The Central Government Health Scheme (CGHS) has released its updated schedule of rates for 2025, applicable to Tier I cities. For millions of beneficiaries, this new price list is essential for planning medical expenditures and understanding the costs associated with various treatments at empanelled hospitals and diagnostic centers.

As a CGHS-empanelled provider, we are dedicated to ensuring our patients have access to clear and transparent information. This guide provides a comprehensive breakdown of the new rates, categorized by medical specialty, to help you easily navigate the updated pricing structure. The rates are provided for both NABH-accredited and non-NABH facilities.

Consultation Charges

This section covers the standard fees for outpatient (OPD) and inpatient consultations across different specialities.

CGHS Code	Procedure	Non-NABH Rate (₹)	NABH Rate (₹)
CN001	Consultation OPD	350	350
CN002	Consultation for Inpatients	350	350
CN003	Consultation OPD Super speciality/Psychiatry	700	700

Laboratory Investigations

Here are the rates for a wide range of blood tests, urine tests, and other common laboratory investigations.

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
LB001	Urine Routine- pH, Specific Gravity, Sugar, Protein and Microscopy	85	100		100	Laboratory Investigation
LB002	Urine Microalbumin	207	243		243	Laboratory Investigation
LB003	Stool Routine and Microscopy	68	80		80	Laboratory Investigation
LB004	Stool for Occult Blood	85	100		100	Laboratory Investigation
LB005	Post Coital Smear Examination	340	400		400	Laboratory Investigation
LB006	Semen Analysis (Automated/Manual)	213	250		250	Laboratory Investigation
LB007	Haemoglobin (Hb)	43	50		50	Laboratory Investigation
LB008	Total Leucocytic Count (TLC)	43	50		50	Laboratory Investigation
LB009	Differential Leucocytic Count (DLC)	85	100		100	Laboratory Investigation
LB010	Erythrocyte Sedimentation Rate (ESR)	85	100		100	Laboratory Investigation
LB011	Total Red Cell count with MCV,MCH,MCHC,DRW	43	50		50	Laboratory Investigation
LB012	Complete Haemogram/CBC, Hb, RBC Count and Indices, TLC, DLC, Platelet, ESR, Peripheral Smear Examination)	255	300		300	Laboratory Investigation
LB013	Platelet Count	85	100		100	Laboratory Investigation
LB014	Reticulocyte Count	85	100		100	Laboratory Investigation
LB015	Absolute Eosinophil Count (AEC)	85	100		100	Laboratory Investigation
LB016	Packed Cell Volume (PCV)	43	50		50	Laboratory Investigation
LB017	Peripheral Smear Examination	85	100		100	Laboratory Investigation
LB018	Smear for Malaria/Filaria Parasite	85	100		100	Laboratory Investigation
LB019	Bleeding Time	43	50		50	Laboratory Investigation
LB020	Clotting Time	43	50		50	Laboratory Investigation
LB021	Osmotic Fragility Test	255	300		300	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
25	LB022	Bone Marrow Smear Examination	298	350	350	Laboratory Investigation
26	LB023	Bone Marrow Smear Examination with Iron Stain	680	800	800	Laboratory Investigation
27	LB024	Bone Marrow Smear Examination and Cytochemistry	10200	12000	12000	Laboratory Investigation
28	LB025	Activated Partial Thromboplastin Time (APTT)	247	290	290	Laboratory Investigation
29	LB026	Rapid Test for Malaria (Card Test)/QBC Malaria Test	85	100	100	Laboratory Investigation
30	LB027	Bleeding Disorder Panel- PT, APTT, Thrombin Time Fibrinogen, D-Dimer/ Fibrinogen Degradation Products (FDP)	680	800	800	Laboratory Investigation
31	LB028	Factor Assays-Factor VIII	1275	1500	1500	Laboratory Investigation
32	LB029	Factor Assays-Factor IX	1275	1500	1500	Laboratory Investigation
33	LB030	Platelet Function Tests	1075	1265	1265	Laboratory Investigation
34	LB031	Tests for Hypercoagulable States- Protein C, Protein S, Antithrombin	2873	3380	3380	Laboratory Investigation
35	LB032	Tests for Lupus Anticoagulant	1105	1300	1300	Laboratory Investigation
36	LB033	Tests for Antiphospholipid Antibody IgG, IgM (for Cardiolipin and B2 Glycoprotein 1)	850	1000	1000	Laboratory Investigation
37	LB034	Thalassemia Studies (Red Cell Indices and Hb HPLC)	850	1000	1000	Laboratory Investigation
38	LB035	Tests for Sickling / Hb HPLC)	850	1000	1000	Laboratory Investigation
39	LB036	Blood Group & Rh Type	77	90	90	Laboratory Investigation
40	LB037	Cross Match	170	200	200	Laboratory Investigation
41	LB038	Coomb’s Test – Direct	170	200	200	Laboratory Investigation
42	LB039	Coomb’s Test – Indirect	213	250	250	Laboratory Investigation
43	LB040	3 Cell Panel- Antibody Screening for Pregnant Female	893	1050	1050	Laboratory Investigation
44	LB041	11 Cells Panel for Antibody Identification	1942	2285	2285	Laboratory Investigation
45	LB042	Hepatitis B Surface Antigen (HBsAg)	255	300	300	Laboratory Investigation
46	LB043	Hepatitis C Virus (HCV)	425	500	500	Laboratory Investigation
47	LB044	Human Immunodeficiency Virus- HIV I and II	327	385	385	Laboratory Investigation
48	LB045	Venereal Disease Research Laboratory Test (VDRL)	85	100	100	Laboratory Investigation
49	LB046	Rh Antibody Titre	255	300	300	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
50	LB047	Platelet Concentrate Test	850	1000	1000	Laboratory Investigation
51	LB048	Routine – H & E	463	545	545	Laboratory Investigation
52	LB049	Special Stain	170	200	200	Laboratory Investigation
53	LB050	Histopathology Examination (HPE) – Frozen Section	1275	1500	1500	Laboratory Investigation
54	LB051	Histopathology Examination (HPE) – Paraffin Section	425	500	500	Laboratory Investigation
55	LB052	Pap Smear	340	400	400	Laboratory Investigation
56	LB053	Body Fluid for Malignant cells	298	350	350	Laboratory Investigation
57	LB054	Paroxysmal Nocturnal Haemoglobinuria (PNH) Panel- CD55, CD59	1275	1500	1500	Laboratory Investigation
58	LB055	Blood Glucose Random / Blood Glucose Fasting /Blood Glucose PP	34	40	40	Laboratory Investigation
59	LB056	24 Hrs Urine for Proteins, Sodium, Creatinine	255	300	300	Laboratory Investigation
60	LB057	Blood Urea Nitrogen (BUN) / Urea	85	100	100	Laboratory Investigation
61	LB058	Serum Creatinine	85	100	100	Laboratory Investigation
62	LB059	Urine Bile Pigment and Salt	60	70	70	Laboratory Investigation
63	LB060	Urine Urobilinogen	60	70	70	Laboratory Investigation
64	LB061	Urine Ketones	60	70	70	Laboratory Investigation
65	LB062	Urine Occult Blood	60	70	70	Laboratory Investigation
66	LB063	Urine Total Proteins	60	70	70	Laboratory Investigation
67	LB064	Rheumatoid Factor / Rh Factor Test	638	750	750	Laboratory Investigation
68	LB065	Bence Jones Protein	85	100	100	Laboratory Investigation
69	LB066	Serum Uric Acid	128	150	150	Laboratory Investigation
70	LB067	Serum Bilirubin total & direct	128	150	150	Laboratory Investigation
71	LB068	Serum Iron	213	250	250	Laboratory Investigation
72	LB069	C-Reactive Protein (CRP)	213	250	250	Laboratory Investigation
73	LB070	C-Reactive Protein (CRP) Quantitative	255	300	300	Laboratory Investigation
74	LB071	Body Fluid (CSF/Ascitic Fluid etc.) Sugar, Protein etc.	255	300	300	Laboratory Investigation
75	LB072	Albumin	43	50	50	Laboratory Investigation
76	LB073	Creatinine Clearance	170	200	200	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
77	LB074	Serum Cholesterol	128	150	150	Laboratory Investigation
78	LB075	Total Iron Binding Capacity (TIBC)	255	300	300	Laboratory Investigation
79	LB076	Glucose (Fasting & PP)	68	80	80	Laboratory Investigation
80	LB077	Serum Calcium –Total	128	150	150	Laboratory Investigation
81	LB078	Serum Calcium – Ionic	510	600	600	Laboratory Investigation
82	LB079	Serum Phosphorus	128	150	150	Laboratory Investigation
83	LB080	Total Protein Albumin/Globulin Ratio (A/G Ratio)	60	70	70	Laboratory Investigation
84	LB081	Immunoglobulin G (IgG)	340	400	400	Laboratory Investigation
85	LB082	Immunoglobulin M(IgM)	340	400	400	Laboratory Investigation
86	LB083	Immunoglobulin A(IgA)	340	400	400	Laboratory Investigation
87	LB084	Antinuclear Antibody (ANA)	557	655	655	Laboratory Investigation
88	LB085	Anti-double stranded DNA (anti-dsDNA)	680	800	800	Laboratory Investigation
89	LB086	Serum Glutamic Pyruvic Transaminase (SGPT) / Alanine Aminotransferase (ALT)	85	100	100	Laboratory Investigation
90	LB087	Serum Glutamic Oxaloacetic Transaminase (SGOT) /Aspartate Aminotransferase (AST)	85	100	100	Laboratory Investigation
91	LB088	Serum Amylase	255	300	300	Laboratory Investigation
92	LB089	Serum Lipase	340	400	400	Laboratory Investigation
93	LB090	Serum Lactate	425	500	500	Laboratory Investigation
94	LB091	Serum Magnesium	255	300	300	Laboratory Investigation
95	LB092	Serum Sodium	102	120	120	Laboratory Investigation
96	LB093	Serum Potassium	102	120	120	Laboratory Investigation
97	LB094	Chloride	128	150	150	Laboratory Investigation
98	LB095	Serum Bicarbonate	170	200	200	Laboratory Investigation
99	LB096	Serum Ammonia	570	670	670	Laboratory Investigation
100	LB097	Anaemia Profile (Hb, Serum Iron, TIBC, Ferritin, Transferrin Saturation,Stool Occult Blood, CBC, Reticulocyte Count)	1122	1320	1320	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
101	LB098	Serum Testosterone	340	400	400	Laboratory Investigation
102	LB099	Imprint Smear from Endoscopy	850	1000	1000	Laboratory Investigation
103	LB100	Triglycerides	128	150	150	Laboratory Investigation
104	LB101	Glucose Tolerance Test (GTT)	255	300	300	Laboratory Investigation
105	LB102	Triple Marker Test (AFP,HCG,UE3)	1275	1500	1500	Laboratory Investigation
106	LB103	Creatine Phosphokinase (CPK)/Creatine Kinase (CK)	196	230	230	Laboratory Investigation
107	LB104	Foetal Haemoglobin (HbF)	425	500	500	Laboratory Investigation
108	LB105	Prothrombin Time (PT)/ International normalized ratio (INR)	213	250	250	Laboratory Investigation
109	LB106	Lactate dehydrogenase (LDH)	187	220	220	Laboratory Investigation
110	LB107	Alkaline Phosphatase	128	150	150	Laboratory Investigation
111	LB108	Acid Phosphatase	128	150	150	Laboratory Investigation
112	LB109	CPK MB/CK MB	306	360	360	Laboratory Investigation
113	LB110	CK MB Mass/CPK MB Mass	306	360	360	Laboratory Investigation
114	LB111	Troponin I	595	700	700	Laboratory Investigation
115	LB112	Troponin T	595	700	700	Laboratory Investigation
116	LB113	Glucose-6-Phosphate Dehydrogenase (G6PD)	255	300	300	Laboratory Investigation
117	LB114	Lithium	298	350	350	Laboratory Investigation
118	LB115	Dilantin (Phenytoin)	510	600	600	Laboratory Investigation
119	LB116	Carbamazepine.	595	700	700	Laboratory Investigation
120	LB117	Cyclosporine	2125	2500	2500	Laboratory Investigation
121	LB118	Valproic acid.	510	600	600	Laboratory Investigation
122	LB119	Blood gas analysis / Arterial Blood Gas (ABG)	476	560	560	Laboratory Investigation
123	LB120	Blood gas analysis / Arterial Blood Gas (ABG) with electrolytes	680	800	800	Laboratory Investigation
124	LB121	Urine Pregnancy Test(UPT)	85	100	100	Laboratory Investigation
125	LB122	Glycosylated Haemoglobin (HbA1c)	255	300	300	Laboratory Investigation
126	LB123	Kidney Function Test (KFT)- (Sr.Creatinine,Blood Urea,BUN,Sr.Uric Acid,Sr.Sodium,Sr.Potassium,Urine R/E)	425	500	500	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
127	LB124	Liver Function Test (LFT)	425	500	500	Laboratory Investigation
128	LB125	Lipid Profile (Total cholesterol ,Triglycerides, LDL, HDL,VLDL)	417	490	490	Laboratory Investigation
129	LB126	Serum Ferritin	298	350	350	Laboratory Investigation
130	LB127	Vitamin B12 Assay.	510	600	600	Laboratory Investigation
131	LB128	Folic Acid Assay.	553	650	650	Laboratory Investigation
132	LB129	Extended Lipid Profile. (Total cholesterol, LDL,HDL, Triglycerides Apo A1, Apo B,Lp (a) )	850	1000	1000	Laboratory Investigation
133	LB130	Apolipoprotein A1 (ApoA1)	340	400	400	Laboratory Investigation
134	LB131	Apolipoprotein B (Apo B)	340	400	400	Laboratory Investigation
135	LB132	Lipoprotein A / Lp A	340	400	400	Laboratory Investigation
136	LB133	CD 3,4 and 8 Counts	1054	1240	1240	Laboratory Investigation
137	LB134	CD 3,4 and 8 Percentage	1284	1510	1510	Laboratory Investigation
138	LB135	Low Density Lipoprotein (LDL)	128	150	150	Laboratory Investigation
139	LB136	Homocysteine	553	650	650	Laboratory Investigation
140	LB137	Serum Electrophoresis	595	700	700	Laboratory Investigation
141	LB138	Fibrinogen	425	500	500	Laboratory Investigation
142	LB139	Gamma-Glutamyl Transpeptidase (GGTP)	128	150	150	Laboratory Investigation
143	LB140	Fructosamine	425	500	500	Laboratory Investigation
144	LB141	Beta 2 microglobulin (B2M) /β2 microglobulin	510	600	600	Laboratory Investigation
145	LB142	Prostate Specific Antigen (PSA)- Total	404	475	475	Laboratory Investigation
146	LB143	Prostate-Specific Antigen (PSA) – Free	680	800	800	Laboratory Investigation
147	LB144	Alpha Fetoprotein (AFP)	468	550	550	Laboratory Investigation
148	LB145	Human Chorionic Gonadotropin (HCG)/ Beta HCG	383	450	450	Laboratory Investigation
149	LB146	Cancer Antigen 125 (CA 125)	680	800	800	Laboratory Investigation
150	LB147	Cancer Antigen 19.9 (CA 19.9)	680	800	800	Laboratory Investigation
151	LB148	Cancer Antigen 15.3 (CA 15.3)	680	800	800	Laboratory Investigation
152	LB149	Vanillylmandelic Acid (VMA)	1360	1600	1600	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
153	LB150	Calcitonin	1020	1200	1200	Laboratory Investigation
154	LB151	Carcinoembryonic Antigen (CEA)	510	600	600	Laboratory Investigation
155	LB152	Direct Immunofluorescence (Skin and Kidney Disease etc)	1020	1200	1200	Laboratory Investigation
156	LB153	Indirect (anti ds DNA Anti Smith ANCA)	1020	1200	1200	Laboratory Investigation
157	LB154	Calcidiol / 25-hydroxycholecalciferol / Vitamin D3 assay (Vit D3)	850	1000	1000	Laboratory Investigation
158	LB155	Serum Protein electrophoresis with immunofixation electrophoresis (IFE)	595	700	700	Laboratory Investigation
159	LB156	Anti-Cyclic Citrullinated Peptide (Anti CCP)	765	900	900	Laboratory Investigation
160	LB157	Anti-tissue Transglutaminase antibody (Anti TTG Antibody) / Tissue Transglutaminase IgA (tTg-IgA)	680	800	800	Laboratory Investigation
161	LB158	Serum Erythropoietin	1020	1200	1200	Laboratory Investigation
162	LB159	Adrenocorticotropic Hormone (ACTH)	1020	1200	1200	Laboratory Investigation
163	LB160	T3, T4, TSH -Thyroid Function Test (TFT)	383	450	450	Laboratory Investigation
164	LB161	Thyroid stimulating hormone (TSH)	170	200	200	Laboratory Investigation
165	LB162	Luteinizing hormone (LH)	340	400	400	Laboratory Investigation
166	LB163	Follicle stimulating hormone (FSH)	340	400	400	Laboratory Investigation
167	LB164	Prolactin	340	400	400	Laboratory Investigation
168	LB165	Cortisol	468	550	550	Laboratory Investigation
169	LB166	PTH(Parathormone)	850	1000	1000	Laboratory Investigation
170	LB167	C-Peptide (Connecting Peptide)	638	750	750	Laboratory Investigation
171	LB168	Insulin	425	500	500	Laboratory Investigation
172	LB169	Progesterone	340	400	400	Laboratory Investigation
173	LB170	17 Hydroxyprogesterone (17 OH Progesterone)	638	750	750	Laboratory Investigation
174	LB171	Dehydroepiandrosterone sulfate (DHEAS)	850	1000	1000	Laboratory Investigation
175	LB172	Androstenedione	850	1000	1000	Laboratory Investigation
176	LB173	Growth Hormone	510	600	600	Laboratory Investigation
177	LB174	Thyroid peroxidase antibody (TPO)	595	700	700	Laboratory Investigation
178	LB175	Thyroglobulin.	595	700	700	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
179	LB176	Hydatid Serology	697	820	820	Laboratory Investigation
180	LB177	Anti Sperm Antibodies.	765	900	900	Laboratory Investigation
181	LB178	Hepatitis B Virus (HBV) DNA Qualitative	2125	2500	2500	Laboratory Investigation
182	LB179	Hepatitis B Virus (HBV) DNA Quantitative.	2975	3500	3500	Laboratory Investigation
183	LB180	Hepatitis C Virus (HCV) RNA Qualitative.	2550	3000	3000	Laboratory Investigation
184	LB181	Human papillomavirus (HPV) Serology	1360	1600	1600	Laboratory Investigation
185	LB182	Rota Virus serology	340	400	400	Laboratory Investigation
186	LB183	Mantoux Test	170	200	200	Laboratory Investigation
187	LB184	ADA( Adenosine deaminase)	553	650	650	Laboratory Investigation
188	LB185	GeneXpert Test (Tuberculosis)	880	1035	1035	Laboratory Investigation
189	LB186	QuantiFERON TB Gold	2125	2500	2500	Laboratory Investigation
190	LB187	PCR for Tuberculosis (TB)	1020	1200	1200	Laboratory Investigation
191	LB188	PCR for Human immunodeficiency virus (HIV)	1530	1800	1800	Laboratory Investigation
192	LB189	Chlamydia antigen	850	1000	1000	Laboratory Investigation
193	LB190	Chlamydia antibody	723	850	850	Laboratory Investigation
194	LB191	Brucella serology	383	450	450	Laboratory Investigation
195	LB192	Influenza A serology	850	1000	1000	Laboratory Investigation
196	LB193	Acetylcholine receptor (AChR) antibody titre	3825	4500	4500	Laboratory Investigation
197	LB194	Anti muscle specific receptor tyrosine kinase (Anti MuSK) antibody titre	5695	6700	6700	Laboratory Investigation
198	LB195	Serum Copper	553	650	650	Laboratory Investigation
199	LB196	Serum Ceruloplasmin	553	650	650	Laboratory Investigation
200	LB197	Urinary copper	714	840	840	Laboratory Investigation
201	LB198	Serum phenobarbitone level	510	600	600	Laboratory Investigation
202	LB199	Coagulation profile	638	750	750	Laboratory Investigation
203	LB200	D-Dimer	425	500	500	Laboratory Investigation
204	LB201	CSF/Any Body Fluid for Basic studies including cell count, protein, sugar, gram stain, India Ink preparation and smear for AFB	298	350	350	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
205	LB202	PCR for Herpes simplex	1190	1400	1400	Laboratory Investigation
206	LB203	Bacterial culture and sensitivity – Aerobic	391	460	460	Laboratory Investigation
207	LB204	Bacterial culture and sensitivity – Anaerobic	595	700	700	Laboratory Investigation
208	LB205	Mycobacterial culture and sensitivity	468	550	550	Laboratory Investigation
209	LB206	Fungal culture	421	495	495	Laboratory Investigation
210	LB207	Anti measles antibody titre (with serum antibody titre)	1020	1200	1200	Laboratory Investigation
211	LB208	Viral culture	510	600	600	Laboratory Investigation
212	LB209	Antibody titre (Herpes simplex, cytomegalovirus, flavivirus, zoster varicella virus)	1785	2100	2100	Laboratory Investigation
213	LB210	Oligoclonal bands (OCBs)	1913	2250	2250	Laboratory Investigation
214	LB211	Myelin basic protein (MBP)	2975	3500	3500	Laboratory Investigation
215	LB212	Cryptococcal antigen	1275	1500	1500	Laboratory Investigation
216	LB213	D Xylose test	935	1100	1100	Laboratory Investigation
217	LB214	Faecal / Faecal fat test/ faecal chymotrypsin/ faecal elastase	850	1000	1000	Laboratory Investigation
218	LB215	H pylori serology for Coeliac disease /Celiac disease	1020	1200	1200	Laboratory Investigation
219	LB216	HBV genotyping	2444	2875	2875	Laboratory Investigation
220	LB217	HCV genotyping	4765	5606	5606	Laboratory Investigation
221	LB218	Urinary Vanillylmandelic Acid (VMA)	1857	2185	2185	Laboratory Investigation
222	LB219	Urinary metanephrine/Normetanephrine	2465	2900	2900	Laboratory Investigation
223	LB220	Urinary free catecholamine	2125	2500	2500	Laboratory Investigation
224	LB221	Serum aldosterone	1530	1800	1800	Laboratory Investigation
225	LB222	24 Hr urinary aldosterone	1275	1500	1500	Laboratory Investigation
226	LB223	Plasma renin activity	1360	1600	1600	Laboratory Investigation
227	LB224	Serum aldosterone/renin ratio	1275	1500	1500	Laboratory Investigation
228	LB225	Osmolality urine	383	450	450	Laboratory Investigation
229	LB226	Osmolality serum	383	450	450	Laboratory Investigation
230	LB227	Urinary sodium	128	150	150	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
231	LB228	Urinary Chloride	128	150	150	Laboratory Investigation
232	LB229	Urinary potassium	128	150	150	Laboratory Investigation
233	LB230	Urinary calcium	128	150	150	Laboratory Investigation
234	LB231	Thyroid binding globulin	935	1100	1100	Laboratory Investigation
235	LB232	24-hour urinary free cortisol	638	750	750	Laboratory Investigation
236	LB233	Islet cell antibody	1020	1200	1200	Laboratory Investigation
237	LB234	Glutamic Acid Decarboxylase Autoantibodies test (GAD antibodies)	1700	2000	2000	Laboratory Investigation
238	LB235	Insulin associated antibody	833	980	980	Laboratory Investigation
239	LB236	Insulin-like growth factor-1 (IGF-1)	1870	2200	2200	Laboratory Investigation
240	LB237	Insulin-like growth factor binding protein 3 (IGF- BP3)	1955	2300	2300	Laboratory Investigation
241	LB238	Sex hormone binding globulin	1309	1540	1540	Laboratory Investigation
242	LB239	Estradiol (E2)	340	400	400	Laboratory Investigation
243	LB240	Thyroglobulin antibody	595	700	700	Laboratory Investigation
244	LB241	Kappa Lambda Light Chains, Free, Serum/ Serum free light chains (SFLC)	3421	4025	4025	Laboratory Investigation
245	LB242	Serum IgE Level	323	380	380	Laboratory Investigation
246	LB243	N-terminal pro BNP (NT-pro BNP / Brain natriuretic peptide (BNP)	1760	2070	2070	Laboratory Investigation
247	LB244	HCV RNA Quantitative	1568	1845	1845	Laboratory Investigation
248	LB245	Tacrolimus Level	2248	2645	2645	Laboratory Investigation
249	LB246	Protein Creatinine Ratio (PCR), Urine / Albumin Creatinine Ratio (ACR), Urine	129	152	152	Laboratory Investigation
250	LB247	HLA B27 (PCR)	489	575	575	Laboratory Investigation
251	LB248	Procalcitonin	1760	2070	2070	Laboratory Investigation
252	LB249	TORCH Test	1095	1288	1288	Laboratory Investigation
253	LB250	Anti –Smooth Muscle Antibody Test (ASMA)	1241	1460	1460	Laboratory Investigation
254	LB251	C ANCA-IFA	1275	1500	1500	Laboratory Investigation
255	LB252	P ANCA-IFA	1275	1500	1500	Laboratory Investigation
256	LB253	Angiotensin converting enzyme (ACE)	850	1000	1000	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
257	LB254	Extractable Nuclear Antigens (ENA) – Quantitative	3910	4600	4600	Laboratory Investigation
258	LB255	Chromogranin A	4250	5000	5000	Laboratory Investigation
259	LB256	Faecal calprotectin	2321	2730	2730	Laboratory Investigation
260	LB257	C3-COMPLEMENT	553	650	650	Laboratory Investigation
261	LB258	C4-COMPLEMENT	553	650	650	Laboratory Investigation
262	LB259	H1N1 (RT-PCR)	921	1084	1084	Laboratory Investigation
263	LB260	Anti HEV IgM	850	1000	1000	Laboratory Investigation
264	LB261	Anti HAV IgM	638	750	750	Laboratory Investigation
265	LB262	HBsAg Quantitative	553	650	650	Laboratory Investigation
266	LB263	Typhidot IgM	340	400	400	Laboratory Investigation
267	LB264	Hepatitis B Core Antibody (HBcAb) Level (Hepatitis B Core IgM Antibody)	408	480	480	Laboratory Investigation
268	LB265	Hepatitis B surface antibody (anti HBs)	553	650	650	Laboratory Investigation
269	LB266	Free Triiodothyronine (FT3)	106	125	125	Laboratory Investigation
270	LB267	Free Thyroxine (FT4)	106	125	125	Laboratory Investigation
271	LB268	Widal Test	60	70	70	Laboratory Investigation
272	LB269	Dengue NS1 Ag	340	400	400	Laboratory Investigation
273	LB270	Dengue IgM and Ig G	680	800	800	Laboratory Investigation
274	LB271	Interleukin 6 (IL 6)	1360	1600	1600	Laboratory Investigation
275	LB272	Covid Antibody Test	595	700	700	Laboratory Investigation
276	LB273	Cryoglobulins	850	1000	1000	Laboratory Investigation
277	LB274	Cytogenetics	4250	5000	5000	Laboratory Investigation
278	LB275	Plasma Free Normetanephrine	1955	2300	2300	Laboratory Investigation
279	LB276	Plasma Metanephrines	1955	2300	2300	Laboratory Investigation
280	LB277	PLA2 receptor antibody quantitative	3570	4200	4200	Laboratory Investigation
281	LB278	Allergic Bronchopulmonary Aspergillosis (ABPA) Panel	2465	2900	2900	Laboratory Investigation
282	LB279	Allergy Food Screening Panel	5100	6000	6000	Laboratory Investigation
283	LB280	AMA (Anti Mitochondrial Antibody)	850	1000	1000	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
284	LB281	AMH (Anti- Mullerian Hormone)	850	1000	1000	Laboratory Investigation
285	LB282	ANA BLOT	2550	3000	3000	Laboratory Investigation
286	LB283	ANA Profile	2550	3000	3000	Laboratory Investigation
287	LB284	Anti GBM (Glomerular Basement Membrane) Antibody	1275	1500	1500	Laboratory Investigation
288	LB285	Anti LKM (Liver Kidney Microsome) Ab	1275	1500	1500	Laboratory Investigation
289	LB286	Anti Parietal Cell Antibodies	1700	2000	2000	Laboratory Investigation
290	LB287	Anti Intrinsic Factor Antibodies	1700	2000	2000	Laboratory Investigation
291	LB288	ASO Titre /ASLO Titre	459	540	540	Laboratory Investigation
292	LB289	Aspergillus Fumigatus Specific IgE	1318	1550	1550	Laboratory Investigation
293	LB290	Autoimmune Encephalitis Panel	14450	17000	17000	Laboratory Investigation
294	LB291	Autoimmune Hepatitis Profile	2516	2960	2960	Laboratory Investigation
295	LB292	Beta-D-Glucan Assay	12750	15000	15000	Laboratory Investigation
296	LB293	C1 Esterase inhibitor (Quantitative )	2040	2400	2400	Laboratory Investigation
297	LB294	CMV Quantitative (Viral load) Test	1955	2300	2300	Laboratory Investigation
298	LB295	Double Marker (Beta-hCG,PAPP-A)	1700	2000	2000	Laboratory Investigation
299	LB296	Quadruple test (AFP,HCG,UE3,Inhibin A)	2040	2400	2400	Laboratory Investigation
300	LB297	HBeAb (Hepatitis B envelope Antibody)	306	360	360	Laboratory Investigation
301	LB298	HBeAg (Hepatitis B envelope Antigen)	306	360	360	Laboratory Investigation
302	LB299	HIAA 24 Hours Urinary	1955	2300	2300	Laboratory Investigation
303	LB300	HIV Viral Load by PCR	4250	5000	5000	Laboratory Investigation
304	LB301	HSV 1 & 2 IgG	697	820	820	Laboratory Investigation
305	LB302	Hypersensitive Pneumonitis Panel	6120	7200	7200	Laboratory Investigation
306	LB303	IgG4	1700	2000	2000	Laboratory Investigation
307	LB304	Inhibin A	765	900	900	Laboratory Investigation
308	LB305	Inhibin B	1615	1900	1900	Laboratory Investigation
309	LB306	Scrub Typhus IgM	1360	1600	1600	Laboratory Investigation
310	LB307	Interferon Gamma Release Assay (IGRA)	2550	3000	3000	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
311	LB308	KOH Mount	128	150	150	Laboratory Investigation
312	LB309	Serum AMA M2 (IFA Method)	1700	2000	2000	Laboratory Investigation
313	LB310	Serum Gastrin	1020	1200	1200	Laboratory Investigation
314	LB311	Serum Haptoglobin Levels	850	1000	1000	Laboratory Investigation
315	LB312	Skin Prick Test for Allergy	1530	1800	1800	Laboratory Investigation
316	LB313	Myositis Profile (Up to 16 Antigens)	6800	8000	8000	Laboratory Investigation
317	LB314	Paraneoplastic Panel	8500	10000	10000	Laboratory Investigation
318	LB315	TSH Receptor Antibody	1020	1200	1200	Laboratory Investigation
319	LB316	Anti-Nuclear Antibodies – IFA	1360	1600	1600	Laboratory Investigation
320	LB317	Autoimmune Liver Diseases Profile	4250	5000	5000	Laboratory Investigation
321	LB318	Citrate Urine 24 Hour	978	1150	1150	Laboratory Investigation
322	LB319	Comprehensive Allergy Panel	5950	7000	7000	Laboratory Investigation
323	LB320	Comprehensive Myeloma Protein Panel	5950	7000	7000	Laboratory Investigation
324	LB321	DCP (DES Gamma-Carboxy- Prothrombin)	2848	3350	3350	Laboratory Investigation
325	LB322	Desmoglein (DSG) 1 And 3 Antibody	4590	5400	5400	Laboratory Investigation
326	LB323	Galactomannan	2644	3110	3110	Laboratory Investigation
327	LB324	SCL 70 Antibody	1428	1680	1680	Laboratory Investigation
328	LB325	Serum Chromogranin A	3230	3800	3800	Laboratory Investigation
329	LB326	SSA- Antibody Ro Serum Test	1233	1450	1450	Laboratory Investigation
330	LB327	SSB- Antibody La Serum Test	1233	1450	1450	Laboratory Investigation
331	LB328	Stool for Clostridium difficile Toxin	2414	2840	2840	Laboratory Investigation
332	LB329	TPHA	340	400	400	Laboratory Investigation
333	LB330	UGT1A1 Gene Analysis	5100	6000	6000	Laboratory Investigation
334	LB331	Urine For Myoglobin	468	550	550	Laboratory Investigation
335	LB332	Leptospira Ig M	850	1000	1000	Laboratory Investigation
336	LB333	Chikungunya Ig M	850	1000	1000	Laboratory Investigation
337	LB334	Weil Felix Agglutination Test	425	500	500	Laboratory Investigation

CGHS rates for Tier I (X City)

Sr. No

CGHS

Code

CGHS TREATMENT PROCEDURE/INVESTIGATION LIST

Rates for Semi-Private Ward

Speciality Classification

Non- NABH

NABH

Super Speciality

338

LB335

Continuous Glucose Monitoring for 2 Weeks

3400

4000

Laboratory Investigation

Radiology and Imaging Investigations

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
RI001	2D echocardiography	1254	1475		1475	Radiological Investigation
RI002	Fetal Echo	1360	1600		1600	Radiological Investigation
RI003	2D Transoesophageal Echocardiography (TEE)	1403	1650		1650	Radiological Investigation
RI004	3D Transoesophageal Echocardiography (TEE)	1403	1650		1650	Radiological Investigation
RI005	Stress Echo- exercise	2040	2400		2400	Radiological Investigation
RI006	Stress Echo- pharmacological / D Stress Echo	2550	3000		3000	Radiological Investigation
RI007	Stress Myocardial Perfusion Imaging (MPI)- exercise	7820	9200		9200	Radiological Investigation
RI008	Stress Myocardial Perfusion Imaging (MPI) – pharmacological	7820	9200		9200	Radiological Investigation
RI009	CT Coronary Angiography including Calcium Score Test	7820	9200		9200	Radiological Investigation
RI010	Cardiac CT scan	5525	6500		6500	Radiological Investigation
RI011	MRI Cardiac	6800	8000		8000	Radiological Investigation
RI012	Stress Cardiac MRI	7820	9200		9200	Radiological Investigation
RI013	Cardiac PET	7820	9200		9200	Radiological Investigation
RI014	USG Transvaginal sonography (TVS for Follicular monitoring /aspiration) /TVS for follicular monitoring/pelvic pathology/ET measurement	850	1000		1000	Radiological Investigation
RI015	Growth scan (including BPP, AFI, Doppler)	1700	2000		2000	Radiological Investigation
RI016	1st trimester scan-dating scan/NT scan/Early pregnancy scan	595	700		700	Radiological Investigation
RI017	USG Colour Doppler Pregnancy / Fetal Doppler/Umbilical Doppler/Uterine Vessel Doppler	1424	1675		1675	Radiological Investigation
RI018	Biophysical score / Biophysical profile test (BPP test)	1275	1500		1500	Radiological Investigation
RI019	USG Obstetrics for Anomalies scan	1700	2000		2000	Radiological Investigation
RI020	USG Whole Abdomen Including Pelvis and post Void urine	680	800		800	Radiological Investigation
RI021	Pelvic USG (gynae, infertility, prostate , KUB with post- void residual (PVR) etc ).	425	500		500	Radiological Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
360	RI022	USG Small parts (scrotum, thyroid, parathyroid etc)	655	770	770	Radiological Investigation
361	RI023	USG Large Parts (Joints/Chest,…etc)	680	800	800	Radiological Investigation
362	RI024	USG Neonatal spine	850	1000	1000	Radiological Investigation
363	RI025	USG Breast including relevant Lymph nodes- Bilateral/Unilateral	680	800	800	Radiological Investigation
364	RI026	USG Hysterosalpingography (HSG)	2040	2400	2400	Radiological Investigation
365	RI027	Fibroscan Liver	978	1150	1150	Radiological Investigation
366	RI028	Carotid Doppler Bilateral	850	1000	1000	Radiological Investigation
367	RI029	Arterial Colour Doppler Bilateral	850	1000	1000	Radiological Investigation
368	RI030	Venous Colour Doppler Bilateral	850	1000	1000	Radiological Investigation
369	RI031	Colour Doppler, renal arteries/any other organ	850	1000	1000	Radiological Investigation
370	RI032	X Ray Abdomen AP Supine or Erect (One film)	213	250	250	Radiological Investigation
371	RI033	X Ray Abdomen Lateral view (one film)	179	210	210	Radiological Investigation
372	RI034	X Ray Chest PA /AP/ Oblique view (one film)	196	230	230	Radiological Investigation
373	RI035	X Ray Chest Lateral (one film)	196	230	230	Radiological Investigation
374	RI036	X Ray Mastoids: Towne view, oblique views (3 films)	425	500	500	Radiological Investigation
375	RI037	X Ray Extremities (Hand/Leg/Feet/Finger/Toe) bones & Joints (Hip/ Knee/Ankle / shoulder/ Wrist / fingers/Toes, etc) AP & Lateral views (standing or weight bearing)(Two films)	323	380	380	Radiological Investigation
376	RI038	X Ray Pelvis AP (one film)	170	200	200	Radiological Investigation
377	RI039	X Ray Temporomandibular (TM) Joints (one film)	213	250	250	Radiological Investigation
378	RI040	X Ray Abdomen & Pelvis for KUB	200	235	235	Radiological Investigation
379	RI041	X Ray Skull AP & Lateral (2 films)/ Extra oral radiographs – All skull views, TMJ, Lateral oblique [Dental]	340	400	400	Radiological Investigation
380	RI042	X Ray Spine AP & Lateral (2 films)	340	400	400	Radiological Investigation
381	RI043	X Ray Paranasal sinuses (PNS) view (1 film)	170	200	200	Radiological Investigation
382	RI044	Barium Swallow	1020	1200	1200	Radiological Investigation
383	RI045	Barium Upper GI study	1275	1500	1500	Radiological Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
384	RI046	Barium Upper GI study (Double contrast)	1700	2000	2000	Radiological Investigation
385	RI047	Barium Meal follow through	1700	2000	2000	Radiological Investigation
386	RI048	Barium Enema (Single contrast/double contrast)	1700	2000	2000	Radiological Investigation
387	RI049	Small bowel enteroclysis	1700	2000	2000	Radiological Investigation
388	RI050	General:Fistulography / Sinography/Sialography/Dacrocystography/ T-Tube cholangiogram/Nephrostogram	1080	1270	1270	Radiological Investigation
389	RI051	Intravenous Pyelography (IVP)	1403	1650	1650	Radiological Investigation
390	RI052	Micturating Cystourethrography (MCU)	952	1120	1120	Radiological Investigation
391	RI053	Retrograde Urethrography (RGU)	952	1120	1120	Radiological Investigation
392	RI054	Contrast Hystero-Salpingography (HSG)	1700	2000	2000	Radiological Investigation
393	RI055	X ray Arthrography	1700	2000	2000	Radiological Investigation
394	RI056	Ortho Scanogram	1437	1690	1690	Radiological Investigation
395	RI057	Cephalography	298	350	350	Radiological Investigation
396	RI058	Myelography	2125	2500	2500	Radiological Investigation
397	RI059	Diagnostic Digital Subtraction Angiography (DSA) cerebral vessels	11390	13400	13400	Radiological Investigation
398	RI060	X Ray Mammography – Bilateral/Unilateral	1169	1375	1375	Radiological Investigation
399	RI061	MRI Mammography	4250	5000	5000	Radiological Investigation
400	RI062	CT Scan Head/ Brain-Without Contrast / NCCT Head/Brain	880	1035	1035	Radiological Investigation
401	RI063	CT Scan Head / Brain- with Contrast -including CT angiography	1870	2200	2200	Radiological Investigation
402	RI064	CT Scan Chest – without contrast (for lungs)	1700	2000	2000	Radiological Investigation
403	RI065	High Resolution computed Tomography (HRCT Chest)	1700	2000	2000	Radiological Investigation
404	RI066	Contrast Enhanced Computed Tomograpy (CECT) Chest (Including CD)	2444	2875	2875	Radiological Investigation
405	RI067	CT Scan Lower Abdomen (incl. Pelvis) With Contrast/ CT KUB with Contrast	3825	4500	4500	Radiological Investigation
406	RI068	CT Scan Lower Abdomen (Incl. Pelvis) Without Contrast / CT KUB without Contrast	2975	3500	3500	Radiological Investigation
407	RI069	CT Scan Whole Abdomen Without Contrast	2933	3450	3450	Radiological Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
408	RI070	CT Scan Whole Abdomen With Contrast	4399	5175	5175	Radiological Investigation
409	RI071	Triple Phase CT abdomen	4399	5175	5175	Radiological Investigation
410	RI072	CT Urography	3825	4500	4500	Radiological Investigation
411	RI073	CT Scan Angiography Chest	4399	5175	5175	Radiological Investigation
412	RI074	CT Scan Angiography Abdomen	4399	5175	5175	Radiological Investigation
413	RI075	CT Angiography Entire Aorta ( CT Aortogram)	8500	10000	10000	Radiological Investigation
414	RI076	CT Scan Enteroclysis	5865	6900	6900	Radiological Investigation
415	RI077	CT Scan Neck – Without Contrast	2125	2500	2500	Radiological Investigation
416	RI078	CT Scan Neck – With Contrast	2975	3500	3500	Radiological Investigation
417	RI079	CT Angio-Neck Vessels	5100	6000	6000	Radiological Investigation
418	RI080	CT Scan Orbits – Without Contrast	1870	2200	2200	Radiological Investigation
419	RI081	CT Scan Orbits – With Contrast	2720	3200	3200	Radiological Investigation
420	RI082	CT Scan of Para Nasal Sinuses (CT PNS)- Without Contrast	1955	2300	2300	Radiological Investigation
421	RI083	CT Scan of Para Nasal Sinuses (CT PNS)- With Contrast	2805	3300	3300	Radiological Investigation
422	RI084	CT Scan Spine (Cervical, Dorsal, Lumbar,Sacral)–without Contrast	2380	2800	2800	Radiological Investigation
423	RI085	CT Scan Temporal bone – without contrast	2125	2500	2500	Radiological Investigation
424	RI086	CT Scan / Cone Beam CT (CBCT) Dental	1275	1500	1500	Radiological Investigation
425	RI087	CT Scan Limbs -Without Contrast	2380	2800	2800	Radiological Investigation
426	RI088	CT Scan Limbs -With Contrast including CT angiography	4930	5800	5800	Radiological Investigation
427	RI089	MRI Head / Brain – Without Contrast	2338	2750	2750	Radiological Investigation
428	RI090	MRI Head / Brain– With Contrast	4250	5000	5000	Radiological Investigation
429	RI091	MRI Orbits – Without Contrast	1590	1870	1870	Radiological Investigation
430	RI092	MRI Orbits – With Contrast	4250	5000	5000	Radiological Investigation
431	RI093	MRI Nasopharynx and PNS – Without Contrast	2975	3500	3500	Radiological Investigation
432	RI094	MRI Nasopharynx and PNS – With Contrast	4250	5000	5000	Radiological Investigation
433	RI095	MR for Salivary Glands with Sialography/Maxillofacial MRI	4250	5000	5000	Radiological Investigation
434	RI096	MRI Neck – Without Contrast	2975	3500	3500	Radiological Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
435	RI097	MRI Neck- with contrast	4888	5750	5750	Radiological Investigation
436	RI098	MRI Shoulder – Without contrast	2975	3500	3500	Radiological Investigation
437	RI099	MRI Shoulder – With contrast	4250	5000	5000	Radiological Investigation
438	RI100	MRI shoulder both Joints – Without contrast	3400	4000	4000	Radiological Investigation
439	RI101	MRI Shoulder both joints – With contrast	5100	6000	6000	Radiological Investigation
440	RI102	MRI Wrist Single joint – Without contrast	2805	3300	3300	Radiological Investigation
441	RI103	MRI Wrist Single joint – With contrast	4250	5000	5000	Radiological Investigation
442	RI104	MRI Wrist both joints – Without contrast	3400	4000	4000	Radiological Investigation
443	RI105	MRI Wrist Both joints – With contrast	4888	5750	5750	Radiological Investigation
444	RI106	MRI knee Single joint – Without contrast	2550	3000	3000	Radiological Investigation
445	RI107	MRI knee Single joint – With contrast	4888	5750	5750	Radiological Investigation
446	RI108	MRI knee both joints – Without contrast	3400	4000	4000	Radiological Investigation
447	RI109	MRI knee both joints – With contrast	4888	5750	5750	Radiological Investigation
448	RI110	MRI Ankle Single joint – Without contrast	2975	3500	3500	Radiological Investigation
449	RI111	MRI Ankle single joint – With contrast	4250	5000	5000	Radiological Investigation
450	RI112	MRI Ankle both joints – With contrast	5525	6500	6500	Radiological Investigation
451	RI113	MRI Ankle both joints – Without contrast	2975	3500	3500	Radiological Investigation
452	RI114	MRI Hip – With contrast	4250	5000	5000	Radiological Investigation
453	RI115	MRI Hip – without contrast	2975	3500	3500	Radiological Investigation
454	RI116	MRI Pelvis – Without Contrast	2975	3500	3500	Radiological Investigation
455	RI117	MRI Pelvis – with contrast	4888	5750	5750	Radiological Investigation
456	RI118	MRI Extremities – With contrast	4888	5750	5750	Radiological Investigation
457	RI119	MRI Extremities – Without contrast	2975	3500	3500	Radiological Investigation
458	RI120	MRI Temporomandibular – B/L – With contrast / MRI TMJ (Double Joint) with contrast	4250	5000	5000	Radiological Investigation
459	RI121	MRI Temporomandibular – B/L – Without contrast / MRI -TMJ(Double Joint) without contrast	2975	3500	3500	Radiological Investigation
460	RI122	MR Temporal Bone/ Inner ear with contrast	4250	5000	5000	Radiological Investigation

CGHS rates for Tier I (X City)

Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward			Speciality Classification
Sr. No	CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH	NABH	Super Speciality	Speciality Classification
461	RI123	MRI Temporal Bone/ Inner ear without contrast	2975	3500	3500	Radiological Investigation
462	RI124	MRI Abdomen – Without Contrast	2975	3500	3500	Radiological Investigation
463	RI125	MRI Abdomen – With Contrast	4888	5750	5750	Radiological Investigation
464	RI126	MRI-Prostate (Multi-parametric) (Including CD)	5865	6900	6900	Radiological Investigation
465	RI127	MRI Breast – With Contrast	4250	5000	5000	Radiological Investigation
466	RI128	MRI Breast – Without Contrast	2975	3500	3500	Radiological Investigation
467	RI129	MRI whole Spine Screening- Without Contrast	1700	2000	2000	Radiological Investigation
468	RI130	MRI Chest – Without Contrast	2975	3500	3500	Radiological Investigation
469	RI131	MRI Chest – With Contrast	4250	5000	5000	Radiological Investigation
470	RI132	MRI Whole spine – Without Contrast	3740	4400	4400	Radiological Investigation
471	RI133	MRI Cervical/ Cervico Dorsal Spine – With Contrast	4250	5000	5000	Radiological Investigation
472	RI134	MRI Dorsal/ Dorso Lumbar Spine – Without Contrast	2975	3500	3500	Radiological Investigation
473	RI135	MRI Dorsal/ Dorso Lumbar Spine – With Contrast	4250	5000	5000	Radiological Investigation
474	RI136	MRI Lumbar/ Lumbo-Sacral Spine – Without Contrast	2975	3500	3500	Radiological Investigation
475	RI137	MRI Lumbar/ Lumbo-Sacral Spine – With Contrast	4888	5750	5750	Radiological Investigation
476	RI138	Whole body MRI (For oncological workup)	7820	9200	9200	Radiological Investigation
477	RI139	MR cholecysto-pancreatography (MRCP)	7225	8500	8500	Radiological Investigation
478	RI140	MRI Angiography – with contrast	4888	5750	5750	Radiological Investigation
479	RI141	MR Enteroclysis	4250	5000	5000	Radiological Investigation
480	RI142	MRI DEFECOGRAPHY	5950	7000	7000	Radiological Investigation
481	RI143	MRI FISTULOGRAM	3825	4500	4500	Radiological Investigation
482	RI144	MRI SPECTROSCOPY	2550	3000	3000	Radiological Investigation
483	RI145	Dexa Scan Bone Densitometry – Two sites	1700	2000	2000	Radiological Investigation
484	RI146	Dexa Scan Bone Densitometry – Three sites (Spine, Hip &extremity)	2125	2500	2500	Radiological Investigation
485	RI147	Dexa Scan Bone Densitometry Whole body	2550	3000	3000	Radiological Investigation

Pulmonology Investigation

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
PI001	Pulmonary Function Test (PFT) / (Spirometry with Diffusing Capacity of the Lungs for Carbon monoxide (DLCO)	425	500		500	Pulmonology Investigation
PI002	Lung Ventilation & Perfusion Scan (V/Q Scan)	5100	6000		6000	Pulmonology Investigation
PI003	Lung Perfusion Scan	4250	5000		5000	Pulmonology Investigation
PI004	6 Minute Walk Test	425	500		500	Pulmonology Investigation
PI005	FeNO Breathing Test	612	720		720	Pulmonology Investigation
PP001	Endo bronchial Ultrasound (EBUS) -Trans bronchial needle aspiration (TBNA) – Excluding the cost of Needle	17000	20000		20000	Pulmonology Procedure
PP002	Video Bronchoscopy with BAL	9350	11000		11000	Pulmonology Procedure

Nuclear Medicine Investigation

CGHS

Code

CGHS TREATMENT PROCEDURE/INVESTIGATION LIST

Rates for Semi-Private Ward

Speciality Classification

Non- NABH

NABH

Super Speciality

NM001

Whole Body Bone Scan with SPECT.

4250

5000

Nuclear Medicine Investigation

NM002

Three phase whole body Bone Scan

5100

6000

Nuclear Medicine Investigation

NM003

Brain Perfusion SPECT Scan with Technetium 99m radiopharmaceuticals.

11390

13400

Nuclear Medicine Investigation

NM004

Radionuclide Cisternography for CSF leak

5780

6800

Nuclear Medicine Investigation

NM005

Renal Cortical Scintigraphy with Technetium 99m Dimercaptosuccinic acid (DMSA)/DTPA

3400

4000

Nuclear Medicine Investigation

NM006

Dynamic Renography.

3400

4000

Nuclear Medicine Investigation

NM007

Dynamic Renography with Diuretic.

3400

4000

Nuclear Medicine Investigation

NM008

Dynamic Renography with Captopril

5780

6800

Nuclear Medicine Investigation

NM009

Testicular Scan with Technetium 99m Pertechnetate

1445

1700

Nuclear Medicine Investigation

NM010

Thyroid Uptake measurements with 131-Iodine.

2125

2500

Nuclear Medicine Investigation

NM011

Thyroid Scan with Technetium 99m Pertechnetate

1615

1900

Nuclear Medicine Investigation

NM012

Iodine-131 Whole Body Scan

11390

13400

Nuclear Medicine Investigation

NM013

Whole Body Scan with MIBG

11390

13400

Nuclear Medicine Investigation

NM014

Parathyroid Scan

6218

7315

Nuclear Medicine Investigation

NM015

Scintimammography.

5100

6000

Nuclear Medicine Investigation

NM016

Indium labelled octreotide Scan

61200

72000

Nuclear Medicine Investigation

NM017

FDG Whole body PET CT Scan

12219

14375

Nuclear Medicine Investigation

NM018

Brain / Heart FDG PET CT Scan

12219

14375

Nuclear Medicine Investigation

NM019

Gallium-68 Peptide PET / CT imaging for Neuroendocrine Tumour

12219

14375

Nuclear Medicine Investigation

NM020

PSMA PET CT Scan

12750

15000

Nuclear Medicine Investigation

NM021

F-DOPA PET-CT scan

12750

15000

Nuclear Medicine Investigation

Biopsies

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
BY001	Skin Biopsy	1063	1250		1250	Biopsies
BY002	Punch/Wedge biopsy	2550	3000		3000	Biopsies
BY003	Excision Biopsy of Ulcers	4250	5000		5000	Biopsies
BY004	Excision Biopsy of Superficial Lumps	7820	9200		9200	Biopsies
BY005	Incision Biopsy of Growths/Ulcers	4250	5000		5000	Biopsies
BY006	Bone Marrow Aspiration and Biopsy	7225	8500		8500	Biopsies
BY007	Scalene Node Biopsy	7820	9200		9200	Biopsies
BY008	Liver Biopsy	7225	8500		8500	Biopsies
BY009	Muscle Biopsy	2125	2500		2500	Biopsies
BY010	Trucut Needle Biopsy- (excluding the cost of Needle/Biopsy Gun if used)	3273	3850		3850	Biopsies

Interventional Radiological Procedure

CGHS

Code

CGHS TREATMENT PROCEDURE/INVESTIGATION LIST

Rates for Semi-Private Ward

Speciality Classification

Non- NABH

NABH

Super Speciality

RP001

USG Guided Intervention- Diagnostic

850

1000

Interventional Radiological Procedure

RP002

USG Guided Intervention -Therapeutic

1700

2000

Interventional Radiological Procedure

RP003

USG Guided Intervention – Specialized Procedures excluding cost of Catheter or biopsy gun

2550

3000

Interventional Radiological Procedure

RP004

CT Guided biopsy including all the consumables

7820

9200

Interventional Radiology Procedure

RP005

CT Guided Intervention -Percutaneous catheter drainage/tube placement excluding the cost of tube /catheter

2975

3500

Interventional Radiological Procedure

RP006

Percutaneous transhepatic cholangiography (PTC)

1530

1800

Interventional Radiological Procedure

RP007

Transarterial Chemoembolization (TACE)

45050

53000

Interventional Radiological Procedure

Oncology Investigations

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
CA001	A, B, DR Molecular Typing PCR – SSP	8768	10315		10315	Oncology Investigations
CA002	ABL Kinase Domain Mutation for Chronic Myeloid leukemia (TKI Resistance, Imatinib Resistance	6885	8100		8100	Oncology Investigations
CA003	ABL Kinase Domain Mutation for Ph Positive Acute Lymphoblastic leukemia (TKI Resistance, I	6885	8100		8100	Oncology Investigations
CA004	Acute Leukemia karyotyping	4713	5545		5545	Oncology Investigations
CA005	Acute Leukemia mutation detection (per gene)ASXL1 /c-KIT/DNMT3A/ IDH1 and IDH2 /K RAS and N RAS mutation detection	4582	5390		5390	Oncology Investigations
CA006	Acute Leukemia RUNX1 mutation detection	4582	5390		5390	Oncology Investigations
CA007	Acute Leukemia TET2 mutation detection	19567	23020		23020	Oncology Investigations
CA008	Acute Leukemia TP53 mutation detection	19567	23020		23020	Oncology Investigations
CA009	Acute Lymphoblastic leukemia karyotyping	4713	5545		5545	Oncology Investigations
CA010	Acute Lymphoblastic Leukemia Mutation Detection	9384	11040		11040	Oncology Investigations
CA011	Acute Lymphoblastic Leukemia Transcript Identification	2567	3020		3020	Oncology Investigations
CA012	Acute Myeloid Leukemia (AML) Panel	11365	13370		13370	Oncology Investigations
CA013	ALK -1	3987	4690		4690	Oncology Investigations
CA014	ALK rearrangement: 2p23	3987	4690		4690	Oncology Investigations
CA015	B-cell Acute Lymphoblastic Leukemia (B-ALL) Panel	9835	11570		11570	Oncology Investigations
CA016	BCL3 rearrangement 19q13.3 / BCL6 rearrangement: 3q27	2962	3485		3485	Oncology Investigations
CA017	BCOR alteration	5143	6050		6050	Oncology Investigations
CA018	BCR/ABL (Ph) duplication, trisomy 8, trisomy 21, TP53 deletion	5181	6095		6095	Oncology Investigations
CA019	BCR/ABL Ph: t(9;22)	2962	3485		3485	Oncology Investigations
CA020	BCR-ABL by PCR-Quantitative	3400	4000		4000	Oncology Investigations
CA021	BRAF	7650	9000		9000	Oncology Investigations
CA022	BRCA1 & BRCA2	17000	20000		20000	Oncology Investigations
CA023	C3d Single Allele Antibody for HLA Class I (C3dLSA Class I) /C3d Single Allele Antibody for HLA Class II (C3dLSA Class II)	14875	17500		17500	Oncology Investigations
CA024	CAN ASSIST	42500	50000		50000	Oncology Investigations
CA025	CCND1/IgH: t(11;14)	3987	4690		4690	Oncology Investigations
CA026	CD 19 and CD 20	1275	1500		1500	Oncology Investigations
CA027	Cell line karyotyping	9435	11100		11100	Oncology Investigations
CA028	Chimerism Analysis	1309	1540		1540	Oncology Investigations
CA029	Chromosomal breakage (fragility) studies in Fanconi’s Anemia/Aplastic Anemia	4713	5545		5545	Oncology Investigations
CA030	Chronic Lymphocytic Leukemia (CLL) Panel	9835	11570		11570	Oncology Investigations
CA031	Chronic Lymphocytic Leukemia Comprehensive Mutation Profile (IGVH Gene Mutation & Usage, T	28322	33320		33320	Oncology Investigations
CA032	Chronic Lymphocytic Leukemia IGVH Mutation Detection	5398	6350		6350	Oncology Investigations
CA033	Chronic Lymphoproliferative disorder IGVH Mutation Detection	5398	6350		6350	Oncology Investigations
CA034	Chronic Lymphoproliferative disorder NOTCH1 mutation / NOTCH2 mutation	4582	5390		5390	Oncology Investigations
CA035	Chronic Lymphoproliferative disorder SF3B1 mutation	4582	5390		5390	Oncology Investigations
CA036	Chronic Lymphoproliferative disorder TP53 mutation	19567	23020		23020	Oncology Investigations
CA037	CLINICAL EXOME SEQUENCING	12750	15000		15000	Oncology Investigations
CA038	CLL PANEL FISH	8500	10000		10000	Oncology Investigations
CA039	CML Blast Crisis karyotyping	4713	5545		5545	Oncology Investigations
CA040	Combined High Sensitivity JAK2 V617F and Exon12 Mutation Detection	5806	6830		6830	Oncology Investigations
CA041	Comprehensive Molecular Testing	16422	19320		19320	Oncology Investigations
CA042	Comprehensive Next Generation sequencing assay for Hematolymphoid malignancies	22950	27000		27000	Oncology Investigations
CA043	Constitutional karyotyping	4713	5545		5545	Oncology Investigations
CA044	Custom Sequencing Assay	9384	11040		11040	Oncology Investigations
CA045	DICER1 Mutation	3298	3880		3880	Oncology Investigations
CA046	Donor Specific Antibodies (DSA)	6800	8000		8000	Oncology Investigations
CA047	EGFR Mutation DETECTION	8075	9500		9500	Oncology Investigations
CA048	EGFR Resistance Mutation (T790m Mutation Analysis)	6800	8000		8000	Oncology Investigations
CA049	ER PR Her2 Neu	2678	3150		3150	Oncology Investigations
CA050	ER/PR/Her2neu, Ki67	4250	5000		5000	Oncology Investigations
CA051	Extended Immune subset for Post Allogenic Stem Cell Transplant Monitoring	4250	5000		5000	Oncology Investigations
CA052	Factor V Leiden Mutation Detection	5610	6600		6600	Oncology Investigations
CA053	FISH for 1p33/TAL1 deletion	4233	4980		4980	Oncology Investigations
CA054	FISH FOR HER2 Neu	8500	10000		10000	Oncology Investigations
CA055	FISH for t(10;11)(p12;q14)/MLLT10(AF10)/PICALM	4233	4980		4980	Oncology Investigations
CA056	FISH for t(11;19)(q23;p13.1)/KMT2A/ELL	4233	4980		4980	Oncology Investigations
CA057	FISH for t(5;11)(q35;p15.5) NUP98/NSD1	4233	4980		4980	Oncology Investigations
CA058	FISH for t(6;14)(p21;q32) IGH/CCND3	4233	4980		4980	Oncology Investigations
CA059	FISH on Bone marrow Smear( 1 marker)	2962	3485		3485	Oncology Investigations
CA060	FISH on bone marrow smear( 2 markers)	4654	5475		5475	Oncology Investigations
CA061	FISH on FFPE – Block /Slide (2 markers)	4046	4760		4760	Oncology Investigations
CA062	FISH PANEL FOR MYELOMA	11900	14000		14000	Oncology Investigations
CA063	FISH Test for C19MC amplification	10838	12750		12750	Oncology Investigations
CA064	FISH test for CDKN2A	6333	7450		7450	Oncology Investigations
CA065	FISH test for CEN 10 loss – on Tissue	3528	4150		4150	Oncology Investigations
CA066	FISH test for ETV6 break-apart analysis – On Tissue	5925	6970		6970	Oncology Investigations
CA067	FISH test for MAML2 break-apart analysis – On Tissue	6086	7160		7160	Oncology Investigations
CA068	Fluorescent PCR + fragment length analysis per Amplicon	298	350		350	Oncology Investigations
CA069	GeneCORE Somatic 161 Gene Panel (NGS)	25500	30000		30000	Oncology Investigations
CA070	Hairy Cell Leukemia Mutation (BRAF V600E) Detection	2967	3490		3490	Oncology Investigations
CA071	Hematolymphoid Malignancy At Diagnosis- Cancer Cytogenetics Testing	14548	17115		17115	Oncology Investigations
CA072	Hematolymphoid Malignancy Follow-up- Cancer Cytogenetics Testing	12750	15000		15000	Oncology Investigations
CA073	Hereditary Cancer Panel	10200	12000		12000	Oncology Investigations
CA074	High Sensitivity JAK2 Mutation Detection (V617F)	3919	4610		4610	Oncology Investigations
CA075	Histone Mutation Detection Assay	7884	9275		9275	Oncology Investigations
CA076	HLA C, DQB Molecular Typing PCR – SSP	6265	7370		7370	Oncology Investigations
CA077	HLA Disease Association Next Generation Sequencing HLA-A/B/DRB1/G	3995	4700		4700	Oncology Investigations
CA078	HLA Disease Association Sequence based Typing HLA A/B/DRB1	4080	4800		4800	Oncology Investigations
CA079	HLA Drug Hypersensitivity Next Generation Sequencing HLA-A/B/DRB1 HLA- A/B/DRB1/G	3995	4700		4700	Oncology Investigations
CA080	HLA Drug Hypersensitivity Typing HLA-A/B/DRB1	4080	4800		4800	Oncology Investigations
CA081	HLA Loss Chimerism	10200	12000		12000	Oncology Investigations
CA082	HLA-A, B, C, DRB1, DQB1, DPB1 (Sequence Based Typing – SBT)	12750	15000		15000	Oncology Investigations
CA083	HLA-A, B, DRB1 (Sequence Based Typing – SBT)	8500	10000		10000	Oncology Investigations
CA084	HLA-A, B, DRB1(Sequence Specific Oligonucleotide – SSO)	6630	7800		7800	Oncology Investigations
CA085	HLA-C, DQB1(Sequence Specific Oligonucleotide – SSO)	4420	5200		5200	Oncology Investigations
CA086	HRR Gene Test	26350	31000		31000	Oncology Investigations
CA087	IGH Characterization IGH/CCND1:t(11;14), IGH/BCL2:t(14;18),BCL6(3q27), MYC(8q24) (4markers	4505	5300		5300	Oncology Investigations
CA088	IgH/BCL2 :t(14;18)	3987	4690		4690	Oncology Investigations
CA089	IGHV Gene Mutation	6375	7500		7500	Oncology Investigations
CA090	Interphase FISH test for Chr. 1 copy number variations	9095	10700		10700	Oncology Investigations
CA091	IRFA/DUSP22 gene rearrangement by FISH	13243	15580		15580	Oncology Investigations
CA092	JAK2 Exon 12 Mutation Detection	3919	4610		4610	Oncology Investigations
CA093	JAK2V617 MUTATION, WITH REFLEX TO JAK2 EX-12,CALR EX-9 MUTATION AND MPL W515, S505 MUTATION	9775	11500		11500	Oncology Investigations
CA094	KI67	1105	1300		1300	Oncology Investigations
CA095	KIR Typing	4930	5800		5800	Oncology Investigations
CA096	KMT2A Characterization for AML	6711	7895		7895	Oncology Investigations
CA097	KMT2A Characterization for B-ALL	5181	6095		6095	Oncology Investigations
CA098	KRAS + NRAS + BRAF + Mutation Profile	11730	13800		13800	Oncology Investigations
CA099	Lineage specific Chimerism – B Cell, T Cell and NK Cells	6120	7200		7200	Oncology Investigations
CA100	Liquid Biopsy (Onco)	25500	30000		30000	Oncology Investigations
CA101	Lung Basic Panel By NGS	25500	30000		30000	Oncology Investigations
CA102	Lymphoma Panel	5925	6970		6970	Oncology Investigations
CA103	Lymphoplasmacytic Leukemia / Waldenstroms Macroglobulinemia Mutation (MYD88 L265P) Detection	2967	3490		3490	Oncology Investigations
CA104	MDS Panel	5925	6970		6970	Oncology Investigations
CA105	MECOM (EVI1) rearrangement: inv(3)(q21.3q26.2)/t(3;3)	3987	4690		4690	Oncology Investigations
CA106	MGMT PCR	6919	8140		8140	Oncology Investigations
CA107	Miscellaneous Profile I(1 marker)	2962	3485		3485	Oncology Investigations
CA108	Miscellaneous profile II(2 markers)	4654	5475		5475	Oncology Investigations
CA109	MLPA per gene	3400	4000		4000	Oncology Investigations
CA110	Monosomy 5/deletion 5q	2962	3485		3485	Oncology Investigations
CA111	Monosomy 7/deletion 7q	2962	3485		3485	Oncology Investigations
CA112	MPN (Myelo Proliferative Neoplasm)PANEL	10200	12000		12000	Oncology Investigations
CA113	MSI ( Micro Satellite Instability) and MMR (Mis Match Repair)	5525	6500		6500	Oncology Investigations
CA114	Multigene NGS Germline Panel	15300	18000		18000	Oncology Investigations
CA115	Multiple Myeloma (MM) Panel	12640	14870		14870	Oncology Investigations
CA116	Multiple Myeloma High Risk Markers (4 Markers)	4505	5300		5300	Oncology Investigations
CA117	Multiple Myeloma Screening Panel	6800	8000		8000	Oncology Investigations
CA118	MYD88 L265 Mutation Detection Test	5746	6760		6760	Oncology Investigations
CA119	Myelodysplastic Syndromes karyotyping	4713	5545		5545	Oncology Investigations
CA120	Next generation RNA sequencing assay for Chimeric Trancript in Hematolymphod malignancies	14450	17000		17000	Oncology Investigations
CA121	Next Generation sequencing assay for Minimal residual disease(MRD) for NPM mutated AML	22950	27000		27000	Oncology Investigations
CA122	NGS HLA Typing	8500	10000		10000	Oncology Investigations
CA123	NGS Platform-extended Panel >50 gene	30600	36000		36000	Oncology Investigations
CA124	NGS Platform-limited Panel(10 Genes)	15300	18000		18000	Oncology Investigations
CA125	NRAS (Neuroblastoma RAS ) Gene	2975	3500		3500	Oncology Investigations
CA126	Panel Reactive Antibodies (PRA) class I	2550	3000		3000	Oncology Investigations
CA127	Panel Reactive Antibodies (PRA) class II	2550	3000		3000	Oncology Investigations
CA128	PCR + Sanger Sequencing per Amplicon	723	850		850	Oncology Investigations
CA129	PDGFRA (4q12), PDGFRB (5q33), FGFR1 (8p11.2) rearrangement	5181	6095		6095	Oncology Investigations
CA130	PDGFRA rearrangement: 4q12	3987	4690		4690	Oncology Investigations
CA131	PDGFRB rearrangement: 5q33	3987	4690		4690	Oncology Investigations
CA132	PDL 1	4250	5000		5000	Oncology Investigations
CA133	PDL-1-28-8 (FDA Approved)	6375	7500		7500	Oncology Investigations
CA134	Ph: t(9;22) karyotyping	3362	3955		3955	Oncology Investigations
CA135	Ph-like ALL Panel (4 Markers)	4505	5300		5300	Oncology Investigations
CA136	PIK3CA GENE MUTATION	4590	5400		5400	Oncology Investigations
CA137	PIK3CA Mutation Testing	4845	5700		5700	Oncology Investigations
CA138	Ploidy analysis	3362	3955		3955	Oncology Investigations
CA139	PML-RARA t(15;17), variants	4450	5235		5235	Oncology Investigations
CA140	PRA Screen	2550	3000		3000	Oncology Investigations
CA141	PTPRT: Deletion 20q	3987	4690		4690	Oncology Investigations
CA142	RARA Variant – ZBTB16 / RARA : t(11;17) (1 marker)	2576	3030		3030	Oncology Investigations
CA143	RHOA Mutation Detection Assay	5925	6970		6970	Oncology Investigations
CA144	ROS 1	8262	9720		9720	Oncology Investigations
CA145	RQ PCR based assay for MRD monitoring of Acute Leukaemia	8075	9500		9500	Oncology Investigations
CA146	RQ-PCR BCR-ABL (P210)	9316	10960		10960	Oncology Investigations
CA147	RQ-PCR PML-RARA	9316	10960		10960	Oncology Investigations
CA148	RT-PCR Multiplex, Acute Leukaemia Panel	6205	7300		7300	Oncology Investigations
CA149	RT-PCR Multiplex, BCR-ABL (P190, P210)	5398	6350		6350	Oncology Investigations
CA150	RT-PCR Nested, IGH Chain Gene Rearrangement /TCR Gene Rearrangement	3919	4610		4610	Oncology Investigations
CA151	Single Antigen Class I	11050	13000		13000	Oncology Investigations
CA152	Single Antigen Class II	11050	13000		13000	Oncology Investigations
CA153	Slide / Images for Second Opinion- Cancer Cytogenetics	782	920		920	Oncology Investigations
CA154	STR Panel studies	3783	4450		4450	Oncology Investigations
CA155	Surface Marker Complete Panel	10340	12165		12165	Oncology Investigations
CA156	Surface Marker Individual	1615	1900		1900	Oncology Investigations
CA157	t(1;22) and Trisomy 21 in Acute Megakaryoblastic Leukemia (AML -M7) (2 Markers)	4046	4760		4760	Oncology Investigations
CA158	T-cell Acute Lymphoblastic Leukemia (T-ALL) Panel	12895	15170		15170	Oncology Investigations
CA159	TCR-A rearrangement: 14q11	3987	4690		4690	Oncology Investigations
CA160	TERT Promoter Mutation Assay	4934	5805		5805	Oncology Investigations
CA161	TFE-3 FISH	10268	12080		12080	Oncology Investigations
CA162	TPMT (Thiopurine Methyl Transferase) Genotyping	4335	5100		5100	Oncology Investigations
CA163	Trisomy 12	2061	2425		2425	Oncology Investigations
CA164	Trisomy 21	2061	2425		2425	Oncology Investigations
CA165	Trisomy 4, 10 & 17	2962	3485		3485	Oncology Investigations
CA166	Trisomy 8	2061	2425		2425	Oncology Investigations
CA167	V Beta Repertoire Analysis by Flow Cytometry for T-Cell Clonality	10340	12165		12165	Oncology Investigations
CA168	XX/XY (Chimerism Studies) in Sex mismatch Bone Marrow Transplantation (BMT)	2061	2425		2425	Oncology Investigations

Chemotherapy

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
CT001	Single drug Chemotherapy	1445	1700		1700	Chemotherapy
CT002	Multiple drugs Chemotherapy/Targeted therapy/Immunotherapy	1955	2300		2300	Chemotherapy
CT003	Neoadjuvant Chemotherapy	2295	2700		2700	Chemotherapy
CT004	Adjuvant Chemotherapy	1870	2200		2200	Chemotherapy
CT005	Concurrent-chemoradiation	1615	1900		1900	Chemotherapy
CT006	Intravesical Instillation of BCG excluding the cost of BCG	2550	3000		3000	Chemotherapy
RT001	Level 1- Brachytherapy (Eye Plaque or SIVA or CVS per insertion or application)	5950	7000		8050	Radiotherapy
RT002	Level 2- Brachytherapy (Simple ICA with Xray based 2D planning, ILRT, Endobilliary BCT)	8500	10000		11500	Radiotherapy
RT003	Level 3- Brachytherapy (Surface Mould, Radical Interstitial BCT, Intraoperative Template or interstitial brachytherapy catheter insertion)	21250	25000		28750	Radiotherapy
RT004	Level 4- Brachytherapy (ICA with CT based Planning)	25500	30000		34500	Radiotherapy
RT005	Level 5- Brachytherapy (Complex ICA with interstitial with CT or MR based planning)	34000	40000		46000	Radiotherapy
RT006	Level 1- Radiation Therapy (1-10 fractions on Cobalt)	12750	15000		17250	Radiotherapy
RT007	Level 2- Radiation Therapy (More than 10 fractions on Cobalt OR Upto 10 fractions on LA clinical (without CT or TPS planning) without IGRT OR Hemibody palliative RT (1-2 fractions weekly))	23800	28000		32200	Radiotherapy
RT008	Level 3- Radiation Therapy (LA 3D with conventional fractionation of 2-5 Gy OR Weekly hypofractionation of >5 Gy with 3D CRT plan in 1-2 fractions. No IGRT allowed.)	42500	50000		57500	Radiotherapy
RT009	Level 4- Radiation therapy (LA 3D with IGRT conventional fractionation of 2- 5 Gy OR Weekly hypofractionation >5 Gy with 3D CRT plan in 1-2 fractions. with IGRT)	53550	63000		72450	Radiotherapy
RT010	Level 5- Radiation Therapy (LA IMRT/ Rapid Arc/VMAT with < 5Gy per fraction and <10 IGRT (CBCT or MVCT or EPID) OR Cobalt Radical with LA boost including electron boost OR TSET OR TBI)	127500	150000		172500	Radiotherapy
RT011	Level 6- Radiation Therapy (LA 4D/DE or DIBH with 3D CRT/ IMRT/ Rapid Arc/VMAT with >10 IGRT (CBCT or MVCT or EPID) OR LA IMRT/ Rapid Arc/VMAT with <5Gy per fraction and >10 IGRT (CBCT or MVCT or EPID) OR Adaptive RT OR CSI OR Multisite treatment outside one FOV or one plan OR SBRT OR SRS OR SRT (per fraction dose >5Gy))	153000	180000		207000	Radiotherapy

Radio-Isotope Therapy

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
IT001	Radiosynovectomy with Yttrium	21250	25000		28750	Radio-Isotope Therapy
IT002	131-Iodine Therapy 51-100mCi	12172	14320		16468	Radio-Isotope Therapy
IT003	131-Iodine Therapy >100mCi	16809	19775		22741	Radio-Isotope Therapy
IT004	Samarium-153 therapy for metastatic bone pain palliation	17043	20050		23058	Radio-Isotope Therapy
IT005	131-Iodine Therapy <15mCi	6299	7410		8522	Radio-Isotope Therapy
IT006	131-Iodine Therapy 15-50mCi	9486	11160		12834	Radio-Isotope Therapy
IT007	Phosphorus-32 therapy for metastatic bone pain palliation	12040	14165		16290	Radio-Isotope Therapy

Physiotherapy

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
PT001	Cervical Traction (per session)	255	300		300	Physiotherapy
PT002	Lumbar Traction (per session)	255	300		300	Physiotherapy
PT003	Exercises /Post Natal Exercises/Prenatal Exercises/Therapeutic Exercises/Orthopaedic Rehabilitation (Joint Replacement/Post Surgery)/Hand Rehab (per session)	255	300		300	Physiotherapy
PT004	Chest Physiotherapy/ Breathing Exercise &Postural Drainage per Session/Post Covid Rehabilitation /Pulmonary Rehabilitation/Cardiac Rehabilitation (per session)	255	300		300	Physiotherapy
PT005	Ultra Sonic Therapy /Short Wave Diathermy / Microwave/ Long Wave Diathermy /Infrared/IFT) (per session)	255	300		300	Physiotherapy
PT006	Electrical Muscle Stimulation/Cryotherapy/TENS (per session)	340	400		400	Physiotherapy
PT007	Hot Pack/ Cold Pack/Wax Bath/Moist Heat (per session)	255	300		300	Physiotherapy
PT008	Shock Wave Therapy/Matrix Rhythm Therapy/Laser/PEMF -Pulse Electro Magnetic Therapy (per session)	340	400		400	Physiotherapy
PT009	Gait Assessment (per session)	510	600		600	Physiotherapy
PT010	Gait Training (per session)	255	300		300	Physiotherapy
PT011	Tilt Training/Neuro-Rehab Basic (per session)	255	300		300	Physiotherapy
PT012	Neuro Rehabilitation Advanced (per session)	680	800		800	Physiotherapy
PT013	Paediatric Rehabilitation (per session)	255	300		300	Physiotherapy

Behavioural Therapy

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
BT001	Speech Therapy per session of at least 40 minutes	340	400		400	Behavioural Therapy
BT002	Occupational Therapy per session of at least 40 minutes	340	400		400	Behavioural therapy
BT003	Applied Behaviour Analysis based behaviour therapy (ABA based Behaviour therapy) per session of at least 40 minutes	340	400		400	Behavioural therapy
BT004	Special education per session of at least 40 minutes	340	400		400	Behavioural therapy
BT005	Biofeedback per session	2550	3000		3000	Behavioural therapy

Dental

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
DI001	Intraoral Periapical (IOPA) Radiograph X-ray/RVG(Single Film)	170	200		200	Dental Investigation
DI002	Intraoral Occlusal/Bite Wing X-Ray	255	300		300	Dental Investigation
DI003	Digital OPG with X ray film/ CD	425	500		500	Dental Investigation
DI004	Biopsy of Oral tissue- Soft	1020	1200		1200	Dental Biopsy
DI005	Biopsy of Oral tissue – Hard (bone, tooth)	1700	2000		2000	Dental Biopsy
DP001	Abscess – Drainage-Dental	1275	1500		1500	Dental Procedure
DP002	Scaling	850	1000		1000	Dental Procedure
DP003	Curettage and Root Planning – Per Tooth	298	350		350	Dental Procedure
DP004	Curettage and Root Planning – Per Arch	1700	2000		2000	Dental Procedure
DP005	Gingivoplasty – Per Quadrant	850	1000		1000	Dental Procedure
DP006	Gingivectomy – Per Quadrant	1020	1200		1200	Dental Procedure
DP007	Flap Surgery– Per Tooth	383	450		450	Dental Procedure
DP008	Flap Surgery– Per Quadrant	1700	2000		2000	Dental Procedure
DP009	Flap Surgery and Bone Graft per quadrant	2550	3000		3000	Dental Procedure
DP010	Extraction – Normal Tooth	340	400		400	Dental Procedure
DP011	Complicated Extraction per tooth under LA	680	800		800	Dental Procedure
DP012	Extraction Impacted – Soft tissue/ 3rd Molar/wisdom tooth extraction	1700	2000		2000	Dental Procedure
DP013	Multiple Extraction and Treatment Procedures for Special Children, Patients with Systemic Diseases, Patient with Special Needs Which Requires Admission and Treatment Under GA	5100	6000		6000	Dental Procedure
DP014	Extraction – Orthodontic Extraction	638	750		750	Dental Procedure
DP015	Operculectomy- Pericoronal flap excision	1700	2000		2000	Dental Procedure
DP016	Extraction Impacted – Bony	4250	5000		5000	Dental Procedure
DP017	Alveoloplasty – Per Tooth	255	300		300	Dental Procedure
DP018	Alveoloplasty – Per Quadrant	1020	1200		1200	Dental Procedure
DP019	Frenectomy	2125	2500		2500	Dental Procedure
DP020	Excision of hyperplastic tissue – per arch	1020	1200		1200	Dental Procedure
DP021	Surgical Augmentation/Alveolectomy per Arch	2975	3500		3500	Dental Procedure
DP022	Bone replacement graft for ridge preservation – per site	1700	2000		2000	Dental Procedure
DP023	Minor oral surgery, cyst, granuloma, residual infection, mucocele, epulis under LA	1700	2000		2000	Dental Procedure
DP024	Application of Desensitizing Medicament	425	500		500	Dental Procedure
DP025	Fluoride Application for Children	850	1000		1000	Dental Procedure
DP026	Temporary restoration	128	150		150	Dental Procedure
DP027	Glass ionomer Cement Restoration	510	600		600	Dental Procedure
DP028	Composite – Occlusal Pit/Class I	425	500		500	Dental Procedure
DP029	Composite -Class I with buccal extension/Class II Class III/Class IV/Class VI/Diastema Closure/MOD	850	1000		1000	Dental Procedure
DP030	RCT-Single Rooted tooth	1700	2000		2000	Dental Procedure
DP031	RCT Multiple root and/ canal tooth	2550	3000		3000	Dental Procedure
DP032	Re-RCT – Anterior	2125	2500		2500	Dental Procedure
DP033	Re-RCT – Posterior	2550	3000		3000	Dental Procedure
DP034	Medication -intracanal medicament (only lesion cases)	425	500		500	Dental Procedure
DP035	Apicectomy-Single tooth	1700	2000		2000	Dental Procedure
DP036	Apicectomy-Multiple tooth	2550	3000		3000	Dental Procedure
DP037	Apexification with any bio-compatible material	1700	2000		2000	Dental Procedure
DP038	Root end resection and Retro grade filling	2550	3000		3000	Dental Procedure
DP039	Surgical – Apicectomy/ Periapical surgery without bone grafting	595	700		700	Dental Procedure
DP040	Tissue Conditioning, Maxillary/Mandibular	255	300		300	Dental Procedure
DP041	Core build-up/ Post and Core – Custom made /Inlay/onlay	1275	1500		1500	Dental Procedure
DP042	Crown lengthening – Per Tooth	425	500		500	Dental Procedure
DP043	Crown – PMMA Crown	850	1000		1000	Dental Procedure
DP044	Crown – All Metal-Nickel Free	1700	2000		2000	Dental Procedure
DP045	Crown – Metal with Ceramic Facing	2550	3000		3000	Dental Procedure
DP046	Crown – Recementation	510	600		600	Dental Procedure
DP047	Crown – Removal	425	500		500	Dental Procedure
DP048	Odontoplasty /Enameloplasty	425	500		500	Dental Procedure
DP049	Pulpectomy (Anterior Tooth)	1700	2000		2000	Dental Procedure
DP050	Pulpectomy (Posterior Tooth)	2550	3000		3000	Dental Procedure
DP051	Pulpotomy	850	1000		1000	Dental Procedure
DP052	Veneer – Ceramic paediatric	2550	3000		3000	Dental Procedure
DP053	Interceptive Orthodontic Treatment of the Primary Dentition/Transition Dentition	5950	7000		7000	Dental Procedure
DP054	Limited Orthodontic Treatment of the Primary Dentition	4250	5000		5000	Dental Procedure
DP055	Occlusion Analysis/Adjustment/Occlusal Equilibration	425	500		500	Dental Procedure
DP056	Tooth Splinting -General	1275	1500		1500	Dental Procedure
DP057	Splinting – Periodontally weak teeth	1530	1800		1800	Dental Procedure
DP058	Night Guard	1700	2000		2000	Dental Procedure
DP059	Bridge/ Fixed Partial denture (per missing/ extracted tooth) metal crown	1700	2000		2000	Dental Procedure
DP060	Bridge/ Fixed Partial denture (per missing/ extracted tooth) metal crown with Ceramic facing	2550	3000		3000	Dental Procedure
DP061	Removable Partial Denture – Flexible Per Arch	6375	7500		7500	Dental Procedure
DP062	Removable Partial Denture – Cast Metal Up to 3 Teeth	3400	4000		4000	Dental Procedure
DP063	Removable Partial Denture – Cast Metal (additional Per tooth)	255	300		300	Dental Procedure
DP064	Removable Partial Denture – Acrylic Up to 3 teeth	1700	2000		2000	Dental Procedure
DP065	Removable Partial Denture – Tooth Addition (per tooth)	255	300		300	Dental Procedure
DP066	Add Clasp to existing Partial Denture	425	500		500	Dental Procedure
DP067	Add Tooth to existing Partial Denture	340	400		400	Dental Procedure
DP068	Tooth Supported Overdenture Per Arch	6375	7500		7500	Dental Procedure
DP069	Complete Denture – Per Arch	8500	10000		10000	Dental Procedure
DP070	Removable orthodontic appliance / Post Orthodontic R O A -per arch	2125	2500		2500	Dental Procedure
DP071	Fixed orthodontic per arch	12750	15000		15000	Dental Procedure
DP072	Space Maintainers – Fixed	3400	4000		4000	Dental Procedure
DP073	Minor Treatment to Control Habits-Removable Appliance Therapy	2125	2500		2500	Dental Procedure
DP074	Minor Treatment to Control Habits-Fixed Appliance Therapy	3400	4000		4000	Dental Procedure
DP075	Functional orthodontic appliance	5100	6000		6000	Dental Procedure
DP076	Feeding appliance for Cleft Palate	4250	5000		5000	Dental Procedure
DP077	Expansion plate	5525	6500		6500	Dental Procedure
DP078	Maxillofacial Prosthesis -Sal/auricular/orbital/Nasal/Palatal/facial lost/ Speech Aid	5950	7000		7000	Dental Procedure
DP079	Obturator Prosthesis – Surgical/Definitive/Modification	4250	5000		5000	Dental Procedure
DP080	Removal of – Lateral Exostosis/Torus Mandibularis/Torus Palatines/Surgical reduction of Osseous Tuberosity	2550	3000		3000	Dental Procedure
DP081	Sialolithotomy/Sialodocotomy/ Closure of Salivary Fistula	1700	2000		2000	Dental Procedure
DP082	Excision of Salivary gland	12750	15000		15000	Dental Procedure
DP083	Release of fibrous bands & grafting in (OSMF) treatment under GA	17000	20000		20000	Dental Procedure
DP084	Facial Space Abscess	4250	5000		5000	Dental Procedure
DP085	Partial Ostectomy / sequestrectomy for removal of non-vital bone	1700	2000		2000	Dental Procedure
DP086	Alveolus – Closed Reduction stabilization of Teeth	3400	4000		4000	Dental Procedure
DP087	Alveolus – Open Reduction stabilization of Teeth	5100	6000		6000	Dental Procedure
DP088	Arch bar fixation	4250	5000		5000	Dental Procedure
DP089	Oroantral Fistula closure	4250	5000		5000	Dental Procedure
DP090	Osseous, Oste periosteal, or Cartilage graft of the Mandible or Maxilla – autogenous or non-autogenous bone graft	2550	3000		3000	Dental Procedure
DP091	Osteoplasty – for Orthognathic deformities/ Mandibular Rami/ Body of Mandible	25500	30000		30000	Dental Procedure
DP092	Maxilla – Closed Reduction	5100	6000		6000	Dental Procedure
DP093	Maxilla – Open Reduction	8500	10000		10000	Dental Procedure
DP094	Mandible – Closed Reduction	5100	6000		6000	Dental Procedure
DP095	Mandible – Open Reduction	8500	10000		10000	Dental Procedure
DP096	Cyst of Maxilla/mandible by enucleation/excision/marsupialization upto 4 cms under LA	4250	5000		5000	Dental Procedure
DP097	Cyst of Maxilla/mandible by enucleation/excision/marsupialization more than 4 cms under LA	5100	6000		6000	Dental Procedure
DP098	Cyst of Maxilla/mandible by enucleation/excision/marsupialization more than 4 cms under GA and admission	21250	25000		25000	Dental Procedure
DP099	Temporomandibular(TM) joint ankylosis- under GA/Open /Closed Reduction	17000	20000		20000	Dental Procedure
DP100	Segmental / Hemi Mandibulectomy with graft	21250	25000		25000	Dental Procedure
DP101	Segmental /Hemi Mandibulectomy without graft	17000	20000		20000	Dental Procedure
DP102	Sub-Total mandibulectomy with graft	29750	35000		35000	Dental Procedure
DP103	Sub-Total mandibulectomy without graft	25500	30000		30000	Dental Procedure
DP104	Maxillectomy/Mandibulectomy- Total with graft	29750	35000		35000	Dental Procedure
DP105	Maxillectomy/Mandibulectomy- Total without graft	25500	30000		30000	Dental Procedure
DP106	Maxillectomy- partial with graft	21250	25000		25000	Dental Procedure
DP107	Maxillectomy- partial without graft	17000	20000		20000	Dental Procedure
DP108	Malar and/or Zygomatic arch – Closed Reduction	5100	6000		6000	Dental Procedure
DP109	Malar and/or Zygomatic arch – Open Reduction	8500	10000		10000	Dental Procedure
DP110	Distraction osteogenesis of mandible or maxilla under GA	25500	30000		30000	Dental Procedure
DP111	Facial bones – Complicated Reduction with fixation	38250	45000		45000	Dental Procedure

Ophthalmology Investigation

CGHS

Code

CGHS TREATMENT PROCEDURE/INVESTIGATION LIST

Rates for Semi-Private Ward

Speciality Classification

Non- NABH

NABH

Super Speciality

OI001

Refraction with auto refraction – Both Eyes

170

200

Ophthalmology Investigation

OI002

Indirect Ophthalmoscopy (Fundoscopy) – Both Eyes

255

300

Ophthalmology Investigation

OI003

Orthoptic check-up- with synoptophore- Both Eyes

170

200

Ophthalmology Investigation

OI004

Lees’ charting or Hess’ charting- Both Eyes

255

300

Ophthalmology Investigation

OI005

Perimetry (Visual Field Testing) -Goldman- Both Eyes

425

500

Ophthalmology Investigation

OI006

Perimetry /Humphrey Visual Field (HVF ) test- Automated- Both Eyes

680

800

Ophthalmology Investigation

OI007

Fluorescein angiography for fundus or iris- Both Eyes

1700

2000

Ophthalmology Investigation

OI008

Indocyanine green angiography – Both Eyes

1700

2000

Ophthalmology Investigation

OI009

Ultrasound A- Scan/optical biometry[lenstar, IOL master] – Both Eyes

850

1000

Ophthalmology Investigation

OI010

Ultrasound B- Scan – Both Eyes

425

500

Ophthalmology Investigation

OI011

Fundus Photo Test /disc photo for glaucoma- Both Eyes

425

500

Ophthalmology Investigation

OI012

Corneal endothelial cell count with specular microscopy- Both Eyes

510

600

Ophthalmology Investigation

OI013

Corneal topography /pentacam- Both Eyes

1700

2000

Ophthalmology Investigation

OI014

Corneal pachymetry (corneal thickness)/ CCT – Both Eyes

451

530

Ophthalmology Investigation

OI015

OCT (Optical Coherence Tomography) /Ocular OCT Angiography – Both Eyes

1785

2100

Ophthalmology Investigation

OI016

UBM- Ultrasound bio microscopy- Both Eyes

850

1000

Ophthalmology Investigation

OI017

Non Contact tonometry (NCT) – Both Eyes

128

150

Ophthalmology Investigation

OI018

IOP measurement with Schiotz – Both Eyes

100

Ophthalmology Investigation

OI019

IOP measurement with applanation tonometry – Both Eyes

170

200

Ophthalmology Investigation

OI020

Diurnal variation of IOP – Both Eyes

1275

1500

Ophthalmology Investigation

OI021

90 D lens examination/Three mirror examination for retina – Both Eyes

128

150

Ophthalmology Investigation

OI022

Gonioscopy- Both Eyes

255

300

Ophthalmology Investigation

OI023

EOG- Electrooculogram – Both Eyes

1760

2070

Ophthalmology Investigation

OI024

ERG- Electroretinogram- Both Eyes

1530

1800

Ophthalmology Investigation

OI025

VEP- visually evoked potential – Both Eyes

1530

1800

Ophthalmology Investigation

OI026

X Ray orbit -Bilateral

298

350

Ophthalmology Investigation

OI027

Dacryocystography – Bilateral

1700

2000

Ophthalmology Investigation

OI028

Orbital Angiographical Studies – Bilateral

4250

5000

Ophthalmology Investigation

OI029

Neostigmine test – Both Eyes

4250

5000

Ophthalmology Investigation

OI030

Lipi View One Eye

765

900

Ophthalmology Investigation

OI031

Lipi View Both Eyes

1275

1500

Ophthalmology Investigation

OI032

Schirmer Test

255

300

Ophthalmology Investigation

OI033

Vitreous biopsy per eye

4250

5000

Ophthalmology Biopsy

Ophthalmology Procedure

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
OP001	Subconjunctival/sub-tenon’s injections in one eye	425	500		500	Ophthalmology Procedure
OP002	Subconjunctival/sub-tenon’s injections in both eyes	680	800		800	Ophthalmology Procedure
OP003	Pterygium surgery with auto conjunctival graft per eye	11390	13400		13400	Ophthalmology Procedure
OP004	Conjunctival Peritomy per eye	1275	1500		1500	Ophthalmology Procedure
OP005	Conjunctival wound repair or exploration following blunt trauma per eye	7225	8500		8500	Ophthalmology Procedure
OP006	Removal of corneal foreign body	340	400		400	Ophthalmology Procedure
OP007	Cauterization of ulcer/subconjunctival injection in one eye	425	500		500	Ophthalmology Procedure
OP008	Cauterization of ulcer/subconjunctival injection in both eyes	680	800		800	Ophthalmology Procedure
OP009	Corneal grafting—Penetrating keratoplasty per eye	17000	20000		20000	Ophthalmology Procedure
OP010	Bandage contact lenses for corneal perforation/PED per eye	1700	2000		2000	Ophthalmology Procedure
OP011	Scleral grafting or conjunctival flap for corneal perforation per eye	7225	8500		8500	Ophthalmology Procedure
OP012	Keratoconus correction with therapeutic contact lenses – Both Eyes	7225	8500		8500	Ophthalmology Procedure
OP013	Ultraviolet (UV) radiation for cross-linking for keratoconus /C3R/KXL – Both Eyes	17000	20000		20000	Ophthalmology Procedure
OP014	EDTA for band shaped keratopathy – Both Eyes	2550	3000		3000	Ophthalmology Procedure
OP015	Arcuate keratotomy for astigmatism /Limbal Relaxing Incision – Both Eyes	5780	6800		6800	Ophthalmology Procedure
OP016	Re-suturing (Primary suturing) of corneal wound per eye	4250	5000		5000	Ophthalmology Procedure
OP017	Penetrating keratoplasty with glaucoma surgery per eye	29750	35000		35000	Ophthalmology Procedure
OP018	Penetrating keratoplasty with vitrectomy per eye	29750	35000		35000	Ophthalmology Procedure
OP019	Penetrating keratoplasty with IOL implantation per eye	29750	35000		35000	Ophthalmology Procedure
OP020	DALK- Deep anterior lamellar keratoplasty per eye	36550	43000		43000	Ophthalmology Procedure
OP021	Keratoprosthesis stage I and II per eye	36550	43000		43000	Ophthalmology Procedure
OP022	DSAEK Descemet’s stripping automated endothelial keratoplasty/DMEK- Descemet membrane endothelial keratoplasty per eye	36550	43000		43000	Ophthalmology Procedure
OP023	ALTK- Automated lamellar therapeutic keratoplasty per eye	36550	43000		43000	Ophthalmology Procedure
OP024	Bleb repair with conjunctival autograft per eye	12750	15000		15000	Ophthalmology Procedure
OP025	Bleb compression sutures per eye	5950	7000		7000	Ophthalmology Procedure
OP026	Bleb needling with MMC/5-FU per eye	6800	8000		8000	Ophthalmology Procedure
OP027	Probing and Syringing of lacrimal sac- in one eye	850	1000		1000	Ophthalmology Procedure
OP028	Probing and Syringing of lacrimal sac- in both eye	1275	1500		1500	Ophthalmology Procedure
OP029	Dacryocystorhinostomy-Plain	11390	13400		13400	Ophthalmology Procedure
OP030	Dacryocystorhinostomy-Plain with intubation and/or with lacrimal implants excluding the cost of implant per eye	17000	20000		20000	Ophthalmology Procedure
OP031	Dacryocystorhinostomy-conjunctival with implant excluding the cost of implant per eye	17000	20000		20000	Ophthalmology Procedure
OP032	Canaliculoplasty per eye	4497	5290		5290	Ophthalmology Procedure
OP033	Dacryocystectomy per eye	7820	9200		9200	Ophthalmology Procedure
OP034	Punctal plugs for dry eyes – Both Eyes	383	450		450	Ophthalmology Procedure
OP035	Chalazion incision and curettage in one eye	1700	2000		2000	Ophthalmology Procedure
OP036	Chalazion incision and curettage in both eyes	2550	3000		3000	Ophthalmology Procedure
OP037	Ptosis surgery with Fasanella-Servat procedure /Ptosis surgery with LPS resection one lid Ptosis surgery with Sling surgery one lid	17000	20000		20000	Ophthalmology Procedure
OP038	Ectropion surgery- one lid	7225	8500		8500	Ophthalmology Procedure
OP039	Ectropion surgery- both lids	11390	13400		13400	Ophthalmology Procedure
OP040	Epicanthus correction – Both Eyes	7225	8500		8500	Ophthalmology Procedure
OP041	Cantholysis and canthotomy- Both Eyes	2975	3500		3500	Ophthalmology Procedure
OP042	Entropion surgery- one lid	7225	8500		8500	Ophthalmology Procedure
OP043	Entropion surgery- both lids	11390	13400		13400	Ophthalmology Procedure
OP044	Tarsorrhaphy- Both Eyes	2550	3000		3000	Ophthalmology Procedure
OP045	Suturing of lid lacerations- Both Eyes	4250	5000		5000	Ophthalmology Procedure
OP046	Lid retraction repair per eye	7225	8500		8500	Ophthalmology Procedure
OP047	Concretions removal- Both Eyes	425	500		500	Ophthalmology Procedure
OP048	Bucket handle procedure for lid tumours per eye (for non-malignant conditions)	11390	13400		13400	Ophthalmology Procedure
OP049	Eyelid reconstruction with flap one eye	17000	20000		20000	Ophthalmology Procedure
OP050	Eyelid reconstruction with flap both eyes	21250	25000		25000	Ophthalmology Procedure
OP051	Cheek rotation flap for lid tumours per eye (for non-malignant conditions)	17000	20000		20000	Ophthalmology Procedure
OP052	Orbitotomy per eye	23375	27500		27500	Ophthalmology Procedure
OP053	Enucleation per eye(for non-malignant conditions)	11390	13400		13400	Ophthalmology Procedure
OP054	Enucleation with orbital implants and artificial (Cost of implants included) per eye	17000	20000		20000	Ophthalmology Procedure
OP055	Evisceration per eye	11390	13400		13400	Ophthalmology Procedure
OP056	Evisceration with orbital implants and artificial (Cost of implants included) prosthesis per eye	17000	20000		20000	Ophthalmology Procedure
OP057	Telecanthus correction- Both Eyes	11390	13400		13400	Ophthalmology Procedure
OP058	Orbital decompression /with incision or excision biopsy per eye	29750	35000		35000	Ophthalmology Procedure
OP059	Exenteration per eye	17000	20000		20000	Ophthalmology Procedure
OP060	Exenteration with skin grafting per eye	29750	35000		35000	Ophthalmology Procedure
OP061	Fracture orbital repair per eye	29750	35000		35000	Ophthalmology Procedure
OP062	Retinal laser procedures -green laser for PRP,retinal tears, ROP,endolaser per eye	2975	3500		3500	Ophthalmology Procedure
OP063	Retinal detachment surgery (RDS) per eye	23375	27500		27500	Ophthalmology Procedure
OP064	Retinal detachment surgery (RDS) with scleral buckling per eye	29750	35000		35000	Ophthalmology Procedure
OP065	Buckle removal per eye	7225	8500		8500	Ophthalmology Procedure
OP066	Silicone oil removal per eye	7820	9200		9200	Ophthalmology Procedure
OP067	Anterior retinal cryopexy per eye	4250	5000		5000	Ophthalmology Procedure
OP068	Squint correction for one eye	11390	13400		13400	Ophthalmology Procedure
OP069	Squint correction for both eyes	17000	20000		20000	Ophthalmology Procedure
OP070	Trabeculectomy per eye	17000	20000		20000	Ophthalmology Procedure
OP071	Trabeculotomy /kahook dual blade goniotomy excluding blade cost per eye	17000	20000		20000	Ophthalmology Procedure
OP072	Trabeculectomy with Trabeculotomy- Both Eyes	29750	35000		35000	Ophthalmology Procedure
OP073	Microincisional trabeculectomy(MIT) per eye	21250	25000		25000	Ophthalmology Procedure
OP074	Surgical posterior capsulotomy one eye	8500	10000		10000	Ophthalmology Procedure
OP075	Goniotomy per eye	4250	5000		5000	Ophthalmology Procedure
OP076	Glaucoma surgery with Glaucoma valves (Cost of Valve extra) per eye	17000	20000		20000	Ophthalmology Procedure
OP077	Cost of the Glaucoma valve/Glaucoma Ahmed valve per eye	15000	15000		15000	Ophthalmology Procedure
OP078	AC wash per eye	4250	5000		5000	Ophthalmology Procedure
OP079	Endocyclophotocoagulation per eye	15300	18000		18000	Ophthalmology Procedure
OP080	Cyclocryotherapy /Trans scleral cyclophotocoagulation TSCPC per eye	4250	5000		5000	Ophthalmology Procedure
OP081	YAG Laser iridotomy / Hyaloidotomy/Laser suture lysis post trabeculectomy per eye	4250	5000		5000	Ophthalmology Procedure
OP082	YAG Laser capsulotomy per eye	4250	5000		5000	Ophthalmology Procedure
OP083	ALT-Argon laser trabeculoplasty per eye	4250	5000		5000	Ophthalmology Procedure
OP084	TTT- Transpupillary thermal therapy per eye	7225	8500		8500	Ophthalmology Procedure
OP085	PTK- Phototherapeutic keratectomy /PRK for keratoconus per eye	11390	13400		13400	Ophthalmology Procedure
OP086	Argon/diode laser for retinal detachment per eye	7225	8500		8500	Ophthalmology Procedure
OP087	Intralase application for keratoconus /CAIRS Corneal allogenic intrastromal ring segments per eye excluding the cost of the rings	17000	20000		20000	Ophthalmology Procedure
OP088	Vitrectomy- pars plana including Fluid air exchange (per eye)	29750	35000		35000	Ophthalmology Procedure
OP089	Vitrectomy +membrane peeling +fluid air exchange+endolaser+ gas/silicon oil tamponade per eye	34000	40000		40000	Ophthalmology Procedure
OP090	Macular hole surgery- Vitrectomy +membrane peeling + ILM peeling+ fluid air exchange+endolaser+ gas/silicon oil tamponade per eye	34850	41000		41000	Ophthalmology Procedure
OP091	Vitrectomy +phaco fragmentation/ IOL drop +/- secondary IOL per eye	21250	25000		25000	Ophthalmology Procedure
OP092	Anterior vitrectomy per eye	6800	8000		8000	Ophthalmology Procedure
OP093	Membranectomy one eye	10200	12000		12000	Ophthalmology Procedure
OP094	Membranectomy both eyes	12750	15000		15000	Ophthalmology Procedure
OP095	Intravitreal injections of antibiotics excluding the cost of the antibiotic per eye	4250	5000		5000	Ophthalmology Procedure
OP096	Intravitreal Injection of drugs (Ranibizumab/ Aflibercept etc) excluding the cost of the drug per eye	4250	5000		5000	Ophthalmology Procedure
OP097	Intravitreal Insertion of Drug Implant excluding cost of the Drug Implant (Ozurdex,…etc) per eye	5100	6000		6000	Ophthalmology Procedure
OP098	Extracapsular cataract extraction (ECCE) with IOL excluding the cost of IOL per eye	11390	13400		13400	Ophthalmology Procedure
OP099	Small Incision Cataract Surgery (SICS) with IOL excluding the cost of IOL per eye	11390	13400		13400	Ophthalmology Procedure
OP100	Phaco with foldable IOL (silicone and acrylic)/PMMA IOL / MICS surgery excluding the cost of IOL per eye	14450	17000		17000	Ophthalmology Procedure
OP101	Pars plana lensectomy with/without IOL excluding the cost of IOL per eye	14450	17000		17000	Ophthalmology Procedure
OP102	Secondary IOL implantation- AC IOL PC IOL or scleral fixated IOL excluding the cost of IOL per eye	17000	20000		20000	Ophthalmology Procedure
OP103	Cataract extraction with IOL with capsular tension rings (Cionni’s ring)(cost of the ring included) excluding the cost of IOL per eye	29750	35000		35000	Ophthalmology Procedure
OP104	Paediatric cataract surgery +parsplana capsulotomy + anterior vitrectomy excluding the cost of IOL – one eye	17000	20000		20000	Ophthalmology Procedure
OP105	Paediatric cataract surgery +parsplana capsulotomy + anterior vitrectomy excluding the cost of IOL – Both Eyes	21250	25000		25000	Ophthalmology Procedure
OP106	IOL exchange [excluding IOL cost] per eye	8500	10000		10000	Ophthalmology Procedure
OP107	IOL reposition per eye	5100	6000		6000	Ophthalmology Procedure
OP108	IOL explantation per eye	6800	8000		8000	Ophthalmology Procedure
OP109	Iridodialysis repair or pupillary reconstruction /Cyclodialysis repair per eye	11390	13400		13400	Ophthalmology Procedure
OP110	Iris cyst removal /synechiolysis/surgical iridectomy per eye	4250	5000		5000	Ophthalmology Procedure
OP111	Lid Abscess incision and Drainage per eye	4250	5000		5000	Ophthalmology Procedure
OP112	Orbital Abscess incision and Drainage per eye	7225	8500		8500	Ophthalmology Procedure
OP113	Excision Biopsy of lid, conjunctiva, cornea per eye	7820	9200		9200	Ophthalmology Procedure
OP114	Paracentesis (eye) per eye	4250	5000		5000	Ophthalmology Procedure
OP115	Scleral graft for scleral melting or perforation per eye	11390	13400		13400	Ophthalmology Procedure
OP116	Amniotic membrane grafting /symblepharon release with AMG per eye	11390	13400		13400	Ophthalmology Procedure
OP117	Intraocular foreign body removal per eye	7225	8500		8500	Ophthalmology Procedure
OP118	Electrolysis (eye) – Both Eyes	850	1000		1000	Ophthalmology Procedure
OP119	Perforating injury repair (eye) per eye	11390	13400		13400	Ophthalmology Procedure
OP120	Botulinum injection for blepharospasm or squint /epiphora/entropion/lid retraction (excluding cost of drug) per eye	4250	5000		5000	Ophthalmology Procedure
OP121	C3F8 GAS Injection intravitreal for descemetopexy/retinopexy/pneumatopexy (per eye)	4250	5000		5000	Ophthalmology Procedure
OP122	Silicone Oil injection (per eye)	4250	5000		5000	Ophthalmology Procedure
OP123	Epiretinal Membrane (ERM) Peeling (per eye)	5950	7000		7000	Ophthalmology Procedure
OP124	Epiretinal Membrane (ERM) Removal (per eye)	2550	3000		3000	Ophthalmology Procedure
OP125	Internal limiting membrane (ILM) peeling (per eye)	2550	3000		3000	Ophthalmology Procedure
OP126	Punctoplasty (per eye)	5525	6500		6500	Ophthalmology Procedure
OP127	Punctal plug(Collagen/silicone) per eye	3400	4000		4000	Ophthalmology Procedure
OP128	Laser Trabeculoplasty Gonioplasty – Both Eyes	13600	16000		16000	Ophthalmology Procedure
OP129	Eye laser pulse therapy /Lipiflow/IPL [Intense pulse light] per eye	2975	3500		3500	Ophthalmology Procedure
OP130	Malyugin Ring /pupil dilator/iris expander per eye	8500	10000		10000	Ophthalmology Procedure
OP131	Globe exploration per eye	8500	10000		10000	Ophthalmology Procedure
OP132	Scleral Fixation Tissue glue /fibrin glue per eye	7140	8400		8400	Ophthalmology Procedure
OP133	PFCL Injection Per Eye Including Cost of The Drug	2321	2730		2730	Ophthalmology Procedure
OP134	Methylprednisolone Injection IV Infusion per day Excluding the cost of the drug	2125	2500		2500	Ophthalmology Procedure
OP135	Retinoblastoma[RB] EUA both eyes	2550	3000		3000	Ophthalmology Procedure
OP136	RB intravitreal/intravenous/subtenons chemotherapy affected eye excluding the cost of the chemotherapy drug	2975	3500		3500	Ophthalmology Procedure
OP137	RB TTT/ Cryotherapy affected eye	3825	4500		4500	Ophthalmology Procedure
OP138	Plaque brachytherapy-surface affected eye	12750	15000		15000	Ophthalmology Procedure
OP139	Plaque brachytherapy-intraocular affected eye	17000	20000		20000	Ophthalmology Procedure
OP140	Simple limbal stem cell transplant SLET per eye	17000	20000		20000	Ophthalmology Procedure
OP141	Mucous membrane grafting MMG one eyelid	17000	20000		20000	Ophthalmology Procedure
OP142	Mucous membrane grafting MMG two eyelids	21250	25000		25000	Ophthalmology Procedure
OP143	iStent Inject per eye including the cost of consumables and implant	68000	80000		80000	Ophthalmology Procedure
OP144	Orthoptic exercises per session	213	250		250	Ophthalmology Physiotherapy
OP145	Pleoptic exercises per session	213	250		250	Ophthalmology Physiotherapy

ENT

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
EI001	Impedance with stapedial reflex / Impedance Audiometry	510	600		600	ENT Investigation
EI002	Pure Tone Audiogram / Pure Tone Audiometry / PTA	383	450		450	ENT Investigation
EI003	Short Increment Sensitivity Index (SISI) Tone Decay	340	400		400	ENT Investigation
EI004	Speech Assessment	340	400		400	ENT Investigation
EI005	Speech Discrimination Score	340	400		400	ENT Investigation
EI006	Multiple hearing assessment test to Adults	340	400		400	ENT Investigation
EI007	BERA (Brain stem evoked response audiometry)	2125	2500		2500	ENT Investigation
EI008	OAE (Otoacoustic Emission Test)	1071	1260		1260	ENT Investigation
EI009	Hearing Aid Trail	170	200		200	ENT Investigation
EI010	Vestibular Evoked Myogenic Potential (VEMP)	2338	2750		2750	ENT Investigation
EI011	Cold Calorie Test for Vestibular function	510	600		600	ENT Investigation
EI012	Electronystagmography (ENG)	1275	1500		1500	ENT Investigation
EI013	Videonystagmography(VNG)	2125	2500		2500	ENT Investigation
EI014	Video Laryngoscopy	5100	6000		6000	ENT investigation
EI015	Videostroboscopy	4675	5500		5500	ENT Investigation
EI016	Fibreoptic examination of Larynx (FOL) under LA	4250	5000		5000	ENT Investigation
EI017	Fibro optic Nasal Endoscopy	1955	2300		2300	ENT Investigation
EP001	Removal of foreign body From Nose	595	700		700	ENT Procedure
EP002	Removal of foreign body From Ear/otoscopy diagnostic or therapeutic	595	700		700	ENT Procedure
EP003	Syringing (Ear)	425	500		500	ENT Procedure
EP004	Polyp removal under LA (Larynx)	4250	5000		5000	ENT Procedure
EP005	Polyp removal under GA (Larynx)	7820	9200		9200	ENT Procedure
EP006	Peritonsillar abscess Drainage under LA	7225	8500		8500	ENT Procedure
EP007	Myringoplasty	23375	27500		27500	ENT Procedure
EP008	Stapedectomy	23375	27500		27500	ENT Procedure
EP009	Myringotomy with Grommet Insertion	11390	13400		13400	ENT Procedure
EP010	Tympanotomy	23375	27500		27500	ENT Procedure
EP011	Tympanoplasty	29750	35000		35000	ENT Procedure
EP012	Mastoidectomy	29750	35000		35000	ENT Procedure
EP013	Otoplasty	29750	35000		35000	ENT Procedure
EP014	Labyrinthectomy	29750	35000		35000	ENT Procedure
EP015	Skull Base Surgery	45050	53000		53000	ENT Procedure
EP016	Facial Nerve Decompression	36550	43000		43000	ENT Procedure
EP017	Septoplasty	23375	27500		27500	ENT Procedure
EP018	Submucous Resection	11390	13400		13400	ENT Procedure
EP019	Septo-Rhinoplasty	36550	43000		43000	ENT Procedure
EP020	Rhinoplasty- Non-cosmetic	29750	35000		35000	ENT Procedure
EP021	Fracture Reduction of Nasal Bone	11390	13400		13400	ENT Procedure
EP022	Intra Nasal Diathermy	5100	6000		6000	ENT Procedure
EP023	Turbinectomy	11390	13400		13400	ENT Procedure
EP024	Endoscopic Dacryocystorhinostomy (DCR)	29750	35000		35000	ENT Procedure
EP025	Endoscopic Surgery (ENT)	29750	35000		35000	ENT Procedure
EP026	Septal Perforation Repair	23375	27500		27500	ENT Procedure
EP027	Antrum Puncture	2550	3000		3000	ENT Procedure
EP028	Lateral Rhinotomy	17000	20000		20000	ENT Procedure
EP029	Cranio-Facial resection	36550	43000		43000	ENT Procedure
EP030	Angiofibroma Excision	36550	43000		43000	ENT Procedure
EP031	Endoscopic Hypophysectomy	45050	53000		53000	ENT Procedure
EP032	Endoscopic Optic Nerve Decompression	45050	53000		53000	ENT Procedure
EP033	Tonsillectomy	23375	27500		27500	ENT Procedure
EP034	Uvulo-palatoplasty	29750	35000		35000	ENT Procedure
EP035	Functional Endoscopic Sinus Surgery (FESS) for Antrochoanal polyp	29750	35000		35000	ENT Procedure
EP036	Functional Endoscopic Sinus Surgery (FESS) for Ethmoidal polyp	29750	35000		35000	ENT Procedure
EP037	Polyp removal ear	4250	5000		5000	ENT Procedure
EP038	Polyp removal Nose (Septal polyp)	7225	8500		8500	ENT Procedure
EP039	Mastoidectomy plus Ossiculoplasty including TORP (Total Ossicular Replacement Prosthesis) or PORP (Partial Ossicular Replacement Prosthesis)	29750	35000		35000	ENT Procedure
EP040	Endolymphatic sac decompression	36550	43000		43000	ENT Procedure
EP041	Diagnostic endoscopy under GA	4250	5000		5000	ENT Procedure
EP042	Young’s operation for Atrophic rhinitis	17000	20000		20000	ENT Procedure
EP043	Vidian neurectomy for vasomotor Rhinitis	23375	27500		27500	ENT Procedure
EP044	Nasal Packing-anterior	2125	2500		2500	ENT Procedure
EP045	Nasal Packing-Posterior	2550	3000		3000	ENT Procedure
EP046	Ranula Excision	17000	20000		20000	ENT Procedure
EP047	Tongue Tie excision	7225	8500		8500	ENT Procedure
EP048	Sub Mandibular Duct Lithotomy	5780	6800		6800	ENT Procedure
EP049	Adenoidectomy	17000	20000		20000	ENT Procedure
EP050	Palatopharyngoplasty	29750	35000		35000	ENT Procedure
EP051	Pharyngoplasty	36550	43000		43000	ENT Procedure
EP052	Styloidectomy	17000	20000		20000	ENT Procedure
EP053	Direct Laryngoscopy including Biopsy under GA	11390	13400		13400	ENT Procedure
EP054	Oesophagoscopy with foreign body removal from Oesophagus	11390	13400		13400	ENT Procedure
EP055	Bronchoscopy with foreign body (FB) removal	11390	13400		13400	ENT Procedure
EP056	Ear Lobe Repair one side	3400	4000		4000	ENT Procedure
EP057	Excision of Pinna for non-cancerous Growth/Injuries – Skin Only	7820	9200		9200	ENT Procedure
EP058	Excision of Pinna for non-cancerous/ Injuries – Skin and Cartilage	11390	13400		13400	ENT Procedure
EP059	Partial Amputation of Pinna	11390	13400		13400	ENT Procedure
EP060	Total Amputation of Pinna	17000	20000		20000	ENT Procedure
EP061	Total Amputation & Excision of External Auditory Meatus	17000	20000		20000	ENT Procedure
EP062	Excision of Cystic Hygroma	17000	20000		20000	ENT Procedure
EP063	Excision of Cystic Hygroma Extensive	23375	27500		27500	ENT Procedure
EP064	Excision of Branchial Cyst	23375	27500		27500	ENT Procedure
EP065	Excision of Branchial Sinus	23375	27500		27500	ENT Procedure
EP066	Excision of Pharyngeal Diverticulum	23375	27500		27500	ENT Procedure
EP067	Excision of Carotid Body / Carotid Body Tumours	36550	43000		43000	ENT Procedure
EP068	Operation for Cervical Rib	29750	35000		35000	ENT Procedure
EP069	Estlander Operation (Estlander flap in plastic surgery of lips)	29750	35000		35000	ENT Procedure
EP070	Abbe Operation (Abbe flap in plastic surgery of lips)	23375	27500		27500	ENT Procedure
EP071	Cheek Advancement	29750	35000		35000	ENT Procedure
EP072	Excision of the Maxilla	36550	43000		43000	ENT Procedure
EP073	Excision of mandible-segmental	29750	35000		35000	ENT Procedure
EP074	Parotidectomy – Superficial	29750	35000		35000	ENT Procedure
EP075	Parotidectomy – Total	36550	43000		43000	ENT Procedure
EP076	Repair of Parotid Duct	23375	27500		27500	ENT Procedure
EP077	Removal of Submandibular Salivary gland	23375	27500		27500	ENT Procedure
EP078	Hemithyroidectomy	29750	35000		35000	ENT Procedure
EP079	Partial Thyroidectomy (lobectomy)	29750	35000		35000	ENT Procedure
EP080	Subtotal Thyroidectomy	36550	43000		43000	ENT Procedure
EP081	Total Thyroidectomy	45050	53000		53000	ENT Procedure
EP082	Resection Enucleation of thyroid Adenoma	23375	27500		27500	ENT Procedure
EP083	Excision of Lingual Thyroid	29750	35000		35000	ENT Procedure
EP084	Excision of Thyroglossal Cyst/Duct/Fistula	29750	35000		35000	ENT Procedure
EP085	Laryngectomy	45050	53000		53000	ENT Procedure
EP086	Hyoid Suspension	23375	27500		27500	ENT Procedure
EP087	Genioplasty	29750	35000		35000	ENT Procedure
EP088	Phonosurgery	23375	27500		27500	ENT Procedure
EP089	Microlaryngeal Surgery	23375	27500		27500	ENT Procedure
EP090	Laryngofissure	36550	43000		43000	ENT Procedure
EP091	Tracheal Stenosis Excision	36550	43000		43000	ENT Procedure
EP092	Tracheostomy	11390	13400		13400	ENT Procedure

Critical Care

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
CC001	ICU/CCU/PICU/MICU/HDU (For all categories of ward entitlement, inclusive of Room Rent)	5400	5400		5400	Critical Care
CC002	Compressed Air / Piped Oxygen per hour	85	100		100	Critical Care
CC003	Ventilator charges (Per day) inclusive of associated disposables	2550	3000		3000	Critical Care
CC004	Non invasive Ventilator charges (Per day)( inclusive of associated disposables)	510	600		600	Critical Care
CC005	Pneupac Ventilator in Nursery (Per day)	2210	2600		2600	Critical Care
CC006	Incubator charges (Per day)	1275	1500		1500	Critical Care
CC007	Neonatal ICU charges (Per day) inclusive of incubator	5400	5400		5400	Critical Care
CC008	Exchange Transfusion	2975	3500		3500	Critical Care
CC009	Phototherapy per session (up to 6 Hours)	340	400		400	Critical Care
CC010	Resuscitation/CPR/Intubation	1275	1500		1500	Critical Care
CC011	PICC line (peripherally inserted Central Cannulisation)	4250	5000		5000	Critical Care
CC012	Nebulization Per Session	43	50		50	Critical Care
CC013	PICC Line Removal	850	1000		1000	Critical Care
CC014	Ryles Tube Insertion	765	900		900	Critical Care

Blood Component Charges

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
BC001	Blood Component Charges – Whole Blood per Unit	1550	1550		1550	Blood Component Charges
BC002	Blood Component Charges – Packed Red Cell per Unit	1550	1550		1550	Blood Component Charges
BC003	Blood Component Charges – Fresh Frozen Plasma	400	400		400	Blood Component Charges
BC004	Platelet Concentrate- Random Donor Platelet (RDP)	400	400		400	Blood Component Charges
BC005	Blood Component Charges – Cryoprecipitate	250	250		250	Blood Component Charges
BC006	Platelet Concentrate – Single Donor Platelet (SDP)- Apheresis per unit	11000	11000		11000	Blood Component Charges

General Procedure

GP001	Dressings of wounds	255	300	300	General Procedure
GP002	Aspiration Pleural Effusion – Diagnostic	595	700	700	General Procedure
GP003	Aspiration Pleural Effusion – Therapeutic	595	700	700	General Procedure
GP004	Abdominal / Peritoneal Aspiration – Diagnostic/Ascitic tapping / Paracentesis – Diagnostic	595	700	700	General Procedure
GP005	Abdominal / Peritoneal Aspiration – Therapeutic/Ascitic tapping / Paracentesis – Therapeutic	638	750	750	General Procedure
GP006	Removal of Sutures (All)	170	200	200	General Procedure
GP007	Venesection	595	700	700	General Procedure
GP008	Sternal puncture	1700	2000	2000	General Procedure
GP009	Urinary bladder Catheterisation	595	700	700	General Procedure
GP010	Incision & Drainage under local Anaesthesia (Large)	1955	2300	2300	General Procedure
GP011	Intercostal Drainage	2975	3500	3500	General Procedure
GP012	Drainage of abscess with anaesthesia	11390	13400	13400	General Procedure
GP013	Excision of lumps under anaesthesia	11390	13400	13400	General Procedure

Head and Neck Surgery

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
		Non- NABH		NABH	Super Speciality
HN001	Temporal Bone Subtotal Resection	36550	43000		49450	Head and Neck Surgery
HN002	Benign Tumour Excisions of Head and Neck	23375	27500		31625	Head and Neck Surgery

Skin Procedure

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
SK001	Excision of Moles	850	1000		1000	Skin Procedure
SK002	Excision of Warts	850	1000		1000	Skin Procedure
SK003	Excision of Molluscum Contagiosum	850	1000		1000	Skin Procedure
SK004	Excision of Venereal Warts	850	1000		1000	Skin Procedure
SK005	Excision of Corns	850	1000		1000	Skin Procedure
SK006	Intradermal (ID) Injection Keloid (Intralesional Injection) including the cost of the drug	850	1000		1000	Skin Procedure
SK007	Chemical Cautery (s)/Cryotherapy	850	1000		1000	Skin Procedure

Cardiology & Cardiovascular

CGHS

Code

CGHS TREATMENT PROCEDURE/INVESTIGATION LIST

Rates for Semi-Private Ward

Speciality Classification

Non- NABH

NABH

Super Speciality

CI001

Electrocardiogram (ECG)

149

175

Cardiology Investigation

CI002

Treadmill Test (TMT)

952

1120

Cardiology Investigation

CI003

Holter analysis per day

2125

2500

Cardiology Investigation

CI004

Ambulatory BP monitoring per day

850

1000

Cardiology Investigation

CI005

Head Up Tilt Test (HUTT)

7820

9200

Cardiology Investigation

CI006

External Loop/event recording -first day Rs.1500

1275

1500

Cardiology Investigation

CI007

External Loop/event recording – subsequent Days 1000/day (Maximum up to 6 days)

850

1000

Cardiology Investigation

CI008

Diagnostic Electrophysiological studies conventional (Including catheter)

61710

72600

Cardiology Investigation

CI009

Stress Thallium / Myocardial Perfusion Scintigraphy

11390

13400

Cardiology Investigation

CI010

Rest Thallium / Myocardial Perfusion Scintigraphy

8160

9600

Cardiology Investigation

CI011

Venography

4250

5000

Cardiology Investigation

CI012

Lymphangiography

4250

5000

Cardiology Investigation

CI013

Sinogram

1700

2000

Cardiology Investigation

CI014

Digital Subtraction Angiography-Peripheral artery

12419

14610

Cardiology Investigation

CI015

Digital Subtraction Angiography- venogram

12419

14610

Cardiology Investigation

CI016

Coronary Angiography

11390

13400

Cardiology Investigation

CI017

Cardiac Catheterization (CATH)

12665

14900

Cardiology Investigation

CP001

Balloon Coronary Angioplasty / Percutaneous transluminal coronary angioplasty (PTCA) /Percutaneous coronary intervention (PCI) with Vascular closure device (VCD) excluding the cost of Stent. Cost of Drug Eluting Balloon allowed in lieu

of Stent

82450

97000

111550

Cardiology Procedure

CP002

Balloon Coronary Angioplasty / Percutaneous transluminal coronary angioplasty (PTCA) / Percutaneous coronary intervention (PCI) without Vascular closure device (VCD) excluding the cost of Stent.Cost of Drug Eluting Balloon allowed

in lieu of Stent

71166

83725

96284

Cardiology Procedure

CP003

Rotablation excluding the cost of Rotablator Burr/Advancer

52553

61827

71101

Cardiology Procedure

CP004

Balloon Mitral Valvotomy / Percutaneous Transvenous Mitral Commissurotomy (PTMC)

82450

97000

111550

Cardiology Procedure

CP005

Temporary Pacemaker Implantation (TPI) (Temporary Cardiac Pacing) Single

Chamber

17952

21120

24288

Cardiology Procedure

CP006

Permanent pacemaker implantation (PPI)- Single Chamber excluding the cost of Pacemaker

29920

35200

40480

Cardiology Procedure

CP007

Permanent pacemaker implantation- Dual Chamber excluding the cost of

Pacemaker

40205

47300

54395

Cardiology Procedure

CP008

Permanent pacemaker implantation (PPI)- Biventricular excluding the cost of pacemaker

46400

54588

62776

Cardiology Procedure

CP009

Automatic implantable cardioverter defibrillator (AICD) Single Chamber – excluding the cost of Device

46750

55000

63250

Cardiology Procedure

CP010

Automatic implantable cardioverter defibrillator (AICD) Dual Chamber excluding the cost of Device

48947

57585

66223

Cardiology Procedure

CP011

Combo Device Implantation excluding the cost of Device

55165

64900

74635

Cardiology Procedure

CP012

Radiofrequency (RF) Ablation Conventional

82450

97000

111550

Cardiology Procedure

CP013

Radiofrequency (RF) Ablation Atrial Tachycardia/CARTO

153000

180000

207000

Cardiology Procedure

CP014

Intra-aortic balloon pump (IABP) excluding the cost of the balloon

29750

35000

40250

Cardiology Procedure

CP015

Intra vascular coiling excluding cost of the coils

64600

76000

87400

Cardiology Procedure

CP016

Balloon Septostomy

28050

33000

37950

Cardiology Procedure

CP017

Aortic Valve Balloon Dilatation (AVBD) / Pulmonary Valve Balloon Dilatation (PVBD)

52734

62040

71346

Cardiology Procedure

CP018

Peripheral Angioplasty with Vascular Closure Device (VCD) excluding the cost of Stent

51893

61050

70208

Cardiology Procedure

CP019

Peripheral Angioplasty without Vascular Closure Device (VCD) excluding the cost of Stent

45050

53000

60950

Cardiology Procedure

CP020

Renal Angioplasty excluding the cost of Stent

51425

60500

69575

Cardiology Procedure

CP021

Transcatheter Aortic Valve Implantation (TAVI) / Transcatheter Aortic Valve Replacement (TAVR) – Procedure Cost. (Approval of Director, CGHS in

consultation with Special Technical Committee (STC) is required for this procedure)

85000

100000

115000

Cardiology Procedure

CP022

TAVI / TAVR Implant (cost of implant only)

1284000

Cardiology Implant(Valve)

CP023

Cost of Intravascular ultrasound (IVUS) Catheter excluding GST(Procedure Charge included in PTCA)

55000

Cardiology Add on Procedure

CP024

Cost of Fractional flow reserve (FFR) Catheter excluding GST (Procedure Charge included in PTCA)

33000

Cardiology Add on Procedure

CP025

Catheter cost of Intracoronary optical coherence tomography (OCT) / Intravascular optical coherence tomography (IVOCT) / Intravascular Ventricular Assist System excluding GST(Procedure cost is included in PTCA)

65000

Cardiology Add on Procedure

CP026

IVL (Coronary Intra vascular Lithotripsy / Shock wave Lithotripsy – Including GST (Approval of Director, CGHS in consultation with Special Technical Committee (STC) is required for this procedure)

268000

Cardiology Add on Procedure

CV001

Varicose vein Surgery-Trendelenburg Operation with Suturing or Ligation

21505

25300

29095

Cardiovascular And Cardiac Surgery Procedure

CV002

Radio Ablation of Varicose Veins (RFA Ablation) excluding the cost of RFA Catheter

7948

9350

10753

Cardiovascular And Cardiac Surgery Procedure

CV003

Laser Ablation of Varicose Veins

37400

44000

50600

Cardiovascular And Cardiac Surgery Procedure

CV004

Atrial Septal Defect (ASD) closure excluding the cost of the Device

93500

110000

126500

Cardiovascular And Cardiac Surgery Procedure

CV005

Ventricular Septal Defect (VSD) with Graft / VSD Device Closure excluding the cost of the Device

102000

120000

138000

Cardiovascular And Cardiac Surgery Procedure

CV006

Tetralogy of Fallot (TOF)/TAPVC/TCPC/REV/RSOV repair

153000

180000

207000

Cardiovascular And Cardiac Surgery Procedure

CV007

BD Glenn/Left Atrium Myxoma

153000

180000

207000

Cardiovascular And Cardiac Surgery Procedure

CV008

Senning/Arterial Switch Operation (ASO) with graft

153000

180000

207000

Cardiovascular And Cardiac Surgery Procedure

CV009

Double Switch Operation (DSO)

200600

236000

271400

Cardiovascular And Cardiac Surgery Procedure

CV010

Atrioventricular(AV) Canal Repair

200600

236000

271400

Cardiovascular And Cardiac Surgery Procedure

CV011

Fontan Procedure

232900

274000

315100

Cardiovascular And Cardiac Surgery Procedure

CV012

Conduit Repair

200600

236000

271400

Cardiovascular And Cardiac Surgery Procedure

CV013

Coronary Artery Bypass Graft surgery (CABG)

153000

180000

207000

Cardiovascular And Cardiac Surgery Procedure

CV014

Coronary Artery Bypass Graft surgery (CABG) + Intra-Aortic Balloon Pump (IABP)

200600

236000

271400

Cardiovascular And Cardiac Surgery Procedure

CV015

Coronary Artery Bypass Graft surgery (CABG) + Valve Replacement excluding the cost of the valve

232900

274000

315100

Cardiovascular And Cardiac Surgery Procedure

CV016

CABG without bypass.

200600

236000

271400

Cardiovascular And Cardiac Surgery Procedure

CV017

Ascending Aorta Replacement

232900

274000

315100

Cardiovascular And Cardiac Surgery Procedure

CV018

Double Valve Replacement (DVR)

200600

236000

271400

Cardiovascular And Cardiac Surgery Procedure

CV019

Mitral valve Replacement(MVR)/ Aortic valve Replacement (AVR)/ Tricuspid Valve Replacement (TVR) / Pulmonary valve replacement (PVR)

153000

180000

207000

Cardiovascular And Cardiac Surgery Procedure

CV020

Mitral valve (MV) Repair + Aortic valve (AV) Repair / Tricuspid Valve (TV) Repair + Pulmonary valve (PV) repair

153000

180000

207000

Cardiovascular And Cardiac Surgery Procedure

CV021

Aorta Femoral Bypass

109650

129000

148350

Cardiovascular And Cardiac Surgery Procedure

CV022

Blalock-Taussig Shunt (BT Shunt) / Coarctation

129200

152000

174800

Cardiovascular And Cardiac Surgery Procedure

CV023

Pulmonary Artery Banding (PA Banding) Septostomy

129200

152000

174800

Cardiovascular And Cardiac Surgery Procedure

CV024

Pericardiocentesis

8500

10000

Cardiovascular And Cardiac Surgery Procedure

CV025

Pericardiectomy

129200

152000

174800

Cardiovascular And Cardiac Surgery Procedure

CV026

Patent Ductus Arteriosus (PDA)-Device Closure

93500

110000

126500

Cardiovascular And Cardiac Surgery Procedure

CV027

Heart Transplant Surgery (As per Guidelines mentioned in OM.No. Z- 42011/11/2021-MG/EHS Dated 1st December, 2023)

1500000

Cardiovascular And Cardiac Surgery Procedure

CV028

Aortic Arch Replacement

232900

274000

315100

Cardiovascular And Cardiac Surgery Procedure

CV029

Aortic Dissection

232900

274000

315100

Cardiovascular And Cardiac Surgery Procedure

CV030

Thoraco Abdominal Aneurysm Repair

200600

236000

271400

Cardiovascular And Cardiac Surgery Procedure

CV031

Embolectomy

64600

76000

87400

Cardiovascular And Cardiac Surgery Procedure

CV032

Vascular Repair

64600

76000

87400

Cardiovascular And Cardiac Surgery Procedure

CV033

Bentall Repair with Prosthetic Valve

232900

274000

315100

Cardiovascular And Cardiac Surgery Procedure

CV034

Bentall Repair with Biologic Valve

200600

236000

271400

Cardiovascular And Cardiac Surgery Procedure

CV035

Coarctation dilatation / Balloon dilatation of Aortic coarctation -Excluding the cost of Balloon

66946

78760

90574

Cardiovascular And Cardiac Surgery Procedure

CV036

Coarctation dilatation with Stenting

53550

63000

72450

Cardiovascular And Cardiac Surgery Procedure

CV037

Septostomy- Blade

53550

63000

72450

Cardiovascular And Cardiac Surgery Procedure

CV038

Aortic stent grafting for aortic aneurysm

153000

180000

207000

Cardiovascular And Cardiac Surgery Procedure

CV039

Inferior Vena Cava (IVC) filter implantation- excluding the cost of filter

28050

33000

37950

Cardiovascular And Cardiac Surgery Procedure

CV040

Video Assisted Thoracoscopic Surgery (VATS) for Decortication of Lungs/Thymectomy/Other Major Surgeries

153000

180000

207000

Cardiovascular And Cardiac Surgery Procedure

General Surgery

CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Rates for Semi-Private Ward				Speciality Classification
CGHS Code	CGHS TREATMENT PROCEDURE/INVESTIGATION LIST	Non- NABH		NABH	Super Speciality	Speciality Classification
GS001	Sclerotherapy Injection / Banding of Haemorrhoids (cost of drug/sclerotherapy agent/band extra)	595	700		700	General Surgery
GS002	Injection for Varicose Veins (cost of drug/sclerotherapy agent extra)	595	700		700	General Surgery
GS003	Suturing of small wounds	1169	1375		1375	General Surgery
GS004	Secondary suture of wounds	3740	4400		4400	General Surgery
GS005	Debridement of wounds – Small	1403	1650		1650	General Surgery
GS006	Phimosis Under LA	5100	6000		6000	General Surgery
GS007	Removal Of Foreign Bodies -without C-ARM	1275	1500		1500	General Surgery
GS008	Toe Nail Removal	850	1000		1000	General Surgery
GS009	Excision of Cervical Lymph Node under Local Anaesthesia	2635	3100		3100	General Surgery
GS010	Excision of Axillary Lymph Node under General Anaesthesia	7225	8500		8500	General Surgery
GS011	Excision of Inguinal Lymph Node under Local Anaesthesia	2550	3000		3000	General Surgery
GS012	Excision of Sebaceous Cysts	4250	5000		5000	General Surgery
GS013	Excision of Superficial Lipoma	4250	5000		5000	General Surgery
GS014	Excision of Superficial Neurofibroma	4250	5000		5000	General Surgery
GS015	Excision of Dermoid Cysts	4250	5000		5000	General Surgery
GS016	Excision of Keloid	7820	9200		9200	General Surgery
GS017	Excision of mammary fistula	23375	27500		27500	General Surgery
GS018	Haemorrhoidectomy	28050	33000		33000	General Surgery
GS019	Stapler haemorrhoidectomy excluding the cost of Stapler	29750	35000		35000	General Surgery
GS020	Debridement of Large wounds including Diabetic Wound under Anaesthesia	23375	27500		27500	General Surgery

Gastroenterology

CGHS

Code

CGHS TREATMENT PROCEDURE/INVESTIGATION LIST

Rates for Semi-Private Ward

Speciality Classification

Non- NABH

NABH

Super Speciality

GI001

Gastro Oesophageal Reflux Study (GER Study)

2550

3000

Gastro and Hepatobiliary Investigation

GI002

Meckel’s Scan

2550

3000

Gastro and

Hepatobiliary/Nuclear Medicine Investigation

GI003

Hepatobiliary Scintigraphy.

3400

4000

Gastro and

Hepatobiliary/Nuclear Medicine Investigation

GI004

Gastrointestinal Bleed (GloB.) Study with Technetium 99m labeled RBCs.

5100

6000

Gastro and Hepatobiliary/Nuclear Medicine Investigation

GI005

Gastric Emptying

2125

2500

Gastro and Hepatobiliary/Nuclear Medicine Investigation

GI006

Hepatosplenic scintigraphy with Technetium-99m radiopharmaceuticals

4250

5000

Gastro and Hepatobiliary/Nuclear Medicine Investigation

GI007

Diagnostic Angiography

7820

9200

Gastroenterology/Interventional Radiology Investigation

GI008

Oesophageal pH metry

7820

9200

Gastroenterology / Endoscopic Procedures

GI009

Oesophageal Manometry

7820

9200

Gastroenterology / Endoscopic Procedures

GI010

Small Bowel Manometry

8500

10000

Gastroenterology / Endoscopic Procedures

GI011

Anorectal manometry

36550

43000

Gastroenterology / Endoscopic Investigation

GI012

Colonic manometry

29750

35000

Gastroenterology / Endoscopic Investigation

GI013

Biliary Manometry

36550

43000

Gastroenterology / Endoscopic Investigation

GI014

Breath Tests (Urea breath test/ H. pylori breath test)/RUT

2457

2890

Gastroenterology / Endoscopic Investigation

MG001

Gastroscopy/Upper GI Endoscopy with or without Biopsy

3400

4000

Gastroenterology / Endoscopic Procedures

MG002

Lower GI Endoscopy(Colonoscopy/Sigmoidoscopy) with or without Biopsy

5100

6000

Gastroenterology / Endoscopic Procedures

MG003

Endoscopic mucosal resection

11390

13400

Gastroenterology / Endoscopic Procedures

MG004

Endoscopic Polypectomy – GIT

17000

20000

Gastroenterology / Endoscopic Procedures

MG005

Oesophageal Stricture dilatation

7820

9200

Gastroenterology / Endoscopic Procedures

MG006

Balloon dilatation of achalasia cardia

11390

13400

Gastroenterology / Endoscopic Procedures

MG007

Gastrointestinal (GIT) Foreign body removal

17000

20000

Gastroenterology / Endoscopic Procedures

MG008

Oesophageal stenting excluding the cost of stent

11390

13400

Gastroenterology / Endoscopic Procedures

MG009

Band ligation of oesophageal varices

7225

8500

Gastroenterology / Endoscopic Procedures

MG010

Sclerotherapy of oesophageal varices

7225

8500

Gastroenterology / Endoscopic Procedures

MG011

Glue injection of varices

11390

13400

Gastroenterology / Endoscopic Procedures

MG012

Argon plasma coagulation

7820

9200

Gastroenterology / Endoscopic Procedures

MG013

Pyloric balloon dilatation

7225

8500

Gastroenterology / Endoscopic Procedures

MG014

Enteral stenting excluding cost of the stent

17000

20000

Gastroenterology / Endoscopic Procedures

MG015

Duodenal stricture dilation

7225

8500

Gastroenterology / Endoscopic Procedures

MG016

Single balloon enteroscopy

11390

13400

Gastroenterology / Endoscopic Procedures

MG017

Double balloon enteroscopy

17000

20000

Gastroenterology / Endoscopic Procedures

MG018

Capsule endoscopy excluding the cost of capsule

11390

13400

Gastroenterology / Endoscopic Procedures

MG019

Piles banding

4250

5000

Gastroenterology / Endoscopic Procedures

MG020

Colonic stricture dilatation

7225

8500

Gastroenterology / Endoscopic Procedures

MG021

Hot biopsy forceps procedures

7225

8500

Gastroenterology / Endoscopic Procedures

MG022

Colonic stenting excluding cost of the stent

11390

13400

Gastroenterology / Endoscopic Procedures

MG023

Junction biopsy

4250

5000

Gastroenterology / Endoscopic Procedures

MG024

Conjugal microscopy

7225

8500

Gastroenterology / Endoscopic Procedures

MG025

ERCP (Endoscopic Retrograde Cholangio – Pancreatography) Diagnostic

11390

13400

Gastro and Hepatobiliary Investigation

MG026

Endoscopic sphincterotomy by ERCP

17000

20000

23000

Gastroenterology / Endoscopic Procedures

MG027

Common Bile Duct (CBD) stone extraction by ERCP

17000

20000

23000

Gastroenterology / Endoscopic Procedures

MG028

Common Bile Duct (CBD) stricture dilatation by ERCP

17000

20000

23000

Gastroenterology / Endoscopic Procedures

MG029

Biliary stenting (plastic and metallic) by ERCP

17000

20000

23000

Gastroenterology / Endoscopic Procedures

MG030

Mechanical lithotripsy of CBD stones by ERCP

29750

35000

40250

Gastroenterology / Endoscopic Procedures

MG031

Pancreatic sphincterotomy by ERCP

17000

20000

23000

Gastroenterology / Endoscopic Procedures

MG032

Pancreatic stricture dilatation by ERCP

17000

20000

23000

Gastroenterology / Endoscopic Procedures

MG033

Pancreatic stone extraction by ERCP

17000

20000

23000

Gastroenterology / Endoscopic Procedures

MG034

Mechanical lithotripsy of pancreatic stones

29750

35000

40250

Gastroenterology / Endoscopic Procedures

MG035

Endoscopic cysto gastrostomy

17000

20000

23000

Gastroenterology / Endoscopic Procedures

MG036

Balloon dilatation of papilla

17000

20000

23000

Gastroenterology / Endoscopic Procedures

MG037

Percutaneous Transhepatic Biliary Drainage (PTBD)

17000

20000

23000

Gastroenterology/Interventional Radiology Procedures

MG038

Vascular Embolization

36550

43000

49450

Gastroenterology/Interventional Radiology Procedures

MG039

Transjugular Intrahepatic Portosystemic Shunt (TIPS)

45050

53000

60950

Gastroenterology/Interventional Radiology Procedures

MG040

Inferior Vena Cava (IVC) Venography and Hepatic Vein (HV Venography)

36550

43000

49450

Gastroenterology/Interventional Radiology Procedures

MG041

Muscular Stenting

45050

53000

60950

Gastroenterology / Endoscopic Procedures

MG042

Balloon-Occluded Retrograde Intravenous Obliteration (BRTO)

45050

53000

60950

Gastroenterology/Interventional Radiology Procedures

MG043

Portal Haemodynamic Studies

7225

8500

Gastroenterology/Interventional Radiology Procedures

MG044

Sengstaken Blakemore (SB) Tube Tamponade

7820

9200

Gastroenterology / Endoscopic Procedures

MG045

Lintas Machles Tube Tempode

5100

6000

Gastroenterology / Endoscopic Procedures

MG046

EUS (Endoscopic Ultrasound) guided FNAC Excluding the cost of the Needle

14025

16500

Gastroenterology / Endoscopic Procedures

Abdomen

CGHS

Code

CGHS TREATMENT PROCEDURE/INVESTIGATION LIST

Rates for Semi-Private Ward

Speciality Classification

Non- NABH

NABH

Super Speciality

AG001

Atresia of Oesophagus and Tracheo Oesophageal Fistula

45050

53000

60950

Abdomen/GI Surgery Procedure

AG002

Operations for Replacement of Oesophagus by Colon / Colon-Inter position or Replacement of Oesophagus

45050

53000

60950

Abdomen/GI Surgery Procedure

AG003

Heller’s Operation

36550

43000

49450

Abdomen/GI Surgery Procedure

AG004

Oesophageal Intubation (Mousseau Barbin Tube)

23375

27500

31625

Abdomen/GI Surgery Procedure

AG005

Achalasia Cardia Transthoracic

36550

43000

49450

Abdomen/GI Surgery Procedure

AG006

Achalasia Cardia Abdominal

36550

43000

49450

Abdomen/GI Surgery Procedure

AG007

Pyloromyotomy

23375

27500

31625

Abdomen/GI Surgery Procedure

AG008

Gastrostomy

23375

27500

31625

Abdomen/GI Surgery Procedure

AG009

Simple Closure of Perforated peptic Ulcer

29750

35000

40250

Abdomen/GI Surgery Procedure

AG010

Vagotomy Pyloroplasty / Gastro Jejunostomy

36550

43000

49450

Abdomen/GI Surgery Procedure

AG011

Duodenojejunostomy

45050

53000

60950

Abdomen/GI Surgery Procedure

AG012

Partial/Subtotal Gastrectomy for Ulcer

45050

53000

60950

Abdomen/GI Surgery Procedure

AG013

Operation for Bleeding Peptic Ulcer

36550

43000

49450

Abdomen/GI Surgery Procedure

AG014

Operation for Gastrojejunal Ulcer

36550

43000

49450

Abdomen/GI Surgery Procedure

AG015

Highly Selective Vagotomy

45050

53000

60950

Abdomen/GI Surgery Procedure

AG016

Selective Vagotomy & Drainage

45050

53000

60950

Abdomen/GI Surgery Procedure

AG017

Exploratory Laparotomy (Open)

23375

27500

31625

Abdomen/GI Surgery Procedure

AG018

Congenital Diaphragmatic Hernia

36550

43000

49450

Abdomen/GI Surgery Procedure

AG019

Hiatus Hernia Repair- Abdominal (excluding cost of mesh and tacker if used)

30855

36300

41745

Abdomen/GI Surgery Procedure

AG020

Hiatus Hernia Repair- Transthoracic (excluding cost of mesh and tacker if used)

30855

36300

41745

Abdomen/GI Surgery Procedure

AG021

Epigastric Hernia Repair – excluding the cost of mesh and tacker

23375

27500

31625

Abdomen/GI Surgery Procedure

AG022

Umbilical Hernia Repair – excluding the cost of mesh and tacker

29750

35000

40250

Abdomen/GI Surgery Procedure

AG023

Ventral /incisional Hernia Repair – excluding the cost of mesh and tacker

29750

35000

40250

Abdomen/GI Surgery Procedure

AG024

Inguinal Hernia Herniorrhaphy

24310

28600

32890

Abdomen/GI Surgery Procedure

AG025

Inguinal Hernia – Hernioplasty excluding the cost of mesh and tacker

29750

35000

40250

Abdomen/GI Surgery Procedure

AG026

Femoral Hernia Repair – excluding the cost of mesh and tacker

29750

35000

40250

Abdomen/GI Surgery Procedure

AG027

Rare Hernias Repair (Spigelian, Obturator, Lumbar, Sciatic) – excluding the cost of mesh and tacker

36550

43000

49450

Abdomen/GI Surgery Procedure

AG028

Splenectomy – For Trauma

45050

53000

60950

Abdomen/GI Surgery Procedure

AG029

Splenectomy – For Hypersplenism

53550

63000

72450

Abdomen/GI Surgery Procedure

AG030

Splenorenal Anastomosis

45050

53000

60950

Abdomen/GI Surgery Procedure

AG031

Portocaval Anastomosis

53550

63000

72450

Abdomen/GI Surgery Procedure

AG032

Direct Operation on Oesophagus for Portal Hypertension

45050

53000

60950

Abdomen/GI Surgery Procedure

AG033

Mesentericocaval Anastomosis

36550

43000

49450

Abdomen/GI Surgery Procedure

AG034

Warren Shunt (Distal Splenorenal Shunt)

45050

53000

60950

Abdomen/GI Surgery Procedure

AG035

Pancreaticoduodenectomy (Whipple’s procedure)

45050

53000

60950

Abdomen/GI Surgery Procedure

AG036

Cystojejunostomy or Cystogastrostomy

36550

43000

49450

Abdomen/GI Surgery Procedure

AG037

Cholecystectomy

29750

35000

40250

Abdomen/GI Surgery Procedure

AG038

Cholecystectomy & Exploration of CBD

30855

36300

41745

Abdomen/GI Surgery Procedure

AG039

Repair of Common Bile Duct (CBD)

36550

43000

49450

Abdomen/GI Surgery Procedure

AG040

Cholecystostomy

22440

26400

30360

Abdomen/GI Surgery Procedure

AG041

Operation for Hydatid Cyst of Liver

25245

29700

34155

Abdomen/GI Surgery Procedure

AG042

Hepatic Resections (Lobectomy /Hepatectomy)

30855

36300

41745

Abdomen/GI Surgery Procedure

AG043

Operation on Adrenal Glands – Bilateral

53550

63000

72450

Abdomen/GI Surgery Procedure

AG044

Operation on Adrenal Glands – Unilateral

36550

43000

49450

Abdomen/GI Surgery Procedure

AG045

Appendicectomy

17765

20900

24035

Abdomen/GI Surgery Procedure

AG046

Appendicular Abscess – Drainage

29750

35000

40250

Abdomen/GI Surgery Procedure

AG047

Mesenteric Cyst- Excision

29750

35000

40250

Abdomen/GI Surgery Procedure

AG048

Diagnostic Peritonioscopy/Laparoscopy

17000

20000

23000

Abdomen/GI Surgery Procedure

AG049

Jejunostomy

29750

35000

40250

Abdomen/GI Surgery Procedure

AG050

Ileostomy

29750

35000

40250

Abdomen/GI Surgery Procedure

AG051

Resection & Anastomosis of Small Intestine

44413

52250

60088

Abdomen/GI Surgery Procedure

AG052

Duodenal Diverticulum

45050

53000

60950

Abdomen/GI Surgery Procedure

AG053

Operation for Intestinal Obstruction including resection , anastomosis, Adhesiolysis

45050

53000

60950

Abdomen/GI Surgery Procedure

AG054

Operation for Intestinal perforation including resection, anastomosis , Adhesiolysis

45050

53000

60950

Abdomen/GI Surgery Procedure

AG055

Operations for Benign Tumours of Small Intestine

45050

53000

60950

Abdomen/GI Surgery Procedure

AG056

Excision of Small Intestine Fistula

42075

49500

56925

Abdomen/GI Surgery Procedure

AG057

Operations for GI Bleed

45050

53000

60950

Abdomen/GI Surgery Procedure

AG058

Operations for Haemorrhage of Small Intestines

45050

53000

60950

Abdomen/GI Surgery Procedure

AG059

Operations of the Duplication of the Intestines – including Exploratory Laparotomy

38335

45100

51865

Abdomen/GI Surgery Procedure

AG060

Operations for Recurrent Intestinal Obstruction (Noble Plication & Other Operations for Adhesions)

45050

53000

60950

Abdomen/GI Surgery Procedure

AG061

Ileosigmoidostomy and related resection

45050

53000

60950

Abdomen/GI Surgery Procedure

AG062

Ileotransverse Colostomy and related resection

45050

53000

60950

Abdomen/GI Surgery Procedure

AG063

Caecostomy

29750

35000

40250

Abdomen/GI Surgery Procedure

AG064

Loop Colostomy Transverse Sigmoid

36550

43000

49450

Abdomen/GI Surgery Procedure

AG065

Terminal Colostomy

28050

33000

37950

Abdomen/GI Surgery Procedure

AG066

Closure of Colostomy

28050

33000

37950

Abdomen/GI Surgery Procedure

AG067

Right Hemicolectomy

29920

35200

40480

Abdomen/GI Surgery Procedure

AG068

Left Hemicolectomy

29920

35200

40480

Abdomen/GI Surgery Procedure

AG069

Total Colectomy

37400

44000

50600

Abdomen/GI Surgery Procedure

AG070

Operations for Volvulus of Large Bowel

45050

53000

60950

Abdomen/GI Surgery Procedure

AG071

Operations for Sigmoid Diverticulitis

36550

43000

49450

Abdomen/GI Surgery Procedure

AG072

Fissure in Ano with Internal sphincterotomy with fissurectomy.

29750

35000

40250

Abdomen/GI Surgery Procedure

AG073

Fissure in Ano – Fissurectomy

23375

27500

31625

Abdomen/GI Surgery Procedure

AG074

Rectal Polyp-Excision

12810

15070

17331

Abdomen/GI Surgery Procedure

AG075

Fistula in Ano – High Fistulectomy

29750

35000

40250

Abdomen/GI Surgery Procedure

AG076

Fistula in Ano – Low Fistulectomy

21505

25300

29095

Abdomen/GI Surgery Procedure

AG077

Prolapse Rectum – Thiersch Wiring

23375

27500

31625

Abdomen/GI Surgery Procedure

AG078

Prolapse Rectum – Rectopexy

13090

15400

17710

Abdomen/GI Surgery Procedure

AG079

Excision of Pilonidal Sinus (open)

20570

24200

27830

Abdomen/GI Surgery Procedure

AG080

Excision of Pilonidal Sinus with closure

23375

27500

31625

Abdomen/GI Surgery Procedure

AG081

Abdomino-Perineal Excision of Rectum

45050

53000

60950

Abdomen/GI Surgery Procedure

AG082

Anterior Resection of Rectum

53550

63000

72450

Abdomen/GI Surgery Procedure

AG083

Pull Through Abdominal Resection

45050

53000

60950

Abdomen/GI Surgery Procedure

AG084

Retro Peritoneal Tumour Removal

45050

53000

60950

Abdomen/GI Surgery Procedure

AG085

Laparoscopic Fundoplication

53550

63000

72450

Abdomen/GI Surgery Procedure

AG086

Laparoscopic Splenectomy

53550

63000

72450

Abdomen/GI Surgery Procedure

AG087

Laparoscopic Removal of hydatid cyst

53550

63000

72450

Abdomen/GI Surgery Procedure

AG088

Laparoscopic Treatment of Pseudo Pancreatic cyst

53550

63000

72450

Abdomen/GI Surgery Procedure

AG089

Laparoscopic Whipple’s operation (Laparoscopic Pancreaticoduodenectomy

45050

53000

60950

Abdomen/GI Surgery Procedure

AG090

Laparoscopic GI bypass operation

53550

63000

72450

Abdomen/GI Surgery Procedure

AG091

Laparoscopic Total Colectomy

53550

63000

72450

Abdomen/GI Surgery Procedure

AG092

Laparoscopic Hemicolectomy

45050

53000

60950

Abdomen/GI Surgery Procedure

AG093

Laparoscopic Anterior Resection (of Intestine/ Rectum)

53550

63000

72450

Abdomen/GI Surgery Procedure

AG094

Laparoscopic Cholecystectomy

30855

36300

41745

Abdomen/GI Surgery Procedure

AG095

Laparoscopic Appendectomy

28050

33000

37950

Abdomen/GI Surgery Procedure

AG096

Laparoscopic Hernia – Inguinoplasty (excluding the cost of Tacker and Mesh)

32725

38500

44275

Abdomen/GI Surgery Procedure

AG097

Laparoscopic Ventral Hernia Repair (excluding the cost of Tacker and Mesh)

32725

38500

44275

Abdomen/GI Surgery Procedure

AG098

Laparoscopic Paraumbilical Hernia Repair (excluding the cost of Tacker and Mesh)

32725

38500

44275

Abdomen/GI Surgery Procedure

AG099

Laparoscopic Adrenalectomy

53550

63000

72450

Abdomen/GI Surgery Procedure

Paediatric Surgery Procedure

CGHS

Code

CGHS TREATMENT PROCEDURE/INVESTIGATION LIST

Rates for Semi-Private Ward

Speciality Classification

Non- NABH

NABH

Super Speciality

PS001

Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach)

45050

53000

60950

Paediatric Surgery Procedure

PS002

Tracheoesophageal Fistula (Correction Surgery)

45050

53000

60950

Paediatric Surgery Procedure

PS003

Colon Replacement of Oesophagus

36550

43000

49450

Paediatric Surgery Procedure

PS004

Omphalomesenteric Cyst Excision

36550

43000

49450

Paediatric Surgery Procedure

PS005

Omphalomesenteric Duct- Excision

36550

43000

49450

Paediatric Surgery Procedure

PS006

Omphalocele 1st Stage (Hernia Repair)

29750

35000

40250

Paediatric Surgery Procedure

PS007

Omphalocele 2nd Stage (Hernia Repair)

29750

35000

40250

Paediatric Surgery Procedure

PS008

Gastroschisis Repair

36550

43000

49450

Paediatric Surgery Procedure

PS009

Inguinal Herniotomy

29750

35000

40250

Paediatric Surgery Procedure

PS010

Congenital Hydrocele

29750

35000

40250

Paediatric Surgery Procedure

PS011

Hydrocele of Cord

23375

27500

31625

Paediatric Surgery Procedure

PS012

Torsion Testis Operation

29750

35000

40250

Paediatric Surgery Procedure

PS013

Congenital Pyloric Stenosis- operation

29750

35000

40250

Paediatric Surgery Procedure

PS014

Duodenal Atresia Operation

36550

43000

49450

Paediatric Surgery Procedure

PS015

Pancreatic Ring Operation

45050

53000

60950

Paediatric Surgery Procedure

PS016

Meconium Ileus Operation

36550

43000

49450

Paediatric Surgery Procedure

PS017

Malrotation of Intestines Operation

36550

43000

49450

Paediatric Surgery Procedure

PS018

Rectal Biopsy (Megacolon)

17000

20000

23000

Paediatric Surgery Procedure

PS019

Colostomy Transverse

36550

43000

49450

Paediatric Surgery Procedure

PS020

Colostomy Left Iliac

36550

43000

49450

Paediatric Surgery Procedure

PS021

Abdominal Perineal Pull Through (Hirschsprung’s Disease)

45050

53000

60950

Paediatric Surgery Procedure

PS022

Imperforate Anus Low Anomaly -Cut Back Operation

23375

27500

31625

Paediatric Surgery Procedure

PS023

Imperforate Anus Low Anomaly – Perineal Anoplasty

29750

35000

40250

Paediatric Surgery Procedure

PS024

Imperforate Anus High Anomaly -Sacroabdomino Perineal Pull Through

45050

53000

60950

Paediatric Surgery Procedure

PS025

Imperforate Anus High Anomaly – Closure of Colostomy

29750

35000

40250

Paediatric Surgery Procedure

PS026

Intussusception Operation

36550

43000

49450

Paediatric Surgery Procedure

PS027

Choledochoduodenostomy for Atresia of Extra Hepatic Biliary Duct

45050

53000

60950

Paediatric Surgery Procedure

PS028

Operation of Choledochal Cyst

45050

53000

60950

Paediatric Surgery Procedure

PS029

Nephrectomy for -Pyonephrosis

36550

43000

49450

Paediatric Surgery Procedure

PS030

Nephrectomy for – Hydronephrosis

36550

43000

49450

Paediatric Surgery Procedure

PS031

Sacro-Coccygeal Teratoma Excision

36550

43000

49450

Paediatric Surgery Procedure

PS032

Congenital Atresia & Stenosis of Small Intestine

45050

53000

60950

Paediatric Surgery Procedure

PS033

Malrotation & Volvulus of the Midgut

36550

43000

49450

Paediatric Surgery Procedure

PS034

Excision of Meckel’s Diverticulum

36550

43000

49450

Paediatric Surgery Procedure

Obstetrics And Gynaecology

CGHS

Code

CGHS TREATMENT PROCEDURE/INVESTIGATION LIST

Rates for Semi-Private Ward

Speciality Classification

Non- NABH

NABH

Super Speciality

OG001

Non Stress Test

1275

1500

Obstetrics Investigation

OG002

Normal delivery with or without Episiotomy & P.

repair/ forceps delivery /Vacuum delivery/assisted breech delivery including Routine New Born Care

29750

35000

Obstetrics And Gynaecology Procedure

OG003

Normal Delivery of High Risk Pregnancy(Preeclampsia/Eclapsia/GDM/Cardiac/Vascular/Renal/Pulmonary/Twin

Pregnancy/RA/SLE/IVF Conception/Severe Anaemia,)

36550

43000

Obstetrics And Gynaecology Procedure

OG004

Caesarean Section(CS) with or without Sterilization including Routine New Born Care

45050

53000

Obstetrics And Gynaecology Procedure

OG005

Caesarian Delivery of High Risk

Pregnancy(Preeclampsia/Eclapsia/GDM/Cardiac/Vascular/Renal/Pulmonary/Twin Pregnancy/RA/SLE/IVF Conception/Severe Anaemia)

53550

63000

Obstetrics And Gynaecology Procedure

OG006

Rupture Uterus Closure & Repair with Tubal Ligation

36550

43000

Obstetrics And Gynaecology Procedure

OG007

Perforation of Uterus after D/E Laparotomy & Closure

17000

20000

Obstetrics And Gynaecology Procedure

OG008

Laparotomy for Ectopic Pregnancy

29750

35000

Obstetrics And Gynaecology Procedure

OG009

Laparotomy peritonitis Lavage and Drainage

29750

35000

Obstetrics And Gynaecology Procedure

OG010

Ovarian Cystectomy – Laparoscopic.

36550

43000

Obstetrics And Gynaecology Procedure

OG011

Ovarian Cystectomy – Laparotomy.

29750

35000

Obstetrics And Gynaecology Procedure

OG012

Laparoscopic Broad Ligament Hematoma Drainage with repair

11390

13400

Obstetrics And Gynaecology Procedure

OG013

Exploration of perineal Haematoma & Repair

11390

13400

Obstetrics And Gynaecology Procedure

OG014

Exploration of abdominal Haematoma (after laparotomy/ LSCS)

23375

27500

Obstetrics And Gynaecology Procedure

OG015

Manual Removal of Placenta

7820

9200

Obstetrics And Gynaecology Procedure

OG016

Examination under anaesthesia (EUA)

4250

5000

Obstetrics And Gynaecology Procedure

OG017

Burst-Abdomen Repair

29750

35000

Obstetrics And Gynaecology Procedure

OG018

Gaping Perineal Wound Secondary Suturing

4250

5000

Obstetrics And Gynaecology Procedure

OG019

Gaping Abdominal Wound Secondary Suturing

7225

8500

Obstetrics And Gynaecology Procedure

OG020

Complete Perineal Tear-Repair

7820

9200

Obstetrics And Gynaecology Procedure

OG021

Pelvic Floor Repair(Rectocele +/- Cystocele +/- Enterocele)

29750

35000

Obstetrics And Gynaecology Procedure

OG022

Suction Evacuation Vesicular Mole

23375

27500

Obstetrics And Gynaecology Procedure

OG023

Colpotomy/Post-Coital Tear Repair

7820

9200

Obstetrics And Gynaecology Procedure

OG024

Excision of urethral carbuncle

11390

13400

Obstetrics And Gynaecology Procedure

OG025

Shirodkar/ McDonald stitch//Cervical Stitch(Cerclage)

11390

13400

Obstetrics And Gynaecology Procedure

OG026

Abdominal Hysterectomy with or without salpingo- oophorectomy

36550

43000

Obstetrics And Gynaecology Procedure

OG027

Non-descent Vaginal Hysterectomy (NDVH) with or without BSO

36550

43000

Obstetrics And Gynaecology Procedure

OG028

Vaginal Hysterectomy ( including of BSO) with or without repairs

36550

43000

Obstetrics And Gynaecology Procedure

OG029

Myomectomy -laparotomy

29750

35000

Obstetrics And Gynaecology Procedure

OG030

Myomectomy -laparoscopic

36550

43000

Obstetrics And Gynaecology Procedure

OG031

Vaginoplasty

36550

43000

Obstetrics And Gynaecology Procedure

OG032

Vulvectomy -Simple

29750

35000

Obstetrics And Gynaecology Procedure

OG033

Rectovaginal Fistula (RVF) Repair

36550

43000

Obstetrics And Gynaecology Procedure

OG034

Manchester/Fothergill’s operation

29750

35000

Obstetrics And Gynaecology Procedure

OG035

Shirodkar’s sling Operation or other sling operations for prolapse uterus

17000

20000

Obstetrics And Gynaecology Procedure

OG036

Laparoscopic sling operations for prolapse uterus

36550

43000

Obstetrics And Gynaecology Procedure

OG037

Dilatation and Curettage(diagnostic/therapeutic) with or without Polypectomy

11390

13400

Obstetrics And Gynaecology Procedure

OG038

Cervical Biopsy

7820

9200

Obstetrics And Gynaecology Procedure

OG039

Transcervical/Hysteroscopic Polypectomy

11390

13400

Obstetrics And Gynaecology Procedure

OG040

Excision of Vaginal Cyst/Bartholin Cyst/Gartner Cyst

7820

9200

Obstetrics And Gynaecology Procedure

OG041

Excision of Vaginal/Uterus Septum

17000

20000

Obstetrics And Gynaecology Procedure

OG042

Diagnostic hysterolaparoscopy(DHL) with or without chromopertubation/Adhesiolysis/ovarian drilling

17000

20000

Obstetrics And Gynaecology Procedure

OG043

Laparoscopy Sterilization/Laproscopic tubal occlusion(LTO)

23375

27500

Obstetrics And Gynaecology Procedure

OG044

Laparoscopically Assisted Vaginal Hysterectomy (LAVH) with or without BSO

53550

63000

Obstetrics And Gynaecology Procedure

OG045

Balloon Tamponade for Post Partum Haemorrhage/Conservative management of PPH(Atonic/traumatic PPH)

7225

8500

Obstetrics And Gynaecology Procedure

OG046

Total Laparoscopic Hysterectomy with or without BSO

53550

63000

Obstetrics And Gynaecology Procedure

OG047

Laparoscopic Treatment of Ectopic Pregnancy- Milking/Salpingotomy/Salpingectomy

36550

43000

Obstetrics And Gynaecology Procedure

OG048

Conisation of cervix/Chemical Cautery of Cervical Ectopy/Erosion

7820

9200

Obstetrics And Gynaecology Procedure

OG049

Diagnostic hysteroscopy with or without polypectomy/endometrial curettage

17000

20000

Obstetrics And Gynaecology Procedure

OG050

Laparotomy recanalization of Fallopian tubes- (Tuboplasty)

45050

53000

Obstetrics And Gynaecology Procedure

OG051

Laparoscopic recanalization of Fallopian tubes- (Tuboplasty)

45050

53000

Obstetrics And Gynaecology Procedure

OG052

Colposcopy

4250

5000

Obstetrics And Gynaecology Procedure

OG053

Inversion of Uterus – Vaginal Reposition

5100

6000

Obstetrics And Gynaecology Procedure

OG054

Inversion of Uterus – Abdominal Reposition

5100

6000

Obstetrics And Gynaecology Procedure

OG055

Vaginal Vesicovaginal Fistula (VVF) Repair

53550

63000

Obstetrics And Gynaecology Procedure

OG056

Interventional Ultrasonography- Chorionic villus sampling (CVS)

4250

5000

Obstetrics And Gynaecology Procedure

OG057

Amniocentesis

11390

13400

Obstetrics And Gynaecology Procedure

OG058

Thermal balloon ablation.

29750

35000

Obstetrics And Gynaecology Procedure

OG059

Ultrasonographic myolysis

23375

27500

Obstetrics And Gynaecology Procedure

OG060

Vaginal/Cervical Myomectomy

36550

43000

Obstetrics And Gynaecology Procedure

OG061

Intra Uterine Insemination

4250

5000

Obstetrics And Gynaecology Procedure

OG062

Intracytoplasmic sperm injection (ICSI)

17000

20000

Obstetrics And Gynaecology Procedure

OG063

Laparotomy abdominal sacro-colpopexy

45050

53000

Obstetrics And Gynaecology Procedure

OG064

Vaginal Colpopexy/colpopexy-abdominal

36550

43000

Obstetrics And Gynaecology Procedure

OG065

Laparoscopic abdominal colpopexy/sacro-colpopexy

45050

53000

Obstetrics And Gynaecology Procedure

OG066

Endometrial aspiration cytology/biopsy (including Pipelle Charges)

2550

3000

Obstetrics And Gynaecology Procedure

OG067

Laparoscopic treatment for stress incontinence

36550

43000

Obstetrics And Gynaecology Procedure

OG068

Transvaginal tapes for Stress incontinence

29750

35000

Obstetrics And Gynaecology Procedure

OG069

Trans-obturator tapes for Stress incontinence

36550

43000

Obstetrics And Gynaecology Procedure

OG070

Interventional radiographic arterial embolization/Uterine artery embolization(UAE)

29750

35000

Obstetrics And Gynaecology Procedure

OG071

Internal Iliac Artery ligation

7225

8500

Obstetrics And Gynaecology Procedure

OG072

Surgical management of PPH (Uterine compression stitches/stepwise devascularisation)/peripartum hysterectomy

17000

20000

Obstetrics And Gynaecology Procedure

OG073

Intra-uterine fetal blood transfusion

45050

53000

Obstetrics And Gynaecology Procedure

OG074

Hysteroscopy Transcervical Resection of Endometrium (TCRE)

29750

35000

Obstetrics And Gynaecology Procedure

OG075

Hysteroscopy Removal of Intra-Uterine Contraceptive Device (IUCD)

17000

20000

Obstetrics And Gynaecology Procedure

OG076

hysteroscopic resection of uterine septum

29750

35000

Obstetrics And Gynaecology Procedure

OG077

Diagnostic Hysteroscopy with or without endometrial Biopsy

17000

20000

Obstetrics And Gynaecology Procedure

OG078

Sterilization (minilap)-post partum/post abortion

7820

9200

Obstetrics And Gynaecology Procedure

OG079

Interval Sterilization(minilap)-BAT / Male Sterilization(Vasectomy)

17000

20000

Obstetrics And Gynaecology Procedure

OG080

Medical Termination of Pregnancy (MTP)- 1st Trimester with Medicine /Manual Vacuum Aspiration /Check Curettage

11390

13400

Obstetrics And Gynaecology Procedure

OG081

Medical Termination of Pregnancy (MTP) – 2nd Trimester /Suction and Evacuation/Dilatation and Curettage/Dilatation and expulsion

17000

20000

Obstetrics And Gynaecology Procedure

OG082

Insertion of IUD/IUCD/Pessary

3400

4000

Obstetrics And Gynaecology Procedure

OG083

Removal of IUD/IUCD/Pessary

850

1000

Obstetrics And Gynaecology Procedure

Nephrology And Urology

CGHS

Code

CGHS TREATMENT PROCEDURE/INVESTIGATION LIST

Rates for Semi-Private Ward

Speciality Classification

Non- NABH

NABH

Super Speciality

NU001

Ultrasound guided kidney Biopsy

7820

9200

Nephrology And Urology – Biopsy

NU002

Testicular Biopsy

11390

13400

Nephrology And Urology – Biopsy

NU003

Transrectal Ultrasound (TRUS) guided prostate biopsy

7820

9200

Nephrology And Urology – Biopsy

NU004

Uroflow Study (Uroflowmetry)

850

1000

Nephrology And Urology Investigation

NU005

Urodynamic Study (Cystometry)

2550

3000

Nephrology And Urology Investigation

NU006

Voiding-cysto-urethrogram and retrograde urethrogram (Nephrostogram)

7225

8500

Nephrology And Urology Investigation

NU007

Fistulogram for Arteriovenous Fistula

7820

9200

Nephrology And Urology Investigation

NU008

Partial Nephrectomy -open

36550

43000

49450