AMRI Hospital Tariff

AMRI Hospitals Ltd.
ACCOMMODATION CHARGES
Sl. Type of Bed Rate Per Day Dr. Visits ***
1 SUITE ROOM 9,000 1,800

2 SUPER DELUXE ROOM 8,000 1,800
3 DELUXE ROOM 6,500 1,800
4 SINGLE ROOM 5,500 1,200
5 DOUBLE ROOM 4,000 1,100
6 TRIPLE ROOM 4,000 1,100
7 MULTI BED 2,000 900
8 GENERAL BED 2,000 900
9 PAEDIATRIC WARD 2,000 900
10 HDU 5,000 1,100
11 ICCU / CCU / CTVS 7,300 1,300
12 ICCU ANNEXE 7,300 1,300
13 NICU 3,500 1,100
14 GYNAE WARD 2,600 900
15 NEW BORN BABY (CRIB) 1,000 600
16 DAY CARE (More Than 4 Hrs) 1,500 900
17 DAY CARE (Within 4 Hrs) 1,000 900
*** 2 Visits are allowed per day
Doctor visit fees are negotiable in Deluxe, Super

Deluxe & Suite Rooms
AMRI Hospitals Ltd.
OPERATION CHARGES
Economy Semi Private Private Deluxe

Suite Category
Category Category Category Category
Double / Triple /
Gen. / Multi /
ICCU / NICU / Super Deluxe /
Gynae /
HDU / CCU / CTVS
Single Deluxe
Suite Room
Paediatric
GRADE : A / ITU
Surgeon 5,300 10,000 10,900 12,100 13,300

Anaesthesist 1,500 3,200 3,300 3,600 4,000
OT 4,400 8,100 8,700 9,700 10,700
Total 11,200 21,300 22,900 25,400 28,000
GRADE : B
Surgeon 10,000 17,300 19,000 20,900 23,000
Anaesthesist 3,200 5,200 5,800 6,400 7,000
OT 8,200 13,700 14,800 16,400 18,000
Total 21,400 36,200 39,600 43,700 48,000
GRADE : C
Surgeon 14,100 26,800 31,200 34,200 37,600
Anaesthesist 4,300 8,000 9,500 10,500 11,500
OT 11,600 20,600 24,000 26,400 29,000
Total 30,000 55,400 64,700 71,100 78,100
GRADE : D
Surgeon 18,000 32,200 36,300 40,000 44,000
Anaesthesist 5,900 9,700 10,900 12,000 13,200
OT 16,000 24,900 28,000 31,000 34,100
Total 39,900 66,800 75,200 83,000 91,300
GRADE : E
Surgeon 22,400 36,300 40,500 44,700 49,200
Anaesthesist 6,900 10,900 12,200 13,500 14,800
OT 19,500 30,100 33,500 36,800 40,500
Total 48,800 77,300 86,200 95,000 104,500
GRADE : F
Surgeon 27,900 44,700 48,900 53,900 59,300
Anaesthesist 8,400 13,400 14,600 16,200 17,800
OT 24,400 37,000 40,300 44,500 48,900
Total 60,700 95,100 103,800 114,600 126,000
GRADE : Spl.
Surgeon 36,900 55,500 62,800 69,200 76,100
Anaesthesist 11,000 16,700 18,800 20,800 22,900
OT 36,800 46,100 52,100 57,400 63,100
Total 84,700 118,300 133,700 147,400 162,100
Economy Semi Private Private Deluxe
Suite Category
Category Category Category Category
Double / Triple /
Gen. / Multi /
ICCU / NICU / Super Deluxe /
LUCS / Delivery Gynae /
HDU / CCU / CTVS
Single Deluxe
Suite Room
Paediatric
Surgery : / ITU
Paediatrician 2,600 3,300 5,100 5,400 6,400

Total 2,600 3,300 5,100 5,400 6,400
NOTE/S:
(I) Surgeons are open to negotiate THEIR FEES. IN CASE OF NEGOTIATION,

THE RESPECTIVE SURGEON WILL PROVIDE NECESSARY MONEY RECEIPT/BILL
IN SUPPORT OF THE ABOVE, WHICH WILL BE PRODUCED AT THE TIME OF
SUBMISSION OF THE RESPECSTIVE CLAIM FILE. THE AMOUNT WILL BE
COLLECTED BY THE HOSPITAL.
(II) AMRI Salt Lake - Asstt. Surgeon Fees Rs. 8,000/- Grade "D" onwards.
OT usage over & above the assigned hours will be charged extra at Rs. 800/-
per half an hour.
INVESTIGATION
Sl Code Service OPD Gen Double Single Deluxe Suite
CARDIOLOGY
1 CACA000034 ECHO SCREENING FOR ICCU 0 0 880 0 0 0
2 CACA000004 ECG 250 300 330 380 420 450
3 CACA000005 ECG WITH MAGNET 300 360 390 450 510 540
4 CACA000050 ECHO SCREENING FOR HEALTHY HEART 550 660 720 830 930 990
5 CACA000053 PORTABLE ECG 720 860 940 1,080 1,220 1,290
6 CACA000051 TMT FOR HEALTHY HEART 1,000 1,200 1,300 1,500 1,700 1,800
7 CACA000049 IVC SCREENING 1,030 1,240 1,340 1,550 1,750 1,850
8 CACA000008 ECHOCARDIOGRAPHY (SCREENING ONLY) 1,300 1,560 1,690 1,950 2,210 2,340
9 CACA000045 SIGNAL AVERAGE ECG 1,600 1,920 2,080 2,400 2,720 2,880
10 CACA000007 ECHOCARDIOGRAPHY (2D MODE) 1,800 2,160 2,340 2,700 3,060 3,240
11 CACA000014 HOLTER MONITOR 2,000 2,400 2,600 3,000 3,400 3,600
12 CACA000024 TREAD MILL STRESS TEST 2,000 2,400 2,600 3,000 3,000 3,600
13 CACA000031 CAROTID HYPERSENSITIVITY TEST 2,130 2,560 2,770 3,200 3,200 3,830
14 CACA000036 PERIPHERAL VASCULAR 1 LEG ARTERY 2,200 2,640 2,860 3,300 3,740 3,960
15 CACA000037 PERIPHERAL VASCULAR 1 LEG VEIN 2,200 2,640 2,860 3,300 3,740 3,960
16 CACA000030 COLOUR DOPPLER ECHOCARDIOGRAPHY WITH CD 2,500 3,000 3,250 3,750 3,750 4,500
17 CACA000047 TISSUE DOPPLER 2,830 3,400 3,680 4,250 4,810 5,090
18 CACA000035 PAEDIATRIC ECHO 3,200 3,840 4,160 4,800 5,440 5,760
19 CACA000033 COLOUR DOPPLER ECHOCARDIOGRAPHY WITH CONTRAST 3,300 3,960 4,290 4,950 4,950 5,940
20 CACA000042 PORTABLE ECHOCARDIOGRAPHY SCREENING 3,500 4,200 4,550 5,250 5,950 6,300
21 CACA000020 DOBUTAMINE STRESS ECHO 4,000 4,800 5,200 6,000 6,000 7,200
22 CACA000038 PERIPHERAL VASCULAR 2 LEG ARTERY 4,000 4,800 5,200 6,000 6,800 7,200
23 CACA000039 PERIPHERAL VASCULAR 2 LEG VEIN 4,000 4,800 5,200 6,000 6,800 7,200
24 CACA000040 PORTABLE CAROTID HYPERSENSITIVITY TEST 4,000 4,800 5,200 6,000 6,800 7,200
25 CACA000023 TRANS ESOPHAGEAL ECHO 4,080 4,900 5,300 6,120 6,120 7,340
26 CACA000046 TILT TABLE TEST 4,080 4,900 5,300 6,120 6,930 7,340
27 CACA000032 CAROTID MASSAGE ECG 4,430 5,320 5,760 6,650 6,650 7,970
28 CACA000041 PORTABLE COLOUR DOPPLER ECHOCARDIOGRAPHY 4,500 5,400 5,850 6,750 7,650 8,100
29 CACA000043 PORTABLE TISSUE DOPPLER 4,500 5,400 5,850 6,750 7,650 8,100
30 CACA000048 TRANS ESOPHAGEAL ECHO WITH CONTRAST 4,830 5,800 6,280 7,250 8,210 8,690
31 CACA000019 SECURITY FOR HOLTER (REFUNDABLE) 5,000 6,000 6,500 7,500 7,500 9,000
32 CACA000044 PORTABLE TRANS ESOPHAGEAL ECHO 6,000 7,200 7,800 9,000 10,200 10,800
33 CACA000052 EXTERNAL LOOP RECORDER (ELR) 13,200 15,840 17,160 19,800 22,440 23,760
34 CACA000018 PORTABLE ECHO 4,390 4,760 5,490 5,490 5,860
BIOCHEMISTRY
35 LBBC000001 ABG ANALYSIS 1,270 1,520 1,650 1,910 2,150 2,280
36 LBBC000254 ABG WITH LACTATE 2,400 2,880 3,120 3,600 4,080 4,320
37 LBBC000255 ABG WITH Na,K 2,000 2,400 2,600 3,000 3,400 3,600
38 LBBC000256 ABG WITH Na,K & LACTATE 3,200 3,840 4,160 4,810 5,440 5,760
39 LBBC000004 ADA (Adenosine Deaminase) 1,200 1,440 1,560 1,800 2,040 2,160
40 LBBC000015 ALBUMIN 370 570 660 810 860 900
41 LBBC000019 ALP (Alkaline Phosphatase) 400 620 720 870 920 980
42 LBBC000022 ALT(SGPT) 400 480 520 600 680 720
43 LBBC000025 AMMONIA 1,070 1,280 1,390 1,610 1,810 1,920
44 LBBC000029 AMYLASE 900 1,080 1,170 1,350 1,530 1,620
45 LBBC000161 ASCITIC FLUID FOR ADA 1,200 1,440 1,560 1,800 2,040 2,160
46 LBBC000158 ASCITIC FLUID FOR ALBUMIN 370 570 660 810 860 900
47 LBBC000153 ASCITIC FLUID FOR AMYLASE 900 1,080 1,170 1,350 1,530 1,620
48 LBBC000147 ASCITIC FLUID FOR CHLORIDE 400 620 720 870 920 980
49 LBBC000157 ASCITIC FLUID FOR CREATININE 240 370 430 520 550 580
50 LBBC000139 ASCITIC FLUID FOR GLUCOSE 180 280 310 390 410 440
51 LBBC000148 ASCITIC FLUID FOR LDH 900 1,080 1,170 1,350 1,530 1,620
52 LBBC000154 ASCITIC FLUID FOR LIPASE 900 1,080 1,170 1,350 1,530 1,620
53 LBBC000141 ASCITIC FLUID FOR PROTEIN (TOTAL) 370 570 660 810 860 900
54 LBBC000155 ASCITIC FLUID FOR TRIGLYCERIDE 520 740 850 1,010 1,070 1,120
55 LBBC000156 ASCITIC FLUID FOR UREA 240 370 430 520 550 580
56 LBBC000285 ASO TITRE 850 1,020 1,110 1,280 1,440 1,530
57 LBBC000032 AST(SGOT) 400 480 520 600 680 720
58 LBBC000040 BICARBONATE(HCO3) 500 720 810 970 1,030 1,080
59 LBBC000273 BILIRUBIN - CON & TOTAL (Serum) 670 800 870 1,010 1,130 1,200
60 LBBC000046 BILIRUBIN(Conjugated) 340 410 440 510 570 610

61 LBBC000050 BILIRUBIN(Total) 340 410 440 510 570 610
62 LBBC000144 BILIRUBIN(Unconjugated) 600 720 780 900 1,020 1,080
63 LBBC000056 BUN(Serum Urea Nitrogen) 240 290 310 360 400 430
64 LBBC000069 CALCIUM 400 480 520 600 680 720
65 LBBC000259 CARDIAC ENZYME(ck-ckmb,ldh1,sgot) 3,220 3,860 4,190 4,840 5,470 5,790
66 LBBC000076 CHLORIDE 400 620 720 870 920 980
67 LBBC000081 CHOLESTEROL-HDL 640 840 930 1,100 1,150 1,200
68 LBBC000088 CHOLESTEROL-LDL 900 1,080 1,170 1,350 1,530 1,620
69 LBBC000085 CHOLESTEROL-TOTAL 370 570 660 810 860 900
70 LBBC000095 CHOLESTEROL-TOTAL/HDL RATIO 940 1,130 1,220 1,410 1,590 1,690
71 LBBC000091 CHOLESTEROL-VLDL 1,450 1,740 1,890 2,180 2,460 2,610
72 LBBC000098 CPK 960 1,150 1,250 1,440 1,630 1,720
73 LBBC000268 CPK & CPK-MB 1,600 1,920 2,080 2,400 2,720 2,880
74 LBBC000136 CPK-MB 960 1,150 1,250 1,440 1,630 1,720
75 LBBC000102 CREATININE 240 290 310 360 400 430
76 LBBC000106 CRP (C-Reactive Protein) 830 1,100 1,220 1,430 1,500 1,560
77 LBBC000134 CSF FOR ADA 1,200 1,440 1,560 1,800 2,040 2,160
78 LBBC000045 CSF FOR CHLORIDE 400 620 720 870 920 980
79 LBBC000041 CSF FOR GLUCOSE 150 240 290 350 370 390
80 LBBC000286 CSF for Lactate 1,400 1,680 1,820 2,100 2,380 2,520
81 LBBC000047 CSF FOR LDH 900 1,080 1,170 1,350 1,530 1,620
82 LBBC000043 CSF FOR PROTEIN 430 620 700 840 890 930
83 LBBC000049 CSF FOR SODIUM 300 460 540 650 690 730
84 LBBC000137 ELECTROLYTES 1,000 1,200 1,300 1,500 1,700 1,800
85 LBBC000114 ESTRIOL(E3) 2,230 2,680 2,900 3,350 3,790 4,010
86 LBBC000274 EXECUTIVE LIPID PROFILE 2,300 2,760 2,990 3,450 3,910 4,140
87 LBBC000237 Fluid CEA 1,400 1,680 1,820 2,100 2,380 2,520
88 LBBC000079 FLUID FOR ADA 1,200 1,440 1,560 1,800 2,040 2,160
89 LBBC000233 Fluid for AFP 1,500 1,800 1,950 2,250 2,550 2,700
90 LBBC000072 FLUID FOR ALBUMIN 370 570 660 810 860 900
91 LBBC000061 FLUID FOR AMYLASE 1,200 1,440 1,560 1,800 2,040 2,160
92 LBBC000245 Fluid for CA19.9 2,230 2,680 2,900 3,350 3,790 4,010
93 LBBC000057 FLUID FOR CHLORIDE 400 620 720 870 920 980
94 LBBC000260 FLUID FOR CHOLESTEROL 370 570 660 810 860 900
95 LBBC000070 FLUID FOR CREATININE 240 370 430 520 550 580
96 LBBC000052 FLUID FOR GLUCOSE 180 280 310 390 410 440
97 LBBC000059 FLUID FOR LDH 900 1,080 1,170 1,350 1,530 1,620
98 LBBC000065 FLUID FOR LIPASE 900 1,080 1,170 1,350 1,530 1,620
99 LBBC000078 FLUID FOR pH 180 280 310 390 410 440
100 LBBC000074 FLUID FOR pH (by ABG) 880 1,060 1,140 1,320 1,490 1,580
101 LBBC000178 FLUID FOR POTASSIUM 300 460 540 650 690 730
102 LBBC000054 FLUID FOR PROTEIN (Total) 430 620 700 840 890 930
103 LBBC000177 FLUID FOR SODIUM 300 460 540 650 690 730
104 LBBC000067 FLUID FOR TRIGLYCERIDE 520 740 850 1,010 1,070 1,120
105 LBBC000068 FLUID FOR UREA 240 370 430 520 550 580
106 LBBC000109 GFR(ESTIMATED BY MDRD METHOD) 430 620 700 840 890 930
107 LBBC000124 GGT(Gamma Glutamyl Transpeptidase) 650 850 960 1,120 1,170 1,220
108 LBBC000125 GLOBULIN 540 780 880 1,050 1,110 1,160
109 LBBC000126 GLUCOSE(1Hr.After 50gm.Glucose) 150 180 200 230 250 270
110 LBBC000128 GLUCOSE(Fasting) 150 180 200 230 250 270
111 LBBC000129 GLUCOSE(PP) 150 180 200 230 250 270
112 LBBC000130 GLUCOSE(Random) 150 180 200 230 250 270
113 LBBC000131 GTT(Glucose Tolerance Test) 980 1,180 1,270 1,470 1,660 1,760
114 LBBC000275 HEPATIC PROFILE 2,000 2,400 2,600 3,000 3,400 3,600
115 LBBC000276 HYPERTENSION PROFILE 1,840 2,210 2,390 2,760 3,120 3,310
116 LBBC000261 IONIC CALCIUM (SERUM) 880 1,060 1,140 1,320 1,490 1,580
117 LBBC000133 IRON 730 960 1,070 1,260 1,320 1,380
118 LBBC000011 IRON SATURATION(TRANSFERRIN SATURATION) 1,530 1,840 1,990 2,300 2,600 2,750
119 LBBC000262 JOINT FLUID FOR CHLORIDE 400 620 720 870 920 980
120 LBBC000264 JOINT FLUID FOR GLUCOSE 150 240 290 350 370 390
121 LBBC000263 JOINT FLUID FOR PROTEIN 430 620 700 840 890 930
122 LBBC000017 LACTIC ACID(Lactate) 1,400 1,680 1,820 2,100 2,380 2,520
123 LBBC000018 LDH 900 1,080 1,170 1,350 1,530 1,620
124 LBBC000265 LDH 1-HBDH 940 1,130 1,220 1,410 1,590 1,690
125 LBBC000021 LFT(Liver Function Test) 1,100 1,320 1,430 1,650 1,870 1,980
126 LBBC000026 LIPASE 900 1,080 1,170 1,350 1,530 1,620
127 LBBC000028 LIPID PROFILE TEST 1,300 1,560 1,690 1,950 2,210 2,340
128 LBBC000031 MAGNESIUM 760 1,000 1,110 1,310 1,370 1,430
129 LBBC000291 Milk For Sodium 300 460 540 650 690 730
130 LBBC000266 NON PROTEIN NITROGEN (NPN) 180 280 310 390 410 440
131 LBBC000034 OSMOLALITY-SERUM 960 1,150 1,250 1,440 1,630 1,720
132 LBBC000188 PD Fluid ALBUMIN 370 570 660 810 860 900
133 LBBC000189 PD Fluid CREATININE 240 370 430 520 550 580
134 LBBC000191 PD Fluid UREA 240 370 430 520 550 580
135 LBBC000267 PERICARDIAL FLUID FOR CHLORIDE 400 620 720 870 920 980
136 LBBC000193 Pericardial Fluid GLUCOSE 180 220 310 390 410 440
137 LBBC000195 Pericardial Fluid PROTEIN 430 620 700 840 890 930
138 LBBC000199 Peritoneal fluid AMYLASE 900 1,080 1,170 1,350 1,530 1,620
139 LBBC000201 Peritoneal fluid CHLORIDE 400 620 720 870 920 980
140 LBBC000203 Peritoneal fluid GLUCOSE 150 240 290 350 370 390
141 LBBC000207 Peritoneal fluid PROTEIN (TOTAL) 430 520 630 740 780 810
142 LBBC000039 PHOSPHORUS (Inorganic) 470 670 760 920 970 1,020
143 LBBC000170 PLEURAL FLUID FOR ADA 1,200 1,440 1,560 1,800 2,040 2,160
144 LBBC000167 PLEURAL FLUID FOR ALBUMIN 370 570 660 810 860 900
145 LBBC000162 PLEURAL FLUID FOR AMYLASE 900 1,080 1,170 1,350 1,530 1,620
146 LBBC000152 PLEURAL FLUID FOR CHLORIDE 400 620 720 870 920 980
147 LBBC000166 PLEURAL FLUID FOR CREATININE 240 370 430 520 550 580
148 LBBC000149 PLEURAL FLUID FOR GLUCOSE 150 240 290 350 370 390
149 LBBC000151 PLEURAL FLUID FOR LDH 900 1,080 1,170 1,350 1,530 1,620
150 LBBC000163 PLEURAL FLUID FOR LIPASE 900 1,080 1,170 1,350 1,530 1,620
151 LBBC000150 PLEURAL FLUID FOR PROTEIN (TOTAL) 430 620 700 840 890 930
152 LBBC000164 PLEURAL FLUID FOR TRIGLYCERIDE 480 690 780 930 990 1,040
153 LBBC000165 PLEURAL FLUID FOR UREA 240 370 430 520 550 580
154 LBBC000042 POTASSIUM 300 360 390 450 510 540
155 LBBC000055 PROTEIN (Total) 430 620 700 840 890 930
156 LBBC000277 RENAL PROFILE II (Serum) 1,680 2,020 2,180 2,520 2,850 3,020
157 LBBC000278 RHEUMATOID FACTOR-QUANTITATIVE (Serum) 760 1,000 1,110 1,310 1,370 1,430
158 LBBC000064 SODIUM 300 360 390 450 510 540
159 LBBC000270 Synovial Fluid CALCIUM 400 620 720 870 920 980
160 LBBC000212 Synovial Fluid GLUCOSE 150 240 290 350 370 390
161 LBBC000215 Synovial Fluid PROTEIN 430 620 700 840 890 930
162 LBBC000216 Synovial Fluid URIC ACID 250 390 450 550 580 610
163 LBBC000082 TIBC 860 1,030 1,120 1,290 1,460 1,540
164 LBBC000294 TIBC 860 1,030 1,120 1,290 1,460 1,540
165 LBBC000283 TRANSFERRIN SATURATION 1,570 1,880 2,040 2,360 2,660 2,820
166 LBBC000086 TRIGLYCERIDES 480 690 780 930 990 1,040
167 LBBC000089 TROPONIN-I 2,150 2,580 2,800 3,230 3,650 3,870
168 LBBC000090 TROPONIN-T 2,150 2,580 2,800 3,230 3,650 3,870
169 LBBC000293 UIBC 860 1,030 1,120 1,290 1,460 1,540
170 LBBC000093 UREA 240 290 310 360 400 430
171 LBBC000094 URIC ACID 250 300 330 380 420 450
172 LBBC000280 URINE ANIONGAP 770 1,010 1,130 1,330 1,390 1,450
173 LBBC000287 URINE FOR- 12HRS CREATININE CLEARANCE 520 620 680 780 880 930
174 LBBC000289 URINE FOR- 12HRS CREATININE CLEARANCE 700 920 1,020 1,200 1,260 1,320
175 LBBC000103 URINE FOR- 24HOURS CREATININE CLEARENCE TEST 700 920 1,020 1,200 1,260 1,320
176 LBBC000097 URINE FOR ALBUMIN CREATININE RATIO(ACR) 970 1,160 1,260 1,460 1,640 1,740
177 LBBC000226 URINE FOR AMYLASE (Spot) 900 1,080 1,170 1,350 1,530 1,620
178 LBBC000258 URINE FOR CALCIUM CREATININE RATIO 600 860 980 1,170 1,230 1,300
179 LBBC000105 URINE FOR CALCIUM(Spot) 400 620 720 870 920 980
180 LBBC000107 URINE FOR CHLORIDE(24 Hours) 400 620 720 870 920 980
181 LBBC000108 URINE FOR CHLORIDE(Spot) 400 620 720 870 920 980
182 LBBC000100 URINE FOR CORTISOL 1,200 1,440 1,560 1,800 2,040 2,160
183 LBBC000110 URINE FOR CREATININE(24 Hours) 300 460 540 650 690 730
184 LBBC000111 URINE FOR CREATININE(Spot) 300 460 540 650 690 730
185 LBBC000010 URINE FOR GLUCOSE (24 Hours) 150 240 290 350 370 390
186 LBBC000013 URINE FOR GLUCOSE (Spot) 150 240 290 350 370 390
187 LBBC000033 URINE FOR MAGNESIUM (24 Hours) 840 1,010 1,090 1,260 1,420 1,510
188 LBBC000035 URINE FOR MAGNESIUM (Spot) 840 1,010 1,090 1,260 1,420 1,510
189 LBBC000117 URINE FOR MICROALBUMIN (24 Hours) 960 1,150 1,250 1,440 1,630 1,720
190 LBBC000119 URINE FOR MICROALBUMIN(Spot) 960 1,150 1,250 1,440 1,630 1,720
191 LBBC000113 URINE FOR PHOSPHATE (Inorganic )(24 Hours) 430 620 700 840 890 930
192 LBBC000005 URINE FOR POTASSIUM (Spot) 300 460 540 650 690 730
193 LBBC000292 Urine for Potassium Creatinine Ratio 570 810 930 1,110 1,170 1,230
194 LBBC000121 URINE FOR POTASSIUM(24 Hours) 300 460 540 650 690 730
195 LBBC000006 URINE FOR PROTEIN(24 Hours) 430 620 700 840 890 930
196 LBBC000007 URINE FOR PROTEIN(Spot) 430 620 700 840 890 930
197 LBBC000099 URINE FOR PROTEIN-CREATININE RATIO 700 920 1,020 1,200 1,260 1,320
198 LBBC000008 URINE FOR SODIUM (24 Hours) 300 460 540 650 690 730
199 LBBC000009 URINE FOR SODIUM (Spot) 300 460 540 650 690 730
200 LBBC000271 URINE FOR SODIUM POTASIUM RATIO 670 880 980 1,160 1,210 1,260
201 LBBC000016 URINE FOR UREA (24 Hours) 320 490 580 690 740 780
202 LBBC000014 URINE FOR UREA (Spot) 320 490 580 690 740 780
203 LBBC000027 URINE FOR UREA NITROGEN (24 Hours) 340 530 610 730 780 830
204 LBBC000030 URINE FOR UREA NITROGEN (Spot) 340 530 610 730 780 830
205 LBBC000020 URINE FOR URIC ACID (24 Hours) 320 490 580 690 740 780
206 LBBC000023 URINE FOR URIC ACID (Spot) 320 490 580 690 740 780
207 LBBC000290 URINE FOR-6HRS CREATININE CLEARENCE 600 860 980 1,170 1,230 1,300
208 LBBC000272 URINE OSMOLALITY 1,160 1,390 1,510 1,740 1,970 2,080
209 LBBC000281 URINE URIC ACID 320 490 580 690 740 780
CLINICAL PATHOLOGY
210 LBCP000030 BAL FOR PH 200 310 360 430 460 490
211 LBCP000018 Bile Salt/Bile Pigment 220 330 400 470 500 530
212 LBCP000031 CAPD FOR PH 200 310 360 430 460 490
213 LBCP000035 CELL TYPE & CELL COUNT (ANY BODY FLUID) 500 720 810 970 1,030 1,080
214 LBCP000019 CSF FOR Ph 200 310 360 430 460 490
215 LBCP000036 Fluid For Bile Salt / Bile Pigment 220 330 400 470 500 530
216 LBCP000032 PERITONEAL FLUID FOR PH 200 310 360 430 460 490
217 LBCP000001 PREGNANCY TEST 400 620 720 870 920 980
218 LBCP000020 STOOL FOR CONCENTRATION METHOD 180 280 310 390 410 440
219 LBCP000021 STOOL FOR OBC & OPC 220 330 400 470 500 530
220 LBCP000003 STOOL FOR OCCULT BLOOD 180 280 310 390 410 440
221 LBCP000022 STOOL FOR OPC 180 280 310 390 410 440
222 LBCP000023 STOOL FOR Ph 180 280 310 390 410 440
223 LBCP000004 STOOL FOR REDUCING SUBSTANCES 180 280 310 390 410 440
224 LBCP000005 STOOL ROUTINE 180 280 310 390 410 440
225 LBCP000024 STOOL ROUTINE*3 CON DAYS 480 690 780 930 990 1,040
226 LBCP000033 SYNOVIAL FLUID FOR PH 200 310 360 430 460 490
227 LBCP000025 URINE FOR ACETONE 180 280 310 390 410 440
228 LBCP000034 URINE FOR ALBUMIN 180 280 310 390 410 440
229 LBCP000008 URINE FOR BENCE -JONES PROTEIN 220 330 400 470 500 530
230 LBCP000006 URINE FOR CHYLE 220 330 400 470 500 530
231 LBCP000009 URINE FOR EOSINIPHIL CAST 180 280 310 390 410 440
232 LBCP000010 URINE FOR HAEMOGLOBINURIA 180 280 310 390 410 440
233 LBCP000011 URINE FOR HEMOSIDERIN 220 330 400 470 500 530
234 LBCP000012 URINE FOR KETONE 180 280 310 390 410 440
235 LBCP000026 URINE FOR MICROFILERIA 900 1,080 1,170 1,350 1,530 1,620
236 LBCP000013 URINE FOR MYGLOBINURIA 180 280 310 390 410 440
237 LBCP000027 URINE FOR OBT 180 280 310 390 410 440
238 LBCP000015 URINE FOR PORPHOBILINOGEN 250 390 450 550 580 610
239 LBCP000028 URINE FOR RBC 180 280 310 390 410 440
240 LBCP000017 URINE FOR REDUCING SUBSTANCES 180 280 310 390 410 440
241 LBCP000014 URINE FOR UROBILINOGEN 250 390 450 550 580 610
242 LBCP000007 URINE ROUTINE 180 280 310 390 410 440
243 LBCP000029 URINE SUGAR 180 280 310 390 410 440
CYTOLOGY
244 LBCY000009 BODY FLUID FOR MALIGNANT CELL 960 1,150 1,250 1,440 1,630 1,720
245 LBCY000015 BODY FLUID-CELL COUNT 220 330 400 470 500 530
246 LBCY000010 BRONCHIAL BRUSH CYTOLOGY 960 1,150 1,250 1,440 1,630 1,720
247 LBCY000016 BUCCAL MUCOSA FOR SEX CHROMOSO 730 960 1,070 1,260 1,320 1,380
248 LBCY000020 CELL TYPE AND CELL COUNT (ANY BODY FLUID) 500 600 650 750 850 900
249 LBCY000008 CYTOLOGY SLIDE REVIEW 1,000 1,200 1,300 1,500 1,700 1,800
250 LBCY000017 FINE NEEDLE ASPIRATION CYTOLOGY FNAC/FNA 1,720 2,060 2,240 2,580 2,920 3,090
251 LBCY000018 FNAC SUPERFICIAL 1,720 2,060 2,240 2,580 2,920 3,090
252 LBCY000019 FNAC(DEEP) 1,720 2,060 2,240 2,580 2,920 3,090
253 LBCY000011 MALIGNANT CELL 960 1,150 1,250 1,440 1,630 1,720
254 LBCY000003 PAP SMEAR 960 1,150 1,250 1,440 1,630 1,720
255 LBCY000012 SPUTUM FOR CYTOLOGY 960 1,150 1,250 1,440 1,630 1,720
256 LBCY000013 SPUTUM FOR MALIGNANT CELL 960 1,150 1,250 1,440 1,630 1,720
257 LBCY000014 TZANCK SMEAR 640 840 930 1,100 1,150 1,200
HAEMATOLOGY
258 LBHM000060 ABNORMAL CELL 200 310 360 430 460 490
259 LBHM000055 ABSOLUTE NEUTROPHIL COUNT 230 360 410 500 530 560
260 LBHM000025 ABSOLUTE VALUE-EOSINOPHIL 200 310 360 430 460 490
261 LBHM000031 ALDEHYDE TEST 300 460 540 650 690 730
262 LBHM000032 APTT 570 810 930 1,110 1,170 1,230
263 LBHM000061 BAND CELL 150 240 290 350 370 390
264 LBHM000033 BLOOD GROUPING & RH TYPING 200 310 360 430 460 490
265 LBHM000035 BONE MARROW SMEAR EXAM 960 1,150 1,250 1,440 1,630 1,720
266 LBHM000037 BT,CT 200 310 360 430 460 490
267 LBHM000072 BT,CT 200 240 360 430 460 490
268 LBHM000038 COMPLETE HAEMOGRAM 500 720 810 970 1,030 1,080
269 LBHM000039 COOMBS TEST DIRECT 570 810 930 1,110 1,170 1,230
270 LBHM000040 COOMBS TEST INDIRECT 570 810 930 1,110 1,170 1,230
271 LBHM000041 COOMBS TEST WITH TITRE 1,300 1,560 1,690 1,950 2,210 2,340
272 LBHM000043 DC 200 310 360 430 460 490
273 LBHM000062 DC,MP 260 400 470 560 600 640
274 LBHM000042 D-DIMER 1,900 2,280 2,470 2,850 3,230 3,420
275 LBHM000044 ESR 200 310 360 430 460 490
276 LBHM000045 FALCIPARUM ANTIGEN 900 1,080 1,170 1,350 1,530 1,620
277 LBHM000073 FDP 1,680 2,020 2,180 2,520 2,850 3,020
278 LBHM000004 FIBRINOGEN 1,300 1,560 1,690 1,950 2,210 2,340
279 LBHM000079 Fluid for Haemoglobin 150 180 270 330 350 360
280 LBHM000078 Fluid for PCV 150 180 270 330 350 360
281 LBHM000005 G6PD 900 1,080 1,170 1,350 1,530 1,620
282 LBHM000069 GASTRIC ASPIRATION FOR POLYMORPH 300 460 540 650 690 730
283 LBHM000006 HAEMOGLOBIN 150 180 200 230 250 270
284 LBHM000010 HAEMOSIDERIN LADEN MACROPHAGES 200 310 360 430 460 490
285 LBHM000070 HB, TC, DC & PLATELET(Whole Blood EDTA) 330 520 590 720 770 810
286 LBHM000063 HB,TC 230 360 410 500 530 560
287 LBHM000007 HB,TC,DC 260 310 340 390 440 460
288 LBHM000008 HB,TC,DC,ESR 300 360 390 450 510 540
289 LBHM000009 IRON STAIN 200 310 360 430 460 490
290 LBHM000011 LE CELLS 300 460 540 650 690 730
291 LBHM000034 MALARIA PARASITE 200 310 360 430 460 490
292 LBHM000028 MCH 150 240 290 350 370 390
293 LBHM000026 MCHC 150 240 290 350 370 390
294 LBHM000029 MCV 150 240 290 350 370 390
295 LBHM000002 MICROFILARIA 250 390 450 550 580 610
296 LBHM000012 NASAL SMEAR FOR EOSINOPHILS 230 360 410 500 530 560
297 LBHM000001 PARASITE LOAD 250 390 450 550 580 610
298 LBHM000014 PCV 150 240 290 350 370 390
299 LBHM000015 PEREPHERAL BLOOD SMEAR 320 490 580 690 740 780
300 LBHM000052 PEREPHERAL BLOOD SMEAR 320 380 520 620 650 690
301 LBHM000016 PLATELET COUNT 320 490 580 690 740 780
302 LBHM000017 PROTHROMBIN TIME 450 640 740 880 930 970
303 LBHM000019 RBC COUNT 230 360 410 500 530 560
304 LBHM000064 RBC MORPHOLOGY 230 360 410 500 530 560
305 LBHM000020 RDW 180 280 310 390 410 440
306 LBHM000021 RETICULOCYTE COUNT 300 460 540 650 690 730
307 LBHM000022 SICKLING TEST 260 400 470 560 600 640
308 LBHM000071 SPHEROCYTE COUNT (Whole Blood EDTA) 3,230 3,880 4,200 4,850 5,490 5,810
309 LBHM000065 STAT INR 450 640 740 880 930 970
310 LBHM000066 TC ,ESR 260 400 470 560 600 640
311 LBHM000046 TC DC ESR 300 460 540 650 690 730
312 LBHM000024 TC, DC 230 360 410 500 530 560
313 LBHM000023 TLC 150 240 290 350 370 390
314 LBHM000068 TOXIC GRANULATION 200 310 360 430 460 490
315 LBHM000027 TOXIC GRANULATIONS AND BAND CELLS 200 310 360 430 460 490
316 LBHM000030 VIVAX ANTIGEN 900 1,080 1,170 1,350 1,530 1,620
HISTOPATHOLOGY
317 LBHP000004 BIOPSY EXTRA LARGE 4,430 5,320 5,760 6,660 7,530 7,970
318 LBHP000051 BIOPSY EXTRA LARGE+EXTRA TISSUE 5,750 6,900 7,480 8,640 9,770 10,350
319 LBHP000005 BIOPSY FOR SLIDE REVIEW 1,270 1,520 1,650 1,910 2,150 2,280
320 LBHP000002 BIOPSY LARGE 2,600 3,120 3,380 3,900 4,420 4,680
321 LBHP000003 BIOPSY MEDIUM 1,270 1,520 1,650 1,910 2,150 2,280
322 LBHP000006 BONE MARROW TREPHINE BIOPSY 1,520 1,820 1,980 2,280 2,580 2,730
323 LBHP000018 CD34 2,820 3,380 3,670 4,230 4,790 5,070
324 LBHP000021 CD99 (MIC-2) 2,820 3,380 3,670 4,230 4,790 5,070
325 LBHP000047 CELL BLOCK 900 1,080 1,170 1,350 1,530 1,620
326 LBHP000048 DERMATO PATHOLOGY BIOPSY 770 1,010 1,130 1,330 1,390 1,450
327 LBHP000007 FROZEN SECTION 3,900 4,680 5,070 5,860 6,630 7,020
328 LBHP000052 HP BIOPSY (PER SECTION) 980 1,180 1,270 1,470 1,660 1,760
329 LBHP000049 HP REVIEW (PER SLIDE) 600 860 980 1,170 1,230 1,300
330 LBHP000050 LEFT KIDNEY BIOPSY TEST 6,140 7,370 7,980 9,230 10,430 11,050
331 LBHP000118 P63 3,360 4,030 4,370 5,050 5,710 6,040
332 LBHP000116 Pancytokeratin,SMA,P63,S100,GFAP,Ki67 9,075 10,900 11,800 13,640 15,420 16,330
333 LBHP000053 ROUND CELL TUMOUR (AUDULT-ONE) 6,030 7,240 7,840 9,060 10,250 10,850
334 LBHP000054 SKIN BIOPSY FOR HP &IMMUNOFLORESIS 5,630 6,760 7,320 8,460 9,570 10,130
335 LBHP000028 SMOOTH MUSCLE ACTIN (SMA) 2,650 3,180 3,450 3,980 4,500 4,770
MICROBIOLOGY
336 LBMB000001 ACID FAST STAIN 400 620 720 870 920 980
337 LBMB000005 AEROBIC ROUTINE CULTURE AND SENSITIVITY 1,000 1,200 1,300 1,500 1,700 1,800
338 LBMB000058 AFB SUSCEPTIBILITY TEST (10 DRUG PANEL) 10,000 12,010 13,010 15,030 17,000 18,000
339 LBMB000057 AFB SUSCEPTIBILITY TEST (5 DRUG PANEL) 7,000 8,400 9,100 10,520 11,900 12,600
340 LBMB000003 ALBERT STAIN 400 620 720 870 920 980
341 LBMB000007 BACTEC CULTURE ANAEROBIC 1,140 1,370 1,480 1,710 1,930 2,050
342 LBMB000062 CLOSTRIDIUM DIFFICILE TOXIN A/B 1,470 1,760 1,910 2,210 2,490 2,640
343 LBMB000011 CSF FOR CRYPTOCOCCUS (INDIA INK) 400 620 720 870 920 980
344 LBMB000060 Culture Sensitivity for research purpose 0 0 0 0 0
345 LBMB000026 FNAC for Culture 760 1,000 1,110 1,310 1,370 1,430
346 LBMB000013 FUNGAL CULTURE 900 1,080 1,170 1,350 1,530 1,620
347 LBMB000014 FUNGAL STAIN (10 % KOH) 400 620 720 870 920 980
348 LBMB000061 GENE EXPERT (XPERT MTB / RIF) 2,000 2,000 2,000 2,000 2,000
349 LBMB000023 GIEMSA STAIN 400 620 720 870 920 980
350 LBMB000012 GRAM STAIN 250 390 450 550 580 610
351 LBMB000056 HOSPITAL SWAB CULTURE 0 0 0 0 0 0
352 LBMB000027 MIC-PANEL-BACTERIAL/FUNGAL(MICROSCAN SYSTEM) 1,500 1,800 1,950 2,250 2,550 2,700
353 LBMB000028 MODIFIED Z.N.STAIN 680 900 990 1,170 1,220 1,280
354 LBMB000024 NAIL CLIPPING 400 620 720 870 920 980
355 LBMB000029 NATIONAL INST OF HOMEOPATHY HOSPITAL SWAB CULTURE 3,740 3,740 3,740 3,740 3,740
356 LBMB000025 PROSTATIC SMEAR 250 390 450 550 580 610
357 LBMB000030 RAPID AFB CULTURE DRUG SENSITIVITY ANY ADDL DRUG 2,420 2,900 3,150 3,630 4,110 4,350
358 LBMB000031 Rapid Blood / Body Fluid Culture 1,160 1,390 1,510 1,740 1,970 2,080
359 LBMB000020 Rapid TB Culture 1,760 2,110 2,290 2,640 2,990 3,160
360 LBMB000032 SKIN SCRAPING 400 620 720 870 920 980
361 LBMB000033 SLIT SKIN SMEAR FOR LEPRABACILLI 540 780 880 1,050 1,110 1,160
362 LBMB000059 TZANCK SMEAR 640 770 830 960 1,080 1,150
363 LBMB000034 URETHRAL SMEAR 250 390 450 550 580 610
364 LBMB000019 WET MOUNT PREPARATION 400 620 720 870 920 980
365 LBMB000064 Xpert Flu 5,500 5,500 5,500 5,500 5,500
366 LBMB000068 XPERT HCV RNA PCR 5,000 6,000 6,500 7,510 8,500 9,000
367 LBMB000022 ZN Stain for AFB 400 620 720 870 920 980
SPECIAL BIOCHEMISTRY
368 LBSB000043 CORTISOL (PM) 1,220 1,460 1,590 1,830 2,070 2,190
369 LBSB000001 AFP(Alpha-Feto Protein) 1,500 1,800 1,950 2,250 2,550 2,700
370 LBSB000051 ANTI CCP ANTIBODY 2,160 2,590 2,810 3,240 3,670 3,880
371 LBSB000034 ANTI dsDNA (ELISA) 1,230 1,480 1,600 1,850 2,090 2,210
372 LBSB000050 ANTI NUCLEAR FACTOR (ELISA) 1,000 1,200 1,300 1,500 1,700 1,800
373 LBSB000067 ANTI TPO 1,320 1,580 1,720 1,980 2,240 2,370
374 LBSB000028 ANTICARDIOLIPIN Ab(IgG ,IgM) 1,800 2,160 2,340 2,700 3,060 3,240
375 LBSB000029 ANTICARDIOLIPIN Ab(IgG) 1,000 1,200 1,300 1,500 1,700 1,800
376 LBSB000030 ANTICARDIOLIPIN Ab(IgM) 1,000 1,200 1,300 1,500 1,700 1,800
377 LBSB000031 ANTIPHOSPHOLIPID AB 1,400 1,680 1,820 2,100 2,380 2,520
378 LBSB000078 BETA -2 - MICROGLOBULIN 1,800 2,160 2,340 2,700 3,060 3,240
379 LBSB000003 BETA HCG 1,200 1,440 1,560 1,800 2,040 2,160
380 LBSH000002 Bone Marrow Slide Review 830 1,000 1,080 1,250 1,410 1,490
381 LBSH000001 BONE MARROW SMEAR EXAM 1,860 2,230 2,420 2,790 3,160 3,340
382 LBSB000007 CA 125 2,230 2,680 2,900 3,350 3,790 4,010
383 LBSB000009 CA 15.3 2,800 3,360 3,640 4,200 4,760 5,040
384 LBSB000010 CA 19.9 2,230 2,680 2,900 3,350 3,790 4,010
385 LBSB000012 CEA(Carcino Embryonic Antigen) 1,500 1,800 1,950 2,250 2,550 2,700
386 LBSB000019 CORTISOL 1,220 1,460 1,590 1,830 2,070 2,190
387 LBSB000044 CORTISOL (AM) 1,220 1,460 1,590 1,830 2,070 2,190
388 LBSB000035 CYTOMEGALO (IgG) Serum 1,540 1,850 2,000 2,310 2,610 2,770
389 LBSB000036 DENGUE (A/B) CARD TEST 1,900 2,280 2,470 2,850 3,230 3,420
390 LBSB000037 F.S.H.+L.H.+PROLACTIN (Serum) 2,920 3,500 3,800 4,390 4,960 5,250
391 LBSB000021 FERRITIN 1,240 1,490 1,610 1,860 2,100 2,230
392 LBSB000061 Fluid for BETA HCG 1,200 1,440 1,560 1,800 2,040 2,160
393 LBSB000060 Fluid for CA125 2,230 2,680 2,900 3,350 3,790 4,010
394 LBSB000022 FOLIC ACID(Folate) 2,160 2,590 2,810 3,240 3,670 3,880
395 LBSB000023 FREE T3(FT3) 600 720 780 900 1,020 1,080
396 LBSB000024 FREE T4(FT4) 600 720 780 900 1,020 1,080
397 LBSB000025 FSH(FOLLICLE STIMULATING HORMONE) 1,100 1,320 1,430 1,650 1,870 1,980
398 LBSB000026 HBA1C(Glycosylated Haemoglobin) 1,000 1,200 1,300 1,500 1,700 1,800
399 LBSB000016 IgE-(Total) 1,650 1,980 2,150 2,480 2,800 2,970
400 LBSB000039 IMMUNOFIXATION ELECTROPHORESIS 7,000 10,800 11,710 13,530 15,300 16,200
401 LBSB000086 Immunofixation with KAPPA & LAMBDA 10,000 12,000 13,000 15,000 17,000 18,000
402 LBSB000056 IMMUNOGLOBULIN IgG + IgM + IgA 1,200 1,440 1,560 1,800 2,040 2,160
403 LBSB000063 IMMUNOGLOBULIN IgG + IgM + IgA 1,200 1,440 1,560 1,800 2,040 2,160
404 LBSB000055 IMMUNOGLOBULIN (IGM) 600 860 980 1,170 1,230 1,300
405 LBSB000053 IMMUNOGLOBULIN IgA 600 860 980 1,170 1,230 1,300
406 LBSB000054 IMMUNOGLOBULIN IgG 600 860 980 1,170 1,230 1,300
407 LBSB000085 KAPPA & LAMBDA Analysis 7,000 8,400 9,100 10,500 11,900 12,600
408 LBSB000002 LH(Leutenizing Hormone) 1,070 1,280 1,390 1,610 1,810 1,920
409 LBSB000004 NT PRO BNP 3,300 3,960 4,290 4,960 5,610 5,940
410 LBSB000058 Plural fluid for N TERMINAL PRO-BNP 3,700 4,440 4,810 5,560 6,290 6,660
411 LBSB000005 PROCALCITONIN(PCT) 4,500 5,400 5,850 6,760 7,650 8,100
412 LBSB000006 PROLACTIN 1,070 1,280 1,390 1,610 1,810 1,920
413 LBSB000032 PROTEIN ELECTROPHORESIS 1,100 1,320 1,430 1,650 1,870 1,980
414 LBSB000033 PROTEIN ELECTROPHORESIS URGENT 4,100 4,920 5,330 6,160 6,970 7,380
415 LBSB000008 PSA (Prostate Specific Antigen) 1,300 1,560 1,690 1,950 2,210 2,340
416 LBSB000042 SERUM CORTISOL (A.M.+P.M.) 2,400 2,880 3,120 3,600 4,080 4,320
417 LBSB000045 SERUM CORTISOL (RANDOM) 1,220 1,460 1,590 1,830 2,070 2,190
418 LBSB000046 SERUM FREE T3+FREE T4+TSH 3,300 3,960 4,290 4,960 5,610 5,940
419 LBSB000011 T3( Tri-Iodo-Thyronine) 500 600 650 750 850 900
420 LBSB000013 T4(Thyroxine) 500 600 650 750 850 900
421 LBSB000014 TESTOSTERONE 1,520 1,820 1,980 2,280 2,580 2,730
422 LBSB000015 THYROID PROFILE(T3,T4.TSH) 1,000 1,200 1,300 1,500 1,700 1,800
423 LBSB000047 Troponin -I Quantitative 2,150 2,580 2,800 3,230 3,650 3,870
424 LBSB000064 Troponin -I Quantitative 2,150 2,580 2,800 3,230 3,650 3,870
425 LBSB000057 TROPONIN T 2,000 2,400 2,600 3,000 3,400 3,600

426 LBSB000048 TROPONIN-T 2,500 3,000 3,250 3,750 4,250 4,500
427 LBSB000017 TSH 500 600 650 750 850 900
428 LBSB000018 VITAMIN B 12 1,720 2,060 2,240 2,580 2,920 3,090
429 LBSB000059 Vitamin D,25 hydroxy (Total) 2,400 2,880 3,120 3,600 4,080 4,320
SEROLOGY
430 LBSR000067 ANTI dsDNA (ELISA) 1,230 1,480 1,600 1,850 2,090 2,210
431 LBSR000004 ANTIBODY TO HIV 1&2 1,220 1,460 1,590 1,830 2,070 2,190
432 LBSR000003 ANTIBODY TO HCV 1,520 1,820 1,980 2,280 2,580 2,730
433 LBSR000071 Antinuclear Factor (Elisa) 1,000 1,200 1,300 1,500 1,700 1,800
434 LBSR000006 ASO TITRE 850 1,020 1,110 1,280 1,440 1,530
435 LBSR000022 CANCA & PANCA 3,200 3,840 4,160 4,800 5,440 5,760
436 LBSR000033 CHIKUNGUNYA IgM(Serum) 1,520 1,820 1,980 2,280 2,580 2,730
437 LBSR000072 CLOSTRIDIUM DIFFICILE TOXIN A/B 1,470 1,760 1,910 2,210 2,490 2,640
438 LBSR000030 CMV IGG & IGM 2,570 3,080 3,340 3,860 4,360 4,620
439 LBSR000032 CMV IGM 1,600 1,920 2,080 2,400 2,720 2,880
440 LBSR000021 DENGUE ANTIGEN 1,650 1,980 2,150 2,480 2,800 2,970
441 LBSR000035 DENGUE ELISA IgG 1,650 1,980 2,150 2,480 2,800 2,970
442 LBSR000036 DENGUE ELISA IgM 1,650 1,980 2,150 2,480 2,800 2,970
443 LBSR000007 DENGUE ELISA( IgG,IgM ) 2,120 2,540 2,760 3,180 3,600 3,810
444 LBSR00006 Dengue NS1 Rapid test 1,500 1,800 1,950 2,250 2,550 2,700
445 LBSR000063 Dengue NS1 Rapid test 1,440 1,730 1,870 2,160 2,440 2,590
446 LBSR000065 HAV IGm 1,670 2,000 2,170 2,510 2,830 3,000
447 LBSR000060 HBs AB (ANTI HBs) 1,100 1,320 1,430 1,650 1,870 1,980
448 LBSR000001 HBsAg 1,330 1,600 1,730 2,000 2,260 2,390
449 LBSR000061 HBsAg Elisa 1,330 1,600 1,730 2,000 2,260 2,390
450 LBSR000062 HBsAg Elisa / Chemi 1,330 1,600 1,730 2,000 2,260 2,390
451 LBSR000064 HCV Elisa / Chemi 1,080 1,300 1,400 1,620 1,830 1,940
452 LBSR000068 HEPATITIS Be ANTIBODY, HBeAb 1,520 1,820 1,980 2,280 2,580 2,730
453 LBSR000069 HEPATITIS Be ANTIGEN, HBeAg 1,150 1,380 1,500 1,730 1,950 2,070
454 LBSR000070 HEPATITIS Be PANEL *HBeAb*HBeAg 1,650 1,980 2,150 2,480 2,800 2,970
455 LBSR000038 HERPES IgG 1,330 1,600 1,730 2,000 2,260 2,390
456 LBSR000039 HERPES IgG & IgM 1,840 2,210 2,390 2,760 3,120 3,310
457 LBSR000040 HERPES IgM 1,330 1,600 1,730 2,000 2,260 2,390
458 LBSR000023 HEV IgM 1,520 1,820 1,980 2,280 2,580 2,730
459 LBSR000057 HIV (ELISA/CHEMI LUMINESCENCE)(Serum) 1,030 1,240 1,340 1,550 1,750 1,850
460 LBSR000019 Mantoux 300 460 540 650 690 730
461 LBSR000075 MPO/PANCA 1,650 1,980 2,150 2,480 2,810 2,970
462 LBSR000074 PR3 /CANCA 1,650 1,980 2,150 2,480 2,810 2,970
463 LBSR000034 ROUTINE HIV,HBsAg & HCV 1,600 1,920 2,080 2,400 2,720 2,880
464 LBSR000058 RPR(RAPID PLASMA REAGIN) 280 440 500 600 650 690
465 LBSR000042 RUBELLA IgG 1,330 1,600 1,730 2,000 2,260 2,390
466 LBSR000043 RUBELLA IgG & IgM 2,450 2,940 3,190 3,680 4,160 4,410
467 LBSR000044 RUBELLA IgM 1,330 1,600 1,730 2,000 2,260 2,390
468 LBSR000045 TORCH PANNEL 6,770 8,130 8,800 10,170 11,500 12,180
469 LBSR000046 TOXOPLASMA IgG 1,000 1,200 1,300 1,500 1,700 1,800
470 LBSR000047 TOXOPLASMA IgG & IgM 1,800 2,160 2,340 2,700 3,060 3,240
471 LBSR000048 TOXOPLASMA IgM 1,000 1,200 1,300 1,500 1,700 1,800
472 LBSR000049 TUBERCULOSIS IgA 1,000 1,200 1,300 1,500 1,700 1,800
473 LBSR000050 TUBERCULOSIS IgG 1,000 1,200 1,300 1,500 1,700 1,800
474 LBSR000051 TUBERCULOSIS IgG,IgA 1,800 2,160 2,340 2,700 3,060 3,240
475 LBSR000052 TUBERCULOSIS IgG,IgM, 1,800 2,160 2,340 2,700 3,060 3,240
476 LBSR000053 TUBERCULOSIS IgG,IgM,IgA 2,700 3,240 3,510 4,050 4,590 4,860
477 LBSR000054 TUBERCULOSIS IgM 1,000 1,200 1,300 1,500 1,700 1,800
478 LBSR000055 TUBERCULOSIS IgM,IgA 1,800 2,160 2,340 2,700 3,060 3,240
479 LBSR000056 TYPHI.M 640 840 930 1,100 1,150 1,200
480 LBSR000015 WESTERN BLOT (HIV) 3,700 4,440 4,810 5,560 6,290 6,660
481 LBSR000016 WIDAL TEST (TUBE) 500 720 810 970 1,030 1,080
CT SCAN
482 RDCT000087 3D RECONSTRUCTION 2,650 2,920 3,440 3,970 4,500 4,770
483 RDCT000085 ANGIOGRAPHY CORONARY WITH CALCIUM SCORING 9,600 10,560 12,480 14,400 16,320 17,280
484 RDCT000088 CALCIUM SCORING 5,500 6,050 7,150 8,250 9,350 9,900
485 RDCT000109 CT ABDOMINAL ANGIOGRAPHY 10,000 11,000 13,000 15,000 17,000 18,000
486 RDCT000089 CT ANGIOGRAPHY 9,000 9,900 11,700 13,500 15,300 16,200
487 RDCT000090 CT BONE DENSITOMETRY 3,200 3,520 4,160 4,800 5,440 5,760
488 RDCT000110 CT BRAIN ANGIOGRAPHY 9,000 9,900 11,700 13,500 15,300 16,200
489 RDCT000007 CT CISTERNOGRAM 9,700 10,670 12,610 14,550 16,490 17,460
490 RDCT000003 CT EXTRA FILM (EACH) N 250 280 320 370 420 450
491 RDCT000004 CT EXTRA SLICE (EACH) 250 280 320 370 420 450
492 RDCT000107 CT Guided Alcohol ablation 9,000 9,900 11,700 13,500 15,300 16,200
493 RDCT000091 CT GUIDED ASPIRATION 3,200 3,520 4,160 4,800 5,440 5,760
494 RDCT000081 CT GUIDED BIOPSY 7,800 8,580 10,140 11,700 13,260 14,040
495 RDCT000092 CT GUIDED COELIAC GANGLION BLOCK 6,000 6,600 7,800 9,000 10,200 10,800
496 RDCT000093 CT GUIDED FNAC 4,300 4,730 5,590 6,450 7,310 7,740
497 RDCT000094 CT GUIDED PIGTIL DRAINAGE 5,500 6,050 7,150 8,250 9,350 9,900
498 RDCT000095 CT MYELOGRAM DORSAL SPINE 9,700 10,670 12,610 14,550 16,490 17,460
499 RDCT000096 CT MYELOGRAM LUMBER SPINE 9,700 10,670 12,610 14,550 16,490 17,460
500 RDCT000111 CT NECK ANGIOGRAPHY 8,400 9,240 10,920 12,600 14,280 15,120
501 RDCT000097 CT PERIPHERAL ANGIOGRAPHY 10,000 11,000 13,000 15,000 17,000 18,000
502 RDCT000112 CT PULMONARY ANGIOGRAPHY 9,000 9,900 11,700 13,500 15,300 16,200
503 RDCT000108 CT RENAL ANGIOGRAPHY 9,000 9,900 11,700 13,500 15,300 16,200
504 RDCT000012 CT SCAN OF BRAIN 2,500 2,750 3,250 3,750 4,250 4,500
505 RDCT000010 CT SCAN OF BRAIN & ORBIT 5,800 6,380 7,540 8,700 9,860 10,440
506 RDCT000014 CT SCAN OF CERVICAL SPINE 5,800 6,380 7,540 8,700 9,860 10,440
507 RDCT000017 CT SCAN OF DORSAL SPINE 5,800 6,380 7,540 8,700 9,860 10,440
508 RDCT000019 CT SCAN OF FACE 5,800 6,380 7,540 8,700 9,860 10,440
509 RDCT000020 CT SCAN OF JOINT(KNEE/ ANKLE/SHOULDER)3D 5,800 6,380 7,540 8,700 9,860 10,440
510 RDCT000021 CT SCAN OF KUB 7,400 8,140 9,620 11,100 12,580 13,320
511 RDCT000022 CT SCAN OF L S SPINE (N) 5,800 6,380 7,540 8,700 9,860 10,440
512 RDCT000023 CT SCAN OF LOWER ABDOMEN 5,800 6,380 7,540 8,700 9,860 10,440
513 RDCT000026 CT SCAN OF NECK 5,800 6,380 7,540 8,700 9,860 10,440
514 RDCT000027 CT SCAN OF ORBIT 2,500 2,750 3,250 3,750 4,250 4,500
515 RDCT000029 CT SCAN OF PELVIS 5,800 6,380 7,540 8,700 9,860 10,440
516 RDCT000031 CT SCAN OF PNS 5,800 6,380 7,540 8,700 9,860 10,440
517 RDCT000035 CT SCAN OF UPPER ABDOMEN 5,800 6,380 7,540 8,700 9,860 10,440
518 RDCT000037 CT SCAN OF WHOLE ABDOMEN 9,000 9,900 11,700 13,500 15,300 16,200
519 RDCT000098 CT SCAN SELLA 2,500 2,750 3,250 3,750 4,250 4,500
520 RDCT000099 CT SCAN SINGLE PART 5,800 6,380 7,540 8,700 9,860 10,440
521 RDCT000100 CT SCAN TEMPORAL BONE 5,800 6,380 7,540 8,700 9,860 10,440
522 RDCT000113 CT VENOGRAM 9,000 9,900 11,700 13,500 15,300 16,200
523 RDCT000101 CT VIRTUAL COLONOSCOPY 5,500 6,050 7,150 8,250 9,350 9,900
524 RDCT000038 HR CT OF THORAX 5,000 5,500 6,500 7,500 8,500 9,000
525 RDCT000102 LIMITED CT 3,100 3,410 4,030 4,650 5,270 5,580
526 RDCT000103 LOWER TIBIA PLAIN 5,800 6,380 7,540 8,700 9,860 10,440
527 RDCT000104 MYELOGRAM DORSAL SPINE 10,000 11,000 13,000 15,000 17,000 18,000
528 RDCT000106 RADIO FREQUENCY ABLATION 80,850 88,940 105,100 121,270 137,440 145,530
529 RDCT000105 SCREENING CT FOR RENAL STONE 4,100 4,510 5,330 6,150 6,970 7,380
530 RDCT000040 VIRTUAL BRONCHOSCOPY(P)/VIRTUAL LARYNGOSCOPY(P) 5,500 6,050 7,150 8,250 9,350 9,900
MRI
531 RDMR000082 EXTRA FILM MRI 300 330 390 450 510 540
532 RDMR000001 MRCP 5,400 5,940 7,020 8,100 9,180 9,720
533 RDMR000092 MRI ANAESTHESIA 1,100 1,210 1,430 1,650 1,870 1,980
534 RDMR000116 MRI ANGIO SINGLE PART (WITH CONTRAST) 13,000 14,300 16,900 19,500 22,100 23,400
535 RDMR000119 MRI ANGIO SINGLE PART (W/O CONTRAST) 7,650 8,420 9,940 11,470 13,000 13,770
536 RDMR000007 MRI ANGIOGRAPHY PLAIN BRAIN 7,650 8,420 9,940 11,470 13,000 13,770
537 RDMR000093 MRI ANKLE JOINT 7,650 8,420 9,940 11,470 13,000 13,770
538 RDMR000125 MRI ANKLE JOINT (LT) 7,650 8,420 9,940 11,470 13,000 13,770
539 RDMR000126 MRI ANKLE JOINT (RT) 7,650 8,420 9,940 11,470 13,000 13,770
540 RDMR000084 MRI ARTHROGRAM 10,200 11,220 13,260 15,300 17,340 18,360
541 RDMR000094 MRI BOTH SHOULDER JT 15,300 16,830 19,890 22,950 26,010 27,540
542 RDMR000095 MRI BRACHIAL PLEXUS 8,000 8,800 10,400 12,000 13,600 14,400
543 RDMR000085 MRI BRAIN & VENOGRAM 12,700 13,970 16,510 19,050 21,590 22,860
544 RDMR000121 MRI BRAIN SPECIAL 7,650 8,420 9,940 11,470 13,000 13,770
545 RDMR000104 MRI BREAST IMAGING 7,650 8,420 9,940 11,470 13,000 13,770
546 RDMR000106 MRI CARDIAC FUNCTIONAL (W/O CONTRAST ) 7,650 8,420 9,940 11,470 13,000 13,770
547 RDMR000105 MRI CARDIAC MORPHOLOGY (W/O CONTRAST ) 7,650 8,420 9,940 11,470 13,000 13,770
548 RDMR000081 MRI CAROTID ANGIOGRAM (W/O CONTRAST) 7,650 8,420 9,940 11,470 13,000 13,770
549 RDMR000035 MRI D-SPINE/THORACIC SPINE 7,650 8,420 9,940 11,470 13,000 13,770
550 RDMR000127 MRI ELBOW JOINT (LT) 7,650 8,420 9,940 11,470 13,000 13,770
551 RDMR000128 MRI ELBOW JOINT (RT) 7,650 8,420 9,940 11,470 13,000 13,770
552 RDMR000129 MRI FOOT (LT) 7,650 8,420 9,940 11,470 13,000 13,770
553 RDMR000130 MRI FOOT (RT) 7,650 8,420 9,940 11,470 13,000 13,770
554 RDMR000131 MRI HAND (LT) 7,650 8,420 9,940 11,470 13,000 13,770
555 RDMR000132 MRI HAND (RT) 7,650 8,420 9,940 11,470 13,000 13,770
556 RDMR000096 MRI HIP 7,650 8,420 9,940 11,470 13,000 13,770
557 RDMR000042 MRI JOINTS (ELBOW/WRIST/KNEE JOINT) (EACH) 7,650 8,420 9,940 11,470 13,000 13,770
558 RDMR000041 MRI JOINTS (T.M. JOINT/SHOULDER) (EACH) 7,650 8,420 9,940 11,470 13,000 13,770
559 RDMR000133 MRI KNEE JOINT (LT) 7,650 8,420 9,940 11,470 13,000 13,770
560 RDMR000134 MRI KNEE JOINT (RT) 7,650 8,420 9,940 11,470 13,000 13,770
561 RDMR000123 MRI KUB 8,000 8,800 10,400 12,000 13,600 14,400
562 RDMR000135 MRI LEG 7,650 8,420 9,940 11,470 13,000 13,770
563 RDMR000086 MRI LOWER ABDMN & MRI UROGRAPHY 10,200 11,220 13,260 15,300 17,340 18,360
564 RDMR000142 MRI LOWER ABDOMEN 7,650 8,420 9,940 11,470 13,000 13,770
565 RDMR000108 MRI NECK 7,650 8,420 9,940 11,470 13,000 13,770
566 RDMR000109 MRI NECK ANGIO (WITH CONTRAST) 13,000 14,300 16,900 19,500 22,100 23,400
567 RDMR000043 MRI OF BOTH HIP JOINTS 7,650 8,420 9,940 11,470 13,000 13,770
568 RDMR000009 MRI OF BRAIN 7,650 8,420 9,940 11,470 13,000 13,770
569 RDMR000020 MRI OF CERVICAL SPINE 7,650 8,420 9,940 11,470 13,000 13,770
570 RDMR000083 MRI OF LUMBER SPINE 7,650 8,420 9,940 11,470 13,000 13,770
571 RDMR000141 MRI OF PELVIS 7,650 8,420 9,940 11,470 13,000 13,770
572 RDMR000087 MRI PERINEUM 6,000 6,600 7,800 9,000 10,200 10,800
573 RDMR000100 MRI PERIPHERAL ANGIO (WITH CONTRAST) 13,000 14,300 16,900 19,500 22,100 23,400
574 RDMR000101 MRI PERIPHERAL ANGIO (WITHOUT CONTRAST) 9,000 9,900 11,700 13,500 15,300 16,200
575 RDMR000060 MRI PNS 7,650 8,420 9,940 11,470 13,000 13,770
576 RDMR000103 MRI PROSTATE IMAGING 10,000 11,000 13,000 15,000 17,000 18,000
577 RDMR000118 MRI PULMONARY ANGIO (W/O CONTRAST) 7,650 8,420 9,940 11,470 13,000 13,770
578 RDMR000113 MRI PULMONARY ANGIO (WITH CONTRAST) 13,000 14,300 16,900 19,500 22,100 23,400
579 RDMR000117 MRI RENAL ANGIO (W/O CONTRAST) 7,650 8,420 9,940 11,470 13,000 13,770
580 RDMR000112 MRI RENAL ANGIO (With CONTRAST) 13,000 14,300 16,900 19,500 22,100 23,400
581 RDMR000088 MRI SACROILLIAC JOINT 7,650 8,420 9,940 11,470 13,000 13,770
582 RDMR000062 MRI SCAN OF BRAIN WITH ANGIO 13,000 14,300 16,900 19,500 22,100 23,400
583 RDMR000063 MRI SCAN OF BRAIN WITH ORBIT 10,700 11,770 13,910 16,050 18,190 19,260
584 RDMR000098 MRI SCREENING LEVEL I 3,350 3,690 4,350 5,020 5,690 6,030
585 RDMR000102 MRI SCREENING LEVEL II 4,350 4,790 5,650 6,520 7,390 7,830
586 RDMR000136 MRI SHOULDER JOINT (LT) 7,650 8,420 9,940 11,470 13,000 13,770
587 RDMR000137 MRI SHOULDER JOINT (RT) 7,650 8,420 9,940 11,470 13,000 13,770
588 RDMR000120 MRI SINGLE PART 7,650 8,420 9,940 11,470 13,000 13,770
589 RDMR000111 MRI SPINAL ANGIO (WITH CONTRAST) 13,000 14,300 16,900 19,500 22,100 23,400
590 RDMR000114 MRI SPLENO POTOGRAPHY (WITH CONTRAST) 13,000 14,300 16,900 19,500 22,100 23,400
591 RDMR000124 MRI TEMPORAL BONE 7,650 8,420 9,940 11,470 13,000 13,770
592 RDMR000138 MRI THIGH 7,650 8,420 9,940 11,470 13,000 13,770
593 RDMR000110 MRI THORASIC ANGIO (WITH CONTRAST) 13,000 14,300 16,900 19,500 22,100 23,400
594 RDMR000089 MRI UPPER ABDMN & MRCP 10,700 11,770 13,910 16,050 18,190 19,260
595 RDMR000073 MRI UPPER ABDOMEN 7,650 8,420 9,940 11,470 13,000 13,770
596 RDMR000090 MRI UROGRAPHY 7,650 8,420 9,940 11,470 13,000 13,770
597 RDMR000091 MRI VENOGRAM OF BRAIN 7,650 8,420 9,940 11,470 13,000 13,770
598 RDMR000115 MRI VENOUS ANGIO (WITH CONTRAST) 13,000 14,300 16,900 19,500 22,100 23,400
599 RDMR000074 MRI WHOLE ABDOMEN 13,000 14,300 16,900 19,500 22,100 23,400
600 RDMR000107 MRI WHOLE BODY METASTATIC SCREENING (STIR/TI/T2/DW1/AXIL T1/T2/T2 SPARE) 16,000 17,600 20,800 24,000 27,200 28,800
601 RDMR000122 MRI WHOLE SPINE SCREENING 15,020 16,380 19,110 19,795 20,480
602 RDMR000139 MRI WRIST JOINT (LT) 7,650 8,420 9,940 11,470 13,000 13,770
603 RDMR000140 MRI WRIST JOINT (RT) 7,650 8,420 9,940 11,470 13,000 13,770
604 RDMR000097 SACROILLIAC JOINT (MRI) 7,650 8,420 9,940 11,470 13,000 13,770
605 RDMR000099 SINGLE PART (MRI) 7,650 8,420 9,940 11,470 13,000 13,770
ULTRASONOGRAPHY
606 RDUS000106 ANOMALY SCAN 2,200 2,420 2,860 3,300 3,740 3,960
607 RDUS000141 ANOMALY SCAN 2,200 2,420 2,860 3,300 3,740 3,960
608 RDUS000113 BREAST BOTH USG 1,600 1,760 2,080 2,400 2,720 2,880
609 RDUS000001 DOPPLER CAROTID 2,500 2,750 3,250 3,750 4,250 4,500
610 RDUS000114 DOPPLER PERI LIMB (ARTERIAL) SCR 1,800 1,980 2,340 2,700 3,060 3,240
611 RDUS000115 DOPPLER PERI LIMB (VENOUS) SCR 1,800 1,980 2,340 2,700 3,060 3,240
612 RDUS000116 DOPPLER SCREENING USG 1,800 1,980 2,340 2,700 3,060 3,240
613 RDUS000117 DOPPLER STUDY ANY ORGAN USG 2,500 2,750 3,250 3,750 4,250 4,500
614 RDUS000003 DOPPLER VENOUS / ARTERIAL (EACH LIMB) 2,500 2,750 3,250 3,750 4,250 4,500
615 RDUS000118 FOLLICLE STUDY USG 1,950 2,150 2,530 2,920 3,310 3,510
616 RDUS000119 LIVER ABSCESS ASPIRATION (USG GUIDE) 2,600 2,860 3,380 3,900 4,420 4,680
617 RDUS000120 LIVER ABSCESS PIGTAIL DRAINAGE 5,000 5,500 6,500 7,500 8,500 9,000
618 RDUS000121 NEONATAL BRAIN USG 1,600 1,760 2,080 2,400 2,720 2,880
619 RDUS000122 ORBIT USG 1,600 1,760 2,080 2,400 2,720 2,880
620 RDUS000123 PELVIS WITH TV PROB USG 1,600 1,760 2,080 2,400 2,720 2,880
621 RDUS000124 PERCUTANEOUS BILIARY DRAINAGE 10,700 11,770 13,910 16,050 18,190 19,260
622 RDUS000125 PERCUTANEOUS NEPHROSTOMY 5,900 6,490 7,670 8,850 10,030 10,620
623 RDUS000126 PIGTAIL DRAINAGE 3,300 3,630 4,290 4,950 5,610 5,940
624 RDUS000127 PORTABLE DOPPLER SCREENING 4,420 4,860 5,740 6,630 7,510 7,950
625 RDUS000128 PORTABLE PIGTAIL DRAINAGE 6,200 6,820 8,060 9,300 10,540 11,160
626 RDUS000129 PORTABLE USG GUIDED PLEURAL ASPIRATION (THERAPEUTI 5,570 6,130 7,240 8,350 9,460 10,020
627 RDUS000130 PORTABLE USG GUIDED PLEURAL ASPIRATION(DIAGNOSTIC) 4,420 4,860 5,740 6,630 7,510 7,950
628 RDUS000131 PORTABLE USG SCREENING 3,530 3,880 4,580 5,290 6,000 6,350
629 RDUS000132 PREGNANCY WITH DOPPLER 2,200 2,420 2,860 3,300 3,740 3,960
630 RDUS000011 RENAL DOPPLER 2,500 2,750 3,250 3,750 4,250 4,500
631 RDUS000133 SINGLE ORGAN USG 1,600 1,760 2,080 2,400 2,720 2,880
632 RDUS000134 SPLENIC DOPPLER 2,500 2,750 3,250 3,750 4,250 4,500
633 RDUS000135 TESTIS/SORTUM USG 1,600 1,760 2,080 2,400 2,720 2,880
634 RDUS000136 TRANS VAGINAL-TRANS RECTAL USG 1,600 1,760 2,080 2,400 2,720 2,880
635 RDUS000022 UROFLOWMETRY 1,200 1,320 1,560 1,800 2,040 2,160
636 RDUS000070 USG (SCREENING) 1,000 1,100 1,300 1,500 1,700 1,800
637 RDUS000145 USG GUIDED ABCESS ASPIRATION 2,600 2,860 3,380 3,900 4,420 4,680
638 RDUS000137 USG GUIDED AMNIOCENTESIS 2,500 2,750 3,250 3,750 4,250 4,500
639 RDUS000138 USG GUIDED ASCITIC ASPIRATION (DIAGNOSTIC) 1,760 1,940 2,280 2,640 2,990 3,160
640 RDUS000139 USG GUIDED ASCITIC ASPIRATION (THERAPEUTIC) 3,000 3,300 3,900 4,500 5,100 5,400
641 RDUS000023 USG GUIDED ASPIRATION (DIAGNOSTIC) 1,760 1,940 2,280 2,640 2,990 3,160
642 RDUS000024 USG GUIDED ASPIRATION (DIAGNOSTIC)(PORTABLE) 4,420 4,860 5,740 6,630 7,510 7,950
643 RDUS000025 USG GUIDED ASPIRATION (THERAPEUTIC) 3,000 3,300 3,900 4,500 5,100 5,400
644 RDUS000026 USG GUIDED ASPIRATION (THERAPEUTIC)(PORTABLE) 5,570 6,130 7,240 8,350 9,460 10,020
645 RDUS000101 USG GUIDED BIOPSY 3,000 3,300 3,900 4,500 5,100 5,400
646 RDUS000027 USG GUIDED FNAC 1,760 1,940 2,280 2,640 2,990 3,160
647 RDUS000142 USG GUIDED PLEURAL ASPIRATION 1,760 1,940 2,280 2,640 2,990 3,160
648 RDUS000063 USG OF KUB 1,300 1,430 1,690 1,950 2,210 2,340
649 RDUS000062 USG OF KUB & PROSTATE 1,300 1,430 1,690 1,950 2,210 2,340
650 RDUS000144 USG OF KUB (SCREENING) 1,000 1,100 1,300 1,500 1,700 1,800
651 RDUS000031 USG OF LOWER ABDOMEN 1,300 1,430 1,690 1,950 2,210 2,340
652 RDUS000108 USG OF PELVIS 1,300 1,430 1,690 1,950 2,210 2,340
653 RDUS000140 USG OF THYROID 1,600 1,760 2,080 2,400 2,720 2,880
654 RDUS000034 USG OF UPPER ABDOMEN 1,300 1,430 1,690 1,950 2,210 2,340
655 RDUS000037 USG OF WHOLE ABDOMEN 2,100 2,310 2,730 3,150 3,570 3,780
656 RDUS000039 USG OF WHOLE ABDOMEN (SCREENING) 0 0 0 0 0
657 RDUS000016 USG PREGNANCY / USG GYNAECOLOGY / USG OBSTETRICS 1,300 1,430 1,690 1,950 2,210 2,340
658 RDUS000050 USG SMALL PART/USG SOFT TISSUE - THORAX 1,300 1,430 1,690 1,950 2,210 2,340
X- RAY
659 RDXR000301 ABDOMEN LAT DECUBITUS 340 480 560 690 740 780
660 RDXR000302 ACROMIO - CLAVICULAR JOINT X-RAY (ONE SIDE) 340 480 560 690 740 780
661 RDXR000303 ANKEL AP & LAT 340 370 510 620 650 690
662 RDXR000304 ANKLE WITH FOOT X-RAY (ONE SIDE) 680 900 1,030 1,230 1,310 1,380
663 RDXR000305 ANKLE X-RAY OBLIQUE 340 480 560 690 740 780
664 RDXR000306 ASCENDING UROTHROGRAM 1,600 1,760 2,080 2,400 2,720 2,880
665 RDXR000307 BARIUM ENEMA 2,900 3,190 3,770 4,350 4,930 5,220
666 RDXR000308 BARIUM MEAL FOLLOW THROUGH 2,900 3,190 3,770 4,350 4,930 5,220
667 RDXR000309 BARIUM MEAL ILLOCAECAL REGION 2,300 2,530 2,990 3,450 3,910 4,140
668 RDXR000310 BARIUM SWALLOW 1,600 1,760 2,080 2,400 2,720 2,880
669 RDXR000311 BOTH CALCANEAL AXIAL (R/L) ARM AP LATERAL 340 480 560 690 740 780
670 RDXR000312 BOTH CALCANIUM AXIAL 340 480 560 690 740 780
671 RDXR000313 BOTH KNEE JT X-RAY AP/LAT 680 900 1,030 1,230 1,310 1,380
672 RDXR000314 BOTH ORBIT 340 480 560 690 740 780
673 RDXR000315 CALCANIUM AXIAL 340 480 560 690 740 780
674 RDXR000316 CERVICAL SPINE AP 340 480 560 690 740 780
675 RDXR000317 CERVICAL SPINE LATERAL FERION/EXTENSION 680 900 1,030 1,230 1,310 1,380
676 RDXR000318 CERVICAL SPINE LEFT OBLIQUE 340 480 560 690 740 780
677 RDXR000319 CERVICAL SPINE RIGHT OBLIQUE 340 480 560 690 740 780
678 RDXR000320 CERVICO DORSAL LAT OBLIQUE SWIMMERS VIEW 340 480 560 690 740 780
679 RDXR000321 CHEST AP 340 370 510 620 650 690
680 RDXR000322 CHEST BOTH LATERAL DECUBITUS 680 900 1,030 1,230 1,310 1,380
681 RDXR000323 CLAVICAL AP 340 480 560 690 740 780
682 RDXR000324 CLAVICAL AXIAL 340 480 560 690 740 780
683 RDXR000325 COCCYX AP LAT 680 750 880 1,020 1,150 1,220
684 RDXR000326 COLOGRAM 2,570 2,830 3,340 3,850 4,360 4,620
685 RDXR000327 CYSTOGRAM 1,560 1,720 2,020 2,340 2,650 2,800
686 RDXR000328 DORSAL SPINE AP 340 370 510 620 650 690
687 RDXR000329 DORSO LUMBER ONE OBLIQUE 340 480 560 690 740 780
688 RDXR000330 DORSO LUMBER SPINE AP 340 480 560 690 740 780
689 RDXR000331 DORSO LUMBER SPINE LAT 340 480 560 690 740 780
690 RDXR000332 ELBOW BOTH OBLIQUE 340 480 560 690 740 780
691 RDXR000333 ELBOW OBLIQUE 340 480 560 690 740 780
692 RDXR000334 EXTRA FLIM C-ARM 400 440 520 600 680 720
693 RDXR000335 EXTRA PLATE PER XRAY 200 220 260 300 340 360
694 RDXR000336 FLUROSCOPE (PER 5 MIN) 700 840 940 1,120 1,180 1,230
695 RDXR000337 FLUROSCOPY CHARGES 400 570 660 810 860 920
696 RDXR000338 FOREARM AP & LAT 340 480 560 690 740 780
697 RDXR000339 GRASTRO GRAFFIN UPPER G I STUDY 2,570 2,830 3,340 3,850 4,360 4,620
698 RDXR000340 HIP LAT (R/L) 340 480 560 690 740 780
699 RDXR000341 HYSTEROSALPINGOGRAM (CONTRAST EXTAR) 2,000 2,200 2,600 3,000 3,400 3,600
700 RDXR000342 IC KNOTCH 340 480 560 690 740 780
701 RDXR000343 INDEX FINGER X RAY AP/ LAT 340 480 560 690 740 780
702 RDXR000344 IVP 2,740 3,010 3,560 4,110 4,650 4,930
703 RDXR000345 IVP WITH MCU 3,220 3,540 4,180 4,830 5,470 5,790
704 RDXR000346 KNEE JOINT SKYLINE VIEW 340 480 560 690 740 780
705 RDXR000347 KNEE OBLIQUE (ONE SIDE) 340 480 560 690 740 780
706 RDXR000348 LEFT FOOT AP/ LAT 340 480 560 690 740 780
707 RDXR000349 LEFT HAND AP/ LAT 340 480 560 690 740 780
708 RDXR000350 LEFT HAND X-RAY AP/OBL 340 480 560 690 740 780
709 RDXR000351 LEFT KNEE JOINT AP/LAT (STANDING) 680 900 1,030 1,230 1,310 1,380
710 RDXR000352 LEFT KNEE JT AP/ LAT 340 480 560 690 740 780
711 RDXR000353 LITTLE FINGER 340 480 560 690 740 780
712 RDXR000354 LT ANKLE AP/LAT 340 480 560 690 740 780
713 RDXR000355 LT ELBOW X-RAY AP 340 480 560 690 740 780
714 RDXR000356 LT ELBOW X-RAY LAT 340 480 560 690 740 780
715 RDXR000357 LT FEMUR AP & LAT 680 900 1,030 1,230 1,310 1,380
716 RDXR000358 LT FOOT AP / OBL 340 480 560 690 740 780
717 RDXR000359 LT FOOT X-RAY AP/LAT 340 480 560 690 740 780
718 RDXR000360 LT HUMERUS AP/LAT 340 480 560 690 740 780
719 RDXR000361 LT SHOULDER AP LAT 680 900 1,030 1,230 1,310 1,380
720 RDXR000362 LT WRIST AP/LAT 340 480 560 690 740 780
721 RDXR000363 LUMBER SPINE LT OBLIQUE 340 480 560 690 740 780
722 RDXR000364 LUMBER SPINE RT OBLIQUE 340 480 560 690 740 780
723 RDXR000365 MANDIBLE PA VIEW 340 480 560 690 740 780
724 RDXR000366 MANDILE BOTH LATERAL OBLIQUE 680 900 1,030 1,230 1,310 1,380
725 RDXR000367 MANDILE LAT / OBLIQUE SIDEOBLIQUE 340 480 560 690 740 780
726 RDXR000368 MASTOID LAT/OBLIQUE 340 480 560 690 740 780
727 RDXR000369 MASTOID STENVERS 340 480 560 690 740 780
728 RDXR000370 MCU (CONTRAST EXTAR) 1,760 1,940 2,280 2,640 2,990 3,160
729 RDXR000371 MYELOGRAM (CONTRAST EXTAR) 3,000 3,300 3,900 4,500 5,100 5,400
730 RDXR000372 N J TUBE X RAY 340 480 560 690 740 780
731 RDXR000373 NASAL BONES LATERAL 340 480 560 690 740 780
732 RDXR000435 OPG(Ortho Pantomo Gram) 600 660 780 900 1,020 1,080
733 RDXR000374 OPTIC FORAMINE (BOTH) 680 900 1,030 1,230 1,310 1,380
734 RDXR000375 OPTIC FORAMINE (SINGLE) 340 480 560 690 740 780
735 RDXR000376 PARANASALSINUS X-RAY 340 480 560 690 740 780
736 RDXR000377 POCTOGRAM 3,220 3,540 4,180 4,830 5,470 5,790
737 RDXR000378 PORTABLE CHEST X-RAY 1,300 1,430 1,690 1,950 2,210 2,340
738 RDXR000379 PORTABLE X-RAY 1,300 1,430 1,690 1,950 2,210 2,340
739 RDXR000380 PORTABLE X-RAY (NICU) 640 840 970 1,170 1,230 1,300
740 RDXR000381 R/L KNEE (STANDING) AP/LT 680 900 1,030 1,230 1,310 1,380
741 RDXR000382 REVERSE TOWNS 340 480 560 690 740 780
742 RDXR000383 RIBS AP/OBLIQUE 680 900 1,030 1,230 1,310 1,380
743 RDXR000384 RIBS OBLIQUE 340 480 560 690 740 780
744 RDXR000385 RIGHT ANKLE AP/LAT 340 480 560 690 740 780
745 RDXR000386 RIGHT FOOT AP/ LAT 340 480 560 690 740 780
746 RDXR000387 RIGHT FOREARM AP / LAT 340 480 560 690 740 780
747 RDXR000388 RIGHT HAND AP/LAT 340 480 560 690 740 780
748 RDXR000389 RIGHT HAND X-RAY AP/OBL 340 480 560 690 740 780
749 RDXR000390 RIGHT KNEE JT AP/ LAT 340 480 560 690 740 780
750 RDXR000391 RIGHT WRIST AP 340 480 560 690 740 780
751 RDXR000392 RIGHT WRIST AP & LAT 340 480 560 690 740 780
752 RDXR000393 RT ELBOW X-RAY AP 340 480 560 690 740 780
753 RDXR000394 RT ELBOW X-RAY AP/LAT 340 370 510 620 650 690
754 RDXR000395 RT ELBOW X-RAY LAT 340 480 560 690 740 780
755 RDXR000396 RT HUMERUS AP/LAT 340 480 560 690 740 780
756 RDXR000397 S I JOINT BOTH OBLIQUE 680 900 1,030 1,230 1,310 1,380
757 RDXR000398 SCAPULA AP 340 370 510 620 650 690
758 RDXR000399 SCAPULA LAT 340 370 510 620 650 690
759 RDXR000400 SCAPULAR LAT/OBLIQUE 340 480 560 690 740 780
760 RDXR000401 SHOULDAR AXIAL VIEW ONE SIDE 340 480 560 690 740 780
761 RDXR000402 SHOULDAR BIRDS EYE VIEW ONE SIDE 340 480 560 690 740 780
762 RDXR000403 SHOULDER AXIAL 340 480 560 690 740 780
763 RDXR000404 SHOULDER EXT ROTAIN 340 480 560 690 740 780
764 RDXR000405 SHOULDER INT ROTAIN 340 480 560 690 740 780
765 RDXR000406 SHOULDER JOINT X-RAY AP VIEW (R/L) 340 480 560 690 740 780
766 RDXR000407 SILOGRAM WITH CONTRAST 2,540 2,790 3,300 3,810 4,310 4,570
767 RDXR000408 SINOGRAM 2,000 2,200 2,600 3,000 3,400 3,600
768 RDXR000409 SKULL FOR FACIAL BONES 340 480 560 690 740 780
769 RDXR000410 SKULL FOR LAM PERORBITAL 340 480 560 690 740 780
770 RDXR000411 SKULL FOR OPTIC FORAMINA 340 480 560 690 740 780
771 RDXR000412 SKULL FOR OPTIC FORAMINA(BOTH) 680 900 1,030 1,230 1,310 1,380
772 RDXR000413 SKULL LATERAL FOR SELLA 340 480 560 690 740 780
773 RDXR000414 SKULL PA 340 480 560 690 740 780
774 RDXR000415 SKULL RAY STYLOD PROCESS 340 480 560 690 740 780
775 RDXR000416 SKULL REVERSE TOWNS 340 480 560 690 740 780
776 RDXR000417 SPL ROUTINE X-RAY 340 480 560 690 740 780
777 RDXR000418 ST X-RAY ABDOMEN (ERECT) 340 480 560 690 740 780
778 RDXR000419 STERNUM X-RAY LATERAL 340 370 510 620 650 690
779 RDXR000420 STYLOID PROCESS 340 480 560 690 740 780
780 RDXR000421 T TUBE CHOLANGIOGRAPHY WITHOUT CONTRAST 1,350 1,490 1,750 2,020 2,290 2,430
781 RDXR000422 THUMB X-RAY BOTH OBLIQUE 340 370 510 620 650 690
782 RDXR000423 THUMB X-RAY OBLIQUE 340 480 560 690 740 780
783 RDXR000424 TM JOINT OPEN MOUTH 680 900 1,030 1,230 1,310 1,380
784 RDXR000425 TM JOINT X-RAY BOUTH SIDES (OPEN / CLOSED MOUTH) 1,350 1,490 1,750 2,020 2,290 2,430
785 RDXR000426 TM JOINTS CLOSE MOUTH 680 900 1,030 1,230 1,310 1,380
786 RDXR000427 VENOGRAM 3,000 3,300 3,900 4,500 5,100 5,400
787 RDXR000428 WRIST JOINT X-RAY AP (R/L) 340 480 560 690 740 780
788 RDXR000429 WRIST JOINT X-RAY LAT (R/L) 340 480 560 690 740 780
789 RDXR000430 WRIST X-RAY CARPEL TUNNEL VIEWS BOTH SIDES 680 900 1,030 1,230 1,310 1,380
790 RDXR000005 XRAY ABDOMEN AP (SUPINE)VIEW 340 480 560 690 740 780
791 RDXR000006 XRAY ABDOMEN LAT (SUPINE)VIEW 340 480 560 690 740 780
792 RDXR000018 XRAY ARM LEFT/RIGHT AP&LAT VIEW 680 900 1,030 1,230 1,310 1,380
793 RDXR000020 XRAY CALCANIUM BOTH AXIAL VIEW 1,940 2,130 2,520 2,910 3,290 3,490
794 RDXR000024 XRAY CALCANIUM RIGHT/LEFT AXIAL VIEW 340 480 560 690 740 780
795 RDXR000023 XRAY CALCANIUM RIGHT/LEFT LAT &AXIAL VIEW 340 480 560 690 740 780
796 RDXR000025 XRAY CALCANIUM RIGHT/LEFT LAT VIEW 340 480 560 690 740 780
797 RDXR000431 X-RAY CERVICAL SPINE AP & LAT 680 900 1,030 1,230 1,310 1,380
798 RDXR000031 XRAY CERVICAL SPINE C1,C2 340 480 560 690 740 780
799 RDXR000032 XRAY CERVICO DORSAL SPINE AP &LAT VIEW 1,000 1,100 1,300 1,500 1,700 1,800
800 RDXR000034 XRAY CHEST APICAL VIEW 340 480 560 690 740 780
801 RDXR000035 XRAY CHEST DECUBITUS VIEW 340 480 560 690 740 780
802 RDXR000036 XRAY CHEST LAT VIEW 340 480 560 690 740 780
803 RDXR000039 XRAY CHEST PA & LEFT LAT VIEW 680 900 1,030 1,230 1,310 1,380
804 RDXR000040 XRAY CHEST PA & LEFT OBL VIEW 680 900 1,030 1,230 1,310 1,380
805 RDXR000043 XRAY CHEST PA VIEW 340 480 560 690 740 780
806 RDXR000001 XRay clavicle both AP view 680 900 1,030 1,230 1,310 1,380
807 RDXR000045 XRAY CLAVICLE LEFT/RIGHT AP & OBL VIEW 680 900 1,030 1,230 1,310 1,380
808 RDXR000047 XRAY COCCYX AP & LAT VIEW 680 900 1,030 1,230 1,310 1,380
809 RDXR000055 XRAY DORSO LUMBER SPINE BOTH OBL VIEW 680 900 1,030 1,230 1,310 1,380
810 RDXR000056 XRAY ELBOW BOTH AP & LAT VIEW 680 900 1,030 1,230 1,310 1,380
811 RDXR000061 XRAY FEET BOTH AP &LAT VIEW 680 900 1,030 1,230 1,310 1,380
812 RDXR000066 XRAY FEMUR BOTH AP & LAT VIEW 1,380 1,520 1,790 2,070 2,340 2,480
813 RDXR000100 XRAY HIP BOTH AP & LAT 340 480 560 690 740 780
814 RDXR000101 XRAY HIP BOTH AP VIEW 340 480 560 690 740 780
815 RDXR000432 X-RAY HIP JOINT AP & LAT LEFT 680 900 1,030 1,230 1,310 1,380
816 RDXR000433 X-RAY HIP JOINT AP & LAT RIGHT 680 900 1,030 1,230 1,310 1,380
817 RDXR000109 XRAY I.O DENTAL 340 480 560 690 740 780
818 RDXR000118 XRAY KNEE BOTH AP 340 480 560 690 740 780
819 RDXR000115 XRAY KNEE BOTH AP & LAT VIEW 680 900 1,030 1,230 1,310 1,380
820 RDXR000122 XRAY KNEE BOTH INTERCONDAILERNOTCH VIEW 680 900 1,030 1,230 1,310 1,380
821 RDXR000119 XRAY KNEE BOTH LAT 340 480 560 690 740 780
822 RDXR000127 XRAY KUB 680 900 1,030 1,230 1,310 1,380
823 RDXR000128 XRAY LEG BOTH AP & LAT 680 900 1,030 1,230 1,310 1,380
824 RDXR000137 XRAY LS SPINE AP & LAT VIEW 680 900 1,030 1,230 1,310 1,380
825 RDXR000138 XRAY LS SPINE AP VIEW 340 480 560 690 740 780
826 RDXR000134 XRAY LS SPINE LAT VIEW 340 480 560 690 740 780
827 RDXR000139 XRAY MANDIBLE BOTH AP VIEW 340 480 560 690 740 780
828 RDXR000140 XRAY MANDIBLE BOTH OBL VIEW 680 900 1,030 1,230 1,310 1,380
829 RDXR000145 XRAY MASTOIDS BOTH LAT & OBL 680 900 1,030 1,230 1,310 1,380
830 RDXR000147 XRAY MASTOIDS BOTH TOWNES VIEW 340 480 560 690 740 780
831 RDXR000163 XRAY PAROTID GLAND OCCLUSAL 340 480 560 690 740 780
832 RDXR000170 XRAY PELVIS LAT VIEW 340 480 560 690 740 780
833 RDXR000172 XRAY PNS LAT VIEW 340 480 560 690 740 780
834 RDXR000173 XRAY PNS OM VIEW 340 480 560 690 740 780
835 RDXR000192 XRAY SI JOINT BOTH AP VIEW 340 480 560 690 740 780
836 RDXR000199 XRAY SKULL BASE VIEW 340 480 560 690 740 780
837 RDXR000201 XRAY SOFT TISSUE NECK AP & LAT 680 900 1,030 1,230 1,310 1,380
838 RDXR000200 XRAY SOFT TISSUE NECK AP VIEW 340 480 560 690 740 780
839 RDXR000202 XRAY SOFT TISSUE NECK LAT VIEW 340 480 560 690 740 780
840 RDXR000222 XRAY WRIST BOTH AP/LAT VIEW 680 900 1,030 1,230 1,310 1,380
841 RDXR000434 ZYGOMATIC BONE 340 480 560 690 740 780
PROCEDURE
BEDSIDE PROCEDURE
1 PRBD000029 ARTERIAL LINE 970 1,160 1,260 1,450 1,640 1,740
2 PRBD000097 BOWEL WASH 320 450 510 630 680 720
3 PRBD000089 CENTRAL VENOUS CANNULATION 480 630 730 880 930 990
4 PRBD000117 CHEST DRAIN INSERTION 2,420 2,900 3,140 3,630 4,110 4,350
5 PRBD000107 CHEST DRAINAGE 2,260 2,710 2,930 3,390 3,840 4,060
6 PRBD000121 CTG 800 970 1,090 1,290 1,360 1,430
7 PRBD000111 DOUBLE VOLUME FULL EXCHANGE TRANSFUSION 4,830 5,790 6,270 7,240 8,210 8,690
8 PRBD000114 ENDOTRACHIAL INTUBATION 1,200 1,440 1,560 1,800 2,040 2,160
9 PRBD000106 FLUID ASPIRATION WARD 530 690 800 970 1,030 1,080
10 PRBD000119 FULL EXCHANGE TRANSFUSION 3,620 4,340 4,700 5,430 6,150 6,510
11 PRBD000098 GLUCOMETRY 40 40 70 80 80 80
12 PRBD000102 GLUCOMETRY SIX TIMES 320 350 370 440 460 470
13 PRBD000099 GLUCOMETRY THREE TIMES 150 170 200 220 230 240
14 PRBD000103 GLUCOMETRY TWELVE TIMES 640 700 770 890 1,080 970
15 PRBD000104 GLUCOMETRY TWENTY FOUR TIMES 1,300 1,420 1,540 1,790 1,860 1,930
16 PRBD000105 GLUCOMETRY TWO TIMES 100 120 130 150 160 170
17 PRBD000090 INTUBATION 480 630 730 880 930 990
18 PRBD000116 LONG LINE INSERSION 3,620 4,340 4,700 5,430 6,150 6,510
19 PRBD000115 LUMBER PUNCTURE 1,200 1,440 1,560 1,800 2,040 2,160
20 PRBD000096 MINITRACHEOSTOMY 2,420 2,900 3,140 3,630 4,110 4,350
21 PRBD000109 MORTUARY SERVICE 1,600 1,920 2,080 2,400 2,720 2,880
22 PRBD000037 NEBULISATION 150 220 290 330 360 390
23 PRBD000100 PERICARDIAL TAPPING 8,060 9,670 10,470 12,090 13,700 14,500
24 PRBD000113 PERIPHERAL ARTERIAL LINE 2,420 2,900 3,140 3,630 4,110 4,350
25 PRBD000118 PERIPHERAL EXCHANGE TRANSFUSION 2,420 2,900 3,140 3,630 4,110 4,350
26 PRBD000093 PERITONEAL ASPIRATION 800 970 1,090 1,290 1,360 1,430
27 PRBD000108 PERITONEAL ASPIRATION USG GUIDED 1,540 1,840 2,000 2,310 2,610 2,770
28 PRBD000112 SINGLE VOLUME FULL EXCHANGE TRANSFUSION 2,420 2,900 3,140 3,630 4,110 4,350
29 PRBD000101 SKIN BIOPSY 1,600 1,920 2,080 2,400 2,720 2,880
30 PRBD000122 STOMA CARE 620 810 930 1,110 1,190 1,270
31 PRBD000124 STOMA PLUS WOUND CARE 800 970 1,090 1,290 1,360 1,430
32 PRBD000092 SUPRAPUBIC PUNCTURE USG GUIDED 1,450 1,740 1,880 2,170 2,460 2,610
33 PRBD000091 SUPRAPUBIC PUNTURE 800 970 1,090 1,290 1,360 1,430
34 PRBD000031 TEMPORARY PACING 0 7,080 7,720 9,020 9,340 9,660
35 PRBD000110 UMBILICAL CATHETERISATION 1,940 2,320 2,520 2,910 3,290 3,490
36 PRBD000120 USG OF BRAIN 2,420 2,900 3,140 3,630 4,110 4,350
37 PRBD000123 WOUND CARE 620 810 930 1,110 1,190 1,270
38 PRBD000095 WOUND DRESSING LARGE 320 450 510 630 680 720
39 PRBD000094 WOUND DRESSING SMALL 150 220 290 330 360 390
CARDIOLOGY
40 PRCA000007 BILLIARY DRAINAGE 6,440 7,080 7,720 9,020 9,340 9,660
41 PRCA000003 PTBD 8,060 9,670 10,470 12,090 13,700 14,500
42 PRCA000006 SCUF (SLOW CONTINUOUS ULTRA FILTERATION) 11,000 13,200 14,300 16,500 18,700 19,800
43 PRCA000005 SwanGanz Catheter 1,100 1,320 1,430 1,650 1,870 1,980
44 PRCA000004 TEMPORARY PACING 6,440 7,080 7,720 9,020 9,340 9,660
DIALYSIS
45 PRDL000034 BCM Test 550 610 830 930 1,030 1,120
46 PRDL000037 CBS ONE 50 60 90 110 120 130
47 PRDL000038 CENTRAL LINE FOR DIALYSIS 5,000 5,500 6,500 7,500 8,500 9,000

48 PRDL000039 CENTRAL LINE FOR DIALYSIS PAEDIATRIC 5,000 5,500 6,500 7,500 8,500 9,000
49 PRDL000040 CENTRAL LINE FOR DIALYSIS TRIPPLE LUMEN 6,100 6,710 7,930 9,150 10,370 10,980
50 PRDL000041 CRF FIRST HAEMODIALYSIS 2,400 2,640 3,120 3,600 4,080 4,320
51 PRDL000012 CRRT(Consecutive Each) 8,800 9,680 11,440 13,200 14,960 15,840
52 PRDL000042 DIALYSER TUBING PACK 1,100 1,210 1,430 1,650 1,870 1,980
53 PRDL000050 DIALYSIS FOR CGHS 1,275 0 0 0 0 0
54 PRDL000043 EMERGENCY SPECIAL HEAMODIALYSIS 2,750 3,030 3,570 4,120 4,670 4,950
55 PRDL000044 F8 SPECIAL DIALYSIS 2,750 3,030 3,570 4,120 4,670 4,950
56 PRDL000017 HAEMODIALYSIS (SINGLE USE) 2,400 2,640 3,120 3,600 4,080 4,320
57 PRDL000016 HAEMODIALYSIS(REPEAT) 1,650 1,820 2,140 2,470 2,800 2,970
58 PRDL000023 RENAL BIOPSY 5,000 5,500 6,500 7,500 8,500 9,000
59 PRDL000045 REPEAT HAEMODIALYSIS PAEDIATRIC 1,650 1,820 2,140 2,470 2,800 2,970
60 PRDL000046 SCUF FOR 12 HOURS 6,600 7,260 8,580 9,900 11,220 11,880
61 PRDL000047 SLEDD PAEDIATRIC 4,400 4,840 5,720 6,600 7,480 7,920
62 PRDL000048 SLOW LOW EFFICIENCY DAILY DIALYSIS (SLEDD) 4,950 5,450 6,430 7,420 8,410 8,910
63 PRDL000049 SPECIAL HAEMODIALYSIS PAEDIATRIC 2,650 2,920 3,440 3,970 4,500 4,770
DENTAL
64 PRDN000099 ACRYLIC JACKET CROWN TEMPORARY 3,220 3,540 3,860 4,500 4,500 9,330
65 PRDN000172 ALVEOLOPLASTY (Per Quadrant) 5,500 6,050 6,600 7,700 7,700 8,250
66 PRDN000100 ANTERIOR INCLINED PLANE 7,330 8,060 8,790 10,250 10,250 21,240
67 PRDN000173 APPICOECTOMY PER TOOTH 8,800 0 0 0 0 0
68 PRDN000101 ARCH BAR FIXATION UPPER AND LOWER 6,050 6,660 7,260 8,470 8,470 17,550
69 PRDN000102 ARCH BAR FIXATION UPPER OR LOWER 3,000 3,330 3,630 4,240 4,240 8,780
70 PRDN000015 BIOPSY - EXCISIONAL 4,240 4,660 5,080 5,930 5,930 12,290
71 PRDN000014 BIOPSY - INCISIONAL 3,220 3,540 3,860 4,500 4,500 9,330
72 PRDN000103 BLEACHING 7,330 8,060 8,790 10,250 10,250 21,240
73 PRDN000052 BLEACHING FULL MOUTH 7,330 8,060 8,790 10,250 10,250 21,240
74 PRDN000104 BONY-DISTANGULAR IMPACTION GRADE-B 5,850 6,440 7,030 8,210 8,210 16,980
75 PRDN000105 CERAMIC CROWN REPAIR 3,660 4,030 4,400 5,130 5,130 10,640
76 PRDN008017 CERAMIC MONOLITH CROWN 11,720 0 0 0 0 0
77 PRDN000106 CERAMICK INLAY 8,060 8,870 9,670 11,280 11,280 23,360
78 PRDN000107 CERAMIN CROWN REPAIR 2,420 2,660 2,900 3,150 3,150 3,630
79 PRDN000046 CROWN METAL CERAMIC 4,400 4,830 5,280 6,150 6,150 12,740
80 PRDN000108 CROWN BRIDGE B.NICHEL CHROMIUM ACRYLIC FACING 5,130 5,640 6,160 7,180 7,180 14,880
81 PRDN000109 CROWN BRIDGE D.ACRYLIC HEART CURE 2,200 2,420 2,640 3,090 3,090 6,390
82 PRDN000110 CROWN BRIDGE METAL CERAMIC PORCELINE FUSED TO NIPD 6,600 7,260 7,910 9,230 9,230 19,130
83 PRDN000111 CROWN REMOVAL PER TOOTH 740 810 880 1,030 1,030 2,150
84 PRDN000112 CROWN REMOVER EACH 740 810 880 1,030 1,030 2,150
85 PRDN000176 Crown/ beridge ceremic zirconium 16,500 0 0 0 0 0
86 PRDN008016 CYST &TUMOUR OF MAXILLA/MANDIBLE(01008016) 2,200 0 0 0 0 0
87 PRDN000113 DECIDUOUS CORE FILLING 1,180 1,300 1,410 1,650 1,650 3,410
88 PRDN000114 DIASTEMA CLOSURE PER TOOTH 2,930 3,220 3,510 4,100 4,100 8,490
89 PRDN000179 DYCAL ZONE FILLING 550 0 0 0 0 0
90 PRDN000115 EACH ADDITIONAL SITTINGS ULTRA SONIC 1,180 1,300 1,410 1,650 1,650 3,410
91 PRDN000116 EMERGENCY BLEEDING MANAGEMENT EACH QUADRENT 4,400 4,830 5,280 6,150 6,150 12,740
92 PRDN000117 ENTRACTION (DECIDUOUS) 440 480 520 610 610 1,250
93 PRDN000175 EXCISIONAL BIOPSY GROWTH SOFT TISSUE MEUCOCELL 4,240 0 0 0 0 0
94 PRDN000155 EXTRACTION NORMAL 740 810 880 1,030 1,030 1,110
95 PRDN000164 EXTRACTION OF FRACTURE TOOTH 4,400 0 0 0 0 0
96 PRDN000168 EXTRACTION OF FRACTURE TOOTH 4,400 0 0 0 0 0
97 PRDN000167 EXTRACTION OF IMPACTED 3RD MOLAR 5,500 0 0 0 0 0
98 PRDN008019 EXTRACTION OF NEONETAL TEETH PER 10,000 11,000 12,000 14,000 14,000 15,000
99 PRDN000166 EXTRACTION OF ORTHODENTIC TREATED TOOTH 2,200 0 0 0 0 0
100 PRDN000165 EXTRACTION OF RCT TOOTH 3,300 0 0 0 0 0
101 PRDN000072 FIXED ORTHODONTIC STEEL BRACES 42,350 46,590 50,820 59,290 59,290 122,820
102 PRDN000174 FLAP SURGURY (Per Quadrant) 5,500 6,050 6,600 7,700 7,700 8,250
103 PRDN000162 FLEXIBLE DENTURE PER TOOTH 550 0 0 0 0 0
104 PRDN000163 FLEXIBLE PARTIAL DENTURE(1-4UNIT) 7,700 0 0 0 0 0
105 PRDN000118 FULL CERAMIC CROWN 11,720 12,890 14,060 16,400 16,400 33,970
106 PRDN000067 FULL DENTURE REBASING 3,660 4,030 4,400 5,130 5,130 10,640
107 PRDN000065 FULL DENTURE TYPE - I 7,330 8,060 8,790 10,250 10,250 21,240
108 PRDN000183 Full denture (Type 2 imported) 25,000 0 0 0 0 0
109 PRDN000066 FULL DENTURE TYPE - II 14,640 16,100 17,570 20,490 20,490 42,460
110 PRDN000182 Full denture( Type 1 imported) 12,500 0 0 0 0 0
111 PRDN000119 FULL MOUTH SCALING AND POLISHING 2,420 2,660 2,930 3,390 3,390 7,020
112 PRDN000120 GI FILLING ( DECIDUOUS) 880 970 1,070 1,230 1,230 2,560
113 PRDN000018 GINGIVECTOMY - PER ARCH 5,130 5,640 6,160 7,180 7,180 14,880
114 PRDN000152 GLASS IONOMER FILLING 1,030 1,130 1,230 1,440 1,440 1,550
115 PRDN000121 GRINDING OF TEETH EACH 440 480 520 610 610 1,250
116 PRDN000122 IMPACTED CANINE OR PREMOLAR SURGERY A. LABIALLY 4,100 4,510 4,930 5,750 5,750 11,900
117 PRDN000123 IMPACTED CANINE OR PREMOLAR SURGERY B. PALATALLY 4,100 4,510 4,930 5,750 5,750 11,900
118 PRDN000004 IMPACTION (MOLAR/CANINE) (GRADE-I) 2,500 2,750 2,990 3,490 3,490 7,230
119 PRDN000005 IMPACTION (MOLAR/CANINE) (GRADE-II) 3,220 3,540 3,860 4,500 4,500 9,330
120 PRDN000006 IMPACTION (MOLAR/CANINE) (GRADE-III) 3,730 4,100 4,480 4,850 4,850 5,600
121 PRDN000186 INCISION AND DRAINAGE ABSCESS EXTRA ORAL 2,500 0 0 0 0 0
122 PRDN000187 INCISION AND DRAINAGE INTRA ORAL 1,500 0 0 0 0 0
123 PRDN000124 INDIVIDUAL POST WITH CORE B. POSTERIOR 3,660 4,030 4,400 5,130 5,130 10,640
124 PRDN000002 INTRA ALVEOLAR EXTRACTION (COMPLETED) 740 810 880 1,030 1,030 2,150
125 PRDN000001 INTRA ALVEOLAR EXTRACTION (SIMPLE) 740 810 880 1,030 1,030 2,150
126 PRDN000003 INTRA ALVEOLAR EXTRACTION (SURGICAL) 1,760 1,940 2,100 2,450 2,450 5,090
127 PRDN008018 INTRA LESION INJECTION PER QUARDENT 500 0 0 0 0 0
128 PRDN000125 LIGHT CURE BUILD UP OF POSTERIOR TOOTH LC VEENENIN 2,930 3,220 3,510 4,100 4,100 8,490
129 PRDN000156 LIGHT CURE COMP. A.ONE SURFACE CAVITY 1,100 1,210 1,320 1,540 1,540 1,650
130 PRDN000126 LIGHT CURE COMP. C. CROWN BUILT UP 2,200 2,420 2,640 3,090 3,090 6,390
131 PRDN000151 LIGHT CURE COMP.B.TWO SURFACE ACTIVITY 1,460 1,610 1,760 2,050 2,050 2,200
132 PRDN000127 OBTURATOR 5,850 6,440 7,030 8,210 8,210 16,980
133 PRDN000128 OCCLUSAL ADJUSTMENT OF TOOTH 370 410 450 520 520 1,090
134 PRDN000129 ORTHODENTIST REVIEW(ONE VISIT) 1,460 1,610 1,760 2,050 2,050 4,250
135 PRDN000031 PERMANENT FILLING (COMPOSITE) MEDIUM 1,460 1,610 1,760 2,050 2,050 4,250
136 PRDN000030 PERMANENT FILLING (COMPOSITE) SMALL 1,100 1,210 1,320 1,540 1,540 3,190
137 PRDN000033 PERMANENT FILLING (GIC) SMALL 1,030 1,130 1,230 1,440 1,440 2,990
138 PRDN000130 POLISHING OF TOOTH FULL MOUTH 1,460 1,610 1,760 2,050 2,050 4,250
139 PRDN000043 POST CORE TYPE II FIBRE POST / CAST 3,660 4,030 4,400 5,130 5,130 10,640
140 PRDN000131 PULP CAPPING INDIVIDUAL TOOTH 740 810 880 1,030 1,030 2,150
141 PRDN000132 PULPECTOMY DECIDUOUS TOOTH 1,460 1,610 1,760 2,050 2,050 4,250
142 PRDN000038 PULPOTOMY ANTERIOR 1,030 1,130 1,230 1,440 1,440 2,990
143 PRDN000039 PULPOTOMY POSTERIOR 3,220 3,540 3,860 4,500 4,500 9,330
144 PRDN000161 PUNCH BIOPSY OF ORAL SOFT TISSUE 3,220 3,540 3,870 4,190 4,190 4,840
145 PRDN000044 R C T 4,400 4,830 5,280 6,150 6,150 12,740
146 PRDN000133 RAPID MAXILURY APPLIANCE FIXATION 24,900 27,380 29,870 34,850 34,850 72,190
147 PRDN000180 Removable Partial Denture (Single unit imported teeth) 2,000 0 0 0 0 0
148 PRDN000061 REMOVABLE PARTIAL DENTURE ACRYLIC (PER TOOTH) 670 740 800 940 940 1,940
149 PRDN000181 Removable Partial Denture(Each additional imported teeth) 2,000 0 0 0 0 0

150 PRDN000134 REMOVAL ORTHODONTIC APPLIANCE 29,280 32,210 35,130 41,000 41,000 84,920
151 PRDN000135 REMOVAL PARTIAL DENTURE A. SINGLE UNIT. 740 810 880 1,030 1,030 2,150
152 PRDN000136 RE-RCT 5,850 6,440 7,030 8,210 8,210 16,980
153 PRDN000137 RESTORATION OF ANTERIOR TOOTH 1,460 1,610 1,760 2,050 2,050 4,250
154 PRDN000138 ROOT CANAL TREATMENT 4,400 4,830 5,280 6,150 6,150 12,740
155 PRDN000098 RVG 140 150 170 210 210 430
156 PRDN000139 SCALING (DECIDUOUS) 740 810 880 1,030 1,030 2,150
157 PRDN000140 SCALING AND POLISHING UPPER OR LOWER 1,450 1,600 1,740 2,040 2,040 4,210
158 PRDN000141 SILVER AMALGAM FILLING A. CLASS I 1,100 1,210 1,320 1,540 1,540 3,190
159 PRDN000142 SILVER AMALGAM FILLING B. CLASS II 1,460 1,610 1,760 2,050 2,050 4,250
160 PRDN000143 SIMPLE BITE PLATE BITE RAISING APPLIANCE 4,400 4,830 5,280 6,150 6,150 12,740
161 PRDN000144 SINGLE UPPER OR LOWER COMPLETE DENTURE 6,600 7,260 7,910 9,230 9,230 19,130
162 PRDN000159 SINGLE UPPER OR LOWER COMPLETE DENTURE 6,600 7,260 7,920 8,580 8,580 9,900
163 PRDN000185 Soft Tissue Repair(per quadrant) 2,000 0 0 0 0 0
164 PRDN000170 SPELINTING (1 - 4 TEETH) 2,750 0 0 0 0 0
165 PRDN000171 SPELINTING EACH TOOTH 550 0 0 0 0 0
166 PRDN000145 STUDY MODEL 740 810 880 1,030 1,030 2,150
167 PRDN000054 SUBGINGIVAL SCALING PER SITTING 1,180 1,300 1,410 1,650 1,650 1,770
168 PRDN000146 SUBGINGIVAL SCALING UNDER L.A EACH QUADRANT 2,930 3,220 3,510 4,100 4,100 8,490
169 PRDN000184 Suture Removal 200 0 0 0 0 0
170 PRDN000158 SYNTHETIC BONE GRAFTING 7,260 7,990 8,710 9,440 9,440 10,890
171 PRDN000147 TEMPORARY CROWN 740 810 880 1,030 1,030 2,150
172 PRDN000029 TEMPORARY FILLING 740 810 880 1,030 1,030 2,150
173 PRDN000148 TEMPORARY FILLING ZONE 520 570 630 730 730 1,520
174 PRDN000149 TEMPORARY JACKET CROWN 300 320 350 410 410 850
175 PRDN000153 THIRD MOLAR SURGERY A.SOFT TISSUE IMPACTION 2,500 2,750 2,990 3,490 3,490 3,740
176 PRDN000154 THIRD MOLAR SURGERY B.VERTICAL IMPACTION 3,220 3,540 3,860 4,500 4,500 4,830
177 PRDN000150 TRANS ALVEOLAR REMOVAL OF ROOTS OR BROKEN TOOTH 1,760 1,940 2,100 2,450 2,450 2,640
178 PRDN000178 UNBREAKABLE DENTURE (High Impact) Lower 8,800 0 0 0 0 0
179 PRDN000177 UNBREAKABLE DENTURE (High Impact) Upper 8,800 0 0 0 0 0
180 PRDN000020 VESTIBULOPLASTY 6,050 6,660 7,260 7,870 7,870 9,080
EMERGENCY PROCEDURE
181 PREM000026 APPICATION OF THOMAS SPLINT 440 620 720 880 1,400 1,920
182 PREM000023 APPLICATION OF SPLINT 300 410 480 590 950 1,300
183 PREM000040 BP CHECK UP 20 20 20 30 60 80
184 PREM000029 CATHETERISATION FOLEYS 200 290 330 420 670 930
185 PREM000030 CATHETERISATION PLAIN 130 180 210 280 460 630
186 PREM000037 CBS 90 140 150 190 310 430
187 PREM000052 EMERGENCY CARD 260 310 330 390 580 770
188 PREM000049 EMERGENCY CONSUMABLES CHARGES EIGHTY 100 120 130 150 220 330
189 PREM000047 EMERGENCY CONSUMABLES CHARGES FORTY 40 40 70 80 110 140
190 PREM000050 EMERGENCY CONSUMABLES CHARGES ONE HUNDRED 130 140 150 190 290 390
191 PREM000048 EMERGENCY CONSUMABLES CHARGES SIXTY 90 100 100 120 200 250
192 PREM000045 EMERGENCY CONSUMABLES CHARGES TEN 10 10 10 10 10 30
193 PREM000046 EMERGENCY CONSUMABLES CHARGES TWENTY 20 20 20 30 50 80
194 PREM000022 FIGURE OF EIGHT BANDAGE 260 370 440 530 860 1,180
195 PREM000036 INCISION AND DRAINAGE 130 180 210 280 460 630
196 PREM000044 INJECTION CHARGE 40 50 100 120 180 240
197 PREM000043 INJECTION CHARGE I.V 130 180 210 280 460 630
198 PREM000024 INJECTION CHARGE INTRA MUSCULAR 80 120 130 160 260 360
199 PREM000025 INJECTION CHARGE INTRAVENUS 130 180 210 280 460 630
200 PREM000028 INJECTION SUB CUT 80 120 130 160 260 360
201 PREM000027 INTRA ARTICULAR HYDROCORTISIONE INJECTION 500 670 760 930 1,460 1,990
202 PREM000038 IV LINE PERIPHERAL 100 160 180 220 380 530
203 PREM000042 MINOR OT 1,760 2,110 2,280 2,640 3,950 5,270
204 PREM000017 MULTIPLE INJURIES DRESSING 400 570 660 810 1,300 1,800
205 PREM000041 NEBULISATION IN ER 130 180 210 280 460 630
206 PREM000034 OXYGEN PER HOUR 130 150 160 190 290 390
207 PREM000005 PLASTER CASING WITHOUT GA ARM 670 880 1,000 1,220 1,930 2,630
208 PREM000006 PLASTER CASING WITHOUT GA FOREARM 670 880 1,000 1,220 1,930 2,630
209 PREM000007 PLASTER CASING WITHOUT GA LOWER LIMB 1,000 1,200 1,300 1,500 2,240 2,990
210 PREM000008 PLASTER CASING WITHOUT GA UPPER LIMB 670 880 1,000 1,220 1,930 2,630
211 PREM000009 PLASTER CUTTING CHARGE SYNTHETIC ARM 240 330 400 490 780 1,070
212 PREM000010 PLASTER CUTTING CHARGE SYNTHETIC FOREARM LEG 240 330 400 490 780 1,070
213 PREM000015 PLASTER CUTTING LOWER LIMB POP 240 330 400 490 780 1,070
214 PREM000013 PLASTER CUTTING SINGLE LINE ARM FOREARM LEG POP 240 330 400 490 780 1,070
215 PREM000011 PLASTER CUTTING SYNTHETIC LOWER LIMB 240 330 400 490 780 1,070
216 PREM000012 PLASTER CUTTING SYNTHETIC UPPER LIMB 240 330 400 490 780 1,070
217 PREM000014 PLASTER CUTTING UPPER LIMB POP 200 290 330 420 670 930
218 PREM000001 PLASTER SLAB CAST ARM 670 880 1,000 1,220 1,930 2,630
219 PREM000002 PLASTER SLAB CAST FOREARM 670 880 1,000 1,220 1,930 2,630
220 PREM000004 PLASTER SLAB CAST LOWER LIMB 1,000 1,200 1,300 1,500 2,240 2,990
221 PREM000003 PLASTER SLAB CAST UPPER LIMB 670 880 1,000 1,220 1,930 2,630
222 PREM000051 REMOVAL OF CATHETER 130 180 210 280 460 630
223 PREM000039 RYLES TUBE INSERTION 130 180 210 280 460 630
224 PREM000031 SUPERFICIAL FOREIGN BODY REMOVAL 260 370 440 530 860 1,180
225 PREM000033 SUTURE REMOVAL MORE THAN TEN 200 290 330 420 670 930
226 PREM000032 SUTURE REMOVAL UPTO TEN 130 180 210 280 460 630
227 PREM000020 SUTURING OVER FIVE 400 570 660 810 1,300 1,800
228 PREM000019 SUTURING THREE TO FIVE 260 370 440 530 860 1,180
229 PREM000021 SUTURING UNDER LA BIG AREA 670 880 1,000 1,220 1,930 2,630
230 PREM000018 SUTURING UNDER LA SMALL AREA TWO TO THREE 230 320 380 470 760 1,040
231 PREM000035 WOUND DRESSING LARGE IN EMERGENCY 200 290 330 420 670 930
232 PREM000053 WOUND DRESSING MEDIUM IN EMERGENCY 130 180 210 280 460 630
233 PREM000016 WOUND DRESSING SMALL IN EMERGENCY 80 120 130 160 260 360
ENT
234 PREN000092 A.S.S.R 3,300 3,630 0 0 0 0
235 PREN000045 ABLAB TEST 140 200 240 320 510 700
236 PREN000038 ACOUSTIC REFLEX DECAY 360 520 610 730 1,180 1,630
237 PREN000046 AUDIOMETRY AND TYMPANOMETRY 1,070 1,280 1,390 1,600 2,330 3,090
238 PREN000044 Audiometry test 400 570 660 810 1,300 1,800
239 PREN000047 AUDIOTORY TRAINING EACH SESSION 360 520 610 730 1,180 1,630
240 PREN000019 BERA 2,000 2,400 2,600 3,000 4,350 5,800
241 PREN000048 BIOPSY OF LARYNGEAL/PHARYNGEAL MASS L/A 4,000 4,800 5,200 6,000 8,710 11,580
242 PREN000010 CALORIC TEST 1,460 1,750 1,890 2,190 3,170 4,250
243 PREN000049 CCG 480 620 720 880 1,460 2,040
244 PREN000050 CRANIOCORPOGRAPHY 1,460 1,750 1,890 2,190 3,170 4,250
245 PREN000051 DPOAE TEST 1,100 1,320 1,430 1,650 2,390 3,190
246 PREN000052 EAR BIOPSY 3,330 3,990 4,320 4,990 7,250 9,660
247 PREN000053 ELECTRONYSTAGMYGRAPHY 1,760 2,110 2,280 2,640 3,830 5,090
248 PREN000054 ENDOSCOPIC BIOPSY 3,330 3,990 4,320 4,990 7,250 9,660
249 PREN000055 ESS UNDER G/A 10,650 12,780 13,840 15,970 23,190 30,880
250 PREN000056 EUSTACHIAN TUBE FUNCTION 580 760 880 1,050 1,660 2,280
251 PREN000057 EXAMINATION UNDER MICROSCOPE 1,820 2,180 2,360 2,730 3,960 5,270
252 PREN000058 EXCISION OF ORAL MASS UNDER L/A 4,000 4,800 5,200 6,000 8,710 11,580
253 PREN000059 EXCISION OF SOFT TISSUE MASS UNDER L/A 5,320 6,380 6,910 7,980 11,580 15,440
254 PREN000060 FB REMOVAL 2,660 3,190 3,450 3,990 5,790 7,720
255 PREN000061 FB REMOVAL ADULTS 1,070 1,280 1,390 1,600 2,330 3,090
256 PREN000012 FIBREOPTIC LARYNGOSCOPY 2,060 2,470 2,670 3,090 4,480 5,960
257 PREN000062 FISH BONE REMOVAL FOR ADULTS 1,070 1,280 1,390 1,600 2,330 3,090
258 PREN000063 FREE FIELD AUDIOMETRY PEADIATRIC 580 760 880 1,050 1,660 2,280
259 PREN000064 GLYCEROL TEST 740 890 990 1,180 1,860 2,530
260 PREN000065 HEARING AID PROGRAMMING 740 890 990 1,180 1,860 2,530
261 PREN000066 HEARING AID TRIAL non digital HA 440 620 720 880 1,400 1,920
262 PREN000067 HEARING AID TRIAL with digital HA 740 890 990 1,180 1,860 2,530
263 PREN000068 INCISION & DRAINAGE UNDER G/A 5,320 6,380 6,910 7,980 11,580 15,440
264 PREN000069 INCISION & DRAINAGE UNDER L/A 2,660 3,190 3,450 3,990 5,790 7,720
265 PREN000070 MAGNIFICATION OTOENDOSCOPY 1,820 2,180 2,360 2,730 3,960 5,270
266 PREN000071 MANAGEMENT OF EPISTAXIS 5,320 6,380 6,910 7,980 11,580 15,440
267 PREN000072 MYRINGOPLASTY UNDER LOCAL ANESTHESIA 11,980 14,370 15,570 17,970 26,090 34,740
268 PREN000007 NASAL CAUTERY 3,330 3,990 4,320 4,990 7,250 9,660
269 PREN000011 NASAL ENDOSCOPY 2,060 2,470 2,670 3,090 4,480 5,960
270 PREN000073 NASAL FOREIGN BODY REMOVAL UNDER G/A 5,320 6,380 6,910 7,980 11,580 15,440
271 PREN000008 NASAL PACKING 800 960 1,080 1,270 2,000 2,720
272 PREN000074 NASOPHARYNGOSCOPY & BIOPSY 3,330 3,990 4,320 4,990 7,250 9,660
273 PREN000075 NEUROTOLOGICAL CONSULTATION 580 690 750 870 1,260 1,680
274 PREN000076 ORAL BIOPSY 3,330 3,990 4,320 4,990 7,250 9,660
275 PREN000077 OTO ENDOSCOPY 2,000 2,400 2,600 3,000 4,350 5,800
276 PREN000078 PLAY AUDIOMENRY PEADIATRIC 440 620 720 880 1,400 1,920
277 PREN000079 PSYCHOLOGICAL ASSESSMENT 580 760 880 1,050 1,660 2,280
278 PREN000080 PURE TONE AUDIOMETRY 400 570 660 810 1,300 1,800
279 PREN000081 PURE TONE AUDIOMETRY AND TYMPANOMETRY 1,070 1,280 1,390 1,600 2,330 3,090
280 PREN000024 SISI 140 200 240 320 510 700
281 PREN000082 SMAIL BIOPSY 3,330 3,990 4,320 4,990 7,250 9,660
282 PREN000083 SMD 6,660 7,990 8,650 9,990 14,500 19,310
283 PREN000084 SPEECH AUDIOMETRY 140 200 240 320 510 700
284 PREN000085 SPEECH EVALUATION 440 620 720 880 1,400 1,920
285 PREN000001 SPEECH THERAPY 400 570 660 810 1,300 1,800
286 PREN000009 SUCTION CLEARENCE 2,660 3,190 3,450 3,990 5,790 7,720
287 PREN000086 SVVT 2,660 3,190 3,450 3,990 5,790 7,720
288 PREN000025 TDT 440 620 720 880 1,400 1,920
289 PREN000087 TONE DECAY TEST 440 620 720 880 1,400 1,920
290 PREN000016 TYMPANOMETRY 670 880 1,000 1,220 1,930 2,630
291 PREN000020 V.N.G. 6,660 7,990 8,650 9,990 14,500 19,310
292 PREN000033 VEMP 4,000 4,800 5,200 6,000 8,710 11,580
293 PREN000088 VHIT 3,330 3,990 4,320 4,990 7,250 9,660
294 PREN000089 VNG 4,400 5,280 5,720 6,600 9,580 12,740
295 PREN000090 VOICE ASSESSMENT 580 760 880 1,050 1,660 2,280
296 PREN000091 VOICE THERAPY EACH SESSION 300 410 480 590 950 1,300
EYE / OPTHALMOLOGY
297 PREY000003 APPLANATION TONOMETRY 220 310 360 440 470 500
298 PREY000005 BIOMETRY 220 260 280 330 370 390
299 PREY000006 CHALAZION 550 730 830 1,000 1,060 1,120

300 PREY000007 CLINICAL ASSESMENT 330 460 550 660 710 770
301 PREY000008 CLINICAL EXAM INCL AT 330 460 550 660 710 770
302 PREY000009 CLINICAL PHOTOGRAPH FOR DOCUMENTATION 440 620 730 890 950 1,010
303 PREY000010 CONFIRMATORY CONJUNCTIVAL BIOPSY 440 620 730 890 950 1,010
304 PREY000004 DFFA 1,540 1,840 2,000 2,310 2,610 2,770
305 PREY000011 DISC PHOTOGRAPH 440 620 730 890 950 1,010
306 PREY000012 EYE DRESSING CHARGE 550 730 830 1,000 1,060 1,120
307 PREY000013 FUNDUS PHOTO 440 620 730 890 950 1,010
308 PREY000014 INDIRECT OPHTHALMOSCOPY +90 D EXAM 100 160 180 220 250 270
309 PREY000015 LASER PHOTOCOAGULATION 1,320 1,580 1,710 1,980 2,240 2,370
310 PREY000016 OCT OF GLUCOMA 1,870 2,240 2,430 2,800 3,170 3,360
311 PREY000017 OCT OF GLUCOMA SINGLE EYE 1,000 1,200 1,300 1,500 1,700 1,800
312 PREY000018 OCT OF RETINA 1,760 2,110 2,280 2,640 2,990 3,160
313 PREY000019 OCT OF RETINA SINGLE EYE 1,000 1,200 1,300 1,500 1,700 1,800
314 PREY000020 PERIMETERY 880 1,060 1,190 1,410 1,480 1,550
315 PREY000024 PROPHYLACTIC LASER PER EYE PER SITTING 2,200 2,640 2,860 3,300 3,740 3,960
316 PREY000026 PROPHYLACTIC LASER PER EYE PER SITTING 2,200 2,640 2,860 3,300 3,740 3,960
317 PREY000001 REFRACTION 220 310 360 440 470 500
318 PREY000025 ROP LASER PER EYE PER SITTING 3,850 4,620 5,000 5,770 6,540 6,930
319 PREY000021 SCHIRMERS TEST 1&2 100 160 180 220 250 270
320 PREY000022 SYRINGING 100 160 180 220 250 270
321 PREY000023 TBUT ESTIMATION 100 160 180 220 250 270
GASTROENTROLOGY
322 PRGA000003 ANAESTHESIA (DIAGNOSTIC) 1,200 1,320 1,560 1,800 2,040 2,160
323 PRGA000004 ANAESTHESIA (THERAPEUTIC) 1,600 1,760 2,080 2,400 2,720 2,880
324 PRGA000096 ANAESTHESIA SPECIAL 2,500 2,750 3,250 3,750 4,250 4,500
325 PRGA000067 ANORECTAL MANOMETRY 4,000 4,400 5,200 6,000 6,800 7,200
326 PRGA000099 ARGON PLASMA COAGULATION OF ESI 3,500 0 0 0 0 0
327 PRGA000095 BAND LIGATION OF OESOPHAGEAL VARICES 2,750 3,030 3,570 4,120 4,670 4,950
328 PRGA000009 BILIARY BRUSHING 8,250 9,080 10,720 12,370 14,020 23,930
329 PRGA000068 CAPSULE ENDOSCOPY 40,000 44,000 52,000 60,000 68,000 72,000
330 PRGA000069 CBD STONE EXTRACTION 2,310 2,540 3,000 3,460 3,920 4,150
331 PRGA000015 COLONOSCOPY (LONG) 3,000 3,300 3,900 4,500 5,100 5,400
332 PRGA000013 COLONOSCOPY SHORT 2,000 2,200 2,600 3,000 3,400 3,600
333 PRGA000070 COLONOSCOPY UNDER GA 5,500 6,050 7,150 8,250 9,350 9,900
334 PRGA000017 DOUBLE BALOON ENTEROSCOPY (ANTEGRADE) 13,750 15,130 17,870 20,620 23,370 24,750
335 PRGA000094 Double Baloon Enteroscopy(Govt. Hospital) 7,000 0 0 0 0 0
336 PRGA000097 DUODENOSCOPY (SIDE VIEW) 3,000 3,300 3,900 4,500 5,100 5,400
337 PRGA000071 EMERGENCY ENDOSCOPY 5,000 5,500 6,500 7,500 8,500 9,000
338 PRGA000102 EMERGENCY ENDOSCOPY 5,000 0 0 0 0 0
339 PRGA000022 ENDOSCOPY (BEDSIDE) 2,750 3,030 3,570 4,120 4,670 4,950
340 PRGA000055 ENDOSCOPY/GASTROSCOPY 2,000 2,200 2,600 3,000 3,400 3,600
341 PRGA000024 ERCP 5,500 6,050 7,150 8,250 9,350 9,900
342 PRGA000072 FOLLOW UP MANOMETRY 3,000 3,300 3,900 4,500 5,100 5,400
343 PRGA000001 FOREIGN BODY REMOVAL (GASTRO) 4,620 5,080 6,000 6,930 7,850 13,400
344 PRGA000073 GASTROSCOPY UNDER GA 4,400 4,840 5,720 6,600 7,480 7,920
345 PRGA000074 HYDROGEN BREATH TEST 3,500 3,850 4,550 5,250 5,950 6,300
346 PRGA000103 MECHANICAL LITHOTRIPSY OF CBD STONES OF ESI 8,000 0 0 0 0 0
347 PRGA000098 OESOPHAGEAL STRICTURE DILATATION (ESI) 1,500 0 0 0 0 0
348 PRGA000075 OESOPHAGEAL MANOMETRY 4,000 4,400 5,200 6,000 6,800 7,200
349 PRGA000076 OESOPHAGEAL PH METRY 0 14,000 15,400 18,200 18,900 19,600

350 PRGY000009 OP LEEP PACKAGE 11,000 12,110 14,300 16,500 18,700 19,800
351 PRGA000039 PH METRY 6,000 6,600 7,800 9,000 10,200 10,800
352 PRGA000101 Polypectomy (Colonic-BS)-WBHS 4,800 4,800 4,800 4,800 4,800
353 PRGA000077 PORTABLE COLONOSCOPY 5,500 6,050 7,150 8,250 9,350 9,900
354 PRGA000078 PORTABLE GASTROSCOPY 3,850 4,240 5,000 5,770 6,540 6,930
355 PRGA000090 RECTAL POLYP EXCISION-PROCEDURE 5,400 5,940 7,020 8,100 9,180 9,720
356 PRGA000092 SCLEROTHERAPY ESI 0 0 0 0 0 0
357 PRGA000100 SIDE VIEW ENDOSCOPY 3,000 3,300 3,900 4,500 5,100 0
358 PRGA000093 Special Anaesthesia Charges 3,000 3,630 3,960 4,500 5,100 5,400
359 PRGA000079 SPECIAL THERAPEUTIC ERCP PACKAGE 13,640 15,000 17,730 20,460 23,180 24,550
360 PRGA000080 SPHINCTEROTOMY 8,000 8,800 10,400 12,000 13,600 14,400
361 PRGA000081 THERAPEUTIC ENDOSCOPY LEVEL B 9,000 9,900 11,700 13,500 15,300 16,200
362 PRGA000082 THERAPEUTIC ENDOSCOPY LEVEL C 14,000 15,400 18,200 21,000 23,800 25,200
363 PRGA000083 THERAPEUTIC ENDOSCOPY MINOR 4,000 4,400 5,200 6,000 6,800 7,200
364 PRGA000087 THERAPEUTIC ERCP LEVEL A 9,000 9,900 11,700 13,500 15,300 16,200
365 PRGA000084 THERAPEUTIC ERCP LEVEL B 12,000 13,200 15,600 18,000 20,400 21,600
366 PRGA000085 THERAPEUTIC ERCP LEVEL C 16,000 17,600 20,800 24,000 27,200 28,800
367 PRGA000088 THRAPEUTIC ENDOSCOPY LEVEL A 5,000 5,500 6,500 7,500 8,500 9,000
368 PRGA000086 UREA BREATH TEST 2,750 3,030 3,570 4,120 4,670 4,950
GYNAECOLOGY & OBS

369 PRGY000004 COLPOSCOPE 2,420 2,900 3,140 3,630 4,110 4,350
NEUROLOGY
370 PRNE000004 BAER STUDY 1,500 1,800 1,950 2,250 2,550 2,700
371 PRNE000034 DECREMENT STUDY 2,150 2,580 2,790 3,220 3,650 3,870
372 PRNE000035 DIGITAL EEG AND BRAIN MAPPING 1,600 1,920 2,080 2,400 2,720 2,880
373 PRNE000036 E.M.G ALL LIMBS 2,150 2,580 2,790 3,220 3,650 3,870
374 PRNE000037 E.M.G UPPER LIMBS 1,070 1,280 1,390 1,600 1,810 1,920
375 PRNE000001 EEG 1,450 1,740 1,880 2,170 2,460 2,610
376 PRNE000038 EEG EXTENDED 1,940 2,320 2,520 2,910 3,290 3,490
377 PRNE000013 EMG & NCV F WAVE (ALL LIMBS) 3,860 4,630 5,010 5,790 6,560 6,940
378 PRNE000010 EMG & NCV F WAVE (LOWER LIMBS) 2,150 2,580 2,790 3,220 3,650 3,870
379 PRNE000012 EMG & NCV F WAVES (UPPER LIMBS) 2,150 2,580 2,790 3,220 3,650 3,870
380 PRNE000039 EMG LOWER LIMBS 1,070 1,280 1,390 1,600 1,810 1,920
381 PRNE000040 FACIAL EMG 1,500 1,800 1,950 2,250 2,550 2,700
382 PRNE000041 FACIAL EMG NCV 3,000 3,600 3,900 4,500 5,100 5,400
383 PRNE000016 H REFLEX 640 840 970 1,150 1,230 1,310
384 PRNE000024 NCV (BRACHIAL PLEXUS STUDY ) 1,720 2,060 2,230 2,580 2,920 3,090
385 PRNE000017 NCV (FACIAL) 1,070 1,280 1,390 1,600 1,810 1,920
386 PRNE000018 NCV (LOWER LIMBS) 1,070 1,280 1,390 1,600 1,810 1,920
387 PRNE000019 NCV ALL FOUR LIMBS 2,150 2,580 2,790 3,220 3,650 3,870
388 PRNE000023 NCV UPPER LIMBS 1,070 1,280 1,390 1,600 1,810 1,920
389 PRNE000042 PLASMAPHERESIS 8,870 10,640 11,530 13,300 15,070 15,960
390 PRNE000043 SLEEP AND WAKE EEG 1,500 1,800 1,950 2,250 2,550 2,700
391 PRNE000044 SLEEP EEG 1,330 1,590 1,720 1,990 2,260 2,390
392 PRNE000045 SPEECH THERAPY 400 570 660 810 870 930
393 PRNE000028 SSEP (LOWER LIMB) 1,500 1,800 1,950 2,250 2,550 2,700
394 PRNE000030 SSEP (UPPER LIMB) 1,500 1,800 1,950 2,250 2,550 2,700
395 PRNE000014 VEP (PR)/ VEP (FLASH) 1,500 1,800 1,950 2,250 2,550 2,700
ONCOLOGY
396 PRON00001 CHEMOTHERAPY 0 2,420 3,630 4,360 4,600 4,840
397 PRON00003 PROTOCOL CHARGES FOR CHEMOTHERAPY1 0 5,250 5,250 5,250 5,250 5,250
398 PRON00002 PROTOCOL CHARGES FOR CHEMOTHERAPY2 0 8,400 8,400 8,400 8,400 8,400
PHYSICAL MEDICINE
399 PRPM000039 ACTIVE / ACTIVE ASSISTED PHYSIOTHERAPY EXERCISES 240 330 400 490 520 550
400 PRPM000043 ACTIVE EXERCISE 200 270 300 360 390 430
401 PRPM000036 CERVICAL TRACTION 200 270 300 360 390 430
402 PRPM000041 CHEST PHYSIOTHERAPY 200 270 300 360 390 430
403 PRPM000038 FARADIC STIMULATION 200 290 330 420 450 490
404 PRPM000034 GALVANIC STIMULATION 200 290 330 420 450 490
405 PRPM000010 INTERFERENTIAL THERAPY(IFT) 200 290 330 420 450 490
406 PRPM000040 MOBILISATION 260 370 440 530 570 610
407 PRPM000042 MUSCLE STIMULATION 200 290 330 420 670 930
408 PRPM000037 PASSIVE PHYSIOTHERAPY 150 220 290 330 360 390
409 PRPM000035 SHORT WAVE DIATHERMY 200 290 330 420 450 490
410 PRPM000015 TILT TABLE 300 410 480 590 630 670
411 PRPM000033 ULTRA SONIC THERAPY 200 290 330 420 450 490
412 PRPM000004 WAX BATH 200 290 330 420 450 490
PULMONOLOGY
413 PRPU000001 6 Minute Walk test 330 460 550 620 690 770
414 PRPU000012 ADVANCED PFT 3,400 4,080 4,420 5,100 5,780 6,120
415 PRPU000002 BRONCHOSCOPY WITH FILM 4,840 5,800 6,290 7,260 8,220 0
416 PRPU000003 BRONCHOSCOPY WITHOUT FILM 3,630 4,350 4,710 5,440 6,170 0
417 PRPU000004 BRONCOSCOPY AND TBNA/TBLB 0 9,320 10,160 11,860 13,040 0
418 PRPU000011 C PAP TITRATION CHARGE 1,200 1,440 1,560 1,800 2,040 2,160
419 PRPU000005 DLCO 2,420 2,900 3,140 3,630 4,110 0
420 PRPU000006 DLCO WITH FRC 3,630 4,350 4,710 5,440 6,170 0
421 PRPU000015 FOB Complete 10,000 12,000 13,000 15,000 17,000 18,000
422 PRPU000007 LUNG FUNCTION TEST 1,000 1,200 1,300 1,500 1,700 1,800
423 PRPU000008 RESPIRATORY TRAINING AND COUNCELLING 130 180 210 280 330 0
424 PRPU000009 SLEEP STUDY 9,350 11,220 12,150 14,020 15,890 0
425 PRPU000010 SLEEP STUDY + TITRATION 10,450 12,540 13,580 15,670 17,760 18,810
426 PRPU000014 TBLB 2,000 2,400 2,600 3,000 3,400 3,600
427 PRPU000013 TBNA 4,000 4,800 5,200 6,000 6,800 7,200
UROLOGY
428 PRUR000006 BCG 1,300 1,560 1,690 1,950 2,860 3,780
429 PRUR000007 BLADDER BIOPSY 8,060 9,670 10,470 12,090 17,770 23,450
430 PRUR000008 BLADDER WASH (MAJOR) 3,220 3,860 4,180 4,830 7,100 9,370
431 PRUR000009 BLADDER WASH (MINOR) 2,420 2,900 3,140 3,630 5,330 7,040
432 PRUR000002 CATHERISATION 800 970 1,090 1,290 2,040 2,790
433 PRUR000010 CYSTOSCOPY 4,000 4,800 5,200 6,000 8,820 11,690
434 PRUR000012 Cystoscopy & Stent Removal of WBHS 5,000 5,000 5,000 5,000 5,000
435 PRUR000011 DJ-STENT REMOVAL 3,220 3,860 4,180 4,830 7,100 9,370
436 PRUR000013 ESWL 22,000 22,000 22,000 22,000 22,000
437 PRUR000003 TRUS BIOPSY PACKAGE 8,060 9,670 10,470 12,090 17,770 23,450
438 PRUR000001 URETHRAL DILATATION 1,600 1,920 2,080 2,400 3,520 4,680
Interventional Cardiology Pkg Rate
General / Double / Single / Super
Sl. PACKAGE Days
Multi ICCU Deluxe Deluxe
1 Coronary Angiography - Femoral 1 12,000 16,000 21,000 27,000

2 Coronary Angiography - Radial 1 12,000 16,000 21,000 27,000
3 PERIPHERAL ANGIOGRAPHY 1 12,000 16,000 21,000 27,000
4 PERIPHERAL ANGIOPLASTY 3 48,000 60,000 78,000 96,000
5 CEREBRAL ANGIO 1 14,000 17,500 22,000 27,000
6 CARDIAC CATHETERISATION 1 12,000 15,000 21,000 27,000
7 CORONARY ANGIOPLASTY 3 48,000 60,000 78,000 96,000
8 PRIMARY PTCA 3 60,000 75,000 90,000 108,000
PRIMARY PTCA (High Risk) (Including
9 3 85,000 100,000 115,000 145,000
Ventilator 3 days)
10 COMBI Package (CAG + PTCA) 3 52,000 65,000 85,000 100,000
11 EP WITH RF ABLATION 1 43,000 55,000 77,000 94,000
12 MINI EP 1 11,000 14,500 22,000 28,000
13 FULL EP 1 28,000 34,000 39,000 55,000
14 P P M - Single Chamber 2 30,000 36,000 54,000 72,000
15 P P M - Double Chamber 2 36,000 42,000 66,000 84,000
16 B M V 2 40,000 57,000 80,000 91,000
17 I C D IMPLANTATION 2 60,000 72,000 96,000 120,000
18 C R T IMPLANTATION 3 60,000 72,000 96,000 120,000
19 ASD DEVICE CLOSURE 5 85,000 115,000 140,000 165,000
Angiography / Cardiac Cath # Packages includes One day Room rent, Cardiologist Fees,
Serology, HB%, Creatinine, Potassium, CBS, ECG, Cath Lab Charges, Medicines upto Rs. 300/-
1
and Consumables upto Rs. 4,000/-. It does not include charges for ECHO, TMT or any other special
test. (CD charges Extra)
Cerebral Angio # Packages includes One day Room rent, Cardiologist Fees, Serology, HB%,
2 Creatinine, Potassium, CBS, Cath Lab Charges, Medicines upto Rs. 1,500/- and Consumables upto
Rs. 4,000/-. It does not include charges for ECHO, TMT or any other special test.
Angioplasty # Packages includes Three days Room Rent, Cardiologist Fees, Serology, HB%,
3 Creatinine, Potassium, CBS, ECG, X-Ray, Cath Lab Charges, Medicines upto Rs. 1,300/-,
Consumables upto Rs. 16,000/-. It does not include charges for ECHO, TMT or any other special
test. [Cost of Stent & Balloon EXTRA]
Combi Package # Packages includes Three days Room Rent, Cardiologist Fees, Serology, HB%,
4 Creatinine, Potassium, CBS, ECG, X-Ray, Cath Lab Charges, Medicines upto Rs. 1,600/-,
Consumables upto Rs. 18,000/-. It does not include charges for ECHO, TMT or any other special
test. [Cost of Stent & Balloon EXTRA]
EP with RF Ablation # Packages includes One day Room rent, Cardiologist Fees, Serology, HB%,
5 Creatinine, Potassium, CBS, X-Ray, Cath Lab Charges, Medicines upto Rs. 1,300/- and
Consumables upto Rs. 15,000/-.
Mini EP # Packages includes One day Room rent, Cardiologist Fees, Serology, HB%, Creatinine,
6
Potassium, CBS, Cath Lab Charges, Medicines upto Rs. 300/- and Consumables upto Rs. 3,500/-.
Full EP # Packages includes One day Room rent, Cardiologist Fees, Serology, HB%, Creatinine,
7 Potassium, CBS, Cath Lab Charges, Medicines upto Rs. 1,300/- and Consumables upto Rs. 8,000/-
.
Permanent Pacemaker # Packages includes Two days Room rent, Cardiologist Fees, Serology,
8 HB%, Creatinine, Potassium, CBS, ECG x 2, X-Ray, Cath Lab Charges, Temporary Pacing,
Medicines upto Rs. 500/- and Consumables upto Rs. 1,500/-. [Cost of Pacemaker EXTRA]
BMV # Packages includes Two days Room rent, Cardiologist Fees, Serology, HB%, Creatinine,
9 Potassium, CBS, ECG, X-Ray, Cath Lab Charges, Medicines upto Rs. 1,300/- and Consumables
upto Rs. 18,000/-.
ICD Implantation # Packages includes Two days Room rent, Cardiologist Fees, HB%, Creatinine,
10 Potassium, CBS, ECG x 2, X-Ray, Cath Lab Charges, Temporary Pacing, Medicines upto Rs.
1,000/- and Consumables upto Rs. 3,000/-. [Cost of ICD Implant EXTRA]
CRT Implantation # Packages includes Three days Room rent, Cardiologist Fees, Serology, HB%,
11 Creatinine, Potassium, CBS, ECG x 2, X-Ray, Echo, Cath Lab Charges, Medicines upto Rs. 1,300/-
and Consumables upto Rs. 11,000/-. [Cost of CRT Implant EXTRA]
ASD Device Closure # Packages includes Five days Room rent (2 days CTVS / CCU + 3 days
12 Ward / Room)(Package starts one day before the day of Procedure), Cardiologist Fees,
Anaesthetist Fees, Cath Lab Charges, Pre & Post Procedure Investigations upto Rs. 17,000/-,
Medicines upto Rs. 15,000/- and Consumables upto Rs. 20,000/- [Device Cost Extra].
# PACKAGE Excludes :-
Extra days stay after package.
Special Investigations, Any other Procedure / Intervention requred during stay.
Cost of Stent, Balloon, Pace Maker, ICD and CRT Implant.
Special Medicines (i.e. Reopro, Integrilin etc.) (Medicines used except Angio Dye).
Intra Aortic Balloon Pump ----- IABP.

Visiting charges of Speciality Consultant (other than Cardiologist).
Temporary Pacing in other Procedure.
Blood & Blood Products, CD charges.
CTVS Packages Rate
General / Double / Single / Super
Sl. PACKAGE Days
Multi ICCU Deluxe Deluxe
1 C A B G (OPEN HEART) 10 145,000 175,000 300,000 350,000
2 AVR / MVR 10 145,000 175,000 300,000 350,000
3 DVR 10 145,000 175,000 300,000 350,000
4 ASD / VSD 10 145,000 175,000 300,000 350,000
5 TOF 10 145,000 175,000 300,000 350,000
6 BT SHUNT 10 110,000 132,000 165,000 220,000

PNEUMONECTOMY / PDA /
THYMECTOMY /
7 7 85,000 115,000 172,000 230,000
THORACOTOMY /
DECORTICATION OF LUNG
CABG #Packages includes Ten days Room rent (3 days CTVS + 7 days Ward /
Room)(Package starts one day before the day of Surgery), Surgeon's Fees,
Anaesthetist Fees, Operation Theatre Charges, Pre & Post Operative Investigations upto
Rs. 20,000/-, Medicines upto Rs. 20,000/- and Consumables upto Rs. 40,000/-.
AVR / MVR / DVR # Packages includes Ten days Room rent (3 days CTVS + 7 days
Ward / Room)(Package starts one day before the day of Surgery), Surgeon's Fees,
[VALVE Cost Extra].
ASD / VSD # Packages includes Ten days Room rent (3 days CTVS + 7 days Ward /
BT SHUNT # Packages includes Ten days Room rent (3 days CTVS + 7 days Ward /
TOF # Packages includes Ten days Room rent (3 days CTVS + 7 days Ward /
PNEUMANECTOMY / PDA / THYMECTOMY # Packages includes Seven days Room

rent (2 days CTVS + 5 days Ward / Room)(Package starts one day before the day of
Surgery), Surgeon's Fees, Anaesthetist Fees, Operation Theatre Charges, Pre & Post
Operative Investigations upto Rs. 17,000/-, Medicines upto Rs. 15,000/- and
Consumables upto Rs. 17,000/-.
# PACKAGE Excludes :-
Extra days stay after package.
Special Investigations, Any other Procedure / Intervention
requred during stay.
Cost of Heart Valve (AVR/MVR/DVR).
Medicines & Consumables exceeding upper limit.
Intra Aortic Balloon Pump ----- IABP.
Visiting charges of Speciality Consultant (other than Surgeon &
Anaesthetist).
Blood & Blood Products.
Charge for any other Implants, Mesh etc.
AMRI HOSPITALS LTD
OPTHALMOLOGY PACKAGE RATE
Sl PARTICULARS PKG-AMT PKG BREAK UPS
Day care Room rent Rs. 1,000/-; OT Charges + Consumables +
1 ANT. VIT + TSF - IOL 24,000 Medicine for Rs. 12,000/-; Surgeon Fee for Rs.11,000/-
Day care Roomrent Rs. 1,000/-; OT Charges + Consumables +

2 BB + SOR + FAE + EL + C3F8 25,000 Medicine for Rs. 13,500/-; Surgeon Fee for Rs.10,500/-
Day care Room rent Rs. 600/-; OT Charges + Consumables +

3 C3F8 INJECTION 6,500 Medicine for Rs. 3,400/-; Surgeon Fee for Rs.2,500/-

4 CHALAZION 9,000 Medicine for Rs. 4,400/-; Surgeon Fee for Rs.4,000/-
Day care Roomrent Rs. 500/-; OT Charges + Consumables +

5 CORNEAL REPAIR + VITRECTOMY 15,000 Medicine for Rs. 6,500/-; Surgeon Fee for Rs.8,000/-

6 CORTICAL ASPIRATION 8,000 Medicine for Rs. 2,500/-; Surgeon Fee for Rs.5,000/-

7 CRYO 7,000 Medicine for Rs. 3,600/-; Surgeon Fee for Rs.2,800/-

8 Cyst Removal + AMT + FG + BCL 12,000 Medicine for Rs. 6,400/-; Surgeon Fee for Rs.5,000/-

9 EXCISION OF EYE LID TUMOUR 9,000 Medicine for Rs. 3,400/-; Surgeon Fee for Rs.5,000/-
Extra Capsular Cataract Surgery + Day care Roomrent Rs. 500/-; OT Charges + Consumables +
10
Intra Occular Lens (E.C.C.E.+IOL)
13,500 Medicine for Rs. 6,000/-; Surgeon Fee for Rs.7,000/-

11 FAE / PFCL + EL + SOI 8,500 Medicine for Rs. 6,400/-; Surgeon Fee for Rs.1,500/-

12 FAE + EL 14,000 Medicine for Rs. 5,400/-; Surgeon Fee for Rs.8,000/-

13 FAE + EL + C3F8 / SOI 17,000 Medicine for Rs. 8,400/-; Surgeon Fee for Rs.8,000/-
ICCI + ANT. VIT. / LENSECTOMY + Day care Room rent Rs. 600/-; OT Charges + Consumables +
14
ANT VITRECTOMY 21,500 Medicine for Rs. 11,400/-; Surgeon Fee for Rs.9,500/-

15 INJECTION AVASTIN 7,000 Medicine for Rs. 3,300/-; Surgeon Fee for Rs.3,200/-

16 INJURY EYE LID 11,000 Medicine for Rs. 4,900/-; Surgeon Fee for Rs.5,500/-

17 INTRA VIREAL INJECTION 6,500 Medicine for Rs. 2,500/-; Surgeon Fee for Rs.3,500/-
ACCENTRIX INJECTION (Including Day care Room rent Rs. 500/-; OT Charges + Consumables +
18
Inj.)
LUCENTIS INJECTION CORPORATE Day care Room rent Rs. 500/-; OT Charges + Consumables +
19
(Including Inj.) 28,500 Medicine for Rs. 24,500/-; Surgeon Fee for Rs.3,500/-

20 PHACO PACKAGE 18,500 Medicine for Rs. 4,900/-; Surgeon Fee for Rs.13,000/-

21 PHACO + SOR 22,500 Medicine for Rs. 10,400/-; Surgeon Fee for Rs11,500/-

22 PHACO + SOR + MP + FAE + C3F8 21,000 Medicine for Rs. 10,500/-; Surgeon Fee for Rs.10,000/-

23 PHACO + TRAB 27,500 Medicine for Rs. 9,400/-; Surgeon Fee for Rs.17,500/-
PHACO + VIT + FAE + ILMP/EL + C3F8 Day care Roomrent Rs. 600/-; OT Charges + Consumables +
24
/ SOI

25 PHACO WITH MULTIFOCAL LENS 28,500 Medicine for Rs. 14,400/-; Surgeon Fee for Rs.13,500/-

26 PHACO WITH TORIC LENS 26,000 Medicine for Rs. 11,900/-; Surgeon Fee for Rs.13,500/-

27 NEEDLING 5,000 Medicine for Rs. 2,500/-; Surgeon Fee for Rs.2,000/-

28 PNEUMATIC RETINOPEXY 13,500 Medicine for Rs. 6,400/-; Surgeon Fee for Rs.6,500/-

29 PTERYGIUM+ AUTOGRAFT 9,000 Medicine for Rs. 4,400/-; Surgeon Fee for Rs.4,000/-

30 PTERYGIUM+ AUTOGRAFT + GLUE 11,500 Medicine for Rs. 4,400/-; Surgeon Fee for Rs.6,500/-

31 PTERYGLUM + CHALAZION 13,500 Medicine for Rs. 4,900/-; Surgeon Fee for Rs.8,000/-

32 REPAIR OF CORNEAL PERFORATION 9,500 Medicine for Rs. 4,900/-; Surgeon Fee for Rs.4,000/-

33 RETINA DETACHMENT 21,500 Medicine for Rs. 11,400/-; Surgeon Fee for Rs.9,500/-
S.I.C.S. + ANTERIOR VITRECTOMY + Day care Room rent Rs. 600/-; OT Charges + Consumables +
34
TSF - IOL
Small Incision Cataract Surgery Day care Room rent Rs. 600/-; OT Charges + Consumables +
35
(S.I.C.S.)

36 SOR 8,500 Medicine for Rs. 3,900/-; Surgeon Fee for Rs.4,000/-

37 SOR WITH ERM 12,000 Medicine for Rs. 5,400/-; Surgeon Fee for Rs.6,000/-

38 Squint Correction 19,000 Medicine for Rs. 7,500/-; Surgeon Fee for Rs.11,000/-
SURFACE RECONSTRUCTION + AMT Day care Room rent Rs. 600/-; OT Charges + Consumables +
39
+ FG + BCL 13,000 Medicine for Rs. 6,400/-; Surgeon Fee for Rs.6,000/-

40 SUTURE REMOVAL 2,300 Medicine for Rs. 700/-; Surgeon Fee for Rs.1,000/-
TRABECULECTOMY / ANTERIOR Day care Room rent Rs. 600/-; OT Charges + Consumables +
41
VIRTECTOMY

42 VIT + MP + FAE + EL + C3F8 30,000 Medicine for Rs. 16,000/-; Surgeon Fee for Rs.13,000/-
VIT + MP + FAE + EL + SO / BB + VIT Day care Room rent Rs. 1,000/-; OT Charges + Consumables +
43
+ FAE + EL + SOI
VIT + REMOVAL OF NUCLEAUS / IOL Day care Room rent Rs. 1,000/-; OT Charges + Consumables +
44
(PFCL)
VIT + REMOVAL OF NUCLEAUS + TSF Day care Roomrent Rs. 1,000/-; OT Charges + Consumables +
45
- IOL 30,000 Medicine for Rs. 15,000/-; Surgeon Fee for Rs.14,000/-
VIT + WOUND RECONSTRUCTION + Day care Room rent Rs. 500/-; OT Charges + Consumables +
46
PEMOVAL OF NUCLEOUS + TSF - IOL 28,000 Medicine for Rs. 12,500/-; Surgeon Fee for Rs.15,000/-

47 VIT. + EL /ILMP + FAE + C3F8 28,000 Medicine for Rs. 14,500/-; Surgeon Fee for Rs.12,500/-

48 VIT. + EL + FAE / VIT + MP + FAE 25,000 Medicine for Rs. 12,500/-; Surgeon Fee for Rs.11,500/-

49 VIT. + FAE + EL + SO 30,000 Medicine for Rs. 16,000/-; Surgeon Fee for Rs.13,000/-

50 VITRECTOMY 22,000 Medicine for Rs. 10,500/-; Surgeon Fee for Rs.10,500/-

51 DCT 9,000 Medicine for Rs. 3,500/-; Surgeon Fee for Rs.4,900/-

52 TSF - IOL 15,000 Medicine for Rs. 6,000/-; Surgeon Fee for Rs.8,500/-

53 SUTURE REMOVAL + BCL 4,300 Medicine for Rs. 1,500/-; Surgeon Fee for Rs.2,300/-

54 PHACO + VIT + MP + ILMP + FAE 36,000 Medicine for Rs. 15,000/-; Surgeon Fee for Rs.20,000/-
PHACO + VIT + FAE + EL + C3F8 + SO Day care Room rent Rs. 600/-; OT Charges + Consumables +
55
(Economy)

56 PHACO + ANTERIOR VITRECTOMY 24,000 Medicine for Rs. 10,900/-; Surgeon Fee for Rs.12,500/-
NOTE/s:
a) PACKAGE EXCLUDES LENS THAT SHALL BE CHARGED OVER AND ABOVE PACKAGE AMOUNT ON MRP
b) IF ANY SUBMILIMIT EXCEEDS, THAT WILL CHARGED ON ACTUAL

EQUIPMENT
1 EQEQ00083 AIR MATTRESS 130 180 180 180 180 180
2 EQEQ00084 ALFA BED 130 180 180 180 180 180
3 EQEQ00109 Anaesthesia Ventilators 550 690 690 690 690 690
4 EQEQ00001 BAIR HUGGER 800 900 900 900 900 900
5 EQEQ00085 BAIR HUGGER(ICCU) 900 1,010 1,010 1,010 1,010 1,010
6 EQEQ000110 BI PAP 1,100 1,100 1,100 1,100 1,100 1,100
7 EQEQ00086 BIPAP 1,300 1,300 1,300 1,300 1,300 1,300
8 EQEQ00049 C PAP 700 880 880 880 880 880
9 EQEQ00067 Capnograph 440 610 610 610 610 610
10 EQEQ00068 Cardiac Monitor Charges 500 690 690 690 690 690
11 EQEQ00071 CARM 2,100 2,100 2,100 2,100 2,100 2,100
12 EQEQ00119 CARM - D (N) 2,800 2,800 2,800 2,800 2,800 2,800
13 EQEQ00118 CARM (N) 2,100 2,100 2,100 2,100 2,100 2,100
14 EQEQ00110 CARM D 2,800 2,800 2,800 2,800 2,800 2,800
15 EQEQ00072 CARM Screening 1,200 1,200 1,200 1,200 1,200 1,200
16 EQEQ00117 CARM Screening (N) 1,200 1,200 1,200 1,200 1,200 1,200
17 EQEQ00113 CHOLODOCHOSCOPE 3,300 3,300 3,300 3,300 3,300 3,300
18 EQEQ00073 CUSA 8,800 8,800 8,800 8,800 8,800 8,800
19 EQEQ00104 DERMATOM 4,000 4,000 4,000 4,000 4,000 4,000
20 EQEQ00074 Dermatome 4,200 4,200 4,200 4,200 4,200 4,200
21 EQEQ00098 DOUBLE SURFACE PHOTOTHERAPY 800 900 900 900 900 900
22 EQEQ00112 DRILL 3,300 3,300 3,300 3,300 3,300 3,300
23 EQEQ00087 DVT 1,100 1,100 1,100 1,100 1,100 1,100
24 EQEQ00114 FISTULA SCOPE 2,000 2,000 2,000 2,000 2,000 2,000
25 EQEQ00088 FLOWTRON EXCELL (DVT) PER DAY 1,100 1,100 1,100 1,100 1,100 1,100
26 EQEQ00120 HARMONIC BLUE 5,500 5,500 5,500 5,500 5,500 5,500
27 EQEQ00076 Harmonic Scalpel 5,500 5,500 5,500 5,500 5,500 5,500
28 EQEQ00115 Harmonic Scalpel - D 6,900 6,900 6,900 6,900 6,900 6,900
29 EQEQ00121 IABP 45,000 45,000 45,000 45,000 45,000 45,000
30 EQEQ00077 Laser Bilateral 11,800 11,800 11,800 11,800 11,800 11,800
31 EQEQ00078 Laser Unilateral 8,800 8,800 8,800 8,800 8,800 8,800
32 EQEQ00079 Microscope 6,900 6,900 6,900 6,900 6,900 6,900
33 EQEQ00116 MICROSCOPE (N) 6,900 6,900 6,900 6,900 6,900 6,900
34 EQEQ00105 MONITOR (MORE THAN 12 HRS) 900 900 900 900 900 900
35 EQEQ00111 NEURO DRILL 4,900 4,900 4,900 4,900 4,900 4,900
36 EQEQ00080 Neuro Endoscope 7,500 7,500 7,500 7,500 7,500 7,500
37 EQEQ00100 NICU (VENTILATOR) 1,500 1,500 1,500 1,500 1,500 1,500
38 EQEQ00090 NIMBUS 700 880 880 880 880 880
39 EQEQ00069 Nitrous Oxide Chg per Hour 600 750 750 750 750 750
40 EQEQ00075 ORTHO DRILL 4,900 4,900 4,900 4,900 4,900 4,900
41 EQEQ00027 ORTHO DRILL (OT) 4,900 4,900 4,900 4,900 4,900 4,900
42 EQEQ00070 Oxygen Charges per hour 110 110 110 110 110 110
43 EQEQ00091 OXYGEN(ICCU) 800 800 800 800 800 800
44 EQEQ00101 OXYGEN(NICU) 700 700 700 700 700 700
45 EQEQ00106 OXYGEN(WARD) 800 800 800 800 800 800
46 EQEQ00107 PULSE OXYMETRY 400 550 550 550 550 550
47 EQEQ00092 RIPPLE MATTRESS PER DAY 350 480 480 480 480 480
48 EQEQ00081 Shaver 2,200 2,200 2,200 2,200 2,200 2,200
49 EQEQ00102 SINGLE SURFACE PHOTOTHERAPY 500 690 690 690 690 690
50 EQEQ00093 SPECIAL MATTRESS 220 300 300 300 300 300
51 EQEQ00103 SYRING PUMP(NICU) 350 480 480 480 480 480
52 EQEQ00108 SYRINGE PUMP 400 550 550 550 550 550
53 EQEQ00094 SYRINGE PUMP(ICCU) 350 480 480 480 480 480
54 EQEQ00082 USG Machine used in OT 2,000 2,000 2,000 2,000 2,000 2,000
55 EQEQ00095 VENTILATOR 2,000 2,000 2,000 2,000 2,000 2,000
56 EQEQ00096 WARMER 900 1,010 1,010 1,010 1,010 1,010

AMRI HOSPITALS LTD.
OTHER CHARGES
Sl Service Amount
1 CT Scan Contrast for Brain 800
2 CT Scan Contrast for Body 900
3 Contrast for MRI 3,500
4 CD for CT Scan / MRI 600
5 CD for Angiography 500
6 Extra Plate per CT / MRI 300
7 Extra Plate per X-Ray 250
8 Extra Plate for USG 400
9 Refreshment (Breakfast / Head) 75
10 Refreshment (Lunch / Head) 120
11 Refreshment (Dinner / Head) 120
12 Refreshment (Tea & Biscuit / Head) 25
13 MRD Charges (Valid for 6 months) 500
14 MLC Charges / case 400
15 TPA Procesing Charge 500
16 Registration (UHID) (IP & OPD) (Valid for One Year) 100
17 Ward Sundry Charge (Each Admission) 300

OUTSIDE LAB
DR LAL
1 OLDL000201 **S-A/Ro*ss-B/La 2,140 2,140 2,140 2,140 2,140 2,140
2 OLDL000202 *SS-A/Ro *SS-B/La 2,250 2,250 2,250 2,250 2,250 2,250
3 OLDL000351 17-HYDROXYCORTICOSTERIODS&17-KETOSTEROID 10,500 10,500 10,500 10,500 10,500 10,500
4 OLDL000352 17-HYDROXYCORTICOSTERIODS(17¿OHCS),24-H 5,800 5,800 5,800 5,800 5,800 5,800
5 OLDL000353 17-HYDROXYPROGESTERONE (17-OHP) 1,030 1,030 1,030 1,030 1,030 1,030
6 OLDL000354 17-HYDROXYPROGESTERONE, NEW BORN SCREEN 190 190 190 190 190 190
7 OLDL000350 17-KETOSTEROIDS, 24-HOUR URINE 1,200 1,200 1,200 1,200 1,200 1,200
8 OLDL000333 24 HRS URINARY CALCIUM 290 290 290 290 290 290
9 OLDL000356 24HRS URINE FOR PORPHYRINS QUANTITATIVE 3,450 3,450 3,450 3,450 3,450 3,450
10 OLDL000358 5-HIAA, 24 HOURS URI 2,250 2,250 2,250 2,250 2,250 2,250
11 OLDL000357 5-HIAA, RANDOM URIN 2,660 2,660 2,660 2,660 2,660 2,660
12 OLDL000359 5-HT (5-HYDROXY TRYPTAMINE)(SEROTONIN) 9,700 9,700 9,700 9,700 9,700 9,700
13 OLDL000341 A N A WITH TITRES 1,185 1,185 1,185 1,185 1,185 1,185
14 OLDL000225 A.C.T.H. 1,650 1,650 1,650 1,650 1,650 1,650
15 OLDL000368 ACID PHOSPHATASE (PROSTATIC) 580 580 580 580 580 580
16 OLDL000346 ACID PHOSPHATESE (Total) 400 400 400 400 400 400
17 OLDL000348 ACID PHOSPHATESE Total & Prostatic 700 700 700 700 700 700
18 OLDL000360 ACTH 1,900 1,900 1,900 1,900 1,900 1,900
19 OLDL000334 AFB SUSCEPTIBILITY 5 DRUG PANEL(1ST LIN) 5,700 5,700 5,700 5,700 5,700 5,700
20 OLDL000361 ALA-AMINO lEVEULINIC ACID (QUANTITATI) 3,350 3,350 3,350 3,350 3,350 3,350
21 OLDL000362 ALDOSTERONE, SERUM 1,350 1,350 1,350 1,350 1,350 1,350
22 OLDL000363 ALLERGEN-DRUG ALLERGY 2,775 2,775 2,775 2,775 2,775 2,775
23 OLDL000364 ALLERGY COMPREHENSIVE PROFILE, ADULT 7,350 7,350 7,350 7,350 7,350 7,350
24 OLDL000365 ALLERGY COMPREHENSIVE PROFILE, PEDIATRIC 6,500 6,500 6,500 6,500 6,500 6,500
25 OLDL000367 ALLERGY INDIVIDUAL MARKER,DOG DANDER 950 950 950 950 950 950
26 OLDL000369 ALLERGY, FOOD PANEL 8,040 8,040 8,040 8,040 8,040 8,040
27 OLDL000370 ALPHA-1, ANTITRYPSIN QUANTITATION: AAP 1,680 1,680 1,680 1,680 1,680 1,680
28 OLDL000371 AMINO ACIDS,QUALITAT,1 DIMENSIONAL,URINE 830 830 830 830 830 830
29 OLDL000372 AMINO ACIDS,QUALITATIVE,CSF 830 830 830 830 830 830
30 OLDL000373 AML-ETO 3,980 3,980 3,980 3,980 3,980 3,980
31 OLDL000374 AMOEBIC SEROLOGY 1,130 1,130 1,130 1,130 1,130 1,130
32 OLDL000027 ANCA 2,910 2,910 2,910 2,910 2,910 2,910
33 OLDL000029 ANCA-MPO / P-ANCA 1,490 1,490 1,490 1,490 1,490 1,490
34 OLDL000028 ANCA-PR3 / C-ANCA 1,350 1,350 1,350 1,350 1,350 1,350
35 OLDL000030 ANDROSTENEDIONE 1,570 1,570 1,570 1,570 1,570 1,570
36 OLDL000031 ANTI ADH 11,460 11,460 11,460 11,460 11,460 11,460
37 OLDL000032 ANTI CENTROMERE ANTIBODY 2,200 2,200 2,200 2,200 2,200 2,200
38 OLDL000033 ANTI GAD - 65 IgG 4,550 4,550 4,550 4,550 4,550 4,550
39 OLDL000034 Anti histone AB 1,130 1,130 1,130 1,130 1,130 1,130
40 OLDL000035 Anti mitochondril AB 1,330 1,330 1,330 1,330 1,330 1,330
41 OLDL000036 ANTI MULLERIAN HORMONE 1,700 1,700 1,700 1,700 1,700 1,700
42 OLDL000037 ANTI SPERM ANTIBODY (IMMUNOBLOT) 690 690 690 690 690 690
43 OLDL000038 ANTI THROMBIN lll 3,350 3,350 3,350 3,350 3,350 3,350
44 OLDL000039 APO LIPO PROTEIN (A1) 490 490 490 490 490 490
45 OLDL000040 APO LIPO PROTEIN (B) 490 490 490 490 490 490
46 OLDL000041 ARSENIC, 24- HOUR URINE 2,470 2,470 2,470 2,470 2,470 2,470
47 OLDL000042 ASCORBIC ACID 1,870 1,870 1,870 1,870 1,870 1,870
48 OLDL000043 ASPERGILLUS ANTIBODIES PANEL,Igg & Igm 2,800 2,800 2,800 2,800 2,800 2,800
49 OLDL000044 ASPERGILLUS ANTIBODY IgG 1,460 1,460 1,460 1,460 1,460 1,460
50 OLDL000045 ASPERGILLUS ANTIBODY IgM 1,460 1,460 1,460 1,460 1,460 1,460
51 OLDL000366 ASPERGILLUS FUMIGATUS 950 950 950 950 950 950
52 OLDL000046 BARBITURATE SCREEN, URINE QUALITATIVE 520 520 520 520 520 520
53 OLDL000047 Beta 2 Transferrin- Carbohydrate Resista 4,800 4,800 4,800 4,800 4,800 4,800
54 OLDL000226 BLOOD FOR ARSENIC 2,800 2,800 2,800 2,800 2,800 2,800
55 OLDL000048 Blood for Quadruple test 2,600 2,600 2,600 2,600 2,600 2,600
56 OLDL000049 BRUCELLA AGGLUTINATION TEST 570 570 570 570 570 570
57 OLDL000050 BRUCELLA IgG AND IgM(AB Quantitative) 2,000 2,000 2,000 2,000 2,000 2,000
58 OLDL000051 BRUCELLA IgM 1,100 1,100 1,100 1,100 1,100 1,100
59 OLDL000052 C1 ESTERASE INHIBITOR 2,010 2,010 2,010 2,010 2,010 2,010
60 OLDL000053 C3 550 550 550 550 550 550
61 OLDL000054 C3 & C4 COMPLEMENT PANEL 1,040 1,040 1,040 1,040 1,040 1,040
62 OLDL000056 C4 550 550 550 550 550 550
63 OLDL000055 C4 Level 600 600 600 600 600 600
64 OLDL000057 CALCITONIN 1,810 1,810 1,810 1,810 1,810 1,810
65 OLDL000058 C-ANCA 1,460 1,460 1,460 1,460 1,460 1,460
66 OLDL000059 CARBAMAZEPINE 690 690 690 690 690 690
67 OLDL000061 CATECHOLA,24-HR URINE INCLUD EPINEPHRINE 3,850 3,850 3,850 3,850 3,850 3,850
68 OLDL000060 CATECHOLAMINES & VMA, 24-HOUR URINE 6,250 6,250 6,250 6,250 6,250 6,250
69 OLDL000062 CD 55 & 59 5,050 5,050 5,050 5,050 5,050 5,050
70 OLDL000100 CD117 (c-kit) 2,665 2,665 2,665 2,665 2,665 2,665
71 OLDL000101 CD15 2,225 2,225 2,225 2,225 2,225 2,225
72 OLDL000063 CD-20 1,925 1,925 1,925 1,925 1,925 1,925
73 OLDL000103 CD23 2,665 2,665 2,665 2,665 2,665 2,665
74 OLDL000107 CD68 2,665 2,665 2,665 2,665 2,665 2,665
75 OLDL000064 CD-8 1,850 1,850 1,850 1,850 1,850 1,850
76 OLDL000109 CD99 (MIC-2) 1,925 1,925 1,925 1,925 1,925 1,925
77 OLDL000066 CHROMOGRANIN-A ;CGA 1,450 1,450 1,450 1,450 1,450 1,450
78 OLDL000067 CHROMOSOME ANALYSIS ,PHILADELPHIA 5,725 5,725 5,725 5,725 5,725 5,725
79 OLDL000068 CHYLOMICRON QUALITATIVE 350 350 350 350 350 350
80 OLDL000121 CK-20 2,665 2,665 2,665 2,665 2,665 2,665
81 OLDL000122 CK-7 2,665 2,665 2,665 2,665 2,665 2,665
82 OLDL000069 COPPER ; 24¿HOUR URINE, ATOMICABSORPTION 1,570 1,570 1,570 1,570 1,570 1,570
83 OLDL000070 COPPER ; RANDOM URINE, ATOMICABSORPTION 1,570 1,570 1,570 1,570 1,570 1,570
84 OLDL000071 CORTISOL, FREE 24 HOUR URINE 690 690 690 690 690 690
85 OLDL000072 CRYPTOCOCCUS ANTIGEN,SERUM 1,680 1,680 1,680 1,680 1,680 1,680
86 OLDL000227 CYCLIN D1[Photo] 1,900 1,900 1,900 1,900 1,900 1,900
87 OLDL000074 CYSTATIN C 900 900 900 900 900 900
88 OLDL000075 CYSTICERCUS - IgG(CSF) 1,200 1,200 1,200 1,200 1,200 1,200
89 OLDL000076 CYSTICERCUS - IgG(SERUM) 1,200 1,200 1,200 1,200 1,200 1,200
90 OLDL000077 CYTOMEGALOVIRUS DNA DETECTOR 3,000 3,000 3,000 3,000 3,000 3,000
91 OLDL000228 DHEA 2,130 2,130 2,130 2,130 2,130 2,130
92 OLDL000078 DHEASO4 1,025 1,025 1,025 1,025 1,025 1,025
93 OLDL000079 DIGOXIN 750 750 750 750 750 750
94 OLDL000080 DNA HISTOGRAM;DNA PLOIDY & S- PHASE 2,800 2,800 2,800 2,800 2,800 2,800
95 OLDL000088 E B V AB TO VIRAL CAPSID Ag 2,580 2,580 2,580 2,580 2,580 2,580
96 OLDL000081 EBV ANTIBODY (VCA), IgG & IgM 2,580 2,580 2,580 2,580 2,580 2,580
97 OLDL000082 ENDOMYSIAL ANTIBODY IgA 2,910 2,910 2,910 2,910 2,910 2,910
98 OLDL000083 EPIDERMAL GROWTH FACTOR RECEPTOR (EGFR) 1,630 1,630 1,630 1,630 1,630 1,630
99 OLDL000153 EPITHELIAL MEMBRANE ANTIGEN (EMA) 2,225 2,225 2,225 2,225 2,225 2,225
100 OLDL000084 Epstein Barr Virus (NA) IgG 1,500 1,500 1,500 1,500 1,500 1,500
101 OLDL000085 EPSTEIN BARR(NA)IGM 1,230 1,230 1,230 1,230 1,230 1,230
102 OLDL000086 EPSTEIN-BARR VIRUS AB TO VCAPSID Ag IgM 1,350 1,350 1,350 1,350 1,350 1,350
103 OLDL000087 EPSTEN BARR VIRUS ANTIBODIES TETRA PANEL 5,700 5,700 5,700 5,700 5,700 5,700
104 OLDL000089 ERYTHROPOIETIN ; EPO 1,680 1,680 1,680 1,680 1,680 1,680
105 OLDL000090 Extractable Nuclear Antigens 5,500 5,500 5,500 5,500 5,500 5,500
106 OLDL000091 FACTOR IX, FUNCTIONAL 1,800 1,800 1,800 1,800 1,800 1,800
107 OLDL000092 FACTOR V , FUNCTIONAL 2,720 2,720 2,720 2,720 2,720 2,720
108 OLDL000093 FACTOR V LEIDEN MUTATION ANALYSIS 4,770 4,770 4,770 4,770 4,770 4,770
109 OLDL000094 FACTOR VII , FUNCTIONAL 2,470 2,470 2,470 2,470 2,470 2,470
110 OLDL000167 Factor VIII 2,000 2,000 2,000 2,000 2,000 2,000
111 OLDL000335 FDP 1,145 1,145 1,145 1,145 1,145 1,145
112 OLDL000332 FIBRINOGEN 890 890 890 890 890 890
113 OLDL000095 FISH FOR BCR/ABL 3,790 3,790 3,790 3,790 3,790 3,790
114 OLDL000096 FLOW CYTOMETRY, CD 20 (PAN 8 CELL MARK ) 1,700 1,700 1,700 1,700 1,700 1,700
115 OLDL000097 FLOW CYTOMETRY, CD 4(HELPER T CELL MARK) 1,370 1,370 1,370 1,370 1,370 1,370
116 OLDL000102 FLOW CYTOMETRY, INDIVIDUAL MARKER CD-13 1,700 1,700 1,700 1,700 1,700 1,700
117 OLDL000104 FLOW CYTOMETRY, INDIVIDUAL MARKER CD-15 1,700 1,700 1,700 1,700 1,700 1,700
118 OLDL000098 FLOW CYTOMETRY,CD8(SUPPRESSOR T CELL) 1,700 1,700 1,700 1,700 1,700 1,700
119 OLDL000099 FLOW CYTOMETRY,FMC-7(Prognostic CLL/NHL) 1,700 1,700 1,700 1,700 1,700 1,700
120 OLDL000105 FLT3 2,650 2,650 2,650 2,650 2,650 2,650
121 OLDL000106 FLUID FOR MUMPS AB (IgM) 1,230 1,230 1,230 1,230 1,230 1,230
122 OLDL000349 GALACTOMANNAN 1,980 1,980 1,980 1,980 1,980 1,980
123 OLDL000108 GAMMA INTERFORON 2,550 2,550 2,550 2,550 2,550 2,550
124 OLDL000110 GASTRIN LEVEL 930 930 930 930 930 930
125 OLDL000111 GLIADIN ANTIBODIES PANEL,IgA & IgG 2,300 2,300 2,300 2,300 2,300 2,300
126 OLDL000112 GLOMERULAR BASEMENT MEMBRANE A B, 1,130 1,130 1,130 1,130 1,130 1,130
127 OLDL000113 GLUCAGON 6,700 6,700 6,700 6,700 6,700 6,700
128 OLDL000114 GROWTH HORMONE STIMULATION TEST 640 640 640 640 640 640
129 OLDL000115 HAM TEST 830 830 830 830 830 830
130 OLDL000116 HAM TEST, P N H 830 830 830 830 830 830
131 OLDL000117 HELICOBACTER PYLORI AB PANEL IgA & IgG 2,580 2,580 2,580 2,580 2,580 2,580
132 OLDL000118 HELICOBACTER PYLORI IgA 1,230 1,230 1,230 1,230 1,230 1,230
133 OLDL000119 HELICOBACTER PYLORI IgG 1,230 1,230 1,230 1,230 1,230 1,230
134 OLDL000229 HEPATITIS A IGG ANTIBODY 950 950 950 950 950 950
135 OLDL000120 HEPATITIS C ANTIBODY (HCV),IgM 1,370 1,370 1,370 1,370 1,370 1,370
136 OLDL000123 HEPATITIS DELTA ANTIBODY, HDV 2,140 2,140 2,140 2,140 2,140 2,140
137 OLDL000124 HEPATITIS DELTA VIRUS IgG ANTIBODIES 1,960 1,960 1,960 1,960 1,960 1,960
138 OLDL000125 HEPATITIS, VIRAL, COMPREHENSIVE PANEL 10,500 10,500 10,500 10,500 10,500 10,500
139 OLDL000126 HEPTOGLOBIN 1,735 1,735 1,735 1,735 1,735 1,735
140 OLDL000127 HIV 1 RNA QUANTITATIVE REAL TIME PCR 4,340 4,340 4,340 4,340 4,340 4,340
141 OLDL000130 HIV 1 RNA QUANTITATIVE,RT PCR, 4,340 4,340 4,340 4,340 4,340 4,340
142 OLDL000128 HIV 1 RNA QUANTITAV, RT PCR WITH CD3/CD4 5,330 5,330 5,330 5,330 5,330 5,330
143 OLDL000129 HIV1RNA QUAN, RTIME PCR WITH CD3,CD4/CD8 6,100 6,100 6,100 6,100 6,100 6,100
144 OLDL000131 HLA DNA TYPING FOR KIDNEY TRANSPLANT, 13,000 13,000 13,000 13,000 13,000 13,000
145 OLDL000132 HLA-ABC & DR,TISSUE CROSS MATCH 2,500 2,500 2,500 2,500 2,500 2,500
146 OLDL000133 HOMOCYSTENE, QUANTITATIVE, SERUM 750 750 750 750 750 750
147 OLDL000134 HS CRP (HIGH SENSITIVITY) 765 765 765 765 765 765
148 OLDL000347 HYDATID -ECHINOCOCCUS (Serum) 1,880 2,070 2,260 2,630 2,630 2,630
149 OLDL000135 IGF BINDING PROTEIN - 3 3,050 3,050 3,050 3,050 3,050 3,050
150 OLDL000136 IMD PANEL 2, CD4 / CD8 PANEL *CD3* 2,030 2,030 2,030 2,030 2,030 2,030
151 OLDL000137 IMMUNE DEFICIENCY PANEL 4; CD 4 COUNTS 1,370 1,370 1,370 1,370 1,370 1,370
152 OLDL000336 IMMUNOGLOBULIN IgG + IgM + IgA 990 990 990 990 990 990
153 OLDL000337 IMMUNOGLOBULIN (IGM) 385 385 385 385 385 385
154 OLDL000338 IMMUNOGLOBULIN IgA 350 350 350 350 350 350
155 OLDL000138 IMMUNOGLOBULIN IgD+IgE 5,550 5,550 5,550 5,550 5,550 5,550
156 OLDL000342 IMMUNOGLOBULIN IgG 350 350 350 350 350 350
157 OLDL000139 IMMUNOHISTO,INDIVIDUAL MARKER,CATHEPSIN 1,300 1,300 1,300 1,300 1,300 1,300
158 OLDL000140 INHIBIN A,TUMOR MARKER 1,650 1,650 1,650 1,650 1,650 1,650
159 OLDL000142 Insulin Antibody 1,530 1,530 1,530 1,530 1,530 1,530
160 OLDL000339 IRON STUDIES, TRANSFERRIN SATURATION 1,045 1,045 1,045 1,045 1,045 1,045
161 OLDL000143 ISLET CELL ANTIBODY 1,480 1,480 1,480 1,480 1,480 1,480
162 OLDL000144 Japanese Encephalitis Virus of CSF 4,000 4,000 4,000 4,000 4,000 4,000
163 OLDL000145 Jo-1 Antibody 1,030 1,030 1,030 1,030 1,030 1,030
164 OLDL000147 KAPPA / LAMBDA LIGHT CHAINS, FREE, SERUM 5,550 5,550 5,550 5,550 5,550 5,550
165 OLDL000149 LEAD, BLOOD 1,350 1,350 1,350 1,350 1,350 1,350
166 OLDL000150 LEISHMANIA ANTIBODY-IgG 1,300 1,300 1,300 1,300 1,300 1,300
167 OLDL000151 Lepto Spirosis DNA Detection (PCR) 1,800 1,800 1,800 1,800 1,800 1,800
168 OLDL000330 LEUKEMIA DIAGNOSTIC PANEL 12,700 12,700 12,700 12,700 12,700 12,700
169 OLDL000331 LEUKEMIA DIAGNOSTIC PANEL : CLL/HCL/SLL 8,050 8,050 8,050 8,050 8,050 8,050
170 OLDL000152 LIPO PROTEIN PROFILE 1,320 1,320 1,320 1,320 1,320 1,320
171 OLDL000154 LIVER KIDNEY MICROSOMAL(LKM) AB, IFA 1,350 1,350 1,350 1,350 1,350 1,350
172 OLDL000155 LUPUS ANTI COAGULANT BY Drvvt 1,460 1,460 1,460 1,460 1,460 1,460
173 OLDL000156 LUPUS ANTI COAGULANT PANEL 2,250 2,250 2,250 2,250 2,250 2,250
174 OLDL000157 MATERNAL SERUM SCREEN 2 DUAL TEST 1,650 1,650 1,650 1,650 1,650 1,650
175 OLDL000158 MD PANEL QUANTITA (Amino,Organic,Fatty) 3,690 3,690 3,690 3,690 3,690 3,690
176 OLDL000159 MEASLES (RUBEOLA) ANTIBODY, IgM 1,350 1,350 1,350 1,350 1,350 1,350
177 OLDL000345 MEASLES (IGG+IGM) 2,470 2,720 2,960 3,460 3,460 3,460
178 OLDL000160 MEASLES (RUBEOLA) ANTIBODY, IgG 1,420 1,420 1,420 1,420 1,420 1,420
179 OLDL000161 MEASLES IgG 1,350 1,350 1,350 1,350 1,350 1,350
180 OLDL000162 MERCURY BLOOD 3,200 3,200 3,200 3,200 3,200 3,200
181 OLDL000163 MERCURY, 24 - HOUR URINE 2,690 2,690 2,690 2,690 2,690 2,690
182 OLDL000164 METABOLIC SCREEN, BASIC, URINE 520 520 520 520 520 520
183 OLDL000166 METHAEMOGLOBIN ESTIMATION 825 825 825 825 825 825
184 OLDL000168 METHYLMALONIC ACID , QUALITATIVE URINE 230 230 230 230 230 230
185 OLDL000170 MITOCHONDRIAL AB (AMA), IFA IN DILUTIONS 2,470 2,470 2,470 2,470 2,470 2,470
186 OLDL000171 MONO TEST ( INFECTIOUS MONONUCLEOSIS) 910 910 910 910 910 910
187 OLDL000172 MOTT DRUG SUSCEPTIBILITY REPORT 5,445 5,445 5,445 5,445 5,445 5,445
188 OLDL000173 MUMPS VIRUS ANTIBODIES PANEL, IgG & IgM 2,580 2,580 2,580 2,580 2,580 2,580
189 OLDL000174 MUMPS VIRUS ANTIBODY IgG 1,230 1,230 1,230 1,230 1,230 1,230
190 OLDL000175 MUMPS VIRUS ANTIBODY IgM 1,230 1,230 1,230 1,230 1,230 1,230
191 OLDL000176 NEW BORN SCREENING 1,570 1,570 1,570 1,570 1,570 1,570
192 OLDL000177 NICOTINE METABOLITE 1,600 1,600 1,600 1,600 1,600 1,600
193 OLDL000178 NPM 1 3,400 3,400 3,400 3,400 3,400 3,400
194 OLDL000180 Nuclear Antigens (ENA) 5,500 5,500 5,500 5,500 5,500 5,500
195 OLDL000181 OPIATES SCREEN,RANDOM URINE 550 550 550 550 550 550
196 OLDL000183 P- ANCA 1,460 1,460 1,460 1,460 1,460 1,460
197 OLDL000184 P&C-ANCA (QUALITATIVE) 2,460 2,460 2,460 2,460 2,460 2,460
198 OLDL000185 P&C-ANCA (QUANTATIVE) 1,600 1,600 1,600 1,600 1,600 1,600
199 OLDL000224 Pan CYTOKERATIN (CK) 2,225 2,225 2,225 2,225 2,225 2,225
200 OLDL000186 PARIETAL CELL ANTIBODY,IFA 1,240 1,240 1,240 1,240 1,240 1,240
201 OLDL000187 PERTUSSIS - IgG antibodies 1,500 1,500 1,500 1,500 1,500 1,500
202 OLDL000188 PHENOBARBITONE 800 800 800 800 800 800
203 OLDL000189 PLASMA RENIN ACTIVITY; PRA 4,450 4,450 4,450 4,450 4,450 4,450
204 OLDL000190 PORPHYRINS TOTAL,QUANTITATIVE,RANDOM URI 3,980 3,980 3,980 3,980 3,980 3,980
205 OLDL000191 PROTEIN C 3,050 3,050 3,050 3,050 3,050 3,050
206 OLDL000192 PROTEIN C, FUNCTIONAL 3,350 3,350 3,350 3,350 3,350 3,350
207 OLDL000193 PROTEIN S, FUNCTIONAL 2,800 2,800 2,800 2,800 2,800 2,800
208 OLDL000194 QUACRUPLE MARKER TEST 2,400 2,400 2,400 2,400 2,400 2,400
209 OLDL000195 QUANTIFERON-TB GOLD,GAMMA INTERFERONS 2,800 2,800 2,800 2,800 2,800 2,800
210 OLDL000344 S.L.E PROFILE 1,690 1,860 2,030 2,370 2,370 2,370
211 OLDL000197 Scl-70 [SCLERODERMA] ANTIBODY 910 910 910 910 910 910
212 OLDL000198 SEROTONIN 3,500 3,500 3,500 3,500 3,500 3,500
213 OLDL000199 SERUM MYOGLOBIN 1,500 1,500 1,500 1,500 1,500 1,500
214 OLDL000200 SEX HORMONE BINDING GLOBUMIN, SHBG 2,030 2,030 2,030 2,030 2,030 2,030
215 OLDL000340 Short Synacthin Test 3,500 3,500 3,500 3,500 3,500 3,500
216 OLDL000203 Sm (SMITH),IANTIBODY ,IgG 800 800 800 800 800 800
217 OLDL000204 SMOOTH MUSCLE A B(ASMA),IFA IN DILUTIONS 2,800 2,800 2,800 2,800 2,800 2,800
218 OLDL000205 SMOOTH MUSCLE ANTIBODY [ASMA], IFA 1,460 1,460 1,460 1,460 1,460 1,460
219 OLDL000206 SS-A (Ro) IgG ANTIBODIES 2,100 2,100 2,100 2,100 2,100 2,100
220 OLDL000209 STOOL FOR ROTAVIRUS ANTIBODY 1,000 1,000 1,000 1,000 1,000 1,000
221 OLDL000210 THEOPHYLLINE 750 750 750 750 750 750
222 OLDL000343 THROMBIN TIME 3,550 3,910 4,260 4,970 4,970 4,970
223 OLDL000211 THROMBIN TIME ; TT 500 500 500 500 500 500
224 OLDL000212 TISSUE TRANSGLUTAMINASE(tTG)ANTIBODY,IgA 800 800 800 800 800 800
225 OLDL000213 TPHA;TREPONEMA PALLIDUM HEMAGGLUTINATION 460 460 460 460 460 460
226 OLDL000214 URINE FOR PORPHOBILINOGEN(PBG)QUANTITATV 2,750 2,750 2,750 2,750 2,750 2,750
227 OLDL000215 VARICELLA ZOSTER IgM Ab 1,020 1,020 1,020 1,020 1,020 1,020
228 OLDL000216 VARICELLA ZOSTER VIRUS (VZV) AB, IgG 1,070 1,070 1,070 1,070 1,070 1,070
229 OLDL000217 VARICELLA ZOSTER VIRUS (VZV) IgG & IgM 1,750 1,750 1,750 1,750 1,750 1,750
230 OLDL000218 Vasoactive Intestinal Polypeptide VIP 11,460 11,460 11,460 11,460 11,460 11,460
231 OLDL000219 VERICELLA ZOSTER VIRUS (VSV) AB, IgM 1,020 1,020 1,020 1,020 1,020 1,020
232 OLDL000220 VITAMIN B1 ( THIAMINE) 1,800 1,800 1,800 1,800 1,800 1,800
233 OLDL000221 VMA [VANILMANDELIC ACID], 24-HOUR URINE 3,235 3,235 3,235 3,235 3,235 3,235
234 OLDL000222 VMA [VANILMANDELIC ACID], RANDOM URINE 3,080 3,080 3,080 3,080 3,080 3,080
235 OLDL000223 Von will Ebrand Factor Antigen,Plasma 7,750 7,750 7,750 7,750 7,750 7,750
VISION CARE
236 OLMK000012 ANAPLASTIC L CELL Vs HODGKINS¿LYMPHOMA 8,250 8,250 8,250 8,250 8,250 8,250
237 OLMK000001 Bcl-2 2,225 2,450 2,670 3,115 3,115 3,340
238 OLMK000013 BREAST CANCER PROGNOSIS PROFILE 7,985 7,985 7,985 7,985 7,985 7,985
239 OLMK000014 C KIT/CD117 2,310 2,310 2,310 2,310 2,310 2,310
240 OLMK000002 CALRETININ 3,050 3,050 3,050 3,050 3,050 3,050
241 OLMK000015 CARCINOMA vs SARCOMA 4,125 4,125 4,125 4,125 4,125 4,125
242 OLMK000003 CD10 2,225 2,225 2,225 2,225 2,225 2,225
243 OLMK000004 CD3 2,225 2,225 2,225 2,225 2,225 2,225
244 OLMK000005 CD30 2,225 2,225 2,225 2,225 2,225 2,225
245 OLMK000006 CD45 2,225 2,225 2,225 2,225 2,225 2,225
246 OLMK000016 CD45, CK 3,025 3,025 3,025 3,025 3,025 3,025
247 OLMK000017 CD45, CK, CD20, CD3 4,840 4,840 4,840 4,840 4,840 4,840
248 OLMK000018 CD45, CK, EMA, CD20, CD3 6,050 6,050 6,050 6,050 6,050 6,050
249 OLMK000007 CD5 2,225 2,225 2,225 2,225 2,225 2,225
250 OLMK000019 CK, CD45, CD99, SYNAPTOPHYSIN, DESMIN 6,050 6,050 6,050 6,050 6,050 6,050
251 OLMK000021 CK, CD45, CHROMAGRANIN-A 4,840 4,840 4,840 4,840 4,840 4,840
252 OLMK000020 CK,CD45,CD99,SYNAPTOPHYSIN,NEUROFILAMENT 6,655 6,655 6,655 6,655 6,655 6,655
253 OLMK000022 CLOSTRIDIUM DIFFICILE TOXIN A 1,335 1,335 1,335 1,335 1,335 1,335
254 OLMK000008 DESMIN 2,225 2,225 2,225 2,225 2,225 2,225
255 OLMK000023 DESMIN, VIMENTIN, CK, S-100, CD68, CD34 7,865 7,865 7,865 7,865 7,865 7,865
256 OLMK000024 ENDOCRINE TUMOURS 6,050 6,050 6,050 6,050 6,050 6,050
257 OLMK000025 ER, PR 1,525 1,525 1,525 1,525 1,525 1,525
258 OLMK000026 ESTROGEN RECEPTOR (ER) 1,525 1,525 1,525 1,525 1,525 1,525
259 OLMK000027 GIST 6,325 6,325 6,325 6,325 6,325 6,325
260 OLMK000028 Glactose 1 - Phosphate 1,230 1,230 1,230 1,230 1,230 1,230
261 OLMK000009 GLAIL FIBRILLARY ACID PROTEIN (GFAP) 2,665 2,665 2,665 2,665 2,665 2,665
262 OLMK000010 HER-2/neu 1,845 1,845 1,845 1,845 1,845 1,845
263 OLMK000029 HER-2/NEU ONCOPROTEIN 1,595 1,595 1,595 1,595 1,595 1,595
264 OLMK000011 HMB-45 3,050 3,050 3,050 3,050 3,050 3,050
265 OLMK000030 HODGKINS¿ LYMPHOMA 6,355 6,355 6,355 6,355 6,355 6,355
266 OLMK000043 MIB-1 (Ki-67) 2,665 2,665 2,665 2,665 2,665 2,665
267 OLMK000044 NEUROFILAMENT (NF) 2,665 2,665 2,665 2,665 2,665 2,665
268 OLMK000031 NHL: FOLLICULAR LYMPHOMA 4,125 4,125 4,125 4,125 4,125 4,125
269 OLMK000032 NHL: LARGE CELL LYMPHOMA 4,125 4,125 4,125 4,125 4,125 4,125
270 OLMK000033 NHL: SLL Vs MANTLE CELL Vs MARGINAL ZONE 6,355 6,355 6,355 6,355 6,355 6,355
271 OLMK000034 OESTROGEN RECEIPTOR 2,345 2,345 2,345 2,345 2,345 2,345
272 OLMK000045 p53 2,665 2,665 2,665 2,665 2,665 2,665
273 OLMK000035 PROGESTERON RECEIPTOT 1,500 1,500 1,500 1,500 1,500 1,500
274 OLMK000036 PROGESTERONE RECEPTOR (PR) 1,525 1,525 1,525 1,525 1,525 1,525
275 OLMK000046 S-100 2,225 2,225 2,225 2,225 2,225 2,225
276 OLMK000037 SMA, DESMIN, VIMENTIN, CK, EMA, S-100 7,865 7,865 7,865 7,865 7,865 7,865
277 OLMK000039 SMA, VIMENTIN, CD68 3,630 3,630 3,630 3,630 3,630 3,630
278 OLMK000040 SMA, VIMENTIN, CK, CD34 4,840 4,840 4,840 4,840 4,840 4,840
279 OLMK000041 SMA, VIMENTIN, CK, S-100 4,840 4,840 4,840 4,840 4,840 4,840
280 OLMK000038 SMA,DESMIN,VIMENTIN,CK,S-100,CD68,CD34 9,075 9,075 9,075 9,075 9,075 9,075
281 OLMK000047 SYNAPTOPHYSIN 2,665 2,665 2,665 2,665 2,665 2,665
282 OLMK000042 TDT 3,050 3,050 3,050 3,050 3,050 3,050
283 OLMK000048 TTF 3,050 3,050 3,050 3,050 3,050 3,050
284 OLMK000049 VIMENTIN 2,225 2,225 2,225 2,225 2,225 2,225
285 OLMP000003 ACETYLCHOLINESTERASE (RBC) 1,300 1,300 1,300 1,300 1,300
286 OLMP000008 ASCA- IgG AB to Saccharomyces cerevisiae 1,950 1,950 1,950 1,950 1,950
287 OLMP000014 HPV DNA 2,200 2,200 2,200 2,200 2,200
ONCQEST LAB
288 OLON000001 ALK-1 1,900 1,900 1,900 1,900 1,900
289 OLON000002 K-RAS 4,250 4,250 4,250 4,250 4,250
SRL LAB
290 OLSR000089 CK 34 BE 12 2,000 2,000 2,000 2,000 2,000
291 OLSR000018 CSF FOR ELECTROPHORESIS 3,350 3,350 3,350 3,350 3,350
292 OLSR000093 GM2 GANGLIOSIDOSIS,QUANTI,BLOOD;TAY SAC 2,130 2,130 2,130 2,130 2,130
293 OLSR000113 HAV IgM 1,520 1,670 1,820 2,130 2,280
294 OLSR000095 IMMUNOGLOBULIN IgG SYNTHESI INDEX & RATE 2,130 2,130 2,130 2,130 2,130
295 OLSR000117 Leptospira IgG 1,330 1,330 1,330 1,330 1,330 1,330
296 OLSR000080 OSMOTIC FRAGILITY 700 700 700 700 700 700
297 OLSR000100 P50 4S 1,385 1,385 1,385 1,385 1,385
298 OLSR000043 PROGESTERONE 1,030 1,030 1,030 1,030 1,030 1,030
299 OLSR000103 PS ANTIBODY 2,905 2,905 2,905 2,905 2,905
300 OLSR000107 SPL. IMMUNO HEMATOLOGY TEST-II 900 900 900 900 900
301 OLSR000111 VGKC - VOLTAGE GATED POTASSIUM CHANNEL 6,000 6,000 6,000 6,000 6,000
302 OLSR000072 VITAMIN D, 25- HYDROXY 1,570

AMRI Hospital Tariff

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

AMRI Hospital Tariff

Uploaded by

Copyright:

Available Formats

AMRI Hospitals Ltd.

1 SUITE ROOM 9,000 1,800

*** 2 Visits are allowed per day

Doctor visit fees are negotiable in Deluxe, Super

Economy Semi Private Private Deluxe

Surgeon 5,300 10,000 10,900 12,100 13,300

Paediatrician 2,600 3,300 5,100 5,400 6,400

(I) Surgeons are open to negotiate THEIR FEES. IN CASE OF NEGOTIATION,

Sl Code Service OPD Gen Double Single Deluxe Suite

60 LBBC000046 BILIRUBIN(Conjugated) 340 410 440 510 570 610

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

425 LBSB000057 TROPONIN T 2,000 2,400 2,600 3,000 3,400 3,600

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

149 PRDN000181 Removable Partial Denture(Each additional imported teeth) 2,000 0 0 0 0 0

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

Sl Code Service OPD Gen Double Single Deluxe Suite

299 PREY000006 CHALAZION 550 730 830 1,000 1,060 1,120

Sl Code Service OPD Gen Double Single Deluxe Suite

349 PRGA000076 OESOPHAGEAL PH METRY 0 14,000 15,400 18,200 18,900 19,600

GYNAECOLOGY & OBS

Sl Code Service OPD Gen Double Single Deluxe Suite

1 Coronary Angiography - Femoral 1 12,000 16,000 21,000 27,000

Intra Aortic Balloon Pump ----- IABP.

2 AVR / MVR 10 145,000 175,000 300,000 350,000

3 DVR 10 145,000 175,000 300,000 350,000

4 ASD / VSD 10 145,000 175,000 300,000 350,000

5 TOF 10 145,000 175,000 300,000 350,000

6 BT SHUNT 10 110,000 132,000 165,000 220,000

PNEUMANECTOMY / PDA / THYMECTOMY # Packages includes Seven days Room

Day care Roomrent Rs. 1,000/-; OT Charges + Consumables +

Day care Room rent Rs. 600/-; OT Charges + Consumables +

Day care Room rent Rs. 600/-; OT Charges + Consumables +

Day care Roomrent Rs. 500/-; OT Charges + Consumables +

Day care Roomrent Rs. 500/-; OT Charges + Consumables +

Day care Room rent Rs. 600/-; OT Charges + Consumables +

Day care Roomrent Rs. 600/-; OT Charges + Consumables +

Day care Room rent Rs. 600/-; OT Charges + Consumables +

Day care Room rent Rs. 600/-; OT Charges + Consumables +

Day care Room rent Rs. 600/-; OT Charges + Consumables +

Day care Room rent Rs. 600/-; OT Charges + Consumables +

Day care Roomrent Rs. 500/-; OT Charges + Consumables +

Day care Room rent Rs. 600/-; OT Charges + Consumables +

Day care Roomrent Rs. 500/-; OT Charges + Consumables +

Sl PARTICULARS PKG-AMT PKG BREAK UPS

Day care Room rent Rs. 600/-; OT Charges + Consumables +

Day care Roomrent Rs. 500/-; OT Charges + Consumables +

Day care Room rent Rs. 600/-; OT Charges + Consumables +

Day care Room rent Rs. 600/-; OT Charges + Consumables +

Day care Room rent Rs. 600/-; OT Charges + Consumables +