s n . d s n opd l o epartment ervice ame tariff · 34 bio chemistry cortisol – serum 1,770 35 bio...

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SL. NO. DEPARTMENT SERVICE NAME OPD TARIFF 1 Registration UHID Registration 200 2 Bio Chemistry VITAMIN D TOTAL(25-OH)-SERUM 3,500 3 Bio Chemistry ALT(SGPT) - SERUM 680 4 Bio Chemistry ALBUMIN - ASCITIC / PERITONEAL FLUID 470 5 Bio Chemistry ALBUMIN - SERUM 610 6 Bio Chemistry ALBUMIN(MICROALBUMINURIA):QUANTITATIVE-SPOT URINE 960 7 Bio Chemistry ALBUMIN - SYNOVIAL FLUID 470 8 Bio Chemistry ALKALINE PHOSPHATASE - SERUM 610 9 Bio Chemistry ALPHA FETO PROTEIN - SERUM 1,710 10 Bio Chemistry AMMONIA - PLASMA 1,460 11 Bio Chemistry AMYLASE - ASCITIC FLUID 470 12 Bio Chemistry AMYLASE - FLUID 470 13 Bio Chemistry AMYLASE - PLEURAL FLUID 470 14 Bio Chemistry AMYLASE - SERUM 1,030 15 Bio Chemistry AST (SGOT) - SERUM 610 16 Bio Chemistry CA 125(CANCER ANTIGEN) - SERUM 2,630 17 Bio Chemistry CA (CANCER ANTIGEN) 15-3 - SERUM 2,310 18 Bio Chemistry CA (CANCER ANTIGEN) 19-9 - SERUM 2,540 19 Bio Chemistry CALCIUM - 24 HRS URINE 470 20 Bio Chemistry CALCIUM - SERUM 610 21 Bio Chemistry CALCIUM - SPOT URINE 410 22 Bio Chemistry CARBAMAZEPINE - SERUM 2,080 23 Bio Chemistry CEA: CARCINO EMBRYONIC ANTIGEN - SERUM 1,770 24 Bio Chemistry CERULOPLASMIN - SERUM 1,880 25 Bio Chemistry CHLORIDE - 24 HRS URINE 400 26 Bio Chemistry CHLORIDE - CSF 390 27 Bio Chemistry CHLORIDE - ASCITIC FLUID 390

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Page 1: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

SL. NO. DEPARTMENT SERVICE NAME OPD

TARIFF

1 Registration UHID Registration

200

2 Bio Chemistry VITAMIN D TOTAL(25-OH)-SERUM

3,500

3 Bio Chemistry ALT(SGPT) - SERUM

680

4 Bio Chemistry ALBUMIN - ASCITIC / PERITONEAL FLUID

470

5 Bio Chemistry ALBUMIN - SERUM

610

6 Bio Chemistry ALBUMIN(MICROALBUMINURIA):QUANTITATIVE-SPOT URINE

960

7 Bio Chemistry ALBUMIN - SYNOVIAL FLUID

470

8 Bio Chemistry ALKALINE PHOSPHATASE - SERUM

610

9 Bio Chemistry ALPHA FETO PROTEIN - SERUM

1,710

10 Bio Chemistry AMMONIA - PLASMA

1,460

11 Bio Chemistry AMYLASE - ASCITIC FLUID

470

12 Bio Chemistry AMYLASE - FLUID

470

13 Bio Chemistry AMYLASE - PLEURAL FLUID

470

14 Bio Chemistry AMYLASE - SERUM

1,030

15 Bio Chemistry AST (SGOT) - SERUM

610

16 Bio Chemistry CA 125(CANCER ANTIGEN) - SERUM

2,630

17 Bio Chemistry CA (CANCER ANTIGEN) 15-3 - SERUM

2,310

18 Bio Chemistry CA (CANCER ANTIGEN) 19-9 - SERUM

2,540

19 Bio Chemistry CALCIUM - 24 HRS URINE

470

20 Bio Chemistry CALCIUM - SERUM

610

21 Bio Chemistry CALCIUM - SPOT URINE

410

22 Bio Chemistry CARBAMAZEPINE - SERUM

2,080

23 Bio Chemistry CEA: CARCINO EMBRYONIC ANTIGEN - SERUM

1,770

24 Bio Chemistry CERULOPLASMIN - SERUM

1,880

25 Bio Chemistry CHLORIDE - 24 HRS URINE

400

26 Bio Chemistry CHLORIDE - CSF

390

27 Bio Chemistry CHLORIDE - ASCITIC FLUID

390

Page 2: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

28 Bio Chemistry CHLORIDE - SERUM

390

29 Bio Chemistry CHLORIDE - SPOT URINE

470

30 Bio Chemistry CHOLESTEROL - FLUID

550

31 Bio Chemistry CHOLESTEROL - SERUM

680

32 Bio Chemistry CK (CPK) - MB - SERUM

1,170

33 Bio Chemistry CK (CPK): CREATINE KINASE – SERUM

850

34 Bio Chemistry CORTISOL – SERUM

1,770

35 Bio Chemistry CREATININE - 24 HRS URINE

400

36 Bio Chemistry CREATININE – SERUM

610

37 Bio Chemistry CREATININE - SPOT URINE

610

38 Bio Chemistry CREATININE CLEARANCE TEST - 24 HOURS URINE

850

39 Bio Chemistry DHEA(S) DEHYDROEPIANDROSTERONE SULPHATE - SERUM

2,100

40 Bio Chemistry DIGOXIN – SERUM

1,910

41 Bio Chemistry ESTRADIOL – SERUM

1,910

42 Bio Chemistry FERRITIN – SERUM

2,440

43 Bio Chemistry FREE PSA – SERUM

2,220

44 Bio Chemistry FREE T4 – SERUM

1,290

45 Bio Chemistry FSH: FOLLICLE STIMULATING HORMONE - SERUM

1,440

46 Bio Chemistry GGTP: GAMMA GLUTAMYL TRANSPEPTIDASE - SERUM

850

47 Bio Chemistry GH: GROWTH HORMONE – SERUM

1,710

48 Bio Chemistry GLUCOSE - ASCITIC / PERITONEAL FLUID

390

49 Bio Chemistry GLUCOSE – CSF

390

50 Bio Chemistry GLUCOSE – FLUID

390

51 Bio Chemistry GLUCOSE - PERICARDIAL FLUID

390

52 Bio Chemistry GLUCOSE - PLASMA (FASTING)

340

53 Bio Chemistry GLUCOSE - PLASMA (POST PRANDIAL)

340

54 Bio Chemistry GLUCOSE - PLASMA (RANDOM)

340

55 Bio Chemistry GLUCOSE - SYNOVIAL FLUID

390

Page 3: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

56 Bio Chemistry HBA1C (GLYCOSYLATED HAEMOGLOBIN)-WHOLE BLOOD

1,340

57 Bio Chemistry BETA-HCG:QUANTITATIVE - SERUM/PLASMA

1,880

58 Bio Chemistry HDL CHOLESTEROL – SERUM

1,080

59 Bio Chemistry HOMOCYSTEINE – SERUM

1,610

60 Bio Chemistry INSULIN – SERUM

1,470

61 Bio Chemistry IRON – SERUM

680

62 Bio Chemistry IRON BINDING CAPACITY TOTAL - SERUM

620

63 Bio Chemistry LACTATE – PLASMA

1,910

64 Bio Chemistry LDH: LACTATE DEHYDROGENASE - ASCITIC / PERITONEAL FLUID

690

65 Bio Chemistry LDH: LACTATE DEHYDROGENASE - FLUID

620

66 Bio Chemistry LDH: LACTATE DEHYDROGENASE - PLEURAL FLUID

690

67 Bio Chemistry LDH: LACTATE DEHYDROGENASE - SERUM

1,100

68 Bio Chemistry LDL CHOLESTEROL –SERUM

1,280

69 Bio Chemistry LH: LEUTINIZING HORMONE – SERUM

1,340

70 Bio Chemistry LIPASE – SERUM

1,190

71 Bio Chemistry Lp(a): LIPOPROTEIN (a) – SERUM

1,980

72 Bio Chemistry MAGNESIUM – SERUM

550

73 Bio Chemistry OSMOLALITY – SERUM

440

74 Bio Chemistry OSMOLALITY – URINE

410

75 Bio Chemistry PHENOBARBITAL – SERUM

1,710

76 Bio Chemistry PHENYTOIN – SERUM

2,390

77 Bio Chemistry PHOSPHORUS, INORGANIC - 24 HRS URINE

430

78 Bio Chemistry PHOSPHORUS, INORGANIC – SERUM

310

79 Bio Chemistry PHOSPHORUS, INORGANIC - SPOT URINE

410

80 Bio Chemistry POTASSIUM - 24 HRS URINE

370

81 Bio Chemistry POTASSIUM – SERUM

610

82 Bio Chemistry POTASSIUM - SPOT URINE

470

83 Bio Chemistry PROLACTIN – SERUM

2,440

Page 4: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

84 Bio Chemistry PROGESTERONE – SERUM

1,460

85 Bio Chemistry PROTEIN TOTAL - 24 HRS URINE

580

86 Bio Chemistry PROTEIN TOTAL - ASCITIC / PERITONEAL FLUID

390

87 Bio Chemistry PROTEIN – CSF

390

88 Bio Chemistry PROTEIN TOTAL – FLUID

390

89 Bio Chemistry PROTEIN TOTAL - PERICARDIAL FLUID

390

90 Bio Chemistry PROTEIN TOTAL - PLEURAL FLUID

390

91 Bio Chemistry PROTEIN TOTAL – SERUM

470

92 Bio Chemistry PROTEIN TOTAL - SPOT URINE

470

93 Bio Chemistry PROTEIN TOTAL - SYNOVIAL FLUID

390

94 Bio Chemistry SODIUM - 24 HRS URINE

290

95 Bio Chemistry SODIUM – SERUM

610

96 Bio Chemistry SODIUM - SPOT URINE

470

97 Bio Chemistry TOTAL T3: TRI IODOTHYRONINE - SERUM

1,000

98 Bio Chemistry TOTAL T4: THYROXINE – SERUM

1,290

99 Bio Chemistry TESTOSTERONE – SERUM

1,770

100 Bio Chemistry THYROGLOBULIN – SERUM

2,170

101 Bio Chemistry TRIGLYCERIDES – SERUM

770

102 Bio Chemistry TROP-I (TROPONIN-I)

1,800

103 Bio Chemistry TROPONIN T, QUANTITATIVE – SERUM

1,490

104 Bio Chemistry TSH: THYROID STIMULATING HORMONE - SERUM

1,360

105 Bio Chemistry UREA - 24 HRS URINE

280

106 Bio Chemistry UREA – SERUM

430

107 Bio Chemistry UREA - SPOT URINE

470

108 Bio Chemistry URIC ACID – SERUM

370

109 Bio Chemistry URIC ACID - SPOT URINE

470

110 Bio Chemistry VALPROIC ACID – SERUM

1,880

111 Bio Chemistry VITAMIN B12 –SERUM

2,240

Page 5: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

112 Bio Chemistry FOLATE – SERUM

2,290

113 Bio Chemistry VLDL CHOLESTEROL – SERUM

610

114 Bio Chemistry VMA(VANILLYL MANDELIC ACID),QUANTITATIVE - 24 HR URINE

4,740

115 Bio Chemistry ANTI - THYROID ANTIBODIES

1,770

116 Bio Chemistry NT-PRO BNP(N-TERMINAL PRO BRAIN NATRIURETIC PEPTIDE)-SERUM

2,500

117 Bio Chemistry IRON AND IRON BINDING CAPACITY-SERUM

850

118 Bio Chemistry TACROLIMUS - WHOLE BLOOD

4,390

119 Bio Chemistry PROSTATIC SPECIFIC ANTIGEN (PSA TOTAL) - SERUM

1,710

120 Bio Chemistry BETA - 2 MICROGLOBULIN – SERUM

1,800

121 Bio Chemistry C - PEPTIDE – SERUM

1,310

122 Bio Chemistry FREE TESTOSTERONE – SERUM

2,160

123 Bio Chemistry FREE T3 – SERUM

1,000

124 Bio Chemistry PAPP-A

2,420

125 Bio Chemistry HUMAN SEX HORMONE -BINDING GLOBULIN(SHBG)-SERUM

4,070

126 Bio Chemistry POTASSIUM – SWEAT

550

127 Bio Chemistry SODIUM – SWEAT

550

128 Bio Chemistry PERITONEAL DIALYSIS FLUID FOR SUGAR

470

129 Bio Chemistry APO LIPOPROTEIN A1 – SERUM

1,080

130 Bio Chemistry APO LIPOPROTEIN B – SERUM

1,170

131 Bio Chemistry TRANSFERIN SATURATION – SERUM

690

132 Bio Chemistry ANTI PHOSPHOLIPID ANTIBODY IgM - SERUM

2,310

133 Bio Chemistry C - PEPTIDE (FASTING) – SERUM

1,280

134 Bio Chemistry C - PEPTIDE (PP) – SERUM

1,080

135 Bio Chemistry EPTOIN/PHENYTOIN – SERUM

1,610

136 Bio Chemistry LACTATE – CSF

1,000

137 Bio Chemistry ADRENO CORTICO TROPHIC HORMONE - ACTH - PLASMA

2,080

138 Bio Chemistry CORTISOL - SERUM (AM)

1,610

139 Bio Chemistry CYCLOSPORINE LEVEL - WHOLE BLOOD

3,660

Page 6: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

140 Bio Chemistry INSULIN (FASTING) – SERUM

1,340

141 Bio Chemistry INSULIN (PP) – SERUM

1,340

142 Bio Chemistry PARATHYROID HORMONE [PTH] - SERUM

3,480

143 Bio Chemistry BLOOD GAS ANALYSIS (ABG)

1,950

144 Bio Chemistry LIPASE – URINE

890

145 Bio Chemistry BUN (BLOOD UREA NITROGEN)

430

146 Bio Chemistry CYST FLUID FOR ANALYSIS

1,220

147 Bio Chemistry LIPASE – FLUID

470

148 Bio Chemistry CORTISOL - SERUM (PM)

1,610

149 Bio Chemistry VITAMIN D (25-HYDROXY)

1,970

150 Bio Chemistry TOTAL PROTEIN AG – RATIO

680

151 Bio Chemistry 5 HIAA QUANTITATIVE (24 HRS. URINE)

3,410

152 Bio Chemistry BICARBONATE – SERUM

1,100

153 Bio Chemistry MAU (MICROALBUMIN) - SPOT URINE

1,570

154 Bio Chemistry BILIRUBIN SERUM - TOTAL/DIRECT

680

155 Bio Chemistry ANTI THYROGLOBULIN – SERUM

2,080

156 Bio Chemistry SERUM FREE BETA hCG

2,420

157 Bio Chemistry LITHIUM LEVEL – SERUM

1,940

158 Bio Chemistry ANTI TPO

3,050

159 Bio Chemistry PLEURAL FLUID FOR SUGAR

390

160 Bio Chemistry FREE ANDROGEN INDEX

3,220

161 Bio Chemistry PERITONEAL DIALYSIS FLUID FOR CREATININE

390

162 Bio Chemistry INTACT PTH

2,510

163 Bio Chemistry FLUID FOR CREATININE

470

164 Bio Chemistry CAPD FLUID FOR BUN

390

165 Bio Chemistry CAPD FLUID FOR CREATININE

550

166 Bio Chemistry CAPD FLUID FOR SUGAR

390

167 Bio Chemistry CAPD FLUID FOR UREA

390

Page 7: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

168 Bio Chemistry FLUID FOR CA 19.9

2,310

169 Bio Chemistry FLUID FOR CA-125

2,390

170 Bio Chemistry FLUID FOR CEA

1,610

171 Bio Chemistry PERICARDIAL FLUID FOR ALBUMIN

470

172 Bio Chemistry PERICARDIAL FLUID FOR CHLORIDE

390

173 Bio Chemistry PERICARDIAL FLUID FOR LDH

690

174 Bio Chemistry PERITONEAL FLUID FOR BUN

470

175 Bio Chemistry NON PROTEIN NITROGEN-SERUM

390

176 Bio Chemistry ABG WITH COOXIMETRY

1,330

177 Bio Chemistry ABG WITH LACTATES

1,330

178 Bio Chemistry ANTIPHOSPOLIPID ANTIBODY IGG AND IGM

2,310

179 Bio Chemistry ESTIMATED GLOMERULAR FITTRATION RATE(eGFR)

770

180 Bio Chemistry CSF PROTEIN ELECTROPHERISIS

1,610

181 Bio Chemistry LDH ISOENZYMES

1,770

182 Bio Chemistry NEWBORN SCREENING URINE EXTENDED(PREVENTINE)

8,240

183 Bio Chemistry NEWBORN SCREENING URINE ROUTINE(PREVENTINE)

3,580

184 Bio Chemistry ROMA(RISK OF OVARION MALIGNENCY ALGORITHM)

3,580

185 Bio Chemistry CORTISOL - SERUM(30min)

1,550

186 Bio Chemistry CORTISOL - SERUM(60min)

1,550

187 Bio Chemistry BLOOD UREA AND CREATININE SERUM

680

188 Bio Chemistry BMT DRUG LEVEL

1,330

189 Bio Chemistry SIROLIMUS LEVEL

5,320

190 Bio Chemistry CONTINUOUS GLUCOSE MONITORING - CGMD

5,500

191 Bio Chemistry ANTI MULLERIAN HORMONE (AMH) SERUM

2,500

192 Bio Chemistry EVEROLIMUS DRUG LEVEL WHOLE BLOOD 10,140

193 Bio Chemistry URINE MICROALBUMIN (24 HRS)

1,640

194 Bio Chemistry URINE PROTEIN CREATININE RATIO

1,080

195 Bio Chemistry URIC ACID 24 HRS URINE

580

196 Bio Chemistry CORRECTED SERUM CALCIUM

1,500

Page 8: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

197 Bio Chemistry ALBUMIN - PLEURAL FLUID

470

198 Bio Chemistry ALBUMIN – FLUID

470

199 Haematology ABSOLUTE EOSINOPHIL COUNT

310

200 Haematology ABSOLUTE LYMPHOCYTE COUNT (ALC)

310

201 Haematology ABSOLUTE NEUTROPHIL COUNT

240

202 Haematology ACTIVATED PARTIAL THROMBOPLASTIN TIME

680

203 Haematology BLEEDING TIME (BT)

260

204 Haematology BONE MARROW SMEAR FOR OPINION

620

205 Haematology BONE MARROW ASPIRATION CYTOLOGY [BMA]

1,240

206 Haematology CLOT RETRACTION

320

207 Haematology COMPLETE HAEMOGRAM

830

208 Haematology D-DIMER

2,640

209 Haematology ERYTHROCYTE SEDIMENTATION RATE (ESR)

340

210 Haematology FACTOR VIII C ASSAY

5,510

211 Haematology FLUID CELL TYPE AND CELL COUNT -SYNOVIAL

690

212 Haematology FLUID CELL COUNT AND CELL TYPE - PLEURAL

690

213 Haematology FLUID CELL COUNT –ASCITIC

550

214 Haematology G6 PD ASSAY (MANUAL- SPECTROPHOTOMETRY)

1,340

215 Haematology HEMOGLOBIN (AUTOMATION)

340

216 Haematology LE TEST [CELLS]

410

217 Haematology MALARIAL ANTIGEN DETECTION TEST

1,420

218 Haematology PACKED CELL VOLUME [PCV]- (Automation)

320

219 Haematology SMEAR FOR MALARIA PARASITES

580

220 Haematology SMEAR FOR MICROFILARIA PARASITES

390

221 Haematology PERIPHERAL BLOOD SMEAR (PBS)

520

222 Haematology PLASMA FIBRINOGEN

690

223 Haematology PLASMA HEMOGLOBIN

320

224 Haematology PLATELET COUNT

850

Page 9: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

225 Haematology PROTHROMBIN TIME

580

226 Haematology RBC COUNT(Automation)

390

227 Haematology RETICULOCYTE COUNT

290

228 Haematology SEMEN ANALYSIS

750

229 Haematology SICKLING TEST

470

230 Haematology STOOL FOR REDUCING SUBSTANCES

320

231 Haematology STOOL OCCULT BLOOD

370

232 Haematology STOOL ROUTINE

370

233 Haematology SUCROSE LYSIS TEST

840

234 Haematology THROMBIN TIME

390

235 Haematology URINE FOR KETONES

240

236 Haematology URINE- BENCE JONES PROTEINS

440

237 Haematology URINE- BILE PIGMENT AND BILE SALT

320

238 Haematology URINE FOR UROBILINOGEN

290

239 Haematology URINE HEMOGLOBIN

370

240 Haematology URINE HEMOSIDERIN

240

241 Haematology URINE ROUTINE AND MICROSCOPY

280

242 Haematology URINE FOR CHYLE

260

243 Haematology Hb ELECTROPHORESIS/HPLC

1,610

244 Haematology PORPHOBILINOGEN - SPOT URINE(QUALITATIVE SCREEN)

410

245 Haematology BONE MARROW BIOPSY

1,310

246 Haematology ACUTE MYELOID LEUKEMIA (AML) CHARACTERIZATION PANEL 12,820

247 Haematology MCV MCHC MCH

500

248 Haematology URINE FOR REDUCING SUBSTANCES

320

249 Haematology LEUCOCYTE COUNT (TC and DC)

340

250 Haematology CD4 AND CD8

2,090

251 Haematology CBC

260

252 Haematology NASAL SMEAR FOR EOSINOPHILS

290

253 Haematology URINE FOR MYOGLOBIN

240

Page 10: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

254 Haematology WBC COUNT (TC and DC)

320

255 Haematology CLPD PANEL(CHRONIC LYMPHO PROFILERATIVE DISOREDER PANEL) 18,120

256 Haematology ACUTE LEUKEMIA PANEL(COMPREHENSIVE) 16,480

257 Haematology ANY SINGLE(CD) MARKER

1,840

258 Haematology STOOL FOR OVA,PARASITE,CYST

320

259 Haematology HEINZ BODY TEST

250

260 Haematology B A L FLUID FOR CELL TYPE CELL COUNT

690

261 Haematology BASOPHILIC STIPPLING

390

262 Haematology BONE MARROW [PERLS STAIN]

1,470

263 Haematology CAPD FLUID FOR CELL TYPE AND CELL COUNTS

690

264 Haematology PERITONEAL DIALYSIS FLUID CELL COUNT

690

265 Haematology RED CELL OSMOTIC FRAGILITY WITH INCUBATION

850

266 Haematology ALL PANEL BY FLOW CYTOMETRY 13,720

267 Haematology CD 34/ HSC COUNT(HEMOPOETIC STEM CELL COUNT)

1,840

268 Haematology URINE SUGAR - POST PRANDIAL (QUALITATIVE)

240

269 Haematology FLUID CELL TYPE AND CELL COUNT

760

270 Haematology IMMUNE DEFICIENCY PANNEL - II, (CD3, CD4, CD8)

4,160

271 Haematology URINE SPECIFIC GRAVITY

130

272 Haematology PACKED CELL VOLUME, BODY FLUIDS, PCV

320

273 Haematology MULTIPLE MYELOMA PANEL BY FLOW CYTOMETRY

6,600

274 Haematology MIXING STUDY PT

1,210

275 Haematology MIXING STUDY- PTT

1,170

276 Haematology FLUID FOR CELL COUNT AND TYPE - DRAINAGE TUBE

690

277 Haematology PNH BY FLOW CYTOMETRY

3,330

278 Haematology ASCITIC FLUID FOR CELL TYPE CELL COUNT

690

279 Haematology CD2 ABSOLUTE COUNT

4,160

280 Haematology COMBO QUEST II FOR AML 22,880

281 Haematology COMPLETE BLOOD PICTURE [CBP]

370

282 Haematology CSF FOR CELL TYPE CELL COUNT

690

Page 11: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

283 Haematology DC AND MP

280

284 Haematology FILARIA ANTIGEN

610

285 Haematology FLOW CYTOMERTY SINGLE PROTOCOL

1,840

286 Haematology FLUID FOR BILE SALT BILE PIGMENT

320

287 Haematology FLUID FOR EOSINOPHIL COUNT

310

288 Haematology FLUID FOR HEAMOGLOBIN

350

289 Haematology FLUID FROM CYST FOR CELL TYPE CELL COUNT

690

290 Haematology HB,TC,DC

430

291 Haematology STOOL FOR FAT DROPLETS

320

292 Haematology URINE DIPSTICK TEST 30

293 Haematology URINE SUGAR- FASTING(QUALITATIVE)

240

294 Haematology URINE SUGAR -RANDOM(QUALITATIVE)

240

295 Haematology WBC COUNT [TOTAL]

350

296 Haematology TC,DC

470

297 Haematology PERIPHERAL BLOOD SMEAR FOR SCHISTOCYTES

470

298 Haematology PERIPHERAL BLOOD SMEAR FOR ACANTHOCYTES

470

299 Haematology CD4 CD8 AND CD3 ABSOLUTE COUNT*2

8,330

300 Haematology FRAGILE X DECET AND KARYO OF PERI BLD CELL() 10,240

301 Haematology STEM CELL COUNT

2,200

302 Haematology TREG PANEL

1,330

303 Haematology IHC PANEL(HAEMATOLOGY) 10,690

304 Haematology IMMUNOHISTOCHEMISTRY/PER SLIDE (HAEMATOLOGY)

2,240

305 Haematology BONE MARROW BIOPSY FOR OPINION

1,610

306 Haematology APOLLO MYCARDIO GENETIC TEST

2,990

307 Haematology SAPIEN - DATAR CTC DETECTION 11,300

308 Haematology BCR/ABL WITH IS RATIO

9,000

309 Haematology MULTIPLE MYELOMA COMPREHENSIVE - FISH 15,600

310 Haematology AML COMBOQUEST 5 (NPM1 MUTATION FLT3 MUTATION CEBPA

MUTATION) 10,000

311 Haematology TRANSLOCATION (11 OF 14) BY FISH

4,510

312 Haematology FACTOR IX ASSAY

3,900

Page 12: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

313 Haematology EMA DYEBINDING TEST

2,500

314 Haematology EXTENDED IHC PACKAGE (12 ANTIGEN) FOR HAEMATOLOGY 16,000

315 Haematology COMPLETE BLOOD PICTURE (CBP) FOR LEUKEMIA

370

316 Microbiology MANTOUX TEST

430

317 Microbiology HBe(e ANTIGEN)

1,710

318 Microbiology CRYPTOCOCCUS ANTIGEN

3,490

319 Microbiology RUBELLA IGG ANTIBODIES

1,320

320 Microbiology TOXOPLASMA IGG ANTIBODIES

970

321 Microbiology AFB CULTURE [SPUTUM](Bact Alert 3D)

1,710

322 Microbiology AFB CULTURE [STOOL](Bact Alert 3D)

1,710

323 Microbiology AFB CULTURE TIPS [CATH,SUC,TRACL ET](Bact Alert 3D)

1,710

324 Microbiology AFB CULTURE [URETHRAL SWAB](Bact Alert 3D)

1,710

325 Microbiology AFB CULTURE [URINE](Bact Alert 3D)

1,710

326 Microbiology AFB CULTURE [OTHERS] (Bact Alert 3D)

1,710

327 Microbiology ACID FAST STAIN OTHERS

670

328 Microbiology ACID FAST STAIN [TIP]

670

329 Microbiology ACID FAST STAIN [PUS]

670

330 Microbiology ACID FAST STAIN [SPUTUM]

670

331 Microbiology ACID FAST STAIN [URINE]

670

332 Microbiology ACID FAST STAIN [BAL]

670

333 Microbiology ACID FAST STAIN [BODY FLUID]

670

334 Microbiology ACID FAST STAIN [CSF]

670

335 Microbiology ANAEROBIC CULTURE AND SENSITIVITY [BODY FLUIDS]

1,000

336 Microbiology ANAEROBIC CULTURE AND SENSITIVITY [CSF]

1,000

337 Microbiology ANAEROBIC CULTURE AND SENSITIVITY [OTHERS]

1,000

338 Microbiology ANAEROBIC CULTURE AND SENSITIVITY [PUS]

1,000

339 Microbiology ANAEROBIC CULTURE AND SENSITIVITY [VAGINAL SWAB]

1,000

340 Microbiology ANTI - HBe (e ANTIBODY)

2,220

341 Microbiology HAV-IGM

2,390

Page 13: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

342 Microbiology ANTI HBc IgM

2,080

343 Microbiology ANTI HCV CMIA

1,170

344 Microbiology LEPTOSPIRA IGM ANTIBODIES

2,170

345 Microbiology ASO TITRE

1,100

346 Microbiology COMPLEMENT LEVEL - C3

1,610

347 Microbiology COMPLEMENT LEVEL C4

1,110

348 Microbiology C-REACTIVE PROTEIN (CRP)

850

349 Microbiology CULTURE AND SENSITIVITY [URINE]

850

350 Microbiology CULTURE AND SENSITIVITY [BLOOD]

1,550

351 Microbiology CULTURE AND SENSITIVITY [C S F]

920

352 Microbiology CULTURE AND SENSITIVITY [RECTAL SWAB]

690

353 Microbiology CULTURE AND SENSITIVITY [SPUTUM]

850

354 Microbiology CULTURE AND SENSITIVITY [THROAT SWAB]

770

355 Microbiology CULTURE AND SENSITIVITY [WOUND SWAB]

850

356 Microbiology CULTURE AND SENSITIVITY [EYE SWAB]

850

357 Microbiology CULTURE AND SENSITIVITY [FLUIDS]

690

358 Microbiology GRAM STAIN [BLOOD]

370

359 Microbiology GRAM STAIN [OTHERS]

370

360 Microbiology GRAM STAIN [TIP]

370

361 Microbiology GRAM STAIN [ BODY FLUID]

370

362 Microbiology GRAM STAIN [CSF]

370

363 Microbiology GRAM STAIN [PUS]

370

364 Microbiology GRAM STAIN [SPUTUM]

280

365 Microbiology GRAM STAIN [STOOL]

370

366 Microbiology GRAM STAIN [THROAT SWAB]

370

367 Microbiology GRAM STAIN [URINE]

370

368 Microbiology IMMUNOGLOBULIN – IgA

1,910

369 Microbiology IMMUNOGLOBULIN – IgG

1,740

Page 14: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

370 Microbiology IMMUNOGLOBULIN – IgM

1,740

371 Microbiology INDIA-INK PREPARATION

320

372 Microbiology WATER ANALYSIS [FOR COLIFORM COUNT]

1,720

373 Microbiology AFB CULTURE [BAL/TRACHEAL](Bact Alert 3D)

1,710

374 Microbiology AFB CULTURE [CONJUNCTIVAL SWAB](Bact Alert 3D)

1,710

375 Microbiology AFB CULTURE [NASAL SWAB](Bact Alert 3D)

1,710

376 Microbiology YEAST IDENTIFICATION AND SUSCEPTIBILITY

1,080

377 Microbiology WIDAL TEST

610

378 Microbiology ANTI LKM-1 /LIVER-KIDNEY-MICROSOMAL ANTIBODIES ( IMMUNOBLOT

ASSAY)

3,010

379 Microbiology ANTI SMOOTH MUSCLE ANTI BODY (SMA)

1,710

380 Microbiology ANTI CCP (CYCLIC CITRULLINATED PEPTIDE)

1,880

381 Microbiology VDRL (QUALITATIVE)

610

382 Microbiology ANTI HCV ANTIBODIES

1,290

383 Microbiology PREALBUMIN SERUM

2,080

384 Microbiology TORCH IgG COMPLEX

2,510

385 Microbiology CULTURE AND SENSITIVITY [BAL]

850

386 Microbiology CULTURE AND SENSITIVITY [THROAT SECRETION]

850

387 Microbiology HIGH SENSITIVE (CRP)

850

388 Microbiology TORCH IgM COMPLEX

2,510

389 Microbiology HBC TOTAL CORE ANTIBODY

1,710

390 Microbiology CYTOMEGALOVIRUS ANTIBODIES Ig G

1,280

391 Microbiology MDR-TB DETECTION BY REVERSE HYBRIDIZATION

3,630

392 Microbiology RA FACTOR

1,100

393 Microbiology TOXOPLASMA ANTIBODIES IG M

1,240

394 Microbiology CYTOMEGALOVIRUS ANTIBODIES Ig M

1,280

395 Microbiology CULTURE AND SENSITIVITY [CENTRAL LINE TIP]

850

396 Microbiology GRAM STAIN [WOUND SWAB]

370

397 Microbiology GRAM STAIN [EYE SWAB]

370

Page 15: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

398 Microbiology GRAM STAIN [TRACHEAL SECRETION]

370

399 Microbiology GRAM STAIN [ENDOTRACHEAL SECRETIONS]

370

400 Microbiology GRAM STAIN [RECTAL SWAB]

370

401 Microbiology GRAM STAIN [SEMEN]

370

402 Microbiology GRAM STAIN [PLEURAL FLUID]

370

403 Microbiology GRAM STAIN [PERITONEAL FLUID]

370

404 Microbiology GRAM STAIN [SYNOVIAL LUID]

370

405 Microbiology GRAM STAIN [ASCITIC FLUID]

370

406 Microbiology GRAM STAIN (EXPRESSED PROSTATIC SECRETIONS)

370

407 Microbiology GRAM STAIN [ICD]

370

408 Microbiology GRAM STAIN [PERICARDIAL FLUID]

370

409 Microbiology GRAM STAIN [UREATHRAL SWAB]

370

410 Microbiology GRAM STAIN [VAGINAL SWAB]

370

411 Microbiology GRAM STAIN [TISSUE]

370

412 Microbiology STOOL HANGING DROP

320

413 Microbiology Dark Field [ Leptospirious Smear ]

430

414 Microbiology ACID FAST STAIN [EYE FLUID]

670

415 Microbiology ACID FAST STAIN [TRACHEAL SECRETION]

670

416 Microbiology ACID FAST STAIN [ET]

670

417 Microbiology ACID FAST STAIN [PLEURAL FLUID]

670

418 Microbiology ACID FAST STAIN [PERITONEAL FLUID]

670

419 Microbiology ACID FAST STAIN [SYNOVIAL LUID]

670

420 Microbiology ACID FAST STAIN [ASCITIC FLUID]

670

421 Microbiology ACID FAST STAIN [ICD FLUID]

670

422 Microbiology ACID FAST STAIN [PERICARDIAL FLUID]

670

423 Microbiology ACID FAST STAIN [LYMPH NODE]

670

424 Microbiology ACID FAST STAIN [TISSUE]

670

425 Microbiology ACID FAST STAIN ( LEPRA BACILLI)

670

Page 16: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

426 Microbiology CULTURE AND SENSITIVITY [PUS]

830

427 Microbiology CULTURE AND SENSITIVITY [TRACHEAL SECRETION]

850

428 Microbiology CULTURE AND SENSITIVITY [ET]

850

429 Microbiology CULTURE AND SENSITIVITY [SEMEN]

690

430 Microbiology CULTURE AND SENSITIVITY [PLEURAL FLUID]

850

431 Microbiology CULTURE AND SENSITIVITY [PERITONEAL FLUID]

850

432 Microbiology CULTURE AND SENSITIVITY [SYNOVIAL FLUID]

850

433 Microbiology CULTURE AND SENSITIVITY [ASCITIC FLUID]

850

434 Microbiology CULTURE AND SENSITIVITY (OTHERS)

850

435 Microbiology CULTURE AND SENSITIVITY [DIALYSIS CATH TIP]

850

436 Microbiology CULTURE AND SENSITIVITY [ICD]

850

437 Microbiology CULTURE AND SENSITIVITY [PERICARDIAL FLUID]

850

438 Microbiology CULTURE AND SENSITIVITY [URETHRAL SWAB]

850

439 Microbiology CULTURE AND SENSITIVITY [NASAL SWAB]

850

440 Microbiology CULTURE AND SENSITIVITY [VAGINAL SWAB]

850

441 Microbiology CULTURE AND SENSITIVITY [TONSIL]

850

442 Microbiology CULTURE AND SENSITIVITY [LYMPH NODE]

850

443 Microbiology ANAEROBIC CULTURE AND SENSITIVITY [TISSUE]

1,000

444 Microbiology ANAEROBIC CULTURE AND SENSITIVITY [PLEURAL FLUID]

1,000

445 Microbiology ANAEROBIC CULTURE AND SENSITIVITY [PERITONEAL FLUID]

1,000

446 Microbiology ANAEROBIC CULTURE AND SENSITIVITY [SYNOVIAL FLUID]

1,000

447 Microbiology ANAEROBIC CULTURE AND SENSITIVITY [ASCITIC FLUID]

1,000

448 Microbiology ANAEROBIC CULTURE AND SENSITIVITY [PERICARDIAL FLUID]

1,000

449 Microbiology FUNGUS CULTURE [SPUTUM]

570

450 Microbiology FUNGUS CULTURE [THROAT SWAB]

570

451 Microbiology FUNGUS CULTURE [WOUND SWAB]

570

452 Microbiology FUNGUS CULTURE [BLOOD]

570

453 Microbiology FUNGUS CULTURE [C S F]

570

Page 17: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

454 Microbiology FUNGUS CULTURE [PUS]

570

455 Microbiology FUNGUS CULTURE [BAL]

570

456 Microbiology FUNGUS CULTURE [URINE]

570

457 Microbiology FUNGUS CULTURE [TRACHEAL SECRETION]

570

458 Microbiology FUNGUS CULTURE [ET]

570

459 Microbiology FUNGUS CULTURE [STOOL]

570

460 Microbiology FUNGUS CULTURE [RECTAL SWAB]

570

461 Microbiology FUNGUS CULTURE [PLEURAL FLUID]

570

462 Microbiology FUNGUS CULTURE [PERITONEAL FLUID]

570

463 Microbiology FUNGUS CULTURE [SYNOVIAL LUID]

570

464 Microbiology FUNGUS CULTURE [ASCITIC FLUID]

570

465 Microbiology FUNGUS CULTURE [SEMEN]

570

466 Microbiology FUNGUS CULTURE [DIALYSIS CATH TIP]

570

467 Microbiology FUNGUS CULTURE [ICD FLUID]

570

468 Microbiology FUNGUS CULTURE [PERICARDIAL FLUID]

570

469 Microbiology FUNGUS CULTURE [URETHRAL SWAB]

570

470 Microbiology FUNGUS CULTURE [VAGINAL SWAB]

570

471 Microbiology FUNGUS CULTURE [LYMPH NODE]

570

472 Microbiology FUNGUS CULTURE [CERVICAL SWAB]

570

473 Microbiology AFB CULTURE [BLOOD](Bact Alert 3D)

1,710

474 Microbiology AFB CULTURE [C S F](Bact Alert 3D)

1,710

475 Microbiology AFB CULTURE [TRACHEAL SECRETION](Bact Alert 3D)

1,710

476 Microbiology AFB CULTURE [ET](Bact Alert 3D)

1,710

477 Microbiology AFB CULTURE [PLEURAL FLUID](Bact Alert 3D)

1,710

478 Microbiology AFB CULTURE [PERITONEAL FLUID](Bact Alert 3D)

1,710

479 Microbiology AFB CULTURE [SYNOVIAL FLUID](Bact Alert 3D)

1,710

480 Microbiology AFB CULTURE [ASCITIC FLUID](Bact Alert 3D)

1,710

481 Microbiology AFB CULTURE [EPS](Bact Alert 3D)

1,710

Page 18: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

482 Microbiology AFB CULTURE [ICD FLUID ](Bact Alert 3D)

1,710

483 Microbiology AFB CULTURE [LYMPH NODE](Bact Alert 3D)

1,710

484 Microbiology RUBELLA IgM

1,320

485 Microbiology CULTURE AND SENSITIVITY [STOOL]

850

486 Microbiology CULTURE AND SENSITIVITY [ADENOID TISSUE]

850

487 Microbiology FUNGAL CULTURE [EPS]

570

488 Microbiology CULTURE AND SENSITIVITY[FEMORAL CATH]

850

489 Microbiology CULTURE AND SENSITIVITY [PERIPHERAL LINE TIP]

850

490 Microbiology HSV 1 2 IGG IGM

1,470

491 Microbiology CHIKUNGUNYA IgM

1,000

492 Microbiology HIV TEST(RAPID)

1,310

493 Microbiology ASPERGILLUS ANTIGEN-GALACTOMANNAN ASSAY

2,400

494 Microbiology AFB CULTURE (FNAC) (BACT ALERT 3D)

1,710

495 Microbiology ANTI NUCLEAR ANTIBODIES/ANA(IMMUNOFLUORESCENCE)

1,710

496 Microbiology CMV RT PCR QUANTITATIVE

5,850

497 Microbiology HIV CONFIRMATION TEST [WESTERN BLOT]

6,400

498 Microbiology SMEAR FOR CANDIDA

390

499 Microbiology HIV ANTI BODIES

1,550

500 Microbiology DENGUE SEROLOGY ( IgM AND IgG )

2,950

501 Microbiology AFB CULTURE [TISSUE](BACT ALERT 3D)

1,710

502 Microbiology AFB CULTURE [ENDOMETRIUM](BACT ALERT 3D)

1,710

503 Microbiology AFB CULTURE [ASPIRATE](BACT ALERT 3D)

1,710

504 Microbiology AFB CULTURE [RYLES TUBE ASPIRATE](BACT ALERT 3D)

1,710

505 Microbiology AFB CULTURE [SEMEN](BACT ALERT 3D)

1,710

506 Microbiology AFB CULTURE [WOUND SWAB](BACT ALERT 3D)

1,710

507 Microbiology CULTURE AND SENSITIVITY [TISSUE]

850

508 Microbiology CULTURE AND SENSITIVITY [EAR SWAB]

850

509 Microbiology CULTURE AND SENSITIVITY [ASPIRATE PUS]

850

Page 19: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

510 Microbiology CULTURE AND SENSITIVITY [LIVER ASPIRATE]

850

511 Microbiology FUNGUS CULTURE [OTHERS]

570

512 Microbiology DENGUE NS1 ANTIGEN

1,460

513 Microbiology ACID FAST STAIN [CONJUNCTIVAL SWAB]

670

514 Microbiology ACID FAST STAIN [WOUND SWAB]

670

515 Microbiology FUNGUS CULTURE [ASPIRATE]

570

516 Microbiology FUNGUS CULTURE [CONJUNCTIVAL SWAB]

370

517 Microbiology FUNGUS CULTURE [ENDOMETRIUM]

570

518 Microbiology FUNGUS CULTURE [NASAL SWAB]

570

519 Microbiology FUNGUS CULTURE [RYLES TUBE ASPIRATE]

570

520 Microbiology FUNGUS CULTURE [TISSUE]

570

521 Microbiology GRAM STAIN [ASPIRATE]

370

522 Microbiology GRAM STAIN [CONJUNCTIVAL SWAB]

370

523 Microbiology GRAM STAIN [ENDOMETRIUM]

370

524 Microbiology GRAM STAIN [LYMPH NODE]

370

525 Microbiology GRAM STAIN [NASAL SWAB]

370

526 Microbiology GRAM STAIN [RYLES TUBE ASPIRATE]

370

527 Microbiology CULTURE AND SENSITIVITY [ENDOMETRIUM]

850

528 Microbiology CULTURE AND SENSITIVITY [RYLES TUBE ASPIRATE]

850

529 Microbiology ACID FAST STAIN [ASPIRATE]

670

530 Microbiology ACID FAST STAIN [BLOOD]

670

531 Microbiology ACID FAST STAIN [ENDOMETRIUM]

670

532 Microbiology ACID FAST STAIN [EPS]

670

533 Microbiology ACID FAST STAIN [NASAL SWAB]

670

534 Microbiology ACID FAST STAIN [RYLES TUBE ASPIRATE]

670

535 Microbiology ACID FAST STAIN [SEMEN]

670

536 Microbiology HIV P24 ANTIGEN

1,090

537 Microbiology CULTURE and SENSITIVITY EAR SWAB

850

Page 20: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

538 Microbiology CULTURE and SENSITIVITY SKIN SWAB

850

539 Microbiology SS-A (Ro) IgG ANTIBODIES

3,850

540 Microbiology SS-B (La) IgG ANTIBODIES

3,850

541 Microbiology ADENO AND ROTAVIRUS AG IN STOOL (RAPID TEST)

670

542 Microbiology CULTURE AND SENSITIVITY [NAIL CLIP]

850

543 Microbiology FUNGUS CULTURE [NAIL CLIP]

570

544 Microbiology AFB CULTURE (BONE MARROW) (Bact Alert 3D)

1,710

545 Microbiology WET MOUNT (SKIN SCRAPING)

350

546 Microbiology AFB CULTURE (PUS)(Bact Alert 3D)

1,710

547 Microbiology FUNGUS CULTURE (BONE MARROW)

570

548 Microbiology ACID FAST STAIN (BONE MARROW)

670

549 Microbiology CULTURE AND SENSITIVITY (BONE MARROW)

850

550 Microbiology GRAM STAIN (BONE MARROW)

370

551 Microbiology AFB CULTURE [FLUID](Bact Alert 3D)

1,710

552 Microbiology FUNGUS CULTURE BONE

570

553 Microbiology ACID FAST STAIN BONE

670

554 Microbiology CULTURE AND SENSITIVITY BONE

850

555 Microbiology GRAM STAIN BONE

570

556 Microbiology ALBERT'S STAINING [THROAT SWAB]

310

557 Microbiology ANTI JO-1 ANTIBODIES

1,940

558 Microbiology ANTI RNP/SM ANTIBODIES ( IMMUNOBLOT ASSAY)

3,700

559 Microbiology ANTI SCL -70 ANTIBODIES ( IMMUNOBLOT ASSAY)

3,500

560 Microbiology ANTI SSB/LA ANTIBODIES ( IMMUNOBLOT ASSAY)

2,670

561 Microbiology CLOSTRIDIUM DIFFICILE TOXIN AandB DETECTION- STOOL

2,390

562 Microbiology ELISA ANTI HSV 1 and 2 IgM

970

563 Microbiology ELISA ANTI HSV 1 and 2 IgG

970

564 Microbiology HSV 1 AND 2 RT PCR ASSAY

5,490

565 Microbiology ROTAVIRUS ANTIGEN (STOOL)

1,080

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566 Microbiology ANTI HCV RAPID TEST

1,460

567 Microbiology URINE PREGNANCY TEST

690

568 Microbiology WEIL FELIX TEST

580

569 Microbiology ANTI MITOCHONDRIAL ANTIBODIES-M2(AMA-M2)

2,680

570 Microbiology MTB DETECTION AND DRUG RESISTANCE 2nd LINE (HAIN-Genotype)

6,050

571 Microbiology ALDEHYDE SERUM TEST

310

572 Microbiology TYPHI DOT –IgM

560

573 Microbiology CMV Antibodies – IgM

1,410

574 Microbiology HIV VIRAL LOAD

6,000

575 Microbiology TORCH IGG and IGM

4,790

576 Microbiology SWAB C/S

690

577 Microbiology KOH PREPERATION

390

578 Microbiology SMEAR FOR FUNGUS

390

579 Microbiology HBV DNA QUANTITATIVE 11,280

580 Microbiology ANTI- DS DNA

1,770

581 Microbiology PCT - Q (Procalcitonin)

3,940

582 Microbiology ACID FAST STAIN (BILE)

670

583 Microbiology ACID FAST STAIN (GASTRIC JUICE)

670

584 Microbiology CULTURE AND SENSITIVITY (BILE)

850

585 Microbiology CULTURE AND SENSITIVITY (Central Tip)

1,410

586 Microbiology ANTI NEUTROPHIL CYTOPLASMIC ANTIBODIES IF

2,100

587 Microbiology PNUEMOSLIDE PANEL IgM

2,660

588 Microbiology ACID FAST STAIN (FLUID)

670

589 Microbiology GRAM STAIN (FLUID)

370

590 Microbiology HBV DNA QUALITATIVE(PCR)

6,970

591 Microbiology QUANTIFERON TB

5,600

592 Microbiology HCV RNA PCR QUANTITATIVE

7,050

593 Microbiology HCV RNA PCR QUALITATIVE

6,060

594 Microbiology TB PCR DNA

3,380

Page 22: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

595 Microbiology SERUM LIGHTCHAIN ASSAY

5,000

596 Microbiology (METROPOLIS) JAPANESE ENCEPAHILITS VIRUS PCR (JE VIRUS PCR)

5,490

597 Microbiology RT PCR FOR H1N1 TEST

7,330

598 Microbiology ADENOSINE DEAMINASE

1,010

599 Microbiology ADENOVIRUS C PCR

5,850

600 Microbiology ANA / ANF IN DILUTION

3,070

601 Microbiology ANTI HAV ANTIBODY(TOTAL)

1,710

602 Microbiology ANTI HBE (E ANTI BODY)

2,220

603 Microbiology ANTI HBS (ANTIBODY TO AUSTRALIA-ANTIGEN)

1,080

604 Microbiology ANTI HEV IgM

2,680

605 Microbiology ANTIBODY TO RNP - Sm, IgG

2,680

606 Microbiology ANTIBODY TO SSA/RO

7,170

607 Microbiology Antinuclear antibody Panel ( 14 antibody panel)

4,440

608 Microbiology AUSTRALIA ANTIGEN DETECTION (ELISA)

970

609 Microbiology AUTOIMMUNE HEPATITIS PANEL

3,230

610 Microbiology AUTOMATED BLOOD CULTURE (BACT T ALERT)

1,410

611 Microbiology BLOOD C/S - AEORBIC (CENTRAL LINE)

1,410

612 Microbiology BLOOD C/S - AEROBIC (PERIPHERAL LINE)

1,410

613 Microbiology BLOOD CULTURE AND SENSITIVITY - AEROBIC

1,550

614 Microbiology C3 AND C4

2,930

615 Microbiology C-ANCA IN DILUTION

2,930

616 Microbiology CMV ANTIBODY [IGG]

1,410

617 Microbiology CMV DNA DETECTION PCR

2,090

618 Microbiology BLOOD CULTURE AND SENSITIVITY [ANAEROBIC ]

1,000

619 Microbiology CULTURE AND SENSITIVITY FOR ASPIRATED FLUID

690

620 Microbiology DENGUE SEROLOGY(IGM AND IGG) GOVT REFERALS

680

621 Microbiology EBV (Ebstein Barr Virus) PCR

5,850

622 Microbiology EBV VIRAL CAPSID Ag IgM

2,760

Page 23: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

623 Microbiology HBsAg SEROLOGY - ELIFA/CMIA

1,290

624 Microbiology HCV RNA QUANTITATIVE/VIRAL LOAD 11,410

625 Microbiology HEPATITIS B PCR QUANTITATIVE

7,050

626 Microbiology IgG4(IMMUNOGLBULIN IgG4)

6,600

627 Microbiology IMMUNOGLOBULIN IgE

2,150

628 Microbiology KOH MOUNT FOR FUNGAL ELEMENTS DETECTION

350

629 Microbiology RAPID HBSAg SEROLOGY

1,170

630 Microbiology TISSUE TRANSGLUTAMINASE,IgA

1,330

631 Microbiology TREPONEMA PALLIDUM ANTIBODY DETECTION

1,050

632 Microbiology HIV SEROLOGY (RAPID)

1,710

633 Microbiology CSF/SERUM IgG INDEX

3,000

634 Microbiology STOOL FOR CRYPTOSPORIDIUM AND ISOSPORA

370

635 Microbiology JAPANESE ENCEPHALITIS (JE) VIRUS IGM SERUM (ELISA)

2,000

636 Microbiology JAPANESE ENCEPHALITIS (JE) VIRUS IGM CSF (ELISA)

2,000

637 Microbiology aHBc

1,600

638 Microbiology HELICOBACTER PYLORI IgG

1,500

639 Microbiology LEGIONELLA URINARY ANTIGEN

1,600

640 Microbiology MYCOBACTERIUM SPECIATION

3,510

641 Microbiology PNEUMOBACT IGG AND IGM (FOR A TYPICAL BACTERIAL PNEUMONIA)

3,500

642 Microbiology DNA PLUS - PERSONAL GENOME ANALYSIS

9,000

643 Microbiology BRUCELLA AGGLUTINATION TEST

1,200

644 Microbiology EBV VCA IgG (EBSTEIN BARR VIRUS VCA IgG)

1,200

645 Microbiology VIRAL TRANSPORT MEDIA

200

646 Microbiology RESPIRATORY SYNCYTIAL VIRUS/METAPNEUMOVIRUS RT PCR

2,300

647 Microbiology HUMAN CORONAVIRUS/HUMAN PARAINFLUENZA RT PCR

2,300

648 Microbiology CHLAMYDIA/MYCOPLASMA PNEUMONIAE RT PCR

2,200

649 Microbiology ATYPICAL PNEUMONIA PANEL BY RT PCR

6,000

650 Microbiology MTB DNA DETECTION WITH RIFAMPICIN SUSCEPTIBILITY

3,900

651 Microbiology HPV (HUMAN PAPILLOMA VIRUS) DNA DETECTION

3,800

Page 24: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

652 Microbiology COMPREHENSIVE G.I. PANEL 13,500

653 Microbiology COMPREHENSIVE RESPIRATORY PANEL 13,500

654 Microbiology COMPREHENSIVE CNS PANEL 15,200

655 Microbiology SCRUB TYPHUS IGM ELISA

1,000

656 Transplantation immunology ANTI CARDIOLIPIN AB IGG

1,280

657 Transplantation immunology ANTI CARDIOLIPIN AB IGM

1,280

658 Transplantation immunology ANTI GLIADIN – IgA

1,280

659 Transplantation immunology ANTI - GBM - ANTIBODIES

2,610

660 Transplantation immunology HLA DR TYPING

8,750

661 Transplantation immunology TISSUE CROSS MATCHING (Lymphocytotoxicity Method)

5,000

662 Transplantation immunology ANTI-PARIETAL CELL ANTIBODY (APCA) - SCREENING

1,710

663 Transplantation immunology HLA -B27 MOLECULAR TYPING

3,080

664 Transplantation immunology ALLERGY SCREEN ANIMAL MIX

790

665 Transplantation immunology ASPERGILLUS FUMIGATUS

730

666 Transplantation immunology ABACHI WOOD DUST

850

667 Transplantation immunology ALTERNARIA

730

668 Transplantation immunology AMERICAN COCKROACH

790

669 Transplantation immunology AMOXICILLOYL

850

670 Transplantation immunology AMPICILLOYL

850

671 Transplantation immunology CLADOSPIRIUM

730

672 Transplantation immunology COMMON RAGWEED

730

673 Transplantation immunology COTTON SEED

850

674 Transplantation immunology COWS MILK

790

675 Transplantation immunology D FARINAE

790

676 Transplantation immunology D PTERONYSSINUS

790

677 Transplantation immunology EGG

790

678 Transplantation immunology ENDOMYSIUM, RETICULIN (MONKEY LIVER)

2,200

679 Transplantation immunology ETO,PHTHALIC,HCHO,CHLORAMIN T

850

680 Transplantation immunology FEATHERS MIX

790

681 Transplantation immunology FISH MIX 1(Cod,Shrimp,Blue,Mussel,Tuna,Salmon)

790

Page 25: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

682 Transplantation immunology FISH,SHRIMP,BLUE MUSSEL,TUNA,SALMON

790

683 Transplantation immunology FOOD MIX1-Peanut,Hazelnut,Brazilnut,Almond,Coconut

790

684 Transplantation immunology FOOD MIX2-Rye,Rice,Potato,Mushroom,Pumpkin

790

685 Transplantation immunology FRUIT MIX1 -Kiwi,Mango,Banana,Avocado,Papaya

790

686 Transplantation immunology GLIADIN IGG

1,280

687 Transplantation immunology GOOSEFOOT

730

688 Transplantation immunology GRASS MIX

790

689 Transplantation immunology HLA ABC DQ DR 18,500

690 Transplantation immunology HLA ABDR 14,500

691 Transplantation immunology IGE (KU/L)

970

692 Transplantation immunology ISOCYANATES,PHTHALIC ANHYDRIDE

850

693 Transplantation immunology KIWI,MANGO,BANANA,AVOCADO,PAP

790

694 Transplantation immunology LATEX

850

695 Transplantation immunology MAST CELL TRYP

1,460

696 Transplantation immunology MEAT MIX1-Pork,Beef,Egg Yolk, Chicken, Turkey

790

697 Transplantation immunology MORPHINE

850

698 Transplantation immunology MOULD MIX

790

699 Transplantation immunology MPO ANTIBODY LEVEL

2,040

700 Transplantation immunology MUGWORT

730

701 Transplantation immunology NEURONAL ANTIBODIES IgG

7,150

702 Transplantation immunology NUT MIX ((Peanut, Hazelnut, Brazilnut, Almond, Coconut)

790

703 Transplantation immunology PEANUT,HAZELNUT,BRAZILNUT,ALMOND

790

704 Transplantation immunology PENICILLIN G

850

705 Transplantation immunology PENICILLIN V

850

706 Transplantation immunology PENICILLIUM

730

707 Transplantation immunology PHOLCODINE

850

708 Transplantation immunology PORK,BEEF,EGG,YOLK,CHICKEN,TURKE

790

709 Transplantation immunology PR3 ANTIBODY LEVEL

2,040

710 Transplantation immunology PRECIPITINS ASPERGILLUS IgG

830

Page 26: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

711 Transplantation immunology PRECIPITINS AVIAN IgG

830

712 Transplantation immunology RYE,RICE,POTATO,MUSHROOM,PUMPKIN

790

713 Transplantation immunology SHRIMP

790

714 Transplantation immunology SOYABEAN

790

715 Transplantation immunology SUXAMETHONIUM

850

716 Transplantation immunology TREE POLLEN MIX

790

717 Transplantation immunology WEED MIX

790

718 Transplantation immunology WHEAT

790

719 Transplantation immunology HLA CROSSMATCH (LYMPHOCYTE - KIDNEY TRANSPLANT)

5,000

720 Transplantation immunology SPECIFIC IgE CHLORHEXIDINE

850

721 Transplantation immunology T-CELL CDC HLA CROSSMATCH (KIDNEY TRANSPLANT)

7,000

722 Transplantation immunology CALPROTECTIN EliA

2,200

723 Transplantation immunology MINI SKIN PRICK TEST

610

724 Transplantation immunology TSH-R antibody (TRAB ELISA)

1,500

725 Transplantation immunology ACETYCHOLINE RECEPTOR ANTIBODY(AChR Antibody)

3,700

726 Transplantation immunology DEMENTIA PANEL

5,000

727 Transplantation immunology NK - KIR GENOTYPING AND LIGAND

7,500

728 Transplantation immunology PATCH TESTING

2,000

729 Transplantation immunology THYROTROPIN RECEPTOR ELISA (TSHR ELISA)

900

730 Transplantation immunology ANTI MuSK ANTIBODIES SERUM 12,350

731 Transplantation immunology COMPREHENSIVE ALLERGY PANEL 10,700

732 Transplantation immunology SKIN PRICK TESTING

2,000

733 Transplantation immunology BETA2 GPI IGG ANTIBODY

1,280

734 Transplantation immunology BETA2 GPI IGM ANTIBODY

1,280

735 Transplantation immunology PLA2R IGG (ELISA)

3,300

736 Transplantation immunology MICROPOLYSPORA FAENI IGG

1,000

737 Transplantation immunology STACHYBOTRYS ATRA IGG

1,000

738 Transplantation immunology THERMOACTINOMYCES VULGARIS IGG

1,000

739 Transplantation immunology DNA EXTRACTION AND STORAGE

700

Page 27: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

740 Transplantation immunology SPECIFIC IgE OMEGA -5- GLIADIN (RECOMBINANT WHEAT)

830

741 Transplantation immunology ASCA IgG AND IgA (PHADIA)

3,900

742 Histopathology ER / PR STUDY

4,580

743 Histopathology FNAC / FNAB

1,030

744 Histopathology IHC ONE ANTIGEN (HISTO)

2,430

745 Histopathology FROZEN SECTION WITH PARAFFIN FOLLOW UP

1,940

746 Histopathology LIVER BIOPSY

1,350

747 Histopathology IHC - PACKAGE - 1 (5 TO 8 ANTIGENS) 10,690

748 Histopathology EXTRA SLIDE

680

749 Histopathology SKIN BIOPSY-IF ONLY

5,230

750 Histopathology HISTOPATHOLOGY SLIDE FOR OPINION

520

751 Histopathology CSF FOR CYTOLOGY

690

752 Histopathology FLUID FOR CYTOLOGY(FLUID FOR MALIGNANT CELLS

830

753 Histopathology FNAC STAINED SLIDE FOR OPINION

1,100

754 Histopathology FNAC UNSTAINED SLIDE FOR OPINION

690

755 Histopathology PAP SMEAR /CERVICAL SMEAR

750

756 Histopathology SLIDE FOR OPINION(NON-GYNAEC)

610

757 Histopathology SPUTUM FOR CYTOLOGY

550

758 Histopathology TZANCK SMEAR

570

759 Histopathology HISTOPATHOLOGY TEST [LARGE]

1,710

760 Histopathology HISTOPATHOLOGY TEST [MEDIUM]

1,710

761 Histopathology HISTOPATHOLOGY TEST [SMALL]

1,190

762 Histopathology NEEDLE BIOPSY KIDNEY

1,350

763 Histopathology KIDNEY BIOPSY IF ONLY

5,230

764 Histopathology PAP SMEAR EXAMINATION (ONLY FOR FEMALE)

750

765 Histopathology CYTOLOGY SYNOVIAL FLUID FOR CRYSTALS

240

766 Histopathology ERPR HER 2 NEU and KI-67

8,790

767 Histopathology HISTOPATHOLGY TEST (EXTRA LARGE)

2,310

768 Histopathology SLIDE AND BLOCK FOR OPINION

1,610

Page 28: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

769 Histopathology CT/USG GUIDED FNAC(CYTOLOGY)

840

770 Histopathology EXTRA SLIDE (MORE THAN ONE SLIDE)

1,350

771 Histopathology IMMUNOHISTOCHEMISTRY / PER SLIDE

2,240

772 Histopathology PAS [PERIODIC ACID SCHIFF] STAIN

1,560

773 Histopathology STAIN FOR PNEUMOCYSTIS JIROVECII

310

774 Histopathology WET MOUNT FOR HYDATID SCOLEX

240

775 Histopathology C MYC GENE AMPLIFICATION(DUBBER-ONCOEST) 13,000

776 Histopathology NRAS MUTATION ANALYSIS (EXONS 2 3 4) 11,000

777 Histopathology HAEMOSIDERIN LADEN MACROPHGES

830

778 Histopathology BRAF MUTATION

7,800

779 Histopathology BODY FLUID FOR PH

500

780 Histopathology EXTENDED IHC PACKAGE (12 ANTIGEN) 16,000

781 Blood Bank - 2 Services COLD AGGLUTININS

640

782 Blood Bank - 2 Services BLOOD GROUPING AND TYPING (ABO AND RH)

530

783 Blood Bank - 2 Services DIRECT COOMBS TEST

670

784 Blood Bank - 2 Services RH AND KELL TYPING

700

785 Blood Bank - 2 Services INDIRECT COOMBS TEST

550

786 Blood Bank - 2 Services ANTIBODY SCREEN AND IDENTIFICATION

1,330

787 Blood Bank - 2 Services ANTIBODY SCREENING

670

788 Blood Bank - 2 Services ANTIBODY TITRE

670

789 Blood Bank - 2 Services EXTENDED COOMB'S TEST

1,070

790 Blood Bank - 2 Services EXTENDED RED CELL ANTIGEN PHENOTYPE

2,130

791 Blood Bank - 2 Services HEPARIN INDUCED THROMBOCYTOPENIA (HIT SCREENING)

1,800

792 Blood Bank - 2 Services PROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH SCREENING)

1,000

793 Blood Bank - 2 Services RH-ANTIBODY TITRE

960

794 Emergency Medical Services TROPONIN T

2,760

795 Emergency Medical Services PLATELET COUNT (POCT - ER)

1,500

796 Emergency Medical Services PT (PROTHROMBIN TIME) (POCT - ER)

1,000

797 Emergency Medical Services INR (INTERNATIONAL NORMALIZED RATIO) (POCT - ER)

1,000

798 CARDIOLOGY ECG

430

Page 29: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

799 CARDIOLOGY ECHO SCREENING

2,130

800 CARDIOLOGY DOBUTAMINE STRESS ECHO

5,800

801 CARDIOLOGY HOLTER MONITOR

4,300

802 CARDIOLOGY TILT TABLE TEST

3,830

803 CARDIOLOGY ECHO TRANSESOPHAGEAL

4,330

804 CARDIOLOGY TREADMILL TEST / STRESS TEST

2,240

805 CARDIOLOGY 2D ECHOCARDIOGRAPHY WITH COLOUR DOPPLER STUDY

2,980

806 CARDIOLOGY 2D ECHOCARDIOGRAPHY

2,210

807 CARDIOLOGY E.C.G WITH CAROTID MASSAGE

390

808 CARDIOLOGY ECG-PACEMAKER

390

809 CARDIOLOGY ECHOCARDIOGRAPHY(CALCUTTA RECUE/PULMO-CARE)

1,710

810 CARDIOLOGY TILT TABLE TEST (PORT TRUST)

2,630

811 CARDIOLOGY PAED ECHO SCREENING

1,220

812 C T Scan Radiology CT SCAN ORBITS (EYE)

5,870

813 C T Scan Radiology CT SCAN LOWER ABDOMEN/PELVIS

5,590

814 C T Scan Radiology CT SCAN - CERVICAL SPINE

5,870

815 C T Scan Radiology CT SCAN - LUMBAR SPINE

5,870

816 C T Scan Radiology CT SCAN OF PARA NASAL SINUSES

5,870

817 C T Scan Radiology CT SCAN BRAIN

2,790

818 C T Scan Radiology CT SCAN TEMPORAL BONES

5,870

819 C T Scan Radiology CT PULMONARY ANGIOGRAPHY 13,980

820 C T Scan Radiology CT SCAN - DORSAL SPINE

6,290

821 C T Scan Radiology CT SCAN 3D FACE

4,910

822 C T Scan Radiology CT SCAN CHEST

5,870

823 C T Scan Radiology CT SCAN KUB

9,790

824 C T Scan Radiology CT SCAN LUMBAR SPINE WITH SACROILIAC JOINTS

8,090

825 C T Scan Radiology CT SCAN MYELOGRAM

6,290

826 C T Scan Radiology CT SCAN NECK

5,870

827 C T Scan Radiology CT SCAN PERIPHERAL ANGIOGRAPHY 13,980

828 C T Scan Radiology CT SCAN RENAL ANGIOGRAPHY 13,980

Page 30: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

829 C T Scan Radiology CT SCAN UPPER ABDOMEN

5,590

830 C T Scan Radiology CT SCAN WHOLE ABDOMEN 10,490

831 C T Scan Radiology CT SCAN HIP JOINTS

5,870

832 C T Scan Radiology DEXA SCAN

6,130

833 C T Scan Radiology CT SCAN SCREENING

2,640

834 C T Scan Radiology CT SCAN SPINE CV JUNCTION

5,870

835 C T Scan Radiology CT CALCIUM SCORING

4,995

836 C T Scan Radiology CT VIRTUAL BRONCHOSCOPY

7,000

837 C T Scan Radiology CT VIRTUAL COLONOSCOPY

7,000

838 C T Scan Radiology CT JOIN SINGLE

5,870

839 C T Scan Radiology CT CARDIAC ANGIO 10,500

840 C T Scan Radiology CT CARDIAC ANGIO WITH SPECIAL CONTRAST 12,000

841 C T Scan Radiology CT PAROTID SIALOGRAPHY 13,980

842 C T Scan Radiology CT SPLENO PORTO VENOGRAM

6,290

843 C T Scan Radiology CT VIRTUAL ENDOSCOPY

7,000

844 C T Scan Radiology CT ANGIOGRAPHY

8,810

845 C T Scan Radiology CT BASE OF SKULL

2,790

846 C T Scan Radiology CT CD

350

847 C T Scan Radiology CT CISTERNOGRAPHY

5,150

848 C T Scan Radiology CT DENSITOMETRY

3,670

849 C T Scan Radiology CT EXTREMITY (BILATERAL) 10,270

850 C T Scan Radiology CT EXTREMITY (UNILATERAL)

5,870

851 C T Scan Radiology CT FOLLOW-UP

1,460

852 C T Scan Radiology CT LOWER THORAX

3,500

853 C T Scan Radiology CT LUMBO SACRAL SPINE

5,870

854 C T Scan Radiology CT ONE REGION

4,200

855 C T Scan Radiology CT PITUITARY / SELLA

5,870

856 C T Scan Radiology CT RECONSTRUCTION

2,210

857 C T Scan Radiology CT SACRO ILIAC JOINTS

5,870

858 C T Scan Radiology CT SACRUM AND COCCYX

5,870

Page 31: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

859 C T Scan Radiology CT SCAN FILM (PER FILM)

360

860 C T Scan Radiology CT TRANSPLANT KIDNEY

5,870

861 C T Scan Radiology FNAC DONE WITH CT

960

862 C T Scan Radiology IONIC CONTRAST (20CC.)

240

863 C T Scan Radiology IONIC CONTRAST (50CC.)

550

864 C T Scan Radiology NON IONIC CONTRAST (100 CC)

1,940

865 C T Scan Radiology NON IONIC CONTRAST (25CC.)

730

866 C T Scan Radiology NONIONIC CONTRAST (10 CC)

560

867 C T Scan Radiology NONIONIC CONTRAST (50 CC.)

1,030

868 C T Scan Radiology ANAESTHETIC CHARGE FOR CT (DR.AGHL)

2,200

869 C T Scan Radiology ANAESTHETIC CHARGE FOR CT (DR T DAS AND TEAM)

2,200

870 C T Scan Radiology CT ENTEROCLYSIS 10,500

871 C T Scan Radiology CT ENTEROGRAPHY 10,000

872 C T Scan Radiology CT AORTOGRAM 15,000

873 Pet CT CT 128 CARDIAC ANGIO 10,500

874 Pet CT CT128 CARDIAC ANGIO WITH SPECIAL CONTRAST 12,000

875 Pet CT PET CT BODY/OTHERS-WITH CONTRAST 23,000

876 Pet CT PET CT BODY/OTHERS-WITHOUT CONTRAST 20,000

877 Pet CT PET CT REGIONAL-WITHOUT CONTRAST 17,000

878 Pet CT PET CT BRAIN/REGIONAL-WITHOUT CONTRAST 17,000

879 Pet CT PET CT BRAIN/REGIONAL-WITH CONTRAST 20,000

880 MRI Radiology MRI BRAIN

9,900

881 MRI Radiology MRI CHEST

9,900

882 MRI Radiology MRI NASOPHARYNX

9,900

883 MRI Radiology MRI ORBITS 10,490

884 MRI Radiology MRI SHOULDER (BOTH JOINTS) 10,490

885 MRI Radiology MRI ANKLE 10,510

886 MRI Radiology MRI BOTH HIP JOINTS 14,670

887 MRI Radiology 10ML CONTRAST (MRI)

2,660

888 MRI Radiology MRI NECK

9,900

889 MRI Radiology MRI CERVICAL SPINE

9,900

890 MRI Radiology MRI-TEMPORAL LOBES 10,510

891 MRI Radiology MRI UPPER ABDOMEN

9,900

892 MRI Radiology MRI SKULL BASE

9,900

Page 32: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

893 MRI Radiology MRI MRCP

7,000

894 MRI Radiology MRI DORSAL SPINE

9,900

895 MRI Radiology MRI BRAIN WITH SPECTROSCOPY 10,980

896 MRI Radiology MRI BRACHIAL PLEXUS 10,510

897 MRI Radiology MRI WHOLE ABDOMEN 13,980

898 MRI Radiology MRI BRAIN WITH MR ANGIO AND MR VENOGRAM (INTRACRANIAL) 13,950

899 MRI Radiology MRI BRAIN WITH PITUITARY GLAND

9,900

900 MRI Radiology MRI ELBOW JOINTS (BOTH) 10,490

901 MRI Radiology MRI ADRENAL GLAND

9,900

902 MRI Radiology MRI FOOT WITH ANKLE (LEFT) 11,300

903 MRI Radiology MRI FOOT WITH ANKLE (RIGHT) 11,300

904 MRI Radiology MRI FOREARMS (BOTH) 10,510

905 MRI Radiology MRI LEGS (BOTH) 10,510

906 MRI Radiology MRI LOWER ABDOMEN

9,900

907 MRI Radiology MRI LUMBAR SPINE WITH SACROILIAC JOINTS

9,900

908 MRI Radiology MRI THIGHS (BOTH) 10,510

909 MRI Radiology MRI LUMBO-SACRAL SPINE

9,900

910 MRI Radiology MRI WRIST 10,490

911 MRI Radiology MRI KNEE JOINT

9,900

912 MRI Radiology MRI SPECTROSCOPY

5,870

913 MRI Radiology ANAESTHESIA FOR MRI

2,200

914 MRI Radiology MRI THORACIC OUTLET

9,900

915 MRI Radiology MRI BREAST

9,900

916 MRI Radiology MRI VENOGRAPHY 14,500

917 MRI Radiology MRI FACE / ORAL CAVITY 10,490

918 MRI Radiology CARDIAC MRI 16,000

919 MRI Radiology MR ANGIOGRAPHY 14,500

920 MRI Radiology MR ANGIOGRAPHY OF NECK VESSEL 11,860

921 MRI Radiology MRCP SCREENING

6,160

922 MRI Radiology MRI BRAIN WITH MR ANGIOGRAPHY 15,410

923 MRI Radiology MRI BRAIN WITH MRA BRAIN AND NECK 17,610

924 MRI Radiology MRI EXTREMITY 10,490

925 MRI Radiology MRI FOOT 10,510

926 MRI Radiology MRI HIP AND THIGH 14,670

927 MRI Radiology MRI HIP UNILATERAL 10,510

928 MRI Radiology MRI ONE REGION

8,380

929 MRI Radiology MRI PHARYNX 10,270

930 MRI Radiology MRI SACRO COCCYGEAL REGION

9,900

Page 33: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

931 MRI Radiology MRI SCREENING

5,870

932 MRI Radiology MRI SMALL PART

8,810

933 MRI Radiology MRI UPPER ABD WITH MRCP 10,490

934 MRI Radiology MRI UPPER THIGH AND LOWER ABDOMEN 13,980

935 MRI Radiology MRI UROGRAM

9,900

936 MRI Radiology ANAESTHETIC CHARGE FOR MRI (DR.AGHL)

2,200

937 MRI Radiology ANAESTHETIC CHARGE FOR MRI (DR T DAS AND TEAM)

2,200

938 MRI Radiology MRI ENTEROCLYSIS 10,500

939 MRI Radiology MRI ENTEROGRAPHY 10,000

940 MRI Radiology MR AORTOGRAM 15,000

941 MRI Radiology MRI 3T CHEST 10,400

942 MRI Radiology MRI 3T NASOPHARYNX 10,400

943 MRI Radiology MRI 3T ORBITS 10,990

944 MRI Radiology MRI 3T CERVICAL SPINE 10,400

945 MRI Radiology MRI 3T BRAIN 10,400

946 MRI Radiology MRI 3T SHOULDER (BOTH JOINTS) 10,990

947 MRI Radiology MRI 3T ANKLE 11,010

948 MRI Radiology MRI 3T BOTH HIP JOINTS 15,170

949 MRI Radiology 10ML CONTRAST (MRI 3T)

3,160

950 MRI Radiology MRI 3T NECK 10,400

951 MRI Radiology MRI 3T TEMPORAL LOBES 11,010

952 MRI Radiology MRI 3T UPPER ABDOMEN 10,400

953 MRI Radiology MRI 3T SKULL BASE 10,400

954 MRI Radiology MRI 3T MRCP AND UPPER ABDOMEN

7,500

955 MRI Radiology MRI 3T DORSAL SPINE 10,400

956 MRI Radiology MRI 3T BRAIN WITH SPECTROSCOPY 11,480

957 MRI Radiology MRI 3T ENTEROGRAPHY 10,500

958 MRI Radiology MRI 3T WHOLE ABDOMEN 14,480

959 MRI Radiology MRI 3T ENTEROCLYSIS 11,000

960 MRI Radiology MRI 3T BRACHIAL PLEXUS 11,010

961 MRI Radiology MRI 3T LUMBAR SPINE WITH SACROILIAC JOINTS 10,400

962 MRI Radiology MRI 3T UROGRAM 10,400

963 MRI Radiology MRI 3T BRAIN WITH MR ANGIO AND MR VENOGRAM(INTRACRANIAL) 14,450

964 MRI Radiology MRI 3T UPPER THIGH AND LOWER ABDOMEN 14,480

965 MRI Radiology MRI 3T LUMBO SACRAL SPINE 10,400

966 MRI Radiology MRI 3T BRAIN WITH PITUITARY GLAND 10,400

967 MRI Radiology MRI 3T UPPER ABD WITH MRCP 10,990

968 MRI Radiology MRI 3T SMALL PART

9,310

969 MRI Radiology MRI 3T ELBOW JOINTS(BOTH) 10,990

970 MRI Radiology MRI 3T SPECTROSCOPY

6,370

971 MRI Radiology MRI 3T SCREENING

6,370

Page 34: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

972 MRI Radiology MRI 3T FOOT WITH ANKLE(LEFT) 11,800

973 MRI Radiology MRI 3T THORACIC OUTLET 10,400

974 MRI Radiology MRI 3T ADRENAL GLAND 10,400

975 MRI Radiology MRI 3T SACRO COCCYGEAL REGION 10,400

976 MRI Radiology MRI 3T BREAST 10,400

977 MRI Radiology MRI 3T FOOT WITH ANKLE(RIGHT) 11,800

978 MRI Radiology MRI 3T PHARYNX 10,770

979 MRI Radiology MRI 3T LEGS(BOTH) 11,010

980 MRI Radiology MRI 3T VENOGRAPHY 15,000

981 MRI Radiology MRI 3T LOWER ABDOMEN 10,400

982 MRI Radiology MRI 3T CONTRAST ONLY

5,380

983 MRI Radiology MRI 3T THIGHS(BOTH) 11,010

984 MRI Radiology MRI 3T WRIST 10,990

985 MRI Radiology MRI 3T KNEE JOINT 10,400

986 MRI Radiology MRI 3T FACE/ORAL CAVITY 10,990

987 MRI Radiology ANAESTHESIA FOR MRI 3T

2,700

988 MRI Radiology CARDIAC MRI 3T 16,500

989 MRI Radiology MRI 3T ONE REGION

8,880

990 MRI Radiology MRI 3T FOREARMS (BOTH) 11,010

991 MRI Radiology MRI 3T BRAIN WITH MR ANGIOGRAPHY 15,910

992 MRI Radiology MRI 3T BRAIN WITH MRA BRAIN AND NECK 18,110

993 MRI Radiology MRI 3T EXTREMITY 10,990

994 MRI Radiology MRI 3T FOOT 11,010

995 MRI Radiology MRI 3T HIP AND THIGH 15,170

996 MRI Radiology MRI 3T HIP UNILATERAL 11,010

997 Ultrasound Radiology ULTRASOUND - UPPER ABDOMEN

1,710

998 Ultrasound Radiology ULTRASOUND - LOWER ABDOMEN (PELVIS)

1,710

999 Ultrasound Radiology ULTRASOUND - WHOLE ABDOMEN

2,430

1000 Ultrasound Radiology ULTRASOUND OF CHEST

1,550

1001 Ultrasound Radiology ULTRASOUND - FOLLICULAR STUDY

2,550

1002 Ultrasound Radiology ULTRASOUND TRANSPLANT KIDNEY

2,100

1003 Ultrasound Radiology ULTRASOUND KUB

1,710

1004 Ultrasound Radiology ULTRASOUND SCREENING UPPER ABDOMEN

1,440

1005 Ultrasound Radiology ULTRASOUND SCREENING LOWER ABDOMEN

1,440

1006 Ultrasound Radiology ULTRASOUND SCREENING WHOLE ABDOMEN

2,100

1007 Ultrasound Radiology ULTRASOUND SCROTUM

1,710

1008 Ultrasound Radiology DOPPLER ABDOMEN

3,850

Page 35: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1009 Ultrasound Radiology TRANSVAGINAL ULTRASOUND

2,100

1010 Ultrasound Radiology ULTRASOUND NEUROSONOGRAM SCREENING

2,170

1011 Ultrasound Radiology DOPPLER LOWER LIMB VENOUS BOTH

6,150

1012 Ultrasound Radiology DOPPLER PELVIS / ILIAC VESSELS

3,070

1013 Ultrasound Radiology DOPPLER PENILE

3,070

1014 Ultrasound Radiology DOPPLER RENAL ARTERY

3,850

1015 Ultrasound Radiology DOPPLER UPPER LIMB ARTERIAL BOTH

6,150

1016 Ultrasound Radiology DOPPLER UPPER LIMB VENOUS BOTH

6,150

1017 Ultrasound Radiology ULTRASOUND BLADDER

1,830

1018 Ultrasound Radiology ULTRASOUND EYE/BALL

1,710

1019 Ultrasound Radiology DOPPLER LOWER LIMB ARTERIAL BOTH

6,150

1020 Ultrasound Radiology DOPPLER STUDY TRANSPLANT KIDNEY

3,070

1021 Ultrasound Radiology DOPPLER SPLENOPORTAL

3,070

1022 Ultrasound Radiology DOPPLER SCROTAL STUDY

3,070

1023 Ultrasound Radiology DOPPLER STUDY OF AORTA

3,070

1024 Ultrasound Radiology ULTRA SOUND THYROID

1,680

1025 Ultrasound Radiology DOPPLER STUDY OBSTETRIC

3,070

1026 Ultrasound Radiology BREAST

1,850

1027 Ultrasound Radiology ULTRASOUND BREAST BILATERAL

2,550

1028 Ultrasound Radiology ULTRASOUND BREAST UNILATERAL

1,350

1029 Ultrasound Radiology ULTRASOUND FOR CONGENITAL ANOMALY

3,410

1030 Ultrasound Radiology ULTRASOUND JOINT (UNILATERAL)

1,710

1031 Ultrasound Radiology ULTRASOUND KUBP + TRANSRECTAL

2,790

1032 Ultrasound Radiology ULTRASOUND MUSCULOSKELETAL

1,710

1033 Ultrasound Radiology ULTRASOUND NECK

1,710

1034 Ultrasound Radiology ULTRASOUND PREGNANCY

2,100

1035 Ultrasound Radiology ULTRASOUND PREGNANCY + DOPPLER

3,710

1036 Ultrasound Radiology ULTRASOUND PROSTATE

1,410

Page 36: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1037 Ultrasound Radiology ULTRASOUND SINGLE ORGAN

1,100

1038 Ultrasound Radiology ULTRASOUND WHOLE ABD + TRANSRECTAL

3,500

1039 Ultrasound Radiology ULTRASOUND FOLLOW-UP

1,010

1040 Ultrasound Radiology ULTRASOUND GUIDED PROCEDURE

1,200

1041 Ultrasound Radiology ULTRASOUND JOINT BILATERAL

2,550

1042 Ultrasound Radiology DOPPLER CAROTID

3,850

1043 Ultrasound Radiology DOPPLER LOWER LIMB ARTERIAL (SINGLE)

3,070

1044 Ultrasound Radiology DOPPLER LOWER LIMB VENOUS (SINGLE)

3,070

1045 Ultrasound Radiology DOPPLER SINGLE ORGAN

1,360

1046 Ultrasound Radiology DOPPLER TRANSCRANIAL

3,070

1047 Ultrasound Radiology DOPPLER UPPER LIMB ARTERIAL (SINGLE)

3,070

1048 Ultrasound Radiology DOPPLER UPPER LIMB VENOUS (SINGLE)

3,070

1049 Ultrasound Radiology DOPPLER BREAST

2,290

1050 Ultrasound Radiology DOPPLER OTHER REGION

3,070

1051 Ultrasound Radiology DOPPLER TRANSVAGINAL

3,850

1052 Ultrasound Radiology USG TRANSRECTAL ULTRASOUND

2,500

1053 Ultrasound Radiology USG BEDSIDE/PORTABLE (W/O FILM)

2,790

1054 X Ray X-RAY ABDOMEN (KUB)

430

1055 X Ray X-RAY ABDOMEN ERECT

430

1056 X Ray X-RAY BOTH ANKLE AP AND LAT

840

1057 X Ray X-RAY BOTH FEET AP AND LAT

840

1058 X Ray X-RAY BOTH HANDS AP

430

1059 X Ray X-RAY BOTH HANDS AP AND LAT

840

1060 X Ray X-RAY BOTH HIPS AP VIEW

430

1061 X Ray X-RAY BOTH KNEES (AP)

430

1062 X Ray X-RAY BOTH KNEES AP AND LAT

840

1063 X Ray X-RAY BOTH KNEES LAT VIEW

430

1064 X Ray X-RAY CERVICAL SPINE AP

430

Page 37: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1065 X Ray X-RAY CERVICAL SPINE AP AND LAT

840

1066 X Ray X-RAY CERVICAL SPINE LAT

430

1067 X Ray X-RAY CHEST AP

430

1068 X Ray X-RAY CHEST OBLIQUE VIEW

430

1069 X Ray X-RAY CHEST PA

430

1070 X Ray X-RAY CHEST PA AND LAT

840

1071 X Ray X-RAY CLAVICLE AP

430

1072 X Ray X-RAY (INDEX) SINGLE FINGER AP AND LAT

560

1073 X Ray X-RAY KNEE(LEFT) AP AND LAT

560

1074 X Ray X-RAY KNEE (RIGHT) AP AND LAT

560

1075 X Ray X-RAY LEFT SHOULDER AP AND LAT

840

1076 X Ray X-RAY LUMBAR SPINE AP

430

1077 X Ray X-RAY LUMBAR SPINE AP AND LAT

840

1078 X Ray X-RAY PNS

430

1079 X Ray X-RAY RIGHT SHOULDER AP AND LAT

840

1080 X Ray X-RAY SKULL AP AND LAT

840

1081 X Ray X-RAY THIGH - AP AND LATERAL

840

1082 X Ray X-RAY SKULL LAT

430

1083 X Ray X-RAY SKULL AP

430

1084 X Ray X-RAY SCAPHOID - AP AND LATERAL

430

1085 X Ray X-RAY HIP JOINT (RIGHT) AP

430

1086 X Ray X-RAY HIP JOINT (RIGHT) AP and LAT

840

1087 X Ray X-RAY HIP JOINT (RIGHT) LAT

430

1088 X Ray X-RAY DORSAL SPINE AP

430

1089 X Ray X-RAY DORSAL SPINE AP and LAT

840

1090 X Ray X-RAY DORSAL SPINE LAT

430

1091 X Ray X-RAY LUMBAR SPINE LAT

430

1092 X Ray X-RAY FOREARM AP AND LAT LEFT

560

Page 38: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1093 X Ray X-RAY FOREARM AP AND LAT RIGHT

430

1094 X Ray X-RAY FOREARM AP LEFT

430

1095 X Ray X-RAY FOREARM AP RIGHT

430

1096 X Ray X-RAY FOREARM LAT LEFT

430

1097 X Ray X-RAY FOREARM LAT RIGHT

430

1098 X Ray X-RAY HAND AP AND LAT LEFT

560

1099 X Ray X-RAY HAND AP AND LAT RIGHT

560

1100 X Ray X-RAY HAND AP AND OBLIQUE RIGHT

560

1101 X Ray X-RAY HAND AP LEFT

430

1102 X Ray X-RAY HAND AP RIGHT

430

1103 X Ray X-RAY HAND LAT LEFT

430

1104 X Ray X-RAY HAND LAT RIGHT

430

1105 X Ray X-RAY HANDS AND WRIST AP BOTH

430

1106 X Ray X-RAY HANDS AND WRIST LAT BOTH

430

1107 X Ray X-RAY HEEL LAT LEFT

430

1108 X Ray X-RAY HEEL LAT RIGHT

430

1109 X Ray X-RAY HEELS AP BOTH

430

1110 X Ray X-RAY HEELS LAT BOTH

430

1111 X Ray X-RAY HUMERUS AP AND LAT LEFT

560

1112 X Ray X-RAY ELBOW LAT RIGHT

430

1113 X Ray X-RAY FEET AP BOTH

430

1114 X Ray X-RAY FEET LAT BOTH

430

1115 X Ray X-RAY FEMUR AP AND LAT LEFT

630

1116 X Ray X-RAY ELBOW AP AND LAT LEFT

560

1117 X Ray X-RAY ELBOW AP AND LAT RIGHT

560

1118 X Ray X-RAY ELBOW AP LEFT

430

1119 X Ray X-RAY ELBOW AP RIGHT

430

1120 X Ray X-RAY ELBOW LAT LEFT

430

Page 39: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1121 X Ray X-RAY ANKLE AP AND LAT LEFT

560

1122 X Ray X-RAY ANKLE AP AND LAT RIGHT

560

1123 X Ray X-RAY ANKLE AP LEFT

430

1124 X Ray X-RAY ANKLE LAT LEFT

430

1125 X Ray X-RAY ANKLE LAT RIGHT

430

1126 X Ray X-RAY ARM AP AND LAT LEFT - ONE FILM

560

1127 X Ray X-RAY ARM AP AND LAT RIGHT

560

1128 X Ray X-RAY BASE OF SKULL

430

1129 X Ray X-RAY BIG TOE AP AND LAT

560

1130 X Ray X-RAY CALCANEUM LAT BOTH

840

1131 X Ray X-RAY CALCANIUM AP AND LAT BOTH

430

1132 X Ray X-RAY CALDWELLS VIEW

430

1133 X Ray X-RAY CERVICAL SPINE (FLEX AND EXT)

840

1134 X Ray X-RAY CHEST LORDOTIC VIEW

430

1135 X Ray X-RAY COCCYX AP

430

1136 X Ray X-RAY COCCYX LAT

430

1137 X Ray X-RAY CONE VIEW SELLA

430

1138 X Ray X-RAY CV JUNCTION

430

1139 X Ray X-RAY DORSAL SPINE AP LAT AND OBLIQUE

840

1140 X Ray X-RAY SCAPULA AP AND LAT

700

1141 X Ray X-RAY TEMPOROMANDIBULAR JOINT-SINGLE

840

1142 X Ray X-RAY TIBIA AP AND LAT BOTH

560

1143 X Ray X-RAY FEMUR AP RIGHT

430

1144 X Ray X-RAY FEMUR LAT RIGHT

430

1145 X Ray X-RAY FOOT AP AND LAT LEFT

560

1146 X Ray X-RAY FOOT AP AND LAT RIGHT

560

1147 X Ray X-RAY FOOT AP AND OBLIQUE LEFT

430

1148 X Ray X-RAY FOOT AP AND OBLIQUE RIGHT

560

Page 40: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1149 X Ray X-RAY FOOT AP LEFT

430

1150 X Ray X-RAY FOOT AP RIGHT

430

1151 X Ray X-RAY FOOT LAT LEFT

430

1152 X Ray X-RAY FOOT LAT RIGHT

430

1153 X Ray X-RAY SHOULDER LAT RIGHT

430

1154 X Ray X-RAY SKULL TOWNS VIEW

430

1155 X Ray X-RAY STERNUM AP AND LAT

840

1156 X Ray X-RAY STERNUM OBLIQUE AND LAT

840

1157 X Ray X-RAY THUMB AP AND LAT LEFT

560

1158 X Ray X-RAY TIBIA AND ANKLE AP AND LAT RIGHT

850

1159 X Ray X-RAY TIBIA AP AND LAT RIGHT

560

1160 X Ray X-RAY TIBIA AP LEFT

430

1161 X Ray X-RAY HUMERUS AP AND LAT RIGHT

430

1162 X Ray X-RAY KNEE AP LEFT

430

1163 X Ray X-RAY KNEE AP RIGHT

430

1164 X Ray X-RAY KNEE LAT LEFT

430

1165 X Ray X-RAY KNEE LAT RIGHT

430

1166 X Ray X-RAY LEG AP AND LAT LEFT

560

1167 X Ray X-RAY LEG AP AND LAT RIGHT

560

1168 X Ray X-RAY LEG AP LEFT

430

1169 X Ray X-RAY LEG AP RIGHT

430

1170 X Ray X-RAY LEFT LEG LAT

430

1171 X Ray X-RAY LEG LAT RIGHT

430

1172 X Ray X-RAY MASTOID LEFT

430

1173 X Ray X-RAY MASTOID RIGHT

430

1174 X Ray X-RAY MASTOIDS BOTH

630

1175 X Ray X-RAY NECK AP AND LAT

840

1176 X Ray X-RAY NECK LAT

430

Page 41: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1177 X Ray X-RAY NECK SOFT TISSUE (NASOPHARYNX)

430

1178 X Ray X-RAY ODONTOID (OPEN MOUTH)

430

1179 X Ray X-RAY ORBITS

430

1180 X Ray X-RAY PARANASAL SINUSES (PNS) AP AND LAT

840

1181 X Ray X-RAY PERORBITAL VIEW

430

1182 X Ray X-RAY SACRO ILIAC JOINTS

430

1183 X Ray X-RAY LEFT SHOULDER AP

430

1184 X Ray X-RAY SHOULDER AP RIGHT

430

1185 X Ray X-RAY WRIST AP AND LAT BOTH

840

1186 X Ray X-RAY WRIST AP AND LAT LEFT

560

1187 X Ray X-RAY WRIST AP AND LAT RIGHT

560

1188 X Ray X-RAY WRIST AP RIGHT

430

1189 X Ray X-RAY WRIST LAT LEFT

430

1190 X Ray X-RAY WRIST LAT RIGHT

430

1191 X Ray X-RAY ABDOMEN AP SUPINE

430

1192 X Ray X-RAY CERVICAL SPINE AP LAT AND OBLIQUE

1,170

1193 X Ray X-RAY CERVICAL SPINE OBLIQUES

840

1194 X Ray X-RAY FINGER AP AND LAT MIDDLE

560

1195 X Ray X-RAY LUMBOSACRAL SPINE AP LAT AND OBLIQUE

840

1196 X Ray X-RAY LUMBOSACRAL SPINE LAT (FLEX AND EXT)

700

1197 X Ray X-RAY HEEL AP LEFT

430

1198 X Ray X-RAY HEEL AP RIGHT

430

1199 X Ray X-RAY CHEST LAT

430

1200 X Ray X-RAY KNEE AP AND LAT AND SKYLINE VIEW

630

1201 X Ray X-RAY ARM AP

430

1202 X Ray X-RAY ARM LATERAL

430

1203 X Ray X-RAY FEMUR AP

430

1204 X Ray X-RAY FEMUR LATERAL

430

Page 42: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1205 X Ray X-RAY SHOULDER AP AND AXILLARY LEFT

840

1206 X Ray X-RAY WRIST AP LEFT

430

1207 X Ray X-RAY PELVIS PA

430

1208 X Ray X-RAY DORSOLUMBAR SPINE LATERAL

430

1209 X Ray X-RAY DORSOLUMBAR SPINE AP

430

1210 X Ray X-RAY BOTH KNEE AP LAT SKY LINE VIEW

1,190

1211 X Ray X-RAY LEFT HIP AP and LAT

840

1212 X Ray X-RAY SKY LINE VIEW OF PATELLA

430

1213 X Ray X-RAY HUMERUS LAT RIGHT

500

1214 X Ray X-RAY PELVIS WITH BOTH HIPS AP

430

1215 X Ray X-RAY BOTH HIP AP and LAT

840

1216 X Ray X-RAY LEFT HIP AP

430

1217 X Ray X-RAY LEFT HIP LT

430

1218 X Ray X-RAY RIGHT HUMERUS AP

430

1219 X Ray X-RAY LEFT FOOT AP AND LAT AND OBLIQUE

840

1220 X Ray X-RAY RIGHT FOOT AP AND LAT AND OBLIQUE

840

1221 X Ray X-RAY RIGHT FEMUR / THIGH AP AND LAT

620

1222 X Ray X-RAY RIGHT HUMERUS AP AND LAT

560

1223 X Ray X-RAY SHOULDER AP AND LAT AND AXIAL

840

1224 X Ray X-RAY LEFT HAND AP AND OBLIQUE

560

1225 X Ray X- RAY SACRO ILIAC JOINTS PA

500

1226 X Ray X-RAY BOTH HEELS AP AND LAT

840

1227 X Ray X-RAY CERVICAL SPINE (FLE AND EXT AND NEUTRAL)

1,190

1228 X Ray X-RAY CERVICAL SPINE OPEN MOUTH VIEW

430

1229 X Ray X-RAY LEFT ARM AP

430

1230 X Ray X-RAY LEFT ARM LAT

430

1231 X Ray X-RAY LEFT FEMUR AP

430

1232 X Ray X-RAY LEFT FEMUR LAT

430

Page 43: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1233 X Ray X-RAY LEFT HEEL : AP AND LAT

560

1234 X Ray X-RAY LEFT HUMERUS LAT

430

1235 X Ray X-RAY LEFT KNEE AP LAT AND SKYLINE

630

1236 X Ray X-RAY LEFT SHOULDER AP LAT AND AXILLARY

1,170

1237 X Ray X-RAY LEFT SHOULDER LAT

430

1238 X Ray X-RAY LEFT THIGH AP

430

1239 X Ray X-RAY LEFT THIGH AP AND LAT

560

1240 X Ray X-RAY LEFT THIGH LAT

430

1241 X Ray X-RAY LEFT TIBIA LAT

430

1242 X Ray X-RAY LEFT TIBIA WITH KNEE AP AND LAT

840

1243 X Ray X-RAY LUMBOSACRAL SPINE : B/L OBL

630

1244 X Ray X-RAY LUMBOSACRAL SPINE : SINGLE OBL

430

1245 X Ray X-RAY MAMMOGRAPHY BILATERAL

1,890

1246 X Ray X-RAY MAMMOGRAPHY BILATERAL (MHC)

1,740

1247 X Ray X-RAY MAMMOGRPAHY UNILATERAL

1,060

1248 X Ray X-RAY MANDIBLE AP

430

1249 X Ray X-RAY MANDIBLE LAT

430

1250 X Ray X-RAY PELVIS

430

1251 X Ray X-RAY RIGHT HEEL : AP AND LAT

560

1252 X Ray X-RAY RIGHT SHOULDER AP AND AXILLARY

840

1253 X Ray X-RAY ROUTINE

430

1254 X Ray X-RAY SCREENING FLOUROSCOPY

430

1255 X Ray X-RAY BED SIDE ( PORTABLE )

850

1256 X Ray X-RAY BONE AGE

900

1257 X Ray X-RAY LOWER LIMB STANDING WITH PELVIS (BILATERAL)

1,500

1258 Radiology BARIUM ENEMA (SINGLE CONT.)

2,080

1259 Radiology BARIUM SWALLOW

1,580

1260 Radiology CAVITOGRAM

1,410

Page 44: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1261 Radiology SIALOGRAM

1,410

1262 Radiology SINOGRAM

1,410

1263 Radiology SMALL BOWEL ENEMA

2,630

1264 Radiology DACROCYSTOGRAPHY

1,410

1265 Radiology BARIUM MEAL FOLLOW THROUGH

2,770

1266 Radiology PROC. CHG:ABDOMINAL PARACENTESIS

8,230

1267 Radiology HYSTEROSALPINGOGRAM (HSG)

2,700

1268 Radiology PROC. CHG: PERCUT CATHETER DRAINAGE

5,270

1269 Radiology PROC. CHG: VERTEBROPLASTY 1 18,270

1270 Radiology PROC. CHG: LUMBER PUNCTURE

1,160

1271 Radiology T.TUBE CHOLANGIOGRAM

1,410

1272 Radiology NEPHROSTOGRAM

1,410

1273 Radiology FISTULOGRAM

1,410

1274 Radiology PROC. CHG: CORE BIOPSY

9,140

1275 Radiology PROC.CHG:BONE BIOPSY

9,140

1276 Radiology PROC. CHG: STENTING 17,790

1277 Radiology URETHROGRAM

2,100

1278 Radiology PROC. CHG:RADIOFREQUENCY ABLATION (SMALL) 36,540

1279 Radiology INTRAVENOUS PYELOGRAPHY

3,010

1280 Radiology PROC. CHG: COELIAC BLOCK 10,980

1281 Radiology PROC. CHG: VERTEBRA BIOPSY

9,800

1282 Radiology SMALL DRESSING SET

260

1283 Radiology PROC. CHG: URETERIC STENTING

9,800

1284 Radiology PROC. CHG: PERCUT NEPHROSTOMY

8,900

1285 Radiology PROC: CHG: ABCESS DRAINAGE

5,270

1286 Radiology PROC. CHG.: FNAC

1,640

1287 Radiology PROC. CHG: TRANSJUGULAR LIVER BIOPSY 29,400

1288 Radiology PROC. CHG: TRANSHEP. CHOLANGIO (PTC)

5,780

1289 Radiology PROC.CHG:VISCERAL ANGIO

5,510

1290 Radiology PROC: CHG: MINOR PROCEDURES

1,060

Page 45: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1291 Radiology MICTURATING CYSTOURETHROGRAM (MCU)

2,100

1292 Radiology PROC. CHG: THERAPEUTIC ASPIRATION

3,150

1293 Radiology BARIUM MEAL (SINGLE CONT.)

1,940

1294 Radiology BARIUM MEAL (DOUBLE CONT.)

2,080

1295 Radiology BARIUM ENEMA (DOUBLE CONT.)

2,630

1296 Radiology GASTRO CONRAY MEAL

1,410

1297 Radiology DISTAL COLOGRAM

2,100

1298 Radiology GASTROCONRAY FOLLOW-THROUGH

2,630

1299 Radiology Anaesthetic code for MRI

2,200

1300 Radiology BARIUM IC JUNCTION

1,740

1301 Radiology CONSULTATION/REVIEW BY RADIOLOGIST

790

1302 Radiology FLOURO: MAJOR PROCEDURE

2,100

1303 Radiology FLURO: MINOR PROCEDURE

980

1304 Radiology LARGE DRESSING SET

550

1305 Radiology PROC. CHG: ABSCESS ASPIRATION(NEEDLE)

3,150

1306 Radiology PROC. CHG: ANTEGRADE PYELOGRAM

6,680

1307 Radiology PROC. CHG: BEDSIDE

1,160

1308 Radiology PROC. CHG: CATHETER EXCHANGE

3,820

1309 Radiology PROC. CHG: EMERGENCY USG CASE

1,060

1310 Radiology PROC. CHG: EXT. BILIARY DRAINAGE

8,900

1311 Radiology PROC. CHG: FOLLOW UP ASPIRATION

1,060

1312 Radiology PROC. CHG: INT-EXT DRAINAGE 14,220

1313 Radiology PROC. CHG: NERVE ROOT INJECTION

4,240

1314 Radiology PROC. CHG: PERCUT CHOLECYSTOSTOMY

8,900

1315 Radiology PROC. CHG: PSUEDOCYST DRAINAGE(CATH)

8,900

1316 Radiology PROC. CHG: PSUEDOCYST DRAINAGE(NEEDLE)

5,720

1317 Radiology PROC. CHG: SMALL BOWEL ENEMA

3,150

1318 Radiology PROC. CHG: SPECIAL INVEST

850

1319 Radiology PROC. CHG: TROCAR DRAIN

4,200

Page 46: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1320 Radiology PROC. CHG: VERTEBROPLASTY 2 31,940

1321 Radiology PROC. CHG:FOLLOW UP

2,750

1322 Radiology PROC. CHG:INTERNALIZATION OF STRICTURE 21,900

1323 Radiology PROC. CHG:RING BILIARY DRAINAGE 21,900

1324 Radiology PROC. CHG:VISCERAL BIOPSY 10,040

1325 Radiology PROC.CHG: DIAGNOSTIC ASPIRATION

1,580

1326 Radiology PROC.CHG:ALCOHOL ABLATION 18,270

1327 Radiology PROC.CHG:CYST SCLEROTHERAPY 18,270

1328 Radiology PROC.CHG:DEEP FNAC

2,750

1329 Radiology PROC.CHG:DIAGNOSTIC+THERAPUTIC ASPIRATION

4,600

1330 Radiology PROC.CHG:INTERCOSTAL DRAINAGE 10,040

1331 Radiology PROC.CHG:P A I R S 21,900

1332 Radiology PROC.CHG:PLEUROCENTESIS

7,330

1333 Radiology PROC.CHG:RING DRAINAGE 21,900

1334 Radiology PROC.CHG:SPECIAL PROCEDURE

3,660

1335 Radiology PROC.CHG:TRANSPLANT NEPHROSTOMY 10,980

1336 Radiology PROC.CHG:VISCERAL ABCESS ASPIRATION

5,510

1337 Radiology PROC.CHG:VISCERAL ABCESS DRAINAGE 10,040

1338 Radiology PROC: CHG: ASPIRATION BIOPSY

4,210

1339 Radiology PROC: CHG: DRAINAGE 10,040

1340 Radiology PROC: CHG: METAL STENTING 19,600

1341 Radiology PROC: CHG:PTBD GRAM

1,410

1342 Radiology PROC.CHG.TTUMOR ABLATION/EMBOLIZATION 80,000

1343 Radiology PROC.CHG.TIPS 150,000

1344 Radiology PROC.CHG FILTER PLACEMENT 60,000

1345 Radiology PROC. CHG TRANSINGULAR LIVER BIOPSY 60,000

1346 Radiology PROC. CHG STENTING 80,000

1347 Nuclear Medicine Radiology GASTROESOPHAGEAL REFLUX

3,630

1348 Nuclear Medicine Radiology LUNG PERFUSION SCAN

4,430

1349 Nuclear Medicine Radiology RBC BLOOD POOL SCAN

3,250

1350 Nuclear Medicine Radiology THYROID SCAN (WITH 99M Tc)

3,010

1351 Nuclear Medicine Radiology IODINE-131 THERAPY FOR THYROTOXICOSIS

5,460

1352 Nuclear Medicine Radiology NUCLEAR EXTRA FILM CHARGES (PER FILM)

620

1353 Nuclear Medicine Radiology IODINE-131 THYROID SCAN

4,480

1354 Nuclear Medicine Radiology WHOLE BODY BONE SPECT

9,030

1355 Nuclear Medicine Radiology MECKELS DIVERTICULUM SCAN

3,460

Page 47: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1356 Nuclear Medicine Radiology BONE SCAN (REGIONAL)

4,160

1357 Nuclear Medicine Radiology IODINE-131 WHOLE BODY SCAN

6,920

1358 Nuclear Medicine Radiology PHOSPHOROUS-32 (P-32) THERAPY 16,980

1359 Nuclear Medicine Radiology PARATHYROID SCAN PLANAR 11,040

1360 Nuclear Medicine Radiology NM HEPATO BILIARY SCAN

4,070

1361 Nuclear Medicine Radiology RENAL DYNAMIC STUDY

4,880

1362 Nuclear Medicine Radiology BONE SCAN - THREE PHASE (SINGLE REGION)

5,220

1363 Nuclear Medicine Radiology BONE SCAN - THREE PHASE (SINGLE REGION)WHOLE BODY

7,180

1364 Nuclear Medicine Radiology BONE SCAN SPECT (SINGLE REGION)

5,670

1365 Nuclear Medicine Radiology BRAIN SPECT (PERFUSION SCAN) 14,690

1366 Nuclear Medicine Radiology BRAIN SPECT (TUMOUR IMAGING)

6,280

1367 Nuclear Medicine Radiology CARDIAC FIRST PASS STUDY

4,770

1368 Nuclear Medicine Radiology CARDIAC REST AND STRESS MUGA

6,210

1369 Nuclear Medicine Radiology CARDIAC REST MUGA

4,160

1370 Nuclear Medicine Radiology DOBUTAMINE STRESS MYOCARDIAL PERFUSION

(THALLIUM/TETRO/MIBI) 17,690

1371 Nuclear Medicine Radiology GALLIUM-67 SCAN 12,140

1372 Nuclear Medicine Radiology GASTRO INTESTINAL BLEEDING STUDY

5,840

1373 Nuclear Medicine Radiology IODINE - 131 MIBG SCAN (BRIT) 25,440

1374 Nuclear Medicine Radiology IODINE -131 THERAPY FOR THYROTOXICOSIS (BELOW 12 mci)

4,930

1375 Nuclear Medicine Radiology ISOTOPE VENOGRAPHY

5,670

1376 Nuclear Medicine Radiology LIVER SCAN

4,070

1377 Nuclear Medicine Radiology LIVER SCAN WITH SPECT

5,840

1378 Nuclear Medicine Radiology LUNG VENTILATION PERFUSION (V/Q) SCAN 14,690

1379 Nuclear Medicine Radiology LUNG VENTILATION SCAN

4,430

1380 Nuclear Medicine Radiology PHYSICIAN CHARGES: DEBASISH CHOWDHURY

570

1381 Nuclear Medicine Radiology PROC. CHG. RADIO - IODINE ADMINISTRATION

1,160

1382 Nuclear Medicine Radiology PROC. CHG. FOR PHARMACOLOGICAL STRESS SCAN

1,060

1383 Nuclear Medicine Radiology RADIO - ISOTOPE URETERIC REFLUX (INDIRECT)

5,150

1384 Nuclear Medicine Radiology RENAL DYNAMIC STUDY (WITH CAPTOPRIL ONLY)

4,530

1385 Nuclear Medicine Radiology RENAL DYNAMIC STUDY WITH VUR

5,670

1386 Nuclear Medicine Radiology REVIEW OF SCAN FILMS (NUCLEAR MEDICINE)

1,000

Page 48: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1387 Nuclear Medicine Radiology SALIVARY IMAGING / PAROTID SCINTIGRAPHY

3,460

1388 Nuclear Medicine Radiology SCINTI - MAMMOGRAPHY (BOTH BREASTS)

5,220

1389 Nuclear Medicine Radiology SCINTI - MAMMOGRAPHY (SINGLE BREASTS)

3,250

1390 Nuclear Medicine Radiology SHUNT STUDY - 1

5,390

1391 Nuclear Medicine Radiology REST MYOCARDIAL PERFUSION SPECT SCAN (THALLIUM/TERO/MIBI)

7,550

1392 Nuclear Medicine Radiology STRESS MYOCARDIAL PERFUSION SPECT SCAN (THALLIUM/TERO/MIBI) 13,230

1393 Nuclear Medicine Radiology SPLEEN SCAN

4,030

1394 Nuclear Medicine Radiology TC 99M DMSA RENAL SCAN

6,270

1395 Nuclear Medicine Radiology TESTICULAR SCAN

4,280

1396 Nuclear Medicine Radiology V. U. REFLUX

4,770

1397 Nuclear Medicine Radiology WHOLE BODY BONE SCAN

7,290

1398 Nuclear Medicine Radiology WHOLE BODY Tc-V-DMSA SCAN 10,800

1399 Nuclear Medicine Radiology PROC. CHG. FOR RADIO ISTOPE ADMINISTRATION

1,160

1400 Nuclear Medicine Radiology RADIONUCLIDE TUMOUR IMAGING

6,280

1401 Nuclear Medicine Radiology 153 SAMARIUM EDTMP THERAPY 26,620

1402 Nuclear Medicine Radiology SENTINEL LYMPHNODE BIOPSY 32,200

1403 Nuclear Medicine Radiology SAMARIUM THERAPY 27,600

1404 Nuclear Medicine Radiology 18F (NaF) WHOLE BODY PET CT

9,900

1405 Ear Nose and Throat AUDIOMETRY(MHC)

550

1406 Gastroenterology and Hepatology COLONOSCOPY - FULL (GAS-PKG)

4,220

1407 Medical LIFE STYLE COUNSELLING NON-MHC

390

1408 Nephrology HAMEO-DIALYSIS(PER SITTING)-PPN

2,850

1409 Neurology BRACHIAL PLEXUS LATENCY STUDIES

1,100

1410 Neurology NCV AND EMG - 2 LIMBS

3,015

1411 Neurology NCV AND EMG - 4 LIMBS

4,615

1412 Neurology BAER

1,320

1413 Neurology VIDEO EEG - 6 HOURS 11,460

1414 Neurology SYMPATHETIC SKIN RESPONSE

1,760

1415 Neurology EEG-SLEEP

1,500

1416 Neurology REPETITIVE NERVE SIMULATION(RNST/DECREMENT TEST)

1,590

Page 49: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1417 Neurology EMG TWO LIMBS

2,045

1418 Neurology H REFLEX STUDIES

1,250

1419 Neurology VIDEO EEG 3 HOURS

7,940

1420 Neurology EMG ALL FOUR LIMBS

3,185

1421 Neurology EVOKE POTENTIAL PORTABLE/BLINK REFLEX/RNS

1,060

1422 Neurology NCV ALL FOUR LIMBS

2,460

1423 Neurology SEP STUDY 2 (UPPER / LOWER ) LIMBS

2,460

1424 Neurology ELECTROMYOGRAM 2 LIMBS

2,045

1425 Neurology ELECTROMYOGRAM 4 LIMBS

3,185

1426 Neurology NCV 2 LIMBS

1,320

1427 Neurology VEP (FLASH)

1,320

1428 Neurology EEG (AWAKE AND SLEEP)

1,760

1429 Neurology EEG AWAKE

1,500

1430 Neurology VEP(PR)

1,320

1431 Neurology FACIAL NERVE CONDUCTION AND BLINK REFLEX (7TH NERVE LATENCY

STUDY)

1,320

1432 Obstretics & Gynaecology BETA-HCG

1,880

1433 Obstretics & Gynaecology CTG CHARGES

270

1434 Obstretics & Gynaecology FIRST TRIMESTER SCREENING(PROFILE)

3,430

1435 Paediatrics CDC BASIC COUNSELING

760

1436 Paediatrics CDC-AFO CLINIC CAT-I

3,780

1437 Paediatrics CDC-AFO CLINIC CAT-II

7,560

1438 Paediatrics CDC-AFO CLINIC CAT-III 11,340

1439 Paediatrics CDC-CONSULTATION

500

1440 Pulmonary Function Lab SPIROMETRY WITH OR WITHOUT REVERSIBILITY(PFT)

2,070

1441 Pulmonary Function Lab PULM NEBULIZER THERAPY

250

1442 Pulmonary Function Lab TRANSBRONCHIAL NEEDLE ASPIRATION

5,280

1443 Pulmonary Function Lab 6 MINUTE WALK TEST

630

1444 Pulmonary Function Lab SPIROMETRY+FRC+DLCO

4,220

1445 Pulmonary Function Lab SPIROMETRY+DLCO

3,480

Page 50: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1446 Pulmonary Function Lab PAED OPD NEBS PACKAGE

2,180

1447 Pulmonary Function Lab FRC (TLC , RV)

2,540

1448 Pulmonary Function Lab FREE PFT WITH DLCO + TLC

4,220

1449 Pulmonary Function Lab FULL PFT WITH DLCO AND TLC

5,280

1450 Pulmonary Function Lab FIBREOPTIC NASAL BRONCOSCOPY

2,930

1451 Pulmonary Function Lab EBUS staging of Malignancy 35,000

1452 Pulmonary Function Lab EBUS TBNA 30,000

1453 Pulmonary Function Lab EBUS VISUALISATION 20,000

1454 Pulmonary Function Lab EXHALED NITRIC OXIDE TEST

1,600

1455 Pulmonary Function Lab FENO TEST

2,000

1456 Sleep Lab SLEEP STUDY 11,640

1457 Sleep Lab CPAP TITRATION

5,820

1458 Sleep Lab OBSTRUCTIVE SLEEP APNEA SCREENING

7,290

1459 Bio Chemistry LIVER FUNCTION TEST (PACKAGE)

1,610

1460 Bio Chemistry LIPID PROFILE TEST (PACKAGE)

1,420

1461 Bio Chemistry FEMALE HORMONE PROFILE

8,830

1462 Bio Chemistry MALE HORMONE PROFILE

9,420

1463 Bio Chemistry PITUITARY PACK - FEMALE

5,150

1464 Bio Chemistry PUBERTY PROFILE

6,930

1465 Bio Chemistry ELECTROLYTES - SERUM/PLASMA(Na+,K+,Cl-)

1,340

1466 Bio Chemistry GLUCOSE TOLERANCE TEST (GTT)

1,010

1467 Bio Chemistry GLUCOSE TOLERANCE TEST GTT (3)- GESTATIONAL

1,000

1468 Bio Chemistry BIO-CHEMICAL ANALYSIS (SYNOVIAL FLUID)

1,220

1469 Bio Chemistry BIO-CHEMICAL ANALYSIS (CSF)

920

1470 Bio Chemistry GLUCOSE TOLERANCE TEST GTT-6

1,850

1471 Bio Chemistry GLUCOSE TOLERANCE TEST GTT-8

1,470

1472 Bio Chemistry CARDIAC ENZYMES

1,220

1473 Bio Chemistry GROWTH PROFILE-2

5,400

1474 Bio Chemistry FREE THYROID PROFILE

3,010

1475 Bio Chemistry BLOOD PROFILE B (BPB)

860

Page 51: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1476 Bio Chemistry BIOCHEMICAL ANALYSIS- ASCITIC FLUID

590

1477 Bio Chemistry GLUCOSE TOLERANCE TEST GTT 5

1,560

1478 Bio Chemistry ADVANCE THYROID PROFILE

2,350

1479 Bio Chemistry ACTH Stim

5,100

1480 Bio Chemistry DI PACKAGE

4,240

1481 Bio Chemistry EXTENDED LIPID PROFILE

5,270

1482 Bio Chemistry FREE T4 AND TSH

1,340

1483 Bio Chemistry CSF TEST PROFILE

3,660

1484 Bio Chemistry HLH SCREENING

2,500

1485 Haematology COAGULATION PROFILE

1,420

1486 Haematology BMT COAGULATION PROFILE 1

3,210

1487 Haematology BMT FLOW CYTOMETRY PROFILE 2

2,580

1488 Haematology BMT FLOW CYTOMETRY PROFILE 3 12,820

1489 Haematology BMT FLOW CYTOMETRY PROFILE 1

3,820

1490 Haematology BMT HLA PROFILE 1 15,250

1491 Haematology COMPLETE HAEMOGRAM

830

1492 Haematology HB,TC,DC,ESR

610

1493 Haematology TC,DC,ESR

470

1494 Microbiology BAL FLUID FOR MICROBIOLOGICAL TESTING PROFILE-I

2,400

1495 Microbiology BAL FLUID FOR MICROBIOLOGICAL TESTING PROFILE-II

3,330

1496 Microbiology BMT SEPTIC PROFILE 1

1,420

1497 Microbiology BMT SEPTIC PROFILE 4

7,200

1498 Microbiology BMT SEROLOGY PROFILE 12,710

1499 Microbiology BMT VIRAL PROFILE 1

5,780

1500 Microbiology BMT VIRAL PROFILE 2 12,290

1501 Microbiology BMT VIRAL PROFILE 3

6,530

1502 Microbiology CRBSI

1,400

1503 Microbiology CRBSI SEPSIS PACKAGE

1,250

1504 Microbiology HEPATITIS B PROFILE

5,710

1505 Microbiology HEPATITIS PANEL

5,600

Page 52: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1506 Microbiology PRE DIALYSIS SEROLOGY PACKAGE

1,610

1507 Microbiology PRE SURGERY SPUTUM C/S AND GRAM STAIN

410

1508 Transplantation immunology ASTHMA/RIHINITIS PANEL (ADULT) PROFILE

7,870

1509 Transplantation immunology DRUG ALLERGY PANEL PROFILE

9,900

1510 Transplantation immunology DUST ALLERGY PANEL PROFILE

3,300

1511 Transplantation immunology ECZEMA PANEL PROFILE

6,690

1512 Transplantation immunology FOOD ALLERGY PANEL PROFILE

7,870

1513 Transplantation immunology MOULD/WEED ALLERGY PANEL PROFILE

6,220

1514 Transplantation immunology OCCUPATIONAL ALLERGY PANEL PROFILE

8,810

1515 Transplantation immunology WHEEZE/RHINITIS PANEL (CHILD) PROFILE

7,000

1516 Transplantation immunology ABPA PANEL

2,750

1517 Transplantation immunology ANTI-PHOSPHOLIPID ANTIBODY SYNDROME (APS) PANEL

5,000

1518 Transplantation immunology SERUM PROTEIN ELECTROPHORESIS (CAPILLARY)

1,500

1519 Transplantation immunology SERUM PROTEIN IMMUNOFIXATION (CAPILLARY)

4,000

1520 Transplantation immunology CRYOGLOBULINS (SCREENING/QUALITATIVE)

1,500

1521 Transplantation immunology CRYOGLOBULIN (QUANTITATIVE)

5,500

1522 Transplantation immunology FARMERS LUNG PANEL

4,000

1523 Blood Bank - 2 Services BMT RED CELL PROFILE

1,230

1524 Blood Bank - 2 Services APHERESIS DONOR SCREENING

740

1525 CARDIOLOGY ILD PACKAGE

8,000

1526 X Ray X RAY-SKELETAL SURVEY

3,690

1527 Lab Others NUTRITIONAL ANAEMIA PROFILE

7,580

1528 Lab Others RENAL PACKAGE - I

2,050

1529 Lab Others RENAL PACKAGE - II

1,280

1530 Lab Others THALASSEMIA PROFILE

8,010

1531 Lab Others ANTE-NATAL SCREENING PACK WITH USG OBSTETRIC

2,230

1532 Lab Others NEONATAL/PEDIATRICS SEPSIS SCREEN - 3

4,410

1533 Lab Others BLOOD PROFILE A (BPA)

1,380

Page 53: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1534 Lab Others RENAL PACKAGE III

530

1535 Lab Others HAEMODIALYSIS PROFILE - I

1,350

1536 Lab Others BMT CSF PROFILE 22,190

1537 Lab Others BMT PROFILE 1

3,300

1538 Lab Others BMT PROFILE 2

1,100

1539 Lab Others BMT PROFILE 3

2,100

1540 Lab Others BMT PROFILE 4

3,300

1541 Lab Others BMT SEPTIC PROFILE 3

4,100

1542 Lab Others BMT STOOL PROFILE

3,440

1543 Lab Others BONE MARROW PROFILE

1,470

1544 Lab Others INFECTION PROFILE

670

1545 Lab Others LYMPHOMA SCREEN(HAEM4)

5,080

1546 Lab Others MYCLOMA SCREEN(HAEM3)

7,180

1547 Lab Others PAEDIATRIC SEPTIC PROFILE-I

5,600

1548 Lab Others POLYCYTHAEMIA(HAEM5)

4,860

1549 Lab Others Renal Profile II Plus

1,720

1550 Lab Others RHEUMATOLOGY PROFILE-I

5,600

1551 Lab Others RHEUMATOLOGY PROFILE-II

990

1552 Lab Others THALASSAEMIA COUNSELLING SERUM(HAEM7)

3,140

1553 Lab Others THROMBOCYTOPENIA SCREEN(HAEM2)

9,190

1554 Lab Others TRANSPLANT PACKAGE

620

1555 Lab Others THALASSEMIA PACKAGES I

5,200

1556 Lab Others THALASSEMIA PACKAGES II

8,500

1557 Lab Others RENAL PACKAGE IV

2,500

1558 Lab Others RHEUMATOLOGY PROFILE-III

2,100

1559 Oncology Medical CHEMO PROFILE

2,930

1560 Oncology Surgical PRE CANCER SURGERY PACKAGE

4,670

1561 Psychiatry PSYCHIATRIC EVALUATION PACKAGE

4,050

1562 Wards Others CATH PROFILE

2,430

Page 54: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1563 Wards Others HEALTHY HEART PACKAGE WITH TMT

5,150

1564 Wards Others MEDI PACK

3,560

1565 Wards Others SURGI PACK

5,350

1566 Wards Others TOTAL DIABETIC CHECK UP

2,680

1567 Wards Others NEURO PACK

5,350

1568 Wards Others 1st TRIMESTER SCREENING ASSESSMENT

3,430

1569 Wards Others APOLLO ALLO BMT WORKUP 85,890

1570 Wards Others APOLLO ALLO BMT WORKUP 2 76,230

1571 Wards Others APOLLO AUTO BMT WORKUP 59,750

1572 Wards Others APOLLO BMT DONOR WORKUP 24,020

1573 Wards Others APOLLO BMT DONOR WORKUP 2 28,050

1574 Wards Others APOLLO BMT DONOR WORKUP-DARTI 38,120

1575 Wards Others BMT SEPTIC PROFILE 2

6,630

1576 Wards Others BMT SEPTIC PROFILE 5

3,140

1577 Wards Others JOINT REPLACEMENT PROFILE

2,670

1578 Wards Others PAEDIATRIC SEPTIC PROFILE-II

5,590

1579 Wards Others SEPTIC PROFILE I

2,440

1580 Wards Others Short Stature Package-I

7,720

1581 Wards Others Short Stature Package-II 13,680

1582 Wards Others EP SCREENING PROFILE

2,810

1583 Wards Others BMT RADIOLOGY PROFILE 15,110

1584 ADMINISTRATION COMPLETE FOOT EXAMINATION

800

1585 General Medicine RP 1 PLUS

2,475

1586 General Surgery PRE GENERAL SURGERY PACKAGE

4,695

1587 General Surgery PRE G I SURGERY PACKAGE

6,305

1588 Blood Bank - 1 Products PLATELET CONCENTRATE LEUCOREDUCTION

1,500

1589 Blood Bank - 1 Products POOLING CHARGES

1,000

1590 Blood Bank - 1 Products RED CELL LEUCOREDUCTION

1,000

1591 Blood Bank - 1 Products BMT STEM CELL HARVEST PROFILE II 42,900

1592 Blood Bank - 1 Products BMT STEM CELL HARVEST PROFILE I 64,300

1593 Blood Bank - 1 Products APHAERESIS PLATELET-SPLIT DOSE:PROC.CHG 14,000

1594 Haematology HAEM-BONE MARROW WORKUP

4,010

1595 Gastroenterology and Hepatology CAPSULE ENDOSCOPY 38,850

Page 55: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1596 Gastroenterology and Hepatology PEG REMOVAL

2,920

1597 Gastroenterology and Hepatology PEG REPLACEMENT SET

3,080

1598 Gastroenterology and Hepatology SIGMOIDOSCOPY

2,630

1599 Gastroenterology and Hepatology GASTROSTOMY (P E G) 10,910

1600 Gastroenterology and Hepatology GLUE INJECTION

6,860

1601 Gastroenterology and Hepatology ERCP DIAGNOSTIC

6,100

1602 Gastroenterology and Hepatology BILIARY PANCREATIC STENTING(METAL) 19,700

1603 Gastroenterology and Hepatology 24 HRS PH METRY

6,300

1604 Gastroenterology and Hepatology ARGON PLASMA COAGULATION (MINOR)

3,660

1605 Gastroenterology and Hepatology ARGON PLASMA COAGULATION (MAJOR)

8,040

1606 Gastroenterology and Hepatology NARROW BAND IMAGING CHARGE

1,910

1607 Gastroenterology and Hepatology POLYPECTOMY(COLONIC)

6,100

1608 Gastroenterology and Hepatology FOREIGN BODY EXTRACTION

6,860

1609 Gastroenterology and Hepatology CD RECORDING

440

1610 Gastroenterology and Hepatology SCLEROTHERAPY

4,570

1611 Gastroenterology and Hepatology EMERGENCY CHARGE (LARGE)

5,080

1612 Gastroenterology and Hepatology ENDOSONOGRAM DIAGNOSTIC

6,300

1613 Gastroenterology and Hepatology NASOBILARY DRAINAGE 10,800

1614 Gastroenterology and Hepatology COLONOSCOPY+ILEOSCOPY

4,550

1615 Gastroenterology and Hepatology CRE BALLON DILATATION (BS) 15,400

1616 Gastroenterology and Hepatology RAPID UREASE TEST

400

1617 Gastroenterology and Hepatology COLONOSCOPY LIMITED

2,290

1618 Gastroenterology and Hepatology COMPLETE DOUBLE BALLOON ENTEROSCOPY 27,560

1619 Gastroenterology and Hepatology PSEUDOCYST DRAINAGE 16,800

1620 Gastroenterology and Hepatology INJ HEMOSTASIS

5,860

1621 Gastroenterology and Hepatology POLYPECTOMY(UPPER GI)

6,100

1622 Gastroenterology and Hepatology MAJOR MISCELLANEOUS

9,230

1623 Gastroenterology and Hepatology HYDROGEN BREATH TEST

4,330

1624 Gastroenterology and Hepatology STONE EXTRACTION 15,250

1625 Gastroenterology and Hepatology COLONOSCOPY FULL

3,700

1626 Gastroenterology and Hepatology SPHINCTEROTOMY 13,980

1627 Gastroenterology and Hepatology UPPER ENDOSCOPY

2,700

Page 56: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1628 Gastroenterology and Hepatology ENDOSCOPIC BIOPSY

460

1629 Gastroenterology and Hepatology ESOPHAGEAL PROSTHESIS 11,430

1630 Gastroenterology and Hepatology BILIARY PANCREATIC STENTING(PLASTIC) 14,620

1631 Gastroenterology and Hepatology UGI MANOMETRY

5,120

1632 Gastroenterology and Hepatology LGI MANOMETRY

5,590

1633 Gastroenterology and Hepatology LIVER BIOPSY(GASTRO)

5,590

1634 Gastroenterology and Hepatology GASTROSCOPY(DIAGNOSTIC)

2,700

1635 Gastroenterology and Hepatology CLIP

650

1636 Gastroenterology and Hepatology ANAE-DOUBLE BALLON ENDOSCOPY

1,270

1637 Gastroenterology and Hepatology ELASTROGRAPHY

4,620

1638 Gastroenterology and Hepatology ENTERAL METAL STENT 20,330

1639 Gastroenterology and Hepatology ANAESTHESIA CHARGES-LARGE

1,670

1640 Gastroenterology and Hepatology ANAESTHESIA CHARGES-MEDIUM

1,120

1641 Gastroenterology and Hepatology ANAESTHESIA CHARGES-SHORT

550

1642 Gastroenterology and Hepatology BAND LIGATION

5,120

1643 Gastroenterology and Hepatology BILIARY BRUSHING

1,770

1644 Gastroenterology and Hepatology COLONIC TRANSIT TIME

2,770

1645 Gastroenterology and Hepatology COMPLETE SMALL BOWEL EVALUATION 50,720

1646 Gastroenterology and Hepatology DIATATATION(STRICTURE)

4,600

1647 Gastroenterology and Hepatology EMERGENCY CHARGE (SMALL)

3,050

1648 Gastroenterology and Hepatology EMERGENCY CHARGES PER UNIT

130

1649 Gastroenterology and Hepatology ENDOLOOP PROCEDURE CHARGE

6,990

1650 Gastroenterology and Hepatology ENDOLUMINAL RFA(INTERMEDIATE) 57,750

1651 Gastroenterology and Hepatology ENDOLUMINAL RFA(LARGE) 89,250

1652 Gastroenterology and Hepatology ENDOLUMINAL RFA(SMALL) 40,430

1653 Gastroenterology and Hepatology ENDOSCOPIC FNAC

1,910

1654 Gastroenterology and Hepatology ENDOSCOPIC TUBE PLACEMENT

5,340

1655 Gastroenterology and Hepatology ENDOSCOPIST CHARGE (LARGE)

6,350

1656 Gastroenterology and Hepatology ENDOSCOPIST CHARGE (SMALL)

2,540

1657 Gastroenterology and Hepatology ENDOSCOPY KIT CHARGE

2,540

1658 Gastroenterology and Hepatology EUS-FNA(MAJOR) 27,560

1659 Gastroenterology and Hepatology EUS-FNA(REGULAR) 10,500

Page 57: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1660 Gastroenterology and Hepatology GAS-RADIAL JAW 4 LARGE CAPACITY WITH NEEDLE 240 CM

630

1661 Gastroenterology and Hepatology GLUE INJECTOR NEEDLE

740

1662 Gastroenterology and Hepatology HEMOSTASIS BY GOLD PROBE

9,090

1663 Gastroenterology and Hepatology HEMOSTATIC CLIP PROCEDURE

9,090

1664 Gastroenterology and Hepatology HEMOSTATIS CLIP CHARGE

2,860

1665 Gastroenterology and Hepatology HEPATONORM

1,070

1666 Gastroenterology and Hepatology HX 20 LOOP

2,920

1667 Gastroenterology and Hepatology LIVER TRANSPLANT CLINIC

1,580

1668 Gastroenterology and Hepatology LOOP CHARGE

2,500

1669 Gastroenterology and Hepatology MECHANICAL LITHOTRIPSY 26,680

1670 Gastroenterology and Hepatology MINOR MISCELLANEOUS

3,700

1671 Gastroenterology and Hepatology MINOR PAPILLA CANULATION

8,260

1672 Gastroenterology and Hepatology MINOR PAPPULA STENTING/SPHINCTERCCTOMY 16,520

1673 Gastroenterology and Hepatology MULTI BAND COOK

6,930

1674 Gastroenterology and Hepatology NASOJEJUNAL TUBE PLACEMENT

4,190

1675 Gastroenterology and Hepatology PEG SET

7,810

1676 Gastroenterology and Hepatology PER OPERATIVE ENTEROSCOPY 12,200

1677 Gastroenterology and Hepatology PILL-CAM ENDOSCOPY 38,850

1678 Gastroenterology and Hepatology PLASTIC BILLIARY STENTS ALL SIZES

1,650

1679 Gastroenterology and Hepatology PRE CUTTING

8,020

1680 Gastroenterology and Hepatology SINGLE VESSEL DOPLER(LT)

1,160

1681 Gastroenterology and Hepatology SPYGLASS(INTERMEDIATE) 26,250

1682 Gastroenterology and Hepatology SPYGLASS(MAJOR) 52,500

1683 Gastroenterology and Hepatology SPYGLASS(SMALL) 15,750

1684 Gastroenterology and Hepatology CELLVIZIO PROBE (SMALL)

5,000

1685 Gastroenterology and Hepatology CELLVIZIO PROBE (LARGE) 10,000

1686 Gastroenterology and Hepatology SMALL BOWEL ENTEROSCOPE 21,190

1687 Gastroenterology and Hepatology EMBOLIZATION COIL MWCE-35-55

5,500

1688 Gastroenterology and Hepatology GAS-BILIARY LASER MAJOR 75,000

1689 Gastroenterology and Hepatology GAS-BILIARY LASER MEDIUM 45,000

1690 Gastroenterology and Hepatology GAS-BILIARY LASER SMALL 30,000

1691 Medical IM INJECTION 60

1692 Day Care DAY CARE ANGIOGRAM 10,130

1693 Ophthalmology CAUTERISATION OF EYELASHES IN TRICHIASIS (SINGLE EYE)-

INTERMEDIATE

6,000

Page 58: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1694 Ophthalmology CAUTERISATION OF EYELASHES IN TRICHIASIS (SINGLE EYE) - LARGE

8,000

1695 Urology SUPRAPUBIC CATHERISATION (CYSTOMY)

7,000

1696 Urology PROSTATE BIOPSY- THRU SIMULTANEOUS AND ENDFIRE USG 10,000

1697 Histopathology FNAC PROCEDURAL CHARGES

170

1698 Emergency Medical Services CHEST TUBE INSERTION

1,500

1699 Emergency Medical Services PROC CHG-RYL''S TUBE INSERTION

250

1700 Emergency Medical Services ARTERIAL LINE

3,000

1701 Emergency Medical Services DAY CARE EMG BED CHARGE / PER HOUR

500

1702 Emergency Medical Services PROC CHG-C.V.P SET

230

1703 Emergency Medical Services PROC CHG-FOR ABG

400

1704 Emergency Medical Services PROC CHG-SUPRAPUBIC CATHETERISATION

1,500

1705 Emergency Medical Services PROC CHG-SUTURING:MAJOR (MORE THAN 8 BITES)

1,500

1706 Emergency Medical Services PROC CHG-SUTURING:MINOR (LESS THAN 8 BITES)

900

1707 Emergency Medical Services PROC CHG-CARDIOVERSION

2,500

1708 Emergency Medical Services PROC CHG-ARTERIAL LINE

1,160

1709 Emergency Medical Services CBG MONITORING CHARGE/HOUR

200

1710 CARDIOLOGY CARDIOVERSION

2,650

1711 CARDIOLOGY CARD-2ND OPINION CONSULTATION

1,320

1712 CARDIOLOGY CRT OPTIMIZATION

3,320

1713 CARDIOLOGY PACEMAKER PROGRAMMING

2,260

1714 CARDIOLOGY PACEMAKER/DEVICE CHECK-UP

500

1715 CARDIOLOGY FLUOROSCOPY FOR HEART VALVES

5,000

1716 Ear Nose and Throat PURE TONE AUDIOMETRY

530

1717 Ear Nose and Throat SPECIAL TEST BATTERY S1 S1

740

1718 Ear Nose and Throat FIBREOPTIC LARYNGOSCOPY

4,390

1719 Ear Nose and Throat PROC CHG-FOREIGN BODY REMOVAL

810

1720 Ear Nose and Throat ENT-TINNITUS RETRAINING THERAPY

630

1721 Ear Nose and Throat LARYNGIOSCOPE PROCEDURE

1,000

1722 Ear Nose and Throat SHORT INCREMENT SENSITIVITY INDEX TEST

530

Page 59: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1723 Ear Nose and Throat SPEECH THERAPY

630

1724 Ear Nose and Throat SRT/SDS

480

1725 Ear Nose and Throat SWALLOWING ASSESSMENT

740

1726 Ear Nose and Throat SWALLOWING THERAPY

630

1727 Ear Nose and Throat TONE DECAY TEST

340

1728 Ear Nose and Throat TYMPANOMETRY(DIAGNOSTIC)

1,050

1729 Ear Nose and Throat STROBOSCOPY

2,500

1730 Ear Nose and Throat AUDIOMETRY TEST BATTERY

580

1731 Gastroenterology and Hepatology LANGUAGE THERAPY

630

1732 Gastroenterology and Hepatology SINUS TRACT ENDOSCOPY (MINOR) 10,000

1733 Gastroenterology and Hepatology SINUS TRACT ENDOSCOPY (MAJOR) 20,000

1734 Gastroenterology and Hepatology GAS-TEG (MIN)

5,000

1735 Gastroenterology and Hepatology GAS-TEG (MAJ)

6,000

1736 Gastroenterology and Hepatology GAS - POEM MINOR 30,000

1737 Gastroenterology and Hepatology GAS - POEM MAJOR 60,000

1738 Gastroenterology and Hepatology GAS-COMPREHENSIVE CONSULTATION PACKAGE (MAJOR) 10,000

1739 Gastroenterology and Hepatology GAS-COMPREHENSIVE CONSULTATION PACKAGE (NORMAL)

5,000

1740 Medical NEBULIZER THERAPY

250

1741 Medical INVESTIGATOR(INSURANCE COMPANY)

1,600

1742 Medical PSYCHO SOCIAL CONSULTATION (DR ANIRBAN DUTT)

550

1743 Nephrology JUGULAR CATHETERIZATION

5,040

1744 Nephrology PLASMA FLUX P2S/P1S STEM STERILIZED 11,700

1745 Nephrology CRRT PROCEDURE CHARGES 12,590

1746 Nephrology PERITONEAL DIALYSIS INITIATION

3,350

1747 Nephrology HAEMODIALYSIS (SINGLE USE)

3,860

1748 Nephrology SUBCLAVIAN CATHETERISATION

3,970

1749 Nephrology HAEMODIALYSIS

3,000

1750 Nephrology PROC.CHG.JUGULAR CATHETERIZATION

1,520

1751 Nephrology PROC.CHG.SUBCLAVIAN CATHETERIZATION

1,520

1752 Nephrology NEP-SUTURE MERSLIK-REVERSE CUTTING

170

1753 Nephrology DIALYSIS(BURMESE PATIENT)

2,630

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1754 Nephrology REMOVAL OF SUBCLAVIAN CATHETERIZATION AND JUGULAR

CATHETERIZATION

5,040

1755 Nephrology SUTURE MERSILK -REVERSE CUTTING

170

1756 Neurology IQ ASSESSMENT

2,000

1757 Neurology LUMBER PUNCTURE PROCEDURE CHARGE

1,750

1758 Neurology ICP SCREENING

3,000

1759 Neurology VIDEO EEG 24 HRS 35,220

1760 Neurology POST THROMBOLYSIS MONITORING (1st HR,2nd HR,24th HR) 15,000

1761 Neurology REPEAT VMR

4,000

1762 Neurology VASO MOTOR REACTIVITY (VMR)

8,000

1763 Neurology BUBBLE STUDY (PFO)

5,000

1764 Neurology EMBOLI MONITORNING/ REPEAT EMBOLI MONITORING 10,000

1765 Neurology REPEAT VASOSPASM MONITORING

4,000

1766 Neurology VASOSPASM MONITORING (FIRST TIME ALL FIVE BUNDLE)

7,000

1767 Neurology COMPLETE TCD SCREENING

4,000

1768 Neurology INTRA CRANIAL TCD SCREENING

2,000

1769 Neurology VOICE THEPAPY/SPEECH THERAPY

630

1770 Neurology AMBULATORY ELECTRO ENCEPHALOGRAPHY

9,700

1771 Neurology BAER STUDY

1,320

1772 Neurology EMG-FACIAL

2,045

1773 Neurology NCV+EMG-FACIAL

3,185

1774 Neurology CONDUCTION BLOCK PROTOCOL

1,890

1775 Neurology COUNSELLING OF INHOUSE PATIENT

450

1776 Neurology CSF DRAINAGE

6,600

1777 Neurology NEURO PSYCHOLOGICAL TEST(II)

2,090

1778 Neurology SPNICTER-EMG

1,320

1779 Neurology SSEP (LOWER LIMBS)

1,320

1780 Neurology SSEP - UPPER LIMB

1,320

1781 Obstretics & Gynaecology IUCD INSERTION

2,100

1782 Obstretics & Gynaecology COLPOSCOPY PROCEDURE CHARGE

2,650

Page 61: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

1783 Obstretics & Gynaecology PROC CHG-H.S.G SET

320

1784 Obstretics & Gynaecology CLIP REMOVAL CHARGES (OBG)

110

1785 Obstretics & Gynaecology OTOACOUSTIC ESTIMATION(OAE)

1,600

1786 Obstretics & Gynaecology NUCAL TRANSLUCENCY SCAN - NT ONLY

2,000

1787 Obstretics & Gynaecology NUCAL TRANSLUCENCY SCAN - NT TWINS ONLY

2,500

1788 Obstretics & Gynaecology FETAL ANATOMY / ANOMALY SCAN

3,000

1789 Obstretics & Gynaecology FETAL ANATOMY / ANOMALY SCAN TWINS

3,500

1790 Obstretics & Gynaecology FETAL WELLBEING ASSESSMENT SCAN - GROWTH / DOPPLER FETAL

PROFILE

3,000

1791 Obstretics & Gynaecology FETAL WELLBEING ASSESSMENT SCAN - GROWTH/DOPPLER FETAL

PROFILE TWINS

3,500

1792 Obstretics & Gynaecology FETAL SCAN SCREENING

1,500

1793 Obstretics & Gynaecology FETAL SCAN SCREENING TWINS

2,000

1794 Obstretics & Gynaecology FETAL ECHOCARDIOGRAPHY

4,500

1795 Obstretics & Gynaecology FETAL 4D USG

5,000

1796 Obstretics & Gynaecology COUNSELLING FOR INVASIVE TEST

600

1797 Obstretics & Gynaecology EARLY PREGNANCY TRANS - VAGINAL SCANS

1,000

1798 Obstretics & Gynaecology COMBINED FIRST TRIMESTER SCREENING

4,900

1799 Obstretics & Gynaecology COMBINED FIRST TRIMESTER SCREENING TWINS

5,400

1800 Obstretics & Gynaecology DOUBLE MARKER TEST (BLOOD ONLY)

2,900

1801 Obstretics & Gynaecology QUARDRUPLE MARKER TEST (BLOOD ONLY)

2,500

1802 Obstretics & Gynaecology QUARDRUPLE MARKER TEST WITH USG

5,000

1803 Paediatrics CDC-CONSULTATION DETAILED

630

1804 Paediatrics CDC-COUNCELLING

760

1805 Paediatrics CDC-GRIFFITHS PROCEDURE

4,410

1806 Paediatrics CDC-GENETICS CHROMOSOME TEST

3,780

1807 Paediatrics CDC-GENETICS DNA EXTRACTION AND STORAGE TEST

1,260

1808 Paediatrics CDC-GENETICS FISH TEST

5,040

1809 Paediatrics CDC-PROCEDURE BASIC

1,260

1810 Paediatrics CDC-PROCEDURE COMPREHENSIVE

5,040

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1811 Paediatrics CDC-PROCEDURE DETAILED

3,780

1812 Paediatrics CDC-PROCEDURE REGULAR

2,520

1813 Paediatrics CDC- GANETIC CLINIC

1,260

1814 Paediatrics DEVELOPMENTAL ASSESSMENT

1,590

1815 Paediatrics SPECIALIZED DETAILED ADVISORY CONSULTATION

5,000

1816 Pulmonary Function Lab BRONCHOSCOPY

4,220

1817 Pulmonary Function Lab PROC CHG-PLEURAL TAP

1,160

1818 Pulmonary Function Lab ICU BRONCHOSCOPY

2,520

1819 Pulmonary Function Lab PAED BRONCHOSCOPY

7,020

1820 Pulmonary Function Lab THERAPEUTIC ICU BRONCHOSCOPY

3,780

1821 Pulmonary Function Lab INTRA PLEURAL INJECTION

4,200

1822 Pulmonary Function Lab BRONCHOSCOPIC ARGON PLASMA PROC 15,000

1823 Pulmonary Function Lab BRONCHOSCOPIC SELF EXPNDBLE METALIC STENT PROC 15,000

1824 Day Care STITCH REMOVAL

400

1825 Ophthalmology CORNEAL PACHYMETRY

970

1826 Ophthalmology BIOMETRY(SINGLE EYE)

480

1827 Ophthalmology BIOMETRY(BOTH EYE)

630

1828 Ophthalmology DAY CARE OPTH-CONT. SURGERY LEVEL1

3,780

1829 Ophthalmology OPTH-Pachymetry(Single eye)

480

1830 Ophthalmology OPTHALMIC SCREENING(VECC)

810

1831 Ophthalmology OPHTHAL - REFRACTION

150

1832 Ophthalmology I AND S OF CHALAZION 10,000

1833 Ophthalmology PROC.CHG - BOTOX INJ. (SINGLE EYE)

7,500

1834 Ophthalmology PROC.CHG - BOTOX INJ. (BOTH EYES) 15,000

1835 Urology CATHETER REMOVAL 80

1836 Urology FIBREOPTIC CYSTOSCOPY+STENT REMOVAL

8,190

1837 Urology ESWL (LITHOTRIPSY)(PACKAGE) 13,900

1838 Urology URODYNAMIC STUDY

5,090

1839 Urology UROFLOWMETRY

1,160

1840 Urology PROSTATE BIOPSY 10,000

1841 Urology FOLEY'S CATHETERIZATION

290

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1842 Urology URETHRAL DILATATION

5,250

1843 Urology LITHOTRIPSY STONE MORE THAN 1CM LESS THAN 2 CM (PACKAGE) 26,250

1844 Urology LITHOTRIPSY STONE LESS THAN 1 CM 15,750

1845 Urology DAY CARE CYSTO LITHOSTOMY (URO) 32,760

1846 Oncology Radiation IMRT PACKAGE 130,000

1847 Oncology Radiation 3D CRT PACKAGE 75,000

1848 Oncology Radiation BRACHY THERAPY INTRACAVITARY 30,000

1849 Oncology Radiation SRS 160,000

1850 Oncology Radiation SRT 140,000

1851 Oncology Radiation RAPID ARC WITH IMRT RATE 145,000

1852 Oncology Radiation 3 D PLANNING 10,000

1853 Oncology Radiation SRT SINGLE FRACTION 28,000

1854 Oncology Radiation 3D-CRT SINGLE FRACTION (INS)

3,000

1855 Oncology Radiation 3D-CRT WITH IGRT PACKAGE 150,000

1856 Oncology Radiation 4D-CRT WITH IGRT PACKAGE 170,000

1857 Oncology Radiation ELECTRON BEAM THERAPY / FRACTION

1,500

1858 Oncology Radiation RT- IGRT PACKAGE 190,000

1859 Oncology Radiation RT- IGRT SINGLE FRACTION

7,000

1860 Oncology Radiation INTRA CAVITARY BRACHYTHERAPY / SITTING 10,000

1861 Oncology Radiation PALLIATIVE RADIATION SINGLE FRACTION 10,000

1862 Oncology Radiation PRE-RADIATION PROFILE

2,500

1863 Oncology Radiation RADICAL BRACHYTHERAPY / SITTING 10,000

1864 Oncology Radiation SRS NEURO INTERVENTIONAL CHARGE / CASE 10,000

1865 Oncology Radiation 3D-CRT WITH IGRT SINGLE FRACTION (INS)

6,000

1866 Oncology Radiation 4D-CRT WITH IRGT SINGLE FRACTION (INS)

7,000

1867 Oncology Radiation BRACHYTHERAPY INTERSTITAL 40,000

1868 Oncology Radiation BRACHYTHERAPY INTRALUMINAL 18,000

1869 Oncology Radiation BRACHYTHERAPY PACKAGE 30,000

1870 Oncology Radiation BRACHYTHERAPY SURFACE MOULD

6,000

1871 Oncology Radiation CONV. RADIATION THERAPY(ECONOMIC PKG)W/O TPS 30,000

1872 Oncology Radiation CONVENTIONAL RADIO THERAPY 55,000

1873 Oncology Radiation CONVENTIONAL RT SINGLE FRACTION (INS)

2,200

1874 Oncology Radiation IGRT SINGLE FRACTION (INS)

7,000

1875 Oncology Radiation IMRT SINGLE FRACTION (INS)

5,600

1876 Oncology Radiation IMRT WITH CBCT 160,000

1877 Oncology Radiation IMRT WITH CBCT (PER FRACTION)

6,400

1878 Oncology Radiation IMRT WITH CBCT(PACKAGE) 160,000

1879 Oncology Radiation PALLIATIVE RADIATION THERAPY(15FRACTIONS) 30,000

1880 Oncology Radiation PALLIATIVE RADIATION THERAPY(25FRACTIONS) 45,000

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1881 Oncology Radiation PALLIATIVE RT SINGLE FRACTION (INS)

2,200

1882 Oncology Radiation RESPIRATORY GRATING ALONG WITH LINEAR ACC. 190,000

1883 Oncology Radiation IMRT(INTENCITY MODULATED RADIOTHERAPY)(CGHS) 129,000

1884 Oncology Radiation ROG LEVEL - 1

500

1885 Orthopaedics INFUSION PUMP

400

1886 Orthopaedics INJECTION CHARGES INTRA VENOUS (IV)

150

1887 Orthopaedics INJECTION-INTRAARTICULAR

2,650

1888 Orthopaedics INTRA ARTICULAR INJECTION-III

3,970

1889 Orthopaedics STITCH CUTTING(ORTHO)

170

1890 Orthopaedics DAY CARE STERILIZATION CHARGE (WARD)

140

1891 Orthopaedics DAY CARE MUA PACKAGE

7,560

1892 Orthopaedics PROC CHG-DISLOCATION REDUCTION:ELBOW

1,020

1893 Orthopaedics PROC CHG-DISLOCATION REDUCTION:JAW

510

1894 Orthopaedics PROC CHG-DISLOCATION REDUCTION:KNEE/ANKLE

1,020

1895 Orthopaedics PROC CHG-DISLOCATION REDUCTION:SHOULDER

1,160

1896 Orthopaedics PROC CHG-FINGER/TOE INJURIES

480

1897 Orthopaedics PROC CHG-PLASTER CUTTING

150

1898 Orthopaedics PROC CHG-POP (LOWER LIMB)

740

1899 Orthopaedics PLATELET RICH PLASMA (PRP) INJECTION THERAPY 10,000

1900 Cardiac Thoracic ASPIRATION OF POST OPERATIVE PLEURAL FLUID - USG GUIDED

3,900

1901 Cardiovascular & Thoracic Surgery TRANSIENT TIME FLOWMETRY (TTFM)

7,500

1902 Dermatology EAR PIERCING

750

1903 Dermatology IONTOPHORESIS(PER SESSION)

460

1904 Dermatology DIAGNOSTIC PUNCH BIOSPY

440

1905 Dermatology EAR LOBE REPAIR

750

1906 Dermatology DRESSING OF WOUND

460

1907 Dermatology INTRALESIONAL STEROIDS

290

1908 Dermatology REMOVAL OF MOLE-LARGE

750

1909 Dermatology NAIL REMOVAL

750

1910 Dermatology NOSE PIERCING

750

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1911 Dermatology REMOVAL OF MOLLUSCUM CONTAGIOSUA-LARGE

460

1912 Dermatology LARGE-MICRODERM ABRASYON

1,750

1913 Dermatology CORN REMOVAL(SMALL)

460

1914 Dermatology MESOTHERAPY(LARGE)

750

1915 Dermatology BOTOX(SMALL)

460

1916 Dermatology HAIR REMOVAL PKG UPPER LIP

8,820

1917 Dermatology ABSCESS DRAINAGE

370

1918 Dermatology CHEMICAL PEELING

560

1919 Dermatology COHERENT ACNE SCARS

4,730

1920 Dermatology BOTOX(LARGE)

750

1921 Dermatology REMOVAL OF WARTS-LARGE

1,090

1922 Dermatology REMOVAL OF WARTS-SMALL

370

1923 Dermatology REMOVAL OF WARTS-MEDIUM

750

1924 Dermatology DERMABRASION- SMALL AREA

370

1925 Dermatology DERMATOLOGY TAX CODE II 10

1926 Dermatology DERMATOLOGY TAX CODE III

130

1927 Dermatology REMOVAL OF MILIA

290

1928 Dermatology REMOVAL OF MOLLUSCUM CONTAGIOSUA-SMALL

290

1929 Dermatology STITCHING OF WOUND

290

1930 Dermatology ACNE LASER TREATMENT(PACKAGE)

9,960

1931 Dermatology ACNE LASER TREATMENT(PER SESSION)

2,390

1932 Dermatology ACNE SURGERY-COMEDONE MANAGEMENT I

370

1933 Dermatology ACNE SURGERY-COMEDONE MANAGEMENT II

370

1934 Dermatology ACNE SURGERY-MICRODERMABRASION

370

1935 Dermatology ACNE SURGERY-PUNCH TECHNIQUES

370

1936 Dermatology ACNE SURGERY-SUBCISION

370

1937 Dermatology CHEMICAL PEELING FOR XANTHALESMA(LARGE)

290

1938 Dermatology CHEMICAL PEELING FOR XANTHALESMA(SMALL)

190

1939 Dermatology CO2 LASER CHARGE(LARGE)

1,840

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1940 Dermatology CO2 LASER CHARGE(MEDIUM)

1,380

1941 Dermatology CO2 LASER CHARGE(SMALL)

900

1942 Dermatology CO2 LASER FOR WHOLE FACE(LARGE/60MINS) 15,750

1943 Dermatology CO2 LASER FOR WHOLE FACE(MEDIUM/45MINS) 10,500

1944 Dermatology CO2 LASER FOR WHOLE FACE(SMALL/30MINS)

6,300

1945 Dermatology CO2 LASER FOR WHOLE FACE/LARGE 15,750

1946 Dermatology CO2 LASER FOR WHOLE FACE/MEDIUM 10,500

1947 Dermatology CO2 LASER FOR WHOLE FACE/SMALL

6,300

1948 Dermatology CO2 LASER SPOT REDUCTION(LARGE/30 MINS)

6,300

1949 Dermatology CO2 LASER SPOT REDUCTION(MEDIUM/20 MINS)

3,150

1950 Dermatology CO2 LASER SPOT REDUCTION(SMALL/10 MINS)

2,100

1951 Dermatology COHERENT ANTI AGEING

4,730

1952 Dermatology COHERENT ENLARGED PORES

4,730

1953 Dermatology COHERENT HAIR GROWTH/LOSS

1,790

1954 Dermatology COHERENT OPEN PORES

2,990

1955 Dermatology COHERENT STRETCH MARK

7,090

1956 Dermatology COHERENT SURGICAL SCARS

5,930

1957 Dermatology COLLOSETY REMOVAL

370

1958 Dermatology CORN REMOVAL(LARGE)

750

1959 Dermatology CURETTAGE OF WOUND

370

1960 Dermatology DEEMABRASION-LARGE

750

1961 Dermatology DEEMABRASION-MEDIUM

750

1962 Dermatology ELECTRO SURGERY-BIG

1,050

1963 Dermatology ELECTRO SURGERY-SMALL

670

1964 Dermatology HAIR REMOVAL PACKAGE ARM EACH 37,800

1965 Dermatology HAIR REMOVAL PACKAGE WHOLE FACE 20,160

1966 Dermatology HAIR REMOVAL PKG-CHIN AND UPPER LIP 12,600

1967 Dermatology HAIR REMOVAL PKG-UNDER ARM 10,080

1968 Dermatology HAIR REMOVAL PKG-UPPER LIP AND SIDE BURNS 12,600

1969 Dermatology HAIR REMOVAL/SHOT

320

1970 Dermatology LARGE-SKIN SURGERY

1,890

1971 Dermatology LASERTREATMENTCHARGE PER UNIT

560

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1972 Dermatology MEDIUM-MICRODERM ABRASYON

1,380

1973 Dermatology MEDIUM-REMOVAL MOLLUSCUM CONTAGIOSUM

1,380

1974 Dermatology MEDIUM-SKIN SURGERY

1,510

1975 Dermatology MESOGUN CHARGE(LARGE)

740

1976 Dermatology MESOGUN CHARGE(STANDARD)

580

1977 Dermatology MESOTHERAPY(SMALL)

460

1978 Dermatology NB UVB COMB

250

1979 Dermatology NON LASER FACIAL REJUVENATION(LARGE)

1,200

1980 Dermatology NON LASER FACIAL REJUVENATION(MEDIUM)

900

1981 Dermatology NON LASER FACIAL REJUVENATION(SMALL)

560

1982 Dermatology PHOTOTHERAPY (NARROW BAND UVB)

800

1983 Dermatology PHOTOTHERAPY (PUVA)

800

1984 Dermatology PIGMENT LASER CHARGE(LARGE)

1,600

1985 Dermatology PIGMENT LASER CHARGE(MEDIUM)

1,200

1986 Dermatology PIGMENT LASER CHARGE(SMALL)

800

1987 Dermatology PIGMENTATION AND VASCULAR LESIONS(PER SHOT)

480

1988 Dermatology PUVA COMB

250

1989 Dermatology QLHAIR REMOVAL PKG-ARM EACH 50,400

1990 Dermatology QL-HAIR REMOVAL PKG-CHIN AND UPPER LIP 18,900

1991 Dermatology QL-HAIR REMOVAL PKG-UNDER ARM 15,120

1992 Dermatology QL-HAIR REMOVAL PKG-UPPER LIP 12,600

1993 Dermatology QL-HAIR REMOVAL PKG-UPPER LIP AND SIDE BURNS 18,900

1994 Dermatology QL-HAIR REMOVAL PKG-WHOLE FACE 27,720

1995 Dermatology QL-HAIR REMOVAL/SHOT

500

1996 Dermatology QL-Q SWITCHED NDYAG: PKG LARGE 25,200

1997 Dermatology QL-Q SWITCHED NDYAG: PKG MEDIUM 18,900

1998 Dermatology QL-Q SWITCHED NDYAG: PKG SMALL 12,600

1999 Dermatology QL-Q SWITCHED NDYAG: PKG VERY LARGE 37,800

2000 Dermatology QL-SKIN REJUVINATION: PER SESSION- FACE LARGE

5,040

2001 Dermatology QL-SKIN REJUVINATION: PER SESSION- FACE MEDIUM

3,780

2002 Dermatology QL-SKIN REJUVINATION: PER SESSION- FACE SMALL

2,520

2003 Dermatology QL-SKIN REJUVINATION: PKG SIX SESSIONS- LARGE 22,680

2004 Dermatology QL-SKIN REJUVINATION: PKG SIX SESSIONS- MEDIUM 17,640

2005 Dermatology QL-SKIN REJUVINATION: PKG SIX SESSIONS- SMALL 12,600

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2006 Dermatology RADIOFREQUENCY SURGERY-SMALL

560

2007 Dermatology REJUVINATION PKG LARGE(SIX SESSIONS) 11,340

2008 Dermatology REJUVINATION PKG MEDIUM(SIX SESSIONS)

8,820

2009 Dermatology REJUVINATION PKG SMALL(SIX SESSIONS)

6,300

2010 Dermatology REJUVINATION(PER SESSION)-FACE LARGE

2,520

2011 Dermatology REJUVINATION(PER SESSION)-FACE MEDIUM

1,890

2012 Dermatology REJUVINATION(PER SESSION)-FACE SMALL

1,510

2013 Dermatology REMOVAL OF ACHROCHORDON-LARGE

750

2014 Dermatology REMOVAL OF ACHROCHORDON-SMALL

370

2015 Dermatology EMOVAL OF LUPOMA

750

2016 Dermatology REMOVAL OF MILIA(LARGE)

460

2017 Dermatology REMOVAL OF MILIA(SMALL)

290

2018 Dermatology REMOVAL OF MOLE-SMALL

370

2019 Dermatology REMOVAL OF SEBACEOUS CYST

750

2020 Dermatology SKIN PROCEDURE(LARGE)

760

2021 Dermatology SKIN PROCEDURE(MEDIUM)

500

2022 Dermatology SKIN PROCEDURE(SMALL)

380

2023 Dermatology SKIN REJUVENATION

3,980

2024 Dermatology MALL-MICRODERM ABRASYON

1,090

2025 Dermatology SMALL-REMOVAL MOLLUSCUM CONTAGIOSUM

1,090

2026 Dermatology SMALL-SKIN SURGERY

1,090

2027 Dermatology THERMOEPILATION OF UNWANTED HAIRS-(30-50 HAIRS

370

2028 Dermatology VITILIGO SURGERY- EYELID PUNCH GRAFTING

1,090

2029 Dermatology VITILIGO SURGERY- LIP PUNCH GRAFTING

1,090

2030 Dermatology VITILIGO SURGERY- MICROPIGMENTATION

370

2031 Dermatology VITILIGO SURGERY- PUNCH GRAFTING-SMALL

560

2032 Dermatology VITILIGO SURGERY- TEST GRAFTING

370

2033 Dermatology VITILIGO SURGERY-PUNCH GRAFTING-BIG

1,090

2034 Dermatology WOUND DRESSING(SMALL)

290

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2035 Dermatology LARGE-REMOVAL MOLLUSCUM CONTAGIOSUM

1,750

2036 Dermatology M22 LASER (EACH SHOT)

620

2037 Dermatology M22 LASER HAEMANGIOMA REMOVAL

2,500

2038 Dermatology M22 LASER HAIR REMOVAL-EACH ARM 46,300

2039 Dermatology M22 LASER HAIR REMOVAL-EACH LEG 69,400

2040 Dermatology M22 LASER HAIR REMOVAL-UNDER ARM 20,800

2041 Dermatology M22 LASER HAIR REMOVAL-UPPER LIP 13,920

2042 Dermatology M22 LASER HAIR REMOVAL-WHOLE FACE 34,700

2043 Dermatology M22 LASER REJUVENATION-WHOLE FACE

2,890

2044 Dermatology M22 LASER SCAR REMOVAL-WHOLE FACE

2,890

2045 Dermatology DMT CONSULTANT SURGEON FEE PER UNIT

150

2046 Dermatology SINGLE SURFACE PHOTOTHERAPY

530

2047 Dermatology M22 LASER UPPER LIP PLUS BOTH CHEEKS 27,670

2048 Dermatology M22 LASER HAIR REMOVAL - BOTH LEGS 92,000

2049 Dermatology M22 LASER HAIR REMOVAL - BOTH ARMS 69,000

2050 Dermatology M22 LASER HAIR REMOVAL - CHEST 92,000

2051 Dermatology M22 LASER BOTH CHEEKS (SIDE BURNS) 25,360

2052 Dermatology M22 LASER CHIN PLUS UPPER LIP 23,000

2053 Dermatology M22 LASER BACK (HALF) 46,000

2054 Dermatology M22 LASER BACK (WHOLE) 69,000

2055 Dermatology M22 LASER CHIN 20,800

2056 Endoscopy IMPEDENCE TEST BATTERY

1,090

2057 Physiotherapy and Rehab Center PROC CHAG-CENTRAL LINE

2,180

2058 Anaesthesiology PROC CHG-DIGITAL BLOCK

290

2059 Diabetics CGMS

5,500

2060 Diabetics CARDIAC AUTONOMIC NEUROPATHY SYSTEM ANALYSER

700

2061 Diabetics SUBCUTANEOUS INSULIN INFUSION THERAPY

6,000

2062 Endocrinology EUSTACHIAN TUBE FUNCTION TEST

340

2063 Medical Genetics PAEDIATRIC AUDIOLOGIC ASSESSMENT

530

2064 Fracture Unit LANGUAGE ASSESSMENT

1,160

2065 Music theraphy PROC CHG-BP CHECK

230

2066 Nursing D/C CARDIOVERSION

5,000

2067 Neonatology VOICE ASSESSMENT

630

2068 Phlebotomy PROC CHAG-CHEST DRAINAGE

1,460

Page 70: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

2069 Oncology Medical CHEMOTHERAPY- MULTIPLE DRUGS(CGHS)

1,345

2070 Oncology Medical DAYCARE BED CHARGES

2,520

2071 Oncology Medical PBSC HARVEST 31,500

2072 Oncology Medical CHEMO HIGH(ICL BED AND SPL CHARGES)

8,500

2073 Oncology Medical CHEMO LOW(ICL BED AND SPL CHARGES)

5,500

2074 Oncology Medical CHEMO S.D (1/1) (ICL BED AND SPL CHARGES)

1,800

2075 Oncology Medical DAY CARE BED CHARGE FOR CHEMOTHERAPY

1,890

2076 Psychiatry PSYCHOLOGICAL ASSESSMENT

2,500

2077 ADMINISTRATION DIABETIC RETINOPATHY SCREEENING

700

2078 ADMINISTRATION VPT/BIOTHESIOMETER

400

2079 ADMINISTRATION VASCULAR DOPPLER

400

2080 ADMINISTRATION PODIA SCAN

400

2081 ADMINISTRATION DIABETIC EDUCATION /COUNSELING

400

2082 General Medicine NEW BORN HEARING SCREENING

1,600

2083 General Medicine SPINE-OZONE DISCOLYSIS 36,390

2084 General Surgery DRAIN REMOVAL

500

2085 General Surgery PROC CHARGE STITCH CUTTING

170

2086 General Surgery OTHER AUDIOLOGIC SPECIAL TEST (EACH)

420

2087 General Surgery DC- STITCH CUTTING

1,260

2088 General Surgery SEROMA REMOVAL

4,200

2089 General Surgery STOMA THERAPY

1,020

2090 General Surgery STOMA THERAPY- SN

250

2091 General Surgery STOMA THERAPY-BS

250

2092 General Surgery STOMA THERAPY-PSB

250

2093 General Surgery PROC CHG-DRAIN REMOVAL

290

2094 Blood Bank - 1 Products PLATELET CONCENT : PROC. CHARGES

1,200

2095 Blood Bank - 1 Products APHAERESIS PLATELET:PROC.CHG 11,000

2096 Blood Bank - 1 Products CRYOPRECIPITATE: PROC. CHARGES

1,050

2097 Blood Bank - 1 Products FRESH FROZEN PLASMA- BLOOD UNITS

1,150

2098 Blood Bank - 1 Products PACKED RED BLOOD CELL(PRBC) : PROC. CHARGES

3,080

Page 71: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

2099 Blood Bank - 1 Products AUTOLOGUS PRP

750

2100 Blood Bank - 1 Products APHERESIS DONOR SCREENING BY ELISA/ECI AND NAT

740

2101 Blood Bank - 1 Products NAT-SCREENING TEST-CORDLIFE

1,000

2102 Blood Bank - 1 Products CRYOPRESERVATION 37,800

2103 Blood Bank - 1 Products PEDI PACK FFP PROCESSING CHARGE

480

2104 Blood Bank - 1 Products PEDI-PACK PRBC:PROC CHG

1,000

2105 Blood Bank - 1 Products PLATLET RICH PLASMA - PROC. CHARGES

1,840

2106 Blood Bank - 1 Products CRYO POOR PLASMA(PROC CHARGE)

1,540

2107 Blood Bank - 1 Products GRANULOCYTE CONC. : PROC. CHARGES

1,840

2108 Blood Bank - 1 Products THERAPEUTIC PLATELETPHERESIS 25,300

2109 Blood Bank - 1 Products BLOOD UNITS CRYOPRECIPITATE - SERVICE CHARGE

1,470

2110 Blood Bank - 1 Products BLOOD UNITS GRANULOCYTE CONC. SERVICE CHARGES

790

2111 Blood Bank - 1 Products THERAPEUTIC APHERESIS 27,300

2112 Blood Bank - 1 Products PLATELET CROSSMATCH

850

2113 Blood Bank - 1 Products Transfusion Monitoring Charges

750

2114 Emergency Medical Services PERICARDIOCENTESIS - USG GUIDED

5,000

2115 Emergency Medical Services AMBULANCE DOCTOR CHARGES

1,500

2116 Emergency Medical Services EMERGENCY DRESSING (MINOR)

300

2117 Emergency Medical Services INCISION AND DRAINAGE

2,000

2118 Emergency Medical Services DRUG ADMINISTARTION CHARGES

500

2119 Emergency Medical Services EMERGENCY DRESSING (MAJOR)

500

2120 Emergency Medical Services EMERGENCY PHYSICIAN CHARGES

300

2121 Emergency Medical Services ABDOMINAL PARECENTESIS - BLIND

1,800

2122 Emergency Medical Services NERVE BLOCK

1,000

2123 Emergency Medical Services FOREIGN BODY REMOVAL NOSE

1,500

2124 Emergency Medical Services AMBULANCE DOCTOR CHARGES (ADDITIONAL HOUR)

500

2125 Emergency Medical Services FOREIGN BODY REMOVAL -THROAT EMERGENCY

1,000

2126 Emergency Medical Services CENTRAL LINE: USG GUIDED

2,500

2127 Emergency Medical Services CENTRAL LINE

1,500

2128 Emergency Medical Services ENDOTRACHEAL INTUBATION

1,800

Page 72: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

2129 Emergency Medical Services LUMBER PUNCTURE

2,500

2130 Emergency Medical Services ELBOW DISLOCATION

4,000

2131 Emergency Medical Services EYE FOREIGN BODY REMOVAL

1,500

2132 Emergency Medical Services FOREIGN BODY REMOVAL EAR

1,000

2133 Emergency Medical Services NAIL EXICISION

7,560

2134 Emergency Medical Services UL DISLOCATION SHOULDER : OPEN REDUCTION

5,000

2135 Emergency Medical Services SUTURING MAJOR (EMERGENCY)

1,800

2136 Emergency Medical Services SUTURING MINOR (EMERGENCY)

1,000

2137 Emergency Medical Services EMERGENCY CONSULTANT FEES

700

2138 Emergency Medical Services ABDOMINAL PARECENTESIS - USG GUIDED

2,500

2139 Emergency Medical Services ADHESIVE TAPE (STERI-STRIP) (WITH MATERIAL)

1,000

2140 Emergency Medical Services ADHESIVE TAPE (STERI-STRIP) (WITHOUT MATERIA

800

2141 Emergency Medical Services CHEMICAL CARDIOVERSION (SVT, AF)

2,500

2142 Emergency Medical Services DIALYSIS LINE INSERTION - BLIND

2,500

2143 Emergency Medical Services DIALYSIS LINE INSERTION - USG GUIDED

3,500

2144 Emergency Medical Services DISLOCATION - PATELLA

3,000

2145 Emergency Medical Services DISLOCATION UNDER PSA - JAW

2,000

2146 Emergency Medical Services FOLEY''S CATH

500

2147 Emergency Medical Services FOLEY''S CATH CHANGE / REINSERTION

750

2148 Emergency Medical Services GLUE THERAPY (CYANO-ACRYLATE) (WITH MATERIAL

1,500

2149 Emergency Medical Services GLUE THERAPY (CYANO-ACRYLATE) (WITHOUT MATER

900

2150 Emergency Medical Services INCISION AND DRAINAGE WITH DIGITAL BLOCK

2,000

2151 Emergency Medical Services INCISION AND DRAINAGE WITHOUT DIGITAL BLOCK

1,000

2152 Emergency Medical Services INTERCOSTAL CHEST DRAIN

2,500

2153 Emergency Medical Services LIPS / FACIAL REPAIR (WITH 4-0/5-0 SUTURES)

2,500

2154 Emergency Medical Services LMA INSERTION

1,000

2155 Emergency Medical Services MINOR FINGER/TOE INJURIES

750

2156 Emergency Medical Services PERIPHERAL I.V. ACCESS FOR OPD

300

Page 73: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

2157 Emergency Medical Services PLEUROCENTESIS - BLIND

1,500

2158 Emergency Medical Services PLEUROCENTESIS - USG GUIDED

3,000

2159 Emergency Medical Services POP (LOWER LIMB-ABOVE KNEE)

2,000

2160 Emergency Medical Services POP (LOWER LIMB-BELOW KNEE)

1,500

2161 Emergency Medical Services POP (UPPER LIMB-ABOVE ELBOW)

1,500

2162 Emergency Medical Services POP (UPPER LIMB-BELOW ELBOW)

1,000

2163 Emergency Medical Services PROC CHG-SUTURING:MORE THAN ONE WOUNDS

2,500

2164 Emergency Medical Services PROCEDURAL SEDATION ANALGESIA

1,000

2165 Emergency Medical Services RYLE'S TUBE INSERTION

250

2166 Emergency Medical Services STITCHES REMOVAL/CUTTING - MAJOR

400

2167 Emergency Medical Services STITCHES REMOVAL/CUTTING - MINOR

150

2168 Emergency Medical Services SUPRAPUBIC CATHETERISATION

3,000

2169 Emergency Medical Services SURGICAL CLIP REMOVAL - MAJOR

500

2170 Emergency Medical Services SURGICAL CLIP REMOVAL - MINOR

200

2171 Emergency Medical Services SURGICAL CRICOTHYROIDOTOMY

3,000

2172 Emergency Medical Services TRANS VENOUS PACING

4,000

2173 Emergency Medical Services AMBULANCE / KM AFTER 3 KM 80

2174 Emergency Medical Services AMBULANCE BIPAP CHARGE / HOUR

750

2175 Emergency Medical Services AMBULANCE MONITOR CHARGE / HOUR

300

2176 Emergency Medical Services AMBULANCE OXYGEN / HOUR (NOT 1ST HOUR)

350

2177 Emergency Medical Services AMBULANCE PULSE GENERATOR ADDL / HOUR

400

2178 Emergency Medical Services AMBULANCE PULSE GENERATOR CHARGE / HOUR

700

2179 Emergency Medical Services AMBULANCE SYRINGE PUMP / HOUR

200

2180 Emergency Medical Services AMBULANCE UPTO 3 KM

950

2181 Emergency Medical Services AMBULANCE VENTILATOR CHARGE / HOUR

1,000

2182 Emergency Medical Services AMBULANCE WAITING CHARGE / HOUR

700

2183 Emergency Medical Services BASIC AMBULANCE / KM AFTER 3 KM 50

2184 Emergency Medical Services BASIC AMBULANCE UPTO 3 KM

700

2185 Emergency Medical Services EQUIP AMBULANCE VENTILATOR ADDL / HOUR

400

Page 74: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

2186 Emergency Medical Services MONITOR CHARGE

150

2187 Emergency Medical Services ROOM RENT

500

2188 Emergency Medical Services TROP-T

200

2189 Emergency Medical Services EMG SOB

3,000

2190 Emergency Medical Services EMG D-DIMER

2,660

2191 Emergency Medical Services EMG TOX DRUG SCREENING

2,100

2192 Emergency Medical Services EMG TROPONIN I

1,800

2193 Emergency Medical Services EMG NT-PRO BNP

2,500

2194 Emergency Medical Services EMG SYRINGE PUMP CHG/HOUR

200

2195 Emergency Medical Services EMG OXYGEN CHG/HOUR

350

2196 Emergency Medical Services EMG VENTILATOR CHG/HOUR

1,000

2197 Emergency Medical Services EMG BIPAP CHG/HOUR

750

2198 Emergency Medical Services URINE DIP STICK

1,000

2199 Emergency Medical Services ANKLE DISLOCATION

4,000

2200 Emergency Medical Services MANUAL EVALUTION OF IMPACTED STOOL

2,000

2201 Emergency Medical Services AMBULANCE NEONATAL TRANSFER I (WITHIN KOLKATA)

4,500

2202 Emergency Medical Services AMBULANCE NEONATAL TRANSFER II/KM (OUTSIDE KOL - DIST

TRAVELLING CHG) 80

2203 Medical PLASTER CUTTING

750

2204 Medical CLIP REMOVAL CHARGES

110

2205 Medical CONSULTANT SURGEONS FEE/UNIT

130

2206 Medical DRESSING PROCEDURE-MAJOR

380

2207 Medical DRESSING PROCEDURE-MINOR

250

2208 Day Care DC- DRESSING MINOR

1,510

2209 Physiotherapy and Rehab Center LASER TREATMENT

320

2210 Physiotherapy and Rehab Center CONSULTATION - PHYSIOTHERAPY

320

2211 Physiotherapy and Rehab Center TILT TABLE TRAINING

250

2212 Physiotherapy and Rehab Center CHEST PHYSIOTHERAPY

320

2213 Physiotherapy and Rehab Center CERVICAL TRACTION

160

Page 75: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

2214 Physiotherapy and Rehab Center EXERCISES DEMONSTRATION

190

2215 Physiotherapy and Rehab Center ELECTRICAL STIMULATION

190

2216 Physiotherapy and Rehab Center INTERFERENTIAL THERAPY

250

2217 Physiotherapy and Rehab Center SHORT WAVE DIATHERMY

190

2218 Physiotherapy and Rehab Center LUMBER TRACTION

190

2219 Physiotherapy and Rehab Center CPM

420

2220 Physiotherapy and Rehab Center INFRA RED

140

2221 Physiotherapy and Rehab Center TENS

190

2222 Physiotherapy and Rehab Center GAIT TRAINING

250

2223 Physiotherapy and Rehab Center US + IFT

250

2224 Physiotherapy and Rehab Center ULTRASOUND THERAPHY

190

2225 Physiotherapy and Rehab Center IFT + PWB

290

2226 Physiotherapy and Rehab Center KNEE JOINTS SPAD TRACTION

160

2227 Physiotherapy and Rehab Center MICROWAVE DIATHERMY - PER SESSION

320

2228 Physiotherapy and Rehab Center QUADRICEPS CHAIR TRAINING(PER SESSION)

250

2229 Physiotherapy and Rehab Center SWD + IFT

250

2230 Physiotherapy and Rehab Center TRACTION + IFT

290

2231 Physiotherapy and Rehab Center TRACTION + STIMULATION

250

2232 Physiotherapy and Rehab Center TRACTION + SWD

250

2233 Physiotherapy and Rehab Center TRACTION + SWD + IFT

420

2234 Physiotherapy and Rehab Center TRACTION + US

250

2235 Physiotherapy and Rehab Center TRACTION + US + IFT

420

2236 Physiotherapy and Rehab Center TRACTION + US + IFT + EXERCISES

570

2237 Physiotherapy and Rehab Center TRACTION + US + IFT + SWD

570

2238 Physiotherapy and Rehab Center US + IFT + STIMULATION

420

2239 Physiotherapy and Rehab Center US + KNEE JOINT + SPAD FRACTION

250

2240 Physiotherapy and Rehab Center US + PWB

250

2241 Physiotherapy and Rehab Center US + SW + TRACTION

420

Page 76: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

2242 Physiotherapy and Rehab Center US + TENS

250

2243 Physiotherapy and Rehab Center US+STIMULATION

250

2244 Physiotherapy and Rehab Center SRC-M/N BLOCK W/O EMG BIOFEEDBACK(PROCEDURE CHARGE)

530

2245 Physiotherapy and Rehab Center SRC-MOTOR/NERVE BLOCK WITH EMG BIOFEEDBACK

880

2246 Physiotherapy and Rehab Center SRC-SPINE ASSESSMENT

880

2247 Physiotherapy and Rehab Center SRC-SPINE TRAINING / SESSION

340

2248 Physiotherapy and Rehab Center SRC-STROKE ASSESSMENT

880

2249 Physiotherapy and Rehab Center SRC-STROKE TRAINING / SESSION

340

2250 Physiotherapy and Rehab Center HOME PHYSIOTHERAPY 1

800

2251 Physiotherapy and Rehab Center HOME PHYSIOTHERAPY 2

1,000

2252 Physiotherapy and Rehab Center HOME PHYSIOTHERAPY 3

1,500

2253 Psychiatry PSY-PSYCHOLOGICAL PROFILE

5,290

2254 Ultrasound Radiology ULTRASOUND FILM(DUPLICATE)

300

2255 Radiology CORE BIOPSY NEEDLE

2,200

2256 Radiology CAMERA COVER 30

2257 Radiology DEVON TROCAR DRAINAGE CATHETER 10 F

740

2258 Radiology DEVON TROCAR DRAINAGE CATHETER 12 F

740

2259 Radiology DEVON TROCAR DRAINAGE CATHETER 14 F

740

2260 Radiology DEVON TROCAR DRAINAGE CATHETER 16 F

740

2261 Radiology DEVON TROCAR DRAINAGE CATHETER 8.5 F

740

2262 Radiology PLAIN SHEET SMALL 40

2263 Radiology SHOE COVER 30

2264 Radiology SURGEONS DISPOSABLE GOWN

120

2265 Radiology THORACIC TROCAR CATHETER (ROMSONS)

530

2266 Radiology TRUCUT BIOPSY NEEDLE 16 GZ X 10 CMS

1,010

2267 Radiology TRUCUT BIOPSY NEEDLE 16 GZ X 15 CMS

1,010

2268 Radiology CONSULTATION/REVIEW BY RADIOLOGIST Dr USHA GOENKA

790

2269 Neurology SHORT NEUROPSYCHOLOGY CONSULTATION FOR ADULTS-II

1,200

2270 Neurology CLINICAL PERSONALITY ASESSMENT CONSULTATION FOR CHILDREN

3,000

Page 77: S N . D S N OPD L O EPARTMENT ERVICE AME TARIFF · 34 Bio Chemistry CORTISOL – SERUM 1,770 35 Bio Chemistry CREATININE - 24 HRS URINE 400 36 Bio Chemistry CREATININE – SERUM 610

2271 Neurology NEUROPSYCHOLOGY CLINICAL CONSULTATION FOR CHILDREN

4,000

2272 Neurology NEURO CONSULTATION-COUNSELLING

500

2273 Neurology NEURO COGNITIVE BEHAVIOURAL CONSULTATION

800

2274 Neurology NEUROPSYCHOLOGY CLINICAL CONSULTATION FOR ADULTS-I

4,000

2275 Neurology NEUROPSYCHOLOGY CLINICAL CONSULTATION FOR ADULTS-II

4,500

2276 Neurology NEURO CLINICAL PERSONALITY ASESSMENT CONSULTATION FOR

ADULTS

3,500

2277 F & B Main Kitchen DIET COUNSELLING

400

2278 Healthy Heart Clinic COUNSELLING (LIFE STYLE MODIFICATION)

210

2279 Dermatology QL-Q SWITCHED NDYAG: LASER CHARGES/SHOT

500

2280 Dermatology QL-SKIN REJUVINATION: LASER CHARGES/SHOT

500

2281 Dermatology REJUVINATION LASER CHARGES/SHOT

320

2282 Medical GOWN

400

2283 Medical TELEMEDICINE CHARGES

2,180

2284 Medical FITNESS CERTIFICATE

300

2285 Medical DUPLICATE REPORT CHARGES

270

2286 Medical STITCH CUTTING

170

2287 Medical DAY CARE DSA 15,120

2288 Medical AGH-BIRTH CERTIFICATE (DUPLICATE COPY)

190

2289 Medical DUPLICATE MEDICAL RECORD-II

1,200

2290 Medical DUPLICATE MEDICAL RECORDS-I

670

2291 Medical DUPLICATE REPORT(MLC)

420

2292 Medical MEDICAL CLAIM CERTIFICATE (LIC)

440

2293 Medical MEDICAL CLAIM CERTIFICATE (OTHERS)

740

2294 Medical Records DUPLICATE BILL CHARGES

100