Package Arsh New
Package Arsh New
YES
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
YES
Permanent Pacemaker
Implantation Single Chamber
13 CARDIOLO CD1010 2
(1 Day ICU + 1 Day Opted
Category)
YES
YES
17 CARDIOLO CD1014 Septal Ablation 1
YES
BMV/PTMC (1 Day ICU + 1
18 CARDIOLO CD1016 Day Opted Category) 2
includes TEE
YES
YES
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
YES
YES
Coil Embolization
31 CARDIOLO CD1030 ( Medicines, Coil, Spl 1
Catheter, Dye extra)
YES
35 CARDIOLO CD1032 TAVI/TAVR 3
YES
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)
YES
YES
YES
YES
YES
YES
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
COMPLEX WOUND
383 DENTAL DN7101
MANAGEMENT
YES
CHIN AUGMENTATION-
384 DENTAL DN7102
OSTEOTOMY+ BONEGRAFT
YES
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
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
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)
TLC, DLC, HB, PLATELETS, UREA, CREATININE, NA+, K+, LFT, HIV, HCV, HBSAG, ECG, CXR
Inclusion - Lap
Medicine / Consumable Limits - 6500 /-
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
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
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
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
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.
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
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
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
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..
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
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
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.
850780 969890