w.e.f. 1st April 2013 CONSULTATION CHARGES

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1 w.e.f. 1st April 2013 ROOM RENT CHARGES CODE PARTICULARS Charges Room Description RR-001 Economy Room 1400/- 3 Bedded or 4 Bedded with attached Bathroom & 1 Attendent can stay with Patient RR-002 Semi Private/Twin Sharing 3600/- 2 Bedded with attached Bathroom, TV & 1 Attendent can stay with Patient RR-003 Private/ Deluxe Room 6000/- Single Occupancy with TV, Bathroom & 2 Attendent can stay with Patient RR-004 Super Deluxe Room 10000/- Single Occupancy with TV, Fridge, Tea/Coffee Maker, Bathroom & 2 Attendent can stay with Patient CONSULTATION CHARGES CC-001 Physician Visit CC-002 Surgeon Visit CC-003 Gynae / Gastro Visit CC-004 Cardiologist OT Stand By CC-005 Cardiologist Vist ( On Call ) Visiting Consultatnt CC-006 Nephrologist/Paediatrician Visit Visiting Consultatnt GENERAL CHARGES/ EQUPMENT CHARGES GC-001 Use of Flexible Uretroscope - & Nephroscope ( RIRS ) 18,000 GC-002 Use of Harmonic Scalpal Device ( for Laparoscopy Procedures ) 7,200 GC-003 Anesthestest Fees/Charges 2,400 6,000 9,600 14,400 GC-004 JJ Stent ( Implant ) ( Unilateral ) 4,000 4,000 4,000 4,000 GC-005 JJ Stent Removal ( Unilateral )* GC-006 JJ Stent Removal ( Bilateral )* *Note :- For Outside Patient's only Page 1

2 LAPAROSCOPIC / MAS DEPARTMENT SURGERIES L-001 Cholecystectomy L-002 TEP Repair of Hernia ( Unilateral ) L-003 TEP Repair of Hernia ( Bilateral ) L-004 Cholecystectomy & CBD exploration L-005 Ureterolithotomy L-006 Nephrectomy L-007 Pyelolithotomy L-008 Renal Cyst L-009 Varicocelectectomy (Unilateral) L-010 Varicocelectectomy (Bilateral) L-011 Adhesiolysis L-012 Pyeloplasty L-013 MIPH for Haemorrhoids L-014 Appendectomy L-015 Anal Dilatation L-016 Fissurectomy L-017 Excision of Cyst/Lipoma L-018 Open Repair of Hernia Page 2

3 HOLMIUM LASER SURGERIES HL-001 Enucleation of Prostate HL-002 Stricture Urethra HL-003 Core through Uretherotomy HL-004 HL-005 Retrograde/Antegrade Endopyelotomy for PUJ Bladder Neck Incision for B.N.O Ø Above 100 gm Prostate Extra Blade + Laser Fibre Cost up to Rs /- will be charged extra These rates do not include Drugs, Disposables and Laser Fibre, Anasthesia and Investigation charges GENERAL SURGERIES/ MINOR SURGERIES GS-001 AV Fistula GS-002 Balloon Dilatation of PUJ GS-003 Bladder Diverticulectomy Excision GS-004 Catheterization ( foley's ) 1440 GS-005 Circumcision GS-006 Cystoscopic Removal of Foreign Bodies 5,000 8,000 11,500 16,000 GS-007 Cystoscopy (CPE) GS-008 Cystoscopy with Bladder Biopsy GS-009 Cystoscopy with Retrograde GS-010 C Cystoscopy th t i ti Bil with t l Retrograde 6,600 7,200 8,500 10,000 GS-011 Dilatation of Stricture Urethra under LA GS-012 Dilatation of Stricture Urethra under G.A 4,700 7,150 10,050 13,200 GS-013 Dorsel Slit GS-014 Double J.Stent Placement - (Unilateral) 8,220 9,500 12,000 15,000 GS-015 Double J Stent Placement (Bilateral) 10,000 11,500 14,000 17,500 GS-016 Dressing - Medium 850 1,200 1,900 2,800 GS-017 Dressing - Small ,000 1,500 GS-018 Dressing- Large 1,200 1,800 2,800 3,800 GS-019 Endoscopic Teflon Injection - Unilateral GS-020 Endoscopy Teflon Injection - Bilateral 25,700 31,500 40,000 47,500 GS-021 Epididymal Cyst Excision (Bilateral) 10,000 12,500 16,000 21,000 GS-022 Epididymal Cyst Excision (Unilateral) 8,300 9,000 11,500 15,000 GS-023 ERCP GS-024 Exploratory Scrototomy 12,500 13,300 15,000 18,000 GS-025 Hydrocele - Bilateral GS-026 Hydrocele - Unilateral GS-027 ICRE GS-028 Lymph Node Biopsy (Superficial) 2,400 4,000 6,500 10,000 GS-029 Meatoplasty 3,200 5,200 7,500 11,000 GS-030 Meatotomy 2,400 4,000 6,500 10,000 GS-031 Needle Aspiration 1,900 3,200 5,290 7,930 GS-032 O.I.U GS-033 Orchidectomy Bilateral 16,600 23,000 31,000 37,500 GS-034 Orchidectomy Unilateral 11,600 12,100 13,700 15,600 GS-035 Orchidopexy (Bilateral/Unilateral) GS-036 PCN ( Nephrostomy ) GS-037 Penile Implant Page 3

4 GS-038 Percutaneous Kidney Biopsy GS-039 PIPE test GS-040 Prostatic Massage GS-041 R.G.P GS-042 S.P.C. Charges GS-043 Suprapubic Cystostomy 8,220 9,500 12,000 15,000 GS-044 Testicular Biopsy (Bilateral) 10,000 12,000 14,500 18,500 GS-045 Testicular Biopsy (Unilateral) GS-046 TRUS Guided Prostatic Biopsy GS-047 Ureteric Dilatation - Unilateral 16,600 23,000 31,000 37,500 GS-048 Ureteric Dilatation- Bilateral GS-049 Ureteric Meatotomy Bilateral 8,000 8,500 9,300 10,500 GS-050 Ureteric Meatotomy Unilateral 7,000 7,500 8,300 9,500 GS-051 Ureterocele Repair (Bilateral) 12,000 16,000 20,000 26,000 GS-052 Ureterocele Repair (Unilateral) 8,500 11,500 15,000 20,000 GS-053 Ureteroscopy GS-054 Uretheral Dilatation GS-055 VEA Page 4

5 LITHOTRIPSY / PCNL CHARGES A-1 Up to 1 cm A A A A A A A-8 7 & above Ø Cost of Staghorn Calculus will be charged Rs /-( Fixed ) + Other charges accordingly These rates include all consecutive sittings if required These rates include Surgeon Fees. Anesthesia, Investigations, Drugs & Disposables will be charged as per actuals. Cost of Room rent will be extra. Page 5

6 ONCOLOGY IN UROLOGY DEPARTMENT URO-1 Radical Nephrectomy URO-2 Partial Nephrectomy URO-3 Nephroureterectomy with bladder cuff excision URO-4 Segmental Cystectomy URO-5 Partial Cystectomy URO-6 URO-7 Radical cystectomy with ileal conduit Radical cystectomy with neobladder URO-8 Radical Prostatectomy URO-9 URO-10 Pelvic lymph node dissection Inguinal block dissection (unilateral) URO-11 Partial Penectomy URO-12 Total Penectomy URO-13 URO-14 Radical Orchidectomy (unilateral) Retroperitoneal lymph node dissection URO-15 Adrenalectomy URO-16 B/L simple orchidectomy URO-17 Transuretheral resection of bladder tumor URO-18 Channel TURP URO-19 Excision of Renal Vein /IVC thrombus URO-20 Clots Evacuation Page 6

7 FOR URINARY IN-CONTINENCE UI-001 Artificial Sphincters UI-002 Transuretheral bulking agents UI-003 Pubovaginal slings RECONSTRUCTIVE UROLOGY Uretheral strictures RU-001 Uretheroplasty RU-002 Johnsons Urethroplasty with Buccal Mucosal Inlay Augmentation Urethroplasty RU-003 Meatoplasty RU-004 Ureteroureterostomy RU-005 Urt.Re-implantation RU-006 Renal Descensus RU-007 Vesicovaginal fistula RU-008 Ureterovaginal fistula RU-009 Ureterovesical fistula RU-010 Pyeloplasty Page 7

8 GYNAECOLOGY SURGERY GYS-001 Sterilization GYS-002 Total Lap Hysterectomy GYS-003 Abdominal Hysterectomy GYS-004 LAVH GYS-005 Ovarian Cystectomy GYS-006 Drilling of Ovary GYS-007 Myomectomy GYS-008 Ectopic Pregnancy GYS-009 ICRE GYS-010 Removal of IVCD GYS-011 Removal of seplum GYS-012 Diagnostic Hysteroscopy GYS-013 Polypectomy GYS-014 Dilatation & Curitation ( D & C ) GYS-015 Diagnostic Hysteroscopy GYS-016 Diagnostic Laparosopy GYS-017 Endometrial Biopsy GYS-018 Cryo Cauterisation Page 8

9 S.No Name of the Investigations Amount ( Rs. ) 1 Complete Blood Count ( CBC ) Urine Culture & Senstivity Combined Immuniology Profile 1775 ( HIV/HBsAG/HCV ) 4 Haemoglobin 74 5 TLC/DLC* Platelet Count 85 7 ESR PCV 75 9 PSA ( Prostate Specific Antigen ) PS for MP Blood Grouping & RH Factor Bleeding Time Clotting Time SMA Prothrombin Time & Index Blood Sugar ( Fasting /PP ) 170 * Individually Each will be 80/- Rs. 16 Blood Urea Nitrogen Serum Createnine Serum Bilirubin Total Protein ( Albumin/Globulin ) SGOT SGPT Alkaline Phosphatase Acid Phosphatase Serum Uric Acid Serum Calcium Serum Phosphorous Serum Sodium/Potassium/Chloride * PAP Smear Progestrone Test Serum Prolactin Test Urine for Cyto-Pathology Urine Routine & Microscopy Seman Analysis Seman Culture & Senstivity Stone Analysis Liver Profile Renal ( KFT ) Profile Lipid Profile Serum Amylase Tropnonin T CPK/CPK-MB T3 T4 TSH 1355 * Individually Each will be 410/- Rs. 43 Elisa For TB ( IGA, IGG, IGM ) 1885 * Individually Each will be 600/- Rs. 44 PTH Assay Urine for AFB/AFB Culture Human Immuno Defficiany ( HIV ) -1 & HIV-II ) HBsAG ( Austrilian Antigen ) 445

10 48 VDRL Prostatic Biopsy Charges Gall Bladder Biopsy WIDAL HCV ( Hepatitis C Virus ) NMP -22 Bladder Check Stool Culture & Senstivity ) Stool Routine & Microscopy Stool Occulate Blood PTTK Testosterone Test Beta HCG Test Urine for AFB Routine Urine for AFB PCR Micro-Bactrium Urine for Fungus ALFA Feto Protein Serum Cholestrol Blood Culture Random Blood Sugar CA-125 Test Elisa for TB Ketone Bodies LH/FSH/Prolactin 1330 * Individually Each will be 600/- Rs. 71 Serum Lipase RA Factor QBC for MP Sputam Culture & Senstivity TIBC ( Total Iron Binding Capacity ) Vitamin B-12 Test 515 Radiology Test 77 RGU/MCU 2500 RGU+MCU IVP ( Intra-venous Pyelography ) (Single Dose) Patient Weight up to 70 Kg 4312 (Double Dose) Patient Weight more than 70 Kg X-RAY KUB X-RAY Chest Nephrestogram Test Uroflowmetry Test 660 Uroflow Screening -- Rs. 200/- Cardiology Test 83 Echo-Cardiography (2D) E.C.G. 330 Ultrasound 85 USG Whole Abdomen USG Lower Abdomen USG KUB Abdomen USG Upper Abdomen USG Scrotum USG TRUS USG Screering 220

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