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CGHS Kolkata – Rates for Diagnostic Labs and Imaging Centers

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES COMING UNDER CGHS KOLKATA

RATES FOR DIAGNOSTIC LABS & IMAGING

CENTRES CGHS KOLKATA

For

NABL

/Imaging

Centres

S.No.NAME OF INVESTIGATIONNABLNon NABL
DENTAL
1Dental IOPA X-ray7060
2Occlusal X-ray8068
3OPG X-ray200170
PULMONARY0
4Lung Ventilation & Perfusion Scan (V/Q Scan)5,0004,250
5Lung Perfusion Scan3,0002,550
OSTEOLOGY0
6Whole Body Bone Scan with SPECT.3,5002,975
7Three phase whole body Bone Scan3,5002,975

NEUROSCIENCES0
8Brain Perfusion SPECT Scan with Technetium

99m radiopharmaceuticals.

10,0008,500
9Radionuclide Cisternography for CSF leak5,0004,250
GASTRO AND HEPATOBILIARY0
10Gastro esophageal Reflux Study (G.E.R.

Study)

2,0001,700
11Gastro intestinal Bleed (GloB.) Study with

Technetium 99m labeled RBCs.

3,5002,975
12Hepatobiliary Scintigraphy.2,5002,125
13Meckel’s Scan2,0001,700
14Hepatosplenic scintigraphy with Technetium-

99m radiopharmaceuticals

2,5002,125
15Gastric emptying1,5001,275
GENITOURINARY0
16Renal Cortical Scintigraphy with Technetium

99m D.M.S.A.

3,5002,975
17Dynamic Renography.3,5002,975
18Dynamic Renography with Diuretic.3,5002,975
19Dynamic Renography with Captopril4,5003,825
20Testicular Scan1,5001,275
ENDOCRINOLOGY0
21Thyroid Uptake measurements with 131-Iodine.1,6001,360
22Thyroid Scan with Technetium 99m

Pertechnetate.

1,5001,275
23lodine-131 Whole Body Scan.3,0002,550
24Whole Body Scan with M.I.B.G.18,00015,300
25Parathyroid Scan5,0004,250
RADIO-ISOTOPE THERAPY0
26131-lodine TherapyListed

Under Treatme nt Procedures

Listed

Under Treatment Procedure

s

27131-lodine Therapy <15mCiListed

Under Treatme nt Procedu res

Listed

Under Treatment Procedure

s

28131-lodine Therapy 15-50mCiListed

Under Treatme nt Procedu res

Listed

Under Treatment Procedure

s

29131-lodine Therapy 51-100mCiListed

Under Treatme nt Procedu res

Listed

Under Treatment Procedure

s

30131-lodine Therapy >100mCiListed

Under Treatme nt Procedu res

Listed

Under Treatment Procedures

31Phosphorus-32 therapy for metastatic bone

pain palliation

Listed

Under Treatment Procedures

Listed

Under Treatment Procedures

32Samarium-153 therapy for metastatic bone

pain palliation

Listed

Under Treatme nt Procedu res

Listed

Under Treatment Procedures

33Radiosynovectomy with YttriumListed

Under Treatme nt Procedu res

Listed

Under Treatment Procedures

CARDIOLOGY0
34Stress thallium / Myocardial Perfusion

Scintigraphy

0
35Rest thallium / Myocardial Perfusion

Scintigraphy

0
36Venography2,0001,700
37ECG5043
38STRESS ECHO- DOBUTAMINEListed

Under Treatme nt Procedu res

Listed

Under Treatment Procedure

s

39STRESS ECHO- EXERCISE1,2001,020
40TMT500425
41TEE500425
42Lymph angiography1,6501,403
TUMOUR IMAGING0
43Scintimammography.0
44Indium lableled octeriotide Scan.0
PET SCAN0
45FDG Whole body PET / CT Scan21,00017,850
46Brain I Heart FDG PET / CTScan,15,00012,750
47Gallium-68 Peptide PET / CT imaging for

Neuroendocrine Tumor

17,00014,450
48Non-FDG PET / CT Scan0
Laboratory Medicine0
Clinical Pathology0
49Urine routine- pH,Specific gravity,sugar,protein

and microscopy

3933
5024 hrs urine for Proteins,Sodium,creatinine6051
51Urine-Microalbumin6051
52Quantitative Albumin/Sugar2420
53Urine Bile Pigment and Salt3026
54Urine Urobilinogen3026
55Urine Ketones3530
56Urine Occult Blood3530
57Urine total proteins2118
58Bence Jones protein4841
59Stool routine3933
60Stool occult blood3530
61Post coital smear examination6051
62semen analysis8068
63Body fluid (CSF/Ascitic Fluid etc.)Sugar,

Protein etc.

5547
64Albumin.2118
65Creatinine clearance.160136
Haematology0
66Haemoglobin (Hb)1916
67Total Leucocytic Count (TLC)3227
68Differential Leucocytic Count (DLC)3227
69E.S.R.3530
70Total Red Cell count with

MCV,MCH,MCHC,DRW

3530
71Complete Haemogram -Hb,RBC count and

indices, TLC, DLC, Platelet, ESR, Peripheral smear examination

120102
72Platelet count5042
73Reticulocyte count4942
74Absolute Eosinophil count5042
75Packed Cell Volume (PCV)3530
76Peripheral Smear Examination4437
77Smear for Malaria parasite4236
78Bleeding & Clotting Time4841
79Clot Retraction Time3530
80R.B.C. Fragility Test5043
81L.E. Cell7765
82Foetal Haemoglobin (Hb-F)10085
83Prothrombin Time (P.T.)119101
84Bone Marrow Smear Exmination7564
85Bone Marrow Smear Exmination with iron stain256218
86Bone Marrow Smear Exmination and

cytochemistry where required.

340289
87Partial Thromboplastin10589
88Glucose Phosphate Dehydrogenase (G, 6PD)250213
89Rapid test for malaria(card test)4437
90WBC cytochemistry for leukemia -Conmplete

panel

890757
91Bleeding Disorder panel-BT,CT,Platetlet count,APTT,extended & Dic studies(FDP).400340
92Factro Assays-Factor VIII750638
93Factor Assays-Factor IX700595
94Factro Assays-other Factors2,7632,348
Anti Cardiolipin Antibodies.0
95IgG.260221
96IgM.260221
97IgA.260221
Anti Phospholipid Antibodies.0
98IgG.260221
99IgM.260221
100IgA.260221
101Thalessemia studies700595
102Hb Electrophoresis455387
103Sickling studies7765
Nutritional Markers0
104Serum Iron10085
105Total Iron Binding Capacity10085
106Vitamin B.12.256218
107Folic Acid.350298
108HDL Cholestrol10085
Blood Bank0
109Blood Group & RHO Type3328
110Cross match6051
111Packed cell preparation4034
112Coomb’s Test Direct10085
113Coomb’s Test Indirect119101
114Australia Antigen120102
115RHO, Antibody titer119101
116Blood Components-PRO2,8002,380
117Blood Components -Fresh Frozen Plasma3,8003,230
118Blood Components-Cryoprecipitate488414
Histopathology0
119Routine-H & E10085
120special stain10085
121Immunohistochemistry(IHC)878746
122Frozen section200170
123Paraffin section200170
Cytology0
124Pap Smear160136
125Vaginal Cytology for Hormonal evaluation160136
126Body fluid for Malignant cells200170
127FNAC250213
128special stain on cytology9077
Flow cytometry0
129Leukemia panel /Lymphoma panel3,5753,039
130CD Count: CD3,CD4,CD81,000850
131PNH Panel-CD55,CD591,4501,233
Cytogenetics0
132karyotyping2,0001,700
Tumour markers.0
133PSA- Total.319271
134PSA- Free.450383
135AFP.345293
136HCG.340289
137CA. 125.400340
138CA 19,9.630536
139CA 5,3.630536
140Carcioembryonic antigen(CEA)350298
Bio-Chemistry0
141Blood Glucose Random2521
142Blood Urea Nitrogen5547
143Serum Creatinine5648
144Serum Uric Acid5648
145Serum Bilirubin total & direct0
146Serum Ironat S.No.

104

at S.No.

104

147Serum Cholesterol6354
148Total Iron Binding Capacity10085
149Glucose (Fasting & PP)4841
150Serum Calcium -Total6354
151Serum Calcium -Ionic4538
152Serum Phosphorus6656
153Total Protein Alb/Glo Ratio7060
154S.G.P.T.5648
155S.G.O.T.5648
156Serum amylase120102
157Serum Electrolyte130111
158Triglyceride9581
159Glucose Tolerance Test (GTT)10085
160C.P.K.10589
161L.D.H.132112
162Alkaline Phosphatase6354
163Acid Phosphatase8068
164CK MB196167
165Lithium.140119
166Dilantin (phenytoin).439373
167Carbamazepine.439373
168Valproic acid.315268
169Feritin.315268
170Blood gas analysis460391
171Blood gas analysis with electrolytes151129
172Urine pregnancy test6958
173Hb A1 C165140
174Kidney Function Test.261222
175Liver Function Test.275234
176Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides)215182
177Extended Lipid Profile.( Total

cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo

B,Lp(a) )

700595
178Apo A1.203173
179Apo B.203173
180Lp (a).455387
181LDL.6354
182Homocysteine.450383
183HB Electrophoresis.450383
184Serum Electrophoresis.300255
185Fibrinogen.400340
186Chloride.6656
187Magnesium.154131
188GGTP.10085
189Lipase.245208
190Fructosamine.224190
191β2 microglobulin10085
192Albumin.2118
193Catecholamines.800680
194Creatinine clearance.160136
Harmones0
195T3, T4, TSH212.5181
196T37564
197T47564
198TSH125106
199LH187.5159
200FSH187.5159
201Prolactin187.5159
202Cortisol266226
203Enteropoetin550468
204PTH(Paratharmone)617.5525
205Calcitonin840714
206C-Peptide.400340
207Insulin.325276
208Progesterone.266226
20917-DH Progesterone.450383
210DHEAS.450383
211Androstendione.750638
212Growth Hormone.350298
213TPO.385327
214Throglobulin.400340
Microbiology & Serology0
215Smear gram-strain examination4841
216Sputum smear A.F.B. stain5648
217Vaginal Smear Examination8068
218Direct smear and stain examination for

cryptosporidium

10085
219Direct smear and stain examination for

P.Carcinei

10085
220LCB Count for mycology150128
221LCB Count for others300255
222V.D.R.L.5042
223TPHA test120102
224Widal test7060
225Rheumatoid Factor test10589
226Culture & Sensitivity -bacterial10085
227Culture & Sensitivity -Mycobacterial160136
228Culture & Sensitivity -mycology160136
229C.R.P.120102
230C.R.P Quantative200170
231ASO Titer143122
232Quantitative H.C.G.8068
233Blood culture & sensitivity- manual160136
234Blood culture & sensitivity-automated300255
235Vibro cholera culture150128
236Rapid Blood Culture.320272
237Rapid AFB Culture.160136
238C.3.250213
239C.4.250213
240IgG.195166
241IgM.240204
242IgA.195166
243ANA.320272
244Ds DNA.385327
245P ANCA.640544
246C ANCA.640544
Infectuous disease serology0
247HAV.553470
248HbSAg – Elisa.147125
249Anti HBS.300255
250Anti HBC Total.490417
251Anti HBC IgM.488414
252HbeAg.423359
253Anti Hbe.450383
254Anti- HCV.400340
255Anti- HEV.618525
256Triple Marker.900765
TORCH.0
257IgG.260221
258IgM.260221
Toxoplasmosis.0
259IgG.260221
260IgM.260221
CMV(Cytomegalo virus).0
261IgG.260221
262IgM.260221
HSV.0
263IgG.260221
264IgM.260221
265IgE.400340
Tuberculosis0
266TB IgG.280238
267TB IgM.280238
268TB IgA.280238
Rubella0
269Ig G200170
270Ig M200170
271Ig A250213
272Dengue Serology.600510
273Cysticercosis.340289
274Hydatic Serology.374318
275Anti Sperm Antibodies.406345
HBV DNA.0
276Qualitative.2,3401,989
277Quantitative.1,6001,360
HCV RNA.0
278Qualitative.1,7601,496
279HPV serology#N/A#N/A
280Rota Virus serology163138
281PCR for TB975829
282PCR for HIV630536
283Chlamydae antigen900765
284chlamydae antibody280238
285Brucella serology245208
286Influenza A serology943801
USG, X-ray , CT, MRI, Bone Densitometry0
287USG for Obstetrics – Anomalies scan380323
288Abdomen USG300255
289Pelvic USG ( prostate, gynae, infertility etc)300255
290Small parts USG ( scrotum, thyroid ,

parathyroid etc)

410349
291Neonatal head (Tranfontanellar)500425
292Neonatal spine500425
293Contrast enhanced USG900765
294USG Breast410349
295USG Hystero-Salpaingography (HSG)300255
296Colour Doppler , Carotid artery1,000850
297Colour Doppler, Peripheral Artery/Veins830706
298Colour doppler, renal arteries/any other organ1,000850
299USG guided intervention-aspiration500425
300USG guided intervention- FNAC700595
301USG guided intervention – biopsyListed

Under Treatme nt Procedu res

Listed

Under Treatment Procedure

s

302USG guided intervention – nephrostomy800680
X-Ray0
303Abdomen AP Supine or Erect (One film)11094
304Abdomen Lateral view (one film)11094
305Pelvimetry120102
306Chest PA view (one film)7060
307Chest Lateral (one film)7060
308Mastoids: Towne view, oblique views (3 films)300255
309Extremities, bones & Joints AP & Lateral views

(Two films)

160136
310Pelvis A.P (one film)11094
311T. M. Joints (one film)11094
312Abdomen & Pelvis for K. U. B.150128
313Skull A. P. & Lateral (2 films)200170
314Spine A. P. & Lateral (2 films)200170
315PNS view (1 film)11094
X ray Contrast studies0
316Barium Swallow600510
317Barium Upper GI study700595
318Barium Upper GI study (Double contrast)700595
319Barium Meal follow through1,100935
320Barium Enema (Single contrast/double

contrast)

1,000850
321Small bowel enteroclysis1,2001,020
322ERCP (Endoscopic Retrograde Cholangio –

Pancreatography)

6,0105,109
323General :Fistulography

/Sinography/Sialography/Dacrocystography/ T- Tube cholangiogram/Nephrostogram

750638
324Percutaneous transhepatic cholangiography

(PTC)

1,5001,275
325Intravenous Pyelography (IVP)1,2001,020
326Micturating Cystourethrography (MCU)800680
327Retrograde Urethrography (RGU)800680
328Contrast Hystero-Salpingography (HSG)300255
329X ray – Arthrography2,4002,040
330Cephalography150128
331Myelography1,8001,530
332Digital Subtraction Angiography (DSA) –

Cerebral arteries

22,00018,700
333Digital Subtraction Angiography (DSA) –

Peripheral Artery/arteries

9,0007,650
334Digital Subtraction Angiography (DSA) –

abdomen

0
335Digital Subtraction Angiography (DSA) – chest0
Mammography0
336X-ray Mammography500425
337Ultrasound Mammography500425
338MRI Mammography3,0002,550
CT0
339CT Head-Without Contrast800680
340CT Head- with Contrast (+/- CT angiography)1,3501,148
341C. T. Chest – without contrast (for lungs)1,5001,275
342C. T. Chest – with contrast (+/- CT

angiography)

2,5002,125
343C. T. Scan Upper Abdomen Without Contrast1,7001,445
344C. T. Scan Upper Abdomen With Contrast2,4002,040
345C. T. Scan Lower Abdomen Without Contrast1,5001,275
346C. T. Scan lower Abdomen With Contrast2,4002,040
347C. T. Scan Whole Abdomen Without Contrast3,0002,550
348C. T. Scan Whole Abdomen With Contrast4,5003,825
349CT angiography abdomen5,0004,250
350CT enteroclysis0
351C. T. Scan Neck (Thyroid, parathyroid, Soft

Tissues) – Without Contrast

1,5001,275
352C. T. Scan Neck – With Contrast2,2001,870
353C. T. Scan Orbits – Without Contrast1,4001,190
354C. T. Scan Orbits – With Contrast1,9001,615
355C. T. Scan of Para Nasal Sinuses- Without

Contrast

1,2501,063
356C. T. Scan of Para Nasal Sinuses – With

Contrast

2,1001,785
357C. T. Spine (Cervical, Dorsal, Lumbar,

Sacral)–without contrast

1,5001,275
358CT Temporal bone – without contrast1,050893
359CT – Dental1,5001,275
360C. T. Scan Limbs -Without Contrast1,5001,275
361C. T. Scan Limbs -With Contrast including CT

angiography

2,6502,253
362C.T. Guided intervention – Biopsy /FNAC1,2001,020
363C. T. Guided intervention -percutaneous

catheter drainage / tube placement

1,5351,305
MRI0
364MRI Head – Without Contrast2,3501,998
365MRI Head – With Contrast3,3502,848
366MRI Orbits – Without Contrast1,7001,445
367MRI Orbits – With Contrast5,0004,250
368MRI Nasopharynx and PNS – Without Contrast2,5002,125
369MRI Nasopharynx and PNS – With Contrast5,0004,250
370MRI Neck – Without Contrast2,4002,040
371MRI Neck- with contrast5,0004,250
372MRI Shoulder – With contrast2,5002,125
373MRI Shoulder – Without contrast2,5002,125
374MRI shoulder both Joints – Without contrast2,5002,125
375MRI Shoulder both joints – With contrast5,0004,250
376MRI Wrist Single joint – Without contrast2,5002,125
377MRI Wrist Single joint – With contrast5,0004,250
378MRI Wrist both joints – Without contrast2,5002,125
379MRI Wrist Both joints – With contrast5,0004,250
380MRI knee Single joint – Without contrast2,5002,125
381MRI knee Single joint – With contrast5,0004,250
382MRI knee both joints – Without contrast2,5002,125
383MRI knee both joints – With contrast5,0004,250
384MRI Ankle Single joint – Without contrast2,5002,125
385MRI Ankle single joint – With contrast5,0004,250
386MRI Ankle both joints – With contrast2,5002,125
387MRI Ankle both joints – Without contrast2,5002,125
388MRI Hip – With contrast2,5002,125
389MRI Hip – without contrast3,0002,550
390MRI Pelvis – Without Contrast2,5002,125
391MRI Pelvis – with contrast5,0004,250
392MRI Extremities – With contrast5,0004,250
393MRI Extremities – Without contrast2,5002,125
394MRI Temporomandibular – Single Joint – With

contrast

5,0004,250
395MRI Temporomandibular – Single Joint –

Without contrast

2,5002,125
396MRI Temporomandibular Double Joint – With

contrast

5,0004,250
397MRI Temporomandibular Double Joint –

Without contrast

2,5002,125
398MRI Abdomen – Without Contrast2,5002,125
399MRI Abdomen – With Contrast5,0004,250
400MRI Breast – With Contrast5,0004,250
401MRI Breast – Without Contrast2,5002,125
402MRI Spine Screening – Without Contrast1,000850
403MRI Chest – Without Contrast2,5002,125
404MRI Chest – With Contrast5,0004,250
405MRI Cervical Spine – Without Contrast2,5002,125
406MRI Cervical Spine – With Contrast5,0004,250
407MRI Dorsal Spine – Without Contrast2,5002,125
408MRI Dorsal Spine – With Contrast5,0004,250
409MRI Lumbar Spine – Without Contrast2,5002,125
410MRI Lumbar Spine – With Contrast5,0004,250
411Whole body MRI (For oncological workup)6,0005,100
412MRI Angiography – Without Contrast1,2001,020
413MRI Angiography – With Contrast5,0004,250
414MR cholecysto-pancreatography.2,5002,125
415MR Enteroclysis2,5002,125
Bone Densitometry0
416Bone Densitometry – Single Site1,000850
417Bone Densitometry – Two sites1,8001,530
418Bone Densitometry – Three sites (Spine, Hip &

extremity)

2,3001,955
419Bone Densitometry Whole body1,8001,530
NEUROLOGICAL INVESTIGATIONS AND

PROCEDURES

0
420EEG/Video EEG350298
421EMG (Electro myography)520442
422Nerve condition velocity (at least 2 limbs)750638
423Decremental response (before and after

neo stigmine)

700595
424Incremental response700595
425SSEP (Somato sensory evoked potentials)750638
426Poly somnography750638
427Brachial plexus study500425
428Muscle biopsy450383
429ACHR anti body titre750638
430Anti MUSK body titre560476
431Serum COPPER500425
432Serum ceruloplasmin618525
433Urinary copper500425
434Serum homocystine455387
435Serum valproate level439373
436Serum phenol barbitone level390332
437Coagulation profile595506
438Protein C, S anti thrombine – III700595
439Serum lactate level540459
CSF0
440a. Basic studies including cell count, protein,

sugar, gram stain, India Ink preparation and smear for AFP

240204
441b. Special studies750638
442PCR for tuberculosis/ Herpes simplex925786
443Bacterial culture and sensitivity200170
444Mycobacterial culture and sensitivity200170
445Fungal culture150128
446Malignant cells7564
447Anti measles antibody titre (with serum

antibody titre)

1,2301,046
448Viral culture300255
449Antibody titre (Herpes simplex, cytomegalo

virus, flavivirus, zoster varicella virus)

2,0001,700
450Oligoclonal band1,5001,275
451Myelin Basic protein400340
452Lactate350298
453Crypto coccal antigen850723
TESTS IN GASTRO-ENTEROLOGY0
454a. D-xylase test950808
455b. Fecal fat test/ fecal chymotrypsin/ fecal

elastase

1,150978
456c. Breath tests1,5001,275
457d. H pylori serology for ciliac disease250213
458e. HBV genotyping2,2001,870
459f. HCV genotyping2,2001,870
Tests in Endocrinology ( in addition to those

included under Harmones)

460Urinary VMA430366
461Urinary metanephrine/Normetanephrine400340
462Urinary free catecholamine350298
463Serum catecholamine450383
464Serum aldosterone700595
46524 Hr urinary aldosterone920782
466Plasma renin activity800680
467Serum aldosterone/renin ratio950808
468Osmolality urine150128
469Osmolality serum150128

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