CGHS package rate RANCHI updated on 04/05/2021

Sr. CGHS TREATMENT Non- NABH/N

No. PROCEDURE/INVESTIGATION LIST NABH/Non- ABL
(DELHI/NCR) NABL Rates Rates
1 Consultation OPD 135 135
2 Consultation- for Inpatients 270 270
3 Dressings of wounds 50 58
4 Suturing of wounds with local anesthesia 108 124
5 Aspiration Plural Effusion - Diagnostic 120 138
6 Aspiration Plural Effusion - Therapeutic 174 200
7 Abdominal Aspiration - Diagnostic 311 358
8 Abdominal Aspiration - Therapeutic 414 476
9 Pericardial Aspiration 342 393
10 Joints Aspiration 317 365
11 Biopsy Skin 207 238
12 Removal of Stitches 36 41
13 Venesection 124 143
14 Phimosis Under LA 1180 1357
15 Sternal puncture 156 179
16 Injection for Haemorrhoids 373 429
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
TREATMENT PROCEDURE SKIN
23 Excision of Moles 311 358
24 Excision of Warts 300 345
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
TREATMENT PROCEDURE
30 Subconjunctival/subtenon’s injections in one eyes 69 79

31 Subconjunctival/subtenon’s injections in both eyes 138 159

32 Pterygium Surgery 5500 6325

33 Conjunctival Peritomy 58 67
34 Conjunctival wound repair or exploration 3300 3795
following blunt
trauma
35 Removal of corneal foreign body 115 132
36 Cauterization of ulcer/subconjunctival injection in 69 79
one eye
37 Cauterization of ulcer/subconjunctival injection in 138 159
both eyes
38 Corneal grafting—Penetrating keratoplasty 5750 6613
39 Corneal grafting—Lamellar keratoplasty 5000 5750
40 Cyanoacrylate /fibrin glue application for corneal 690 794
perforation
41 Bandage contact lenses for corneal perforation 460 529
42 Scleral grafting or conjunctival flap for corneal 2300 2645
perforation
43 Keratoconus correction with therapeutic contact 1200 1380
44 Ultraviolet (UV) - radiation for cross-linking for 1800 2070
45 EDTA for band shaped keratopathy 863 992
46 Arcuate keratotomy for astigmatism 2800 3220
47 Re-suturing (Primary suturing) of corneal wound 1150 1323
48 Penetrating keratoplasty with glaucoma surgery 12144 13966
49 Penetrating keratoplasty --- with vitrectomy 12144 13966
50 Penetrating keratoplasty with IOL implantation 13656 15704
51 DALK- Deep anterior lamellar keratoplasty 17250 19838
52 Keratoprosthesis stage I and II 11500 13225
53 DSAEK- Descemet’s stripping automated 16675 19176
endothelial
54 ALTK- Automated lamellar therapeutic 16500 18975
55 Probing and Syringing of lacrimal sac- in one eye 69 79

56 Probing and Syringing of lacrimal sac- in both eye 138 159

57 Dacryocystorhinostomy—Plain 2875 3306

58 Dacryocystorhinostomy—Plain with intubation 9750 11213
and/or with
lacrimal implants
59 Dacryocystorhinostomy—conjunctival with 9200 10580
60 Caliculoplasty 2300 2645
61 Dacryocystectomy 1725 1984
62 Punctal plugs for dry eyes 130 150
63 Refraction 40 46
64 Indirect Ophthalmoscopy 67 77
65 Orthoptic check-up- with synoptophore 44 51
66 Lees’ charting or Hess’ charting 100 115
67 Orthoptic exercises 50 58
68 Pleoptic exercises 50 58
69 Perimetry/field test—Goldman 144 166
70 Perimetry/field test— automated 144 166
71 Fluorescein angiography for fundus or iris 920 1058
72 Ultrasound A- Scan 777 894
73 Ultrasound B- Scan 230 265
74 Fundus Photo Test 180 207
75 Indocyanin green angiography 920 1058
76 Corneal endothelial cell count with specular 230 265
microscopy
77 Corneal topography 331 381
78 Corneal pachymetry 230 265
79 Auto-refraction 35 40
80 Macular function tests 44 51
81 Potential acuity metry 100 115
82 Laser interferometry 173 199
83 OCT-Optical coherence tomography 1913 2200
84 HRT- Heidelberg’s retinal tomogram 150 173
85 GDx Nerve fibre layer analyzer 88 101
86 UBM- Ultrasound bio microscopy 150 173
87 Non Contact tonometry (NCT) 50 58
88 IOP measurement with schiotz 30 35
89 IOP measurement with applation tonometry 50 58
90 Three mirror examination for retina 58 67
91 90 D lens examination 50 58
92 Gonioscopy 58 67
93 Chalazion incision and curettage in one eye 400 460
94 Chalazion incision and curettage in both eyes 431 496
95 Ptosis surgery with fasanella servat procedure 2070 2381
96 Ptosis surgery with LPS resection one lid 5500 6325
97 Ptosis surgery with Sling surgery one lid 6670 7670
98 Ectropion surgery- one lid 1400 1610
99 Ectropion surgery- both lids 2500 2875
100 Epicanthus correction 1550 1783
101 Cantholysis and canthotomy 575 661
102 Entropion surgery- one lid 1380 1587
103 Entropion surgery- both lids 2000 2300
104 Tarsorraphy 650 748
105 Suturing of lid lacerations 1150 1323
106 Lid retraction repair 1700 1955
107 Concretions removal 115 132
108 Bucket handle procedure for lid tumors 345 397
109 Cheek rotation flap for lid tumors 6900 7935
110 Orbitotomy 8050 9258
111 Enucleation 3000 3450
112 Enucleation with orbital implants and artificial 3000 3450
prosthesis
113 Evisceration 3450 3968
114 Evisceration with orbital implants and artificial 5693 6547
prosthesis
115 Telecanthus correction 4658 5357
116 Orbital decompression 5175 5951
117 Exenteration 5750 6613
118 Exenteration with skin grafting 6210 7142
119 Fracture orbital repair 9200 10580
120 Retinal laser procedures 1500 1725
121 Retinal detachment surgery (RDS) 11500 13225
122 Retinal detachment surgery (RDS) with scleral 13800 15870
buckling
123 Buckle removal 1150 1323
124 Silicone oil removal 2800 3220
125 Anterior retinal cryopexy 1162 1336
126 Squint correction for one eye 5000 5750
127 Squint correction for both eyes 7500 8625
128 Trabeculectomy 6900 7935
129 Trabeculotomy 6900 7935
130 Trabeculectomy with Trabeculotomy 10350 11903
131 Trephination 2300 2645.
Sr. CGHS TREATMENT
No. PROCEDURE/INVESTIGATION LIST
(DELHI/NCR)
132 Goniotomy 345 397
133 Glaucoma surgery with Glaucoma valves 6900+valve 7935+V
AL
134 Cyclocryotherapy 1150 1323
135 YAG laser iridotomy 1500 1725
136 YAG laser capsulotomy 1093 1257
137 ALT-Argon laser trabeculoplasty 1495 1719
138 PDT-Photodymic therapy 3450 3968
139 TTT- Transpupillary thermal therapy 3000 3450
140 PTK- Phototherapeutic keratectomy 6750 7763
141 Argon/diode laser for retinal detatchment 1150 1323
142 Intralase application for keratoconus 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 11500 13225
147 Intravitreal injections- of antibiotics 1150 1323
148 Intravitreal injections- of Ranibizumab excluding 3000 3450
cost of drug
149 X Ray orbit 115 132
150 CT orbit and brain 1600 1840
151 MRI- Orbit and brain 3105 3571
152 Dacryocystography 340 391
153 Orbital angio-graphical studies 1500 1725
154 Extracapsular cataract extraction (ECCE) with IOL 3105 3571
155 Small Incision Cataract Surgery (SICS) with IOL 5000 5750

156 Phaco with foldable IOL (silicone and 10781 12398

acrylic)/PMMA IOL
157 Pars plana lensectomy with/without IOL 10350 11903
158 Secondary IOL implantation- AC IOL PC IOL or 6900 7935
scleral fixated IOL
159 Cataract extraction with IOL with capsular tension 13500 15525
rings
(Cionni’s ring)
160 Optic nerve sheathotomy 7500 8625
161 Iridodialysis repair or papillary reconstruction 5000 5750
162 Iris cyst removal 850 978
163 Lid Abscess incision and Drainage 1700 1955
164 Orbital Abscess incision and Drainage 3000 3450
165 Biopsy 460 529
166 Paracentesis 230 265
167 Scleral graft for scleral melting or perforation 2800 3220
168 Amniotic membrane grafting 1100 1265
169 Cyclodiathermy 2300 2645
170 Intraocular foreign body removal 187 215
171 Electrolysis 230 265
172 Perforating injury repair 4500 5175

173 Botulinum injection for blepharospasm or squint 2500 2875

Sr. CGHS TREATMENT Non-

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

TREATMENT PROCEDURE DENTAL

PROCEDURES
174 Flap Operation per quadrant 360 414
175 Gingivectomy per quadrant 234 269
176 Reduction & immobilization of fracture- Maxilla
900 1035
Under LA
177 Reduction & immobilization of fracture-Mandible
3150 3623
Under LA
178 Splints/Circummandibular wiring under LA 510 586
179 splints/Circummandibular wiring under GA 990 1139
180 Internal wire fixation/plate fixation of Maxilla
3000 3450
under LA
181 Internal wire fixation/plate fixation of Maxilla
4000 4600
under GA
182 Internal wire fixation/plate fixation of Mandible
3500 4025
under LA
183 Internal wire fixation/plate fixation of Mandible
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
187 Extraction in mentally retarded/patients with
systemic 939 1080
diseases/patient with special needs under short term
188 GA
Cyst & tumour of Maxilla /mandible by
244 281
enucleation/
189 Cyst & tumour of Maxilla / mandible by
enucleation / excision / marsupialisation size more 406 267
than 4 cms
190 Cyst & tumour of Maxilla/mandible by
enucleation/excision/marsupialisation size more
1000 1150
than 4 cms
under GA
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 18900 21735
195 Hemi-mandibulectomy without graft 18900 21735
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 19501 22426
200 Maxillectomy- partial with graft 3000 3450
201 Maxillectomy- partial without graft 2500 2875
202 Release of fibrous bands & grafting -in (OSMF) 1500 1725
treatment
under GA
203 Pre-prosthetic surgery- Alveoloplasty 500 575
204 Pre-prosthetic surgery - ridge augmentation 1200 1380
205 Root canal Treatment(RCT) Anterior teeth(per 500 575
206 Root canal Treatment(RCT) Posterior teeth (per 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
No. PROCEDURE/INVESTIGATION LIST
(DELHI/NCR)
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 3 700 805
teeth
214 Removable partial denture-Metal based-more than 900 1035
3 teeth
215 Removable partial denture-Acrylic based-upto 3 500 575
teeth
216 Removable partial denture-Acrylic based-more 264 304
than 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
228 Maxillo-facial prosthesis 3500 4025
(sal/auricular/orbital/facial lost
part)
229 Functional orthodontic appliances 3000 3450
230 Obturator (Maxillo-facial) 1500 1725
231 Occlusal night guard(splint) 800 920
TREATMENT PROCEDURE ENT
232 Pure Tone Audiogram 172 198
233 Impedence with stepedeal reflex 230 265
234 Short Increment Sensitivity Index (SISI) Tone 132 152
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 1304 1500
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 13800 15870
265 Septal Perforation Repair 13800 15870
266 Antrum Puncture 950 1093
267 Lateral Rhinotomy 1000 1150
268 Cranio-facial resection 25500 29325
269 Caldwell Luc Surgery (Radical Antrostomy for 10626 12220
maxillary sinus)
270 Angiofibroma Excision 17000 19550
271 Endoscopic Hypophysectomy 21500 24725
272 Endoscopic Optic Nerve Decompression 29498 33923
273 Decompression of Orbit 25500 29325
274 Punch/Wedge biopsy 674 775
275 Tonsillectomy 5000 5750
276 Uvulo-palatoplasty 13500 15525
277 Functional Endoscopic Sinus Surgery (FESS) for 5750 6613
Antrochoanal polyp
278 Functional Endoscopic Sinus Surgery (FESS) for 5750 6613
ethmoidal polyp
279 Polyp removal ear 748 860
280 Polyp removal Nose(Septal polyp) 748 860
281 Mastoidectomy plus Ossiculoplasty including 2415 2777
TORP (Total Ossicular Replacement Prosthesis) or
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 1k474 17795
294 Styloidectomy 92c0 10580
295 Direct laryngoscopy including Biopsy under GA 5000 5750

296 Oesophagoscopy with foreign body removal from 1800 2070

Oesophagus
297 Bronchoscopy with foreign body (FB) removal 2438 2804
298 Other Major Surgery 15000 17250
299 Other Minor Surgery 8500 9775
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
TREATMENT PROCEDURE FOR HEAD AND
NECK
300 Ear Lobe Repair one side 500 575
301 Excision of Pinna for Growth (Squamous/Basal/ 4000 4600
Injuries)
Skin Only
302 Excision of Pinna for Growth (Squamous/Basal/ 3800 4370
Injuries)
Skin and Cartilage
303 Partial Amputation of Pinna 4500 5175
304 Total Amputation of Pinna 6200 7130
305 Total Amputation & Excision of External Auditory 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

317 Operation for Carcinoma Lip - Wedge Excision 9292 10686

and Vermilionectomy
318 Estlander Operation (Estlander flap in plastic 7475 8596
surgey of lips)
319 Abbe Operation (Abbe flap in plastic surgery of 9800 11270
320 Cheek Advancement 9775 11241
321 Excision of the Maxilla 19320 22218
322 Excision of mandible-segmental 15525 17854
323 Mandibulectomy 18900 21735
324 Partial Glossectomy 5520 6348
325 Hemiglossectomy 7000 8050
326 Total Glossectomy 22885 26318
327 Combined Mandibulectomy and Neck Dissection 22000 25300
Operation (Commando Operation)
328 Parotidectomy - Superficial 10868 12498
329 Parotidectomy - Total 13500 45525
330 Parotidectomy - Radical 17595 20234
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 23805 27376
339 Excision of Lingual Thyroid 15194 17473
Sr. CGHS TREATMENT
No. PROCEDURE/INVESTIGATION LIST
(DELHI/NCR)
340 Excision of Thyroglossal Cyst/Fistula 13225 15209
341 Excision of Parathyroid Adenoma/Carcinoma 21275 24466
342 Laryngectomy 17825 20499
343 Laryngo Pharyngectomy 27000 31050
344 Hyoid Suspension 10350 11902
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 17802 20472
Head and neck cancer
352 Excisional Biopsies 5175 5951
353 Benign Tumour Excisions 9500 10925
354 Temporal Bone subtotal resection 18630 21425
355 Modified Radical Neck Dissection 22770 26186
356 Carotid Body Excision 26000 29900
357 Total Laryngectomy 39192 45071
358 Flap Reconstructive Surgery 37260 42849
359 Parapharyngeal Tumour Excision 39330 45230
360 Other Major Surgery 21250 24438
361 Other Minor Surgery 5000 5750
TREATMENT PROCEDURE BREAST
362 Drainage of abscess 6000 6900
363 Excision of lumps 6969 8014
364 Local mastectomy-simple 12650 14548
365 Radical mastectomy-formal or modified. 25875 29756
366 Excision of mammary fistula 13973 16069
367 Segmental resection of breast 16100 18515
368 Other Major Surgery 22500 25875
369 Other Minor Surgery 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 405 466
374 Removal Of Foreign Bodies 300 345
Biopsies
375 Excision of Cervical Lymph Node 1725 1984
376 Excision of Axillary Lymph Node 2049 2356
377 Excision of Inguinal Lymph Node 2049 2356
378 Excision Biopsy of Ulcers 1470 1690
379 Excision Biopsy of Superficial Lumps 2898 3333
380 Incision Biopsy of Growths/Ulcers 1470 1691
381 Trucut Needle Biopsy 1550 1783
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
382 Percutaneous Kidney Biopsy 1470 1691
383 Marrow Biopsy (Open) 1060 1219
384 Muscle Biopsy 1470 1691
385 Scalene Node Biopsy 1215 1397
386 Excision of Sebaceous Cysts 1118 1286
387 Excision of Superficial Lipoma 1739 2000
388 Excision of Superficial Neurofibroma 2500 2875
389 Excision of Dermoid Cysts 2049 2356
390 Haemorrhoidectomy 20720 24375
391 Stappler haemorrhoidectomy 38000 43700
392 keloid excision 1150 1323
393 Varicose vein surgery-Trendelenburg operation 10000 11500
with suturing or ligation
TREATMENT PROCEDURE OESOPHAGUS
394 Atresia of Oesophagus and Tracheo Oesophageal 28750 33063
Fistula
395 Operations for Replacement of Oesophagus by 25000 28750
Colon
396 Oesophagectomy for Carcinoma Easophagus 25000 28750
397 Oesophageal Intubation (Mausseau Barbin Tube) 10350 11903

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 17775 20441
402 Colon-Inter position or Replacement of 20286 23329
403 Oesophago Gastrectomy – Lower Corringers 19251 22139
procedure
404 Other Major Surgery 24863 28592
405 Other Minor Surgery 5000 5750
TREATMENT PROCEDURE ABDOMEN / GI
SURGERY
406 Gastroscopy 1553 1786
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 20700 23805
414 Partial/Subtotal Gastrectomy for Ulcer 20183 23210
415 Operation for Bleeding Peptic Ulcer 20976 24122
416 Operation for Gastrojejunal Ulcer 19780 22747
417 Total Gastrectomy for Cancer 20131 23151
418 Highly Selective Vagotomy 16767 19282
419 Selective Vagotomy & Drainage 16767 19282
420 Congenital Diaphragmatic Hernia 17078 19640
421 Hiatus Hernia Repair- Abdominal 14490 16664
422 Hiatus Hernia Repair- Transthoracic 14490 16664
423 Exploratory Laparotomy 11385 13093
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
424 Epigastric Hernia Repair 10247 11784
425 Umbilical Hernia Repair 10247 11784
426 Ventral /incisional Hernia Repair 9262 10651
427 Inguinal Hernia Herniorrhaphy 13352 15355
428 Inguinal Hernia - Hernioplasty 16500 18975
429 Femoral Hernia Repair 16457 18926
430 Rare Hernias Repair (Spigalion, Obturator, 18975 21821
Lumbar, Sciatic)
431 Splenectomy - For Trauma 18975 21821
432 Splenectomy - For Hypersplenism 14490 16664
433 Splenorenal Anastomosis 23000 26450
434 Portocaval Anastomosis 28750 33063
435 Direct Operation on Oesophagus for Portal 20597 23687
Hypertension
436 Mesentericocaval Anastomosis 25450 29268
437 Warren Shunt (Distal Splenorenal Shunt) 25875 29756
438 Pancreatico Duodenectomy (Whipple's procedure) 21735 24995

439 By Pass Procedure for Inoperable Carcinoma of 20700 23805

Pancreas
440 Cystojejunostomy or Cystogastrostomy 13041 14998
441 Cholecystectomy 10292 11836
442 Cholecystectomy & Exploration of CBD 12938 14879
443 Repair of Common Bile Duct (CBD) 13600 15640
444 Operation for Hydatid Cyst of Liver 11902 13688
445 Cholecystostomy 9263 10652
446 Hepatic Resections (Lobectomy /Hepatectomy) 14375 16531
447 Operation on Adrenal Glands - Bilateral 26105 30021
448 Operation on Adrenal Glands - Unilateral 12420 14283
449 Appendicectomy 8108 9324
450 Appendicular Abscess – Drainage 9775 11241
451 Mesenteric Cyst- Excision 9936 11426
452 Peritonioscopy/Laparoscopy 4600 5290
453 Jejunostomy 5750 6613
454 Ileostomy 15410 17722
455 Resection & Anastomosis of Small Intestine 18630 21425
456 Duodenal Diverticulum 18400 21160
457 Operation for Intestinal Obstruction 10350 11903
458 Operation for Intestinal perforation 34200 39330
459 Benign Tumours of Small Intestine 19500 22425
460 Excision of Small Intestine Fistula 17595 20234
461 Operations for GI Bleed 16000 18400
462 Operations for Haemorrhage of Small Intestines 17595 20234

463 Operations of the Duplication of the Intestines 17825 20499

464 Operations for Recurrent Intestinal Obstruction 20700 23805

(Noble
Plication & Other Operations for Adhesions)
465 Ileosigmoidostomy and related resection 15111 17378
466 Ileotransverse Colostomy and related resection 15111 17378

Sr. CGHS TREATMENT Non-

No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
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 22428 25792
475 Operations for Sigmoid Diverticulitis 18630 21425
476 Fissure in Ano with Internal sphinctrectomy with 12420 14283
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 6612
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 19665 22615
489 Pull Through Abdominal Resection 15453 17771
490 Retro Peritoneal Tumor Removal 16200 18630
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

497 Laparoscopic Whipple's operation (Laparoscopic 20000 23000

Pancreatico Duodenectomy
498 Laparoscopic GI bypass operation 22000 25300
499 Laparoscopic Total Colectomy 25000 28750
500 Laparoscopic Hemicolectomy 23000 26450
501 Laparoscopic Anterior Resection (of Intestine/ 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 34200 39330
510 Other Minor Surgery 6000 6900
TREATMENT PROCEDURE ICU/CCU
PROCEDURES
(SPECIAL CARE CASES)
511 Coronary Care with Cardiac Monitoring (Room 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
TREATMENT PROCEDURE
CARDIOVASCULAR AND
CARDIAC SURGERY & INVESTIGATIONS
520 Atrial Septal Defect(ASD) closure 51808 59579
521 Ventricular septal defect (VSD) with graft 51808 59579
522 TOF/TAPVC/TCPC/REV/RSOV repair 127075 146136
523 BD Glenn/Left atrium myxoma 80750 92863
524 Senning/Arterial Switch Operation (ASO) with 122188 140516
525 Double Switch Operation (DSO) 93254 107242
526 Atrioventricular(AV) canal repair 160000 184000
527 Fontan procedure 169000 194350
528 Conduit repair 169000 194350
529 Coronary Artery Bypass Graft surgery (CABG) 127075 146136
530 CABG + Intra-Aortic Balloon Pump (IABP) 160000 184000
531 CABG + Valve. 152100 174915
532 CABG without bypass. 130000 149500
533 Ascending aorta replacement 130000 149500
534 Double Valve Replacement (DVR) 155422 178735
535 Mitral valve Replacement(MVR)/ Aortic valve 93254 107242
Replacement(AVR)
536 Mitral Valve repair + Aortic Valve repair 103615 119157
537 Aorta femoral bypass 52000 59800
538 Blalock-Taussig shunt (BT Shunt) / Coarctation 50000 57500

539 Pulmonary Artery Banding (PA Banding) 51980 59777

Septostomy
540 Pericardectomy 42320 48668
541 Congenital cytomegalovirus (CMV)/ patent ductus 51980 59777
arteriosus (PDA)
542 Gunshot injury 46782 53799
543 Heart transplant 248400 285660
544 Balloon coronary angioplasty/PTCA with VCD 75000 86250

545 Balloon coronary angioplasty/PTCA without VCD 75000 86250

546 Rotablation 48875 56206

547 Percutaneous transvenous mitral commissurotomy 10264 11804
(PTMC) / percutaneous mitral balloon valvotomy
548 Cardiac Catheterization (CATH) 10000 11500
549 Aortic Arch Replacement 9315 10712
550 Aortic Dissection 11385 13093
551 Thoraco Abdominal Aneurism Repair 13500 15525
552 Embolectomy 18900 21735
553 Vascular Repair 36000 41400
554 Bentall Repair with Prosthetic Valve 27000 31050
555 Bentall Repair with Biologic Valve 114750 131963
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

560 Permanent pacemaker implantation (PPI)- Single 13800 15870

Chamber
561 Permanent pacemaker implantation- Dual Chamber 19320 22218

562 Permanent pacemaker implantation (PPI)- 34500 39675

Biventricular
563 Automatic implantable cardioverter defibrillator 28750 33063
(AICD) Single Chamber
564 Automatic implantable cardioverter defibrillator 36000 41400
(AICD) Dual Chamber
565 Combo device implantation 40000 46000
566 Diagnostic Electrophysiological studies 4095 4709
567 Ambulatory BP monitoring 587 675
568 External Loop/event recording 2563 2947
569 RF Ablation conventional 35000 40250
570 RF Ablation Atrial Tachycardia/Carto 45000 51750
571 Endomyocardial biopsy 10000 11500
572 Intra aortic balloon pump (IABP) 7820 8993
573 Intra vascular coils 41400 47610
574 Septostomy- Balloon 16150 18573
575 Septostomy- Blade 17595 20234
576 Aortic valve balloon dilatation (AVBD) / 45000 51750
pulmonary valve balloon dilatation (PVBD)
577 Digital subtraction angiography-Peripheral artery 10350 11903

578 Digital subtraction angiography- venogram 10350 11903

579 CT Guided biopsy 1139 1310
580 Sinogram 777 894
581 Peripheral Angioplasty with VCD 10350 11903
582 Peripheral Angioplasty without VCD 10350 11903
583 Renal Angioplasty 54315 62462
584 Intravascular ultrasound (IVUS) 25000 28750
585 Fractional flow reserve (FFR) 11475 13196
586 Holter analysis 850 978
587 Aortic stent grafting for aortic aneurysm 75000 86250
588 Inferior Vena Cava (IVC) filter implantation 14516 16693
589 ASD/VSD/PDA device closure 32603 37493
590 Electrocardiogram (ECG) 50 58
591 Head--up tilt test (HUTT) 2000 2300
592 2D echocardiography 1080 1242
593 3D echocardiography 1263 1452
594 Fetal Echo 1260 1449
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
599 Stress Myocardial Perfusion Imaging (MPI)- 1760 2024
exercise
600 Stress Myocardial Perfusion Imaging (MPI) - 2250 2588
pharmacological
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
601 Coronary angiography 10350 11903
602 CT coronary angiography 5427 6241
603 Cardiac CT scan 2045 2352
604 Cardiac MRI 2200 2530
605 Stress Cardiac MRI 2700 3105
606 MR angiography. 5072 5833
607 Cardiac PET 1350 1553
608 Pericardiocentesis 3500 4025
609 Other Major Surgery 18000 20700
610 Other Minor Surgery 3825 4399
TREATMENT PROCEDURE OBSTETRICS
AND
611 Normal delivery with or without Episiotomy & P. 8000 9200
repair
612 vacuum delivery 8625 9919
613 Forceps Delivery 9200 10580
614 Cesarean Section(CS) 14050 16158
615 Cesarean Hysterectomy 17078 19640
616 Rupture Uterus closure & repair with Tubal 15525 17854
Ligation
617 Perforation of Uterus after D/E Laparotomy & 13800 15870
Closure
618 Laparotomy for Ectopic pregnancy 13800 15870
619 Laparotomy-peritonitis Lavage and Drainage 11500 13225
620 Salphingo-Oophorectomy/ Oophorectomy 10000 11500
Laparoscopic
621 Ovarian Cystectomy-laparoscopic. 10350 11903
622 Ovarian Cystectomy -laparotomy. 13800 15870
623 Salpingo-Oophorectomy-laparotomy 10368 11923
624 Laparoscopic Broad Ligament Hematoma Drainage 6900 7935
with
repair
625 Exploration of perineal Haematoma & Repair 8000 9200
626 Exploration of abdominal Haematoma (after 8050 9258
laparotomy +
LSCS)
627 Manual Removal of Placenta 3450 3968
628 Examination under anesthesia (EUA) 1000 1150
629 Burst-abdomen Repair 10000 11500
630 Gaping Perineal Wound Secondary Suturing 1656 1904
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
635 Suction evacuation Missed abortion/ incomplete 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
640 Abdominal Hysterectomy with or without salpingo- 17250 19838
oophorectomy
641 Non-descent Vaginal Hysterectomy (NDVH) 17250 19838
642 Vaginal Hysterectomy with repairs (UV Prolapse) 17250 19838
643 Myomectomy -laparotomy 12600 14490
644 Myomectomy -laparoscopic 6325 7274
645 Vaginoplasty 13455 15473
646 Vulvectomy -Simple 9200 10580
647 Vulvectomy-Radical 9200 10580
648 Rectovaginal Fistula (RVF) Repair 18975 21821
649 Manchester Operation 15000 17250
650 Shirodkar’s sling Operation or other sling 3450 3968
operations for
prolapse uterus
651 Laparoscopic sling operations for prolapse uterus 25200 28980

652 Diagnostic Curettage 2484 2857

653 Cervical Biopsy 1800 2070
654 Polypectomy 1366 1571
655 Other-Minor Operation Endometrial 2300 2645
656 Excision Vaginal Cyst/Bartholin Cyst 3450 3968
657 Excision Vaginal Septum 4600 5290
658 Laparoscopy -Diagnostic with chromopertubation 4025 4629
and or
adhesiolysis and drilling
659 Laparoscopy Sterilization 3450 3968
660 Laparoscopically Assisted Vaginal Hysterectomy 22719 26127
(LAVH)
661 Balloon Temponade for Post Partum Haemorrhage 2898
(PPH) 2520
662 Total laparoscopic hysterectomy 22719 26127
663 Laparoscopic treatment of Ectopic pregnancy- 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
667 Laparotomy recannalization of Fallopian tubes- 20183 23210
(Tubuloplasty)
668 Laparoscopic recannalization of Fallopian tubes- 19500 22425
(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 25200 28980
673 Abdominal Vesicovaginal Fistula (VVF) Repair 25200 28980
674 Vaginal Vesicovaginal Fistula (VVF) Repair 25200 28980
675 Interventional Ultrasonography- Chorionic villus 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 9000 10350
681 Intra Uterine Inseminition 920 1058
682 Intracytoplasmic sperm injection (ICSI) 11500 13225
683 Laparotomy abdominal sacro-colpopexy 15000 17250
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
684 Vaginal Colpopexy 19800 22770
685 Laparoscopic abdominal sacro-colpopexy 20000 23000
686 Laparotomy pelvic Lymphadenectomy 1080 1242
687 Laparoscopic pelvic Lymphadenectomy 3150 3623
688 Endometrial aspiration cytology/biopsy 570 656
689 Transvaginal sonography (TVS for Follicular 460 529
monitioring
/aspiration)
690 laparoscopic treatment for stress incontinence 13500 15525
691 Transvaginal tapes for Stress incontinence 13500 15525
692 trans-obturator tapes for Stress incontinence 10800 12420
693 Interventional radiographic arterial embolization 16200 18630
694 Diagnostic cystoscopy 2875 3306
695 Staging laparotomy surgery for Carcinoma Ovary 5693 6547

696 Internal Iliac ligation 3393 3902

697 stepwise devascularisation 9200 10580
698 Assisted breech delivery 9833 11308
699 Intra-uterine fetal blood transfusion 21275 24466
700 Hysteroscopy Transcervical Resection of 8500 9775
Endometrium (TCRE)
701 Hysteroscopy Removal of Intra-uterine 7500 8625
Contraceptive Device (IUCD)
702 Hysteroscopy Removal of Septum 11000 12650
703 Hysteroscopy Diagnostic 7500 8625
704 Radical Hysterectomy for Cancer cervix with 8500 9775
pelvic
lymphadenectomy
705 Radical Hysterectomy for Cancer endometrium 8500 9775
extending
to cervix with pelvic and para aortic
lymphadenectomy
706 Sterilization Post partum (minilap) 3750 4313
707 Sterilization interval (minilap) 3750 4313
708 Ultrasonography Level II scan/Anomaly Scan 450 518
709 Fetal nuchal Translucency 300 345
710 Fetal Doppler/Umblical Doppler/Uterine Vessel 765 880
Doppler
711 Medical Termination of Pregnancy (MTP)- 1st 3000 3450
Trimester
712 Medical Termination of Pregnancy (MTP) - 2nd 4370 5026
Trimester
713 Quadruple test 2000 2300
714 Biophysical score 600 690
715 Other Major Surgery 25200 28980
716 Other Minor Surgery 5000 5750
TREATMENT PROCEDURE NEPHROLOGY
AND UROLOGY

717 Partial Nephrectomy -open 14594 16783

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 9522 10950
723 Operations for Hydronephrosis -pyeloplasty open 16560 19044
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
724 Operations for Hydronephrosis -pyeloplasty 19000 21850
Lap/endoscopic
725 Operations for Hydronephrosis Endopyelotomy 18000 20700
antegrade
726 Operations for Hydronephrosis Endoplyelotomy 18000 20700
retrograde
727 Operations for Hydronephrosis -ureterocalicostomy 16200 18630

728 Operations for Hydronephrosis-Ileal ureter 18000 20700

729 Open Drainage of Perinephric Abscess 8000 9200
730 Percutaneous Drainage of Perinephric Abscess - 5750 6613
Ultrasound
guided
731 Cavernostomy 9775 11241
732 Operations for Cyst of the Kidney -open 11960 13754
733 Operations for Cyst of the Kidney -Lap/endoscopic 12627 14521
734 Ureterolithotomy -open 13248 15235
735 Ureterolithotomy-Lap/Endoscopic 10000 11500
736 Nephroureterectomy open 14490 16664
737 Nephroureterectomy -Lap/Endoscopic 14490 16664
738 Operations for Ureter for -Double Ureters 17100 19665
739 Operations for Ureter -for Ectopia of Single Ureter 18000 20700
740 Operations for Vesicoureteric Reflux (VUR) -Open 18000 20700

741 Operations for Vesicoureteric Reflux (VUR)- 18000 20700

Lap/Endoscopic
742 Operations for Vesicoureteric Reflux (VUR)/ 18630 21425
Urinary incontinence with bulking agents
743 Ureterostomy - Cutaneous 12000 13800
744 Uretero-Colic anastomosis 16000 18400
745 Formation of an Ileal Conduit 15525 17854
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 15525 17854
752 Diverticulectomy -open 16000 18400
753 Diverticulectomy- Lap/Endoscopic 16560 19044
754 Diverticulectomy -Endoscopic incision of neck 1725 1984

755 Augmentation Cystoplasty 6670 7671

756 Operations for Exstrophy of the Bladder- Single 20070 23081
stage repair
757 Operations for Exstrophy of the Bladder- 18734 21544
Multistage repair
758 Operations for Exstrophy of the Bladder- simple 20250 23288
cystectomy with urinary diversion
759 Repair of Ureterocoel -Open 12420 14283
760 Repair of Ureterocoel -Lap/Endoscopic 12938 14879
761 Repair of Ureterocoel -Endoscopic incision 13000 14950
762 Open Suprapubic Prostatectomy 18630 21425
763 Open Retropubic Prostatectomy 18113 20830
764 Transurethral Resection of Prostate (TURP) 16767 19282
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
769 Urethral Reconstruction - substitution urethroplasty 17595 20234
(Transpubic urethroplasty)
770 Abdomino Perineal urethroplasty 14000 16100
771 Posterior Urethral Valve fulguration. 10143 11664
772 Operations for Incontinence of Urine - Male -Open 15525 17854

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

774 Operations for Incontinence of Urine - Male- 17492 20116

Bulking agent
775 Operations for Incontinence of Urine - Female - 15525 17854
776 Operations for Incontinence of Urine - Female- 16560 19044
777 Operations for Incontinence of Urine - Female- 17492 20116
Bulking agent
778 Reduction of Paraphimosis 1725 1984
779 Circumcision 3000 3450
780 Meatotomy 2346 2698
781 Meatoplasty 2898 3333
782 Operations for Hypospadias + Chordee Correction 8280 9522

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 11334 13031
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 10868 12498
792 Post Radical Orchidectomy retroperitoneal lymph 14000 16100
node
dissection.
793 Epididymectomy 15938 18750
794 Adreneclectomy Unilateral/Bilateral for 22770 26186
Tumour/For
795 Adreneclectomy Unilateral/Bilateral for 12938 14879
Tumour/For
796 Operations for Hydrocele - Unilateral 5279 6071
797 Operations for Hydrocele - Bilateral 7700 8855
798 Operation for Torsion of Testis 10350 11903
799 Micro-surgical Vasovasostomy /Vaso epidedymal 11040 12696
ansatamosis .
800 Operations for Varicocele Unilateral-Microsurgical 7705 8861
801 Operations for Varicocele Palomo’s Unilateral - 9200 10580
802 Operations for Varicocele Bilateral --Microsurgical 12650 14548
803 Operations for Varicocele Bilateral – Lap/ Palomo 14950 17193

804 Block Dissection of ilio-inguinal Nodes - One Side 5693 6547

(For Ca-
Penis)
805 Block Dissection of ilio-inguinal Nodes -Both 20700 23805
Sides (For Ca-
Penis)
806 Excision of Filarial Scrotum 10350 11903
807 Kidney Transplantation (related) 200000 230000
808 Kidney Transplantation (Spousal/ unrelated) 300000 345000
Including
immunosuppressant therapy
809 ABO incompatible Transplantation 441000 507510
810 Swap Transplantation 349200 401580
811 Kidney Transplant Graft Nephrectomy 53550 61583
812 Donor Nephrectomy (open) 28750 33063
813 Donor Nephrectomy (Laparoscopic) 41400 47610
814 Cadaver Transplantation 74970 86216
815 Kidney Transplant with Native Kidney 28000 32200
Nephrectomy
816 Kidney Transplant with Native Kidney 85000 97750
Nephrectomy
817 Kidney Transplant with Native Kidney 85000 97750
Nephrectomy
818 Kidney Transplant with Native Kidney 85000 97750
Nephrectomy
819 Post-Transplant Collection drainage for 6800 7820
Lymphocele (open)
820 Post-Transplant Collection drainage for 6800 7820
Lymphocele
821 Post-Transplant Collection drainage for 7650 8798
Lymphocele
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 2025 2329
826 One sided (single Lumen) Femoral Catheterization 1000 1150
for
Haemodialysis
827 Bilateral (single Lumen) Femoral Catheterization 1500 1725
for
828 Double Lumen Femoral Catheterization for 1800 2070
Haemodialysis
829 Permcath Insertion 2520 2898
830 Arterio venous Prosthetic Graft 1850 2128
831 Single lumen Jugular Catheterization 1350 1553
832 Single lumen Subclavian Catheterization 1700 1955
833 Plasma Exchange/ Plasmapheresis 1725 1984
834 Continuous Ambulatory Peritoneal Dialysis 3150 3623
(CAPD) catheter insertion- Open method
835 Continuous Ambulatory Peritoneal Dialysis 3500 4025
(CAPD) catheter insertion- Schlendinger/ Seldinger
method low efficiency haemodialysis /
Sustained 1250 1438
836
hemodialysis
NABH /
Non- NABH /
Sr. CGHS TREATMENT PROCEDURE / NABL
Non-NABL
No. INVESTIGATION LIST (DELHI/NCR) Rates in
Rates in Rupee
Rupee
Continuous Veno venous/Arteriovenous 2250 2588
837
Haemofilteration /Hemofilteration
Haemodialysis / Hemodialysis for Sero negative 1400 1610
838
cases
Haemodialysis / Hemodialysis for Sero Positive 1650 1898
839
cases
840 Acute Peritoneal Dialysis 1450 1668
841 Fistulogram for Arteriovenous Fistula 2500 2875
842 Ultrasound guided Kidney Bipsy 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 18630 21425
851 Radical Nephrectomy plus IV thrombus 20700 23805
852 Radical Nephrectomy plus IV thrombus plus 23000 26450
cardiac bypass.
853 Vesicovaginal Fistula (VVF) Repair (Open) 16000 18400
854 Vesicovaginal Fistula (VVF) Repair 20000 23000
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
862 Ureteric Reimplant for Megaureter/Vesicoureteric 10494 12068
reflux/ ureterocele (open)
863 Ureteric Reimplant for Megaureter/Vesicoureteric 10494 12068
reflux/ ureterocele (Laparoscopic)
864 Partial Cystectomy 13800 15870
865 Transurethral Resection of Prostate (TURP) & 17250 19838
Transurethral Resection of Bladder Tumour
(TURBT)
866 Transurethral Resection of Prostate (TURP) with 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
874 Resection Bladder Neck Endoscopic /Bladder neck 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
No. PROCEDURE/INVESTIGATION LIST
(DELHI/NCR)
880 Dilatation of Stricture Urethra under LA 1725 1984
881 Laparoscopic Nephrectomy (Select CGHS rate 22000 25300
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
891 Cystoscopy with Retrograde Catheter -Unilateral 2803 3223
/RGP
892 Cystoscopy with Retrograde Catheter - Bilateral 4675 5376
/RGP
893 Cystoscopy with Bladder Biopsy (Cold Cup 3381 3888
Biopsy)
894 Voiding-cysto-urethrogram and retrograde 414 476
urethrogram
(Nephrostogram)
895 Radical prostatectomy-Open 17825 20499
896 Radical prostatectomy-Laparoscopic 20125 23144
897 Radical prostatectomy- Robotic (Robotic Partial 20125 23144
Nephrectomy)
898 Holmium YAG Prostate Surgery 15000 17250
899 Holmium YAG Optical Internal Urethrotomy 4600 5290
(OIU)
900 Holmium YAG Core through internal Urethrotomy 17250 19838

901 Holmium YAG Stone Lithotripsy 10200 11730

902 Green Light laser for prostate 17250 19839
903 Retrograde Intrarenal Surgery (RIRS)/ Flexible 6800 7820
Ureteroscopy
904 Microscopic Vaso-Epididymal Anastomosis 11040 12696
(VEA)/ Vasovasostomy (reversal of vasectomy for
Infertility treatment) (Select CGHS rate code 799
for approved rate)
905 Cystoscopic Botulinum Toxin Injection ( Over 6800 7820
active
bladder/ Neurogenic bladder)
906 Peyronie’s disease – Plaque excision with grafting 3400 3910

907 High Intensity Focus Ultrasound (HIFU) (Robotic) 4600 5290

for
Carcinoma prostrate and renal cell carcinoma
908 Prosthetic surgery for urinary incontinence 2300 2645
909 Transrectal Ultrasound (TRUS) guided prostate 575 661
biopsy
910 Ultrasound Guided Percutaneous Nephrostomy 720 828
(PCN)
911 Other Major Surgery 15000 17250
912 Other Minor Surgery 6800 7820
TREATMENT PROCEDURE NEURO-
913 Craniotomy and Evacuation of Haematoma - 45644 52491
Subdural
914 Craniotomy and Evacuation of Haematoma - 50000 57500
Extradural
915 Evacuation /Excision of Brain Abscess by 40000 46000
craniotomy
916 Excision of Lobe (Frontal Temporal Cerebellum 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
920 Ventriculoatrial /Ventriculoperitoneal Shunt 10454 12022
(Select CGHS rate code 938 for approved rates)
921 Twist Drill Craniostomy 4250 4888
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
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 Lumber Pressure Monitoring 4250 4888
928 Vascular Malformations 19800 22770
929 Meningo Encephalocoele excision and repair 15000 17250
930 Meningomyelocoel Repair 24995 28744
931 CSF Rhinorrhaea Repair 25875 29756
932 Cranioplasty 24150 27773
933 Anterior Cervical Dissectomy 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 10454 12022
939 Nerve Biopsy 6900 7935
940 Brain Biopsy 5808 6679
941 Anterior Cervical Spine Surgery with fusion 28980 33327
942 Anterio Lateral Decompression of spine 28750 33063
943 Brain Mapping 837 963
944 Cervical or Dorsal or Lumbar Laminectomy 23000 26450
945 Combined Trans-oral Surgery & Craniovertebral 34500 39675
(CV) Junction Fusion
946 Craniovertebral Junction (CVJ) Fusion procedures 27000 31050
947 Depressed Fracture Elevation 25000 28750
948 Lumbar Discectomy 27600 31740
949 Endarterectomy (Carotid) 20000 23000
950 Radiofrequency Ablation (RFA) for Trigeminal 11500 13225
Neuralgia
951 Spasticity Surgery - 39675 45626
952 Spinal Fusion Procedure 30000 34500
953 Spinal Intra Medullary Tumours 31050 35708
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
959 Implantation of Deep Brain Stimulation (DBS) - 34500 39675
One electrode
960 Implantation of Deep Brain Stimulation (DBS) - 36225 41659
two 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 28980 33327
968 Endoscopic CSF rhinorrhea repair 30000 34500
969 Burr hole evacuation of chronic subdural 24150 27773
haematoma
970 Epilepsy surgery 36225 41659
971 Radiofrequency Ablation (RFA) for facet joint pain 17250 19838
syndrome
972 Cervical laminoplasty 28800 33120
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

976 Extracranial-Intracranial Bypass Procedures (EC- 32000 36800

IC) bypass procedures
977 Image guided craniotomy 28980 33327
978 Baclofen pump implantation 35100 40365
979 Programmable Ventriculo-Peritoneal (VP) shunt 25000 28750
980 Endoscopic sympathectomy 15396 17705
981 Lumber puncture 207 238
982 External ventricular drainage (EVD) 4600 5290
983 Endoscopic 3rd ventriculostomy 36000 41400
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
990 Surgery for intracranial Arteriovenous 40000 46000
malformations(AVM)
991 Foramen magnum decompression for Chari 93750 107813
Malformation
992 Dorsal column stimulation for backache in failed 28750 33063
back
syndrome
993 Surgery for recurrent disc prolapse/epidural fibrosis 28980 33327

994 Surgery for brain stem tumours 39589 45527

995 Decompressive craniotomy for hemishpherical 40000 46000
acute
subdural haematoma/brain swelling/large infarct
996 Intra-arterial thrombolysis with Tissue 4600 5290
Plasminogen Activator (TPA) (for ischemic stroke
)
997 Steriotactic aspiration of intracerebral haematoma 32545 37427

998 Endoscopic aspiration of intracerebellar 40000 46000

haematoma
999 Steriotactic Radiosurgery for brain pathology(X 27560 31694
knife/Gamma ) - ONE session

1000 Steriotactic Radiosurgery for brain pathology(X 57500 66125

knife /Gamma knife -Two or more sessions

1001 Chemotheraphy wafers for malignant brain tumors 14450 16618

1002 Battery Placement for Deep Brain Stimulation 19800 22770

(DBS)
1003 Baclofen pump implantation for spasticity 15597 17937
1004 Peripheral Nerve tumor surgery 21600 24840
1005 Surgery Intra Cranial Meningioma 18000 20700
1006 Surgery for Intracranial Schwannoma 31500 36225
1007 Surgery for Gliomas 40500 46575
1008 Surgery for Orbital tumors 36000 41400
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1009 Surgery for Cranial (Skull) tumors 34650 39848
1010 Surgery for Scalp Arteriovenous Malformations 22500 25875
(AVMs)
1011 Kyphoplasty 36000 41400
1012 Balloon Kyphoplasty 36000 42400
1013 Lesioning procedures for Parkinson’s disease, 31500 36225
Dystonia etc.
1014 Other Major Surgery 42500 48875
1015 Other Minor Surgery 17000 19550
TREATMENT PROCEDURE PAEDIATRIC
SURGERY
1016 Excision of thyroglossal Duct/Cyst 14400 16560
1017 Diaphragmatic Hernia Repair (Thoracic or 15525 17854
Abdominal
Approach)
1018 Tracheo Oesophageal Fistula (Correction Surgery) 23000 26450

1019 Colon Replacement of Oesophagus 23000 26450

1020 Omphalo Mesenteric Cyst Excision 15525 17854
1021 Omphalo Mesenteric Duct- Excision 13973 16069
1022 Meckels Diverticulectomy 3012 3464
1023 Omphalocele 1st Stage (Hernia Repair) 13973 16069
1024 Omphalocele 2nd Stge (Hernia Repair) 15525 17854
1025 Gastroschisis Repair 14490 16664
1026 Inguinal Herniotomy 11302 12997
1027 Congenital Hydrocele 10800 12420
1028 Hydrocele of Cord 10800 12420
1029 Torsion Testis Operation 13500 15525
1030 Congenital Pyloric Stenosis- operation 12544 14426
1031 Duodenal Atresia Operation 12600 14490
1032 Pancreatic Ring Operation 22425 25789
1033 Meconium Ileus Operation 14500 16675
1034 Malrotation of Intestines Operation 13000 14950
1035 Rectal Biopsy (Megacolon) 8762 10076
1036 Colostomy Transverse 15000 17250
1037 Colostomy Left Iliac 15000 17250
1038 Abdominal Perineal Pull Through (Hirschsprung's 17100 19665
Disease)
1039 Imperforate Anus Low Anomaly -Cut Back 9212 10594
Operation
1040 Imperforate Anus Low Anomaly - Perineal 12000 13800
Anoplasty
1041 Imperforate Anus High Anomaly -Sacroabdomino 12500 14375
Perineal Pull Through
1042 Imperforate Anus High Anomaly - Closure of 7763 8927
Colostomy
1043 Intussusception Operation 18630 21425
1044 Choledochoduodenostomy for Atresia of Extra 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
No. PROCEDURE/INVESTIGATION LIST
(DELHI/NCR)
1048 Nephrectomy for -Wilms Tumour 15000 17250
1049 Paraortic Lymphadenoctomy with Nephrectomy for 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 Muconium ileus 16000 18400
1056 Malrotation & Volvulus of the Midgut 15000 17250
1057 Excision of Meckel’s Deverticulum 12000 13800
1058 Other Major Surgery 24300 27945
1059 Other Minor Surgery 11050 12708
TREATMENT PROCEDURE BURNS AND
PLASTIC
SURGERY
1060 Primary Suturing of Wound 300 345
1061 Injection of Keloids - Ganglion 1099 1264
1062 Injection of Keloids - Haemangioma 1150 1323
1063 Free Grafts - Wolfe Grafts 1725 1984
1064 Free Grafts - Thiersch- Small Area 5% 6728 7737
1065 Free Grafts - Large Area 10% 7200 8280
1066 Free Grafts - Very Large Area 20% and above. 9315 10712
1067 Skin Flaps - Rotation Flaps 8073 9284
1068 Skin Flaps - Advancement Flaps 11250 12938
1069 Skin Flaps - Direct- cross Leg Flaps- Cross Arm 11250 12938
Flap
1070 Skin Flaps - Cross Finger 11250 12938
1071 Skin Flaps - Abdominal 9350 10753
1072 Skin Flaps - Thoracic 9350 10753
1073 Skin Flaps - Arm Etc. 11000 12650
1074 Subcutaneous Pedicle Flaps Raising 6210 7142
1075 Subcutaneous Pedicle Flaps Delay 5950 6843
1076 Subcutaneous Pedicle Flaps Transfer 5950 6843
1077 Cartilage Grafting 7763 8927
1078 Reduction of Facial Fractures of Nose 1242 1428
1079 Reduction of Facial Fractures of Maxilla 8000 9200
1080 Reduction of Fractures of Mandible & Maxilla - 6728 7737
Eyelet Splinting
1081 Reduction of Fractures of Mandible & Maxilla - 6210 7142
Cast Metal Splints
1082 Reduction of Fractures of Mandible & Maxilla - 6750 7763
Gunning Splints
1083 Internal Wire Fixation of Mandible & Maxilla 10350 11903
1084 Cleft Lip - repair. 10350 11903
1085 Cleft Palate Repair 11385 13093
1086 Primary Bone Grafting for alveolar cleft in Cleft 10350 11903
Lip
1087 Secondary Surgery for Cleft Lip Deformity 9000 10350
1088 Secondary Surgery for Cleft Palate 11385 13093
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1089 Reconstruction of Eyelid Defects - Minor 5693 6547
1090 Reconstruction of Eyelid Defects - Major 7650 8798
1091 Plastic Surgery of Different Regions of the Ear - 7245 8332
Minor
1092 Plastic Surgery of Different Regions of the Ear - 9315 10712
Major
1093 Plastic Surgery of the Nose - Minor 7245 8332
1094 Plastic Surgery of the Nose - Major 8550 9833
1095 Plastic Surgery for Facial Paralysis (Support with 14490 16664
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 11903 13688
1101 upto 30% Burns 1st Dressing 137 158
1102 upto 30% Burns Subsequent Dressing 112 129
1103 30% to 50% Burns 1st Dressing 174 200
1104 30% to 50% Burns Subsequent Dressing 137 158
1105 Extensive Burn -above 50% Frist Dressing 248 285
1106 Extensive Burn -above 50% Subsequent dressing 174 200

TREATMENT PROCEDURE ORTHOPEDICS

1107 Plaster Work 255 293
1108 Fingers (post slab) 233 268
1109 Fingers full plaster 233 268
1110 Colles Fracture - Below elbow 978 1125
1111 Colles Fracture - Full plaster 895 1029
1112 Colles fracture Ant. Or post. slab 400 460
1113 Above elbow full plaster 156 179
1114 Above Knee post-slab 575 661
1115 Below Knee full plaster 156 179
1116 Below Knee post-slab 646 743
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 2174 2500
1121 Plaster Jacket 1967 2262
1122 Shoulder spica 1760 2024
1123 Single Hip spica 2019 2322
1124 Double Hip spica 2484 2857
1125 Strapping of Finger 161 185
1126 Strapping of Toes 162 186
1127 Strapping of Wrist 207 238
1128 Strapping of Elbow 236 271
1129 Strapping of Knee 311 358
1130 Strapping of Ankle 311 358
1131 Strapping of Chest 414 476
1132 Strapping of Shoulder 466 536
1133 Figure of 8 bandage 466 536
1134 Collar and cuff sling 230 265
1135 Ball bandage 360 414
1136 Application of POP Casts for Upper & Lower 633 728
Limbs
1137 Application of Functional Cast Brace 1215 1397
1138 Application of Skin Traction 621 714
1139 Application of Skeletal Tractions 854 982
1140 Bandage & Strappings for Fractures 497 572
1141 Aspiration & Intra Articular Injections 518 596
1142 Application of POP Spices & Jackets 2226 2560
1143 Close Reduction of Fractures of Limb & POP 2340 2691

1144 Reduction of Compound Fractures 2484 2857

1145 Open Reduction & Internal Fixation (ORIF) of 4658 5357
Fingers & Toes
1146 Open Reduction of fracture of Long Bones of 8050 9258
Upper / Lower Limb -Nailing & External Fixation

1147 Open Reduction of fracture of Long Bones of 8694 9998

Upper / Lower
Limb -AO Procedures
1148 Tension Band Wirings 5092 5856
1149 Bone Grafting 6601 7591
1150 Excision of Bone Tumours 6210 7142
1151 Excision or other Operations for Scaphoid 6469 7439
Fractures
1152 Sequestrectomy & Saucerisation 6210 7142
1153 Sequestrectomy & Saucerizations -Arthrotomy 8974 10320

1154 Multiple Pinning Fracture Neck Femur 10350 11903

1155 Plate Fixations for Fracture Neck Femur 12150 13973
1156 AO Compression Procedures for Fracture Neck 14904 17140
Femur
1157 Open Reduction of Fracture Neck Femur Muscle 17550 20183
Pedicle
Graft and Internal Fixations
1158 Close Reduction of Dislocations 2857 3286
1159 Open Reduction of Dislocations 3095 3559
1160 Open Reduction & Internal Fixation (ORIF) of 12150 13973
Fracture Dislocation
1161 Neurolysis/Nerve repair 12420 14283
1162 Nerve Repair with Grafting 15008 17259
1163 Tendon with Transplant or Graft 9315 10712
1164 Tendon Lengthening/Tendon repair 7245 8332
1165 Tendon Transfer 2795 3214
1166 Laminectomy Excision Disc and Tumours 4830 5555
1167 Split Osteotomy and Internal Fixations 21735 24995
1168 Anterolateral decompression for tuberculosis/ 3105 3571
Costo-
1169 Antereolateral Decompression and Spine Fusion 19350 22253
1170 Corrective Osteotomy & Internal Fixation- short 12420 14283
bones
1171 Corrective Osteotomy & Internal Fixation- long 9936 11426
bones
1172 Arthrodesis of - Minor Joints 9315 10712
1173 Arthrodesis of - Major Joints 9000 10350
1174 Soft Tissue Operations for Congenital Talipes 7245 8332
Equinovarus (CTEV)
1175 Soft Tissue Operations for Polio 6210 7142
1176 Hemiarthroplasty- Hip 18000 20700
1177 Hemiarthroplasty- Shoulder 18000 20700
1178 Operations for Brachial Plexus & Cervical Rib 21735 24995

1179 Amputations - Below Knee 6210 7142

1180 Amputations - Below Elbow 6159 7083
1181 Amputations - Above Knee 7245 8332
1182 Amputations - Above Elbow 6159 7083
1183 Amputations - Forequarter 11903 13688
1184 Amputations -Hind Quarter and Hemipelvectomy 16560 19044
1185 Disarticulations - Major joint 18630 21425
1186 Disarticulations - Minor joint 11385 13093
1187 Arthrography 9200 10580
1188 Arthroscopy - Diagnostic 7711 8868
1189 Arthroscopy-therapeutic: without implant 10000 11500
1190 Arthroscopy-therapeutic: with implant 15525 17854
1191 Soft Tissue Operation on Joints -Small 6210 7142
1192 Soft Tissue Operation on Joints -Large 13500 15525
1193 Myocutaneous and Fasciocutaneous Flap 16767 19282
Procedures for Limbs
1194 Removal of Wires & Screw 1584 1822
1195 Removal of Plates 3726 4285
1196 Total Hip Replacement (THR) 71100 81765
1197 Total Ankle Joint Replacement 85860 98739
1198 Total Knee Joint Replacement (TKR) 99000 113850
1199 Total Shoulder Joint Replacement 71100 81765
1200 Total Elbow Joint Replacement 71100 81765
1201 Total Wrist Joint Replacement 90000 103500
1202 Total finger joint replacement 20000 23000
1203 Tubular external fixator 4140 4761
1204 Ilizarov's external fixator 6987 8035
1205 Pelvi-acetebular fracture -Internal fixation 7763 8927
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 Bencarf Repair Shoulder 13200 15180
1212 RC Repair 1500 1725
1213 Biceps tenodesis 14000 16100
1214 Distal biceps tendon repair 10380 11937
1215 Arthrolysis of knee 12500 14375
1216 Capsulotomy of Shoulder 15800 18170
1217 Conservative 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-

No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1222 Total Knee Replacement (TKR) Revision Stage-II 35000 40250

1223 Illizarov/ external fixation for limb lengthening/ 12500 14375

deformity
correction
1224 Discectomy/ Micro Discectomy 12500 14375
1225 Laminectomy 4646 5343
1226 Spinal Fixation Cervical/dorsolumbar/ lumbosacral 16000 18400
1227 Fusion Surgery Cervical/ Lumbar Spine upto 2 22000 25300
Level
1228 Spinal Fusion Surgery Cervical/ Lumbar Spine - 12000 13800
More than 2 Level
1229 Scoliosis Surgery/ Deformity Correction of Spine 25000 28750

1230 Vertebroplasty 12000 13800

1231 Spinal Injections 450 518
1232 Dynamic Hip Screw (DHS) for Fracture Neck 15000 17250
1233 Proximal Femoral Nail (PFN for IT Fracture) 14000 16100
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 34425 39589
1239 Other Minor Surgery 10695 12299
TREATMENT PROCEDURE PHYSIOTHERAPY
1240 Ultrasonic therapy 70 81
1241 Shortwave Diathermy (SWD) 70 81
1242 Electrical stimulation (therapeutic) 70 81
1243 Muscle testing and diagnostic 64 74
1244 Infrared 70 81
1245 Ultraviolet Therapeutic (UV Therapeutic) dose 58 67
1246 Intermittent Lumbar Traction 70 81
1247 Intermittent Cervical traction 68 78
1248 Wax bath 68 78
1249 Hot pack 70 81
1250 Breathing Exercises & Postural Drainage 50 58
1251 Cerebral Palsy – exercise 50 58
1252 Post – polio exercise 50 58
NUCLEAR MEDICINE / RADIOTHERAPY
AND
1253 Cobalt 60 therapy Leave blank Leave blank
1254 Cobalt 60 therapy- Radical therapy 61583 70820
1255 Cobalt 60 therapy- Palliative therapy 21994 25293
1256 Linear accelerator Leave blank Leave blank
1257 Linear accelerator- Radical therapy 52785 60703
1258 Linear accelerator- Palliative therapy 30792 35411
1259 3D Planning 4888 5621
1260 2D Planning 4888 5621
1261 IMRT(Intensity Modulated radiotherapy) 90790 104409
1262 SRT (Stereotactic radiotherapy) 60996 70145
1263 SRS(Stereotactic radio surgery) 80000 92000
1264 IGRT(Image guided radiotherapy) 132314 152161
1265 Respiratory Gating-alongwith Linear accelerator 99000 113850
planning
1266 Electron beam with Linear accelerator 60726 69835
1267 Tomotherapy 71460 82179
NUCLEAR MEDICINE / BRACHYTHERAPY-
HIGH
DOSE RADIATION
1268 Intracavitory 11730 13490
1269 Interstitial 52785 60703
1270 Intraluminal 9775 11241
1271 Surface mould 4644 5341
1272 Gliadel Wafer 84510 97187
NUCLEAR MEDICINE / CHEMOTHERAPY
1273 Neoadjuvant 863 992
1274 Adjuvant 863 992
1275 Concurrent-chemoradiation 920 4058
1276 Single drug 552 635
1277 Multiple drugs 897 1032
1278 Targeted therapy 920 1058
1279 Chemoport facility 920 1058
1280 PICC line (peripherally inserted Central 1500 1725
Cannulisation)
LIST OF PROCEDURES/ TESTS IN
GASTROENTEROLOGY / ENDOSCOPIC
PROCEDURES
1281 Upper GI Endoscopy + Lower GI Endoscopy 1553 1786
1282 Diagnostic endoscopy 250 288
1283 Endoscopic biopsy 311 358
1284 Endoscopic mucosal resection 1543 1774
1285 Oesophageal stricture dilatation 1553 1786
1286 Balloon dilatation of achalasia cardia 2588 2976
1287 Foreign body removal 1553 1786
1288 Oesophageal stenting 3000 3450
1289 Band ligation of oesophageal varices 2500 2875
1290 Sclerotherapy of oesophageal varices 2250 2588
1291 Glue injection of varices 2250 2588
1292 Argon plasma coagulation 3623 4166
1293 Pyloric balloon dilatation 2174 2500
1294 Enteranal stenting 3312 3809
1295 Duodenal stricture dilation 990 1139
1296 Single balloon enterocopy 4000 4600
1297 Double balloon enteroscopy 3500 4025
1298 Capsule endoscopy 4455 5123
1299 Piles banding 989 1137
1300 Colonic stricture dilatation 2463 2832
1301 Hot biopsy forceps procedures 3000 3450
1302 Colonic stenting 2737 3148
1303 Junction biopsy 2000 2300
1304 Conjugal microscopy 3600 4140
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1305 Endoscopic sphincterotomy 2415 2777
1306 CBD stone extraction 2174 2500
1307 CBD stricture dilatation 6500 7475
1308 Biliary stenting (plastic and metallic) 4347 4999
1309 Mechanical lithotripsy of CBD stones 7200 8280
1310 Pancreatic sphincterotomy 6375 7331
1311 Pancreatic stricture dilatation 5175 5951
1312 Pancreatic stone extraction 9088 10451
1313 Mechanical lithotripsy of pancreatic stones 10247 11784
1314 Endoscopic cysto gastrostomy 7245 8332
1315 Balloon dilatation of papilla 6210 7142
1316 Ultrasound guided FNAC 518 596
1317 Ultrasound guided abscess Drainage 648 745
1318 Percutaneous Transhepatic Biliary Drainage 1150 1323
(PTBD)
1319 Diagnostic angiography 1800 2070
1320 Vascular embolization 13590 15629
1321 Transjugular Intrahepatic Portosystemic Shunt 4860 5589
(TIPS)
1322 Inferior vena cava (IVC) Venography and Hepatic 30791 35410
vein (HV) Venography
1323 Muscular stenting 87975 101171
1324 Balloon-occluded Retrograde Intravenous 51750 59513
Obliteration (BRTO)
1325 Portal haemodymic studies 1722 1980
1326 Manometry and PH metry 1451 1669
1327 Oesophageal PH metry 4500 5175
1328 Oesophageal manometry 4500 5175
1329 Small bowel manometry 6120 7038
1330 Anorectal manometry 6120 7038
1331 Colonic manometry 6885 7918
1332 Biliary manometry 6885 7918
1333 Sengstaken blackenesse tube tempode 2588 2976
1334 Lintas machles tube tempode 2588 2976
1335 Faecal / Fecal fat test/ fecal chymotrypsin/ fecal 315 362
elastase
1336 Breath tests 270 311
1337 Extracorporeal Shortwave Lithotripsy (ESWL) 19000 21850
(Select CGHS rate code 888 for approved rate)
1338 Liver biopsy 1380 1587
NAME OF INVESTIGATION / DENTAL
1339 Dental IOPA X-ray 50 58
1340 Occlusal X-ray 78 90
1341 OPG X-ray 1296 225
NAME OF INVESTIGATION / PULMONARY
1342 Lung Ventilation & Perfusion Scan (V/Q Scan) 3240 3726

1343 Lung Perfusion Scan 2000 2300

NAME OF INVESTIGATION / OSTEOLOGY
1344 Whole Body Bone Scan with SPECT. 3421 3934
1345 Three phase whole body Bone Scan 3421 3934
NAME OF INVESTIGATION /
1346 Brain Perfusion SPECT Scan with Technetium 9775 11241
99m
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1347 Radionuclide Cisternography for CSF leak 3740 4301
NAME OF INVESTIGATION / GASTRO AND
HEPATOBILIARY
1348 Gastro esophageal Reflux Study (GER Study) 1955 2248

1349 Gastro intestinal Bleed (GloB.) Study with 3421 3934

Technetium 99m
labeled RBCs.
1350 Hepatobiliary Scintigraphy. 2444 2811
1351 Meckel's Scan 1955 2248
1352 Hepatosplenic scintigraphy with Technetium-99m 1870 2151
radiopharmaceuticals
1353 Gastric emptying 1275 1466
NAME OF INVESTIGATION /
1354 Renal Cortical Scintigraphy with Technetium 99m 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
NAME OF INVESTIGATION /
ENDOCRINOLOGY
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 4888 5621
NAME OF INVESTIGATION / RADIO-ISOTOPE
THERAPY
1364 131-lodine Therapy 1377 1584
1365 131-lodine Therapy <15mCi 3469 3989
1366 131-lodine Therapy 15-50mCi 4460 5129
1367 131-lodine Therapy 51-100mCi 10800 12420
1368 131-lodine Therapy >100mCi 13500 15525
1369 Phosphorus-32 therapy for metastatic bone pain 4500 5175
palliation
1370 Samarium-153 therapy for metastatic bone pain 9405 10816
palliation
1371 Radiosynovectomy with Yttrium 19125 21994
NAME OF INVESTIGATION / CARDIOLOGY
1372 Stress thallium / Myocardial Perfusion 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
 NAME OF INVESTIGATION / TUMOUR
IMAGING
1378 Scintimammography. 4800 5520
1379 Indium labelled octreotide Scan 73313 84310
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
NAME OF INVESTIGATION / PET SCAN
1380 FDG Whole body PET / CT Scan 20528 23607
1381 Brain I Heart FDG PET / CT Scan 14663 16862
1382 Gallium-68 Peptide PET / CT imaging for 15000 17250
Neuroendocrine
Tumor
LABORATORY MEDICINE / CLINICAL
PATHOLOGY
1383 Urine routine- pH, Specific gravity, sugar, protein 35 40
and
microscopy
1384 Urine Microalbumin 70 81
1385 Stool routine 35 40
1386 Stool occult blood 24 28
1387 Post coital smear examination 30 35
1388 Semen analysis 35 40
LABORATORY MEDICINE / HAEMATOLOGY
1389 Haemoglobin (Hb) 18 21
1390 Total Leucocytic Count (TLC) 31 36
1391 Differential Leucocytic Count (DLC) 31 36
1392 Erythrocyte Sedimentation Rate (ESR) 25 29
1393 Total Red Cell count with 32 37
1394 Complete Haemogram/CBC, Hb,RBC count and 135 155
indices,TLC, DLC, Platelet, ESR, Peripheral smear
examination
1395 Platelet count 48 55
1396 Reticulocyte count 48 55
1397 Absolute Eosinophil count (AEC) 48 55
1398 Packed Cell Volume (PCV) 13 15
1399 Peripheral Smear Examination 43 49
1400 Smear for Malaria parasite 41 47
1401 Bleeding Time 32 37
1402 Osmotic fragility Test 50 58
1403 Bone Marrow Smear Examination 70 81
1404 Bone Marrow Smear Examination with iron stain 250 288

1405 Bone Marrow Smear Examination and 396 455

cytochemistry
1406 Activated partial ThromboplastinTime (APTT) 102 117

1407 Rapid test for malaria(card test) 44 51

1408 WBC cytochemistry for leukemia -Complete panel 99 114

1409 Bleeding Disorder panel- PT, APTT, Thrombin 360 414

Time
Fibrinogen, D-Dimer/ Fibrinogen Degradation
Products (FDP)
1410 Factor Assays-Factor VIII 648 745
1411 Factor Assays-Factor IX 680 782
1412 Platelet Function test 50 58
1413 Tests for hypercoagulable states- Protein C, Protein 360 414
S,
Antithrombin
1414 Tests for lupus anticoagulant 150 173
1415 Tests for Antiphospholipid antibody IgG, IgM ( for 450 518
cardiolipin and B2 Glycoprotein 1)

Sr. CGHS TREATMENT Non-

No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1416 Thalassemia studies (Red Cell indices and Hb 504 580
1417 Tests for Sickling / Hb HPLC) 69 79
LABORATORY MEDICINE / BLOOD BANK
1418 Blood Group & RH Type 30 35
1419 Cross match 50 58
1420 Coomb’s Test Direct 90 104
1421 Coomb’s Test Indirect 100 115
1422 3 cell panel- antibody screening for pregnant 170 196
female
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 150 173

1427 Venereal Disease Research Laboratory test 43 49

(VDRL)
1428 RH Antibody titer 80 92
1429 Platelet Concentrate 56 64
1430 Random Donor Platelet(RDP)- (Select CGHS rate 400 400
Code 1828 for approved rate)
1431 Single Donor Platelet (SDP- Apheresis)- (Select 11000 11000
CGHS rate Code 1830 for approved rate)
1432 Routine-H & E 90 104
1433 special stain 65 75
1434 Immunohistochemistry(IHC) 675 776
1435 Frozen section 702 807
1436 Paraffin section 309 355
LABORATORY MEDICINE / CYTOLOGY
1437 Pap Smear 150 173
1438 Body fluid for Malignant cells 150 173
1439 Fine Needle Aspiration Cytology (FNAC) 200 230
NAME OF INVESTIGATION / FLOW
CYTOMETRY
1440 Leukemia panel /Lymphoma panel 1536 1766
1441 Paroxysmal Nocturnal Hemoglobinuria (PNH) 1000 1150
Panel-CD55,CD59
LABORATORY MEDICINE / CYTOGENETIC
STUDIES
1442 Karyotyping (Select CGHS rate code 677 for 800 920
approved rate)
1443 Fluorescent in situ hybridization (FISH) 450 518
LABORATORY MEDICINE / BIO-CHEMISTRY
1444 Blood Glucose Random 24 28
1445 24 hrs urine for Proteins,Sodium, creatinine 50 58
1446 Blood Urea Nitrogen 54 62
1447 Serum Creatinine 55 63
1448 Urine Bile Pigment and Salt 25 29
1449 Urine Urobilinogen 20 23
1450 Urine Ketones 30 35
1451 Urine Occult Blood 35 40
1452 Urine total proteins 18 21
1453 Rheumatoid Factor / Rh Factor test 90 104
1454 Bence Jones protein 47 54
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1455 Serum Uric Acid 55 63
1456 Serum Bilirubin total & direct 80 92
1457 Serum Iron 90 104
1458 C-reactive Protein (CRP) 100 115
1459 C-reactive Protein (CRP) Quantitative 160 184
1460 Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein 90 104
1461 Albumin. 18 21
1462 Creatinine clearance. 80 92
1463 Serum Cholesterol 62 71
1464 Total Iron Binding Capacity (TIBC) 72 83
1465 Glucose (Fasting & PP) 47 54
1466 Serum Calcium –Total 60 69
1467 Serum Calcium –Ionic 44 51
1468 Serum Phosphorus 60 69
1469 Total Protein Alb/Glo Ratio 50 58
1470 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
1475 Serum glutamic pyruvic transaminase (SGPT) / 55 63
Alanine Aminotransferase (ALT)
1476 Serum Glutamic oxaloacetic transaminase (SGOT) 55 63
/ Aspartate Aminotransferase (AST)
1477 Serum amylase 117 135
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 90 104
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. 720 828
1490 Creatine Phosphokinase (CPK)/Creatine Kinase 100 115
(CK)
1491 Foetal Haemoglobin (HbF) 77 89
1492 Prothrombin Time (PT) 110 127
1493 Lactate dehydrogenase (LDH) 100 115
1494 Alkaline Phosphatase 60 69
1495 Acid Phosphatase 78 90
1496 CPK MB/CK MB 190 219
1497 CK MB Mass/CPK MB Mass 140 161
1498 Troponin I 100 115
1499 Troponin T 540 621
1500 Glucose-6-Phosphate Dehydrogenase (G6PD) 100 115

1501 Lithium. 117 135

Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1502 Dilantin (phenytoin). 360 414
1503 Carbamazepine. 360 414
1504 Valproic acid. 300 345
1505 Ferritin (Select CGHS rate code 1517 for 100 115
approved rate)
1506 Blood gas analysis / Arterial Blood Gas (ABG) 120 138
1507 Blood gas analysis / Arterial Blood Gas (ABG) 460 529
with electrolytes
1508 Urine pregnancy test 65 75
1509 Tests for Antiphospholipid antibodies syndrome. 252 290
1510 Glycosylated Haemoglobin (HbA1c) 130 150
1511 Haemoglobin Electrophoresis/ Hb HPLC (Select 69 79
CGHS rate code 1417 for approved rate)
1512 Kidney Function Test (KFT) 225 259
1513 Liver Function Test (LFT) 225 259
1514 Lipid Profile. (Total cholesterol, LDL, HDL, 200 230
Triglycerides)
Nutritional Markers
1515 Serum Iron 90 104
1516 Total Iron Binding Capacity (Select CGHS rate 72 83
code 1464 for approved rate)
1517 Serum Ferritin 100 115
1518 Vitamin B12 assay. 250 288
1519 Folic Acid assay. 270 311
1520 Extended Lipid Profile. (Total cholesterol, LDL, 536 616
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) 62 71
1527 Homocysteine. 360 414
1528 Haemoglobin (Hb) Electrophoresis/ (Select CGHS 69 79
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. 180 207
1536 Beta 2 microglobulin (B2M) /β2 microglobulin 90 104

1537 Catecholamines. 945 1087

1538 Creatinine clearance. 108 124
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) 270 311
1542 Human chorionic gonadotropin (HCG) 289 332
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
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 135 155
1550 Direct(Skin and kidney Disease) 383 440
1551 Indirect (antids DNA Anti Smith ANCA) 425 489
1552 Calcidiol / 25-hydroxycholecalciferol / Vitamin D3 550 633
assay (Vit D3)
1553 Serum Protein electrophoresis with 300 345
immunofixation electrophoresis (IFE)
1554 BETA-2 Microglobulin assay (Select CGHS rate 90 104
code 1536 for approved rate)
1555 Anti-Cyclic Citrullinated Peptide (Anti CCP) 450 518

1556 Anti-tissue Transglutaminase antibody (Anti TTG 383 440

Antibody)
HORMONES
1557 Serum Erythropoetin 383 440
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(Paratharmone) 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) 440 506
1572 Dehydroepiandrosterone sulfate (DHEAS) 440 506
1573 Androstenedione 540 621
1574 Growth Hormone. 340 391
LABORATORY/ MEDICINE/CLINICAL
PATHOLOGY
1575 Thyroid peroxidase antibody (TPO) 300 345
1576 Throglobulin. 300 345
1577 Hydatic Serology. 318 366
1578 Anti Sperm Antibodies. 380 437
1579 Hepatitis B Virus (HBV) DNA Qualitative 1800 2070
1580 Hepatitis B Virus (HBV) DNA Quantitative. 1500 1725
1581 Hepatitis C Virus (HCV) RNA Qualitative. 1522 1750
1582 Human papillomaviruse (HPV) Serology 196 225
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 850 978

Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1587 Chlamydae antibody 238 274
1588 Brucella serology 230 265
1589 Influenza A serology 850 978
USG, X-RAY , CT, MRI, BONE
1590 USG for Obstetrics - Anomalies scan 770 886
1591 Abdomen USG 323 371
1592 Pelvic USG ( prostate, gynae, infertility etc) 255 293
1593 Small parts USG ( scrotum, thyroid , parathyroid 349 401
1594 Neonatal head (Tranfontanellar) 425 489
1595 Neonatal spine 500 575
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) 128 147
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

1611 Extremities, bones & Joints AP & Lateral views 255 293
(Two films)
1612 Pelvis AP (one film) 110 127
1613 Temporomandibular (TM) Joints (one film) 110 127
1614 Abdomen & Pelvis for KUB 128 147
1615 Skull AP & Lateral (2 films) 255 293
1616 Spine AP & Lateral (2 films) 250 288
1617 PNS view (1 film) 110 127
X-ray CONTRAST STUDIES
1618 Barium Swallow 510 587
1619 Barium Upper GI study 800 920
1620 Barium Upper GI study (Double contrast) 935 1075
1621 Barium Meal follow through 935 1075
1622 Barium Enema (Single contrast/double contrast) 850 978

1623 Small bowel enteroclysis 1020 1173

1624 ERCP (Endoscopic Retrograde Cholangio – 2500 2875
Pancreatography)
1625 General:Fistulography / Sinography/Sialography 638 734
/Dacrocystography/ T-Tube cholangiogram
/Nephrostogram
1626 Percutaneous transhepatic cholangiography (PTC) 1296 1490

Sr. CGHS TREATMENT Non-

No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1627 Intravenous Pyelography (IVP) 1190 1369
1628 Micturating Cystourethrography (MCU) 680 782
1629 Retrograde Urethrography (RGU) 612 704
1630 Contrast Hystero-Salpingography (HSG) 918 1056
1631 X-ray Arthrography 700 805
1632 Cephalography 150 173
1633 Myelography 2475 2846
1634 Diagnostic Digital Subtraction Angiography (DSA) 1749 2011

MAMMOGRAPHY
1635 X-ray Mammography 315 362
1636 MRI Mammography 2550 2933
Computed Tomography (CT) Scan
1637 CT Scan Head-Without Contrast 900 1035
1638 CT Scan Head- with Contrast -With Contrast 1350 1553
including CT angiography
1639 CT Scan Chest - without contrast (for lungs) 1700 1955
1640 CT Scan Lower Abdomen (incl. Pelvis) With 1700 1955
Contrast
1641 CT Scan Lower Abdomen (Incl. Pelvis) Without 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 4050 4658
1645 CT Scan angiography abdomen/ Chest 4500 5175
1646 CT Scan Enteroclysis 6000 6900
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 1600 1840

1653 CT Scan Spine (Cervical, Dorsal, Lumbar, 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
1657 CT Scan Limbs -With Contrast including CT 2253 2591
angiography
1658 CT Guided intervention –FNAC 1200 1380
1659 CT Guided Trucut Biopsy 1200 1380
1660 CT Guided intervention -percutaneous catheter 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-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1667 MR for Salivary Glands with Sialography 3000 3450
1668 MRI Neck - Without Contrast 3000 3450
1669 MRI Neck- with contrast 5000 5750
1670 MRI Shoulder – Without contrast 2000 2300
1671 MRI Shoulder – With conntrast 2600 2990
1672 MRI shoulder both Joints - Without contrast 3000 3450
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
1703 MRI Cervical/Cervico Dorsal Spine – Without 2125 2444
Contrast
1704 MRI Cervical/ Cervico Dorsal Spine – With 4000 4600
Contrast
1705 MRI Dorsal/ Dorso Lumbar Spine - Without 2125 2444
Contrast
1706 MRI Dorsal/ Dorso Lumbar Spine – With Contrast 4000 4600

1707 MRI Lumbar/ Lumbo-Sacral Spine – Without 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. 4950 5693
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-
(DELHI/NCR) NABL Rates
1713 Dexa Scan Bone Densitometry - Two sites 1500 1725
1714 Dexa Scan Bone Densitometry - Three sites (Spine, 2000 2300
Hip &extremity)
1715 Dexa Scan Bone Densitometry Whole body 2450 2817
NEUROLOGICAL INVESTIGATIONS AND
PROCEDURES
1716 Electroencephalogram (EEG)/ Video EEG 298 343
1717 Electromyography (EMG) 638 734
1718 Nerve Conduction Velocity(NCV) (at least 2 638 734
limbs)
1719 Repititive nerve stimulation (RNS)-Decremental 595 684
response (before and after neostigmine)

1720 Repetitive nerve stimulation (RNS)-Incremental 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 383 440
1725 Acetylcholine receptor (AChR) antibody titre 1848 2125
1726 Anti muscle specific receptor tyrosine kinase (Anti 2691
MuSK) antibody titre 2340
1727 Serum copper 500 575
1728 Serum ceruloplasmin 450 518
1729 Urinary copper 500 575
1730 Serum homocysteine 450 518
1731 Serum valproate level 315 362
1732 Serum phenobarbitone level 350 403
1733 Coagulation profile 553 636
1734 Protein C, Protein S, Antithrombin–III (Select 360 414
CGHS rate code 1413 for approved rates)
1735 Serum lactate level (Select CGHS rate code 1479 72 83
for approved rate)
CSF
1736 Basic studies including cell count, protein, sugar, 240 276
gram stain,India Ink preparation and smear for AFP

1737 Special studies 1000 1150

1738 PCR for tuberculosis/ Herpes simplex 1080 1242
1739 Bacterial culture and sensitivity 180 207
1740 Mycobacterial culture and sensitivity 200 230
1741 Fungal culture 128 147
1742 Malignant cells 64 74
1743 Anti measles antibody titre (with serum antibody 890 1024
titre)
1744 Viral culture 255 293
1745 Antibody titre (Herpes simplex, cytomegalo virus, 760 874
flavivirus, zoster varicella virus)
1746 Oligoclonal band 1200 1380
1747 Myelin Basic protein 1871 2152
1748 Lactate (Select CGHS rate code 1479 for 72 83
approved rate)
1749 Cryptococcal antigen 1138 1309
TESTS IN GASTRO-ENTEROLOGY
1750 D-xylase test 850 978
1751 Faecal / Fecal fat test/ fecal chymotrypsin/ fecal 315 362
elastase (Select CGHS rate code 1335 for
approved rate)
1752 Breath tests (select CGHS rate code 1336 for 270 311
approved rate)
Sr. CGHS TREATMENT Non-
No. PROCEDURE/INVESTIGATION LIST NABH/Non-
(DELHI/NCR) NABL Rates
1753 H pylori serology for Coeliac disease /Celiac 500 575
disease
1754 HBV genotyping 2500 2875
1755 HCV genotyping 4875 5606
TESTS IN ENDOCRINOLOGY ( IN ADDITION
TO
1756 Urinary vanillylmandelic acid (VMA) 1500 1725
1757 Urinary metanephrine/Normetanephrine 1138 1309
1758 Urinary free catecholamine 1690 1944
1759 Serum catecholamine 3400 3910
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 72 83
1767 Urinary Chloride 43 49
1768 Urinary potassium 80 92
1769 Urinary calcium 80 92
1770 Thyroid binding globulin 510 587
1771 24 hour urinary free cortisole 200 230
1772 Islet cell antibody 750 863
1773 Glutamic Acid Decarboxylase Autoantibodies test 1330 1530
(GAD antibodies)
1774 Insulin associated antibody 449 516
1775 Insulin-like growth factor-1 (IGF-1) 1500 1725
1776 Insulin-like growth factor binding protein 3 (IGF- 1650 1898
BP3)
1777 Sex hormone binding globulin 1333 1533
1778 USG guided FNAC thyroid gland 387 445
1779 Estradiol (E2) 208 239
1780 Thyroglobulin antibody 587 675
ADDED W.E.F. 14.01.2020

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

Kappa Lambda Light Chains, Free, Serum/

1781 3500 4025
Serum free light chains (SFLC)
1782 Serum IGE Level 300 345
1783 NT-Pro BNP 1800 2070
2500
1784 CECT Chest Including 2875
CD
6000/- 6900
1785 MRI-Prostate (Multi-parametric) including Includin
CD g CD
1786 HCV RNA Quantitative 1500 1725

1787 Tacrolimus 2300 2645

1788 Protein Creatinine Ratio, Urine 120 138
1789 Fibroscan Liver 1000 1150
1790 HLA B27 (PCR) 500 575
1791 Mantoux Test 175 200
1792 Procalcitonin 1800 2070

1793 TORCH Test 1120 1288

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

Fractional Flow Reserve (FFR) Wire cost 23500 + 23500 +

1795
(AIIMS Rates GST GST
ADDED W.E.F. 05.06.2020

Non-
Sr. CGHS TREATMENT NABH/
NABH/Non-
No. PROCEDURE/INVESTIGATION LIST L Rates
NABL Rates

1796 Anti –Smooth Muscle Antibody Test (ASMA) 1241 1460

1797 C ANCA-IFA 1275 1500
1798 P ANCA-IFA 1275 1500
1799 Angiotensin converting enzyme (ACE) 850 1000
Endo bronchial Ultrasound (EBUS) -Trans
1800 bronchial needle aspiration (TBNA) -Using New 15614 18370
Needle
Extractable Nuclear Antigens (ENA) -
1801 3910 4600
Quantitative
1802 Chromogranin A 4250 5000
1803 Faecal calprotectin (fecal calprotectin) 2320 2730
1804 C3-COMPLEMENT 552 650
1805 C4-COMPLEMENT 552 650
1806 Genexpert Test 880 1035
1807 DJ stent removal 7395 8700
 Pulmonary Function Test (PFT) / (Spirometry
1808 425 500
with DLCO)
EUS (Endoscopic Ultrasound) guided FNAC
1809 12750 15000
(Using with Needle)
1810 CT Urography 3825 4500
1811 Video Laryngoscopy 5100 6000
1812 CT Angio-Neck Vessels 5100 6000
1813 H1N1 (RT-PCR) 921 1084

Erythropoietin Level (Select CGHS rate code See code See code
1814
1557 for approved rate) 1557 1557

1815 Anti HEV IgM 850 1000

1816 Anti HAV IgM 637 750
1817 HBsAg Quantitative 552 650

1818 Typhidot IgM 340 400

Hepatitis B Core Antibody (HBcAb) Level

1819 408 480
(Hepatitis B Core IgM Antibody)

1820 Anti HBs 552 650

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
1822 Free Thyroxine (FT4) 106 125
1823 Widal Test 60 70
1824 Dengue Serology 510 600
Blood component charges - Whole Blood per
1825 1450 1450
Unit
Blood component charges - Packed Red Cell per
1826 1450 1450
Unit
Blood component charges - Fresh Frozen
1827 400 400
Plasma
Platelet Concentrate- Random Donor Platelet
1828 400 400
(RDP)

1829 Blood component charges - Cryoprecipitate 200 200

Platelet Concentrate – Single Donor Platelet

1830 11000 11000
(SDP)-Apheresis per unit
 CCS Group A Officer of above 40 years of age
1831 2000 2000
–Male, Annual Health Check up
CCS Group A Officer of above 40 years of age
1832 2200 2200
–female, Annual Health Check up

ADDED W.E.F. 07.02.2021

1833 Interleukin 6 (IL 6) 1360 1600

High resolution computed Tomography (HRCT
1834 1700 2000
Chest)

1835 Fluid air exchange 4250 per eye 5000

1836 C3F8 GAS Injection 4250 per eye 5000

1837 Diurnal variation of IOP 1275 per eye 1500

1838 Silicone oil injection 4250 per eye 5000

1839 Epiretinal Membrane (ERM) Peeling 5950 per eye 7000

1840 Epiretinal Membrane (ERM) Removal 2550 per eye 3000

1841 Internal limiting membrane (ILM) peeling 2550 per eye 3000

1842 Punctoplasty 5525 per eye 6500

1843 Punctal plug(Collagen/silicone) 3400 per eye 4000

13600 both 16000
1844 Laser Trabeculoplasty Gonioplasty B/E
eye both eye
1845 Eye laser pulse therapy 2975 per eye 3500

1846 Glaucoma valve/Glaucoma Ahmed valve 12750 15000

1847 Malyugin Ring 8500 10,000

1848 Globe exploration (eye surgery) 8500 10,000
1849 Scleral Fixation Tissue glue 7140 8400
1850 Fibro optic Nasal Endoscopy 1955 2300
1851 Video Stroboscopy 4675 5500
1852 Video Bronchoscopy with BAL 8500 10,000
Sleep deprived EEG (Rate shall be the same
See code See code
1853 CGHS rate of EEG/Video EEG) Select CGHS
1716 1716
rate code 1716