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CGHS Empanelled Hospitals and Diagnostic Centers As on 17/11/2014 

Order  No. 16-2/2013-14/Dev/Empanelment/Voll-II/3134,dated 14th November,2014

 

 

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             KOLKATA CGHS NON NABH AND NABH RATES

 

              

Sr. No.

KOLKATA CGHS TREATMENT PROCEDURE/INVESTIGATION LIST

Non- NABH/Non-NABL Rates

Kolkata NABH/NABL Rates

1

Consultation  OPD

150

150

2

Consultation- for Inpatients

300

300

3

Dressings of wounds

50

58

4

Suturing  of wounds with local anesthesia

108

124

5

Aspiration Plural Effusion - Diagnostic

120

138

6

Aspiration Plural Effusion - Therapeutic

193

222

7

Abdominal Aspiration - Diagnostic

345

397

8

Abdominal Aspiration - Therapeutic

460

529

9

Pericardial Aspiration

380

437

10

Joints Aspiration

317

365

11

Biopsy Skin

230

265

12

Removal of Stitches

36

41

13

Venesection

124

143

14

Phimosis Under LA

1311

1508

15

Sternal puncture

173

199

16

Injection for Haemorrhoids

414

476

17

Injection for  Varicose Veins

350

403

18

Catheterisation

83

95

19

Dilatation of Urethra

500

575

20

Incision & Drainage

420

483

21

Intercostal Drainage

125

144

22

Peritoneal Dialysis

1319

1517

 

 TREATMENT PROCEDURE  SKIN

 

0

23

Excision of Moles

345

397

24

Excision of Warts

310

357

25

Excision of Molluscum contagiosum

130

150

26

Excision of Veneral Warts

160

184

27

Excision of Corns

140

161

28

I/D Injection Keloid

97

112

29

Chemical Cautery (s)

110

127

 

 TREATMENT PROCEDURE OPTHALMOLOGY

 

0

30

Subconjunctival/subtenon’s injections in one eyes

62

71

31

Subconjunctival/subtenon’s injections in both eyes

124

143

32

Pterygium Surgery

86

99

33

Conjunctival Peritomy

58

67

34

Conjunctival wound repair or exploration following blunt trauma

115

132

35

Removal of corneal foreign body

115

132

36

Cauterization of ulcer/subconjunctival injection in one eye

62

71

37

Cauterization of ulcer/subconjunctival injection in both eyes

124

143

38

Corneal grafting—Penetrating keratoplasty

5175

5951

39

Corneal grafting—Lamellar keratoplasty

5000

5750

40

Cyanoacrylate /fibrin glue application for corneal perforation

690

794

41

Bandage contact lenses for corneal perforation

460

529

42

Scleral grafting or conjunctival flap for corneal perforation

2300

2645

43

Keratoconus correction with therapeutic contact lenses

1200

1380

44

UV radiation for cross-linking for keratoconus

1620

1863

45

EDTA for band shaped keratopathy

777

894

46

Arcuate keratotomy for astigmatism

2520

2898

47

Re-suturing (Primary suturing) of corneal wound

1150

1323

48

Penetrating keratoplasty ---- with glaucoma surgery

10930

12570

49

Penetrating keratoplasty --- with vitrectomy

12144

13966

50

Penetrating keratoplasty ---- with IOL implantation

12290

14134

51

DALK- Deep anterior lamellar keratoplasty

15525

17854

52

Keratoprosthesis stage I and II

11500

13225

53

DSAEK- Descemet’s stripping automated endothelial keratoplasty

15008

17259

54

ALTK- Automated lamellar therapeutic keratoplasty

14850

17078

55

Probing and Syringing of lacrimal sac- in one eye

69

79

56

Probing and Syringing of lacrimal sac- in both eye

138

159

57

Dacryocystorhinostomy—Plain

2588

2976

58

Dacryocystorhinostomy—Plain  with intubation and/or with lacrimal implants

8775

10091

59

Dacryocystorhinostomy—conjunctival with implant

8280

9522

60

Caliculoplasty

2070

2381

61

Dacryocystectomy

1725

1984

62

Punctal plugs for dry eyes

130

150

63

Refraction

40

46

64

Indirect Ophthalmoscopy

60

69

65

Orthoptic check-up- with synoptophore

44

51

66

Lees’ charting or Hess’ charting

100

115

67

Orthoptic exercises

50

58

68

Pleoptic exercises

50

58

69

Perimetry/field test—Goldman

144

166

70

Perimetry/field test— automated

144

166

71

Fluorescein angiography for fundus or iris

828

952

72

Ultrasound A- Scan

777

894

73

Ultrasound B- Scan

230

265

74

Fundus Photo Test

200

230

75

Indocyanin green angiography

920

1058

76

Corneal endothelial cell count with specular microscopy

230

265

77

Corneal topography

298

343

78

Corneal pachymetry

207

238

79

Auto-refraction

35

40

80

Macular function tests

44

51

81

Potential acuity metry

90

104

82

Laser interferometry

156

179

83

OCT-Optical coherence tomography

1913

2200

84

HRT- Heidelberg’s retinal tomogram

135

155

85

GDX--- Nerve fibre layer analyzer

79

91

86

UBM- Ultrasound bio microscopy

150

173

87

Non Contact tonometry

45

52

88

IOP measurement with schiotz

30

35

89

IOP measurement with applation tonometry

50

58

90

Three mirror examination for reti

52

60

91

90 D lens examination

50

58

92

Gonioscopy

52

60

93

Chalazion incision and curettage in one eye

400

460

94

Chalazion incision and curettage in both eyes

431

496

95

Ptosis surgery with fasanella servat procedure

2300

2645

96

Ptosis surgery with LPS resection one lid

5500

6325

97

Ptosis surgery with Sling surgery one lid

6003

6903

98

Ectropion surgery- one lid

1400

1610

99

Ectropion surgery- both lids

2500

2875

100

Epicanthus correction

1550

1783

101

Cantholysis and canthotomy

575

661

102

Entropion surgery- one lid

1380

1587

103

Entropion surgery- both lids

2000

2300

104

Tarsorraphy

650

748

105

Suturing of lid lacerations

1150

1323

106

Lid retraction repair

1700

1955

107

Concretions removal

115

132

108

Bucket handle procedure for lid tumors

345

397

109

Cheek rotation flap for lid tumors

6900

7935

110

Orbitotomy

8050

9258

111

Enucleation

2700

3105

112

Enucleation with orbital implants and artificial prosthesis

3000

3450

113

Evisceration

3105

3571

114

Evisceration with orbital implants and artificial prosthesis

5693

6547

115

Telecanthus correction

5175

5951

116

Orbital decompression

5750

6613

117

Exenteration

5750

6613

118

Exenteration with skin grafting

6900

7935

119

Fracture orbital repair

9200

10580

120

Retinal laser procedures

1350

1553

121

Retinal detachment surgery

11500

13225

122

Retinal detachment surgery with scleral buckling

13800

15870

123

Buckle removal

1150

1323

124

Silicone oil removal

2800

3220

125

Anterior retinal cryopexy

1162

1336

126

Squint correction for one eye

4500

5175

127

Squint correction for both eyes

6750

7763

128

Trabeculectomy

6210

7142

129

Trabeculotomy

6210

7142

130

Trabeculectomy with Trabeculotomy

9315

10712

131

Trephition

2070

2381

132

Goniotomy

311

358

133

Glaucoma surgery with Glaucoma valves

6900 + Valve

7935 + Valve

134

Cyclocryotherapy

1035

1190

135

YAG laser iridotomy

1350

1553

136

YAG laser capsulotomy

984

1132

137

ALT-Argon laser trabeculoplasty

1346

1548

138

PDT-Photodymic therapy

3450

3968

139

TTT- Transpupillary thermal therapy

2700

3105

140

PTK- Phototherapeutic keratectomy

6750

7763

141

Argon/diode laser for retinal detatchment

1035

1190

142

Intralase application for keratoconus

5175

5951

143

EOG- electro-oculogram

900

1035

144

ERG- Electro-retinogram

794

913

145

VEP- visually evoked potential

800

920

146

Vitrectomy- pars plana

10350

11903

147

Intravitreal injections- of antibiotics

1150

1323

148

Intravitreal injections- of lucentis excluding cost of drug

3000

3450

149

X- Ray orbit

115

132

150

CT-orbit and brain

173

199

151

MRI- Orbit and brain

3443

3959

152

Dacryocystography

340

391

153

Orbital angio-graphical studies

1350

1553

154

ECCE with IOL

3450

3968

155

SICS with IOL

4500

5175

156

Phaco with foldable IOL (silicone and acrylic)/PMMA IOL

10781

12398

157

Pars plana  lensectomy with/without IOL

9315

10712

158

Secondary IOL implantation- AC IOL PC IOL or scleral fixated IOL

6210

7142

159

Cataract extraction with IOL with capsular tension rings (Cionni’s ring)

13500

15525

160

Optic nerve sheathotomy

6750

7763

161

Iridodialysis repair or papillary reconstruction

5000

5750

162

Iris cyst removal

850

978

163

Lid Abscess incision and Drainage

1530

1760

164

Orbital Abscess incision and Drainage

3000

3450

165

Biopsy

460

529

166

Paracentesis

230

265

167

Scleral graft for scleral melting or perforation

2800

3220

168

Amniotic membrane grafting

1100

1265

169

Cyclodiathermy

2070

2381

170

Intraocular foreign body removal

187

215

171

Electrolysis

230

265

172

Perforating injury repair

4500

5175

173

Botulinum injection for blepharospasm or squint

2500

2875

 

 TREATMENT PROCEDURE DENTAL PROCEDURES

 

0

174

Flap Operation per  quadrant

360

414

175

Gingivectomy per quadrant

234

269

176

Reduction & immobilization of fracture- Maxilla Under LA

900

1035

177

Reduction & immobilization of fracture-Mandible Under LA

3500

4025

178

splints/Cirucum mandibular wiring under LA

510

587

179

splints/Cirucum mandibular wiring under GA

990

1139

180

Internal wire fixation/plate fixation of  Maxilla under LA

3000

3450

181

Internal wire fixation/plate fixation of Maxilla under GA

4000

4600

182

Internal wire fixation/plate fixation of Mandible under LA

3500

4025

183

Internal wire fixation/plate fixation of  Mandible under GA

4250

4888

184

Extraction per  tooth under LA

80

92

185

Complicated Ext. per Tooth under LA

100

115

186

Extraction of impacted tooth under LA

160

184

187

Extraction in mentally retarded/patients with systemic diseases/patient with special needs under short term GA

939

1080

188

Cyst & tumour of Maxilla /mandible by enucleation/ excision/ marsupalisation upto 4 cms under LA

244

281

189

Cyst & tumour of Maxilla/mandible by enucleation/ excision/ marsupalisation  size more than   4 cms under LA

406

467

190

Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupalisation size more than 4 cms under GA

1000

1150

191

TM joint ankylosis- under GA

6750

7763

192

Biopsy Intraoral-Soft tissue

374

430

193

Biopsy Intraoral-Bone

374

430

194

Hemi-mandibulectomy with graft

21000

24150

195

Hemi-mandibulectomy without  graft

21000

24150

196

Segmental-mandibulectomy with graft

3400

3910

197

Segmental-mandibulectomy without  graft

990

1139

198

Maxillectomy- Total with graft

2500

2875

199

Maxillectomy- Total without graft

1950

2243

200

Maxillectomy- partial with graft

3000

3450

201

Maxillectomy- partial  without graft

2500

2875

202

Release of fibrous bands & grafting -in (OSMF) treatment under GA

1500

1725

203

Pre-prosthetic surgery- Alveoloplasty

500

575

204

Pre-prosthetic surgery - ridge augmentation

1200

1380

205

Root canal Treatment(RCT) Anterior teeth(per tooth)

500

575

206

Root canal Treatment(RCT) Posterior teeth (per tooth)

700

805

207

Apicoectomy- Single root

500

575

208

Apicoectomy-Multiple roots

650

748

209

Metal Crown-per unit

500

575

210

Metal Crown with Acrylic facing per unit

700

805

211

Complete single denture-metal based

1500

1725

212

Complete denture- acrylic based per arch

950

1093

213

Removable  partial denture-Metal based-upto 3 teeth

700

805

214

Removable partial denture-Metal based-more than 3 teeth

900

1035

215

Removable partial denture-Acrylic based-upto 3 teeth

500

575

216

Removable partial denture-Acrylic based-more than 3 teeth

264

304

217

Amalgum restoration-per tooth

200

230

218

Composite Restoration-per tooth-anterior tooth

250

288

219

Glas Ionomer-per tooth

200

230

220

Scaling & polishing

300

345

221

Removable Orthodontics appliance- per  Arch

700

805

222

Fixed Orhtodontics-per Arch

1150

1323

223

Space maintainers-Fixed

500

575

224

Habit breaking appliances-removable

800

920

225

Habit breaking appliances-Fixed

1500

1725

226

Expansion plate

1000

1150

227

Feeding appliance for cleft palate

1500

1725

228

Maxillo-facial prosthesis (sal/auricular/orbital/facial lost part)

3500

4025

229

Functional orthodentic appliances

3000

3450

230

Obturator (Maxillo-facial)

1500

1725

231

Occlusal night guard(splint)

800

920

 

 TREATMENT PROCEDURE ENT

 

 

232

Pure Tone Audiogram

172

198

233

Impedence with stepedeal reflex

230

265

234

SISI Tone Decay

132

152

235

Multiple hearing assessment test to Adults

115

132

236

Speech Discrimination Score

90

103

237

Speech Assessment

120

138

238

Speech therapy per session of 30-40 minutes

131

151

239

Cold Calorie Test for Vestibular function

172

198

240

Removal of foreign body From Nose

345

397

241

Removal of foreign body From Ear

230

265

242

Syringing (Ear)

166

191

243

Polyp removal under LA

575

661

244

Polyp removal under GA

850

978

245

Peritonsillar abscess Drainage under LA

1449

1666

246

Myringoplasty

6900

7935

247

Staepedectomy

9200

10580

248

Myringotomy with Grommet insertion

4600

5290

249

Tympanotomy

7763

8927

250

Tympanoplasty

13800

15870

251

Mastoidectomy

14950

17193

252

Otoplasty

16100

18515

253

Labyrinthectomy

13800

15870

254

Skull Base surgery

25000

28750

255

Facial Nerve Decompression

17250

19838

256

Septoplasty

5750

6613

257

Submucous Resection

7314

8411

258

Septo-rhinoplasty

16100

18515

259

Rhinoplasty- Non-cosmetic

11500

13225

260

Fracture Reduction

4250

4888

261

Intra nasal Diathermy

1150

1323

262

Turbinectomy

5750

6613

263

Endoscopic DCR

13000

14950

264

Endoscopic Surgery

13800

15870

265

Septal Perforation Repair

13800

15870

266

Antrum Puncture

950

1093

267

Lateral Rhinotomy

1000

1150

268

Cranio-facial resection

25500

29325

269

Caldwell Luc Surgery

10626

12220

270

Angiofibroma Excision

17000

19550

271

Endoscopic Hypophysectomy

21500

24725

272

Endoscopic Optic Nerve Decompression

32775

37691

273

Decompression of Orbit

25500

29325

274

Punch/Wedge biopsy

674

775

275

Tonsillectomy

5000

5750

276

Uvulo-palatoplasty

15000

17250

277

FESS for antrochoal polyp

5750

6613

278

FESS for ethmoidal polyp

5750

6613

279

Polyp removal ear

748

860

280

Polyp removal Nose(Septal polyp)

748

860

281

Mastoidectomy plus Ossciculoplasty including TORP or PORP

2415

2777

282

Endolymphatic sac decompression

2875

3306

283

Diagnostic endoscopy under GA

2300

2645

284

Yonges operation for Atrophic rhinitis

6900

7935

285

Vidian neurectomy for vasomotor Rhinitis

10350

11903

286

Nasal Packing-anterior

345

397

287

Nasal Packing-posterior

805

926

288

Ranula Excision

6843

7869

289

Tongue Tie excision

1500

1725

290

Sub Mandibular Duct Lithotomy

269

309

291

Adenoidectomy

5640

6486

292

Palatopharyngoplasty

8165

9390

293

Pharyngoplasty

17193

19772

294

Styloidectomy

9200

10580

295

Direct laryngoscopy including Biopsy under GA

4500

5175

296

Oesophagoscopy/foreign body removal from

1800

2070

297

Bronchoscopy with F.B.removal

2438

2804

298

Other Major Surgery

13500

15525

299

Other Minor Surgery

8500

9775

 

 TREATMENT PROCEDURE FOR HEAD AND NECK

 

0

300

Ear Lobe Repair one side

500

575

301

Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only

4000

4600

302

Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage

3800

4370

303

Partial Amputation of Pinna

4500

5175

304

Total Amputation of Pinna

6200

7130

305

Total Amputation & Excision of External Auditory Meatus

1500

1725

306

Excision of Cystic Hygroma

5175

5951

307

Excision of Cystic Hygroma Extensive

7452

8570

308

Excision of Branchial Cyst

10350

11903

309

Excision of Branchial Sinus

10350

11903

310

Excision of Pharyngeal Diverticulum

10580

12167

311

Excision of Carotid Body-Tumours

11615

13357

312

Operation for Cervical Rib

12500

14375

313

Block Dissection of Cervical Lymph Nodes

15000

17250

314

Pharyngectomy & Reconstruction

15000

17250

315

Operation for Carcinoma Lip - Wedge-Excision

8050

9258

316

Operation for Carcinoma Lip - Vermilionectomy

5758

6622

317

Operation for Carcinoma Lip - Wedge Excision and Vermilonectomy

9292

10686

318

Estlander Operation

7475

8596

319

Abbe Operation

9800

11270

320

Cheek Advancement

9775

11241

321

Excision of the Maxilla

19320

22218

322

Excision of mandible-segmental

15525

17854

323

Mandibulectomy

21000

24150

324

Partial  Glossectomy

5520

6348

325

Hemiglossectomy

7000

8050

326

Total Glossectomy

22885

26318

327

Commondo Operation

22000

25300

328

Parotidectomy - Superficial

12075

13886

329

Parotidectomy -  Total

15000

17250

330

Parotidectomy -  Radical

19550

22483

331

Repair of Parotid Duct

11500

13225

332

Removal of Submandibular Salivary gland

8625

9919

333

Hemithyroidectomy

9500

10925

334

Partial Thyroidectomy (lobectomy)

11500

13225

335

Subtotal Thyroidectomy

13053

15011

336

Total Thyroidectomy

19000

21850

337

Resection Enucleation of thyroid Adenoma

10580

12167

338

Total Thyroidectomy and Block Dissection

26450

30418

339

Excision of Lingual Thyroid

16882

19414

340

Excision of Thyroglossal Cyst/Fistula

13225

15209

341

Excision of Parathyroid Adenoma/Carcinoma

21275

24466

342

Laryngectomy

17825

20499

343

Laryngo Pharyngectomy

30000

34500

344

Hyoid Suspension

10350

11903

345

Genioplasty

10800

12420

346

Direct Laryngoscopy including biopsy under GA

5175

5951

347

Phonosurgery

13800

15870

348

Fibroptic examition of Larynx under LA

1725

1984

349

Microlaryngeal Surgery

10350

11903

350

Laryngofissure

15525

17854

351

Tracheal Stenosis Excision

19780

22747

 

Head and neck cancer

 

0

352

Excisional Biopsies

5750

6613

353

Benign Tumour Excisions

9500

10925

354

Temporal Bone  subtotal resection

20700

23805

355

Modified Radical Neck Dissection

25300

29095

356

Carotid Body Excision

26000

29900

357

Total Laryngectomy

39192

45071

358

Flap Reconstructive Surgery

41400

47610

359

Parapharyngeal Tumour Excision

39330

45230

360

Other Major Surgery

21250

24438

361

Other Minor Surgery

5000

5750

 

 TREATMENT PROCEDURE BREAST

 

0

362

Drainage of abscess

6000

6900

363

Excision of lumps

6969

8014

364

Local mastectomy-simple

12650

14548

365

Radical mastectomy-formal  or modified.

28750

33063

366

Excision of mammary fistula

15525

17854

367

Segmental resection of breast

16100

18515

368

Other Major Surgery

25000

28750

369

Other Minor Surgery

5000

5750

 

 TREATMENT PROCEDURE GENERAL SURGERY

 

0

370

Injury Of Superficial Soft Tissues

425

489

371

Suturing of small wounds

269

309

372

Secondary suture of wounds

290

334

373

Debridement of wounds

450

518

374

Removal Of Foreign Bodies

300

345

 

Biopsies

 

0

375

Excision of Cervical Lymph Node

1725

1984

376

Excision of Axillary Lymph Node

2277

2619

377

Excision of Inguinal Lymph Node

2277

2619

378

Excision Biopsy of Ulcers

1470

1691

379

Excision Biopsy of Superficial Lumps

3220

3703

380

Incision Biopsy of Growths/Ulcers

1470

1691

381

Trucut Needle Biopsy

1395

1604

382

Percutaneous Kidney Biopsy

1470

1691

383

Marrow Biopsy (Open)

1060

1219

384

Muscle Biopsy

1470

1691

385

Scalene Node Biopsy

1350

1553

386

Excision of Sebaceous Cysts

1242

1428

387

Excision of Superficial Lipoma

1932

2222

388

Excision of Superficial Neurofibroma

2500

2875

389

Excision of Dermoid Cysts

2277

2619

390

Haemorrhoidectomy

2500

2875

391

Stappler haemorrhoidectomy

4025

4629

392

keloid excision

1150

1323

393

Vericose vein surgery;Tendelenburg operation with suturing or ligation.

8625

9919

 

 TREATMENT PROCEDURE OESOPHAGUS

 

0

394

Atresia of Oesophagus and Tracheo Oesophageal Fistula

28750

33063

395

Operations for Replacement of Oesophagus by Colon

25000

28750

396

Oesophagectomy for Carcinoma Easophagus

25000

28750

397

Oesophageal Intubation (Mausseau Barbin Tube)

10350

11903

398

Achalasia Cardia Transthoracic

14950

17193

399

Achalasia Cardia Abdominal

12650

14548

400

Oesophago Gastrectomy for mid 1/3 lesion

24495

28169

401

Heller’s Operation

19750

22713

402

Colon-Inter position or Replacement of Oesophagus

22540

25921

403

Oesophago Gastrectomy – Lower Corringers procedure

21390

24599

404

Other Major Surgery

27625

31769

405

Other Minor Surgery

5000

5750

 

 TREATMENT PROCEDURE ABDOMEN / GI SURGERY

 

0

406

Gastroscopy

1725

1984

407

Gastric & Duodenal Biopsy (Endoscopic)

1755

2018

408

Pyloromyotomy

2800

3220

409

Gastrostomy

8625

9919

410

Simple Closure of Perforated peptic Ulcer

9775

11241

411

Vagotomy Pyleroplasty / Gastro Jejunostomy

13800

15870

412

Duodenojejunostomy

18950

21793

413

Partial/Subtotal Gastrectomy for Carcinoma

23000

26450