RATES OF TREATMENT PROCEDURES/INVESTIGATIONS FOR CGSH,

ALLAHABAD

Sr. No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

CGHS TREATMENT PROCEDURES/INVESTIGATIONS

LIST
Consultation OPD
Consultation- for Inpatients
Dressings of wounds
Suturing of wounds with local anesthesia
Aspiration Pleural Effusion - Diagnostic
Aspiration Pleural Effusion - Therapeutic
Abdominal Aspiration - Diagnostic
Abdominal Aspiration - Therapeutic
Pericardial Aspiration
Joints Aspiration
Biopsy Skin
Removal of Stitches
Venesection
Phimosis Under LA
Sternal puncture
Injection for Haemorrhoids
Injection for Varicose Veins
Catheterisation
Dilatation of Urethra
Incision & Drainage
Intercostal Drainage
Peritoneal Dialysis
TREATMENT PROCEDURES SKIN
Excision of Moles
Excision of Warts
Excision of Molluscum contagiosum
Excision of Venereal Warts
Excision of Corns
I/D Injection Keloid
Chemical Cautery (s)
TREATMENT PROCEDURES OPTHALMOLOGY
Subconjunctival/subtenons injection in one eye
Subconjunctival/subtenons injection in both eyes
Pterygium Surgery
Conjunctival Peritomy
Conjunctival wound repair or exploration following
blunt trauma
Removal of corneal foreign body

CGHS, ALLAHABAD

Non-NABH &
Non-NABL
RATES
135.00
270.00
50.00
108.00
120.00
193.00
345.00
460.00
380.00
317.00
230.00
36.00
124.00
1,311.00
173.00
414.00
350.00
75.00
500.00
420.00
125.00
1,374.00

NABH & NABL

RATES
135.00
270.00
58.00
124.00
138.00
222.00
397.00
529.00
437.00
365.00
265.00
41.00
143.00
1,508.00
199.00
476.00
403.00
86.00
575.00
483.00
144.00
1,580.00

345.00
310.00
130.00
160.00
140.00
97.00
110.00

397.00
357.00
150.00
184.00
161.00
112.00
127.00

69.00
138.00
86.00
58.00

79.00
159.00
99.00
67.00

115.00
115.00

132.00
132.00

7|Page

36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76

Cauterization of ulcer/subconjunctival injection in one

eye
Cauterization of ulcer/subconjunctival injection in
both eyes
Corneal graftingPenetrating keratoplasty
Corneal graftingLamellar keratoplasty
Cyanoacrylate /fibrin glue application for corneal
perforation
Bandage contact lenses for corneal perforation
Scleral grafting or conjunctival flap for corneal
perforation
Keratoconus correction with therapeutic contact
lenses
UV radiation for cross-linking for keratoconus
EDTA for band shaped keratopathy
Arcuate keratotomy for astigmatism
Re-suturing (Primary suturing) of corneal wound
Penetrating keratoplasty ---- with glaucoma surgery
Penetrating keratoplasty --- with vitrectomy
Penetrating keratoplasty ---- with IOL implantation
DALK- Deep anterior lamellar keratoplasty
Keratoprosthesis stage I and II
DSAEK- Descemets stripping automated endothelial
keratoplasty
ALTK- Automated lamellar therapeutic keratoplasty
Probing and Syringing of lacrimal sac in one eye
Probing and Syringing of lacrimal sac in both eye
DacryocystorhinostomyPlain
DacryocystorhinostomyPlain with intubation
and/or with lacrimal implants
Dacryocystorhinostomyconjunctival with implant
Caliculoplasty
Dacryocystectomy
Punctal plugs for dry eyes
Refraction
Indirect Ophthalmoscopy
Orthoptic check-up- with synoptophore
Lees charting or Hess charting
Orthoptic exercises
Pleoptic exercises
Perimetry/field testGoldman
Perimetry/field test automated
Fluorescein angiography for fundus or iris
Ultrasound A- Scan
Ultrasound B- Scan
Fundus Photo Test
Indocyanin green angiography
Corneal endothelial cell count with specular

CGHS, ALLAHABAD

69.00

79.00

138.00
5,750.00
5,000.00

159.00
6,613.00
5,750.00

690.00
460.00

794.00
529.00

2,300.00

2,645.00

1,200.00
1,800.00
863.00
2,800.00
1,150.00
12,000.00
12,144.00
12,290.00
17,250.00
11,500.00

1,380.00
2,070.00
992.00
3,220.00
1,323.00
13,800.00
13,966.00
14,134.00
19,838.00
13,225.00

16,675.00
16,500.00
69.00
138.00
2,588.00

19,176.00
18,975.00
79.00
159.00
2,976.00

9,500.00
9,200.00
2,300.00
1,725.00
130.00
40.00
67.00
44.00
100.00
50.00
50.00
144.00
144.00
920.00
777.00
230.00
200.00
920.00
230.00

10,925.00
10,580.00
2,645.00
1,984.00
150.00
46.00
77.00
51.00
115.00
58.00
58.00
166.00
166.00
1,058.00
894.00
265.00
230.00
1,058.00
265.00

8|Page

microscopy
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119

Corneal topography
Corneal pachymetry
Auto-refraction
Macular function tests
Potential acuitymetry
Laser interferometry
OCT-Optical coherence tomography
HRT- Heidelbergs retinal tomogram
GDX--- Nerve fibre layer analyzer
UBM- Ultrasound biomicroscopy
Non Contact tonometry
IOP measurement with schiotz
IOP measurement with applation tonometry
Three mirror examination for reti
90 D lens examination
Gonioscopy
Chalazion incision and curettage in one eye
Chalazion incision and curettage in both eyes
Ptosis surgery with fasanella servat PROCEDURES
Ptosis surgery with LPS resection one lid
Ptosis surgery with Sling surgery one lid
Ectropion surgery- one lid
Ectropion surgery- both lids
Epicanthus correction
Cantholysis and canthotomy
Entropion surgery- one lid
Entropion surgery- both lids
Tarsorraphy
Suturing of lid lacerations
Lid retraction repair
Concretions removal
Bucket handle PROCEDURES for lid tumors
Cheek rotation flap for lid tumors
Orbitotomy
Enucleation
Enucleation with orbital implants and artificial
prosthesis
Evisceration
Evisceration with orbital implants and artificial
prosthesis
Telecanthus correction
Orbital decompression
Exenteration
Exenteration with skin grafting
Fracture orbital repair

CGHS, ALLAHABAD

331.00
230.00
35.00
44.00
100.00
173.00
2,125.00
150.00
88.00
150.00
50.00
30.00
50.00
58.00
50.00
58.00
400.00
413.00
2,300.00
5,500.00
6,670.00
1,400.00
2,500.00
1,550.00
575.00
1,380.00
2,000.00
650.00
1,150.00
1,700.00
115.00
345.00
6,900.00
8,000.00
3,000.00

381.00
265.00
40.00
51.00
115.00
199.00
2,444.00
173.00
101.00
173.00
58.00
35.00
58.00
67.00
58.00
67.00
460.00
475.00
2,645.00
6,325.00
7,671.00
1,610.00
2,875.00
1,783.00
661.00
1,587.00
2,300.00
748.00
1,323.00
1,955.00
132.00
397.00
7,935.00
9,200.00
3,450.00

3,000.00
3,105.00

3,450.00
3,571.00

5,124.00
4,658.00
5,175.00
5,175.00
6,210.00
8,280.00

5,893.00
5,357.00
5,951.00
5,951.00
7,142.00
9,522.00

9|Page

120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162

Retinal laser PROCEDURESs

Retinal detachment surgery
Retinal detachment surgery with scleral buckling
Buckle removal
Silicone oil removal
Anterior retinal cryopexy
Squint correction for one eye
Squint correction for both eyes
Trabeculectomy
Trabeculotomy
Trabeculectomy with Trabeculotomy
Trephition
Goniotomy
Glaucoma surgery with Glaucoma valves
Cyclocryotherapy
YAG laser iridotomy
YAG laser capsulotomy
ALT-Argon laser trabeculoplasty
PDT-Photodymic therapy
TTT- Transpupillary thermal therapy
PTK- Phototherapeutic keratectomy
Argon/diode laser for retinal detatchment
Intralase application for keratoconus
EOG- electro-oculogram
ERG- Electro-retinogram
VEP- visually evoked potential
Vitrectomy- pars plana
Intravitreal injections- of antibiotics
Intravitreal injections- of lucentis excluding cost of
drug
X- Ray orbit
CT-orbit and brain
MRI- Orbit and brain
Dacryocystography
Orbital angio-graphical studies
ECCE with IOL
SICS with IOL
Phaco with foldable IOL (silicone and acrylic)/PMMA
IOL
Pars plana lensectomy with/without IOL
Secondary IOL implantation- AC IOL PC IOL or scleral
fixated IOL
Cataract extraction with IOL with capsular tension
rings (Cionnis ring)
Optic nerve sheathotomy
Iridodialysis repair or papillary reconstruction
Iris cyst removal

CGHS, ALLAHABAD

1,500.00
11,500.00
13,800.00
1,150.00
2,800.00
1,162.00
4,500.00
6,750.00
6,210.00
6,210.00
9,315.00
2,300.00
345.00
6210+valve
1,150.00
1,500.00
1,093.00
1,495.00
3,450.00
3,000.00
7,500.00
1,150.00
5,750.00
900.00
794.00
800.00
10,350.00
1,100.00

1,725.00
13,225.00
15,870.00
1,323.00
3,220.00
1,336.00
5,175.00
7,763.00
7,142.00
7,142.00
10,712.00
2,645.00
397.00
7142.00+Valve
1,323.00
1,725.00
1,257.00
1,719.00
3,968.00
3,450.00
8,625.00
1,323.00
6,613.00
1,035.00
913.00
920.00
11,903.00
1,265.00

3,000.00
115.00
173.00
3,450.00
340.00
1,500.00
3,450.00
4,500.00

3,450.00
132.00
199.00
3,968.00
391.00
1,725.00
3,968.00
5,175.00

10,781.00
10,350.00

12,398.00
11,903.00

6,210.00

7,142.00

12,150.00
7,500.00
4,500.00
850.00

13,973.00
8,625.00
5,175.00
978.00

10 | P a g e

163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197

Lid Abscess incision and Drainage

Orbital Abscess incision and Drainage
Biopsy
Paracentesis
Scleral graft for scleral melting or perforation
Amniotic membrane grafting
Cyclodiathermy
Intraocular foreign body removal
Electrolysis
Perforating injury repair
Botulinum injection for blepharospasm or squint
TREATMENT PROCEDURES DENTAL PROCEDURESS
Flap Operation per quadrant
Gingivectomy per quadrant
Reduction & immobilization of fracture- Maxilla Under
LA
Reduction & immobilization of fracture-Mandible
Under LA
splints/Cirucum mandibular wiring under LA
splints/Cirucum mandibular wiring under GA
Internal wire fixation/plate fixation of Maxilla under
LA
Internal wire fixation/plate fixation of Maxilla under
GA
Internal wire fixation/plate fixation of Mandible under
LA
Internal wire fixation/plate fixation of Mandible
under GA
Extraction per tooth under LA
Complicated Ext. per Tooth under LA
Extraction of impacted tooth under LA
Extraction in mentally retarded/patients with
systemic diseases/patient with special needs under
short term GA
Cyst & tumour of Maxilla /mandible by enucleation/
excision/ marsupalisation upto 4 cms under LA
Cyst & tumour of Maxilla/mandible by enucleation/
excision/ marsupalisation size more than 4 cms
under LA
Cyst & tumour of Maxilla/mandible by
enucleation/excision/marsupalisation size more than
4 cms under GA
TM joint ankylosis- under GA
Biopsy Intraoral-Soft tissue
Biopsy Intraoral-Bone
Hemi-mandibulectomy with graft
Hemi-mandibulectomy without graft
Segmental-mandibulectomy with graft
Segmental-mandibulectomy without graft

CGHS, ALLAHABAD

1,700.00
3,000.00
414.00
230.00
2,800.00
1,100.00
2,300.00
187.00
230.00
4,500.00
2,500.00

1,955.00
3,450.00
476.00
265.00
3,220.00
1,265.00
2,645.00
215.00
265.00
5,175.00
2,875.00

324.00
234.00

373.00
269.00

900.00

1,035.00

3,150.00
510.00
990.00

3,623.00
587.00
1,139.00

2,800.00

3,220.00

4,000.00

4,600.00

3,150.00

3,623.00

3,825.00
80.00
100.00
160.00

4,399.00
92.00
115.00
184.00

845.00

972.00

240.00

276.00

365.00

420.00

950.00
6,750.00
374.00
374.00
18,900.00
18,900.00
3,400.00
990.00

1,093.00
7,763.00
430.00
430.00
21,735.00
21,735.00
3,910.00
1,139.00

11 | P a g e

198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239

Maxillectomy- Total with graft

Maxillectomy- Total without graft
Maxillectomy- partial with graft
Maxillectomy- partial without graft
Release of fibrous bands & grafting -in (OSMF)
treatment under GA
Pre-prosthetic surgery- Alveoloplasty
Pre-prosthetic surgery - ridge augmentation
Root canal Treatment(RCT) Anterior teeth(per tooth)
Root canal Treatment(RCT) Posterior teeth (per tooth)
Apicoectomy- Single root
Apicoectomy-Multiple roots
Metal Crown-per unit
Metal Crown with Acrylic facing per unit
Complete single denture-metal based
Complete denture- acrylic based per arch
Removable partial denture-Metal based-upto 3 teeth
Removable partial denture-Metal based-more than 3
teeth
Removable partial denture-Acrylic based-upto 3 teeth
Removable partial denture-Acrylic based-more than 3
teeth
Amalgum restoration-per tooth
Composite Restoration-per tooth-anterior tooth
Glas Ionomer-per tooth
Scaling & polishing
Removable Orthodontics appliance- per Arch
Fixed Orhtodontics-per Arch
Space maintainers-Fixed
Habit breaking appliances-removable
Habit breaking appliances-Fixed
Expansion plate
Feeding appliance for cleft palate
Maxillo-facial prosthesis (sal/auricular/orbital/facial
lost part)
Functional orthodentic appliances
Obturator (Maxillo-facial)
Occlusal night guard(splint)
TREATMENT PROCEDURES ENT
Pure Tone Audiogram
Impedence with stepedeal reflex
SISI Tone Decay
Multiple hearing assessment test to Adults
Speech Discrimination Score
Speech Assessment
Speech therapy per session of 30-40 minutes
Cold Calorie Test for Vestibular function

CGHS, ALLAHABAD

2,500.00
1,950.00
3,000.00
2,500.00

2,875.00
2,243.00
3,450.00
2,875.00

1,500.00
500.00
1,200.00
500.00
700.00
450.00
585.00
500.00
700.00
1,500.00
950.00
630.00

1,725.00
575.00
1,380.00
575.00
805.00
518.00
673.00
575.00
805.00
1,725.00
1,093.00
725.00

900.00
500.00

1,035.00
575.00

264.00
200.00
250.00
200.00
300.00
700.00
1,150.00
500.00
800.00
1,500.00
1,000.00
1,350.00

304.00
230.00
288.00
230.00
345.00
805.00
1,323.00
575.00
920.00
1,725.00
1,150.00
1,553.00

3,150.00
2,700.00
1,500.00
800.00

3,623.00
3,105.00
1,725.00
920.00

172.00
230.00
132.00
115.00
90.00
120.00
131.00
172.00

198.00
265.00
152.00
132.00
104.00
138.00
151.00
198.00

12 | P a g e

240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284

Removal of foreign body From Nose

Removal of foreign body From Ear
Syringing (Ear)
Polyp removal under LA
Polyp removal under GA
Peritonsillar abscess Drainage under LA
Myringoplasty
Staepedectomy
Myringotomy with Grommet insertion
Tympanotomy
Tympanoplasty
Mastoidectomy
Otoplasty
Labyrinthectomy
Skull Base surgery
Facial Nerve Decompression
Septoplasty
Submucous Resection
Septo-rhinoplasty
Rhinoplasty- Non-cosmetic
Fracture Reduction
Intra nasal Diathermy
Turbinectomy
Endoscopic DCR
Endoscopic Surgery
Septal Perforation Repair
Antrum Puncture
Lateral Rhinotomy
Cranio-facial resection
Caldwell Luc Surgery
Angiofibroma Excision
Endoscopic Hypophysectomy
Endoscopic Optic Nerve Decompression
Decompression of Orbit
Punch/Wedge biopsy
Tonsillectomy
Uvulo-palatoplasty
FESS for antrochoal polyp
FESS for ethmoidal polyp
Polyp removal ear
Polyp removal Nose(Septal polyp)
Mastoidectomy plus Ossciculoplasty including TORP or
PORP
Endolymphatic sac decompression
Diagnostic endoscopy under GA
Yonges operation for Atrophic rhinitis

CGHS, ALLAHABAD

345.00
230.00
166.00
575.00
850.00
1,449.00
6,900.00
9,200.00
4,600.00
7,763.00
13,800.00
14,950.00
16,100.00
13,800.00
25,000.00
15,525.00
5,750.00
7,314.00
16,100.00
11,500.00
4,250.00
1,150.00
5,750.00
13,000.00
13,800.00
13,800.00
880.00
1,000.00
25,500.00
10,626.00
17,000.00
21,500.00
29,498.00
25,500.00
674.00
5,000.00
15,000.00
5,750.00
5,750.00
748.00
748.00

397.00
265.00
191.00
661.00
978.00
1,666.00
7,935.00
10,580.00
5,290.00
8,927.00
15,870.00
17,193.00
18,515.00
15,870.00
28,750.00
17,854.00
6,613.00
8,411.00
18,515.00
13,225.00
4,888.00
1,323.00
6,613.00
14,950.00
15,870.00
15,870.00
1,012.00
1,150.00
29,325.00
12,220.00
19,550.00
24,725.00
33,923.00
29,325.00
775.00
5,750.00
17,250.00
6,613.00
6,613.00
860.00
860.00

2,415.00
2,875.00
2,300.00
6,900.00

2,777.00
3,306.00
2,645.00
7,935.00

13 | P a g e

285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326

Vidian neurectomy for vasomotor Rhinitis

Nasal Packing-anterior
Nasal Packing-posterior
Ranula Excision
Tongue Tie excision
Sub Mandibular Duct Lithotomy
Adenoidectomy
Palatopharyngoplasty
Pharyngoplasty
Styloidectomy
Direct laryngoscopy including Biopsy under GA
Oesophagoscopy/foreign body removal from
Bronchoscopy with F.B.removal
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURES FOR HEAD AND NECK
Ear Lobe Repair one side
Excision of Pinna for Growth (Squamous/Basal/
Injuries) Skin Only
Excision of Pinna for Growth (Squamous/Basal/
Injuries) Skin and Cartilage
Partial Amputation of Pinna
Total Amputation of Pinna
Total Amputation & Excision of External Auditory
Meatus
Excision of Cystic Hygroma
Excision of Cystic Hygroma Extensive
Excision of Branchial Cyst
Excision of Branchial Sinus
Excision of Pharyngeal Diverticulum
Excision of Carotid Body-Tumours
Operation for Cervical Rib
Block Dissection of Cervical Lymph Nodes
Pharyngectomy & Reconstruction
Operation for Carcinoma Lip - Wedge-Excision
Operation for Carcinoma Lip - Vermilionectomy
Operation for Carcinoma Lip - Wedge Excision and
Vermilonectomy
Estlander Operation
Abbe Operation
Cheek Advancement
Excision of the Maxilla
Excision of mandible-segmental
Mandibulectomy
Partial Glossectomy
Hemiglossectomy
Total Glossectomy

CGHS, ALLAHABAD

10,350.00
345.00
805.00
6,159.00
1,350.00
269.00
5,640.00
8,165.00
17,193.00
9,200.00
5,000.00
1,800.00
2,438.00
15,000.00
8,500.00

11,903.00
397.00
926.00
7,083.00
1,553.00
309.00
6,486.00
9,390.00
19,772.00
10,580.00
5,750.00
2,070.00
2,804.00
17,250.00
9,775.00

500.00

575.00

3,600.00

4,140.00

3,800.00
4,500.00
6,200.00

4,370.00
5,175.00
7,130.00

1,500.00
5,175.00
7,452.00
10,350.00
9,315.00
10,580.00
11,615.00
12,500.00
15,000.00
15,000.00
8,050.00
5,758.00

1,725.00
5,951.00
8,570.00
11,903.00
10,712.00
12,167.00
13,357.00
14,375.00
17,250.00
17,250.00
9,258.00
6,622.00

9,000.00
7,475.00
9,800.00
9,775.00
19,320.00
15,000.00
18,900.00
5,520.00
7,000.00
22,885.00

10,350.00
8,596.00
11,270.00
11,241.00
22,218.00
17,250.00
21,735.00
6,348.00
8,050.00
26,318.00

14 | P a g e

327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369

Commondo Operation
Parotidectomy - Superficial
Parotidectomy - Total
Parotidectomy - Radical
Repair of Parotid Duct
Removal of Submandibular Salivary gland
Hemithyroidectomy
Partial Thyroidectomy (lobectomy)
Subtotal Thyroidectomy
Total Thyroidectomy
Resection Enucleation of thyroid Adenoma
Total Thyroidectomy and Block Dissection
Excision of Lingual Thyroid
Excision of Thyroglossal Cyst/Fistula
Excision of Parathyroid Adenoma/Carcinoma
Laryngectomy
Laryngo Pharyngectomy
Hyoid Suspension
Genioplasty
Direct Laryngoscopy including biopsy under GA
Phonosurgery
Fibroptic examition of Larynx under LA
Microlaryngeal Surgery
Laryngofissure
Tracheal Stenosis Excision
Head and neck cancer
Excisional Biopsies
Benign Tumour Excisions
Temporal Bone subtotal resection
Modified Radical Neck Dissection
Carotid Body Excision
Total Laryngectomy
Flap Reconstructive Surgery
Parapharyngeal Tumour Excision
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURES BREAST
Drainage of abscess
Excision of lumps
Local mastectomy-simple
Radical mastectomy-formal or modified.
Excision of mammary fistula
Segmental resection of breast
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURES GENERAL SURGERY

CGHS, ALLAHABAD

22,000.00
12,075.00
14,000.00
19,550.00
11,500.00
8,625.00
9,500.00
11,500.00
13,053.00
19,000.00
10,580.00
26,450.00
16,882.00
13,225.00
21,275.00
17,825.00
27,000.00
10,350.00
12,000.00
5,000.00
13,800.00
1,725.00
10,350.00
17,250.00
19,780.00

25,300.00
13,886.00
16,100.00
22,483.00
13,225.00
9,919.00
10,925.00
13,225.00
15,011.00
21,850.00
12,167.00
30,418.00
19,414.00
15,209.00
24,466.00
20,499.00
31,050.00
11,903.00
13,800.00
5,750.00
15,870.00
1,984.00
11,903.00
19,838.00
22,747.00

5,175.00
8,550.00
20,700.00
25,300.00
26,000.00
39,192.00
40,000.00
38,000.00
21,250.00
5,000.00

5,951.00
9,833.00
23,805.00
29,095.00
29,900.00
45,071.00
46,000.00
43,700.00
24,438.00
5,750.00

5,400.00
6,272.00
12,000.00
25,875.00
13,973.00
16,100.00
25,000.00
5,000.00

6,210.00
7,213.00
13,800.00
29,756.00
16,069.00
18,515.00
28,750.00
5,750.00

15 | P a g e

370
371
372
373
374

404
405

Injury Of Superficial Soft Tissues

Suturing of small wounds
Secondary suture of wounds
Debridement of wounds
Removal Of Foreign Bodies
Biopsies
Excision of Cervical Lymph Node
Excision of Axillary Lymph Node
Excision of Inguinal Lymph Node
Excision Biopsy of Ulcers
Excision Biopsy of Superficial Lumps
Incision Biopsy of Growths/Ulcers
Trucut Needle Biopsy
Percutaneous Kidney Biopsy
Marrow Biopsy (Open)
Muscle Biopsy
Scalene Node Biopsy
Excision of Sebaceous Cysts
Excision of Superficial Lipoma
Excision of Superficial Neurofibroma
Excision of Dermoid Cysts
Haemorrhoidectomy
Stappler haemorrhoidectomy
keloid excision
Vericose vein surgery;Tendelenburg operation with
suturing or ligation.
TREATMENT PROCEDURES OESOPHAGUS
Atresia of Oesophagus and Tracheo Oesophageal
Fistula
Operations for Replacement of Oesophagus by Colon
Oesophagectomy for Carcinoma Easophagus
Oesophageal Intubation (Mausseau Barbin Tube)
Achalasia Cardia Transthoracic
Achalasia Cardia Abdominal
Oesophago Gastrectomy for mid 1/3 lesion
Hellers Operation
Colon-Inter position or Replacement of Oesophagus
Oesophago Gastrectomy Lower Corringers
PROCEDURES
Other Major Surgery
Other Minor Surgery

406
407
408
409

TREATMENT PROCEDURES ABDOMEN / GI SURGERY

Gastroscopy
Gastric & Duodenal Biopsy (Endoscopic)
Pyloromyotomy
Gastrostomy

375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393

394
395
396
397
398
399
400
401
402
403

CGHS, ALLAHABAD

425.00
269.00
290.00
405.00
300.00

489.00
309.00
334.00
466.00
345.00

1,600.00
2,049.00
2,049.00
1,323.00
2,898.00
1,323.00
1,395.00
1,470.00
1,060.00
1,470.00
1,350.00
1,242.00
1,739.00
2,400.00
2,277.00
2,500.00
4,025.00
1,150.00

1,840.00
2,356.00
2,356.00
1,521.00
3,333.00
1,521.00
1,604.00
1,691.00
1,219.00
1,691.00
1,553.00
1,428.00
2,000.00
2,760.00
2,619.00
2,875.00
4,629.00
1,323.00

7,763.00

8,927.00

28,000.00
25,000.00
25,000.00
11,500.00
14,000.00
12,650.00
22,046.00
19,750.00
22,540.00

32,200.00
28,750.00
28,750.00
13,225.00
16,100.00
14,548.00
25,353.00
22,713.00
25,921.00

21,390.00
27,625.00
5,000.00

24,599.00
31,769.00
5,750.00

1,553.00
1,755.00
2,800.00
8,625.00

1,786.00
2,018.00
3,220.00
9,919.00

16 | P a g e

410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453

Simple Closure of Perforated peptic Ulcer

Vagotomy Pyleroplasty / Gastro Jejunostomy
Duodenojejunostomy
Partial/Subtotal Gastrectomy for Carcinoma
Partial/Subtotal Gastrectomy for Ulcer
Operation for Bleeding Peptic Ulcer
Operation for Gastrojejunal Ulcer
Total Gastrectomy for Cancer
Highly Selective Vagotomy
Selective Vagotomy & Drainage
Congenital Diaphragmatic Hernia
Hiatus Hernia Repair- Abdominal
Hiatus Hernia Repair- Transthoracic
Exploratory Laparotomy
Epigastric Hernia Repair
Umbilical Hernia Repair
Ventral /incisional Hernia Repair
Inguinal Hernia Herniorraphy
Inguinal Hernia - Hernioplasty
Femoral Hernia Repair
Rare Hernias Repair (Spigalion, Obturator, Lumbar,
Sciatic)
Splenectomy - For Trauma
Splenectomy - For Hypersplenism
Splenorenal Anastomosis
Portocaval Anastomosis
Direct Operation on Oesophagus for Portal
Hypertension
Mesentericocaval Anastomosis
Warren Shunt
Pancerato Duodenectomy
By Pass PROCEDURES for Inoperable Carcinoma of
Pancreas
Cystojejunostomy or Cystogastrostomy
Cholecystectomy
Cholecystectomy & Exploration of CBD
Repair of CBD
Operation for Hydatid Cyst of Liver
Cholecystostomy
Hepatic Resections (Lobectomy /Hepatectomy)
Operation on Adrenal Glands - Bilateral
Operation on Adrenal Glands - Unilateral
Appendicectomy
Appendicular Abscess Drainage
Mesenteric Cyst- Excision
Peritonioscopy/Laparoscopy
Jejunostomy

CGHS, ALLAHABAD

9,775.00
13,800.00
18,950.00
23,000.00
20,183.00
19,500.00
19,780.00
22,000.00
18,630.00
18,630.00
18,975.00
14,490.00
16,100.00
12,000.00
11,385.00
11,385.00
10,293.00
13,352.00
14,850.00
16,457.00

11,241.00
15,870.00
21,793.00
26,450.00
23,210.00
22,425.00
22,747.00
25,300.00
21,425.00
21,425.00
21,821.00
16,664.00
18,515.00
13,800.00
13,093.00
13,093.00
11,837.00
15,355.00
17,078.00
18,926.00

17,078.00
18,275.00
14,490.00
23,000.00
28,000.00

19,640.00
21,016.00
16,664.00
26,450.00
32,200.00

22,885.00
25,450.00
27,000.00
21,735.00

26,318.00
29,268.00
31,050.00
24,995.00

23,000.00
14,490.00
10,292.00
14,200.00
13,600.00
11,902.00
10,292.00
14,375.00
26,105.00
13,800.00
8,108.00
9,775.00
9,936.00
4,600.00
5,750.00

26,450.00
16,664.00
11,836.00
16,330.00
15,640.00
13,687.00
11,836.00
16,531.00
30,021.00
15,870.00
9,324.00
11,241.00
11,426.00
5,290.00
6,613.00
17 | P a g e

454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497

Ileostomy
Resection & Anastomosis of Small Intestine
Duodenal Diverticulum
Operation for Intestinal Obstruction
Operation for Intestinal perforation
Benign Tumours of Small Intestine
Excision of Small Intestine Fistula
Operations for GI Bleed
Operations for Haemorrhage of Small Intestines
Operations of the Duplication of the Intestines
Operations for Recurrent Intestinal Obstruction (Noble
Plication & Other Operations for Adhesions)
Ilieosigmoidostomy and related resection
Ilieotransverse Colostomy and related resection
Caecostomy
Loop Colostomy Transverse Sigmoid
Terminal Colostomy
Closure of Colostomy
Right Hemi-Colectomy
Left Hemi-Colectomy
Total Colectomy
Operations for Volvulus of Large Bowel
Operations for Sigmoid Diverticulitis
Fissure in Ano with Internal sphinctrectomy with
fissurectomy.
Fissure in Ano - Fissurectomy
Rectal Polyp-Excision
Fistula in Ano - High Fistulectomy
Fistula in Ano - Low Fistulectomy
Prolapse Rectum - Theirch Wiring
Prolapse Rectum - Rectopexy
Prolapse Rectum - Grahams Operation
Operations for Hirschsprungs Disease
Excision of Pilonidal Sinus (open)
Excision of Pilonidal Sinus with closure
Abdomino-Perineal Excision of Rectum
Anterior Resection of rectum
Pull Through Abdominal Resection
Retro Peritoneal Tumor Removal
Radio ablation of varicose veins
Laser ablation of varicose veins
Laproscopic Fundoplication
Laproscopic Spleenectomy
Laproscopic Removal of hydatid cyst
Laproscopic treatment of Pseudo Pancreatic cyst
Laproscopic whipples operation

CGHS, ALLAHABAD

13,869.00
19,200.00
16,560.00
10,350.00
34,200.00
18,600.00
19,200.00
14,400.00
19,200.00
17,200.00

15,949.00
22,080.00
19,044.00
11,903.00
39,330.00
21,390.00
22,080.00
16,560.00
22,080.00
19,780.00

23,000.00
16,790.00
16,790.00
3,903.00
13,110.00
15,525.00
15,732.00
13,800.00
13,800.00
17,250.00
22,428.00
18,630.00

26,450.00
19,309.00
19,309.00
4,488.00
15,077.00
17,854.00
18,092.00
15,870.00
15,870.00
19,838.00
25,792.00
21,425.00

12,420.00
5,750.00
5,500.00
15,102.00
8,880.00
9,315.00
5,750.00
16,560.00
14,260.00
11,500.00
11,500.00
18,300.00
19,665.00
17,170.00
16,200.00
1,800.00
17,250.00
19,300.00
22,500.00
18,000.00
18,000.00
20,000.00

14,283.00
6,613.00
6,325.00
17,367.00
10,212.00
10,712.00
6,613.00
19,044.00
16,399.00
13,225.00
13,225.00
21,045.00
22,615.00
19,746.00
18,630.00
2,070.00
19,838.00
22,195.00
25,875.00
20,700.00
20,700.00
23,000.00

18 | P a g e

498
499
500
501
502
503
504
505
506
507
508
509
510

511
512
513
514
515
516
517
518
519

520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539

Laproscopic GI bypass operation

Laproscopic Total Colectomy
Laproscopic Hemi Colectomy
Laproscopic Anterior Resection
Laproscopic Cholecystetomy
Laproscopic Appedicectomy
Laproscopic Hernia inguinal repair
Laproscopic ventral Hernia Repair
Laproscopic Paraumblical Hernia Repair
Laproscopic Adrenelectomy
Laproscopic Nephrectomy
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURES ICU/CCU PROCEDURES
(SPECIAL CARE CASES)
Coronary Care with Cardiac Monitoring (Room Rent
extra)
Compressed air / piped oxygen /per hour
Ventilator charges (Per day)
Paediatric care for New born (Per day)
Incubator charges (Per day)
Neonatal ICU charges (Per day)
Resuscitation
Exchange Transfusion
Pneupack ventilator in Nursery (Per day)
TREATMENT PROCEDURES CARDIOVASCULAR AND
CARDIAC SURGERY & INVESTIGATIONS
ASD Closure
VSD with graft
TOF/TAPVC/TCPC/REV/RSOV repair
B.D.Glenn/Left atrium myxoma
Senning/ASO with graft
DSO
AV Canal repair
Fonten
Conduit repair
CABG
CABG + IABP
CABG + Valve.
CABG without bypass.
Ascending aorta replacement
DVR
MVR/AVR
MV repair + AV repair
Aorta femoral bypass
B.T Shunt/Coaractation
P.A.Banding septostomy

CGHS, ALLAHABAD

20,000.00
22,500.00
20,700.00
20,700.00
17,078.00
16,200.00
18,000.00
15,750.00
12,000.00
12,000.00
21,000.00
38,000.00
6,000.00

23,000.00
25,875.00
23,805.00
23,805.00
19,640.00
18,630.00
20,700.00
18,113.00
13,800.00
13,800.00
24,150.00
43,700.00
6,900.00

750.00
50.00
531.00
186.00
345.00
391.00
184.00
265.00
575.00

863.00
58.00
611.00
214.00
397.00
450.00
212.00
305.00
661.00

51,808.00
51,808.00
127,075.00
80,750.00
122,188.00
93,254.00
160,000.00
160,000.00
152,100.00
127,075.00
152,100.00
169,000.00
140,000.00
130,000.00
53,000.00
93,254.00
93,254.00
52,000.00
51,980.00
51,980.00

59,579.00
59,579.00
146,136.00
92,863.00
140,516.00
107,242.00
184,000.00
184,000.00
174,915.00
146,136.00
174,915.00
194,350.00
161,000.00
149,500.00
60,950.00
107,242.00
107,242.00
59,800.00
59,777.00
59,777.00
19 | P a g e

540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585

Pericardectomy
CMV/PDA
Gunshot injury
Heart transplant
Balloon coronary angioplasty/PTCA with VCD
Balloon coronary angioplasty/PTCA without VCD
Rotablation
balloon valvotomy/PTMC
CATH
Arch Replacement
Aortic Dissection
Thoraco Abdominal Aneurism Repair
Embolectomy
Vascular Repair
Bentall Repair with Prosthetic Valve
Bentall Repair with Biologic Valve
Coarctation dilatation
Coarctation dilatation with Stenting
TPI Single Chamber
TPI Dual Chamber
Permanent pacemaker implantation- Single Chamber
Permanent pacemaker implantation- Dual Chamber
Permanent pacemaker implantation Biventricular
AICD implantation Single Chamber
AICD implantation Dual Chamber
Combo device implantation
Diagnostic Electrophysiological studies conventional
Ambulatory BP monitoring
External Loop/event recording
RF Ablation conventional
RF Ablation Atrial Tachycardia/Carto
Endomyocardial biopsy
IABP
Intra vascular coils
Septostomy- Balloon
Septostomy- Blade
AVBD/PVBD
Digital subtraction angiography-Peripheral artery
Digital subtraction angiography- venogram
C.T Guided biopsy
Sinogram
Peripheral Angioplasty with VCD
Peripheral Angioplasty without VCD
Renal Angioplasty
IVUS
FFR

CGHS, ALLAHABAD

42,320.00
51,980.00
51,980.00
276,000.00
80,600.00
80,000.00
48,875.00
10,264.00
10,000.00
10,000.00
12,650.00
15,000.00
21,000.00
36,000.00
30,000.00
127,500.00
14,500.00
18,500.00
7,500.00
8,160.00
13,800.00
17,388.00
31,050.00
25,875.00
40,000.00
40,000.00
4,550.00
587.00
2,848.00
35,000.00
45,000.00
10,000.00
7,820.00
46,000.00
16,150.00
17,595.00
48,300.00
10,350.00
10,350.00
1,265.00
860.00
11,500.00
11,500.00
60,000.00
22,500.00
12,750.00

48,668.00
59,777.00
59,777.00
317,400.00
92,690.00
92,000.00
56,206.00
11,804.00
11,500.00
11,500.00
14,548.00
17,250.00
24,150.00
41,400.00
34,500.00
146,625.00
16,675.00
21,275.00
8,625.00
9,384.00
15,870.00
19,996.00
35,708.00
29,756.00
46,000.00
46,000.00
5,233.00
675.00
3,275.00
40,250.00
51,750.00
11,500.00
8,993.00
52,900.00
18,573.00
20,234.00
55,545.00
11,903.00
11,903.00
1,455.00
989.00
13,225.00
13,225.00
69,000.00
25,875.00
14,663.00

20 | P a g e

586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610

611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627

Holter analysis
Aortic stent grafting for aortic aneurysm
IVC Filter implantation
ASD/VSD/PDA device closure
ECG
HUTT
2 D echocardiography
3 D echocardiography
Fetal Echo
2 D TEE
3 D TEE(Transoesophageal echo )
Stress Echo- exercise
Stress Echo- pharmacological
Stress MPI- exercise
Stress MPI - pharmacological
Coronary angiography
CT coronary angiography
Cardiac CT scan
Cardiac MRI
Stress Cardiac MRI
MR angiography.
Cardiac PET
Pericardiocentesis
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURES OBSTETRICS AND
GYNAECOLOGY
Normal delivery with or without Episiotomy & P.
repair
vacuum delivery
Forceps Delivery
Cesarean Section
Cesarean Hysterectomy
Rupture Uterus closure & repair with Tubal Ligation
Perforation of Uterus after D/E Laparotomy & Closure
Laparotomy for Ectopic pregnancy
Laparotomy-peritonitis Lavage and Drainage
Salphingo-Oophorectomy/ Oophorectomy Laproscopic
Ovarian Cystectomy-laparoscopic.
Ovarian Cystectomy -laparotomy.
Salpingo-Oophorectomy-laparotomy
Laproscopic Broad Ligament Hematoma Drainage with
repair
Exploration of perineal Haematoma & Repair
Exploration of abdominal Haematoma (after
laparotomy + LSCS)
Manual Removal of Placenta

CGHS, ALLAHABAD

850.00
78,500.00
16,129.00
36,225.00
50.00
2,000.00
1,200.00
1,403.00
1,400.00
1,403.00
1,403.00
1,500.00
2,500.00
1,760.00
2,500.00
11,000.00
6,030.00
2,272.00
2,444.00
3,000.00
5,635.00
1,500.00
3,150.00
20,000.00
4,250.00

978.00
90,275.00
18,548.00
41,659.00
58.00
2,300.00
1,380.00
1,613.00
1,610.00
1,613.00
1,613.00
1,725.00
2,875.00
2,024.00
2,875.00
12,650.00
6,935.00
2,613.00
2,811.00
3,450.00
6,480.00
1,725.00
3,623.00
23,000.00
4,888.00

7,500.00
8,000.00
8,280.00
14,050.00
18,500.00
17,000.00
13,800.00
13,800.00
11,500.00
10,000.00
10,350.00
12,420.00
11,500.00

8,625.00
9,200.00
9,522.00
16,158.00
21,275.00
19,550.00
15,870.00
15,870.00
13,225.00
11,500.00
11,903.00
14,283.00
13,225.00

6,900.00
7,200.00

7,935.00
8,280.00

7,245.00
3,450.00

8,332.00
3,968.00

21 | P a g e

628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668

Examination under anesthesia (EUA)

Burst-abdomen Repair
Gaping Perineal Wound Secondary Suturing
Gaping abdominal wound Secondary Suturing
Complete perineal tear-repair
Exploration of PPH-tear repair
Suction evacuation vesicular mole
Suction evacuation Missed abortion/ incomplete
abortion
Colpotomy
Repair of post-coital tear/ perineal injury
Excision of urethral caruncle
Shirodhkar/ Mc. Donalds stitch
Abdominal Hysterectomy with or without salpingooophorectomy
Vaginal Hysterectomy (NDVH)
Vaginal Hysterectomy with repairs (UV Prolapse)
Myomectomy -laparotomy
Myomectomy -laparoscopic
Vaginoplasty
Vulvectomy -Simple
Vulvectomy-Radical
RVF Repair
Manchester Operation
Shirodkars sling Operation or other sling operations
for prolapse uterus
Laparoscopic sling operations for prolapse uterus
Diagnostic Curettage
Cervical Biopsy
Polypectomy
Other-Minor Operation Endometrial
Excision Vaginal Cyst/Bartholin Cyst
Excision Vaginal Septum
Laparoscopy -Diagnostic with chromopertubation and
or adhesiolysis and drilling
Laparoscopy Sterilization
LAVH
Balloon Temponade for PPH
Total laparoscopic hysterectomy
Laparoscopic treatment of Ectopic pregnancysalpingectomy/salpinostomy conservative
Conisation of cervix
Trachhelectomy of cervix for early CA cervix
Hysteroscopic cannulation
Laparotomy recannalization of Fallopian tubes(Tubuloplasty)
Laparoscopic recannalization of Fallopian tubes(Tubuloplasty)

CGHS, ALLAHABAD

1,000.00
10,000.00
1,656.00
3,105.00
2,128.00
3,500.00
5,000.00

1,150.00
11,500.00
1,904.00
3,571.00
2,447.00
4,025.00
5,750.00

5,000.00
3,450.00
3,508.00
3,200.00
3,220.00

5,750.00
3,968.00
4,034.00
3,680.00
3,703.00

15,525.00
15,525.00
15,525.00
12,600.00
6,325.00
14,950.00
9,200.00
9,200.00
14,000.00
15,000.00

17,854.00
17,854.00
17,854.00
14,490.00
7,274.00
17,193.00
10,580.00
10,580.00
16,100.00
17,250.00

3,450.00
25,200.00
2,236.00
1,620.00
1,518.00
2,300.00
3,450.00
4,140.00

3,968.00
28,980.00
2,571.00
1,863.00
1,746.00
2,645.00
3,968.00
4,761.00

4,025.00
3,450.00
22,719.00
2,800.00
22,719.00

4,629.00
3,968.00
26,127.00
3,220.00
26,127.00

9,775.00
4,025.00
5,500.00
2,875.00

11,241.00
4,629.00
6,325.00
3,306.00

20,183.00

23,210.00

17,550.00

20,183.00

22 | P a g e

669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710

Colposcopy
Inversion of Uterus Vaginal Reposition
Inversion of Uterus Abdominal Reposition
Laparoscopic VVF Repair
Abdominal VVF Repair
Vaginal VVF Repair
Interventional Ultrasonography (CVS)
Amniocentesis
Karyotyping
Thermal balloon ablation.
Ultrasonographic myolysis
Vaginal Myomectomy
Intra Uterine Inseminition
ICSI
Laparotomy abdominal sacro-colpopexy
Vaginal Colpopexy
Laparoscopic abdominal sacro-colpopexy
Laparotomy pelvic Lymphadenectomy
Laparoscopic pelvic Lymphadenectomy
Endometrial aspiration cytology/biopsy
Transvaginal sonography (TVS for Follicular
monitioring /aspiration)
laparoscopic treatment for stress incontinence
Transvaginal tapes for Stress incontinence
trans-obturator tapes for Stress incontinence
Interventional radiographic arterial embolization
Diagnostic cystoscopy
Staging laparotomy surgery for CA Ovary
Internal Iliac ligation
stepwise devascularisation
Assisted breech delivery
Intra-uterine fetal blood transfusion
Hysteroscopy TCRE
Hysteroscopy Removal of IUCD
Hysteroscopy Removal of Septum
Hysteroscopy Diagnostic
Radical Hysterectomy for Cancer cervix with pelvic
lymphadenectomy
Radical Hysterectomy for Cancer endometrium
extending to cervix with pelvic and para aortic
lymphadenectomy
Sterilization Post partum (minilap)
Sterilization interval (minilap)
Ultrasonography Level II scan/Anomaly Scan
Fetal nuchal Translucency
Fetal Doppler/Umblical Doppler/Uterine Vessel
Doppler

CGHS, ALLAHABAD

958.00
2,500.00
2,500.00
25,200.00
25,200.00
25,200.00
880.00
880.00
800.00
11,500.00
10,293.00
9,000.00
920.00
11,500.00
15,000.00
19,800.00
18,000.00
1,200.00
3,500.00
570.00

1,102.00
2,875.00
2,875.00
28,980.00
28,980.00
28,980.00
1,012.00
1,012.00
920.00
13,225.00
11,837.00
10,350.00
1,058.00
13,225.00
17,250.00
22,770.00
20,700.00
1,380.00
4,025.00
656.00

460.00
13,500.00
13,500.00
12,000.00
18,000.00
2,875.00
6,325.00
3,393.00
9,200.00
9,833.00
19,148.00
8,500.00
6,750.00
9,900.00
6,750.00

529.00
15,525.00
15,525.00
13,800.00
20,700.00
3,306.00
7,274.00
3,902.00
10,580.00
11,308.00
22,020.00
9,775.00
7,763.00
11,385.00
7,763.00

8,500.00

9,775.00

8,500.00
3,750.00
3,750.00
500.00
300.00

9,775.00
4,313.00
4,313.00
575.00
345.00

850.00

978.00

23 | P a g e

711
712
713
714
715
716

717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751

MTP- 1st Trimester

MTP - 2nd Trimester
Quadruple test
Biophysical score
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURES NEPHROLOGY AND
UROLOGY
Partial Nephrectomy -open
Partial Nephrectomy-laproscopic/endoscopic
Nephrolithomy -open
Nephrolithomy -laproscopic/endoscopic
Pyelolithotomy-open
Pyelolithotomy -laproscopic/endoscopic
Operations for Hydronephrosis -pyeloplasty open
Operations for Hydronephrosis -pyeloplasty
Lap/endoscopic
Operations for Hydronephrosis Endoplyelotomy
antegrade
Operations for Hydronephrosis Endoplyelotomy
retrograde
Operations for Hydronephrosis -ureterocalicostomy
Operations for Hydronephrosis-Ileal ureter
Open Drainage of Perinephric Abscess
Percutaneous Drainage of Perinephric Abscess Ultrasound guided
Cavernostomy
Operations for Cyst of the Kidney -open
Operations for Cyst of the Kidney -Lap/endoscopic
Ureterolithotomy -open
Ureterolithotomy-Lap/Endoscopic
Nephroureterectomy open
Nephroureterectomy -Lap/Endoscopic
Operations for Ureter for -Double Ureters
Operations for Ureter -for Ectopia of Single Ureter
Operations for Vesico- ureteric Reflux -Open
Operations for Vesico- ureteric Reflux-Lap/Endoscopic
Operations for Vesico- ureteric Reflux/ Urinary
incontinence with bulking agents
Ureterostomy - Cutaneous
Uretero-Colic anastomosis
Formation of an Ileal Conduit
Ureteric Catheterisation
Biopsy of Bladder (Cystoscopic)
Cysto-Litholapaxy
Operations for Injuries of the Bladder
Suprapubic Drainage (Cystostomy/vesicostomy)
Simple Cystectomy

CGHS, ALLAHABAD

2,700.00
4,000.00
2,000.00
540.00
28,000.00
5,000.00

3,105.00
4,600.00
2,300.00
621.00
32,200.00
5,750.00

16,000.00
14,490.00
12,000.00
14,000.00
13,000.00
10,580.00
18,400.00

18,400.00
16,664.00
13,800.00
16,100.00
14,950.00
12,167.00
21,160.00

19,000.00

21,850.00

20,000.00

23,000.00

20,000.00
18,000.00
18,000.00
7,500.00

23,000.00
20,700.00
20,700.00
8,625.00

5,175.00
9,775.00
11,960.00
14,030.00
11,923.00
10,000.00
14,490.00
16,100.00
19,000.00
18,000.00
18,000.00
18,000.00

5,951.00
11,241.00
13,754.00
16,135.00
13,711.00
11,500.00
16,664.00
18,515.00
21,850.00
20,700.00
20,700.00
20,700.00

20,700.00
12,000.00
16,000.00
17,250.00
690.00
2,300.00
10,925.00
10,000.00
6,000.00
17,250.00

23,805.00
13,800.00
18,400.00
19,838.00
794.00
2,645.00
12,564.00
11,500.00
6,900.00
19,838.00
24 | P a g e

752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792

Diverticulectomy -open
Diverticulectomy- Lap/Endoscopic
Diverticulectomy -Endoscopic incision of neck
Augmentation Cystoplasty
Operations for Extrophy of the Bladder- Single stage
repair
Operations for Extrophy of the Bladder- Multistage
repair
Operations for Extrophy of the Bladder- simple
cystectomy with urinary diversion
Repair of Ureterocoel -Open
Repair of Ureterocoel -Lap/Endoscopic
Repair of Ureterocoel -Endoscopic incision
Open Suprapubic Prostatectomy
Open Retropubic Prostatectomy
Transurethral Resection of Prostate (TURP)
Urethroscopy/ Cystopanendoscopy
Internal urethrotomy -optical
Internal urethrotomy -Core through urethroplasty
Urethral Reconstruction -End to end ansatamosis
Urethral Reconstruction - substitution urethroplasty
(Transpubic urethroplasty
Abdomino Perineal urethroplasty
Posterior Urethral Valve fulguration.
Operations for Incontinence of Urine - Male -Open
Operations for Incontinence of Urine - Male -Sling
Operations for Incontinence of Urine - Male-Bulking
agent
Operations for Incontinence of Urine - Female -Open
Operations for Incontinence of Urine - Female-Sling
Operations for Incontinence of Urine - Female-Bulking
agent
Reduction of Paraphimosis
Circumcision
Meatotomy
Meatoplasty
Operations for Hypospadias + Chordee Correction
Operations for Hypospadias - Second Stage
Operations for Hypospadias - One Stage Repair
Operations for Crippled Hypospadias
Operations for Epispadias _primary repair
Operations for Epispadias-crippled epispadias
Partial Amputation of the Penis
Total amputation of the Penis
Orchidectomy-Simple
Orchidectomy -Radical
Post Radical Orchidectomy retroperitoneal lymph
node dissection.

CGHS, ALLAHABAD

16,000.00
18,400.00
1,725.00
6,670.00

18,400.00
21,160.00
1,984.00
7,671.00

22,300.00

25,645.00

20,815.00

23,937.00

22,500.00
13,800.00
14,375.00
13,000.00
18,630.00
18,113.00
18,630.00
4,140.00
5,750.00
11,040.00
3,450.00

25,875.00
15,870.00
16,531.00
14,950.00
21,425.00
20,830.00
21,425.00
4,761.00
6,613.00
12,696.00
3,968.00

17,595.00
14,000.00
11,270.00
17,250.00
18,400.00

20,234.00
16,100.00
12,961.00
19,838.00
21,160.00

19,435.00
17,250.00
18,400.00

22,350.00
19,838.00
21,160.00

19,435.00
1,553.00
3,000.00
2,346.00
3,220.00
8,280.00
14,000.00
9,200.00
11,500.00
12,593.00
11,385.00
10,764.00
12,000.00
8,798.00
12,075.00

22,350.00
1,786.00
3,450.00
2,698.00
3,703.00
9,522.00
16,100.00
10,580.00
13,225.00
14,482.00
13,093.00
12,379.00
13,800.00
10,118.00
13,886.00

12,600.00

14,490.00

25 | P a g e

793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827

Epididymectomy
Adreneclectomy Unilateral/Bilateral for Tumour/For
Carcinoma- Open
Adreneclectomy Unilateral/Bilateral for Tumour/For
Carcinoma -Lap/Endoscopic
Operations for Hydrocele - Unilateral
Operations for Hydrocele - Bilateral
Operation for Torsion of Testis
Micro-surgical Vasovasostomy /Vaso epidedymal
ansatamosis.
Operations for Varicocele Unilateral-Microsurgical
Operations for Varicocele Palomos Unilateral - Lap
Operations for Varicocele Bilateral --Microsurgical
Operations for Varicocele Bilateral Lap/ Palomo
Block Dissection of ilio-inguinal Nodes - One Side (For
Ca-Penis)
Block Dissection of ilio-inguinal Nodes - Both Sides
(For Ca-Penis)
Excision of Filarial Scrotum
Kidney Transplantation (related)
Kidney Transplantation (Spousal/ unrelated)
ABO incompatible Transplantation
Swap Transplantation
Kidney Transplant Graft Nephrectomy
Donor Nephrectomy (open)
Donor Nephrectomy (Laproscopic)
Cadaver Transplantation
Kidney Transplant with Native Kidney Nephrectomy
(Related)/ Unilateral
Kidney Transplant with Native Kidney Nephrectomy
(Related)/ Bilateral
Kidney Transplant with Native Kidney Nephrectomy
(Spousal/ Unrelated) Unilateral
Kidney Transplant with Native Kidney Nephrectomy
(Spousal/ Unrelated) Bilateral
Post-Transplant Collection drainage for Lymphocele
(open)
Post-Transplant Collection drainage for Lymphocele
(percutaneous)
Post-Transplant Collection drainage for Lymphocele
(Laproscopic)
Arteriovenous Fistula for Haemodialysis
Arteriovenous Shunt for Haemodialysis
Jugular Catheterization for Haemodialysis
Subclavian Catheterization for Haemodialysis
One sided (single Lumen) Femoral Catheterization for
Haemodialysis
Bilateral (single Lumen) Femoral Catheterization for
Haemodialysis

CGHS, ALLAHABAD

8,000.00

9,200.00

25,300.00

29,095.00

14,375.00
5,279.00
7,700.00
10,350.00

16,531.00
6,071.00
8,855.00
11,903.00

11,040.00
7,705.00
9,200.00
12,650.00
14,950.00

12,696.00
8,861.00
10,580.00
14,548.00
17,193.00

6,325.00

7,274.00

20,700.00
10,350.00
3,500.00
143,000.00
490,000.00
388,000.00
59,500.00
28,750.00
46,000.00
83,300.00

23,805.00
11,903.00
4,025.00
164,450.00
563,500.00
446,200.00
68,425.00
33,063.00
52,900.00
95,795.00

28,000.00

32,200.00

85,000.00

97,750.00

85,000.00

97,750.00

85,000.00

97,750.00

6,800.00

7,820.00

6,800.00

7,820.00

7,650.00
2,300.00
3,500.00
1,500.00
2,025.00

8,798.00
2,645.00
4,025.00
1,725.00
2,329.00

1,000.00

1,150.00

1,500.00

1,725.00

26 | P a g e

828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869

Double Lumen Femoral Catheterization for

Haemodialysis
Permcath Insertion
Arterio venous Prosthetic Graft
Single lumen Jugular Catheterization
Single lumen Subclavian Catheterization
Plasma Exchange/ Plasma phresis
Open method CAPD catheter insertion
Schlendinger method CAPD catheter insertion
Sustained low efficiency hemodialysis
Continuous Veno venous/Arteriovenous
Hemofilteration
Hemodialysis for Sero negative cases
Hemodialysis for Sero Positive cases
Acute Peritoneal Dialysis
Fistologram for Arteriovenous Fistula
Ultrasound guided kidney Biopsy
Fistula stenosis dilation
Slow continuous Ultrafilteration
PCNL - Unilateral
PCNL - Bilateral
Endoscopic Bulking agent Inject
Testicular Biopsy
Radical Nephrectomy -Open
Radical Nephrectomy -Lap/Endoscopic
Radical Nephrectomy plus IV thrombus
Radical Nephrectomy plus IV thrombus plus cardiac
bypass.
Vesico Vaginal Fistula Repair (Open)
Vesico Vaginal Fistula Repair (Laproscopic)
Radical Cystectomy -Ileal conduit
Radical Cystectomy - continent diversion.
Radical Cystectomy Neo bladder
Nephrectomy Simple -Open
Nephrectomy Simple-lap/Endoscopic
Nephrostomy -Open
Nephrostomy -Lap/Endoscopic
Ureteric Re- implant for Megaureter/Vesicoureteric
reflex/ uterocele (open)
Ureteric Re -implant for Megaureter/Vesicoureteric
reflex/ uterocele (Laproscopic)
Partial Cystectomy
TURP & TUR Bladder Tumour
TURP with Cystolithotripsy
Closure of Urethral Fistula
Orchidopexy - Unilateral -Open
Orchidopexy - Unilateral- Lap/Endoscopic

CGHS, ALLAHABAD

1,665.00
2,800.00
1,850.00
1,500.00
1,600.00
1,725.00
3,150.00
3,500.00
1,250.00

1,915.00
3,220.00
2,128.00
1,725.00
1,840.00
1,984.00
3,623.00
4,025.00
1,438.00

2,025.00
1,400.00
1,650.00
1,450.00
2,500.00
850.00
3,000.00
2,500.00
20,000.00
25,000.00
4,500.00
1,955.00
17,250.00
20,700.00
23,000.00

2,329.00
1,610.00
1,898.00
1,668.00
2,875.00
978.00
3,450.00
2,875.00
23,000.00
28,750.00
5,175.00
2,248.00
19,838.00
23,805.00
26,450.00

23,000.00
16,000.00
22,000.00
17,000.00
15,000.00
18,500.00
10,074.00
12,500.00
10,000.00
10,704.00

26,450.00
18,400.00
25,300.00
19,550.00
17,250.00
21,275.00
11,585.00
14,375.00
11,500.00
12,310.00

10,494.00

12,068.00

10,494.00
13,800.00
17,250.00
17,000.00
11,000.00
9,867.00
11,101.00

12,068.00
15,870.00
19,838.00
19,550.00
12,650.00
11,347.00
12,766.00

27 | P a g e

870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
908
909
910
911

Orchidopexy - Bilateral -Open

Orchidopexy - Bilateral -Lap/Endoscopic
Cystolithotomy -Suprapubic
Endoscopic Removal of Stone in Bladder
Resection Bladder Neck Endoscopic /Bladder neck
incision/transurethral incision on prostrate
Ureteroscopic Surgery
Urethroplasty 1st Stage
Scrotal Exploration
Perineal Urethrostomy
Dilatation of Stricture Urethra under G.A.
Dilatation of Stricture Urethra under LA
Laproscopic Nephrectomy
Laproscopic partial Nephrectomy
Laproscopic pyelolithotomy
Laproscopic Pyeloplasty
Laproscopic surgery for Renal cyst
Laproscopic ureterolithotomy
Laproscopic Nephro ureterotectomy
Lithotripsy Extra corporeal shock wave.
Uroflow Study (Uroflometry)
Urodynamic Study (Cystometry)
Cystoscopy with Retrograde Catheter -Unilateral /RGP
Cystoscopy with Retrograde Catheter - Bilateral /RGP
Cystoscopy with Bladder Biopsy (Cold Cup Biopsy)
Voiding-cysto-urethrogram and retrograde
urethrogram (Nephrostogram)
Radical prostatectomy-Open
Radical prostatectomy-Laproscopic
Radical prostatectomy- Robotic (Robotic Partial
Nephrectomy)
Hollmium YAG Prostate Surgery
Hollmium YAG OIU
Hollmium YAG Core Through
Hollmium YAG Stone Lithotripsy
Green Light laser for prostate
RIRS/ Flexible Ureteroscopy
Microscopic VEA/ Vaso-Vasostomy (for Infertility)
Cystoscopic Botulinum Toxin Injection ( Over active
bladder/ Neurogenic bladder)
Peyronies disease Plaque excision with grafting
High Intensity Focus Ultrasound (HIFU) (Robotic) for
Carcinoma prostrate and renal cell carcinoma
Prosthetic surgery for urinary incontinence
TRUS guided prostate biopsy
Ultra sound guided PCN
Other Major Surgery

CGHS, ALLAHABAD

12,000.00
14,500.00
9,775.00
3,450.00

13,800.00
16,675.00
11,241.00
3,968.00

10,925.00
10,350.00
10,925.00
8,556.00
4,715.00
2,000.00
1,553.00
30,015.00
10,000.00
12,650.00
9,775.00
9,775.00
11,500.00
13,225.00
17,100.00
450.00
480.00
2,523.00
4,500.00
3,043.00

12,564.00
11,903.00
12,564.00
9,839.00
5,422.00
2,300.00
1,786.00
34,517.00
11,500.00
14,548.00
11,241.00
11,241.00
13,225.00
15,209.00
19,665.00
518.00
552.00
2,901.00
5,175.00
3,499.00

414.00
17,825.00
20,125.00

476.00
20,499.00
23,144.00

20,125.00
15,000.00
4,600.00
17,250.00
10,200.00
17,250.00
6,800.00
13,500.00

23,144.00
17,250.00
5,290.00
19,838.00
11,730.00
19,838.00
7,820.00
15,525.00

6,800.00
3,400.00

7,820.00
3,910.00

4,600.00
2,300.00
575.00
720.00
15,000.00

5,290.00
2,645.00
661.00
828.00
17,250.00

28 | P a g e

912
913
914
915
916
917
918
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
941
942
943
944
945
946
947
948
949
950
951
952
953
954
955
956

Other Minor Surgery

TREATMENT PROCEDURES NEURO-SURGERY
Craniotomy and Evacuation of Haematoma -Subdural
Craniotomy and Evacuation of Haematoma -Extradural
Evacuation /Excision of Brain Abscess by craniotomy
Excision of Lobe (Frontal Temporal Cerebellum etc.)
Excision of Brain Tumours -Supratentorial
Excision of Brain Tumours -Infratentorial
Surgery of spinal Cord Tumours
Ventriculoatrial /Ventriculoperitoneal Shunt
Twist Drill Craniostomy
Subdural Tapping
Ventricular Tapping
Abscess Tapping
Placement of ICP Monitor Skull Traction Application
Lumber Pressure Monitoring
Vascular Malformations
Meningo Encephalocoele excision and repair
Meningomyelocoel Repair
C.S.F. Rhinorrhaea Repair
Cranioplasty
Anterior Cervical Dissectomy
Brachial Plexus Exploration and neurotization
Median Nerve Decompression
Peripheral Nerve Surgery Major
Peripheral Nerve Surgery Minor
Ventriculo-Atrial Shunt
Nerve Biopsy
Brain Biopsy
Anterior Cervical Spine Surgery with fusion
Anterio Lateral Decompression of spine
Brain Mapping
Cervical or Dorsal or Lumbar Laminectomy
Combined Trans-oral Surgery & CV Junction Fusion
C.V. Junction Fusion PROCEDURESs
Depressed Fracture Elevation
Lumbar Discectomy
Endarterectomy (Carotid)
R.F. Lesion for Trigeminal Neuralgia
Spasticity Surgery Spinal Fusion PROCEDURES
Spinal Intra Medullary Tumours
Spinal Bifida Surgery Major
Spinal Bifida Surgery Minor
Stereotaxic PROCEDURESs- biopsy/aspiration of cyst

CGHS, ALLAHABAD

6,800.00

7,820.00

45,644.00
45,000.00
36,000.00
36,900.00
35,211.00
40,500.00
40,500.00
25,000.00
4,250.00
2,456.00
2,967.00
2,875.00
2,800.00
2,300.00
4,250.00
22,000.00
15,000.00
22,496.00
25,875.00
24,150.00
16,600.00
15,525.00
14,000.00
17,250.00
8,280.00
11,615.00
6,210.00
5,227.00
28,980.00
25,875.00
837.00
20,700.00
33,000.00
30,000.00
22,500.00
25,000.00
20,000.00
10,350.00
39,675.00
30,000.00
31,050.00
18,975.00
15,000.00
23,000.00

52,491.00
51,750.00
41,400.00
42,435.00
40,493.00
46,575.00
46,575.00
28,750.00
4,888.00
2,824.00
3,412.00
3,306.00
3,220.00
2,645.00
4,888.00
25,300.00
17,250.00
25,870.00
29,756.00
27,773.00
19,090.00
17,854.00
16,100.00
19,838.00
9,522.00
13,357.00
7,142.00
6,011.00
33,327.00
29,756.00
963.00
23,805.00
37,950.00
34,500.00
25,875.00
28,750.00
23,000.00
11,903.00
45,626.00
34,500.00
35,708.00
21,821.00
17,250.00
26,450.00

29 | P a g e

957
958
959
960
961
962
963
964
965
966
967
968
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990
991
992
993
994
995
996
997
998

Trans Sphenoidal Surgery

Trans Oral Surgery
Implantation of DBS -One electrode
Implantation of DBS -two electrodes
Endoscopic aqueductoplasty
Facial nerve reconstruction
Carotid stenting
Cervical disc arthroplasty
Lumbar disc arthroplasty
Corpus callostomy for Epilepsy
Hemishpherotomy for Epilepsy
Endoscopic CSF rhinorrhea repair
Burr hole evacuation of chronic subdural haematoma
Epilepsy surgery
RF lesion for facet joint pain syndrome
Cervical laminoplasty
Lateral mass C1-C2 screw fixation
Microsurgical decompression for Trigeminal nerve
Microsurgical decompression for hemifacial spasm
IC EC bypass PROCEDURESs
Image guided craniotomy
Baclofen pump implantation
Programmable VP shunt
Endoscopic sympathectomy
Lumber puncture
External ventricular drainage (EVD)
Endoscopic 3rd ventriculostomy
Endoscopic cranial surgery/Biopsy/aspiration
Endoscopic discectomy (Lumbar, Cervical)
Aneurysm coiling (Endovascular)
Surgery for skull fractures
Carpel Tunnel decompression
Clipping of intracranial aneurysm
Surgery for intracranial Arteriovenous
malformarions(AVM)
Foramen magnum decompression for Chari
Malformation
Dorsal column stimulation for backache in failed back
syndrome
Surgery for recurrent disc prolapse/epidural fibrosis
Surgery for brain stem tumours
Decompressive craniotomy for hemishpherical acute
subdural haematoma/brain swelling/large infarct
Intra-arterial thrombolysis with TPA (for ischemic
stroke )
Steriotactic aspiration of intracerebral haematoma
Endoscopic aspiration of intracerebellar haematoma

CGHS, ALLAHABAD

30,000.00
30,000.00
34,500.00
40,250.00
15,000.00
27,000.00
38,037.00
24,840.00
13,800.00
35,000.00
32,200.00
30,000.00
21,735.00
36,225.00
17,250.00
28,800.00
23,000.00
38,000.00
4,646.00
32,000.00
28,980.00
39,000.00
25,000.00
17,107.00
207.00
4,600.00
36,000.00
31,536.00
35,621.00
34,400.00
36,000.00
13,500.00
24,150.00

34,500.00
34,500.00
39,675.00
46,288.00
17,250.00
31,050.00
43,743.00
28,566.00
15,870.00
40,250.00
37,030.00
34,500.00
24,995.00
41,659.00
19,838.00
33,120.00
26,450.00
43,700.00
5,343.00
36,800.00
33,327.00
44,850.00
28,750.00
19,673.00
238.00
5,290.00
41,400.00
36,266.00
40,964.00
39,560.00
41,400.00
15,525.00
27,773.00

40,000.00

46,000.00

1,100.00

1,265.00

28,750.00
32,000.00
42,000.00

33,063.00
36,800.00
48,300.00

40,000.00

46,000.00

4,600.00
29,291.00
36,000.00

5,290.00
33,685.00
41,400.00

30 | P a g e

999
1000
1001
1002
1003
1004
1005
1006
1007
1008
1009
1010
1011
1012
1013
1014
1015
1016
1017
1018
1019
1020
1021
1022
1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1034
1035
1036
1037
1038
1039

Steriotactic Radiosurgery for brain pathology(X

knife/Gamma ) - ONE session
Steriotactic Radiosurgery for brain pathology(X knife /
Gamma knife -Two or more sessions
Chemotheraphy wafers for malignant brain tumors
Battery Placement for DBS
Baclofen pump implantation for spasticity
Peripheral Nerve tumor surgery
Surgery Intra Cranial Meningioma
Surgery for Intracranial Schwannoma
Surgery for Gliomas
Surgery for Orbital tumors
Surgery for Cranial (Skull) tumors
Surgery for Scalp AVMs
Kyphoplasty
Balloon Kyphoplasty
Lesioning procedure for Parkinsons disease, Dystonia
etc.
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURES PAEDIATRIC SURGERY
Excision of thyroglossal Duct/Cyst
Diaphragmatic Hernia Repair (Thoracic or Abdominal
Approach)
Tracheo Oesophageal Fistula (Correction Surgery)
Colon Replacement of Oesophagus
Omphalo Mesenteric Cyst Excision
Omphalo Mesenteric Duct- Excision
Meckels Diverticulectomy
Omphalocele 1st Stage (Hernia Repair)
Omphalocele 2nd Stge (Hernia Repair)
Gastrochisis Repair
Inguinal Herniotomy
Congenital Hydrocele
Hydrocele of Cord
Torsion Testis Operation
Congenital Pyloric Stenosis- operation
Duodenal- Atresia Operation
Pancreatic Ring Operation
Meconium Ileus Operation
Malrotation of Intestines Operation
Rectal Biopsy (Megacolon)
Colostomy Transverse
Colostomy Left Iliac
Abdominal Perineal Pull Through (Hirschaprugis
Disease)
Imperforate Anus Low Anomaly -Cut Back Operation

CGHS, ALLAHABAD

27,560.00

31,694.00

57,500.00
14,450.00
22,000.00
17,330.00
24,000.00
20,000.00
35,000.00
40,500.00
37,000.00
34,650.00
25,000.00
40,000.00
40,000.00

66,125.00
16,618.00
25,300.00
19,930.00
27,600.00
23,000.00
40,250.00
46,575.00
42,550.00
39,848.00
28,750.00
46,000.00
46,000.00

35,000.00
42,500.00
17,000.00

40,250.00
48,875.00
19,550.00

16,000.00

18,400.00

17,250.00
23,000.00
23,000.00
17,250.00
15,525.00
3,347.00
15,525.00
17,000.00
16,100.00
11,302.00
10,800.00
10,800.00
13,500.00
13,938.00
14,000.00
22,425.00
14,500.00
13,000.00
8,762.00
15,000.00
15,000.00

19,838.00
26,450.00
26,450.00
19,838.00
17,854.00
3,849.00
17,854.00
19,550.00
18,515.00
12,997.00
12,420.00
12,420.00
15,525.00
16,029.00
16,100.00
25,789.00
16,675.00
14,950.00
10,076.00
17,250.00
17,250.00

19,000.00
10,000.00

21,850.00
11,500.00

31 | P a g e

1040
1041
1042
1043
1044
1045
1046
1047
1048
1049
1050
1051
1052
1053
1054
1055
1056
1057
1058
1059

1060
1061
1062
1063
1064
1065
1066
1067
1068
1069
1070
1071
1072
1073
1074
1075
1076
1077
1078
1079
1080

Imperforate Anus Low Anomaly - Perineal Anoplasty

Imperforate Anus High Anomaly -Sacroabdomino
Perineal Pull Through
Imperforate Anus High Anomaly - Closure of
Colostomy
Intususception Operation
Choledochoduodenostomy for Atresia of Extra Hepatic
Billiary Duct
Operation of Choledochal Cyst
Nephrectomy for -Pyonephrosis
Nephrectomy for - Hydronephrosis
Nephrectomy for -Wilms Tumour
Paraortic Lymphadenoctomy with Nephrectomy for
Wilms Tumour
Sacro-Coccygeal Teratoma Excision
Neuroblastoma Debulking
Neuroblastoma Total Excision
Rhabdomyosarcoma wide Excision
Congenital Atresia & Stenosis of Small Intestine
Muconium ileus
Mal-rotation & Volvulus of the Midgut
Excision of Meckles Deverticulum
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURES BURNS AND PLASTIC
SURGERY
Primary Suturing of Wound
Injection of Keloids - Ganglion
Injection of Keloids - Haemangioma
Free Grafts - Wolfe Grafts
Free Grafts - Theirech- Small Area 5%
Free Grafts - Large Area 10%
Free Grafts - Very Large Area 20% and above.
Skin Flaps - Rotation Flaps
Skin Flaps - Advancement Flaps
Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap
Skin Flaps - Cross Finger
Skin Flaps - Abdominal
Skin Flaps - Thoracic
Skin Flaps - Arm Etc.
Subcutaneous Pedicle Flaps Raising
Subcutaneous Pedicle Flaps Delay
Subcutaneous Pedicle Flaps Transfer
Cartilage Grafting
Reduction of Facial Fractures of Nose
Reduction of Facial Fractures of Maxilla
Reduction of Fractures of Mandible & Maxilla - Eye Let
Splinting

CGHS, ALLAHABAD

12,000.00

13,800.00

12,500.00

14,375.00

8,000.00
20,700.00

9,200.00
23,805.00

15,000.00
16,000.00
17,000.00
15,000.00
13,500.00

17,250.00
18,400.00
19,550.00
17,250.00
15,525.00

20,000.00
14,000.00
16,000.00
20,000.00
15,000.00
19,000.00
16,000.00
15,000.00
12,000.00
27,000.00
11,050.00

23,000.00
16,100.00
18,400.00
23,000.00
17,250.00
21,850.00
18,400.00
17,250.00
13,800.00
31,050.00
12,708.00

300.00
989.00
1,035.00
1,725.00
7,475.00
8,000.00
10,350.00
8,970.00
12,500.00
12,500.00
12,500.00
9,350.00
9,350.00
11,000.00
6,900.00
5,950.00
5,950.00
8,625.00
1,380.00
8,000.00

345.00
1,137.00
1,190.00
1,984.00
8,596.00
9,200.00
11,903.00
10,316.00
14,375.00
14,375.00
14,375.00
10,753.00
10,753.00
12,650.00
7,935.00
6,843.00
6,843.00
9,919.00
1,587.00
9,200.00

7,475.00

8,596.00
32 | P a g e

1081
1082
1083
1084
1085
1086
1087
1088
1089
1090
1091
1092
1093
1094
1095
1096
1097
1098
1099
1100
1101
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
1116
1117
1118
1119
1120
1121
1122
1123

Reduction of Fractures of Mandible & Maxilla - Cast

Netal Splints
Reduction of Fractures of Mandible & Maxilla Gumming Splints
Internal Wire Fixation of Mandible & Maxilla
Cleft Lip - repair.
Cleft Palate Repair
Primary Bone Grafting for alveolar cleft in Cleft Lip
Secondary Surgery for Cleft Lip Deformity
Secondary Surgery for Cleft Palate
Reconstruction of Eyelid Defects - Minor
Reconstruction of Eyelid Defects - Major
Plastic Surgery of Different Regions of the Ear - Minor
Plastic Surgery of Different Regions of the Ear - Major
Plastic Surgery of the Nose - Minor
Plastic Surgery of the Nose - Major
Plastic Surgery for Facial Paralysis (Support with
Reanimation)
Pendulous Breast - Mammoplasty
Underdeveloped Breast Mammoplasty
After Mastectomy (Reconstruction)Mammoplasty
Syndactyly Repair
Dermabrasion Face
upto 30% Burns 1st Dressing
upto 30% Burns Subsequent Dressing
30% to 50% Burns 1st Dressing
30% to 50% Burns Subsequent Dressing
Extensive Burn -above 50% Frist Dressing
Extensive Burn -above 50% Subsequent dressing
TREATMENT PROCEDURES ORTHOPEDICS
Plaster Work
Fingers (post slab)
Fingers full plaster
Colles Fracture - Below elbow
Colles Fracture - Full plaster
Colles fracture Ant. Or post. slab
Above elbow full plaster
Above Knee post-slab
Below Knee full plaster
Below Knee post-slab
Tube Plaster (or plaster cylinder)
Above knee full plaster
Above knee full slab
Minerva Jacket
Plaster Jacket
Shoulder spica
Single Hip spica

CGHS, ALLAHABAD

6,900.00

7,935.00

7,500.00
11,500.00
11,500.00
12,650.00
11,500.00
10,000.00
12,000.00
6,325.00
7,650.00
8,000.00
10,350.00
8,050.00
9,500.00

8,625.00
13,225.00
13,225.00
14,548.00
13,225.00
11,500.00
13,800.00
7,274.00
8,798.00
9,200.00
11,903.00
9,258.00
10,925.00

16,100.00
13,000.00
12,000.00
12,000.00
12,750.00
11,903.00
152.00
124.00
193.00
152.00
276.00
193.00

18,515.00
14,950.00
13,800.00
13,800.00
14,663.00
13,688.00
175.00
143.00
222.00
175.00
317.00
222.00

255.00
259.00
259.00
880.00
895.00
400.00
173.00
575.00
173.00
718.00
800.00
1,139.00
1,100.00
2,174.00
2,000.00
1,900.00
2,019.00

293.00
298.00
298.00
1,012.00
1,029.00
460.00
199.00
661.00
199.00
826.00
920.00
1,310.00
1,265.00
2,500.00
2,300.00
2,185.00
2,322.00
33 | P a g e

1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
1135
1136
1137
1138
1139
1140
1141
1142
1143
1144
1145
1146
1147
1148
1149
1150
1151
1152
1153
1154
1155
1156
1157
1158
1159
1160
1161
1162
1163
1164
1165

Double Hip spica

Strapping of Finger
Strapping of Toes
Strapping of Wrist
Strapping of Elbow
Strapping of Knee
Strapping of Ankle
Strapping of Chest
Strapping of Shoulder
Figure of 8 bandage
Collar and cuff sling
Ball bandage
Application of P.O.P Casts for Upper & Lower Limbs
Application of Functiol Cast Brace
Application of Skin Traction
Application of Skeletal Tractions
Bandage & Strappings for Fractures
Aspiration & Intra Articular Injections
Application of P.O.P Spices & Jackets
Close Reduction of Fractures of Limb & P.O.P
Reduction of Compound Fractures
Open Reduction & Internal Fixation of Fingurs & Toes
Open Reduction offracture of Long Bones of Upper /
Lower Limb -iling & Exterl Fixation
Open Reduction of fracture of Long Bones of Upper /
Lower Limb -AO PROCEDURESs
Tension Band Wirings
Bone Grafting
Excision of Bone Tumours
Excision or other Operations for Scaphoid Fractures
Sequestrectomy & Saucerisation
Sequestrectomy & Saucerizations -Arthrotomy
Multiple Pinning Fracture Neck Femur
Plate Fixations for Fracture Neck Femur
A.O.Compression PROCEDURESs for Fracture Neck
Femur
Open Reduction of Fracture Neck Femur Muscle
Pedicle Graft and Internal Fixations
Close Reduction of Dislocations
Open Reduction of Dislocations
Open Reduction of Fracture Dislocation & Internal
Fixation
Neurolysis/Nerve repair
Nerve Repair with Grafting
Tendon with Transplant or Graft
Tendon Lengthening/Tendon repair
Tendon Transfer

CGHS, ALLAHABAD

2,484.00
179.00
180.00
230.00
262.00
345.00
345.00
460.00
500.00
500.00
250.00
400.00
633.00
1,215.00
621.00
949.00
500.00
575.00
2,473.00
2,340.00
2,600.00
4,658.00

2,857.00
206.00
207.00
265.00
301.00
397.00
397.00
529.00
575.00
575.00
288.00
460.00
728.00
1,397.00
714.00
1,091.00
575.00
661.00
2,844.00
2,691.00
2,990.00
5,357.00

8,050.00

9,258.00

9,660.00
5,092.00
6,000.00
6,900.00
6,469.00
6,210.00
9,971.00
11,500.00
13,500.00

11,109.00
5,856.00
6,900.00
7,935.00
7,439.00
7,142.00
11,467.00
13,225.00
15,525.00

15,000.00

17,250.00

19,500.00
3,000.00
3,400.00

22,425.00
3,450.00
3,910.00

13,000.00
13,800.00
15,008.00
10,000.00
8,000.00
3,105.00

14,950.00
15,870.00
17,259.00
11,500.00
9,200.00
3,571.00

34 | P a g e

1166
1167
1168
1169
1170
1171
1172
1173
1174
1175
1176
1177
1178
1179
1180
1181
1182
1183
1184
1185
1186
1187
1188
1189
1190
1191
1192
1193
1194
1195
1196
1197
1198
1199
1200
1201
1202
1203
1204
1205
1206
1207
1208
1209

Laminectomy Excision Disc and Tumours

Spil Ostectomy and Internal Fixations
Anterolateral decompression for tuberculosis/ CostoTransversectomy
Antereolateral Decompression and Spil Fusion
Corrective Ostectomy & Internal Fixation - short
bones
Corrective Ostectomy & Internal Fixation - long bones
Arthrodesis of - Minor Joints
Arthrodesis of - Major Joints
Soft Tissue Operations for C.T.E.V.
Soft Tissue Operations for Polio
Hemiarthroplasty- Hip
Hemiarthroplasty- Shoulder
Operations for Brachial Plexus & Cervical Rib
Amputations - Below Knee
Amputations - Below Elbow
Amputations - Above Knee
Amputations - Above Elbow
Amputations - Forequarter
Amputations -Hind Quarter and Hemipelvectomy
Disarticulations - Major joint
Disarticulations - Minor joint
Arthrography
Arthroscopy - Diagnostic
Arthroscopy-therapeutic: without implant
Arthroscopy-therapeutic: with implant
Soft Tissue Operation on JOINTS -SMALL
Soft Tissue Operation on JOINTS -LARGE
Myocutaneous and Fasciocutaneous Flap
PROCEDURESs for Limbs
Removal of Wires & Screw
Removal of Plates
Total Hip Replacement
Total Ankle Joint Replacement
Total Knee Joint Replacement
Total Shoulder Joint Replacement
Total Elbow Joint Replacement
Total Wrist Joint Replacement
Total finger joint replacement
Tubular external fixator
Ilizarov's external fixator
Pelvi-acetebular fracture -Internal fixation
Meniscectomy
Meniscus Repair
ACL Reconstruction
PCL Reconstruction

CGHS, ALLAHABAD

4,830.00
22,000.00

5,555.00
25,300.00

3,450.00
19,350.00

3,968.00
22,253.00

12,420.00
11,040.00
10,000.00
10,000.00
8,000.00
6,900.00
18,200.00
18,200.00
21,735.00
6,900.00
6,843.00
8,050.00
6,843.00
13,000.00
18,400.00
18,630.00
11,385.00
8,280.00
8,000.00
10,000.00
16,000.00
6,210.00
12,150.00

14,283.00
12,696.00
11,500.00
11,500.00
9,200.00
7,935.00
20,930.00
20,930.00
24,995.00
7,935.00
7,869.00
9,258.00
7,869.00
14,950.00
21,160.00
21,425.00
13,093.00
9,522.00
9,200.00
11,500.00
18,400.00
7,142.00
13,973.00

18,000.00
1,760.00
4,000.00
71,100.00
85,860.00
99,000.00
71,100.00
71,100.00
95,000.00
20,000.00
4,600.00
7,763.00
8,000.00
12,000.00
10,000.00
8,500.00
13,500.00

20,700.00
2,024.00
4,600.00
81,765.00
98,739.00
113,850.00
81,765.00
81,765.00
109,250.00
23,000.00
5,290.00
8,927.00
9,200.00
13,800.00
11,500.00
9,775.00
15,525.00
35 | P a g e

1210
1211
1212
1213
1214
1215
1216
1217
1218
1219
1220
1221
1222
1223
1224
1225
1226
1227
1228
1229
1230
1231
1232
1233
1234
1235
1236
1237
1238
1239
1240
1241
1242
1243
1244
1245
1246
1247
1248
1249
1250
1251
1252

Knee Collateral Ligament Reconstruction

Bencarf Repair Shoulder
RC Repair
Biceps tenodesis
Distal biceps tendon repair
Arthrolysis of knee
Capsulotomy of Shoulder
Conservative Pop
Application for CTEV per sitting
Total Hip Replacement Revision
Stage-I
Total Hip Replacement Revision
Stage-II
Total Knee Replacement Revision Stage-I
Total Knee Replacement Revision Stage-II
Illizarov/ external fixation for limb lengthening/
deformity correction
Discectomy/ Micro Discectomy
Laminectomy
Spinal Fixation Cervical/dorsolumbar/ lumbosacral
Fusion Surgery Cervical/ Lumbar Spine upto 2 Level
More than 2 Level
Scoliosis Surgery/ Deformity Correction of Spine
Vertebroplasty
Spinal Injections
DHS for Fracture Neck Femur
Proximal Femoral Nail (PFN for IT Fracture)
Spinal Osteotomy
Illizarovs / External Fixation for Trauma
Soft Tissue Operations for Polio/ Cerebral Palsy
Mini Fixator for Hand/Foot
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURES PHYSIOTHERAPY
Ultrasonic therapy
S.W. Diathermy
Electrical stimulation (therapeutic)
Muscle testing and diagnostic
Infra red
U.V. Therapeutic dose
Intermittent Lumbar Traction
Intermittent Cervical traction
Wax bath
Hot pack
Breathing Exercises & Postural Drainage
Cerebral Palsy exercise
Post polio exercise

CGHS, ALLAHABAD

12,500.00
13,200.00
1,500.00
14,000.00
10,380.00
12,500.00
15,000.00
1,200.00
1,200.00
17,000.00
50,000.00
35,000.00
35,000.00

14,375.00
15,180.00
1,725.00
16,100.00
11,937.00
14,375.00
17,250.00
1,380.00
1,380.00
19,550.00
57,500.00
40,250.00
40,250.00

12,500.00
12,500.00
4,646.00
16,000.00
22,000.00
12,000.00
25,000.00
12,000.00
450.00
15,000.00
14,000.00
1,434.00
13,000.00
10,557.00
8,100.00
38,250.00
11,883.00

14,375.00
14,375.00
5,343.00
18,400.00
25,300.00
13,800.00
28,750.00
13,800.00
518.00
17,250.00
16,100.00
1,649.00
14,950.00
12,141.00
9,315.00
43,988.00
13,665.00

75.00
78.00
78.00
71.00
78.00
58.00
78.00
75.00
75.00
78.00
50.00
50.00
50.00

86.00
90.00
90.00
82.00
90.00
67.00
90.00
86.00
86.00
90.00
58.00
58.00
58.00

36 | P a g e

1253
1254
1255
1256
1257
1258
1259
1260
1261
1262
1263
1264
1265
1266
1267

1268
1269
1270
1271
1272
1273
1274
1275
1276
1277
1278
1279
1280

1281
1282
1283
1284
1285
1286
1287
1288
1289
1290
1291

NUCLEAR MEDICINE / RADIOTHERAPY AND

CHEMOTHERAPY
Cobalt 60 therapy
Radical therapy
Palliative therapy
Linear accelerator
Radical therapy
Palliative therapy
3 D Planning
2 D Planing
IMRT(Intensity Modulated radiotherapy)
SRT (Stereotactic radiotherapy)
SRS(Stereotactic radio surgery)
IGRT(Image guided radiotherapy)
Respiratory Gating-alongwith Linear accelerator
planning
Electron beam with Linear accelerator
Tomotherapy
NUCLEAR MEDICINE / BRACHYTHERAPY- HIGH DOSE
RADIATION
Intracavitory
Interstitial
Intraluminal
Surface mould
GLIADAL WAFER
NUCLEAR MEDICINE / CHEMOTHARAPY
Neoadjuvant
Adjuvant
Concurrent-chemoadiation
Single drug
Multiple drugs
Targeted therapy
Chemoport facility
PICC line (peripherally inserted Central canulisation)
LIST OF PROCEDURES/ TESTS IN
GASTROENTEROLOGY / ENDOSCOPIC PROCEDURES
Upper G.I. Endoscopy + Lower G.I. Endoscopy
Diagnostic endoscopy
Endoscopic biopsy
Endoscopic mucosal resection
Oesophageal stricture dilatation
Balloon dilatation of achalasia cardia
Foreign body removal
Oesophageal stenting
Band ligation of oesophageal varices
Sclerotherapy of oesophageal varices
Glue injection of varices

CGHS, ALLAHABAD

63,750.00
68,425.00
24,438.00
29,750.00
58,650.00
34,213.00
4,888.00
4,888.00
100,878.00
60,996.00
80,546.00
132,314.00

73,313.00
78,689.00
28,104.00
34,213.00
67,448.00
39,345.00
5,621.00
5,621.00
116,010.00
70,145.00
92,628.00
152,161.00

110,000.00
67,473.00
79,400.00

126,500.00
77,594.00
91,310.00

11,730.00
58,650.00
9,775.00
4,644.00
93,900.00

13,490.00
67,448.00
11,241.00
5,341.00
107,985.00

863.00
863.00
920.00
552.00
897.00
920.00
920.00
920.00

992.00
992.00
1,058.00
635.00
1,032.00
1,058.00
1,058.00
1,058.00

1,553.00
250.00
345.00
1,389.00
1,725.00
2,875.00
1,725.00
3,000.00
2,500.00
2,500.00
2,500.00

1,786.00
288.00
397.00
1,597.00
1,984.00
3,306.00
1,984.00
3,450.00
2,875.00
2,875.00
2,875.00

37 | P a g e

1292
1293
1294
1295
1296
1297
1298
1299
1300
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1311
1312
1313
1314
1315
1316
1317
1318
1319
1320
1321
1322
1323
1324
1325
1326
1327
1328
1329
1330
1331
1332
1333
1334
1335
1336
1337

Argon plasma coagulation

Pyloric balloon dilatation
Enteranal stenting
Duodenal stricture dilation
Single balloon enterocopy
Double balloon enteroscopy
Capsule endoscopy
Piles banding
Colonic stricture dilatation
Hot biopsy forceps PROCEDURESs
Colonic stenting
Junction biopsy
Conjugal microscopy
Endoscopic sphincterotomy
CBD stone extraction
CBD stricture dilatation
Biliary stenting (plastic and metallic)
Mechanical lithotripsy of CBD stones
Pancreatic sphincterotomy
Pancreatic stricture dilatation
Pancreatic stone extraction
Mechanical lithotripsy of pancreatic stones
Endoscopic cysto gastrostomy
Balloon dilatation of papilla
Ultrasound guided FNAC
Ultrasound guided abscess Drainage
PTBD
Diagnostic angiography
Vascular embolization
TIPS
IVC graphy + hepatic veinography
Muscular stenting
BRTO
Portal haemodymic studies
Manometry and PH metry
Oesophageal PH metry
Oesophageal manometry
Small bowel manometry
Anorectal manometry
Colonic manometry
Biliary manometry
Sengstaken blackenesse tube tempode
Lintas machles tube tempode
Fecal fat test/ fecal chymotrypsin/ fecal elastase
Breath tests
Extra corporeal shortwave lithotripsy

CGHS, ALLAHABAD

4,025.00
2,415.00
3,680.00
990.00
4,000.00
3,500.00
4,500.00
1,099.00
2,737.00
3,000.00
2,737.00
2,000.00
4,000.00
2,415.00
2,415.00
6,500.00
4,830.00
8,000.00
6,375.00
5,750.00
10,098.00
11,385.00
8,050.00
6,900.00
575.00
720.00
1,150.00
2,000.00
15,100.00
5,400.00
34,212.00
97,750.00
57,500.00
1,913.00
1,612.00
5,000.00
5,000.00
6,800.00
6,800.00
7,650.00
7,650.00
2,875.00
2,875.00
350.00
300.00
41,400.00

4,629.00
2,777.00
4,232.00
1,139.00
4,600.00
4,025.00
5,175.00
1,264.00
3,148.00
3,450.00
3,148.00
2,300.00
4,600.00
2,777.00
2,777.00
7,475.00
5,555.00
9,200.00
7,331.00
6,613.00
11,613.00
13,093.00
9,258.00
7,935.00
661.00
828.00
1,323.00
2,300.00
17,365.00
6,210.00
39,344.00
112,413.00
66,125.00
2,200.00
1,854.00
5,750.00
5,750.00
7,820.00
7,820.00
8,798.00
8,798.00
3,306.00
3,306.00
403.00
345.00
47,610.00

38 | P a g e

1338
1339
1340
1341
1342
1343
1344
1345
1346
1347

1348
1349
1350
1351
1352
1353
1354
1355
1356
1357
1358
1359
1360
1361
1362
1363

1364
1365
1366
1367
1368
1369
1370

Liver biopsy
NAME OF INVESTIGATION / DENTAL
Dental IOPA X-ray
Occlusal X-ray
OPG X-ray
NAME OF INVESTIGATION / PULMONARY
Lung Ventilation & Perfusion Scan (V/Q Scan)
Lung Perfusion Scan
NAME OF INVESTIGATION / OSTEOLOGY
Whole Body Bone Scan with SPECT.
Three phase whole body Bone Scan
NAME OF INVESTIGATION / NEUROSCIENCES
Brain Perfusion SPECT Scan with Technetium 99m
radiopharmaceuticals.
Radionuclide Cisternography for CSF leak
NAME OF INVESTIGATION / GASTRO AND
HEPATOBILIARY
Gastro esophageal Reflux Study (G.E.R. Study)
Gastro intestinal Bleed (GloB.) Study with Technetium
99m labeled RBCs.
Hepatobiliary Scintigraphy.
Meckel's Scan
Hepatosplenic scintigraphy with Technetium-99m
radiopharmaceuticals
Gastric emptying
NAME OF INVESTIGATION / GENITOURINARY
Renal Cortical Scintigraphy with Technetium 99m
D.M.S.A.
Dynamic Renography.
Dynamic Renography with Diuretic.
Dynamic Renography with Captopril
Testicular Scan
NAME OF INVESTIGATION / ENDOCRINOLOGY
Thyroid Uptake measurements with 131-Iodine.
Thyroid Scan with Technetium 99m Pertechnetate.
Lodine-131 Whole Body Scan.
Whole Body Scan with M.I.B.G.
Parathyroid Scan
NAME OF INVESTIGATION / RADIO-ISOTOPE
THERAPY
131-lodine Therapy
131-lodine Therapy <15mCi
131-lodine Therapy 15-50mCi
131-lodine Therapy 51-100mCi
131-lodine Therapy >100mCi
Phosphorus-32 therapy for metastatic bone pain
palliation
Samarium-153 therapy for metastatic bone pain

CGHS, ALLAHABAD

1,380.00

1,587.00

50.00
78.00
196.00

58.00
90.00
225.00

3,600.00
2,000.00

4,140.00
2,300.00

3,421.00
3,421.00

3,934.00
3,934.00

9,775.00
3,740.00

11,241.00
4,301.00

1,955.00

2,248.00

3,421.00
2,444.00
1,955.00

3,934.00
2,811.00
2,248.00

1,870.00
1,275.00

2,151.00
1,466.00

3,421.00
3,421.00
3,421.00
1,960.00
1,466.00

3,934.00
3,934.00
3,934.00
2,254.00
1,686.00

1,564.00
1,466.00
2,933.00
17,595.00
4,888.00

1,799.00
1,686.00
3,373.00
20,234.00
5,621.00

1,530.00
3,854.00
4,956.00
12,000.00
15,000.00

1,760.00
4,432.00
5,699.00
13,800.00
17,250.00

5,000.00
9,405.00

5,750.00
10,816.00

39 | P a g e

palliation
1371
1372
1373
1374
1375
1376
1377
1378
1379
1380
1381
1382

1383
1384
1385
1386
1387
1388
1389
1390
1391
1392
1393
1394
1395
1396
1397
1398
1399
1400
1401
1402
1403
1404
1405
1406
1407
1408

Radiosynovectomy with Yttrium

NAME OF INVESTIGATION / CARDIOLOGY
Stress thallium / Myocardial Perfusion Scintigraphy
Rest thallium / Myocardial Perfusion Scintigraphy
Venography
TMT
TEE
Lymph angiography
NAME OF INVESTIGATION / TUMOUR IMAGING
Scintimammography.
Indium lableled octeriotide Scan.
NAME OF INVESTIGATION / PET SCAN
FDG Whole body PET / CT Scan
Brain I Heart FDG PET / CTScan,
Gallium-68 Peptide PET / CT imaging for
Neuroendocrine Tumor
LABORATORY MEDICINE / CLINICAL PATHOLOGY
Urine routine- pH, Specific gravity, sugar, protein and
microscopy
Urine-Microalbumin
Stool routine
Stool occult blood
Post coital smear examination
Semen analysis
LABORATORY MEDICINE / HAEMATOLOGY
Haemoglobin (Hb)
Total Leucocytic Count (TLC)
Differential Leucocytic Count (DLC)
E.S.R.
Total Red Cell count with MCV,MCH,MCHC,DRW
Complete Haemogram/CBC, Hb,RBC count and indices,
TLC, DLC, Platelet, ESR, Peripheral smear examination
Platelet count
Reticulocyte count
Absolute Eosinophil count
Packed Cell Volume (PCV)
Peripheral Smear Examination
Smear for Malaria parasite
Bleeding Time
Osmotic fragility Test
Bone Marrow Smear Examination
Bone Marrow Smear Examination with iron stain
Bone Marrow Smear Examination and cytochemistry
Activated partial ThromboplastinTime (APTT)
Rapid test for malaria(card test)
WBC cytochemistry for leukemia -Complete panel

CGHS, ALLAHABAD

21,250.00

24,438.00

9,450.00
8,000.00
3,300.00
489.00
489.00
1,613.00

10,868.00
9,200.00
3,795.00
562.00
562.00
1,855.00

4,800.00
73,313.00

5,520.00
84,310.00

20,528.00
14,663.00

23,607.00
16,862.00

15,000.00

17,250.00

35.00
70.00
35.00
24.00
30.00
35.00

40.00
81.00
40.00
28.00
35.00
40.00

18.00
30.00
30.00
25.00
32.00

21.00
35.00
35.00
29.00
37.00

135.00
48.00
48.00
48.00
13.00
43.00
41.00
35.00
50.00
70.00
250.00
440.00
102.00
44.00
110.00

155.00
55.00
55.00
55.00
15.00
49.00
47.00
40.00
58.00
81.00
288.00
506.00
117.00
51.00
127.00
40 | P a g e

1409
1410
1411
1412
1413
1414
1415
1416
1417
1418
1419
1420
1421
1422
1423
1424
1425
1426
1427
1428
1429
1430
1431
1432
1433
1434
1435
1436
1437
1438
1439
1440
1441
1442
1443
1444
1445
1446

Bleeding Disorder panel- PT, APTT, Thrombin Time

Fibrinogen, D-Dimer/ FDP
Factor Assays-Factor VIII
Factor Assays-Factor IX
Platelet Function test
Tests for hypercoagulable states- Protein C, Protein S,
Antithrombin
Tests for lupus anticoagulant
Tests for Antiphospholipid antibody IgG, IgM ( for
cardiolipin and B2 Glycoprotein 1)
Thalassemia studies (Red Cell indices and Hb HPLC)
Tests for Sickling / Hb HPLC)
LABORATORY MEDICINE / BLOOD BANK
Blood Group & RH Type
Cross match
Coombs Test Direct
Coombs Test Indirect
3 cell panel- antibody screening for pregnant female
11 cells panel for antibody identification
HBs Ag
HCV
HIV I and II
VDRL
RH Antibody titer
Platelet Concentrate
Random Donor Platelet(RDP)
Single Donor Platelet (SDP- Aphresis)
LABORATORY MEDICINE / HISTOPATHOLOGY
Routine-H & E
special stain
Immunohistochemistry(IHC)
Frozen section
Paraffin section
LABORATORY MEDICINE / CYTOLOGY
Pap Smear
Body fluid for Malignant cells
FNAC
NAME OF INVESTIGATION / FLOW CYTOMETRY
Leukemia panel /Lymphoma panel
PNH Panel-CD55,CD59
LABORATORY MEDICINE / CYTOGENETIC STUDIES
Karyotyping
FISH
LABORATORY MEDICINE / BIO-CHEMISTRY
Blood Glucose Random
24 hrs urine for Proteins,Sodium, creatinine
Blood Urea Nitrogen

CGHS, ALLAHABAD

400.00
720.00
680.00
50.00

460.00
828.00
782.00
58.00

400.00
150.00

460.00
173.00

500.00
560.00
77.00

575.00
644.00
89.00

30.00
50.00
90.00
100.00
153.00
153.00
102.00
128.00
150.00
43.00
80.00
56.00
128.00
150.00

35.00
58.00
104.00
115.00
176.00
176.00
117.00
147.00
173.00
49.00
92.00
64.00
147.00
173.00

90.00
65.00
750.00
780.00
309.00

104.00
75.00
863.00
897.00
355.00

150.00
150.00
200.00

173.00
173.00
230.00

1,536.00
1,000.00

1,766.00
1,150.00

1,385.00
500.00

1,593.00
575.00

24.00
50.00
54.00

28.00
58.00
62.00
41 | P a g e

1447
1448
1449
1450
1451
1452
1453
1454
1455
1456
1457
1458
1459
1460
1461
1462
1463
1464
1465
1466
1467
1468
1469
1470
1471
1472
1473
1474
1475
1476
1477
1478
1479
1480
1481
1482
1483
1484
1485
1486
1487
1488
1489
1490
1491
1492

Serum Creatinine
Urine Bile Pigment and Salt
Urine Urobilinogen
Urine Ketones
Urine Occult Blood
Urine total proteins
Rheumatoid Factor test
Bence Jones protein
Serum Uric Acid
Serum Bilirubin total & direct
Serum Iron
C.R.P.
C.R.P Quantitative
Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc.
Albumin.
Creatinine clearance.
Serum Cholesterol
Total Iron Binding Capacity
Glucose (Fasting & PP)
Serum Calcium Total
Serum Calcium Ionic
Serum Phosphorus
Total Protein Alb/Glo Ratio
IgG.
IgM.
IgA.
ANA.
Ds DNA.
S.G.P.T.
S.G.O.T.
Serum amylase
Serum Lipase
Serum Lactate
Serum Magnesium
Serum Sodium
Serum Potassium
Serum Ammonia
Anemia Profile
Serum Testosterone
Imprint Smear From Endoscopy
Triglyceride
Glucose Tolerance Test (GTT)
Triple Marker.
C.P.K.
Foetal Haemoglobin (HbF)
Prothrombin Time (P.T.)

CGHS, ALLAHABAD

55.00
25.00
20.00
30.00
35.00
18.00
100.00
47.00
55.00
80.00
90.00
100.00
160.00
90.00
18.00
80.00
62.00
80.00
47.00
60.00
44.00
60.00
50.00
250.00
250.00
250.00
200.00
350.00
55.00
55.00
117.00
130.00
72.00
100.00
50.00
50.00
100.00
204.00
150.00
240.00
75.00
90.00
800.00
100.00
77.00
110.00

63.00
29.00
23.00
35.00
40.00
21.00
115.00
54.00
63.00
92.00
104.00
115.00
184.00
104.00
21.00
92.00
71.00
92.00
54.00
69.00
51.00
69.00
58.00
288.00
288.00
288.00
230.00
403.00
63.00
63.00
135.00
150.00
83.00
115.00
58.00
58.00
115.00
235.00
173.00
276.00
86.00
104.00
920.00
115.00
89.00
127.00

42 | P a g e

1493
1494
1495
1496
1497
1498
1499
1500
1501
1502
1503
1504
1505
1506
1507
1508
1509
1510
1511
1512
1513
1514
1515
1516
1517
1518
1519
1520
1521
1522
1523
1524
1525
1526
1527
1528
1529
1530
1531
1532
1533
1534

L.D.H.
Alkaline Phosphatase
Acid Phosphatase
CK MB
CK MB Mass
Troponin I
Troponin T
Glucose Phosphate Dehydrogenase (G, 6PD)
Lithium.
Dilantin (phenytoin).
Carbamazepine.
Valproic acid.
Feritin.
Blood gas analysis
Blood gas analysis with electrolytes
Urine pregnancy test
Tests for Antiphospholipid antibodies syndrome.
Hb A1 C
Hb Electrophoresis/ Hb HPLC
Kidney Function Test.
Liver Function Test.
Lipid Profile.( Total
cholesterol,LDL,HDL,treigylcerides)
Nutritional Markers
Serum Iron
Total Iron Binding Capacity
Serum Ferritin
Vitamin B12 assay.
Folic Acid assay.
Extended Lipid Profile.( Total
cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo B,Lp(a)
)
Apo A1.
Apo B.
Lp (a).
CD 3,4 and 8 counts
CD 3,4 and 8 percentage
LDL.
Homocysteine.
HB Electrophoresis.
Serum Electrophoresis.
Fibrinogen.
Chloride.
Magnesium.
GGTP.
Lipase.

CGHS, ALLAHABAD

100.00
60.00
78.00
190.00
140.00
100.00
540.00
100.00
130.00
400.00
400.00
300.00
250.00
120.00
414.00
65.00
280.00
130.00
100.00
225.00
225.00

115.00
69.00
90.00
219.00
161.00
115.00
621.00
115.00
150.00
460.00
460.00
345.00
288.00
138.00
476.00
75.00
322.00
150.00
115.00
259.00
259.00

200.00

230.00

90.00
90.00
100.00
250.00
300.00

104.00
104.00
115.00
288.00
345.00

595.00
200.00
199.00
445.00
170.00
170.00
62.00
400.00
440.00
220.00
165.00
60.00
135.00
90.00
239.00

684.00
230.00
229.00
512.00
196.00
196.00
71.00
460.00
506.00
253.00
190.00
69.00
155.00
104.00
275.00

43 | P a g e

1535
1536
1537
1538
1539
1540
1541
1542
1543
1544
1545
1546
1547
1548
1549
1550
1551
1552
1553
1554
1555
1556
1557
1558
1559
1560
1561
1562
1563
1564
1565
1566
1567
1568
1569
1570
1571
1572
1573
1574
1575
1576

Fructosamine.
2 microglobulin
Catecholamines.
Creatinine clearance.
NAME OF INVESTIGATION / TUMOUR MARKERS
PSA- Total.
PSA- Free.
AFP.
HCG.
CA. 125.
CA 19,9.
CA 15.3.
Vinyl Mandelic Acid
Calcitonin
Carcioembryonic antigen(CEA)
OTHERS
Immunofluorescence
Direct(Skin and kidney Disease)
Indirect (antids DNA Anti Smith ANCA)
VitD3 assay
Serum Protein electrophoresis with
immunofixationelectrophoresis (IFE)
BETA-2 Microglobulin assay
Anti cycliocitrullinated peptide (Anti CCP)
Anti tissuetransglutaminase antibody
Serum Erythropoetin
ACTH
HARMONES
T3, T4, TSH
T3
T4
TSH
LH
FSH
Prolactin
Cortisol
PTH(Paratharmone)
C-Peptide.
Insulin.
Progesterone.
17-DH Progesterone.
DHEAS.
Androstendione.
Growth Hormone.
TPO.
Throglobulin.

CGHS, ALLAHABAD

200.00
90.00
1,050.00
120.00

230.00
104.00
1,208.00
138.00

312.00
375.00
300.00
289.00
391.00
616.00
560.00
350.00
500.00
340.00

359.00
431.00
345.00
332.00
450.00
708.00
644.00
403.00
575.00
391.00

150.00
425.00
425.00
550.00

173.00
489.00
489.00
633.00

270.00
100.00
450.00
425.00
425.00
500.00

311.00
115.00
518.00
489.00
489.00
575.00

200.00
64.00
64.00
90.00
150.00
150.00
150.00
250.00
500.00
330.00
150.00
225.00
440.00
440.00
600.00
340.00
300.00
300.00

230.00
74.00
74.00
104.00
173.00
173.00
173.00
288.00
575.00
380.00
173.00
259.00
506.00
506.00
690.00
391.00
345.00
345.00

44 | P a g e

1577
1578
1579
1580
1581
1582
1583
1584
1585
1586
1587
1588
1589
1590
1591
1592
1593
1594
1595
1596
1597
1598
1599
1600
1601
1602
1603
1604
1605
1606
1607
1608
1609
1610
1611
1612
1613
1614
1615
1616
1617
1618

Hydatid Serology.
Anti Sperm Antibodies.
Qualitative.
Quantitative.
Qualitative.
HPV serology
Rota Virus serology
PCR for TB
PCR for HIV
Chlamydae antigen
chlamydae antibody
Brucella serology
Influenza A serology
USG, X-RAY , CT, MRI, BONE DENSITOMETRY
USG for Obstetrics - Anomalies scan
Abdomen USG
Pelvic USG ( prostate, gynae, infertility etc)
Small parts USG ( scrotum, thyroid , parathyroid etc)
Neonatal head (Tranfontanellar)
Neonatal spine
Contrast enhanced USG
USG Breast
USG Hystero-Salpaingography (HSG)
Carotid Doppler
Arterial Colour Doppler
Venous Colour Doppler
Colour Doppler, renal arteries/any other organ
USG guided intervention- FNAC
USG guided intervention - biopsy
USG guided intervention - nephrostomy
X-Ray
Abdomen AP Supine or Erect (One film)
Abdomen Lateral view (one film)
Chest PA view (one film)
Chest Lateral (one film)
Mastoids: Towne view, oblique views (3 films)
Extremities, bones & Joints AP & Lateral views (Two
films)
Pelvis A.P (one film)
T. M. Joints (one film)
Abdomen & Pelvis for K. U. B.
Skull A. P. & Lateral (2 films)
Spine A. P. & Lateral (2 films)
PNS view (1 film)
X RAY CONTRAST STUDIES
Barium Swallow

CGHS, ALLAHABAD

318.00
380.00
2,000.00
1,500.00
1,691.00
218.00
130.00
900.00
600.00
850.00
238.00
230.00
943.00

366.00
437.00
2,300.00
1,725.00
1,945.00
251.00
150.00
1,035.00
690.00
978.00
274.00
265.00
1,084.00

323.00
323.00
255.00
349.00
425.00
500.00
900.00
349.00
255.00
850.00
706.00
706.00
800.00
490.00
720.00
800.00

371.00
371.00
293.00
401.00
489.00
575.00
1,035.00
401.00
293.00
978.00
812.00
812.00
920.00
564.00
828.00
920.00

128.00
128.00
60.00
60.00
230.00

147.00
147.00
69.00
69.00
265.00

255.00
110.00
110.00
128.00
255.00
250.00
110.00

293.00
127.00
127.00
147.00
293.00
288.00
127.00

510.00

587.00

45 | P a g e

1619
1620
1621
1622
1623
1624
1625
1626
1627
1628
1629
1630
1631
1632
1633
1634
1635
1636
1637
1638
1639
1640
1641
1642
1643
1644
1645
1646
1647
1648
1649
1650
1651
1652
1653
1654
1655
1656
1657

Barium Upper GI study

Barium Upper GI study (Double contrast)
Barium Meal follow through
Barium Enema (Single contrast/double contrast)
Small bowel enteroclysis
ERCP (Endoscopic Retrograde Cholangio
Pancreatography)
General :Fistulography
/Sinography/Sialography/Dacrocystography/ T-Tube
cholangiogram/Nephrostogram
Percutaneous transhepatic cholangiography (PTC)
Intravenous Pyelography (IVP)
Micturating Cystourethrography (MCU)
Retrograde Urethrography (RGU)
Contrast Hystero-Salpingography (HSG)
X ray - Arthrography
Cephalography
Myelography
Diagnostic Digital Subtraction Angiography (DSA)
MAMMOGRAPHY
X-ray Mammography
MRI Mammography
CT
CT Head-Without Contrast
CT Head- with Contrast (+/- CT angiography)
C. T. Chest - without contrast (for lungs)
C. T. Scan Lower Abdomen(incl. Pelvis) With Contrast
C. T. Scan Lower Abdomen( Incl. Pelvis) Without
Contrast
C. T. Scan Whole Abdomen Without Contrast
C. T. Scan Whole Abdomen With Contrast
Triple Phase CT abdomen
CT angiography abdomen/ Chest
CT Enteroclysis
C. T. Scan Neck Without Contrast
C. T. Scan Neck With Contrast
C. T. Scan Orbits - Without Contrast
C. T. Scan Orbits - With Contrast
C. T. Scan of Para Nasal Sinuses- Without Contrast
C. T. Scan of Para Nasal Sinuses - With Contrast
C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)
without contrast
CT Temporal bone without contrast
CT - Dental
C. T. Scan Limbs -Without Contrast
C. T. Scan Limbs -With Contrast including CT
angiography

CGHS, ALLAHABAD

720.00
842.00
935.00
850.00
1,020.00

828.00
968.00
1,075.00
978.00
1,173.00

2,500.00

2,875.00

638.00
1,296.00
1,190.00
680.00
680.00
918.00
700.00
150.00
2,750.00
1,749.00

734.00
1,490.00
1,369.00
782.00
782.00
1,056.00
805.00
173.00
3,163.00
2,011.00

315.00
2,550.00

362.00
2,933.00

900.00
1,350.00
1,700.00
1,700.00

1,035.00
1,553.00
1,955.00
1,955.00

1,500.00
2,700.00
4,050.00
4,050.00
4,500.00
5,400.00
1,500.00
1,870.00
1,190.00
1,615.00
900.00
1,600.00

1,725.00
3,105.00
4,658.00
4,658.00
5,175.00
6,210.00
1,725.00
2,151.00
1,369.00
1,857.00
1,035.00
1,840.00

1,500.00
893.00
1,275.00
1,700.00

1,725.00
1,027.00
1,466.00
1,955.00

2,253.00

2,591.00

46 | P a g e

1658
1659
1660
1661
1662
1663
1664
1665
1666
1667
1668
1669
1670
1671
1672
1673
1674
1675
1676
1677
1678
1679
1680
1681
1682
1683
1684
1685
1686
1687
1688
1689
1690
1691
1692
1693
1694
1695
1696
1697
1698
1699
1700
1701

C.T. Guided intervention FNAC

C.T. Guided Trucut Biopsy
C. T. Guided intervention percutaneous catheter drainage / tube placement
MRI
MRI Head Without Contrast
MRI Head With Contrast
MRI Orbits Without Contrast
MRI Orbits With Contrast
MRI Nasopharynx and PNS Without Contrast
MRI Nasopharynx and PNS With Contrast
MR for Salivary Glands with Sialography
MRI Neck - Without Contrast
MRI Neck- with contrast
MRI Shoulder Without contrast
MRI Shoulder With conntrast
MRI shoulder both Joints - Without contrast
MRI Shoulder both joints With contrast
MRI Wrist Single joint - Without contrast
MRI Wrist Single joint - With contrast
MRI Wrist both joints - Without contrast
MRI Wrist Both joints - With contrast
MRI knee Single joint - Without contrast
MRI knee Single joint - With contrast
MRI knee both joints - Without contrast
MRI knee both joints - With contrast
MRI Ankle Single joint - Without contrast
MRI Ankle single joint - With contrast
MRI Ankle both joints - With contrast
MRI Ankle both joints - Without contrast
MRI Hip - With contrast
MRI Hip without contrast
MRI Pelvis Without Contrast
MRI Pelvis with contrast
MRI Extremities - With contrast
MRI Extremities - Without contrast
MRI Temporomandibular B/L - With contrast
MRI Temporomandibular B/L - Without contrast
MR Temporal Bone/ Inner ear with contrast
MR Temporal Bone/ Inner ear without contrast
MRI Abdomen Without Contrast
MRI Abdomen With Contrast
MRI Breast - With Contrast
MRI Breast - Without Contrast
MRI Spine Screening - Without Contrast
MRI Chest Without Contrast

CGHS, ALLAHABAD

1,200.00
1,200.00

1,380.00
1,380.00

1,305.00

1,501.00

1,998.00
2,848.00
1,445.00
2,000.00
2,450.00
3,500.00
3,000.00
2,700.00
4,500.00
2,000.00
2,600.00
2,700.00
4,000.00
2,125.00
4,000.00
2,125.00
5,000.00
2,125.00
4,500.00
2,125.00
5,000.00
2,125.00
4,500.00
5,000.00
2,250.00
2,500.00
2,125.00
2,125.00
4,500.00
4,500.00
2,125.00
4,000.00
2,125.00
4,000.00
2,500.00
2,125.00
5,000.00
4,250.00
2,125.00
1,000.00
2,125.00

2,298.00
3,275.00
1,662.00
2,300.00
2,818.00
4,025.00
3,450.00
3,105.00
5,175.00
2,300.00
2,990.00
3,105.00
4,600.00
2,444.00
4,600.00
2,444.00
5,750.00
2,444.00
5,175.00
2,444.00
5,750.00
2,444.00
5,175.00
5,750.00
2,588.00
2,875.00
2,444.00
2,444.00
5,175.00
5,175.00
2,444.00
4,600.00
2,444.00
4,600.00
2,875.00
2,444.00
5,750.00
4,888.00
2,444.00
1,150.00
2,444.00

47 | P a g e

1702
1703
1704
1705
1706
1707
1708
1709
1710
1711
1712
1713
1714
1715

1716
1717
1718
1719
1720
1721
1722
1723
1724
1725
1726
1727
1728
1729
1730
1731
1732
1733
1734
1735
1736
1737
1738
1739
1740
1741
1742

MRI Chest With Contrast

MRI Cervical/Cervico Dorsal Spine Without Contrast
MRI Cervical/ Cervico Dorsal Spine With Contrast
MRI Dorsal/ Dorso Lumbar Spine - Without Contrast
MRI Dorsal/ Dorso Lumbar Spine With Contrast
MRI Lumbar/ Lumbo-Sacral Spine Without Contrast
MRI Lumbar/ Lumbo-Sacral Spine With Contrast
Whole body MRI (For oncological workup)
MR cholecysto-pancreatography.
MRI Angiography - with contrast
MR Enteroclysis
BONE DENSITOMETRY (DEXA SCAN)
Dexa Scan Bone Densitometry - Two sites
Dexa Scan Bone Densitometry - Three sites (Spine, Hip
& extremity)
Dexa Scan Bone Densitometry Whole body
NEUROLOGICAL INVESTIGATIONS AND
PROCEDURESS
EEG/Video EEG
EMG (Electro myography)
Nerve condition velocity (at least 2 limbs)
Decremental response (before and after neo stigmine)
Incremental response
SSEP (Somato sensory evoked potentials)
Poly somnography
Brachial plexus study
Muscle biopsy
ACHR anti body titre
Anti MUSK body titre
Serum COPPER
Serum ceruloplasmin
Urinary copper
Serum homocystine
Serum valproate level
Serum phenol barbitone level
Coagulation profile
Protein C, S anti thrombine III
Serum lactate level
CSF
Basic studies including cell count, protein, sugar, gram
stain, India Ink preparation and smear for AFP
Special studies
PCR for tuberculosis/ Herpes simplex
Bacterial culture and sensitivity
Mycobacterial culture and sensitivity
Fungal culture
Malignant cells

CGHS, ALLAHABAD

4,000.00
2,125.00
4,000.00
2,125.00
4,000.00
2,125.00
4,500.00
5,100.00
5,000.00
4,500.00
2,125.00

4,600.00
2,444.00
4,600.00
2,444.00
4,600.00
2,444.00
5,175.00
5,865.00
5,750.00
5,175.00
2,444.00

1,350.00

1,553.00

1,955.00
2,205.00

2,248.00
2,536.00

298.00
638.00
638.00
595.00
595.00
638.00
638.00
574.00
383.00
1,848.00
2,340.00
500.00
450.00
500.00
450.00
315.00
343.00
541.00
2,346.00
450.00

343.00
734.00
734.00
684.00
684.00
734.00
734.00
660.00
440.00
2,125.00
2,691.00
575.00
518.00
575.00
518.00
362.00
394.00
622.00
2,698.00
518.00

235.00
978.00
1,173.00
196.00
196.00
128.00
64.00

270.00
1,125.00
1,349.00
225.00
225.00
147.00
74.00
48 | P a g e

1743
1744
1745
1746
1747
1748
1749
1750
1751
1752
1753
1754
1755

1756
1757
1758
1759
1760
1761
1762
1763
1764
1765
1766
1767
1768
1769
1770
1771
1772
1773
1774
1775
1776
1777
1778
1779
1780

Anti measles antibody titre (with serum antibody

titre)
Viral culture
Antibody titre (Herpes simplex, cytomegalo virus,
flavivirus, zoster varicella virus)
Oligoclonal band
Myelin Basic protein
Lactate
Crypto coccal antigen
TESTS IN GASTRO-ENTEROLOGY
D-xylase test
Fecal fat test/ fecal chymotrypsin/ fecal elastase
Breath tests
H pylori serology for ciliac disease
HBV genotyping
HCV genotyping
TESTS IN ENDOCRINOLOGY ( IN ADDITION TO
THOSE INCLUDED UNDER HARMONES)
Urinary VMA
Urinary metanephrine/Normetanephrine
Urinary free catecholamine
Serum catecholamine
Serum aldosterone
24 Hr urinary aldosterone
Plasma renin activity
Serum aldosterone/renin ratio
Osmolality urine
Osmolality serum
Urinary sodium
Urinary Chloride
Urinary potassium
Urinary calcium
Thyroid binding globulin
24 hr. urinary free cortisole
Islet cell antibody
GAD antibody
Insulin associated antibody
IGF-1
IGF-BP3
Sex hormone binding globulin
USG guided FNAC thyroid gland
E2
Thyro globulin antibody

CGHS, ALLAHABAD

890.00
255.00

1,024.00
293.00

760.00
1,200.00
1,871.00
298.00
1,024.00

874.00
1,380.00
2,152.00
343.00
1,178.00

850.00
850.00
1,275.00
500.00
2,500.00
4,633.00

978.00
978.00
1,466.00
575.00
2,875.00
5,328.00

1,500.00
1,138.00
1,690.00
3,400.00
1,125.00
920.00
1,000.00
1,200.00
128.00
128.00
72.00
43.00
80.00
80.00
510.00
200.00
750.00
1,330.00
449.00
1,500.00
1,650.00
1,333.00
387.00
208.00
587.00

1,725.00
1,309.00
1,944.00
3,910.00
1,294.00
1,058.00
1,150.00
1,380.00
147.00
147.00
83.00
49.00
92.00
92.00
587.00
230.00
863.00
1,530.00
516.00
1,725.00
1,898.00
1,533.00
445.00
239.00
675.00

49 | P a g e

AGREEMENT BETWEEN
ADDITIONAL DIRECTOR, CGHS
AND
, Allahabad

This Agreement is made on the ________________ day of ________________, 2014

between the President of India acting through ADDITIONAL DIRECTOR, Central
Government Health Scheme, Ministry of Health & F.W., Government of India having its
office at 2nd FLOOR, SANGAM PLACE, CIVIL LINES, ALLAHABAD (hereinafter called CGHS,
which expression shall, unless repugnant to the context or meaning thereof, be deemed
to mean and include its successors and assigns) of the First Part

AND
... (Name of the Hospital with Address) of the
Second Part.

WHEREAS, the Central Government Health Scheme is providing comprehensive medical care
facilities to the Central Government Employees / Pensioners.

AND WHEREAS, CGHS proposes to provide treatment facilities and diagnostic facilities to the
Beneficiaries in the Private Recognized Hospitals in ALLAHABAD.

AND WHEREAS, (Name of the Hospital) offered to give the following treatment / diagnostic
facilities to the CGHS Beneficiaries in the Hospital.

NOW, THEREFORE, IT IS HEREBY AGREED between the Parties as follows:

CGHS, ALLAHABAD

50 | P a g e

1.

DEFINITIONS & INTERPRETATIONS

1.1

The following terms and expressions shall have the following meanings for purposes of this
Agreement:
1.1.1

Agreement shall mean this Agreement and all Schedules, supplements,

appendices, appendages and modifications thereof made in accordance with the
terms of this Agreement.

1.1.2

Benefit shall mean the extent or degree of service the beneficiaries are entitled to
receive as per the rules on the subject.

1.1.3

Bill Clearing Agency (BCA) means the agency appointed by CGHS for processing of
Data/ Bills of all CGHS beneficiaries (both serving and pensioner) attending the
empanelled Private Hospitals and for making payment.

1.1.4

Card shall mean the CGHS Card, issued by any competent authority, of any CGHS
city.

1.1.5

Card Holder shall mean a person having a CGHS Card .

1.1.6

CGHS Beneficiary shall mean a person who is eligible for coverage of CGHS and
holds a valid CGHS card.

1.1.7

Scheme to health services provided under the Scheme, subject to the terms,
conditions and limitations.

1.1.8

Diagnostic Center shall mean the (Name of the Diagnostic Center) performing tests
/ investigations

1.1.9

Imaging Centre shall mean the (Name of the Imaging Centre) performing X-ray ,
CT Scan, MRI, USG, etc.,

1.1.10 Emergency shall mean any condition or symptom resulting from any cause, arising
suddenly and if not treated at the earliest opportunity would be detrimental to the
health of the patient or shall jeopardize the life of the patient.
1.1.11 Empanelment shall mean the hospital authorized by the CGHS for treatment
purposes for a particular period.
1.1.12 Hospital shall mean the (Name of the Hospital) while performing under this
Agreement providing medical investigation, treatment and the healthcare of human
beings.

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1.1.13 The meaning of General purpose hospital, Specialty Hospital and Super specialty
Hospital are as defined in para A of E-Bid document.
1.1.14 De-recognition of Hospital shall mean debarring the hospital on account of adopting
unethical practices or fraudulent means in providing medical treatment to or not
following the good industry practices of the health care for the CGHS beneficiaries
after following certain procedure of inquiry Coverage shall mean the types of
persons to be eligible as the beneficiaries of the CGHS
1.1.15 Party shall mean either the CGHS or the Hospital and Parties shall mean both the
CGHS and the Hospital.
1.1.16 Package rate is defined as lump sum cost of inpatient treatment/ day care for which a
patient has been referred by competent authority or CGHS to Hospital. This includes
all charges pertaining to a particular treatment/ procedure including:

CGHS, ALLAHABAD

Registration charges,

Admission charges.

Accommodation charges ( includes diet provided to patient),

Operation charges

Injection charges,

Dressing charges,

Doctor/consultant visit charges,

ICU/ICCU charges,

Monitoring charges,

Transfusion charges,

Anesthesia charges,

Operation theatre charges,

Procedural charges/surgeons fee,

Cost of surgical disposables and all sundries used during hospitalization,

Cost of medicines.

Related routine and essential investigations,

Physiotherapy charges etc

Pre-anesthetic check up

Any other charges levied during stay under package days duration.

The above list is an illustrative one only.

52 | P a g e

The package rate, however, does not include expenses on telephone, tonics, cosmetics /
toiletries, etc. These are not part of the treatment regimen. Cost of these additional items, if
provided with the prior consent of the patient, has to be settled with the patient, for which
no reimbursement shall be admissible.

In order to remove the scope of any ambiguity on the point of package rates, it is reiterated
that the rate quoted for a particular procedure must be inclusive of all sub-procedures and
all related procedures to complete the treatment procedure. The patient shall not be asked
to bear the cost of any such procedure/item.

Implants shall be allowed as per CGHS ceiling rate or as per actual, whichever may be less or
as per actual, if there is no CGHS rate.

1.1.17 Specialized treatment shall mean the treatment in a particular specialty.

1.1.18 TPA shall mean a Third Party Administrator authorized by CGHS to process the medical
reimbursement claims or to carry out medical audit.
1.1.19 Rate Charges for approved procedures / services as may be notified by CGHS from time
to time.

2. APPROVED RATES TO BE CHARGED

The Hospital agrees that it shall charge from the CGHS beneficiary as per the rates for a particular
procedure / package deal as prescribed by the CGHS and attached as Annexure (rate list), which shall be an
integral part of this Agreement.

3. DURATION
This Agreement shall remain in force for a period of 2 years or till it is modified or revoked, whichever is
earlier. The Agreement may be extended for another year subject to fulfillment of all the terms and conditions
of this Agreement and with mutual consent.
4. SUBMISSION OF BILLS TO BILL CLEARING AGENCY
In case of Pensioners , etc., where credit bills are sent to CGHS, the Hospital shall submit the physical bill
as well as electronic bill to the BCA for processing of bills and payment.
In case of serving employees the electronic bill and details shall be submitted to BCA where as physical
Bill shall be submitted to concerned department/ serving employee for payment.
On completion of the treatment/procedure(s) of the CGHS beneficiary, the Hospital shall submit credit bill
(in those cases where credit facility is extended) along with other documents electronically (a scan copy) for
pre-auditing by the BCA team through web access (Internet) and sharing of data shall be through electronic
media.

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5. PAYMENT WITHIN TEN DAYS

CGHS shall appoint a Bill Clearing Agency (BCA), for processing of Data/ Bills of all CGHS beneficiaries
attending these Hospitals. CGHS would ensure that payment of hospital claims would be done in time bound
manner- within a period of 10 days from the date of submission of bills in physical format to the designated
BCA.
CGHS beneficiary attending hospital in emergency: In such a situation the Hospital shall intimate to BCA
within 2 hours of admission and BCA shall respond in 4 hours (however treatment shall not be denied to any
CGHS member and this is only an initiation of the e-workflow). Post discharge hospital would upload bills and
download documents as per requirements of CGHS within 72 hours.

6. INFORMATION TO BE PROVIDED TO THE BCA BY HOSPITALS

CGHS beneficiary attending hospital with permission letter -- upon admission hospital shall
verify and submit information of admission online to BCA. BCA shall respond in 4 hours. Post discharge
hospital would upload bills and download documents as per CGHS requirements within 72 hours. BCA shall
respond/clear the bill in seven working days.

7. INFRASTRUCTURE FOR INTERACTION WITH BCA

The Hospital shall have:
Dedicated Personal Computer with Dual Core /Core 2 DUO processor and minimum 2 GB RAM supported by
UPS. OS should be Windows. Dedicated Colour scanner with a minimum resolution 200dpi.
Scalable Broad Band internet connectivity with minimum assured speed of 512kbps. Necessary security
systems should be taken care of.
A designated Nodal Person to interact with BCA.
The Private Hospital would be legally responsible for user authentication.

8. PROCESSING OF CLAIMS / BILLS BY BCA

The actual auditing shall start when physical copies of these bills are submitted by concerned Hospital to the
BCA on behalf of the CGHS and counting of days shall start from such date for the purpose of discount etc.

The Private Hospital shall also submit to BCA the electronic bills and other Data online in case of serving
employees and original bills (Hard Copy) shall be provided to the beneficiary where payment has been made
by the beneficiary.

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54 | P a g e

The Data and electronic bills in respect of serving employees shall be utilized for statistical purposes.

The BCA during the course of the auditing shall restrict the claims as per CGHS rules and regulations. BCA
shall also examine in terms of the following:

Appropriateness of treatment including screening of patients records to identify unnecessary

admissions and unwarranted treatments

Whether the planned treatment is shown as emergency treatment

Whether the diagnostic medical or surgical procedures that were not required were conducted by
hospital including unnecessary investigations

Maintaining database of such information of CGHS beneficiaries for future use.

Whether the treatment procedures have been provided as per the approved rates and the packages.

Whether procedures performed were only those for which permission has been granted

The BCA shall record their findings and intimate the same to the Hospital concerned with a copy endorsed to
CGHS authority of the city. The payment of the bill/claim to the Hospital concerned shall be made directly by
the BCA after receipt of the physical bills in respect of CGHS pensioner beneficiaries, etc., who had taken
treatment in these Private empanelled Private Hospital in a time bound manner.
BCA rendering services will charge from the Hospital a certain amount per claim (and service tax as
applicable) as per details given below or such amount as Specified by CGHS. The CGHS shall be free to
revise these rates without any notice.

Bill Amount (in Rs)

Hospital Payment to BCA

Less than 500/-

Rs.5/- + Service Tax

501/- to 1000/-

Rs. 10/-+ Service Tax

1001/- to 5000/-

Rs. 25/-+ Service Tax

5001/- to 10000/-

Rs.100/-+ Service Tax

More than 10000/-

Rs200/-+ Service Tax

9. DISCOUNT
The Hospital shall agree for deduction of 10% of admissible amount if payments are made within Ten days
from the date of submission of physical bill to the BCA.
Hospital shall also allow a discount of 10% on every cash payment.
CGHS, ALLAHABAD

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10. CREDIT
On production of a valid permission by the CGHS beneficiary- the hospital shall provide credit facilities to the
Members of Parliament, Pensioners, Ex-Members of Parliament, Freedom Fighters, Serving CGHS
employees, serving employees of Ministry of Health & Family Welfare, serving employees of Directorate
General of
Health Services and such other categories of CGHS cardholders as notified by the Government.
In case of emergency the hospital shall provide credit to all CGHS beneficiaries.

11. MEDICAL AUDIT OF BILLS

There shall be a continuous Medical Audit of the services provided by the empanelled Private Hospital.

12. TREATMENT IN EMERGENCY

In emergency the hospital shall not refuse admission or demand an advance payment from
the beneficiary or his family member and shall provide credit facilities to the patient whether the patient is a
serving employee or a pensioner availing CGHS facilities, on production of a valid CGHS card and the hospital
shall submit the bill for reimbursement to the concerned Deptt. / Ministry / CGHS. The refusal to provide the
treatment to bonafide CGHS beneficiaries in emergency cases without valid ground, would attract
disqualification for continuation of empanelment.

The following ailments may be treated as emergency which is illustrative only and not exhaustive,
depending on the condition of the patient :

Acute Coronary Syndromes (Coronary Artery Bye-pass Graft / Percutaneous, Transluminal Coronary
Angioplasty) including Myocardial Infarction, Unstable Angina, Ventricular Arrhythmias, Paroxysmal Supra
Ventricular Tachycardia, Cardiac Temponade, Acute Left Ventricular Failure / Severe Congestive Cardiac
Failure, Accelerated Hypertension, Complete Heart Block and Stoke Adam attack, Acute Aortic Dissection.
Acute Limb Ischemia, Rupture of Aneurysm, Medical and Surgical shock and peripheral circulatory failure.
Cerebro-Vascular attack-Strokes, Sudden unconsciousness, Head injury, Respiratory failure, decompensated
lung disease, Cerebro-Meningeal Infections, Convulsions, Acute Paralysis, Acute Visual loss.
Acute Abdominal pain.
Road Traffic Accidents / with injuries including fall. Severe
Hemorrhage due to any cause.
Acute poisoning.
Acute Renal Failure.
Acute Abdominal pain in female including acute Obstetrical and Gynecological emergencies.
Electric shock.

CGHS, ALLAHABAD

56 | P a g e

Any other life threatening condition.

13. REQUIREMENTS FOR OBTAINING TREATMENT/PROCEDURE:

Every patient is required to produce a valid CGHS card.
Treatment / Procedure on credit shall be performed to such categories of beneficiaries as mentioned under
clause 10 above.
Bill should be submitted to the bill clearing agency / CGHS in digital format and Physical format. A discount
of 10% shall be deducted in case payment is made within ten days from the date of submission of the bill.
For serving employees (other than CGHS/ DGHS /Ministry of H&FW), the payment shall be made by the
patient and he shall claim reimbursement from his office subject to the approved ceiling rates. The Private
Hospital shall allow a discount of 10% on all payments made in cash.

The treatment procedure shall be performed on the basis of the authorization letter issued by the Chief
Medical Officer of the concerned CGHS dispensary in case of pensioners and by the administrative
department / ministry in case of serving employees.

CGHS beneficiaries shall be attended to on priority.

Treatment procedure shall be carried out on the production of valid CGHS card and valid permission from
the competent authority.

CGHS shall have the right to monitor the treatment/ procedure provided by the Hospital to CGHS
beneficiary.

14. GENERAL CONDITIONS

14.1.
All investigations regarding fitness for the surgery shall be done prior to the admission for
any elective procedure and are part of package. For any material/additional procedure/investigation other
than the condition for which the patient was initially permitted, would require the permission of the
competent authority.
14,2
The hospital shall verify the CGHS card and the CGHS/ Department is not liable to pay in
cases of impersonation or treatment of ineligible persons.
14.3
The package rate shall be calculated as per the duration specified in the tender document
under the treatment requirements. No additional charge on account of extended period of stay shall be
allowed if that extension is due to infection on the consequences of surgical procedure or due to any
improper procedure and is not justified.
14.4
The procedure and package rates for any diagnostic investigation, surgical procedure and
other medical treatment for CGHS beneficiary under this Agreement shall not be increased during the
validity period of this Agreement.

CGHS, ALLAHABAD

57 | P a g e

14.5
The empanelled Hospital shall provide services only for which it has been empanelled by
CGHS at rates that shall be fixed by Central Government Health Scheme from time to time and shall be
binding.
14.6
The Hospital shall intimate all instances of patients admitted on the basis of the Authority
letter issued by the CGHS authorities in the prescribed format within one working day through fax / email
(the number of which shall be notified) followed by post to CGHS / BCA.
14.7
The Hospital shall intimate all instances of patients admitted as emergencies without prior
permission to the CGHS authorities / BCA, in the prescribed format within one working day through fax /
email (the number of which shall be notified) followed by post. The nature and appropriateness of the
emergency is subject to verification, which may be verified, inspected or medically audited by the nominated
authority on random basis at its discretion.
14.8
The Hospital shall provide reports on monthly basis by the 10th day of the succeeding
calendar month in the prescribed format to the CGHS in respect of the beneficiaries treated / investigated.
14.8
The Hospital shall submit all the medical records in digital format.
14.9
The Hospital agrees that any liability arising due to any default or negligence in providing or
performance of the medical services shall be borne exclusively by the hospital who shall alone be
responsible for the defect and / or deficiencies in rendering such services.
14.10
The Hospital agrees that during the In-patient treatment of the CGHS beneficiary, the
Hospital shall not ask the beneficiary or his attendant to purchase separately the medicines / sundries /
equipment or accessories from outside and shall provide the treatment within the package deal rate, fixed
by the CGHS which includes the cost of all the items. Appropriate action, including removing from CGHS
empanelment and / or termination of this Agreement, may be initiated on the basis of a complaint, medical
audit or inspections carried out by CGHS teams / appointed TPA.
14.11
The Hospital shall honour permissions issued by the CMO i/c , Additional Director (AD) / Joint
Director (JD) of CGHS to the Pensioner beneficiaries holding CGHS card. Treatment shall be provided as per
CGHS approved rates and bills submitted for payment to the BCA.
14.12
CHANGES IN INFRASTRUCTURE / STAFF TO The Hospital shall immediately communicate to
Additional Director / Joint Director of CGHS about any change in the infrastructure / strength of staff. The
empanelment shall be temporarily withheld in case of shifting of the facility to any other location without
prior permission of CGHS. The new establishment of the same Hospital shall attract a fresh inspection, at the
prescribed fee, for consideration of continuation of empanelment.
14.13
The Hospital shall submit an annual report regarding number of referrals received, admitted,
bills submitted to the CGHS and payment received, details of monthly report submitted to the Additional
Directors / Joint Directors of CGHS of city, changes in the strength of doctors / staff and infrastructure if any.
Annual audit report of the hospitals shall also be submitted along with the statement.
14.14
Authorized signatory / representative of the hospital shall attend the periodic meetings held
by Director / A.D. / J.D. / Department / Establishment of CGHS, required in connection with improvement of
working conditions.
14.15
During the visit by Additional Director / Joint Director / CMO In-charge of the dispensary or
any other authorized representative of the Ministry of Health / Directorate General of Health Services /
concerned Department, including TPA, the Hospital authorities shall cooperate in carrying out the
inspection.

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58 | P a g e

14.16
In case of any natural disaster / epidemic, the hospital shall fully cooperate with the Ministry
of Health / Directorate General of Health Services, Additional Director / Joint Director of CGHS of City and
shall convey / reveal all the required information, apart from providing treatment.
14.17
The Hospital shall not make any commercial publicity projecting the name of CGHS / Ministry
of Health & F.W. or Government of India. However, the fact of empanelment under CGHS shall be displayed
at the premises of the empanelled center, indicating that the charges shall be as per CGHS approved rates.
14.18
The hospital shall investigate / treat the CGHS beneficiary patient only for the condition for
which they are referred with permission, and in the specialty and / or purpose for which they are approved
by CGHS. In case of unforeseen emergencies of these patients during admission for approved purpose /
procedure, provisions of emergency shall be applicable.
14.19
The Hospital shall not undertake treatment of referred cases in specialities for which it is not
empanelled. But it shall provide necessary treatment to stabilize the patient and transport the patient safely
to nearest recognized hospital under intimation to CGHS authorities. However in such cases the Hospital
shall charge as per the CGHS rates only for the treatment provided.
14.20
The hospital shall not refer the patient to other specialist / other hospital without prior
permission of CGHS authorities. Prior intimation shall be given to CGHS whenever patient needs further
referral.

15. ENTITLEMENTS FOR VARIOUS TYPES OF WARDS

CGHS beneficiaries are entitled to facilities of private, semi-private or general ward depending on their pay
drawn in pay band/ pension. These entitlements are amended from time to time and the latest order in this
regards needs to be followed. The entitlement is as follows:S.No.

Pay drawn in pay band/Basic Pension

Entitlement

1.

Upto Rs. 13,950/-

General Ward

2.

Rs. 13,960/- to 19,530/-

Semi-Private Ward

3.

Rs. 19,540/- and above

Private Ward

a.
Private ward is defined as a hospital room where single patient is accommodated and which
has an attached toilet (lavatory and bath). The room should have furnishings like wardrobe, dressing table,
bed-side table, sofa set, carpet, etc. as well as a bed for attendant. The room has to be air-conditioned.
b.
Semi Private Ward is defined as a hospital room where two to three patients are
accommodated and which has attached toilet facilities and necessary furnishings.
c.

General ward is defined as a hall that accommodates four to ten patients.

Treatment in higher Category of accommodation than the entitled category is not permissible.

16. DUTIES AND RESPONSIBILITIES OF HOSPITALS

It shall be the duty and responsibility of the Hospital , at all times, to obtain, maintain and sustain the valid
NABH Accreditation , recognition and high quality and standard of its services and healthcare and to have all

CGHS, ALLAHABAD

59 | P a g e

statutory / mandatory licenses, permits or approvals of the concerned authorities under or as per the
existing laws.

17. NON ASSIGNMENT

The Hospital shall not assign, in whole or in part, its obligations to perform under this Agreement, except
with the CGHSs prior written consent at its sole discretion and on such terms and conditions as deemed fit
by the CGHS. Any such assignment shall not relieve the Hospital from any liability or obligation under this
agreement

18. HOSPITALS S INTEGRITY AND OBLIGAITONS DURING AGREEMENT PERIOD

The Hospital is responsible for and obliged to conduct all contracted activities in accordance
with the Agreement using state-of-the-art methods and economic principles and exercising all means
available to achieve the performance specified in the Agreement. The Hospital is obliged to act within its
own authority and abide by the directives issued by the CGHS. The Hospital is responsible for managing the
activities of its personnel and shall hold itself responsible for their misdemeanors, negligence, misconduct or
deficiency in services, if any.

19. PERFORMANCE BANK GUARANTEE

The Hospital shall furnish in the prescribed format a performance Bank Guarantee of Rupees Ten Lakhs in
case of Hospitals / Rupees Two lakhs in case of Eye Center or Dental Clinic , valid for a period of two years to
ensure efficient service and to safeguard against any default:

20. FORFEITURE OF PERFORMANCE BANK GUARANTEE AND REMOVAL FROM LIST OF

EMPANELLED INSTITUTIONS
In case of any violation of the provisions of this Agreement by the hospital such as:
(a)

refusal of service,

(b)

Undertaking unnecessary procedures,

(c)

Prescribing unnecessary drugs/tests

(d)

Over billing,

(e)
(f)

Reduction in staff/ infrastructure/ equipment etc. after the hospital/ has been empanelled.
Non submission of the report, habitual late submission or submission incorrect data in the
report

(g)

Refusal of credit to eligible beneficiaries and direct charging from them.

(h)

If recommended by NABH at any stage

(i)

Discrimination against CGHS beneficiarys vis--vis general patients

i). The Bank Guarantee shall be forfeited and the CGHS shall have the right to de-recognize
the hospitals/diagnostic laboratory as the case may be. Such action could be initiated on the
basis of a complaint, medical audit or inspections carried out by CGHS teams at random.

CGHS, ALLAHABAD

60 | P a g e

ii). The decision of the CGHS in this regard shall be final.

21. LIQUIDATED DAMAGES

a. The Hospital shall provide the services as per the requirements specified by the CGHS in terms of
the provisions of this Agreement. In case of initial violation of the provisions of the Agreement
by the Hospital such as refusal of service or refusal of credit to eligible categories of CGHS
Beneficiaries (as mentioned under Clause 10) or defective service and negligence, the amount
equivalent to 15% of the amount of Performance Bank Guarantee shall be charged as agreed
Liquidated Damages by the CGHS, however, the total amount of the Performance Bank
Guarantee shall be maintained intact being a revolving Guarantee.
b. In case of repeated defaults by the Hospital, the total amount of Performance Bank Guarantee
shall be forfeited and action shall be taken for removing the Hospital from the empanelment of
CGHS as well as termination of this Agreement
c. For over-billing and unnecessary procedures, the extra amount so charged shall be deducted
from the pending / future bills of the Hospital and the CGHS shall have the right to issue a
written warning to the Hospital not to do so in future. The recurrence, if any, shall lead to the
stoppage of referral to that Hospital

d. Before initiating action under sub clause (a) (c) above, CGHS shall serve a show cause notice to
the Hospital for which the Hospital shall have to respond within ten days of its receipt.

22. TERMINATION FOR DEFAULT

The CGHS may, without prejudice to any other remedy for breach of Agreement, by written notice of default
sent to the Hospital terminate the Agreement in whole or part:
a) If the Hospital fails to provide any or all of the services for which has been recognized within the
period(s) specified in this Agreement or within any extension thereof if granted by the CGHS
pursuant to Condition of Agreement
or
b) If the Hospital fails to perform any other obligation(s) under this Agreement.
or
c) If the Hospital, in the judgment of the CGHS has engaged in corrupt or fraudulent practices in
competing for or in executing this Agreement.

23. INDEMNITY
The Hospital shall at all times, indemnify and keep indemnified CGHS / the Government against all actions,
suits, claims and demands brought or made against it in respect of anything done or purported to be done
by the Hospital in execution of or in connection with the services under this Agreement and against any loss
or damage to CGHS / the Government in consequence to any action or suit being brought against the CGHS /
the Government, along with (or otherwise), Hospital as a Party for anything done or purported to be done in
the course of the execution of this Agreement. The Hospital shall at all times abide by the job safety
measures and other statutory requirements prevalent in India and shall keep free and indemnify the CGHS
from all demands or responsibilities arising from accidents or loss of life, the cause or result of which is the
Hospital negligence or misconduct.

CGHS, ALLAHABAD

61 | P a g e

The Hospital shall pay all indemnities arising from such incidents without any extra cost to CGHS and shall
not hold the CGHS responsible or obligated. CGHS/the Government may at its discretion and shall always be
entirely at the cost of the Hospital defend such suit, either jointly with the Hospital or singly in case the latter
chooses not to defend the case

24. ARBITRATION
If any dispute or difference of any kind whatsoever (the decision whereof is not herein otherwise provided
for) shall arise between the CGHS and the Hospital upon or in relation to or in connection with or arising out
of the Agreement, shall be referred to for arbitration by the Director General Health Services, Ministry of
Health & FW, Government of India, who shall give written award of his decision to the Parties. The decision
of the Director General of Health Services shall be final and binding. The provisions of the Arbitration and
Conciliation Act, 1996 shall apply to the arbitration proceedings. The venue of the arbitration proceedings
shall be at Delhi / New Delhi.

25. MISCELLANEOUS
25.1.

25.2

Nothing under this Agreement shall be construed as establishing or creating between the
Parties any relationship of Master and Servant or Principal and Agent between the CGHS and
the Hospital.
The Hospital shall not represent or hold itself out as agent of the CGHS.

25.3

The CGHS shall not be responsible in any way for any negligence or misconduct of the
Hospital and its employees for any accident, injury or damage sustained or suffered by any
CGHS beneficiary or any third party resulting from or by any operation conducted by and on
behalf of the Hospital or in the course of doing its work or perform their duties under this
Agreement or otherwise.

25.4

The Hospital shall notify the Government of any material change in their status and their
shareholdings or that of any Guarantor of the Hospital in particular where such change
would have an impact on the performance of obligation under this Agreement.

25.5

This Agreement can be modified or altered only on written agreement signed by both the
parties.

25.6

Should the hospital get wound up or partnership is dissolved, the CGHS shall have the right
to terminate the Agreement. The termination of Agreement shall not relieve the hospital or
their heirs and legal representatives from the liability in respect of the services provided by
the Hospital during the period when the Agreement was in force.

25.7

The Hospital shall bear all expenses incidental to the preparation and stamping of this
agreement.

26. NOTICES
26.1

Any notice given by one party to the other pursuant to this Agreement shall be sent to other
party in writing by registered post or by facsimile and confirmed by original copy by post to
the other Partys address as below.

CGHS, ALLAHABAD

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CGHS : Additional Director CGHS, Ministry of Health & FW, Government of

India,
nd
2 Floor, Sangam Place, Civil Lines, Allahabad.
Hospital with address:

26.2

A notice shall be effective when served or on the notices effective date, whichever is later.
Registered communication shall be deemed to have been served even if it returned with
remarks like refused, left, premises locked, etc.

IN WITNESSES WHEREOF, the parties have caused this Agreement to be signed and executed on the
day, month and the year first above mentioned.

Signed by
Additional Director, Central Government Health Scheme Allahabad.
Ministry of Health & Family Welfare, Government of India
For and on behalf of
The President of India
In the Presence of (Witnesses)
1.____________________________________________

2._____________________________________________

Signed by
For and on behalf of (Hospital)
Duly authorized vide Resolution No. dated . of (name of Hospital)
In the presence of (Witnesses)
1._______________________________________________

CGHS, ALLAHABAD

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2.________________________________________________

CGHS, ALLAHABAD

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Annexure - A
Performance Bank Guarantee

To,
President of India
Acting through (Additional Director, CGHS Allahabad),
M/o Health & Family Welfare
Nirman Bhawan, New Delhi.

WHEREAS _____________________________________________________ (Name of

Hospital) has undertaken, Agreement No. ______________ ________________________
Dated, __________________2014

to

________

___________

_________

_______________________ (Description of Services) hereinafter called "the Agreement".

AND WHEREAS it has been stipulated by you in the said Agreement that the Hospital selected for
empanelment shall furnish you with a bank Guarantee by a nationalized bank for the sum specified
therein as security for compliance with the Hospital performance obligations in accordance with
the Agreement.

AND WHEREAS we have agreed to give the Hospital a guarantee:

THEREFORE WE ( Name of the Bank) hereby affirm that we are Guarantors and responsible to you,
on behalf of Hospital (herein after referred to the Second Party up to a total of
_________________________________(Amount of the guarantee in Words and Figures) and we
hereby irrevocably, unconditionally and absolutely undertake to immediately pay you, upon your
first written demand declaring the Second Party to be in default under the Agreement and without
cavil or argument, any sum or sums within the limit of ___________________________ as
aforesaid, without your needing to prove or to show this grounds or reasons for your demand or
the sum specified therein. This guarantee is valid until the ___________ day of ______________
2016
This Guarantee shall be incorporated in accordance with the laws of India.

CGHS, ALLAHABAD

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We represent that this Bank Guarantee has been established in such form and such content that is
fully enforceable in accordance with its terms as against the Guarantor Bank in the manner
provided herein.

The Guarantee shall not be affected in any manner by reason of merger, amalgamation,
restructuring or any other change in the constitution of the Guarantor Bank or of the Hospital.

Date: -

Signature and Seal of Guarantors

Address:
_____________________________________
_____________________________________

Amount of Performance Bank Guarantee to be obtained from the Hospital s at the time of
Signing the Agreement:-

General Purpose Hospital

Rs. 10.00 lacs

Specialty Hospitals

Rs. 10.00 lacs

Super Specialty Hospital

Rs. 10.00 lacs

Specialty Eye Care Hospital

Rs. 2.00 lacs

Specialty Dental Clinic

Rs. 2.00 lacs

CGHS, ALLAHABAD

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CONTACT DETAILS OF EMPANELMED HCOs OF CGHS, ALLAHABD

SL.
NO.

NAME OF HOSPITAL

CONTACT
PERSON

VATSALYA MATERNITY &

SURGICAL CENTRE

DR. NEERAJ
AGRAWAL

GURU KRIPA JAGRATI

HOSPITAL & RESEARCH CENTRE

ALOK KHANNA

SAKET MATERNITY & NURSING

HOME PVT. LTD.

RAVINDRA NATH
BHATTACHARYA

DWARKA HOSPITAL

MAHESH KUMAR
PATEL

ASHA HOSPITAL

DR. SUJIT SINGH

JEEVAN JYOTI HOSPITAL

DR. A. K. BANSAL, DR.

SANJAY VERMA

VANDANA WOMENS
SUPERSPECIALITY HOSPITAL

DR. UMESH
SRIVASTAVA

ARPIT HOSPITAL LTD.

DR. UMESH
SRIVASTAVA

YASHLOK HOSPITAL &

RESEARCH CENTRE

DR. KAPIL
KULSHRESTH

10

RAJ NURSING HOME

DR. MUKUL SINGH,

SANJEEV

11

PRACHI HOSPITAL PVT. LTD.

DR. PRASHANT
PATEL,

12

D R S HOSPITAL

DR. DEV RAJ SINGH

13

SRIJAN VATSALYA HOSPITAL

PVT. LTD.

DR. SABITA
AGRAWAL

14

PARVATI HOSPITAL

MR. MANOJ YADAV

15

MAA SHARDA HOSPITAL

DR. R. K. AGRAWAL

16

NAZRETH HOSPITAL
ALLAHABAD

MR. BENEDICT

17

PRITI NURSING & MATERNITY

HOME

ANOOP SHARMA

18

VINEETA HOSPITAL

DR. BINDU
VISHWAKARMA

19

SARSWATI HEART CARE &

MR. SANJIV GOEL

CGHS, ALLAHABAD

PHONE
NUMBER
05322407500,
2407540
05322408946,
2407945
05322505252,
2500425
05322564287,
2564788
05322421425,
2421247
05322414748,
2417252
05322260544,
2260288
05322260544,
2260288
05322467258,
2465655
053224615272461
363
05322447900
05322233207,
2231201
05322405050,
2403535
05322465761
05322418057
05322407337,
2400609
05322468745,
2468743
05323255790,
3255791
0532-

MOBILE
NUMBER

E-MAIL

9598050251

vatsalyhospital@re
diffmail.com

9935212101

jagratihospital@g
mail.com
sakethospital@yah
oo.com

9026491087

dwarkahospital@g
mail.com

9415316017

doc_sujit@yahoo.c
om

9792275111

jeevanjyotihospital
@gmail.com

9580750500

arpitivf@gmail.co
m

9580750500

arpitivf@gmail.co
m

9415236846

yashlokhospital200
1@gmail.com

9452140327

raajnursinghome@
gmail.com

9415267625

drprasant.patel@y
ahoo.com

7499140715

drshospital@rediff
mail.com
srijanhospital2005
@gmail.com

9721124111

parvatihospital199
9@gmail.com
maashardahospital
@gmail.com

nazarethhospital@
rediffmail.com
9454837203
pmrcht12@gmail.c
om
9336841609

vineetahospital@g
mail.com

9450111073

saraswatihospitalal
67 | P a g e

RESEARCH CENTRE(P). LTD.

2461096,
2461882
05322408811,
2407803
05322563283

20

HEARTLINE CARDIAC CARE

CENTRE, ALLD

MRS. RISHU SINGH

21

EYE CLINIC

DR. K . K. AGARWAL

22

DR. CHAUHAN EYE CLINIC

ANURAG CHAUHAN

05322243950

23

GLOBAL HOSPITAL & EYECARE

CENTRE

SANJEEV VAISH

05322417225

24

DENTAL CARE CENTRE JEEVAN

JYOTI HOSPITAL

DR. UMESH
SRIVASTAVA

25

AGRAWAL DENTAL CLINIC

DR. PRADEEP
AGARWAL

26

SAVITRI DENTAL HOSPITAL

DR. REEMA SHUKLA

27

TRIVENI DENTAL CLINIC

DR. DHIRENDRA
KUMAR SRIVASTAVA

28

ARPIT DIAGNOSTIC CENTRE

DR. UMESH
SRIVASTAVA

29

SRIJAN PATHOLOGY

30

05322564107,
2400647
05322250530

d@gmail.com
heartline96@gmail
.com
dragrawalkk@yaho
o.com
nan_24dini@yaho
o.com
globalhospital.ald
9628285111
@gmail.com
arpitivf@gmail.co
9580750500
m
9935335642

8400435322

drpradeepmanjul
@gmail.com

05322250467

savitridentalhospit
al@gmail.com
drdksendo@gmail.
9415354166
com
arpitivf@gmail.co
9580750500
m

DR. SABITA
AGRAWAL

05322405050,
243535

srijanhospital2005
@gmail.com

INDIRA DIAGNOSTIC CENTRE/

CHANDAN HEALTH CARE

SANJEET SINGH, BAC

KRISHNAN

9839574407

31

ANOOP LABS

P. C. R. TIWARI

05322256023

32

KRITI SCANNING CENTRE

RITESH AGARWAL

05322256805

CGHS, ALLAHABAD

9839467000

amit@chandan.co.
in
anooplabs@gmail.
9235502950
com
kritiscan@gmail.co
8874208809
m
9918727111

68 | P a g e