Ashtamudi Hospital & Trauma Care Centre, Kollam

Advanced Facilities

Intensive Care Unit (7 bedded)

CT Scan

Ultra Sound Scan

Dialysis unit

Equipped OTs

Costing Of Services with effect from 01-09-2016

Surgical Cases: Costing of common surgical conditions.
Conditions not mentioned in the list will be charged according to the costing of similar listed procedures. Pre-operative evaluation is not a part of the package.
Package includes all medications and treatment for the present surgical condition while in the hospital (for the length of stay mentioned).
But medications and treatment for preexisting diseases and comorbidities (diseases not directly related to the present surgical condition Eg: Diabetes Mellitus, Hypertension etc.) don’t form part of the package.
If the patient opts for privet rooms, room rent @Rs 800.00 per day will be addl.
For RSBY Beneficiaries, the rates approved by the Govt as per RSBY guidelines apply.

LAB CHARGES

Sl no	TEST	Rate (INR)
1	ABG	820
2	ANA Profile	700
3	ANA ANTIBODIES Card	450
4	ANTI CCP ANTIBODY	1950
5	ANTI HCV ANTIBODY	800
6	APTT	250
7	ASO TITRE	400
8	BETA HCG	650
9	BILE SALT	60
10	BILE PIGMENT	60
11	BIOPSY MEDIUM	1250
12	BIOPSY SMAL	750
13	BLOOD C/S	750
14	BLOOD RE	160
15	BLOOD UREA	80
16	BOIOPSY LARGE	1350
17	BONE MARROW BIOPSY/ASPIRATION	600
18	BT /CT	70
19	CA 125	950
20	CBC	140
21	CPK	400
22	CRP	330
23	CSF CYTOLOGY	625
24	DCT	280
25	DENGUE	1200
26	ELISA HBSAG	440
27	ELISA HCV	600
28	ELISA HIV	410
29	ESR	60
30	FBS	30
31	FERTIN	600
32	FLP	450
33	FNAC	650
34	FSH	500
35	FT3	650
36	FT4	650
37	GCT	100
38	GRBS	50
39	GROUP AND RH	150
40	GROWTH HORMONE	3500
41	GTT	170
42	HAV ANTIBODY	700
43	Hb	50
44	HBAIC	550
45	HBSAG	200
46	HCV	550
45	HIV	330
45	ICT	280
45	LDH	280
50	LFT	550
51	LH ( luteinizing hormone)	480
52	MALARIAL PARASITE	200
53	MICRO ALBUMIN UREA	500
54	MX TEST	120
55	OCCUL BLOOD STOOL	150
56	PAP SMEAR	380
57	PBF(PHERIPHERAL SMEAR)	250
58	PCV	90
59	PLC	60
60	POTASIUM (K+)	160
61	PPBS	30
62	PROLACTIN	500
63	PROTHROMBIN TIME	250
64	PSA	450
65	PT INR	220
66	PTH	1700
67	PUS CULTURE & SENSITIVITY	420
68	RA FACTOR	190
69	RBS	30
70	S. BILIRUBIN (T)	80
71	S. COMPLEMENT C3	450
72	S. ALKALINE PHOSPHATASE	250
73	S.AMYLASE	350
74	S.BILIRUBIN (D)	80
75	S.CALCITONIN	2500
76	S.CALCIUM	150
78	S.BILIRUBIN(I)	180
79	S.IRON	520
80	S.LIPASE	450
81	S.PHOSPHOROUS	170
82	S.PROTEIN ELECTROPHORESIS	650
83	SEMEN ANALYSIS	350
84	SERUM CREATININE	80
85	SGOT(AST)	90
86	SGPT(ALT)	90
87	SODIUM(Na+)	160
88	SPUTUM CYTOLOGY	400
89	STOOL RE	100
90	TFT	600
91	TROPONIN (CARD)	350
92	TROPONIN I	900
294	TSH	280
94	UPT (PREGNANCY TEST)	150
95	URIC ACID	120
96	URINE ACETONE	50
97	URINE ALBUMIN	50
98	URINE CULTURE	400
99	URINE PROTEIN 24HRS	220
100	URINE PROTEIN CREATININE RATIO	250
101	URINE RE	70
102	URINE SUGAR	30
103	VDRL	300
104	VITAMIN D ASSAY	1000
105	WIDAL	270

X- RAY

Sl No.	DESCRIPTION	RATE (INR)
1	X-Ray 14x 17	200
2	X-Ray 12x 15	180
3	X-Ray 12x 10	170
4	ECG	100
5	ECHO	800

PROCEDURE

Sl No	PROCEDURE	RATE (INR)

1	ALFA BED	200
2	ABDOMINAL PARACENTESIS	800
3	BONE MARROW BIOPSY	3300
4	BK CAST	800
5	BK SLAB	550
6	BLADDER WASH	280
7	BLOOD TRANSFUSION	280
8	BOWEL WASH	700
9	C& D MINOR	100
10	C&D Major	200
11	C&D Medium	150
12	DEATH CARE	350
13	DIGITAL EVACUATION	220
14	DIALYSIS CATHETER INSERTION	4400
15	ENEMA	220
16	ENDOTRACHEAL INTUBATION	1050
17	FOLEYS CATHETERIZATION	220
18	GASTRIC LAVAGE	550
19	I & D	550
20	INJECTION IM/IV	40
21	IV CANULATION	30
22	INTRA LESIONAL STEROIDS INJ.	850
23	LA CAST	900
24	LA SLAB	700
25	LONG LEG CAST	900
26.	LONG LEG SLAB	700
27	LUMBAR PUNCTUARE	1100
28	NAIL REMOVAL	2750
29	NEBULIZATION - Cost Of Medicine Addl	75
30	OXYGEN/Hr	150
31	PLUREL ASPIRATION/BIOPSY	1100
32	PR PROCTOSCOPY	580
33	PS/PV	160
34	REMOVAL OF FOLEYS	160
35	REMOVAL OF POP	50
36	RYLES TUBE INSERTION	220
37	SA CAST	160
38	SA SLAB	570
39	SKIN PREPARATION	290
40	SUTURE REMOVAL	50
41	SUTURING	80/1
42	TUBE THORACOSTOMY	7700
43	VENTILATOR/ Hr	270
44	OBSERVATION Emergency ward	150/hr
45	MONITORING ICU	300/hr

CT SCAN

Sl No	CT SCAN	RATE (INR)

1	CT SCAN ELBOW	3000
2	CT SCAN MANDIBLE	2000
3	CT SACN ORBIT	2000
4	CT SCAN ABDOMEN PLAIN AND CONTRAST	5500
5	CT SCAN SPINE (PLAIN)	3000
6	CT SCAN KNEE	3000
7	CT CHEST PLAIN	4000
8	CT SCAN CHEST AND ABDOMEN PLAIN	4000
9	CT SCAN PELVIS	2000
10	CT SCAN PNS	2000
11	CT CHEST PLAIN AND CONTRAST	5500
12	CT SCAN CISTETRNOGRAM	2000
13	CT SCAN EAR	2000
14	CT SCAN ANKLE	2000
15	CT SCAN CERVICAL SPINE (NECK)	3000
16	CT BRAIN PLAIN AND CONTRAST	2900
17	CT UROGRAM	5500
18	CT BRAIN CONTRAST	1500
19	CT SCAN BRAIN PLAIN	1800

ICU CHARGES PER DAY (1150 +300 +300)
ICU Rent : Rs.650/-
Nursing & Establishment : Rs.425/-
Waste management : Rs. 75 /-
Ventilator : Rs.300/-
Monitoring : Rs.300/-

Room Charges (Per day- Rs 800)
Room Rent : Rs.325/-
Nursing Charge : Rs.200/-
Establishment charge : Rs.200/-
Waste management : Rs. 75/-

Ward charges
Ward rent : Rs.175/-
Nursing & Establishment : Rs.200/-
Waste management : Rs.75/-

MLC Charge- Rs.650/-
IP Stationery charge -Rs.75/-
USS -Rs.750/-
Dialysis- Rs.650/-
Consulting fees (Valid For 7 days)
Specialty and Superspecialities – Rs.100/-
Family Medicine-Rs.75/-
Emergency –Rs. 100/- ( One Day)
OP registration fee-Rs30/-

SURGICAL PROCEDURE

GENERAL SURGERY

Sl No	Name of surgery	Rate (INR)	Length of Stay Days
1	Thyroidectomy	32,000.00	2
2	Submandibular sialadenectomy	25,000.00	2
3	Parotidectomy superficial	28,000.00	2
4	Cervical LN Biopsy	9,000.00	Day Case
5	Breast lump excision	9,500.00	1
6	Mastectomy	30,000.00	4
7	Hernioplasty-Incisional	25,000.00	3
8	Hernioplasty- inguinal & femoral,epigastric, paraumbilical	19,500.00	2
9	Hydrocoele	15,500.00	2
10	Varicocoele	15,500.00	2
11	Haemarrhoids Open	18,000.00	2
12	Haemarrhoids Stapled	35,000.00	2
13	Rectopexy Perineal	26,000.00	2
14	Rectopexy Abdominal	35,000.00	1
15	Varicose vein surgery	18,500.00	2
16	Cholecystectomy Open	32,000.00	2
17	Cholecystectomy Lap	40,000.00	2
18	Gastrectomy	43,000.00	2
19	Colectomy	45,000.00	2
20	AP Resection	45,000.00	2
21	Appendicectomy	19,500.00	3
22	Laparotomy – Peritonitis/Perf hollow viscus	28,500.00	2
23	Laparotomy+ Resection anastomosis bowel	35,000.00	2
24	Pilonidalsinus	18,500.00	2
25	Circumcision	10,000.00	2
26	Ray Amputation	6000.00	2
27	Above Knee Amputation	20,000.00	2
28	BK Amputation	20,000.00	2
29	Herniotomy	15,500.00	2
30	SSG(skin grafting)	16,000.00	2
31	Colostomy	16,500.00	2
32	Feeding Gastrostomy	16,500.00	2
33	I & D abscess/LA	550.00	Day Case
34	Excision of Seb cyst,lipoma and similar S/C swellings/LA	3,500.00	Day Case
35	Tracheostomy	10,000.00	2

OBSTETRICS & GYNAECOLOGY

Sl No	Name Of Surgery	Rate (INR)	Length of Stay Days
36	Normal Delivery	10,000.00	2
37	Forceps/Vacuum Delivery	11,500	2
38	D&C	8,500.00	1
39	D&E	8,500.00	1
40	Hysterectomy Abdominal (open)	26,000.00	2
41	Hysterectomy (Laparoscopic)	40,000.00	2
42	Hysterectomy (vaginal)	26,000.00	2
43	Caesarean Section	20,500.00	2
44	Cervical Polypectomy	5,000.00	1
45	Biopsy Cervix	5,000.00	1
46	Myomectomy	31,000.00	2
47	Ectopic Pregnancy- Laparotomy	20,000.00	2
48	Laparotomy- ovarian Tumour	32,000.00	2
49	Laparoscopy- ovarian cyst	32,000.00	2
50	PPS	8,500.00	2
51	Laparoscopy - Sterilisation	16,500.00	2
52	Minilap Sterilisation	6,500.00	1
53	Laparotomy- Uncomplicated ovarian cys	23,000.00	3

NEUROSURGERY - Uncomplicated

Sl No	Name Of Surgery	Rate (INR)	Length of Stay Days
54	Chronic Subdural Haematoma	45,000.00	2
55	Acute Extradural Haematoma	56,000.00	2
56	Intracerebral Haematoma	56,000.00	2
57	Decompression/Excision Contusion /Lobectomy	60,000.00	2
58	Depressed Fracture Skull	55,000.00	2
59	Acute Subdural Haematoma	56,000.00	2
60	VP shunt	50,000.00	2
61	Cervical Discectomy Anterior	50,000.00	2
62	Lumbar Discectomy	50,000.00	2
63	Spinal Tumour	55,000.00	2
64	Decompressive Laminectomy- Cervical/Lumbar	45,000.00	2
65	Brain Tumour- Convexity Meningioma	65,000.00	2
66	Glioma	60,000.00	2
67	Foramen Magnum Decompression	55,000.00	2

Post Operative Care – Ventilator care not included.
ICU care more than 45 hrs excluded.

ORTHOPAEDICS

Sl No	Name Of Surgery	Rate (INR)	Length of Stay Days
68	Fracture Both Born Forearm	30,000+Implant	2
69	SINGLE BONE	20,000+IMPLANT	2-3
70	RADIAL HEAD EXCISION	18,000.00	2
71	TBW	2000+implant	2-3
72	DISTAL RADIUS	20,000+IMPLANT	2
73	PHALANX/METACARPAL	15,000.00	1-2
74	TENDON REPAIR	15,000.00	1-2
75	HUMERUS PLATTING	35,000+Implant	2-3
76	NAILING
77	DISTAL HUMERUS
78	BICOLOUMN PLATING	40,000+IMPLANT	4-5
79	SC HUMERUS PAEDIATRIC	20,000+IMPLANT	1-2
80	PROXIMAL HUMERUS	40,000+IMPLANT	2-3
81	CLAVICLE	25,000+IMPLANT	2-3
82	NECK OF FEMUR FIXATION	25,000+IMPLANT	2
83	HEMIARTHROPLASTY	35,000+Implant	2-3
84	PFN	30,000+Implant	2-3
85	DHS	30,000+Implant	2-3
86	SUBTROCHANTER	40,000+IMPLANT	2-3
87	SHAFT OF FEMUR	40,000+IMPLANT	2-4
88	DISTAL FEMUR	40,000+IMPLANT	3-4
89	NAILING	40,000+IMPLANT	2-4
90	PATELLA	25,000+IMPLANT	2-3
91	PROXIMAL TIBIA UNICONYLE	30,000+IMPLANT	2-4
92	BICONDYLE	40,000+IMPLANT	4-5
93	SHAFT OF TIBIA	35,000+Implant	2-4
94	DISTAL TIBIA	35,000+Implant	2-4
95	PILON FIXATOR	30,000+Implant	2-4
96	BIMALLEOLAR	30,000+Implant	2-4
97	TALUS	30,000+Implant	2-4
98	CALCANEUM	35,000+Implant	4-5
99	METATARSAL	18-25000+IMPLANT	2-3
100	PHALANX	15,000+Implant	1-2
101	TKR	50,000+Implant	5-7
102	THR	55,000+Implant	3-5
103	ACL	40,000+Implant	2-3
104	PCL	40,000+Implant	2-3
105	BANKART	40,000+Implant	2-3
106	CUFF	40,000+Implant	2-3

ENT

Sl No	Name Of Surgery	Rate (INR)	Length of Stay Days
107	DIRECT LARYNGO SCOPY (DLS)	8,000.00	D
108	DIAGNOSTIC NASAL ENDOSCOPY O.T	2,500.00	D
109	DIAGNOSTIC NASAL ENDOSCOPY (LOCAL)	2,000.00	D
110	EAR EVACUATION (GA)	2,500.00	D
111	EAR LOBE REPAIR ONE SIDE (LA)	2,000.00	D
112	EAR LOBE REPAIR (BOTH)	3,000.00	D
113	EUM (EXAMINATION UNDER MICRO SCOPE)	1,500.00	D
114	EXCISION BRANCHIAL CYST	20,000.00	3
115	EXCISION RHINO SPORDIUM	22,500.00	3
116	EXCISION ELONGATED STYLOID	20,000.00	3
117	FESS CLEAREANCE OT	2,500.00	D
118	FESS (FULL)	30,000.00	3
119	GROMMET INSERTION - BILATERAL	3,750.00	D
120	MASTOIDECTOMY	25,000.00	3
121	ML SCOPY	9,000.00	D
122	ML SCOPY/BIOPSY/SURGERY	10,000.00	D
123	MYRINGOPLASTY (LA)	20,000.00	3
124	NASAL BONE FRACTURE (LA)	7,000.00	2
125	RHINOLITH REMOVAL	9,000.00	2
126	RHINOPLASTY	32,000.00	3
127	SEPTOPLASTY	15,000.00	3
128	SEPTO-RHINO PLASTY	35,000.00	3
129	SMR-SUB MUCOSAL RESECTION	15,000.00	3
130	THYROGLOSSAL CYST REMOVAL	20,000.00	3
131	THYROPLASTY	20,000.00	3
132	TONGUE TIE RELEASE	5,000.00	D
133	TONSILLECTOMY	18,000.00	3
134	TYMPANOPLASTY	22,500.00	3
135	YOUNG'S OPERATION	15,000.00	3
136	ADENOIDECTOMY	12,000.00	3
137	ADENOTONSILLECTOMY	22,000.00	3
138	FESS (LIMITED)	23,000.00	3

UROLOGY

Sl No	Name Of Surgery	Rate (INR)	Length of Stay Days
139	TURP( Prostate Surgery)	25,000.00	1
140	TURBT	23,000.00	1
141	URS	20,000.00	1
142	DJ Stenting	12,000.00	1
143	Removal Of DJ Stent	5,000.00	1
144	Cystolithotomy	14,000.00	1
145	Ureterolithotomy	25,000.00	1
146	Cystoscopy / Anaesthesia	5,000.00	1
147	Pyelolithotomy	30,000.00	1
148	Urethral Dilatation	500.00	1
149	Orchiectomy B/L	15,000.00	1
150	SPC Open/Trocar	2,500.00	1
151	Cystoscopy LA	2000.00	1
152	Nephrectomy	35,000.00	1