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JAYABEN MODY HOSPITAL
SCHEDULE OF CHARGES
W.E.F. 1ST JUNE-2015
Following departments are available in the hospital for routine and emergency work.
Surgery & Trauma Centre Intensive Care Unit
Surgical Unit
Ophthalmic Unit
Pediatric Ward & NICU
Maternal & Child Health Unit
Dental Department
ENT Department
Occupational Health Centre
Radiology
Diagnostic Laboratory Unit
Dialysis Unit
Physiotherapy Centre
Orthopedic Unit
SR. NO.PARTICULARSPAGE NO.
1CONSULTATION CHARGE
2VISIT CHARGES
3ACCOMODATION CHARGE (ROOMS CHARGES)
4PROCEDURE CHARGES
5RADIOLOGICAL INVESTIGATION CHARGES
7ANAESTHESIA CHARGES
8OPTHALMOLOGY (EYE) CHARGE
9ENT CHARGES
10OBSTETRICS CHARGES
11GYNAEC OPERATION CHARGE
12GENERAL SURGERY CHARGES
13LAPROSCOPIC SURGERY CHARGE
14ORTHOPAEDIC OPD CHARGES
15ORTHOPAEDIC OPERATION CHARGES
16"C" ARM CHARGES
17ARTHOSCOPY CHARGES
18PHYSIOTHERAPY CHARGES
19LABORATORY INVESTIGATION CHARGE
20DENTAL CHARGES
1CONSULTATION
(a) 1ST CONSULTATIONRs. 100/-
b) SUBSEQUENT CONSULTATIONRs.70/-
(Valid for 1 month)
2SUPER SPECIALIST
a) 1ST CONSULTATIONRs. 200/-
b) SUBSEQUENT CONSULTATIONRs.130/-
(Valid for 1 month)
3EMERGENCY WARD
a) CONSULTATIONRs. 150/-
5FILLING OF FORMS FOR INSURANCERs.50/-
6ISSUE OF CERTIFICATERs.50/-
7DISABILITY CERTIFICATERs.1500/-
8COPY OF INDOOR CASE PAPER / OTHER DOCUMENTRs.50/-
(A) CONSULTANTS /OUT SIDE CONSULTANTS/ PRIVATE CASES
SRNO.TYPE OF CLASSDAYNIGHT
8 PM - 8AM
(1)General Ward5070
(2)Semi -Special 120160
(3)Special Room180250
(4)Special - A.C230300
(5)Deluxe Room350450
(6)Super Deluxe Room600700
(7)ICU / NICU250300
(8)Burns- General120160
(9)Burns- Special210250
(B) DIETICIAN CHARGES
(1) OPD, Gen. Ward, Semi Special, Special Room, Burns GeneralRs. 50/-
(2)Special AC, Delux Room, Super Deluxe Room, ICU/ NICU, Burns SpecialRs. 100/-
ROOM CHARGES (ACCOMMEDATION):SR NO.CategoryCharges per bed
(1)General Ward250
(2)Semi -Special 700
(3)Special Room1100
(4)Special - A.C1300
(5)Deluxe Room1650
(6)I.C.U.1350
(7)Super Deluxe Room2000
(8)NICU1350
(9)Burns- General700
(10)Burns- Special1100
Note:
If patient is discharged within 6 hours then half day charges to be recovered, If patient is kept for observation in ICU /NICU up to 2 hours Rs. 500/- to be taken for bed charges.DEPOSIT AMOUNT AT THE TIME OF ADMISSION:SR NO.TYPE OF CLASSAmount
(1)General Ward2000
(2)Semi -Special 4000
(3)Special Room5000
(4)Special - A.C10000
(5)Deluxe Room15000
(6)Super Deluxe Room20000
(7)ICU / NICU15000
(8)Burns- General4000
(9)Burns- Special5000
PROCEDURE CHARGES:
A) Physician
PROCEDURE G.WS.SP.SPECIALDELUXICU/NICUSUP. DELUXE
FNAC300450600750750825
PL TAP200300400500500550
ASCITICTAP200300400500500550
LUMBAR PUNCTURE300450600750750825
BONE MARROW ASPIRATION300450600750750825
BONE MASSOW ASPIRATION WITH BIOPSY400600800100010001100
LIVER ABSC ESS DRINAGE200300400500500550
CENTRAL LINE5007501000125012501400
INTUBATION CHARGES450675900112511251250
LIVER BIOPSY250375500625625700
B) ICU ChargesPROCEDURE / SERVICECHARGES
VENTILATOR CHARGES (Less than 12 Hours)Rs. 1500/-
VENTILATOR CHARGES (12 Hours to 24 Hours)Rs. 2500/-
CARDIAC MONITORRs. 200/- per day
OXYGEN CHARGES (Less than 12 Hours)Rs. 600/-
OXYGEN CHARGES (12 Hours to 24 Hours)Rs. 1000/-
MULTIPERA MONITORRs. 70/- PER HOUR
VENTILATOR CHARGES - C-PAPRs. 25/- PER HOUR
VENTILATOR CHARGES - DRAGGERRs. 50/- PER HOUR
D.C. SHOCKRs. 50/- EVERY SHOCK
PULSE OXYMETERRs. 100/- PER DAY
INFUSION PUMPRs. 100/- PER DAY
PHOTOTHERAPHYRs. 100/- PER DAY
RBS -BY GLUCO METER -PEDIATRICRs. 90/- PER DAY
NEBULIZATIONRs. 20/- PER NEBULIZATION
C) DRESSING CHARGEDRESSING CHARGEOPD , G.W., & SEM. SPEC.SPECIALDELUX/ ICU/ NICUSUP. DELUX
* (MATERIAL COST EXTRA)
- MINOR50657590
- MAJOR80100120140
- SUPERMAJOR200250300350
Parineal wash with dressing
Including material per day200250300350
RADIOLOGICAL INVESTIGATION CHARGES:OPD , G.W., & SEM. SPEC.SPECIALDELUX/ ICU/ NICUSUP. DELUX
1(A)Digital X RAY180225250300
2(B) PORTABLE X-RAY220250300300
3(C) HYSTERO S. GRAPHY: Number of Plates + Rs.250/- (Procedure Charge)
4(D) MYLEO-GRAPHY: Number of Plates + Rs.300/- (Procedure Charge)
5(E) FISTULOGRAPHY: Number of Plates + Rs.300/- (Procedure Charge)
6(F) I.V.P.: Number of Plates + Rs.250/- (Procedure Charge)
7(G) BARIUM PROCEDURES: Number of Plates + Rs.250/- (Procedure Charge)
MATERIAL USED E.G. CONTRAST MEDIA, BARIUM, SYRING ETC. WILL CHARGED EXTRA.
ANAESTHESIA CHARGE EXTRA
ANESTHESIA CHARGES
STANDBY PHYSICIAN CHARGES
ASSISTANT CHARGES
--------------------------------------------------------------------------------------------------------
OPD , G.W., & SEM. SPEC.SPECIALDELUX/ ICU/ NICU/S.D.
1Minimum Anesthesia Charges Rs. 300/- Rs. 300/-
2 ANESTHETIST CHARGES 25% of Operation Charges
3Standby Physician / Paediatrician /
Anesthetist charge in O. T.200250300
4Standby Paediatrician / Physician /
Anesthetist charge in Labour Room200250300
5ASSISTANT SURGEON (whenever required)
6FIRST ASSISTANT - 25% OF OPERATION CHARGE
7SECOND ASSISTANT - 15% OF OPERATION CHARGE
Note:Helothane Isoprealine & suture material used in O.T. to be charged.EYE CHARGES
CHARGES FOR EYE CATARACT SURGERY -PHACO (INDIAN FOLDABLE)
GENARAL SEMI. SP. SP.ROOMSP.ACDEL./SD
REGISTRATION200200300300300
WARD CHARGE - 1 DAY1253756758251050
DOCTOR CHARGE50120180230350
NURSING CHARGE75205245245250
OPERATION CHARGE32004000460046004600
O.T. CHARGE16002000230023002300
LENS {INDIAN}15001500150015001500
MEDICINE & MAT500700700700700
A - SCAN150150200200200
TOTAL74009250107001090011250
CHARGES FOR EYE CATARACT SURGERY -PHACO (FOREIGN FOLD)
GENARAL SEMI. SP. SP.ROOMSP.ACDEL./SD
REGISTRATION200200300300300
WARD CHARGE - 1 DAY1253756758251050
DOCTOR CHARGE50 180230350
NURSING CHARGE75205245245250
OPERATION CHARGE52007500100001000010000
O.T. CHARGE26003750500050005000
LENS {INDIAN}
MEDICINE & MAT600800800800800
A - SCAN150150200200200
TOTAL900012980174001760017950
ENT CHARGES:NO.NAME OF THE OPERATIONGENERALSEMI. SPSP. ROOMDEL./SD
1WAX REMOVAL100150200220
2SUCTION CLEANING EAR / NOSE200300400440
3MICROSCOPIC EXAMINATION (EAR)200300400440
4FOREIGN BODY REMOVAL EAR / NOSE50075010001100
5INTRA NASAL / INTRAORAL INJECTION100150200220
6PURE TONE AUDIOMETRY150225300330
7ANTERIOR NASAL PACKING150225300330
8CALOROC TEST100150200220
9ANTRAL PUNCTURE400600800880
10SUBMUCUS DIATHERMY NOSE50075010001100
11HEAT CAUTERY NOSE50075010001100
12REMOVAL OF F.B. NOSE UNDER G.A.1000150020002200
13POSTERLOR NASAL PACKING250375500550
14BIOPSY ORAL CAVITY / NOSE350525700770
15I & D PERITONSILER ABSCESS1000150020002200
16NECK ABSCESS - SUPERFICIAL400600800880
17SEPTAL HEAMATOMA - IND1000150020002200
18MASTOID ABSCESS IND1000150020002200
19EAR LOBE REPAIR400600800880
20TCA CAUTERY EAR100150200220
21MYRINGOTOMY SIMPLE750112515001650
22EAR POLYPECTOMY750112515001650
23F.B. REMOVAL EAR / GA750112515001650
24TONSILECTOMY WITH ADENOIDS2000300040004400
25IND RETROPHARYNEAL ABSCESS1000150020002200
26DIRECT LARYNGOSCOPY1500225030003300
27PLANNED TRACHEOSTOMY1500225030003300
28INTRANASAL ANTROSTOMY750115015001650
29REDUCTION OF FRACTUR NASAL BONE1500225030003300
30F.B. REMOVAL EAR (MIDDLE)750115015001650
31EXCISION SMALL BENINGNLESSION50075010001100
32NECK GLAND BIOPSY50075010001100
33SALIVARY DUCTSTONE REMOVAL (FROM ORAL CAVITY)750112515001650
34EXCISION OF STYLOID2000300040004400
35SUBMANDIBULAR SALIVARY GLAND EXCISION2000300040004400
NO.NAME OF THE OPERATIONGENERALSEMI. SPSP. ROOMDEL./SD
36RENULA EXCISION2500375050005500
37MLS3000450060006600
38S.M.R. / SEPTO / PLASTIY2000300040004400
39CALDEWAL LUC OPERATION1500225030003300
40FOREIGN BODY REMOVAL2000300040004400
LARYNX
TRACHEA
BRONCHUS
OESO PHAGUS
41EXCISION OF THYROGLOSAL CYST.2500375050005500
42EXCISION OF LARGE SWELLING NECK CYST.2500375050005500
43MYRINGOPLASTY2500375050005500
44SIMPLE CORTICAL MASTOIDECTOMY3000450060006600
45TYMPANOPLASTY MASTOIDECTOMY3000450060006600
46NASAL POLYPECTOMY UNILATERAL2500375050005500
47NASAL POLYPECTOMY 3000450060006600
Gynecology Charges:S NONAME OF OPERATIONGENSEMISPECIALSUPER DELUXE/ DELUXE
1D & C1200140016002100
2D & E1400160018002400
3CERVICAL CAUTERISATION80090010001300
4POLYPECTOMY1200140016002100
5ABDOMINAL TL1000150020002600
6CERVICAL BIOPSY750100012001500
7VAGINAL / VULVAL BIOPSY750100012001500
8DIAGNOSYIC LAPROSCOPY3000400050006500
9LAP TL2500300035004550
10OPERATIVE LAPROSCOPY5000600070009100
11LSCS5000600070009100
12OVARION CYST ( UNILATERAL ) 3500400045005850
13LSCS + TL65007500850011000
14OLD PERINEAL REPAIR1500200025003250
15SLING OPRERATION2500350045005850
16LAPROTOMY FOR ECTOPIC5500600070009100
17DRAINAGE OF PELVIC ABSLESS1000120015002000
18MANUAL REMOVAL OF PLACENTA800100014001800
19ABDOMINAL HYSTERECTOMY5000600075009750
20TOTAL ABDOMINAL HYSTERECTOMY60007000850011000
21VAGINAL HYSTERECTOMY60007000800010400
22CYSTOCOEL REPAIR1000140018002400
23RECTOCOEL REPAIR1000140018002400
24LAPRPOSCOPIC ECTOPIC4000500060007800
Obstetrics Charges:S NONAME OF OPERATIONGENSEMISPECIALSUPER DELUXE/ DELUXE
1NORMAL DELIVERY1500170020002600
2NORMAL DELIVERY WITH EPISIOTOMY2000250030003900
3PREMATURE DELIVERY1000120015002000
4BREECH DELIVERY1700190022002900
5BREECH DELIVER WITH EPOISIOTOMY2200250030003900
6TWIN DELIVERY2000250030003900
7TWIN DELIVERY WITH EPISIOTOMY2500320039005000
8FORCEPS DELIVERY2500300035004550
9VACCUM DELIVERY2500300035004550
10PERINEAL TEAR
REPAIR
1. DEGREE60080012001600
2. DEGREE70090013001700
3. DEGREE900110015002000
11INDUCTION OF LABOUR MONITORING700100013001700
12MONITORING OF HIGH RISK PREGNANCY700100013001700
13MISSED ABORTION1400160016002100
14COMPLETE PERINEAL TEAR2000220024003200
15SHIRODHKAR STITCH1200150018002400
GENERAL SURGERY CHARGES:NONAME OF OPERATIONGENERALSEMISPECSUPER DELUXE/ DELUXE
1EXCISION OF SWELLING L/A (DAYS CASE)1500
2DEBRIDEMENT SUTURING OF WOUND L/A1500
3URETHRAL DILATATIONINDOOR800100015002000
OPD1000
4RECONSTRUCTIVE SURGERY L/A(2500-3000)
5ICD INSERTIONELECTIVE700100015002000
EMERGENCY1500200025003250
6EXCISION BREAST LUMP1500200025003250
7BURNS DRESSING