterone 1125 1294

1761 24 Hr urinary aldosterone 920 1058

1762 Plasma renin activity 1000 1150

1763 Serum aldosterone/renin ratio 1200 1380

1764 Osmolality urine 128 147

1765 Osmolality serum 128 147

1766 Urinary sodium 80 92

1767 Urinary Chloride 43 49

1768 Urinary potassium 80 92

1769 Urinary calcium 55 63

1770 Thyroid binding globulin 510 587

1771 24 hour urinary free cortisole 200 230

1772 Islet cell antibody 750 863

Glutamic Acid Decarboxylase Autoantibodies test

1773 1330 1530
(GAD antibodies)

1774 Insulin associated antibody 449 516

1775 Insulin-like growth factor-1 (IGF-1) 1500 1725

Insulin-like growth factor binding protein 3 (IGF-

1776 1650 1898
BP3)

1777 Sex hormone binding globulin 1080 1242

1778 USG guided FNAC thyroid gland 387 445

1779 Estradiol (E2) 208 239

1780 Thyroglobulin antibody 360 414

TREATMENT PROCEDURE & INVESTIGATIONS: UNSPECIFIED

Non NABH/Non Existing CGHS Specialties

Sr. CGHS TREATMENT NABH/NABL
NABL Rate in mentioned in the CGHS rate list
No. PROCEDURE/INVESTIGATION LIST rates in Rupee mapped by Pathologist
Rupee
 Kappa Lambda Light Chains, Free, Serum/ Serum LABORATORY MEDICINE /
1781 3500 4025
free light chains (SFLC) CLINICAL PATHOLOGY
LABORATORY MEDICINE /
1782 Serum IGE Level 300 345
CLINICAL PATHOLOGY

1783 NT-Pro BNP 1800 2070 Cardiology

2500
1784 CECT Chest (Including CD) 2875 Computed Tomography (CT) Scan
Including CD
6000/- including 6900 Including
1785 MRI-Prostate (Multi-parametric) (Including CD) MRI
CD CD
LABORATORY MEDICINE /
1786 HCV RNA Quantitative 1500 1725
BLOOD BANK
LABORATORY MEDICINE /
1787 Tacrolimus 2300 2645
BIO-CHEMISTRY
Protein Creatinine Ratio (PCR), Urine / Albumen LABORATORY MEDICINE /
1788 120 138
Creatinine Ratio (ACR), Urine BIO-CHEMISTRY

1789 Fibroscan Liver 1000 1150 Gastro or Hepatobiliary

LABORATORY MEDICINE /
1790 HLA B27 (PCR) 500 575
BIO-CHEMISTRY
LABORATORY MEDICINE /
1791 Mantoux Test 175 200
CLINICAL PATHOLOGY
LABORATORY MEDICINE /
1792 Procalcitonin 1800 2070
BIO-CHEMISTRY
LABORATORY MEDICINE /
1793 TORCH Test 1120 1288
CLINICAL PATHOLOGY

1794 Intracoronary OCT (AIIMS Rates) 65000 + GST 65000 + GST Cardiology

23500 + GST 23500 + GST

Fractional Flow Reserve (FFR) Wire cost (AIIMS (WireCost), (WireCost),150
1795 Cardiology
Rates 12750/- 00/--
(Procedure Cost) (Procedure

ADDED W.E.F. 05.06.2020

Sr. CGHS TREATMENT Non- NABH/L Specialties under which to be

No. PROCEDURE/INVESTIGATION LIST NABH/Non- Rates included
LABORATORY MEDICINE /
1796 Anti –Smooth Muscle Antibody Test (ASMA) 1241 1460
BIO-CHEMISTRY
LABORATORY MEDICINE /
1797 C ANCA-IFA 1275 1500
BIO-CHEMISTRY
LABORATORY MEDICINE /
1798 P ANCA-IFA 1275 1500
BIO-CHEMISTRY
LABORATORY MEDICINE /
1799 Angiotensin converting enzyme (ACE) 850 1000
BIO-CHEMISTRY
Endo bronchial Ultrasound (EBUS) -Trans
1800 bronchial needle aspiration (TBNA) -Using New 15614 18370 Pulmonary
Needle
LABORATORY MEDICINE /
1801 Extractable Nuclear Antigens (ENA) - Quantitative 3910 4600
BIO-CHEMISTRY
Name of Investigation/ Tumour
1802 Chromogranin A 4250 5000
Marker
 LABORATORY MEDICINE /
1803 Faecal calprotectin (fecal calprotectin) 2320 2730
BIO-CHEMISTRY
LABORATORY MEDICINE /
1804 C3-COMPLEMENT 552 650
BIO-CHEMISTRY
LABORATORY MEDICINE /
1805 C4-COMPLEMENT 552 650
BIO-CHEMISTRY
LABORATORY MEDICINE /
1806 Genexpert Test 880 1035
CLINICAL PATHOLOGY

1807 DJ stent removal 7395 8700 Treatment procedure urology

Pulmonary Function Test (PFT) / (Spirometry with

1808 425 500 Name of Investigation/ Pulmonary
DLCO)

LIST OF PROCEDURES/ TESTS

EUS (Endoscopic Ultrasound) guided FNAC
1809 12750 15000 IN / GASTROENTEROLOGY /
(Using with Needle) ENDOSCOPIC /PROCEDURES

1810 CT Urography 3825 4500 Computed Tomography (CT) Scan

1811 Video Laryngoscopy 5100 6000 Treatment procedure ENT

1812 CT Angio-Neck Vessels 5100 6000 Computed Tomography (CT) Scan

LABORATORY MEDICINE /
1813 H1N1 (RT-PCR) 921 1084
CLINICAL PATHOLOGY
Erythropoietin Level (Select CGHS rate code 1557 LABORATORY MEDICINE /
1814 See code 1557 See code 1557
for approved rate) BIO-CHEMISTRY
LABORATORY MEDICINE /
1815 Anti HEV IgM 850 1000
CLINICAL PATHOLOGY
LABORATORY MEDICINE /
1816 Anti HAV IgM 637 750
CLINICAL PATHOLOGY
LABORATORY MEDICINE /
1817 HBsAg Quantitative 552 650
CLINICAL PATHOLOGY
LABORATORY MEDICINE /
1818 Typhidot IgM 340 400
CLINICAL PATHOLOGY
Hepatitis B Core Antibody (HBcAb) Level LABORATORY MEDICINE /
1819 408 480
(Hepatitis B Core IgM Antibody) CLINICAL PATHOLOGY
LABORATORY MEDICINE /
1820 Anti HBs 552 650
CLINICAL PATHOLOGY

ADDED vide clause 2,5, & 6 of OM [Link]. S-11045/36/2012-CGHS (HEC) dated 26.11.2014

1821 Free Triiodothyronine (FT3) 106 125 HORMONES

1822 Free Thyroxine (FT4) 106 125 HORMONES

LABORATORY MEDICINE /
1823 Widal Test 60 70
CLINICAL PATHOLOGY
LABORATORY MEDICINE /
1824 Dengue Serology 510 600
CLINICAL PATHOLOGY
 LABORATORY MEDICINE /
1825 Blood component charges - Whole Blood per Unit 1450 1450
BLOOD BANK
Blood component charges - Packed Red Cell per LABORATORY MEDICINE /
1826 1450 1450
Unit BLOOD BANK
LABORATORY MEDICINE /
1827 Blood component charges - Fresh Frozen Plasma 400 400
BLOOD BANK
Platelet Concentrate- Random Donor Platelet LABORATORY MEDICINE /
1828 400 400
(RDP) BLOOD BANK
LABORATORY MEDICINE /
1829 Blood component charges - Cryoprecipitate 200 200
BLOOD BANK
Platelet Concentrate – Single Donor Platelet (SDP)- LABORATORY MEDICINE /
1830 11000 11000
Apheresis per unit BLOOD BANK
CCS Group A Officer of above 40 years of age
1831 2000 2000 OTHERS
–Male, Annual Health Check up
CCS Group A Officer of above 40 years of age
1832 2200 2200 OTHERS
–female, Annual Health Check up

ADDED W.E.F. 07.02.2021

LABORATORY MEDICINE /
1833 Interleukin 6 (IL6/ IL 6) 1360 1600
BIO-CHEMISTRY
High resolution computed Tomography (HRCT
1834 1700 2000 Computed Tomography (CT) Scan
Chest)
TREATMENT PROCEDURE
1835 Fluid air exchange (per eye) 4250 per eye 5000
OPHTHALMOLOGY
TREATMENT PROCEDURE
1836 C3F8 GAS Injection (per eye) 4250 per eye 5000
OPHTHALMOLOGY
TREATMENT PROCEDURE
1837 Diurnal variation of IOP (per eye) 1275 per eye 1500
OPHTHALMOLOGY
TREATMENT PROCEDURE
1838 Silicone oil injection (per eye) 4250 per eye 5000
OPTHALMOLOGY
TREATMENT PROCEDURE
1839 Epiretinal Membrane (ERM) Peeling (per eye) 5950 per eye 7000
OPHTHALMOLOGY
TREATMENT PROCEDURE
1840 Epiretinal Membrane (ERM) Removal (per eye) 2550 per eye 3000
OPHTHALMOLOGY
TREATMENT PROCEDURE
1841 Internal limiting membrane (ILM) peeling (per eye) 2550 per eye 3000
OPHTHALMOLOGY
TREATMENT PROCEDURE
1842 Punctoplasty (per eye) 5525 per eye 6500
OPHTHALMOLOGY
TREATMENT PROCEDURE
1843 Punctal plug(Collagen/silicone) (per eye) 3400 per eye 4000
OPHTHALMOLOGY
TREATMENT PROCEDURE
1844 Laser Trabeculoplasty Gonioplasty (both eyes) 13600 both eye 16000 both eye
OPHTHALMOLOGY
TREATMENT PROCEDURE
1845 Eye laser pulse therapy (per eye) 2975 per eye 3500
OPHTHALMOLOGY
TREATMENT PROCEDURE
1846 Glaucoma valve/Glaucoma Ahmed valve 12750 15000
OPHTHALMOLOGY
TREATMENT PROCEDURE
1847 Malyugin Ring 8500 10,000
OPHTHALMOLOGY
TREATMENT PROCEDURE
1848 Globe exploration (eye surgery) 8500 10,000
OPHTHALMOLOGY
 TREATMENT PROCEDURE
1849 Scleral Fixation Tissue glue 7140 8400
OPHTHALMOLOGY
TREATMENT PROCEDURE
1850 Fibro optic Nasal Endoscopy 1955 2300
ENT
TREATMENT PROCEDURE
1851 Video Stroboscopy 4675 5500
ENT

TREATMENT PROCEDURE
1852 Video Bronchoscopy with BAL 8500 10,000
ENT/ PULMONOLOGY

Sleep deprived EEG (Rate shall be the same CGHS NEUROLOGICAL

1853 rate of EEG/Video EEG) Select CGHS rate code See code 1716 See code 1716 INVESTIGATIONS AND
1716 PROCEDURES