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The document lists various cardiology and dental services along with their respective service codes, length of stay (LOS), and package details. Each service is marked with a 'YES' indicating availability for surgery. The services include angiographies, angioplasties, pacemaker implantations, orthodontic treatments, and orthognathic surgeries among others.

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0% found this document useful (0 votes)
43 views74 pages

Package Arsh New

The document lists various cardiology and dental services along with their respective service codes, length of stay (LOS), and package details. Each service is marked with a 'YES' indicating availability for surgery. The services include angiographies, angioplasties, pacemaker implantations, orthodontic treatments, and orthognathic surgeries among others.

Uploaded by

vikash
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

S. NO.

DEPARTMESERVICE C SERVICE NAME LOS SERVICE PACKAGE SURGERY

1 CARDIOLO CD1001 Coronary Angiography (CAG) 1

YES

2 CARDIOLO CD1002 Peripheral Angiography 1

YES

3 CARDIOLO CD1003 Check Angiography 1


YES

Coronary Angioplasty
4 CARDIOLO CD1004A ( PTCA) 2 ICU+1 Day( Single 3
Vessel)

YES

Coronary Angioplasty
5 CARDIOLO CD1004B ( PTCA) 2 ICU+1 Day( Double 3
Vessel)

YES

Coronary Angioplasty
6 CARDIOLO CD1004C ( PTCA) 2 ICU+1 Day 3
( Complex Plasty)

YES

CORONARY ANGIOPLASTY
7 CARDIOLO CD1004P 2
(PTCA) 2 ICU (PLANNED)

YES
Peripheral Angioplasty 2
8 CARDIOLO CD1005 3
ICU+1Day

YES

Carotid Angioplasty 2 ICU+1


9 CARDIOLO CD1006 3
DAY

YES

Permanent Pacemaker
Implantation Single Chamber
13 CARDIOLO CD1010 2
(1 Day ICU + 1 Day Opted
Category)

YES

14 CARDIOLO CD1011 ICD Implantation 3


YES

ASD/VSD Device closure


16 CARDIOLO CD1013 ( device extra and delevery 3
sheath Extra)

YES
17 CARDIOLO CD1014 Septal Ablation 1
YES
BMV/PTMC (1 Day ICU + 1
18 CARDIOLO CD1016 Day Opted Category) 2
includes TEE

YES

Ballon Volvoplasty (1 Day


20 CARDIOLO CD1018 1
ICU + Cost of ballon extra)

YES

TPI+PPI (2 Days ICU+1 Day


22 CARDIOLO CD1020 3
Opted Category )

YES

Permanent Pacemaker
Implantation Double
23 CARDIOLO CD1021 3
Chamber (2 Days ICU + 1
Days Opted category)

YES

Pulse Generator
24 CARDIOLO CD1022 1
Replacement S/C (1 Day ICU)

YES
Pulse Generator
25 CARDIOLO CD1023 Replacement D/C (1 Day 1
ICU)

YES

Pulse Generator
26 CARDIOLO CD1024 1
Replacement ICD (1 Day ICU)

YES

Pulse Generator
27 CARDIOLO CD1025 Replacement CRT (1 Day 1
ICU)

YES

IABP (1 Day ICU) Including


28 CARDIOLO CD1027 1
Ballon
YES

Temporary Pacing (Including


29 CARDIOLO CD1028 1
Wire/ lad Cost)

YES

Coronary Angiography Day


30 CARDIOLO CD1029 1
Care (CAG)

YES

Coil Embolization
31 CARDIOLO CD1030 ( Medicines, Coil, Spl 1
Catheter, Dye extra)

YES
35 CARDIOLO CD1032 TAVI/TAVR 3
YES

Fractional Flow Reserve


36 CARDIOLO CD2008 1
(FFR) (Package)

YES
OPD / GENAYUSHMANDAY
WARD
CARE
(Total
(Total
GNW (NON GNW
Avl-0)
Avl-4) (AC)Avl-3)
AC) (Total (Total Avl-5)
SPECIAL SEMI
WARD PRIVAvl-34)
(Total ICU / CCU PVT ROOM PVT
( AC)ROOM
(Total (NON
Avl-3)AC) (Total Av

12500 12500 12500 12500 12500 12500 14130 16530 16530 16530

13,000 13,000 13,000 13,000 13,000 13,000 14690 17190 17190 17190

12,500 12,500 12,500 12,500 12,500 12,500 14130 16530 16530 16530

125,000 125,000 125,000 125,000 125,000 125,000 141250 165260 165260 165260

140,000 140,000 140,000 140,000 140,000 140,000 158200 185090 185090 185090

140,000 140,000 140,000 140,000 140,000 140,000 158200 185090 185090 185090

140,000 140,000 140,000 140,000 140,000 140,000 158200 185090 185090 185090
99,900 99,900 99,900 99,900 99,900 99,900 112890 132080 132080 132080

99,900 99,900 99,900 99,900 99,900 99,900 112890 132080 132080 132080

50,000 50,000 50,000 50,000 50,000 50,000 56500 66110 66110 66110

85,050 85,050 85,050 85,050 85,050 85,050 96110 112450 112450 112450

85,000 85,000 85,000 85,000 85,000 85,000 96050 112380 112380 112380

100,000 100,000 100,000 100,000 100,000 100,000 113000 132210 132210 132210
71,446 71,446 71,446 71,446 71,446 71,446 80730 94450 94450 94450

40,800 40,800 40,800 40,800 40,800 40,800 46100 53940 53940 53940

65,000 65,000 65,000 65,000 65,000 65,000 73450 85940 85940 85940

75,000 75,000 75,000 75,000 75,000 75,000 84750 99160 99160 99160

26,300 26,300 26,300 26,300 26,300 26,300 29720 34770 34770 34770
31,300 31,300 31,300 31,300 31,300 31,300 35370 41380 41380 41380

31,300 31,300 31,300 31,300 31,300 31,300 35370 41380 41380 41380

40,000 40,000 40,000 40,000 40,000 40,000 45200 52880 52880 52880

75,000 75,000 75,000 75,000 75,000 75,000 84750 99160 99160 99160

9,100 9,100 9,100 9,100 9,100 9,100 10280 12030 12030 12030

9,900 9,900 9,900 9,900 9,900 9,900 11190 13090 13090 13090

44,400 44,400 44,400 44,400 44,400 44,400 50170 58700 58700 58700
300,000 300,000 300,000 300,000 300,000 300,000 339000 396630 396630 396630

53240 53240 53240 53240 53240 53240 60160 70390 70390 70390
HDU (Total Avl-11)
CCU (Total Avl-5) DELUXE
ICU (Total Avl-4) DELUXE ROOM
DELUXE VIP
-5 SERIES
ROOM-6 SUITE
(Total
SERIESREMARKS
Avl-5)
(Total Avl-3)

16530 16530 16530 19340 19340 19340 19340

17190 17190 17190 20110 20110 20110 20110

16530 16530 16530 19340 19340 19340 19340

165260 165260 165260 193350 193350 193350 193350

185090 185090 185090 216560 216560 216560 216560

185090 185090 185090 216560 216560 216560 216560

185090 185090 185090 216560 216560 216560 216560


132080 132080 132080 154530 154530 154530 154530

132080 132080 132080 154530 154530 154530 154530

66110 66110 66110 77350 77350 77350 77350

112450 112450 112450 131570 131570 131570 131570

112380 112380 112380 131480 131480 131480 131480

132210 132210 132210 154690 154690 154690 154690


94450 94450 94450 110510 110510 110510 110510

53940 53940 53940 63110 63110 63110 63110

85940 85940 85940 100550 100550 100550 100550

99160 99160 99160 116020 116020 116020 116020

34770 34770 34770 40680 40680 40680 40680


41380 41380 41380 48410 48410 48410 48410

41380 41380 41380 48410 48410 48410 48410

52880 52880 52880 61870 61870 61870 61870

99160 99160 99160 116020 116020 116020 116020

12030 12030 12030 14080 14080 14080 14080

13090 13090 13090 15320 15320 15320 15320

58700 58700 58700 68680 68680 68680 68680


396630 396630 396630 464060 464060 464060 464060

70390 70390 70390 82360 82360 82360 82360


S. NO. DEPARTMESERVICE C SERVICE NAME LOS SERVICE PACKAGE SURGERY

fixed orthodontic lingual


255 DENTAL DN5007
grade 1

YES

fixed orthodontic lingual


256 DENTAL DN5008
grade 2

YES

fixed orthodontic lingual


257 DENTAL DN5009
grade 3

YES

Fixed orthodontic self


258 DENTAL DN5010
ligating metal braces

YES

fixed orthodontic treatment


259 DENTAL DN5011
(metal) grade 1

YES

Fixed orthodontic treatment


260 DENTAL DN5012
(metal) grade 2

YES

fixed orthodontic treatment


261 DENTAL DN5013
(metal) grade 3

YES
orthodontic treatment
263 DENTAL DN5015
(clearpath/invisilign) grade 1

YES

orthodontic treatment
264 DENTAL DN5016
(clearpath/invisilign) grade 2

YES
267 DENTAL DN5019 INVISILIAGN MILD
YES
268 DENTAL DN5020 INVISILIAGN MOD
YES
269 DENTAL DN5021 INVISILIAGN HIGH
YES

ORTHOGNATHIC SURGERY
368 DENTAL DN7086
MAX REDUCTION 1

YES

ORTHOGNATHIC SURGERY
369 DENTAL DN7087
MAX REDUCTION 2

YES

ORTHOGNATHIC SURGERY
370 DENTAL DN7088
MAX REDUCTION 3

YES
ORTHOGNATHIC SURGERY
371 DENTAL DN7089
MAX REDUCTION 4

YES

ORTHOGNATHIC SURGERY
372 DENTAL DN7090
MANDIBULAR REDUCTION1

YES

ORTHOGNATHIC SURGERY
373 DENTAL DN7091
MANDIBULAR REDUCTION 2

YES

ORTHOGNATHIC SURGERY
374 DENTAL DN7092
MANDIBULAR REDUCTION 3

YES

LE FORTE 1 FRACTURE
375 DENTAL DN7093
MANAGEMENT

YES

LE FORTE 2 FRACTURE
376 DENTAL DN7094
MANAGEMENT

YES

LE FORTE 3 FRACTURE
377 DENTAL DN7095
MANAGEMENT

YES
378 DENTAL DN7096 REMOVAL OF IMF WIRE
YES

OSTEOMYLITIS- SURGICAL
379 DENTAL DN7097
DECOMPRESSION

YES

CLOSED REDUCTION OF
380 DENTAL DN7098
JOINT DISLOCATION

YES
381 DENTAL DN7099 CLEFT LIP REPAIR
YES

382 DENTAL DN7100 CLEFT PALATE REPAIR


YES

COMPLEX WOUND
383 DENTAL DN7101
MANAGEMENT

YES

CHIN AUGMENTATION-
384 DENTAL DN7102
OSTEOTOMY+ BONEGRAFT

YES

385 DENTAL DN7103 CHIN REDUCTION


YES

FASCIAL BONE MANDIBLE


386 DENTAL DN7104 FRACTURE-OPEN
REDUCTION

YES
LE FORTE 1 OSTEOTOMY
387 DENTAL DN7105
+ADVANCEMENT

YES

LE FORTE 2
388 DENTAL DN7106 OSTEOTOMY+APPLICATION
OF DISTRACTOR

YES

LE FORTE 1 OSTEOTOMY+
389 DENTAL DN7107
IMPACTION/INTRUSSION

YES

MANDIBLE FRACTURE WITH


390 DENTAL DN7108
EXTERNAL FIXATION

YES

MANDIBULAR CONDYLAR
391 DENTAL DN7109 FRACTURE/OPEN
REDUCTION

YES

DENTO-ALVEOLAR
392 DENTAL DN7110
FRACTURE

YES
DENTURE 2 IMPLANT
393 DENTAL DN7111 SUPPORTED SEMI FIXED PER
ARCH PACKAGE GRADE 1

YES

DENTURE 2 IMPLANT
394 DENTAL DN7112 SUPPORTED SEMI FIXED PER
ARCH PACKAGE GRADE 2

YES

DENTURE 4 IMPLANT
395 DENTAL DN7113 SUPPORTED SEMI FIXED PER
ARCH PACKAGE GRADE 1

YES

DENTURE 4 IMPLANT
396 DENTAL DN7114 SUPPORTED SEMI FIXED PER
ARCH PACKAGE GRADE 2

YES
FULL MOUTH FIXED
401 DENTAL DN7119
IMPLANT PACKAGE

YES

SINGLE ARCH FIXED


402 DENTAL DN7120 IMPLANT SUPPORTED
PROSTHESIS

YES

IMPLANT SUPPORTED
450 DENTAL DN9010
DENTURE WITH 2 IMPLANTS

YES

IMPLANT SUPPORTED
451 DENTAL DN9011
DENTURE WITH 4 IMPLANTS

YES

IMPLANT ABUTMENT
452 DENTAL DN9012
GRADE1
YES

IMPLANT ABUTMENT
453 DENTAL DN9013
GRADE 2
YES

IMPLANT ABUTMENT
454 DENTAL DN9014
GRADE 3
YES
IMPLANT ABUTMENT
455 DENTAL DN9015
ZIRCONIA GRADE 1

YES

IMPLANT ABUTMENT
456 DENTAL DN9016
ZIRCONIA GRADE 2

YES
OPD / GENAYUSHMANDAY
WARD
CARE
(Total
(Total
GNW (NON GNW
Avl-0)
Avl-4) (AC)Avl-3)
AC) (Total (Total Avl-5)
SPECIAL SEMI
WARD PRIVAvl-34)
(Total ICU / CCU PVT ROOM PVT
( AC)ROOM
(Total (NON
Avl-3)AC) (Total Av

82500 82500 82500 82500 82500 82500 82500 82500 82500 82500

110000 110000 110000 110000 110000 110000 110000 110000 110000 110000

165000 165000 165000 165000 165000 165000 165000 165000 165000 165000

55000 55000 55000 55000 55000 55000 55000 55000 55000 55000

38500 38500 38500 38500 38500 38500 38500 38500 38500 38500

44000 44000 44000 44000 44000 44000 44000 44000 44000 44000

49500 49500 49500 49500 49500 49500 49500 49500 49500 49500
165000 165000 165000 165000 165000 165000 165000 165000 165000 165000

192500 192500 192500 192500 192500 192500 192500 192500 192500 192500

192500 192500 192500 192500 192500 192500 192500 192500 192500 192500

247500 247500 247500 247500 247500 247500 247500 247500 247500 247500

302500 302500 302500 302500 302500 302500 302500 302500 302500 302500

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000
100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000
1650 1650 1650 1650 1650 1650 1650 1650 1650 1650

16500 16500 16500 16500 16500 16500 16500 16500 16500 16500

11000 11000 11000 11000 11000 11000 11000 11000 11000 11000

11000 11000 11000 11000 11000 11000 11000 11000 11000 11000

16500 16500 16500 16500 16500 16500 16500 16500 16500 16500

11000 11000 11000 11000 11000 11000 11000 11000 11000 11000

44000 44000 44000 44000 44000 44000 44000 44000 44000 44000

22000 22000 22000 22000 22000 22000 22000 22000 22000 22000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000
100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 100000 100000 100000

11000 11000 11000 11000 11000 11000 11000 11000 11000 11000
137500 137500 137500 137500 137500 137500 137500 137500 137500 137500

192500 192500 192500 192500 192500 192500 192500 192500 192500 192500

203500 203500 203500 203500 203500 203500 203500 203500 203500 203500

247500 247500 247500 247500 247500 247500 247500 247500 247500 247500
550000 550000 550000 550000 550000 550000 550000 550000 550000 550000

275000 275000 275000 275000 275000 275000 275000 275000 275000 275000

165000 165000 165000 165000 165000 165000 165000 165000 165000 165000

286000 286000 286000 286000 286000 286000 286000 286000 286000 286000

5500 5500 5500 5500 5500 5500 5500 5500 5500 5500

8250 8250 8250 8250 8250 8250 8250 8250 8250 8250

10450 10450 10450 10450 10450 10450 10450 10450 10450 10450
16500 16500 16500 16500 16500 16500 16500 16500 16500 16500

22000 22000 22000 22000 22000 22000 22000 22000 22000 22000
HDU (Total Avl-11)
CCU (Total Avl-5) DELUXE
ICU (Total Avl-4) DELUXE ROOM
DELUXE VIP
-5 SERIES
ROOM-6 SUITE
(Total
SERIESREMARKS
Avl-5)
(Total Avl-3)

82500 82500 82500 82500 82500 82500 82500

110000 110000 110000 110000 110000 110000 110000

165000 165000 165000 165000 165000 165000 165000

55000 55000 55000 55000 55000 55000 55000

38500 38500 38500 38500 38500 38500 38500

44000 44000 44000 44000 44000 44000 44000

49500 49500 49500 49500 49500 49500 49500


165000 165000 165000 165000 165000 165000 165000

192500 192500 192500 192500 192500 192500 192500

192500 192500 192500 192500 192500 192500 192500

247500 247500 247500 247500 247500 247500 247500

302500 302500 302500 302500 302500 302500 302500

100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000


100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000 surgeon - 70000

100000 100000 100000 100000 100000 100000 100000


anaesthesia- 15000

100000 100000 100000 100000 100000 100000 100000ot charge- 5000

100000 100000 100000 100000 100000 100000 100000


ot assistant-5000
1650 1650 1650 1650 1650 1650 1650

16500 16500 16500 16500 16500 16500 16500

11000 11000 11000 11000 11000 11000 11000

11000 11000 11000 11000 11000 11000 11000

16500 16500 16500 16500 16500 16500 16500

11000 11000 11000 11000 11000 11000 11000

44000 44000 44000 44000 44000 44000 44000

22000 22000 22000 22000 22000 22000 22000

100000 100000 100000 100000 100000 100000 100000


100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000

100000 100000 100000 100000 100000 100000 100000

11000 11000 11000 11000 11000 11000 11000


137500 137500 137500 137500 137500 137500 137500
price depends on patient

192500 192500 192500 192500 192500 192500 192500


price depends on patient

203500 203500 203500 203500 203500 203500 203500


price depends on patient

247500 247500 247500 247500 247500 247500 247500


price depends on patient
550000 550000 550000 550000 550000 550000 550000
price depends on patient

275000 275000 275000 275000 275000 275000 275000


price depends on patient

165000 165000 165000 165000 165000 165000 165000

286000 286000 286000 286000 286000 286000 286000

5500 5500 5500 5500 5500 5500 5500

8250 8250 8250 8250 8250 8250 8250

10450 10450 10450 10450 10450 10450 10450


16500 16500 16500 16500 16500 16500 16500

22000 22000 22000 22000 22000 22000 22000


S. NO. DEPARTMENTSERVICESERVICE NAME LOS

1 GENERAL AND L LP2001 LAP-CHOLECYSTECTOMY 3 YES

2 GENERAL AND L GS2182 HERNIA PACKAGE U.L 3 YES

3 GENERAL AND L GS2183 HERNIA PACKAGE B.L 3 YES

TLC, DLC, HB, PLATELETS, UREA, CREATININE, NA+, K+, LFT, HIV, HCV, HBSAG, ECG, CXR
Inclusion - Lap
Medicine / Consumable Limits - 6500 /-

Medicine / Consumable Limits - 7000 /-


Inclusion- Herni
Tacker / Mesh - 7000 /-

Medicine / Consumable Limits - 7500 /-


Inclusion- Herni
Tacker / Mesh - 14000 /-
OPD / GEN
AYUSHMANDAY
WARD
CARE
(Total
(Total
GNW (NON GNW
Avl-0)
Avl-4) (AC)Avl-3)
AC) (Total (Total Avl-5)
SPECIAL SEMI
WARD PRIVAvl-34)
(Total ICU / CCU PVT ROOM PVT
( AC)ROOM
(Total (NON
Avl-3)AC) (Tota

50000 50000 50000 50000 50000 50000 56500 66110 66110 66110

75000 75000 75000 75000 75000 75000 84750 99160 99160 99160

110000 110000 110000 110000 110000 110000 124300 145430 145430 145430

BSAG, ECG, CXR


HDU (Total Avl-11)
CCU (Total Avl-5) DELUXE
ICU (Total Avl-4) DELUXE ROOM
DELUXE VIP
-5 SERIES
ROOM-6 SUITE
(Total
SERIESREMARKS
Avl-5)
(Total Avl-3)

66110 66110 66110

77350 77350 77350 88180

99160 99160 99160


116020 116020 116020 132260

145430 145430 145430


170150 170150 170150 193970
S. NO. DEPARTMENT SERVICE CODE SERVICE NAME
14 NEURO SURGERY NS6014 LUMBER MICRODISECTOMY

CONSUMABLES & MEDICINES UPTO Rs.


10000/-.if more than will Charge Exclude in
package

SURGERY CHARGES,OT CHARGES,OT GAS,ASST.


Inclusions SURGEON CHARGES,ANAESTHESIA CHARGES.

PAC Visit, Neuro Surgeon Visit, Equipment


Charges (C Arm), Ditecian Visit with Diet
Inclusions & Charge
Exclusions
CBC, UREA, CREATININE, Na+, PTINR, HIV, HCV,
HBSAG, ECG, CXR & RFT - 1 Time

STAY BEYOND 3 DAYS AND ICU STAY Extra.


IPD CONSULTATION OTHER THAN NEURO
Exclusions SURGEON.
ADMISTRATION CHARGE (MRD & BMW)
Any Charges over & above the package would
be charge on actuals.

15 NEURO SURGERY NS7011 SUPRATENTORIAL


16 NEURO SURGERY NS7012 INFRATENTORIAL / POSTERIOR FOSSA
Particulars
Inclusion
CBC
KFT
PT
BLOOD GROUP
HIV
HCV
HBSAG
CXR
ECG
ECHO
NCCT HEAD
ABG
RBS monitoring
X-Ray chest
PHYSIOTHERAPY
PAC
DRILL
MICROSCOPE
CVP LINE
Arterial Line
Initiation of ventilator and management
ventilator charge per day
Nebulisation
ICU Stay
Ward Stay
SURGEON'S FEE
ANESTHETISTS FEE
OT CHARGE
OT Gas Charge
IPD Visits/Dietician visit
Medicine and consumables Rs. 15000/-

NOTE:EXCLUSIONS--1)STAY MORE THAN


PRESCRIBED 2) PACKAGE NOT APPLICABLE FOR
PATIENTS WITH MULTIBLE CO MORBID
CONDITIONS LIKE DIABETES,
HYPERTENSION, CORONARY ARTERY DISEASE,
ASTHMA ETC WHICH IS LIKELY TO INCREASE
PATIENTS HOSPITAL STAY 3) COSTLY
ANTIBIOTICS 4) IMPLANTS 5)
LOS SERVICE PACKAGE SURGERY OPD / GEN
3 YES 92400

175000

225000
BRAIN TUMOR Package
CATEGORY A
3
4
1
1
1
1
1
1
1
1
1
4
6
2
6
1
1
1
1
1
1
1
8
2
6
AYUSHMAN WARD (Total
DAY Avl-0) GNW (NON AC) (TotalGNW
CARE (Total Avl-4) Avl-3)(AC) (Total Avl-5)
SPECIAL WARD (Total Avl-34)
92400 92400 92400 92400 92400

175000 175000 175000 175000 175000


225000 225000 225000 225000 225000
MOR Package
CATEGORY B SURGERY CONSUMABLES
CATEGORY A QTY CATEGORY B QTY
3 DISPOVAN 50ML 2 2
4 DISPOVAN 20ML 2 2
1 CRANIOTOMY D 1 1
1 SUCTION SET 3 3
1 NEEDLE 18G 1 1
1 IV CANNULA 2 2
1 BLADE NO. 15 1 1
1 BLADE NO. 11 1 1
1 BLADE NO. 22 2 2
1 MOP(packet) 1 1
1 ROMOVAC 1 1
4 CREPE BANDAGE 1 1
6 PLAIN SHEET 3 3
2 GLOVES 8 8
6 HALF GOWN 4 4
1 EVD 1 1
1 SURGICEL 4X8 1 1
1 SURGICEL2X3 0 0
1 ABGEL 3 3
1 VICRYL2-0 (2317) 2 2
1 ETHILON 2-0(333 2 2
1 VICRYL4-0 (2304) 4 4
5 BONE WAX 1 1
1 SILK 1 1
4 NASAL PACK 0 0

MEDICINES POST
INJ DEXONA 4 MG 12 12
IV FLUID NS 15 15
INJ EPTOIN100MG 12 12
TAB EPTOIN 1 1
IN CEFTRIAXONE 2 6 6

INJ MANNITOL 10 10
SEMI PRIVATE ICU / CCU / HDU / S PVT ROOM ( AC) (Total
PVTAvl-3)
ROOM (NON AC) HDU
(Total(Total
Avl-3)Avl-11)
104410 122160 122160 122160 122160

197750 231370 231370 231370 231370


254250 297470 297470 297470 297470
CCU (Total Avl-5) ICU (Total Avl-4) DELUXE DELUXE ROOM -5 SERIES
DELUXE
(Total
ROOM-6
Avl-5) SERIES (Total Avl-3)
122160 122160 142930 142930 142930

231370 231370 270700 270700 270700


297470 297470 348040 348040 348040
VIP SUITE REMARKS
162940

308600
396770
S. NO. DEPARTMENT SERVICE CODE
420 OBSTETRICS AND GYNAE OG2182
421 OBSTETRICS AND GYNAE OG2183
422 OBSTETRICS AND GYNAE OG2184

lu c
In
io s
s& n
Packages Includes: Room rent, Doctor fee, OT/LR charges, local anesthesia, basic Investig
PackageS excludes: additional stay, Professional charges of other consultants, any additio

lu xc
The package are for uncomplicated case . in case of instrumental/twin/complicated deliv
E
io s
s n
S. NO. DEPARTMENT SERVICE COD
1 OBSTETRICS AND GYNAE GSPKG055
2 OBSTETRICS AND GYNAE GYPKG003
3 GYNAECOLOGY GYPKG004
4 GYNAECOLOGY GYPKG009
5 GYNAECOLOGY GYPKG012
6 GYNAECOLOGY GYPKG013
7 GYNAECOLOGY GYPKG014
8 GYNAECOLOGY GYPKG015
9 GYNAECOLOGY GYPKG018
10 GYNAECOLOGY GYPKG019
11 GYNAECOLOGY GYPKG020
12 GYNAECOLOGY GYPKG021
13 GYNAECOLOGY GYPKG022
14 GYNAECOLOGY GYPKG023
15 GYNAECOLOGY GYPKG024
16 GYNAECOLOGY GYPKG025
17 GYNAECOLOGY GYPKG027
18 GYNAECOLOGY GYPKG028
19 GYNAECOLOGY GYPKG030
20 GYNAECOLOGY GYPKG031
21 GYNAECOLOGY GYPKG032
22 GYNAECOLOGY GYPKG033
23 GYNAECOLOGY GYPKG034
24 GYNAECOLOGY GYPKG035
25 GYNAECOLOGY GYPKG036
26 GYNAECOLOGY GYPKG037
27 GYNAECOLOGY GYPKG039
28 GYNAECOLOGY GYPKG040
29 GYNAECOLOGY GYPKG041
30 GYNAECOLOGY GYPKG042
31 GYNAECOLOGY GYPKG045
32 GYNAECOLOGY GYPKG047
33 GYNAECOLOGY GYPKG048
34 GYNAECOLOGY GYPKG049
35 GYNAECOLOGY GYPKG051
36 GYNAECOLOGY GYPKG052
37 GYNAECOLOGY GYPKG053
38 GYNAECOLOGY GYPKG054
39 GYNAECOLOGY GYPKG055
40 GYNAECOLOGY GYPKG057
41 GYNAECOLOGY GYPKG059
42 GYNAECOLOGY GYPKG060
43 GYNAECOLOGY GYPKG061
44 GYNAECOLOGY GYPKG065
45 GYNAECOLOGY GYPKG066
46 GYNAECOLOGY GYPKG067
47 GYNAECOLOGY GYPKG068
48 GYNAECOLOGY GYPKG069
49 GYNAECOLOGY GYPKG073
50 GYNAECOLOGY GYPKG071
51 GYNAECOLOGY GYPKG072
52 GYNAECOLOGY GYPKG070
Packages Includes: Room rent, Doctor fee, OT/LR charges, local anesthesia, basic Investig
ns &
sio ns
clu sio

PackageS excludes: additional stay, Professional charges of other consultants, any additio
Ex clu

The package are for uncomplicated case . in case of instrumental/twin/complicated deliv


In
SERVICE NAME LOS SERVICE PACKAGE
NORMAL DELIVERY 2 YES
LSCS 3 YES
D&C 1 YES

ages Includes: Room rent, Doctor fee, OT/LR charges, local anesthesia, basic Investigations (CBC, Blood Sugar, PT, APTT, Hbsag and HIV) , R
ageS excludes: additional stay, Professional charges of other consultants, any additional procedure/investigation and Use of special drugs
package are for uncomplicated case . in case of instrumental/twin/complicated delivery, the package will not be applicable.

SERVICE NAME LOS SERVICE PACKAGE


DIAGNOSTIC LAPAROSCOPY Daycare YES
COLPOSCOPY (LA) Daycare YES
CRYOCAUTERY (LA) Daycare YES
MTP IST TRIMESTER Daycare YES
MIRENA INSERTION (GA) Daycare YES
CERVICAL POLYPECTOMY/ FRACTIONAL CURETTAGE (GA) Daycare YES
BARTHOLIN / PERINEAL CYST EXCISION Daycare YES
COLPOSCOPY WITH BIOPSY (GA) Daycare YES
COLPOSCOPY WITH BIOPSY WITH CRYOTHERAPY (GA) Daycare YES
CONIZATION Daycare YES
COLPOSCOPY + LOOP CONIZATION Daycare YES
COLOSCOPY + HYSTEROSCOPY + LEEP + EB 2 YES
DIAGNOSTIC HYSTEROSCOPY Daycare YES
HYSTEROSCOPIC REMOVAL OF FB Daycare YES
HYSTEROSCOPIC SYNECHILOLYSIS - SIMPLE 2 YES
HYSTEROSCOPY + D&C Daycare YES
HYSTEROSCOPIC SEPTUM RESECTION - PARTIAL 2 YES
HYSTEROSCOPIC CORNUAL CATH 2 YES
HYSTEROSCOPIC MYOMA RESECTION - SMALL Daycare YES
LAPAROSCOPIC TUBAL LIGATION Daycare YES
DIAGNOSTIC LAPAROSCOPY Daycare YES
DIAGNOSTIC LAP + CHROMOTUBATION Daycare YES
MTP + LAP LIGATION Daycare YES
DIAGNOSTIC LAP + HYSTEROSCOPY 2 YES
DIAGNOSTIC LAP + HYSTERO +EB + CHROMOTUBATION 2 YES
LAP OVARIAN DRILLING / CYST ASPIRATION / LOST IUCD 2 YES
LAPAROSCOPIC REMOVAL OF ADNEXAL STRUCTURES 2 YES
LAPAROSCOPIC OVARIAN CYSTECTOMY - SMALL 2 YES
LAPAROSCOPIC SALPINGOSTOMY / SALPINGONEOSTOMY 2 YES
LAPAROSCOPIC ADHESIOLYSIS / FIMBRIOPLASTY 2 YES
NON OBST D&C Daycare YES
MISSED ABORTION S&E Daycare YES
INCOMPLETE ABORTION S&E Daycare YES
ENDOMETRIAL BIOPSY(FOR TB PCR) Daycare YES
ENDOMETRIAL SAMPLING Daycare YES
COLPOSCOPY WITH BIOPSY+ECC Daycare YES
COLPOSCOPY WITH LEEP Daycare YES
LEEP/LLETZ Daycare YES
MICROCOLPOSCOPY Daycare YES
MICROCOLPOHYSTEROSCOPY 2 YES
HYSTEROSCOPIC SEPTUM RESECTION-COMPLETE 2 YES
HYSTEROSCOPIC SYNECHIOLYSIS- COMPLEX 2 YES
HYSTEROSCOPIC MYOMA RESECTION-LARGE 2 YES
LAPAROSCOPIC REMOVAL OF ENDOMETRIOMA 2 YES
LAPAROSCOPIC MYOMECTOMY -SMALL 2 YES
LAPAROSCOPIC FULGURATION OF ENDOMETRIOTIC IMPLANTS 2 YES
CERVICAL BIOPSY Daycare YES
HYSTERECTOMY ABDOMINAL Daycare YES
HYSTEROSCOPIC POLYPECTOMY 2 YES
LAP TOTAL HYSTERECTOMY 3 YES
LAP TOTAL HYSTERECTOMY + LAP OOPHER 3 YES
TOTAL ABDOMINAL HYSTERECTOMY, + REMOVAL OF TUBE(S)/OVARY(S) 3 YES
ages Includes: Room rent, Doctor fee, OT/LR charges, local anesthesia, basic Investigations (CBC, Blood Sugar, PT, APTT, Hbsag and HIV) , R

ageS excludes: additional stay, Professional charges of other consultants, any additional procedure/investigation and Use of special drugs
package are for uncomplicated case . in case of instrumental/twin/complicated delivery, the package will not be applicable.
SURGERY OPD / GEN AYUSHMAN WARD (Total Avl-0) DAY CARE (Total Avl-4) GNW (NON AC) (Total Avl-3)
30000 30000 30000 30000
50000 50000 50000 50000
19000 19000 19000 19000

T, APTT, Hbsag and HIV) , Routine drugs , disposables, One NST, Dietician visit, Physiotherapy
n and Use of special drugs/ consumables, Blood transfusion, Epidural/ GA charges with consumables, Neonatal attendence at the time of d
applicable.

SURGERY OPD / GEN AYUSHMAN WARD (Total Avl-0) DAY CARE (Total Avl-4) GNW (NON AC) (Total Avl-3)
40150 40150 40150 40150
5000 5000 5000 5000
6000 6000 6000 6000
15000 15000 15000 15000
17000 17000 17000 17000
13000 13000 13000 13000
14000 14000 14000 14000
17500 17500 17500 17500
23000 23000 23000 23000
25000 25000 25000 25000
25000 25000 25000 25000
34000 34000 34000 34000
21000 21000 21000 21000
21000 21000 21000 21000
26500 26500 26500 26500
22000 22000 22000 22000
34000 34000 34000 34000
38500 38500 38500 38500
38000 38000 38000 38000
26000 26000 26000 26000
36500 36500 36500 36500
39000 39000 39000 39000
22000 22000 22000 22000
44000 44000 44000 44000
54000 54000 54000 54000
36500 36500 36500 36500
43500 43500 43500 43500
43500 43500 43500 43500
47500 47500 47500 47500
42000 42000 42000 42000
14000 14000 14000 14000
15000 15000 15000 15000
13000 13000 13000 13000
15000 15000 15000 15000
12500 12500 12500 12500
23000 23000 23000 23000
17500 17500 17500 17500
18000 18000 18000 18000
26000 26000 26000 26000
27000 27000 27000 27000
36500 36500 36500 36500
36500 36500 36500 36500
42000 42000 42000 42000
47500 47500 47500 47500
38000 38000 38000 38000
39000 39000 39000 39000
14000 14000 14000 14000
80000 80000 80000 80000
26500 26500 26500 26500
110000 110000 110000 110000
121000 121000 121000 121000
90000 90000 90000 90000
T, APTT, Hbsag and HIV) , Routine drugs , disposables, One NST, Dietician visit, Physiotherapy

n and Use of special drugs/ consumables, Blood transfusion, Epidural/ GA charges with consumables, Neonatal attendence at the time of d
applicable.
GNW (AC) (Total Avl-5) SPECIAL WARD (Total Avl-34) SEMI PRIVATE ICU / CCU / HDU / SINGLE BED
30000 30000 33900 39660
50000 50000 56500 66110
19000 19000 21470 25120

attendence at the time of delivery and baby bill.

GNW (AC) (Total Avl-5) SPECIAL WARD (Total Avl-34) SEMI PRIVATE ICU / CCU / HDU / SINGLE BED
40150 40150 45370 53080
5000 5000 5650 6610
6000 6000 6780 7930
15000 15000 16950 19830
17000 17000 19210 22480
13000 13000 14690 17190
14000 14000 15820 18510
17500 17500 19780 23140
23000 23000 25990 30410
25000 25000 28250 33050
25000 25000 28250 33050
34000 34000 38420 44950
21000 21000 23730 27760
21000 21000 23730 27760
26500 26500 29950 35040
22000 22000 24860 29090
34000 34000 38420 44950
38500 38500 43510 50910
38000 38000 42940 50240
26000 26000 29380 34370
36500 36500 41250 48260
39000 39000 44070 51560
22000 22000 24860 29090
44000 44000 49720 58170
54000 54000 61020 71390
36500 36500 41250 48260
43500 43500 49160 57520
43500 43500 49160 57520
47500 47500 53680 62810
42000 42000 47460 55530
14000 14000 15820 18510
15000 15000 16950 19830
13000 13000 14690 17190
15000 15000 16950 19830
12500 12500 14130 16530
23000 23000 25990 30410
17500 17500 19780 23140
18000 18000 20340 23800
26000 26000 29380 34370
27000 27000 30510 35700
36500 36500 41250 48260
36500 36500 41250 48260
42000 42000 47460 55530
47500 47500 53680 62810
38000 38000 42940 50240
39000 39000 44070 51560
14000 14000 15820 18510
80000 80000 90400 105770
26500 26500 29950 35040
110000 110000 124300 145430
121000 121000 136730 159970
90000 90000 101700 118990

attendence at the time of delivery and baby bill.


PVT ROOM ( AC) (Total Avl-3) PVT ROOM (NON AC) (Total Avl-3) HDU (Total Avl-11) CCU (Total Avl-5)
39660 39660 39660 39660
66110 66110 66110 66110
25120 25120 25120 25120

PVT ROOM ( AC) (Total Avl-3) PVT ROOM (NON AC) (Total Avl-3) HDU (Total Avl-11) CCU (Total Avl-5)
53080 53080 53080 53080
6610 6610 6610 6610
7930 7930 7930 7930
19830 19830 19830 19830
22480 22480 22480 22480
17190 17190 17190 17190
18510 18510 18510 18510
23140 23140 23140 23140
30410 30410 30410 30410
33050 33050 33050 33050
33050 33050 33050 33050
44950 44950 44950 44950
27760 27760 27760 27760
27760 27760 27760 27760
35040 35040 35040 35040
29090 29090 29090 29090
44950 44950 44950 44950
50910 50910 50910 50910
50240 50240 50240 50240
34370 34370 34370 34370
48260 48260 48260 48260
51560 51560 51560 51560
29090 29090 29090 29090
58170 58170 58170 58170
71390 71390 71390 71390
48260 48260 48260 48260
57520 57520 57520 57520
57520 57520 57520 57520
62810 62810 62810 62810
55530 55530 55530 55530
18510 18510 18510 18510
19830 19830 19830 19830
17190 17190 17190 17190
19830 19830 19830 19830
16530 16530 16530 16530
30410 30410 30410 30410
23140 23140 23140 23140
23800 23800 23800 23800
34370 34370 34370 34370
35700 35700 35700 35700
48260 48260 48260 48260
48260 48260 48260 48260
55530 55530 55530 55530
62810 62810 62810 62810
50240 50240 50240 50240
51560 51560 51560 51560
18510 18510 18510 18510
105770 105770 105770 105770
35040 35040 35040 35040
145430 145430 145430 145430
159970 159970 159970 159970
118990 118990 118990 118990
ICU (Total Avl-4) DELUXE DELUXE ROOM -5 SERIES (Total Avl-5) DELUXE ROOM-6 SERIES (Total Avl-3) VIP SUITE
39660 46400 46400 46400 52900
66110 77350 77350 77350 88180
25120 29390 29390 29390 33500

ICU (Total Avl-4) DELUXE DELUXE ROOM -5 SERIES (Total Avl-5) DELUXE ROOM-6 SERIES (Total Avl-3) VIP SUITE
53080 62100 62100 62100 70790
6610 7730 7730 7730 8810
7930 9280 9280 9280 10580
19830 23200 23200 23200 26450
22480 26300 26300 26300 29980
17190 20110 20110 20110 22930
18510 21660 21660 21660 24690
23140 27070 27070 27070 30860
30410 35580 35580 35580 40560
33050 38670 38670 38670 44080
33050 38670 38670 38670 44080
44950 52590 52590 52590 59950
27760 32480 32480 32480 37030
27760 32480 32480 32480 37030
35040 41000 41000 41000 46740
29090 34040 34040 34040 38810
44950 52590 52590 52590 59950
50910 59560 59560 59560 67900
50240 58780 58780 58780 67010
34370 40210 40210 40210 45840
48260 56460 56460 56460 64360
51560 60330 60330 60330 68780
29090 34040 34040 34040 38810
58170 68060 68060 68060 77590
71390 83530 83530 83530 95220
48260 56460 56460 56460 64360
57520 67300 67300 67300 76720
57520 67300 67300 67300 76720
62810 73490 73490 73490 83780
55530 64970 64970 64970 74070
18510 21660 21660 21660 24690
19830 23200 23200 23200 26450
17190 20110 20110 20110 22930
19830 23200 23200 23200 26450
16530 19340 19340 19340 22050
30410 35580 35580 35580 40560
23140 27070 27070 27070 30860
23800 27850 27850 27850 31750
34370 40210 40210 40210 45840
35700 41770 41770 41770 47620
48260 56460 56460 56460 64360
48260 56460 56460 56460 64360
55530 64970 64970 64970 74070
62810 73490 73490 73490 83780
50240 58780 58780 58780 67010
51560 60330 60330 60330 68780
18510 21660 21660 21660 24690
105770 123750 123750 123750 141080
35040 41000 41000 41000 46740
145430 170150 170150 170150 193970
159970 187160 187160 187160 213360
118990 139220 139220 139220 158710
REMARKS

REMARKS
S. NO. DEPARTMENT SERVICE CODE

1 ORTHOPEDIC OR3001
2 ORTHOPEDIC OR3002
3 ORTHOPEDIC OR3003
4 ORTHOPEDIC OR3004
5 ORTHOPEDIC OR3005
6 ORTHOPEDIC OR3006

Package Includes: Stay up to (7 days for knee/hip U/L, 9 days for knee B/L, 10 days for h
ns &
sio ns
clu sio

Package excludes: Implant cost, additional stay, Professional charges of other consultan
Ex clu
In

Basic Investigations include- COMPLETE HEAMOGRAM/PERIPHERIAL SMEAR AND ESR,


SERVICE NAME LOS
SERVICE
Total Knee replacement (U/L) 7
Total Knee replacement (B/L) 9
Total hip replacement (U/L) 7
Total hip replacement (B/L) 10
TOTAL KNEE REPLACEMENT (B/L) (IN SAME ADMISSION SURGERY DONE IN 2 SI 10
TOTAL HIP REPLACEMENT (B/L) 2 SITTING 10

ncludes: Stay up to (7 days for knee/hip U/L, 9 days for knee B/L, 10 days for hip B/L), Surgeon fee, OT charges, anesthesia charge, basic In

xcludes: Implant cost, additional stay, Professional charges of other consultants, any additional procedure/investigation, CT/MRI and Use

stigations include- COMPLETE HEAMOGRAM/PERIPHERIAL SMEAR AND ESR, COAGULATION PROFILE, LFT, RENAL PROFILE, BLOOD SUGAR
OPD / GE
PACKAGE SURGERY AYUSHMANDAY
WARD
CARE
(Total
(Total
GNW (NON GNW
Avl-0)
Avl-4) (AC)Avl-3)
AC) (Total (Total Avl-5)
SPECIAL SEMI
WARD PRIVAvl-34)
(Total ICU / CCU
YES 147000 147000 147000 147000 147000 147000 166110 194350
YES 199000 199000 199000 199000 199000 199000 224870 263100
YES 135000 135000 135000 135000 135000 135000 152550 178480
YES 220000 220000 220000 220000 220000 220000 248600 290860
YES 242000 242000 242000 242000 242000 242000 273460 319950
YES 242000 242000 242000 242000 242000 242000 273460 319950

anesthesia charge, basic Investigations , Routine drugs and consumables , blood units (upto 2), Physiotherapy

stigation, CT/MRI and Use of special drugs/ consumables e.g.Immunoglobins, Albumin, TPNs etc..

AL PROFILE, BLOOD SUGAR , X-RAY CHEST,KNEE /HIP JOINT, ECG, ECHO.


PVT ROOM PVT
( AC)ROOM
(Total HDU
(NON
Avl-3)(Total
AC) (Total
Avl-11)
CCU (Total
Avl-3)Avl-5) DELUXE
ICU (Total Avl-4) DELUXE ROOM
DELUXE VIP
-5 SERIES
ROOM-6 SUITE
(Total
SERIESREMARKS
Avl-5)
(Total Avl-3)
194350 194350 194350 194350 194350 227390 227390 227390 259220
263100 263100 263100 263100 263100 307830 307830 307830 350930
178480 178480 178480 178480 178480 208820 208820 208820 238050
290860 290860 290860 290860 290860 340310 340310 340310 387950
319950 319950 319950 319950 319950 374340 374340 374340 426750
319950 319950 319950 319950 319950 374340 374340 374340 426750

apy
34 RESPIRATORY MEDICINE RM1033 BRONCHOSCOPY WITH BAL(LAVAGE) (Day Care package
35 RESPIRATORY MEDICINE RM1034 BRONCHOSCOPY WITH B.A.L (LAVAGE) WITH BIOPSY (Da
36 RESPIRATORY MEDICINE RM1035 BRONCHOSCOPY WITH TBLB (TRANSBRONCHIAL LUNG BI
37 RESPIRATORY MEDICINE RM1036 BRONCHOSCOPY WITH TBLB(TRANSBONCHIAL LUNG BIO

Package Includes-Room rent


(Day care), Doctor fee,
Procedure room charges, local
anesthesia, , Routine drugs ,
disposables, Consultation
charge, MRD charge
Inclusions & Exclusions Package excludes: Consultation
of other consultants, any
additional procedure/All
Laboratory and investigations
and Use of special drugs/
consumables, Epidural/ GA
charges with consumables.

Note : The package are for uncomplicated case , in Complecated case package will
yes 14000 14000 14000 14000 14000 14000 15820 18510
yes 14000 14000 14000 14000 14000 14000 15820 18510
yes 16000 16000 16000 16000 16000 16000 18080 21150
yes 16000 16000 16000 16000 16000 16000 18080 21150

mplecated case package will not be applicable.


18510 18510 18510 18510 18510 21660 21660 21660 24690
18510 18510 18510 18510 18510 21660 21660 21660 24690
21150 21150 21150 21150 21150 24750 24750 24750 28220
21150 21150 21150 21150 21150 24750 24750 24750 28220
Kidney transplantation
Package OPD / GEN AYUSHMAN
DAY
WARD
CARE(Total
(Total
GNWAvl-0)
(NON
Avl-4)
GNW
AC) (Total
(AC) (Total
Avl-3)Avl-5)
KIDNEY
RENAL TRANSPLRT0001 TRANSPL 550000 550000 550000 550000 550000
ANT
Package Include:
1. Total 14 days stay for recipient (5 days in ICU + 9 days in Single Bedded Room) & 7 days for donor ( 1 day St
2. Post operative lab charges for the Donor & Recipient ( Including Histopathology)
3. Post operative Radiology service for Donor & Recipient
4. Donor & Recipient OT/Ward consumables, Machine and OT Charges
5. One Pre Operative dialysis / one post dialysis if needed
6. Transfusion services : four units of blood & three units of FFP
7. Surgeon’s fee for donor & Recipient
8. Anesthesia Service for donor & Recipient
9. Stent removal (usually within a month)
Inclusions & 10. Rs- exploration of recipient / donor within package days
Exclusions
Package Excludes:
1. Pre operative donor & recipient work up
2. Stay more than 10 days will be charges extra for recipient and 6 days for donor
3. Medication like gancyclovir, IVIg, OKT3, ATG, IL2 receptors including need for TPN
4. Corrective surgery if any, after transplant for complications of biopsy after 9 days
5. Any Invasive cardiac imaging or intervention for heart disease that is required post operatively
6. HLA typing & cross match
7. Difference of room rent will be charges additionally if the donor stays in higher category of ward.
Any Charges over & above the package would be charge on actuals.
SPECIAL WARD
SEMI(Total
PRIV ICU
Avl-34)
/ CCU PVT ROOMPVT
( AC)
ROOM
(Total
HDU
(NON
Avl-3)
(Total
AC) CCU
(Total
Avl-11)
(Total
Avl-3)
ICU
Avl-5)
(Total Avl-4)
DELUXE DELUXE ROOM -5 SERIES (To

550000 621500 727160 727160 727160 727160 727160 727160 850780 850780

om) & 7 days for donor ( 1 day Stay in ICU + 6 days stay in Twin Sharing room ), one day pre operative & nine days post operative.

red post operatively

gher category of ward.


DELUXE ROOM-6
VIP SUITE
SERIES
REMARKS
(Total Avl-3)

850780 969890

e days post operative.

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