BHAI GHANAIYA JI INSTITUTE OF HEALTH, PANJAB UNIVERSITY No. /HC Date: 05 Dec. 2018

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Transcription:

BHAI GHANAIYA JI INSTITUTE OF HEALTH, PANJAB UNIVERSITY No. /HC Date: 05 Dec. 2018 EXPRESSION OF INTEREST Panjab university, a leading educational institution of the region is inviting expression of interest from hospitals having bed strength of not less than 25 for empanelment to provide treatment at the rates approved by the University/CGHS to its beneficiaries including students, faculty, staff, retired employees and their eligible dependents, totalling about 25,000 (approx). The treatment will be subject to the following terms and conditions: - 1. Empanelment shall be applicable: (a) (b) to those treatments/procedures in the enclosed list as per the approved rates given against each procedure. for those procedures which are not mentioned in the enclosed rate list, CGHS charges shall be applicable. 2. The rates approved for each procedure is final and neither party shall make any change or modification to the rates during the validity of empanelment. 3. The empanelment will be initially for a period of one year subject to extension thereafter for further such periods on mutual agreement. 4. The treatment shall be provided to the P.u beneficiaries on cashless system and the payment to the hospitals shall be made by the University. 5. The agreement entered through a MoU between the parties laying down terms and conditions in detail shall be terminated by either party with a 15 day notice in case of any breach in agreed terms and conditions. Your expression of interest in writing in case of your willingness to provide treatment at the University approved rates/cghs shall reach the office of the Chief Medical Officer, Institute of Health, Panjab University by 05:00 PM on or before 31 December 2018. A copy of the approved rates for various ailments/procedures is enclosed herewith for your ready reference. A model copy of the MoU, detailing all the conditions to be entered between the hospital and Panjab University can be obtained on mail from benny.paul3@gmail.com. Chief Medical Officer

REVISED PACKAGE RATES FOR COMMON PROCEDURES FOR THE BENEFICIARIES OF P.U In order to engage reputed hospitals on empanelment, so that reasonably affordable and quality treatment may be obtained by the P.U beneficiaries the following rates for different treatment / procedures are proposed for the approval of the syndicate. 1. Entitlement for General Ward/ Private Ward Basic pay (Including GP) up to 21000 - Entitled General Ward Only Basic Pay (Including GP) above 21001 - Entitled to Private Ward 2. ICU Charge General Ward - 300/- per day Private Ward - 1000/ per day 3. Room Rent General Ward - 50/-per day Private Ward - 1500/per day 4. Fix Packages Sr. No. Name of Procedures/treatment/test etc G. Ward Private Ward 1 PHACO IOL (Once in life time for each eye) 12000 14000 2 Knee replacement U/L 1,00,000 1,14,000 3 Knee Replacement B/L 2,00,000 2,25,000 4 PTCA with VCD (Procedure) PTCA without VCD {Cost of stent extra as under} 72500 72000 83500 83000 Drug eluting stent 85,000 Non drug eluting stent 50,000 (Vat/GST extra) Number of stents will be limited to 4 In the life time. 5 Pacemaker implantation, single chamber Pacemaker implantation dual chamber Permanent pacemaker implantation Biventricular Cost of pacemaker extra as under: 1) Single chamber Cardiac pacemaker Without rate response 2) Single chamber Cardiac pacemaker With rate response 3) Dual chamber Cardiac pacemaker 14000 19000 34500 35000 45000 16000 22000 40000 4) Bi-Ventricular Pace- maker 83200 1,95,000

5) Implantable Cardioverter Defibrilator single chamber ICD/AICD, Dual Chamber 6) ICD/AICD Dual Chamber 1,76,000 3,75,000 6. Hearing Aid digital ( one ear) 18000 18000 7. Hearing Aid non digital 2500 2500 8. Complete Denture 5000 5000 ( replacement after every 10 years) 9. Half Denture 2500 2500 10. Denture 1-4 800 800 11. Denture 5 to 10 2000 2000 12. Spectacles ( for those above 40 years only and 1000 1000 replacement after every 10 years) 13. Hip Replacement 79000 91000 14. Cochlear Implant 5,00,000 5,00,000 15. Heart transplant 2,50,000 2,85,000 16. CPAP 50,000 50,000 17. Oxygen Concentrator 60,000 60,000 18. Bi-Level C- PAP 80,000 80,000 19. BI-Level ventilator system 1,20,000 1,20,000 20. Angiography 10,000 10,000 21. CABG 1,27,000 1,46,000 22. CABG+IABP 1,69,000 1,95,000 23. CABG+ Value 1,69,000 1,95,000 24. CABG without bypass 1,40,000 1,60,000 25. Ascending Aorta Replacement 1,30,000 1,40,000 26. DVR 53000 61,000 27. MVR/AVR 1,04,000 1,19,000 28. Rotablation 49,000 5600 29. Ballon valvectomy /PTMC 10000 12000 30. Catheterization 9000 10000 31. CMV/PDA 52,000 60,000 32. Vascular repair 36000 42000 33. AICD implantation single chamber procedure charges 28000 33000 34 AICD implantation Dual chamber 36,000 41,000 35 Combo device implantation ( procedure) 40,000 46000 36 Renal Angioplasty 55,000 63000 37 Peripheral angioplasty without VCD 11500 13500 38 Peripheral Angioplasty with VCD 11500 13500 39 Digital subtraction angiography Peripheral artery 10500 12000 40 Digital subtraction angiography- Venogram 10500 12000

41 CT coronary angiography 6000 7000 42 Cardiac Ct Scan 2200 2600 43 Cardiac MRI 2500 2600 44 Stress Cardiac MRI 3000 3500 45 MR angiography 5600 6500 46 Cardiac PET 1500 1700 47 Normal Delivery 7000 8200 48 Vaccum Delivery 8600 10000 49 Forceps delivery 9200 10500 50 Caesarean delivery 14000 16000 51 Ovarian Cystectomy (lap) 10000 12000 52 Ovarian Cysterectomy - laprotomy 14000 16000 53 Vaginal Hysterectomy (NDVH) 17000 20000 54 Vaginal Hysterectomy (NDVH) with repairs (UV prolapsed) 17000 20000 55 LAVH 25000 29000 56 TVS for follicular monitoring 450 500 57 Interventional ultrasonography (CVS) 800 900 58 MTP, First trimester 3000 3500 59 MTP, Second trimester 4300 5000 60 Partial Nephrectomy, open 16200 18600 61 Partial Nephrectomy Laproscopic/ endoscopic 14500 16600 62 Nephrolithomy 12000 14000 63 Nephrolithomy (lap/endo) 14000 16000 64 TURP 21500 28500 65 Kidney Transplant (related) 2,00,000 2,30,000 66 Kidney Transplant (unrelated) including immunosuppressant 3,00,000 3,45,000 67 PCNL (unilateral) 20,000 23,000 68 PCNL (bilateral) 25,000 28,500 69 Radical Prostatectomy (Lap) 20,000 23,000 70 Cholecystectomy (lap) 15000 17000 71 Appendisectomy 8000 10000 72 Hiatus Hernia Repair abdominal 15000 16500 73 Peritoneal Dialysis 1400 1700 74 Haemodialysis (Consumabls etc to a maximum of 3 times in a 1200 1200 month ) 75 Lithotripsy 19000 22000 76 IVF (Only two times in life) 60,000 60,000 77 Mastectomy, simple 12500 14500

78 TURP with Cystolithotripsy 17000 19500 79 Tonsillectomy 5000 5800 80 Capsule Endoscopy 5000 5700 81 Double/Single Balloon Endoscopy 5000 5700 82 FDG Whole body PET /CT Scan 17850 21000 83 Brain 1 Heart FDG PET /CT Scan 12750 15000 84 Gallium-68 Peptide PET/CT imaging for Neuro- 14450 17000 Endocrine Tumor 85 Congenital Diaphragmatic Hernia 19000 22000 86 Hiatus Hernia Repair- Tans-thoracic 16000 18500 87 Exploratory Laparotomy 12500 14500 88 Epigastric Hernia Repair 11400 13000 89 Umbilical Hernia Repair 11400 13000 90 Vertral/incisional Hernia Repair 10300 11900 91 Inguinal Hernia- Herniography 15000 17000 92 Inguinal Hernia Hernioplasty 16500 19000 93 Femoral Hernia Repair 18000 21000 94 Radical mastectomy-formal or modified 28500 33000 95 Excision of mammary fistula 15500 18000 96 TURP & TUr Bladder Tumour 17250 19800 97 Endoscopic Removal of Stone in Bladder 3500 4000 98 Single/double balloon endoscopy 4000 4500 99 Artificial limbs/implants like plates, screws, wires used Actual cost during surgery) Bill of cost of implant if issued from hospital to be produced 100 Retinal laser procedures 1500 1700 101 Trabeculectomy ( Glaucoma surgery) 7000 8000 102 Squint correction for one eye 5000 6000 103 Squint correction for both eyes 7500 8600 104 YAG Laser iridectomy 1000 1700 105 YAG Laser Capsulotomy 1000 1200 106 Hydrocele surgery U/L 5000 6000 107 Hydrocele B/L 7500 9000 108 Salpingectomy/Salpingestomy 10000 12000 109 Ovarian cystectomy laproscopic 10000 12000 110 D & C 2000 2500 111 Benign tumors of intestine 17000 19000 112 Endoscopic Retrograde Cholangio Pancreatography 2500 3000 (ERCP), Percutaneous tranhetic Cholangiography (PTC) 113 Endoscopy retrograde Pyelography/ Cystoscopy 2500 3000 114 Neurolysis/Nerve repair 12500 14500 115 Nerve Repair with Grafting 16500 19000

116 Arthrodesis of Minor Joints 10500 12000 117 Artrodesis of Major Joints 10000 12000 118 Hemiarthroplasty Hip 20000 23000 119 Hemiarthroplasty - shoulder 20000 23000 120 Disarticulation Major joint 20700 23800 121 Disarticulations Minor joint 12700 14600 122 Arthrography 8300 9500 123 Arthroscopt Diagnostic 8600 9900 124 Arthroscopy therapeutic: without implant 10000 11500 125 Arthroscopy- therapeutic: with implant 17250 19800 126 Removal of wire and screw 1700 2000 127 Removal of plates 4100 4800 128 Upper GI Endoscopy+ Lower GI Endoscopy 1700 2000 129 Diagnostic Endoscopy 250 300 130 Endoscopic Biopsy 350 400 131 IABP (Cost of value etc on actual basis) 132 Cobalt therapy 60000 69000 133 Radical therapy 61500 70000 134 Palliative therapy 24000 28000 135 Linear Accelerator 30000 34000 136 IMRT 90000 105000 137 IGRT 135000 155000 138 ORIF of long bones 10000 11000 139 ORIF fingures tones etc 5000 6000 Note: - 1. The above package include procedure charges, consumables, room rent, medicines, investigation, nursing, medical care, anesthesia, operation theater charges and service charges, Physiotherapy during admission etc but does not include consultation, diet, cosmetics, toiletry, telephone charges etc. 2. During any surgery under the above package, if any complication arises requiring additional procedures and medicines beyond the above packages, the hospitals shall proceed with such additional procedures only after obtaining the consent of the CMO. The empanelment of any hospital including in malpractices under this clause will be cancelled by the Vice Chancellor on the recommendation of the Administrative Committee of the Institute of Health, PU and their bank guarantee shall be forfeited. 3. All other procedures for which specific provisions has not been made under the above packages continue to be reimbursed under the PGI/PB Govt rates. 4. Rates of all procedures which are not available in the PGI list/aiims list /Pb. Govt. list will be reimbursed at the rates of the Central Government (CGHS). 5. Procedures, the rates of which are not covered under the above packages/pgi/aiims/cghs/pb. Govt shall be decided by the Administrative Committee of the Institute of Health. 6. Any procedure /laboratory test which is not covered under the PGI/AIIMS/CGHS/Pb. Govt or the PU approved list will be reimbursed at 50% of the amount charged. CMO