CGHS Kolkata – Rates for Diagnostic Labs and Imaging Centers
RATES FOR DIAGNOSTIC LABS & IMAGINGÂ CENTRES COMING UNDER CGHS KOLKATA
| RATES FOR DIAGNOSTIC LABS & IMAGING
CENTRES CGHS KOLKATA |
For
NABL /Imaging Centres |
||
| S.No. | NAME OF INVESTIGATION | NABL | Non NABL |
| DENTAL | |||
| 1 | Dental IOPA X-ray | 70 | 60 |
| 2 | Occlusal X-ray | 80 | 68 |
| 3 | OPG X-ray | 200 | 170 |
| PULMONARY | – | 0 | |
| 4 | Lung Ventilation & Perfusion Scan (V/Q Scan) | 5,000 | 4,250 |
| 5 | Lung Perfusion Scan | 3,000 | 2,550 |
| OSTEOLOGY | – | 0 | |
| 6 | Whole Body Bone Scan with SPECT. | 3,500 | 2,975 |
| 7 | Three phase whole body Bone Scan | 3,500 | 2,975 |
| NEUROSCIENCES | – | 0 | |
| 8 | Brain Perfusion SPECT Scan with Technetium
99m radiopharmaceuticals. |
10,000 | 8,500 |
| 9 | Radionuclide Cisternography for CSF leak | 5,000 | 4,250 |
| GASTRO AND HEPATOBILIARY | – | 0 | |
| 10 | Gastro esophageal Reflux Study (G.E.R.
Study) |
2,000 | 1,700 |
| 11 | Gastro intestinal Bleed (GloB.) Study with
Technetium 99m labeled RBCs. |
3,500 | 2,975 |
| 12 | Hepatobiliary Scintigraphy. | 2,500 | 2,125 |
| 13 | Meckel’s Scan | 2,000 | 1,700 |
| 14 | Hepatosplenic scintigraphy with Technetium-
99m radiopharmaceuticals |
2,500 | 2,125 |
| 15 | Gastric emptying | 1,500 | 1,275 |
| GENITOURINARY | – | 0 | |
| 16 | Renal Cortical Scintigraphy with Technetium
99m D.M.S.A. |
3,500 | 2,975 |
| 17 | Dynamic Renography. | 3,500 | 2,975 |
| 18 | Dynamic Renography with Diuretic. | 3,500 | 2,975 |
| 19 | Dynamic Renography with Captopril | 4,500 | 3,825 |
| 20 | Testicular Scan | 1,500 | 1,275 |
| ENDOCRINOLOGY | – | 0 | |
| 21 | Thyroid Uptake measurements with 131-Iodine. | 1,600 | 1,360 |
| 22 | Thyroid Scan with Technetium 99m
Pertechnetate. |
1,500 | 1,275 |
| 23 | lodine-131 Whole Body Scan. | 3,000 | 2,550 |
| 24 | Whole Body Scan with M.I.B.G. | 18,000 | 15,300 |
| 25 | Parathyroid Scan | 5,000 | 4,250 |
| RADIO-ISOTOPE THERAPY | – | 0 | |
| 26 | 131-lodine Therapy | Listed
Under Treatme nt Procedures |
Listed
Under Treatment Procedure s |
| 27 | 131-lodine Therapy <15mCi | Listed
Under Treatme nt Procedu res |
Listed
Under Treatment Procedure s |
| 28 | 131-lodine Therapy 15-50mCi | Listed
Under Treatme nt Procedu res |
Listed
Under Treatment Procedure s |
| 29 | 131-lodine Therapy 51-100mCi | Listed
Under Treatme nt Procedu res |
Listed
Under Treatment Procedure s |
| 30 | 131-lodine Therapy >100mCi | Listed
Under Treatme nt Procedu res |
Listed
Under Treatment Procedures |
| 31 | Phosphorus-32 therapy for metastatic bone
pain palliation |
Listed
Under Treatment Procedures |
Listed
Under Treatment Procedures |
| 32 | Samarium-153 therapy for metastatic bone
pain palliation |
Listed
Under Treatme nt Procedu res |
Listed
Under Treatment Procedures |
| 33 | Radiosynovectomy with Yttrium | Listed
Under Treatme nt Procedu res |
Listed
Under Treatment Procedures |
| CARDIOLOGY | – | 0 | |
| 34 | Stress thallium / Myocardial Perfusion
Scintigraphy |
– | 0 |
| 35 | Rest thallium / Myocardial Perfusion
Scintigraphy |
– | 0 |
| 36 | Venography | 2,000 | 1,700 |
| 37 | ECG | 50 | 43 |
| 38 | STRESS ECHO- DOBUTAMINE | Listed
Under Treatme nt Procedu res |
Listed
Under Treatment Procedure s |
| 39 | STRESS ECHO- EXERCISE | 1,200 | 1,020 |
| 40 | TMT | 500 | 425 |
| 41 | TEE | 500 | 425 |
| 42 | Lymph angiography | 1,650 | 1,403 |
| TUMOUR IMAGING | – | 0 | |
| 43 | Scintimammography. | – | 0 |
| 44 | Indium lableled octeriotide Scan. | – | 0 |
| PET SCAN | – | 0 | |
| 45 | FDG Whole body PET / CT Scan | 21,000 | 17,850 |
| 46 | Brain I Heart FDG PET / CTScan, | 15,000 | 12,750 |
| 47 | Gallium-68 Peptide PET / CT imaging for
Neuroendocrine Tumor |
17,000 | 14,450 |
| 48 | Non-FDG PET / CT Scan | – | 0 |
| Laboratory Medicine | – | 0 | |
| Clinical Pathology | – | 0 | |
| 49 | Urine routine- pH,Specific gravity,sugar,protein
and microscopy |
39 | 33 |
| 50 | 24 hrs urine for Proteins,Sodium,creatinine | 60 | 51 |
| 51 | Urine-Microalbumin | 60 | 51 |
| 52 | Quantitative Albumin/Sugar | 24 | 20 |
| 53 | Urine Bile Pigment and Salt | 30 | 26 |
| 54 | Urine Urobilinogen | 30 | 26 |
| 55 | Urine Ketones | 35 | 30 |
| 56 | Urine Occult Blood | 35 | 30 |
| 57 | Urine total proteins | 21 | 18 |
| 58 | Bence Jones protein | 48 | 41 |
| 59 | Stool routine | 39 | 33 |
| 60 | Stool occult blood | 35 | 30 |
| 61 | Post coital smear examination | 60 | 51 |
| 62 | semen analysis | 80 | 68 |
| 63 | Body fluid (CSF/Ascitic Fluid etc.)Sugar,
Protein etc. |
55 | 47 |
| 64 | Albumin. | 21 | 18 |
| 65 | Creatinine clearance. | 160 | 136 |
| Haematology | – | 0 | |
| 66 | Haemoglobin (Hb) | 19 | 16 |
| 67 | Total Leucocytic Count (TLC) | 32 | 27 |
| 68 | Differential Leucocytic Count (DLC) | 32 | 27 |
| 69 | E.S.R. | 35 | 30 |
| 70 | Total Red Cell count with
MCV,MCH,MCHC,DRW |
35 | 30 |
| 71 | Complete Haemogram -Hb,RBC count and
indices, TLC, DLC, Platelet, ESR, Peripheral smear examination |
120 | 102 |
| 72 | Platelet count | 50 | 42 |
| 73 | Reticulocyte count | 49 | 42 |
| 74 | Absolute Eosinophil count | 50 | 42 |
| 75 | Packed Cell Volume (PCV) | 35 | 30 |
| 76 | Peripheral Smear Examination | 44 | 37 |
| 77 | Smear for Malaria parasite | 42 | 36 |
| 78 | Bleeding & Clotting Time | 48 | 41 |
| 79 | Clot Retraction Time | 35 | 30 |
| 80 | R.B.C. Fragility Test | 50 | 43 |
| 81 | L.E. Cell | 77 | 65 |
| 82 | Foetal Haemoglobin (Hb-F) | 100 | 85 |
| 83 | Prothrombin Time (P.T.) | 119 | 101 |
| 84 | Bone Marrow Smear Exmination | 75 | 64 |
| 85 | Bone Marrow Smear Exmination with iron stain | 256 | 218 |
| 86 | Bone Marrow Smear Exmination and
cytochemistry where required. |
340 | 289 |
| 87 | Partial Thromboplastin | 105 | 89 |
| 88 | Glucose Phosphate Dehydrogenase (G, 6PD) | 250 | 213 |
| 89 | Rapid test for malaria(card test) | 44 | 37 |
| 90 | WBC cytochemistry for leukemia -Conmplete
panel |
890 | 757 |
| 91 | Bleeding Disorder panel-BT,CT,Platetlet count,APTT,extended & Dic studies(FDP). | 400 | 340 |
| 92 | Factro Assays-Factor VIII | 750 | 638 |
| 93 | Factor Assays-Factor IX | 700 | 595 |
| 94 | Factro Assays-other Factors | 2,763 | 2,348 |
| Anti Cardiolipin Antibodies. | – | 0 | |
| 95 | IgG. | 260 | 221 |
| 96 | IgM. | 260 | 221 |
| 97 | IgA. | 260 | 221 |
| Anti Phospholipid Antibodies. | – | 0 | |
| 98 | IgG. | 260 | 221 |
| 99 | IgM. | 260 | 221 |
| 100 | IgA. | 260 | 221 |
| 101 | Thalessemia studies | 700 | 595 |
| 102 | Hb Electrophoresis | 455 | 387 |
| 103 | Sickling studies | 77 | 65 |
| Nutritional Markers | – | 0 | |
| 104 | Serum Iron | 100 | 85 |
| 105 | Total Iron Binding Capacity | 100 | 85 |
| 106 | Vitamin B.12. | 256 | 218 |
| 107 | Folic Acid. | 350 | 298 |
| 108 | HDL Cholestrol | 100 | 85 |
| Blood Bank | – | 0 | |
| 109 | Blood Group & RHO Type | 33 | 28 |
| 110 | Cross match | 60 | 51 |
| 111 | Packed cell preparation | 40 | 34 |
| 112 | Coomb’s Test Direct | 100 | 85 |
| 113 | Coomb’s Test Indirect | 119 | 101 |
| 114 | Australia Antigen | 120 | 102 |
| 115 | RHO, Antibody titer | 119 | 101 |
| 116 | Blood Components-PRO | 2,800 | 2,380 |
| 117 | Blood Components -Fresh Frozen Plasma | 3,800 | 3,230 |
| 118 | Blood Components-Cryoprecipitate | 488 | 414 |
| Histopathology | – | 0 | |
| 119 | Routine-H & E | 100 | 85 |
| 120 | special stain | 100 | 85 |
| 121 | Immunohistochemistry(IHC) | 878 | 746 |
| 122 | Frozen section | 200 | 170 |
| 123 | Paraffin section | 200 | 170 |
| Cytology | – | 0 | |
| 124 | Pap Smear | 160 | 136 |
| 125 | Vaginal Cytology for Hormonal evaluation | 160 | 136 |
| 126 | Body fluid for Malignant cells | 200 | 170 |
| 127 | FNAC | 250 | 213 |
| 128 | special stain on cytology | 90 | 77 |
| Flow cytometry | – | 0 | |
| 129 | Leukemia panel /Lymphoma panel | 3,575 | 3,039 |
| 130 | CD Count: CD3,CD4,CD8 | 1,000 | 850 |
| 131 | PNH Panel-CD55,CD59 | 1,450 | 1,233 |
| Cytogenetics | – | 0 | |
| 132 | karyotyping | 2,000 | 1,700 |
| Tumour markers. | – | 0 | |
| 133 | PSA- Total. | 319 | 271 |
| 134 | PSA- Free. | 450 | 383 |
| 135 | AFP. | 345 | 293 |
| 136 | HCG. | 340 | 289 |
| 137 | CA. 125. | 400 | 340 |
| 138 | CA 19,9. | 630 | 536 |
| 139 | CA 5,3. | 630 | 536 |
| 140 | Carcioembryonic antigen(CEA) | 350 | 298 |
| Bio-Chemistry | – | 0 | |
| 141 | Blood Glucose Random | 25 | 21 |
| 142 | Blood Urea Nitrogen | 55 | 47 |
| 143 | Serum Creatinine | 56 | 48 |
| 144 | Serum Uric Acid | 56 | 48 |
| 145 | Serum Bilirubin total & direct | – | 0 |
| 146 | Serum Iron | at S.No.
104 |
at S.No.
104 |
| 147 | Serum Cholesterol | 63 | 54 |
| 148 | Total Iron Binding Capacity | 100 | 85 |
| 149 | Glucose (Fasting & PP) | 48 | 41 |
| 150 | Serum Calcium -Total | 63 | 54 |
| 151 | Serum Calcium -Ionic | 45 | 38 |
| 152 | Serum Phosphorus | 66 | 56 |
| 153 | Total Protein Alb/Glo Ratio | 70 | 60 |
| 154 | S.G.P.T. | 56 | 48 |
| 155 | S.G.O.T. | 56 | 48 |
| 156 | Serum amylase | 120 | 102 |
| 157 | Serum Electrolyte | 130 | 111 |
| 158 | Triglyceride | 95 | 81 |
| 159 | Glucose Tolerance Test (GTT) | 100 | 85 |
| 160 | C.P.K. | 105 | 89 |
| 161 | L.D.H. | 132 | 112 |
| 162 | Alkaline Phosphatase | 63 | 54 |
| 163 | Acid Phosphatase | 80 | 68 |
| 164 | CK MB | 196 | 167 |
| 165 | Lithium. | 140 | 119 |
| 166 | Dilantin (phenytoin). | 439 | 373 |
| 167 | Carbamazepine. | 439 | 373 |
| 168 | Valproic acid. | 315 | 268 |
| 169 | Feritin. | 315 | 268 |
| 170 | Blood gas analysis | 460 | 391 |
| 171 | Blood gas analysis with electrolytes | 151 | 129 |
| 172 | Urine pregnancy test | 69 | 58 |
| 173 | Hb A1 C | 165 | 140 |
| 174 | Kidney Function Test. | 261 | 222 |
| 175 | Liver Function Test. | 275 | 234 |
| 176 | Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides) | 215 | 182 |
| 177 | Extended Lipid Profile.( Total
cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo B,Lp(a) ) |
700 | 595 |
| 178 | Apo A1. | 203 | 173 |
| 179 | Apo B. | 203 | 173 |
| 180 | Lp (a). | 455 | 387 |
| 181 | LDL. | 63 | 54 |
| 182 | Homocysteine. | 450 | 383 |
| 183 | HB Electrophoresis. | 450 | 383 |
| 184 | Serum Electrophoresis. | 300 | 255 |
| 185 | Fibrinogen. | 400 | 340 |
| 186 | Chloride. | 66 | 56 |
| 187 | Magnesium. | 154 | 131 |
| 188 | GGTP. | 100 | 85 |
| 189 | Lipase. | 245 | 208 |
| 190 | Fructosamine. | 224 | 190 |
| 191 | β2 microglobulin | 100 | 85 |
| 192 | Albumin. | 21 | 18 |
| 193 | Catecholamines. | 800 | 680 |
| 194 | Creatinine clearance. | 160 | 136 |
| Harmones | – | 0 | |
| 195 | T3, T4, TSH | 212.5 | 181 |
| 196 | T3 | 75 | 64 |
| 197 | T4 | 75 | 64 |
| 198 | TSH | 125 | 106 |
| 199 | LH | 187.5 | 159 |
| 200 | FSH | 187.5 | 159 |
| 201 | Prolactin | 187.5 | 159 |
| 202 | Cortisol | 266 | 226 |
| 203 | Enteropoetin | 550 | 468 |
| 204 | PTH(Paratharmone) | 617.5 | 525 |
| 205 | Calcitonin | 840 | 714 |
| 206 | C-Peptide. | 400 | 340 |
| 207 | Insulin. | 325 | 276 |
| 208 | Progesterone. | 266 | 226 |
| 209 | 17-DH Progesterone. | 450 | 383 |
| 210 | DHEAS. | 450 | 383 |
| 211 | Androstendione. | 750 | 638 |
| 212 | Growth Hormone. | 350 | 298 |
| 213 | TPO. | 385 | 327 |
| 214 | Throglobulin. | 400 | 340 |
| Microbiology & Serology | – | 0 | |
| 215 | Smear gram-strain examination | 48 | 41 |
| 216 | Sputum smear A.F.B. stain | 56 | 48 |
| 217 | Vaginal Smear Examination | 80 | 68 |
| 218 | Direct smear and stain examination for
cryptosporidium |
100 | 85 |
| 219 | Direct smear and stain examination for
P.Carcinei |
100 | 85 |
| 220 | LCB Count for mycology | 150 | 128 |
| 221 | LCB Count for others | 300 | 255 |
| 222 | V.D.R.L. | 50 | 42 |
| 223 | TPHA test | 120 | 102 |
| 224 | Widal test | 70 | 60 |
| 225 | Rheumatoid Factor test | 105 | 89 |
| 226 | Culture & Sensitivity -bacterial | 100 | 85 |
| 227 | Culture & Sensitivity -Mycobacterial | 160 | 136 |
| 228 | Culture & Sensitivity -mycology | 160 | 136 |
| 229 | C.R.P. | 120 | 102 |
| 230 | C.R.P Quantative | 200 | 170 |
| 231 | ASO Titer | 143 | 122 |
| 232 | Quantitative H.C.G. | 80 | 68 |
| 233 | Blood culture & sensitivity- manual | 160 | 136 |
| 234 | Blood culture & sensitivity-automated | 300 | 255 |
| 235 | Vibro cholera culture | 150 | 128 |
| 236 | Rapid Blood Culture. | 320 | 272 |
| 237 | Rapid AFB Culture. | 160 | 136 |
| 238 | C.3. | 250 | 213 |
| 239 | C.4. | 250 | 213 |
| 240 | IgG. | 195 | 166 |
| 241 | IgM. | 240 | 204 |
| 242 | IgA. | 195 | 166 |
| 243 | ANA. | 320 | 272 |
| 244 | Ds DNA. | 385 | 327 |
| 245 | P ANCA. | 640 | 544 |
| 246 | C ANCA. | 640 | 544 |
| Infectuous disease serology | – | 0 | |
| 247 | HAV. | 553 | 470 |
| 248 | HbSAg – Elisa. | 147 | 125 |
| 249 | Anti HBS. | 300 | 255 |
| 250 | Anti HBC Total. | 490 | 417 |
| 251 | Anti HBC IgM. | 488 | 414 |
| 252 | HbeAg. | 423 | 359 |
| 253 | Anti Hbe. | 450 | 383 |
| 254 | Anti- HCV. | 400 | 340 |
| 255 | Anti- HEV. | 618 | 525 |
| 256 | Triple Marker. | 900 | 765 |
| TORCH. | – | 0 | |
| 257 | IgG. | 260 | 221 |
| 258 | IgM. | 260 | 221 |
| Toxoplasmosis. | – | 0 | |
| 259 | IgG. | 260 | 221 |
| 260 | IgM. | 260 | 221 |
| CMV(Cytomegalo virus). | – | 0 | |
| 261 | IgG. | 260 | 221 |
| 262 | IgM. | 260 | 221 |
| HSV. | – | 0 | |
| 263 | IgG. | 260 | 221 |
| 264 | IgM. | 260 | 221 |
| 265 | IgE. | 400 | 340 |
| Tuberculosis | – | 0 | |
| 266 | TB IgG. | 280 | 238 |
| 267 | TB IgM. | 280 | 238 |
| 268 | TB IgA. | 280 | 238 |
| Rubella | – | 0 | |
| 269 | Ig G | 200 | 170 |
| 270 | Ig M | 200 | 170 |
| 271 | Ig A | 250 | 213 |
| 272 | Dengue Serology. | 600 | 510 |
| 273 | Cysticercosis. | 340 | 289 |
| 274 | Hydatic Serology. | 374 | 318 |
| 275 | Anti Sperm Antibodies. | 406 | 345 |
| HBV DNA. | – | 0 | |
| 276 | Qualitative. | 2,340 | 1,989 |
| 277 | Quantitative. | 1,600 | 1,360 |
| HCV RNA. | – | 0 | |
| 278 | Qualitative. | 1,760 | 1,496 |
| 279 | HPV serology | #N/A | #N/A |
| 280 | Rota Virus serology | 163 | 138 |
| 281 | PCR for TB | 975 | 829 |
| 282 | PCR for HIV | 630 | 536 |
| 283 | Chlamydae antigen | 900 | 765 |
| 284 | chlamydae antibody | 280 | 238 |
| 285 | Brucella serology | 245 | 208 |
| 286 | Influenza A serology | 943 | 801 |
| USG, X-ray , CT, MRI, Bone Densitometry | – | 0 | |
| 287 | USG for Obstetrics – Anomalies scan | 380 | 323 |
| 288 | Abdomen USG | 300 | 255 |
| 289 | Pelvic USG ( prostate, gynae, infertility etc) | 300 | 255 |
| 290 | Small parts USG ( scrotum, thyroid ,
parathyroid etc) |
410 | 349 |
| 291 | Neonatal head (Tranfontanellar) | 500 | 425 |
| 292 | Neonatal spine | 500 | 425 |
| 293 | Contrast enhanced USG | 900 | 765 |
| 294 | USG Breast | 410 | 349 |
| 295 | USG Hystero-Salpaingography (HSG) | 300 | 255 |
| 296 | Colour Doppler , Carotid artery | 1,000 | 850 |
| 297 | Colour Doppler, Peripheral Artery/Veins | 830 | 706 |
| 298 | Colour doppler, renal arteries/any other organ | 1,000 | 850 |
| 299 | USG guided intervention-aspiration | 500 | 425 |
| 300 | USG guided intervention- FNAC | 700 | 595 |
| 301 | USG guided intervention – biopsy | Listed
Under Treatme nt Procedu res |
Listed
Under Treatment Procedure s |
| 302 | USG guided intervention – nephrostomy | 800 | 680 |
| X-Ray | – | 0 | |
| 303 | Abdomen AP Supine or Erect (One film) | 110 | 94 |
| 304 | Abdomen Lateral view (one film) | 110 | 94 |
| 305 | Pelvimetry | 120 | 102 |
| 306 | Chest PA view (one film) | 70 | 60 |
| 307 | Chest Lateral (one film) | 70 | 60 |
| 308 | Mastoids: Towne view, oblique views (3 films) | 300 | 255 |
| 309 | Extremities, bones & Joints AP & Lateral views
(Two films) |
160 | 136 |
| 310 | Pelvis A.P (one film) | 110 | 94 |
| 311 | T. M. Joints (one film) | 110 | 94 |
| 312 | Abdomen & Pelvis for K. U. B. | 150 | 128 |
| 313 | Skull A. P. & Lateral (2 films) | 200 | 170 |
| 314 | Spine A. P. & Lateral (2 films) | 200 | 170 |
| 315 | PNS view (1 film) | 110 | 94 |
| X ray Contrast studies | – | 0 | |
| 316 | Barium Swallow | 600 | 510 |
| 317 | Barium Upper GI study | 700 | 595 |
| 318 | Barium Upper GI study (Double contrast) | 700 | 595 |
| 319 | Barium Meal follow through | 1,100 | 935 |
| 320 | Barium Enema (Single contrast/double
contrast) |
1,000 | 850 |
| 321 | Small bowel enteroclysis | 1,200 | 1,020 |
| 322 | ERCP (Endoscopic Retrograde Cholangio –
Pancreatography) |
6,010 | 5,109 |
| 323 | General :Fistulography
/Sinography/Sialography/Dacrocystography/ T- Tube cholangiogram/Nephrostogram |
750 | 638 |
| 324 | Percutaneous transhepatic cholangiography
(PTC) |
1,500 | 1,275 |
| 325 | Intravenous Pyelography (IVP) | 1,200 | 1,020 |
| 326 | Micturating Cystourethrography (MCU) | 800 | 680 |
| 327 | Retrograde Urethrography (RGU) | 800 | 680 |
| 328 | Contrast Hystero-Salpingography (HSG) | 300 | 255 |
| 329 | X ray – Arthrography | 2,400 | 2,040 |
| 330 | Cephalography | 150 | 128 |
| 331 | Myelography | 1,800 | 1,530 |
| 332 | Digital Subtraction Angiography (DSA) –
Cerebral arteries |
22,000 | 18,700 |
| 333 | Digital Subtraction Angiography (DSA) –
Peripheral Artery/arteries |
9,000 | 7,650 |
| 334 | Digital Subtraction Angiography (DSA) –
abdomen |
– | 0 |
| 335 | Digital Subtraction Angiography (DSA) – chest | – | 0 |
| Mammography | – | 0 | |
| 336 | X-ray Mammography | 500 | 425 |
| 337 | Ultrasound Mammography | 500 | 425 |
| 338 | MRI Mammography | 3,000 | 2,550 |
| CT | – | 0 | |
| 339 | CT Head-Without Contrast | 800 | 680 |
| 340 | CT Head- with Contrast (+/- CT angiography) | 1,350 | 1,148 |
| 341 | C. T. Chest – without contrast (for lungs) | 1,500 | 1,275 |
| 342 | C. T. Chest – with contrast (+/- CT
angiography) |
2,500 | 2,125 |
| 343 | C. T. Scan Upper Abdomen Without Contrast | 1,700 | 1,445 |
| 344 | C. T. Scan Upper Abdomen With Contrast | 2,400 | 2,040 |
| 345 | C. T. Scan Lower Abdomen Without Contrast | 1,500 | 1,275 |
| 346 | C. T. Scan lower Abdomen With Contrast | 2,400 | 2,040 |
| 347 | C. T. Scan Whole Abdomen Without Contrast | 3,000 | 2,550 |
| 348 | C. T. Scan Whole Abdomen With Contrast | 4,500 | 3,825 |
| 349 | CT angiography abdomen | 5,000 | 4,250 |
| 350 | CT enteroclysis | – | 0 |
| 351 | C. T. Scan Neck (Thyroid, parathyroid, Soft
Tissues) – Without Contrast |
1,500 | 1,275 |
| 352 | C. T. Scan Neck – With Contrast | 2,200 | 1,870 |
| 353 | C. T. Scan Orbits – Without Contrast | 1,400 | 1,190 |
| 354 | C. T. Scan Orbits – With Contrast | 1,900 | 1,615 |
| 355 | C. T. Scan of Para Nasal Sinuses- Without
Contrast |
1,250 | 1,063 |
| 356 | C. T. Scan of Para Nasal Sinuses – With
Contrast |
2,100 | 1,785 |
| 357 | C. T. Spine (Cervical, Dorsal, Lumbar,
Sacral)–without contrast |
1,500 | 1,275 |
| 358 | CT Temporal bone – without contrast | 1,050 | 893 |
| 359 | CT – Dental | 1,500 | 1,275 |
| 360 | C. T. Scan Limbs -Without Contrast | 1,500 | 1,275 |
| 361 | C. T. Scan Limbs -With Contrast including CT
angiography |
2,650 | 2,253 |
| 362 | C.T. Guided intervention – Biopsy /FNAC | 1,200 | 1,020 |
| 363 | C. T. Guided intervention -percutaneous
catheter drainage / tube placement |
1,535 | 1,305 |
| MRI | – | 0 | |
| 364 | MRI Head – Without Contrast | 2,350 | 1,998 |
| 365 | MRI Head – With Contrast | 3,350 | 2,848 |
| 366 | MRI Orbits – Without Contrast | 1,700 | 1,445 |
| 367 | MRI Orbits – With Contrast | 5,000 | 4,250 |
| 368 | MRI Nasopharynx and PNS – Without Contrast | 2,500 | 2,125 |
| 369 | MRI Nasopharynx and PNS – With Contrast | 5,000 | 4,250 |
| 370 | MRI Neck – Without Contrast | 2,400 | 2,040 |
| 371 | MRI Neck- with contrast | 5,000 | 4,250 |
| 372 | MRI Shoulder – With contrast | 2,500 | 2,125 |
| 373 | MRI Shoulder – Without contrast | 2,500 | 2,125 |
| 374 | MRI shoulder both Joints – Without contrast | 2,500 | 2,125 |
| 375 | MRI Shoulder both joints – With contrast | 5,000 | 4,250 |
| 376 | MRI Wrist Single joint – Without contrast | 2,500 | 2,125 |
| 377 | MRI Wrist Single joint – With contrast | 5,000 | 4,250 |
| 378 | MRI Wrist both joints – Without contrast | 2,500 | 2,125 |
| 379 | MRI Wrist Both joints – With contrast | 5,000 | 4,250 |
| 380 | MRI knee Single joint – Without contrast | 2,500 | 2,125 |
| 381 | MRI knee Single joint – With contrast | 5,000 | 4,250 |
| 382 | MRI knee both joints – Without contrast | 2,500 | 2,125 |
| 383 | MRI knee both joints – With contrast | 5,000 | 4,250 |
| 384 | MRI Ankle Single joint – Without contrast | 2,500 | 2,125 |
| 385 | MRI Ankle single joint – With contrast | 5,000 | 4,250 |
| 386 | MRI Ankle both joints – With contrast | 2,500 | 2,125 |
| 387 | MRI Ankle both joints – Without contrast | 2,500 | 2,125 |
| 388 | MRI Hip – With contrast | 2,500 | 2,125 |
| 389 | MRI Hip – without contrast | 3,000 | 2,550 |
| 390 | MRI Pelvis – Without Contrast | 2,500 | 2,125 |
| 391 | MRI Pelvis – with contrast | 5,000 | 4,250 |
| 392 | MRI Extremities – With contrast | 5,000 | 4,250 |
| 393 | MRI Extremities – Without contrast | 2,500 | 2,125 |
| 394 | MRI Temporomandibular – Single Joint – With
contrast |
5,000 | 4,250 |
| 395 | MRI Temporomandibular – Single Joint –
Without contrast |
2,500 | 2,125 |
| 396 | MRI Temporomandibular Double Joint – With
contrast |
5,000 | 4,250 |
| 397 | MRI Temporomandibular Double Joint –
Without contrast |
2,500 | 2,125 |
| 398 | MRI Abdomen – Without Contrast | 2,500 | 2,125 |
| 399 | MRI Abdomen – With Contrast | 5,000 | 4,250 |
| 400 | MRI Breast – With Contrast | 5,000 | 4,250 |
| 401 | MRI Breast – Without Contrast | 2,500 | 2,125 |
| 402 | MRI Spine Screening – Without Contrast | 1,000 | 850 |
| 403 | MRI Chest – Without Contrast | 2,500 | 2,125 |
| 404 | MRI Chest – With Contrast | 5,000 | 4,250 |
| 405 | MRI Cervical Spine – Without Contrast | 2,500 | 2,125 |
| 406 | MRI Cervical Spine – With Contrast | 5,000 | 4,250 |
| 407 | MRI Dorsal Spine – Without Contrast | 2,500 | 2,125 |
| 408 | MRI Dorsal Spine – With Contrast | 5,000 | 4,250 |
| 409 | MRI Lumbar Spine – Without Contrast | 2,500 | 2,125 |
| 410 | MRI Lumbar Spine – With Contrast | 5,000 | 4,250 |
| 411 | Whole body MRI (For oncological workup) | 6,000 | 5,100 |
| 412 | MRI Angiography – Without Contrast | 1,200 | 1,020 |
| 413 | MRI Angiography – With Contrast | 5,000 | 4,250 |
| 414 | MR cholecysto-pancreatography. | 2,500 | 2,125 |
| 415 | MR Enteroclysis | 2,500 | 2,125 |
| Bone Densitometry | – | 0 | |
| 416 | Bone Densitometry – Single Site | 1,000 | 850 |
| 417 | Bone Densitometry – Two sites | 1,800 | 1,530 |
| 418 | Bone Densitometry – Three sites (Spine, Hip &
extremity) |
2,300 | 1,955 |
| 419 | Bone Densitometry Whole body | 1,800 | 1,530 |
| NEUROLOGICAL INVESTIGATIONS AND
PROCEDURES |
– | 0 | |
| 420 | EEG/Video EEG | 350 | 298 |
| 421 | EMG (Electro myography) | 520 | 442 |
| 422 | Nerve condition velocity (at least 2 limbs) | 750 | 638 |
| 423 | Decremental response (before and after
neo stigmine) |
700 | 595 |
| 424 | Incremental response | 700 | 595 |
| 425 | SSEP (Somato sensory evoked potentials) | 750 | 638 |
| 426 | Poly somnography | 750 | 638 |
| 427 | Brachial plexus study | 500 | 425 |
| 428 | Muscle biopsy | 450 | 383 |
| 429 | ACHR anti body titre | 750 | 638 |
| 430 | Anti MUSK body titre | 560 | 476 |
| 431 | Serum COPPER | 500 | 425 |
| 432 | Serum ceruloplasmin | 618 | 525 |
| 433 | Urinary copper | 500 | 425 |
| 434 | Serum homocystine | 455 | 387 |
| 435 | Serum valproate level | 439 | 373 |
| 436 | Serum phenol barbitone level | 390 | 332 |
| 437 | Coagulation profile | 595 | 506 |
| 438 | Protein C, S anti thrombine – III | 700 | 595 |
| 439 | Serum lactate level | 540 | 459 |
| CSF | – | 0 | |
| 440 | a. Basic studies including cell count, protein,
sugar, gram stain, India Ink preparation and smear for AFP |
240 | 204 |
| 441 | b. Special studies | 750 | 638 |
| 442 | PCR for tuberculosis/ Herpes simplex | 925 | 786 |
| 443 | Bacterial culture and sensitivity | 200 | 170 |
| 444 | Mycobacterial culture and sensitivity | 200 | 170 |
| 445 | Fungal culture | 150 | 128 |
| 446 | Malignant cells | 75 | 64 |
| 447 | Anti measles antibody titre (with serum
antibody titre) |
1,230 | 1,046 |
| 448 | Viral culture | 300 | 255 |
| 449 | Antibody titre (Herpes simplex, cytomegalo
virus, flavivirus, zoster varicella virus) |
2,000 | 1,700 |
| 450 | Oligoclonal band | 1,500 | 1,275 |
| 451 | Myelin Basic protein | 400 | 340 |
| 452 | Lactate | 350 | 298 |
| 453 | Crypto coccal antigen | 850 | 723 |
| TESTS IN GASTRO-ENTEROLOGY | – | 0 | |
| 454 | a. D-xylase test | 950 | 808 |
| 455 | b. Fecal fat test/ fecal chymotrypsin/ fecal
elastase |
1,150 | 978 |
| 456 | c. Breath tests | 1,500 | 1,275 |
| 457 | d. H pylori serology for ciliac disease | 250 | 213 |
| 458 | e. HBV genotyping | 2,200 | 1,870 |
| 459 | f. HCV genotyping | 2,200 | 1,870 |
| Tests in Endocrinology ( in addition to those
included under Harmones) |
– | ||
| 460 | Urinary VMA | 430 | 366 |
| 461 | Urinary metanephrine/Normetanephrine | 400 | 340 |
| 462 | Urinary free catecholamine | 350 | 298 |
| 463 | Serum catecholamine | 450 | 383 |
| 464 | Serum aldosterone | 700 | 595 |
| 465 | 24 Hr urinary aldosterone | 920 | 782 |
| 466 | Plasma renin activity | 800 | 680 |
| 467 | Serum aldosterone/renin ratio | 950 | 808 |
| 468 | Osmolality urine | 150 | 128 |
| 469 | Osmolality serum | 150 | 128 |

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