Sr. No.

CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-

NABL Rates
1 Consultation OPD 135
2 Consultation- for Inpatients 270
3 Dressings of wounds 50
4 Suturing of wounds with local anesthesia 97
5 Aspiration Plural Effusion - Diagnostic 120
6 Aspiration Plural Effusion - Therapeutic 174
7 Abdominal Aspiration - Diagnostic 311
8 Abdominal Aspiration - Therapeutic 414
9 Pericardial Aspiration 342
10 Joints Aspiration 285
11 Biopsy Skin 207
12 Removal of Stitches 36
13 Venesection 112
14 Phimosis Under LA 1180
15 Sternal puncture 156
16 Injection for Haemorrhoids 373
17 Injection for Varicose Veins 350
18 Catheterisation 75
19 Dilatation of Urethra 0
20 Incision & Drainage 420
21 Intercostal Drainage 113
22 Peritoneal Dialysis 1319
TREATMENT PROCEDURE SKIN
23 Excision of Moles 311
24 Excision of Warts 279
25 Excision of Molluscum contagiosum 117
26 Excision of Veneral Warts 144
27 Excision of Corns 126
28 I/D Injection Keloid 87
29 Chemical Cautery (s) 99
TREATMENT PROCEDURE OPTHALMOLOGY
30 Subconjunctival/subtenon’s injections in one eyes 62
31 Subconjunctival/subtenon’s injections in both eyes 124
32 Pterygium Surgery 77
33 Conjunctival Peritomy 52
34 Conjunctival wound repair or exploration following blunt 104
trauma
35 Removal of corneal foreign body 104
36 Cauterization of ulcer/subconjunctival injection in one eye 62

37 Cauterization of ulcer/subconjunctival injection in both 124

eyes
38 Corneal grafting—Penetrating keratoplasty 5175
39 Corneal grafting—Lamellar keratoplasty 5000
40 Cyanoacrylate /fibrin glue application for corneal 621
perforation
41 Bandage contact lenses for corneal perforation 414
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
42 Scleral grafting or conjunctival flap for corneal perforation 2070

43 Keratoconus correction with therapeutic contact lenses 1080

44 UV radiation for cross-linking for keratoconus 1800

45 EDTA for band shaped keratopathy 777
46 Arcuate keratotomy for astigmatism 2520
47 Re-suturing (Primary suturing) of corneal wound 1035
48 Penetrating keratoplasty ---- with glaucoma surgery 10930
49 Penetrating keratoplasty --- with vitrectomy 10930
50 Penetrating keratoplasty ---- with IOL implantation 12290
51 DALK- Deep anterior lamellar keratoplasty 15525
52 Keratoprosthesis stage I and II 10350
53 DSAEK- Descemet’s stripping automated endothelial 15008
keratoplasty
54 ALTK- Automated lamellar therapeutic keratoplasty 14850
55 Probing and Syringing of lacrimal sac- in one eye 62
56 Probing and Syringing of lacrimal sac- in both eye 124
57 Dacryocystorhinostomy—Plain 2588
58 Dacryocystorhinostomy—Plain with intubation and/or 8775
with lacrimal implants
59 Dacryocystorhinostomy—conjunctival with implant 8280
60 Caliculoplasty 2070
61 Dacryocystectomy 1553
62 Punctal plugs for dry eyes 130
63 Refraction 36
64 Indirect Ophthalmoscopy 67
65 Orthoptic check-up- with synoptophore 40
66 Lees’ charting or Hess’ charting 100
67 Orthoptic exercises 45
68 Pleoptic exercises 45
69 Perimetry/field test—Goldman 130
70 Perimetry/field test— automated 130
71 Fluorescein angiography for fundus or iris 828
72 Ultrasound A- Scan 777
73 Ultrasound B- Scan 230
74 Fundus Photo Test 180
75 Indocyanin green angiography 828
76 Corneal endothelial cell count with specular microscopy 207

77 Corneal topography 298

78 Corneal pachymetry 207
79 Auto-refraction 32
80 Macular function tests 44
81 Potential acuity metry 100
82 Laser interferometry 173
83 OCT-Optical coherence tomography 1913
84 HRT- Heidelberg’s retinal tomogram 150
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
85 GDX--- Nerve fibre layer analyzer 88
86 UBM- Ultrasound bio microscopy 150
87 Non Contact tonometry 50
88 IOP measurement with schiotz 27
89 IOP measurement with applation tonometry 45
90 Three mirror examination for reti 52
91 90 D lens examination 45
92 Gonioscopy 52
93 Chalazion incision and curettage in one eye 360
94 Chalazion incision and curettage in both eyes 388
95 Ptosis surgery with fasanella servat procedure 2070
96 Ptosis surgery with LPS resection one lid 4950
97 Ptosis surgery with Sling surgery one lid 6003
98 Ectropion surgery- one lid 1350
99 Ectropion surgery- both lids 2250
100 Epicanthus correction 1550
101 Cantholysis and canthotomy 518
102 Entropion surgery- one lid 1242
103 Entropion surgery- both lids 1800
104 Tarsorraphy 585
105 Suturing of lid lacerations 1035
106 Lid retraction repair 1530
107 Concretions removal 104
108 Bucket handle procedure for lid tumors 311
109 Cheek rotation flap for lid tumors 6210
110 Orbitotomy 7245
111 Enucleation 2978
112 Enucleation with orbital implants and artificial prosthesis 3000

113 Evisceration 3105

114 Evisceration with orbital implants and artificial prosthesis 5124

115 Telecanthus correction 4658

116 Orbital decompression 5175
117 Exenteration 5750
118 Exenteration with skin grafting 6210
119 Fracture orbital repair 8280
120 Retinal laser procedures 1350
121 Retinal detachment surgery 10350
122 Retinal detachment surgery with scleral buckling 12420
123 Buckle removal 1035
124 Silicone oil removal 2520
125 Anterior retinal cryopexy 1046
126 Squint correction for one eye 4500
127 Squint correction for both eyes 6750
128 Trabeculectomy 6210
129 Trabeculotomy 6210
130 Trabeculectomy with Trabeculotomy 9315
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
131 Trephition 2070
132 Goniotomy 311
133 Glaucoma surgery with Glaucoma valves 6210
134 Cyclocryotherapy 1035
135 YAG laser iridotomy 1350
136 YAG laser capsulotomy 984
137 ALT-Argon laser trabeculoplasty 1495
138 PDT-Photodymic therapy 3105
139 TTT- Transpupillary thermal therapy 3000
140 PTK- Phototherapeutic keratectomy 6750
141 Argon/diode laser for retinal detatchment 1035
142 Intralase application for keratoconus 5175
143 EOG- electro-oculogram 810
144 ERG- Electro-retinogram 715
145 VEP- visually evoked potential 800
146 Vitrectomy- pars plana 10350
147 Intravitreal injections- of antibiotics 1035
148 Intravitreal injections- of lucentis excluding cost of drug 3000

149 X- Ray orbit 104

150 CT-orbit and brain 156
151 MRI- Orbit and brain 3105
152 Dacryocystography 306
153 Orbital angio-graphical studies 1500
154 ECCE with IOL 3900
155 SICS with IOL 4500
156 Phaco with foldable IOL (silicone and acrylic)/PMMA IOL 9703

157 Pars plana lensectomy with/without IOL 9315

158 Secondary IOL implantation- AC IOL PC IOL or scleral 6210
fixated IOL
159 Cataract extraction with IOL with capsular tension rings 12150
(Cionni’s ring)
160 Optic nerve sheathotomy 6750
161 Iridodialysis repair or papillary reconstruction 4500
162 Iris cyst removal 765
163 Lid Abscess incision and Drainage 1530
164 Orbital Abscess incision and Drainage 2700
165 Biopsy 414
166 Paracentesis 207
167 Scleral graft for scleral melting or perforation 2520
168 Amniotic membrane grafting 990
169 Cyclodiathermy 2070
170 Intraocular foreign body removal 168
171 Electrolysis 207
172 Perforating injury repair 4050
173 Botulinum injection for blepharospasm or squint 2500
TREATMENT PROCEDURE DENTAL PROCEDURES
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
174 Flap Operation per quadrant 360
175 Gingivectomy per quadrant 234
176 Reduction & immobilization of fracture- Maxilla Under LA 900

177 Reduction & immobilization of fracture-Mandible Under 3150

LA
178 splints/Cirucum mandibular wiring under LA 510
179 splints/Cirucum mandibular wiring under GA 990
180 Internal wire fixation/plate fixation of Maxilla under LA 3000

181 Internal wire fixation/plate fixation of Maxilla under GA 4000

182 Internal wire fixation/plate fixation of Mandible under LA 3500

183 Internal wire fixation/plate fixation of Mandible under GA 4250

184 Extraction per tooth under LA 80

185 Complicated Ext. per Tooth under LA 100
186 Extraction of impacted tooth under LA 160
187 Extraction in mentally retarded/patients with systemic 939

diseases/patient with special needs under short term GA

188 Cyst & tumour of Maxilla /mandible by enucleation/ 244
excision/ marsupalisation upto 4 cms under LA
189 Cyst & tumour of Maxilla/mandible by enucleation/ 406
excision/ marsupalisation size more than 4 cms under
LA
190 Cyst & tumour of Maxilla/mandible by 1000
enucleation/excision/marsupalisation size more than 4
cms under GA
191 TM joint ankylosis- under GA 7500
192 Biopsy Intraoral-Soft tissue 374
193 Biopsy Intraoral-Bone 374
194 Hemi-mandibulectomy with graft 18900
195 Hemi-mandibulectomy without graft 18900
196 Segmental-mandibulectomy with graft 3400
197 Segmental-mandibulectomy without graft 990
198 Maxillectomy- Total with graft 2500
199 Maxillectomy- Total without graft 1950
200 Maxillectomy- partial with graft 3000
201 Maxillectomy- partial without graft 2500
202 Release of fibrous bands & grafting -in (OSMF) treatment 1500
under GA
203 Pre-prosthetic surgery- Alveoloplasty 500
204 Pre-prosthetic surgery - ridge augmentation 1200
205 Root canal Treatment(RCT) Anterior teeth(per tooth) 500
206 Root canal Treatment(RCT) Posterior teeth (per tooth) 700
207 Apicoectomy- Single root 500
208 Apicoectomy-Multiple roots 650
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
209 Metal Crown-per unit 500
210 Metal Crown with Acrylic facing per unit 700
211 Complete single denture-metal based 1500
212 Complete denture- acrylic based per arch 950
213 Removable partial denture-Metal based-upto 3 teeth 700
214 Removable partial denture-Metal based-more than 3 teeth 810

215 Removable partial denture-Acrylic based-upto 3 teeth 500

216 Removable partial denture-Acrylic based-more than 3 264
teeth
217 Amalgum restoration-per tooth 200
218 Composite Restoration-per tooth-anterior tooth 250
219 Glas Ionomer-per tooth 200
220 Scaling & polishing 300
221 Removable Orthodontics appliance- per Arch 700
222 Fixed Orhtodontics-per Arch 1150
223 Space maintainers-Fixed 500
224 Habit breaking appliances-removable 800
225 Habit breaking appliances-Fixed 1500
226 Expansion plate 1000
227 Feeding appliance for cleft palate 1500
228 Maxillo-facial prosthesis (sal/auricular/orbital/facial lost 3500
part)
229 Functional orthodentic appliances 3000
230 Obturator (Maxillo-facial) 1500
231 Occlusal night guard(splint) 800
TREATMENT PROCEDURE ENT
232 Pure Tone Audiogram 155
233 Impedence with stepedeal reflex 207
234 SISI Tone Decay 119
235 Multiple hearing assessment test to Adults 104
236 Speech Discrimination Score 81
237 Speech Assessment 120
238 Speech therapy per session of 30-40 minutes 118
239 Cold Calorie Test for Vestibular function 155
240 Removal of foreign body From Nose 311
241 Removal of foreign body From Ear 207
242 Syringing (Ear) 149
243 Polyp removal under LA 518
244 Polyp removal under GA 850
245 Peritonsillar abscess Drainage under LA 1304
246 Myringoplasty 6210
247 Staepedectomy 8280
248 Myringotomy with Grommet insertion 4140
249 Tympanotomy 7763
250 Tympanoplasty 12420
251 Mastoidectomy 13455
252 Otoplasty 14490
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
253 Labyrinthectomy 12420
254 Skull Base surgery 23000
255 Facial Nerve Decompression 15525
256 Septoplasty 5175
257 Submucous Resection 6583
258 Septo-rhinoplasty 14490
259 Rhinoplasty- Non-cosmetic 10350
260 Fracture Reduction 4250
261 Intra nasal Diathermy 1035
262 Turbinectomy 5175
263 Endoscopic DCR 11700
264 Endoscopic Surgery 12420
265 Septal Perforation Repair 12420
266 Antrum Puncture 855
267 Lateral Rhinotomy 1000
268 Cranio-facial resection 23000
269 Caldwell Luc Surgery 9563
270 Angiofibroma Excision 16000
271 Endoscopic Hypophysectomy 19350
272 Endoscopic Optic Nerve Decompression 29498
273 Decompression of Orbit 22950
274 Punch/Wedge biopsy 607
275 Tonsillectomy 5000
276 Uvulo-palatoplasty 15000
277 FESS for antrochoal polyp 5175
278 FESS for ethmoidal polyp 5175
279 Polyp removal ear 673
280 Polyp removal Nose(Septal polyp) 673
281 Mastoidectomy plus Ossciculoplasty including TORP or 2174
PORP
282 Endolymphatic sac decompression 2588
283 Diagnostic endoscopy under GA 2070
284 Yonges operation for Atrophic rhinitis 6210
285 Vidian neurectomy for vasomotor Rhinitis 9315
286 Nasal Packing-anterior 311
287 Nasal Packing-posterior 725
288 Ranula Excision 6159
289 Tongue Tie excision 1500
290 Sub Mandibular Duct Lithotomy 242
291 Adenoidectomy 5640
292 Palatopharyngoplasty 7349
293 Pharyngoplasty 15474
294 Styloidectomy 8280
295 Direct laryngoscopy including Biopsy under GA 4500
296 Oesophagoscopy/foreign body removal from 1620
297 Bronchoscopy with F.B.removal 2438
298 Other Major Surgery 15000
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
299 Other Minor Surgery 8500
TREATMENT PROCEDURE FOR HEAD AND NECK
300 Ear Lobe Repair one side 492
301 Excision of Pinna for Growth (Squamous/Basal/ Injuries) 3600
Skin Only
302 Excision of Pinna for Growth (Squamous/Basal/ Injuries) 3800
Skin and Cartilage
303 Partial Amputation of Pinna 4500
304 Total Amputation of Pinna 6200
305 Total Amputation & Excision of External Auditory Meatus 1500

306 Excision of Cystic Hygroma 4658

307 Excision of Cystic Hygroma Extensive 6707
308 Excision of Branchial Cyst 9315
309 Excision of Branchial Sinus 9315
310 Excision of Pharyngeal Diverticulum 9522
311 Excision of Carotid Body-Tumours 11475
312 Operation for Cervical Rib 11250
313 Block Dissection of Cervical Lymph Nodes 13500
314 Pharyngectomy & Reconstruction 13500
315 Operation for Carcinoma Lip - Wedge-Excision 7245
316 Operation for Carcinoma Lip - Vermilionectomy 5758
317 Operation for Carcinoma Lip - Wedge Excision and 8400
Vermilonectomy
318 Estlander Operation 6728
319 Abbe Operation 9800
320 Cheek Advancement 8798
321 Excision of the Maxilla 173885
322 Excision of mandible-segmental 13973
323 Mandibulectomy 18900
324 Partial Glossectomy 4968
325 Hemiglossectomy 7000
326 Total Glossectomy 20597
327 Commondo Operation 20000
328 Parotidectomy - Superficial 10868
329 Parotidectomy - Total 13500
330 Parotidectomy - Radical 17595
331 Repair of Parotid Duct 10350
332 Removal of Submandibular Salivary gland 7763
333 Hemithyroidectomy 9500
334 Partial Thyroidectomy (lobectomy) 10350
335 Subtotal Thyroidectomy 11748
336 Total Thyroidectomy 17100
337 Resection Enucleation of thyroid Adenoma 9522
338 Total Thyroidectomy and Block Dissection 23805
339 Excision of Lingual Thyroid 15194
340 Excision of Thyroglossal Cyst/Fistula 11903
341 Excision of Parathyroid Adenoma/Carcinoma 19148
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
342 Laryngectomy 17825
343 Laryngo Pharyngectomy 27000
344 Hyoid Suspension 9315
345 Genioplasty 12000
346 Direct Laryngoscopy including biopsy under GA 4658
347 Phonosurgery 12420
348 Fibroptic examition of Larynx under LA 1553
349 Microlaryngeal Surgery 9315
350 Laryngofissure 15525
351 Tracheal Stenosis Excision 17802
Head and neck cancer 40000
352 Excisional Biopsies 5175
353 Benign Tumour Excisions 8850
354 Temporal Bone subtotal resection 18630
355 Modified Radical Neck Dissection 22770
356 Carotid Body Excision 25000
357 Total Laryngectomy 35273
358 Flap Reconstructive Surgery 37260
359 Parapharyngeal Tumour Excision 35397
360 Other Major Surgery 21250
361 Other Minor Surgery 5000
TREATMENT PROCEDURE BREAST
362 Drainage of abscess 5400
363 Excision of lumps 6300
364 Local mastectomy-simple 11385
365 Radical mastectomy-formal or modified. 25875
366 Excision of mammary fistula 13973
367 Segmental resection of breast 14490
368 Other Major Surgery 22500
369 Other Minor Surgery 5000
TREATMENT PROCEDURE GENERAL SURGERY
370 Injury Of Superficial Soft Tissues 383
371 Suturing of small wounds 242
372 Secondary suture of wounds 261
373 Debridement of wounds 405
374 Removal Of Foreign Bodies 270
Biopsies 1500
375 Excision of Cervical Lymph Node 1553
376 Excision of Axillary Lymph Node 2049
377 Excision of Inguinal Lymph Node 2049
378 Excision Biopsy of Ulcers 1323
379 Excision Biopsy of Superficial Lumps 2898
380 Incision Biopsy of Growths/Ulcers 1323
381 Trucut Needle Biopsy 1500
382 Percutaneous Kidney Biopsy 1323
383 Marrow Biopsy (Open) 1275
384 Muscle Biopsy 1323
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
385 Scalene Node Biopsy 1215
386 Excision of Sebaceous Cysts 1118
387 Excision of Superficial Lipoma 1739
388 Excision of Superficial Neurofibroma 2250
389 Excision of Dermoid Cysts 2049
390 Haemorrhoidectomy 2300
391 Stappler haemorrhoidectomy 3623
392 keloid excision 1035
393 Vericose vein surgery;Tendelenburg operation with 7763
suturing or ligation.
TREATMENT PROCEDURE OESOPHAGUS
394 Atresia of Oesophagus and Tracheo Oesophageal Fistula 25875

395 Operations for Replacement of Oesophagus by Colon 22500

396 Oesophagectomy for Carcinoma Easophagus 22500
397 Oesophageal Intubation (Mausseau Barbin Tube) 10350
398 Achalasia Cardia Transthoracic 13455
399 Achalasia Cardia Abdominal 12650
400 Oesophago Gastrectomy for mid 1/3 lesion 22046
401 Heller’s Operation 17775
402 Colon-Inter position or Replacement of Oesophagus 20286
403 Oesophago Gastrectomy – Lower Corringers procedure 19251
404 Other Major Surgery 27625
405 Other Minor Surgery 5000
TREATMENT PROCEDURE ABDOMEN / GI SURGERY
406 Gastroscopy 1553
407 Gastric & Duodenal Biopsy (Endoscopic) 1950
408 Pyloromyotomy 2700
409 Gastrostomy 7763
410 Simple Closure of Perforated peptic Ulcer 8798
411 Vagotomy Pyleroplasty / Gastro Jejunostomy 12420
412 Duodenojejunostomy 17055
413 Partial/Subtotal Gastrectomy for Carcinoma 20700
414 Partial/Subtotal Gastrectomy for Ulcer 20183
415 Operation for Bleeding Peptic Ulcer 18878
416 Operation for Gastrojejunal Ulcer 17802
417 Total Gastrectomy for Cancer 20131
418 Highly Selective Vagotomy 16767
419 Selective Vagotomy & Drainage 16767
420 Congenital Diaphragmatic Hernia 17078
421 Hiatus Hernia Repair- Abdominal 13041
422 Hiatus Hernia Repair- Transthoracic 14490
423 Exploratory Laparotomy 11385
424 Epigastric Hernia Repair 10247
425 Umbilical Hernia Repair 10247
426 Ventral /incisional Hernia Repair 9264
427 Inguinal Hernia Herniorraphy 13352
428 Inguinal Hernia - Hernioplasty 14850
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
429 Femoral Hernia Repair 16457
430 Rare Hernias Repair (Spigalion, Obturator, Lumbar, 17078
Sciatic)
431 Splenectomy - For Trauma 17078
432 Splenectomy - For Hypersplenism 13041
433 Splenorenal Anastomosis 20700
434 Portocaval Anastomosis 26900
435 Direct Operation on Oesophagus for Portal Hypertension 20597

436 Mesentericocaval Anastomosis 25000

437 Warren Shunt 25875
438 Pancerato Duodenectomy 19562
439 By Pass Procedure for Inoperable Carcinoma of Pancreas 20700

440 Cystojejunostomy or Cystogastrostomy 13041

441 Cholecystectomy 9263
442 Cholecystectomy & Exploration of CBD 12938
443 Repair of CBD 13600
444 Operation for Hydatid Cyst of Liver 10712
445 Cholecystostomy 9263
446 Hepatic Resections (Lobectomy /Hepatectomy) 12938
447 Operation on Adrenal Glands - Bilateral 23495
448 Operation on Adrenal Glands - Unilateral 12420
449 Appendicectomy 7297
450 Appendicular Abscess – Drainage 8798
451 Mesenteric Cyst- Excision 9936
452 Peritonioscopy/Laparoscopy 4140
453 Jejunostomy 5175
454 Ileostomy 13869
455 Resection & Anastomosis of Small Intestine 18630
456 Duodenal Diverticulum 16560
457 Operation for Intestinal Obstruction 9315
458 Operation for Intestinal perforation 34200
459 Benign Tumours of Small Intestine 17595
460 Excision of Small Intestine Fistula 17595
461 Operations for GI Bleed 16000
462 Operations for Haemorrhage of Small Intestines 17595
463 Operations of the Duplication of the Intestines 16043
464 Operations for Recurrent Intestinal Obstruction (Noble 20700
Plication & Other Operations for Adhesions)
465 Ilieosigmoidostomy and related resection 15111
466 Ilieotransverse Colostomy and related resection 15111
467 Caecostomy 3513
468 Loop Colostomy Transverse Sigmoid 11799
469 Terminal Colostomy 15525
470 Closure of Colostomy 15732
471 Right Hemi-Colectomy 12420
472 Left Hemi-Colectomy 12420
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
473 Total Colectomy 15525
474 Operations for Volvulus of Large Bowel 22428
475 Operations for Sigmoid Diverticulitis 16767
476 Fissure in Ano with Internal sphinctrectomy with 12420
fissurectomy.
477 Fissure in Ano - Fissurectomy 5750
478 Rectal Polyp-Excision 5092
479 Fistula in Ano - High Fistulectomy 15102
480 Fistula in Ano - Low Fistulectomy 8880
481 Prolapse Rectum - Theirch Wiring 9315
482 Prolapse Rectum - Rectopexy 5175
483 Prolapse Rectum - Grahams Operation 16560
484 Operations for Hirschsprungs Disease 12834
485 Excision of Pilonidal Sinus (open) 10350
486 Excision of Pilonidal Sinus with closure 10350
487 Abdomino-Perineal Excision of Rectum 18250
488 Anterior Resection of rectum 19665
489 Pull Through Abdominal Resection 15453
490 Retro Peritoneal Tumor Removal 16200
491 Radio ablation of varicose veins 1800
492 Laser ablation of varicose veins 17250
493 Laproscopic Fundoplication 17370
494 Laproscopic Spleenectomy 22500
495 Laproscopic Removal of hydatid cyst 16200
496 Laproscopic treatment of Pseudo Pancreatic cyst 16200
497 Laproscopic whipples operation 20000
498 Laproscopic GI bypass operation 20000
499 Laproscopic Total Colectomy 22500
500 Laproscopic Hemi Colectomy 20700
501 Laproscopic Anterior Resection 20700
502 Laproscopic Cholecystetomy 17078
503 Laproscopic Appedicectomy 16200
504 Laproscopic Hernia inguinal repair 16200
505 Laproscopic ventral Hernia Repair 15750
506 Laproscopic Paraumblical Hernia Repair 11322
507 Laproscopic Adrenelectomy 10800
508 Laproscopic Nephrectomy 19800
509 Other Major Surgery 35000
510 Other Minor Surgery 6000
TREATMENT PROCEDURE ICU/CCU PROCEDURES
(SPECIAL CARE CASES)
511 Coronary Care with Cardiac Monitoring (Room Rent extra) 750

512 Compressed air / piped oxygen /per hour 50

513 Ventilator charges (Per day) 478
514 Paediatric care for New born (Per day) 167
515 Incubator charges (Per day) 311
516 Neonatal ICU charges (Per day) 352
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
517 Resuscitation 166
518 Exchange Transfusion 239
519 Pneupack ventilator in Nursery (Per day) 518
TREATMENT PROCEDURE CARDIOVASCULAR AND
CARDIAC SURGERY & INVESTIGATIONS
520 ASD Closure 46627
521 VSD with graft 46627
522 TOF/TAPVC/TCPC/REV/RSOV repair 114368
523 B.D.Glenn/Left atrium myxoma 80750
524 Senning/ASO with graft 109969
525 DSO 93254
526 AV Canal repair 144900
527 Fonten 152100
528 Conduit repair 152100
529 CABG 114368
530 CABG + IABP 152100
531 CABG + Valve. 152100
532 CABG without bypass. 130000
533 Ascending aorta replacement 130000
534 DVR 53000
535 MVR/AVR 93254
536 MV repair + AV repair 93254
537 Aorta femoral bypass 49400
538 B.T Shunt/Coaractation 46782
539 P.A.Banding septostomy 46782
540 Pericardectomy 38088
541 CMV/PDA 46782
542 Gunshot injury 46782
543 Heart transplant 248400
544 Balloon coronary angioplasty/PTCA with VCD 72540
545 Balloon coronary angioplasty/PTCA without VCD 72000
546 Rotablation 43988
547 balloon valvotomy/PTMC 9238
548 CATH 9000
549 Arch Replacement
550 Aortic Dissection
551 Thoraco Abdominal Aneurism Repair
552 Embolectomy 21000
553 Vascular Repair
554 Bentall Repair with Prosthetic Valve
555 Bentall Repair with Biologic Valve
556 Coaractation dilatation 13050
557 Coaractation dilatation with Stenting 18500
558 TPI Single Chamber
559 TPI Dual Chamber
560 Permanent pacemaker implantation- Single Chamber 12420
561 Permanent pacemaker implantation- Dual Chamber 17388
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
562 Permanent pacemaker implantation Biventricular 31050
563 AICD implantation Single Chamber 25875
564 AICD implantation Dual Chamber 36000
565 Combo device implantation 40000
566 Diagnostic Electrophysiological studies conventional 4550
567 Ambulatory BP monitoring
568 External Loop/event recording
569 RF Ablation conventional 31500
570 RF Ablation Atrial Tachycardia/Carto
571 Endomyocardial biopsy 10000
572 IABP 7038
573 Intra vascular coils 41400
574 Septostomy- Balloon 14535
575 Septostomy- Blade 17595
576 AVBD/PVBD 43470
577 Digital subtraction angiography-Peripheral artery 10350
578 Digital subtraction angiography- venogram 10350
579 C.T Guided biopsy 1139
580 Sinogram 800
581 Peripheral Angioplasty with VCD 11500
582 Peripheral Angioplasty without VCD 11500
583 Renal Angioplasty 55000
584 IVUS 25000
585 FFR 11475
586 Holter analysis 850
587 Aortic stent grafting for aortic aneurysm 75000
588 IVC Filter implantation 14516
589 ASD/VSD/PDA device closure 32603
590 ECG 45
591 HUTT 2000
592 2 D echocardiography 1200
593 3 D echocardiography 1403
594 Fetal Echo 1400
595 2 D TEE 1263
596 3 D TEE(Transoesophageal echo ) 1263
597 Stress Echo- exercise 1500
598 Stress Echo- pharmacological 2250
599 Stress MPI- exercise 1955
600 Stress MPI - pharmacological 2500
601 Coronary angiography 10350
602 CT coronary angiography 6030
603 Cardiac CT scan 2045
604 Cardiac MRI 2200
605 Stress Cardiac MRI 3000
606 MR angiography. 5072
607 Cardiac PET
608 Pericardiocentesis 3500
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
609 Other Major Surgery 20000
610 Other Minor Surgery 4250
TREATMENT PROCEDURE OBSTETRICS AND
GYNAECOLOGY
611 Normal delivery with or without Episiotomy & P. repair 7200

612 vacuum delivery 7763

613 Forceps Delivery 8280
614 Cesarean Section 12645
615 Cesarean Hysterectomy 17078
616 Rupture Uterus closure & repair with Tubal Ligation 15525
617 Perforation of Uterus after D/E Laparotomy & Closure 12420
618 Laparotomy for Ectopic pregnancy 12420
619 Laparotomy-peritonitis Lavage and Drainage 10350
620 Salphingo-Oophorectomy/ Oophorectomy Laproscopic 10000
621 Ovarian Cystectomy-laparoscopic. 10350
622 Ovarian Cystectomy -laparotomy. 12420
623 Salpingo-Oophorectomy-laparotomy 11520
624 Laproscopic Broad Ligament Hematoma Drainage with 6210
repair
625 Exploration of perineal Haematoma & Repair 7200
626 Exploration of abdominal Haematoma (after laparotomy + 7245
LSCS)
627 Manual Removal of Placenta 3105
628 Examination under anesthesia (EUA) 1000
629 Burst-abdomen Repair 9000
630 Gaping Perineal Wound Secondary Suturing 1490
631 Gaping abdominal wound Secondary Suturing 3105
632 Complete perineal tear-repair 1915
633 Exploration of PPH-tear repair 3150
634 Suction evacuation vesicular mole 4500
635 Suction evacuation Missed abortion/ incomplete abortion 4658

636 Colpotomy 3105

637 Repair of post-coital tear/ perineal injury 3157
638 Excision of urethral caruncle 3105
639 Shirodhkar/ Mc. Donald’s stitch 2898
640 Abdominal Hysterectomy with or without salpingo- 15525
oophorectomy
641 Vaginal Hysterectomy (NDVH) 15525
642 Vaginal Hysterectomy with repairs (UV Prolapse) 17000
643 Myomectomy -laparotomy 12600
644 Myomectomy -laparoscopic 5693
645 Vaginoplasty 13455
646 Vulvectomy -Simple 8280
647 Vulvectomy-Radical 8280
648 RVF Repair 12600
649 Manchester Operation 13500
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
650 Shirodkar’s sling Operation or other sling operations for 3105
prolapse uterus
651 Laparoscopic sling operations for prolapse uterus 25200
652 Diagnostic Curettage 2236
653 Cervical Biopsy 1800
654 Polypectomy 1366
655 Other-Minor Operation Endometrial 2070
656 Excision Vaginal Cyst/Bartholin Cyst 3105
657 Excision Vaginal Septum 4140
658 Laparoscopy -Diagnostic with chromopertubation and or 3623
adhesiolysis and drilling
659 Laparoscopy Sterilization 3105
660 LAVH 22719
661 Balloon Temponade for PPH 2800
662 Total laparoscopic hysterectomy 22719
663 Laparoscopic treatment of Ectopic pregnancy- 8798
salpingectomy/salpinostomy conservative
664 Conisation of cervix 3623
665 Trachhelectomy of cervix for early CA cervix 4950
666 Hysteroscopic cannulation 2588
667 Laparotomy recannalization of Fallopian tubes- 20183
(Tubuloplasty)
668 Laparoscopic recannalization of Fallopian tubes- 17550
(Tubuloplasty)
669 Colposcopy 862
670 Inversion of Uterus – Vaginal Reposition 2500
671 Inversion of Uterus – Abdominal Reposition 2500
672 Laparoscopic VVF Repair 25200
673 Abdominal VVF Repair 25200
674 Vaginal VVF Repair 25200
675 Interventional Ultrasonography (CVS) 850
676 Amniocentesis 880
677 Karyotyping 800
678 Thermal balloon ablation. 10350
679 Ultrasonographic myolysis 9264
680 Vaginal Myomectomy 10000
681 Intra Uterine Inseminition 828
682 ICSI 10350
683 Laparotomy abdominal sacro-colpopexy 15000
684 Vaginal Colpopexy 19800
685 Laparoscopic abdominal sacro-colpopexy 20000
686 Laparotomy pelvic Lymphadenectomy 1200
687 Laparoscopic pelvic Lymphadenectomy 3500
688 Endometrial aspiration cytology/biopsy 513
689 Transvaginal sonography (TVS for Follicular monitioring 414
/aspiration)
690 laparoscopic treatment for stress incontinence 13500
691 Transvaginal tapes for Stress incontinence 13500
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
692 trans-obturator tapes for Stress incontinence 10800
693 Interventional radiographic arterial embolization 16200
694 Diagnostic cystoscopy 2588
695 Staging laparotomy surgery for CA Ovary 5693
696 Internal Iliac ligation 3054
697 stepwise devascularisation 8280
698 Assisted breech delivery 9833
699 Intra-uterine fetal blood transfusion 19148
700 Hysteroscopy TCRE 7650
701 Hysteroscopy Removal of IUCD 6750
702 Hysteroscopy Removal of Septum 9900
703 Hysteroscopy Diagnostic 6750
704 Radical Hysterectomy for Cancer cervix with pelvic 8500
lymphadenectomy
705 Radical Hysterectomy for Cancer endometrium extending 8500

to cervix with pelvic and para aortic lymphadenectomy

706 Sterilization Post partum (minilap) 3375
707 Sterilization interval (minilap) 3500
708 Ultrasonography Level II scan/Anomaly Scan 450
709 Fetal nuchal Translucency 300
710 Fetal Doppler/Umblical Doppler/Uterine Vessel Doppler 800

711 MTP- 1st Trimester 2700

712 MTP - 2nd Trimester 3933
713 Quadruple test 2000
714 Biophysical score 600
715 Other Major Surgery 28000
716 Other Minor Surgery 5000
TREATMENT PROCEDURE NEPHROLOGY AND UROLOGY

717 Partial Nephrectomy -open 14594

718 Partial Nephrectomy-laproscopic/endoscopic 13041
719 Nephrolithomy -open 12000
720 Nephrolithomy -laproscopic/endoscopic 14000
721 Pyelolithotomy-open 13000
722 Pyelolithotomy -laproscopic/endoscopic 9522
723 Operations for Hydronephrosis -pyeloplasty open 16560
724 Operations for Hydronephrosis -pyeloplasty 18000
Lap/endoscopic
725 Operations for Hydronephrosis Endoplyelotomy 18000
antegrade
726 Operations for Hydronephrosis Endoplyelotomy 18000
retrograde
727 Operations for Hydronephrosis -ureterocalicostomy 16200
728 Operations for Hydronephrosis-Ileal ureter 17625
729 Open Drainage of Perinephric Abscess 8000
730 Percutaneous Drainage of Perinephric Abscess - 5175
Ultrasound guided
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
731 Cavernostomy 9775
732 Operations for Cyst of the Kidney -open 10764
733 Operations for Cyst of the Kidney -Lap/endoscopic 12627
734 Ureterolithotomy -open 11923
735 Ureterolithotomy-Lap/Endoscopic 9000
736 Nephroureterectomy open 14490
737 Nephroureterectomy -Lap/Endoscopic 14490
738 Operations for Ureter for -Double Ureters 17100
739 Operations for Ureter -for Ectopia of Single Ureter 16200
740 Operations for Vesico- ureteric Reflux -Open 18000
741 Operations for Vesico- ureteric Reflux-Lap/Endoscopic 18000
742 Operations for Vesico- ureteric Reflux/ Urinary 18630
incontinence with bulking agents
743 Ureterostomy - Cutaneous 12000
744 Uretero-Colic anastomosis 14400
745 Formation of an Ileal Conduit 15525
746 Ureteric Catheterisation 621
747 Biopsy of Bladder (Cystoscopic) 2070
748 Cysto-Litholapaxy 9833
749 Operations for Injuries of the Bladder 10000
750 Suprapubic Drainage (Cystostomy/vesicostomy) 6000
751 Simple Cystectomy 15525
752 Diverticulectomy -open 14400
753 Diverticulectomy- Lap/Endoscopic 16560
754 Diverticulectomy -Endoscopic incision of neck 1553
755 Augmentation Cystoplasty 6003
756 Operations for Extrophy of the Bladder- Single stage repair 20070

757 Operations for Extrophy of the Bladder- Multistage repair 18734

758 Operations for Extrophy of the Bladder- simple 20250

cystectomy with urinary diversion
759 Repair of Ureterocoel -Open 12420
760 Repair of Ureterocoel -Lap/Endoscopic 12938
761 Repair of Ureterocoel -Endoscopic incision 11800
762 Open Suprapubic Prostatectomy 18630
763 Open Retropubic Prostatectomy 18113
764 Transurethral Resection of Prostate (TURP) 16767
765 Urethroscopy/ Cystopanendoscopy 4140
766 Internal urethrotomy -optical 5175
767 Internal urethrotomy -Core through urethroplasty 9936
768 Urethral Reconstruction -End to end ansatamosis 3105
769 Urethral Reconstruction - substitution urethroplasty 17595
(Transpubic urethroplasty
770 Abdomino Perineal urethroplasty 12600
771 Posterior Urethral Valve fulguration. 10143
772 Operations for Incontinence of Urine - Male -Open 15525
773 Operations for Incontinence of Urine - Male -Sling 16560
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
774 Operations for Incontinence of Urine - Male-Bulking agent 17492

775 Operations for Incontinence of Urine - Female -Open 15525

776 Operations for Incontinence of Urine - Female-Sling 16560
777 Operations for Incontinence of Urine - Female-Bulking 17492
agent
778 Reduction of Paraphimosis 1553
779 Circumcision 3000
780 Meatotomy 2111
781 Meatoplasty 2898
782 Operations for Hypospadias + Chordee Correction 9200
783 Operations for Hypospadias - Second Stage 15000
784 Operations for Hypospadias - One Stage Repair 9200
785 Operations for Crippled Hypospadias 10950
786 Operations for Epispadias _primary repair 11334
787 Operations for Epispadias-crippled epispadias 10247
788 Partial Amputation of the Penis 9688
789 Total amputation of the Penis 10800
790 Orchidectomy-Simple 8798
791 Orchidectomy -Radical 10868
792 Post Radical Orchidectomy retroperitoneal lymph node 13900
dissection.
793 Epididymectomy 8000
794 Adreneclectomy Unilateral/Bilateral for Tumour/For 22770
Carcinoma- Open
795 Adreneclectomy Unilateral/Bilateral for Tumour/For 12938
Carcinoma -Lap/Endoscopic
796 Operations for Hydrocele - Unilateral 5279
797 Operations for Hydrocele - Bilateral 7700
798 Operation for Torsion of Testis 10350
799 Micro-surgical Vasovasostomy /Vaso epidedymal 9936
ansatamosis.
800 Operations for Varicocele Unilateral-Microsurgical 6935
801 Operations for Varicocele Palomo’s Unilateral - Lap 8280
802 Operations for Varicocele Bilateral --Microsurgical 11385
803 Operations for Varicocele Bilateral – Lap/ Palomo 13455
804 Block Dissection of ilio-inguinal Nodes - One Side (For Ca- 5693
Penis)
805 Block Dissection of ilio-inguinal Nodes - Both Sides (For Ca- 20700
Penis)
806 Excision of Filarial Scrotum 10350
807 Kidney Transplantation (related) 3500
808 Kidney Transplantation (Spousal/ unrelated) 143000
809 ABO incompatible Transplantation
810 Swap Transplantation
811 Kidney Transplant Graft Nephrectomy
812 Donor Nephrectomy (open) 28750
813 Donor Nephrectomy (Laproscopic) 46000
814 Cadaver Transplantation 83300
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
815 Kidney Transplant with Native Kidney Nephrectomy
(Related)/ Unilateral
816 Kidney Transplant with Native Kidney Nephrectomy
(Related)/ Bilateral
817 Kidney Transplant with Native Kidney Nephrectomy
(Spousal/ Unrelated) Unilateral
818 Kidney Transplant with Native Kidney Nephrectomy
(Spousal/ Unrelated) Bilateral
819 Post-Transplant Collection drainage for Lymphocele
(open)
820 Post-Transplant Collection drainage for Lymphocele
(percutaneous)
821 Post-Transplant Collection drainage for Lymphocele
(Laproscopic)
822 Arteriovenous Fistula for Haemodialysis 2300
823 Arteriovenous Shunt for Haemodialysis 3500
824 Jugular Catheterization for Haemodialysis 1350
825 Subclavian Catheterization for Haemodialysis 2025
826 One sided (single Lumen) Femoral Catheterization for 1000
Haemodialysis
827 Bilateral (single Lumen) Femoral Catheterization for 1350
Haemodialysis
828 Double Lumen Femoral Catheterization for 1665
Haemodialysis
829 Permcath Insertion
830 Arterio venous Prosthetic Graft 1850
831 Single lumen Jugular Catheterization 1350
832 Single lumen Subclavian Catheterization 1530
833 Plasma Exchange/ Plasma phresis 1553
834 Open method CAPD catheter insertion 3150
835 Schlendinger method CAPD catheter insertion 3150
836 Sustained low efficiency hemodialysis 1125
837 Continuous Veno venous/Arteriovenous Hemofilteration 2025

838 Hemodialysis for Sero negative cases 1260

839 Hemodialysis for Sero Positive cases 1485
840 Acute Peritoneal Dialysis 1305
841 Fistologram for Arteriovenous Fistula
842 Ultrasound guided kidney Biopsy 850
843 Fistula stenosis dilation
844 Slow continuous Ultrafilteration
845 PCNL - Unilateral 19000
846 PCNL - Bilateral 25000
847 Endoscopic Bulking agent Inject 4050
848 Testicular Biopsy 1760
849 Radical Nephrectomy -Open 15525
850 Radical Nephrectomy -Lap/Endoscopic 18630
851 Radical Nephrectomy plus IV thrombus 20700
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
852 Radical Nephrectomy plus IV thrombus plus cardiac 20700
bypass.
853 Vesico Vaginal Fistula Repair (Open) 14400
854 Vesico Vaginal Fistula Repair (Laproscopic) 19800
855 Radical Cystectomy -Ileal conduit 17000
856 Radical Cystectomy - continent diversion. 14400
857 Radical Cystectomy – Neo bladder 16650
858 Nephrectomy Simple -Open 9067
859 Nephrectomy Simple-lap/Endoscopic 11334
860 Nephrostomy -Open 9000
861 Nephrostomy -Lap/Endoscopic 10704
862 Ureteric Re- implant for Megaureter/Vesicoureteric 9445
reflex/ uterocele (open)
863 Ureteric Re -implant for Megaureter/Vesicoureteric 9445
reflex/ uterocele (Laproscopic)
864 Partial Cystectomy 12420
865 TURP & TUR Bladder Tumour 15525
866 TURP with Cystolithotripsy 16600
867 Closure of Urethral Fistula 9900
868 Orchidopexy - Unilateral -Open 8880
869 Orchidopexy - Unilateral- Lap/Endoscopic 11101
870 Orchidopexy - Bilateral -Open 11054
871 Orchidopexy - Bilateral -Lap/Endoscopic 13350
872 Cystolithotomy -Suprapubic 8798
873 Endoscopic Removal of Stone in Bladder 3105
874 Resection Bladder Neck Endoscopic /Bladder neck 9833
incision/transurethral incision on prostrate
875 Ureteroscopic Surgery 9315
876 Urethroplasty 1st Stage 9833
877 Scrotal Exploration 7700
878 Perineal Urethrostomy 4244
879 Dilatation of Stricture Urethra under G.A. 2000
880 Dilatation of Stricture Urethra under LA 1553
881 Laproscopic Nephrectomy 30015
882 Laproscopic partial Nephrectomy 10000
883 Laproscopic pyelolithotomy 11385
884 Laproscopic Pyeloplasty 8798
885 Laproscopic surgery for Renal cyst 8798
886 Laproscopic ureterolithotomy 10350
887 Laproscopic Nephro ureterotectomy 11903
888 Lithotripsy Extra corporeal shock wave. 19000
889 Uroflow Study (Uroflometry) 405
890 Urodynamic Study (Cystometry) 480
891 Cystoscopy with Retrograde Catheter -Unilateral /RGP 2523
892 Cystoscopy with Retrograde Catheter - Bilateral /RGP 4675
893 Cystoscopy with Bladder Biopsy (Cold Cup Biopsy) 3043
894 Voiding-cysto-urethrogram and retrograde urethrogram 373
(Nephrostogram)
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
895 Radical prostatectomy-Open 16043
896 Radical prostatectomy-Laproscopic 18113
897 Radical prostatectomy- Robotic (Robotic Partial 18113
Nephrectomy)
898 Hollmium YAG Prostate Surgery
899 Hollmium YAG OIU
900 Hollmium YAG Core Through
901 Hollmium YAG Stone Lithotripsy
902 Green Light laser for prostate
903 RIRS/ Flexible Ureteroscopy
904 Microscopic VEA/ Vaso-Vasostomy (for Infertility)
905 Cystoscopic Botulinum Toxin Injection ( Over active
bladder/ Neurogenic bladder)
906 Peyronie’s disease – Plaque excision with grafting
907 High Intensity Focus Ultrasound (HIFU) (Robotic) for 4600
Carcinoma prostrate and renal cell carcinoma
908 Prosthetic surgery for urinary incontinence 2070
909 TRUS guided prostate biopsy
910 Ultra sound guided PCN 720
911 Other Major Surgery 15000
912 Other Minor Surgery 6800
TREATMENT PROCEDURE NEURO-SURGERY
913 Craniotomy and Evacuation of Haematoma -Subdural 45644
914 Craniotomy and Evacuation of Haematoma -Extradural 45000
915 Evacuation /Excision of Brain Abscess by craniotomy 40000
916 Excision of Lobe (Frontal Temporal Cerebellum etc.) 40000
917 Excision of Brain Tumours -Supratentorial 35211
918 Excision of Brain Tumours -Infratentorial 40500
919 Surgery of spinal Cord Tumours 40500
920 Ventriculoatrial /Ventriculoperitoneal Shunt 24000
921 Twist Drill Craniostomy 4250
922 Subdural Tapping 2210
923 Ventricular Tapping 2670
924 Abscess Tapping 2588
925 Placement of ICP Monitor - 2588
926 Skull Traction Application 2300
927 Lumber Pressure Monitoring 4250
928 Vascular Malformations 20000
929 Meningo Encephalocoele excision and repair 15000
930 Meningomyelocoel Repair 24995
931 C.S.F. Rhinorrhaea Repair 25875
932 Cranioplasty 21735
933 Anterior Cervical Dissectomy 14940
934 Brachial Plexus Exploration and neurotization 13973
935 Median Nerve Decompression 13200
936 Peripheral Nerve Surgery – Major 16000
937 Peripheral Nerve Surgery Minor 7452
938 Ventriculo-Atrial Shunt 11615
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
939 Nerve Biopsy 6210
940 Brain Biopsy 5227
941 Anterior Cervical Spine Surgery with fusion 28980
942 Anterio Lateral Decompression of spine 25875
943 Brain Mapping 837
944 Cervical or Dorsal or Lumbar Laminectomy 20700
945 Combined Trans-oral Surgery & CV Junction Fusion 34500
946 C.V. Junction Fusion procedures 28000
947 Depressed Fracture Elevation 25000
948 Lumbar Discectomy 24840
949 Endarterectomy (Carotid) 20000
950 R.F. Lesion for Trigeminal Neuralgia 10350
951 Spasticity Surgery - 35708
952 Spinal Fusion Procedure 30000
953 Spinal Intra Medullary Tumours 31050
954 Spinal Bifida Surgery Major 17078
955 Spinal Bifida Surgery Minor 15000
956 Stereotaxic Procedures- biopsy/aspiration of cyst 20700
957 Trans Sphenoidal Surgery 30000
958 Trans Oral Surgery 30000
959 Implantation of DBS -One electrode 31050
960 Implantation of DBS -two electrodes 36225
961 Endoscopic aqueductoplasty 14000
962 Facial nerve reconstruction 30000
963 Carotid stenting 42263
964 Cervical disc arthroplasty 24840
965 Lumbar disc arthroplasty 12420
966 Corpus callostomy for Epilepsy 35000
967 Hemishpherotomy for Epilepsy 28980
968 Endoscopic CSF rhinorrhea repair 30000
969 Burr hole evacuation of chronic subdural haematoma 21735
970 Epilepsy surgery 36225
971 RF lesion for facet joint pain syndrome 15525
972 Cervical laminoplasty 28800
973 Lateral mass C1-C2 screw fixation 23000
974 Microsurgical decompression for Trigeminal nerve 38000
975 Microsurgical decompression for hemifacial spasm 4646
976 IC EC bypass procedures 32000
977 Image guided craniotomy 28980
978 Baclofen pump implantation 39000
979 Programmable VP shunt 25000
980 Endoscopic sympathectomy 15396
981 Lumber puncture 186
982 External ventricular drainage (EVD) 4140
983 Endoscopic 3rd ventriculostomy 36000
984 Endoscopic cranial surgery/Biopsy/aspiration 31536
985 Endoscopic discectomy (Lumbar, Cervical) 35631
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
986 Aneurysm coiling (Endovascular) 34400
987 Surgery for skull fractures 39900
988 Carpel Tunnel decompression 15000
989 Clipping of intracranial aneurysm 24150
990 Surgery for intracranial Arteriovenous 38250
malformarions(AVM)
991 Foramen magnum decompression for Chari Malformation 1100

992 Dorsal column stimulation for backache in failed back 25875

syndrome
993 Surgery for recurrent disc prolapse/epidural fibrosis 28980
994 Surgery for brain stem tumours 39589
995 Decompressive craniotomy for hemishpherical acute 40000
subdural haematoma/brain swelling/large infarct
996 Intra-arterial thrombolysis with TPA (for ischemic stroke ) 4140

997 Steriotactic aspiration of intracerebral haematoma 32545

998 Endoscopic aspiration of intracerebellar haematoma 40000
999 Steriotactic Radiosurgery for brain pathology(X 27560
knife/Gamma ) - ONE session
1000 Steriotactic Radiosurgery for brain pathology(X knife / 51750
Gamma knife -Two or more sessions
1001 Chemotheraphy wafers for malignant brain tumors 14450
1002 Battery Placement for DBS 22000
1003 Baclofen pump implantation for spasticity
1004 Peripheral Nerve tumor surgery 21600
1005 Surgery Intra Cranial Meningioma 20000
1006 Surgery for Intracranial Schwannoma 35000
1007 Surgery for Gliomas 45000
1008 Surgery for Orbital tumors 40000
1009 Surgery for Cranial (Skull) tumors 38500
1010 Surgery for Scalp AVM’s 25000
1011 Kyphoplasty
1012 Balloon Kyphoplasty
1013 Lesioning procedures for Parkinson’s disease, Dystonia
etc.
1014 Other Major Surgery 42500
1015 Other Minor Surgery 17000
TREATMENT PROCEDURE PAEDIATRIC SURGERY
1016 Excision of thyroglossal Duct/Cyst 14400
1017 Diaphragmatic Hernia Repair (Thoracic or Abdominal 15525
Approach)
1018 Tracheo Oesophageal Fistula (Correction Surgery) 22000
1019 Colon Replacement of Oesophagus 20700
1020 Omphalo Mesenteric Cyst Excision 15525
1021 Omphalo Mesenteric Duct- Excision 13973
1022 Meckels Diverticulectomy 3012
1023 Omphalocele 1st Stage (Hernia Repair) 13973
1024 Omphalocele 2nd Stge (Hernia Repair) 15525
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1025 Gastrochisis Repair 14490
1026 Inguinal Herniotomy 11302
1027 Congenital Hydrocele 10800
1028 Hydrocele of Cord 10800
1029 Torsion Testis Operation 13500
1030 Congenital Pyloric Stenosis- operation 12544
1031 Duodenal- Atresia Operation 12600
1032 Pancreatic Ring Operation 22425
1033 Meconium Ileus Operation 14500
1034 Malrotation of Intestines Operation 13000
1035 Rectal Biopsy (Megacolon) 8762
1036 Colostomy Transverse 13500
1037 Colostomy Left Iliac 13500
1038 Abdominal Perineal Pull Through (Hirschaprugis Disease) 18000

1039 Imperforate Anus Low Anomaly -Cut Back Operation 9212

1040 Imperforate Anus Low Anomaly - Perineal Anoplasty 12000
1041 Imperforate Anus High Anomaly -Sacroabdomino Perineal 12500
Pull Through
1042 Imperforate Anus High Anomaly - Closure of Colostomy 7763

1043 Intususception Operation 18630

1044 Choledochoduodenostomy for Atresia of Extra Hepatic 15000
Billiary Duct
1045 Operation of Choledochal Cyst 16000
1046 Nephrectomy for -Pyonephrosis 17000
1047 Nephrectomy for - Hydronephrosis 15000
1048 Nephrectomy for -Wilms Tumour 13500
1049 Paraortic Lymphadenoctomy with Nephrectomy for Wilms 20000
Tumour
1050 Sacro-Coccygeal Teratoma Excision 14000
1051 Neuroblastoma Debulking 15200
1052 Neuroblastoma Total Excision 18630
1053 Rhabdomyosarcoma wide Excision 15000
1054 Congenital Atresia & Stenosis of Small Intestine 19000
1055 Muconium ileus 15000
1056 Mal-rotation & Volvulus of the Midgut 15000
1057 Excision of Meckle’s Deverticulum 12000
1058 Other Major Surgery 27000
1059 Other Minor Surgery 11050
TREATMENT PROCEDURE BURNS AND PLASTIC
SURGERY
1060 Primary Suturing of Wound 300
1061 Injection of Keloids - Ganglion 989
1062 Injection of Keloids - Haemangioma 1150
1063 Free Grafts - Wolfe Grafts 1725
1064 Free Grafts - Theirech- Small Area 5% 6728
1065 Free Grafts - Large Area 10% 7500
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1066 Free Grafts - Very Large Area 20% and above. 9315
1067 Skin Flaps - Rotation Flaps 8073
1068 Skin Flaps - Advancement Flaps 11250
1069 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap 11500
1070 Skin Flaps - Cross Finger 11500
1071 Skin Flaps - Abdominal 9350
1072 Skin Flaps - Thoracic 9350
1073 Skin Flaps - Arm Etc. 9900
1074 Subcutaneous Pedicle Flaps Raising 6210
1075 Subcutaneous Pedicle Flaps Delay 5950
1076 Subcutaneous Pedicle Flaps Transfer 5950
1077 Cartilage Grafting 7763
1078 Reduction of Facial Fractures of Nose 1242
1079 Reduction of Facial Fractures of Maxilla 8000
1080 Reduction of Fractures of Mandible & Maxilla - Eye Let 6728
Splinting
1081 Reduction of Fractures of Mandible & Maxilla - Cast Netal 6210
Splints
1082 Reduction of Fractures of Mandible & Maxilla - Gumming 6800
Splints
1083 Internal Wire Fixation of Mandible & Maxilla 10350
1084 Cleft Lip - repair. 11000
1085 Cleft Palate Repair 11500
1086 Primary Bone Grafting for alveolar cleft in Cleft Lip 10350
1087 Secondary Surgery for Cleft Lip Deformity 9720
1088 Secondary Surgery for Cleft Palate 11385
1089 Reconstruction of Eyelid Defects - Minor 5693
1090 Reconstruction of Eyelid Defects - Major 8500
1091 Plastic Surgery of Different Regions of the Ear - Minor 7245
1092 Plastic Surgery of Different Regions of the Ear - Major 9315
1093 Plastic Surgery of the Nose - Minor 7245
1094 Plastic Surgery of the Nose - Major 9500
1095 Plastic Surgery for Facial Paralysis (Support with 16000
Reanimation)
1096 Pendulous Breast - Mammoplasty 13000
1097 Underdeveloped Breast Mammoplasty 12000
1098 After Mastectomy (Reconstruction)Mammoplasty 12000
1099 Syndactyly Repair 12750
1100 Dermabrasion Face 11903
1101 upto 30% Burns 1st Dressing 137
1102 upto 30% Burns Subsequent Dressing 112
1103 30% to 50% Burns 1st Dressing 174
1104 30% to 50% Burns Subsequent Dressing 137
1105 Extensive Burn -above 50% Frist Dressing 248
1106 Extensive Burn -above 50% Subsequent dressing 174
TREATMENT PROCEDURE ORTHOPEDICS
1107 Plaster Work 255
1108 Fingers (post slab) 233
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1109 Fingers full plaster 233
1110 Colles Fracture - Below elbow 880
1111 Colles Fracture - Full plaster 895
1112 Colles fracture Ant. Or post. slab 400
1113 Above elbow full plaster 156
1114 Above Knee post-slab 575
1115 Below Knee full plaster 156
1116 Below Knee post-slab 646
1117 Tube Plaster (or plaster cylinder) 800
1118 Above knee full plaster 1265
1119 Above knee full slab 1042
1120 Minerva Jacket 2174
1121 Plaster Jacket 1967
1122 Shoulder spica 1760
1123 Single Hip spica 2019
1124 Double Hip spica 2484
1125 Strapping of Finger 161
1126 Strapping of Toes 162
1127 Strapping of Wrist 228
1128 Strapping of Elbow 236
1129 Strapping of Knee 311
1130 Strapping of Ankle 311
1131 Strapping of Chest 425
1132 Strapping of Shoulder 466
1133 Figure of 8 bandage 466
1134 Collar and cuff sling 230
1135 Ball bandage 360
1136 Application of P.O.P Casts for Upper & Lower Limbs 570
1137 Application of Functiol Cast Brace 1215
1138 Application of Skin Traction 621
1139 Application of Skeletal Tractions 854
1140 Bandage & Strappings for Fractures 497
1141 Aspiration & Intra Articular Injections 518
1142 Application of P.O.P Spices & Jackets 2226
1143 Close Reduction of Fractures of Limb & P.O.P 2340
1144 Reduction of Compound Fractures 2484
1145 Open Reduction & Internal Fixation of Fingurs & Toes 4800
1146 Open Reduction offracture of Long Bones of Upper / 8050
Lower Limb -iling & Exterl Fixation
1147 Open Reduction of fracture of Long Bones of Upper / 8694
Lower Limb -AO Procedures
1148 Tension Band Wirings 5092
1149 Bone Grafting 6601
1150 Excision of Bone Tumours 6210
1151 Excision or other Operations for Scaphoid Fractures 6469
1152 Sequestrectomy & Saucerisation 6210
1153 Sequestrectomy & Saucerizations -Arthrotomy 8974
1154 Multiple Pinning Fracture Neck Femur 10350
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1155 Plate Fixations for Fracture Neck Femur 13500
1156 A.O.Compression Procedures for Fracture Neck Femur 14904
1157 Open Reduction of Fracture Neck Femur Muscle Pedicle 17550
Graft and Internal Fixations
1158 Close Reduction of Dislocations 2857
1159 Open Reduction of Dislocations 3095
1160 Open Reduction of Fracture Dislocation & Internal Fixation 12150

1161 Neurolysis/Nerve repair 12420

1162 Nerve Repair with Grafting 16500
1163 Tendon with Transplant or Graft 9315
1164 Tendon Lengthening/Tendon repair 7245
1165 Tendon Transfer 2795
1166 Laminectomy Excision Disc and Tumours 4347
1167 Spil Ostectomy and Internal Fixations 21735
1168 Anterolateral decompression for tuberculosis/ Costo- 3105
Transversectomy
1169 Antereolateral Decompression and Spil Fusion 19350
1170 Corrective Ostectomy & Internal Fixation - short bones 12420

1171 Corrective Ostectomy & Internal Fixation - long bones 9936

1172 Arthrodesis of - Minor Joints 9315
1173 Arthrodesis of - Major Joints 9600
1174 Soft Tissue Operations for C.T.E.V. 7245
1175 Soft Tissue Operations for Polio 6210
1176 Hemiarthroplasty- Hip 18000
1177 Hemiarthroplasty- Shoulder 18000
1178 Operations for Brachial Plexus & Cervical Rib 21735
1179 Amputations - Below Knee 6210
1180 Amputations - Below Elbow 6159
1181 Amputations - Above Knee 8050
1182 Amputations - Above Elbow 6159
1183 Amputations - Forequarter 13000
1184 Amputations -Hind Quarter and Hemipelvectomy 16560
1185 Disarticulations - Major joint 18630
1186 Disarticulations - Minor joint 11385
1187 Arthrography 8280
1188 Arthroscopy - Diagnostic 7711
1189 Arthroscopy-therapeutic: without implant 10000
1190 Arthroscopy-therapeutic: with implant 15525
1191 Soft Tissue Operation on JOINTS -SMALL 6210
1192 Soft Tissue Operation on JOINTS -LARGE 12150
1193 Myocutaneous and Fasciocutaneous Flap Procedures for 16767
Limbs
1194 Removal of Wires & Screw 1760
1195 Removal of Plates 3726
1196 Total Hip Replacement 71100
1197 Total Ankle Joint Replacement 95400
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1198 Total Knee Joint Replacement 110000
1199 Total Shoulder Joint Replacement 71100
1200 Total Elbow Joint Replacement 71100
1201 Total Wrist Joint Replacement 100000
1202 Total finger joint replacement 18000
1203 Tubular external fixator 4140
1204 Ilizarov's external fixator 6987
1205 Pelvi-acetebular fracture -Internal fixation 7763
1206 Meniscectomy 12000
1207 Meniscus Repair 9000
1208 ACL Reconstruction 7650
1209 PCL Reconstruction 12150
1210 Knee Collateral Ligament Reconstruction 12500
1211 Bencarf Repair Shoulder 11880
1212 RC Repair 1500
1213 Biceps tenodesis 12600
1214 Distal biceps tendon repair 10000
1215 Arthrolysis of knee 11250
1216 Capsulotomy of Shoulder 14220
1217 Conservative Pop 1080
1218 Application for CTEV per sitting 1080
1219 Total Hip Replacement Revision Stage-I 17000
1220 Total Hip Replacement Revision Stage-II 45000
1221 Total Knee Replacement Revision Stage-I 31500
1222 Total Knee Replacement Revision Stage-II 35000
1223 Illizarov/ external fixation for limb lengthening/ 11250
deformity correction
1224 Discectomy/ Micro Discectomy 12500
1225 Laminectomy 4646
1226 Spinal Fixation Cervical/dorsolumbar/ lumbosacral 16000
1227 Fusion Surgery Cervical/ Lumbar Spine upto 2 Level 21000
1228 More than 2 Level 12000
1229 Scoliosis Surgery/ Deformity Correction of Spine 22500
1230 Vertebroplasty 12000
1231 Spinal Injections 450
1232 DHS for Fracture Neck Femur 15000
1233 Proximal Femoral Nail (PFN for IT Fracture) 14000
1234 Spinal Osteotomy 1434
1235 Illizarov’s / External Fixation for Trauma 11700
1236 Soft Tissue Operations for Polio/ Cerebral Palsy 10000
1237 Mini Fixator for Hand/Foot 9000
1238 Other Major Surgery 38250
1239 Other Minor Surgery 11883
TREATMENT PROCEDURE PHYSIOTHERAPY
1240 Ultrasonic therapy 70
1241 S.W. Diathermy 70
1242 Electrical stimulation (therapeutic) 70
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1243 Muscle testing and diagnostic 68
1244 Infra red 70
1245 U.V. Therapeutic dose 58
1246 Intermittent Lumbar Traction 70
1247 Intermittent Cervical traction 68
1248 Wax bath 68
1249 Hot pack 70
1250 Breathing Exercises & Postural Drainage 50
1251 Cerebral Palsy – exercise 50
1252 Post – polio exercise 50
NUCLEAR MEDICINE / RADIOTHERAPY AND
CHEMOTHERAPY
1253 Cobalt 60 therapy
1254 Radical therapy 61583
1255 Palliative therapy 22000
1256 Linear accelerator
1257 Radical therapy 58650
1258 Palliative therapy 34213
1259 3 D Planning 4399
1260 2 D Planing 4399
1261 IMRT(Intensity Modulated radiotherapy) 90790
1262 SRT (Stereotactic radiotherapy)
1263 SRS(Stereotactic radio surgery)
1264 IGRT(Image guided radiotherapy)
1265 Respiratory Gating-alongwith Linear accelerator planning

1266 Electron beam with Linear accelerator 67473

1267 Tomotherapy
NUCLEAR MEDICINE / BRACHYTHERAPY- HIGH DOSE
RADIATION
1268 Intracavitory 11730
1269 Interstitial 58650
1270 Intraluminal 9775
1271 Surface mould 4644
1272 GLIADAL WAFER
NUCLEAR MEDICINE / CHEMOTHARAPY
1273 Neoadjuvant 777
1274 Adjuvant 777
1275 Concurrent-chemoadiation 828
1276 Single drug 497
1277 Multiple drugs 807
1278 Targeted therapy 828
1279 Chemoport facility 828
1280 PICC line (peripherally inserted Central canulisation) 828
LIST OF PROCEDURES/ TESTS IN GASTROENTEROLOGY /
ENDOSCOPIC PROCEDURES
1281 Upper G.I. Endoscopy + Lower G.I. Endoscopy 1553
1282 Diagnostic endoscopy 250
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1283 Endoscopic biopsy 311
1284 Endoscopic mucosal resection 1543
1285 Oesophageal stricture dilatation 1553
1286 Balloon dilatation of achalasia cardia 2588
1287 Foreign body removal 1553
1288 Oesophageal stenting 3000
1289 Band ligation of oesophageal varices 2500
1290 Sclerotherapy of oesophageal varices 2380
1291 Glue injection of varices 2380
1292 Argon plasma coagulation 3623
1293 Pyloric balloon dilatation 2174
1294 Enteranal stenting 3312
1295 Duodenal stricture dilation 2100
1296 Single balloon enterocopy 4000
1297 Double balloon enteroscopy 3400
1298 Capsule endoscopy 4455
1299 Piles banding 989
1300 Colonic stricture dilatation 2463
1301 Hot biopsy forceps procedures 3000
1302 Colonic stenting 2463
1303 Junction biopsy 2000
1304 Conjugal microscopy 4000
1305 Endoscopic sphincterotomy 2174
1306 CBD stone extraction 2174
1307 CBD stricture dilatation 6500
1308 Biliary stenting (plastic and metallic) 4347
1309 Mechanical lithotripsy of CBD stones 7200
1310 Pancreatic sphincterotomy 6375
1311 Pancreatic stricture dilatation 5175
1312 Pancreatic stone extraction 9098
1313 Mechanical lithotripsy of pancreatic stones 10247
1314 Endoscopic cysto gastrostomy 7245
1315 Balloon dilatation of papilla 6210
1316 Ultrasound guided FNAC 518
1317 Ultrasound guided abscess Drainage 648
1318 PTBD 1150
1319 Diagnostic angiography 1800
1320 Vascular embolization 15100
1321 TIPS 4860
1322 IVC graphy + hepatic veinography 30791
1323 Muscular stenting 87975
1324 BRTO 57500
1325 Portal haemodymic studies 1725
1326 Manometry and PH metry
1327 Oesophageal PH metry
1328 Oesophageal manometry
1329 Small bowel manometry
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1330 Anorectal manometry
1331 Colonic manometry
1332 Biliary manometry
1333 Sengstaken blackenesse tube tempode 2875
1334 Lintas machles tube tempode 2875
1335 Fecal fat test/ fecal chymotrypsin/ fecal elastase
1336 Breath tests
1337 Extra corporeal shortwave lithotripsy
1338 Liver biopsy 1380
NAME OF INVESTIGATION / DENTAL
1339 Dental IOPA X-ray 50
1340 Occlusal X-ray 78
1341 OPG X-ray 196
NAME OF INVESTIGATION / PULMONARY
1342 Lung Ventilation & Perfusion Scan (V/Q Scan) 3600
1343 Lung Perfusion Scan 1800
NAME OF INVESTIGATION / OSTEOLOGY
1344 Whole Body Bone Scan with SPECT. 3421
1345 Three phase whole body Bone Scan 3421
NAME OF INVESTIGATION / NEUROSCIENCES
1346 Brain Perfusion SPECT Scan with Technetium 99m 9775
radiopharmaceuticals.
1347 Radionuclide Cisternography for CSF leak 3740
NAME OF INVESTIGATION / GASTRO AND
HEPATOBILIARY
1348 Gastro esophageal Reflux Study (G.E.R. Study) 1955
1349 Gastro intestinal Bleed (GloB.) Study with Technetium 3421
99m labeled RBCs.
1350 Hepatobiliary Scintigraphy. 2444
1351 Meckel's Scan 1955
1352 Hepatosplenic scintigraphy with Technetium-99m 1870
radiopharmaceuticals
1353 Gastric emptying 1275
NAME OF INVESTIGATION / GENITOURINARY
1354 Renal Cortical Scintigraphy with Technetium 99m D.M.S.A. 3421

1355 Dynamic Renography. 3421

1356 Dynamic Renography with Diuretic. 3421
1357 Dynamic Renography with Captopril 1960
1358 Testicular Scan 1466
NAME OF INVESTIGATION / ENDOCRINOLOGY
1359 Thyroid Uptake measurements with 131-Iodine. 1564
1360 Thyroid Scan with Technetium 99m Pertechnetate. 1466
1361 Lodine-131 Whole Body Scan. 2933
1362 Whole Body Scan with M.I.B.G. 16000
1363 Parathyroid Scan 4888
NAME OF INVESTIGATION / RADIO-ISOTOPE THERAPY
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1364 131-lodine Therapy 1530
1365 131-lodine Therapy <15mCi 3854
1366 131-lodine Therapy 15-50mCi 4956
1367 131-lodine Therapy 51-100mCi 12000
1368 131-lodine Therapy >100mCi 15000
1369 Phosphorus-32 therapy for metastatic bone pain palliation 5000

1370 Samarium-153 therapy for metastatic bone pain palliation 10450

1371 Radiosynovectomy with Yttrium

NAME OF INVESTIGATION / CARDIOLOGY
1372 Stress thallium / Myocardial Perfusion Scintigraphy 9450
1373 Rest thallium / Myocardial Perfusion Scintigraphy 8000
1374 Venography 2975
1375 TMT 440
1376 TEE 440
1377 Lymph angiography 1452
NAME OF INVESTIGATION / TUMOUR IMAGING
1378 Scintimammography. 4800
1379 Indium lableled octeriotide Scan. 70000
NAME OF INVESTIGATION / PET SCAN
1380 FDG Whole body PET / CT Scan
1381 Brain I Heart FDG PET / CTScan,
1382 Gallium-68 Peptide PET / CT imaging for Neuroendocrine
Tumor
LABORATORY MEDICINE / CLINICAL PATHOLOGY
1383 Urine routine- pH, Specific gravity, sugar, protein and 33
microscopy
1384 Urine-Microalbumin 70
1385 Stool routine 32
1386 Stool occult blood 22
1387 Post coital smear examination 30
1388 Semen analysis 35
LABORATORY MEDICINE / HAEMATOLOGY
1389 Haemoglobin (Hb) 16
1390 Total Leucocytic Count (TLC) 28
1391 Differential Leucocytic Count (DLC) 28
1392 E.S.R. 25
1393 Total Red Cell count with MCV,MCH,MCHC,DRW 30
1394 Complete Haemogram/CBC, Hb,RBC count and indices, 122
TLC, DLC, Platelet, ESR, Peripheral smear examination
1395 Platelet count 43
1396 Reticulocyte count 43
1397 Absolute Eosinophil count 43
1398 Packed Cell Volume (PCV) 13
1399 Peripheral Smear Examination 39
1400 Smear for Malaria parasite 37
1401 Bleeding Time 35
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1402 Osmotic fragility Test 50
1403 Bone Marrow Smear Examination 64
1404 Bone Marrow Smear Examination with iron stain 225
1405 Bone Marrow Smear Examination and cytochemistry 440
1406 Activated partial ThromboplastinTime (APTT) 102
1407 Rapid test for malaria(card test) 40
1408 WBC cytochemistry for leukemia -Complete panel 110
1409 Bleeding Disorder panel- PT, APTT, Thrombin Time 400
Fibrinogen, D-Dimer/ FDP
1410 Factor Assays-Factor VIII 648
1411 Factor Assays-Factor IX 612
1412 Platelet Function test 50
1413 Tests for hypercoagulable states- Protein C, Protein S, 400
Antithrombin
1414 Tests for lupus anticoagulant 150
1415 Tests for Antiphospholipid antibody IgG, IgM ( for 450
cardiolipin and B2 Glycoprotein 1)
1416 Thalassemia studies (Red Cell indices and Hb HPLC) 560
1417 Tests for Sickling / Hb HPLC) 69
LABORATORY MEDICINE / BLOOD BANK
1418 Blood Group & RH Type 28
1419 Cross match 50
1420 Coomb’s Test Direct 85
1421 Coomb’s Test Indirect 100
1422 3 cell panel- antibody screening for pregnant female 170
1423 11 cells panel for antibody identification 170
1424 HBs Ag 102
1425 HCV 128
1426 HIV I and II 150
1427 VDRL 42
1428 RH Antibody titer 80
1429 Platelet Concentrate 56
1430 Random Donor Platelet(RDP) 128
1431 Single Donor Platelet (SDP- Aphresis) 150
LABORATORY MEDICINE / HISTOPATHOLOGY
1432 Routine-H & E 85
1433 special stain 65
1434 Immunohistochemistry(IHC) 746
1435 Frozen section 702
1436 Paraffin section 309
LABORATORY MEDICINE / CYTOLOGY
1437 Pap Smear 136
1438 Body fluid for Malignant cells 150
1439 FNAC 200
NAME OF INVESTIGATION / FLOW CYTOMETRY
1440 Leukemia panel /Lymphoma panel 1382
1441 PNH Panel-CD55,CD59 1000
LABORATORY MEDICINE / CYTOGENETIC STUDIES
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1442 Karyotyping 1385
1443 FISH 1000
LABORATORY MEDICINE / BIO-CHEMISTRY
1444 Blood Glucose Random
1445 24 hrs urine for Proteins,Sodium, creatinine 45
1446 Blood Urea Nitrogen 49
1447 Serum Creatinine 50
1448 Urine Bile Pigment and Salt 25
1449 Urine Urobilinogen 20
1450 Urine Ketones 27
1451 Urine Occult Blood 32
1452 Urine total proteins 18
1453 Rheumatoid Factor test 90
1454 Bence Jones protein 42
1455 Serum Uric Acid 55
1456 Serum Bilirubin total & direct 72
1457 Serum Iron 81
1458 C.R.P. 100
1459 C.R.P Quantitative 160
1460 Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc. 85
1461 Albumin. 18
1462 Creatinine clearance. 130
1463 Serum Cholesterol 56
1464 Total Iron Binding Capacity 80
1465 Glucose (Fasting & PP) 42
1466 Serum Calcium –Total 54
1467 Serum Calcium –Ionic 40
1468 Serum Phosphorus 56
1469 Total Protein Alb/Glo Ratio 50
1470 IgG. 225
1471 IgM. 225
1472 IgA. 225
1473 ANA. 200
1474 Ds DNA. 315
1475 S.G.P.T. 50
1476 S.G.O.T. 50
1477 Serum amylase 105
1478 Serum Lipase 130
1479 Serum Lactate 72
1480 Serum Magnesium 100
1481 Serum Sodium 50
1482 Serum Potassium 50
1483 Serum Ammonia 100
1484 Anemia Profile 204
1485 Serum Testosterone 150
1486 Imprint Smear From Endoscopy 240
1487 Triglyceride 75
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1488 Glucose Tolerance Test (GTT) 85
1489 Triple Marker. 765
1490 C.P.K. 90
1491 Foetal Haemoglobin (HbF) 85
1492 Prothrombin Time (P.T.) 99
1493 L.D.H. 100
1494 Alkaline Phosphatase 54
1495 Acid Phosphatase 70
1496 CK MB 171
1497 CK MB Mass 140
1498 Troponin I 100
1499 Troponin T 540
1500 Glucose Phosphate Dehydrogenase (G, 6PD) 100
1501 Lithium. 119
1502 Dilantin (phenytoin). 373
1503 Carbamazepine. 373
1504 Valproic acid. 270
1505 Feritin. 250
1506 Blood gas analysis 120
1507 Blood gas analysis with electrolytes 414
1508 Urine pregnancy test 59
1509 Tests for Antiphospholipid antibodies syndrome. 252
1510 Hb A1 C 130
1511 Hb Electrophoresis/ Hb HPLC 100
1512 Kidney Function Test. 222
1513 Liver Function Test. 225
1514 Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides) 182

Nutritional Markers
1515 Serum Iron 90
1516 Total Iron Binding Capacity 85
1517 Serum Ferritin 100
1518 Vitamin B12 assay. 225
1519 Folic Acid assay. 270
1520 Extended Lipid Profile.( Total 580

cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo B,Lp(a) )

1521 Apo A1. 180
1522 Apo B. 179
1523 Lp (a). 401
1524 CD 3,4 and 8 counts 170
1525 CD 3,4 and 8 percentage 170
1526 LDL. 56
1527 Homocysteine. 387
1528 HB Electrophoresis. 396
1529 Serum Electrophoresis. 220
1530 Fibrinogen. 165
1531 Chloride. 56
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1532 Magnesium. 135
1533 GGTP. 85
1534 Lipase. 215
1535 Fructosamine. 200
1536 β2 microglobulin 85
1537 Catecholamines. 1050
1538 Creatinine clearance. 120
NAME OF INVESTIGATION / TUMOUR MARKERS
1539 PSA- Total. 281
1540 PSA- Free. 375
1541 AFP. 293
1542 HCG. 289
1543 CA. 125. 352
1544 CA 19,9. 554
1545 CA 15.3. 539
1546 Vinyl Mandelic Acid
1547 Calcitonin 450
1548 Carcioembryonic antigen(CEA) 306
OTHERS
1549 Immunofluorescence 150
1550 Direct(Skin and kidney Disease) 425
1551 Indirect (antids DNA Anti Smith ANCA)
1552 VitD3 assay 550
1553 Serum Protein electrophoresis with 300
immunofixationelectrophoresis (IFE)
1554 BETA-2 Microglobulin assay 100
1555 Anti cycliocitrullinated peptide (Anti CCP) 450
1556 Anti tissuetransglutaminase antibody
1557 Serum Erythropoetin 425
1558 ACTH 500
HARMONES
1559 T3, T4, TSH 181
1560 T3 64
1561 T4 64
1562 TSH 90
1563 LH 150
1564 FSH 150
1565 Prolactin 150
1566 Cortisol 226
1567 PTH(Paratharmone) 500
1568 C-Peptide. 330
1569 Insulin. 150
1570 Progesterone. 225
1571 17-DH Progesterone. 396
1572 DHEAS. 396
1573 Androstendione. 600
1574 Growth Hormone. 306
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1575 TPO. 300
1576 Throglobulin. 300
1577 Hydatic Serology. 318
1578 Anti Sperm Antibodies. 380
1579 Qualitative. 1989
1580 Quantitative. 1360
1581 Qualitative. 1691
1582 HPV serology 218
1583 Rota Virus serology 130
1584 PCR for TB 829
1585 PCR for HIV 540
1586 Chlamydae antigen 765
1587 chlamydae antibody 238
1588 Brucella serology 208
1589 Influenza A serology 849
USG, X-RAY , CT, MRI, BONE DENSITOMETRY
1590 USG for Obstetrics - Anomalies scan 323
1591 Abdomen USG 291
1592 Pelvic USG ( prostate, gynae, infertility etc) 255
1593 Small parts USG ( scrotum, thyroid , parathyroid etc) 349
1594 Neonatal head (Tranfontanellar) 425
1595 Neonatal spine 450
1596 Contrast enhanced USG 850
1597 USG Breast 349
1598 USG Hystero-Salpaingography (HSG) 255
1599 Carotid Doppler 850
1600 Arterial Colour Doppler 706
1601 Venous Colour Doppler 706
1602 Colour Doppler, renal arteries/any other organ 800
1603 USG guided intervention- FNAC 490
1604 USG guided intervention - biopsy 720
1605 USG guided intervention - nephrostomy 744
X-Ray
1606 Abdomen AP Supine or Erect (One film) 128
1607 Abdomen Lateral view (one film) 128
1608 Chest PA view (one film) 60
1609 Chest Lateral (one film) 60
1610 Mastoids: Towne view, oblique views (3 films) 225
1611 Extremities, bones & Joints AP & Lateral views (Two 230
films)
1612 Pelvis A.P (one film) 110
1613 T. M. Joints (one film) 110
1614 Abdomen & Pelvis for K. U. B. 128
1615 Skull A. P. & Lateral (2 films) 250
1616 Spine A. P. & Lateral (2 films) 250
1617 PNS view (1 film) 110
X RAY CONTRAST STUDIES
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1618 Barium Swallow 510
1619 Barium Upper GI study 800
1620 Barium Upper GI study (Double contrast) 850
1621 Barium Meal follow through 935
1622 Barium Enema (Single contrast/double contrast) 850
1623 Small bowel enteroclysis 935
1624 ERCP (Endoscopic Retrograde Cholangio – 2500
Pancreatography)
1625 General :Fistulography 638
/Sinography/Sialography/Dacrocystography/ T-Tube
cholangiogram/Nephrostogram
1626 Percutaneous transhepatic cholangiography (PTC) 1296
1627 Intravenous Pyelography (IVP) 1190
1628 Micturating Cystourethrography (MCU) 680
1629 Retrograde Urethrography (RGU) 680
1630 Contrast Hystero-Salpingography (HSG) 918
1631 X ray - Arthrography 700
1632 Cephalography 150
1633 Myelography 2475
1634 Diagnostic Digital Subtraction Angiography (DSA) 1749
MAMMOGRAPHY
1635 X-ray Mammography 315
1636 MRI Mammography 2295
CT
1637 CT Head-Without Contrast 893
1638 CT Head- with Contrast (+/- CT angiography) 1215
1639 C. T. Chest - without contrast (for lungs) 1700
1640 C. T. Scan Lower Abdomen(incl. Pelvis) With Contrast 1530
1641 C. T. Scan Lower Abdomen( Incl. Pelvis) Without Contrast 1500

1642 C. T. Scan Whole Abdomen Without Contrast 2700

1643 C. T. Scan Whole Abdomen With Contrast 4050
1644 Triple Phase CT abdomen 4500
1645 CT angiography abdomen/ Chest 4250
1646 CT Enteroclysis 5400
1647 C. T. Scan Neck – Without Contrast 1500
1648 C. T. Scan Neck – With Contrast 1870
1649 C. T. Scan Orbits - Without Contrast 1190
1650 C. T. Scan Orbits - With Contrast 1615
1651 C. T. Scan of Para Nasal Sinuses- Without Contrast 900
1652 C. T. Scan of Para Nasal Sinuses - With Contrast 1600
1653 C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)–without 1488
contrast
1654 CT Temporal bone – without contrast 893
1655 CT - Dental 1275
1656 C. T. Scan Limbs -Without Contrast 1700
1657 C. T. Scan Limbs -With Contrast including CT angiography 2253
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1658 C.T. Guided intervention –FNAC 1200
1659 C.T. Guided Trucut Biopsy 1200
1660 C. T. Guided intervention -percutaneous catheter 1305
drainage / tube placement
MRI
1661 MRI Head – Without Contrast 1998
1662 MRI Head – With Contrast 2848
1663 MRI Orbits – Without Contrast 1445
1664 MRI Orbits – With Contrast 2000
1665 MRI Nasopharynx and PNS – Without Contrast 2450
1666 MRI Nasopharynx and PNS – With Contrast 3500
1667 MR for Salivary Glands with Sialography 2700
1668 MRI Neck - Without Contrast 2700
1669 MRI Neck- with contrast 4500
1670 MRI Shoulder – Without contrast 2600
1671 MRI Shoulder – With conntrast 2000
1672 MRI shoulder both Joints - Without contrast 2700
1673 MRI Shoulder both joints – With contrast 4000
1674 MRI Wrist Single joint - Without contrast 2125
1675 MRI Wrist Single joint - With contrast 4000
1676 MRI Wrist both joints - Without contrast 2125
1677 MRI Wrist Both joints - With contrast 4500
1678 MRI knee Single joint - Without contrast 2125
1679 MRI knee Single joint - With contrast 4500
1680 MRI knee both joints - Without contrast 2125
1681 MRI knee both joints - With contrast 4500
1682 MRI Ankle Single joint - Without contrast 2125
1683 MRI Ankle single joint - With contrast 4500
1684 MRI Ankle both joints - With contrast 4500
1685 MRI Ankle both joints - Without contrast 2500
1686 MRI Hip - With contrast 2500
1687 MRI Hip – without contrast 2125
1688 MRI Pelvis – Without Contrast 2125
1689 MRI Pelvis – with contrast 4500
1690 MRI Extremities - With contrast 4500
1691 MRI Extremities - Without contrast 2125
1692 MRI Temporomandibular – B/L - With contrast 4000
1693 MRI Temporomandibular – B/L - Without contrast 2125
1694 MR Temporal Bone/ Inner ear with contrast 4000
1695 MR Temporal Bone/ Inner ear without contrast 2500
1696 MRI Abdomen – Without Contrast 2125
1697 MRI Abdomen – With Contrast 4500
1698 MRI Breast - With Contrast 4250
1699 MRI Breast - Without Contrast 2125
1700 MRI Spine Screening - Without Contrast 1000
1701 MRI Chest – Without Contrast 1913
1702 MRI Chest – With Contrast 4000
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1703 MRI Cervical/Cervico Dorsal Spine – Without Contrast 2125
1704 MRI Cervical/ Cervico Dorsal Spine – With Contrast 4000
1705 MRI Dorsal/ Dorso Lumbar Spine - Without Contrast 2125
1706 MRI Dorsal/ Dorso Lumbar Spine – With Contrast 4000
1707 MRI Lumbar/ Lumbo-Sacral Spine – Without Contrast 2125
1708 MRI Lumbar/ Lumbo-Sacral Spine – With Contrast 4500
1709 Whole body MRI (For oncological workup) 5100
1710 MR cholecysto-pancreatography. 4500
1711 MRI Angiography - with contrast 4950
1712 MR Enteroclysis 2125
BONE DENSITOMETRY (DEXA SCAN)
1713 Dexa Scan Bone Densitometry - Two sites 1500
1714 Dexa Scan Bone Densitometry - Three sites (Spine, Hip & 2000
extremity)
1715 Dexa Scan Bone Densitometry Whole body 2450
NEUROLOGICAL INVESTIGATIONS AND PROCEDURES

1716 EEG/Video EEG 298

1717 EMG (Electro myography) 638
1718 Nerve condition velocity (at least 2 limbs) 638
1719 Decremental response (before and after neo stigmine) 595
1720 Incremental response 595
1721 SSEP (Somato sensory evoked potentials) 638
1722 Poly somnography 638
1723 Brachial plexus study 638
1724 Muscle biopsy 383
1725 ACHR anti body titre 1848
1726 Anti MUSK body titre 2340
1727 Serum COPPER 450
1728 Serum ceruloplasmin 450
1729 Urinary copper 450
1730 Serum homocystine 405
1731 Serum valproate level 315
1732 Serum phenol barbitone level 332
1733 Coagulation profile 553
1734 Protein C, S anti thrombine – III 2400
1735 Serum lactate level 425
CSF
1736 Basic studies including cell count, protein, sugar, gram
stain, India Ink preparation and smear for AFP 216
1737 Special studies 1000
1738 PCR for tuberculosis/ Herpes simplex 1080
1739 Bacterial culture and sensitivity 180
1740 Mycobacterial culture and sensitivity 180
1741 Fungal culture 128
1742 Malignant cells 64
1743 Anti measles antibody titre (with serum antibody titre) 890
1744 Viral culture 255
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non-
NABL Rates
1745 Antibody titre (Herpes simplex, cytomegalo virus,
flavivirus, zoster varicella virus) 760
1746 Oligoclonal band 1200
1747 Myelin Basic protein 1871
1748 Lactate 298
1749 Crypto coccal antigen 1024
TESTS IN GASTRO-ENTEROLOGY
1750 D-xylase test 765
1751 Fecal fat test/ fecal chymotrypsin/ fecal elastase 765
1752 Breath tests 1275
1753 H pylori serology for ciliac disease 468
1754 HBV genotyping 2321
1755 HCV genotyping 4633
TESTS IN ENDOCRINOLOGY ( IN ADDITION TO THOSE
INCLUDED UNDER HARMONES)
1756 Urinary VMA 1350
1757 Urinary metanephrine/Normetanephrine 1024
1758 Urinary free catecholamine 1521
1759 Serum catecholamine 3060
1760 Serum aldosterone 1020
1761 24 Hr urinary aldosterone 828
1762 Plasma renin activity 1050
1763 Serum aldosterone/renin ratio 1080
1764 Osmolality urine 128
1765 Osmolality serum 128
1766 Urinary sodium 72
1767 Urinary Chloride 43
1768 Urinary potassium 72
1769 Urinary calcium 79
1770 Thyroid binding globulin 510
1771 24 hr. urinary free cotisole 200
1772 Islet cell antebody 750
1773 GAD antibody 1197
1774 Insulin associated antibody 404
1775 IGF-1 1500
1776 IGF-BP3 1519
1777 Sex hormone binding globulin 1200
1778 USG guided FNAC thyroid gland 387
1779 E2
1780 Thyro globulin antibody 587