Package tariff ratelist : Go Digit General Insurance Private Limited

Hospital Name Arsh Super Specialty Hospital

Address A P Colony, Gaya, Bihar 823001
City Gaya
State Bihar
Hospital Type Multispeciality hospital
Discount Details 15% Discount on Total Bill Excluding DIGIT Packages
[Link] System Name of the procedure/treatment Inclusion/Exc
1 CARDIOLO CABG lusion
All Included
GY
2 CARDIOLO Angiography(Day Care) All Included
3 GY
CARDIOLO Angiography With Angioplasty L2 exclusion
GY
4 CARDIOLO Valve Replacement* L2 exclusion
5 GY
CARDIOLO Temporary Pacemaker Implantation L2 exclusion
GY
6 CARDIOLO Permanent Pacemaker Implantation L2 exclusion
7 GY
CARDIOLO DVR - Double Valve Replacement L2 exclusion
GY
8 CARDIOLO EPS and RFA All Included
9 GY
E.N.T Tonsillectomy All Included
10 E.N.T Adenotonsillectomy All Included
11 E.N.T Tympanoplasty All Included
12 E.N.T Mastoidectomy All Included
13 E.N.T Septoplasty All Included
14 E.N.T Nasal Polyps/ Sinusitis (Fess)- Unilateral All Included
15 E.N.T Nasal Polyps/ Sinusitis (Fess)- Bilateral All Included
16 E.N.T Cortical Mastoidectomy With Myringoplasty All Included
17 E.N.T Peritonsilar Abscess Drainage All Included
18 E.N.T Septoplasty + Turbinoplasty / Conchaplasty All Included
19 E.N.T Myringotomy with Grommet insertion All Included
20 GEN Haemorrhoidectomy L2 exclusion
21 SURGERY
GEN Haemorrhoidectomy + Fissurectomy L2 exclusion
SURGERY
22 GEN Fissure Dialatation All Included
23 SURGERY
GEN Fissureectomy All Included
SURGERY
24 GEN Fistula High End All Included
25 SURGERY
GEN Fistula Low End All Included
SURGERY
nce Private Limited
Hospital
ar 823001

ospital
ding DIGIT Packages
Single Ac Shared General
- room
- Ward
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -
11,000 10,000 9,000
12,000 11,000 10,000
14,000 13,000 11,000
17,100 16,200 14,300
13,000 12,000 11,000
18,100 17,100 14,300
22,800 20,900 19,000
22,500 20,000 15,000
6,000 5,000 4,000
12,600 11,700 10,800
13,500 12,600 11,700
12,000 11,000 10,000
14,400 14,400 12,500
8,000 7,000 6,000
14,000 12,000 9,000
17,100 14,300 11,000
10,000 9,000 8,000
Hospital Name Arsh Super Specialty Hospital
City Gaya
S.N System Name of the procedure/treatment Inclusion/Exc
o
26 GEN SURGERY Appendectomy (OPEN) lusion
All Included
27 GEN SURGERY Appendectomy (Lap) All Included
28 GEN SURGERY Cholesystectomy (OPEN) All Included
29 GEN SURGERY Cholesystectomy (Lap) All Included
30 GEN SURGERY Excision Of Pilonoidal Sinus With Flap Cover All Included
31 GEN SURGERY Excision Of Pilonoidal Sinus With Primary Closure All Included
32 GEN SURGERY Mastectomy (Simple) All Included
33 GEN SURGERY Mastectomy (Radical) All Included
34 GEN SURGERY Thyroidectomy (Total/Subtotal) All Included
35 GEN SURGERY Inguinal Herniorraphy- Unilateral L2 exclusion
36 GEN SURGERY Inguinal Hernioplasty- Unilateral L2 exclusion
37 GEN SURGERY Inguinal Herniorraphy- Bilateral L2 exclusion
38 GEN SURGERY Inguinal Hernioplasty- Bilateral L2 exclusion
39 GEN SURGERY Umblical Herniorraphy L2 exclusion
40 GEN SURGERY Umblical Herniorraplasty L2 exclusion
41 GEN SURGERY Incisional Herniorraphy L2 exclusion
42 GEN SURGERY Incisional Hernioplasty L2 exclusion
43 GEN SURGERY Circumcision All Included
44 GEN SURGERY Perianal Abcess All Included
45 GEN SURGERY Breast Lumpectomy All Included
46 GEN SURGERY AV Fistula All Included
47 GEN SURGERY Hydrocele All Included
48 GEN SURGERY Right or left Hemi Coloctomy All Included
49 GEN SURGERY Resection and Anastomosis of Small Intestine All Included
50 GEN SURGERY ESWL(Extracorporeal shock wave lithotripsy) All Included
51 GEN SURGERY Exploratory Laparotomy All Included
52 GEN SURGERY ERCP – EPT/Stenting/Stone removal All Included
53 OBS & GYNE. Normal Delivery All Included
54 OBS & GYNE. Caesearean section (With Well Baby Care) All Included
55 OBS & GYNE. Lap Hystractomy (Abdominal/Vaginal)- Level 2 All Included
56 OBS & GYNE. Instrumental Delivery (Including Well Baby Care) All Included
57 OBS & GYNE. Ovarian Cystectomy All Included
58 OBS & GYNE. Dilatation & Curettage (D&C) All Included
59 OBS & GYNE. Vaginal-Vault Prolapse Repair All Included
60 OBS & GYNE. Laproscopic Ovarian Drilling All Included
61 OPHTHALMOLOGY Cataract - Unifocal, Phaco, foldable, Acrylic All Included
62 OPHTHALMOLOGY Cataract - Multifocal All Included
63 OPHTHALMOLOGY MICS All Included
64 OPHTHALMOLOGY Vitrectomy All Included
65 OPHTHALMOLOGY Vitrectomy With Gas Temponade All Included
66 OPHTHALMOLOGY Vitrectomy With Silicon Temponade All Included
67 OPHTHALMOLOGY Vitrectomy - Membrane Peeling- Endolaser All Included
68 OPHTHALMOLOGY Vitrectomy Sutureless + Membranectomy + Endolaser All Included
69 OPHTHALMOLOGY Vitrectomy - Membrane Peeling - Endolaser - Silicon Oil Or All Included
70 ORTHOPAEDICS Total Knee Replacement (Unilateral) L2 exclusion
71 ORTHOPAEDICS Total Knee Replacement (Bilateral) L2 exclusion
72 ORTHOPAEDICS Hip Replacement (Unilateral) L2 exclusion
73 ORTHOPAEDICS Hip Replacement (Bilateral) L2 exclusion
74 ORTHOPAEDICS Fracture Neck Femur (Bipolar Arthroplasty/Multiple Screw Fi L2 exclusion
75 ORTHOPAEDICS Therapeutic Arthroscopy (Any location except knee) L2 exclusion
76 ORTHOPAEDICS Arthroscopic Surgery knee ( Other Than Acl) / Menisectomy L2 exclusion
77 ORTHOPAEDICS ACL Reconstruction L2 exclusion
78 ORTHOPAEDICS Laminectomy/Discectomy L2 exclusion
79 ORTHOPAEDICS Stabilization Of Spinal Column L2 exclusion
80 ORTHOPAEDICS Carpel Tunnel Release All Included
81 ORTHOPAEDICS Close Reduction of Fracture of Limbs and POP All Included
82 ORTHOPAEDICS Open Reduction of Compound Fractures L2 exclusion
ty Hospital

Single Ac Shared General

room Ward
20,300 18,400 16,200
22,400 20,300 18,000
23,300 20,800 19,000
25,900 23,300 20,700
11,000 9,000 6,000
18,000 15,000 11,000
27,200 23,200 18,900
42,400 35,200 29,700
32,800 28,000 23,400
20,800 17,600 14,400
24,000 20,000 17,100
27,200 23,200 18,900
29,600 24,800 20,700
25,600 21,600 18,000
27,200 23,200 18,900
26,400 22,400 18,000
28,000 24,000 19,800
6,000 6,000 4,000
13,000 11,000 8,000
15,000 13,000 10,000
8,000 7,000 5,000
18,000 15,000 11,000
31,500 30,400 25,200
41,300 40,000 33,300
8,000 7,000 5,000
21,000 18,000 13,000
15,000 13,000 10,000
18,000 16,200 13,000
28,800 24,300 20,000
29,300 27,200 25,000
All Included 22,500 18,900 15,000
All Included 28,800 24,300 20,000
All Included 11,000 9,000 6,000
All Included 29,400 28,800 24,300
All Included 26,600 25,600 21,600
All Included - - -
All Included - - -
All Included - - -
All Included - - -
All Included - - -
All Included - - -
All Included - - -
All Included - - -
All Included - - -
L2 exclusion 56,700 48,800 39,000
L2 exclusion 74,800 66,600 55,000
L2 exclusion 50,000 42,000 32,000
L2 exclusion 74,700 64,400 52,000
L2 exclusion 32,300 28,800 21,600
L2 exclusion 19,000 15,000 12,000
L2 exclusion 20,000 18,000 13,000
L2 exclusion 25,000 21,000 15,000
L2 exclusion 32,300 28,800 21,600
L2 exclusion 32,300 28,800 21,600
All Included 11,000 9,000 6,000
All Included 13,000 11,000 8,000
L2 exclusion 27,000 23,000 18,000
Hospital Name Arsh Super Specialty Hospital
City Gaya
[Link] System Name of the procedure/treatment Inclusion/Ex
83 ORTHOPAEDICS Implant Removal clusion
All Included
84 ORTHOPAEDICS MCL Reconstruction/Repair L2 exclusion
85 UROLOGY & DJ Stent Removal All Included
86 NEPHROLOGY
UROLOGY & Pcnl- Unilateral All Included
87 NEPHROLOGY
UROLOGY & Pcnl- Bi Lateral All Included
88 NEPHROLOGY
UROLOGY & TURP All Included
89 NEPHROLOGY
UROLOGY & Dialysis All Included
90 NEPHROLOGY
UROLOGY & Cystoscopy(Therapeutic) All Included
91 NEPHROLOGY
UROLOGY & Cystoscopy Urs With Dj Stending (Unilateral) All Included
92 NEPHROLOGY
UROLOGY & Nephrectomy/Nephrolithomy/Pyelolithotomy All Included
93 NEPHROLOGY
UROLOGY & Orchidectomy All Included
94 NEPHROLOGY
VASCULAR Varicose Veins(surgical) All Included
95 SURGERY
LASER Laser Holmium TURP (HOLEP) All Included
y Hospital

Single Ac Shared Genera

13,000 room
11,000 l 8,000
Ward
25,500 22,500 17,100
11,000 9,000 7,000
28,800 25,500 20,900
41,600 36,600 30,400
25,600 23,000 19,000
1,000 1,000 1,000
4,000 4,000 3,000
22,000 19,000 14,000
32,800 28,900 23,800
15,000 13,000 10,000
38,000 32,000 24,000
32,800 30,600 26,100
Hospital Name Arsh Super Specialty Hospital
City Gaya
Go Digit room Hospital Room charges per Visit charges per
type Ward
General room type
General Ward day (Includes nursing
800 day
300
charges)
Twin Sharing Non Twin Sharing 1200 400
Ac
Twin Sharing Ac Non Ac
Shared room 0 0
Single Non Ac Single Non Ac 1600 500
Single Ac Single Ac 1900 500
NICU / PICU NICU / PICU 2000 600
Charges
ICU /ICCU Charges Charges
ICU /ICCU 2400 600
Charges
Superspecialist
visit charges per
400
day
500
0
500
600
700
700
Hospital Arsh Super Specialty Hospital
Name
City Gaya

Charges for billing of non Package surgeries

Charges for all wards

A Minor Surgeries ( Grade 1 ) 0-30 minutes OT time

Operation Theatre Charges 1100
Anaesthetist Charges 500
Surgeon Charges 2100

B Intermediate Surgeries ( Grade 2) 31 - 59 Minutes OT time

Operation Theatre Charges 1700
Anaesthetist Charges 900
Surgeon Charges 3400

Major Surgeries ( Grade 3 ) 1- 2 Hours OT time

Operation Theatre Charges 3200
C Anaesthetist Charges 1600
Assistant Charges 1600
Surgeon Charges 6300

Supra Major Surgeries ( Grade 4 ) 2-4 Hours OT time

Operation Theatre Charges 5500
D Anaesthetist Charges 2700
Assistant Charges 2700
Surgeon Charges 10900

E Supra Major Plus Surgeries ( Grade 4 > 4 Hours OT time

)Operation Theatre Charges 9500
Anaesthetist Charges 4700
Assistant Charges 4700
Surgeon Charges 18900
 Note: Digit Insurance Packages T&C
1 Medicine and consumables included in package, implant excluded.
2 Preferred provider agrees that if three procedures are done in a single hospitalization then full
3 major/1st
Wherever procedure and
the tacker is 50% ofthe
required thecost
minor/2nd
for the procedure and
same will be 25%
paid for the
extra 3rd
i.e Rs procedure will
1000/tracker
considered for the settlement.
4 In case of stapled haeorrhidectomy the maximum cost of the stapler will not exceed Rs 18000 o
5 invoice value wherever
Adhesiolysis, if lesser than Rs shall
done, [Link] considered as a part of the package and shall not be paya
6 seperately.
BSO shall be considered a part of the Hysterectomy package
Note 2:
L1 Standard inclusions
L2 Implants
L3 Special investigations
L4 Modalities of treatment
7
 Note: Digit Insurance Packages T&C
umables included in package, implant excluded.
agrees that if three procedures are done in a single hospitalization then full package for
re and
er is 50% ofthe
required thecost
minor/2nd
for the procedure and
same will be 25%
paid for the
extra 3rd
i.e Rs procedure will be
1000/tracker
settlement.
aeorrhidectomy the maximum cost of the stapler will not exceed Rs 18000 or as per the
everthan
er Rs shall
done, [Link] considered as a part of the package and shall not be payable
ered a part of the Hysterectomy package
Note 2:
Doctor's fee, OT charges, Anasthetic Charges, Drugs, Investigations,
Professional charges,
IOL, Pacemaker, OrthoRoom rents, Nursing
prosthesis, & administrative charges
Stents, staplers
Assays, high end hormonal studies, SPECT, A scans,etc.
Laproscopy/abdominal/vaginal/etc.