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The document provides a table listing 43 medical procedures along with their associated costs including amounts for the surgeon, anesthesia doctor, hospital, endoscopy suite. The costs range from Rs. 25,000 to Rs. 1,50,000 depending on the complexity of the procedure.

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22 views

Payment File

The document provides a table listing 43 medical procedures along with their associated costs including amounts for the surgeon, anesthesia doctor, hospital, endoscopy suite. The costs range from Rs. 25,000 to Rs. 1,50,000 depending on the complexity of the procedure.

Uploaded by

hamzaasif4245
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Charge Master

Surgeon Anesthesia Hospital Endoscopy


SR Description Rate
Amt Doctor Share Suit
EGD with esophageal stent under fluoroscopy
1 60000 25000 3000 15000 17000
with GA
EGD with foreign body removal under GA
2 45000 24750 3000 4500 12750
without Intubation
PEG tube replacement with GA (without
3 25000 13750 3000 2500 5750
Replacemen Tube)
4 Achalasia balloon dilatation under GA 48000 26400 3000 4800 13800
5 Colonoscopy with polypectomy single under GA 38000 20900 3000 3800 10300
6 Colonoscopy, diagnostic without anesthesia 25000 13750 2500 8750
7 EGD Diagnostic without anaesthesia 25000 13750 2500 8750
8 EGD hemoclipping under GA (without cost of clip) 30000 16500 3000 3000 7500
9 EGD with 2 hemoclipping under GA (without cost of clip) 32000 17600 3000 3200 8200
10 EGD with dilatation under GA (without intubation) 30000 16500 3000 3000 7500
11 EGD with EVBL under GA (Without Band Tip) 30000 16500 3000 3000 7500
EGD with histoacryl injection under GA (without cost of
12 35000 19250 3000 3500 9250
sclero + injection)
EGD with histoacryl + EVBL under GA (w/o injection +
13 35000 19250 3000 3500 9250
band
14 tip)
EGD with snare biopsy without GA 25000 13750 2500 8750
15 Flexible sigmoidoscopy without GA 25000 13750 2500 8750
Endoscopic Placement of NG Tube under GA
16 30000 16500 3000 3000 7500
(Nasojejunal)
without
PEG tubeNJplacement
Tube under GA (without PEG
17 40000 22000 3000 4000 11000
tube)
Fexible Sigmoidoscopy + Polypectomy under GA
18 35000 19250 3000 3500 9250

Flexible Sigmoidoscopy under GA without intubation


19 30000 16500 3000 3000 7500

20 Flexible sigmoidoscopy under GA 30000 16500 3000 3000 7500


EGD Diagnostic with under GA without
21 30000 16500 3000 3000 7500
intubation
Sangstaken Black More Tube Placement under GA
22 30000 16500 3000 3000 7500
(without cost of tube)
23 ERCP in OT under GA (CARM Assisted) 150000 43750 3000 15000 88250
Colonoscopy/Hemoclipping with single clip under G.A
24 without Intubation (without cost of clip) 40000 22000 3000 4000 11000

Achalasia balloon dilatation under GA without


25 60000 33000 3000 6000 18000
intubation
Colonoscopy with polypectomy single under GA
26 40000 22000 3000 4000 11000
without intubation without cost of snare
Colonoscopy, diagnostic under GA without
27 35000 19250 3000 3500 9250
intubation
Colonoscopy + CRE Baloon Dilation under GA
28 55000 30250 3000 5500 16250
without Intubation
EGD with dilatation under GA without intubation
31 35000 19250 3000 3500 9250
EGD with EVBL under GA without intubation
32 35000 19250 3000 3500 9250
(without cost of band tip)
EGD with foreign body removal under GA
33 35000 19250 3000 3500 9250
without intubation
EGD with histoacryl injection (without cost of sclero +
34 injection) under GA without intubation 35000 19250 3000 3500 9250

35 EGD with histoacryl + EVBL under GA 45000 24750 3000 4500 12750
EGD with snare biopsy under GA without
36 35000 19250 3000 3500 9250
intubation (without cost of snare)
EGD with stenting (without stent cost)
37 Duodenal/Esophageal under GA without 60000 33000 3000 6000 18000
Intubation
Endoscopic Placement of NG Tube (Nasojejunal)
38 35000 19250 3000 3500 9250
under GA without intubation
PEG tube placement under GA (without PEG tube)
39 45000 24750 3000 4500 12750
ERCP + Stone Extraction under GA without
40 150000 43750 3000 15000 88250
intubation
41 ERCP incomplete with GA 40000 22000 3000 4000 11000
ERCP with stenting (metalic stent, without cost of stent)
42 under GA without endotracheal tube 150000 43750 3000 15000 88250

43 Removal of Gastric Balloon under - GA 45000 24750 3000 4500 12750

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