Madhesh Province Government
Ministry of Health and Population
Ram Kumar Sharda Uma Prasad Murarka
Provincial Hospital Lahan, Siraha
Service Rate
S.No Group Name Service Name Rate
1 Pathology RFT 800
2 Pathology CBC (COMPLETE BLOOD COUNT) 300
3 Pathology Gram stain 56
4 Pathology Pus CS 200
5 Pathology Urobillinogen/prophobillinogen 40
6 Pathology Urine Acetone 50
7 Pathology Pnenytoin level 600
8 Pathology GTT (Glucosetolerance) 240
9 Pathology S lipase 332
10 Pathology Urine microalbumin 460
11 Pathology Eosinophil count 160
12 Pathology TORCH 2000
13 Pathology Vitamin D 1500
14 Pathology Vitamin B12 1000
15 Pathology Body Fluid (CSF, Ascitic, Peritoneal, bile )CS 200
16 Pathology Ca153 1025
17 Pathology Alphafetoprotein 900
18 Pathology Beta HCG 800
19 Pathology Serum cortisol 990
20 Pathology Creatinine clearance 390
21 Pathology Sickling test 70
22 Pathology Total Protein 130
23 Pathology S Gamma GT 105
24 Pathology S Globulin 150
25 Pathology A/G ratio 105
26 Pathology Urethral / vaginal swab CS 200
27 Pathology Bone marrow aspiraion 317
28 Pathology Bone marrow report 350
29 Pathology ANA 525
30 Pathology Anti-DNA 525
31 Pathology Cyticercosis 550
32 Pathology Folic acid 300
33 Pathology Parathyroid Hormone 500
34 Pathology Ferritin 500
35 Pathology Testesterone 650
36 Pathology Leutinizing(LH) 650
37 Pathology HIV (RDT) (when not covered by program) 0
38 Pathology FSH 500
39 Pathology Troponin I Quantitative 1200
40 Pathology Blood CS Bactec 700
41 Pathology Histopatho Intermediate 1000
42 Pathology S phosphorus 185
43 Pathology Dengue(RDT) when not covered by Programe 800
44 Pathology HbsAg(RDT) 250
45 Pathology Adenosine deaminase (ADA) Test 575
46 Pathology D-dimer 400
47 Pathology Hemoglobin electrophoresis 550
48 Pathology Protein Electrophoresis (serum/urine) 195
49 Pathology Serum Iron profile 1100
50 Pathology Serum Lithium 559
51 Pathology Anti TPO (Thyroid peroxidase) antibody 1650
52 Pathology HCV(RDT) 250
53 Pathology HCV/HIV/HBsAg ELISA 200
54 Pathology Immunohistochemistry (per marker) 1500
55 Pathology Thyroglobulin Antibody 2640
56 Pathology Bone Marrow Biopsy 1700
57 Pathology Bone Marrow Test (with Aspiration) 950
58 Pathology LE Cell 90
59 Pathology C-peptide 2200
60 Pathology Estradiol 500
61 Pathology Growth Hormone 700
62 Pathology Progesterone 650
63 Pathology RPR(RDT) 95
64 Pathology Prolactin Hormone 550
65 Pathology Serum Inhibin 2000
66 Pathology Serum insulin 2000
67 Pathology Carcinoembryonic antigen (CEA) 730
68 Pathology Beta 2 Microalbumin (tumour marker) 3150
69 Pathology Other Tumour markers (CA 19.9, Vimentin, Desmin, S100 etc.) - per marker 1067
70 Pathology Flow Cytometry (Per marker) 1200
71 Pathology Total Count(If Not covered in package) 35
72 Pathology DC(If Not Covered In Package) 35
73 Pathology HB(If Not Covered In Package) 35
74 Pathology TPHA 230
75 Pathology Brucellosis(Latex) 325
76 Pathology KOH/india ink fungal Microscopy 70
77 Pathology Widal(Salmonella agglutination) 100
78 Pathology Leptospira (RDT) 400
79 Pathology Influenza RDT(if covered by Program) 0
80 Pathology Urine Pregnancy TesT 100
81 Pathology Blood grouping (Emergency) 0
82 Pathology Blood grouping general 60
83 Pathology Cross Match 100
84 Pathology Rheumatoid Factor 100
85 Pathology AntiStrep.O antibody (titre)/ASO 200
86 Pathology CRP 250
87 Pathology Stool RE(OPD) 50
88 Pathology Blood sugar Fasting(OPD) 50
89 Pathology Blood Sugar PP(OPD) 50
90 Pathology Blood sugar Random(EMER) 50
91 Pathology Uric acid 150
92 Pathology SGOT 75
93 Pathology SGPT 75
94 Pathology Alkaline phosphatase (ALP) 150
95 Pathology Billirubin T/D 250
96 Pathology Liver function test (pannel) 460
97 Pathology S. Albumin 200
98 Pathology Urine RE(OPD/EMR) 50
99 Pathology S. Amylase 200
100 Pathology S. Urea 90
101 Pathology S. Creatinine 120
102 Pathology Lipid Profile 500
103 Pathology Total Cholesterol 150
104 Pathology HDL 150
105 Pathology LDL 150
106 Pathology Triglyceride 150
107 Pathology 24 hr Ur protein 160
108 Pathology Sodium (NA) 300
109 Pathology CSF RE 100
110 Pathology Potassium (K) 200
111 Pathology Total Count 0
112 Pathology DC 0
113 Pathology HB 50
114 Pathology ESR 40
115 Pathology RBC 35
116 Pathology Platelet Count 50
117 Pathology MCH 30
118 Pathology MCV 30
119 Pathology MCHC 30
120 Pathology Blood CS (Conventional) 200
121 Pathology Absolute count 50
122 Pathology Aldehyde test 95
123 Pathology Comment on Periferal smear 100
124 Pathology HbA1C 700
125 Pathology PT/INR 350
126 Pathology BT 50
127 Pathology CT 50
128 Pathology APTT 290
129 Pathology Pap reporting 315
130 Pathology FNAC procdure and reporting 510
131 Pathology Urine CS 200
132 Pathology CPK 215
133 Pathology CKMB 330
134 Pathology TFT 900
135 Pathology Ft3 308
136 Pathology Ft4 308
137 Pathology TSH 400
138 Pathology CA 125 1055
139 Pathology PSA 800
140 Pathology Troponin I (Qualitative) 715
141 Pathology Hep E (RDT) 630
142 Pathology Stool CS 200
143 Pathology Packed Cell Volume (PCV) 100
144 Pathology Histopatho Minor 600
145 Pathology Histopatho Major 1500
146 Pathology Routine Cytology stain/report 425
147 Pathology S. Calcium 300
148 Pathology S. Magnesium 300
149 Pathology CSF routine biochem (Protein/sugar) 171
150 Pathology H. Pylori (RDT) 450
151 Pathology Mountox 60
152 Pathology Occult Blood 60
153 Pathology Respiratory specimen (Sputum, throat swab, bronc. lavage, fluid) CS 190
154 Pathology ABG Gas (6 Parameters) 680
155 Pathology Anti CCP 1050
156 Pathology Reticulocyte count 125
157 Pathology LDH 310
158 Pathology VDRL 130
159 Pathology serum cholestrol 150
160 Pathology Blood sugar (not covered in OPD/EMR) 60
161 Pathology S. Creatinine (EMR) 0
162 Pathology HIV CD4 COUNT 100
163 Pathology HIV VIRAL LOAD 100
164 Pathology MALARIA RDT 250
165 Pathology KALAZAR K39 RDT 0
166 Pathology INFLUENZA RDT/PCR 1320
167 Pathology Dengue(RDT) when covered by Programe 0
168 Pathology VDRL INSURANCE 100
169 Pathology T3 300
170 Pathology T4 300
171 Pathology DIFFRENTIAL LEUCOCYTE COUNT (DLC) 50
172 Pathology Semen Analysis 500
173 Pathology ANC PACKAGE 800
174 Pathology ANC PACKAGE (ANUDAN) 350
175 Pathology Sputum 0
176 Pathology Montoux 60
177 Pathology scurb typhus 700
178 Pathology Blood Sugar 60year plus 50
179 Pathology Typhoid antibody(IgG/IgM) 350
180 Pathology CBC INSURANCE (EMER) 0
181 Pathology BSR 50
182 Pathology BLOOD UREA 110
183 Pathology LFT 800
184 Pathology PLTS (PLTS) 100
185 Pathology BILIRUBIN 250
186 Pathology POTASIUM 200
187 Pathology KETON BODY 50
188 Pathology TYPHI 350
189 Pathology DENGUE TEST 550
190 Pathology SPUTAM OF AFB FREE 0
191 Pathology HIV,B.G,BSR,VDRL=ANC(INDOOR) 490
192 Pathology ALT (SGPT) 75
193 Pathology AST (SGOT) 120
194 Pathology ASOTITLE 150
195 Pathology TROPININE 450
196 Pathology URINE R/E 50
197 Pathology STOOL R/E 50
198 Pathology MP KIT(MP KIT) FREE 0
199 Pathology MOUNTEX TEST 150
200 Pathology HIV FREE 0
201 Pathology BSPP 50
202 Pathology BSF 50
203 Pathology UPT 100
204 Pathology RA FACTOR 150
205 Pathology TC/DC/HB% 150
206 Pathology serrum creatinine 120
207 Pathology AEC 150
208 Pathology albumin 200
209 Pathology CALCIUM 300
210 Pathology G RBS 50
211 Pathology AntiStrep.O antibody (titre)/ASO 200
212 Pathology hepb 630 630
213 Pathology HIV 250
214 Pathology SGOT/SGPT 75
215 Pathology ASO TITRE 200
216 Pathology BT/CT 60
217 Pathology SPUTUM FOR EOSINOPHIL 60
218 Pathology ALKALINE PHOSPHATASE 60
219 Pathology HbA1c (Hplc) 500
220 Pathology HPLC 0
221 Pathology STOOL CHOLERA (RDT) 0
222 Pathology Stool H.Pylori 350
223 Pathology HCV-HIV-HBS-VDRL Quick 800
224 Pathology Urine c/s 400
225 Pathology Billirubin Direct 100
226 Pathology Billirubin Total 100
227 EMERGENCY MINOR OT PLASTER CHARGE - I 500
228 EMERGENCY MINOR OT PLASTER CHARGE - II 750
229 EMERGENCY MINOR OT PLASTER CHARGE - III 1000
230 EMERGENCY MINOR OT ER MINOR OT 100
231 EMERGENCY MINOR OT ER MINOR OT - I 200
232 EMERGENCY MINOR OT ER MINOR OT -II 350
233 EMERGENCY MINOR OT ER MINOR OT - III 500
234 EMERGENCY MINOR OT SUTURING CHARGE - I 300
235 EMERGENCY MINOR OT SUTURING CHARGE - II 500
236 EMERGENCY MINOR OT SUTURING CHARGE - III 700
237 EMERGENCY MINOR OT SUTURING CHARGE - IV 100
238 EMERGENCY MINOR OT forev bodi removed 300 500
239 EMERGENCY MINOR OT SUTURING CHARGE - 1000 1000
240 EMERGENCY MINOR OT DRESSING 500 500
241 EMERGENCY MINOR OT aboue elbev plst 1500 1500
242 EMERGENCY MINOR OT spc insestion 5000 5000
243 EMERGENCY MINOR OT forev body removed 500 500
244 DENTAL DENTAL EXTRACTION FOR ADULT 300
245 DENTAL DENTAL EXTRACTION FOR CHILD 100
246 DENTAL DENTAL X-RAY 150
247 DENTAL RCT 1200
248 DENTAL SCALING 400
249 DENTAL TEMPORARY FILLING 250
250 DENTAL COMPOSITE 1000
251 DENTAL COMPOSITE FILLING 600
252 DENTAL full mouth scalling 500
253 DENTAL IOPAR- 150
254 DENTAL COMPLICATED EXTRECATION 450
255 DENTAL SIMPLE EXTRACTION 250
256 DENTAL PEDO EXTRACTION 150
257 DENTAL QUADRANT SCALING 200
258 DENTAL GIC 450
259 DENTAL 3 rd MOLAR 500
260 DENTAL RCT 3500 3500
261 DENTAL RCT3000 3000
262 DENTAL irrigation 100 100
263 DENTAL OPG 800
264 DENTAL PULPOTOMY 1500
265 DENTAL EXTRESION 400 400
266 DENTAL scaling 500 500
267 DENTAL GIG RESTRSION 450 450
268 DENTAL PEDO EXT 200 200
269 DENTAL polpotomy 1200 1200
270 DENTAL composite resluresion 900 900
271 DENTAL Dental extraction simple per unit(LA) 300
272 DENTAL Dental extraction difficult per unit GA 1000
273 DENTAL Dental extraction (difficult) per unit(LA) 500
274 DENTAL Impacted tooth/molar (LA) package 2500
275 DENTAL Perioral sinus excision LA 3500
276 DENTAL Fracture Mandible Plating(extra) and 15000
277 DENTAL Fracture Maxilla Fixation LA 15000
278 DENTAL Fracture Maxilla Fixation GA 20000
279 DENTAL Fracture Mandible Plating and 20000
280 DENTAL suture majar 1500 1500
281 DENTAL occlus rodvction 50 50
282 DENTAL topany 150 150
283 DENTAL QUALANTS SCALY 200 200
284 DENTAL ext 300
285 DENTAL DCM 600 600
286 DENTAL RESTORATION 450 450
287 DENTAL SUTURE MAJOR 1500
288 DENTAL DCM 300
289 DENTAL minar ot charge 1500 1500
290 DENTAL i & d 1000 1000
291 DENTAL TM J REDUCTION 500
292 DENTAL SARICAL EXTRACTION 1500 1500
293 DENTAL TO 200 200
294 DENTAL simple extraction 250 250
295 DENTAL OPEN EXTRACTION 650
296 DENTAL dental i & d 1200
297 DENTAL dcm 450 450
298 DENTAL CQUADRAUT SCALING 200 200
299 DENTAL SURGICAL EXFRAUTION 2000
300 DENTAL SURGICAL EXTRAUTION 1500
301 DENTAL Dental Suture Remove 100 100
302 DENTAL SUTURE REMOVAL 100
303 DENTAL mandible reduction 500 500
304 DENTAL simple extretion 250
305 DENTAL Re-RCT 3800
306 DENTAL Subgingival Scalling 800
307 DENTAL Metapex Dressing 500
308 DENTAL MTA Apexification 1500
309 DENTAL paediatric Extraction (Posterior) 2000
310 DENTAL RCT With Endomotor 3800
311 DENTAL Apexogenesis 2000
312 DENTAL Operculectomy 400
313 DENTAL Dry Socket management 150
314 DENTAL GIC + GIC 650
315 DENTAL polishing 100
316 DENTAL Old Prosthesis Removel 300
317 DENTAL Splinting Per Teeth 600
318 DENTAL DCM + GIC 650
319 DENTAL RCT With Endomoter 3800 3800
320 DENTAL Posterior Extraction pedo (200) 200
321 DENTAL Comparitc Restration 1000 1000
322 X-Ray DIGITAL X-RAY 300
323 X-Ray X-ray (PNS) 400
324 X-Ray X-ray double view (PNS) 450
325 X-Ray X-ray Triple View (spine) 700
326 X-Ray X-Ray skull 450
327 X-Ray X-ray (Nasal bone/jaw/mandible /face bone) 450
328 X-Ray X-ray (Temporal/Occipital) 450
329 X-Ray X-ray double view {Nasal bone/sinus/jaw/mandible /face bone) 500
330 X-Ray X-ray double view {Temporal/Occipital) 550
331 X-Ray X-ray single view(hand/foot) 300
332 X-Ray X-ray double view(hand/foot) 450
333 X-Ray X-ray(Chest ) 500
334 X-Ray X-ray double view(Spine) 550
335 X-Ray X-ray triple view(spine) 600
336 X-Ray X-ray Triple view 550
337 X-Ray X-ray Four view 650
338 X-Ray X-ray(Two joints) 600
339 X-Ray X-ray(Spine) 500
340 X-Ray X-ray double view(Chest} 550
341 X-Ray X-ray double view(Chest) 550
342 X-Ray X-ray (spine two segment) 550
343 X-Ray X-ray double view(Spine two segment) 650
344 X-Ray X-ray(forearm/leg) 400
345 X-Ray X-ray double view (forearm/leg) 450
346 X-Ray X-ray ( both forearm/ both leg) 600
347 X-Ray X-ray double view ( both forearm/ both leg) 700
348 X-Ray X-ray ( both Thigh/both Pelvis or Hip) 650
349 X-Ray X-ray double view ( both Thigh/ both Pelvis or Hip} 750
350 X-Ray X-ray (Thigh/pelvis/shouIder) 450
351 X-Ray X-ray double view (Thigh/pelvis/shoulder) 500
352 X-Ray X-ray (Thigh with Pelvis) 500
353 X-Ray X-ray double view (Thigh with Pelvis) 600
354 X-Ray X-ray (clavicle) 400
355 X-Ray X-ray double view (clavicle) 500
356 X-Ray Dental X ray 150
357 X-Ray Dental X ray(IOPA/RVG) 150
358 X-Ray XRAY(AP/PA+Lateral/Oblique/Additational) 300
359 DRESSING DRESSING CHARGE NORMAL 50
360 DRESSING DRESSING MAJOR 300
361 DRESSING Incision and Drinage Abscess 150
362 DRESSING SUTURE REMOVAL 200
363 DRESSING DRESSING CHARGE 250 250
364 DRESSING DRESSING 200 200
365 DRESSING mejor dressing 300 300
366 DRESSING STITCH REMOVAL 250
367 DRESSING suture 300 300
368 DRESSING dreesing 150 150
369 DRESSING Dressing100 100
370 DRESSING I AND D 250 250
371 USG USG 500
372 USG USG SMALL PARTS 171
373 USG USG Soft Tissue 800
374 USG USG (Eye, Neck, Throat, Hand, Soft Tissue) A Scan 800
375 USG USG Breast (single) 600
376 USG USG breast (double) 1000
377 USG Scrotal USG 800
378 USG USG(Anomaly Scan) 1500 1500
379 USG USG EHS 700
380 USG USG SOFT TISSUE 800 800
381 USG USG - NECK 800
382 USG USG - NUCHAL TRANSLUCENCY SCAN 800 800
383 USG USG GUIDED ASCITIC / PLEURAL TRPPIMG 800 800
384 USG USG GUIDED DRAINAGE PROCEDURE 650 650
385 USG URINARY BLADDER - SPC INSERTION UNDER USG 3000 3000
386 USG TRANSVAGINAL ULTRASOUND USG 1200 1200
387 USG USG GUIDED FNAC 850 850
388 USG USG (ANOMALY SCAN) 1500 1500
389 USG USG BREAST (SINGLE) 600 600
390 USG SG BREAST(DOUBLE) 1000 1000
391 USG SCROTAL USG 800 800
392 USG BILATERAL LIMB ARTERIAL DOPPLER 3500
393 USG Bilateral limbs venous doppler 3000
394 USG Carotid Doppler 1500
395 USG Renal Doppler 3500
396 USG Single Limb Arterial Doppler 2000
397 USG Single Limb Venous Doppler 1800
398 USG Fetal Doppler 1800
399 USG USG Abdomen/Obs 600
400 USG USG. 600
401 USG KNEE/Ankle USG 800
402 USG USG Abdomen 600
403 USG DOPPLER SCAN 3500
404 USG Transvaginalsonography 600
405 USG USG Ankle 800
406 USG USG breast single 600 600
407 USG ANOMALY SCAN 1500
408 USG USG (ABD+PELVIS/OBS SCAN/SMALL PARTS(THYROID/NECK/BREAST/SCROTOM/MSK/JOINTS/ 800
409 USG DOPPLER(CAROTID/SINGLE LIMB VENOUS/ARTERIAL/FETAL DOPPLER/RENAL DOPPLER/PORTAL DOPPLER 1800
410 USG USG BREAST 1000
411 ADMISSION General ward 200
412 ADMISSION ICU 250
413 ADMISSION Maternity 0
414 ADMISSION STEPDOWN WARD 50
415 ADMISSION POST-UP WARD 50
416 ADMISSION ADMIT BED CHARGE FREE 0
417 ADMISSION SUTURING OUT 100
418 ADMISSION ADMIT CHARGE 50
419 ADMISSION SVD WITH NEONATAL DEATH WITH HOME DELIVERY 0
420 ADMISSION HDU BEDCHARGE 250
421 ADMISSION THALESEMIA ADMIT 0
422 ADMISSION HDU ADMIT CHARGE 50
423 ADMISSION INDOOR 0
424 ADMISSION SNCU 0
425 ADMISSION EMERGENCY WARD 50
426 ADMISSION SNCU FREE 0
427 ADMISSION MATERNITY ADMIT FREE 0
428 PHYSIOTHERAPY Physiotherapy package 1 week (level1) 1450
429 PHYSIOTHERAPY Physiotherapy package 1 week (level2) 1750
430 PHYSIOTHERAPY Physiotherapy per sitting 300
431 PHYSIOTHERAPY Physiotherapy 75
432 PHYSIOTHERAPY TENS 100
433 PHYSIOTHERAPY CATEGORY A 200
434 PHYSIOTHERAPY CATEGORY B 350
435 PHYSIOTHERAPY CATEGORY C 420
436 PHYSIOTHERAPY CATEGORY D 500
437 PHYSIOTHERAPY Category A ;Basic Physiotherapy Service 250
438 ECG ECG general 200
439 ECG ECG (Emergency) 200
440 ECG ECHOCARDIOGRAPHY 1050
441 BED CHARGE ICU BED CHARGE 1000
442 BED CHARGE HDU BED CHARGE 250
443 Plaster charge Laceration repair Minor/Suturing 500
444 Plaster charge Plaster charge-2 750
445 Plaster charge plaster charge-1 500
446 Plaster charge plaster charge -3 1000
447 ARV ARV INSURANCE 0
448 ARV ARV GENERAL 100
449 ARV ARV GENERAL 100
450 Catheterization OTHER CHARGE 1 100
451 Catheterization OTHER CHARGE 2 200
452 Packages Nebulization per episode 100
453 Packages Speech therapy per session 150
454 Packages Physiotherapy per sitting 300
455 Packages Phototherapy per sitting 200
456 Packages Oxygen gas charge/24 hr 250
457 Packages PAC(Post abortion Medical care) 500
458 Packages Blood /Blood component per unit 800
459 Packages Physiotherapy package 1 week (level1) 1450
460 Packages Posterior Nasal Packing 1200
461 Packages Physiotherapy package 1 week (level2) 1750
462 BED CHARGE LSCS CHARGE FREE 0
463 BED CHARGE SVD ADMIT CHARGE FREE 0
464 BED CHARGE MVA 0
465 BED CHARGE BED CHARGE 0
466 BED CHARGE IUFD 0
467 BED CHARGE HDU CHARGE 250
468 BED CHARGE THALESEMIA 0
469 BED CHARGE svd 0
470 BED CHARGE SNCU WARD 0
471 BED CHARGE Bed charge free 0
472 BED CHARGE Maternity BED charge free 0
473 BED CHARGE SNCU Bed Charge 0
474 BED CHARGE ICU Charge 1000
475 Police Case Police Case 1000
476 ORTHO Amputation above knee/below knee/below forearm-SA 10000
477 ORTHO DEBRIDEMENT OF WOUND UNDER LA 8500
478 ORTHO MINOR OT 100 RS 100
479 ORTHO Stich Removal 8750
480 ORTHO Implant Removal Plate Removal 6000
481 ORTHO Dressing Minor 65
482 ORTHO Stich Removal 250
483 ORTHO Foreign body removal (eye/ear/throat) simple 700
484 ORTHO Intra-ArticularSteroid Injection (Including Steroid Medicine) 850
485 ORTHO Incion and drainage abcess (large) 900
486 ORTHO Fracture Reduction POP cast Minor/Slab 1200
487 ORTHO I and D LA 1750
488 ORTHO Secondary suturing LA 1750
489 ORTHO Perineum-1st and 2nd degree Tear Old 2000
490 ORTHO Uterus-Dilatation and Curettage LA 2000
491 ORTHO Foot Fracture Fixation LA 2000
492 ORTHO K-wire Remova 2000
493 ORTHO Hemorrhoid banding 2500
494 ORTHO Ganglion excision LA 2550
495 ORTHO Foreign body exploration LA 2550
496 ORTHO Fracture reduction POP cast major long leg, above elbow, above knee) 2550
497 ORTHO Sebaceous cyst excision single LA 3400
498 ORTHO Lymphnode excision biopsy LA 3400
499 ORTHO I & D SA 144
500 ORTHO Post Abortion Care (PAC) with MVA 4000
501 ORTHO Sebaceous cyst excision multiple LA 4250
502 ORTHO Lipoma excision multiple LA 4250
503 ORTHO Gynaecomastia excision unilateral LA 4250
504 ORTHO Comprehensive Abortion Care (CAC) 4250
505 ORTHO Foot- MTP/IP Joints Dislocations 4250
506 ORTHO Hand- MCP/IP Joints Dislocations 4250
507 ORTHO Shoulder/Elbow Dislocation 4250
508 ORTHO I & D GA 4500
509 ORTHO Contracture Release with Z Plasty LA 5100
510 ORTHO Trigger Finger Release LA 3000
511 ORTHO Debridement & Closure(LA) package 5200
512 ORTHO Secondary suturing GA 5400
513 ORTHO Foot Fracture Fixation SA 5400
514 ORTHO Perineum-3rd Degree Tear Acute 5500
515 ORTHO Examinaiton under Anesthesia (EUA) 6000
516 ORTHO Amputation digital SA 6000
517 ORTHO Implant Removal Plate Removal GA/SA 6000
518 ORTHO Toes & Finger Arthrodesis SA/Regional Block 6000
519 ORTHO Dilation and Curettage (D & C) 6549
520 ORTHO CRPP (Small Joints 250
521 ORTHO Implant removal Simple 6800
522 ORTHO Surgical Release (Trigger/DQ release) 6800
523 ORTHO Tendon Repair Intermediate 6800
524 ORTHO Tendon Repair Minor 3000
525 ORTHO Facial Laceration Suturing (Simple) LA 6800
526 ORTHO Minor Lip procedure LA 6800
527 ORTHO Polydactyli Correction Single LA 6800
528 ORTHO Skin Grafting Raw Area LA 6800
529 ORTHO Tendon Repair (Single) LA 3500
530 ORTHO MAJOR OT 6000
531 ORTHO ELBOW DISLOCATION 500
532 ORTHO FOREIGN BODY (BIG) 350
533 ORTHO FOREIGN BODY REMOVAL (SMALL) 100
534 ORTHO SHOULDER DISLOCATION 1000
535 ORTHO SLAB APPLICATION LONG 700
536 ORTHO SLAB APPLICATION MEDIUM 600
537 ORTHO SLAB APPLICATION SMALL 500
538 ORTHO AGE ESTIMATION 800
539 ORTHO I @ D ABSCES LARGE 200
540 ORTHO I @ D ABSCES SMALL 200
541 ORTHO LIPASE 500
542 ORTHO NASAL PACKING 0
543 ORTHO PHYSICAL ASSULT/INJURY REPORT 450
544 ORTHO EAR SURINGING 100
545 ORTHO ENEMA / PROCTOSCOPY 25
546 ORTHO F.CATHETOR 50
547 ORTHO S/I TENDON REPAIR 2000
548 ORTHO STEROID ING 350
549 ORTHO SLAB CHARGE 1500
550 ORTHO ot charge 4000
551 ORTHO CEPULS BUTTOUING 14000
552 ORTHO F.B REMOVAL 1500
553 ORTHO OT CHARGE I 13000
554 ORTHO SLAB-BELOW KNEE / ELBOW 1000 1000
555 ORTHO PLASTER REMOVAL CHAREGE 100
556 ORTHO TENDON REPAIR [ MINOR] 3000
557 ORTHO Implant removal Nail SA Large Bone 0
558 ORTHO Forearm Fracture Distal Radius ORIF Regional Block 0
559 ORTHO Forearm Fracture Distal Radius ORIF GA 0
560 ORTHO COLLES CAST 500
561 ORTHO elbew back slab 1500
562 ORTHO PATELLA FRACTURE ORIF WITH TBW 9000
563 ORTHO REMOVE BACK SLAB 100
564 ORTHO boot cast 1000
565 ORTHO colles cast 750
566 ORTHO OTHER 500
567 ORTHO Fracture Reduction POP Cast Minor /Slab 1200
568 ORTHO ot 6000
569 ORTHO Arm fracture plating 6000
570 ORTHO Hip Spiea 2500
571 ORTHO OT CHARGE 9000
572 ORTHO Implant Removal Ortho major under SA 10000
573 ORTHO OT CHARGE [10000] 10000
574 ORTHO PLASTER 1000 1000
575 ORTHO S.PRACTUSE OPEN REDUCTION PLATE FIXAATION 10000
576 ORTHO CAST-LONG LEG 1500
577 ORTHO INTRA ARTICULAR INJECTION ON KNEE 1000
578 ORTHO Knee collateral Ligament Injury Repair SA 11700
579 ORTHO CAST SIMPLE 500
580 ORTHO FOREARM FRACTURE 9000 9000
581 ORTHO OT CHARGE 2500 2500
582 ORTHO INTRA LESIONAL INJECTION 500
583 ORTHO slab 500 500
584 ORTHO OT CHARGE 9000 9000
585 ORTHO TENDON REPAIR MAJOR 3500
586 ORTHO OT CHARGE 4000 4000
587 ORTHO Forearm- Fracture Both Bones Forearm GA 14400
588 ORTHO OT CHARGE 6000 6000
589 ORTHO plaster removed 250
590 ORTHO ot charge 8000 8000
591 ORTHO Foreign body removal under GA(airway, esophageal) 8153
592 ORTHO FB REMOVAL 1000 1000
593 ORTHO MAJOR 3000 3000
594 ORTHO COLLES CAST 1500 1500
595 ORTHO elbow back slab 1000 1000
596 ORTHO OT[12000] 12000
597 ORTHO Intra-Articular Steroid injection 850
598 ORTHO EXCISION 2500 2500
599 ORTHO DETRIDEMENT 3000 3000
600 ORTHO OT CHARGE 10000 10000
601 ORTHO OT CHARGE 2000 2000
602 ORTHO auspulation of fiuger leloue 3000 3000
603 ORTHO OT CHAREGE 3000 3000
604 ORTHO Closed Reduction and K-Wire Fixation/TENS 17000
605 ORTHO OT CHARGE 1000 1000
606 ORTHO OT 2500 2500
607 ORTHO OT 5000 5000
608 ORTHO ortho 1500 1500
609 ORTHO Intra-Articular Steroid injection (including steroid medicine) 850
610 ORTHO Trigges Finger Release 1000
611 ORTHO BELOW BACK SLAB 1000 1000
612 ORTHO Suprapubic/Pleural/other body fluid aspiration 500
613 ORTHO PLASTER CHARGE 2000 2000
614 ORTHO implant removal 6000 6000
615 ORTHO OT CHARGE 12000 12000
616 ORTHO below elbow cast 750 750
617 ORTHO OT 5000 5000
618 ORTHO k wire 4000
619 ORTHO DETREIREN 1500 1500
620 ORTHO f b expleram la 1500 1500
621 ORTHO minor oi 1000 1000
622 ORTHO OT 1500 1500
623 ORTHO TO 750 750
624 ORTHO SLAB/ CAST APPLICATION WITHOUT ANAESTHESIA 2000
625 ORTHO PLASTER CHARGE 1500 1500
626 ORTHO plaster charge 2500 2500
627 ORTHO injection trianeinoloe i/l 500 500
628 ORTHO DEBRIDEMENT OF WOUND UNER GA 17500
629 ORTHO DEBRIDEMENT OF WOUND UNDER LA 8500
630 ORTHO PLASTER CHARGE 750 750
631 ORTHO TRIGGER FINGER RELEASE GA 11000
632 ORTHO BELOW BACK SLAB 1500 1500
633 ORTHO Forearm- Fracture Distal Radius - ORIF GA 25000
634 ORTHO Forearm- Fracture Distal Radius - ORIF Regional Block 18000
635 ORTHO IMPLANT REMOVAL - PLATE/CCS GA MAJOR 20000
636 ORTHO OT Charge 16000 16000
637 ORTHO tendon repair 4000 4000
638 ORTHO F.B EXPLORATION 3500
639 ORTHO ot 15000 15000
640 ORTHO HIPS FRACTURE FEMUR NECK HEMIARTHROPLASTY GA 35000
641 ORTHO ot 3000 3000
642 ORTHO USG GUIDED INTRA-ARTICULAR STEROID INJECTION (INCLUDING STEROID MEDICINE 2000
643 ORTHO sys removal 4000 4000
644 ORTHO ot4000 4000
645 ORTHO USG GUIDED INTRA-ARTICULAR STEROID INJECTION (INCLUDING STEROID MEDICINE) 1500
646 ORTHO FIXATION OF FRACTURES SHAFT OF FEMUR/TIBIA WITH NAIL/PLATE 35000
647 ORTHO TRIGGER FINGER RELEASE LA 8000
648 ORTHO INJENTION CURIUSTROID 1000 1000
649 ORTHO plestar 150 150
650 ORTHO T FRAFOOCTURE/DISLOCATION(METATARSAL AND PHALANGES) FIXATION GA 15000
651 ORTHO FOOT FRACTURE/DISLOCATION(METATARSAL AND PHALANGES) FIXATION GA 15000
652 ORTHO OT 3500 3500
653 ORTHO plaster remove 200 200
654 ORTHO bout cast 1500 1500
655 ORTHO Ankle Fracture -Complex GA 30000
656 ORTHO PLASTER REMOVEL 200
657 ORTHO ot 18000 18000
658 ORTHO F.B EXPLORATION 2500 2500
659 ORTHO DETRIDEMENT 2500 2500
660 ORTHO slab 600 600
661 ORTHO k-wire removal 2000
662 ORTHO remove cast 150 150
663 ORTHO 7000 7000
664 ORTHO OT 7000 7000
665 ORTHO STEROID INJECTION 400 400
666 ORTHO cast out 250 250
667 ORTHO FIXATION OF INTERCONDYLAR FRACTURE OF HUMERUS UNDER REGIONAL BLOCK/ GA 18000
668 ORTHO FIXATION OF INTERCONDYLAR FRACTURE OF HUMERUS UNDER REGIONAL BLOCK/ GA 18000
669 ORTHO BELOW/ABOVE KNEE AMPUTATION 28000
670 ORTHO IMPLANT REMOVAL -PLATE/CCS GA 12000
671 ORTHO PATELLA FRACTURE EXCISION/ FIXATION GA 17000
672 ORTHO CLAVICLE(ORIF) 18000
673 ORTHO STERNAL WIRE REMOVAL GA 19800
674 ORTHO plaster removel 300 300
675 ORTHO HAND- CARPAL/METACARPAL/PHALANGES FRACTURE : ORIF 18000
676 ORTHO TENDON REPAIR LARGE ( 5 OR GREATER) UNDER LA 20000
677 ORTHO Ankle Fracture -Single Mallelous /SA 12000
678 ORTHO ARTHRODESIS OF LARGE JOINTS(WRIST/ANKLE/ELBOW) GA 20000
679 ORTHO REMOVE CAST200 200
680 ORTHO PATELLA FRACTURE EXCISION/FIXATION SA 15000
681 ORTHO HAND- CARPAL/METACARPAL/PHALANGES FRACTURE : ORIF 18000
682 ORTHO IMPLANT REMOVAL-PLATE/CCS 7500
683 ORTHO WRIST FRACTURE/DISLOCATION COMPLEX 15000
684 ORTHO CRPP 9000
685 ORTHO Hand-Carpal/Matacarpal/Phalanges Fracture;ORIF 18000
686 ORTHO suturing LA Ring Block 2000
687 ORTHO Elbow Fracture other than intercondylor fracture 12000
688 ORTHO ORIF 10000
689 ORTHO Slab Charge 1300 1300
690 ORTHO steroid injection charge 750 750
691 ORTHO Remove K-Wire 250
692 ORTHO Splint 100
693 ORTHO Shoulder Dislocation. 1500
694 OJT PHARMACY PER MONTH 3000
695 OJT H.A practical 3000
696 OJT ojt 3000 3000
697 OJT ANAESTHESIA PER MONTH 3000
698 ADVANCE OJT CERTIFICATE 500
699 EMERGENCY GASTRIC LAVAS 200
700 EMERGENCY foren bodi removed charge 300 300
701 EMERGENCY CATHETERIZATION 200 200
702 EMERGENCY suture 500 500
703 EMERGENCY spc insestion 5000 5000
704 SURGEN OT Hernia repair unilateral SA 14400
705 SURGEN OT Hernioplasty SA/GA 15300
706 SURGEN OT Appendix- Open Appendectomy SA 16200
707 SURGEN OT ar Lobe repairar 1500
708 SURGEN OT ear Lobe repair 1500
709 SURGEN OT BREAST LUMP EXCISION MULTIPLE ,LA 9775
710 SURGEN OT LACERATION REPAIR MAJOR/SUTURING MAJOR 1000
711 SURGEN OT PAPILLOMA EXCISION SIMPLE LA 2550
712 SURGEN OT MUCOUS RETENTION CYST LA 2550
713 SURGEN OT INGROWING TOENAIL EXCISION UNILATERAL LA 2550
714 SURGEN OT MINOR OT 500
715 SURGEN OT TIBIA MALLEOLAR FRACTURE INT.FIXATION ,SA 10800
716 SURGEN OT MINOR OT VII 5000
717 SURGEN OT CORN SOLE EXCISION LA 3400
718 SURGEN OT CIRCUMCISION FOR PHIMOSIS ( IVA/GA ) 11050
719 SURGEN OT MINOR OT 3000 3000
720 SURGEN OT HERNIA-REPAIR BILATERAL SA 21600
721 SURGEN OT APPENDIX 6000
722 SURGEN OT MINOR OT VIII 6000
723 SURGEN OT DERMOID CYST EXCISION LA 2550
724 SURGEN OT Fibroma excision LA 500
725 SURGEN OT SIMPLE EXCISION LA( PAPILOMA/LIPOMA/SEBACEOUS/MUCUS RETENTION CYST/MUSCLE BIOPSY/LYMPHNODE BIOPSY/GR 3500
726 SURGEN OT PERMANENT CATHETER REMOVAL 4000
727 SURGEN OT Hernia repair unilateral LA 8750
728 SURGEN OT INCISION AND DRAINAGE-LA 1500
729 SURGEN OT HERNIOPLASTY 12000
730 SURGEN OT HERNIOTOMY 10000
731 SURGEN OT COMPLICATED HERNIA SURGERY 15000
732 SURGEN OT APPENDECTOMY 12000
733 SURGEN OT HEMORRHOIDECTOMY 7000
734 SURGEN OT FISTULOTOMY 6000
735 SURGEN OT SINUS TRACT EXCISION 5000
736 SURGEN OT DEBRIDEMENT 4000
737 SURGEN OT SKIN GRAFTING 5000
738 SURGEN OT INCISION AND DRAINAGE-GA/SAB 3000
739 SURGEN OT SECONDARY CLOSURE 3000
740 SURGEN OT EXCISION-LA 1500
741 SURGEN OT EXCISION-SAB 3000
742 SURGEN OT FORGEIN BODY EXPLORATION-LA 2000
743 SURGEN OT FOREIGN BODY EXPLORATION-REGIONAL 5000
744 SURGEN OT LAPAROTOMY 15000
745 SURGEN OT EOS 5000
746 SURGEN OT CHEST TUBE INSERTION 3000
747 SURGEN OT PRIMARY SUTURING IVA 500
748 SURGEN OT removal cyst 2000
749 SURGEN OT STEPLES OUT 50
750 SURGEN OT circuncisin la/ iva 6000
751 SURGEN OT Electric Cautery 500
752 SURGEN OT Debridement SA 7200
753 SURGEN OT B/L HERNIOPLASTY-SA 24000
754 SURGEN OT Perioral sinus excision LA 2550
755 SURGEN OT PROCEDURE CHARGE 2000
756 SURGEN OT gauglioin cyst 2500 2500
757 SURGEN OT F B exploration 1500 1500
758 SURGEN OT Ingrowing toenail excision unilateral LA 2550
759 SURGEN OT CIRAMCISSION-LA 6000
760 SURGEN OT Hemorrhoid banding 2500
761 SURGEN OT Orocutaneous Fistula Closure with Flaps LA 6800
762 SURGEN OT Umbilical hernia repair LA 6800
763 SURGEN OT Ingrowing toenail excision unilateral LA 2550
764 SURGEN OT Secondary suturing LA 2000
765 SURGEN OT TRICORT FEE 500
766 SURGEN OT REPAIR-LA 2500
767 SURGEN OT REPAIR-LA 2000 2000
768 SURGEN OT TRGGES 2500 2500
769 SURGEN OT Hernioplasty SA/GA 15300
770 SURGEN OT FB ANKLE BLek 3000 3000
771 SURGEN OT OT CHARGE 1500
772 SURGEN OT OT CHARGE 1500 1500
773 SURGEN OT FISTULECTOMY SA 8000
774 SURGEN OT OT 500 500
775 SURGEN OT UMBILICAL HERNIA REPAIR SA 12000
776 SURGEN OT lipoma excision single LA 3400
777 SURGEN OT Incision and drainage abscess (Large) 900
778 SURGEN OT Granuloma excision LA 2550
779 SURGEN OT SECONDARY 1000 1000
780 SURGEN OT FOREIGN BODY REMOVED CHARGE 500 500
781 SURGEN OT MINOR OT CHARGE 2500 2500
782 SURGEN OT nail excision LA 3000 3000
783 SURGEN OT suturing 700 700
784 SURGEN OT debridment LA block 7200 7200
785 SURGEN OT Inguinal hernia mesh repair LA 10200
786 SURGEN OT foreign body remove 300 300
787 SURGEN OT Sebaceous cyst excision single LA 3400
788 SURGEN OT Corn sole excision LA 3400
789 SURGEN OT Anal- Hemorrhoidectomy (Open) 16650
790 SURGEN OT OT CHARGE 4000 4000
791 SURGEN OT surure 500 500
792 SURGEN OT explovation la 1000 1000
793 SURGEN OT Amputation GA 10800
794 SURGEN OT EXPLOVATION - LA 2000
795 SURGEN OT Epigastric Harniya Repair LA 6000
796 SURGEN OT urine stone removon 1500 1500
797 SURGEN OT Foreign body exploration LA 2550
798 SURGEN OT Drainage of Psoas Abscess 14400
799 SURGEN OT I AND D 300 300
800 SURGEN OT sutur 800 800
801 SURGEN OT Anal- Lateral Sphinterotomy IVA 9625
802 SURGEN OT foriyl baby removel charg 200 200
803 SURGEN OT SIMPLE EXCISION LA( PAPILOMA/LIPOMA/SEBACEOUS/MUCUS RETENTION CYST 3500
804 SURGEN OT CORN WART EXCISION/FOREIGN BODY EXPOLARATION/REMOVAL 4000
805 SURGEN OT i and d ankle block 2500 2500
806 SURGEN OT wrist block 2500 2500
807 SURGEN OT MESH EXCISION-SA 15300
808 SURGEN OT OT CHARGE 2500 2500
809 SURGEN OT INGUINAL HERNIA (COMPLICATED- STRANGULATION/OBSTRUCTED) 25500
810 SURGEN OT OT 10000 10000
811 SURGEN OT PLANANATOUNICAL 8000 8000
812 SURGEN OT nail escision 1500 1500
813 SURGEN OT ot 1000 1000
814 SURGEN OT DRAINAGE OF PSOAS ABSCESS -OPEN 20000
815 SURGEN OT PAC CHARGE 600
816 SURGEN OT I & D IVA 3000 3000
817 SURGEN OT EXCISION LA 2500 2500
818 SURGEN OT i & D 1500 1500
819 SURGEN OT OT 6000 6000
820 SURGEN OT APPENDECTOMY [15000] 15000
821 SURGEN OT ANAL - HEMORRHOIDECTOMY /FISTULA /SINUS 17500
822 SURGEN OT exicision 3000 3000
823 SURGEN OT f b explovation LA 2500 2500
824 SURGEN OT UMBILICAL/INGUINAL/FEMORAL/EPIGASTRIC HERNIA REPAIR UNDER LA WITH MESH HERNIOPLASTY 18000
825 SURGEN OT secondary suturing 1500 1500
826 SURGEN OT SECONDARY SUTURING LARGE 2000
827 SURGEN OT Lateral sphincterotomy / SA 5000
828 SURGEN OT Intralesional Tricort inj 500
829 SURGEN OT I D I V A [5000] 5000
830 SURGEN OT B/L ORCHIDOPEXY -SA 12000
831 SURGEN OT OT CHARGE 3000 3000
832 SURGEN OT OT 8000 8000
833 SURGEN OT Injection Charge 500
834 SURGEN OT DEBRIDEMENT OF WOUND UNER GA 17500
835 SURGEN OT FRENULOPLASTY-IVA 4000
836 SURGEN OT OT 3500 3500
837 SURGEN OT SUTURE 400 400
838 SURGEN OT F B EXPLORATION 2000 2000
839 SURGEN OT DRESSING IVA 2000 2000
840 SURGEN OT TOE/DIGITAL AMPUTATION UNDER RA 9500
841 SURGEN OT F B EXPLOVATION \ IVA 1500
842 SURGEN OT excision of corn la 2000 2000
843 SURGEN OT secondary suturing LA 2000 2000
844 SURGEN OT OT 2000 2000
845 SURGEN OT ANAL-HEMORRHOIDECTOMY/FISTULA/SINUS 17500
846 SURGEN OT i and d 500 500
847 SURGEN OT OPEN APPENDECTOMY 25000
848 SURGEN OT OPEN APPENDECTOMY SA/SAB 25000
849 SURGEN OT steroid inj 500 500
850 SURGEN OT I AND D 200 200
851 SURGEN OT ORCHIDECTOMY/SCROTAL EXPLORATION 21500
852 SURGEN OT hudroele sa 7000
853 SURGEN OT i & d 250 250
854 SURGEN OT debridement la 3000 3000
855 SURGEN OT excison la 2000 2000
856 SURGEN OT CIRCUMCISION SA/IVA 11000
857 SURGEN OT PILONIDAL SINUS SURGERY 20000
858 SURGEN OT INCISION and drainage (I&D) 1500
859 SURGEN OT EXCISION SA (5000) 5000
860 SURGEN OT I & D / LA 1000 1000
861 SURGEN OT harmorhoidectoumy / sa 8000
862 SURGEN OT Debridement LA 2000
863 SURGEN OT Hydrocele surgery (EVS)Bilateral 6000
864 SURGEN OT CIRCUMCISION LA 3000
865 SURGEN OT i & d / la 2000 2000
866 SURGEN OT DEBRIDMENT/CLOSURE 3500
867 SURGEN OT DEBRIDMENT/CLOSURE LA/REGIONAL 3500
868 SUTURING CHARGE SUTURING 1000 1000
869 SUTURING CHARGE SUTURE OUT 100
870 SUTURING CHARGE MINOR SUTURING 100
871 SUTURING CHARGE steppler removel 250
872 SUTURING CHARGE SUTURING 200 200
873 SUTURING CHARGE sutur 50 50
874 SUTURING CHARGE suturing 1500 1500
875 SUTURING CHARGE SUTURING 300 300
876 SUTURING CHARGE suturing out 500 500
877 SUTURING CHARGE suture 500 500
878 SUTURING CHARGE SUTURING GA 1500
879 SUTURING CHARGE SUTURING SMALL 500
880 HOSPITAL CANTEEN CANTEEN MONTHLY FEE 10616
881 HOSPITAL CANTEEN CANTEEN ELECTRICITY FEE 2000
882 OJT CERTIFICATE OJT CERTIFICATE 500
883 OJT CERTIFICATE BIOMEDICAL 500
884 HEMO DIALYSIS DIALYSIS 3000
885 HEMO DIALYSIS Hemodialisis 2500
886 Catheterzation Charge Folly catheterzation 200
887 Catheterzation Charge FOLY CATHETERZATION 200 200
888 Catheterzation Charge CATHETER OUT 100
889 Catheterzation Charge PAC CHARGE 600
890 oxygen O2 oxygen per hors 100 100
891 oxygen O2 Oxygen gas charge /1 hr 30
892 EYE color vision assesment 100
893 EYE DRY EYE TEST 100
894 EYE FOREIGN BODY REMOVAL 400
895 EYE VISUAL ACUITY ASSESSMENT 100
896 EYE ANTERIOR EYE EXAMINATION 100
897 EYE LOW VISION ASSESSMENT 300
898 EYE SYRINGING OF EYE 100