Ashtamudi Hospital & Trauma Care Centre, Kollam

Pricing of Service

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.

1 - DIAGNOSTICS
1(A) LAB (INHOUSE & COMMONLY PERFORMED OUTSOURCED INVESTIGATIONS)-OTHER HIGH END INVESTIGATIONS OUTSOURCED– CHARGES DEPEND ON THE INVESTIGATIONS.

Sl no	TEST	Rate (INR)
1	FBS	30
2	PPBS	30
3	RBS	30
4	GRBS	50
6	GCT	100
6	GTT	170
7	S URIC ACID	120
8	URINE RE	70
9	BILE SALT	60
10	BILE PIGMENT	60
11	BIOPSY MEDIUM	1250
12	BIOPSY SMALL	750
13	BOIOPSY LARGE	1350
14	BLOOD RE	160
15	PLASMA UREA	80
16	S CREATININE	80
17	BONE MARROW BIOPSY/ASPIRATION	1500
18	BT /CT	70
19	LFT	500
20	FLP	500
21	TOTAL CHOLESTEROL	80
22	BILIRUBIN TOTAL	80
23	BILIRUBIN DIRECT	80
24	BILIRUBIN INDIRECT	80
25	AST	90
26	ALT	90
27	ALK PHOSPHATASE	250
28	TFT	600
29	TSH	280
30	PT INR	250
31	HBSAg	200
32	Anti HCV	550
33	HIV	330
34	VDRL	300
35	BLOOD GROUP AND Rh	150
36	RA FACTOR	190
37	S Na	160
38	S K	160
39	Mx	120
40	STOOL RE	100
41	PAP SMEAR	380
42	FNAC	650

1(B) .X- RAY AND IMAGING

Sl No.	DESCRIPTION	RATE (INR)
1	X-Ray 14x 17 (IVP)	1500(cost of dye extra)
2	X-Ray 10 x8	250
3	ECG	100
4	ECHO	800
5	USS	700

1(C) CT SCAN

Sl No	CT SCAN	RATE (INR)
1	CT SCAN ELBOW	3000
2	CT SCAN MANDIBLE	2000
3	CT SCAN 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 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 SCAN BRAIN PLAIN	1800

2 - PROCEDURES
2(A). MINOR PROCEDURES (CONSUMABLES TO BE REPLACED)

Sl No	PROCEDURE	RATE (INR)
1	CENTRAL VENOUS CANULATION	2000
2	ABDOMINAL PARACENTESIS	800
3	BONE MARROW BIOPSY	3300
4	BLADDER WASH	280
5	BLOOD TRANSFUSION	280
6	BOWEL WASH	700
7	DEATH CARE	350
8	DIGITAL EVACUATION RECTUM	220
9	ENEMA	220
10	FOLEYS CATHETERIZATION	220
11	GASTRIC LAVAGE	550
12	DIALYSIS CATHETER INSERTION	4400
13	ENDOTRACHEAL INTUBATION	1050
14	INJECTION IM/IV	40
15	IV CANULATION	30
16	INTRA LESIONAL STEROIDS INJ.	850
17	LUMBAR PUNCTUARE	1100
18	NEBULIZATION - Cost Of Medicine Addl	75
19	PR PROCTOSCOPY	80
20	PLEURAL ASPIRATION/BIOPSY	1100
21	PS/PV	160
22	REMOVAL OF FOLEYS CATHETER	50
23	RYLES TUBE INSERTION	150
24	SKIN PREPARATION	200
25	SUTURE REMOVAL	100
26	SUTURING	80/ PER SUTURE
27	C&D MINOR	100
28	C&D MEDIUM	150
29	C&D MAJOR	250
30	FNAC PROCEDURE CHARGE	150

2(B). ORTHOPAEDIC MINOR PROCEDURES (CONSUMABLES TO REPLACED)

Sl No	PROCEDURE	RATE (INR)
1	BK CAST	800
2	BK SLAB	550
3	LA CAST	900
4	LA SLAB	700
5	LONG LEG CAST	900
6	LONG LEG SLAB	700
7	REMOVAL OF POP	100
8	SA CAST	800
9	SA SLAB	570
10	IMPLANT REMOVAL (OP)	250

2(C). ENT OPD PROCEDURES AND TESTS(CONSUMABLES TO BE REPLACED)

	EAR
Sl.No	PROCEDURES	AMOUNT
1	SUCTION CLEARANCE – ONE EAR	100
2	SUCTION CLEARANCE – BOTH EARS	150
3	SUCTION CLEARANCE – HARD WAX	200
4	EAR WICK – PER SITTING	100
5	EAR BIOPSY	250
6	EAR FOREIGN BODY REMOVAL	500
7	INTRA TYMPANIC INJECTION – PER SITTING	250
8	MASTOID DRESSING	200
9	EPLEY’S MANOEUVRE	100
10	VERTIGO PANEL	220
11	EAR PIERCING	500
12	EAR PIERCING – MULTIPLE	1000
13	EAR LOBE REPAIR – BOTH SIDES	1500
14	EAR LOBE REPAIR – ONE SIDES	800
15	VESTIBULAR REHABILITATION EXERCISES (VRE) PER SESSION	150
16	FACIAL PHYSIOTHERAPHY WITH ELECTRICAL STIMULATION (PER SESSION)	250
	NOSE
1	FESS CLEARANCE	600
2	Ag NO3 CAUTERISATION (EAR/NOSE/STOMA)	80
3	NASAL WASH DEMONSTRATION	40
4	ENDOSCOPIC NASAL BIOPSY	500
5	DIAGNOSTIC NASAL ENDOSCOPY	300
6	REPEAT NASAL ENDOSCOPY	260
7	NOSE FOREIGN BODY REMOVAL (ENDOSCOPIC)	500
8	SEPTAL ABSCESS DRAINAGE	500
9	NASAL DOUCHING /IRRIGATION	150
10	NASAL PACKING – IVALON ONE SIDE	700
11	NASAL PACKING – IVALON BOTH SIDES	1500
12	ENT ALLERGY HISTORY & COUNSELLING	100
13	NOSE PIERCING	500
14	EPISTASIS PACKING (ANTERIOR & POSTERIOR)	1500
	HEAD & NECK
1	BIOPSY ORAL CAVITY	550
2	BIOPSY OROPHARYNX	750
3	BIOPSY HYPOPHARYNX/LARYNX	1000
4	FLEXIBLE LARYNGOSCOPY	500
5	REPEAT FLEXIBLE LARYNGOSCOPY	300
6	SWALLOWING ASSESSMENT	500

2(D) DENTAL PROCEDURES (CONSUMABLES TO BE REPLACED)

Sl No	PROCEDURE	Rate (INR)
1	COMPLETE DENTURE	9000+Teeth Set
2	STAINLESS STEEL CROWN	2500
3	STUDY MODELS	600
4	X-RAY	150
5	CERAMIC VENEER	6000
6	EXTRACTION DECIDUOUS	200
7	NORMAL EXTRACTION	300
8	DIFFICULT EXTRACTION	800
9	IMPACTION	4000
10	TEMPFILLING	300
11	GLASS IONOMER	500
12	COMPOSITE ANTERIOR/POSTERIOR	700
13	RCT	2000
14	POST AND CORE	1500
15	CROWN METAL WITH FULL CERAMIC	4500
16	CROWN METAL FREE ALUMINA/ZIRCONIA	6500
17	CROWN REMOVAL	600
18	ORTHO REMOVABLE	2000
19	ORTHO FIXED	6000+Brackets
20	SCALING ONE SITTING	500
21	SUB GINGIVAL SCALING	2000
22	FRENECTOMY/OTHER MINOR SURGERY	1500
23	APICECTOMY	2500
24	PERIODONTAL FLAP QUADRANT	3000
25	PARTIAL DENTURE	900+Teeth Set

CT SCAN

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	HAEMORRHOIDS OPEN	18,000.00	2
12	HAEMORRHOIDS STAPLED	35,000.00	2
13	RECTOPEXY PERINEAL	30,000.00	2
14	RECTOPEXY ABDOMINAL	30,000.00	1
15	VARICOSE VEIN SURGERY	18,500.00	2
16	CHOLECYSTECTOMY OPEN	32,000.00	2
17	TUBE THORACOSTOMY	10,000.00	2
18	GASTRECTOMY	35,000.00	2
19	COLECTOMY	35,000.00	2
20	AP RESECTION	40,000.00	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/JEJUNOSTOMY	16,500.00	2
33	I & D ABSCESS SMALL	550.00	Day Case
	I & D ABSCESS LARGE	5000.00
34	EXCISION OF SEB CYST,LIPOMA AND SIMILAR S/C SWELLINGS/LA	5,000.00	Day Case
35	TRACHEOSTOMY	10,000.00	2
36	EXCISION OF SINUS	8,500	2
37	EXCISION OF THYROGLOSSAL CYST AND OTHER NECK SWELLINGS(GA)	20,000	2
38	FISTULA IN ANO	18,000	2
39	EXCISION OF LARGE SOFT TISSUE SWELLINGS –(UNDER ANAESTHESIA-UPPER LIMB)	20,000	2
40	EXCISION OF LARGE SOFT TISSUE SWELLINGS –(UNDER ANAESTHESIA-LOWER LIMB)	15,000	2
41	FASCIOTOMY FOR DEEP SPACE INFECTIONS	8000	3

3.SURGICAL PROCEDURES MAJOR
( All Inclusive Package applicable to General Ward. Management of comorbidities and preoperative evaluation exempted.Procedures not mentioned in the list will be charged based on the cost of the listed similar procedures)

3(A) 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

3(B) UROLOGY

Sl No	Name Of Surgery	Rate (INR)	Length of Stay Days
1	TURP( Prostate Surgery)	35,000.00	1
2	TURBT	35,000.00	1
3	URS +LITHOTRIPSY	35,000.00	1
4	DJ Stenting Unilateral	10,000.00	1
5	Removal Of DJ Stent	5,000.00	1
6	Cystolithotomy	25,000.00	1
7	Ureterolithotomy (open)	40,000.00	1
8	Cystoscopy / Anaesthesia	5,000.00	1
9	Pyelolithotomy	40,000.00	1
10	Urethral Dilatation	750.00	1
11	Orchiectomy B/L	17,000.00	1
12	SPC Open/Trocar	5,000.00	1
13	Cystoscopy LA	2500.00	1
14	Nephrectomy	50,000.00	1
15	RIRS	45,000.00	1

3(C). OBSTETRICS & GYNAECOLOGY

Sl No	Name Of Surgery	Rate (INR)	Length of Stay Days
1	NORMAL DELIVERY	10,000.00	2
2	FORCEPS/VACUUM DELIVERY	11,500.00	2
3	D&C	8,500.00	1
4	D&E	8,500.00	1
5	HYSTERECTOMY ABDOMINAL (OPEN)	26,000.00	2
6	HYSTERECTOMY (VAGINAL)	26,000.00	2
7	CAESAREAN SECTION	20,500.00	2
8	CERVICAL POLYPECTOMY/ANAESSTHESIA	8,500.00	1
9	BIOPSY CERVIX	5,000.00	1
10	MYOMECTOMY	31,000.00	2
11	ECTOPIC PREGNANCY- LAPAROTOMY	25,000.00	2
12	LAPAROTOMY- OVARIAN TUMOUR	30,000.00	2
13	PPS	8,500.00	2
14	MINILAP STERILISATION	8,500.00	1
15	LAPAROTOMY- UNCOMPLICATED OVARIAN CYS	23,000.00	3

3(D) NEUROSURGERY
(ICU STAY FOR UPTO TWO DAYS INCLUDED. VENTILATORY CARE BEYOND ONE DAY EXCLUDED)

Sl No	Name Of Surgery	Rate (INR)	Length of Stay Days
1	CHRONIC SUBDURAL HAEMATOMA	45,000.00	2
2	ACUTE EXTRADURAL HAEMATOMA	56,000.00	2
3	INTRACEREBRAL HAEMATOMA	56,000.00	2
4	DECOMPRESSION/EXCISION CONTUSION /LOBECTOMY	60,000.00	2
5	DEPRESSED FRACTURE SKULL	55,000.00	2
6	ACUTE SUBDURAL HAEMATOMA	56,000.00	2
7	VP SHUNT	50,000.00	2
8	CERVICAL DISCECTOMY ANTERIOR	50,000.00	2
9	LUMBAR DISCECTOMY	50,000.00	2
10	SPINAL TUMOUR	55,000.00	2
11	DECOMPRESSIVE LAMINECTOMY- CERVICAL/LUMBAR	45,000.00	2
12	BRAIN TUMOUR- CONVEXITY MENINGIOMA	65,000.00	2
13	GLIOMA	60,000.00	2
14	FORAMEN MAGNUM DECOMPRESSION	55,000.00	2
15	CTS-DEROOFING OF FLEXOR RETINACULUM	10000	1

3(E) ORTHOPAEDICS

Sl No	Name Of Surgery	Rate (INR)	Length of Stay Days
1	FRACTURE BOTH BORN FOREARM	30,000+Implant	2
2	FRACTURE SINGLE BONE FOREARM	20,000+IMPLANT	2-3
3	RADIAL HEAD EXCISION	20,000.00	2
4	TBW	20000+implant	2-3
5	DISTAL RADIUS	20,000+IMPLANT	2
6	PHALANX/METACARPAL	15,000+IMPLANT	1-2
7	TENDON REPAIR	15,000 TO 30000(Depending upon the number of tendons)	1-2
8	HUMERUS PLATING	35,000+Implant	2-3
9	DISTAL HUMERUS	35,000+Implant
10	BICOLOUMN PLATING	40,000+IMPLANT	4-5
11	SC HUMERUS PAEDIATRIC	25,000+IMPLANT	1-2
12	PROXIMAL HUMERUS	40,000+IMPLANT	2-3
13	CLAVICLE	25,000+IMPLANT	2-3
14	IMPLANT REMOVAL LOWER LIMB	20,000	2
15	HEMIARTHROPLASTY	30,000+Implant	2-3
16	PFN	35,000+Implant	2-3
17	DHS	30,000+Implant	2-3
18	SUBTROCHANTER	40,000+IMPLANT	2-3
19	SHAFT OF FEMUR	40,000+IMPLANT	2-4
20	DISTAL FEMUR	40,000+IMPLANT	3-4
21	HUMERUS NAILING	35,000+IMPLANT	2
22	PATELLA	25,000+IMPLANT	2-3
23	PROXIMAL TIBIA UNICONYLE	30,000+IMPLANT	2-4
24	BICONDYLE PROXIMAL TIBIA	40,000+IMPLANT	4-5
25	SHAFT OF TIBIA NAILING	35,000+Implant	2-4
26	DISTAL TIBIA	35,000+Implant	2-4
27	PILON FIXATOR	30,000+Implant	2-4
28	BIMALLEOLAR FRACTURE	30,000+Implant	2-4
29	TALUS	30,000+Implant	2-4
30	CALCANEUM	35,000+Implant	4-5
31	METATARSAL	50000+IMPLANT	2-3
32	PHALANX	10,000+Implant	1-2
33	TKR	50,000+Implant	5-7
34	THR	60,000+Implant	3-5
35	ACL REPAIR ARTHROSCOPIC	40,000+Implant	2-3
36	PCL REPAIR ARTHROSCOPIC	40,000+Implant	2-3
37	BANKART ARTHROSCOPIC	40,000+Implant	2-3
38	ROTATOR CUFF ARTHROSCOPIC	40,000+Implant	2-3
39	IMPLANT REMOVAL UPPER LIMP	25,000	2
40	CMR UNDER ANAESTHESIA	7500	1

4. ICU CHARGES PER DAY
ICU Rent : Rs.650/-
Nursing & Establishment : Rs.425/-
Waste management : Rs. 75 /-
Ventilator / hr : Rs.275/-
Monitoring/day : Rs.300/-
Air Bed : Rs 200/- per day
Oxygen admn/Hr : 80/hr

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

6. Room Charges ( Per Day- RS 1125/- AC)
Room Rent : Rs 650/-
Nursing Charge : Rs 200/-
Establishment Charge : Rs 200/-
Waste management : Rs 75/-

7. Room Charges ( Non AC Room with TV – Rs 875/- per day)
Room Rent :Rs 400/-
Nursing Charge :Rs 200/-
Establishment Charge : RS 200/-
Waste Management : Rs 75/-

8. Short Stay Ward – Emergency Department – Observation Charges
First Hour – Rs 150/-
For every subsequent hour upto 6 hrs – Rs 50/- per hour
Beyond six hours – Rs 25/- per hour.

9. Ward charges
Ward rent : Rs.175/-
Nursing & Establishment : Rs.200/-
Waste management : Rs.75/-
Medicines, Consumables and Lab Investigations will be additionally charged

10. CONSULTATION CHARGES
Consulting fees (Valid For 7 days) Specialty and Superspecialities : Rs.100/-
Family Medicine : Rs.100/-
Emergency Medicine : Rs. 100/- ( One Day)
OP registration fee ( One time ) : Rs100/- (30+70)
Dentistry : Free

11. OTHERS
MLC Charge : Rs.650/- IP Stationery charge : Rs.75/-