Pricing of Service
Costing Of Services with effect from 01-09-2016
Surgical Cases: Costing of common surgical conditions.
Conditions not mentioned in the list will be charged according to the costing of similar listed procedures. Pre-operative evaluation is not a part of the package.
Package includes all medications and treatment for the present surgical condition while in the hospital (for the length of stay mentioned).
But medications and treatment for preexisting diseases and comorbidities (diseases not directly related to the present surgical condition Eg: Diabetes Mellitus, Hypertension etc.) don’t form part of the package.
If the patient opts for privet rooms, room rent @Rs 800.00 per day will be addl.
For RSBY Beneficiaries, the rates approved by the Govt as per RSBY guidelines apply.

1 - DIAGNOSTICS
1(A) LAB (INHOUSE & COMMONLY PERFORMED OUTSOURCED INVESTIGATIONS)-OTHER HIGH END INVESTIGATIONS OUTSOURCED– CHARGES DEPEND ON THE INVESTIGATIONS.

Sl no

TEST

Rate (INR)

1

FBS

30

2

PPBS

30

3

RBS

30

4

GRBS

50

6

GCT

100

6

GTT

170

7

S URIC ACID

120

8

URINE RE

70

9

BILE SALT

60

10

BILE PIGMENT

60

11

BIOPSY MEDIUM

1250

12

BIOPSY SMALL

750

13

BOIOPSY LARGE

1350

14

BLOOD RE

160

15

PLASMA UREA

80

16

S CREATININE

80

17

BONE MARROW BIOPSY/ASPIRATION

1500

18

BT /CT

70

19

LFT

500

20

FLP

500

21

TOTAL CHOLESTEROL

80

22

BILIRUBIN TOTAL

80

23

BILIRUBIN DIRECT

80

24

BILIRUBIN INDIRECT

80

25

AST

90

26

ALT

90

27

ALK PHOSPHATASE

250

28

TFT

600

29

TSH

280

30

PT INR

250

31

HBSAg

200

32

Anti HCV

550

33

HIV

330

34

VDRL

300

35

BLOOD GROUP AND Rh

150

36

RA FACTOR

190

37

S Na

160

38

S K

160

39

Mx

120

40

STOOL RE

100

41

PAP SMEAR

380

42

FNAC

650


1(B) .X- RAY AND IMAGING

Sl No.

DESCRIPTION

RATE (INR)

1

X-Ray 14x 17 (IVP) 

1500(cost of dye extra)

2

X-Ray 10 x8

250

3

ECG

100

4

ECHO

800

5

USS

700


1(C) CT SCAN

Sl No

CT SCAN

RATE (INR)

1

CT SCAN ELBOW

3000

2

CT SCAN MANDIBLE

2000

3

CT SCAN ORBIT

2000

4

CT SCAN ABDOMEN PLAIN AND CONTRAST

5500

5

CT SCAN SPINE (PLAIN)

3000

6

CT SCAN KNEE

3000

7

CT CHEST PLAIN

4000

8

CT SCAN CHEST AND ABDOMEN PLAIN

4000

9

CT SCAN PELVIS

2000

10

CT SCAN PNS

2000

11

CT CHEST PLAIN AND CONTRAST

5500

12

CT  CISTETRNOGRAM

2000

13

CT SCAN EAR

2000

14

CT SCAN ANKLE

2000

15

CT SCAN CERVICAL SPINE (NECK)

3000

16

CT BRAIN PLAIN AND CONTRAST

2900

17

CT UROGRAM

5500

18

CT SCAN BRAIN PLAIN

1800

2 - PROCEDURES
2(A). MINOR PROCEDURES (CONSUMABLES TO BE REPLACED)

Sl No

PROCEDURE

RATE (INR)

1

CENTRAL VENOUS CANULATION

2000

2

ABDOMINAL PARACENTESIS

800

3

BONE MARROW BIOPSY

3300

4

BLADDER WASH

280

5

BLOOD TRANSFUSION

280

6

BOWEL WASH

700

7

DEATH CARE

350

8

DIGITAL EVACUATION RECTUM

220

9

ENEMA

220

10

FOLEYS CATHETERIZATION

220

11

GASTRIC LAVAGE

550

12

DIALYSIS CATHETER INSERTION

4400

13

ENDOTRACHEAL INTUBATION

1050

14

INJECTION IM/IV

40

15

IV CANULATION

30

16

INTRA LESIONAL STEROIDS INJ.

850

17

LUMBAR PUNCTUARE

1100

18

NEBULIZATION - Cost Of Medicine Addl

75

19

PR PROCTOSCOPY

80

20

PLEURAL ASPIRATION/BIOPSY

1100

21

PS/PV

160

22

REMOVAL OF FOLEYS CATHETER

50

23

RYLES TUBE INSERTION

150

24

SKIN PREPARATION

200

25

SUTURE REMOVAL

100

26

SUTURING

80/ PER SUTURE

27

C&D MINOR

                                                                        100

28

C&D MEDIUM

150

29

C&D MAJOR

250

30

FNAC PROCEDURE CHARGE

150

2(B). ORTHOPAEDIC MINOR PROCEDURES (CONSUMABLES TO REPLACED)

Sl No

PROCEDURE

RATE (INR)

1

BK CAST

800

2

BK SLAB

550

3

LA CAST

900

4

LA SLAB

700

5

LONG LEG CAST

900

6

LONG LEG SLAB

700

7

REMOVAL OF POP

100

8

SA CAST

800

9

SA SLAB

570

10

IMPLANT REMOVAL (OP)

250

2(C). ENT OPD PROCEDURES AND TESTS(CONSUMABLES TO BE REPLACED)

 

EAR

 

Sl.No

PROCEDURES

AMOUNT

1

SUCTION CLEARANCE – ONE EAR

100

2

SUCTION CLEARANCE – BOTH EARS

150

3

SUCTION CLEARANCE – HARD WAX

200

4

EAR WICK – PER SITTING

100

5

EAR BIOPSY

250

6

EAR FOREIGN BODY REMOVAL

500

7

INTRA TYMPANIC INJECTION – PER SITTING

250

8

MASTOID DRESSING

200

9

EPLEY’S MANOEUVRE

100

10

VERTIGO PANEL

220

11

EAR PIERCING

500

12

EAR PIERCING – MULTIPLE

1000

13

EAR LOBE REPAIR – BOTH SIDES

1500

14

EAR LOBE REPAIR – ONE SIDES

800

15

VESTIBULAR REHABILITATION EXERCISES (VRE) PER SESSION

150

16

FACIAL PHYSIOTHERAPHY WITH ELECTRICAL STIMULATION (PER SESSION)

250

 

NOSE

 

1

FESS CLEARANCE

600

2

Ag NO3 CAUTERISATION (EAR/NOSE/STOMA)

80

3

NASAL WASH DEMONSTRATION

40

4

ENDOSCOPIC NASAL BIOPSY

500

5

DIAGNOSTIC NASAL ENDOSCOPY

300

6

REPEAT NASAL ENDOSCOPY

260

7

NOSE FOREIGN BODY REMOVAL (ENDOSCOPIC)

500

8

SEPTAL ABSCESS DRAINAGE

500

9

NASAL  DOUCHING /IRRIGATION

150

10

NASAL PACKING – IVALON ONE SIDE

700

11

NASAL PACKING – IVALON BOTH SIDES

1500

12

ENT ALLERGY HISTORY & COUNSELLING

100

13

NOSE PIERCING

500

14

EPISTASIS PACKING (ANTERIOR & POSTERIOR)

1500

 

HEAD & NECK

 

1

BIOPSY ORAL CAVITY

550

2

BIOPSY OROPHARYNX

750

3

BIOPSY HYPOPHARYNX/LARYNX

1000

4

FLEXIBLE  LARYNGOSCOPY

500

5

REPEAT FLEXIBLE LARYNGOSCOPY

300

6

SWALLOWING ASSESSMENT

500

2(D) DENTAL PROCEDURES (CONSUMABLES TO BE REPLACED)

Sl No

PROCEDURE

Rate (INR)

1

COMPLETE DENTURE

9000+Teeth Set

2

STAINLESS STEEL CROWN

2500

3

STUDY MODELS

600

4

X-RAY

150

5

CERAMIC VENEER

6000

6

EXTRACTION DECIDUOUS

200

7

NORMAL EXTRACTION

300

8

DIFFICULT EXTRACTION

800

9

IMPACTION

4000

10

TEMPFILLING

300

11

GLASS IONOMER

500

12

COMPOSITE ANTERIOR/POSTERIOR

700

13

RCT

2000

14

POST AND CORE

1500

15

CROWN METAL WITH FULL CERAMIC

4500

16

CROWN METAL FREE ALUMINA/ZIRCONIA

6500

17

CROWN REMOVAL

600

18

ORTHO REMOVABLE

2000

19

ORTHO FIXED

6000+Brackets

20

SCALING ONE SITTING

500

21

SUB GINGIVAL SCALING

2000

22

FRENECTOMY/OTHER MINOR SURGERY

1500

23

APICECTOMY

2500

24

PERIODONTAL FLAP QUADRANT

3000

25

PARTIAL DENTURE

900+Teeth Set

CT SCAN

Sl No

Name of surgery

Rate (INR)

Length of Stay Days

1

THYROIDECTOMY

32,000.00

2

2

SUBMANDIBULAR SIALADENECTOMY

25,000.00

2

3

PAROTIDECTOMY SUPERFICIAL

28,000.00

2

4

CERVICAL LN BIOPSY

9,000.00

Day Case

5

BREAST LUMP EXCISION

9,500.00

1

6

MASTECTOMY

30,000.00

4

7

HERNIOPLASTY-INCISIONAL

25,000.00

3

8

HERNIOPLASTY- INGUINAL & FEMORAL,EPIGASTRIC, PARAUMBILICAL

19,500.00

2

9

HYDROCOELE

15,500.00

2

10

VARICOCOELE

15,500.00

2

11

HAEMORRHOIDS OPEN

18,000.00

2

12

HAEMORRHOIDS STAPLED

35,000.00

2

13

RECTOPEXY PERINEAL

30,000.00

2

14

RECTOPEXY ABDOMINAL

30,000.00

1

15

VARICOSE VEIN SURGERY

18,500.00

2

16

CHOLECYSTECTOMY OPEN

32,000.00

2

17

 TUBE THORACOSTOMY

10,000.00

2

18

GASTRECTOMY

35,000.00

2

19

COLECTOMY

35,000.00

2

20

AP RESECTION

40,000.00

2

21

APPENDICECTOMY

19,500.00

3

22

LAPAROTOMY – PERITONITIS/PERF HOLLOW VISCUS

28,500.00

2

23

LAPAROTOMY+ RESECTION ANASTOMOSIS BOWEL

35,000.00

2

24

PILONIDALSINUS

18,500.00

2

25

CIRCUMCISION

10,000.00

2

26

RAY AMPUTATION

6000.00

2

27

ABOVE KNEE AMPUTATION

20,000.00

2

28

BK AMPUTATION

20,000.00

2

29

HERNIOTOMY

15,500.00

2

30

SSG(SKIN GRAFTING)

16,000.00

2

31

COLOSTOMY

16,500.00

2

32

FEEDING GASTROSTOMY/JEJUNOSTOMY

16,500.00

2

33

I & D ABSCESS SMALL

550.00

Day Case

 

I & D ABSCESS LARGE

5000.00

 

34

EXCISION OF SEB CYST,LIPOMA AND SIMILAR S/C SWELLINGS/LA

5,000.00

Day Case

35

TRACHEOSTOMY

10,000.00

2

36

EXCISION OF SINUS

8,500

2

37

EXCISION OF THYROGLOSSAL CYST AND OTHER NECK SWELLINGS(GA)

20,000

2

38

FISTULA IN ANO

18,000

2

39

EXCISION OF LARGE SOFT TISSUE  SWELLINGS –(UNDER ANAESTHESIA-UPPER LIMB)

20,000

2

40

EXCISION OF LARGE SOFT TISSUE  SWELLINGS –(UNDER ANAESTHESIA-LOWER LIMB)

15,000

2

41

FASCIOTOMY FOR DEEP SPACE INFECTIONS

8000

3

3.SURGICAL PROCEDURES MAJOR
( All Inclusive Package applicable to General Ward. Management of comorbidities and preoperative evaluation exempted.Procedures not mentioned in the list will be charged based on the cost of the listed similar procedures)

3(A) GENERAL SURGERY

Sl No

Name of surgery

Rate (INR)

Length of Stay Days

1

Thyroidectomy

32,000.00

2

2

Submandibular sialadenectomy

25,000.00

2

3

Parotidectomy superficial

28,000.00

2

4

Cervical LN Biopsy

9,000.00

Day Case

5

Breast lump excision

9,500.00

1

6

Mastectomy

30,000.00

4

7

Hernioplasty-Incisional

25,000.00

3

8

Hernioplasty- inguinal & femoral,epigastric, paraumbilical

19,500.00

2

9

Hydrocoele

15,500.00

2

10

Varicocoele

15,500.00

2

11

Haemarrhoids Open

18,000.00

2

12

Haemarrhoids Stapled

35,000.00

2

13

Rectopexy Perineal

26,000.00

2

14

Rectopexy Abdominal

35,000.00

1

15

Varicose vein surgery

18,500.00

2

16

Cholecystectomy Open

32,000.00

2

17

Cholecystectomy Lap

40,000.00

2

18

Gastrectomy

43,000.00

2

19

Colectomy

45,000.00

2

20

AP Resection

45,000.00

2

21

Appendicectomy

19,500.00

3

22

Laparotomy – Peritonitis/Perf hollow viscus

28,500.00

2

23

Laparotomy+ Resection anastomosis bowel

35,000.00

2

24

Pilonidalsinus

18,500.00

2

25

Circumcision

10,000.00

2

26

Ray Amputation

6000.00

2

27

Above Knee Amputation

20,000.00

2

28

BK Amputation

20,000.00

2

29

Herniotomy

15,500.00

2

30

SSG(skin grafting)

16,000.00

2

31

Colostomy

16,500.00

2

32

Feeding Gastrostomy

16,500.00

2

33

I & D abscess/LA

550.00

Day Case

34

Excision of Seb cyst,lipoma and similar S/C swellings/LA

3,500.00

Day Case

35

Tracheostomy

10,000.00

2

3(B) UROLOGY

Sl No

Name Of Surgery

Rate (INR)

Length of Stay Days

1

TURP( Prostate Surgery)

35,000.00

1

2

TURBT

35,000.00

1

3

URS +LITHOTRIPSY

35,000.00

1

4

DJ Stenting Unilateral

10,000.00

1

5

Removal Of DJ Stent

5,000.00

1

6

Cystolithotomy

25,000.00

1

7

Ureterolithotomy (open)

40,000.00

1

8

Cystoscopy / Anaesthesia

5,000.00

1

9

Pyelolithotomy

40,000.00

1

10

Urethral Dilatation

750.00

1

11

Orchiectomy B/L

17,000.00

1

12

SPC Open/Trocar

5,000.00

1

13

Cystoscopy LA

2500.00

1

14

Nephrectomy

50,000.00

1

15

RIRS

45,000.00

1

3(C). OBSTETRICS & GYNAECOLOGY

Sl No

Name Of Surgery

Rate (INR)

Length of Stay Days

1

NORMAL DELIVERY

10,000.00

2

2

FORCEPS/VACUUM DELIVERY

11,500.00

2

3

D&C

8,500.00

1

4

D&E

8,500.00

1

5

HYSTERECTOMY ABDOMINAL (OPEN)

26,000.00

2

6

HYSTERECTOMY (VAGINAL)

26,000.00

2

7

CAESAREAN SECTION

20,500.00

2

8

CERVICAL POLYPECTOMY/ANAESSTHESIA

8,500.00

1

9

BIOPSY CERVIX

5,000.00

1

10

MYOMECTOMY

31,000.00

2

11

ECTOPIC PREGNANCY- LAPAROTOMY

25,000.00

2

12

LAPAROTOMY- OVARIAN TUMOUR

30,000.00

2

13

PPS

8,500.00

2

14

MINILAP STERILISATION

8,500.00

1

15

LAPAROTOMY- UNCOMPLICATED OVARIAN CYS

23,000.00

3

3(D) NEUROSURGERY
(ICU STAY FOR UPTO TWO DAYS INCLUDED. VENTILATORY CARE BEYOND ONE DAY EXCLUDED)

Sl No

Name Of Surgery

Rate (INR)

Length of Stay Days

1

CHRONIC SUBDURAL HAEMATOMA

45,000.00

2

2

ACUTE EXTRADURAL HAEMATOMA

56,000.00

2

3

INTRACEREBRAL HAEMATOMA

56,000.00

2

4

DECOMPRESSION/EXCISION
CONTUSION /LOBECTOMY

60,000.00

2

5

DEPRESSED FRACTURE SKULL

55,000.00

2

6

ACUTE SUBDURAL HAEMATOMA

56,000.00

2

7

VP SHUNT

50,000.00

2

8

CERVICAL DISCECTOMY ANTERIOR

50,000.00

2

9

LUMBAR DISCECTOMY

50,000.00

2

10

SPINAL TUMOUR

55,000.00

2

11

DECOMPRESSIVE LAMINECTOMY- CERVICAL/LUMBAR

45,000.00

2

12

BRAIN TUMOUR- CONVEXITY MENINGIOMA

65,000.00

2

13

GLIOMA

60,000.00

2

14

FORAMEN MAGNUM DECOMPRESSION

55,000.00

2

15

CTS-DEROOFING OF FLEXOR RETINACULUM

10000

1

3(E) ORTHOPAEDICS

Sl No

Name Of Surgery

Rate (INR)

Length of Stay Days

1

FRACTURE BOTH BORN FOREARM

30,000+Implant

2

2

FRACTURE SINGLE BONE FOREARM

20,000+IMPLANT

2-3

3

RADIAL HEAD EXCISION

20,000.00

2

4

TBW

20000+implant

2-3

5

DISTAL RADIUS

20,000+IMPLANT

2

6

PHALANX/METACARPAL

15,000+IMPLANT

1-2

7

TENDON REPAIR

15,000 TO 30000(Depending upon the number of tendons) 

1-2

8

HUMERUS PLATING

35,000+Implant

2-3

9

DISTAL HUMERUS

         35,000+Implant

10

BICOLOUMN PLATING

40,000+IMPLANT

4-5

11

SC HUMERUS PAEDIATRIC

25,000+IMPLANT

1-2

12

PROXIMAL HUMERUS

40,000+IMPLANT

2-3

13

CLAVICLE

25,000+IMPLANT

2-3

14

IMPLANT REMOVAL LOWER LIMB

20,000

2

15

HEMIARTHROPLASTY

30,000+Implant

2-3

16

PFN

35,000+Implant

2-3

17

DHS

30,000+Implant

2-3

18

SUBTROCHANTER

40,000+IMPLANT

2-3

19

SHAFT OF FEMUR

40,000+IMPLANT

2-4

20

DISTAL FEMUR

40,000+IMPLANT

3-4

21

HUMERUS NAILING

35,000+IMPLANT

2

22

PATELLA

25,000+IMPLANT

2-3

23

PROXIMAL TIBIA UNICONYLE

30,000+IMPLANT

2-4

24

BICONDYLE PROXIMAL TIBIA

40,000+IMPLANT

4-5

25

SHAFT OF TIBIA NAILING

35,000+Implant

2-4

26

DISTAL TIBIA

35,000+Implant

2-4

27

PILON FIXATOR

30,000+Implant

2-4

28

BIMALLEOLAR FRACTURE

30,000+Implant

2-4

29

TALUS

30,000+Implant

2-4

30

CALCANEUM

35,000+Implant

4-5

31

METATARSAL

50000+IMPLANT

2-3

32

PHALANX

10,000+Implant

1-2

33

TKR

50,000+Implant

5-7

34

THR

60,000+Implant

3-5

35

ACL REPAIR  ARTHROSCOPIC

40,000+Implant

2-3

36

PCL REPAIR ARTHROSCOPIC

40,000+Implant

2-3

37

BANKART ARTHROSCOPIC

40,000+Implant

2-3

38

ROTATOR CUFF ARTHROSCOPIC

40,000+Implant

2-3

39

IMPLANT REMOVAL UPPER LIMP

25,000

2

40

CMR UNDER ANAESTHESIA

7500

1


4. ICU CHARGES PER DAY
ICU Rent : Rs.650/-
Nursing & Establishment : Rs.425/-
Waste management : Rs. 75 /-
Ventilator / hr : Rs.275/-
Monitoring/day : Rs.300/-
Air Bed : Rs 200/- per day
Oxygen admn/Hr : 80/hr

5. Room Charges (Per day- Rs 800 – Non AC)
Room Rent : Rs.325/-
Nursing Charge : Rs.200/-
Establishment charge : Rs.200/-
Waste management : Rs. 75/-

6. Room Charges ( Per Day- RS 1125/- AC)
Room Rent : Rs 650/-
Nursing Charge : Rs 200/-
Establishment Charge : Rs 200/-
Waste management : Rs 75/-

7. Room Charges ( Non AC Room with TV – Rs 875/- per day)
Room Rent :Rs 400/-
Nursing Charge :Rs 200/-
Establishment Charge : RS 200/-
Waste Management : Rs 75/-

8. Short Stay Ward – Emergency Department – Observation Charges
First Hour – Rs 150/-
For every subsequent hour upto 6 hrs – Rs 50/- per hour
Beyond six hours – Rs 25/- per hour.

9. Ward charges
Ward rent : Rs.175/-
Nursing & Establishment : Rs.200/-
Waste management : Rs.75/-
Medicines, Consumables and Lab Investigations will be additionally charged

10. CONSULTATION CHARGES
Consulting fees (Valid For 7 days) Specialty and Superspecialities : Rs.100/-
Family Medicine : Rs.100/-
Emergency Medicine : Rs. 100/- ( One Day)
OP registration fee ( One time ) : Rs100/- (30+70)
Dentistry : Free

11. OTHERS
MLC Charge : Rs.650/- IP Stationery charge : Rs.75/-

Intensive Care Unit (7 bedded)
CT Scan Ultra Sound Scan
Dialysis unit Equipped OTs
Ashtamudi Hospital & Trauma Care Centre
NH Bye Pass, Thattamala. Kollam, Kerala
Ph: +91 9745665652, 0474-2534044
Email: ashtamudihospital@gmail.com
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