NABH & NABL ACCREDITED HOSPITAL

Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531

E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION

OPD
1 3788 EMERGENCY REGISTRATION 250
2 3653 CONSULTATION GENERAL PHYSICIAN 500
3 FOLLOW VISIT (GENERAL PHYSICIAN) 500
4 CONSULTATION SUPER SPECIALIST 700
5 3656 FOLLOW UP VISIT CHARGES SUPER SPL. 700
6 .

7 17892 OPD REGISTRATION CHARGES 100

IPD
8 3659 I.P.VISIT 500
9 I.P. VISIT SUPER SPECIALITY 600
10 5752 I.P. VISIT I.C.C.U./ ICU/NICU 800
11 3753 VISIT FOR OBSERVATION IN CASULATY 600
12 3752 I.P. EMERGENCY VISIT (NIGHT) 600
13 3752 I.P. EMERGENCY VISIT ICCU / ICU (NIGHT) 800
14 3754 I.P. EMERGENCY VISIT EOW (NIGHT) 800
15 5145 PAEDIATRIC NORMAL VISIT (PER VISIT) 500
16 PAEDITRIC SUPER SPECIALITY VISIT 600
17 5140 ADMISSION CHARGES (INDOOR) 350
ROOM
18
CHAR 3642 GENERAL 3000
19 ECO - WARD 3200
20 3641 SEMI PRIVATE 4000
21 3638 PRIVATE 6000
22 3637 DELUXE 7000
23 3643 I.C.U 7500
24 3704 ICCU 8000
25 3703 EMERGENCY OBSERVATION WARD 3500
26 3700 NURSERY GENERAL 3000
27 3701 NURSERY SEMI PRIVATE 3000
28 3702 NURSERY PRIVATE 3000
29 3644 NURSERY (O.S.D. / I.S.D.) 3000
30 NICU (O.S.D / I.S.D) 5500
30A Day care ( Upto 6 hrs) 2000
31 17109 DIETICIAN CHARGES 250
MISCELLANEOUS Gen S. Pvt. Pvt.
32 3674 INJ. I/M SERVICE CHARGES ONLY 60 60 60
33 3675 INJ. SUB/CUT SERVICE CHARGES 100 100 100
34 3676 INJ. I/V SERVICE CHARGES ONLY 60 60 120
35 3677 MINOR SUTURING/SMALLABSCESS 120 170 220
36 3678 MED. SUTURING / MED. ABSCESS 350 500 650
37 3679 MINOR DRESSINGS FIRSTAND SUBSEQUENT 150 200 250
38 3680 MAJOR DRESSINGS FIRSTAND SUBSEQUENT 300 350 400
39 3681 DRESSING SPECIAL (BY CONSULTANT) 350 400 500
40 3661 ENEMASOAPWATER / GLYCERINE 150 200 250
41 3662 SPLINT SERVICE CHARGES 150 200 250
Page 1 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
42 3663 ROOM HEATER CHARGES 350 350 350
43 3732 VENTILATOR CHARGES 4000 4000 4000
44 3665 TAPPING OF PLURAL / ABDOMINAL FLUID 400 500 550
45 5205 BT ( BLOOD TRANSFUSION ) 400 500 550
46 3667 NEBULIZOR CHARGES (PER DAY) 300 350 400
47 3668 OXYGEN THERAPY (PER HOUR) 100 100 100
48 5144 CATHETERISATION 150 200 300
49 3670 CERTIFICATE FITNESS / MEDICAL / BIRTH 100 100 150
50 3671 CERTIFICATE (INJURY REPORT) 250 250 300
51 3672 COURT EVIDENCE CHARGES MLC (Accident) 2000 2000 2000
52 5291 GASTRIC LAVAGE 350 400 500
53 5153 C-ARM 650 1050 2100
54 5383 LITHOCLAST PROBE 250 250 300
55 5411 INJ. FLUARIX 900 1050 1200
56 5397 INJ. CHEMOTHERAPY 400 500 650
57 5336 BED SHEET 325 325 325
58 5333 SURGICAL BLADE 150 150 200
59 5509 BIPAP 2000 2000 2000
59A 18177 Mortuary Charges (per day) 2000 2000 2000
59B 5480 AIR BED 215 215 215
ENT OPERATIONS Gen S. Pvt. Pvt.
60 2933 BIOPSY ORAL CAVITY 1650 2650 4400
61 2928 BLOCK DISSECTION OF NECK 11700 17550 23400
62 2925 CORRECTION OF CHOENAL ATRESIA 9100 13650 18200
63 2903 DIAGNOSTIC NASAL ENDOSCOPY 1100 1650 2200
64 2916 DIRECT LARYNGOSCOPY 1550 2350 3100
65 2890 EAR - FOREIGN BODY REMOVAL 1000 1500 2000
66 2862 EAR - MASTOIDECTOMY 10400 15600 20800
67 2884 EAR - MYRINGOPLASTY 7800 11700 15600
68 2889 EAR - OSSICULOPLASTY 10400 15600 20800
69 2864 EAR - RADICAL MASTOIDECTOMY 10400 15600 20800
70 2888 EAR- STAPEDECTOMY 9100 13650 18200
71 2885 EAR- TYMPANOTOMY 9100 13650 18200
72 2873 EAR - NERVE GRAFTING 13000 19500 26000
73 2868 EAR - FACIAL NERVE DECOMPRESSION 13000 19500 26000
74 2863 EAR - M.R. MASTOIDECTOMY 13000 19500 26000
75 2874 EAR - REVISION MASTOIDECTOMY 11700 17550 23400
76 2931 EXCISION OF PRE- AURICULAR SINUS 4550 6800 9100
77 2912 HUMP CORRECTION WITH SEPTOPLASTY 4550 6800 9100
78 2901 I & D SEPTALABSCESS BILATERAL 1950 2950 3900
79 2896 INTRANASAL- POLYPECTOMY - BILATERAL 4550 6800 9100
80 2922 LARYNECTOMY 18200 27300 36400
81 2920 LARYNGO FISSURE 11700 17550 23400
82 2921 LARYNGO PLASTY 11700 17550 23400
83 2891 MASTOID ABCESS I & D # 1950 2950 3900
84 2926 MAXILLECTOMY 14300 21450 28600
85 2918 MICROLARYGOSOCOPY 7800 11700 15600
86 2906 NASAL ENDOSCOPY / OTHER ENDOSCOPIC PROCEDURE 7800 11700 15600

Page 2 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
87 2917 NASO PHARYNGOSCOPY 7800 11700 15600
88 2897 NOSE - PARTIAL TURBINECTOMY - UNILATERAL 4550 6900 9100
89 2894 NOSE - S.M.R.# 2750 4100 5850
90 2909 NOSE - TIP PLASTY # 2750 4100 5850
91 2893 NOSE - YOUNG' S OPERATION# 2750 4100 5850
92 2875 NOSE- CALD- WEL- LUC 6000 9000 12000
93 2879 NOSE- EXTERNAL ETHMOIDECTOMY 9750 14700 19500
94 2878 NOSE- HORGANS OPERATION 9750 14700 19500
95 2877 NOSE- INTRA NASAL ETHMOIDECTOMY 9750 14700 19500
96 2895 NOSE- INTRANASAL POLYPECTOMY - UNILATERAL 5200 7800 10400
97 2880 NOSE- LATERAL RHINOTOMY 9100 13650 18200
98 2876 NOSE- NASAL BONE FRACTURE REDUCTION 5200 7800 10400
99 2924 PALATO PHARYHGOPLASTY 11700 17550 23400
100 2900 PARTIAL TURBINECTOMY BILATERAL 6000 9000 12000
101 2932 POST NASAL PACK UNDER G. A. 7150 10800 14300
102 2923 RECURRENT LARYNGEAL NERVE DECOMPRESS 9100 13650 18200
103 2930 REMOVAL OF NECK MASS 6250 9400 12500
104 2902 REMOVAL OF RHINOLATH 4550 6800 9100
105 2913 SEPTOPLASTY 6500 9750 13000
106 2905 SINOSCOPY - BILATERAL 10400 15600 20800
107 2904 SINOSCOPY - UNILATERAL 9100 13650 18200
108 2929 SUBMANDIBULAR GLAND EXCI. 9100 13650 18200
109 2908 THROAT - ADENOTONSILLECTOMY 7800 11700 15600
110 2907 THROAT - TONSILLECTOMY 7150 10800 14300
111 2881 THROAT- ADENOID CURRETAGE 5200 7800 10400
112 2882 THROAT- STYLOIDECTOMY 9100 13650 18200
113 2911 TIP PLASTY WITH HUMP CORRECTION 3900 5850 7800
114 2934 TRACHEOPLASTY 13650 20550 27300
115 2919 TRACHEOSTOMY 5850 8750 11700
116 2927 TRANS PALATAL EXCI. OF NASOPHARYNGE 13000 19500 26000
117 2892 TYMPANOPLASTY 9100 13650 18200
118 2959 SOLITARY LYMPH NODE BIOPSY 3000 4550 6000
119 2957 SPLIT EAR REPAIR & PERCING - BILATERAL 2350 3550 4700
120 2956 SPLIT EAR REPAIR & PERCING - UNILATERAL 1400 2150 2900
121 2960 SPLIT NOSE REPAIR 3800 5850 7550
122 2961 SUBMANDIBULAR DUCT. STONE REMOVAL 1600 2350 3150
123 2968 REMOVAL OF FB NOSE 1450 2150 2900
124 2951 MYRINGOTOMY WITH GROMMET INSERTION 1850 2750 3800
125 2952 MYRINGOTOMY WITHOUT GROMMET INSERTION 1150 1700 2500
126 2967 I&D OF SEPTAL HAEMATOMA 2300 3250 4550
127 2940 EXCISION OF SOLITARY SEBACEOUS CYST 2300 3250 4550
128 2947 FOREIGN BODY NOSE / EAR 300 450 550
129 2950 E .U . M . 550 850 1100
130 2953 E .U . M . WITH AURAL POLYPECTOMY 800 1200 1650
131 2965 CHANGE OF TRACHEOSTOMY TUBE 750 1050 1450
132 2948 ANT. NASAL PACKING / DOUCHE / REMOVAL 800 1200 1550
133 17535 REMOVAL OF NASAL MASS 7800 11700 15600
SIMPLE SUTURING OF FACE / NOSE / EAR INJURIES Gen S. Pvt. Pvt.
134 17536 ABSCESS DRAINAGE-LARGE 2200-5500 5500-7700 7700-8800
Page 3 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
135 17537 ABSCESS DRAINAGE -SMALL 1100-2200 2200-3300 2750-4400
136 17538 FACE / EAR / NOSE 1650-2750 3300-4400 4950-6600
E N T PROCEDURES Gen S. Pvt. Pvt.
137 2966 ANT. NASAL PACKING WITH FOLEY'S BALLOONING 1950-3250 3250-3900 3900-5850
138 2944 ANTRAL WASH - BILATERAL 1300 1900 2450
139 2943 ANTRAL WASH - UNILATERAL 900 1350 1800
140 2941 AUDIOMETRY 300 450 550
141 2942 CALORIC TEST / WATER / AIR 700 1000 1350
142 2963 CHEMICAL CAUTERY BILATERAL 650 1000 1300
143 2962 CHEMICAL CAUTERY UNILATERAL 450 700 900
144 2964 DRESSING MASTOID 200 300 450
145 2955 ENG 800 1100 1550
146 2935 SPEECH THERAPY ( PER MONTH COURSE ) 2000 3000 4000
147 2936 SPEECH THERAPY ( PER VISIT ) 200 300 400
148 2937 EAR SYRINGING - UNILATERAL 200 300 400
149 2939 EAR PACKING 300 400 550
150 2938 EAR SYRINGING - BILATERAL 350 500 700
151 2946 GLAVENO CAUTRY - BILATERAL 1350 1900 2550
152 2945 GLAVENO CAUTRY -UNILATERAL 1000 1550 1900
153 2949 QUINCY 1950-3250 3250-3900 3900-6500
154 2958 SNIPPING OF TONGUE TIE 1300-2600 2600-3900 3900-5200
155 2954 TEMPENOMETRY 450 700 900
GYNAECOLOGY & OBSTETRICS Gen S. Pvt. Pvt.
DAY CARE OPERATION Gen S. Pvt. Pvt.
156 2975 BREASTABSCESS/ GLUTEALABSCESS 2350 3550 4700
157 2971 CERVICAL BIOPSY / POLYPECTOMY 3250 3900 3900
158 2970 D & C WITH / WITHOUT POLYPECTOMY 3900 6500 7150
159 2973 DIAGNOSTIC LAPWITH / WITHOUT DYE 5200 7800 10400
160 5216 EXAM UNDERANAESTHESIA 1450 2050 2900
161 2976 HIGH RISK M.T.P (PREVIOUS LSCS) 5850 6500 7800
162 2977 HSG 1300 1950 2600
163 2972 LAP LIGATION (NON CAMP) 3900 6500 7800
164 2978 LAP LIGATION (PREVIOUS L.S.C.S.) 5850 7800 9750
165 2969 M. T. P. 3900 5850 7800
166 2974 VULVAL BIOPSY 1200 1850 3000
GYNAEPROCEDURE (OPD ONLY) Gen S. Pvt. Pvt.
167 1880 ARTIFICIAL INSEMINATION 1000 1550 1900
168 1875 COIL INSERTION 1350 1650 2200
169 1884 COIL REMOVAL 550 550 800
170 1878 CRYO CAUTERY 1650 2200 3300
171 1876 DRESSING/STICH REMOVAL 550 550 800
172 18872 ENDOMETRIAL BIOPSY 1100 1650 2200
173 18873 ENDOMETRIAL SCRATCHING 1650 2200 2750
174 1881 HYDROTUBATION PER CYCLE 550 850 1100
175 1885 LANINARI TENT INSERTION / CERVIPRIME 700 900 1350
INSTALLATION
176 1883 MIR IN OPD 1000 1900 2650
177 1879 P.C.T. 550 550 550
178 1873 PAP SMEAR 350 550 800
Page 4 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
179 5217 REMOVAL OF VAG.,CYST / SEPTUM 1350 2000 2450
180 17539 CERVICAL CANCER VACCINE (VACCINE COST + 550 550 550
VACCINATION COST)
181 17540 MEDICAL MTP 2600 3900 5200
182 17541 MEDICAL MTP (PREVIOUS LSCS) 3250 5200 7800
183 17542 COLOSCOPY 1950 1950 1950
184 17543 COLPO DIRECTED BIOPSY 3250 3250 3250
185 17544 DIAGNOSTIC HYSTEROSCOPY 10400 10400 10400
186 17545 OPERATIVE HYSTEROSCOPY 12350 19500 26000
187 17546 CANNULATION 3900 3900 3900
188 17547 UTERINE SEPTUM REMOVAL 3900 3900 3900
189 17548 POLYP REMOVAL 3900 3900 3900
190 1877 CX-BIOPSY/POLYPECTOMY 3900 5200 6500
191 1890 ABNORMAL DEL. FACE, BREACH, TWIN 7800 9100 10400
192 1897 ABNORMAL DELIVERY FORCEPS, VACCUME 7800 9100 10400
193 1891 CERVICAL TEAR REPAIRED IN L.R. 2600 3250 3900
194 1889 EPI. HAEMATOMA DRAIN & SUTURE (DEL NMH 5200 6500 7800
195 1894 EVACUATION IN L.R 2600 3250 3900
196 1899 EXPLORATION OF PPH 1600 2350 3150
197 1896 GAPING ABDOMINAL WOUND/EPISIOTOMY 1850 2450 3550
198 1895 INDUCED ABORTION+PROCESS OF EXPULSION 5200 6500 7800
199 1886 LABOUR ROOM CHARGES 1300 1950 2600
200 1892 MANUAL REMOVAL PLACENTA IN L.R 2600 3900 5200
201 1898 NORMAL DELIVERY (FOLLOWING PREVIOUS L.S.C.S.) 6500 7800 10400
202 1888 NORMAL DELIVERY FOLL. TRIAL LABOUR 6500 7800 10400
203 1887 NORMAL DELIVERY WITH/WITHOUT EPISIOTOMY 5200 6500 9100
204 1893 SP. ABORTION 1600 2350 4200
205 1900 TRIPLET DELIVERY 6500 7800 10400
OT GYNAE PROCEDURE INDOOR Gen S. Pvt. Pvt.
206 18854 LAP.  SALPINGECTOMY (ECTOPIC PREGNANCY)          32500 45500 58500
207 18611 LAP.  OVARIAN CYSTECTOMY       32500 45500 58500
208 5222 3 DEGREE PERINEAL TEAR 4550 6650 8750
209 3047 ABD. REPAIR CYSTOCELE & ENTEROCELE 3900 4950 7300
210 3040 ABDOMINAL HYSTERECTOMY 8200 9900 14300
211 3078 ABDOMINALWOUND RESUTERING 3250 4200 5850
212 3084 ADHESIOLYSIS 3250 4950 8450
213 3046 ANT. COLPORRHAPYWITH POS. COLPOPERI 5200 7150 9400
214 3054 BARTHOLINEABS. DRAIN WITH MARSUPILI 5200 7150 9400
215 3055 BARTHOLINE CYSTECTOMY 5200 7150 9400
216 3037 CAESARIAN HYSTERECTOMY 9750 12350 15600
217 3063 CERVICAL BIOPSY (KNIFE) 3250 5200 6800
218 3075 COLPOCLIESIS FOR PROLAPSE 3250 5200 6800
219 3074 CONE BIOPSY 5200 7150 9400
220 3039 CORRECTION OF INVERSION OF UTERUS 6250 8750 12900
221 5218 CYTOLOG IN STILLATION 1300 1300 1850
222 3056 D&C 3900 6500 7150
223 3057 D & C WITH POLYPECTOMY (BIG SIZE) 4550 7150 7800
224 3062 D & E , MISSED ABORTION 3900 6500 7150
225 3080 DIAGNOSTIC LAPROSCOPIC 7800 9100 10400
Page 5 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
226 3083 EMCREDIL INSTALLATION 800 1200 1600
227 3061 EVACUATION (SUCTION), VESICULARMOLE 5850 7800 9100
228 3081 EXPLORATIVE LAPROTOMY 5500 7800 9750
229 3060 HIGH RISK MTP (PREVIOUS L.S.C.S) 5850 6500 7800
230 3058 HYMENECTOMY 1950 3550 4850
231 3079 IMPERFORATED HYMEN 1850 3400 4850
232 3086 INTRAPARTUM TOCO CONTINOUS MONITORING 550 1050 1600
233 3085 INTRAPARTUM TOCO SINGLE READING 650 650 1300
234 3032 LAPAROSCOPIC STER. (HIGH RISK, PREV. L.S.C.S) 5850 7800 9750
235 3033 LAPAROSCOPIC STER. (OTHER THAN CAMP) 3900 6500 7800
236 3069 LAPAROTOMY & WEDGE RESECTION OVARIES 6500 8450 12350
237 3072 LAPAROTOMY BROAD LIGAMENT HAEMATOMA 6250 9750 11700
238 3041 LAPAROTOMY FOR ECTOPIC 9100 12100 14450
239 3068 LAPAROTOMY FOR PELVIC ABSCESS 6500 9750 11700
240 5219 LAVH (PACKAGE) 37050 47450 63050
241 3035 LSCS 10400 12500 13650
242 3034 MINILAP (STERLIZATION) 3900 5200 7150
243 3649 MINILAP STERLIZATION (PREV. L.S.C.S) 5200 6500 8450
244 3042 MYOMECTOMY 9100 13650 16250
245 3070 OVARIAN CYSTECTOMY 5200 8450 11700
246 5220 OVARIOTOMY 6500 10400 12350
247 3087 PAP SMEAR SURGERY 150 300 400
248 3048 PERINEORHAPHY 3650 4850 6900
249 3071 PLASTIC OPERATION OF TUBE 6000 9100 11850
250 3053 POST COITAL TEAR 3550 4950 6900
251 3077 PPH-MRP UNDER GA. (OUTSIDE CASE) 4450 6150 9250
252 3076 PPH-REP. OF CERVICAL TEAR 4450 6150 9250
253 3045 PROLAPSE REPAIR OPERATION 4450 6150 9250
254 3052 RADICALVULVECTOMY 11800 16250 19500
255 3038 REPAIR OF RUPTURE UTERUS WITH TUBE LIG 6900 10700 17550
256 3036 REPEAT LSCS 11450 12750 15250
257 5304 SALPINGECTOMY 6800 8600 10300
258 5221 SALPINGO-OPHORECTOMY 6800 8600 10300
259 3064 SEC. SUTU. EPISIOTOMY (OUTSIDE DELIVERY) 2750 4700 6800
260 3065 SEC. SUTURING EPISIOTOMY (OWN CASES) 2750 4700 6800
261 3067 SHIRODHKAR CIRCLAGR OPERATION 4200 5350 8600
262 3082 SHIRODHKAR STICH REMOVAL 800 950 1300
263 3073 TRACHELORRAPHY 2100 3400 5500
264 3044 VAGINAL HYSTERECTOMY WITH COLPORRHA 10700 17450 22000
265 3051 VAGINOPLASTY (FOR ABSENT VAGINA) 10700 17450 22000
266 3049 VENTRISUSPENSION FOR PROLAPSE 6500 9100 10800
267 3050 VULVECTOMY - SIMPLE 6900 10400 17400
MEDICINE PROCEDURE Gen S. Pvt. Pvt.
268 1874 E.C.G 175 200 250
269 1901 LUMBER PUNCTURE 1100 1650 2200
270 5269 THERAPENTIC PLEURALASPIRATION 2000 2450 2700
271 1903 DIAGNOSTIC PLEURALASPIRATION 450 800 1000
272 1905 LIVER ABSCESS ASPIRATION 1650 2200 2750
273 1906 PERITONEALASPIRATION 900 1100 1650
Page 6 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
274 1907 RENAL BIOPSY 2200 3300 5500
275 1908 LIVER BIOPSY 2000 3000 4000
276 1909 CUT DOWN 1100 1650 2200
277 1910 CARDIC MONITOR OUTSIDE ICCU P/DAY 350 700 900
278 1911 C.V.P. 1100 1350 1650
279 1912 BONE MARROWASPIRATION 1100 1650 2200
280 1913 SPLENIC PUNCTURE 1100 1100 1100
281 1914 PLEURAL / PERITONEAL BIOPSY 1250 1800 2000
282 1915 FNAC ( MEDICINE ) 700 800 1000
283 1916 ECG IN CASUALTY 175 200 250
284 5223 BONE MARROW BIOPSYWITH TOUCH SMEARS 1650 2200 2750
285 1904 PARICARIDALASPIRATION 3300 3850 4400
PULMONOLOGY
BRONCHO-SCOPY Gen S. Pvt. Pvt.
286 5263 FIBEROPTIC BRONCHO-SCOPYWITH SECRETIONS* 6050 7150 8250
287 5264 BRONCHOSCOPYWITH LUNG BIOPSY * 7150 8250 9350
288 3093 PFT 900 1350 1800
289 3092 PLEURAL BIOPSY 4950 5500 6050
290 3091 PLEURALTAP 2000 2450 2650
291 5443 PFT WITH BRONCHODILATION 1350 2000 2650
292 5444 FNAC (FROM LUNG MASS) 1650 2450 2900
293 5445 FOREIGN BODY REMOVAL (BRONCHOSCOPIC) * 7150 8250 8800
294 5446 TRANSBRONCHIAL NEEDLEASPIRATION * 5650 6400 7150
295 5447 CHEST TUBE FOR EMPYEMO / PNEUMOTHORAX * 6600 7700 8800
296 5448 BRONCHOSCOPY ( IN ICU OR O.T.) * 6600 7700 8800
297 5449 PLEURODESIS 5500 5500 5500
298 5450 THORACOSCOPY 11000 11000 11000
299 17481 INTERVENTIONAL BRONCHOSCOPY 11000 11000 11000
300 5452 BRONSCOPIC INTUBATION 7700 7700 7700
301 5455 PFT DIFFUSION STUDIES 2450 2450 2450
302 5456 BRONCHOSCOPY COMPLEX (BAL + BIOPSY + TBNA) 11000 11000 11000
303 17549 LARYNGOSCOPY (FLEXIBLE) 1650 2200 2750
* OT Charges 25%
GASTROENTEROLOGY Gen S. Pvt. Pvt.
304 3100 COLONIC POLYPECTOMY * 8800 11000 11000
305 5265 COLONOSCOPY * 4950 8250 8800
306 3095 ENDO SCOPIC SCLEROTHERAPY 6600 8800 8800
307 3103 ENDOSCOPIC PLACEMENT OF NASO-JEJUNALTUBE * 5500 7700 7700
308 5266 ENDOSCOPIC VARICEAL BAND LIGATION (EVL) * 6600 8800 8800
309 3104 ERCP (DIAGNOSTIC) * 7700 9900 9900
310 3096 FOREIGN BODY REMOVAL FROM UPPER G.I * 7700 8800 8800
311 3098 LIVER BIOPSY (TRU CUT) * 2400 3750 3750
312 3101 ESOPHEGAL STRICTURE DILATATION * 7700 10450 12100
313 3099 PERCUTANEOUS ENDOSCOPIC GASTROTOMY (PEG) * 11000 13200 13200
314 3097 SHORT COLONOSCOPY * 3850 4400 4400
315 3102 SIGMOIDOSCOPY * 2200 3300 3300
316 3105 THERAPEUTIC ERCP (STONE REMOVAL STENTING) * 11000 16500 16500
317 3094 UPPER G.I. ENDOSCOPY 3300 4400 4400
318 17550 PILES BANDING 2200 3300 3300
Page 7 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
319 17551 PILES INJECTION 2200 3300 3300
320 17552 ESOPHAGOSCOPY 1650 1650 2200
321 17724 DIAGNOSTIC 1100 1100 1100
322 17725 THERAPUTIC 1650 1650 1650
323 17438 ACHALASIADILATION 13000 14300 14300
324 17439 ESOPHAJEAL STENTINJ 13000 15600 2600
325 17408 GLUE INJECTION OF VARICES 10400 13000 13000
326 17230 PYLORIC BALLON DILATION 7800 10400 10400
327 3106 CHEMOTHRAPY RATE (I/V PUSH PERDAY) 1100 1650 2650
328 3107 OPD CHEMOTHERAPY (PER DRUG) 350 550 800
329 3109 INTRAPLEURAL CHEMOTHERAPY 2650 4000 6750
330 3110 INTRAPERITONEAL CHEMOTHERAPY 2650 4000 6750
331 3111 INTRATUMORAL CHEMOTHERAPY 2650 4000 6750
332 3112 INFUSION CHMOTHERAPY 2650 4000 6750
333 3114 BONE MARROW BIOPSY L.A 2650 4000 6750
334 3115 BONE MARROW BIOPSY G.A 3300 5200 7950
335 3116 BONE MARROWASPIRATION & TOUCH SMEAR 1000 1350 1550
336 3117 FIBRE OPTIC LARYNGOSCOPY 4950 4950 4950
337 3118 FIBRE OPTIC BRONCHOSCOPY 4950 4950 4950
338 3119 FIBRE OPTIC BRONCHOSCOPYWITH BIOPSY 6600 6600 6600
339 3120 FIBRE OPTIC BRONCHOSCOPY FOR INTUBATION IN OT 6600 6600 6600

340 3121 PUNCH BIOPSY 1650 1650 1650

341 3122 WEDGE BIOPSY 1650 1650 1650
342 3123 USGASSISTED FNAC EX. USG RATE (EX. PATH RATE) 1350 1650 1950
343 3124 SUPERFIAC LYMPH NODE 4950 4950 6600
344 3125 DEEP BIOPSY 6600 6600 6600
345 3126 CORE BIOPSY 1650 2000 2750
346 3127 HEALTH PORT INSTALLATION 8800 11000 13200
347 3128 HEALTH PORT FLUSHING 450 550 850
348 3129 HEALTH PORT PUNCTURE 450 550 850
349 3130 DRESSING FOR HEALTH PORT ETC. 450 550 850
350 3131 CHEST TUBE FOR MALIGNANT PLURAL EFFUSION 7800 9750 9750
351 3132 PLEURODESIS FOR MALIGNANT PL. EFFUSION 7800 9750 9750
352 17553 MODIFIED / RADICAL LYMPH NODE DISSECTION FOR 10400 15600 20800
ONE SIDE
353 17554 STAGING LAPROTOMY 10400 15600 20800
354 17555 INTERNAL ILIAC ARTERY LIGATION BOTH SIDE 10400 15600 20800
355 3127 EXCISION WITH RND / MND 9750 16250 25350
356 3128 EXCISION WITH PRIMARY CLOSURE 8750 12750 21350
357 3129 HEMIGLOSSECTOMYWITH RND/MND FOR CA. TONGUE 8750 13650 23800

358 3130 TOTAL GLOSSECTOMYWITH RND/MND FOR CA. TONGUE 11850 18850 31500

359 3131 COMMANDO OPERATION 9500 15750 25250

360 3134 LEUCOPLAKIAEXCION / BX 3900 6400 10300
361 3135 WLE(WITHOUT BONE RESECT) + /- SSG 7950 11850 19800
362 3136 TOTAL MAXILLECTOMY 8750 13400 23600
363 3137 TOTAL MAXILLECTOMYWITH RND/MND/SOND 10300 16550 29150
Page 8 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
364 3138 HARD PALATE RESECTION 7950 12650 21450
365 3139 SOFT PALATE RESECTION 8750 12650 21450
366 3140 RADICAL PAROTIDECTOMY 9500 15750 25250
367 3141 SUBMANDIBULAR GLAND EXCISION FOR CA. 7950 12650 21200
368 3142 NEAR TOTALTHYROIDECTOMY 10300 18600 29250
369 3143 NECK EXPLORATION FOR PARATHYROIDADENOMA/ CA. 9500 15750 25250

370 3144 TOTAL LARYNGECTOMY 16650 22250 25000

371 3145 TOTAL LARYNGECTOMY WITH PAR. PHARYNGECTOMY 19150 26150 31500
U/L RND/MND
372 3146 TOTAL LARYNGOPHARYNGECTOMY WITH GPU 20700 28500 36150
373 3147 MODIFIED NECK DISSECTION (MND) 8750 13400 23550
374 3148 RADICAL NECK DISSECTION (RND) 7950 12650 20950
375 3149 MODIFIED RADICL MASTECTOMY 7050 10300 1800
376 17887 ORBS 10400 18200 28600
377 3150 AXILLARY DISSECTION 5500 8650 13400
THORAX Gen S. Pvt. Pvt.
378 3155 CHEST WALL TUMOR EXCISION 9500 13400 21200
379 3151 LOBECTOMY 10300 17300 28350
380 3154 MEDIASTINOSCOPY / BX 9500 13400 21350
381 3152 PNEUMONECTOMY 10300 14200 15750
382 3153 VATS (ENDOSCOPIC SURGERY) EQUIPMENT RATE Extra. 10300 17300 28350

G.I.T. Gen S. Pvt. Pvt.

383 3159 SUBTOTAL/TOTAL GASTRECTOMY 13400 22000 35400
384 3168 ABDOMINAL WALL TUMOR RESECTION 13400 22000 31500
385 3162 ABDOMINOPERINEAL RESECTION 10300 18100 28350
386 3190 B/LADRENALECTOMY 11850 18100 31500
387 3156 ESOPHAGECTOMY WITH GASTRIC PULL UP (IVOR LEWIS 13400 22000 35400
PROD.)
388 3163 EXTENED RIGHT/LEFT HEMICOLECTOMY 10300 18100 29150
389 18594 TRANSVERSE COLOSTOMY 10400 15600 20800
390 18595 RESCCTION AWASTOMOSIS 10400 15600 20800
391 3197 HIGH ORCHIDECTOMY 4700 6400 11850
392 3201 ILIOINGUINAL NODE DISSECTION 7950 11850 19800
393 3200 INGUINAL NODE DISSECTION 7950 11850 19800
394 3165 LOBECTOMY R/L 13400 22050 35450
395 3169 OMENTAL TUMOR RESECTION 13400 22050 35450
396 3194 ORCHIDECTOMY U/L 4700 11850 22000
397 3158 PARTIAL /DISTAL GASTRECTOMY 9500 22000 25250
398 3198 PARTIALAMPUTATION OF PENIS 4700 6250 11850
399 3166 RADICAL CHOLECYSTECTOMY 10300 17300 29150
400 3192 RADICAL CYSTECTOMY 10300 17300 29150
401 3193 RADICAL CYSTECTOMY WITH DIVERSION 13400 22250 35100
402 3191 RADICAL NEPHRECTOMY / NEPHROURETECTOMY 13400 22250 35100
403 3683 RETROPERITONEAL LYMPH NODE DISSECTION (RPLND) 7950 13400 23700

404 3167 SEGMENT III / L DUCT BYPASS FOR SOJ 13400 22250 35500
405 3189 STAGING LAPROTOMY FOR HODGKINS 7950 12650 21750
Page 9 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
406 3199 TOTALAMPUTATION OF PENIS 7950 11850 15750
407 3164 TOTAL COLECTOMY WITH ILEORECTALANASTOMOSIS 13400 22100 35500

408 3157 TRANSHIATAL ESOPHAGECTOMY WITH GPU 13400 22100 35500

409 3160 TRIPLE PYPASS FOR CA. PANCREAS 7950 12650 16650
410 3161 WHIPPLE'S OPERATION 13400 21750 35500
SOFT TISSUE TUMOR SUGERY Gen S. Pvt. Pvt.
411 3202 COMPARTMENTAL EXCISION 7950 12650 21350
412 3203 WIDE LOCL EXCISION 7950 12650 21350
413 17727 EXCISION WITH HERNIOPLASTY 13000
GYNAE ONCOLOGY Gen S. Pvt. Pvt.
414 3228 CYTOREDUCTIVE SURGERY FOR ADVANCED STAGE CA. 14200 23550 39400
OVARY
415 3226 PELVIS EXENTERATION 16550 25250 39400
416 3206 RADICAL HYSTERECTOMYWITH OMENTECTOMY 13400 21350 35500
417 3227 RADICALVULVECTOMY 14200 23550 39400
418 3207 SECOND LOOK OPERATION FOR CA. OVARY 14200 21200 35500
419 3205 WARTHEIM HYSTRECTOMY 16900 21200 25350
420 3205 WARTHEIM HYSTRECTOMY 16900 21200 25350
ANAESTHESIA Gen S. Pvt. Pvt.
421 17717 INTUBATION / CPR (CARDIO PULMONARY 1650 2000 2200
RESUSCITATION)
422 17718 STAND BYANAESTHESIA 1350 1650 2200
423 17719 PAC 350 550 650
424 17720 L.P 1450 1650 2200
GENERAL SURGERY
LAPROSCOPIC SURGERY (PACKAGE DEAL) Gen S. Pvt. Pvt.
425 3234 DIAGNOSTIC LAPROSCOPY/LAPADHESIOYSIS 21450 29000 36400
426 3232 LAPROSCOPIC CHOLECYSTECTOMY 39000 50700 67600
427 17327 LAPROSCOPIC APPENDECTOMY 39000 50700 67600
428 17341 LAPROSCOPIC INGUINAL HERNIA (UNILATERAL) 41600 54600 71500
429 17350 LAPROSCOPIC INGUINAL HERNIA (BILATERAL) 58500 71500 97500
430 17352 LAPROSCOPIC VENTRAL HERNIA 41600 54600 71500
(EPIGASTRIC/UMBILICAL)
431 17353 LAPROSCOPIC COLONIC SURGERY 58500 78000 104000
432 17355 LAPROSCOPIC CLOSURE OF DOUDENAL OR ILEAL 49400 62400 76700
PERFORMATION
433 17356 LAPROSCOPIC HIATUS HERNIA 65000 78000 106600
434 17357 LAPROSCOPIC RECTOPEAXY 65000 78000 106600
435 17538 LAPROSCOPIC SURGERY FOR PANCREATIC PSEUDOCYST 65000 78000 106600

436 17359 LAPROSCOPIC LUMBAR SYONPETHECTOMY 65000 78000 106600

437 17360 LAPROSCOPIC SPLENECTOMY 65000 78000 106600
438 17361 LAPROSCOPIC ING. HERNIAREPAIR (CHILDREN) 32500 41600 46800
439 17362 LAPROSCOPIC LIGATION OF VARICOCELE (UNILATERAL) 32500 41600 46800

440 17363 LAPROSCOPIC HYDATID CYST. LIVER 54600 66300 91000

441 17364 LAPROSCOPIC BOWL RESECTION 62400 68650 78000
442 17365 LAPROSCOPIC INCISIONAL HERNIAREPAIR 41600 54600 71500
Page 10 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
443 17366 LAPROSCOPIC BIOPSY LYMPHNODE / PERITONEUM / 27300 32500 41600
OMENTUM
444 17367 LAPROSCOPIC GASTROJEJUNOSTOMY 57200 65000 84500
445 17368 LAPROSCOPIC GASTROSTOMY 45500 54600 65000
446 17369 LAPROSCOPIC CHOLE + CBD EXPLORATION 78000 84500 98800
447 17370 LAPROSCOPIC TRUNCALVAGOTOMY 65000 80600 98800
448 17371 LAPROSCOPIC SEGMENTAL LIVER RESECTION 65000 80600 98800
449 10682 LAPROSCOPIC ADRENALECTOMY 65000 80600 98800
450 17372 STAPPLER ANOPEXY 39000 46800 54600
BARIATRIC SURGERY Gen S. Pvt. Pvt.
451 17373 GASTRIC BANDING 84500 124800 143000
452 17374 GASTRIC BY PASS 143000 156000 169000
453 17375 GASTRIC SLEEVE 110500 143000 162500
SURGICAL OPERATIONS Gen S. Pvt. Pvt.
454 3318 ABDOMINAL-ANAL PULL THROUGH 9750 15600 19500
455 3341 ABDOMINO-PERINEAL RESECTION RECTUM 32500 39000 45500
456 3349 ADRENALECTOMY 15600 20800 28600
457 3340 ANTERIOR RESCETION OF RECTUM 32500 39000 45500
458 3324 ANTRECTOMYWITH VAGOTOMY& GASTROJE 9100 13000 23400
459 3287 APPENDICECTOMY 10400 13000 16900
460 3311 BLOCK DISSECTION INGUINAL LYMPH NOD 6500 9100 13000
461 3323 BLOCK DISSECTION OF NECK 9100 12350 15600
462 3317 CERVICAL RIB RESECTION 15750 19800 23700
463 3316 CERVICAL SYMPATHECTOMY 15750 19800 19800
464 3289 CHOILECYSTOSTOMY 11350 14200 16800
465 3312 CHOLECYSTECTOMY 9100 11050 14600
466 3328 CHOLECYSTECTOMY , EXPLORATION OF COMM. 10400 12000 14600
467 3338 CHOLECYSTECTOMYWITH SPHINCTEROPLAS 15600 18200 23700
468 3321 CHOLECYSTOJEJUNOSTOMYWITH 15600 18200 23400
JEJUNOJEJUNOSTOMY
469 18898 CHOLECYSTODUODENOSTY 15600 18200 23400
470 3300 CLOSURE OF COLOSTOMY 13650 16250 19500
471 3286 CLOSURE OF PEPTIC , ILLEAL & COLONIC 13650 15600 18200
472 3342 COLECTOMY ( SUBTOTAL OR TOTAL ) 15600 19500 26000
473 3331 COMMANDO OPERATION (MRND.) 32500 41900 48400
474 3689 CONSERVATIVE PAROTIDECTOMY 15600 18200 20800
475 3313 CYSTOGASTROSTOMY 19500 23400 27300
476 3329 DISTAL PANCREATECTOMY 26000 32500 39000
477 3293 DRAIN. SUB-PHRENIC & AMOEBICABSCESS 11700 14300 16900
478 3276 EXCISION OF PILONIDALAND OTHER SINUSES 9750 11050 12350
479 3351 EXCISION OFABDOMINALAORTICANEURYSMS 28600 31200 39000
480 3307 EXCISION OFABDOMINAL HYDATID CYST 17550 20800 26000
481 5306 EXCISION OFA-V FISTULA KEEL 7800 10400 16900
482 5307 EXCISION OF BRANCHIAL CYST 7150 9750 11700
483 3269 EXCISION OF BRANCHIAL FISTULA 7150 9750 11700
484 3278 EXCISION OF COMPOUND PALMAR GANGLION 4200 5850 7300
485 3299 EXCISION OF CYSTIC HYGROMA 9100 11700 14950
486 3252 EXCISION OF LARGE LIPOMA SCAPULAR LIPOM 5850 8600 10400
487 3273 EXCISION OF LYMPHOEDEMA 2750 4200 7300
Page 11 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
488 3267 EXCISION OF MELANOMA 9100 11050 13000
489 3319 EXCISION OF LAROTID BODYTUMOUR 13000 15600 18200
490 3249 EXCISION OF POSTABSCESS SCARS 1950 3250 4550
491 3238 EXCISION OF SOLITARY SEBACI-OUS CYST 2350 2600 3250
492 3264 EXCISION OF SUB - LINGUAL DERMOID, RENULA 7800 9750 11700
493 3270 EXCISION OF THYROGLOSSAL CYST 10400 13000 15600
494 3296 EXCISION SUB-MANDIBULAR SALIVARY GLAND 10400 13000 15600
495 3274 FATTY HERNIAREPAIR 9100 10400 12350
496 3277 FISSURECTOMY 8450 9750 12350
497 3275 FISTULECTOMY 9100 10400 12350
498 3285 GASTROSTOMY (Feeding Jejvnostomy) 8450 9750 12350
499 3283 HAEMORRHOIDECTOMY 9750 11700 15600
500 3308 HELLER"S OPERATION 13000 19400 23550
501 3297 HEMIGLOSSECTOMY 6800 8600 10050
502 3332 HEMIMANDIBULECTOMY 8350 12900 20800
503 3310 HIATUS HERNIAOPERATION 26000 28600 32500
504 3237 INCISION & DRAINAGE OF SIMPLE ABSCE 1950 2600 3250
505 3320 INCISIONAL HERNIAREPAIR ( KEEL REP ) 9100 15600 19500
506 3322 INCISIONAL HERNIOPLASTY 12350 16250 19500
507 3301 INGUINAL HERNIOPLASTY 12350 16250 19500
508 3261 INGUINAL HERNIOTOMY 9100 11050 13650
509 3279 LIGATION OFA.V. FISTULA 9100 11050 15600
510 3257 LIGATION OF VARICOSE VEINS 11050 13650 18200
511 3295 LIMITED PAROTID RESECTION 19500 23400 26000
512 3260 LORD'S PROCEDURE FOR HAEMORRHOIDS 2600 3650 6500
513 3298 LUMBAR SYMPATHECTOMY 8100 11850 14450
514 3292 MARSUPILIZATION OF PANCREATIC CYST 13000 16900 19500
515 3250 MARSUPILIZATION OF RANULA 3250 4550 5850
516 3304 NOBLE"S PLICATION FOR ADHESION 13000 15600 18200
517 3346 OESOPHAGOGASTRECTOMY 32500 41600 45500
518 3259 OPENING OF LOW IMPERFORATE ANUS 1600 2900 4200
519 3330 OPERATION FOR DESOPHAGEAL VARICES 8350 12900 20700
520 3348 PANCREATICO-DUODENECTOMY 32500 39000 45500
521 3343 PARATHYROIDECTOMY 15600 19500 22100
522 3302 PARA-UMBILICAL HERNIA REPAIR 13000 16250 18200
523 3245 PARTIAL EXCI. OF NAIL & NAIL BED 2350 2600 3250
524 3347 PARTIAL HEPATECTOMY 32500 39000 45500
525 3315 PARTIAL THYROIDECTOMY 19500 22100 26000
526 3325 PARTIOL GASTRECTOMY 19500 26000 32500
527 3350 PORTO-CAVAL OR LIENO RENAL SHUNT 20150 25350 30550
528 3294 PYLOROMYOTOMY 13000 15600 19500
529 3256 RADICAL EXCI. OF NAIL & NAIL BED 1950 2600 3250
530 3333 RADICAL EXCISION OF CA CHECK 19500 26000 28600
531 3336 RADICAL PAROTIDECTOMY 19500 26000 32500
532 3288 RELEASE OF ADHESIONS 9100 11050 13650
533 3254 REMOVAL - SUPERFICIAL FOREIGN BODIES 1950 2600 3900
534 3266 REMOVAL OF DEEP FOREIGN BODY 4550 12350 10400
535 3255 REPAIR OF LARGE EAR INJURIES 3900 5850 7800
536 3314 REPAIR OF LIVER TEAR 13000 15600 19500
Page 12 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
537 3305 RESECTION & ANASTOMSIS- SMALL BOWEL 13000 15600 19500
538 3326 RIGHT OR LEFT HEMICOLECTOMY 15600 19500 26000
539 3272 SCALENE NODE BIOPSY (+DEEP CERVICAL L.N. BIOPSY) 5850 7150 9100

540 3265 SECONDARY SUTURE OF COMPLETE ABOD 7800 10400 13000

541 3327 SIGMOID COLECTOMY 15600 19500 26000
542 3309 SIMPLE EMBOLECTOMY 7150 9100 13650
543 3284 SIMPLE EXPLORATORY LAPAROTOMY 13000 15600 19500
544 3306 SIMPLE GASTROJEJUNOSTOMY 15600 18200 22100
545 3248 SIMPLE SUTURE OF LARGE WOUNDS 1950 2600 5200
546 3244 SIMPLE SUTURE OF SMALL WOUNDS 1300 1950 2600
547 3258 SIMPLE TRONDELENBERG OPERATION OF VARICOSE 10400 13000 15600
548 3236 SNIPPING OF TONGUE TIE 2600 3900 4550
549 3246 SOLITARY LYMPH NODE BIOPSY 2600 3900 4550
550 3334 SPLEENECTOMY 19500 23400 26000
551 3253 SPLIT EAR REPAIR, SPLIT NOSE REPAIR 1950 2350 3900
552 3303 STRANGULATED HERNIAREPAIR 13000 15600 19500
553 3251 THIERSCH'S WIRING FR RECIAL PROLASE 3900 5850 7150
554 3345 THORACOABDOMICAL EXPOSURE 20150 23400 32500
555 3337 THORACOTOMY 26000 32500 39000
556 5305 THROMBOEMBOLECTOMY 8350 12900 20700
557 3339 TOTAL GASTRECTOMY 32500 39000 45500
558 3271 TRENDELENBERG & STRIPPING OF VARICO 13000 15600 18200
559 3263 UMBILICAL HERNIA IN CHILDREN 10400 12350 15600
560 3344 UNILATERAL ADRENALECTOMY 13000 16900 26000
561 3282 UNILATERAL INGUINAL HERNIORRAPHY 13000 15600 18200
562 3290 UNTWISTING OF VULVULUS 9100 11700 15600
SURGICALPROCEDURES Gen S. Pvt. Pvt.
563 3362 ASPIRATION OFAMOEBIC LIVER ABSCESS 1600 2600 3900
564 3355 ASPIRATION OF COLDABSCESS 1050 1600 2350
565 3357 BIOPSY OF SUPERFICIAL TUMOURS 1600 1950 2600
566 3368 BRACHIAL ORANYHIGHER CUT DOWN 6500 10050 12900
567 3356 CUT DOWNATANKLE ( ADULT & CHILDREN ) 3250 6500 7800
568 3370 CYSTO URETHROSCOPY 7150 9900 11600
569 3368 CYSTOSCOPY 3800 4700 5750
570 3372 CYSTOSCOPY & URETERIC CATH FOR RGP 4700 5850 7050
571 3354 INJECTION OF HAEMORRHOIDS 1950 2600 3250
572 3352 INJECTION OF KELOIDS 1300 1600 1950
573 3353 INJECTION OF VARICOSE VEINS 1300 1700 1950
574 3367 INTERCOSTAL DRAINAGE (CATHETER ) 6500 9750 11700
575 3371 PAENDOSCOPY 2250 3400 5850
576 3365 PROSTATIC BIOPSY 7150 10050 12900
577 3361 PROSTATIC MASSAGE 9100 14300 18200
578 3364 RECTAL BIOPSY 1950 3250 6500
579 3358 REDUCTION OF PARAPHIMOSIS 1950 3250 6500
580 3359 SCLEROSANT INJ. OF HAEMANGIOMAS 1950 3250 6500
581 3366 SIGMOIDOSCOPY 1950 3400 6500
582 3363 TESTICULAR BIOPSY 3250 3900 6500
583 3360 URETHRAL DILATATION 1300 1700 3400
Page 13 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
UROLOGY
UROLOGICAL OPERATION Gen S. Pvt. Pvt.
584 3418 AV FISTULA 6500 10400 13000
585 3405 AV SHUNTS 4200 6250 8450
586 3454 BIL.VASECTOMY 2900 4200 5500
587 3426 BLADDER NECK REPAIR FOR INCONTENINENCE 5200 8100 14450
588 3401 BLADDER DIVERTICULUM EXCISION 9250 11450 13650
589 5268 BLADDER WASHOUT 5850 9100 11700
590 3375 CIRCUMCISION (URO.) 2600 3900 6500
591 3398 CPE & CYSTOLITHOTOMY ( CLT ) 5850 7300 8850
592 3413 CPE BLADDER TUMOURS & DIATHERMY EXCISION 7150 9900 11600
593 3417 CUTAENIOUS URETHROSTOMY 7150 9900 11600
594 3456 CYSTO URETHROSCOPY 7150 9900 11600
595 3420 CYSTOLITHOLAPAXY 4700 5850 7050
596 3455 CYSTOSCOPY 3800 4700 5750
597 3457 CYSTOSCOPY & URETERIC CATH FOR RGP 4700 5850 7050
598 3440 CYSTOSCOPY BIOPSY BLADDER 4700 5850 7050
599 3403 DISTAL PENILE HYPOSPADIAS REPAIR 6500 9100 11700
600 3381 DJ SHUNT REMOVAL 3250 3900 4550
601 3383 DJ SHUNTING BILATERAL 8450 10550 12650
602 3382 DJ SHUNTING UNILATERAL 7150 9100 11050
603 3377 DRAINAGE OF EXTRAVASATION & CATHTER 1950 3250 5200
604 3388 ELEPHANTIASIS-EXCISION ( SCROTAL ) 2900 4550 7800
605 3389 EPIDIDYMAL CYST / SPERMATOCELE EXCISION 3250 4550 7800
606 3378 EXPLORATION OF TESTIS 6500 9100 13000
607 3392 FIXATION OF TORSION OF TESTIS 10050 12350 14950
608 3387 FOURNIER"S GANGRENE-EXCISION OF SLOUGH 7800 11700 15600
609 3390 HYDROCELE OPERATION 5200 7800 10400
610 3431 ILEAL REPLACEMENT OF URETER BY BOWEL 9100 14300 19500
611 3442 ILEOCYSTOPIASTY 14450 19500 26000
612 3373 INCISION & DRAINAGE OF PERI-URETHRAL 3900 4550 6500
613 3415 INGUINAL LYMPH NODE DISSECTION 9100 14300 19500
614 3412 LAPROSCOPIC NEPHRECTOMY 18850 30300 48500
615 3450 LAPROSCOPIC REPAIR VVF 18200 31200 49400
616 3411 LAPROSCOPIC URETEROLITHOTOMY 15600 23400 39650
617 3410 LAPROSCOPIC VARICOCELE 13300 21750 33950
618 3421 LITHOCLAST BLADDER STONE 7800 11700 15600
619 3397 LOOPING / BASKETING URETERIC CALCULUS 3250 5200 8450
620 3374 MEATETOMY 2600 3900 5200
621 3393 MEATOPLASTY 3900 5200 7800
622 3416 NEPHROSTOMY 7800 11700 15600
623 3432 NEPHROURETERECTOMY 10400 14300 19500
624 3414 ONE STAGE REPAIR FOR HYPOSPADIAS 7800 10400 13000
625 3395 OPTICAL INTERNAL URETHROTOMY 6500 9100 11700
626 3385 ORCHITECTOMY 6500 9100 11700
627 4759 ORCHEDOPEXY 10400 13000 19500
628 3406 PARTIALAMPUTATION OF PENIS (URO) 7800 11700 15600
629 3429 PARTIAL CYSTECTOMY 10400 14300 19500
630 3428 PARTIAL NEPHRECTOMY 10400 14300 19500
Page 14 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
631 3384 PCN 7800 11700 15600
632 3447 PCNL FOR KIDNEY WITHOUT LITHOCLAST 10400 16150 28250
633 3448 PCNL FOR KILDNEY WITH LITHOCLAST 13300 21750 33800
634 3379 PERINEAL URETHROSTOMY 1950 3150 5100
635 3396 POST URETHERAL VALVE FULGRATION 9100 13000 18200
636 3453 PRIAPRISM SHUNTING 7550 10950 18850
637 3399 PROCEDURE FOR PRIAPISM 3900 6500 9100
638 3434 PROSTATECTOMY ( RETROPUBIC ) 6150 9900 16150
639 3433 PROSTATECTOMY ( TRANSVESICAL TUR ) 6150 9900 16150
640 3424 PYELOLITHOTOMY 9100 13650 18200
641 3430 PYELOPLASTY 14600 20800 28900
642 3443 RADICAL NEPHRECTOMY 22900 34100 45500
643 3445 RADICAL PROSTATECTOMY 26000 39000 52000
644 3407 REDICAL ORCHIECTOMY 11700 15600 19500
645 3376 REDUCTION OF PARAPHIMOSIS (URO) 1200 1700 3000
646 3380 REMOVAL OF URETHRAL CALCULUS 3900 6500 9100
647 3449 RETROPERITONEAL LYMPHADENECTOMY 11700 18200 23400
648 3402 RUPTURE BLADDER REPAIR 7800 10400 15600
649 3422 RVF AND V V F REPAIR 13000 15600 20800
650 3423 SIMPLE NEPHRECTOMY 7800 10400 18200
651 3404 STAGE REPAIR OF HYPOSPADIAS 6500 9750 13000
652 3391 SUPRA - PUBLIC CYSTOSTOMY 2900 4450 7550
653 3386 SUPRA-PUBIC CYSTOLITHOTOMY 2900 4450 7550
654 3425 TOTALAMPUTATION OF PENIS (URO) 10400 15600 20800
655 3444 TOTAL CYSTECTOMY & URETERIC IMPLANT 13000 19500 26000
656 3435 TUR BLADDER TUMOUR 10400 15600 20800
657 3436 URETERIC REIMPLANTATION 6150 9750 16150
658 3438 URETERO RENOSCOPY WITH LITHOCLAST 10400 16150 28250
659 3400 URETEROLITHOTOMY MIDDLE THIRD 6650 10400 13000
660 3427 URETEROLITHOTOMY UPPER & LOWER (1/3 ) 10550 15600 21100
661 3441 URETEROPLASTY 6250 9400 15600
662 3437 URETERORENOSCOPY WITHOUT LITHOCLAST 8450 13000 21750
663 5310 URETHRAL DIALATATION (UROLOGY) 1050 1600 2100
664 3439 VAPOUR TROD PRPOSTATE 9100 13650 23400
665 3409 VARICOCELE SURGERY UNILATERAL 5200 8350 13000
666 3408 VARICOCELE SURGERY BILATERAL 8600 11050 18850
667 3419 VAS- EPID ANASTOMOSIS 8100 10700 15600
668 3394 VAS-RECANALIZATION 7300 9750 13000
669 3449 VIDEO GUIDED TURP (AFTER DISCUSSION) 9750 15600 21750
670 5267 VIDEO TURBT 10400 15600 21750
671 3452 VIDEO URS WITH LITHOCLAST 12250 18850 32000
672 3451 VIDEO URS WITHOUT LITHOCLAST 10400 15600 27300
673 17072 VIDEO PCNL WITHOUT LITHOCAST 10300 19500 31500
674 17073 VIDEO PCNL WITH LITHOCAST 12650 22100 34600
675 17074 VIDEO LITHOCAST BLADDER STONE 9500 18850 28250
676 17075 LAPROSCOPIC MM REAPIR FOR INTCONTINENCE 23700 35400 47200
677 17076 BLADDER NECK RESECTION 7800 10400 13000
678 17077 HOLEP 15600 20800 32500
679 17078 LASER URS 18200 23400 32500
Page 15 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
680 17079 BOORI FLAP 15600 20800 32500
681 17080 AUGMENTATION CYSTOPLASTY 15600 20800 32500
682 18855 SUBSTITUTIONAL URETHROPLASTY 39000 58500 78000
683 18856 LAPROSCOPIC PYELOPLASTY 39000 45500 52000
684 18670 RIRS 52000 65000 78000
685 18671 LASER LOU 13000 19500 26000
686 18857 LAPROSCOPIC ORCHEDECTOMY INTRAABDOMINAL 13000 19500 26000
687 18858 URETEROCELE OPERATION 13000 19500 26000
688 18859 MINI PCNL 19500 26000 33800
689 17081 LASER RATE EXTRA 7800 10400 13000
LITHOTRIPSYS Gen S. Pvt. Pvt.
690 2774 STONE UPTO 1 CM (UPTO THREE SITTING) 23400 28600 36400
691 2776 EXTRA RATE PER ADDITIONAL 1 MM OF STONE 2350 2900 3650
NOTE : THE ABOVE RATES ARE ONLY FOR LITHOTRIPSY. ALL OTHER INVESTIGATIONS / PROCEDURES / BED
RATE WILL BE EXTRA.

692 18878 SETALABSCESS DRAINAGE 5200 7800 10400

NEURO SURGERY
CRANIAL SURGERY Gen S. Pvt. Pvt.
693 3458 BURR HOLE (PER HOLE) 7800 11700 20800
694 3459 TWIST DRILL (PER DRILL) 2750 4200 7300
695 3460 ASPIRATION ABSCESS/CYST (PER SETTING) 2750 4200 7300
696 3461 BRAIN BIOPSY 31200 49400 81900
697 3462 CRANIOTOMY/CRANECTOMY-HEAD SURGERY 34450 48050 51650
698 3463 CRANIOTOMY BRAIN TUMORS-SUPPRATENTORIAL 35900 47600 56700
699 3464 CRANIOTOMY BRAIN TUMORS-INFRATENTORIAL 35900 47600 56700
700 3465 CRANIOTOMY VASCULAR MALFORMATION 27050 36400 42900
701 3466 SHUNT OPERATION FOR HYDROCEPHALUS 22500 27450 36950
702 3467 CRANIOPLASTY 33050 38500 43550
703 3468 CSF RHINORRHEA REPAIR 27700 37350 50700
704 3469 ENCEPHALOCELE 23950 29550 42400
705 3470 DEBRIDEMENT SCALP WOUND 4950 5750 10700
SPINAL SURGERY Gen S. Pvt. Pvt.
706 3471 LAMINECTOMY (SPINAL) 22400 28500 36950
707 3472 LAMINECTOMY-WITH DISCECTOMY 26550 33700 48250
708 3473 LAMINECTOMY FOR TUMOR 26550 33700 48250
709 3474 ANTERIOR CERVICAL DECOMPRESSION 15750 28750 34450
710 3475 ANTERIOR CERVICAL DISECTOMY 15750 28750 34450
711 3476 ANTERIOR CERVICAL DISECTOMY WITH BONE 17200 30700 37350
GRAFTING
712 3477 MENINOMYELOCELE REPAIR 15100 20700 26400
713 3478 STABILISATION PROCEDURE WITH INSTRUMENT 15600 25900 41600
714 3479 STABILIZATION PROCEDURE 18200 27950 47450
PLASTIC SURGERY, BODY SCULPTURE Gen S. Pvt. Pvt.
715 18874 EVD REDO SPNAL SUR. 32500 41600 44200
716 3481 ABDOMINAL LIPOSUCTION 11700 17550 23400
717 3482 DERMATOLIPECTOMY 9900 21750 33800
718 3483 ARM/THIGH CONTOURING 7950 13150 21750
BREAST Gen S. Pvt. Pvt.

Page 16 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
719 3485 AUGMENTATION MAMMOPLASTY (PLASTIC SURGERY) 6250 10050 17450

720 5260 BREAST LIFT (PLASTIC SURGERY) 14850 21450 29650

BURN SURGERY Gen S. Pvt. Pvt.
721 3497 BIOLOGICAL DRESSING/SYNTHETIC SKIN 550 800 1050
722 3498 JOINT CONTRACTURE RELEASE 3250 5850 8450
723 3499 SMALL DRESSING 950 1300 1850
724 3500 LARGE DRESSING 1600 2250 3000
725 3501 TRANGENTIAL EXCISION & GRAFTING 3150 4450 7800
726 3502 SINGLE DIGIT CONTRACTURES 2350 4450 6000
EYE SURGERY Gen S. Pvt. Pvt.
727 3492 BLEPHAROPLASTY 6500 10150 17450
728 3488 ECTROPION CORRECTION 4950 7550 12900
729 3489 ENTROPION CORRECTION 4950 7550 12900
730 3495 EYEBROW RECONSTRUCTION 3150 6000 7800
731 3494 EYELID RECONSTRUCTION 4700 7050 9400
732 3493 EYELID WEDGE RESECTION 3150 4700 6000
733 3496 ORBITAL RECONSTRUCTION 3900 8100 13150
734 3491 ORIENTAL EYE LID CORRECTION 3250 5100 8450
735 3490 PTOSIS 3250 5100 8450
FACE LIFT Gen S. Pvt. Pvt.
736 3503 FACE LIFT 9900 14950 25250
737 3504 FORE HEAD LIFT 9900 14950 22000
738 3692 CHINAUGMENTATION 9900 14950 22000
FACIAL NERVE (UNILATERAL) Gen S. Pvt. Pvt.
739 3537 DYNAMIC MUSCLE TRANSFER-FOR EYELID 5750 8450 15750
740 3538 DYNAMIC MUSCLE TRANSFER-FOR MOUTH 5750 8450 15750
741 3536 HYPOGLOSSAL NERVE TRANSFER 5750 8450 15750
742 3534 NERVE EXPLORATION & SUTURE 5750 8450 15750
743 3535 NERVE GRAFTING 5750 8450 15750
744 3505 TARSORRHAPPHY 3250 4700 6800
GENERAL PLASTIC SURGERY Gen S. Pvt. Pvt.
745 3530 ABDOMINAL SCAR REVISION 3250 7550 8450
746 3525 BONE GRAFTS 2750 4850 10950
747 3524 CARTILAGE GRAFTS 3550 6500 7050
748 3512 DERMABRASION - FULL FACE 4300 5750 8600
749 3513 DERMABRASION - LIMITED 2500 3150 5500
750 3510 ELECTRO EPILATION (PER SITTING) 950 1200 1850
751 3521 EXICISION + FLAP COVER + SKIN GRAFT 4300 5750 8450
752 3529 FACE SCARS - LARGE/COMPLICATED 3550 4050 7050
753 3528 FACE SCARS - SMALL 3150 3900 5500
754 3506 FAT DERMIS GRAFTING 1700 2250 3650
755 3519 FLAPS - DEFATTENING & CONTOURING 2500 3150 5500
756 3517 FLAPS - DELAY 1700 2250 3550
757 3518 FLAPS - INSETTING 2600 3150 5500
758 3533 FLAPS-RAISING & APPLICATION 4950 7050 11050
759 3509 HAIR TRANSPLANT (PER PUNCH) 400 600 750
760 3532 HIGH IMPERFORATEANUS 4200 7800 12650
761 3531 INCISIONAL HERNIA 4950 7800 12650
Page 17 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
762 3526 KELOIDS (INJECTION THERAPY) 550 650 1050
763 3515 LARGE DRESSINGS 650 750 850
764 3511 LOW IMPERFORATEANUS 2600 3900 6250
765 3527 SHAVE & GRAFTS 3900 6250 10150
766 3522 SKIN GRAFTING (GEN. PLASTIC SURGERY) 1850-3150 3150-7400 5050-12600
767 3514 SMALL DRESSINGS 400 500 600
768 3508 SPLIT EAR 1700 2350 3900
769 3516 SUTURE REMOVAL (GEN. PLASTIC SURGERY) 150 200 350
770 3523 TENDON GRAFTING 4950 7150 12500
771 3507 TONGUE TIE (Z PLASTY) 1700 2600 4550
772 3520 VITILIGO - DERMABRESION + SKIN GRAFT 3250 5200 8450
GENITALS Gen S. Pvt. Pvt.
773 3556 CHORDEE CORRECTION 4200 6400 10150
774 3555 HYPOSPADIAS - PIN HOLE MEATUS 3150 3900 5500
775 3554 ONE STAGE REPAIR 5500 8600 13150
776 3552 PERINEAL URETHROSTOMY (GENITALS) 950 1300 2100
777 3557 URETHRAL FISTULA 3400 4950 8450
778 3553 URETHROPLASTY (2ND STAGE) 4950 8450 11200
HAND SURGERY Gen S. Pvt. Pvt.
779 3562 1ST WEB SPACE CONTRACTURE 3400 4950 8450
780 3558 ACUTE MAJOR HAND SURGERY 3250 5200 8450
781 3572 ACUTE VIC 5100 7050 10300
782 3564 CARPALTUNNEL RELEASE 3400 4950 8450
783 3563 DUPIYTREN'S CONTRACTURE 3400 4950 8450
784 3561 FINGERS/TOE/HAND AMPUTATION 3400 4950 8450
785 3559 FINGRE TIP INJECTION 1450 2350 3900
786 3560 MICROVASCULAR REPAIR OF EACH DIGIT 3250 5200 8450
787 3573 NERVE GRAFT 3400 4950 8450
788 3569 NERVE REPAIR 4200 6000 10150
789 3568 NERVE TRANSPOSITION /LYSIS 2350 3250 4950
790 3567 POLICIZATION 4950 7300 12650
791 3566 POLYDACTYLY 3400 4950 8450
792 3565 SYNDACTLY 3400 4950 8450
793 3571 TENDON LENGTHENING 3400 4950 8450
794 3570 TENDON TRANSFER 3400 4950 8450
MANDIBULAR DEFORMITY Gen S. Pvt. Pvt.
795 3574 INTER MAXILLARY WIRING 2350 3900 5850
796 3575 MAXILLECTOMY (MANDIBULAR DEFORMITY) 6650 9900 17450
797 3576 ORAL CANCER RECONTRUCTIONS 6650 9900 17450
RHINOPLASTY Gen S. Pvt. Pvt.
798 3589 ALAR FLARE REDUCTION 4050 6250 10300
799 3587 CARFILAGE GRAFTS 4950 7150 12650
800 3585 HUMP REDUCTION 4300 6250 10300
801 3584 OSTEATOMIES 5200 7950 13150
802 3586 SADDLE NOSE CORRECTION-IMPLANT (EXTR) 3250 5850 10150
803 3583 SEPTOPLASTY (RHINOPLASTY) 3250 5850 8450
804 3588 TIP PLASTY 4950 7300 12650
TISSU EXPAN DERS
E
Page 18 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
805 3590 PLACEMENT 6650 9900 17450
806 3591 EXPANSION (PER SITTING) 400 650 1200
807 3592 REMOVAL OF EXPANDER + FLAP INSERTION 7950 11700 19500
URITHRAL STRUCTURES Gen S. Pvt. Pvt.
808 3546 ANTERIOR 2500 3900 6500
809 3548 TOTAL RECONSTRUCTION PENIS 6650 9900 17450
810 3547 PENILE IMPLANTS FOR IMPOTANCE 5200 7950 13150
811 5678 CIRCUMCISION 1600 2350 3900
812 3542 POSTERIOR 3400 4700 7800
813 3543 EPISPADIAS 5750 8850 13150
814 5262 VAS RECANALIZATION 4950 7050 12500
815 3545 TUBAL RECANALIZATION 5750 8850 13150
816 3550 EXSTROPHY 4950 7050 12500
817 3551 VAGINOPLASTY 4950 7050 12500
EARS SURGERY Gen S. Pvt. Pvt.
818 3539 BAT EARS 4700 6250 9400
819 3540 MICROTIA 5500 7150 12500
820 3541 TOTAL EAR RECONSTRUCTION 5750 8850 13150
LIP & PALATE Gen S. Pvt. Pvt.
821 3593 CLEFT LIP UNILATERAL INCOMPLETE 5500 7950 12650
822 5261 CLEFT LIP UNILATERAL COMPLETE 8600 12350 15100
823 3595 CLEFT PALATE INCOMPLETE 7950 10050 12900
824 3596 PALATAL FISTULA 7950 10050 12900
825 3597 PALATOPHARYNGOPLASTY 7950 10050 12900
826 3594 SECONDARY LIP REPAIR 7950 10050 12900
827 17559 CLEFT LIP BILATERAL INCOMPLETE 11050 13800 16550
828 17560 CLEFT LIP BILATERAL COMPLETE 10150 12650 15100
829 17561 CLEFT PALATAL COMPLETE 9000 12500 15100
LYMPHOEDEMA Gen S. Pvt. Pvt.
830 3598 LOWER EXTREMITY 4950 7150 12500
831 3599 SCROTAL 3400 5100 8750
832 3600 VULVAL 3400 5100 8750
MANDIBLE FRACTURES Gen S. Pvt. Pvt.
833 3601 ARCH BAR / CAP SPLINT FIXATION 4450 6800 10150
834 3602 OPEN REDUCTION - INTEROSEOUS FIXATION 4950 7150 12500
MANDIBULAR DEFORMITY Gen S. Pvt. Pvt.
835 3578 MICROGNATHIA / PROGNATHISM 5750 8850 13150
836 3582 NOSE / EAR / EYE REPAIR 3400 5100 8750
837 3580 ORBITAL COMPLEX > ACUTE INJURIES 4450 6800 10150
838 3581 ORBITAL COMPLEX > OLD DEFORMITIES 4950 7150 12500
839 3577 POST TRAUMATIC 4950 7150 12500
840 3579 TM JOINT ANKYLOSIS 5750 8850 13150
MAXILLA FRACTURES Gen S. Pvt. Pvt.
841 3603 ARCH BAR / CAP SPLINT FIXATION (MAXILLA 4450 6800 10150
FRACTURES)
842 3604 OSTEOTOMY & INT. FIXATION 4950 7150 12500
MAXILO FACIAL. Gen S. Pvt. Pvt.
843 3605 SMALL FACIAL LACERATIONS 2900 4200 6000
844 3606 LARGE / COMPLICATED FACE INJURIES 3400 5100 8750
Page 19 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
845 3607 NASAL BONE FRACTURES 3900 5850 7800
846 3608 ZYGOMA FRACTURES CLOSED REDUCTION 3900 5850 7800
847 3609 OPEN REDUCTION & INT. FIXATION 3400 4950 8750
848 3610 OSTEOTECTOMY & FIXATION 5200 7800 10400
NOSE SURGERY Gen S. Pvt. Pvt.
849 3611 RHINOPHYMA 5200 7800 10400
850 3612 CLEFT NOSE SECONDARY REPAIR 4950 7550 12650
851 3613 FOREHEAD FLAP NOSE RECONSTRUCTION 6500 10400 14300
SKIN & V D
SKIN PROCEDURES Gen S. Pvt. Pvt.
852 2857 CAUTRIZATION - CORNS 450 700 900
853 2856 CAUTRIZATION - VENEREAL WARTS 550 800 1100
854 3682 CAUTRIZATION - XANTHELASMA 550 800 1100
855 2854 CAUTRIZATION (PER SITTING) - WARTS 900 1100 1350
856 18875 DERMAROLLER 2200 2200 2200
857 18876 MOLLUSCUM REMOVAL 2200 2200 2200
858 18877 SUBSCISION 2200 2200 1650
859 2858 CHEMICAL PEELING 1100 1650 2750
860 2852 ELECTRO CAUTERY - XANTHELAMA(ONE SIDE) 450 550 800
861 2849 EXCISION - CORN (SINGLE) 1100 1650 2200
862 2847 EXCISION - MOLE (SINGLE) 1100 1650 2200
863 2859 EXCISION - WARTS (ADDITIONAL) 350 550 800
864 2848 EXCISION - WARTS (SINGLE) 1100 1650 2200
865 2851 EXCISION OF SEBACEOUS CYST. 700 800 1100
866 2855 INTRALESIONAL INJECTION 450 550 800
867 2850 MILIATREATMENT (PER SITTING) 1100 1350 1650
868 2853 MUICOSAL BIOPSY 2200 2450 2650
869 2860 NERVE BIOPSY (S&V.D) 2200 2450 2650
870 2861 PATCH TESTING (UPTO 5 PATCHES) 1100 1650 2200
871 2846 SKIN BIOPSY - PUNCH / INCISIONAL 1650 1900 2200
872 17562 RADIO FREQUENCY -WARTS (RF) SINGLE LESION 700 900 1100
873 17563 RADIO FREQUENCY -WARTS (RF) TWO LESION 1000 1100 1350
874 17564 ADDITIONAL LESION 350/each 550/Each 800/Each
875 17565 MOLE EXCISION WITH RF (PER LESION) 1650 1900 2200
876 17566 ALROCHORDON RF SINGLE LESION 900 1000 1100
877 17567 ALROCHORDON RFADDITIONAL LESION 450 550 700
NEPHROLOGY Gen S. Pvt. Pvt.
878 2584 RENAL BIOPSY 5500 5500 5500
879 2566 BICARBONATE DIALYSIS 1550 1550 1550
880 2569 FEMORAL CATHETERIZATION/ SUBCLAVIAN 1900 2350 2650
881 2570 PERITONIAL DIALYSIS 5500 5500 5500
882 2572 SALINE DIALYSIS (EXTRA) 250 400 550
883 2575 DIALYSIS FLUID (BICARBONATE) 400 400 400
884 2577 C.A.V.H.D HAEMOFILTERATION 13200 13200 13200
885 2578 PLASMAEXCHANGE 11000 12100 13200
886 2579 PLASMAPHARESIS 11000 12100 13200
887 2580 DOUBLE LUMEN CATHETER 5500 6600 7700
888 2581 CAPD INITIATION 9900 12100 13200
889 2582 CAPD INSERTION 9900 12100 13200
Page 20 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
890 17568 CAPD TRAINING / SUPERVISION RATE 9900 12100 13200
891 17569 SLED DIALYSIS 5500 6600 7700
892 5484 FEMORALACCESS 1550 1800 2000
893 17570 SUBCLAVIAN CATHETERIZATION / IJ 3100 3850 4650
CATHERTERIZATION
894 17571 HAEMO DIALYSIS (Re-use dialyser) in ICU 4000 4000 4000
895 17572 EMERGENCY DIALYSIS (Re -use dialyser) - In ICU 5500 5500 5500
896 17573 DIALYSIS WITH SINGLE USE DIALYSER 3000 3000 3000
897 17611 EMERGENCY DIALYSIS WITH SINGLE USE DIALYSER 4950 4950 4950
898 17612 HIGH - Flux Dialysis 6600 7150 7700
899 3405 AV Shunt 21450 22000 23100
900 17576 AV Fistula Forearam 13200 15400 17600
901 17577 AV Fistula Upper Arm 15750 17050 18150
902 17578 FEMORAL CANNULATION 1250 1650 3300
903 17579 INTERNAL JUGLAR VAIN CANNULATION (IJV) 2350 2750 3300
904 17580 CONTINUOUS RENAL REPLACEMENT THERAPY 35750 38500 44000
(PACKAGE)
905 17581 ASCITIC TAPPING THERAPEUTIC (NEPHRO) 2200 2750 3300
906 17724 DIAGNOSTIC 800 1100 1350
PACKAGES
907 17582 FIRST DIALYSIS (DIALYSIS + DIALYSER) 3050
908 17583 SUBSEQUENT DIALYSIS 1950
909 17584 AV FISTULA PACKAGE 15400
910 17585 RENAL TRANSPLANT 455000
911 18860 DIALYSER + TUBING 1100
912 18861 PLEURAL FLUID ASPIRATION DIAGNOSTIC 800 1100 1350
913 18862 PLEURAL FLUID ASPIRATION THERAPEUTIC 2200 2750 3300
914 18863 PERITONIAL DIALYSIS CATHETER INSECTION 5500
(PROEDURE)
OPTHALMOLOGY
EYE PROCEDURES Gen S. Pvt. Pvt.
915 2652 ANTERIOR SEGMENT PROCEDURE 350 550
916 5225 AUTOMATED PERIMETRY - SCREENING 1350 1550
917 5224 AUTOMATED PERIMETRY-FULL 2100 2750
918 2987 BIOMETERY 700 1000 1650
919 5227 BUT 150 300
920 2643 CAUTERISATION 350 800
921 2637 CHALAZION / LID ABSCESS 1550 2350 3000
922 2648 CONCRETION PROCEDURE 350 800
923 2650 CONJUNCTIVAL / CORNEAL SMEARING 350 800
924 2644 CRYOPEXY 2100 2650 3200
925 2646 DIATHERMY 800 2000
926 5226 DRY EYE WORK UP 550 700
927 2623 ELECTROLYSIS (ONE EYE) 350 800
928 5233 EPICANTHUS (NON PACKAGE) 4850 7500 9600
929 2635 EPILATION 150 300
930 2607 EYE DRESSING (MAJOR) 350 550
931 2605 EYE DRESSING (MINOR) / SYRINGING 200 300
932 5230 FDT 450 800
Page 21 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
933 2632 FLUORESCEIN ANGIOSCOPY 800 1650
934 5229 FLUORESCEIN STAINING 150 300
935 2624 GLUCOMAINVESTIGATION RATE 550 1100
936 2656 INTRAVITREAL INJECTION / AVASTIN / LUCENTIS 4000 4950 8250
937 5234 KERATOPLASTY / AMNIOTIC MEMBRANE 12800 17600 24200
TRANSPLANTATION
938 5234 STEMCELLTRANSPLANTATION / CORNEAL SURFACE 12800 17600 24200
DISORDER REPAIR
939 2627 OCULAR PROSTHESIS / IMPLANT 700 1350
940 5231 ORBITOTOMY (NON PACKAGE) 12800 19250 28750
941 2634 ORTHO - OPTIC EXERCISES / PLEOPTIC 1250 2750
942 2610 ORTHOPTIC CHECK-UP 300 400
943 5237 P.P.VITRECTOMY 8050 11150 15950
944 2639 PERIPHERAL FIELDS 1350 1550
945 2654 POST. SEGMENT PROCEDURE 350 800
946 2630 PTERYGIUM OPERATION 4400 5500 6600
947 2608 REFRACTION 150 400
948 2621 REMOVAL OF FOREIGN BODY F/M CORNEAOR FORMIX 250 400

949 5236 SCLERAL BUCKLING 8050 11150 15950

950 5228 SHIRMER'S 150 300
951 5232 SKIN GRAFTING / CARTILAGE / M.M. GRAFTING 5650 9600 14300
952 2988 SOFT CONTACT LENSES 2450 3850 6600
953 2617 SQUINT WORK UP 250 400
954 2612 SUB CONJUNCTIVAL INJECTION. 250 400
955 2657 VITREAL BIOPSY 550 850
EYE SURGERY Gen S. Pvt. Pvt.
956 2915 BIOPSY (LID, CORNEAL, CONJUNCTIAL 2600 3900 5200
957 2870 CATARACT SURGERY I.O.L. 8600 11450 18200
958 2869 CATARACT SURGERY (NON I.O.L.) 7800 10400 15600
959 5241 C-DCR / INTRA CYSTIC IMPLANT 6250 9400 13150
960 2866 CRYOPEXY PER SITTING 800 1250 1950
961 2887 DCR / PTOSIS SURGERY 7800 11700 15600
962 2867 ENUCLEATION / EVISCERATION 6500 7800 10400
963 2865 ENTROPION / ECTROPION / CYST REMOVAL 5200 6500 7800
964 5244 EXAMINATION UNDERANAESTHESIAREFR./TN. ONLY 2600 3900 5200

965 2871 GLAUCOMASURGERY 5200 9100 13000

966 2982 GRAFTING 2250 3650 5850
967 2883 LID TEAR REPAIR 3250 4550 6500
968 5243 LPS RESECTION / MULLER'S RESECTION RECESSION / 7950 12500 15750
CANTHOTOMYCANTHOLYSIS
969 5240 MUSCLE TRANSPLANTATION / MUSCLE TRANSPOSITION / 7950 12500 15750

970 5240 FADEN'S OPERATION / ADJUSTABLE SUTURES / 7950 12500 15750

VERTICAL MUSCLE
971 2981 OCULOPLASTIC SURGERY 4700 7800 15750
972 2983 PARACENTESIS 1300 1950 3150
973 5238 PHACO EMULSIFICATION + I.O.L. 10400 13000 20800
Page 22 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
974 5242 PTOSIS SURGERY 4700 5850 9750
975 2899 REMOVALOF INTRAOCCULAR FOREIGN BODY 4700 5850 9750
976 2898 REPAIR OF PERFORATING INJURIES 7950 10550 11850
977 2984 RESUTERING 1200 1950 3150
978 2886 RETINAL DETACHMENT / VITRECTOMY 15750 21100 26000
979 2985 SECONDARY IOL SURGERY 4700 6250 9400
980 2872 SQUINT SURGERY 7550 11450 13150
981 2980 SYRINGING / PROBING 300 400 650
982 2986 TARSORAPHY 2350 3950 5650
983 5239 TRABECULECTOMY / TRABECULOTOMY/UISCO- 7950 11050 15750
CANA/SCLESTOMY / GONIOTOMY
984 5239 GLAUCOMAREVISION 7950 11050 15750
985 17586 OPTICAL COHERENCE TOMOGRAPHY (OCT) 3250 3250 3250
986 17587 VISUAL FIELDS (PERIMTERY) BOTH EYE 1050 1600 1950
987 17588 LASER ONE EYE 2350 2600 3900
988 18864 ROP SCREENING 13000 15600 18200
989 17589 MICS (Microphaco) 13000 16900 23400
ORTHOPAEDIC
AMPUTATIONS Gen S. Pvt. Pvt.
990 2992 AMPUTATION THIGH OR KNEE DISARTICULATION 10400 13000 15600
991 2990 AMPUTATION THROUGH FOOT/SYMESAMPUT 7800 9100 13000
992 2991 AMPUTATION WRIST, ANKLE, FOREARM, ARM, LEG 9100 10400 13000
993 2993 DISARTICULATION HIP 13000 15600 19500
994 2989 FINGERS & TOES (EACH FINGER OR TOE) 5200 6500 7800
995 2994 FORE / HIND QUARTER AMPUTATION 15600 19500 26000
ARTHROPLASTY Gen S. Pvt. Pvt.
996 2996 ANKLE, WRIST, ELBOWAND SHOULDER 26000 32500 39000
997 2995 HAND/FOOT (EACH JOINT) 19500 23400 28600
998 3660 HIP (PARTIAL)/ BIPOLAR 20800-24700 23400- 28600-32500
28600
999 2999 HIP (TOTAL) 32500 39000 45500
1000 2997 KNEE (PARTIAL) 23400 32500 39000
1001 2998 KNEE TOTAL 32500 39000 45500
1002 3000 DIAGNOSTIC ARTHROSCOPY 10400 13000 15600
1003 3001 OPERATION THROUGH ARTHROSCOPY 19500 26000 32500
1004 3651 SMALL JOINTS OF HAND & FOOT 7800 10400 13000
1005 3652 BIG JOINTS (DRAINAGE, FOREIGN BODY REMOVAL 10400 13000 15600
MISCELLANEOUS Gen S. Pvt. Pvt.
1006 3022 ANTERIOR TRANSPOSITION ULNER NERVE 9100 11700 14300
1007 3008 BRUSAEXCISION 6500 7800 10400
1008 3020 CARPALTUNNEL SYNDROME 10400 13000 15600
1009 3014 CHANGE OF DRESSING IN O.P.D 250 350 450
1010 3010 COMPLETION OF PLASTER 250 350 450
1011 3132 COMPOUND FRACTURE/DISLOCATION DEBRI 3900-5200 5200-7800 7800-10400
1012 3133 DEBRIDEMENT OF WOUNDS INC. CLOSURE 2600-3900 3900-6500 6500-10400
1013 3174 EXCI. GANGLION DIV. TENDON SHEATH ETC 3900-5200 5200-7800 7800-10400
1014 3178 EXCISION OF EXOSTOSIS 3900-5200 5200-7800 7800-10400
1015 3024 EXCISION OF HEAD RADIUS 10400 13000 15600
1016 3006 EXCISION OF LOWER END ULNA 10400 13000 15600
Page 23 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1017 3007 EXCISION OF SINUS 5200 6500 9100
1018 3023 FASCIOTOMY 10400 13000 15600
1019 3175 INCISION & DRAINAGE OFABSCESS 3250-5200 5200-7800 6500-10400
1020 3180 INSP. WOUND & CHANGE DRESSING IN O.T 550-800 800-1250 1200-1600
1021 3003 MANIPULATION & SPLINT TALIPES FOOT (BOTH) 2350 2900 3400
1022 3002 MANIPULATION & SPLINT TALIPES FOOT (ONE) 1300 1600 1950
1023 3016 MANIPULATION OF PULLED ELBOW 550 650 800
1024 3019 MENISECTOMY 10400 13000 18200
1025 3177 OP. FORACUTE OSTEOMYELITIS 5200-6500 6500-9100 9100-13000
1026 3176 OP. FOR CHRONIC OSTEOMYELITIS 6500-9100 9100-13000 13000-19500

1027 3009 PATELLECTOMY/REC. PROC. PATELLA 13000 15600 19500

1028 3021 RECURRENT DISLOCATION OF SHOULDER 15600 19500 26000
1029 3018 REMOVAL OF FOREIGN BODY - DEEP 6500-10400 10400- 13000-19500
13000
1030 3017 REMOVAL OF FOREIGN BODY-SUPERFICIAL 3900 5200 7800
1031 3012 REMOVAL OF PLASTER 200 250 300
1032 3013 REMOVAL OF SUTURES 200 250 300
1033 5246 SECONDARY SUTURING OF WOUND 3900-5200 5200-6500 6500-7800
1034 3179 SOFT TISUE BIOPSY 3900-5200 5200-6500
1035 3015 SPLINTAPPLICATION 450 550 900
1036 3005 SYNOVECTOMY (SMALL JOINTS) 6500 7800 10400
1037 3004 SYNOVECTOMY (BIG JOINTS) 10400 13000 15600
1038 3011 WEDGING OF PLASTER 350 450 550
PHYSIOTHERAPY Gen S. Pvt. Pvt.
1039 2660 EXERCISES 200 200 200
1040 2664 LONG THERAPY/PARAPLEGIA/LUMBER TRACTION 200 200 200
1041 2665 MUSCLE CHARTING 200 200 200
1042 2662 S.W.D. & EXERCISES 250 250 350
1043 2663 S.W.D. + TRACTION + EXERCISES 350 350 350
1044 2661 S.W.D.US. (TRACTION, WAX BATH) STIMULA 200 200 200
1045 16116 W.B. & STIMULATION & ULTRAVIOLET 350 350 350
1046 16117 W.B. & STIMULATION & CRYOTHERAPY 350 350 350
1047 16118 W.B. & STIMULATION & HOT PACKS 350 350 350
1048 16119 W.B. & STIMULATION & LASER 350 350 350
1049 16120 W.B. & STIMULATION & I.F.T 350 350 350
1050 16121 W.B. & TRACTION & EXERCISE 350 350 350
1051 16122 W.B. & TRACTION & ULTRAVIOLET 350 350 350
1052 16123 W.B. & TRACTION & CRYOTHERAPY 350 350 350
1053 16124 W.B. & TRACTION & HOT PACKS 350 350 350
1054 16125 W.B. & TRACTION & LASER 350 350 350
1055 16126 W.B. & I.F.T. & ULTRAVIOLET 350 350 350
1056 16127 W.B. & I.F.T. & CRYOTHERAPY 350 350 350
1057 16128 W.B. & I.F.T. & HOT PACKS 350 350 350
1058 16129 W.B. & I.F.T. & LASER 350 350 350
1059 16130 W.B. & ULTRAVIOLET & CRYOTHERAPY 350 350 350
1060 16131 W.B. & ULTRAVIOLET & HOT PACKS 350 350 350
1061 16132 W.B. & ULTRAVIOLET & LASER 350 350 350
1062 16133 W.B. & CRYOTHERAPY & EXERCISE 350 350 350
Page 24 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1063 16134 W.B. & CRYOTHERAPY & HOT PACKS 350 350 350
1064 16135 W.B. & CRYOTHERAPY & LASER 350 350 350
1065 16136 W.B. & HOT PACKS & LASER 350 350 350
1066 16137 W.B. & HOT PACKS & EXERCISE 350 350 350
1067 16138 STIMULATION & TRACTION & EXERCISE 350 350 350
1068 16139 STIMULATION & TRACTION & I.F.T. 350 350 350
1069 16140 STIMULATION & TRACTION & ULTRAVIOLET 350 350 350
1070 16141 STIMULATION & TRACTION & CRYOTHERAPY 350 350 350
1071 16142 STIMULATION & TRACTION & HOT PACKS 350 350 350
1072 16143 STIMULATION & TRACTION & LASER 350 350 350
1073 16144 TRACTION & I.F.T. & EXERCISE 350 350 350
1074 16145 TRACTION & I.F.T. & ULTRAVIOLET 350 350 350
1075 16146 TRACTION & I.F.T. & CRYOTHERAPY 350 350 350
1076 16147 TRACTION & I.F.T. & HOT PACKS 350 350 350
1077 16148 TRACTION & I.F.T. & LASER 350 350 350
1078 16149 I.F.T. & ULTRAVIOLET & EXERCISE 350 350 350
1079 16150 I.F.T. & ULTRAVIOLET & CRYOTHERAPY 350 350 350
1080 16151 I.F.T. & ULTRAVIOLET & HOT PACKS 350 350 350
1081 16152 I.F.T. & ULTRAVIOLET & LASER 350 350 350
1082 16153 ULTRAVIOLET & CRYOTHERAPY & EXERCISE 350 350 350
1083 16154 ULTRAVIOLET & CRYOTHERAPY & HOT PACKS 350 350 350
1084 16155 ULTRAVIOLET & CRYOTHERAPY & LASER 350 350 350
1085 16156 CRYOTHERAPY & HOT PACKS & EXERCISE 350 350 350
1086 16157 CRYOTHERAPY & HOT PACKS & LASER 350 350 350
1087 16158 HOT PACKS & LASER & EXERCISE 300 300 300
1088 2674 APPLICATION OF SKELETAL TRACTION 2750 3850 5500
1089 2677 APPLICATION OF STRAPPING ON HAND/FOOT 200 250 350
1090 2673 ASPIRATION AND INJECTION OF JOINT 1100 1650 2000
1091 2678 CUFF & COLLER SLING OR TRIANGULAR 200 250 350
1092 2671 DOUBLE HIP SPICA 1350 1650 2200
1093 2680 EPIDURAL 900 1650 2200
1094 2682 FIBER SYNESTHIC - CASTAPPLICATION 1650 2200 2750
1095 2675 FIGURE OF EIGHT BANDAGE 800 900 1100
1096 2666 INTRAARTICULAR INJECTION 800 900 1100
1097 2667 SKIN TRACTION 900 1350 1650
1098 2679 MANIPULATION OF JOINTS (STIFFNESS) 900 1100 1350
1099 2681 MANIPULATION OF SPINE 900 1350 1650
1100 2672 MINERVA JACKET 1650 2200 2750
1101 5274 PLASTER IN UPPER OR LOWER LIMB 900 1100 1650
1102 2670 PLASTER JACKET 1100 1650 2200
1103 2676 ROBERT JONES BANDAGE / ARM CHEST 700 800 1100
1104 2668 SHOULDER SPICA 1100 1350 1650
1105 2669 SINGLE HIP SPICA 1100 1350 1650
RECONSTRUCTIVE PROCEDURES Gen S. Pvt. Pvt.
1106 3122 CORRECTION OF CONTRACTURE (CTEV) 13000 15600 19500
1107 3113 REPAIR OF EACH TENDON 3900 7800 10400
1108 3112 REPAIR OF LIGAMENTS 7800 10400 13000
1109 3120 REPAIR OF NERVE (EACH NERVE) 10400 13000 15600
1110 3121 TENDON TRANSFER (PER TRANSFER) 10400 13000 15600
Page 25 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1111 3694 REPAIR OF LIGAMENTS (ORTHOPAEDIC SURGERY) 18200 20800 23400
SPINE SURGERY Gen S. Pvt. Pvt.
1112 3031 LAMINECTOMY 19500 23400 26000
1113 3027 LAMINECTOMY & DISC REMOVAL 23400 26000 28600
1114 3026 COSTO-TRANSVERSECTOMY 15600 19500 23400
1115 3028 ANTEROLATERAL DECOMPRESSION 19500 23400 26000
1116 3030 APPLICATION HARRINGTON ROD OR OTHER DEVICE 19500 23400 26000
1117 3029 REPAIR OF VESSEL 19500 26000 39000
1118 18865 APPLICAT OF SKIN TRACTION 1050 1600 1950
1119 5247 ASPIRATION OF COLDABSCESS IN SPINAL T.B. 3900 5200 7800
EXTERNAL FIXATOR APP Gen S. Pvt. Pvt.
1120 3123 ON FOOT, LEG, HAND OR FOREARM 7800-9100 9100-10400 10400-13000

1121 3124 ONARM OR THIGH 10400-13000 13000- 15600-19500

15600
1122 5245 RING FIXATOR 13000 15600 19500
1123 3171 ALL OPEN/CL. RED. & INT. FIXATION - LIMBS 15600 19500 23400
1124 3172 OPEN REDUCTION OF JOINT DISLOCATION 13000 15600 19500
1125 3173 INTERNAL FIXATION AROUND HIP/SPINE 19500 23400 26000
1126 3170 INTERLOCKING NAILINLG 19500 23400 26000
1127 3125 SKIN GRAFTING 3900-5200 5200-7800 7800-10400
1128 3126 BONE GRAFTING / BONE BIOPSY 3900-6500 6500-10400 10400-13000

1129 3181 FOOT / HAND, AROUNDANKLE, WRIST, ELBOW 7800 11700 15600
1130 3182 AROUND KNEE, HIP & SHOULDER 13000 15600 19500
1131 3025 SPINE 13000 15600 19500
1132 3183 PARTIAL EXCI. BIG JOINTS (HIP, ELBOW) 10400 13000 15600
1133 3184 PARTIAL EXCI. SMALL JOINTS (FINGER, TOE JOINT) 6500 9100 13000
1134 3185 MANIPULATION FRACTURES/ DISLOCATION 2600 3900 5850
1135 3186 CURETTAGE OF LYTIC LESION 6500 7800 10400
1136 3188 FNAC - SURGERY 3250 4550 6500
1137 3187 REPAIR OF RUPTURED TENDOACHILLES 10400 13000 15600
1138 5248 SOFT TISSUE RELEASE 9100 11700 15600
1139 5249 LEG LENGTHENING/SHORTENING 13000 15600 19500
1140 5250 CORRECTIVE BONY SURGERY 10400 13000 15600
1141 5254 MORE THAN THREE FINGERS 13000 15600 19500
1142 5252 ONE FINGER WITH FIXATION 6500 7800 10400
1143 5253 ONE FINGER WITH SKIN GRAFTING 6500 10400 13000
1144 5251 ONE FINGER WITHOUT FIXATION 5200 6500 7800
1145 5153 C-ARM RATE 650 1000 1600
1146 17888 TENOLYSIS / TENOTOMY 5200-7800 7800-10400 10400-13000

1147 17889 NEUROLYSIS 5200-7800 7800-10400 10400-13000

1148 17890 BONE MARROW PLANTATION IN NON UNION 5200 6500 7800
1149 17891 SOFT TISSUE RELEASE IN CONTRACTURES 5200-7800 7800-11700 11700-15600

1150 17590 PNEUMOCOCCAL PREVENAR VACCINE 6650 9900 13150

1151 17591 p23 1850 2100 2350
Page 26 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1152 17592 Tripacel 1950 2100 2250
PAEDIATRIC Gen S. Pvt. Pvt.
1153 2767 B.C.G. VACCINE 150 250 350
1154 2752 BLOOD TRANSFUSION 150 250 350
1155 2744 BONE MARROW BIOPSY 550 850 1100
1156 2741 CARDIAC MONITORING 350 550 800
1157 2785 CHICKEN POX 2200 2450 2650
1158 5308 CISTERNAL PUNCTURE 250 400 550
1159 2765 D.P.T. VACCINE 150 200 300
1160 2705 EXCHANGE TRANSFUSION 1ST 4000 4400 4950
1161 2707 EXCHANGE TRANSFUSION IIND 2750 3000 3300
1162 2786 HEP - A 1250 1350 1650
1163 2781 HEP - B 1 ML 350 400 450
1164 2779 HEP - B 1/2 ML 250 300 350
1165 2783 HIB TITER 550 800 1100
1166 2773 I.M./ S.C. INJECTION 100 100 150
1167 2703 INCUBATOR CARE 350 550 800
1168 5309 LIVER BIOPSY 350 650 900
1169 2723 LUMBAR PUNCTURE 350 450 700
1170 2772 M.M.R. VACCINE 250 300 350
1171 2768 MEASLES VACCINE 150 200 250
1172 2770 MENINGITIS VACCINE 250 300 350
1173 2775 MOUNTEX TEST (MX TEST) 150 200 300
1174 2762 NEONATAL DELIVERYVISIT (LABOUR ROOM) 450 550 700
1175 2750 NEONATAL RESUSCITATION 350 450 550
1176 2714 NICU VISIT RATE (INSIDE CASES) 800 800 800
1177 2701 NICU VISIT RATE (OUT SIDE CASES) 800 800 800
1178 2757 O.T VISIT RATE 800 1100 1550
1179 2764 ORAL POLIO VACCINE (OPV) 150 200 250
1180 2716 OXYGEN TENTS (PER HOUR) 100 100 100
1181 2748 PAEDIATRIC CARE (FIXED) 250 350 450
1182 2838 PERITONEALASPIRATION 250 350 450
1183 2717 PHOTO THERAPY 250 350 450
1184 2754 RESPIRATORY MONITORING 250 350 450
1185 2729 RYLEL'S TUBE FEEDING/GASTRIC LAVAGE 150 250 350
1186 2725 STERNAL PUNCTURE 250 350 450
1187 2730 SUBDURALTAP 250 350 450
1188 2787 TETRAACT HIB 700 800 900
1189 2784 TYPIM VI 250 300 350
1190 2721 UMBLICAL CATHETERISATION 800 1250 1650
1191 5256 UMBLICALVIEN CATH CUT - DOWN 900 1350 1800
1192 2719 VENISECTION 250 350 450
1193 5257 I.C.D. 1450 2200 3550
1194 5255 VENUS CUT DOWN 700 1000 1350
1195 17593 IPV 450 550 700
1196 17594 EASY-5 800 1000 1250
1197 3219 CYSTIC HYGRAMAEXCISION 5500 8200 13250
1198 3210 DORSAL SLITTING 2700 4300 8700
1199 3221 DRAINAIGE OF INTRABDOMINALABCESS 3800 4300 4850
Page 27 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1200 3216 EXCISION OF BRANCHIAL CYST 4750 7600 13250
1201 3217 FISTULA BRANCHIAL 4750 7600 13250
1202 3211 HERNIOTOMY 3800 4300 9450
1203 3223 HYPOSPADIAS 5700 9000 15100
1204 3196 INCISION AND DRAINAGE OFABCESS 1150 1750 3150
1205 3208 LYMPH NODE BIOPSY 1450 2400 3800
1206 3225 NEONATAL COLOSTOMY 6650 10400 17000
1207 3224 NEONATAL LAPRATOMY 12900 17100 20800
1208 3230 P.S.A.R.P. FOR IMPERFOATE ANUS 12900 17100 20800
1209 3215 POLYPECTOMY 3800 5850 9450
1210 3209 PREPETUIAL DILATATION 1450 1750 3800
1211 3212 PROCTOPLASTY FOR IMPERFORATEANUS 3800 5850 9450
1212 3231 PULL THROUGH FOR HIRSCHSPRUNG DISEASE 12900 17100 20800
1213 3220 PYLOROMYTOMY 4750 7600 13250
1214 3214 RECTAL BIOPSY 3800 5850 9450
1215 3195 SNIPPING OF TOUNGE TIE 1100 1600 3150
1216 3222 STRANGULATED HERNIAREPAIR 4750 5850 9450
1217 3218 THYSOGLOSSAL CYST 7600 10250 11900
1218 3229 TRACHIO-OESPHAGEAL FISTULATHORACOTOMY 7600 10250 11900
1219 3213 UMBLICAL HERNIA
1220 5246 SECONDARY SUTURING OF WOUND 1300-2600 2600-3250 3250-3900
SURGERY CHARGES (PAEDIATRIC) Gen S. Pvt. Pvt.
1221 7210 EXCISION OF BRANCHIAL CYST 5200 7800 14300
1222 13425 VENESECTION (32) 2750 3400 3800
1223 8994 MECONIUM IIEUS OPERATION 30/33.24) 26000 31200 36400
1224 8995 NEPHRECTOMY FOR PYONEPHROSIS ( 30/33.35.1 ) 20800 23400 28600
1225 8996 NEPHRECTOMY FOR WILMS TUMOUR ( 30/33.35.3 ) 23400 26000 31200
1226 9003 OPERATION OF CHOLEDOCHAL CYST ( 30/33.34 ) 20800 23400 28600
1227 9008 PLICATION & OTHER OPERAT.FOR THEADHESIONS 19500 22100 27300
1228 11439 ATRESIA OF OESOPHAGUSAND TRACHEO OESOPHAGEAL 20800 31200 36400
FISTULA (WITH GA)
1229 11863 EXCISION OF THYROGLOSSAL DUCT/CYST (WITH GA) 13000 16900 20800

1230 11864 DIAPHRAGMATIC HERNIAREPAIR (THORACIC 26000 29900 35100

ORABDOMINALAPPROACH) (WITH GA)
1231 11865 TRACHEO OESOPHAGEAL FISTULA (CORRECTION 23400 26000 28600
SURGERY) (WITH GA)
1232 11866 Colon Replacement of Oesophagus (With GA) 32500 39000 45500
1233 11867 Omphalo Mesenteric Cyst Excision (With GA) 26000 29900 35100
1234 11868 Omphalo Mesenteric DuctExcision (With GA) 23400 26000 28600
1235 11869 Meckels Diverticulectomy (With GA) 19500 22100 26000
1236 11870 Omphalocele 1st Stage (Hernia Repair) (With GA) 10400 13000 15600
1237 11871 Omphalocele 2nd Stge (Hernia Repair) (With GA) 10400 13000 15600
1238 11872 Gastrochisis Repair (With GA) 10400 13000 15600
1239 11873 Inguinal Herniotomy (With GA) (bilateral) 9750 13000 15600
1240 11874 Congenital Hydrocele (With GA) 3900 5200 6500
1241 11875 Hydrocele of Cord (With GA) 13000 19500 26000
1242 11876 Torsion Testis Operation (With GA) 6500 9100 13000
1243 11877 Congenital Pyloric Stenosisoperation (With GA) 18200 23400 28600
Page 28 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1244 11878 DuodenalAtresia Operation (With GA) 18200 23400 28600
SURGERY CHARGES (PAEDIATRIC) Gen S. Pvt. Pvt.
1245 11879 Pancreatic Ring Operation (With GA) 13000 19500 26000
1246 11880 Meconium Ileus Operation (With GA) 26000 31200 36400
1247 11881 Malrotation of Intestines Operation (With GA) 19500 26000 32500
1248 11882 Rectal Biopsy (Megacolon) (With GA) 6500 9100 1300
1249 11883 Colostomy Transverse (With GA) 10400 15600 20800
1250 11884 Colostomy Left ILLAC (With GA) 10400 15600 20800
1251 11885 Abdominal Perineal Pull Through (Hirschaprugis Disease) (With 26000 31200 36400
GA)
1252 11886 Imperforate Anus Low Anomaly Cut Back Operation (With GA) 23400 28600 33800

1253 11887 Imperforate Anus Low Anomaly Perineal Anoplasty (With GA) 26000 31200 36400

1254 11888 Inperforate Anus High Anomaly Sacroabdomino Perineal Pull 28600 32500 39000
Through (With GA)
1255 11889 Inperforate Anus High Anomaly Closure of Colostomy (With GA) 13000 18200 23400

1256 11890 Intusussusception Operation Choledochoduodenostomy for Atresia 15600 18200 20800
of Extra Hepatic Billiary
Duct Gen S. Pvt. Pvt.
1257 11891 Operation of Choledochal Cyst (With GA) 10400 15600 20800
1258 11892 Nephrectomy for Pyonephrosis (With GA) 20800 23400 28600
1259 11893 Nephrectomy for Hydronephrosis (With GA) 20800 23400 28600
1260 11894 Nephrectomy for Wilms Tumour (With GA) 23400 26000 31200
1261 11895 Paraaortic Lymphadenoctomy with Nephrectomy for Wilms 31200 39000 52000
Tumour (With GA)
1262 11896 SacroCoccygeal Teratoma Excision (With GA) 15600 20800 26000
1263 11897 Neuroblastoma Debulking (With GA) 10400 15600 20800
1264 11898 Neuroblastoma Total Excision (With GA) 15600 20800 26000
1265 11899 Rhabdomyosarcoma wide Excision (With GA) 26000 32500 39000
1266 11900 Atresia of Oesophagus and Tracheo Oesophageal Fistula (With LA) 22100 32500 37700

1267 11901 Excision of thyroglossal Duct/Cyst (With LA) 14300 18200 22100
1268 11902 Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach) 27300 31200 36400
(With LA)
1269 11903 Tracheo Oesophageal Fistula (Correction Surgery) (With LA) 24700 27300 29900

1270 11904 Colon Replacement of Oesophagus (With LA) 33800 40300 46800
1271 11905 Omphalo Mesenteric Cyst Excision (With LA) 27300 31200 36400
1272 11906 Omphalo Mesenteric DuctExcision (With LA) 24700 27300 29900
1273 11907 Meckels Diverticulectomy (With LA) 20800 23400 27300
1274 11908 Omphalocele 1st Stage (Hernia Repair) (With LA) 11700 14300 16900
1275 11909 Omphalocele 2nd Stge (Hernia Repair) (With LA) 11700 14300 16900
1276 11910 Gastrochisis Repair (With LA) 11700 14300 16900
1277 11911 Inguinal Herniotomy (With LA) 11050 14300 16900
1278 11912 Congenital Hydrocele (With LA) 5200 6500 7800
1279 11913 Hydrocele of Cord (With LA) 14300 20800 27300
1280 11914 Torsion Testis Operation (With LA) 7800 10400 14300
Page 29 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1281 11915 Congenital Pyloric Stenosisoperation (With LA) 19500 24700 29900
1282 11916 DuodenalAtresia Operation (With LA) 19500 24700 29900
1283 11917 Pancreatic Ring Operation (With LA) 14300 20800 3900
1284 11918 Meconium Ileus Operation (With LA) 27300 32500 37700
1285 11919 Malrotation of Intestines Operation (With LA) 20800 27300 33800
1286 11920 Rectal Biopsy (Megacolon) (With LA) 7800 10400 2600
1287 11921 Colostomy Transverse (With LA) 11700 16900 22100
1288 11922 Colostomy Left ILLAC (With LA) 11700 16900 22100
1289 11923 Abdominal Perineal Pull Through (Hirschaprugis Disease) (With 27300 32500 37700
LA)
1290 11924 Imperforate Anus Low Anomaly Cut Back Operation (With LA) 24700 29900 35100

1291 11925 Imperforate Anus Low Anomaly Perineal Anoplasty (With LA) 27300 32500 37700

1292 11926 Inperforate Anus High Anomaly Sacroabdomino Perineal Pull 29900 33800 40300
Through (With LA)
1293 11927 Inperforate Anus High Anomaly Closure of Colostomy (With LA) 14300 19500 24700

1294 11928Intusussusception Operation Choledochoduodenostomy for Atresia 16900 19500 22100

of Extra Hepatic Billiary (With LA)
SURGERY CHARGES (PAEDIATRIC) Gen S. Pvt. Pvt.
1295 11929 Operation of Choledochal Cyst (With LA) 11700 16900 22100
1296 11930 Nephrectomy for Pyonephrosis (With LA) 22100 24700 29900
1297 11931 Nephrectomy for Hydronephrosis (With LA) 22100 24700 29900
1298 11932 Nephrectomy for Wilms Tumour (With LA) 24700 27300 32500
1299 11933 Paraaortic Lymphadenoctomy with Nephrectomy for Wilms 32500 40300 53300
Tumour (With LA)
1300 11934 SacroCoccygeal Teratoma Excision (With LA) 16900 22100 27300
1301 11935 Neuroblastoma Debulking (With LA) 11700 16900 22100
1302 11936 Neuroblastoma Total Excision (With LA) 16900 16900 27300
1303 11937 Rhabdomyosarcoma wide Excision (With LA) 27300 33800 40300
1304 2683 PER QUADRENT - CUNJUNTION WITH EXT. 1050 2100
1305 2684 PER QUADRENT - NOT IN CONJUNTION 1200 2100
1306 2685 FRENECTOMY 800 1300
DENTISTRY (APICOCTOMY) Gen S. Pvt. Pvt.
1307 3622 ANT TOOTH 3850 3850
1308 3629 APICOCTOMY 4400 4400
1309 3624 BIOPSY 4400 4400
1310 3615 DENTOALVERLORABSCESS I & D 1850 2050
1311 3614 DENTOALVERLORABSCESS I & D EXT. 450 950
1312 3616 DRESSING OF ORAL & FACIALWOUNDS 250 450
1313 3621 EMERGENCYTREATMENT OF JAW FRACTURE 800 1550
1314 3625 EXCISION OF DENTAL 1350 2650
1315 3617 EXCISION OF DENTAL CYST - GA 2650 3100
1316 3618 EXCISION OF JAW TUMOR 3300 6600
1317 3626 EXCISION OF SOFT TISSUE GROWTH 1350 2650
1318 3620 O.M. MAND WITH REMOVAL SEQUESTTRUM 2650 5300
1319 3619 O.M. MAND WITH SEQUESTRECTOMY 2650 5300
1320 3628 POSTERIOR TOOTH 1350 2650
Page 30 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1321 3623 REPAIR OF DENTAL CYST - LA 3850 4400
1322 3627 SUTURING OF ORAL& FACIALWOUND 550 1100
1323 2695 ADAPTIC / SYNTHETIC / GLASS 1100 1550
1324 2691 CROWN REBUILT 2200 2750
1325 2693 LIGHT CURE FILLING 1650 2200
1326 2688 RESTORATION BY FILLING (PETRILITE) 350 700
1327 2687 RESTORATION BY FILLING (ZINC OXIDE) 450 500
1328 2690 SILVER CLASS II 550 1100
1329 2689 SILVER CLASS - I 450 800
1330 2694 SPOT FILLING 250 500
1331 2686 ZINC OXIDE PACK 350 350
1332 17595 BLEACHING ENTHUSIUC 7700 11000
1333 2696 PULPOTOMY 5500 7700
1334 17597 PALP CAPYPING 450 750
1335 17598 SINGLE TOOTH LAMINATION 8800 11000
1336 17599 POST & CORE 3300 4550
1337 17732 BLEACHING 7700 11000
1338 2710 DEEP POCKET IRRIGATION DRESSING PER TOOTH 150 200
1339 2698 DESENSTTISATION PER TOOTH 250 300
1340 2706 GINGIVECTOMY PER SEGMENT 1100 1800
1341 2711 ORAL PROPHYLAXIS WITH CAVITRON 1800 3300
1342 2699 PARTIAL ORAL PROPHYLAXIS PER SEGMEN 450 850
1343 3695 PERIDENATAL CURRETAGE PER TOOTH 450 850
1344 2702 PERIDENTAL FLAP SURGERY WITH OESTOPLA 800 1550
1345 2704 PERIDENTAL FLAP SURGERY WITHOUT OESTO / TOOTH 800 1550

1346 2712 PERIODONTAL WIRING 1100 1650

1347 2700 POLISHING 250 550
1348 2697 PULP CAPPING 550 700
1349 2696 PULPOTONY 5500 7700
1350 2708 ROOT CANALANTERIOR TEETH (PER TOOTH) 4400 4950
1351 2709 ROOT CANAL POSTERIOR TOOTH 4950 5500
1352 18866 GINGIVECTOMY WITH BONE GRAFTING 5500 8250
1353 2722 EXCISION OF PERICORNAL FLAP 800 1550
1354 2713 EXTRACTION OF TOOTH UN-ERRUPTED 3300 3850
1355 2720 IMPACTED TOOTH HORIZENTAL 5500 6600
1356 2718 IMPACTED TOOTH MESIO-ANGULAR 5500 6600
1357 2715 IMPACTED TOOTH VARICAL-ERRUPTED 5500 6600-8800
1358 2724 ROOT RECOVERY RICORNAL FLAP 2750 3850
1359 3241 LARGE / MULTIPLE LACERATIONS 450 700 1100
1360 3243 SMALL LACERATION - LA 350 500 700
1361 3240 SUTURE REMOVAL 150 200 300
1362 3239 T.M. JOINTANKYLESIS -BILATERAL 5200 7950 11150
1363 3630 T.M. JOINTANKYLESIS -UNILATERAL 4550 6750 10050
1364 3242 ZYGOMA FRACTURE 3300 4950 6600
1365 3633 ARCH BAR SPLINTS 5500 3300 6050
1366 3632 CAP SPLINTS 3000 3300 4950
1367 3636 EXTRA - ORAL PIN FIXATION 4100 4950 6600
1368 3634 GUNNING SPLINTS 3000 4400 6050
Page 31 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1369 3631 INTER MAXILLAY WIRING 11000 3300 11000
1370 3635 OPEN REDUCTIONS 4100 5300 8600
1371 17600 FLAP SURGERY PERREGMENT EXTENSINE 7700 11000
1372 17601 FLAP SURGERY PERREGMENT MEDIUM 7700 11000
1373 17602 FLAP SURGERY PERREGMENT WITH BONE GRAPHIN 6750 10050
1374 17603 RELINIG FULL DENTURE 2200 3300
1375 17604 PARTIAL DENTURE METAL 14100 15400
1376 2727 ACTIVATION OF APPLIANCE 450 550
1377 2731 EXPENSION SCREW APPLIANCE 3750 5300
1378 2732 HABIT BREAKING APPLIANCE 3850 5500
1379 2728 INCLINED PLANE 1900 2650
1380 2733 ORAL SCREEN 3550 3850
1381 2726 SIMPLE HAWLEY'S APPLIANCE 1650 2750
1382 2734 SPACE MAINTAINER FIXED 3750 5300
1383 2735 FEEDING APPLIANCE FOR CLEFT INFANT 2450 4300
1384 2747 ADDITION PER TOOTH - (INDIAN) 450 550
1385 2749 ADDITION PER TOOTH - IMPORTED 450 550
1386 2759 BRIDGE ONE UNIT (K. METAL) 3100 3300
1387 2760 CAST CROWN 3100 3300
1388 3650 COMPLETE DENTURE (UPPER & LOWER) 14650 16100
1389 2743 DENTAL X-RAY 150 300
1390 2763 DENTURE REPAIR 550 700
1391 2756 DOWEL CROWN (K. METAL) 3100 3300
1392 2738 FULL DENTURE (UPPER & LOWER) IMPORTED BASE 15950 17300
1393 2737 FULL DENTURE (UPPER OR LOWER) (metal) white 17050 17050
1394 2742 PORCELEIN CROWN 3850 6050
1395 2745 REMOVAL PARTIAL DENTURE (ONE TOOTH) ACRYLIC 2200 2750

1396 2746 REMOVAL PARTIAL DENTURE IMPORTED ACRYLIC 2750 3300

1397 5214 REPAIR -COLD CURE WITH IMPRESSION 1350 1650
1398 5215 U/L COMPLETE DENTURE -IMPORTED TEETH 22000 22000
BASEUNBREAKABLE
1399 2753 UPPER & LOWER COMPLETE DENTURE IMPORTED 11000 11000
SINGLE
1400 2751 UPPER & LOWER COMPLETE DENTURE INDIAN 14300 14850
1401 17733 IN CERAMIC ZIXCONIA CROWN 16500 17950
1402 17734 DENTAL IMPLANT 38500 44000
FIXED ORTHODONTIC TREATMENT Gen Pvt.
1403 17735 METAL 29700 38500
1404 17736 CERAMIC 38500 46200
1405 18867 RC ROOT CANAL TREATMENT 4950 5500
1406 18043 CROWN REMOVAL 450 550
1407 18868 TEMPORARY CROWN (ACRYLIC) 450 550
SIMPLE EXTRACTION Gen Pvt.
1408 2766 SINGLE TOOTH 800
1409 2771 SURGICAL EXTRACTION I 1800 2550
1410 17605 Grade II 2000 2750
1411 17606 GradeIII 3300 3850
1412 17607 RELINING FULL DENTURE 2200 2750
Page 32 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1413 17608 PARTIAL DENTURE METAL 3100 4400
TRANSPORT Gen Pvt.
1414 2820 ARTHLA, KARHERA, HINDON, ARADHNA 450
1415 2833 BULANDSHAHAR 2750
1416 2823 MEERUT 3300
1417 2825 MODI NAGAR 1650
1418 2834 MURAD NAGAR/DUHAI/FARUKH NAGAR/SADARPUR 1100

1419 2836 SIKANDRABAD 2000

1420 2829 PILKHUWA 1350
1421 2828 NOIDA 1100
1422 2822 HAPUR, BAGPAT 2200
1423 DADRI, DASNA, MASURI 1100
1424 SHAHDRA, VIVEK VIHAR, GYANI BORDER, G.T.B. 800
1425 DELHI UP TO 60 KM. (UP & DN) BOTH 1100
1426 DELHI UP TO 90 KM. (UP & DN) BOTH 1800
1427 SURYA NAGAR/BEL COLONY/VASUNDHARA/VAISHALI 700

1428 LINI/TRONIKA CITY 1350

1429 SHYAM PARK, SAHIBABAD, RAJENDAR NAGAR, 450
SHALIMAR GARDEN
1430 VIJAY NAGAR, CHAPROLA 800
1431 RAJNAGAR, KAVINAGAR, MEERUT, RAJENDER NAGAR, 700
SHALIMAR GARDEN
1432 OTHER PLACES (PER KM) UP & DN. (BOTH) 33
NOTE : FREE FOR EMERGENCYADMISSION WITH IN 10 KM.

NOTE : DOCTOR & OTHER STAFF CHARGES WILL BE EXTRA IF NEEDED

MAMMOLOGY Gen S. Pvt. Pvt.
1433 3947 CORRECTION OF NIPPLE 5650 8400 11550
1434 3281 EXCISION OF GYNAECOMASTIA 7400 10900 14750
1435 3262 EXCISION OF BREAST LUMPS 5650 8400 11150
1436 3948 EXCISION OF BREAST SINUS 5650 8400 11150
1437 3247 INCISION & DRAINAGE OF BREASTABSCESS 3550 5400 7150
1438 3944 LUMPECTOMY 7400 10900 14750
1439 3280 MICRODOCHECTOMY ( HADFIELD PROCEDURES) 5650 8400 11150
1440 3335 RADICAL MASTECTOMY 7400 10900 14750
1441 3484 REDUCTION MAMMOPLASTY 12800 19400 26850
1442 3945 SECTOR MASTECTOMY 5650 8400 11150
1443 3946 SEGMENTAL RESTECTION OF BREAST 5650 8400 11150
1444 3291 SIMPLE MASTECTOMY 7400 10900 14750
1445 5393 MAMOGRAPH (BOTH BREST) 1800 2650 3550
1446 5258 REDUCTION MAMMOPLASTY (PLASTIC SURGERY) 6600 9900 14300
1447 5259 AUGMENTATION MAMMOPLASTY (PLASTIC SURGERY) 6600 9900 14300

1448 3487 TOTAL BREAST RECONSTRUCTION 12900 19400 25750

1449 3149 MODIFIED RADICAL MASTECTOMY 7400 10900 14750
1450 3150 AXILLARY DISSECTION 5650 8400 11150
1451 5491 EXCISION OF DUCT COMPLEX 7400 10900 14750
Page 33 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1452 5495 LIPECTOMYAXILLARY PAD OF FAT 7400 10900 14750
1453 5496 TRUCUT BIOPSY UNILATERAL BREAST 2750 3850 4950
1454 5497 USG GUIDED FNAC BREAST (SINGLE) 2750 4400 6050
NEUROLOGY Gen S. Pvt. Pvt.
1455 2585 ABRECTION 350 450 550
1456 2591 BIO FEED BACK 700 700 700
1457 2588 ECT 2200 3300 4400
1458 2589 EEG WITH REPORT 1800 1800 1800
1459 3658 IQ TESTING 1100 1350 1650
1460 2594 NALOXONE CHALLENGE TEST 900 1000 1000
1461 2595 NARCO ANALYSIS 1900 2750 3750
1462 2592 PERSONALITY TESTTING 900 1000 1000
1463 2587 PSYCHOTHERAPY 1000 1550 2000
1464 3781 ABR/BAER/BERA 2000 2350 2650
1465 3783 BLINK REFLEX 2000 2350 2650
1466 3787 EEG 1650 1650 1650
1467 3786 EMG WITH DISPOSABLE NEEDLE ELECTRODE 2650 2650 2650
1468 2597 MUSCLE BIOPSY 550 850 1100
1469 3780 NCS (NERVE CONDUCTION STUDY (MOTOR & SENSORY) 2450 2750 3300

1470 2599 NEOSTIGMINE TEST 450 700 900

1471 2598 NERVE BIOPSY 550 850 1100
1472 3785 REPETITIVE STIMULATION (DECREMENTAL STUDY) 2550 2900 3300
1473 3784 SSEP 2550 2900 3300
1474 3782 VER / VEP (CHECKER BOARD OR FLASH STIMULATION) 2550 2900 3300
PSYCHO TEST : PAPER PENCILTEST Gen
1475 17231 INTELLIGENCY TEST 1600
1476 17232 PERSONALITY ASSESSMENT 2150
1477 17236 SPECIAL CONDITION TEST ( ADHD / OCD) 2050
1478 17237 ANXIETY TEST 1200
1479 17238 NEURO PSYCHOLOGICAL BATTERY 2150
1480 17239 MARRIAGE ANALYSIS EVALUATION TEST(M.A.T) 2050
1481 17240 PERSONALITY DISORDER TEST (COMBO-MT & ANXIETY 2150

1482 17241 MENTAL TENSION / STRESS LEVEL 1350

THERAPY CHARGES Gen
1483 17245 COGNETIVE BEHAVIOUR THERAPY (C.B.T) 1150
1484 2587 PSYCHO THERAPY 1100/1300/160
0
1485 17249 RELEXATION THERAPY (R.T.) 1150
1486 18869 MARITALTHERAPY FOR COUPLE + COUNCELLING 2150
1487 18870 MARITALTHERAPY 1150
PERFORMANCE TEST Gen
1488 17255 BHATIA B. TEST 2150
1489 17252 RORSCHACH TEST 2400
1490 17253 SKILLED TEST (MOTOR COORDINATION) 1150
CONSULTATION CHARGES FOR PRIVATE PATIENT
1491 18879 30 MIN 800
1492 18880 60 MIN 1250
Page 34 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
CARDIOLOGY & CTVS Gen
OPD CONSULTATION
1493 3789 CARDIAC CONSULTATION 700
1494 3790 FOLLOW UP CARDIAC CONSULTATION 700
1495 5370 AGGRAMED (Consultation with Angiogram) 1100
NON INVASIVE CARDIO VASCULAR INSVESTIGATIONS Gen
1496 2797 2 D ECHO COLOR DOPPLER 2450
1497 5213 BED SIDE ECHO 2650
1498 2795 ECG 250
1499 2802 FOETAL ECHO 2750
1500 3698 HOLTER ANALYSIS 1650
1501 2810 HOLTER TEST 2350
1502 2811 PACE MAKER ANALYSIS 1000
1503 3696 PERIPHERAL / CAROTID DOPPLER 3000
1504 2808 SCREENING ECHO 1350
1505 2800 STRESS ECHO 3850
1506 2798 TEE (INCLUDING TRANS THORACIC) 4400
1507 2799 TEE ONLY 3850
1508 3697 TILT TEST 2750
1509 2809 TMT ( TREAD MILL TEST) 1800
1510 18871 DOBUTAMINE STRESS ECHO 4000
ADDITIONAL CHARGES OF RS.500 ONLY SHALL BE CHARGED FOR BED SIDE PROCEDURES.
CORONARY / PERIPHERAL ANGIOGRAPHY
Gen S. Pvt. Pvt. Suits
1511 3708 CORONARY ANGIOGRAPHY 13500 15000 18000 20000
1512 3711 ANGIO - CD 1200 1200 1200 1200
1513 17613 RENAL ANGIOGRAPHY 14500 16500 19500 22000
1514 17614 Peripheral / Femoral / Carotid/ Renal Angiography 14500 16500 19500 22000
1515 17615 Check Angiography (upto 6months after PTCA done) 11000 13000 17000 22000

THE ABOVE RATES INCLUDES HOSPITALISATION FOR UPTO 1 DAYS FOR ANGIOGRAPHY, CARDIOLOGIST FEES,
ROUTINE BLOOD TESTS, ONE ECG, AND ONE X-RAY. OTHER TESTS SUCH AS:TMT, HOLTER, ECHO ETC. WILL BE
CHARGED EXTRA.
Oximetery will be charged extra @ Rs. 500/-
The angio CD will be issued against a deposit of Rs. 1,200/-
Non- Ionic Dye, when used will be charged extra @ Rs. 2,000/-
If patient needs ICCU observation after Angiography, charges for ICCU bed will be extra.
Angiography of patient admitted in ICCU will be charged at Semi - Pvt. Ward rates.

PROCEDURES IN CATH LAB Gen S. Pvt. Pvt. Suits

1516 3712 CORONARY ANGIOPLASTY ELECTIVE 120000 132000 156000 174000

1517 3713 STENTING (PTCA +Cost of one stent ) ELECTIVE 161500 174500 200500 220000
1518 3714 VALVOTOMY / VALVULOPLASTY 67600 84500 110500 123500
1519 5299 PERIPHERAL/RENAL ANGIOPLASTY 67600 84500 110500 123500
1520 5300 INFERIOR VENA CAVA FILTER IMPLANTATION 97500 117000 130000 162500
1521 17617 PRIMARY CORONARY ANGIOPLASTY IN ACUTE MI 143000 162500 201500 273000
1522 17618 CAROTID ANGIOPLASTY 130000 143000 169000 195000
1523 17619 ROTABOLAR / DIRECTIONAL ARTHERECTOMY 195000 227500 260000 292500
Page 35 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1524 17620 ANGIOPLASTY FOR RESTENOSIS 67600 84500 110500 123500
Electrophysiology Studies Gen S. Pvt. Pvt. Suits
1525 18881 ELECTROPHYSIOLOGY STUDIES MINOR (STAY 1 DAY) 23400 26000 32500 45500
1526 18882 ELECTROPHYSIOLOGY STUDIES MINOR (MINOR (STAY 2 35100 42900 52000 71500
DAY)
1527 18883 ELECTROPHYSIOLOGY STUDIES RADIOFREQUENCY 68900 81900 110500 143000
ABLATION (STAY 2 DAY)
1528 18884 ELECTROPHYSIOLOGY STUDIES RADIOFREQUENCY 107900 127400 149500 188500
ABLATION WITH 3D MAPPING (STAY 3 DAYS)
The above charges include Room Rent for 3 days, One day in ICCU / ICU, Cardiologist's fees, Routine Blood Tests,
ECG and Chest X-Ray It does not includes charges of Angiography
if Angiography and Angioplasty / Stenting are done at the same sitting/separate sitting discount of Rs. 4,000/- will be applicable to
the combined charges of the two procedures.
Investigations apart from the routine as mentioned in (a) above will be charged extra.
This does not include cost of special devices , cost of using IABP , Cost of special antiobiotics and any special tests.
The above charges include one Balloon for Angioplasty or Valvotomy and one balloon,one Stent for Stenting. In case additional
Balloons and Stents are required, they will be charged extra at applicable rates
Antiplatelet therapies/injection shall be charged extra
DEVICE IMPLANTATION Gen S. Pvt. Pvt. Suits
1529 3715 EXTERNAL PACING (PER DAY) 1300 1950 2600 3250
1530 3716 TEMPORARY PACING 11700 15600 19500 23400
1531 3717 PERMANENT PACING (SINGLE CHAMBER)* 32500 39000 45500 52000
1532 3718 PERMANENT PACING (DUAL CHAMBER)* 39000 45500 52000 65000
1533 17623 BIVENTRICULAR PACING 65000 71500 78000 91000
1534 17624 ICD IMPLANTATION (SINGLE CHAMBER) 78000 91000 104000 117000
1535 17625 ICD IMPLANTATION (DOUBLE CHAMBER) 84500 97500 110500 123500
1536 17626 COMBO DEVICE 84500 97500 110500 123500
* Cost of Pacemaker, Cost of Medicine and hospital stay will be extra
CARDIOVASCULAR SURGERY Gen S. Pvt. Pvt. Suits
1537 3724 AORTIC ANEURYSM REPAIR (ABOMINAL) 169000 195000 234000 260000
1538 3725 AORTIC ROOT REPLACEMENT (COST OF VALVE CONDUIT 188500 208000 240500 266500
EXTRA)
1539 3719 CABG ( BY PASS SURGERY) 221650 243750 266500 305500
1540 3722 CLOSED HEART SURGERY 130000 156000 169000 188500
1541 5287 EMBOLECTOMY 2DAYS 71500 97500 117000 130000
1542 3720 OPEN HEART SURGERY 221000 243100 266500 305500
1543 3723 PERIPHERAL VASCULAR SURGERY 91000 104000 117000 169000
1544 3721 SINGLE VALVE REPAIR/ REPLACEMENT (COST OF VALVE 188500 208000 247000 299000
EXTRA)
1545 4591 DOUBLE VALVE REPAIR/ REPLACEMENT (COST OF 208000 227500 260000 318500
VALVE EXTRA)
The above charges includes:-

Page 36 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
-- Upto 10 days stay in the hospital including two days in ICU
-- Additional stay will be charged extra as per prevalling rates of the room / bed
Routine lab investigations which will include:
-- Hb, TLC, DLC, Blood Grouping, Cross Matching, Createnine and LFT.
Platelet Count, BT, CT, Blood Urea, Serum
Open heart surgery includes ASD, VSD Closure, TOF Repair, Valve Replacement and Repair.
The approximate cost of one heart valve ranges between 30,000/- to 50,000/- depending on the valve used. Cost of Graft or Prosthetic
patch will be charged extra, when used.
If the patient needs Cardio Pulmonary Bypass ( i.e Heart Lung Machine), charges will be as for open heart surgery.
Cost of Grafts and / or conduits will be extra in all cases.
When two surgical procedures have to be done in the same sitting, full charge of one procedure plus 50% of the charge of the second
procedure will be lieved.
Blood for surgery will have to be arranged by the patient's attendant. Blood grouping of potential donors will be
charged by blood bank at prevailing rates.
Only one person will be allowed as attendant with each patient in private /semi private rooms . Attendants will vacate the room
when the patient is in the intensive care, to accommodate other patients. The entire amount of package is payable in advance at the
time of admission with the billing section.
If the amount is not deposited the procedure/surgery will only be undertaken after the written permission of medical superintendent.

MISCELLENOUS CHARGES Gen S. Pvt. Pvt. Suits

1546 3730 BAD VESSELS, HIGH RISK CASES 22000 22000 22000 22000
1547 3731 DIABETIC PATIENTS UNDER GOING SURGERY(EXTRA) 11000 11000 11000 11000

1548 3729 INTRAAORTIC BALLOON 48400 59400 66000 77000

1549 3728 MEMBRANE OXYGENATOR 6600 8250 8800 9900
1550 3733 PERICARDIAL DRAINAGE 7700 8250 8800 9900
1551 3726 PERICARDIAL TAP 6600 7150 7700 8800
1552 3727 SWAN GANZ CATHETER 13200 18700 19800 25300
1553 3732 VENTILATOR CHARGES (PER DAY ) 4000 4000 4000 4000
1554 5406 DIFFERENCE OF CONSUMEABLES ITEM 60500 71500 93500 115500
1555 17628 DEVICE CLOSURE, ASD, VSD, PDA (Stay 2 Days) 110500 136500 156000 195000
CONSUMEABLES Gen S. Pvt. Pvt. Suits
1556 5370 AGGRAMED 5200 5200 5200 5200
1557 5373 VISIPAQUE 2900 2900 2900 2900
1558 5356 NON IONIC DYE 3200 3200 3200 3200
Dobutamine/Albumin/Aminodrip/Intralipid/Vancomycin/Tiecoplanin or other expensive antibiotics will be charged extra at actuals.
Chest Binders if used will be charged extra.
Other specialities consultants visits , if required will be charged extra at prevailing rates. Thoracic Surgery/Chest & Vascular Trauma will be
charged extra at actuals.
T.E.E, TMT, Holter, PFT, Peripheral/Carotid doppler, etc. will be charged extra at actuals.
General check-up includes one ECG, One Chest X-Ray, Blood Sugar, Haemoglobin , Total cholesterol estimation, Blood grouping and
Cardiologist consultation.
Executive check up includes initial Cardiologist Consultation, ECG, X-Ray chest, Blood Grouping Haemoglobin, Blood Sugar, Lipid
Profile,TMT, and ECHO and review of results by Cardiologist.
Middle level heart check up includes initial Cardiologist Consultation, ECG,ECHO Screening , Lipid Profile and Biochemistry.

CHARGES FOR BED, DR.VISIT & ADMISSION FEE STEPDOWN ICCU SUITES

Page 37 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1559 BED CHARGES 3000 8000 7000

S.NO.
MRI Gen
1562 17699 MRI CONTRAST CHARGES 3000
1563 17700 MRI SCREENING ( PER PART ) 2900
1564 17701 MRI ADDITIONAL FILM/CD 600
1565 17653 MRI BRAIN VENOGRAPHY 7800
1566 18727 MRI BRAIN PLAIN 7200
1567 18728 MRI BRAIN ANGIOGRAPHY 7800
1568 18729 MRI ANGIOGRAPHY NECK/CAROTID 7800
1569 17656 MRI MRCP 7200
1570 17657 MRI UPPER ABDOMEN WITH MRCP 14400
1571 17660 MRI UROGRAPHY PLAIN 8400
1572 17713 MRI ANGIO SINGLE PART 7800
1573 18730 MRI UROGRAPHY CONTRAST 11400
1574 18731 MRI ORBIT PLAIN 7200
1575 17650 MRI ANGIOGRAPHYPERIPHERAL WITH CONTRAST 14400
1576 17708 MRI ANY SINGLE PART 7200
1577 17707 MRI BRAIN SCREENING WITH DIFFUSION 3000
1578 17652 MRI BRAIN FOR PITUITARY WITH CONTRAST 10200
1579 17712 MRI BRACHIAL PLEXUS 7200
1580 18732 MRI UPPER ABDOMEN PLAIN 7200
1581 17697 MRI CERVICAL SPINE PLAIN 7200
1582 17692 MRI CERVICAL SPINE CONTRAST 10200
1583 17709 MRI CERVICO DORSAL SPINE (ONE STUDY ) 14400
1584 17658 MRI CHEST 7200
1585 17737 MRI COCHLEA / TEMPORAL BONES / BOTH EARS 7200
1586 17691 MRI CV JUNCTION 7200
1587 18733 MRI LOWER ABDOMEN PLAIN 7200
1588 17694 MRI DORSAL SPINE PLAIN 7200
1589 17710 MRI DORSO LUMLAR SPINE (ONE STUDY) 14400
1590 18734 MRI LS-SPINE PLAIN 7200
1591 18735 MRI WHOLE ABDOMEN PLAIN 14400
1592 18736 MRI WHOLE ABDOMEN CONTRAST 20400
1593 18737 MRI SI JOINT 7200
1594 17677 MRI ANKLE JOINT SINGLE 7200
1595 17739 MRI ELBOW JOINT SINGLE 7200
1596 17679 MRI FOOT SINGLE 7200
1597 17689 MRI FORE ARM SINGLE 7200
1598 17681 MRI HAND SINGLE 7200
1599 17673 MRI HIP JOINT SINGLE 7200
1600 17675 MRI KNEE JOINT SINGLE 7200
1601 17686 MRI LEG SINGLE 7200
1602 17665 MRI SHOULDER JOINT SINGLE 7200
1603 17683 MRI THIGH SINGLE 7200
1604 17687 MRI ARM SINGLE 7200
1605 17671 MRI SINGLE WRIST JOINT 7200
Page 38 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1606 17740 MRI BRAIN WITH CONTRAST 10200
1607 17741 MRI UPPER ABDOMEN CONTRAST 10200
1608 17703 MRI NECK PLAIN 7200
1609 18738 MRI LOWER ABDOMEN CONTRAST 10200
1610 17659 MRI PELVIS PLAIN 7200
1611 18739 MRI PELVIS CONTRAST 10200
1612 17702 MRI PNS PLAIN 7200
1613 18740 MRI TESTIS PLAIN 7200
1614 18741 MRI TM JOINT PLAIN 7200
1615 18742 MRI NECK CONTRAST 10200
1616 18743 MRI WRIST JOINT SINGLE 10200
1617 18744 MRI FINGER 7200
1618 18745 MRI BRAIN CONTRAST 10200
1619 18746 MRI ANY SINGLE JOINT 7200
1620 18825 MRI ANGIO CONTRAST BRAIN 10800
1621 18826 MRI ANGIO CONTRAST NECK 10800
1622 18827 MRI BRAIN SEIZURE PROTOCOL 7200
1623 18828 MRI TUMOR SPECTROSCOPY 7200
1624 18829 MRI BRAIN STROKE PROTOCOL (ANGIO) 9600
1625 17799 CT ORAL CONTRAST CHARGES 1200
1626 2780 CT IV CONTRAST CHARGES 2400
1627 18747 NCCT CHEST/THORAX 4800
1628 18748 CECT CHEST/THORAX 7200
1629 18749 NCCT HIPS JOINTS 4800
1630 18750 NCCT KUB 4800
1631 18751 CECT KUB 7200
1632 18752 NCCT NECK 4800
1633 18753 CECT NECK 7200
1634 18754 NCCT LOWER ABDOMEN 4800
1635 18755 CECT LOWER ABDOMEN 7200
1636 18756 NCCT UPPER ABDOMEN 4800
1637 18757 CECT UPPER ABDOMEN 7200
1638 18758 NCCT WHOLE ABDOMEN 6600
1639 18759 CECT WHOLE ABDOMEN 9600
1640 18760 NCCT HEAD/BRAIN 3000
1641 18761 CECT HEAD/BRAIN 4200
1642 17810 CECT UROGRAPHY 8400
1643 18762 NCCT PNS (CORONAL+AXIAL CUTS) 4800
1644 18763 NCCT ORBITS 4800
1645 18764 NCCT TEMPORAL BONE 4800
1646 18765 NCCT LUMBER SPINE 4800
1647 18766 NCCT WHOLE SPINE 6000
1648 18767 NCCT CERVICAL SPINE 4800
1649 18768 NCCT DORSAL SPINE 4800
1650 18769 NCCT SCANOGRAM 1200
1651 18770 NCCT ANY SINGLE PART 4800
1652 18771 NCCT PELVIS 4800
1653 18772 CECT PELVIS 7200
1654 18773 NCCT FACE WITH 3D RECONSTRUCTION 6000
Page 39 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1655 18774 CT SCREENING ANY PART 1800
1656 18775 NCCT SINGLE JOINT 4800
1657 18776 NCCT SINGLE EXTERMITIES 4800
1658 18777 NCCT SCAN ANKLE JOINT SINGLE 4800
1659 18778 NCCT SCAN ELBOW JOINT SINGLE 4800
1660 18779 NCCT SCAN FOREARM SINGLE 4800
1661 18780 NCCT SCAN HAND SINGLE 4800
1662 18781 NCCT SCAN KNEE JOINTS 4800
1663 18782 NCCT LEG SINGLE JOINT 4800
1664 18783 NCCT SHOULDER SINGLE JOINT 4800
1665 18784 NCCT THIGH SINGLE 4800
1666 18785 NCCT ARM SINGLE 4800
1667 18786 NCCT WRIST SINGLE 4800
1668 18787 CT EXTRA FILM/CD 600
1669 18788 CECT SELLA/PITUITARY 4200
1670 18789 CECT ANGIOGRAPHY ANY PART 9600
1671 18790 CECT ANGIO BRAIN 6000
1672 18791 CECT ANGIOGRAPHY RENAL 9600
1673 18792 CECT ANGIOGRAPHY PERIPHERAL 12000
1674 18793 CECT ANGIOGRAPHY PULMONARY/CHEST 9600
1675 18794 CECT ANGIOGRAPHY CAROTID/NECK 7200
1676 18795 CECT ANGIOGRAPHY ABDOMEN 10800
1677 18830 NCCT BODY ANY PART 1800
1678 17412 ULTRASOUND SCREENING 550
1679 17413 ULTRASOUND CD/FILM (EXTRA) 250
1680 17414 ULTRASOUND CHEST/THORAX 900
1681 17415 ULTRASOUND CRANIUM/HEAD 1000
1682 17746 ULTRASOUND EMERGENCY CHARGES 450
1683 17416 ULTRASOUND EYE/ORBITS 1100
1684 17417 ULTRASOUND LEVEL - || 2200
1685 17418 ULTRASOUND NECK 1000
1686 17747 ULTRASOUND NEONATAL SPINE 1000
1687 17748 ULTRASOUND PORTABLE CHARGES 350
1688 17419 ULTRASOUND SCROTUM 1000
1689 17420 ULTRASOUND SMALL PARTS/EXTERMITIES 900
1690 17421 ULTRASOUND THIGH 1000
1691 17423 ULTRASOUND THYROID 1000
1692 17425 ULTRASOUND TRUS ( Transrectal ) 1100
1693 17749 ULTRASOUND BIO-PHYSICAL STUDY 2200
1694 17750 ULTRASOUND FOLLICULAR STUDY(One Menstrual Cycle) 1650

1695 18796 ULTRASOUND FOLUCULAR MONITORING STUDY (ONE 450

1696 17427 ULTRASOUND GUIDED : DIAG PLEURAL / ASCITIC 1350
1697 17428 ULTRASOUND THERAPEUTIC PLEURAL / ASCITIC 3300
1698 18797 ULTRASOUND GUIDED PROCEDURE 700
1699 17752 ULTRASOUND K.U.B 1000
1700 17753 ULTRASOUND LOWER ABDOMEN 900
1701 18798 ULTRASOUND UPPER ABDOMEN 900
1702 18799 ULTRASOUND WHOLE ABDOMEN 1350
Page 40 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1703 17756 ULTRASOUND MUSKULOSKLETAL 1000
1704 17430 ULTRASOUND OBSTETRIC 1250
1705 18800 ULTRASOUND T.V.S. 1100
1706 18801 ULTRASOUND TESTIS 1650
1707 17759 ULTRASOUND UPPER ABDOMEN PORTABLE 1050
1708 18849 ULTRASOUND BREAST 1350
1709 18803 ULTRASOUND GUIDED FNAC / BIOPSY 6600
1710 18831 ULTRASOUND NT, NB SCAN 2200
1711 18832 ULTRASOUND PENILE DOPPLER 2200
ULTRASOUND COLOR DOPPLER
1712 17771 COLOR DOPPLER ABDOMEN 2400
1713 17772 COLOR DOPPLER ARTERIAL SINGLE LIMB 2400
1714 18804 COLOR DOPPLER VENOUS SINGLE LIMB 2400
1715 17774 COLOR DOPPLER ARTERIAL BOTH LOWER LIMBS 4800
1716 18805 COLOR DOPPLER VENOUS BOTH LOWER LIMBS 4800
1717 17776 COLOR DOPPLER ARTERIAL BOTH UPPER LIMBS 4800
1718 17777 COLOR DOPPLER VENOUS BOTH UPPER LIMB 4800
1719 17778 COLOR DOPPLER PORTABLE CHARGES) 600
1720 17779 COLOR DOPPLER CAROTID 2400
1721 17780 COLOR DOPPLER SCROTAL/VARICOCELE 2400
1722 18806 COLOR DOPPLER OBSTETRIC 2400
1723 17781 COLOR DOPPLER TVS 2400
1724 17782 COLOR DOPPLER HEPATIC/PORTAL 2400
1725 18807 COLOR DOPPLER RENAL 2400
1726 17784 COLOR DOPPLER VERTEBERAL 2400
1727 17790 COLOR DOPPLER SINGLE PART 2400
1728 18808 COLOR DOPPLER TESTIS 2400
BMD-BONEDENSITOMETRY
1729 18834 DEXA SCAN SINGLE SIGHT 2000
1730 18835 DEXA SCAN DUAL SIGHT 4000

OPG - ORTHOPANTOGRAM Gen

1731 17333 OPG 500
MAMMOGRAPHY Gen
1732 18836 MAMMO SINGLE BREAST 1900
1733 18837 MAMMO BOTH BREAST 3600
RADIOLOGY (X-Ray) Gen
1734 3805 KUB -AP 350
1735 3832 ABDOMEN ERECT 350
1736 3834 ANKLE - AP/LAT SINGLE 550
1737 3841 ANKLE SINGLE VIEW 350
1738 3892 CHEST APICOGRAM 350
1739 5097 ARM - AP/LAT SINGLE 550
1740 5098 ARM SINGLE VIEW 350
1741 3807 BARIUM ENEMA 3300
1742 5044 I.V.P. 3300
1743 3810 BARIUM MEAL FOLOW THROUG(BMFT) 3300
1744 3806 BARIUM MEAL UPPER G.I.T. 2750
1745 3812 BARIUM SWALLOW 2200
Page 41 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1746 3833 BOTH KNEES - STANDING – AP 350
1747 3816 LEG - AP/LAT SINGLE 700
1748 3817 THIGH - AP SINGLE 350
1749 3876 SKULL-AP 350
1750 3836 SKULL- LAT 350
1751 3818 CERVICAL SPINE – AP 350
1752 3819 CERVICAL SPINE - LAT. 350
1753 4850 CHEST – AP 350
1754 3820 CHEST – LAT. 350
1755 3821 CHEST – PA 350
1756 5090 COCYX – LAT. 350
1757 5091 DL SPINE - AP. 350
1758 5092 DL SPINE - LAT. 350
1759 5093 DL SPINE OBLIQUE 350
1760 3825 DORSAL SPINE – AP 350
1761 3974 DORSAL SPINE – LAT 350
1762 3824 DORSAL SPINE - OBLIQUE 350
1763 3838 ELBOW - AP/LAT SINGLE 700
1764 5094 FINGER - AP/LAT SINGLE 550
1765 3842 FOOT - AP/LAT SINGLE 550
1766 5095 FOOT - OBLIQUE 350
1767 5096 FOREARM - AP/LAT SINGLE 700
1768 3848 FROEARM- AP 350
1769 3843 FOREARM - LAT 350
1770 3829 H.S.G. (HYSTERO SALPINGORAPHY) 2750
1771 3844 HAND - AP/OBLIQUE OR LAT SINGLE 550
1772 5099 KNEE - LAT SINGLE 350
1773 3849 LEG - AP SINGLE 350
1774 5100 LEG- LAT SINGLE. 350
1775 5101 BOTH LEGS -AP/LAT 1100
1776 18838 GYNAE DR. CHARGES FOR HSG 1100
1777 18839 MCU 2200
1778 3854 LUMBOSACRAL . - AP. 350
1779 3853 LUMBOSACRAL. - LAT. 350
1780 3855 MANDIBLE – AP. 350
1781 3856 MANDIBLE – LAT. 350
1782 3857 MANDIBLE – OBLIQUE 350
1783 3860 MASTOIDS LATERAL / OBLIQUE 350
1784 5284 NECK LAT FOR NASOPHARYNX 350
1785 3859 MASTOIDS TOWN'S VIEW 350
1786 3847 NASAL BONE LAT SINGLE 350
1787 3865 PATELLA SKYLINE VIEW 350
1788 3866 PELVIS – AP 350
1789 5102 PELVIS – LAT. 350
1790 5103 PELVIS OBLIQUE 350
1791 5118 THIGH-AP SINGLE 350
1792 5119 THIGH -LAT SINGLE 350
1793 3867 PNS 350
1794 3889 SHOULDER - AP SINGLE 350
Page 42 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1795 3890 SIALOGRAPHY 1350
1796 3893 SKULL – AP 350
1797 3894 SKULL – LAT. 350
1798 3895 STERNUM – LAT. 350
1799 3896 STERNUM - AP 350
1800 3899 TM JOINT OPEN & CLOSED MOUTH (SINGLE) 550
1801 3897 TM JOINT - APTM JOINT - APTM JOINT - AP 350
1802 3898 TM JOINT LEFT OPEN & CLOSED MOUTH 1650
1803 3900 ZYGOMATIC BONE - LEFT 350
1804 3901 ZYGOMATIC BONE – RIGHT 350
1805 18840 CHOLANGIOGRAPHY 1800
1806 18841 X-RAY PER EXPOSURE 350
1807 5297 PORTABLE X-RAY SINGLE EXPOSURE 450
1808 18842 RGU 2000
1809 5107 SACRUM – AP. 350
1810 5108 SACRUM – LAT 350
1811 5111 SCAPULA – OBLIQUE 350
1812 5112 SHOULDER - LAT SINGLE 350
1813 5113 SHOULDER - OBLIQUE SINGLE 350
1814 5166 SHOULDER TENGENT VIEW 350
1815 5294 SINOGRAMSINOGRAM 2000
1816 5178 CYSTOGRAM (BLADDER) 1650
1817 5123 WRIST- AP/LAT (SINGLE) 550
1818 18843 X-RAYANY EXTERMITIES AP/LAT 700
1819 18844 THUMB/FINGER -AP/LAT (SINGLE) 550
1820 18845 CONTRAST CHARGES FOR ANY X-RAY PROCEDURE 1100
1821 5089 COCCYX-AP 350
1822 18847 KNEE-AP SINGLE 350
1823 18848 CEPHALOGRAM (FOR DENTAL) 550
LABORATORY ATOMIC ABSORTION Gen
1824 2486 Aluminium , Dialysis Fluid 2650
1825 2487 Aluminium, Plasma 2650
1826 2488 Aluminium , Serum 2650
1827 2489 Arsenic, 24 Hrs. Urine 4000
1828 2491 Arsenic, Random Urine 3500
1829 2492 Arsenic , Blood 3700
1830 3693 Cadmium , Blood 4000
1831 2494 Cadmium, 24 Hour Urine 3700
1832 2496 Cadmium, Random Urine 3700
1833 2498 Chromium , 24 Hr. Urine 3700
1834 2501 Chromium, Random Urine 2400
1835 2505 Cobalt, Blood 4000
1836 2503 Cobalt, 24 Hr. Urine 4000
1837 2507 Cobalt, Random Urine 2400
1838 2508 Copper , 24 Hr. Urine 2300
1839 2509 Copper, Random Urine 2300
1840 2510 Copper Serum 2400
1841 2512 Iron 24 Hour Urine 3000
1842 2513 Lead , Blood 2000
Page 43 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1843 2514 Lead, 24 Hr Urine 2000
1844 2515 Lead, Random Urine 2000
1845 2516 Mercury , 24 Hr Urine 4000
1846 2517 Mercury, Random Urine 4000
1847 3759 Quantitatives albumin / Sugar 115
1848 2511 S Iron 2750
1849 2518 Selenium , Serum 3550
1850 2519 Thellium , Blood 4000
1851 2521 Thellium , 24 Hr Urine 4000
1852 2523 Thellium, Random Urine 4000
1853 2524 Zinc, 24 Hr Urine 2300
1854 2526 Zinc, Random Urine 2300
1855 3760 Urine Bile Pigment And Salt 115
1856 3762 Urine Ketones 115
1857 3763 Urine Occult Blood 115
1858 3761 Urine Urobilinogen 115
1859 2559 HIV - 1 - PCR, Qualitative 3000
1860 2561 HIV - 1 - VIRAL RNA, Quantitative , Bdna 2000
1861 2528 Adenovirus Antibody, [IgG] Please Enquire
1862 2530 Adenovirus Antibody, [IgM] Please Enquire
1863 2531 Adenovirus Antigen Detection (Stool) Please Enquire
1864 2533 Adenovirus Direct Antigen Please Enquire
1865 2534 CI Esterase Inhibitor , Functional 6800
1866 2536 CI Esterase Inhibitor, Quantitative 2500
1867 2537 Ciq Complement Component Please Enquire
1868 2541 Diptheria Antitoxoid Antibody , [IgG] Please Enquire
1869 2543 Hydroxyproline Please Enquire
1870 2544 Neopterin 12300
1871 2545 Parainfluenza IgG Antibody Panel Please Enquire
1872 2546 Parainfluenza Type 1 IgG Please Enquire
1873 2549 Parainfluenza Type 3 IgG Please Enquire
1874 2551 Placental Lactogen , Human Please Enquire
1875 2552 Poliovirus Antibody Please Enquire
1876 2553 Respiratory Syncytial Virus Antibody [IgM] Please Enquire
1877 2554 Respiratory Syncytial Virus Antibody, [IgG] Please Enquire
1878 2557 Tetanus Antitoxoid Antibody [IgA + IgG] Please Enquire
1879 2558 Yersinia Enterocolitica Antibody [IgA + IgG] Please Enquire
BIOCHEMISTRY Gen
1880 5500 VITAMIN D, 25 HYDROXY 1700
1881 3796 AG RATIO 170
1882 3798 AMYLASE SERUM 500
1883 2011 ABG ( ARTERIAL BLOOD GAS ) ANA 1150
1884 1923 Acid Phosphatase (Prostatic) 450
1885 1924 Acid Phosphatase (Total) 170
1886 1937 Alkaline Phosphatase 170
1887 1952 Alpha Feto Protein 900
1888 1958 Ammonia 900
1889 3922 Blood Gas Analysis With El ectrotypes (16/15.5) 1150
1890 2033 B.U.N 125
Page 44 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1891 2020 Bilirubin [Direct]Serum 125
1892 2021 Bilirubin [Total] 150
1893 3793 Bilirubin [Indirect]Serum 125
1894 3923 Blood (ARTERIAL / VENOUS) PH 115
1895 3925 Body Fluids (Ascitic / Pleural / Synovial) Cyto.& Bio.Chem. 575

1896 2035 CA - 125 [Ovarion] 1400

1897 2041 Calcium , Urine [ 24 Hours] 285
1898 3977 Chloride Urine 230
1899 2060 Cholesterol 175
1900 2059 HDL Cholesterol 285
1901 2061 Cholesterol HDL / VLDL / LDL Electrophoresis 800
1902 5161 CEA , SERUM 1000
1903 5159 FOLIC ACID 1200
1904 5160 COTYSOL , SERUM 600
1905 2088 CPK [ MB] 500
1906 2087 C.P.K (NAC) 400
1907 2092 Creatinine Clearance Test 450
1908 2090 Creatinine, Serum 115
1909 2091 Creatinine, Urine [ 24 hours] 300
1910 2176 Free Thyroxin [FT4] 450
1911 2175 Free Triiodothyronine [FT-3] 450
1912 5181 Ferritin 600
1913 3920 FT 3 (FREE T3) 450
1914 3921 FT 4 (FREE T4) 450
1915 2178 FSH 625
1916 3797 G.G.T.P 400
1917 2192 GLUCOSE , F-BLOOD 115
1918 3791 GLUCOSE , PP-BLOOD 115
1919 3792 GLUCOSE , RANDOM BLOOD 115
1920 3839 Glycosylated Haemoglobin [HbAIc] 450
1921 2259 Insulin 920
1922 2261 Iron Studies [Iron & TIBC] 500
1923 2267 KFT (Kidney Panel) 1000
1924 2274 L.D.H 500
1925 2279 LH 700
1926 5271 STONE ANALYSIS 1250
1927 3776 T3 (TOTAL TRI IO DOTHYRONONE) 450
1928 3777 T4 TOTAL THYROXIN 460
1929 2182 SERUM PROTEIN TOTAL 170
1930 2281 Lipase 500
1931 3800 LITHIUM 225
1932 2282 Lipid Profile 850
1933 2284 Lithium [ I.S.E.] 500
1934 5142 KIDNEY STONE ANALYSIS 115
1935 2286 [LFT] Liver Panel - 1 850
1936 2291 Magnesium, Serum 500
1937 2335 Phenytoin 900
1938 2336 Phosphorus, Serum 230
Page 45 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1939 2343 Porphyrins , Urine 3450
1940 2344 Potassium K+ Serum 230
1941 2350 Prolactin 625
1942 2352 Protein Electrophoresis , CSF 4600
1943 2353 Protein Electrophoresis, Serum 115
1944 2357 Protein Electrophoresis, Urine 3600
1945 2359 PSA [ Free] 920
1946 2360 PSA [Total ] 800
1947 2361 PSA Profile [Free + Total] 1600
1948 2386 S.G.O.T 170
1949 2387 S.G.P.T 170
1950 2395 Sodium , Urine [24 hours] / Random 230
1951 2392 Sodium Na, Serum 160
1952 2404 Testosterone, Free 220
1953 2405 Testosterone, Total 700
1954 3802 TIBC (TOTAL IRON BINDING CAP) 290
1955 3778 TSH (THYROID STIMULATING HOUR) 460
1956 2411 Thyroid Profile 1150
1957 2422 Total Proteins 175
1958 2431 Triglycerides 290
1959 2435 T.S.H., Ultrasensitive 450
1960 2439 Urice Acid, Urine [ 24 Hours] 290
1961 2437 Urea, Urine 290
1962 2436 UREA BLOOD (SERUM) 115
1963 2438 Uric Acid, Serum 170
1964 2445 Valproic Acid 920
1965 2455 Vitamin B - 12 Serum 1250
1966 3924 CSF EXAMINATION ( CYTO. & BIO.CHEM ) 575
1967 3976 GTT (GLUCOSE TOLERANCE TEST) 575
1968 3801 IRON 290
1969 3756 LDL 460
1970 2040 CALCIUM SERUM 230
1971 3794 ALBUMIN SERUM 170
1972 3795 GLOBULIN SERUM 350
1973 3766 VLDL 290
BIOCHEMISTRY Gen
1974 5404 ALKALINE PHOSPHOTASE BONE FRACTION 6200
1975 5324 ANTI PHOSPHOLIPID ANTIBODY, IgG screen 1200
1976 5325 ANTI PHOSPHOLIPID ANTIBODY, IgM screen 1200
1977 5323 C3 COMPLEMENT COMPONENT 575
1978 5327 CATECHOLAMINES, 24HR URINE 4400
1979 5328 CATECHOLAMINES, PLASMA 5750
1980 5322 GALL STONE ANALYSIS 1725
1981 5321 S. CYCLOSPORINE 2750
1982 5326 S. HOMOCYSTEINE 1000
1983 5329 VANILMANDELIC ACID (VMA) -24 HR.URINE 3550
BLOOD BANK Gen
1984 3970 ABO & RH FACTOR 115
1985 3966 BLOOD BAG (EACH) 230
Page 46 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
1986 3971 COOMBS TEST (DIRECT) 290
1987 3972 COOMBS TEST (INDIRECT) 290
1988 3965 CROSS MATCH 170
1989 3967 SCREENING TEST 1250
1990 3968 REVERSE GROUP (BACK TYPING) 115
1991 3969 COOMBS TITRE 575
1992 2011 BLOOD GAS ANALYSIS WITH ELECTROLYTES 1150
S.No. CODE SERVICE NAME
CLINICAL PATHOLOGY Gen
1993 2016 Bence-Jones Proteins, URINE 350
1994 2052 Catecholamines, Urine {HPLC} 4000
1995 2193 Glucose Urine 290
1996 2305 Microalbuminuria [ MAU ] - [2nd Morning / 24 Hrs. Specimen - 575
Urine]
1997 2320 Osmolality, Urine [Random] 900
1998 2379 Semen Fructose 350
1999 2378 Seminogam [Semen analysis including Semen Fructose, Semi 350
Quantitative
2000 2401 Stool Occult Blood 115
2001 2402 Stool Routine Examination 115
2002 2443 Urine Routine Examination 115
2003 2444 Urine Routine Examination [P.P] 115
2004 3938 24 HOUR URINE PROTINE 300
2005 5158 Catecholamines,& VMA , 24 HOUR 7250
2006 3939 CREATININE CLEARANCE 300
2007 5163 URINE AMYLASE 350
2008 3989 URINE ALBUMIN (PROTINE) 115
2009 5076 URINE FOR MICRO - ALBUMIN 630
2010 3758 URINE ROUTINE / MICROSCOPIC 115
2011 5162 VMA , 24 HOUR URINE 4150
2012 3937 PCT (POST COITAL TEST) 175
2013 3936 SEMEN ANALYSIS 175
2014 4007 STOOL FATS 115
2015 4008 STOOL FUNGLUS 115
2016 4006 STOOL REDUCING SUBSTANCES 115
2017 4009 STOOL VIBRIO CHOLERAE 115
2018 4005 URINE ACETONE / KETONE BODIES 115
2019 4002 URINE BILE PIGMENTS 115
2020 3990 URINE BILE SALTS 115
2021 3988 URINE SUGAR 115
2022 4004 URINE UROBILINOGEN 115
2023 5187 STOOL MUCUS 115
2024 5188 STOOL PH 115
CYTOLOGY Gen
2025 3646 Cytology , Bone Marrow [Bone Marrow Examination ] 920
2026 2415 Cytology, Breast [FNAC] 920
2027 2416 Cytology, Superficial Lumps [FNAC] 920
2028 2418 Cytology, Fluids [Ascitic / Pleural / Pericardial / Synovial / CSF or 920
others]
Page 47 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2029 2423 Cytology, Nipple Discharge 920
2030 2420 Cytology, Genital Female 920
2031 2426 Cytology, Genital Male [Uretheral / Prostatic] 920
2032 2427 Cytology , Sputum 920
2033 2428 Cytology, Urine 920
2034 2430 Cytology, Consultation - 2 nd Opinion / Review 690
2035 2399 PAP Stain 350
2036 5079 MALIGNENT CELL 920
2037 1873 Pap Smear 690
DIRECT IMMUNOFLORESCENCE (KIDNEY / SKIN / CONJUNCTIVAL Gen
Kidney Biopsy for :
2038 2474 C3 1800
2039 2475 C4 1800
2040 2480 Fibrinogen 1800
2041 2481 IgG 1800
2042 2482 IgA 1800
2043 3691 Igm 1800
2044 2483 FULL PANEL 9100
Skin Biopsy for :
2045 2490 C3 1800
2046 2493 C4 1800
2047 2495 Fibrinogen 1800
2048 2497 IgG 1800
2049 2499 IgA 1800
2050 2500 Igm 1800
2051 2502 FULL PANEL 9000
Conjunctival Biopsy for :
2052 2504 C3 1800
2053 2506 C4 1800
2054 2520 Fibrinogen 1800
2055 2522 IgG 1800
2056 2525 IgA 1800
2057 2527 Igm 1800
2058 2529 FULL PANEL 9000
EXTERNAL LAB - 1 Gen
2059 1922 1 Acid Glycoproteins 1200
2060 2138 1, 25 Dihydroxy Vitamin D 4000
2061 1950 17-Alpha-Hydroxy Progesterone 1850
2062 2079 17-OH Corticosteroids , Urine 6200
2063 1956 5' - Aminolevulinic Acid [5'ALA] , Urine 2800
2064 2137 5'- Dihydroteststerone [DHT] 3450
2065 1920 Acetaminophen / Paracetamol 1600
2066 1921 Acetyl Choline Receptor Antibody 10000
2067 1925 ACTH 2000
2068 1933 Alcohol , Blood 700
2069 1934 Aldehyde Chopra Test 230
2070 1935 Aldolase 800
2071 1936 Aldosterone , SERUM / 24 Hr Urine 1600
2072 1939 Alkaline Phosphatase Isoenzyme Electrophoresis 6450
Page 48 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2073 1938 Alkaline Phosphatase, Bone Specific(BASP) 6200
2074 1940 Allergy Panel (Post Screening) 6550
2075 1944 Allergy Panel , Dust 5300
2076 1941 Allergy Panel , Food 5300
2077 1945 Allergy Panel , Grass 5300
2078 1943 Allergy Panel, Animal 5300
2079 1942 Allergy Panel, Mold 5300
2080 1946 Allergy Panel, Tree 5300
2081 1947 Allergy Profile (Total) 8400
2082 1948 Allergy Screening 3200
2083 1949 Allergy Test, Individual 1150
2084 1951 Alpha -1 - Antitrypsin 2550
2085 1953 Alpha Feto Protein (Amniotic Fluid) 1000
2086 1988 Anti Mitochondrial Antibodies [AMA] [IF] 2200
2087 1989 Anti Mitochondrial Antibodies [AMA] [IF], In Dilutions 4450
2088 1954 Amikacin 1600
2089 1955 Amino Acid Analysis, Urine, Qualitative 5050
2090 1957 Amiodarone - [HPLC] 4600
2091 1960 Amphetamine / Methamphetamine 700
2092 1964 Analyzer - 30 [S.M.A. - 30 ] 3200
2093 1965 Analyzer - 32 [S.M.A. - 32] 3500
2094 1961 ANCA [IF] 3450
2095 1966 Androstenedione 2150
2096 1967 Angiotensin Converting Enzyme [ACE] 1200
2097 2009 Anti - Varicella Zoster [IgM] 1400
2098 1970 Anti Centromere Antibody 1600
2099 1971 Anti Delta [ HDV ] 3000
2100 1972 Anti DNA Antibody [Double Stranded] 1300
2101 1973 Anti DNA ase B 1450
2102 1974 Anti ds DNA Antibody, Crithidia, IF 2400
2103 1976 Anti Glomerular Basement Membrane Antibody (Anti GBM) 2300

2104 1977 Anti Helicobactor pylori [IgA] 1600

2105 1978 Anti Helicobactor pylori [IgG] 1600
2106 1987 Anti Jo 1 Antibody 1600
2107 1990 Anti Mitochondrial [M2] Antibodies, EIA 2050
2108 1993 Anti Nuclear Antibodies [ANA] [IF], In Dilutions 4450
2109 1991 Anti Nuclear Antibodies [Elisa] 800
2110 1995 Anti Phospholipid Antibody , IgG 900
2111 1997 Anti Phospholipid Antibody, IgG + IgM 2300
2112 1996 Anti Phospholipid Antibody, IgM 1600
2113 1998 Anti RNP Sm Complex [IgG] 2300
2114 1999 Anti Scl - 70 [IgG] 1200
2115 2000 Anti Smooth Muscle Antibody [ASMA] [IF] 2300
2116 2001 Anti Smooth Muscle Antibody [ASMA] [IF], In Dilutions 4450
2117 1975 Anti ss DNA Antibody (Single Stamded) 3000
2118 2004 Anti SSA [ IgG] [Ro] 1600
2119 2005 Anti SSB [IgG] [La] 1600
2120 2003 Anti Sterptolysin O [Quantitative] 400
Page 49 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2121 2007 Anti Thyroglobulin Antibody 1600
2122 2008 Anti Thyroid Peroxidase Antibody [ Anti TPO] 1600
2123 1994 Antiparietal Cell Antibody [IgG], EIA 3600
2124 2006 Antithrombin III, Functional 1600
2125 2010 Apolipoprotein A-1 [Apo A-1] & Apolipoprotein B [APO B] 800

2126 2012 Aspergillus Antibody Panel (IgG + IgM) 4400

2127 2013 Aspergillus IgG Antibody 2250
2128 2014 Aspergillus IgM Antibody 2250
2129 2015 Barbiturates Screen, URINE 700
2130 2017 Benzodiazepines & Metabolites 700
2131 2019 Beta-2 Microglobulin [Beta - 2 - M] 1450
2132 2023 Blood for Sickling 230
2133 2026 Breast Cancer ER (Paraffin Block) 1850
2134 2027 Breast Cancer PR (Paraffin Block) 1850
2135 2028 Breast Cancer Profile - 2 [ER, PR] 3600
2136 2029 Breast Cancer Profile - 4 [ER, PR, DNA Pdy] 7800
2137 2030 Breast Cancer Profile - 5 [ER, PR, DNA Pdy, Cath - D] 9600
2138 2031 Breast Cancer Profile - 6 [ER, PR, DNA Pdy, pS2] 9600
2139 2032 Brucella Aglutination Test 630
2140 2086 C-Peptide 1025
2141 2036 CA - 15.3 [Breast] 1725
2142 2037 CA - 19.9 [Pancreatic] 1725
2143 2038 CA - 72.4 [ Gastric] 1725
2144 2057 CHLORIDE SERUM 170
2145 2039 Calcitomin 2400
2146 2042 Candida Antibody Panel [IgG + IgM] 4400
2147 2043 Candida IgG Antibody 2650
2148 2044 Candida IgM Antibody 2650
2149 2045 Cannabinoids [d9-THC Metabolites], Urine 690
2150 2046 Carbamazepine 1050
2151 2047 Carcino Embryonic Antigen [CEA] 800
2152 2048 Cardiac Enzyme Panel 1150
2153 2050 Cardiolipin Antibody [ACL] [Igg] 1150
2154 2055 Chlamydia Bivalent [IgG] 1725
2155 2053 Catecholamines, PLASMA [HPLC] 5750
2156 2054 Ceruloplasmin , Serum 1200
2157 2058 Chloride , Urine [ 24 Hours] / [RANDOM] 350
2158 2056 Chlamydia Antigen 2400
2159 2062 Cholinesterase 400
2160 2063 Chromogranin A 7000
2161 2034 CI Esterase Inhibitor, Quantitative 3000
2162 2064 Citrate 3000
2163 2066 Clot Solubility [ 5 M Urea ] [Factor XIII] 500
2164 2068 CO2 in Plasma 1200
2165 2070 Coagulation Profiel - 2 [With Factor - VIII] 4700
2166 2069 Coagulation Profile - 1 [Without Factor - VIII] 2550
2167 2071 Cocaine 700
2168 2073 Complement C4 700
Page 50 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2169 2075 Complete Body Profile 6000
2170 2078 Cooper 900
2171 2080 Cortisol [Free] Urine 700
2172 2082 Cortisol [Morning + Evening ] Serum 1000
2173 2083 Cortisol [Morning Sample ], Serum 630
2174 2084 Coxsackie Antibody , IgM 2000
2175 2085 Coxsackie Antibody, IgG 2000
2176 2089 CPK Isoenzyme Electrophoresis 9600
2177 2093 Cryoglobulin 1200
2178 2096 Cryptococcal Antigen (Stool) 1150
2179 2094 Cryptococcal Antigen , SERUM 2250
2180 2095 Cryptococcal Antigen, CSF 2250
2181 2127 Cyclosporine [HPLC] 2800
2182 2128 Cyfra - 21 [Lung] 2400
2183 2129 Cytokeratin [Paraffin Block] 1850
2184 2130 D Dimer 1500
2185 2133 D.H.E.A. Sulphate 1150
2186 2132 DHEA 1150
2187 2134 Diatase, Urine 575
2188 2136 Digoxin 1050
2189 2139 Disopyramide 1600
2190 2140 Down Syndrome Risk Screening Panel , Triple Test 4000
2191 2142 D-Xylose [Serum] 2400
2192 2141 D-Xylose Excretion Test [ 25 g / 5 g ], Urine 2400
2193 2143 Echovirus Antibody Panel (IgG + IgM) 4000
2194 2144 Echovirus IgG Antibody 2000
2195 2145 Echovirus IgM Antibody 2750
2196 2146 Electrolytes 450
2197 2147 Endomysial Antibody , IgA, IF 2250
2198 2148 Epstein Barr Virus [IgG] 1600
2199 2149 Epstein Barr Virus [IgM] 1600
2200 2150 Erythropoietin [EPO] 2650
2201 2153 Estradiol 700
2202 2154 Estriol [Total] SERUM 1600
2203 2155 Estriol [Total] URINE [ 24 HOURS] 1600
2204 2156 Estriol Unconjugated [Free] 1600
2205 2157 Executive Officers Panel 2150
2206 2158 Factor II Functional 8600
2207 2159 Factor IX Functional 1950
2208 2160 Factor V Functional 3700
2209 2161 Factor VII Functional 4000
2210 2162 Factor VIII Studies 1950
2211 2167 Factor VIII Studies [Factor VIII Assay & APTT] 2200
2212 2163 Factor X Functional 5400
2213 2164 Factor XI Functional 4450
2214 2165 Factor XII Functional 4450
2215 2166 Factor XIII 460
2216 2169 Fibrinogen 1250
2217 2170 Fibrinogen Degradation Products [FDP], BLOOD 1150
Page 51 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2218 2171 Fibrinogen Degradation Products [FDP], URINE 1150
2219 2174 Folate RBC 2800
2220 2173 Folate, Serum 1250
2221 2177 Fructosamine 460
2222 2184 G.T.T - Extended [ 75 Gm OR 100 Gm ] - 9 Specimens 1250
2223 2185 Ganglioside GM1 Antibody 5050
2224 2186 Gastrin 1250
2225 2187 Gentamicin 1600
2226 2190 Giardia & Cryptosporidium Panel (Stool) 1700
2227 2191 Giardia Antigen (Stool) 650
2228 2188 Gliadin Antibody [IgA] 2000
2229 2189 Gliadin Antibody [IgG] 2000
EXTERNAL LAB - 2 Gen
2230 2306 1 Microglobulin 2750
2231 2266 17' Ketosteroids, Urine 4600
2232 2290 2 Macroglobulin 1850
2233 2318 5' Nucleotidase 2000
2234 2251 5-OH Indol Acetic Acid [5HIAA], [HPLC], Urine 2500
2235 2202 H.B.D.H 300
2236 2197 Haemoglobin , Free, Urine [Random] 230
2237 2200 Hams Test 1265
2238 2201 Haptoglobin 460
2239 2210 Hemosiderin , [1st Morning] 345
2240 2206 Hepatitis A Virus Total Antibody 1150
2241 2208 Hepatitis B Core , IgM Antibody [Anti HBc, - IgM] 1450
2242 2209 Hepatitis B Core, Total Antibody [Anti HBc, - Total] 1450
2243 2207 Hepatitis B Profile 5750
2244 2212 HLA - ABC Tissue Typing 5400
2245 2211 HLA - ABC & DR Tissue Typing 11000
2246 2215 HLA - ABC & DR. Tissue Cross Match 3450
2247 2213 HLA - B27 2750
2248 2214 HLA - DR Tissue Typing 6900
2249 2216 Homocysteine, Quantitative 1050
2250 2217 Homovanillic Acid [HVA] - [HPLC], Urine 2650
2251 2219 Human IaG, CSF 1150
2252 2218 Human IgA, CSF 1700
2253 2220 Human IgL , Kappa Chain 1850
2254 2222 Human IgM , CSF 1700
2255 2221 Human IgM, Lamba Chain 1850
2256 2223 Hydatid Serology (Echinococcus IgG Antibody) 1150
2257 2226 IgF Binding Protein - 3 (GFBP-3) 5175
2258 2225 IgF-1 5175
2259 2227 IgG Ab to T, Solium [Cysticercosis] 1150
2260 2228 IgG to CMV 700
2261 2237 Immune Complexes, Circulating 2415
2262 2238 Immunofixation Electrophoresis, [IFE], Serum 13800
2263 2239 Immunofixation Electrophoresis, [IFE], Urine 17250
2264 2247 Immunoglobulin , [IgG], CSF 2530
2265 2248 Immunoglobulin , [IgM], CSF 3450
Page 52 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2266 2240 Immunoglobulin Profile, Serum [IgG, IgA, IgM] 1725
2267 2249 Immunoglobulin, [IgG Subclasses], IgG1+IgG2+IgG3+IgG4+IgG 19000
Total
2268 2250 Immunoglobulin, IgG Synthesis Index & Rate 5175
2269 2245 Immunoglobulin, Profile, CSG [IgG, IgA, IgM] 8750
2270 2252 Influenza Antibody Comprehensive Panel [Type A-IgG+IgM, Type 13800
B-IgG + IgM]
2271 2253 Influenza Antibody IgG Panel [Type A-IgG + Type B-IgG] 6950
2272 2254 Influenza Antibody IgM Panel [Type A-IgM + Type B - IgM] 6950

2273 2255 Influenza Type A - IgG 3450

2274 2256 Influenza Type A - IgM 3450
2275 2257 Influenza Type B - IgG 3450
2276 2258 Influenza Type B - IgM 3450
2277 2260 Insulin Antibody 4025
2278 2262 Islet Cell Antibody, IF 3850
2279 2263 Isocitrate Dehydrogenase 1380
2280 2265 Kappa / Lambda Light Chains Ratio 6325
2281 2264 Kappa Light Chains, Serum, Quantitative 3150
2282 2268 Kidney and Liver Panel 3150
2283 2269 Lactate , CSF 1380
2284 2270 Lactate, Plasma 1380
2285 2271 Lambda Light Chains, Serum, Quantitative 3150
2286 2275 LDH Isoenzyme Electrophoresis 920
2287 2276 Leishmania [Kalazar Ab] / Anti Leishmania Antibody [IgG] 3150
2288 2273 Leptospira Antibody 6300
2289 2277 Leukocyte Alkaline Phosphatate [LAP Score] 1100
2290 2278 Leukocyte Common Ag [LCA], [Paraffin Block] 3150
2291 2280 Lidocaine 2875
2292 2283 Lipoprotein [a] : Lp[a] 1600
2293 2285 Liver Kidney Microsomal Antibody, LKM Antibody, IF 3850
2294 2288 Lupus Anti-Coagulant [dRVVT] 3220
2295 2289 Lyme Disease / Anti Borelia burgdorferi [IgG + IgM] 7000
2296 2292 Magnesium, Urine [ 24 Hours ] 1250
2297 2294 Malaria [IgG] [Elisa] 2300
2298 2300 Measles Virus [IgG] 2400
2299 2301 Measles Virus [Igm 2400
2300 2302 MEGX [Monoethylglycinexylidide ] - Single Sample 11700
2301 2303 Metanephrine, [HPLC], Urine 11500
2302 2307 Monotest [Paul Bunnel ] 2500
2303 2308 Mumps Virus [IgG] 3100
2304 2309 Mumps Virus [IgM] 3100
2305 2310 Mycobacterium Tuberculosis Serology, 38 Kda 2150
2306 2314 Mycoplasma - pneumoniae Antibody, [IgG] 3450
2307 2315 Mycoplasma - pneumoniae Antibody, [IgM] 2760
2308 2316 Myoglobin , Blood 4000
2309 2304 Methotrexate 33350
2310 2317 Netilmicin 2750
2311 2319 Opiates & Metabolites, Urine 1250
Page 53 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2312 2321 Osmolality, Serum 1600
2313 2322 Osteocalcin 5400
2314 2323 Oxalate, Urine 4025
2315 2327 Pancreatic Alfa Amylase 800
2316 2328 Panel Reactive Antibodies 13800
2317 2329 Parathyroid Hormone [ Intact ] 3450
2318 2331 Paroxysmal Nocturnal Haemoglobinuria [PNH], Screening Test 1035
[Sucrose Lysis]
2319 2330 Paroxysmal Nocturnam Haemoglobinuria [PNH], Confirmatory 2200
Test [HAM]
2320 2332 Parvovirus B-19 Antibody, [IgG] 5175
2321 2333 Parvovirus B-19 Antibody, [IgM] 5175
2322 2334 Phenobarbitone 1725
2323 2337 Phosphorus, Urine [24 Hrs] 575
2324 2338 Plasma Renin Activity [PRA] 13225
2325 2339 Plasminogen , Functional 3450
2326 2341 Pneumocystitis Carinii, IF 3800
2327 2342 Porphobilinogen , Quanantitative, Urine 3680
2328 2345 Potassium, Urine [ 24 Hrs ] / Random 460
2329 2346 Prealbumin 4140
2330 2348 Procainamide [including NAPA] 4900
2331 2354 Protein & Immunoglobulin Profile 3680
2332 2349 Progesterone 1250
2333 2351 Protein - C, Functional 8740
2334 2356 Protein S, Functional 2650
2335 2355 Proteins Quant. Exam., Urine [24 Hours] 575
2336 2362 Pyrilinks D 5175
2337 2365 Quinnidine 2760
2338 2339 Plasminogen , Functional 3450
2339 2366 RBC Fragility Test [Osmotic Fragility] 520
2340 2368 Red Cell Distribution Width [RDW] 170
2341 2371 Retinol Binding Protein 1850
2342 2376 Salicylate - Per specimen 1600
2343 2381 Serotonin, 24 Hours Urine 4450
2344 2384 Serotonin, Plasma 4450
2345 2389 SHBG [Sex Hormone Binding Globulin] 2530
2346 2391 Skeletal Muscle Antibody, IF 2185
2347 2396 Sperm Agglutination 170
2348 2400 Squamous Cell Carcinoma Antigen [SCC Ag] 1850
2349 2403 Sucrose Lysis Test 630
2350 2419 T.P.H.A 520
2351 2407 Theophyline 1030
2352 2409 Thyroglobulin , [Tg] 2300
2353 2410 Thyroid Antibodies [Anti-Tg & Anti - TPO] 2800
2354 2412 Tobramycin 1600
2355 2424 Transferrin 1320
2356 2429 Tricyclin Anti Depressants [Group Therapeutic Drug Monitoring] 1610

2357 2432 Troponin - I 1725

Page 54 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2358 2434 Troponin - T [1 Sample ] 1450
2359 2433 Troponin - T [2 Samples] 2650
2360 2440 Urine [Specific Gravity] 115
2361 2441 Urine Eosinophil Count 170
2362 2442 Urine Phase Contrast Microscopy 350
2363 2448 Vanil Mandelic Acid [VMA], [HPLC], Urine 3220
2364 2449 Varicella ZOSTER, [IgG] 1450
2365 2450 Varicella Zoster , [IgM] 1450
2366 2454 Vitamin A [Retinol] 1450
2367 2456 Vitamin C [Ascorbic Acid] 3000
2368 2458 Vitamin E 2100
2369 2460 Vomitus Routine Examination 290
2370 2462 Weil - Felix Test 630
2371 2463 Western Blot for HIV I + II 7600
2372 2532 Lymphoma Diagnostic Panel (TISSUE) 23000
2373 2535 Leukemia Diagnostic Panel : ACUTE LEUKEMIAS 23000
(COMPREHENSIVE)
2374 2538 Leukemia Diagnostic Panel : CLL / HCL / SLL 23000
2375 2539 Leukemia Diagnostic Panel : B-ALL 16100
2376 2540 Leukemia Diagnostic Panel : T CELL 14000
2377 2542 Leukemia Diagnostic Panel : HAIRY CELL 14000
2378 3648 Leukemia Diagnostic Panel : ACUTE LEUKEMIAS (BASIC) 14000

2379 2548 Leukemia Diagnostic Panel : AML CHARACTERIZATION 16100

2380 2550 Leukemia Diagnostic Panel : ALL CHARACTERIZATION 16100
2381 2555 Leukemia Diagnostic Panel : CLL / HCL / SLL (BASIC) 23000
2382 2556 Immune Deficiency Panel - 1 9000
2383 2560 Immune Deficiency Panel - 2 (CD4 / CD8 PANEL) 4150
2384 2562 Immune Deficiency Panel - 3 (ABSOLUTE CD3 PANEL) 2650
2385 2563 Immune Deficiency Panel - 4 3100
2386 2564 Immune Deficiency Panel - 5 3300
2387 2565 Natural Killer Cells (NK Cells) 4600
2388 2567 DNA HISTOGRAM - BREAST TISSUE (DNA Ploidy & S. Phase) 4600

2389 2568 DNA HISTOGRAM - HYDATIDIFORM MOLE (DNA Ploidy & 4600
S. Phase)
2390 2571 DNA HISTOGRAM - PROSTRATE TISSUE [DNA Ploidy & S 4600
Phase]
2391 2573 DNA HISTOGRAM - SOLID TUMOURS [DNA Ploidy & S. 4600
Phase]
2392 2574 DNA HISTOGRAM - ENDOMETRIAL TISSUE[DNA Ploidy & S 4600
Phase]
2393 2576 DNA HISTOGRAM - OVARIAN TISSUE [DNA Ploidy & S. 4600
Phase]
2394 2583 DNAHISTOGRAM - URINE/BLADDER WASHINGS OR 4600
OTHER FLUIDS (DNA Ploidy & S.Phase)
2395 2586 DNA HISTOGRAM - BLOOD/BONE MARROW 4600
2396 2590 (DNA PLOIDS & S.PHASE) CD 2 2650
2397 2593 (DNA PLOIDS & S.PHASE) CD3 2650
Page 55 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2398 2596 (DNA PLOIDS & S.PHASE) CD4 2650
2399 2600 (DNA PLOIDS & S.PHASE) CD5 2650
2400 2601 (DNA PLOIDS & S.PHASE) CD7 2650
2401 2602 (DNA PLOIDS & S.PHASE) CD 8 2650
2402 2603 (DNA PLOIDS & S.PHASE) CD 10 2650
2403 2604 (DNA PLOIDS & S.PHASE) CD 11c 2650
2404 2606 (DNA PLOIDS & S.PHASE) CD 13 2650
2405 2609 (DNA PLOIDS & S.PHASE) CD14 2650
2406 2611 (DNA PLOIDS & S.PHASE) CD15 2650
2407 2613 (DNA PLOIDS & S.PHASE) CD16 2650
2408 2614 (DNA PLOIDS & S.PHASE) CD19 2650
2409 2615 (DNA PLOIDS & S.PHASE) CD 20 2650
2410 2616 (DNA PLOIDS & S.PHASE) CD22 2650
2411 2618 (DNA PLOIDS & S.PHASE) CD23 2650
2412 2619 (DNA PLOIDS & S.PHASE) CD25 2650
2413 2620 (DNA PLOIDS & S.PHASE) CD30 2650
2414 2622 (DNA PLOIDS & S.PHASE) CD 33 2650
2415 2625 (DNA PLOIDS & S.PHASE) CD34 2650
2416 2626 (DNA PLOIDS & S.PHASE) CD38 2650
2417 2628 (DNA PLOIDS & S.PHASE)CD42a 2650
2418 2629 (DNA PLOIDS & S.PHASE) CD45 2650
2419 2631 (DNA PLOIDS & S.PHASE)CD61 2650
2420 2633 (DNA PLOIDS & S.PHASE) CD71 2650
2421 2636 (DNA PLOIDS & S.PHASE) FMC-7 2650
2422 2638 Glycophorin A 2650
2423 2640 LEUKEMIA DIAGNOSTIC PANEL : HLA- DR 2650
2424 2641 IgA Heavy Chain [Cytoplasmic ] 2650
2425 2642 IgA Heavy Chain [Surface] 2650
2426 2645 IgD Heavy Chain [Cytoplasmic] 2650
2427 2647 IgD Heavy Chain [Surface] 2650
2428 2649 IgG Heavy Chain [Cytoplasmic] 2650
2429 2651 IgG Heavy Chain [Surface] 2650
2430 2653 IgM Heavy Chain [Cytoplasmic] 2650
2431 2655 IgM Heavy Chain [Surface] 2650
2432 2658 Kappa / Lambda Light Chain 5200
2433 2659 TdT 2650
HISTOPATHOLOGY Gen
2434 5422 H.P.PARAFFIN BLOCK FOR ER/PR 3650
2435 2370 Histopathology, Small Sized Specimen 350
2436 2372 Histopathology , Large Sized Specimen 1500
2437 5197 Histopathology, Medium Sized Specimen 700
2438 5198 Bilateral FNAC Testes For Male Infertility 1030
2439 2375 Histopathology, Bone Biopsy, Iron Stain 1030
2440 2377 Histopathology, Consultation 2 nd Opinion / Review 800
2441 2380 Histopathology, Special Stains : PAS 1150
2442 4030 Histopathology, DUPLICATE SLIDES (EACH) 115
2443 2382 Peroxidase Stain 1150
2444 2383 Sudan Black B. Stain 1150
2445 2385 Sudan IV 630
Page 56 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2446 2388 Reticulin Stain 1150
2447 2390 Z-N Stain for FB in tissue 115
2448 2393 Auramine Stain for AFB in Tissue 230
2449 2394 Iron Stain 350
2450 2397 Amyloid Stain / Congo Red 1150
2451 2398 LAP Stain / Score 630
2452 5080 MICO-3 3910
2453 5434 ER - ESTROGEN RECEPTOR 1840
2454 5435 PR - PROGESTERONE RECEPTOR 1840
2455 5436 ER - PR 3620
IMMUNOHISTROCHEMISTRY Gen
2456 3647 Immunohistochemistry, Neoplasms of Uncertain Origin Panel 7015
[LCA, EMA, S100, Cytokeratin ]
2457 2447 [Individual Components] Immunohistochemistry,Sarcoma Typing 1840
Panel
2458 2452 [Desmin , Vimentin, Neurofilament Polypeptide, Glial Fibrillary 1840
Acidic Protein]
2459 2457 [Individual Components] 1840
2460 2461 Neurone Specific Enolase [NSE] 1840
2461 2464 Estrogen Receptor [ER] 1840
2462 2466 Progesterone Receptor [PR] 1840
2463 2467 Ki - 67 1840
2464 2468 c-cerb B2 [HER -2 /neu] 1840
2465 2469 EGFR [Epidermal Growth Factor Receptor] 1840
2466 2470 Cathepsin D 1840
2467 2471 ps2 1840
2468 2472 p53 1840
MOLECULAR DIAGNOSTICS Gen
2469 2476 Hepatitis - B - DNA - PCR, Qualitative 5520
2470 2478 Hepatitis - B VIRAL DNA, Quantitative Bdna 14260
2471 2479 Hepatitis - C VIRAL RNA, Quantitative , Bdna 18055
2472 2477 Hepatitis -C - RNA - PCR, Qualitative 10350
2473 2473 Mycobacterium Tuberculosis - PCR, Qualitative 2350
SPECIALISED BIOPHYSICS ASSAYS Gen
2474 2484 Renal Calculus Analysis [Kidney Stone ] Quantitative 1450
2475 2485 Gall Stone Analysis ] - Quantitative 1450
SEROLOGY Gen
2476 1959 Amoebic Serology 1450
2477 3779 ANF ( ANTI NUCLEAR FACTOR ) 630
2478 1968 Anti - A - Titre 290
2479 1981 Anti HAV [IgM] 1500
2480 1983 Anti Hbe [Hbe Ab ] 800
2481 1984 Anti HBs [HBs Ab ] 750
2482 1969 Anti - B - Titre 290
2483 1985 Anti HCV 1200
2484 1979 Anti Hepatitis E Virus [IgM] 1850
2485 1980 Anti Hepatitis E Virus [Total] 1850
2486 1986 Anti Histone Ab 1500
2487 1992 Anti Nuclear Antibodies [ANA] [IF] 1950
Page 57 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2488 2002 Anti Sperm Antibody [SERUM] 800
2489 1982 Antibody to HIV - I + II 460
2490 2018 Beta HCG 800
2491 2097 CRP (C- Reactive Protein) 350
2492 1962 C-ANCA [ELISA] 1850
2493 2049 Cardiolipin Antibody [aCL] [IgA] 1035
2494 2051 Cardiolipin Antibody [aCL] [IgM] 1050
2495 2181 C3 LEVEL 460
2496 2072 COMPLIMENT C3 460
2497 2081 Cortisol [Evening Sample], Serum 575
2498 2131 Dengue SEROLOGY Antibody [IgM & IgG] 1200
2499 3916 Elisa For T.B. ( IGA ) 1150
2500 3917 Elisa For T.B. ( IGM ) 1150
2501 3918 Elisa For T.B. ( IGG ) 1150
2502 3930 HBs Ag ( ELISA TEST ) 350
2503 3931 HBs Ag ( STICK TEST ) 345
2504 2179 Fungus Culture 750
2505 2180 Fungus Examination Routine [KOH Preparation] 230
2506 2183 GTT [Glucose Tolerance Test ] [75 Gm OR 100 Gm] - 6 specimens 850

2507 2195 Growth Hormone 800

2508 2203 Hbe Ag 700
2509 2204 HBs Ag 450
2510 2205 HBsAg Confirmation 750
2511 2229 IgG to HSV 1 + II 575
2512 2230 IgG to Rubella Virus 575
2513 2231 IgG to Sm [Smith ] Antigen 1100
2514 2232 IgG to Toxoplasma gondii 575
2515 2233 IgM to CMV 575
2516 2234 IgM to HSV I + II 575
2517 2235 IgM to Rubella Virus 575
2518 2236 IgM to Toxoplasma gondii 575
2519 2246 Immunoglobulin , [IgA], CSF 1850
2520 2241 Immunoglobulin , [IgA], Serum 290
2521 2242 Immunoglobulin , [IgE], Serum 920
2522 2243 Immunoglobulin, [IgG], Serum 290
2523 2244 Immunoglobulin, [IgM], Serum 400
2524 2293 Malaria Antigen [Falciparum + Vivax ] 630
2525 2296 Mantoux Test [MX Test] 115
2526 1963 P-ANCA [ELISA] 1840
2527 2347 Pregnancy Test 170
2528 5070 RA TEST ( RHEUMATOID FACTOR ) 345
2529 2374 Rheumatoid Factor , IgA 805
2530 2373 Rheumatoid Factor [Quantitative] 460
2531 2413 Torch [IgG] 1725
2532 2414 Torch [IgM] 1725
2533 2425 Toxoplasma IgA 575
2534 2417 Torch [IgM] + [IgG] 2750
2535 2168 TRIPLE TEST 750
Page 58 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2536 2451 VDRL 140
2537 2465 Widal Test Titre [TAB] 170
2538 3928 HIV I & II (ELISA TEST) 460
2539 3929 HIV I & II (SPOT TEST) 450
2540 5048 MALARIA SEROLOGY BY OPTIMAL 630
2541 3934 RHEUMATOID ARTHRITIS (RA) FACTOR 1500
2542 5185 VDRL TITER 230
2543 5189 TOXOPLASMA IGG 575
2544 5190 TOXOPLASMA IGM 575
2545 5191 RUBELLA IGG 575
2546 5192 RUBELLA IGM 575
2547 5193 CYTOMEGALO VIRUS IGG 575
2548 5194 CYTOMEGALO VIRUS IGM 575
2549 5195 HERPES SIMPLEX VIRUS I + II IGG 575
2550 5196 HERPES SIMPLEX VIRUS I + II IGM 575
2551 3933 ASO (ANTI STREPTOLYSIN 'O') TITRE 460
2552 3935 ALDEHYDE TEST 230
2553 3927 ANTI - HCV ANTIBODT (ELISA TEST) 1200
2554 3926 ANTI - HCV ANTIBODT (SPOT TEST) 1200
2555 3932 ANTI NUCLEAR FACTOR (ANF) 630
2556 5390 ANTI ECHINOCOCCUS IgG 920
2557 5401 ANTI GLIADIN ANTIBODY (IgG) 1850
2558 5387 ANTI TAENIA SOLIUM (CYSTICERCOSIS) ANTIBODY 1050
2559 5409 HERPES SIMPLEX VIRUS 1 & 2, DNA DETECTION ( PCR ) 4600

2560 5337 SERO IGE 920

2561 5069 WIDAL TEST 170
2562 5437 LEPTOSPIROSIS IGG 1850
2563 5438 LEPTOSPIROSIS IGM 1850
2564 5439 LEPTOSPIROSIS IGG + LEPTOSPIROSIS IGM 3250
MICROBIOLOGY Gen
2565 1926 AFB Stain , Nasal Smear 230
2566 1927 AFB Stain , PUS 230
2567 1929 AFB Stain , SPUTUM 230
2568 1931 AFB Stain Urine & Others 230
2569 1928 AFB Stain, SEMEN 230
2570 1930 AFB Stain, URETHRAL Swab 230
2571 2098 Culture / SENSITIVITY, Aerobic , Blood , RAPID 920
2572 2102 Culture , Aerobic , Pleural Fluid 980
2573 2114 Culture , Anaerobic , Endocervical / High Vaginal Swab 1100
2574 2101 Culture / SENSITIVITY , Aerobic , Nasal Swab 460
2575 2105 Culture / SENSITIVITY, Aerobic , Sputum 460
2576 2106 Culture / SENSITIVITY, Aerobic , Stool 460
2577 2109 Culture / SENSITIVITY, Aerobic , Urine 460
2578 2104 Culture / SENSITIVITY, Aerobic Semen 460
2579 2108 Culture / SENSITIVITY ,AEROBIC Urethral Swab 460
2580 2099 Culture / SENSITIVITY, Aerobic, Ear Swab 460
2581 2100 Culture / SENSITIVITY, Aerobic, Eye Swab 460
2582 2103 Culture/ SENSITIVITY, Aerobic, Pus 460
Page 59 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2583 2107 Culture / SENSITIVITY, Aerobic, Throat Swab 460
2584 2110 Culture / SENSITIVITY, Aerobic, Vaginal / Cervical Swab 460
2585 2117 Culture, AFB, Blood, RAPID 800
2586 5064 Culture, AFB, Semen, RAPID 800
2587 2118 Culture, AFB, CSF, RAPID 800
2588 2121 Culture, AFB, Endometrial , RAPID 800
2589 2122 Culture, AFB, Miscellaneous, RAPID 800
2590 2119 Culture, AFB, Pus, RAPID 800
2591 2120 Culture, AFB, Sputum , RAPID 800
2592 2123 Culture, AFB, Urine, RAPID 800
2593 2115 Culture, Anaerobic , Fluids 920
2594 2116 Culture, Anaerobic , PUS 1150
2595 2113 Culture, Anaerobic Ear Swab 1100
2596 2112 Culture, Anaerobic, Blood , RAPID 920
2597 2111 Culture , SENSITIVITY , CSF, Aerobic & Anaerobic , RAPID 1600

2598 2124 Culture, Fungus, Blood RAPID 800

2599 2125 Culture, Fungus, CSF RAPID 800
2600 2126 Culture, Fungus, Septum 800
2601 2324 P.C.R. [Sputum, Body Fluids, Tissues, Urine for M. Tuberculosis] 2800

2602 3955 GRAM STAIN , EAR SWAB 140

2603 3956 GRAM STAIN , NASAL SWAB 140
2604 3950 GRAM STAIN , PUS 140
2605 3953 GRAM STAIN , SEMEN 140
2606 3949 GRAM STAIN , SPUTUM 140
2607 3951 GRAM STAIN , THROAT SWAB 140
2608 3952 GRAM STAIN , URETHERAL DISCHARGE 140
2609 3957 GRAM STAIN , VAGINAL / CERVICAL SMEAR 140
2610 5433 AUROPROBE PENAL - D 3450
2611 5378 AFB DRUG SENSITIVITY - 5 DRUGS (FIRST LINE) 5400
2612 5379 AFB DRUG SENSITIVITY - 10 DRUGS (1ST & 2ND LINE) 10800
2613 5380 INDIVIDUAL DRUG SENSITIVITY FOR AFB 1450
2614 5381 PYRAZINAMIDE SENSITIVITY FOR AFB 2700
2615 3954 GRAM STAIN CONJUNCTIVAL SMEAR 140
HEAMATOLOGY Gen
2616 1917 Abnormal Haemoglobin Chromatography (HPLC) 1050
2617 1919 Abs. Granulocyte Count 115
2618 2022 BT (Bleeding Time ) 115
2619 2024 Blood Group ABO 115
2620 2025 Blood Picture 115
2621 3943 Bone Marrow Cytology 575
2622 2065 Clot Retraction Test 290
2623 2067 CT (Clotting Time) 115
2624 2074 Complete Blood Count 400
2625 2076 Coombs Test [Direct] 290
2626 1918 AEC (Abs. Eosinophil Count) 115
2627 2077 Coombs Test [Indirect] 290
2628 2135 DLC (Differential Leukocyte Count) 115
Page 60 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2629 2151 ESR [Westergren] 115
2630 2152 ESR [Wintrobe] 115
2631 2194 GLYCOSERATED HB (HBA1C) 520
2632 5279 G-6 P.D. [Quantitative] 800
2633 2196 HB (Haemoglobin) 115
2634 2198 Haemoglobin, Free, Plasma 575
2635 2199 Haemogram 500
2636 2272 L.E. Cell Phenomenon 350
2637 2295 MP (Malaria Parasites) 115
2638 2297 MCH [Mean Corpuscular Haemoglobin] 115
2639 2298 MCHC [Mean Corpuscular Haemoglobin Conc.] 115
2640 2299 MCV [Mean Corpuscular Volume] 115
2641 3942 PBF / GBP 115
2642 2325 PTTK 575
2643 2326 PCV (Packed Cell Volume ) 115
2644 2340 Platelet Count / Plarelet Crit 150
2645 2358 Prothrombin Time Studies [Including PT, PR & INR] 350
2646 2367 RBC [Red Blood Cells] 115
2647 2369 Reticulocyte Count [Automated] 350
2648 2406 Thalassemia Profile 1450
2649 2408 Thrombin Time 1000
2650 2421 TLC (Total Leukocyte Count ) 115
2651 3941 APTT (ACTIVATED PARTIAL THROMBOPLASTIN TIME) 575

2652 3915 BLOOD GROUP RH-FACTOR 115

2653 3940 MF (MICROFILARIA) 115
2654 5182 FDP (FIBRONOGEN DEGRADATION PRODUCTS) 1035
BLOOD/URINE
2655 5377 ANAEMIA PROFILE - I 1250
LABORATORY Gen
2656 17522 Anemia Panel - I [CBC, Iron-TIBC,Ferritin, Total Protein , 1450
Albumin, AG Ratio]
2657 17523 Anemia Panel -II [CBC, Iron-TIBC,Ferritin, Total Protein, 2800
2658 17524 Antibodies to Extractable Nuclear Antigen , Screen [ENA] 8300
2659 18081 Antinatal Panel [CBC, Blood Gp-Rh, Urine RE, HIVI+II,HBsAg, 1500
VDRL, Glucose-F]
2660 17526 Breast Cancer Profile - 7 [ER, PR, DNA Pdy, HER-2/neu, EGFR] 11400

2661 17527 Breast Cancer Profile - 8 [ER, PR,DNA Pdy,HER- 13200

2/neu,EGFR,Cath-D]
2662 17528 Breast Cancer Profile - 9 [ER, PR,DNA Pdy, HER- 18600
2/neu,EGFR,Cath-D,pS2,p53,Ki67
2663 17529 Diabetes Panel - I [Glucose F+PP, Chol, Trigly, Glyco Hb, Urea, 1050
Creat.]
2664 17530 Diabetes Panel - II [Glu F + PP, Chol, Trigly, Glyco Hb, Urea, 3600

2665 2172 Filaria Antigen 920

2666 17531 Glucose [One Specimen ], Blood 115
2667 17532 Iron, Serum 3000
Page 61 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2668 17533 Mean Platelet Volume [MPV] 175
2669 17534 Urea, Serum 115
2670 2446 Vancomycin 1600
2671 3970 ABO & RH Factor 115
2672 3966 Blood Bag each 230
2673 18296 Coombs test Direct 240
2674 18297 Coombs test Indirect 350
2675 18299 Cross Match 170
2676 3967 Screening Test 1250
2677 18308 Reverse Group (Back typing) 100
2678 18298 Coombs Titre 460
2679 18064 Whole Blood (Mandatory Replacement Donor) 1450
2680 18065 Packed RBC or RBC Concentrate (Mandatory Replacement Donor) 1300

2681 18034 Fresh Frozen Plasma ((Mandatory Replacement Donor) 1 unit (120- 1300
150ml)
2682 18307 Platelet Concentrate ((Mandatory Replacement - one Donor for 2 450
pouches) 1 Unit (50-60 ml)
2683 18295 ABO & RH FACTOR 115
2684 18308 REVERSE GROUPING 100
2685 18298 COOMBS TITRE 460
2686 18296 COOMBS TEST (DIRECT) 240
2687 18297 COOMBS TEST (INDIRECT) 350
2688 18833 SCREENING CHARGES PRE DONATION 1150
2689 18310 BLOOD BAG 230
2690 18301 COMPETIBILITY TESTING BY GEL TECHNIQUE 350
2691 18306 PACKED RED CELL PROCESSING CHARGES 1700
2692 18309 WHOLE BLOOD PROCESSING CHARGES 1400
2693 18305 PLATELETS APHERESS PROCESSING CHARGES 15000
2694 18303 FFP PROCESSING CHARGES 520
2695 18307 PLATELETS CONCENTRATE PROCESSING CHARGES 450
2696 18302 DU TEST FOR NEGATIVE BLOOD GROUP 115
2697 17501 PLASMA APHERESIS PROCESSING CHARGES 9200
2698 5066 RFT 500
2699 1961 ANCA IF P-FINCA AND C-FINCA 3450
Department : PAEDIATRIC Gen
2700 19005 BIRTH VACCINATION CHARGES (BCG+OPV+HEP-B) 750
2701 19024 Cervical Cancer(Cervrix) 2750
2701 19019 Chickenpox(Varivax(Chickenpox) 2200
2702 19029 DPT(Boostrix) 1550
2702 19008 DPT,Hep-B,Hib(Pentavac (Plain)) 1000
2703 19010 DPT,Hib(Quadravax (Plain)) 900
2703 19009 DPT,IPV,Hib(Pentaxim (Painless)) 2850
2704 19027 DPT,IPV,Hib,HepB(Hexaxim) 6600
2704 19015 Flu(Vaxigrip/Influvac) 1100
2705 19017 Hepatitis-A(Havrix-720) 1400
2705 19016 Hepatitis-B(Hepatitis-B) 350
2706 19028 IPV(Injectable Polio MD) 800
2706 19025 Japanies encephalitis(JE(Japanies encephalitis)) 1400
Page 62 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2707 19018 Measles(M-Vac) 300
2707 19023 Meningococcal (Menetra) 5600
2708 19022 Meningococcal (Meningococcal (A+C)) 825
2708 19020 Mumps,Measles,Rubella(Tresivac) 500
2709 19026 OPV(MD)(Oral Polio drop),BCG(Tubervac),Hepatitis-B 750
(Hepatitis-B)
2709 19012 Pneumococcal(Prevenar) 4500
2710 19011 Pneumococcal(Synflorix) 2000
2710 19013 Rotavirus(Rotarix) 1800
2711 19014 Rotavirus(Rotateq) 1200
2711 19021 Typhoid(Typhbar) 350
ONCOLOGY
Sl. No. Service Name Gen S. Pvt. Pvt.

ONCOLOGY
Chemotherapy
2712 19394 Intra Arterial Chemotherapy (Hosp .charge ) 3894 4378 4862
2713 19395 Intra Peritoneal Chemotherapy (Hosp .charge ) 1001 1133 1265
2714 19396 Intravesical Chemotherapy (Hosp.charge) 3894 4378 4862
2715 19397 Chemo Protocol charges (DRS) 5000 5000 5000
2716 19398 Chemoport / PICC line flushing (DRS) 300 300 300
2717 19399 Chemotherapy planning 2508 3146 3729
2718 19400 Chemotherapy planning Professional charges 2508 2508 2508
2719 19401 Chemotherapy professional 2508 3146 3729
2720 19402 Chemotherapy professional charges (DRS) 3000 4000 4500
2721 19403 Chemotherapy professional charges (Major ) DRS 3000 3500 4000
2722 19404 chemotherapy professional charges minor DRS 2500 2500 2500
2723 19405 Craniotomy with Tumor Decompression 58300 58300 58300
2724 19406 CVP line PIC Line 2798 2938 3085
2725 19407 Intraperitoneal chemotherapy (Prof charge) 1628 1870 1980
2726 19408 Intrapleural chemotherapy / pleurodesis 2508 3146 3729
2727 19409 Intrathecal chemotherapy (DRS) 4000 4000 4000
2728 19410 IV Bolus/ Bisphosphonates (DRS) 1200 1200 1200
2729 19411 Targeted Therapies (DRS) 5000 5000 5000
Operative Charges
2730 19412 APR 66763 70102 73607
2731 19413 Axillary Dissection 31290 32854 34497
2732 19414 B) any Flap Reconstruction 18738 19722 20709
2733 19415 B) Gilles Flap 16691 17526 18402
2734 19416 B) Major 16691 17526 18402
2735 19417 Below Knee Amputation 25037 26288 27603
2736 19418 Bilateral Lymphadectomy 26071 27375 28743
2737 19419 Bilateral Orchidectomy 25037 26288 27603
2738 19420 Biopsy of Bladder (Cystoscopic) 11725 12312 12927
2739 19421 Bladder Neck Resection 0 0 0
2740 19422 Bone Marrow Biopsy (DRS) 2200 2500 2800
2741 19423 Breast conservation/ Quadratectomy 41727 43814 46004

Page 63 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2742 19424 Breast Reconstruction 84284 88496 92921
2743 19425 Burst abdomen 21933 23030 24181
2744 19426 C'Arm Charges 0 0 0
2745 19427 Chemoport Removal 23292 24457 25680
2746 19428 Chest wall Tumor excision with Reconstruction 41727 43814 46004
2747 19429 Chole Cystectomy Open 36509 38334 40251
2748 19430 Colectomy with Lieorectal Anastomoses 57154 60011 63012
2749 19431 Colon (Resection Anastomosis) (Category III) 20000 20000 20000
2750 19432 Colostomy 20852 21895 22990
2751 19433 Colostomy closure 20852 21895 22990
2752 19434 Colostomy closure/Revision 31290 32854 34497
2753 19435 Commando's 81776 85865 90158
2754 19436 Compartmental excision for soft tissue tumor 45889 48183 50592
2755 19437 Composite Resection 45889 48183 50592
2756 19438 Conisation 20852 21895 22990
2757 19439 Conservative Surgery for CA Larynx 0 0 0
2758 19440 D.L.Scopy 6297 6612 6942
2759 19441 Debridement & suturing & neck & chest flap 27382 28751 30188
2760 19442 Defunctioning Colostomy/Loop Colostomy 25037 26288 27603
2761 19443 Distal pancreatectomy 41727 43814 46004
2762 19444 Divison of Flap 14185 14895 15639
2763 19445 Double Flap 29198 30658 32191
2764 19446 Excision of Basal cell with Reconstruction 25037 26288 27603
2765 19447 Excision of Lip with Repair 18783 19722 20709
2766 19448 Excision of Pelvic Sarcoma 62579 65708 68994
2767 19449 Excision of Scrotal mass 31290 32854 34497
2768 19450 Excision of soft tissue lesion 20852 21895 22990
2769 19451 Excision Parapharyngeal Tumors 33382 35051 36804
2770 19452 Excision Tumor Floor of mouth 31290 32854 34497
2771 19453 Explorative Laparotomy 31290 32854 34497
2772 19454 Exploratory Laparotomy 21703 22788 23928
2773 19455 Exploratory Thoracotomy 31290 32854 34497
2774 19456 Extended Radical Nephrectomy 50073 52576 55205
2775 19457 Feeding Jejunostomy 18783 19722 20709
2776 19458 Flexible Pan endoscopy 13036 13688 14372
2777 19459 Fore Foot Amputation 16691 17526 18402
2778 19460 Fore Quarter Amputation 35474 37248 39110
2779 19461 Free Flap 54234 56946 59793
2780 19462 Full thickness Grafting 20852 21895 22990
2781 19463 Functional neck Dissection 25037 26288 27603
2782 19464 Gastrostomy or Jejunostomy 27129 28485 29909
2783 19465 Hartman's Operation 31290 32854 34497
2784 19466 Hemi Laryngectomy 32761 34399 36119
2785 19467 Hemicolectomy (Left or Right) 41727 43814 46004
2786 19468 Hemicolectomy Right or Left & Transverse Colectomy 38394 40313 42329
2787 19469 Hemiglossectomy 20852 21895 22990
2788 19470 Hemiglossectomy with sond 41727 43814 46004
2789 19471 Hemimandibulectomy 27129 28485 29909
2790 19472 Hemipelvectomy 76000 85000 112000
Page 64 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2791 19473 Hemithyroidectomy 31290 32854 34497
2792 19474 Hepatectomy (Hemi) 62579 65708 68994
2793 19475 high Orchidectomy 36509 38334 40251
2794 19476 Ileocolic by pass 25037 26288 27603
2795 19477 Ileostomy 12530 13157 13814
2796 19478 Ilestomy / Colostomy alone 27129 28485 29909
2797 19479 inguinal node Dissection Bilateral 41727 43814 46004
2798 19480 Inguinal node Dissection (Unilateral) 31290 32854 34497
2799 19481 Laproscopic Omental/Lymph node Biopsy 35336 37103 38958
2800 19482 Laproscopic Peritoneal Nodule Excision 36555 38382 40301
2801 19483 Large Cyst or Tumor Resection 27129 28485 29909
2802 19484 Laryngectomy 41727 43814 46004
2803 19485 Laryngopharyngectomy 62579 65708 68994
2804 19486 Larynx Conserving Surgery with RND 73017 76668 80501
2805 19487 LD Flap 20852 21895 22990
2806 19488 Limb Saving Surgery for Bone Tumor 52142 54749 57486
2807 19489 Limb Saving surgery for soft tissue Sarcoma 41727 43814 46004
2808 19490 Lobectomy 62579 65708 68994
2809 19491 Local Flap 16691 17526 18402
2810 19492 Local Flaps 35474 37248 39110
2811 19493 Lump/ Febroadenoma Excision 18990 19940 20937
2812 19494 Lumpectomy 10438 10960 11508
2813 19495 Marginal mandibulectomy 29198 30658 32191
2814 19496 Mastectomy- Lumpectomy or Sector with Axillary Clearance 30117 31623 33204
2815 19497 Mediastinal Tumor 56326 59142 62099
2816 19498 Modified Radical Mastectomy 40670 42703 44838
2817 19499 Muscle/Myo Cutaneous Flap 25037 26288 27603
2818 19500 Neck Rexploration and Haematoma 44325 46541 48869
2819 19501 Omental Resection 39106 41062 43115
2820 19502 Open Bone Biopsy 12530 13157 13814
2821 19503 Open Lung Biopsy 27129 28485 29909
2822 19504 Orchidectomy 12530 13157 13814
2823 19505 Orchidectomy one side/ Bilateral 24623 25854 27147
2824 19506 Palliative Gastrectomy 41727 43814 46004
2825 19507 Parathyroidectomy 49015 51466 54039
2826 19508 Partial Amputation of Penis 18783 19722 20709
2827 19509 Partial Amputation of Penis with Ing Dissection 36509 38334 40251
2828 19510 Partial Cystectomy 31290 32854 34497
2829 19511 Partial Gastrectomy 38394 40313 42329
2830 19512 Partial Glossectomy 16691 17526 18402
2831 19513 Partial hepatectomy 52142 54749 57486
2832 19514 Partial Maxilectomy 37543 39420 41391
2833 19516 Partial Nephrectomy 41727 43814 46004
2834 19517 Partial Pancreatectomy 57154 60011 63012
2835 19518 Partial Resection of Liver/ Lateral Segmentectomy 49015 51466 54039
2836 19519 Pelvic Excentration 73017 76668 80501
2837 19520 Pelvic lymph node dissection 68235 71647 75229
2838 19521 Pneumonectomy 65000 68994 95000

Page 65 of 67
 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
Pneumonectomy & Division of Dense Adhesion/ Mediastinal
Dissection of LymphonodePneumonectomy & Division of Dense
Adhesion/ Mediastinal Dissection of LymphonodePneumonectomy
& Division of Dense Adhesion/ Mediastinal Dissection of
LymphonodePneumonectomy & Division of Dense Adhesion/
2839 NA Mediastinal Dissection of Lymphonode 104306 109521 114997
2840 19522 Posterior Exentration 62579 65708 68994
2841 19523 RPLND with Nerve Preserving 52142 54749 57486
2842 19524 R.A.Oesophagus 62579 65708 68994
2843 19525 Radial Forearm Free Flap 76764 80602 84632
2844 19526 Radical Excision of Vulva 37543 39420 41391
2845 19527 Radical hystrectomy (Wertheims) 62579 65708 68994
2846 19528 Radical Mastectomy 40670 42703 44838
2847 19529 Radical Maxilloethmoidectomy 50073 52576 55205
2848 19530 Radical neck Desection 54648 57380 60249
2849 19531 Radical neck Dissection (Modified) 37543 39420 41391
2850 19532 Radical nephrectomy 45889 48183 50592
2851 19533 Radical Parotidectomy 45889 48183 50592
2852 19534 Radical Prostatectomy 62579 65708 68994
2853 19535 Reconstruction of Breast 52142 54749 57486
2854 19536 Relook Surgery for Ca ovary 41727 43814 46004
2855 19537 Resection of Retroperitoneal Tumor 54234 56946 59793
2856 19538 Retropeeritoneal Lymph node Dissection 41727 43814 46004
2857 19539 Revision Mastectomy 31290 32854 34497
2858 19540 Scalp Tumcur Excision with Reconstruction 41727 43814 46004
2859 19541 Sigmoid colectomy 38394 40313 42329
2860 19542 Sigmoid Resection 31290 32854 34497
2861 19543 Sleeve Resection of Trachea 73017 76668 80501
2862 19544 Small Bowel Resection 25037 26288 27603
2863 19545 Sub Total Gastrectomy 47981 50380 52899
2864 19546 Sub Total Tyroidectomy 38394 40313 42329
2865 19547 Submandibular Gland Excision 25037 26288 27603
2866 19548 Submandibular Sialadenectomy/ Gland Excision 18990 19940 20937
2867 19549 Submucous Cyst Excision 13772 14460 15183
2868 19550 Subtotal hysterectomy 32761 34399 36119
2869 19551 Sub Total Thyroidectomy 25037 26288 27603
2870 19552 Superficial Parotidectomy 41727 43814 46004
2871 19553 Supraglottic Laryngectomy 32761 34399 36119
2872 19554 Suprapublic Drainage (Cystoscopic) 20852 21895 22990
2873 19555 TAH * BSO * Omentectomy 62579 65708 68994
Temporal Bone Resection Including Temporalis Muscle
Flap And Faciohypoglossal AnastomosisTemporal Bone Resection
Including Temporalis Muscle
2874 NA Flap And Faciohypoglossal Anastomosis 83454 87627 92008
2875 19556 Tep Voice Prosthesis insertion 34485 36210 38020
2876 19557 Thymectomy 73017 76668 80501
2877 19558 Thyroid Lobectomy 27129 28485 29909
2878 19559 Total Abdominal hysterectomy with Bowel Resection 41727 43814 46004
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 NABH & NABL ACCREDITED HOSPITAL
Mohan Nagar, Ghaziabad Phone : 0120-2657501 to 05 Fax : 0120-2657546, 2657531
E-mail : [email protected], [email protected] Website : www.nmh.net.in
SCHEDULE - 2018 - 2019
Sl. No. Code Service Name Gen S. Pvt. Pvt.
CONSULTATION
2879 19560 Total Amputation of Penis 31290 32854 34497
2880 19561 Total Amputation of Penis with Block Dissection 49015 51466 54039
2881 19562 Total Colectomy with Ileorectal Anastomosis 54324 56946 59793
2882 19563 Total Colectomy with Rectal Excision 66763 70102 73607
2883 19564 Total Cystectomy 52142 54749 57486
2884 19565 Total Gastrectomy 52142 54749 57486
2885 19566 Total Glossectomy 52142 54749 57486
2886 19567 Total Laryngectomy 52142 54749 57486
2887 19568 Total Laryngectomy with Partial Pharyngectomy 58418 61339 64406
2888 19569 Total Mastectomy with Clearance of Axilla 37543 39420 41391
2889 19570 Total Maxillectomy 45889 48183 50592
2890 19571 Total Parotidectomy 45889 48183 50592
2891 19572 Total Thyroidectomy 41727 43814 46004
2892 19573 Tracheostomy 20852 21895 22990
2893 19574 Tran Flap 33382 35051 36804
2894 19575 Tran Flap with Implants 41727 43814 46004
2895 19576 Video-assested thoracoscopy theraputic with biopsy 20000 0 0
2896 19577 Vulvectomy simple 31290 32854 34497
2897 19578 Whipple's Operation 83454 87627 92008
2898 19579 Wide Excision & Axillary Clearance 37543 39420 41391
2899 19580 Wide Excision of Cheek Buccal Mucosa 26071 27375 28743
2900 19581 Wide Excision of lump (small) 19496 20471 21494
2901 19582 Wide excision of umblical 32600 34230 35942
Note : O.T. & Anaesthesia charges will be as per Hospital Policy.

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