Diagnostic Service Rate List

GOVERNMENT OF WEST BENGAL
DEPARTMENT OF HEALTH AND FAMILY WELFARE

North Bengal Medical College & Hospital
Sushrutanagar,Dist.- Darjeeling
Pin - 734012

Diagnostic Service Rate List                                                                                            Date : 18-Feb-2014

Serv. Code Service Name Cabin OPD & Paying Payclinic
XR31  TVS X-ray  300 150 0
US07 (Trans - vaginal /Trans - rectal) USG 275 250 0
A- A-(negitive) 60 50 500
OI50 A.S.G. (per testing for Neonatal Unit). 100 100 0
PR005 A.U.E 0 30 0
A+ A+(positive) 60 50 500
AB- AB-(negitive) 60 50 500
AB+ AB+(positive) 60 50 500
CT02 Abdomen 1500 1500 0
MA04 Abdominal  IVC 0 5500 0
HM06 Abs.  Eosinophil Count 25 15 0
B011 Acid Phosphatase 50 40 0
ST14B Acrylic Aplint. 100 100 0
PR010 Active exercise 0 15 0
EN08 Additional for Bioscopy 100 75 0
MI18 AFB Culture 0 30 0
SE06B Ag 175 160 0
B065 Albumin 0 10 0
BO63 Albumin,Urine,Stool 0 30 0
SE05B Aldehyde  test 20 10 0
B007 Aldolase 100 90 0
B030 Alfa Fetoprotein 150 100 0
B012 Alk Phosphatase 35 25 0
ST45B alvolectomy 200 200 0
ST21 Amalgam. 50 50 0
B009 Amylase (Serum) 100 75 0
SE09 ANF (Agglutination) 120 80 0
CR15 Angio with DSA 1250 1000 0
CR07B Angiography -  Venography 650 600 0
CR07A Angiography - Peripheral 650 600 0
XR04 Ankle X- Ray 0 35 0
OI21 Anorectal 300 250 0
OC03 Anterior Segment Photography 300 300 0
SE21 Anti CMV IGM 175 160 0
SE30 Anti CMV IGM 0 0 0
SE06D Anti HAV Igm 175 160 0
SE06C Anti Hbc Igm Anti HD 175 160 0
SE29 Anti HBs 0 0 0
SE20 Anti HBs 175 160 0
SE07C Anti Maternal Antibody 225 200 0
SE07A Anti Mitochondrial 225 200 0
SE07B anti smooth  Muscle 225 200 0
SE23 Antitoxoplasma Antibody IPG & IGM 150 100 0
SE32 Antitoxoplasma Antibody IPG & IGM Antitoxoplasma Antibody IPG & IGM 0 0 0
EC05 Any device Closure 1500 1250 0
MR17 Any Joint  (Per Study) 0 4000 0
MI02C Any other culture (other than TB) 50 30 0
OI33 Any therapeutic exercises without equipment and instrument 15 10 0
OI32 Any treatment with equipment of instrument 40 30 0
EC06 Aortic  Valvuloplasty 1250 1000 0
ST59 Apicoectomy -  Each additional tooth. 30 30 0
ST58 Apicoectomy -  One tooth. 60 60 0
ST25 Apicoectomy(per tooth,with material). 200 200 0
ST28 Apicoectomy(per tooth,without material). 150 150 0
HC10 APTT 0 0 0
HC27 Ascitic Fluid for AFB 0 25 0
HC 30 Ascitic Fluid for Cell count 60 30 60
HC29 Ascitic Fluid for Cell type 0 30 0
MI08 Ascitic fluid for cell type cell count 0 60 0
HC28 Ascitic Fluid for Culture 0 30 0
HC05C Ascitic Fluid for culture 60 40 0
MI09 Ascitic fluid for sugar protein 0 45 0
SE08 ASO Titre 80 65 0
SE02 Australia Ag. 65 50 0
B- B-(negitive) 60 50 500
B+ B+(positive) 60 50 500
CR12A Ba  X - Ray :  Stomach  &  Duod 175 150 0
OI43 Baby Walker (per day for Neonatal Unit). 50 50 0
EN13 Balloon  Dilatation 500 400 0
EC03 Balloon  Mitral Valvuloplasty 1250 1000 0
CR01 Barium  X - Ray  with follow thruogh 300 250 0
CR11 Barium Enema 175 150 0
CR02 Barium Meal Swallow 170 150 0
B017D Bicarbonate 40 30 0
B015C Bilirubin 35 25 0
BO62 Bilirubin Screening (per test for Neonatal Unit). 20 20 0
US15B Biopsy/ Histopathology  (Only  Report) 150 60 0
ST15 Bite Plate. 100 100 0
B032 Blood Ammonia Level 150 140 0
MI01 Blood Culture 50 30 0
OI46 Blood Exchange (per sitting for Neonatal Unit). 200 200 0
B063 Blood Gas & Electrolyte Analysis 0 0 0
B008 Blood Gas Analysis 160 135 0
HM16 Blood Grouping 30 20 0
HC26 Blood Routine 0 15 0
MR18 Bone / Soft Tissue  (Upper Limb) 0 4000 0
HM12 Bone Marrow aspiration 150 100 0
HC23 Bone Marrow Asprition 0 100 0
HC16 Bone Marrow Trephine Biopsy(Procedure Only) 0 0 0
MR19 Bones / Soft Tissue (Lower  Limb) 0 4000 0
PT03 Brachy  therapy 0 300 0
MR01 Brain 0 4000 0
MA01 Brain 0 4500 0
MR02 Brain  and  MR Angio 0 7500 0
MR22 Brain  and  Orbit 0 6000 0
MR23 Brain  and  Pituitary 0 5000 0
MR20 Breast 0 4000 0
US11 Breast  : Both 250 250 0
SE14 Brucella 150 100 0
HM09 BT / CT 25 15 0
B036B BUN 30 25 0
SE11 C . Reactive Protein 70 55 0
CT06 C. T.  Guided  FNAC 800 150 0
CT07 C.T.Scan(Brain) 0 800 0
B017C Ca 40 30 0
SE13 Campylobacter  Jejuni 150 100 0
CR13 Cardiac Catheterisation 500 400 0
MA02 Carotid  Artery 0 6000 0
SE15 Casoni's Test 35 25 0
B014 Catecholamines 150 100 0
ST54 Ceramometal. 500 500 0
ST43 Ceramometalic Crown(no free treatment). 500 500 0
B024 Ceruplasmin 200 150 0
PR009 Cervical exercise 0 15 0
XR11 Cervical Spine X- Ray 0 70 0
XR17 Chest X-Ray 0 35 0
XR22 Chest X-ray PA view 0 70 0
B017E Chloride 40 30 0
B042B Chloride 40 30 0
MA13 Cholangiogram 0 120 0
XR28 Clavicle X-ray 70 35 70
HM13 Coagulation Profile 150 100 0
EN01 Colonoscopy 350 300 0
EN12 Colonoscopy  with  Polypectomy 600 500 0
OI25 Colour Doppler Study * 450 350 0
EN07 Colposcopy with cytology 300 250 0
ST10 Complete Denture (each jaw). 200 200 0
HM04 Complete Hemogram 60 50 0
ST20 Composite resin. 150 150 0
MI05B Conjunstival 50 30 0
HC21 Coogulation Profile 0 0 0
HM11 Coomb's test 70 50 0
XR16 Corcis Bone X-Ray 0 70 0
OC01 Corneal  Topography 200 200 0
CR14 Coronary  Angiogram 1000 750 0
B055 Cortisol 150 120 0
ST14A Cover Plate 100 100 0
PR017 CP 30 30 30
B005 CPK with MB 110 100 0
B004 CPK. 100 90 0
B002C Creatinine 30 15 0
ST42 Crown(without material). 200 200 0
MA12 CS 0 4000 0
CP04D CSF for AFB 0 25 0
CP04 CSF -for AFB,Gram stain Z.N.stain 80 25 0
MI10 CSF for cell type cell count 0 60 0
CP04C CSF for Culture 0 30 0
BO65 Csf for Cytology 0 30 0
MI11 CSF for sugar protein 60 45 45
CP04B CSF-Cell Count 0 30 0
CP04A CSF-Cell Type 0 30 0
B042A CSF-Protein 40 30 0
MI03 Culture for TB 80 50 0
CR08 Cystogram 250 200 0
EN02 Cystoscopy 350 300 0
CR10 Cystourethrogram 250 200 0
HC08 Cytogenetics. 175 150 0
HC03 Cytology of PAP Stain * 60 50 0
XR02 Dental  X - Ray (Per Plate) 35 30 0
B056 DHEA 130 115 0
EC09 Diagnostic E.P Study 7500 7500 0
EC10 Disgnostic E.P Study & Ablation 15000 15000 0
MR07 DL  Spine 0 4500 0
MR04 Dorsal Spine 0 70 0
B019 Doxylase Excretion of Urine 150 100 0
MI06 Drug Sensitivity (Save for TB the present rates are same) 50 30 0
HC01 Each Specimen block & slide 75 60 0
ST48 Each Specimen block & slide. 60 60 0
OI23 ECG 40 30 0
OI26 Echo - Cardiography * 400 300 0
OI49 Echo (per testing for Neonatal Unit). 200 200 0
OI22 EEG 100 60 0
XR08 Elbow X-Ray 0 35 0
CP06C Elisa Test : TB (IgA) 100 80 0
CP06A Elisa Test : TB (IgG) 100 80 0
CP06B Elisa Test : TB (IgM) 100 80 0
OI10 EMG  +  NCV  All  limbs 450 400 0
OI11 EMG  +  NCV  All limbs  without  needles 225 200 0
OI12B EMG  +  NCV  Lower  limbs 275 250 0
OI12A EMG  +  NCV  Upper limbs 275 250 0
OI13A EMG  +  NCV  Upper Limbs  without  needles 125 100 0
OI04 EMG  all  limbs 300 250 0
OI05 EMG  all  limbs  without  needles 150 125 0
OI06B EMG  Lower  Limb 200 150 0
OI07B EMG  Lower Limb without needles 100 75 0
OI06A EMG  Upper  Limb 200 150 0
OI07A EMG  Upper Limb without needles 100 75 0
OI15 ENG 175 150 0
OI16 ERCP  :  Diagnostic 500 450 0
EN10 Esophageal  Dilatation  (per   sitting) 500 400 0
HM05B ESR 20 10 0
ST39 Every additional tooth for RPD. 10 10 0
OI14C EVOKED  POTENTIAL  - SSEP 175 150 0
OI14B EVOKED  POTENTIAL  - VEP 175 150 0
OI14A EVOKED  POTENTIAL - BAER 175 150 0
ST49 Exfoliative Cytology. 50 50 0
ST04 Extra - oral Lateral /oblique / PA etc. 50 50 0
OI18 Extraction  of  CBD  stone * 1000 1000 0
HC12 Factor IX Assay 0 0 0
HC25 Factor IX Assay Assay Factor IX Assay 0 0 0
PR014 Fascial exercise 0 15 0
B018 Fecal fat estimation 150 100 0
XR18 Femour X-Ray(left) 0 35 0
XR19 Femour X-Ray(right) 0 35 0
HM15 Fetal Hb 35 30 0
OC07 FFA 400 400 0
OC08 FFA  (Film & Dye to be supplied by the patient party) 200 200 0
AB+ FFP FFP 500 400 400
EN14 Fibreoptic Bronchoscopy 300 300 0
HC13 Fibrinogen Assay 0 0 0
XR34 Fistulao Gram 0 120 0
ST33 Fixed Appliance(without material). 1000 1000 0
ST37 Flap Operation(per segment). 200 200 0
OC06 Fluorescence  angioscopy 100 100 0
HC06 FNAC 150 100 0
US15A FNAC  (Only  Report) 150 150 0
ST47 FNAC. 100 100 0
US10 Folliculometry 350 325 0
XR05 Foot X- Ray 0 35 0
XR30 Forearm X-ray 70 35 70
EN11 Foreign Body Removal 400 300 0
ST44 Fracture(without material). 200 200 0
HC02 Frozen Section Report 150 100 0
B052D FSH 150 120 0
OC09 Fundus  Photography 100 100 0
HM14 G6PD 90 75 0
B039 Gastric Analysis 60 50 0
ST23 GIC. 75 75 0
ST36 Gingivectomy(per segment). 100 100 0
B038 Glucose Tolerance with Curve 80 60 0
B035 Glycosylated Hb 110 90 0
SE17 Gravindex text of urine 35 25 0
ST08 GTR Operation(one tooth associated without material). 500 500 0
OI35 Haemodialysis per sitting # 500 500 0
HM17 Haemoglobin 0 10 0
HC17 Ham’s Test 0 0 0
XR29 Hand X-ray 70 35 70
HM01 Hb 20 10 0
B034 Hb Electrophoresis 160 100 0
SE06A Hbc 175 160 0
SE26 HBc Ag 0 0 0
SE24 HBs Ag 0 50 0
B057A HCG 130 115 0
SE25 HCV(Anti) 0 100 0
B026A HDL Cholesterol 40 30 0
CT01 Head  &  Brain  &  Neck 800 800 0
MR10 Heart 0 5000 0
OI27 Holter Monitoring without electrode * 375 350 0
CR16 HSG   (without contrast) 250 200 0
SE27 HSV-1 IgM 0 0 0
SE18 HSV-1 IGM 175 160 0
SE19 HSV-2 IGM 175 160 0
SE28 HSV-2 IGM 0 0 0
NM02 I - 131 Uptake 200 100 0
CR03 I. V. P. 300 250 0
B031 IBI 120 110 0
PR018 IFT 35 35 35
PT05 Immobilisation 250 125 0
ST45A Impaction 200 200 0
OI39 Impedance Audiometry 150 150 0
ET02 Impedance Audiometry 0 0 0
OI48 Infusion pump (per day for Neonatal Unit). 20 20 0
OI31 Intra Articular Injection  (Medicine  to  supplied  by  party) 45 35 0
ST46 Intra Oral biopsy(under LA). 200 200 0
XR26 Inverstogram X-ray 0 70 0
NM03 Iodine  Therapy * 750 500 0
OI29 IOL  Charge 400 400 0
ST22 IRM/Temp. Cement. 20 20 0
US09C Joints 250 225 0
B017B K 40 30 0
SE05A Kahn test 20 10 0
PR007 Knee  bending exercise 0 15 0
XR09 Knee X-Ray 0 35 0
MR14 KUB 0 6000 0
CT03 L. S. Spine 1500 1500 0
B022 Lactose tolerance (Qualitative) 30 20 0
EN06 Laparoscopy (Diagnostic) 300 200 0
EN05 Laparoscopy (Operative)  (free only on  specific Govt. order) 1000 750 0
OC10C Laser Therapy  -  Diode 400 400 0
OC10B Laser Therapy -  Argon 400 400 0
OC10A Laser Therapy  - YAG 400 400 0
B006 LDH 100 90 0
B027 LDL Cholesterol 70 60 0
XR33 Leg X-Ray 35 35 70
HM07 LF  Cells 35 25 0
B052C LH 150 120 0
ST41 Light Cure(per tooth). 150 150 0
B033 Lipid Profile 200 150 0
B028 Lithium 85 70 0
B037 Liver Function Test 150 100 0
US05 Liver G. B. Pancreas , Spleen 250 225 0
MR06 Lumbo Sacral Spine 0 4000 0
XR12 Lumbre Spine X-Ray 0 70 0
OI34 Lung Function Test 200 150 0
HM19 M.P. Blood Routine 30 15 30
HM18 M.P.,TC,DC,Hb%,ESR 0 15 0
SE04 M.T. 30 20 0
ST26 MAJOR OT INDOOR CASE. 600 600 0
XR14 Mandible AP oblique X-ray 0 35 0
SE31 Measled  IPG & IGM 0 0 0
SE22 Measled IPG & IGM 175 160 0
MR05 Mid Dorsal to Lumber Spine 0 4500 0
EC07 Mitral  Valvuloplasty 1250 1000 0
XR24 Mostioed X-ray (each exposure) 0 35 0
MR03 MRI Cervical  Spine 0 4000 0
MR12 MRI Lower Abdomen 0 4000 0
MR11 MRI Upper Abdomen 0 4000 0
MR13 MRI Whole Abdomen 0 8500 0
ST06 Mucogingival Operation (per quadrant /per segment). 200 200 0
US09A Muscle 250 225 0
CR06 Myelography 600 500 0
ST32 Myofunctional Appliances(without material). 300 300 0
B017A Na 40 30 0
MI14 Nail scrapping 50 25 30
XR32 Nasal X-ray 150 35 150
OI08 NCV  all limbs 275 250 0
OI09 NCV  Upper / Lower  limbs 175 150 0
MA11 Neck  Vessel 0 4000 0
MR08 Neck Soft Tissue 0 4000 0
ST53 Non-precious alloy(materials to be supplied by the party). 100 100 0
O- O-(negitive) 60 50 500
O+ O+(positive) 60 50 500
ST12 Obturator (Adult). 300 300 0
ST13 Obturator (Child). 200 200 0
ST09 Occlusal adjustment (for peri-odontal management) (without material). 100 100 0
B052B Oestrogen 150 120 0
ST50 One HP slide. 50 50 0
ST05 OPG. 100 100 0
CR04 Oral  Cholecystography 250 175 0
ST29 Ordinary extraction; trans alveolar extraction. 10 10 0
HM08 Osmotic Fragility 50 40 0
HC20 Osmotic Fragility Test 0 0 0
ST07 Osseous Periodontal Surgery (per quadrant / per segment). 300 300 0
HC05D other body fluids for Cytology 60 40 0
MI04B Other smears for AFB or GM stain 35 25 0
MI05C other swab and culture 50 30 0
OI47 Oxyzen (Flow) (per day for Neonatal Unit). 20 20 0
OC02 Pachymetry 100 100 0
EC08 Pacing 1250 1000 0
PT02 Palliative  (1f / 21  /  3f  upto  5f )  Consolidated 400 250 0
XR10 Palm X-Ray 0 35 0
HC04 PAP smear (Stain for Cytochromeassay )* 100 50 0
PR008 Passive shoulder exercise 0 15 0
Pay A- Paying A- (negitive) 140 100 0
Pay A+ Paying A+(positive) 140 100 0
Pay AB- Paying AB-(negitive) 140 100 0
Pay AB+ Paying AB+(positive) 140 100 0
Pay B- Paying B-(negitive) 140 100 0
Pay B+ Paying B+(positive) 140 100 0
Pay O- Paying O-(negitive) 140 100 0
Pay O+ Paying O+(positive) 140 100 0
HM05A PCV 20 10 0
EC04 PDA  Coil  Closure 1250 1000 0
XR20 Pelvic /Hip joint X-ray 0 35 0
PR012 Pelvic floor exercise 0 15 0
MR15 Pelvis 0 4500 0
CT04 Pelvis 1000 1000 0
US18 Percutaneous  Abscess  Drainage 500 500 0
US16 Percutaneous  Nephrostomy 500 500 0
US19 Percutaneous  transhepatic  Biliary  Drainage. 700 700 0
OC05A Perimetry (Automated) 200 200 0
OC05B Perimetry (Manual) 200 200 0
EC02 Peripheral  Angioplasty 2500 2000 0
MA07 Peripheral  Vessel  (Both  side  one  limb) 0 8000 0
MA06 Peripheral  vessel  (One side one limb) 0 4000 0
HC05A Peritoneal 60 40 0
OI36 Peritoneal  Dialysis  per  sitting # 200 100 0
US17 Persutaneous  Transhepatic  Cholangiography 500 500 0
PHS3 PHACOEMULSIFICATION SURGERY (EYE) 1200 1200 1200
B023 Phosphate 40 30 0
OI42 Photo Therapy (per day for Neonatal Unit). 25 25 0
ST52 Pin/Post retained amalgam Restoration. 75 75 0
MR21 Pituitary 0 4000 0
PR011 Plain exercise 0 15 0
XR01 Plain X - Ray (Per Plate) 40 35 0
HC24 Platelet Count 0 10 0
HM03 Platelet Count / Reticulocyte Count / Clot 20 10 0
HC14 Platelet Function Test 0 0 0
CP07C Plerural for Cell count 60 30 60
HC05B Pleural 60 40 0
CP07E Pleural for AFB 50 25 50
CP07A Pleural for AFB,Gram stain, ZN stain 45 25 45
CP07B Pleural for Cell type 60 30 60
CP07G Pleural for Cell type Cell Count 0 60 0
CP07D Pleural for Culture  60 30 60
CP07F Pleural for Sugar Protein 0 45 0
XR13 PNS X- Ray 0 35 0
OI30 POP  Cast  (Materials  to  be  supplied  by  the  party) 40 30 0
XR03 Portable X - Ray (for Neonatal Unit). 40 40 0
ST55 Precious metal(materials to be supplied by the party). 100 100 0
B052E Progesterone 150 120 0
B052A Prolactin 150 120 0
B003B Prolactin 90 75 0
B020 Protein electrophorersis 160 110 0
HM10 Prothombin Time 40 35 0
HC22 Prothrombin Time 0 0 0
PP01 Psychometry 0 50 0
PP02 Psychometry  certification 0 50 0
EC01 PTCA 2500 2000 0
OI44 Pulse Oximeter(Moniter) (per day for Neonatal Unit). 50 50 0
ET01 Pure Tone  Audiometry 0 0 0
OI38 Pure Tone Audiometry 60 60 0
OI03 Puretone  Speech  Audiometry 80 60 0
MI02B Pus Culture 50 30 0
PR013 Quadraceps exercise 0 15 0
SE01 R. A. Test  (Latex) 40 30 0
MI13 RA  Factor for blood 0 30 0
PT11 Radiotherapy per exposure 0 40 0
PT10 Radiotherapy special package (ii) 0 2500 0
PT09 Radiotherapy special package(i) 0 5000 0
B001C Random Sugar 25 15 0
ST56 RCT-  Ant.Tooth 60 60 0
ST57 RCT-  Post Tooth 100 100 0
ST24 RCT(per tooth, without material). 150 150 0
ST27 RCT(per tooth,with material). 300 300 0
ST16 Relining / Recasing of denture (each jaw). 100 100 0
ST31 Removal appliances(without material). 300 300 0
ST38 Removal of Partial denture(each jaw,one tooth). 20 20 0
MA05 Renal  Artery 0 6000 0
ST11 Repair of Denture (each jaw). 50 50 0
ST34 Repair of orthodentic removal or myofunctional appliances(without material). 300 300 0
ST18 Restorations : Ceramic / Facing /(without material). 100 100 0
ST17A RESTORATIONS : Inlay(without material). 150 150 0
ST17B RESTORATIONS :Crown(without material). 150 150 0
ST17C RESTORATIONS :Jacket Crown (without material). 150 150 0
ST17D RESTORATIONS :Post-Core (without material). 150 150 0
O151 RGU Retrigend ureltapa 0 200 0
Rly A - Rly A - (negitive) 140 100 67
Rly A+ Rly A+ (positive) 0 0 67
Rly AB- Rly AB -(negitive) 0 0 67
Rly AB+ Rly AB+(positive) 0 0 67
Rly B- Rly B - (negitive) 0 0 67
Rly B + Rly B + (positive) 0 0 67
Rly O- Rly O -(negitive) 0 0 67
Rly O+ RLY O+ (positive) 150 150 67
PR001 S.W.D (SHORT WAVE DIATHERMY) 0 45 0
EN09 Scelerotherapy 500 400 0
MR16 Scrotum 0 4000 0
CP05 Semen - Analysis 55 45 0
B025 Serum Cholesterol 25 15 0
HC15 Serum Ferrition 0 0 0
B029 Serum Iron 115 100 0
B016 Serum Protein Analysis 50 30 0
HC07 Sex Chromatin  (Buccal Smear) 40 35 0
B015A SGOT 35 25 0
B015B SGPT 35 25 0
XR15 Shoulder X-Ray 0 35 0
EN03 Sigmoidoscopy 230 190 0
ET04 SISI Tone Decay,  Speech Audiometry Speech Audiometry 0 0 0
ET03 SISI Tone Decay, ABLB Audiometry 0 0 0
ET05 SISI Tone Decay, Audiometry 0 0 0
XR23 Skull X-ray (per exposure) 0 35 0
MI12 SLIT SKIN SMEAR FOR AFB 0 25 0
US13 Soft Tissue 250 225 0
XR27 Soft Tissue Neck X-ray 35 35 35
ST01 Space Maintainer, Removable(without material). 100 100 0
ST02 Space Maintainer,Fixed(without material). 200 200 0
OC04 Specular  Microscopy 200 200 0
PP03 Speech  therapy (Total) 0 75 0
ET06 Speech Theraphy 0 0 0
ET07 Speech Theraphy 1st Setting 0 0 0
OI40 Speech Therapy (1st sitting) 70 70 0
OI41 Speech Therapy (for each subsequent sitting) 40 40 0
PR006 Spinal exercise 0 15 0
ST19 Splinting. 100 100 0
MI15 Sputum Culture 60 30 60
MI04A Sputum for Gram stain 35 25 0
ST40 Steel Crown(fixed) (without material). 100 100 0
OI19 Stenting  ;  without  stent * 1000 1000 0
PR016 Stimulation 0 30 0
B043 Stone Analysis 100 80 0
MI07 Stool culture 0 30 0
CP02 Stool Occult Blood 20 10 0
CP08 Stool OPC 0 10 0
CP01 Stool Routine 0 10 0
ST35 Sub gingival Scaling(per segment). 50 50 0
HC18 Sucroselysis Test 0 0 0
B001A Sugar  Blood(p.p) 25 15 0
BO64 Sugar + Urea + Creatinine 0 15 0
B001B Sugar Blood(fasting) 25 15 0
ST30 Supra gingival Scaling(per segment). 50 50 0
XR36 T. TUBE CHOLANGIOGRAM 0 35 0
B049A T3 90 50 0
B050 T3 T4  TSH  Combined 225 200 0
B049B T4 90 50 0
HM02 TC , DC , Hb % & ESR 25 15 0
PT01 Teletherapy  (per  Fraction) 80 40 0
PT07 Tele-Therapy  <= 15 fraction/exposure(Palliative) 25000 25000 0
PT06 Tele-Therapy >= 16 fraction/exposure(Special Scheme) 5000 5000 0
US09B tendon 250 225 0
PR015 TENS(TranculeniousElectricalNerveStimulation) 0 30 100
OI37 Testing of Blood Gas & Electrolyte Analysis (Each Sample) 300 300 0
US14 Testis  : Both 250 250 0
B053 Testosterone 135 110 0
HMT96 Thalassacmia  Carrer Detection (Student) 0 50 0
HMT39 Thalassacmia Carrer Detection (OPD & Govt. Hosp.) 0 200 0
HC09 Thalassemia carreer Detection 0 0 0
OI17 Therapeutic  :  Pappilotomy 750 750 0
XR35 Thigh X-Ray 70 35 70
CT05 Thorax 1500 1500 0
MR09 Thorax (Mediast) 0 4500 0
MI05A Throat swap for culture 50 30 0
B059 Thymol  turbidity 25 20 0
US12 Thyroid 150 150 0
NM01 Thyroid  Scan 300 100 0
OI24 TMT  without  electrode * 300 250 0
XR06 Toe X- Ray 0 35 0
ST51 Tooth Colored Restoration. 100 100 0
SE16 TORCH 400 300 0
SE12 Toxoplasma (Toxo  IgG, IgM) 150 100 0
PT04 TPS  Planning 250 125 0
PR004 TRAXION 0 15 0
PT08 Treatment Planning System(Special Scheme) 500 500 0
B051 TRH  Stimulation 150 100 0
B010 Triglycerides 90 60 0
B003A TSH 90 100 0
HC11 TT 0 0 0
US20 U.S.G. (per testing for Neonatal Unit). 200 200 0
OI20 Upper  G. I. 400 300 0
EN04 Upper G. I. Endoscopy 250 200 0
B002A Urea 30 15 0
CR09 Urethrogram 250 200 0
B002B Uric Acid 30 15 0
B021 Urinary Copper 150 100 0
B041 Urinary Protein 24 hrs (Quantitative) 40 30 0
B058C Urine   K 40 30 0
B046A Urine - Albumin 20 10 0
B061A Urine - Bile salt 20 10 0
B047A Urine  Calcium 35 25 0
B058B Urine  CI 40 30 0
B058A Urine  Na 40 30 0
B047B Urine  Phosphate 35 25 0
B061B Urine - Pigment. 20 10 0
B046B Urine - Sugar 20 10 0
B045 Urine : Creatinine 35 15 0
B044 Urine : Urea 30 15 0
B048 Urine BJ Protein 35 25 0
B054 Urine Corticosteroids 100 80 0
B040 Urine Creatinine Clearance (3 hrs / 24 hrs) 60 50 0
MI02A Urine Culture 50 30 0
B057B Urine Estriol 130 115 0
HC19 Urine for Haemasederin 0 0 0
CP08A Urine OPC 0 10 0
CP03 Urine Routine 20 10 0
B013 Urine VMA 150 100 0
OI02 Urodynamic  Study * 600 500 0
OI01 Uroflowmetry 150 150 0
OC13 USG  A  SCAN 50 50 0
OC11 USG  B  Scan  (with film) 300 300 0
OC12 USG  B  Scan  (without  film) 200 200 0
US25 USG Brain 0 150 0
US29 USG Chest 0 150 0
US30 USG DOPPLER 250 250 250
US24 USG Eye 0 150 0
US21 USG Foetal 0 150 0
US22 USG Guided FNAC 300 150 300
US06 USG KUB 250 225 350
US02 USG Lower Abdomen(without film) 225 200 0
US23 USG Neck 0 150 0
US26 USG Pelvic 0 150 0
US03 USG Pregnancy (without film) 225 200 0
US08 USG Screening 150 150 0
US28 USG Thorax 0 150 0
US01 USG Upper  Abdomen(without film) 250 225 0
US27 USG Uterus 0 150 0
US04 USG Whole Abdomen(without film) 350 325 0
PR002 UST 0 30 0
B060 Vanden Berg reaction 30 25 0
SE03 VDRL 25 15 0
OI45 Ventilator (per day for Neonatal Unit). 200 200 0
OI28 Ventilator Charge per Day 400 300 0
B026B VLDL Cholesterol 40 30 0
PR003 WAX BATH 0 15 0
SE10 Widal Test 35 25 0
MA09 With  T1 0 4500 0
MA10 With  T2 0 4500 0
MA08 With T1 and T2 0 6000 0
XR07 Wrist X-Ray 0 35 0
CR05 X - Ray  (Sinogram) 150 120 0
XR21 X-ray Abdomen erect posture 0 35 0
XR25 X-ray KUB 0 35 0
ST03B X-Ray:  Parallax. 50 50 0
ST03A X-Ray: Occlusal 50 50 0