::::::::: Hospital Charges

Sl.No
Patients under Government Schemes
PAYMENTS
1
Vajpyee Arogya Shree - After Approval from VAS
Nil
2
SC/ST Scheme - As per Vajpyee Arogya Shree
Nil
3
ESI
Nil
4
CGHS
Nil
CLASS I PATIENTS
RATE LIST WITH EFFECT FROM 01/04/2012
KMIO CODE
DESCRIPTION
KMIO ChargesRupees
RADIODIAGNOSIS
101
CHEST X-RAY PA/OTHER SITES/AP/LAT
150
102
BARIUM SWALLOW
400
103
BARIUM MEAL
800
104
BARIUM MEAL FOLLOW THROUGH (6 FILMS)
800
105
BARIUM ENEMA (6 FILMS)
800
107
IVP WITH CONTRAST
1200
109
MAMMOGRAPHY (BILATERAL)
1200
112
ULTRASOUND
550
113
ULTRASOUND FNAC
250
114
BILATERAL ARTERY/VENOUS DOPPLER
1200
115
SINGLE ARTERY/VENOUS DOPPLER
750
117
CAROTIDS & VERTERBERAL DOPPLER
1000
118
PORTAL VENOUS SYSTEM DOPPLER
1000
119
PELVIS DOPPLER
1000
120
RENAL DOPPLER
1000
123
SCROTOL DOPPLER
1000
125
ANGIO ABDOMEN (CT SCAN 1.5 mm CUT)
4250
127
CT SCAN - BRAIN WITH CONTRAST
3000
128
CT SCAN - NECK WITH CONTRAST
3400
129
CT SCAN - PNS ( AXIAL CRANIAL) WITH CONTRAST
4500
130
CT SCAN - THORAX WITH CONTRAST
5000
131
CT SCAN - ABDOMEN WITH CONTRAST
5000
132
CT SCAN - PELVIS WITH CONTRAST
5000
133
CT SCAN - EXTREMITIES WITH CONTRAST
5000
134
CT SCAN - CERVICAL SPINE
4000
135
CT SCAN - DORSAL SPINE
4000
136
CT SCAN - LUMBAR SPINE
4000
137
CT SCAN - WHOLE SPINE
12000
138
CT GUIDED FNAC
2500
139
HRCT - LUNG
5000
140
HRCT - HEAD / TEMPORAL BONE
3000
141
RT PLANNING (CT GUIDED 3SECTIONS)( CT/TIPS)
2000
146
X-RAY LATERAL
150
148
X-RAY SKULL AP & LATERAL
300
149
X-RAY CHEST AP & LATERAL
300
150
X-RAY SPINE AP & LATERAL
300
152
X-RAY PELVIS AP & LATERAL
300
153
X-RAY ABDOMEN AP & LATERAL
300
154
X-RAY FORE ARM AP & LATERAL
300
155
X-RAY HAND AP & LATERAL
300
156
X-RAY LEG AP & LATERAL
300
157
X-RAY THIGH AP & LATERAL
300
158
X-RAY FOOT AP & LATERAL
300
161
REGULAR MRI - PLAIN
3500
162
MRI WITH CONTRAST
5500
201
THYROID UPTAKE
1200
202
LIVER SCAN
1200
203
RENOGRAM (PAEDIATRIC)
1200
204
SALAIVARY
1200
211
BONE SCAN
2000
212
HEPATOBILLIARY
2000
213
RENOGRAM (ADULTS)
2000
215
BRAIN SCAN
2000
218
CA. THYROID UPTO 30 MILLICURIES
11000
219
CA-THYROID 30-50 MILLICURIES
11000
220
CA. THYROID 100 MILLICURIES
15000
221
CA. THYROID 150 MILLICURIES
20000
222
CA.THYROID 200 MILLICURIES
25000
223
PHOSPHOROUS 32 TREATMENT
13000
227
RENAL SCAN
1200
TEST CODE
DESCRIPTION
CHARGES
PATHOLOGY
301
Hb & PCV
65
302
Hb/WBC/PLATELETS/ESR/DC
190
303
HAEMOGRAM + PERIPHERAL SMEAR
190
306
ABSOLUTE ESOPHINAL COUNT
120
307
LE CELL PHENOMENON
120
308
BENCE JONES PROTEIN
120
309
BT/CT
60
311
URINE- ROUTINE
35
312
STOOL
35
313
KETONE BODIES
35
314
BILE SALT AND BILE PIGMENT
35
315
UROBILINOGEN
35
316
CYTOGENETICS
600
317
F N A C - ROUTINE
250
318
ULTRA SOUND GUIDED FNAC
400
321
SMALL BIOPSY
500
324
FROZEN SECTION
600
328
IHC 1 ANTIBODY
800
334
LYMPHOMA PANEL
2500
335
GYNAEC CYTOLOGY
250
336
CSF- CYTOLOGY
120
337
NIPPLE SECRETION
250
339
PLEURAL FLUIDS
250
340
PERITONEAL FLUIDS
250
341
PERICARDIAL FLUIDS
250
342
SYNOVIAL
250
343
SPUTUM SERIES - NO 1, 2,3
400
344
BRONCHIAL ASPIRATE
250
TEST CODE
DESCRIPTION
CHARGES
BIOCHEMISTRY
401
GLUCOSE FASTING
55
402
GLUCOSE PP
55
403
GLUCOSE RANDOM
55
404
UREA NITROGEN
80
405
CREATININE
80
406
URIC ACID
80
407
TOTAL PROTEIN
65
408
ALBUMIN
65
409
ALKALINE PHOSPHATASE
90
410
AST
90
411
ALT
90
412
BILIRUBIN
90
413
LDH
120
414
SODIUM
65
415
POTASSIUM
65
416
CALCIUM
80
417
CHOLESTEROL
90
418
GLUCOSE TOLERANCE TEST (GTT)
250
419
RFT ( UREA, CREATININE)
150
420
LFT(TP, ALB,ALP,BIL,AST, ALT)
500
421
CREATININE CLEARANCE(2Hrs)
120
422
FLUID ANALYSIS (SUGAR, PROTEIN)
120
423
CEA
450
424
AFP
450
425
CA 125
650
426
PSA
450
427
BETA hCG
450
428
CREATININE CLEARANCE(24Hrs)
120
430
GRBS
25
431
T3
125
432
T4
125
433
TSH
125
434
T3, T4,TSH
300
435
THYROGLOBULIN (TG)
800
436
ANTI- THYROGLOBULIN (ANTI TG)
600
437
ANTI TPO
600
438
FREE T3
300
439
FREE T4
300
440
CA 19.9
700
441
CA 15.3
700
443
FERRITIN
400
TEST CODE
DESCRIPTION
CHARGES
MICROBIOLOGY
601
AFB CULTURE - SPUTUM/SAMPLE
250
602
AFB CULTURE - PUS /SAMPLE
250
603
AFB CULTURE - URINE/SAMPLE
250
604
BACTERIAL C & S - BLOOD AUTOMATED
400
605
BACTERIAL C & S - URINE
400
606
BACTERIAL C & S - SPUTUM
400
607
BACTERIAL C & S -PUS
400
608
BACTERIAL C & S - STOOL
400
609
BACTERIAL C & S-THROAT/ORAL/EAR/EYE SWAB
400
610
BACTERIAL C & S- FLUIDS
400
611
FUNGAL CULTURE - SPUTUM
400
612
FUNGAL CULTURE -PUS
400
613
FUNGAL CULTURE - STOOL
400
614
FUNGAL CULTURE -THROAT/ORAL/EAR/EYE SWAB
400
615
FUNGAL CULTURE - FLUIDS
400
616
SMEAR EXAMINATION
120
618
HIV ANTIBODIES - SERUM
250
619
HBsAg - SERUM
250
620
HCV ANTIBODIES - SERUM
250
621
CMV ANTIBODIES - SERUM
250
622
TOXOPLASMA ANTIBODIES - SERUM
250
625
BACTERIAL C & S - CONVENTIONAL
250
TEST CODE
DESCRIPTION
CHARGES
MEDICINE
701
ECG
120
703
CHEMOTHERAPY SINGLE DAY/SINGLE DRUG
200
705
CHEMOTHERAPY SERVICE CHARGES >= 2DAYS
500
710
CHEMOPORT INSERTION
4000
TEST CODE
DESCRIPTION
CHARGES
RADIATION ONCOLOGY
1001
TELE COBALT (RADICAL RT)
14500
1002
TELECOBALT - PALLIATIVE RT LESS THAN 1 WEEK
5000
1004
3D RT PLANNING SYSTEM FOR TELECOBALT
3000
1012
LINEAR ACCELERATOR - IMRT
96000
1013
LINEAR ACCELERATOR - Electron boost ( max 10 fractions ) afte Tlecobalt
10000
 
KMIO CODE
DESCRIPTION
KMIO CHARGES
501
PARTIAL GASTRECTOMY
12000
502
TOTAL GASTRECTOMY
14000
503
ESOPHAGOGASTRECTOMY /THE
14000
504
GASTROJEJUNOSTOMY
12000
505
CHOLECYSTECTOMY
12000
506
RESECTIONAND ANASTOMOSIS - INTESTINE
12000
507
OBSTRUCTION - INTESTINE
12000
508
COLECTOMY
14000
509
ABDOMINAL PERINEAL RESECTION
14000
510
ANTERIOR RESECTION
12000
511
INCISIONAL  HERNIA
12000
512
HEPATIC RESECTION
14000
513
MAJOR BONE TUMOUR - EXCISION
12000
514
BONE TUMOUR EXCISION - MINOR
8000
517
BONE GRAFT - MAJOR
12000
519
DISARTICULATION - MAJOR
14000
520
DISARTICULATION MINOR
8000
521
AMPUTATION - MAJOR
12000
522
AMPUTATION - MINOR
8000
524
NEPHRECTOMY - SIMPLE
12000
525
NEPHRECTOMY  - RADICAL
14000
527
URETEROCOLIC - ANASTAMOSIS
12000
528
CYSTECTOMY
14000
529
OPEN PROSTATECTOMY
12000
530
PARTIAL  AMPUTATION - PENIS
8000
531
TOTAL AMPUTATION - PENIS
12000
534
ORCHIDECTOMY - UNILATERAL
8000
535
INGUINAL NODE DISSECTION - UNILATERAL
8000
536
INGUINAL NODE DISSECTION - BILATERAL
12000
537
THORAX - LOBECTOMY
14000
538
THORAX - PNEUMONECTOMY
14000
539
THORAX - SEGMENTAL RESECTION
14000
540
BREAST - LUMPECTOMY
8000
541
BREAST - RADICAL MASTECTOMY
12000
542
HYSTRECTOMY - WARTHIEMS
14000
543
HYSTRECTOMY- ABDOMINAL
12000
544
HYSTRECTOMY - VAGINAL
12000
545
REMOVAL OVARIAN TUMOUR/CYST
12000
546
BILATERAL - SALPHINGO OOPHRECTOMY
12000
547
SPLEENECTOMY
12000
548
PANCREACTECTOMY / WHIPPLES
14000
549
REMOVAL OF CYST / TUM./ GRO. UNDER G.A
5000
550
REMOVAL OF CYST/TUM./GROWTH UNDER  L.A
5000
551
SKIN  GRAFT 
5000
552
FLAPS SURGERY 
12000
554
LAPROSCOPY SURGERY
14000
555
LARYGECTOMY 
12000
558
LARYNGECTOMY  WITH GASTRIC PULLUP
20000
559
COMMANDO SURGERY
15000
560
PAROTIDECTOMY- SUPERFICIAL
8000
561
PAROTIDECTOMY - TOTAL
12000
562
THYROIDECTOMY - HEMITHYROIDECTOMY
8000
563
THYROIDECTOMY - TOTAL THYROIDECTOMY
12000
564
TOTAL THYROIDECTOMY WITH RND /FND
14000
565
SUBMANDIBULAR GLAND EXCISION 
6000
567
TOTAL MAXILECTOMY
12000
568
HEMI MANDIBULECTOMY
12000
569
MANDIBULECTOMY - SEGMENTAL
8000
570
HEMI GLOSSECTOMY
8000
571
PARTIAL GLOSSECTOMY
8000
572
TOTAL GLOSSECTOMY 
12000
574
RADICAL NECK DISSECTION
12000
576
EXCISION OF CAROTID BODY TUMOUR
12000
578
 TRACHEOSTOMY
3000
580
GASTROSTOMY
3000
581
FEEDING JEJUNOSTOMY
3000
582
SUPRAPUBIC CYSTOSTOMY
3000
583
CUTANEOUS URETEROSTOMY
12000
584
UPPER GI SCOPY
750
586
BRONCHOSCOPY
1300
587
COLONOSCOPY / LOWER GI SCOPY
750
588
CYSTOSCOPY
750
590
DIRECT LARYNGOSCOPY 
900
591
CERVICAL LYMPH NODE BIOPSY
900
592
INGUINAL LYMPH NODE BIOPSY
900
593
EXCISION BIOPSY / WIDE  EXCISION
900
595
EXAMINATION UNDER ANAESTHESIA
1000
597
URETHRAL DILATATION
750
598
MICROLARYNGEAL EXCISION
4000
1401
 LAPAROSCOPY DIAGNOSTIC PROECEDURE
2000
1402
LAPROSCOPY THERAPEUTIC PROCEDURE
4000
1501
TRANS THORACIC  ESPHOGECTOMY
18000
1503
STOMACH - SUBTOTAL GASTRECTOMY
14000
1513
HEMICOLECTOMY
12000
1517
EXPLORATORY LAPROTOMY AND PROCEED 
10000
1519
PARTIAL NEPHRECTOMY
14000
1520
NEPHRO - URETERECTOMY
18000
1522
ADRENALECTOMY
18000
1524
URINARY DIVERSION - ILEAL CONDUIT
18000
1525
CUTANEOUS DIVERSION
10000
1526
URETERO SIGMOIDOSTOMY
14000
1532
SCROTAL ORCHIDECTOMY
6000
1535
INGUINAL BLOCK DISSECTION WITH FLAP
12000
1536
METASTATECTOMY - LUNG
10000
1537
THORACOTOMY AND BIOPSY
10000
1538
ICD INSERTION
3000
1541
THORACOTOMY AND PROCEED
10000
1546
INTERNAL  FIXATION OF BONE FRACTURE
6000
1551
LUMPECTOMY
3000
1553
MODIFIED RADICAL MASTECTOMY - UNILATERAL
8000
1555
BREAST CONSERVATION SURGERY
8000
1557
COMPLETION MASTECTOMY
4000
1559
BREAST RECONSTRUCTION
10000
1560
LOBECTOMY AND FS
6000
1561
COMPLETION - THYROIDECTOMY
6000
1562
HERNIA REPAIR - MESH REPAIR
8000
1564
TRUCUT BIOPSY
1000
1566
WART REMOVAL
1000
1567
LYMPH  NODE  BIOPSY UNDER L A
1000
1568
LYMPH NODE BIOPSY UNDER G A
2000
1569
CLOSURE OF COLOSTOMY / ILEOSTOMY
3000
1570
PLEURAL TAPPING
1000
1572
SECONDARY SUTURING
1000
1573
BURST ABDOMEN
12000
1574
PERFORATION LAPROTOMY
8000

 

 
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Kidwai Memorial Institute of OncologyDr. M.H Marigowda Road,Bangalore - 560029, Karnataka , India
Phone: 091-080-26094000 , Fax: 091-080-6560723, e-mail:kidwai@nic.in
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