SR

Aliment / Procedure

GEN

SEMIPVT

PVT

Remark

 

E.N.T

 

 

 

 

1

ADENOIDECTOMY

10500

16500

22500

 

2

ANTRAL WASH / PUNCTURE

10500

14500

18500

 

3

FEES

10500

15500

20500

 

4

MASTOIDECTOMY

21500

27000

34500

 

5

TYMPANOPLASTY

18500

24500

31000

 

6

SEPTOPLASTY

15000

19000

23000

 

7

TONSILLECTOMY

18500

22500

28000

 

8

TONSILLECTOMYwith ADENOIDECTOMY

19000

24000

30000

 

 

SR

Aliment / Procedure

GEN

SEMIPVT

PVT

Remark

 

GENERAL SURGERY

 

 

 

 

9

AMPUTATION MINOR (TOES, DIGITS )

12850

14850

30000

 

10

AMPUTATION ABOVE KNEE

25000

31000

39000

 

11

AMPUTATION BELOW KNEE 

22000

28000

35000

 

12

AMPUTATION ABOVE ELBOW

22000

28000

35000

 

13

AMPUTATION BELOW ELBOW

22000

27000

35000

 

14

APPENDICECTOMY – OPEN

41000

47000

53000

 

15

APPENDICECTOMY – LAPAROSCOPIC

49500

58000

64000

 

16

CHOLECYSTECOMY – OPEN

40500

41500

50000

 

17

CHOLECYSTECOMY – LAPAROSCOPIC

58000

69500

79000

 

18

CIRCUMCISION

13350

17000

22500

 

19

FISTULA – HIGH FISTULECTOMY

23000

27000

32000

 

20

FISTULA – LOW FISTULECTOMY

21000

26000

33000

 

21

FISSURECTOMY / SPHINCTEROTOMY

20000

28000

33500

 

22

HAEMORRHODECTOMY

28000

32000

39500

Staples Actuals

23

HERINA – SIMPLE

35000

38500

48000

 

24

HERINA – FEMORAL / INGUINAL UNILATERAL

41000

45500

52000

 

25

HERINA – FEMORAL / INGUINAL BILATERAL

50000

54000

58000

 

26

HERINA – COMPLICATED

45000

51000

61000

 

27

INCISIONAL HERINA –MESH REPAIR

46000

51000

61000

Mesh actual

28

HERINA – LAPAROSCOPIC

50000

56000

67000

 

29

LAPAROTOMY EMERGENCY

39000

47000

56000

 

30

LAPAROTOMY ROUTINE

36000

42000

50000

 

31

LYMPH NODE BIOPSY

13000

15000

20000

 

32

PERIANAL ABCESS

24000

28000

33500

 

33

PILONIDAL SINUS

24000

30000

326000

 

34

RADICAL MSTECTOMY MODIFIED

37000

42000

51000

 

35

BREAST LUMPECTOMY

25500

29500

37000

 

36

SIMPLE MASTECTOMY

25500

30500

37000

 

37

THYROIDECTOMY – TOTAL

37500

45500

49000

 

38

VARICOSE VEINS STRIPPING – UNILATERAL 

35500

43500

49000

 

39

VARICOSE VEINS STRIPPING – BILATERAL

40500

48500

53000

 

 

S. N.

Aliment / Procedure

GEN

SEMIPVT

PVT

Remark

 

OBSTETRICS & GYNECOLOGY

 

 

 

 

40

CAESAREAN SECTION

65000

78000

82000

With Baby

41

DELIVERY – NORMAL

29000

38000

41000

With Baby

42

DELIVERY – FORCEPS

32500

38500

45000

With Baby

43

HYSTERECTOMY + BSO – OPEN

56500

63000

69000

 

44

HYSTERECTOMY– LAPAROSCOPIC

65000

78000

84000

 

45

HYSTERECTOMY – VAGINAL

65000

71000

74000

 

46

HYSTERECTOMY – LAVH

55000

64000

69000

 

46B

HYSTERECTOMY+ BSO –LAPROSCOPY

66000

72000

81000

 

47

D & C WITH HYSTEROSCOPY

20000

26500

32500

Day Care

S. N.

Aliment / Procedure

GEN

SEMIPVT

PVT

Remark

 

OPTHALMOLOGY

 

 

 

 

48

PHACO WITH IOL

X

X

X

Day Care

S. N.

Aliment / Procedure

GEN

SEMIPVT

PVT

Remark

 

ORTHOPAEDICS

 

 

 

 

49

ARTHROSCOPY

22000

28000

33000

 

50

ARTHROSCOPIC SURGERY

31000

 

35000

43000

 

51

CARPEL TUNNEL RELEASE

21000

25000

30000

 

52

CLOSED REDUCTION – DISLOCATION –MINOR

14000

22500

26500

 

53

CLOSED REDUCTION – DISLOCATION –MAJOR

20000

25000

33000

 

54

IMPLANT REMOVAL – MINOR

18000

22000

29000

 

55

IMPLANT REMOVAL – MAJOR

21500

25500

33500

 

56

OPEN REDUCTION – DISLOCATION –MINOR

28000

32000

37000

 

57

OPEN REDUCTION – DISLOCATION –MAJOR

31000

36000

43000

 

58

INTERNAL FIXATION OF  FRACTURE – MINOR

25000

32000

37000

 

59

INTERNAL FIXATION OF  FRACTURE – MAJOR

28000

36000

43000

 

60

KNEE LIGAMENT RECONSTRUCTION

38000

43000

49500

 

61

LAMINECTOMY

44000

48500

53500

 

62

LAMINECTOMY & DISCECTOMY

49000

51500

57000

 

63

TOTAL KNEE REPLACEMENT

64000

77000

99000

Implants actual

64

TOTAL HIP REPLACEMENT

79000

91000

103000

Implants actual

S. N.

Aliment / Procedure

GEN

SEMIPVT

PVT

Remark

 

UROLOGY & NEPHROLOGY

 

 

 

 

65

A V FISTULA

24000

32000

36000

 

66

A V GRAFT

31000

35000

39000

Graft Actual

67

TURP

41750

48000

56000

 

68

HYDROCELECTOMY UNILATERAL

27500

32500

40000

 

69

HYDROCELECTOMY BILATERAL

30500

35500

42000

 

70

VARICOCELECTOMY

27500

32500

36000

 

S. N.

BED CHARGES AND VISIT CHARGES

BED CHARG

PER VISIT(max-two visits)

EMERGECY VISIT

NURSING

CHARGES

71

GENERAL WARD

700

800

950

300

72

TWIN SHARING

1100

800

950

300

73

SINGLE NON AC

1300

900

 

300

74

TWIN SHARING-AC

1700

1000

1400

300

75

SINGLE AC

2000

1200

1650

300

76

DELUXE SUITE

2900

1200

1750

400

77

OT CHARGES FOR NON PACKAGE

AS ON PAGE-3

AS ON PAGE-3

AS ON PAGE-3

 

78

ANAESTHIOLGIST CHARGES

25% OF SURGEONS CHARGE

 

ANAESTHESIA CHARGES FOR O2,,ANAESTICS DRUGS,DISPOSABLES LIKE ENDOTRACHEAL TUBES ETC

AS PER ACTUALS

 

ALL MEDICINES (ORAL ,PARENTERAL,IVFLUIDS)

AS PER ACTUALS

             

1.      The package is all inclusive.

2.      These packages shall apply to ALL  CARD HOLDERS availing treatment at the     hospital  for cashless treatment.

3.      Package rates are for normal course of the treatment, any medical complications would be assessed on a case to case basis. 

 

Authorised Signatory & Seal   

Name : DR. SANGEETA KAMAL MODI

 

Non Package based charges(applicable only if the procedure is not mentioned in the above list)

GRADE OF SURGERY

 

GENERAL

SEMI PRIVATE(TWIN)

PRIVATE(SINGLE AC)

GRADE-I:

MINOR SURGERY

SURGEON CHARGES

4500

5500

7000

OT CHARGES

1000

1250

1500

ANAESTHESIA

1000

1250

1500

GRADE-II

INTERMEDIATE SURGERY

SURGEON CHARGES

8000

10000

14000

OT CHARGES

1250

1500

1750

ANAESTHESIA

1250

1500

1750

GRADE-III

MAJOR SURGERY

SURGEON CHARGES

 

 

 

OT CHARGES

2500

2750

4000

ANAESTHESIA

2500

2750

4000

ANAESTHESIA MEDICINE CHARG

1250

1500

1750

GRADE-IV

SURPA MAJOR

SURGEON CHARGES

20000

25000

3000

ASSISTANT CHARG

4000

5000

7000

OT CHARGES

7000

8000

1000

ANAESTHESIA

7000

8000

1000

ANAESTHESIA MEDICINE CHARG

2250

2500

3750

OT GASES

2250

2500

3750

GRADE-V

SURPA MAJOR PLUS SURGERY

SURGEON CHARGES

25000

30000

35000

ASSISTANT CHARG

4000

5000

7000

OT CHARGES

7000

8000

1000

ANAESTHESIA

7000

8000

1000

ANAESTHESIA MEDICINE CHARG

2250

2500

3750

OT GASES

3250

3500

4750